Scientific retreats with 'speed dating': networking to stimulate new interdisciplinary translational research collaborations and team science.

PubMed

Ranwala, Damayanthi; Alberg, Anthony J; Brady, Kathleen T; Obeid, Jihad S; Davis, Randal; Halushka, Perry V

2017-02-01

To stimulate the formation of new interdisciplinary translational research teams and innovative pilot projects, the South Carolina Clinical and Translational Research (SCTR) Institute (South Carolina Clinical and Translational Science Award, CTSA) initiated biannual scientific retreats with 'speed dating' networking sessions. Retreat themes were prioritized based on the following criteria; cross-cutting topic, unmet medical need, generation of novel technologies and methodologies. Each retreat begins with an external keynote speaker followed by a series of brief research presentations by local researchers focused on the retreat theme, articulating potential areas for new collaborations. After each session of presentations, there is a 30 min scientific 'speed dating' period during which the presenters meet with interested attendees to exchange ideas and discuss collaborations. Retreat attendees are eligible to compete for pilot project funds on the topic of the retreat theme. The 10 retreats held have had a total of 1004 participants, resulted in 61 pilot projects with new interdisciplinary teams, and 14 funded projects. The retreat format has been a successful mechanism to stimulate novel interdisciplinary research teams and innovative translational research projects. Future retreats will continue to target topics of cross-cutting importance to biomedical and public health research. Copyright © 2016 American Federation for Medical Research.

Scientific Retreats with ‘Speed Dating’: Networking to Stimulate New Interdisciplinary Translational Research Collaborations and Team Science

PubMed Central

Alberg, Anthony J.; Brady, Kathleen T.; Obeid, Jihad S.; Davis, Randal; Halushka, Perry V.

2016-01-01

To stimulate the formation of new interdisciplinary translational research teams and innovative pilot projects, the South Carolina Clinical & Translational Research (SCTR) Institute (South Carolina Clinical and Translational Science Award, CTSA) initiated biannual scientific retreats with “speed dating” networking sessions. Retreat themes were prioritized based on the following criteria; cross-cutting topic, unmet medical need, generation of novel technologies and methodologies. Each retreat commences with an external keynote speaker followed by a series of brief research presentations by local researchers focused on the retreat theme, articulating potential areas for new collaborations. After each session of presentations, there is a 30 minute scientific “speed dating” period during which the presenters meet with interested attendees to exchange ideas and discuss collaborations. Retreat attendees are eligible to compete for pilot project funds on the topic of the retreat theme. The 10 retreats held have had a total of 1004 participants, resulted in 61 pilot projects with new interdisciplinary teams, and 14 funded projects. The retreat format has been a successful mechanism to stimulate novel interdisciplinary research teams and innovative translational research projects. Future retreats will continue to target topics of cross-cutting importance to biomedical and public health research. PMID:27807146

In vitro evaluation of efficacy of different rotary instrument systems for gutta percha removal during root canal retreatment

PubMed Central

Joseph, Mercy; Malhotra, Amit; Rao, Murali; Sharma, Abhimanyu; Talwar, Sangeeta

2016-01-01

Background Complete removal of old filling material during root canal retreatment is fundamental for predictable cleaning and shaping of canal anatomy. Most of the retreatment methods tested in earlier studies have shown inability to achieve complete removal of root canal filling. Therefore the aim of this investigation was to assess the efficacy of three different rotary nickel titanium retreatment systems and Hedstrom files in removing filling material from root canals. Material and Methods Sixty extracted mandibular premolars were decoronated to leave 15 mm root. Specimen were hand instrumented and obturated using gutta percha and AH plus root canal sealer. After storage period of two weeks, roots were retreated with three (Protaper retreatment files, Mtwo retreatment files, NRT GPR) rotary retreatment instrument systems and Hedstroem files. Subsequently, samples were sectioned longitudinally and examined under stereomicroscope. Digital images were recorded and evaluated using Digital Image Analysing Software. The retreatment time was recorded for each tooth using a stopwatch. The area of canal and the residual filling material was recorded in mm2 and the percentage of remaining filling material on canal walls was calculated. Data was analysed using ANOVA test. Results Significantly less amount of residual filling material was present in protaper and Mtwo instrumented teeth (p < 0.05) compared to NRT GPR and Hedstrom files group. Protaper instruments also required lesser time during removal of filling material followed by Mtwo instruments, NRT GPR files and Hedstrom files. Conclusions None of the instruments were able to remove the filling material completely from root canal. Protaper universal retreatment system and Mtwo retreatment files were more efficient and faster compared to NRT GPR fles and Hedstrom files. Key words:Gutta-percha removal, nickel titanium, root canal retreatment, rotary instruments. PMID:27703601

Retreatability of two endodontic sealers, EndoSequence BC Sealer and AH Plus: a micro-computed tomographic comparison

PubMed Central

Oltra, Enrique; Cox, Timothy C.; LaCourse, Matthew R.; Johnson, James D.

2017-01-01

Objectives Recently, bioceramic sealers like EndoSequence BC Sealer (BC Sealer) have been introduced and are being used in endodontic practice. However, this sealer has limited research related to its retreatability. Hence, the aim of this study was to evaluate the retreatability of two sealers, BC Sealer as compared with AH Plus using micro-computed tomographic (micro-CT) analysis. Materials and Methods Fifty-six extracted human maxillary incisors were instrumented and randomly divided into 4 groups of 14 teeth: 1A, gutta-percha, AH Plus retreated with chloroform; 1B, gutta-percha, AH Plus retreated without chloroform; 2A, gutta-percha, EndoSequence BC Sealer retreated with chloroform; 2B, gutta-percha, EndoSequence BC Sealer retreated without chloroform. Micro-CT scans were taken before and after obturation and retreatment and analyzed for the volume of residual material. The specimens were longitudinally sectioned and digitized images were taken with the dental operating microscope. Data was analyzed using an ANOVA and a post-hoc Tukey test. Fisher exact tests were performed to analyze the ability to regain patency. Results There was significantly less residual root canal filling material in the AH Plus groups retreated with chloroform as compared to the others. The BC Sealer samples retreated with chloroform had better results than those retreated without chloroform. Furthermore, patency could be re-established in only 14% of teeth in the BC Sealer without chloroform group. Conclusion The results of this study demonstrate that the BC Sealer group had significantly more residual filling material than the AH Plus group regardless of whether or not both sealers were retreated with chloroform. PMID:28194360

Incidence, outcomes, and risk factors for retreatment after wavefront-optimized ablations with PRK and LASIK.

PubMed

Randleman, J Bradley; White, Alfred J; Lynn, Michael J; Hu, Michelle H; Stulting, R Doyle

2009-03-01

To analyze and compare retreatment rates after wavefront-optimized photorefractive keratectomy (PRK) and LASIK and determine risk factors for retreatment. A retrospective chart review was performed to identify patients undergoing PRK or LASIK with the wavefront-optimized WaveLight platform from January 2005 through December 2006 targeted for a piano outcome and to determine the rate and risk factors for retreatment surgery in this population. Eight hundred fifty-five eyes were analyzed, including 70 (8.2%) eyes with hyperopic refractions and 785 (91.8%) eyes with myopic refractions. After initial treatment, 72% of eyes were 20/20 or better and 99.5% were 20/40 or better. To improve uncorrected visual acuity, 54 (6.3%) eyes had retreatments performed. No significant differences in retreatment rates were noted based on age (P = .15), sex (P = .8), eye (P = .3), PRK versus LASIK (P = 1.0), room temperature (P = .1) or humidity (P = .9), and no correlation between retreatment rate and month or season of primary surgery (P = .4). There was no correlation between degree of myopia and retreatment rate. Eyes were significantly more likely to undergo retreatment if they were hyperopic (12.8% vs 6.0%, P = .006) or had astigmatism > or = 1.00 diopter (D) (9.1% vs 5.3%, P = .04). Retreatment rate was 6.3% with the WaveLight ALLEGRETTO WAVE excimer laser. This rate was not influenced by age, sex, corneal characteristics, or environmental factors. Eyes with hyperopic refractions or astigmatism > or = 1.00 D were more likely to undergo retreatment.

Children's Use of Retreats in Family Child Care Homes

ERIC Educational Resources Information Center

Weinberger, Nanci

2006-01-01

The use of retreat spaces by 65 children in 9 family child care homes was assessed in this study. Family child care providers used daily diaries to collect information about children's retreat frequency and associated behavior. The findings revealed that nearly half of the children used informal, readily available retreats during the research…

No improvement in serological response among serofast latent patients retreated with benzathine penicillin.

PubMed

Ren, Rong-Xin; Wang, Lin-Na; Zheng, He-Yi; Li, Jun

2016-01-01

Persistent non-treponemal titres after treatment are common among patients with latent syphilis. Although retreatment is often done in clinical practice, optimal management remains uncertain due to the paucity of data regarding serological response to retreatment and long-term outcomes. We compared the serological responses of serofast latent syphilis patients retreated with 7.2 million units of benzathine penicillin with the responses of patients who did not receive retreatment (control group). We retrospectively analysed the serological response to therapy following retreatment of 35 serofast latent syphilis patients at 12 months with benzathine penicillin 2.4 million units weekly for 3 weeks. In all, 74.3% (26/35) of the cases with latent syphilis who failed to achieve serological cure at 12 months after initial therapy achieved serological cure after retreatment and after an additional 12 months of follow-up. However, statistically similar serological cure rate was observed in 80.0% (28/35) of the control group (p > .05). Our findings illustrate no improvement in serological response among serofast latent patients retreated with three doses of benzathine penicillin. © The Author(s) 2015.

Enhancing the research and publication efforts of health sciences librarians via an academic writing retreat.

PubMed

Bullion, John W; Brower, Stewart M

2017-10-01

This case study describes the South Central Chapter of the Medical Library Association (SCC/MLA) initiative to develop an academic writing retreat for members who sought the necessary time and support to advance their research projects toward publication. SCC/MLA staged a dedicated writing retreat to coincide with the organization's 2012, 2013, and 2014 annual meetings. Each cohort met over two days to write and to workshop their peers' manuscripts. Organizers distributed an online survey one month after each retreat to evaluate attendees' perceptions. Three years' worth of writing retreats yielded fourteen peer-reviewed articles and one book chapter. Participants indicated that the retreat helped them meet or exceed their writing goals by offering protected time and a setting conducive to productivity. The format of the retreat is cost effective and easily adaptable for fellow professionals who wish to organize a formal event as a conference offering or simply support a writing group at their home institutions. In SCC/MLA, the retreat revitalized interest in writing and demystified the scholarly publication process.

Ipilimumab retreatment in patients with pretreated advanced melanoma: the expanded access programme in Italy

PubMed Central

Chiarion-Sileni, V; Pigozzo, J; Ascierto, P A; Simeone, E; Maio, M; Calabrò, L; Marchetti, P; De Galitiis, F; Testori, A; Ferrucci, P F; Queirolo, P; Spagnolo, F; Quaglino, P; Carnevale Schianca, F; Mandalà, M; Di Guardo, L; Del Vecchio, M

2014-01-01

Background: Retreatment with ipilimumab has been shown to re-establish disease control in some patients with disease progression. Here, we report the efficacy and safety of retreatment with ipilimumab 3 mg kg−1 among patients participating in an expanded access programme in Italy. Methods: Patients who achieved disease control during induction therapy were retreated with ipilimumab upon progression (3 mg kg−1 every 3 weeks for up to four doses), providing they had not experienced toxicity that precluded further dosing. Tumour assessments were conducted after retreatment, and patients were monitored throughout for adverse events. Results: Of 855 patients treated with ipilimumab, 51 were retreated upon disease progression. Of these, 28 (55%) regained disease control upon retreatment and 42% were alive 2 years after the first induction dose of ipilimumab; median overall survival was 21 months. Eleven patients (22%) had a treatment-related adverse event of any grade during retreatment. These were generally mild-to-moderate and resolved within a median of 4 days. No new types of toxicity were reported. Conclusions: For patients who meet predefined criteria, retreatment with ipilimumab is generally well tolerated and can translate into clinical benefit. This strategy should be compared with other therapeutic options in randomised controlled trials. PMID:24619072

Goldmann tonometry after hyperopic laser in situ keratomileusis: comparison between retreated and nonretreated patients.

PubMed

Sanchis-Gimeno, Juan A; Lleó-Pérez, Antonio; Rahhal, Saleh M; Alonso, Luis

2004-10-01

To identify differences in applanation tonometry between retreated and nonretreated eyes (primary LASIK eyes) 6 months after hyperopic laser in situ keratomileusis. In a prospective study 100 eyes (100 patients) underwent conventional hyperopic laser in situ keratomileusis under a 160-microm flap. Central Goldmann applanation tonometry was determined before and 6 months after surgery in 78 (78%) primary LASIK eyes and before surgery and 6 months after the retreatment date in 22 (22%) retreated eyes. Preoperative mean tonometry was 14.96 +/- 1.96 mm Hg and 15.30 +/- 1.95 mm Hg in primary LASIK and retreated eyes, respectively. Six months after surgery it was 12.99 +/- 2.03 mm Hg (P < 0.001) and 12.67 +/- 2.20 mm Hg (P < 0.001), respectively. No significant differences in mean tonometry were found between retreated and primary LASIK eyes 6 months after surgery (P = 0.537). Decreased tonometric values were found in 20 retreated eyes (90.91%) and in 62 primary LASIK eyes (79.48%). Increased tonometric values higher than 1 mm Hg were found in 3 primary LASIK eyes (3.84%), but no retreated eyes showed increased values 6 months after surgery. Two retreated eyes (9.09%) and 10 primary LASIK eyes (79.49%) presented the same tonometric values before surgery and at the end of the study. After hyperopic laser in situ keratomileusis there was no significant difference in Goldmann applanation tonometry between retreated and primary LASIK eyes.

Insight meditation and telomere biology: The effects of intensive retreat and the moderating role of personality.

PubMed

Conklin, Quinn A; King, Brandon G; Zanesco, Anthony P; Lin, Jue; Hamidi, Anahita B; Pokorny, Jennifer J; Álvarez-López, María Jesús; Cosín-Tomás, Marta; Huang, Colin; Kaliman, Perla; Epel, Elissa S; Saron, Clifford D

2018-05-01

A growing body of evidence suggests that meditation training may have a range of salubrious effects, including improved telomere regulation. Telomeres and the enzyme telomerase interact with a variety of molecular components to regulate cell-cycle signaling cascades, and are implicated in pathways linking psychological stress to disease. We investigated the effects of intensive meditation practice on these biomarkers by measuring changes in telomere length (TL), telomerase activity (TA), and telomere-related gene (TRG) expression during a 1-month residential Insight meditation retreat. Multilevel analyses revealed an apparent TL increase in the retreat group, compared to a group of experienced meditators, similarly comprised in age and gender, who were not on retreat. Moreover, personality traits predicted changes in TL, such that retreat participants highest in neuroticism and lowest in agreeableness demonstrated the greatest increases in TL. Changes observed in TRGs further suggest retreat-related improvements in telomere maintenance, including increases in Gar1 and HnRNPA1, which encode proteins that bind telomerase RNA and telomeric DNA. Although no group-level changes were observed in TA, retreat participants' TA levels at post-assessment were inversely related to several indices of retreat engagement and prior meditation experience. Neuroticism also predicted variation in TA across retreat. These findings suggest that meditation training in a retreat setting may have positive effects on telomere regulation, which are moderated by individual differences in personality and meditation experience. (ClinicalTrials.gov #NCT03056105). Copyright © 2018. Published by Elsevier Inc.

Cyclic fatigue resistance of D-RaCe, ProTaper, and Mtwo nickel-titanium retreatment instruments after immersion in sodium hypochlorite.

PubMed

Topçuoğlu, Hüseyin Sinan; Pala, Kanşad; Aktı, Ahmet; Düzgün, Salih; Topçuoğlu, Gamze

2016-07-01

The aim of this study was to investigate the effect of immersion in sodium hypochlorite (NaOCl) on cyclic fatigue resistance of three different rotary nickel-titanium (NiTi) retreatment files. A total of 90 new ProTaper, D-RaCe, and Mtwo retreatment files were tested. Thirty files of the same brand were randomly assigned to two groups (n = 15). Group 1 was no immersion (control group) and 16 mm of group 2 instruments were immersed in 5 % NaOCl at 37 °C for 5 min. All instruments were then tested for cyclic fatigue. Resistance to cyclic fatigue was determined by counting the numbers of cycles to failure in a 60° curve with a 5-mm radius, recording the time in seconds to fracture. Data were analyzed by two-way analysis of variance. Resistance to cyclic fatigue decreased significantly for D-RaCe retreatment files after immersion in NaOCl. ProTaper and Mtwo retreatment files were not affected from immersion to NaOCl. D-RaCe retreatment instruments showed better cyclic fatigue resistance than ProTaper and Mtwo retreatment instruments, and the difference was statistically significant (p < 0.05). There was no significant difference between ProTaper and Mtwo retreatment instrument groups (p > 0.05). D-RaCe retreatment instruments had the highest cyclic fatigue resistance among retreatment files tested in this study, but immersion to NaOCl decreased the cyclic fatigue resistance of D-RaCe retreatment instrument. It should be considered that cyclic fatigue resistance of D-RaCe can decrease in contact with NaOCl during the removal of canal filling material.

Continuing evidence for poorer treatment outcomes for single male patients: retreatment data from RTOG 97-14.

PubMed

Konski, Andre; Desilvio, Michelle; Hartsell, William; Watkins-Bruner, Deborah; Coyne, James; Scarantino, Charles; Janjan, Nora

2006-09-01

The specific aim of this study was to evaluate outcome differences by gender and partner status for patients treated on Radiation Therapy Oncology Group (RTOG) protocol 97-14. RTOG 97-14 randomized patients with metastatic breast or prostate cancer to bone to receive 8 Gy in 1 fraction or 30 Gy in 10 fractions. Retreatment rates and overall survival were made based upon gender, marital status, and Karnofsky Performance Status (KPS). The cumulative incidence method was used to estimate retreatment time at 36 months from enrollment, and Gray's test was used to test for treatment differences within the same groupings. Marital status, gender, KPS, and treatment were variables tested in a univariate Cox model evaluating the time to retreatment. Married men and women and single women receiving 30 Gy had significantly longer time to retreatment, p = 0.0067, p = 0.0052, and p = 0.0009 respectively. We failed to show a difference in retreatment rates over time in single men receiving either 30 Gy or 8 Gy. Univariate analysis of the entire group determined patients receiving 30 Gy in 10 fractions significantly less likely to receive retreatment, p < 0.0001, with a trend toward single patients less likely to be re-treated, p = 0.07. Non-disease-related variables, such as social support, might influence the results of clinical trials with subjective endpoints such as retreatment rates. The statistically nonsignificant difference in the 36-month retreatment rates observed in single male patients receiving 8 Gy may be a result of inadequate social support systems in place to facilitate additional care. Patients receiving 8 Gy in a single fraction had significantly higher retreatment rates compared with patients receiving 30 Gy in 10 fractions.

Retreatment Rates Among Endometriosis Patients Undergoing Hysterectomy or Laparoscopy.

PubMed

Soliman, Ahmed M; Du, Ella Xiaoyan; Yang, Hongbo; Wu, Eric Q; Haley, Jane C

2017-06-01

Hysterectomy and laparoscopy are the two most common surgical options used to treat women with endometriosis, yet the disease may still recur. This study aimed to determine the long-term retreatment rates among endometriosis patients in the United States who received either hysterectomy or laparoscopy. Patients aged 18-49 years with endometriosis who underwent hysterectomy or laparoscopy were identified in the Truven Health MarketScan claims database (2004-2013). The retreatment rate up to 8 years after the initial surgery was estimated using Kaplan-Meier survival analysis. The relative risk of retreatment among patients with hysterectomy versus laparoscopy was assessed using a Cox proportional hazard model. A total of 24,915 patients with endometriosis who underwent hysterectomy and 37,308 patients with endometriosis who underwent laparoscopy were identified. The estimated retreatment rates were 3.3%, 4.7%, and 5.4% in the 2nd, 5th, and 8th year following hysterectomy, respectively, while the rates following laparoscopy were 15.8%, 27.5%, and 35.2%, respectively. The hazard ratio of retreatment was 0.157 (95% confidence interval [CI]: 0.146-0.169) comparing hysterectomy to laparoscopy. In the sensitivity analysis, which expanded the definition of retreatment by including medical treatments, the retreatment rate increased by a factor of 11-14 for the hysterectomy cohort and by a factor of 2-4 for the laparoscopy cohort, and the hazard ratio of retreatment rate for hysterectomy versus laparoscopy was 0.490 (95% CI: 0.477-0.502). Our study results indicated that the disease retreatment rate after laparoscopy is high among patients with endometriosis; even hysterectomy does not guarantee freedom from retreatment.

SU-C-BRB-01: Automated Dose Deformation for Re-Irradiation

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

Lim, S; Kainz, K; Li, X

Purpose: An objective of retreatment planning is to minimize dose to previously irradiated tissues. Conventional retreatment planning is based largely on best-guess superposition of the previous treatment’s isodose lines. In this study, we report a rigorous, automated retreatment planning process to minimize dose to previously irradiated organs at risk (OAR). Methods: Data for representative patients previously treated using helical tomotherapy and later retreated in the vicinity of the original disease site were retrospectively analyzed in an automated fashion using a prototype treatment planning system equipped with a retreatment planning module (Accuray, Inc.). The initial plan’s CT, structures, and planned dosemore » were input along with the retreatment CT and structure set. Using a deformable registration algorithm implemented in the module, the initially planned dose and structures were warped onto the retreatment CT. An integrated third-party sourced software (MIM, Inc.) was used to evaluate registration quality and to contour overlapping regions between isodose lines and OARs, providing additional constraints during retreatment planning. The resulting plan and the conventionally generated retreatment plan were compared. Results: Jacobian maps showed good quality registration between the initial plan and retreatment CTs. For a right orbit case, the dose deformation facilitated delineating the regions of the eyes and optic chiasm originally receiving 13 to 42 Gy. Using these regions as dose constraints, the new retreatment plan resulted in V50 reduction of 28% for the right eye and 8% for the optic chiasm, relative to the conventional plan. Meanwhile, differences in the PTV dose coverage were clinically insignificant. Conclusion: Automated retreatment planning with dose deformation and definition of previously-irradiated regions allowed for additional planning constraints to be defined to minimize re-irradiation of OARs. For serial organs that do not recover from radiation damage, this method provides a more precise and quantitative means to limit cumulative dose. This research is partially supported by Accuray, Inc.« less

Self-Sustained Mode-3 Tear Controls Dynamics of Narrow Retreating Subduction Zones

NASA Astrophysics Data System (ADS)

Munch, J.; Gerya, T.; Ueda, K.

2017-12-01

The Caribbean oroclinal basin exhibits several narrow retreating slabs in an oceanic domain. The slabs show a curved shape associated to a bent topography (trench). We propose that the curvature of the topography depends on slab retreat mechanisms following mode-3 tearing at the edges of the slab (out of the plane fracture propagation). While first-order characteristics have been principally reproduced in self-sustained subduction initiation models (Gerya et al., 2015, Nature, 527, 221-225), the relevant observations have not been quantified and the exact mechanism is not understood. In this work, we study the long-term 3D evolution of narrowing oceanic subduction zones during retreat, and investigate the link between mode-3 tear and orocline formation. Numerical experiments are carried out with a thermo-mechanical 3D finite-difference code. To allow the observation of developing topography, the precise location of the internal surface and its evolution by material diffusion is tracked. Retreating subduction is facilitated via a strong age contrast between a young lithosphere window enclosed by shear zones and the surrounding lithosphere. By varying the length and thickness of the shear zones and location of the age transition, the influence of these parameters on the tearing process and the development of topography is assessed. Experiments trigger subduction initiation and slab retreat via fracture zone collapse and spontaneous paired mode-3 tear propagation within the oceanic plate interior. Narrow retreating subducting slabs form as a natural result of the spontaneous paired tearing process. A curved trench forms along with slab retreat. Topography evolution and tearing trajectory appear to be dependent on the initial shear zones and young window dimensions. We also note a strong narrowing of the slab during the retreat (several tens of kilometers over 800 km of retreat). Overall, results indicate that narrowing of retreating slabs is a self-consistent consequence of tear propagation dynamics. This plate tearing mechanism may control dynamics of other narrow retreating subduction zones worldwide.

Professional Writing Retreat Handbook: A How-To Manual for Replicating the NWP Professional Writing Retreat Model

ERIC Educational Resources Information Center

Check, Joseph; Fox, Tom; O'Shaughnessy, Kathleen; Tateishi, Carol

2007-01-01

The National Writing Project designed the Professional Writing Retreats to support writing by teacher-leaders for audiences of scholars, practitioners, policymakers, and other members of the public who have an interest in education. These writing retreats focus on writing about the profession of teaching, giving teachers a chance to write about…

Measuring Surface Deformation in Glacier Retreated Areas Based on Ps-Insar - Geladandong Glacier as a Case Study

NASA Astrophysics Data System (ADS)

Mohamadi, B.; Balz, T.

2018-04-01

Glaciers are retreating in many parts of the world as a result of global warming. Many researchers consider Qinghai-Tibetan Plateau as a reference for climate change by measuring glaciers retreat on the plateau. This retreat resulted in some topographic changes in retreated areas, and in some cases can lead to geohazards as landslides, and rock avalanches, which is known in glacier retreated areas as paraglacial slope failure (PSF). In this study, Geladandong biggest and main glacier mass was selected to estimate surface deformation on its glacier retreated areas and define potential future PSF based on PS-InSAR technique. 56 ascending and 49 descending images were used to fulfill this aim. Geladandong glacier retreated areas were defined based on the maximum extent of the glacier in the little ice age. Results revealed a general uplift in the glacier retreated areas with velocity less than 5mm/year. Obvious surface motion was revealed in seven parts surround glacier retreated areas with high relative velocity reached ±60mm/year in some parts. Four parts were considered as PSF potential motion, and two of them showed potential damage for the main road in the study area in case of rock avalanche into recent glacier lakes that could result in glacier lake outburst flooding heading directly to the road. Finally, further analysis and field investigations are needed to define the main reasons for different types of deformation and estimate future risks of these types of surface motion in the Qinghai-Tibetan Plateau.

Management of recurrent stress urinary incontinence after burch and sling procedures.

PubMed

Zimmern, Philippe E; Gormley, E Ann; Stoddard, Anne M; Lukacz, Emily S; Sirls, Larry; Brubaker, Linda; Norton, Peggy; Oliphant, Sallie S; Wilson, Tracey

2016-03-01

To examine treatment options selected for recurrent stress urinary incontinence (rSUI) in follow-up after Burch, autologous fascial and synthetic midurethral sling (MUS) procedures. We performed a secondary analysis of the SISTER and ToMUS trials of participants who underwent primary stress urinary incontinence (SUI) treatment (without prior SUI surgery or concomitant procedures). Using Kaplan-Meier analysis, retreatment-free survival rates by initial surgical procedure were compared. Mean MESA (Medical Epidemiologic and Social Aspects of Aging) stress index was also compared between those retreated for rSUI compared to those not retreated. Half of the women in the SISTEr trial met inclusion criteria for this analysis (329/655, 174 Burch and 155 fascial sling), as did 444/597 (74%) of subjects in ToMUS (221 transobturator midurethral sling (TMUS), and 223 retropubic midurethral sling (RMUS). Types of surgical retreatment included autologous fascial sling (19), synthetic sling (1), and bulking agent (18). Five-year retreatment free survival rates (and standard errors) were 87% (3%), 96% (2%), 97% (1%), and 99% (0.7%) for Burch, autologous fascial sling, TMUS, and RMUS groups respectively (P < 0.0001). For all index surgery groups, the mean MESA stress index at last visit prior to retreatment for those retreated (n = 23) was significantly higher than mean MESA stress index at last visit for those not retreated (n = 645) (P < 0.0001). In these cohorts, 6% of women after standard anti-incontinence procedures were retreated within 5 years, mostly with injection therapy or autologous fascial sling. Not all women with rSUI chose surgical retreatment. © 2015 Wiley Periodicals, Inc.

Management of recurrent stress urinary incontinence after Burch and sling procedures

PubMed Central

Zimmern, Philippe; Gormley, E. Ann; Stoddard, Anne M.; Lukacz, Emily S.; Sirls, Larry; Brubaker, Linda; Norton, Peggy; Oliphant, Sallie S.; Wilson, Tracey

2014-01-01

Introduction To examine treatment options selected for recurrent stress urinary incontinence (rSUI) in follow-up after Burch, autologous fascial and synthetic midurethral sling (MUS) procedures. Methods We performed a secondary analysis of the SISTER and ToMUS trials of participants who underwent primary stress urinary incontinence (SUI) treatment (without prior SUI surgery or concomitant procedures). Using Kaplan-Meier analysis, retreatment-free survival rates by initial surgical procedure were compared. Mean MESA (Medical Epidemiologic and Social Aspects of Aging) stress index was also compared between those retreated for rSUI compared to those not retreated. Results Half of the women in the SISTEr trial met inclusion criteria for this analysis (329/655, 174 Burch and 155 fascial sling), as did 444/597 (74%) of subjects in ToMUS (221 transobturator midurethral sling (TMUS), and 223 retropubic midurethral sling (RMUS). Types of surgical retreatment included autologous fascial sling (19), synthetic sling (1), and bulking agent (18). Five-year retreatment free survival rates (and standard errors) were 87% (3%), 96% (2%), 97% (1%) and 99% (0.7%) for Burch, autologous fascial sling, TMUS, and RMUS groups respectively (p <0.0001). For all index surgery groups, the mean MESA stress index at last visit prior to retreatment for those retreated (n = 23) was significantly higher than mean MESA stress index at last visit for those not retreated (n = 645) (p <0.0001). Conclusion In these cohorts, 6% of women after standard anti-incontinence procedures were retreated within 5 years, mostly with injection therapy or autologous fascial sling. Not all women with rSUI chose surgical retreatment. PMID:25598512

Evaluation of a gully headcut retreat model using multitemporal aerial photographs and digital elevation models

NASA Astrophysics Data System (ADS)

Campo-Bescós, M. A.; Flores-Cervantes, J. H.; Bras, R. L.; Casalí, J.; Giráldez, J. V.

2013-12-01

large fraction of soil erosion in temperate climate systems proceeds from gully headcut growth processes. Nevertheless, headcut retreat is not well understood. Few erosion models include gully headcut growth processes, and none of the existing headcut retreat models have been tested against long-term retreat rate estimates. In this work the headcut retreat resulting from plunge pool erosion in the Channel Hillslope Integrated Landscape Development (CHILD) model is calibrated and compared to long-term evolution measurements of six gullies at the Bardenas Reales, northeast Spain. The headcut retreat module of CHILD was calibrated by adjusting the shape factor parameter to fit the observed retreat and volumetric soil loss of one gully during a 36 year period, using reported and collected field data to parameterize the rest of the model. To test the calibrated model, estimates by CHILD were compared to observations of headcut retreat from five other neighboring gullies. The differences in volumetric soil loss rates between the simulations and observations were less than 0.05 m3 yr-1, on average, with standard deviations smaller than 0.35 m3 yr-1. These results are the first evaluation of the headcut retreat module implemented in CHILD with a field data set. These results also show the usefulness of the model as a tool for simulating long-term volumetric gully evolution due to plunge pool erosion.

The Adult Religious Retreat and the Higher Learning: Theory, Design, and Evaluation.

ERIC Educational Resources Information Center

Counelis, James Steve

This paper presents a case study of a Christian retreat held by the Federation of Greek Orthodox Choirs of the Western States of the Diocese of San Francisco (California), March 14-06, 1986 at St. Nicholas Ranch and Retreat Center, Squaw Valley, California. The religious retreat is defined as a short-term, intensive educational program designed to…

Risk Factors for Retreatment Following Myopic LASIK with Femtosecond Laser and Custom Ablation for the Treatment of Myopia.

PubMed

Kruh, Jonathan N; Garrett, Kenneth A; Huntington, Brian; Robinson, Steve; Melki, Samir A

2017-01-01

To identify risks factors for retreatment post-laser in situ keratomeliusis (LASIK). A retrospective chart review from December 2008 to September 2012 identified 1,402 patients (2,581 eyes) that underwent LASIK treatment for myopia with the Intralase™ FS, STAR S4 IR™ Excimer Laser, and WaveScan WaveFront™ technology. In this group, 83 patients were retreated. All charts were reviewed for preoperative age, gender, initial manifest refraction spherical equivalent (MRSE), total astigmatism, and iris registration. Increased incidence rates of retreatment post-LASIK were preoperative age >40 years (p < 0.001), initial MRSE > -3.0 D (p = 0.02), and astigmatism >1D (p = 0.001). Iris registration capture did not significantly reduce the retreatment rate (p = 0.12). Risk factors for retreatment included preoperative age >40 years, initial MRSE > -3.0 D, and astigmatism >1D. There was no difference in retreatment rate for patients based on gender or iris registration capture.

The Efficacy of the WaveOne Reciprocating File System versus the ProTaper Retreatment System in Endodontic Retreatment of Two Different Obturating Techniques.

PubMed

Jorgensen, Ben; Williamson, Anne; Chu, Rene; Qian, Fang

2017-06-01

This ex vivo study aimed to evaluate the efficacy of retreating GuttaCore (Dentsply Tulsa Dental Specialties, Tulsa, OK) and warm vertically condensed gutta-percha in moderately curved canals with 2 different systems: ProTaper Universal Retreatment (Dentsply Tulsa Dental) and WaveOne (Dentsply Tulsa Dental). Eighty mesial roots of mandibular molars were used in this study. The mesiobuccal canals in each sample were prepared to length with the WaveOne Primary file (Dentsply Tulsa Dental). The canals were obturated with either a warm vertical approach or with GuttaCore and divided into 4 retreatment groups with the same mean root curvature: warm vertical retreated with ProTaper, warm vertical retreated with WaveOne, GuttaCore retreated with ProTaper, and GuttaCore retreated with WaveOne. The warm vertical groups were obturated using a continuous-wave technique of gutta-percha compaction, and the GuttaCore groups were obturated according to the manufacturer's instructions. After allowing sealer to set, each specimen was retreated with either the ProTaper Universal Retreatment files D1, D2, or D3 or with the WaveOne Primary file to the predetermined working length. The time taken to reach the working length was recorded. Instrument fatigue and failure were also evaluated. The post hoc 2-sample t tests showed that the overall mean total time taken to reach the working length for the warm vertical groups was significantly greater than that observed for the GuttaCore groups (mean = 87.11 vs 60.16 seconds, respectively), and the overall mean total time taken to reach the working length for WaveOne was significantly greater than that observed for ProTaper (99.09 vs 48.18 seconds, respectively). Two-way analysis of variance showed a significant main effect for both the type of experiment groups (F 1,76  = 15.32, P = .0002) and the type of retreatments (F 1,76  = 54.67, P < .0001). Also, the WaveOne Primary file underwent more separations than the ProTaper files. The WaveOne Primary file underwent more separations and was unable to remove gutta-percha as efficiently as the ProTaper Universal Retreatment files. Also, canals obturated with GuttaCore were retreated more efficiently and with fewer file separations than the canals obturated using continuous wave of warm gutta-percha. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Do Wellness Tourists Get Well? An Observational Study of Multiple Dimensions of Health and Well-Being After a Week-Long Retreat

PubMed Central

Elliott, Fiona; Oates, Liza; Schembri, Adrian; Mantri, Nitin

2017-01-01

Abstract Background: Wellness retreats use many complementary and alternative therapies within a holistic residential setting, yet few studies have evaluated the effect of retreat experiences on multiple dimensions of health and well-being, and no published studies have reported health outcomes in wellness tourists. Objectives: To assess the effect of a week-long wellness-retreat experience in wellness tourists. Design: A longitudinal observational study with outcomes assessed upon arrival and departure and 6 weeks after the retreat. Setting: A rural health retreat in Queensland, Australia. Interventions: A holistic, 1-week, residential, retreat experience that included many educational, therapeutic, and leisure activities and an organic, mostly plant-based diet. Outcome measures: Multiple outcome measures were performed upon arrival and departure and 6 weeks after the retreat. These included anthropometric measures, urinary pesticide metabolites, a food and health symptom questionnaire, the Five Factor Wellness Inventory, the General Self Efficacy questionnaire, the Pittsburgh Insomnia Rating Scale, the Depression Anxiety Stress Scale, the Profile of Mood States, and the Cogstate cognitive function test battery. Results: Statistically significant improvements (p < 0.05) were seen in almost all measures (n = 37) after 1 week and were sustained at 6 weeks (n = 17). There were statistically significant improvements (p < 0.001) in all anthropometric measures after 1 week, with reductions in abdominal girth (2.7 cm), weight (1.6 kg), and average systolic and diastolic pressure (−16.1 mmHg and −9.3 mmHg, respectively). Statistically significant improvements (p < 0.05) were also seen in psychological and health symptom measures. Urinary pesticide metabolites were detected in pooled urine samples before the retreat and were undetectable after the retreat. Conclusion: Retreat experiences can lead to substantial improvements in multiple dimensions of health and well-being that are maintained for 6 weeks. Further research that includes objective biomarkers and economic measures in different populations is required to determine the mechanisms of these effects and assess the value and relevance of retreat experiences to clinicians and health insurers. PMID:28068147

Do Wellness Tourists Get Well? An Observational Study of Multiple Dimensions of Health and Well-Being After a Week-Long Retreat.

PubMed

Cohen, Marc M; Elliott, Fiona; Oates, Liza; Schembri, Adrian; Mantri, Nitin

2017-02-01

Wellness retreats use many complementary and alternative therapies within a holistic residential setting, yet few studies have evaluated the effect of retreat experiences on multiple dimensions of health and well-being, and no published studies have reported health outcomes in wellness tourists. To assess the effect of a week-long wellness-retreat experience in wellness tourists. A longitudinal observational study with outcomes assessed upon arrival and departure and 6 weeks after the retreat. A rural health retreat in Queensland, Australia. A holistic, 1-week, residential, retreat experience that included many educational, therapeutic, and leisure activities and an organic, mostly plant-based diet. Multiple outcome measures were performed upon arrival and departure and 6 weeks after the retreat. These included anthropometric measures, urinary pesticide metabolites, a food and health symptom questionnaire, the Five Factor Wellness Inventory, the General Self Efficacy questionnaire, the Pittsburgh Insomnia Rating Scale, the Depression Anxiety Stress Scale, the Profile of Mood States, and the Cogstate cognitive function test battery. Statistically significant improvements (p < 0.05) were seen in almost all measures (n = 37) after 1 week and were sustained at 6 weeks (n = 17). There were statistically significant improvements (p < 0.001) in all anthropometric measures after 1 week, with reductions in abdominal girth (2.7 cm), weight (1.6 kg), and average systolic and diastolic pressure (-16.1 mmHg and -9.3 mmHg, respectively). Statistically significant improvements (p < 0.05) were also seen in psychological and health symptom measures. Urinary pesticide metabolites were detected in pooled urine samples before the retreat and were undetectable after the retreat. Retreat experiences can lead to substantial improvements in multiple dimensions of health and well-being that are maintained for 6 weeks. Further research that includes objective biomarkers and economic measures in different populations is required to determine the mechanisms of these effects and assess the value and relevance of retreat experiences to clinicians and health insurers.

Risk factors for the treatment outcome of retreated pulmonary tuberculosis patients in China: an optimized prediction model.

PubMed

Wang, X-M; Yin, S-H; Du, J; Du, M-L; Wang, P-Y; Wu, J; Horbinski, C M; Wu, M-J; Zheng, H-Q; Xu, X-Q; Shu, W; Zhang, Y-J

2017-07-01

Retreatment of tuberculosis (TB) often fails in China, yet the risk factors associated with the failure remain unclear. To identify risk factors for the treatment failure of retreated pulmonary tuberculosis (PTB) patients, we analyzed the data of 395 retreated PTB patients who received retreatment between July 2009 and July 2011 in China. PTB patients were categorized into 'success' and 'failure' groups by their treatment outcome. Univariable and multivariable logistic regression were used to evaluate the association between treatment outcome and socio-demographic as well as clinical factors. We also created an optimized risk score model to evaluate the predictive values of these risk factors on treatment failure. Of 395 patients, 99 (25·1%) were diagnosed as retreatment failure. Our results showed that risk factors associated with treatment failure included drug resistance, low education level, low body mass index (6 months), standard treatment regimen, retreatment type, positive culture result after 2 months of treatment, and the place where the first medicine was taken. An Optimized Framingham risk model was then used to calculate the risk scores of these factors. Place where first medicine was taken (temporary living places) received a score of 6, which was highest among all the factors. The predicted probability of treatment failure increases as risk score increases. Ten out of 359 patients had a risk score >9, which corresponded to an estimated probability of treatment failure >70%. In conclusion, we have identified multiple clinical and socio-demographic factors that are associated with treatment failure of retreated PTB patients. We also created an optimized risk score model that was effective in predicting the retreatment failure. These results provide novel insights for the prognosis and improvement of treatment for retreated PTB patients.

Retreatment rates for uncomplicated gonorrhea infection: comparing ceftriaxone and azithromycin versus ceftriaxone and doxycycline.

PubMed

Schumacher, Christina M; Ghanem, Khalil G

2013-07-01

The current recommended first-line regimen to treat gonorrhea is ceftriaxone in combination with either azithromycin or doxycycline. Azithromycin is the preferred second agent. We retrospectively measured and compared gonorrhea retreatment rates between patients receiving ceftriaxone plus azithromycin and those receiving ceftriaxone plus doxycycline. Using data from public sexually transmitted disease clinics for patients treated for gonorrhea in Baltimore, Maryland, between January 2004 and December 2011, we measured time to retreatment from the date the ceftriaxone regimen was received. Censoring occurred on the earlier of 2 years posttreatment or March 31, 2012. Survival analysis methods were used to compare retreatment rates. One tenth (9.9%; n = 4457) of patients were retreated within 2 years. Treatment regimen was not related to time to retreatment (adjusted hazard ratio [aHR], 0.88; 95% confidence interval, 0.69-1.12). Patients receiving expedited partner therapy (EPT) were 45% less likely to be retreated (aHR, 0.55 [0.31-0.96]) compared with patients treated before EPT became available. A subanalysis among patients retested for gonorrhea within 90 and 30 days found retreatment rates of 18.8% (n = 91/485) and 13.5% (n = 19/140), respectively. The 90-day cohort showed no association with treatment regimen (aHR, 0.95 [0.55-1.65]); however, all of the retreated patients in the 30-day cohort had received the doxycycline regimen. Gonorrhea retreatment was common, highlighting the need for rescreening and better partner therapies. The protective effect of EPT further underscores the need for effective oral therapies. Azithromycin may be preferable as the second agent to treat gonorrhea, although doxycycline seems to be a reasonable alternative.

Regional and global forcing of glacier retreat during the last deglaciation.

PubMed

Shakun, Jeremy D; Clark, Peter U; He, Feng; Lifton, Nathaniel A; Liu, Zhengyu; Otto-Bliesner, Bette L

2015-08-21

The ongoing retreat of glaciers globally is one of the clearest manifestations of recent global warming associated with rising greenhouse gas concentrations. By comparison, the importance of greenhouse gases in driving glacier retreat during the most recent deglaciation, the last major interval of global warming, is unclear due to uncertainties in the timing of retreat around the world. Here we use recently improved cosmogenic-nuclide production-rate calibrations to recalculate the ages of 1,116 glacial boulders from 195 moraines that provide broad coverage of retreat in mid-to-low-latitude regions. This revised history, in conjunction with transient climate model simulations, suggests that while several regional-scale forcings, including insolation, ice sheets and ocean circulation, modulated glacier responses regionally, they are unable to account for global-scale retreat, which is most likely related to increasing greenhouse gas concentrations.

The phenology of Arctic Ocean surface warming.

PubMed

Steele, Michael; Dickinson, Suzanne

2016-09-01

In this work, we explore the seasonal relationships (i.e., the phenology) between sea ice retreat, sea surface temperature (SST), and atmospheric heat fluxes in the Pacific Sector of the Arctic Ocean, using satellite and reanalysis data. We find that where ice retreats early in most years, maximum summertime SSTs are usually warmer, relative to areas with later retreat. For any particular year, we find that anomalously early ice retreat generally leads to anomalously warm SSTs. However, this relationship is weak in the Chukchi Sea, where ocean advection plays a large role. It is also weak where retreat in a particular year happens earlier than usual, but still relatively late in the season, primarily because atmospheric heat fluxes are weak at that time. This result helps to explain the very different ocean warming responses found in two recent years with extreme ice retreat, 2007 and 2012. We also find that the timing of ice retreat impacts the date of maximum SST, owing to a change in the ocean surface buoyancy and momentum forcing that occurs in early August that we term the Late Summer Transition (LST). After the LST, enhanced mixing of the upper ocean leads to cooling of the ocean surface even while atmospheric heat fluxes are still weakly downward. Our results indicate that in the near-term, earlier ice retreat is likely to cause enhanced ocean surface warming in much of the Arctic Ocean, although not where ice retreat still occurs late in the season.

A comparative evaluation of efficacy of protaper universal rotary retreatment system for gutta-percha removal with or without a solvent.

PubMed

Kumar, M Sita Ram; Sajjan, Girija S; Satish, Kalyan; Varma, K Madhu

2012-09-01

The aim was to evaluate and compare the efficacy of ProTaper Universal rotary retreatment system with or without solvent and stainless steel hand files for endodontic filling removal from root canals and also to compare retreatment time for each system. Thirty extracted mandibular premolars with single straight canals were endodontically treated. Teeth were divided into three major groups, having 10 specimens each. Removal of obturating material in group 1 by stainless steel hand files with RC Solve, group 2 by ProTaper Universal retreatment instruments and group 3 by ProTaper Universal retreatment instruments along with RC solve was done. Retreatment was considered complete for all groups when no filling material was observed on the instruments. The retreatment time was recorded for each tooth. All specimens were grooved longitudinally in a buccolingual direction. The split halves were examined under a stereomicroscope and images were captured and analyzed. The remaining filling debris area ratios were considered for statistical analysis. With ANOVA test, statistical analysis showed that there was statistically no significant difference regarding the amount of filling remnants between the groups (P < 0.05). Differences between the means of groups are statistically significant regarding the retreatment time. Irrespective of the technique used, all the specimens had some remnants on the root canal wall. ProTaper Universal retreatment system files alone proved to be faster than the other experimental groups.

Increasing Resident Wellness Through a Novel Retreat Curriculum

PubMed Central

Cornelius, Brian G; Edens, Mary Ann

2017-01-01

Background Because of their arduous schedules, residents are susceptible to burnout, fatigue, and depression. In 2015, the Accreditation Council for Graduate Medical Education (ACGME) launched a campaign to foster physician wellness, in response to the suicides of three residents during the previous year. The campaign calls for strategies to developing resiliency, identify problems, and promote well-being. One of the suggested methods to promote well-being was a residency retreat. Objective To implement a novel retreat curriculum that emphasizes team building between residents and faculty, with which residents expressed high satisfaction. Methods We created an "Amazing Race" style retreat involving five activity stations set up in a neighborhood park in which 25 of our 34 residents participated. These stations implemented team building, faculty-resident bonding and resident-resident bonding. An anonymous survey was administered to the 25 participating emergency medicine (EM) residents after the retreat, of whom 21 returned the survey. The survey consisted of questions to assess the resident’s perception of the team building activities, their satisfaction with each of the five activity stations and overall retreat satisfaction. Results Of the 25 residents who participated in the retreat, 21 (84%) returned the post-retreat survey (one participant returned a survey leaving the ranking questions incomplete). This low-cost event received high satisfaction ratings in regard to team-building, resident bonding, and faculty-resident bonding. Conclusions This novel retreat proved to be a low-cost and easily implemented activity with which the residents expressed high levels of satisfaction. PMID:28966896

Retreatment of recanalized aneurysms after Y-stent-assisted coil embolization with double enterprise stents: case report and systematic review of the literature.

PubMed

Kono, Kenichi; Shintani, Aki; Terada, Tomoaki

2014-01-01

It is necessary to consider possibility of recanalization and retreatment after coil embolization for cerebral aneurysms. There is concern that retreatment for recanalized aneurysms after Y-stent-assisted coil embolization may be difficult because of double stents, especially in Y-stents with double closed-cell stents owing to narrowed structures. However, no detailed reports of retreatment after Y-stent have been reported. Between July 2010 and June 2013, we treated four aneurysms with Y-stent-assisted coil embolization using Enterprise closed-cell stents. Recanalization occurred in one case (25%), and retreatment was performed. We easily navigated a microcatheter into the target portions of the aneurysm through the Y-stent and occluded the aneurysm with coils. Additionally, by systematically searching in PubMed, we found 105 cases of Y-stent-assisted coil embolization using Enterprise stents or Neuroform stents with more than 6 months of follow-up. Among them, retreatment was performed in 10 cases (9.5%). There were no significant differences in retreatment rates among different stent combinations (P=0.91; Fisher's exact test). In conclusion, navigation of a microcatheter into the aneurysm through the Y-stent with double Enterprise stents was feasible, and retreatment rates after Y-stent-assisted coiling may not depend on stent combinations.

Effectiveness of ProTaper, D-RaCe, and Mtwo retreatment files with and without supplementary instruments in the removal of root canal filling material.

PubMed

Marques da Silva, B; Baratto-Filho, F; Leonardi, D P; Henrique Borges, A; Volpato, L; Branco Barletta, F

2012-10-01

To assess the efficacy of different retreatment rotary files in removing gutta-percha and endodontic sealer from canals. Ninety straight single-rooted premolars were prepared up to a size 30 and filled with gutta-percha and sealer and then randomly assigned to six retreatment groups (n = 15). Groups I, III, and V were retreated using rotary systems ProTaper Universal Retreatment (PTUR), D-RaCe, and Mtwo Retreatment, respectively. Groups II, IV, and VI were retreated using the additional instruments F4, size 40, .04 taper RaCe, and size 40, .04 taper Mtwo, respectively. The roots were split vertically, and images of the halves were obtained using a high-resolution scanner and evaluated with AutoCAD software to calculate the percentage of residual material. Data were analyzed with Kruskal-Wallis and Student-Newman-Keuls tests using a 5% significance cutoff (P < 0.05). There were no statistically significant differences (P > 0.05) between groups when additional instruments were used. The percentage of residual material was lowest in the PTUR group and was statistically significant only when compared to the D-RaCe system (P = 0.0038). All root canals had residual filling material after retreatment even when additional instruments were used. © 2012 International Endodontic Journal.

Habitat selection in a rocky landscape: experimentally decoupling the influence of retreat site attributes from that of landscape features.

PubMed

Croak, Benjamin M; Pike, David A; Webb, Jonathan K; Shine, Richard

2012-01-01

Organisms selecting retreat sites may evaluate not only the quality of the specific shelter, but also the proximity of that site to resources in the surrounding area. Distinguishing between habitat selection at these two spatial scales is complicated by co-variation among microhabitat factors (i.e., the attributes of individual retreat sites often correlate with their proximity to landscape features). Disentangling this co-variation may facilitate the restoration or conservation of threatened systems. To experimentally examine the role of landscape attributes in determining retreat-site quality for saxicolous ectotherms, we deployed 198 identical artificial rocks in open (sun-exposed) sites on sandstone outcrops in southeastern Australia, and recorded faunal usage of those retreat sites over the next 29 months. Several landscape-scale attributes were associated with occupancy of experimental rocks, but different features were important for different species. For example, endangered broad-headed snakes (Hoplocephalus bungaroides) preferred retreat sites close to cliff edges, flat rock spiders (Hemicloea major) preferred small outcrops, and velvet geckos (Oedura lesueurii) preferred rocks close to the cliff edge with higher-than-average sun exposure. Standardized retreat sites can provide robust experimental data on the effects of landscape-scale attributes on retreat site selection, revealing interspecific divergences among sympatric taxa that use similar habitats.

To evaluate and compare the efficacy, cleaning ability of hand and two rotary systems in root canal retreatment.

PubMed

Shivanand, Sunita; Patil, Chetan R; Thangala, Venugopal; Kumar, Pabbati Ravi; Sachdeva, Jyoti; Krishna, Akash

2013-05-01

To evaluate and compare the efficacy, cleaning ability of hand and two rotary systems in root canal retreatment. Sixty extracted premolars were retreated with following systems: Group -ProTaper Universal retreatment files, Group 2-ProFile system, Group 3-H-file. Specimens were split longitudinally and amount of remaining gutta-percha on the canal walls was assessed using direct visual scoring with the aid of stereomicroscope. Results were statistically analyzed using ANOVA test. Completely clean root canal walls were not achieved with any of the techniques investigated. However, all three systems proved to be effective for gutta-percha removal. Significant difference was found between ProTaper universal retreatment file and H-file, and also between ProFile and H-file. Under the conditions of the present study, ProTaper Universal retreatment files left significantly less guttapercha and sealer than ProFile and H-file. Rotary systems in combination with gutta-percha solvents can perform superiorly as compared to the time tested traditional hand instrumentation in root canal retreatment.

Clinical investigation of second mesiobuccal canals in endodontically treated and retreated maxillary molars.

PubMed

Wolcott, James; Ishley, Dave; Kennedy, Wade; Johnson, Scott; Minnich, Scott

2002-06-01

An examination of 1873 conventionally treated and retreated maxillary first and second molars was made in an attempt to determine the percentage of second mesiobuccal (MB2) canals that could be located routinely and evaluate if there were any significant differences between initial treatments and retreatments. The teeth examined were 1193 first molars and 680 second molars treated consecutively over a 2-yr period by five endodontists. Overall the MB2 canal was found in 724 (61%) first molars and 245 (36%) second molars. The incidence of a MB2 canal in first molar retreatments was 67% compared to a 59% incidence in initial treatments. Whereas in second molars, the retreatment incidence was 44% compared with 35% in initial treatments. The significant difference in the incidence of a MB2 canal between initial treatments and retreatments suggests that failure to find and treat existing MB2 canals will decrease the long-term prognosis.

A 5 yr clinical investigation of second mesiobuccal canals in endodontically treated and retreated maxillary molars.

PubMed

Wolcott, James; Ishley, Dave; Kennedy, Wade; Johnson, Scott; Minnich, Scott; Meyers, John

2005-04-01

An examination of 5616 endodontically treated and retreated maxillary first and second molars was made in an attempt to determine the percentage of MB2 canals that could be located routinely, and evaluate if there were any significant differences between initial treatments and retreatments. The teeth examined were 3578 first molars and 2038 second molars treated consecutively over a 5-yr period by six endodontists. Overall the MB2 canal was found in 2133 (60%) first molars, and 712 (35%) second molars. The incidence of a MB2 canal in first molar retreatments was 66% compared to a 58% incidence in initial treatments. Whereas in second molars the retreatment incidence was 40% compared to 34% in initial treatments. The significant difference in the incidence of a MB2 canal between initial treatments and retreatments suggests that failure to find and treat existing MB2 canals will decrease the long-term prognosis.

Regional and global forcing of glacier retreat during the last deglaciation

PubMed Central

Shakun, Jeremy D.; Clark, Peter U.; He, Feng; Lifton, Nathaniel A.; Liu, Zhengyu; Otto-Bliesner, Bette L.

2015-01-01

The ongoing retreat of glaciers globally is one of the clearest manifestations of recent global warming associated with rising greenhouse gas concentrations. By comparison, the importance of greenhouse gases in driving glacier retreat during the most recent deglaciation, the last major interval of global warming, is unclear due to uncertainties in the timing of retreat around the world. Here we use recently improved cosmogenic-nuclide production-rate calibrations to recalculate the ages of 1,116 glacial boulders from 195 moraines that provide broad coverage of retreat in mid-to-low-latitude regions. This revised history, in conjunction with transient climate model simulations, suggests that while several regional-scale forcings, including insolation, ice sheets and ocean circulation, modulated glacier responses regionally, they are unable to account for global-scale retreat, which is most likely related to increasing greenhouse gas concentrations. PMID:26293133

Impact of an annual retreat on process improvement in a respiratory therapy section.

PubMed

Roberts, Vincent T; Kester, Lucy; Stoller, James K

2005-12-01

In order to fulfill the mission of providing superb respiratory care, managing respiratory care services requires communication and collaboration. To enhance communication and collaboration in our Section of Respiratory Therapy at the Cleveland Clinic Foundation, and to generate ideas for improvement, since 1996 we have conducted annual retreats for the Section, during which important challenges and opportunities are discussed in a large-group forum. The current report describes the retreat process and outcomes, namely the ideas generated during these retreats and the frequency with which ideas were implemented successfully. The annual retreat brings together all clinical specialists, supervisors, and managers in the Section of Respiratory Therapy, along with the medical director of Respiratory Therapy and representatives of the staff from each shift. In advance of the annual half-day retreat, supervisors and clinical specialists are asked to write a brief description of things that need improvement and actionable proposed solutions to these challenges. These documents are reviewed by the supervisors, managers, education coordinator, and medical director, and a list of discussion topics for the retreat is formulated. The retreat day begins with a brief introduction and summary of the year's activities and then encourages open-ended discussions regarding the various topics, with the explicit, repeated goal of generating solutions. Minutes are kept to identify specific action items, a list of which is visited repeatedly throughout the year, to assess progress toward successful completion of each action item. In the current analysis, the primary outcome measures are the number of ideas generated as action items during the retreats and the frequency with which these ideas have been implemented. Over the 8 years of annual retreats, 103 action items have been generated, of which 84% (n = 87) have been successfully implemented or completed. As evidence of the importance of this group-based activity, we cite several examples of suggestions and action items that were felt to uniquely represent group process and wisdom and which were not proposed beforehand by individuals. On the basis of this experience, we recommend conducting annual respiratory therapy department retreats. We believe the benefits include collective problem-solving in a public forum to identify solutions not advanced by individuals. Also, we believe that the direct communication in such retreats contributes to enhanced morale, further evidence of which is the very low turnover rate among our respiratory therapists during the 8 years in which we have conducted annual retreats.

Retreatment with bortezomib alone or in combination for patients with multiple myeloma following an initial response to bortezomib.

PubMed

Sood, Raman; Carloss, Harry; Kerr, Robert; Lopez, Jose; Lee, Martin; Druck, Mark; Walters, Ian B; Noga, Stephen J

2009-10-01

This clinical trial was conducted to determine the safety and efficacy of bortezomib retreatment in patients with multiple myeloma (MM) who had previously responded to bortezomib. Patients with progressive MM who had previously tolerated bortezomib as a single agent or in combination with other drugs, with a minimum of partial response (PR; >or=50% M-protein reduction) for >or=4 months, who had not received intervening MM therapy, were retreated with bortezomib (days 1, 4, 8, and 11 of a 21-day cycle) with a starting dose being the dose at which the patient ended the initial treatment. Patients were allowed to receive bortezomib on retreatment in combination with dexamethasone, thalidomide, or doxorubicin. Thirty-two patients received bortezomib retreatment (most with added dexamethasone). The median treatment-free interval (last dose of initial bortezomib treatment to first dose of retreatment) was 9.9 (range 2.5-34.0) months. The median duration of retreatment was 2.8 (<1-7.9) months; median total duration of bortezomib treatment was 6.7 (2.5-19.8) months. Based on the investigators' assessment of best response, the overall response rate (complete plus PR) was 50%. The median time from start of retreatment to progressive disease (PD) was 6.6 (95% confidence interval: 5.1-9.6) months. Thirteen patients (41%) experienced PN; bortezomib-related SAEs were reported in four patients. Retreatment with bortezomib alone or in combination is effective and well tolerated in patients with MM who have responded to their initial bortezomib treatment. (c) 2009 Wiley-Liss, Inc.

[Effectiveness of short course intermittent regimen on different categories of retreated patients with pulmonary tuberculosis].

PubMed

Wang, X; Dai, Y; Cao, J

2001-08-01

To evaluate the efficacy of short course intermittent regimen in the different categories of retreated patients with tuberculosis. 303 retreated patients with smear-positive pulmonary tuberculosis were recruited for the study. They were divided into three groups based on the history of tuberculosis and anti-tuberculosis treatment. 87 were in relapse group, 21 in failure group (failure after the initial treatment) and 195 in other retreatment group. Sputum Mycobacterium tuberculosis culture and drug susceptibility test were conducted before treatment. The same retreatment regimen (2-3H3R3Z3E3S3/5-6H3R3E3) was employed for all three groups of patients. Drug resistance and the outcomes of three groups of retreatment tuberculosis were analysed. The drug resistance rates and efficacy of retreatment showed no statistical difference among three groups (P > 0.05). In other retreatment group, the drug resistant rate in patients who received anti-TB drugs for more than 12 months (79.5%) was significantly higher than those for less than 12 months (59.8%, 0.01 < P < 0.05). Meanwhile, the successful rates of treatment were 69.4% vs 90.4% between two subgroups, being significantly different (P < 0.001). The successful treatment rate in susceptible patients (93.3%) was significantly higher than that in drug resistant patients (75.3%, P < 0.01). To enhance the efficacy of anti-TB therapy in drug-resistant patients is the key of improving the outcome of retreated patients receiving short course intermittent regimen.

Efficacy of two rotary retreatment systems in removing Gutta-percha and sealer during endodontic retreatment with or without solvent: A comparative in vitro study.

PubMed

Bhagavaldas, Moushmi Chalakkarayil; Diwan, Abhinav; Kusumvalli, S; Pasha, Shiraz; Devale, Madhuri; Chava, Deepak Chowdary

2017-01-01

The aim of this in vitro study was to compare the efficacy of two retreatment rotary systems in the removal of Gutta-percha (GP) and sealer from the root canal walls with or without solvent. Forty-eight extracted human mandibular first premolars were prepared and obturated with GP and AH Plus sealer. Samples were then randomly divided into four groups. Group I was retreated with MtwoR rotary system without solvent, Group II was retreated with MtwoR rotary system with Endosolv R as the solvent, Group III with D-RaCe rotary system without solvent, and Group IV with D-RaCe rotary system and Endosolv R solvent. The cleanliness of canal walls was determined by stereomicroscope (×20) and AutoCAD software. Kruskal-Wallis test and Mann-Whitney U-test were used to compare the data. Results showed that none of the retreatment systems used in this study was able to completely remove the root canal filling material. D-RaCe with or without solvent showed significantly ( P > 0.05) less filling material at all levels compared to MtwoR with/without solvent. Within the limitation of the current study, D-RaCe rotary retreatment system is more effective in removing filling material from root canal walls when compared to MtwoR rotary retreatment system.

Teambuilding and Leadership Training in an Internal Medicine Residency Training Program

PubMed Central

Stoller, James K; Rose, Mark; Lee, Rita; Dolgan, Colleen; Hoogwerf, Byron J

2004-01-01

OBJECTIVE The purpose of this report is to describe and evaluate the impact of a 1-day retreat focused on developing leadership skills and teambuilding among postgraduate year 1 residents in an internal medicine residency. METHOD A group of organizers, including members of the staff, the chief medical residents, administrative individuals in the residency office, and an internal organizational development consultant convened to organize an off-site retreat with activities that would provide experiential learning regarding teamwork and leadership, including a “reef survival exercise” and table discussions regarding the characteristics of ideal leaders. In addition, several energizing activities and recreational free time was provided to enhance the interaction and teamwork dimensions of the retreat. To evaluate the impact of the retreat, attendees completed baseline and follow-up questionnaires regarding their experience of the retreat. RESULTS Attendees universally regarded the retreat as having value for them. Comparison of baseline to postretreat responses indicated that attendees felt that the retreat enhanced their abilities to be better physicians, resident supervisors, and leaders. Follow-up responses indicated significant increases in attendees’ agreement that good leaders challenge the process, make decisions based on shared visions, allow others to act, recognize individual contributions, and serve as good role models. Results on the survival exercise indicated a high frequency with which team-based decisions surpassed individual members’ decisions, highlighting the importance and value of teamwork to attendees. CONCLUSIONS Our main findings were that: participants universally found this 1-day retreat beneficial in helping to develop teamwork and leadership skills and the experiential learning aspects of the retreat were more especially highly rated and highlighted the advantages of teamwork. In the context that this 1-day retreat was deemed useful by faculty and residents alike, further study is needed to assess the impact of this learning on actual clinical practice and the durability of these lessons. PMID:15209609

Endodontic retreatment. Aspects of decision making and clinical outcome.

PubMed

Kvist, T

2001-01-01

Epidemiological surveys have reported that 25%-35% of root filled teeth are associated with periapical radiolucencies. Descriptive studies have demonstrated that clinicians' decision making regarding such teeth are subject to substantial variation. A coherent model to explain the observed variation has not been produced. In the present thesis a "Praxis Concept theory" was proposed. The theory suggests that dentists perceive periapical lesions of varying sizes as different stages on a continuous health scale. Interindividual variations can then be regarded as the result of the choice of different cut-off points on the continuum for prescribing retreatment. In the present study experiments among novice and expert decision makers gave evidence in favour of the theory. Data also suggested that the choice of retreatment criterion is affected by values, costs of retreatment and technical quality of original treatment. From a prescriptive point of view, the presence of a persistent periapical radiolucency has often been used as a criterion of endodontic "failure" and as an indication for endodontic retreatment. As an alternative decision strategy, the use of decision analysis has been proposed. Logical display of decision alternatives, values of probabilities, utility values (U-values) of the different outcomes and calculation of optimal decision strategy are features of this theory. The implementation of this approach is impeded by the uncertainty of outcome probabilities and lack of investigations concerning U-values. U-values of two periapical health states in root filled teeth (with and without a periapical lesion respectively) were investigated in a group of 82 dental students and among 16 Swedish endodontists. Two methods were used to elicit U-values: Standard gamble and Visual Analogue Scale. Large interindividual variation for both health states were recorded. The difference in U-values between the two health states was found to be statistically significant regardless of assessment method. Compared with Standard gamble Visual Analogue Scale systematically produced lower ratings. U-values were found to change considerably in both the short and long-term. Any significant correlation between endodontists' U-values and retreatment prescriptions could not be demonstrated. Surgical and nonsurgical retreatment were randomly assigned to 95 "failed" root filled teeth in 92 patients. Cases were followed clinically and radiographically for four years postoperatively. At the 12-month recall a statistically significant higher healing rate was observed for teeth retreated surgically. At the final 48-month recall no systematic difference was detected. Patients were found to be more subject to postoperative discomfort when teeth were retreated surgically compared with nonsurgically. Consequently, surgical retreatment tended to be associated with higher indirect costs than a nonsurgically approach. In the final part of the thesis it is argued that retreatment decision making in everyday clinical practice normally should be based on simple principles. It is suggested that in order to achieve the best overall consequence a periapical lesion in a root filled tooth that is not expected to heal should be retreated. Arguments to withhold retreatment should be based on (i) respect for patient autonomy, (ii) retreatment risks or (iii) retreatment costs.

National assessment of shoreline change part 4: historical coastal cliff retreat along the California coast

USGS Publications Warehouse

Hapke, Cheryl J.; Reid, David

2007-01-01

Coastal cliff retreat, the landward migration of the cliff face, is a chronic problem along many rocky coastlines in the United States. As coastal populations continue to grow and community infrastructures are threatened by erosion, there is increased demand for accurate information regarding trends and rates of coastal cliff retreat. There is also a need for a comprehensive analysis of cliff retreat that is consistent from one coastal region to another. To meet these national needs, the U.S. Geological Survey is conducting an analysis of historical coastal cliff retreat along open-ocean rocky coastlines of the conterminous United States and parts of Hawaii, Alaska, and the Great Lakes. One purpose of this work is to develop standard repeatable methods for mapping and analyzing coastal cliff retreat so that periodic updates of coastal erosion can be made nationally that are systematic and internally consistent. This report on the California Coast is an accompaniment to a report on long-term sandy shoreline change for California. This report summarizes the methods of analysis, interprets the results, and provides explanations regarding long-term rates of cliff retreat. Neither detailed background information on the National Assessment of Shoreline Change Project nor detailed descriptions of the geology and geomorphology of the California coastline are presented in this report. The reader is referred to the shoreline change report (Hapke et al., 2006) for this type of background information. Cliff retreat evaluations are based on comparing one historical cliff edge digitized from maps, with a recent cliff edge interpreted from lidar (Light Detection and Ranging) topographic surveys. The historical cliff edges are from a period ranging from 1920-1930, whereas the lidar cliff edges are from either 1998 or 2002. Long-term (~70-year) rates of retreat are calculated using the two cliff edges. The rates of retreat presented in this report represent conditions from the 1930s to 1998, and are not intended for predicting future cliff edge positions or rates of retreat. Due to the geomorphology of much of California's rocky coast (high-relief, steep slopes with no defined cliff edge) as well as to gaps in both the historical maps and lidar data, we were able to derive two cliff edges and therefore calculate cliff retreat rates for a total of 353 km. The average rate of coastal cliff retreat for the State of California was -0.3?0.2 m/yr, based on rates averaged from 17,653 individual transects measured throughout all areas of California's rocky coastline. The average amount of cliff retreat was 17.7 m over the 70-year time period of our analysis. Retreat rates were generally lowest in Southern California where coastal engineering projects have greatly altered the natural coastal system. California permits shoreline stabilization structures where homes, buildings or other community infrastructure are imminently threatened by erosion. While seawalls and/or riprap revetments have been constructed in all three sections of California, a larger proportion of the Southern California coast has been protected by engineering works, due, in part, to the larger population pressures in this area.

Efficacy of reciprocating and rotary NiTi instruments for retreatment of curved root canals assessed by micro-CT.

PubMed

Rödig, T; Reicherts, P; Konietschke, F; Dullin, C; Hahn, W; Hülsmann, M

2014-10-01

To compare the efficacy of reciprocating and rotary NiTi-instruments in removing filling material from curved root canals using micro-computed tomography. Sixty curved root canals were prepared and filled with gutta-percha and sealer. After determination of root canal curvatures and radii in two directions as well as volumes of filling material, the teeth were assigned to three comparable groups (n = 20). Retreatment was performed using Reciproc, ProTaper Universal Retreatment or Hedström files. Percentages of residual filling material and dentine removal were assessed using micro-CT imaging. Working time and procedural errors were recorded. Statistical analysis was performed by variance procedures. No significant differences amongst the three retreatment techniques concerning residual filling material were detected (P > 0.05). Hedström files removed significantly more dentine than ProTaper Universal Retreatment (P < 0.05), but the difference concerning dentine removal between both NiTi systems was not significant (P > 0.05). Reciproc and ProTaper Universal Retreatment were significantly faster than Hedström files (P = 0.0001). No procedural errors such as instrument fracture, blockage, ledging or perforation were detected for Hedström files. Three perforations were recorded for ProTaper Universal Retreatment, and in both NiTi groups, one instrument fracture occured. Remnants of filling material were observed in all samples with no significant differences between the three techniques. Hedström files removed significantly more dentine than ProTaper Universal Retreatment, but no significant differences between both NiTi systems were detected. Procedural errors were observed with ProTaper Universal Retreatment and Reciproc. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

Reliable Refuge: Two Sky Island Scorpion Species Select Larger, Thermally Stable Retreat Sites.

PubMed

Becker, Jamie E; Brown, Christopher A

2016-01-01

Sky island scorpions shelter under rocks and other surface debris, but, as with other scorpions, it is unclear whether these species select retreat sites randomly. Furthermore, little is known about the thermal preferences of scorpions, and no research has been done to identify whether reproductive condition might influence retreat site selection. The objectives were to (1) identify physical or thermal characteristics for retreat sites occupied by two sky island scorpions (Vaejovis cashi Graham 2007 and V. electrum Hughes 2011) and those not occupied; (2) determine whether retreat site selection differs between the two study species; and (3) identify whether thermal selection differs between species and between gravid and non-gravid females of the same species. Within each scorpion's habitat, maximum dimensions of rocks along a transect line were measured and compared to occupied rocks to determine whether retreat site selection occurred randomly. Temperature loggers were placed under a subset of occupied and unoccupied rocks for 48 hours to compare the thermal characteristics of these rocks. Thermal gradient trials were conducted before parturition and after dispersal of young in order to identify whether gravidity influences thermal preference. Vaejovis cashi and V. electrum both selected larger retreat sites that had more stable thermal profiles. Neither species appeared to have thermal preferences influenced by reproductive condition. However, while thermal selection did not differ among non-gravid individuals, gravid V. electrum selected warmer temperatures than its gravid congener. Sky island scorpions appear to select large retreat sites to maintain thermal stability, although biotic factors (e.g., competition) could also be involved in this choice. Future studies should focus on identifying the various biotic or abiotic factors that could influence retreat site selection in scorpions, as well as determining whether reproductive condition affects thermal selection in other arachnids.

Asynchronous ice lobe retreat and glacial Lake Bascom: Deglaciation of the Hoosic and Vermont valleys, southwestern Vermont

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

Small, E.; Desimone, D.

Deglaciation of the Hoosic River drainage basin in southwestern Vermont was more complex than previously described. Detailed surficial mapping, stratigraphic relationships, and terrace levels/delta elevations reveal new details in the chronology of glacial Lake Bascom: (1) a pre-Wisconsinan proglacial lake was present in a similar position to Lake Bascom as ice advanced: (2) the northern margin of 275m (900 ft) glacial Lake Bascom extended 10 km up the Vermont Valley; (3) the 215m (705 ft) Bascom level was stable and long lived; (4) intermediate water planes existed between 215m and 190m (625 ft) levels; and (5) a separate ice tonguemore » existed in Shaftsbury Hollow damming a small glacial lake, here named glacial Lake Emmons. This information is used to correlate ice margins to different lake levels. Distance of ice margin retreat during a lake level can be measured. Lake levels are then used as control points on a Lake Bascom relative time line to compare rate of retreat of different ice tongues. Correlation of ice margins to Bascom levels indicates ice retreat was asynchronous between nearby tongues in southwestern Vermont. The Vermont Valley ice tongue retreated between two and four times faster than the Hoosic Valley tongue during the Bascom 275m level. Rate of retreat of the Vermont Valley tongue slowed to one-half of the Hoosic tongue during the 215m--190m lake levels. Factors responsible for varying rates of retreat are subglacial bedrock gradient, proximity to the Hudson-Champlain lobe, and the presence of absence of a calving margins. Asynchronous retreat produced splayed ice margins in southwestern Vermont. Findings from this study do not support the model of parallel, synchronous retreat proposed by many workers for this region.« less

Ocean forcing drives glacier retreat sometimes

NASA Astrophysics Data System (ADS)

Bassis, J. N.; Ultee, E.; Ma, Y.

2015-12-01

Observations show that marine-terminating glaciers respond to climate forcing nonlinearly, with periods of slow or negligible glacier advance punctuated by abrupt, rapid retreat. Once glacier retreat has initiated, glaciers can quickly stabilize with a new terminus position. Alternatively, retreat can be sustained for decades (or longer), as is the case for Columbia Glacier, Alaska where retreat initiated ~1984 and continues to this day. Surprisingly, patterns of glacier retreat show ambiguous or even contradictory correlations with atmospheric temperature and glacier surface mass balance. Despite these puzzles, observations increasingly show that intrusion of warm subsurface ocean water into fjords can lead to glacier erosion rates that can account for a substantial portion of the total mass lost from glaciers. Here we use a simplified flowline model to show that even relatively modest submarine melt rates (~100 m/a) near the terminus of grounded glaciers can trigger large increases in iceberg calving leading to rapid glacier retreat. However, the strength of the coupling between submarine melt and calving is a strong function of the geometry of the glacier (bed topography, ice thickness and glacier width). This can lead to irreversible retreat when the terminus is thick and grounded deeply beneath sea level or result in little change when the glacier is relatively thin, grounded in shallow water or pinned in a narrow fjord. Because of the strong dependence on glacier geometry, small perturbations in submarine melting can trigger glaciers in their most advanced—and geometrically precarious—state to undergo sudden retreat followed by much slower re-advance. Although many details remain speculative, our model hints that some glaciers are more sensitive than others to ocean forcing and that some of the nonlinearities of glacier response to climate change may be attributable to variations in difficult-to-detect subsurface water temperatures that need to be better understood.

Simulating LGM retreat of the Uummannaq Ice Stream and Rinks Isbrae, Western Greenland using a 1-D ice-stream model constrained by a suite of marine and terrestrial data

NASA Astrophysics Data System (ADS)

Jamieson, Stewart; Roberts, Dave; Rea, Brice; Lane, Timothy; Vieli, Andreas; Cofaigh, Colm Ó.

2014-05-01

We aim to understand what controlled the retreat pattern of the Uummannaq Ice Stream (UIS) during the last deglaciation. Evidence for the pattern of retreat is found in both the marine and terrestrial realms, but because the evidence is temporally and spatially discontinuous, it is challenging to coherently reconstruct both grounding-line retreat and ice-surface thinning such that they are in agreement. Marine stratigraphic and geophysical evidence indicates that the ice stream was grounded close to the continental shelf edge at the Last Glacial Maximum, and retreated rapidly and nonlinearly after 14.8 ka. Cosmogenic nuclide exposure dating on Ubekendt Island at the convergence zone of multiple feeder ice streams show that the ice surface thinned progressively and that the island became ice-free by ca. 12.4 ka. The ice stream then collapsed over the next 1-1.6 kyrs and the ice stream separated into a series of distinct inland arms. In the northernmost Rinks system, there is a 'staircase' of evidence showing ice surface thinning over time, but it is unclear where the grounding line was located during this phase of thinning. Furthermore, it is currently unclear what controlled the nonlinear retreat pattern identified in the Uummannaq system. We develop a numerical model of ice-stream retreat using the marine geophysical data and measurements of sediment strength on the continental shelf to control the boundary conditions. The model has the capability to dynamically and robustly simulate grounding line-retreat behaviour over millennial timescales. We simulate the retreat of the UIS grounding line into the northernmost Rinks system in response to enhanced ocean warming, rising sea level and warming climate. We compare the simulated dynamic behaviour of the UIS against the geomorphological and cosmogenic exposure evidence for ice surface thinning onshore and against dated marine grounding line positions. Our model results enable us to match grounding-line positions in the marine trough to distinct onshore ice-surface heights, and therefore provide a 2-dimensional reconstruction of the geometry of the UIS as it retreated after the LGM. We find that the nonlinearity in retreat rate is conditioned by the locations of vertical and lateral constrictions in the Uummannaq/Rink trough which provide temporary pinning points for the grounding line. When the grounding line retreats rapidly between pinning points, the ice surface thins rapidly inland. When the grounding line is pinned, thinning of the ice surface becomes much slower in locations corresponding to the deposition of moraines. We suggest that the slowdowns in retreat identified in the marine domain are therefore reflected by the generation of moraines in the terrestrial domain. Finally, we generate hypotheses about the timing of marine grounding-line retreat based upon the published terrestrial cosmogenic exposure ages.

Efficacy and safety of bortezomib-based retreatment at the first relapse in multiple myeloma patients: A retrospective study.

PubMed

Oriol, Albert; Giraldo, Pilar; Kotsianidis, Ioannis; Couturier, Catherine; Olie, Robert; Angermund, Ralf; Corso, Alessandro

2015-08-01

Multiple myeloma remains incurable and retreatment with available therapies is of substantial interest. This retrospective observational study included data from 35 patients treated initially and at the first relapse with bortezomib-containing regimens. Bortezomib retreatment provided a similar depth and time to response as first-line therapy; however, as could be expected, the duration of response was shorter with retreatment. The tolerability profile was similar with bortezomib as the first- and second-line therapy, with no evidence of cumulative toxicity. These findings support bortezomib retreatment after a treatment-free interval of ≥6 months in patients who achieved at least a partial response to the first-line bortezomib-based therapy.

Efficacy of two rotary retreatment systems in removing Gutta-percha and sealer during endodontic retreatment with or without solvent: A comparative in vitro study

PubMed Central

Bhagavaldas, Moushmi Chalakkarayil; Diwan, Abhinav; Kusumvalli, S.; Pasha, Shiraz; Devale, Madhuri; Chava, Deepak Chowdary

2017-01-01

Objectives: The aim of this in vitro study was to compare the efficacy of two retreatment rotary systems in the removal of Gutta-percha (GP) and sealer from the root canal walls with or without solvent. Materials and Methods: Forty-eight extracted human mandibular first premolars were prepared and obturated with GP and AH Plus sealer. Samples were then randomly divided into four groups. Group I was retreated with MtwoR rotary system without solvent, Group II was retreated with MtwoR rotary system with Endosolv R as the solvent, Group III with D-RaCe rotary system without solvent, and Group IV with D-RaCe rotary system and Endosolv R solvent. The cleanliness of canal walls was determined by stereomicroscope (×20) and AutoCAD software. Kruskal–Wallis test and Mann–Whitney U-test were used to compare the data. Results: Results showed that none of the retreatment systems used in this study was able to completely remove the root canal filling material. D-RaCe with or without solvent showed significantly (P > 0.05) less filling material at all levels compared to MtwoR with/without solvent. Conclusion: Within the limitation of the current study, D-RaCe rotary retreatment system is more effective in removing filling material from root canal walls when compared to MtwoR rotary retreatment system. PMID:28761246

Every Child is a Leader

ERIC Educational Resources Information Center

Bonstingl, John Jay

2006-01-01

Most school districts conduct annual leadership retreats for their school boards, central and site leadership teams and their business and community partners. Holding leadership development retreats for students, on the other hand, is a new and somewhat revolutionary idea. This article describes a series of leadership retreats where faculty worked…

Extreme beach retreat history inferred from cut-and-fill beach deposits at Moruya, SE Australia

NASA Astrophysics Data System (ADS)

Tamura, T.; Woodroffe, C. D.; Oliver, T.; Cunningham, A. C.

2017-12-01

A sequence of beach ridges often records a `cut and fill', where the fair-weather swash accretion of beach sand is punctuated by storm erosion. The detailed chronology of the sequence is thus a clue to decipher past storm events and associated beach erosion, but has not been explored much. Here we explore the potential of such a sequence to detect past extreme retreats in Bengello Beach at Moruya, southeastern Australia. Beach monitoring since 1972 reveals that Bengello beach has shown a typical cut and fill, in which the beach retreats several tens of meters in relation to storms and recovers within a following few years. A storm event caused extreme retreat up to 50 m in 1974. Since then, no retreat exceeded 30 m. The beach monitoring highlights the sporadic nature of the prograded beach deposits; they can only be preserved as stratigraphic records during rapid beach recovery following a large retreat deeper than the beach profile envelope. Thus, ages of the preserved beach deposits roughly correspond to timings of large retreat. Optically-stimulated luminescence (OSL) ages were determined for beach deposits at 5-10 m intervals along a shore-normal transect from the modern foredune to beach ridge 120 m inland. The most landward sample was dated as 510 yr, indicating that the net progradation rate is 0.24 m/yr, concordant with both the long- and short-term rates since the mid Holocene and 1972, respectively. Other ages show four events of retreat around 350, 180, 130 and 90 yr, and also reflect the beach scarp resulting from the 1974 event. The retreat of each event is given by the distance between the shoreline position prior to storm erosion and relevant gap in OSL age. The position of the pre-storm shoreline is estimated by assuming a constant rate of the net progradation of 0.24 m/yr, as with long- and short-term rates. The retreat of the four events is then determined as 45-55 m, similar to the 1974 event. In summary, extreme beach retreats, including that in 1974, appear to have happened at least five times over the last 350 years with a variable recurrence interval of 50-150 years at Moruya. Multi-timescale analysis of the beach-ridge sequence as shown in Moruya has the potential to detect past extreme beach retreat that should be taken into account for the long-term coastal management.

Map showing coastal cliff retreat rates along the Big Sur coast, Monterey and San Luis Obispo Counties, California

USGS Publications Warehouse

Hapke, Cheryl J.; Green, Krystal R.

2004-01-01

The average coastal cliff retreat rate along the Big Sur coast is 18 ? 6 cm/yr as measured over a 52-year time period. The erosion reference features measured as the cliff edge include the well-defined cliff edges common to marine terraces, slight breaks in the slope defining the upper edge of the active lower slope, and the road grade. Cliff erosion and retreat are focused in isolated erosion hotspots that account for most of the calculated average retreat.

Cooperative Spatial Retreat for Resilient Drone Networks.

PubMed

Kang, Jin-Hyeok; Kwon, Young-Min; Park, Kyung-Joon

2017-05-03

Drones are broadening their scope to various applications such as networking, package delivery, agriculture, rescue, and many more. For proper operation of drones, reliable communication should be guaranteed because drones are remotely controlled. When drones experience communication failure due to bad channel condition, interference, or jamming in a certain area, one existing solution is to exploit mobility or so-called spatial retreat to evacuate them from the communication failure area. However, the conventional spatial retreat scheme moves drones in random directions, which results in inefficient movement with significant evacuation time and waste of battery lifetime. In this paper, we propose a novel spatial retreat technique that takes advantage of cooperation between drones for resilient networking, which is called cooperative spatial retreat (CSR). Our performance evaluation shows that the proposed CSR significantly outperforms existing schemes.

Incidence of flare-ups and evaluation of quality after retreatment of resorcinol-formaldehyde resin ("Russian Red Cement") endodontic therapy.

PubMed

Gound, Tom G; Marx, David; Schwandt, Nathan A

2003-10-01

The purpose of this retrospective study was to evaluate the quality of treatment and incidence of flare-ups when teeth with resorcinol-formaldehyde resin are retreated in a postgraduate endodontic clinic. Fifty-eight cases were included in this study. Obturated and unfilled canal space was measured on radiographs. Forty-eight percent of the total canal space was filled before retreatment; 90% was filled after retreatment. After retreatment, obturations were rated as optimal in 59%, improved in 33%, unchanged in 6%, and worse in 2%. Seven patients (12%) had postretreatment flare-ups. Data were statistically analyzed using the Cochran-Armitage Test for Discrete Variables. No statistical difference in the incidence of flare-ups was found in teeth that before treatment had more than half the canal space filled compared to teeth with less than half, cases with pre-existing periradicular radiolucencies compared to cases with normal periradicular appearance, symptomatic cases compared to asymptomatic cases, or cases with optimal fillings after retreatment compared to less than optimal cases. It was concluded that teeth with resorcinol-formaldehyde fillings might be retreated with a good prognosis for improving the radiographic quality, but a higher than normal incidence of flare-ups may occur.

In vitro evaluation of the effectiveness of ProTaper universal rotary retreatment system for gutta-percha removal with or without a solvent.

PubMed

Takahashi, Cristiane Midori; Cunha, Rodrigo Sanches; de Martin, Alexandre Sigrist; Fontana, Carlos Eduardo; Silveira, Cláudia Fernandes M; da Silveira Bueno, Carlos Eduardo

2009-11-01

Effective removal of gutta-percha in endodontic retreatment is a significant factor to ensure a favorable outcome from failed procedures. The purpose of this study was to evaluate the efficacy of a nickel-titanium rotary instrument system with or without a solvent versus stainless steel hand files for gutta-percha removal. Forty extracted human maxillary anterior teeth were prepared and filled. They were divided into 4 groups: Gates-Glidden and K-files, Gates-Glidden and K-files with chloroform, ProTaper Universal rotary retreatment system, and ProTaper Universal rotary retreatment system with chloroform. The operating time was recorded. The teeth were longitudinally sectioned and photographed. The images were analyzed and the filling remnants were quantified by using the IMAGE TOOL software. With Kruskall-Wallis test, statistical analysis showed that there was no significant difference between the techniques in regard to the amount of the endodontic filling remnants (P < .05); however, the ProTaper Universal rotary retreatment system was faster than the hand files (P < .05). All of the techniques proved helpful for the removal of endodontic filling material, and they were similar in material remaining after retreatment, but the ProTaper Universal rotary retreatment system without chloroform was faster.

Recent acceleration in coastal cliff retreat rates on the south coast of Great Britain.

PubMed

Hurst, Martin D; Rood, Dylan H; Ellis, Michael A; Anderson, Robert S; Dornbusch, Uwe

2016-11-22

Rising sea levels and increased storminess are expected to accelerate the erosion of soft-cliff coastlines, threatening coastal infrastructure and livelihoods. To develop predictive models of future coastal change we need fundamentally to know how rapidly coasts have been eroding in the past, and to understand the driving mechanisms of coastal change. Direct observations of cliff retreat rarely extend beyond 150 y, during which humans have significantly modified the coastal system. Cliff retreat rates are unknown in prior centuries and millennia. In this study, we derived retreat rates of chalk cliffs on the south coast of Great Britain over millennial time scales by coupling high-precision cosmogenic radionuclide geochronology and rigorous numerical modeling. Measured 10 Be concentrations on rocky coastal platforms were compared with simulations of coastal evolution using a Monte Carlo approach to determine the most likely history of cliff retreat. The 10 Be concentrations are consistent with retreat rates of chalk cliffs that were relatively slow (2-6 cm⋅y -1 ) until a few hundred years ago. Historical observations reveal that retreat rates have subsequently accelerated by an order of magnitude (22-32 cm⋅y -1 ). We suggest that acceleration is the result of thinning of cliff-front beaches, exacerbated by regional storminess and anthropogenic modification of the coast.

Twenty five years follow up of MB leprosy patients retreated with a modified MDT regimen after a full course of dapsone mono-therapy.

PubMed

Jing, Zhichun; Zhang, Renbao; Zhou, Doahai; Chen, Jiakeun

2009-06-01

The relentless emergence of dapsone resistance amongst M. leprae threatened leprosy control programmes, and increased the relapse rate of patients cured with dapsone monotherapy. The study aimed to analyse the effect on the relapse rate of dapsone-cured multibacillary (MB) leprosy patients, of re-treatment, using a multidrug therapy (MDT) regimen which differed from the WHO recommended regimen. 794 MB leprosy patients who had been released from treatment after dapsone monotherapy were selected, amongst them 657 were re-treated for 1 year using the modified multidrug therapy regimen (mMDT) including rifampicin, clofazimine and dapsone, and 137 patients were observed as control cases. The regimen was well tolerated with good compliance: 620 patients completed re-treatment with mild side effects and a low incidence of leprosy reactions. There was a statistically significant difference between the relapse rates of re-treated and control groups (chi squaredf = 57.44, P < 0.001). Furthermore, the relapses in the re-treated group were significantly more likely to be later than those in the control group (t = 25.62, P < 0.001). Re-treatment with this modified regimen is acceptable and can reduce the risk of early relapse in dapsone-cured patients. The problem of persisters causing late relapse is likely to remain.

Cost-effectiveness of retreatment with varenicline after failure with or relapse after initial treatment for smoking cessation

PubMed Central

Annemans, Lieven; Marbaix, Sophie; Nackaerts, Kristiaan; Bartsch, Pierre

2015-01-01

Objectives A recent trial showed the clinical benefit of retreatment with varenicline in subjects failing on the initial treatment, or relapsing after initial success. The objective of this study was to evaluate the cost-effectiveness of retreatment with varenicline compared with other smoking cessation interventions. Methods A published Markov model was adapted to compare one quit attempt of varenicline followed by retreatment to treatment/retreatment with nicotine replacement therapy (NRT), bupropion or placebo, and with only 1 quit attempt of varenicline. Efficacy was obtained from clinical trials. Incidence of smoking-related diseases was based on published data. Cost of therapies and complications was obtained from databases and literature. Results For 1000 smokers willing to quit, varenicline retreatment saves 275,000€, 118,000€, 316,000€ and 237,000€ compared to NRT, bupropion, placebo, or one single varenicline quit attempt respectively at lifetime and from the healthcare payer perspective. The number of quality adjusted life years gained is 74, 63, 193 and 111 respectively. Sensitivity analyses showed the robustness of these findings. Conclusion This analysis suggests that in the long term, varenicline retreatment is a dominant intervention, meaning both greater health gains and greater costs saved, over other possible interventions and therefore should be considered as a standard option. PMID:26844072

Visual acuity and central retinal thickness: fulfilment of retreatment criteria for recurrent neovascular AMD in routine clinical care.

PubMed

Reznicek, Lukas; Muhr, Johanna; Ulbig, Michael; Kampik, Anselm; Mayer, Wolfgang J; Haritoglou, Christos; Neubauer, Aljoscha; Wolf, Armin

2014-10-01

To evaluate the fulfillment of retreatment criteria in recurrent neovascular age-related macular degeneration (nAMD) for a pro-re-nata treatment regime with ranibizumab in routine clinical care. Data from patients with treatment-naive nAMD were analysed retrospectively. As an 'upload', all patients had received three-monthly intravitreal ranibizumab injections in a university eye hospital and were then seen by ophthalmologists in private practice who referred them back in case of recurrence. Recurrence was defined as a decrease of visual acuity (VA) of one line or more (functional retreatment criteria), a central retinal thickness (CRT) increase of at least 100 µm upon Optical Coherence Tomography (OCT) examination (morphological retreatment criteria) or a new macular haemorrhage (clinical retreatment criteria). We included 92 patients (36 men and 56 women). The mean VA before retreatment of a recurrence was -0.63 ± 0.33 logMAR and improved significantly (p<0.001) by 0.10 ± 0.16 logMAR to -0.53 ± 0.28 logMAR thereafter. Mean CRT before retreatment was 278.07 ± 87.56 µm and decreased significantly (p<0.001) by 71.22 ± 106.93 to 206.85 ± 60.30 µm. Evaluation of the fulfillment of retreatment criteria revealed functional retreatment criteria in 82.6% of patients. However, upon re-evaluation of VA using Early Treatment Diabetic Retinopathy Study (ETDRS) charts in the treatment centre, mean decrease of VA was 10 letters as compared with the end of upload therapy. All patients presented an increased CRT when treated for recurrence of nAMD (mean increase 69.47 µm), but the morphological retreatment criteria (CRT increase of 100 µm or more) were fulfilled in only 44.4% of patients upon Spectral Domain OCT (SD-OCT) evaluation in the treatment centre. In a routine clinical care, evaluation of VA using ETDRS charts seems to be more sensitive than Snellen VA testing. Quantitative OCT-based retreatment criteria (eg, increase of CRT of 100 µm or more) appear to be not sensitive enough in a clinical setting with referring ophthalmologists. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Latest Pleistocene advance and collapse of the Matanuska - Knik glacier system, Anchorage Lowland, southern Alaska

NASA Astrophysics Data System (ADS)

Kopczynski, Sarah E.; Kelley, Samuel E.; Lowell, Thomas V.; Evenson, Edward B.; Applegate, Patrick J.

2017-01-01

At the end of the last ice age, glacier systems worldwide underwent dramatic retreat. Here, we document the advance and retreat of a glacier system with adjacent marine- and land-based components during the latter part of the Termination. We utilize three lines of evidence: lithologic provenance, geomorphic mapping, and radiocarbon ages derived from lake cores to reconstruct glacier extent and timing of advance and retreat within our study area centered at N 61.50°, W 149.50°, just north of Anchorage, Alaska. Two glaciers, sourced in the Talkeetna and Chugach Mountains, flowed down the Matanuska and Knik Valleys forming a coalesced lobe that advanced onto the Anchorage Lowlands and terminated at Elmendorf Moraine. We use the presence of lithologies unique to the Matanuska catchment in glacial drift to delineate the paleoflow lines and to estimate the suture line of the two glacier systems. The eastern side of the lobe, attributed to ice flow from the Knik Valley, was in contact with elevated marine waters within the Knik Arm fjord, and thus retreat was likely dominated by calving. Geomorphic evidence suggests the western side of the lobe, attributed to ice flow from Matanuska Valley, retreated due to stagnation. We constrain retreat of the combined Matanuska and Knik lobe with thirteen new radiocarbon ages, in addition to previously published radiocarbon ages, and with geomorphic evidence suggesting the retreat occurred in two phases. Retreat from the Elmendorf Moraine began between 16.8 and 16.4 ka BP. A second, faster retreat phase occurred later and was completed by 13.7 ka BP. With the 140 km of total retreat occurring over ∼3000 years or less. This pattern of glacial advance and retreats agrees well with the deglacial histories from the southern sectors of the Cordilleran Ice Sheet, as well as many other alpine glacier systems in the western U.S. and northern Alaska. This consistent behavior of glacier systems may indicate that climate oscillated over western North America early in deglaciation before it was recorded in other proxies such as ice cores. Furthermore, the period in which we note mountain glacier collapse in northwestern North America is synchronous with the worldwide glacial termination raising questions about intrahemispheric linkages.

Effectiveness of Sonic, Ultrasonic, and Photon-Induced Photoacoustic Streaming Activation of NaOCl on Filling Material Removal Following Retreatment in Oval Canal Anatomy.

PubMed

Jiang, Shan; Zou, Ting; Li, Dongxia; Chang, Jeffery W W; Huang, Xiaojing; Zhang, Chengfei

2016-01-01

This study aimed to assess the effectiveness of sonic, ultrasonic and laser [photon-induced photoacoustic streaming (PIPS)] irrigation activation in removing filling remnants from oval root canals after standard canal retreatment procedures with the ProTaper universal rotary retreatment system. Twenty-eight maxillary first premolars were instrumented with ProTaper NiTi rotary instruments and obturated with gutta-percha and AH Plus sealer using the continuous wave of condensation technique. After storage at 37°C and 100% humidity for 1 week, the specimens were retreated with the ProTaper universal retreatment system for the removal of filling material. Teeth were then randomly assigned into four groups (n = 7): group 1, positive control; group 2, retreated with sonic irrigation; group 3, retreated with ultrasonic irrigation; and group 4, retreated with laser irradiation. The specimens were scanned using micro-CT before instrumentation, after obturation and mechanical retreatment, and after additional activation procedures. The percentage volume of the filling remnants was measured. Specimens were split longitudinally after micro-CT scan, canal walls were examined using scanning electron microscopy (SEM), and the amount of residual filling material was scored. The filling materials' removal efficacy in the three experimental groups was higher than that of the control group (p < 0.05), whereas filling materials ranging from 1.46 ± 0.30 to 2.21 ± 0.46 mm(3) remained in the canal in all three experimental groups. Additionally, there was a significantly greater reduction in the amount of filling remnants in the PIPS group than in the sonic and ultrasonic groups (both p < 0.05), and significantly greater reduction in the ultrasonic group than the sonic group (p < 0.05). Activation of NaOCl with PIPS showed significantly better performance than sonic and ultrasonic techniques in removing the filling remnants following mechanical retreatment of oval root canals. The ultrasonic technique also performed better than the sonic technique. However, none of the additional activation procedures was able to completely eliminate the filling remnants.

The effect of delivery mechanisms on the uptake of bed net re-impregnation in Kilifi District, Kenya.

PubMed

Snow, R W; McCabe, E; Mbogo, C N; Molyneux, C S; Some, E S; Mung'ala, V O; Nevill, C G

1999-03-01

The results of recently completed trials in Africa of insecticide-treated bed nets (ITBN) offer new possibilities for malaria control. These experimental trials aimed for high ITBN coverage combined with high re-treatment rates. Whilst necessary to understand protective efficacy, the approaches used to deliver the intervention provide few indications of what coverage of net re-treatment would be under operational conditions. Varied delivery and financing strategies have been proposed for the sustainable delivery of ITBNs and re-treatment programmes. Following the completion of a randomized, controlled trial on the Kenyan coast, a series of suitable delivery strategies were used to continue net re-treatment in the area. The trial adopted a bi-annual, house-to-house re-treatment schedule free of charge using research project staff and resulted in over 95% coverage of nets issued to children. During the year following the trial, sentinel dipping stations were situated throughout the community and household members informed of their position and opening times. This free re-treatment service achieved between 61-67% coverage of nets used by children for three years. In 1997 a social marketing approach, that introduced cost-retrieval, was used to deliver the net re-treatment services. The immediate result of this transition was that significantly fewer of the mothers who had used the previous re-treatment services adopted this revised approach and coverage declined to 7%. The future of new delivery services and their financing are discussed in the context of their likely impact upon previously defined protective efficacy and cost-effectiveness estimates.

Variability, trends, and predictability of seasonal sea ice retreat and advance in the Chukchi Sea

NASA Astrophysics Data System (ADS)

Serreze, Mark C.; Crawford, Alex D.; Stroeve, Julienne C.; Barrett, Andrew P.; Woodgate, Rebecca A.

2016-10-01

As assessed over the period 1979-2014, the date that sea ice retreats to the shelf break (150 m contour) of the Chukchi Sea has a linear trend of -0.7 days per year. The date of seasonal ice advance back to the shelf break has a steeper trend of about +1.5 days per year, together yielding an increase in the open water period of 80 days. Based on detrended time series, we ask how interannual variability in advance and retreat dates relate to various forcing parameters including radiation fluxes, temperature and wind (from numerical reanalyses), and the oceanic heat inflow through the Bering Strait (from in situ moorings). Of all variables considered, the retreat date is most strongly correlated (r ˜ 0.8) with the April through June Bering Strait heat inflow. After testing a suite of statistical linear models using several potential predictors, the best model for predicting the date of retreat includes only the April through June Bering Strait heat inflow, which explains 68% of retreat date variance. The best model predicting the ice advance date includes the July through September inflow and the date of retreat, explaining 67% of advance date variance. We address these relationships by discussing heat balances within the Chukchi Sea, and the hypothesis of oceanic heat transport triggering ocean heat uptake and ice-albedo feedback. Developing an operational prediction scheme for seasonal retreat and advance would require timely acquisition of Bering Strait heat inflow data. Predictability will likely always be limited by the chaotic nature of atmospheric circulation patterns.

Retreatment of Recurrent Internal Carotid-Posterior Communicating Artery Aneurysm after Coil Embolization

PubMed Central

TOYOTA, Shingo; TAKI, Takuyu; WAKAYAMA, Akatsuki; YOSHIMINE, Toshiki

2015-01-01

Internal carotid-posterior communicating artery (IC-PC) aneurysms account for more than 20% of all intracranial aneurysms. As a result of the increase in coiling, there has also been an increase in recurrent IC-PC aneurysms after coiling. We present our experience of 10 recurrent IC-PC aneurysms after coiling that were retreated using surgical or endovascular techniques in order to discuss the choice of treatment and the points of clipping without removal of coils. From 2007 to 2014, 10 recurrent IC-PC aneurysms after coiling were retreated. When the previous frames covered the aneurysms all around or almost around except a part of the neck, coiling was chosen. In other cases, clipping was chosen. Clipping was attempted without removal of coils when it was technically feasible. Among the 10 IC-PC aneurysms retreated, 3 were retreated with coiling and 7 were retreated with clipping. In all three cases retreated with coiling, almost complete occlusion was accomplished. In the seven cases retreated with clipping, coil extrusion was observed during surgery in six cases. In most of them, it was necessary to dissect strong adhesions around the coiled aneurysms and to utilize temporary occlusion of the internal carotid artery. In all seven cases, neck clipping was accomplished without the removal of coils. There were no neurological complications in any cases. The management of recurrent lesions of embolized IC-PC aneurysms requires appropriate choice of treatment using both coiling and clipping. Clipping, especially without the removal of coils, plays an important role in safe treatment. PMID:26437796

Retreatment of Recurrent Internal Carotid-Posterior Communicating Artery Aneurysm after Coil Embolization.

PubMed

Toyota, Shingo; Taki, Takuyu; Wakayama, Akatsuki; Yoshimine, Toshiki

2015-01-01

Internal carotid-posterior communicating artery (IC-PC) aneurysms account for more than 20% of all intracranial aneurysms. As a result of the increase in coiling, there has also been an increase in recurrent IC-PC aneurysms after coiling. We present our experience of 10 recurrent IC-PC aneurysms after coiling that were retreated using surgical or endovascular techniques in order to discuss the choice of treatment and the points of clipping without removal of coils. From 2007 to 2014, 10 recurrent IC-PC aneurysms after coiling were retreated. When the previous frames covered the aneurysms all around or almost around except a part of the neck, coiling was chosen. In other cases, clipping was chosen. Clipping was attempted without removal of coils when it was technically feasible. Among the 10 IC-PC aneurysms retreated, 3 were retreated with coiling and 7 were retreated with clipping. In all three cases retreated with coiling, almost complete occlusion was accomplished. In the seven cases retreated with clipping, coil extrusion was observed during surgery in six cases. In most of them, it was necessary to dissect strong adhesions around the coiled aneurysms and to utilize temporary occlusion of the internal carotid artery. In all seven cases, neck clipping was accomplished without the removal of coils. There were no neurological complications in any cases. The management of recurrent lesions of embolized IC-PC aneurysms requires appropriate choice of treatment using both coiling and clipping. Clipping, especially without the removal of coils, plays an important role in safe treatment.

[The Comparison of Clinical Effect of Rh-endostar on Retreated Non-Small Cell Lung Cancer and Colorectal Cancer.].

PubMed

Yang, Xueqin; Wang, Dong; Zhong, Zhaoyang; Jin, Feng; Shan, Jinlu; Wang, Ge; Wang, Zhengbo; Shen, Yibo

2009-11-20

Antiangiogenesis has become the fourth module of cancer therapy nowadays. However, its clinical effect varies from cancer to cancer. The aim of this study is to compare the clinical efficacy of rh-endostatin (YH-16, Endostar) on retreated non-small cell lung cancer and colorectal cancer. The patients including 17 cases of retreated non-small cell lung cancer (NSCLC) and 15 cases of retreated colorectal cancer were confirmed by histopathology or cytopathology. All the cases were administrated with rh-endostatin combining chemotherapy and radiotherapy. 7.5 mg/m(2) rhendostatin solved in 500 mL of normal saline was slow intravenously dropped from day 1 to day 14. The efficacy was evaluated strictly according to RECIST criteria and the quality of life (QOL) was based on the Karnofsky performance (KPS). The response rate (RR) of 17 cases of retreated NSCLC was 11.8% (2/17), and the disease control rate (DCR) was 41.2% (7/17). However, the RR and DCR of the 15 cases of retreated colorectal cancer were up to 40% (6/15) and 86.6% (13/15). There was significant difference between these two tumors (P<0.05). Moreover, significant difference was also found on the QOL of these two tumors [The improving and stable QOL was 41.2% (7/17) and 86.6% (13/15), respectively (P<0.05)]. The clinical efficacy of rh-endostatin on retreated colorectal cancer was better than on retreated non-small cell lung cancer, which suggested that it was necessary to perform more clinical observations on the digestive tumors.

Loitering of the retreating sea ice edge in the Arctic Seas.

PubMed

Steele, Michael; Ermold, Wendy

2015-12-01

Each year, the arctic sea ice edge retreats from its winter maximum extent through the Seasonal Ice Zone (SIZ) to its summer minimum extent. On some days, this retreat happens at a rapid pace, while on other days, parts of the pan-arctic ice edge hardly move for periods of days up to 1.5 weeks. We term this stationary behavior "ice edge loitering," and identify areas that are more prone to loitering than others. Generally, about 20-25% of the SIZ area experiences loitering, most often only one time at any one location during the retreat season, but sometimes two or more times. The main mechanism controlling loitering is an interaction between surface winds and warm sea surface temperatures in areas from which the ice has already retreated. When retreat happens early enough to allow atmospheric warming of this open water, winds that force ice floes into this water cause melting. Thus, while individual ice floes are moving, the ice edge as a whole appears to loiter. The time scale of loitering is then naturally tied to the synoptic time scale of wind forcing. Perhaps surprisingly, the area of loitering in the arctic seas has not changed over the past 25 years, even as the SIZ area has grown. This is because rapid ice retreat happens most commonly late in the summer, when atmospheric warming of open water is weak. We speculate that loitering may have profound effects on both physical and biological conditions at the ice edge during the retreat season.

National Assessment of Historical Shoreline Change: A Pilot Study of Historical Coastal Bluff Retreat in the Great Lakes, Erie, Pennsylvania

USGS Publications Warehouse

Hapke, Cheryl J.; Malone, Shamus; Kratzmann, Meredith G.

2009-01-01

Coastal bluff retreat is a chronic problem along many high-relief coastlines in the United States. As coastal populations continue to grow and community infrastructures are threatened by erosion, there is increased demand for accurate information regard-ing trends and rates of bluff retreat. There is also a need for a comprehensive analysis that is consistent from one coastal region to another. To address these national needs, the U.S. Geological Survey (USGS), as part of the National Assessment of Coastal Change Hazards Project, conducted a pilot study of bluff retreat along the Lake Erie, Pa., coastline to assess the feasibility of undertaking a larger, multi-state analysis in the Great Lakes region. This report provides an overview of the pilot-study location and bluff geomorphology, the data sources and methodology, results of the analysis, and a discussion of the feasibility of undertaking a similar analysis along eroding bluffs in other Great Lakes states. This pilot study is part of an ongoing effort by the USGS to provide a comprehensive analysis of historical shoreline change and cliff and bluff retreat along open-ocean coastlines of the conterminous United States and parts of Hawaii, Alaska, and the Great Lakes. One purpose of the work is to develop standard, repeatable methods for mapping and analyzing coastal change so that systematic and consistent periodic updates of coastal erosion can be made nationally. Bluff-retreat evaluations are conducted by comparing the location of a historical bluff edge digitized from aerial photographs with those of recent bluff edges interpreted from both aerial photographs and lidar topographic surveys. The historical bluff edge is from 1938, whereas the more recent bluff edges are from 1998 and 2006 lidar data. Long-term (68-year) rates of retreat are calculated using the available bluff-edge data. The rates of retreat presented in this report represent conditions from the 1930s to 1998/2006, and are not intended for predicting future bluff-edge positions or rates of retreat. The report presents bluff-retreat rates for 32 km of a 60-km stretch along the Lake Erie, Pa., coastline. Data are discontinuous due to gaps in source data and lack of continuous bluffs. The average rate of coastal bluff retreat for the Lake Erie, Pa., bluffs was -0.3 +- 0.1 m/yr (retreat rates are presented as negative numbers in this report), based on rates averaged from 1,595 individual transects. Retreat rates generally were lowest where bedrock outcrops are exposed as the basal unit in the bluff. The highest rates are associated with anthropogenic activities, including jetties that trap littoral sediment, depleting a source of material for the natural replenishment of protective beaches downcoast, and extensive irrigation of farmlands on the tops of the bluffs, which can destabilize bluffs by enhancing ground-water outflow.

Response to Therapy Following Retreatment of Serofast Early Syphilis Patients With Benzathine Penicillin

PubMed Central

Seña, Arlene C.; Wolff, Mark; Behets, Frieda; Van Damme, Kathleen; Martin, David H.; Leone, Peter; McNeil, Linda; Hook, Edward W.

2013-01-01

Persistent nontreponemal titers after treatment are common among patients with early syphilis. We retreated 82 human immunodeficiency virus–negative early syphilis participants who were serofast at 6 months using benzathine penicillin. Only 27% exhibited serological response after retreatment and after an additional 6 months of follow-up. PMID:23118269

Reconceptualizing Leadership in Migrant Communities: Latina/o Parent Leadership Retreats as Sites of Community Cultural Wealth

ERIC Educational Resources Information Center

Nava, Pedro E.; Lara, Argelia

2016-01-01

This article examines how the Education Leadership Foundation (a leadership development community based organization) in partnership with the Migrant Education Program use parent retreats for building leadership, and skill development of migrant farm-working families. Utilizing cooperative and community responsive practices, these retreats build…

[Treatment outcomes for tuberculosis patients in FBIH during 1998-2003].

PubMed

Ustamujić, Aida; Dizdarević, Zehra; Zutić, Hasan

2007-01-01

To evaluate treatment outcome data for all new pulmonary sputum smear positive cases and treatment outcome data for all new pulmonary culture positive cases. To evaluate re-treatment outcome data for all retreated pulmonary sputum smear positive Tb cases and re-treatment outcome data for all retreated pulmonary culture positive TB cases,in FB&H, in the period 1998-2003. Achieving WHO aims of 85% success on new found TB cases. Retrospective cohort analysis for new pulmonary smear positive cases, new pulmonary culture positive cases. Retrospective cohort analysis for retreated pulmonary smear-positive cases; retreated pulmonary culture positive cases, registered in FB&H in the period 1998-2003. A recording and reporting system used standardized registers according to WHO. Results are presented in four tables and four graphs. Middle rate of success (cured or completed treatment) was 84%, middle value of failed (5%), defaulted (5%) and transferred (2%). Results of success in newfound TB cases are achiived according to WHO aims (85-90,7%). Success NTP in control of TB is concern on ability to hold high rate of cured or completed treatment.

Wastewater retreatment and reuse system for agricultural irrigation in rural villages.

PubMed

Kim, Minyoung; Lee, Hyejin; Kim, Minkyeong; Kang, Donghyeon; Kim, Dongeok; Kim, YoungJin; Lee, Sangbong

2014-01-01

Climate changes and continuous population growth increase water demands that will not be met by traditional water resources, like surface and ground water. To handle increased water demand, treated municipal wastewater is offered to farmers for agricultural irrigation. This study aimed to enhance the effluent quality from worn-out sewage treatment facilities in rural villages, retreat effluent to meet water quality criteria for irrigation, and assess any health-related and environmental impacts from using retreated wastewater irrigation on crops and in soil. We developed the compact wastewater retreatment and reuse system (WRRS), equipped with filters, ultraviolet light, and bubble elements. A pilot greenhouse experiment was conducted to evaluate lettuce growth patterns and quantify the heavy metal concentration and pathogenic microorganisms on lettuce and in soil after irrigating with tap water, treated wastewater, and WRRS retreated wastewater. The purification performance of each WRRS component was also assessed. The study findings revealed that existing worn-out sewage treatment facilities in rural villages could meet the water quality criteria for treated effluent and also reuse retreated wastewater for crop growth and other miscellaneous agricultural purposes.

Cooperative Spatial Retreat for Resilient Drone Networks †

PubMed Central

Kang, Jin-Hyeok; Kwon, Young-Min; Park, Kyung-Joon

2017-01-01

Drones are broadening their scope to various applications such as networking, package delivery, agriculture, rescue, and many more. For proper operation of drones, reliable communication should be guaranteed because drones are remotely controlled. When drones experience communication failure due to bad channel condition, interference, or jamming in a certain area, one existing solution is to exploit mobility or so-called spatial retreat to evacuate them from the communication failure area. However, the conventional spatial retreat scheme moves drones in random directions, which results in inefficient movement with significant evacuation time and waste of battery lifetime. In this paper, we propose a novel spatial retreat technique that takes advantage of cooperation between drones for resilient networking, which is called cooperative spatial retreat (CSR). Our performance evaluation shows that the proposed CSR significantly outperforms existing schemes. PMID:28467390

Formation and interpretation of eskers beneath retreating ice sheets

NASA Astrophysics Data System (ADS)

Creyts, T. T.; Hewitt, I.

2017-12-01

The retreat of the ice sheets during the Pleistocene left large and spectacular subglacial features exposed. Understanding these features gives us insight into how the ice sheets retreated, how meltwater influenced retreat, and can help inform our understanding of potential future rates of ice sheet retreat. Among these features, eskers, long sinuous ridges primarily composed of clastic sediments, lack a detailed explanation of how surface melt rates and ice sheet retreat rates influence their growth and spatial distribution. Here, we develop a theory for esker formation based on the initial work of Rothlisberger modified for sediment transport and inclusion of surface meltwater forcing. The primary subglacial ingredients include water flow through subglacial tunnels with the addition of mass balances for sediment transport. We show how eskers when water flow slows below a critical stress for sediment motion. This implies that eskers are deposited in a localized region near the snout of the ice sheet. Our findings suggest that very long eskers form sequentially as the ice front retreats. The position of the esker follows the path of the channel mouth through time, which does not necessarily coincide with the instantaneous route of the feeding channel. However, in most cases, we expect those locations to be similar. The role of surface meltwater and the climatology associated with the forcing is crucial to the lateral spacing of the eskers. We predict that high surface melt rates lead to narrower catchments but that the greater extent of the ablation area means that channels are likely larger. At the same time, for a given channel size (and hence sediment flux), the size of a deposited esker depends on a margin retreat rate. Hence, the size of the eskers is related delicately to the balance between surface melt rates and margin retreat rates. We discuss how our theory can be combined with observed esker distributions to infer the relationship between these two rates and help understand the melt history of ice sheets.

Optimal efficacy of interferon-free HCV retreatment after protease inhibitor failure in real life.

PubMed

Cento, V; Barbaliscia, S; Lenci, I; Ruggiero, T; Magni, C F; Paolucci, S; Babudieri, S; Siciliano, M; Pasquazzi, C; Ciancio, A; Perno, C F; Ceccherini-Silberstein, F

2017-10-01

First-generation protease-inhibitors (PIs) have suboptimal efficacy in GT-1 patients with advanced liver disease, and patients experiencing treatment failure may require urgent retreatment. Our objective was to analyse the real-life efficacy of interferon (IFN)-free retreatment after PI-failure, and the role of genotypic-resistance-testing (GRT) in guiding retreatment choice. In this multi-centre observational study, patients retreated with IFN-free regimens after first-generation PI-failure (telaprevir-boceprevir-simeprevir) were included. Sustained-virological-response (SVR) was evaluated at week 12 of follow-up. GRT was performed by population-sequencing. After PI-failure, 121 patients (cirrhotic=86.8%) were retreated following three different strategies: A) with 'GRT-guided' regimens (N=18); B) with 'AASLD/EASL recommended, not GRT-guided' regimens (N=72); C) with 'not recommended, not GRT-guided' regimens (N=31). Overall SVR rate was 91%, but all 18 patients treated with 'GRT-guided' regimens reached SVR (100%), despite heterogeneity in treatment duration, use of PI and ribavirin, versus 68/72 patients (94.4%) receiving 'AASLD/EASL recommended, not GRT-guided' regimens. SVR was strongly reduced (77.4%) among the 31 patients who received a 'not recommended, not GRT-guided regimen' (p <0.01). Among 37 patients retreated with a PI, SVR rate was 89.2% (33/37). Four GT-1a cirrhotic patients failed an option (C) simeprevir-containing treatment; three out of four had a baseline R155K NS3-RAS. All seven patients treated with paritaprevir-containing regimens reached SVR, regardless of treatment duration and performance of a baseline-GRT. Retreatment of PI-experienced patients can induce maximal SVR rates in real life. Baseline-GRT could help to optimize retreatment strategy, allowing PIs to be reconsidered when chosen after a RASs evaluation. Copyright © 2017 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

Sedimentology and chronology of the advance and retreat of the last British-Irish Ice Sheet on the continental shelf west of Ireland

NASA Astrophysics Data System (ADS)

Peters, Jared L.; Benetti, Sara; Dunlop, Paul; Ó Cofaigh, Colm; Moreton, Steven G.; Wheeler, Andrew J.; Clark, Christopher D.

2016-05-01

The last British-Irish Ice Sheet (BIIS) had extensive marine-terminating margins and was drained by multiple large ice streams and is thus a useful analogue for marine-based areas of modern ice sheets. However, despite recent advances from investigating the offshore record of the BIIS, the dynamic history of its marine margins, which would have been sensitive to external forcing(s), remain inadequately understood. This study is the first reconstruction of the retreat dynamics and chronology of the western, marine-terminating, margin of the last (Late Midlandian) BIIS. Analyses of shelf geomorphology and core sedimentology and chronology enable a reconstruction of the Late Midlandian history of the BIIS west of Ireland, from initial advance to final retreat onshore. Five AMS radiocarbon dates from marine cores constrain the timing of retreat and associated readvances during deglaciation. The BIIS advanced without streaming or surging, depositing a bed of highly consolidated subglacial traction till, and reached to within ∼20 km of the shelf break by ∼24,000 Cal BP. Ice margin retreat was likely preceded by thinning, grounding zone retreat and ice shelf formation on the outer shelf by ∼22,000 Cal BP. This ice shelf persisted for ≤2500 years, while retreating at a minimum rate of ∼24 m/yr and buttressing a >150-km long, 20-km wide, bathymetrically-controlled grounding zone. A large (∼150 km long), arcuate, flat-topped grounding-zone wedge, termed here the Galway Lobe Grounding-Zone Wedge (GLGZW), was deposited below this ice shelf and records a significant stillstand in BIIS retreat. Geomorphic relationships indicate that the BIIS experienced continued thinning during its retreat across the shelf, which led to increased topographic influence on its flow dynamics following ice shelf break up and grounding zone retreat past the GLGZW. At this stage of retreat the western BIIS was comprised of several discrete, asynchronous lobes that underwent several readvances. Sedimentary evidence of dilatant till deposition suggests that the readvances may have been rapid and possibly associated with ice streaming or surging. The largest lobe extended offshore from Galway Bay and deposited the Galway Lobe Readvance Moraine by <18,500 Cal BP. Further to the north, an ice lobe readvanced at least 50 km offshore from Killary Harbour, possibly by ≤15,100 Cal BP. The existing chronology currently does not allow us to determine conclusively whether these readvances were a glaciodynamic (internally-driven) response of the ice sheet during deglaciation or were climatically-driven. Following the <18,500 Cal BP readvance, the Galway Lobe experienced accelerated eastward retreat at an estimated rate of ∼113 m/yr.

Fracture resistance of retreated roots using different retreatment systems.

PubMed

Er, Kursat; Tasdemir, Tamer; Siso, Seyda Herguner; Celik, Davut; Cora, Sabri

2011-08-01

This study was designed to evaluate the fracture resistance of retreated roots using different rotary retreatment systems. Forty eight freshly extracted human canine teeth with single straight root canals were instrumented sequentially increasing from size 30 to a size 55 using K-files whit a stepback technique. The teeth were randomly divided into three experimental and one control groups of 12 specimens each. The root canals were filled using cold lateral compaction of gutta-percha and AH Plus (Dentsply Detrey, Konstanz, Germany) sealer in experimental groups. Removal of gutta-percha was performed with the following devices and techniques: ProTaper Universal (Dentsply Maillefer, Ballaigues, Switzerland), R-Endo (Micro-Mega, Besançon, France), and Mtwo (Sweden & Martina, Padova, Italy) rotary retreatment systems. Control group specimens were only instrumented, not filled or retreated. The specimens were then mounted in copper rings, were filled with a self-curing polymethylmethacrylate resin, and the force required to cause vertical root fracture was measured using a universal testing device. The force of fracture of the roots was recorded and the results in the various groups were compared. Statistical analysis was accomplished by one-way ANOVA and a post hoc Tukey tests. There were statistically significant differences between the control and experimental groups (P<.05). However, there were no significant differences among the experimental groups. Based on the results, all rotary retreatment techniques used in this in vitro study produced similar root weakness.

Fracture Resistance of Endodontically Retreated Roots After Retreatment Using Self-Adjusting File, Passive Ultrasonic Irrigation, Photon-Induced Photoacoustic Streaming, or Laser.

PubMed

Kamalak, Aliye; Uzun, Ismail; Arslan, Hakan; Keleş, Ali; Doğanay, Ezgi; Keskin, Cangül; Akçay, Merve

2016-10-01

Additional cleaning techniques and devices are required to remove maximum amount of residual filling material, which might limit disinfection of root canal system during retreatment. This study aimed to compare fracture resistance of roots when self-adjusting file (SAF), photon-induced photoacoustic streaming (PIPS), passive ultrasonic irrigation (PUI), erbium-doped yttrium aluminum garnet (Er:YAG), or neodymium-doped yttrium aluminum garnet (Nd:YAG) lasers are applied following the use of retreatment files in endodontics. A total of 117 human mandibular canine teeth of similar dimensions were selected and divided into nine groups (n = 13). Aside from control, instrumented, and only-prepared groups, 91 teeth were remaining, of which 13 were assigned to the only-filling group and final 78 to retreatment, thus R-Endo file, R-Endo+SAF, R-Endo+PUI, R-Endo+Er:YAG laser, R-Endo+Nd:YAG laser, and R-Endo+PIPS. The fracture strengths of the retreatment groups were lower than control, instrumented, and only-filling groups (p < 0.05). There was no difference between the R-Endo group and additional retreatment procedure groups (p > 0.05). Further cleaning methods using SAF, PIPS, Er:YAG laser, Nd:YAG laser, or PUI did not decrease the fracture resistance when compared with the R-Endo group.

Comparison of the amount of apical debris extrusion associated with different retreatment systems and supplementary file application during retreatment process.

PubMed

Çiçek, Ersan; Koçak, Mustafa Murat; Koçak, Sibel; Sağlam, Baran Can

2016-01-01

The type of instrument affects the amount of debris extruded. The aim of this study was to compare the effect of retreatment systems and supplementary file application on the amount of apical debris extrusion. Forty-eight extracted mandibular premolars with a single canal and similar length were selected. The root canals were prepared with the ProTaper Universal system with a torque-controlled engine. The root canals were dried and were obturated using Gutta-percha and sealer. The specimens were randomly divided into four equal groups according to the retreatment procedures (Group 1, Mtwo retreatment files; Group 2, Mtwo retreatment files + Mtwo rotary file #30 supplementary file; Group 3, ProTaper Universal retreatment (PTUR) files; and Group 4, PTUR files + ProTaper F3 supplementary file). The extruded debris during instrumentation were collected into preweighed Eppendorf tubes. The amount of apically extruded debris was calculated by subtracting the initial weight of the tube from the final weight. Three consecutive weights were obtained for each tube. No statistically significant difference was found in the amount of apically extruded debris between Groups 1 and 3 (P = 0.590). A significant difference was observed between Groups 1 and 2 (P < 0.05), and between Groups 3 and 4 (P < 0.05). The use of supplementary file significantly increased the amount of apically extruded debris.

Mixed-methods assessment of perceptions of mandibular anterior malalignment and need for orthodontic retreatment.

PubMed

Kearney, Mary-Kate; Pandis, Nikolaos; Fleming, Padhraig S

2016-10-01

Postorthodontic occlusal changes may stem from true relapse or may be a consequence of characteristic temporal changes. The aims of this research were to identify occlusal discrepancies related to the mandibular labial segment prompting a decision to undergo orthodontic retreatment. A mixed-methods assessment was undertaken comprising a qualitative analysis involving focus groups exploring the relative importance of a range of occlusal features in the decision to undergo retreatment and investigating the motives for seeking retreatment. Quantitative assessment of these occlusal discrepancies was undertaken by 50 lay and 50 professional raters. Several themes were identified in the qualitative analysis, with dental esthetics a major motive in seeking retreatment; variations in both the perception of relapse and retainer wear were identified. Horizontal irregularities of the mandibular anterior teeth were consistently perceived as the most severe. The professionals had slightly higher odds for suggesting the need for retreatment than did the laypeople, although this did not have statistical significance (odds ratio, 1.23; 95% confidence interval, 0.52-2.19; P = 0.65). The perception of mandibular labial segment irregularity and its influence on the need for orthodontic retreatment are complex and multifaceted. Nevertheless, horizontal discrepancies of the mandibular incisors were regarded as the most significant by both lay and professional raters. Copyright © 2016 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

The value of initial cavitation to predict re-treatment with pulmonary tuberculosis.

PubMed

Huang, Qiusheng; Yin, Yongmei; Kuai, Shougang; Yan, Yan; Liu, Jun; Zhang, YingYing; Shan, Zhongbao; Gu, Lan; Pei, Hao; Wang, Jun

2016-05-06

Pulmonary cavitation is the classic hallmark of pulmonary tuberculosis (PTB) and is the site of very high mycobacterial burden associated with antimycobacterial drug resistance and treatment failure. The objective of this study was to investigate the relationship between re-treatment PTB and initial pulmonary cavitation coordinated with other clinical factors. We conducted a case-control study of 291 newly diagnosed cases of pulmonary TB in The Infectious Hospital of Wuxi from Dec 2009 to Dec 2011 with complete follow-up information until December 31st of 2014. 68 patients were followed-up with PTB re-treatment; the rest of the PTB patients (n = 223) had completed anti-TB treatment, and cured without re-treatment were selected as controls. The univariate analysis [hazard ratio (HR) 1.885, 95 % CI 1.170-3.035, P = 0.009] and the multivariable analysis (HR 2.242, 95 % CI 1.294-3.882, P = 0.004) demonstrated that the initial pulmonary cavitation was a prognostic predictor for TB re-treatment. Additionally, the re-treatment rates in PTB patients with cavitation and no-cavitation were 27.1 and 15.5 %, respectively, with significant difference (log-rank test; P = 0.010). Other factors, age of ≥60 and history of smoking, were also prognostic variables. Initial pulmonary cavitation of chest X-ray was a significant predictor for PTB re-treatment.

Retreatment of Exudative Age-Related Macular Degeneration after Loading 3-Monthly Intravitreal Ranibizumab.

PubMed

Sugiyama, Atsushi; Sakurada, Yoichi; Honda, Shigeru; Miki, Akiko; Matsumiya, Wataru; Yoneyama, Seigo; Kikushima, Wataru; Iijima, Hiroyuki

2018-01-01

The aim of this study was to investigate the clinical implications of required retreatment after 3-monthly intravitreal ranibizumab (IVR) injections followed by as-needed reinjections up to 5 years in eyes with exudative age-related macular degeneration (AMD). A retrospective cohort study was conducted for 165 treatment-naïve eyes from 165 patients with exudative AMD. Visual changes were investigated in terms of the required retreatments. Retreatment-free proportions were 37.0, 23.7, 16.6, 12.1, and 10.5% at 12, 24, 36, 48, and 60 months, respectively. Visual changes were significantly better in eyes which did not require retreatment at every yearly checkpoint within the 5 years. A multivariate logistic regression analysis revealed that requirement of additional IVR treatments in the first 12-24 months was associated with the T allele (risk allele) of ARMS2 A69S (p = 0.010 and 0.015, respectively). Cox regression analysis revealed that older age (p = 0.046) and the T allele of ARMS2 A69S (p = 0.036) were associated with required retreatment within the 5-year follow-up period. Age and the T allele of ARMS2 A69S are the risk factors requiring retreatments, leading to poor visual change in eyes with exudative AMD following the initial 3-monthly IVR. © 2017 S. Karger AG, Basel.

Incidence of DAA failure and the clinical impact of retreatment in real-life patients treated in the advanced stage of liver disease: Interim evaluations from the PITER network

PubMed Central

Gaeta, Giovanni Battista; Brunetto, Maurizia Rossana; Di Leo, Alfredo; Iannone, Andrea; Santantonio, Teresa Antonia; Giammario, Adele; Raimondo, Giovanni; Filomia, Roberto; Coppola, Carmine; Amoruso, Daniela Caterina; Blanc, Pierluigi; Del Pin, Barbara; Chemello, Liliana; Cavalletto, Luisa; Morisco, Filomena; Donnarumma, Laura; Rumi, Maria Grazia; Gasbarrini, Antonio; Siciliano, Massimo; Massari, Marco; Corsini, Romina; Coco, Barbara; Madonia, Salvatore; Cannizzaro, Marco; Zignego, Anna Linda; Monti, Monica; Russo, Francesco Paolo; Zanetto, Alberto; Persico, Marcello; Masarone, Mario; Villa, Erica; Bernabucci, Veronica; Taliani, Gloria; Biliotti, Elisa; Chessa, Luchino; Pasetto, Maria Cristina; Andreone, Pietro; Margotti, Marzia; Brancaccio, Giuseppina; Ieluzzi, Donatella; Borgia, Guglielmo; Zappulo, Emanuela; Calvaruso, Vincenza; Petta, Salvatore; Falzano, Loredana; Quaranta, Maria Giovanna; Weimer, Liliana Elena; Rosato, Stefano; Vella, Stefano; Giannini, Edoardo Giovanni

2017-01-01

Background Few data are available on the virological and clinical outcomes of advanced liver disease patients retreated after first-line DAA failure. Aim To evaluate DAA failure incidence and the retreatment clinical impact in patients treated in the advanced liver disease stage. Methods Data on HCV genotype, liver disease severity, and first and second line DAA regimens were prospectively collected in consecutive patients who reached the 12-week post-treatment and retreatment evaluations from January 2015 to December 2016 in 23 of the PITER network centers. Results Among 3,830 patients with advanced fibrosis (F3) or cirrhosis, 139 (3.6%) failed to achieve SVR. Genotype 3, bilirubin levels >1.5mg/dl, platelet count <120,000/mm3 and the sofosbuvir+ribavirin regimen were independent predictors of failure by logistic regression analysis. The failure rate was 7.6% for patients treated with regimens that are no longer recommended or considered suboptimal (sofosbuvir+ribavirin or simeprevir+sofosbuvir±ribavirin), whereas 1.4% for regimens containing sofosbuvir combined with daclatasvir or ledipasvir or other DAAs. Of the patients who failed to achieve SVR, 72 (51.8%) were retreated with a second DAA regimen, specifically 38 (52.7%) with sofosbuvir+daclatasvir, 27 (37.5%) with sofosbuvir+ledipasvir, and 7 (9.7%) with other DAAs ±ribavirin. Among these, 69 (96%) patients achieved SVR12 and 3 (4%) failed. During a median time of 6 months (range: 5–14 months) between failure and the second DAA therapy, the Child-Pugh class worsened in 12 (16.7%) patients: from A to B in 10 patients (19.6%) and from B to C in 2 patients (10.5%), whereas it did not change in the remaining 60 patients. Following the retreatment SVR12 (median time of 6 months; range: 3–12 months), the Child-Pugh class improved in 17 (23.6%) patients: from B to A in 14 (19.4%) patients, from C to A in 1 patient (1.4%) and from C to B in 2 (2.9%) patients; it remained unchanged in 53 patients (73.6%) and worsened in 2 (2.8%) patients. Of patients who were retreated, 3 (4%) had undergone OLT before retreatment (all reached SVR12 following retreatment) and 2 (2.8%) underwent OLT after having achieved retreatment SVR12. Two (70%) of the 3 patients who failed to achieve SVR12 after retreatment, and 2 (2.8%) of the 69 patients who achieved retreatment SVR12 died from liver failure (Child-Pugh class deteriorated from B to C) or HCC complications. Conclusions Failure rate following the first DAA regimen in patients with advanced disease is similar to or lower than that reported in clinical trials, although the majority of patients were treated with suboptimal regimens. Interim findings showed that worsening of liver function after failure, in terms of Child Pugh class deterioration, was improved by successful retreatment in about one third of retreated patients within a short follow-up period; however, in some advanced liver disease patients, clinical outcomes (Child Pugh class, HCC development, liver failure and death) were independent of viral eradication. PMID:28977040

Incidence of DAA failure and the clinical impact of retreatment in real-life patients treated in the advanced stage of liver disease: Interim evaluations from the PITER network.

PubMed

Kondili, Loreta A; Gaeta, Giovanni Battista; Brunetto, Maurizia Rossana; Di Leo, Alfredo; Iannone, Andrea; Santantonio, Teresa Antonia; Giammario, Adele; Raimondo, Giovanni; Filomia, Roberto; Coppola, Carmine; Amoruso, Daniela Caterina; Blanc, Pierluigi; Del Pin, Barbara; Chemello, Liliana; Cavalletto, Luisa; Morisco, Filomena; Donnarumma, Laura; Rumi, Maria Grazia; Gasbarrini, Antonio; Siciliano, Massimo; Massari, Marco; Corsini, Romina; Coco, Barbara; Madonia, Salvatore; Cannizzaro, Marco; Zignego, Anna Linda; Monti, Monica; Russo, Francesco Paolo; Zanetto, Alberto; Persico, Marcello; Masarone, Mario; Villa, Erica; Bernabucci, Veronica; Taliani, Gloria; Biliotti, Elisa; Chessa, Luchino; Pasetto, Maria Cristina; Andreone, Pietro; Margotti, Marzia; Brancaccio, Giuseppina; Ieluzzi, Donatella; Borgia, Guglielmo; Zappulo, Emanuela; Calvaruso, Vincenza; Petta, Salvatore; Falzano, Loredana; Quaranta, Maria Giovanna; Weimer, Liliana Elena; Rosato, Stefano; Vella, Stefano; Giannini, Edoardo Giovanni

2017-01-01

Few data are available on the virological and clinical outcomes of advanced liver disease patients retreated after first-line DAA failure. To evaluate DAA failure incidence and the retreatment clinical impact in patients treated in the advanced liver disease stage. Data on HCV genotype, liver disease severity, and first and second line DAA regimens were prospectively collected in consecutive patients who reached the 12-week post-treatment and retreatment evaluations from January 2015 to December 2016 in 23 of the PITER network centers. Among 3,830 patients with advanced fibrosis (F3) or cirrhosis, 139 (3.6%) failed to achieve SVR. Genotype 3, bilirubin levels >1.5mg/dl, platelet count <120,000/mm3 and the sofosbuvir+ribavirin regimen were independent predictors of failure by logistic regression analysis. The failure rate was 7.6% for patients treated with regimens that are no longer recommended or considered suboptimal (sofosbuvir+ribavirin or simeprevir+sofosbuvir±ribavirin), whereas 1.4% for regimens containing sofosbuvir combined with daclatasvir or ledipasvir or other DAAs. Of the patients who failed to achieve SVR, 72 (51.8%) were retreated with a second DAA regimen, specifically 38 (52.7%) with sofosbuvir+daclatasvir, 27 (37.5%) with sofosbuvir+ledipasvir, and 7 (9.7%) with other DAAs ±ribavirin. Among these, 69 (96%) patients achieved SVR12 and 3 (4%) failed. During a median time of 6 months (range: 5-14 months) between failure and the second DAA therapy, the Child-Pugh class worsened in 12 (16.7%) patients: from A to B in 10 patients (19.6%) and from B to C in 2 patients (10.5%), whereas it did not change in the remaining 60 patients. Following the retreatment SVR12 (median time of 6 months; range: 3-12 months), the Child-Pugh class improved in 17 (23.6%) patients: from B to A in 14 (19.4%) patients, from C to A in 1 patient (1.4%) and from C to B in 2 (2.9%) patients; it remained unchanged in 53 patients (73.6%) and worsened in 2 (2.8%) patients. Of patients who were retreated, 3 (4%) had undergone OLT before retreatment (all reached SVR12 following retreatment) and 2 (2.8%) underwent OLT after having achieved retreatment SVR12. Two (70%) of the 3 patients who failed to achieve SVR12 after retreatment, and 2 (2.8%) of the 69 patients who achieved retreatment SVR12 died from liver failure (Child-Pugh class deteriorated from B to C) or HCC complications. Failure rate following the first DAA regimen in patients with advanced disease is similar to or lower than that reported in clinical trials, although the majority of patients were treated with suboptimal regimens. Interim findings showed that worsening of liver function after failure, in terms of Child Pugh class deterioration, was improved by successful retreatment in about one third of retreated patients within a short follow-up period; however, in some advanced liver disease patients, clinical outcomes (Child Pugh class, HCC development, liver failure and death) were independent of viral eradication.

Long-term cliff retreat and erosion hotspots along the central shores of the Monterey Bay National Marine Sanctuary

USGS Publications Warehouse

Moore, Laura J.; Griggs, Gary B.

2002-01-01

Quantification of cliff retreat rates for the southern half of Santa Cruz County, CA, USA, located within the Monterey Bay National Marine Sanctuary, using the softcopy/geographic information system (GIS) methodology results in average cliff retreat rates of 7–15 cm/yr between 1953 and 1994. The coastal dunes at the southern end of Santa Cruz County migrate seaward and landward through time and display net accretion between 1953 and 1994, which is partially due to development. In addition, three critically eroding segments of coastline with high average erosion rates ranging from 20 to 63 cm/yr are identified as erosion ‘hotspots’. These locations include: Opal Cliffs, Depot Hill and Manresa. Although cliff retreat is episodic, spatially variable at the scale of meters, and the factors affecting cliff retreat vary along the Santa Cruz County coastline, there is a compensation between factors affecting retreat such that over the long-term the coastline maintains a relatively smooth configuration. The softcopy/GIS methodology significantly reduces errors inherent in the calculation of retreat rates in high-relief areas (e.g. erosion rates generated in this study are generally correct to within 10 cm) by removing errors due to relief displacement. Although the resulting root mean squared error for erosion rates is relatively small, simple projections of past erosion rates are inadequate to provide predictions of future cliff position. Improved predictions can be made for individual coastal segments by using a mean erosion rate and the standard deviation as guides to future cliff behavior in combination with an understanding of processes acting along the coastal segments in question. This methodology can be applied on any high-relief coast where retreat rates can be measured.

Results of antiretroviral treatment interruption and intensification in advanced multi-drug resistant HIV infection from the OPTIMA trial.

PubMed

Holodniy, Mark; Brown, Sheldon T; Cameron, D William; Kyriakides, Tassos C; Angus, Brian; Babiker, Abdel; Singer, Joel; Owens, Douglas K; Anis, Aslam; Goodall, Ruth; Hudson, Fleur; Piaseczny, Mirek; Russo, John; Schechter, Martin; Deyton, Lawrence; Darbyshire, Janet

2011-03-31

Guidance is needed on best medical management for advanced HIV disease with multidrug resistance (MDR) and limited retreatment options. We assessed two novel antiretroviral (ARV) treatment approaches in this setting. We conducted a 2×2 factorial randomized open label controlled trial in patients with a CD4 count≤300 cells/µl who had ARV treatment (ART) failure requiring retreatment, to two options (a) re-treatment with either standard (≤4 ARVs) or intensive (≥5 ARVs) ART and b) either treatment starting immediately or after a 12-week monitored ART interruption. Primary outcome was time to developing a first AIDS-defining event (ADE) or death from any cause. Analysis was by intention to treat. From 2001 to 2006, 368 patients were randomized. At baseline, mean age was 48 years, 2% were women, median CD4 count was 106/µl, mean viral load was 4.74 log(10) copies/ml, and 59% had a prior AIDS diagnosis. Median follow-up was 4.0 years in 1249 person-years of observation. There were no statistically significant differences in the primary composite outcome of ADE or death between re-treatment options of standard versus intensive ART (hazard ratio 1.17; CI 0.86-1.59), or between immediate retreatment initiation versus interruption before re-treatment (hazard ratio 0.93; CI 0.68-1.30), or in the rate of non-HIV associated serious adverse events between re-treatment options. We did not observe clinical benefit or harm assessed by the primary outcome in this largest and longest trial exploring both ART interruption and intensification in advanced MDR HIV infection with poor retreatment options. Clinicaltrials.gov NCT00050089.

The effect of retreatment procedure on the pH changes at the surface of root dentin using two different calcium hydroxide pastes

PubMed Central

Kazemipoor, Maryam; Tabrizizadeh, Mehdi; Dastani, Milad; Hakimian, Roqayeh

2012-01-01

Aim: To compare pH changes at the cervical, middle and apical surfaces of root dentin in retreated and non- retreated teeth, after canal obturation with two different calcium hydroxide pastes. Materials and Methods: After instrumentation of 55 extracted teeth, three cavities with 0.75 mm depth and 1.5 mm in diameter were drilled at buccal root surface. The teeth were randomly divided into five groups. Canals in the first two groups were filled with either mixture of calcium hydroxide and saline solution and calcium hydroxide and 2% chlorhexidine (CHX). In the third and fourth groups canals were first obturated with gutta-percha and AH26 sealer, and then materials were removed. After 2 days canals were filled with two different calcium hydroxide pastes similar to the first and the second groups. The pH was measured in the prepared cavities at 1, 3, 7 and 14 days. Results: In the non-retreated groups, pH at the surface of the roots was significantly higher in comparison to the retreated ones (P value < 0.001). pH values were significantly higher in the non-retreated teeth filling with calcium hydroxide and saline solution (P value < 0.001). Conclusion: Regarding to the little pH changes at the surface of dentin in retreated teeth, the hydroxyl ions cannot penetrate into the dentinal tubules. Thus, to achieve higher pH at the root surface in retreated teeth, it is clinically advisable to remove more dentin from the inner walls and to use normal saline as a vehicle for calcium hydroxide rather than acidic pH materials. PMID:23112482

The effect of retreatment procedure on the pH changes at the surface of root dentin using two different calcium hydroxide pastes.

PubMed

Kazemipoor, Maryam; Tabrizizadeh, Mehdi; Dastani, Milad; Hakimian, Roqayeh

2012-10-01

To compare pH changes at the cervical, middle and apical surfaces of root dentin in retreated and non- retreated teeth, after canal obturation with two different calcium hydroxide pastes. After instrumentation of 55 extracted teeth, three cavities with 0.75 mm depth and 1.5 mm in diameter were drilled at buccal root surface. The teeth were randomly divided into five groups. Canals in the first two groups were filled with either mixture of calcium hydroxide and saline solution and calcium hydroxide and 2% chlorhexidine (CHX). In the third and fourth groups canals were first obturated with gutta-percha and AH26 sealer, and then materials were removed. After 2 days canals were filled with two different calcium hydroxide pastes similar to the first and the second groups. The pH was measured in the prepared cavities at 1, 3, 7 and 14 days. In the non-retreated groups, pH at the surface of the roots was significantly higher in comparison to the retreated ones (P value < 0.001). pH values were significantly higher in the non-retreated teeth filling with calcium hydroxide and saline solution (P value < 0.001). Regarding to the little pH changes at the surface of dentin in retreated teeth, the hydroxyl ions cannot penetrate into the dentinal tubules. Thus, to achieve higher pH at the root surface in retreated teeth, it is clinically advisable to remove more dentin from the inner walls and to use normal saline as a vehicle for calcium hydroxide rather than acidic pH materials.

Seasonal variability in ice-front position, glacier speed, and surface elevation at Helheim Glacier, SE Greenland, from 2010-2016

NASA Astrophysics Data System (ADS)

Kehrl, L. M.; Joughin, I. R.; Shean, D. E.

2016-12-01

Marine-terminating glaciers can be very sensitive to changes in ice-front position, depending on their geometry. If a nearly grounded glacier retreats into deeper water, the glacier typically must speed up to produce the additional longitudinal and lateral stress gradients necessary to restore force balance. This speedup often causes thinning, which can increase the glacier's susceptibility to further retreat. In this study, we combine satellite observations and numerical modeling (Elmer/Ice) to investigate how seasonal changes in ice-front position affect glacier speed and surface elevation at Helheim Glacier, SE Greenland, from 2010-2016. Helheim's calving front position fluctuated about a mean position from 2010-2016. During 2010/11, 2013/14, and 2015/16, Helheim seasonally retreated and advanced along a reverse bed slope by > 3 km. During these years, the glacier retreated from winter/spring to late summer and then readvanced until winter/spring. During the retreat, Helheim sped up by 20-30% and thinned by 20 m near its calving front. This thinning caused the calving front to unground, and a floating ice tongue was then able to readvance over the following winter with limited iceberg calving. The advance, which continued until the glacier reached the top of the bathymetric high, caused the glacier to slow and thicken. During years when Helheim likely did not form a floating ice tongue, iceberg calving continued throughout the winter. Consequently, the formation of this floating ice tongue may have helped stabilize Helheim after periods of rapid retreat and dynamic thinning. Helheim's rapid retreat from 2001-2005 also ended when a floating ice tongue formed and readvanced over the 2005/06 winter. These seasonal retreat/advance cycles may therefore be important for understanding Helheim's long-term behavior.

Comparison of 5468 retreatments after laser in situ keratomileusis by lifting the flap or performing photorefractive keratectomy on the flap.

PubMed

Ortega-Usobiaga, J; Llovet-Osuna, F; Katz, T; Djodeyre, M R; Druchkiv, V; Bilbao-Calabuig, R; Baviera, J

2018-02-01

To assess visual outcomes of retreatment after laser in situ keratomileusis (LASIK) by lifting the flap or performing photorefractive keratectomy (PRK) on the flap, as well as to establish whether there was an increased risk of epithelial ingrowth (EIG) when LASIK and lifting of the flap are separated by a long time interval and to determine the incidence of corneal haze after PRK. Retrospective study of 4077 patients (5468 eyes) who underwent LASIK and subsequent retreatment were reviewed in order to study their visual results and identify cases of EIG and corneal haze. Enhancements included 5196 eyes from 3876 patients that were retreated by lifting the flap, and 272 eyes from 201 patients that were retreated by PRK on the flap. No statistically significant differences were found between the retreatments in terms of predictability, efficacy, and safety. A total of 704 cases of EIG were found after lifting the flap, for which surgical cleansing was necessary in 70. Surgical cleansing decreased the efficacy index when compared with patients with EIG who did not need cleansing (P=.01). Differences in terms of safety and predictability were not statistically significant. The incidence of corneal haze after ablation of the surface of the previous flap was 14.34%, although none of these cases were clinically relevant. Visual outcomes were similar between patients who were retreated by lifting the flap and those who underwent PRK. The incidence of EIG when the flap was lifted was 13.55%. The incidence of EIG increases with the time elapsed between the primary procedure and retreatment. Copyright © 2017 Sociedad Española de Oftalmología. Publicado por Elsevier España, S.L.U. All rights reserved.

Variability of onset and retreat of the rainy season in mainland China and associations with atmospheric circulation and sea surface temperature

NASA Astrophysics Data System (ADS)

Cao, Qing; Hao, Zhenchun; Shao, Quanxi; Hao, Jie; Nyima, Tsring

2018-02-01

Precipitation plays an important role in both environment and human society and is a significant factor in many scientific researches such as water resources, agriculture and climate impact studies. The onset and retreat of rainy season are useful features to understand the variability of precipitation under the influence of climate change. In this study, the characteristics of onset and retreat in mainland China are investigated. The multi-scale moving t-test was applied to determine rainy season and K-means cluster analysis was used to divide China into sub-regions to better investigate rainy season features. The possible linkage of changing characteristics of onset and retreat to climate factors were also explored. Results show that: (1) the onset started from middle March in the southeast of China to early June in the northwest and rainy season ended earliest in the northwest and southeast while the central China had the latest retreat; (2) Delayed onset and advanced retreat over time were observed in many parts of China, together with overall stable or increased rainy-season precipitation, would likely lead to higher probability of flooding; (3) The onset (retreat) was associated with the increased (decreased) number of cyclones in eastern China and anticyclone near the South China Sea. Delayed onset, and advanced retreat were likely related to cold and warm sea surface temperature (SST) in the conventional El Niño-Southern Oscillation (ENSO) regions, respectively. These results suggest that predictability of rainy season can be improved through the atmospheric circulation and SST, and help water resources management and agricultural planning.

Results of Antiretroviral Treatment Interruption and Intensification in Advanced Multi-Drug Resistant HIV Infection from the OPTIMA Trial

PubMed Central

Holodniy, Mark; Brown, Sheldon T.; Cameron, D. William; Kyriakides, Tassos C.; Angus, Brian; Babiker, Abdel; Singer, Joel; Owens, Douglas K.; Anis, Aslam; Goodall, Ruth; Hudson, Fleur; Piaseczny, Mirek; Russo, John; Schechter, Martin; Deyton, Lawrence; Darbyshire, Janet

2011-01-01

Background Guidance is needed on best medical management for advanced HIV disease with multidrug resistance (MDR) and limited retreatment options. We assessed two novel antiretroviral (ARV) treatment approaches in this setting. Methods and Findings We conducted a 2×2 factorial randomized open label controlled trial in patients with a CD4 count ≤300 cells/µl who had ARV treatment (ART) failure requiring retreatment, to two options (a) re-treatment with either standard (≤4 ARVs) or intensive (≥5 ARVs) ART and b) either treatment starting immediately or after a 12-week monitored ART interruption. Primary outcome was time to developing a first AIDS-defining event (ADE) or death from any cause. Analysis was by intention to treat. From 2001 to 2006, 368 patients were randomized. At baseline, mean age was 48 years, 2% were women, median CD4 count was 106/µl, mean viral load was 4.74 log10 copies/ml, and 59% had a prior AIDS diagnosis. Median follow-up was 4.0 years in 1249 person-years of observation. There were no statistically significant differences in the primary composite outcome of ADE or death between re-treatment options of standard versus intensive ART (hazard ratio 1.17; CI 0.86–1.59), or between immediate retreatment initiation versus interruption before re-treatment (hazard ratio 0.93; CI 0.68–1.30), or in the rate of non-HIV associated serious adverse events between re-treatment options. Conclusions We did not observe clinical benefit or harm assessed by the primary outcome in this largest and longest trial exploring both ART interruption and intensification in advanced MDR HIV infection with poor retreatment options. Trial Registration Clinicaltrials.gov NCT00050089 PMID:21483491

Rate of Mass Loss Across the Instability Threshold for Thwaites Glacier Determines Rate of Mass Loss for Entire Basin

NASA Astrophysics Data System (ADS)

Waibel, M. S.; Hulbe, C. L.; Jackson, C. S.; Martin, D. F.

2018-01-01

Rapid change now underway on Thwaites Glacier (TG) raises concern that a threshold for unstoppable grounding line retreat has been or is about to be crossed. We use a high-resolution ice sheet model to examine the mechanics of TG self-sustained retreat by nudging the grounding line just past the point of instability. We find that by modifying surface slope in the region of the grounding line, the rate of the forcing dictates the rate of retreat, even after the external forcing is removed. Grounding line retreats that begin faster proceed more rapidly because the shorter time interval for the grounding line to erode into the grounded ice sheet means relatively thicker ice and larger driving stress upstream of the boundary. Retreat is sensitive to short-duration re-advances associated with reduced external forcing where the bathymetry allows regrounding, even when an instability is invoked.

Multi-Disciplinary Computational Aerodynamics

DTIC Science & Technology

2016-01-01

engineering applications including retreating blades of helicopter rotors in forward flight, maneuvering aircraft and wind turbines . It is also important in...retreating blades of helicopter rotors in forward flight, maneuvering aircraft and wind turbines . It is also important in severe wing-gust encounters where...engineering applications including retreating blades of helicopter rotors in forward flight, maneuvering aircraft and wind turbines . It is also important in

Successful retreatment with osimertinib after osimertinib-induced acute pulmonary embolism in a patient with lung adenocarcinoma: A case report.

PubMed

Shiroyama, Takayuki; Hayama, Manabu; Satoh, Shingo; Nasu, Shingo; Tanaka, Ayako; Morita, Satomu; Morishita, Naoko; Suzuki, Hidekazu; Okamoto, Norio; Hirashima, Tomonori

2017-01-01

Pulmonary embolism (PE) can be life-threatening, and it is challenging to diagnose because of its nonspecific signs and symptoms. PE is also an important potential risk of osimertinib treatment, however, clinical courses regarding retreatment after osimertinib-induced acute pulmonary embolism remain unclear. We described a 77-year-old woman with postoperative recurrent lung adenocarcinoma who developed osimertinib-induced acute PE. She received apixaban and was later successfully retreated with osimertinib. This case suggests that retreatment with osimertinib after osimertinib-induced acute PE may be a treatment option when alternative therapeutic options are limited.

Non-surgical retreatment of a failed apicoectomy without retrofilling using white mineral trioxide aggregate as an apical barrier.

PubMed

Stefopoulos, Spyridon; Tzanetakis, Giorgos N; Kontakiotis, Evangelos G

2012-01-01

Root-end resected teeth with persistent apical periodontitis are usually retreated surgically or a combination of non-surgical and surgical retreatment is employed. However, patients are sometimes unwilling to be subjected to a second surgical procedure. The apical barrier technique that is used for apical closure of immature teeth with necrotic pulps may be an alternative to non-surgically retreat a failed apicoectomy. Mineral trioxide aggregate (MTA) has become the material of choice in such cases because of its excellent biocompatibility, sealing ability and osseoinductive properties. This case report describes the non-surgical retreatment of a failed apicoectomy with no attempt at retrofilling of a maxillary central incisor. White MTA was used to induce apical closure of the wide resected apical area. Four-year follow-up examination revealed an asymptomatic, fully functional tooth with a satisfactory healing of the apical lesion. White MTA apical barrier may constitute a reliable and efficient technique to non-surgically retreat teeth with failed root-end resection. The predictability of such a treatment is of great benefit for the patient who is unwilling to be submitted to a second surgical procedure.

Fracture resistance exhibited by endodontically treated and retreated teeth shaped by ProTaper NEXT versus WaveOne: An in vitro study

PubMed Central

Khalap, Neha Deepak; Hegde, Vibha; Kokate, Sharad

2015-01-01

Aim: To compare the fracture resistance exhibited by teeth after primary endodontic treatment and retreatment. Materials and Methods: One hundred freshly extracted human teeth were selected. 20 samples served as control (untreated). Eighty experimental samples were divided into two groups (n = 40) for instrumentation using rotary Protaper NEXT (PTN) or reciprocating WaveOne (WO) files and obturated using warm lateral compaction. Half of the samples (n = 20) from each group were subjected to a load. The remaining half were subjected to retreatment using Protaper universal retreatment files (RFs) followed by a file larger than the master apical file used in groups 1 and 2 and reobturated. Group A: Control, Group B: PTN + obturation, Group C: WO + obturation, Group D: RF + PTN + obturation and Group E: RF + WO + obturation. The retreatment specimens were also subjected to load and the readings acquired were statistically analyzed. Result: When compared between the groups, control group exhibited the highest fracture resistance (P < 0.01). When multiple tests were performed, Group E exhibited significantly less fracture resistance (P < 0.01). Conclusion: Endodontic treatment and retreatment both results in lowering the fracture resistance of a tooth. PMID:26752838

Fracture resistance exhibited by endodontically treated and retreated teeth shaped by ProTaper NEXT versus WaveOne: An in vitro study.

PubMed

Khalap, Neha Deepak; Hegde, Vibha; Kokate, Sharad

2015-01-01

To compare the fracture resistance exhibited by teeth after primary endodontic treatment and retreatment. One hundred freshly extracted human teeth were selected. 20 samples served as control (untreated). Eighty experimental samples were divided into two groups (n = 40) for instrumentation using rotary Protaper NEXT (PTN) or reciprocating WaveOne (WO) files and obturated using warm lateral compaction. Half of the samples (n = 20) from each group were subjected to a load. The remaining half were subjected to retreatment using Protaper universal retreatment files (RFs) followed by a file larger than the master apical file used in groups 1 and 2 and reobturated. Group A: Control, Group B: PTN + obturation, Group C: WO + obturation, Group D: RF + PTN + obturation and Group E: RF + WO + obturation. The retreatment specimens were also subjected to load and the readings acquired were statistically analyzed. When compared between the groups, control group exhibited the highest fracture resistance (P < 0.01). When multiple tests were performed, Group E exhibited significantly less fracture resistance (P < 0.01). Endodontic treatment and retreatment both results in lowering the fracture resistance of a tooth.

Results of an intervention for individuals and families with BRCA mutations: a model for providing medical updates and psychosocial support following genetic testing.

PubMed

McKinnon, Wendy; Naud, Shelly; Ashikaga, Taka; Colletti, Rose; Wood, Marie

2007-08-01

: Providing medical management updates and long-term support to families with hereditary cancer syndromes in rural areas is a challenge. To address this, we designed a one-day retreat for BRCA1/2 carriers in our region. The retreat included educational updates about medical management, genetic privacy and discrimination, and addressed psychological and family issues. Evaluations completed at the conclusion of the retreat were overwhelmingly positive with requests for a similar event in the future. The impact of this retreat on a variety of health behaviors was assessed. Eligible participants completed questionnaires before and 6 months after the retreat. Questionnaires focused on lifestyle, cancer screening and prevention practices, psychological history and distress, decision-making regarding genetic testing, and family communication issues. For individuals who completed both the pre and post retreat questionnaires, one-half made lifestyle changes and nearly two-thirds increased cancer screening, initiated chemoprevention, completed or planned to complete preventative surgery in the future. We conclude that this type of forum provides a valuable opportunity for BRCA carriers and their families to receive updated medical information, share personal experiences, provide and receive support, as well as change health behaviors.

Yoga, Meditation and Mind-Body Health: Increased BDNF, Cortisol Awakening Response, and Altered Inflammatory Marker Expression after a 3-Month Yoga and Meditation Retreat.

PubMed

Cahn, B Rael; Goodman, Matthew S; Peterson, Christine T; Maturi, Raj; Mills, Paul J

2017-01-01

Thirty-eight individuals (mean age: 34.8 years old) participating in a 3-month yoga and meditation retreat were assessed before and after the intervention for psychometric measures, brain derived neurotrophic factor (BDNF), circadian salivary cortisol levels, and pro- and anti-inflammatory cytokines. Participation in the retreat was found to be associated with decreases in self-reported anxiety and depression as well as increases in mindfulness. As hypothesized, increases in the plasma levels of BDNF and increases in the magnitude of the cortisol awakening response (CAR) were also observed. The normalized change in BDNF levels was inversely correlated with BSI-18 anxiety scores at both the pre-retreat ( r = 0.40, p < 0.05) and post-retreat ( r = 0.52, p < 0.005) such that those with greater anxiety scores tended to exhibit smaller pre- to post-retreat increases in plasma BDNF levels. In line with a hypothesized decrease in inflammatory processes resulting from the yoga and meditation practices, we found that the plasma level of the anti-inflammatory cytokine Interleukin-10 was increased and the pro-inflammatory cytokine Interleukin-12 was reduced after the retreat. Contrary to our initial hypotheses, plasma levels of other pro-inflammatory cytokines, including Interferon Gamma (IFN-γ), Tumor Necrosis Factor (TNF-α), Interleukin-1β (IL-1β), Interleukin-6 (IL-6), and Interleukin-8 (IL-8) were increased after the retreat. Given evidence from previous studies of the positive effects of meditative practices on mental fitness, autonomic homeostasis and inflammatory status, we hypothesize that these findings are related to the meditative practices throughout the retreat; however, some of the observed changes may also be related to other aspects of the retreat such as physical exercise-related components of the yoga practice and diet. We hypothesize that the patterns of change observed here reflect mind-body integration and well-being. The increased BDNF levels observed is a potential mediator between meditative practices and brain health, the increased CAR is likely a reflection of increased dynamic physiological arousal, and the relationship of the dual enhancement of pro- and anti-inflammatory cytokine changes to healthy immunologic functioning is discussed.

Enhanced response inhibition during intensive meditation training predicts improvements in self-reported adaptive socioemotional functioning.

PubMed

Sahdra, Baljinder K; MacLean, Katherine A; Ferrer, Emilio; Shaver, Phillip R; Rosenberg, Erika L; Jacobs, Tonya L; Zanesco, Anthony P; King, Brandon G; Aichele, Stephen R; Bridwell, David A; Mangun, George R; Lavy, Shiri; Wallace, B Alan; Saron, Clifford D

2011-04-01

We examined the impact of training-induced improvements in self-regulation, operationalized in terms of response inhibition, on longitudinal changes in self-reported adaptive socioemotional functioning. Data were collected from participants undergoing 3 months of intensive meditation training in an isolated retreat setting (Retreat 1) and a wait-list control group that later underwent identical training (Retreat 2). A 32-min response inhibition task (RIT) was designed to assess sustained self-regulatory control. Adaptive functioning (AF) was operationalized as a single latent factor underlying self-report measures of anxious and avoidant attachment, mindfulness, ego resilience, empathy, the five major personality traits (extroversion, agreeableness, conscientiousness, neuroticism, and openness to experience), difficulties in emotion regulation, depression, anxiety, and psychological well-being. Participants in Retreat 1 improved in RIT performance and AF over time whereas the controls did not. The control participants later also improved on both dimensions during their own retreat (Retreat 2). These improved levels of RIT performance and AF were sustained in follow-up assessments conducted approximately 5 months after the training. Longitudinal dynamic models with combined data from both retreats showed that improvement in RIT performance during training influenced the change in AF over time, which is consistent with a key claim in the Buddhist literature that enhanced capacity for self-regulation is an important precursor of changes in emotional well-being. PsycINFO Database Record (c) 2011 APA, all rights reserved.

Managed Retreat: A Global Analysis of Drivers, Barriers, and Outcomes

NASA Astrophysics Data System (ADS)

Hino, M.; Mach, K. J.; Field, C. B.

2016-12-01

Managed retreat is the strategic relocation of structures or abandonment of land to reduce natural hazard risk. Although managed retreat is a potentially important climate change adaptation option, it has not yet been deployed or studied as extensively as traditional protection or accommodation measures such as levees and beach nourishment. Its application faces numerous social and legal challenges that complicate its integration into a risk-management portfolio. However, a deeper understanding of its potential future use is urgently needed given the projected scope of climate-induced displacement in the coming decades. We evaluate the drivers, barriers, and outcomes of 27 recent cases of managed retreat that have resettled 1.6-2.7 million people. The examples originate in 19 countries, occur in pre- and post-disaster settings, and address flooding, erosion, earthquakes, and tsunamis. A model based on two key factors—who benefits from retreat and who initiates it—organizes the diverse set of cases into four quadrants and provides a structure for deeper analysis of case-specific complexities. Different sociopolitical features, such as the distribution of power, strength of governance, and attachment to place, emerge as particularly influential in each quadrant. The model acts as a point of departure for unpacking these complexities. By integrating these wide-ranging examples, the model enables a broader understanding of the landscape of managed retreat and the underlying social dynamics. It provides insight on how such dimensions can be incorporated into decision-making in a changing climate, advancing consideration and potential implementation of retreat.

Evaluation of factors associated with second remission in dogs with lymphoma undergoing retreatment with a cyclophosphamide, doxorubicin, vincristine, and prednisone chemotherapy protocol: 95 cases (2000-2007).

PubMed

Flory, Andrea B; Rassnick, Kenneth M; Erb, Hollis N; Garrett, Laura D; Northrup, Nicole C; Selting, Kim A; Phillips, Brenda S; Locke, Jennifer E; Chretin, John D

2011-02-15

To evaluate factors associated with second remission in dogs with lymphoma retreated with a cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) protocol after relapse following initial treatment with a first-line 6-month CHOP protocol. Retrospective case series. 95 dogs with lymphoma. Medical records were reviewed. Remission duration was estimated by use of the Kaplan-Meier method. Factors potentially associated with prognosis were examined. Median remission duration after the first-line CHOP protocol was 289 days (range, 150 to 1,457 days). Overall, 78% (95% confidence interval [CI], 69% to 86%) of dogs achieved a complete remission following retreatment, with a median second remission duration of 159 days (95% CI, 126 to 212 days). Duration of time off chemotherapy was associated with likelihood of response to retreatment; median time off chemotherapy was 140 days for dogs that achieved a complete remission after retreatment and 84 days for dogs that failed to respond to retreatment. Second remission duration was associated with remission duration after initial chemotherapy; median second remission duration for dogs with initial remission duration ≥ 289 days was 214 days (95% CI, 168 to 491 days), compared with 98 days (95% CI, 70 to 144 days) for dogs with initial remission duration < 289 days. Findings suggested that retreatment with the CHOP protocol can be effective in dogs with lymphoma that successfully complete an initial 6-month CHOP protocol.

Endovascular Treatment of Recurrent Coiled Aneurysms: Assessment of Complications and Rebleeding during a Decade in a Single Center

PubMed Central

Sedat, J.; Chau, Y.; Moubarak, K.; Vargas, J.; Lonjon, M.

2012-01-01

Summary Recurrence is the main drawback of aneurysmal coiling. Additional coiling must sometimes be considered in patients with reopened aneurysms and expose the patient to the risk of a new procedure. Our purpose was to assess the procedural complications of additional endovascular treatments in patients with previously coiled but recurrent aneurysms treated by two neurointerventionalists during a decade in a single center. Between 1999 and 2009, 637 intracranial aneurysms were coiled and had a clinical and angiographic follow-up at our institution. Following the first embolization, 44 aneurysms were retreated with coils and 11 were retreated a second time. Retreatment was decided when a recurrence showed at angiographic follow-up. Early retreatments, performed in the first month after an incomplete or failed initial coiling, were excluded. We retrospectively analysed the procedural complications, rebleeding, clinical and angiographic outcomes of the retreatments. No death or bleeding occurred in these 55 additional procedures. We had three periprocedural thromboembolic complications and the procedural permanent morbidity was 1.8%. Clinical and angiographic follow-ups ranged from six months to nine years (mean: 37 months, median: 36 months). Thirty-seven of the 44 retreated aneurysms (84%) showed a stable occlusion at follow-up. Seven showed a recurrence but were not retreated due to the stability of the packing. No rebleeding was observed during the follow-up period. Our results show that endovascular treatment of recurrent aneurysms is associated with a low procedural risk. PMID:22440596

Fracture Resistance of Retreated Roots Using Different Retreatment Systems

PubMed Central

Er, Kursat; Tasdemir, Tamer; Siso, Seyda Herguner; Celik, Davut; Cora, Sabri

2011-01-01

Objectives: This study was designed to evaluate the fracture resistance of retreated roots using different rotary retreatment systems. Methods: Forty eight freshly extracted human canine teeth with single straight root canals were instrumented sequentially increasing from size 30 to a size 55 using K-files whit a stepback technique. The teeth were randomly divided into three experimental and one control groups of 12 specimens each. The root canals were filled using cold lateral compaction of gutta-percha and AH Plus (Dentsply Detrey, Konstanz, Germany) sealer in experimental groups. Removal of gutta-percha was performed with the following devices and techniques: ProTaper Universal (Dentsply Maillefer, Ballaigues, Switzerland), R-Endo (Micro-Mega, Besançon, France), and Mtwo (Sweden & Martina, Padova, Italy) rotary retreatment systems. Control group specimens were only instrumented, not filled or retreated. The specimens were then mounted in copper rings, were filled with a self-curing polymethylmethacrylate resin, and the force required to cause vertical root fracture was measured using a universal testing device. The force of fracture of the roots was recorded and the results in the various groups were compared. Statistical analysis was accomplished by one-way ANOVA and a post hoc Tukey tests. Results: There were statistically significant differences between the control and experimental groups (P<.05). However, there were no significant differences among the experimental groups. Conclusions: Based on the results, all rotary retreatment techniques used in this in vitro study produced similar root weakness. PMID:21912497

Influence of solvents on the bond strength of resin sealer to intraradicular dentin after retreatment.

PubMed

Palhais, Marcelo; Sousa-Neto, Manoel Damião; Rached-Junior, Fuad Jacob Abi; Amaral, Mariana Carvalho de Andrade; Alfredo, Edson; Miranda, Carlos Eduardo Saraiva; Silva-Sousa, Yara Teresinha Corrêa

2017-01-26

This study evaluated the removal of filling material with ProTaper Universal Rotary Retreatment system (PTR) combined with solvents and the influence of solvents on the bond strength (PBS) of sealer to intraradicular dentin after canal reobturation. Roots were endodontically treated and distributed to five groups (n = 12). The control group was not retreated. In the four experimental groups, canals were retreated with PTR alone or in combination with xylol, orange oil, and eucalyptol. After filling material removal, two specimens of each group were analysed by SEM and µCT to verify the presence of filling remnants on root canal walls. The other roots were reobturated and sectioned in 1-mm-thick dentin slices that were subjected to the push-out test. Data were analysed by two-way ANOVA and Tukey's test (α = 0.05). SEM and µCT analysis revealed that all retreatment techniques left filling remnants on canal walls. The control group (3.47 ± 1.21) presented significantly higher (p < 0.05) PBS than the experimental groups. The groups retreated with PTR alone (2.59 ± 0.99) or combined with xylol (2.54 ± 0.77) and orange oil (2.32 ± 0.93) presented similar bond strength (p > 0.05), and differed significantly from the group with eucalyptol (1.89 ± 0.63). The solvents reduced the PBS of the sealer to dentin and no retreatment technique promoted complete removal of filling material.

Endovascular treatment of recurrent coiled aneurysms: assessment of complications and rebleeding during a decade in a single center.

PubMed

Sedat, J; Chau, Y; Moubarak, K; Vargas, J; Lonjon, M

2012-03-01

Recurrence is the main drawback of aneurysmal coiling. Additional coiling must sometimes be considered in patients with reopened aneurysms and expose the patient to the risk of a new procedure. Our purpose was to assess the procedural complications of additional endovascular treatments in patients with previously coiled but recurrent aneurysms treated by two neurointerventionalists during a decade in a single center. Between 1999 and 2009, 637 intracranial aneurysms were coiled and had a clinical and angiographic follow-up at our institution. Following the first embolization, 44 aneurysms were retreated with coils and 11 were retreated a second time. Retreatment was decided when a recurrence showed at angiographic follow-up. Early retreatments, performed in the first month after an incomplete or failed initial coiling, were excluded. We retrospectively analysed the procedural complications, rebleeding, clinical and angiographic outcomes of the retreatments. No death or bleeding occurred in these 55 additional procedures. We had three periprocedural thromboembolic complications and the procedural permanent morbidity was 1.8%. Clinical and angiographic follow-ups ranged from six months to nine years (mean: 37 months, median: 36 months). Thirty-seven of the 44 retreated aneurysms (84%) showed a stable occlusion at follow-up. Seven showed a recurrence but were not retreated due to the stability of the packing. No rebleeding was observed during the follow-up period. Our results show that endovascular treatment of recurrent aneurysms is associated with a low procedural risk.

Patient Centered Outcomes Assessment of Retreatment and Endodontic Microsurgery Using CBCT Volumetric Analysis

DTIC Science & Technology

2018-11-09

Retreatment and EMS were completed using a dental operating microscope (Zeiss OPMJ PROergo) and contemporary materials and techniques. Retreatrnent...paralleling technique and external cone positioning device (XCP) using size 2 digital sensors (Kodak RVG 6100). A dental x-ray machine (Planmeca...EMS and retreatment were calculated. Examiners used MiPACS dental enterprise viewer (LEAD Technologies Inc, Charlotte, NC) to interpret randomized

Increased ocean-induced melting triggers glacier retreat in northwest and southeast Greenland

NASA Astrophysics Data System (ADS)

Wood, M.; Rignot, E. J.; Fenty, I. G.; Menemenlis, D.; Millan, R.; Morlighem, M.; Mouginot, J.

2017-12-01

Over the past 30 years, the tidewater glaciers of northwest, central west, and southeast Greenland have exhibited widespread retreat, yet we observe different behaviors from one glacier to the next, sometimes within the same fjord. This retreat has been synchronous with oceanic warming in Baffin Bay and the Irminger Sea. Here, we estimate the ocean-induced melt rate of marine-terminating glaciers in these sectors of the Greenland Ice Sheet using simulations from the MITgcm ocean model for various water depths, ocean thermal forcing (TF) and subglacial water fluxes (SG). We use water depth from Ocean Melting Greenland (OMG) bathymetry and inverted airborne gravity, ocean thermal forcing from the Estimating the Circulation and Climate of the Ocean (Phase II, ECCO2) combined with CTD data from 2012 and 2015, and time series of subglacial water flux combining runoff production from the 1-km Regional Atmospheric Climate Model (RACMO2.3) with basal melt beneath land ice from the JPL/UCI ISSM model. Time series of melt rates are formed as a function of grounding line depth, SG flux and TF. We compare the results with the history of ice velocity and ice front retreat to quantify the impact of ice melt by the ocean over past three decades. We find that the timing of ice front retreat coincides with enhanced ocean-induced melt and that abrupt retreat is induced when additional ablation exceeds the magnitude of natural seasonal variations of the glacier front. Sverdrup Gletscher, Umiamako Isbrae, and the northern branch Puisortoq Gletscher in northwest, central west, and southwest Greenland, respectively, began multi-kilometer retreats coincident with ocean warming and enhanced melt. Limited retreat is observed where the bathymetry is shallow, on a prograde slope or glacier is stuck on a sill, e.g. Ussing Braeer in the northwest, Sermeq Avannarleq in central west, and Skinfaxe Gletscher in the southeast. These results illustrate the sensitivity of glaciers to changes in oceanic forcing and the modulating effect of bathymetry on their rate and magnitude of retreat. This work was carried out under a grant with NASA Cryosphere Program and for the EVS-2 Ocean Melting Greenland (OMG) mission.

Dynamics, rate and nature of retreat of the British Irish Ice-Sheet offshore of NW Ireland following the Last Glacial Maximum

NASA Astrophysics Data System (ADS)

Weilbach, K.; O'Cofaigh, C.; Lloyd, J. M.; Benetti, S.; Dunlop, P.

2016-12-01

Recent studies of the British and Irish Ice Sheet (BIIS) have identified evidence of ice extending to the continental shelf edge along the western margin of the ice sheet off NW Ireland. While this advance is assumed to have occurred during the LGM, exact timing of maximum advance, and the timing and nature of the subsequent retreat is not well constrained. The location of the north-western sector of the BIIS adjacent to the North Atlantic makes this area ideal to study the ice sheet dynamics of a major marine terminating ice sheet, and the rate and nature of its retreat following the LGM. High resolution swath bathymetry and sub-bottom profiler (SBP) data along with sedimentological, micropalaeontological and geochronological investigations of sediment cores, collected across the NW Irish shelf, have been used to establish the extent, timing and nature of retreat of this sector of the BIIS. Swath bathymetry show glacial landforms on the shelf, and SBP-data along with twenty seven vibro-cores were collected in east-west oriented transects across a series of arcuate recessional moraines stretching from the shelf edge to Donegal Bay. These moraines record progressive still stands of a lobate ice margin during its retreat from the shelf edge, and are therefore ideal for the investigation of ice-sheet dynamics and chronology during retreat. Twenty two radiocarbon dates from foraminifera and macrofossils, sampled from the sediment cores, indicate that maximum ice sheet extent occurred around 26200 y cal BP, with an initial rapid retreat across the shelf. Visual logging, X-ray imagery, MSCL data and palaeoenvironmental analyses of the sediment cores, indicate that retreat happened in a glacimarine environment, and was punctuated by multiple stillstands and possible readvances across the mid and inner shelf, forming the arcuate moraines. The radiocarbon dates suggest that final retreat occurred after 17857 y. cal BP, which is consistent with onshore cosmogenic exposure ages from NW Ireland, showing de-glaciation around 17400 y cal BP.

Efficacy of Different Methods for Removing Root Canal Filling Material in Retreatment - An In-vitro Study.

PubMed

Kasam, Swetha; Mariswamy, Annapoorna Ballagere

2016-06-01

Although success of endodontic therapy has significantly improved in the last few decades due to the introduction of novel materials and techniques, failures of endodontic therapy requiring re-treatment still comprise a significant percentage of patients requiring root canal treatment. To evaluate and compare the effective removal of gutta percha and sealer, amount of apical debris extrusion and time required for gutta percha removal using various endodontic files. Total 48 extracted mandibular premolars were mounted on acrylic blocks and endodontic procedure was carried out using size 40 K file and obturated using guttapercha and zinc oxide eugenol sealer. After one month storage, samples were decoronated, mounted on screw capped vials and subjected to removal of obturated material by four instruments: H files, safe sided H files, protaper universal retreatment rotary system and ultrasonic retreatment tip, grouped as 1, 2, 3, and 4 respectively. Only 2mm of obturated material from the coronal part was removed using no. 3 Gates Glidden drill, guttapercha was softened with a drop of xylene for 2 mins for each canal and retreatment was performed. The retreatment procedure was said to be complete when no visible debris were observed on the instrument flutes. The samples split into two halves and examined under stereomicroscope, photographed, assessed using AUTOCAD software and percentage of remaining filling material in coronal, middle, apical thirds of the canal was calculated in mm(2). Retreatment time was recorded in seconds and apically extruded debris was assessed by microbalance in grams for each tooth. The data was analyzed by using descriptive statistics, ANOVA and Scheffe's post hoc test through SPSS for windows (v 16.0). The ultrasonic retreatment tip had less percentage of residual guttapercha/sealer, shorter mean operating time and little apical extrusion with a significant difference (p<0.05) between the other groups. All techniques retained guttapercha/sealer remnants within the root canal. The ultrasonic retreatment tip proved to be an efficient method of removing obturated material. It was fastest with least apical debris extrusion.

Efficacy of Different Methods for Removing Root Canal Filling Material in Retreatment - An In-vitro Study

PubMed Central

Mariswamy, Annapoorna Ballagere

2016-01-01

Introduction Although success of endodontic therapy has significantly improved in the last few decades due to the introduction of novel materials and techniques, failures of endodontic therapy requiring re-treatment still comprise a significant percentage of patients requiring root canal treatment. Aim To evaluate and compare the effective removal of gutta percha and sealer, amount of apical debris extrusion and time required for gutta percha removal using various endodontic files. Materials and Methods Total 48 extracted mandibular premolars were mounted on acrylic blocks and endodontic procedure was carried out using size 40 K file and obturated using guttapercha and zinc oxide eugenol sealer. After one month storage, samples were decoronated, mounted on screw capped vials and subjected to removal of obturated material by four instruments: H files, safe sided H files, protaper universal retreatment rotary system and ultrasonic retreatment tip, grouped as 1, 2, 3, and 4 respectively. Only 2mm of obturated material from the coronal part was removed using no. 3 Gates Glidden drill, guttapercha was softened with a drop of xylene for 2 mins for each canal and retreatment was performed. The retreatment procedure was said to be complete when no visible debris were observed on the instrument flutes. The samples split into two halves and examined under stereomicroscope, photographed, assessed using AUTOCAD software and percentage of remaining filling material in coronal, middle, apical thirds of the canal was calculated in mm2. Retreatment time was recorded in seconds and apically extruded debris was assessed by microbalance in grams for each tooth. The data was analyzed by using descriptive statistics, ANOVA and Scheffe’s post hoc test through SPSS for windows (v 16.0). Results The ultrasonic retreatment tip had less percentage of residual guttapercha/sealer, shorter mean operating time and little apical extrusion with a significant difference (p<0.05) between the other groups. Conclusion All techniques retained guttapercha/sealer remnants within the root canal. The ultrasonic retreatment tip proved to be an efficient method of removing obturated material. It was fastest with least apical debris extrusion. PMID:27504397

Design concerns of room and pillar retreat panels

PubMed Central

Klemetti, Ted M.; Sears, Morgan M.; Tulu, Ihsan B.

2017-01-01

Why do some room and pillar retreat panels encounter abnormal conditions? What factors deserve the most consideration during the planning and execution phases of mining and what can be done to mitigate those abnormal conditions when they are encountered? To help answer these questions, and to determine some of the relevant factors influencing the conditions of room and pillar (R & P) retreat mining entries, four consecutive R & P retreat panels were evaluated. This evaluation was intended to reinforce the influence of topographic changes, depth of cover, multiple-seam interactions, geological conditions, and mining geometry. This paper details observations were made in four consecutive R & P retreat panels and the data were collected from an instrumentation site during retreat mining. The primary focus was on the differences observed among the four panels and within the panels themselves. The instrumentation study was initially planned to evaluate the interactions between primary and secondary support, but produced rather interesting results relating to the loading encountered under the current mining conditions. In addition to the observation and instrumentation, numerical modeling was performed to evaluate the stress conditions. Both the LaModel 3.0 and Rocscience Phase 2 programs were used to evaluate these four panels. The results of both models indicated a drastic reduction in the vertical stresses experienced in these panels due to the full extraction mining in overlying seams when compared to the full overburden load. Both models showed a higher level of stress associated with the outside entries of the panels. These results agree quite well with the observations and instrumentation studies performed at the mine. These efforts provided two overarching conclusions concerning R & P retreat mine planning and execution. The first was that there are four areas that should not be overlooked during R & P retreat mining: topographic relief, multiple-seam stress relief, stress concentrations near the gob edge, and geologic changes in the immediate roof. The second is that in order to successfully retreat an R & P panel, a three-phased approach to the design and analysis of the panel should be conducted: the planning phase, evaluation phase, and monitoring phase. PMID:28626598

Ablation from calving and surface melt at lake-terminating Bridge Glacier, British Columbia, 1984-2013

NASA Astrophysics Data System (ADS)

Chernos, M.; Koppes, M.; Moore, R. D.

2016-01-01

Bridge Glacier is a lake-calving glacier in the Coast Mountains of British Columbia and has retreated over 3.55 km since 1972. The majority of this retreat has occurred since 1991. This retreat is substantially greater than what has been inferred from regional climate indices, suggesting that it has been driven primarily by calving as the glacier retreated across an overdeepened basin. In order to better understand the primary drivers of ablation, surface melt (below the equilibrium line altitude, ELA) and calving were quantified during the 2013 melt season using a distributed energy balance model (DEBM) and time-lapse imagery. Calving, estimated using areal change, velocity measurements, and assuming flotation were responsible for 23 % of the glacier's ablation below the ELA during the 2013 melt season and were limited by modest flow speeds and a small terminus cross-section. Calving and surface melt estimates from 1984 to 2013 suggest that calving was consistently a smaller contributor of ablation. Although calving was estimated to be responsible for up to 49 % of the glacier's ablation for individual seasons, averaged over multiple summers it accounted between 10 and 25 %. Calving was enhanced primarily by buoyancy and water depths, and fluxes were greatest between 2005 and 2010 as the glacier retreated over the deepest part of Bridge Lake. The recent rapid rate of calving is part of a transient stage in the glacier's retreat and is expected to diminish within 10 years as the terminus recedes into shallower water at the proximal end of the lake. These findings are in line with observations from other lake-calving glacier studies across the globe and suggest a common large-scale pattern in calving-induced retreat in lake-terminating alpine glaciers. Despite enhancing glacial retreat, calving remains a relatively small component of ablation and is expected to decrease in importance in the future. Hence, surface melt remains the primary driver of ablation at Bridge Glacier and thus projections of future retreat should be more closely tied to climate.

The health impact of residential retreats: a systematic review.

PubMed

Naidoo, Dhevaksha; Schembri, Adrian; Cohen, Marc

2018-01-10

Unhealthy lifestyles are a major factor in the development and exacerbation of many chronic diseases. Improving lifestyles though immersive residential experiences that promote healthy behaviours is a focus of the health retreat industry. This systematic review aims to identify and explore published studies on the health, wellbeing and economic impact of retreat experiences. MEDLINE, CINAHL and PsychINFO databases were searched for residential retreat studies in English published prior to February 2017. Studies were included if they were written in English, involved an intervention program in a residential setting of one or more nights, and included before-and-after data related to the health of participants. Studies that did not meet the above criteria or contained only descriptive data from interviews or case studies were excluded. A total of 23 studies including eight randomised controlled trials, six non-randomised controlled trials and nine longitudinal cohort studies met the inclusion criteria. These studies included a total of 2592 participants from diverse geographical and demographic populations and a great heterogeneity of outcome measures, with seven studies examining objective outcomes such as blood pressure or biological makers of disease, and 16 studies examining subjective outcomes that mostly involved self-reported questionnaires on psychological and spiritual measures. All studies reported post-retreat health benefits ranging from immediately after to five-years post-retreat. Study populations varied widely and most studies had small sample sizes, poorly described methodology and little follow-up data, and no studies reported on health economic outcomes or adverse effects, making it difficult to make definite conclusions about specific conditions, safety or return on investment. Health retreat experiences appear to have health benefits that include benefits for people with chronic diseases such as multiple sclerosis, various cancers, HIV/AIDS, heart conditions and mental health. Future research with larger numbers of subjects and longer follow-up periods are needed to investigate the health impact of different retreat experiences and the clinical populations most likely to benefit. Further studies are also needed to determine the economic benefits of retreat experiences for individuals, as well as for businesses, health insurers and policy makers.

Rate of Mass Loss Across the Instability Threshold for Thwaites Glacier Determines Rate of Mass Loss for Entire Basin

DOE PAGES

Waibel, M. S.; Hulbe, C. L.; Jackson, C. S.; ...

2018-01-16

Rapid change now underway on Thwaites Glacier (TG) raises concern that a threshold for unstoppable grounding line retreat has been or is about to be crossed. We use a high-resolution ice sheet model to examine the mechanics of TG self-sustained retreat by nudging the grounding line just past the point of instability. We find that by modifying surface slope in the region of the grounding line, the rate of the forcing dictates the rate of retreat, even after the external forcing is removed. Grounding line retreats that begin faster proceed more rapidly because the shorter time interval for the groundingmore » line to erode into the grounded ice sheet means relatively thicker ice and larger driving stress upstream of the boundary. Retreat is sensitive to short-duration re-advances associated with reduced external forcing where the bathymetry allows regrounding, even when an instability is invoked.« less

A Century of Retreat at Portage Glacier, South-Central Alaska

USGS Publications Warehouse

Kennedy, Ben W.; Trabant, Dennis C.; Mayo, Lawrence R.

2006-01-01

Introduction: The Portage Glacier, in south-central Alaska, is viewed by thousands of visitors annually who come to the U.S. Forest Service Begich, Boggs Visitor Center located on the road system between Anchorage and Whittier, Alaska. During the past century, the terminus of the glacier has retreated nearly 5 kilometers to its present location (fig. 1). Like other glaciers that terminate in water, such as Columbia Glacier near Valdez or Mendenhall Glacier near Juneau, Portage Glacier has experienced accelerated retreats in recent decades that likely were initially triggered by climate change begun at the end of the Little Ice Age in the mid-1800s and subsequently controlled in recent history primarily by calving of the glacier terminus. Photographic records of the terminus covering 1914 until present day track the patterns of retreat. These data, coupled with USGS climate information collected from the southern end of the ice field, provide insight to the patterns of retreat that might be observed in the future.

Rate of Mass Loss Across the Instability Threshold for Thwaites Glacier Determines Rate of Mass Loss for Entire Basin

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

Waibel, M. S.; Hulbe, C. L.; Jackson, C. S.

Rapid change now underway on Thwaites Glacier (TG) raises concern that a threshold for unstoppable grounding line retreat has been or is about to be crossed. We use a high-resolution ice sheet model to examine the mechanics of TG self-sustained retreat by nudging the grounding line just past the point of instability. We find that by modifying surface slope in the region of the grounding line, the rate of the forcing dictates the rate of retreat, even after the external forcing is removed. Grounding line retreats that begin faster proceed more rapidly because the shorter time interval for the groundingmore » line to erode into the grounded ice sheet means relatively thicker ice and larger driving stress upstream of the boundary. Retreat is sensitive to short-duration re-advances associated with reduced external forcing where the bathymetry allows regrounding, even when an instability is invoked.« less

Differences in ice retreat across Pine Island Bay, West Antarctica, since the Last Glacial Maximum: Indications from multichannel seismic reflection data

USGS Publications Warehouse

Uenzelmann-Neben, G.; Gohl, K.; Larter, R.D.; Schlüter, P.

2007-01-01

An understanding of the glacial history of Pine Island Bay (PIB) is essential for refining models of the future stability of the West Antarctic Ice Sheet (WAIS). New multichannel seismic reflection data from inner PIB are interpreted in context of previously published reconstructions for the retreat history in this area since the Last Glacial Maximum. Differences in the behavior of the ice sheet during deglaciation are shown to exist for the western and eastern parts of PIB. While we can identify only a thin veneer of sedimentary deposits in western PIB, eastern PIB shows sedimentary layers ≤ 400 msTWT. This is interpreted as a result of differences in ice retreat: a fast ice retreat in western PIB accompanied by rapid basal melting led to production of large meltwater streams, a slower ice retreat in eastern PIB is most probably the result of smaller drainage basins resulting in less meltwater production.

Ice, Ocean and Atmosphere Interactions in the Arctic Marginal Ice Zone

DTIC Science & Technology

2015-09-30

the northward retreat of the ice edge. Through the long-term measurement of the key oceanic, atmospheric, and sea ice processes that...began to move southward towards the Alaskan coast. In 2104 the anomalous areas of ice retreat were the region north of Alaska...and Siberia. (see figures below). This is not uncommon as these regions have seen the greatest retreat in sea ice. See http://nsidc.org

Hazard and outcome of retreated choledochal cyst patients.

PubMed

Chijiiwa, K

1993-01-01

Thirty-nine patients initially treated for choledochal cyst (25: cyst-enterostomy for 15 type I and 10 type IV A, 13: cyst excision for 8 type I and 5 type IV A, 1: sphincterotomy for type III) have been completely followed up for a mean period of 17 years to examine the effect of surgical management on their lives. Eighteen of 25 cases with cyst-enterostomy (72%) needed retreatment due to the complications but one could not be retreated because of the presence of advanced bile duct carcinoma. Fourteen of 17 cases were retreated with cyst excision, of whom 12 showed an excellent outcome but other two were suffering from cholangitis and hepatolithiasis. The remaining 3 patients retreated with PTCS or cyst-enterostomy showed a poor outcome. Of 13 patients who had undergone cyst excision with hepatico-jejunostomy as the first choice, 12 showed a good outcome but one needed retreatment due to the anastomotic stenosis and hepatolithiasis. Thus, excision of cyst should be the surgical management for choledochal cyst. However, it should be noted that three of 27 patients treated initially or secondarily with cyst excision showed unsatisfactory results mainly due to the anastomotic stenosis. The results demonstrate that hepaticojejunostomy with a wide opening stoma is necessary to prevent postoperative morbidity.

Recruitment and retention of palliative cancer patients and their partners participating in a longitudinal evaluation of a psychosocial retreat program.

PubMed

Garland, Sheila N; Carlson, Linda E; Marr, Hubert; Simpson, Steve

2009-03-01

The negative impact of a palliative cancer diagnosis on the quality of life of patients and their partners is well documented. Unfortunately, research on interventions to improve psychological and spiritual well-being of these couples has been considered impractical because of the deleterious influence of disease progression on participation. This study evaluated the feasibility of offering the Tapestry Retreat, an intensive psychosocial intervention for palliative care patients and their partners. Participants in the Tapestry Retreat included 15 patients with advanced breast, prostate, or colon cancer and their partners (n = 30). Also included was a natural history group consisting of 20 patients and their partners (n = 40). All couples completed questionnaires related to quality of life, distress, marital satisfaction, and existential concerns at baseline, after the retreat or 1 month after baseline, and then again at 3, 6, 9, and 12 months. Patients in the Tapestry group were significantly more likely to be women who had received prior psychological support and were less comfortable with their finances. Partners attending the Tapestry retreat were also more likely to have received prior psychological support. Despite issues with recruitment and retention, retreat participation was considered feasible. Recommendations for future research are discussed.

Removal of gutta-percha from root canals using the self-adjusting file.

PubMed

Voet, Kathelijn C; Wu, Min-Kai; Wesselink, Paul R; Shemesh, Hagay

2012-07-01

The aim of this study was to compare the percentage of the residual gutta-percha-occupied area (PRGPA) in root canals after retreatment using ProTaper retreatment files (Dentsply Maillefer, Ballaigues, Switzerland) with or without the additional use of Self-Adjusting Files (SAFs; ReDent-Nova, Ra'anana, Israel). Root canals in 33 curved mesiobuccal roots of the first maxillary molars were cleaned and filled with gutta-percha and AH26 sealer (Dentsply De Trey, Johnson City, TN). Retreatment instrumentation was performed in 28 roots with ProTaper retreatment files and Hedström files. The Additional use of SAF was performed in 14 of the 28 roots. Five roots were not retreated. All roots were sectioned horizontally at 2, 4, and 6 mm from the apex. PRGPA was measured at each section. Scores 1 through 5 were used to represent the increasing extent of PRGPA; score 1 was 0%, and score 5 was >30%. The data were analyzed with nonparametric tests. Score 5 was recorded in all sections from roots that were not retreated. In retreated roots, the scores for the group using SAF were significantly lower than that without using SAF (P = .045); however, scores were higher at 2 mm than at other levels of the root regardless of whether the SAF had been used (P = .03). The complete removal of gutta-percha from the apical portion of curved canals remains a challenge. The additional use of SAF removed more gutta-percha than ProTaper alone. Copyright © 2012 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Effectiveness of traditional meditation retreats: A systematic review and meta-analysis.

PubMed

Khoury, Bassam; Knäuper, Bärbel; Schlosser, Marco; Carrière, Kimberly; Chiesa, Alberto

2017-01-01

An increasing number of studies are investigating traditional meditation retreats. Very little, however, is known about their effectiveness. To evaluate the effectiveness of meditation retreats on improving psychological outcomes in general population. A systematic review of studies published in journals or as dissertations in PSYCINFO, PUBMED, CINAHL or Web of Science from the first available date until October 22, 2016. A total of 20 papers (21 studies, N=2912) were included. Effect-size estimates of outcomes combined suggested that traditional meditation retreats are moderately effective in pre-post analyses (n=19; Hedge's g=0.45; 95% CI [0.35, 0.54], p<0.00001) and in analyses comparing retreats to controls (n=14; Hedge's g=0.49; 95% CI [0.36, 0.61], p<0.00001). Results were maintained at follow-up. No differences were observed between meditation styles. Results suggested large effects on measures of anxiety, depression and stress, and moderate effects on measures of emotional regulation and quality of life. As to potential mechanisms of actions, results showed large effects on measures of mindfulness and compassion, and moderate effects on measures of acceptance. In addition, changes in mindfulness levels strongly moderated clinical effect sizes. However, heterogeneity was significant among trials, probably due to differences in study designs, types and duration of the retreats and assessed outcomes, limiting therefore the implications of the results. Meditation retreats are moderately to largely effective in reducing depression, anxiety, stress and in ameliorating the quality of life of participants. Copyright © 2016 Elsevier Inc. All rights reserved.

Incidence of apical crack formation and propagation during removal of root canal filling materials with different engine driven nickel-titanium instruments.

PubMed

Özyürek, Taha; Tek, Vildan; Yılmaz, Koray; Uslu, Gülşah

2017-11-01

To determine the incidence of crack formation and propagation in apical root dentin after retreatment procedures performed using ProTaper Universal Retreatment (PTR), Mtwo-R, ProTaper Next (PTN), and Twisted File Adaptive (TFA) systems. The study consisted of 120 extracted mandibular premolars. One millimeter from the apex of each tooth was ground perpendicular to the long axis of the tooth, and the apical surface was polished. Twenty teeth served as the negative control group. One hundred teeth were prepared, obturated, and then divided into 5 retreatment groups. The retreatment procedures were performed using the following files: PTR, Mtwo-R, PTN, TFA, and hand files. After filling material removal, apical enlargement was done using apical size 0.50 mm ProTaper Universal (PTU), Mtwo, PTN, TFA, and hand files. Digital images of the apical root surfaces were recorded before preparation, after preparation, after obturation, after filling removal, and after apical enlargement using a stereomicroscope. The images were then inspected for the presence of new apical cracks and crack propagation. Data were analyzed with χ 2 tests using SPSS 21.0 software. New cracks and crack propagation occurred in all the experimental groups during the retreatment process. Nickel-titanium rotary file systems caused significantly more apical crack formation and propagation than the hand files. The PTU system caused significantly more apical cracks than the other groups after the apical enlargement stage. This study showed that retreatment procedures and apical enlargement after the use of retreatment files can cause crack formation and propagation in apical dentin.

Leadership Development for Program Directors

PubMed Central

Bing-You, Robert; Wiltshire, Whitney; Skolfield, Jenny

2010-01-01

Background Residency program directors have increasingly challenging roles, but they may not be receiving adequate leadership development. Objective To assess and facilitate program directors' leadership self-awareness and development at a workshop retreat. Methods At our annual program director retreat, program directors and associate program directors from a variety of specialties completed the Thomas-Kilmann Conflict Mode Instrument (TKI), which evaluates an individual's behavior in conflict situations, and the Hersey-Blanchard Situational Leadership (HBSL) model, which measures individuals' preferred leadership style in working with followers. Participants received their results during the retreat and discussed their leadership style results in the context of conflict situations experienced in the past. An online survey was distributed 3 weeks after the retreat to assess participant satisfaction and to determine whether participants would make changes to their leadership styles. Results Seventeen program directors attended the retreat and completed the tools. On the TKI, 47% preferred the Compromising mode for handling conflict, while 18% preferred either the Avoiding or Accommodating modes. On the HBSL, 71% of program directors preferred a Coaching leadership style. Ninety-one percent of postretreat-survey respondents found the leadership tools helpful and also thought they had a better awareness of their conflict mode and leadership style preferences. Eighty-two percent committed to a change in their leadership behaviors in the 6 months following the retreat. Conclusions Leadership tools may be beneficial for promoting the professional development of program directors. The TKI and HBSL can be used within a local retreat or workshop as we describe to facilitate positive leadership-behavior changes. PMID:22132267

Psychological Effects of a 1-Month Meditation Retreat on Experienced Meditators: The Role of Non-attachment.

PubMed

Montero-Marin, Jesus; Puebla-Guedea, Marta; Herrera-Mercadal, Paola; Cebolla, Ausias; Soler, Joaquim; Demarzo, Marcelo; Vazquez, Carmelo; Rodríguez-Bornaetxea, Fernando; García-Campayo, Javier

2016-01-01

Background: There are few studies devoted to assessing the impact of meditation-intensive retreats on the well-being, positive psychology, and personality of experienced meditators. We aimed to assess whether a 1-month Vipassana retreat: (a) would increase mindfulness and well-being; (b) would increase prosocial personality traits; and (c) whether psychological changes would be mediated and/or moderated by non-attachment. Method: A controlled, non-randomized, pre-post-intervention trial was used. The intervention group was a convenience sample ( n = 19) of experienced meditators who participated in a 1-month Vipassana meditation retreat. The control group ( n = 19) comprised matched experienced meditators who did not take part in the retreat. During the retreat, the mean duration of daily practice was 8-9 h, the diet was vegetarian and silence was compulsory. The Experiences Questionnaire (EQ), Non-attachment Scale (NAS), Positive and Negative Affect Schedule (PANAS), Satisfaction With Life Scale (SWLS), Temperament Character Inventory Revised (TCI-R-67), Five Facets Mindfulness Questionnaire (FFMQ), Self-Other Four Immeasurables (SOFI) and the MINDSENS Composite Index were administered. ANCOVAs and linear regression models were used to assess pre-post changes and mediation/moderation effects. Results: Compared to controls, retreatants showed increases in non-attachment, observing, MINDSENS, positive-affect, balance-affect, and cooperativeness; and decreases in describing, negative-others, reward-dependence and self-directedness. Non-attachment had a mediating role in decentring, acting aware, non-reactivity, negative-affect, balance-affect and self-directedness; and a moderating role in describing and positive others, with both mediating and moderating effects on satisfaction with life. Conclusions: A 1-month Vipassana meditation retreat seems to yield improvements in mindfulness, well-being, and personality, even in experienced meditators. Non-attachment might facilitate psychological improvements of meditation, making it possible to overcome possible ceiling effects ascribed to non-intensive practices.

Retreatment with interferon plus ribavirin of chronic hepatitis C non-responders to interferon monotherapy: a meta-analysis of individual patient data

PubMed Central

Cammà, C; Bruno, S; Schepis, F; Lo Iacono, O; Andreone, P; Gramenzi, A G; Mangia, A; Andriulli, A; Puoti, M; Spadaro, A; Freni, M; Di Marco, V; Cino, L; Saracco, G; Chiesa, A; Crosignani, A; Caporaso, N; Morisco, F; Rumi, M G; Craxì, A

2002-01-01

Background and aims: Retreatment with a combination of α interferon (IFN) plus ribavirin of patients with chronic hepatitis C who did not respond to IFN monotherapy has not been assessed in large controlled studies. Methods: To assess the effectiveness and tolerability of IFN/ribavirin retreatment of non-responders to IFN and to identify predictors of complete (biochemical and virological) sustained response, we performed a meta-analysis of individual data on 581 patients from 10 centres. Retreatment with various IFN schedules (mean total dose 544 mega units) and a fixed ribavirin dose (1000–1200 mg/daily depending on body weight) was given for 24–60 (mean 39.5) weeks. Results: Biochemical end of treatment and sustained responses were observed in 271/581 (46.6%; 95% confidence interval (CI) 42.6–50.7%) and in 109/581 (18.7%; 95% CI 15.6–22.0%) cases, respectively. Two hundred and six of 532 patients (38.7%; 95% CI 34.6–42.9%) had an end of treatment complete response to retreatment while a complete sustained response occurred in 88 of 559 (15.7%; 95% CI 12.8–18.8%). Fifty four of 581 patients (9.2%; 95% CI 7.0–11.7%) stopped retreatment due to adverse effects. By logistic regression, complete sustained response was predicted independently by age <45 years (p=0.04), by normal pretreatment γ-glutamyltransferase levels (p=0.01), and by a second course total IFN dose of at least 432 mega units (p=0.008). Conclusions: The overall low probability of effectiveness argues against indiscriminate retreatment of all IFN monotherapy non-responders with IFN/ribavirin. Patients less than 45 years old with normal γ-glutamyltransferase levels who were retreated with high dose long course combination therapy had a complete sustained response rate of 30%. PMID:12427791

Benthic Trophic Interactions in an Antarctic Shallow Water Ecosystem Affected by Recent Glacier Retreat.

PubMed

Pasotti, Francesca; Saravia, Leonardo Ariel; De Troch, Marleen; Tarantelli, Maria Soledad; Sahade, Ricardo; Vanreusel, Ann

2015-01-01

The western Antarctic Peninsula is experiencing strong environmental changes as a consequence of ongoing regional warming. Glaciers in the area are retreating rapidly and increased sediment-laden meltwater runoff threatens the benthic biodiversity at shallow depths. We identified three sites with a distinct glacier-retreat related history and different levels of glacial influence in the inner part of Potter Cove (King George Island, South Shetland Islands), a fjord-like embayment impacted since the 1950s by a tidewater glacier retreat. We compared the soft sediment meio- and macrofauna isotopic niche widths (δ13C and δ15N stable isotope analysis) at the three sites to investigate possible glacier retreat-related influences on benthic trophic interactions. The isotopic niches were locally shaped by the different degrees of glacier retreat-related disturbance within the Cove. Wider isotopic niche widths were found at the site that has become ice-free most recently, and narrower niches at the older ice-free sites. At an intermediate state of glacier retreat-related disturbance (e.g. via ice-growler scouring) species with different strategies could settle. The site at the earliest stage of post-retreat development was characterized by an assemblage with lower trophic redundancy. Generally, the isotopic niche widths increased with increasing size spectra of organisms within the community, excepting the youngest assemblage, where the pioneer colonizer meiofauna size class displayed the highest isotopic niche width. Meiofauna at all sites generally occupied positions in the isotopic space that suggested a detrital-pool food source and/or the presence of predatory taxa. In general ice scour and glacial impact appeared to play a two-fold role within the Cove: i) either stimulating trophic diversity by allowing continuous re-colonization of meiofaunal species or, ii) over time driving the benthic assemblages into a more compact trophic structure with increased connectedness and resource recycling.

Modeling Antarctic Ice Sheet retreat in warm climates: a historical perspective.

NASA Astrophysics Data System (ADS)

Pollard, D.; Deconto, R. M.; Gasson, E.

2016-12-01

Early modeling of Antarctic Ice Sheet size vs. climate focused on asymmetry between retreat and growth, with much greater warming needed to cause retreat from full ice cover, due to Height Mass Balance Feedback and albedo feedback. This led to a long-standing model-data conflict, with models needing 1000 to2000 ppmv atmospheric CO2 to produce retreat from full size, vs. proxy data of large ice fluctuations despite much lower CO2 since the Miocene.Subsequent modeling with marine ice physics found that the West Antarctic Ice Sheet could undergo repeated warm-period collapses with realistic past forcing. However, that yields only 3 to 7 m equivalent sea-level rise above modern, compared to 10 to 20 m or more suggested by some geologic data. Large subglacial basins in East Antarctica could be vulnerable to the same processes,but did not retreat in most models due to narrower and shallower sills.After recent modifications, some ice sheet models were able to produce warm-period collapse of major East Antarctic basins, with sea-level rise of up to 15 m. The modifications are (i) hydrofracturing by surface melt, and structural failure of ice cliffs, or (ii) numerical treatment at the grounding line. In these models, large retreat occurs both for past warmintervals, and also for future business-as-usual scenarios.Some interpretations of data in the late Oligocene and Miocene suggest yet larger fluctuations, between 50 to 100% of modern Antarctic size. That would require surface-melt driven retreat of some terrestrial East Antarctic ice, despite the hysteresis issue raised above. A recent study using a coupled climate-ice sheet model found that with a finer climate gridand more frequent coupling exchange, substantial retreat of terrestrial Antarctica can occur with 500 to 840 ppmv CO2, much lower than in earlier models. This will allow meaningful interactions between modeling and deeper-time geologic interpretations since the late Oligocene.

Benthic Trophic Interactions in an Antarctic Shallow Water Ecosystem Affected by Recent Glacier Retreat

PubMed Central

Pasotti, Francesca; Saravia, Leonardo Ariel; De Troch, Marleen; Tarantelli, Maria Soledad; Sahade, Ricardo; Vanreusel, Ann

2015-01-01

The western Antarctic Peninsula is experiencing strong environmental changes as a consequence of ongoing regional warming. Glaciers in the area are retreating rapidly and increased sediment-laden meltwater runoff threatens the benthic biodiversity at shallow depths. We identified three sites with a distinct glacier-retreat related history and different levels of glacial influence in the inner part of Potter Cove (King George Island, South Shetland Islands), a fjord-like embayment impacted since the 1950s by a tidewater glacier retreat. We compared the soft sediment meio- and macrofauna isotopic niche widths (δ13C and δ15N stable isotope analysis) at the three sites to investigate possible glacier retreat-related influences on benthic trophic interactions. The isotopic niches were locally shaped by the different degrees of glacier retreat-related disturbance within the Cove. Wider isotopic niche widths were found at the site that has become ice-free most recently, and narrower niches at the older ice-free sites. At an intermediate state of glacier retreat-related disturbance (e.g. via ice-growler scouring) species with different strategies could settle. The site at the earliest stage of post-retreat development was characterized by an assemblage with lower trophic redundancy. Generally, the isotopic niche widths increased with increasing size spectra of organisms within the community, excepting the youngest assemblage, where the pioneer colonizer meiofauna size class displayed the highest isotopic niche width. Meiofauna at all sites generally occupied positions in the isotopic space that suggested a detrital-pool food source and/or the presence of predatory taxa. In general ice scour and glacial impact appeared to play a two-fold role within the Cove: i) either stimulating trophic diversity by allowing continuous re-colonization of meiofaunal species or, ii) over time driving the benthic assemblages into a more compact trophic structure with increased connectedness and resource recycling. PMID:26559062

Psychological Effects of a 1-Month Meditation Retreat on Experienced Meditators: The Role of Non-attachment

PubMed Central

Montero-Marin, Jesus; Puebla-Guedea, Marta; Herrera-Mercadal, Paola; Cebolla, Ausias; Soler, Joaquim; Demarzo, Marcelo; Vazquez, Carmelo; Rodríguez-Bornaetxea, Fernando; García-Campayo, Javier

2016-01-01

Background: There are few studies devoted to assessing the impact of meditation-intensive retreats on the well-being, positive psychology, and personality of experienced meditators. We aimed to assess whether a 1-month Vipassana retreat: (a) would increase mindfulness and well-being; (b) would increase prosocial personality traits; and (c) whether psychological changes would be mediated and/or moderated by non-attachment. Method: A controlled, non-randomized, pre-post-intervention trial was used. The intervention group was a convenience sample (n = 19) of experienced meditators who participated in a 1-month Vipassana meditation retreat. The control group (n = 19) comprised matched experienced meditators who did not take part in the retreat. During the retreat, the mean duration of daily practice was 8–9 h, the diet was vegetarian and silence was compulsory. The Experiences Questionnaire (EQ), Non-attachment Scale (NAS), Positive and Negative Affect Schedule (PANAS), Satisfaction With Life Scale (SWLS), Temperament Character Inventory Revised (TCI-R-67), Five Facets Mindfulness Questionnaire (FFMQ), Self-Other Four Immeasurables (SOFI) and the MINDSENS Composite Index were administered. ANCOVAs and linear regression models were used to assess pre-post changes and mediation/moderation effects. Results: Compared to controls, retreatants showed increases in non-attachment, observing, MINDSENS, positive-affect, balance-affect, and cooperativeness; and decreases in describing, negative-others, reward-dependence and self-directedness. Non-attachment had a mediating role in decentring, acting aware, non-reactivity, negative-affect, balance-affect and self-directedness; and a moderating role in describing and positive others, with both mediating and moderating effects on satisfaction with life. Conclusions: A 1-month Vipassana meditation retreat seems to yield improvements in mindfulness, well-being, and personality, even in experienced meditators. Non-attachment might facilitate psychological improvements of meditation, making it possible to overcome possible ceiling effects ascribed to non-intensive practices. PMID:28018270

Projecting 21st century coastal cliff retreat in Southern California

NASA Astrophysics Data System (ADS)

Limber, P. W.; Barnard, P.; Erikson, L. H.; Vitousek, S.

2016-12-01

In California, sea level is expected to rise over 1 m by 2100, with extreme projections approaching 3 m. Sea level rise (SLR) increases the frequency, severity, and duration of wave impacts on coastal cliffs, potentially accelerating cliff retreat rates. To assess the future risk to cliff-top infrastructure, densely populated Southern California cities like Los Angeles and San Diego require estimates of coastal retreat over long time (multi-decadal) and large spatial (>100 km) scales. We developed a suite of eight coastal cliff retreat models, ranging in complexity from empirical 1-D representations of cliff response to wave impacts to more intricate 2-D process-based models integrated with artificial neural networks. The ensemble produces a comprehensive estimate of time-averaged coastal cliff retreat with uncertainty, is applicable to different geological environments, and is flexible in application depending on processing power, available data, and/or available time (e.g. if processing power and time are limited, the fast 1-D models can be used as a `rapid assessment' tool). Global-to-local nested wave models provided the hindcasts (1980-2010) and forecasts (2010-2100) used to force the models, and waves were applied in combination with eight SLR scenarios ranging from 0.25 m to 2 m. In the more detailed models, tides, non-tidal residuals, and storm surge were included for the hindcast and forecast periods. For model calibration, a new automated cliff edge extraction routine was used to estimate historical cliff retreat rates from LiDAR data. Initial model application to Southern California suggests that 1 m of SLR during the 21st century will cause cliff retreat rates to increase on average by over 50% relative to historical rates. Model results also demonstrate how small-scale, episodic cliff failure events can coalesce through time into spatially uniform, long-term cliff retreat signals.

UpTempO Buoys for Understanding and Predictions

DTIC Science & Technology

2016-02-28

fall cooling, and interannually as sea ice retreats and the warming season lengthens. The effort was a contribution to the multi-investigator ONR...relationships between sea ice retreat and upper ocean warming. ACCOMPLISHED I. Buoy deployments and data: We worked with the Pacific Gyre (PG...have for the first time investigated the daily variation in ice edge retreat speed from a pan-arctic perspective. We have found that the pace of ice

Retreatment with brentuximab vedotin in patients with CD30-positive hematologic malignancies

PubMed Central

2014-01-01

Background Brentuximab vedotin is a CD30-directed antibody-drug conjugate. Retreatment with brentuximab vedotin monotherapy was investigated in patients with CD30-positive Hodgkin lymphoma (HL) or systemic anaplastic large cell lymphoma (ALCL) who relapsed after achieving complete or partial remission (CR or PR) with initial brentuximab vedotin therapy in a previous study (ClinicalTrials.gov NCT00947856). Methods Twenty-one patients with HL and 8 patients with systemic ALCL were retreated; 3 patients with systemic ALCL were retreated twice. Patients generally received brentuximab vedotin 1.8 mg/kg intravenously approximately every 3 weeks over 30 minutes as an outpatient infusion. The primary objectives of this study were to assess safety and to estimate antitumor activity of brentuximab vedotin retreatment. Results The objective response rate was 60% (30% CR) in HL patients and 88% (63% CR) in systemic ALCL patients. The estimated median duration of response for patients with an objective response was 9.5 months (range, 0.0+ to 28.0+ months) at the time of study closure. Of the 19 patients with objective response, 7 patients had not had an event of disease progression or death at the time of study closure; duration of response for these patients ranged from 3.5 to 28 months. Of the 11 patients with CR, 45% had response durations of over 1 year. Adverse events (AEs) occurring in ≥25% of patients during the retreatment period were generally similar in type and frequency to those observed in the pivotal trials of brentuximab vedotin monotherapy, with the exception of peripheral neuropathy, which is known to have a cumulative effect. Grade 3 or higher events were observed in 48% of patients; these were generally transient and managed by dose modifications or delays. Deaths due to AEs occurred in 3 HL patients; none were considered to be related to brentuximab vedotin retreatment. Discussion With the exception of a higher rate of peripheral motor neuropathy, retreatment with brentuximab vedotin was associated with similar side effects seen in the pivotal trials. Conclusions Retreatment with brentuximab vedotin monotherapy is associated with response rates in 68% (39% CR) of patients with relapsed HL and systemic ALCL. Trial registration United States registry and results database ClinicalTrials.gov NCT00947856. PMID:24642247

Sub-ice-shelf sediments record history of twentieth-century retreat of Pine Island Glacier [Sub-ice shelf sediments record 20 th century retreat history of Pine Island Glacier

DOE PAGES

Smith, J. A.; Andersen, T. J.; Shortt, M.; ...

2016-11-23

The West Antarctic Ice Sheet is one of the largest potential sources of rising sea levels. Over the past 40 years, glaciers flowing into the Amundsen Sea sector of the ice sheet have thinned at an accelerating rate, and several numerical models suggest that unstable and irreversible retreat of the grounding line—which marks the boundary between grounded ice and floating ice shelf—is underway. Understanding this recent retreat requires a detailed knowledge of grounding-line history, but the locations of the grounding line before the advent of satellite monitoring in the 1990s are poorly dated. In particular, a history of grounding-line retreatmore » is required to understand the relative roles of contemporaneous ocean-forced change and of ongoing glacier response to an earlier perturbation in driving ice-sheet loss. Here we show that the present thinning and retreat of Pine Island Glacier in West Antarctica is part of a climatically forced trend that was triggered in the 1940s. Our conclusions arise from analysis of sediment cores recovered beneath the floating Pine Island Glacier ice shelf, and constrain the date at which the grounding line retreated from a prominent seafloor ridge. We find that incursion of marine water beyond the crest of this ridge, forming an ocean cavity beneath the ice shelf, occurred in 1945 (±12 years); final ungrounding of the ice shelf from the ridge occurred in 1970 (±4 years). The initial opening of this ocean cavity followed a period of strong warming of West Antarctica, associated with El Niño activity. Furthermore our results suggest that, even when climate forcing weakened, ice-sheet retreat continued.« less

Progestin re-treatment in patients with recurrent endometrial adenocarcinoma after successful fertility-sparing management using progestin.

PubMed

Park, Jeong-Yeol; Lee, Sang-Hun; Seong, Seok Ju; Kim, Dae-Yeon; Kim, Tae-Jin; Kim, Jae Weon; Kim, Jong-Hyeok; Kim, Yong-Man; Kim, Young-Tak; Bae, Duk-Soo; Nam, Joo-Hyun

2013-04-01

To analyze the outcomes of second round of fertility-sparing management using progestin in patients with recurrent endometrial cancer after successful fertility-sparing management using progestin. We reviewed 45 patients who had recurrence after achieving complete remission by fertility-sparing management using progestin for presumed stage IA, grade 1, endometrioid adenocarcinoma of the uterus. Of 45 patients, 33 tried progestin re-treatment at recurrence and were included in this study. Recurrent disease was atypical hyperplasia in 13 patients (39%) and grade 1 endometrioid adenocarcinoma in 20 patients (61%) which were confined to the endometrium. Thirty patients (91%) received medroxyprogesterone acetate (dose range, 80-500 mg/day) and three patients (9%) received megestrol acetate (dose range, 80-160 mg/day), with 29 patients receiving a dose of 500 mg/day of medroxyprogesterone acetate. The median duration of treatment was 6 months (range, 3-19 months). Five patients failed to respond to progestin re-treatment and underwent definitive surgical treatment including hysterectomy. Twenty eight patients (85%) showed complete response to progestin re-treatment. The median follow-up time after progestin re-treatment in 28 patients who achieved complete remission was 51 months (range, 24-160 months). During follow-up, five patients had second recurrence after median time interval of 14 months (range, 4-82 months). All patients who tried progestin re-treatment are alive without evidence of disease. Progestin re-treatment in patients with recurrent endometrial cancer was effective and safe. Therefore, this can be recommended for young women who still want to preserve fertility at recurrence after complete response to progestin. Copyright © 2013 Elsevier Inc. All rights reserved.

Efficacy of ProTaper universal retreatment files in removing filling materials during root canal retreatment.

PubMed

Giuliani, Valentina; Cocchetti, Roberto; Pagavino, Gabriella

2008-11-01

The aim of this study was to evaluate the efficacy of the ProTaper Universal System rotary retreatment system and of Profile 0.06 and hand instruments (K-file) in the removal of root filling materials. Forty-two extracted single-rooted anterior teeth were selected. The root canals were enlarged with nickel-titanium (NiTi) rotary files, filled with gutta-percha and sealer, and randomly divided into 3 experimental groups. The filling materials were removed with solvent in conjunction with one of the following devices and techniques: the ProTaper Universal System for retreatment, ProFile 0.06, and hand instruments (K-file). The roots were longitudinally sectioned, and the image of the root surface was photographed. The images were captured in JPEG format; the areas of the remaining filling materials and the time required for removing the gutta-percha and sealer were calculated by using the nonparametric one-way Kruskal-Wallis test and Tukey-Kramer tests, respectively. The group that showed better results for removing filling materials was the ProTaper Universal System for retreatment files, whereas the group of ProFile rotary instruments yielded better root canal cleanliness than the hand instruments, even though there was no statistically significant difference. The ProTaper Universal System for retreatment and ProFile rotary instruments worked significantly faster than the K-file. The ProTaper Universal System for retreatment files left cleaner root canal walls than the K-file hand instruments and the ProFile Rotary instruments, although none of the devices used guaranteed complete removal of the filling materials. The rotary NiTi system proved to be faster than hand instruments in removing root filling materials.

Barrier island arcs along abandoned Mississippi River deltas

USGS Publications Warehouse

Penland, S.; Suter, J.R.; Boyd, Ron

1985-01-01

Generation of transgressive barrier island arcs along the Mississippi River delta plain and preservation of barrier shoreline facies in their retreat paths on the inner shelf is controlled by: (1) shoreface translation; (2) age of the transgression; and (3) the thickness of the barrier island arc sediment package. Barrier island arcs experience an average relative sea level rise of 0.50-1.00 cm yr-1 and shoreface retreat rates range from 5-15 m yr-1. Young barrier island arc sediment packages (Isles Dernieres) are thin and have experienced limited landward retreat of the shoreface. Older barrier island arcs (Chandeleur Islands) are thicker and have experienced significant landward movement of the shoreface because of the greater time available for retreat. If the transgressed barrier shoreline sediment package lies above the advancing ravinement surface, the entire sequence is truncated. A thin reworked sand sheet marks the shoreface retreat path. The base of the transgressive sediment package can lie below the ravinement surface in older barrier shorelines. In this setting, the superstructure of the barrier shoreline is truncated, leaving the basal portion of the transgressive sequence preserved on the inner shelf. A variety of transgressive stratigraphic sequences from sand sheets to truncated barrier islands to sand-filled tidal inlet scars have been identified by high resolution seismic profiling across the shoreface retreat paths of Mississippi delta barrier island arcs. One of these examples, the Isles Dernieres, represents a recently detached barrier island arc in the early stages of transgression. An older example, the Chandeleur Islands, represents a barrier island arc experiencing long-term shoreface retreat. This paper describes the stratigraphic character and preserved transgressive facies for the Isles Dernieres and Chandeleur Islands. ?? 1985.

Influence of Endodontic Treatment and Retreatment on the Fatigue Failure Load, Numbers of Cycles for Failure, and Survival Rates of Human Canine Teeth.

PubMed

Missau, Taiane; De Carlo Bello, Mariana; Michelon, Carina; Mastella Lang, Pauline; Kalil Pereira, Gabriel; Baldissara, Paolo; Valandro, Luiz Felipe; Souza Bier, Carlos Alexandre; Pivetta Rippe, Marília

2017-12-01

This study evaluated the effects of endodontic treatment and retreatment on the fatigue failure load, numbers of cycles for failure, and survival rates of canine teeth. Sixty extracted canine teeth, each with a single root canal, were selected and randomly divided into 4 groups (n = 15): untreated, teeth without endodontic intervention; prepared, teeth subjected only to rotary instrumentation; filled, teeth receiving complete endodontic treatment; and retreated, teeth retreated endodontically. After the different endodontic interventions, the specimens were subjected to fatigue testing by the stepwise method: 200 N (× 5000 load pulses), 300 N, 400 N, 500 N, 600 N, 800 N, and 900 N at a maximum of 30,000 load pulses each or the occurrence of fracture. Data from load to failure and numbers of cycles for fracture were recorded and subjected to Kaplan-Meier and Log Rank tests (P < .05), in addition to Weibull analysis. The fractures of the specimens were classified as repairable or catastrophic. The retreated, filled, and untreated groups presented statistically significantly higher fatigue failure loads and numbers of cycles for failure than did the prepared group. Weibull analysis showed no statistically significant difference among the treatments for characteristic load to failure and characteristic number of cycles for failure, although, for number of cycles, a higher Weibull modulus was observed in filled and retreated conditions. The predominant mode of failure was catastrophic. Teeth subjected to complete endodontic treatment and retreatment behaved similarly in terms of fatigue failure load and number of cycles to failure when compared with untreated teeth. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Sub-ice-shelf sediments record history of twentieth-century retreat of Pine Island Glacier [Sub-ice shelf sediments record 20 th century retreat history of Pine Island Glacier

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

Smith, J. A.; Andersen, T. J.; Shortt, M.

The West Antarctic Ice Sheet is one of the largest potential sources of rising sea levels. Over the past 40 years, glaciers flowing into the Amundsen Sea sector of the ice sheet have thinned at an accelerating rate, and several numerical models suggest that unstable and irreversible retreat of the grounding line—which marks the boundary between grounded ice and floating ice shelf—is underway. Understanding this recent retreat requires a detailed knowledge of grounding-line history, but the locations of the grounding line before the advent of satellite monitoring in the 1990s are poorly dated. In particular, a history of grounding-line retreatmore » is required to understand the relative roles of contemporaneous ocean-forced change and of ongoing glacier response to an earlier perturbation in driving ice-sheet loss. Here we show that the present thinning and retreat of Pine Island Glacier in West Antarctica is part of a climatically forced trend that was triggered in the 1940s. Our conclusions arise from analysis of sediment cores recovered beneath the floating Pine Island Glacier ice shelf, and constrain the date at which the grounding line retreated from a prominent seafloor ridge. We find that incursion of marine water beyond the crest of this ridge, forming an ocean cavity beneath the ice shelf, occurred in 1945 (±12 years); final ungrounding of the ice shelf from the ridge occurred in 1970 (±4 years). The initial opening of this ocean cavity followed a period of strong warming of West Antarctica, associated with El Niño activity. Furthermore our results suggest that, even when climate forcing weakened, ice-sheet retreat continued.« less

Comparisons of the Retreatment Efficacy of Calcium Silicate and Epoxy Resin-based Sealers and Residual Sealer in Dentinal Tubules.

PubMed

Kim, Hyunsuk; Kim, Euiseong; Lee, Seung-Jong; Shin, Su-Jung

2015-12-01

The aim of this study was to evaluate the retreatment efficacy and amount of residual sealer in a single canal filled with either EndoSequence BC (Brasseler, Savannah, GA) or AH Plus (Dentsply DeTrey, Konstanz, Germany). Canal obturation with gutta-percha and sealer was performed in 28 human teeth using the continuous wave technique. Group 1 (n = 13) used AH Plus sealer, and group 2 (n = 15) used EndoSequence BC sealer. After 7 days, the root fillings were removed using Gates Glidden drills and a nickel-titanium rotary system. Retreatment time was measured in seconds. Canal cleanliness was examined by scanning electron microscopy. The remaining debris in the canal space and penetration into dentinal tubules were evaluated by confocal microscopy. Retreatment time was compared using the Student t test, and differences in sealer penetration and remaining debris between the groups were analyzed using the Mann-Whitney U test (P < .05). There was no significant difference between the 2 groups in the amount of dentin penetration, amount of debris, or retreatment time. With respect to penetration depth, the AH Plus group showed a slightly higher percentage than the BC group, with a significant difference only in the portion 6 mm from the apex (P < .05). Scanning electron microscopic images showed significant debris remaining on canal walls in both groups, whereas canal patency in retreatment was achieved in every specimen. The present study shows that EndoSequence BC sealer and AH Plus sealer have similar efficacy in dentin penetration and retreatment efficacy. Copyright © 2015 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

The effectiveness of manual and mechanical instrumentation for the retreatment of three different root canal filling materials.

PubMed

Somma, Francesco; Cammarota, Giuseppe; Plotino, Gianluca; Grande, Nicola M; Pameijer, Cornelis H

2008-04-01

The aim of this study was to compare the effectiveness of the Mtwo R (Sweden & Martina, Padova, Italy), ProTaper retreatment files (Dentsply-Maillefer, Ballaigues, Switzerland), and a Hedström manual technique in the removal of three different filling materials (gutta-percha, Resilon [Resilon Research LLC, Madison, CT], and EndoRez [Ultradent Products Inc, South Jordan, UT]) during retreatment. Ninety single-rooted straight premolars were instrumented and randomly divided into 9 groups of 10 teeth each (n = 10) with regards to filling material and instrument used. For all roots, the following data were recorded: procedural errors, time of retreatment, apically extruded material, canal wall cleanliness through optical stereomicroscopy (OSM), and scanning electron microscopy (SEM). A linear regression analysis and three logistic regression analyses were performed to assess the level of significance set at p = 0.05. The results indicated that the overall regression models were statistically significant. The Mtwo R, ProTaper retreatment files, and Resilon filling material had a positive impact in reducing the time for retreatment. Both ProTaper retreatment files and Mtwo R showed a greater extrusion of debris. For both OSM and SEM logistic regression models, the root canal apical third had the greatest impact on the score values. EndoRez filling material resulted in cleaner root canal walls using OSM analysis, whereas Resilon filling material and both engine-driven NiTi rotary techniques resulted in less clean root canal walls according to SEM analysis. In conclusion, all instruments left remnants of filling material and debris on the root canal walls irrespective of the root filling material used. Both the engine-driven NiTi rotary systems proved to be safe and fast devices for the removal of endodontic filling material.

Temperature under the Tongue: A paleotemperature record of the Drygalksi Ice Tongue with improved chronology of ice retreat

NASA Astrophysics Data System (ADS)

Subt, C.; Rosenheim, B. E.; Lee, J. I.; Yoo, K. C.; Browne, I. M.; Shevenell, A.

2017-12-01

The Ross Embayment is among the most well-studied regions in Antarctica. Despite the relative abundance of data, the style and forcing of deglaciation of the Ross Sea sector following the Last Glacial Maximum (LGM; 23-19 ka) is challenging due to the region's considerable size, complex geometry, and the difficulties in dating Antarctic glaciomarine sedimentary sequences. Ross Sea sediments indicate a dynamic glacial retreat in the western Ross Sea, whereas regional glacial systems may have retreated and advanced multiple times during the last deglaciation. Two marine sediment cores collected near the Drygalski Ice Tongue in the western Ross Sea during 2012 and 2015 Korea Polar Research Institute (KOPRI) expeditions reveal a sequence of alternating diatomaceous muds and oozes interbedded with diamict, which suggest dynamic post-LGM grounded ice retreat in the Ross Sea. Dynamic retreat is hypothesized to have been driven by rising sea levels and warmer ocean waters on the continental shelf, thus a record of upper ocean temperatures should reflect this. Here we present the first post-LGM upper ocean temperature record from the Ross Sea, developed using the TEX86 (tetraether index of lipids consisting of 86 carbons) paleothermometer. To overcome the difficulties of dating these sediments using traditional methods, we apply specialized Ramped PyrOx 14C dating for sediments with high proportions of relict carbon . This technique is particularly well-suited for the post-LGM retreat sedimentary sequences from Antarctic margins because it allows for separation of autochthonous and relict material for dating. By combining organic paleothermometry and state-of-the-art chronologic techniques, we gain a more thorough understanding of upper ocean temperatures in the Ross Sea during the last deglaciation, and their implications for ice retreat.

Rates and trends of coastal change in california and the regional behavior of the beach and cliff system

USGS Publications Warehouse

Hapke, C.J.; Reid, Don; Richmond, B.

2009-01-01

The U.S. Geological Survey (USGS) recently completed an analysis of shoreline change and cliff retreat along the California coast. This is the first regional, systematic measurement of coastal change conducted for the West Coast. Long-term (-120 y) and short-term (-25 y) shoreline change rates were calculated for more than 750 km of coastline, and 70 year cliff-retreat rates were generated for 350 km of coast. Results show that 40% of California's beaches were eroding in the long term. This number increased to 66% in the short term, indicating that many beaches have shifted toward a state of chronic erosion. The statewide average net shoreline change rates for the long and short term were 0.2 m/y and -0.2 m/y, respectively. The long-term accretional signal is likely related to large coastal engineering projects in some parts of the state and to large fluxes of sediment from rivers in other areas. The cliff-retreat assessment yielded a statewide average of -0.3 m/y. It was found that Northern California has the highest overall retreat rates, which are influenced by erosion hot spots associated with large coastal landslides and slumps. The databases established as part of the shoreline change and cliff-retreat analyses were further investigated to examine the dynamics of the beach/cliff system. A correlation analysis identified a strong relationship between the geomorphology of the coast and the behavior of the beach/cliff system. Areas of high-relief coast show negative correlations, indicating that higher rates of cliff retreat correlate with lower rates of shoreline erosion. In contrast, low- to moderate-relief coasts show strong positive correlations, wherein areas of high shoreline change correspond to areas of high cliff retreat.

Sub-ice-shelf sediments record history of twentieth-century retreat of Pine Island Glacier.

PubMed

Smith, J A; Andersen, T J; Shortt, M; Gaffney, A M; Truffer, M; Stanton, T P; Bindschadler, R; Dutrieux, P; Jenkins, A; Hillenbrand, C-D; Ehrmann, W; Corr, H F J; Farley, N; Crowhurst, S; Vaughan, D G

2017-01-05

The West Antarctic Ice Sheet is one of the largest potential sources of rising sea levels. Over the past 40 years, glaciers flowing into the Amundsen Sea sector of the ice sheet have thinned at an accelerating rate, and several numerical models suggest that unstable and irreversible retreat of the grounding line-which marks the boundary between grounded ice and floating ice shelf-is underway. Understanding this recent retreat requires a detailed knowledge of grounding-line history, but the locations of the grounding line before the advent of satellite monitoring in the 1990s are poorly dated. In particular, a history of grounding-line retreat is required to understand the relative roles of contemporaneous ocean-forced change and of ongoing glacier response to an earlier perturbation in driving ice-sheet loss. Here we show that the present thinning and retreat of Pine Island Glacier in West Antarctica is part of a climatically forced trend that was triggered in the 1940s. Our conclusions arise from analysis of sediment cores recovered beneath the floating Pine Island Glacier ice shelf, and constrain the date at which the grounding line retreated from a prominent seafloor ridge. We find that incursion of marine water beyond the crest of this ridge, forming an ocean cavity beneath the ice shelf, occurred in 1945 (±12 years); final ungrounding of the ice shelf from the ridge occurred in 1970 (±4 years). The initial opening of this ocean cavity followed a period of strong warming of West Antarctica, associated with El Niño activity. Thus our results suggest that, even when climate forcing weakened, ice-sheet retreat continued.

Characteristics and Treatment Outcomes of Retreatment Tuberculosis Patients in Benin

PubMed Central

Ade, Serge; Adjibodé, Omer; Wachinou, Prudence; Toundoh, Narcisse; Awanou, Bérénice; Agodokpessi, Gildas; Affolabi, Dissou; Adè, Gabriel; Harries, Anthony D.; Anagonou, Séverin

2016-01-01

Objective. To determine among retreatment tuberculosis patients in Benin baseline characteristics, culture, and drug sensitivity testing (DST) results and treatment outcomes. Materials and Methods. A retrospective national cohort study of all retreatment tuberculosis patients in Benin in 2013 using registers and treatment cards. Results. Of 3957 patients with tuberculosis, 241 (6%) were retreatment cases. Compared to new pulmonary bacteriologically confirmed tuberculosis (NPBCT) patients, there were significantly higher numbers of males (P = 0.04), patients from “Atlantique-Littoral” (P = 0.006), patients aged 45–64 years (P = 0.007), and HIV-positive patients (P = 0.04) among those retreated. Overall, 171 (71%) patients submitted sputum for DST, of whom (163) 95% were positive for Mycobacterium tuberculosis on Xpert MTB/RIF and/or culture and 17 (10%) were rifampicin resistant (9 with MDR-TB and 8 monoresistant to rifampicin). For those without MDR-TB (n = 224), treatment success was 93%. Worse outcomes occurred in those with unknown HIV status (RR: 0.27; 0.05–1.45; P < 0.01) while better outcomes occurred in those who relapsed (RR: 1.06, 95 CI: 1.02–1.10, P = 0.04). Conclusion. In 2013, a high proportion of retreatment patients received DST. Treatment success was good although more needs to be done to systematically increase the final follow-up smear examination. Reasons of high losses to follow-up from “Oueme-Plateau” should be investigated. PMID:27110400

Controls on the early Holocene collapse of the Bothnian Sea Ice Stream

NASA Astrophysics Data System (ADS)

Clason, Caroline C.; Greenwood, Sarah L.; Selmes, Nick; Lea, James M.; Jamieson, Stewart S. R.; Nick, Faezeh M.; Holmlund, Per

2016-12-01

New high-resolution multibeam data in the Gulf of Bothnia reveal for the first time the subglacial environment of a Bothnian Sea Ice Stream. The geomorphological record suggests that increased meltwater production may have been important in driving rapid retreat of Bothnian Sea Ice during deglaciation. Here we apply a well-established, one-dimensional flow line model to simulate ice flow through the Gulf of Bothnia and investigate controls on retreat of the ice stream during the post-Younger Dryas deglaciation of the Fennoscandian Ice Sheet. The relative influence of atmospheric and marine forcings are investigated, with the modeled ice stream exhibiting much greater sensitivity to surface melting, implemented through surface mass balance and hydrofracture-induced calving, than to submarine melting or relative sea level change. Such sensitivity is supported by the presence of extensive meltwater features in the geomorphological record. The modeled ice stream does not demonstrate significant sensitivity to changes in prescribed ice stream width or overall bed slope, but local variations in basal topography and ice stream width result in nonlinear retreat of the grounding line, notably demonstrating points of short-lived retreat slowdown on reverse bed slopes. Retreat of the ice stream was most likely governed by increased ice surface meltwater production, with the modeled retreat rate less sensitive to marine forcings despite the marine setting.

Evaluation of a team-building retreat to promote nursing faculty cohesion and job satisfaction.

PubMed

Birx, Ellen; Lasala, Kathleen B; Wagstaff, Mark

2011-01-01

With the growing global shortage of nursing faculty, there is increased need to develop and evaluate strategies to promote nursing faculty job satisfaction. Using quantitative and qualitative research methods, a team-building faculty retreat including challenge course activities was evaluated to determine its effects on group cohesion and job satisfaction. Mean Job in General scores for the sample (n = 29) at the start of the study were comparable with national norms for employees with graduate degrees. There were statistically significant increases in Job in General scores and group cohesion scores from pretest to posttest on the day of the retreat. However, the positive changes were not maintained at the end of the semester when follow-up data were gathered. Content analysis of the retreat day reflections revealed the following themes: getting to know each other better, seeing commonalities and differences, spending time together, developing trust, and working as a group. Several themes were identified in the end of the semester reflections: getting to know each other, feeling closer as a group, setting a friendlier tone for the semester, and that the retreat was a positive experience. Based on these findings, we recommend the use of a faculty retreat with challenge course activities to promote nursing faculty cohesion and job satisfaction. However, follow-up activities are recommended to maintain positive results over time. 2011 Elsevier Inc. All rights reserved.

Efficacy of Twisted File Adaptive, Reciproc and ProTaper Universal Retreatment instruments for root-canal-filling removal: A cone-beam computed tomography study.

PubMed

Akbulut, Makbule Bilge; Akman, Melek; Terlemez, Arslan; Magat, Guldane; Sener, Sevgi; Shetty, Heeresh

2016-01-01

The aim of this study was to evaluate the efficacy of Twisted File (TF) Adaptive, Reciproc, and ProTaper Universal Retreatment (UR) System instruments for removing root-canal-filling. Sixty single rooted teeth were decoronated, instrumented and obturated. Preoperative CBCT scans were taken and the teeth were retreated with TF Adaptive, Reciproc, ProTaper UR, or hand files (n=15). Then, the teeth were rescanned, and the percentage volume of the residual root-canal-filling material was established. The total time for retreatment was recorded, and the data was statistically analyzed. The statistical ranking of the residual filling material volume was as follows: hand file=TF Adaptive>ProTaper UR=Reciproc. The ProTaper UR and Reciproc systems required shorter periods of time for retreatment. Root canal filling was more efficiently removed by using Reciproc and ProTaper UR instruments than TF Adaptive instruments and hand files. The TF Adaptive system was advantageous over hand files with regard to operating time.

Micro-CT evaluation of the effectiveness of the combined use of rotary and hand instrumentation in removal of Resilon.

PubMed

Asheibi, Fatma; Qualtrough, Alison J E; Mellor, Anthony; Withers, Philip J; Lowe, Tristan

2014-01-01

This study compares the effectiveness of ProTaper rotary files with ProTaper retreatment and K-files in the removal of Resilon or gutta percha (GP) from canals filled either by cold lateral condensation or thermal obturation using micro-CT. Ninety-six teeth were prepared using ProTaper files and allocated into four groups (n=24): Group-1 was filled with GP/AH-Plus and Group-2 with Resilon/RealSeal using cold lateral condensation. Group-3 was filled with GP/AH-Plus and Group-4 with Resilon/RealSeal using System B and Obtura II. The roots were scanned by micro-CT. Each group was divided into two subgroups (n=12): A, retreated using ProTaper files and B, using ProTaper retreatment and K-files. The roots were scanned to calculate the volume of the remaining material. With thermal obturation, roots filled with Resilon had significantly more remaining material than GP. Obturation using thermal technique resulted in significantly less remaining material than cold condensation except Resilon retreated using ProTaper retreatment and K-files.

Efficacy of ProTaper Retreatment System in Root Canals Obturated with Gutta-Percha Using Two Different Sealers and GuttaFlow

PubMed Central

Siotia, Jaya; Acharya, Shashi Rashmi; Gupta, Sunil Kumar

2011-01-01

Objective. To compare the efficacy of ProTaper retreatment files in removing three different obturating materials. Study Design. Forty-five human, single-rooted premolars were divided into three experimental groups. Group 1 was obturated with gutta-percha and AH Plus sealer, Group 2 was obturated with gutta-percha and zinc oxide eugenol sealer, and Group 3 was obturated with GuttaFlow. Retreatment was done using the ProTaper universal rotary retreatment files. Root halves were visualized using magnifying loops at 3X magnification and optical stereomicroscope at 10X magnification. Images were analyzed using AutoCAD 2004 software to calculate area of the remaining debris in the canal. For statistical analysis were used variance test and ANOVA. Results. Total debris/canal area ratio between the three groups showed a statistically significant difference (P < 0.001). Conclusion. ProTaper retreatment system did not produce completely clean canals in any of the groups. However, it had the best efficacy towards removing silicon based obturating material GuttaFlow. PMID:22114598

On the pattern of WAIS retreat in eastern Ross Sea based on a regional synthesis of new geophysical and geological data acquired during NBP1502

NASA Astrophysics Data System (ADS)

McGlannan, A. J.; Bart, P. J.; Anderson, J. B.

2016-02-01

New multibeam and seismic data acquired during NBP1502 reveal that a series of backstepping grounding zone wedges (GZWs) were constructed on the middle shelf as the West Antarctic Ice Sheet (WAIS) retreated from the Whales Deep paleo-ice stream trough. The geomorphological information provided by these geophysical data were used to acquire a regional grid of jumbo-piston and kasten cores. Here, we present our regional synthesis of the new geophysical and geological data. The distributions of upcore transitions from diamict to sub-ice-shelf facies on the outer-most shelf demonstrate that as the grounded ice retreated in four discrete backsteps, the calving front remained in the vicinity of the shelf edge, approximately 50 kilometers to the north. In contrast, the upcore transition at the fourth backstep shows GZW diamict directly overlain by open-marine facies. We interpret this to indicate that a major retreat of both grounded and floating ice was associated with the termination of the middle-shelf grounding event. The minimum retreat distance was greater than 100 kilometers.

Net retreat of Antarctic glacier grounding lines

NASA Astrophysics Data System (ADS)

Konrad, Hannes; Shepherd, Andrew; Gilbert, Lin; Hogg, Anna E.; McMillan, Malcolm; Muir, Alan; Slater, Thomas

2018-04-01

Grounding lines are a key indicator of ice-sheet instability, because changes in their position reflect imbalance with the surrounding ocean and affect the flow of inland ice. Although the grounding lines of several Antarctic glaciers have retreated rapidly due to ocean-driven melting, records are too scarce to assess the scale of the imbalance. Here, we combine satellite altimeter observations of ice-elevation change and measurements of ice geometry to track grounding-line movement around the entire continent, tripling the coverage of previous surveys. Between 2010 and 2016, 22%, 3% and 10% of surveyed grounding lines in West Antarctica, East Antarctica and at the Antarctic Peninsula retreated at rates faster than 25 m yr-1 (the typical pace since the Last Glacial Maximum) and the continent has lost 1,463 km2 ± 791 km2 of grounded-ice area. Although by far the fastest rates of retreat occurred in the Amundsen Sea sector, we show that the Pine Island Glacier grounding line has stabilized, probably as a consequence of abated ocean forcing. On average, Antarctica's fast-flowing ice streams retreat by 110 metres per metre of ice thinning.

The Timing of Arctic Sea Ice Advance and Retreat as an Indicator of Ice-Dependent Marine Mammal Habitat

NASA Astrophysics Data System (ADS)

Stern, H. L.; Laidre, K. L.

2013-12-01

The Arctic is widely recognized as the front line of climate change. Arctic air temperature is rising at twice the global average rate, and the sea-ice cover is shrinking and thinning, with total disappearance of summer sea ice projected to occur in a matter of decades. Arctic marine mammals such as polar bears, seals, walruses, belugas, narwhals, and bowhead whales depend on the sea-ice cover as an integral part of their existence. While the downward trend in sea-ice extent in a given month is an often-used metric for quantifying physical changes in the ice cover, it is not the most relevant measure for characterizing changes in the sea-ice habitat of marine mammals. Species that depend on sea ice are behaviorally tied to the annual retreat of sea ice in the spring and advance in the fall. Changes in the timing of the spring retreat and the fall advance are more relevant to Arctic marine species than changes in the areal sea-ice coverage in a particular month of the year. Many ecologically important regions of the Arctic are essentially ice-covered in winter and ice-free in summer, and will probably remain so for a long time into the future. But the dates of sea-ice retreat in spring and advance in fall are key indicators of climate change for ice-dependent marine mammals. We use daily sea-ice concentration data derived from satellite passive microwave sensors to calculate the dates of sea-ice retreat in spring and advance in fall in 12 regions of the Arctic for each year from 1979 through 2013. The regions include the peripheral seas around the Arctic Ocean (Beaufort, Chukchi, East Siberian, Laptev, Kara, Barents), the Canadian Arctic Archipelago, and the marginal seas (Okhotsk, Bering, East Greenland, Baffin Bay, Hudson Bay). We find that in 11 of the 12 regions (all except the Bering Sea), sea ice is retreating earlier in spring and advancing later in fall. Rates of spring retreat range from -5 to -8 days/decade, and rates of fall advance range from +5 to +9 days/decade, with steeper trends in the Barents Sea. Thus the season of sparse sea-ice coverage is lengthening by about 2 weeks/decade, or 6 weeks over the period of record. The trends in all 11 regions are statistically significant. The dates of sea-ice retreat in spring and advance in fall are negatively correlated: an early spring retreat tends to be followed by a late fall advance, and vice-versa. This is a manifestation of the ice-albedo feedback: with an early sea-ice retreat, the ocean has more time to absorb heat from the sun. The extra heat is stored in the upper ocean through the summer, and must be released to the atmosphere in the fall before sea ice can begin to form, thus delaying fall freeze-up. This relationship gives some predictive power to the date of fall sea-ice advance, given the date of spring retreat. Changes have been reported in the seasonal distribution of polar bears, walruses, seals, and whales in the Arctic. We are developing metrics for potential use by the U.S. National Climate Assessment based on the timing of sea-ice advance and retreat, to be used as indicators of ice-dependent marine mammal habitat. Future work will examine connections between the phenology of Arctic marine mammals and the sea-ice indicators.

Second complete remission in an elderly patient with acute myeloid leukemia retreated with decitabine.

PubMed

Cashen, Amanda F; Devine, Hollie; DiPersio, John

2006-07-01

A 67-year-old man with acute myeloid leukemia (AML) was treated with low-dose decitabine. He achieved a complete remission (CR) after two cycles of therapy, and he remained in remission during 1 year of treatment. He developed recurrent AML after discontinuation of decitabine. He was retreated with decitabine and again achieved a CR, which has been maintained for 6 months. This case demonstrates that durable responses can occur upon retreatment with decitabine.

Predicting early and sustained virological responses in prior nonresponders to pegylated interferon alpha-2b plus ribavirin retreated with peginterferon alpha-2a plus ribavirin and the benefit-risk ratio of retreatment.

PubMed

Marcellin, Patrick; Craxi, Antonio; Brandao-Mello, Carlos E; Di Bisceglie, Adrian M; Andreone, Pietro; Freilich, Bradley; Rajender Reddy, K; Olveira Martín, Antonio; Teuber, Gerlinde; Messinger, Diethelm; Hooper, Greg; Wat, Cynthia; Tatsch, Fernando; Jensen, Donald M

2013-10-01

To evaluate the predictive value of complete early virological response (cEVR) on sustained virological response (SVR) following retreatment with peginterferon alpha-2a (40 kDa) plus ribavirin in previous nonresponders to peginterferon alpha-2b (12 kDa). In the randomized multinational retreatment with Pegasys in patients not responding to PegIntron therapy study, a 72-week regimen of peginterferon alpha-2a (40 kDa) plus ribavirin improved SVR rates over a standard 48-week regimen in previous nonresponders to peginterferon alpha-2b (12 kDa). cEVR, defined as hepatitis C virus RNA <50 IU/mL at treatment week 12, was an important predictor of SVR. We conducted an exploratory analysis of the retreatment with Pegasys in patients not responding to PegIntron therapy study data to better define the predictive value of cEVR for SVR in this patient population. In total, 157 of the 942 patients achieved a cEVR (16.7%). SVR rates were higher with 72 versus 48 weeks of retreatment in patients with a cEVR (57% vs. 35%), whereas SVR rates were <5% in patients without cEVR in both groups. The relative adverse event (AE) burden was lower with 72 weeks of treatment (8.1 vs. 10.1 AEs/y of treatment) as was the estimated number of AEs per SVR achieved (55 vs. 100). Cumulative treatment duration required to achieve 1 SVR was lower with 72 weeks of treatment (6.7 vs. 10.0 y/SVR) and lower still assuming that treatment was stopped at week 12 for non-cEVR patients (3.6 vs. 7.1 y/SVR). cEVR is a reliable predictor of SVR in patients retreated with peginterferon alpha-2a (40 kDa) plus ribavirin. Seventy-two-week retreatment has a more favorable benefit-risk ratio than 48 weeks, especially when cEVR is used to identify patients most likely to be cured.

Evidence of marine ice-cliff instability in Pine Island Bay from iceberg-keel plough marks

NASA Astrophysics Data System (ADS)

Wise, Matthew G.; Dowdeswell, Julian A.; Jakobsson, Martin; Larter, Robert D.

2017-10-01

Marine ice-cliff instability (MICI) processes could accelerate future retreat of the Antarctic Ice Sheet if ice shelves that buttress grounding lines more than 800 metres below sea level are lost. The present-day grounding zones of the Pine Island and Thwaites glaciers in West Antarctica need to retreat only short distances before they reach extensive retrograde slopes. When grounding zones of glaciers retreat onto such slopes, theoretical considerations and modelling results indicate that the retreat becomes unstable (marine ice-sheet instability) and thus accelerates. It is thought that MICI is triggered when this retreat produces ice cliffs above the water line with heights approaching about 90 metres. However, observational evidence confirming the action of MICI has not previously been reported. Here we present observational evidence that rapid deglacial ice-sheet retreat into Pine Island Bay proceeded in a similar manner to that simulated in a recent modelling study, driven by MICI. Iceberg-keel plough marks on the sea-floor provide geological evidence of past and present iceberg morphology, keel depth and drift direction. From the planform shape and cross-sectional morphologies of iceberg-keel plough marks, we find that iceberg calving during the most recent deglaciation was not characterized by small numbers of large, tabular icebergs as is observed today, which would produce wide, flat-based plough marks or toothcomb-like multi-keeled plough marks. Instead, it was characterized by large numbers of smaller icebergs with V-shaped keels. Geological evidence of the form and water-depth distribution of the plough marks indicates calving-margin thicknesses equivalent to the threshold that is predicted to trigger ice-cliff structural collapse as a result of MICI. We infer rapid and sustained ice-sheet retreat driven by MICI, commencing around 12,300 years ago and terminating before about 11,200 years ago, which produced large numbers of icebergs smaller than the typical tabular icebergs produced today. Our findings demonstrate the effective operation of MICI in the past, and highlight its potential contribution to accelerated future retreat of the Antarctic Ice Sheet.

Integrative Intensive Retreats for Veteran Couples and Families: A Pilot Study Assessing Change in Relationship Adjustment, Posttraumatic Growth, and Trauma Symptoms.

PubMed

Monk, J Kale; Oseland, Lauren M; Nelson Goff, Briana S; Ogolsky, Brian G; Summers, Kali

2017-07-01

We assessed a brief, systemic retreat-style intervention that was developed to address concerns about the utilization of services for veterans coping with traumatic stress. A total of 76 dyads (N = 152) were assessed before and after a 4-day retreat, which included psychoeducation, group and conjoint therapeutic sessions, and recreational relaxation components. Overall, participants reported a reduction in trauma symptoms, but only support persons experienced a significant increase in posttraumatic growth from pretest to posttest. Both veterans and their romantic partners reported an increase in relationship adjustment after the retreat. Opportunities to address the needs of this population by removing barriers to treatment and reducing feelings of isolation, as well as implications for similar treatments are discussed. © 2017 American Association for Marriage and Family Therapy.

Comparison of retreatment ability of full-sequence reciprocating instrumentation and 360° rotary instrumentation.

PubMed

Capar, Ismail Davut; Gok, Tuba; Orhan, Ezgi

2015-12-01

The purpose of the present study was to investigate the amount of root canal filling material after root canal filling removal with 360° rotary instrumentation or reciprocating motion with the same file sequence. Root canals of the 36 mandibular premolars were shaped with ProTaper Universal instruments up to size F2 and filled with corresponding single gutta-percha cone and sealer. The teeth were assigned to two retreatment groups (n = 18): group 1 360° rotational motion and group 2 reciprocating motion of ATR Tecnika motors (1310° clockwise and 578° counterclockwise). Retreatment procedure was performed with ProTaper Universal retreatment files with a sequence of D1-3 and ProTaper Universal F3 instruments. Total time required to remove filling material were recorded. Remaining filling material was examined under stereomicroscope at ×8 magnification. The data were analysed statistically using the Mann-Whitney U test, and testing was performed at 95 % confidence level (p < 0.05). There were no significant differences between the groups (p > 0.05) in terms of remaining filling material. The total time required for retreatment was shorter in 360° rotational motion group compared to reciprocating motion group (p < 0.05). Both continuous rotation and reciprocating motion showed similar effectiveness in terms of root canal filling material removal. Using ProTaper Universal retreatment instruments with reciprocating motion of ATR motor and conventional rotary motion have similar efficacy in root canal filling removal.

A model ensemble for projecting multi‐decadal coastal cliff retreat during the 21st century

USGS Publications Warehouse

Limber, Patrick; Barnard, Patrick; Vitousek, Sean; Erikson, Li

2018-01-01

Sea cliff retreat rates are expected to accelerate with rising sea levels during the 21st century. Here we develop an approach for a multi‐model ensemble that efficiently projects time‐averaged sea cliff retreat over multi‐decadal time scales and large (>50 km) spatial scales. The ensemble consists of five simple 1‐D models adapted from the literature that relate sea cliff retreat to wave impacts, sea level rise (SLR), historical cliff behavior, and cross‐shore profile geometry. Ensemble predictions are based on Monte Carlo simulations of each individual model, which account for the uncertainty of model parameters. The consensus of the individual models also weights uncertainty, such that uncertainty is greater when predictions from different models do not agree. A calibrated, but unvalidated, ensemble was applied to the 475 km‐long coastline of Southern California (USA), with 4 SLR scenarios of 0.5, 0.93, 1.5, and 2 m by 2100. Results suggest that future retreat rates could increase relative to mean historical rates by more than two‐fold for the higher SLR scenarios, causing an average total land loss of 19 – 41 m by 2100. However, model uncertainty ranges from +/‐ 5 – 15 m, reflecting the inherent difficulties of projecting cliff retreat over multiple decades. To enhance ensemble performance, future work could include weighting each model by its skill in matching observations in different morphological settings

Comparative evaluation of cyclic fatigue resistance of D-RaCe and ProTaper retreatment instruments in curved artificial canals.

PubMed

Topçuoğlu, H S; Topçuoğlu, G; Aktı, A

2016-06-01

To compare the cyclic fatigue resistance of D-RaCe and ProTaper rotary nickel-titanium (NiTi) retreatment files when used in curved artificial canals. A total of 120 new D-RaCe DR2 and ProTaper D3 retreatment files were tested in stainless steel artificial canals having 45° and 60° angles of curvature. Thirty instruments of each of the file systems were tested in both angles of curvature (n = 30). The retreatment instruments were rotated until fracture to calculate the number of cycles to failure. The length of each fractured fragment was recorded. Data were analysed by independent sample t-test. Fractured surfaces of the instruments were analysed by scanning electron microscopy. In the canal with 45° angle of curvature, no significant difference was observed between the retreatment systems (P > 0.05); on the other hand, in the canal with 60° angle of curvature, D-RaCe DR2 instruments had greater cyclic fatigue resistance than ProTaper D3 (P < 0.05). No difference was observed between the retreatment instruments regarding the lengths of fractured fragments (P > 0.05). The fracture surfaces of the instruments had morphologic characteristics of ductile fracture. D-RaCe DR2 instrument exhibited greater cyclic fatigue resistance than ProTaper D3 only in root canals with 60° angle of curvature. © 2015 International Endodontic Journal. Published by John Wiley & Sons Ltd.

Linking Backbarrier Lacustrine Stratigraphy with Spatial Dynamics of Shoreline Retreat in a Rapidly Subsiding Region of the Mississippi River Delta

NASA Astrophysics Data System (ADS)

Dietz, M.; Liu, K. B.; Bianchette, T. A.; Yao, Q.

2017-12-01

The shoreline along the northern Gulf of Mexico is rapidly retreating as coastal features of abandoned Mississippi River delta complexes erode and subside. Bay Champagne is located in the Caminada-Moreau headland, a region of shoreline west of the currently active delta that has one of the highest rates of retreat and land loss. As a result, this site has transitioned from a stable, circular inland lake several kilometers from the shore to a frequently perturbed, semi-circular backbarrier lagoon, making it ideal to study the environmental effects of progressive land loss. Analyses of clastic layers in a series of sediment cores collected at this site over the past decade indicate the lake was less perturbed in the past and has become increasingly more sensitive to marine incursion events caused by tropical cyclones. Geochemical and pollen analyses of these cores also reveal profound changes in environmental and chemical conditions in Bay Champagne over the past century as the shoreline has retreated. Through relating stratigraphy to spatial changes observed from satellite imagery, this study attempts to identify the tipping point at which Bay Champagne began the transition from an inland lake to a backbarrier environment, and to determine the rate at which this transition occurred. Results will be used to develop a model of the environmental transition experienced by a rapidly retreating coastline and to predict how other regions of the Mississippi River deltaic system could respond to future shoreline retreat.

Orthograde endodontic retreatment of teeth with individual cast posts: report of two cases.

PubMed

Ramić, Bojana; Stojanac, Igor; Premović, Milica; Drobac, Milan; Petrović, Ljubomir

2012-01-01

The failure of primary endodontic treatment is manifested by various clinical symptoms following endodontic therapy or, more frequently, by the development of chronic inflammatory process in the apex region without any subjective symptoms. In case of unfavorable outcome of the primary endodontic treatment, orthograde endodontic retreatment is the method of choice for a prolonged therapy. Two female patients, 47 and 44 years old, were presented at the Dental Clinic of Vojvodina for endodontic retreatment of teeth 22, 23 and 13, within the repeated prosthetic restoration. Intraradicular individual cast posts were removed using ultrasonic instruments. Remains of gutta-percha were removed by engine driven rotary re-treatment files, root canals were shaped and cleaned using the crown-down technique, and obturated with gutta-percha and epoxy-resin-based sealer using the lateral compaction technique. When there are metal posts or broken instruments in the root canal, the use of ultrasonic instruments is considered a safe method characterized by negligible tooth substance loss and minimal root damage causing fractures and perforations, and the entire procedure is effective and predictable. Non-surgical orthograde endodontic retreatment, when properly performed in accessible and penetrable root canals, achieves a high cure rate, good and lasting results and eliminates the need for radical procedures, such as apical surgery or tooth extraction. When nonsurgical endodontic retreatment is done, treated teeth must be restored by full coronal coverage as soon as possible, to prevent coronal leakage or fracture.

The Comparative Efficacy of Different Files in The Removal of Different Sealers in Simulated Root Canal Retreatment- An In-vitro Study.

PubMed

Kanaparthy, Aruna; Kanaparthy, Rosaiah

2016-05-01

Root canal treatment enjoys a high success rate all over the world and has saved billions of teeth from extraction. However, there are instances of failure, the main causes being insufficient cleaning and inadequate obturation. In such cases the most conservative treatment option would be non-surgical retreatment. It requires regaining access to the entire root canal system through removal of the original root canal filling thus permitting further cleaning and re- obturation. Removal of gutta-percha and sealer becomes a critical step to gain access to the root canal system, remove necrotic tissue debris, bacteria and infected dentin. To compare and evaluate the efficacy of manual hand Hedstrom files and two rotary retreatment file systems ProTaper Universal retreatment files and Mtwo(R) (retreatment) files in the removal of root canal filling material during root canal retreatment and the influence of the type of sealers zinc oxide eugenol and AH plus on the presence of remaining debris in the reinstrumented canals in the apical, middle and coronal third. Sixty single rooted human premolar teeth were divided into 3 Groups of 20 teeth each Group I (20 Teeth): prepared using hand K Files, Group II (20 Teeth): prepared using ProTaper rotary system and Group III (20 Teeth): prepared using Mtwo rotary system. In Groups- IA, IIA, IIIA: (10 teeth each) Obturation was done using Zinc Oxide Eugenol sealer and gutta percha. In Groups- IB, IIB, IIIB: (10 teeth each) obturation was done with AH Plus sealer and gutta percha. All the teeth were subjected to retreatment. Groups IA and IB with Hedstrom files, Groups IIA and IIB with ProTaper retreatment files and for Groups IIIA and IIIB with Mtwo retreatment Files. The roots were longitudinally split and were observed under a stereomicroscope for remaining amount of filling material on the canal walls. Statistical analysis was done using One-way ANOVA (Analysis of variance) test and Tukey HSD Test. Mtwo(R) files showed statistically significant difference in the removal of filling material in the apical third and ProTaper R in the coronal and apical thirds. Better cleaning efficacy was seen in canals obturated with zinc oxide eugenol sealer. Mtwo(R) files showed better removal of filling material than ProTaper R followed by Hedstrom files, even though there was no statistically significant difference. None of the instrument group showed complete removal of the filling material. It was easier to remove zinc oxide eugenol sealer than AH plus sealer.

Optical Coherence Tomography Monitoring Strategies for A-VEGF—Treated Age-Related Macular Degeneration: An Evidence-Based Analysis

PubMed Central

Pron, G

2014-01-01

Background New anti-angiogenesis pharmacotherapies have dramatically altered treatment of age-related macular degeneration (AMD), the leading cause of blindness in older adults. Monthly intraocular injections however, are extremely burdensome to ophthalmologists, patients, and their families. Repeated injections also increase risks of complications or adverse events. Although the pharmacokinetics of anti–vascular endothelial growth factor (A-VEGF) drugs are fairly well known, an individuals’ AMD presentation and their pharmacodynamics or response to the drug has been shown to be extremely variable. Therefore treating everyone on the same fixed or standard regimen has potential for undertreating or overtreating patients, and drug costs are not trivial. Objectives To review monitoring strategies and to evaluate the role of optical coherence tomography (OCT) in guiding management of A-VEGF–treated neovascular AMD (n-AMD) patients. Data Sources Systematic reviews of biographic databases for studies published between 2008 and February 2013 involving A-VEGF–treated n-AMD patients monitored in longitudinal follow-up. Review Methods Studies were grouped according to varying treatments, monitoring schedules, and re-treatment protocols reported for n-AMD patients treated with A-VEGF. Several outcomes were evaluated across strategies including visual acuity (VA), retinal anatomy, re-treatment criteria and frequencies of clinical follow-up, OCT imaging investigations, and intravitreal injections. Results were summarized qualitatively, as heterogeneity in study objectives and methods precluded formal meta-analysis. Results A systematic review identified 18 randomized controlled trials (RCTs) and 20 observational studies involving A-VEGF treatment employing various monitoring and as-needed (PRN) re-treatment protocols. Several maintenance strategies were unsuccessful, resulting in lower VA gains and stabilization than monthly injections in A-VEGF–treated n-AMD. These included fixed quarterly treatment; fixed quarterly monitoring and PRN re-treatment; and monthly monitoring with either VA-guided re-treatment or quantitative-only VA/OCT- (central retinal thickness [CRT] > 100 μm) guided re-treatment. PRN re-treatment strategies with A-VEGF on the basis of monthly follow-up and rigorous reviews of OCT qualitative and quantitative measures of disease activity did decrease injection burden while maintaining visual gains. Gains in VA obtained with PRN re-treatment in usual clinical practice, however, were not as high as gains in clinical trials. Conclusions To reduce treatment burden and provide a more individualized treatment strategy for n-AMD patients, OCT/VA-guided PRN treatment strategies have become the preferred and the dominant maintenance strategy. Success of these strategies, however, is dependent on close monitoring and adherence to tightly defined re-treatment criteria. PMID:26316918

Optical Coherence Tomography Monitoring Strategies for A-VEGF-Treated Age-Related Macular Degeneration: An Evidence-Based Analysis.

PubMed

Pron, G

2014-01-01

New anti-angiogenesis pharmacotherapies have dramatically altered treatment of age-related macular degeneration (AMD), the leading cause of blindness in older adults. Monthly intraocular injections however, are extremely burdensome to ophthalmologists, patients, and their families. Repeated injections also increase risks of complications or adverse events. Although the pharmacokinetics of anti-vascular endothelial growth factor (A-VEGF) drugs are fairly well known, an individuals' AMD presentation and their pharmacodynamics or response to the drug has been shown to be extremely variable. Therefore treating everyone on the same fixed or standard regimen has potential for undertreating or overtreating patients, and drug costs are not trivial. To review monitoring strategies and to evaluate the role of optical coherence tomography (OCT) in guiding management of A-VEGF-treated neovascular AMD (n-AMD) patients. Systematic reviews of biographic databases for studies published between 2008 and February 2013 involving A-VEGF-treated n-AMD patients monitored in longitudinal follow-up. Studies were grouped according to varying treatments, monitoring schedules, and re-treatment protocols reported for n-AMD patients treated with A-VEGF. Several outcomes were evaluated across strategies including visual acuity (VA), retinal anatomy, re-treatment criteria and frequencies of clinical follow-up, OCT imaging investigations, and intravitreal injections. Results were summarized qualitatively, as heterogeneity in study objectives and methods precluded formal meta-analysis. A systematic review identified 18 randomized controlled trials (RCTs) and 20 observational studies involving A-VEGF treatment employing various monitoring and as-needed (PRN) re-treatment protocols. Several maintenance strategies were unsuccessful, resulting in lower VA gains and stabilization than monthly injections in A-VEGF-treated n-AMD. These included fixed quarterly treatment; fixed quarterly monitoring and PRN re-treatment; and monthly monitoring with either VA-guided re-treatment or quantitative-only VA/OCT- (central retinal thickness [CRT] > 100 μm) guided re-treatment. PRN re-treatment strategies with A-VEGF on the basis of monthly follow-up and rigorous reviews of OCT qualitative and quantitative measures of disease activity did decrease injection burden while maintaining visual gains. Gains in VA obtained with PRN re-treatment in usual clinical practice, however, were not as high as gains in clinical trials. To reduce treatment burden and provide a more individualized treatment strategy for n-AMD patients, OCT/VA-guided PRN treatment strategies have become the preferred and the dominant maintenance strategy. Success of these strategies, however, is dependent on close monitoring and adherence to tightly defined re-treatment criteria.

Rituximab Retreatment for Low-Tumor Burden Follicular Lymphoma

Cancer.gov

A summary of results from a randomized clinical trial of patients with low–tumor burden follicular lymphoma that compared maintenance therapy with rituximab versus retreatment with rituximab only when there was evidence of disease progression.

Prevalence of the middle mesial canal in non surgical root canal treated mandibular first and second molars in a local military population

DTIC Science & Technology

2016-06-13

unless the clinician is careful to identify it. Missing this canal can contribute to a sequelae of persistent disease that may require the retreatment of...likelihood of finding MM canals. This is likely due to the fact that root canal retreatments are done on an older patient at a higher rate in the...canal. However, missing a canal can lead to continued pain and discomfort to the patient and other sequelae that may require nonsurgical retreatment

Slab Roll-Back and Trench Retreat As Controlling Factor for Island-Arc Related Basin Evolution: A Case Study from Southern Central America

NASA Astrophysics Data System (ADS)

Brandes, C.; Winsemann, J.

2014-12-01

Slab roll-back and trench retreat are important factors for basin subsidence, magma generation and volcanism in arc-trench systems. From the sedimentary and tectonic record of the Central American island-arc it is evident that repeated slab roll-back and trench retreats occurred since the Late Cretaceous. These trench retreats were most probably related to the subduction of oceanic plateaus and seamounts. Evidence for trench retreats is given by pulses of uplift in the outer-arc area, followed by subsidence in both the fore-arc and back-arc basins. The first slab roll-back probably occurred during the Early Paleocene indicated by the collapse of carbonate platforms, and the re-deposition of large carbonate blocks into deep-water turbidites. At this time the island-arc was transformed from an incipient non-extensional stage into an extensional stage. A new pulse of uplift or decreased subsidence, respectively during the Late Eocene is attributed to subduction of rough crust, a subsequent slab detachment and the establishment of a new subduction zone further westward. Strong uplift especially affected the outer arc of the North Costa Rican arc segment. In the Sandino Fore-arc basin very coarse-grained deep-water channel-levee complexes were deposited. These deposits contain large well-rounded andesitic boulders and are rich in reworked shallow-water carbonates pointing to uplift of the inner fore-arc. Evidence for the subsequent trench retreat is given by an increased subsidence during the early Oligocene in the Sandino Fore-arc Basin and the collapse of the Barra Honda platform in North Costa Rica. Another trench retreat might have occurred in Miocene times. A phase of higher subsidence from 18 to 13 Ma is documented in the geohistory curve of the North Limon Back-arc Basin. After a short pulse of uplift the subsidence increased to approx. 300 m/myr.

Evaluation of debris extruded apically during the removal of root canal filling material using ProTaper, D-RaCe, and R-Endo rotary nickel-titanium retreatment instruments and hand files.

PubMed

Topçuoğlu, Hüseyin Sinan; Aktı, Ahmet; Tuncay, Öznur; Dinçer, Asiye Nur; Düzgün, Salih; Topçuoğlu, Gamze

2014-12-01

The aim of this study was to evaluate the amount of debris extruded apically during the removal of root canal filling material using ProTaper (Dentsply Maillefer, Ballaigues, Switzerland), D-RaCe (FKG Dentaire, La Chaux-de-Fonds, Switzerland), and R-Endo (Micro-Mega, Besançon, France) nickel-titanium (NiTi) rotary retreatment instruments and hand files. Sixty extracted single-rooted mandibular premolar teeth were prepared with K-files and filled with gutta-percha and AH Plus sealer (Dentsply DeTrey, Konstanz, Germany). The teeth were then randomly assigned to 4 groups (n = 15 for each group) for retreatment. The removal of canal filling material was performed as follows: hand files, ProTaper, D-RaCe, and R-Endo retreatment instruments. Debris extruded apically during the removal of canal filling material was collected into preweighed Eppendorf tubes. The tubes were then stored in an incubator at 70°C for 5 days. The weight of the dry extruded debris was established by subtracting the preretreatment and postretreatment weight of the Eppendorf tubes for each group. The data obtained were analyzed using 1-way analysis of variance and Tukey post hoc tests. All retreatment techniques caused the apical extrusion of debris. Hand files produced significantly more debris when compared with ProTaper, D-RaCe, and R-Endo rotary systems (P < .05). There was no statistical difference between the ProTaper, D-RaCe, and R-Endo retreatment systems (P > .05). The findings showed that during the removal of root canal filling material, rotary NiTi retreatment instruments used in this study caused less apical extrusion of debris compared with hand files. Copyright © 2014 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Steroid injection and needle aponeurotomy for Dupuytren disease: long-term follow-up of a randomized controlled trial.

PubMed

McMillan, Catherine; Binhammer, Paul

2014-10-01

To compare long-term outcomes and retreatment rates for patients with Dupuytren disease who underwent needle aponeurotomy (NA) combined with a series of triamcinolone acetonide injections or underwent NA alone as part of a prior randomized controlled trial. During this follow-up study, 44 of 47 participants in the original study were examined as needed between 6 and 53 months from their initial procedure. Those who had not been reassessed within 18 months of the original NA were asked to return for follow-up. The average total active extension deficit (TAED) of previously treated joints was compared between groups 7 to 12, 13 to 24, 25 to 36, and 37 to 48 months following treatment. Timing of retreatment (if performed) was recorded. Forty-four participants returned for assessment an average of 4.8 times over 53 months. Mean TAED was significantly less in needle aponeurotomy triamcinolone injection patients at 6 months and between 13 and 24 months. Sixty-two percent of NA group patients and 30% of needle aponeurotomy triamcinolone injection patients returned for a second treatment on the same digit(s) (retreatment). This difference was not significant. Mean time to retreatment and mean TAED immediately prior to retreatment did not differ significantly between groups. Kaplan-Meier survival estimates demonstrated a significantly higher percentage of NA group patients expected to return for retreatment by 24 but not by 36 months. Younger age, more than one joint treated at the initial NA, and TAED severity throughout the follow-up period were associated with earlier retreatment. Serial triamcinolone injections combined with NA was associated with lower TAED for up to 24 months. A larger study would more accurately quantify the potential benefits of combining triamcinolone injections with NA for treatment of Dupuytren disease. Therapeutic III. Copyright © 2014 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

Hillslope failure and paraglacial reworking of sediments in response to glacier retreat, Fox Valley, New Zealand.

NASA Astrophysics Data System (ADS)

McColl, Samuel T.; Fuller, Ian C.; Anderson, Brian; Tate, Rosie

2017-04-01

Climate and glacier fluctuations influence sediment supply to glacier forelands, which in turn influences down-valley hazards to infrastructure and tourism within glacier forelands. At Fox Glacier, one of New Zealand's most iconic and popular glaciers, rapid retreat has initiated a range of hillslope and valley floor responses, that present a cascade of hazards and changes that need to be carefully managed. Fox Glacier has retreated many kilometres historically, with 2.6 km of retreat since the mid-20th century, and a phase of rapid retreat of 50-340 m per year since 2009. To study the system response to past and ongoing glacial retreat at the Fox valley, morphological changes are being observed using time-lapse photography and the annual collection of high-resolution digital elevation models (DEMs) and orthophoto mosaics. The DEMs are being produced using Structure from Motion photogrammetry from UAV/RPAS and helicopter platforms, and are being used, along with manual ground surveying, to produce ground surface change models (DoDs; DEMs of Difference) and sediment budgets for the valley. Results from time-lapse photography and DoDs show that glacial retreat has initiated destabilisation and (mostly chronic) mass movement of surficial glacial sediments on the valley slopes near the glacier terminus. Alluvial fans farther down valley are actively growing, reworking glacial and landslide sediments from tributary catchments. These paraglacial sediments being delivered to the proglacial river from the glacier terminus and alluvial fans are driving aggradation of the valley floor of decimetres to metres per year and maintaining a highly dynamic braid plain. Valley floor changes also include the melting of buried dead ice, which are causing localised subsidence at the carpark and one of the alluvial fans. The unstable slopes and active debris fans, aggrading and highly active river channel, ground subsidence, add to the spectacle but also the hazards of the Fox valley, and require constant attention from land managers and tourism providers.

Forecasting sea cliff retreat in Southern California using process-based models and artificial neural networks

NASA Astrophysics Data System (ADS)

Limber, P. W.; Barnard, P.; Erikson, L. H.

2016-02-01

Modeling coastal geomorphic change over multi-decadal time and regional spatial scales (i.e. >20 km alongshore) is in high demand due to rising global sea levels and heavily populated coastal zones, but is challenging for several reasons: adequate geomorphic and oceanographic data often does not exist over the entire study area or time period; models can be too computationally expensive; and model uncertainty is high. In the absence of rich datasets and unlimited computer processing power, researchers are forced to leverage existing data, however sparse, and find analytical methods that minimize computation time without sacrificing (too much) model reliability. Machine learning techniques, such as artificial neural networks, can assimilate and efficiently extrapolate geomorphic model behavior over large areas. They can also facilitate ensemble model forecasts over a broad range of parameter space, which is useful when a paucity of observational data inhibits the constraint of model parameters. Here, we assimilate the behavior of two established process-based sea cliff erosion and retreat models into a neural network to forecast the impacts of sea level rise on sea cliff retreat in Southern California ( 400 km) through the 21st century. Using inputs such as historical cliff retreat rates, mean wave power, and whether or not a beach is present, the neural network independently reproduces modeled sea cliff retreat as a function of sea level rise with a high degree of confidence (R2 > 0.9, mean squared error < 0.1 m yr-1). Results will continuously improve as more model scenarios are assimilated into the neural network, and more field data (i.e., cliff composition and rock hardness) becomes available to tune the cliff retreat models. Preliminary results suggest that sea level rise rates of 2 to 20 mm yr-1 during the next century could accelerate historical cliff retreat rates in Southern California by an average of 0.10 - 0.56 m yr-1.

Significance of definitions of relapse after discontinuation of oral antivirals in HBeAg-negative chronic hepatitis B.

PubMed

Papatheodoridis, George V; Manolakopoulos, Spilios; Su, Tung-Hung; Siakavellas, Spyros; Liu, Chun-Jen; Kourikou, Anastasia; Yang, Hung-Chih; Kao, Jia-Horng

2017-08-31

Relapses are observed in most hepatitis B e antigen (HBeAg)-negative chronic hepatitis B patients who discontinue treatment with nucleos(t)ide analogues (NAs); however, the rates of relapse vary widely among studies, and whether all patients with relapse need retreatment is unclear. The aim of this study was to assess the impact of different definitions on the rates of posttreatment relapse and therefore on the probability of retreatment in patients who have discontinued effective long-term NA therapy. In total, 130 HBeAg-negative chronic hepatitis B patients without cirrhosis and before NA treatment were included. All had on-therapy virological remission for ≥24 months and close follow-up for ≥12 months after stopping NA treatment or until retreatment, which started on stringent predefined criteria. Relapses rates based on several predetermined definitions of virological and perhaps biochemical criteria were assessed. The median duration of therapy was 60 months and the median duration of on-therapy virological remission was 43 months. During a median off-NAs follow-up of 15 months, no patient experienced liver decompensation or died. Cumulative relapse rates were 2%-49%, 4%-73%, 11%-82%, and 16%-90% at 3, 6, 12, and 24 months, respectively, whereas cumulative retreatment rates were 15%, 22%, and 40% at 6, 12, and 24 months, respectively, after discontinuation of NA therapy. No patient characteristic was independently associated with the probability of relapse based on at least two definitions or of retreatment. In HBeAg-negative chronic hepatitis B patients who discontinue NA therapy, the definition of relapse has a great impact on off-NAs relapse rates and potentially on the probability of retreatment. Regardless of definition, off-NAs relapses cannot be easily predicted by patient characteristics. A substantial proportion of such patients may not require retreatment if stringent criteria are adopted. (Hepatology 2017). © 2017 by the American Association for the Study of Liver Diseases.

Costs and effectiveness of fingolimod versus alemtuzumab in the treatment of highly active relapsing-remitting multiple sclerosis in the UK: re-treatment, discount, and disutility.

PubMed

Montgomery, Stephen M; Kusel, Jeanette; Nicholas, Richard; Adlard, Nicholas

2017-09-01

Patients with relapsing-remitting multiple sclerosis (RRMS) treated with disease modifying therapies (DMTs) who continue to experience disease activity may be considered for escalation therapies such as fingolimod, or may be considered for alemtuzumab. Previous economic modeling used Markov models; applying one alternative technique, discrete event simulation (DES) modeling, allows re-treatment and long-term adverse events (AEs) to be included in the analysis. A DES was adapted to model relapse-triggered re-treatment with alemtuzumab and the effect of including ongoing quality-adjusted life year (QALY) decrements for AEs that extend beyond previous 1-year Markov cycles. As the price to the NHS of fingolimod in the UK is unknown, due to a confidential patient access scheme (PAS), a variety of possible discounts were tested. The interaction of re-treatment assumptions for alemtuzumab with the possible discounts for fingolimod was tested to determine which DMT resulted in lower lifetime costs. The lifetime QALY results were derived from modeled treatment effect and short- and long-term AEs. Most permutations of fingolimod PAS discount and alemtuzumab re-treatment rate resulted in fingolimod being less costly than alemtuzumab. As the percentage of patients who are re-treated with alemtuzumab due to experiencing a relapse approaches 100% of those who relapse whilst on treatment, the discount required for fingolimod to be less costly drops below 5%. Consideration of treatment effect alone found alemtuzumab generated 0.2 more QALYs/patient; the inclusion of AEs up to a duration of 1 year reduced this advantage to only 0.14 QALYs/patient. Modeling AEs with a lifetime QALY decrement found that both DMTs generated very similar QALYs with the difference only 0.04 QALYs/patient. When the model captured alemtuzumab re-treatment and long-term AE decrements, it was found that fingolimod is cost-effective compared to alemtuzumab, assuming application of only a modest level of confidential PAS discount.

Modelling river bank retreat by combining fluvial erosion, seepage and mass failure

NASA Astrophysics Data System (ADS)

Dapporto, S.; Rinaldi, M.

2003-04-01

Streambank erosion processes contribute significantly to the sediment yielded from a river system and represent an important issue in the contexts of soil degradation and river management. Bank retreat is controlled by a complex interaction of hydrologic, geotechnical, and hydraulic processes. The capability of modelling these different components allows for a full reconstruction and comprehension of the causes and rates of bank erosion. River bank retreat during a single flow event has been modelled by combining simulation of fluvial erosion, seepage, and mass failures. The study site, along the Sieve River (Central Italy), has been subject to extensive researches, including monitoring of pore water pressures for a period of 4 years. The simulation reconstructs fairly faithfully the observed changes, and is used to: a) test the potentiality and discuss advantages and limitations of such type of methodology for modelling bank retreat; c) quantify the contribution and mutual role of the different processes determining bank retreat. The hydrograph of the event is divided in a series of time steps. Modelling of the riverbank retreat includes for each step the following components: a) fluvial erosion and consequent changes in bank geometry; b) finite element seepage analysis; c) stability analysis by limit equilibrium method. Direct fluvial shear erosion is computed using empirically derived relationships expressing lateral erosion rate as a function of the excess of shear stress to the critical entrainment value for the different materials along the bank profile. Lateral erosion rate has been calibrated on the basis of the total bank retreat measured by digital terrestrial photogrammetry. Finite element seepage analysis is then conducted to reconstruct the saturated and unsaturated flow within the bank and the pore water pressure distribution for each time step. The safety factor for mass failures is then computed, using the pore water pressure distribution obtained by the seepage analysis, and the geometry of the upper bank is modified in case of failure.

USEPA PATHOGEN EQUIVALENCY COMMITTEE RETREAT

EPA Science Inventory

The Pathogen Equivalency Committee held its retreat from September 20-21, 2005 at Hueston Woods State Park in College Corner, Ohio. This presentation will update the PEC’s membership on emerging pathogens, analytical methods, disinfection techniques, risk analysis, preparat...

Bedrock Erosion Surfaces Record Former East Antarctic Ice Sheet Extent

NASA Astrophysics Data System (ADS)

Paxman, Guy J. G.; Jamieson, Stewart S. R.; Ferraccioli, Fausto; Bentley, Michael J.; Ross, Neil; Armadillo, Egidio; Gasson, Edward G. W.; Leitchenkov, German; DeConto, Robert M.

2018-05-01

East Antarctica hosts large subglacial basins into which the East Antarctic Ice Sheet (EAIS) likely retreated during past warmer climates. However, the extent of retreat remains poorly constrained, making quantifying past and predicted future contributions to global sea level rise from these marine basins challenging. Geomorphological analysis and flexural modeling within the Wilkes Subglacial Basin are used to reconstruct the ice margin during warm intervals of the Oligocene-Miocene. Flat-lying bedrock plateaus are indicative of an ice sheet margin positioned >400-500 km inland of the modern grounding zone for extended periods of the Oligocene-Miocene, equivalent to a 2-m rise in global sea level. Our findings imply that if major EAIS retreat occurs in the future, isostatic rebound will enable the plateau surfaces to act as seeding points for extensive ice rises, thus limiting extensive ice margin retreat of the scale seen during the early EAIS.

Successful retreatment with sofosbuvir plus ledipasvir for cirrhotic patients with hepatitis C virus genotype 1b, who discontinued the prior treatment with asunaprevir plus daclatasvir: A case series and review of the literature

PubMed Central

Haga, Yuki; Kanda, Tatsuo; Yasui, Shin; Nakamura, Masato; Ooka, Yoshihiko; Takahashi, Koji; Wu, Shuang; Nakamoto, Shingo; Arai, Makoto; Chiba, Tetsuhiro; Maruyama, Hitoshi; Yokosuka, Osamu; Takada, Nobuo; Moriyama, Mitsuhiko; Imazeki, Fumio; Kato, Naoya

2018-01-01

Background Interferon-free treatment results in higher sustained virologic response (SVR) rates, with no serious adverse events in hepatitis C virus (HCV)-infected patients. However, in some patients with treatment-failure in HCV NS5A inhibitor-including interferon-free regimens, the treatment-emergent HCV NS5A resistance-associated variants (RAVs), which are resistant to interferon-free retreatment including HCV NS5A inhibitors, are observed. In HCV-infected Japanese patients with daclatasvir and asunaprevir treatment failure, retreatment with sofosbuvir and ledipasvir could lead to only ∼70% SVR rates. Case summary Three HCV genotype (GT)-1b-infected cirrhotic patients who discontinued the combination of daclatasvir and asunaprevir due to adverse drug reactions within 4 weeks; retreatment with sofosbuvir and ledipasvir combination could result in SVR in these patients without RAVs. One HCV GT-1b-infected cirrhotic patient who discontinued the combination of daclatasvir and asunaprevir due to viral breakthrough at week 10; retreatment with sofosbuvir and ledipasvir combination for this patient with the treatment-emergent HCV NS5A RAV-Y93H resulted in viral relapse at week 4 after the end of the treatment. Conclusion Retreatment with sofosbuvir and ledipasvir is effective for HCV GT-1b patients who discontinue the combination of daclatasvir and asunaprevir within 4 weeks. The treatment response should be related to the existence of treatment-emergent HCV NS5A RAVs, but may not be related to the short duration of treatment. PMID:29435197

Patient satisfaction and regret with decision differ between outcomes in the composite definition of success after reconstructive surgery.

PubMed

Khoder, Waseem; Hom, Emily; Guanzon, Anna; Rose, Sarah; Hale, Douglass; Heit, Michael

2017-04-01

To evaluate patient satisfaction and regret with their decision for reconstructive surgery, and determine if they valued each item equally in the composite definition of success after making the decision for surgery. A list was created including all patients who underwent laparoscopic sacral colpopexy or laparoscopic uterosacrocolpopexy. Patients were placed in mutually exclusive outcome categories (retreatment, symptomatic failure, anatomic failure, and surgical success). Retreatment included any postoperative treatment for urinary incontinence, pelvic organ prolapse including pessary use, or surgery for mesh complications. The validated modified Decision Regret Scale (DRS) and the Satisfaction Decision Scale (SDS) questionnaires were administered by telephone. Higher DRS scores indicate greater regret and higher SDS scores indicate greater satisfaction with the decision for surgery. Of 715 patients, 197 were successfully contacted by telephone following reconstructive surgery and surveyed as study participants. Composite surgical outcomes were available for 150. Information on the need for retreatment was available for all the study participants. Surgery was successful in 101 (67.3 %) of the study participants. Anatomic failure occurred in 14, symptomatic failure occurred in 10, and retreatment was required in 25 of the study participants. Overall, the study participants were more satisfied than regretful with their decision for reconstructive surgery. Regret and satisfaction with their decision differed between outcomes in the composite definition of success after reconstructive surgery. Surgeons and patients should focus on retreatment rates during preoperative outcome discussions because retreatment will result in the least satisfaction and greatest regret with the decision for reconstructive surgery.

76 FR 7860 - Proposed Data Collections Submitted for Public Comment and Recommendations

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-11

... professionals......... CBIT pre-post 500 2 3/60 50 test. Health professionals......... Physician Retreat 50 2 3/60 5 pre-post test. Health professionals......... Physician 30 1 2/60 1 Training Retreat follow up...

Efficacy of the retreatment of hepatitis C virus infections after liver transplantation: role of an aggressive approach.

PubMed

Berenguer, Marina; Roche, Bruno; Aguilera, Victoria; Duclos-Vallée, Jean-Charles; Navarro, Laia; Rubín, Angel; Pons, Jose-Antonio; de la Mata, Manuel; Prieto, Martín; Samuel, Didier

2013-01-01

A sustained virological response (SVR) is achieved by 30% of naive liver transplantation (LT) recipients treated with pegylated interferon (PEG-IFN) and ribavirin (RBV). Almost no data are available about retreatment. The aim of this study was to assess the efficacy, tolerability, and SVR predictors of retreatment. Data were collected from 4 centers on the retreatment of prior nonresponders to standard therapy or PEG-IFN (with or without RBV) and relapsers. Seventy-nine of 301 treatment-experienced LT patients (26%), who had a median age of 59 years (range = 35-77 years) and were mostly male (72%) and infected with genotype 1 (87%), were retreated with PEG-IFN and RBV at a median of 6.9 years after LT. During the first course of therapy, 35% were treated with interferon, 49% received tacrolimus, 52% received steroids, and 49.5% were relapsers. Retreatment was started at a median of 1.9 years (range = 45 days to 8.2 years) after the end of the first course. The proportion of patients with cirrhosis increased from 10% to 37% (P < 0.001). In addition, in retreated patients, full initial RBV doses (P = 0.03), growth factors [erythropoietin (P < 0.001) and granulocyte colony-stimulating factor (P = 0.048)], and transfusions (P = 0.03) were used more frequently, and the treatment duration was longer (P = 0.03). An end-of-treatment response was achieved in 61%, whereas SVR, which was associated with improved survival, occurred in 28 (35%). The variables predicting SVR were age (P = 0.04), disease severity [fibrosis (50% with F0-F2 versus 26% with F3-4), P = 0.03; bilirubin, P = 0.006; platelet count, P = 0.03], adherence, and viral kinetics. None of the patients without an early virological response achieved SVR. There was a trend of prior relapsers achieving higher SVR rates than prior nonresponders. In conclusion, SVR, which was achieved by approximately one-third of the retreated patients, can be predicted with the same variables used for naive LT recipients (age, disease severity, adherence, and viral kinetics) and is associated with enhanced survival. Copyright © 2012 American Association for the Study of Liver Diseases.

Survival follow-up and ipilimumab retreatment of patients with advanced melanoma who received ipilimumab in prior phase II studies

PubMed Central

Lebbé, C.; Weber, J. S.; Maio, M.; Neyns, B.; Harmankaya, K.; Hamid, O.; O'Day, S. J.; Konto, C.; Cykowski, L.; McHenry, M. B.; Wolchok, J. D.

2014-01-01

Background This report provides a survival update at a follow-up of >5 years (5.5–6 years) for patients with advanced melanoma who previously received ipilimumab in phase II clinical trials. Safety and efficacy data following ipilimumab retreatment are also reported. Patients and methods Patients who previously received ipilimumab 0.3, 3, or 10 mg/kg in one of six phase II trials (CA184-004, CA184-007, CA184-008, CA184-022, MDX010-08, and MDX010-15) were eligible to enroll in the companion study, CA184-025. Upon enrollment, patients initially received ipilimumab retreatment, extended maintenance therapy, or were followed for survival only. Overall survival (OS) rates were evaluated in patients from studies CA184-004, CA184-007, CA184-008, and CA184-022. Safety and best overall response during ipilimumab retreatment at 10 mg/kg were assessed in study CA184-025. Results Five-year OS rates for previously treated patients who received ipilimumab induction at 0.3, 3, or 10 mg/kg were 12.3%, 12.3%–16.5%, and 15.5%–28.4%, respectively. Five-year OS rates for treatment-naive patients who received ipilimumab induction at 3 or 10 mg/kg were 26.8% and 21.4%–49.5%, respectively. Little to no change in OS was observed from year 5 up to year 6. The objective response rate among retreated patients was 23%. Grade 3/4 immune-related adverse events occurred in 25%, 5.9%, and 13.2% of retreated patients who initially received ipilimumab 0.3, 3, and 10 mg/kg, with the most common being observed in the skin (4.2%, 2.9%, 3.8%) and gastrointestinal tract (12.5%, 2.9%, 3.8%), respectively. Conclusions At a follow-up of 5–6 years, ipilimumab continues to demonstrate durable, long-term survival in a proportion of patients with advanced melanoma. In some patients, ipilimumab retreatment can re-establish disease control with a safety profile that is comparable with that observed during ipilimumab induction. Further studies are needed to determine the contribution of ipilimumab retreatment to OS. ClinicalTrials.gov NCT00162123. PMID:25210016

Ocean forcing of Ice Sheet retreat in central west Greenland from LGM to the early Holocene

NASA Astrophysics Data System (ADS)

Jennings, Anne E.; Andrews, John T.; Ó Cofaigh, Colm; Onge, Guillaume St.; Sheldon, Christina; Belt, Simon T.; Cabedo-Sanz, Patricia; Hillaire-Marcel, Claude

2017-08-01

Three radiocarbon dated sediment cores from trough mouth fans on the central west Greenland continental slope were studied to determine the timing and processes of Greenland Ice Sheet (GIS) retreat from the shelf edge during the last deglaciation and to test the role of ocean forcing (i.e. warm ocean water) thereon. Analyses of lithofacies, quantitative x-ray diffraction mineralogy, benthic foraminiferal assemblages, the sea-ice biomarker IP25, and δ18 O of the planktonic foraminifera Neogloboquadrina pachyderma sinistral from sediments in the interval from 17.5-10.8 cal ka BP provide consistent evidence for ocean and ice sheet interactions during central west Greenland (CWG) deglaciation. The Disko and Uummannaq ice streams both retreated from the shelf edge after the last glacial maximum (LGM) under the influence of subsurface, warm Atlantic Water. The warm subsurface water was limited to depths below the ice stream grounding lines during the LGM, when the GIS terminated as a floating ice shelf in a sea-ice covered Baffin Bay. The deeper Uummannaq ice stream retreated first (ca. 17.1 cal ka BP), while the shallower Disko ice stream retreated at ca. 16.2 cal ka BP. The grounding lines were protected from accelerating mass loss (calving) by a buttressing ice shelf and by landward shallowing bathymetry on the outer shelf. Calving retreat was delayed until ca. 15.3 cal ka BP in the Uummannaq Trough and until 15.1 cal ka BP in the Disko Trough, during another interval of ocean warming. Instabilities in the Laurentide, Innuitian and Greenland ice sheets with outlets draining into northern Baffin Bay periodically released cold, fresh water that enhanced sea ice formation and slowed GIS melt. During the Younger Dryas, the CWG records document strong cooling, lack of GIS meltwater, and an increase in iceberg rafted material from northern Baffin Bay. The ice sheet remained in the cross-shelf troughs until the early Holocene, when it retreated rapidly by calving and strong melting under the influence of atmosphere and ocean warming and a steep reverse slope toward the deep fjords. We conclude that ocean warming played an important role in the palaeo-retreat dynamics of the GIS during the last deglaciation.

Predicting critical thresholds in outlet glacier terminus behavior, Disko and Uummannaq Bays, West Greenland

NASA Astrophysics Data System (ADS)

York, A.; Frey, K. E.; Das, S. B.

2017-12-01

The seasonal and interannual variability in outlet glacier terminus position is an important indicator of overall glacier health and the net effects of ice-ocean-atmosphere interactions. However, challenges arise in determining a primary driver of glacier change, as the magnitude of retreat observed at the terminus is controlled not only by atmospheric and oceanic temperatures, but also physical constraints unique to each glacier (e.g., ice mélange buttressing and underlying bedrock/bathymetry) which often lead to a non-linear response to climate. For example, previous studies have shown varying magnitudes of terminus retreat over the last 40 years at glaciers in West Greenland, despite exposure to similar atmospheric forcings. Satellite imagery can provide the necessary spatially- and temporally-extensive resource for monitoring glacier terminus behavior. Here, we constructed a time series of 18 glacier termini digitized from over 1200 all-season Landsat images between 1985 and 2015 within Disko and Uummannaq Bays, West Greenland. We calculated change points in the annual maximum terminus retreat of the glaciers using a bootstrapping algorithm within a change point detection software. We interpolated the average monthly retreat of each terminus in order to calculate the average seasonal amplitude of each year. We found the 11 glaciers in Uummannaq Bay retreated an average of -1.26 ± 1.36 km, while the seven glaciers in Disko Bay averaged -1.13 ± 0.82 km. The majority of glaciers retreated, yet we see no latitudinal trend in magnitude of retreat on either a seasonal or long-term scale. We observe change points in the annual maximum retreat of four glacier termini in Uummannaq Bay and one in Disko Bay which are generally coincident with increased summer sea surface temperatures. In some cases, we observed smaller interannual variability in the average seasonal amplitude of years leading up to a critical threshold, followed by an increase in seasonal variability in the year prior and throughout the regime shift, until returning to a similar range of variability observed prior to the shift. As such, our findings may provide a method to predict an approaching change point at glacier termini which have not yet crossed a critical threshold through observations of increases in seasonal amplitude variability.

Genetic variants in pigment epithelium-derived factor influence response of polypoidal choroidal vasculopathy to photodynamic therapy.

PubMed

Nakata, Isao; Yamashiro, Kenji; Yamada, Ryo; Gotoh, Norimoto; Nakanishi, Hideo; Hayashi, Hisako; Tsujikawa, Akitaka; Otani, Atsushi; Ooto, Sotaro; Tamura, Hiroshi; Saito, Masaaki; Saito, Kuniharu; Iida, Tomohiro; Oishi, Akio; Kurimoto, Yasuo; Matsuda, Fumihiko; Yoshimura, Nagahisa

2011-07-01

To investigate whether photodynamic therapy (PDT) outcomes of polypoidal choroidal vasculopathy (PCV) are related to baseline clinical characteristics, smoking history, or genetic factors by analyzing the retreatment-free period after the first PDT. Retrospective cohort study. The study consisted of 167 patients with PCV who underwent PDT as their first treatment. We targeted 638 single nucleotide polymorphisms (SNPs) in 42 possible susceptible genes for age-related macular degeneration to evaluate their relation to the effectiveness of PDT for PCV. For this evaluation, we used 2 methods: (1) survival analysis, with the retreatment-free period as the target; and (2) logistic regression test between the need for additional therapy within 3 months after the first PDT and the genotypes, with age, gender, smoking status, and greatest linear dimension (GLD) at baseline as covariates. The contributions of smoking status and GLD at baseline for the retreatment-free period also were evaluated. Contributions of these factors to visual prognosis were evaluated for 1 year after PDT. Retreatment-free period after the first PDT for PCV. Secondary outcome measures included correlation of the susceptible factor to the retreatment requirement within the 3-month follow-up and the mean visual acuity change. In survival analyses, SERPINF1 rs12603825 showed a significant association with the retreatment-free period after the first PDT; those patients homozygous for the minor allele A of rs12603825 received additional treatment after PDT within significantly shorter times than those with other genotypes (P = 0.0038). There was no significant difference in the retreatment-free period between baseline GLD and smoking status. Retreatment within 3 months was required significantly more in patients with the AA genotype, even after taking into consideration the effect of clinical characteristics (age, gender), baseline PCV lesion size, and smoking status (P = 0.0027). Furthermore, patients with the AA genotype showed significantly worse visual prognosis after PDT (P = 0.013). Pigment epithelium-derived factor (SERPINF1 or PEDF) polymorphisms may influence the initial response to and visual prognosis after PDT for PCV. Our findings may lead to understanding the pathogenesis of PCV and modification of the effects of PDT. Copyright © 2011 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

The allegheny general modification of the Harvard Breast Cosmesis Scale for the retreated breast.

PubMed

Trombetta, Mark; Julian, Thomas B; Kim, Yongbok; Werts, E Day; Parda, David

2009-10-01

The use of brachytherapy--and to a lesser extent, external-beam radiotherapy--in the management of locally recurrent breast cancer following ipsilateral breast tumor recurrence (IBTR) followed by repeat breast-conservation surgery and irradiation is currently an area of intense study. The current cosmetic scoring system is inadequate to score the outcome resulting from retreatment because it does not account for the cosmetic effect of the initial treatment. We propose a modification of the scale for patients who undergo retreatment--the Allegheny General Modification of the Harvard/NSABP/RTOG scoring scale.

Quantifying global warming from the retreat of glaciers.

PubMed

Oerlemans, J

1994-04-08

Records of glacier fluctuations compiled by the World Glacier Monitoring Service can be used to derive an independent estimate of global warming during the last 100 years. Records of different glaciers are made comparable by a two-step scaling procedure: one allowing for differences in glacier geometry, the other for differences in climate sensitivity. The retreat of glaciers during the last 100 years appears to be coherent over the globe. On the basis of modeling of the climate sensitivity of glaciers, the observed glacier retreat can be explained by a linear warming trend of 0.66 kelvin per century.

Comparison of debris extruded apically and working time used by ProTaper Universal rotary and ProTaper retreatment system during gutta-percha removal

PubMed Central

UEZU, Mary Kinue Nakamune; BRITTO, Maria Leticia Borges; NABESHIMA, Cleber K.; PALLOTTA, Raul Capp

2010-01-01

Objective The aim of this study was to evaluate the in vitro action of ProTaper retreatment files and ProTaper Universal in the retreatment of mandibular premolars. Material and methods The amount of debris extruded apically was measured and the time to reach the working length and to complete the removal of gutta-percha was observed. Thirty teeth had their canals prepared using ProTaper Universal files and were obturated by the single cone technique. The teeth were then stored at 37ºC in a humid environment for 7 days. During the use of the rotary instruments for root canal filling removal, the apical portions of the teeth were attached to the open end of a resin tube to collect the apically extruded debris. Results ProTaper Universal files were significantly faster (p=0.0011) than the ProTaper retreatment files to perform gutta-percha removal, but no significant difference was found between the files regarding the time to reach the working length or the amount of apical extrusion. Conclusions ProTaper Universal rotary had better results for endodontic retreatment, and both techniques promote similar apical extrusion of debris. PMID:21308282

Observations and modeling of fjord sedimentation during the 30 year retreat of Columbia Glacier, AK

USGS Publications Warehouse

Love, Katherine B; Hallet, Bernard; Pratt, Thomas L.; O'Neel, Shad

2016-01-01

To explore links between glacier dynamics, sediment yields and the accumulation of glacial sediments in a temperate setting, we use extensive glaciological observations for Columbia Glacier, Alaska, and new oceanographic data from the fjord exposed during its retreat. High-resolution seismic data indicate that 3.2 × 108 m3 of sediment has accumulated in Columbia Fjord over the past three decades, which corresponds to ~5 mm a−1 of erosion averaged over the glaciated area. We develop a general model to infer the sediment-flux history from the glacier that is compatible with the observed retreat history, and the thickness and architecture of the fjord sediment deposits. Results reveal a fivefold increase in sediment flux from 1997 to 2000, which is not correlated with concurrent changes in ice flux or retreat rate. We suggest the flux increase resulted from an increase in the sediment transport capacity of the subglacial hydraulic system due to the retreat-related steepening of the glacier surface over a known subglacial deep basin. Because variations in subglacial sediment storage can impact glacial sediment flux, in addition to changes in climate, erosion rate and glacier dynamics, the interpretation of climatic changes based on the sediment record is more complex than generally assumed.

Glacier retreat and associated sediment dynamics in proglacial areas: a case study from the Silvretta Alps, Austria

NASA Astrophysics Data System (ADS)

Felbauer, Lucia; Pöppl, Ronald

2016-04-01

Global warming results in an ongoing retreat of glaciers in the Alps, leaving behind large amounts of easily erodible sediments. In addition, the debuttressing of rock-walls and the decay of permafrost in the high mountain regions facilitates mass movements of potential disastrous consequences, such as rock falls, landslides and debris flows. Therefore, it is highly important to quantify the amount of sediments that are supplied from the different compartments and to investigate how glacial retreat influences sediment dynamics in proglacial areas. In the presented work glacier retreat and associated sediment dynamics were investigated in the Kromer valley (Silvretta Alps, Austria) by analyzing remote sensing data. Glacial retreat from the period of 1950 to 2012 was documented by interpreting aerial photographs. By digitizing the different stages of the glaciers for six time frames, changes in glacier area and length were mapped and quantified. In order to identify, characterize and quantify sediment dynamics in the proglacial areas a high resolution DEM of difference (DoD) between 2007 and 2012 was created and analyzed, further differentiating between different zones (e.g. valley bottom, hillslope) and types of geomorphic processes (e.g. fluvial, gravitational). First results will be presented at the EGU General Assembly 2016.

Endodontic retreatment of dens invaginatus presenting with gutta-percha overfilling at the attached gingiva and chronic apical periodontitis: unusual clinical report.

PubMed

Robazza, Carlos Roberto Colombo; Alves e Motta, Julio Cesar; de Carli, Marina Lara; de Oliveira Pedreira, Fernanda Rafaelly; Hanemann, Joao Adolfo Costa

2013-05-01

This work describes the retreatment of an unusual case of dens invaginatus with gutta-percha overfilling at the gingival mucosa and chronic apical periodontitis in a 34-year-old woman. Initial periapical radiograph showed the presence of type II dens invaginatus with poor quality obturation, root perforation and chronic apical periodontitis of tooth 22. Dens invaginatus is a tooth malformation caused by infolding of the dental papilla during tooth development. This anomaly has been associated with increased prevalence of pulpal and periapical diseases. Conventional endodontic retreatment was performed using rotary files and calcium hydroxide paste as intracanal dressing. After 7 days, root canal was filled with guttapercha points and Sealapex® sealer. Obturation was radiographically followed and, after 3 years, absence of fistula and periapical radiolucency was observed, thus conventional endodontic therapy proved to be successful. Conventional endodontic retreatment of type II dens invaginatus has been successful for a 3-year period, showing a better treatment alternative. Conservative endodontic retreatment of dens invaginatus should be considered to promote periapical healing with complete reconstitution of bone and periodontal ligament regeneration without signs of recurrence over a period of 3 years. Moreover, it preserves the entire tooth.

Screening retreatment tuberculosis patients for drug resistance in mid-west Nepal: how well are we doing?

PubMed Central

Harries, A. D.; Goel, S.; Srivastava, S.; Kumar, A. M. V.; Adhikari, M.; Shrestha, B.; Maharjan, B.; Khadka, H.

2014-01-01

Setting: Multidrug-resistant tuberculosis (MDR-TB, defined as resistance to isoniazid and rifampicin) is poorly detected in Nepal; one reason may be poor functioning of culture and drug susceptibility testing (CDST) services for retreatment tuberculosis (TB) patients. Objectives: To determine, among retreatment TB patients in mid-west Nepal, 1) the number of patients registered for treatment between July 2011 and July 2012; 2) the number submitting sputum specimens for CDST to the Central Reference Laboratory (CRL), Kathmandu, along with the results; and 3) the length of time for submission and receipt of specimens. Design: Retrospective cohort study involving the review of treatment and laboratory registers from the Nepalgunj TB Referral Centre and the CRL. Results: Of 431 retreatment patients, 66 (15%) submitted sputum samples, of which 63 reached the CRL. Of these, 39 (62%) were culture-positive; 13 (33%) patients had MDR-TB. The CDST results of 19 patients were received back at the TB Referral Centre. The median turnaround time from sending specimens to receipt of results at the TB Referral Centre was 119 days. Conclusion: Less than 10% of retreatment TB patients in mid-West Nepal had CDST results recorded, leading to the underdiagnosis of MDR-TB in the region. Urgent solutions are needed to rectify this problem. PMID:26423764

Changes in the retreatment radiation tolerance of the spinal cord with time after the initial treatment.

PubMed

Woolley, Thomas E; Belmonte-Beitia, Juan; Calvo, Gabriel F; Hopewell, John W; Gaffney, Eamonn A; Jones, Bleddyn

2018-06-01

To estimate, from experimental data, the retreatment radiation 'tolerances' of the spinal cord at different times after initial treatment. A model was developed to show the relationship between the biological effective doses (BEDs) for two separate courses of treatment with the BED of each course being expressed as a percentage of the designated 'retreatment tolerance' BED value, denoted [Formula: see text] and [Formula: see text]. The primate data of Ang et al. ( 2001 ) were used to determine the fitted parameters. However, based on rodent data, recovery was assumed to commence 70 days after the first course was complete, and with a non-linear relationship to the magnitude of the initial BED (BED init ). The model, taking into account the above processes, provides estimates of the retreatment tolerance dose after different times. Extrapolations from the experimental data can provide conservative estimates for the clinic, with a lower acceptable myelopathy incidence. Care must be taken to convert the predicted [Formula: see text] value into a formal BED value and then a practical dose fractionation schedule. Used with caution, the proposed model allows estimations of retreatment doses with elapsed times ranging from 70 days up to three years after the initial course of treatment.

Knickpoint retreat and transient bedrock channel morphology triggered by base-level fall in small bedrock river catchments: The case of the Isle of Jura, Scotland

NASA Astrophysics Data System (ADS)

Castillo, Miguel; Bishop, Paul; Jansen, John D.

2013-01-01

A sudden drop in river base-level can trigger a knickpoint that propagates throughout the fluvial network causing a transient state in the landscape. Knickpoint retreat has been confirmed in large fluvial settings (drainage areas > 100 km2) and field data suggest that the same applies to the case of small bedrock river catchments (drainage areas < 100 km2). Nevertheless, knickpoint recession on resistant lithologies with structure that potentially affects the retreat rate needs to be confirmed with field-based data. Moreover, it remains unclear whether small bedrock rivers can absorb base-level fall via knickpoint retreat. Here we evaluate the response of small bedrock rivers to base-level fall on the isle of Jura in western Scotland (UK), where rivers incise into dipping quartzite. The mapping of raised beach deposits and strath terraces, and the analysis of stream long profiles, were used to identify knickpoints that had been triggered by base-level fall. Our results indicate that the distance of knickpoint retreat scales to the drainage area in a power law function irrespective of structural setting. On the other hand, local channel slope and basin size influence the vertical distribution of knickpoints. As well, at low drainage areas (~ 4 km2) rivers are unable to absorb the full amount of base-level fall and channel reach morphology downstream of the knickpoint tends towards convexity. The results obtained here confirm that knickpoint retreat is mostly controlled by stream discharge, as has been observed for other transient landscapes. Local controls, reflecting basin size and channel slope, have an effect on the vertical distribution of knickpoints; such controls are also related to the ability of rivers to absorb the base-level fall.

Treatment philosophy and retreatment rates following piezoelectric lithotripsy.

PubMed

Fegan, J; Camp, L A; Wilson, W T; Miller, G L; Preminger, G M

1993-01-01

Second generation lithotriptors offer the advantage of anesthesia-free fragmentation of renal and ureteral calculi but they frequently require multiple treatments to attain a stone-free status. However, excessive single lithotripsy sessions or multiple treatments may be associated with significant damage to the kidney. For some clinicians a common treatment philosophy involves evaluation of serial plain abdominal films every 24 hours after lithotripsy and immediate retreatment of all patients with incomplete fragmentation. To avoid unnecessary retreatments and, thus, minimize potential renal damage, we prospectively evaluated 100 patients undergoing lithotripsy on a Wolf Piezolith 2300 device. Patients were routinely treated with 4,000 shocks at 1,100 bar. Serial plain abdominal films were obtained at 1 day and 2 weeks after lithotripsy. The need for retreatment was determined by the plain abdominal film results. Additional therapy was considered necessary if there was no stone fragmentation or if residual fragments measured greater than 4 mm. Of the patients whose plain abdominal film at 24 hours indicated the need for a repeat treatment 43% were stone-free on the 2-week film. Thus, these patients were spared an unnecessary treatment by allowing adequate time for the stone fragments to pass spontaneously. Our data suggest that repeat treatments on second generation lithotriptors should not be performed within 24 hours. Rather, the patient should be reevaluated at least 1 to 2 weeks later to avoid unnecessary retreatment with the attendant potential for renal injury. In addition, when comparing the retreatment rates of various lithotriptors, one should also consider the treatment philosophy used at the particular institution and the timing of the radiographic studies used to determine the stone-free status.

Efficacy of xylene and passive ultrasonic irrigation on remaining root filling material during retreatment of anatomically complex teeth.

PubMed

Cavenago, B C; Ordinola-Zapata, R; Duarte, M A H; del Carpio-Perochena, A E; Villas-Bôas, M H; Marciano, M A; Bramante, C M; Moraes, I G

2014-11-01

To evaluate the volume of remaining filling material in the mesial root canals of mandibular molars after root canal retreatment with different procedures performed sequentially. The mesial root canals of 12 human first mandibular molars were instrumented using the BioRace system until a size 25, .06 taper instrument. The mesial roots were filled with gutta-percha and AH-Plus using a vertical compaction technique. The specimens were scanned using microcomputed tomography with a voxel size of 16.8 μm before and after the retreatment procedures. To remove the filling material, the root canals were enlarged until the size 40, .04 taper instrument. The second step was to irrigate the root canals with xylene in the attempt to clean the root canals with paper points. In the third step, the passive ultrasonic irrigation technique (PUI) was performed using 2.5% sodium hypochlorite. The initial and residual filling material volume (mm(3) ) after each step was evaluated from the 0.5 to 6.5 mm level. The obtained data were expressed in terms of percentage of residual filling material. Statistical analysis was performed using the Friedman test (P < 0.05). All specimens had residual filling materials after all retreatment procedures. Passive ultrasonic irrigation enhanced the elimination of residual filling material in comparison with the mechanical stage at the 0.5-2.5 mm and 4.5-6.5 mm levels (P < 0.05). No significant difference was found between xylene and PUI methods. Filling materials were not completely removed by any of the retreatment procedures. The use of xylene and PUI after mechanical instrumentation enhanced removal of materials during endodontic retreatment of anatomically complex teeth. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

Marine evidence of a deconvolving Antarctic Ice Sheet during post-LGM retreat of the Ross Sea sector

NASA Astrophysics Data System (ADS)

Prothro, L. O.; Yokoyama, Y.; Simkins, L. M.; Anderson, J. B.; Majewski, W.; Yamane, M.; Ohkouchi, N.

2017-12-01

Predictive models of ice sheet and sea level change are dependent on observational data of ice-sheet behavior for model testing and tuning. The geologic record contains a wealth of information about ice-sheet dynamics, with fewer logistical, spatial, and temporal limitations than are involved in data acquisition along contemporary ice margins. However, past ice-sheet behavior is still largely uncertain or contested due to issues with obtaining meaningful radiocarbon dates. We minimize bias from glacially-reworked carbon and limitations from unknown geomorphic context and uncertainty in sediment facies identification by using careful sedimentary analyses within a geomorphic framework, as well as selection of appropriate dating methods. Our study area, the Ross Sea sector of Antarctica, is the primary drainage outlet for 25% of the continent's grounded ice. During the Last Glacial Maximum, the low-profile, marine-based West Antarctic Ice Sheet (WAIS) and the steeper profile, largely land-based East Antarctic Ice Sheet (EAIS) converged in the Ross Sea to flow out to or near the continental shelf edge. Geomorphic and sedimentary data reveal that during their subsequent retreat to form the Ross Sea Embayment, the two ice sheets behaved differently, with the WAIS rapidly retreating tens of kilometers followed by extended pauses, while the EAIS retreated steadily, with shorter (decadal- to century-long) pauses. This behavior leads us to believe that the two ice sheets may have contributed diachronously to sea level. By acquiring accurate timing of grounding line retreat, we are able to calculate volumes of ice lost throughout deglaciation, as well as associated sea level contributions. In addition, we attempt to rectify the contradicting marine and terrestrial interpretations of retreat patterns from the Ross Sea continental shelf.

Repeating platinum/bevacizumab in recurrent or progressive cervical cancer yields marginal survival benefits.

PubMed

Zamorano, Abigail S; Wan, Leping; Powell, Matthew A; Massad, L Stewart

2017-11-01

Our objective was to assess overall survival of cervical cancer patients following prior platinum/bevacizumab chemotherapy, comparing retreatment with platinum/bevacizumab with alternative therapies. A retrospective analysis was performed of women who received platinum/bevacizumab (PB) chemotherapy for cervical cancer at Washington University between July 1, 2005 and December 31, 2015. Wilcoxon rank-sum exact test and Fisher's exact test were used to compare the treatment groups, and Kaplan Meier curves were generated. Cox regression analyses were performed, with treatment free interval and prior therapy response included as covariates. Of 84 patients who received PB chemotherapy, 59 (70%) received no second line chemotherapy, as they did not recur, progressed without further chemotherapy, were lost to follow up, or expired. Of the remaining 25 patients, 9 were retreated with the combination of platinum/bevacizumab (PB), 6 were retreated with a platinum regimen without bevacizumab (P), and 10 were retreated with neither (not-P). The only long-term survivor was in the not-P group and was treated with an immunotherapy agent. Median overall survival of all patients was 7.1 months. There was a marginal difference in survival between women in the PB and not-PB groups (11.8 versus 5.7 months; HR 3.02, 95% CI, 0.98-9.28). There was no difference in survival based on platinum interval (HR 0.81; 95% CI, 0.27-2.45). Outcomes are grim for women retreated after platinum/bevacizumab therapy and are only marginally improved by retreatment with a platinum/bevacizumab regimen. Rather than additional PB therapy, women with cervical cancer who recur after platinum/bevacizumab should consider supportive care or clinical trials.

Retreatment with bevacizumab in patients with gynecologic malignancy is associated with clinical response and does not increase morbidity

PubMed Central

Laskey, Robin A; Richard, Scott D; Smith, Ashlee L; Lin, Jeff F; Beck, Tiffany L; Lesnock, Jamie L; Kelley, Joseph L; Olawaiye, Alexander B; Sukumvanich, Paniti; Krivak, Thomas C

2014-01-01

Purpose Bevacizumab (Bev) is associated with improved progression-free survival in advanced epithelial ovarian cancer. The use of Bev in patients with gynecologic malignancy is increasing; however, little is known about cumulative toxicity and response in patients retreated with Bev. Our goal was to determine cumulative side effects and response in patients retreated with Bev. Patients and methods Women with recurrent gynecologic malignancy treated with Bev between January 2007 and March 2012 at a single institution were identified, including a subset who received Bev in a subsequent regimen. The primary outcome was Bev-associated toxicity, and the secondary outcome was response. Results Of 83 patients that received Bev for recurrent disease, 23 were retreated with Bev and four received Bev maintenance. Three patients (13%) developed grade 3 or 4 hypertension; all had a history of chronic hypertension. One (4.3%) patient developed grade 3 proteinuria, and one (4.3%) developed an enterovaginal fistula. Four patients discontinued Bev secondary to toxicity. Toxicity was not related to the cumulative number of cycles. Twenty-six percent of patients responded to Bev retreatment. On univariate analysis, there was a significant (P=0.003) overall survival advantage when the Bev-free interval was >9 months (95% confidence interval [CI] 4.9–43.7) compared to ≤9 months (95% CI 2.1–11.5), 24.3 months, and 6.8 months. Conclusion Retreatment of patients with recurrent gynecologic malignancy with Bev did not increase morbidity and was associated with treatment response. Physicians treating women with recurrent disease may consider a Bev-containing regimen even if prior regimen(s) included Bev. Future studies should prospectively evaluate the efficacy of this treatment strategy. PMID:24711703

Retreatment with bevacizumab in patients with gynecologic malignancy is associated with clinical response and does not increase morbidity.

PubMed

Laskey, Robin A; Richard, Scott D; Smith, Ashlee L; Lin, Jeff F; Beck, Tiffany L; Lesnock, Jamie L; Kelley, Joseph L; Olawaiye, Alexander B; Sukumvanich, Paniti; Krivak, Thomas C

2014-01-01

Bevacizumab (Bev) is associated with improved progression-free survival in advanced epithelial ovarian cancer. The use of Bev in patients with gynecologic malignancy is increasing; however, little is known about cumulative toxicity and response in patients retreated with Bev. Our goal was to determine cumulative side effects and response in patients retreated with Bev. Women with recurrent gynecologic malignancy treated with Bev between January 2007 and March 2012 at a single institution were identified, including a subset who received Bev in a subsequent regimen. The primary outcome was Bev-associated toxicity, and the secondary outcome was response. Of 83 patients that received Bev for recurrent disease, 23 were retreated with Bev and four received Bev maintenance. Three patients (13%) developed grade 3 or 4 hypertension; all had a history of chronic hypertension. One (4.3%) patient developed grade 3 proteinuria, and one (4.3%) developed an enterovaginal fistula. Four patients discontinued Bev secondary to toxicity. Toxicity was not related to the cumulative number of cycles. Twenty-six percent of patients responded to Bev retreatment. On univariate analysis, there was a significant (P=0.003) overall survival advantage when the Bev-free interval was >9 months (95% confidence interval [CI] 4.9-43.7) compared to ≤9 months (95% CI 2.1-11.5), 24.3 months, and 6.8 months. Retreatment of patients with recurrent gynecologic malignancy with Bev did not increase morbidity and was associated with treatment response. Physicians treating women with recurrent disease may consider a Bev-containing regimen even if prior regimen(s) included Bev. Future studies should prospectively evaluate the efficacy of this treatment strategy.

Healing the heart: a randomized pilot study of a spiritual retreat for depression in acute coronary syndrome patients.

PubMed

Warber, Sara L; Ingerman, Sandra; Moura, Vera L; Wunder, Jenna; Northrop, Alyssa; Gillespie, Brenda W; Durda, Kate; Smith, Katherine; Rhodes, Katherine S; Rubenfire, Melvyn

2011-01-01

Depression is associated with increased risk of cardiovascular morbidity and mortality in coronary heart disease. Numerous conventional and complementary therapies may address depression. Few involving spirituality have been tested. The aim of this study was to compare the effects of a nondenominational spiritual retreat, Medicine for the Earth (MFTE), on depression and other measures of well-being six- to 18-months post acute coronary syndrome (ACS). A randomized controlled pilot study of MFTE, Lifestyle Change Program (LCP), or usual cardiac care (control) was conducted in Southeastern Michigan. ACS patients were recruited via local and national advertising (n = 58 enrolled, 41 completed). The four-day MFTE intervention included guided imagery, meditation, drumming, journal writing, and nature-based activities. The four-day LCP included nutrition education, exercise, and stress management. Both retreat groups received follow-up phone coaching biweekly for three months. Validated self-report scales of depression, spiritual well-being, perceived stress, and hope were collected at baseline, immediately post-retreat, and at three and six months. Depression was not significantly different among groups (P = .21). However, the MFTE group had the highest depression scores at baseline and had significantly lower scores at all postintervention time points (P ≤ .002). Hope significantly improved among MFTE participants, an effect that persisted at three- and six-month follow-up (P = .014). Although several measures showed improvement in all groups by six months, the MFTE group had immediate improvement post-retreat, which was maintained. This pilot study shows that a nondenominational spiritual retreat, MFTE, can be used to increase hope while reducing depression in patients with ACS. Copyright © 2011 Elsevier Inc. All rights reserved.

Variation in annual production of copepods, euphausiids, and juvenile walleye pollock in the southeastern Bering Sea

NASA Astrophysics Data System (ADS)

Sigler, Michael F.; Napp, Jeffrey M.; Stabeno, Phyllis J.; Heintz, Ronald A.; Lomas, Michael W.; Hunt, George L.

2016-12-01

We synthesize recent research on variation in annual production of copepods (Calanus spp.), euphausiids (Thysanoessa spp.), and juvenile walleye pollock (Gadus chalcogrammus) in the southeastern Bering Sea. We reach five conclusions: 1) the timing of the spring bloom is more important than the amount of annual primary production for the transfer of primary to secondary production (i.e., timing matters); 2) summer and fall, not just spring, matter: organisms must maximize energy intake devoted to somatic growth and storage of lipids and minimize energy expenditures during each season; 3) stored lipids are important for the overwinter survival of both zooplankton and age-0 walleye pollock; 4) variation in ice extent and timing of ice retreat affect the spatial distributions of phytoplankton, zooplankton, and age-0 walleye pollock; when these spatial distributions match in late-ice-retreat years, the annual production of copepods, euphausiids, and juvenile walleye pollock often increases (i.e., location matters); 5) if years with late ice retreat, which favor copepod, euphausiid, and juvenile walleye pollock production, occur in succession, top-down control increases. These conclusions help to explain annual variation in production of copepods, euphausiids and juvenile walleye pollock. Copepods and euphausiids often are more abundant in cold years with late ice retreat than in warm years with early ice retreat due to bloom timing and the availability of ice algae during years with late ice retreat. As a consequence, age-0 walleye pollock consume lipid-enriched prey in cold years, better preparing them for their first winter and their overwinter survival is greater. In addition, there is a spatial match of primary production, zooplankton, and age-0 walleye pollock in cold years and a mismatch in warm years.

Controls on Seasonal Terminus Positions at Central West Greenland Tidewater Glaciers

NASA Astrophysics Data System (ADS)

Fried, M.; Catania, G. A.; Bartholomaus, T. C.; Stearns, L. A.; Sutherland, D.; Shroyer, E.; Nash, J. D.; Carroll, D.

2016-12-01

Each year, tidewater glaciers in Greenland undergo seasonal terminus position cycles, characterized by wintertime advance and summertime retreat. In many cases, this seasonal cycle is superimposed on top of long-term terminus retreat. Understanding the mechanisms that control the seasonal cycle - and how such controls differ between glaciers - might elucidate how tidewater glaciers regulate dynamic ice loss on these longer timescales. However, the controls on terminus position are numerous and complex, making it difficult to identify the dominant process controlling terminus position. To address this, we examine satellite-derived terminus position time series for a suite of glaciers in central west Greenland in conjunction with observations of environmental forcings. In particular, we focus on estimated runoff at the glacier grounding line, mélange conditions in the proglacial fjord and (where possible) in-situ measurements of ocean temperature. We find that seasonal terminus advance and retreat more closely follow the presence or absence of runoff than mélange conditions and, where studied, ocean forcing. At the majority of glaciers studied, localized terminus ablation occurs where runoff-driven submarine melt emerges at the grounding line. This often induces heterogeneous rates of retreat across the glacier front and leads to the formation of local terminus embayments. Calving accelerates in these embayments allowing for local runoff to influence the magnitude and timing of mean seasonal retreat. At glaciers with grounding line depths in excess of 500 m, localized retreat due to submarine melt can be outstripped by large slab rotation calving events, likely initiated by different forcing mechanisms. Our observations emphasize that across-flow heterogeneities in terminus position are diagnostic of how runoff-induced melt helps control seasonal terminus cycles.

Effectiveness of ProTaper Universal retreatment instruments used with rotary or reciprocating adaptive motion in the removal of root canal filling material.

PubMed

Capar, I D; Arslan, H; Ertas, H; Gök, T; Saygılı, G

2015-01-01

To compare the effectiveness of ProTaper Universal retreatment instruments with continuous rotation and adaptive motion (AM; a modified reciprocating motion that combines rotational and reciprocating motion) in the removal of filling material. Mesiobuccal root canals in 36 mandibular first molars were instrumented up to size F2 with the ProTaper Universal instrument (Dentsply Maillefer, Ballaigues, Switzerland) and filled using sealer and ProTaper Universal F2 gutta-percha cones. Gutta-percha was then down-packed and the root canal backfilled using the extruder hand-piece of the Elements Obturation System (SybronEndo, Orange, CA, USA). The teeth were assigned to two groups (n = 18), and removal of the root fillings was performed using one of the following techniques: group 1) ProTaper Universal retreatment files used with rotational motion (RM) and group 2) ProTaper Universal retreatment files used with adaptive motion (AM) (600° clockwise/0° counter-clockwise to 370° clockwise/50° counter-clockwise). The teeth were sectioned, and both halves were analysed at 8 × magnification. The percentage of remaining filling material was recorded. The data were analysed statistically using the Student's t-test at a 95% confidence level (P < 0.05). There was no significant difference between the groups with respect to the total time required for retreatment (P = 0.481). The AM technique left significantly less filling material than the RM method (P = 0.013). The use of ProTaper Universal retreatment files with adaptive motion removed more filling materials from root canals than the rotational movement. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

Extensive Holocene ice sheet grounding line retreat and uplift-driven readvance in West Antarctica

NASA Astrophysics Data System (ADS)

Kingslake, J.; Scherer, R. P.; Albrecht, T.; Coenen, J. J.; Powell, R. D.; Reese, R.; Stansell, N.; Tulaczyk, S. M.; Whitehouse, P. L.

2017-12-01

The West Antarctic Ice Sheet (WAIS) reached its Last Glacial Maximum (LGM) extent 29-14 kyr before present. Numerical models used to project future ice-sheet contributions to sea-level rise exploit reconstructions of post-LGM ice mass loss to tune model parameterizations. Ice-sheet reconstructions are poorly constrained in areas where floating ice shelves or a lack of exposed geology obstruct conventional glacial-geological techniques. In the Weddell and Ross Sea sectors, ice-sheet reconstructions have traditionally assumed progressive grounding line (GL) retreat throughout the Holocene. Contrasting this view, using three distinct lines of evidence, we show that the GL retreated hundreds of kilometers inland of its present position, before glacial isostatic rebound during the Mid to Late Holocene caused the GL to readvance to its current position. Evidence for retreat and readvance during the last glacial termination includes (1) widespread radiocarbon in sediment cores recovered from beneath ice streams along the Siple and Gould Coasts, indicating marine exposure at least 200 km inland of the current GL, (2) ice-penetrating radar observations of relic crevasses and other englacial structures preserved in slow-moving grounded ice, indicating ice-shelf grounding and (3) an ensemble of new ice-sheet simulations showing widespread post-LGM retreat of the GL inland of its current location and later readvance. The model indicates that GL readvance across low slope ice-stream troughs requires uplift-driven grounding of the ice shelf on topographic highs (ice rises). Our findings highlight ice-shelf pinning points and lithospheric response to unloading as drivers of major ice-sheet fluctuations. Full WAIS collapse likely requires GL retreat well beyond its current position in the Ronne and Ross Sectors and linkage via Amundsen Sea sector glaciers.

Stability of therapeutic retreatment of corneal wavefront customized ablation with the SCHWIND CAM: 4-year data.

PubMed

Aslanides, Ioannis M; Kolli, Sai; Padroni, Sara; Padron, Sara; Arba Mosquera, Samuel

2012-05-01

To evaluate the long-term outcomes of aspheric corneal wavefront ablation profiles for excimer laser retreatment. Eighteen eyes that had previously undergone LASIK or photorefractive keratectomy (PRK) were retreated with LASIK using the corneal wavefront ablation profile. Custom Ablation Manager (SCHWIND eye-tech-solutions, Kleinostheim, Germany) software and the ESIRIS flying spot excimer laser system (SCHWIND) were used to perform the ablations. Refractive outcomes and wavefront data are reported up to 4 years after retreatment. Pre- and postoperative data were compared with Student t tests and (multivariate) correlation tests. P<.05 was considered statistically significant. A bilinear correlation of various postoperative wavefront aberrations versus planned correction and preoperative aberration was performed. Mean manifest refraction spherical equivalent (MRSE) before retreatment was -0.38±1.85 diopters (D) and -0.09±0.22 D at 6 months and -0.10±0.38 D at 4 years postoperatively. The reduction in MRSE was statistically significant at both postoperative time points (P<.005). Postoperative aberrations were statistically lower (spherical aberration P<.05; coma P<.005; root-mean-square higher order aberration P<.0001) at 4 years postoperatively. Distribution of the postoperative uncorrected distance visual acuity (P<.0001) and corrected distance visual acuity (P<.01) were statistically better than preoperative values. Aspheric corneal wavefront customization with the ESIRIS yields visual, optical, and refractive results comparable to those of other wavefront-guided customized techniques for the correction of myopia and myopic astigmatism. The corneal wavefront customized approach shows its strength in cases where abnormal optical systems are expected. Systematic wavefront customized corneal ablation appears safe and efficacious for retreatment cases. Copyright 2012, SLACK Incorporated.

Repeated large-scale retreat and advance of Totten Glacier indicated by inland bed erosion.

PubMed

Aitken, A R A; Roberts, J L; van Ommen, T D; Young, D A; Golledge, N R; Greenbaum, J S; Blankenship, D D; Siegert, M J

2016-05-19

Climate variations cause ice sheets to retreat and advance, raising or lowering sea level by metres to decametres. The basic relationship is unambiguous, but the timing, magnitude and sources of sea-level change remain unclear; in particular, the contribution of the East Antarctic Ice Sheet (EAIS) is ill defined, restricting our appreciation of potential future change. Several lines of evidence suggest possible collapse of the Totten Glacier into interior basins during past warm periods, most notably the Pliocene epoch, causing several metres of sea-level rise. However, the structure and long-term evolution of the ice sheet in this region have been understood insufficiently to constrain past ice-sheet extents. Here we show that deep ice-sheet erosion-enough to expose basement rocks-has occurred in two regions: the head of the Totten Glacier, within 150 kilometres of today's grounding line; and deep within the Sabrina Subglacial Basin, 350-550 kilometres from this grounding line. Our results, based on ICECAP aerogeophysical data, demarcate the marginal zones of two distinct quasi-stable EAIS configurations, corresponding to the 'modern-scale' ice sheet (with a marginal zone near the present ice-sheet margin) and the retreated ice sheet (with the marginal zone located far inland). The transitional region of 200-250 kilometres in width is less eroded, suggesting shorter-lived exposure to eroding conditions during repeated retreat-advance events, which are probably driven by ocean-forced instabilities. Representative ice-sheet models indicate that the global sea-level increase resulting from retreat in this sector can be up to 0.9 metres in the modern-scale configuration, and exceeds 2 metres in the retreated configuration.

Retreat of Stephenson Glacier, Heard Island, from Remote Sensing and Field Observations

NASA Astrophysics Data System (ADS)

Mitchell, W.; Schmieder, R.

2017-12-01

Heard Island (Australian sub-Antarctic territory, 53 S, 73.5 E) is a volcanic island mantled in glaciers, and a UNESCO World Heritage Site both for its geology and ecology. Lying to the south of the Antarctic Convergence, the changes in response to climate seen on Heard Island are likely to be a bellwether for areas further south. Beginning in 1999, American satellites (Landsat 7, EO-1, and Landsat 8) have produced images of the island on a roughly weekly basis. Although the island is often shrouded in clouds, clear images of at least portions of the island are plentiful enough to create a nearly-annual record of the toe of Stephenson Glacier. During this period, Stephenson Glacier retreated by nearly 5 km, and lost 50% of its area. As a result of this retreat, a portion of the glacier now could be classified as a separate glacier. Additionally, in 2016, terrestrial photographs of Stephenson Glacier were taken during a three-week expedition to Heard Island, which accessed the Stephenson Glacier area by boat via the proglacial Stephenson Lagoon. During that work, sonar indicated some depths in the lagoon exceeding 100 m. Much of the loss in glacier length and area occurred during the mid- and late-2000s, with retreat rates slowing toward 2017. At this time, the glacier has retreated so that the main toe is not far from the base of a tall ice falls, while another toe—perhaps now a separate glacier—is land-based. This type of retreat pattern, fast over water and slower on land, is typical of other tidewater glaciers. Further monitoring of Stephenson Glacier and other glaciers on Heard Island will continue using Landsat 8.

The St. Ignatius Jesuit Retreat and Training Centre: Cultivating Ecological Awareness and Connection with the Earth

ERIC Educational Resources Information Center

Groen, Janet

2017-01-01

This chapter focuses on the role of religiously based spirituality in cultivating environmental awareness and citizenship by examining an adult environmental education program offered at the Ignatius Jesuit Centre, a religious retreat center in Guelph, Canada.

Advancing-side directivity and retreating-side interactions of model rotor blade-vortex interaction noise

NASA Technical Reports Server (NTRS)

Martin, R. M.; Splettstoesser, W. R.; Elliott, J. W.; Schultz, K.-J.

1988-01-01

Acoustic data are presented from a 40 percent scale model of the four-bladed BO-105 helicopter main rotor, tested in a large aerodynamic wind tunnel. Rotor blade-vortex interaction (BVI) noise data in the low-speed flight range were acquired using a traversing in-flow microphone array. Acoustic results presented are used to assess the acoustic far field of BVI noise, to map the directivity and temporal characteristics of BVI impulsive noise, and to show the existence of retreating-side BVI signals. The characterics of the acoustic radiation patterns, which can often be strongly focused, are found to be very dependent on rotor operating condition. The acoustic signals exhibit multiple blade-vortex interactions per blade with broad impulsive content at lower speeds, while at higher speeds, they exhibit fewer interactions per blade, with much sharper, higher amplitude acoustic signals. Moderate-amplitude BVI acoustic signals measured under the aft retreating quadrant of the rotor are shown to originate from the retreating side of the rotor.

Strategic planning: the basics and benefits.

PubMed

Hansen, R D

1999-01-01

Strategic planning can help a medical practice take an honest look at itself in light of the changes taking place in its environment and within the practice itself. The objective is for the group to design a plan, or road map, to its envisioned future. For medical practices, strategic planning is a four part process: 1) gaining buy-in for the process itself from the leadership and physicians; 2) gathering pertinent data about the group's environment through external resources, and about the group itself through interviews and surveys of physicians; 3) conducting a facilitated off-site retreat of key physicians and leaders in order to review data, discuss issues and develop a one to two year action plan; and, 4) carrying out the action plan developed at the retreat and measuring its outcomes. A follow-up mini-retreat about six months after the first retreat is highly recommended, as is instituting a process of sharing of the results and outcomes of the plan with all members of the organization.

Effect of Instrument Design and Access Outlines on the Removal of Root Canal Obturation Materials in Oval-shaped Canals.

PubMed

Niemi, Tuomas K; Marchesan, Melissa A; Lloyd, Adam; Seltzer, Robert J

2016-10-01

The aim of this study was to compare the effectiveness of TRUShape (TS) instruments with ProFile Vortex Blue (VB) instruments for the removal of obturation materials during retreatment of single-canal mandibular premolars performed through 2 access outlines. Initial root canal treatment was completed through a contracted endodontic cavity (CEC) design. Canals were instrumented to an F2 ProTaper instrument, obturated with warm lateral condensation of gutta-percha with AH Plus sealer, and allowed to set for 30 days at 37°C and 100% humidity. For retreatment, specimens were divided into 2 groups (n = 24) on the basis of access outline, CEC or traditional endodontic cavity (TEC). Retreatment was initiated by using ProTaper Retreatment instruments (D1-D3). Specimens were then stratified, further divided (n = 12), and reinstrumented up to TS 40 .06v or 40 .06 VB. Irrigation was performed by using 8.25% NaOCl and QMix 2in1. Retreatment time was recorded. Teeth were sectioned and photographed, and the percentage of remaining obturation materials was measured. Data were analyzed with Kruskal-Wallis analysis of variance for two-factor tests (α < 0.05). The interaction between access design and instrument type showed that the combination of CEC-VB presented significantly higher amounts of remaining obturation materials on the canal surface when compared with TEC-VB, CEC-TS, and TEC-TS (P ≤ .05). None of these other combinations were different from each other (P > .05). Significantly more time was required for retreatment with CEC-TS (27.68 ± 1.4 minutes) than the other groups (P < .05). Neither retreatment protocol was able to completely eliminate all obturation materials from the root canal surface of mandibular premolars. However, in the presence of a CEC access design, using TS instruments removed more obturating material in single-rooted, oval-shaped canals. Copyright © 2016 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Comparison of early dexamethasone retreatment versus standard dexamethasone regimen combined with PRN ranibizumab in diabetic macular edema.

PubMed

Arıkan Yorgun, Mücella; Toklu, Yasin; Mutlu, Melek

2017-02-01

The purpose of the study is to evaluate the efficacy and safety of as-needed dexamethasone (DEX) retreatment compared with standard DEX retreatment combined with PRN ranibizumab injections among patients with persistent diabetic macular edema (DME). Twenty-eight patients with persistent macular edema having recurrence earlier than 6 months after initial DEX implantation were included in this retrospective study. Group I consisted of 13 patients retreated using monthly PRN ranibizumab injections combined with standard 6-monthly DEX implantation; Group II consisted of 15 patients retreated with DEX implantation earlier than 6 months on an "as-needed" basis. There was no significant difference between the groups with regarding to age, gender, HbA1C levels, duration of diabetes, duration of macular edema, baseline central macular thickness (CMT), best-corrected visual acuity (BCVA), and intraocular pressure (IOP) values (p > 0.05). The mean follow-up time of the whole study population was 10.13 ± 1.75 months (range 9-15). The mean CMT values were significantly decreased in both groups compared to baseline values except for the 6th-month CMT in Group I (p < 0.05). The mean logMAR BCVA values were not statistically different between groups during the follow-up compared to baseline BCVA values (p > 0.05). However, a significant change in mean BCVA from baseline was seen at 4th, 6th, and 9th months in Group II (p ≤ 0.05). The mean number of total intravitreal treatments was 3.50 ± 0.77 in Group I and 2.53 ± 0.51 in Group II (p = 0.001). During the follow-up period, one patient in Group I and five patients in Group II had increased IOP (≥25 mmHg). Early DEX retreatment improved vision with superior anatomical improvement at 6th month and with fewer intravitreal treatments in eyes with DME. However, improvement in visual acuity is similar with standard DEX retreatment combined with PRN ranibizumab group.

The significant impact of framing coils on long-term outcomes in endovascular coiling for intracranial aneurysms: how to select an appropriate framing coil.

PubMed

Ishida, Wataru; Sato, Masayuki; Amano, Tatsuo; Matsumaru, Yuji

2016-09-01

OBJECTIVE The importance of a framing coil (FC)-the first coil inserted into an aneurysm during endovascular coiling, also called a lead coil or a first coil-is recognized, but its impact on long-term outcomes, including recanalization and retreatment, is not well established. The purposes of this study were to test the hypothesis that the FC is a significant factor for aneurysmal recurrence and to provide some insights on appropriate FC selection. METHODS The authors retrospectively reviewed endovascular coiling for 280 unruptured intracranial aneurysms and gathered data on age, sex, aneurysm location, aneurysm morphology, maximal size, neck width, adjunctive techniques, recanalization, retreatment, follow-up periods, total volume packing density (VPD), volume packing density of the FC, and framing coil percentage (FCP; the percentage of FC volume in total coil volume) to clarify the associated factors for aneurysmal recurrence. RESULTS Of 236 aneurysms included in this study, 33 (14.0%) had recanalization, and 18 (7.6%) needed retreatment during a mean follow-up period of 37.7 ± 16.1 months. In multivariate analysis, aneurysm size (odds ratio [OR] = 1.29, p < 0.001), FCP < 32% (OR 3.54, p = 0.009), and VPD < 25% (OR 2.96, p = 0.015) were significantly associated with recanalization, while aneurysm size (OR 1.25, p < 0.001) and FCP < 32% (OR 6.91, p = 0.017) were significant predictors of retreatment. VPD as a continuous value or VPD with any cutoff value could not predict retreatment with statistical significance in multivariate analysis. CONCLUSIONS FCP, which is equal to the FC volume as a percentage of the total coil volume and is unaffected by the morphology of the aneurysm or the measurement error in aneurysm length, width, or height, is a novel predictor of recanalization and retreatment and is more significantly predictive of retreatment than VPD. To select FCs large enough to meet the condition of FCP ≥ 32% is a potential relevant factor for better long-term outcomes. These findings support our hypothesis that the FC is a significant factor for aneurysmal recurrence.

Deglaciation of Fennoscandia

NASA Astrophysics Data System (ADS)

Stroeven, Arjen P.; Hättestrand, Clas; Kleman, Johan; Heyman, Jakob; Fabel, Derek; Fredin, Ola; Goodfellow, Bradley W.; Harbor, Jonathan M.; Jansen, John D.; Olsen, Lars; Caffee, Marc W.; Fink, David; Lundqvist, Jan; Rosqvist, Gunhild C.; Strömberg, Bo; Jansson, Krister N.

2016-09-01

To provide a new reconstruction of the deglaciation of the Fennoscandian Ice Sheet, in the form of calendar-year time-slices, which are particularly useful for ice sheet modelling, we have compiled and synthesized published geomorphological data for eskers, ice-marginal formations, lineations, marginal meltwater channels, striae, ice-dammed lakes, and geochronological data from radiocarbon, varve, optically-stimulated luminescence, and cosmogenic nuclide dating. This is summarized as a deglaciation map of the Fennoscandian Ice Sheet with isochrons marking every 1000 years between 22 and 13 cal kyr BP and every hundred years between 11.6 and final ice decay after 9.7 cal kyr BP. Deglaciation patterns vary across the Fennoscandian Ice Sheet domain, reflecting differences in climatic and geomorphic settings as well as ice sheet basal thermal conditions and terrestrial versus marine margins. For example, the ice sheet margin in the high-precipitation coastal setting of the western sector responded sensitively to climatic variations leaving a detailed record of prominent moraines and other ice-marginal deposits in many fjords and coastal valleys. Retreat rates across the southern sector differed between slow retreat of the terrestrial margin in western and southern Sweden and rapid retreat of the calving ice margin in the Baltic Basin. Our reconstruction is consistent with much of the published research. However, the synthesis of a large amount of existing and new data support refined reconstructions in some areas. For example, the LGM extent of the ice sheet in northwestern Russia was located far east and it occurred at a later time than the rest of the ice sheet, at around 17-15 cal kyr BP. We also propose a slightly different chronology of moraine formation over southern Sweden based on improved correlations of moraine segments using new LiDAR data and tying the timing of moraine formation to Greenland ice core cold stages. Retreat rates vary by as much as an order of magnitude in different sectors of the ice sheet, with the lowest rates on the high-elevation and maritime Norwegian margin. Retreat rates compared to the climatic information provided by the Greenland ice core record show a general correspondence between retreat rate and climatic forcing, although a close match between retreat rate and climate is unlikely because of other controls, such as topography and marine versus terrestrial margins. Overall, the time slice reconstructions of Fennoscandian Ice Sheet deglaciation from 22 to 9.7 cal kyr BP provide an important dataset for understanding the contexts that underpin spatial and temporal patterns in retreat of the Fennoscandian Ice Sheet, and are an important resource for testing and refining ice sheet models.

Effect of fjord geometry on Greenland mass loss in a warming climate (Invited)

NASA Astrophysics Data System (ADS)

Nick, F. M.; Vieli, A.; Andersen, M. L.; Joughin, I. R.

2013-12-01

Over the past decade, ice loss from the Greenland Ice Sheet increased as a result of both increased surface melting and ice discharge through the narrow outlet glaciers. The complicated behaviour of narrow outlet glaciers has not yet been fully captured by the ice-sheet models used to predict Greenland's contribution to future sea level. Here we try to quantify the future dynamic contribution of four major marine terminating outlet glaciers to sea-level rise. We use a glacier flow line model that includes a fully dynamic treatment of marine termini to simulate behavior of Helheim, Kangerdlugssuaq, Petermann and Jakobshavn Isbræ. The contribution from these glaciers to sea-level rise is largely (80%) dynamic in origin and is caused by several episodic retreats past overdeepenings in outlet glacier troughs. Model results show that the shape of the glacier and its fjord can alter how the glacier will respond to a changing climate. Dynamic losses are mainly related to channel geometry and occur when an ice front retreats from a basal high through an overdeepening. Subsequent decelerations in retreat and mass loss mostly coincide with a decrease in water depth as the glacier retreats or re-advances to a new or previous bathymetric high. In some cases, channel narrowing may temporarily slowdown the terminus retreat even when the terminus is located on an upward bed slope.

Retreatment of patients with treatment failure of direct-acting antivirals: Focus on hepatitis C virus genotype 1b.

PubMed

Kanda, Tatsuo; Nirei, Kazushige; Matsumoto, Naoki; Higuchi, Teruhisa; Nakamura, Hitomi; Yamagami, Hiroaki; Matsuoka, Shunichi; Moriyama, Mitsuhiko

2017-12-14

The recent development of direct-acting antiviral agents (DAAs) against hepatitis C virus (HCV) infection could lead to higher sustained virological response (SVR) rates, with shorter treatment durations and fewer adverse events compared with regimens that include interferon. However, a relatively small proportion of patients cannot achieve SVR in the first treatment, including DAAs with or without peginterferon and/or ribavirin. Although retreatment with a combination of DAAs should be conducted for these patients, it is more difficult to achieve SVR when retreating these patients because of resistance-associated substitutions (RASs) or treatment-emergent substitutions. In Japan, HCV genotype 1b (GT1b) is founded in 70% of HCV-infected individuals. In this minireview, we summarize the retreatment regimens and their SVR rates for HCV GT1b. It is important to avoid drugs that target the regions targeted by initial drugs, but next-generation combinations of DAAs, such as sofosbuvir/velpatasvir/voxilaprevir for 12 wk or glecaprevir/pibrentasvir for 12 wk, are proposed to be potential solution for the HCV GT1b-infected patients with treatment failure, mainly on a basis of targeting distinctive regions. Clinicians should follow the new information and resources for DAAs and select the proper combination of DAAs for the retreatment of HCV GT1b-infected patients with treatment failure.

From networking to next-working: how an academic department "retreated" and advanced at the same time.

PubMed

Yager, Joel; Kenna, Heather; Hantke, Mindy

2015-04-01

Department-wide retreats conducted at periods of transition can enrich and benefit academic departments in several ways. Here, the authors describe the organization, conduct, and immediate outcomes of a department-wide retreat in a university department of psychiatry intended to (1) foster networking and communication among faculty who often work in "silos" and (2) invite the faculty to provide "internal consultations" regarding aspirational strategic goals and recommendations for short-term actionable tactics to address these goals. The retreat featured an evening networking and socializing poster session followed by a day-long event consisting of small group and large group interactive sessions. Participants were 120 faculty members including 44 new and younger faculty members who prepared and presented posters about themselves and their work. A variety of aspirational goals and specific recommendations for follow-up emerged from small groups were discussed in plenary sessions and were subsequently summarized and distributed to the faculty to be addressed by ongoing workgroups. Immediate informal feedback suggests that conducting and acting on recommendations ensuing from academic department retreats can foster at least a short-term sense of shared community and purpose, network faculty, identify commonly held values and aspirational goals, and potentially stimulate formation of innovative affinity groups and collaborations. Longer-term workgroup efforts and outcome assessments are required to assess the enduring results and value of such undertakings.

Successful erlotinib rechallenge for leptomeningeal metastases of lung adenocarcinoma after erlotinib-induced interstitial lung disease: a case report and review of the literature.

PubMed

Togashi, Yosuke; Masago, Katsuhiro; Hamatani, Yasuhiro; Sakamori, Yuichi; Nagai, Hiroki; Kim, Young Hak; Mishima, Michiaki

2012-08-01

The most serious adverse reaction associated with treatment with epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs) is drug-induced interstitial lung disease (ILD). Because EGFR-TKIs are key drugs for patients with non-small cell lung cancer who have somatic activating mutations of the epidermal growth factor receptor gene (EGFR mutations), several cases of retreatment with EGFR-TKIs after ILD induced by these drugs have been reported. Here, we present a 68-year-old man with lung adenocarcinoma and leptomeningeal metastases having an EGFR mutation who was retreated with erlotinib after erlotinib-induced ILD. He suffered no ILD recurrence and his leptomeningeal metastases dramatically improved. In addition to the present case, reports of nine patients who were retreated with EGFR-TKIs after ILD were found in the literature. Only one patient had recurrence of ILD (although seven were retreated at a reduced dose of EGFR-TKIs, including the patient with recurrence). In contrast, three patients had no recurrence of ILD even without dose-reduction. These reports suggest that dose-reduction plays a limited role in preventing recurrence. Many patients received corticosteroids during retreatment, but not the one with recurrence of ILD. This may suggest that corticosteroids can prevent recurrence due to their antiinflammatory properties. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Microorganism penetration in dentinal tubules of instrumented and retreated root canal walls. In vitro SEM study.

PubMed

Al-Nazhan, Saad; Al-Sulaiman, Alaa; Al-Rasheed, Fellwa; Alnajjar, Fatimah; Al-Abdulwahab, Bander; Al-Badah, Abdulhakeem

2014-11-01

This in vitro study aimed to investigate the ability of Candida albicans (C. albicans) and Enterococcus faecalis (E. faecalis) to penetrate dentinal tubules of instrumented and retreated root canal surface of split human teeth. Sixty intact extracted human single-rooted teeth were divided into 4 groups, negative control, positive control without canal instrumentation, instrumented, and retreated. Root canals in the instrumented group were enlarged with endodontic instruments, while root canals in the retreated group were enlarged, filled, and then removed the canal filling materials. The teeth were split longitudinally after canal preparation in 3 groups except the negative control group. The teeth were inoculated with both microorganisms separately and in combination. Teeth specimens were examined by scanning electron microscopy (SEM), and the depth of penetration into the dentinal tubules was assessed using the SMILE view software (JEOL Ltd). Penetration of C. albicans and E. faecalis into the dentinal tubules was observed in all 3 groups, although penetration was partially restricted by dentin debris of tubules in the instrumented group and remnants of canal filling materials in the retreated group. In all 3 groups, E. faecalis penetrated deeper into the dentinal tubules by way of cell division than C. albicans which built colonies and penetrated by means of hyphae. Microorganisms can easily penetrate dentinal tubules of root canals with different appearance based on the microorganism size and status of dentinal tubules.

Evolving force balance at Columbia Glacier, Alaska, during its rapid retreat

USGS Publications Warehouse

O'Neel, S.; Pfeffer, W.T.; Krimmel, R.; Meier, M.

2005-01-01

Changes in driving and resistive stresses play an essential role in governing the buoyancy forces that are important controls on the speed and irreversibility of tidewater glacier retreats. We describe changes in geometry, velocity, and strain rate and present a top-down force balance analysis performed over the lower reach of Columbia Glacier. Our analysis uses new measurements and estimates of basal topography and photogrammetric surface velocity measurements made between 1977 and 2001, while assuming depth-independent strain. Sensitivity tests show that the method is robust and insensitive to small changes in the calculation parameters. Spatial distributions of ice speed show little correspondence with driving stress. Instead, spatial patterns of ice speed exhibit a nonlinear correspondence with basal drag. Primary resistance to flow comes from basal drag, but lateral drag becomes increasingly more important throughout the retreat, which may account for observed increases in speed. Maximum basal drag is always located in a prominent constriction located ~12 km upstream from the preretreat terminus. Once the terminus retreated into deep water off the terminal moraine marking the modern maximum extent, the upstream location of this maximum basal drag helped to promote thinning and decrease effective pressure in the lower region by limiting replenishing ice flow from upstream. An increase in both ice velocity and calving resulted, initiating what appears to be an irreversible retreat. Copyright 2005 by the American Geophysical Union.

Simple model of melange and its influence on rapid ice retreat in a large-scale Antarctic ice sheet model.

NASA Astrophysics Data System (ADS)

Pollard, D.; Deconto, R. M.

2017-12-01

Theory, modeling and observations point to the prospect of runaway grounding-line retreat and marine ice loss from West Antarctica and major East Antarctic basins, in response to climate warming. These rapid retreats are associated with geologic evidence of past high sea-level stands, and pose a threat of drastic sea-level rise in the future.Rapid calving of ice from deep grounding lines generates substantial downstream melange (floating ice debris). It is unknown whether this melange has a significant effect on ice dynamics during major Antarctic retreats, through clogging of seaways and back pressure at the grounding line. Observations in Greenland fjords suggest that melange can have a significant buttressing effect, but the lateral scales of Antarctic basins are an order of magnitude larger (100's km compared to 10's km), with presumably much less influence of confining margins.Here we attempt to include melange as a prognostic variable in a 3-DAntarctic ice sheet-shelf model. Continuum mechanics is used as aheuristic representation of discrete particle physics. Melange is createdby ice calving and cliff failure. Its dynamics are treated similarly to ice flow, but with little or no resistance to divergence. Melange providesback pressure where adjacent to grounded tidewater ice faces or ice-shelf edges. We examine the influence of the new melange component during rapid Antarctic retreat in warm-Pliocene and future warming scenarios.

Effect of Topography on Subglacial Discharge and Submarine Melting During Tidewater Glacier Retreat

NASA Astrophysics Data System (ADS)

Amundson, J. M.; Carroll, D.

2018-01-01

To first order, subglacial discharge depends on climate, which determines precipitation fluxes and glacier mass balance, and the rate of glacier volume change. For tidewater glaciers, large and rapid changes in glacier volume can occur independent of climate change due to strong glacier dynamic feedbacks. Using an idealized tidewater glacier model, we show that these feedbacks produce secular variations in subglacial discharge that are influenced by subglacial topography. Retreat along retrograde bed slopes (into deep water) results in rapid surface lowering and coincident increases in subglacial discharge. Consequently, submarine melting of glacier termini, which depends on subglacial discharge and ocean thermal forcing, also increases during retreat into deep water. Both subglacial discharge and submarine melting subsequently decrease as glacier termini retreat out of deep water and approach new steady state equilibria. In our simulations, subglacial discharge reached peaks that were 6-17% higher than preretreat values, with the highest values occurring during retreat from narrow sills, and submarine melting increased by 14% for unstratified fjords and 51% for highly stratified fjords. Our results therefore indicate that submarine melting acts in concert with iceberg calving to cause tidewater glacier termini to be unstable on retrograde beds. The full impact of submarine melting on tidewater glacier stability remains uncertain, however, due to poor understanding of the coupling between submarine melting and iceberg calving.

Partner Choice and the Differential Retreat from Marriage

ERIC Educational Resources Information Center

Schoen, Robert; Cheng, Yen-Hsin Alice

2006-01-01

The contemporary retreat from marriage in the United States has had a differential impact across socioeconomic and racial groups. Here, 1990 marriage rates and propensities for Virginia, North Carolina, and Wisconsin are analyzed regarding (a) the likelihood that persons in different groups ever marry and (b) patterns of partner choice with…

Gully head retreat in the sub-humid Ethiopian Highlands: The Ene-Chilala catchment

USDA-ARS?s Scientific Manuscript database

In the northern highlands of Ethiopia, gully erosion is severe. Despite many efforts to implement gully prevention measures, controlling gully erosion remains a challenge. The objective is to better understand the regional gully erosion processes and to prevent gully head retreat. The study was cond...

Management Retreats Provide Forum to Resolve Major Operational Issues

ERIC Educational Resources Information Center

Archambault, Dennis R.

1977-01-01

The retreat at the University of California in Los Angeles provides an environment completely away from the bookstore where major issues can be addressed at length without interruption. For two days focus is on store policies, goals, personnel requirements, budgets, review of the previous year, upcoming schedule and events. (LBH)

Research Leadership in Writing for Publication: A Theoretical Framework

ERIC Educational Resources Information Center

Murray, Rowena; Steckley, Laura; MacLeod, Iain

2012-01-01

Academics experience difficulty in managing competing tasks, particularly in relation to writing for publication. In a study conducted on a writing retreat, analysis of data obtained from academic writers revealed that facilitative leadership provided at a writing retreat was central to managing task complexity and writing-related anxiety. The…

Air-Sea Interactions in the Marginal Ice Zone

DTIC Science & Technology

2016-03-31

Arctic Ocean has increased with the significant retreat of the seasonal sea-ice extent. Here, we use wind, wave, turbulence, and ice measurements to...which has experienced a significant retreat of the seasonal ice extent (Comiso and Nishio, 2008; Comiso et al., 2008). Thomson and Rogers (2014) showed

The Benefits and Challenges of Academic Writing Retreats: An Integrative Review

ERIC Educational Resources Information Center

Kornhaber, Rachel; Cross, Merylin; Betihavas, Vasiliki; Bridgman, Heather

2016-01-01

The immediate drivers to increase publication outputs in higher education are government and research funding, organisational status, performance expectations and personal career aspirations. Writing retreats are one of a range of strategies used by universities to boost publication output. The aims of this integrative review were to synthesise…

Exploring the Effectiveness of a Retreat Method for Extension Staff

ERIC Educational Resources Information Center

Worker, Steven M.; Hill, Russell D.; Miller, JoLynn C.; Go, Charles G.; Boyes, Rita J.

2015-01-01

The California 4-H Association hosted two retreats to support its members with goals of balancing professional development with intentional relationship building. Evaluations demonstrated that staff found the intentional balance of time spent in unstructured, semi-structured, and structured time offered opportunities to grow professionally while…

Rift in Antarctic Glacier: a Unique Chance to Study Ice Shelf Retreat

NASA Technical Reports Server (NTRS)

Howat, Ian M.; Jezek, Ken; Studinger, Michael; Macgregor, Joseph A.; Paden, John; Floricioiu, Dana; Russell, Rob; Linkswiler, Matt; Dominguez, Roseanne T.

2012-01-01

It happened again, but this time it was caught in the act. During the last week of September 2011 a large transverse rift developed across thefloating terminus of West Antarcticas PineIsland Glacier, less than 5 years after its lastlarge calving event, in 2007 (Figure 1). PineIsland Glaciers retreat has accelerated substantiallyin the past 2 decades, and it is nowlosing 50 gigatons of ice per year, or roughly 25 of Antarcticas total annual contributionto sea level rise [Rignot et al., 2008]. The glaciers recent accelerated retreat is likely triggered by ocean warming and increased submarine melting. As such, it is of significant interest to glaciologists and of heightened societal relevance.

Serotonin and aggressive motivation in crustaceans: altering the decision to retreat.

PubMed

Huber, R; Smith, K; Delago, A; Isaksson, K; Kravitz, E A

1997-05-27

In crustaceans, as in most animal species, the amine serotonin has been suggested to serve important roles in aggression. Here we show that injection of serotonin into the hemolymph of subordinate, freely moving animals results in a renewed willingness of these animals to engage the dominants in further agonistic encounters. By multivariate statistical analysis, we demonstrate that this reversal results principally from a reduction in the likelihood of retreat and an increase in the duration of fighting. Serotonin infusion does not alter other aspects of fighting behavior, including which animal initiates an encounter, how quickly fighting escalates, or which animal eventually retreats. Preliminary studies suggest that serotonin uptake plays an important role in this behavioral reversal.

The risks and rewards of speed: Restorative retelling compressed into a three-day retreat.

PubMed

Blakley, Theresa; Mehr, Nita; Jordan, Donald

2018-01-01

This article chronicles the process of reducing the 10 week restorative retelling (RR) group model (Rynearson & Correa, Accommodation to violent dying: A guide to restorative retelling and support, Violent Death Bereavement Society, 2006) into a 3 day retreat for families of homicide loss. Strategies used to address the intensity of the condensed version of the treatment model are described for both the participants and treatment team. The twists and turns of how the therapeutic retreat unfolded are presented through case examples. The authors explicate the risks and rewards of conducting the RR model at speed, identify the challenges they faced, and give impressions for overall treatment efficacy.

Scientific Investigators Retreat Brings Like Minds Together | Poster

Cancer.gov

Scientists throughout NCI gathered at the 2016 Intramural Scientific Investigators Retreat on Jan. 12, at the Ronald Reagan Building and International Trade Center, to discuss the results of their research with fellow investigators. Several researchers who have made significant advances toward the goal of eliminating the threat of cancer spoke to a packed auditorium of

Jumpstarting Junior Faculty Motivation and Performance with Focused Writing Retreats

ERIC Educational Resources Information Center

Girardeau, Laura; Rud, A. G.; Trevisan, Michael S.

2014-01-01

Faculty members are critical assets to universities, and large losses to institutions occur if they are not successful. Although institutions value publications and grants in the tenure process, newer professors receive little guidance in writing for these endeavors. Faculty writing retreats help apprentice professors in the craft of writing;…

Is Assessment Destroying the Liberal Arts?

ERIC Educational Resources Information Center

Brown, Karin

2015-01-01

While higher education has typically included exposure to the values and ethos of the liberal arts, traditional liberal arts education has been in retreat and under threat for a while now. What role has the assessment movement had on this retreat? Is assessment, in fact, part of the deterioration of higher education? Assessment in academia began…

Advancing toward Shared Decision Making

ERIC Educational Resources Information Center

Muller, Lisa; Thorn, Judi

2007-01-01

In May 2004, a group of 25 teachers at Jenks High School in Oklahoma received an invitation to the Summer 2004 Advance. Although many organizations hold retreats for their employees, the administrators wanted to send a different message: we're not retreating; we're advancing! Like many states, Oklahoma suffered a school budget crisis during the…

Pathology informatics fellowship retreats: The use of interactive scenarios and case studies as pathology informatics teaching tools.

PubMed

Lee, Roy E; McClintock, David S; Balis, Ulysses J; Baron, Jason M; Becich, Michael J; Beckwith, Bruce A; Brodsky, Victor B; Carter, Alexis B; Dighe, Anand S; Haghighi, Mehrvash; Hipp, Jason D; Henricks, Walter H; Kim, Jiyeon Y; Klepseis, Veronica E; Kuo, Frank C; Lane, William J; Levy, Bruce P; Onozato, Maristela L; Park, Seung L; Sinard, John H; Tuthill, Mark J; Gilbertson, John R

2012-01-01

Last year, our pathology informatics fellowship added informatics-based interactive case studies to its existing educational platform of operational and research rotations, clinical conferences, a common core curriculum with an accompanying didactic course, and national meetings. The structure of the informatics case studies was based on the traditional business school case study format. Three different formats were used, varying in length from short, 15-minute scenarios to more formal multiple hour-long case studies. Case studies were presented over the course of three retreats (Fall 2011, Winter 2012, and Spring 2012) and involved both local and visiting faculty and fellows. Both faculty and fellows found the case studies and the retreats educational, valuable, and enjoyable. From this positive feedback, we plan to incorporate the retreats in future academic years as an educational component of our fellowship program. Interactive case studies appear to be valuable in teaching several aspects of pathology informatics that are difficult to teach in more traditional venues (rotations and didactic class sessions). Case studies have become an important component of our fellowship's educational platform.

The 24th Annual Prostate Cancer Foundation scientific retreat report.

PubMed

Miyahira, Andrea K; Soule, Howard R

2018-05-15

The 24th Annual Prostate Cancer Foundation (PCF) Scientific Retreat was held from October 5-7, 2017, at the Omni Shoreham Hotel in Washington, DC. The PCF Scientific Retreat is a scientific conference that specifically focuses on cutting edge research deemed to have significant promise for accelerating advances in prostate cancer biology and treatment. Themes highlighted at this year's meeting included: (i) new understandings in prostate cancer biology and disease progression; (ii) new mechanisms and treatment targets in advanced prostate cancer; (iii) advances in precision medicine genomics, germline genetics, and selection of targeted therapies; (iv) PSMA-targeted agents for PET imaging and radionuclide therapy; (v) approaches for improving the efficacy of immunotherapy in prostate cancer; (vi) applications of 3D Genomics in prostate cancer research; and (vii) potential applications of artificial intelligence in prostate cancer. This article reviews the research presented at the PCF Scientific Retreat, in order to improve understanding of the current state of prostate cancer research, encourage discourse and exchange of novel ideas, and stimulate new basic, translational, and clinical research that will ultimately improve the lives of patients. © 2018 Wiley Periodicals, Inc.

Microbial degradation of carbosulfan by carbosulfan--and carbofuran-retreated rice soil suspension.

PubMed

Sahoo, A; Sethunathan, N; Sahoo, P K

1998-07-01

The role of microorganisms in the degradation of carbosulfan (2,3-dihydro-2,2-dimethyl-7-benzofuranyl-(di-n-butyl)-aminosulfenyl++ + methyl carbamate), an analogue of carbofuran (2,3-dihydro-2,2-dimethyl-7-benzofuranyl-N-methyl carbamate) was studied by selective enrichment of microorganisms degrading either or both insecticides by repeated application of the insecticides, individually or in combination to flooded soil. Soil suspension from the pots treated with carbosulfan and carbofuran, individually or in combination collected after two applications, effected distinctly more rapid hydrolysis of carbosulfan than did the suspension from untreated pots or the uninoculated medium. The rate of hydrolysis was further accelerated by soil suspensions collected after six applications of the insecticides in the order carbosulfan treated > carbofuran treated > carbosulfan + carbofuran treated. The ability of treated and untreated suspension to degrade carbofuran was also studied. The rate of degradation of carbofuran by the suspension was in the order carbofuran retreated > carbosulfan + carbofuran retreated > carbosulfan retreated soil. Further involvement of microorganism in the rapid degradation of carbosulfan was confirmed by testing the degradation in sterilized and nonsterilized enrichment culture.

The effect of chloroform, orange oil and eucalyptol on root canal transportation in endodontic retreatment.

PubMed

Karataş, Ertuğrul; Kol, Elif; Bayrakdar, İbrahim Şevki; Arslan, Hakan

2016-04-01

The purpose of the present study was to assess the effect of solvents on root canal transportation in endodontic retreatment. Sixty extracted human permanent mandibular first molars with curved root canals were selected. All of the root canals were prepared using Twisted File Adaptive instruments (SybronEndo, Orange, CA, USA) and filled with gutta-percha and AH Plus sealer (Dentsply DeTrey, Konstanz, Germany) using the cold lateral compaction technique. The teeth were assigned to four retreatment groups as follows (n = 15): eucalyptol, chloroform, orange oil and control. The canals were scanned using cone-beam computed tomography scanning before and after instrumentation. The chloroform group showed a significantly higher mean transportation value than the orange oil and control groups at the 3 and 5 mm levels (P = 0.011 and P = 0.003, respectively). There was no significant difference among the orange oil, eucalyptol and control groups in terms of canal transportation (P > 0.61). The chloroform led to more canal transportation than the eucalyptol and orange oil during endodontic retreatment. © 2015 Australian Society of Endodontology.

On the impact of ice-ocean interaction on Greenland glaciers versus calving speed.

NASA Astrophysics Data System (ADS)

Rignot, E. J.; Menemenlis, D.; Morlighem, M.; Wood, M.; Millan, R.; Mouginot, J.; An, L.

2016-12-01

Glacier retreat from frontal ablation is a delicate balance between subaqueous melt, calving processes and bed geometry. Here, we model subaqueous melt from a large number of Greenland tidewater glaciers using generalized 3D, high resolution simulations of ice melt from the MITgcm ocean model constrained by subglacial melt from RACMO2.3 and ISSM, ocean temperature from ECCO2-4km Arctic, and bed topography from OMG and MC for 1992-2015. The results are analyzed in combination with ice-front retreat and glacier speed from Landsat and imaging radar data since the 1990s. We find that subaqueous melt is 2-3 times greater in summer than in winter and doubled in magnitude since the 1990s because of enhanced ice sheet runoff and warmer ocean temperature. Glaciers that retreated rapidly are characterized by subaqueous melt rates comparable to their calving speed and favorable bed geometry. Glaciers dominated by calving processes are in contrast more resilient to thermal forcing from the ocean, especially in the presence of stabilizing geometry. The study highlights the fundamental importance of calving processes in controlling glacier retreat in Greenland.

Atmospherically-driven collapse of a marine-based ice stream

NASA Astrophysics Data System (ADS)

Greenwood, S. L.; Clason, C. C.

2016-12-01

Marine-terminating glaciers and the sectors of ice sheets that are grounded below sea level are widely considered to be vulnerable to unstable retreat. The southern sector of the retreating Fennoscandian Ice Sheet comprised a large, aqueous-terminating ice sheet catchment grounded well below sea level throughout its deglaciation. However, the behaviour, timing of and controls upon ice sheet retreat through the Baltic and Bothnian basins have thus far been inferred only indirectly from peripheral, terrestrial-based geological archives. Recent acquisition of high-resolution multibeam bathymetry opens these basins up, for the first time, to direct investigation of their glacial footprint and palaeo-ice sheet behaviour. Multibeam data reveal a rich glacial landform legacy of the Bothnian Sea deglaciation. A late-stage palaeo-ice stream formed a narrow corridor of fast flow. Its pathway is overprinted by a vast field of basal crevasse squeeze ridges, while abundant traces of high subglacial meltwater volumes call for considerable input of surface meltwater to the subglacial system. We interpret a short-lived ice stream event under high extension, precipitating large-scale hydrofracture-driven collapse of the ice sheet sector under conditions of high surface melting. Experiments with a physically-based numerical flowline model indicate that the rate and pattern of Bothnian Sea ice stream retreat are most sensitive to surface mass balance change and crevasse propagation, while remarkably insensitive to submarine melting and sea level change. We interpret strongly atmospherically-driven retreat of this marine-based ice sheet sector.

Self-reported mindfulness and cortisol during a Shamatha meditation retreat.

PubMed

Jacobs, Tonya L; Shaver, Phillip R; Epel, Elissa S; Zanesco, Anthony P; Aichele, Stephen R; Bridwell, David A; Rosenberg, Erika L; King, Brandon G; Maclean, Katherine A; Sahdra, Baljinder K; Kemeny, Margaret E; Ferrer, Emilio; Wallace, B Alan; Saron, Clifford D

2013-10-01

Cognitive perseverations that include worry and rumination over past or future events may prolong cortisol release, which in turn may contribute to predisease pathways and adversely affect physical health. Meditation training may increase self-reported mindfulness, which has been linked to reductions in cognitive perseverations. However, there are no reports that directly link self-reported mindfulness and resting cortisol output. Here, the authors investigate this link. In an observational study, we measured self-reported mindfulness and p.m. cortisol near the beginning and end of a 3-month meditation retreat (N = 57). Mindfulness increased from pre- to post-retreat, F(1, 56) = 36.20, p < .001. Cortisol did not significantly change. However, mindfulness was inversely related to p.m. cortisol at pre-retreat, r(53) = -.31, p < .05, and post-retreat, r(53) = -.30, p < .05, controlling for age and body mass index. Pre to postchange in mindfulness was associated with pre to postchange in p.m. cortisol, β = -.37, t(49) = 2.30, p < .05: Larger increases in mindfulness were associated with decreases in p.m. cortisol, whereas smaller increases (or slight decreases) in mindfulness were associated with an increase in p.m. cortisol. These data suggest a relation between self-reported mindfulness and resting output of the hypothalamic-pituitary-adrenal system. Future work should aim to replicate this finding in a larger cohort and determine stronger inference about causality by using experimental designs that include control-group conditions. (PsycINFO Database Record (c) 2013 APA, all rights reserved).

Vegetative Succession in Recently Deglaciated Land in Kenai Fjords National Park

NASA Astrophysics Data System (ADS)

Green, C.; Klein, A. G.; Cairns, D. M.

2017-12-01

Poleward vegetation expansion has affected Alaska for decades and due to recently increased rates of warming, the expansion will accelerate. Glacial recession in Kenai Fjords National Park has exposed previously ice-covered land with vegetation succession occurring just a few years following glacial retreat. Land cover changes in recently deglaciated areas are affected by surface-air interactions, temperature gradients, and ecosystem development. Using satellite images from Landsat 5, 7, and 8 and the previous extents of four retreating glaciers from 1985 to 2015 within Kenai Fjords National Park, this study examines the relationship between deglaciation rates and vegetation greening. The glaciers, Exit (-15.04 m/yr), Petrof (-31.12 m/yr), Lowell (-33.14 m/yr), and Yalik (-51.32 m/yr) were selected based on their location, whether they were land or lake terminating, and their average retreat rate measured between 1985 and 2015. These glaciers have also been extensively studied. Combining historic glacier extents with 371 summer (JJA) Landsat images gathered from Google's Earth Engine platform we identified annual summer changes in NDVI of locations that were deglaciated between 1985, 1995, 2005, and 2015. Summer temperature maximums were determined to be more correlated with deglaciation, as measured using NDSI, than mean summer temperatures. Using NDVI, heightened deglaciation rates were found to be reasonably correlated with vegetation succession. The faster retreating glaciers, Lowell and Yalik, exhibited higher mean and maximum rates of increase of NDVI in their terminus areas than Exit and Petrof, the two slower retreating glaciers.

Microorganism penetration in dentinal tubules of instrumented and retreated root canal walls. In vitro SEM study

PubMed Central

Al-Sulaiman, Alaa; Al-Rasheed, Fellwa; Alnajjar, Fatimah; Al-Abdulwahab, Bander; Al-Badah, Abdulhakeem

2014-01-01

Objectives This in vitro study aimed to investigate the ability of Candida albicans (C. albicans) and Enterococcus faecalis (E. faecalis) to penetrate dentinal tubules of instrumented and retreated root canal surface of split human teeth. Materials and Methods Sixty intact extracted human single-rooted teeth were divided into 4 groups, negative control, positive control without canal instrumentation, instrumented, and retreated. Root canals in the instrumented group were enlarged with endodontic instruments, while root canals in the retreated group were enlarged, filled, and then removed the canal filling materials. The teeth were split longitudinally after canal preparation in 3 groups except the negative control group. The teeth were inoculated with both microorganisms separately and in combination. Teeth specimens were examined by scanning electron microscopy (SEM), and the depth of penetration into the dentinal tubules was assessed using the SMILE view software (JEOL Ltd). Results Penetration of C. albicans and E. faecalis into the dentinal tubules was observed in all 3 groups, although penetration was partially restricted by dentin debris of tubules in the instrumented group and remnants of canal filling materials in the retreated group. In all 3 groups, E. faecalis penetrated deeper into the dentinal tubules by way of cell division than C. albicans which built colonies and penetrated by means of hyphae. Conclusions Microorganisms can easily penetrate dentinal tubules of root canals with different appearance based on the microorganism size and status of dentinal tubules. PMID:25383343

Hepatitis C Virus Resistance Testing in Genotype 1: The Changing Role in Clinical Utility.

PubMed

Molino, Suzanne; Martin, Michelle T

2017-09-01

To review the role and utility of baseline resistance testing with currently available and pipeline genotype 1 hepatitis C virus (HCV) treatment. Authors reviewed liver meeting abstracts for data on currently-available and pipeline genotype 1 retreatment regimens from January 1, 2015, to March 23, 2017. Additional trials were identified from a review of clinicaltrials.gov using the pipeline medication names. Authors identified reports of current and pipeline genotype 1 retreatment regimens. Seven references were clinical study results presented at the meetings of the American Association for the Study of Liver Diseases and the European Association for the Study of the Liver, and 2 studies were from clinicaltrials.gov . Retreatment trial data of currently available salvage regimens indicate that baseline NS5A resistance-associated substitutions (RASs) may decrease sustained virological response (SVR) rates when retreating with ledipasvir/sofosbuvir but are not affected when using elbasvir/grazoprevir + sofosbuvir + ribavirin, paritaprevir/ritonavir/ombitasvir + dasabuvir + sofosbuvir, or sofosbuvir/velpatasvir + ribavirin. Pipeline data indicate that baseline NS5A RASs do not affect SVR rates when retreating with sofosbuvir/velpatasvir/voxilaprevir or glecaprevir/pibrentasvir. Baseline resistance testing was used for decisional support for 3 clinical scenarios in patients with HCV genotype 1 infection at the time of manuscript submission. Pending the approval of 2 new direct-acting antiviral regimens in the third quarter of 2017, the rapidly evolving HCV treatment guidelines will likely reflect a decreased clinical utility for resistance testing.

Retreatment with pembrolizumab in advanced non-small cell lung cancer patients previously treated with nivolumab: emerging reports of 12 cases.

PubMed

Fujita, Kohei; Uchida, Naohiro; Kanai, Osamu; Okamura, Misato; Nakatani, Koichi; Mio, Tadashi

2018-04-19

After approval of anti-programmed cell death (PD)-1 antibodies, treatment for non-small cell lung cancer (NSCLC) has drastically changed. However, even in patients with favorable effects, therapeutic efficacy does not last long. Recently, retreatment with anti-PD-1 antibody has received attention. The aim of this study was to evaluate the efficacy and safety of retreatment with pembrolizumab in NSCLC patients previously treated with nivolumab. We retrospectively reviewed NSCLC patients retreated with pembrolizumab who were previously treated with nivolumab. We collected the following data: patient characteristics, number of cycles of nivolumab and pembrolizumab, treatment interval between nivolumab and pembrolizumab, best response, and immune-related adverse events. Twelve patients were reviewed. The median number of cycles of nivolumab was 12.5 (range 2-32 cycles). Seven patients (58.3%) achieved a partial response (PR) and two patients (16.7%) achieved stable disease (SD). Eight patients (66.7%) received cytotoxic chemotherapy between nivolumab and pembrolizumab. The median number of cycles of chemotherapy treatment was 4 (range 1-9 cycles). The median number of cycles of pembrolizumab was 3.5 (range 1-17 cycles). One patient (8.3%) achieved PR and four patients (33.3%) achieved SD as their best response to pembrolizumab. All patients showing response to pembrolizumab had very high (≥ 80%) tumor PD-Ligand 1 expression. This study suggested that retreatment with anti-PD-1 antibody is a reasonable option for selected NSCLC patients.

Comparing the Records of Calving Front Position, Elevation, and Velocity for Neighboring Glaciers in Sermilik Fjord

NASA Astrophysics Data System (ADS)

Goliber, S. A.; Allwes, K.; Roberts, C.; Csatho, B. M.

2016-12-01

The southeast region of the Greenland Ice Sheet has thinned at a high rate compared to the rest of the Ice Sheet over the last decade and is characterized by a high diversity of outlet glacier behaviors (Csatho et al., 2014). While the entire region has experienced an overall mass loss from a warming climate, some major outlet glaciers exhibit varying amounts of thinning and thickening attributed to changes in ice dynamics. From 1980 to 2016, Helheim, Fenris, and Midgard glaciers (all located in the Sermilik fjord system) have shown dissimilar thinning and thickening patterns, retreat rates, and velocity changes despite their close geographic proximity. To understand why these glaciers behave so differently, detailed calving front and trimline reconstructions were created from historical maps, aerial photographs, and satellite imagery. Additionally, we measured elevation changes from Airborne Topographic Mapper (ATM) laser altimetry data and DEMs derived from Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) and Satellite Pour l'Observation de la Terre (SPOT) stereo imagery. The presentation compares the elevation and velocity records with the timing of calving front changes of Helheim, Fenris and Midgard glaciers. Helheim Glacier has retreated a net distance of 7 km since 1972 and exhibited a thinning-thickening- thickening pattern from 2003-2009. It retreated to its maximum inland position in 2005, followed by a re-advance to a new equilibrium position by 2007. The calving front then oscillated around a relatively stable position from 2007 to 2014. However, in 2015, it again retreated to within 2 km of its 2005 position. Contrastingly, Midgard Glacier has experienced decelerated thinning from 2003-2009, followed by an acceleration of thinning. Midgard Glacier retreated a total of 15 km between 1972 and 2015, behind its confluence with a former tributary. While Fenris Glacier exhibits a thinning-thickening-thinning pattern similar to Helheim Glacier, it has much lower velocities and has retreated only a total of 2 km since 1975.

Efficacy of D-RaCe and ProTaper Universal Retreatment NiTi instruments and hand files in removing gutta-percha from curved root canals - a micro-computed tomography study.

PubMed

Rödig, T; Hausdörfer, T; Konietschke, F; Dullin, C; Hahn, W; Hülsmann, M

2012-06-01

To compare the efficacy of two rotary NiTi retreatment systems and Hedström files in removing filling material from curved root canals. Curved root canals of 57 extracted teeth were prepared using FlexMaster instruments and filled with gutta-percha and AH Plus. After determination of root canal curvatures and radii in two directions, the teeth were assigned to three identical groups (n = 19). The root fillings were removed with D-RaCe instruments, ProTaper Universal Retreatment instruments or Hedström files. Pre- and postoperative micro-CT imaging was used to assess the percentage of residual filling material as well as the amount of dentine removal. Working time and procedural errors were recorded. Data were analysed using analysis of covariance and analysis of variance procedures. D-RaCe instruments were significantly more effective than ProTaper Universal Retreatment instruments and Hedström files (P < 0.05). Hedström files removed significantly less dentine than the rotary NiTi systems (P < 0.0001). D-RaCe instruments were significantly faster compared to both other groups (P < 0.05). No procedural errors such as instrument fracture, blockage, ledging or perforation were detected in the Hedström group. In the ProTaper group, four instrument fractures and one lateral perforation were observed. Five instrument fractures were recorded for D-RaCe. D-RaCe instruments were associated with significantly less residual filling material than ProTaper Universal Retreatment instruments and hand files. Hedström files removed significantly less dentine than both rotary NiTi systems. Retreatment with rotary NiTi systems resulted in a high incidence of procedural errors. © 2012 International Endodontic Journal.

The prognosis of root canal therapy: a 10-year retrospective cohort study on 411 patients with 1175 endodontically treated teeth.

PubMed

Fonzar, Federica; Fonzar, Alberto; Buttolo, Piercarlo; Worthington, Helen V; Esposito, Marco

2009-01-01

To evaluate the 10-year prognosis of consecutively endodontically treated or retreated teeth and to investigate some of the prognostic factors which could predict the long-term outcome of endodontic therapy. This retrospective cohort study included any patient who had endodontically treated or retreated teeth from 1986 to 1998 by a single operator in a private practice. Outcome measures were clinical and radiographic success assessed by the operator, radiographic success assessed by an independent outcome assessor and complications evaluated 10 years after treatment. Descriptive statistics, life table, Kaplan-Meier and Cox regression analyses for success were fitted. A total of 411 patients with 1175 endodontically treated teeth were identified. Ten years after treatment 102 patients (24.8%) with 223 (19.0%) teeth were lost at the follow-up. The number of teeth that were originally treated and retreated were 704 and 471, respectively. Thirty-two teeth (2.7%) had one complication, which was successfully treated. A total of 988 (84.1%) teeth were considered a complete success, 46 (3.9%) a partial success, 52 (4.4%) a partial failure and 68 (5.8%) had to be extracted according to the treating clinician. For 21 teeth (1.8%) there was no follow-up information. The radiographic healing of 1086 teeth was evaluated by an independent assessor: 980 (90.2%) showed complete healing, 52 (4.8%) improvement, and 54 (5.0%) no change or worsening. The life-table analysis showed 93% of teeth surviving at 10 years after endodontic treatment. There were no differences for survival rates between teeth treated for the first time and those that were retreated (Kaplan-Meier). Teeth retreated because of symptoms or for a periapical/lateral radiolucency were more likely to fail. Approximately 7% of endodontically treated teeth were extracted 10 years after treatment. Symptoms and radiolucency of teeth needing retreatment may be important predictors for failure.

[Analysis of drug resistance to antituberculosis drugs of the first time retreated pulmonary tuberculosis patients in Shanghai].

PubMed

Fan, Yu-mei; Xiao, He-ping; Mei, Jian

2006-10-01

To investigate antituberculosis drug resistance among the first time retreated pulmonary tuberculosis patients in Shanghai, and therefore to provide evidence for establishing retreatment regimen. Analysis was conducted retrospectively on drug susceptibility tests to isoniazid, rifampin, streptomycin, ethambutol and para-aminosalicylates of the first time retreated pulmonary tuberculosis patients with a positive sputum culture in Shanghai Center for Disease Control from January 2002 to December 2004. The total drug resistance rate was 39.6%. The drug resistance rate in male and female patients was 38.5% and 44.4% respectively, the difference being not significant. The drug resistance rate in the young age group, the middle age group and the old age group were 50.0%, 41.6% and 34.6% respectively, the difference being not significant. The total drug resistance rates in the treatment failure group with standard initial chemotherapy and in the relapse group with standard regimen were both higher than in the relapse group with non-standard regimen (70.0%, 47.5%, 28.2%). So do the drug resistance rates of more than two drugs (70.0%, 18.3%, 6.4%). The multi-drug resistance rate of the failures with standard regimen was 70.0%, much higher than the relapses with standard regimen and the relapses with non-standard regimen. In relapses with non-standard initial therapy, the drug resistance rate of patients who received medications > or = 12 months was 55.0%, significantly higher than those treated for 1 - 5 months (13.0%). The drug resistance rate of patients who were treated with one to two drugs was lower than those treated with > or = 3 drugs, but no significant difference was observed (24.4% and 30.8%). Drug resistance rate varies in different types of the first time retreated pulmonary tuberculosis patients due to the history of drug use, which indicates that the current standard retreatment regimen is probably ineffective for some patients.

2017 Rapid Retreat Of Thwaites Glacier

NASA Astrophysics Data System (ADS)

Milillo, P.; Rignot, E. J.; Mouginot, J.; Scheuchl, B.

2017-12-01

We employ data from the second generation of SAR systems e.g. the Italian COSMO- SkyMed (CSK) constellation and the German TanDEM-X (TDX) formation to monitor grounding line retreat using short repeat-time interferometry and accurate InSAR DEM on Thwaites glacier in the Amundsen Sea Embayment (ASE), West Antarctica. The ASE is a marine-based ice sheet with a retrograde bed containing enough ice to raise global sea level by 120 cm. Several studies have inferred the mechanical properties of portions of ASE using observationally constrained numerical models, but these studies offer only temporal snapshots of basal mechanics owing to a dearth of observational time series. Prior attempts of grounding lines mapping have been limited because few space-borne SAR missions offer the short-term repeat pass capability required to map the differential vertical displacement of floating ice at tidal frequencies with sufficient detail to resolve grounding line boundaries in areas of fast ice deformation. Using 1-day CSK repeat pass data and TDX DEMs, we collected frequent, high-resolution grounding line measurements of Thwaites glaciers spanning 2015-2017. We compare the results with ERS data spanning 1996-2011, and Sentinel-1a 2014-2015 data. Between 2011 and 2017 we observe a maximum retreat of 5-7 km across the main Thwaites glacier tongue and Thwaites Eastern ice shelf (TEIS) corresponding to an increased retreat rate of 0.5 km/yr. Grounding line retreat has been fueled by the enhanced intrusion of warm, salty, subsurface ocean water of circumpolar deep water origin onto the continental shelf, beneath the floating ice shelf, to reach the glacier grounding zone and melt it from below at rates varying from 50 to 150 m/yr. The retreat rate varies depending on the magnitude of ice melt by the ocean, the rate of ice thinning and the shape of the glacier surface and bed topography.

Navigated macular laser decreases retreatment rate for diabetic macular edema: a comparison with conventional macular laser.

PubMed

Neubauer, Aljoscha S; Langer, Julian; Liegl, Raffael; Haritoglou, Christos; Wolf, Armin; Kozak, Igor; Seidensticker, Florian; Ulbig, Michael; Freeman, William R; Kampik, Anselm; Kernt, Marcus

2013-01-01

The purpose of this study was to evaluate and compare clinical outcomes and retreatment rates using navigated macular laser versus conventional laser for the treatment of diabetic macular edema (DME). In this prospective, interventional pilot study, 46 eyes from 46 consecutive patients with DME were allocated to receive macular laser photocoagulation using navigated laser. Best corrected visual acuity and retreatment rate were evaluated for up to 12 months after treatment. The control group was drawn based on chart review of 119 patients treated by conventional laser at the same institutions during the same time period. Propensity score matching was performed with Stata, based on the nearest-neighbor method. Propensity score matching for age, gender, baseline visual acuity, and number of laser spots yielded 28 matched patients for the control group. Visual acuity after navigated macular laser improved from a mean 0.48 ± 0.37 logMAR by a mean +2.9 letters after 3 months, while the control group showed a mean -4.0 letters (P = 0.03). After 6 months, navigated laser maintained a mean visual gain of +3.3 letters, and the conventional laser group showed a slower mean increase to +1.9 letters versus baseline. Using Kaplan-Meier analysis, the laser retreatment rate showed separation of the survival curves after 2 months, with fewer retreatments in the navigated group than in the conventional laser group during the first 8 months (18% versus 31%, respectively, P = 0.02). The short-term results of this pilot study suggest that navigated macular photocoagulation is an effective technique and could be considered as a valid alternative to conventional slit-lamp laser for DME when focal laser photocoagulation is indicated. The observed lower retreatment rates with navigated retinal laser therapy in the first 8 months suggest a more durable treatment effect.

Slowing down the retreat of the Morteratsch glacier, Switzerland, by artificially produced summer snow

NASA Astrophysics Data System (ADS)

Oerlemans, Johannes; Keller, Felix; Haag, Martin

2017-04-01

Many large valley glaciers in the world are retreating at historically unprecedented rates. Also in the Alps, where warming over the past decades has been more than twice as large as the global mean, all major glaciers have retreated over distances of several kilometers over the past hundred years. The Morteratsch Glacier, Pontresina, Switzerland, is a major touristic attraction. Due to strong retreat the lowest part of the glacier is getting out of sight from the gravel road that provided direct access to the glacier front. The Community of Pontresina has commissioned a preparatory study to find out if it is possible to slow down the retreat of the Morteratsch Glacier in an environmentally friendly way. In this article we report on the outcome of such a study, based on a modelling approach. Our analysis is based on a 20- year weather station record from the lower part of the glacier, combined with calculations with an ice flow model. This model has been carefully calibrated against the historical glacier length record, to ensure an optimal initial state for projections into the future. We arrive at the conclusion that producing summer snow in the ablation zone over a larger area (typically 0.5 to 1 km ^2) is the best option, and may have a significant effect on the rate of retreat on a timescale of decades. We consider three scenarios of climate change: (i) no change, (ii) a rise of the Equilibrium Line Altitude (ELA) by 1 m/yr, and (iii) a rise of the ELA by 2 m/yr. Projections of glacier length are done until the year 2100. It takes about 10 years before snow deposition in the higher ablation zone starts to affect the position of the glacier snout. The difference in glacier length between the snow and no-snow experiments becomes 400 to 500 m within two decades.

Community patterns of the small riverine benthos within and between two contrasting glacier catchments

PubMed Central

Eisendle-Flöckner, Ursula; Jersabek, Christian D; Kirchmair, Martin; Hashold, Kerstin; Traunspurger, Walter

2013-01-01

Ongoing glacial retreat is expected to lead to numerous changes in glacier-fed rivers. This study documents the development of community composition of the hitherto widely neglected micro- and meiobenthos (MMB: bacteria, fungi, algae, protists, and meiofauna) in glacier rivers in response to the distinct habitat conditions driven by different stages of (de)glacierization. Our model is based on the glacier catchments of the Möll River (MC) and Kleinelendbach stream (KC), in the Austrian Alps, with 60% and 25% glacierization and glacier retreats of 403 and 26 m, respectively, since 1998. Analyses of overall catchment diversity and resemblance patterns showed that neither intense glacierization nor rapid deglacierization were predominant MMB determinants. This was ascribed to the specific environmental conditions at the MC, where the rapidly retreating Pasterze glacier has formed a harsh unstable proglacial, but also a benign floodplain area, with the former suppressing and the latter supporting the structural development of the MMB. Comparisons of similarly aged riverine habitats of the MC proglacial and the KC main channel further evidenced developmental suppression of the MMB (64 taxa) by the rapidly retreating MC glacier, unlike the moderate glacial retreat in the KC (130 taxa). Habitat conditions interacting with melt periods explained the differences in MMB resemblance patterns, which themselves differentially reflected the spatiotemporal habitat settings imposed by the different glacier activities. The varying glacial influences were represented by a glaciality index (GIm) based on water temperature, electrical conductivity, and stream bed stability. The taxonomic richness of nematodes, rotifers, algae, and diatoms was distinctly related to this index, as were most MMB abundances. However, the strongest relationships to the GIm were those of nematode abundances and maturity. Our observations highlight the intense response of the MMB to ongoing glacier retreat and the utility of a simple index to reveal such patterns. PMID:24101976

Means of Slope Retreat on the Na Pali Cliffs, Kauai, Hawaii

NASA Astrophysics Data System (ADS)

Osborn, G.; Sheardown, A.; Blay, C.

2016-12-01

The spectacular, 500 to 600 m high, deeply grooved escarpment referred to as the Na Pali cliffs, on the northwest coast of Kauai, requires a substrate competent enough to hold up high steep cliffs yet erodible enough to allow generation of wide, deep grooves. These opposing tendencies are afforded by weathering of originally strong basalt that keeps pace with erosion. The fluted cliffs maintain a rather consistent slope angle, generally 50-60°, whether they are close to the shoreline or have retreated some distance from it, indicating that the slopes are retreating parallel to themselves. Previous literature promotes groundwater sapping or waterfall-plunge-pool erosion as the chief means of valley-head retreat, but there is no evidence that either concept provides a general explanation for retreat of the fluted cliffs. The eroding cliffs maintain steepness because as much rock is eroded at the base as at the top, and transported sediment is washed completely out of the gully system. The thin-bedded basalts exposed in the steep flutes are decomposed into irregularly alternating fine sediment of low to moderate cohesion and thoroughly fractured beds or lenses of solid but chemically weathered rock, and covered with a veneer of sparse grass. Erosion proceeds by episodic removal of thin grass-covered surficial sheets of the weathering products. Some of this process may be facilitated by shallow mass movement, but probably most of the work is done by overland and channelized flow during intense rainstorms. The Na Pali coast experiences one-hour rainfalls of 2-2.5 inches (1 year recurrence interval) and 5-6 inches (100 year recurrence interval); experiments by others on basaltic soils in Molokai suggest such rain is more than enough to generate erosion-inducing overland flow. Between the deep grooves and the shoreline are slopes with lesser drainage densities and lesser slope angles. The rocks here are not distinguished from the rocks above in previous literature, and there is no reason to expect any difference in lithology. The lower-angle slopes may be erosional footslopes, genetically similar to desert pediments, left behind as the fluted cliffs retreat. On their uphill edges the lower-angle slopes are expanding in area as the cliffs retreat but at the coast the slopes are being consumed by wave action.

Effect of tofacitinib withdrawal and re-treatment on patient-reported outcomes: results from a Phase 3 study in patients with moderate to severe chronic plaque psoriasis.

PubMed

Griffiths, C E M; Vender, R; Sofen, H; Kircik, L; Tan, H; Rottinghaus, S T; Bachinsky, M; Mallbris, L; Mamolo, C

2017-02-01

Tofacitinib is an oral Janus kinase inhibitor being investigated for psoriasis. A Phase 3 withdrawal/re-treatment study (NCT01186744; OPT Retreatment) showed tofacitinib re-treatment was effective in patients with chronic plaque psoriasis. To describe the effects of tofacitinib withdrawal/re-treatment on health-related quality of life (HRQoL) and disease symptoms measured by patient-reported outcomes (PROs). The study was divided into initial treatment, treatment withdrawal, and re-treatment periods. Initial treatment: patients were randomized to receive tofacitinib 5 (n = 331) or 10 mg (n = 335) BID for 24 weeks. Treatment withdrawal: patients who achieved both ≥ 75% reduction in Psoriasis Area and Severity Index (PASI) score from baseline and Physician's Global Assessment of 'clear'/'almost clear' at Week (W)24 received placebo (withdrawal) or the previous dose (continuous treatment). Re-treatment: at relapse (> 50% loss of W24 PASI response) or at W40, patients received their initial tofacitinib dose. PROs included: Dermatology Life Quality Index (DLQI), Itch Severity Item (ISI), Short Form-36 (SF-36) and Patient's Global Assessment (PtGA). After initial treatment with tofacitinib 5 and 10 mg BID, substantial and significant improvements were reported for mean DLQI (baseline: 12.6 and 12.6; W24: 5.1 and 2.6) and ISI (baseline: 6.7 and 6.9; W24: 2.9 and 1.6). Patients continuously treated with tofacitinib 5 and 10 mg BID maintained those improvements through Week 56 (DLQI: 3.0 and 2.1; ISI: 2.3 and 1.4). By W40, patients withdrawn from tofacitinib 5 and 10 mg BID showed worsening in DLQI (5.0 and 6.2) and ISI (3.7 and 4.0) scores; improvements were regained upon re-treatment (W56, DLQI: 3.4 and 2.4; ISI: 2.2 and 1.6). Similar results were reported for PtGA and SF-36. Continuous tofacitinib treatment provided sustained improvement in HRQoL and disease symptoms. Patients randomized to treatment withdrawal lost initial improvements. Upon re-treatment, improvements were recaptured to levels comparable to those seen with continuous treatment. © 2016 The Authors. Journal of the European Academy of Dermatology and Venereology published by John Wiley & Sons Ltd on behalf of European Academy of Dermatology and Venereology.

Kame deltas provide evidence for a new glacial lake and suggest early glacial retreat from central Lower Michigan, USA

NASA Astrophysics Data System (ADS)

Schaetzl, Randall J.; Lepper, Kenneth; Thomas, Sarah E.; Grove, Leslie; Treiber, Emma; Farmer, Alison; Fillmore, Austin; Lee, Jordan; Dickerson, Bethany; Alme, Kayleigh

2017-03-01

In association with an undergraduate Honors Seminar at Michigan State University, we studied two small kame deltas in north-central Lower Michigan. These recently identified deltas provide clear evidence for a previously unknown proglacial lake (Glacial Lake Roscommon) in this large basin located in an interlobate upland. Our first goal was to document and characterize the geomorphology of these deltas. Because both deltas are tied to ice-contact ridges that mark the former position of the retreating ice margin within the lake, our second goal was to establish the age of one of the deltas, thereby constraining the timing of ice retreat in this part of Michigan, for which little information currently exists. Both deltas are composed of well-sorted fine and medium sands with little gravel, and have broad, nearly flat surfaces and comparatively steep fronts. Samples taken from the upper 1.5 m of the deltas show little spatial variation in texture, aside from a general fining toward their outer margins. Gullies on the outer margins of both deltas probably postdate the formation of the deltas proper; we suggest that they formed by runoff during a permafrost period, subsequent to lake drawdown. We named the ice lobe that once covered this area the Mackinac Lobe, because it had likely advanced into the region across the Mackinac Straits area. Five of six optically stimulated luminescence (OSL) ages from one of the deltas had minimal scatter and were within ± 1000 years of one another, with a mean age of 23.1 ± 0.4 ka. These ages suggest that the Mackinac Lobe had started to retreat from the region considerably earlier than previously thought, even while ice was near its maximum extent in Illinois and Indiana, and the remainder of Michigan was ice-covered. This early retreat, which appears to coincide with a short-lived warm period indicated from the Greenland ice core, formed an "opening" that was at least occasionally flooded. Thick and deep, fine-textured deposits, which underlie much of the region, probably date to this time. Our work provides the first evidence of this extremely early ice retreat from central Lower Michigan, occurring almost 4000 years before the southern margin of the ice (Saginaw Lobe) had started its retreat from the state.

Antimicrobial usage and risk of retreatment for mild to moderate clinical mastitis cases on dairy farms following on-farm bacterial culture and selective therapy.

PubMed

McDougall, S; Niethammer, J; Graham, E M

2018-03-01

To assess antimicrobial usage for treatment of mild to moderate clinical mastitis, and risk of retreatment, following implementation of an on-farm bacterial culture system and selective therapy based on culture results, and to assess compliance with treatment decision tree protocols and the level of agreement between results from on-farm culture and laboratory-based microbiology methods. Herdowners from seven dairy herds were asked to collect milk samples from cases of mild to moderate clinical mastitis between July 2015 and May 2016. All samples were cultured on-farm using a commercially available selective media and were also submitted for laboratory-based culture. Within sequential pairs of cows with mastitis, half were assigned to be treated without regard to culture results (Blanket group), and half were treated based on the on-farm culture results (Selective group) according to decision tree diagrams provided to the farmers. Culture results, treatments, and retreatments for clinical mastitis were recorded. The sum of the daily doses of antimicrobials used per cow, the number of retreatments and interval to first retreatment were compared between treatment groups. The geometric mean sum of daily doses for quarters assigned to the Selective (1.72 (95% CI=1.55-1.90)) group was lower than for the Blanket (2.38 (95% CI=2.17-2.60)) group (p=0.005). The percentage of cows retreated for clinical mastitis did not differ between the Selective (21.7 (95% CI=10.5-25.9)%) and Blanket (26.1 (95% CI=20.9-31.3)%) groups (p=0.13), and there was no difference between groups in the hazard that cows would be retreated within 60 days of enrolment (hazard ratio=0.82 (95% CI=0.39-1.69); p=0.59). Compliance with the treatment protocols was higher amongst quarters assigned to the Selective (199/233; 85.4%) compared with the Blanket (171/249; 68.7%) group (p<0.001), and varied between farms from 64-94%. The overall agreement between results from on-farm and laboratory culture was 188/331 (56.9%; kappa=0.31; p<0.001), but varied between farms from 44.7-88.2% (p<0.001). Use of on-farm culture with selective antimicrobial therapy resulted in approximately 25% lower antimicrobial usage, but was not associated with an increase in the proportion of cows retreated for clinical mastitis. This study has demonstrated that on-farm culture and selective therapy based on culture results can be implemented on-farm. However, farms varied in their implementation of both the treatment protocols and microbiology procedures. Where such systems are to be used on-farm, specific training and on-going monitoring is required.

Assessing the Response of Alaska's Glaciers to Post-Little Ice Age Climate Change

NASA Astrophysics Data System (ADS)

Molnia, B. F.

2001-12-01

A comprehensive survey of the eleven mountain ranges and three island areas in Alaska that presently support glaciers was conducted to determine how glaciers in each area have responded to post-Little Ice Age (LIA) climate change. Today, glaciers cover 5 percent of Alaska, about 75,000 sq. km., range in elevation from 6,000 m to below sea level, and span latitudes from south of 55 degrees N to north of 69 degrees N. During the LIA, Alaskan glaciers expanded significantly, covering 10 percent more area than today. Many different types of data were used to construct baselines and determine glacier change. These include: published descriptions of glaciers (1794 - 2000), historic and modern maps (1794 - 2000), aerial photography (1926 - 2001), ground photography (1884 - 2001), airborne radar (1981 - 1991), satellite radar (1978 - 1998), space photography (1984 - 1994), multi-spectral satellite imagery (1972 - 2001), aerial reconnaissance and field observations by the author (1968 - 2001), and various types of proxy data. Data available varied for each region and glacier. Every mountain range and island group investigated is characterized by significant glacier retreat, thinning, and/or stagnation, especially at lower elevations. At some locations, glaciers have completely disappeared during the twentieth century. In other areas, retreat that started as early as the early eighteenth century, has continued into the twenty-first century. Ironically, in several areas, retreat is resulting in the number of glaciers is actually increasing, but the volume and area of ice is decreasing. The key survey findings are: ALEXANDER ARCHIPELAGO, KODIAK ISLAND, ALEUTIAN ISLANDS: every glacier examined showed evidence of thinning and retreat. Some have disappeared since last being mapped in the mid-twentieth century; COAST MOUNTAINS, ST. ELIAS MOUNTAINS, CHUGACH MOUNTAINS, KENAI MOUNTAINS, WRANGELL MOUNTAINS, ALASKA RANGE, AND THE ALEUTIAN RANGE: more than 95 percent of glaciers ending below an elevation of 1,500 m are retreating, thinning, and/or stagnating. Some advancing glaciers have tidewater termini. The two largest glaciers, Bering and Malaspina Glaciers, are thinning and retreating, losing several cubic kilometers of ice each year to melting and calving; TALKEETNA MOUNTAINS, AHKLUN-WOOD RIVER MOUNTAINS, KIGLUAIK MOUNTAINS, AND THE BROOKS RANGE: every glacier examined is retreating. Some disappeared during the twentieth century. Glaciers at higher elevations show little or no change. Perhaps, at these locations, regional climate change has not resulted in temperatures being elevated to a level where they impact existing glacier ice. Increases in precipitation may also be compensating for increases in melting. Throughout Alaska, in response to post-Little Ice Age climate change, all but a few glaciers that descent below an elevation of 1,500 m have thinned, stagnated, and/or retreated. Of the nearly 700 named Alaskan glaciers, less than a dozen are currently advancing.

College Football and Public Crisis: Appropriate Actions and Justifications after the Kennedy Assassination.

ERIC Educational Resources Information Center

Brown, Robert S.

This paper contends that domestic response to John F. Kennedy's assassination took two basic forms in the United States: active crisis management and retreat. According to the paper, while government, churches, and the media engaged in active crisis management, businesses and schools closed, and the public retreated to mourn rather than to…

Investigators Retreat: A Forum to Bridge Frederick and Bethesda Cancer Research | Poster

Cancer.gov

By Andrea Frydl, Contributing Writer Nearly 700 researchers, scientists, and laboratory technicians convened in the Ronald Reagan Building and International Trade Center in Washington, DC, for the 2014 NCI Intramural Scientific Investigators Retreat on Jan. 14. The event featured presentations and posters exploring topics in cancer research from KRAS signaling to animal care.

Scientists Discover New Possibilities at Scientific Investigators Retreat | Poster

Cancer.gov

By Nancy Parrish, Staff Writer; photos by Richard Frederickson, Staff Photographer Scientists who attended the 2015 NCI Intramural Scientific Investigators Retreat on Jan. 13 had a chance to discuss research results with other investigators from across the National Cancer Institute. And this year, they could also explore new possibilities for the future of their research.

Promoting Writing for Research: The "Writing Retreat" Model

ERIC Educational Resources Information Center

Singh, R. J.

2012-01-01

Research papers take a long time to write and in an academic environment where the "publish or perish" clause applies, writing retreats are a way of creating time and space to write academic articles in a concentrated period of time. This article examines ways in which academics can write more articles for publication. In particular it…

Increasing Research Productivity and Professional Development in Psychology With a Writing Retreat.

PubMed

Stanley, Ian H; Hom, Melanie A; Chu, Carol; Joiner, Thomas E

2017-09-01

Writing is a core feature of the training requirements and career demands of psychology faculty members and graduate students. Within academic psychology, specifically, writing is vital for the generation of scientific knowledge through manuscripts and grant applications. Although resources exist regarding how to improve one's writing skills, few models have been described regarding how to promote a culture of writing productivity that realizes tangible deliverables, such as manuscripts and grant applications. In this article, we discuss the rationale, model, and initial outcome data of a writing retreat developed and implemented to increase research productivity among psychology faculty and trainees. We also review best practices for conducting writing retreats and identify key areas for future SoTL on advancing writing.

Trench Advance By the Subduction of Buoyant Features - Application to the Izu-Bonin-Marianas Arc

NASA Astrophysics Data System (ADS)

Goes, S. D. B.; Fourel, L.; Morra, G.

2014-12-01

Most subduction trenches retreat, not only today but throughout the Cenozoic. However, a few trenches clearly advance during part of the evolution, including Izu-Bonin Marianas (IBM) and Kermadec. Trench retreat is well understood as a basic consequence of slab pull, but it is debated what causes trench advance. The IBM trench underwent a complex evolution: right after its initiation, it rotated clockwise, leading to very fast retreat in the north and slow retreat in the south. But since 10-15 Ma, IBM trench motions have switched to advance at the southern end, and since 5 Ma also the northern end is advancing. Based on 2-D subduction models, it has been proposed proposed that the change in age of the subducting plate at the IBM trench (from 40-70 m.y. at the initiation of the trench 45 m.y. ago to 100-140 m.y. lithosphere subducting at the trench today) and its effect on plate strength could explain the transition from trench retreat to trench advance, and that the age gradient (younger in the north and older in the south) could explain the rotation of the trench. However, with new 3-D coupled fluid-solid subduction model where we can include such lateral age gradients, we find that this does not yield the observed behaviour. Instead, we propose an alternative mechanism, involving the subduction of the buoyant Caroline Island Ridge at the southern edge of the Mariana trench and show that it can explain both trench motion history and the current morphology of the IBM slab as imaged by seismic tomography.

Post-eruptive Submarine Terrace Development of Capelinhos, Azores

NASA Astrophysics Data System (ADS)

Zhongwei Zhao, Will; Mitchell, Neil; Quartau, Rui; Tempera, Fernando; Bricheno, Lucy

2017-04-01

Erosion of the coasts of volcanic islands by waves creates shallow banks, but how erosion proceeds with time to create them and how it relates to wave climate is unclear. In this study, historical and recent marine geophysical data collected around the Capelinhos promontory (western Faial Island, Azores) offer an unusual opportunity to characterize how a submarine terrace developed after the eruption. The promontory was formed in 1957/58 during a Surtseyan eruption that terminated with extensive lava forming new rocky coastal cliffs. Historical measurements of coastline position are supplemented here with coastlines measured from 2004 and 2014 Google Earth images in order to characterize coastline retreat rate and distance for lava- and tephra-dominated cliffs. Swath mapping sonars were used to characterize the submarine geometry of the resulting terrace (terrace edge position, gradient and morphology). Limited photographs are available from a SCUBA dive and drop-down camera deployments to ground truth the submarine geomorphology. The results reveal that coastal retreat rates have decreased rapidly with the time after the eruption, possibly explained by the evolving resistance to erosion of cliff base materials. Surprisingly, coastline retreat rate decreases with terrace width in a simple inverse power law with terrace width. We suspect this is only a fortuitous result as wave attenuation over the terrace will not obviously produce the variation, but nevertheless it shows how rapidly the retreat rate declines. Understanding the relationship between terrace widening shelf and coastal cliff retreat rate may be more widely interesting if they can be used to understand how islands evolve over time into abrasional banks and guyots.

Efficacy of protaper next and protaper universal retreatment systems in removing gutta-percha in curved root canals during root canal retreatment.

PubMed

Ozyurek, Taha; Ozsezer-Demiryurek, Ebru

2017-01-01

The aim of this study was to compare the cleanliness of root canal walls after retreatment using ProTaper Next (PTN), ProTaper Universal Retreatment (PTR) nickel-titanium (NiTi) systems and Hedström hand files in curved mesial canals of mandibular molar teeth and the time required for gutta-percha and sealer removal. Ninety mandibular molar teeth with curved mesial roots were instrumented up to #35.04 with Mtwo NiTi rotary instruments and obturated using the continuous wave of condensation technique. Removal of gutta-percha and sealer was performed using one of the following: PTN and PTR NiTi systems and Hedström hand files. Samples were placed on the VistaScan phosphor plates in the mesio-distal direction and the radiographs were taken. The digital radiographs were analyzed using AutoCAD software. Also, the total time required for gutta-percha removal was calculated by a chronometer. The total retreatment time was significantly shorter in the PTN and PTR groups compared with the manual group (p<0.05). There was a significant difference between the groups according to the total residual gutta-percha and sealer (p<0.05). The PTN and PTR groups left significantly less gutta-percha and sealer remnant than the manual group (p<0.001). Within the limitations of this study, the PTN and PTR groups showed less residual gutta-percha and sealer than the manual group. The NiTi rotary systems were significantly faster than the manual group in the time required for gutta-percha and sealer removal.

Negotiation of territorial boundaries in a songbird

PubMed Central

Ellis, Jesse M.; Cropp, Brett F.; Koltz, John M.

2014-01-01

How do territorial neighbors resolve the location of their boundaries? We addressed this question by testing the predictions of 2 nonexclusive game theoretical models for competitive signaling: the sequential assessment game and the territorial bargaining game. Our study species, the banded wren, is a neotropical nonmigratory songbird living in densely packed territorial neighborhoods. The males possess repertoires of approximately 25 song types that are largely shared between neighbors and sequentially delivered with variable switching rates. Over 3 days, boundary disputes among pairs of neighboring males were synchronously recorded, their perch positions were marked, and their behavioral interactions were noted. For each countersinging interaction between 2 focal males, we quantified approach and retreat order, a variety of song and call patterns, closest approach distance, distance from the territorial center, and female presence. Aggressors produced more rattle-buzz songs during the approaching phase of interactions, whereas defenders overlapped their opponent’s songs. During the close phase of the interaction, both males matched frequently, but the key determinant of which one retreated first was song-type diversity—first retreaters sang with a higher diversity. Retreaters also produced more unshared song types during the interaction, and in the retreating phase of the interaction, they overlapped more. A negative correlation between song-type diversity asymmetry and contest duration suggested sequential assessment of motivational asymmetry. The use of this graded signal, which varied with distance from the center and indicated a male’s motivation to defend a particular position, supported the bargaining model. The bargaining game could be viewed as a series of sequential assessment contests. PMID:25419086

Successful retreatment with grazoprevir and elbasvir for patients infected with hepatitis C virus genotype 1b, who discontinued prior treatment with NS5A inhibitor-including regimens due to adverse events.

PubMed

Kanda, Tatsuo; Yasui, Shin; Nakamura, Masato; Nakamoto, Shingo; Takahashi, Koji; Wu, Shuang; Sasaki, Reina; Haga, Yuki; Ogasawara, Sadahisa; Saito, Tomoko; Kobayashi, Kazufumi; Kiyono, Soichiro; Ooka, Yoshihiko; Suzuki, Eiichiro; Chiba, Tetsuhiro; Maruyama, Hitoshi; Moriyama, Mitsuhiko; Kato, Naoya

2018-03-23

Sustained virologic response (SVR) by interferon and interferon-free treatment can results in the reduction of advanced liver fibrosis and the occurrence of hepatocellular carcinoma in patients infected with hepatitis C virus (HCV). Recent interferon-free treatment for HCV shortens the duration of treatment and leads to higher SVR rates, without any serious adverse events. However, it is important to retreat patients who have had treatment-failure with HCV non-structural protein 5A (NS5A) inhibitor-including regimens. Combination of sofosbuvir and ledipasvir only leads to approximately 100% SVR rates in HCV genotype (GT1b), NS5A inhibitor-naïve patients in Japan. This combination is not an indication for severe renal disease or heart disease, and these patients should be treated or retreated with a different regimen. Retreatment with HCV non-structural protein 3/4A inhibitor, grazoprevir, and HCV NS5A inhibitor, elbasvir, successfully eradicated HCV RNA in three patients with HCV genotype 1b infection who discontinued prior interferon-free treatments including HCV NS5A inhibitors due to adverse events within 2 weeks. Retreatment with the 12-week combination regimen of grazoprevir and elbasvir is effective for HCV GT1b patients who discontinue the HCV NS5A inhibitor-including regimens within 2 weeks. The treatment response may be related to the short duration of initial treatment, which did not produce treatment-emergent RASs.

Successful retreatment with grazoprevir and elbasvir for patients infected with hepatitis C virus genotype 1b, who discontinued prior treatment with NS5A inhibitor-including regimens due to adverse events

PubMed Central

Kanda, Tatsuo; Yasui, Shin; Nakamura, Masato; Nakamoto, Shingo; Takahashi, Koji; Wu, Shuang; Sasaki, Reina; Haga, Yuki; Ogasawara, Sadahisa; Saito, Tomoko; Kobayashi, Kazufumi; Kiyono, Soichiro; Ooka, Yoshihiko; Suzuki, Eiichiro; Chiba, Tetsuhiro; Maruyama, Hitoshi; Moriyama, Mitsuhiko; Kato, Naoya

2018-01-01

Background Sustained virologic response (SVR) by interferon and interferon-free treatment can results in the reduction of advanced liver fibrosis and the occurrence of hepatocellular carcinoma in patients infected with hepatitis C virus (HCV). Recent interferon-free treatment for HCV shortens the duration of treatment and leads to higher SVR rates, without any serious adverse events. However, it is important to retreat patients who have had treatment-failure with HCV non-structural protein 5A (NS5A) inhibitor-including regimens. Combination of sofosbuvir and ledipasvir only leads to approximately 100% SVR rates in HCV genotype (GT1b), NS5A inhibitor-naïve patients in Japan. This combination is not an indication for severe renal disease or heart disease, and these patients should be treated or retreated with a different regimen. Case summary Retreatment with HCV non-structural protein 3/4A inhibitor, grazoprevir, and HCV NS5A inhibitor, elbasvir, successfully eradicated HCV RNA in three patients with HCV genotype 1b infection who discontinued prior interferon-free treatments including HCV NS5A inhibitors due to adverse events within 2 weeks. Conclusion Retreatment with the 12-week combination regimen of grazoprevir and elbasvir is effective for HCV GT1b patients who discontinue the HCV NS5A inhibitor-including regimens within 2 weeks. The treatment response may be related to the short duration of initial treatment, which did not produce treatment-emergent RASs. PMID:29662642

The Efficacy of Radiotherapy in the Treatment of Orbital Pseudotumor

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

Matthiesen, Chance, E-mail: chance-matthiesen@ouhsc.ed; Bogardus, Carl; Thompson, J. Spencer

Purpose: To review institutional outcomes for patients treated with external-beam radiotherapy (EBRT) for orbital pseudotumor. Methods and Materials: This is a single-institution retrospective review of 20 orbits in 16 patients diagnosed with orbital pseudotumor that received EBRT at the University of Oklahoma, Department of Radiation Oncology. Treated patients had a median follow-up of 16.5 months. Results: Fifteen patients (93.7%) were initially treated with corticosteroids. Eight had recurrence after steroid cessation, six were unable to taper corticosteroids completely or partially, and one experienced progression of symptoms despite corticosteroid therapy. Fourteen patients (87.5%) initially responded to radiotherapy indicated by clinical improvement ofmore » preradiation symptoms and/or tapering of corticosteroid dose. Mean EBRT dose was 20 Gy (range, 14-30 Gy). Thirteen patients (81.2%) continued to improve after radiation therapy. Patient outcomes were complete cessation of corticosteroid therapy in nine patients (56.3%) and reduced corticosteroid dose in four patients (25%). Radiotherapy did not achieve long-term control for three patients (18.7%), who still required preradiation corticosteroid dosages. Three patients received retreatment(s) of four orbits, of which two patients achieved long-term symptom control without corticosteroid dependence. One patient received retreatment to an orbit three times, achieving long-term control without corticosteroid dependence. No significant late effects have been observed in retreated patients. Conclusions: Radiotherapy is an effective treatment for acute symptomatic improvement and long-term control of orbital pseudotumor. Orbital retreatment can be of clinical benefit, without apparent increase in morbidity, when initial irradiation fails to achieve complete response.« less

The role of bank collapse on tidal creek ontogeny: A novel process-based model for bank retreat

NASA Astrophysics Data System (ADS)

Gong, Zheng; Zhao, Kun; Zhang, Changkuan; Dai, Weiqi; Coco, Giovanni; Zhou, Zeng

2018-06-01

Bank retreat in coastal tidal flats plays a primary role on the planimetric shape of tidal creeks and is commonly driven by both flow-induced bank erosion and gravity-induced bank collapse. However, existing modelling studies largely focus on bank erosion and overlook bank collapse. We build a bank retreat model coupling hydrodynamics, bank erosion and bank collapse. To simulate the process of bank collapse, a stress-deformation model is utilized to calculate the stress variation of bank soil after bank erosion, and the Mohr-Coulomb failure criterion is then applied to evaluate the stability of the tidal creek bank. Results show that the bank failure process can be categorized into three stages, i.e., shear failure at the bank toe (stage I), tensile failure on the bank top (stage II), and sectional cracking from the bank top to the toe (stage III). With only bank erosion, the planimetric shapes of tidal creeks are funneled due to the gradually seaward increasing discharge. In contrast to bank erosion, bank collapse is discontinuous, and the contribution of bank collapse to bank retreat can reach 85%, highlighting that the expansion of tidal creeks can be dominated by bank collapse process. The planimetric shapes of tidal creeks are funneled with a much faster expansion rate when bank collapse is considered. Overall, this study makes a further step toward more physical and realistic simulation of bank retreat in estuarine and coastal settings and the developed bank collapse module can be readily included in other morphodynamic models.

Retreatment with teriparatide: our experience in three patients with severe secondary osteoporosis.

PubMed

Mana, D L; Zanchetta, M B; Zanchetta, J R

2017-04-01

Teriparatide is a drug for the treatment of osteoporosis which is licensed for use for up to 24 months. There is little experience with retreatment. The aim of this study was to evaluate, in three patients with severe secondary osteoporosis, the response to a second cycle of teriparatide regarding bone mineral density (BMD) and osteocalcin. Case 1 : A 62-year-old woman with multiple vertebral fractures has received corticoids for a long time. After starting teriparatide, her BMD and osteocalcin increased. She then received ibandronate for 3 years but her BMD declined. After a second treatment with teriparatide, her BMD increased again (18%). Case 2 : A 60-year-old woman with severe osteoporosis in lumbar spine (LS) (T-score - 4.5) had received corticoids for a long time and had celiac disease. After starting teriparatide, her BMD improved by 11.7%. She then received zoledronic acid for 15 months, but bone density decreased, so she was retreated with teriparatide. BMD had a slightly higher increase than after the first cycle (12.6%). Case 3 : A 60-year-old woman consulted for osteoporosis (LS T-score - 5.3), several fractures, and hyperthyroidism. She started teriparatide with improvement in BMD (39%). After 24 months, she received ibandronate for 1 year, but as her BMD declined, she was retreated with teriparatide. BMD showed an increase of 15%. The indication of a second cycle of treatment with teriparatide in three patients was effective in increasing BMD. Additional studies are needed to further identify the benefits and safety of retreatment with teriparatide.

Long-term follow-up of previous hepatitis C virus positive nonresponders to interferon monotherapy successfully retreated with combination therapy: are they really cured?

PubMed

Ciancio, Alessia; Smedile, Antonina; Giordanino, Chiara; Colletta, Cosimo; Croce, Guido; Pozzi, Massimo; Cariti, Giuseppe; Macor, Antonio; Biglino, Alberto; Di Napoli, Angelo; Tappero, Gian Franco; Andreoni, Massimo; Manca, Aldo; Prandi, Giancarlo; Calleri, Guido; Orsi, Pier Giulio; Ciccone, Giovannino; Rizzetto, Mario; Saracco, Giorgio

2006-08-01

To evaluate whether in chronic hepatitis C-positive patients who failed to respond to interferon (IFN) monotherapy a sustained response obtained with retreatment using the combination therapy of IFN + ribavirin can be safely considered to reflect eradication of the infection. Prospective follow-up of a cohort of 97 patients who responded to retreatment with different regimens of IFN + ribavirin after failing to respond to a first IFN monotherapy course. The patients were followed throughout 7 yr of follow-up with determinations of HCV viremia every 6 months. At the end of the follow-up, 11 patients (11.3%) showed a viremic reappearance. HCV late relapse rates were 0%, 13%, 20%, and 12% in patients retreated, respectively, with 3 MU IFN + ribavirin for 12 months (Group 1), 5 MU IFN + ribavirin for 12 months (Group 2), 3 MU IFN + ribavirin for 6 months (Group 3), and 5 MU IFN + ribavirin for 6 months (Group 4) (Group 2 vs Group 3, p= 0.005). The virologic relapses occurred within 2 yr from therapy withdrawal. Among patients with genotype 1 and 4, the long-term response was significantly higher in Group 2 than in Group 3 (15%vs 3%, p= 0.03). In patients with genotype 2 and 3, the long-term virological response was not affected by the different regimens. Nonresponders to IFN monotherapy who achieve a sustained virologic response after retreatment with IFN + ribavirin stand a discrete risk of HCV reactivation within 2 yr after therapy.

Timing of sea ice retreat can alter phytoplankton community structure in the western Arctic Ocean

NASA Astrophysics Data System (ADS)

Fujiwara, A.; Hirawake, T.; Suzuki, K.; Imai, I.; Saitoh, S.-I.

2014-04-01

This study assesses the response of phytoplankton assemblages to recent climate change, especially with regard to the shrinking of sea ice in the northern Chukchi Sea of the western Arctic Ocean. Distribution patterns of phytoplankton groups in the late summers of 2008-2010 were analysed based on HPLC pigment signatures and, the following four major algal groups were inferred via multiple regression and cluster analyses: prasinophytes, diatoms, haptophytes and dinoflagellates. A remarkable interannual difference in the distribution pattern of the groups was found in the northern basin area. Haptophytes dominated and dispersed widely in warm surface waters in 2008, whereas prasinophytes dominated in cold water in 2009 and 2010. A difference in the onset date of sea ice retreat was evident among years-the sea ice retreat in 2008 was 1-2 months earlier than in 2009 and 2010. The spatial distribution of early sea ice retreat matched the areas in which a shift in algal community composition was observed. Steel-Dwass's multiple comparison tests were used to assess the physical, chemical and biological parameters of the four clusters. We found a statistically significant difference in temperature between the haptophyte-dominated cluster and the other clusters, suggesting that the change in the phytoplankton communities was related to the earlier sea ice retreat in 2008 and the corollary increase in sea surface temperatures. Longer periods of open water during the summer, which are expected in the future, may affect food webs and biogeochemical cycles in the western Arctic due to shifts in phytoplankton community structure.

Timing of sea ice retreat can alter phytoplankton community structure in the western Arctic Ocean

NASA Astrophysics Data System (ADS)

name prefix surname suffix, given; Fujiwara, A.; Hirawake, T.; Suzuki, K.; Imai, I.; Saitoh, S.-I.

2013-09-01

This study assesses the response of phytoplankton assemblages to recent climate change, especially with regard to the shrinking of sea ice in the northern Chukchi Sea of the western Arctic Ocean. Distribution patterns of phytoplankton groups in the late summers of 2008-2010 were analyzed based on HPLC pigment signatures and, the following four major algal groups were inferred via multiple regression and cluster analyses: prasinophytes, diatoms, haptophytes and dinoflagellates. A remarkable interannual difference in the distribution pattern of the groups was found in the northern basin area. Haptophytes dominated and dispersed widely in warm surface waters in 2008, whereas prasinophytes dominated in cold water in 2009 and 2010. A difference in the onset date of sea ice retreat was evident among years - the sea ice retreat in 2008 was 1-2 months earlier than in 2009 and 2010. The spatial distribution of early sea ice retreat matched the areas in which a shift in algal community composition was observed. Steel-Dwass's multiple comparison tests were used to assess the physical, chemical and biological parameters of the four clusters. We found a statistically significant difference in temperature between the haptophyte-dominated cluster and the other clusters, suggesting that the change in the phytoplankton communities was related to the earlier sea ice retreat in 2008 and the corollary increase in sea surface temperatures. Longer periods of open water during the summer, which are expected in the future, may affect food webs and biogeochemical cycles in the western Arctic due to shifts in phytoplankton community structure.

Apically Extruded Debris after Retreatment Procedure with Reciproc, ProTaper Next, and Twisted File Adaptive Instruments.

PubMed

Yılmaz, Koray; Özyürek, Taha

2017-04-01

The aim of this study was to compare the amount of debris extruded from the apex during retreatment procedures with ProTaper Next (PTN; Dentsply Maillefer, Ballaigues, Switzerland), Reciproc (RCP; VDW, Munich, Germany), and Twisted File Adaptive (TFA; SybronEndo, Orange, CA) files and the duration of these retreatment procedures. Ninety upper central incisor teeth were prepared and filled with gutta-percha and AH Plus sealer (Dentsply DeTrey, Konstanz, Germany) using the vertical compaction technique. The teeth were randomly divided into 3 groups of 30 for removal of the root filling material with PTN, RCP, and TFA files. The apically extruded debris was collected in preweighed Eppendorf tubes. The time for gutta-percha removal was recorded. Data were statistically analyzed using Kruskal-Wallis and 1-way analysis of variance tests. The amount of debris extruded was RPC > TFA > PTN, respectively. Compared with the PTN group, the amount of debris extruded in the RPC group was statistically significantly higher (P < .001). There was no statistically significant difference among the RCP, TFA, and PTN groups regarding the time for retreatment (P > .05). Within the limitations of this in vitro study, all groups were associated with debris extrusion from the apex. The RCP file system led to higher levels of apical extrusion in proportion to the PTN file system. In addition, there was no significant difference among groups in the duration of the retreatment procedures. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Predicting coastal cliff erosion using a Bayesian probabilistic model

USGS Publications Warehouse

Hapke, Cheryl J.; Plant, Nathaniel G.

2010-01-01

Regional coastal cliff retreat is difficult to model due to the episodic nature of failures and the along-shore variability of retreat events. There is a growing demand, however, for predictive models that can be used to forecast areas vulnerable to coastal erosion hazards. Increasingly, probabilistic models are being employed that require data sets of high temporal density to define the joint probability density function that relates forcing variables (e.g. wave conditions) and initial conditions (e.g. cliff geometry) to erosion events. In this study we use a multi-parameter Bayesian network to investigate correlations between key variables that control and influence variations in cliff retreat processes. The network uses Bayesian statistical methods to estimate event probabilities using existing observations. Within this framework, we forecast the spatial distribution of cliff retreat along two stretches of cliffed coast in Southern California. The input parameters are the height and slope of the cliff, a descriptor of material strength based on the dominant cliff-forming lithology, and the long-term cliff erosion rate that represents prior behavior. The model is forced using predicted wave impact hours. Results demonstrate that the Bayesian approach is well-suited to the forward modeling of coastal cliff retreat, with the correct outcomes forecast in 70–90% of the modeled transects. The model also performs well in identifying specific locations of high cliff erosion, thus providing a foundation for hazard mapping. This approach can be employed to predict cliff erosion at time-scales ranging from storm events to the impacts of sea-level rise at the century-scale.

Post-LGM Grounding-Line Positions of the Bindschadler Paleo Ice Stream in the Ross Sea Embayment, Antarctica

NASA Astrophysics Data System (ADS)

Bart, Philip J.; Anderson, John B.; Nitsche, Frank

2017-10-01

The West Antarctic Ice Sheet (WAIS) retreated more than 1,000 km since last grounding at the Ross Sea outer continental shelf. Here we show an interpretation of former grounding line positions from a new large-area multibeam survey and a regional grid of chirp cross-sectional data from the Whales Deep Basin in eastern Ross Sea. The basin is a paleo-glacial trough that was occupied by the Bindschadler Ice Stream when grounded ice advanced to the shelf edge during the Last Glacial Maximum. These new geophysical data provide unambiguous evidence that the WAIS occupied at least seven grounding line positions within 60 km of the shelf edge. Four of seven grounding zone wedges (GZWs) are partly exposed over large areas of the trough. The overlapping stratal arrangement created a large-volume compound GZW. Some of the groundings involved local readvance of the grounding line. Subsequent to these seven outer continental shelf groundings, the ice sheet retreated more than 200 km towards Roosevelt Island on the middle continental shelf. The major retreat across the middle continental shelf is recorded by small-scale moraine ridges that mantle the top of GZW7, and these are suggestive of relatively continuous grounding line recession. The results indicate that retreat was considerably more complex than was possible to reconstruct with reconnaissance-level data. The added details are important to climate models, which must first be able to reproduce the recent retreat pattern in all of its complexities to improve confidence in model predictions of the system's future response.

Stratification of Recanalization for Patients with Endovascular Treatment of Intracranial Aneurysms

PubMed Central

Ogilvy, Christopher S.; Chua, Michelle H.; Fusco, Matthew R.; Reddy, Arra S.; Thomas, Ajith J.

2015-01-01

Background With increasing utilization of endovascular techniques in the treatment of both ruptured and unruptured intracranial aneurysms, the issue of obliteration efficacy has become increasingly important. Objective Our goal was to systematically develop a comprehensive model for predicting retreatment with various types of endovascular treatment. Methods We retrospectively reviewed medical records that were prospectively collected for 305 patients who received endovascular treatment for intracranial aneurysms from 2007 to 2013. Multivariable logistic regression was performed on candidate predictors identified by univariable screening analysis to detect independent predictors of retreatment. A composite risk score was constructed based on the proportional contribution of independent predictors in the multivariable model. Results Size (>10 mm), aneurysm rupture, stent assistance, and post-treatment degree of aneurysm occlusion were independently associated with retreatment while intraluminal thrombosis and flow diversion demonstrated a trend towards retreatment. The Aneurysm Recanalization Stratification Scale was constructed by assigning the following weights to statistically and clinically significant predictors. Aneurysm-specific factors: Size (>10 mm), 2 points; rupture, 2 points; presence of thrombus, 2 points. Treatment-related factors: Stent assistance, -1 point; flow diversion, -2 points; Raymond Roy 2 occlusion, 1 point; Raymond Roy 3 occlusion, 2 points. This scale demonstrated good discrimination with a C-statistic of 0.799. Conclusion Surgical decision-making and patient-centered informed consent require comprehensive and accessible information on treatment efficacy. We have constructed the Aneurysm Recanalization Stratification Scale to enhance this decision-making process. This is the first comprehensive model that has been developed to quantitatively predict the risk of retreatment following endovascular therapy. PMID:25621984

Rapid Holocene thinning of outlet glaciers followed by readvance in the western Ross Embayment, Antarctica

NASA Astrophysics Data System (ADS)

Jones, R. S.; Whitmore, R.; Mackintosh, A.; Norton, K. P.; Eaves, S.; Stutz, J.

2017-12-01

Investigating Antarctic deglaciation following the LGM provides an opportunity to better understand patterns, mechanisms and drivers of ice sheet retreat. In the Ross Sea sector, geomorphic features preserved on the seafloor indicate that streaming East Antarctic outlet glaciers once extended >100 km offshore of South Victoria Land prior to back-stepping towards their modern configurations. In order to adequately interpret the style and causes of this retreat, the timing and magnitude of corresponding ice thickness change is required. We present new constraints on ice surface lowering from Mawson Glacier, an outlet of the East Antarctic Ice Sheet that flows into the western Ross Sea. Surface-exposure (10Be) ages from samples collected in elevation transects above the modern ice surface reveal that rapid thinning occurred at 5-8 ka, broadly coeval with new ages of grounding-line retreat at 6 ka and rapid thinning recorded at nearby Mackay Glacier at 7 ka. Our data also show that a moraine formed near to the modern ice margin of Mawson Glacier at 0.8 ka, which, together with historical observations, indicates that glaciers in this region readvanced during the last thousand years. We argue that 1) the accelerated thinning of outlet glaciers was driven by local grounding-line retreat through overdeepened basins during the early-mid Holocene, and 2) the glaciers subsequently readvanced, possibly linked to late Holocene sea-ice expansion, before retreating to their current positions. Our work demonstrates that these outlet glaciers were closely coupled to environmental and topography-induced perturbations near their termini throughout the Holocene.

The Social Justice Leadership Retreat: A Phenomenological Case Study of Students' Construction of Race and Its Influence on Beliefs, Behavior, and Actions

ERIC Educational Resources Information Center

Bettendorf, Anthony J.

2016-01-01

This study examines students' participation in an intensive intercultural experience, the Social Justice Leadership Retreat. The study utilizes the Intercultural Maturity Model, leadership and democracy outcomes as a framework for the research. Specifically, the study investigates how this experience impacts the ways students make meaning of…

Long-term Stability of a Camouflage Retreatment of an Asymmetric Class III/Posterior Open Bite Using Sliding Jigs.

PubMed

Oliveira, Dauro Douglas; de Oliveira, Bruno Franco; Figueiredo, Daniel Santos Fonseca; Antunes, Alberto Nogueira da Gama; Seraidarian, Paulo Isaías

2017-10-01

This article reports the camouflage retreatment of an adult patient presenting an asymmetric Class III malocclusion and posterior open bite. Sliding jigs (SJs) associated with intermaxillary elastics were used. The long-term stability of the excellent results suggests that the use of SJs to correct asymmetric posterior occlusions may be effective.

Flow Visualization of Dynamic Stall on an Oscillating Airfoil

DTIC Science & Technology

1989-09-01

Dynamic Stall; Dynamic lift, ’Unsteady lift; Helicopter retreating blade stall; Oscillating airfoil ; Flow visualization,’Schlieren method ;k ez.S-,’ .0...the degree of MASTER OF SCIENCE IN AERONAUTICAL ENGINEERING from the NAVAL POSTGRADUATE SCHOOL September 1989 Author...and moment behavior is quite different from the static stall associated with fixed-wing airfoils . Helicopter retreating blade stall is a dynamic

They're M-e-e-elting!: An Investigation of Glacial Retreat in Antarctica

ERIC Educational Resources Information Center

Bugg, Samuel R., IV; Constible, Juanita; Kaput, Marianne; Lee, Richard E., Jr.

2007-01-01

In this article, the authors describe the mechanics of They're M-e-e-elting!, an activity wherein middle school students can simulate glacial retreat in Antarctica. They're M-e-e-elting! allows students to melt glaciers, change the water level and salinity of the Southern Ocean, and examine alterations to the Antarctic food web--all without…

River self-organisation inhibits discharge control on waterfall migration.

PubMed

Baynes, Edwin R C; Lague, Dimitri; Attal, Mikaël; Gangloff, Aurélien; Kirstein, Linda A; Dugmore, Andrew J

2018-02-05

The action of rivers within valleys is fundamentally important in controlling landscape morphology, and how it responds to tectonic or climate change. The response of landscapes to external forcing usually results in sequential changes to river long profiles and the upstream migration of waterfalls. Currently, models of this response assume a relationship between waterfall retreat rate and drainage area at the location of the waterfall. Using an experimental study, we show that this assumption has limited application. Due to a self-regulatory response of channel geometry to higher discharge through increasing channel width, the bed shear stress at the lip of the experimental waterfall remains almost constant, so there was no observed change in the upstream retreat rate despite an order of magnitude increase in discharge. Crucially, however, the strength of the bedrock material exhibits a clear control on the magnitude of the mean retreat rate, highlighting the importance of lithology in setting the rate at which landscapes respond to external forcing. As a result existing numerical models of landscape evolution that simulate the retreat of waterfalls as a function of drainage area with a fixed erodibility constant should be re-evaluated to consider spatial heterogeneity in erodibility and channel self-organisation.

Seabed Gradient Controlling Onshore Transport Rates of Surf Sand during Beach Retreat by Sea Level Rise

NASA Astrophysics Data System (ADS)

Lee, Hee Jun; Yi, Hi-Il

2018-03-01

A simple relationship is proposed for the onshore transport rates of surf-zone sand to evaluate the beach retreat caused by sea level rise. It suggests that the preservation potential of surf sand is proportional inversely to the seabed gradient during beach retreat. According to this relationship, the erosional remnants of surf sand would be more readily developed on a gentler shelf collectively as transgressive sand sheets. This finding may explain the previous studies regarding the Korean shelves that proposed that the Holocene transgressive sand sheets (HTSS) occur not in the steep eastern shelf but in the gentle western shelf. In line with such presence/absence of the HTSS are the results from some coastal seismic profiles obtained in the present study. The profiles indicate that sand deposits are restricted within the nearshore in the eastern coast, whereas they are persistently traceable to the offshore HTSS in the western coast. Tide is proven to have a negligible influence on the total duration of surf-zone processes. This study may be useful in predicting the consequences of the beach retreat that takes place worldwide as sea levels rise as a result of global warming.

Retreatment Predictions in Odontology by means of CBR Systems.

PubMed

Campo, Livia; Aliaga, Ignacio J; De Paz, Juan F; García, Alvaro Enrique; Bajo, Javier; Villarubia, Gabriel; Corchado, Juan M

2016-01-01

The field of odontology requires an appropriate adjustment of treatments according to the circumstances of each patient. A follow-up treatment for a patient experiencing problems from a previous procedure such as endodontic therapy, for example, may not necessarily preclude the possibility of extraction. It is therefore necessary to investigate new solutions aimed at analyzing data and, with regard to the given values, determine whether dental retreatment is required. In this work, we present a decision support system which applies the case-based reasoning (CBR) paradigm, specifically designed to predict the practicality of performing or not performing a retreatment. Thus, the system uses previous experiences to provide new predictions, which is completely innovative in the field of odontology. The proposed prediction technique includes an innovative combination of methods that minimizes false negatives to the greatest possible extent. False negatives refer to a prediction favoring a retreatment when in fact it would be ineffective. The combination of methods is performed by applying an optimization problem to reduce incorrect classifications and takes into account different parameters, such as precision, recall, and statistical probabilities. The proposed system was tested in a real environment and the results obtained are promising.

Retreatment Predictions in Odontology by means of CBR Systems

PubMed Central

Campo, Livia; Aliaga, Ignacio J.; García, Alvaro Enrique; Villarubia, Gabriel; Corchado, Juan M.

2016-01-01

The field of odontology requires an appropriate adjustment of treatments according to the circumstances of each patient. A follow-up treatment for a patient experiencing problems from a previous procedure such as endodontic therapy, for example, may not necessarily preclude the possibility of extraction. It is therefore necessary to investigate new solutions aimed at analyzing data and, with regard to the given values, determine whether dental retreatment is required. In this work, we present a decision support system which applies the case-based reasoning (CBR) paradigm, specifically designed to predict the practicality of performing or not performing a retreatment. Thus, the system uses previous experiences to provide new predictions, which is completely innovative in the field of odontology. The proposed prediction technique includes an innovative combination of methods that minimizes false negatives to the greatest possible extent. False negatives refer to a prediction favoring a retreatment when in fact it would be ineffective. The combination of methods is performed by applying an optimization problem to reduce incorrect classifications and takes into account different parameters, such as precision, recall, and statistical probabilities. The proposed system was tested in a real environment and the results obtained are promising. PMID:26884749

Evidence for slow late-glacial ice retreat in the upper Rangitata Valley, South Island, New Zealand

NASA Astrophysics Data System (ADS)

Shulmeister, J.; Fink, D.; Winkler, S.; Thackray, G. D.; Borsellino, R.; Hemmingsen, M.; Rittenour, T. M.

2018-04-01

A suite of cosmogenic radionuclide ages taken from boulders on lateral and latero-terminal moraines in the Rangitata Valley, eastern South Island, New Zealand demonstrates that relatively thick ice occupied valley reaches inland of the Rangitata Gorge until c. 21 ka. Thereafter ice began to thin, and by c. 17 ka it had retreated 33 km up-valley of the Rangitata Gorge to the Butler-Brabazon Downs, a structurally created basin in the upper Rangitata Valley. Despite its magnitude, this retreat represents a minor ice volume reduction from 21 ka to 17 ka, and numerous lateral moraines preserved suggest a relatively gradual retreat over that 4 ka period. In contrast to records from adjacent valleys, there is no evidence for an ice-collapse at c. 18 ka. We argue that the Rangitata record constitutes a more direct record of glacial response to deglacial climate than other records where glacial dynamics were influenced by proglacial lake development, such as the Rakaia Valley to the North and the major valleys in the Mackenzie Basin to the south-west. Our data supports the concept of a gradual warming during the early deglaciation in the South Island New Zealand.

Similarly Torn, Differentially Shorn? The Experience and Management of Conflict between Multiple Roles, Relationships, and Social Categories

PubMed Central

Jones, Janelle M.; Hynie, Michaela

2017-01-01

In three studies we examined the experience and management of conflict between different types of multiple identities. Participants described a conflict between pairs of role, relational, or social identities before rating the experience (i.e., magnitude, stress, and growth) and management of conflict on a newly developed scale assessing four strategies: reconciliation, where identities are integrated, realignment, where one identity is chosen over another, retreat, where both identities are avoided, and reflection, where fit (with others, situation) determines identity selection. In general, the types of identities mattered for conflict management but not its experience: Magnitude and growth did not differ, however, stress was greater for role identity conflicts (Study 3 only) and participants endorsed the use of more realignment for role conflicts (Study 2) and more retreat for relational conflicts (Study 3) relative to other types of identity conflicts. Furthermore, findings suggested that the perceived flexibility of identities, not their importance or valence, were associated with realignment and retreat for roles and with retreat for relationships. Experiencing conflicts between multiple identities leaves people similarly torn, but multiple roles and relationships may be differentially shorn to manage conflict. PMID:29051744

Similarly Torn, Differentially Shorn? The Experience and Management of Conflict between Multiple Roles, Relationships, and Social Categories.

PubMed

Jones, Janelle M; Hynie, Michaela

2017-01-01

In three studies we examined the experience and management of conflict between different types of multiple identities. Participants described a conflict between pairs of role, relational, or social identities before rating the experience (i.e., magnitude, stress, and growth) and management of conflict on a newly developed scale assessing four strategies: reconciliation , where identities are integrated, realignment , where one identity is chosen over another, retreat , where both identities are avoided, and reflection , where fit (with others, situation) determines identity selection. In general, the types of identities mattered for conflict management but not its experience: Magnitude and growth did not differ, however, stress was greater for role identity conflicts ( Study 3 only ) and participants endorsed the use of more realignment for role conflicts ( Study 2 ) and more retreat for relational conflicts ( Study 3 ) relative to other types of identity conflicts. Furthermore, findings suggested that the perceived flexibility of identities, not their importance or valence, were associated with realignment and retreat for roles and with retreat for relationships. Experiencing conflicts between multiple identities leaves people similarly torn, but multiple roles and relationships may be differentially shorn to manage conflict.

Sea-ice induced growth decline in Arctic shrubs.

PubMed

Forchhammer, Mads

2017-08-01

Measures of increased tundra plant productivity have been associated with the accelerating retreat of the Arctic sea-ice. Emerging studies document opposite effects, advocating for a more complex relationship between the shrinking sea-ice and terrestrial plant productivity. I introduce an autoregressive plant growth model integrating effects of biological and climatic conditions for analysing individual ring-width growth time series. Using 128 specimens of Salix arctica , S. glauca and Betula nana sampled across Greenland to Svalbard, an overall negative effect of the retreating June sea-ice extent was found on the annual growth. The negative effect of the retreating June sea-ice was observed for younger individuals with large annual growth allocations and with little or no trade-off between previous and current year's growth. © 2017 The Author(s).

A GIS tool for two-dimensional glacier-terminus change tracking

NASA Astrophysics Data System (ADS)

Urbanski, Jacek Andrzej

2018-02-01

This paper presents a Glacier Termini Tracking (GTT) toolbox for the two-dimensional analysis of glacier-terminus position changes. The input consists of a vector layer with several termini lines relating to the same glacier at different times. The output layers allow analyses to be conducted of glacier-terminus retreats, changes in retreats over time and along the ice face, and glacier-terminus fluctuations over time. The application of three tools from the toolbox is demonstrated via the analysis of eight glacier-terminus retreats and fluctuations at the Hornsund fjord in south Svalbard. It is proposed that this toolbox may also be useful in the study of other line features that change over time, like coastlines and rivers. The toolbox has been coded in Python and runs via ArcGIS.

Retreatment of recurrent carcinoma of the head and neck by afterloading interstitial 192Ir implant

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

Emami, B.; Marks, J.E.

From January 1975 to December 1980, 25 patients with persistent or recurrent carcinomas of the head and neck were retreated for palliation at the Division of Radiation Oncology, Mallinckrodt Institute of Radiology. These patients had all undergone extensive previous treatment by surgery and/or radiation. All were retreated with 192Ir interstitial implant with or without external radiation and/or surgical excision. Of 25 patients, 13 had complete response (CR) and 6 had partial response for a follow-up period of 1 to 7 years. Of 13 patients with CR, 6 are alive with no evidence of disease (NED) and two died NED. Detailedmore » results are presented and the new strategy for such patients is discussed.« less

[Difficulty influence factors of dental caries clinical treatment].

PubMed

Xuedong, Zhou; Junqi, Ling; Jingping, Liang; Jiyao, Li; Lei, Cheng; Qing, Yu; Yumei, Niu; Bin, Guo; Hui, Chen

2017-02-01

Dental caries is a major disease that threaten human's oral healthy severely with the characteristics of high incidence, low rate of treatment and high rate of retreatment. At present, restorative treatment remains the main method for caries treatment. With the development of the Minimally Invasive Cosmetic Dentistry (MICD), reasonable application of various treatment technologies, maximum preservation of tooth tissues and realizing the maximization of treatment effects become problems that call for immediate solution in dental clinics. In addition, there still exist a large number of old restorations that need standard retreatments. Here, some difficulty influence factors of dental caries clinical treatment such as systemic and oral factors, individual caries susceptibility, treatment technologies and materials, retreatment methods of old restorations and technique sensitivity are analyzed, and corresponding processing strategies are also put forward.

Shale oil recovery process

DOEpatents

Zerga, Daniel P.

1980-01-01

A process of producing within a subterranean oil shale deposit a retort chamber containing permeable fragmented material wherein a series of explosive charges are emplaced in the deposit in a particular configuration comprising an initiating round which functions to produce an upward flexure of the overburden and to initiate fragmentation of the oil shale within the area of the retort chamber to be formed, the initiating round being followed in a predetermined time sequence by retreating lines of emplaced charges developing further fragmentation within the retort zone and continued lateral upward flexure of the overburden. The initiating round is characterized by a plurality of 5-spot patterns and the retreating lines of charges are positioned and fired along zigzag lines generally forming retreating rows of W's. Particular time delays in the firing of successive charges are disclosed.

Investigating Long-term Behavior of Outlet Glaciers in Greenland

NASA Technical Reports Server (NTRS)

Csatho, Beata; vanderVeen, Kees; Schenk, Toni

2005-01-01

Repeat surveys by airborne laser altimetry in the 1990s have revealed significant thinning of outlet glaciers draining the interior of the Greenland Ice Sheet, with thinning rates up to several meters per year. To fully appreciate the significance of these recent glacier changes, the magnitude of retreat and surface lowering must be placed within the broader context of the retreat since the Last Glacial Maximum and, more significantly, of the retreat following the temporary glacier advance during the Little Ice Age (LIA). The LIA maximum stand is marked by trimlines, sharp boundaries between recently deglacifated unvegetated rocks, and vegetated surfaces at higher elevations. The objective of this project was to demonstrate the use of remote sensing data to map these trimlines and other glacial geomorphologic features.

Glacial-marine sediments record ice-shelf retreat during the late Holocene in Beascochea Bay on the western margin of the Antarctic Peninsula

NASA Astrophysics Data System (ADS)

Hardin, L. A.; Wellner, J. S.

2010-12-01

Beascochea Bay has an overall rapid rate of sedimentation due to retreating fast-flowing ice, and thus contains high-resolution records of Antarctica’s glacial and climate history. Beascochea Bay is a 16 km long by 8 km wide bay located on the western margin of the Antarctica Peninsula, centered between Anvers Island and Renaud Island, but open to the Bellingshausen Sea. Currently, three tidewater glaciers draining the Bruce Plateau of Graham Land enter into the fjords of Beascochea Bay, releasing terrigenous sediments which have left a record of the fluctuations of the Antarctic Peninsula Ice Cap since the grounded ice decoupled from the seafloor after the last glacial maximum. These three glaciers have played a significant role in providing sediment to the main basin, allowing a detailed sediment facies analysis to be conducted from eight sediment cores which were collected during the austral summer of 2007. Pebbly silty clay sediment cores, along with 3.5 kHz seismic data and multibeam swath bathymetry data, are integrated to reconstruct a glacial retreat timeline for the middle to late Holocene, which can be compared to the recent retreat rates over the last century. Paleoenvironment of deposition is determined by mapping lateral facies changes from the side fjords (proximal) to the outer basin (distal), as each region records the transition from glacial-marine sediments to open-marine sediments. As the ice retreated from the outer basin to the inner basin, and most recently leaving the side fjords, each facies deposited can be age-constrained by radiocarbon, 210Pb, and 137Cs dating methods. A distinct 137Cs signal is readily seen in two kasten cores from a side fjord and the inner basin of Beascochea Bay. This dating method revealed an average sedimentation rate of 2.7 mm per year for approximately the last century, which is comparable to 210Pb rates obtained in other studies. Lithology variations in each sediment core record indications of ice-shelf influence in Beascochea Bay throughout the Holocene deglaciation. The distinctively laminated sub-ice shelf facies can be clearly seen in the x-rays of these cores, and can be easily distinguished from the poorly sorted glacial-marine facies and the greenish finer-grained facies deposited in open-marine conditions. A 14 m long sediment core taken from the outer basin of Beascochea Bay recovered the greatest length of sediment and dates back to the middle Holocene. X-rays of this core show a possible mid-Holocene retreat of the ice shelf followed by intermittent advance and retreat that precedes the most recent retreat. The inner basin of Beascochea Bay has been without an ice shelf for the last 200 years, based on the sedimentation rates of the last century projected downcore.

Map Showing Seacliff Response to Climatic and Seismic Events, Seacliff State Beach, Santa Cruz County, California

USGS Publications Warehouse

Hapke, Cheryl J.; Richmond, Bruce M.; D'Iorio, Mimi M.

2002-01-01

INTRODUCTION The coastal cliffs along much of the central California coast are actively retreating. Large storms and periodic earthquakes are responsible for most of the documented seacliff slope failures. Long-term average erosion rates calculated for this section of coast (Moore and others, 1999) do not provide the spatial or temporal data resolution necessary to identify the processes responsible for retreat of the seacliffs, where episodic retreat threatens homes and community infrastructure. Research suggests that more erosion occurs along the California coast over a short time scale, during periods of severe storms or seismic activity, than occurs during decades of normal weather or seismic quiescence (Griggs and Scholar, 1998; Griggs, 1994; Plant and Griggs, 1990; Griggs and Johnson, 1979 and 1983; Kuhn and Shepard, 1979). This is the second map in a series of maps documenting the processes of short-term seacliff retreat through the identification of slope failure styles, spatial variability of failures, and temporal variation in retreat amounts in an area that has been identified as an erosion hotspot (Moore and others, 1999; Griggs and Savoy, 1985). This map presents seacliff failure and retreat data from Seacliff State Beach, California, which is located seven kilometers east of Santa Cruz (fig. 1) along the northern Monterey Bay coast. The data presented in this map series provide high-resolution spatial and temporal information on the location, amount, and processes of seacliff retreat in Santa Cruz, California. These data show the response of the seacliffs to both large magnitude earthquakes and severe climatic events such as El Ni?os; this information may prove useful in predicting the future response of the cliffs to events of similar magnitude. The map data can also be incorporated into Global Information System (GIS) for use by researchers and community planners. Four sets of vertical aerial photographs (Oct. 18, 1989; Jan. 27, 1998; Feb. 9, 1998; and March 6, 1998) were orthorectified and digital terrain models (DTMs) were generated and edited for this study (see Hapke and Richmond, 2000, for description of techniques). The earliest set of photography is from 1989, taken immediately following the Loma Prieta earthquake. These photographs are used to document the response of the seacliffs to seismic shaking, as well as to establish a baseline cliff-edge position to measure the amount of retreat of the cliff edge over the following decade. The remaining three sets of photographs were collected using the U.S. Geological Survey Coastal Aerial Mapping System (CAMS) during the 1997-98 El Ni?o (see Hapke and Richmond, 1999; 2000). The CAMS photographs were taken before, during, and after severe storms and are used to examine seacliff response to these storms. In addition to the analyses of photogrammetrically processed data, field mapping identified joints, faults, and lithologic variations along this section of seacliff.

Map Showing Seacliff Response to Climatic and Seismic Events, Depot Hill, Santa Cruz County, California

USGS Publications Warehouse

Hapke, Cheryl J.; Richmond, Bruce M.; D'Iorio, Mimi M.

2002-01-01

INTRODUCTION The coastal cliffs along much of the central California coast are actively retreating. Large storms and periodic earthquakes are responsible for most of the documented seacliff slope failures. Long-term average erosion rates calculated for this section of coast (Moore and others, 1999) do not provide the spatial or temporal data resolution necessary to identify the processes responsible for retreat of the seacliffs, where episodic retreat threatens homes and community infrastructure. Research suggests that more erosion occurs along the California coast over a short time scale, during periods of severe storms or seismic activity, than occurs during decades of normal weather or seismic quiescence (Griggs and Scholar, 1998; Griggs, 1994; Plant and Griggs, 1990; Griggs and Johnson, 1979 and 1983; Kuhn and Shepard, 1979). This is the first map in a series of maps documenting the processes of short-term seacliff retreat through the identification of slope failure styles, spatial variability of failures, and temporal variation in retreat amounts in an area that has been identified as an erosion hotspot (Moore and others, 1999; Griggs and Savoy, 1985). This map presents seacliff failure and retreat data from Depot Hill, California, which is located five kilometers east of Santa Cruz (fig.1) near the town of Capitola, along the northern Monterey Bay coast. The data presented in this map series provide high-resolution spatial and temporal information on the location, amount, and processes of seacliff retreat in Santa Cruz, California. These data show the response of the seacliffs to both large magnitude earthquakes and severe climatic events such as El NiOos; this information may prove useful in predicting the future response of the cliffs to events of similar magnitude. The map data can also be incorporated into Global Information System (GIS) for use by researchers and community planners. Four sets of vertical aerial photographs (Oct. 18, 1989; Jan. 27, 1998; Feb. 9, 1998; and March 6, 1998) were orthorectified and digital terrain models (DTMs) were generated and edited for this study (see Hapke and Richmond, 2000, for description of techniques). The earliest set of photography is from 1989, taken immediately following the Loma Prieta earthquake. These photographs are used to document the response of the seacliffs to seismic shaking, as well as to establish an initial cliff-edge position to measure the amount of retreat of the cliff edge over the following decade. The remaining three sets of photographs were collected using the U.S. Geological Survey Coastal Aerial Mapping System (CAMS) during the 1997-98 El NiOo (see Hapke and Richmond, 1999, 2000). The CAMS photographs were taken before, during, and after severe storms and are used to examine seacliff response to these storms. In addition to the analyses of photogrammetrically processed data, field mapping identified joints, faults, and lithologic variations along this section of seacliff.

Bathymetry and retreat of Southeast Greenland glaciers from Operation IceBridge and Ocean Melting Greenland data

NASA Astrophysics Data System (ADS)

Millan, R.; Rignot, E. J.; Morlighem, M.; Bjork, A. A.; Mouginot, J.; Wood, M.

2017-12-01

Southeast Greenland has been one of the largest contributors to ice mass loss in Greenland in part because of significant changes in glacier dynamics. The leading hypothesis for the changes in glacier dynamics is that enhanced thermal forcing from the ocean has dislodged a number of glaciers from their anchoring positions and some of them retreated rapidly along a reverse bed. The glaciers response has been observed to vary significantly from one fjord to the next, but until now there was not enough data to understand or interpret these changes. In particular, there was no data on glacier bed topography and seafloor bathymetry in the fjords. Here we present the results of new fjord mapping by the NASA Ocean Melting Greenland mission combined with a recent high-resolution airborne gravity survey by NASA Operation IceBridge. We combine these data with a reconstruction of the bed using a mass conservation approach upstream extending into the glacial fjords for the first time. In the fjord and along the ice-ocean transition, we employ a 3D inversion of gravity data to infer the bed elevation along a set of 9 survey boxes spanning south of Helheim Glacier to the southern tip of Southeast Greenland. We combine the results with an analysis of the glacier front history since the 1930's and Conductivity Temperature Depth data obtained in the fjord by OMG in 2016. The data reveals bed elevations several 100-m deeper than previously thought, for almost all the glaciers, up to 500 m for some of them. For many glaciers, the bed profiles help to completely understand the history of retreat of the glaciers. For instance, glaciers stranded on sills have been stable; glaciers on a reverse slope have retreated rapidly; and glaciers with a normal slope have retreated slowly. The mapping also helps document the extent of the marine portion of the glacier basins. In many of the fjords, we document the presence of warm, salty Atlantic Water which fuels large melt rates. We employ simulations from the MITgcm model to estimate the melt rates and further interpret the glacier retreat pattern. In addition, we estimate that more than half of the glaciers surveyed in most detail is very likely to retreat rapidly in the near future because they stand neat retrograde slope. These glaciers will contribute further to the mass loss from this part of Greenland into the ocean.

Exploring the cliff retreat response to base level change using SFM photogrammetry and cosmogenic 36Cl, Coal Cliffs, Utah, USA

NASA Astrophysics Data System (ADS)

Sheehan, C.; Ward, D.

2015-12-01

The retreat of cliffbands is an important erosional process within the relatively undeformed sedimentary layers of the Colorado Plateau. Many iconic cliff landforms, including those of Monument Valley and Grand Canyon, are maintained by the interaction of these different rock types. A several kilometer thickness of incised sandstone and shale formations allow this region to act as a natural laboratory for studying the effects of variable lithologies on landscape evolution. Cliffband morphology and retreat on the plateau are controlled by several factors that may vary over time and space, including lithology, rate and distribution of rockfall debris, bedrock structure, baselevel, and climate. The relative importance of each factor in setting rates of cliff retreat are not entirely clear. Because regional headwaters are commonly sourced at cliff bases, these landforms are often the final and slowest areas to respond to baselevel changes, allowing rockfall and other local stochastic processes to overwhelm the erosional response to a baselevel forcing. The roles of these processes are difficult to assess because very few measurements of retreat rates over geomorphic timescales (103-106 years) have been produced, and thus changes in cliffband position through time have only been constrained by inferences made from the regional erosional history. Here, we control for climate and rock type by focusing on a continuous, 40-kilometer section of the lithologically consistent Coal Cliffs in Emery County, Utah. This area presents several natural experiments illustrating cliffband response to different forcings, including relict surfaces reflecting a baselevel change, drainage divides across which the adjustment to base level change may be asynchronous, a zone wherein the caprock layer has been removed by backscarp erosion, and a generally continuous gradient in cliff height from 50 to >200 meters along the cliffline. We employ terrestrial Cl36 exposure dating on terraces, talus flatirons, and perched boulders to constrain the rate of cliffband movement over the most recent period of retreat. Field mapping, relative weathering measurements, and high-resolution DEMs created from structure-from-motion (SFM) photogrammetry are used to evaluate the morphological response in each case.

A 70-year record of outlet glacier retreat in northern Greenland

NASA Astrophysics Data System (ADS)

Hill, Emily; Carr, Rachel; Stokes, Chris; Gudmundsson, Hilmar

2017-04-01

Over the past two decades, the Greenland Ice Sheet (GrIS) has undergone accelerated mass loss increasing its contribution to sea level rise. This is partly attributed to increased mass loss from dynamic marine-terminating outlet glaciers. Despite marine-terminating outlet glaciers in northern Greenland draining 40% of the ice sheet by area, they are comparatively less well-studied than other regions of the ice sheet (e.g. central west or south-east). This region could be susceptible to marine-ice sheet instability due to large proportions of the bedrock rested below sea level and is also unique in the presence of large floating ice tongues. Here, we use a range of satellite imagery sources, accompanied by historical maps, to examine multi-decadal front position changes at 21 outlet glaciers in northern Greenland between 1948 and 2016. We accompany these terminus changes, with annual records of ice velocity, climate-ocean forcing data, and glacier-specific factors (e.g. fjord-width and basal topography) to understand the dominant forcing on glacier dynamics in the region. Over the last 70 years, there has been a clear pattern of glacier retreat in northern Greenland. This is particularly notable during the last two decades, where 62% of our study glaciers showed accelerated retreat. This was most notable at Humboldt, Tracy, Hagen Brae, C. H. Ostenfeld and Petermann Glaciers, and in the case of the latter three glaciers, this involved substantial retreat of their floating ice tongues (> 10 km). Alongside retreat, several study glaciers underwent simultaneous velocity increases. However, the collapse of floating ice tongues did not always result in increased velocity. Similar to other regions of the ice sheet, recent glacier retreat in the northern regions of the Greenland Ice Sheet could be linked to climatic-oceanic forcing, but at this stage this remains largely unknown. This response to external forcing is further complicated by the presence of glacier-surging recorded at several of our study glaciers. As northern Greenland is predicted to undergo greater warming due to Arctic amplification during the 21st century, we conclude that the region could become an increasingly important source of mass loss.

Subduction zone decoupling/retreat modeling explains south Tibet (Xigaze) and other supra-subduction zone ophiolites and their UHP mineral phases

NASA Astrophysics Data System (ADS)

Butler, Jared P.; Beaumont, Christopher

2017-04-01

The plate tectonic setting in which proto-ophiolite 'oceanic' lithosphere is created remains controversial with a number of environments suggested. Recent opinions tend to coalesce around supra-subduction zone (SSZ) forearc extension, with a popular conceptual model in which the proto-ophiolite forms during foundering of oceanic lithosphere at the time of spontaneous or induced onset of subduction. This mechanism is favored in intra-oceanic settings where the subducting lithosphere is old and the upper plate is young and thin. We investigate an alternative mechanism; namely, decoupling of the subducting oceanic lithosphere in the forearc of an active continental margin, followed by subduction zone (trench) retreat and creation of a forearc oceanic rift basin, containing proto-ophiolite lithosphere, between the continental margin and the retreating subduction zone. A template of 2D numerical model experiments examines the trade-off between strength of viscous coupling in the lithospheric subduction channel and net slab pull of the subducting lithosphere. Three tectonic styles are observed: 1) C, continuous subduction without forearc decoupling; 2) R, forearc decoupling followed by rapid subduction zone retreat; 3) B, breakoff of subducting lithosphere followed by re-initiation of subduction and in some cases, forearc decoupling (B-R). In one case (BA-B-R; where BA denotes backarc) subduction zone retreat follows backarc rifting. Subduction zone decoupling is analyzed using frictional-plastic yield theory and the Stefan solution for the separation of plates containing a viscous fluid. The numerical model results are used to explain the formation of Xigaze group ophiolites, southern Tibet, which formed in the Lhasa terrane forearc, likely following earlier subduction and not necessarily during subduction initiation. Either there was normal coupled subduction before subduction zone decoupling, or precursor slab breakoff, subduction re-initiation and then decoupling. Rapid deep upper-mantle circulation in the models during subduction zone retreat can exhume and emplace material in the forearc proto-ophiolite from as deep as the mantle transition zone, thereby explaining diamonds and other 10-15 GPa UHP phases in Tibetan ophiolites.

Controls on erosional retreat of the uplifted rift flanks at the Gulf of Suez and northern Red Sea

NASA Technical Reports Server (NTRS)

Steckler, Michael S.; Omar, Gomaa I.

1994-01-01

The Gulf of Suez and the Red Sea rigts are currently bordered by large asymmetric uplifts that are undergoing erosion. We find that the amount and timing of erosion vary systematically along the strike of the margin and have been controlled by variations in the perift stratigraphy. The perfit strata are compsoed of cliff-forming Eocene-Cretaceous carbonates overlaying the easily eroded Cretaceous-Cambrian 'Nubian' sandstone. This lithologic succession promotes scarp retreat of the sedimentary section, follwed by dissection of the underlying basement. The perift section thins from over 2000 m at the northern end of the rift to less htan 400 m at its junction with the Red Sea. Thus, at the northern part of the Gulf of Suez, the Nubian sandstone is minimally exposed, and the carbonates form a scarp at the rift border fault. Farther south, undercuttin of hte carbonates by erosion of the sandstion has resulted in scarp retreat. The escarpment cuts diagonally away from the border fault andis over 100 km inland from the border fault at the southernmost Gulf of Suez. The amount of retreat varies inversely with the sediment thickness. Exposure and erosion of basement are initiated by the retreate of the escarpment, and the depth of erosion, as indicated by fission track ages, increases with distance from the escarpment. These observations are explained by a model in which erosion along the Gulf of Suez is initiated as rift flank uplift becomes sufficiently large ot expose the friable sandstones. Undercutting the escarpment and exhumation of basement has been propagating northward and westward for at least 20 m.y. The average rate of scarp retreat has been 6 km/m.y. and the along-strike propagation of the erosion has been 12 km/m.y. The diachronous erosion of the rift flanks at the Gulf of Suez highlights the importance of distinguishing between the timing of uplift and of erosion. Both thermochronometric and stratigraphic data primarily indicate the timing of erosion, which may differ significantly form the timing of the uplift that initiates it. They must be interpreted carefully to avoid erroneous conclusions about rift tectonics.

Evaluation of apically extruded debris during root canal retreatment with several NiTi systems.

PubMed

Dincer, A N; Er, O; Canakci, B C

2015-12-01

To compare the amount of debris extruded apically during root canal retreatment using ProTaper, Mtwo and Reciproc instruments with hand H-files. In total, 60 freshly extracted human mandibular incisor teeth were used. All root canals were prepared with a Reciproc R25 file than filled with Gutta-percha and AH Plus sealer using cold lateral condensation before being assigned randomly to four groups (n = 15 each). In group 1, root fillings were removed with the Protaper Universal retreatment system; ProTaper Universal F3 and F4 instruments were used for the final preparation. In group 2, root fillings were removed with the Mtwo retreatment system; Mtwo size 30, .06 taper, size 35, .06 taper and size 40, .06 taper files were used for the final preparation. In group 3, root fillings were removed with Reciproc R25 instruments; Reciproc R40 instruments were used for the final preparation. In group 4, the root fillings were removed with Gates Glidden burs and sizes 35, 30 and 25 H-files; for final preparation, a size 40 H-file was used. Glass vials were used for debris collection. The vials were weighed before and after Gutta-percha removal. Additionally, the times required for the retreatment procedures were recorded. Data were analysed statistically using one-way analysis of variance. The Reciproc system produced significantly smaller amounts of apical extruded debris than the other groups (P < 0.05). There was no significant difference between the Mtwo, H-file and ProTaper groups. The ProTaper and Reciproc groups required significantly less time than the Mtwo and H-file groups (P < 0.001). Use of the reciprocating single file system resulted in the extrusion of significantly less debris compared with the full-sequence rotary NiTi instruments and hand filing. Use of the ProTaper and Reciproc instruments required less time for retreatment procedures than use of the Mtwo or H-file. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

Effects of ice shelf basal melt variability on evolution of Thwaites Glacier

NASA Astrophysics Data System (ADS)

Hoffman, M. J.; Fyke, J. G.; Price, S. F.; Asay-Davis, X.; Perego, M.

2017-12-01

Theory, modeling, and observations indicate that marine ice sheets on a retrograde bed, including Thwaites Glacier, Antarctica, are only conditionally stable. Previous modeling studies have shown that rapid, unstable retreat can occur when steady ice-shelf basal melting causes the grounding line to retreat past restraining bedrock bumps. Here we explore the initiation and evolution of unstable retreat of Thwaites Glacier when the ice-shelf basal melt forcing includes temporal variability mimicking realistic climate variability. We use the three-dimensional, higher-order Model for Prediction Across Scales-Land Ice (MPASLI) model forced with an ice shelf basal melt parameterization derived from previous coupled ice sheet/ocean simulations. We add sinusoidal temporal variability to the melt parameterization that represents shoaling and deepening of Circumpolar Deep Water. We perform an ensemble of 250 year duration simulations with different values for the amplitude, period, and phase of the variability. Preliminary results suggest that, overall, variability leads to slower grounding line retreat and less mass loss than steady simulations. Short period (2 yr) variability leads to similar results as steady forcing, whereas decadal variability can result in up to one-third less mass loss. Differences in phase lead to a large range in mass loss/grounding line retreat, but it is always less than the steady forcing. The timing of ungrounding from each restraining bedrock bump, which is strongly affected by the melt variability, is the rate limiting factor, and variability-driven delays in ungrounding at each bump accumulate. Grounding line retreat in the regions between bedrock bumps is relatively unaffected by ice shelf melt variability. While the results are sensitive to the form of the melt parameterization and its variability, we conclude that decadal period ice shelf melt variability could potentially delay marine ice sheet instability by up to many decades. However, it does not alter the eventual mass loss and sea level rise at centennial scales. The potential differences are significant enough to highlight the need for further observations to constrain the amplitude and period of the modes of climate and ocean variability relevant to Antarctic ice shelf melting.

Landforms, sediments and dates to constrain rates and style of marine-influenced ice sheet decay; the BRITICE-CHRONO project.

NASA Astrophysics Data System (ADS)

Clark, Chris

2014-05-01

Uncertainty exists regarding the future mass of the Antarctic and Greenland ice sheets and how they will respond to forcings from sea level, and atmospheric and ocean temperatures. If we want to know more about the mechanisms and rate of change of shrinking ice sheets, then why not examine an ice sheet that has fully disappeared and track its retreat through time? If achieved in enough detail such information on ice retreat could be a data-rich playground for improving the next breed of numerical ice sheet models to be used in ice and sea level forecasting. We regard that the last British-Irish Ice Sheet is a good target for this work, on account of its small size, density of information and with its numerous researchers already investigating it. Geomorphological mapping across the British Isles and the surrounding continental shelf has revealed the nature and distribution of glacial landforms. Here we demonstrate how such data have been used to build a pattern of ice margin retreat. The BRITICE-CHRONO consortium of Quaternary scientists and glaciologists, are now working on a project running from 2012 - 2017 to produce an ice sheet wide database of geochronometric dates to constrain and then understand ice margin retreat. This is being achieved by focusing on 8 transects running from the continental shelf edge to a short distance (10s km) onshore and acquiring marine and terrestrial samples for geochronometric dating. The project includes funding for 587 radiocarbon, 140 OSL and 158 TCN samples for surface exposure dating; with sampling accomplished by two research cruises and 16 fieldwork campaigns. Results will reveal the timing and rate of change of ice margin recession for each transect, and combined with existing landform and dating databases, will be used to build an ice sheet-wide empirical reconstruction of retreat. Simulations using two numerical ice sheet models, fitted against the margin data, will help us understand the nature and significance of sea-level rise and ocean/atmosphere forcing on influencing the rate of retreat and ice sheet demise and the effect that bed topography has in controlling this.

Palaeo-ice stream pathways in the easternmost Amundsen Sea Embayment, West Antarctica

NASA Astrophysics Data System (ADS)

Klages, Johann P.; Kuhn, Gerhard; Graham, Alastair G. C.; Smith, James A.; Hillenbrand, Claus-Dieter; Nitsche, Frank O.; Larter, Rob D.; Gohl, Karsten

2015-04-01

Multibeam swath bathymetry datasets collected over the past two decades have been compiled to identify palaeo-ice stream pathways in the easternmost Amundsen Sea Embayment. We mapped 3010 glacial landforms to reconstruct palaeo-ice flow in the ~250 km-long Abbot Glacial Trough that was occupied by a large palaeo-ice stream, fed by two tributaries (Cosgrove and Abbot) that reached the continental shelf edge during the last maximum ice-sheet advance. The mapping has enabled a clear differentiation between glacial landforms interpreted as indicative of wet- (e.g. mega-scale glacial lineations) and cold-based ice (e.g. hill-hole pairs) during the last glaciation of the continental shelf. Both the regions of fast palaeo-ice flow within the palaeo-ice stream troughs, and the regions of slow palaeo-ice flow on adjacent seafloor highs (referred to as inter-ice stream ridges) additionally record glacial landforms such as grounding-zone wedges and recessional moraines that indicate grounding line stillstands of the ice sheet during the last deglaciation from the shelf. As the palaeo-ice stream flowed along a trough with variable geometry and variable subglacial substrate, it appears that trough sections characterized by constrictions and outcropping hard substrate that changes the bed gradient, led the pace of grounding-line retreat to slow and subsequently pause, resulting in the deposition of grounding-zone wedges. The stepped retreat recorded within the Abbot Glacial Trough corresponds well to post-glacial stepped retreat interpreted for the neighbouring Pine Island-Thwaites Palaeo-Ice Stream trough, thus suggesting a uniform pattern of episodic retreat across the eastern Amundsen Sea Embayment. The correlation of episodic retreat features with geological boundaries further emphasises the significance of subglacial geology in steering ice stream flow. Our new geomorphological map of the easternmost Amundsen Sea Embayment resolves the pathways of palaeo-ice streams that were probably all active during the last maximum extent of the ice sheet on this part of the shelf, and reveals the style of postglacial grounding-line retreat. Both are important input variables in ice sheet models and therefore can be used for validating the reliability of these models.

Sea-ice indicators of polar bear habitat

NASA Astrophysics Data System (ADS)

Stern, Harry L.; Laidre, Kristin L.

2016-09-01

Nineteen subpopulations of polar bears (Ursus maritimus) are found throughout the circumpolar Arctic, and in all regions they depend on sea ice as a platform for traveling, hunting, and breeding. Therefore polar bear phenology - the cycle of biological events - is linked to the timing of sea-ice retreat in spring and advance in fall. We analyzed the dates of sea-ice retreat and advance in all 19 polar bear subpopulation regions from 1979 to 2014, using daily sea-ice concentration data from satellite passive microwave instruments. We define the dates of sea-ice retreat and advance in a region as the dates when the area of sea ice drops below a certain threshold (retreat) on its way to the summer minimum or rises above the threshold (advance) on its way to the winter maximum. The threshold is chosen to be halfway between the historical (1979-2014) mean September and mean March sea-ice areas. In all 19 regions there is a trend toward earlier sea-ice retreat and later sea-ice advance. Trends generally range from -3 to -9 days decade-1 in spring and from +3 to +9 days decade-1 in fall, with larger trends in the Barents Sea and central Arctic Basin. The trends are not sensitive to the threshold. We also calculated the number of days per year that the sea-ice area exceeded the threshold (termed ice-covered days) and the average sea-ice concentration from 1 June through 31 October. The number of ice-covered days is declining in all regions at the rate of -7 to -19 days decade-1, with larger trends in the Barents Sea and central Arctic Basin. The June-October sea-ice concentration is declining in all regions at rates ranging from -1 to -9 percent decade-1. These sea-ice metrics (or indicators of habitat change) were designed to be useful for management agencies and for comparative purposes among subpopulations. We recommend that the National Climate Assessment include the timing of sea-ice retreat and advance in future reports.

Greenland's Biggest Losers

NASA Astrophysics Data System (ADS)

Box, J. E.; Hubbard, A.; Howat, I. M.; Csatho, B. M.; Decker, D. T.; Bates, R.; Tulaczyk, S. M.

2010-12-01

On 4 August, 2010, 275 square km of the front of the floating Petermann Glacier, far northwest Greenland, broke away. The glacier effectively retreated 15 km. Petermann has retreated 21 km since year 2000. Consulting available imagery, publications, and maps spanning the past century, we conclude that this is a retreat to a minimum extent in the observational record. This glacier is not the only ice are loser in Greenland. GRACE observations verify the concern of increased mass budget deficit. Retreat is ongoing at the 110 km wide Humboldt glacier and at the 23 km wide Zachariae ice stream. Humboldt, Zachariae, and Petermann (16 km wide) are among a handful of large marine-terminating outlets that have bedrock trenches that lead inland below sea level to the thick, interior reservoir of the ice sheet. Sleeping giants are awakening. Our area change survey of the 35 widest Greenland outlets indicates an annual marine-terminating glacier area loss rate in excess of 130 sq km per year. Here, we evaluate in this context the mechanisms for marine-terminating glacier retreat, dynamical responses to calving, and the apparent climate forcings. The work thus consults a suite of data sets, including: long-term meteorological station records; satellite-derived sea and land surface temperatures; satellite-derived sea ice extent; regional climate model output; oceanographic casts; time lapse cameras, surface elevation change, and tidal records. Cumulative area change at Greenland’s glacier top 5 “losers”. 2010 areas are measured ~1 month prior to the end of summer melt when the survey usually is made . We do not expect 2010 area changes to be much different using the future data. If anything, we expect the losses to be larger. Click here for a full resolution graphic.

Combined intravitreal bevacizumab and photodynamic therapy with vertiporfin for management of choroidal neovascularization secondary to age-related macular degeneration

PubMed Central

Kabeel, Mamdouh M; El-Batarny, Ashraf M; Tameesh, Mohamed K; Abou El Enein, Moustafa A

2008-01-01

Purpose To test the results for patients treated with combined photodynamic therapy (PDT) with vertiporfin (Visudyne, Novartis AG) and intravitreal bevacizumab for choroidal neovascularization (CNV) secondary to age-related macular degeneration (AMD). Patients and methods This is a prospective study including 18 eyes with subfoveal or juxtafoveal CNV secondary to AMD. Patients were treated with intravitreal bevacizumab 2.5 mg in the morning then PDT with vertiporfin in the evening of the same day. All patients were followed up for 6 months. The main outcome measures were stabilization (no change) or improvement of best corrected visual acuity (BCVA) with no leakage in fluorescein angiography (FLA) and reduction of central retinal thickness, and retreatment rate. Results At the end of 6 months follow up, all cases had either stabilization or improved BCVA. Fifteen eyes (80%) showed improved BCVA. The overall mean improvement in BCVA (n = 18) was 2.17 lines. Fifteen eyes (80%) required single combined treatment. Only 3 eyes (20%) required retreatment with the same protocol. No systemic or ocular complications were reported. Conclusion Combined intravitreal bevacizumab and PDT as a treatment of CNV secondary to AMD either for predominantly classic or occult subtypes has a positive therapeutic effect with stabilization or improvement of final BCVA and also might reduce the need for retreatment compared with literature retreatment rates of either modality alone. Summary Eighteen patients receiving combined therapy with PDT and intravitreal bevacizumab for CNV secondary to AMD, showed not only significant visual improvement but also reduction in the frequency of retreatment when compared to the results of monotherapy with each modality. PMID:19668400

Postoperative Pain after Endodontic Retreatment Using Rotary or Reciprocating Instruments: A Randomized Clinical Trial.

PubMed

Comparin, Daniel; Moreira, Edson Jorge Lima; Souza, Erick M; De-Deus, Gustavo; Arias, Ana; Silva, Emmanuel João Nogueira Leal

2017-07-01

The aim of this randomized clinical trial was to evaluate the influence of rotary or reciprocating retreatment techniques on the incidence, intensity, duration of postoperative pain, and medication intake. After power analysis calculations, 65 patients who needed endodontic retreatment were randomly assigned to 1 of 2 groups according to the instrumentation system used: Mtwo (VDW, Munich, Germany) or Reciproc (VDW). Retreatments were performed in a single visit by an endodontic specialist. Participants were asked to rate the incidence and intensity of the postoperative pain on a verbal rating scale 24, 48, and 72 hours after treatment. Patients were also asked to record the number of prescribed analgesic medication tablets (ibuprofen 400 mg) taken. A logistic regression analysis was used to assess both the incidence and duration of pain. Differences in the intensity of pain were analyzed using the ordinal (linear) chi-square test, and the Mann-Whitney U test was used to assess differences in the intake of analgesic medication between groups. No statistically significant difference was found among the 2 groups in relation to postoperative pain or analgesic medication intake at the 3 time points assessed (P > .05). Multivariate analysis showed a significantly higher incidence of pain after 24 hours when preoperative pain was present and a significantly longer duration of pain for men than women independently of the retreatment technique used. The reciprocating system and the continuous rotary system were found to be equivalent regarding the incidence, intensity, duration of postoperative pain, and intake of analgesic medication. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Comparison of cyclic fatigue resistance of three different rotary nickel-titanium instruments designed for retreatment.

PubMed

Inan, Ugur; Aydin, Cumhur

2012-01-01

A number of rotary nickel-titanium (NiTi) systems have been developed to provide better, faster, and easier cleaning and shaping of the root canal system, and recently, rotary NiTi systems designed for root canal retreatment have been introduced. Because the main problem with the rotary NiTi files is fracture, the aim of this study was to compare the cyclic fatigue resistance of 3 different rotary NiTi systems designed for root canal retreatment. Total of 60 instruments of 3 different rotary NiTi systems designed for root canal retreatment were used in this study. Twenty R-Endo R3, 20 ProTaper D3, and 20 Mtwo R (Retreatment) 25.05 instruments were tested. Cyclic fatigue testing of instruments was performed by using a device that allowed the instruments to rotate freely inside an artificial canal. Each instrument was rotated until fracture occurred, and the number of cycles to fracture for each instrument was calculated. Representative samples were also evaluated under a scanning electron microscope to confirm the fracture was flexural. Data were analyzed by using 1-way analysis of variance test. R-Endo R3 instruments showed better cyclic fatigue resistance than ProTaper D3 and Mtwo R 25.05 instruments, and the difference was statistically significant (P < .05). There was no significant difference between ProTaper D3 and Mtwo R 25.05 groups. The R-Endo R3 instruments were more resistant to fatigue failure than ProTaper D3 and Mtwo R 25.05. Copyright © 2012 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Comparison of the efficacy of nickel-titanium rotary systems with or without the retreatment instruments in the removal of gutta-percha in the apical third

PubMed Central

2014-01-01

Background The purpose of this study was to compare the efficacy of nickel-titanium rotary systems with or without the retreatment instruments in the removal of gutta-percha from the apical third. Methods The systems compared were as follows: ProTaper Universal (PT), ProTaper Universal Retreatment (PTr), Mtwo (M2) and Mtwo Retreatment (M2r). Sixty extracted mandibular incisors were treated with a crown-down technique and filled with gutta-percha and sealer. The apical diameter was standardized in 0.30 mm, 1 mm from the apex. The teeth were distributed into 4 experimental groups: PT, PTr, M2 and M2r. In PTr and M2r groups, filling materials were removed by PTr/M2r followed by root canals preparation up to a PT F4/M2 40; in groups PT/M2, the filling materials were removed and the root canals were prepared by PT up to a PT F4/M2 up to a M2 40. The roots were split and photomicrographing. The percentage of clean area in the apical 5 mm was calculated using software. Data were analyzed with the Kruskal-Wallis test. Results Remaining material was found in all hemisections and there was no statistically significant difference between the groups (p = 0.09). Considering the surface of the canal walls of all teeth, the mean of the percentage of clean area was 54%. Conclusions Considering the applied methodology, remaining filling material was found in all hemisections, regardless of the retreatment technique and PT or M2 were as effective as PTr/PT or M2r/M2. PMID:25128277

Endodontic retreatment: clinical comparison of reciprocating systems versus rotary system in disinfecting root canals.

PubMed

Martinho, Frederico C; Freitas, Lilian F; Nascimento, Gustavo G; Fernandes, Aleteia M; Leite, Fabio R M; Gomes, Ana P M; Camões, Izabel C G

2015-07-01

This clinical study was conducted to compare the effectiveness of single-file reciprocating systems and rotary systems in removing endotoxins and cultivable bacteria in endodontic retreatment. Thirty endodontically treated teeth with post-treatment apical periodontitis were selected. The specimens were divided into three groups according to the system used: WaveOne (n = 10), Reciproc instrument (n = 10), and ProTaper Universal Retreatment system (n = 10). Samples were collected before and after chemomechanical preparation. The irrigation was performed by using 2.5% sodium hypochlorite. A chromogenic limulus amebocyte lysate assay test was used to quantify endotoxins. Culture techniques were used to determine bacterial colony-forming unit counts. At baseline, endotoxins and cultivable bacteria were recovered from 100% of the root canal samples in a median value of 5.84 EU/mL and 4.98 × 10(3) CFU/mL, respectively. After CMP, no differences were found in the median percentage values of endotoxin reduction achieved with reciprocating systems-WaveOne [94.11%] and Reciproc [93.29%] and with rotary systems-ProTaper [94.98%] (P > 0.05). Both single-file reciprocating systems [WaveOne (98.27%) and Reciproc (99.54%)] and rotary system [ProTaper (98.73%)] were effective in reducing bacterial load (P > 0.05). Moreover, no differences were found among the systems tested. The Reciproc and WaveOne reciprocating systems were as effective as the ProTaper system for removal of endotoxins and bacteria in endodontic retreatment. All systems tested were effective to remove cultivable bacteria and endotoxin in endodontic retreatment. As no differences among systems were observed, it is possible to suggest that clinicians should choose the preferred technique to perform endodontic.

Predicting the retreat and migration of tidal forests along the northern Gulf of Mexico under sea-level rise

USGS Publications Warehouse

Doyle, T.W.; Krauss, K.W.; Conner, W.H.; From, A.S.

2010-01-01

Tidal freshwater forests in coastal regions of the southeastern United States are undergoing dieback and retreat from increasing tidal inundation and saltwater intrusion attributed to climate variability and sea-level rise. In many areas, tidal saltwater forests (mangroves) contrastingly are expanding landward in subtropical coastal reaches succeeding freshwater marsh and forest zones. Hydrological characteristics of these low-relief coastal forests in intertidal settings are dictated by the influence of tidal and freshwater forcing. In this paper, we describe the application of the Sea Level Over Proportional Elevation (SLOPE) model to predict coastal forest retreat and migration from projected sea-level rise based on a proxy relationship of saltmarsh/mangrove area and tidal range. The SLOPE model assumes that the sum area of saltmarsh/mangrove habitat along any given coastal reach is determined by the slope of the landform and vertical tide forcing. Model results indicated that saltmarsh and mangrove migration from sea-level rise will vary by county and watershed but greater in western Gulf States than in the eastern Gulf States where millions of hectares of coastal forest will be displaced over the next century with a near meter rise in relative sea level alone. Substantial losses of coastal forests will also occur in the eastern Gulf but mangrove forests in subtropical zones of Florida are expected to replace retreating freshwater forest and affect regional biodiversity. Accelerated global eustacy from climate change will compound the degree of predicted retreat and migration of coastal forests with expected implications for ecosystem management of State and Federal lands in the absence of adaptive coastal management.

Efficacy of ProTaper and Mtwo Retreatment Files in Removal of Gutta-percha and GuttaFlow from Root Canals

PubMed Central

Khedmat, Sedigheh; Azari, Abbas; Shamshiri, Ahmad Reza; Fadae, Mehdi; Bashizadeh Fakhar, Hoorieh

2016-01-01

Introduction: The aim of this in vitro study was to compare the efficacy of ProTaper retreatment (ProTaper R) and Mtwo retreatment (Mtwo R) files in removing gutta-percha and GuttaFlow from endodontically treated straight root canals. Methods and Materials: The root canals of 60 human mandibular single-rooted premolars were prepared and randomly divided into two groups (n=30). In groups A and B the root canals were obturated using lateral condensation of gutta-percha plus AH 26 and GuttaFlow, respectively. The canal orifices were temporarily sealed and the roots were incubated for 3 months at 37ºC and 100% humidity. Primary cone-beam computed tomography (CBCT) images were taken after incubation period. The specimens in each group were randomly divided into two subgroups (n=15). ProTaper R files (D1, D2, and D3) were used in groups A1 and B1 while Mtwo R files (25/0.05 and 15/0.05) were used in groups A2 and B2. The time required to extirpate the root filling was also recorded. After retreatment, another CBCT scan was taken at the same position. The volume of remaining filling materials inside the canals was calculated before and after retreatment. The data was analyzed using the two-way ANOVA and independent t-test. Results: The remaining filling materials in the canals treated with ProTaper were less than Mtwo. The remaining volume of GuttaFlow was less than gutta-percha regardless of the system applied. Mtwo R files removed root fillings faster than ProTaper R. Conclusion: ProTaper R removed filling material more efficiently compared to Mtwo R which required less time to remove root filling material. PMID:27471528

In Vitro Comparison of Gutta-Percha Removal with H-File and ProTaper with or without Chloroform

PubMed Central

Khalilak, Zohreh; Vatanpour, Mehdi; Dadresanfar, Bahareh; Moshkelgosha, Pouneh; Nourbakhsh, HamidReza

2013-01-01

Introduction Removal of root filling materials is one of the key steps in success of root canal retreatment. The purpose of this study was to evaluate the efficacy of H-File and ProTaper with or without chloroform in the removal of gutta-percha during retreatment of mandibular premolars. Materials and Methods Sixty mandibular premolars with one canal, and curvatures less than 30 degrees were used in this experimental study. They were instrumented with K-files and laterally obturated with condensed gutta-percha using AH26 as the sealer and were stored in 100% humidity at 37°C for 2 weeks. The teeth were randomly divided into four groups of 15 teeth each. Removal of gutta-percha was performed with H-File and ProTaper. All techniques were used with or without chloroform. The teeth were split longitudinally and the area of remaining gutta-percha/sealer on the root canal wall was explored under stereomicroscope. Retreatment time duration was also recorded for each sample. Data were analyzed statistically by Two-way ANOVA, t-test and Tukey’s. Results In all groups, no significant difference was found in remaining gutta-percha and sealer with or without using chloroform, but chloroform shortened the time of retreatment. ProTaper left significantly less remaining filling materials than H-File (P<0.05). Retreatment time was significantly different between the studied groups (P<0.001). Conclusion ProTaper Ni-Ti instruments proved to be more efficient and time-saving devices for removal of gutta-percha compared to H-File in canals with no or slight curvature. PMID:23413203

Seismic stratigraphy of barrier-island arc retreat paths in Mississippi River delta

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

Penland, S.; Suter, J.R.

1983-09-01

The stratigraphic record preserved in the retreat path of Mississippi delta barrier-island arcs is controlled by erosional shoreface retreat processes, relative sea level rise, and sediment supply. More than 500 km (300 mi) of high resolution shallow seismic profiles correlated with vibracores from retreat paths fronting the Isles Dernieres and Chandeleur barrier-island arcs, show contrasting stratigraphic sequences preserved on the inner continental shelf (Mississippian delta). The Isles Dernieres barrier-island arc developed as a consequence of the Caillou Headland abandonment in the early Lafourche delta approximately 800 years B.P. On the lower shoreface, channels can be seen projecting seaward under themore » central part of the island arc; associated with it is a beach-ridge plain extending eastward. On the inner shelf, a sand sheet up to 60 cm (2 ft) thick marks the retreat path of the Isles Dernieres. The Chandeleur barrier-island arc was generated by abandonment of the St. Bernard delta complex 1,500 years ago. Scattered outcrops of shell reefs and lagoonal deposits occur on the lower shoreface. Beyond the shoreface, a 1 to 5 m (3 to 16 ft) thick sand sheet, caps tidal inlet scars up to 10 m (33 ft) thick, as well as the basal portions of migrating barrier-island sequences associated with earlier shoreline positions. Differences seen in the two stratigraphic sequences are a function of distributary size and depositional history of each barrier-island arc. The Isles Dernieres developed from a series of small sand-deficient distributaries in the Lafourche delta complex, whereas the Chandeleur Islands developed from large sand-rich distributaries of the St. Bernard delta complex.« less

Rapid advance and retreat over centennial/millennial timescales at Kangiata Nunaata Sermia, SW Greenland - implications for modelling, and behaviour of tidewater glaciers

NASA Astrophysics Data System (ADS)

Lea, J.; Mair, D. W.; Rea, B. R.; Schofield, J.; Kamenos, N.; Pearce, D.; Schoenrock, K. M.

2017-12-01

While the Greenland Ice Sheet has undergone significant retreat over the last 80 years, our understanding of the ice sheet's response to climate forcing over centennial to millennial timescales is poorly constrained. Knowledge of marine glacier outlets over these timescales would provide crucial information regarding longer term ice sheet dynamics, beyond instrumental and historical records. It is notably difficult to constrain such histories for these glaciers due to: (i) a highly dynamic ice front environment in combination with the Little Ice Age advance(s) destroying much of the preceding evidence for glacier change; (ii) often poor landform/sediment preservation due to steep sided fjords; (iii) the areas with greatest preservation potential, the fjords bottoms, being submarine and often ice choked, and therefore non-trivial to survey, and sample. The tidewater glacier Kangiata Nunaata Sermia (KNS), SW Greenland provides an exception to this. Here we present a record of >22km of terminus advance and retreat spanning the last 1000 years using a combination of geomorphological, sedimentological and archaeological evidence. This timescale includes periods of substantial warming and cooling of air temperatures that appear to correspond to periods of advance and retreat. Results also suggest that the average advance rates in the early part of the millennium (110 m a-1) are of a similar magnitude to contemporary retreat rates observed around Greenland. The results generated here provide an ideal opportunity to validate the performance of numerical models (notably those that include calving) over centennial timescales. Evaluating model performance against the past behaviour of KNS could therefore lead to significant improvements in the confidence of ice sheet change projections up to 2100 and beyond.

Drug resistance of Mycobacterium tuberculosis in Malawi: a cross-sectional survey

PubMed Central

Abouyannis, Michael; Dacombe, Russell; Dambe, Isaias; Mpunga, James; Faragher, Brian; Gausi, Francis; Ndhlovu, Henry; Kachiza, Chifundo; Suarez, Pedro; Mundy, Catherine; Banda, Hastings T; Nyasulu, Ishmael

2014-01-01

Abstract Objective To document the prevalence of multidrug resistance among people newly diagnosed with – and those retreated for – tuberculosis in Malawi. Methods We conducted a nationally representative survey of people with sputum-smear-positive tuberculosis between 2010 and 2011. For all consenting participants, we collected demographic and clinical data, two sputum samples and tested for human immunodeficiency virus (HIV).The samples underwent resistance testing at the Central Reference Laboratory in Lilongwe, Malawi. All Mycobacterium tuberculosis isolates found to be multidrug-resistant were retested for resistance to first-line drugs – and tested for resistance to second-line drugs – at a Supranational Tuberculosis Reference Laboratory in South Africa. Findings Overall, M. tuberculosis was isolated from 1777 (83.8%) of the 2120 smear-positive tuberculosis patients. Multidrug resistance was identified in five (0.4%) of 1196 isolates from new cases and 28 (4.8%) of 581 isolates from people undergoing retreatment. Of the 31 isolates from retreatment cases who had previously failed treatment, nine (29.0%) showed multidrug resistance. Although resistance to second-line drugs was found, no cases of extensive drug-resistant tuberculosis were detected. HIV testing of people from whom M. tuberculosis isolates were obtained showed that 577 (48.2%) of people newly diagnosed and 386 (66.4%) of people undergoing retreatment were positive. Conclusion The prevalence of multidrug resistance among people with smear-positive tuberculosis was low for sub-Saharan Africa – probably reflecting the strength of Malawi’s tuberculosis control programme. The relatively high prevalence of such resistance observed among those with previous treatment failure may highlight a need for a change in the national policy for retreating this subgroup of people with tuberculosis. PMID:25378741

Retreatment with Pegloticase after a Gap in Therapy in Patients with Gout: A Report of Four Cases.

PubMed

Morton, Allan H; Hosey, Tony; LaMoreaux, Brian

2018-05-03

Pegloticase, a potent uricolytic biologic enzyme, has been shown to be an effective therapeutic option in patients with uncontrolled gout. However, there are limited data on clinical response after a gap in therapy and retreatment with pegloticase. This report describes four patients with chronic gout who were successfully managed with pegloticase and were retreated following a gap in therapy. Patient charts from a practice-based rheumatology clinic were retrospectively analyzed; four male patients, aged 70-75 years, with chronic gout and a more than 4-week gap in pegloticase therapy were reviewed. Before pegloticase treatment, patients had received allopurinol or febuxostat, but they continued exhibiting symptoms, including visible tophi and serum uric acid (SUA) levels of 5.2-10.2 mg/dL (309-607 μmol/L), despite oral urate-lowering therapy. The first pegloticase treatment (8-mg infusion every 2 weeks) lasted 22-124 weeks. Pegloticase resolved tophi and improved SUA to below 1.5 mg/dL (less than 89 μmol/L); however, patients discontinued pegloticase because of symptom resolution, poor adherence, or personal reasons. Following treatment gaps (12-156 weeks), symptoms and SUA levels increased and patients were retreated with pegloticase (4-147 weeks). In three of four patients, reinitiating pegloticase lowered SUA levels to below 1.0 mg/dL (less than 59 μmol/L) and resolved symptoms. One patient experienced an infusion reaction and discontinued; no infusion reactions, gout flares, or adverse events occurred among the other three patients. Retreatment with pegloticase after a gap in therapy appears to be an effective and tolerated option in prior responders. Horizon Pharma.

Extensive retreat and re-advance of the West Antarctic Ice Sheet during the Holocene.

PubMed

Kingslake, J; Scherer, R P; Albrecht, T; Coenen, J; Powell, R D; Reese, R; Stansell, N D; Tulaczyk, S; Wearing, M G; Whitehouse, P L

2018-06-01

To predict the future contributions of the Antarctic ice sheets to sea-level rise, numerical models use reconstructions of past ice-sheet retreat after the Last Glacial Maximum to tune model parameters 1 . Reconstructions of the West Antarctic Ice Sheet have assumed that it retreated progressively throughout the Holocene epoch (the past 11,500 years or so) 2-4 . Here we show, however, that over this period the grounding line of the West Antarctic Ice Sheet (which marks the point at which it is no longer in contact with the ground and becomes a floating ice shelf) retreated several hundred kilometres inland of today's grounding line, before isostatic rebound caused it to re-advance to its present position. Our evidence includes, first, radiocarbon dating of sediment cores recovered from beneath the ice streams of the Ross Sea sector, indicating widespread Holocene marine exposure; and second, ice-penetrating radar observations of englacial structure in the Weddell Sea sector, indicating ice-shelf grounding. We explore the implications of these findings with an ice-sheet model. Modelled re-advance of the grounding line in the Holocene requires ice-shelf grounding caused by isostatic rebound. Our findings overturn the assumption of progressive retreat of the grounding line during the Holocene in West Antarctica, and corroborate previous suggestions of ice-sheet re-advance 5 . Rebound-driven stabilizing processes were apparently able to halt and reverse climate-initiated ice loss. Whether these processes can reverse present-day ice loss 6 on millennial timescales will depend on bedrock topography and mantle viscosity-parameters that are difficult to measure and to incorporate into ice-sheet models.

Retreatment with sofosbuvir/velpatasvir in cirrhotic patients with genotype 4 who failed a previous interferon-free regimen: a case series.

PubMed

Boglione, Lucio; Pinna, Simone Mornese; Lupia, Tommaso; Cariti, Giuseppe; Di Perri, Giovanni

2018-02-14

The novel available interferon (IFN)-free regimens significantly improved the sustained virological response (SVR) in patients with chronic hepatitis C (CHC), without important side-effects and with shorter duration of treatment. In a subset of patients, however, the treatment failure (TF) was due to the presence of resistance-associated substitutions (RAS) that lead to virological breakthrough (BT) or relapse. We analyzed in this case-series the role of RAS on the TF in cirrhotic patients with GT4, treated with a previous IFN-free regimen, and retreated with the combination of sofosbuvir (SOF)/velpatasvir (VEL) for 12 or 24 weeks, without ribavirin (RBV). We included in this analysis all patients with GT4 who failed a previous IFN-free treatment, with the presence of RAS at BT or relapse. All patients were retreated with a fixed combination of SOF/VEL for 12/24 weeks, without RBV. We evaluated the SVR and the MELD score change after the treatment. Seven patients were described. All were cirrhotic, Child-Pug A (n=5), B (n=2); baseline RAS were detected in 4/7 subjects; at post-treatment detection, NS5 RAS were: F28S (n=1), Q30K (n=2), S30G (n=1), NS3 were: S122R (n=1), S122G (n=2), D168V (n=3). All retreated patients gained the SVR. MELD score improved in all subjects with a median change of 3 points. No significant side-effects or adverse events were reported. The combination SOF/VEL could be considered for the retreatment of cirrhotic GT4 patients who failed a previous IFN-free treatment with the presence of RAS in NS3 or NS5 regions.

Impact of Prophylactic Conversion to an Extended Infusion Schedule to Prevent Hypersensitivity Reactions in Ovarian Cancer Patients during Carboplatin Retreatment

PubMed Central

O’Cearbhaill, Roisin; Zhou, Qin; Iasonos, Alexia; Hensley, Martee L.; Tew, William P.; Aghajanian, Carol; Spriggs, David R.; Lichtman, Stuart M.; Sabbatini, Paul J.

2015-01-01

Objective Repeated exposure to carboplatin can lead to hypersensitivity reactions during retreatment with carboplatin. This may prevent its further use in platinum-sensitive ovarian cancer patients. At our institution, an increasing proportion of patients are prophylactically converted to an extended schedule of infusion after 8 cycles of carboplatin. We sought to determine whether an incrementally increasing, extended 3-hour infusion of carboplatin was associated with a lower rate of hypersensitivity reactions compared to the standard 30-minute schedule in sequentially treated patients. Methods We performed a retrospective electronic medical record review of patients with recurrent ovarian cancer retreated with carboplatin at our institution from 01/98–12/08. Results Seven hundred seventy-seven patients with relapsed ovarian, fallopian tube, or primary peritoneal cancer were retreated with carboplatin and met study inclusion criteria. Of these, 117 (17%) developed hypersensitivity reactions during second-line or greater carboplatin-based treatment for recurrent disease. Only 6 (3.4%) of the 174 patients who received the extended schedule developed hypersensitivity reactions (0% grade 4; 1.7% grade 3) compared to 111 (21%) of 533 patients in the standard schedule group (12% grade 4; 77% grade 3). The first hypersensitivity episode occurred after a median of 16 platinum (carboplatin and cisplatin) treatments in the extended group compared to 9 in the standard group. Using the Fisher-exact test, there was an association with a reduced incidence of hypersensitivity reactions with the extended infusion schedule (P<0.001). Conclusion Our data suggest appropriate premedication and prophylactic conversion to an extended infusion during carboplatin retreatment may reduce hypersensitivity reactions. PMID:19944454

Chronic hepatitis C virus patients with breakthroughs during interferon treatment can successfully be retreated with consensus interferon. The Consensus Interferon Study Group.

PubMed

Heathcote, E J; James, S; Mullen, K D; Hauser, S C; Rosenblate, H; Albert, D G

1999-08-01

Patients with chronic hepatitis C who have not had a sustained hepatitis C virus (HCV)-RNA response or serum alanine transaminase (ALT) response to a 6-month course of interferon (IFN) may respond to higher dose retreatment with consensus interferon (CIFN). Some nonresponders to initial IFN treatment have a transient response defined as undetectable HCV RNA or normalization of ALT during treatment, but subsequently have a "breakthrough" while still on treatment. The aim of this study was to determine if nonresponders who had breakthroughs responded differently to CIFN retreatment than nonresponders without breakthroughs using data from a large, multicenter trial. ALT and HCV RNA were monitored frequently during initial IFN therapy (either 9 mcg CIFN or 3 MU IFN-alpha2b 3 times per week). HCV-RNA breakthroughs were observed in 86 of 467 (18%) of all treated patients, and ALT breakthroughs were observed in 90 of 467 (19%) of all treated patients. There was no association between breakthroughs and the presence of either binding or neutralizing anti-IFN antibodies. When the patients who were nonresponders to initial IFN treatment were retreated with CIFN (15 mcg) for 12 months, 27% of those with viral breakthroughs had a sustained viral response compared with 8% in prior nonresponders without breakthroughs (P =.102). Sustained ALT responses were observed in 39% with breakthroughs compared with 10% in those without breakthroughs (P =.014). The data suggest that prior nonresponders with breakthroughs have a greater chance of responding to retreatment than do nonresponders without breakthroughs. However, most breakthrough patients would be missed unless repeated HCV-RNA testing were conducted during therapy.

Building a rheumatology education academy: insights from assessment of needs during a rheumatology division retreat.

PubMed

Berman, Jessica R; Aizer, Juliet; Bass, Anne R; Cats-Baril, William L; Parrish, Edward J; Robbins, Laura; Salmon, Jane E; Paget, Stephen A

2012-06-01

To implement a rheumatology department education retreat to systematically identify and address the key factors necessary to improve medical education in our division in preparation for developing a rheumatology academy. The Hospital for Special Surgery organized a retreat for the Rheumatology Department aimed at (1) providing formal didactics and (2) assessing participants' self-reported skills and interest in education with the goal of directing this information toward formalizing improvement. In a mixed-methods study design, faculty and fellows in the Division of Rheumatology were surveyed online pre- and post-retreat regarding various aspects of the current education program, their teaching abilities, interest and time spent in teaching, divisional resources allocated, and how education is valued. Enthusiasm for teaching was high before and rose further after the retreat. Confidence in abilities was higher than expected before but fell afterward. Many noted that the lack of specific feedback on teaching skills and useful metrics to assess performance prevented the achievement of educational excellence. Most responding felt lack of time, knowledge of how to teach well, and resources prevented them from making greater commitments to educational endeavors and participating fully and effectively in the department's teaching activities. While most rheumatology faculty members want to improve as teachers, they know neither where their educational strengths and weaknesses lie nor where or how to begin to change their teaching abilities. The key elements for an academy would thus be an educational environment that elevates the quality of teaching throughout the division and promotes teaching careers and education research, and raises the importance and quality of teaching to equivalence with clinical care and research.

Processes controlling the retreat of the Isles Dernieres, a Louisiana barrier-island chain

USGS Publications Warehouse

Dingler, John R.; Reiss, Thomas E.

1991-01-01

The Isles Dernieres is a low-lying, transgressive barrier-island chain situated about 150 km west of the modern Mississippi delta. Much of the Isles Dernieres consists of highly dissected salt-marsh muds that lie at or slightly above sea level and are covered by a veneer of sand along the shoreline facing the Gulf of Mexico. Maximum berm elevations are generally less than 1.5 m above mean sea level. Since the mid-1800s, the initial island has been fragmented into four islands, and the beach face has retreated landward at a rate of more than 10 m/yr. The dominant processes controlling degradation of the chain are cold fronts that pass through the area several times each year and occasional hurricanes. Beach surveys over a 2-year period on the Isles Dernieres document irreversible beach-face retreat in conjunction with multiple cold fronts and one major hurricane (Gilbert). Although both the hurricane and the cold fronts caused the island to erode, the erosional patterns of the two storm types differed from each other. During the two years, over 60 cold fronts collectively caused about 37 m of beach-face retreat, whereas Gilbert itself produced more than 40 m of retreat. A major difference between the two storm types was in the percentage of washover sand produced by each. Commonly, the cold fronts did not create enough of a storm surge to overtop the berm, so most of the material removed from the beach face must have moved offshore or alongshore. Gilbert, in contrast, inundated the study site, and essentially all the sand removed from the beach face moved to the backshore.

Retreatment with sofosbuvir/velpatasvir in cirrhotic patients with genotype-4 who failed a previous interferon-free regimen: a case series.

PubMed

Boglione, Lucio; Pinna, Simone Mornese; Lupia, Tommaso; Cariti, Giuseppe; Di Perri, Giovanni

2018-02-14

The novel available interferon (IFN)-free regimens significantly improved the sustained virological response (SVR) in patients with chronic hepatitis C (CHC), without important side effects and with shorter duration of treatment. In a subset of patients, however, the treatment failure (TF) was due to the presence of resistance-associated substitutions (RAS) that lead to virological breakthrough (BT) or relapse. We analysed in this case series the role of RAS on the TF in cirrhotic patients with genotype (GT)4, treated with a previous IFN-free regimen, and retreated with the combination of sofosbuvir (SOF)/velpatasvir (VEL) for 12 or 24 weeks, without ribavirin (RBV). We included in this analysis all patients with GT4 who failed a previous IFN-free treatment, with the presence of RAS at BT or relapse. All patients were retreated with a fixed combination of SOF/VEL for 12/24 weeks, without RBV. We evaluated the SVR and the MELD score change after the treatment. Seven patients were described. All were cirrhotic, Child-Pugh A (n=5), B (n=2); baseline RAS were detected in 4/7 subjects; at post-treatment detection, NS5 RAS were: F28S (n=1), Q30K (n=2), S30G (n=1), NS3 were: S122R (n=1), S122G (n=2), D168V (n=3). All retreated patients gained SVR. MELD score improved in all subjects with a median change of 3 points. No significant side effects or adverse events were reported. The combination SOF/VEL could be considered for the retreatment of cirrhotic GT4 patients who failed a previous IFN-free treatment with the presence of RAS in NS3 or NS5 regions.

The Influence of Body Mass Index on Outcomes in Ureteroscopy: Results from the Clinical Research Office of Endourological Society URS Global Study.

PubMed

Krambeck, Amy; Wijnstok, Nienke; Olbert, Peter; Mitroi, George; Bariol, Simon; Shah, Hemendra N; El-Abd, Ahmed S; Onal, Bulent; de la Rosette, Jean

2017-01-01

Although ureteroscopy (URS) has been established as a viable treatment for stones in obese patients, its safety and success has not been fully elucidated. The current study describes the worldwide prevalence of obesity in patients with urolithiasis and examines trends in URS outcomes, safety, and efficacy. This study utilized the Clinical Research Office of the Endourological Society (CROES) URS Global Study, which was a prospective, multicenter study including 11,885 patients treated with URS for urinary stones at 1 of 114 urology departments across 32 countries. The relationship between body mass index (BMI), diabetes, and creatinine, with retreatment, stone-free rates, complications, and long hospital stay, was examined with a multivariate logistic regression analyses. Of the 10,099 URS patients with BMI data, 17.4% were obese and 2.2% were super obese. Overall, 86.7% patients were stone free and 16.8% required retreatment. Higher BMI was associated with lower stone-free rates, and any deviation from normal weight was associated with higher retreatment rates. In multivariate analysis controlling for several variables including stone size, the association between BMI and lower stone-free rates with higher retreatment rates persisted. Intraoperative complications occurred in 518 (5.1%) patients, and 343 (3.4%) experienced a postoperative complication. Postoperative complications were more frequent in the underweight and super obese subjects, and there was no relationship between BMI and intraoperative complications. Although URS for stone disease was found to be an overall safe procedure for obese and super obese patients, efficacy of the procedure may be lower compared with normal-weight subjects and higher retreatment rates may be necessary.

Pacing the post-Last Glacial Maximum demise of the Animas Valley glacier and the San Juan Mountain ice cap, Colorado

NASA Astrophysics Data System (ADS)

Guido, Zackry S.; Ward, Dylan J.; Anderson, Robert S.

2007-08-01

During the Last Glacial Maximum (LGM), a 5000 km2 ice cap covered the San Juan Mountains of southwest Colorado. The largest valley glacier draining this ice cap occupied the Animas Valley and flowed 91 km to the south. To characterize the post-LGM demise of the Animas Valley glacier, we employ cosmogenic 10Be to date the LGM terrace outside the terminal moraines and a suite of seven glacially polished bedrock samples. The 10Be depth profile within the terrace sediments suggests abandonment at 19.4 ± 1.5 ka. As deglaciation began, the ponding of Glacial Lake Durango behind the terminal moraines shut off fluvial sediment supply and caused terrace abandonment. The age of the terrace therefore records the initiation of LGM retreat. Negligible 10Be inheritance in the terrace profile suggests that glacial erosion of the bedrock valley floor from which sediments were derived erased all cosmogenic inventory. Glacial polish exposure ages monotonically decrease up-valley from 17.1 to 12.3 ka, with the single exception of a sample collected from a quartzite rib, yielding an average retreat rate of 15.4 m/yr. This trend and the lack of inherited cosmogenic nuclides in the terrace sediments imply that polish ages accurately record the glacial retreat history. Retreat of the Animas lobe began at a time of regional drying recorded in sediments and shoreline elevations of large lakes. Deglaciation lasted for ˜7.2 k.y., and was complete by 12.3 ± 1.0 ka. The retreat history followed the pattern of increasing insolation and was perhaps fastest during a time of regional drying.

Further Treatments of Root-filled Teeth in the Swedish Adult Population: A Comparison of Teeth Restored with Direct and Indirect Coronal Restorations.

PubMed

Dawson, Victoria S; Isberg, Per-Erik; Kvist, Thomas; Fransson, Helena

2017-09-01

The aim of this study was to evaluate the frequencies of nonsurgical retreatment, root-end surgery, extraction, and further restoration of root-filled teeth in Sweden in 2009 during a follow-up period of 5 years and to compare the outcomes in teeth restored with direct or indirect restorations. Data from the Swedish Social Insurance Agency were analyzed, and the frequencies of nonsurgical retreatment, root-end surgery, extractions, and further restoration were calculated for all teeth registered as root filled during 2009. Chi-square tests were applied to detect any significant differences in the frequency of further treatment in teeth registered as restored with either a direct or an indirect restoration within 6 months of root filling. Of the 248,299 teeth reported root filled in Sweden in 2009, nonsurgical retreatment was registered in 2.2%, root-end surgery in 1.0%, and extractions in 9.2% during the follow-up period. Of the teeth restored with a direct restoration within 6 months after the root filling, 30.3% were registered as having undergone at least 1 further direct restoration; the corresponding percentage of teeth with indirect restorations was 6.4%. A statistically significant difference in the frequency of nonsurgical retreatment, extraction, and further restoration was found; teeth restored with an indirect restoration within 6 months of root filling had fewer of these treatments than those restored by direct restoration. Low frequencies of nonsurgical retreatment and root-end surgery were reported 5 years after root filling, whereas extraction was more common. Fewer additional treatment procedures were registered for teeth with indirect restorations than for those with direct restorations. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Climate Change and Glacier Retreat: Scientific Fact and Artistic Opportunity

NASA Astrophysics Data System (ADS)

Fagre, D. B.

2008-12-01

Mountain glaciers continue to retreat rapidly over most of the globe. In North America, at Glacier National Park, Montana, recent research results from Sperry Glacier (2005-2007) indicate negative mass balances are now 3-4 times greater than in the 1950s. A geospatial model of glacier retreat in the Blackfoot-Jackson basin suggested all glaciers would be gone by 2030 but has proved too conservative. Accelerated glacier shrinkage since the model was developed has mirrored an increase in actual annual temperature that is almost twice the rate used in the model. The glaciers in Glacier National Park are likely to be gone well before 2030. A variety of media, curricula, and educational strategies have been employed to communicate the disappearance of the glaciers as a consequence of global warming. These have included everything from print media and television coverage to podcasts and wayside exhibits along roads in the park. However, a new thrust is to partner with artists to communicate climate change issues to new audiences and through different channels. A scientist-artist retreat was convened to explore the tension between keeping artistic products grounded in factually-based reality while providing for freedom to express artistic creativity. Individual artists and scientists have worked to create aesthetic and emotional images, using painting, poetry, music and photography, to convey core messages from research on mountain ecosystems. Finally, a traveling art exhibit was developed to highlight the photography that systematically documents glacier change through time. The aim was to select photographs that provide the most compelling visual experience for an art-oriented viewer and also accurately reflect the research on glacier retreat. The exhibit opens on January 11, 2009

Mindfulness training modifies subsystems of attention.

PubMed

Jha, Amism P; Krompinger, Jason; Baime, Michael J

2007-06-01

Mindfulness is defined as paying attention in the present moment. We investigate the hypothesis that mindfulness training may alter or enhance specific aspects of attention. We examined three functionally and neuroanatomically distinct but overlapping attentional subsystems: alerting, orienting, and conflict monitoring. Functioning of each subsystem was indexed by performance on the Attention Network Test. Two types of mindfulness training (MT) programs were examined, and behavioral testing was conducted on participants before (Time 1) and after (Time 2) training. One training group consisted of individuals naive to mindfulness techniques who participated in an 8-week mindfulness-based stress reduction (MBSR) course that emphasized the development of concentrative meditation skills. The other training group consisted of individuals experienced in concentrative meditation techniques who participated in a 1-month intensive mindfulness retreat. Performance of these groups was compared with that of control participants who were meditation naive and received no MT. At Time 1, the participants in the retreat group demonstrated improved conflict monitoring performance relative to those in the MBSR and control groups. At Time 2, the participants in the MBSR course demonstrated significantly improved orienting in comparison with the control and retreat participants. In contrast, the participants in the retreat group demonstrated altered performance on the alerting component, with improvements in exogenous stimulus detection in comparison with the control and MBSR participants. The groups did not differ in conflict monitoring performance at Time 2. These results suggest that mindfulness training may improve attention-related behavioral responses by enhancing functioning of specific subcomponents of attention. Whereas participation in the MBSR course improved the ability to endogenously orient attention, retreat participation appeared to allow for the development and emergence of receptive attentional skills, which improved exogenous alerting-related process.

Antarctic Ice Sheet Grounding line migration monitoring using COSMO-SkyMed very short repeat-time SAR Interferometry.

NASA Astrophysics Data System (ADS)

Milillo, P.; Rignot, E. J.; Mouginot, J.; Scheuchl, B.; Morlighem, M.; Li, X.; Salzer, J. T.

2016-12-01

We employ data from the second generation of SAR systems e.g. the Italian COSMO-SkyMed constellation and the German TanDEM-X formation to monitor the characteristics of grounding line migration using short repeat-time interferometry and accurate InSAR DEM in the Amundsen Sea Embayment (ASE), West Antarctica. The ASE is a marine-based ice sheet with a retrograde bed containing enough ice to raise global sea level by 120 cm. Several studies have inferred the mechanical properties of portions of ASE using observationally constrained numerical models, but these studies offer only temporal snapshots of basal mechanics owing to a dearth of observational time series. Using 1-day CSK repeat pass data and TanDEM-X DEMs, we collected frequent, high-resolution grounding line measurements of Pine Island (PIG), Thwaites, Kohler and Smith glaciers spanning 2015-2016. We compare the results with ERS data spanning 1996-2011, and Sentinel-1a 2014-2015 data. We observe an ongoing, rapid 2km/yr grounding line retreat on Smith, 0.5 km/yr retreat on Pope, ongoing 1 km/yr retreat on Thwaites and PIG and a slight re-advance on Kohler since 2011. On PIG, the data reveal seawater infiltration at high tides over many km along the glacier flanks, significantly more than in 1996/2000. We attribute these infiltrations to the fast retreat of PIG over a rough bed. Such intrusion of warm water fuel the melting of basal ice at the grounding line, which provides an additional positive feedback to the glacier retreat not accounted for in models. We do not observe similar patterns on the other glaciers.

The use of rites of passage in strengthening the psychosocial wellbeing of orphaned children in Botswana.

PubMed

Thamuku, Masego; Daniel, Marguerite

2012-10-01

Children who have been bereaved in the context of AIDS may experience many challenges to their psychosocial wellbeing. Programmes to help orphaned children are usually anchored in child rights. As the individual focus of rights-based approaches is inept in African collectivist culture, NGOs tend to make use of group approaches in psychosocial support programmes. One orphan-strengthening programme in Botswana, called the Ark for Children, uses rites of passage and rites of affirmation as part of a therapeutic retreat. This study explored how rites of passage and rites of affirmation contribute to psychosocial strengthening of orphaned children in Botswana. Ten orphaned children were involved in five rounds of data collection during a 16-day therapeutic retreat; and eight social workers answered questions on the effectiveness of the therapy. A supplementary document analysis was also completed, which included retreat reports since 2001 and correspondence from community-based support workers and graduates of the programme. Participants reported that the rites used during the retreat helped them to commit to therapeutic transformation. During a retreat, all the participants witness and support each individual going through each rite - a process reported to foster and strengthen group formation. It was documented that the symbols used as part of the themed rites of affirmation are used by participants for years afterwards as reminders of their transformation and commitment to the group. We conclude that rites of passage can provide a powerful tool to help children commit to therapeutic transformation, build the supportive group, and enable the community to recognise and affirm that the children return as changed individuals and members of the group.

High-resolution chronology for deglaciation of the Patagonian Ice Sheet at Lago Buenos Aires (46.5°S) revealed through varve chronology and Bayesian age modelling

NASA Astrophysics Data System (ADS)

Bendle, Jacob M.; Palmer, Adrian P.; Thorndycraft, Varyl R.; Matthews, Ian P.

2017-12-01

Glaciolacustrine varves offer the potential to construct continuous, annually-resolved chronologies for ice-sheet deglaciation, and improved understanding of glacier retreat dynamics. This paper investigates laminated glaciolacustrine sediments deposited around the waning margins of the Patagonian Ice Sheet, following the local Last Glacial Maximum (LGM). Detailed macro- and microfacies analyses confirm an annual (varve) structure within these sediments. The correlation of annual layers (varves) across five sites in eastern Lago Buenos Aires yields a 994 ± 36 varve-year (vyr) chronology and thickness record. The floating chronology has been anchored to the calendar-year timescale through identification of the Ho tephra (17,378 ± 118 cal a BP) in the varve sequences. Using a Bayesian age model to integrate the new varve chronology with published moraine ages, the onset of deglaciation at 46.5°S is dated to 18,086 ± 214 cal a BP. New age estimates for deglacial events are combined with high-resolution analysis of varve thickness trends, and new lithostratigraphic data on ice-margin position(s), to reconstruct ice-margin retreat rates for the earliest ca. 1000 years of ice-sheet demise. Glacier retreat rates were moderate (5.3-10.3 m yr-1) until 17,322 ± 115 cal a BP, but subsequently accelerated (15.4-18.0 m yr-1). Sustained influxes of ice-rafted debris (IRD) after 17,145 ± 122 cal a BP suggest retreat rates were enhanced by calving after ice contracted into deeper lake waters. Ice persisted in eastern Lago Buenos Aires until at least 16,934 ± 116 cal a BP, after which the glacier started to retreat towards the Patagonian mountains.

Cost and cost-effectiveness of community-based care for tuberculosis in Cape Town, South Africa.

PubMed

Sinanovic, E; Floyd, K; Dudley, L; Azevedo, V; Grant, R; Maher, D

2003-09-01

Guguletu and Nyanga areas of Cape Town, South Africa. To evaluate the affordability and cost-effectiveness of community involvement in tuberculosis (TB) care. A cost-effectiveness analysis comparing treatment for new smear-positive pulmonary and retreatment TB patients in two similar townships, one providing clinic-based-care with community-based observation options available for its TB patients (Guguletu) and one providing clinic-based care only, with no community-based observation of treatment (Nyanga). Costs were assessed from a societal perspective in 1997 US dollars, and cost-effectiveness was calculated as the cost per patient successfully treated. TB treatment in Guguletu was more cost-effective than TB treatment in Nyanga for both new and retreatment patients (dollars 726 vs. dollars 1201 and dollars 1419 vs. dollars 2058, respectively). This reflected both lower costs (dollars 495 vs. dollars 769 per patient treated for new cases; dollars 823 vs. dollars 1070 per patient treated for retreatment cases) and better treatment outcomes (successful treatment rate 68% vs. 64% and 58% vs. 52% for new and retreatment patients, respectively). Within Guguletu, community-based care was more than twice as cost-effective as clinic-based care (dollars 392 vs. dollars 1302 per patient successfully treated for new patients, and dollars 766 vs. dollars 2008 for retreatment patients), for similar reasons (e.g., for new cases, dollars 314 vs. dollars 703 per patient treated, successful treatment rate 80% vs. 54%). Community involvement in TB care can improve the affordability and cost-effectiveness of TB treatment in urban South Africa. Expansion in the Western Cape and in similar areas of the country is worthy of serious consideration by planners and policy-makers.

Past ice-sheet behaviour: retreat scenarios and changing controls in the Ross Sea, Antarctica

NASA Astrophysics Data System (ADS)

Halberstadt, Anna Ruth W.; Simkins, Lauren M.; Greenwood, Sarah L.; Anderson, John B.

2016-05-01

Studying the history of ice-sheet behaviour in the Ross Sea, Antarctica's largest drainage basin can improve our understanding of patterns and controls on marine-based ice-sheet dynamics and provide constraints for numerical ice-sheet models. Newly collected high-resolution multibeam bathymetry data, combined with two decades of legacy multibeam and seismic data, are used to map glacial landforms and reconstruct palaeo ice-sheet drainage. During the Last Glacial Maximum, grounded ice reached the continental shelf edge in the eastern but not western Ross Sea. Recessional geomorphic features in the western Ross Sea indicate virtually continuous back-stepping of the ice-sheet grounding line. In the eastern Ross Sea, well-preserved linear features and a lack of small-scale recessional landforms signify rapid lift-off of grounded ice from the bed. Physiography exerted a first-order control on regional ice behaviour, while sea floor geology played an important subsidiary role. Previously published deglacial scenarios for Ross Sea are based on low-spatial-resolution marine data or terrestrial observations; however, this study uses high-resolution basin-wide geomorphology to constrain grounding-line retreat on the continental shelf. Our analysis of retreat patterns suggests that (1) retreat from the western Ross Sea was complex due to strong physiographic controls on ice-sheet drainage; (2) retreat was asynchronous across the Ross Sea and between troughs; (3) the eastern Ross Sea largely deglaciated prior to the western Ross Sea following the formation of a large grounding-line embayment over Whales Deep; and (4) our glacial geomorphic reconstruction converges with recent numerical models that call for significant and complex East Antarctic ice sheet and West Antarctic ice sheet contributions to the ice flow in the Ross Sea.

Clinical results of PRK touch-up using Chiron/Technolas Keracor 116 excimer laser

NASA Astrophysics Data System (ADS)

Davidian, Mary E.; Keates, Richard H.; Ren, Qiushi

1995-05-01

Regression of effect as well as undercorrection are well established complications of excimer photorefractive keratectomy for the correction of myopia. In thirteen eyes initially treated with the VISX Taunton excimer laser and then retreated with the Chiron Technolas laser, the minimum follow-up time was six months. The mean postoperative refraction at six months was -0.442 +/- 0.996 D (diopters), significantly different from the pretreatment mean of -1.904 +/- 1.297 D. At six months after retreatment (10/13 eyes) 76.9% had an uncorrected visual acuity greater than or equal to 20/40 and (10/13 eyes) 76.9% were within 1 diopter of emmetropia. Only one eye had a significant increase in postoperative haze. The results of this study indicate that the majority of photorefractive keratectomy regressions and undercorrections can be successfully retreated.

Calibrated prediction of Pine Island Glacier retreat during the 21st and 22nd centuries with a coupled flowline model

NASA Astrophysics Data System (ADS)

Gladstone, Rupert M.; Lee, Victoria; Rougier, Jonathan; Payne, Antony J.; Hellmer, Hartmut; Le Brocq, Anne; Shepherd, Andrew; Edwards, Tamsin L.; Gregory, Jonathan; Cornford, Stephen L.

2012-06-01

A flowline ice sheet model is coupled to a box model for cavity circulation and configured for the Pine Island Glacier. An ensemble of 5000 simulations are carried out from 1900 to 2200 with varying inputs and parameters, forced by ocean temperatures predicted by a regional ocean model under the A1B ‘business as usual’ emissions scenario. Comparison is made against recent observations to provide a calibrated prediction in the form of a 95% confidence set. Predictions are for monotonic (apart from some small scale fluctuations in a minority of cases) retreat of the grounding line over the next 200 yr with huge uncertainty in the rate of retreat. Full collapse of the main trunk of the PIG during the 22nd century remains a possibility.

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

Hiroyuki Enomoto; Atsumu Ohmura

The relationship between sea ice and weather, one of the least known components of the climatic system, could be an important factor for the climate of high latitudes. The annual cycle of the sea ice extent is characterized by a asymmetric development, with the sea ice area slowly advancing toward the equator in the winter and rapidly retreating in summer. In this study, the seasonal asymmetric behavior of ice extent and the changes in sea ice concentration are shown to be linked to the atmospheric convergence line (ACL) around Antarctica. It is found that the relative positions of the ACLmore » characterized by the half-year cycle exert a strong influence upon the mean movement of the sea ice. It is also observed from the investigations of the areal concentration prior to the sea ice retreat is needed for a rapid retreat.« less

Orthograde retreatment failure with extruded MTA apical plug in a large periradicular lesion followed by surgical intervention: case report.

PubMed

Brito-Junior, Manoel; Faria-e-Silva, Andre Luis; Quintino, Alex Carvalho; Moreira-Junior, Gil; Geber, Mauro; Camilo, Carla Cristina; Soares, Janir Alves

2012-01-01

Absence of periapical healing after orthograde retreatment using an apical plug with mineral trioxide aggregate (MTA) can require surgical intervention. A patient with a root-filled maxillary central incisor with chronic apical periodontitis and sinus tract was referred for endodontic retreatment. Excessive apical enlargement was verified, indicating an MTA apical plug placement; however, an unintentional extrusion of MTA occurred during this step. The root canal was filled with gutta-percha and sealer, and periodic recalls were scheduled. The sinus tract was observed after six months and the lesion remained unaltered, although the extruded MTA had resorbed; therefore, an apicoectomy and retrograde root-end filling with MTA were performed. Absence of sinus tract, normal clinical aspect, and complete repair of the lesion were observed at the two-year follow-up.

76 FR 45257 - Agency Forms Undergoing Paperwork Reduction Act Review

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-28

... Training Retreat Post-test... 50 1 3/60 3 Physician Training Retreat 3-Month 30 1 2/60 1 Follow-up. Health professionals CBIT Program Evaluation 500 1 2/60 17 CBIT Pre-test 500 1 3/60 25 CBIT Post-test 500 1 3/60 25... Education Program Evaluation 1,200 1 2/60 40 Education Program Pre-test 800 1 3/60 40 Education Program Post...

4. Photocopy of old 1837 photo, taken from a book, ...

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

4. Photocopy of old 1837 photo, taken from a book, Founders' Week Memorial Volume. Exact date of publication not known, but it was published before the First World War I. This book includes a chapter on the history of the Preston Retreat and historical photographs of the institution. EARLY VIEW OF THE INSTITUTION, TAKEN IMMEDIATELY FOLLOWING CONSTRUCTION. - Preston Retreat, Twentieth & Hamilton Streets, Philadelphia, Philadelphia County, PA

Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis.

PubMed

Miller, Chad S

2013-01-01

Nearly half of medical errors can be attributed to an error of clinical reasoning or decision making. It is estimated that the correct diagnosis is missed or delayed in between 5% and 14% of acute hospital admissions. Through understanding why and how physicians make these errors, it is hoped that strategies can be developed to decrease the number of these errors. In the present case, a patient presented with dyspnea, gastrointestinal symptoms and weight loss; the diagnosis was initially missed when the treating physicians took mental short cuts and used heuristics as in this case. Heuristics have an inherent bias that can lead to faulty reasoning or conclusions, especially in complex or difficult cases. Affective bias, which is the overinvolvement of emotion in clinical decision making, limited the available information for diagnosis because of the hesitancy to acquire a full history and perform a complete physical examination in this patient. Zebra retreat, another type of bias, is when a rare diagnosis figures prominently on the differential diagnosis but the physician retreats for various reasons. Zebra retreat also factored in the delayed diagnosis. Through the description of these clinical reasoning errors in an actual case, it is hoped that future errors can be prevented or inspiration for additional research in this area will develop.

Deriving mass balance and calving variations from reanalysis data and sparse observations, Glaciar San Rafael, northern Patagonia, 1950-2005

NASA Astrophysics Data System (ADS)

Koppes, M.; Conway, H.; Rasmussen, L. A.; Chernos, M.

2011-09-01

Mass balance variations of Glaciar San Rafael, the northernmost tidewater glacier in the Southern Hemisphere, are reconstructed over the period 1950-2005 using NCEP-NCAR reanalysis climate data together with sparse, local historical observations of air temperature, precipitation, accumulation, ablation, thinning, calving, and glacier retreat. The combined observations over the past 50 yr indicate that Glaciar San Rafael has thinned and retreated since 1959, with a total mass loss of ~22 km3 of ice eq. Over that period, except for a short period of cooling from 1998-2003, the climate has become progressively warmer and drier, which has resulted primarily in pervasive thinning of the glacier surface and a decrease in calving rates, with only minor acceleration in retreat of the terminus. A comparison of calving fluxes derived from the mass balance variations and from theoretical calving and sliding laws suggests that calving rates are inversely correlated with retreat rates, and that terminus geometry is more important than balance fluxes to the terminus in driving calving dynamics. For Glaciar San Rafael, regional climate warming has not yet resulted in the significant changes in glacier length seen in other calving glaciers in the region, emphasizing the complex dynamics between climate inputs, topographic constraints and glacier response in calving glacier systems.

Interplay of grounding-line dynamics and sub-shelf melting during retreat of the Bjørnøyrenna Ice Stream.

PubMed

Petrini, Michele; Colleoni, Florence; Kirchner, Nina; Hughes, Anna L C; Camerlenghi, Angelo; Rebesco, Michele; Lucchi, Renata G; Forte, Emanuele; Colucci, Renato R; Noormets, Riko

2018-05-08

The Barents Sea Ice Sheet was a marine-based ice sheet, i.e., it rested on the Barents Sea floor during the Last Glacial Maximum (21 ky BP). The Bjørnøyrenna Ice Stream was the largest ice stream draining the Barents Sea Ice Sheet and is regarded as an analogue for contemporary ice streams in West Antarctica. Here, the retreat of the Bjørnøyrenna Ice Stream is simulated by means of two numerical ice sheet models and results assessed against geological data. We investigate the sensitivity of the ice stream to changes in ocean temperature and the impact of grounding-line physics on ice stream retreat. Our results suggest that the role played by sub-shelf melting depends on how the grounding-line physics is represented in the models. When an analytic constraint on the ice flux across the grounding line is applied, the retreat of Bjørnøyrenna Ice Stream is primarily driven by internal ice dynamics rather than by oceanic forcing. This suggests that implementations of grounding-line physics need to be carefully assessed when evaluating and predicting the response of contemporary marine-based ice sheets and individual ice streams to ongoing and future ocean warming.

Evaluation of Dentin Defect Formation during Retreatment with Hand and Rotary Instruments: A Micro-CT Study.

PubMed

Yilmaz, Ayca; Helvacioglu-Yigit, Dilek; Gur, Cansu; Ersev, Handan; Kiziltas Sendur, Gullu; Avcu, Egemen; Baydemir, Canan; Abbott, Paul Vincent

2017-01-01

The purpose of this study was to compare the incidence and longitudinal propagation of dentin defects after gutta-percha removal with hand and rotary instruments using microcomputed tomography. Twenty mandibular incisors were prepared using the balanced-force technique and scanned in a 19.9  μ m resolution. Following filling with the lateral compaction technique, gutta-percha was removed with ProTaper Universal Retreatment (PTUR) or hand instruments. After rescanning, a total of 24,120 cross-sectional images were analyzed. The numbers, types, and longitudinal length changes of defects were recorded. Defects were observed in 36.90% of the cross sections. A total of 73 defects were comprised of 87.67% craze lines, 2.73% partial cracks, and 9.58% fractures. No significant difference in terms of new defect formation was detected between the retreatment groups. The apical and middle portions of the roots had more dentin defects than the coronal portions. Defects in three roots of the PTUR instrument group increased in length. Under the conditions of this in vitro study, gutta-percha removal seemed to not increase the incidence of dentin defect formation, but the longitudinal defect propagation finding suggests possible cumulative dentinal damage due to additional endodontic procedures. Hand and rotary instrumentation techniques caused similar dentin defect formation during root canal retreatment.

Impact of glaciers retreat on highland Andean wetlands and communities: lessons from the upper Cachi catchment (Ayacucho, Peru)

NASA Astrophysics Data System (ADS)

Angulo, Oscar; Biévre Bert, De

2017-04-01

The vulnerability of water resources under climate change scenarios in Peru is generally regarded to be connected to a diminished availability of water due to retreating glaciers. However, the impact of glacier retreat goes much beyond a decline of glacial water reserves. This article argues that another important impact is the extreme erosion in areas where glaciers have recently melted, as well as the accumulation of erosion material in highland wetlands located downslope. As a direct consequence of these changes highland Andean communities which depend on these ecosystems are affected in socio-economic terms as they find themselves forced to alter ancestral dynamics and traditional practices of land and water use. This quickly leads to a vicious cycle of risks and threats. In such a context a possibility to adapt to glacial retreat should be to protect areas affected by glacial melt in order to enable a rapid development of protective vegetation cover. In the upper catchment of the Cachi River interesting experiences of protection and water harvesting exist that could be extended to other high vulnerability areas for the benefit of highland populations as well as downstream water users, such as the irrigation system of Cachi and the city of Ayacucho.

A robust definition of South Asian monsoon onset and retreat

NASA Astrophysics Data System (ADS)

Walker, J. M.; Bordoni, S.

2017-12-01

In this study, we revisit one of the major outstanding problems in the monsoon literature: defining the onset and retreat of the South Asian summer monsoon (SASM). The SASM rainy season, which provides essential water resources to densely populated and rapidly growing countries in South Asia, begins with a dramatic increase in rainfall and an abrupt reversal in near-surface winds, and concludes with a more gradual transition at season's end. Many different measures of SASM onset and retreat have been developed for specific applications, but there is no widely accepted and broadly applicable objective definition. Existing definitions generally rely upon thresholds, posing challenges such as sensitivity to threshold selection and susceptibility to false onsets due to transient weather conditions. In this study, we use the large-scale atmospheric moisture budget to define an SASM onset and retreat index that captures the seasonal transitions in both precipitation and circulation. Our use of change point detection eliminates the need for thresholds, provides a precise characterization of the timescales and stages of the SASM, and allows straightforward comparison across different datasets and climate models. This robust and flexible methodology is ideal for studying variability and trends in monsoon timing, as well as comparing model performance and assessing future SASM changes in climate simulations.

The paradox of a long grounding during West Antarctic Ice Sheet retreat in Ross Sea.

PubMed

Bart, Philip J; Krogmeier, Benjamin J; Bart, Manon P; Tulaczyk, Slawek

2017-04-28

Marine geological data show that the West Antarctic Ice Sheet (WAIS) advanced to the eastern Ross Sea shelf edge during the Last Glacial Maximum (LGM) and eventually retreated ~1000 km to the current grounding-line position on the inner shelf. During the early deglacial, the WAIS deposited a voluminous stack of overlapping grounding zone wedges (GZWs) on the outer shelf of the Whales Deep Basin. The large sediment volume of the GZW cluster suggests that the grounding-line position of the paleo-Bindschadler Ice Stream was relatively stationary for a significant time interval. We used an upper bound estimate of paleo-sediment flux to investigate the lower bound duration over which the ice stream would have deposited sediment to account for the GZW volume. Our calculations show that the cluster represents more than three millennia of ice-stream sedimentation. This long duration grounding was probably facilitated by rapid GZW growth. The subsequent punctuated large-distance (~200 km) grounding-line retreat may have been a highly non-linear ice sheet response to relatively continuous external forcing such as gradual climate warming or sea-level rise. These findings indicate that reliable predictions of future WAIS retreat may require incorporation of realistic calculations of sediment erosion, transport and deposition.

Orthodontic-surgical retreatment of facial asymmetry with occlusal cant and severe root resorption: A 3-year follow-up.

PubMed

Lisboa, Cinthia de Oliveira; Borges, Marlon Sampaio; Medeiros, Paulo José D'Albuquerque; Motta, Alexandre Trindade; Mucha, José Nelson

2017-08-01

Our objective was to report the orthodontic and surgical retreatment of a patient who had undergone a prolonged orthodontic treatment with extractions, but who had unsatisfactory results and persistent side effects. The man, aged 25 years 3 months, sought treatment with major complaints of facial and smile asymmetries. The clinical examination showed a mandibular deviation to the right and a maxillary occlusal cant. A Class II Division 1 subdivision right was observed. Radiographic examination showed extensive root resorptions in the maxillary second premolars and absence of the 4 first premolars. The maxillary midline was deflected 2 mm to the left, and the mandibular midline was shifted 5 mm to the right. Aligning and leveling were performed with orthodontic fixed appliances, with a standard edgewise system (0.022 × 0.028 in), followed by LeFort I maxillary impaction and bilateral sagittal split osteotomy with asymmetrical advancement. Retreatment showed outstanding results that remained stable after 3 years of follow-up. Root resorption in the second premolars did not seem to increase. Orthodontic-surgical intervention is the main choice for correcting esthetic and functional problems in facial asymmetry, particularly in cases of retreatment. Copyright © 2017 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

Preemption versus Entrenchment: Towards a Construction-General Solution to the Problem of the Retreat from Verb Argument Structure Overgeneralization

PubMed Central

Ambridge, Ben; Bidgood, Amy; Twomey, Katherine E.; Pine, Julian M.; Rowland, Caroline F.; Freudenthal, Daniel

2015-01-01

Participants aged 5;2-6;8, 9;2-10;6 and 18;1-22;2 (72 at each age) rated verb argument structure overgeneralization errors (e.g., *Daddy giggled the baby) using a five-point scale. The study was designed to investigate the feasibility of two proposed construction-general solutions to the question of how children retreat from, or avoid, such errors. No support was found for the prediction of the preemption hypothesis that the greater the frequency of the verb in the single most nearly synonymous construction (for this example, the periphrastic causative; e.g., Daddy made the baby giggle), the lower the acceptability of the error. Support was found, however, for the prediction of the entrenchment hypothesis that the greater the overall frequency of the verb, regardless of construction, the lower the acceptability of the error, at least for the two older groups. Thus while entrenchment appears to be a robust solution to the problem of the retreat from error, and one that generalizes across different error types, we did not find evidence that this is the case for preemption. The implication is that the solution to the retreat from error lies not with specialized mechanisms, but rather in a probabilistic process of construction competition. PMID:25919003

Preemption versus Entrenchment: Towards a Construction-General Solution to the Problem of the Retreat from Verb Argument Structure Overgeneralization.

PubMed

Ambridge, Ben; Bidgood, Amy; Twomey, Katherine E; Pine, Julian M; Rowland, Caroline F; Freudenthal, Daniel

2014-01-01

Participants aged 5;2-6;8, 9;2-10;6 and 18;1-22;2 (72 at each age) rated verb argument structure overgeneralization errors (e.g., *Daddy giggled the baby) using a five-point scale. The study was designed to investigate the feasibility of two proposed construction-general solutions to the question of how children retreat from, or avoid, such errors. No support was found for the prediction of the preemption hypothesis that the greater the frequency of the verb in the single most nearly synonymous construction (for this example, the periphrastic causative; e.g., Daddy made the baby giggle), the lower the acceptability of the error. Support was found, however, for the prediction of the entrenchment hypothesis that the greater the overall frequency of the verb, regardless of construction, the lower the acceptability of the error, at least for the two older groups. Thus while entrenchment appears to be a robust solution to the problem of the retreat from error, and one that generalizes across different error types, we did not find evidence that this is the case for preemption. The implication is that the solution to the retreat from error lies not with specialized mechanisms, but rather in a probabilistic process of construction competition.

Recent calving dynamics of Glaciar Jorge Montt (Southern Patagonia Icefield) based on feature tracking techniques and oceanographic surveys

NASA Astrophysics Data System (ADS)

Bown, F.; Moffat, C. F.; Rivera, A.; Cisternas, S.; Kohoutek, T.

2013-12-01

Glaciers in the Southern Patagonia Icefield (SPI) have been retreating, thinning and accelerating in recent decades. Most of the SPI is comprised of temperate ice, therefore melting is the dominant wasting factor, however, calving is also playing a very important role, especially because calving is enhancing ice dynamic responses, mainly when glaciers calve into deep waters. Some of the most exacerbated responses are connected to the well documented and long-term tidewater calving cycle (TCC) overlapped by recent climate-related glacier responses. Glaciar Jorge Montt (48S/73W), is a tidewater glacier (~500 km2) which has experienced the maximum frontal retreat of the whole SPI (near 20 km in 112 years) while retreating up to 400 m water depth. Dead trees found in areas recently open by the glacier's retreat prove a date for the previous advancing cycle which took place during the Little Ice Age (250-400 years BP). This result indicates that the glacier is experiencing the retreating phase of the TCC in centennial time-scales. However, very little is known if this phase will stop or will continue, or how do climate change dynamcis will affect it. In order to understand the present behaviour of the glacier, several surveys have recently been conducted in the area, including airborne lidar and radar surveys, water depth measurements and ice dynamic studies. In order to survey the ice dynamic of the glacier front in connection with tides at the inner fjord, a camera pointing to the glacier terminus and collecting up to 8 photographs per day was installed in April 2012. The camera was continuously working for 60 days, allowing to study in detail the ice velocities, calving fluxes and tides near the ice. Thanks to the geo-location of the oblique photographs, feature tracking techniques were applied to the series in order to determine ice velocities and frontal retreat during the operational period. The resulting average velocities are lower than 10 m d-1, which are certainly smaller than the rates obtained in recent years (23 m d-1), and the frontal changes are also smaller due to the lack of large-magnitude calving events. Indeed, the total area change during the camera operational period yielded 0.03 km^2; this is an order of magnitude lower than the shrinkage taking place during a single calving event observed in previous periods. Part of the glacier frontal retreat during 2012 uncovered the bedrock, and the ice margins are not calving anymore but located few meters above sea level. Diurnal and semi-diurnal tides were recorded in water pressure sensors installed along the fjord. These water level changes at the glacier front were also detected in the photographic records, providing an interesting data source for analyzing possible correlations to daily ice velocities variations. As a result of the slower moving ice and the smaller retreating rates, calving fluxes have diminished, and consequently, the glacier seems to have reached a transitory frontal stability.

Scientific Investigators Retreat Brings Like Minds Together | Poster

Cancer.gov

Scientists throughout NCI gathered at the 2016 Intramural Scientific Investigators Retreat on Jan. 12, at the Ronald Reagan Building and International Trade Center, to discuss the results of their research with fellow investigators. Several researchers who have made significant advances toward the goal of eliminating the threat of cancer spoke to a packed auditorium of like-minded experts. Speaker topics included the role genetics play in the risk of breast cancer, using fiberglass to...

Regional beach/cliff system dynamics along the california coast

USGS Publications Warehouse

Hapke, C.J.; Reid, Don

2007-01-01

The coast of California is comprised of both sandy shorelines and cliffed coastline, and in many areas these features spatially coincide. In order to better understand the regional trends of change along the California coast, the U.S. Geological Survey is quantifying both sandy shoreline change and coastal cliff retreat for the state. The resulting database was used to examine the dynamics of the beach/cliff system. We found inconsistent evidence of a relationship between rates of cliff retreat and shoreline change on the spatial scale of 100-km cells. However, when the data are correlated within individual regions, a strong relationship exists between the geomorphology of the coast and the behavior of the beach/cliff system. Areas of high-relief coast show negative correlations, indicating that higher rates of cliff retreat correlate with lower rates of shoreline erosion. In contrast, low- to moderate-relief coasts show strong positive correlations.

The Multitrophic Effects of Climate Change and Glacier Retreat in Mountain Rivers

PubMed Central

2017-01-01

Abstract Climate change is driving the thinning and retreat of many glaciers globally. Reductions of ice-melt inputs to mountain rivers are changing their physicochemical characteristics and, in turn, aquatic communities. Glacier-fed rivers can serve as model systems for investigations of climate-change effects on ecosystems because of their strong atmospheric–cryospheric links, high biodiversity of multiple taxonomic groups, and significant conservation interest concerning endemic species. From a synthesis of existing knowledge, we develop a new conceptual understanding of how reducing glacier cover affects organisms spanning multiple trophic groups. Although the response of macroinvertebrates to glacier retreat has been well described, we show that there remains a relative paucity of information for biofilm, microinvertebrate, and vertebrate taxa. Enhanced understanding of whole river food webs will improve the prediction of river-ecosystem responses to deglaciation while offering the potential to identify and protect a wider range of sensitive and threatened species. PMID:29599537

The Multitrophic Effects of Climate Change and Glacier Retreat in Mountain Rivers.

PubMed

Fell, Sarah C; Carrivick, Jonathan L; Brown, Lee E

2017-10-01

Climate change is driving the thinning and retreat of many glaciers globally. Reductions of ice-melt inputs to mountain rivers are changing their physicochemical characteristics and, in turn, aquatic communities. Glacier-fed rivers can serve as model systems for investigations of climate-change effects on ecosystems because of their strong atmospheric-cryospheric links, high biodiversity of multiple taxonomic groups, and significant conservation interest concerning endemic species. From a synthesis of existing knowledge, we develop a new conceptual understanding of how reducing glacier cover affects organisms spanning multiple trophic groups. Although the response of macroinvertebrates to glacier retreat has been well described, we show that there remains a relative paucity of information for biofilm, microinvertebrate, and vertebrate taxa. Enhanced understanding of whole river food webs will improve the prediction of river-ecosystem responses to deglaciation while offering the potential to identify and protect a wider range of sensitive and threatened species.

Endodontic retreatment vs dental implants of teeth with an uncertain endodontic prognosis: 1-year results from a randomised controlled trial.

PubMed

Esposito, Marco; Tallarico, Marco; Trullenque-Eriksson, Anna; Gianserra, Rodolfo

To ascertain whether in the presence of a previously endodontically treated tooth with a periapical pathology and/or symptoms and an uncertain prognosis, it is better to endodontically retreat it or to replace the tooth with a single implant-supported crown. Forty patients requiring the treatment of a previously endodontically treated tooth, with a periapical pathology and/or symptoms of endodontic origin and an uncertain prognosis, as judged by the recruiting investigators, were randomly allocated to endodontic retreatment (endo group; 20 patients) or tooth extraction and replacement with an implant-supported crown (implant group; 20 patients) according to a parallel group design at two different centres. Patients were followed to 1 year after completion of the treatment. Outcome measures were: failure of the procedure, complications, marginal bone level changes at both teeth and implants, endodontic radiographic success (teeth only), number of patients' visits and days to complete the treatment, patients' chair time, costs, aesthetics assessed using the pink esthetic score (PES) for the soft tissues and the white esthetic score (WES) for the tooth/crown recorded by independent assessors. No patient dropped out and no complications occurred during the entire follow-up; however, one endodontically retreated tooth (5%) and one implant (5%) fractured, the difference for treatment failures being not statistically significant (difference in proportions = 0; 95% CI -0.14 to 0.14; P Fisher's exact test) = 1.000). The mean marginal bone levels at endo retreatment/implant insertion were 2.34 ± 0.88 mm for the endo and 0.23 ± 0.35 mm for the implant group, which was statistically significantly different (mean difference = 2.11 mm; 95% CI: 1.68 to 2.55; P (t-test) < 0.001). One year after completion of the treatment, teeth lost on average 0.32 ± 0.53 mm and implants 0.48 ± 0.72, the difference not being statistically significant (mean difference = -0.16 mm; 95% CI: -0.58 to 0.27; P (t-test) = 0.457). One year after completion of the endodontic retreatment, of the 13 teeth that originally had a periapical radiolucency, one was lost, six showed complete healing; four a radiographic improvement; and two showed no changes/worsening. Two of the teeth originally without a lesion developed a lesion. There were no statistically significant differences for the number of patients' visits (endo = 5.2 ± 1.8; implant = 5.5 ± 1.1; mean difference = -0.03 95% CI: -1.24 to 0.64; P (t-test) = 0.522). It took significantly more days to complete the implant rehabilitation (endo = 48.9 ± 19.5; implant = 158.5 ± 67.2; mean difference = -109.60; 95% CI: -141.26 to -77.94; P (t-test) < 0.001), but less patients' chair time (endo = 405.5 ± 230.3 min; implant = 260.0 ± 154.6 min; mean difference = 45.50; 95% CI: 19.35 to 271.65; P (t-test) = 0.025). Implant treatment was significantly more expensive (endo = 1195 ± 503.7 €; implant = 1907.5 ± 232.4 €; mean difference = -712.50; 95% CI: -963.59 to -461.41; P (t-test) < 0.001). One year after treatment completion, the mean PES was 10.92 ± 1.93 and 7.07 ± 2.87 and the mean WES was 7.67 ± 1.83 and 7.60 ± 2.32 in the endo group and implant group, respectively. Soft tissues aesthetics (PES) was significantly better at endodontically retreated teeth (mean difference 3.85; 95% CI 1.94 to 5.76; P (t-test) < 0.001) whereas no significant differences were observed for tooth aesthetics (WES) (mean difference 0.07; 95% CI -1.62 to 1.76; P (t-test) = 0.936) between treatments. The preliminary results suggest that both endodontic retreatment and replacement of previously endodontically treated teeth with persisting pathology and a dubious endodontic prognosis provided similar short-term success rates. Aesthetics of the soft tissues and time needed to complete treatment were in favour of endodontic retreatment, whereas implant rehabilitation required half of the chair time than endodontic retreatment, but was significantly more expensive. Although much larger patient populations and longer follow-ups are needed to fully answer this question, in this scenario the less invasive endodontic retreatment could be the first therapeutic option to be considered.

The history of retreat dynamics of Petermann Glacier inferred from submarine glacial landforms

NASA Astrophysics Data System (ADS)

Jakobsson, M.; Hogan, K.; Mayer, L. A.; Mix, A. C.; Jerram, K.; Mohammad, R.; Stranne, C.; Eriksson, B.

2016-12-01

Preserved submarine glacial landforms produced at the base and margin of ice sheets and outlet glaciers comprise records of past ice dynamics complementary to modern glaciological process studies. The Petermann 2015 Expedition on the Swedish icebreaker Oden systematically mapped approximately 3100 km2 of the seafloor in Petermann Fjord and the adjacent Hall Basin of Nares Strait, northwest Greenland, with an EM122 (12 kHz) multibeam and SBP120 (2-7 kHz) chirp sub-bottom profiler. Complete, overlapping mapping coverage permitted compilation of a high-quality (15x15m) digital terrain model (DTM). In addition, the seafloor at the margin of one of the smaller outlet glaciers draining into the Petermann Fjord and selected shallow areas along the coast were mapped using a small survey boat (RV Skidbladner), equipped with an EM2040 (200-300 kHz) multibeam. High-resolution (2 x 2 m) DTMs were compiled from the RV Skidbladner surveys. The seafloor morphology of Petermann Fjord and adjacent Hall Basin is dominated by a stunning glacial landform record comprising the imprints of Petermann Glacier's retreat dynamics since the Last Glacial Maximum (LGM). The entrance to Petermann Fjord consists of a prominent bathymetric sill formed by a large well-develop grounding zone wedge that undoubtedly represents a stability point during the glacier's retreat history. The deepest entrance to the fjord is 443 m and located on the southern side of this grounding zone wedge. Outside of this grounding zone wedge in Hall Basin, less well developed grounding zones appears to be present. The landform assemblage in between the grounding zones, in particular the lack of retreat ridges, may signify a leap-frog behavior of the glacier's retreat; rapid break-up and disintegration of the outlet glacier causing retreat back to the next stability point dictated by the local bedrock geology. While numerous classical glacial landforms characteristic for fast flowing ice streams are identified, the multibeam bathymetry also reveals an enigmatic, toilet bowl-shaped features whose origin is still unclear. The collected data during the Petermann 2015 Expedition will among other things provide new insights into ice shelf-ocean interactions, essential to projecting future climate impacts on Greenland and global sea level changes.

Influence of Threshold for Bedrock Erosion on River Long Profile Development and Knickzone Retreat in Response to Tectonic Perturbation

NASA Astrophysics Data System (ADS)

Attal, M.; Hobley, D.; Cowie, P. A.; Whittaker, A. C.; Tucker, G. E.; Roberts, G. P.

2008-12-01

Prominent convexities in channel long profiles, or knickzones, are an expected feature of bedrock rivers responding to a change in the rate of base level fall driven by tectonic processes. In response to a change in relative uplift rate, the simple stream power model which is characterized by a slope exponent equal to unity predicts that knickzone retreat velocity is independent of uplift rate and that channel slope and uplift rate are linearly related along the reaches which have re-equilibrated with respect to the new uplift condition (i.e., downstream of the profile convexity). However, a threshold for erosion has been shown to introduce non- linearity between slope and uplift rate when associated with stochastic rainfall variability. We present field data regarding the height and retreat rates of knickzones in rivers upstream of active normal faults in the central Apennines, Italy, where excellent constraints exist on the temporal and spatial history of fault movement. The knickzones developed in response to an independently-constrained increase in fault throw rate 0.75 Ma. Channel characteristics and Shield stress values suggest that these rivers lie close to the detachment-limited end-member but the knickzone retreat velocity (calculated from the time since fault acceleration) has been found to scale systematically with the known fault throw rates, even after accounting for differences in drainage area. In addition, the relationship between measured channel slope and relative uplift rate is non-linear, suggesting that a threshold for erosion might be effective in this setting. We use the Channel-Hillslope Integrated Landscape Development (CHILD) model to quantify the effect of such a threshold on river long profile development and knickzone retreat in response to tectonic perturbation. In particular, we investigate the evolutions of 3 Italian catchments of different size characterized by contrasted degree of tectonic perturbation, using physically realistic threshold values based on sediment grain-size measurements along the studied rivers. We show that the threshold alone cannot account for field observations of the size, position and retreat rate of profile convexities and that other factors neglected by the simple stream power law (e.g. role of sediments) have to be invoked to explain the discrepancy between field observations and modeled topographies.

Water and processes of degradation in the Martian landscape.

NASA Technical Reports Server (NTRS)

Milton, D. J.

1973-01-01

Some large channels on Mars show features, notably bars and braiding, that indicate an origin by the action of running water. Smaller channels on steep slopes may have been produced by runoff of precipitation. Dendritic canyon systems suggest ground water sapping, which may have been an effective agent in cliff retreat generally. Extensive plains developed as cliffs retreated and, although modified by later wind action, may be regarded as relict landforms from a fluvial stage of Martian history.

Greenland ice sheet retreat since the Little Ice Age

NASA Astrophysics Data System (ADS)

Beitch, Marci J.

Late 20th century and 21st century satellite imagery of the perimeter of the Greenland Ice Sheet (GrIS) provide high resolution observations of the ice sheet margins. Examining changes in ice margin positions over time yield measurements of GrIS area change and rates of margin retreat. However, longer records of ice sheet margin change are needed to establish more accurate predictions of the ice sheet's future response to global conditions. In this study, the trimzone, the area of deglaciated terrain along the ice sheet edge that lacks mature vegetation cover, is used as a marker of the maximum extent of the ice from its most recent major advance during the Little Ice Age. We compile recently acquired Landsat ETM+ scenes covering the perimeter of the GrIS on which we map area loss on land-, lake-, and marine-terminating margins. We measure an area loss of 13,327 +/- 830 km2, which corresponds to 0.8% shrinkage of the ice sheet. This equates to an averaged horizontal retreat of 363 +/- 69 m across the entire GrIS margin. Mapping the areas exposed since the Little Ice Age maximum, circa 1900 C.E., yields a century-scale rate of change. On average the ice sheet lost an area of 120 +/- 16 km 2/yr, or retreated at a rate of 3.3 +/- 0.7 m/yr since the LIA maximum.

Interest in health promotion among Korean American Seventh-day Adventists attending a religious retreat.

PubMed

Jo, Angela M; Maxwell, Annette E; Choi, Sunhye; Bastani, Roshan

2012-01-01

Little is known about interest in faith-based health promotion programs among Asian American populations. Among the Christian denominations, the Seventh-day Adventist (SDA) church is known to place a strong doctrinal emphasis on health. To understand appropriate ways to develop and implement health promotion programs and to conduct research among Korean American SDAs. We collaborated with the North American Division of Korean SDA Churches which sponsors annual week-long religious retreats for their church members. We developed and administered a 10-page questionnaire at their 2009 retreat in order to assess socio-demographic and church characteristics, religiosity, perceived relationship between health and religion, and interest and preferences for church-based health promotion programs. Overall, 223 participants completed our survey (123 in Korean and 100 in English). The sample consisted of regular churchgoers who were involved in a variety of helping activities, and many holding leadership positions in their home churches. The vast majority was interested in receiving health information at church (80%) in the form of seminars, cooking classes and workshops (50-60%). Fewer respondents were interested in support groups (27%). Some interests and preferences differed between English and Korean language groups. Korean American SDA church retreat participants from a large geographic area are very interested in receiving health information and promoting health at their churches and can potentially serve as "agents of influence" in their respective communities.

Deriving mass balance and calving variations from reanalysis data and sparse observations, Glaciar San Rafael, northern Patagonia, 1950-2005

NASA Astrophysics Data System (ADS)

Koppes, M.; Conway, H.; Rasmussen, L. A.; Chernos, M.

2011-04-01

Mass balance variations of Glaciar San Rafael, the most equatorial tidewater glacier in the North Patagonian Icefield, are reconstructed over the period 1950-2005 using NCEP-NCAR reanalysis climate data together with sparse, local historical observations of air temperature, precipitation, accumulation, ablation, thinning, calving, and glacier retreat. The combined observations over the past 50 yr indicate that Glaciar San Rafael has thinned and retreated since 1959, with a total mass loss of ~22 km3 of ice equivalent. Over that period, except for a short period of cooling from 1998-2003, the climate has become progressively warmer and drier, which has resulted primarily in pervasive thinning of the glacier surface and a decrease in calving rates, with only minor acceleration in retreat of the terminus. A comparison of calving fluxes derived from the mass balance variations and from theoretical calving and sliding laws suggest that calving rates are inversely correlated with retreat rates, and that terminus geometry is more important than changes in balance fluxes to the terminus in driving calving dynamics. For Glaciar San Rafael, regional climate warming has not yet resulted in the significant changes in glacier length seen in other calving glaciers in the region, emphasizing the complex dynamics between climate inputs, topographic constraints and glacier response in calving glacier systems.

COMPARATIVE SEM EVALUATION OF THREE SOLVENTS USED IN ENDODONTIC RETREATMENT: AN EX VIVO STUDY

PubMed Central

Scelza, Miriam F. Zaccaro; Coil, Jeffrey M.; Maciel, Ana Carolina de Carvalho; Oliveira, Lílian Rachel L.; Scelza, Pantaleo

2008-01-01

This study compared, by scanning electron microscopy (SEM), the efficacy of three solvents on the removal of filling materials from dentinal tubules during endodontic retreatment. Forty human maxillary canines with straight canals were prepared according to a crown-down technique and enlarged to a#30 apical file size, before obturation with gutta-percha and a zinc-oxide-eugenol based sealer. The samples were stored for 3 months before being randomly assigned to four groups: chloroform (n=10), orange oil (n=10), eucalyptol (n=10) and control (n=10). Solvents were applied to a reservoir created on the coronal root third using Gates Glidden drills. The total time for retreatment using the solvents was 5 minutes per tooth. Following retreatment the roots were split longitudinally for SEM evaluation. SEM images were digitized, analyzed using Image ProPlus 4.5 software, and the number of dentinal tubules free of filling material from the middle and apical thirds was recorded. No significant difference was found among the solvent groups regarding the number of dentinal tubules free of root filling remnants in the middle and apical root thirds (p>0.05). However, the control group had fewer dentinal tubules free of filling material (p<0.05). Under the tested conditions, it may be concluded that there was no significant difference among the solvents used to obtain dentinal tubules free of filling material remnants. PMID:19089285

Bluff evolution along coastal drumlins: Boston Harbor Islands, Massachusetts

USGS Publications Warehouse

Himmelstoss, E.A.; FitzGerald, D.M.; Rosen, P.S.; Allen, J.R.

2006-01-01

A series of partially drowned drumlins forms the backbone of the inner islands within Boston Harbor. The shoreline of these rounded glacial deposits is composed of actively retreating bluffs formed by continual wave attack. Comparisons of bluffs reveal variability in their height and lateral extent, as well as in the dominant mechanism causing their retreat. Two processes are responsible for bluff erosion and yield distinct bluff morphologies: (1) wave attack undercuts the bluff and causes episodic slumping, yielding planar bluff slopes, and (2) subaerial processes such as rainfall create irregular slopes characterized by rills and gullies. We propose a model of drumlin bluff evolution that is based on processes of erosion and physical characteristics such as bluff height, slope morphology, and the orientation of the bluff with respect to the long axis of the drumlin and its topographic crest. The four phases of drumlin bluff evolution consist of (1) initial formation of bluff, with retreat dominated by wave notching and slumping processes; (2) rill and gully development as bluff heights exceed 10 m and slumped sediment at bluff base inhibits wave attack; (3) return of wave notching and slumping as bluff heights decrease; and (4) final development of boulder retreat lag as last remnants of drumlin are eroded by wave action. These phases capture the important physical processes of drumlin evolution in Boston Harbor and could apply to other eroding coastal drumlin deposits.

Tuberculosis treatment delivery in high burden settings: does patient choice of supervision matter?

PubMed

Kironde, S; Meintjies, M

2002-07-01

The Northern Cape Province, Republic of South Africa. To determine the effect of patient choice of treatment delivery option on the treatment outcomes of tuberculosis (TB) patients in a high burden setting under actual programme conditions. Cohort study involving 769 new and retreatment TB patients recruited from 45 randomly selected clinics. Patients were interviewed and subsequent follow-up was done through regular visits to the clinics to check progress through formal health records. There was a statistically significant difference (P < 0.001) between the treatment outcome of new patients (70% successful) and re-treatment patients (54% successful). Direct observation of treatment (DOT) was found to have no effect on the treatment outcome of new patients (P = 0.875), but re-treatment patients were found to fare better with than without DOT (OR 14.2, 95% CI 4.18-53.14, P < 0.001). The results obtained for new patients are similar to those of two recent randomised controlled trials on DOT. This study revealed that for new patients, undue emphasis on universal DOT might be unnecessary. It would perhaps be more beneficial to target supervision at those patients who are most likely to benefit from it (i.e., re-treatment patients). This is of particular relevance in high burden, resource-limited settings where universal DOT for all TB patients is generally unfeasible.

Process for hydraulically mining coal. [28 claims

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

Shoji, K.; Sieling, R.E.; Taylor, J.T.

The invention is a method for the hydraulic mining of coal of varying hardness. It is described in particular as to coal of the type occurring in the Balmer seam in British Columbia. By the method at least two parallel spaced entries are driven upward through a seam of coal. Monitors are positioned in each entry. Each monitor is horizontally and vertically pivotable, and has nozzle means from which a jet of water under a pressure of about 1900 to 2200 psi is emitted. The high pressure jet cuts the coal, which is then fed to a machine that breaksmore » and crushes the coal into sizes wherein the resultant coal/water slurry will flow down a sloped flume into a dewatering station. The method further embodies differentially retreating along adjacent parallel entries by increments of desirably at least about 40 feet each. By the different retreat system, as a panel of coal is hydraulically mined in one entry, the monitor and associated equipment in a second adjacent parallel entry are moved back the desired increment to the next working position (retreated). When the panel of coal in the first entry is mined, the monitor is retreated in the same manner and hydraulic mining commences in the second adjacent parallel entry. The operation is thus alternated along the length of the parallel entries. 28 claims, 4 figures.« less

Risk factors for treatment default among re-treatment tuberculosis patients in India, 2006.

PubMed

Jha, Ugra Mohan; Satyanarayana, Srinath; Dewan, Puneet K; Chadha, Sarabjit; Wares, Fraser; Sahu, Suvanand; Gupta, Devesh; Chauhan, L S

2010-01-25

Under India's Revised National Tuberculosis Control Programme (RNTCP), >15% of previously-treated patients in the reported 2006 patient cohort defaulted from anti-tuberculosis treatment. To assess the timing, characteristics, and risk factors for default amongst re-treatment TB patients. For this case-control study, in 90 randomly-selected programme units treatment records were abstracted from all 2006 defaulters from the RNTCP re-treatment regimen (cases), with one consecutively-selected non-defaulter per case. Patients who interrupted anti-tuberculosis treatment for >2 months were classified as defaulters. 1,141 defaulters and 1,189 non-defaulters were included. The median duration of treatment prior to default was 81 days (25%-75% interquartile range 44-117 days) and documented retrieval efforts after treatment interruption were inadequate. Defaulters were more likely to have been male (adjusted odds ratio [aOR] 1.4, 95% confidence interval [CI] 1.2-1.7), have previously defaulted anti-tuberculosis treatment (aOR 1.3 95%CI 1.1-1.6], have previous treatment from non-RNTCP providers (AOR 1.3, 95%CI 1.0-1.6], or have public health facility-based treatment observation (aOR 1.3, 95%CI 1.1-1.6). Amongst the large number of re-treatment patients in India, default occurs early and often. Improved pre-treatment counseling and community-based treatment provision may reduce default rates. Efforts to retrieve treatment interrupters prior to default require strengthening.

Evidence of macroalgal colonization on newly ice-free areas following glacial retreat in Potter Cove (South Shetland Islands), Antarctica.

PubMed

Quartino, María Liliana; Deregibus, Dolores; Campana, Gabriela Laura; Latorre, Gustavo Edgar Juan; Momo, Fernando Roberto

2013-01-01

Climate warming has been related to glacial retreat along the Western Antarctic Peninsula. Over the last years, a visible melting of Fourcade Glacier (Potter Cove, South Shetland Islands) has exposed newly ice-free hard bottom areas available for benthic colonization. However, ice melting produces a reduction of light penetration due to an increase of sediment input and higher ice impact. Seventeen years ago, the coastal sites close to the glacier cliffs were devoid of macroalgae. Are the newly ice-free areas suitable for macroalgal colonization? To tackle this question, underwater video transects were performed at six newly ice-free areas with different degree of glacial influence. Macroalgae were found in all sites, even in close proximity to the retreating glacier. We can show that: 1. The complexity of the macroalgal community is positively correlated to the elapsed time from the ice retreat, 2. Algae development depends on the optical conditions and the sediment input in the water column; some species are limited by light availability, 3. Macroalgal colonization is negatively affected by the ice disturbance, 4. The colonization is determined by the size and type of substrate and by the slope of the bottom. As macroalgae are probably one of the main energy sources for the benthos, an expansion of the macroalgal distribution can be expected to affect the matter and energy fluxes in Potter Cove ecosystem.

Age and evolution of diachronous erosion surfaces in the Amazon: Combining (U-Th)/He and cosmogenic 3He records

NASA Astrophysics Data System (ADS)

Monteiro, H. S.; Vasconcelos, P. M. P.; Farley, K. A.; Lopes, C. A. M.

2018-05-01

(U-Th)/He geochronology of two weathered plateaus in the Carajás Mountains, Pará, Brazil, reveals a history of weathering spanning from ca. 80 Ma to the present for this high elevation (∼720 m) land surface. Cosmogenic 3He measurements of hematite pebbles and blocks cemented onto the plateaus at two sites, N1 and S11D, yield erosion rates as low as 0.09 and 0.08 m Ma-1, respectively. Thus, these results confirm that the plateau surfaces are nearly immune to physical erosion for tens of millions of years. (U-Th)/He geochronology of ferruginous duricrusts blanketing the low elevation (250-100 m) plains surrounding the Carajás Mountains yield results consistently younger than ∼10 Ma. The geochronology results also reveal that the low elevation plain is diachronous, becoming progressively younger towards the receding plateaus. The spatial distribution of (U-Th)/He ages permits reconstruction of the history of scarp retreat for the Carajás landscape, showing that scarp retreat along major river valleys may have been as fast as 20 km Ma-1 during tectonically active and humid periods in the Cenozoic. The cessation of scarp retreat at some sites suggests that metamorphosed banded iron-formations and quartzites provide effective barriers to retreating escarpments, helping to preserve some of the oldest continuously exposed land surfaces on Earth.

Abrupt tropical climate change: past and present.

PubMed

Thompson, Lonnie G; Mosley-Thompson, Ellen; Brecher, Henry; Davis, Mary; León, Blanca; Les, Don; Lin, Ping-Nan; Mashiotta, Tracy; Mountain, Keith

2006-07-11

Three lines of evidence for abrupt tropical climate change, both past and present, are presented. First, annually and decadally averaged delta(18)O and net mass-balance histories for the last 400 and 2,000 yr, respectively, demonstrate that the current warming at high elevations in the mid- to low latitudes is unprecedented for at least the last 2 millennia. Second, the continuing retreat of most mid- to low-latitude glaciers, many having persisted for thousands of years, signals a recent and abrupt change in the Earth's climate system. Finally, rooted, soft-bodied wetland plants, now exposed along the margins as the Quelccaya ice cap (Peru) retreats, have been radiocarbon dated and, when coupled with other widespread proxy evidence, provide strong evidence for an abrupt mid-Holocene climate event that marked the transition from early Holocene (pre-5,000-yr-B.P.) conditions to cooler, late Holocene (post-5,000-yr-B.P.) conditions. This abrupt event, approximately 5,200 yr ago, was widespread and spatially coherent through much of the tropics and was coincident with structural changes in several civilizations. These three lines of evidence argue that the present warming and associated glacier retreat are unprecedented in some areas for at least 5,200 yr. The ongoing global-scale, rapid retreat of mountain glaciers is not only contributing to global sea-level rise but also threatening freshwater supplies in many of the world's most populous regions.

Climate change and glacier retreat drive shifts in an Antarctic benthic ecosystem.

PubMed

Sahade, Ricardo; Lagger, Cristian; Torre, Luciana; Momo, Fernando; Monien, Patrick; Schloss, Irene; Barnes, David K A; Servetto, Natalia; Tarantelli, Soledad; Tatián, Marcos; Zamboni, Nadia; Abele, Doris

2015-11-01

The Antarctic Peninsula (AP) is one of the three places on Earth that registered the most intense warming in the last 50 years, almost five times the global mean. This warming has strongly affected the cryosphere, causing the largest ice-shelf collapses ever observed and the retreat of 87% of glaciers. Ecosystem responses, although increasingly predicted, have been mainly reported for pelagic systems. However, and despite most Antarctic species being benthic, responses in the Antarctic benthos have been detected in only a few species, and major effects at assemblage level are unknown. This is probably due to the scarcity of baselines against which to assess change. We performed repeat surveys of coastal benthos in 1994, 1998, and 2010, analyzing community structure and environmental variables at King George Island, Antarctica. We report a marked shift in an Antarctic benthic community that can be linked to ongoing climate change. However, rather than temperature as the primary factor, we highlight the resulting increased sediment runoff, triggered by glacier retreat, as the potential causal factor. The sudden shift from a "filter feeders-ascidian domination" to a "mixed assemblage" suggests that thresholds (for example, of tolerable sedimentation) and alternative equilibrium states, depending on the reversibility of the changes, could be possible traits of this ecosystem. Sedimentation processes will be increasing under the current scenario of glacier retreat, and attention needs to be paid to its effects along the AP.

First Younger Dryas moraines in Greenland

NASA Astrophysics Data System (ADS)

Funder, Svend; Larsen, Nicolaj K.; Linge, Henriette; Möller, Per; Schomacker, Anders; Fabel, Derek; Kjær, Kurt H.; Xu, Sheng

2016-04-01

Over the Greenland ice sheet the Younger Dryas (YD) cold climate oscillation (12.9-11.7 kaBP) began with up to 10°C drop in temperatures and ended with up to 12°C abrupt warming. In the light of the present warming and melting of the ice sheet, and its importance for future climate change, the ice sheet's response to these dramatic changes in the past is of great interest. However, even though much effort has gone into charting YD ice margin behaviour around Greenland in recent years, no clear-cut signal of response to the oscillation has been uncovered. Here we show evidence to suggest that three major outlets from a local ice cap at Greenland's north coast advanced and retreated synchronously during YD. The evidence comprises OSL (optically stimulated luminescence) dates from a marine transgression of the coastal valleys that preceded the advance, and exposure ages from boulders on the moraines, formed by glaciers that overrode the marine sediment. The OSL ages suggest a maximum age of 12.4 ±0.6 kaBP for the marine incursion, and 10 exposure ages on boulders from the three moraines provide an average minimum age of 12.5 ±0.7 kaBP for the moraines, implying that the moraines were formed within the interval 11.8-13.0 kaBP. Elsewhere in Greenland evidence for readvance has been recorded in two areas. Most notably, in the East Greenland fjord zone outlet glaciers over a stretch of 800 km coast advanced through the fjords. In Scoresby Sund, where the moraines form a wide belt, an extensive 14C and exposure dating programme has shown that the readvance here probably culminated before YD, while cessation of moraine formation and rapid retreat from the moraine belt did not commence until c. 11.5 kaBP, but no moraines have so far been dated to YD. Readvance is also seen in Disko Bugt, the largest ice sheet outlet in West Greenland. However, here the advance and retreat of the ice stream took place in mid YD times, and lasted only a few hundred years, while YD in general was characterised by large scale, more than 200 km, retreat on the shelf. Therefore, although readvance and retreat occurred in both areas, the readvance was apparently not triggered by the initial YD cooling nor was the retreat caused by the abrupt warming at the end. At all other sites with a record that run through or into YD - Southeast Greenland, South Greenland, northern West Greenland - the ice margins were apparently retreating through YD, leaving the north coast as the only area with evidence for a climatically conditioned YD readvance/retreat. The apparent mismatch between ice core temperatures and ice margin behaviour is generally seen as a function of reduced AMOC (Atlantic Meridional Overturning Circulation), inducing both higher seasonality with very cold winters and warm summers, and also occurrence of warm subsurface water to melt the ice sheet margin along some coasts. Therefore the ice margin response to the cold oscillation was to some extent determined by the nearness to the North Atlantic - with North Greenland being the farthest away. Although this may explain why glaciers advanced in North Greenland, while they melted in more southerly parts, it still leaves the question with a bearing on the future: why don't we see any ice margin response neither to the initial YD cooling, nor to the abrupt warming at the end?

Slab roll-back and trench retreat as controlling factor for basin subsidence in southern Central America

NASA Astrophysics Data System (ADS)

Brandes, Christian; Winsemann, Jutta

2015-04-01

Slab roll-back and trench retreat are important factors for basin subsidence, magma generation and volcanism in arc-trench systems. Based on the sedimentary and tectonic record of the southern Central American island-arc we conclude that repeated phases of slab roll-back and trench retreats occurred the arc-trench system since the Late Cretaceous. These trench retreats were most probably related to the subduction of oceanic plateaus and seamounts and effected both the fore-arc and back-arc evolution. We used numerical basin modelling techniques to analyse the burial history of fore-arc and back-arc basins in Central America and combined the results with field data of the sedimentological evolution of the basin-fills. From the basin models, geohistory curves were extracted for the fore-arc and back-arc basins to derive the subsidence evolution. The Sandino Fore-arc Basin is characterized by low subsidence during the first 40 Myr. Since the Late Cretaceous the basin has a linear moderate subsidence with a phase of accelerated subsidence in the Oligocene. In the North and South Limón Back-arc Basin, subsidence started at approximately the same time as in the Sandino Fore-arc Basin. The North and South Limón Basins show a linear subsidence trend in the Paleocene and Eocene. Evidence for trench retreats is given by pulses of uplift in the outer-arc area, followed by subsidence in both the fore-arc and back-arc basins. The first slab roll-back probably occurred during the Early Paleocene. This is indicated by the collapse of carbonate platforms, and the re-deposition of large carbonate blocks into deep-water turbidites. A new pulse of uplift or decreased subsidence, respectively during the Late Eocene is attributed to subduction of rough crust. A subsequent slab detachment and the establishment of a new subduction zone further westward was described by Walther et al. (2000). Strong uplift affected the entire fore-arc area, which led to the deposition of very coarse-grained deepwater channel-levee complexes in the Sandino Fore-arc Basin. The channel-fills are rich in reworked shallow-water carbonates that points to strong uplift of the inner fore-arc. A subsequent trench retreat is indicated by an increased subsidence during the Early Oligocene in the Sandino Fore-arc Basin and the collapse of the Barra Honda carbonate platform in North Costa Rica. Another trench retreat might have occurred in Miocene times (Cailleau and Oncken, 2008). A phase of higher subsidence from 18 to 13 Ma is documented in the geohistory curve of the North Limon Back-arc Basin. After a short pulse of uplift the subsidence increased to approx. 300 m/myr (Brandes et al., 2008). References: Brandes C., Astorga A., Littke R. and Winsemann J. (2008) Basin modelling of the Limón Back-arc Basin (Costa Rica): burial history and temperature evolution of an island-arc related basin system. Basin Research 20, 1, 119-142. Cailleau, B. and Oncken, O. (2008) Past forearc deformation in Nicaragua and coupling at the megathrust interface: Evidence for subduction retreat. Geochemistry, Geophysics, Geosystems 9, Q07S24, doi:10.1029/2007GC001754. Walther, C.H.E., Flueh, E.R., Ranero, C.R., von Huene, R. and Strauch, W. (2000) Crustal structure across the Pacific margin of Nicaragua: evidence for ophiolithic basement and a shallow mantle sliver. Geophysical Journal International 141, 759-777.

Ross Sea paleo-ice sheet drainage and deglacial history during and since the LGM

NASA Astrophysics Data System (ADS)

Anderson, John B.; Conway, Howard; Bart, Philip J.; Witus, Alexandra E.; Greenwood, Sarah L.; McKay, Robert M.; Hall, Brenda L.; Ackert, Robert P.; Licht, Kathy; Jakobsson, Martin; Stone, John O.

2014-09-01

Onshore and offshore studies show that an expanded, grounded ice sheet occupied the Ross Sea Embayment during the Last Glacial Maximum (LGM). Results from studies of till provenance and the orientation of geomorphic features on the continental shelf show that more than half of the grounded ice sheet consisted of East Antarctic ice flowing through Transantarctic Mountain (TAM) outlet glaciers; the remainder came from West Antarctica. Terrestrial data indicate little or no thickening in the upper catchment regions in both West and East Antarctica during the LGM. In contrast, evidence from the mouths of the southern and central TAM outlet glaciers indicate surface elevations between 1000 m and 1100 m (above present-day sea level). Farther north along the western margin of the Ross Ice Sheet, surface elevations reached 720 m on Ross Island, and 400 m at Terra Nova Bay. Evidence from Marie Byrd Land at the eastern margin of the ice sheet indicates that the elevation near the present-day grounding line was more than 800 m asl, while at Siple Dome in the central Ross Embayment, the surface elevation was about 950 m asl. Farther north, evidence that the ice sheet was grounded on the middle and the outer continental shelf during the LGM implies that surface elevations had to be at least 100 m above the LGM sea level. The apparent low surface profile and implied low basal shear stress in the central and eastern embayment suggests that although the ice streams may have slowed during the LGM, they remained active. Ice-sheet retreat from the western Ross Embayment during the Holocene is constrained by marine and terrestrial data. Ages from marine sediments suggest that the grounding line had retreated from its LGM outer shelf location only a few tens of kilometer to a location south of Coulman Island by ˜13 ka BP. The ice sheet margin was located in the vicinity of the Drygalski Ice Tongue by ˜11 ka BP, just north of Ross Island by ˜7.8 ka BP, and near Hatherton Glacier by ˜6.8 ka BP. Farther south, 10Be exposure ages from glacial erratics on nunataks near the mouths of Reedy, Scott and Beardmore Glaciers indicate thinning during the mid to late Holocene, but the grounding line did not reach its present position until 2 to 3 ka BP. Marine dates, which are almost exclusively Acid Insoluble Organic (AIO) dates, are consistently older than those derived from terrestrial data. However, even these ages indicate that the ice sheet experienced significant retreat after ˜13 ka BP. Geomorphic features indicate that during the final stages of ice sheet retreat ice flowing through the TAM remained grounded on the shallow western margin of Ross Sea. The timing of retreat from the central Ross Sea remains unresolved; the simplest reconstruction is to assume that the grounding line here started to retreat from the continental shelf more or less in step with the retreat from the western and eastern sectors. An alternative hypothesis, which relies on the validity of radiocarbon ages from marine sediments, is that grounded ice had retreated from the outer continental shelf prior to the LGM. More reliable ages from marine sediments in the central Ross Embayment are needed to test and validate this hypothesis.

Eficiency of different doses of rituximab in rheumatoid arthritis.

PubMed

Mena-Vázquez, Natalia; Manrique-Arija, Sara; Ureña-Garnica, Inmaculada; Romero-Barco, Carmen M; Jiménez-Núñez, Francisco G; Coret, Virginia; Irigoyen-Oyarzábal, María Victoria; Fernández-Nebro, Antonio

2016-01-01

Evaluate the effectiveness, cost and safety of rituximab in patients with rheumatoid arthritis (RA) depending on the dose used. Retrospective observational study conducted on 52 patients with RA treated with at least one dose of rituximab for 135.3 patient-years were included. Three treatment groups were obtained: (G1) First course and following two 1g infusions separated by 15 days; (G2) First course 2 infusions of 1g followed by 2 infusions of 500mg; (G3) First course and followed by 2 infusions of 500mg separated by 15 days. Re-treatments were administered on-demand according to the clinical activity. The retention time (Log-Rank), retreats and adverse events rates (incidence rate ratio) and treatment costs per patient-month of rituximab were analysed by groups. Group 2 showed a better cost-effectiveness ratio than group 1, as it was associated with a longer retention of rituximab (mean [95% CI] 65.7 [60.8 to 70.7] months vs 33.5 [22.7 to 44.3]; P<.001) and a lower rate of severe adverse events with only a slight increase in the rate of retreatment (courses/patient-year [95% CI] 1.66 [1.39 to 1.93] vs. 1.01 [0.69 to 1.34]; P=.005), and in the costs (median/patient-month, €484.89 vs. €473.45). Although group 3 was €41.20/patient-month cheaper than group 2, it was associated with a higher rate of re-treatments and shorter retention of rituximab (P<.001). The use of full-dose rituximab at onset, followed by reduced doses in successive courses administered on-demand retreatment may be the most cost-effective option. Copyright © 2015 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.

Hydrologically-induced slow-down as a mechanism for tidewater glacier retreat

NASA Astrophysics Data System (ADS)

Hewitt, Ian

2017-04-01

Outlet glaciers flowing into the ocean often terminate at a calving front, whose position is sensitively determined by the balance between ice discharge and calving/terminus-melting. Rapid retreat of tidewater glaciers can be initiated when the front is perturbed from a preferred pinning point, particularly when the glacier sits in an overdeepened trough. This is believed to make certain areas of ice sheets particularly vulnerable to ice loss. A number of factors may cause a previously stable front position to become unstable, including changes in buttressing provided by an ice shelf, and changes in ocean temperature. Another possibility is that initial retreat is induced by a reduction in the supply of ice from the interior of the ice sheet. Such a reduction can naturally arise from an increase in surface melting and runoff (in the absence of accumulation changes), and this may be amplified if more efficient meltwater routing reduces basal lubrication, as has been observed in some areas of the Greenland ice sheet. Since the initiation of rapid retreat often results in an increase of ice discharge at the front (due to increased ice thickness), such a process may not be easy to detect. In this study, I employ a simplified model of an outlet glacier and its frontal behaviour to examine the extent to which hydrologically induced slow-down of the feeding ice sheet may induce (or help to induce) calving front retreat. The model builds on earlier parameterisations of grounding line fluxes, and assumes that calving occurs according to a criterion that keeps the front close to the flotation thickness. The glacier bed is assumed to be plastic. This allows for a transparent identification of the different forcing terms affecting margin position. We conclude that hydrologically-induced slow-down of ice sheets is likely to have a more significant effect on mass loss than hydrologically-induced speed-up.

The efficacy of ProTaper Universal rotary retreatment instrumentation to remove single gutta-percha cones cemented with several endodontic sealers.

PubMed

Ersev, H; Yilmaz, B; Dinçol, M E; Dağlaroğlu, R

2012-08-01

To evaluate residual root filling material following removal of three newly developed root canal sealers used with a matched-taper single-cone root filling technique and to compare the efficacy of ProTaper Universal rotary retreatment instruments with that of a conventional manual technique. The canals of 120 palatal roots in maxillary molar teeth were instrumented with EndoWave nickel-titanium rotary instruments and filled using Hybrid Root SEAL, EndoSequence BC Sealer, Activ GP system or AH Plus with matched-taper single gutta-percha cones. The root fillings were then removed with ProTaper Universal retreatment rotary instruments or a manual technique. Buccolingual and proximal digital radiographs of the roots were exposed to determine the area of remaining filling material in the coronal, middle and apical thirds. The area percentages of remaining filling material in each third and total canal area were calculated. Data were analysed statistically with Kruskal-Wallis and Mann-Whitney U-tests. The level of significance was set at P<0.05. Irrespective of the sealer type and retreatment technique, filling material could not be removed completely from the root canals. Significantly, more remaining filling material was observed in the apical third (P<0.05). When comparing the sealers, the only significant difference was detected between AH Plus/manual and Activ GP/manual groups with respect to residual material in the total canal area (P<0.05). There were no significant differences between manual and ProTaper groups. When using gross radiographic criteria, the Activ GP was more effectively removed from root canals than AH Plus with hand instrumentation. Hybrid Root SEAL, EndoSequence BC Sealer and AH Plus were removed to a similar extent. ProTaper Universal retreatment instruments were as safe and effective as hand instruments in reaching the working length. © 2012 International Endodontic Journal.

Is the efficacy of successful infliximab induction therapy maintained for one year lasting without retreatment in different behavior types of Crohn's disease?

PubMed

Molnár, T; Farkas, K; Miheller, P; Nyári, T; Szepes, Z; Herszényi, L; Müzes, Gy; Nagy, F; Tulassay, Zs; Wittmann, T

2008-12-01

The high cost of infliximab inhibits the regular retreatment of all patients in Hungary with Crohn's disease (CD) after beneficial induction therapy. This study is set out to evaluate the medium-term efficacy of induction therapy with infliximab without retreatment in CD patients with chronic activity and/or fistulae refractory to conventional therapy. A retrospective 1-year review was undertaken of all CD patients with successfully induced remission or fistula closure with 3 infusions of infliximab. Infliximab was administered in a dose of 5 mg/kg 3 times, in weeks 0, 2 and 6. Clinical remission was defined as symptom resolution and an estimated Crohn's Disease Activity Index (CDAI) <150 and complete fistula closure. We evaluated the clinical response, the estimated CDAI, the number of draining fistulae, the dosages of steroid and immunosuppressive drugs at 6 and 12 months after the last infusion, and the needs for hospitalization and surgical intervention during this period. Breslow (Generalized Wilcoxon) test was used as the statistical method. The data of the 50 patients (19 luminal, 31 fistulizing disease; average age 29. 3 [13-59] years, disease localization: 23 colon, 13 ileum, 13 ileocolon, 1 duodenum) were suitable for analysis. Infliximab induction therapy without retreatment resulted in a beneficial effect lasting for at least 1 year in 22 of the 50 patients (44%). 11 of the 19 patients (57.9%) with luminal disease remained in steroid-free complete remission, while the fistulae persisted closed in only 11 of the 31 patients (35.5%) (p<0.05). Infliximab induction therapy alone may result in sustained remission mainly in patients with luminal disease. These results suggest the need for maintenance therapy with infliximab after successful therapy induction in patients with fistulae, while luminal CD patients could possibly participate in regular retreatment only if needed. If these data are confirmed, this modification of the therapeutic procedure could well increase the cost-effectiveness of infliximab.

Modeling the response of Northwest Greenland to enhanced ocean thermal forcing and subglacial discharge

NASA Astrophysics Data System (ADS)

Morlighem, M.; Wood, M.; Seroussi, H. L.; Bondzio, J. H.; Rignot, E. J.

2017-12-01

Glacier-front dynamics is an important control on Greenland's ice mass balance. Warm and salty Atlantic water, which is typically found at a depth below 200-300 m, has the potential to trigger ice-front retreats of marine-terminating glaciers, and the corresponding loss in resistive stress leads to glacier acceleration and thinning. It remains unclear, however, which glaciers are currently stable but may retreat in the future, and how far inland and how fast they will retreat. Here, we quantify the sensitivity and vulnerability of marine-terminating glaciers along the Northwest coast of Greenland (from 72.5° to 76°N) to ocean forcing using the Ice Sheet System Model (ISSM), and its new ice front migration capability. We rely on the ice melt parameterization from Rignot et al. 2016, and use ocean temperature and salinity from high-resolution ECCO2 simulations on the continental shelf to constrain the thermal forcing. The ice flow model includes a calving law based on a Von Mises criterion. We investigate the sensitivity of Northwest Greenland to enhanced ocean thermal forcing and subglacial discharge. We find that some glaciers, such as Dietrichson Gletscher or Alison Gletscher, are sensitive to small increases in ocean thermal forcing, while others, such as Illullip Sermia or Qeqertarsuup Sermia, are very difficult to destabilize, even with a quadrupling of the melt. Under the most intense melt experiment, we find that Hayes Gletscher retreats by more than 50 km inland into a deep trough and its velocity increases by a factor of 10 over only 15 years. The model confirms that ice-ocean interactions are the triggering mechanism of glacier retreat, but the bed controls its magnitude. This work was performed at the University of California Irvine under a contract with the National Aeronautics and Space Administration, Cryospheric Sciences Program (#NNX15AD55G), and the National Science Foundation's ARCSS program (#1504230).

Investigating the response of Crane Glacier, Antarctic Peninsula to the disintegration of the Larsen B ice shelf using a 2-D flowline model

NASA Astrophysics Data System (ADS)

Campbell, A. J.; Hulbe, C. L.; Sergienko, O.

2009-12-01

Many of the glaciers flowing into the Larsen B ice shelf sped up and experienced front retreat following its March 2002 disintegration. Crane Glacier stands out among the fast responding glaciers for its dramatic increase in speed, from ~500 m/a to ~1500 m/a in its downstream reach, large surface lowering, and front retreat. Between march 2002 and early 2005, the glacier's calving front retreated by about 11.5 km to a location at which it has remained since that time. In order to investigate the physical processes that control the reaction of Crane Glacier to ice shelf disintegration, a flowline model has been developed. The model solves for the full momentum balance along the flowline using the finite element method and allows for basal sliding using a Budd type sliding relation. Model parameters are tuned to reproduce observation of surface velocity prior to ice shelf disintegration. Model can be applied diagnostically to examine instantaneous changes in boundary conditions or prognostically to evolve surface elevation over time. The instantaneous model response of the glacier to ice shelf removal produces surface velocities and thinning rates that agree well with observations. When the front position is modified to represent the steady position reached in 2005, the model again produces velocities similar to those observed on the glacier. A typical tidewater calving criterion can be used to predict the steady position toward which the front retreated. We conclude that the post-collapse speed up is facilitated by rapid basal sliding, which allows a small perturbation in vertical shearing to be amplified into a large velocity response. The pattern of glacier front retreat can be explained by a tidewater calving instability. These conclusions underscore the importance of basal sliding parametrizations in understanding observed changes in ice sheet outlet glaciers and modeling their future behavior. Correct representation of iceberg calving is also important.

Long-term dynamics of a tidewater outlet glacier in West Greenland and its relation to external forcing

NASA Astrophysics Data System (ADS)

Vieli, Andreas; Luethi, Martin; Moreau, Luc; Reisser, Moritz; Ian, Joughin

2015-04-01

Dynamic changes of ocean-terminating outlet glaciers such as terminus retreat and flow acceleration are responsible for about half of the current mass loss of the Greenland ice sheet. Although these changes seem related to the general warming in recent decades, the detailed link between external forcing from the atmosphere and/or ocean and glacier response is not well understood. Further, existing observations of tidewater outlet glacier change also show strong temporal fluctuations and are mostly limited to the last two decades of satellite observations. It is therefore difficult to derive and interpret long-term trends in outlet glacier change which is relevant in the context of century scale predictions. Here we present and analyse a detailed long-term record of flow and geometry evolution of Eqi Sermia, a ocean terminating outlet glacier in West Greenland. This record starts in 1912 and has, due to its proximity to the main access route for early expeditions to the ice sheet, a decadal and smaller resolution. This historic record is supplemented by data from satellites and ground based radar interferometry for deriving front positions and flow velocities in the two recent decades. The front and flow speed of Eqi Sermia was more or less stable between 1912 with aslow retreat phase between 1920 to the 1960, followed by a slight readvance in the 1980s. In 2007 the terminus started to retreat very rapidly, retreated 3 km since and in a step wise fashion and almost quadrupled its flow speed at the terminus. A comparison with surface mass balance and temperature records suggests a close relation of the long-term evolution of Egi Sermia to atmospheric forcing rather than oceanic, perhaps reflecting the relatively shallow fjord depths. In contrast, the recent rapid retreat and acceleration may be due to a changing regime in the calving process and geometric effects.

Quantifying the Role of Atmospheric Forcing in Ice Edge Retreat and Advance Including Wind-Wave Coupling

DTIC Science & Technology

2015-09-30

Quantifying the Role of Atmospheric Forcing in Ice Edge Retreat and Advance Including Wind- Wave Coupling Peter S. Guest (NPS Technical Contact) Naval...surface fluxes and ocean waves in coupled models in the Beaufort and Chukchi Seas. 2. Understand the physics of heat and mass transfer from the ocean...to the atmosphere. 3. Improve forecasting of waves on the open ocean and in the marginal ice zone. 2 OBJECTIVES 1. Quantifying the open-ocean

A case of tick bite by a spontaneously retreated Ixodes nipponensis.

PubMed

Cho, B K; Nam, H W; Cho, S Y; Lee, W K

1995-09-01

A 58-year old housewife consulted us about 1 cm sized, dark-brownish, bean-like mass which was dropped spontaneously from indurated skin lesion on her abdomen. The mass was identified morphologically as an engorged female Ixodes nipponensis. Nine days earlier, she had an excursion collecting edible sprouts of wild grass. Spontaneous retreat has been unusual in clinical tick bites in Korea. Fourteen cases of tick bite described in the Korean literature were reviewed briefly in relation to Lyme borreliosis.

Retreatment of Recurrent Cystic Craniopharyngioma With Chromic Phosphorus P 32

PubMed Central

Kumar, P.P.; Good, R.R.; Skultety, F.M.; Jones, E.O.; Chu, W.K.

1986-01-01

A cystic craniopharyngioma in a two-year-old boy recurred six months after surgery and postoperative external-beam radiotherapy. Successful retreatment was accomplished with radioisotope injection of 0.5 mCi of chromic phosphorus P 32 into the intracranial cyst, which delivered approximately 300.00 Gy to the cyst wall. The patient's symptoms were relieved, and he is without evidence of disease or cystic fluid accumulation four years after intracavitary 32P irradiation. ImagesFigure 1Figure 2Figure 3 PMID:3735454

Detachment-limited erosion, alluvial transport, and relief in decaying landscapes

NASA Astrophysics Data System (ADS)

Johnstone, S. A.; Hilley, G. E.

2013-12-01

The correspondence between relief and erosion rates in tectonically active orogens suggests that erosion rates and relief adjust relatively rapidly to changes in the rates of tectonic processes. This rapid landscape response is at odds with the preservation of ancient orogens for 10s to 100s of millions of years after orogenesis has ceased. We hypothesize that this hysteresis in response times to the acceleration versus deceleration of tectonic rates results from a geomorphic process transition in fluvial networks. In steep landscapes found in tectonically active environments erosion is largely controlled by detachment-limited incision, whereas the increasing importance of alluvial transport in decaying landscapes controls relief and response time-scales in these situations. We present results from one-dimensional (profile) numerical modeling of channels undergoing topographic decay from an initial steady state following a cessation in uplift to understand process transitions that may reconcile the large differences in response times implied by active versus ancient mountain-belts. We performed dimensional analysis on the governing equations such that relief in the channels, process transitions between alluvial transport and detachment-limited erosion, and response times could be viewed in terms of dimensionless numbers that capture the relative strength of sediment transport, bedrock incision, and the initial uplift rate. We found that the form of the decaying profile is dictated by the relative ability of a system to incise vs. transport sediment. When sediment transport is inefficient relative to bedrock incision, models suggest that relief decays in a manner that preserves the overall channel profile geometry as channel slopes decline. In contrast, when the ability of a system to transport sediment greatly exceeds its ability to incise bedrock, decay will be dominated by the consumption of topography by slope retreat. We find that the declivity of the surface along which slopes retreat is set by the sediment transport slope of the fluvial network. As slope retreat progresses, the fraction of area undergoing rapid erosion (and therefore the sediment flux) decreases, which causes a perpetual decline in the sediment transport slope itself. This is manifest as a headward migrating transition from areas dominated by slope retreat to slope decline. While this behavior occurs to some degree in all simulations undergoing slope retreat, it is only clearly observed when steady state alluvial transport slopes are comparable to, but smaller than, bedrock incision slopes. For a given length scale we find that the evolution of relief through time, measured as the fraction of initial relief preserved, is independent of dimensionless fluvial erosion and transport coefficients. High sediment transport slopes can act to limit the rate of decay of relief in landscapes evolving by slope retreat. However, because slope decline occupies only the downstream portion of drainage networks in these cases, the majority of the relief reduction is typically accomplished by slope retreat. These results highlight the importance of erosional process transitions in shaping the relief of decaying landscapes.

Comparative analysis of efficacy and cleaning ability of hand and rotary devices for gutta-percha removal in root canal retreatment: an in vitro study.

PubMed

Reddy, Narender; Admala, Shilpa Reddy; Dinapadu, Sainath; Pasari, Srikanth; Reddy, Manoranjan P; Rao, M S Rama

2013-07-01

To evaluate the efficacy and cleaning ability of Hedstrom files, and ProTaper retreatment instruments in removing gutta-percha from root canals with and without xylene as solvent. Sixty extracted single rooted human teeth were selected and decoronated, straight access established working length determined 1 mm short of canal, chemomechanical preparation done and obturated with guttapercha and AH plus sealer. Samples were stored for 1 week in humidifier divided into four groups of 15 teeth each. • Group I: Hedstrom files without xylene. • Group II: Hedstrom files with xylene. • Group III: ProTaper retreatment instruments without xylene. • Group IV: ProTaper retreatment instruments with xylene. and the following criteria were assessed - Time taken for initial plunge of instrument into guttapercha. - Time taken for complete removal of gutta-percha to reach working length - Ability of H files and ProTaper retreatment files with/ without xylene to remove gutta-percha in coronal, middle and apical 1/3 of canal. The teeth were grooved in labiolingual cross section, observed under a steromicroscope and scored according to gutta-percha debris left in the canal. Results were evaluated using ANOVA test and multiple comparisons done using Scheffe test. The least time to reach working length was found with group IV followed by groups III, II and group I respectively. Also the fastest way to remove maximum gutta-percha was group IV followed by groups III, II, and I respectively with a statistically significant difference among all groups. Apical 1/3 has more amount of remaining gutta-percha debris than middle and coronal 1/3 in all groups. The amount of gutta-percha debris in apical 1/3 was least in group IV followed by groups III, II and I respectively. The better performance of ProTaper rotary instruments has been attributed to their special flute design which tends to pull gutta-percha coronally directing it toward orifice. Also the movements of engine driven instruments produce frictional heat which plasticises gutta-percha and aids in easy removal. Apical third of root canals showed more guttapercha debris compared to coronal and middle 1/3 and has been attributed to the greater anatomic variability and difficulty of instrumentation in the apical area. The existence of deep groves and depressions on dentine walls in this apical 1/3 make them less instrumented areas as it did be difficult to direct the file against the extreme root canal wall. The fastest technique to remove gutta-percha and the shortest time to reach working length was observed with ProTaper retreatment instruments with xylene followed by ProTaper retreatment files without xylene and Hedstrom files without xylene. After instrumentation for removal of gutta-percha, apical third was found to have more debris compared to coronal and middle 1/3 of the root canal.

New insights into West Greenland ice sheet/stream dynamics during the last glacial cycle.

NASA Astrophysics Data System (ADS)

Roberts, David; Lane, Tim; Rea, Brice; Cofaigh, Colm O.; Jamieson, Stewart; Vieli, Andreas; Rodes, Angel

2015-04-01

Onshore and offshore geomorphological mapping and deglacial chronologies from West Greenland constrain the nature and magnitude of ice advance and decay of the Greenland Ice Sheet (GrIS) during the last glacial cycle. Several ice stream troughs are known to have fed ice to the shelf edge during the last glacial cycle. Their offshore expression suggests that many were coalescent systems fed by smaller outlet glaciers and ice streams onshore but their central flow pathways were also controlled by geology and preglacial topography. The bed morphology of these large ice streams shows they operated over soft, deforming beds with drumlins, mega-scale glacial lineations and grounding zone wedges marking an offshore transition from predominant areal scour onshore. Records of offshore deglacial chronology remain sparse but the Uummannaq and Disko Bugt ice stream corridors are now well constrained. The Uummannaq ice stream (UIS) completely deglaciated from the continental shelf between 14.8 ka and 11.0 ka in response to rising air temperatures, increasing JJA solar radiation and sea-level rise, but temporary standstills and the asynchronous retreat history of its feeder zones suggest that topography/bathymetry strongly modulated retreat rates as ice became 'locked' back into the coastal fjord system. Initial reconstructions of behaviour UIS discounted an oceanic role in early deglaciation and favoured retreat from the mid-shelf and inner-shelf prior to the Younger Dryas but both these concepts remain under investigation. In Disko Bugt, Jakobshavn Isbrae deglaciated later than the UIS and remained on the outer shelf during the Younger Dyras stadial (12.8 - 11.7 cal. kyrs BP) only reaching in the inner coast fjords at approximately 10.0 ka. The later deglaciation of the Disko system (despite similar external forcing mechanisms) was controlled by regional topographic/bathymetric contrasts in their respective trough morphologies. This hypothesis is supported by recent model output which indicates that non-linear retreat, grounding line stability and up-ice surface thinning is heavily influenced by both vertical and lateral constrictions in marine trough systems. While the offshore ice stream corridors are beginning to reveal their dynamic retreat history, knowledge of the inter-stream areas on the continental shelf remains very poor. The western, onshore sector of the GrIS has a much improved deglacial chronology derived from radiocarbon and new cosmogenic surface exposure dating undertaken in the last decade, but the deglacial history of wide swathes of the inner, mid and outer continental shelf remains completely unknown. The Hellefiske moraines on the West Greenland shelf were described in the late 1970's but little is known of ice sheet retreat behaviour across these areas. Understanding the deglacial signature of such regions is important if we are to use palaeo-reconstructions to understand ice sheet collapse/retreat mechanisms and to inform future model predictions.

From the front

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

Price, Stephen

The causes of recent dynamic thinning of Greenland's outlet glaciers have been debated. Realistic simulations suggest that changes at the marine fronts of these glaciers are to blame, implying that dynamic thinning will cease once the glaciers retreat to higher ground. For the last decade, many outlet glaciers in Greenland that terminate in the ocean have accelerated, thinned, and retreated. To explain these dynamic changes, two hypotheses have been discussed. Atmospheric warming has increased surface melting and may also have increased the amount of meltwater reaching the glacier bed, increasing lubrication at the base and hence the rate of glaciermore » sliding. Alternatively, a change in the delicate balance of forces where the glacier fronts meet the ocean could trigger the changes. Faezeh Nick and colleagues5 present ice-sheet modeling experiments that mimic the observations on Helheim glacier, East Greenland, and suggest that the dynamic behaviour of outlet glaciers follows from perturbations at their marine fronts. Greenland's ice sheet loses mass partly through surface melting and partly through fast flowing outlet glaciers that connect the vast plateau of inland ice with the ocean. Earlier ice sheet models have failed to reproduce the dynamic variability exhibited by ice sheets over time. It has therefore not been possible to distinguish with confidence between basal lubrication from surface meltwater and changes at the glaciers' marine fronts as causes for the observed changes on Greenland's outlet glaciers. But this distinction bears directly on future sea-level rise, the raison d'etre of much of modern-day glaciology: If the recent dynamic mass loss Greenland's outlet glaciers is linked to changing atmospheric temperatures, it may continue for as long as temperatures continue to increase. On the other hand, if the source of the dynamic mass loss is a perturbation at the ice-ocean boundary, these glaciers will lose contact with that perturbation after a finite amount of thinning and retreat. Therefore, the first hypothesis implies continued retreat of outlet glaciers into the foreseeable future, while the second does not -- provided the bedrock topography prohibits a connection between the retreating glacier and the ocean. Nick and coauthors test the physical mechanisms implied in each hypotbesis in an innovative ice-flow model, and use that model to try to match a time series of observations from Helheim glacier, one of Greenland's three largest outlet glaciers. Along with many observations, the simulations strongly support the contention that the recent retreat of Greenland's outlet glaciers is the result of changes at their marine fronts.Further, the simulations confirm the earlier hypotheses that bedrock topography largely controlled Helheim glacier's rapid acceleration and retreat in 2004 and 2005, and its deceleration and stabilization in 2006. Finally, the current work implies that if requirements of observational data (high-resolution bed topography) and computational resources (fine computational grid resolution) can be met, improved predictive capability for ice-sheet models is attainable. With respect to the concerns raised by the IPCC, this study signals progress.« less

Sea-level feedback lowers projections of future Antarctic Ice-Sheet mass loss

PubMed Central

Gomez, Natalya; Pollard, David; Holland, David

2015-01-01

The stability of marine sectors of the Antarctic Ice Sheet (AIS) in a warming climate has been identified as the largest source of uncertainty in projections of future sea-level rise. Sea-level fall near the grounding line of a retreating marine ice sheet has a stabilizing influence on the ice sheets, and previous studies have established the importance of this feedback on ice age AIS evolution. Here we use a coupled ice sheet–sea-level model to investigate the impact of the feedback mechanism on future AIS retreat over centennial and millennial timescales for a range of emission scenarios. We show that the combination of bedrock uplift and sea-surface drop associated with ice-sheet retreat significantly reduces AIS mass loss relative to a simulation without these effects included. Sensitivity analyses show that the stabilization tends to be greatest for lower emission scenarios and Earth models characterized by a thin elastic lithosphere and low-viscosity upper mantle, as is the case for West Antarctica. PMID:26554381

Bed elevation of Jakobshavn Isbræ, West Greenland, from high-resolution airborne gravity and other data

NASA Astrophysics Data System (ADS)

An, L.; Rignot, E.; Elieff, S.; Morlighem, M.; Millan, R.; Mouginot, J.; Holland, D. M.; Holland, D.; Paden, J.

2017-04-01

Jakobshavn Isbræ, West Greenland, which holds a 0.6 m sea level volume equivalent, has been speeding up and retreating since the late 1990s. Interpretation of its retreat has been hindered by difficulties in measuring its ice thickness with airborne radar depth sounders. Here we employ high-resolution, helicopter-borne gravity data from 2012 to reconstruct its bed elevation within 50 km of the ocean margin using a three-dimensional inversion constrained by fjord bathymetry data offshore and a mass conservation algorithm inland. We find the glacier trough to be asymmetric and several 100 m deeper than estimated previously in the lower part. From 1996 to 2016, the grounding line migrated at 0.6 km/yr from 700 m to 1100 m depth. Upstream, the bed drops to 1600 m over 10 km then slowly climbs to 1200 m depth in 40 km. Jakobshavn Isbræ will continue to retreat along a retrograde slope for decades to come.

Antarctic grounding-line migration

NASA Astrophysics Data System (ADS)

Slater, T.; Konrad, H.; Shepherd, A.; Gilbert, L.; Hogg, A.; McMillan, M.; Muir, A. S.

2017-12-01

Knowledge of grounding-line position is critical for quantifying ice discharge into the ocean, as a boundary condition for numerical models of ice flow, and as an indicator of ice sheet stability. Although geological investigations have documented extensive grounding-line retreat since the period of the Last Glacial Maximum, observations of grounding line migration during the satellite era are restricted to a handful of locations. We combine satellite altimeter observations of ice-elevation change and airborne measurements of ice geometry to track movement of the Antarctic Ice Sheet grounding line. Based on these data, we estimate that 22%, 3%, and 10% of the West Antarctic, East Antarctic, and Antarctic Peninsula ice sheet grounding lines are retreating at rates faster than the typical pace since the Last Glacial Maximum, and that the continent loses over 200 km2 of grounded-ice area per year. Although by far the fastest rates of retreat occurred in the Amundsen Sea Sector, the Pine Island Glacier grounding line has stabilized - likely as a consequence of abated ocean forcing during the survey period.

Relapsed chronic lymphocytic leukemia retreated with rituximab: interim results of the PERLE study.

PubMed

Chaoui, Driss; Choquet, Sylvain; Sanhes, Laurence; Mahé, Béatrice; Hacini, Maya; Fitoussi, Olivier; Arkam, Yazid; Orfeuvre, Hubert; Dilhuydy, Marie-Sarah; Barry, Marly; Jourdan, Eric; Dreyfus, Brigitte; Tempescul, Adrian; Leprêtre, Stéphane; Bardet, Aurélie; Leconte, Pierre; Maynadié, Marc; Delmer, Alain

2017-06-01

This prospective non-interventional study assessed the management of relapsed/refractory CLL after one or two treatments with rituximab, and retreatment with a rituximab-based regimen. An interim analysis was performed at the end of the induction period in 192 evaluable patients. Median age was 72 years [35-89], first relapse (55%), and second relapse (45%). Rituximab administered during first (68%), second (92%), or both treatment lines (20%). R-bendamustine administered in 56% of patients, R-purine analogs (21%), and R-alkylating agents (19%). The overall response rate (ORR) was 74.6%, in favor of R-purine analogs (90%), R-bendamustine (75%), and R-alkylating agents (69%). Lower ORR in Del 17p patients (43%) and third time rituximab (31%). Most frequent adverse events were hematological (23% patients) including neutropenia (11%) and infections (12%); grade 3/4 AEs (23% patients), mainly hematological (18%); death during induction treatment (7%). This first large study focusing on relapsed/refractory CLL patients retreated with rituximab-based regimens is still ongoing.

Retreat of northern margins of George VI and Wilkins Ice Shelves, Antarctic Peninsula

USGS Publications Warehouse

Lucchitta, B.K.; Rosanova, C.E.

1998-01-01

The George VI and Wilkins Ice Shelves are considered at risk of disintegration due to a regional atmospheric warming trend on the Antarctic Peninsula. Retreat of the northern margin of the George VI Ice Shelf has been observed previously, but the Wilkins Ice Shelf was thought to be stable. We investigated the positions of the northern fronts of these shelves from the literature and looked for changes on 1974 Landsat and 1992 and 1995 European remote-sensing satellite (ERS) synthetic aperture radar images. Our investigation shows that the northern George VI Ice Shelf lost a total of 906 km2 between 1974 and 1992, and an additional 87 km2 by 1995. The northern margin of the Wilkins Ice Shelf lost 796 km2 between 1990 and 1992, and another 564 km2 between 1992 and 1995. Armadas of tabular icebergs were visible in front of this shelf in the ERS images. These two ice shelves mark the southernmost documented conspicuous retreat of ice-shelf margins.

Ice stream reorganization and glacial retreat on the northwest Greenland shelf

NASA Astrophysics Data System (ADS)

Newton, A. M. W.; Knutz, P. C.; Huuse, M.; Gannon, P.; Brocklehurst, S. H.; Clausen, O. R.; Gong, Y.

2017-08-01

Understanding conditions at the grounding-line of marine-based ice sheets is essential for understanding ice sheet evolution. Offshore northwest Greenland, knowledge of the Last Glacial Maximum (LGM) ice sheet extent in Melville Bugt was previously based on sparse geological evidence. This study uses multibeam bathymetry, combined with 2-D and 3-D seismic reflection data, to present a detailed landform record from Melville Bugt. Seabed landforms include mega-scale glacial lineations, grounding-zone wedges, iceberg scours, and a lateral shear margin moraine, formed during the last glacial cycle. The geomorphology indicates that the LGM ice sheet reached the shelf edge before undergoing flow reorganization. After retreat of 80 km across the outer shelf, the margin stabilized in a mid-shelf position, possibly during the Younger Dryas (12.9-11.7 ka). The ice sheet then decoupled from the seafloor and retreated to a coast-proximal position. This landform record provides an important constraint on deglaciation history offshore northwest Greenland.

Contemporary glacier retreat triggers a rapid landslide response, Great Aletsch Glacier, Switzerland

NASA Astrophysics Data System (ADS)

Kos, Andrew; Amann, Florian; Strozzi, Tazio; Delaloye, Reynald; Ruette, Jonas; Springman, Sarah

2016-12-01

The destabilization and catastrophic failure of landslides triggered by retreating glaciers is an expected outcome of global climate change and poses a significant threat to inhabitants of glaciated mountain valleys around the globe. Of particular importance are the formation of landslide-dammed lakes, outburst floods, and related sediment entrainment. Based on field observations and remote sensing of a deep-seated landslide, located at the present-day terminus of the Great Aletsch Glacier, we show that the spatiotemporal response of the landslide to glacier retreat is rapid, occurring within a decade. Our observations uniquely capture the critical period of increase in slope deformations, onset of failure, and show that measured displacements at the crown and toe regions of the landslide demonstrate a feedback mechanism between glacier ice reduction and response of the entire landslide body. These observations shed new light on the geomorphological processes of landslide response in paraglacial environments, which were previously understood to occur over significantly longer time periods.

Pan–ice-sheet glacier terminus change in East Antarctica reveals sensitivity of Wilkes Land to sea-ice changes

PubMed Central

Miles, Bertie W. J.; Stokes, Chris R.; Jamieson, Stewart S. R.

2016-01-01

The dynamics of ocean-terminating outlet glaciers are an important component of ice-sheet mass balance. Using satellite imagery for the past 40 years, we compile an approximately decadal record of outlet-glacier terminus position change around the entire East Antarctic Ice Sheet (EAIS) marine margin. We find that most outlet glaciers retreated during the period 1974–1990, before switching to advance in every drainage basin during the two most recent periods, 1990–2000 and 2000–2012. The only exception to this trend was in Wilkes Land, where the majority of glaciers (74%) retreated between 2000 and 2012. We hypothesize that this anomalous retreat is linked to a reduction in sea ice and associated impacts on ocean stratification, which increases the incursion of warm deep water toward glacier termini. Because Wilkes Land overlies a large marine basin, it raises the possibility of a future sea level contribution from this sector of East Antarctica. PMID:27386519

Pan-ice-sheet glacier terminus change in East Antarctica reveals sensitivity of Wilkes Land to sea-ice changes.

PubMed

Miles, Bertie W J; Stokes, Chris R; Jamieson, Stewart S R

2016-05-01

The dynamics of ocean-terminating outlet glaciers are an important component of ice-sheet mass balance. Using satellite imagery for the past 40 years, we compile an approximately decadal record of outlet-glacier terminus position change around the entire East Antarctic Ice Sheet (EAIS) marine margin. We find that most outlet glaciers retreated during the period 1974-1990, before switching to advance in every drainage basin during the two most recent periods, 1990-2000 and 2000-2012. The only exception to this trend was in Wilkes Land, where the majority of glaciers (74%) retreated between 2000 and 2012. We hypothesize that this anomalous retreat is linked to a reduction in sea ice and associated impacts on ocean stratification, which increases the incursion of warm deep water toward glacier termini. Because Wilkes Land overlies a large marine basin, it raises the possibility of a future sea level contribution from this sector of East Antarctica.

Automating addiction treatment: enhancing the human experience and creating a fix for the future.

PubMed

Gustafson, David H; Palesh, Tara E; Picard, Rosalind W; Plsek, Paul E; Maher, Lynne; Capoccia, Victor A

2005-01-01

The country's system of providing treatment for people struggling with addiction requires a fundamental overhaul. To address these daunting problems, a group of experts from outside the addiction field met in an intensive retreat and envisioned a new future for addiction treatment that would use the latest available technology. Retreat leaders employed creative techniques to help free up thinking beyond incremental improvement ideas. Current and former addicts or alcoholics and family members also attended the retreat to provide the panelists with a real-world understanding of their lives. Through this process, the panelists generated eight idea categories that visualized future treatments for addiction using technology. They were: (1) Integrated System and Record; (2) Monitoring/Treatment; (3) Virtual Experiences; (4) Treatment Access and "One Stop Shop"; (5) Networks; (6) Tailored Media Campaigns; (7) Diagnostic Tools; and (8) Help for Family. Two stories illustrate how these ideas could help a heroin addict and an alcoholic. The sponsors plan another meeting to bring these visionary concepts closer to real application.

Decadal-scale climate drivers for glacial dynamics in Glacier National Park, Montana, USA

USGS Publications Warehouse

Pederson, G.T.; Fagre, D.B.; Gray, S.T.; Graumlich, L.J.

2004-01-01

Little Ice Age (14th-19th centuries A.D.) glacial maxima and 20th century retreat have been well documented in Glacier National Park, Montana, USA. However, the influence of regional and Pacific Basin driven climate variability on these events is poorly understood. We use tree-ring reconstructions of North Pacific surface temperature anomalies and summer drought as proxies for winter glacial accumulation and summer ablation, respectively, over the past three centuries. These records show that the 1850's glacial maximum was likely produced by ???70 yrs of cool/wet summers coupled with high snowpack. Post 1850, glacial retreat coincides with an extended period (>50 yr) of summer drought and low snowpack culminating in the exceptional events of 1917 to 1941 when retreat rates for some glaciers exceeded 100 m/yr. This research highlights potential local and ocean-based drivers of glacial dynamics, and difficulties in separating the effects of global climate change from regional expressions of decadal-scale climate variability. Copyright 2004 by the American Geophysical Union.

A comparative evaluation of two rotary Ni-Ti instruments in the removal of gutta-percha during retreatment.

PubMed

Preetam, C S; Chandrashekhar, M; Gunaranjan, T; Kumar, S Kishore; Miskeen Sahib, S A; Kumar, M Senthil

2016-08-01

The purpose of this study is to achieve an effective method to remove root canal filling material from the root canal system. The study, thus, aims to evaluate the efficacy of the cleaning ability of two different rotary Ni-Ti systems; ProTaper Retreatment files and RaCe System compared to hand instrumentation with Hedstrom files for the removal of gutta-percha during retreatment. Thirty mandibular premolars with one single straight canal were decoronated and instrumented with ProTaper files and filled with thermoplastic gutta-percha. After 30 days, the samples were divided into three groups and gutta-percha was removed with the test instruments. The postoperative radiographs were evaluated with known criteria by dividing the root into cervical third, middle third, and apical third. The results were tabulated and Statistical Package for Social Sciences Software (IBM Corporation) was used for analysis. The mean deviation of the results were first calculated and then t-test and analysis of variance test (two-tailed P value) were evaluated for establishing significant differences. The rotary instruments were effective in removing the gutta-percha from the canals. Therefore, significant difference was observed between the efficacies of the two rotary systems used. The rotary instruments showed effective gutta-percha removal in the cervical and middle one third. (P > 0.05). However, apical debridement was effective with Hedstrom files. The study concluded the use of both rotary and hand instrumentation for effective removal of gutta-percha for retreatment.

Changes in bacterioplankton community structure during early lake ontogeny resulting from the retreat of the Greenland Ice Sheet

PubMed Central

Peter, Hannes; Jeppesen, Erik; De Meester, Luc; Sommaruga, Ruben

2018-01-01

Retreating glaciers and ice sheets are among the clearest signs of global climate change. One consequence of glacier retreat is the formation of new meltwater-lakes in previously ice-covered terrain. These lakes provide unique opportunities to understand patterns in community organization during early lake ontogeny. Here, we analyzed the bacterial community structure and diversity in six lakes recently formed by the retreat of the Greenland Ice Sheet (GrIS). The lakes represented a turbidity gradient depending on their past and present connectivity to the GrIS meltwaters. Bulk (16S rRNA genes) and putatively active (16S rRNA) fractions of the bacterioplankton communities were structured by changes in environmental conditions associated to the turbidity gradient. Differences in community structure among lakes were attributed to both, rare and abundant community members. Further, positive co-occurrence relationships among phylogenetically closely related community members dominate in these lakes. Our results show that environmental conditions along the turbidity gradient structure bacterial community composition, which shifts during lake ontogeny. Rare taxa contribute to these shifts, suggesting that the rare biosphere has an important ecological role during early lakes ontogeny. Members of the rare biosphere may be adapted to the transient niches in these nutrient poor lakes. The directionality and phylogenetic structure of co-occurrence relationships indicate that competitive interactions among closely related taxa may be important in the most turbid lakes. PMID:29087379

The efficacy of the Self-Adjusting File versus WaveOne in removal of root filling residue that remains in oval canals after the use of ProTaper retreatment files: A cone-beam computed tomography study

PubMed Central

Pawar, Ajinkya M; Thakur, Bhagyashree; Metzger, Zvi; Kfir, Anda; Pawar, Mansing

2016-01-01

Aim: The current ex vivo study compared the efficacy of removing root fillings using ProTaper retreatment files followed by either WaveOne reciprocating file or the Self-Adjusting File (SAF). Materials and Methods: Forty maxillary canines with single oval root canal were selected and sectioned to obtain 18-mm root segments. The root canals were instrumented with WaveOne primary files, followed by obturation using warm lateral compaction, and the sealer was allowed to fully set. The teeth were then divided into two equal groups (N = 20). Initial removal of the bulk of root filling material was performed with ProTaper retreatment files, followed by either WaveOne files (Group 1) or SAF (Group 2). Endosolv R was used as a gutta-percha softener. Preoperative and postoperative high-resolution cone-beam computed tomography (CBCT) was used to measure the volume of the root filling residue that was left after the procedure. Statistical analysis was performed using t-test. Results: The mean volume of root filling residue in Group 1 was 9.4 (±0.5) mm3, whereas in Group 2 the residue volume was 2.6 (±0.4) mm3, (P < 0.001; t-test). Conclusions: When SAF was used after ProTaper retreatment files, significantly less root filling residue was left in the canals compared to when WaveOne was used. PMID:26957798

Sea-cliff erosion at Pacifica, California caused by 1997/98 El Niño storms

USGS Publications Warehouse

Snell, Charles B.; Lajoie, Kenneth R.; Medley, Edward W.

2000-01-01

Twelve homes were constructed in 1949 at the top of a sea cliff along Esplanade Drive in the City of Pacifica, located on the northern coast of San Mateo County, California. The rear yards of those properties were bounded by an approximately 20-meter (70-foot) high cliff that has retreated episodically at an average rate of 0.5 to 0.6 meter (1.5 to 2 feet) per year over the past 146 years. During the heavy storms of the 1997/1998 El Niño winter, a severe episode of cliff retreat undermined seven homes and threatened three others. All ten homes were condemned and demolished by the City of Pacifica. In this study we analyze geologic, tide, wave, rainfall and wind data in an attempt to determine the causes of this most recent erosion event. We identify the following possible contributory causes of the cliff retreat: 1) wave-induced undercutting of the cliff landward of an old revetment, 2) reduction in beach width over time, 3) reduction in cliff-face stability owing to infiltration from heavy rains, 4) erosion of the cliff face by groundwater piping, and 5) wind-induced erosion of loose dune sand at the top of the cliff. While these factors may explain the retreat of the cliff below the twelve homes along Esplanade Drive, the question remains as to why other geologically similar sites in the region were not severely eroded during the 1997/1998 El Niño winter.

Risk Factors for Treatment Default among Re-Treatment Tuberculosis Patients in India, 2006

PubMed Central

Jha, Ugra Mohan; Satyanarayana, Srinath; Dewan, Puneet K.; Chadha, Sarabjit; Wares, Fraser; Sahu, Suvanand; Gupta, Devesh; Chauhan, L. S.

2010-01-01

Setting Under India's Revised National Tuberculosis Control Programme (RNTCP), >15% of previously-treated patients in the reported 2006 patient cohort defaulted from anti-tuberculosis treatment. Objective To assess the timing, characteristics, and risk factors for default amongst re-treatment TB patients. Methodology For this case-control study, in 90 randomly-selected programme units treatment records were abstracted from all 2006 defaulters from the RNTCP re-treatment regimen (cases), with one consecutively-selected non-defaulter per case. Patients who interrupted anti-tuberculosis treatment for >2 months were classified as defaulters. Results 1,141 defaulters and 1,189 non-defaulters were included. The median duration of treatment prior to default was 81 days (25%–75% interquartile range 44–117 days) and documented retrieval efforts after treatment interruption were inadequate. Defaulters were more likely to have been male (adjusted odds ratio [aOR] 1.4, 95% confidence interval [CI] 1.2–1.7), have previously defaulted anti-tuberculosis treatment (aOR 1.3 95%CI 1.1–1.6], have previous treatment from non-RNTCP providers (AOR 1.3, 95%CI 1.0–1.6], or have public health facility-based treatment observation (aOR 1.3, 95%CI 1.1–1.6). Conclusions Amongst the large number of re-treatment patients in India, default occurs early and often. Improved pre-treatment counseling and community-based treatment provision may reduce default rates. Efforts to retrieve treatment interrupters prior to default require strengthening. PMID:20111727

Song matching, overlapping, and switching in the banded wren: the sender’s perspective

PubMed Central

Vehrencamp, Sandra L.; Hall, Michelle L.; Bohman, Erin R.; Depeine, Catherine D.; Dalziell, Anastasia H.

2008-01-01

Interpreting receiver responses to on-territory playback of aggressive signals is problematic. One solution is to combine such receiver-perspective experiments with a sender-perspective experiment that allows subjects to demonstrate how their choice of singing strategies is associated with their approach behavior. Here we report the results of a sender-perspective study on the banded wren (Thryothorus pleurostictus), and combine information on context and results of previous receiver-perspective experiments to clarify function. Territorial males were presented with a 5-min playback consisting of song types present in their repertoire. We assessed the degree to which the subjects’ song matching rate, overlapping rate, and song-type versatility were correlated with their approach latency, closeness of approach, latency to first retreat, and time spent close to the speaker. Male age, breeding stage, and features of the playback stimuli were also considered. Song matching was associated with rapid and close approach, consistent with the receiver-perspective interpretation of type matching as a conventional signal of aggressive motivation. Overlapping was associated with earlier retreat, and together with the aversive receiver response to our previous overlapping playback experiment suggests that overlapping is a defensive withdrawal signal. High versatility was associated with slower first retreat from the speaker and high levels of reciprocal matching between subject and playback. Males with fledglings sang with particularly low versatility and approached the speaker aggressively, whereas males with nestlings overlapped more and retreated quickly. Finally, older males matched more but overlapped less. PMID:18392112

Evidence of Macroalgal Colonization on Newly Ice-Free Areas following Glacial Retreat in Potter Cove (South Shetland Islands), Antarctica

PubMed Central

Quartino, María Liliana; Deregibus, Dolores; Campana, Gabriela Laura; Latorre, Gustavo Edgar Juan; Momo, Fernando Roberto

2013-01-01

Climate warming has been related to glacial retreat along the Western Antarctic Peninsula. Over the last years, a visible melting of Fourcade Glacier (Potter Cove, South Shetland Islands) has exposed newly ice-free hard bottom areas available for benthic colonization. However, ice melting produces a reduction of light penetration due to an increase of sediment input and higher ice impact. Seventeen years ago, the coastal sites close to the glacier cliffs were devoid of macroalgae. Are the newly ice-free areas suitable for macroalgal colonization? To tackle this question, underwater video transects were performed at six newly ice-free areas with different degree of glacial influence. Macroalgae were found in all sites, even in close proximity to the retreating glacier. We can show that: 1. The complexity of the macroalgal community is positively correlated to the elapsed time from the ice retreat, 2. Algae development depends on the optical conditions and the sediment input in the water column; some species are limited by light availability, 3. Macroalgal colonization is negatively affected by the ice disturbance, 4. The colonization is determined by the size and type of substrate and by the slope of the bottom. As macroalgae are probably one of the main energy sources for the benthos, an expansion of the macroalgal distribution can be expected to affect the matter and energy fluxes in Potter Cove ecosystem. PMID:23484000

New details about the LGM extent and subsequent retreat of the West Antarctic Ice Sheet from the easternmost Amundsen Sea Embayment shelf

NASA Astrophysics Data System (ADS)

Klages, J. P.; Hillenbrand, C. D.; Kuhn, G.; Smith, J. A.; Graham, A. G. C.; Nitsche, F. O.; Frederichs, T.; Arndt, J. E.; Gebhardt, C.; Robin, Z.; Uenzelmann-Neben, G.; Gohl, K.; Jernas, P.; Wacker, L.

2017-12-01

In recent years several previously undiscovered grounding-zone wedges (GZWs) have been described within the Abbot-Cosgrove palaeo-ice stream trough on the easternmost Amundsen Sea Embayment shelf. These GZWs document both the Last Glacial Maximum (LGM; 26.5-19 cal. ka BP) grounding-line extent and the subsequent episodic retreat within this trough that neighbors the larger Pine Island-Thwaites trough to the west. Here we combine bathymetric, seismic, and geologic data showing that 1) the grounding line in Abbot Trough did not reach the continental shelf break at any time during the last glacial period, and 2) a prominent stacked GZW constructed from six individual wedges lying upon another was deposited 100 km upstream from the LGM grounding-line position. The available data allow for calculating volumes for most of these individual GZWs and for the entire stack. Sediment cores were recovered seawards from the outermost GZW in the trough, and from the individual wedges of the stacked GZW in order to define the LGM grounding-line extent, and provide minimum grounding-line retreat ages for the respective positions on the stacked GZW. We present implications of a grounded-ice free outer shelf throughout the last glacial period. Furthermore, we assess the significance of the grounding-line stillstand period recorded by the stacked GZW in Abbot Trough for the timing of post-LGM retreat of the West Antarctic Ice Sheet from the Amundsen Sea Embayment shelf.

The impact of mindfulness on leadership effectiveness in a health care setting: a pilot study.

PubMed

Wasylkiw, Louise; Holton, Judith; Azar, Rima; Cook, William

2015-01-01

The purpose of this paper is to examine the impact of mindfulness awareness practice (MAP) on mid-level health-care managers' leadership. In total, 11 mid-level health-care managers in eastern Canada took part in an intensive weekend retreat and a follow-up webinar on mindfulness awareness. Perceived stress and leadership effectiveness were assessed pre- and post-intervention (i.e. four and eight weeks). A control group (n=10) also completed the same measures twice. Additionally, informants (n=28) provided assessments of participants' leadership pre- and post-intervention. Follow-up interviews were carried out with eight participants 12-16 weeks post-intervention. In comparison to controls, retreat participants showed significant increases in mindfulness and corresponding decreases in stress that were sustained across eight weeks post-retreat; retreat participants reported significant positive changes in their leadership effectiveness that were corroborated by informants. Qualitative data, however, suggest that sustaining a mindfulness practice presents significant challenges to middle managers in a health care setting. The findings are useful to management working in health services that are plagued by increasing demands and changes. Despite the small sample and lack of random assignment, the pilot data support the efficacy of MAP in improving leadership. Little empirical research supports the claim that MAP enhances leadership. The present study employed a mixed methods approach to address this gap and demonstrates the potential benefits of MAP among mid-level managers.

Plasticity of visual attention in Isha yoga meditation practitioners before and after a 3-month retreat

PubMed Central

Braboszcz, Claire; Cahn, B. Rael; Balakrishnan, Bhavani; Maturi, Raj K.; Grandchamp, Romain; Delorme, Arnaud

2013-01-01

Meditation has lately received considerable interest from cognitive neuroscience. Studies suggest that daily meditation leads to long lasting attentional and neuronal plasticity. We present changes related to the attentional systems before and after a 3 month intensive meditation retreat. We used three behavioral psychophysical tests - a Stroop task, an attentional blink task, and a global-local letter task-to assess the effect of Isha yoga meditation on attentional resource allocation. 82 Isha yoga practitioners were tested at the beginning and at the end of the retreat. Our results showed an increase in correct responses specific to incongruent stimuli in the Stroop task. Congruently, a positive correlation between previous meditation experience and accuracy to incongruent Stroop stimuli was also observed at baseline. We also observed a reduction of the attentional blink. Unexpectedly, a negative correlation between previous meditation experience and attentional blink performance at baseline was observed. Regarding spatial attention orientation as assessed using the global-local letter task, participants showed a bias toward local processing. Only slight differences in performance were found pre- vs. post- meditation retreat. Biasing toward the local stimuli in the global-local task and negative correlation of previous meditation experience with attentional blink performance is consistent with Isha practices being focused-attention practices. Given the relatively small effect sizes and the absence of a control group, our results do not allow clear support nor rejection of the hypothesis of meditation-driven neuronal plasticity in the attentional system for Isha yoga practice. PMID:24376429

Dendrochronology and late Holocene history of Bering piedmont glacier, Alaska

USGS Publications Warehouse

Wiles, G.C.; Post, A.; Muller, E.H.; Molnia, B.F.

1999-01-01

Fluctuations of the piedmont lobe of Bering Glacier and its sublobe Steller Glacier over the past two millennia are reconstructed using 34 radiocarbon dates and tree-ring data from 16 sites across the glaciers' forelands. The general sequence of glacial activity is consistent with well-dated fluctuations of tidewater and land-terminating glaciers elsewhere along the Gulf of Alaska. Extensive forested areas along 25 km of the Bering ice margin were inundated by glacio-lacustrine and glacio-fluvial sediments during a probable ice advance shortly before 500 cal yr A.D. Regrowth of forests followed the retreating ice as early as the 7th century A.D., with frequent interruptions of tree growth due to outwash aggradation. Forests overrun by ice and buried in outwash indicate readvance about 1080 cal yr A.D. Retreat followed, with ice-free conditions maintained along the distal portions of the forefield until the early 17th century after which the ice advanced to within a few kilometers of its outer Neoglacial moraine. Ice reached this position after the mid-17th century and prior to 200 yr ago. Since the early 20th century, glacial retreat has been punctuated by periodic surges. The record from forests overrun by the nonsurging Steller Lobe shows that this western ice margin was advancing by 1250 A.D., reaching near its outer moraine after 1420 cal yr A.D. Since the late 19th century, the lobe has dominantly retreated.

Zooming in and out: Scale dependence of extrinsic and intrinsic factors affecting salt marsh erosion

NASA Astrophysics Data System (ADS)

Wang, Heng; van der Wal, Daphne; Li, Xiangyu; van Belzen, Jim; Herman, Peter M. J.; Hu, Zhan; Ge, Zhenming; Zhang, Liquan; Bouma, Tjeerd J.

2017-07-01

Salt marshes are valuable ecosystems that provide important ecosystem services. Given the global scale of marsh loss due to climate change and coastal squeeze, there is a pressing need to identify the critical extrinsic (wind exposure and foreshore morphology) and intrinsic factors (soil and vegetation properties) affecting the erosion of salt marsh edges. In this study, we quantified rates of cliff lateral retreat (i.e., the eroding edge of a salt marsh plateau) using a time series of aerial photographs taken over four salt marsh sites in the Westerschelde estuary, the Netherlands. In addition, we experimentally quantified the erodibility of sediment cores collected from the marsh edge of these four marshes using wave tanks. Our results revealed the following: (i) at the large scale, wind exposure and the presence of pioneer vegetation in front of the cliff were the key factors governing cliff retreat rates; (ii) at the intermediate scale, foreshore morphology was partially related to cliff retreat; (iii) at the local scale, the erodibility of the sediment itself at the marsh edge played a large role in determining the cliff retreat rate; and (iv) at the mesocosm scale, cliff erodibility was determined by soil properties and belowground root biomass. Thus, both extrinsic and intrinsic factors determined the fate of the salt marsh but at different scales. Our study highlights the importance of understanding the scale dependence of the factors driving the evolution of salt marsh landscapes.

Changes in bacterioplankton community structure during early lake ontogeny resulting from the retreat of the Greenland Ice Sheet.

PubMed

Peter, Hannes; Jeppesen, Erik; De Meester, Luc; Sommaruga, Ruben

2017-10-31

Retreating glaciers and ice sheets are among the clearest signs of global climate change. One consequence of glacier retreat is the formation of new meltwater-lakes in previously ice-covered terrain. These lakes provide unique opportunities to understand patterns in community organization during early lake ontogeny. Here, we analyzed the bacterial community structure and diversity in six lakes recently formed by the retreat of the Greenland Ice Sheet (GrIS). The lakes represented a turbidity gradient depending on their past and present connectivity to the GrIS meltwaters. Bulk (16S rRNA genes) and putatively active (16S rRNA) fractions of the bacterioplankton communities were structured by changes in environmental conditions associated to the turbidity gradient. Differences in community structure among lakes were attributed to both, rare and abundant community members. Further, positive co-occurrence relationships among phylogenetically closely related community members dominate in these lakes. Our results show that environmental conditions along the turbidity gradient structure bacterial community composition, which shifts during lake ontogeny. Rare taxa contribute to these shifts, suggesting that the rare biosphere has an important ecological role during early lakes ontogeny. Members of the rare biosphere may be adapted to the transient niches in these nutrient poor lakes. The directionality and phylogenetic structure of co-occurrence relationships indicate that competitive interactions among closely related taxa may be important in the most turbid lakes.The ISME Journal advance online publication, 31 October 2017; doi:10.1038/ismej.2017.191.

Dynamics of Intersubject Brain Networks during Anxious Anticipation

PubMed Central

Najafi, Mahshid; Kinnison, Joshua; Pessoa, Luiz

2017-01-01

How do large-scale brain networks reorganize during the waxing and waning of anxious anticipation? Here, threat was dynamically modulated during human functional MRI as two circles slowly meandered on the screen; if they touched, an unpleasant shock was delivered. We employed intersubject correlation analysis, which allowed the investigation of network-level functional connectivity across brains, and sought to determine how network connectivity changed during periods of approach (circles moving closer) and periods of retreat (circles moving apart). Analysis of positive connection weights revealed that dynamic threat altered connectivity within and between the salience, executive, and task-negative networks. For example, dynamic functional connectivity increased within the salience network during approach and decreased during retreat. The opposite pattern was found for the functional connectivity between the salience and task-negative networks: decreases during approach and increases during approach. Functional connections between subcortical regions and the salience network also changed dynamically during approach and retreat periods. Subcortical regions exhibiting such changes included the putative periaqueductal gray, putative habenula, and putative bed nucleus of the stria terminalis. Additional analysis of negative functional connections revealed dynamic changes, too. For example, negative weights within the salience network decreased during approach and increased during retreat, opposite what was found for positive weights. Together, our findings unraveled dynamic features of functional connectivity of large-scale networks and subcortical regions across participants while threat levels varied continuously, and demonstrate the potential of characterizing emotional processing at the level of dynamic networks. PMID:29209184

Mind the Gap: Reconstructing the timing and consequences of the blockage of the Humber Gap by the last British-Irish Ice Sheet

NASA Astrophysics Data System (ADS)

Bateman, Mark; Evans, David; Roberts, David; Ely, Jeremy; Medialdea, Alicia; Clark, Chris

2017-04-01

The Eastern England terrestrial glacial sequences are critical to the spatial and temporal reconstruction of the last British-Irish Ice sheet (BIIS). Understanding the Humber Gap area is key as its blockage by ice created the extensive proglacial lakes. Here we use the glacial geomorphology and luminescence based chronologies from the Humber Gap region to establish the extent and thickness of the North Sea Lobe (NSL) of the BIIS. From this we establish the initial maximal ice advance occurred regionally at 21.2 ka. The NSL retreated off-shore 18 ka (Stage 2). Punctuated in stages in the south of the region whilst in the north retreat was initially rapid before a series of near synchronous ice-advances occurred at 16.8 ka (Stage 3). Full withdrawal of BIIS ice occurred prior to 15 ka (Stage 4). Geomorphic mapping and stratigraphy confirms the existence of a proto Lake Humber in Stage 1 which persisted to Stage 3 expanding eastward as the NSL ice retreated. It appears wherever during the advance and retreat of the NSL ice encountered low topography and reverse gradients proglacial lakes commonly formed. These lakes through ice draw down and associated streaming/surging may in part explain the dynamism of the parts of the NSL. The above record of ice-dammed lakes provides an analogue for now off-shore parts of the BIIS where it advanced as number of asynchronous lowland lobes.

Postglacial trends of hillslope development in two glacially formed mountain valleys in western Norway

NASA Astrophysics Data System (ADS)

Laute, K.; Beylich, A. A.

2012-04-01

Although rockfall talus slopes occur in all regions where rock weathering products accumulate beneath rock faces and cliffs, they are particularly common in glacially formed mountain landscapes. The retreat of glacier ice from glaciated valleys which have probably experienced oversteepening of rock slopes by glacial erosion causes paraglacial destabilization of the valley sidewalls related to stress-relief, unloading, frost weathering and / or degradation of mountain permafrost. Large areas of the Norwegian fjord landscapes are occupied by hillslopes which are owned by the influences of the glacial inheritance of the last glacial maximum (LGM). This study focuses on Postglacial trends of hillslope development in two glacially formed mountain valleys in western Norway (Erdalen and Bødalen). The research is part of a doctoral thesis, which is integrated in the Norwegian Research Council (NFR) funded SedyMONT-Norway project within the ESF TOPO-EUROPE SedyMONT (Timescales of sediment dynamics, climate and topographic change in mountain landscapes) Programme. The main aspects addressed in this study are: (i) the spatio-temporal variability of denudative slope processes over the Holocene and (ii) the Postglacial modification of the glacial relief. The applied process-based approach includes detailed geomorphological fieldmapping combined with terrestrial laser scans (LIDAR) of slope deposits in order to identify possible deposition processes and their spatial variability, relative dating techniques (tree rings and lichens) to analyze subrecent temporal variations, detailed surface mapping with additional geophysical subsurface investigations to estimated regolith thicknesses as well as CIR- and orthophoto delineation combined with GIS and DEM computing for calculating estimates of average valley-wide rockwall retreat rates. Results show Holocene rockwall retreat rates for the two valleys which are in a comparable range with other estimates of rockwall retreat rates in other cold mountain environments worldwide. Further on the results indicate probably higher accumulation rates of slope deposits mainly throughout an enhanced rockfall activity shortly after the glacier retreat (at about 10.000 yr BP) as compared to subrecent and contemporary rates. The overall tendency of landscape development is a Postglacial modification of the defined U-shaped valley morphometry (valley widening) throughout rockwall retreat and connected accumulation of debris material beneath these rockwalls. Active fluvial material removal at the base of slopes is almost negligible due to a very limited hillslope-channel coupling in both valleys. So far, the glacially sculptured relief has not adapted to the denudative surface processes occurring under recent environmental conditions.

Retreatment of hepatitis C patients with pegylated interferon combined with ribavirin in non-responders to interferon plus ribavirin. Is it different in real life?

PubMed

Gonçales, Fernando L; Moma, Camila A; Vigani, Aline G; Angerami, Adriana F C F; Gonçales, Eduardo S L; Tozzo, Raquel; Pavan, Maria H P; Gonçales, Neiva S L

2010-07-20

More than 50% of hepatitis C viruses (HCV)-infected patients do not respond to the classical Interferon (IFN)/Ribavirin (RBV) combination therapy. The aim of this study was to evaluate the efficacy of retreatment with Peg-Interferon alpha-2b (PEG-IFN alpha-2b) plus RBV, in patients with HCV, genotypes 1 or 3, who were non-responders to the previous standard treatment with IFN/RBV. In the period 2005-2007, a total of 238 HCV chronic patients were non-responders to previous treatment with IFN plus RBV. Of these 130 agreed to be retreated with PEG-IFN alpha-2b and participated in this evaluation (90 with genotype 1 HCV and 40 with genotype 3 HCV). Patients were retreated at assisted IFN application hubs in compliance with the country's public health system rules. They received subcutaneous PEG-IFN alpha-2b, 1.5 microg, once weekly, associated with RBV, through the oral route, with doses determined according to weight (1,000 mg if weight 75 kg). Patients with genotype 1 HCV were retreated for over 48 weeks and patients with genotype 3 HCV for over 24 weeks. HCV-RNA was tested by polymerase chain reaction (PCR) at baseline, at week 12, at the end of the treatment, and 6 months thereafter. The predictiveness of week 12 in the development of a sustained virologic response (SVR) was also evaluated. Patients with negative HCV-RNA at week 12 were considered as early virologic responders (EVR). EVR was observed in 25% of the patients with genotype 1 HCV and in 64% of the patients genotype 3 HCV (risk = 2.075 and p-value = 0.0414). SVR was observed in 22.2% of the patients with genotype 1 HCV and in 40% with genotype 3 HCV (intention-to-treat analysis). The positive predictive value (PPV) of the HCV-RNA testing at week 12, in order to obtain the SVR, was 65% for genotype 1 and 56% for genotype 3, and the negative predictive value (NPV) was 88% for genotype 1 and 89% for genotype 3. PEG-IFN alpha-2b plus weight-based ribavirin is effective in re-treating previous interferon-alpha plus RBV failure; 22.2% of the patients with genotype 1 HCV and 40% of patients with genotype 3 HCV achieved SVR.

Retreatment of hepatitis C patients with pegylated interferon combined with ribavirin in non-responders to interferon plus ribavirin. Is it different in real life?

PubMed Central

2010-01-01

Background More than 50% of hepatitis C viruses (HCV)-infected patients do not respond to the classical Interferon (IFN)/Ribavirin (RBV) combination therapy. The aim of this study was to evaluate the efficacy of retreatment with Peg-Interferon alpha-2b (PEG-IFN alpha-2b) plus RBV, in patients with HCV, genotypes 1 or 3, who were non-responders to the previous standard treatment with IFN/RBV. Methods In the period 2005-2007, a total of 238 HCV chronic patients were non-responders to previous treatment with IFN plus RBV. Of these 130 agreed to be retreated with PEG-IFN alpha-2b and participated in this evaluation (90 with genotype 1 HCV and 40 with genotype 3 HCV). Patients were retreated at assisted IFN application hubs in compliance with the country's public health system rules. They received subcutaneous PEG-IFN alpha-2b, 1.5 μg, once weekly, associated with RBV, through the oral route, with doses determined according to weight (1,000 mg if weight ≤ 75 kg and 1,250 mg if > 75 kg). Patients with genotype 1 HCV were retreated for over 48 weeks and patients with genotype 3 HCV for over 24 weeks. HCV-RNA was tested by polymerase chain reaction (PCR) at baseline, at week 12, at the end of the treatment, and 6 months thereafter. The predictiveness of week 12 in the development of a sustained virologic response (SVR) was also evaluated. Patients with negative HCV-RNA at week 12 were considered as early virologic responders (EVR). Results EVR was observed in 25% of the patients with genotype 1 HCV and in 64% of the patients genotype 3 HCV (risk = 2.075 and p-value = 0.0414). SVR was observed in 22.2% of the patients with genotype 1 HCV and in 40% with genotype 3 HCV (intention-to-treat analysis). The positive predictive value (PPV) of the HCV-RNA testing at week 12, in order to obtain the SVR, was 65% for genotype 1 and 56% for genotype 3, and the negative predictive value (NPV) was 88% for genotype 1 and 89% for genotype 3. Conclusions PEG-IFN alpha-2b plus weight-based ribavirin is effective in re-treating previous interferon-α plus RBV failure; 22.2% of the patients with genotype 1 HCV and 40% of patients with genotype 3 HCV achieved SVR. PMID:20646277

Glacier retreat of the Tian Shan and its impact on the urban growth and environment evaluated from satellite remote sensing data

NASA Astrophysics Data System (ADS)

Fu, B. H.; Guo, Q.; Yan, F.; Zhang, J.; Shi, P. L.; Ayinuer, M.; Xue, G. L.

2017-07-01

The retreat of mountain glaciers, notably in high Asia, provides evidence for the rise of global temperature. The mass balance is vital for the health of a glacier. If the amount of frozen precipitation in the accumulation zone exceeds the quantity of glacial ice loss due to melting or lies in the ablation zone, the glacier will advance. Conversely, if the accumulation is less than the ablation, the glacier will retreat. Glaciers in retreat will have negative mass balances, and if they do not reach an equilibrium between accumulation and ablation, will eventually disappear. Long-term changes of the mountain glaciers in the Tian Shan, Central Asia, are not well constrained. Analyses of satellite remote sensing data combined with the ground observations reveal a 37.5% decline of glaciered area from 1989 to 2014 in No.1 Glacier, the headwaters of the Urumqi River basin, Chinese Tian Shan, which could be linked to increased summer melting. The results show that the area of glaciers was reduced from 31.55 km2 in 18 August 1989 to 28.66 km2 in 24 August 1994 and 19.74 km2 in 31 August 2014. The glacier area was reduced by 0.47 km2/per year in recent 25 years since 1989, and the annual reduction was 1.5%. Meanwhile, the urban area of Urumqi, the biggest city of Xinjiang Uygur Autonomous Region, increased from 156 km2 in 1989 to 555 km2 in 2014. Correspondingly, the population of permanent residents increased from 1.06 million in 1989 to 3.53 million in 2014. We suggest that the decline of glacier area is driven primarily by summer melting and, possibly, linked to the combined effects of the global rise in temperatures and black carbon/CO2 emission from coal-fired power plants, cement plants and petroleum chemical plants from the nearby Urumqi and surrounding regions. The continuing retreat of glaciers will have a number of different quantitative impacts. Populations in the arid Central Asia regions are heavily dependent on snow and glacier melt for their irrigation and drinking supplies. A continuation of the current retreat will eventually deplete the glacial ice and substantially reduce or eliminate runoff. It will also affect the availability of fresh water for mountain recreation, animals and plants that depend on glacier-melting.

Sediment connectivity evolution on an alpine catchment undergoing glacier retreat

NASA Astrophysics Data System (ADS)

Goldin, Beatrice; Rudaz, Benjamin; Bardou, Eric

2014-05-01

Climate changes can result in a wide range of variations of natural environment including retreating glaciers. Melting from glaciers will have a significant impact on the sediment transport characteristics of glacierized alpine catchments that can affect downstream channel network. Sediment connectivity assessment, i.e. the degree of connections that controls sediment fluxes between different segments of a landscape, can be useful in order to address management activity on sediment fluxes changes of alpine streams. Through the spatial characterization of the connectivity patterns of a catchment and its potential evolution it is possible to both define sediment transport pathways and estimate different contributions of the sub-catchment as sediment sources. In this study, a topography based index (Cavalli et al., 2013) has been applied to assess spatial sediment connectivity in the Navisence catchment (35 km2), an alpine basin located in the southern Walliser Alps (Switzerland) characterized by a complex glacier system with well-developed lateral moraines on glacier margins already crossed by several lateral channels. Glacier retreat of the main glacial edifice will provide a new connectivity pattern. At present the glacier disconnects lateral slopes from the main talweg: it is expected that its retreat will experience an increased connectivity. In order to study this evolution, two high resolution (2 m) digital terrain models (DTMs) describing respectively the terrain before and after glacier retreat have been analyzed. The current DTM was obtained from high resolution photogrammetry (2 m resolution). The future DTM was derived from application of the sloping local base level (SLBL) routine (Jaboyedoff et al., 2004) on the current glacier system, allowing to remove the ice body by reconstituting a U-shaped polynomial bedrock surface. From this new surface a coherent river network was drawn and slight random noise was added. Finally the river network was burned into the rough surface of the SLBL results. The impact of sediment dynamic changes on the study catchment due to glacier retreat has been assessed by comparing predictions deriving from model application on different scenarios. Simulations allowed the analysis of sediment connectivity evolution over decade scales suggesting an increase of potential sediment transfer and connections in areas close to the main channel network. References: Cavalli, M., Trevisani, S., Comiti, F., Marchi, L., 2013. Geomorphometric assessment of spatial sediment connectivity in small Alpine catchments. Geomorphology 188, 31-41. Jaboyedoff M., Bardou E., Derron M.-H. 2004. Sloping local base level: a tool to estimate potential erodible volume and infilling alluvial sediment of glacial valleys. Swiss Geo-Scientists meeting, November 2004, Lausanne.

Impact of treatment and re-treatment with artemether-lumefantrine and artesunate-amodiaquine on selection of Plasmodium falciparum multidrug resistance gene-1 polymorphisms in the Democratic Republic of Congo and Uganda

PubMed Central

Mavoko, Hypolite Muhindo; Nabasumba, Carolyn; Francis, Filbert; Lutumba, Pascal; Alifrangis, Michael; Van geertruyden, Jean-Pierre

2018-01-01

Background The emergence of resistance against artemisinin combination treatment is a major concern for malaria control. ACTs are recommended as the rescue treatment, however, there is limited evidence as to whether treatment and re-treatment with ACTs select for drug-resistant P. falciparum parasites. Thus, the purpose of the present study is to investigate the impact of (re-)treatment using artesunate-amodiaquine (ASAQ) and artemether-lumefantrine (AL) on the selection of P. falciparum multidrug resistance-1 (Pfmdr1) alleles in clinical settings. Methods P. falciparum positive samples were collected from children aged 12–59 months in a clinical trial in DR Congo and Uganda. Pfmdr1 single nucleotide polymorphisms (SNPs) analysis at codons N86Y, Y184F, and D1246Y were performed at baseline and post-treatment with either AL or ASAQ as a rescue treatment using nested PCR followed by restriction fragment length polymorphism (RFLP) assays. Results The pre-treatment prevalence of Pfmdr1 N86 and D1246Y varied significantly between the sites, (p>0.001) and (p = 0.013), respectively. There was borderline significant directional selection for Pfmdr1 184F in recurrent malaria infections after treatment with AL in Uganda site (p = 0.05). Pfmdr1 NFD haplotype did not significantly change in post-treatment infections after re-treatment with either AL or ASAQ. Comparison between pre-treatment and post-treatment recurrences did not indicate directional selection of Pfmdr1 N86, D1246 alleles in the pre-RCT, RCT and post-RCT phases in both AL and ASAQ treatment arms. Pfmdr1 86Y was significantly associated with reduced risk of AL treatment failure (RR = 0.34, 95% CI:0.11–1.05, p = 0.04) while no evidence for D1246 allele (RR = 1.02; 95% CI: 0.42–2.47, p = 1.0). Survival estimates showed that the Pfmdr1 alleles had comparable mean-time to PCR-corrected recrudescence and new infections in both AL and ASAQ treatment arms. Conclusion We found limited impact of (re-)treatment with AL or ASAQ on selection for Pfmdr1 variants and haplotypes associated with resistance to partner drugs. These findings further supplement the evidence use of same or alternative ACTs as a rescue therapy for recurrent P.falciparum infections. Continued monitoring of genetic signatures of resistance is warranted to timely inform malaria (re-)treatment policies and guidelines. PMID:29390014

Polar Cap Retreat

NASA Technical Reports Server (NTRS)

2004-01-01

13 August 2004 This red wide angle Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows a view of the retreating seasonal south polar cap in the most recent spring in late 2003. Bright areas are covered with frost, dark areas are those from which the solid carbon dioxide has sublimed away. The center of this image is located near 76.5oS, 28.2oW. The scene is large; it covers an area about 250 km (155 mi) across. The scene is illuminated by sunlight from the upper left.

Migration Reversals in Grain-size Transitions to Shoreline

NASA Astrophysics Data System (ADS)

Baumanis, C.; Kim, W.

2015-12-01

The migration of the lithofacies boundary recorded in the sedimentary record is key to interpreting changes in depositional environments. Change in grain size in the stratigraphic record is one of the most recognizable physical lithological features. Advance and retreat of the lithofacies boundary (gravel-sand transition) is attributed to external control variation, e.g., climate variation, sea-level change, and tectonic subsidence. While most models focus on predicting the response of the fluviodeltaic shoreline to these forcings, none have thoroughly incorporated the migration of grain-size transitions (GST) that coevolve within the fluviodeltaic system. We present a delta evolution model that treats the shoreline and GST as moving boundaries to provide quantitative understanding of the dynamic interaction between the external boundary (shoreline) and the internal lithofacies boundaries (GSTs) under relative sea-level rise. We tested a range of relative sea-level rise rates in the model. The shoreline and GST gradually reduced their progradation rates and eventually retreated landward as the fluviodeltaic topset and foreset elongated. However, their timings of retreats were different, resulting in a counterintuitive case for a quicker retreat of GST while the shoreline still continued to advance. A series of scaled flume experiments with a sand and crushed walnut sediment mixture captured the same behaviors of these two moving boundaries. We found that GST experienced higher relative sea-level rise rates that scale with the downstream river slope and the shoreline progradation rate, which caused earlier GST retreat timing in comparison to the shoreline. Time series data from the experiments show higher natural variability in migration rate of GST compared to that of the shoreline. Therefore, final recorded stratigraphy displayed a GST trajectory as a shazam line that shows zigzag fluctuations. This study investigates autogenic processes acting on the fluviodeltaic surface and tests their stratigraphic architecture recorded in the trajectories. The fundamental understanding of migration of both the lithofacies transition and shoreline in fluviodeltaic systems from this study will aid in accurately assessing the trajectories of GST in sedimentary strata as a proxy for environmental change.

The detection of periapical pathoses using digital periapical radiography and cone beam computed tomography in endodontically retreated teeth - part 2: a 1 year post-treatment follow-up.

PubMed

Davies, A; Patel, S; Foschi, F; Andiappan, M; Mitchell, P J; Mannocci, F

2016-07-01

Part 2 of this prospective clinical study aimed to compare the 1-year outcome of root canal retreatments, when individual roots and teeth were assessed by periapical radiographs and cone beam computed tomography (CBCT). Subjects participating in this study had been referred for management of an endodontic problem associated with one or more root filled teeth. Root canal retreatment was performed by Specialists or postgraduate students under the direct supervision of Specialist endodontic staff. A total of 98 teeth (84 patients) were reassessed clinically and radiographically 1 year after completion of root canal retreatment. The postoperative periapical radiographs and CBCT scans were compared with their respective pre-treatment (diagnostic) periapical radiographs and CBCT scans. The increase or decrease in size of existing periapical radiolucencies and development of new radiolucencies were assessed by a consensus panel consisting of two calibrated examiners. They also determined an appropriate management plan for each case based on the radiographical findings. Comparison of the outcome diagnosis of individual roots and teeth and case management, when assessed by periapical radiographs and CBCT scans, was performed using chi-squared and McNemar's tests. An overall favourable result of 93% success for teeth (96% roots) was recorded when the assessment was undertaken by periapicals compared with 77% success for teeth (87% roots) when assessed by CBCT. A significant difference in outcome diagnosis of single paired roots (P < 0.0001) and teeth (P = 0.0001) was observed when comparing periapicals to CBCT for the cohort of teeth as a whole. When comparing the future management plan on the basis of radiographic information alone, there was a significant difference between periapicals and CBCT-based management (P = 0.01). Diagnosis using CBCT revealed a significantly lower number of favourable outcomes than periapicals in root canal retreatment. This significantly affected the future management of cases attending for a review. © 2015 International Endodontic Journal. Published by John Wiley & Sons Ltd.

The Continued Demise of Columbia Glacier: Insights On Dynamic Change

NASA Astrophysics Data System (ADS)

Enderlin, E. M.; Hamilton, G. S.; O'Neel, S.; Bartholomaus, T. C.

2016-12-01

Columbia Glacier, Alaska, has served as the archetype for the retreat phase of the tidewater glacier cycle for the past three decades. Since the mid-1980s, the terminus has retreated 16 kilometers and the two major tributaries have thinned by > 400 m. This retreat and thinning led to separation of the tributaries in the late 2000s. Since their separation, the tributaries have exhibited strikingly different dynamic behaviors over seasonal to inter-annual time scales as they continue to adjust to the long-term changes in glacier geometry. Here we use a combination of ground, airborne, and satellite remote sensing datasets to characterize the dynamic behavior of the Columbia Glacier system. We focus on the time period following tributary separation, when the observational record is most abundant, but also investigate longer-term changes in dynamics such as the reorganization of ice flow in the eastern tributary (Figure 1). From the mid 2000s through 2012, the tributaries thinned at comparable rates ( 25 m/yr) based on repeat DEM differencing. Their behavior diverged in 2012, when the eastern tributary appeared to stabilize but the western tributary continued its sustained thinning trend. Thinning resumed along the eastern tributary in late 2013, and was accompanied by modest terminus retreat and acceleration. In contrast, the rate of thinning dramatically increased along the western tributary as it began to rapidly retreat in late 2013. These changes coincided with the three-fold increase in flow speed and pronounced increase in iceberg discharge from the western tributary. Although variations in the timing and magnitude of the recent dynamic changes can be at least partially explained by differences in the geometries of the tributaries, the dynamic behavior of Columbia Glacier's major tributaries is unlikely to be totally independent of environmental perturbations (i.e., entirely driven by the long-term dynamic adjustment). To assess the influence of environmental perturbations on the dynamic behavior of the glacier, we compare weekly to multi-year changes in glacier dynamics constructed from our airborne and satellite remotely-sensed datasets to time series of frontal ablation (i.e., submarine melting and iceberg calving) and surface mass balance compiled from ground-based observations.

Identifying the behavioural characteristics of clay cliffs using intensive monitoring and geotechnical numerical modelling

NASA Astrophysics Data System (ADS)

Quinn, J. D.; Rosser, N. J.; Murphy, W.; Lawrence, J. A.

2010-08-01

Coastal monitoring is routinely undertaken to provide an archival record of cliff-line movement that can be used in the development and validation of predictive coast retreat and evolution models. However, coastal monitoring is often purely quantitative in nature, and financial necessity requires deployment over extensive coastal sections. As a result, for local site conditions in particular, only limited geomorphological data are available or included during the development of such predictive models. This has resulted in many current models incorporating a simplistic or generalised representation of cliff behaviour, an approach that progressively loses local credibility when deployed over extensive heterogeneous coastlines. This study addresses this situation at a site of extreme coastline retreat, Holderness, UK, through the application of intensive monitoring of six representative cliff sections nested within a general geomorphological appraisal of the wider coastline as a whole. The data from these surveys have been used to validate a finite difference-based geotechnical modelling assessment of clay cliff stability. Once validated, the geotechnical model was used to simulate a range of scenarios that were sufficient to represent the range of topographic, hydrogeological, geological, and littoral conditions exhibited throughout the region. Our assessment identified that the cliff retreat occurs through the combined influence of direct marine erosion of the cliff, with shallow, structurally controlled failures or substantial mass failures. Critically, the predisposition to any one of these failure mechanisms arises principally as a result of initial cliff height. The results of the numerical modelling have been combined into an empirical slope model that derives the rate of landslide-induced retreat that would arise from mass failures under various future scenarios. Results of this study can be used in the selection and development of retreat models at coastlines of similar physiographic setting to that found at Holderness. The results represent a key step in linking material deformation properties to the processes of cliff change and the subsequent range of landforms found on clay cliffs. As such, the results could also be used more generally to illustrate the likely cliff behaviour of other soft rock coastlines.

Frequency, triggering factors and possible consequences of mass movements on outlet glaciers in Iceland.

NASA Astrophysics Data System (ADS)

Saemundsson, Thorsteinn; Margeirsson, Guðbjörn

2016-04-01

During the last 15 years several mass movements of various size and origin, e.g. rock avalanches, rock slides and debris slides have been observed to have fall on outlet glaciers in Iceland. This should not come as a surprise in this type of glacial environment, but in a way it does. When looking at the history only few mass movements are recorded to have fall on outlet glaciers in Iceland, during the decades before the year 2000 or since 1960. This "lack of mass movements" can be explained by the fact that fewer observations and monitoring were done in the past, but is it so or are we seeing increasing activity? Looking at the distribution of the known mass movements, two activity periods cam be identified. The former one around 1970 and the second one starting around 2000 and is still ongoing. Both of these periods are characterized by warmer climate leading to retreating phases of glaciers. Two larger mass movements are known from these two retreating periods. The former one occurred in January 1967. Then a large rockslide fell on the snout and into the glacial lake of the Steinholtsjökull outlet glacier in the northern side of the Eyjafjallajökull ice cap. The rockslide broke up the snout of the glacier and caused large floodwave bursting down the Steinholtsdalur valley transporting large volume of sediments down its path. The later one occurred in 2007, when a large rockavalanche fell on the Morsárjökull outlet glacier, in the southern side of the Vatnajökull ice cap. The avalanche debris covered around 1/5 of the glacier surface. Today the retreat and thinning of glaciers in Iceland are extremely rapid. The consequences of such a rapid retreat are e.g. unstable valley slopes surrounding the outlet glaciers, both in loose sediments and bedrock, thawing of mountain permafrost and not least formation of glacial lakes in front of the rapid retreating ice margins. Such conditions can become extremely hazardous, as seen by the above mentioned examples, both for all infrastructure but not least for the rapidly increasing tourism in Iceland.

Differences in the clinical-epidemiological profile between new cases of tuberculosis and retreatment cases after default.

PubMed

Belchior, Aylana de Souza; Arcêncio, Ricardo Alexandre; Mainbourg, Evelyne Marie Therese

2016-01-01

To identify the socioeconomic and clinical-epidemiological factors related to tuberculosis in new cases and retreatment cases. Comparative study with 126 patients, of which 42 were retreatment cases after default attended in a reference center, and 84 were new cases completing the first treatment and treated in Basic Health Units. The collection of primary data was through interview, and of secondary data by records of the Notifiable Diseases Information System. Comparative analysis between the two groups. The new cases differ from retreatment cases regarding educational level. The clinical-epidemiological profile shows a significant difference in relation to performance of the tuberculin skin test, and the HIV test result (positive) in favor of new cases. In relation to performance of sputum culture and the result (positive) of the first sputum smear of the first and second samples, in favor of retreatment cases. The two groups are significantly different in clinical and epidemiological characteristics that show the access to exams. Identificar fatores socioeconômicos e clínico-epidemiológicos associados à tuberculose em casos novos e em casos em retratamento. Estudo comparativo de 126 pacientes, sendo 42 casos em retratamento por abandono atendidos num Centro de Referência e 84 casos novos concluindo o primeiro tratamento, atendidos em Unidades Básicas de Saúde. Levantamento de dados primários por entrevista e dados secundários pela Ficha de Informação de Agravos de Notificação. Análise comparativa entre os dois grupos. Os casos novos diferem dos em retratamento quanto à escolaridade. O perfil clínico-epidemiológico mostra que há diferença significativa quanto à realização do teste tuberculínico e o resultado do teste HIV (positivo) a favor dos casos novos. Quanto à realização da cultura de escarro e o resultado (positivo) da baciloscopia de escarro da primeira e da segunda amostras, a favor dos casos em retratamento. Os dois grupos diferem significativamente por características clínico-epidemiológicas que retratam o acesso a exames.

Reassessment of Colombia's tropical glaciers retreat rates: are they bound to disappear during the 2010-2020 decade?

NASA Astrophysics Data System (ADS)

Poveda, G.; Pineda, K.

2009-12-01

Clear-cut evidences of global environmental change in Colombia are discussed for diverse hydro-climatic records, and illustrated herein for increasing minimum temperature and decreasing annual maximum river flows records. As a consequence, eight tropical glaciers disappeared from the Colombian Andes during the 20th century, and the remaining six have experienced alarming retreat rates during the last decade. Here we report an updated estimation of retreat rates in the six remaining glacierized mountain ranges of Colombia for the period 1987-2007, using Landsat TM and TM+ imagery. Analyses are performed using detailed pre-processing, processing and post-processing satellite imagery techniques. Alarming retreat rates are confirmed in the studied glaciers, with an overall area shrinkage from 60 km2 in 2002, to 55.4 km2 in 2003, to less than 45 km2 in 2007. Assuming such linear loss rate (~3 km2 per year), for the near and medium term, the total collapse of the Colombian glaciers can be foreseen by 2022, but diverse physical mechanisms discussed herein would exacerbate the shrinkage processes, thus prompting us to forecast a much earlier deadline by the late 2010-2020 decade, long before the 100 years foreseen by the 2007 IPCC Fourth Assessment Report. This forecast demands detailed monitoring studies of mass and energy balances. Our updated estimations of Colombia's glacier retreat rates posse serious challenges for highly valuable ecosystem services, including water supply of several large cities and hundreds of rural settlements along the Colombian Andes, but also for cheap and renewable hydropower generation which provides 80% of Colombia's demand. Also, the identified changes threaten the survivability of unique and fragile ecosystems like paramos and cloud forests, in turn contributing to exacerbate social unrest and ongoing environmental problems in the tropical Andes which have been identified as the most critical hotspot for biodiversity on Earth. Colombia requires support from the global adaptation fund to develop research, and to design policies, strategies and tools to cope with these urgent social and environmental threats.

Reconstruction of the Final Phases of Activity and Retreat of the North Sea Lobe Ice Stream during the Late Devensian

NASA Astrophysics Data System (ADS)

Grimoldi, E.; Roberts, D. H.; Evans, D. J. A.; Stewart, H. A.; Sejrup, H. P.; Hjelstuen, B. O. B.; Haflidason, H.; Clark, C.

2016-12-01

The deglacial history of the former eastern margin of the last British and Irish Ice Sheet (BIIS) is still poorly understood, particularly in the western North Sea basin. The North Sea Lobe (NSL) affected the area, although gaps remain in our knowledge of the geomorphological and sedimentary imprint that the ice stream left on the seafloor and, more importantly, of its way of final retreat. In this work we analyse new high-resolution multibeam bathymetry, 2D seismic profiles and five vibro-cores, collected in the western North Sea in collaboration with the Britice-Chrono project, and provide new insights on the seafloor geomorphology and acoustic and lithological facies that characterize the Quaternary sediments of the area. The presence of bedrock-cored lineations orientated WNW-ESE to NW-SE indicates that the NSL was fed by the Forth ice stream which moved offshore from southern Scotland. Moraine ridges and two grounding zone wedges, perpendicular to the lineations, suggest that the NSL underwent different phases of stillstand/readvance and retreated towards the north-west. Five acoustic facies (AF) were identified, four of which are found on top of pre-Quaternary strata (AF 1), though their lateral extension is discontinuous. They are interpreted to represent glacigenic diamicts (AF 2 and 3), that are overlain by glacimarine (AF 4) and by Holocene deposits (AF 5). The vibro-cores penetrate in depth until reaching the top of AF 3. This facies correlates to the diamictic sediments observed in the cores, which are characterized by soft silts and clays and abundant clasts. The glacimarine sediments generally appear as highly laminated silts and clays with dropstones that usually become less frequent going upwards in the cores. These sediments are also characterized by foraminifera species associated with glacial environments. Foraminifera tests were dated within the galcimarine sequences in two cores and will help constrain the timing of ice retreat. By compiling all the available datasets, we suggest that the NSL flew sub-parallel to the coasts of eastern England during the Late Devensian and underwent different phases of stillstands/readvances that indicate a slow retreat towards land.

Learning that leads to action: impact and characteristics of a professional education approach to improve the care of critically ill children and their families.

PubMed

Solomon, Mildred Z; Browning, David M; Dokken, Deborah L; Merriman, Melanie P; Rushton, Cynda H

2010-04-01

To determine the impact of an innovative professional educational approach on clinicians' confidence and ability to make institutional improvements in pediatric palliative care. Evaluation to assess impact of educational intervention on participants and participant institutions. Retreats lasting 2.5 days. Physicians, nurses, psychosocial staff, and bereaved parents. "Relational learning across boundaries" pedagogy. Analysis of participant questionnaires (n = 782, response rate of 84%), team leader surveys (n = 72, response rate of 71%), and follow-up interview with subsample (n = 21, response rate of 81%). Outcomes included confidence to act and institutional improvements achieved. Seventy-four percent of team leaders reported significant or moderate improvement in pediatric palliative care after the retreat; only 1% reported no improvement. Ninety-one percent credited the retreat experience as being somewhat or very instrumental to the improvements, which included the establishment of pediatric palliative care and bereavement programs, improvements in interdisciplinary communication, care coordination, clinician-family interaction at the bedside, and educational programs. Participants attributed the impact of the 2.5-day retreat to its key pedagogical features, involvement of family members as equal participants and participation of colleagues from other disciplines and care settings, as well as the ground rules used for the small group seminars. The intervention was successful in improving clinicians' confidence and catalyzed improvements in pediatric palliative care within participating institutions. Relational learning holds promise for professional learning, especially when the educational goal is tied to enabling a shift in social and ethical norms.

Exploring tidewater glacier retreat using past and current observations at Columbia Glacier, Alaska. (Invited)

NASA Astrophysics Data System (ADS)

O'Neel, S.; Pfeffer, W. T.; Howat, I. M.; Conway, H.; Columbia Glacier Consortium

2010-12-01

Since fulfilling Austin Post’s prediction of impending retreat in the late 1970s, Columbia Glacier has repeatedly surprised both casual and careful observers with its ability for rapid change. Over the last three decades, Columbia Glacier has lost approximately 18 km of its original 66 km length, while thinning by approximately 50% at the present terminus. The total ice volume lost to the Gulf of Alaska Estimates upwards of 120 km3 constrain the total ice volume lost to the Gulf of Alaska. Recently, the terminus supported a ~1.5 km long floating tongue for over than a year, contradicting the common assumption that the mechanical properties of temperate ice prohibit flotation over sustained time intervals. The rich history of study offers an opportunity to better understand tidewater glacier retreat, and a valuable analog to the dynamic instability underway at several ice sheet outlet glaciers. Current research aims to improve processing resolution of existing aerial photographic data, while complimenting the 30-year photogrammetric record with a suite of field observations. Recent instrumentation includes: oblique time lapse and still imagery, semi-permanent GPS, airborne radar, mass balance, passive seismology and LiDAR. This presentation will focus on innovative methods developed in recent field seasons, sharing insight each has provided into the retreat process . 1The Columbia Glacier Consortium consists of: Fabian Walter (SIO), Kenichi Matsuoka (NPI), Ben Smith (UW), Ethan Welty (CU-Boulder), Chris Larsen (UAF), Dave Finnegan (CRREL), Dan McNamara (USGS), Yushin Ahn (OSU), Julie Markus (OSU), Adam LeWinter (EIS).

Ice-Sheet Glaciation of the Puget lowland, Washington, during the Vashon Stade (late pleistocene)

USGS Publications Warehouse

Thorson, R.M.

1980-01-01

During the Vashon Stade of the Fraser Glaciation, about 15,000-13,000 yr B.P., a lobe of the Cordilleran Ice Sheet occupied the Puget lowland of western Washington. At its maximum extent about 14,000 yr ago, the ice sheet extended across the Puget lowland between the Cascade Range and Olympic Mountains and terminated about 80 km south of Seattle. Meltwater streams drained southwest to the Pacific Ocean and built broad outwash trains south of the ice margin. Reconstructed longitudinal profiles for the Puget lobe at its maximum extent are similar to the modern profile of Malaspina Glacier, Alaska, suggesting that the ice sheet may have been in a near-equilibrium state at the glacial maximum. Progressive northward retreat from the terminal zone was accompanied by the development of ice-marginal streams and proglacial lakes that drained southward during initial retreat, but northward during late Vashon time. Relatively rapid retreat of the Juan de Fuca lobe may have contributed to partial stagnation of the northwestern part of the Puget lobe. Final destruction of the Puget lobe occurred when the ice retreated north of Admiralty Inlet. The sea entered the Puget lowland at this time, allowing the deposition of glacial-marine sediments which now occur as high as 50 m altitude. These deposits, together with ice-marginal meltwater channels presumed to have formed above sea level during deglaciation, suggest that a significant amount of postglacial isostatic and(or) tectonic deformation has occurred in the Puget lowland since deglaciation. ?? 1980.

Postoperative pain after endodontic retreatment: single- versus two-visit treatment.

PubMed

Yoldas, Oguz; Topuz, Aysin; Isçi, A Sehnaz; Oztunc, Haluk

2004-10-01

The purpose of this clinical study was to determine the effect of 1- or 2-visit root canal treatment on the postoperative pain in the retreatment cases. Two hundred eighteen cases that required retreatment were included in the study. Obturated and unfilled canal space and the status of periapical tissues were evaluated according to the PAI index. The patients were subcategorized in regard to the presence or the absence of preoperative pain. Approximately half of each category was treated in 1 appointment. After removing the previous root canal obturation materials and biomechanic preparation of root canals, the teeth in the 1-visit group were obturated at the first appointment by using AH 26 sealer and laterally compacted gutta-percha, and those in the 2-visit group were medicated with calcium hydroxide-chlorhexidine combination and then closed with a temporary filling material. One week after the initial appointment, patients were asked about the occurrence of postoperative pain. The level of discomfort was rated as no pain, mild pain, moderate pain, or severe pain (flare-up). Data were statistically analyzed using the chi-squared and Fischer exact tests. Eight patients from the 1-visit group and 2 patients from the 2-visit group had flare-ups. There was a statistical difference between the groups (P <.05). Two-visit root canal treatment was more effective in completely eliminating pain than 1-visit treatment of previously symptomatic teeth (P <.05). Two-visit endodontic treatment with intracanal medication was found to be effective in reducing postoperative pain of previously symptomatic teeth and decreased the number of flare-ups in all retreatment cases.

A comparative evaluation of two rotary Ni-Ti instruments in the removal of gutta-percha during retreatment

PubMed Central

Preetam, C. S.; Chandrashekhar, M.; Gunaranjan, T.; Kumar, S. Kishore; Miskeen Sahib, S. A.; Kumar, M. Senthil

2016-01-01

Aim: The purpose of this study is to achieve an effective method to remove root canal filling material from the root canal system. The study, thus, aims to evaluate the efficacy of the cleaning ability of two different rotary Ni-Ti systems; ProTaper Retreatment files and RaCe System compared to hand instrumentation with Hedstrom files for the removal of gutta-percha during retreatment. Materials and Methods: Thirty mandibular premolars with one single straight canal were decoronated and instrumented with ProTaper files and filled with thermoplastic gutta-percha. After 30 days, the samples were divided into three groups and gutta-percha was removed with the test instruments. The postoperative radiographs were evaluated with known criteria by dividing the root into cervical third, middle third, and apical third. The results were tabulated and Statistical Package for Social Sciences Software (IBM Corporation) was used for analysis. Results: The mean deviation of the results were first calculated and then t-test and analysis of variance test (two-tailed P value) were evaluated for establishing significant differences. The rotary instruments were effective in removing the gutta-percha from the canals. Therefore, significant difference was observed between the efficacies of the two rotary systems used. The rotary instruments showed effective gutta-percha removal in the cervical and middle one third. (P > 0.05). However, apical debridement was effective with Hedstrom files. Conclusion: The study concluded the use of both rotary and hand instrumentation for effective removal of gutta-percha for retreatment. PMID:27652245

HIV-infected patients retreated for tuberculosis with intermittent Category II regimen--treatment outcome at 24-month follow-up.

PubMed

Kumar, Ramesh; Menon, Pradeep A; Ponnuraja, C; Padmapriyadarsini, C; Narendran, G; Iliayas, Sheik; Subramanyam, Sudha; Kumar, Vanaja; Swaminathan, Soumya

2014-01-01

The management of tuberculosis re-treatment in HIV-infected individuals is complex. The clinical and radiological manifestations in this group and response to Category II treatment is not well described. We performed a prospective cohort study of HIV-infected patients retreated for TB due to failure, relapse or default after treatment, at Tuberculosis Research Centre, Chennai, between February 2001 to September 2005. The Category II regimen followed in the TB programme in India (RNTCP) was administered (2 months of Streptomycin (S), Ethambutol (E), INH (H), Rifampicin (R), Pyrazinamide (Z)/1 month of EHRZ/5 months of HRE all given thrice weekly). Antiretroviral treatment was not routinely available at that time. Of the 42 patients enrolled, 35 (83%) were males. The mean age was 33.2 (SD-6.3) years. Cough was the commonest (67%) presenting symptom and opacities were the commonest (48%) radiographic occurrence. 31 patients were culture-positive at baseline, drug susceptibility results showed that 21 (68%) were fully susceptible to all first line drugs, four patients (13%) had MDR TB and four had resistance to INH alone. Among the 31 culture-positive patients, 15 patients (48.4%) completed treatment and were declared cured, of whom two subsequently relapsed. All four MDR patients died. Six patients who received ART, survived. Only 50% of HIV-infected, ART-naive patients who were retreated for tuberculosis using an intermittent Category II regimen had a favourable response to treatment. Early detection of MDRTB and concurrent antiretroviral therapy could contribute to improved outcomes.

Simulating ice thickness and velocity evolution of Upernavik Isstrøm 1849-2012 by forcing prescribed terminus positions in ISSM

NASA Astrophysics Data System (ADS)

Haubner, Konstanze; Box, Jason E.; Schlegel, Nicole J.; Larour, Eric Y.; Morlighem, Mathieu; Solgaard, Anne M.; Kjeldsen, Kristian K.; Larsen, Signe H.; Rignot, Eric; Dupont, Todd K.; Kjær, Kurt H.

2018-04-01

Tidewater glacier velocity and mass balance are known to be highly responsive to terminus position change. Yet it remains challenging for ice flow models to reproduce observed ice margin changes. Here, using the Ice Sheet System Model (ISSM; Larour et al. 2012), we simulate the ice velocity and thickness changes of Upernavik Isstrøm (north-western Greenland) by prescribing a collection of 27 observed terminus positions spanning 164 years (1849-2012). The simulation shows increased ice velocity during the 1930s, the late 1970s and between 1995 and 2012 when terminus retreat was observed along with negative surface mass balance anomalies. Three distinct mass balance states are evident in the reconstruction: (1849-1932) with near zero mass balance, (1932-1992) with ice mass loss dominated by ice dynamical flow, and (1998-2012), when increased retreat and negative surface mass balance anomalies led to mass loss that was twice that of any earlier period. Over the multi-decadal simulation, mass loss was dominated by thinning and acceleration responsible for 70 % of the total mass loss induced by prescribed change in terminus position. The remaining 30 % of the total ice mass loss resulted directly from prescribed terminus retreat and decreasing surface mass balance. Although the method can not explain the cause of glacier retreat, it enables the reconstruction of ice flow and geometry during 1849-2012. Given annual or seasonal observed terminus front positions, this method could be a useful tool for evaluating simulations investigating the effect of calving laws.

Improved age constraints for the retreat of the Irish Sea Ice Stream

NASA Astrophysics Data System (ADS)

Smedley, Rachel; Chiverrell, Richard; Duller, Geoff; Scourse, James; Small, David; Fabel, Derek; Burke, Matthew; Clarke, Chris; McCarroll, Danny; McCarron, Stephen; O'Cofaigh, Colm; Roberts, David

2016-04-01

BRITICE-CHRONO is a large (> 45 researchers) consortium project working to provide an extensive geochronological dataset constraining the rate of retreat of a number of ice streams of the British-Irish Ice Sheet following the Last Glacial Maximum. When complete, the large empirical dataset produced by BRITICE-CHRONO will be integrated into model simulations to better understand the behaviour of the British-Irish Ice Sheet in response to past climate change, and provide an analogue for contemporary ice sheets. A major feature of the British-Irish Ice Sheet was the dynamic Irish Sea Ice Stream, which drained a large proportion of the ice sheet and extended to the proposed southern limit of glaciation upon the Isles of Scilly (Scourse, 1991). This study will focus on a large suite of terrestrial samples that were collected along a transect of the Irish Sea basin, covering the line of ice retreat from the Isles of Scilly (50°N) in the south, to the Isle of Man (54°N) in the north; a distance of 500 km. Ages are determined for both the eastern and western margins of the Irish Sea using single-grain luminescence dating (39 samples) and terrestrial cosmogenic nuclide dating (10 samples). A Bayesian sequence model is then used in combination with the prior information determined for deglaciation to integrate the geochronological datasets, and assess retreat rates for the Irish Sea Ice Stream. Scourse, J.D., 1991. Late Pleistocene stratigraphy and palaeobotany of the Isles of Scilly. Philosophical Transactions of the Royal Society of London B334, 405 - 448.

Lunar recession encoded in tidal rhythmites: a selective overview with examples from Argentina

NASA Astrophysics Data System (ADS)

de Azarevich, Vanina L. López; Azarevich, Miguel B.

2017-08-01

The study of tides from the sedimentary record of tidal rhythmites, applying fast Fourier transform analysis, contributes to the understanding of the surficial evolution of our highly dynamic planet, and of the astronomical cycles that influenced the ancient tidal systems. This overview of lunar retreat rates, which includes examples from Argentina, displays a generalized pattern of nonlinear, progressively extended lunar cycles up to the present day. The lunar retreat calculated at different stages of the Earth's history identifies three time spans of extremely high recession rates, amounting to almost twice that of the present day: Archean-Paleoproterozoic (6.93 cm/year), Neoproterozoic I-Ediacaran (7.01 cm/year) and Ediacaran-early Cambrian (6.48 cm/year). Older comparable recession rates are difficult to recognize because of the lack of tidal rhythmic sequences. The maximum lunar retreat rate is registered after the Copernican meteor bombardment event on the Moon at 900 Ma, and the time span coincides with the continental dispersal of Rodinia. Every acceleration of the lunar retreat rate coincides with two main processes: (1) meteorite impacts on the Earth or Moon, and (2) reconfiguration of landmasses accompanied by earthquakes that generated changes in the rotational axis of the Earth, inundation surfaces, and glaciation/deglaciation processes. The simultaneous occurrence of such processes makes it difficult to distinguish the causes and effects of each individual process, but its conjunction would have promoted the destabilization of the Earth-Moon system in terms of moment of inertia that was transferred to the Moon rotation.

Repeat Gamma Knife surgery for vestibular schwannomas

PubMed Central

Lonneville, Sarah; Delbrouck, Carine; Renier, Cécile; Devriendt, Daniel; Massager, Nicolas

2015-01-01

Background: Gamma Knife (GK) surgery is a recognized treatment option for the management of small to medium-sized vestibular schwannoma (VS) associated with high-tumor control and low morbidity. When a radiosurgical treatment fails to stop tumor growth, repeat GK surgery can be proposed in selected cases. Methods: A series of 27 GK retreatments was performed in 25 patients with VS; 2 patients underwent three procedures. The median time interval between GK treatments was 45 months. The median margin dose used for the first, second, and third GK treatments was 12 Gy, 12 Gy, and 14 Gy, respectively. Six patients (4 patients for the second irradiation and 2 patients for the third irradiation) with partial tumor regrowth were treated only on the growing part of the tumor using a median margin dose of 13 Gy. The median tumor volume was 0.9, 2.3, and 0.7 cc for the first, second, and third treatments, respectively. Stereotactic positron emission tomography (PET) guidance was used for dose planning in 6 cases. Results: Mean follow-up duration was 46 months (range 24–110). At the last follow-up, 85% of schwannomas were controlled. The tumor volume decreased, remained unchanged, or increased after retreatment in 15, 8, and 4 cases, respectively. Four patients had PET during follow-up, and all showed a significant metabolic decrease of the tumor. Hearing was not preserved after retreatment in any patients. New facial or trigeminal palsy did not occur after retreatment. Conclusions: Our results support the long-term efficacy and low morbidity of repeat GK treatment for selected patients with tumor growth after initial treatment. PMID:26500799

The role of Phragmites australis in mediating inland salt marsh migration in a Mid-Atlantic estuary.

PubMed

Smith, Joseph A M

2013-01-01

Many sea level rise adaptation plans emphasize the protection of adjacent uplands to allow for inland salt marsh migration, but little empirical information exists on this process. Using aerial photos from 1930 and 2006 of Delaware Estuary coastal habitats in New Jersey, I documented the rate of coastal forest retreat and the rate of inland salt marsh migration across 101.1 km of undeveloped salt marsh and forest ecotone. Over this time, the amount of forest edge at this ecotone nearly doubled. In addition, the average amount of forest retreat was 141.2 m while the amount of salt marsh inland migration was 41.9 m. Variation in forest retreat within the study area was influenced by variation in slope. The lag between the amount of forest retreat and salt marsh migration is accounted for by the presence of Phragmites australis which occupies the forest and salt marsh ecotone. Phragmites expands from this edge into forest dieback areas, and the ability of salt marsh to move inland and displace Phragmites is likely influenced by salinity at both an estuary-wide scale and at the scale of local subwatersheds. Inland movement of salt marsh is lowest at lower salinity areas further away from the mouth of the estuary and closer to local heads of tide. These results allow for better prediction of salt marsh migration in estuarine landscapes and provide guidance for adaptation planners seeking to prioritize those places with the highest likelihood of inland salt marsh migration in the near-term.

Rates and patterns of late Cenozoic denudation in the northernmost Atlantic Coastal Plain and Piedmont

USGS Publications Warehouse

Stanford, S.D.; Ashley, G.M.; Russell, E.W.B.; Brenner, G.J.

2002-01-01

Topography of a 2800 km2 section of the U.S. Atlantic Coastal Plain and Piedmont is reconstructed at five times from the late Miocene to the Holocene. The reconstructions are based on mapping of fluvial, colluvial, and marginal-marine deposits that are dated by radiocarbon, palynostratigraphy, and correlation to adjacent glacial and marine units. Denudation rates and patterns are calculated by subtracting successive topographies, with 60 m horizontal resolution and 6 m vertical resolution. The overall late Miocene to Holocene denudation rate of 10 m/m.y. is similar to other estimates of long-term denudation in the region. The overall rate resolves spatially into a wide range of local rates, varying from a minimum of ???0.2 m/m.y. on residual uplands to as high as 600 m/m.y. in glacially rerouted stream channels. The distribution of local rates shows that denudation is accomplished by stream incision in response to long-term glacio-eustatic decline, followed by slope retreat into residual uplands from the incised channels. Slope retreat replaces the uplands with pediments and straths. Pediment landforms and sediments, and observation of modern scarps and valley heads, indicate that groundwater seepage from the base of residual uplands is an important mechanism of slope retreat. This process is self-limiting because as the volume of residual upland is reduced, seepage diminishes and slope retreat slows until small residuals undergo little or no further reduction. Thus, relict topography is preserved even as most of the landscape actively erodes.

Early ice retreat and ocean warming may induce copepod biogeographic boundary shifts in the Arctic Ocean

NASA Astrophysics Data System (ADS)

Feng, Zhixuan; Ji, Rubao; Campbell, Robert G.; Ashjian, Carin J.; Zhang, Jinlun

2016-08-01

Early ice retreat and ocean warming are changing various facets of the Arctic marine ecosystem, including the biogeographic distribution of marine organisms. Here an endemic copepod species, Calanus glacialis, was used as a model organism, to understand how and why Arctic marine environmental changes may induce biogeographic boundary shifts. A copepod individual-based model was coupled to an ice-ocean-ecosystem model to simulate temperature- and food-dependent copepod life history development. Numerical experiments were conducted for two contrasting years: a relatively cold and normal sea ice year (2001) and a well-known warm year with early ice retreat (2007). Model results agreed with commonly known biogeographic distributions of C. glacialis, which is a shelf/slope species and cannot colonize the vast majority of the central Arctic basins. Individuals along the northern boundaries of this species' distribution were most susceptible to reproduction timing and early food availability (released sea ice algae). In the Beaufort, Chukchi, East Siberian, and Laptev Seas where severe ocean warming and loss of sea ice occurred in summer 2007, relatively early ice retreat, elevated ocean temperature (about 1-2°C higher than 2001), increased phytoplankton food, and prolonged growth season created favorable conditions for C. glacialis development and caused a remarkable poleward expansion of its distribution. From a pan-Arctic perspective, despite the great heterogeneity in the temperature and food regimes, common biogeographic zones were identified from model simulations, thus allowing a better characterization of habitats and prediction of potential future biogeographic boundary shifts.

3D full-Stokes modeling of the grounding line dynamics of Thwaites Glacier, West Antarctica

NASA Astrophysics Data System (ADS)

Yu, H.; Rignot, E. J.; Morlighem, M.; Seroussi, H. L.

2016-12-01

Thwaites Glacier (TG) is the broadest and second largest ice stream in the West Antarctica. Satellite observations have revealed rapid grounding line retreat and mass loss of this glacier in the past few decades, which has been attributed to the enhanced basal melting in the Amundsen Sea Embayment. With a retrograde bed configuration, TG is on the verge of collapse according to the marine ice sheet instability theory. Here, we use the UCI/JPL Ice Sheet System Model (ISSM) to simulate the grounding line position of TG to determine its stability, rate of retreat and sensitivity to enhanced basal melting using a three-dimensional full-Stokes numerical model. Simulations with simplified models (Higher Order (HO), and Shelfy-Stream Approximation (SSA)) are also conducted for comparison. We first validate our full Stokes model by conducting MISMIP3D experiments. Then we applied the model to TG using new bed elevation dataset combining IceBridge (OIB) gravity data, OIB ice thickness, ice flow vectors from interferometry and a mass conservation method at 450 m spacing. Basal friction coefficient and ice rheology of floating ice are inferred to match observed surface velocity. We find that the grounding line is capable of retreating at rate of 1km/yr under current forcing and that the glacier's sensitivity to melt is higher in the Stokes model than HO or SSA, which means that projections using SSA or HO might underestimate the future rate of retreat of the glacier. This work has been performed at UC Irvine and Caltech's Jet Propulsion Laboratory under a contract with NASA's Cryospheric Science Program.

Antiaging Effects of an Intensive Mind and Body Therapeutic Program through Enhancement of Telomerase Activity and Adult Stem Cell Counts.

PubMed

Rao, Krishna S; Chakraharti, Swarup K; Dongare, Vaishali S; Chetana, K; Ramirez, Christina M; Koka, Prasad S; Deb, Kaushik D

2015-01-01

Key modalities of integrative medicine known to rejuvenate the mind and body are meditation, yoga, and controlled diet. It has been shown previously that intensive or prolonged mind and body therapies (MBT) may have beneficial effects on the well-being of healthy people and in patients. Telomerase activity and levels of peripheral blood adult pluripotent stem cells (PB-APSC) are reliable markers of long-term well-being that are known to decrease with age. The objective of this study is to understand the effect of our MBT program on telomerase activity and stem cells in blood collected from the participants. Here, we have investigated the effects of an intensive three weeks MBT retreat on telomerase activity and the peripheral blood stem cells in participants before and after the MBT. A total of 108 people were enrolled in the study; 38 men and 70 women (aged 18-90) randomly assigned for the study. Telomerase activity was greater in retreat participants at the end of the MBT retreat. About 45% of people showed more than one-fold increase of telomerase activity after our MBT program. Furthermore, about 27% of people showed more pronounced fold increase (2-fold) in telomerase activity after the MBT. In addition, a substantial percentage of people (about 90%) exhibited increased stem cell counts after the MBT. The data suggest increased telomerase activity and stem cells count in peripheral blood from MBT retreat participants that may lead to increased longevity and better quality of life at latter age.

Sediment transport drives tidewater glacier periodicity.

PubMed

Brinkerhoff, Douglas; Truffer, Martin; Aschwanden, Andy

2017-07-21

Most of Earth's glaciers are retreating, but some tidewater glaciers are advancing despite increasing temperatures and contrary to their neighbors. This can be explained by the coupling of ice and sediment dynamics: a shoal forms at the glacier terminus, reducing ice discharge and causing advance towards an unstable configuration followed by abrupt retreat, in a process known as the tidewater glacier cycle. Here we use a numerical model calibrated with observations to show that interactions between ice flow, glacial erosion, and sediment transport drive these cycles, which occur independent of climate variations. Water availability controls cycle period and amplitude, and enhanced melt from future warming could trigger advance even in glaciers that are steady or retreating, complicating interpretations of glacier response to climate change. The resulting shifts in sediment and meltwater delivery from changes in glacier configuration may impact interpretations of marine sediments, fjord geochemistry, and marine ecosystems.The reason some of the Earth's tidewater glaciers are advancing despite increasing temperatures is not entirely clear. Here, using a numerical model that simulates both ice and sediment dynamics, the authors show that internal dynamics drive glacier variability independent of climate.

Using timing of ice retreat to predict timing of fall freeze-up in the Arctic

NASA Astrophysics Data System (ADS)

Stroeve, Julienne C.; Crawford, Alex D.; Stammerjohn, Sharon

2016-06-01

Reliable forecasts of the timing of sea ice advance are needed in order to reduce risks associated with operating in the Arctic as well as planning of human and environmental emergencies. This study investigates the use of a simple statistical model relating the timing of ice retreat to the timing of ice advance, taking advantage of the inherent predictive power supplied by the seasonal ice-albedo feedback and ocean heat uptake. Results show that using the last retreat date to predict the first advance date is applicable in some regions, such as Baffin Bay and the Laptev and East Siberian seas, where a predictive skill is found even after accounting for the long-term trend in both variables. Elsewhere, in the Arctic, there is some predictive skills depending on the year (e.g., Kara and Beaufort seas), but none in regions such as the Barents and Bering seas or the Sea of Okhotsk. While there is some suggestion that the relationship is strengthening over time, this may reflect that higher correlations are expected during periods when the underlying trend is strong.

'Full dose' reirradiation of human cervical spinal cord.

PubMed

Ryu, S; Gorty, S; Kazee, A M; Bogart, J; Hahn, S S; Dalal, P S; Chung, C T; Sagerman, R H

2000-02-01

With the progress of modern multimodality cancer treatment, retreatment of late recurrences or second tumors became more commonly encountered in management of patients with cancer. Spinal cord retreatment with radiation is a common problem in this regard. Because radiation myelopathy may result in functional deficits, many oncologists are concerned about radiation-induced myelopathy when retreating tumors located within or immediately adjacent to the previous radiation portal. The treatment decision is complicated because it requires a pertinent assessment of prognostic factors with and without reirradiation, radiobiologic estimation of recovery of occult spinal cord damage from the previous treatment, as well as interactions because of multimodality treatment. Recent studies regarding reirradiation of spinal cord in animals using limb paralysis as an endpoint have shown substantial and almost complete recovery of spinal cord injury after a sufficient time after the initial radiotherapy. We report a case of "full" dose reirradiation of the entire cervical spinal cord in a patient who has not developed clinically detectable radiation-induced myelopathy on long-term follow-up of 17 years after the first radiotherapy and 5 years after the second radiotherapy.

Delayed deglaciation or extreme Arctic conditions 21-16 cal. kyr at southeastern Laurentide Ice Sheet margin?

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

Peteet, D. M.; Beh, M.; Orr, C.

The conventionally accepted ages of the Last Glacial Maximum (LGM) retreat of the southeastern Laurentide Ice Sheet (LIS) are 26–21 cal. kyr (derived from bulk-sediment radiocarbon ages) and 28–23 cal. kyr (varve estimates). By utilizing accelerator mass spectrometry (AMS) 14C dating of earliest macrofossils in 13 lake/bog inorganic clays, we find that vegetation first appeared on the landscape at 16–15 cal. kyr, suggesting ice had not retreated until that time. The gap between previous age estimates and ours is significant and has large implications for our understanding of ocean-atmosphere linkages. Older ages imply extreme Arctic conditions for 9–5 cal kyr;more » a landscape with no ice, yet no deposition in lakes. Also, our new AMS chronology of LIS retreat is consistent with marine evidence of deglaciation from the N. Atlantic, showing significant freshwater input and sea level rise only after 19 cal kyr with a cold meltwater lid, perhaps delaying ice melt.« less

GIS- and field based mapping of geomorphological changes in a glacier retreat area: A case study from the Kromer valley, Silvretta Alps (Austria)

NASA Astrophysics Data System (ADS)

Guttmann, Markus; Pöppl, Ronald

2017-04-01

Global warming results in an ongoing retreat of Alpine glaciers, leaving behind large amounts of easily erodible sediments. As a consequence processes like rockfalls, landslides and debris flows as well as fluvial processes occur more frequently in pro- and paraglacial areas, often involving catastrophic consequences for humans and infrastructure in the affected valleys. The main objective of the presented work was to map and spatially quantify glacier retreat and geomorphological changes in the Kromer valley, Silvretta Alps (Austria) by applying GIS- and field-based geomorphological mapping. In total six geomorphological maps (1950s, 1970s, 2001, 2006, 2012, and 2016) were produced and analyzed in the light of the study aim. First results have shown a significant decrease of total glaciated area from 96 ha to 53 ha which was accompanied by increased proglacial geomorphic activity (i.e. fluvial processes, rockfalls, debris flows, shallow landslides) in the last 15 years. More detailed results will be presented at the EGU General Assembly 2017.

Delayed deglaciation or extreme Arctic conditions 21-16 cal. kyr at southeastern Laurentide Ice Sheet margin?

DOE PAGES

Peteet, D. M.; Beh, M.; Orr, C.; ...

2012-06-15

The conventionally accepted ages of the Last Glacial Maximum (LGM) retreat of the southeastern Laurentide Ice Sheet (LIS) are 26–21 cal. kyr (derived from bulk-sediment radiocarbon ages) and 28–23 cal. kyr (varve estimates). By utilizing accelerator mass spectrometry (AMS) 14C dating of earliest macrofossils in 13 lake/bog inorganic clays, we find that vegetation first appeared on the landscape at 16–15 cal. kyr, suggesting ice had not retreated until that time. The gap between previous age estimates and ours is significant and has large implications for our understanding of ocean-atmosphere linkages. Older ages imply extreme Arctic conditions for 9–5 cal kyr;more » a landscape with no ice, yet no deposition in lakes. Also, our new AMS chronology of LIS retreat is consistent with marine evidence of deglaciation from the N. Atlantic, showing significant freshwater input and sea level rise only after 19 cal kyr with a cold meltwater lid, perhaps delaying ice melt.« less

Benthic colonization in newly ice-free soft-bottom areas in an Antarctic fjord

PubMed Central

Servetto, Natalia; Torre, Luciana; Sahade, Ricardo

2017-01-01

Extended glacier retreat is among the main consequences of the rapid warming of the West Antarctic Peninsula. Particularly, in the inner part of Potter Cove (South Shetland Islands, Antarctica) large areas are now exposed to open sea conditions owing to the retreat of Fourcade glacier. During the 2010 austral summer, underwater photographic surveys were undertaken by SCUBA diving up to 30 m in these new ice-free areas 80 m from the glacier front. Our main aim was to investigate colonization and early succession of the benthic assemblages on soft-bottom areas. Here, we reported a total of 1,146 animals belonging to 13 taxa. Filter-feeders comprised the largest trophic group and sessile fauna showed much higher coverages and densities than mobile fauna at all depths. The most abundant groups were ascidians and bryozoans, which together comprised ~90% of all taxa documented. In a region where most of marine-terminating glaciers are in retreat, these results are an important contribution to improve our knowledge on colonization in the newly ice-free areas. PMID:29117262

Benthic colonization in newly ice-free soft-bottom areas in an Antarctic fjord.

PubMed

Lagger, Cristian; Servetto, Natalia; Torre, Luciana; Sahade, Ricardo

2017-01-01

Extended glacier retreat is among the main consequences of the rapid warming of the West Antarctic Peninsula. Particularly, in the inner part of Potter Cove (South Shetland Islands, Antarctica) large areas are now exposed to open sea conditions owing to the retreat of Fourcade glacier. During the 2010 austral summer, underwater photographic surveys were undertaken by SCUBA diving up to 30 m in these new ice-free areas 80 m from the glacier front. Our main aim was to investigate colonization and early succession of the benthic assemblages on soft-bottom areas. Here, we reported a total of 1,146 animals belonging to 13 taxa. Filter-feeders comprised the largest trophic group and sessile fauna showed much higher coverages and densities than mobile fauna at all depths. The most abundant groups were ascidians and bryozoans, which together comprised ~90% of all taxa documented. In a region where most of marine-terminating glaciers are in retreat, these results are an important contribution to improve our knowledge on colonization in the newly ice-free areas.

Preservation of Midlatitude Ice Sheets on Mars

NASA Astrophysics Data System (ADS)

Bramson, A. M.; Byrne, S.; Bapst, J.

2017-11-01

Excess ice with a minimum age of tens of millions of years is widespread in Arcadia Planitia on Mars, and a similar deposit has been found in Utopia Planitia. The conditions that led to the formation and preservation of these midlatitude ice sheets hold clues to past climate and subsurface structure on Mars. We simulate the thermal stability and retreat of buried excess ice sheets over 21 Myr of Martian orbital solutions and find that the ice sheets can be orders of magnitude older than the obliquity cycles that are typically thought to drive midlatitude ice deposition and sublimation. Retreat of this ice in the last 4 Myr could have contributed 6% of the volume of the north polar layered deposits (NPLD) and more than 10% if the NPLD are older than 4 Myr. Matching the measured dielectric constants of the Arcadia and Utopia Planitia deposits requires ice porosities of 25-35%. We model geothermally driven vapor migration through porous ice under Martian temperatures and find that Martian firn may be able to maintain porosity for timescales longer than we predict for retreat of the ice.

Using a Retreat to Develop a 4-Year Sexual Orientation and Gender Identity Curriculum.

PubMed

Ton, Hendry; Eidson-Ton, W Suzanne; Iosif, Ana-Maria; Sitkin, Nicole; Henderson, Shelly; Callahan, Edward J

2016-10-01

Lesbian, gay, bisexual, and transgender (LGBT) populations experience significant health disparities, yet medical schools report devoting little educational time to the care of this population. In light of this, one School of Medicine utilized a daylong retreat to design a 4-year sexual orientation and gender identity (SOGI) curriculum. The participants completed pre-and post-surveys on their perspectives and knowledge towards SOGI learning, and the school's curriculum database was reviewed 2 years later to ascertain the degree of implementation of the proposed curriculum. Significant improvements were observed in participants' confidence in creating an SOGI curriculum, knowledge of SOGI teaching resources, and where in the curriculum SOGI competencies are and should be taught. A 6-month follow-up survey yielded a lower response rate, but suggested strong ongoing support for the new curriculum and some continuing challenges to implementing the proposed curriculum. A review of the school's curriculum database 2 years later showed an implementation rate of 76 %. A focused and systematic retreat can be an effective tool for curriculum design and implementation.

Observations reveal external driver for Arctic sea-ice retreat

NASA Astrophysics Data System (ADS)

Notz, Dirk; Marotzke, Jochem

2012-04-01

The very low summer extent of Arctic sea ice that has been observed in recent years is often casually interpreted as an early-warning sign of anthropogenic global warming. For examining the validity of this claim, previously IPCC model simulations have been used. Here, we focus on the available observational record to examine if this record allows us to identify either internal variability, self-acceleration, or a specific external forcing as the main driver for the observed sea-ice retreat. We find that the available observations are sufficient to virtually exclude internal variability and self-acceleration as an explanation for the observed long-term trend, clustering, and magnitude of recent sea-ice minima. Instead, the recent retreat is well described by the superposition of an externally forced linear trend and internal variability. For the externally forced trend, we find a physically plausible strong correlation only with increasing atmospheric CO2 concentration. Our results hence show that the observed evolution of Arctic sea-ice extent is consistent with the claim that virtually certainly the impact of an anthropogenic climate change is observable in Arctic sea ice already today.

Impact of topography and land-sea distribution on east Asian paleoenvironmental patterns

NASA Astrophysics Data System (ADS)

Zhang, Z. S.; Wang, H. J.; Guo, Z. T.; Jiang, D. B.

2006-03-01

Much geological research has illustrated the transition of paleoenvironmental patterns during the Cenozoic from a planetary-wind-dominant type to a monsoon-dominant type, indicating the initiation of the East Asian monsoon and inland-type aridity. However, there is a dispute about the causes and mechanisms of the transition, especially about the impact of the Himalayan/Tibetan Plateau uplift and the Paratethys Sea retreat. Thirty numerical sensitivity experiments under different land-sea distributions and Himalayan/Tibetan Plateau topography conditions are performed here to simulate the evolution of climate belts with emphasis on changes in the rain band, and these are compared with the changes in the paleoenvironmental patterns during the Cenozoic recovered by geological records, The consistency between simulations and the geological evidence indicates that both the Tibetan Plateau uplift and the Paratethys Sea retreat play important roles in the formation of the monsoon-dominant environmental pattern. Furthermore, the simulations show the monsoon-dominant environmental pattern comes into being when the Himalayan/Tibetan Plateau reaches 1000-2000 m high and the Paratethys Sea retreats to the Turan Plate.

Foot loading characteristics during three fencing-specific movements.

PubMed

Trautmann, Caroline; Martinelli, Nicolo; Rosenbaum, Dieter

2011-12-01

Plantar pressure characteristics during fencing movements may provide more specific information about the influence of foot loading on overload injury patterns. Twenty-nine experienced fencers participated in the study. Three fencing-specific movements (lunge, advance, retreat) and normal running were performed with three different shoe models: Ballestra (Nike, USA), Adistar Fencing Lo (Adidas, Germany), and the fencers' own shoes. The Pedar system (Novel, Munich, Germany) was used to collect plantar pressures at 50 Hz. Peak pressures, force-time integrals and contact times for five foot regions were compared between four athletic tasks in the lunge leg and supporting leg. Plantar pressure analysis revealed characteristic pressure distribution patterns for the fencing movements. For the lunge leg, during the lunge and advance movements the heel is predominantly loaded; during retreat, it is the hallux. For the supporting leg, during the lunge and advance movements the forefoot is predominantly loaded; during retreat, it is the hallux. Fencing-specific movements load the plantar surface in a distinct way compared with running. An effective cushioning in the heel and hallux region would help to minimize foot loading during fencing-specific movements.

Map Showing Seacliff Response to Climatic and Seismic Events, Seabright Beach, Santa Cruz County, California

USGS Publications Warehouse

Hapke, Cheryl J.; Richmond, Bruce M.; D'Iorio, Mimi M.

2002-01-01

Introduction The coastal cliffs along much of the central California coast are actively retreating. Large storms and periodic earthquakes are responsible for most of the documented sea cliff slope failures. Long-term average erosion rates calculated for this section of coast do not provide the spatial or temporal data resolution necessary to identify the processes responsible for retreat of the sea cliffs where episodic retreat threatens homes and community infrastructure. Research suggests that more erosion occurs along the California coast over a short time scale, during periods of severe storms or seismic activity, than occurs during decades of normal weather or seismic quiescence. This is the third map in a series of maps prepared to document the processes of short-term sea cliff retreat through the identification of slope failure styles, spatial variability of failures, and temporal variation in retreat amounts in an area that has been identified as an erosion hotspot. This map presents sea cliff failure and retreat data from the Seabright Beach section, California, which is located on the east side of Santa Cruz along the northern Monterey Bay coast. The data presented in this map series provide high-resolution spatial and temporal information on the location, amount, and processes of sea cliff retreat in Santa Cruz, California. These data show the response of the sea cliffs to both large magnitude earthquakes and severe climatic events such as El Ni?os; this information may prove useful in predicting the future response of the cliffs to events of similar magnitude. The map data can also be incorporated into Global Information System (GIS) for use by researchers and community planners. During this study we developed a method for investigating short-term processes of sea cliff evolution using rectified photographic stereo models. This method allows us to document the linear extent of cliff failures, the spatial and temporal relationship between failures, and the type or style of slope failure. Seabright Beach extends 0.9 km from San Lorenzo Point on the west to the Santa Cruz Yacht Harbor on the east. The cliffs at Seabright Beach are completely protected from wave attack by a wide beach. The protective beach is a relatively recent feature that formed after the emplacement of the Santa Cruz Yacht Harbor jetty in 1963-1964. Prior to the completion of the jetty, the cliffs at Seabright Beach were subject to daily wave attack. The data in this study are post-jetty construction; therefore, the sea cliff failures and cliff retreat are the result of nonmarine processes (rainfall, groundwater and seismic shaking). The 8 to 15 m high cliffs at Seabright Beach are composed of the Miocene to Pliocene Purisima Formation, which is overlain by unconsolidated Pleistocene terrace deposits. The relative thickness of these units varies along the length of the cliff. At the west end of Seabright Beach, including San Lorenzo Point, nearly the entire cliff section is composed of Purisima Formation and is capped by less than 2 m of terrace deposits. In this exposure, the Purisima Formation is a moderately weathered, moderately indurated massive sandstone. The height of the cliffs and the thickness of the Purisima Formation decrease to the east. In the cliffs immediately adjacent to the harbor, the entire exposure is composed of terrace deposits. Toe-slope debris and wind-blown sand form a nearly continuous fan along the cliff base that obscure the lower portion of the cliff. This study documents the impacts of earthquakes and large storms to the sea cliffs in the Seabright Beach section. The first event is the 1989 Loma Prieta earthquake, a M7.1 earthquake that caused widespread damage to the area stretching from Santa Cruz to the San Francisco Bay. The epicenter of the earthquake was located in the Santa Cruz Mountains, approximately 9 km inland from the coast. Extensive block and debris falls, induced by the seismic shaking, occ

Short-Term Bluff Recession Behavior Along Pennsylvania's Great Lakes Coastline, USA

NASA Astrophysics Data System (ADS)

Foyle, A. M.; Naber, M. D.; Pluta, M. J.

2011-12-01

Coastal bluff retreat is a common problem along the world's unconsolidated coastlines. On the Great Lakes coast of Pennsylvania, Quaternary clay-rich glacial till, paleo-lake plain, and sandy strandplain sequences overlie Devonian bedrock. These Quaternary strata are subject to subaerial and lacustrine erosional processes that cause permanent coastal land loss at spatially variable rates, with the former (runoff, slumping, groundwater focusing, etc) dominating over the latter (wave and current scour, abrasion, etc). Land loss is of concern to environmental agencies because land-use planning should account for spatial and temporal variability in land-loss rates, and because bluff erosion contributes to a temporary degradation in coastal water quality. The goal of this study is to evaluate spatial variability in bluff retreat rates along a 20 km sector of Pennsylvania's short Great Lakes coast. High resolution LiDAR data covering a one-decade time frame (1998-2007) permit bluff-crest mapping on two comparable data sets that captures change within a timeframe similar to CZM planning intervals. Short-term recession data can be more useful, cost-effective, and accurate than long-term analyses that use lower-resolution field measurements, T-sheets, and historical aerial photography. Bluffs along the 20 km coastal study site consist of up to 26 m of unlithified Quaternary sediments overlying a 1-4 m ledge of sub-horizontal Devonian shale and sandstone. Bluff slopes range from 20-90 degrees, beaches are narrow (<8 m wide) or absent, and the bluffs are seasonally shielded by ground-freeze and lake ice. DEMs, hillshades, and slope and contour maps were generated from bare-earth 1998 and 2007 LiDAR data, and checked against 2005 aerial ortho-photography. Maps were analyzed at a scale of 1:120 in ArcGIS and the bluff crest was identified primarily by the visual-break-in-slope method. Rates of bluff retreat derived using DSAS vary from unresolvable to as much as 2.2 m/yr, averaging less than 0.3 m/yr which is consistent with known long-term rates. Very-short term rates of recession can locally exceed 11 m/yr. In general, bluffs retreat relatively linearly where poorly-vegetated glacial till dominates the bluff stratigraphy, while along higher-elevation strandplain-capped bluff sections, rotational earth slumps (<100 m diameter) are well developed. Retreat rates are highest at slump areas and at 1st - 2nd order ravines (100-300 m in length). Both of these settings are associated with focused groundwater discharge from thin lake plain and strandplain aquifers in particular. Other factors do influence bluff retreat temporally, but are not important at the scale of this study.

Proglacial deltaic landforms and stratigraphic architecture as a proxy for reconstructing past ice-sheet margin positions

NASA Astrophysics Data System (ADS)

Dietrich, Pierre; Ghienne, Jean-François; Normandeau, Alexandre; Lajeunesse, Patrick

2016-04-01

Deltaic landforms and related stratigraphic architectures are frequently used as proxy for reconstruction of past continental or marine environmental evolutions. Indeed, in addition to autocyclic processes, emplacement of deltaic systems is primarily controlled by changes in sediment supply and relative sea-level (RSL). In our study, we investigated several proglacial deltaic complexes emplaced since the last deglaciation over more than 700 km along the St. Lawrence North Shore (Québec, Canada). Their geomorphic and stratigraphic records allowed us to infer the retreat pattern of the Laurentide Ice Sheet fronts. Field investigation of representative deltaic complexes revealed an archetypal morphostratigraphic evolution forced by the retreat of the ice margin in a context of falling RSL (glacio-isostatic rebound). The base of the stratigraphic successions consists of outwash fan deposits emplaced in the early deglaciation when ice margin stillstanded immediately beyond the depositional area. The middle part of the succession consists of proglacial delta deposits corresponding to the retreat of the ice margin in the hinterland. At that time, glaciogenic supplies allowed an active progradation preventing fluvial entrenchment in spite of the forced regressive context. The upper part of the succession consists of staged shoreline deposits reworking the rim of the proglacial deltas. These deposits mark the retreat of the ice margin from the drainage basin and the subsequent drop in glaciogenics. Important fluvial entrenchment occurred in the same time, though rates of RSL fall were reduced. We generalize this stratigraphic framework by using solely the landforms (from DEM, aerial photographs or satellite images) tied to deltaic complex developments along the St. Lawrence North Shore. This approach permits an integrated study at the scale of the whole basin even where no field data is available. Recognizing the three steps evidenced from the stratigraphic record ads constrains on the successive ice margin positions through deglaciation. Top surface of the outwash fans, marking the deglaciation of the area, lies at or near the marine limit (highest altitude reached by the post-glacial sea) and is commonly flat; the top surface of the proglacial deltas, recording the upland recession of the ice margin, is gently-sloped basinward, without evidence of fluvial entrenchment; finally, the top surface of coastal deposits, marking the retreat of the ice margin from the drainage basin, is characterized by raised beaches incised by meandering rivers. Determining ages of these successive landforms (14C dating, sea-level curves) allowed us to reconstruct the pattern of ice-sheet retreat since the Younger Dryas up to almost the final disappearance of the Quebec Ice Dome at ~6 kyr BP.

Double-Sided Wedge Model For Retreating Subduction Zones: Applications to the Apenninic and Hellenic Subduction Zones (Invited)

NASA Astrophysics Data System (ADS)

Brandon, M. T.; Willett, S.; Rahl, J. M.; Cowan, D. S.

2009-12-01

We propose a new model for the evolution of accreting wedges at retreating subduction zones. Advance and retreat refer to the polarity of the velocity of the overriding plate with respect to subduction zone. Advance indicates a velocity toward the subduction zone (e.g., Andes) and retreat, away from the subduction zone (e.g. Apennines, Crete). The tectonic mode of a subduction zone, whether advancing or retreating, is a result of both the rollback of the subducting plate and the absolute motion of the overriding plate. The Hellenic and Apenninic wedges are both associated with retreating subduction zones. The Hellenic wedge has been active for about 100 Ma, whereas the Apenninic wedge has been active for about 30 Ma. Comparison of maximum metamorphic pressures for exhumed rocks in these wedges (25 and 30 km, respectively) with the maximum thickness of the wedges at present (30 and 35 km, respectively) indicates that each wedge has maintained a relatively steady size during its evolution. This conclusion is based on the constraint that both frictional and viscous wedges are subject to the constraint of a steady wedge taper, so that thickness and width are strongly correlated. Both wedges show clear evidence of steady accretion during their full evolution, with accretionary fluxes of about 60 and 200 km2 Ma-1. These wedges also both show steady drift of material from the front to the rear of the wedge, with horizontal shortening dominating in the front of the wedge, and horizontal extension within the back of the wedge. We propose that these wedges represent two back-to-back wedges, with a convergent wedge on the leading side (proside), and a divergent wedge on the trailing side (retroside). In this sense, the wedges are bound by two plates. The subducting plate is familiar. It creates a thrust-sense traction beneath the proside of the wedge. The second plate is an “educting” plate, which is creates a normal-sense traction beneath the retroside of the wedge. The educting plate underlies the Tyrrenhian Sea west of the Apennines and the Cretean Sea north of Crete. The stretched crust that overlies this plate represents highly thinned wedge material that has been removed or decreted from the wedge. This decretion process accounts for the mean motion within the wedge, from pro to retro side, and the pervasive thinning within the retroside. It also explains how these wedges are able to maintain a steady wedge size with time. An important prediction of this model is that different deformational styles, involving thickening and thinning, can occur within the same tectonics setting. This is in contrast the widely cited idea that tectonic thinning is a late- or post-orogenic process.

Retarded deglaciation of north-Spitsbergen fjords during the last glacial - an example of bathymetric controls on the dynamics of retreating glaciers

NASA Astrophysics Data System (ADS)

Forwick, M.; Vorren, T. O.; Hass, H.; Vogt, C. M.

2012-12-01

North and west Spitsbergen fjords acted as pathways for fast-flowing ice streams during the last glacial (e.g. Ottesen et al., 2005). The deglaciation of west Spitsbergen fjords occurred stepwise and the ice retreat terminated around 11,200 cal. years BP (calendar years before the present; e.g. Forwick & Vorren, 2009, 2011, and references therein; Baeten et al., 2010). However, the deglaciation dynamics and chronology of north Spitsbergen fjords still remain poorly understood. We present swath-bathymetry, high-resolution seismic data and two sediment cores from the approx. 110 km long, N-S oriented Wijdefjorden-Austfjorden fjord system, the largest fjord system on northern Spitsbergen. The data indicate that - as in the fjords on west Spitsbergen - multiple halts and/or readvances interrupted the retreat of the ice front during the final phase of the last glacial. However, even though the study area and several west Spitsbergen fjords are fed by the same glacier source (the ice field Lomonosovfonna), the final deglaciation of Wijdefjorden-Austfjorden took place after 9300 cal. years BP, i.e. at least approx. 2000 years later than in the west. We assume that the retarded deglaciation in the north is mainly related to the fjord bathymetry, i.e. a more than 35 km wide and up to 60 m high area in the central parts of the study area (approx. 45 km beyond the present fjord head) that acted as pinning point for the grounded glacier. Multiple, relatively large and partly stacked moraine ridges and sediment wedges are suggested to reflected that the ice front retreated slowly across this shallow area and that repeated readvances interrupted this retreat. The absence of larger sediment wedges in the deeper parts between the shallow area and the fjord head may indicate that the final retreat occurred relatively rapid. References: Baeten, N.J., Forwick, M., Vogt, C. & Vorren, T.O., 2010. Late Weichselian and Holocene sedimentary environments and glacial activity in Billefjorden, Svalbard. In: Howe, J.A., Austin, W.E.N, Forwick, M. & Paetzel, M. (eds.): Fjord Systems and Archives. Geological Society, London, Special Publication, 344, 207-223. Forwick, M. & Vorren, T.O., 2009. Late Weichselian and Holocene sedimentary environments and ice rafting in Isfjorden, Spitsbergen. Palaeogeography, Palaeoclimatology, Palaeoecology 280, 258-274. Forwick, M. & Vorren, T.O., 2011. Stratigraphy and deglaciation of the Isfjorden area, Spitsbergen. Norwegian Journal of Geology 90, 163-179. Ottesen, D., Dowdeswell, J.A., Rise, L., 2005. Submarine landforms and the reconstruction of fast-flowing ice streams within a large Quaternary ice sheet: The 2500-km-long Norwegian-Svalbard margin (57°-80°N). Geological Society of America Bulletin 117, 1033-1050.

Rapid thinning and collapse of lake calving Yakutat Glacier, Southeast Alaska

NASA Astrophysics Data System (ADS)

Trussel, Barbara Lea

Glaciers around the globe are experiencing a notable retreat and thinning, triggered by atmospheric warming. Tidewater glaciers in particular have received much attention, because they have been recognized to contribute substantially to global sea level rise. However, lake calving glaciers in Alaska show increasingly high thinning and retreat rates and are therefore contributors to sea level rise. The number of such lake calving systems is increasing worldwide as land-terminating glaciers retreat into overdeepened basins and form proglacial lakes. Yakutat Glacier in Southeast Alaska is a low elevation lake calving glacier with an accumulation to total area ratio of 0.03. It experienced rapid thinning of 4.43 +/- 0.06 m w.e. yr-1 between 2000-2010 and terminus retreat of over 15 km since the beginning of the 20th century. Simultaneously, adjacent Yakutat Icefield land-terminating glaciers thinned at lower but still substantial rates (3.54 +/- 0.06 m w.e. yr -1 for the same time period), indicating lake calving dynamics help drive increased mass loss. Yakutat Glacier sustained a ˜3 km long floating tongue for over a decade, which started to disintegrate into large tabular icebergs in 2010. Such floating tongues are rarely seen on temperate tidewater glaciers. The floating ice was weakened by surface ablation, which then allowed rifts to form and intersect. Ice velocity from GPS measurements showed that the ice on the floating tongue was moving substantially faster than grounded ice, which was attributed to rift opening between the floating and grounded ice. Temporal variations of rift opening were determined from time-lapse imagery, and correlated well with variations in ice speeds. Larger rift opening rates occurred during and after precipitation or increased melt episodes. Both of these events increased subglacial discharge and could potentially increase the subaqueous currents towards the open lake and thus increase drag on the ice underside. Simultaneously, increased water input may cause lake level in rifts to rise resulting in faster rift propagation and spreading. Similar formation and disintegration of floating tongues are expected to occur in the glacier's future, as the ice divide lies below the current lake level. In addition to calving retreat, Yakutat Glacier is rapidly thinning, which lowers its surface and therefore exposes the ice to warmer air temperatures causing increased thinning. Even under a constant climate, this positive feedback mechanism would force Yakutat Glacier to quickly retreat and mostly disappear. Simulations of future mass loss were run for two scenarios, keeping the current climate and forcing it with a projected warming climate. Results showed that over 95% of the glacier ice will have disappeared by 2120 or 2070 under a constant vs projected climate, respectively. For the first few decades, the glacier will be able to maintain its current thinning rate by retreating and thus losing areas of lowest elevation. However, once higher elevations have thinned substantially, the glacier cannot compensate any more to maintain a constant thinning rate and transfers into an unstable run-away situation. To stop this collapse and transform Yakutat Glacier into equilibrium in its current geometry, air temperatures would have to drop by 1.5 K or precipitation would have to increase by more than 50%. An increase in precipitation alone is unlikely to lead to a stable configuration, due to the very small current accumulation area.

Interactions between Antarctic sea ice and large-scale atmospheric modes in CMIP5 models

NASA Astrophysics Data System (ADS)

Schroeter, Serena; Hobbs, Will; Bindoff, Nathaniel L.

2017-03-01

The response of Antarctic sea ice to large-scale patterns of atmospheric variability varies according to sea ice sector and season. In this study, interannual atmosphere-sea ice interactions were explored using observations and reanalysis data, and compared with simulated interactions by models in the Coupled Model Intercomparison Project Phase 5 (CMIP5). Simulated relationships between atmospheric variability and sea ice variability generally reproduced the observed relationships, though more closely during the season of sea ice advance than the season of sea ice retreat. Atmospheric influence on sea ice is known to be strongest during advance, and it appears that models are able to capture the dominance of the atmosphere during advance. Simulations of ocean-atmosphere-sea ice interactions during retreat, however, require further investigation. A large proportion of model ensemble members overestimated the relative importance of the Southern Annular Mode (SAM) compared with other modes of high southern latitude climate, while the influence of tropical forcing was underestimated. This result emerged particularly strongly during the season of sea ice retreat. The zonal patterns of the SAM in many models and its exaggerated influence on sea ice overwhelm the comparatively underestimated meridional influence, suggesting that simulated sea ice variability would become more zonally symmetric as a result. Across the seasons of sea ice advance and retreat, three of the five sectors did not reveal a strong relationship with a pattern of large-scale atmospheric variability in one or both seasons, indicating that sea ice in these sectors may be influenced more strongly by atmospheric variability unexplained by the major atmospheric modes, or by heat exchange in the ocean.

Efficacy of Different Nickel-Titanium Instruments in Removing Gutta-percha during Root Canal Retreatment.

PubMed

Özyürek, Taha; Demiryürek, Ebru Özsezer

2016-04-01

The aim of this study was to compare the cleanliness of root canal walls after retreatment using ProTaper Next (PTN; Dentsply Maillefer, Ballaigues, Switzerland), Twisted File Adaptive (TFA; Axis/SybronEndo, Orange, CA), Reciproc (PRC; VDW, Munich, Germany), and ProTaper Universal retreatment (PTR, Dentsply Maillefer) nickel-titanium systems and the time required for gutta-percha and sealer removal. Eighty human maxillary central incisors with single and straight root canals were instrumented up to #40.02 with manual K-files (Dentsply Maillefer) and obturated using the continuous wave of condensation technique. Removal of the gutta-percha and sealer was performed using 1 of the following nickel-titanium systems: PTN, TFA, RPC, or PTR. The teeth were sectioned, and digital images were captured. The photographs were analyzed using AutoCAD software (Autodesk, San Rafael, CA). Also, the total time required for gutta-percha removal was calculated by a chronometer. The total retreatment time was significantly shorter in the PTR group compared with the other groups (P < .05). There was a significant difference between the groups according to the total residual gutta-percha and sealer (P < .05). The PTN and PTR groups left significantly less gutta-percha and sealer remnant than the TFA and RPC groups (P < .05). Within the limitations of this study, the PTN and the PTR groups showed less residual gutta-percha and sealer than the TFA and RPC groups. The time required for gutta-percha and sealer removal was similar for all the groups, except for the PTR group. Copyright © 2016 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.