Full Stokes finite-element modeling of ice sheets using a graphics processing unit

NASA Astrophysics Data System (ADS)

Seddik, H.; Greve, R.

2016-12-01

Thermo-mechanical simulation of ice sheets is an important approach to understand and predict their evolution in a changing climate. For that purpose, higher order (e.g., ISSM, BISICLES) and full Stokes (e.g., Elmer/Ice, http://elmerice.elmerfem.org) models are increasingly used to more accurately model the flow of entire ice sheets. In parallel to this development, the rapidly improving performance and capabilities of Graphics Processing Units (GPUs) allows to efficiently offload more calculations of complex and computationally demanding problems on those devices. Thus, in order to continue the trend of using full Stokes models with greater resolutions, using GPUs should be considered for the implementation of ice sheet models. We developed the GPU-accelerated ice-sheet model Sainō. Sainō is an Elmer (http://www.csc.fi/english/pages/elmer) derivative implemented in Objective-C which solves the full Stokes equations with the finite element method. It uses the standard OpenCL language (http://www.khronos.org/opencl/) to offload the assembly of the finite element matrix on the GPU. A mesh-coloring scheme is used so that elements with the same color (non-sharing nodes) are assembled in parallel on the GPU without the need for synchronization primitives. The current implementation shows that, for the ISMIP-HOM experiment A, during the matrix assembly in double precision with 8000, 87,500 and 252,000 brick elements, Sainō is respectively 2x, 10x and 14x faster than Elmer/Ice (when both models are run on a single processing unit). In single precision, Sainō is even 3x, 20x and 25x faster than Elmer/Ice. A detailed description of the comparative results between Sainō and Elmer/Ice will be presented, and further perspectives in optimization and the limitations of the current implementation.

Alternatives for Jet Engine Control. Volume 1: Modelling and Control Design with Jet Engine Data

NASA Technical Reports Server (NTRS)

Sain, M. K.

1985-01-01

This document compiles a comprehensive list of publications supported by, or related to, National Aeronautics and Space Administration Grant NSG-3048, entitled "Alternatives for Jet Engine Control". Dr. Kurt Seldner was the original Technical Officer for the grant, at Lewis Research Center. Dr. Bruce Lehtinen was the final Technical Officer. At the University of Notre Dame, Drs. Michael K. Sain and R. Jeffrey Leake were the original Project Directors, with Dr. Sain becoming the final Project Director. Publications cover work over a ten-year period. The Final Report is divided into two parts. Volume i, "Modelling and Control Design with Jet Engine Data", follows in this report. Volume 2, "Modelling and Control Design with Tensors", has been bound separately.

Raptor binds the SAIN (Shc and IRS-1 NPXY binding) domain of insulin receptor substrate-1 (IRS-1) and regulates the phosphorylation of IRS-1 at Ser-636/639 by mTOR.

PubMed

Tzatsos, Alexandros

2009-08-21

In normal physiological states mTOR phosphorylates and activates Akt. However, under diabetic-mimicking conditions mTOR inhibits phosphatidylinositol (PI) 3-kinase/Akt signaling by phosphorylating insulin receptor substrate-1 (IRS-1) at Ser-636/639. The molecular basis for the differential effect of mTOR signaling on Akt is poorly understood. Here, it has been shown that knockdown of mTOR, Raptor, and mLST8, but not Rictor and mSin1, suppresses insulin-stimulated phosphorylation of IRS-1 at Ser-636/639 and stabilizes IRS-1 after long term insulin stimulation. This phosphorylation depends on the PI 3-kinase/PDK1 axis but is Akt-independent. At the molecular level, Raptor binds the SAIN (Shc and IRS-1 NPXY binding) domain of IRS-1 and regulates the phosphorylation of IRS-1 at Ser-636/639 by mTOR. IRS-1 lacking the SAIN domain does not interact with Raptor, is not phosphorylated at Ser-636/639, and favorably interacts with PI 3-kinase. Overall, these data provide new insights in the molecular mechanisms by which mTORC1 inhibits PI 3-kinase/Akt signaling at the level of IRS-1 and suggest that mTOR signaling toward Akt is scaffold-dependent.

Stratum corneum dysfunction in dandruff

PubMed Central

Turner, G A; Hoptroff, M; Harding, C R

2012-01-01

Summary Synopsis Dandruff is characterized by a flaky, pruritic scalp and affects up to half the world’s population post-puberty. The aetiology of dandruff is multifactorial, influenced by Malassezia, sebum production and individual susceptibility. The commensal yeast Malassezia is a strong contributory factor to dandruff formation, but the presence of Malassezia on healthy scalps indicates that Malassezia alone is not a sufficient cause. A healthy stratum corneum (SC) forms a protective barrier to prevent water loss and maintain hydration of the scalp. It also protects against external insults such as microorganisms, including Malassezia, and toxic materials. Severe or chronic barrier damage can impair proper hydration, leading to atypical epidermal proliferation, keratinocyte differentiation and SC maturation, which may underlie some dandruff symptoms. The depleted and disorganized structural lipids of the dandruff SC are consistent with the weakened barrier indicated by elevated transepidermal water loss. Further evidence of a weakened barrier in dandruff includes subclinical inflammation and higher susceptibility to topical irritants. We are proposing that disruption of the SC of the scalp may facilitate dandruff generation, in part by affecting susceptibility to metabolites from Malassezia. Treatment of dandruff with cosmetic products to directly improve SC integrity while providing effective antifungal activity may thus be beneficial. Résumé Les pellicules se caractérisent par un cuir chevelu prurigineux, squameux, et affectent jusqu’à la moitié de la population post-pubertaire du monde. L’étiologie des pellicules est multifactorielle, influencée par Malassezia, par la production de sébum, et par la susceptibilité individuelle. La levure commensale Malassezia est un facteur fortement contributif à la formation de pellicules, mais la présence de Malassezia aussi sur les cuirs chevelus sains indique que Malassezia seule n’est pas une cause suffisante. Un stratum corneum (SC) sain forme une barrière protectrice pour empêcher la perte d’eau et maintenir l’hydratation du cuir chevelu. Il protège également contre les agressions externes tels les micro-organismes, y compris Malassezia, ou des substances toxiques. Des dommages aigus ou chroniques au niveau de la barrière peuvent nuire à une bonne hydratation, conduisant à des effets atypiques de la prolifération épidermique, de la différenciation des kératinocytes, et de la maturation du SC, ce qui peut expliquer une partie des symptômes des pellicules. L’appauvrissement et la désorganisation des lipides structurels d’un stratum corneum sujet aux pellicules sont compatibles avec la notion d’une barrière affaiblie telle qu’indiquée par une perte d’eau transépidermique élevée. Une preuve supplémentaire d’une barrière affaiblie dans les cas des pellicules est fournie par un niveau d’inflammation infraclinique et une plus grande susceptibilité aux irritants topiques. Nous proposons que la perturbation du SC du cuir chevelu facilite la production de pellicules, en partie en augmentant la sensibilité aux métabolites de Malassezia. Le traitement des pellicules avec des produits cosmétiques pour améliorer directement l’intégrité du SC, tout en offrant une activité antifongique efficace peut donc être bénéfique. PMID:22515370

Le diagnostic anténatal de la trisomie 21 par l'hybridation in situ en fluorescence (FISH): à propos des premiers tests réalisés au Maroc

PubMed Central

Lamzouri, Afaf; Natiq, Abdelhafid; Tajir, Mariam; Sendid, Mohamed; Sefiani, Abdelaziz

2012-01-01

Introduction Le but de cette étude était de présenter les premiers résultats de diagnostic anténatal de la trisomie 21 par la technique d'hybridation in situ en fluorescence (FISH) au Maroc et discuter son intérêt dans le diagnostic rapide de cette aneuploïdie. Méthodes Ce travail a été réalisé chez 23 femmes avec des grossesses à haut risque de trisomie 21. La moyenne d’âge des gestantes étaient de 37,43 ans avec des extrêmes de 21 et 43 ans. Toutes étaient musulmanes mariées, mariage légitimé par la Charia, dont trois mariages consanguins, sauf une originaire de la République Démocratique du Congo qui était chrétienne et concubine. La majorité des femmes étaient fonctionnaires et avaient un niveau de scolarisation moyen à élevé. Toutes les patientes ont bénéficié d'une consultation de génétique médicale au cours de laquelle il leur a été donné des informations sur la technique, son intérêt et ses limites. Il s'agit de femmes enceintes qui avaient soit un âge maternel élevé ou des signes d'appel échographiques et/ ou biochimiques. Une des patientes était porteuse d'une translocation robertsonienne t(14;21) équilibrée. Une amniocentèse a été réalisée chez toutes les gestantes et aucun avortement n'a était induit par ce geste invasif. L’âge gestationnel moyen à la première consultation était de 14 semaines d'aménorrhée (SA) et à l'amniocentèse était de 16 SA et 5 jours. L'analyse FISH a été réalisée, après consentement des couples, sur des cellules non cultivées à partir des échantillons de liquides amniotiques, en utilisant des sondes spécifiques du chromosome 21. Résultats Parmi les 23 patientes qui ont bénéficiées d'un diagnostic anténatal de la trisomie 21 par la technique FISH, nous avons pu rassurer 21 d'entre elles, et nous avons détecté deux cas de trisomie 21 fœtal. Conclusion La technique FISH permet un diagnostic anténatal rapide, en moins de 48h, de la trisomie 21 sur une faible quantité de liquide amniotique. Elle offre aux couples l'avantage de prendre, dans des délais raisonnables, la décision qui leur convient concernant la poursuite ou non de la grossesse. Elle permet souvent, avec un résultat normal, de rassurer rapidement les femmes enceintes trop angoissées. PMID:23330029

Collaborative Learning through Teletutorials.

ERIC Educational Resources Information Center

Idrus, Rozhan

1993-01-01

Describes the use of audiographic teleconferencing for distance education courses for adult higher education at the Universiti Sains Malaysia. Telecommunications is discussed, and a collaborative learning strategy is explained that emphasizes the student-teacher relationship. (Contains 18 references.) (LRW)

Qualité de vie et vécu de la maladie, avant et après hystérectomie vaginale, chez les femmes admises au Centre Hospitalier Universitaire de Brazzaville

PubMed Central

Mbongo, Jean Alfred; Mouanga, Alain; Miabaou, Didace Massamba; Nzelie, Aya; Iloki, Léon Hervé

2016-01-01

Toute maladie est un mal en soi qu’il faut éradiquer car elle altère souvent de façon significative la qualité de la vie. L’hystérectomie vaginale est indiquée pour les patientes qui présentent certaines affections gynécologiques graves, elle est donc bénéfique mais, peut également avoir une répercussion néfaste sur la qualité de vie de la femme. Ainsi nous avons voulu explorer le vécu de la maladie et de l’hystérectomie vaginale (HV) des femmes avant et après l’intervention chirurgicale. Nous avons effectué une étude prospective qualitative, à recueil clinique sur une période de 12 mois; qui a concerné les femmes, ayant subi une hystérectomie vaginale. Celles n’ayant pas accepté de participer à l’étude, ou n’ayant pas de contact téléphonique n’ont pas été incluses. Pendant la maladie, le vécu des femmes a été: l’inconfort sexuel 26/40 (65%); les saignements génitaux 12/40 (30%); les douleurs pelviennes 13/40 (32,5%). En Post-opératoire, ont été noté les dyspareunies transitoires30/40 (75%) ; les céphalées secondaires à l’anesthésie 4/40 (10%). Le vécu psychologique a été dominé avant l’HV par la peur de la chirurgie chez toutes les patientes, les troubles du sommeil 38/40 (95%), l’angoisse 30 /40(75%), un sentiment de honte lié aux difficultés à accomplir l’acte sexuel en raison du prolapsus 26/40(65%) et/ ou en raison des saignements génitaux, dus au fibrome utérin 14/40(35%). Le sentiment de la perte de féminité était déclaré par 26/40 femmes porteuses de prolapsus utérin (65%), la modification de l’estime de soi 26/40 (65%). Ces appréciations subjectives ont été améliorées avec l’HV, contre balançant la perte de leur organe de reproduction. Aucune information n’a été donnée par les femmes à leurs proches et aux membres de la famille avant la chirurgie, traduisant ainsi leur sentiment de gène ou de honte. L’arrêt des symptômes a été observé dans tous les cas, même si dans un cas (1,25%) un nouveau signe au titre des complications (plaie rectale) a éténoté. Concernant l’activité sexuelle, tous les couples ont déclaré leur satisfaction après le traitement. Le vécu dramatique de la maladie et de l’hystérectomie vaginale avant, est nettement amélioré après l’intervention chirurgicale. PMID:28292042

La supraconductivité a 100 ans !

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

Lebrun, Philippe

2011-04-14

Il y a 100 ans, le 8 avril 1911, une découverte majeure était réalisée : celle de la supraconductivité. La supraconductivité est la caractéristique qu’ont certains métaux et alliages de perdre toute résistance électrique en dessous d’une température donnée. Cette renversante découverte, réalisée de manière presque fortuite par Kammerlingh Onnes de l’Université de Leyde (Pays-Bas) et son étudiant Gilles Holst, a ouvert un nouveau champ de recherche en physique et de fabuleuses perspectives d’applications technologiques. Du point de vue scientifique, la supraconductivité est en effet l’une des rares manifestations de la physique quantique à l’échelle macroscopique.  Du point de vuemore » des retombées techniques, elle est porteuse d’applications majeures dans le domaine de la santé, des communications et de l’énergie. 100 ans après, les physiciens n’ont toujours pas fini d’explorer ce phénomène et ses applications. Le CERN abrite des applications de la supraconductivité à des échelles inédites. L’accélérateur de particules LHC, avec ses milliers d’aimants supraconducteurs répartis sur 27 kilomètres de circonférence, est en effet la plus grande application mondiale de la supraconductivité. Il ne pourrait exister sans elle. Le CERN fête donc la découverte de la supraconductivité avec une conférence exceptionnelle donnée par Philippe Lebrun. Au cours de cette conférence, l’expérience historique de Kammerlingh Onnes sera reproduite. Philippe Lebrun racontera l’histoire de cette étonnante découverte, en la replaçant dans le contexte scientifique de l’époque. Il racontera les développements scientifiques et les applications du premier siècle de la supraconductivité. Conférence en français Merci de bien vouloir vous inscrire au : +41 22 767 76 76 ou cern.reception@cern.ch« less

Clinical experience with the use of rhG-CSF in secondary autoimmune neutropenia.

PubMed

Smith, M A; Smith, J G

2002-04-01

This paper outlines the impact of granulocyte-colony stimulating factor (G-CSF) used as a single modality therapy in 17 patients with secondary autoimmune neutropenia (S-AIN) who had been treated a multiple number of times previously. Fifteen of these patients had demonstrable antineutrophil antibodies and two had cellular S-AIN with haemopoietic inhibitory T-cells present in the marrow. Prior to treatment, all had had problems with infection. All patients responded within 7 days of commencement of treatment. Provided G-CSF neutrophil counts were maintained above 1 x 109/l, no further infections occurred. This was achievable by using G-CSF administered as infrequently as once every 8 days. Eight of the 17 patients remained on G-CSF, although five switched to the glycosylated form because of side-effects. None have developed osteoporosis despite 47.29 patient years of total experience with G-CSF. In conclusion both glycosylated and nonglycosylated G-CSF can be used effectively in treating AIN on a long-term basis.

The Total Synthesis Problem of linear multivariable control. II - Unity feedback and the design morphism

NASA Technical Reports Server (NTRS)

Sain, M. K.; Antsaklis, P. J.; Gejji, R. R.; Wyman, B. F.; Peczkowski, J. L.

1981-01-01

Zames (1981) has observed that there is, in general, no 'separation principle' to guarantee optimality of a division between control law design and filtering of plant uncertainty. Peczkowski and Sain (1978) have solved a model matching problem using transfer functions. Taking into consideration this investigation, Peczkowski et al. (1979) proposed the Total Synthesis Problem (TSP), wherein both the command/output-response and command/control-response are to be synthesized, subject to the plant constraint. The TSP concept can be subdivided into a Nominal Design Problem (NDP), which is not dependent upon specific controller structures, and a Feedback Synthesis Problem (FSP), which is. Gejji (1980) found that NDP was characterized in terms of the plant structural matrices and a single, 'good' transfer function matrix. Sain et al. (1981) have extended this NDP work. The present investigation is concerned with a study of FSP for the unity feedback case. NDP, together with feedback synthesis, is understood as a Total Synthesis Problem.

Effectiveness of Facebook in English Language Learning: A Case Study

ERIC Educational Resources Information Center

Faryadi, Qais

2017-01-01

The prime objective of this research was to investigate whether Facebook helped undergraduate students of Universiti Sains Islam Malaysia (USIM) improve their English language proficiency, critical thinking, comprehension skills, and motivation. A triangulation method (quantitative, qualitative, and descriptive) was employed in the investigation.…

L’enclouage centromédullaire dans les fractures complexes de l’extrémité supérieure de l’humérus: résultats préliminaire à propos de 6 cas

PubMed Central

Jamal, Louaste; Cherrad, Taoufik; Bousbaa, Hicham; Wahidi, Mohammed; Amhajji, Larbi; Rachid, Khalid

2016-01-01

L’enclouage centromédullaire antérograde s’est imposé comme un des traitements de référence des fractures céphalotubérositaires à deux, trois et quatre fragments. Nous présentons une étude rétrospective de 06 patients ayant bénéficié d’un enclouage centromédullaire depuis janvier 2012. Le Recul moyen est de 12 mois, l’âge moyen était de 57 ans. Evaluation clinique se basait sur le score de Constant et Murley, en brut et pondéré en fonction de l’âge et du sexe, avec un comparatif avec le coté sain. Le bilan radiologique nous a permis d’évaluer la consolidation osseuse, l’apparition d’Ostéonécrose de la tête ou arthrose post traumatique. Surveille aussi l’Etat des tubérosités avec l’existence ou non d’ostéolyse du trochiter. Elle recherche aussi les critères de bonne réduction à savoir l’angle calotte céphalique et l’axe diaphysaire (αF) sur les clichés de face. Tous les patients ont été traités selon la même technique chirurgicale. Le score de Constant et Murley sur l’ensemble des patients était de 64.13 points. Le score pondéré en fonction de l’age et du sexe était de 73%. Les mobilités articulaires étaient en moyenne sur l’ensemble des patients 116° en élévation antérieure, 99.9° en élévation latérale, et 42° en rotation externe. Angle αF moyen s’élève à 42°. Tous les patients présentaient des critères de bonne réduction à savoir αF. L’enclouage centromédullaire permet une synthèse osseuse simple et au prix d’un abord limité avec des résultats fonctionnels très prometteurs. La comminution fracturaire et l’ostéoporose peuvent limiter ces indications. PMID:28250878

Munchausen Syndrome by Proxy

PubMed Central

Yaacob, B.M.J

1999-01-01

Munchausen syndrome by proxy is a rare disorder in child psychiatric practice. A case of Munchausen syndrome by proxy that was managed in the Child Psychiatric clinic, Universiti Sains Malaysia Hospital is reported. Factors that suggest the diagnosis are discussed. Multidisciplinary approach to the management of such cases is warranted. PMID:22589687

The Effects of Dubbing Versus Subtitling of Television Program.

ERIC Educational Resources Information Center

Mokhtar, Fattawi B.

The purpose of this study was to investigate viewers' knowledge of program content under various television translation modes and viewing experiences. Subjects were 176 students from the Center for Matriculation Program, Universiti Sains Malaysia in Penang, Malaysia. The Spanish version of an instructional television program was used; the program…

Academic Reading Difficulties Encountered by International Graduate Students in a Malaysian University

ERIC Educational Resources Information Center

Alghail, Ali Abdullah Ali; Mahfoodh, Omer Hassan Ali

2016-01-01

This study examines how international graduate students in a Malaysian public university perceive and overcome academic reading difficulties. The target population included all graduate students from Yemen, an Arab country, studying at Universiti Sains Malaysia. Data were collected using questionnaires, focus group interviews, and journal writing.…

Educational Transition of East Malaysian Distance Learners.

ERIC Educational Resources Information Center

Saw, K. G.; Awang, M. N.; Idrus, R. M.; Atan, H.; Azli, N. A.; Jaafar, I.; Rahman, Z. A.; Latiff, Z. A.

1999-01-01

Describes results of a study of the changing perceptions of East Malaysian distance learners studying at the Universiti Sains Malaysia. Highlights include students' perceptions of their study skills; and the impact of their studies on other areas of their life, including social obligations, recreation, families, health, finances, work, and…

Online Collaboration of English Language Teachers for Meaningful Professional Development Experiences

ERIC Educational Resources Information Center

Kabilan, Muhammad Kamarul; Adlina, Wan Fara Wan; Embi, Mohamed Amin

2011-01-01

This article reports on an online collaborative project between English language teachers pursuing a degree in TESL/TESOL from three universities in Malaysia--Universiti Sains Malaysia (USM), Universiti Teknologi Malaysia (UTM) and Universiti Kebangsaan Malaysia (UKM). A total of 142 teachers were involved in the study and about three to eight…

The Evaluation of SISMAKOM (Computerized SDI Project).

ERIC Educational Resources Information Center

University of Science, Penang (Malaysia).

A survey of 88 users of SISMAKOM, a computerized selective dissemination of information (SDI) and document delivery service provided by the Universiti Sains Malaysia and four other Malaysian universities, was conducted in August 1982 in order to collect data about SISMAKOM and to assess the value of a computerized SDI service in a developing…

Malaysian Education Index (MEI): An Online Indexing and Repository System

ERIC Educational Resources Information Center

Kabilan, Muhammad Kamarul; Ismail, Hairul Nizam; Yaakub, Rohizani; Yusof, Najeemah Mohd; Idros, Sharifah Noraidah Syed; Umar, Irfan Naufal; Arshad, Muhammad Rafie Mohd.; Idrus, Rosnah; Rahman, Habsah Abdul

2010-01-01

This "Project Sheet" describes an on-going project that is being carried out by a group of educational researchers, computer science researchers and librarians from Universiti Sains Malaysia, Penang. The Malaysian Education Index (MEI) has two main functions--(1) Online Indexing System, and (2) Online Repository System. In this brief…

Types of Language Learning Strategies Used by Tertiary English Majors

ERIC Educational Resources Information Center

Chuin, Tan Khye; Kaur, Sarjit

2015-01-01

This study investigated the types of language learning strategies used by 73 English majors from the School of Humanities in Universiti Sains Malaysia. Using questionnaires adopted from Oxford's (1990) Strategy Inventory of Language Learning (SILL) and focus group interviews, the study also examined the English major students' perceptions of using…

Which Aspects of the English Language Do Distance Learners Find Difficult?

ERIC Educational Resources Information Center

Teoh, George Boon Sai; Lin, Agnes Liau Wei; Belaja, Kathy

2016-01-01

This study reports the findings of a research carried out on distance learners at the School of Distance Education (SDE), University Sains Malaysia (USM). The study was explorative in nature with the purpose identifying the aspects of the English language which distance learners found difficult to learn. A quantitative survey questionnaire design…

Epithéliomas basocellulaires de la face: prise en charge chirurgicale, à propos de 45 cas et revue de la literature

PubMed Central

Ennouhi, Mohamed Amine; Moussaoui, Abdenacer

2014-01-01

L’épithélioma basocellulaire est de loin la tumeur épithéliale maligne la plus répandue. L'atteinte faciale représente plus de 65% des cas et constitue un facteur de risque de récidive. L'objectif de notre travail est de rappeler les principes et modalités du traitement chirurgical. Sur une période de douze mois, nous avons pris en charge quarante-cinq patients atteints de carcinomes basocellulaires de la face. Le traitement chirurgical comprend deux volets: -carcinologique: emportant la tumeur et une marge de tissu sain; -et une chirurgie réparatrice faisant appel à la suture cutanée directe; greffes ou lambeaux loco -régionaux. L'examen histologique systématique des pièces opératoires permet la confirmation du diagnostic, le typage histologique et l'appréciation de la qualité de l'exérèse chirurgicale. Les résultats esthétiques sont jugés satisfaisants. Quant aux résultats carcinologiques, nous déplorons quatre récidives. Le traitement chirurgical des épithéliomas basocellulaires est le seul garant de la guérison. Au niveau de la face, il faut trouver le meilleur compromis entre impératifs carcinologiques et esthétiques. L'amélioration des résultats passe par: la prévention, le dépistage précoce des lésions, la collaboration étroite des anatomo-pathologistes et la création de comités de concertation pluri -disciplinaire pour la prise en charge des cas difficiles. PMID:25709738

Place de la splénectomie dans la prise en charge de l’hypertension portale non cirrhotique: à propos de 3 cas

PubMed Central

Belhamidi, Mohamed Said; Hammi, Salah Eddine; Bouzroud, Mohamed; Benmoussa, Mustapha; ali, Abdelmounaim Ait; Bounaim, Ahmed

2017-01-01

L’hypertension portale non cirrhotique est une affection décrite pour la première fois par Guido BANTI en 1898 comme une affection associant une hypertension portale avec splénomégalie et anémie sur foie sain. Le diagnostic repose sur l’échographie abdominale, la splénoportographie et la biopsie hépatique. Le but de notre travail est d’évaluer la place de la splénectomie dans l’hypertension portale non cirrhotique à travers une étude rétrospective portant sur 3 malades dont 2 femmes et un homme pris en charge dans notre formation entre Janvier 2010 et Septembre 2016. Le diagnostic de l’hypertension portale idiopathique a été basé sur les critères suivants : une hypertension portale, la présence des varices oesophagiènnes avec une splénomégalie, l’absence de cirrhose ou d’autres affections hépatiques responsables de l’hypertension portale. La splénectomie a été réalisée chez les 3 malades. L’évolution après la splénectomie était marquée par la normalisation des signes cliniques, radiologiques et biologiques de cette affection, avec absence de récidive des varices œsophagiennes. La splénectomie associée à la ligature des varices œsophagiennes pourraient être suffisantes pour traiter ce syndrome et surtout ses conséquences sans avoir recours à une dérivation spléno-rénale. PMID:29255554

Greening a Chemistry Teaching Methods Course at the School of Educational Studies, Universiti Sains Malaysia

ERIC Educational Resources Information Center

Karpudewan, Mageswary; Hj Ismail, Zurida; Mohamed, Norita

2011-01-01

Green chemistry is the design, development and implementation of chemical products and processes to reduce or eliminate the use of sub-stances hazardous to human health and the environment. This article reports on the integration of green chemistry and sustainable development concepts (SDCs) into an existing teaching methods course for chemistry…

Moodle as an ODL Teaching Tool: A Perspective of Students and Academics

ERIC Educational Resources Information Center

Zainuddin, Nurkhamimi; Idrus, Rozhan; Jamal, Ahmad Farid Mohd

2016-01-01

This article describes the use of Moodle as a suitable platform to support the postgraduate open and distance learning (ODL) courses offered by Universiti Sains Islam Malaysia (USIM). Many USIM postgraduate students who take obligatory courses (e.g., research methodology and data analysis) are taught at different venues to facilitate students'…

Life Skills Manual = Les Practiques d'une Vie Saine = Mwongozo wa Stadi za Maisha.

ERIC Educational Resources Information Center

Callahan, Kathleen

The Peace Corps Information Collection and Exchange makes available its information resources to other organizations. This document, made available in English, French, and Swahili, is one such resource. The focus of this document is a comprehensive behavior change approach that concentrates on the development of skills needed for life, such as…

English as Second Language: Students' Awareness of Learning Strategies Used in Reading Comprehension

ERIC Educational Resources Information Center

Hussain, Irshad; Javed, Muhammad; Munshi, Parveen

2015-01-01

This study investigated the reading strategies used by adult learners' to read materials in English language for their studies. The population of the study consisted of students of Universiti Sains Malaysia. A sample of 80 (40 Postgraduates and 40 Undergraduates) TESOL students enrolled in the University were selected randomly. The data were…

Gender Differences in Availability, Internet Access and Rate of Usage of Computers among Distance Education Learners.

ERIC Educational Resources Information Center

Atan, Hanafi; Sulaiman, Fauziah; Rahman, Zuraidah Abd; Idrus, Rozhan Mohammed

2002-01-01

Explores the level of availability of computers, Internet accessibility, and the rate of usage of computers both at home and at the workplace between distance education learners according to gender. Results of questionnaires completed at the Universiti Sains Malaysia indicate that distance education reduces the gender gap. (Author/LRW)

Laptop Ownership and Use among Educators: Reflections from School Teachers in Malaysia

ERIC Educational Resources Information Center

Khambari, Mas Nida Md.; Moses, Priscilla; Luan, Wong Su

2009-01-01

This research explored the experiences of owning and using laptops among three secondary school teachers in Malaysia. They were granted personal laptops by the Ministry of Education through the Teaching and Learning of Science and Mathematics in English, or known as Pengajaran dan Pembelajaran Sains dan Matematik dalam Bahasa Inggeris (PPSMI)…

Brief Report: Interaction between social class and risky decision-making in children with psychopathic tendencies

PubMed Central

Gao, Yu; Baker, Laura A.; Raine, Adrian; Wu, Henry; Bezdjian, Serena

2008-01-01

Objective Adult psychopaths are thought to have risky decision-making and behavioral disinhibition, but little is known about themoderating effects of psychosocial factors and whether these associations can be observed in children with psychopathic tendencies. This study tests the biosocial hypothesis that social class will moderate psychopathy–neurocognition relationships, with these effects being stronger in children fromhigh social classes. Method Preadolescent community twins (N = 298) were assessed on decision-making (Iowa Gambling) and behavior inhibition (Porteus Maze) tasks, while psychopathic tendencies and socioeconomic status were assessed by the child’s caregiver. Results A significant interaction was observed whereby risky decision-making was associated with psychopathic tendencies only in children from benign home environments. Conclusions Findings support a biosocial interaction perspective on child psychopathy, suggesting that risky decision-makingmay particularly predispose to psychopathic traits in children frombenign homebackgrounds. PMID:18986696

International Students, Academic Publications and World University Rankings: The Impact of Globalisation and Responses of a Malaysian Public University

ERIC Educational Resources Information Center

Tan, Yao Sua; Goh, Soo Khoon

2014-01-01

This paper examines the responses of a Malaysian public university, namely Universiti Sains Malaysia, to the impact of globalisation vis-à-vis three key issues: international students, academic publications and world university rankings. There are concerted efforts put in place by the university to recruit more international students. But a global…

A View into Successful Teaching Techniques: Teaching Malay Language as a Foreign Language in Malaysia

ERIC Educational Resources Information Center

Baharudin, Mazlina; Sadik, Azlina Md

2016-01-01

This paper will highlight successful teaching techniques used in class in teaching the Malay Language 1 course in Universiti Sains Malaysia (USM). The course is to equip foreign students for their studies and also as means of basic communication with the locals in Malaysia. In Malaysia, the emphasis in Malay language teaching are focused to…

Maximizing the Usage of Technology-Enhanced Teaching and Learning of Science and Mathematics in English Program in the Malaysian Secondary Schools System

ERIC Educational Resources Information Center

Luck, Lee Tan; Peng, Chew Fong

2010-01-01

This research is attempting to examine the effectiveness in the application of ICT (information and communication technology) and standardize courseware in ETeMS (English for Teaching Mathematics and Science) or PPSMI (Pengajaran and Pembelajaran Sains and Matematic dalam Bahasa Inggeris) in English program in the Malaysian secondary school…

The influence of pre-admission tracks on students' academic performance in a medical programme: Universiti Sains Malaysia.

PubMed

Arzuman, H; Ja'afar, R; Fakri, N M R M

2012-11-01

An aim of medical schools is to select the most suitable candidates who are more likely to become good doctors, fulfilling societal expectations. It is imperative to better understand the influence of 'selection' variables on students' academic performance. We conducted a retrospective record review (3R) to examine the predictive power of pre-admission tracks on academic performance in the medical programme at the Universiti Sains Malaysia. Data were collected on medical graduates' of the university for the years 2003 through 2007. This represented 805 graduates after exclusion of 42 for incomplete and inconsistent data related to the analysis. A total of 95% of the graduates were included in this analysis; 67% were female. Of the 805 graduates, 75% were from the Matriculation course track, 22% from the High School Certificate (HSC) course and 1% from other pre-admission tracks. There was 2% missing information. The majority (79%) were Biology majors and 13% were Physics majors. Graduates from the HSC course and with a Biology background demonstrated a strong correlation with positive academic performance (P < 0.05) compared with other groups. The HSC track and Biology background may be helpful for the medical school in selecting future students.

Capacity building for the space sector: Microsatellite as a way forward. The example of the university of sains Malaysia

NASA Astrophysics Data System (ADS)

Faizal Allaudin, Mohd; Peter, Nicolas; Azlin Md Said, Md; Nor, Khalid

2005-07-01

Due to the large capital investment and high risk generally associated with space activities only a limited number of countries have been able to benefit from the use of space technology. Space technology is often seen as an important tool to allow the transition from a developing country to a developed country. As Malaysia's vision is to be a developed country by 2020, it need to enhance the capability and capacity of its space technology at an accelerated pace. At this stage, Malaysia can be considered as new in space activities, since the first satellite successfully launched into orbit was only in 1997. This paper describes a microsatellite project undertaken in a university environment in Malaysia by the School of Aerospace Engineering from the University of Sains Malaysia (USM) where the students will be participating in the development and operations. Such involvement aim at forming an integral part of the students education extending the traditional way of teaching with practical classes thus providing hands-on experience and offering skills and experience needed by the future Malaysian space workforce, and to expand Malaysian space capacity building.

Issue des accouchements sur utérus cicatriciel dans un hôpital universitaire au Burkina

PubMed Central

Dembélé, Adama; Tarnagda, Zekiba; Ouédraogo, Jean Louis; Thiombiano, Oumarou; Bambara, Moussa

2012-01-01

Certains auteurs ont tendance à privilégier la césarienne comme méthode de prise en charge d'une parturiente porteuse d'un utérus cicatriciel. D'autres auteurs préconisent un accouchement par voie basse quand des paramètres cliniques précis sont observés. Le but de cette étude est d'analyser la prise en charge et l'issue des accouchements sur utérus cicatriciel au Centre Hospitalier Universitaire Souro Sanou de Bobo-Dioulasso et de la comparer aux différentes approches recommandées. Nous avons menés une étude transversale dans le Département de Gynécologie d'Obstétrique et de Médecine de la Reproduction du Centre Hospitalier Universitaire Sanou Souro de Bobo Dioulasso du 1er août 2006 au 1er août 2007 et a concerné 252 parturientes ayant un utérus cicatriciel parmi 4256 accouchements déroulés pendant la même période. Les accouchements sur utérus cicatriciels ont représenté 5,92 % de l'ensemble des accouchements dans notre département. La moyenne d'âge des patientes était de 26,2 ans et la parité moyenne de 4,3. Une césarienne d'emblée a été pratiquée chez 44% des parturientes ayant un utérus cicatriciel et 56 % parmi elles ont fait l'objet d'une épreuve utérine. Sur l'ensemble des épreuves utérines, 61% des parturientes ont accouché par voie basse. La mortalité maternelle était nulle et La mortalité périnatale était relativement importante. Les conditions d'acceptabilité de la voie basse ont été les mêmes chez toutes les patientes et un check liste a été proposé pour une meilleure prise en charge. L'épreuve utérine en salle d'accouchement doit être la règle à chaque fois que cela est possible chez une parturiente porteuse d'utérus cicatriciel. L’établissement d'un check liste pour accouchement par voie basse sur utérus cicatriciel facilite les prises de décision. PMID:23133695

Cognitive Load Theory and the Use of Worked Examples as an Instructional Strategy in Physics for Distance Learners: A Preliminary Study

ERIC Educational Resources Information Center

Saw, Kim Guan

2017-01-01

This article revisits the cognitive load theory to explore the use of worked examples to teach a selected topic in a higher level undergraduate physics course for distance learners at the School of Distance Education, Universiti Sains Malaysia. With a break of several years from receiving formal education and having only minimum science…

Identifying sustainable foods: the relationship between environmental impact, nutritional quality, and prices of foods representative of the French diet.

PubMed

Masset, Gabriel; Soler, Louis-Georges; Vieux, Florent; Darmon, Nicole

2014-06-01

Sustainable diets, as defined by the Food and Agriculture Organization, need to combine environment, nutrition, and affordability dimensions. However, it is unknown whether these dimensions are compatible, and no guidance is available in the official recommendations. To identify foods with compatible sustainability dimensions. For 363 of the most commonly consumed foods in the Second French Individual and National Study on Food Consumption, environmental impact indicators (ie, greenhouse gas [GHG] emissions, acidification, and eutrophication), and prices were collected. The nutritional quality of the foods was assessed by calculating the score for the nutritional adequacy of individual foods (SAIN) to score for disqualifying nutrients (LIM) ratio. A sustainability score based on the median GHG emissions, price, and SAIN:LIM was calculated for each food; the foods with the best values for all three variables received the highest score. The environmental indicators were strongly and positively correlated. Meat, fish, and eggs and dairy products had the strongest influence on the environment; starchy foods, legumes, and fruits and vegetables had the least influence. GHG emissions were inversely correlated with SAIN:LIM (r=-0.37) and positively correlated with price per kilogram (r=0.59); the correlation with price per kilocalorie was null. This showed that foods with a heavy environmental impact tend to have lower nutritional quality and a higher price per kilogram but not a lower price per kilocalorie. Using price per kilogram, 94 foods had a maximum sustainability score, including most plant-based foods and excluding all foods with animal ingredients except milk, yogurt, and soups. Using price per kilocalorie restricted the list to 42 foods, including 52% of all starchy foods and legumes but only 11% of fruits and vegetables (mainly 100% fruit juices). Overall, the sustainability dimensions seemed to be compatible when considering price per kilogram of food. However, this conclusion is too simplistic when considering price per kilocalorie, which highlights the need to integrate the data at the diet level. Copyright © 2014 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

Une version québécoise du Sport Concussion Assessment Tool 2 (SCAT2)—Outil d'évaluation des commotions cérébrales dans le sport 2 : Québec (SCAT2-Qc)

PubMed Central

Boyd, Jami; Boyer-Rémillard, Marie-Eve; Pilon-Piquette, Michael; McKinley, Patricia

2013-01-01

RÉSUMÉ Objectif : traduire le Sport Concussion Assessment Tool 2 (SCAT2) dans la langue française parlée au Québec et en vérifier l'acceptabilité pour la population québécoise francophone. Méthodologie : le processus de traduction de la version originale du SCAT2 a fait appel à une variante de la méthode de traduction et d'adaptation d'outils proposée par l'Organisation mondiale de la santé. Une traduction parallèle a d'abord été réalisée. Ensuite, un comité a révisé cette traduction parallèle dans le but de produire une version préliminaire du SCAT2-Qc. Puis, on a procédé à une rétrotraduction parallèle, que l'on a comparée à la version originale. La version préliminaire a été modifiée. Pour parvenir à la version finale, on a intégré les suggestions et les commentaires formulés par deux sujets sains lors de l'essai de l'outil, et lors de la comparaison du SCAT2-Qc à la version française existante par trois réviseurs du domaine de la santé. On a ensuite testé la version finale du SCAT2-Qc auprès de douze sujets sains pour en vérifier l'acceptabilité. Résultats : les douze sujets sains n'ont eu aucun problème de compréhension en utilisant le SCAT2-Qc. Conclusion : les différentes étapes de traduction ont permis de créer le SCAT2-Qc. Son contenu ayant été validé, il peut à présent être utilisé dans le milieu sportif et scientifique québécois. PMID:24396168

Prevalence of depression and its associated factors among elderly patients in outpatient clinic of Universiti Sains Malaysia Hospital.

PubMed

Imran, A; Azidah, A K; Asrenee, A R; Rosediani, M

2009-06-01

Depression among elderly primary care patients is a serious problem with significant morbidity and mortality. This is a cross sectional study to determine the prevalence of depression and its associated factors among the elderly patients attending the outpatient clinic, Universiti Sains Malaysia Hospital. This study utilized Malay version Geriatric Depression Scale 14 (M-GDS 14) to screen for elderly depression among Malaysian population. It also looked into associated risk factors for elderly depression using sociodemographic, family dynamics, and medically related questionnaires. Out of 244 subjects, 34 or 13.9% were found to have depression. Three variables were found to be significantly associated with depression. Elderly patient with any illness that limits the patient's activity or mobility has more risk of developing depression (OR 2.68 CI 1.15 - 6.24). Elderly patients who were satisfied with their personal incomes (OR 0.29 CI 0.10 - 0.85), and who had children or son/daughter-in-law to take care of them when they are sick (OR 0.10 CI 0.01 - 0.83) have a lower chance of having depression. Screening the elderly for depression, would help in diagnosing the elderly depression better and offer them the treatment needed.

Patients' perception of the ambulance services at Hospital Universiti Sains Malaysia.

PubMed

Anisah, A; Chew, K S; Mohd Shaharuddin Shah, C H; Nik Hisamuddin, N A R

2008-08-01

Little is known regarding public opinion of prehospital care in Malaysia. This study was conducted to find out the public's perception and expectations of the ambulance services in one of the university hospitals in Malaysia. A six-month prospective cross-sectional study to look at patients' perception of Hospital Universiti Sains Malaysia's (HUSM) ambulance service was conducted from February 2006 to July 2006. Upon arrival at the hospital, patients or their relatives (who used our hospital's ambulances) were interviewed with a set of questions regarding their perception of the ambulance services and were asked to rate the perception on a Likert Scale from 1 to 10. A convenient sampling method was applied. A total of 87 samples were obtained. Despite the many problems faced by the ambulance service in HUSM, the mean score for each of the questions on patient's perception ranged from 9.33 to 9.70 out of 10. The questions with the highest mean score, which were both 9.70 each, were related to staff attentiveness and staff gentleness. Patients' perceptions can be very subjective, but until further similar studies could be carried out in other parts of Malaysia, this set of data merely represents a numerical measure of public perception of the ambulance services from HUSM.

The Shock and Vibration Bulletin. Part 3. Structural Analysis, Fatigue.

DTIC Science & Technology

1978-09-01

RDM MI Finite elusaKt malysis is frequstly usemdtocmpt the loanded random vibration In dhe dehign of airbozuie optical pac- rsoeofaircraft structures...olv or thecat ost savins. Although the ost savings lowe ue. Sinfirt sains In om-r do not appear to be enough to enable ameto putational speed am...be it a star sensor, camera, identification studies can represent a consi- telescope, antenna, laser, or a variety of derable cost savings in route to

Neuroscience and Brain Science Special Issue begins in the Malaysian Journal of Medical Sciences

PubMed Central

ABDULLAH, Jafri Malin

2014-01-01

The Malaysian Journal of Medical Sciences and the Orient Neuron Nexus have amalgated to publish a yearly special issue based on neuro- and brain sciences. This will hopefully improve the quality of peer-reviewed manuscripts in the field of fundamental, applied, and clinical neuroscience and brain science from Asian countries. One focus of the Universiti Sains Malaysia is to strengthen neuroscience and brain science, especially in the field of neuroinformatics. PMID:25941457

The 1999 Conference on Molecular Energy Transfer (COMET XVI)

DTIC Science & Technology

1999-07-14

Farrell,* John D. DeSain, Craig A. Taaties Combustion Research Facility, Mail Stop 9055, Sandia National Laboratories, Livermore, CA 94551-0969 The...Knowles, with contributions by J. Alml~f, R. D. Amos, M. J. 0. Deegan , S. T. Elbert, C. Hampel, W. Meyer, K. A. Peterson, R. M. Pitzer, A. J. Stone...Department of Molecular and Laser Physics Fax: +84 564 54 2254 University of Nijmegen Toernooi veld 1 6525 Nijmegen Taatjes, Craig The Netherlands

A computer program to find the kernel of a polynomial operator

NASA Technical Reports Server (NTRS)

Gejji, R. R.

1976-01-01

This paper presents a FORTRAN program written to solve for the kernel of a matrix of polynomials with real coefficients. It is an implementation of Sain's free modular algorithm for solving the minimal design problem of linear multivariable systems. The structure of the program is discussed, together with some features as they relate to questions of implementing the above method. An example of the use of the program to solve a design problem is included.

Learning and Adaptive Hybrid Systems for Nonlinear Control

DTIC Science & Technology

1991-05-01

34 Invention Report, S81-64, File 1, Office of Technology Liscensirig, Stanford University, 1982. [Ros62J Rosenblatt, F., Principles of Neurodynamics ...Explorations in the Microstructure of Cognition , vol. 1, Rumelhart, D., and J. McClelland, ed., MIT Press, Carbnbdge, MA, 1986. [RI-1W86] Rumnelhart, D., 0...Microstructure of Cognition , vol. 1, Rumelhart, D., and J. McClelland, ed., MIT Pres, Cambridge, MA, 1986. [Sain67] Samuel, A., "Some Studies in Machine Learning

Module theoretic zero structures for system matrices

NASA Technical Reports Server (NTRS)

Wyman, Bostwick F.; Sain, Michael K.

1987-01-01

The coordinate-free module-theoretic treatment of transmission zeros for MIMO transfer functions developed by Wyman and Sain (1981) is generalized to include noncontrollable and nonobservable linear dynamical systems. Rational, finitely-generated-modular, and torsion-divisible interpretations of the Rosenbrock system matrix are presented; Gamma-zero and Omega-zero modules are defined and shown to contain the output-decoupling and input-decoupling zero modules, respectively, as submodules; and the cases of left and right invertible transfer functions are considered.

Knowledge and Attitude about Stem Cells and Their Application in Medicine among Nursing Students in Universiti Sains Malaysia, Malaysia

PubMed Central

LYE, Jee Leng; SOON, Lean Keng; WAN AHMAD, Wan Amir Nizam; TAN, Suat Cheng

2015-01-01

Background: Stem cell research has been extensively explored worldwide to enhance human health in medical setting. Nevertheless, there is currently no full understanding of the stem cell knowledge and attitude levels among student nurses in Malaysia. This study aimed to assess the level of stem cell knowledge, attitude toward stem cell application in medicine, and its association with years of education, among Universiti Sains Malaysia (USM) undergraduate nursing students. Methods: A cross-sectional study (n = 88) was conducted using self-administered questionnaire consisted of demographic information, stem cells knowledge and attitude statements. Data was analysed using Statistical Package Social Software 20.0. Results: The majority of participants (92%) had moderate knowledge score about stem cells. Many students (33%) worried that stem cell application might cause a harm to humanity yet had a positive (76.1%) attitude towards its therapeutic potential (45.5%). Poor correlation between knowledge and attitude (r = 0.08) indicated that acceptance towards stem cell is not solely based on the knowledge level but also on other factors including religion and culture. Conclusion: Therefore, this study suggests that various educational programs on stem cell should be implemented considering the religion, cultural, social, and behavioural determinants in the population to improve stem cell knowledge and encourage a more positive attitude towards stem cells in medicine among these nursing students. PMID:26715905

Knowledge and Attitude about Stem Cells and Their Application in Medicine among Nursing Students in Universiti Sains Malaysia, Malaysia.

PubMed

Lye, Jee Leng; Soon, Lean Keng; Wan Ahmad, Wan Amir Nizam; Tan, Suat Cheng

2015-01-01

Stem cell research has been extensively explored worldwide to enhance human health in medical setting. Nevertheless, there is currently no full understanding of the stem cell knowledge and attitude levels among student nurses in Malaysia. This study aimed to assess the level of stem cell knowledge, attitude toward stem cell application in medicine, and its association with years of education, among Universiti Sains Malaysia (USM) undergraduate nursing students. A cross-sectional study (n = 88) was conducted using self-administered questionnaire consisted of demographic information, stem cells knowledge and attitude statements. Data was analysed using Statistical Package Social Software 20.0. The majority of participants (92%) had moderate knowledge score about stem cells. Many students (33%) worried that stem cell application might cause a harm to humanity yet had a positive (76.1%) attitude towards its therapeutic potential (45.5%). Poor correlation between knowledge and attitude (r = 0.08) indicated that acceptance towards stem cell is not solely based on the knowledge level but also on other factors including religion and culture. Therefore, this study suggests that various educational programs on stem cell should be implemented considering the religion, cultural, social, and behavioural determinants in the population to improve stem cell knowledge and encourage a more positive attitude towards stem cells in medicine among these nursing students.

Hospital Universiti Sains Malaysia (HUSM): 25 Years Of Excellent Service

PubMed Central

Kamari, Zaidun

2009-01-01

Our Hospital University Sains Malaysia (HUSM) was given the Cabinet approval to exist under the Ministry of Education on 23 November 1982. The Deputy Prime Minister during that period, Yang Berhormat Tun Musa Hitam announced this after the cabinet meeting was held together with the presence of the Yang Berhormat Ministers of Health; and Education, Director of the Public Works Department and the Implementation and Coordinating Unit, Prime Minister’s Department. The first patients moved in on 14 March 1983 and the inauguration of HUSM was done on 26 August 1984 by the Duli Yang Maha Mulia Tuanku Ismail Petra Ibni Al-Marhum Sultan Yahya Petra, the Sultan of Kelantan Darul Naim. HUSM celebrated it’s 25th anniversary at the Dewan Utama, USM Health Campus on the 15th December 2008 which was inaugurated by Yang Berhormat, Minister of Higher Education Dato’ Seri Mohamed Khaled Nordin. USM’s Vice Chancellor Professor Tan Sri Dato’ Dzulkifli Abdul Razak, Chairman of the USM Board of Directors Tan Sri Dato’ Haji Dr. Ani bin Arope, Health Campus Director Professor Dato’ Dr. Mafauzy Mohamed, former Campus Director, Dato’ Prof Mohd Roslani Abdul Majid, the current and previous Hospital Directors and Deputy Directors since 1983 were present. The achievements of HUSM since its establishment and its vision to fulfil the University’s Accelerated Programme for Excellence (APEX) are elaborated. PMID:22589644

The prevalence of, and factors related to, compliance with glove utilization among nurses in Hospital Universiti Sains Malaysia.

PubMed

Naing, L; Nordin, R; Musa, R

2001-09-01

Increasing risk of HIV infections among health care workers has been a continuing concern. The study was designed to identify the compliance of glove utilization, and factors related to non-compliance. A sample of 150 staff nurses were recruited from the study population of 550 nurses in Hospital Universiti Sains Malaysia. Data were collected by using a structured self-administered questionnaires. The response rate was 98.4%. The study revealed a low compliance (13.5%) of glove utilization (for all 9 procedures), which varied among different procedures (27-97%). Younger nurses and those with shorter duration of working experience had better knowledge of Universal Precautions. Nurses in intensive care unit and operation theatre were better in both knowledge and compliance of glove utilization. The three commonest misconceptions were identified as "selective use of gloves for high risk groups and suspected cases", and "tendency to depend on HIV prevalence". Nurses reported practical problems including administrative and personal related such as "stock irregularity" (46%), "glove not available at the emergency sites" (44%), and "reduction of tactile sensation" (39%). It was concluded that poor knowledge and practical problems were possible responsible factors for the low compliance. A good training for nurses comprising principle and practice of Universal Precautions, updated knowledge of blood and body fluid borne infections and risk and its management, will probably improve the compliance.

Detection of selected intestinal helminths and protozoa at Hospital Universiti Sains Malaysia using multiplex real-time PCR.

PubMed

Basuni, M; Mohamed, Z; Ahmad, M; Zakaria, N Z; Noordin, R

2012-09-01

Intestinal parasites are the causative agents of a number of important human infections in developing countries. The objective of this study was to determine the prevalence of selected helminths and protozoan infections among patients admitted with gastrointestinal disorders at Hospital Universiti Sains Malaysia, Kelantan, Malaysia using multiplex real-time PCR. In addition microscopic examination was also performed following direct smear, zinc sulphate concentration and Kato-Katz thick smear techniques; and the presence of protozoan parasites was confirmed using trichrome and acid-fast stains. Of the 225 faecal samples analysed, 26.2% were positive for intestinal parasites by the multiplex real-time PCR, while 5.3% were positive by microscopy. As compared to microscopy, the multiplex real-time PCR detected 5.8 and 4.5 times more positives for the selected helminth and protozoan infections respectively. Among the selected helminths detected in this study, hookworm was the most prevalent by real-time PCR, while Ascaris lumbricoides was detected the most by microscopy. Meanwhile, among the selected protozoa detected in this study, Entamoeba histolytica was the most prevalent by real-time PCR, however microscopy detected equal number of cases with E. histolytica and Giardia lamblia. This study showed that real-time PCR can be used to obtain a more accurate prevalence data on intestinal helminths and protozoa.

The Aerodynamcis of Parachutes

DTIC Science & Technology

1987-07-01

saine pour cc qui faisait I’objet de son livre ’Les parachutes". Les fonctions remplies par les matiriels qu’il y d&crivait itaient d’abord r’emport...port le titre, cet "AGARDographe eat considdre comme Ia suite directe du livre "Les parachutes" de Brown, car il insiste sur le maine themne: ’lea...reconnaitre au passage lea apports inestimablemn qu’clles ont faits A cette publication qui eat l’aboutissenient de tous nos efforts conjuguis. David

Automated Shirt Collar Manufacturing. Volume 3. Sewing Head Control for High Speed Stitch Contour Tracking.

DTIC Science & Technology

1993-06-23

mal control scheme sums the cost function for all data points from time zero to infinity; however, the preview case sums only through the preview step...shaft speed that is generated by the monitor port on the servo amplifiers. Therefore, the zero frequency gain shown in the figure contains the gain...Delivery Order 0014 SAOORESS (City, State, and ZIP Code ) 10. SOURCE OF FUNDING NUMBERS Rom415CmrnSainPROGRAM IPROJECT TASK WORK UNITAlexandriaR VA 22304-6100

Literacy and Health Project. Phase One. Making the World Healthier and Safer for People Who Can't Read = Projet alphabetisation et sante: Premiere etape. Rendre le milieu plus sain et sans danger pour les personnes qui ne savent pas lire.

ERIC Educational Resources Information Center

Ontario Public Health Association, Toronto.

The Literacy and Health Project was set up to determine how reading and health problems were connected. A research phase documented the relationship between literacy and health. Information was collected from community organizations, literature review, three case studies in Ontario, and key informant interviews. The consultation process involved…

Eddies and Thermohaline Intrusions of the Shelf/Slope Front off the Northeast Spanish Coast

DTIC Science & Technology

1990-02-15

sain- because of limited hydrographic data coverage in that study. ity. >38.0) due to river runoff . The most important freshwa- they were not able to...ccast. nutrient supply from coastal runoff may also contribute to This high-salinity tongue in fact was located right under the the plankton bloom. near...and J. Tintor . Scmnter frontal contribiution to the fertili . tation of oceanic waters off the NEF coast of Spain. Or canoI. Ac to tn press. 1990

77 FR 14717 - National Oil and Hazardous Substances Pollution Contingency Plan; National Priorities List...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-13

... preclude future actions under Superfund. This partial deletion pertains to the surface soil, unsaturated subsurface soil, surface water and sediments of Operable Unit (OU) 1, the Gateway Lake Ash Study Area, and.... Surface soil, unsaturated subsurface soil, surface water, and sediments at OU-2, OU-3, OU-4, OU-5, OU-6...

Correlation between Resistivity and Ground Penetrating Radar (GPR) Methods in Understanding the Signatures in Detecting Cavities

NASA Astrophysics Data System (ADS)

Afiq Saharudin, Muhamad; Maslinda, Umi; Hisham, Hazrul; Taqiuddin, Z. M.; Nur Amalina, M. K. A.; Nawawi, Nordiana Ahmad; Sulaiman, Nabila; Nordiana, M. M.; Azwin, I. N.

2017-04-01

The research was conducted using Resistivity and Ground Penetrating Radar (GPR) methods in detecting in-filled cavities and air-filled cavities. The importance of this study is to see the difference in conductivity value of the in-filled and air-filled cavity. The first study location in which the known target is air-cavity located at School of Language, Literacies, and Translation (SoLLAT). The next study location is at Desasiswa Bakti Permai, which the known target is a bunker with both were located at Universiti Sains Malaysia, Penang and the last location is at Gua Musang, Kelantan with suspected in-filled cavity. The result from Gua Musang is compared with both of the results that have been done at Universiti Sains Malaysia. The resistivity value of the first location that indicates the possible tunnel is about 500 Ωm to 800 Ωm and the conductivity value is about 0.0017 S/m. The resistivity value for the second location located at Desasiswa Bakti Permai that indicates the bunker is about 50 Ωm to 250 Ωm and the conductivity value is about 0.1104 S/m. The resistivity value from Gua Musang is about 50 Ωm to 100 Ωm and the conductivity value is about 0.0101 S/m. The velocity of the in-filled cavities is much lower compared with the velocity of the air-filled cavities. Based on the characteristics, Gua Musang area was dominated with in-filled cavities.

Spectrum of thyroid lesions in hospital Universiti Sains Malaysia over 11years and a review of thyroid cancers in Malaysia.

PubMed

Othman, Nor Hayati; Omar, Effat; Naing, Nyi Nyi

2009-01-01

Endemic goitre is a major concern in many nations including Malaysia. Seven states in the country have been identified by Ministry of Health of Malaysia to have high incidence of goitre and one of these is Kelantan. This is a retrospective study over an 11-year period from 1994 to 2004 on all thyroid specimens submitted to the Pathology Department, Hospital Universiti Sains Malaysia (HUSM), in Kelantan. Epidemiological data were retrieved from the patients' records and pathology findings from the pathology reports. During this period, Department of Pathology HUSM received a total of 1,486 thyroid specimens. The female to male ratio was 6:1 and the median age was 40.0 years. The duration of goitre ranged from one to 15 years. Histopathological examination showed 71.9 percent were non-neoplastic and 28.1 percent neoplastic lesions. The hospital-based incidence of nodular hyperplasia was 9.9 per 100,000 admitted patients per year. The hospital-based incidence of all types of malignant thyroid cancers was 3.5 per 100,000. The most common malignancy was papillary carcinoma 76.6 percent. The majority of the cancers (59.5 percent) occurred in a background of nodular hyperplasia. Thyroid cancers made up 4.9 percent of all cancers seen in HUSM. This study suggests that malignant thyroid lesions arising from multi-nodular goitre are high in a population living in an iodine-deficiency area.

A study of job strain and dissatisfaction among lecturers in the School of Medical Sciences Universiti Sains Malaysia.

PubMed

Huda, B Z; Rusli, B N; Naing, L; Tengku, M A; Winn, T; Rampal, K G

2004-03-01

Job stress has now become one of the most significant health and safety issues in the workplace and one of the least understood areas of organizational cost. A cross-sectional study to assess job strain and dissatisfaction in lecturers of the School of Medical Sciences, Universiti Sains Malaysia (USM) was undertaken between August 2001 and May 2002. The original English version of the Job Content Questionnaire (JCQ) version 1.7 (revised 1997) by Robert Karasek was self-administered to 73 (response rate 58.4%) lecturers in School of Medical Sciences USM. The prevalence of job strain (defined by low decision latitude and high psychological demands) in USM was 23.3%. The risk factors of job strain in the lecturers were psychological stressors (adjusted OR 1.2, 95% CI 1.0, 1.4), created skill (adjusted OR 0.4, 95% CI 0.2, 0.8) and working in clinical-based departments (adjusted OR 18.7, 95% CI 1.6, 22.7). The prevalence of job dissatisfaction was 42.6%. Associated factors of job dissatisfaction in USM lecturers were decision authority (p < 0.001) and psychological job demand (p < 0.001). We conclude that psychological stressors and created skill were non-protective and protective, respectively, against job strain in USM lecturers. Clinical-based lecturers experienced higher job strain compared to non-clinical-based lecturers. Psychological job demand was strongly associated with job dissatisfaction, and decision authority was protective against job dissatisfaction.

A 5-Year Retrospective Review of Fungal Keratitis at Hospital Universiti Sains Malaysia

PubMed Central

Mohd-Tahir, Fadzillah; Norhayati, A.; Siti-Raihan, Ishak; Ibrahim, M.

2012-01-01

Background. Corneal blindness from healed infected keratitis is one of the most preventable causes of monocular blindness in developing countries, including Malaysia. Our objectives were to identify the causative fungi, predisposing risk factors, the proportion of correct clinical diagnosis, and visual outcome of patients treated in our hospital. Methods. A retrospective review of medical and microbiology records was conducted for all patients who were treated for fungal keratitis at Hospital Universiti Sains Malaysia from January 2007 until December 2011. Results. Forty-seven patients (47/186, 25.27%) were treated for fungal keratitis during the study period. This demonstrated that the incidence of fungal keratitis has increased each year from 2007 to 2011 by 12.50%, 17.65%, 21.21%, 26.83%, and 28.57%, respectively. The most common predisposing factors were injury to the eye followed by use of topical steroid, and preexisting ocular surface disease. Fusarium species were the most common fungal isolated, followed by Candida species. Clinical diagnosis of fungal keratitis was made in 26 of the 41 (63.41%) cases of positive isolates. Of these, in eleven cases (23.40%) patients required surgical intervention. Clinical outcome of healed scar was achieved in 34 (72.34%) cases. Conclusions. The percentage of positive fungal isolated has steadily increased and the trend of common fungal isolated has changed. The latest review regarding fungal keratitis is important for us to improve patients' outcome in the future. PMID:23304138

Big Sib Students' Perceptions of the Educational Environment at the School of Medical Sciences, Universiti Sains Malaysia, using Dundee Ready Educational Environment Measure (DREEM) Inventory.

PubMed

Arzuman, Hafiza; Yusoff, Muhamad Saiful Bahri; Chit, Som Phong

2010-07-01

A cross-sectional descriptive study was conducted among Big Sib students to explore their perceptions of the educational environment at the School of Medical Sciences, Universiti Sains Malaysia (USM) and its weak areas using the Dundee Ready Educational Environment Measure (DREEM) inventory. The DREEM inventory is a validated global instrument for measuring educational environments in undergraduate medical and health professional education. The English version of the DREEM inventory was administered to all Year 2 Big Sib students (n = 67) at a regular Big Sib session. The purpose of the study as well as confidentiality and ethical issues were explained to the students before the questionnaire was administered. The response rate was 62.7% (42 out of 67 students). The overall DREEM score was 117.9/200 (SD 14.6). The DREEM indicated that the Big Sib students' perception of educational environment of the medical school was more positive than negative. Nevertheless, the study also revealed some problem areas within the educational environment. This pilot study revealed that Big Sib students perceived a positive learning environment at the School of Medical Sciences, USM. It also identified some low-scored areas that require further exploration to pinpoint the exact problems. The relatively small study population selected from a particular group of students was the major limitation of the study. This small sample size also means that the study findings cannot be generalised.

Malaysian Journal of Medical Sciences: A Step Forward towards an International Journal

PubMed Central

Ghazli, Nur Farahin; Che Annual, Norfatiha; Abdullah, Jafri Malin

2015-01-01

In 1986, the Malaysian Journal of Medical Sciences (MJMS) began as the small and newly established journal Diagnosa, established by the Universiti Sains Malaysia School of Medicine. After 28 years in the publishing industry, we have received the honor of a listing as a local journal in the Emerging Sources Citation Index (ESCI) created by Thomson Reuters (TR) to spotlight emerging high-quality scientific publications. The editorial team of MJMS looks forward to the next step in the march of progress toward the status of an international journal. PMID:28223878

Rainfall effects on Ku-band satellite link design in rainy tropical climate

NASA Astrophysics Data System (ADS)

Mandeep, J. S.; Hassan, S. I. S.; Tanaka, K.

2008-03-01

The performance of rain attenuation models in equatorial zones is still a debated issue due to the lack of measurements reported from these areas. Therefore,Therefore the rainfall path attenuation at 12.255 GHz measured at Universiti Sains Malaysia (USM) for three years is presented. It shows that the power law function of rain attenuation with ground rain rate deviates at very high rain rate. A comparison is made between the measured cumulative distributions and current prediction models, in order to determine which model gives the best prediction for this location.

Brief Survey of Operational Decision Support Systems

DTIC Science & Technology

1979-02-01

Crosn Salps -KxtocnaI (T,<,l» Cros.l S.llc>i-l!ltiTcr>. (T.C.D) Sales DoductLotis (T,C,r)) Net Sains (T,(J,D) Cost of Good;! Sold <T,C,D) Cross...plan. The data displays stimulated officer insights on zone accessibility, neighborhood characteristics, travel time, and personnel and equipment...at AIRMICS, or ten days. Travel will be as follows: Q) One trip to Ft. l.ee, VA of 1-2 days duration:€)0ne trip to Gould Corp. Chicago, (2> One

Malaysian Journal of Medical Sciences: A Step Forward towards an International Journal.

PubMed

Ghazli, Nur Farahin; Che Annual, Norfatiha; Abdullah, Jafri Malin

2015-11-01

In 1986, the Malaysian Journal of Medical Sciences (MJMS) began as the small and newly established journal Diagnosa, established by the Universiti Sains Malaysia School of Medicine. After 28 years in the publishing industry, we have received the honor of a listing as a local journal in the Emerging Sources Citation Index (ESCI) created by Thomson Reuters (TR) to spotlight emerging high-quality scientific publications. The editorial team of MJMS looks forward to the next step in the march of progress toward the status of an international journal.

--No Title--

Science.gov Websites

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Dynamique sédimentaire comparative dans les bassins stéphano-permiens des Ida Ou Zal et Ida Ou Ziki, haut Atlas Occidental, MarocDynamic sedimentology of two Upper Stephano-Lower Permian basins: Ida Ou Zal and Ida Ou Ziki, western High Atlas, Morocco

NASA Astrophysics Data System (ADS)

Saber, H.; El-Wartiti, M.; Broutin, J.

2001-05-01

The intra-mountainous Ida Ou Zal Basin developed as a graben during the Stephanian (Carboniferous) and Lower Permian. Along its borders from east to west are the remnants of basal conglomerates. Passing laterally towards the centre of the basin are fine-grained fluvial-lacustrine sediments or flood-plain deposits. The important accumulation (1800 m) of sediments, associated with climatic and tectonic changes, caused substantial subsidence in a late orogenic setting. The remnants of sporadic volcanic products (shards) found in the Ida Ou Zal and the Ida Ou Zika Basins suggest nearby simultaneous magmatic activity. A comparison between the basins of Ida Ou Zal and Ida Ou Ziki suggest that the two basins formed a single unit, called the Souss Basin, ultimately terminated between the Lower Permian and Upper Permian times by a sinistral movement of the N70-80° Agadir Ou Anzizen Fault (west branch of the Tizi N'Test Fault) at the very end of the Hercynian Orogeny in Morocco.

--No Title--

Science.gov Websites

:4px 0 0;margin-top:1px\\9;line-height:normal}.ou-form .btn,.ou-form .form-control{font-size:14px;line 5px;outline-offset:-2px}.ou-form .form-control{display:block;width:100%;height:34px;padding:6px 12px )}.ou-form .form-control::-moz-placeholder{color:#999;opacity:1}.ou-form .form-control:-ms-input

Methicillin-resistant Staphylococcus aureus nosocomial infection trends in Hospital Universiti Sains Malaysia during 2002-2007

PubMed Central

Al-Talib, Hassanain I.; Yean, Chan Y.; Al-Jashamy, Karim; Hasan, Habsah

2010-01-01

BACKGROUND AND OBJECTIVES: Methicillin-resistant Staphylococcus aureus (MRSA) is a major nosocomial pathogen that causes severe morbidity and mortality in many hospitals worldwide. The aim of the present study was to assess the burden of MRSA nosocomial infection, its association with factors of interest, and its antimicrobial susceptibility. METHODS: This was a retrospective analysis of a database of all S aureus that were cultured from patients admitted to the different wards of Hospital Universiti Sains Malaysia (HUSM) over a period of 6 years. RESULTS: The MRSA infections rate was 10.0 per 1000 hospital admissions. The incidence density rate of MRSA infections during the study period was 1.8 per 1000 patient-days, with annual rates ranging from 0.95 to 3.47 per 1000 patient-days. Duration of hospitalization, previous antibiotic use, and bedside invasive procedures were significantly higher among MRSA than methicillin-sensitive S aureus patients (P>.05). The highest number of MRSA infections were found in orthopedic wards (25.3%), followed by surgical wards (18.2%) and intensive care units (ICUs) (16.4%). All MRSA isolates were resistant to erythromycin (98.0%), co-trimoxazole (94.0%) and gentamicin (92.0%). Clindamycin was the best antibiotic with only 6% resistance. All MRSA isolates were sensitive to vancomycin. CONCLUSION: The rate of nosocomial MRSA infection per 1000 admissions was higher than that in other studies. The three factors associated most significantly with acquired MRSA infections included duration of hospitalization, antibiotic use, and bedside invasive procedures. This study confirmed that vancomycin-resistant S aureus has not yet been established in HUSM. PMID:20697171

Clinical profile and aetiology of optic neuritis in Hospital Universiti Sains Malaysia--5 years review.

PubMed

Ismail, Shatriah; Wan Hazabbah, Wan Hitam; Muhd-Nor, Nor-Idahriani; Daud, Jakiyah; Embong, Zunaina

2012-04-01

Although few studies concerning optic neuritis (ON) in Asian countries have been reported, there is no report about ON in Malaysia particularly within the Malay population. We aimed to determine the clinical manifestation, visual outcome and aetiology of ON in Malays, and discussed the literature of ON studies in other Asian populations. This was a retrospective study involving 31 consecutive patients (41 eyes) with ON treated at Hospital Universiti Sains Malaysia commencing from July 2005 till January 2010 with a period of follow-up ranging from 18-60 months. The clinical features, laboratory results, possible aetiology, and visual acuity after one year were analysed. Females were the predominant group. The age of the patients ranged between 3-55 years and peaked between 21-30 years old. 67.7% of the patients had unilateral involvement. Pain on ocular movement was observed in 31.7% of the affected eyes. 73.3% of 41 involved eyes showed visual acuity equal 6/60 or worse on presentation. Paracentral scotoma was the most common visual field defect noted. Optic disc papillitis proved more widespread compared to the retrobulbar type of ON. The aetiology was idiopathic in more than 50%, while the risk of multiple sclerosis was extremely low (3.2%) in our series. 66.0% demonstrating visual acuity improved to 6/12 or better at one year after the attack. 16.1% showed evidence of recurrence during follow-up. In conclusion, the clinical profile and aetiology of ON in Malay patients are comparable to other ON studies reported by other Asian countries.

Une vie saine et active : des directives en matière d’activité physique chez les enfants et les adolescents

PubMed Central

Lipnowski, Stan; LeBlanc, Claire MA

2012-01-01

RÉSUMÉ L’épidémie d’obésité juvénile augmente partout dans le monde. Même si les facteurs de risque d’obésité sont multifactoriels, bon nombre sont liés au mode de vie et se prêtent à une intervention. Ces facteurs incluent le comportement sédentaire et la thermogenèse sans activité physique, de même que la fréquence, l’intensité, la quantité et le type d’activité physique. Les dispensateurs de soins de première ligne sont en position idéale pour surveiller le taux d’activité physique des enfants, des adolescents et de leur famille, évaluer les choix liés au mode de vie et offrir des conseils pertinents. Le présent document de principes contient des directives visant à réduire le comportement sédentaire et à accroître le taux d’activité physique au sein de la population pédiatrique. Des recommandations d’activités physiques adaptées au développement et visant les nourrissons, les tout-petits, les enfants d’âge préscolaire, les enfants et les adolescents sont présentées. Des stratégies de promotion d’une vie saine et active sur les scènes locale, municipale, provinciale, territoriale et fédérale sont proposées.

Development, validity and reproducibility of a food frequency questionnaire in pregnancy for the Universiti Sains Malaysia birth cohort study.

PubMed

Loy, S L; Marhazlina, M; Nor, Azwany Y; Hamid, Jan J M

2011-04-01

This study aimed to develop and examine the validity and reproducibility of a semi-quantitative food frequency questionnaire (FFQ) among Malay pregnant women in Kelantan, Malaysia. A total of 177 Malay pregnant women participated in the validation study while 85 of them participated in the reproducibility study which was carried out in the antenatal clinic of Universiti Sains Malaysia Hospital. The newly developed FFQ was validated against two 24-hour dietary recalls (DR). The FFQ was repeated 20 to 28 days apart. Results showed that the FFQ moderately over-estimated the nutrient and food intakes compared to the DR. Spearman correlation coefficients for nutrients ranged from 0.24 (fat) to 0.61 (calcium) and for foods, ranged from 0.13 (organ meats, onion and garlic) to 0.57 (malt drink). For nutrients, 72 to 85% of women were classified into the correct quartiles from the FFQ and the DR while for foods, 67 to 85% of women were classified correctly. Bland-Altman plot showed relatively good agreement between these two dietary methods. The intra-class correlation (ICC) was used to estimate reproducibility. It ranged from 0.75 (vitamin C) to 0.94 (phosphorus) for nutrients while it ranged from 0.73 (confectionary) to 0.96 (coffee) for foods. On average, at least 90% of pregnant women were correctly classified into the quartiles for nutrients and foods from the two sets of the FFQ. The FFQ presented acceptable reproducibility and appears to be a valid tool for categorising pregnant women according to dietary intake.

La supraconductivité a 100 ans !

ScienceCinema

Lebrun, Philippe

2018-06-12

Il y a 100 ans, le 8 avril 1911, une découverte majeure était réalisée : celle de la supraconductivité. La supraconductivité est la caractéristique qu’ont certains métaux et alliages de perdre toute résistance électrique en dessous d’une température donnée. Cette renversante découverte, réalisée de manière presque fortuite par Kammerlingh Onnes de l’Université de Leyde (Pays-Bas) et son étudiant Gilles Holst, a ouvert un nouveau champ de recherche en physique et de fabuleuses perspectives d’applications technologiques. Du point de vue scientifique, la supraconductivité est en effet l’une des rares manifestations de la physique quantique à l’échelle macroscopique.  Du point de vue des retombées techniques, elle est porteuse d’applications majeures dans le domaine de la santé, des communications et de l’énergie. 100 ans après, les physiciens n’ont toujours pas fini d’explorer ce phénomène et ses applications. Le CERN abrite des applications de la supraconductivité à des échelles inédites. L’accélérateur de particules LHC, avec ses milliers d’aimants supraconducteurs répartis sur 27 kilomètres de circonférence, est en effet la plus grande application mondiale de la supraconductivité. Il ne pourrait exister sans elle. Le CERN fête donc la découverte de la supraconductivité avec une conférence exceptionnelle donnée par Philippe Lebrun. Au cours de cette conférence, l’expérience historique de Kammerlingh Onnes sera reproduite. Philippe Lebrun racontera l’histoire de cette étonnante découverte, en la replaçant dans le contexte scientifique de l’époque. Il racontera les développements scientifiques et les applications du premier siècle de la supraconductivité. Conférence en français Merci de bien vouloir vous inscrire au : +41 22 767 76 76 ou cern.reception@cern.ch

The effects of acute versus chronic training status on pacing strategies of older men in a hot, humid environment.

PubMed

Chia, Eevon; Cannon, Jack; Marino, Frank E

2015-10-01

The combined effects of age and training on the regulation of exercise performance may be confounded by the additional challenge of thermoregulation. Thus, the objective of this study was to compare the pacing strategy of older men who have recently completed 12 weeks of exercise training (acute) to men who have been regularly (>3 times/week) training for at least 6 months (chronic) in a hot, humid environment and to observe disparity, if any, between acute and chronic exercise training on thermoregulation. Eleven chronically trained men (OT) completed a familiarisation trial before returning after 7-10 days to repeat the protocol. Similarly, eight untrained men (OU-PRE) were familiarised and repeated the protocol before completing 12 weeks of exercise training. Post-training, the eight acutely trained men (OU-POST) returned to the laboratory for a third trial. All trials were conducted on a cycle ergometer at the same time of the day in a climate controlled chamber with a mean dry bulb temperature and relative humidity of 32.0°C and 68%, respectively. OT consumed more water than OU-POST and OU-PRE (P<0.01) whilst no differences were observed in the OU with training. Voluntary activation of the knee extensors decreased by 11.3% (P<0.05) in the OU-PRE after the cycling time trial. However, the decrease in voluntary activation observed in the OU-POST and OT after the cycling time trial were not significant. The OT maintained a higher power output compared with the OU-POST and OU-PRE except for the last sprint, whilst no significant differences in power output were observed between the OU-PRE and OU-POST. The rate of rise in core temperature was significantly higher in the OT compared with OU-POST (P<0.001) and OU-PRE (P<0.001). With more experience in training, the OT used an alternative hydration strategy compared with the OU-POST and OU-PRE to mitigate the effects of possible exercise hyperthermia, ultimately attaining a higher, but non-critical core temperature at the end of the cycling time trial. Twelve weeks of exercise training may not manifest in improved exercise performance per se, but could translate to improved performance of activities of daily and independent living. Copyright © 2015 Elsevier Ltd. All rights reserved.

Performance of a multi-disciplinary emergency department observation protocol for acetaminophen overdose.

PubMed

Beauchamp, Gillian A; Hart, Kimberly W; Lindsell, Christopher J; Lyons, Michael S; Otten, Edward J; Smith, Carol L; Ward, Michael J; Wright, Stewart W

2013-09-01

The availability of 20-h N-acetylcysteine (NAC) infusion for low-risk acetaminophen (APAP) overdose enabled our center to implement an Emergency Department observation unit (OU) protocol as an alternative to hospitalization. Our objective was to evaluate our early experience with this protocol. This retrospective cohort study included all patients treated for low-risk APAP overdose in our academic hospital between 2006 and 2011. Cases were identified using OU and pharmacy records. Successful OU discharge was defined as disposition with no inpatient admission. Differences in medians with 95 % confidence intervals were used for comparisons. One hundred ninety-six patients received NAC for APAP overdose with a mean age of 35 years (SD 14); 73 % were white, and 43 % were male. Twenty (10 %) received care in the OU; 3/20(15 %) met criteria for inclusion in the OU protocol and 13/20(65 %) were discharged successfully. Out of the 196 patients, 10 met criteria for inclusion in the OU protocol but instead received care in the inpatient setting. The median total length of stay from presentation to ED discharge was 41 h for all patients treated in the OU, compared to 68 h for ten patients who met criteria for inclusion in the OU protocol but who were admitted (difference 27 h, 95 % CI 18-72 h). ED observation for APAP overdose can be a viable alternative to inpatient admission. Most patients were successfully discharged from the OU. This evaluation identified both over- and under-utilization of the OU. OU treatment resulted in shorter median length of stay than inpatient admission.

Prognostic significance of obstructive uropathy in advanced prostate cancer.

PubMed

Oefelein, Michael G

2004-06-01

To report the incidence and prognostic implications of obstructive uropathy (OU) in patients with advanced prostate cancer receiving androgen deprivation therapy and to define the impact initial local therapy has on the development of OU in patients with prostate cancer who develop recurrence and begin androgen deprivation therapy. From a population of 260 patients with advanced prostate cancer diagnosed between 1986 and 2003, OU was identified in 51 patients. The OU treatment options included ureteral stent, percutaneous nephrostomy, transurethral resection of the prostate, Foley catheter placement, and urinary diversion. Overall survival and the factors that influenced survival were calculated using standard statistical methods. OU was diagnosed in 15 (16%) of 80 patients who received local therapy with curative intent and in whom local therapy subsequently failed and in 36 (19%) of 180 patients who had never received local therapy (P = 0.7, chi-square test). Of these 51 patients, 39 had bladder neck obstruction and 16 had ureteral obstruction. Overall survival was significantly worse for the men with OU compared with those without OU (41 versus 54 months). OU was associated with tumor stage and androgen-insensitive prostate cancer. OU results in significantly reduced survival in men with prostate cancer. In a select group of patients with prostate cancer with progression after local therapy (primarily radiotherapy), no statistically significant reduction in the development of OU was observed relative to patients matched for stage, grade, and pretreatment prostate-specific antigen level treated with androgen deprivation therapy alone. Aggressive advanced stage and hormone-insensitive disease are variables associated with OU.

Revised Uniform Summary of Surface Weather Observations (RUSSWO) Monterey FAA, Monterey, California

DTIC Science & Technology

1980-07-24

OF WEATHER CONDITIONS FROM HOUPLY OBSERVATIONS ( RAIN____ I____ _____$NW__FMOEm_%o ls TOA m T"uNDER., o SOWNG I OST JW% OUTS NO. OFMWSTR AND 0 ERAIN...AIR ZXTHED SE VICE/HAC WEATHER CONDITIONS M -ZNT--PY FAA CA 73-7; A STATION STATION NAME MONTH PERCENTAGE FREQUEN4CY OF OCCURRENCE OF iWEATHEP...CONDITIONS FRCM HOURLY OBSERVATIONS . M RO-UTH: I A,-,OB £l1. ., . OW4G ANO’ wi, NSt 0 R SAIN/O FRUZIN SH W %OFf SM OUST I %O OfICS TOTAL _ _LS T. STOMSI,, SNOW

Remedial Investigation Report, Presidio Main Installation, Presidio of San Francisco. Volume 5: Figures 7-15

DTIC Science & Technology

1997-01-01

YFO U A .. SOIL BORING1 3 . 4 SURFACE SOIL SAM SSURFACES COVERE S::::::::::::::::i-•. PAVEMENT OR BUll ...EXPLANW SOIL BORING .A SURFACE SOIL SAIN LII. PVMNOR BUll .5____iSTAIN ED AREAS LITHOOGY E/DUNOTES: 1. ALL...WCALXI ~q~qJO~i II~ %~1, z U 0 a LL 0 L c 0S-0 F- tr C14 Uj- Ui -Z w- z zow w0 m Z z z 0 0on coLi/ in z On.. 0 LL -J Ua. z C 0 w D TIPo 44f -lot a26

Cirque du Monde en tant qu’intervention en santé

PubMed Central

Fournier, Cynthia; Drouin, Mélodie-Anne; Marcoux, Jérémie; Garel, Patricia; Bochud, Emmanuel; Théberge, Julie; Aubertin, Patrice; Favreau, Gil; Fleet, Richard

2014-01-01

Résumé Objectif Présenter le programme Cirque du Monde du Cirque du Soleil et son potentiel en tant qu’intervention en soins de santé de première ligne pour les médecins de famille. Sources des données Une revue de la littérature menée dans les bases de données PubMed, Cochrane Library, PsycINFO, La Presse, Eureka, Google Scholar et Érudit à l’aide des mots-clés circus, social circus, Cirque du Monde et Cirque du Soleil. Une initiative à Montréal nommée Espace Transition qui s’inspire directement de Cirque du Monde. Communication personnelle avec le conseiller principal en formation en cirque social du Cirque du Soleil. Sélection d’études Les 50 premiers articles ou sites Internet répertoriés pour chaque mot-clé dans chacune des bases de données ciblées ont été révisés sur la base des titres et des résumés, s’il s’agissait d’un article, ou sur la base du titre et du contenu de la page, s’il s’agissait d’une page Internet. Ensuite, les articles et les sites Internet qui étudiaient un aspect du cirque social ou qui présentaient une intervention impliquant le cirque étaient retenus pour une révision. Aucune contrainte d’année de publication n’a été appliquée étant donné qu’on cherchait une littérature générale sur le cirque social. Synthèse Aucun article n’a été trouvé sur le cirque social en tant qu’intervention en santé. Nous avons trouvé une étude sur l’utilisation du cirque en tant qu’intervention en milieu scolaire. Cette étude a démontré une augmentation de l’estime personnelle des enfants grâce à l’intervention. Nous avons trouvé une étude sur l’utilisation du cirque en tant qu’intervention sur une réserve amérindienne. Cette étude présente des résultats qualitatifs non spécifiques au programme du cirque social. Les autres articles répertoriés n’étaient que des descriptions du cirque social. Un site web concernant l’utilisation du cirque social pour faciliter la réintégration sociale de jeunes traités en milieu hospitalier pour un trouble psychiatrique majeur a été répertorié. L’équipe du département de pédopsychiatrie du Centre hospitalier universitaire Sainte-Justine responsable de ce projet nommé Espace Transition a été contactée. Des résultats préliminaires non publiés du projet pilote montrent des améliorations significatives du fonctionnement général des patients. Selon le Cirque du Soleil, plusieurs projets de recherche portant sur l’impact thérapeutique du cirque social sont en cours à travers le monde. Conclusion Cirque du Monde rejoint une clientèle marginalisée difficilement accessible par le système de santé. Ce programme revêt un potentiel thérapeutique de par sa clientèle cible, sa promotion de saines habitudes de vie et le soutien qu’il offre par l’intermédiaire du groupe et des intervenants. Compte tenu des investissements financiers importants du Cirque du Soleil dans ce projet, le manque de littérature donnant accès à des données probantes constitue un enjeu important.

Nutrient profiles discriminate between foods according to their contribution to nutritionally adequate diets: a validation study using linear programming and the SAIN,LIM system.

PubMed

Darmon, Nicole; Vieux, Florent; Maillot, Matthieu; Volatier, Jean-Luc; Martin, Ambroise

2009-04-01

The nutrient profile concept implies that it is possible to discriminate between foods according to their contribution to a healthy diet on the basis of their nutrient contents only. The objective was to test the compatibility between nutrient profiling and nutrient-based recommendations by using diet modeling with linear programming. Food consumption data from the French "Individuelle et Nationale sur les Consommations Alimentaires" dietary survey and its associated food-composition database were used as input data. Each food was allocated to 1 of 4 classes, according to the SAIN,LIM system -- a nutrient profiling system based on 2 independent scores, including a total of 8 basic plus 4 optional nutrients. The possibility to model diets fulfilling a set of 40 nutrient recommendations (healthy models) was tested by using foods from a given nutrient profile class only or from a combination of classes. The possibility to fulfill a set of nutrient constraints in contradiction with the recommendations (unhealthy models) was also tested. For each model, the feasible energy range was assessed by minimizing and maximizing total energy content. With foods from the most favorable nutrient profile class, healthy diets could be modeled, but it was impossible to design unhealthy diets within a realistic range of energy intake with these foods. With foods from the least favorable class, unhealthy, but not healthy, diets could be designed. Both healthy and unhealthy diets could be designed with foods from intermediate classes. On the basis of a few key nutrients, it is possible to predict the ability of a given food to facilitate -- or to impair -- the fulfillment of a large number of nutrient recommendations.

Pancreatic cancer in Universiti Sains Malaysia Hospital: a retrospective review of years 2001-2008.

PubMed

Norsa' adah, Bachok; Nur-Zafira, Azemi; Knight, Aishah

2012-01-01

Pancreatic cancer is usually detected late and has a high mortality rate. Since little is known about this cancer in Malaysia, a review of all cases admitted to Universiti Sains Malaysia Hospital was conducted to identify the epidemiological distribution and assess survival. A list of pancreatic cancer patients in 2001-2008 was obtained from the Hospital Record Department. Only cases confirmed by radio-imaging or histo-pathology examination were included. We excluded those with incomplete medical records. Kaplan-Meier and Cox proportional hazard approaches were used for data analysis. Only 56 cases were included with a mean (SD) age of 49.6 (16.0) years, with 60.7% males and 82.1% of Malay ethnicity. Previous history included cholelithiasis in 23.2%, diabetes mellitus in 16.1%, previous laparotomy in 10.7%, chronic pancreatitis in 7.1%, alcohol drinking in 5.4% and positive family history in 3.6%. The common presenting history included 67.9% loss of appetite, 66.1% loss of weight, 58.9% jaundice and 46.4% abdominal pain. Tumour staging was: 21.5% stage l, 17.8% stage ll, 3.6% stage lll and 57.1% stage lV. The median (95% CI) survival time was 3.4 (0.5, 6.3) months and significant prognostic factors were duration of symptoms (HR 0.97; 95% CI: 0.95, 0.99; p value 0.013), ascites (HR 2.64; 95% CI: 1.28, 5.44; p value 0.008) and Whipple surgery (HR 4.20; 95% CI: 2.27, 7.76; p value <0.001). The history of presenting complaints was short and the majority presented at late stages of the disease, thus the median survival time was very poor.

Neuroscience Club in SKKK3 and SMSTMFP: The Brain Apprentice Project.

PubMed

Mohd Ibrahim, Seri Dewi; Muda, Mazinah

2015-01-01

Sekolah Menengah Sains Tengku Muhammad Faris Petra (SMSTMFP) and Sekolah Kebangsaan Kubang Kerian (3) (SKKK3) were selected by the Department of Neurosciences, Universiti Sains Malaysia (USM), in 2011 to be a 'school-based Neuroscience Club' via the 'Knowledge Transfer Programme (KTP) - Community' project. This community project was known as "The Brain Apprentice Project". The objectives of this project were to promote science and the neurosciences beyond conventional classroom teachings whilst guiding creativity and innovation as well as to assist in the delivery of neuroscience knowledge through graduate interns as part of the cultivation of neuroscience as a fruitful future career option. All of the planned club activities moulded the students to be knowledgeable individuals with admirable leadership skills, which will help the schools produce more scientists, technocrats and professionals who can fulfil the requirements of our religion, race and nation in the future. Some of the activities carried out over the years include the "My Brain Invention Competition", "Mini Brain Bee Contest", "Recycled Melody" and "Brain Dissection". These activities educated the students well and improved their confidence levels in their communication and soft skills. The participation of the students in international-level competition, such as the "International Brain Bee", was one of the ways future professionals were created for the nation. The implementation of Neuroscience Club as one of the organisations in the school's cocurriculum was an appropriate step in transferring science and neuroscience knowledge and skills from a higher education institution, namely USM, to both of the schools, SMSTMFP and SKKK3. The club members showed great interest in all of the club's activities and their performance on the Ujian Pencapaian Sekolah Rendah (UPSR) or Primary School Achievement Test and Sijil Pelajaran Malaysia (SPM) or Malaysian Certificate of Education examinations improved tremendously.

Dietary compliance and its association with glycemic control among poorly controlled type 2 diabetic outpatients in Hospital Universiti Sains Malaysia.

PubMed

Tan, S L; Juliana, S; Sakinah, H

2011-12-01

Compliance with medical nutrition therapy is important to improve patient outcomes. The purpose of this study was to determine dietary compliance and its association with glycemic control among outpatients with poorly controlled type 2 diabetes mellitus (T2DM) in Hospital Universiti Sains Malaysia (HUSM). In this cross-sectional study, patients who had a glycosylated hemoglobin (HbA1c) level of at least 6.5%, after attending a diet counseling session at the Outpatient Dietetic Clinic, HUSM, were enrolled. Out of 150 diabetic patients reviewed between 2006 and 2008, 61 adults (32 men and 29 women) agreed to participate in this study. A questionnaire-based interview was used to collect socio-demographic, clinical and diabetes self-care data. The patient's dietary compliance rate was determined by the Summary of Diabetes Self-Care Activities (SDSCA) measure. Anthropometric and biological measurements were also taken. Only 16.4% of the respondents adhered to the dietary regimen provided by dietitians. Among the 7 dietary self-care behaviours, item number 6 (eat lots of food high in dietary fibre such as vegetable or oats) had the highest compliant rate (54.1%); whereas item number 3 (eat five or more servings of fruits and vegetables per day) had the lowest compliant rate (23.0%). There was a significant association between gender (p = 0.037) and fasting blood sugar (FBS) (p = 0.007) with the compliance status. Dietary non-compliance is still common among T2DM patients. Dietitians need to improve their skills and use more effective intervention approaches in providing dietary counseling to patients.

Ambulance Services at Hospital Universiti Sains Malaysia and Hospital Kota Bharu: A Retrospective Study of Calls

PubMed Central

Shah Che Hamzah, Mohd Shaharudin; Ahmad, Rashidi; Nik Abdul Rahman, Nik Hisamuddin; Pardi, Kasmah Wati; Jaafar, Naimah; Wan Adnan, Wan Aasim; Jaalam, Kamaruddin; Sahil Jamalullail, Syed Mohsin

2005-01-01

This retrospective study attempted to identify the pattern of ambulance calls for the past two years at the Hospital Universiti Sains Malaysia (HUSM) and Hospital Kota Bharu (HKB). This study will provide a simple method of acquiring information related to ambulance response time (ART) and to test whether it met the international standards and needs of the client. Additionally, this paper takes into account the management of emergency calls. This included ambulance response time, which was part of Emergency Medical Services (EMS) episode: onset of ART, which started when details like phone number of the caller, exact location of the incident and the nature of the main complaint had been noted. ART ended when the emergency team arrived at the scene of incident. Information regarding ambulance calls from the record offices of HUSM and HKB was recorded for the year 2001 and 2002, tabulated and analyzed. There was a significant difference in the total number of calls managed by HUSM and HKB in the year 2001. It was noted that 645 calls were managed by HUSM while 1069 calls were recorded at HKB. In the year 2002, however, HUSM led with 613 extra numbers of calls as compare to HKB with 1193 numbers of calls. The pattern of ambulance calls observed is thought to possibly be influenced by social activities like local festivities, school holidays and the seasons. Further, it is observed that no studies were previously undertaken to compare the ART at both the HUSM and HKB to that of the international standards. In fact, a literature review undertaken so far showed no similar studies have been done for the whole Malaysia. PMID:22605956

Accuracy of enhanced and unenhanced MRI in diagnosing scaphoid proximal pole avascular necrosis and predicting surgical outcome.

PubMed

Fox, M G; Wang, D T; Chhabra, A B

2015-11-01

Determine the sensitivity, specificity and accuracy of unenhanced and enhanced MRI in diagnosing scaphoid proximal pole (PP) avascular necrosis (AVN) and correlate whether MRI can help guide the selection of a vascularized or nonvascularized bone graft. The study was approved by the IRB. Two MSK radiologists independently performed a retrospective review of unenhanced and enhanced MRIs from 18 patients (16 males, 2 females; median age, 17.5 years) with scaphoid nonunions and surgery performed within 65 days of the MRI. AVN was diagnosed on the unenhanced MRI when a diffusely decreased T1-W signal was present in the PP and on the enhanced MRI when PP enhancement was less than distal pole enhancement. Surgical absence of PP bleeding was diagnostic of PP AVN. Postoperative osseous union (OU) was assessed with computed tomography and/or radiographs. Sensitivity, specificity and accuracy for PP AVN were 71, 82 and 78% for unenhanced and 43, 82 and 67% for enhanced MRI. Patients with PP AVN on unenhanced MRI had 86% (6/7) OU; 100% (5/5) OU with vascularized bone grafts and 50% (1/2) OU with nonvascularized grafts. Patients with PP AVN on enhanced MRI had 80% (4/5) OU; 100% (3/3) OU with vascularized bone grafts and 50% (1/2) OU with nonvascularized grafts. Patients with viable PP on unenhanced and enhanced MRI had 91% (10/11) and 92% (12/13) OU, respectively, all but one with nonvascularized graft. When PP AVN is evident on MRI, OU is best achieved with vascularized grafts. If PP AVN is absent, OU is successful with nonvascularized grafts.

Protecting Pregnant Workers while Fighting Sexism: Work-Pregnancy Balance and Pregnant Nurses' Resistance in Québec Hospitals: Protéger les travailleuses enceintes en luttant contre le sexisme: équilibre travail-grossesse et résistance d'infirmières enceintes dans des hôpitaux québécois.

PubMed

Gravel, Anne Renée; Riel, Jessica; Messing, Karen

2017-11-01

Women's workplaces should guarantee healthy pregnancies while supporting pregnant women as workers. In Québec (Canada), a pregnant worker exposed to a "danger" for herself or her fetus may ask her employer to be reassigned to other work appropriate to her skills. This approach differs from other regulatory contexts in North America in that protection of fetal and maternal health is embedded in the health and safety legislation. The advantage is that the pregnant worker is guaranteed access to her full salary, but some may question whether specific provisions for pregnant women single out such women and produce risks for their careers or, conversely, pregnancy should receive even more special consideration. These questions are discussed using the results of a qualitative analysis of interviews with pregnant nurses, their supervisors, and their union representatives in ten hospitals in Québec. We think that the management of pregnancy under this legislation generally protects health, but that, in the absence of true employer commitment to the health of all workers, undue burdens may be placed upon other members of the work team. Résumé Les lieux de travail des femmes devraient garantir des grossesses saines tout en soutenant les femmes enceintes en tant que travailleurs. Au Québec (Canada), une travailleuse enceinte exposée à un danger pour elle-même ou son fœtus peut demander à son employeur d'être réaffectée à d'autres tãches sans danger et adaptéches à ses compétences. Cette approche diffère des autres contextes réglementaires en Amérique du Nord en ce sens que la protection de la santé foetale et maternelle est intégrée dans la législation sur la santé et la sécurité. Certains peuvent se demander si des dispositions spécifiques pour les femmes enceintes singularisent ces travailleuses et contribuent à la précarisation de leur emploi. Ou, à l'inverse, si la grossesse devrait recevoir une considération encore plus spéciale. Ces questions sont discutées à la lumière du récit d infirmières enceintes, de gestionnaires et de représentants syndicaux responsables des dossiers de conciliation travail-grossesse dans dix hôpitaux du Québec. Nous constatons que la gestion de la grossesse en vertu de cette législation est généralement protectrice de la santé, mais qu'en l'absence d'un véritable engagement de l'employeur envers la santé de tous les travailleurs, des charges excessives peuvent être imposées aux autres membres de l'équipe de travail.

Gravity Effects in Small-Scale Structural Modeling

DTIC Science & Technology

1988-12-01

attenuating material (Reference 23). The materials tested were cellular concrete with fly ash, expanded polystyrene concrete with fly ash, foamed...polyurethane, foamed sulfer and molded expanded polystyrene . The studies showed that with proper adjustments in the cement content, water-cement ratio and foam...Compression (Ou,c) 4000 100 Tension (Ou,t) 400 10 E/Quc 1000 1000 Ou,c/Ou,t 10 10 Further analysis of the properties of expanded polystyrene concrete with

Unexpected Hospitalisations at a 23-Hour Observation Unit in a Paediatric Emergency Department of Northern India

PubMed Central

Mahajan, Vidushi; Arora, Sumant; Kaur, Tarundeep; Gupta, Sorab; Guglani, Vishal

2013-01-01

Background: The 23-hour Observation Unit (OU) is a novel and an effective means for tackling overcrowding in busy Paediatric Emergency Departments (PED) worldwide. However, unexpected hospitalisations in the OU involve transfer of care and they reduce the efficiency of the OU. Hence, we aimed to study the presenting diagnoses which were responsible for the unexpected hospitalisations in a 23-hour OU. Methods and Design: A prospective cohort study Setting: The PED at a tertiary care teaching hospital. Duration: 15th Feb-15th March 2011. Protocol: Consecutive children were triaged at presentation to the PED, according to the WHO paediatric emergency triage algorithm. Those who were transferred to the 23-hour OU, were further followed up for duration of the stay, the hospital course, and the outcome (discharge/hospitalisation). Results: Three hundred (228 males, 72 females) consecutive children who attended the PED over one month were enrolled. All the children, at presentation, were triaged by the medical intern/s who was/were posted in the PED, and they were crosschecked by a PED consultant. A majority (55%, n=165) of the children were triaged as non-urgent, 32% (n=97) as priority and 13% (n=38) as emergent. Out of the 300 children, 173(58%) were transferred to the 23-hour OU. Of these, 16 (9.1%) required unexpected hospitalisations. The children who required hospitalisations had the following diagnoses: bronchiolitis (4), bronchopneumonia (4), seizure (2), viral hepatitis (2), high fever (1), bronchial asthma (1), severe anaemia (1), and urticaria (1). The mean duration of the stay in the OU was 19 hours for those who needed hospitalisation, as against 13 hours for those who were discharged from the OU. Conclusion: The children with respiratory complaints (bronchiolitis and bronchopneumonia) need frequent monitoring in the 23-hour OU, as they have high hospitalisation rates in the OU. PMID:23998079

Evolution and the neurosciences down-under.

PubMed

Macmillan, Malcolm

2009-01-01

At the end of the nineteenth and the beginning of the twentieth century three Australians made notable contributions to founding the neurosciences: Alfred Walter Campbell (1868-1937) conducted the first extensive histological studies of the human brain; Grafton Elliot Smith (1871-1937) studied the monotreme brain and established the basis for understanding the mammalian brain; and Stanley David Porteus (1883-1972) extended his studies of intellectual disability to encompass the relation between brain size and intelligence. The work of each was decisively influenced by important members of the Edinburgh medical school or by Edinburgh medical graduates: William Turner (1832-1916) and William Rutherford (1839-1899) Professors of Anatomy and Physiology respectively at Edinburgh; James Thomas Wilson (1861-1945) Professor of Anatomy at the University of Sydney; and Richard James Arthur Berry (1867-1962) Professor of Anatomy at the University of Melbourne. An important aspect of the influence on the Australians was a materialist view of brain function but the work of all was most important for a theory even more central held by the Scots who had influenced them: Darwin's theory of evolution. The importance of the work of Campbell and especially that of Smith for Darwinism is contrasted with Darwin's own indifference to the peculiarities of the Australian fauna he observed when he visited Australia during HMS Beagle's voyage of discovery in 1836.

[The Summer School of the German Society for Orthopaedics and Traumatology - A Success Story].

PubMed

Merschin, D; Mutschler, M; Stange, R; Kopschina, C; Schüttrumpf, J P; Doepfer, A K; Achatz, G; Niethard, M; Hoffmann, R; Kladny, B; Perl, M; Münzberg, M

2016-10-01

Background: It has been known for several years that orthopaedic and trauma clinics suffer from a shortage of young people, due to the substantial loss in attractiveness. The Youth Forum OU has been addressing this problem for many years, by initiating many projects such as the Summer School to counteract this trend. The purpose of this research is to evaluate the success of Summer Schools since 2009. Methods: The Youth Forum OU performed a survey in December 2014 to answer the research question on the basis of an internet-based poll of the student participants in all Summer Schools between 2009 and 2014. Following data cleansing, 121 students and former students were included in the survey. Results: Seventy-two completed questionnaires were collected and included in the evaluation. The survey included 40 % of Summer School participants, with a mean age of 27.3 years (SD ± 2.95); 50 % were female. Participation in the Summer School helped 50 % of the respondents to decide to start advanced study in orthopaedics and/or traumatology (OU). One third of these Summer School participants had already finished a university degree; 100 % are now residents in orthopaedics and/or traumatology. Regardless of prior plans, 87.2 % of participants are now residents in OU. Thirty-three are still students: 78.8 % have already decided to work in OU. The survey also served to identify the factors positively and negatively associated with OU. Unfavourable factors included the reputation of OU, and the difficulty of reconciling family and work. Favourable factors included surgical work and personal experience during university studies. Discussion: The aim of this study was to evaluate whether the efforts of the Youth Forum OU, the German Society for Orthopaedics and Traumatology (DGOU) and the local hospitals lead to increased interest in OU. The answer to this question is positive. This is particularly true for those students who did not plan to become an orthopaedic or trauma surgeon before participating in a Summer School. In conclusion, the efforts to recruit residents for OU by using Summer Schools were successful. Moreover, this research offers approaches to counteract the loss of attractiveness of OU. Georg Thieme Verlag KG Stuttgart · New York.

Understanding and Assessing Risk of Intrastate Conflict: Human Development Theory and Practice

DTIC Science & Technology

2004-04-01

R es ou rc es O pp or tu ni ty S ec ur ity V io le nc e Le ve l To ta l R is k R es...ou rc es O pp or tu ni ty S ec ur ity V io le nc e Le ve l To ta l R is k R es ou rc es O pp or tu ni ty S ec ur ity V io le nc e Le ve...l To ta l R is k R es ou rc es O pp or

Online Library Accessibility Support: A Case Study within the Open University Library

ERIC Educational Resources Information Center

Mears, Wendy; Clough, Helen

2015-01-01

The Open University (OU) is the UK's largest distance education provider and has a large and growing disabled student population. Disabled user support presents particular challenges for an online library service in the distance learning environment. The OU introduced guidelines for working with non-OU--authored content (external content) in 2011…

77 FR 64748 - National Oil and Hazardous Substance Pollution Contingency Plan; National Priorities List...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-23

... Sands Tailings parcel of Operable Unit 1 (OU1) of the Torch Lake Superfund Site (Site), located in... Michigan through the Michigan Department of Environmental Quality (MDEQ), because EPA has determined that... parcels of OU3 and the Mason Sands Tailings parcel of OU1. The following land parcels will remain on the...

Prevalence and associated factors of job-related depression in laboratory technicians in Hospital Universiti Sains Malaysia (HUSM) and Ministry of Health Malaysia (MOH) Hospitals in Kelantan.

PubMed

Aziah, B D; Rusli, B N; Winn, T; Naing, L; Tengku, M A

2004-06-01

Karasek's job strain model postulates that workers chronically exposed to adverse psychosocial work environment (high strain job)--high psychological job demands and low job control, including poor social support, increased physical demand and hazardous work condition--will eventually develop both physical illnesses such as cardiovascular diseases and psychological disorders such as depression. In order to determine the prevalence and associated factors of job-related depression, a cross-sectional study was conducted among laboratory technicians in Hospital Universiti Sains Malaysia (HUSM) and Kementerian Kesihatan Malaysia (KKM) Hospitals in Kelantan between September 2001 and February 2002. One hundred and two laboratory technicians in HUSM and 79 laboratory technicians in 7 KKM Hospitals were selected; 84/102 (82.4%) in HUSM and 71/79 (89.9%) in KKM Hospitals responded. Data was collected using self-administered questionnaires of the validated Malay version of the Job Content Questionnaire (JCQ) originally developed by Robert Karasek. Results indicated that the prevalence of high job strain in laboratory technicians in HUSM and KKM hospitals was 33.3% (28/84) and 26.8% (19/71), respectively (p>0.05). Significantly higher proportion (59.5%) (50/84) of laboratory technicians in HUSM compared to those in KKM Hospitals (39.4%) (28/71) (p = 0.016) experienced job-related depression. Significant associated factors of job-related depression were low social support (HUSM: adjusted OR 4.7, 95% CI 1.2-18.8; KKM: adjusted OR 14.8, 95%CI 2.4-89.3), high psychological demand (HUSM: adjusted OR 3.0, 95%CI 1.0-8.8), and low decision authority (KKM: adjusted OR 9.7, 95%CI 1.0-91.1). We conclude that strengthening the social support network (supervisors' and coworkers' support), reducing psychological job demand, and increasing decision-making authority of laboratory technicians may go a long way towards reducing job-related depression.

Problem-based learning as perceived by dental students in universiti sains malaysia.

PubMed

Barman, Arunodaya; Jaafar, Rogayah; Ismail, Noorliza Mastura

2006-01-01

The implementation of problem-based learning started in 1969 and has spread since then throughout different parts of the world with variations in its implementation. In spite of its growth and advantages, there is continuing debate about its effectiveness over the conventional teaching learning methods. In the School of Dental Sciences (SDS), Universiti Sains Malaysia (USM), the Doctor of Dental Sciences (DDS) program follows a 5-year integrated curriculum. Basically the curriculum is problem-based and community oriented. This study was to explore the perception of DDS students about PBL sessions. This questionnaires-based cross sectional descriptive study were carried out on all the 110 students of the SDS who completed their second year of the course and participated in PBL sessions. Ninety five (86%) students responded to the questionnaires. Dental students found PBL session interesting and wanted to maintain PBL from the beginning of year 2 up to the end of year 3. Most students reported their participation in discussion during PBL sessions but the level of participation varied. Some of them worked hard to prepare themselves for discussion while others were relatively passive. PBL helped them with in-depth understanding of certain topics and link their basic science knowledge to clinical classes. They felt that guidance from subject specialists and well-prepared facilitators of the sessions were beneficial. The students believed that repetition of triggers from year to year discouraged their active search for learning issues. Majority of the students were undecided or disagreed about the availability of adequate learning resources Most of the students were undecided or disagreed about the availability of adequate learning resources for their self-study. Reviewing and renewing the PBL triggers, providing guidelines for searching for resource materials and briefing the students and facilitators about the philosophy and principles of PBL may make the PBL sessions more beneficial.

Neuroscience Club in SKKK3 and SMSTMFP: The Brain Apprentice Project

PubMed Central

MOHD IBRAHIM, Seri Dewi; MUDA, Mazinah

2015-01-01

Sekolah Menengah Sains Tengku Muhammad Faris Petra (SMSTMFP) and Sekolah Kebangsaan Kubang Kerian (3) (SKKK3) were selected by the Department of Neurosciences, Universiti Sains Malaysia (USM), in 2011 to be a ‘school-based Neuroscience Club’ via the ‘Knowledge Transfer Programme (KTP) – Community’ project. This community project was known as “The Brain Apprentice Project”. The objectives of this project were to promote science and the neurosciences beyond conventional classroom teachings whilst guiding creativity and innovation as well as to assist in the delivery of neuroscience knowledge through graduate interns as part of the cultivation of neuroscience as a fruitful future career option. All of the planned club activities moulded the students to be knowledgeable individuals with admirable leadership skills, which will help the schools produce more scientists, technocrats and professionals who can fulfil the requirements of our religion, race and nation in the future. Some of the activities carried out over the years include the “My Brain Invention Competition”, “Mini Brain Bee Contest”, “Recycled Melody” and “Brain Dissection”. These activities educated the students well and improved their confidence levels in their communication and soft skills. The participation of the students in international-level competition, such as the “International Brain Bee”, was one of the ways future professionals were created for the nation. The implementation of Neuroscience Club as one of the organisations in the school’s cocurriculum was an appropriate step in transferring science and neuroscience knowledge and skills from a higher education institution, namely USM, to both of the schools, SMSTMFP and SKKK3. The club members showed great interest in all of the club’s activities and their performance on the Ujian Pencapaian Sekolah Rendah (UPSR) or Primary School Achievement Test and Sijil Pelajaran Malaysia (SPM) or Malaysian Certificate of Education examinations improved tremendously. PMID:26715909

Something for Everyone? The Different Approaches of Academic Disciplines to Open Educational Resources and the Effect on Widening Participation

ERIC Educational Resources Information Center

Coughlan, Tony; Perryman, Leigh-Anne

2011-01-01

This article explores the relationship between academic disciplines' representation in the United Kingdom Open University's (OU) OpenLearn open educational resources (OER) repository and in the OU's fee-paying curriculum. Becher's (1989) typology was used to subdivide the OpenLearn and OU fee-paying curriculum content into four disciplinary…

The Legacy and Impact of Open University Women's/Gender Studies: 30 Years On

ERIC Educational Resources Information Center

Kirkup, Gill; Whitelegg, Elizabeth

2013-01-01

In 1983, the UK Open University (OU) offered its first women's/gender studies (WGS) course. Although a late entrant to the area, OU WGS courses were influential nationally and internationally for many feminists and WGS teachers and scholars. Not only did OU WGS courses have the largest WGS student cohort of any UK institution with over 8000…

Cooperation or Competition? The American and French Foreign Policies in Africa (Cooperation ou concurrence? La politique africaine de la France et des Etats-Unis en Afrique sub-saharienne)

DTIC Science & Technology

2005-07-26

Villepin, appelle « des conflits ancestraux >>, c’est-di-dire des conflits pour le contr6le de ressources primaires , ou de territoire, ou pour des diff~rends...traduira par une plus grande attention portde aux sujets africains et aussi d la part du budget pour l’Afrique. Le facteur religieux Les missionnaires en...grands avions de transport ou celles des soldats 6tablissant des centres de soins m6dicaux avec les ONG. Comme Jean-Paul Ngoupand6 l’a exprim6: << On

Measurement of the Expansion Proper Motions of the Ou4 Giant Bipolar Outflow to Determine its Distance and its True Nature

NASA Astrophysics Data System (ADS)

Grosso, Nicolas

2016-10-01

Ou4 is a giant bipolar outflow with a total length of 1.2 degrees on the sky that was discovered in the optical in the direction of the blister HII region Sh2-129. The distance, the nature, and the driving source of Ou4 are, however, not known. Ou4 is relevant for the study of the eruptive phenomena producing collimated outflows from evolved low-mass binary stars and young, massive stellar systems. Our morpho-kinematics study of the Ou4 south bow-shock has allowed us to predict its expansion proper motion that is directly related to its distance. We propose to image the brightest [O III] emission of this bow-shock with the UVIS channel of the WFC3 in Cycle 24 and 26 in order to determine the distance of this largest known stellar bipolar outflow from its expansion proper motions. This measurement is crucial to determine the true nature of Ou4: either a foreground planetary nebula or a giant bipolar outflow launched 90,000 years ago by HR 8119, the young massive triple system ionising Sh2-129.

Human Factors Aspects of Aircraft Accidents

DTIC Science & Technology

1982-10-01

preexistante (incapacite soudaine ou non en vo_l) La plus dangereuse (en particulier dans les phases decollage et atterrissage) est l’in- capacite... soudaine . Elle peut 6tre mortelle - dans ce caa, generalement eardiaque - ou sa traduire par des troubles psychiques - d’un developpement brutal et...done conduire a une lncapacite plus ou moins soudaine en vol. pefaillances physiques accidentelles Kors les defaillances physiques classiques

Operable Unit B1 Interim Record of Decision. Installation Restoration Program (IRP)

DTIC Science & Technology

1993-07-28

Geology ..................................... I-1 2.0 SITE HISTORY AND ENFORCEMENT ACTIVITIES ........... 11-5 2.1 Background on Contamination Problems at...McClellan AFB OU BI . 11-5 2.2 Previous Studies ................................ 11-5 2.3 Regulatory and Enforcement History .................... 11-7...1-4 2-1 History of OU BI ...................................... 11-6 4-1 Cross-Section A-A’ of OU B.I

Verifying entanglement in the Hong-Ou-Mandel dip

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

Ray, Megan R.; Enk, S. J. van

2011-04-15

The Hong-Ou-Mandel interference dip is caused by an entangled state, a delocalized biphoton state. We propose a method of detecting this entanglement by utilizing inverse Hong-Ou-Mandel interference, while taking into account vacuum and multiphoton contaminations, phase noise, and other imperfections. The method uses just linear optics and photodetectors, and for single-mode photodetectors we find a lower bound on the amount of entanglement.

Tissue allograft coding and traceability in USM Tissue Bank, Malaysia.

PubMed

Sheikh Ab Hamid, Suzina; Abd Rahman, Muhamad Nor Firdaus

2010-11-01

In Malaysia, tissue banking activities began in Universiti Sains Malaysia (USM) Tissue Bank in early 1990s. Since then a few other bone banks have been set up in other government hospitals and institutions. However, these banks are not governed by the national authority. In addition there is no requirement set by the national regulatory authority on coding and traceability for donated human tissues for transplantation. Hence, USM Tissue Bank has taken the initiatives to adopt a system that enables the traceability of tissues between the donor, the processed tissue and the recipient based on other international standards for tissue banks. The traceability trail has been effective and the bank is certified compliance to the international standard ISO 9001:2008.

The History of Awake Craniotomy in Hospital Universiti Sains Malaysia

PubMed Central

WAN HASSAN, Wan Mohd Nazaruddin

2013-01-01

Awake craniotomy is a brain surgery performed on awake patients and is indicated for certain intracranial pathologies. These include procedures that require an awake patient for electrocorticographic mapping or precise electrophysiological recordings, resection of lesions located close to or in the motor and speech of the brain, or minor intracranial procedures that aim to avoid general anaesthesia for faster recovery and earlier discharge. This type of brain surgery is quite new and has only recently begun to be performed in a few neurosurgical centres in Malaysia. The success of the surgery requires exceptional teamwork from the neurosurgeon, neuroanaesthesiologist, and neurologist. The aim of this article is to briefly describe the history of awake craniotomy procedures at our institution. PMID:24643321

Grid Computing for Disaster Mitigation

NASA Astrophysics Data System (ADS)

Koh, Hock Lye; Teh, Su Yean; Majid, Taksiah A.; Aziz, Hamidi Abdul

The infamous 2004 Andaman tsunami has highlighted the need to be prepared and to be resilient to such disasters. Further, recent episodes of infectious disease epidemics worldwide underline the urgency to control and manage infectious diseases. Universiti Sains Malaysia (USM) has recently formed the Disaster Research Nexus (DRN) within the School of Civil Engineering to spearhead research and development in natural disaster mitigation programs to mitigate the adverse effects of natural disasters. This paper presents a brief exposition on the aspirations of DRN towards achieving resilience in communities affected by these natural disasters. A brief review of the simulations of the 2004 Andaman tsunami, with grid application is presented. Finally, the application of grid technology in large scale simulations of disease transmission dynamics is discussed.

Fireworks related injuries during Hari Raya festival in Hospital Universiti Sains Malaysia--1986 to 1990.

PubMed

Isa, A R; Moe, H

1991-12-01

A total of 38 cases of fireworks related injuries from Hospital USM over a 5-year period from 1986 to 1990 during Hari Raya festival were analysed. The majority (68.5%) of the patients were teenagers, between 10 to 19 years of age. All the cases were Malays and most of the accidents occurred before the Hari Raya Idilfitri festive seasons. Fourteen cases were caused by self-made fireworks and another 16 cases were due to modified fire-works. Twenty-four cases suffered permanent disabilities mostly finger amputations. Such injuries could be prevented by law enforcement coupled with public health education to modify social behaviour especially when the ban against the use of fireworks is lifted on religious grounds.

Gas physical conditions and kinematics of the giant outflow Ou4

NASA Astrophysics Data System (ADS)

Corradi, Romano L. M.; Grosso, Nicolas; Acker, Agnès; Greimel, Robert; Guillout, Patrick

2014-10-01

Context. The recently discovered bipolar outflow Ou4 has a projected size of more than one degree in the plane of the sky. It is apparently centred on the young stellar cluster - whose most massive representative is the triple system HR 8119 - inside the H ii region Sh 2-129. The driving source, the nature, and the distance of Ou4 are not known. Aims: The basic properties of Ou4 and its environment are investigated to shed light on the origin of this remarkable outflow. Methods: Deep narrow-band imagery of the whole nebula at arcsecond resolution was obtained to study the details of its morphology. Long-slit spectroscopy of the bipolar lobe tips was secured to determine the gas ionisation mechanism, physical conditions, and line-of-sight velocities. An estimate of the proper motions at the tip of the south lobe using archival plate images was attempted. The existing multi-wavelength data for Sh 2-129 and HR 8119 were also comprehensively reviewed. Results: The observed morphology of Ou4, its emission-line spatial distribution, line flux ratios, and the kinematic modelling developed adopting a bow-shock parabolic geometry, illustrate the expansion of a shock-excited fast collimated outflow. The observed radial velocities of Ou4 and its reddening are consistent with those of Sh 2-129 and HR 8119. The improved determination of the distance to HR 8119 (composed of two B0 V and one B0.5 V stars) and Sh 2-129 is 712 pc. We identify in WISE images at 22 μm an emission bubble of 5' radius (1 pc at the distance above) emitted by hot (107 K) dust grains, located inside the central part of Ou4 and corresponding to several [O iii] emission features of Ou4. Conclusions: The apparent position of Ou4 and the properties studied in this work are consistent with the hypothesis that Ou4 is located inside the Sh 2-129 H ii region, suggesting that it was launched some 90 000 yr ago by HR 8119. The outflow total kinetic energy is estimated to be ≈4 × 1047 ergs. However, we cannot rule out the alternative possibility that Ou4 is a bipolar planetary nebula or the result of an eruptive event on a massive AGB or post-AGB star not yet identified. Based on observations, obtained under Director's Discretionary Time of the Spanish Instituto de Astrofísica de Canarias, with the 2.5 m INT and the 4.2 m WHT operated on the island of La Palma by the Isaac Newton Group of Telescopes in the Spanish Observatorio of the Roque de Los Muchachos.

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

Sobolewska, M. A.; Siemiginowska, A.; Kelly, B. C.

We study the γ-ray variability of 13 blazars observed with the Fermi/Large Area Telescope (LAT). These blazars have the most complete light curves collected during the first four years of the Fermi sky survey. We model them with the Ornstein-Uhlenbeck (OU) process or a mixture of the OU processes. The OU process has power spectral density (PSD) proportional to 1/f {sup α} with α changing at a characteristic timescale, τ{sub 0}, from 0 (τ >> τ{sub 0}) to 2 (τ << τ{sub 0}). The PSD of the mixed OU process has two characteristic timescales and an additional intermediate region withmore » 0 < α < 2. We show that the OU model provides a good description of the Fermi/LAT light curves of three blazars in our sample. For the first time, we constrain a characteristic γ-ray timescale of variability in two BL Lac sources, 3C 66A and PKS 2155-304 (τ{sub 0} ≅ 25 days and τ{sub 0} ≅ 43 days, respectively, in the observer's frame), which are longer than the soft X-ray timescales detected in blazars and Seyfert galaxies. We find that the mixed OU process approximates the light curves of the remaining 10 blazars better than the OU process. We derive limits on their long and short characteristic timescales, and infer that their Fermi/LAT PSD resemble power-law functions. We constrain the PSD slopes for all but one source in the sample. We find hints for sub-hour Fermi/LAT variability in four flat spectrum radio quasars. We discuss the implications of our results for theoretical models of blazar variability.« less

Superfund record of decision (EPA Region 3): Langley AFB/NASA Langley Center, Area E Warehouse Operable Unit, Hampton, VA, September 28, 1998

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

NONE

1998-10-01

This Record of Decision (ROD) presents the selected remedial action for the Area E Warehouse Operable Unit (OU) at the NASA Langley Research Center (LaRC) in Hampton, Virginia (the Site). This actions addresses the principle threat at the OU by imposing land use restrictions that will prevent any non-industrial activities to take place on the OU.

Superfund record of decision (EPA Region 9): Mather Air Force Base, Soil and Groundwater operable units, Sacramento, CA, June 21, 1996

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

NONE

The decision document presents the selected remedial actions for the Soil Operable Unit (OU) Sites and Groundwater OU Plumes, at the formerly active Mather Air Force Base (AFB), Sacramento County, California. The purpose of the Record of Decision (ROD) is to decide the appropriate level of remediation necessary to protect human health and the environment, and determine what requirements are applicable or relevant and appropriate requirements (ARARs) based on the groundwater beneficial use designation and site-specific conditions. The ROD has been divided into seven sections which specifically address the range of selected remedial actions for the Soil OU sites andmore » Groundwater OU plumes.« less

Assessment of the quality of water by hierarchical cluster and variance analyses of the Koudiat Medouar Watershed, East Algeria

NASA Astrophysics Data System (ADS)

Tiri, Ammar; Lahbari, Noureddine; Boudoukha, Abderrahmane

2017-12-01

The assessment of surface water in Koudiat Medouar watershed is very important especially when it comes to pollution of the dam waters by discharges of wastewater from neighboring towns in Oued Timgad, who poured into the basin of the dam, and agricultural lands located along the Oued Reboa. To this end, the multivariable method was used to evaluate the spatial and temporal variation of the water surface quality of the Koudiat Medouar dam, eastern Algeria. The stiff diagram has identified two main hydrochemical facies. The first facies Mg-HCO3 is reflected in the first sampling station (Oued Reboa) and in the second one (Oued Timgad), while the second facies Mg-SO4 is reflected in the third station (Basin Dam). The results obtained by the analysis of variance show that in the three stations all parameters are significant, except for Na, K and HCO3 in the first station (Oued Reboa) and the EC in the second station (Oued Timgad) and at the end NO3 and pH in the third station (Basin Dam). Q-mode hierarchical cluster analysis showed that two main groups in each sampling station. The chemistry of major ions (Mg, Ca, HCO3 and SO4) within the three stations results from anthropogenic impacts and water-rock interaction sources.

Favorable bed utilization and readmission rates for emergency department observation unit heart failure patients.

PubMed

Schrager, Justin; Wheatley, Matthew; Georgiopoulou, Vasiliki; Osborne, Anwar; Kalogeropoulos, Andreas; Hung, Olivia; Butler, Javed; Ross, Michael

2013-06-01

The objective was to compare readmission rates and hospital bed-days between acute decompensated heart failure (AHF) patients admitted or discharged following accelerated treatment protocol (ATP)-driven care in an emergency department observation unit (OU). This was a retrospective cohort study conducted at two urban university-affiliated hospitals. A total of 358 selected AHF patients received treatment on an ATP in the OU between October 1, 2007, and June 30, 2011. The comparison of interest was admission or discharge following OU treatment. The outcome of interest was readmission within 30 and 90 days of hospital discharge following care in the OU. We also examined resource use (inpatient, inpatient plus outpatient-days) between the admitted and discharged groups. Time to readmission analysis was performed with Cox proportional hazards regression. Discharged and admitted patients were similar with respect to age, race, sex, ED length of stay (LOS), and OU LOS. Patients admitted from the OU had a higher median B-type natriuretic peptide (BNP; 1,063 pg/mL [interquartile range {IQR} = 552 to 2,067 pg/mL] vs. 708 pg/mL [IQR = 254 to 1,683 pg/mL]; p = 0.002) and blood urea nitrogen (BUN; 19 mg/dL [IQR = 14 to 26 mg/dL] vs. 17 mg/dL [IQR = 13 to 23 mg/dL]) than those discharged (p = 0.04) and a lower median ejection fraction (EF; 22.5% [15% to 43%] vs. 35% [IQR 20% to 55%]; p = 0.002). In models controlling for age, race, sex, clinical site, BNP, BUN, creatinine, and EF, the 30-day readmission rate (13.8% in the study population as a whole) was not significantly different between the patients discharged or admitted following OU care (hazard ratio [HR] = 0.99; 95% confidence interval [CI] = 0.47 to 2.10). The readmission rates were also not significantly different at 90 days (HR = 1.07; 95% CI = 0.65 to 1.77). Within 30 days of discharge from the OU, patients spent a median of 1.7 days (IQR = 0.0 to 5.1 days) as inpatients, compared to 3.5 days (IQR = 2.3 to 5.8 days) among patients admitted from the OU (p < 0.0001). Among readmitted patients, the total median inpatient time was not significantly different between the comparison groups at both 30 and 90 days of follow-up. Selected acute heart failure (HF) patients managed by a rapid treatment protocol in the OU demonstrated favorable hospital use, with discharged patients using fewer bed-days and demonstrating readmission rates that were not higher than admitted patients. © 2013 by the Society for Academic Emergency Medicine.

Simultaneous Aerodynamic and Structural Design Optimization (SASDO) for a 3-D Wing

NASA Technical Reports Server (NTRS)

Gumbert, Clyde R.; Hou, Gene J.-W.; Newman, Perry A.

2001-01-01

The formulation and implementation of an optimization method called Simultaneous Aerodynamic and Structural Design Optimization (SASDO) is shown as an extension of the Simultaneous Aerodynamic Analysis and Design Optimization (SAADO) method. It is extended by the inclusion of structure element sizing parameters as design variables and Finite Element Method (FEM) analysis responses as constraints. The method aims to reduce the computational expense. incurred in performing shape and sizing optimization using state-of-the-art Computational Fluid Dynamics (CFD) flow analysis, FEM structural analysis and sensitivity analysis tools. SASDO is applied to a simple. isolated, 3-D wing in inviscid flow. Results show that the method finds the saine local optimum as a conventional optimization method with some reduction in the computational cost and without significant modifications; to the analysis tools.

Deterministic quantum splitter based on time-reversed Hong-Ou-Mandel interference

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

Chen, Jun; Lee, Kim Fook; Kumar, Prem

2007-09-15

By utilizing a fiber-based indistinguishable photon-pair source in the 1.55 {mu}m telecommunications band [J. Chen et al., Opt. Lett. 31, 2798 (2006)], we present the first, to the best of our knowledge, deterministic quantum splitter based on the principle of time-reversed Hong-Ou-Mandel quantum interference. The deterministically separated identical photons' indistinguishability is then verified by using a conventional Hong-Ou-Mandel quantum interference, which exhibits a near-unity dip visibility of 94{+-}1%, making this quantum splitter useful for various quantum information processing applications.

Hong-Ou-Mandel interferometer with cavities: Theory

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

Olindo, C.; Sagioro, M. A.; Monken, C. H.

2006-04-15

We study the number of coincidences in a Hong-Ou-Mandel interferometer exit whose arms have been supplemented with the addition of one or two optical cavities. The fourth-order correlation function at the beam splitter exit is calculated. In the regime where the cavities lengths are larger than the one-photon coherence length, photon coalescence and anticoalescence interference is observed. Feynman's path diagrams for the indistinguishable processes that lead to quantum interference are presented. The construction of an optical XOR gate is discussed as an application for the Hong-Ou-Mandel interferometer with two cavities.

X-ray diving in the center of Sh2-129: looking for the driving source of Ou4

NASA Astrophysics Data System (ADS)

Grosso, Nicolas

2012-10-01

The outflow phenomenon is associated both with the early and the last phase of the stellar evolution. Recently, a unique bipolar outflow with an angular size of 1.2 degrees was discovered in the blister HII region Sh2-129. Ou4, nicknamed "The Giant Squid", is to our knowledge the bipolar outflow with the largest angular size ever found. We propose joint XMM-Newton/EPIC (35 ks) and Chandra/HRC-I (16 ks) observations to look for the driving source of Ou4 and to clarify the nature of this object.

Superfund record of decision (EPA Region 3): US Defense General Supply Center, Operable Unit 9, Chesterfield County, VA, September 1993

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

Not Available

1993-09-01

The decision document presents the selected interim remedial action for Operable Unit 9 (OU9) at the Defense General Supply Center (DGSC) in Chesterfield County, Virginia near Richmond. OU9 pertains to groundwater beneath Area 50, the Open Storage Area (OSA), and the Naitonal Guard Area (NGA). This operable unit is the third of nine operable units that are currently being addressed at the DGSC. OU9 addresses interim treatment and containment of groundwater in the upper and lower aquifers beneath Area 50, the OSA, and the NGA.

Approche au diagnostic de la maladie cœliaque chez les patients ayant une faible densité minérale osseuse ou des fractures de fragilité

PubMed Central

Rios, Lorena P.; Khan, Aliya; Sultan, Muhammad; McAssey, Karen; Fouda, Mona A.; Armstrong, David

2013-01-01

Résumé Objectif Présenter aux cliniciens une mise à jour sur le diagnostic de la maladie cœliaque (MC), ainsi que des recommandations sur les indications de procéder au dépistage de la MC chez les patients présentant une faible densité minérale osseuse (DMO) ou des fractures de fragilité. Qualité des données Un groupe de travail multidisciplinaire a élaboré des questions cliniquement pertinentes relativement au diagnostic de la MC servant de fondement à une recherche documentaire dans les bases de données MEDLINE, EMBASE et CENTRAL (de janvier 2000 à janvier 2009) à l’aide des mots clés en anglais celiac disease, osteoporosis, osteopenia, low bone mass et fracture. Les ouvrages scientifiques existants comportent des études de niveaux I et II. Message principal La prévalence estimée de la MC asymptomatique est de 2 % à 3 % chez les personnes qui ont une faible DMO. Par ailleurs, un dépistage ciblé est recommandé pour les patients qui ont des T-scores de −1,0 ou moins à la colonne vertébrale ou aux hanches ou des antécédents de fractures de fragilité associées à des symptômes ou à des problèmes reliés à la MC, des antécédents familiaux de MC ou de bas niveaux de calcium urinaire, une insuffisance en vitamine D et des niveaux à la hausse d’hormones parathyroïdiennes en dépit d’un apport suffisant en calcium et en vitamine D. Le dépistage de la MC devrait se faire pendant que le sujet consomme un régime alimentaire contenant du gluten. On procède au dépistage initial par le dosage d’immunoglobuline (Ig) A antitransglutaminase en utilisant la transglutaminase tissulaire humaine recombinante ou une autre transglutaminase tissulaire, en association avec l’immunofluorescence des IgA anti-endomysium. Une biopsie du duodénum est nécessaire pour confirmer le diagnostic de la MC. Le typage des antigènes des leucocytes humains peut aider à confirmer ou à exclure le diagnostic de la MC dans les cas où la sérologie et l’histologie ne concordent pas. Le diagnostic définitif se fonde sur les caractéristiques cliniques, sérologiques et histologiques combinées à une réponse positive à une alimentation sans gluten.

The different origins of magnetic fields and activity in the Hertzsprung gap stars, OU Andromedae and 31 Comae

NASA Astrophysics Data System (ADS)

Borisova, A.; Aurière, M.; Petit, P.; Konstantinova-Antova, R.; Charbonnel, C.; Drake, N. A.

2016-06-01

Context. When crossing the Hertzsprung gap, intermediate-mass stars develop a convective envelope. Fast rotators on the main sequence, or Ap star descendants, are expected to become magnetic active subgiants during this evolutionary phase. Aims: We compare the surface magnetic fields and activity indicators of two active, fast rotating red giants with similar masses and spectral class but different rotation rates - OU And (Prot = 24.2 d) and 31 Com (Prot = 6.8 d) - to address the question of the origin of their magnetism and high activity. Methods: Observations were carried out with the Narval spectropolarimeter in 2008 and 2013. We used the least-squares deconvolution (LSD) technique to extract Stokes V and I profiles with high signal-to-noise ratio to detect Zeeman signatures of the magnetic field of the stars. We then provide Zeeman-Doppler imaging (ZDI), activity indicators monitoring, and a precise estimation of stellar parameters. We use state-of-the-art stellar evolutionary models, including rotation, to infer the evolutionary status of our giants, as well as their initial rotation velocity on the main sequence, and we interpret our observational results in the light of the theoretical Rossby numbers. Results: The detected magnetic field of OU Andromedae (OU And) is a strong one. Its longitudinal component Bl reaches 40 G and presents an about sinusoidal variation with reversal of the polarity. The magnetic topology of OU And is dominated by large-scale elements and is mainly poloidal with an important dipole component, as well as a significant toroidal component. The detected magnetic field of 31 Comae (31 Com) is weaker, with a magnetic map showing a more complex field geometry, and poloidal and toroidal components of equal contributions. The evolutionary models show that the progenitors of OU And and 31 Com must have been rotating at velocities that correspond to 30 and 53%, respectively, of their critical rotation velocity on the zero age main sequence. Both OU And and 31 Com have very similar masses (2.7 and 2.85 M⊙, respectively), and they both lie in the Hertzsprung gap. Conclusions: OU And appears to be the probable descendant of a magnetic Ap star, and 31 Com the descendant of a relatively fast rotator on the main sequence. Because of the relatively fast rotation in the Hertzsprung gap and the onset of the development of a convective envelope, OU And also has a dynamo in operation. Based on observations obtained at the telescope Bernard Lyot (TBL) at Observatoire du Pic du Midi, CNRS/INSU and Université de Toulouse, France.

75 FR 54779 - National Oil and Hazardous Substance Pollution Contingency Plan; National Priorities List...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-09

... appropriate. The NPL is designed primarily for informational purposes and to assist EPA management. Section... Packaging). OU3 GT Car Shop/Aspen 1235 South Jason Design and Street. Manufacturing. OU3 Denver right-of-way... radiation. [[Page 54785

Superfund record of decision amendment (EPA Region 10): USAF Eielson Air Force Base, Operable Units 3, 4, and 5, Fairbanks North Star Borough, AK, September 29, 1998

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

NONE

This decision document presents the amended remedial action for Operable Units 3, 4, and 5 (OUs 3, 4, and 5) at Eielson Air Force Base (AFB). This decision is based on the Administrative Record for OU 3, 4, and 5, updated in July 1998, to include new information generated since the original Record of Decision was signed on 30 September 1995 (PB95-964618). This amendment applies to OU3 site DP44 (Battery Shop Leach Field Building), OU4 sites SS35 (Asphalt Mixing Area) and ST58 (Old Quartermaster Service Station), and OU5 sites LF03/FT09 (Current Inactive Base Landfill/Fire Training Area). Through new information, contaminantmore » levels than interpreted prior to signing the original ROD document. Proper enforcement of Institutional Controls (IC`s) at all sites will be effective in controlling and restricting access to contaminated media at the sites remediation goals are achieved.« less

Superfund record of decision amendment (EPA Region 5): Metamora Landfill Site, Metamora, MI, August 28, 1996

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

NONE

The United States Environmental Protection Agency (U.S. EPA) is changing a portion of the remedy selected in the operable unit one (OU1) Record of Decision (ROD) dated September 30, 1986, for the Metamora Landfill Site. Operable Unit 1 ROD (OU1 ROD) addresses the remediation of drummed waste and contaminated soils in Drum Area 1 and Drum Area 4. OU1 ROD selected off-site incineration of the drums and soils in Drum Area 1 and Drum Area 4. State lead remedial action work began in the spring of 1989 and continued until December 1990. During the summer of 1990, off-site incineration capacitymore » became extremely limited and drums awaiting disposal began to accumulate at the site. In addition, many more drums were discovered than originally estimated in the Remedial Design. In April of 1991 a settlement was reached that addressed the completion of all remedial activity remaining at the site, including the completion of OU1.« less

Superfund Record of Decision (EPA Region 8): Sand Creek Industrial Site, operable unit 5, Commerce City, CO, (amendment), September 1993

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

Not Available

This decision document is an amendment to the Record of Decision (ROD) signed September 28, 1990 (PB94-921479) and presents the new selected remedial action for cleanup of contaminated shallow soils at OU5 at the Sand Creek Industrial Superfund Site. OU5 is located immediately north of 52nd and Dahlia Street in Commerce City, Colorado. Based on new technical data and cost information obtained subsequent to the September 1990 ROD, EPA has reconsidered its decision to employ soil washing and incineration of the generated residuals as a source control measure for OU5.

The Development of a Multidimensional Measure of Post-deployment Reintegration: Initial Psychometric Analyses & Descriptive Results (Final Report to Director General Health Services Quality of Life Research Grant)

DTIC Science & Technology

2003-12-01

différences constatées entre les groupes étudiés étaient associées à l’état matrimonial , à la présence de personnes à charge, au groupe professionnel et...population, sur les plans suivants : état matrimonial (deux groupes : soldats mariés contre soldats célibataires), enfants (deux groupes : soldats...ou de soutien) et nombre de déploiements antérieurs (trois groupes : un, deux ou trois déploiements ou plus). État matrimonial : Les expériences

OU/OSU Study Committee, SB 1009.

ERIC Educational Resources Information Center

Oklahoma State Regents for Higher Education, Oklahoma City.

An Oklahoma State Legislature directive formed a committee to study University of Oklahoma (OU) and Oklahoma State University (OSU) services and programs and make recommendations for enhancement. The role of Oklahoma's two comprehensive research universities in the future of the state was the Committee's overriding consideration. Much discussion…

Large-Scale Pumping Test Recommendations for the 200-ZP-1 Operable Unit

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

Spane, Frank A.

2010-09-08

CH2M Hill Plateau Remediation Company (CHPRC) is currently assessing aquifer characterization needs to optimize pump-and-treat remedial strategies (e.g., extraction well pumping rates, pumping schedule/design) in the 200-ZP-1 operable unit (OU), and in particular for the immediate area of the 241 TX-TY Tank Farm. Specifically, CHPRC is focusing on hydrologic characterization opportunities that may be available for newly constructed and planned ZP-1 extraction wells. These new extraction wells will be used to further refine the 3-dimensional subsurface contaminant distribution within this area and will be used in concert with other existing pump-and-treat wells to remediate the existing carbon tetrachloride contaminant plume.more » Currently, 14 extraction wells are actively used in the Interim Record of Decision ZP-1 pump-and-treat system for the purpose of remediating the existing carbon tetrachloride contamination in groundwater within this general area. As many as 20 new extraction wells and 17 injection wells may be installed to support final pump-and-treat operations within the OU area. It should be noted that although the report specifically refers to the 200-ZP-1 OU, the large-scale test recommendations are also applicable to the adjacent 200-UP-1 OU area. This is because of the similar hydrogeologic conditions exhibited within these two adjoining OU locations.« less

Letter from Prashant Gupta, Honeywell to Galo Jackson, USEPA. Subject: Draft Feasibility Study Report for OU1 (Estuary), LCP Chemicals Site

EPA Pesticide Factsheets

March 29, 2013 cover letter and report for Operable Unit 1 (OU1) to evaluate potential remedial measures at LCP Chemicals site in Brunswick, Georgia. Region ID : 04, DocID: 10940624 , DocDate: 2013-03-29

Letter from Prashant Gupta, Honeywell to Galo Jackson, USEPA. Subject: Draft Feasibility Study Report for OU 1 (Estuary)

EPA Pesticide Factsheets

October 16, 2013 letter and attachment with responses to June 20, 2013 comments by USEPA about the Operable Unit 1 (OU1) at the LCP Chemicals site in Brunswick, Georgia. Region ID: 04 DocID: 10944892, DocDate: 10-16-2013

Graduation Certification--Too Late to Graduate!

ERIC Educational Resources Information Center

Doman, Mark S.

2017-01-01

Oakland University (OU) in Rochester, Michigan, was experiencing growing pains. The good news was that OU had experienced 23 years of continuous enrollment growth, with student enrollment exceeding 20,000 in 2015 for the first time ever. The downside was that various administrative processes throughout the university were straining to keep up. One…

Sidi Ali Ou Azza (L4): A New Moroccan Fall

NASA Astrophysics Data System (ADS)

Chennaoui Aoudjehane, H.; Agee, C. B.; Aaranson, A.; Bouragaa, A.

2016-08-01

Sidi Ali Ou Azza is the latest meteorite fall in Morocco, it occurred on 28 July 2015 very close (about 40 km) to Tissint martian shergottite fall that occurred on 18 July 2011. It's one of the small group of 23 L4 ordinary chondrite falls.

Prescrire du cannabis fumé pour la douleur chronique non cancéreuse

PubMed Central

Kahan, Meldon; Srivastava, Anita; Spithoff, Sheryl; Bromley, Lisa

2014-01-01

Résumé Objectif Offrir des conseils préliminaires sur la prescription de cannabis fumé pour la douleur chronique avant la publication de lignes directrices officielles. Qualité des données Nous avons examiné les ouvrages scientifiques sur l’efficacité analgésique du cannabis fumé et les dommages causés par la consommation de cannabis à des fins médicales et récréatives. Nous avons élaboré des recommandations concernant les indications et les contre-indications du cannabis fumé, les précautions à prendre et son dosage et nous avons classé les recommandations en fonction du niveau des données probantes. La plupart des données probantes sont de niveau II (études observationnelles bien effectuées) et de niveau III (opinion d’experts). Message principal Le cannabis fumé pourrait être indiqué chez des patients souffrant de douleurs neuropathiques sévères qui n’ont pas répondu à des essais suffisants de cannabinoïdes pharmaceutiques et d’analgésiques standards (données probantes de niveau II). Le cannabis fumé est contre-indiqué chez les patients de 25 ans ou moins (données probantes de niveau II); ceux qui font actuellement ou ont fait par le passé une psychose ou encore ont de forts antécédents familiaux de psychose (données probantes de niveau II); ceux qui ont ou ont eu un problème de consommation de cannabis (données probantes de niveau III); ceux qui ont un problème actuel de toxicomanie ou d’alcoolisme (données probantes de niveau III); ceux qui ont une maladie cardiovasculaire ou respiratoire (données probantes de niveau III); ou celles qui sont enceintes ou planifient une grossesse (données probantes de niveau II). Il devrait être utilisé avec précaution par les patients qui fument du tabac (données probantes de niveau II), qui sont à risque accru de maladies cardiovasculaires (données probantes de niveau III), qui ont des troubles d’anxiété ou de l’humeur (données probantes de niveau II) ou qui prennent de fortes doses d’opioïdes ou de benzodiazépines (données probantes de niveau III). Il faut conseiller aux utilisateurs de cannabis d’attendre au moins 3 à 4 heures avant de conduire s’ils en ont fumé, au moins 6 heures s’ils en ont consommé par la bouche et au moins 8 heures s’ils ont ressenti un «high» subjectif (données probantes de niveau II). La dose maximale recommandée est de 1 inhalation 4 fois par jour (environ 400 mg par jour) de cannabis séché contenant 9 % de delta-9-tétrahydrocannabinol (données probantes de niveau III)). Les médecins devraient éviter de demander une consultation pour les patients auprès de cliniques «cannabinoïdes» (données probantes de niveau III). Conclusion Les lignes directrices futures devraient se fonder sur une révision systématique des ouvrages scientifiques sur la sécurité et l’efficacité du cannabis fumé. D’autres recherches sont nécessaires sur l’efficacité et la sécurité à long terme du cannabis fumé par rapport à d’autres cannabinoïdes pharmaceutiques, aux opioïdes et à d’autres analgésiques standards.

Les complications tardives de prothèse totale de la hanche: à propos de 42 cas

PubMed Central

Azarkane, Mohamed; Boussakri, Hassan; Shimi, Mohamed; Elibrahimi, Abdlehalim; Elmrini, Abdlemeji

2013-01-01

L'arthroplastie de la hanche est un moyen fiable dans le traitement des affections de la hanche. En lui rendant sa mobilité sa stabilité et son indolence. Cependant cette chirurgie prothétique expose au risque de la survenue des complications qui peuvent engager le pronostic fonctionnel. Nous avons réalisé une étude rétrospective sur une durée de 8 ans de janvier 2004 au janvier 2012 au service de traumatologie-orthopédie de CHU HASSAN II FEZ. Pendant cette période nous avons opéré 240 patients pour PTH. Après un recul moyen de 5 ans nous avons noté chez 42 (17,4%) patients une complication tardive. Nous noté 13 cas de descellement aseptique soit 5,4%. Cette complication a été survenue dans notre série sur une prothèse cimentée dans 8 cas et non cimentée dans 5 cas. Le traitement que nous avons adopté dans notre série a été une reprise de PTH sans greffe osseuse ni anneau de reconstruction dans 4 cas, reprise avec mise en place d'anneau de Kerboull dans 7 cas et reprise avec greffe osseuse et anneau de kerboull dans 2 cas. Nous avons trouvé 11 cas de sepsis tardive soit 4,6% des cas. Nous avons le diabète comme facteur de risque chez 3 malades. L'agent causal a été staphylococcus épdermidis dans 5 cas, colibacille dans 2 cas et association staphylococcus-BGN dans 1 cas. Les différentes modalités que nous avons utilisé pour traiter l'infection dans notre ont été un lavage simple, système d'irrigation-drainage et réimplantation simple en un seul temps ou en 2 temps avec couverture systématique par une antibiothérapie adaptée selon l'antibiogramme. Nous avons noté également 11 cas de fracture sur PTH intéressant dans tous les cas le fémur, nous avons traité ce type de fracture dans notre série par une tige fémorale prothétique longue dans 4 cas, une plaque vissée cerclée dans 3 cas et cerclage simple dans 4 cas. La consolidation a été obtenue chez 9 patients avec 2 cas de pseudarthrose. Nous avons noté 7 cas de luxation tardive de PTH. Comme facteur de risque dans notre série nous avons trouvé le sexe féminin et le surpoids. Sur le plan technique la malposition de cotyle a été constituée l'étiologie principale avec 4 cas. Nous avons traité les cas de luxation par réduction simple avec traction dans 3 cas et une reprise chirurgicale pour corriger la malposition de cotyle dans 4 cas. Nos résultats sont comparables avec ceux de la littérature. Selon les résultats de la littérature le descellement aseptique constitue la complication la plus fréquente. Pour traiter cette complication les 2 modalités la plus fréquemment utilisées dans a littérature sont la reprise avec des greffes et anneaux de reconstruction ou fixer la nouvelle cupule sur os sain de néocotyle créé par descellement. Le résultat de la littérature objective aussi la responsabilité de staphylococcus comme agent causal la plus fréquent. Il montre également l'efficacité de traitement chirurgical par réimplantation de la prothèse en un seul ou en 2 temps. L'étude de la littérature objective aussi que La prise en charge des fractures sur PTH est difficile en raison de l'âge souvent avancé et de la fragilité des patients, de l'ostéoporose, et de la menace que ces fractures font peser sur la fixation de la prothèse parfois déjà défaillante. Les complications tardives de PTH sont fréquentes et sont causes de reprises de chirurgie prothétique et rendent leur prise en charge très difficile. Elles peuvent transformer les légitimes espoirs fonctionnels en catastrophe invalidante. PMID:23503704

All the Vice Chancellor's Neuroscientists: Unity to Achieve Success in Solving Malaysia's Diseases via Upgrading Clinical Services and Neuroscience Research.

PubMed

Abdullah, Jafri Malin

2013-05-01

President Obama of the United States of America announced this April the Brain Research Through Advancing Innovative Neurotechnologies (BRAIN for short) investment, while Professor Henry Markram's team based in the European Union will spend over a billion euros on the Human Brain Project, breaking through the unknowns in the fifth science of the decade: Neuroscience. Malaysia's growth in the same field needs to be augmented, and thus the Universiti Sains Malaysia's vision is to excel in the field of clinical brain sciences, mind sciences and neurosciences. This will naturally bring up the level of research in the country simultaneously. Thus, a center was recently established to coordinate this venture. The four-year Integrated Neuroscience Program established recently will be a sustainable source of neuroscientists for the country. We hope to establish ourselves by 2020 as a global university with neurosciences research as an important flagship.

The value of routine chest radiographs in acute asthma admissions.

PubMed

Ismail, Y; Loo, C S; Zahary, M K

1994-04-01

We reviewed 116 chest radiographs done in 70 adult asthmatic patients who were admitted to the Hospital Universiti Sains Malaysia from January to December 1989. The chest radiographs were abnormal in 23% of cases. Twelve percent showed hyperinflation and 7% had pneumonia. Eight patients diagnosed clinically to have pneumonia had normal chest radiographs. Seven patients had radiographic findings of conditions which were unsuspected clinically. These included two cases of pneumonia, one case each of fibrosing alveolitis, pneumothorax, pneumomediastinum, mitral stenosis with left ventricular failure and right pleural effusion. In conclusion, we found that significant chest radiograph abnormalities in adult patients admitted for asthma were uncommon although chest radiographs were helpful in detecting complications or coincidental conditions. Chest radiograph is therefore an important investigation in adult asthmatic patients who are admitted. However, considering the cost and the risk of radiation, it should be done only in selective cases rather than as a routine procedure.

Accouchements sur utérus cicatriciel en République Démocratique du Congo: épreuve utérine et facteurs déterminants de l’issue

PubMed Central

Momat, Félix Kitenge wa; Zalagile, Pierre Akilimali; Mukalenge, Faustin Chenge; Luboya, Oscar Numbi; Kalala, Cléophas Tshibangu; Mashinda, Désiré; Grangé, Gilles; Mukuku, Olivier; Kaj, Fanny Malonga; Lubamba, Chamy Cham; Bwama, Joseph Bagambe; Mukoko, Célestin Kayembe; Kakoma, Jean Baptiste; Kalungwe, Justin Kizonde

2017-01-01

Introduction L'objectif était d'identifier les principaux facteurs de risque associés à un échec d'épreuve utérine et définir un score prédictif d'accouchement sur utérus cicatriciel en République Démocratique du Congo. Méthodes Étude multicentrique, transversale et analytique des patientes porteuses d'un utérus cicatriciel sur la période du 1er janvier au 31 décembre 2013 dans quatre maternités de la République Démocratique du Congo (RDC). Un modèle de régression logistique a été construit pour identifier les facteurs associés à l'échec de l'épreuve utérine. De ce modèle, un score prédictif a été construit pour prédire l'échec de l'épreuve utérine dans les maternités de la RDC. La courbe ROC a été utilisée pour évaluer la capacité du score construit à identifier les patientes à risque de connaitre un échec de l'épreuve utérine. Le cut off point du score prédictif a été déterminé en fonction de la sensibilité et spécificité optimale via l'index de Youden. Tous les tests ont été réalisés au seuil de signification α=0,05. Résultats Deux types de facteurs explicatifs de l'échec de l'épreuve utérine ont été retenus. Il s'agit d'un facteur sociodémographique (âge maternel) et de trois facteurs obstétricaux (hauteur utérine, présentation du fœtus et rupture prématurée des membranes). Le score de prédiction a été défini pour prédire l'échec de l'épreuve utérine. La construction de ce score s'est basée sur quatre éléments : l'âge maternel, l'état de la poche des eaux à l'admission, la hauteur utérine et la présentation fœtale. Le score minimal est de 4 et le score maximal est de 16. Le seuil est de 7. Un Score total supérieur ou égal à 7 traduit un risque d'échec de l'épreuve utérine. Conclusion L'utilisation de ce score prédictif chez les patientes pourra améliorer la qualité dans les indications de la voie haute, l'augmentation des taux de césariennes prophylactiques ainsi que la meilleure sélection des patientes soumises à l'épreuve utérine. Ceci pourra également contribuer à la réduction de la morbi-mortalité fœto-maternelle liée à la gestion de l'accouchement sur utérus cicatriciels. PMID:28819492

On the time-homogeneous Ornstein-Uhlenbeck process in the foreign exchange rates

NASA Astrophysics Data System (ADS)

da Fonseca, Regina C. B.; Matsushita, Raul Y.; de Castro, Márcio T.; Figueiredo, Annibal

2015-10-01

Since Gaussianity and stationarity assumptions cannot be fulfilled by financial data, the time-homogeneous Ornstein-Uhlenbeck (THOU) process was introduced as a candidate model to describe time series of financial returns [1]. It is an Ornstein-Uhlenbeck (OU) process in which these assumptions are replaced by linearity and time-homogeneity. We employ the OU and THOU processes to analyze daily foreign exchange rates against the US dollar. We confirm that the OU process does not fit the data, while in most cases the first four cumulants patterns from data can be described by the THOU process. However, there are some exceptions in which the data do not follow linearity or time-homogeneity assumptions.

Still Imagining the Future

ERIC Educational Resources Information Center

Baker, Chris

2009-01-01

The Open University, or the OU as it is more familiarly known, has reached middle age. The OU has a lot to celebrate. It has become UK's largest university, pioneered supported open learning, and provided access to a high-quality provision from which more than two million learners have benefitted. Internationally, it has many sister institutions…

Experiences with New Approach to Use of Information Technologies in Education

ERIC Educational Resources Information Center

Kostolányová, Katerina

2008-01-01

Paper describes approach of Department of Information and Communication technologies (KIK) on Pedagogical Faculty of University of Ostrava in Ostrava (PedF OU) to development of information knowledge and skills of students of OU with the aid of modern methods and education technologies with support of information technologies (IT). It surveys the…

Le sevrage de l’allaitement

PubMed Central

Grueger, Barbara

2013-01-01

RÉSUMÉ L’allaitement exclusif assure une alimentation optimale aux nourrissons jusqu’à l’âge de six mois. Par la suite, les nourrissons ont besoin d’aliments complémentaires pour répondre à leurs besoins nutritionnels. C’est alors que le sevrage commence. Le sevrage désigne le processus graduel d’introduction d’aliments complémentaires au régime du nourrisson, tout en poursuivant l’allaitement. Il n’y a pas de moment universellement accepté ou scientifiquement démontré pour mettre un terme à l’allaitement. Le moment et le processus de sevrage doivent être adaptés par la mère et l’enfant. Le sevrage peut être soudain ou graduel, prendre plusieurs semaines ou plusieurs mois, être dirigé par l’enfant ou par la mère. Les médecins doivent orienter et soutenir les mères tout au long du processus de sevrage. Le présent document remplace le document de principes sur le sevrage qu’a publié la Société canadienne de pédiatrie en 2004.

Relationship between alcohol-related expectancies and anterior brain functioning in young men at risk for developing alcoholism.

PubMed

Deckel, A W; Hesselbrock, V; Bauer, L

1995-04-01

This experiment examined the relationship between anterior brain functioning and alcohol-related expectancies. Ninety-one young men at risk for developing alcoholism were assessed on the Alcohol Expectancy Questionnaire (AEQ) and administered neuropsychological and EEG tests. Three of the scales on the AEQ, including the "Enhanced Sexual Functioning" scale, the "Increased Social Assertiveness" scale, and items from the "Global/Positive Change scale," were used, because each of these scales has been found to discriminate alcohol-based expectancies adequately by at least two separate sets of investigators. Regression analysis found that anterior neuropsychological tests (including the Wisconsin Card Sorting test, the Porteus Maze test, the Controlled Oral Word Fluency test, and the Luria-Nebraska motor functioning tests) were predictive of the AEQ scale scores on regression analysis. One of the AEQ scales, "Enhanced Sexual Functioning," was also predicted by WAIS-R-Verbal scales, whereas the "Global/Positive" AEQ scale was predicted by the WAIS-R Performance scales. Regression analysis using EEG power as predictors found that left versus right hemisphere "difference" scores obtained from frontal EEG leads were predictive of the three AEQ scales. Conversely, parietal EEG power did not significantly predict any of the expectancy scales. It is concluded that anterior brain any of the expectancy scales. It is concluded that anterior brain functioning is associated with alcohol-related expectancies. These findings suggest that alcohol-related expectancy may be, in part, biologically determined by frontal/prefrontal systems, and that dysfunctioning in these systems may serve as a risk factor for the development of alcohol-related behaviors.

Using Interactive Videodiscs in Open University Courses. I.E.T. Papers on Broadcasting No. 218.

ERIC Educational Resources Information Center

Fuller, Robert G., Ed.

This nine-paper collection from a June 1983 Open University (OU) campus workshop in Milton Keynes, England, describes an interactive video project developed for an OU undergraduate course, T252, Introduction to Engineering Materials, and discusses varied aspects of interactive videodisc program development. The following papers are included:…

Is Developing Employability Skills Relevant to Adult Language Students?

ERIC Educational Resources Information Center

Beaven, Tita

2016-01-01

Open University (OU) students are typically mature students who combine studying part-time with work or caring responsibilities; the average age of OU language students has been dropping, and about 30% of our new students are now under 25. The traditional view of adult learners who study languages is that they often study for pleasure or personal…

FIELD SCALE EVALUATION OF TREATMENT OF TCE IN A BIOWALL AT THE OU-1 SITE

EPA Science Inventory

A passive reactive barrier (Biowall) was installed at the OU-1 site at Altus Air Force Base, Oklahoma to treat TCE contamination in ground water from a landfill. Depth to ground water varies from 1.8 to 2.4 meters below land surface. To intercept and treat the plume of contamin...

75 FR 44920 - National Oil and Hazardous Substances Pollution Contingency Plan; National Priorities List...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-30

... is designed primarily for informational purposes and to assist EPA management. Section 300.425(e)(3... building or asphalt pavement. Primary operations at the SMS Instruments facility consisted of overhauling... settlement with EPA in 1988 and the EPA took over all work associated with OU-1 and OU-2 Remedial Design and...

Teaching Biology at a Distance: Pleasures, Pitfalls, and Possibilities

ERIC Educational Resources Information Center

MacQueen, Hilary; Thomas, Jeff

2009-01-01

The Open University (OU) has a long and distinguished history of teaching biology at a distance by a supported open learning model. This article examines some of the challenges in delivering biology via distance teaching, explores some of the lessons learned, and discusses the opportunities and hazards of new teaching technologies that the OU has…

Superfund record of decision (EPA Region 3): Langley AFB/NASA Langley Center, Tabbs Creek Operable Unit, Hampton, VA, September 30, 1998

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

NONE

1998-10-01

This Record of Decision (ROD) presents remedial action for the Tabbs Creek Operable Unit (OU) at the NASA Langley Research Center (LaRC) in Hampton, Virginia (the Site). This action addresses the principle threat at the OU by dredging and disposing contaminated sediment.

Post-Closure Land Jurisdiction Transfer to the US Fish and Wildlife Service at Rocky Flats: Surviving the Safari Through Old Records and Other Lessons Learned

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

Schiesswohl, S.; Hanson, M.

The U.S. Department of Energy's (DOE's) Rocky Flats Site (Rocky Flats), located near Denver, Colorado, was listed on the Comprehensive Environmental Response, Compensation, and Liability Act National Priorities List (NPL) in 1989. Subsequent cleanup and closure activities were completed in October 2005 and the final remedy was selected in September 2006. The remedy is 'no further action' for the generally un-impacted Peripheral Operable Unit (OU), formerly known as the Buffer Zone, and institutional and physical controls with continued monitoring for the Central OU, formerly the industrialized area. The Peripheral OU has been deleted from the NPL and jurisdiction over themore » majority of land in that OU (3,953 acres) was transferred to the U.S. Fish and Wildlife Service (USFWS) on July 12, 2007, to establish the Rocky Flats National Wildlife Refuge. The remaining approximately 929 acres in the Peripheral OU were retained by DOE's Office of Legacy Management where outstanding mineral leases and mining operations exist. As mineral rights are purchased or mining operations and mineral leases are completed and fully reclaimed, jurisdiction of portions of the 929 acres will also be transferred to USFWS for inclusion into the refuge. During the almost 2 years since cleanup and closure work was completed at Rocky Flats, DOE and USFWS have worked the specific legal parameters, timing, and constraints of the 3,953-acre transfer. Many lessons have been learned, based on these early experiences. (authors)« less

How OpenLearn Supports a Business Model for OER

ERIC Educational Resources Information Center

Law, Patrina; Perryman, Leigh-Anne

2017-01-01

In 2013, the Open University (OU) in the UK launched a large-scale survey of users of its OpenLearn platform for open educational resources. The survey results revealed that OpenLearn is functioning as a showcase and a taster for the OU, thereby offering informal learners a bridge to formal education. In 2014 and 2015, the OpenLearn survey was…

Cardiomyopathie du péripartum: à propos d’une observation et revue de la littérature

PubMed Central

Bouzerda, Abdelmajid

2016-01-01

La cardiomyopathie du péripartum ou cardiomyopathie gravidique primitive, est une entité rare et méconnue définie comme une insuffisance cardiaque systolique survenant le dernier mois de la grossesse ou les cinq premiers mois du postpartum en l'absence d'étiologie connue ou de cardiopathie préexistante. Nous rapportons l'observation d'une jeune patiente de 31 ans sans antécédents pathologiques particuliers admise pour une poussée d'insuffisance cardiaque gauche 1mois après son accouchement. Le contexte de péripartum nous a fait penser au diagnostic et a motivé la réalisation d'une Echocardiographie qui a confirmé cette entité. PMID:28154713

A Numerical Investigation of the Non-Linear Mechanics of Wave Disturbances in Plane Poiseuille Flows

DTIC Science & Technology

1971-09-02

i OCXXLL UJ rn - •• • O •>a£ •> O »QC • S —nt-Q£ 00_IUJ< O0_IUJ< XLUI—LU QU< • OU< • *.< •>_! »•< »-J Z •Q.NOZ ROCOCO ...OU< * OU< *U- ^"O •X •» »Oi-i »<t *—J *< *—I »—<CM z ••a.cMoz Rococo -l-ocoto—• •»** o<<<x«-i • ora-<i- oru.<ti-FHO—z JUJO’-’Z...roro CO ro rococo OOOOOOOOOOOOOO oooooooooooooo oooooooooooooo oooooooooooooo ooooooooooooooooooooooooo co C* o -* c\\j ro -4- i n >o l*» oo cr

Determination of the origin of elevated uranium at a Former Air Force Landfill using non-parametric statistics analysis and uranium isotope ratio analysis

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

Weismann, J.; Young, C.; Masciulli, S.

2007-07-01

Lowry Air Force Base (Lowry) was closed in September 1994 as part of the Base Realignment and Closure (BRAC) program and the base was transferred to the Lowry Redevelopment Authority in 1995. As part of the due diligence activities conducted by the Air Force, a series of remedial investigations were conducted across the base. A closed waste landfill, designated Operable Unit 2 (OU 2), was initially assessed in a 1990 Remedial Investigation (RI; [1]). A Supplemental Remedial Investigation was conducted in 1995 [2] and additional studies were conducted in a 1998 Focused Feasibility Study. [3] The three studies indicated thatmore » gross alpha, gross beta, and uranium concentrations were consistently above regulatory standards and that there were detections of low concentrations other radionuclides. Results from previous investigations at OU 2 have shown elevated gross alpha, gross beta, and uranium concentrations in groundwater, surface water, and sediments. The US Air Force has sought to understand the provenance of these radionuclides in order to determine if they could be due to leachates from buried radioactive materials within the landfill or whether they are naturally-occurring. The Air Force and regulators agreed to use a one-year monitoring and sampling program to seek to explain the origins of the radionuclides. Over the course of the one-year program, dissolved uranium levels greater than the 30 {mu}g/L Maximum Contaminant Level (MCL) were consistently found in both up-gradient and down-gradient wells at OU 2. Elevated Gross Alpha and Gross Beta measurements that were observed during prior investigations and confirmed during the LTM were found to correlate with high dissolved uranium content in groundwater. If Gross Alpha values are corrected to exclude uranium and radon contributions in accordance with US EPA guidance, then the 15 pCi/L gross alpha level is not exceeded. The large dataset also allowed development of gross alpha to total uranium correlation factors so that gross alpha action levels can be applied to future long-term landfill monitoring to track radiological conditions at lower cost. Ratios of isotopic uranium results were calculated to test whether the elevated uranium displayed signatures indicative of military use. Results of all ratio testing strongly supports the conclusion that the uranium found in groundwater, surface water, and sediment at OU 2 is naturally-occurring and has not undergone anthropogenic enrichment or processing. U-234:U-238 ratios also show that a disequilibrium state, i.e., ratio greater than 1, exists throughout OU 2 which is indicative of long-term aqueous transport in aged aquifers. These results all support the conclusion that the elevated uranium observed at OU 2 is due to the high concentrations in the regional watershed. Based on the results of this monitoring program, we concluded that the elevated uranium concentrations measured in OU 2 groundwater, surface water, and sediment are due to the naturally-occurring uranium content of the regional watershed and are not the result of waste burials in the former landfill. Several lines of evidence indicate that natural uranium has been naturally concentrated beneath OU 2 in the geologic past and the higher of uranium concentrations in down-gradient wells is the result of geochemical processes and not the result of a uranium ore disposal. These results therefore provide the data necessary to support radiological closure of OU 2. (authors)« less

Institutional Change for Improving Accessibility in the Design and Delivery of Distance Learning--The Role of Faculty Accessibility Specialists at the Open University

ERIC Educational Resources Information Center

Slater, Rachel; Pearson, Victoria K.; Warren, James P.; Forbes, Tina

2015-01-01

The Open University (OU) has an established infrastructure for supporting disabled students. Historically, the thrust of this has focused on providing accessible adjustments post-production. In 2012, the OU implemented securing greater accessibility (SeGA) to raise awareness and bring about an institutional change to curriculum design so that the…

VHF Broadband Digital Interferometer for Real-time Operation

NASA Astrophysics Data System (ADS)

Kawasaki, Z. I.; Morimoto, T.; Akita, M.; Nakamura, Y.; Ushio, T.

2008-12-01

Lightning Research Group of Osaka University (LRG-OU) has been developing a VHF lightning mapper, Broadband Digital Interferometer (BDITF), to investigate lightning initiation and progression since 1995. When LRG-OU started the project, a multichannel digital storage oscilloscope was deployed to record VHF waveforms emitted by lightning discharges. VHF broadband antenna and necessary electronics like an amplifier were redesigned. Original VHF BDITF was operated in a rocket-triggered lightning experiment during winter thunderstorm season in Hokuriku, Japan. The first observation by BDITF was a rocket-triggered lightning, which lowered the positive charge to the ground. That meant ascending negative breakdown propagation was recorded, and LRG-OU obtained the lightning channel image by upward triggered lightning. Since LRGOU could validate the function and capability of BDITF through several field campaigns, a project to design and manufacture a special analog to digital converter for BDITF was initiated in 1998. Moreover software for a real-time data processing was developed. The first system of new BDITF was operated during a filed campaign in 2003, and lightning channels in two dimensions (2D), which meant azimuth and elevation format, were able to be reconstructed in a several seconds after occurrence of lightning flash. The BDITF system was considered to be an operational system recently. For three dimensional (3D) imaging, two sites operation of BDITF and post data processing of the triangulation are required. LRG-OU learned the bi- directional leader progression, possible charge distribution related to the leader initiation, and the speed of the leader propagation by the 3D imaging. The achievement of BDITF technique by LRG-OU gives us the chance of deployment and operation of the system around the rocket launching site of JAXA on the Tanegashima island. This operation is expected to contribute the go/no-go judgment of rocket launching by JAXA because of the now casting the location of lightning discharges. LRG-OU also joins in the several satellite projects. BDITF system which can be deployed on the satellite and/or space station is manufactured. The first VHF system is expected to be in the space in early 2009.

Hong-Ou-Mandel Interference between Two Deterministic Collective Excitations in an Atomic Ensemble

NASA Astrophysics Data System (ADS)

Li, Jun; Zhou, Ming-Ti; Jing, Bo; Wang, Xu-Jie; Yang, Sheng-Jun; Jiang, Xiao; Mølmer, Klaus; Bao, Xiao-Hui; Pan, Jian-Wei

2016-10-01

We demonstrate deterministic generation of two distinct collective excitations in one atomic ensemble, and we realize the Hong-Ou-Mandel interference between them. Using Rydberg blockade we create single collective excitations in two different Zeeman levels, and we use stimulated Raman transitions to perform a beam-splitter operation between the excited atomic modes. By converting the atomic excitations into photons, the two-excitation interference is measured by photon coincidence detection with a visibility of 0.89(6). The Hong-Ou-Mandel interference witnesses an entangled NOON state of the collective atomic excitations, and we demonstrate its two times enhanced sensitivity to a magnetic field compared with a single excitation. Our work implements a minimal instance of boson sampling and paves the way for further multimode and multiexcitation studies with collective excitations of atomic ensembles.

Le syndrome du canal d’Alcock ou névralgie pudendale : un diagnostic à ne pas méconnaître

PubMed Central

Ziouziou, Imad; Bennani, Hassan; Zizi, Mohamed; Karmouni, Tarik; Khader, Khalid El; Koutani, Abdellatif; Andaloussi, Ahmed Iben Attya

2013-01-01

Résumé Le syndrome du canal d’Alcock – ou névralgie pudendale – est lié à la compression chronique du nerf pudendal dans la fossette ischiorectale ou au niveau du ligament sacroépineux. Le diagnostic du syndrome d’Alcock est surtout clinique. Les examens complémentaires sont dominés par les explorations électrophysiologiques et le test de bloc anesthésique. Le diagnostic repose sur des critères bien précis, soit les critères de Nantes. La prise en charge doit être globale, comprenant un traitement médicamenteux, des infiltrations, des techniques de neuromodulation, et dans les cas graves ou résistants, un traitement chirurgical qui consiste à libérer le nerf pudendal. Les névralgies pudendales peuvent être rencontrées après traitement d’une incontinence urinaire d’effort par bande-lettes sous-urétrales (TVT). Ce syndrome motive des consultations en urologie, car la douleur intéresse le territoire du périnée et des organes génitaux. Des signes urinaires peuvent aussi accompagner cette douleur. Il est donc judicieux de connaître cette pathologie. PMID:23914265

Analysis of Transportation Energy Consumption: En Route Towards Carbon Reduction for Sustainable Campus

NASA Astrophysics Data System (ADS)

Sukor, Nur Sabahiah Abdul; Asmah Hassan, Sitti

2017-08-01

This paper reports the estimation of transportation energy consumption based on the travel behaviour characteristics of the population in the Engineering Campus, Universiti Sains Malaysia. The travel behaviour characteristics include the travel distance, travel speed, number of trips per day, and modal share of the transport, which only focused on the trips that were made inside the campus. The travel behaviour data were collected through online and pencil-and-paper questionnaire survey involving 1000 respondents including staffs and students, which is equivalent to 25% of the total population. The result from the survey showed that a total of 1897 trips per day were made by the motorised vehicle owners including car and motorcycle owners. The total trip length per day was 1056.29 km with an average speed of 45km/h. The average trip for each person was four trips per day. The estimate energy consumption from the motorised vehicles in this campus was reported to be 1.25E9 MJ.

Usability studies on e-learning platforms: Preliminary study in USM

NASA Astrophysics Data System (ADS)

Emang, Devinna Win Anak Boniface; Lukman, Raja Nurul Izzati Raja; Kamarulzaman, Muhammad Izzat Syafiq; Zaaba, Zarul Fitri

2017-10-01

This paper explores the end-users' experienced in regards to the usability issues in E-learning platform. An online survey utilising 116 participants were conducted to investigate the end-users understanding and satisfaction on E-learning platform in the Universiti Sains Malaysia (USM). The results indicates that mainly students still experiencing significant challenges in E-learning platform in regards to accessibility, technical terminologies and functionality. On the other hand, the 10 heuristic guideline is chosen to be a referral point to compare five E-learning platforms in order to assess each performance on regards to the usability criteria. Overall, USM E-learning platform can be considered in a good shape. However, there are more works to be done to improve the delivery system of the E-learning if it would like to sustain for a long period of time. Although the result is at the preliminary stage, it provides useful insights to improve the E-learning platform as one of the most popular education platform in Malaysia.

Correlations between Lymphocytes, Mid-Cell Fractions and Granulocytes with Human Blood Characteristics Using Low Power He-Ne Laser Radiation

NASA Astrophysics Data System (ADS)

Houssein, Hend A. A.; Jaafar, M. S.; Ramli, R. M.; Ismail, N. E.; Ahmad, A. L.; Bermakai, M. Y.

2010-07-01

In this study, the subpopulations of human blood parameters including lymphocytes, the mid-cell fractions (eosinophils, basophils, and monocytes), and granulocytes were determined by electronic sizing in the Health Centre of Universiti Sains Malaysia. These parameters have been correlated with human blood characteristics such as age, gender, ethnicity, and blood types; before and after irradiation with 0.95 mW He-Ne laser (λ = 632.8 nm). The correlations were obtained by finding patterns, paired non-parametric tests, and an independent non-parametric tests using the SPSS version 11.5, centroid and peak positions, and flux variations. The findings show that the centroid and peak positions, flux peak and total flux, were very much correlated and can become a significant indicator for blood analyses. Furthermore, the encircled flux analysis demonstrated a good future prospect in blood research, thus leading the way as a vibrant diagnosis tool to clarify diseases associated with blood.

Relative validity of dietary patterns during pregnancy assessed with a food frequency questionnaire.

PubMed

Loy, See-Ling; Jan Mohamed, Hamid Jan B

2013-09-01

This study aimed to assess the relative validity of maternal dietary patterns derived from a semi-quantitative food frequency questionnaire (FFQ). A total of 162 pregnant women aged 19-40-years-old were enrolled from the Universiti Sains Malaysia (USM) Birth Cohort Study in year 2010 and 2011. The FFQ was compared with three 24-h dietary recalls (DRs). Two major dietary patterns were derived from the principle component analysis which are labeled as Healthy and Less-Healthy patterns. The Pearson correlation coefficients between FFQ and DRs for Healthy and Less-Healthy patterns were 0.59 and 0.63, respectively. At least 45% of the participants were correctly classified into the same third from the FFQ and DR for both dietary patterns. The weighted kappa showed moderate agreement for Healthy pattern while good agreement for Less-Healthy pattern between these two dietary assessment methods. Our results indicate reasonable validity of the dietary patterns identified from the FFQ in pregnant women.

All the Vice Chancellor’s Neuroscientists: Unity to Achieve Success in Solving Malaysia’s Diseases via Upgrading Clinical Services and Neuroscience Research

PubMed Central

Abdullah, Jafri Malin

2013-01-01

President Obama of the United States of America announced this April the Brain Research Through Advancing Innovative Neurotechnologies (BRAIN for short) investment, while Professor Henry Markram’s team based in the European Union will spend over a billion euros on the Human Brain Project, breaking through the unknowns in the fifth science of the decade: Neuroscience. Malaysia's growth in the same field needs to be augmented, and thus the Universiti Sains Malaysia’s vision is to excel in the field of clinical brain sciences, mind sciences and neurosciences. This will naturally bring up the level of research in the country simultaneously. Thus, a center was recently established to coordinate this venture. The four-year Integrated Neuroscience Program established recently will be a sustainable source of neuroscientists for the country. We hope to establish ourselves by 2020 as a global university with neurosciences research as an important flagship. PMID:23966818

Prediction of Aerodynamic Loads on Rotorcraft.

DTIC Science & Technology

1982-09-01

CALCULATION ON HORIZONTAL AXIS WIND TURBINE IN NON UNIFORM FLOW by E.Lupo 6 PREDICTION ET VERIFICATION EXPERIMENTALE DU CHAMP DES VITESSES D’UN ROTOR...calculs, do plus en plus sophistiqugs, tridimensionnols quasi -stationnairos ou instationnaires non portants ou portents, mime our pale isolfe do rotor...exemple d’dquations de Ia mdcanique des pales. Ces 6quationa sont quasi lin~aires en fonc- tion des portances mgme non lindaires. L’a6rodynamique examinde

A Study of Co-Relation between the Length of English Low Vowels and Diphthongs by Korean Exchange Students

ERIC Educational Resources Information Center

Park, Heesuk

2010-01-01

This paper aims at comparing the five English diphthongs, /ei/, /ou/, /au/, /ai/, /[inverted c]i/, in the aspect of length, to find out a common feature in /au/, ai/, /[inverted c]i/ and /ei/, and /ou/ and to see if there is any evidence between English low vowels and diphthongs. This study is a following research of Park (2009), and I analyzed…

[Not Available].

PubMed

Haza, Marion

2012-08-01

Dans cet article, nous abordons la question de l'accès à la pornographie sur Internet par les adolescents. Nous déclinons plusieurs facettes de ces rencontres: la rencontre «fortuite», quand les adolescents sont confrontés à des images intempestives, des publicités ou spams avec des contenus pornographiques; la rencontre «spectatrice», quand les adolescents cherchent activement des vidéos ou photos mettant en scène la sexualité; et enfin la rencontre «actrice», quand les adolescents se mettent en scène eux-mêmes, seuls ou à plusieurs, de façon pornographique sur le Net. A partir d'exemple, nous réfléchissons aux enjeux de ces rencontres virtuelles précoces de la sexualité adulte par rapport au développement adolescent et à la représentation de leur propre sexualité en construction.

Adolescence et pornographie sur la toile

PubMed Central

Haza, Marion

2012-01-01

Dans cet article, nous abordons la question de l’accès à la pornographie sur Internet par les adolescents. Nous déclinons plusieurs facettes de ces rencontres: la rencontre «fortuite», quand les adolescents sont confrontés à des images intempestives, des publicités ou spams avec des contenus pornographiques; la rencontre «spectatrice», quand les adolescents cherchent activement des vidéos ou photos mettant en scène la sexualité; et enfin la rencontre «actrice», quand les adolescents se mettent en scène eux-mêmes, seuls ou à plusieurs, de façon pornographique sur le Net. A partir d’exemple, nous réfléchissons aux enjeux de ces rencontres virtuelles précoces de la sexualité adulte par rapport au développement adolescent et à la représentation de leur propre sexualité en construction. PMID:22876261

Divergent effects of compounds on the hydrolysis and transpeptidation reactions of γ-glutamyl transpeptidase.

PubMed

Wickham, Stephanie; Regan, Nicholas; West, Matthew B; Kumar, Vidya Prasanna; Thai, Justin; Li, Pui Kai; Cook, Paul F; Hanigan, Marie H

2012-08-01

A novel class of inhibitors of the enzyme γ-glutamyl transpeptidase (GGT) were evaluated. The analog OU749 was shown previously to be an uncompetitive inhibitor of the GGT transpeptidation reaction. The data in this study show that it is an equally potent uncompetitive inhibitor of the hydrolysis reaction, the primary reaction catalyzed by GGT in vivo. A series of structural analogs of OU749 were evaluated. For many of the analogs, the potency of the inhibition differed between the hydrolysis and transpeptidation reactions, providing insight into the malleability of the active site of the enzyme. Analogs with electron withdrawing groups on the benzosulfonamide ring, accelerated the hydrolysis reaction, but inhibited the transpeptidation reaction by competing with a dipeptide acceptor. Several of the OU749 analogs inhibited the transpeptidation reaction by slow onset kinetics, similar to acivicin. Further development of inhibitors of the GGT hydrolysis reaction is necessary to provide new therapeutic compounds.

Generalized quantum interference of correlated photon pairs.

PubMed

Kim, Heonoh; Lee, Sang Min; Moon, Han Seb

2015-05-07

Superposition and indistinguishablility between probability amplitudes have played an essential role in observing quantum interference effects of correlated photons. The Hong-Ou-Mandel interference and interferences of the path-entangled photon number state are of special interest in the field of quantum information technologies. However, a fully generalized two-photon quantum interferometric scheme accounting for the Hong-Ou-Mandel scheme and path-entangled photon number states has not yet been proposed. Here we report the experimental demonstrations of the generalized two-photon interferometry with both the interferometric properties of the Hong-Ou-Mandel effect and the fully unfolded version of the path-entangled photon number state using photon-pair sources, which are independently generated by spontaneous parametric down-conversion. Our experimental scheme explains two-photon interference fringes revealing single- and two-photon coherence properties in a single interferometer setup. Using the proposed interferometric measurement, it is possible to directly estimate the joint spectral intensity of a photon pair source.

Simulation of solute transport of tetrachloroethylene in ground water of the glacial-drift aquifer at the Savage Municipal Well Superfund Site, Milford, New Hampshire, 1960-2000

USGS Publications Warehouse

Harte, Philip T.

2004-01-01

The Savage Municipal Well Superfund site, named after the former municipal water-supply well for the town of Milford, is underlain by a 0.5-square mile plume of volatile organic compounds (VOCs), primarily tetrachloroethylene (PCE). The plume occurs mostly within a highly transmissive sand-and-gravel unit, but also extends to an underlying till and bedrock unit. The plume logistically is divided into two areas termed Operable Unit No. 1 (OU1), which contains the primary source area, and Operable Unit No. 2 (OU2), which is the extended plume area. PCE concentrations in excess of 100,000 parts per billion (ppb) had been detected in the OU1 area in 1995, indicating a likely Dense Non-Aqueous Phase Liquid (DNAPL) source. In the fall of 1998, the New Hampshire Department of Environmental Services (NHDES) and the U.S. Environmental Protection Agency (USEPA) installed a remedial system in OU1. The OU1 remedial system includes a low-permeability barrier that encircles the highest detected concentrations of PCE, and a series of injection and extraction wells. The barrier primarily sits atop bedrock and penetrates the full thickness of the sand and gravel; and in some places, the full thickness of the underlying basal till. The sand and gravel unit and the till comprise the aquifer termed the Milford-Souhegan glacial-drift aquifer (MSGD). Two-dimensional and three-dimensional finite-difference solute-transport models of the unconsolidated sediments (MSGD aquifer) were constructed to help evaluate solute-transport processes, assess the effectiveness of remedial activities in OU1, and to help design remedial strategies in OU2. The solute-transport models simulate PCE concentrations, and model results were compared to observed concentrations of PCE. Simulations were grouped into the following three time periods: an historical calibration of the distribution of PCE from the initial input (circa 1960) of PCE into the subsurface to the 1990s, a pre-remedial calibration from 1995 to 1998, and a remedial (post-barrier wall) calibration from 1998 to 1999. Model results also were checked against observed PCE concentrations from May and June 2000 as a post-audit of model performance. Results of the simulations of the two-dimensional model for the historical calibration indicate that the model-computed length of the plume is affected by the retardation factor (retardation). Values of retardation greater than 3 caused the longitudinal length of the computed plume to be too short compared to the observed plume. A retardation of 2-2.5 produced a reasonable comparison between computed and observed PCE concentrations. Testing of different starting times and rates of mass input of PCE indicated that the plume reaches a quasi steady-state distribution in about 20 years regardless of the rate of mass input or values of the solute-transport parameters (retardation, dispersion, and irreversible reaction) assigned the model. Results of the simulations of the three-dimensional model for the pre-remedial (1995-98) calibration of PCE for the OU2 area identified some spatial biases in computed concentrations that generally were unaffected by changes in retardation. The computed PCE concentrations exceeded observed concentrations along the northern part of the plume in OU2, where PCE increases were observed in a bedrock well. These results indicate that some PCE in this area may be entering the bedrock, which is not simulated in the model. Conversely, computed PCE concentrations were less than observed concentrations along the southern part of the plume in OU2. Because testing of high (above 4) values of retardation did little to reduce residuals, it is concluded that the low computed PCE concentrations along the southern flank are likely the result of an underestimation of the initial PCE mass in this area or an unaccounted source of PCE. Results of the simulations of the three-dimensional model for the remedial calibration period (1998-99) and po

Remedial investigation work plan for Bear Creek Valley Operable Unit 1 (S-3 Ponds, Boneyard/Burnyard, Oil Landfarm, Sanitary Landfill 1, and the Burial Grounds, including Oil Retention Ponds 1 and 2) at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee. Volume 1, Main text

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

Not Available

1993-09-01

The intent and scope of the work plan are to assemble all data necessary to facilitate selection of remediation alternatives for the sites in Bear Creek Valley Operable Unit 1 (BCV OU 1) such that the risk to human health and the environment is reduced to acceptable levels based on agreements with regulators. The ultimate goal is to develop a final Record Of Decision (ROD) for all of the OUs in BCV, including the integrator OU. However, the initial aim of the source OUs is to develop a ROD for interim measures. For source OUs such as BCV OU 1,more » data acquisition will not be carried out in a single event, but will be carried out in three stages that accommodate the schedule for developing a ROD for interim measures and the final site-wide ROD. The three stages are as follows: Stage 1, Assemble sufficient data to support decisions such as the need for removal actions, whether to continue with the remedial investigation (RI) process, or whether no further action is required. If the decision is made to continue the RI/FS process, then: Stage 2, Assemble sufficient data to allow for a ROD for interim measures that reduce risks to the human health and the environment. Stage 3, Provide input from the source OU that allows a final ROD to be issued for all OUs in the BCV hydrologic regime. One goal of the RI work plan will be to ensure that sampling operations required for the initial stage are not repeated at later stages. The overall goals of this RI are to define the nature and extent of contamination so that the impact of leachate, surface water runoff, and sediment from the OU I sites on the integrator OU can be evaluated, the risk to human health and the environment can be defined, and the general physical characteristics of the subsurface can be determined such that remedial alternatives can be screened.« less

Monticello Mill Tailings Site, Operable Unit lll, Annual Groundwater Report, May 2015 Through April 2016

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

Nguyen, Jason; Smith, Fred

This report provides the annual analysis of water quality restoration progress, cumulative through April 2016, for Operable Unit (OU) III, surface water and groundwater, of the U.S. Department of Energy (DOE) Office of Legacy Management (LM) Monticello Mill Tailings Site (MMTS). The MMTS is a Comprehensive Environmental Response, Compensation, and Liability Act National Priorities List site located in and near the city of Monticello, San Juan County, Utah. MMTS comprises the 110-acre site of a former uranium- and vanadium-ore-processing mill (mill site) and 1700 acres of surrounding private and municipal property. Milling operations generated 2.5 million cubic yards of wastemore » (tailings) from 1942 to 1960. The tailings were impounded at four locations on the mill site. Inorganic constituents in the tailings drained from the impoundments to contaminate local surface water (Montezuma Creek) and groundwater in the underlying alluvial aquifer. Mill tailings dispersed by wind and water also contaminated properties surrounding and downstream of the mill site. Remedial actions to remove and isolate radiologically contaminated soil, sediment, and debris from the former mill site, Operable Unit I (OU I), and surrounding properties (OU II) were completed in 1999 with the encapsulation of the wastes in an engineered repository located on DOE property 1 mile south of the former mill site. This effectively removed the primary source of groundwater contamination; however, contamination of groundwater and surface water remains within OU III at levels that exceed water quality protection standards. Uranium is the primary contaminant of concern (COC). LM implemented monitored natural attenuation with institutional controls as the OU III remedy in 2004. Because groundwater restoration proceeded more slowly than expected and did not meet performance criteria established in the OU III Record of Decision (June 2004), LM implemented a contingency action in 2009 by an Explanation of Significant Difference to include a pump-and­ treat system using a single extraction well and treatment by zero-valent iron (ex situ treatment system). The contingency action was optimized in 2015 with the installation of8 extraction wells and 16 monitoring wells in a focused area of the aquifer, the area of attainment (AOA). Contaminated water is treated by solar evaporation at an existing facility at the LM repository.« less

Caracterisation des proprietes acoustiques des materiaux poreux a cellules ouvertes et a matrice rigide ou souple

NASA Astrophysics Data System (ADS)

Salissou, Yacoubou

L'objectif global vise par les travaux de cette these est d'ameliorer la caracterisation des proprietes macroscopiques des materiaux poreux a structure rigide ou souple par des approches inverses et indirectes basees sur des mesures acoustiques faites en tube d'impedance. La precision des approches inverses et indirectes utilisees aujourd'hui est principalement limitee par la qualite des mesures acoustiques obtenues en tube d'impedance. En consequence, cette these se penche sur quatre problemes qui aideront a l'atteinte de l'objectif global precite. Le premier probleme porte sur une caracterisation precise de la porosite ouverte des materiaux poreux. Cette propriete en est une de passage permettant de lier la mesure des proprietes dynamiques acoustiques d'un materiau poreux aux proprietes effectives de sa phase fluide decrite par les modeles semi-phenomenologiques. Le deuxieme probleme traite de l'hypothese de symetrie des materiaux poreux selon leur epaisseur ou un index et un critere sont proposes pour quantifier l'asymetrie d'un materiau. Cette hypothese est souvent source d'imprecision des methodes de caracterisation inverses et indirectes en tube d'impedance. Le critere d'asymetrie propose permet ainsi de s'assurer de l'applicabilite et de la precision de ces methodes pour un materiau donne. Le troisieme probleme vise a mieux comprendre le probleme de transmission sonore en tube d'impedance en presentant pour la premiere fois un developpement exact du probleme par decomposition d'ondes. Ce developpement permet d'etablir clairement les limites des nombreuses methodes existantes basees sur des tubes de transmission a 2, 3 ou 4 microphones. La meilleure comprehension de ce probleme de transmission est importante puisque c'est par ce type de mesures que des methodes permettent d'extraire successivement la matrice de transfert d'un materiau poreux et ses proprietes dynamiques intrinseques comme son impedance caracteristique et son nombre d'onde complexe. Enfin, le quatrieme probleme porte sur le developpement d'une nouvelle methode de transmission exacte a 3 microphones applicable a des materiaux ou systemes symetriques ou non. Dans le cas symetrique, on montre que cette approche permet une nette amelioration de la caracterisation des proprietes dynamiques intrinseques d'un materiau. Mots cles. materiaux poreux, tube d'impedance, transmission sonore, absorption sonore, impedance acoustique, symetrie, porosite, matrice de transfert.

Observation unit management of acute decompensated heart failure.

PubMed

Schrock, Jon W; Emerman, Charles L

2009-01-01

Acute decompensated heart failure (ADHF) is a common illness presenting to the emergency department (ED) that is amenable to observation unit (OU) treatment. As the number of baby boomers continues to grow and the incidence of heart failure increases, the financial implications of ADHF treatment will become more prominent. Obtaining institutional support and developing a good working relationship with cardiology colleagues is vital to creating workable ADHF protocols for whichever type of OU an institution decides to use.

Absolute parameters and chemical composition of the binary star OU Gem

NASA Astrophysics Data System (ADS)

Glazunova, L. V.; Mishenina, T. V.; Soubiran, C.; Kovtyukh, V. V.

2014-10-01

The absolute parameters and chemical composition of the BY Dra-type spectroscopic binary OU Gem (HD 45088) were determined on the basis of 10 high-resolution spectra. A new orbital solution of the binary system was determined, the binary ephemerides were specified, and the main physical and atmospheric parameters of the binary components were obtained. The chemical composition of both components was estimated for the first time for the stars of such type.

Boundary Layer Simulation and Control in Wind Tunnels

DTIC Science & Technology

1988-04-01

de l’art dans le domaine de la simulation de la couche limite, ou le nombre de Reynolds n’est pas ou ne peut pas etre simule, examine les effets ...pour la definition de certains essais en soufflerie oil les effets visqueux sont d’une importance particuliere. CONTENTS Page PREFACE iii 1...transition associated with cylindrical bodies at high incidence in subsonic flow. Other relevant references are given therein. Figures 11 a-b, from Ref

Conference Proceedings of Energy Absorption of Aircraft Structures as an Aspect Crashworthiness (66th) Held in Luxembourg on 1-6 May 1988

DTIC Science & Technology

1988-12-01

efforts dans les f~murs ou dans la colonne vert~brale. 2.1.3. Jauges 11 peut s’agir de jauges simples, doubles ou de rosettes 3 directions. Les jauges ...34, -acc~l~rombtres mannequin en "classe 180", -efforts en "classe 180", - jauges en "classe 180", -r~sultantes efforts en "classe 180", -sommes des

La prise en charge des morsures de chien chez les enfants

PubMed Central

Sabhaney, Vikram; Goldman, Ran D.

2012-01-01

Résumé Question Une fillette de 4 ans jouait avec le chien de ses voisins. Le chien s’est excité et a mordu la jeune fille à l’avant-bras, y laissant une plaie punctiforme. À cause cette blessure, elle s’est présentée à mon bureau. Devrais-je la traiter avec des antibiotiques? Quel antibiotique faut-il utiliser et pendant combien de temps? Réponse L’administration d’antibiotiques prophylactiques est indiquée lorsqu’on a procédé à une suture primitive de la morsure, que la plaie est de gravité modérée à sévère, qu’elle est punctiforme (particulièrement s’il y a eu pénétration de l’os, de la gaine tendineuse ou de l’articulation), pour les morsures au visage, aux mains, aux pieds ou aux parties génitales ou lorsque les victimes sont immunodéprimées ou souffrent d’asplénisme. L’antibiotique de première intention est l’amoxicilline-clavulanate. La prophylaxie appropriée antitétanique et contre la rage devrait faire partie des soins chez un patient qui a été mordu par un chien, tout comme le débridement local et le nettoyage complet de la plaie.

The Third Place in Second Life: Real Life Community in a Virtual World

NASA Astrophysics Data System (ADS)

Peachey, Anna

In June 2006 The Open University (OU) purchased its first land in Second LifeTM (SL). Over a two and a half year period, the OU presence evolved and grew to a point where an average of between 150 and 250 unique users in any 7-day period are active in an OU area. This chapter charts the history of the development of the OU Second Life social community and considers the nature of that activity at a point of critical change, in January 2009, shortly before a new island is developed to provide a permanent home for the community. In order for the community to continue evolving it is necessary to understand the nature of the core activities of these users, and to consider this in a context of sustainable development. Through reference to aspects of socialisation and physical community, the author proposes that a virtual world environment can be described using the physical world concept of a Third Place in the information age, and considers the value of virtual space to a learning community. From a perspective of ethnography, this chapter captures a community development within SL and proposes that physical world concepts of community and Third Place are exhibited in a virtual world, and that there are equivalent benefits in the sense of support and belonging to a virtual world community.

Recommandations sur l’examen pelvien de dépistage systématique

PubMed Central

Tonelli, Marcello; Gorber, Sarah Connor; Moore, Ainsley; Thombs, Brett D.

2016-01-01

Résumé Objectif Examiner les lignes directrices de 2014 de l’American College of Physicians (ACP) en matière d’examens pelviens de dépistage du cancer (autre que du col), des maladies inflammatoires pelviennes ou d’autres affections gynécologiques bénignes afin de déterminer si les lignes directrices de l’ACP en matière d’examens pelviens systématiques sont conformes aux normes établies par le Groupe d’étude canadien sur les soins de santé préventifs (GECSSP) et peuvent être adaptées ou adoptées. Méthodologie La méthode SNAP-IT (Smooth National Adaptation and Presentation of Guidelines to Improve Thrombosis Treatment) a servi à déterminer si les lignes directrices de l’ACP étaient conformes aux normes du GECSSP et pouvaient être adaptées ou adoptées. Recommandations Le GECSSP recommande de ne pas effectuer un examen pelvien de dépistage des cancers non cervicaux, des maladies inflammatoires pelviennes ou d’autres affections gynécologiques chez les femmes asymptomatiques. Il s’agit d’une forte recommandation reposant sur des données probantes de qualité modérée. Conclusion Le GECSSP adopte la recommandation en matière d’examen pelvien de dépistage, comme publiée par l’ACP en 2014.

Monticello Mill Tailings Site Operable Unit III Annual Groundwater Report May 2014 Through April 2015, October 2015

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

Nguyen, Jason; Smith, Fred

This report provides the annual analysis of water quality restoration progress, cumulative through April 2015, for Operable Unit (OU) III, surface water and groundwater, of the U.S. Department of Energy (DOE) Office of Legacy Management Monticello Mill Tailings Site (MMTS). The MMTS is a Comprehensive Environmental Response, Compensation, and Liability Act National Priorities List site located in and near the city of Monticello, San Juan County, Utah. MMTS comprises the 110-acre site of a former uranium- and vanadium-ore-processing mill (mill site) and 1,700 acres of surrounding private and municipal property. Milling operations generated 2.5 million cubic yards of waste (tailings)more » from 1942 to 1960. The tailings were impounded at four locations on the mill site. Inorganic constituents in the tailings drained from the impoundments to contaminate local surface water (Montezuma Creek) and groundwater in the underlying alluvial aquifer. Mill tailings dispersed by wind and water also contaminated properties surrounding and downstream of the mill site. Remedial actions to remove and isolate radiologically contaminated soil, sediment, and debris from the former mill site (OU I) and surrounding properties (OU II) were completed in 1999 with the encapsulation of the wastes in an engineered repository located on DOE property 1 mile south of the former mill site. Contamination of groundwater and surface water remains within OU III at levels that exceed water quality protection standards. Uranium is the primary contaminant of concern. LM implemented monitored natural attenuation with institutional controls as the OU III remedy in 2004. Because groundwater restoration proceeded more slowly than expected and did not meet performance criteria established in the OU III Record of Decision (June 2004), LM implemented a contingency action in 2009 by an Explanation of Significant Difference to include a pump-and-treat system using a single extraction well and treatment by zero-valent iron (ex-situ treatment system). The contingency action was optimized in 2015 with the installation of 8 extraction wells and 16 monitoring wells in a focused area of the aquifer (area of attainment). Contaminated water is treated by solar evaporation at an existing onsite LM facility. Environmental monitoring at OU III consists of twice-yearly (April and October) collection and analysis of hydrologic and water-quality data from an established network of observation wells, seeps, and surface water locations. The scope of monitoring was expanded in 2009 for the ex situ treatment system and in 2015 for the remedy optimization system. Operation and monitoring of the ex situ treatment system was discontinued in 2014 with the start-up of the remedy optimization system. No data anomalies for OU III water quality trending or restoration progress are identified for the May 2014 through April 2015 reporting period. Although some regions of the aquifer demonstrate decreasing concentration trends, such trending is not evident for the bulk of the aquifer and a prolonged restoration period is indicated. The groundwater contingency remedy optimization system captures significant contaminant mass (primarily uranium) from the area of attainment; however, because that system only became operational in 2015, a long-term forecast of restoration progress is premature.« less

Mise à jour sur la prévention et le dépistage selon l’âge à l’intention des médecins de soins primaires canadiens

PubMed Central

Shimizu, Tawnya; Bouchard, Manon; Mavriplis, Cleo

2016-01-01

Résumé Objectif Faire la synthèse des meilleures lignes directrices fondées sur des données probantes concernant la prévention et le dépistage chez les adultes canadiens selon l’âge. Qualité des données Les recommandations du Groupe d’étude canadien sur les soins de santé préventifs représentent la source principale des renseignements et sont complétées par les recommandations pertinentes du Preventive Services Task Force des États-Unis lorsque celles du Groupe d’étude canadien étaient inaccessibles ou désuètes. Les guides de pratique des principales organisations nationales axées spécifiquement sur une maladie ou une spécialité ont aussi fait l’objet d’une révision pour prendre en compte les données factuelles les plus récentes. Message principal Les interventions de dépistage recommandées selon l’âge et le sexe sont présentées dans un tableau de synthèse où est mise en évidence la qualité des données à l’appui de ces recommandations. Un exemple de modèle à suivre dans les dossiers médicaux électroniques ou sur papier est aussi proposé. Conclusion Qu’il s’agisse d’une visite consacrée à la prévention ou d’une occasion saisie autrement de faire du counseling et du dépistage de prévention chez leurs patients, les médecins de soins primaires peuvent se servir de cette synthèse des recommandations fondées sur des données probantes pour maximiser leur efficience et prévenir d’importantes omissions ou des dépistages inutiles.

Evaluation of Head Mounted and Head Down Information Displays During Simulated Mine-Countermeasures Dives to 42 msw

DTIC Science & Technology

2008-04-01

visualisation tête basse (VTB) ou d’un visiocasque pour l’exécution de leurs tâches courantes sous l’eau. Neuf plongeurs de lutte contre les mines ont...existe peu d’information empirique sur l’aptitude des plongeurs à utiliser un dispositif multifonction de visualisation tête basse (VTB) ou d’un...experiment, the diver was also linked to the researchers and operations crew via audio communications. 11 Display Screen Chamber Laptop Diver

Standardisation for C2-Simulation Interoperation

DTIC Science & Technology

2015-11-01

la continuité du MSG-048 a permis, grâce notamment à la contribution de la communauté opérationnelle, de consolider le besoin et d’approfondir un...demandes de documents STO, RTO ou AGARD doivent comporter la dénomination « STO », « RTO » ou « AGARD » selon le cas, suivi du numéro de série. Des ...disponibilité des rapports de la STO au fur et à mesure de leur publication, vous pouvez consulter notre site Web

Remedial Investigation/Feasibility Study, Operable Unit 5, Elmendorf AFB, Anchorage, Alaska. Volume 1. Text

DTIC Science & Technology

1994-03-04

4.7a Organic Con mnats Detected in Upper Aquifer Groundwater .......... 4-46 4.7b Organic Contaminants Detected in Upper Aquifer Groundwater...OU 5 con ~tamiats and impacts on Ship Creek; "* Deftrmine fth fluenc of uppadient contminant sources on fth OU 5 "* Collect suifficient data to detemin...Post Rood, mnorh of the gdof course pro shop, and flowed into a drainage ditch parallel to Post Road. 0 All six source areas have undergone previous inv

Notes on the genus Conanalus Tinkham, 1943 (Orthoptera: Tettigoniidae: Conocephalinae) with one new species from Yunnan, China.

PubMed

Du, Bao-Jie; Song, Qiong; Shi, Fu-Ming

2015-06-05

The paper describes one new species, i.e. Conanalus bilobus sp. nov., and provides additional information on Conanalus brevicaudus Shi, Mao & Ou, 2008 (including female description for the first time), and Conanalus robustus Shi, Mao & Ou, 2008 from Yunnan, as well as illustrations of important morphological characters of Conanalus axinus Shi, Wang & Fu, 2005. A distribution map of the species of Conanalus from Yunnan, China is presented. The type material is deposited in the Museum of Hebei University.

Compounding Elastomers for Use in Armament Applications

DTIC Science & Technology

1977-02-01

Identlly by block number) A commercial masterbatch of a phosphonitrilic polymer proved to be much easier to mill-mix than the gum elastomer itself...1 and 2, respectively. The PNF200 masterbatch was much easier to work with than was the polymer itself. However, incorporation of 10 pphr of...Eiry- masterbatch 6 6 6 Stabilizer I form from 2 2 2 Graphite 1 Firestone 5 5 5 SE-33 —’ 5 5 5 Vul-Cup R o.u O.U 0.4 HI Sll 233 5 10

Angiossarcoma mimetizando endoleak tardio pós-reparo endovascular de aneurisma de aorta infrarrenal: relato de caso

PubMed Central

de Almeida, Bruno Lorenção; Caria, Vinicius Pena; Cavalcante, Sthefanie Fauve Andrade; Ventin, Felipe Carvalho; Vieira, Eduardo Augusto Moreira; Darold, Eduardo Mulinari; de Souza, Rodrigo Américo Cunha; Araújo, Edmur Carlos

2017-01-01

Resumo Em todo paciente submetido a reparo endovascular do aneurisma de aorta abdominal (REVA) que se apresente subitamente com quadro de dor abdominal ou sinais de choque, a hipótese de endoleak ou vazamento, com expansão do aneurisma e ruptura deve ser aventada. Apresentamos o caso de um paciente em pós-operatório de REVA que apresentou uma neoplasia de duodeno mimetizando um endoleak. PMID:29930672

Séroprévalence et facteurs associés à l’acceptation du Conseil et Dépistage Volontaire du VIH chez l’enfant à Lubumbashi, République Démocratique du Congo

PubMed Central

Ngwej, Dieudonné Tshikwej; Mukuku, Olivier; Malonga, Françoise Kaj; Luboya, Oscar Numbi; Kakoma, Jean-Baptiste Sakatolo; Wembonyama, Stanis Okitotsho

2017-01-01

Résumé Introduction Malgré le dépistage du VIH proposé lors de la naissance ou au cours des consultations préscolaires, la proportion des enfants qui croissent ou décèdent sous statut sérologique au VIH inconnu est importante en République Démocratique du Congo (RDC). L’objectif de cette étude était de déterminer la séroprévalence au cours d’un dépistage volontaire et d’identifier les facteurs associés à l’acceptation du conseil et dépistage du VIH (CDV) en dehors de la maladie ou de toute exposition au VIH dans une population pédiatrique à Lubumbashi, RDC. Méthodes Il s’agissait d’une étude prospective transversale à visée analytique menée du 1er août 2006 au 31 septembre 2007. Elle avait été réalisée dans 4 centres communautaires de CDV répartis dans 4 zones de santé de la ville de Lubumbashi en RDC (Lubumbashi, Ruashi, Kampemba et de Kenya). L’étude avait consisté à faire le dépistage volontaire du VIH chez les enfants de moins de 15 ans. Les caractéristiques sociodémographiques et les paramètres relatifs au conseil et dépistage volontaire ont été étudiés. Les analyses statistiques descriptives usuelles et une régression logistique ont été réalisées. Résultats Sur 463 enfants dépistés du VIH, 41 (8,9%; IC 95%: 6,5%-11,9%) ont été testés positifs. L’acceptation du conseil et dépistage volontaire du VIH en dehors de la maladie ou de l’exposition au VIH était significativement plus élevée lorsque l’enfant était âgé de plus de 2 ans (Odds ratio ajusté (ORa) = 3,6 [IC 95%: 1,1-12,2]), lorsque le statut sérologique du VIH des parents était négatif ou inconnu (ORa = 27,4 [IC 95%: 9,4-80,0]), lorsque l’un ou l’autre ou les deux parents biologiques étaient en vie (ORa = 24,9 [IC 95%: 2,4-250,8]) et lorsque la connaissance du lieu de dépistage était fait par des moyens autres que le professionnel de santé (ORa = 2,9 [IC 95%: 1,0-7,9]). Conclusion Notre étude montre une forte prévalence du VIH chez les enfants justifiant la nécessité de réaliser le CDV qui est significativement accepté par leurs parents et tuteurs dans la ville de Lubumbashi. PMID:29255552

Diffraction des neutrons : principe, dispositifs expérimentaux et applications

NASA Astrophysics Data System (ADS)

Muller, C.

2003-02-01

La diffraction de neutrons, sur monocristal ou sur échantillon polycristallin (ou poudre), est une technique très largement utilisée, en science des matériaux comme en biologie, lorsque l'on souhaite déterminer la structure cristalline d'un composé ou d'une molécule. Toutefois, le degré de précision de la détermination structurale est très corrélé au choix de l'instrument utilisé. Il s'en suit que la question “comment choisir l'instrument le mieux adapté au composé et à la problématique ?" apparaît comme fondamentale. L'objectif de ce cours est de tenter de répondre à cette question en décrivant brièvement les caractéristiques instrumentales de différents diffractomètres, en exposant les avantages spécifiques des expériences de diffraction de neutrons et en donnant quelques exemples d'application.

Generalized quantum interference of correlated photon pairs

PubMed Central

Kim, Heonoh; Lee, Sang Min; Moon, Han Seb

2015-01-01

Superposition and indistinguishablility between probability amplitudes have played an essential role in observing quantum interference effects of correlated photons. The Hong-Ou-Mandel interference and interferences of the path-entangled photon number state are of special interest in the field of quantum information technologies. However, a fully generalized two-photon quantum interferometric scheme accounting for the Hong-Ou-Mandel scheme and path-entangled photon number states has not yet been proposed. Here we report the experimental demonstrations of the generalized two-photon interferometry with both the interferometric properties of the Hong-Ou-Mandel effect and the fully unfolded version of the path-entangled photon number state using photon-pair sources, which are independently generated by spontaneous parametric down-conversion. Our experimental scheme explains two-photon interference fringes revealing single- and two-photon coherence properties in a single interferometer setup. Using the proposed interferometric measurement, it is possible to directly estimate the joint spectral intensity of a photon pair source. PMID:25951143

Calcification and Silicification: Fossilization Potential of Cyanobacteria from Stromatolites of Niuafo‘ou's Caldera Lakes (Tonga) and Implications for the Early Fossil Record

PubMed Central

Kazmierczak, Józef; Łukomska-Kowalczyk, Maja; Kempe, Stephan

2012-01-01

Abstract Calcification and silicification processes of cyanobacterial mats that form stromatolites in two caldera lakes of Niuafo‘ou Island (Vai Lahi and Vai Si‘i) were evaluated, and their importance as analogues for interpreting the early fossil record are discussed. It has been shown that the potential for morphological preservation of Niuafo‘ou cyanobacteria is highly dependent on the timing and type of mineral phase involved in the fossilization process. Four main modes of mineralization of cyanobacteria organic parts have been recognized: (i) primary early postmortem calcification by aragonite nanograins that transform quickly into larger needle-like crystals and almost totally destroy the cellular structures, (ii) primary early postmortem silicification of almost intact cyanobacterial cells that leave a record of spectacularly well-preserved cellular structures, (iii) replacement by silica of primary aragonite that has already recrystallized and obliterated the cellular structures, (iv) occasional replacement of primary aragonite precipitated in the mucopolysaccharide sheaths and extracellular polymeric substances by Al-Mg-Fe silicates. These observations suggest that the extremely scarce earliest fossil record may, in part, be the result of (a) secondary replacement by silica of primary carbonate minerals (aragonite, calcite, siderite), which, due to recrystallization, had already annihilated the cellular morphology of the mineralized microbiota or (b) relatively late primary silicification of already highly degraded and no longer morphologically identifiable microbial remains. Key Words: Stromatolites—Cyanobacteria—Calcification—Silicification—Niuafo‘ou (Tonga)—Archean. Astrobiology 12, 535–548. PMID:22794297

100-OL-1 Operable Unit Pilot Study: XRF Evaluation of Select Pre-Hanford Orchards

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

Bunn, Amoret L.; Fritz, Brad G.; Pulsipher, Brent A.

Prior to the acquisition of land by the U.S. Department of War in February 1943 and the creation of the Hanford Site, the land along the Columbia River was home to over 1000 people. Farming and orchard operations by both homesteaders and commercial organizations were prevalent. Orchard activities and the associated application of lead arsenate pesticide ceased in 1943, when residents were moved from the Hanford Site at the beginning of the Manhattan Project. Today, the residues from historical application of lead arsenate pesticide persist in some locations on the Hanford Site. In 2012, the U.S. Department of Energy, U.S.more » Environmental Protection Agency, and Washington State Department of Ecology established the 100-OL-1 Operable Unit (OU) through the Hanford Federal Facility Agreement and Consent Order, known as the Tri-Party Agreement. The pre-Hanford orchard lands identified as the 100-OL-1 OU are located south of the Columbia River and east of the present-day Vernita Bridge, and extend southeast to the former Hanford townsite. The discontinuous orchard lands within 100-OL-1 OU are approximately 20 km2 (5000 ac). A pilot study was conducted to support the approval of the remedial investigation/feasibility study work plan to evaluate the 100-OL-1 OU. This pilot study evaluated the use of a field portable X-ray fluorescence (XRF) analyzer for evaluating lead and arsenic concentrations on the soil surface as an indicator of lead arsenate pesticide residues in the OU. The objectives of the pilot study included evaluating a field portable XRF analyzer as the analytical method for decision making, estimating the nature and extent of lead and arsenic in surface soils in four decision units, evaluating the results for the purpose of optimizing the sampling approach implemented in the remedial investigation, and collecting information to improve the cost estimate and planning the cultural resources review for sampling activities in the remedial investigation. Based on the results of the pilot study, the recommendations for the revision of the work plan are as follows: • characterize the surface soil using field portable XRF measurements with confirmatory inductively coupled plasma mass spectroscopy sampling for the remedial investigation • establish decision units of similar defined areas • establish a process for field investigation of soil concentrations exceeding the screening criteria at the border of the 100-OL-1 OU • define data quality objectives for the work plan using the results of the pilot study and refining the sampling approach for the remedial investigation.« less

Entity Profiling for Intelligence Using the Graphical Overview of Social and Semantic Interactions of People (GOSSIP) Software Tool

DTIC Science & Technology

2010-11-01

TR 2010-188; R & D pour la défense Canada – Toronto; Novembre 2010. Introduction ou contexte : En règle générale, l’analyste du renseignement ou...model humans Series3 DRDC Toronto TR 2010-188 13 Figure 4. continued. Profiles for famous names generated by subjects and the model...document is classified) 13 . ABSTRACT (A brief and factual summary of the document. It may also appear elsewhere in the body of the document itself. It is

Trombo flutuante em veia femoral

PubMed Central

Bertanha, Matheus; Pimenta, Rafael Elias Farres; Brandão, Gustavo Muçouçah Sampaio; Sobreira, Marcone Lima; Moura, Regina; Jaldin, Rodrigo Gibin; de Camargo, Paula Angeleli Bueno; Yoshida, Winston Bonetti

2017-01-01

Resumo O trombo venoso flutuante em veia femoral é um tipo de trombo com alto potencial de embolização pulmonar. Entretanto, ainda é controversa a conduta mais apropriada nesses casos. Tratamentos clínicos com anticoagulantes ou fibrinolíticos e trombectomias abertas ou por meio de dispositivos endovasculares vêm sendo empregados ainda sem um critério de indicação bem definido. Apresentamos três casos clínicos de trombos flutuantes em veia femoral, de etiologias distintas, cujos tratamentos e respectivas evoluções serão discutidos. PMID:29930666

Technical Status Review on Drag Prediction and Analysis from Computational Fluid Dynamics: State of the Art

DTIC Science & Technology

1989-06-01

Methodes de Panel) ct sur l’equation complete du potentiel avec ou sans incorporation des effets visqueux. sont couramment employees darn l’industrie...quo pour ce qui eat do Is privision do Is tralnie ia situation actuolle nett pas satisfaisante. Il est en effet plus facile d’obtonir do bonnos...d’un nouvel appareil civil ou militairo utilisont donc encore largaent les essais en soufflerie en Is1 C. minimum eat ensuite corrigE des effets

Methode d’Identification des Forces Aerodynamiques Instationnaires sur les Essais en Vol, Validation Experimentale (Method of Mathematical Identification of Unsteady Airloads From Flight Measurements, Experimental Validation)

DTIC Science & Technology

2000-05-01

gage en vol de rdponses de jauges de contraintes en responses in maneuver, illustrated by an example manoeuvre, illustrd par un exemple issu de la coming...sous ddrapage, ... , braquages gouvernes,..) la forme: -Les mesures sont directement les rkponses de - minimiser Z = Q(k - Xj tb) 2 jauges de...3, la rdponse - les facteurs de ponddration des mesures, fli ou incidence de l’avion, la rdponse de la jauge plus ou momns subjectifs, sont remplacds

The dating of the fourth volume of Guillaume-Antoine Olivier’s “Entomologie, ou histoire naturelle des insectes”

PubMed Central

Bousquet, Yves

2018-01-01

Abstract Despite the title page is dated 1795, the fourth volume of Olivier’s Entomologie, ou histoire naturelle des insectes was issued in two parts, one probably in 1795 and the second in 1800. All new taxa made available in this work have previously been dated 1795 in the literature. A list of new species described in 1795 and a list of those that have to be dated 1800 are appended. The genus Necrobia should be credited to Latreille, 1797, not Olivier, 1795. PMID:29674858

The dating of the fourth volume of Guillaume-Antoine Olivier's "Entomologie, ou histoire naturelle des insectes".

PubMed

Bousquet, Yves

2018-01-01

Despite the title page is dated 1795, the fourth volume of Olivier's Entomologie, ou histoire naturelle des insectes was issued in two parts, one probably in 1795 and the second in 1800. All new taxa made available in this work have previously been dated 1795 in the literature. A list of new species described in 1795 and a list of those that have to be dated 1800 are appended. The genus Necrobia should be credited to Latreille, 1797, not Olivier, 1795.

AGARD Flight Test Techniques Series. Volume 17. Electronic Warfare Test and Evaluation. (Les Essais et l’Evaluation du Materiel de Guerre Electronique)

DTIC Science & Technology

2000-03-01

FRIENDLY DR ENEMY PLOY OFOR DEGSRADING, ENEUTALY IG DEGRA E,’ EUTRALIE, OR DESTR Y concepts, procedures, and techniques that apply generically to CMA...Association of Old Crows, September 1984 Price, Alfred, "The History of Electronic Warfare," Volume 2, Association of Old Crows, October 1989 Claxton, John...Canada Les demandes de documents RTO ou AGARD doivent comporter la denomination "RTO" ou "AGARD" selon le cas, suivie du numdro de s~rie (par exemple

Progress Toward Cleanup of Operable Unit 1 Groundwater at the US DOE Mound, Ohio, Site: Success of a Phase-Combined Remedy – 15310

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

Hooten, Gwendolyn; Cato, Rebecca; Looney, Brian

2015-03-01

Operable Unit 1 (OU-1) soil and groundwater have been affected by volatile organic compounds (VOC) Present groundwater remedy is collection, treatment, and disposal (pump and treat [P&T]) Several combinations of technologies were used to address soil and groundwater contamination Monitored natural attenuation (MNA) is a viable alternative Majority of source term has been excavated VOC concentrations in groundwater have decreased Attenuation mechanisms have been observed in the subsurface at OU-1

Superfund record of decision (EPA Region 9): Mather Air Force Base, Landfill Operable Unit, Sacramento County, CA, August 3, 1995

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

NONE

This decision document presents the selected remedial actions for the Landfill OU Sites, at the inactive Mather AFB, Sacramento County, California. The Installation Restoration Program (IRP) sites which comprise the Landfill OU at the inactive Mather AFB include: Site 1 - Runway Overrun Landfill; Site 2 - `8150` Area Landfill; Site 3 - Northeast Perimeter Landfill No. 1; Site 4 - Northeast Perimeter Landfill No. 2; Site 5 - Northeast Perimeter Landfill No. 3; and Site 6 - Firing Range Landfill Sites.

Prise en charge des troubles de consommation d’opioïdes en première ligne

PubMed Central

Srivastava, Anita; Kahan, Meldon; Nader, Maya

2017-01-01

Résumé Objectif Conseiller les médecins quant aux options thérapeutiques à recommander à des populations précises de patients : approche axée sur l’abstinence, traitement d’entretien par la buprénorphine-naloxone ou traitement d’entretien par la méthadone. Sources d’information Une recherche sur PubMed a été effectuée, et on a relevé dans les publications les données sur l’efficacité, l’innocuité et le profil d’effets indésirables de l’approche axée sur l’abstinence, du traitement par la buprénorphine-naloxone et du traitement par la méthadone. Les études d’observation et interventionnelles ont été incluses. Message principal La méthadone et la buprénorphine-naloxone sont substantiellement plus efficaces que l’approche axée sur l’abstinence. La méthadone présente un taux de rétention plus élevé que la buprénorphine-naloxone, alors que la buprénorphine-naloxone présente un risque plus faible de surdose. Les médecins devraient recommander le traitement par la méthadone ou la buprénorphine-naloxone plutôt que l’approche axée sur l’abstinence, et ce, à tous les groupes de patients (données de niveau I). La méthadone est préférable à la buprénorphine-naloxone chez les patients qui présentent un risque élevé d’abandon, comme les usagers d’opioïdes par injection (données de niveau I). Les jeunes et les femmes enceintes qui font usage d’opioïdes par injection devraient aussi recevoir la méthadone d’abord (données de niveau III). Si la buprénorphine-naloxone est prescrite en premier, il faut faire passer rapidement le patient à la méthadone si les symptômes de sevrage, les fortes envies ou la consommation d’opioïdes persistent malgré une dose optimale de buprénorphine-naloxone (données de niveau II). La buprénorphine-naloxone est recommandée chez les usagers d’opioïdes sur ordonnance par voie orale socialement stables, surtout s’ils ont un emploi ou si leurs obligations familiales les empêchent de se rendre à la pharmacie tous les jours, s’ils ont une affection médicale ou psychiatrique exigeant des soins réguliers de première ligne (données de niveau IV), ou encore si leur emploi exige une fonction cognitive ou un rendement psychomoteur élevés (données de niveau III). La buprénorphine-naloxone est aussi recommandée chez les patients qui présentent un risque élevé de toxicité à la méthadone, tels que les personnes âgées, les personnes qui prennent de fortes doses de benzodiazépines ou d’autres sédatifs, les gros buveurs, les personnes dont la tolérance aux opioïdes est faible et les personnes à risque de prolongement de l’intervalle QT (données de niveau III). Conclusion Il faut tenir compte des caractéristiques et des préférences individuelles des patients lors de la sélection d’un traitement de première intention par un agoniste des opioïdes. Chez les patients qui présentent un risque élevé d’abandon (adolescents et patients socialement instables), la rétention en traitement doit avoir préséance sur les autres considérations cliniques. Chez les patients qui présentent un risque élevé de toxicité (comme les usagers abusifs d’alcool ou de benzodiazépines), la sécurité a sans doute préséance. Ce qu’il importe le plus de considérer toutefois, c’est que le traitement par un agoniste des opioïdes est beaucoup plus efficace que l’approche axée sur l’abstinence. PMID:28292811

Hydraulic Physical Model of Debris Flow for Malaysia Case Study

NASA Astrophysics Data System (ADS)

Arif Zainol, M. R. R. Mohd; Awahab, M. K.

2018-06-01

In the recent decade, several debris flow events occurred and caused hundreds of deaths, missing or injury and damaged many facilities. In addition to causing significant morphological changes along riverbeds and mountain slopes, these flows are frequently reported to bring about extensive property damage and loss of life. Debris flow phenomena occasionally occur in Malaysia and numbers of death reported cause by this event. In order to investigate the debris flow and its deposition process, experiments were conducted at the School of Civil Engineering Laboratory, Universiti Sains Malaysia. The models consists of three main parts which are water tank, rectangular flume and deposition board. A high speed video camera (HSVC) had been placed nearly downstream of the rectangular flume to capture the movement characteristics of particle grain. From this study, the characteristics of particle routing segregation can be understand clearly, therefore this input will be a very useful information to other researchers for further investigation in terms of knowledge sharing between researchers. Catastrophic cause by debris flow event can be minimized therefore in term of economy losses can be reduce and human life can be safe.

Effect of inflow discharges on the development of matric suction and volumetric water content for dike during overtopping tests

NASA Astrophysics Data System (ADS)

Hassan, Marwan A.; Ismail, Mohd A. M.

2017-10-01

The point of this review is to depict the impact of various inflow discharge rate releases on the instruments of matric suction and volumetric water content during an experimental test of spatial overtopping failure at school of civil engineering in universiti Sains of Malaysia. A dry sand dike was conducted inside small flume channel with twelve sensors of tensiometer and Time-Domain Reflectometer (TDR). Instruments are installed in the soil at different locations in downstream and upstream slopes of the dike for measuring the response of matric suction and volumetric water content, respectively. Two values of inflow discharge rates of 30 and 40 L/min are utilized as a part of these experiments to simulate the effectiveness of water reservoirs in erosion mechanism. The outcomes demonstrate that the matric suction and volumetric water content are decreased and increased, respectively for both inflow discharges. The higher inflow discharges accelerate the saturation of dike soil and the erosion process faster than that for the lower inflow discharges.

An 11-Year Analysis of Emergency Presentations of Melioidosis in Northeastern Malaysia.

PubMed

Yazid, Mohd Boniami; Fauzi, Mohd Hashairi; Hasan, Habsah; Md Noh, Abu Yazid; Deris, Zakuan Zainy

2017-06-01

A neglected tropical disease, melioidosis is known to have variability in clinical presentations. Here, we described clinical features that should alert the physicians on the possibility of melioidosis. In this review of 86 cases from 2001 to 2011, the common presentations of melioidosis in the Emergency Department (ED), Hospital Universiti Sains Malaysia were; male gender (79.1 %), in working age group (47.8 ± 15.2 year-old), worked in contact with soil (73.3 %), presented with fever (91.9 %), in rainy season (55.8 %), have underlying diabetes mellitus (79.1 %), have leukocytosis (67.4 %) and high blood glucose (62.8 %) during presentation. In 34.9 % of cases, the antimicrobials were initiated at the ED and only 10.5 % include antimelioid drugs. Thirty-one patients (36.0 %) died due to melioidosis and 51.6 % of this were within 48 h of admission. Despite high mortality rate, the clinical awareness on the possibility of melioidosis among emergency physicians is still low and need to be strengthened.

Development of E-learning prototype for MUET assessment

NASA Astrophysics Data System (ADS)

Mit Anak Mawan, Amylia; Mohamed, Rozlini; Othman, Muhaini; Yusof, Munirah Mohd

2017-08-01

This paper aims to discuss the development of E-learning prototype for MUET assessment in Fakulti Sains Komputer dan Teknologi Maklumat (FSKTM), Universiti Tun Hussein Onn Malaysia (UTHM) namely, MUET Online System. The system is considered as a learning centre to study MUET examination that follows the MUET syllabus. The system will be used to assist students in making preparation before sitting for MUET examination. Before student can gain access to the system, students need to sign up and pay some fees before they are enrolled into virtual MUET class. The class will be guided by the English language lecturer from Faculty of Science, Technology and Human Development (FSTPI), UTHM as teacher. The system provides learning modules, quiz and test section. At the end of learning session students’ performance are assessed through quizzes and test measure the level of student understands. The teacher will evaluate the student’s mark and provide advices to the student. Therefore, the MUET Online System will be able to improve student knowledge in English language and subsequently help student to obtain the best result in MUET by providing more guided references and practices.

An assessment of the knowledge, attitudes, and risk perceptions of pharmacy students regarding HIV/AIDS.

PubMed

Ahmed, Syed Imran; Hassali, Mohamed Azmi; Aziz, Noorizan Abdul

2009-02-19

To evaluate the level of knowledge, attitudes, and risk perceptions of University Sains Malaysia final-year pharmacy students regarding human immunodeficiency virus (HIV) and acquired immunity deficiency syndrome (AIDS). A cross-sectional study among pharmacy students. Data were analyzed with Chi-square to find difference at p value < 0.05. The majority of students (83.07%) responded showing a difference in gender and race. Students showed low willingness (9.2%) to assist patients and low confidence (36.1%) in their education about HIV/AIDS patients. Students recommended HIV testing for health care professionals (69.4%) and patients (75.9%) before surgical procedures. Students knew little about Post Exposure Prophylaxis (18.5%) or about the time for HIV to develop into AIDS (57.4%). About 40% of students were unaware of the inability of antivirals to treat HIV/AIDS. Students had low awareness for opportunistic infections (18.5%), and low agreement on competency to treat and counsel HIV patients (12.9%). The study highlighted students' misconceptions, negative attitudes, and risk perceptions towards HIV/AIDS.

An Assessment of the Knowledge, Attitudes, and Risk Perceptions of Pharmacy Students Regarding HIV/AIDS

PubMed Central

Hassali, Mohamed Azmi; Aziz, Noorizan Abdul

2009-01-01

Objective To evaluate the level of knowledge, attitudes, and risk perceptions of University Sains Malaysia final-year pharmacy students regarding human immunodeficiency virus (HIV) and acquired immunity deficiency syndrome (AIDS). Method A cross-sectional study among pharmacy students. Data were analyzed with Chi-square to find difference at p value < 0.05. Results The majority of students (83.07%) responded showing a difference in gender and race. Students showed low willingness (9.2%) to assist patients and low confidence (36.1%) in their education about HIV/AIDS patients. Students recommended HIV testing for health care professionals (69.4%) and patients (75.9%) before surgical procedures. Students knew little about Post Exposure Prophylaxis (18.5%) or about the time for HIV to develop into AIDS (57.4%). About 40% of students were unaware of the inability of antivirals to treat HIV/AIDS. Students had low awareness for opportunistic infections (18.5%), and low agreement on competency to treat and counsel HIV patients (12.9%). Conclusion The study highlighted students' misconceptions, negative attitudes, and risk perceptions towards HIV/AIDS. PMID:19513153

Comparative study of MYSat attitude stability effect on power generation and lifetime

NASA Astrophysics Data System (ADS)

Amilia Ismail, Norilmi; Thaheer, Ahmad Shaqeer Mohamed; Izmir Yamin, Mohd.

2018-05-01

Universiti Sains Malaysia Space System Lab (USSL) is currently developing a 1U cubesat named MYSat. The satellite mission is to measure electron-density in the Ionosphere E-Layer. Power generation from a solar panel is limited due to a small area of the satellite. Apart from that, the satellite is expecting to continuously spinning and tumbling throughout the mission lifetime as the satellite will be launched without an attitude control system. This paper compares the effect on power generation and the lifetime of MYSat of two conditions; first is with attitude controll where satellite pointing to nadir and later is uncontrol attitude of the satellite. The analysis has been conducted using Analytical Graphics, Inc. (AGI) Systems Tool Kit (STK) software. This study assumed the satellite used a hexagonal solar cell with a theoretical efficiency of 29% identical to an Ultra Triple-Junction (UTJ) solar cell. The simulation is done in one year duration on different attitude configuration. The worst-case condition, where the Earth is positioned at apogee, has been chosen for the comparative study and the lifetime of the satellite is also simulated and compared.

Freestanding midwifery unit versus obstetric unit: a matched cohort study of outcomes in low-risk women

PubMed Central

Møller, Anna Margrethe; Fenger-Grøn, Morten; Knudsen, Lisbeth B; Sandall, Jane

2011-01-01

Objective To compare perinatal and maternal morbidity and birth interventions in low-risk women giving birth in two freestanding midwifery units (FMUs) and two obstetric units (OUs). Design A cohort study with a matched control group. Setting The region of North Jutland, Denmark. Participants 839 low-risk women intending FMU birth and a matched control group of 839 low-risk women intending OU birth were included at the start of care in labour. OU women were individually chosen to match selected obstetric/socio-economic characteristics of FMU women. Analysis was by intention to treat. Main outcome measures Perinatal and maternal morbidity and interventions. Results No significant differences in perinatal morbidity were observed between groups (Apgar scores <7/5, <9/5 or <7/1, admittance to neonatal unit, asphyxia or readmission). Adverse outcomes were rare and occurred in both groups. FMU women were significantly less likely to experience an abnormal fetal heart rate (RR: 0.3, 95% CI 0.2 to 0.5), fetal–pelvic complications (0.2, 0.05 to 0.6), shoulder dystocia (0.3, 0.1 to 0.9), occipital–posterior presentation (0.5, 0.3 to 0.9) and postpartum haemorrhage >500 ml (0.4, 0.3 to 0.6) compared with OU women. Significant reductions were found for the FMU group's use of caesarean section (0.6, 0.3 to 0.9), instrumental delivery (0.4, 0.3 to 0.6), and oxytocin augmentation (0.5, 0.3 to 0.6) and epidural analgesia (0.4, 0.3 to 0.6). Transfer during or <2 h after birth occurred in 14.8% of all FMU births but more frequently in primiparas than in multiparas (36.7% vs 7.2%). Conclusion Comparing FMU and OU groups, there was no increase in perinatal morbidity, but there were significantly reduced incidences of maternal morbidity, birth interventions including caesarean section, and increased likelihood of spontaneous vaginal birth. FMU care may be considered as an adequate alternative to OU care for low-risk women. Pregnant prospective mothers should be given an informed choice of place of birth, including information on transfer. PMID:22021892

Implementation of Enhanced Attenuation at the DOE Mound Site OU-1 Landfill: Accelerating Progress and Reducing Costs

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

Hooten, Gwendolyn; Cato, Rebecca; Looney, Brian

At the US Department of Energy (DOE), Office of Legacy Management, Mound, Ohio, Site, chlorinated organic contaminants (cVOCs) originating from the former solid-waste landfill have impacted groundwater in Operable Unit 1 (OU-1). The baseline groundwater remedy was groundwater pump and treat (P&T). Since the source materials have been removed from the landfill, the Mound core team, which consists of DOE, US Environmental Protection Agency (US EPA), Ohio EPA, and other stakeholders, is assessing the feasibility of switching from the active P&T remedy to a passive attenuation-based remedy. Toward this end, an enhanced attenuation (EA) strategy based on the creation ofmore » structured geochemical zones was developed. This EA strategy addresses the residual areas of elevated cVOCs in soil and groundwater while minimizing the rebound of groundwater concentrations above regulatory targets (e.g., maximum contaminant levels [MCLs]) and avoiding plume expansion while the P&T system is turned off. The EA strategy has improved confidence and reduced risk on the OU-1 groundwater transition path to monitored natural attenuation (MNA). To better evaluate the EA strategy, DOE is conducting a field demonstration to evaluate the use of edible oils to enhance the natural attenuation processes. The field demonstration is designed to determine whether structured geochemical zones can be established that expedite the attenuation of cVOCs in the OU-1 groundwater. The EA approach at OU-1 was designed based on “structured geochemical zones” and relies on groundwater flow through a succession of anaerobic and aerobic zones. The anaerobic zones stimulate relatively rapid degradation of the original solvent source compounds (e.g., cVOCs such as tetrachloroethene [PCE] and trichloroethene [TCE]). The surrounding aerobic areas encourage relatively rapid degradation of daughter products (such as dichloroethene [DCE] and vinyl chloride [VC]) as well as enhanced cometabolism of TCE resulting from the utilization of methane and other reduced hydrocarbons that are formed and released from the anaerobic zones.« less

Remedial Investigation Work Plan for Upper East Fork Poplar Creek Operable Unit 3 at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee. Environmental Restoration Program

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

Not Available

1993-08-01

Upper East Fork Popular Creek Operable Unit 3 (UEFPC OU 3) is a source term OU composed of seven sites, and is located in the western portion of the Y-12 Plant. For the most part, the UEFPC OU 3 sites served unrelated purposes and are geographically removed from one another. The seven sites include the following: Building 81-10, the S-2 Site, Salvage Yard oil storage tanks, the Salvage Yard oil/solvent drum storage area, Tank Site 2063-U, the Salvage Yard drum deheader, and the Salvage Yard scrap metal storage area. All of these sites are contaminated with at least one ormore » more hazardous and/or radioactive chemicals. All sites have had some previous investigation under the Y-12 Plant RCRA Program. The work plan contains summaries of geographical, historical, operational, geological, and hydrological information specific to each OU 3 site. The potential for release of contaminants to receptors through various media is addressed, and a sampling and analysis plan is presented to obtain objectives for the remedial investigation. Proposed sampling activities are contingent upon the screening level risk assessment, which includes shallow soil sampling, soil borings, monitoring well installation, groundwater sampling, and surface water sampling. Data from the site characterization activities will be used to meet the above objectives. A Field Sampling Investigation Plan, Health and Safety Plan, and Waste Management Plan are also included in this work plan.« less

Dynamique moléculaire et canaux ioniques

NASA Astrophysics Data System (ADS)

Crouzy, S.

2005-11-01

Diffusion de neutrons et Dynamique Moléculaire (DM) sont deux techniques intimement liées car elles portent sur les mêmes échelles de temps: la première apporte des informations structurales ou dynamiques sur le système physique ou biologique, la seconde permet de décoder ces informations à travers un modèle facilitant l'interprétation des résultats. Au delà de l'intérêt que la technique de DM peut avoir en relation directe avec les neutrons, il est intéressant de comprendre comment les modèles sont construits et comment les techniques de simulation peuvent aller beaucoup plus loin que de simples modélisations. Nous décrirons brièvement, dans la suite de cet exposé, la technique de DM et les méthodes plus sophistiquées de calculs d'énergie libre et de potentiels de force moyenne à partir des simulations de DM. Puis nous verrons avec deux exemples tirés de nos travaux théoriques sur les canaux ioniques comment ces calculs peuvent nous donner accès à des vitesses de réaction ou des constantes d'affinité ou de liaison. La première étude porte sur un analogue de la gramicidine A qui forme un canal conducteur d'ions interrompus par le basculement d'un cycle dioxolane [1]. La seconde concerne le canal potassique KcsA dont nous avons étudié le blocage du coté extracellulaire par l'ion Tetra Ethyl Ammonium [2].

The gene expression profile of resistant and susceptible Bombyx mori strains reveals cypovirus-associated variations in host gene transcript levels.

PubMed

Guo, Rui; Wang, Simei; Xue, Renyu; Cao, Guangli; Hu, Xiaolong; Huang, Moli; Zhang, Yangqi; Lu, Yahong; Zhu, Liyuan; Chen, Fei; Liang, Zi; Kuang, Sulan; Gong, Chengliang

2015-06-01

High-throughput paired-end RNA sequencing (RNA-Seq) was performed to investigate the gene expression profile of a susceptible Bombyx mori strain, Lan5, and a resistant B. mori strain, Ou17, which were both orally infected with B. mori cypovirus (BmCPV) in the midgut. There were 330 and 218 up-regulated genes, while there were 147 and 260 down-regulated genes in the Lan5 and Ou17 strains, respectively. Gene ontology (GO) enrichment and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment for differentially expressed genes (DEGs) were carried out. Moreover, gene interaction network (STRING) analyses were performed to analyze the relationships among the shared DEGs. Some of these genes were related and formed a large network, in which the genes for B. mori cuticular protein RR-2 motif 123 (BmCPR123) and the gene for B. mori DNA replication licensing factor Mcm2-like (BmMCM2) were key genes among the common up-regulated DEGs, whereas the gene for B. mori heat shock protein 20.1 (Bmhsp20.1) was the central gene among the shared down-regulated DEGs between Lan5 vs Lan5-CPV and Ou17 vs Ou17-CPV. These findings established a comprehensive database of genes that are differentially expressed in response to BmCPV infection between silkworm strains that differed in resistance to BmCPV and implied that these DEGs might be involved in B. mori immune responses against BmCPV infection.

Griffe cubitale d'origine lépreuse traitée par transfert tendineux de Lasso Zancolli: à propos d'un cas

PubMed Central

El Alaoui, Adil; Sbiyaa, Mouhcine; Bah, Aliou; Rabhi, Ilyas; mezzani, Amine; Marzouki, Amine; Boutayeb, Fawzi

2015-01-01

La lèpre est une maladie infectieuse due à une mycobactérie (M. Leprae, Bacille de Hansen, ou BH) dont le tropisme nerveux est destructeur pour les cellules de Schwann. La localisation préférentielle des neuropathies tronculaire secondaire à la lèpre restent dominé par les zones ou les troncs nerveux traversent les défilés ostéo-ligamentaires inextensibles comme le défilé rétro-épitrochléen ou passe le nerf ulnaire. De nombreux travaux ont été consacrés à la souffrance nerveuse secondaire à la lèpre et surtout l'atteinte du nerf ulnaire qui se manifeste par une griffe des doigts. Le traitement dans ce cas est palliatif et fait appel à plusieurs techniques décrites dans la littérature. Nous rapportons dans ce travail un cas de griffe cubitale chez un patient lépreux traité par transfert tendineux de Lasso Zancolli. PMID:26985277

Slug Test Characterization Results for Multi-Test/Depth Intervals Conducted During the Drilling of CERCLA Operable Unit OU UP-1 Wells 299-W19-48, 699-30-66, and 699-36-70B

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

Spane, Frank A.; Newcomer, Darrell R.

2010-06-15

This report presents test descriptions and analysis results for multiple, stress-level slug tests that were performed at selected test/depth intervals within three Operable Unit (OU) UP-1 wells: 299-W19-48 (C4300/Well K), 699-30-66 (C4298/Well R), and 699-36-70B (C4299/Well P). These wells are located within, adjacent to, and to the southeast of the Hanford Site 200-West Area. The test intervals were characterized as the individual boreholes were advanced to their final drill depths. The primary objective of the hydrologic tests was to provide information pertaining to the areal variability and vertical distribution of hydraulic conductivity with depth at these locations within the OUmore » UP-1 area. This type of characterization information is important for predicting/simulating contaminant migration (i.e., numerical flow/transport modeling) and designing proper monitor well strategies for OU and Waste Management Area locations.« less

Slug Test Characterization Results for Multi-Test/Depth Intervals Conducted During the Drilling of CERCLA Operable Unit OU ZP-1 Wells 299-W11-43, 299-W15-50, and 299-W18-16

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

Spane, Frank A.; Newcomer, Darrell R.

2010-06-21

The following report presents test descriptions and analysis results for multiple, stress level slug tests that were performed at selected test/depth intervals within three Operable Unit (OU) ZP-1 wells: 299-W11-43 (C4694/Well H), 299-W15-50 (C4302/Well E), and 299-W18-16 (C4303/Well D). These wells are located within south-central region of the Hanford Site 200-West Area (Figure 1.1). The test intervals were characterized as the individual boreholes were advanced to their final drill depths. The primary objective of the hydrologic tests was to provide information pertaining to the areal variability and vertical distribution of hydraulic conductivity with depth at these locations within the OUmore » ZP-1 area. This type of characterization information is important for predicting/simulating contaminant migration (i.e., numerical flow/transport modeling) and designing proper monitor well strategies for OU and Waste Management Area locations.« less

Digital Rock Physics of hydrate-bearing sediments: Determination of effective elastic properties on the microscale

NASA Astrophysics Data System (ADS)

Sell, Kathleen; Saenger, Erik H.; Quintal, Beatriz; Enzmann, Frieder; Kersten, Michael

2017-04-01

To date, very little is known about the distribution of natural gas hydrates in sedimentary matrices and its influence on the seismic properties of the host rock, in particular at low hydrate concentration. Digital rock physics offers a unique approach to this issue yet requires good quality, high resolution 3D representations for the accurate modelling of petrophysical and transport properties. Although such models are readily available via in-situ synchrotron radiation X-ray tomography the analysis of such data asks for complex workflows and high computational power to maintain valuable results. More recently digital rock physics took also on data from a fairly new group of techniques focused on in-situ studies recreating complex settings that cannot be easily accessed by conventional means. Here, we present a best-practise procedure complementing high-resolution synchrotron-tomography data of hydrate-bearing sedimentary matrices from Chaouachi et al. (2015) with data post-processing, including image enhancement and segmentation as well as exemplary numerical simulations of acoustic wave propagation in 3D on realistic rock using the derived results. A combination of the tomography and 3D modelling opens a path to a more reliable deduction of properties of gas hydrate bearing sediments without a reliance on idealised and frequently imprecise models (Sell et al. 2016). The advantage of this method over traditional, often oversimplified models lays in a more faithful description of complex pore geometries and microstructures found in natural formations (Andrä et al., 2013b, a). References: Chaouachi, M., Falenty, A., Sell, K., Enzmann, F., Kersten, M., Haberthür, D., and Kuhs, W. F.: Microstructural evolution of gas hydrates in sedimentary matrices observed with synchrotron x-ray computed tomographic microscopy, Geochem. Geophy. Geosy., 16, 1711-1722, 2015. Sell, K., E. H. Saenger, A. Falenty, M. Chaouachi, D. Haberthür, F. Enzmann, W. F. Kuhs, and M. Kersten: On the path to the digital rock physics of gas hydrate-bearing sediments - processing of in situ synchrotron-tomography data, Solid Earth, 7(4), 1243-1258, 2016. Andrä, H., Combaret, N., Dvorkin, J., Glatt, E., Han, J., Kabel, M., Keehm, Y., Krzikalla, F., Lee, M., Madonna, C., Marsh, M., Mukerji, T., Saenger, E. H., Sain, R., Saxena, N., Ricker, S., Wiegmann, A., and Zhan, X.: Digital rock physics benchmarks - Part II: Computing effective properties, Comput. Geosci., 50, 33-43, 2013a. Andrä, H., Combaret, N., Dvorkin, J., Glatt, E., Han, J., Kabel, M., Keehm, Y., Krzikalla, F., Lee, M., Madonna, C., Marsh, M., Mukerji, T., Saenger, E. H., Sain, R., Saxena, N., Ricker, S., Wiegmann, A., and Zhan, X.: Digital rock physics benchmarks - Part I: Imaging and segmentation, Comput. Geosci., 50, 25-32, 2013b.

Estimation of gas hydrate saturation using isotropic and anisotropic models at the location selected after measurement of seismic quality factor

NASA Astrophysics Data System (ADS)

Mundhra, A.; Sain, K.; Shankar, U.

2012-12-01

The Indian National Gas Hydrate Program Expedition (NGHP) 01 discovered gas hydrate in unconsolidated sediments at several drilling sites along the continental margins of Krishna-Godavari Basin, India. Presence of gas hydrate reduces the attenuation of travelling seismic waves which can be measured by estimation of seismic quality factor (Dasgupta and Clark, 1998). Here, we use log spectral ratio method (Sain et al, 2009) to compute quality factor at three locations, among which two have strong and one has no bottom simulating reflector (BSR), along seismic cross-line near one of the drilling site. Interval quality factor for three submarine sedimentary layers bounded by seafloor, BSR, one reflector above and another reflector below the BSR has been measured. To compute quality factor, unprocessed pre-stack seismic data has been used to avoid any influence of processing sequence. We have estimated that interval quality factor lies within 200-220 in the interval having BSR while it varies within 90-100 in other intervals. Thereby, high interval quality factor ascertains that observed BSR is due to presence of gas hydrates. We have performed rock physics modelling by using isotropic and anisotropic models, to quantitatively estimate gas hydrate saturation at one of the location where an interval has high quality factor. Abruptly high measured resistivity and high P-wave velocity in the interval, leads to towering hydrate saturation (Archie,1942 and Helegrud et al, 1999) in comparison to lower gas hydrate saturations estimated by pressure core and chlorinity measurements. Overestimation of saturation is attributed to presence of near vertical fractures that are identified from logging-while-drilling resistivity images. We have carried out anisotropic modeling (Kennedy and Herrick, 2004 and Lee,2009) by incorporating fracture volume and fracture porosity to estimate hydrate saturation and have observed that modeled gas hydrate saturations agree with the lower gas hydrate saturations obtained from pressure core and chlorinity measurements. Therefore, we find that 1) quality factor is significantly higher in the interval bearing gas hydrates and is a useful tool to discover hydrate deposits, 2) anisotropy due to presence of near vertical hydrate filled fractures translates into elevated saturation because of high measured resistivity and velocity and 3) anisotropic model greatly corrects the saturation estimates in fractured medium. References: Archie, G.E., 1942. Petroleum Transactions of AIME, 146, 54-62. Dasgupta, R., Clark, R.A., 1998. Geophysics 63, 2120-2128. Kennedy, W.D., Herrick, D.C., 2004. Petrophysics 45, 38-58. Lee, M.W., 2009. U.S. Geological Survey Scientific Investigations Report 2009-5141, 13. Sain, K., Singh, A.K., Thakur, N.K., Khanna, R.K., 2009.Marine Geophysical Researches 30, 137-145.

Engine Fluid Leakage Detection: A Feasibility Study

DTIC Science & Technology

2011-07-01

2011 © Sa Majesté la Reine (en droit du Canada), telle que représentée par le ministre de la Défense nationale, 2011 DRDC Atlantic TM 2011-050 i... de détecter tout problème possible lié à la sécurité ou aux performances des moteurs à turbine à gaz d’aéronefs. Le signalement immédiat d’une fuite...carburant ou d’huile moteur nuisent non seulement aux performances d’un moteur, mais elles représentent également une menace réelle pour la sécurité de

Chinese-English Rocketry Dictionary. Volume 3

DTIC Science & Technology

1979-03-01

xiezhen diania 14] Q i. plate tank 1’? yangil yanghuara $, anodic oxidation process 18 yangji yinji dianya I3 A.j - I t anode -cathode voltage...talo Gu Yin yin aao ou Ylng Yin ta’u Ou YU You taluan cuan Yuing Yawg talui cul 341 tau tm yuan ruan toa ’Wg Cown Yft ye. tfu tu Yfln t’tian tuant...tanhuang Jiahe mopian 94f X laE f(4 ’m’. #j spring-loaded membrane 14 tanhuang Jiaju A1 A -)t spring clawp 15 tanhuang Jianshendian A1 &c A V -’P spring

Toxoplasmose oculaire atypique chez une femme congolaise de 72 ans: à propos d'une observation

PubMed Central

Bienvenu, Yogolelo Asani; Angel, Musau Nkola; Eric, Kasamba Ilunga; Socrate, Kapalu Mwangala; Sebastien, Mbuyi Musanzayi; Philippe, Cilundika Mulenga; Leon, Kabamba Ngombe; Bruno, Iye Ombamba Kayimba; Gaby, Chenge Borasisi

2015-01-01

Les auteurs rapportent un cas de toxoplasmose oculaire binoculaire, rarement décrit dans la littérature, chez une personne âgée de 72 ans, de sexe féminin, à laquelle s'associe une rétinite pigmentaire unilatérale. Cette observation permet d'attirer l'attention de la communauté scientifique sur les autres formes ou variétés de présentation moins courantes, « atypiques », pouvant être rencontrées ou associées à la toxoplasmose oculaire. PMID:26958130

An Investigation of the Sound Generated by an Axisymmetric Jet Interacting with a Diffuser

DTIC Science & Technology

1980-09-01

105. 120. J:’REt~U EN C Y, HZ ~OU~U PO~ER ZN’ChNSITY bEVEb,OB TOTA5 POdER ,DB C1/30CTAVK ~ANU) e.,n 209. 74.95 7o.u2 75.72 74.27 75.O7 2bO. 75.78...86.52 86.26 104.53 31500. 79.40 87.33 89.52 87.93 85.46 83.91 82.79 101.88 40000. 76.44 84.35 87.03 85.60 83.32 81.93 81.21 99.43 TOTAL POdER , DB

Spatial two-photon interference in a Hong-Ou-Mandel interferometer

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

Kim, Heonoh; Kwon, Osung; Kim, Wonsik

2006-02-15

We report the observation of the cosine modulation in the coincidence rates from a Hong-Ou-Mandel (HOM) interferometer. Spatial interference fringes are seen by minute rotations of one mirror about the vertical axis, while the beam splitter is fixed in the center position. The results show that the maximum visibility of the fringe is 0.81, and the photon pairs separated by less than 1.52 mm in the source plane are measured to be indistinguishable. It turns out that it is possible to invert the HOM dips to peaks by the rotation of the mirror.

Variable phenotypic expressivity in inbred retinal degeneration mouse lines: A comparative study of C3H/HeOu and FVB/N rd1 mice.

PubMed

van Wyk, Michiel; Schneider, Sabine; Kleinlogel, Sonja

2015-01-01

Recent advances in optogenetics and gene therapy have led to promising new treatment strategies for blindness caused by retinal photoreceptor loss. Preclinical studies often rely on the retinal degeneration 1 (rd1 or Pde6b(rd1)) retinitis pigmentosa (RP) mouse model. The rd1 founder mutation is present in more than 100 actively used mouse lines. Since secondary genetic traits are well-known to modify the phenotypic progression of photoreceptor degeneration in animal models and human patients with RP, negligence of the genetic background in the rd1 mouse model is unwarranted. Moreover, the success of various potential therapies, including optogenetic gene therapy and prosthetic implants, depends on the progress of retinal degeneration, which might differ between rd1 mice. To examine the prospect of phenotypic expressivity in the rd1 mouse model, we compared the progress of retinal degeneration in two common rd1 lines, C3H/HeOu and FVB/N. We followed retinal degeneration over 24 weeks in FVB/N, C3H/HeOu, and congenic Pde6b(+) seeing mouse lines, using a range of experimental techniques including extracellular recordings from retinal ganglion cells, PCR quantification of cone opsin and Pde6b transcripts, in vivo flash electroretinogram (ERG), and behavioral optokinetic reflex (OKR) recordings. We demonstrated a substantial difference in the speed of retinal degeneration and accompanying loss of visual function between the two rd1 lines. Photoreceptor degeneration and loss of vision were faster with an earlier onset in the FVB/N mice compared to C3H/HeOu mice, whereas the performance of the Pde6b(+) mice did not differ significantly in any of the tests. By postnatal week 4, the FVB/N mice expressed significantly less cone opsin and Pde6b mRNA and had neither ERG nor OKR responses. At 12 weeks of age, the retinal ganglion cells of the FVB/N mice had lost all light responses. In contrast, 4-week-old C3H/HeOu mice still had ERG and OKR responses, and we still recorded light responses from C3H/HeOu retinal ganglion cells until the age of 24 weeks. These results show that genetic background plays an important role in the rd1 mouse pathology. Analogous to human RP, the mouse genetic background strongly influences the rd1 phenotype. Thus, different rd1 mouse lines may follow different timelines of retinal degeneration, making exact knowledge of genetic background imperative in all studies that use rd1 models.

Acceptabilité du test VIH proposé aux nourrissons dans les services pédiatriques, en Côte d'Ivoire, Significations pour la couverture du diagnostic pédiatrique

PubMed Central

Oga, Maxime; Brou, Hermann; Dago-Akribi, Hortense; Coffie, Patrick; Amani-Bossé, Clarisse; Ékouévi, Didier; Yapo, Vincent; Menan, Hervé; Ndondoki, Camille; Timité-Konan, M.; Leroy, Valériane

2014-01-01

Résumé Problème: Le dépistage VIH chez les enfants a rarement été au centre des préoccupations des chercheurs. Quand le dépistage pédiatrique a retenu l'attention, cela a été pour éclairer seulement sur les performances diagnostiques en ignorant même que le test pédiatrique comme bien d'autres peut s'accepter ou se refuser. Cet article met au cœur de son analyse les raisons qui peuvent expliquer qu'on accepte ou qu'on refuse de faire dépister son enfant. Objectif: Etudier chez les parents, les mères, les facteurs explicatifs de l'acceptabilité du test VIH des nourrissons de moins de six mois. Méthodes: Entretien semi-directif à passages répétés avec les parents de nourrissons de moins de six mois dans les formations sanitaires pour la pesée/vaccination et les consultations pédiatriques avec proposition systématique d'un test VIH pour leur nourrisson. Résultats: Nous retenons que la réalisation effective du test pédiatrique du VIH chez le nourrisson repose sur trois éléments. Primo, le personnel de santé par son discours (qui dénote de ses connaissances et perceptions même sur l'infection) orienté vers les mères influence leur acceptation ou non du test. Secundo, la mère qui par ses connaissances et perceptions même sur le VIH, dont le statut particulier, l'impression de bien-être chez elle et son enfant influence toute réalisation du test pédiatrique VIH. Tertio, l'environnement conjugal de la mère, particulièrement caractérisé par les rapports au sein du couple, sur la facilité de parler du test VIH et sa réalisation chez les deux parents ou chez la mère seulement sont autant de facteurs qui influencent la réalisation effective du dépistage du VIH chez l'enfant. Le principe préventif du VIH, et le désir de faire tester l'enfant ne suffisent pas à eux seuls pour aboutir à sa réalisation effective, selon certaines mères confrontées au refus du conjoint. A l'opposé, les autres mères refusant la réalisation du test pédiatrique disent s'y opposer ; bien entendu, même dans le cas où le conjoint l'accepterait. Discussion: Les mères sont les principales mises en cause et craignent les réprimandes et la stigmatisation. Le père, le conjoint peut être un obstacle, quand il s'oppose au test VIH du nourrisson, ou devenir le facilitateur de sa réalisation s'il est convaincu. Le positionnement du père demeure donc essentiel dans la question de l'acceptabilité du VIH pédiatrique. Les mères en ont conscience et présagent des difficultés à faire dépister ou non les enfants sans avis préalable du conjoint à la fois père, et chef de famille. Conclusion: La question du dépistage pédiatrique du VIH, au terme de notre analyse, met en face trois éléments qui exigent une gestion globale pour assurer une couverture effective. Ces trois éléments n'existeraient pas sans s'influencer, donc ils sont constamment en interaction et empêchent ou favorisent la réalisation ou non du test pédiatrique. Aussi, dans une intention d'aboutir à une couverture effective du dépistage VIH des nourrissons, faut-il tenir compte d'une gestion harmonieuse de ces trois éléments: La première, la mère seule (avec ses connaissances, ses perceptions), son environnement conjugal (de proposition du test intégrant 1- l’époux et / ou père de l'enfant avec ses perceptions et connaissances sur l'infection 2- la facilité de parler du test et sa réalisation chez les deux ou un des parents, la mère) et les connaissances, attitudes et pratiques du personnel de l’établissement sanitaire sur l'infection du VIH. Recommandations: Nos recommandations proposent une redéfinition de l'approche du VIH/sida vers des familles exposées au VIH et une intégration plus accentuée du père facilitant leur propre acceptation du test VIH et celle de leur enfant. PMID:25088574

Déprescrire les inhibiteurs de la pompe à protons

PubMed Central

Farrell, Barbara; Pottie, Kevin; Thompson, Wade; Boghossian, Taline; Pizzola, Lisa; Rashid, Farah Joy; Rojas-Fernandez, Carlos; Walsh, Kate; Welch, Vivian; Moayyedi, Paul

2017-01-01

Résumé Objectif Formuler des lignes directrices fondées sur les données probantes pour aider les cliniciens à décider du moment et de la façon sécuritaire de réduire la dose des inhibiteurs de la pompe à protons (IPP) ou d’en arrêter le traitement; se concentrer sur le niveau le plus élevé des données disponibles et obtenir les commentaires des professionnels de première ligne durant le processus de rédaction, de révision et d’adoption des lignes directrices. Méthodologie L’équipe était formée de 5 professionnels de la santé (1 médecin de famille, 3 pharmaciens et 1 gastro-entérologue) et de 5 membres sans droit de vote; les membres ont divulgué tout conflit d’intérêts. Le processus d’élaboration des lignes directrices a eu recours à l’approche GRADE (Grading of Recommendations Assessment, Development and Evaluation), de même qu’à un examen minutieux des données probantes dans le cadre de rencontres en personne, au téléphone et en ligne. Particulièrement, le processus d’élaboration des lignes directrices a inclus une revue systématique d’essais portant sur la déprescription des IPP et un examen de comptes rendus sur les torts liés à l’emploi continu des IPP. Les synthèses narratives sur les préférences des patients ainsi que les publications traitant des répercussions sur les ressources ont éclairé les recommandations. L’équipe a peaufiné le texte sur le contenu et les recommandations des lignes directrices par consensus, et a synthétisé les considérations cliniques afin de répondre aux questions courantes des cliniciens de première ligne. Une version préliminaire des lignes directrices a été distribuée aux cliniciens, puis aux associations de professionnels de la santé aux fins d’examen, et des révisions ont été apportées au texte à chaque étape. Un algorithme d’appui décisionnel a été conçu de concert avec les lignes directrices. Recommandations Les présentes lignes directrices recommandent de déprescrire les IPP (réduire la dose, mettre fin au traitement ou passer à l’administration « sur demande ») chez les adultes qui ont terminé un traitement d’au moins 4 semaines avec un IPP contre le pyrosis, l’œsophagite ou le reflux gastro-œsophagien léger à modéré, et dont les symptômes sont disparus. Les recommandations ne s’appliquent pas aux patients atteints ou qui ont déjà été atteints de l’œsophage de Barrett, d’une œsophagite grave de stade C ou D, ou d’antécédents connus d’ulcères gastro-intestinaux hémorragiques. Conclusion Les présentes lignes directrices émettent des recommandations pratiques pour décider du moment et de la façon de réduire la dose des inhibiteurs de la pompe à protons (IPP) ou d’en arrêter le traitement. Elles visent à contribuer au processus de décision conjointement avec le patient et non à dicter la décision.

Primary Mitral Valve Regurgitation Outcome in Patients With Severe Aortic Stenosis 1 Year After Transcatheter Aortic Valve Implantation: Echocardiographic Evaluation.

PubMed

Florentino, Thiago Marinho; Bihan, David Le; Abizaid, Alexandre Antonio Cunha; Cedro, Alexandre Vianna; Corrêa, Amably Pessoa; Santos, Alexandre Roginski Mendes Dos; Souza, Alexandre Costa; Bignoto, Tiago Costa; Sousa, José Eduardo Moraes Rego; Sousa, Amanda Guerra de Moraes Rego

2017-07-10

Mitral valve regurgitation (MR), present in up to 74% of the patients with severe aortic stenosis (AS), can be a negative prognostic factor when moderate or severe. The outcome of MR after percutaneous transcatheter aortic valve implantation (TAVI) and predictors associated with that outcome have not been well established in the literature. To assess the outcome of primary MR in patients submitted to TAVI and to identify associated factors. Observational study of patients with symptomatic severe AS submitted to TAVI from January 2009 to April 2015 at two specialized centers. Echocardiographic outcome was assessed with data collected before and 1 year after TAVI. Of the 91 patients with MR submitted to TAVI and followed up for at least 12 months, 67 (73.6%) had minimum/mild MR before the procedure and 24 (26.4%) had moderate/severe MR. Of those with minimum/mild MR, 62 (92.5%) had no change in the MR grade (p < 0.001), while 5 (7.5%) showed worsening. Of those with moderate/severe MR, 8 (33.3%) maintained the same grade and 16 (66.7%) improved it (p = 0.076). Patients with moderate/severe MR who improved MR grade had lower EuroSCORE II (p = 0.023) and STS morbidity (p = 0.027) scores, as compared to those who maintained the MR grade. MR grades change after TAVI. This study suggests a trend towards improvement in moderate/severe MR after TAVI, which was associated with lower preoperative risk scores. A insuficiência valvar mitral (IM), presente em até 74% dos pacientes com estenose aórtica (EA) grave, pode representar um fator prognóstico negativo quando moderada ou importante. A evolução da IM após implante percutâneo de valva aórtica transcateter (TAVI) e preditores associados a essa evolução não estão bem estabelecidos na literatura. Avaliar a evolução da IM primária em pacientes submetidos ao TAVI e identificar fatores associados a essa evolução. Realizou-se um estudo observacional em pacientes com EA grave sintomática, submetidos ao TAVI no período de janeiro de 2009 a abril de 2015 em dois centros especializados. Foram avaliados desfechos ecocardiográficos com dados antes e 1 ano após a intervenção. Dos 91 pacientes com IM que realizaram TAVI e tinham acompanhamento de pelo menos 12 meses, 67 (73,6%) apresentavam IM mínima ou discreta antes da realização do procedimento e 24 (26,4%), IM moderada ou grave. Entre os com IM mínima ou discreta, 62 (92,5%) não apresentaram mudança no grau de refluxo (p < 0,001) e 5 (7,5%) tiveram piora. Entre os com IM moderada ou grave, 8 (33,3%) permaneceram na mesma classe e 16 (66,7%) tiveram melhora (p = 0,076). Pacientes com IM moderada ou grave que melhoraram o grau de insuficiência apresentavam menores valores de EuroSCORE II (p = 0,023) e STS morbidade (p = 0,027), quando comparados aos que continuaram na mesma classe. Observou-se mudança significativa no grau de IM após realização de TAVI. Este estudo sugere uma tendência de melhora da IM moderada ou grave após TAVI, o que se associou a escores de risco pré-operatórios menos elevados.

Milan Army Ammunition Plant focused feasibility study for the northern industrial area soil. Final report

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

Locandro, R.R.; Okusu, N.M.; Case, J.

1995-04-01

ICF Kaiser Engineers (ICF) and Environmental Resources Management (ERM) have been contracted by the US Army Environmental Center (USAEC) to perform a Focused Feasibility Study (FS) for contaminated soil within the northern industrial areas of Milan Army Ammunition Plant (MAAP), Tennessee. The purpose of the Focused FS is to develop and evaluate remedial alternatives such that an appropriate remedy can be selected for the site. The MAAP Remedial Investigation (RI) performed in 1989--1991 confirmed that the O-Line Ponds area, facility drainage ditches that received industrial wastewater, and manufacturing and disposal areas have been sources of groundwater contamination. One finding ofmore » the RI Report was that sufficient information was available concerning the O-Line Ponds area to proceed with a Focused FS. The O-Line Ponds area was further divided into two operable units (OUs): OU1 is the groundwater immediately downgradient of the O-Line Ponds area, and OU2 is the soil, surface water, and sediment at the O-Line Ponds area. A Proposed Plan and Record of Decision (ROD) for OU1 were finalized in 1992, which called for groundwater extraction, treatment, and reinjection of the treated water upgradient of the O-Line Ponds. The design of this system was completed in 1993, and construction of the system is currently underway. For OU2, the Proposed Plan and ROD (finalized in 1993) called for the extension of the existing multi-layered cap to cover the contaminated soil around the perimeter of the existing cap. The design of the cap extension was completed in 1994, and construction will begin in late 1994.« less

Influence of pH cycling on the microtensile bond strength of self-etching adhesives containing MDPB and fluoride to dentin and microhardness of enamel and dentin adjacent to restorations.

PubMed

Pedrosa, Vivianne Oliveira; Flório, Flávia Martão; Turssi, Cecília Pedroso; Amaral, Flávia Lucisano; Basting, Roberta Tarkany; França, Fabiana Mantovani

2012-12-01

To evaluate the influence of pH cycling on microtensile bond strength (µTBS) and fracture pattern of MDPB- and fluoride-containing self-etching adhesive systems to dentin, and on the cross-sectional Knoop microhardness (CSMH) of enamel and dentin adjacent to restorations. The two-step self-etching adhesive Clearfil SE Bond (SE; Kuraray), the two-step MDPBand fluoride-containing adhesive Clearfil Protect Bond (PB; Kuraray), and the one-step fluoride-containing adhesive One-Up Bond F Plus (OU; Tokuyama) were used to bond resin composite to midcoronal dentin surfaces (for µTBS testing) or to Class V cavities (for CSMH testing). µTBS and CSMH tests were performed after a 15-day period of pH cycling or storage in artificial saliva. µTBS to dentin was not affected by pH cycling or storage in artificial saliva; however, µTBS values found for PB were higher than those observed for OU. No difference existed among the µTBS values shown by PB, OU, and SE. The fracture pattern was affected by both pH cycling and adhesive system. In enamel, there was no difference in CSMH values provided by the different adhesive systems and storage media, regardless of the distance and depth from restoration. In dentin, PB and SE showed the highest CSMH values, which differed from those obtained for OU. Significantly higher CSMH values were found 100 µm from the restoration margin for all adhesive systems tested. The bond strength and microhardness in the vicinity of restorations were adhesive dependent, with MDPB and fluoride exerting no effect on the performance of the adhesive systems.

Provider-directed imaging stress testing reduces health care expenditures in lower-risk chest pain patients presenting to the emergency department.

PubMed

Miller, Chadwick D; Hoekstra, James W; Lefebvre, Cedric; Blumstein, Howard; Hamilton, Craig A; Harper, Erin N; Mahler, Simon; Diercks, Deborah B; Neiberg, Rebecca; Hundley, W Gregory

2012-01-01

Among intermediate- to high-risk patients with chest pain, we have shown that a cardiac magnetic resonance (CMR) stress test strategy implemented in an observation unit (OU) reduces 1-year health care costs compared with inpatient care. In this study, we compare 2 OU strategies to determine among lower-risk patients if a mandatory CMR stress test strategy was more effective than a physicians' ability to select a stress test modality. On emergency department arrival and referral to the OU for management of low- to intermediate-risk chest pain, 120 individuals were randomly assigned to receive (1) a CMR stress imaging test (n=60) or (2) a provider-selected stress test (n=60: stress echo [62%], CMR [32%], cardiac catheterization [3%], nuclear [2%], and coronary CT [2%]). No differences were detected in length of stay (median CMR=24.2 hours versus 23.8 hours, P=0.75), catheterization without revascularization (CMR=0% versus 3%), appropriateness of admission decisions (CMR 87% versus 93%, P=0.36), or 30-day acute coronary syndrome (both 3%). Median cost was higher among those randomly assigned to the CMR-mandated group ($2005 versus $1686, P<0.001). In patients with lower-risk chest pain receiving emergency department-directed OU care, the ability of a physician to select a cardiac stress imaging modality (including echocardiography, CMR, or radionuclide testing) was more cost-effective than a pathway that mandates a CMR stress test. Contrary to prior observations in individuals with intermediate- to high-risk chest pain, in those with lower-risk chest pain, these results highlight the importance of physician-related choices during acute coronary syndrome diagnostic protocols. URL: http://www.clinicaltrials.gov. Unique identifier: NCT00869245.

Use of Opioids in Latin America: The Need of an Evidence-Based Change.

PubMed

Rico, María Antonieta; Kraychete, Durval Campos; Iskandar, Aziza Jreige; Colimon, Frantz; Lara-Solares, Argelia; Cantisani, José Alberto Flores; Amescua-García, César; Núñez, María del Rocío Guillén; Bonilla, Patricia; Lech, Osvandré; Hernández-Castro, John Jairo; Guerrero, Carlos; Barrera, William Delgado; Gallegos, Manuel Sempértegui; Cook, María Berenguel; Garcia, João Batista Santos; Hernández, Concepción Pérez

2016-04-01

The subject of this publication has been focused on local considerations for facilitating regional best practice, including identifying and uniformly adopting the most relevant international guidelines on opioid use (OU) in chronic pain management. The Change Pain Latin America (CPLA) Advisory Panel conducted a comprehensive, robust, and critical analysis of published national and international reviews and guidelines of OU, considering those most appropriate for Latin America. A PubMed search was conducted using the terms "opioid," "chronic," and "pain" and then refined using the filters "practice guidelines" and "within the last 5 years" (2007-2012). Once the publications were identified, they were selected using five key criteria: "Evidence based," "Comprehensive," "From a well-recognized source," "Current publications," and "Based on best practice" and then critically analyzed considering 10 key criteria for determining the most relevant guidelines to be applied in Latin America. The initial PubMed search identified 177 reviews and guidelines, which was reduced to 16 articles using the five preliminary criteria. After a secondary analysis according to the 10 key criteria specific to OU in Latin America, 10 publications were selected for critical review and discussion. The CPLA advisory panel considered the "Safe and effective use of opioids for chronic non-cancer pain" (published in 2010 by the NOUGG of Canada) to be valid, relevant to Latin America, practical, evidence-based, concise, unambiguous, and sufficiently educational to provide clear instruction on OU and pain management and, thus, recommended for uniform adoption across the Latin America region. © 2015 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Remedial investigation/feasibility study of the Clinch River/Poplar Creek operable unit. Volume 1, main text

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

NONE

This document is the combined Remedial Investigation/Feasibility Study (RI/FS) Report for the Clinch River/Poplar Creek Operable Unit (CR/PC OU), an off-site OU associated with environmental restoration activities at the U.S. Department of Energy (DOE) Oak Ridge Reservation (ORR). As a result of past, present, and potential future releases of hazardous substances into the environment, the ORR was placed on the National Priorities List in December 1989 (54 FR 48184). Sites on this list must be investigated for possible remedial action, as required by the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA, 42 U.S.C. 9601, et seq.). This report documentsmore » the findings of the remedial investigation of this OU and the feasibility of potential remedial action alternatives. These studies are authorized by Sect. 117 of CERCLA and were conducted in accordance with the requirements of the National Contingency Plan (40 CFR Part 300). DOE, the U.S. Environmental Protection Agency (EPA), and the Tennessee Department of Environment and Conservation (TDEC) have entered into a Federal Facility Agreement (FFA), as authorized by Sect. 120 of CERCLA and Sects. 3008(h) and 6001 of the Resource Conservation and Recovery Act (RCRA) (42 U.S.C. 6901, et seq.). The purpose of this agreement is to ensure a coordinated and effective response for all environmental restoration activities occurring at the ORR. In addition to other responsibilities, the FFA parties mutually define the OU boundaries, set remediation priorities, establish remedial investigation priorities and strategies, and identify and select remedial actions. A copy of this FFA is available from the DOE Information Resource Center in Oak Ridge, Tennessee.« less

Dynamique d'étalement

NASA Astrophysics Data System (ADS)

de Gennes, Pierre-Gilles

On analyse la progression d'un coin fiuide sur uo solide (dans le cas ou Tangle de contact thermodynamique θa est nul : regie d'Antonov satisfaite) en tenant compte des interactions Van der Waals a longue portee. On trouve : (a) un angle de contact apparent θa relie a la vitesse d'avancee U par θ^{3}_{a} ˜ U η/γ (η = viscosity, γ tension superficielle du liquide) d'ou une loi rayon/temps d'etalement pour une goutte r(t) 1/10. (b) un film precurseur ζ d'epaisseur ζ(x, f) decroissant asymptotiquement comme x1 ou x est la distance a la ligne triple. L'epaisseur h* d u film au voisinage de la ligne triple est h* a/θa (ou a est une distance atomique). Ceci permet de comprendre le fait (reconnu) que le film precurseur est bien visible seulement si l'angle de contact thermodynamique est nul. We analyse the shape of the liquid-air interface for a droplet spreading on a solid, in a regime where the Antonov rule is satisfied, taking into account the long range Van der Waals interactions between liquid and solid. We find: (a) an apparent contact angle θa related to the velocity U of the triple line by θ^{3}_{a} ˜ U η/γ (η = viscosity, γ surface tension of the liquid). This leads to a law of spreading (radius r/time t) for a droplet r t1/10. (b) a precursor film of thickness ζ, decreasing asymptotically like x-1, where x is the distance from the triple line. The thickness h* of the film at this line is h* a/θa where a is an atomic length: this explains why the precursor films are observed only when the thermodynamic contact angle vanishes.

Public health assessment for George Air Force Base, Victorville, San Bernardino County, California, Region 9: CERCLIS Number CA2570024453. Final report

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

NONE

1998-12-01

George Air Force Base (AFB) is located in Victorville, California, in the Mojave Desert approximately 90 miles northeast of Los Angeles. Areas of concern at George AFB are divided into three operable units (OUs): Groundwater in the northeast portion of the base and adjacent off-site land is contaminated with volatile organic compounds, primarily TCE. A groundwater extraction and treatment system, designed to prevent migration of the contaminant plume towards the Mojave River, was completed in 1997. OU 1 also includes two other sites: SD-25, an industrial/storm drain, and WP-26, the former sewage treatment plant percolation ponds. Contaminated sediments and pipingmore » were removed from the storm drain at SD-25. A variety of leaks in this system resulted in an estimated of perhaps as much as a 750,000 to 800,000-gallon plume of jet propellant no. 4 (JP-4) encompassing an area of over 31 acres, as well as a dissolved-phase plume of benzene, toluene, ethylbenzene, and xylenes extending over an area of 121 acres. Because of OU2 plumes is almost completely covered by asphalt, and studies conducted thus far have not demonstrated significant migration of the plume, George AFB, state and federal regulators continue to evaluate the feasibility of natural attenuation as a possible cleanup strategy. This OU consists of the remaining Installation Restoration Program sites, includes old landfills, other dump and burial sites, munitions sites, fire training areas, and spill areas. In February 1997, George AFB completed a remedial investigation/feasibility study for OU 3.« less

Adverse Cardiovascular Effects with Acute Particulate Matter and Ozone Exposures: Interstrain Variation in Mice

PubMed Central

Hamade, Ali K.; Rabold, Richard; Tankersley, Clarke G.

2008-01-01

Objectives Increased ambient particulate matter (PM) levels are associated with cardiovascular morbidity and mortality, as shown by numerous epidemiology studies. Few studies have investigated the role of copollutants, such as ozone, in this association. Furthermore, the mechanisms by which PM affects cardiac function remain uncertain. We hypothesized that PM and O3 induce adverse cardiovascular effects in mice and that these effects are strain dependent. Study design After implanting radiotelemeters to measure heart rate (HR) and HR variability (HRV) parameters, we exposed C57Bl/6J (B6), C3H/HeJ (HeJ), and C3H/HeOuJ (OuJ) inbred mouse strains to three different daily exposures of filtered air (FA), carbon black particles (CB), or O3 and CB sequentially [O3CB; for CB, 536 ± 24 μg/m3; for O3, 584 ± 35 ppb (mean ± SE)]. Results We observed significant changes in HR and HRV in all strains due to O3CB exposure, but not due to sequential FA and CB exposure (FACB). The data suggest that primarily acute HR and HRV effects occur during O3CB exposure, especially in HeJ and OuJ mice. For example, HeJ and OuJ mice demonstrated dramatic increases in HRV parameters associated with marked brady-cardia during O3CB exposure. In contrast, depressed HR responses occurred in B6 mice without detectable changes in HRV parameters. Conclusions These findings demonstrate that important interstrain differences exist with respect to PM- and O3-induced cardiac effects. This interstrain variation suggests that genetic factors may modulate HR regulation in response to and recuperation from acute copollutant exposures. PMID:18709144

Séroprévalence de l’AgHBs chez la femme enceinte dans le centre du Maroc

PubMed Central

Sbiti, Mohammed; Khalki, Hanane; Benbella, Imane; louzi, Lhoussaine

2016-01-01

La transmission materno-fœtale du virus de l'hépatite B (VHB) est un problème qui préoccupe toujours les autorités sanitaires à travers le monde et suscite la mise en place de mesures préventives renforcées. Le statut réplicatif du virus chez la mère séropositive, évalué par la positivité de l'AgHbe et le taux de la charge virale, conditionne le risque de contamination qui est plus important en période péri-natale. Les mères porteuses chroniques du VHB constituent un véritable réservoir de la transmission verticale de cette infection. Nous avons étudié, à travers cette enquête sur 1120 femmes enceintes Marocaines, la séroprévalence de l'AgHBs qui était de 2,35%, dans le but d'alimenter les données nationales sur ce sujet. Parmi ces femmes séropositives pour l'AgHBs, 79,1% avaient un AgHBe négatif et ont bénéficié d'une recherche moléculaire qui s'est révélée positive dans 89,4% des cas. La vaccination de la femme en âge de procréer est l'un des piliers majeurs de la prévention de la transmission verticale du VHB, seulement 2,4% de nos patientes étaient vaccinées. Ceci relève l'intérêt du dépistage au cours de la grossesse, qui doit se focaliser sur la sensibilisation à la vaccination de femmes séronégatives, et le suivi par biologie moléculaire des mères séropositives dans le but d'instaurer un traitement prophylactique adéquat. PMID:27795784

Sex differences in visuospatial abilities persist during induced hypogonadism

PubMed Central

Guerrieri, Gioia M.; Wakim, Paul G.; Keenan, P.A.; Schenkel, Linda A; Berlin, Kate; Gibson, Carolyn J.; Rubinow, David R.; Schmidt, Peter J.

2016-01-01

Background Despite well-established sex differences in the performance on tests of several cognitive domains (e.g., visuospatial ability), few studies in humans have evaluated if these sex differences are evident both in the presence of circulating sex hormones and during sex steroid hormonal suppression. Sex differences identified in the relative absence of circulating levels of estradiol and testosterone suggest that differences in brain structure or function exist independent of current hormonal environment and are more likely a reflection of differing developmental exposures and/or genetic substrates. Objective To evaluate cognitive performance in healthy eugonadal men and women before and again during GnRH agonist-induced hypogonadism. Methods Men (n = 16) and women (n = 15) without medical or psychiatric illness were matched for IQ. Cognitive tests were performed at baseline (when eugonadal) and after 68 weeks of GnRH agonist-induced gonadal suppression. The test batteries included measures of verbal and spatial memory, spatial ability, verbal fluency, motor speed/dexterity, and attention/concentration. Data were analyzed using repeated-measures models. Results During both eugonadism and hypogonadism, men performed significantly better than women on several measures of visuospatial performance including mental rotation, line orientation, Money Road Map, Porteus maze, and complex figure drawing. Although some test performances showed an effect of hormone treatment, the majority of these differences reflected an improved performance during hypogonadism compared with baseline (and probably reflected practice effects). Conclusion The well-documented male advantage in visuospatial performance, which we observed during eugonadal conditions, was maintained in the context of short-term suppression of gonadal function in both men and women. These findings suggest that, in humans, sex differences in visuospatial performance are not merely dependent on differences in the current circulating sex steroid environment. Thus sex differences in visuospatial performance in adulthood could reflect early developmental effects of sex steroid exposure or other environmental exposures differing across the sexes as our data confirm that these differences are independent of circulating estradiol or testosterone levels in men and women. PMID:26719236

Sex differences in visuospatial abilities persist during induced hypogonadism.

PubMed

Guerrieri, Gioia M; Wakim, Paul G; Keenan, P A; Schenkel, Linda A; Berlin, Kate; Gibson, Carolyn J; Rubinow, David R; Schmidt, Peter J

2016-01-29

Despite well-established sex differences in the performance on tests of several cognitive domains (e.g., visuospatial ability), few studies in humans have evaluated if these sex differences are evident both in the presence of circulating sex hormones and during sex steroid hormonal suppression. Sex differences identified in the relative absence of circulating levels of estradiol and testosterone suggest that differences in brain structure or function exist independent of current hormonal environment and are more likely a reflection of differing developmental exposures and/or genetic substrates. To evaluate cognitive performance in healthy eugonadal men and women before and again during GnRH agonist-induced hypogonadism. Men (n=16) and women (n=15) without medical or psychiatric illness were matched for IQ. Cognitive tests were performed at baseline (when eugonadal) and after 6-8 weeks of GnRH agonist-induced gonadal suppression. The test batteries included measures of verbal and spatial memory, spatial ability, verbal fluency, motor speed/dexterity, and attention/concentration. Data were analyzed using repeated-measures models. During both eugonadism and hypogonadism, men performed significantly better than women on several measures of visuospatial performance including mental rotation, line orientation, Money Road Map, Porteus maze, and complex figure drawing. Although some test performances showed an effect of hormone treatment, the majority of these differences reflected an improved performance during hypogonadism compared with baseline (and probably reflected practice effects). The well-documented male advantage in visuospatial performance, which we observed during eugonadal conditions, was maintained in the context of short-term suppression of gonadal function in both men and women. These findings suggest that, in humans, sex differences in visuospatial performance are not merely dependent on differences in the current circulating sex steroid environment. Thus sex differences in visuospatial performance in adulthood could reflect early developmental effects of sex steroid exposure or other environmental exposures differing across the sexes as our data confirm that these differences are independent of circulating estradiol or testosterone levels in men and women. Published by Elsevier Ltd.

ShipMo3D Version 3.0 User Manual for Computing Ship Motions in the Time and Frequency Domains

DTIC Science & Technology

2012-01-01

permettent de modéliser un navire en manœuvre libre et en eau calme ou dans les vagues. SM3DBuildSeaway construit des modèles de voie maritime à trajet...manœuvrant libre - ment en eau calme ou dans une voie maritime modélisée. Plusieurs applications du logiciel ShipMo3D font des prévisions des mouvements de...can be produced. For a random seaway, the range of wave frequencies should be sufficient to encompass almost all energy within the wave spectrum. For

Pediatric Bilateral Blue Laser Pointer-Induced Maculopathy

PubMed Central

Raevis, Joseph; Shrier, Eric

2017-01-01

Background We report the first case of pediatric bilateral blue laser pointer maculopathy with complete resolution of visual symptoms. Case A 12-year-old boy presented with bilateral decreased visual acuity and central scotomata after blue laser pointer exposure. He was treated with a Medrol Dosepak and topical nonsteroidal anti-inflammatory drug (NSAID), with gradual visual acuity improved from 20/40 OU to 20/20 OU over 22 weeks, but with persistent evidence of outer retinal layer disruption from the external limiting membrane to the interdigitation zone. Conclusion Oral steroids and topical NSAIDs may be effective in improving visual outcomes in laser pointer maculopathy in the pediatric population. PMID:28611647

Final Environmental Assessment/Overseas Environmental Assessment Joint Strile Fighter System Development and Demonstration Developmental Test Program

DTIC Science & Technology

2007-01-01

tte r t es t a...ct iv iti es . Pr op os ed p er fo rm an ce te st s w ou ld c oi nc id e w ith F Q , f lu tte r, hi gh A ng le -o f- A tta ck ( A oA ), an...cl os el y in te gr at ed w ith th e FQ , f lu tte r, an d hi gh A oA te st s a nd w ou ld g en er al ly p ro ce ed in c on ce rt

Slug Test Characterization Results for Multi-Test/Depth Intervals Conducted During the Drilling of CERCLA Operable Unit OU ZP-1 Wells 299-W10-33 and 299-W11-48

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

Newcomer, Darrell R.

2007-09-30

Slug-test results obtained from single and multiple, stress-level slug tests conducted during drilling and borehole advancement provide detailed hydraulic conductivity information at two Hanford Site Operable Unit (OU) ZP-1 test well locations. The individual test/depth intervals were generally sited to provide hydraulic-property information within the upper ~10 m of the unconfined aquifer (i.e., Ringold Formation, Unit 5). These characterization results complement previous and ongoing drill-and-test characterization programs at surrounding 200-West and -East Area locations (see Figure S.1).

On some factors affecting the nonstoichiometry in U 3O 8

NASA Astrophysics Data System (ADS)

Fujino, Takeo; Tagawa, Hiroaki; Adachi, Takeo

1981-03-01

The nonstoichiometry of U 3O 8 was studied under various conditions. The {O}/{U} atom ratios obtained by the oxidation of uranium metal in air followed by cooling with moderate rates (method 1) are 2.67 ± 0.01 in the temperature range 700 900°C and 2.662 ± 0.005 at 1000°C and are generally larger than the ratio by thermogravimetry. If the oxidation was carried out in a crucible with a lid, a compositional peak was observed at 900 950°C, which did not appear for the U 3O 8 samples from UO 2. The U 3O 8 made from UO 2 by method 1 have {O}/{U} ratios 2.655 ± 0.005 (700° C), 2.653 ± 0.004 (800° C), 2.648 ± 0.004 (900° C) and 2.645 ± 0.003 (1000° C). Differences were observed in the O/U ratios of heating and cooling series. X-ray diffraction analysis showed several additional peaks other than those of α-U 3O 8 for the samples which exhibited the compositional peak.

Transient hyperphosphatemia: a benign laboratory disorder in a boy with Gitelman syndrome.

PubMed

Skalova, Sylva; Kutilek, Stepan

2016-01-01

Transient hyperphosphatasemia of infancy and early childhood (THI) is characterized by transiently increased activity of serum alkaline phosphatase (S-ALP), predominantly its bone or liver isoform, in children under five years of age. There are no signs of metabolic bone disease or hepatopathy corresponding with the increased S-ALP. THI is benign disorder, rather laboratory than clinical disorder, which is usually accidentally detected in both healthy and sick children. When encountered in a child with either chronic bone, liver or kidney disease, it might concern the physician. We present a three year old boy with genetically confirmed Gitelman syndrome where THI was detected accidentally during periodic check-up. S-ALP peaked to 41.8 µkat/L, there were neither laboratory or clinical signs of liver or bone disease; the S-ALP dropped to normal value of 4 µkat/L 60 days later. Therefore, the patient fulfilled the criteria for THI. There were no further increases in S-ALP. Resumo A hiperfosfatasemia transitória benigna da infância (HTBI) é caracterizada por elevação transitória da atividade da fosfatase alcalina sérica (S-ALP), predominantemente em sua isoforma óssea ou hepática, em crianças com menos de cinco anos de idade. Não há sinais de patologia óssea metabólica ou hepatopatia correspondentes ao aumento da S-ALP. A HTBI é um distúrbio benigno, mais laboratorial que clínico, normalmente detectado acidentalmente em crianças saudáveis e acometidas por alguma patologia. Quando encontrada em crianças com doença crônica óssea, hepática ou renal, maiores preocupações são justificadas. O presente relato descreve o caso de um menino de três anos de idade com síndrome de Gitelman geneticamente confirmada, em que a HTBI foi detectada acidentalmente durante um exame periódico. A S-ALP atingiu o pico de 41,8 µkat/L, sem sinais laboratoriais ou clínicos de doença hepática ou óssea. O valor de S-ALP caiu para o nível normal de 4 µkat/L 60 dias mais tarde. Portanto, o paciente satisfazia os critérios para HTBI. Não houve outros aumentos na S-ALP.

MODELING TRANSPORT IN THE DOWN GRADIENT PORTION OF THE 200-PO-1 OPERABLE UNIT AT THE HANFORD SITE

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

MEHTA S; ALY AH; MILLER CW

2009-12-03

Remedial Investigations are underway for the 200-PO-l Operable Unit (OU) at the U.S. Department of Energy's Hanford Site in Washington State. To support the baseline risk assessment and evaluation of remedial alternatives, fate and transport modeling is being conducted to predict the future concentration of contaminants of potential concern in the 200-PO-1 OU. This study focuses on modeling the 'down gradient' transport of those contaminants that migrate beyond the 3-D model domain selected for performing detailed 'source area' modeling within the 200-PO-1 OU. The down gradient portion is defined as that region of the 200-PO-1 OU that is generally outsidemore » the 200 Area (considered 'source area') of the Hanford Site. A 1-D transport model is developed for performing down gradient contaminant fate and transport modeling. The 1-D transport model is deemed adequate based on the inferred transport pathway of tritium in the past and the observation that most of the contaminant mass remains at or near the water table within the unconfined aquifer of the Hanford Formation and the Cold-Creek/Pre-Missoula Gravel unit. The Pipe Pathway feature of the GoldSim software is used to perform the calculations. The Pipe Pathway uses a Laplace transform approach to provide analytical solutions to a broad range of advection-dominated mass transport systems involving one-dimensional advection, longitudinal dispersion, retardation, decay and ingrowth, and exchanges with immobile storage zones. Based on the historical concentration distribution data for the extensive tritium plume in this area, three Pipe Pathways are deemed adequate for modeling transport of contaminants. Each of these three Pipe Pathways is discretized into several zones, based on the saturated thickness variation in the unconfined aquifer and the location of monitoring wells used for risk assessment calculation. The mass fluxes of contaminants predicted to exit the source area model domain are used as an input to the down gradient model, while the flow velocities applied are based on the present-day hydraulic gradients and estimation of hydraulic conductivity in the unconfined aquifer. The results of the calculation indicate that the future concentrations of contaminants of potential concern in the down gradient portion of the 200-PO-1 OU declines with time and distance.« less

Water quality assessment of a highly polluted Mediterranean River - Oued Fez (Morocco)

NASA Astrophysics Data System (ADS)

Perrin, J.-L.; Bellarbi, M.; Raïs, N.; Chahinian, N.; Moulin, P.; Ijjaali, M.

2012-04-01

In the South of the Mediterranean basin, many rivers are characterized by an alternation of very long dry periods only cut by short flood events. Currently, the socio-economical development of these zones is limited by water scarcity and poor quality of the water resources. Indeed human activities, generally concentrated in overpopulated cities, generate large quantity of domestic and industrial effluents which are directly rejected in the environment without any treatment. In Morocco, the well known city of Fez illustrates perfectly this situation, observed in most developing countries. The oued Fez receives continuously the non-treated domestic and industrial effluents (90.000 m3/day) of the city and pollutes all the downstream water bodies. Indeed, it is a tributary of the Sebou River, a major body of great economical importance used for irrigation and freshwater supply. This study aims at characterising and quantifying the pollutant concentrations and fluxes in various points of oued Fez's hydrological network and assessing its impact on the Sebou River; this river's preservation being considered a national priority in Morocco. A coupled water quality-water quantity monitoring scheme has been implemented on oued Fez since 2008. In addition to basic hydrological data, water quality samples are collected at regular intervals at 8 locations where discharge is simultaneously measured using an Acoustic Doppler Current Profiler (ADCP). Water samples are analysed for different forms of nitrogen (nitrates, nitrites, ammonium and total nitrogen), phosphorus (soluble reactive phosphorus and total phosphorus) but also total chromium which is used in the leather tanning processes, one of the most important industrial production of the city of Fez, using a photospectrometer (Hach Lange DR 2800 VIS-photometer (Germany). The results of 17 sampling campaigns, carried out over 3 hydrological years, indicate that the rural areas contribute mostly to baseflow during the wet period while non-treated anthropogenic inputs constitute most of the flow during the dry period. The pollution levels are very high as the mean values reach 39 mg/l N, 5 mg/l P, 0.2mg/l Cr, for total nitrogen, total phosphorus and total chromium respectively at the most polluted sites. Even if the hydrological conditions induce important concentration variations, the pollution levels remain high all along the year. The nitrogen, phosphorus and chromium fluxes calculated for steady state conditions, show that more than 500 kg/hour of nitrogen, 60 kg/hour of phosphorus and 2.5 kg/hour of chromium are flushed by the oued Sebou downstream of its confluence with the oued Fez. These fluxes are due to human activities and do not vary significantly with the hydrological conditions. This study shows that a relatively limited observation network allows the characterization of the temporal and spatial variability of the pollution levels if the monitoring points are selected by taking into account the main pollution sources and the specificity of the hydrological conditions.

Approche en soins primaires pour les problèmes de consommation de cannabis

PubMed Central

Turner, Suzanne D.; Spithoff, Sheryl; Kahan, Meldon

2014-01-01

Résumé Objectif Étudier les caractéristiques et complications cliniques de la consommation à risque de cannabis et du trouble de consommation de cannabis, et présenter un protocole en cabinet pour le dépistage, l’identification et la prise en charge de ces problèmes. Sources des données Une recherche des essais contrôlés, des études d’observation et des révisions sur l’usage de cannabis par les adolescents et les jeunes adultes; les méfaits psychiatriques et médicaux liés au cannabis; le trouble de consommation de cannabis et son traitement; et les lignes directrices sur la consommation à faible risque de cannabis a été effectuée dans PubMed. Message principal Les médecins doivent questionner tous leurs patients quant à leur usage de cannabis. Ils doivent questionner plus souvent les adolescents et jeunes adultes de même que les personnes qui présentent un risque élevé de problèmes liés au cannabis (qui ont un trouble psychiatrique ou de consommation de drogue concomitant). Les problèmes pouvant être causés par le cannabis, comme les troubles de l’humeur, la psychose et les symptômes respiratoires, devraient susciter des questions sur la consommation de cannabis. Aux patients qui rapportent un usage de cannabis, les médecins devraient poser des questions sur la fréquence et la quantité consommée, la présence de symptômes de tolérance ou de sevrage, les tentatives de réduire leur consommation et la présence de problèmes liés au cannabis. Les usagers à faible risque fument, inhalent ou ingèrent le cannabis occasionnellement sans aucun signe de dysfonctionnement scolaire, professionnel ou social; les personnes dont l’usage est problématique consomment tous les jours ou presque tous les jours, ont de la difficulté à réduire leur consommation et leur fonctionnement scolaire, professionnel et social est perturbé. Les médecins devraient offrir à tous les patients dont l’usage est problématique des conseils et un bref counseling, en insistant sur les effets du cannabis sur la santé et en visant l’abstinence (certains groupes à risque élevé devraient s’abstenir complètement de consommer du cannabis) ou la réduction de la consommation, et ils doivent fournir des stratégies pratiques de réduction de la consommation. Les techniques d’entrevue motivationnelle doivent faire partie des séances de counseling. Les médecins devraient aiguiller les patients qui sont incapables de réduire leur consommation ou qui présentent des problèmes liés à leur usage de cannabis vers des soins spécialisés, tout en veillant à ce qu’ils demeurent en contact avec leur généraliste. De plus, les médecins devraient donner à tous les usagers de cannabis de l’information sur la consommation à faible risque. Conclusion Les médecins devraient effectuer au moins une fois chez tous leurs patients de leur pratique un test de dépistage de l’usage de cannabis, particulièrement chez les patients qui présentent des problèmes pouvant être causés par le cannabis. Les tests de dépistage doivent être plus fréquents chez les personnes à risque, soit au moins tous les ans. Il faut savoir distinguer la consommation à faible risque de l’usage problématique. Les patients dont l’usage est problématique doivent recevoir de brèves séances de counseling et ces patients doivent être aiguillés vers un spécialiste s’ils sont incapables de réduire leur consommation ou d’y mettre un terme.

Expanding nursing education through e-learning: A case study in Malaysia.

PubMed

Syed-Mohamad, Sharifah-Mastura; Pardi, Kasmah-Wati; Zainal, Nor-Azmi; Ismail, Zalina

2006-01-01

The School of Health Sciences, Universiti Sains Malaysia (SHS) is planning to expand its contribution to produce more graduate nurses by offering a nursing degree through e-learning. After three years of using e-learning by four lecturers in seven nursing courses, we conducted a study to get the lecturers feedback and to compare the students' preference and their actual experiences in e-learning. Lecturers' feedback were collected based on six open-ended questions. Feedback from all the 36 final year nursing students were collected using Constructivist On-line Learning Environment Survey (COLLES)--the Student Experience/Preferred Form. Results show that lecturers and students have positive perception on e-learning. They perceive e-learning as a powerful and effective tool for expanding nursing education to meet the demand for a labour force that is knowledgeable, highly skilled and equipped with positive values. We believe blended learning is the most suitable approach to implement e-learning and social constructivism theory provides the dynamic view of learning. To increase success in e-learning implementation for the nursing programme, lecturers should be educated regarding proper instructional design so that their content delivery blends well with the technology and pedagogy.

An eight-year review of blood culture and susceptibility among sepsis cases in an emergency department in Northeastern Malaysia.

PubMed

Hashairi, F; Hasan, H; Azlan, K; Deris, Z Z

2011-12-01

An understanding of common pathogens and their antibiotic sensitivity patterns is critical for proper management of sepsis in Emergency Department (ED). The goal of the study was to identify common organisms isolated from blood cultures of patients attended to ED and their antimicrobial susceptibility. Beginning from 2002, all cases of positive blood culture collected by the ED, Hospital Universiti Sains Malaysia (HUSM) were recorded and analysed. Over the period of eight years, we documented 995 cases of positive blood cultures. Of these samples, 549 (55.2%) were Gram-negative bacteria; 419 (42.1%) were Gram-positive bacteria; 10 (1.0%) were anaerobic organisms; 10 (1.0%) were fungus; and 7 (0.7%) cases were mixed organisms. Gram-negative bacteria were observed to develop more resistance to antimicrobial agents, especially those commonly used in an outpatient setting with less than 80% sensitivity to ampicillin, cotrimoxazole and ciprofloxacin. By contrast, there has been no marked change in the sensitivity trends of Gram-positive bacteria over the same period. In conclusion, ED physicians are more equipped to initiate empirical antimicrobial therapy especially when dealing with possibility of Gram-negative sepsis.

Students’ Perceptions of ‘Technology-Based’ Lecture Handouts

PubMed Central

Islam, Mohammed Nazrul; Majumder, Md. Anwarul Azim; Ja’afar, Rogayah; Rahman, Sayeeda

2005-01-01

Lecture handouts are widely used instructional tools. Handouts supplement rather than substitute students’ regular reading. It is now a common practice to supply PowerPoint handouts and publish lecture handouts on the web for students’ access. A study was conducted among the first year medical students (n=142) of School of Medical Sciences (SMS), Universiti Sains Malaysia (USM) in order to determine their perceptions and expectations with regards to lecture handouts provided to them. The majority of the students reported that they read the lecture handouts as a reference and found them useful as a guide for future learning. More than half (68%) of the students expressed dissatisfaction with the overall presentation format of the handouts which is mainly technology-related i.e. PowerPoint and photocopying. This study indicated that students’ expectations and experiences were positive towards the use of handouts. They used handouts as a means of supplementing rather than substituting their learning. Much care is needed when educators supply computer-based handouts, as this study shows a number of limitations when students use them. Medical schools should consider publishing web-based handouts with online and other facilities to make it interesting and effective. PMID:22605944

Correlation between odour concentration and odour intensity from exposure to environmental odour

NASA Astrophysics Data System (ADS)

Yusoff, Syafinah; Qamaruz Zaman, Nastaein

2017-08-01

The encroachment of industries, agricultural activities and husbandries to the community area had been a major concern of late, especially in regards to the escalating reports of odour nuisances. A study was performed with the objective of establishing correlation between odour concentration and odour intensity, as an improved method to determine odour nuisances in the community. Universiti Sains Malaysia Engineering Campus was chosen as the study location, due to its vicinity to several odour sources including paper mill, palm oil mill and poultry farm. The odour survey was based on VDI 3940, to determine the level of odour intensity with the corresponding odour concentration measured using an infield olfactometer. The correlation between both methods shows a significant correlation by using Pearson Correlation with a level of confidence of 99.9 percent. The graph plotted between intensity and concentration shows the R2 value of 0.40 which indicated a good correlation between both methods, despite having a high variance and low in consistency. Therefore, this study concludes that the determination of odour concentration should be complemented with odour intensity in order to recognize the true impact of odour nuisance in a community.

Centre for Education, Training, & Research in Renewable Energy and Energy Efficiency (CETREE) of Malaysia: Educating the Nation

NASA Astrophysics Data System (ADS)

Ibrahim, Kamarulazizi; Hilme, Khairur Rahim Ahmad

2007-10-01

Centre for Education, Training, and Research in Renewable Energy and Energy Efficiency (CETREE), was established in the year 2000, in Universiti Sains Malaysia (USM). CETREE is a not-for-profit organization that was part of the Malaysian Government's continuous effort in promoting sustainable development. The centre's main task is to tackle issues and problems that are slowing the potential growth of RE & EE utilizations in Malaysia. CETREE and the Government of Malaysia, with funding and supports from Danish International Development Assistance (DANIDA) and USM, has been working together closely in applying trans-disciplinary educational methods and approaches for the teaching of RE & EE that are compatible with Malaysian. Through association with various entities such as Energy Centre of Malaysia (PTM), Energy Commission of Malaysia (ST), Malaysia Electricity Supply Industry Trust Account (MESITA); CETREE was able to successfully promote sustainable development through education and training. Significant accomplishments made by CETREE include introducing RE and EE as part of Malaysian secondary schools and universities education; conducting energy related courses for professionals; and generating awareness via campaign in the mass media and CETREE's mobile-exhibition-unit road-tour.

Un exemple de volcanisme calco-alcalin de type orogénique mis en place en contexte de rifting (Cambrien de l'oued Rhebar, Meseta occidentale, Maroc)

NASA Astrophysics Data System (ADS)

El Hadi, Hassan; Tahiri, Abdelfatah; Simancas Cabrera, Fernando; González Lodeiro, Francisco; Azor Pérez, Antonio; Jesús Martínez Poyatos, David

2006-03-01

The Middle Cambrian calc-alkaline Oued Rhebar volcanic complex (western Meseta, Morocco) compares with rocks originated in orogenic contexts. The La/Nb ratios are relatively high (5.2), suggesting a lithospheric mantle origin. The La/Ta ratios, higher than 26, and the negative Nb anomaly indicate a lithospheric source contaminated by the continental crust. These rocks were generated in the Mesetian Mid-Cambrian rift and would have inherited their orogenic signature from the partial melting of a previously metasomatized mantle. To cite this article: H. El Hadi et al., C. R. Geoscience 338 (2006).

Generic Methodology for Verification and Validation (GM-VV) to Support Acceptance of Models, Simulations and Data (Methodologie generale de verification et de validation (GM-VV) visant a soutenir l acceptation des modeles, simulations et donnees)

DTIC Science & Technology

2015-01-01

RTO ou AGARD doivent comporter la dénomination « STO », « RTO » ou « AGARD » selon le cas, suivi du numéro de série. Des informations analogues...rapports de la STO au fur et à mesure de leur publication, vous pouvez consulter notre site Web (http://www.sto.nato.int/) et vous abonner à ce service...le cas, suivie du numéro de série (par exemple AGARD-AG-315). Des informations analogues, telles que le titre et la date de publication sont

[Post-lasik corneal ectasia in patients with significant differences in keratometry readings between both eyes].

PubMed

Ortega-Usobiaga, J; Llovet-Osuna, F; Djodeyre, M R; Llovet-Rausell, A; Beltran-Sanz, J; Baviera-Sabater, J

2014-03-01

A study is made on the incidence of corneal ectasia after laser in situ keratomileusis (LASIK) in patients with large differences in mean keratometry (MK) readings between both eyes (OU). Visual outcomes were also evaluated. The medical records of 164,603 patients (315,259 eyes) who underwent LASIK from January 2003 to December 2011 were reviewed in order to identify patients with a difference in MK of ≥ 1.25 D between OU. The main outcome measures were incidence of ectasia after LASIK, and visual outcome. A total of 35 eyes that met the inclusion criteria were found. Functional and visual results were those expected for myopia studies. After a minimum follow-up of 2 years, no corneal ectasia was found in 3 eyes (2 patients). The possibility of finding a patient with an asymmetry in MK and normal topography is low (0.021%), and it does not seem to be a contraindication of LASIK. Although no corneal ectasia was found in this case series, and as it is a potentially sight-threatening complication, patients with very different MK between OU should be studied carefully before undergoing LASIK. Copyright © 2013 Sociedad Española de Oftalmología. Published by Elsevier Espana. All rights reserved.

QUELS FUTURS TRAITEMENTS POUR LA DEPENDANCE AU TABAC ET AU CANNABIS?

PubMed Central

LE FOLL, Bernard; JUSTINOVA, Zuzana; TANDA, Gianlugi; GOLDBERG, Steven R.

2009-01-01

RESUME Plus de trois millions de morts sont attribués au tabagisme dans le monde par an, et l’usage de tabac est en progression dans les pays en voie de développement. L’usage de tabac est donc une des rares causes de mortalité qui augmente, avec une prévision de plus de 10 millions de morts par an dans 30–40 ans. Le cannabis ou marijuana est la drogue illicite la plus consommée dans le monde et il n’y a actuellement pas de traitement disponible. Bien que les systèmes dopaminergiques jouent un rôle central dans les effets renforçants des drogues, d’autres systèmes sont impliqués. Nous présentons ici des résultats récents obtenus avec des antagonistes des récepteurs cannabinoides CB1, des récepteurs D3 de la dopamine et des récepteurs opioïdes. Ces antagonistes qui modulent de façon directe ou indirecte la transmission dopaminergique cérébrale représentent des approches prometteuses pour le traitement du tabagisme ou de la dépendance au cannabis. Ces approches sont à valider dans des essais cliniques. PMID:18663981

Contribution of Classic and Alternative Effector Pathways in Peanut-Induced Anaphylactic Responses

PubMed Central

Smit, Joost J.; Willemsen, Karina; Hassing, Ine; Fiechter, Danielle; Storm, Gert; van Bloois, Louis; Leusen, Jeanette H. W.; Pennings, Maarten; Zaiss, Dietmar; Pieters, Raymond H. H.

2011-01-01

Food allergy affects approximately 5% of children and is the leading cause of hospitalization for anaphylactic reactions in westernized countries. However, the pathways of anaphylaxis in food allergy are still relatively unknown. We investigated the effector pathways of allergic and anaphylactic responses of different strains of mice in a clinical relevant model of peanut allergy. C3H/HeOuJ, C57BL/6 and BALB/c mice were sensitized by intragastric peanut extract and challenged by intragastric or intraperitoneal injection of peanut. Peanut-specific T cell responses, IgE, IgG1 and IgG2a and mucosal mast cell degranulation were induced to different extent in C3H/HeOuJ, C57BL/6 and BALB/c mice. Interestingly, anaphylactic symptoms after systemic challenge were highest in C3H/HeOuJ followed by C57BL/6 but were absent in BALB/c mice. Mechanistic studies showed that the food allergic systemic anaphylaxis was dependent on platelets, FcRγ and mast cells, and partially dependent on platelet activating factor and monocytes/macrophages, depending on mouse strain. These data demonstrate that in three mouse strains, components of the classic and alternative anaphylactic cascade are differently expressed, leading to differential outcomes in parameters of allergic disease and food induced systemic anaphylaxis. PMID:22194949

Reduced cerebral ischemia-reperfusion injury in Toll-like receptor 4 deficient mice

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

Cao Canxiang; Yang Qingwu; Lv Fenglin

Inflammatory reaction plays an important role in cerebral ischemia-reperfusion injury, however, its mechanism is still unclear. Our study aims to explore the function of Toll-like receptor 4 (TLR4) in the process of cerebral ischemia-reperfusion. We made middle cerebral artery ischemia-reperfusion model in mice with line embolism method. Compared with C3H/OuJ mice, scores of cerebral water content, cerebral infarct size and neurologic impairment in C3H/Hej mice were obviously lower after 6 h ischemia and 24 h reperfusion. Light microscopic and electron microscopic results showed that cerebral ischemia-reperfusion injury in C3H/Hej mice was less serious than that in C3H/OuJ mice. TNF-{alpha} andmore » IL-6 contents in C3H/HeJ mice were obviously lower than that in C3H/OuJ mice with ELISA. The results showed that TLR4 participates in the process of cerebral ischemia-reperfusion injury probably through decrease of inflammatory cytokines. TLR4 may become a new target for prevention of cerebral ischemia-reperfusion injury. Our study suggests that TLR4 is one of the mechanisms of cerebral ischemia-reperfusion injury besides its important role in innate immunity.« less

Ustekinumab for Behçet's disease.

PubMed

Mirouse, Adrien; Barete, Stéphane; Monfort, Jean-Benoît; Resche-Rigon, Matthieu; Bouyer, Anne-Sophie; Comarmond, Cloé; Sène, Damien; Domont, Fanny; Ferfar, Yasmina; Cacoub, Patrice; Saadoun, David

2017-08-01

To evaluate the efficacy and safety of ustekinumab in the treatment of oral ulcers (OU) in patients with Behçet's disease (BD). Prospective study including 14 patients [median age of 39 (34; 41) years, with 71% of men] fulfilling criteria of the International Study Group for BD and with active OU resistant to colchicine. Patients received ustekinumab 90 mg (n = 11) or 45 mg (n = 3) subcutaneously at inclusion, at week 4, and every 12 weeks. The primary efficacy endpoint was the proportion of patients with complete response (CR), defined as no oral ulcer, at week 12. At week 12, 64% were in CR, 21% in partial response and 14% non-responders. The median number of OU decreased from 2 [2; 4] to 1 [0; 1.25] (p = 0.0005) at week 12. Mean change from baseline to week 12 of Behçet's syndrome activity score (BSAS) was 22.8 ± 0.3 (p = 0.01). The median daily corticosteroids dose decreased from 12.5 (10; 16.3) to 5 [5; 10] mg/day (p = 0.02). Three patients reported headaches, leading to discontinuation of ustekinumab in one case. After a median follow-up of 7 [3; 12] months, 10 (71%) patients were still receiving ustekinumab and four (28%) experienced a relapse. Decreased levels of circulating IL-17 and IL-12 [median [IQR]; 3.9 [1.6; 10.6] vs. 29.2 [25.2; 42.7] pg/ml, and 29.4 [23.1; 33.3] vs. 56.1 [51.1; 64.4] pg/ml, p = 0.008 for both] were observed under ustekinumab, respectively. Ustekinumab seems to be efficient and safe for patient with BD and refractory OU although relapses are frequent. Copyright © 2017 Elsevier Ltd. All rights reserved.

Untrained young men have dysfunctional HDL compared with strength-trained men irrespective of body weight status

PubMed Central

Katiraie, Michael; Croymans, Daniel M.; Yang, Otto O.; Kelesidis, Theodoros

2013-01-01

We examined the impact of strength fitness and body weight on the redox properties of high-density lipoprotein (HDL) and associations with indices of vascular and metabolic health. Ninety young men were categorized into three groups: 1) overweight untrained (OU; n = 30; BMI 30.7 ± 2.1 kg/m2); 2) overweight trained [OT; n = 30; BMI 29.0 ± 1.9; ≥4 d/wk resistance training (RT)]; and 3) lean trained (LT; n = 30; BMI 23.7 ± 1.4; ≥4 d/wk RT). Using a novel assay on the basis of the HDL-mediated rate of oxidation of dihydrorhodamine (DOR), we determined the functional (redox) properties of HDL and examined correlations between DOR and indices of vascular and metabolic health in the cohort. DOR was significantly lower in both trained groups compared with the untrained group (LT, 1.04 ± 0.49; OT, 1.39 ± 0.57; OU, 1.80 ± 0.74; LT vs. OU P < 0.00001; OT vs. OU P = 0.02), however, DOR in the OT group was not significantly different from that of the LT group. DOR was negatively associated with HDL-cholesterol (R = −0.64), relative strength (R = −0.42), sex hormone-binding globulin (R = −0.42), and testosterone (R = −0.35) (all P ≤ 0.001); whereas DOR was positively associated with triglycerides (R = 0.39, P = 0.002), oxidized low-density lipoprotein (R = 0.32), body mass index (R = 0.43), total mass (R = 0.35), total fat mass (R = 0.42), waist circumference (R = 0.45), and trunk fat mass (R = 0.42) (all P ≤ 0.001). Chronic RT is associated with improved HDL redox activity. This may contribute to the beneficial effects of RT on reducing cardiovascular disease risk, irrespective of body weight status. PMID:23887902

Odor, gaseous and PM10 emissions from small scale combustion of wood types indigenous to Central Europe

NASA Astrophysics Data System (ADS)

Kistler, Magdalena; Schmidl, Christoph; Padouvas, Emmanuel; Giebl, Heinrich; Lohninger, Johann; Ellinger, Reinhard; Bauer, Heidi; Puxbaum, Hans

2012-05-01

In this study, we investigated the emissions, including odor, from log wood stoves, burning wood types indigenous to mid-European countries such as Austria, Czech Republic, Hungary, Slovak Republic, Slovenia, Switzerland, as well as Baden-Württemberg and Bavaria (Germany) and South Tyrol (Italy). The investigations were performed with a modern, certified, 8 kW, manually fired log wood stove, and the results were compared to emissions from a modern 9 kW pellet stove. The examined wood types were deciduous species: black locust, black poplar, European hornbeam, European beech, pedunculate oak (also known as “common oak”), sessile oak, turkey oak and conifers: Austrian black pine, European larch, Norway spruce, Scots pine, silver fir, as well as hardwood briquettes. In addition, “garden biomass” such as pine cones, pine needles and dry leaves were burnt in the log wood stove. The pellet stove was fired with softwood pellets. The composite average emission rates for log wood and briquettes were 2030 mg MJ-1 for CO; 89 mg MJ-1 for NOx, 311 mg MJ-1 for CxHy, 67 mg MJ-1 for particulate matter PM10 and average odor concentration was at 2430 OU m-3. CO, CxHy and PM10 emissions from pellets combustion were lower by factors of 10, 13 and 3, while considering NOx - comparable to the log wood emissions. Odor from pellets combustion was not detectable. CxHy and PM10 emissions from garden biomass (needles and leaves) burning were 10 times higher than for log wood, while CO and NOx rise only slightly. Odor levels ranged from not detectable (pellets) to around 19,000 OU m-3 (dry leaves). The odor concentration correlated with CO, CxHy and PM10. For log wood combustion average odor ranged from 536 OU m-3 for hornbeam to 5217 OU m-3 for fir, indicating a considerable influence of the wood type on odor concentration.

In vitro antibacterial activity of adhesive systems on Streptococcus mutans.

PubMed

Paradella, Thaís Cachuté; Koga-Ito, Cristiane Yumi; Jorge, Antonio Olavo Cardoso

2009-04-01

To evaluate the antibacterial activity of three adhesive systems -- Prime & Bond 2.1 (PB), Clearfil SE Bond (CS) and One Up Bond F (OU) -- on Streptococcus mutans in vitro. Adherence and agar disk-diffusion tests were performed. For the adherence testing, 40 human enamel specimens (4 mm2) were sterilized and the adhesive sytems were applied (n = 10). The control group did not receive the application of any adhesive system. Specimens were immersed in brain heart infusion broth (BHI) inoculated with S. mutans standardized suspension (10(6) cells/ml) for 48 h at 37 degrees C and 5% CO2. The number of S. mutans cells adhered to each specimen was evaluated by the plating method on BHI agar. For agar disk-diffusion testing, adhesive disks and disks soaked in distilled water (negative control) or 0.2% chlorexidine (positive control) were incubated with S. mutans for 48 h. The diameters of the zones of bacterial inhibition were measured. Adherence data were transformed in logarithms of base 10 (log10). Data were submitted to Kruskal-Wallis and Student-Neuman-Keuls tests at the 5% level of significance. The results of the adherence test showed that One Up Bond F (OU) and Clearfil SE Bond (CS) did not differ significantly from one another, but allowed significantly less adherence than Prime & Bond 2.1 (PB) and control [mean log10 (standard deviation) values: PB 6.10 (0.19); CS primer 4.55 (0.98); OU 4.65 (0.54); control group 6.34 (0.27)]. The disk-diffusion test showed no significant difference between OU (diameter in mm: 3.02 +/- 0.13) and CS (3.0 +/- 0.12), but both were significantly more effective in inhibiting bacterial growth than PB (1.0 +/- 0.10). The self-etching systems Clearfil SE Bond and One Up Bond F presented a greater inhibitory effect against S. mutans, also in terms of adherence, than did the conventional system, Prime & Bond 2.1.

Traitement de la neuromyélite optique de Devic durant de la grossesse

PubMed Central

Daouda, Moussa Toudou; Obenda, Norlin Samuel; Assadeck, Hamid; Camara, Diankanagbe; Djibo, Fatimata Hassane

2016-01-01

La neuromyélite optique de Devic est une pathologie inflammatoire démyélinisante du système nerveux central qui affecte électivement la moelle spinale, le nerf optique et les régions cérébrales à haute expression d’antigènes aquaporine 4. Il s’agit d’une pathologie auto-immune sévère due à des auto-anticorps dirigés contre l’aquaporine 4, à taux de morbidité et de mortalité élevé. Contrairement à d’autres pathologies inflammatoires notamment la sclérose en plaques ou polyarthrite rhumatoïde, la grossesse n’exerce aucune influence sur l’activité de la neuromyélite optique d’où la nécessité d’instaurer un traitement de fond durant toute la grossesse. La corticothérapie représente le traitement de premier choix de la neuromyélite optique durant la grossesse. D’autres traitements peuvent également être utilisés notamment le rituximab, certains immunosuppresseurs, les immunoglobulines. Le traitement par immunosuppresseurs ou rituximab est proposé lorsque la corticothérapie au long cours est contre-indiquée ou en cas d’inefficacité à celle-ci ou encore lorsque les effets secondaires sont intolérables. Les immunoglobulines sont administrées en cas de poussées sévères de la neuromyélite optique qui ne répondent pas aux bolus de methylprednisolone. Les immunoglobulines peuvent également être poursuivies seules à la dose 0,4g/kg/j toutes les 6 à 8 semaines jusqu’à l’accouchement. La plasmaphérèse est également une bonne alternative aux bolus de methylprednisolone lorsque les poussées sont très sévères. PMID:27800085

Espectroscopia de candidatos a remanescentes de aglomerados abertos

NASA Astrophysics Data System (ADS)

Pavani, D. B.; Bica, E.; Ahumada, A. V.; Clariá, J. J.

2003-08-01

A pesquisa sobre remanescentes de aglomerados abertos tem despertado grande interesse. Seguindo esta tendência encontramos estudos teóricos e observacionais. Os primeiros baseiam-se em simulações numéricas buscando determinar fração de binárias e distâncias galatocêntricas, tempo de vida e conteúdo estelar. Estes estão relacionados à função inicial de massa e densidade de estrelas, ou seja, se ricos ou pobremente povoados, compactos ou esparsos. No caso observacional procuram-se identificar os remanescentes considerando-se que trazem estas assinaturas de seus percursores. No presente estudo empregamos espectroscopia para analisar oito concentrações pobremente povoadas, previamente classificadas como aglomerados abertos, sendo sete compactas e uma esparsa. As observações foram obtidas através do telescópio de 2,15 m do CASLEO em San Juan, Argentina, em turnos entre 2001 e 2003. Utilizamos uma câmara CCD contendo um chip Tektronics de 1024X1024 pixeis aliado a um espectrógrafo REOSC. O domínio espectral vai de 3700 a 7000 Å. As reduções foram realizadas no Observatório Astronômico de Córdoba (Argentina) usando pacotes IRAF padrões. Determinamos idades, avermelhamentos e tipos espectrais através de comparações com biblioteca de estrelas e de aglomerados. Em alguns casos nossos espectros estavam dominados por estrelas individuais às quais determinamos seus tipos espectrais. Aos oito objetos adicionamos mais cinco da literatura recente analisados via espectro ou diagrama cor-magnitude. O histograma resultante contém idades típicas entre 0.5 e 3 Ganos. Considerando que predominantemente estes objetos encontram-se na vizinhança solar e, portanto, não cruzaram muitas vezes o plano Galático esperamos que a diferença no tempo necessário para dissolução destes prováveis remanescentes seja em função de diferentes massas iniciais.

Hong-Ou-Mandel Gravitational Wave Space spectrometER - HOMER mission

NASA Astrophysics Data System (ADS)

Jacinto de Matos, Clovis; Tajmar, Martin

2018-06-01

Michelson type gravitational wave detectors measure the strain caused by gravitational waves on the interferometer's arms. Gravitational waves can also cause the rotation of photon's linear polarization vector, thus disturbing the interference of entangled photons in Hong-Ou-Mandel (HOM) interferometers. Here one uses that physical phenomenon to devise a spectrometer for gravitational waves through the implementation of a Hong-Ou-Mandel interferometer in Earth geostationary orbit with a constellation of three different spacecraft in accurate formation flight. We call this mission, the Hong-Ou-Mandel Gravitational Waves Space SpectrometER (HOMER). HOMER will cover the part of the gravitational wave spectrum with wavelengths around λ =105 km, which falls between the long wavelength detection range of LISA, around λ =106 km, and of ground based detectors like LIGO, around λ =103 km. With respect to Michelson type detectors, the proposed concept for the detection and spectral analysis of gravitational waves has the advantage of operating without the need of drag free satellites, however it requires a relative precision of the attitude between satellites of the order of the gravitational waves amplitude δθ / θ ∼ h ∼10-20 , which makes the architecture of the HOMER mission as challenging as the Michelson type space detectors. The difficulty being however transferred from the monitoring of the relative distance between spacecraft (for Michelson antennas) to their relative attitude. By focusing on photons polarization instead of photons phase one can measure the spectrum of the detected gravitational signal. As a bonus, the proposed instrument could also investigate the influence of spacetime curvature on photons quantum entanglement, thus experimentally peering into the relation between general relativity and quantum mechanics, which is currently a subject of high interest in theoretical physics. This paper will describe the HOMER mission concept in general and the main elements of the payload and spacecraft design in particular.

Geochemical, isotopic, and dissolved gas characteristics of groundwater in a fractured crystalline-rock aquifer, Savage Municipal Well Superfund site, Milford, New Hampshire, 2011

USGS Publications Warehouse

Harte, Philip T.

2013-01-01

Tetrachloroethylene (PCE), a volatile organic compound, was detected in groundwater from deep (more than (>) 300 feet (ft) below land surface) fractures in monitoring wells tapping a crystalline-rock aquifer beneath operable unit 1 (OU1) of the Savage Municipal Well Superfund site (Weston, Inc., 2010). Operable units define remedial areas of contaminant concern. PCE contamination within the fractured-rock aquifer has been designated as a separate operable unit, operable unit 3 (OU3; Weston, Inc., 2010). PCE contamination was previously detected in the overlying glacial sand and gravel deposits and basal till, hereafter termed the Milford-Souhegan glacial-drift (MSGD) aquifer (Harte, 2004, 2006). Operable units 1 and 2 encompass areas within the MSGD aquifer, whereas the extent of the underlying OU3 has yet to be defined. The primary original source of contamination has been identified as a former manufacturing facility—the OK Tool manufacturing facility; hence OU1 sometimes has been referred to as the OK Tool Source Area (New Hampshire Department of Environmental Services, undated). A residential neighborhood of 30 to 40 houses is located in close proximity (one-quarter of a mile) from the PCE-contaminated monitoring wells. Each house has its own water-supply well installed in similar rocks as those of the monitoring wells, as indicated by the New Hampshire State geologic map (Lyons and others, 1997). An investigation was initiated in 2010 by the U.S. Environmental Protection Agency (USEPA) region 1, and the New Hampshire Department of Environmental Services (NHDES) to assess the potential for PCE transport from known contaminant locations (monitoring wells) to the residential wells. The U.S. Geological Survey (USGS) and the NHDES entered into a cooperative agreement in 2011 to assist in the evaluation of PCE transport in the fractured-rock aquifer. Periodic sampling over the last decade by the USEPA and NHDES has yet to detect PCE in groundwater from the residential-supply wells (as of 2012). However, part of assessing the potential for PCE transport involves understanding the origin of the groundwater in the monitoring and residential wells. One of the tools in delineating the movement of groundwater to wells, particularly in complex, highly heterogeneous fractured-rock aquifers, is the understanding of the geochemical and isotopic composition of groundwater (Lipfert and Reeve, 2004; Harte and others, 2012). This report summarizes findings from analyses of geochemical, isotopic, and dissolved gas characteristics of groundwater. Samples of groundwater were collected in 2011 from monitoring wells and nearby residential-supply wells in proximity to OU1.

Frequency-domain Hong-Ou-Mandel interference with linear optics.

PubMed

Imany, Poolad; Odele, Ogaga D; Alshaykh, Mohammed S; Lu, Hsuan-Hao; Leaird, Daniel E; Weiner, Andrew M

2018-06-15

The Hong-Ou-Mandel (HOM) interference is one of the most fundamental quantum-mechanical effects that reveal a nonclassical behavior of single photons. Two identical photons that are incident on the input ports of an unbiased beam splitter always exit the beam splitter together from the same output port, an effect referred to as photon bunching. In this Letter, we utilize a single electro-optic phase modulator as a probabilistic frequency beam splitter, which we exploit to observe HOM interference between two photons that are in different spectral modes, yet are identical in other characteristics. Our approach enables linear optical quantum information processing protocols using the frequency degree of freedom in photons such as quantum computing techniques with linear optics.

Development of an Assessment Methodology for Demonstrating Usability, Technical Maturity, and Operational Benefits of Advanced Medical Technology (Developpement d’une Methodologie d’Evaluation Permettant de Demontrer la Facilite d’Utilisation, la Maturite Technique et les Avantages Operationnels des Technologies Medicales Evoluees)

DTIC Science & Technology

2010-09-01

de nations, que ce soit au sein de l’Alliance ou dans le cadre du Partenariat pour la paix, ont développé au cours des ...pour l’évacuation des blessés (CASEVAC). Certaines de ces technologies peuvent inclure en temps réel le contrôle de l’état du combattant/patient, la ...localisation du patient, le contrôle de l’état de la logistique médicale, ou encore l’établissement de rapports épidémiologiques. Le

The New Absolute Parameters of OU Gem - The Star of BY Dra Type

NASA Astrophysics Data System (ADS)

Mishenina, T. V.; Glazunova, L. V.; Soubiran, C.; Kovtyukh, V. V.

2010-12-01

The spectra of OU Gem were obtained with the fiber-fed echelle spectrograph SOPHIE at the 1.93-m telescope of the Observatoire de Haute- Provence (France). The temperatures of components of the system were defined and are equal to 5013 ± 15 K and 4486±50 K for primary (A) and secondary (B) components, accordingly. The rotation velocity of components are measured: for primary component it is equal to 5.1±1 km/s and 6.2 ± km/s for the secondary one. The definition of radial velocities of components by LSD profile method and redetermination of spectral orbital elements were carried out. New absolute parameters of components were obtained too.

Computer Grade-Keeping Programs: User’s Guide.

DTIC Science & Technology

1981-12-01

ady 1] L- CLists the file in reverse order) 35U 340 64L5Lu) ZULU TRIBE 32 ESE 3.)u 642400 YANKEE REBEL 3j EOE 3LU 84230U XhAY VISIWiN 01 ENA luu o401U...VI61ON 00.O00O 00.0000 00.0000 00,0000 24 YANKEE REBEL 00.0000 00 0000 00 0000 00.0000 25 ZULU TRIBE Ou.0000 00.0000 00.0000 00.0000 8 GRADE SUBMISSION...90. 90,70o.’ o.U 0 o, o 90, 0,90,90 ,80,80 60,70,70,8080 70,-- 70 ALPHA ROBERT B 90.00 bRAVO MICHAEL D 90.00 ZULU TRIBE 70.00 AhE THESE GRADES

Direct observation of phase-sensitive Hong-Ou-Mandel interference

NASA Astrophysics Data System (ADS)

Marek, Petr; Zapletal, Petr; Filip, Radim; Hashimoto, Yosuke; Toyama, Takeshi; Yoshikawa, Jun-ichi; Makino, Kenzo; Furusawa, Akira

2017-09-01

The quality of individual photons and their ability to interfere are traditionally tested by measuring the Hong-Ou-Mandel photon bunching effect. However, this phase-insensitive measurement only tests the particle aspect of the quantum interference, leaving out the phase-sensitive aspects relevant for continuous-variable processing. To overcome these limitations we formulate a witness capable of recognizing both the indistinguishability of the single photons and their quality with regard to their continuous-variable utilization. We exploit the conditional nonclassical squeezing and show that it can reveal both the particle and the wave aspects of the quantum interference in a single set of direct measurements. We experimentally test the witness by applying it to a pair of independent single photons retrieved on demand.

Universal ideal behavior and macroscopic work relation of linear irreversible stochastic thermodynamics

NASA Astrophysics Data System (ADS)

Ma, Yi-An; Qian, Hong

2015-06-01

We revisit the Ornstein-Uhlenbeck (OU) process as the fundamental mathematical description of linear irreversible phenomena, with fluctuations, near an equilibrium. By identifying the underlying circulating dynamics in a stationary process as the natural generalization of classical conservative mechanics, a bridge between a family of OU processes with equilibrium fluctuations and thermodynamics is established through the celebrated Helmholtz theorem. The Helmholtz theorem provides an emergent macroscopic ‘equation of state’ of the entire system, which exhibits a universal ideal thermodynamic behavior. Fluctuating macroscopic quantities are studied from the stochastic thermodynamic point of view and a non-equilibrium work relation is obtained in the macroscopic picture, which may facilitate experimental study and application of the equalities due to Jarzynski, Crooks, and Hatano and Sasa.

Hong-Ou-Mandel interference of entangled Hermite-Gauss modes

NASA Astrophysics Data System (ADS)

Zhang, Yingwen; Prabhakar, Shashi; Rosales-Guzmán, Carmelo; Roux, Filippus S.; Karimi, Ebrahim; Forbes, Andrew

2016-09-01

Hong-Ou-Mandel (HOM) interference is demonstrated experimentally for entangled photon pairs in the Hermite-Gauss (HG) basis. We use two Dove prisms in one of the paths of the photons to manipulate the entangled quantum state that enters the HOM interferometer. It is demonstrated that, when entangled photon pairs are in a symmetric Bell state in the Laguerre-Gauss (LG) basis, they will remain symmetric after decomposing them into the HG basis, thereby resulting in no coincidence events after the HOM interference. On the other hand, if the photon pairs are in an antisymmetric Bell state in the LG basis, then they will also be antisymmetric in the HG basis, thereby producing only coincidence events as a result of the HOM interference.

Characterization and geostatistical mapping of water salinity: A case study of terminal complex in the Oued Righ Valley (southern Algeria)

NASA Astrophysics Data System (ADS)

Belkesier, Mohamed Saleh; Zeddouri, Aziez; Halassa, Younes; Kechiched, Rabah

2018-05-01

The region of Oued Righ contains large quantities of groundwater hosted by the three aquifers: the Terminal Complex (CT), the Continental Intercalary (CI) and the phreatic aquifer. The present study is focused on the water from CT aquifer in order to characterize their salinity using geostatistical tool for maping. Indeed, water in this aquifer show a high mineralization exceeding the OMS standards. The main hydro-chemical facies of this water is Chloride-Sodium and Sulfate-Sodium. The elementary statistics have been performed on the physico-chemical analysis from 97 wells whereas 766 wells were analyzed on salinity and are used for the geostatistical mapping. The obtained results show a spatial evolution of the salinity toward the direction South to the North. The salinity is locally strong in the central part of Oued Righ valley. The non-parametric geostatistic of indicator kriging was performed on the salinity data using a cut-off of 5230 mg/l which represents the average value in the studied area. The indicator Kriging allows the estimation of salinity probabilities I (5230 mg / l) in the water of the CT aquifer using bloc model (500 x 500 m). The automatic mapping is used to visualize the distribution of the kriged probabilities of salinity. These results can help to ensure a rational and a selective exploitation of groundwater according the salinity contents.

Anomalous diffusion due to hindering by mobile obstacles undergoing Brownian motion or Orstein-Ulhenbeck processes.

PubMed

Berry, Hugues; Chaté, Hugues

2014-02-01

In vivo measurements of the passive movements of biomolecules or vesicles in cells consistently report "anomalous diffusion," where mean-squared displacements scale as a power law of time with exponent α<1 (subdiffusion). While the detailed mechanisms causing such behaviors are not always elucidated, movement hindrance by obstacles is often invoked. However, our understanding of how hindered diffusion leads to subdiffusion is based on diffusion amidst randomly located immobile obstacles. Here, we have used Monte Carlo simulations to investigate transient subdiffusion due to mobile obstacles with various modes of mobility. Our simulations confirm that the anomalous regimes rapidly disappear when the obstacles move by Brownian motion. By contrast, mobile obstacles with more confined displacements, e.g., Orstein-Ulhenbeck motion, are shown to preserve subdiffusive regimes. The mean-squared displacement of tracked protein displays convincing power laws with anomalous exponent α that varies with the density of Orstein-Ulhenbeck (OU) obstacles or the relaxation time scale of the OU process. In particular, some of the values we observed are significantly below the universal value predicted for immobile obstacles in two dimensions. Therefore, our results show that subdiffusion due to mobile obstacles with OU type of motion may account for the large variation range exhibited by experimental measurements in living cells and may explain that some experimental estimates are below the universal value predicted for immobile obstacles.

Les agressions sexuelles des jeunes ayant une incapacité ou une maladie chronique

PubMed Central

Kaufman, M

2011-01-01

Pour diverses raisons, les enfants et les adolescents ayant une incapacité ou une maladie chronique sont plus vulnérables aux agressions sexuelles. Les dispensateurs de soins, de même que les parents et les éducateurs, doivent se méfier davantage de la possibilité d’agression sexuelle au sein de cette population. Les médecins, tout particulièrement, doivent prôner des politiques pour prévenir ou déceler les agressions dans les hôpitaux, les écoles et autres établissements. Ces politiques incluent le dépistage détaillé et la surveillance étroite des employés et des bénévoles, la présence d’un chaperon aux examens physiques et aux interventions thérapeutiques, la supervision des sorties et une culture qui favorise la vie privée du patient en établissement. De plus, les médecins doivent favoriser la conscience de soi et l’habilitation des patients et leur donner très tôt des conseils préventifs au sujet de la sexualité, de l’habilitation personnelle et des risques d’agression. Le présent document de principes remplace celui que la Société canadienne de pédiatrie a publié en 1997.

Quand le malheur frappe les bénéficiaires de la sécurité du revenu. Sur qui peuvent-ils s’appuyer ?

PubMed Central

Tousignant, Michel; Caron, Jean

2013-01-01

Cette étude analyse les conditions de réalisation du soutien social dans les quartiers de Saint-Henri et de la Pointe Saint-Charles, en comparant un groupe de 61 prestataires de la sécurité du revenu avec un échantillon de 21 personnes de la population vivant au-dessus du seuil de la pauvreté, et en fonction du degré de détresse dans chaque groupe. Elle vise également à décrire comment une adversité vécue par les prestataires avec ou sans détresse vient briser ou modifier le réseau de soutien. Les résultats indiquent que le réseau social est moins fiable en présence de détresse qu’en son absence, que les personnes en détresse se sont vues plus fréquemment refuser du soutien ou être abandonnées et qu’elles ont davantage de personnes nuisibles dans leur entourage. De plus, les événements vécus comportent souvent une atteinte à leur réputation, des menaces, des trahisons et des refus à un droit légitime. Les personnes en détresse sont aussi davantage isolées. PMID:16505926

Environmental Assessment for the Construction of Facilities in Support of the 343d Training Squadron, 37th Training Group, Security Forces Apprentice Course at JBSA-Camp Bullis, Texas

DTIC Science & Technology

2012-11-01

ai n un de r g ov er nm en ta l j ur is di ct io n as a m ili ta ry tr ai ni ng fa ci lit y, a nd th er ef or e no lo ng...n o ne w co ns tru ct io n or re no va tio n w ou ld o cc ur ; t he re fo re , n o im pa ct s o n ai r q ua lit y w ou ld oc cu r. Te m...po ra ry a nd m in or in cr ea se s i n ai r p ol lu

Hong-Ou-Mandel effect in terms of the temporal biphoton wave function with two arrival-time variables

NASA Astrophysics Data System (ADS)

Fedorov, M. V.; Sysoeva, A. A.; Vintskevich, S. V.; Grigoriev, D. A.

2018-03-01

The well-known Hong-Ou-Mandel effect is revisited. Two physical reasons are discussed for the effect to be less pronounced or even to disappear: differing polarizations of photons coming to the beamsplitter and delay time of photons in one of two channels. For the latter we use the concepts of biphoton frequency and temporal wave functions depending, correspondingly, on two frequency continuous variables of photons and on two time variables t 1 and t 2 interpreted as the arrival times of photons to the beamsplitter. Explicit expressions are found for the probability densities and total probabilities for photon pairs to be split between two channels after the beamsplitter and to be unsplit, when two photons appear together in one of two channels.

Attosecond-resolution Hong-Ou-Mandel interferometry.

PubMed

Lyons, Ashley; Knee, George C; Bolduc, Eliot; Roger, Thomas; Leach, Jonathan; Gauger, Erik M; Faccio, Daniele

2018-05-01

When two indistinguishable photons are each incident on separate input ports of a beamsplitter, they "bunch" deterministically, exiting via the same port as a direct consequence of their bosonic nature. This two-photon interference effect has long-held the potential for application in precision measurement of time delays, such as those induced by transparent specimens with unknown thickness profiles. However, the technique has never achieved resolutions significantly better than the few-femtosecond (micrometer) scale other than in a common-path geometry that severely limits applications. We develop the precision of Hong-Ou-Mandel interferometry toward the ultimate limits dictated by statistical estimation theory, achieving few-attosecond (or nanometer path length) scale resolutions in a dual-arm geometry, thus providing access to length scales pertinent to cell biology and monoatomic layer two-dimensional materials.

100-OL-1 Operable Unit Field Portable X-Ray Fluorescence (XRF) Analyzer Pilot Study Plans

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

Bunn, Amoret L.; Fritz, Brad G.; Wellman, Dawn M.

A pilot study is being conducted to support the approval of the Remedial Investigation/Feasibility Study (RI/FS) Work Plan to evaluate the 100-OL-1 Operable Unit (OU) pre-Hanford orchard lands. Based on comments received by the U.S. Environmental Protection Agency (EPA) and Washington State Department of Ecology, the pilot study will evaluate the use of field portable X-ray fluorescence (XRF) spectrometry measurements for evaluating lead and arsenic concentrations on the soil surface as an indicator of past use of lead arsenate pesticide residue in the OU. The work will be performed in the field during the summer of 2014, and assist inmore » the planning for the characterization activities in the RI/FS.« less

Spectroscopic Studies of Lasing Transitions in the Diatomic Mercury Halides.

DTIC Science & Technology

1983-08-01

n ~! %A ;5. , -M .Ss 1 0l 5Ou - -% - :. - 0 ~ -0 P 0- -A - * SS a-zu e wC...0flr 04N 0* 1 0 t7 Ia >~ N 404 v .- =.. .5 - -~ N ~~ 06-~’ 0 p e u C’l0.f A 0Q to’ uu. co ? 1?C 0 Li.. A~~~ 0. 0 <- t3 .* ;1. ! .01. ~ * o~ OU >~ o0...0 4O 5O 3 0 N - ON =C ’AC 00 0 00 0 00 00 0 00 NN ~ *~ N . P ~ p 4 ~C 1 4 z Q - N Nc 0c Nc a- N o- P . IN N > 0 ~ 2 )fi il.C:.:: ** 0, o sa *.5o~5 o r

Superfund record of decision (EPA Region 4): Marine Corps Base (site 35), operable unit 10, Camp Lejeune, NC, September 22, 1995

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

NONE

1996-01-01

This decision document presents the selected remedy for surficial groundwater for a portion of Operable Unit (OU) No. 10 (Site 35), Marine Corps Base (MCB), Camp Lejeune, North Carolina. Five Remedial Action Alternatives (RAAs) were evaluated as part of an interim remedial investigation/feasibility study for surficial groundwater at OU No. 10 (Site 35). These RAAs included RAA 1 (No Action), RAA 2 (No Action With Institutional Controls), RAA 3 (Groundwater Collection and On-site Treatment), RAA 4 (In Situ Air Sparging and Off-Gas Carbon Adsorption) and RAA 5 (In Well Aeration and Off-Gas Adsorption). After all five RAAs were compared tomore » established criteria, RAA 5 was selected as the preferred alternative.« less

Pharmacothérapie de la dépression chez les aînés

PubMed Central

Frank, Christopher

2014-01-01

Résumé Objectif Discuter du traitement pharmacologique de la dépression chez les personnes âgées, y compris le choix des antidépresseurs, le titrage de la dose, la surveillance de la réponse et des effets secondaires et le traitement des cas réfractaires. Sources des données Les lignes directrices de 2006 de la Canadian Coalition for Seniors’ Mental Health sur l’évaluation et le traitement de la dépression ont servi comme source principale. Pour recenser les articles publiés après les lignes directrices, on a procédé à une recherche documentaire dans MEDLINE de 2007 à 2012 à l’aide des expressions en anglais depression, treatment, drug therapy et elderly. Message principal Le but du traitement devrait être la rémission des symptômes. L’amélioration des symptômes peut être surveillée en fonction des objectifs du patient qu’on a identifiés ou en se servant d’outils cliniques comme le Patient Health Questionnaire–9. On devrait envisager le traitement en 3 étapes: l’étape du traitement aigu pour obtenir la rémission des symptômes, une étape de continuation pour prévenir la récurrence d’un même épisode de la maladie (rechute) et une étape de maintien (prophylaxie) pour prévenir de futurs épisodes (récurrence). Le dosage initial devrait être la moitié de la dose de départ habituelle chez l’adulte et il devrait être titré régulièrement jusqu’à ce que le patient réponde, jusqu’à ce que la dose maximale soit atteinte ou encore que les effets secondaires en limitent l’augmentation. Parmi les effets secondaires fréquents, on peut mentionner les chutes, la nausée, les étourdissements, les céphalées et, moins communément, l’hyponatrémie et des changements dans l’intervalle QT. Des stratégies pour changer ou augmenter les antidépresseurs sont présentées. Les patients plus âgés devraient être traités pendant au moins un an à compter de l’observation d’une amélioration clinique et ceux qui ont une dépression récurrente ou des symptômes sévères devraient continuer le traitement indéfiniment. La prise en charge de situations particulières comme une dépression profonde ou une dépression avec psychose est discutée, y compris le recours à une thérapie électroconvulsive. Les critères pour demander une consultation en psychiatrie gériatrique sont indiqués; par ailleurs, de nombreux médecins de famille n’ont pas aisément accès à une telle ressource ou à d’autres stratégies cliniques non pharmacologiques. Conclusion L’efficacité de la pharmacothérapie de la dépression n’est pas considérablement influencée par l’âge. L’identification de la dépression, le choix du traitement approprié, le tritrage des médicaments, la surveillance des effets secondaires et la durée suffisante du traitement amélioreront les résultats pour les patients plus âgés.

Evénements indésirables peropératoire: lecture critique du registre du bloc opératoire de l’hôpital militaire Moulay Ismail Meknès

PubMed Central

Kechna, Hicham; Ouzzad, Omar; Chkoura, Khalid; Loutid, Jaouad; Hachimi, Moulay Ahmed; Hanafi, Sidi Mohamed

2016-01-01

Introduction Malgré les importants progrès qui ont été faits dans le domaine de la sécurité en anesthésie, la morbidité (grave ou non, liée complètement ou partiellement à l’anesthésie) reste cependant fréquente, et aucun praticien n’est aujourd’hui à l’abri d’un accident. Dans le contexte actuel où la priorité est donnée à la formation, à l’amélioration de la qualité et de la sécurité des soins, la survenue d’un accident d’anesthésie au bloc opératoire est un événement extrêmement traumatisant. La crainte de poursuite, le contexte émotionnel rendent cette gestion parfois très difficile. Pour cette raison, elle doit faire l’objet d’une codification, à la manière des protocoles de bloc, avec trois grands axes de gestion: le patient victime, le personnel médical et paramédical impliqué et l’analyse de l’incident pour éviter une récidive. Méthodes Dans un but d’améliorer les soins prodigués au bloc opératoire nous avons établi un registre où sont consignés continuellement les différents incidents et accidents survenu soit en salle opératoire ou en salle de surveillance post interventionnelle. Une première lecture a été faite à l’occasion des Journées d'Enseignement Post Universitaire (JEPU) de Fès (Maroc) organisées en partenariat avec les JEPU de la Pitié salpêtrière de Paris à la faculté de Médecine et de Pharmacie de Fès sous le thème: «Les Situations Critiques Au Bloc Opératoire» les 17 et 18 Avril 2015. Résultats 1761 patients ont été admis aux différentes salles du bloc opératoire dont 96 en salle d’endoscopie et 17 sédations en radiologie. 29 patients (1.64%) ont présentés un incident et/ou un accident en péri opératoire. La plupart des effets indésirables sont survenus en per opératoire (58,6%). Dans 28,6% des cas en postopératoire immédiat ou en salle de surveillance post interventionnelle (SSPI). La plupart des complications survenues sont d’ordre respiratoire (34%) ou cardio vasculaire (31%). On a colligé 5 décès en périopératoire soit une mortalité de 0,28%. La détermination de la cause n’est pas toujours évidente. Le facteur humain serait responsable de 24% des incidents. Conclusion Cette observation illustre les différents événements indésirables survenus depuis la création de ce registre il y a 6 mois. Nous proposons une lecture critique de ce registre dans le seul souci est d’améliorer nos pratiques dans une perspective de renforcer la sécurité anesthésique. PMID:27795775

Hydrostratigraphic mapping of the Milford-Souhegan glacial drift aquifer, and effects of hydrostratigraphy on transport of PCE, Operable Unit 1, Savage Superfund Site, Milford, New Hampshire

USGS Publications Warehouse

Harte, Philip T.

2010-01-01

The Savage Municipal Well Superfund site in the Town of Milford, New Hampshire, was underlain by a 0.5-square mile plume (as mapped in 1994) of volatile organic compounds (VOCs), most of which consisted of tetrachloroethylene (PCE). The plume occurs mostly within highly transmissive stratified-drift deposits but also extends into underlying till and bedrock. The plume has been divided into two areas called Operable Unit 1 (OU1), which contains the primary source area, and Operable Unit 2 (OU2), which is defined as the extended plume area outside of OU1. The OU1 remedial system includes a low-permeability barrier wall that encircles the highest detected concentrations of PCE and a series of injection and extraction wells to contain and remove contaminants. The barrier wall likely penetrates the full thickness of the sand and gravel; in many places, it also penetrates the full thickness of the underlying basal till and sits atop bedrock.From 1998 to 2004, PCE concentrations decreased by an average of 80 percent at most wells outside the barrier wall. However, inside the barrier, PCE concentrations greater than 10,000 micrograms per liter (μg/L) still exist (2008). The remediation of these areas of recalcitrant PCE presents challenges to successful remediation.The U.S. Geological Survey (USGS), in cooperation with the New Hampshire Department of Environmental Services (NHDES) and the U.S. Environmental Protection Agency (USEPA), Region 1, is studying the solute transport of VOCs (primarily PCE) in contaminated groundwater in the unconsolidated sediments (overburden) of the Savage site and specifically assisting in the evaluation of the effectiveness of remedial operations in the OU1 area. As part of this effort, the USGS analyzed the subsurface stratigraphy to help understand hydrostratigraphic controls on remediation.A combination of lithologic, borehole natural gamma-ray and electromagnetic (EM) induction logging, and test drilling has identified 11 primary hydrostratigraphic units in OU1. These 11 units consist of several well-sorted sandy layers with some gravel that are separated by poorly sorted cobble layers with a fine-grained matrix. Collectively these units represent glacial sediments deposited by localized ice-margin fluctuations. For the most part, the units are semi-planar, particularly the cobble units, and truncated by an undulating bedrock surface. The lowermost unit is a basal till that ranges in thickness from zero to greater than 10 feet and mantles the bedrock surface.The 11 units have different lithologic and hydraulic characteristics. The hydraulic conductivity of the well-sorted sand and gravel units is typically greater than the conductivity of the poorly sorted cobble units and the basal till. The hydraulic conductivity ranges from 5 to greater than 500 feet per day. Lateral and vertical variation in lithology and hydraulic conductivity are inferred by variations in borehole natural gamma-ray counts and estimates of hydraulic conductivity.The comparison of hydrostratigraphic units with the spatial distribution of PCE concentrations suggests that solute transport away from source areas is primarily lateral within the permeable sandy units in the middle to lower parts of the aquifer. Along the centerline of the interior barrier area, highest PCE concentrations are in the sandy units to the east of suspected source areas.

Natural attenuation of chlorinated volatile organic compounds in ground water at Operable Unit 1, Naval Undersea Warfare Center, Division Keyport, Washington

USGS Publications Warehouse

Dinicola, Richard S.; Cox, S.E.; Landmeyer, J.E.; Bradley, P.M.

2002-01-01

The U.S. Geological Survey (USGS) evaluated the natural attenuation of chlorinated volatile organic compounds (CVOCs) in ground water beneath the former landfill at Operable Unit 1 (OU 1), Naval Undersea Warfare Center, Division Keyport, Washington. The predominant contaminants in ground water are trichloroethene (TCE) and its degradation byproducts cis-1,2-dichloroethene (cisDCE) and vinyl chloride (VC). The Navy planted two hybrid poplar plantations on the landfill in spring of 1999 to remove and control the migration of CVOCs in shallow ground water. Previous studies provided evidence that microbial degradation processes also reduce CVOC concentrations in ground water at OU 1, so monitored natural attenuation is a potential alternative remedy if phytoremediation is ineffective. This report describes the current (2000) understanding of natural attenuation of CVOCs in ground water at OU 1 and the impacts that phytoremediation activities to date have had on attenuation processes. The evaluation is based on ground-water and surface-water chemistry data and hydrogeologic data collected at the site by the USGS and Navy contractors between 1991 and 2000. Previously unpublished data collected by the USGS during 1996-2000 are presented. Natural attenuation of CVOCs in shallow ground water at OU 1 is substantial. For 1999-2000 conditions, approximately 70 percent of the mass of dissolved chlorinated ethenes that was available to migrate from the landfill was completely degraded in shallow ground water before it could migrate to the intermediate aquifer or discharge to surface water. Attenuation of CVOC concentrations appears also to be substantial in the intermediate aquifer, but biodegradation appears to be less significant; those conclusions are less certain because of the paucity of data downgradient of the landfill beneath the tide flats. Attenuation of CVOC concentrations is also substantial in surface water as it flows through the adjacent marsh and out to the tide flats. Attenuation processes other than dilution reduce the CVOC flux in marsh surface water by about 40 percent by the time the water discharges to the tide flats. Despite the importance of natural attenuation processes at reducing both the contaminant concentrations and the contaminant mass at OU 1, natural attenuation alone was not effective enough in the year 2000 to meet current numerical remediation goals for the site. That was in part due to the relatively short distance between the landfill and the adjacent marsh, and in part due to the extremely high CVOC concentrations directly beneath the landfill. Phytoremediation activities had some apparent effect on contaminant concentrations in ground water and surface water, but ground-water redox conditions to date (2000) were not affected by the February 1999 asphalt removal for tree planting. The poplar trees in the phytoremediation plantations were not yet mature in 2000, so the lack of discernible changes to date is understandable. Concentration changes of some redox-sensitive compounds suggest that increased recharge following asphalt removal diluted ambient landfill ground water. CVOC concentrations increased in some downgradient wells in both the northern and southern plantations after asphalt removal, whereas CVOC concentrations decreased in some upgradient wells in the southern plantation. A clear increase in CVOC concentrations in marsh surface water followed asphalt removal, apparently from increased contaminant discharge in ground water beneath the southern plantation. The results of the natural attenuation evaluation suggest than minor modifications to the current sampling plan may be beneficial to understanding the future impacts of phytoremediation and natural attenuation on the fate and distribution of CVOCs at OU 1.

Approche aux soins en milieu communautaire à des adultes ayant une déficience développementale

PubMed Central

Osmun, W.E.; Chan, Nelson; Solomon, Robert

2015-01-01

Résumé Objectif Passer en revue les obligations d’ordre médical, éthique et juridique dans les soins aux adultes ayant une déficience développementale (DD) qui vivent dans la communauté. Sources des données Des recherches ont été faites dans Google et MEDLINE à l’aide des mots disabled, disability, vulnerable et community. Les lois pertinentes ont fait l’objet d’un examen. Message principal Le traitement d’un patient ayant une DD varie en fonction de facteurs comme la pathogenèse du problème actuel du patient, ses affections concomitantes, la gravité de ses déficiences et ses soutiens sociaux habituels. Bien que l’on s’entende sur les bienfaits du transfert des soins institutionnels vers des soins communautaires pour les patients ayant une DD, il s’est révélé difficile de leur dispenser des soins de grande qualité en milieu communautaire. Par ailleurs, il existe peu de travaux de recherche sur les façons d’offrir efficacement des soins aux adultes ayant une DD. En tant que professionnels des soins primaires, les médecins de famille sont souvent le premier point de contact pour les patients et sont à la fois responsables de la coordination et de la continuité des soins. Compte tenu de l’importance accrue accordée aux soins préventifs et à la détection précoce des maladies, la participation active du patient revêt aussi une grande importance. Les valeurs et les objectifs du patient sont des éléments essentiels à prendre en compte, même s’ils vont à l’encontre de la bonne santé du patient ou des propres valeurs du clinicien. Les lois s’appliquant aux personnes vulnérables varient d’une province à l’autre. Par conséquent, l’obligation de signaler des mauvais traitements suspectés pourrait différer selon que la personne vulnérable habite dans un centre de soins ou la communauté, que la personne qui soupçonne le comportement abusif est un fournisseur de services ou un professionnel de la santé ou encore que les circonstances spécifiques répondent à la définition légale de mauvais traitement ou de négligence. Conclusion Les professionnels des soins primaires doivent dispenser aux adultes ayant une DD des soins empreints de compassion qui respectent les souhaits du patient.

Freestanding midwifery units versus obstetric units: does the effect of place of birth differ with level of social disadvantage?

PubMed Central

2012-01-01

Background Social inequity in perinatal and maternal health is a well-documented health problem even in countries with a high level of social equality. We aimed to study whether the effect of birthplace on perinatal and maternal morbidity, birth interventions and use of pain relief among low risk women intending to give birth in two freestanding midwifery units (FMU) versus two obstetric units in Denmark differed by level of social disadvantage. Methods The study was designed as a cohort study with a matched control group. It included 839 low-risk women intending to give birth in an FMU, who were prospectively and individually matched on nine selected obstetric/socio-economic factors to 839 low-risk women intending OU birth. Educational level was chosen as a proxy for social position. Analysis was by intention-to-treat. Results Women intending to give birth in an FMU had a significantly higher likelihood of uncomplicated, spontaneous birth with good outcomes for mother and infant compared to women intending to give birth in an OU. The likelihood of intact perineum, use of upright position for birth and water birth was also higher. No difference was found in perinatal morbidity or third/fourth degree tears, while birth interventions including caesarean section and epidural analgesia were significantly less frequent among women intending to give birth in an FMU. In our sample of healthy low-risk women with spontaneous onset of labour at term after an uncomplicated pregnancy, the positive results of intending to give birth in an FMU as compared to an OU were found to hold for both women with post-secondary education and the potentially vulnerable group of FMU women without post-secondary education. In all cases, women without post-secondary education intending to give birth in an FMU had comparable and, in some respects, more favourable outcomes when compared to women with the same level of education intending to give birth in an OU. In this sample of low-risk women, we found that the effect of intended place on birth outcomes did not differ with women’s level of education. Conclusion FMU care appears to offer important benefits for birthing women with no additional risk to the infant. Both for women with and without post-secondary education, intending to give birth in an FMU significantly increased the likelihood of a spontaneous, uncomplicated birth with good outcomes for mother and infant compared to women intending to give birth in an OU. All women should be provided with adequate information about different care models and supported in making an informed decision about the place of birth. PMID:22726575

Exploration of preterm birth rates associated with different models of antenatal midwifery care in Scotland: Unmatched retrospective cohort analysis.

PubMed

Symon, Andrew; Winter, Clare; Cochrane, Lynda

2015-06-01

preterm birth represents a significant personal, clinical, organisational and financial burden. Strategies to reduce the preterm birth rate have had limited success. Limited evidence indicates that certain antenatal care models may offer some protection, although the causal mechanism is not understood. We sought to compare preterm birth rates for mixed-risk pregnant women accessing antenatal care organised at a freestanding midwifery unit (FMU) and mixed-risk pregnant women attending an obstetric unit (OU) with related community-based antenatal care. unmatched retrospective 4-year Scottish cohort analysis (2008-2011) of mixed-risk pregnant women accessing (i) FMU antenatal care (n=1107); (ii) combined community-based and OU antenatal care (n=7567). Data were accessed via the Information and Statistics Division of the NHS in Scotland. Aggregates analysis and binary logistic regression were used to compare the cohorts׳ rates of preterm birth; and of spontaneous labour onset, use of pharmacological analgesia, unassisted vertex birth, and low birth weight. Odds ratios were adjusted for age, parity, deprivation score and smoking status in pregnancy. after adjustment the 'mixed risk' FMU cohort had a statistically significantly reduced risk of preterm birth (5.1% [n=57] versus 7.7% [n=583]; AOR 0.73 [95% CI 0.55-0.98]; p=0.034). Differences in these secondary outcome measures were also statistically significant: spontaneous labour onset (FMU 83.9% versus OU 74.6%; AOR 1.74 [95% CI 1.46-2.08]; p<0.001); minimal intrapartum analgesia (FMU 53.7% versus OU 34.4%; AOR 2.17 [95% CI 1.90-2.49]; p<0.001); spontaneous vertex delivery (FMU 71.9% versus OU 63.5%; AOR 1.46 [95% CI 1.32-1.78]; p<0.001). Incidence of low birth weight was not statistically significant after adjustment for other variables. There was no significant difference in the rate of perinatal or neonatal death. given this study׳s methodological limitations, we can only claim associations between the care model and or chosen outcomes. Although both cohorts were mixed risk, differences in risk levels could have contributed to these findings. Nevertheless, the significant difference in preterm birth rates in this study resonates with other research, including the recent Cochrane review of midwife-led continuity models. Because of the multiplicity of risk factors for preterm birth we need to explore the salient features of the FMU model which may be contributing to this apparent protective effect. Because a randomised controlled trial would necessarily restrict choice to pregnant women, we feel that this option is problematic in exploring this further. We therefore plan to conduct a prospective matched cohort analysis together with a survey of unit practices and experiences. Copyright © 2015 Elsevier Ltd. All rights reserved.

Le conflit fémoro-acétabulaire et la coxarthrose

PubMed Central

Zhang, Charlie; Li, Linda; Forster, Bruce B.; Kopec, Jacek A.; Ratzlaff, Charles; Halai, Lalji; Cibere, Jolanda; Esdaile, John M.

2015-01-01

Objectif Expliquer la présentation clinique, les observations à l’examen physique, les critères diagnostiques et les options de prise en charge du conflit fémoroacétabulaire (CFA). Sources des données Une recherche documentaire a été effectuée dans PubMed pour trouver des articles pertinents sur la pathogenèse, le diagnostic, le traitement et le pronostic du CFA. Message principal Depuis les dernières années, on reconnaît de plus en plus que le CFA est un précurseur potentiel et une étiologie importante des douleurs à la hanche dans la population adulte et de la coxarthrose idiopathique plus tard dans la vie. Le conflit fémoro-acétabulaire désigne un ensemble d’anomalies morphologiques osseuses de l’articulation de la hanche qui se traduit par un contact anormal durant le mouvement. Le CFA par effet came concerne une proéminence osseuse non sphérique du col fémoral proximal ou de la jonction tête-col. Le CFM par effet tenaille désigne une couverture acétabulaire excessive par-dessus la tête du fémur, qui peut se produire en raison de diverses variantes morphologiques. Les patients qui ont un CFA présentent une douleur inguinale antérieure chronique, profonde ou lancinante, le plus souvent en position assise, durant ou après une activité. Les patients peuvent aussi ressentir des douleurs occasionnelles aiguës durant l’activité. Il faut procéder à une anamnèse approfondie portant notamment sur l’incidence de traumatismes ou la fréquence de l’exercice. Il faut aussi faire un examen physique complet des hanches, de la région lombaire et de l’abdomen pour évaluer d’autres causes de douleurs inguinales antérieures. Le diagnostic de CFA est confirmé par radiographie. Le conflit fémoro-acétabulaire peut être pris en charge selon une approche conservatrice comportant du repos, la modification des activités, des médicaments et de la physiothérapie ou encore être traité par intervention chirurgicale. Conclusion Le conflit fémoro-acétabulaire est une cause importante de douleurs antérieures à l’aine. Une détection précoce et une intervention rapide par un médecin de soins primaires sont essentielles pour atténuer la morbidité et éviter la progression du CFA.

L’investigation de la contusion myocardique pour la fracture sternale à l’urgence

PubMed Central

Audette, Jean-Sébastien; Émond, Marcel; Scott, Hugh; Lortie, Gilles

2014-01-01

Résumé Objectif Décrire la pratique d’acquisition d’un électrocardiogramme (ECG) initial, d’ECG de contrôle ou d’un monitoring équivalent et du dosage des troponines chez les patients avec une fracture sternale évalués au département d’urgence ou par un médecin de première ligne. Type d’étude Étude rétrospective descriptive multicentrique. Contexte Deux centres académiques de traumatologie de la région de Québec au Canada. Participants 54 patients ayant subi une fracture sternale traumatique. Interventions Évaluation de l’acquisition d’ECG initial et à 6 heures post-traumatisme ou un monitoring équivalent ainsi que le dosage des troponines sanguines. Principaux paramètres à l’étude En ce qui concerne l’ECG, les critères de comparaison de qualité furent sélectionnés à partir d’opinions d’experts rapportées dans quatre études. L’utilisation d’un ECG initial et de contrôle 6 heures post-traumatisme ou d’un monitoring cardiaque de 6 heures représente la pratique recommandée par la plupart de ceux-ci pour le diagnostic de la contusion myocardique dans la fracture sternale. L’utilisation des troponines I sanguines, 4 à 8 heures suivant un traumatisme thoracique, a également été proposée par certains auteurs comme méthode de détection efficace des arythmies significatives secondaires à la contusion myocardique. Des analyses descriptives univariées et des tests de chi-carré furent effectués. Une valeur P < ,05 fut considérée significative. Résultats Trente-neuf (72 %) patients ont été évalués initialement avec un ECG, tandis que 18 (33 %) de ces patients ont eu une évaluation par ECG ou monitoring cardiaque après 6 heures à l’urgence. Seize patients (30 %) ont été évalués à l’aide du dosage des troponines I. Deux patients (4 %) ont présenté des anomalies électrocardiographiques et un seul patient (2 %) a présenté des troponines I élevées. Conclusion Les urgentologues doivent augmenter leur utilisation de l’ECG comme outil diagnostic initial et de contrôle pour les patients ayant subi une fracture sternale traumatique afin de détecter la contusion myocardique et l’arythmie. L’utilisation de la troponinémie, de concert avec l’ECG, est également suggérée dans cette population pour l’identification des patients à risque de complications secondaires à leur contusion myocardique.

Influence of electronegativity on the electronic structures and stabilities of microclusters of carbides MC_n (M : transition, rare-earth or normal element, n < 10)

NASA Astrophysics Data System (ADS)

Leleyter, M.

1991-10-01

MC_n, clusters (n < 10) produced from carbides by various experimental techniques (SIMS, SSMS, LAMMA, Knudsen effusion, etc.) show strong alternations in their emission intensities I(MC^+_n) according to the parity of the carbon atom number n. Maxima take place for odd n (“odd" alternations) if M = H, F, Cl or Fe, Ni, Rh, Ir, Pt or for even n (“even" alternations) if M = B, Si, Ba, Ge or Sc, Ti, V, Cr, Y, Zr, La, Ce, W, Th, U or even the ions exist only for even n (Nd, Dy, Ho, Er). Moreover, only CO, C_3O, CN and C_3N are known for O and N. Such phenomena are due to the stability properties of the clusters themselves (“correspondence rule") and can be interpreted with the Pitzer and Clementi model (sp hybridization in Hückel approximation): the clusters are assumed to be linear chains of “cumulene" type :C=C=..C=C=M and the alternations in the relative stabilities of these chains are mainly due to the fact that the HOMO (highest occupied molecular orbital) of the clusters lies in a double degenerate π level band. Now HOMO may be either full or half-filled, and an aggregate with a complete (or almost complete) HOMO is more stable than an aggregate with a half-filled HOMO. Consequently, the number of π electrons is governing the parity effect in the stability alternations. However, this number is depending on the number of σ electrons of the chain and besides, for the transition or rare-earth metals, on the positions of the dσ and degenerate dδ levels due to the M atom, which are governed by Pauling's electronegativity (EN) of atom M. For transition or lanthanide metals, the alternations are “even" if EN le 1.7 (deficient d electron-elements: columns IIIA to VIIA; empty dσ and δ levels) or “odd" in the reverse case (rich d electron elements: column VIIIA bonding dσ and δ levels). For normal elements, the limit of EN seems to be the EN of C (2.5) and the alternations are “even" if EN le 2.5 or “odd" in the other case. Thus it is possible to infer a likely electronic configuration of the MC_n clusters and 2 tables give the compared electronic structures of these clusters for normal or transition elements. Such a kind of structure is only able to explain the parity effect origin of the MC_n clusters and even enable to foreknow for transition or rare-earth metal carbides which are not studied yet if the alternations will be “even" (EN le 1.7) or “odd". Les agrégats MC_n obtenus à partir de carbures par diverses méthodes expérimentales (SIMS, SSMS, vaporisation laser, effusion de Knudsen à haute température, etc.) présentent des alternances dans leurs intensités d'émission I(MC^+_n) avec maximums pour n impair si M = H, F, CI ou Fe, Ni, Rh, Ir, Pt ou au contraire pour n pair si M = B, Si, Ba, Ge ou Sc, Ti, V, Cr, Y, Zr, La, Ce, W, Th, U ou même n'existent que pour n pair (Nd, Dy, Ho, Er). D'autre part, seuls sont connus CO, C_3O, CN et C_3N pour l'oxygène et l'azote. Ces phénomènes sont interprétés tout d'abord à l'aide de la règle bien connue de correspondance qui relie de fortes (resp. faibles) intensités ou fréquences d'émissions d'ions MC^+_n à de fortes (resp. faibles) stabilités des amas correspondants. En second lieu, ces résultats s'expliquent dans le cadre du modèle de Pitzer et Clementi (hybridation sp en théorie de Hückel) corroboré par des calculs CNDO: on suppose que les amas MC^+_n sont des chaînes linéaires C^+_n portant un atome d'impureté M en bout de chaîne. Dans ces conditions, les alternances de stabilités relatives des MC_n proviennent de ce que l'orbitale moléculaire la plus élevée (“ HOMO ”) se trouve dans une bande niveaux π doublement dégénérés et qu'à une orbitale π complète (4 électrons) correspond une plus forte stabilité de l'amas que si l'orbitale est incomplète. Or le nombre d'électrons π d'une chaîne MC_n est gouverné par le nombre de niveaux σ liants et en outre pour les éléments de transition ou de terres rares, par la position du niveau dσ et celle du niveau δ dégénérés dus à la présence de l'atome M. Dans le cas des éléments normaux, si M est plus électronégatif que C (EN = 2,5), l'orbitale sσ_M sera liante (2 électrons) alors qu'elle sera antiliante (vide) dans le cas contraire, et entraînera donc une différence de 2 électrons σ ou π, donc un changement de sens des alternances. Le cas spécial de H peut aussi s'expliquer dans ce cadre. Les éléments de transition pour leur part, se scindent en 2 groupes suivant que leur électronégativité EN est supérieure à 1,7 (éléments ayant beaucoup d'électrons d : colonne VIIIA ; niveaux δ et dσ liants) ou non (peu d'électrons d : colonnes IIIA et terres rares à VIIA ; niveaux δ et dσ vides). Nous donnons deux tableaux récapitulant la structure comparée des niveaux des agrégats MC_n pour les éléments normaux ou de transition. Ce type de structure peut seul expliquer l'origine des alternances des amas MC_n et permet même de prévoir pour des carbures de transition ou de terres rares non encore étudiés, si les alternances seront “ paires ” (EN le 1,7 ) ou “ impaires ” (EN > 1,7).

Validity and reliability of the Bahasa Melayu version of the Migraine Disability Assessment questionnaire.

PubMed

Shaik, Munvar Miya; Hassan, Norul Badriah; Tan, Huay Lin; Bhaskar, Shalini; Gan, Siew Hua

2014-01-01

The study was designed to determine the validity and reliability of the Bahasa Melayu version (MIDAS-M) of the Migraine Disability Assessment (MIDAS) questionnaire. Patients having migraine for more than six months attending the Neurology Clinic, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia, were recruited. Standard forward and back translation procedures were used to translate and adapt the MIDAS questionnaire to produce the Bahasa Melayu version. The translated Malay version was tested for face and content validity. Validity and reliability testing were further conducted with 100 migraine patients (1st administration) followed by a retesting session 21 days later (2nd administration). A total of 100 patients between 15 and 60 years of age were recruited. The majority of the patients were single (66%) and students (46%). Cronbach's alpha values were 0.84 (1st administration) and 0.80 (2nd administration). The test-retest reliability for the total MIDAS score was 0.73, indicating that the MIDAS-M questionnaire is stable; for the five disability questions, the test-retest values ranged from 0.77 to 0.87. The MIDAS-M questionnaire is comparable with the original English version in terms of validity and reliability and may be used for the assessment of migraine in clinical settings.

Learning style preferences of nursing students at two universities in Iran and Malaysia

PubMed Central

Abdollahimohammad, Abdolghani; Ja’afar, Rogayah

2014-01-01

Purpose: Learning style preferences vary within the nursing field and there is no consensus on a predominant learning style preference in nursing students. The current study compared the learning style preferences of nursing students at two universities in Iran and Malaysia. Methods: A purposive sampling method was used to collect data from the two study populations. Data were collected using the Learning Style Scale (LSS), which is a valid and reliable inventory. The LSS consists of 22 items with five subscales including perceptive, solitary, analytic, imaginative, and competitive. The questionnaires were distributed at the end of the academic year during regular class time for optimum response. The Mann-Whitney U-test was used to compare the learning style preferences between the two study populations. Results: A significant difference was found in perceptive, solitary, and analytic learning styles between two groups of nursing students. However, there was no significant difference in imaginative and competitive learning styles between the two groups. Most of the students were in the middle range of the learning styles. Conclusion: There were similarities and differences in learning style preferences between Zabol Medical Sciences University (ZBMU) and University Sains Malaysia (USM) nursing students. The USM nursing students were more sociable and analytic learners, whereas the ZBMU nursing students were more solitary and perceptive learners. PMID:25417864

Knowledge of Good Blood Culture Sampling Practice among Healthcare Staffs in An Emergency Department - Are We Getting It Right?

PubMed

Chew, K S; Mohd Hashairi, F; Jusoh, A F; Aziz, A A; Nik Hisamuddin, N A R; Siti Asma, H

2013-08-01

Although a vital test, blood culture is often plagued with the problem of contamination and false results, especially in a chaotic emergency department setting. The objectives of this pilot study is to find out the level of understanding among healthcare staffs in emergency department, Hospital Universiti Sains Malaysia (HUSM) regarding good blood culture sampling practice. All healthcare staffs in emergency department, HUSM who consented to this study were given a set of selfadministered anonymous questionnaire to fill. More than half (53.1%) of the 64 participants are emergency medicine residents. Majority of them (75%) have been working in the emergency medicine, HUSM for more than 2 years. More than half of them were able to answer correctly the amount of blood volume needed for culture in adult and pediatric patients. When asked what are the factors required to improve the true yield as well as to reduce the risk of culture contamination, the four commonest answers given were observing proper aseptic technique during blood sampling, donning sterile glove, proper hand scrubbing as well as ensuring the sterility of the equipments. This study suggests that there is a lack of proper knowledge of good blood culture sampling practice among our healthcare staffs in emergency department.

Investigation of public exposure resulted from the radioiodine delay tank facility of nuclear medicine department

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

Yusof, Mohd Fahmi Mohd, E-mail: mfahmi@usm.my; Ali, Abdul Muhaimin Mat; Abdullah, Reduan

The study is carried out to assess the exposure rate that could contribute to public exposure in a radioiodine ward delay tank facility of Radiotherapy, Oncology and Nuclear Medicine, Department, Hospital Universiti Sains Malaysia (HUSM). The exposure rate at several locations including the delay tank room, doorway and at the public walking route was measured using Victoreen 415P-RYR survey meter. The radioactive level of the {sup 131}I waste was measured using Captus 3000 well counting system. The results showed that exposure rate and total count of the delay tank sample increased when the radioiodine ward was fully occupied with patientmore » and reduced when the ward was vacant. Occupancy of radioiodine ward for two consecutive weeks had dramatically increased the exposure rate around the delay tank and radioactive level of {sup 131}I waste. The highest exposure rate and radioactive level was recorded when the ward was occupied for two consecutive weeks with 177.00 µR/h and 58.36 kcpm respectively. The exposure rate decreased 15.76 % when the door of the delay tank room was closed. The exposure rate at public walking route decreased between 15.58 % and 36.92 % as the distance increased between 1 and 3 m.« less

Validity and Reliability of the Bahasa Melayu Version of the Migraine Disability Assessment Questionnaire

PubMed Central

Shaik, Munvar Miya; Hassan, Norul Badriah; Bhaskar, Shalini; Gan, Siew Hua

2014-01-01

Background. The study was designed to determine the validity and reliability of the Bahasa Melayu version (MIDAS-M) of the Migraine Disability Assessment (MIDAS) questionnaire. Methods. Patients having migraine for more than six months attending the Neurology Clinic, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia, were recruited. Standard forward and back translation procedures were used to translate and adapt the MIDAS questionnaire to produce the Bahasa Melayu version. The translated Malay version was tested for face and content validity. Validity and reliability testing were further conducted with 100 migraine patients (1st administration) followed by a retesting session 21 days later (2nd administration). Results. A total of 100 patients between 15 and 60 years of age were recruited. The majority of the patients were single (66%) and students (46%). Cronbach's alpha values were 0.84 (1st administration) and 0.80 (2nd administration). The test-retest reliability for the total MIDAS score was 0.73, indicating that the MIDAS-M questionnaire is stable; for the five disability questions, the test-retest values ranged from 0.77 to 0.87. Conclusion. The MIDAS-M questionnaire is comparable with the original English version in terms of validity and reliability and may be used for the assessment of migraine in clinical settings. PMID:25121099

Effects of Sulbutiamine on Diabetic Polyneuropathy: An Open Randomised Controlled Study in Type 2 Diabetics

PubMed Central

Kiew, K.K.; Wan Mohamad, W.B.; Ridzuan, A.; Mafauzy, M.

2002-01-01

Thirty patients with diabetic polyneuropathy were recruited from the diabetic clinic in Hospital Universiti Sains Malaysia from 1996 to 1998. They were randomly assigned either sulbutiamine (Arcalion®) (15 patients) or no treatment (control group; 15 patients). Glycaemic control was assessed by blood glucose and HbA1. Severity of neuropathy was assessed by symptom and sign score, and electrophysiological parameters (nerve conduction velocity and compound muscle action potential) at entry to the study and after 6 weeks. There were improvements in the electrophysiological parameters in the treatment group when compared to the controls with significant improvement in the median nerve conduction velocity (p<0.001), median compound muscle action potential (p<0.001), peroneal nerve conduction velocity (p<0.001), and peroneal compound muscle action potential (p<0.001). No significant improvement in symptom and sign scores were noted between the groups but a significant improvement compared to base line was noted for the sulbutiamine treated group. (p< 0.05). The glycaemic control in both groups was not significantly different at base line and was stable throughout the study. Sulbutiamine objectively improved peripheral nerve function in diabetic polyneuropathy although the symptom score did not improve, possibly due to the short duration of the study. PMID:22969314

Effects of sulbutiamine on diabetic polyneuropathy: an open randomised controlled study in type 2 diabetics.

PubMed

Kiew, K K; Wan Mohamad, W B; Ridzuan, A; Mafauzy, M

2002-01-01

Thirty patients with diabetic polyneuropathy were recruited from the diabetic clinic in Hospital Universiti Sains Malaysia from 1996 to 1998. They were randomly assigned either sulbutiamine (Arcalion(®)) (15 patients) or no treatment (control group; 15 patients). Glycaemic control was assessed by blood glucose and HbA1. Severity of neuropathy was assessed by symptom and sign score, and electrophysiological parameters (nerve conduction velocity and compound muscle action potential) at entry to the study and after 6 weeks. There were improvements in the electrophysiological parameters in the treatment group when compared to the controls with significant improvement in the median nerve conduction velocity (p<0.001), median compound muscle action potential (p<0.001), peroneal nerve conduction velocity (p<0.001), and peroneal compound muscle action potential (p<0.001). No significant improvement in symptom and sign scores were noted between the groups but a significant improvement compared to base line was noted for the sulbutiamine treated group. (p< 0.05). The glycaemic control in both groups was not significantly different at base line and was stable throughout the study. Sulbutiamine objectively improved peripheral nerve function in diabetic polyneuropathy although the symptom score did not improve, possibly due to the short duration of the study.

Modeling water quality effects of structural and operational changes to Scoggins Dam and Henry Hagg Lake, Oregon

USGS Publications Warehouse

Sullivan, Annett B.; Rounds, Stewart A.

2006-01-01

To meet water quality targets and the municipal and industrial water needs of a growing population in the Tualatin River Basin in northwestern Oregon, an expansion of Henry Hagg Lake is under consideration. Hagg Lake is the basin's primary storage reservoir and provides water during western Oregon's typically dry summers. Potential modifications include raising the dam height by 6.1 meters (20 feet), 7.6 meters (25 feet), or 12.2 meters (40 feet); installing additional outlets (possibly including a selective withdrawal tower); and adding additional inflows to provide greater reliability of filling the enlarged reservoir. One method of providing additional inflows is to route water from the upper Tualatin River through a tunnel and into Sain Creek, a tributary to the lake. Another option is to pump water from the Tualatin River (downstream of the lake) uphill and into the reservoir during the winter--the 'pump-back' option. A calibrated CE-QUAL-W2 model of Henry Hagg Lake's hydrodynamics, temperature, and water quality was used to examine the effect of these proposed changes on water quality in the lake and downstream. Most model scenarios were run with the calibrated model for 2002, a typical water year; a few scenarios were run for 2001, a drought year. More...

Study on and the implementation of solar powered street lighting in SEEE, USM

NASA Astrophysics Data System (ADS)

Arshad, M. S.; Ain, M. F.; Ishak, D.; Rahman, A. L. A.; Nazri, A. S.; Abdullah, M. N.; Kaharuddin, S.; Hussin, R.

2017-10-01

Solar Powered Street Lights is a project that can be served to School of Electrical & Electronic Engineering (SEEE), Universiti Sains Malaysia in electricity cost savings by implementing the existing solar Photovoltaic (PV) system used for a green technology of energy efficiency. Due to the electricity of the national grid Tenaga Nasional Berhad (TNB) continue to increases, perhaps this system is able to maximize cost savings for SEEE. Solar energy collected during the day will be converted into electricity to charge the battery. Electricity charged the battery then will be connected and used to power the lights around the SEEE parking area at night. After taking all important aspects into accounts that help to optimize energy saving, this system has been proven to reduce electricity costs. System data such as the power consumption of the load, battery charging rates, and other relevant data is measured. From the measured data, calculations and analysis were performed to determine the actual performance of the system. Proper wiring connections between solar PV systems and light poles grid around the SEEE parking lot have been executed. As a result, the implementation of this system could save as much as RM 462.86 for the cost of monthly electricity bills incurred by the SEEE.

Learning style preferences of nursing students at two universities in Iran and Malaysia.

PubMed

Abdollahimohammad, Abdolghani; Ja'afar, Rogayah

2014-01-01

Learning style preferences vary within the nursing field and there is no consensus on a predominant learning style preference in nursing students. The current study compared the learning style preferences of nursing students at two universities in Iran and Malaysia. A purposive sampling method was used to collect data from the two study populations. Data were collected using the Learning Style Scale (LSS), which is a valid and reliable inventory. The LSS consists of 22 items with five subscales including perceptive, solitary, analytic, imaginative, and competitive. The questionnaires were distributed at the end of the academic year during regular class time for optimum response. The Mann-Whitney U-test was used to compare the learning style preferences between the two study populations. A significant difference was found in perceptive, solitary, and analytic learning styles between two groups of nursing students. However, there was no significant difference in imaginative and competitive learning styles between the two groups. Most of the students were in the middle range of the learning styles. There were similarities and differences in learning style preferences between Zabol Medical Sciences University (ZBMU) and University Sains Malaysia (USM) nursing students. The USM nursing students were more sociable and analytic learners, whereas the ZBMU nursing students were more solitary and perceptive learners.

The variability of lower third molar development in Northeast Malaysian population with application to age estimation.

PubMed

Johan, N A; Khamis, M F; Abdul Jamal, N Sk; Ahmad, B; Mahanani, E S

2012-07-01

This study aimed to assess the variability of the lower third molar (tooth 38 and 48) development in Northeast Malaysian population with respect to the side of dentition, to generate age prediction models and to compare the outcome with other studies. A total of 1080 orthopantomograms of Northeast Malaysian population aged between 14 and 25 years (540 males and 540 females) from the Hospital Universiti Sains Malaysia's archive which met the inclusion and exclusion criteria were selected and the maturity stages of tooth 38 and 48 were scored using Demirjian's stages (A-H). The findings showed a wide variation of the development of lower third molars in the Northeast Malaysian population. The roots developed earlier in males than in females. The development of the dentition on opposite sides of the mandible was synchronously in females and males. A multiple regression analysis shows that 71.1% of variance in age was explained by sex and developmental stage of tooth 48. An age prediction model was generated from the regression analysis: [Age = 7.117 + 1.907*(stage of tooth 48) - 0.432*(sex)] with mean prediction errors between -0.17 to 3.14 years. The obtained data in the current study are useful for references and determining age of unidentified human remains for identification investigation.

Cateteres venosos centrais de inserção periférica: alternativa ou primeira escolha em acesso vascular?

PubMed Central

Di Santo, Marcelo Kalil; Takemoto, Diogo; Nascimento, Robert Guimarães; Nascimento, Ariele Milano; Siqueira, Érika; Duarte, Caio Túlio; Jovino, Marco Antônio Caldas; Kalil, Jorge Agle

2017-01-01

Resumo Contexto Os cateteres venosos centrais de inserção periférica (PICC) são dispositivos intravenosos, introduzidos através de uma veia superficial ou profunda da extremidade superior ou inferior até o terço distal da veia cava superior ou proximal da veia cava inferior. Apresentam maior segurança para infusão de soluções vesicantes/irritantes e hiperosmolares, antibioticoterapia, nutrição parenteral prolongada (NPT) e uso de quimioterápicos; demonstram reduzido risco de infecção em comparação a outros cateteres vasculares e maior relação custo/benefício se comparados ao cateter venoso de inserção central (CVCIC). Objetivos Apresentar os resultados de implantes de PICCs ecoguiados e posicionados por fluoroscopia realizados no Hospital e Maternidade São Luiz (HMSL) Itaim, Rede D’or, Brasil. Métodos Estudo prospectivo, não randomizado, realizado entre fevereiro de 2015 e novembro de 2016. Utilizou-se protocolo pré-estabelecido pela instituição em casos de solicitação de acesso vascular. Foram analisadas indicações, doenças prevalentes, tipo do cateter implantado, sucesso técnico, complicações relacionadas ao cateter, e estabelecidos critérios de inclusão e exclusão. Resultados Solicitados 256 acessos vasculares, sendo implantados 236 PICCs (92,1%) e 20 CVCICs (7,9%). Principais indicações: antibioticoterapia prolongada (52,0%), NPT (19,3%) e acesso venoso difícil (16,0%). Houve sucesso técnico em 246 cateteres implantados (96,1%). A veia basílica direita foi a principal veia puncionada em 192 pacientes (75,0%), seguida da braquial direita em 28 pacientes (10,9%). Conclusões O implante dos PICCs ecoguiados e posicionados por fluoroscopia demonstrou baixa incidência de complicações, reduzidos índices de infecção e é seguro e eficaz em casos de acessos vasculares difíceis, sendo esses cateteres considerados dispositivos de escolha em acesso vascular central.

Interstrain variation in cardiac and respiratory adaptation to repeated ozone and particulate matter exposures.

PubMed

Hamade, Ali K; Tankersley, Clarke G

2009-04-01

Increased ambient particulate matter (PM) is associated with adverse cardiovascular and respiratory outcomes, as demonstrated by epidemiology studies. Several studies have investigated the role of copollutants, such as ozone (O(3)), in this association. It is accepted that physiological adaptation involving the respiratory system occurs with repeated exposures to O(3). We hypothesize that adaptation to PM and O(3) varies among different inbred mouse strains, and cardiopulmonary adaptation to O(3) is a synchronized response between the cardiac and respiratory systems. Heart rate (HR), HR variability (HRV), and the magnitude and pattern of breathing were simultaneously measured by implanted telemeters and by plethysmography in three inbred mouse strains: C57Bl/6J (B6), C3H/HeJ (HeJ), and C3H/HeOuJ (OuJ). Physiological responses were assessed during dual exposures to filtered air (FA), O(3) (576 +/- 32 parts/billion), and/or carbon black (CB; 556 +/- 34 mug/m(3)). Exposures were repeated for 3 consecutive days. While each strain showed significant reductions in HR during CB with O(3) preexposure (O(3)CB) on day 1, prominent HRV responses were observed in only HeJ and OuJ mice. Each strain also differed in their adaptation profile in response to repeated O(3)CB exposures. Whereas B6 mice showed rapid adaptation in HR after day 1, HeJ mice generally showed more moderate HR and HRV adaptation after day 2 of exposure. Unlike either B6 or HeJ strains, OuJ mice showed little evidence of HR or HRV adaptation to repeated O(3)CB exposure. Adaptation profiles between HR regulation and breathing characteristics were strongly correlated, but these associations also varied significantly among strains. These findings suggest that genetic factors determine the responsivity and adaptation of the cardiac and respiratory systems to repeated copollutant exposures. During O(3)CB exposure, adaptation of cardiac and respiratory systems is markedly synchronized, which may explain a potential mechanism for adverse effects of PM on heart function.

Spectroscopie du Furanne et du Thiophene Par Diffusion Inelastique D'electrons

NASA Astrophysics Data System (ADS)

Lotfi, Said

Nous avons etudie les molecules de furanne ( rm C_4H_4O) et de thiophene (rm C_4H_4O) au moyen de la spectroscopie de diffusion inelastique d'electrons. Pour (rm C_4H_4O), les spectres realises dans differentes conditions d'energie d'impact et d'angle de diffusion contiennent des singularites ou des families de pics correspondant a: (1) des vibrations de l'etat fondamental dans le domaine 0-0.5 eV, (2) des etats triplets ^3 B_1 et ^3 A_1 qui dominent la region 3-5.5 eV, (3) des etats de valences, entre 5 et 10 eV, dont certains son accompagnes de progressions vibrationnelles, soit ~ A _1B_2, ~ B ^1A_1 et ~ C ^1A_1, (4) toujours entre 5 et 10 eV, deux series de Ryhdberg (rm 1a_2to nda_2 et rm 1a_2to npb_2) qui convergent vers la premiere limite d'ionisation de la molecule, avec une progression vibrationnelle associee au mdoe nu_4 pour la seconde, et une troisieme serie (rm 2b_1to nsa_1 ) convergent vers la seconde limite d'ionisation accompagnee de la progression de mode nu _1. Pour rm C_4H_4S, nos spectres presentent les memes etats de vibration et les memes etats triplets que pour rm C_4H _4O. Nous avons releve egalement, dans la region de 5 a 10 eV, des etats de valence ~ A ^1A_1 (ou ~ A ^1B_2), ~ B ^1A_1 (ou ~ B ^1B _2) et ~ C ^1A_1 (ou ~ C ^1B_2). Pour la premiere fois, par la spectroscopie de diffusion inelastique d'electrons, de nombreux pics ont ete identifies et attribues, dans le cadre de ce travail. Il s'agit, notamment, des etats de vibration de l'etat electronique fondamental de ces molecules et egalement de certains etats de Rydberg dans le cas du furanne.

La prévention et le traitement des infections bactériennes chez les enfants aspléniques ou hypospléniques

PubMed Central

1999-01-01

L’asplénie, qu’elle soit fonctionnelle ou anatomique, s’associe à un accroissement du risque d’infection potentiellement fatale ou constituant un danger de septicémie postsplénectomie (SPS). En raison du risque accru de bactériémie par des bactéries encapsulées chez les enfants aspléniques, la vaccination visant à prévenir une infection au Streptococcus pneumoniae, à l’Haemophilus influenzae de type b (Hib) et au Neiserria meningitidis est recommandée. Malgré la prévalence croissante de S pneumoniae pénicillinorésistant, on recommande aussi l’usage de pénicilline prophylactique chez les enfants aspléniques de moins de cinq ans, et pendant au moins un an après une splénectomie. La poursuite de la prophylaxie antibiotique après cette période dépend de la situation clinique de chaque enfant et de la prévalence de S pneumoniae pénicillinorésistant au sein de la collectivité. Lorsque des enfants aspléniques font de la fièvre ou présentent des symptômes non spécifiques, ils devraient faire l’objet d’une évaluation immédiate. Si on présume la présence de septicémie bactérienne, il faut procéder à une analyse du sang et des autres liquides organiques pertinents et entreprendre sur-le-champ une antibiothérapie à large spectre par voie parentérale, laquelle doit agir également contre les souches de S pneumoniae présentes dans la collectivité. Chez les enfants aspléniques souffrant d’une septicémie foudroyante à S pneumoniae, le taux de mortalité est élevé, malgré l’utilisation rapide d’une antibiothérapie convenable, d’où l’importance des mesures préventives.

On Ensino de Astronomia nas Cidades de Ribeirão Pires e Rio Grande da Serra

NASA Astrophysics Data System (ADS)

Faria, R. Z.; Voelzke, M. R.

2007-08-01

Apesar da astronomia ser um dos temas indicados pelos Parâmetros Curriculares Nacionais, observa-se que poucas mudanças ocorreram desde a implementação do mesmo em sala de aula. A presente pesquisa diz respeito sobre como os tópicos de astronomia estão sendo abordados pelos professores no ensino médio. Optou-se por aplicar um questionário com os professores que ministram a disciplina de física. Os mesmos trabalham em escolas estaduais situadas nas cidades de Ribeirão Pires e Rio Grande da Serra, ambas subordinadas a Diretoria de Ensino de Mauá, no Estado de São Paulo. O questionário foi aplicado durante o 2° semestre de 2006. Até o momento os resultados são preliminares. Dos 82,0% dos professores que responderam ao questionário no município de Rio Grande da Serra, 66,7% não aplicaram nenhum tópico de astronomia, 77,8% não utilizaram qualquer tipo de programa computacional, 66,7% não utilizaram laboratório, que 77,8% nunca levaram os alunos a museus e ou planetários e que 66,7% não indicaram qualquer tipo de revista ou livro sobre astronomia aos seus alunos. No município de Ribeirão Pires, 53,3% dos professores responderam ao questionário, destes 75,0% não aplicaram nenhum tópico de astronomia, 93,8% não utilizaram qualquer tipo de programa computacional, 75,0% não utilizaram laboratório, 81,3% nunca levaram os alunos a museus e ou planetário e 56,3% não indicaram qualquer tipo de revista ou livro sobre astronomia ao seus alunos. Apesar da maioria dos professores reconhecerem que o conteúdo de astronomia influi na formação do jovem, os mesmos não incluem o tema em seus planejamentos escolares.

Interstrain variation in cardiac and respiratory adaptation to repeated ozone and particulate matter exposures

PubMed Central

Hamade, Ali K.; Tankersley, Clarke G.

2009-01-01

Increased ambient particulate matter (PM) is associated with adverse cardiovascular and respiratory outcomes, as demonstrated by epidemiology studies. Several studies have investigated the role of copollutants, such as ozone (O3), in this association. It is accepted that physiological adaptation involving the respiratory system occurs with repeated exposures to O3. We hypothesize that adaptation to PM and O3 varies among different inbred mouse strains, and cardiopulmonary adaptation to O3 is a synchronized response between the cardiac and respiratory systems. Heart rate (HR), HR variability (HRV), and the magnitude and pattern of breathing were simultaneously measured by implanted telemeters and by plethysmography in three inbred mouse strains: C57Bl/6J (B6), C3H/HeJ (HeJ), and C3H/HeOuJ (OuJ). Physiological responses were assessed during dual exposures to filtered air (FA), O3 (576 ± 32 parts/billion), and/or carbon black (CB; 556 ± 34 μg/m3). Exposures were repeated for 3 consecutive days. While each strain showed significant reductions in HR during CB with O3 preexposure (O3CB) on day 1, prominent HRV responses were observed in only HeJ and OuJ mice. Each strain also differed in their adaptation profile in response to repeated O3CB exposures. Whereas B6 mice showed rapid adaptation in HR after day 1, HeJ mice generally showed more moderate HR and HRV adaptation after day 2 of exposure. Unlike either B6 or HeJ strains, OuJ mice showed little evidence of HR or HRV adaptation to repeated O3CB exposure. Adaptation profiles between HR regulation and breathing characteristics were strongly correlated, but these associations also varied significantly among strains. These findings suggest that genetic factors determine the responsivity and adaptation of the cardiac and respiratory systems to repeated copollutant exposures. During O3CB exposure, adaptation of cardiac and respiratory systems is markedly synchronized, which may explain a potential mechanism for adverse effects of PM on heart function. PMID:19158411

La pelade par plaques

PubMed Central

Spano, Frank; Donovan, Jeff C.

2015-01-01

Résumé Objectif Présenter aux médecins de famille des renseignements de base pour faire comprendre l’épidémiologie, la pathogenèse, l’histologie et l’approche clinique au diagnostic de la pelade par plaques. Sources des données Une recension a été effectuée dans PubMed pour trouver des articles pertinents concernant la pathogenèse, le diagnostic et le pronostic de la pelade par plaques. Message principal La pelade par plaques est une forme de perte pileuse auto-immune dont la prévalence durant une vie est d’environ 2 %. Des antécédents personnels ou familiaux de troubles auto-immuns concomitants, comme le vitiligo ou une maladie de la thyroïde, peuvent être observés dans un petit sous-groupe de patients. Le diagnostic peut souvent être posé de manière clinique en se fondant sur la perte de cheveux non cicatricielle et circulaire caractéristique, accompagnée de cheveux en « point d’exclamation » en périphérie chez ceux dont le problème en est aux premiers stades. Le diagnostic des cas plus complexes ou des présentations inhabituelles peut être facilité par une biopsie et un examen histologique. Le pronostic varie largement et de mauvais résultats sont associés à une apparition à un âge précoce, une perte importante, la variante ophiasis, des changements aux ongles, des antécédents familiaux ou des troubles auto-immuns concomitants. Conclusion La pelade par plaques est une forme auto-immune de perte de cheveux périodiquement observée en soins primaires. Les médecins de famille sont bien placés pour identifier la pelade par plaques, déterminer la gravité de la maladie et poser le diagnostic différentiel approprié. De plus, ils sont en mesure de renseigner leurs patients à propos de l’évolution clinique de la maladie ainsi que du pronostic général selon le sous-type de patients.

Automobile Crash Sensor Signal Processor

DOT National Transportation Integrated Search

1973-11-01

The crash sensor signal processor described interfaces between an automobile-installed doppler radar and an air bag activating solenoid or equivalent electromechanical device. The processor utilizes both digital and analog techniques to produce an ou...

Hong-Ou-Mandel Interference with a Single Atom.

PubMed

Ralley, K A; Lerner, I V; Yurkevich, I V

2015-09-14

The Hong-Ou-Mandel (HOM) effect is widely regarded as the quintessential quantum interference phenomenon in optics. In this work we examine how nonlinearity can smear statistical photon bunching in the HOM interferometer. We model both the nonlinearity and a balanced beam splitter with a single two-level system and calculate a finite probability of anti-bunching arising in this geometry. We thus argue that the presence of such nonlinearity would reduce the visibility in the standard HOM setup, offering some explanation for the diminution of the HOM visibility observed in many experiments. We use the same model to show that the nonlinearity affects a resonant two-photon propagation through a two-level impurity in a waveguide due to a "weak photon blockade" caused by the impossibility of double-occupancy and argue that this effect might be stronger for multi-photon propagation.

Simple circular odor chart for characterization of trace amounts of odorants discharged from thirteen odor sources

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

Hoshika, Y.; Nihei, Y.; Muto, G.

1981-04-01

A simple circular odor chart is proposed for the explanation of the relationship between sensory responses (to odor quality and intensity) to odors and chemical analysis data of the odorants responsible for each odor discharged from thirteen odor sources. The odorants were classified into eight odorant groups and were analyzed by a systematic gas chromatographic (GC) technique. The characterization of the trace amounts of the odorants was carried out by using the values of a new proposed unit (pOU) based on the ratio of detected concentration to recognition threshold value. The calculated pOU values of the eight groups were plottedmore » in circular charts. It was found that the shape and size of each circular odor chart represent the quality and the intensity of each odor.« less

Formes hémorragiques graves de la fièvre de la vallée du Rift: à propos de 5 cas

PubMed Central

Salem, Mohamed Lemine Ould; Baba, Sidi El Wafi Ould; Fall-Malick, Fatimetou Zahra; Boushab, Boushab Mohamed; Ghaber, Sidi Mohamed; Mokhtar, Abdelwedoud

2016-01-01

La fièvre de la vallée du Rift (FVR) est une arbovirose due à un virus à ARN appartenant à la famille de Bunyaviridae (genre phlebovirus). C'est une zoonose touchant principalement les animaux mais pouvant aussi contaminer l'homme, soit directement par la manipulation des viandes ou avortons d'animaux malades ou indirectement par la piqure de moustiques infectées (Aèdes sp, anophèles sp, Culex sp). Dans la majorité des cas, l'infection humaine à FVR est asymptomatique, mais elle peut également se manifester par un syndrome fébrile modérée d’évolution favorable. Néanmoins, certains patients peuvent développer un syndrome hémorragique et/ou des lésions neurologiques d’évolution mortelle. Nous décrivons l’évolution de cinq cas de patients atteints de la FVR, admis dans le service de médecine interne du Centre Hospitalier National de Nouakchott (Mauritanie), le mois d'Octobre 2015 et présentant tous, un syndrome hémorragique dans un contexte fébrile. L’évolution n’était favorable que pour 2 des cinq patients. Les 3 autres sont décédés, deux dans un tableau de choc hémorragique et dans un état de choc septique. PMID:27642413

Récidive après dix ans de tumeur de granulosa de l’ovaire: à propos de deux cas et revue de la littérature

PubMed Central

Majdoul, Soufya; Tawfiq, Nezha; Bourhaleb, Zouhour; Naqos, Nora; Taleb, Amina; Bouchbika, Zineb; Benchakroun, Nadia; Jouhadi, Hassan; Sahraoui, Souha; Benider, Abdelatif

2016-01-01

Les tumeurs à cellules de la granulosa (TG) de l’ovaire sont des tumeurs rares appartenant au groupe des tumeurs des cordons sexuels et du stroma. Elles représentent 0,6 à 3 % de l’ensemble des tumeurs de l’ovaire et 5 % des tumeurs malignes On distingue deux types: le type juvénile (TGJ) qui se caractérise par son agressivité et le type adulte (TGA) qui est le type le moins agressif et le plus fréquent. Les rechutes de TG de l'ovaire surviennent généralement dans les cinq ans, elles sont rarement sous forme de métastases péritonéales ou locales. Bien que, des options de traitement y compris la chirurgie avec ou sans chimiothérapie et ou radiothérapie ont été rapportés pour le traitement des récidives des TG, il n'y a aucune prise en charge standardisée de récidive de cette maladie. Ici, nous rapportons notre stratégie thérapeutique dans la prise en charge des récidives tardives, après dix ans, de la TG sous forme de carcinose péritonéale pour deux patientes avec une revue de la littérature. PMID:28154722

Total petroleum systems of the Trias/Ghadames Province, Algeria, Tunisia, and Libya; the Tanezzuft-Oued Mya, Tanezzuft-Melrhir, and Tanezzuft-Ghadames

USGS Publications Warehouse

Klett, T.R.

2000-01-01

Undiscovered conventional oil and gas resources were assessed within total petroleum systems of the Trias/Ghadames Province (2054) as part of the U.S. Geological Survey World Petroleum Assessment 2000. The Trias/Ghadames Province is in eastern Algeria, southern Tunisia, and westernmost Libya. The province and its total petroleum systems generally coincide with the Triassic Basin. The province includes the Oued Mya Basin, Melrhir Basin, and Ghadames (Berkine) Basin. Although several total petroleum systems may exist within each of these basins, only three “composite” total petroleum systems were identified. Each total petroleum system occurs in a separate basin, and each comprises a single assessment unit.The main source rocks are the Silurian Tanezzuft Formation (or lateral equivalents) and Middle to Upper Devonian mudstone. Maturation history and the major migration pathways from source to reservoir are unique to each basin. The total petroleum systems were named after the oldest major source rock and the basin in which it resides.The estimated means of the undiscovered conventional petroleum volumes in total petroleum systems of the Trias/Ghadames Province are as follows [MMBO, million barrels of oil; BCFG, billion cubic feet of gas; MMBNGL, million barrels of natural gas liquids]:Tanezzuft-Oued Mya 830 MMBO 2,341 BCFG 110 MMBNGLTanezzuft-Melrhir 1,875 MMBO 4,887 BCFG 269 MMBNGLTanezzuft-Ghadames 4,461 MMBO 12,035 BCFG 908 MMBNGL

La dysplasie fibreuse: état des lieux

PubMed Central

Akasbi, Nessrine; Abourazzak, Fatima Ezzahra; Talbi, Sofia; Tahiri, Latifa; Harzy, Taoufik

2015-01-01

La dysplasie fibreuse des os est une affection osseuse bénigne congénitale mais non héréditaire, où l'os normal est remplacé par un tissu fibreux renfermant une ostéogenèse immature. Elle est due à une mutation du gène GNAS 1sur le chromosome 20q13, une mutation activatrice de la sous-unité α de la protéine G. C'est une pathologie qui est le plus souvent silencieuse, de découverte fortuite sur une radiographie standard ou révélée par une douleur osseuse ou une fracture pathologique. L'imagerie et l'histologie, quand elle est nécessaire, permettent d’établir le diagnostic. Bien qu'il ne s'agisse pas d'une tumeur, elle est souvent classée dans la catégorie des tumeurs osseuses bénignes pour des raisons de diagnostic différentiel radiographique et anatomopathologique. Elle peut être monostotique ou polyostotique. L'approche thérapeutique est essentiellement symptomatique. Quelques publications récentes ont suggéré l'intérêt majeur d'un bisphosphonate, en particulier le pamidronate, qui diminuerait les douleurs et stimulerait une reminéralisation progressive des zones ostéolytiques chez les patients traités. D'autres traitements tels que la thérapie ciblée sont en cours d’évaluation. PMID:26401215

Feline dry eye syndrome of presumed neurogenic origin: a case report.

PubMed

Sebbag, Lionel; Pesavento, Patricia A; Carrasco, Sebastian E; Reilly, Christopher M; Maggs, David J

2018-01-01

A 14-year-old female spayed Abyssinian cat, which about 1 year previously underwent thoracic limb amputation, radiotherapy and chemotherapy for an incompletely excised vaccine-related fibrosarcoma, was presented for evaluation of corneal opacity in the left eye (OS). The ocular surface of both eyes (OU) had a lackluster appearance and there was a stromal corneal ulcer OS. Results of corneal aesthesiometry, Schirmer tear test-1 (STT-1) and tear film breakup time revealed corneal hypoesthesia, and quantitative and qualitative tear film deficiency OU. Noxious olfactory stimulation caused increased lacrimation relative to standard STT-1 values suggesting an intact nasolacrimal reflex. Various lacrimostimulants were administered in succession; namely, 1% pilocarpine administered topically (15 days) or orally (19 days), and topically applied 0.03% tacrolimus (47 days). Pilocarpine, especially when given orally, was associated with notable increases in STT-1 values, but corneal ulceration remained/recurred regardless of administration route, and oral pilocarpine resulted in gastrointestinal upset. Tacrolimus was not effective. After 93 days, the cat became weak and lame and a low thyroxine concentration was detected in serum. The cat was euthanized and a necropsy performed. Both lacrimal glands were histologically normal, but chronic neutrophilic keratitis and reduced conjunctival goblet cell density were noted OU. The final diagnosis was dry eye syndrome (DES) of presumed neurogenic origin, associated with corneal hypoesthesia. This report reinforces the importance of conducting tearfilm testing in cats with ocular surface disease, as clinical signs of DES were different from those described in dogs.

A distinctive dual-channel quorum-sensing system operates in Vibrio anguillarum.

PubMed

Croxatto, Antony; Pride, John; Hardman, Andrea; Williams, Paul; Cámara, Miguel; Milton, Debra L

2004-06-01

Many bacterial cells communicate using diffusible signal molecules to monitor cell population density via a process termed quorum sensing. In marine Vibrio species, the Vibrio harveyi-type LuxR protein is a key player in a quorum-sensing phosphorelay cascade, which controls the expression of virulence, symbiotic and survival genes. Previously, we characterized Vibrio anguillarum homologues of LuxR (VanT) and LuxMN (VanMN) and, in this study, we have identified homologues of LuxPQ (VanPQ) and LuxOU (VanOU). In contrast to other Vibrio species, vanT was expressed at low cell density and showed no significant induction as the cell number increased. In addition, although the loss of VanO increased vanT expression, the loss of VanU, unexpectedly, decreased it. Both VanN and VanQ were required for repression of vanT even in a vanU mutant, suggesting an alternative route for VanNQ signal transduction other than via VanU. VanT negatively regulated its own expression by binding and repressing the vanT promoter and by binding and activating the vanOU promoter. The signal relay results in a cellular response as expression of the metalloprotease, empA, was altered similar to that of vanT in all the mutants. Consequently, the V. anguillarum quorum-sensing phosphorelay systems work differently from those of V. harveyi and may be used to limit rather than induce vanT expression.

Water quality assessment of highly polluted rivers in a semi-arid Mediterranean zone Oued Fez and Sebou River (Morocco)

NASA Astrophysics Data System (ADS)

Perrin, J. L.; Raïs, N.; Chahinian, N.; Moulin, P.; Ijjaali, M.

2014-03-01

Oued Fez (one of the Sebou River tributaries - Morocco) allowed us to study and quantify the effect of the lack of wastewater treatment on surface water quality in semi-arid hydrological context. The analysis is based on field data collected from June 2009 to December 2011. Concentration and load patterns of nitrogen, phosphorus and chromium (used in the processing of leather) are compared in stable hydrological conditions during low flow and high flow periods in an eight-location sampling network. The Oued Fez and the Sebou River are characterised by severe pollution downstream from the city of Fez, particularly TN (mainly NH4 and Norg), TP (mainly Ppart) and TCr. The most polluted sites are those directly under the influence of domestic and industrial waste water inputs, particularly tannery effluents. Obviously, the concentrations measured at these locations are above all environmental quality standards. Pollutant loads are very heavy in the Sebou River and can contaminate the river course for kilometres. Moreover, as the water of the Sebou River is used for the irrigation of vegetables, serious problems of public health could arise. A better understanding of contaminant dynamics and self-purifying processes in these rivers will help implement actions and steps aimed at improving water quality in the Sebou River, which is the primary water supply source in Morocco and is used for agricultural and industrials purposes as well as for drinking water.

REMEDIAL INVESTIGATION REPORT FOR THE 200-CW-5 U POND & Z DITCHES & 200-CW-2 S POND & 200-SCW-R T POND & 200-SC-1 STEAM CONDENSATE GROUP OU

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

BAUER, R.G.

2004-08-05

The purpose of this remedial investigation (RI) report is to evaluate the data generated during the RI and other characterization activities at the 200-CW-5 Operable Unit (OU) to (1) determine if sufficient data have been collected to support risk assessment and remedial decision making, (2) estimate risk at the representative sites based on data collected during the RI and on other existing data, (3) determine the need to proceed with a feasibility study (FS), and (4) determine which constituents and site-specific considerations need to be addressed in the FS. This RI report also provides data to support the evaluation ofmore » alternatives in the FS with regard to meeting potential applicable or relevant and appropriate requirements, risk reduction, and potentially significant data gaps (if any). This RI report includes an evaluation of the baseline risk using characterization data generated during the RI and significant data from other investigations (e.g., historical data from the 216-U-10 Pond and the 216-Z-1D, 216-Z-11, 216-U-14, and 216-Z-19 Ditches). Data generated during the RI will support the closeout of waste sites in the 200-CW-5 OU, as well as the waste sites in the 200-CW-2,200-CW-4, and 200-SC-1 consolidated OUs.« less

Analysis of Aquifer Response, Groundwater Flow, and PlumeEvolution at Site OU 1, Former Fort Ord, California

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

Jordan, Preston D.; Oldenburg, Curtis M.; Su, Grace W.

2005-02-24

This report presents a continuation from Oldenburg et al. (2002) of analysis of the hydrogeology, In-Situ Permeable Flow Sensor (ISPFS) results, aquifer response, and changes in the trichloroethylene (TCE) groundwater plume at Operational Unit 1 (OU 1) adjacent to the former Fritzsche Army Airfield at the former Fort Ord Army Base, located on Monterey Bay in northern Monterey County. Fuels and solvents were burned on a portion of OU 1 called the Fire Drill Area (FDA) during airport fire suppression training between 1962 and 1985. This activity resulted in soil and groundwater contamination in the unconfined A-aquifer. In the latemore » 1980's, soil excavation and bioremediation were successful in remediating soil contamination at the site. Shortly thereafter, a groundwater pump, treat, and recharge system commenced operation. This system has been largely successful at remediating groundwater contamination at the head of the groundwater plume. However, a trichloroethylene (TCE) groundwater plume extends approximately 3000 ft (900 m) to the northwest away from the FDA. In the analyses presented here, we augment our prior work (Oldenburg et al., 2002) with new information including treatment-system totalizer data, recent water-level and chemistry data, and data collected from new wells to discern trends in contaminant migration and groundwater flow that may be useful for ongoing remediation efforts. Some conclusions from the prior study have been modified based on these new analyses, and these are pointed out clearly in this report.« less

Ground-water hydrology and simulation of ground-water flow at Operable Unit 3 and surrounding region, U.S. Naval Air Station, Jacksonville, Florida

USGS Publications Warehouse

Davis, J.H.

1998-01-01

The Naval Air Station, Jacksonville (herein referred to as the Station), occupies 3,800 acres adjacent to the St. Johns River in Duval County, Florida. Operable Unit 3 (OU3) occupies 134 acres on the eastern side of the Station and has been used for industrial and commercial purposes since World War II. Ground water contaminated by chlorinated organic compounds has been detected in the surficial aquifer at OU3. The U.S. Navy and U.S. Geological Survey (USGS) conducted a cooperative hydrologic study to evaluate the potential for ground water discharge to the neighboring St. Johns River. A ground-water flow model, previously developed for the area, was recalibrated for use in this study. At the Station, the surficial aquifer is exposed at land surface and forms the uppermost permeable unit. The aquifer ranges in thickness from 30 to 100 feet and consists of unconsolidated silty sands interbedded with local beds of clay. The low-permeability clays of the Hawthorn Group form the base of the aquifer. The USGS previously conducted a ground-water investigation at the Station that included the development and calibration of a 1-layer regional ground-water flow model. For this investigation, the regional model was recalibrated using additional data collected after the original calibration. The recalibrated model was then used to establish the boundaries for a smaller subregional model roughly centered on OU3. Within the subregional model, the surficial aquifer is composed of distinct upper and intermediate layers. The upper layer extends from land surface to a depth of approximately 15 feet below sea level; the intermediate layer extends from the upper layer down to the top of the Hawthorn Group. In the northern and central parts of OU3, the upper and intermediate layers are separated by a low-permeability clay layer. Horizontal hydraulic conductivities in the upper layer, determined from aquifer tests, range from 0.19 to 3.8 feet per day. The horizontal hydraulic conductivity in the intermediate layer, determined from one aquifer test, is 20 feet per day. An extensive stormwater drainage system is present at OU3 and the surrounding area. Some of the stormwater drains have been documented to be draining ground water from the upper layer of the surficial aquifer, whereas other drains are only suspected to be draining ground water. The subregional model contained 78 rows and 148 columns of square model cells that were 100 feet on each side. Vertically, the surficial aquifer was divided into two layers; layer 1 represented the upper layer and layer 2 represented the intermediate layer. Steady-state ground-water flow conditions were assumed. The model was calibrated to head data collected on October 29 and 30, 1996. After calibration, the model matched all 67 measured heads to within the calibration criterion of 1 foot; and 48 of 67 simulated heads (72 percent) were within 0.5 foot. Model simulated recharge rates ranged from 0.4 inch per year in areas that were largely paved to 13.0 inches per year in irrigated areas. Simulated hydraulic conductivities in the upper layer at OU3 ranged from 0.5 foot per day in the north to 1.0 foot per day in the south. Simulated vertical leakance between the upper and intermediate layers ranged from 1.0x10-6 per day in an area with low-permeability clays to 4.3x10-2 per day in an area that had been dredged. Simulated transmissivities in the intermediate layer ranged from 25 feet squared per day in an area of low-permeability channel-fill deposits to a high of 1,200 feet squared per day in areas covering most of OU3. Simulated riverbed conductances ranged from 4 to 60 feet squared per day and simulated bottom conductances of leaking stormwater drains ranged from 5 to 20 feet squared per day. The direction and velocity of ground-water flow was determined using particle-tracking techniques. Ground-water flow in the upper layer was generally eastward toward the St. Johns River. However, leaking stormwat

Infant mortality by color or race from Rondônia, Brazilian Amazon.

PubMed

Gava, Caroline; Cardoso, Andrey Moreira; Basta, Paulo Cesar

2017-04-10

To analyze the quality of records for live births and infant deaths and to estimate the infant mortality rate for skin color or race, in order to explore possible racial inequalities in health. Descriptive study that analyzed the quality of records of the Live Births Information System and Mortality Information System in Rondônia, Brazilian Amazonian, between 2006-2009. The infant mortality rates were estimated for skin color or race with the direct method and corrected by: (1) proportional distribution of deaths with missing data related to skin color or race; and (2) application of correction factors. We also calculated proportional mortality by causes and age groups. The capture of live births and deaths improved in relation to 2006-2007, which required lower correction factors to estimate infant mortality rate. The risk of death of indigenous infant (31.3/1,000 live births) was higher than that noted for the other skin color or race groups, exceeding by 60% the infant mortality rate in Rondônia (19.9/1,000 live births). Black children had the highest neonatal infant mortality rate, while the indigenous had the highest post-neonatal infant mortality rate. Among the indigenous deaths, 15.2% were due to ill-defined causes, while the other groups did not exceed 5.4%. The proportional infant mortality due to infectious and parasitic diseases was higher among indigenous children (12.1%), while among black children it occurred due to external causes (8.7%). Expressive inequalities in infant mortality were noted between skin color or race categories, more unfavorable for indigenous infants. Correction factors proposed in the literature lack to consider differences in underreporting of deaths for skin color or race. The specific correction among the color or race categories would likely result in exacerbation of the observed inequalities. Analisar a qualidade dos registros de nascidos vivos e de óbitos infantis e estimar a taxa de mortalidade infantil segundo cor ou raça, a fim de explorar iniquidades étnico-raciais em saúde. Estudo descritivo que analisou a qualidade dos registros do Sistema de Informações sobre Nascidos Vivos e do Sistema de Informações sobre Mortalidade em Rondônia, Amazônia brasileira, entre 2006-2009. As taxas de mortalidade infantil foram estimadas nas categorias de cor ou raça, pelo método direto, e corrigidas por: (1) distribuição proporcional dos óbitos com cor ou raça ignorada; e (2) aplicação de fatores de correção. Efetuou-se também o cálculo da mortalidade proporcional por causas e grupos etários. Entre 2008-2009, a captação de nascimentos e óbitos melhorou em relação aos anos de 2006-2007, requerendo fatores de correção menores para estimar a taxa de mortalidade infantil. O risco de morte de crianças indígenas (31,3/1.000 nascidos vivos) foi maior que o registrado nos demais grupos de cor ou raça, excedendo em 60% a mortalidade infantil média no estado (19,9/1.000 nascidos vivos). As crianças pretas apresentaram as maiores taxas de mortalidade infantil neonatal, enquanto as indígenas apresentaram as maiores taxas de mortalidade infantil pós-neonatal. Observou-se que 15,2% dos óbitos indígenas foram por causas mal definidas, enquanto nos demais grupos não ultrapassaram 5,4%. A mortalidade infantil proporcional por doenças infecciosas e parasitárias foi maior entre indígenas, ao passo que entre crianças pretas, sobressaíram as causas externas (8,7%). Observaram-se expressivas iniquidades na mortalidade infantil entre as categorias de cor ou raça, com situação mais desfavorável às crianças indígenas. Os fatores de correção propostos na literatura não consideram diferenças na subenumeração de óbitos entre as categorias de cor ou raça. A correção específica entre as categorias de cor ou raça provavelmente resultaria em exacerbação das iniquidades observadas.

At Risk for Kidney Disease?

MedlinePlus

... in Adults Preventing CKD What If My Kidneys Fail? Clinical Trials Anemia High Blood Pressure Pour les personnes atteintes de diabète ou d’hypertension artérielle Heart Disease Mineral & Bone Disorder Causes of Chronic Kidney ...

International Airline Quality Measurement

DOT National Transportation Integrated Search

1998-01-01

Historically, airline quality has been measured through the use of surveys that ask the consumers to make a comparison between expectations and outcomes. This method was informative but very cumbersome in a rapidly changing environment. This paper ou...

Le bilingue, surhomme ou infirme? (The Bilingual, Superman or Cripple?)

ERIC Educational Resources Information Center

Tournier, Michel

1975-01-01

Discusses good translation techniques, "true bilingualism," and the effect of bilingualism on cognitive development. (Text is in French.) Available from Lloyds Bank Chambers, 91 Newington Causeway, London SE1 6BN, England. (AM)

Interventions et techniques de diagnostic prénatal visant l'obtention d'un prélèvement fœtal à des fins diagnostiques : Risques et avantages pour la mère et le fœtus.

PubMed

Wilson, R Douglas; Gagnon, Alain; Audibert, François; Campagnolo, Carla; Carroll, June

2016-12-01

Offrir aux fournisseurs de soins de maternité et à leurs patientes des lignes directrices factuelles contemporaines en ce qui concerne les services de counseling traitant des risques et des avantages maternels propres à la tenue des interventions diagnostiques prénatales orientées par échographie (et/ou des techniques permettant l'établissement d'un diagnostic génétique) nécessaires dans les cas où il a été établi pendant la période prénatale que la grossesse serait exposée à des risques, ainsi qu'en ce qui concerne la prise de décisions subséquentes quant à la prise en charge de la grossesse (questions abordant des aspects tels que le niveau du fournisseur de soins obstétricaux, la surveillance prénatale, le lieu où devraient se dérouler les soins et l'accouchement, et la décision de poursuivre ou d'interrompre la grossesse). La présente directive clinique se limite aux services de counseling traitant des risques et des avantages maternels, et aux décisions en matière de prise en charge de la grossesse pour les femmes qui nécessitent (ou qui envisagent) la mise en œuvre d'une intervention ou d'une technique effractive orientée par échographie aux fins de l'établissement d'un diagnostic prénatal. Femmes enceintes identifiées, à la suite de la mise en œuvre de protocoles établis de dépistage prénatal (taux sériques maternels ± imagerie, résultats d'analyse de l'ADN acellulaire indiquant des risques élevés, résultats anormaux au moment de l'imagerie fœtale diagnostique ou antécédents familiaux de troubles héréditaires), comme étant exposées à un risque accru d'anomalie génétique fœtale. Ces femmes pourraient nécessiter ou demander des services de counseling au sujet des risques et des avantages pour la grossesse de la tenue d'une intervention effractive orientée par échographie visant à déterminer l'étiologie, le diagnostic, et/ou la pathologie de possibles anomalies fœtales. RéSULTATS: La littérature publiée a été récupérée par l'intermédiaire de recherches menées dans Medline, PubMed et The Cochrane Library jusqu'en juin 2014 au moyen d'un vocabulaire contrôlé (« prenatal diagnosis », « amniocentesis », « chorionic villi sampling », « cordocentesis ») et de mots clés (« prenatal screening », « prenatal genetic counselling », « post-procedural pregnancy loss rate ») appropriés. Les résultats ont été restreints aux analyses systématiques, aux études observationnelles et aux essais comparatifs randomisés / essais cliniques comparatifs publiés en anglais entre janvier 1985 et juin 2014. Les recherches ont été mises à jour de façon régulière et intégrées à la directive clinique jusqu'en juin 2014. La littérature grise (non publiée) a été identifiée par l'intermédiaire de recherches menées dans les sites Web d'organismes s'intéressant à l'évaluation des technologies dans le domaine de la santé et d'organismes connexes, dans des collections de directives cliniques, dans des registres d'essais cliniques et auprès de sociétés de spécialité médicale nationales et internationales. La qualité des résultats a été évaluée au moyen des critères décrits dans le rapport du Groupe d'étude canadien sur les soins de santé préventifs (Tableau 1). AVANTAGES, DéSAVANTAGES ET COûTS: Consentement éclairé de la patiente, transfert des connaissances, évaluation du risque génétique prénatal, soulagement de l'anxiété, création d'anxiété, défense des droits, compréhension du dépistage fœtal, limites du dépistage fœtal, choix en matière de prise en charge de la grossesse, complication de la grossesse ou fausse couche, soins opportuns et améliorés pour l'accouchement d'un enfant présentant une morbidité reconnue. RECOMMANDATIONS. Copyright © 2016. Published by Elsevier Inc.

Fibrillation auriculaire et activité physique

PubMed Central

Bosomworth, N. John

2015-01-01

Résumé Objectif Examiner les données probantes portant sur les effets de divers niveaux d’activité physique sur l’incidence de fibrillation auriculaire (FA) dans la population générale et chez les athlètes d’endurance. Sources des données Une recherche a initialement été menée sur PubMed à l’aide des titres MeSH ou des mots-de-texte anglais (avec descripteur de zone de recherche TIAB [title and abstract]) atrial fibrillation et exercise ou physical activity ou athlet* ou sport*, sans filtre additionnel. Le système GRADE (grading of recommendations, assessment, development, and evaluation) a été utilisé pour tirer les conclusions au sujet de la qualité et du niveau de preuve. Sélection des études Aucune étude d’intervention n’est ressortie de la recherche. Les études d’observation ont alors été jugées acceptables et, bien que des études prospectives de cohortes à long terme de plus grande envergure auraient été préférables, des essais cas-témoins ou transversaux ont aussi été inclus dans cette révision. Synthèse Les données disponibles laissent croire à un lien proportionnel à la dose entre l’exercice plus intense et l’incidence réduite de FA chez les femmes. Il en va de même pour les hommes dont le niveau d’activité physique est de faible à modéré. Chez les hommes seulement, l’activité intense est associée à un risque accru de FA et ce, dans la plupart des études, mais pas la totalité d’entre elles. Ce risque est modéré, le rapport de risque instantané étant de 1,29 dans l’une des études de meilleure qualité. Le risque de FA chez la plupart des personnes régulièrement actives est plus faible que le risque observé dans la population sédentaire appariée. Conclusion La fibrillation auriculaire est probablement moins fréquente à mesure que le niveau d’activité physique augmente, la relation dose-réponse étant démontrable. À toutes les intensités, l’exercice doit être encouragé pour ses effets sur le bien-être physique et la réduction de la mortalité. Chez les hommes qui pratiquent des activités vigoureuses, les effets bénéfiques sur la FA pourraient disparaître et le risque pourrait surpasser celui observé dans la population sédentaire; cependant les données probantes à cet effet ne sont ni robustes ni constantes. Ces hommes devraient être mis au courant de cette hausse modeste du risque s’ils choisissent de poursuivre leurs activités physiques vigoureuses.

IMPROVING WATERBORNE DISEASE SURVEILLANCE

EPA Science Inventory

Public health surveillance has played a key role in controlling the spread of communicable disease and identifying the need for specific publich health practices, such as the filteration and chlorination of drinking water supplies. However, the characteristics of waterborne ou...

Algeria

NASA Image and Video Library

2008-09-04

The impermanent waterways shown here from NASA EarthKAM are part of Oued Irharrhar, which appear to be carrying sulfur yellow and iron red deposits. The city of Amguid is located on these waterways, and all lie in the Mouydir Mountains in Algeria.

Physical Parameters of Components in Close Binary Systems. V

NASA Astrophysics Data System (ADS)

Zola, S.; Kreiner, J. M.; Zakrzewski, B.; Kjurkchieva, D. P.; Marchev, D. V.; Baran, A.; Rucinski, S. M.; Ogloza, W.; Siwak, M.; Koziel, D.; Drozdz, M.; Pokrzywka, B.

2005-12-01

The paper presents combined spectroscopic and photometric orbital solutions for ten close binary systems: CN And, V776 Cas, FU Dra, UV Lyn, BB Peg, V592 Per, OU Ser, EQ Tau, HN UMa and HT Vir. The photometric data consist of new multicolor light curves, while the spectroscopy has been recently obtained within the radial velocity program at the David Dunlap Observatory (DDO). Absolute parameters of the components for these binary systems are derived. Our results confirm that CN And is not a contact system. Its configuration is semi-detached with the secondary component filling its Roche lobe. The configuration of nine other systems is contact. Three systems (V776 Cas, V592 Per and OU Ser) have high (44-77%) and six (FU Dra, UV Lyn, BB Peg, EQ Tau, HN UMa and HT Vir) low or intermediate (8-32%) fill-out factors. The absolute physical parameters are derived.

Odour and ammonia emissions from intensive poultry units in Ireland.

PubMed

Hayes, E T; Curran, T P; Dodd, V A

2006-05-01

Odour and ammonia emissions were measured from three broiler, two layer and two turkey houses in Ireland. The broiler units gave a large range of odour and ammonia emission rates depending on the age of the birds and the season. A considerable variation between the odour and ammonia emission rates was evident for the two layer units which may have been due to the different manure handling systems utilised in the houses. There was relatively little difference in the odour and ammonia emissions from the two turkey houses. As a precautionary principle, odour emission rates utilised in atmospheric dispersion models should use the maximum values for broilers and turkeys (1.22 and 10.5 ou(E) s(-1) bird(-1) respectively) and the mean value for the layers depending on the manure handling system used (0.47 or 1.35 ou(E) s(-1) bird(-1)).

Measurement of photon indistinguishability to a quantifiable uncertainty using a Hong-Ou-Mandel interferometer

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

Thomas, Peter J.; Cheung, Jessica Y.; Chunnilall, Christopher J.

2010-04-10

We present a method for using the Hong-Ou-Mandel (HOM) interference technique to quantify photon indistinguishability within an associated uncertainty. The method allows the relative importance of various experimental factors affecting the HOM visibility to be identified, and enables the actual indistinguishability, with an associated uncertainty, to be estimated from experimentally measured quantities. A measurement equation has been derived that accounts for the non-ideal performance of the interferometer. The origin of each term of the equation is explained, along with procedures for their experimental evaluation and uncertainty estimation. These uncertainties are combined to give an overall uncertainty for the derived photonmore » indistinguishability. The analysis was applied to measurements from an interferometer sourced with photon pairs from a parametric downconversion process. The measured photon indistinguishably was found to be 0.954+/-0.036 by using the prescribed method.« less

Prise en charge d’un afflux massif de brûles lors d’une situation de catastrophe par incendie au Maroc

PubMed Central

Siah, S.; Hatimi, E.M.; Ihrai, H.; Drissi Kamili, N.

2012-01-01

Summary La brûlure est l’une des lésions les plus fréquemment rencontrées lors de catastrophes naturelles ou lors de catastrophes d’origine humaine (incendies de lieux publics d’origine accidentelle, ou en temps de guerre ou encore lors d’attentats terroristes). La prise en charge et le triage de brûlés en nombre reste un problème difficile; ceci souligne la nécessité d’une réflexion et de prévisions de ces crises en insistant sur la formation des médecins et des soignants. Les défis à relever sont multiples: les soins aux brûlés requièrent un nombre important de personnel qualifié; les évacuations doivent être planifiées en fonction de la gravité de la brûlure et des lésions associées; les stocks et lots de dotation (en particulier en topiques anti-infectieux et en cristalloïdes) doivent être suffisants et adéquats. Les services hospitaliers de l’Hôpital Militaire d’Instruction Mohammed V de Rabat doivent pouvoir être rapidement adaptés pour accueillir et surtout isoler ces patients. L’hypothèse d’une catastrophe par incendie avec afflux massif de brûlés à l’hôpital militaire d’instruction Mohammed V de Rabat ne doit laisser place à aucune improvisation. PMID:23467075

Feline dry eye syndrome of presumed neurogenic origin: a case report

PubMed Central

Sebbag, Lionel; Pesavento, Patricia A; Carrasco, Sebastian E; Reilly, Christopher M; Maggs, David J

2018-01-01

Case summary A 14-year-old female spayed Abyssinian cat, which about 1 year previously underwent thoracic limb amputation, radiotherapy and chemotherapy for an incompletely excised vaccine-related fibrosarcoma, was presented for evaluation of corneal opacity in the left eye (OS). The ocular surface of both eyes (OU) had a lackluster appearance and there was a stromal corneal ulcer OS. Results of corneal aesthesiometry, Schirmer tear test-1 (STT-1) and tear film breakup time revealed corneal hypoesthesia, and quantitative and qualitative tear film deficiency OU. Noxious olfactory stimulation caused increased lacrimation relative to standard STT-1 values suggesting an intact nasolacrimal reflex. Various lacrimostimulants were administered in succession; namely, 1% pilocarpine administered topically (15 days) or orally (19 days), and topically applied 0.03% tacrolimus (47 days). Pilocarpine, especially when given orally, was associated with notable increases in STT-1 values, but corneal ulceration remained/recurred regardless of administration route, and oral pilocarpine resulted in gastrointestinal upset. Tacrolimus was not effective. After 93 days, the cat became weak and lame and a low thyroxine concentration was detected in serum. The cat was euthanized and a necropsy performed. Both lacrimal glands were histologically normal, but chronic neutrophilic keratitis and reduced conjunctival goblet cell density were noted OU. Relevance and novel information The final diagnosis was dry eye syndrome (DES) of presumed neurogenic origin, associated with corneal hypoesthesia. This report reinforces the importance of conducting tearfilm testing in cats with ocular surface disease, as clinical signs of DES were different from those described in dogs. PMID:29318025

Restrictive orbital myofibroblastic sarcoma in a cat--cross-sectional imaging (MRI & CT) appearance, treatment, and outcome.

PubMed

Thomasy, Sara M; Cissell, Derek D; Arzi, Boaz; Vilches-Moure, Jose G; Lo, Winnie Y; Wisner, Erik R; Dubielzig, Richard R; Maggs, David J

2013-07-01

A 16-year-old spayed female cat was evaluated for lagophthalmos and chronic exposure keratitis in both eyes. Ophthalmic examination revealed upper and lower eyelid entropion of the left eye (OS) and markedly decreased retropulsion, restricted eye movement, marked episcleral congestion, and severe keratitis of both eyes (OU). Magnetic resonance imaging of both orbits revealed extensive, irregular, contrast-enhancing tissue without evidence of osteolysis considered compatible with diffuse inflammatory tissue. Feline herpesvirus DNA was not detected in conjunctival samples. Partial temporary tarsorrhaphies were placed OU, and the cat was treated with topically administered erythromycin ointment OU, orally administered famciclovir and prednisolone, and sublingually administered buprenorphine. Little improvement was noted after 2 weeks. Six weeks after initial presentation, a left exenteration was performed and histopathology was consistent with idiopathic sclerosing orbital pseudotumor (ISOP). Ten weeks after initial presentation, the patient represented for weight loss and jaw pain. Computed tomography demonstrated disease progression in the right orbit and the patient was euthanized. Histopathology of the decalcified skull revealed an aggressive and highly infiltrative mass involving the right orbit with extension to the maxilla, hard palate, nasal cavity and gingiva most consistent with feline restrictive orbital myofibroblastic sarcoma (FROMS). Clinical data from this patient support the reclassification of ISOP as FROMS. MRI and CT may provide supportive evidence for FROMS, but histopathology is necessary for definitive diagnosis. Aggressive and early surgical treatment, including bilateral exenteration, with adjunctive radiotherapy and/or chemotherapy should be considered for patients with FROMS. © 2013 American College of Veterinary Ophthalmologists.

A eficiência de formação estelar em Musca

NASA Astrophysics Data System (ADS)

Hickel, G. R.; Vilas-Boas, J. W. S.; Roberto, A. J.., Jr.; Khan, R. P.

2003-08-01

Apresentamos os resultados de um survey no infravermelho próximo (bandas J e H), executado no Laboratório Nacional de Astrofísica, na direção da nuvem escura em forma de filamento de Musca (observamos ao longo de todo o filamento, além de todas as fontes pontuais IRAS e/ou fontes ROSAT brilhantes a uma distância de 2o da nuvem). Nosso objetivo é determinar a eficiência de formação estelar para esta nuvem escura (massa de estrelas formadas/massa da nuvem), procurando por objetos estelares jovens de pequena massa no seu interior e/ou evoluídos o suficiente para estarem afastados do local de nascimento, mas ainda mostrando características de objetos pré-seqüência principal como emissão de raios-X e excesso de emissão no infravermelho próximo. Este survey não estabeleceu nenhum viés na seleção de fontes pontuais IRAS ou fontes ROSAT, uma vez que a imensa maioria das fontes pontuais IRAS nesta região têm qualidade de fluxo ruim. Os candidatos a objetos estelares jovens foram selecionados pelo excesso no índice de cor (J-H), descontados os efeitos da extinção interestelar na linha de visada, determinada através da emissão estendida no infravermelho distante (IRAS). Estimativas de massa foram feitas para estes candidatos, através da relação massa-luminosidade, para calcular a eficiência de formação estelar de Musca.

Feline restrictive orbital myofibroblastic sarcoma in a cat – Cross sectional imaging (MRI & CT) appearance, treatment and outcome

PubMed Central

Thomasy, Sara M.; Cissell, Derek D.; Arzi, Boaz; Vilches-Moure, Jose G.; Lo, Winnie Y.; Wisner, Erik R.; Dubielzig, Richard R.; Maggs, David J.

2012-01-01

Case Description A 16-year-old spayed female cat evaluated for lagophthalmos and chronic exposure keratitis in both eyes. Clinical Findings Ophthalmic examination revealed upper and lower eyelid entropion of the left eye (OS) and markedly decreased retropulsion, restricted eye movement, marked episcleral congestion, and severe keratitis of both eyes (OU). Magnetic resonance imaging of both orbits revealed extensive, irregular, contrast-enhancing tissue without evidence of osteolysis considered compatible with diffuse inflammatory tissue. Feline herpesvirus DNA was not detected in conjunctival samples. Treatment and Outcome Partial temporary tarsorrhaphies were placed OU and the cat was treated with topically administered erythromycin ointment OU, orally administered famciclovir and prednisolone, and sublingually administered buprenorphine. Little improvement was noted after 2 weeks. Six weeks after presentation, a left exenteration was performed and histopathology was consistent with idiopathic sclerosing orbital pseudotumor (ISOP). Ten weeks after presentation, the patient presented for weight loss and jaw pain. Computed tomography demonstrated disease progression in the right orbit and the patient was euthanized. Histopathology of the decalcified skull revealed an aggressive and highly infiltrative mass involving the right orbit with extension to the maxilla, hard palate, nasal cavity and gingiva most consistent with feline restrictive orbital myofibroblastic sarcoma (FROMS). Clinical Relevance Clinical data from this patient support the reclassification of ISOP as FROMS. MRI and CT may provide supportive evidence for FROMS but histopathology is necessary for definitive diagnosis. Aggressive and early surgical treatment, including bilateral exenteration, with adjunctive radiotherapy and/or chemotherapy should be considered for patients with FROMS. PMID:23281709

Detailed Field Investigation of Vapor Intrusion Processes

DTIC Science & Technology

2008-08-01

difluoroethane DQO data quality objective ESTCP Environmental Security Technology Certification Program HCl hydrochloric acid OU-5 Operable Unit...impacted by significant leakage of ambient air. Some leak tracer compounds such as difluoroethane (DFA) and isopropyl alcohol may cause elevated detection

Use and Understanding of the Proximate Status Indication in Traffic Displays

DOT National Transportation Integrated Search

2011-10-16

Traffic Collision Avoidance System (TCAS) traffic displays use symbol fill to distinguish proximate from non-proximate targets, where proximate targets are within a specified range and altitude of ownship, and non-proximate targets are ou...

OAS :: Office of the Inspector General

Science.gov Websites

Internal Audit Real Estate Strategy Calendar Calendar of Conferences in Headquarters OAS Logo OAS Logo It este sitio de web. Afigura-se o JavaScript está desativado ou desligado. Por favor ative o JavaScript

Occupational hygiene in a Finnish drum composting plant.

PubMed

Tolvanen, Outi; Nykänen, Jenni; Nivukoski, Ulla; Himanen, Marina; Veijanen, Anja; Hänninen, Kari

2005-01-01

Bioaerosols (microbes, dust and endotoxins) and volatile organic compounds (VOCs) were determined in the working air of a drum composting plant treating source-separated catering waste. Different composting activities at the Oulu drum composting plant take place in their own units separated by modular design and constructions. Important implication of this is that the control room is a relatively clean working environment and the risk of exposure to harmful factors is low. However, the number of viable airborne microbes was high both in the biowaste receiving hall and in the drum composting hall. The concentration (geometric average) of total microbes was 21.8 million pcs/m3 in the biowaste receiving hall, 13.9 million pcs/m3 in the drum composting hall, and just 1.4 million pcs/m3 in the control room. Endotoxin concentrations were high in the biowaste receiving hall and in the drum composting hall. The average (arithmetic) endotoxin concentration was over the threshold value of 200 EU/m3 in both measurement locations. In all working areas, the average (arithmetic) dust concentrations were in a low range of 0.6-0.7 mg/m3, being below the Finnish threshold value of 5 mg/m3. In the receiving hall and drum composting hall, the concentrations of airborne microbes and endotoxins may rise to levels hazardous to health during prolonged exposure. It is advisable to use a respirator mask (class P3) in these areas. Detected volatile organic compounds were typical compounds of composting plants: carboxylic acids and their esters, alcohols, ketones, aldehydes, and terpenes. Concentrations of VOCs were much lower than the Finnish threshold limit values (Finnish TLVs), many of the quantified compounds exceeded their threshold odour concentrations (TOCs). Primary health effects due VOCs were not presumable at these concentrations but unpleasant odours may cause secondary symptoms such as nausea and hypersensitivity reactions. This situation is typical of composting plants where the workers are exposed to dozens of VOCs simultaneously. The odour units (OU/m3) were measured using olfactometer. The numbers were 23,000 OU/m3 at the output end of the composting drum and 6300 OU/m3 in the exhaust pipe. Inside the composting hall, the number of odour units was 500 and 560 OU/m3.

Dynamique de nanobulles et nanoplasmas generes autour de nanoparticules plasmoniques irradiees par des impulsions ultracourtes

NASA Astrophysics Data System (ADS)

Dagallier, Adrien

L'emergence des lasers a impulsion ultrabreves et des nanotechnologies a revolutionne notre perception et notre maniere d'interagir avec l'infiniment petit. Les gigantesques intensites generees par ces impulsions plus courtes que les temps de relaxation ou de diffusion du milieu irradie induisent de nombreux phenomenes non-lineaires, du doublement de frequence a l'ablation, dans des volumes de dimension caracteristique de l'ordre de la longueur d'onde du laser. En biologie et en medecine, ces phenomenes sont utilises a des fins d'imagerie multiphotonique ou pour detruire des tissus vivants. L'introduction de nanoparticules plasmoniques, qui concentrent le champ electromagnetique incident dans des regions de dimensions nanometriques, jusqu'a une fraction de la longueur d'onde, amplifie les phenomenes non-lineaires tout en offrant un controle beaucoup plus precis de la deposition d'energie, ouvrant la voie a la detection de molecules individuelles en solution et a la nanochirurgie. La nanochirurgie repose principalement sur la formation d'une bulle de vapeur a proximite d'une membrane cellulaire. Cette bulle de vapeur perce la membrane de maniere irreversible,entrainant la cellule a sa mort, ou la perturbe temporairement, ce qui permet d'envisager de faire penetrer dans la cellule des medicaments ou des brins d'ADN pour de la therapie genique. C'est principalement la taille de la bulle qui va decider de l'issue de l'irradiation laser. Il est donc necessaire de controler finement les parametres du laser et la geometrie de la nanoparticule afin d'atteindre l'objectif fixe. Le moyen le plus direct a l'heure actuelle de valider un ensemble de conditions experimentales est de realiser l'experience en laboratoire,ce qui est long et couteux. Les modeles de dynamique de bulle existants ne prennent pas en compte les parametres de l'irradiation et ajustent souvent leurs conditions initiales a partir de leurs mesures experimentales, ce qui limite la portee du modele au cas pour lequel il est ecrit. Ce memoire se propose de predire la taille maximale ainsi que la dynamique des bulles generees par des impulsions ultrabreves en fonction uniquement de la geometrie de la particule et des parametres du laser, entre autres la duree de pulse, la longueur d'onde centrale et la fluence d'irradiation.

Remedial Investigation Report on Chestnut Ridge Operable Unit 2 (Filled Coal Ash Pond/Upper McCoy Branch) at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee. Volume 1. Main Text

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

Not Available

1994-08-01

This document is a report on the remedial investigation (RI) of Chestnut Ridge Operable Unit (OU) 2 at the Oak Ridge Y-12 Plant. Chestnut Ridge OU 2 consists of Upper McCoy Branch (UMB), the Filled Coal Ash Pond (FCAP), and the area surrounding the Sluice Channel formerly associated with coal ash disposal in the FCAP. Chestnut Ridge OU 2 is located within the U.S. Department of Energy`s (DOE`s) Oak Ridge Reservation in Anderson County, Tennessee, approximately 24 miles west of Knoxville. The pond is an 8.5-acre area on the southern slope of Chestnut Ridge, 0.5 mile south of the mainmore » Y-12 Plant and geographically separated from the Y-12 Plant by Chestnut Ridge. The elevation of the FCAP is {approximately} 950 ft above mean sea level (msl), and it is relatively flat and largely vegetated. Two small ponds are usually present at the northeast and northwest comers of the FCAP. The Sluice Channel Area extends {approximately}1000 ft from the northern margin of the FCAP to the crest of Chestnut Ridge, which has an elevation of {approximately}1100 ft above msl. The Sluice Channel Area is largely vegetated also. McCoy Branch runs from the top of Chestnut Ridge across the FCAP into Rogers Quarry and out of the quarry where it runs a short distance into Milton Hill Lake at McCoy Embayment, termed UMB. The portion south of Rogers Quarry, within Chestnut Ridge OU 4, is termed Lower McCoy Branch. The DOE Oak Ridge Y-12 Plant disposed of coal ash from its steam plant operations as a slurry that was discharged into an ash retention impoundment; this impoundment is the FCAP. The FCAP was built in 1955 to serve as a settling basin after coal ash slurried over Chestnut Ridge from the Y-12 Plant. The FCAP was constructed by building an earthen dam across the northern tributary of McCoy Branch. The dam was designed to hold 20 years of Y-12 steam plant ash. By July 1967, ash had filled up the impoundment storage behind the dam to within 4 ft of the top.« less

Middlesex FUSRAP Site - A Path to Site-Wide Closure - 13416

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

Miller, David M.; Edge, Helen

2013-07-01

The road-map to obtaining closure of the Middlesex Sampling Plant FUSRAP site in Middlesex, New Jersey (NJ) has required a multi-faceted approach, following the CERCLA Process. Since 1998, the US ACE, ECC, and other contractors have completed much of the work required for regulatory acceptance of site closure with unrestricted use. To date, three buildings have been decontaminated, demolished, and disposed of. Two interim storage piles have been removed and disposed of, followed by the additional removal and disposal of over 87,000 tons of radiologically and chemically-impacted subsurface soils by the summer of 2008. The US ACE received a determinationmore » from the EPA for the soils Operable Unit, (OU)-1, in September 2010 that the remedial excavations were acceptable, and meet the criteria for unrestricted use as required by the 2004 Record of Decision (ROD) for OU-1. Following the completion of OU-1, the project delivery team performed additional field investigation of the final Operable Unit for Middlesex, OU-2, Groundwater. As of December 2012, the project delivery team has completed a Supplemental Remedial Investigation, which will be followed with a streamlined Feasibility Study, Proposed Plan, and ROD. Several years of historical groundwater data was available from previous investigations and the FUSRAP Environmental Surveillance Program. Historical data indicated sporadic detections of Volatile Organic Compounds (VOCs), primarily trichloroethylene (TCE), carbon tetrachloride (CT), and methyl tert-butyl ether (MTBE), with no apparent trend or pattern indicating extent or source of the VOC impact. In 2008, the project delivery team initiated efforts to re-assess the Conceptual Site Model (CSM) for groundwater. The bedrock was re-evaluated as a leaky multi-unit aquifer, and a plan was developed for additional investigations for adequate bedrock characterization and delineation of groundwater contaminated primarily by CT, TCE, and tetrachloroethene (PCE). The investigation was designed to accumulate multiple lines of evidence to determine the source and to delineate the extent of contamination, as required to complete the CERCLA Process and gain regulatory acceptance. Investigative techniques included in-well vertical flow tracing, borehole geophysics and packer testing of temporary test holes to characterize contamination in the bedrock fractures beneath the site, and to delineate likely source areas. (authors)« less

Traditional and Complementary Medicine Use in Knee Osteoarthritis and its Associated Factors Among Patients in Northeast Peninsular Malaysia.

PubMed

Nik Shafii, Nik Abdul Hafiz; Yaacob, Lili Husniati; Ishak, Azlina; Kadir, Azidah Abdul

2018-03-01

We sought to determine the prevalence of traditional and complementary medicine (TCM) use for knee osteoarthritis and its associated factors among patients attending a referral hospital in an eastern coastal state of Malaysia. This cross-sectional study included 214 patients with knee osteoarthritis. A universal sampling method was applied to patients who attended the outpatient clinic in Hospital Universiti Sains Malaysia from May 2013 to October 2013. Participants were given a questionnaire to determine their sociodemographic information and a validated Bahasa Malaysia version of the Western Ontario and McMaster Universities Arthritis Index (WOMAC). This questionnaire was used to assess the severity of knee osteoarthritis (i.e., pain, stiffness, and disturbances in daily activity). Over half (57.9%) of patients reported using TCM to treat knee osteoarthritis. Factors associated with TCM use were gender (odd ratio (OR) = 2.47; 95% confidence interval (CI): 1.28-4.77), duration of knee osteoarthritis (OR = 1.51; 95% CI: 1.03-2.23), and the severity of knee pain (OR = 2.56; 95% CI: 1.71-3.86). The prevalence of TCM use among eastern Malaysian patients with knee osteoarthritis was high. Physicians caring for these patients should be aware of these findings so that inquiries regarding TCM use can be made and patients can be appropriately counseled.

Factor analysis for instruments of science learning motivation and its implementation for the chemistry and biology teacher candidates

NASA Astrophysics Data System (ADS)

Prasetya, A. T.; Ridlo, S.

2018-03-01

The purpose of this study is to test the learning motivation of science instruments and compare the learning motivation of science from chemistry and biology teacher candidates. Kuesioner Motivasi Sains (KMS) in Indonesian adoption of the Science Motivation Questionnaire II (SMQ II) consisting of 25 items with a 5-point Likert scale. The number of respondents for the Exploratory Factor Analysis (EFA) test was 312. The Kaiser-Meyer-Olkin (KMO), determinant, Bartlett’s Sphericity, Measures of Sampling Adequacy (MSA) tests against KMS using SPSS 20.0, and Lisrel 8.51 software indicate eligible indications. However testing of Communalities obtained results that there are 4 items not qualified, so the item is discarded. The second test, all parameters of eligibility and has a magnitude of Root Mean Square Error of Approximation (RMSEA), P-Value for the Test of Close Fit (RMSEA <0.05), Goodness of Fit Index (GFI) was good. The new KMS with 21 valid items and composite reliability of 0.9329 can be used to test the level of learning motivation of science which includes Intrinsic Motivation, Sefl-Efficacy, Self-Determination, Grade Motivation and Career Motivation for students who master the Indonesian language. KMS trials of chemistry and biology teacher candidates obtained no significant difference in the learning motivation between the two groups.

Traditional and Complementary Medicine Use in Knee Osteoarthritis and its Associated Factors Among Patients in Northeast Peninsular Malaysia

PubMed Central

Nik Shafii, Nik Abdul Hafiz; Yaacob, Lili Husniati; Ishak, Azlina; Kadir, Azidah Abdul

2018-01-01

Objectives We sought to determine the prevalence of traditional and complementary medicine (TCM) use for knee osteoarthritis and its associated factors among patients attending a referral hospital in an eastern coastal state of Malaysia. Methods This cross-sectional study included 214 patients with knee osteoarthritis. A universal sampling method was applied to patients who attended the outpatient clinic in Hospital Universiti Sains Malaysia from May 2013 to October 2013. Participants were given a questionnaire to determine their sociodemographic information and a validated Bahasa Malaysia version of the Western Ontario and McMaster Universities Arthritis Index (WOMAC). This questionnaire was used to assess the severity of knee osteoarthritis (i.e., pain, stiffness, and disturbances in daily activity). Results Over half (57.9%) of patients reported using TCM to treat knee osteoarthritis. Factors associated with TCM use were gender (odd ratio (OR) = 2.47; 95% confidence interval (CI): 1.28–4.77), duration of knee osteoarthritis (OR = 1.51; 95% CI: 1.03–2.23), and the severity of knee pain (OR = 2.56; 95% CI: 1.71–3.86). Conclusions The prevalence of TCM use among eastern Malaysian patients with knee osteoarthritis was high. Physicians caring for these patients should be aware of these findings so that inquiries regarding TCM use can be made and patients can be appropriately counseled. PMID:29657684

Identification of patent in incentivizing innovation for sustainability in the construction industry

NASA Astrophysics Data System (ADS)

Zakaria, Sharifah Akmam Syed; Sadullah, Ahmad Farhan Mohd; Majid, Taksiah A.; Ghazali, Farid Ezanee Mohamed

2017-07-01

The increasing trend of research and innovation developments in the field of construction industry and their impacts on the national economy have raised much attention in the recent years. In this respect, through the relationship that exists between innovation and patent protection means that the education system of civil engineering has to gear itself to provide a sense of direction to facilitate future civil engineers to meet the challenges through innovation. The aim of this paper is to examine the educational experience and inclination of civil engineering students at Universiti Sains Malaysia in terms of their educational readiness to invent and innovate based on patents' exploration. Specifically, this paper presents research evidence using a quantitative method through questionnaire surveys in determining the dimension of patent information usage for innovation purposes, with attention to the hierarchy of each usage aspect and outcome measures reported. Results of this study revealed that majority of the participants have a "simplistic and superficial" ideas of patents identification as a source of innovation. Although a fair number of participants have relatively good knowledge of patents and innovation, lack of practical exposure and experience in construction industry are still a problem frequently encountered in the preparation to invent and innovate based on patents' exploration. It is recommended that the research model is tested using a greater number of research participants.

Metabolic syndrome and its characteristics among obese patients attending an obesity clinic.

PubMed

Termizy, H M; Mafauzy, M

2009-04-01

The increased prevalence of metabolic syndrome worldwide is closely related to the rising obesity epidemic. The objectives of the study were to determine the prevalence and identify the associated and prognostic factors that influence the risk of metabolic syndrome among obese patients attending the Obesity Clinic at Hospital Universiti Sains Malaysia. A study was conducted involving 102 obese persons who attended the Obesity Clinic from January 1 to December 31, 2005. Metabolic syndrome was defined according to the International Diabetes Federation criteria. The overall prevalence of metabolic syndrome among obese patients was 40.2 percent. The prevalence was higher in females (43.7 percent) than in males (32.3 percent). The prevalence of metabolic syndrome was noted to increase with increasing body mass index class, from class 1 to class 2. However, the prevalence was lower in obesity class 3. The prevalence of metabolic comorbidities of raised blood pressure, reduced high density lipoprotein, high triglyceride and raised fasting blood glucose was 42, 40, 36 and 17 percent, respectively. A quarter of obese patients in this study had no other comorbidity. Based on logistic regression multivariable analysis, age was the only significant associated factor that influenced the risk of having metabolic syndrome. The prevalence of metabolic syndrome was high and the highest comorbidity was high blood pressure. Age was the only significant risk factor of having this syndrome.

Autogenous forearm loop arteriovenous fistula creation.

PubMed

Tang, Weng Jun; Mat Saad, Arman Zaharil

2018-03-01

Arteriovenous fistula is a lifeline for end-stage kidney disease patients on dialysis. The quality of the vein and artery to be used plays a crucial role in attaining a functioning, reliable and long-lasting arteriovenous fistula. The aim of the study is to present an alternative for haemodialysis access to preserve the upper arm vasculature for future use - the forearm loop arteriovenous fistula. From October 2015 to September 2016, 202 patients with chronic kidney disease (CKD), stages 4 and 5, underwent arteriovenous fistula creation at the Universiti Sains Malaysia Hospital, Malaysia. Nine patients, with severe atherosclerosis of the distal artery, but with satisfactory veins, underwent forearm loop arteriovenous fistula creation. Maturation of the fistula was based on the classification by the National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKF KDOQI). All nine patients who underwent forearm loop arteriovenous fistula have had diabetes mellitus for more than 10 years. Only one fistula failed to mature within 6 weeks. Two arteriovenous fistulas thrombosed at 3 and 5 months, respectively, after the commencement of haemodialysis. However, the other six matured fistulas are still functioning well after a year of regular usage. Distal forearm arteries in diabetics may be severely atherosclerotic. Forearm loop arteriovenous fistula can be considered as the primary access for cases decided as inconvenient for fistula creation due to severe occlusive atherosclerotic disease of the forearm arteries; in order to preserve upper arm veins for future access procedures.

Validation of the Malay version of the Modified Dental Anxiety Scale and the prevalence of dental anxiety in a Malaysian population.

PubMed

Sitheeque, Mohaideen; Massoud, Moustafa; Yahya, Suzana; Humphris, Gerry

2015-11-01

The aims of the present study were to evaluate the reliability and validity of the Malay version of the Modified Dental Anxiety Scale (MDAS), and to determine the prevalence of dental anxiety and associated factors in a Malaysian population. A Malay-language questionnaire with questions to elicit demographic and dental care-related information, and the Malay version of the MDAS, were administered to 455 patients at the dental outpatient clinics of the Hospital Universiti Sains Malaysia. Factor analysis and internal consistency statistics were generated. A test-retest of the questionnaire was performed with 30 participants. Cronbach's alpha was 0.854, indicating good internal consistency. Factor analysis yielded results showing good validity. Approximately 3.5% of the participants expressed the highest levels of anxiety. Dental anxiety was significantly higher among females than males. Age correlated inversely with dental anxiety. Individuals seeking dental care only if a problem appeared had significantly more anxiety than regular attendees. Patients who postponed treatment because of fear had significantly higher anxiety levels than those who delayed treatment for other reasons. Past adverse dental experience exacerbated dental anxiety. The Malay version of the MDAS had good reliability and validity. Anxiety levels found in the Malaysians studied were comparable to participants from other countries. © 2014 Wiley Publishing Asia Pty Ltd.

Prevalence and Sources of Stress among Universiti Sains Malaysia Medical Students.

PubMed

Yusoff, Muhamad Saiful Bahri; Abdul Rahim, Ahmad Fuad; Yaacob, Mohd Jamil

2010-01-01

Being in medical school has always been regarded as highly stressful. Excessive stress causes physical and mental health problems. Persistent stress can impair students' academic achievement and personal or professional development. The aim of this study is to explore the nature of stress among medical students by determining the prevalence, sources and pattern of stress and the factors affecting it. We chose a cross-sectional study design utilizing validated questionnaires, the 12 items General Health Questionnaire (GHQ-12) and Medical Student Stressor Questionnaire (MSSQ), to evaluate stress levels and stressors. School and ethical committee clearance were obtained prior to the study. Data were analysed using SPSS version 12. Of the medical students who were administered the questionnaire, 761 (72%) respondents participated in this study. The prevalence of stress among the medical students was 29.6%. The top 10 stressors were academic-related. Prevalence of stress for the first, second, third, fourth and fifth year students was 26.3%, 36.5 %, 31.4%, 35.3% and 21.9%, respectively. Year of study was the only significant factor affecting stress among medical students (P-value < 0.05). The prevalence of stress among medical students in USM is high. Academic-related problems were the major stressor among medical students. Year of study was the factor most significantly associated with medical students' stress. There was a bimodal pattern of the stress level throughout the year of study.

Intensité thérapeutique optimale : comment mesurer l'intensité d'une association radiothérapie-chimiothérapie ?

NASA Astrophysics Data System (ADS)

Ganem, G.; Dubray, B.

1998-04-01

Treatment intensification is needed to overcome the disappointing efficacy of anticancer treatments used as a single modality. The conception, comparison and optimization of radiotherapy - chemotherapy combinations is hampered by the lack of a common tool enabling the clinicians to quantify the effects of the association of different treatment modalities. Such a difficulty is mainly due to chemotherapy (large array of drugs, pharmacological uncertainties), but is also the consequence of end-point multiplicity (tumour control, normal tissue injury) and tumour biology complexity. L'intensification thérapeutique est une nécessité face à l'efficacité insuffisante des traitements anticancéreux utilisés séparément. La conception, la comparaison, et l'optimisation des modalités possibles d'association de radiothérapie et de chimiothérapie est considérablement gênée par l'absence d'un outil permettant de mesurer l'efficacitéé résultante de la combinaison d'agents thérapeutiques différents. Cette difficulté provient essentiellement de l'usage de la chimiothérapie (nombreuses drogues, pharmacocinétique mal connue), mais aussi de la multiplicité des critères de jugement (action anti-tumorale, lésions des tissus sains) et de la complexité de la biologie tumorale.

Dental age estimation: Comparison of reliability between Malay formula of Demirjian method and Malay formula of Cameriere method

NASA Astrophysics Data System (ADS)

Alghali, R.; Kamaruddin, A. F.; Mokhtar, N.

2016-12-01

Introduction: The application of forensic odontology using teeth and bones becomes the most commonly used methods to determine age of unknown individuals. Objective: The aim of this study was to determine the reliability of Malay formula of Demirjian and Malay formula of Cameriere methods in determining the dental age that is closely matched with the chronological age of Malay children in Kepala Batas region. Methodology: This is a retrospective cross-sectional study. 126 good quality dental panoramic radiographs (DPT) of healthy Malay children aged 8-16 years (49 boys and 77 girls) were selected and measured. All radiographs were taken at Dental Specialist Clinic, Advanced Medical and Dental Institute, Universiti Sains Malaysia. The measurements were carried out using new Malay formula of both Demirjian and Cameriere methods by calibrated examiner. Results: The intraclass correlation coefficient (ICC) analysis between the chronological age with Demirjian and Cameriere has been calculated. The Demirjian method has shown a better percentage (91.4%) of ICC compared to Cameriere (89.2%) which also indicates a high association, with good reliability. However, by comparing between Demirjian and Cameriere, it can be concluded that Demirjian has a better reliability. Conclusion: Thus, the results suggested that, modified Demirjian method is more reliable than modified Cameriere method among the population in Kepala Batas region.

Hospital Universiti Sains Malaysia experience in orbital floor reconstruction: autogenous graft versus Medpor.

PubMed

Wajih, Wahid Abdullah Salem; Shaharuddin, Bakiah; Razak, Noor Hayati Abdul

2011-06-01

A normally restored orbital structure after reconstructive surgery would accelerate the return of orbital function. The aim of the present study was to compare the outcomes of 2 orbital implants: autogenous grafts and porous polyethylene (Medpor). A longitudinal study was conducted of all patients who had undergone orbital floor reconstruction using an autogenous graft or Medpor. The study participants were divided into 2 groups, and the postoperative outcomes were assessed clinically. Of the 26 patients, 14 (53.0%) had undergone surgery with an autogenous graft and 12 (46.2%) with Medpor. Postoperatively, no diplopia in the primary gaze was noted in any patient. However, down gaze and peripheral diplopia was found in 11.5% and 26.9% in the autogenous group and in 3.8% and 26.9% in the Medpor group, respectively (P = 1.24). Enophthalmos was present in 11.4% of the autogenous graft group and 15.3% of the Medpor group (P = .465). The Hess chart findings were abnormal in 11.4% of both groups (P = .062). Restriction of movement was observed in 1 patient (3.8%) from the autogenous group and 7.7% of the Medpor group (P = .574). Orbital floor reconstruction using an autogenous graft or Medpor showed comparable results. Copyright © 2011 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

Utilization of Dental General Anaesthesia for Children

PubMed Central

Karim, Zarina Abdul; Musa, Normaizura; Noor, Siti Noor Fazliah Mohd

2008-01-01

Dental treatment under general anaesthesia may be needed for some children and adolescents due to medical or behaviour problem. The objective of the study is to identify the type of treatment that has been carried out under GA in Hospital Universiti Sains Malaysia (HUSM). A retrospective record review study from hospital records of dental patients (under 18 years old) receiving dental treatment under GA from 2003 until 2007 were retrieved from the database. Information such as the reason for GA, and the type of treatment provided was recorded in data sheet. The data were analyzed using SPSS 12.0.1 for Windows. It was checked and verified for errors. A total of 349 cases were treated of which 43.6% had medical problems. Patients were mostly diagnosed to have rampant caries (77.1%) and some of them have behavioural problems (34.4%). Treatment pattern in deciduous dentition revealed more extraction (97.8%) as compared to restoration (75.7%) whereas in permanent dentition more restoration was done (24.3%) as compared to extraction (2.2%). Majority of the restorations were done using Glass Ionomer Cements (47.5%). Biopsy (4.3%) contributed mainly to the surgery (24.1%) done during GA. General anesthesia is necessary when dental disease is interfering with health and general well-being of patient and it can facilitated dental treatment allowing dentists to benefit from improved treatment conditions and provide a higher quality of care. PMID:22570587

Serological IgG avidity test for ocular toxoplasmosis.

PubMed

Suresh, Subramaniam; Nor-Masniwati, Saidin; Nor-Idahriani, Muhd Nor; Wan-Hazabbah, Wan-Hitam; Zeehaida, Mohamed; Zunaina, Embong

2012-01-01

The purpose of this study was to evaluate the immunoglobulin (Ig) G avidity of serological toxoplasmosis testing in patients with ocular inflammation and to determine the clinical manifestations of ocular toxoplasmosis. A retrospective review of all patients presenting with ocular inflammation to the Hospital Universiti Sains Malaysia, Kelantan, Malaysia between 2005 and 2009 was undertaken. Visual acuity, clinical manifestations at presentation, toxoplasmosis antibody testing, and treatment records were analyzed. A total of 130 patients with ocular inflammation were reviewed retrospectively. The patients had a mean age of 38.41 (standard deviation 19.24, range 6-83) years. Seventy-one patients (54.6%) were found to be seropositive, of whom five (3.8%) were both IgG and IgM positive (suggestive of recently acquired ocular toxoplasmosis) while one (0.8%) showed IgG avidity ≤40% (suggestive of recently acquired ocular toxoplasmosis) and 65 patients (50.0%) showed IgG avidity >40% (suggestive of reactivation of toxoplasmosis infection). Chorioretinal scarring as an ocular manifestation was significantly more common in patients with seropositive toxoplasmosis (P = 0.036). Eighteen patients (13.8%) were diagnosed as having recent and/or active ocular toxoplasmosis based on clinical manifestations and serological testing. Ocular toxoplasmosis is a clinical diagnosis, but specific toxoplasmosis antibody testing helps to support the diagnosis and to differentiate between reactivation of infection and recently acquired ocular toxoplasmosis.

Teaching metacognition in clinical decision-making using a novel mnemonic checklist: an exploratory study

PubMed Central

Chew, Keng Sheng; Durning, Steven J; van Merriënboer, Jeroen JG

2016-01-01

INTRODUCTION Metacognition is a cognitive debiasing strategy that clinicians can use to deliberately detach themselves from the immediate context of a clinical decision, which allows them to reflect upon the thinking process. However, cognitive debiasing strategies are often most needed when the clinician cannot afford the time to use them. A mnemonic checklist known as TWED (T = threat, W = what else, E = evidence and D = dispositional factors) was recently created to facilitate metacognition. This study explores the hypothesis that the TWED checklist improves the ability of medical students to make better clinical decisions. METHODS Two groups of final-year medical students from Universiti Sains Malaysia, Malaysia, were recruited to participate in this quasi-experimental study. The intervention group (n = 21) received educational intervention that introduced the TWED checklist, while the control group (n = 19) received a tutorial on basic electrocardiography. Post-intervention, both groups received a similar assessment on clinical decision-making based on five case scenarios. RESULTS The mean score of the intervention group was significantly higher than that of the control group (18.50 ± 4.45 marks vs. 12.50 ± 2.84 marks, p < 0.001). In three of the five case scenarios, students in the intervention group obtained higher scores than those in the control group. CONCLUSION The results of this study support the use of the TWED checklist to facilitate metacognition in clinical decision-making. PMID:26778635

Remediation System Evaluation, Comm. Bay/South Tacoma Channel, Well 12A Superfund Site

EPA Pesticide Factsheets

The first operable unit (OU1) of the Commencement Bay/South Tacoma Channel Superfund Site addressessoil and groundwater contamination associated with the Time Oil property that was first discovered inpublic supply Well 12A in 1981.

78 FR 29499 - Proposed Priorities, Requirements, Definitions, and Selection Criteria-Race to the Top-Early...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-20

... social development. Teachers College Record, 112(3), 579-620. \\5\\ Reynolds, A.J., Temple, J.A., Ou, S... and family engagement, including in the early grades; (d) Increasing the percentage of children who...

Graduate student recruiting into critical transportation infrastructure areas of interest.

DOT National Transportation Integrated Search

2013-01-01

This report presents the results of a three-year, intensive recruiting and mentoring program in : the University of Oklahomas (OU) College of Engineering (CoE). Highly qualified and diverse : graduate students were sought to pursue degrees in tran...

Hollow-core FRP-concrete-steel bridge columns under extreme loading.

DOT National Transportation Integrated Search

2015-04-01

This report presents the behavior of hollow-core fiber reinforced polymer concrete - steel columns (HC-FCS) under : combined axial-flexural as well as vehicle collision loads. The HC-FCS column consists of a concrete wall sandwiched between an ou...

DIAMOND ALKALI OU2 - PASSAIC RIVER STUDY AREA

EPA Science Inventory

EPA, the U.S. Army Corps of Engineers (Corps), New Jersey Department of Transportation (NJDOT) ), National Oceanic and Atmospheric Administration (NOAA), U.S. Fish and Wildlife Service (USFWS) and New Jersey Department of Environmental Protection (NJDEP) are conducting a joint st...

Review of Non-Chemical Stressors from the Social Environment

EPA Science Inventory

Non-chemical stressors (e.g., noise, diet, temperature, overcrowding) are found in the built, natural and social environments. Correlations between exposure to non-chemical stressors in the social environment (e.g., SES, exposure to violence, acculturation) and negative health ou...

Discordance gradient-surface dans le rétrécissement mitral: le gradient moyen transmitral est-il un critère de sévérité ou un indice de tolérance du rétrécissement mitral serré?

PubMed Central

Najih, Hayat; Arous, Salim; Laarje, Aziza; Baghdadi, Dalila; Benouna, Mohamed Ghali; Azzouzi, Leila; Habbal, Rachida

2016-01-01

Le rétrécissement mitral (RM) rhumatismal demeure une valvulopathie fréquente dans les pays en voie de développement. Cependant, les pays industrialisés ont vu l'émergence ces dernières années de nouvelles étiologies de RM; notamment l'origine médicamenteuse et/ou toxique responsable de valvulopathies restrictives aussi bien sténosantes que régurgitantes. Pour cette raison, l'évaluation échocardiographique du RM et surtout, la définition de critères objectifs pour conclure au caractère serré du RM reste toujours d'actualité. Les objectifs du travail sont: évaluer l'existence ou non d'une corrélation directe entre le gradient moyen transmitral (GMT) et la sévérité du RM chez les patients porteurs d'un RM serré ou très serré (critère primaire) et analyser les différents paramètres qui conditionnent le gradient moyen transmitral (GMT) (Critère secondaire). Il s'agit d'une étude transversale monocentrique incluant tous les patients admis au service de Cardiologie du CHU Ibn Rochd de Casablanca pour un RM serré ou très serré, sur une période d'une année (Janvier 2014 à Décembre 2014). Nous avons analysés séparément deux groupes de patients : ceux avec un gradient moyen transmitral<10 mmHg (groupe 1) et ceux avec un gradient>10mmHg (groupe2). 50 patients porteurs d'un RM serré ou très serré ont été inclus. L'âge moyen de nos patients est de 41,7 ans avec prédominance féminine (sex ratio: 0,25). 64% de nos patients avaient un RM serré et 36% avaient un RM très serré. 52% (26 patients) avaient un GMT <10mmHg et 48% (24 patients) avaient un gradient moyen >10mmHg, ce qui suggère l'absence de corrélation directe entre la sévérité du RM et le GMT (coefficient de Pearson R: -0,137). Pour la dyspnée, 80% des patients du groupe 1 étaient dyspnéiques stade II de la NYHA et 70% des patients du groupe 2 étaient dyspnéiques stade III (41%) ou IV (29%) de la NYHA, ce qui signifie l'existence d'une corrélation significative entre le GMT et la sévérité de la dyspnée (R: 0,586 et p: 0,001). L'étude analytique de la fréquence cardiaque et la présence d'une décompensation cardiaque par rapport au gradient moyen transmitral a montré une corrélation significative. En effet, parmi les patients du groupe 1, 96% avaient une FC entre 60 et 100 bpm et aucun patient n'était en décompensation cardiaque. Dans le groupe 2,54% (13 patients) avaient une FC >100 bpm et 7 parmi eux (53%) étaient en décompensation cardiaque gauche. L'étude de la pression artérielle pulmonaire systolique dans les deux groupes de l'étude a révélé l'existence dans notre série d'une corrélation statistiquement significative (R : 0,518 et P : 0,001) entre la PAPS et le GMT. La régularité du rythme et la fonction ventriculaire droite n'étaient pas corrélées au GMT (R : 0,038 et R :-0,002 respectivement). Le gradient moyen transmitral est un bon indicateur de la tolérance du rétrécissement mitral, mais il reflète imparfaitement sa sévérité vue qu'il dépend de plusieurs paramètres hémodynamiques. D'authentiques rétrécissements mitraux très serrés peuvent exister avec des gradients moyens transmitraux <10 mm Hg, c'est pour cette raison que la valeur du GMT ne doit jamais être interprétée isolément. PMID:28292038

Socioeconomic and regional differences in active transportation in Brazil.

PubMed

Sá, Thiago Hérick de; Pereira, Rafael Henrique Moraes; Duran, Ana Clara; Monteiro, Carlos Augusto

2016-06-27

To present national estimates regarding walking or cycling for commuting in Brazil and in 10 metropolitan regions. By using data from the Health section of 2008's Pesquisa Nacional por Amostra de Domicílio (Brazil's National Household Sample Survey), we estimated how often employed people walk or cycle to work, disaggregating our results by sex, age range, education level, household monthly income per capita, urban or rural address, metropolitan regions, and macro-regions in Brazil. Furthermore, we estimated the distribution of this same frequency according to quintiles of household monthly income per capita in each metropolitan region of the country. A third of the employed men and women walk or cycle from home to work in Brazil. For both sexes, this share decreases as income and education levels rise, and it is higher among younger individuals, especially among those living in rural areas and in the Northeast region of the country. Depending on the metropolitan region, the practice of active transportation is two to five times more frequent among low-income individuals than among high-income individuals. Walking or cycling to work in Brazil is most frequent among low-income individuals and the ones living in less economically developed areas. Active transportation evaluation in Brazil provides important information for public health and urban mobility policy-making. Apresentar estimativas nacionais sobre o deslocamento a pé ou de bicicleta no trajeto casa-trabalho no Brasil e em 10 de suas regiões metropolitanas. Utilizando dados do Suplemento sobre Saúde da Pesquisa Nacional por Amostra de Domicílios de 2008, estimamos a frequência de pessoas empregadas que se deslocam a pé ou de bicicleta no trajeto casa-trabalho estratificada por sexo, e segundo faixa etária, escolaridade, renda domiciliar per capita, residência em área urbana ou rural, regiões metropolitanas e macrorregiões do país. Adicionalmente, estimamos a distribuição da mesma frequência segundo quintos da distribuição da renda domiciliar per capita em cada região metropolitana. Um terço dos homens e mulheres empregados desloca-se a pé ou de bicicleta de casa para o trabalho no Brasil. Em ambos os sexos, esta proporção diminui com o aumento da renda e da escolaridade e é maior entre os mais jovens, entre os que residem em área rural e naqueles residentes na região Nordeste. A depender da região metropolitana, a prática de deslocamento ativo entre os mais pobres é de duas a cinco vezes maior do que entre os mais ricos. O deslocamento a pé ou de bicicleta para o trabalho no Brasil é mais frequente entre os mais pobres e entre pessoas que vivem em áreas e regiões economicamente menos desenvolvidas. A avaliação do deslocamento ativo no País traz informações importantes para a discussão de políticas públicas de mobilidade.

Optimization Review: Lockwood Operable Unit 1 - Beall Source Area, Billings, Montana

EPA Pesticide Factsheets

The Lockwood Solvent Groundwater Plume Site (LSGPS) consists of two operable units (OUs) and is located on the outskirts of Billings, Montana in EPA Region 8. OU1 consists of contaminated soils and a chlorinated solvent groundwater plume associated with...

L'astronomie dans le monde

NASA Astrophysics Data System (ADS)

Manfroid, J.

2017-05-01

matière sombre – Abell 2744 vu par ALMA – Bousculade dans Orion – Rotation stellaire – Tsunamis martiens – Planète X ou 9 – Formation d’étoiles dans les jets de trous noirs – Éjection d’un trou noir

Determination of interaction between bridge concrete approach slab and embankment settlement.

DOT National Transportation Integrated Search

2005-07-01

The main objective of this research is to correlate the deformation and internal force of the approach slab with the approach embankment settlements and the approach slab parameters such as length and thickness. Finite element analysis was carried ou...

L'astronomie dans le monde

NASA Astrophysics Data System (ADS)

Manfroid, J.

2009-06-01

L'ESA en route vers les origines de l'univers; Record de distance; Blob primordial; Novae; Expansion de l'univers; Plat ou pas?; L'eau sur Mars; Bombardement massif; M87; CoRoT; EX Lupi; Première pour ALMA; Kohoutek 4-55; Arp 194

A decision support system for transportation infrastructure and supply chain system planning.

DOT National Transportation Integrated Search

2013-07-01

This project makes the results (models and methodology) of the research and development efforts on freight movement modeling (FMM) and supply chain design carried out by faculty at OSU and OU available to transportation and logistics professionals. A...

Scout 2008 Version 1.0 User Guide

EPA Science Inventory

The Scout 2008 version 1.0 software package provides a wide variety of classical and robust statistical methods that are not typically available in other commercial software packages. A major part of Scout deals with classical, robust, and resistant univariate and multivariate ou...

Studying the evolutionary significance of thermal adaptation in ectotherms: The diversification of amphibians' energetics.

PubMed

Nespolo, Roberto F; Figueroa, Julio; Solano-Iguaran, Jaiber J

2017-08-01

A fundamental problem in evolutionary biology is the understanding of the factors that promote or constrain adaptive evolution, and assessing the role of natural selection in this process. Here, comparative phylogenetics, that is, using phylogenetic information and traits to infer evolutionary processes has been a major paradigm . In this study, we discuss Ornstein-Uhlenbeck models (OU) in the context of thermal adaptation in ectotherms. We specifically applied this approach to study amphibians's evolution and energy metabolism. It has been hypothesized that amphibians exploit adaptive zones characterized by low energy expenditure, which generate specific predictions in terms of the patterns of diversification in standard metabolic rate (SMR). We complied whole-animal metabolic rates for 122 species of amphibians, and adjusted several models of diversification. According to the adaptive zone hypothesis, we expected: (1) to find "accelerated evolution" in SMR (i.e., diversification above Brownian Motion expectations, BM), (2) that a model assuming evolutionary optima (i.e., an OU model) fits better than a white-noise model and (3) that a model assuming multiple optima (according to the three amphibians's orders) fits better than a model assuming a single optimum. As predicted, we found that the diversification of SMR occurred most of the time, above BM expectations. Also, we found that a model assuming an optimum explained the data in a better way than a white-noise model. However, we did not find evidence that an OU model with multiple optima fits the data better, suggesting a single optimum in SMR for Anura, Caudata and Gymnophiona. These results show how comparative phylogenetics could be applied for testing adaptive hypotheses regarding history and physiological performance in ectotherms. Copyright © 2016 Elsevier Ltd. All rights reserved.

Remedial investigation/feasibility study for the Clinch River/Poplar Creek operable unit. Volume 1. Main text

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

NONE

1995-09-01

This is the combined Remedial Investigation/Feasibility Study Report for the Clinch River/Poplar Crack (CR/PC) Operable Unit (OU). The CR/PC OU is located in Anderson and Roane Counties, Tennessee and consists of the Clinch River and several of its embayments in Melton Hill and Watts Bar Reservoirs. These waters have received hazardous substances released over a period of 50 years from the US Department of Energy`s Oak Ridge Reservation (ORR), a National Priority List site established under the Comprehensive Environmental Response, Compensation, and Liability Act. A remedial investigation has been conducted to determine the current nature and extent of any contaminationmore » and to assess the resulting risk to human health and the environment. The feasibility study evaluates remedial action alternatives to identify any that are feasible for implementation and that would effectively reduce risk. Historical studies had indicated that current problems would likely include {sup 137}Cs in sediment of the Clinch River, mercury in sediment and fish of Poplar Creek and PCBs and pesticides in fish from throughout the OU. Peak releases of mercury and {sup 137}Cs occurred over 35 years ago, and current releases are low. Past releases of PCBs from the ORR are poorly quantified, and current releases are difficult to quantify because levels are so low. The site characterization focused on contaminants in surface water, sediment, and biota. Contaminants in surface water were all found to be below Ambient Water Quality Criteria. Other findings included the following: elevated metals including cesium 137 and mercury in McCoy Branch sediments; PCBs and chlordane elevated in several fish species, presenting the only major human health risk, significant ecological risks in Poplar Creek but not in the Clinch River.« less

[Different responses of growth and root development of Schima superba provenance to the adjacent plant competition in different nutrient conditions].

PubMed

Yao, Jia Bao; Chu, Xiu Li; Zhou, Zhi Chun; Tong, Jian She; Wang, Hui; Yu, Jia Zhong

2017-04-18

Growth and root development of three Schima superba seedling provenances were influenced by adjacent plant competition in the homogeneous and heterogeneous nutrient environment, which revealed the reasons of S. superba competition differences in the different genotypes. The results indicated that, compared with homogeneous nutrient environment, all three S. superba provenances showed higher seedling height, more dry matter accumulation, and significant root proliferation in heterogeneous nutrient environment. Under heterogeneous nutrient environment, the seedlings of S. superba from Jian'ou of Fujian exhibited higher competitive advantage in growth than that of S. superba from Longquan of Zhejiang and Xinfeng of Jiangxi, especially standing out under mixed cultivation with seedlings of Cunninghamia lanceolata. Under mixed cultivation, the root growth parameters of S. superba such as root length, root surface area and volume increased by 20.4%-69.0% compared with the single plant, which enhanced the foraging ability and growth advantage. To some extent, however, the root development in Longquan of Zhejiang and Xinfeng of Jiangxi was suppressed when subjected to the pattern of mixed cultivation. Besides, the root growth and development of all three S. superba provenances were suppressed, which might be due to their root self-recognition in the pattern of mono cultivation. Therefore, the seedling growth in Jian'ou of Fujian decreased significantly, but seedling growth in Longquan of Zhejiang and Xinfeng of Jiangxi was not suppressed, even increased evidently, as their root physiological plasticity might play the crucial role in seedling growth. Hence the S. superba from Jian'ou of Fujian with high foraging efficiency and competition ability was suggested with the method of mixed forestation to improve the S. superba forest plantation productivity.

Tuberculose pelvi-péritoneale pseudotumorale: à propos de quatre cas

PubMed Central

Saadi, Hanane; Mamouni, Nissrine; Errarhay, Sanaa; Bouchikhi, Chahrazed; Banani, Abdelaziz; Ammor, Hicham; Sqalli, Nadia; Tizniti, Siham; Benmajdoube, Karim; Maazaze, Khalid; Fatmi, Hind; Amarti, Afaf

2012-01-01

La tuberculose pelvienne pseudo tumorale est une maladie infectieuse curable. Son tableau clinique est souvent trompeur simulant une tumeur ovarienne ou tubaire. Le but de notre travail est de préciser les caractéristiques cliniques, biologiques et radiologiques de cette pathologie et sa prise en charge. Nous rapportons une étude rétrospective à propos de quatre observations. L’âge moyen de nos patientes est de 24 ans (16 ans, 40 ans), trois parmi elles étaient célibataires. Le motif de consultation est dominé par les douleurs abdominopelviennes chroniques. Les résultats des explorations radiologiques (échographie pelvienne associé à la TDM ou IRM pelvienne) ont été en faveur d'une tumeur ovarienne dans trois cas et d'un hydrosapinx bilatéral pour un cas. L'ascite a été présente dans tous les cas. Le dosage de la Ca 125 a été élevé. La prise en charge a été l'exploration chirurgicale soit par c'lioscopie ou laparotomie. Deux cas ont bénéficié seulement des biopsies et deux patientes ont eu une salpingectomie bilatérale devant l'aspect pseudo tumoral très suspect. L’étude histologique a confirmé des lésions graulomateuses avec nécrose caséeuse. Le traitement par les antibacillaires a été instauré selon le protocole 2ERHZ/ 4RH. La tuberculose pelvienne pseudo tumorale est l'apanage de la femme jeune. Son pronostic est lié à l'infertilité séquellaire. PMID:23330043

L'endométriose de la paroi abdominale: à propos d'un cas rare

PubMed Central

Jayi, Sofia; Laadioui, Meriem; Bouguern, Hakima; Chaara, Hikmat; Melhouf, Aabdelilah

2013-01-01

L'endométriose de la paroi est une entité clinique rare, dont la physiopathologie demeure imprécise. Elle survient le plus souvent après une intervention chirurgicale gynécologique ou obstétricale. Nous rapportons le cas d'une patiente présentant une douleur cyclique, au niveau de la cicatrice de césarienne. Avec à l'examen clinique une masse de 3 cm localisée au niveau de la fosse iliaque droite. L'échographie-doppler a objectivé une image d'allure tissulaire, polylobée, à vascularisation centrale, mesurant 32/16 mm, évoquent une masse endométriosique ou une tumeur des parties molles. D'où la décision d'excision de la lésion, au cours de laquelle on a découvert une masse dure de 3/2 cm, en sous aponévrotique accolée au muscle grand droit de l'abdomen. L'étude anatomopathologique a confirmé le diagnostic d'endométriose pariétale. Les suites postopératoires étaient simples avec un recul de 2 ans et demie sans récidive de la masse ni de la douleur. A travers notre cas, nous insisterons sur les caractéristiques de cette pathologie notamment pronostic, ce qui permettra au praticien de comprendre l'intérêt du diagnostic et prise en charge précoce de cette entité - pour laquelle on ne pense jamais assez devant une masse pariétale - et de sa prévention au cours de chaque chirurgie gynécologique ou obstétricale. PMID:24171068

Evolution des quasiparticules nodales du cuprate supraconducteur YBa2Cu3Oy en conductivite thermique

NASA Astrophysics Data System (ADS)

Rene de Cotret, Samuel

Ce memoire presente des mesures de conductivite thermique sur les supraconducteurs YBCO et Tl-2201 afin de statuer sur la presence possible d'un point critique quantique (QCP) dans le diagramme de phase de cuprates. Ce point critique quantique serait a l'origine de la reconstruction de la surface de Fermi, d'un large cylindre de trous en de petites poches de trous et d'electrons. La conductivite thermique dans le regime T → 0 permet d'extraire une quantite purement electronique liee aux vitesses de Fermi et du gap, au noeud. Une discontinuite dans cette quantite pourrait signaler la traversee du dopage critique qui reconstruit la surface de Fermi. Plusieurs sondes experimentales distinguent une transition de phase ou un crossover a T* a temperature finie. D'autres sondes mettent en evidence une transition de phase sous l'effet d'un champ magnetique. La presence ou non de cet ordre, a temperature et champ magnetique nul questionne la communaute depuis plusieurs annees. Dans cette etude, nous detectons une variation brusque de kappa0/T a p = 0.18 dans YBCO et a p = 0.20 dans Tl-2201. Ces sauts sont interpretes comme un signe de la transition a temperature nulle et sont en faveur d'un QCP. Le manque de donnees d'un meme materiau a ces dopages ne permet pas de valider hors de tout doute l'existence d'un point critique quantique. Le modele theorique YRZ decrit aussi bien les donnees de conductivite thermique. Des pistes de travaux experimentaux a poursuivre sont proposees pour determiner la presence ou non du QCP de facon franche. Mots-cles : Supraconducteurs, cuprates, conductivite thermique, point critique quantique.

Profilaxia da trombose venosa profunda em cirurgia bariátrica: estudo comparativo com doses diferentes de heparina de baixo peso molecular

PubMed Central

Goslan, Carlos José; Baretta, Giórgio Alfredo Pedroso; de Souza, Hemuara Grasiela Pestana; Orsi, Bruna Zanin; Zanoni, Esdras Camargo A.; Lopes, Marco Antonio Gimenez; Engelhorn, Carlos Alberto

2018-01-01

Resumo Contexto A cirurgia bariátrica é considerada a melhor opção para o tratamento da obesidade, cujos pacientes são considerados de alto risco para fenômenos tromboembólicos. Objetivos Comparar o uso de doses diferentes de heparina de baixo peso molecular (HBPM) na profilaxia da trombose venosa profunda (TVP) em pacientes candidatos à cirurgia bariátrica em relação ao risco de TVP, alteração na dosagem do fator anti-Xa e sangramento pré ou pós-operatório. Métodos Estudo comparativo transversal em pacientes submetidos à cirurgia bariátrica distribuídos em dois grupos, que receberam doses de HBPM de 40 mg (grupo controle, GC) e 80 mg (grupo de estudo, GE). Foram avaliados por ultrassonografia vascular e dosagem de KPTT, TAP, plaquetas e fator anti-Xa. Resultados Foram avaliados 60 pacientes, sendo 34 no GC e 26 no GE. Foi observada diferença significativa somente no peso (p = 0,003) e índice de massa corporal (p = 0,018) no GE em relação ao GC. Não houve diferença na dosagem de KPTT, TAP, plaquetas e fator anti-Xa entre os grupos. Não foram detectados TVP ou sangramentos significativos em ambos os grupos. Conclusões Não houve diferença estatisticamente significativa na utilização de doses maiores de HBPM na profilaxia da TVP em pacientes candidatos à cirurgia bariátrica em relação ao risco de TVP, dosagem do fator anti-Xa e sangramento pré ou pós-operatório.

Contribution to the study of pollution of soil and water in Oued El Maleh area (Mohammedia, Morocco)

NASA Astrophysics Data System (ADS)

El hajjaji, Souad; Dahchour, Abdelmalek; Belhsaien, Kamal; Zouahri, Abdelmjid; Moussadek, Rachid; Douaik, Ahmed

2016-04-01

In Morocco, diffuse ground and surface water pollution in irrigated areas has caused an increase in the risk of water and soil quality deterioration. This has generated a health and environmental risks. The present study was carried out in the Oued El Maleh region located 65 Km to the south of Rabat on the Moroccan Atlantic coast. It covers a surface area of 310 km2 where agriculture constitutes the main activity of the population. This region is considered as a very important agricultural area, known nationally for its high potential for market gardening. This intensification has been accompanied by an excessive use of agrochemical inputs and poor control of irrigation and drainage. Consequently, salinization phenomena and deterioration of soil structure as well as water are about to create an alarming situation. In order to assess the state of pollution of waters and soil in the region, our study focuses on the determination of physicochemical parameters for the quality of water and soil. The obtained results from sampled wells and surface water show relatively higher values of nitrate and conductivity exceeding Moroccan national standards and revealing net degradation of water quality; therefore the water can be considered not suitable for human consumption and can induce a degradation of soil. The results of the studied soil show that the pH of these soils is weakly to moderately basic; they are usually non-saline with organic matter content moderately filled. Moreover, very high concentrations of nutrients (potassium, phosphorus and nitrogen) were recorded, highlighting poor management fertilizing vegetable crops in the region of Oued El Maleh.

Modelisation par elements finis du muscle strie

NASA Astrophysics Data System (ADS)

Leonard, Mathieu

Ce present projet de recherche a permis. de creer un modele par elements finis du muscle strie humain dans le but d'etudier les mecanismes engendrant les lesions musculaires traumatiques. Ce modele constitue une plate-forme numerique capable de discerner l'influence des proprietes mecaniques des fascias et de la cellule musculaire sur le comportement dynamique du muscle lors d'une contraction excentrique, notamment le module de Young et le module de cisaillement de la couche de tissu conjonctif, l'orientation des fibres de collagene de cette membrane et le coefficient de poisson du muscle. La caracterisation experimentale in vitro de ces parametres pour des vitesses de deformation elevees a partir de muscles stries humains actifs est essentielle pour l'etude de lesions musculaires traumatiques. Le modele numerique developpe est capable de modeliser la contraction musculaire comme une transition de phase de la cellule musculaire par un changement de raideur et de volume a l'aide des lois de comportement de materiau predefinies dans le logiciel LS-DYNA (v971, Livermore Software Technology Corporation, Livermore, CA, USA). Le present projet de recherche introduit donc un phenomene physiologique qui pourrait expliquer des blessures musculaires courantes (crampes, courbatures, claquages, etc.), mais aussi des maladies ou desordres touchant le tissu conjonctif comme les collagenoses et la dystrophie musculaire. La predominance de blessures musculaires lors de contractions excentriques est egalement exposee. Le modele developpe dans ce projet de recherche met ainsi a l'avant-scene le concept de transition de phase ouvrant la porte au developpement de nouvelles technologies pour l'activation musculaire chez les personnes atteintes de paraplegie ou de muscles artificiels compacts pour l'elaboration de protheses ou d'exosquelettes. Mots-cles Muscle strie, lesion musculaire, fascia, contraction excentrique, modele par elements finis, transition de phase

Effect of Combination Therapy with Neuroprotective and Vasoprotective Agents on Cerebral Ischemia.

PubMed

Yang, Jiping; Yang, Bei; Xiu, Baoxin; Qi, Jinchong; Liu, Huaijun

2018-05-01

Because most tested drugs are active against only one of the damaging processes associated with stroke, other mechanisms may cause cellular death. Thus, a combination of protective agents targeting different pathophysiological mechanisms may obtain better effects than a single agent. The major objective of this study was to investigate the effect of combination therapy with vascular endothelial growth factor (VEGF) and nerve growth factor (NGF) after controlled ischemic brain injury in rabbits. Animals were randomly assigned to one of the following groups: sham group, saline-treated control group or NGF+VEGF-treated group. Animals received an intracerebral microinjection of VEGF and NGF or saline at 5 or 8 hours after ischemia. The two specified time points of administration were greater than or equal to the existing therapeutic time window for monoterapy with VEGF or NGF alone (3 or 5 hours of ischemia). Infarct volume, water content, neurological deficits, neural cell apoptosis and the expression of caspase-3 and Bcl-2 were measured. Compared with saline-treated controls, the combination therapy of VEGF and NGF significantly reduced infarct volume, water content, neural cell apoptosis and the expression of caspase-3, up-regulated the expression of Bcl-2 and improved functional recovery (both p<0.01) when administered 5 or 8 hours after ischemia. The earlier the administration the better the neuroprotection. These results showed that the combination therapy with VEGF and NGF provided neuroprotective effects. In addition, the time window of combination treatment should be at least 8 hours after ischemia, which was wider than monotherapy. RÉSUMÉ: Les effets d'une polythérapie combinant agents neuro-protecteurs et agents vasoprotecteurs dans les cas d'ischémie cérébrale. Contexte:Étant donné que la plupart des médicaments préalablement testés tendent à n'agir contre seulement un des processus de dommage associés aux AVC, il est possible que d'autres processus entraînent une mort cellulaire. À cet effet, il se pourrait qu'une combinaison d'agents protecteurs ciblant divers mécanismes physiopathologiques permette d'obtenir de meilleurs résultats qu'un simple agent. Après avoir suscité de façon contrôlée des lésions cérébrales ischémiques chez des lapins, l'objectif principal de la présente étude a donc été de se pencher sur l'impact d'une polythérapie combinant la protéine dite « facteur de croissance de l'endothélium vasculaire » (ou « VEGF » en anglais) avec le « facteur de croissance des nerfs » (ou « NGF » en anglais). Méthodes: Les animaux ont été attribués au hasard à l'un des groupes suivants : ceux ayant reçu un traitement fictif ; ceux, du groupe témoin, ayant bénéficié d'un traitement à base de solution saline ; et finalement ceux ayant été traités au moyen des VEGF et NGF. À noter que les lapins ont reçu une micro-injection intracérébrale de VEGF et de NGF ou de solution saline 5 heures ou 8 heures à la suite de leur AVC. Ces deux délais d'administration des VEGF et NGF sont équivalents ou supérieurs aux délais actuels d'administration des VEGF ou NGF à titre de monothérapie (3 heures ou 5 heures à la suite d'un AVC). Tant le volume des infarctus, le contenu en eau, les déficits neurologiques ainsi causés, l'apoptose des neurones que l'expression des protéases caspase 3 et des protéines Bcl-2 ont été mesurés. Résultats: Si on la compare au traitement à base de solution saline administré au groupe témoin, la polythérapie à base de VEGF et de NGF, lorsqu'administrée 5 heures ou 8 heures à la suite de l'AVC, a su réduire de façon notable le volume des infarctus, le contenu en eau, l'apoptose des neurones et l'expression des protéases caspase 3. Elle a également permis de réguler à la hausse l'expression des protéines Bcl-2 en plus d'entraîner une amélioration de la récupération fonctionnelle (p < 0,01 pour ces deux aspects). Ainsi donc, plus tôt l'on opte pour cette polythérapie, meilleure sera la neuroprotection encourue. Ces résultats démontrent que la polythérapie à base de VEGF et de NGF procure des effets neuroprotecteurs. Quant au délai d'administration de ce traitement combinatoire, il devrait être d'au moins 8 heures à la suite d'un AVC, ce qui est plus élevé que la monothérapie.

Identification of key characteristics of male reproductive toxicants as an approach for screening and sorting mechanistic evidence.

EPA Science Inventory

The application of systematic review practices in human health assessment includes integration of multi-disciplinary evidence from epidemiological, experimental, and mechanistic studies. Although mode of action analysis relies on the evaluation of mechanistic and toxicological ou...

Differential partitioning of triterpenes and triterpene esters in apple peel

USDA-ARS?s Scientific Manuscript database

Apple peel functions as a protective barrier against biotic and abiotic stresses, and preserving the integrity and appearance of peel critical for market acceptance. Peel epidermal cells and epicuticular wax are a rich source of secondary metabolites, including triterpenes. Several studies have ou...

Long-Term Monitoring Network Optimization Evaluation for Operable Unit 2, Bunker Hill Mining and Metallurgical Complex Superfund Site, Idaho

EPA Pesticide Factsheets

This report presents a description and evaluation of the ground water and surface water monitoring program associated with the Bunker Hill Mining and Metallurgical Complex Superfund Site (Bunker Hill) Operable Unit (OU) 2.

Comparing Faculty Perceptions of Sustainability Teaching at Two US Universities

ERIC Educational Resources Information Center

Tziganuk, Ashlee; Gliedt, Travis

2017-01-01

Purpose: This study aims to examine and compare faculty perceptions of the process of institutionalizing sustainability, developing sustainability pedagogy and activating key sustainability competencies between the University of Oklahoma (OU) and Arizona State University (ASU). Design/methodology/approach: Semi-structured interviews were conducted…

Work Plan for Comprehensive Groundwater Sampling (Operable Unit 2) April 2012

EPA Pesticide Factsheets

April 27, 2012 cover letter from Kirk Kessler, EPS, to Galo Jackson, EPA Region 4 and two OU2-related work plans for sampling at the LCP Chemicals Superfund Site, GA. Region ID: 04 DocID: 10922560, DocDate: 04-27-2012

Global and Regional Real-time Systems for Flood and Drought Monitoring and Prediction

NASA Astrophysics Data System (ADS)

Hong, Y.; Gourley, J. J.; Xue, X.; Flamig, Z.

2015-12-01

A Hydrometeorological Extreme Mapping and Prediction System (HyXtreme-MaP), initially built upon the Coupled Routing and Excess STorage (CREST) distributed hydrological model, is driven by real-time quasi-global TRMM/GPM satellites and by the US Multi-Radar Multi-Sensor (MRMS) radar network with dual-polarimetric upgrade to simulate streamflow, actual ET, soil moisture and other hydrologic variables at 1/8th degree resolution quasi-globally (http://eos.ou.edu) and at 250-meter 2.5-mintue resolution over the Continental United States (CONUS: http://flash.ou.edu).­ Multifaceted and collaborative by-design, this end-to-end research framework aims to not only integrate data, models, and applications but also brings people together (i.e., NOAA, NASA, University researchers, and end-users). This presentation will review the progresses, challenges and opportunities of such HyXTREME-MaP System used to monitor global floods and droughts, and also to predict flash floods over the CONUS.

Superfund record of decision amendment (EPA Region 5): Ott/Story/Cordova Chemical Co., Dalton Township, MI, February 26, 1998

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

NONE

This decision document presents the amendment to the Record of Decision (ROD) for Operable Unit (O.U.) No. 3 at the Ott/Story/Cordova Site (the Site) in Muskegon, MI. On September 27, 1993 a ROD was signed for the O.U. No. 3 Remedial Action choosing Low Temperature Thermal Desorption (LTTD) to treat contaminated plant area soils and sediments in Little Bear Creek and its unnamed tributary. This amendment to the ROD: eliminates LTTD from the remedy; revises the volume of soils to be remediated by excavation and off-site disposal as a result of an understanding that the land use for the sitemore » will remain industrial instead of residential as provided for in the 1993 ROD; requires regular sampling of surface water and sediments to determine the need for remedial action in the Little Bear Creek; and requires deed restrictions to insure that use of the site remains industrial.« less

Superfund Record of Decision (EPA Region 5): Reilly Tar and Chemical Corporation Site, St. Peter Aquifer, St. Louis Park, MN. (Third remedial action), September 1990

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

Not Available

1990-09-28

The 80-acre Reilly Tar and Chemical (St. Louis Park) site is a former coal tar distillation and wood preserving plant in St. Louis Park, Minnesota. The site overlies a complex system of aquifers, including the St. Peter aquifer that provide drinking water to area residences. The St. Peter Aquifer contains one municipal well, which is used during periods of peak demand, however, the majority of the drinking water in St. Louis Park is obtained from deeper aquifers. From 1917 to 1972, wastewater containing creosote and coal tar was discharged to onsite surface water, and as a result, small wastewater spillsmore » occurred into onsite soil. The ROD addresses Operable Unit 4 (OU4), remediation of the St. Peter aquifer. A subsequent ROD will address any remaining site problems as OU3. The primary contaminants of concern affecting the ground water are organics including PAHs and phenols.« less

Hémophilie B mineure révélée par une hémorragie cérébrale: à propos d'un cas

PubMed Central

Naji, Abdelhalim; Rkain, Maria; Amrani, Rim; Benajiba, Noufissa

2015-01-01

L'hémorragie intracrânienne (HIC) du nouveau-né à terme est une pathologie rare, leur prévalence est estimée à 2% des naissances vivantes. Les manifestations cliniques sont variables et non spécifique. Les causes d'HIC sont multiples et souvent intriquées, les mécanismes physiopathologiques principaux sont la dysrégulation du débit cérébral, une obstruction des vaisseaux ou une coagulation intravasculaire; ou une lésion directe par traumatisme. Nous rapportons le cas d'un nourrisson d'un mois qui a été admis dans notre service pour prendre en charge des convulsions associées à une pâleur cutanéomuqueuse, suite à laquelle l'examen biologique a mis fortuitement en faveur une hémophilie mineure sur une maladie hémorragique tardive. PMID:26491519

A importância de reconhecer a síndrome antifosfolípide na medicina vascular

PubMed Central

Funke, Andreas; Danowski, Adriana; de Andrade, Danieli Castro Oliveira; Rêgo, Jozelia; Levy, Roger Abramino

2017-01-01

Resumo A síndrome antifosfolipíde (SAF) é uma doença autoimune sistêmica caracterizada por trombose arterial ou venosa recorrente e/ou morbidade gestacional e pela presença dos anticorpos antifosfolipídeos, podendo apresentar outras manifestações vasculares, como microangiopatia, arteriopatia crônica e SAF catastrófica. Determinados testes laboratoriais para a síndrome (por exemplo, o anticoagulante lúpico) podem sofrer interferência do uso de medicações anticoagulantes, dificultando o diagnóstico. A fisiopatologia da SAF é complexa, sendo enumerados no texto diversos mecanismos patogênicos relacionados à coagulação, ao endotélio e às plaquetas. Por fim, discutimos o tratamento da SAF de acordo com a presença e o tipo de manifestações clínicas, o uso dos anticoagulantes orais diretos e o manejo perioperatório de pacientes com SAF. PMID:29930638

Martian atmospheric O3 retrieval development for the NOMAD-UVIS spectrometer

NASA Astrophysics Data System (ADS)

Hewson, W.; Mason, J. P.; Leese, M.; Hathi, B.; Holmes, J.; Lewis, S. R.; Iriwin, P. G. J.; Patel, M. R.

2017-09-01

The composition of atmospheric trace gases and aerosols is a highly variable and poorly constrained component of the martian atmosphere, and by affecting martian climate and UV surface dose, represents a key parameter in the assessment of suitability for martian habitability. The ExoMars Trace Gas Orbiter (TGO) carries the Open University (OU) designed Ultraviolet and VIsible Spectrometer (UVIS) instrument as part of the Belgian-led Nadir and Occultation for MArs Discovery (NOMAD) spectrometer suite. NOMAD will begin transmitting science observations of martian surface and atmosphere back-scattered UltraViolet (UV) and visible radiation in Spring 2018, which will be processed to derive spatially and temporally averaged atmospheric trace gas and aerosol concentrations, intended to provide a better understanding of martian atmospheric photo-chemistry and dynamics, and will also improve models of martian atmospheric chemistry, climate and habitability. Work presented here illustrates initial development and testing of the OU's new retrieval algorithm for determining O3 and aerosol concentrations from the UVIS instrument.

Methodes de calcul des forces aerodynamiques pour les etudes des interactions aeroservoelastiques

NASA Astrophysics Data System (ADS)

Biskri, Djallel Eddine

L'aeroservoelasticite est un domaine ou interagissent la structure flexible d'un avion, l'aerodynamique et la commande de vol. De son cote, la commande du vol considere l'avion comme une structure rigide et etudie l'influence du systeme de commande sur la dynamique de vol. Dans cette these, nous avons code trois nouvelles methodes d'approximation de forces aerodynamiques: Moindres carres corriges, Etat minimal corrige et Etats combines. Dans les deux premieres methodes, les erreurs d'approximation entre les forces aerodynamiques approximees par les methodes classiques et celles obtenues par les nouvelles methodes ont les memes formes analytiques que celles des forces aerodynamiques calculees par LS ou MS. Quant a la troisieme methode, celle-ci combine les formulations des forces approximees avec les methodes standards LS et MS. Les vitesses et frequences de battement et les temps d'executions calcules par les nouvelles methodes versus ceux calcules par les methodes classiques ont ete analyses.

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

Not Available

The 26-acre Shaw Avenue Dump site is a chemical waste site in Charles City, Floyd County, Iowa. Land use in the area is predominantly residential. From 1899 to 1964, Charles City used the site as a municipal landfill for waste incineration, and disposal of liming sludge from the city's publicly owned treatment works (POTW) and asphaltic materials continue to be disposed of in the landfill. Between 1977 and 1981, the State issued reports based on studies of the site and surface water that documented elevated levels of metals in an abandoned gravel pit near the site. The Record of Decisionmore » (ROD) addresses the chemical fill and surrounding contaminated soil, and the underground gasoline tank as Operable Unit 1 (OU1). A future ROD will address contaminated ground water as OU2. The primary contaminants of concern affecting the soil and debris are VOCs including benzene, toluene, and xylenes; other organics including PAHs; metals including arsenic and lead; and other inorganics. The selected remedial action for the site is included.« less

[Case report of melanoma-associated retinopathy associated with positive auto-antibodies against retinal bipolar cells].

PubMed

Hanaya, Junko; Nakamura, Yasuko; Nejima, Ryouhei; Miyata, Kazunori; Mera, Kentarou; Ohguro, Hiroshi; Yamamoto, Shuichi

2011-06-01

We report a case of melanoma-associated retinopathy (MAR) associated with positive auto-antibodies against retinal bipolar cells, which has been rarely reported in Japan. A 33 year-old woman noticed shimmering vision, photopsias, blurred vision, and night blindness OS in April 2009, and visited Kagoshima Miyata Eye Clinic in May 2009. She had been continuously treated for malignant melanoma on her left finger since 2007. At her initial visit, the corrected visual acuity was 1.5 OD and 1.2 OS, and slit-lamp examination revealed clear ocular media OU. Funduscopic examination showed normal appearance of the retina OU, except for a mild narrowing of the retinal arteries OS. Humphrey field analyzer revealed a reduction of retinal sensitivity within the central 30 degrees OS. The maximum left eye response of electroretinogram (ERG) showed a negative waveform. The immuno-cytochemical test revealed antibodies against retinal bipolar cells, which confirmed the diagnosis of MAR. Characteristic subjective symptoms, Humphrey field analyzer and ERG are useful for the diagnosis of MAR.

A Case of Bilateral Descemet's Membrane and Subepithelial Opacity: In vivo Laser Confocal Microscopic Study.

PubMed

Hatta, Yukiko; Yokogawa, Hideaki; Kobayashi, Akira; Torisaki, Makoto; Sugiyama, Kazuhisa

2013-01-01

To report the in vivo laser confocal microscopy findings from a patient with Descemet's membrane and subepithelial opacity OU. A healthy 41-year-old male with Descemet's membrane and subepithelial opacity OU was studied. Routine ophthalmic examination, standard slit-lamp biomicroscopy, and in vivo laser confocal microscopic analysis of the entire corneal layer were performed. Slit-lamp biomicroscopy revealed subepithelial opacity in the mid-peripheral to peripheral cornea and numerous opacities located at the level of Descemet's membrane. It was difficult to distinguish the precise histological location of the opacity. In vivo laser confocal microscopy showed numerous hyperreflective particles in the subepithelium to superficial stroma and hyperreflectivity of Descemet's membrane. No abnormalities could be detected in the epithelial cell layer, midstromal layer, deep stromal layer, or endothelial cell layer. Although the origin of the corneal opacities was unclear, in vivo laser confocal microscopy was useful for observing microstructural abnormalities in a case of Descemet's membrane and subepithelial opacity.

A Case of Bilateral Descemet's Membrane and Subepithelial Opacity: In vivo Laser Confocal Microscopic Study

PubMed Central

Hatta, Yukiko; Yokogawa, Hideaki; Kobayashi, Akira; Torisaki, Makoto; Sugiyama, Kazuhisa

2013-01-01

Purpose To report the in vivo laser confocal microscopy findings from a patient with Descemet's membrane and subepithelial opacity OU. Case Report A healthy 41-year-old male with Descemet's membrane and subepithelial opacity OU was studied. Routine ophthalmic examination, standard slit-lamp biomicroscopy, and in vivo laser confocal microscopic analysis of the entire corneal layer were performed. Slit-lamp biomicroscopy revealed subepithelial opacity in the mid-peripheral to peripheral cornea and numerous opacities located at the level of Descemet's membrane. It was difficult to distinguish the precise histological location of the opacity. In vivo laser confocal microscopy showed numerous hyperreflective particles in the subepithelium to superficial stroma and hyperreflectivity of Descemet's membrane. No abnormalities could be detected in the epithelial cell layer, midstromal layer, deep stromal layer, or endothelial cell layer. Conclusion Although the origin of the corneal opacities was unclear, in vivo laser confocal microscopy was useful for observing microstructural abnormalities in a case of Descemet's membrane and subepithelial opacity. PMID:23626574

Énergie photovoltaïque : matériaux utilisés et perspectives

NASA Astrophysics Data System (ADS)

Marfaing, Y.

2002-04-01

Les matériaux pour la conversion photovoltaïque sont des semi-conducteurs dont la largeur de bande interdite peut se situer dans l'intervalle 1 - 1,8 eV. Les principes physiques de l'effet photovoltaïque sont d'abord rappelés afin de mettre en évidence les relations nécessaires entre les caractéristiques optiques et électroniques du semi-conducteur et l'épaisseur de la structure de conversion ou cellule. Les matériaux actuellement utilisés ou étudiés sont ensuite passés en revue en commençant par le silicium cristallin massif puis en décrivant le vaste secteur des couches minces : silicium amorphe, composés polycristallins, silicium cristallisé en film mince. Les développements attendus dans chacune de ces filières sont présentés ainsi que les recherches en cours sur d'autres types de matériaux et de structures.

Trombose venosa profunda e vírus chicungunha

PubMed Central

Marques, Marcos Arêas; Adami de Sá, Fernanda Penza; Lupi, Otília; Brasil, Patricia; von Ristow, Arno

2017-01-01

Resumo Algumas infecções virais sistêmicas podem estar relacionadas ao desenvolvimento de trombose venosa profunda e/ou embolia pulmonar. Essa associação já está bem descrita em pacientes com infeções pelo vírus da imunodeficiência humana (HIV), hepatite C ou influenza. Recentemente introduzido no continente americano, o vírus chicungunha, agente etiológico da febre de chicungunha, ainda não tem essa relação bem sedimentada, mas com o aumento progressivo de sua incidência e pelo fato dessa infecção causar, muitas vezes, uma restrição severa da locomoção por poliartralgia e uma possível lesão endotelial direta, casos de tromboembolismo venoso podem começar a ser descritos. Neste relato de caso, descrevemos um paciente que desenvolveu trombose de veia poplítea direita durante internação para tratamento de febre por infecção por vírus chicungunha e poliartralgia severa. PMID:29930626

AVERAGE ANNUAL SOLAR UV DOSE OF THE CONTINENTAL US CITIZEN

EPA Science Inventory

The average annual solar UV dose of US citizens is not known, but is required for relative risk assessments of skin cancer from UV-emitting devices. We solved this problem using a novel approach. The EPA's "National Human Activity Pattern Survey" recorded the daily ou...

Consent Decree for RD/RA for OU-4 - Weyerhaeuser Co. Plymouth Treating Plant. Civil Action Number 4:08-CV-179-D

EPA Pesticide Factsheets

Contains legal agreement for the Domtar Paper Company LLC (formerly Weyerhaeuser Company) site under CERCLA Sections 106 and 107, Martin County, North Carolina, January 7, 2009 DocID: 10452888, DocDate: 01-07-2009

L’évaluation du risque cardiaque avant l’utilisation de stimulants chez les enfants et les adolescents

PubMed Central

Bélanger, SA; Warren, AE; Hamilton, RM; Gray, C; Gow, RM; Sanatani, S; Côté, J-M; Lougheed, J; LeBlanc, J; Martin, S; Miles, B; Mitchell, C; Gorman, DA; Weiss, M; Schachar, R

2009-01-01

Les décisions en matière de réglementation et les documents scientifiques au sujet de la prise en charge du trouble de déficit de l’attention avec hyperactivité (TDAH) soulèvent des questions quant à l’innocuité des médicaments et à l’évaluation convenable à effectuer avant le traitement afin de déterminer la pertinence d’une pharmacothérapie. Ce constat est particulièrement vrai en présence de cardiopathies structurelles ou fonctionnelles. Le présent article contient l’analyse des données disponibles, y compris les publications révisées par des pairs, des données tirées du site Web de la Food and Drug Administration des États-Unis au sujet des réactions indésirables déclarées chez des enfants qui prennent des stimulants, ainsi que des données de Santé Canada sur le même problème. Des lignes directrices consensuelles sur l’évaluation pertinente sont proposées d’après l’apport des membres de la Société canadienne de pédiatrie, de la Société canadienne de cardiologie et de l’Académie canadienne de psychiatrie de l’enfant et de l’adolescent, qui possèdent notamment des compétences et des connaissances précises tant dans le secteur du TDAH que de la cardiologie pédiatrique. Le présent document de principes prône une anamnèse et un examen physique détaillés avant la prescription de stimulants et s’attarde sur le dépistage des facteurs de risque de mort subite, mais il ne contient pas de recommandations systématiques de dépistage électrocardiographique ou de consultations avec un spécialiste en cardiologie, à moins que les antécédents ou que l’examen physique ne le justifient. Le document contient un questionnaire pour repérer les enfants potentiellement vulnérables à une mort subite (quel que soit le type de TDAH ou les médicaments utilisés pour le traiter). Même si les recommandations dépendent des meilleures données probantes disponibles, le comité s’entend pour affirmer que d’autres recherches s’imposent pour optimiser l’approche de ce scénario clinique courant.

Les campagnes communautaires de promotion du depistage VIH en Afrique de l’Ouest : perceptions des usagers au Burkina Faso

PubMed Central

Desclaux, Alice; Ky-Zerbo, Odette; Somé, Jean-François; Makhlouf-Obermeyer, Carla

2014-01-01

Résumé La politique actuelle de lutte contre le sida qui repose sur l’extension de l’accès aux traitements et à la prévention exige qu’une proportion élevée de la population connaisse son statut en matière de VIH. Pour cela, l’OMS a proposé le développement de stratégies communautaires délivrant le dépistage et le conseil au-delà des services de soins, comme le test à domicile ou les campagnes de sensibilisation et dépistage de grande envergure, appliqués en Afrique australe et de l’Est. Pour définir les stratégies pertinentes dans des régions de basse prévalence comme l’Afrique de l’Ouest, les expériences communautaires de promotion du dépistage doivent y être évaluées. Cet article présente une évaluation des campagnes au Burkina Faso du point de vue des usagers. Dans le cadre d’un projet sur les pratiques et l’éthique du dépistage dans quatre pays africains (MATCH), une enquête qualitative spécifique a été menée pendant la campagne de 2008, auprès de personnes ayant fait le test pendant la campagne, ayant fait le test hors campagne ou n’ayant pas fait le test. Les appréciations sont globalement très favorables aux campagnes, notamment à cause de l’information dispensée, l’accessibilité des sites, la gratuité du test, la qualité des services et l’effet d’entrainement. Les limites ou critiques sont essentiellement liées à l’affluence ou à la crainte de ne pas être soutenu en cas de résultat positif. La démarche de recours au test ne fait plus l’objet de suspicion, au moins pendant la campagne. Cette « normalisation » du recours au test et la mobilisation collective facilitent des pratiques en groupe, ce qui peut rendre difficile de garder son statut VIH secret. L’évaluation des campagnes par les usagers les présente comme une opportunité pour accéder facilement au test et pour communiquer à ce sujet dans divers espaces sociaux à partir des informations délivrées sur le VIH. PMID:24755264

La stimulation magnétique transcrânienne (SMT) dans la recherche fondamentale et clinique en neuroscience

PubMed Central

Valero-Cabré, Antoni; Pascual-Leone, Alvaro; Coubard, Olivier A.

2011-01-01

Introduction Les méthodes de stimulation cérébrale non invasives telles que la Stimulation Magnétique Transcrânienne (SMT) sont largement utilisées pour établir des inférences causales sur les relations entre cerveau et comportement. Des applications cliniques basées sur la SMT ont également été développées pour traiter des affections neurologiques ou psychiatriques comme la dépression, la dystonie, la douleur, les acouphènes ou les séquelles d’accident vasculaire cérébral. État des connaissances La SMT fonctionne en induisant de manière non invasive et de manière focale des courants électriques dans des régions corticales, modulant ainsi leur niveau d’activité de façon variable suivant la fréquence, le nombre d’impulsions, les intervalles et la durée de stimulation utilisés. S’agissant du cortex moteur, on sait par exemple que les patterns d’impulsions de SMT à basse fréquence ou ceux délivrées de manière continue tendent à déprimer l’activité locale, tandis que la SMT à haute fréquence et discontinus tend à la potentialiser. Outre ses effets locaux, la SMT peut aussi avoir des effets à distance sur les régions cérébrales, véhiculés par les connections anatomiques et qui dépendent de l’efficacité et du signe de ces connexions. Perspectives Dans le domaine de la recherche fondamentale et des applications thérapeutiques, l’utilisation efficace de la SMT requiert, cependant, la compréhension approfondie de ses principes opérationnels, de ses risques, de ses potentialités et de ses limites. Dans cet article, nous présentons les principes par lesquels opèrent les méthodes de stimulation cérébrale non invasive, et en particulier la SMT. Conclusion À l’issue de sa lecture, le lecteur sera en mesure de discuter de façon critique les études scientifiques et cliniques utilisant la SMT, ainsi que de concevoir des applications SMT suivant une hypothèse a priori dans le domaine de la recherche en neuroscience fondamentale et/ou clinique. PMID:21420698

Evaluation de la qualite osseuse par les ondes guidees ultrasonores =

NASA Astrophysics Data System (ADS)

Abid, Alexandre

La caracterisation des proprietes mecaniques de l'os cortical est un domaine d'interet pour la recherche orthopedique. En effet, cette caracterisation peut apporter des informations primordiales pour determiner le risque de fracture, la presence de microfractures ou encore depister l'osteoporose. Les deux principales techniques actuelles de caracterisation de ces proprietes sont le Dual-energy X-ray Absorptiometry (DXA) et le Quantitative Computed Tomogaphy (QCT). Ces techniques ne sont pas optimales et presentent certaines limites, ainsi l'efficacite du DXA est questionnee dans le milieu orthopedique tandis que le QCT necessite des niveaux de radiations problematiques pour en faire un outil de depistage. Les ondes guidees ultrasonores sont utilisees depuis de nombreuses annees pour detecter les fissures, la geometrie et les proprietes mecaniques de cylindres, tuyaux et autres structures dans des milieux industriels. De plus, leur utilisation est plus abordable que celle du DXA et n'engendrent pas de radiation ce qui les rendent prometteuses pour detecter les proprietes mecaniques des os. Depuis moins de dix ans, de nombreux laboratoires de recherche tentent de transposer ces techniques au monde medical, en propageant les ondes guidees ultrasonores dans les os. Le travail presente ici a pour but de demontrer le potentiel des ondes guidees ultrasonores pour determiner l'evolution des proprietes mecaniques de l'os cortical. Il commence par une introduction generale sur les ondes guidees ultrasonores et une revue de la litterature des differentes techniques relatives a l'utilisation des ondes guidees ultrasonores sur les os. L'article redige lors de ma maitrise est ensuite presente. L'objectif de cet article est d'exciter et de detecter certains modes des ondes guides presentant une sensibilite a la deterioration des proprietes mecaniques de l'os cortical. Ce travail est realise en modelisant par elements finis la propagation de ces ondes dans deux modeles osseux cylindriques. Ces deux modeles sont composes d'une couche peripherique d'os cortical et remplis soit d'os trabeculaire soit de moelle osseuse. Ces deux modeles permettent d'obtenir deux geometries, chacune propice a la propagation circonferentielle ou longitudinale des ondes guidees. Les resultats, ou trois differents modes ont pu etre identifies, sont compares avec des donnees experimentales obtenues avec des fantomes osseux et theoriques. La sensibilite de chaque mode pour les differents parametres des proprietes mecaniques est alors etudiee ce qui permet de conclure sur le potentiel de chaque mode quant a la prediction de risque de fracture ou de presence de microfractures.

Simplificando a luneta com lente de óculos

NASA Astrophysics Data System (ADS)

Canalle, J. B. G.; de Souza, A. C. F.

2003-08-01

A principal ferramenta de trabalho do astrônomo é o telescópio. O manuseio do mesmo é sempre motivo de enorme curiosidade por parte de alunos do ensino fundamental ou médio e até mesmo dos respectivos professores. Visando propiciar o acesso de alunos e professores ou interessados em geral a uma luneta de fácil construção, com materiais alternativos, de fácil localização no comércio, de baixo custo, resistente ao manuseio de alunos, simplificamos a montagem de uma luneta construída com lente de óculos, de 1 ou 2 graus positivos, e monóculo de fotografia, publicado por este autor no CCEF, vol.11(3), 212, 1994. Esta luneta, a qual permite ver as crateras lunares, apresentava como maior dificuldade de construção o tripé e o local de formação da imagem. Substituímos o tripé de madeira por uma simples garrafa PET de 2 litros cheia d'água. No lugar da ocular usamos a lente do monóculo de fotografia (ou visor de fotografia) encaixado dentro de uma bucha de redução curta, de 40 x 32 mm, e esta não mais dentro de uma luva (conexão hidráulica) de 40 mm de diâmetro, mas sim encostada no próprio tubo de PVC móvel (o qual permite o ajuste do foco) de 40 mm de diâmetro e presa a este por outro tubo de 40 mm de diâmetro e 10 cm de comprimento, serrado ao longo do seu comprimento. Com isto podemos ajustar a posição deste tubo de 10 cm também para que uma das suas extremidades coincida com o local de formação da imagem. Desta forma o observador saberá o local exato da formação da imagem, o que não era evidente na montagem anterior e causava uma dificuldade inicial até se descobrir a posição exata em que se deveria colocar o olho. Deste maneira, a montagem inicial que já era simples ficou ainda mais simples, mais barata e mais confortável para o uso. Um exemplar da mesma será exposto durante a XXIX Reunião Anual da Sociedade Astronômica Brasileira para inspeção e uso dos participantes.

Aborder la syllogomanie en médecine familiale

PubMed Central

Frank, Christopher; Misiaszek, Brian

2012-01-01

Résumé Objectif Examiner comment se présente la syllogomanie et suggérer aux médecins de famille des approches et des ressources pour sa prise en charge. Source des données On a fait une recension dans PubMed de 2001 à mai 2011. Le mot-clé MeSH hoarding a été utilisé pour identifier la recherche à ce sujet et passer en revue les articles portant sur les aspects neuropsychologiques de l’accumulation pathologique, son diagnostic et son traitement. Message principal La syllogomanie ou accumulation pathologique est souvent un problème peu évident en médecine familiale. Les patients qui ont une syllogomanie se présentent souvent à cause d’un événement sentinelle comme une chute ou un incendie à leur domicile. Quoique la syllogomanie soit traditionnellement associée à un trouble obsessionnel-compulsif, le plus souvent, les patients ont une maladie systémique secondaire associée à un comportement syllogomaniaque ou ont une syllogomanie en l’absence de caractéristiques compulsives considérables. On s’attend à ce que la syllogomanie soit incluse dans la 5e édition du Manuel diagnostique et statistique des troubles mentaux. Si possible, il vaut mieux prendre en charge la syllogomanie selon une approche multidisciplinaire. Un nombre grandissant de centres offrent des programmes pour améliorer les symptômes ou réduire les dangers. Il a été démontré que la prise en charge pharmacologique a une certaine utilité pour traiter les causes secondaires. Chez les personnes plus âgées, des problèmes comme la démence, la dépression et la toxicomanie sont souvent associés à un comportement d’accumulation pathologique. Il faudrait essayer de maintenir les patients à domicile dans la mesure du possible, mais l’évaluation de la capacité devrait guider l’approche à adopter. Conclusion L’accumulation pathologique est plus fréquente que ne le pensent les médecins de famille. Si on identifie une syllogomanie, il faudrait rechercher des ressources locales pour contribuer à la prise en charge. Il faut évaluer et traiter les causes sous-jacentes lorsqu’elles sont cernées. On s’attend à ce que la syllogomanie primaire compte parmi les nouveaux diagnostics dans la 5e édition du Manuel diagnostique et statistique des troubles mentaux.

Translation into French of: “Changes to publication requirements made at the XVIII International Botanical Congress in Melbourne – what does e-publication mean for you?”. Translated by Christian Feuillet and Valéry Malécot Changements des conditions requises pour la publication faits au XVIII e Congrès International de Botanique à Melbourne – qu’est-ce que la publication électronique représente pour vous?

PubMed Central

Knapp, Sandra; McNeill, John; Turland, Nicholas J.

2011-01-01

Résumé Les changements au Code International de Nomenclature Botanique sont décidés tous les 6 ans aux Sections de Nomenclature associées aux Congrès Internationaux de Botanique (CIB). Le XVIIIe CIB se tenait à Melbourne, Australie; la Section de Nomenclature s’est réunie les 18-22 juillet 2011 et ses décisions ont été acceptées par le Congrès en session plénière le 30 juillet. Suite à cette réunion, plusieurs modifications importantes ont été apportées au Code et vont affecter la publication de nouveaux noms. Deux de ces changements prendront effet le 1er janvier 2012, quelques mois avant que le Code de Melbourne soit publié. Les documents électroniques publiés en ligne en ‘Portable Document Format’ (PDF) avec un ‘International Standard Serial Number’ (ISSN) ou un ‘International Standard Book Number’ (ISBN) constitueront une publication effective, et l’exigence d’une description ou d’une diagnose en latin pour les noms des nouveaux taxa sera changée en l’exigence d’une description ou d’une diagnose en latin ou en anglais. De plus, à partir du 1er janvier 2013, les noms nouveaux des organismes traités comme champignons devront, pour que la publication soit valide, inclure dans le protologue (tous ce qui est associé au nom au moment de la publication valide) la citation d’un identifiant (‘identifier’) fourni par un dépôt reconnu (tel MycoBank). Une ébauche des nouveaux articles concernant la publication électronique est fournie et des conseils de bon usage sont esquissés. Pour encourager la diffusion des changements adoptés au Code International de Nomenclature pour les algues, les champignons et les plantes, cet article sera publié dans BMC Evolutionary Biology, Botanical Journal of the Linnean Society, Brittonia, Cladistics, MycoKeys, Mycotaxon, New Phytologist, North American Fungi, Novon, Opuscula Philolichenum, PhytoKeys, Phytoneuron, Phytotaxa, Plant Diversity and Resources, Systematic Botany et Taxon. PMID:22287925

Aspects of choosing appropriate concepts for modelling groundwater resources in regional integrated water resources management Examples from the Neckar (Germany) and Ouémé catchment (Benin)

NASA Astrophysics Data System (ADS)

Barthel, R.; Jagelke, J.; Götzinger, J.; Gaiser, T.; Printz, Andreas

Two regional groundwater flow models (Neckar catchment, Germany, 14,000 km 2, and Southern Ouémé Basin, Benin, 11,000 km 2) were developed within the framework of the integrated management project ‘RIVERTWIN’ ( www.rivertwin.org). Both models were evaluated with respect to the question if the chosen modelling approaches (multi-layered finite difference numerical flow modelling, steady state and transient) are appropriate in view of the existing management problems in the catchments, the data availability and the hydrogeological and hydrological conditions in the basins. It is shown that neither the model in the well-investigated, data-rich basin in Western Europe with its highly developed water related infrastructure, nor the model in the hydrogeologically less well-known and less developed basin in Western Africa provide results that are fully applicable to the main regional management tasks. In the case of the Ouémé, the groundwater related problems are foremost of local character and therefore cannot be addressed by regional models in a meaningful way. Data scarcity and complex, unfavourable geological conditions (crystalline rocks, discontinuous aquifers) support the conclusion that numerical 3D groundwater flow models are currently not helpful to manage groundwater related management problems in the Ouémé basin. A better understanding of regional hydrological surface and subsurface processes is required first. Methods for a reliable estimation of groundwater recharge and subsequently groundwater availability were identified as the most urgently needed tool for meaningful groundwater management in view of climatic, demographic and land use change. In the Neckar catchment the results of the analysis are less pronounced; here regional groundwater problems could clearly benefit from a physically based 3D model since the hydrogeological system is strictly stratified with several important aquifers in the vertical sequence. As a general conclusion it can be stated that regional scale groundwater flow modelling concepts seem to be difficult to integrate in management systems and difficult to transfer from one basin to another. This means the question of how to represent the groundwater resources appropriately has to be discussed very thoroughly for any new integrated water resources management problem. It is not possible to give a final recommendation on which modelling concept is the most appropriate one in regional integrated modelling and management. Hence, this article is only intended to provide an in depth discussion of the aspects that need to be considered in the process of choosing appropriate modelling concepts.

75 FR 34405 - National Oil and Hazardous Substances Pollution Contingency Plan; National Priorities List...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-17

... future actions under Superfund. This partial deletion pertains to the surface media (soil, surface water... in contamination of structures, soil, surface water, and groundwater. As a result of this... Superfund Site located upgradient (south) of RMA (1990). OU 03: On-Post--Addresses soil and groundwater...

Jeux droles ou droles de jeux. (Funny Games or Strange Games.)

ERIC Educational Resources Information Center

Care, Jean-Marc

1983-01-01

Role playing differs from the more static teaching technique of simulation in its incorporation of originality and theatricality. From preparation to presentation, it is important to retain the element of play, avoid techniques of or tendencies toward psychodrama, and hold the pedagogical or evaluative purposes in mind. (MSE)

CHILDREN'S ENVIRONMENTAL HEALTH AND DISEASE PREVENTION RESEARCH CENTERS: FORMATIVE CENTERS

EPA Science Inventory

We expect, at the end of this project, to be able to 1) characterize sources of maternal exposure to BPA, the relationship between maternal and intrauterine levels of BPA and 2) gain an in‐depth understanding of BPA affects early development. We anticipate this will improve ou...

Spatio-temporal distribution of stored-product inects around food processing and storage facilities

USDA-ARS?s Scientific Manuscript database

Grain storage and processing facilities consist of a landscape of indoor and outdoor habitats that can potentially support stored-product insect pests, and understanding patterns of species diversity and spatial distribution in the landscape surrounding structures can provide insight into how the ou...

An illustrated analysis of North Carolina traffic crash statistics for 2005

DOT National Transportation Integrated Search

2005-01-01

Comparing the statistics of 2004 with 2005, there : was a 1.7% decrease in the number of fatalities, and : a 3.6% decrease in the number of traffic crashes : reported. A crash occurred every 2.4 minutes and a : person was killed every 5.7 hours on ou...

Fistule vesico-sigmoïdienne compliquant une hydatidose intestinale: à propos d'un cas rare

PubMed Central

Lahyani, Mounir; Jabbour, Younes; Karmouni, Tarik; Elkhader, Khalid; Koutani, Abdellatif; Andaloussi, Ahmed Ibn attya

2014-01-01

La fistule colo-vésicale sur une hydatidose sigmoidienne est une entité pathologique exceptionnelle. Nous rapportions une nouvelle observation, ou seront rappelées les principales données diagnostique et thérapeutique de cette affection. PMID:25722790

Professionnalisation ou Deprofessionnalisation: Une Base Conceptuelle pour L'evaluation de La Competence en Psychologie.

ERIC Educational Resources Information Center

Perron, Jacques; And Others

1980-01-01

Elements of professionalization--systematic body of theory, social recognition, monopoly, and degree of organization--are presented and applied to the development of professional psychology in Quebec. The concept of deprofessionalization is introduced as an alternative basis for evaluating competence in professional psychology. (Author)

PCE/TCE DEGRADATION USING MULCH BIOWALLS

EPA Science Inventory

A passive reactive barrier (Biowall) was installed at the OU-1 site at Altus Air Force Base, Oklahoma to treat TCE contamination in ground water from a landfill. Depth to ground water varies from 1.8 to 2.4 meters below land surface. To intercept and treat the plume of contamin...

A Tracer Test to Characterize Treatment of TCE in a Permeable Reactive Barrier

EPA Science Inventory

A tracer test was conducted to characterize the flow of ground water surrounding a permeable reactive barrier constructed with plant mulch (a biowall) at the OU-1 site on Altus Air Force Base, Oklahoma. This biowall is intended to intercept and treat ground water contaminated by ...

Permitting of Landfill Bioreactor Operations: Ten Years after the RD&D Rule

EPA Science Inventory

Prior to promulgation of the Rule, there were approximately 20 full-scale bioreactor projects in North America, including one in Canada. Of these, six were permitted by EPA (four Project XL sites and two projects listed separately under a cooperative research agreement at the Ou...

Pour Savoir ou vous en etes. Evaluez vous-meme vos connaissances (Knowing Where You Are. Evaluate Your Knowledge by Yourself).

ERIC Educational Resources Information Center

Aiello, Angelo; And Others

1986-01-01

A form is presented for language teacher self-evaluation concerning attitudes and knowledge about learning theories, general linguistics, sociolinguistics, pragmatics, discourse analysis, teaching methodology, the communicative approach, class activities, class management, instructional support, and evaluation. (MSE)

DIAMOND ALKALI OU2 - PASSAIC RIVER STUDY AREA Conceptual Site Model-Empirical Mass Balance (CSM-EMB)

EPA Science Inventory

EPA, the U.S. Army Corps of Engineers (Corps), New Jersey Department of Transportation (NJDOT) ), National Oceanic and Atmospheric Administration (NOAA), U.S. Fish and Wildlife Service (USFWS) and New Jersey Department of Environmental Protection (NJDEP) are conducting a joint st...

U.S. EPA, Pesticide Product Label, , 05/26/1993

EPA Pesticide Factsheets

2011-04-14

... hOU,. of n,..t tr •• tm.nt If n .. ~It'rl.To .. du ... ,"1.011110';. 'horough'y 'proy Ih. In'm.r. b.dd"'g end ~tf';., r,.:'niJ .ren u"~~h •• urf.e.', .lIghlly mof ... Tr.IJ ..... ...

Area-wide management of Aedes albopictus: lessons learned.

USDA-ARS?s Scientific Manuscript database

Aedes albopictus, the Asian tiger mosquito, is the principal vector of chikungunya fever and a critical vector of dengue. This daytime biting pest often causes the majority of service requests from urban and suburban residents in New Jersey and many other states and nations where it has spread. Ou...

Melanges Pedagogiques (Pedagogical Mixture), 1983.

ERIC Educational Resources Information Center

Melanges Pedagogiques, 1983

1983-01-01

The 1983 issue of the journal on second language teaching and learning contains six articles in French. These include the following: "E.A.O.: Expression avec ordinateur (E.A.O.: Computer-Aided Expression)" (Daniele Abe, Michele Cembalo); "Ou suis-je? De la relation apprenant/environnement (Where Am I? On the Learner/Environment…

ARSENIC SORUCE IDENTIFICATION AT THE GROUND WATER-SURFACE WATER INTERACTION ZONE AT A CONTAMINATED SITE

EPA Science Inventory

One of the challenges in assessing the current impact of the discharge of arsenic contaminated ground water into a surface water body is differentiating the arsenic ground-water flux versus dissolution of in-place contaminated sediments. A field investigation has been carried ou...

77 FR 31215 - National Oil and Hazardous Substances Pollution Contingency Plan; National Priorities List...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-25

... and Hazardous Substances Pollution Contingency Plan; National Priorities List: Partial Deletion of the... National Oil and Hazardous Substances Pollution Contingency Plan (NCP). This partial deletion pertains to the surface soil, unsaturated subsurface soil, surface water and sediments of Operable Unit (OU) 1...

Advanced Filter Technology.

DTIC Science & Technology

1983-11-01

UNCLASIFIEDF/V 20/68 N ENS 1~*28 1225 111131.2 III12.2 L-0II 111111. MICROCOP RESOLUTION TEST CHART NAONAL HL’IAU OU 1ANPAPP 𔃾-0 November, 1983...half-waveplates do not have Adequate wide field response to accommodate it, hence the need for compound waveplates. The compound waveplates are

Sustainability of TCE Removal in the Mulch Biowalls at Altus AFB

EPA Science Inventory

A permeable mulch biowall was installed in June 2002 at Landfill 3 (LF-03), Operable Unit 1 (OU-1), Altus AFB, Oklahoma. The demonstration was conducted by Parsons for the AFCEE Technology Transfer Outreach Office. The biowall is approximately 455 feet long, by 24 feet deep, by...

Nitrogen competition between corn and weeds in soils under organic and conventional management

USDA-ARS?s Scientific Manuscript database

Cropping systems research has shown that organic systems can have comparable yields to conventional systems at higher weed biomass levels. Higher weed tolerance in organic systems could be due to differences in labile soil organic matter and nitrogen (N) mineralization potential. The objective of ou...

Problem of Questioning

ScienceCinema

None

2017-12-09

Le Prof.Leprince-Ringuet, chercheur sur le plan scientifique, artistique et humain, parle de la remise en question des hommes et la remise en question scientifique fondamentale ou exemplaire- plusieurs personnes prennent la parole p.ex Jeanmairet, Adam, Gregory. Le Prof.Gregory clot la soirée en remerciant le Prof.Leprince-Ringuet

Oklahoma Center for High Energy Physics (OCHEP)

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

Nandi, S; Strauss, M J; Snow, J

2012-02-29

The DOE EPSCoR implementation grant, with the support from the State of Oklahoma and from the three universities, Oklahoma State University, University of Oklahoma and Langston University, resulted in establishing of the Oklahoma Center for High Energy Physics (OCHEP) in 2004. Currently, OCHEP continues to flourish as a vibrant hub for research in experimental and theoretical particle physics and an educational center in the State of Oklahoma. All goals of the original proposal were successfully accomplished. These include foun- dation of a new experimental particle physics group at OSU, the establishment of a Tier 2 computing facility for the Largemore » Hadron Collider (LHC) and Tevatron data analysis at OU and organization of a vital particle physics research center in Oklahoma based on resources of the three universities. OSU has hired two tenure-track faculty members with initial support from the grant funds. Now both positions are supported through OSU budget. This new HEP Experimental Group at OSU has established itself as a full member of the Fermilab D0 Collaboration and LHC ATLAS Experiment and has secured external funds from the DOE and the NSF. These funds currently support 2 graduate students, 1 postdoctoral fellow, and 1 part-time engineer. The grant initiated creation of a Tier 2 computing facility at OU as part of the Southwest Tier 2 facility, and a permanent Research Scientist was hired at OU to maintain and run the facility. Permanent support for this position has now been provided through the OU university budget. OCHEP represents a successful model of cooperation of several universities, providing the establishment of critical mass of manpower, computing and hardware resources. This led to increasing Oklahoma's impact in all areas of HEP, theory, experiment, and computation. The Center personnel are involved in cutting edge research in experimental, theoretical, and computational aspects of High Energy Physics with the research areas ranging from the search for new phenomena at the Fermilab Tevatron and the CERN Large Hadron Collider to theoretical modeling, computer simulation, detector development and testing, and physics analysis. OCHEP faculty members participating on the D0 collaboration at the Fermilab Tevatron and on the ATLAS collaboration at the CERN LHC have made major impact on the Standard Model (SM) Higgs boson search, top quark studies, B physics studies, and measurements of Quantum Chromodynamics (QCD) phenomena. The OCHEP Grid computing facility consists of a large computer cluster which is playing a major role in data analysis and Monte Carlo productions for both the D0 and ATLAS experiments. Theoretical efforts are devoted to new ideas in Higgs bosons physics, extra dimensions, neutrino masses and oscillations, Grand Unified Theories, supersymmetric models, dark matter, and nonperturbative quantum field theory. Theory members are making major contributions to the understanding of phenomena being explored at the Tevatron and the LHC. They have proposed new models for Higgs bosons, and have suggested new signals for extra dimensions, and for the search of supersymmetric particles. During the seven year period when OCHEP was partially funded through the DOE EPSCoR implementation grant, OCHEP members published over 500 refereed journal articles and made over 200 invited presentations at major conferences. The Center is also involved in education and outreach activities by offering summer research programs for high school teachers and college students, and organizing summer workshops for high school teachers, sometimes coordinating with the Quarknet programs at OSU and OU. The details of the Center can be found in http://ochep.phy.okstate.edu.« less

Effects of a remedial system and its operation on volatile organic compound-contaminated ground water, Operable Unit 1, Savage Municipal Well Superfund Site, Milford, New Hampshire, 1998-2004

USGS Publications Warehouse

Harte, Philip T.

2006-01-01

The Savage Municipal Well Superfund site in the Town of Milford, N.H., is underlain by a 0.5-square mile plume of volatile organic compounds (VOCs), mostly tetrachloroethylene (PCE). The plume occurs mostly within a highly transmissive sand and gravel layer, but also extends into underlying till and bedrock. The plume has been divided into two areas called Operable Unit 1 (OU1), which contains the primary source area, and Operable Unit 2 (OU2), which is defined as the extended plume area. PCE concentrations in excess of 100,000 parts per billion (ppb) had been detected in the OU1 area in 1995, indicating a likely Dense Non-Aqueous Phase Liquid (DNAPL) source. In the fall of 1998, the New Hampshire Department of Environmental Services (NHDES) and the U.S. Environmental Protection Agency (USEPA) installed a remedial system in OU1 to contain and capture the dissolved VOC plume. The OU1 remedial system includes a low-permeability barrier wall that encircles the highest detected concentrations of PCE, and a series of injection and extraction wells to contain and remove contaminants. The barrier wall likely penetrates the full thickness of the sand and gravel; in most places, it also penetrates the full thickness of the underlying basal till and sits atop bedrock. Remedial injection and extraction wells have been operating since the spring of 1999 and include a series of interior (inside the barrier wall) injection and extractions wells and exterior (outside the barrier wall) injection and extraction wells. A recharge gallery outside the barrier wall receives the bulk of the treated water and reinjects it into the shallow aquifer. From 1998 to 2004, PCE concentrations decreased by an average of 80 percent at most wells outside the barrier wall. This decrease indicates (1) the barrier wall and interior extraction effectively contained high PCE concentrations inside the wall, (2) other sources of PCE did not appear to be outside of the wall, and (3) ambient ground-water flow in conjunction with the exterior remedial wells effectively remediated most of the dissolved PCE plume outside the wall. The overburden at middle depths (40 to 70 ft below land surface) downgradient from exterior extraction wells showed relatively slow decreases in PCE concentrations compared to other areas outside the barrier wall. Numerical simulation shows extraction caused the formation of a small downgradient slow-velocity zone. Because the ambient ground-water velocities are high (approximately 1 foot per day), temporary termination of extraction at the exterior wells may increase dilution downgradient from the exterior extraction wells. Extraction can also be optimized on the basis of seasonal hydrologic conditions to facilitate exterior well capture from upgradient areas outside of the barrier wall where PCE concentrations are highest. Reductions in concentrations of PCE inside the barrier wall from 1998 to 2003 were minimal near suspected source areas, indicating that the operation of interior remedial wells had not been effective in remediating dissolved PCE or the DNAPL source. Capture of the dissolved PCE plume within the barrier wall by interior extraction wells could be enhanced if operation (injection rates) increased at underutilized interior injection wells, thereby increasing hydraulic gradients.

Transport de paires EPR dans des structures mesoscopiques

NASA Astrophysics Data System (ADS)

Dupont, Emilie

Dans cette these, nous nous sommes particulierement interesses a la propagation de paires EPR1 delocalisees et localisees, et a l'influence d'un supraconducteur sur le transport de ces paires. Apres une introduction de cette etude, ainsi que du cadre scientifique qu'est l'informatique quantique dans lequel elle s'inscrit, nous allons dans le chapitre 1 faire un rappel sur le systeme constitue de deux points quantiques normaux entoures de deux fils supraconducteurs. Cela nous permettra d'introduire une methode de calcul qui sera reutilisee par la suite, et de trouver egalement le courant Josephson produit par ce systeme transforme en SQUID-dc par l'ajout d'une jonction auxiliaire. Le SQUID permet de mesurer l'etat de spin (singulet ou triplet), et peut etre forme a partir d'autres systemes que nous etudierons ensuite. Dans le chapitre 2, nous rappellerons l'etude detaillee d'un intricateur d'Andreev faite par un groupe de Bale. La matrice T, permettant d'obtenir le courant dans les cas ou les electrons sont separes spatialement ou non, sera etudiee en detail afin d'en faire usage au chapitre suivant. Le chapitre 3 est consacre a l'etude de l'influence du bruit sur le fonctionnement de l'intricateur d'Andreev. Ce bruit modifie la forme du courant jusqu'a aboutir a d'autres conditions de fonctionnement de l'intricateur. En effet, le bruit present sur les points quantiques peut perturber le transport des paires EPR par l'intermediaire des degres de liberte. Nous montrerons que, du fait de l'"intrication" entre la charge de la paire et le bruit, la paire est detruite pour des temps longs. Cependant, le resultat le plus important sera que le bruit perturbe plus le transport des paires delocalisees, qui implique une resonance de Breit-Wigner a deux particules. Le transport parasite n'implique pour sa part qu'une resonance de Breit-Wigner a une particule. Dans le chapitre 4, nous reviendrons au systeme constitue de deux points quantiques entoures de deux fils supraconducteurs, mais ici, les deux points quantiques seront aussi supraconducteurs. On obtiendra alors l'hamiltonien effectif de la meme maniere que precedemment ainsi que la forme du courant. Dans le cas ou la tension entre les deux fils est nulle, nous ferons une comparaison avec l'experience et nous verrons que les resultats obtenus sont plus en accord avec celle-ci si on fait l'hypothese de la presence d'un bain, qui va modeliser le bruit sur l'un des fils. Enfin, dans le dernier chapitre, nous utiliserons a la fois un qubit de charge et un qubit de spin entoures par deux fils supraconducteurs. Nous pourrons alors mesurer l'influence du supraconducteur et voir s'il est possible de creer ici des paires d'electrons intriques et d'aboutir a un pendule quantique. 1Il existe des systemes qui produisent des paires de particules ejectees simultanement dans des directions opposees et qui permettent de tester le paradoxe d' Einstein, Podolsky, Rosen. Chaque particule de la paire est dans un etat indetermine. Si on mesure les etats respectifs des deux particules, on obtient systematiquement des resultats complementaires, soit de facon aleatoire: 0-1 ou 1-0. La mecanique quantique explique que les deux particules ainsi produites constituent un seul systeme, une paire EPR.

Photovaporisation prostatique au laser chez les patients à haut risque hémorragique

PubMed Central

Bouabdallah, Zakaria; Kharbouchi, Amine; Colau, Alexandre; Cariou, Gerard

2013-01-01

Introduction Les patients sous traitement anticoagulant sont à risque élevé de saignement lors de la résection transurétrale de la prostate ou de l'adénomectomie par taille vésicale et ils se voient souvent récuser pour la chirurgie de l'hyperplasie bénigne de la prostate symptomatique. En Utilisant la photovaporisation de la prostate, les patients à haut risque peuvent subir en toute sécurité la chirurgie. Nous avons évalué l'innocuité et l'efficacité de la photovaporisation de la prostate (PVP) chez les patients sous anticoagulants en cours avec les dérivés de la coumarine, l'aspirine ou le clopidogrel, se plaignant de symptômes d'hypertrophie bénigne de la prostate. Méthodes Entre janvier 2009 et mai 2010, 47 hommes sous anticoagulation systémique ont subi une photovaporisation de la prostate. Les données ont été recueillies sur les caractéristiques démographiques, les comorbidités, les complications, la natrémie, l'hémoglobine, le débit urinaire maximal, le résidu post-mictionnel, l'IPSS et les complications. Résultats L'âge moyen était de 78 ans, le volume prostatique moyen était de 44g et le PSA était de 3.4ng/ml. Parmi les 10 patients (21.2%) étaient sous AVK, 27 (57.4%) étaient sous aspirine, 2 (4.2%) étaient sous clopidogrel, un sous fondaparinux et 6 (12.7%) étaient sous 2 anticoagulants ou plus. Le score ASA moyen était de 3. La durée moyenne de fonctionnement de l'appareil était de 38 minutes, l'énergie moyenne utilisée était de 200kJ. La durée moyenne d'hospitalisation était de 2 jours. Les complications survenant dans les 30 jours comprenaient une infection urinaire chez 5 patients (10.6%), une dysurie chez 4 patients et une hémorragie retardée chez 4 autres (8.5%). Un seul de ces patients a nécessité une transfusion sanguine et aucun patient n'a nécessité une réintervention. En 3 mois de suivi un seul patient a nécessité une incision du col vésical pour sclérose du col. Aucune incontinence ou sténose urétrale n'a été rapportée. Des améliorations significatives ont été notées dans l'IPSS, le débit urinaire maximal et le résidu post-mictionnel. Conclusion La PVP est caractérisé par d'excellentes propriétés hémostatiques et taux très faible de complications peropératoires même chez les patients sous 2 ou plusieurs agents anticoagulants. Sur la base de nos résultats péri-opératoires, nous recommandons la PVP comme traitement chirurgical de première intention chez les patients à haut risque de hémorragique souffrant de symptômes d'hypertrophie bénigne de la prostate. PMID:24570773

Clinical characteristics and outcomes of bacteraemic melioidosis in a teaching hospital in a northeastern state of Malaysia: a five-year review.

PubMed

Deris, Zakuan Zainy; Hasan, Habsah; Siti Suraiya, Mohd Noor

2010-08-04

Melioidosis is an important public health problem causing community acquired sepsis in the northeastern part of Malaysia. From January 2001 to December 2005, we reviewed case reports of all bacteraemic melioidosis admitted to a tertiary teaching hospital, Hospital Universiti Sains Malaysia. Thirty-five patients had positive blood culture for meliodosis and 27 case reports were traceable for further analysis. The mean age was 46.8 + 20.0 years. Twenty patients (74.1%) were male. The main clinical presentation was fever that occurred in 23 (85.2%) patients. Eighteen patients (66.7%) had lung involvement and three patients had liver abscess. Two patients presented with scrotal swelling, one of whom further developed Fournier's Gangrene. Nineteen (70.4%) patients had underlying diabetes, five of whom were newly diagnosed during the admission. Thirteen (48.1%) patients were treated with high-dose ceftazidime and six (22.2%) patients were treated with imipenem. Eight (29.6%) patients were not given anti-melioidosis therapy because the causative agents were not identified until after the patients died. The patients were admitted 16.8 days + 18.1. Seventeen patients (63.0%) died in this series, 13 patients of whom died within four days of admission. The wide range of clinical presentations and the fatal outcomes of melioidosis require a high level of suspicion among physicians to develop an early appropriate therapy and reduce the mortality rate.

Ocular surface infections in northeastern state of malaysia: a 10-year review of bacterial isolates and antimicrobial susceptibility.

PubMed

Rahman, Zaidah A; Harun, Azian; Hasan, Habsah; Mohamed, Zeehaida; Noor, Siti S Md; Deris, Zakuan Z; Ismail, Nabilah; Hassan, Asma S; Ahmad, Fadzhilah; Yaakub, Azhany

2013-09-01

Ocular surface infections that include infections of conjunctiva, adnexa, and cornea have the potential risk of causing blindness within a given population. Empirical antibiotic therapy is usually initiated based on epidemiological data of common causative agents. Thus, the aims of this study were to determine the bacterial agents and their susceptibility patterns of isolates from ocular surface specimens in our hospital. This is a retrospective analysis and records of bacterial isolates from ocular surface specimens in Hospital Universiti Sains Malaysia from January 2001 to December 2010 were examined. Specimens were processed according to standard laboratory procedures. Antimicrobial susceptibility testing was conducted based on Clinical and Laboratory Standards Institute recommendations. Only single, nonrepetitive isolates were included in the analysis. A total of 1,267 isolates were obtained during the study period, which comprised Staphylococcus aureus (n = 299, 23.6%), Pseudomonas aeruginosa (n = 194, 15.3%), Streptococcus pneumoniae (n = 108, 8.5%), Haemophilus influenzae (n = 100, 7.9%), Haemophilus parainfluenzae (n = 84, 6.6%), and Enterobacter spp. (n = 81, 6.4%). Fungi contributed to 4.4% of the total isolates. The antimicrobial susceptibility testing demonstrated that gram-positive bacteria were generally resistant to gentamicin (19%-57%), whereas gram-negative bacteria were resistant to chloramphenicol (27%-58%). Based on the above results, knowledge of the initial Gram stain findings is imperative before the commencement of empirical antibiotic therapy. Therefore, a simple Gram staining for all eye specimens is highly recommended.

Prevalence and Sources of Stress among Universiti Sains Malaysia Medical Students

PubMed Central

Yusoff, Muhamad Saiful Bahri; Abdul Rahim, Ahmad Fuad; Yaacob, Mohd Jamil

2010-01-01

Background: Being in medical school has always been regarded as highly stressful. Excessive stress causes physical and mental health problems. Persistent stress can impair students’ academic achievement and personal or professional development. The aim of this study is to explore the nature of stress among medical students by determining the prevalence, sources and pattern of stress and the factors affecting it. Methods: We chose a cross-sectional study design utilizing validated questionnaires, the 12 items General Health Questionnaire (GHQ-12) and Medical Student Stressor Questionnaire (MSSQ), to evaluate stress levels and stressors. School and ethical committee clearance were obtained prior to the study. Data were analysed using SPSS version 12. Results: Of the medical students who were administered the questionnaire, 761 (72%) respondents participated in this study. The prevalence of stress among the medical students was 29.6%. The top 10 stressors were academic-related. Prevalence of stress for the first, second, third, fourth and fifth year students was 26.3%, 36.5 %, 31.4%, 35.3% and 21.9%, respectively. Year of study was the only significant factor affecting stress among medical students (P-value < 0.05). Conclusions: The prevalence of stress among medical students in USM is high. Academic-related problems were the major stressor among medical students. Year of study was the factor most significantly associated with medical students’ stress. There was a bimodal pattern of the stress level throughout the year of study. PMID:22135523

Patterns of nasal foreign body in northeast Malaysia: A five-year experience.

PubMed

Yaroko, A A; Baharudin, A

2015-11-01

The aim of this study was to determine the common presentations and management outcomes in case of nasal foreign body. A retrospective study was carried out over 5 years, from January 2008 to December 2012. The total number of patients was 43; maximum age was 9 years. Patient biodata, clinical presentation, type of foreign body and management outcome were obtained and analyzed from the medical records of the Universiti Sains Malaysia Hospital. Of the total 43 patients, 60.5% were male and 39.5% female. The most frequent age at which nasal foreign bodies were found was 3 years (48.83%) and the least frequent age bracket was 7-9 years (2.33%). Most patients had foul smelling nasal discharge (34.88%) or were asymptomatic (34.88%); the least common presentation was nasal discomfort (2.33%). Seeds (23.26%) were the most common foreign body, followed by rubber and batteries (16.28%). In most cases (58.14%), the foreign body had been inserted into the right nostril; 39.53% were inserted into the left nostril, and 2.33% were bilateral. Foreign bodies were removed under general and local anesthesia in 53.49% and 41.86% of cases respectively; 4.65% were dislodged spontaneously. Nasal foreign bodies are encountered daily in our routine clinical practice in the pediatric age group. General anesthesia is required in uncooperative agitated patients to avoid complications. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Design and fabrication of facial prostheses for cancer patient applying computer aided method and manufacturing (CADCAM)

NASA Astrophysics Data System (ADS)

Din, Tengku Noor Daimah Tengku; Jamayet, Nafij; Rajion, Zainul Ahmad; Luddin, Norhayati; Abdullah, Johari Yap; Abdullah, Abdul Manaf; Yahya, Suzana

2016-12-01

Facial defects are either congenital or caused by trauma or cancer where most of them affect the person appearance. The emotional pressure and low self-esteem are problems commonly related to patient with facial defect. To overcome this problem, silicone prosthesis was designed to cover the defect part. This study describes the techniques in designing and fabrication for facial prosthesis applying computer aided method and manufacturing (CADCAM). The steps of fabricating the facial prosthesis were based on a patient case. The patient was diagnosed for Gorlin Gotz syndrome and came to Hospital Universiti Sains Malaysia (HUSM) for prosthesis. The 3D image of the patient was reconstructed from CT data using MIMICS software. Based on the 3D image, the intercanthal and zygomatic measurements of the patient were compared with available data in the database to find the suitable nose shape. The normal nose shape for the patient was retrieved from the nasal digital library. Mirror imaging technique was used to mirror the facial part. The final design of facial prosthesis including eye, nose and cheek was superimposed to see the result virtually. After the final design was confirmed, the mould design was created. The mould of nasal prosthesis was printed using Objet 3D printer. Silicone casting was done using the 3D print mould. The final prosthesis produced from the computer aided method was acceptable to be used for facial rehabilitation to provide better quality of life.

Microvascular endothelial function and severity of primary open angle glaucoma.

PubMed

Bukhari, S M I; Kiu, K Y; Thambiraja, R; Sulong, S; Rasool, A H G; Liza-Sharmini, A T

2016-12-01

PurposeThe role of microvascular endothelial dysfunction on severity of primary open angle glaucoma (POAG) was investigated in this study.Patients and methodsA prospective cohort study was conducted. One hundred and fourteen ethnically Malay patients (114 eyes) with POAG treated at the eye clinic of Hospital University Sains Malaysia between April 2012 and December 2014 were recruited. Patients aged between 40 and 80 years with two consecutive reliable and reproducible Humphrey visual field 24-2 analyses were selected. Patients who were diagnosed with any other type of glaucoma, previous glaucoma-filtering surgery, or other surgeries except uncomplicated cataract and pterygium surgery were excluded. Humphrey visual field analysis 24-2 was used to stratify the severity of glaucoma using Advanced Glaucoma Intervention Study (AGIS) score at the time of recruitment. Microvascular endothelial function was assessed using Laser Doppler fluximetry and iontophoresis. Iontophoresis process with acetylcholine (ACh) and sodium nitroprusside (SNP) was used to measure microvascular endothelium-dependent and -independent vasodilatation, respectively.ResultsBased on the AGIS score, 55 patients showed mild glaucoma, with 29 moderate and 30 severe. There was statistically significant difference in microvascular endothelial function (ACh% and ACh max ) between mild and moderate POAG cases (P=0.023) and between mild and severe POAG cases (P<0.001). There was negative correlation between microvascular endothelial function and severity of POAG (r=-0.457, P<0.001).ConclusionMicrovascular endothelial dysfunction may have a role in influencing the severity of POAG in Malay patients.

Mental health literacy towards depression among non-medical students at a Malaysian university.

PubMed

Khan, Tahir M; Sulaiman, Syed A; Hassali, Mohamed A

2010-03-01

Background The aim of the present study was to evaluate the knowledge and perception of depression among students of University Sains Malaysia (USM), in Penang, Peninsular Malaysia.Method Face-to-face interviews were conducted using a pre-validated 21-item questionnaire among students at USM.Results A total of 500 respondents participated in the survey comprising 24.6% (n=123) males and 75.4% (n=377) females. Half (50.0%, n=250) were Malays, followed by Chinese (44.0%, n=220) and Indians (6.0%, n=30). Whilst exploring the respondents' knowledge of the symptoms of depression, it was found that Chinese females had a comparatively better knowledge (P=0.058) of the symptoms of depression in comparison with Malays and Indians. Overall, social issues were attributed as the possible cause of depression. A cursory knowledge level was observed regarding medication for depression. Female students were more inclined towards the use of alternative and traditional medicines. However, with regard to seeking professional help, consultation with a psychiatrist was preferred by the majority.Conclusion Overall, a moderate level of knowledge about the symptoms of depression and a cursory knowledge of its therapy were observed. Those with personal experience of depression had better knowledge of the symptoms and therapy. Alternative treatments and traditional medicines were also favoured. There is a risk that this may affect the ability of Malaysian youths to seek evidence-based mental health care.

Mental health literacy towards depression among non‐medical students at a Malaysian university

PubMed Central

2010-01-01

Background The aim of the present study was to evaluate the knowledge and perception of depression among students of University Sains Malaysia (USM), in Penang, Peninsular Malaysia. Method Face‐to‐face interviews were conducted using a pre‐validated 21‐item questionnaire among students at USM. Results A total of 500 respondents participated in the survey comprising 24.6% (n=123) males and 75.4% (n=377) females. Half (50.0%, n=250) were Malays, followed by Chinese (44.0%, n=220) and Indians (6.0%, n=30). Whilst exploring the respondents' knowledge of the symptoms of depression, it was found that Chinese females had a comparatively better knowledge (P=0.058) of the symptoms of depression in comparison with Malays and Indians. Overall, social issues were attributed as the possible cause of depression. A cursory knowledge level was observed regarding medication for depression. Female students were more inclined towards the use of alternative and traditional medicines. However, with regard to seeking professional help, consultation with a psychiatrist was preferred by the majority. Conclusion Overall, a moderate level of knowledge about the symptoms of depression and a cursory knowledge of its therapy were observed. Those with personal experience of depression had better knowledge of the symptoms and therapy. Alternative treatments and traditional medicines were also favoured. There is a risk that this may affect the ability of Malaysian youths to seek evidence‐based mental health care. PMID:22477920

Assessment of patients' level of satisfaction with cleft treatment using the Cleft Evaluation Profile.

PubMed

Noor, Siti Noor Fazliah Mohd; Musa, Sabri

2007-05-01

Determination of the psychosocial status and assessment of the level of satisfaction in Malaysian cleft palate patients and their parents. Cross-sectional study. Sixty cleft lip and palate patients (12 to 17 years of age) from Hospital Universiti Sains Malaysia and their parents were selected. The questionnaires used were the Child Interview Schedule, the Parents Interview Schedule, and the Cleft Evaluation Profile (CEP), administered via individual interviews. Patients were teased because of their clefts and felt their self-confidence was affected by the cleft condition. They were frequently teased about cleft-related features such as speech, teeth, and lip appearance. Parents also reported that their children were being teased because of their clefts and that their children's self-confidence was affected by the clefts. Both showed a significant level of satisfaction with the treatment provided by the cleft team. There was no significant difference between the responses of the patients and their parents. The features that were found to be most important for the patients and their parents, in decreasing order of priority, were teeth, nose, lips, and speech. Cleft lip and/or palate patients were teased because of their clefts, and it affected their self-confidence. The Cleft Evaluation Profile is a reliable and useful tool to assess patients' level of satisfaction with treatment received for cleft lip and/or palate and can identify the types of cleft-related features that are most important for the patients.

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

PubMed Central

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

2016-01-01

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

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

PubMed

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

2016-07-01

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

FEASIBILITY STUDY REPORT FOR THE 200-ZP-1 GROUNDWATER OPERABLE UNIT

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

BYRNES ME

2008-07-18

The Hanford Site, managed by the U.S. Department of Energy (DOE), encompasses approximately 1,517 km{sup 2} (586 mi{sup 2}) in the Columbia Basin of south-central Washington State. In 1989, the U.S. Environmental Protection Agency (EPA) placed the 100, 200, 300, and 1100 Areas of the Hanford Site on the 40 Code of Federal Regulations (CFR) 300, 'National Oil and Hazardous Substances Pollution Contingency Plan' National Contingency Plan [NCPD], Appendix B, 'National Priorities List' (NPL), pursuant to the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA). The 200 Areas NPL sites consist of the 200 West and 200 Eastmore » Areas (Figure 1-1). The 200 Areas contain waste management facilities, inactive irradiated fuel reprocessing facilities, and the 200 North Area (formerly used for interim storage and staging of irradiated fuel). Several waste sites in the 600 Area, located near the 200 Areas, also are included in the 200 Areas NPL site. The 200 Areas NPL site is in a region referred to as the 'Central Plateau' and consists of approximately 700 waste sites, excluding sites assigned to the tank farm waste management areas (WMAs). The 200-ZP-1 Groundwater Operable Unit (OU) consists of the groundwater located under the northern portion of the 200 West Area. Waste sources that contributed to the 200-ZP-1 OU included cribs and trenches that received liquid and/or solid waste in the past from the Z Plant and T Plant aggregate areas, WMA-T, WMA-TX/TY, and the State-Approved Land Disposal Site (SALDS). This feasibility study (FS) for the 200-ZP-1 Groundwater OU was prepared in accordance with the requirements of CERCLA decision documents. These decision documents are part of the Administrative Record for the selection of remedial actions for each waste site and present the selected remedial actions that are chosen in accordance with CERCLA, as amended by the Superfund Amendments and Reauthorization Act of 1986, and to the extent practicable, the NCP. This FS conforms to the conditions set forth in the Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) (Ecology et al. 2003) and amendments, signed by the Washington State Department of Ecology (Ecology), EPA, and DOE Richland Operations Office (RL). This also includes Tri-Party Agreement Milestone M-015-00C for completing all 200 Area non-tank farm OU pre-Record of Decision (ROD) documents on or before December 31, 2011. This FS supports the final remedy selection for the 200-ZP-1 OU, as described in the Remedial Investigation/Feasibility Study Work Plan for the 200-ZP-1 Groundwater Operable Unit (referred to as the 200-ZP-1 RI/FS work plan) (DOE/RL-2003-55), as agreed upon by RL and EPA. Tri-Party Agreement Milestone M-015-48B required Draft A of the 200-ZP-1 OU FS and proposed plan to be transmitted to EPA by September 30, 2007. As agreed to with EPA in the 200 Area Unit Managers Meeting Groundwater Operable Unit Status (FH-0503130), the baseline risk assessment (BRA) was delayed from inclusion in the remedial investigation (RI) report and is completed and documented in this FS. The Remedial Investigation Report for 200-ZP-1 Groundwater Operable Unit (referred to as the 200-ZP-1 RI report) (DOE/RL-2006-24) included an evaluation of human health and ecological risks and hazards. The RI report identified the radiological and chemical contaminants of potential concern (COPCs) that represent the primary risks to human health and the environment. The complete risk assessment in this FS incorporates additional analytical data from the unconfined aquifer that were obtained during or after preparation of the RI report, particularly for carbon tetrachloride and technetium-99. This FS also includes the initial results from an ongoing study of technetium-99 contamination near WMA-T, the sampling of new wells near the 216-W-LC laundry waste crib and T Plant, updated Hanford vadose zone fate and transport modeling, and groundwater particle-tracking analysis. The purpose of this FS is to develop and evaluate alternatives for remediation of the groundwater in the 200-ZP-1 OU. The alternatives considered provide a range of potential response actions (i.e., no action; institutional controls and monitored natural attenuation [MNA]; and pump-and-treat with MNA, flow-path control, and institutional controls) that are appropriate to address site-specific conditions. The alternatives are evaluated against seven of the nine CERCLA evaluation criteria defined in Guidance for Conducting Remedial Investigations and Feasibility Studies Under CERCLA (EPA/540/G-891004). The remaining two CERCLA criteria will be formally assessed during the public comment period. The FS evaluation serves as the basis for identifying a remedy to mitigate potential risks to human health and the environment. A preferred alternative (or alternatives) will be presented to the public for review and comment in the proposed plan.« less

2011 Mound Site Groundwater Plume Rebound Exercise and Follow-Up - 13440

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

Hooten, Gwendolyn; Cato, Rebecca; Lupton, Greg

2013-07-01

The Mound Site facility near Miamisburg, Ohio, opened in 1948 to support early atomic weapons programs. It grew into a research, development, and production facility performing work in support of the U.S. Department of Energy (DOE) weapons and energy programs. The plant was in operation until 1995. During the course of operation, an onsite landfill was created. The landfill was located over a finger of a buried valley aquifer, which is a sole drinking water source for much of the Miami Valley. In the 1980's, volatile organic compounds (VOCs) were discovered in groundwater at the Mound site. The site wasmore » placed on the National Priorities List on November 21, 1989. DOE signed a Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) Federal Facility Agreement with the U.S. Environmental Protection Agency (EPA) and the Ohio Environmental Protection Agency. The agreement became effective in October 1990. The area that included the landfill was designated Operational Unit 1 (OU-1). In 1995, a Record of Decision was signed that called for the installation and operation of a pump and treatment (P and T) system in order to prevent the VOCs in OU-1 groundwater from being captured by the onsite water production wells. In addition to the P and T system, a soil vapor extraction (SVE) system was installed in 1997 to accelerate removal of VOCs from groundwater in the OU-1 area. The SVE system was successful in removing large amounts of VOCs and continued to operate until 2007, when the amount of VOCs removed became minimal. A rebound study was started in February 2003 to determine how the groundwater system and contaminants would respond to shutting down the P and T system. The rebound test was stopped in February 2004 because predetermined VOC threshold concentrations were exceeded down-gradient of the landfill. The P and T and SVE systems were restarted after the termination of the rebound test. In 2006, the remediation of the Mound site was completed and the site was declared to be protective of human health and the environment, as long as the institutional controls are observed. The institutional controls that apply to the OU-1 area include provisions that no soil be allowed to leave the site, no wells be installed for drinking water, and the site may be approved only for industrial use. The onsite landfill with the operating CERCLA remedy remained. However, the Mound Development Corporation lobbied Congress for funds to remediate the remaining onsite landfill to allow for property reuse. In 2007 DOE received funding from Congress to perform non-CERCLA removal actions at OU-1 to excavate the site sanitary landfill. In 2009, DOE received American Recovery and Reinvestment Act funding to complete the project. Excavation of the landfill occurred intermittently from 2006 through 2010 and the majority of the VOC source was removed; however, VOC levels near the P and T system remained greater than the EPA maximum contaminant levels (MCLs). Presently, groundwater is contained using two extraction wells to create a hydraulic barrier to prevent down-gradient migration of VOC-impacted groundwater. Since the primary contamination source has been removed, the feasibility of moving away from containment to a more passive remedy, namely monitored natural attenuation (MNA), is being considered. A second rebound study was started in June 2011. If contaminant and groundwater behavior met specific conditions during the study, MNA would be evaluated and considered as a viable alternative for the groundwater in the OU-1 area. From June through December 2011, the second rebound study evaluated the changes in VOC concentrations in groundwater when the P and T system was not in operation. As the study progressed, elevated concentrations of VOCs that exceeded predetermined trigger values were measured along the down-gradient boundary of the study area, and so the P and T system was restarted. It was determined that a discrete area with VOC concentrations greater than the MCLs was present in groundwater down-gradient of the extraction wells. The source was not identified, but the contamination was thought not to be caused by residually contaminated soil beneath the former landfill. The data collected so far supports the consideration of MNA as a viable alternative to hydraulic containment. Additional investigations are being performed to identify possible sources or pathways of VOCs in groundwater that may be contributing to the elevated VOC levels measured down-gradient of the extraction well system. Data from this additional investigation will be used to determine whether the VOCs detected down-gradient of the hydraulic boundary are the result of residual soil contamination, a previously unknown contribution of VOC-contaminated water entering the groundwater outside the capture zone of the extraction wells, or a pulse of VOC-contaminated groundwater from the OU-1 landfill that occurred during the rebound study. (authors)« less

Post operative infections of the spine: technique, indications and results of the surgical treatment - A retrospective study of 90 cases.

PubMed

Lazennec, J Y; Laville, C; Konel, B; Roy-Camille, R; Saillant, G; Poloujadoff, M P

1996-05-01

Post operative infection in spine surgery is a well known complication. The authors studied a series of 90 patients in accordance with an homogenous strategy based on the excision of necrotic and infected tissues, associated with appropriate antibiotics.The results are analyzed according to the degree of infection (which is based on the type of germs and their associations), and type of patients, the delay in diagnosis and the anatomical extension of the infected lesions.Making a difference between superficial and deep infection is of no therapeutic value and may lead to wrong and inadequate treatment.One must separate the common infections (which are due to germs as staphylococcus aureus or others from the urinary or digestive tract), and severe infections (which are either due to a per operative massive and deep contamination, or associated with patient's poor general condition).This series is mainly about posterior approaches to the spine, with or without osteosynthesis. Technical problems for treatment depend on the site of infection, particularly at the thoracic kyphosis level, or at the lumbar level where the muscle necrosis can be extensive. At the cervical level, the infection of an anterior approach mandates a check on the respiratory and digestive tracts.Removing the osteosynthesis is not mandatory in post operative spinal infections, as it may induce severe mechanical destabilization. An anterior approach is not necessarily required in the case of a posterior infection, except with massive contamination of an anterior graft. In some cases, posterior lumbar interbody fusion can lead to the indication for anterior cage removal.Pseudarthrosis of an infected spine, initially treated to obtain fusion, is still the worst complication. In case of previous posterior infection, even a severe one, fusion can still be obtained through a secondary anterior or posterior approach for grafting, with or without osteosynthesis.In this series, there was no neurological complication due to infection.However, eight diceases occured in weak patients with neurological involvement. This points out the importance of the general treatment associated with the surgery, and the necessity of a thorough assessment. a thorough assessment.RéSUMé: Les infections post-opératoires représentent une complication largement documentée dans le domaine de la chirurgie du rachis. Les auteurs étudient une série de 90 patients traités selon une stratégie homogène basée sur l'excision des tissus nécrosés et infectés associée à l'utilisation d'un traitement antibiotique adapté. Les résultats sont analysés en fonction du degré d'infection (basé sur le type de germe et leurs associations) de l'état des patients, du délai pour le diagnostic et de l'étendue anatomique des lésions infectieuses. L'opposition entre infection superficielle et profonde semble sans intérêt sur le plan thérapeutique et peut conduire à un traitement insuffisant ou mal adapté.Il est important de séparer les infections classiques (qui sont dûes à des germes comme le staphylocoque doré ou d'autres germes provenant de la sphère urinaire ou digestive) et les infections sévères (qui sont soit dûes à une contamination per-opératoire massive et profonde ou associées à des patients dont létat général est déficient).Cette série est principalement basée sur les abord postérieurs du rachis avec ou sans ostéosynthèse. Les problèmes techniques pour le traitement dépendent du site de l'infection: aux niveaux thoracique et lombaire, la nécrose musculaire peut être très extensive. Au niveau cervical, l'infection d'un abord antérieur impose de vérifier l'intégrité du tractus aéro-digestif.L'ablation initiale du matériel n'est pas nécessaire dans beaucoup de cas d'infections post-opératoires car elle peut induire des destabilisations sévères et des complications mécaniques supplémentaires. Un abord antérieur n'est pas forcément nécessaire en cas d'infection postérieure mises à part les contaminations massives d'une greffe antérieure ou une infection d'une cage intervertébrale réalisée pour une fusion intersomatique par voie postérieure.La pseudarthrose des greffes sur un rachis infecté qui a été traité initialement pour obtenir une fusion reste encore la plus sévère des complications. Dans les cas d'infections postérieures même sévères, la fusion peut être encore obtenue secondairement grâce à un abord antérieur ultérieur ou même un abord postérieur pour des greffes complémentaires avec ou sans ostéosynthèse.Dans cette série, les auteurs ne signalent aucune complication neurologique dûe à l'infection. Néanmoins, 8 décès sont à déplorer chez des patients fragiles avec signes neurologiques initiaux. Ceci souligne l'importance du traitement général associé à la chirurgie et la nécessité d'un bilan complet de ces malades.

Working with Disciplinary Artifacts: An Introductory Writing Studies Course for Writing Majors

ERIC Educational Resources Information Center

Ostergaard, Lori

2015-01-01

WRT 329: Introduction to Writing Studies is a course in Oakland University's (OU) Writing and Rhetoric major program that provides students with a survey of composition studies as an academic discipline. It includes an examination of the history, theories, research, curricula, and pedagogies associated with composition studies in the university.…

RATE OF TCE DEGRADATION IN A PLANT MULCH PASSIVE REACTIVE BARRIER (BIOWALL)

EPA Science Inventory

A passive reactive barrier was installed at the OU-1 site at Altus Air Force Base, Oklahoma to treat TCE contamination in ground water from a landfill. Depth to ground water varies from 1.8 to 2.4 meters below land surface. To intercept and treat the plume of contaminated groun...

Cataract surgery in juvenile xanthogranuloma: case report and a brief review of literature.

PubMed

Muralidhar, R; Jain, Ashish; Vijayalakshmi, P; Suparna, G; Santhi, R; Shetty, Shashikanth

2013-11-01

There is limited literature on the management of cataracts in juvenile xanthogranuloma (JXG). A 2-month-old girl presented to us with hyphema, secondary glaucoma OU and skin nodules suggestive of JXG. She developed bilateral cataracts during her follow-up and was treated successfully with cataract surgery and aphakic rehabilitation.

Access to Higher Education: Students with Disabilities at the Open University. Working Together?

ERIC Educational Resources Information Center

Child, Derek

Services to students with disabilities at the Open University (OU) in Great Britain are described. This large distance teaching institution offers courses in multi-media form, using printed texts, audio and video material, radio and television programs, microcomputer software, and tutorial support (available either from local study centers or at…

Literature Review: Cognitive Effects of Thermal Strain

DTIC Science & Technology

2005-02-08

001/TOR Call up No. 7879 -05 On behalf of DEPARTMENT OF NATIONAL DEFENCE Defence Research and Development Canada – Toronto 1133 Sheppard...opérations de lutte contre l’incendie ou les opérations militaires. Humansystems® Incorporated Thermal Strain Literature Review Page vi Table of... VI LIST OF TABLES AND FIGURES

General Education Development (GED®) Credential Attainment, Externalizing Disorders, and Substance Use Disorders in Disconnected Emerging Adults

ERIC Educational Resources Information Center

Bergman, Andrea; Kong, Grace; Pope, Alice

2014-01-01

There are many benefits for emerging adults, both financial and personal, in obtaining a General Education Development (GED®) credential (Ou, 2008). However, little is known about the correlates of GED® credential attainment in "disconnected" emerging adults attending GED® programs. Our goal was to examine whether externalizing…

Reversing the Trend of Engineering Enrollment Declines with Innovative Outreach, Recruiting, and Retention Programs

ERIC Educational Resources Information Center

Davis, C. E.; Yeary, M. B.; Sluss, J. J., Jr.

2012-01-01

This paper discusses an all-encompassing approach to increase the number of students in engineering through innovative outreach, recruiting, and retention programs. Prior to adopting these programs, the School of Electrical and Computer Engineering (ECE) at the University of Oklahoma (OU), Norman, experienced a reduction in engineering enrollment…

Transgene movement in commercial alfalfa seed production: Implications for seed purity

USDA-ARS?s Scientific Manuscript database

The United States is a major exporter of alfalfa seed and hay and the organic dairy industry is one of the fastest growing agricultural sectors. With the advent of genetically-engineered (GE) alfalfa concerns have risen regarding the coexistence of GE and non GE alfalfa since the crop is largely ou...

EPA Extends Comment Period for Proposed Cleanup Plan for the Wells G&H Superfund Site in Woburn Massachusetts

EPA Pesticide Factsheets

The U.S. Environmental Protection Agency has proposed a cleanup plan for the Wells G&H Superfund Site, Southwest Properties, Operable Unit (OU4). The comment period will now be a total of 62 days and be open until September 13, 2017.

The Closing of the U.S. Open University

ERIC Educational Resources Information Center

Meyer, Katrina A.

2006-01-01

In spring 1999, the Open University (OU) of the United Kingdom created the U.S. Open University (USOU) to coincide with the explosive growth of online education in the United States. The institution's first chancellor, Richard S. Jarvis (previously chancellor of the University and Community College System of Nevada), began hiring U.S. staff and…

"Sticks and Stones": Masculinities and Conflict Spaces

ERIC Educational Resources Information Center

Tucker, Leigh Adams; Govender, Kaymarlin

2017-01-01

Drawing upon a post-structural ethnography of boys' constructions of gendered and sexual identities in one South African high school, this paper empirically seeks to theorise how 20 Grade 8 boys, identified as The Jokers, The Achievers, The Outcasts and The Average Ou's, simultaneously seek out spaces in male peer culture to cultivate, police and…

Education Relative a l'Environnement: Regards, Recherches, Reflexions. Volume 4.

ERIC Educational Resources Information Center

2003

This document takes a critical look at the relationship between environment, culture, and development from the perspective of education relative to the environment. Papers include: (1) "Education a l'environnement ou acculturation?" (Jean-Etienne Bidou); (2) "Environnement et developpement: La culture de la filiere ONU" (Lucie Sauve, Tom Berryman,…

STABLE ISOTOPE SIGNATURES OF MUCUS OF STEELHEAD TROUT IN A CONTROLLED DIET SWITCH EXPERIMENT

EPA Science Inventory

Our work has shown that fish mucus can serve as a very rapid indicator of diet switching in fish. We performed diet switching studies of steelhead trout in a controlled hatchery setting using specially formulated low delta 15N signature and high delta 15N signature diets. To ou...

Development of a statewide transportation data warehousing and mining system under the Louisiana Transportation Information System (LATIS) Program.

DOT National Transportation Integrated Search

2009-04-01

The objectives of this study are to assess whether introducing a data warehousing/data mining system in Louisiana would be feasible and beneficial. The study sets out to identify the features of the most suitable system for the state as well as to ou...

User Need Satisfaction as a Basis for Tactical Airlift Scheduling.

DTIC Science & Technology

1984-03-01

Yr.. Mo.. Day) 1S. PAGE COUNT MS Thesis FROM _ TO 1984 March 220 16. SUPPLEMENTARY NOTATION gym . Daan for Resoarch and Prolusloud ou -t, :... e...SUBROUTINE ROUTE. IT DOES THIS BY TESTING EACH MISSION C- FOR SCHEDULING CONFI ICTS . IF THE NUMBER OF EXPECTED C- CONFLICTS EXCEEDS A MINIMUM VALUE, THE

Pilot study of mold population inside and outside of Puerto Rican residences

EPA Science Inventory

Abstract: Puerto Rico has the highest asthma prevalence in the US. In the states, mold exposures have been linked to the development and exacerbation of asthma. For a pilot study of mold populations in Puerto Rico, dust and air samples were collected in January 2013 inside and ou...

Occlusion veineuse rétinienne et syndrome d'hyperviscosité

PubMed Central

Younes, Samar; Abdellaoui, Meriem; Zahir, Fadoua; Benatiya, Idriss A; Tahri, Hicham

2015-01-01

Les occlusions veineuses rétiniennes secondaires aux syndromes d'hyperviscosité sont rares. Plusieurs cas d'occlusion de la veine centrale de la rétine [OVCR] compliquant une hémopathie ont été décrits, principalement au cours des polycythémies primitives ou secondaires, des lymphomes ou des leucémies. A travers cette observation, nous rapportons le cas d'un patient qui présente une OVCR de l’œil droit survenant dans le cadre d'un myélome multiple. La rétinopathie du syndrome d'hyperviscosité est liée au ralentissement circulatoire qui affecte de manière prépondérante le secteur veineux et donne un aspect de rétinopathie de stase bilatérale, avec dilatation et tortuosité de l'ensemble des veines rétiniennes. A un certain degré d'hyperviscosité, une occlusion veineuse véritable peut survenir. Le traitement comprend la réhydratation, phlébotomie, et plasmaphérèse. PMID:25995806

Ulcere de Marjolin: complication redoutable des sequelles de brûlures

PubMed Central

Ouahbi, S.; Droussi, H.; Boukind, S.; Dlimi, M.; Elatiqi, O.K.; Elamrani, M.D.; Benchamkha, Y.; Ettalbi, S.

2013-01-01

Summary L’ulcère de Marjolin désigne la transformation maligne d’une cicatrice de brûlure ou de toute autre plaie ou ulcération chronique. Le type histologique prédominant reste le carcinome épidermoïde, et il est caractérisé par son agressivité locale, des métastases plus fréquentes, un risque de récurrence et une mortalité plus importante que les carcinomes épidermoïdes classiques. Notre travail est une étude rétrospective portant sur 21 cas d’ulcère de Marjolin, colligés au service de chirurgie plastique du CHU Mohammed VI de Marrakech, avec pour but de relever les aspects épidémiologiques, thérapeutiques et évolutifs de cette pathologie. L’amélioration du pronostic nécessite non seulement un diagnostic et un traitement précoce, mais surtout une attitude préventive qui consiste en des greffes cutanées précoces et des soins réguliers de toute cicatrice de brûlure. PMID:24799850

The in-vitro antimicrobial activities of some medicinal plants from Cameroon.

PubMed

Gangoué-Piéboji, J; Pegnyemb, D E; Niyitegeka, D; Nsangou, A; Eze, N; Minyem, C; Mbing, J Ngo; Ngassam, P; Tih, R Ghogomu; Sodengam, B L; Bodo, B

2006-04-01

The antimicrobial activities of 10 plant species (Voacanga africana, Crepis cameroonica, Plagiostyles africana, Crotalaria retusa, Mammea africana, Lophira lanceolata, Ochna afzelii, Ouratea elongata, Ou. flava and Ou. sulcata), each of which is currently used in the traditional medicine of Cameroon, were investigated in vitro. The activities of a methanol extract of each plant were tested, in disc-diffusion assays, against 37 reference or laboratory strains of seven species of microorganism (Staphylococcus aureus, S. epidermidis, Enterococcus hirae, Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa and Candida albicans). The minimal inhibitory concentrations of each extract were then estimated, against each of the more susceptible microorganisms (i.e. those giving an inhibition zone measuring at least 9 mm in diameter in the disc-diffusion assays), by agar dilution. Although, in the disc-diffusion assays, each of the 10 methanol extracts investigated displayed some degree of antimicrobial activity against at least one species of microorganism, no activity against the Gram-negative bacteria (Es. coli, K. pneumoniae and Ps. aeruginosa) was observed. The extract with the greatest antimicrobial activity was that of Pl. africana (Euphorbiaceae).

Superfund Record of Decision (EPA Region 8): Anaconda Smelter site, (Operable Unit 11 - Flue Dust), Deer Lodge County, Anaconda, MT. (Second remedial action), September 1991

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

Not Available

1991-09-23

The 6,000-acre Anaconda Smelter site is a former copper and ore processing facility in Deer Lodge County, Montana. Land use in the area is predominantly residential. The site is bounded on the north and east, respectively, by the Warm Springs Creek and Mill Creek, both of which are potential sources of drinking water. From 1884 until 1980 when activities ceased, the site was used for ore processing and smelting operations. In 1988, EPA conducted an investigation to determine the nature and extent of the flue dust contamination. A 1988 ROD addressed the Mill Creek Operable Unit (OU15) and documented themore » relocation of residents from the community surrounding the smelter site as the selected remedial action. The Record of Decision (ROD) addresses the Flue Dust Operable Unit (OU11). The primary contaminants of concern affecting this site from the flue dust materials are metals including arsenic, cadmium, and lead. The selected remedial action for the site is included.« less

Modelling soil salinity in Oued El Abid watershed, Morocco

NASA Astrophysics Data System (ADS)

Mouatassime Sabri, El; Boukdir, Ahmed; Karaoui, Ismail; Arioua, Abdelkrim; Messlouhi, Rachid; El Amrani Idrissi, Abdelkhalek

2018-05-01

Soil salinisation is a phenomenon considered to be a real threat to natural resources in semi-arid climates. The phenomenon is controlled by soil (texture, depth, slope etc.), anthropogenic factors (drainage system, irrigation, crops types, etc.), and climate factors. This study was conducted in the watershed of Oued El Abid in the region of Beni Mellal-Khenifra, aimed at localising saline soil using remote sensing and a regression model. The spectral indices were extracted from Landsat imagery (30 m resolution). A linear correlation of electrical conductivity, which was calculated based on soil samples (ECs), and the values extracted based on spectral bands showed a high accuracy with an R2 (Root square) of 0.80. This study proposes a new spectral salinity index using Landsat bands B1 and B4. This hydro-chemical and statistical study, based on a yearlong survey, showed a moderate amount of salinity, which threatens dam water quality. The results present an improved ability to use remote sensing and regression model integration to detect soil salinity with high accuracy and low cost, and permit intervention at an early stage of salinisation.

wHospital: a web-based application with digital signature for drugs dispensing management.

PubMed

Rossi, Lorenzo; Margola, Lorenzo; Manzelli, Vacia; Bandera, Alessandra

2006-01-01

wHospital is the result of an information technology research project, based on the utilization of a web based application for managing the hospital drugs dispensing. Part of wHospital back bone and its key distinguishing characteristic is the adoption of the digital signature system,initially deployed by the Government of Lombardia, a Northern Italy Region, throughout the distribution of smart cards to all the healthcare and hospital staffs. The developed system is a web-based application with a proposed Health Records Digital Signature (HReDS) handshake to comply with the national law and with the Joint Commission International Standards. The prototype application, for a single hospital Operative Unit (OU), has focused on data and process management, related to drug therapy. Following a multi-faceted selection process, the Infective Disease OU of the Hospital in Busto Arsizio, Lombardia, was chosen for the development and prototype implementation. The project lead time, from user requirement analysis to training and deployment was approximately 8 months. This paper highlights the applied project methodology, the system architecture, and the achieved preliminary results.

Complications inattendues de la chirurgie: deux cas de brûlure par plaque de bistouri électrique

PubMed Central

Diop, B.; Sy, A.; Ba, P.A.; MBaye, B.; Wane, Y.; Sarre, S.M.

2016-01-01

Summary Les risques d’accidents électriques sont une réalité dans les blocs opératoires avec le nombre croissant d’équipements électriques, électroniques et de liquides inflammables utilisés. Le bistouri électrique demeure le dispositif le plus utilisé pour son effet électrochirurgical de coagulation ou section tissulaire. Lorsque qu’elle est défectueuse ou mal placée sur une surface réduite de la peau, la plaque du bistouri peut être à l’origine de brûlure cutanée classiquement profonde, de cicatrisation lente. Elle ajoute à l’affection initiale une surmorbidité iatrogène, inattendue, aux conséquences dévastatrices pour le patient, le chirurgien et parfois la structure hospitalière. Nous rapportons deux cas de brûlure cutanée par plaque de bistouri survenue en peropératoire lors de l’utilisation du bistouri électrique en mode monopolaire et discutons les aspects étiologiques, cliniques et préventifs. PMID:28289364

Fiabilité des structures mécaniques adaptatives: effet de la panne des actionneurs ou des capteurs sur la stabilité

NASA Astrophysics Data System (ADS)

Fall, H.; Charon, W.; Kouta, R.

2002-12-01

Ces dernières décennies, des activités significatives dans le monde étaient dirigées autour du contrôle actif. Le but de ces recherches était essentiellement d'améliorer les performances, la fiabilité et la sécurité des systèmes. Notamment dans le cas des structures soumises à des vibrations aléatoires. D'importants travaux ont été consacré à l'utilisation des “matériaux intelligents” comme capteurs et actionneurs. Cette article propose l'analyse de la fiabilité des systèmes mécaniques en étudiant les pannes des actionneurs ou des capteurs. L'effet de ces pannes sur la stabilité et la performance du système y est démontré. Les méthodologies de conception y sont rappelées. Des exemples numériques sont fournis à travers le contrôle d'un panneau sous chargement dynamique pour illustrer la méthode proposée.

Analyse de plomb dans les peintures

NASA Astrophysics Data System (ADS)

Broll, N.; Frezouls, J.-M.

2002-07-01

The analysis of lead in paints was previously used for the characterisation of pigments. In this way, the analysis is able to specify the century of the painting of a work of art. Recently this technique was also used to determine the toxicity of lead paints in building. This paper compared the result of several X-ray fluorescence spectrometer, either wave length/energy dispersion laboratory apparatus or X-ray microtube/radioactive source portable equipment's. L'analyse du plomb dans les peintures a jusqu'à présent été appliquée essentiellement pour caractériser les pigments lors de leur fabrication et pour identifier des rouvres d'art. Récemment cette technique est également utilisée pour déterminer la toxicité des peintures au plomb dans les bâtiments. Nous avons comparé les performances de plusieurs spectromètres de fluorescence X, soit de laboratoire à dispersion en longueur d'onde ou à dispersion en énergie (avec tube à rayonsX), soit portable avec source radioactive ou tube à rayons X.

Mechanisms of Sodium Transport in Plants—Progresses and Challenges

PubMed Central

Keisham, Monika; Mukherjee, Soumya; Bhatla, Satish C.

2018-01-01

Understanding the mechanisms of sodium (Na+) influx, effective compartmentalization, and efflux in higher plants is crucial to manipulate Na+ accumulation and assure the maintenance of low Na+ concentration in the cytosol and, hence, plant tolerance to salt stress. Na+ influx across the plasma membrane in the roots occur mainly via nonselective cation channels (NSCCs). Na+ is compartmentalized into vacuoles by Na+/H+ exchangers (NHXs). Na+ efflux from the plant roots is mediated by the activity of Na+/H+ antiporters catalyzed by the salt overly sensitive 1 (SOS1) protein. In animals, ouabain (OU)-sensitive Na+, K+-ATPase (a P-type ATPase) mediates sodium efflux. The evolution of P-type ATPases in higher plants does not exclude the possibility of sodium efflux mechanisms similar to the Na+, K+-ATPase-dependent mechanisms characteristic of animal cells. Using novel fluorescence imaging and spectrofluorometric methodologies, an OU-sensitive sodium efflux system has recently been reported to be physiologically active in roots. This review summarizes and analyzes the current knowledge on Na+ influx, compartmentalization, and efflux in higher plants in response to salt stress. PMID:29495332

Perinatal and maternal outcomes in planned home and obstetric unit births in women at ‘higher risk’ of complications: secondary analysis of the Birthplace national prospective cohort study

PubMed Central

Li, Y; Townend, J; Rowe, R; Brocklehurst, P; Knight, M; Linsell, L; Macfarlane, A; McCourt, C; Newburn, M; Marlow, N; Pasupathy, D; Redshaw, M; Sandall, J; Silverton, L; Hollowell, J

2015-01-01

Objective To explore and compare perinatal and maternal outcomes in women at ‘higher risk’ of complications planning home versus obstetric unit (OU) birth. Design Prospective cohort study. Setting OUs and planned home births in England. Population 8180 ‘higher risk’ women in the Birthplace cohort. Methods We used Poisson regression to calculate relative risks adjusted for maternal characteristics. Sensitivity analyses explored possible effects of differences in risk between groups and alternative outcome measures. Main outcome measures Composite perinatal outcome measure encompassing ‘intrapartum related mortality and morbidity’ (intrapartum stillbirth, early neonatal death, neonatal encephalopathy, meconium aspiration syndrome, brachial plexus injury, fractured humerus or clavicle) and neonatal admission within 48 hours for more than 48 hours. Two composite maternal outcome measures capturing intrapartum interventions/adverse maternal outcomes and straightforward birth. Results The risk of ‘intrapartum related mortality and morbidity’ or neonatal admission for more than 48 hours was lower in planned home births than planned OU births [adjusted relative risks (RR) 0.50, 95% CI 0.31–0.81]. Adjustment for clinical risk factors did not materially affect this finding. The direction of effect was reversed for the more restricted outcome measure ‘intrapartum related mortality and morbidity’ (RR adjusted for parity 1.92, 95% CI 0.97–3.80). Maternal interventions were lower in planned home births. Conclusions The babies of ‘higher risk’ women who plan birth in an OU appear more likely to be admitted to neonatal care than those whose mothers plan birth at home, but it is unclear if this reflects a real difference in morbidity. Rates of intrapartum related morbidity and mortality did not differ statistically significantly between settings at the 5% level but a larger study would be required to rule out a clinically important difference between the groups. PMID:25603762