Monitoring and inversion on land subsidence over mining area with InSAR technique

USGS Publications Warehouse

Wang, Y.; Zhang, Q.; Zhao, C.; Lu, Z.; Ding, X.

2011-01-01

The Wulanmulun town, located in Inner Mongolia, is one of the main mining areas of Shendong Company such as Shangwan coal mine and Bulianta coal mine, which has been suffering serious mine collapse with the underground mine withdrawal. We use ALOS/PALSAR data to extract land deformation under these regions, in which Small Baseline Subsets (SBAS) method was applied. Then we compared InSAR results with the underground mining activities, and found high correlations between them. Lastly we applied Distributed Dislocation (Okada) model to invert the mine collapse mechanism. ?? 2011 Copyright Society of Photo-Optical Instrumentation Engineers (SPIE).

Monitoring on Xi'an ground fissures deformation with TerraSAR-X data

USGS Publications Warehouse

Zhao, C.; Zhang, Q.; Zhu, W.; Lu, Z.

2012-01-01

Owing to the fine resolution of TerraSAR-X data provided since 2007, this paper applied 6 TerraSAR data (strip mode) during 3rd Dec. 2009 to 23rd Mar. 2010 to detect and monitor the active fissures over Xi'an region. Three themes have been designed for high precision detection and monitoring of Xi'an-Chang'an fissures, as small baseline subsets (SBAS) to test the atmospheric effects of differential interferograms pair stepwise, 2-pass differential interferogram with very short baseline perpendicular to generate the whole deformation map with 44 days interval, and finally, corner reflector (CR) technique was used to closely monitor the relative deformation time series between two CRs settled crossing two ground fissures. Results showed that TerraSAR data are a good choice for small-scale ground fissures detection and monitoring, while special considerations should be taken for their great temporal and baseline decorrelation. Secondly, ground fissures in Xi'an were mostly detected at the joint section of stable and deformable regions. Lastly, CR-InSAR had potential ability to monitor relative deformation crossing fissures with millimeter precision.

Multi Temporal Interferometry as Tool for Urban Landslide Hazard Assessment

NASA Astrophysics Data System (ADS)

Vicari, A.; Colangelo, G.; Famiglietti, N.; Cecere, G.; Stramondo, S.; Viggiano, D.

2017-12-01

Advanced Synthetic Aperture Radar Differential Interferometry (A-DInSAR) are Multi Temporal Interferometry(MTI) techniques suitable for the monitoring of deformation phenomena in slow kinematics. A-DInSAR methodologies include both Coherence-based type, as well as Small Baseline Subset (SBAS) (Berardino et al., 2002, Lanari et al., 2004) and Persistent/Permanent Scatterers (PS), (Ferretti et al., 2001). Such techniques are capable to provide wide-area coverage (thousands of km2) and precise (mm-cm resolution), spatially dense information (from hundreds to thousands of measurementpoints/km2) on groundsurfacedeformations. SBAS and PShavebeenapplied to the town of Stigliano (MT) in Basilicata Region (Southern Italy), where the social center has been destroyed after the reactivation of a known landslide. The comparison of results has shown that these techniques are equivalent in terms of obtained coherent areas and displacement patterns, although lightly different velocity values for individual points (-5/-25 mm/y for PS vs. -5/-15 mm/y for SBAS) have been pointed out. Differences are probably due to scattering properties of the ground surface (e.g. Lauknes et al., 2010). Furthermore, on the crown of the landslide body, a Robotics Explorer Total Monitoring Station (Leica Nova TM50) that measures distance values with 0.6 mm of resolution has been installed. In particular, 20 different points corresponding to that identified through satellite techniques have been chosen, and a sampling time of 15 minutes has been fixed. The displacement values obtained are in agreement with the results of the MTI analysis, showing as these techniques could be a useful tool in the case of early - warning situations.

From local to national scale DInSAR analysis for the comprehension of Earth's surface dynamics.

NASA Astrophysics Data System (ADS)

De Luca, Claudio; Casu, Francesco; Manunta, Michele; Zinno, Ivana; lanari, Riccardo

2017-04-01

Earth Observation techniques can be very helpful for the estimation of several sources of ground deformation due to their characteristics of large spatial coverage, high resolution and cost effectiveness. In this scenario, Differential Synthetic Aperture Radar Interferometry (DInSAR) is one of the most effective methodologies for its capability to generate spatially dense deformation maps with centimeter to millimeter accuracy. DInSAR exploits the phase difference (interferogram) between SAR image pairs relevant to acquisitions gathered at different times, but with the same illumination geometry and from sufficiently close flight tracks, whose separation is typically referred to as baseline. Among several, the SBAS algorithm is one of the most used DInSAR approaches and it is aimed at generating displacement time series at a multi-scale level by exploiting a set of small baseline interferograms. SBAS, and generally DInSAR, has taken benefit from the large availability of spaceborne SAR data collected along years by several satellite systems, with particular regard to the European ERS and ENVISAT sensors, which have acquired SAR images worldwide during approximately 20 years. While the application of SBAS to ERS and ENVISAT data at local scale is widely testified, very few examples involving those archives for analysis at huge spatial scale are available in literature. This is mainly due to the required processing power (in terms of CPUs, memory and storage) and the limited availability of automatic processing procedures (unsupervised tools), which are mandatory requirements for obtaining displacement results in a time effective way. Accordingly, in this work we present a methodology for generating the Vertical and Horizontal (East-West) components of Earth's surface deformation at very large (national/continental) spatial scale. In particular, it relies on the availability of a set of SAR data collected over an Area of Interest (AoI), which could be some hundreds of thousands of square kilometers wide, from ascending and descending orbits. The exploited SAR data are processed, on a local basis, through the Parallel SBAS (P-SBAS) approach thus generating the displacement time series and the corresponding mean deformation velocity maps. Subsequently, starting from the so generated DInSAR results, the proposed methodology lays on a proper mosaicking procedure to finally retrieve the mean velocity maps of the Vertical and Horizontal (East-West) deformation components relevant to the overall AoI. This technique permits to account for possible regional trends (tectonics trend) not easily detectable by the local scale DInSAR analyses. We tested the proposed methodology with the ENVISAT ASAR archives that have been acquired, from ascending and descending orbits, over California (US), covering an area of about 100.000 km2. The presented methodology can be easily applied also to other SAR satellite data. Above all, it is particularly suitable to deal with the very large data flow provided by the Sentinel-1 constellation, which collects data with a global coverage policy and an acquisition mode specifically designed for interferometric applications.

Dynamics of Kilauea's Magmatic System Imaged Using a Joint Analysis of Geodetic and Seismic Data

NASA Astrophysics Data System (ADS)

Wauthier, C.; Roman, D. C.; Poland, M. P.; Fukushima, Y.; Hooper, A. J.

2012-12-01

Nowadays, Interferometric Synthetic Aperture Radar (InSAR) is commonly used to study a wide range of active volcanic areas. InSAR provides high-spatial-resolution measurements of surface deformation with centimeter-scale accuracy. At Kilauea Volcano, Hawai'i, InSAR shows complex processes that are not well constrained by GPS data (which have relatively poor spatial resolution). However, GPS data have higher temporal resolution than InSAR data. Both datasets are thus complementary. To overcome some of the limitations of conventional InSAR, which are mainly induced by temporal decorrelation, topographic, orbital and atmospheric delays, a Multi-Temporal InSAR (MT-InSAR) approach can be used. MT-InSAR techniques involve the processing of multiple SAR acquisitions over the same area. Two classes of MT-InSAR algorithms are defined: the persistent scatterers (PS) and small baseline (SBAS) methods. Each method is designed for a specific type of scattering mechanism. A PS pixel is a pixel in which a single scatterer dominates, while the contributions from other scatterers are negligible. A SBAS pixel is a pixel that includes distributed scatterers, which have a phase with little decorrelation over short time periods. Here, we apply the "StaMPS" ("Stanford Method for Permanent Scatterers") technique, which incorporates both a PS and SBAS approach, on ENVISAT and ALOS datasets acquired from 2003 to 2010 at Kilauea. In particular, we focus our InSAR analysis on the time period before the June 2007 "Father's Day" dike intrusion and eruption, and also incorporate seismic and GPS data in our models. Our goal is to identify any precursors to the Father's Day event within Kilauea's summit magma system, east rift zone, and/or southwest rift zone.

A time series deformation estimation in the NW Himalayas using SBAS InSAR technique

NASA Astrophysics Data System (ADS)

Kumar, V.; Venkataraman, G.

2012-12-01

A time series land deformation studies in north western Himalayan region has been presented in this study. Synthetic aperture radar (SAR) interferometry (InSAR) is an important tool for measuring the land displacement caused by different geological processes [1]. Frequent spatial and temporal decorrelation in the Himalayan region is a strong impediment in precise deformation estimation using conventional interferometric SAR approach. In such cases, advanced DInSAR approaches PSInSAR as well as Small base line subset (SBAS) can be used to estimate earth surface deformation. The SBAS technique [2] is a DInSAR approach which uses a twelve or more number of repeat SAR acquisitions in different combinations of a properly chosen data (subsets) for generation of DInSAR interferograms using two pass interferometric approach. Finally it leads to the generation of mean deformation velocity maps and displacement time series. Herein, SBAS algorithm has been used for time series deformation estimation in the NW Himalayan region. ENVISAT ASAR IS2 swath data from 2003 to 2008 have been used for quantifying slow deformation. Himalayan region is a very active tectonic belt and active orogeny play a significant role in land deformation process [3]. Geomorphology in the region is unique and reacts to the climate change adversely bringing with land slides and subsidence. Settlements on the hill slopes are prone to land slides, landslips, rockslides and soil creep. These hazardous features have hampered the over all progress of the region as they obstruct the roads and flow of traffic, break communication, block flowing water in stream and create temporary reservoirs and also bring down lot of soil cover and thus add enormous silt and gravel to the streams. It has been observed that average deformation varies from -30.0 mm/year to 10 mm/year in the NW Himalayan region . References [1] Massonnet, D., Feigl, K.L.,Rossi, M. and Adragna, F. (1994) Radar interferometry mapping of deformation in the year after the Landers earthquake. Nature 1994, 369, 227-230. [2] Berardino, P., Fornaro, G., Lanari, R., Sansosti, E. (2002). A new algorithm for surface deformation Monitoring based on Small Baseline Differential SAR Interferograms. IEEE Transactions on Geoscience and Remote Sensing, 40 (11), 2375-2383. [3] GEOLOGICAL SURVEY OF INDIA (GSI), (1999) Inventory of the Himalayan glaciers. Special publication, vol. 34, pp. 165-168. [4] Chen, C.W., and Zebker, H. A., (2000). Network approaches to two-dimensional phase unwrapping: intractability and two new algorithms. Journal of the Optical Society of America, A, 17, 401-414.

High Resolution Deformation Time Series Estimation for Distributed Scatterers Using Terrasar-X Data

NASA Astrophysics Data System (ADS)

Goel, K.; Adam, N.

2012-07-01

In recent years, several SAR satellites such as TerraSAR-X, COSMO-SkyMed and Radarsat-2 have been launched. These satellites provide high resolution data suitable for sophisticated interferometric applications. With shorter repeat cycles, smaller orbital tubes and higher bandwidth of the satellites; deformation time series analysis of distributed scatterers (DSs) is now supported by a practical data basis. Techniques for exploiting DSs in non-urban (rural) areas include the Small Baseline Subset Algorithm (SBAS). However, it involves spatial phase unwrapping, and phase unwrapping errors are typically encountered in rural areas and are difficult to detect. In addition, the SBAS technique involves a rectangular multilooking of the differential interferograms to reduce phase noise, resulting in a loss of resolution and superposition of different objects on ground. In this paper, we introduce a new approach for deformation monitoring with a focus on DSs, wherein, there is no need to unwrap the differential interferograms and the deformation is mapped at object resolution. It is based on a robust object adaptive parameter estimation using single look differential interferograms, where, the local tilts of deformation velocity and local slopes of residual DEM in range and azimuth directions are estimated. We present here the technical details and a processing example of this newly developed algorithm.

Time series analysis of Mexico City subsidence constrained by radar interferometry

NASA Astrophysics Data System (ADS)

Doin, Marie-Pierre; Lopez-Quiroz, Penelope; Yan, Yajing; Bascou, Pascale; Pinel, Virginie

2010-05-01

In Mexico City, subsidence rates reach up to 40 cm/yr mainly due to soil compaction led by the over exploitation of the Mexico Basin aquifer. The Mexico Valley, an endoreic basin surrounded by mountains, was in the past covered by large lakes. After the Spanish conquest, the lakes have almost completely disappeared, being progressively replaced by buildings of the current Mexican capital. The simplified hydrogeologic structure includes a superficial 50 to 300 m thick lacustrine aquitard overlying a thicker aquifer made of alluvial deposits. The aquitard layer plays a crucial role in the subsidence process due to the extremely high compressibility of its clay deposits separated by a less compressible sand layer where the biggest buildings of the city are anchored. The aquifer over-exploitation leads to a large scale 30m depression of its piezometric level, inducing water downwards flow in the clays, yielding compaction and subsidence. In order to quantitatively link subsidence to water pumping, the Mexico city subsidence needs to be mapped and analyzed through space and time. We map its spatial and temporal patterns by differential radar interferometry, using 38 ENVISAT images acquired between end of 2002 and beginning of 2007. We employ both a Permanent Scatterer (PS) and a small baseline (SBAS) approach. The main difficulty consists in the severe unwrapping problems mostly due to the high deformation rate. We develop a specific SBAS approach based on 71 differential interferograms with a perpendicular baseline smaller than 500 m and a temporal baseline smaller than 9 months, forming a redundant network linking all images: (1) To help the unwrapping step, we use the fact that the deformation shape is stable for similar time intervals during the studied period. As a result, a stack of the five best interferograms can be used to reduce the number of fringes in wrapped interferograms. (2) Based on the redundancy of the interferometric data base, we quantify the unwrapping errors for each pixel and show that they are strongly decreased by iterations in the unwrapping process. (3) Finally, we present a new algorithm for time series analysis that differs from classical SVD decomposition and is best suited to the present data base. Accurate deformation time series are then derived over the metropolitan area of the city with a spatial resolution of 30 × 30 m. We also use the Gamma-PS software on the same data set. The phase differences are unwrapped within small patches with respect to a reference point chosen in each patch, whose phase is in turn unwrapped relatively to a reference point common for the whole area of interest. After removing the modelled contribution of the linear displacement rate and DEM error, some residual interferograms, presenting unwrapping errors because of strong residual orbital ramp or atmospheric phase screen, are spatially unwrapped by a minimum cost-flow algorithm. The next steps are to estimate and remove the residual orbital ramp and to apply temporal low-pass filter to remove atmospheric contributions. The step by step comparison of the SBAS and PS approaches shows both methods complementarity. The SBAS analysis provide subsidence rates with an accuracy of a mm/yr over the whole basin in a large area, together with the subsidence non linear behavior through time, however at the expense of some spatial regularization. The PS method provides locally accurate and punctual deformation rates, but fails in this case to yield a good large scale map and the non linear temporal behavior of the subsidence. We conclude that the relative contrast in subsidence between individual buildings and infrastructure must be relatively small, on average of the order of 5mm/yr.

Massive Cloud Computing Processing of P-SBAS Time Series for Displacement Analyses at Large Spatial Scale

NASA Astrophysics Data System (ADS)

Casu, F.; de Luca, C.; Lanari, R.; Manunta, M.; Zinno, I.

2016-12-01

A methodology for computing surface deformation time series and mean velocity maps of large areas is presented. Our approach relies on the availability of a multi-temporal set of Synthetic Aperture Radar (SAR) data collected from ascending and descending orbits over an area of interest, and also permits to estimate the vertical and horizontal (East-West) displacement components of the Earth's surface. The adopted methodology is based on an advanced Cloud Computing implementation of the Differential SAR Interferometry (DInSAR) Parallel Small Baseline Subset (P-SBAS) processing chain which allows the unsupervised processing of large SAR data volumes, from the raw data (level-0) imagery up to the generation of DInSAR time series and maps. The presented solution, which is highly scalable, has been tested on the ascending and descending ENVISAT SAR archives, which have been acquired over a large area of Southern California (US) that extends for about 90.000 km2. Such an input dataset has been processed in parallel by exploiting 280 computing nodes of the Amazon Web Services Cloud environment. Moreover, to produce the final mean deformation velocity maps of the vertical and East-West displacement components of the whole investigated area, we took also advantage of the information available from external GPS measurements that permit to account for possible regional trends not easily detectable by DInSAR and to refer the P-SBAS measurements to an external geodetic datum. The presented results clearly demonstrate the effectiveness of the proposed approach that paves the way to the extensive use of the available ERS and ENVISAT SAR data archives. Furthermore, the proposed methodology can be particularly suitable to deal with the very huge data flow provided by the Sentinel-1 constellation, thus permitting to extend the DInSAR analyses at a nearly global scale. This work is partially supported by: the DPC-CNR agreement, the EPOS-IP project and the ESA GEP project.

Generation of deformation time series from SAR data sequences in areas affected by large dynamics: insights from Sierra Negra caldera, Galápagos Islands

NASA Astrophysics Data System (ADS)

Casu, Francesco; Manconi, Andrea; Pepe, Antonio; Lanari, Riccardo

2010-05-01

Differential Synthetic Aperture Radar Interferometry (DInSAR) is a remote sensing technique that allows producing spatially dense deformation maps of the Earth surface, with centimeter accuracy. To this end, the phase difference of SAR image pairs acquired before and after a deformation episode is properly exploited. This technique, originally applied to investigate single deformation events, has been further extended to analyze the temporal evolution of the deformation field through the generation of displacement time-series. A well-established approach is represented by the Small BAseline Subset (SBAS) technique (Berardino et al., 2002), whose capability to analyze deformation events at low and full spatial resolution has largely been demonstrated. However, in areas where large and/or rapid deformation phenomena occur, the exploitation of the differential interferograms, thus also of the displacement time-series, can be strongly limited by the presence of significant misregistration errors and/or very high fringe rates, making unfeasible the phase unwrapping step. In this work, we propose advances on the generation of deformation time-series in areas affected by large deformation dynamics. We present an extension of the amplitude-based Pixel-Offset analyses by applying the SBAS strategy, in order to move from the investigation of single (large) deformation events to that of dynamic phenomena. The above-mentioned method has been tested on an ENVISAT SAR data archive (Track 61, Frames 7173-7191) related to the Galapagos Islands, focusing on Sierra Negra caldera (Galapagos Islands), an active volcanic area often characterized by large and rapid deformation events leading to severe image misregistration effects (Yun et al., 2007). Moreover, we present a cross-validation of the retrieved deformation estimates comparing our results to continuous GPS measurements and to synthetic deformation obtained by independently modeling the interferometric phase information when available. References: P. Berardino et al., (2002), A new algorithm for Surface Deformation Monitoring based on Small Baseline Differential SAR Interferograms, IEEE Transactions on Geoscience and Remote Sensing, vol. 40, 11, pp. 2375-2383. S-H. Yun et al., (2007), Interferogram formation in the presence of complex and large deformation, Geophys. Res. Lett., vol. 34, L12305.

Use of the Stanford Brief Activity Survey for physical activity assessment in postpartum Latinas: a validation study of a linguistically translated Spanish version.

PubMed

Joseph, Rodney P; Ainsworth, Barbara E; Vega-López, Sonia; Keller, Colleen S

2014-01-01

This study assessed the concurrent validity of the English and a linguistic Spanish translation of the Stanford Brief Activity Survey (SBAS) with pedometer-measured physical activity (PA) among postpartum Latinas. Latinas (n 97) completed the SBAS in either English (n 47) or Spanish (n 50) and wore pedometers 7 days at three different assessment periods. The English version demonstrated significant trends (p .01) for differentiating aerobic walking steps (AWS) and aerobic walking time (AWT) across SBAS intensity categories at two of the three assessment periods. The Spanish version showed marginally significant trends for differentiating AWS (p .048) and AWT (p .052) across SBAS intensity categories at only one assessment period. The English version of the SBAS is effective in assessing PA status among Latinas; however, the Spanish version indicates a need for research to further explore cultural and linguistic adaptations of the SBAS.

Use of an electronic Partograph: feasibility and acceptability study in Zanzibar, Tanzania.

PubMed

Litwin, Lindsay Elizabeth; Maly, Christina; Khamis, Asma Ramadan; Hiner, Cyndi; Zoungrana, Jérémie; Mohamed, Khadija; Drake, Mary; Machaku, Michael; Njozi, Mustafa; Muhsin, Salhiya Ali; Kulindwa, Yusuph K; Gomez, Patricia P

2018-05-09

The ePartogram is a tablet-based application developed to improve care for women in labor by addressing documented challenges in partograph use. The application is designed to provide real-time decision support, improve data entry, and increase access to information for appropriate labor management. This study's primary objective was to evaluate the feasibility and acceptability of ePartogram use in resource-constrained clinical settings. The ePartogram was introduced at three facilities in Zanzibar, Tanzania. Following 3 days of training, skilled birth attendants (SBAs) were observed for 2 weeks using the ePartogram to monitor laboring women. During each observed shift, data collectors used a structured observation form to document SBA comfort, confidence, and ability to use the ePartogram. Results were analyzed by shift. Short interviews, conducted with SBAs (n = 82) after each of their first five ePartogram-monitored labors, detected differences over time. After the observation period, in-depth interviews were conducted (n = 15). A thematic analysis of interview transcripts was completed. Observations of 23 SBAs using the ePartogram to monitor 103 women over 84 shifts showed that the majority of SBAs (87-91%) completed each of four fundamental ePartogram tasks-registering a client, entering first and subsequent measurements, and navigating between screens-with ease or increasing ease on their first shift; this increased to 100% by the fifth shift. Nearly all SBAs (93%) demonstrated confidence and all SBAs demonstrated comfort in using the ePartogram by the fifth shift. SBAs expressed positive impressions of the ePartogram and found it efficient and easy to use, beginning with first client use. SBAs noted the helpfulness of auditory reminders (indicating that measurements were due) and visual alerts (signaling abnormal measurements). SBAs expressed confidence in their ability to interpret and act on these reminders and alerts. It is feasible and acceptable for SBAs to use the ePartogram to support labor management and care. With structured training and support during initial use, SBAs quickly became competent and confident in ePartogram use. Qualitative findings revealed that SBAs felt the ePartogram improved timeliness of care and supported decision-making. These findings point to the ePartogram's potential to improve quality of care in resource-constrained labor and delivery settings.

ROLES OF TRADITIONAL BIRTH ATTENDANTS AND PERCEPTIONS ON THE POLICY DISCOURAGING HOME DELIVERY IN COASTAL KENYA.

PubMed

Wanyua, S; Kaneko, S; Karama, M; Makokha, A; Ndemwa, M; Kisule, A; Changoma, M; Goto, K; Shimada, M

2014-03-01

To describe the roles of Traditional Birth Attendants (TBAs), to determine the perceptions of TBAs and Skilled Birth Attendants (SBAs) towards the policy discouraging home delivery by TBAs and to establish the working relationship between TBAs and SBAs in Kwale, Kenya. Community based cross-sectional study. Mwaluphamba, Kinango and Golini locations of Kwale County, Kenya. Fifty eight participants were involved in the study. Interviews were conducted with 22 TBAs and 8 SBAs as well as 3 FGDs with 28 TBAs were carried out in July 2012. Roles of TBAs, policy awareness and support as well as the working relationship between TBAs and SBAs. Before delivery, the main role of TBAs was checking position of the baby in the womb (86%) while during delivery, the main role was stomach massage (64%). However, majority (95%) of the TBAs did not provide any after delivery. All SBAs and 59% of TBAs were aware of the policy while 88% SBAs and 36% of TBAs supported it. The working relationship between TBAs and SBAs mainly involved the referral of women to health facilities (HFs). Sometimes, TBAs accompanied women to the HF offering emotional support until after delivery. TBAs in Kwale have a big role to play especially during pregnancy and delivery periods. Awareness and support of the policy as well as the collaboration between SBAs and TBAs should be enhanced in Kwale.

Improved Small Baseline processing by means of CAESAR eigen-interferograms decomposition

NASA Astrophysics Data System (ADS)

Verde, Simona; Reale, Diego; Pauciullo, Antonio; Fornaro, Gianfranco

2018-05-01

The Component extrAction and sElection SAR (CAESAR) is a method for the selection and filtering of scattering mechanisms recently proposed in the multibaseline interferometric SAR framework. Its strength is related to the possibility to select and extract multiple dominant scattering mechanisms, even interfering in the same pixel, since the stage of the interferograms generation, and to carry out a decorrelation noise phase filtering. Up to now, the validation of CAESAR has been addressed in the framework of SAR Tomography for the model-based detection of Persistent Scatterers (PSs). In this paper we investigate the effectiveness related to the use of CAESAR eigen-interferograms in classical multi-baseline DInSAR processing, based on the Small BAseline Subset (SBAS) strategy, typically adopted to extract large scale distributed deformation and atmospheric phase screen. Such components are also exploited for the calibration of the full resolution data for PS or tomographic analysis. By using COSMO-SKyMed (CSK) SAR data, it is demonstrated that dominant scattering component filtering effectively improves the monitoring of distributed spatially decorrelated areas (f.i. bare soil, rocks, etc.) and allows bringing to light man-made structures with dominant backscattering characteristics embedded in highly temporally decorrelated scenario, as isolated asphalt roads and block of buildings in non-urban areas. Moreover it is shown that, thanks to the CAESAR multiple scattering components separation, the layover mitigation in low-topography eigen-interferograms relieves Phase Unwrapping (PhU) errors in urban areas due to abrupt height variations.

Integration of MODIS data and Short Baseline Subset (SBAS) technique for land subsidence monitoring in Datong, China

NASA Astrophysics Data System (ADS)

Zhao, Chao-ying; Zhang, Qin; Yang, Chengsheng; Zou, Weibao

2011-07-01

Datong is located in the north of Shanxi Province, which is famous for its old-fashioned coal-mining preservation in China. Some serious issues such as land subsidence, ground fissures, mining collapse, and earthquake hazards have occurred over this area for a long time resulting in significant damages to buildings and roads. In order to monitor and mitigate these natural man-made hazards, Short Baseline Subsets (SBAS) InSAR technique with ten Envisat ASAR data is applied to detect the surface deformation over an area of thousands of square kilometers. Then, five MODIS data are used to check the atmospheric effects on InSAR interferograms. Finally, nine nonlinear land subsidence cumulative results during September 2004 and February 2008 are obtained. Based on the deformation data, three kinds of land subsidence are clearly detected, caused by mine extraction, underground water withdrawal and construction of new economic zones, respectively. The annual mean velocity of subsidence can reach 1 to 4 cm/year in different subsidence areas. A newly designed high-speed railway (HSR) with speeds of 350 km/h will cross through the Datong hi-tech zone. Special measures should be taken for the long run of this project. In addition, another two subsidence regions need further investigation to mitigate such hazards.

Utility of the Stanford Brief Activity Survey for physical activity assessment in postpartum Latinas: A validation study of a linguistically translated Spanish version

PubMed Central

Joseph, Rodney P.; Ainsworth, Barbara E.; Vega-López, Sonia; Keller, Colleen S.

2014-01-01

This study assessed the concurrent validity of the English and a linguistic Spanish translation of the Stanford Brief Activity Survey (SBAS) with pedometer measured physical activity (PA) among postpartum Latinas. Latinas (n = 97) completed the SBAS in either English (n = 47) or Spanish (n = 50) and wore pedometers seven days at three different assessment periods. The English version demonstrated significant trends (p < .01) for differentiating aerobic walking steps (AWS) and aerobic walking time (AWT) across SBAS intensity categories at two of the three assessment periods. The Spanish version showed marginally significant trends for differentiating AWS (p = .048) and AWT (p = .052) across SBAS intensity categories at only one assessment period. The English version of the SBAS is effective in assessing PA status among Latinas; however, the Spanish version indicates a need for research to further explore cultural and linguistic adaptations of the SBAS. PMID:25239211

The storm-time assessment of GNSS-SBAS performance within low latitude African region using a testbed-like platform

NASA Astrophysics Data System (ADS)

Abe, O. E.; Paparini, C.; Ngaya, R. H.; Otero Villamide, X.; Radicella, S. M.; Nava, B.

2017-09-01

A Satellite Based Augmentation System (SBAS) is designed to improve Global Navigation Satellite Systems (GNSS) in terms of integrity, accuracy, availability and continuity. The main limitation to SBAS performance optimization is the ionosphere, and this is more critical in low latitude. During geomagnetically disturbed periods the role of storm-time winds is important because they modify the atmospheric composition toward low latitudes. An index of ionospheric disturbance, the relative percentage of deviation of the vertical Total Electron Content (TEC) from the quiet level (DvTEC) at each station was evaluated to study positive and negative phases of the geomagnetic storms. The rate of change of TEC index (ROTI) over all the GNSS stations was estimated to evaluate equatorial ionospheric gradients and irregularities. From the study it is observed that the positive deviations are more frequent than negative ones. The availability map, which is the mean of the combine Vertical Protection Level (VPL) and Horizontal Protection Level (HPL) are used for the SBAS performance. The cases of moderate and minor storms studied during the months of July and October 2013 showed that the SBAS system performance during the disturbed periods depends on the local time in which the storm occurs, geographic longitude and other phenomena that need further study. During the storm-time conditions considered, three out of seven geomagnetic storms indicated good SBAS performance and exceed monthly average of the availability map, three geomagnetic storms reduced the system performance below monthly average while one does not have effect on SBAS system performance in respect to monthly average. The present study indicates ROTI as a better proxy than geomagnetic indices for the assessment of storm-time effects on GNSS-SBAS performance.

The Afar rift zone deformation dynamics retrieved through phase and amplitude SAR data

NASA Astrophysics Data System (ADS)

Casu, F.; Pagli, C.; Paglia, L.; Wang, H.; Wright, T. J.; Lanari, R.

2011-12-01

The Dabbahu rift segment of the Afar depression has been active since 2005 when a 2.5 km3 dyke intrusion and hundreds of earthquakes marked the onset a rifting episode which continues to date. Since 2003, the Afar depression has been repeatedly imaged by the ENVISAT satellite, generating a large SAR archive which allow us to study the ongoing deformation processes and the dynamics of magma movements. We combine sets of small baseline interferograms through the advanced DInSAR algorithm referred to as Small BAseline Subset (SBAS), and we generate both ground deformation maps and time series along the satellite Line-Of-Sight (LOS), with accuracies on the order of 5 mm. The main limitation of DInSAR applications is that large and rapid deformations, such as those caused by dyke intrusions and eruptions in Afar, cannot be fully measured. The phase information often degrades and some areas of the interferograms are affected by high fringe rates, leading to difficulties in the phase unwrapping, and/or to complete loss of coherence due to significant misregistration errors. This limitation can be overcome by exploiting the SAR image amplitude information instead of the phase, and by calculating the Pixel-Offset (PO) field of a given SAR image pair, for both range and azimuth directions. Moreover, after computing the POs for each image pair, it is possible to combine them, following the same rationale of the SBAS technique, to finally retrieve the offset-based deformation time series. Such technique, named PO-SBAS, permits to retrieve the deformation field in areas affected by very large displacements at an accuracy that, for ENVISAT data, correspond to 30cm and 15 cm for the range and azimuth, respectively. In this work, we study the Afar rift region deformations by using both the phase and amplitude information of several sets of SAR images acquired from ascending and descending ENVISAT tracks. In particular, we use the phase information to construct dense and accurate deformation maps and time series in areas not affected by large displacements. While in areas where the deformation gradient causes loss of coherence, we retrieve the displacement field through the amplitude information. This approach allows us to obtain a spatially detailed deformation map of the study area. In addition, by combining ascending and descending data we reconstruct the vertical and East-West components of deformation field. Furthermore, in areas affected by large deformations, we can also retrieve the full 3D deformation field, by using the North-South displacement component obtained from the azimuth PO information. Distinct sources of deformations interact in Afar. Fault movements and magma chamber deflation have accompanied dyke intrusions but quantifying each contribution to the total deformation has been challenging, also due to loss of coherence in the central part of the rift. Here we combined the phase and amplitude information in order to retrieve the full deformation field of repeated intrusions. This allows us to better constrain the fault movements that occur as the dyke propagates as well as the magma movements from individual magma chambers.

Influence of Birth Preparedness, Decision-Making on Location of Birth and Assistance by Skilled Birth Attendants among Women in South-Western Uganda

PubMed Central

Kabakyenga, Jerome K.; Östergren, Per-Olof; Turyakira, Eleanor; Pettersson, Karen Odberg

2012-01-01

Introduction Assistance by skilled birth attendants (SBAs) during childbirth is one of the strategies aimed at reducing maternal morbidity and mortality in low-income countries. However, the relationship between birth preparedness and decision-making on location of birth and assistance by skilled birth attendants in this context is not well studied. The aim of this study was to assess the influence of birth preparedness practices and decision-making and assistance by SBAs among women in south-western Uganda. Methods Community survey methods were used to identify 759 recently delivered women from 120 villages in rural Mbarara district. Interviewer-administered questionnaires were used to collect data. Logistic regression analyses were conducted to assess the relationship between birth preparedness, decision-making on location of birth and assistance by SBAs. Results 35% of the women had been prepared for childbirth and the prevalence of assistance by SBAs in the sample was 68%. The final decision regarding location of birth was made by the woman herself (36%), the woman with spouse (56%) and the woman with relative/friend (8%). The relationships between birth preparedness and women decision-making on location of birth in consultation with spouse/friends/relatives and choosing assistance by SBAs showed statistical significance which persisted after adjusting for possible confounders (OR 1.5, 95% CI: 1.0–2.4) and (OR 4.4, 95% CI: 3.0–6.7) respectively. Education, household assets and birth preparedness showed clear synergistic effect on the relationship between decision-maker on location of birth and assistance by SBAs. Other factors which showed statistical significant relationships with assistance by SBAs were ANC attendance, parity and residence. Conclusion Women’s decision-making on location of birth in consultation with spouse/friends/relatives and birth preparedness showed significant effect on choosing assistance by SBAs at birth. Education and household assets ownership showed a synergistic effect on the relationship between the decision-maker and assistance by SBAs. PMID:22558214

Quality assessment of DInSAR deformation measurements in volcanic areas by comparing GPS and SBAS results

NASA Astrophysics Data System (ADS)

Bonforte, A.; Casu, F.; de Martino, P.; Guglielmino, F.; Lanari, R.; Manzo, M.; Obrizzo, F.; Puglisi, G.; Sansosti, E.; Tammaro, U.

2009-04-01

Differential Synthetic Aperture Radar Interferometry (DInSAR) is a methodology able to measure ground deformation rates and time series of relatively large areas. Several different approaches have been developed over the past few years: they all have in common the capability to measure deformations on a relatively wide area (say 100 km by 100 km) with a high density of the measuring points. For these reasons, DInSAR represents a very useful tool for investigating geophysical phenomena, with particular reference to volcanic areas. As for any measuring technique, the knowledge of the attainable accuracy is of fundamental importance. In the case of DInSAR technology, we have several error sources, such as orbital inaccuracies, phase unwrapping errors, atmospheric artifacts, effects related to the reference point selection, thus making very difficult to define a theoretical error model. A practical way to obtain assess the accuracy is to compare DInSAR results with independent measurements, such as GPS or levelling. Here we present an in-deep comparison between the deformation measurement obtained by exploiting the DInSAR technique referred to as Small BAseline Subset (SBAS) algorithm and by continuous GPS stations. The selected volcanic test-sites are Etna, Vesuvio and Campi Flegrei, in Italy. From continuous GPS data, solutions are computed at the same days SAR data are acquired for direct comparison. Moreover, three dimensional GPS displacement vectors are projected along the radar line of sight of both ascending and descending acquisition orbits. GPS data are then compared with the coherent DInSAR pixels closest to the GPS station. Relevant statistics of the differences between the two measurements are computed and correlated to some scene parameter that may affect DInSAR accuracy (altitude, terrain slope, etc.).

Factors affecting deliveries attended by skilled birth attendants in Bangladesh.

PubMed

Kibria, Gulam Muhammed Al; Ghosh, Swagata; Hossen, Shakir; Barsha, Rifath Ara Alam; Sharmeen, Atia; Uddin, S M Iftekhar

2017-01-01

The presence of skilled birth attendants (SBAs) is crucial in childbirth to reduce the maternal mortality ratio (MMR) and to achieve the maternal mortality target of the United Nations' Sustainable Development Goals (SDGs). The aim of this study was to investigate the factors related to childbirths attended by SBAs in Bangladesh. Data from the Bangladesh Demographic and Health Survey (2014 BDHS) were analyzed. Logistic regression was applied to calculate crude odds ratios (CORs), adjusted odds ratios (AORs), 95% confidence intervals (CIs), and p-values. In Bangladesh, 35.9% of deliveries were attended by SBAs, and 44.2% of those women received at least one antenatal check-up by a skilled provider. The deliveries by SBAs were less than 50% of the total deliveries in all divisions, excluding Khulna. Known pregnancy complications (AOR: 1.2; 95% CI: 1.1-1.4), higher level of education in both women (AOR: 1.7; 95% CI: 1.2-2.3) and their husbands (AOR: 1.8; 95% CI: 1.3-2.4), receiving antenatal care (ANC) by a skilled provider during the pregnancy period (AOR: 1.5; 95% CI: 1.1-2.1), and higher wealth quintiles (AOR: 3.4; 95% CI: 2.5-4.7) were all significantly associated with an increased likelihood of a delivery by SBAs ( p  <0.05). In contrast, women living in rural areas (AOR: 0.7; 95% CI: 0.6-0.8) and the Sylhet Division (AOR: 0.4; 95% CI: 0.3-0.5) were less likely to be delivered by SBAs. To achieve the target of the Government of Bangladesh - 50% of deliveries to be attended by SBAs - it is important to increase ANC services and awareness programs in all seven divisions of Bangladesh. Special focus in rural areas is also required to meet this target. A new study should be conducted to explore the unexamined factors associated with the presence of SBAs during childbirth.

Orogen-Wide InSAR Time Series for Detecting Deformation Sources: The Zagros and Makran of Southern Iran

NASA Astrophysics Data System (ADS)

Lohman, R. B.; Barnhart, W. D.

2011-12-01

We present interferometric synthetic aperture radar (InSAR) time series maps that span the eastern Zagros (Fars Arc) collisional belt and western Makran accretionary prism of Southern Iran. Given the upcoming availability of large volumes of SAR data from new platforms, such as Sentinel 1 and potentially DESDynI, we explore computationally efficient approaches for extracting deformation time series when the signal of interest is small compared to the level of noise in individual interferograms. We use 12 descending and 2 ascending multi-frame (2-4 frames) Envisat tracks and 2 ascending ALOS tracks spanning 2003-2010 and 2006-2010. We implement a linear inversion, similar to the Small Baseline Subset (SBaS) technique, to derive surface displacements at individual acquisition dates from trees of interferograms with perpendicular baselines less than 350m for Envisat and 1500m for ALOS pairs. This spatially extensive dataset allows us to investigate several attributes of interferometry that vary spatially and temporally over large distances, including changes in phase coherence relative to elevation and relief as well as land use. Through synthetic tests and observed data, we explore various sources of potential error in calculation of time series, including variable coherence of pixels between interferograms in a single track, ambiguities in phase unwrapping, and orbital ramp estimation over scenes with variable correlated noise structure. We present examples of detected signals with both temporally variable characteristics and small magnitudes, including surface/subsurface salt deformation, aseismic deformation across Minab-Zendan-Palami strike-slip zone, and subsidence due to hydrocarbon extraction.

First principles calculation of two dimensional antimony and antimony arsenide

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

Pillai, Sharad Babu, E-mail: sbpillai001@gmail.com; Narayan, Som; Jha, Prafulla K.

2016-05-23

This work focuses on the strain dependence of the electronic properties of two dimensional antimony (Sb) material and its alloy with As (SbAs) using density functional theory based first principles calculations. Both systems show indirect bandgap semiconducting character which can be transformed into a direct bandgap material with the application of relatively small strain.

Barriers to using skilled birth attendants' services in mid- and far-western Nepal: a cross-sectional study.

PubMed

Choulagai, Bishnu; Onta, Sharad; Subedi, Narayan; Mehata, Suresh; Bhandari, Gajananda P; Poudyal, Amod; Shrestha, Binjwala; Mathai, Matthews; Petzold, Max; Krettek, Alexandra

2013-12-23

Skilled birth attendants (SBAs) provide important interventions that improve maternal and neonatal health and reduce maternal and neonatal mortality. However, utilization and coverage of services by SBAs remain poor, especially in rural and remote areas of Nepal. This study examined the characteristics associated with utilization of SBA services in mid- and far-western Nepal. This cross-sectional study examined three rural and remote districts of mid- and far-western Nepal (i.e., Kanchanpur, Dailekh and Bajhang), representing three ecological zones (southern plains [Tarai], hill and mountain, respectively) with low utilization of services by SBAs. Enumerators assisted a total of 2,481 women. All respondents had delivered a baby within the past 12 months. We used bivariate and multivariate analyses to assess the association between antenatal and delivery care visits and the women's background characteristics. Fifty-seven percent of study participants had completed at least four antenatal care visits and 48% delivered their babies with the assistance of SBAs. Knowing the danger signs of pregnancy and delivery (e.g., premature labor, prolonged labor, breech delivery, postpartum hemorrhage, severe headache) associated positively with four or more antenatal care visits (OR = 1.71; 95% CI: 1.41-2.07). Living less than 30 min from a health facility associated positively with increased use of both antenatal care (OR = 1.44; 95% CI: 1.18-1.77) and delivery services (OR = 1.25; CI: 1.03-1.52). Four or more antenatal care visits was a determining factor for the utilization of SBAs. Less than half of the women in our study delivered babies with the aid of SBAs, indicating a need to increase utilization of such services in rural and remote areas of Nepal. Distance from health facilities and inadequate transportation pose major barriers to the utilization of SBAs. Providing women with transportation funds before they go to a facility for delivery and managing transportation options will increase service utilization. Moreover, SBA utilization associates positively with women's knowledge of pregnancy danger signs, wealth quintile, and completed antenatal care visits. Nepal's health system must develop strategies that generate demand for SBAs and also reduce financial, geographic and cultural barriers to such services.

Ventilation/perfusion SPECT/CT in patients with pulmonary emphysema. Evaluation of software-based analysing.

PubMed

Schreiter, V; Steffen, I; Huebner, H; Bredow, J; Heimann, U; Kroencke, T J; Poellinger, A; Doellinger, F; Buchert, R; Hamm, B; Brenner, W; Schreiter, N F

2015-01-01

The purpose of this study was to evaluate the reproducibility of a new software based analysing system for ventilation/perfusion single-photon emission computed tomography/computed tomography (V/P SPECT/CT) in patients with pulmonary emphysema and to compare it to the visual interpretation. 19 patients (mean age: 68.1 years) with pulmonary emphysema who underwent V/P SPECT/CT were included. Data were analysed by two independent observers in visual interpretation (VI) and by software based analysis system (SBAS). SBAS PMOD version 3.4 (Technologies Ltd, Zurich, Switzerland) was used to assess counts and volume per lung lobe/per lung and to calculate the count density per lung, lobe ratio of counts and ratio of count density. VI was performed using a visual scale to assess the mean counts per lung lobe. Interobserver variability and association for SBAS and VI were analysed using Spearman's rho correlation coefficient. Interobserver agreement correlated highly in perfusion (rho: 0.982, 0.957, 0.90, 0.979) and ventilation (rho: 0.972, 0.924, 0.941, 0.936) for count/count density per lobe and ratio of counts/count density in SBAS. Interobserver agreement correlated clearly for perfusion (rho: 0.655) and weakly for ventilation (rho: 0.458) in VI. SBAS provides more reproducible measures than VI for the relative tracer uptake in V/P SPECT/CTs in patients with pulmonary emphysema. However, SBAS has to be improved for routine clinical use.

Community and provider perceptions of traditional and skilled birth attendants providing maternal health care for pastoralist communities in Kenya: a qualitative study.

PubMed

Byrne, Abbey; Caulfield, Tanya; Onyo, Pamela; Nyagero, Josephat; Morgan, Alison; Nduba, John; Kermode, Michelle

2016-03-01

Kenya has a high burden of maternal and newborn mortality. Consequently, the Government of Kenya introduced health system reforms to promote the availability of skilled birth attendants (SBAs) and proscribed deliveries by traditional birth attendants (TBAs). Despite these changes, only 10% of women from pastoralist communities are delivered by an SBA in a health facility, and the majority are delivered by TBAs at home. The aim of this study is to better understand the practices and perceptions of TBAs and SBAs serving the remotely located, semi-nomadic, pastoralist communities of Laikipia and Samburu counties in Kenya, to inform the development of an SBA/TBA collaborative care model. This descriptive qualitative study was undertaken in 2013-14. We conducted four focus group discussions (FGDs) with TBAs, three with community health workers, ten with community women, and three with community men. In-depth interviews were conducted with seven SBAs and eight key informants. Topic areas covered were: practices and perceptions of SBAs and TBAs; rewards and challenges; managing obstetric complications; and options for SBA/TBA collaboration. All data were translated, transcribed and thematically analysed. TBAs are valued and accessible members of their communities who adhere to traditional practices and provide practical and emotional support to women during pregnancy, delivery and post-partum. Some TBA practices are potentially harmful to women e.g., restricting food intake during pregnancy, and participants recognised that TBAs are unable to manage obstetric complications. SBAs are acknowledged as having valuable technical skills and resources that contribute to safe and clean deliveries, especially in the event of complications, but there is also a perception that SBAs mistreat women. Both TBAs and SBAs identified a range of challenges related to their work, and instances of mutual respect and informal collaborations between SBAs and TBAs were described. These findings clearly indicate that an SBA/TBA collaborative model of care consistent with Kenyan Government policy is a viable proposition. The transition from traditional birth to skilled birth attendance among the pastoralist communities of Laikipia and Samburu is going to be a gradual one, and an interim collaborative model is likely to increase the proportion of SBA assisted deliveries, improve obstetric outcomes, and facilitate the transition.

Barriers to using skilled birth attendants’ services in mid- and far-western Nepal: a cross-sectional study

PubMed Central

2013-01-01

Background Skilled birth attendants (SBAs) provide important interventions that improve maternal and neonatal health and reduce maternal and neonatal mortality. However, utilization and coverage of services by SBAs remain poor, especially in rural and remote areas of Nepal. This study examined the characteristics associated with utilization of SBA services in mid- and far-western Nepal. Methods This cross-sectional study examined three rural and remote districts of mid- and far-western Nepal (i.e., Kanchanpur, Dailekh and Bajhang), representing three ecological zones (southern plains [Tarai], hill and mountain, respectively) with low utilization of services by SBAs. Enumerators assisted a total of 2,481 women. All respondents had delivered a baby within the past 12 months. We used bivariate and multivariate analyses to assess the association between antenatal and delivery care visits and the women’s background characteristics. Results Fifty-seven percent of study participants had completed at least four antenatal care visits and 48% delivered their babies with the assistance of SBAs. Knowing the danger signs of pregnancy and delivery (e.g., premature labor, prolonged labor, breech delivery, postpartum hemorrhage, severe headache) associated positively with four or more antenatal care visits (OR = 1.71; 95% CI: 1.41-2.07). Living less than 30 min from a health facility associated positively with increased use of both antenatal care (OR = 1.44; 95% CI: 1.18-1.77) and delivery services (OR = 1.25; CI: 1.03-1.52). Four or more antenatal care visits was a determining factor for the utilization of SBAs. Conclusions Less than half of the women in our study delivered babies with the aid of SBAs, indicating a need to increase utilization of such services in rural and remote areas of Nepal. Distance from health facilities and inadequate transportation pose major barriers to the utilization of SBAs. Providing women with transportation funds before they go to a facility for delivery and managing transportation options will increase service utilization. Moreover, SBA utilization associates positively with women’s knowledge of pregnancy danger signs, wealth quintile, and completed antenatal care visits. Nepal’s health system must develop strategies that generate demand for SBAs and also reduce financial, geographic and cultural barriers to such services. PMID:24365039

Real-Time Single Frequency Precise Point Positioning Using SBAS Corrections

PubMed Central

Li, Liang; Jia, Chun; Zhao, Lin; Cheng, Jianhua; Liu, Jianxu; Ding, Jicheng

2016-01-01

Real-time single frequency precise point positioning (PPP) is a promising technique for high-precision navigation with sub-meter or even centimeter-level accuracy because of its convenience and low cost. The navigation performance of single frequency PPP heavily depends on the real-time availability and quality of correction products for satellite orbits and satellite clocks. Satellite-based augmentation system (SBAS) provides the correction products in real-time, but they are intended to be used for wide area differential positioning at 1 meter level precision. By imposing the constraints for ionosphere error, we have developed a real-time single frequency PPP method by sufficiently utilizing SBAS correction products. The proposed PPP method are tested with static and kinematic data, respectively. The static experimental results show that the position accuracy of the proposed PPP method can reach decimeter level, and achieve an improvement of at least 30% when compared with the traditional SBAS method. The positioning convergence of the proposed PPP method can be achieved in 636 epochs at most in static mode. In the kinematic experiment, the position accuracy of the proposed PPP method can be improved by at least 20 cm relative to the SBAS method. Furthermore, it has revealed that the proposed PPP method can achieve decimeter level convergence within 500 s in the kinematic mode. PMID:27517930

Provider perspectives on the enabling environment required for skilled birth attendance: a qualitative study in western Nepal.

PubMed

Morgan, Alison; Jimenez Soto, Eliana; Bhandari, Gajananda; Kermode, Michelle

2014-12-01

In Nepal, where difficult geography and an under-resourced health system contribute to poor health care access, the government has increased the number of trained skilled birth attendants (SBAs) and posted them in newly constructed birthing centres attached to peripheral health facilities that are available to women 24 h a day. This study describes their views on their enabling environment. Qualitative methods included semi-structured interviews with 22 SBAs within Palpa district, a hill district in the Western Region of Nepal; a focus group discussion with ten SBA trainees, and in-depth interviews with five key informants. Participants identified the essential components of an enabling environment as: relevant training; ongoing professional support; adequate infrastructure, equipment and drugs; and timely referral pathways. All SBAs who practised alone felt unable to manage obstetric complications because quality management of life-threatening complications requires the attention of more than one SBA. Maternal health guidelines should account for the provision of an enabling environment in addition to the deployment of SBAs. In Nepal, referral systems require strengthening, and the policy of posting SBAs alone, in remote clinics, needs to be reconsidered to achieve the goal of reducing maternal deaths through timely management of obstetric complications. © 2014 John Wiley & Sons Ltd.

Sulfamoylbenzamide Derivatives Inhibit the Assembly of Hepatitis B Virus Nucleocapsids

PubMed Central

Campagna, Matthew R.; Liu, Fei; Mao, Richeng; Mills, Courtney; Cai, Dawei; Guo, Fang; Zhao, Xuesen; Ye, Hong; Cuconati, Andrea; Guo, Haitao; Chang, Jinhong; Xu, Xiaodong; Block, Timothy M.

2013-01-01

Chronic hepatitis B virus (HBV) infection, a serious public health problem leading to cirrhosis and hepatocellular carcinoma, is currently treated with either pegylated alpha interferon (pegIFN-α) or one of the five nucleos(t)ide analogue viral DNA polymerase inhibitors. However, neither pegIFN-α nor nucleos(t)ide analogues are capable of reliably curing the viral infection. In order to develop novel antiviral drugs against HBV, we established a cell-based screening assay by using an immortalized mouse hepatocyte-derived stable cell line supporting a high level of HBV replication in a tetracycline-inducible manner. Screening of a library consisting of 26,900 small molecules led to the discovery of a series of sulfamoylbenzamide (SBA) derivatives that significantly reduced the amount of cytoplasmic HBV DNA. Structure-activity relationship studies have thus far identified a group of fluorine-substituted SBAs with submicromolar antiviral activity against HBV in human hepatoma cells. Mechanistic analyses reveal that the compounds dose dependently inhibit the formation of pregenomic RNA (pgRNA)-containing nucleocapsids of HBV but not other animal hepadnaviruses, such as woodchuck hepatitis virus (WHV) and duck hepatitis B virus (DHBV). Moreover, heterologous genetic complementation studies of capsid protein, DNA polymerase, and pgRNA between HBV and WHV suggest that HBV capsid protein confers sensitivity to the SBAs. In summary, SBAs represent a novel chemical entity with superior activity and a unique antiviral mechanism and are thus warranted for further development as novel antiviral therapeutics for the treatment of chronic hepatitis B. PMID:23576513

The SBAS Sentinel-1 Surveillance service for automatic and systematic generation of Earth surface displacement within the GEP platform.

NASA Astrophysics Data System (ADS)

Casu, Francesco; De Luca, Claudio; Lanari, Riccardo; Manunta, Michele; Zinno, Ivana

2017-04-01

The Geohazards Exploitation Platform (GEP) is an ESA activity of the Earth Observation (EO) ground segment to demonstrate the benefit of new technologies for large scale processing of EO data. GEP aims at providing both on-demand processing services for scientific users of the geohazards community and an integration platform for new EO data analysis processors dedicated to scientists and other expert users. In the Remote Sensing scenario, a crucial role is played by the recently launched Sentinel-1 (S1) constellation that, with its global acquisition policy, has literally flooded the scientific community with a huge amount of data acquired over large part of the Earth on a regular basis (down to 6-days with both Sentinel-1A and 1B passes). Moreover, the S1 data, as part of the European Copernicus program, are openly and freely accessible, thus fostering their use for the development of tools for Earth surface monitoring. In particular, due to their specific SAR Interferometry (InSAR) design, Sentinel-1 satellites can be exploited to build up operational services for the generation of advanced interferometric products that can be very useful within risk management and natural hazard monitoring scenarios. Accordingly, in this work we present the activities carried out for the development, integration, and deployment of the SBAS Sentinel-1 Surveillance service of CNR-IREA within the GEP platform. This service is based on a parallel implementation of the SBAS approach, referred to as P-SBAS, able to effectively run in large distributed computing infrastructures (grid and cloud) and to allow for an efficient computation of large SAR data sequences with advanced DInSAR approaches. In particular, the Surveillance service developed on GEP platform consists on the systematic and automatic processing of Sentinel-1 data on selected Areas of Interest (AoI) to generate updated surface displacement time series via the SBAS-InSAR algorithm. We built up a system that is automatically triggered by every new S1 acquisition over the AoI, once it is available on the S1 catalogue. Then, tacking benefit from the SBAS results generated by previous runs of the service, the system processes the new acquisitions only, thus saving storage space and computing time and finally generating an updated SBAS time series. The same P-SBAS processor underlying the Surveillance service is also available through the GEP as a standard on-demand DInSAR service, thus allowing the scientific community to generate S1 SBAS time series on areas not covered by the Surveillance service itself. It is worth noting that the SBAS Sentinel-1 Surveillance service on GEP represents the core of the EPOSAR service, which will deliver S1 displacement time series of Earth surface on a regular basis for the European Plate Observing System (EPOS) Research Infrastructure community. In particular, the main goal of EPOSAR is to contribute with advanced technique and methods, which have already well demonstrated their effectiveness and relevance, in investigating the physical processes controlling earthquakes, volcanic eruptions and unrest episodes as well as those driving tectonics and Earth surface dynamics.

Application of ALOS and Envisat Data in Improving Multi-Temporal InSAR Methods for Monitoring Damavand Volcano and Landslide Deformation in the Center of Alborz Mountains, North Iran

NASA Astrophysics Data System (ADS)

Vajedian, S.; Motagh, M.; Nilfouroushan, F.

2013-09-01

InSAR capacity to detect slow deformation over terrain areas is limited by temporal and geometric decorrelations. Multitemporal InSAR techniques involving Persistent Scatterer (Ps-InSAR) and Small Baseline (SBAS) are recently developed to compensate the decorrelation problems. Geometric decorrelation in mountainous areas especially for Envisat images makes phase unwrapping process difficult. To improve this unwrapping problem, we first modified phase filtering to make the wrapped phase image as smooth as possible. In addition, in order to improve unwrapping results, a modified unwrapping method has been developed. This method includes removing possible orbital and tropospheric effects. Topographic correction is done within three-dimensional unwrapping, Orbital and tropospheric corrections are done after unwrapping process. To evaluate the effectiveness of our improved method we tested the proposed algorithm by Envisat and ALOS dataset and compared our results with recently developed PS software (StaMAPS). In addition we used GPS observations for evaluating the modified method. The results indicate that our method improves the estimated deformation significantly.

Mapping Changes and Damages in Areas of Conflict: From Archive C-Band SAR Data to New HR X-Band Imagery, Towards the Sentinels

NASA Astrophysics Data System (ADS)

Tapete, Deodato; Cigna, Francesca; Donoghue, Daniel N. M.; Philip, Graham

2015-05-01

On the turn of radar space science with the recent launch of Sentinel-1A, we investigate how to better exploit the opportunities offered by large C-band SAR archives and increasing datasets of HR to VHR X-band data, to map changes and damages in urban and rural areas affected by conflicts. We implement a dual approach coupling multi-interferogram processing and amplitude change detection, to assess the impact of the recent civil war on the city of Homs, Western Syria, and the surrounding semi-arid landscape. More than 280,000 coherent pixels are retrieved from Small BAseline Subset (SBAS) processing of the 8year-long ENVISAT ASAR IS2 archive, to quantify land subsidence due to pre-war water abstraction in rural areas. Damages in Homs are detected by analysing the changes of SAR backscattering (σ0), comparing 3m-resolution StripMap TerraSAR-X pairs from 2009 to 2014. Pre-war alteration is differentiated from war-related damages via operator-driven interpretation of the σ0 patterns.

Clinical audit to enhance safe practice of skilled birth attendants for the fetus with nuchal cord: evidence from a refugee and migrant cohort

PubMed Central

2014-01-01

Background Current evidence for optimal management of fetal nuchal cord detected after the head has birthed supports techniques that avoid ligation of the umbilical cord circulation. Routine audit found frequent unsafe management of nuchal cord by skilled birth attendants (SBAs) in migrant and refugee birth centres on the Thai-Burmese border. Method The audit cycle was used to enhance safe practice by SBA for the fetus with nuchal cord. In the three birth centres the action phase of the audit cycle was initially carried out by the doctor responsible for the site. Six months later a registered midwife, present six days per week for three months in one birth facility, encouraged SBAs to facilitate birth with an intact umbilical circulation for nuchal cord. Rates of cord ligation before birth were recorded over a 24 month period (1-July-2011 to 30-June-2013) and in-depth interviews and a knowledge survey of the SBAs took place three months after the registered midwife departure. Results The proportion of births with nuchal cord ligation declined significantly over the four six monthly quarters from 15.9% (178/1123) before the action phase of the audit cycle; to 11.1% (107/966) during the action phase of the audit cycle with the doctors; to 2.4% (28/1182) with the registered midwife; to 0.9% (9/999) from three to nine months after the departure of the registered midwife, (p < 0.001, linear trend). Significant improvements in safe practice were observed at all three SMRU birth facilities. Knowledge of fetal nuchal cord amongst SBAs was sub-optimal and associated with fear and worry despite improved practice. The support of a registered midwife increased confidence of SBAs. Conclusion The audit cycle and registered midwife interprofessional learning for SBAs led to a significant improvement in safe practice for the fetus with nuchal cord. The authors would encourage this type of learning in organizations with birth facilities on the Thai-Burmese border and in other similar resource limited settings with SBAs. PMID:24552462

Satellite SAR interferometric techniques applied to emergency mapping

NASA Astrophysics Data System (ADS)

Stefanova Vassileva, Magdalena; Riccardi, Paolo; Lecci, Daniele; Giulio Tonolo, Fabio; Boccardo Boccardo, Piero; Chiesa, Giuliana; Angeluccetti, Irene

2017-04-01

This paper aim to investigate the capabilities of the currently available SAR interferometric algorithms in the field of emergency mapping. Several tests have been performed exploiting the Copernicus Sentinel-1 data using the COTS software ENVI/SARscape 5.3. Emergency Mapping can be defined as "creation of maps, geo-information products and spatial analyses dedicated to providing situational awareness emergency management and immediate crisis information for response by means of extraction of reference (pre-event) and crisis (post-event) geographic information/data from satellite or aerial imagery". The conventional differential SAR interferometric technique (DInSAR) and the two currently available multi-temporal SAR interferometric approaches, i.e. Permanent Scatterer Interferometry (PSI) and Small BAseline Subset (SBAS), have been applied to provide crisis information useful for the emergency management activities. Depending on the considered Emergency Management phase, it may be distinguished between rapid mapping, i.e. fast provision of geospatial data regarding the area affected for the immediate emergency response, and monitoring mapping, i.e. detection of phenomena for risk prevention and mitigation activities. In order to evaluate the potential and limitations of the aforementioned SAR interferometric approaches for the specific rapid and monitoring mapping application, five main factors have been taken into account: crisis information extracted, input data required, processing time and expected accuracy. The results highlight that DInSAR has the capacity to delineate areas affected by large and sudden deformations and fulfills most of the immediate response requirements. The main limiting factor of interferometry is the availability of suitable SAR acquisition immediately after the event (e.g. Sentinel-1 mission characterized by 6-day revisiting time may not always satisfy the immediate emergency request). PSI and SBAS techniques are suitable to produce monitoring maps for risk prevention and mitigation purposes. Nevertheless, multi-temporal techniques require large SAR temporal datasets, i.e. 20 and more images. Being the Sentinel-1 missions operational only since April 2014, multi-mission SAR datasets should be therefore exploited to carry out historical analysis.

Surface deformation analysis of the Mauna Loa and Kilauea volcanoes, Hawaii , revealed by InSAR measurements

NASA Astrophysics Data System (ADS)

Casu, F.; Poland, M.; Solaro, G.; Tizzani, P.; Miklius, A.; Sansosti, E.; Lanari, R.

2009-04-01

The Big Island of Hawaii is home to three volcanoes that have historically erupted. Hualālai, on the east side of the island, Mauna Loa, the largest volcano on the planet which has erupted 39 times since 1832 (most recently in 1984) and Kilauea, which has been in a state of continuous eruption since 1983 from vents on the volcano's east rift zone. Deformation at Kilauea is characterized by summit and rift zone displacements related to magmatic activity and seaward motion of the south flank caused by slip along a basal decollement. In this work we investigate the deformation affecting the Mauna Loa and Kilauea volcanoes, Hawaii , by exploiting the advanced Interferometric Synthetic Aperture Radar (InSAR) technique referred to as Small BAseline Subset (SBAS) algorithm. In particular, we present time series of line-of-sight (LOS) displacements derived from the SAR data acquired by the ASAR instrument, on board the ENVISAT satellite, from the ascending (track 93, frame 387) and descending (track 429, frame 3213) orbits over a time period between 2003 and 2008. For each coherent pixel of the radar images we compute time-dependent surface displacements as well as the average LOS deformation velocity. We also benefit from the use of the multi-orbit (ascending and descending) data which permit us to discriminate the vertical and east-west components of the revealed displacements. The retrieved InSAR measurements are also favourably compared to the continuous GPS data available in the area in order to asses the quality of the SBAS-InSAR products. The presented results show the complex and articulated deformation behavior of the investigated volcanoes; moreover, the possibility to invert the retrieved DInSAR products, in order to model both deep geological structures and magmatic sources, represents a relevant issue for the comprehension of the volcanoes dynamics.

InSAR analysis of the crustal deformation affecting the megacity of Istanbul: the results of the FP7 Marsite Project as a GEO Supersite Initiative

NASA Astrophysics Data System (ADS)

Solaro, Giuseppe; Bonano, Manuela; Manzo, Mariarosaria

2016-04-01

The North Anatolian Fault (NAF) is one of the most active faults worldwide, extending approximately 1,200 km from Eastern Turkey to the Northern Aegean Sea. During the 20th century series of damaging earthquakes occurred along the NAF, generally propagated westward towards Istanbul; the last one occurred in 1999 at Izmit, a city 80 km away from Istanbul. Within this scenario, the FP7 MARsite project (New Directions in Seismic Hazard assessment through Focused Earth Observation in Marmara Supersite), supported by EU, intends to collect, share and integrate multidisciplinary data (seismologic, geochemical, surveying, satellite, etc.) in order to carry out assessment, mitigation and management of seismic risk in the region of the Sea of Marmara. In the framework of the MARsite project, we performed the analysis and monitoring of the surface deformation affecting the Istanbul mega city by exploiting the large archives of X-band satellite SAR data, made available through the Supersites Initiatives, and by processing them via the advanced multi-temporal and multi-scale InSAR technique, known as the Small BAseline Subset (SBAS) approach. In particular, we applied the SBAS technique to a dataset of 101 SAR images acquired by the TerraSAR-X constellation of the German Space Agency (DLR) over descending orbits and spanning the November 2010 - August 2014 time interval. From,these images, we generated 312 differential interferograms with a maximum spatial separation (perpendicular baseline) between the acquisition orbits of about 500 m., that were used to generate, via the SBAS approach, mean deformation velocity map and corresponding ground time series of the investigated area. The performed InSAR analysis reveals a generalized stability over the Istanbul area, except for some localized displacements, related to subsidence and slope instability phenomena. In particular, we identified: (i) a displacement pattern related to the Istanbul airport, showing a mostly linear deformation trend with a velocity of about 1 cm/yr, although a slowdown effect is observed starting from early 2014, and (ii) a subsidence phenomenon in correspondence to Miniaturk park with a mean velocity value of about 1.5 cm/yr. Moreover, by benefiting from the recent launch of the C-band Sentinel-1A (S1A) satellite (April 2014), developed within the European Commission Copernicus Programme, we performed a more recent InSAR analysis of the Istanbul mega city and its surroundings by exploiting datasets collected during the October 2014 - December 2015 time interval. In such a way, we are able to investigate possible changes in the spatial and temporal deformation rates of the detected displacements over time with the aim to improve the comprehension of the deformation processes already occurred and/or occurring in this area. The obtained results, generated within the MARsite project, are expected to be available to scientific community through the Geohazards Exploitation Platform (GEP), an ESA platform aimed at supporting the exploitation of satellite EO data for geohazards, to be fully compliant with some of the major issues of the Supersites Initiative, as well as to foster the InSAR data sharing within a wider scientific community.

Structured Programming on the 380-Z.

ERIC Educational Resources Information Center

Horton, Graeme

1983-01-01

With the production of SBAS, a combination of language and machine allowing for a disciplined and error-free approach to teaching programming is available. Instructional strategies for use with SBAS and basic concepts (decisions, repetitions/iterations, actions/processes) are discussed. Sample flow charts and program listings are provided. (JN)

Monitoring of land subsidence in Ravenna Municipality using two different DInSAR techniques: comparison and discussion of the results.

NASA Astrophysics Data System (ADS)

Fiaschi, Simone; Di Martire, Diego; Tessitore, Serena; Achilli, Vladimiro; Ahmed, Ahmed; Borgstrom, Sven; Calcaterra, Domenico; Fabris, Massimo; Ramondini, Massimo; Serpelloni, Enrico; Siniscalchi, Valeria; Floris, Mario

2015-04-01

Land subsidence affecting the Ravenna Municipality (Emilia Romagna Region, NE Italy) is one of the best example on how the exploitation of natural resources can affect the environment and the territory. In fact, the pumping of groundwater and the extraction of gas from both on and off-shore reservoirs, started in the 1950s, have caused a strong land subsidence affecting most of the Emilia Romagna territory but in particular the Adriatic Sea coastline near Ravenna. In such area the current subsidence rate, even if lower than in the past, can reach the -2cm/y. Local Authorities have monitored this phenomenon over the years with different techniques: spirit levelling, GPS surveys and, more recently, Interferometric Synthetic Aperture Radar (InSAR) techniques, confirming the critical situation of land subsidence risk. In this work, we present the comparison between the results obtained with two different DInSAR techniques applied to the study of the land subsidence in the Ravenna territory: the Small Baseline Subset (SBAS) and the Coherent Pixel Technique (CPT) techniques. The SBAS works on SARscape software and is based on the Berardino et al., 2002 algorithm. This technique relies on the combination of differential interferograms created from stacks of SAR image pairs that have small temporal and perpendicular baselines. Thanks to the application of several interferograms for every single image, it is possible to obtain high spatial coherence, high data density and more effective error reduction. This allows us to obtain mean velocity maps with good data density even over non-urbanized territories. For the CPT we used the SUBsoft processor based on the algorithm implemented by Mora et al., 2003. CPT is able to extract from a stack of differential interferograms the deformation evolution over wide areas during large time spans. The processing scheme is composed of three main steps: a) the generation of the best interferogram set among all the available images of the zone under study; b) the selection of the pixels with reliable phase within the employed interferograms and, c) their phase analysis to calculate, as the main result, their deformation time series within the observation period. For this study, different SAR images have been used: 25 meters ground resolution ERS 1/2 (1992-2000) and ENVISAT (2003-2010), and 3 meters ground resolution TerraSAR-X (2012-2014). The results obtained for each stack of images with the two techniques are validated and compared with the C-GPS time series of more than three benchmarks stations. The aim is to test the two InSAR techniques in the monitoring of ground settlements in low urbanized territories. Furthermore, we have investigated the advantages (data accuracy and density) of using SAR images with higher ground resolution.

Trauma-Focused Early Intensive Cognitive Behavioral Intervention (TF-EICBI) in children and adolescent survivors of suicide bombing attacks (SBAs). A preliminary study.

PubMed

Leor, Agnes; Dolberg, Orna T; Eshel, Shira Pagorek; Yagil, Yaron; Schreiber, Shaul

2013-01-01

To describe and evaluate the impact of an early intervention (Trauma-Focused Early Intensive Cognitive Behavioral Intervention, TF-EICBI) in children and adolescents who were victims of suicide bombing attacks (SBAs) in Israel. Description of an intervention and preliminary experience in its use. An acute trauma center of a Child and Adolescent Psychiatric Unit in a Department of Psychiatry of a university-affiliated medical center. Ten children and adolescents who were victims of SBAs and underwent early interventions (EIG) were compared to 11 adolescent victims who received no intervention (NEIG). The EIG included all the children and adolescent survivors of various SBAs that had occurred during 1 year who presented to our hospital after the TF-EICBI was implemented (June 2001). The NEIG comprised all adolescents girls <18 years of age at follow-up who survived one SBA (at the "Dolphinarium" Discotheque) before the TF-EICBI was available. At the time of the 1-year post-SBA follow-up, all 21 subjects were assessed by the Structured Clinical Interview for Axis 1 DSMIII R Disorders (SCID), and the Child Behavior Checklist (CBCL). One (10 percent) EI subject and four (36.4 percent) NEI subjects had post-traumatic stress disorder. The mean CBCL total score and most of the mean CBCL behavior problem scores were significantly higher (p < 0.021) among the NEI group members. Intervention was effective in preventing and lowering mental morbidity of children and adolescents after SBAs.

High Resolution Digital Surface Model For Production Of Airport Obstruction Charts Using Spaceborne SAR Sensors

NASA Astrophysics Data System (ADS)

Oliveira, Henrique; Rodrigues, Marco; Radius, Andrea

2012-01-01

Airport Obstruction Charts (AOCs) are graphical representations of natural or man-made obstructions (its locations and heights) around airfields, according to International Civil Aviation Organization (ICAO) Annexes 4, 14 and 15. One of the most important types of data used in AOCs production/update tasks is a Digital Surface Model (first reflective surface) of the surveyed area. The development of advanced remote sensing technologies provide the available tools for obstruction data acquisition, while Geographic Information Systems (GIS) present the perfect platform for storing and analyzing this type of data, enabling the production of digital ACOs, greatly contributing to the increase of the situational awareness of pilots and enhancing the air navigation safety level [1]. Data acquisition corresponding to the first reflective surface can be obtained through the use of Airborne Laser-Scanning and Light Detection and Ranging (ALS/LIDAR) or Spaceborne SAR Systems. The need of surveying broad areas, like the entire territory of a state, shows that Spaceborne SAR systems are the most adequate in economic and feasibility terms of the process, to perform the monitoring and producing a high resolution Digital Surface Model (DSM). The high resolution DSM generation depends on many factors: the available data set, the used technique and the setting parameters. To increase the precision and obtain high resolution products, two techniques are available using a stack of data: the PS (Permanent Scatterers) technique [2], that uses large stack of data to identify many stable and coherent targets through multi- temporal analysis, removing the atmospheric contribution and to minimize the estimation errors, and the Small Baseline Subset (SBAS) technique ([3],[4]), that relies on the use of small baseline SAR interferograms and on the application of the so called singular value decomposition (SVD) method, in order to link independent SAR acquisition data sets, separated by large baselines, thus increasing the number of data used for the analysis.

Validity and reliability of two brief physical activity questionnaires among Spanish-speaking individuals of Mexican descent.

PubMed

Vega-López, Sonia; Chavez, Adrian; Farr, Kristin J; Ainsworth, Barbara E

2014-01-13

Mexican Americans are the largest minority group in the US and suffer disproportionate rates of diseases related to the lack of physical activity (PA). Since many of these Mexican Americans are Spanish-speaking, it is important to validate a Spanish language physical activity assessment tool that can be used in epidemiology as well as clinical practice. This study explored the utility of two Spanish translated physical activity questionnaires, the Stanford Brief Activity Survey (SBAS) and the Rapid Assessment of Physical Activity (RAPA), for use among Spanish-speaking Mexican Americans. Thirty-four participants (13 M, 21 F; 37.6 ± 9.5 y) completed each of the two PA surveys twice, one week apart. During that week 31 participants also wore an ActiGraph GT1M accelerometer for 7 days to objectively measure PA. Minutes of moderate and vigorous PA (MVPA) were determined from the accelerometer data using Freedson and Matthews cut points. Validity, determined by Spearman correlation coefficients between questionnaire scores and minutes of ActiGraph measured MVPA were 0.38 and 0.45 for the SBAS and RAPA, respectively. Test-retest reliability was 0.61 for the SBAS and 0.65 for the RAPA. Sensitivity and specificity were 0.60 and 0.47 for the SBAS, and 0.73 and 0.75 for the RAPA. Participants who were classified as meeting the 2008 National Physical Activity Guidelines by the RAPA engaged in significantly (p < 0.05) more minutes of MVPA than those who were not, while there were no significant differences in minutes of MVPA classified by the SBAS. The SBAS and the RAPA are both reasonably valid measures for quickly assessing PA and determining compliance to the PA guidelines in Spanish-speaking Mexican Americans. Although the two questionnaires had comparable reliability, the RAPA was better able to distinguish between those who met and did not meet National PA Guidelines.

Accelerated Training of Skilled Birth Attendants in a Marginalized Population on the Thai-Myanmar Border: A Multiple Methods Program Evaluation.

PubMed

White, Adrienne Lynne; Min, Thaw Htwe; Gross, Mechthild M; Kajeechiwa, Ladda; Thwin, May Myo; Hanboonkunupakarn, Borimas; Than, Hla Hla; Zin, Thet Wai; Rijken, Marcus J; Hoogenboom, Gabie; McGready, Rose

2016-01-01

To evaluate a skilled birth attendant (SBA) training program in a neglected population on the Thai-Myanmar border, we used multiple methods to show that refugee and migrant health workers can be given effective training in their own environment to become SBAs and teachers of SBAs. The loss of SBAs through resettlement to third countries necessitated urgent training of available workers to meet local needs. All results were obtained from student records of theory grades and clinical log books. Qualitative evaluation of both the SBA and teacher programs was obtained using semi-structured interviews with supervisors and teachers. We also reviewed perinatal indicators over an eight-year period, starting prior to the first training program until after the graduation of the fourth cohort of SBAs. Four SBA training programs scheduled between 2009 and 2015 resulted in 79/88 (90%) of students successfully completing a training program of 250 theory hours and 625 supervised clinical hours. All 79 students were able to: achieve pass grades on theory examination (median 80%, range [70-89]); obtain the required clinical experience within twelve months; achieve clinical competence to provide safe care during childbirth. In 2010-2011, five experienced SBAs completed a train-the-trainer (TOT) program and went on to facilitate further training programs. Perinatal indicators within Shoklo Malaria Research Unit (SMRU), such as place of birth, maternal and newborn outcomes, showed no significant differences before and after introduction of training or following graduate deployment in the local maternity units. Confidence, competence and teamwork emerged from qualitative evaluation by senior SBAs working with and supervising students in the clinics. We demonstrate that in resource-limited settings or in marginalized populations, it is possible to accelerate training of skilled birth attendants to provide safe maternity care. Education needs to be tailored to local needs to ensure evidence-based care of women and their families.

Unsupervised SBAS-DInSAR Processing of Space-borne SAR data for Earth Surface Displacement Time Series Generation

NASA Astrophysics Data System (ADS)

Casu, F.; de Luca, C.; Lanari, R.; Manunta, M.; Zinno, I.

2016-12-01

During the last 25 years, the Differential Synthetic Aperture Radar Interferometry (DInSAR) has played an important role for understanding the Earth's surface deformation and its dynamics. In particular, the large collections of SAR data acquired by a number of space-borne missions (ERS, ENVISAT, ALOS, RADARSAT, TerraSAR-X, COSMO-SkyMed) have pushed toward the development of advanced DInSAR techniques for monitoring the temporal evolution of the ground displacements with an high spatial density. Moreover, the advent of the Copernicus Sentinel-1 (S1) constellation is providing a further increase in the SAR data flow available to the Earth science community, due to its characteristics of global coverage strategy and free and open access data policy. Therefore, managing and storing such a huge amount of data, processing it in an effcient way and maximizing the available archives exploitation are becoming high priority issues. In this work we present some recent advances in the DInSAR field for dealing with the effective exploitation of the present and future SAR data archives. In particular, an efficient parallel SBAS implementation (namely P-SBAS) that takes benefit from high performance computing is proposed. Then, the P-SBAS migration to the emerging Cloud Computing paradigm is shown, together with extensive tests carried out in the Amazon's Elastic Cloud Compute (EC2) infrastructure. Finally, the integration of the P-SBAS processing chain within the ESA Geohazards Exploitation Platform (GEP), for setting up operational on-demand and systematic web tools, open to every user, aimed at automatically processing stacks of SAR data for the generation of SBAS displacement time series, is also illustrated. A number of experimental results obtained by using the ERS, ENVISAT and S1 data in areas characterized by volcanic, seismic and anthropogenic phenomena will be shown. This work is partially supported by: the DPC-CNR agreement, the EPOS-IP project and the ESA GEP project.

Validity and reliability of two brief physical activity questionnaires among Spanish-speaking individuals of Mexican descent

PubMed Central

2014-01-01

Background Mexican Americans are the largest minority group in the US and suffer disproportionate rates of diseases related to the lack of physical activity (PA). Since many of these Mexican Americans are Spanish-speaking, it is important to validate a Spanish language physical activity assessment tool that can be used in epidemiology as well as clinical practice. This study explored the utility of two Spanish translated physical activity questionnaires, the Stanford Brief Activity Survey (SBAS) and the Rapid Assessment of Physical Activity (RAPA), for use among Spanish-speaking Mexican Americans. Methods Thirty-four participants (13 M, 21 F; 37.6 ± 9.5 y) completed each of the two PA surveys twice, one week apart. During that week 31 participants also wore an ActiGraph GT1M accelerometer for 7 days to objectively measure PA. Minutes of moderate and vigorous PA (MVPA) were determined from the accelerometer data using Freedson and Matthews cut points. Results Validity, determined by Spearman correlation coefficients between questionnaire scores and minutes of ActiGraph measured MVPA were 0.38 and 0.45 for the SBAS and RAPA, respectively. Test-retest reliability was 0.61 for the SBAS and 0.65 for the RAPA. Sensitivity and specificity were 0.60 and 0.47 for the SBAS, and 0.73 and 0.75 for the RAPA. Participants who were classified as meeting the 2008 National Physical Activity Guidelines by the RAPA engaged in significantly (p < 0.05) more minutes of MVPA than those who were not, while there were no significant differences in minutes of MVPA classified by the SBAS. Conclusions The SBAS and the RAPA are both reasonably valid measures for quickly assessing PA and determining compliance to the PA guidelines in Spanish-speaking Mexican Americans. Although the two questionnaires had comparable reliability, the RAPA was better able to distinguish between those who met and did not meet National PA Guidelines. PMID:24410978

Accelerated Training of Skilled Birth Attendants in a Marginalized Population on the Thai-Myanmar Border: A Multiple Methods Program Evaluation

PubMed Central

White, Adrienne Lynne; Min, Thaw Htwe; Gross, Mechthild M.; Kajeechiwa, Ladda; Thwin, May Myo; Hanboonkunupakarn, Borimas; Than, Hla Hla; Zin, Thet Wai; Rijken, Marcus J.; Hoogenboom, Gabie; McGready, Rose

2016-01-01

Background To evaluate a skilled birth attendant (SBA) training program in a neglected population on the Thai-Myanmar border, we used multiple methods to show that refugee and migrant health workers can be given effective training in their own environment to become SBAs and teachers of SBAs. The loss of SBAs through resettlement to third countries necessitated urgent training of available workers to meet local needs. Methods and Findings All results were obtained from student records of theory grades and clinical log books. Qualitative evaluation of both the SBA and teacher programs was obtained using semi-structured interviews with supervisors and teachers. We also reviewed perinatal indicators over an eight-year period, starting prior to the first training program until after the graduation of the fourth cohort of SBAs. Results Four SBA training programs scheduled between 2009 and 2015 resulted in 79/88 (90%) of students successfully completing a training program of 250 theory hours and 625 supervised clinical hours. All 79 students were able to: achieve pass grades on theory examination (median 80%, range [70–89]); obtain the required clinical experience within twelve months; achieve clinical competence to provide safe care during childbirth. In 2010–2011, five experienced SBAs completed a train-the-trainer (TOT) program and went on to facilitate further training programs. Perinatal indicators within Shoklo Malaria Research Unit (SMRU), such as place of birth, maternal and newborn outcomes, showed no significant differences before and after introduction of training or following graduate deployment in the local maternity units. Confidence, competence and teamwork emerged from qualitative evaluation by senior SBAs working with and supervising students in the clinics. Conclusions We demonstrate that in resource-limited settings or in marginalized populations, it is possible to accelerate training of skilled birth attendants to provide safe maternity care. Education needs to be tailored to local needs to ensure evidence-based care of women and their families. PMID:27711144

DInSAR time series generation within a cloud computing environment: from ERS to Sentinel-1 scenario

NASA Astrophysics Data System (ADS)

Casu, Francesco; Elefante, Stefano; Imperatore, Pasquale; Lanari, Riccardo; Manunta, Michele; Zinno, Ivana; Mathot, Emmanuel; Brito, Fabrice; Farres, Jordi; Lengert, Wolfgang

2013-04-01

One of the techniques that will strongly benefit from the advent of the Sentinel-1 system is Differential SAR Interferometry (DInSAR), which has successfully demonstrated to be an effective tool to detect and monitor ground displacements with centimetre accuracy. The geoscience communities (volcanology, seismicity, …), as well as those related to hazard monitoring and risk mitigation, make extensively use of the DInSAR technique and they will take advantage from the huge amount of SAR data acquired by Sentinel-1. Indeed, such an information will successfully permit the generation of Earth's surface displacement maps and time series both over large areas and long time span. However, the issue of managing, processing and analysing the large Sentinel data stream is envisaged by the scientific community to be a major bottleneck, particularly during crisis phases. The emerging need of creating a common ecosystem in which data, results and processing tools are shared, is envisaged to be a successful way to address such a problem and to contribute to the information and knowledge spreading. The Supersites initiative as well as the ESA SuperSites Exploitation Platform (SSEP) and the ESA Cloud Computing Operational Pilot (CIOP) projects provide effective answers to this need and they are pushing towards the development of such an ecosystem. It is clear that all the current and existent tools for querying, processing and analysing SAR data are required to be not only updated for managing the large data stream of Sentinel-1 satellite, but also reorganized for quickly replying to the simultaneous and highly demanding user requests, mainly during emergency situations. This translates into the automatic and unsupervised processing of large amount of data as well as the availability of scalable, widely accessible and high performance computing capabilities. The cloud computing environment permits to achieve all of these objectives, particularly in case of spike and peak requests of processing resources linked to disaster events. This work aims at presenting a parallel computational model for the widely used DInSAR algorithm named as Small BAseline Subset (SBAS), which has been implemented within the cloud computing environment provided by the ESA-CIOP platform. This activity has resulted in developing a scalable, unsupervised, portable, and widely accessible (through a web portal) parallel DInSAR computational tool. The activity has rewritten and developed the SBAS application algorithm within a parallel system environment, i.e., in a form that allows us to benefit from multiple processing units. This requires the devising a parallel version of the SBAS algorithm and its subsequent implementation, implying additional complexity in algorithm designing and an efficient multi processor programming, with the final aim of a parallel performance optimization. Although the presented algorithm has been designed to work with Sentinel-1 data, it can also process other satellite SAR data (ERS, ENVISAT, CSK, TSX, ALOS). Indeed, the performance analysis of the implemented SBAS parallel version has been tested on the full ASAR archive (64 acquisitions) acquired over the Napoli Bay, a volcanic and densely urbanized area in Southern Italy. The full processing - from the raw data download to the generation of DInSAR time series - has been carried out by engaging 4 nodes, each one with 2 cores and 16 GB of RAM, and has taken about 36 hours, with respect to about 135 hours of the sequential version. Extensive analysis on other test areas significant from DInSAR and geophysical viewpoint will be presented. Finally, preliminary performance evaluation of the presented approach within the Sentinel-1 scenario will be provided.

The Network Structure Underlying the Earth Observation Assessment

NASA Astrophysics Data System (ADS)

Vitkin, S.; Doane, W. E. J.; Mary, J. C.

2017-12-01

The Earth Observations Assessment (EOA 2016) is a multiyear project designed to assess the effectiveness of civil earth observation data sources (instruments, sensors, models, etc.) on societal benefit areas (SBAs) for the United States. Subject matter experts (SMEs) provided input and scored how data sources inform products, product groups, key objectives, SBA sub-areas, and SBAs in an attempt to quantify the relationships between data sources and SBAs. The resulting data were processed by Integrated Applications Incorporated (IAI) using MITRE's PALMA software to create normalized relative impact scores for each of these relationships. However, PALMA processing obscures the natural network representation of the data. Any network analysis that might identify patterns of interaction among data sources, products, and SBAs is therefore impossible. Collaborating with IAI, we cleaned and recreated a network from the original dataset. Using R and Python we explore the underlying structure of the network and apply frequent itemset mining algorithms to identify groups of data sources and products that interact. We reveal interesting patterns and relationships in the EOA dataset that were not immediately observable from the EOA 2016 report and provide a basis for further exploration of the EOA network dataset.

Long-term ground deformation patterns of Bucharest using multi-temporal InSAR and multivariate dynamic analyses: a possible transpressional system?

PubMed Central

Armaş, Iuliana; Mendes, Diana A.; Popa, Răzvan-Gabriel; Gheorghe, Mihaela; Popovici, Diana

2017-01-01

The aim of this exploratory research is to capture spatial evolution patterns in the Bucharest metropolitan area using sets of single polarised synthetic aperture radar (SAR) satellite data and multi-temporal radar interferometry. Three sets of SAR data acquired during the years 1992–2010 from ERS-1/-2 and ENVISAT, and 2011–2014 from TerraSAR-X satellites were used in conjunction with the Small Baseline Subset (SBAS) and persistent scatterers (PS) high-resolution multi-temporal interferometry (InSAR) techniques to provide maps of line-of-sight displacements. The satellite-based remote sensing results were combined with results derived from classical methodologies (i.e., diachronic cartography) and field research to study possible trends in developments over former clay pits, landfill excavation sites, and industrial parks. The ground displacement trend patterns were analysed using several linear and nonlinear models, and techniques. Trends based on the estimated ground displacement are characterised by long-term memory, indicated by low noise Hurst exponents, which in the long-term form interesting attractors. We hypothesize these attractors to be tectonic stress fields generated by transpressional movements. PMID:28252103

Long-term ground deformation patterns of Bucharest using multi-temporal InSAR and multivariate dynamic analyses: a possible transpressional system?

PubMed

Armaş, Iuliana; Mendes, Diana A; Popa, Răzvan-Gabriel; Gheorghe, Mihaela; Popovici, Diana

2017-03-02

The aim of this exploratory research is to capture spatial evolution patterns in the Bucharest metropolitan area using sets of single polarised synthetic aperture radar (SAR) satellite data and multi-temporal radar interferometry. Three sets of SAR data acquired during the years 1992-2010 from ERS-1/-2 and ENVISAT, and 2011-2014 from TerraSAR-X satellites were used in conjunction with the Small Baseline Subset (SBAS) and persistent scatterers (PS) high-resolution multi-temporal interferometry (InSAR) techniques to provide maps of line-of-sight displacements. The satellite-based remote sensing results were combined with results derived from classical methodologies (i.e., diachronic cartography) and field research to study possible trends in developments over former clay pits, landfill excavation sites, and industrial parks. The ground displacement trend patterns were analysed using several linear and nonlinear models, and techniques. Trends based on the estimated ground displacement are characterised by long-term memory, indicated by low noise Hurst exponents, which in the long-term form interesting attractors. We hypothesize these attractors to be tectonic stress fields generated by transpressional movements.

Monitoring Volcano Deformation in the Northernmost Andes with ALOS InSAR Time-Series

NASA Astrophysics Data System (ADS)

Morales Rivera, A. M.; Amelung, F.

2014-12-01

Satellite-based Interferometric Synthetic Aperture Radar (InSAR) is well known to be used as a volcano monitoring tool, providing the opportunity to conduct local and regional surveys to detect and measure volcanic deformation. The signals detected by InSAR on volcanoes can be related to various phenomena, such as volume changes in magmatic reservoirs, compaction of recent deposits, changes in hydrothermal activity, and flank instability. The InSAR time-series method has well documented examples of these phenomena, including precursory inflation of magma reservoirs months prior to volcanic eruptions, proving its potential for early warning systems. We use the ALOS-1 satellite from the Japanese Aerospace Exploration Agency (JAXA), which acquired a global L-band data set of nearly 20 acquisitions during 2007-2011, to make an InSAR time-series analysis using the Small Baseline method (SBAS). Our analysis covers all of the volcanoes in Colombia, Ecuador, and Peru that are cataloged by the Global Volcanism Program. We present results showing time-dependent ground deformation on an near the volcanoes, and present kinematic models to constrain the characteristics of the magmatic sources for the cases in which the deformation is likely related to changes in magma reservoir pressurization.

Spatiotemporal deformation patterns of the Lake Urmia Causeway as characterized by multisensor InSAR analysis.

PubMed

Karimzadeh, Sadra; Matsuoka, Masashi; Ogushi, Fumitaka

2018-04-03

We present deformation patterns in the Lake Urmia Causeway (LUC) in NW Iran based on data collected from four SAR sensors in the form of interferometric synthetic aperture radar (InSAR) time series. Sixty-eight images from Envisat (2004-2008), ALOS-1 (2006-2010), TerraSAR-X (2012-2013) and Sentinel-1 (2015-2017) were acquired, and 227 filtered interferograms were generated using the small baseline subset (SBAS) technique. The rate of line-of-sight (LOS) subsidence of the LUC peaked at 90 mm/year between 2012 and 2013, mainly due to the loss of most of the water in Lake Urmia. Principal component analysis (PCA) was conducted on 200 randomly selected time series of the LUC, and the results are presented in the form of the three major components. The InSAR scores obtained from the PCA were used in a hydro-thermal model to investigate the dynamics of consolidation settlement along the LUC based on detrended water level and temperature data. The results can be used to establish a geodetic network around the LUC to identify more detailed deformation patterns and to help plan future efforts to reduce the possible costs of damage.

Saponin-based adjuvants induce cross-presentation in dendritic cells by intracellular lipid body formation

PubMed Central

den Brok, Martijn H.; Büll, Christian; Wassink, Melissa; de Graaf, Annemarie M.; Wagenaars, Jori A.; Minderman, Marthe; Thakur, Mayank; Amigorena, Sebastian; Rijke, Eric O.; Schrier, Carla C.; Adema, Gosse J.

2016-01-01

Saponin-based adjuvants (SBAs) are being used in animal and human (cancer) vaccines, as they induce protective cellular immunity. Their adjuvant potency is a factor of inflammasome activation and enhanced antigen cross-presentation by dendritic cells (DCs), but how antigen cross-presentation is induced is not clear. Here we show that SBAs uniquely induce intracellular lipid bodies (LBs) in the CD11b+ DC subset in vitro and in vivo. Using genetic and pharmacological interference in models for vaccination and in situ tumour ablation, we demonstrate that LB induction is causally related to the saponin-dependent increase in cross-presentation and T-cell activation. These findings link adjuvant activity to LB formation, aid the application of SBAs as a cancer vaccine component, and will stimulate development of new adjuvants enhancing T-cell-mediated immunity. PMID:27819292

Large Spatial Scale Ground Displacement Mapping through the P-SBAS Processing of Sentinel-1 Data on a Cloud Computing Environment

NASA Astrophysics Data System (ADS)

Casu, F.; Bonano, M.; de Luca, C.; Lanari, R.; Manunta, M.; Manzo, M.; Zinno, I.

2017-12-01

Since its launch in 2014, the Sentinel-1 (S1) constellation has played a key role on SAR data availability and dissemination all over the World. Indeed, the free and open access data policy adopted by the European Copernicus program together with the global coverage acquisition strategy, make the Sentinel constellation as a game changer in the Earth Observation scenario. Being the SAR data become ubiquitous, the technological and scientific challenge is focused on maximizing the exploitation of such huge data flow. In this direction, the use of innovative processing algorithms and distributed computing infrastructures, such as the Cloud Computing platforms, can play a crucial role. In this work we present a Cloud Computing solution for the advanced interferometric (DInSAR) processing chain based on the Parallel SBAS (P-SBAS) approach, aimed at processing S1 Interferometric Wide Swath (IWS) data for the generation of large spatial scale deformation time series in efficient, automatic and systematic way. Such a DInSAR chain ingests Sentinel 1 SLC images and carries out several processing steps, to finally compute deformation time series and mean deformation velocity maps. Different parallel strategies have been designed ad hoc for each processing step of the P-SBAS S1 chain, encompassing both multi-core and multi-node programming techniques, in order to maximize the computational efficiency achieved within a Cloud Computing environment and cut down the relevant processing times. The presented P-SBAS S1 processing chain has been implemented on the Amazon Web Services platform and a thorough analysis of the attained parallel performances has been performed to identify and overcome the major bottlenecks to the scalability. The presented approach is used to perform national-scale DInSAR analyses over Italy, involving the processing of more than 3000 S1 IWS images acquired from both ascending and descending orbits. Such an experiment confirms the big advantage of exploiting large computational and storage resources of Cloud Computing platforms for large scale DInSAR analysis. The presented Cloud Computing P-SBAS processing chain can be a precious tool in the perspective of developing operational services disposable for the EO scientific community related to hazard monitoring and risk prevention and mitigation.

The Surveillance and On-demand Sentinel-1 SBAS Services on the Geohazards Exploitation Platforms

NASA Astrophysics Data System (ADS)

Casu, F.; de Luca, C.; Zinno, I.; Manunta, M.; Lanari, R.

2017-12-01

The Geohazards Exploitation Platform (GEP) is an ESA R&D activity of the EO ground segment to demonstrate the benefit of new technologies for large scale processing of EO data. GEP aims at providing on-demand processing services for specific user needs, as well as systematic processing services to address the need of the geohazards community for common information layers and, finally, to integrate newly developed processors for scientists and other expert users. In this context, a crucial role is played by the recently launched Sentinel-1 (S1) constellation that, with its global acquisition policy, has flooded the scientific community with a huge amount of data acquired over large part of the Earth on a regular basis (down to 6-days with both Sentinel-1A and 1B passes). The Sentinel-1 data, as part of the European Copernicus program, are openly and freely accessible, thus fostering their use for the development of automated and systematic tools for Earth surface monitoring. In particular, due to their specific SAR Interferometry (InSAR) design, Sentinel-1 satellites can be exploited to build up operational services for the easy and rapid generation of advanced InSAR products useful for risk management and natural hazard monitoring. In this work we present the activities carried out for the development, integration, and deployment of two SBAS Sentinel-1 services of CNR-IREA within the GEP framework, namely the Surveillance and On-demand services. The Surveillance service consists on the systematic and automatic processing of Sentinel-1 data over selected Areas of Interest (AoI) to generate updated surface displacement time series via the SBAS-InSAR algorithm. We built up a system that is automatically triggered by every new Sentinel-1 acquisition over the AoI, once it is available on the S1 catalogue. Then, the system processes the new acquisitions only, thus saving storage space and computing time. The processing, which relies on the Parallel version of the SBAS (P-SBAS) chain, allows us to effectively perform massive, systematic and automatic analysis of S1 SAR data. It is worth noting that the SBAS Sentinel-1 services on GEP represent the core of the EPOSAR service, which will deliver S1 displacement time series of Earth surface for the European Plate Observing System (EPOS) Research Infrastructure community.

Quality of intrapartum care by skilled birth attendants in a refugee clinic on the Thai-Myanmar border: a survey using WHO Safe Motherhood Needs Assessment.

PubMed

Hoogenboom, Gabie; Thwin, May Myo; Velink, Kris; Baaijens, Marijke; Charrunwatthana, Prakaykaew; Nosten, François; McGready, Rose

2015-02-05

Increasing the number of women birthing with skilled birth attendants (SBAs) as one of the strategies to reduce maternal mortality and morbidity must be partnered with a minimum standard of care. This manuscript describes the quality of intrapartum care provided by SBAs in Mae La camp, a low resource, protracted refugee context on the Thai-Myanmar border. In the obstetric department of Shoklo Malaria Research Unit (SMRU) the standardized WHO Safe Motherhood Needs Assessment tool was adapted to the setting and used: to assess the facility; interview SBAs; collect data from maternal records during a one year period (August 2007 - 2008); and observe practice during labour and childbirth. The facility assessment recorded no 'out of stock' or 'out of date' drugs and supplies, equipment was in operating order and necessary infrastructure e.g. a stand-by emergency car, was present. Syphilis testing was not available. SBA interviews established that danger signs and symptoms were recognized except for sepsis and endometritis. All SBAs acknowledged receiving theoretical and 'hands-on' training and regularly attended deliveries. Scores for the essential elements of antenatal care from maternal records were high (>90%) e.g. providing supplements, recording risk factors as well as regular and correct partogram use. Observed good clinical practice included: presence of a support person; active management of third stage; post-partum monitoring; and immediate and correct neonatal care. Observed incorrect practice included: improper controlled cord traction; inadequate hand washing; an episiotomy rate in nulliparous women 49% (34/70) and low rates 30% (6/20) of newborn monitoring in the first hours following birth. Overall observed complications during labour and birth were low with post-partum haemorrhage being the most common in which case the SBAs followed the protocol but were slow to recognize severity and take action. In the clinic of SMRU in Mae La refugee camp, SBAs were able to comply with evidence-based guidelines but support to improve quality of care in specific areas is required. The structure of the WHO Safe Motherhood Needs Assessment allowed significant insights into the quality of intrapartum care particularly through direct observation, identifying a clear pathway for quality improvement.

Application of Geostationary GNSS and SBAS Satellites for Studying Ionospheric TEC Disturbances of Geomagnetic and Meteorological Origin

NASA Astrophysics Data System (ADS)

Padokhin, A. M.; Kurbatov, G. A.; Yasyukevich, Y.; Yasyukevich, A.

2017-12-01

With the development of GNSS and SBAS constellations, the coherent multi-frequency L band transmissions are now available from a number of geostationary satellites. These signals can be used for ionospheric TEC estimations in the same way as widely used GPS/GLONASS signals. In this work, we compare noise patterns in TEC estimations based on different geostationary satellites data: augmentation systems (Indian GAGAN, European EGNOS and American WAAS), and Chinese COMPASS/Beidou navigation system. We show that noise level in geostationary COMPASS/Beidou TEC estimations is times smaller than noise in SBAS TEC estimation and corresponds to those of GPS/GLONASS at the same elevation angles. We discuss the capabilities of geostationary TEC data for studying ionospheric variability driven by space weather and meteorological sources at different time scales. Analyzing data from IGS/MGEX receivers we present geostationary TEC response on X-class Solar flares of current cycle, moderate and strong geomagnetic storms, including G4 St. Patrick's day Storm 2015 and recent G3 storm of the end of May 2017. We also discuss geostationary TEC disturbances in near equatorial ionosphere caused by two SSW events (minor and major final warming of 2015-2016 winter season) as well as geostationary TEC response on typhoons activity near Taiwan in autumn 2016. Our results show large potential of geostationary TEC estimations with GNSS and SBAS signals for continuous ionospheric monitoring.

Analysis of the Los Angeles Basin ground subsidence with InSAR data by independent component analysis approach

NASA Astrophysics Data System (ADS)

Xu, B.

2017-12-01

Interferometric Synthetic Aperture Radar (InSAR) has the advantages of high spatial resolution which enable measure line of sight (LOS) surface displacements with nearly complete spatial continuity and a satellite's perspective that permits large areas view of Earth's surface quickly and efficiently. However, using InSAR to observe long wavelength and small magnitude deformation signals is still significantly limited by various unmodeled errors sources i.e. atmospheric delays, orbit induced errors, Digital Elevation Model (DEM) errors. Independent component analysis (ICA) is a probabilistic method for separating linear mixed signals generated by different underlying physical processes.The signal sources which form the interferograms are statistically independent both in space and in time, thus, they can be separated by ICA approach.The seismic behavior in the Los Angeles Basin is active and the basin has experienced numerous moderate to large earthquakes since the early Pliocene. Hence, understanding the seismotectonic deformation in the Los Angeles Basin is important for analyzing seismic behavior. Compare with the tectonic deformations, nontectonic deformations due to groundwater and oil extraction may be mainly responsible for the surface deformation in the Los Angeles basin. Using the small baseline subset (SBAS) InSAR method, we extracted the surface deformation time series in the Los Angeles basin with a time span of 7 years (September 27, 2003-September 25,2010). Then, we successfully separate the atmospheric noise from InSAR time series and detect different processes caused by different mechanisms.

Pharmacokinetics and bactericidal activities of one 800-milligram dose versus two 400-milligram doses of intravenously administered pefloxacin in healthy volunteers.

PubMed Central

Petitjean, O; Pangon, B; Brion, N; Tod, M; Chaplain, C; Le Gros, V; Louchahi, K; Allouch, P

1993-01-01

Pefloxacin pharmacokinetics and serum bactericidal activities (SBA) against Escherichia coli and Staphylococcus aureus were compared after intravenous infusion of either a single 800-mg dose or twice-daily 400-mg doses into 16 healthy volunteers. Plasma pefloxacin concentrations were measured for up to 60 h, and SBAs were determined 1, 12, and 24 h after the start of the infusion. The mean areas under the concentration-versus-time curve for plasma were not different (138 versus 136 h.mg/liter). The mean clearances, volumes of distribution, and half-lives were also comparable. The mean (+/- standard deviation) maximal concentration after the 800-mg infusion was 12.11 +/- 1.35 versus 6.51 +/- 0.73 mg/liter after the first 400-mg infusion and 7.42 +/- 0.76 mg/liter after the second 400-mg infusion. Mean trough concentrations at 24 h were significantly different: 2.77 +/- 0.63 (800 mg) versus 1.93 +/- 0.49 (400 mg twice) mg/liter (P = 0.0007). Mean SBAs against E. coli after 800 mg of pefloxacin were higher than 1/128 (1 h), 1/32 (12 h), and 1/16 (24 h). Mean SBAs against S. aureus under the same conditions were higher than 1/64 (1 h), 1/16 (12 h), and 1/8 (24 h). Mean SBAs at 1 and 12 h were significantly higher after the 800-mg infusion than after the 400-mg infusion but were similar at 24 h for both regimens. Comparison of SBAs according to National Committee for Clinical Laboratory Standards criteria showed a similar adequacy at 24 h for both regimens against both strains. Administration of 800 mg of pefloxacin once a day is bioequivalent to 400 mg twice a day, and bactericidal activity of the 800-mg infusion is not less than that of two 400-mg infusions. PMID:8494368

Analysis of a grid ionospheric vertical delay and its bounding errors over West African sub-Saharan region

NASA Astrophysics Data System (ADS)

Abe, O. E.; Otero Villamide, X.; Paparini, C.; Radicella, S. M.; Nava, B.

2017-02-01

Investigating the effects of the Equatorial Ionization Anomaly (EIA) ionosphere and space weather on Global Navigation Satellite Systems (GNSS) is very crucial, and a key to successful implementation of a GNSS augmentation system (SBAS) over the equatorial and low-latitude regions. A possible ionospheric vertical delay (GIVD, Grid Ionospheric Vertical Delay) broadcast at a Ionospheric Grid Point (IGP) and its confidence bounds errors (GIVE, Grid Ionospheric Vertical Error) are analyzed and compared with the ionospheric vertical delay estimated at a nearby user location over the West African Sub-Saharan region. Since African sub-Saharan ionosphere falls within the EIA region, which is always characterized by a disturbance in form of irregularities after sunset, and the disturbance is even more during the geomagnetically quiet conditions unlike middle latitudes, the need to have a reliable ionospheric threat model to cater for the nighttime ionospheric plasma irregularities for the future SBAS user is essential. The study was done during the most quiet and disturbed geomagnetic conditions on October 2013. A specific low latitude EGNOS-like algorithm, based on single thin layer model, was engaged to simulate SBAS message in the study. Our preliminary results indicate that, the estimated GIVE detects and protects a potential SBAS user against sampled ionospheric plasma irregularities over the region with a steep increment in GIVE to non-monitored after local sunset to post midnight. This corresponds to the onset of the usual ionospheric plasma irregularities in the region. The results further confirm that the effects of the geomagnetic storms on the ionosphere are not consistent in affecting GNSS applications over the region. Finally, this paper suggests further work to be investigated in order to improve the threat integrity model activity, and thereby enhance the availability of the future SBAS over African sub-Saharan region.

Monitoring ground subsidence in Shanghai maglev area using two kinds of SAR data

NASA Astrophysics Data System (ADS)

Wu, Jicang; Zhang, Lina; Chen, Jie; Li, Tao

2012-11-01

Shanghai maglev is a very fast traffic tool, so it is very strict with the stability of the roadbed. However, the ground subsidence is a problem in Shanghai because of the poor geological condition and human-induced factors. So it is necessary to monitor ground subsidence in the area along the Shanghai maglev precisely and frequently. Traditionally, a precise levelling method is used to survey along the track. It is expensive and time consuming, and can only get the ground subsidence information on sparse benchmarks. Recently, the small baseline differential SAR technique plays a valuable part in monitoring ground subsidence, which can extract ground subsidence information with high spatial resolution in a wide area. In this paper, L-band ALOS PALSAR data and C-band Envisat ASAR data are used to extract ground subsidence information using the SBAS method in the Shanghai maglev area. The results show that the general pattern of ground subsidence from InSAR processing of two differential bands of SAR images is similar. Both results show that there is no significant ground subsidence on the maglev line. Near the railway line, there are a few places with subsidence rates at about -20 mm/y or even more, such as Chuansha town, the junction of the maglev and Waihuan road.

Subsidence monitoring and prediction of high-speed railway in Beijing with multitemporal TerraSAR-X data

NASA Astrophysics Data System (ADS)

Fan, Zelin; Zhang, Yonghong; Wu, Hong'an; Kang, Yonghui; Jiang, Decai

2018-02-01

The uneven settlement of high-speed railway (HSR) brings about great threat to the safe operation of trains. Therefore, the subsidence monitoring and prediction of HSR has important significance. In this paper, an improved multitemporal InSAR method combing PS-InSAR and SBAS-InSAR, Multiple-master Coherent Target Small-Baseline InSAR (MCTSB-InSAR), is used to monitor the subsidence of partial section of the Beijing-Tianjin HSR (BTHSR) and the Beijing-Shanghai HSR (BSHSR) in Beijing area. Thirty-one TerraSAR-X images from June 2011 to December 2016 are processed with the MCTSB-InSAR, and the subsidence information of the region covering 56km*32km in Beijing is dug out. Moreover, the monitoring results is validated by the leveling measurements in this area, with the accuracy of 4.4 mm/year. On the basis of above work, we extract the subsidence information of partial section of BTHSR and BSHSR in the research area. Finally, we adopt the idea of timing analysis, and employ the back-propagation (BP) neural network to simulate the relationship between former settlement and current settlement. Training data sets and test data sets are constructed respectively based on the monitoring results. The experimental results show that the prediction model has good prediction accuracy and applicability.

Determinants of Skilled Delivery Assistance in a Rural Population: Findings from an HDSS Site of Rural West Bengal, India.

PubMed

Ghosh, Saswata; Siddiqui, Md Zakaria; Barik, Anamitra; Bhaumik, Sunil

2015-11-01

This study examines the determinants of utilisation of skilled birth attendants (SBAs) amongst 2886 rural women in the state of West Bengal, India, using data from a survey of 2012-2013 conducted by the Birbhum Health and Demographic Surveillance System. Multilevel logit regression models were estimated and qualitative investigations conducted to understand the determinants of utilisation of SBAs in rural West Bengal. Among women who delivered their last child during the 3 years preceding the survey, 69.1 % of deliveries were assisted by SBAs, while 30.9 % were home deliveries without any SBA assistance. Multivariate analysis revealed that apart from socio-demographic and economic factors (such as household affluence, women's education, birth order, uptake of comprehensive ANC check-ups, advice regarding danger signs of pregnancy and household's socio-religious affiliation), supply side factors, such as availability of skilled birth attendants in the village and all-weather roads, have significant effect on seeking skilled assistance. Our findings also show that unobserved factors at village level independently influence uptake of SBA-assisted delivery. The present findings emphasise that both demand and supply side intervention strategies are essential prerequisites to enhance skilled birth attendance. Ample communication is observed at the individual level, but improving community level outreach and advocacy activities could generate further demand. SBAs can be better integrated by accommodating the socio-religious needs of local communities, such as providing female doctors and doctors with similar socio-religious backgrounds.

A comparison of practices, distributions and determinants of birth attendance in two divisions with highest and lowest skilled delivery attendance in Bangladesh.

PubMed

Kibria, Gulam Muhammed Al; Burrowes, Vanessa; Choudhury, Allysha; Sharmeen, Atia; Ghosh, Swagata; Kalbarczyk, Anna

2018-05-02

Delivery by skilled birth attendants (SBAs) is strongly recommended to reduce maternal and neonatal mortality. The percentage of births attended by SBAs is low in Bangladesh (42% in 2014), though this rate varies widely by divisions, with the highest 58% in Khulna and only 27% in Sylhet. Comparing and critically analyzing the practices, distributions and determinants of delivery attendance in two divisions with the highest and lowest SBA attendance could help to understand the differences and to employ the findings of the high-performing division to the low-performing division. The 7th Bangladesh Demographic and Health Survey (BDHS 2014) data were analyzed. After reporting the types of delivery attendants, logistic regression analyses were applied to calculate the odds ratios of determinants of deliveries attended by SBAs. SBAs attended 225 (58.6%) and 128 (27.4%) deliveries in Khulna and Sylhet, respectively. Khulna had higher birth attendance by qualified doctors (42.5%, n = 163) than Sylhet (15.8%, n = 74). Sylhet had higher attendance by traditional attendants (60.8%, n = 285) than Khulna (33.7%, n = 129). In both regions, attendance by community skilled birth attendants (CSBAs) was very low (< 1%). Khulna had higher percentages of women with higher education level, husbands' higher education, antenatal care (ANC) visits by SBAs, and higher wealth quintiles than Sylhet. In multivariable analyses, higher education level (adjusted odds ratio (AOR): 8.4; 95% confidence interval (CI): 1.9-36.7), ANC visits (AOR: 3.6; 95% CI: 2.0-6.5), family planning workers' visit (AOR: 3.0; 95% CI: 1.6-5.4), and belonging to richer (AOR: 2.6; 95% CI: 1.4-5.1) or richest (AOR: 3.8; 95% CI: 1.9-7.6) household wealth quintiles had significant positive associations with deliveries by SBAs in Sylhet. Similarly, ANC visits (AOR: 2.5; 95% CI: 1.4-4.6) and higher wealth quintile (AOR: 4.7; 95% CI: 1.9-11.5) were positive predictors in Khulna. The higher proportion of educated women and their husbands, wealth status and ANC visits were associated with higher SBA utilization in Khulna compared to Sylhet. Improvement of socioeconomic status, increasing birth attendant awareness programs, providing ANC services, and family-planning workers' visits could increase the proportion of SBA-attended deliveries in Sylhet Division. CSBA program should be re-evaluated for both divisions.

Factors associated with different types of birth attendants for home deliveries: an analysis of the cross-sectional 2010 South Sudan household survey

PubMed Central

Mugo, Ngatho S.; Agho, Kingsley E.; Zwi, Anthony B.; Dibley, Michael J.

2016-01-01

Background In South Sudan, birth deliveries attended by unskilled birth attendants put the mothers and their newborns at increased risk of perinatal morbidity and mortality. The aim of this study was to identify factors associated with delivery by unskilled birth attendants or by unassisted delivery. Design We examined data for 2,767 (weighted total) women aged 15–49 years who delivered at home 2 years prior to the South Sudan Household Health Survey 2010. Multinomial logistic regression analyses were used to identify factors associated with delivery by unskilled birth attendants or by unassisted delivery. Results The prevalence of delivery by unskilled birth attendants was 19% [95% confidence interval (CI) 17.0, 20.5], by skilled birth attendants (SBAs) was 45% (95% CI 42.4, 47.0), and by unassisted delivery was 36% (95% CI 34.2, 38.6). After adjusting for potential confounders, the following factors were associated with the increased odds for unassisted delivery or delivery by an unskilled birth attendant: mothers with no schooling, who did not attend antenatal care (ANC) during pregnancy, who had lower quality of ANC services, from poor households, or who had no prior knowledge about obstetric danger signs. Conclusions We found that non-utilization of maternal health care services, such as ANC, was significantly associated with unattended birth delivery or delivery by unskilled health providers. The increased uptake of SBAs at delivery will require easier access to ANC services, health promotion on the importance and benefits of SBAs for delivery, targeting both mothers and their families, and the training and deployment of more SBAs across the country. PMID:27473675

The Monitoring and Spatial-Temporal Evolution Characteristic Analysis for Land Subsidence in Beijing

NASA Astrophysics Data System (ADS)

Zhou, Q.; Zhao, W.; Yu, J.

2018-05-01

At present the land subsidence has been the main geological disaster in the plain area of China, and became one of the most serious disaster that restrict the social and economic sustainable development, it also is an important content in the project of national geographic conditions monitoring. With the development of economy and society, Beijing as the capital of China has experienced significant population growth in the last few decades which led to over-exploitation of the ground water to meet the water demand of more than 20 million inhabitants, especially in the urban region with high population density. However, the rainfall and surface runoff can't satisfy the need of aquifer recharge that product the land subsidence. As China's political center and a metropolis, there are a lot of large constructions, underground traffic projects and complicated municipal pipeline network, and Beijing is also an important traffic hub for national railway and highway network, all of them would be threatened by the land subsidence disaster. In this article the author used twenty ENVISAT Synthetic Aperture Radar (SAR) images acquired in 2008 June-2010 August and ten TerraSAR images acquired in 2011 June-2012 September were processed with Small Baseline Subset SAR Interferometry (SBAS-InSAR) techniques, to investigate spatial and temporal patterns of land subsidence in the urban area of Beijing.

Completing the gaps in Kilauea's Father's Day InSAR displacement signature with ScanSAR

NASA Astrophysics Data System (ADS)

Bertran Ortiz, A.; Pepe, A.; Lanari, R.; Lundgren, P.; Rosen, P. A.

2009-12-01

Currently there are gaps in the known displacement signature obtained with InSAR at Kilauea between 2002 and 2009. InSAR data can be richer than GPS because of denser spatial cover. However, to better model rapidly varying and non-steady geophysical events InSAR is limited because of its less dense time observations of the area under study. The ScanSAR mode currently available in several satellites mitigates this effect because the satellite may illuminate a given area more than once within an orbit cycle. The Kilauea displacement graph below from Instituto per Il Rilevamento Electromagnetico dell'Ambiente (IREA) is a cut in space of the displacement signature obtained from a time series of several stripmap-to-stripmap interferograms. It shows that critical information is missing, especially between 2006 and 2007. The displacement is expected to be non-linear judging from the 2007-2008 displacement signature, thus simple interpolation would not suffice. The gap can be filled by incorporating Envisat stripmap-to-ScanSAR interferograms available during that time period. We propose leveraging JPL's new ROI-PAC ScanSAR module to create stripmap-to-ScanSAR interferograms. The new interferograms will be added to the stripmap ones in order to extend the existing stripmap time series generated by using the Small BAseline Subset (SBAS) technique. At AGU we will present denser graphs that better capture Kilauea's displacement between 2003 and 2009.

Land Subsidence Monitoring by InSAR Time Series Technique Derived From ALOS-2 PALSAR-2 over Surabaya City, Indonesia

NASA Astrophysics Data System (ADS)

Aditiya, A.; Takeuchi, W.; Aoki, Y.

2017-12-01

Surabaya is the second largest city in Indonesia and the capital of East Java Province with rapid population and industrialization. The impact of urbanization in the big city can suffer potential disasters either nature or anthropogenic such as land subsidence and flood. The pattern of land subsidence need to be mapped for the purposes of planning and structuring the city as well as taking appropriate policy in anticipating and mitigating the impact. This research has used interferometric Synthetic Aperture Radar (InSAR) Small Baseline Subset (SBAS) technique and applied time series analysis to investigate land subsidence occured. The technique includes the process of focusing the SAR data, incorporating the precise orbit, generating interferogram and phase unwrapping using SNAPHU algorithms. The results showed land subsidence has been detected during 2014-2017 over Surabaya city area using ALOS-2/PALSAR-2 images data. These results reveal the subsidence has observed in several area in Surabaya in particular northern part reach up to ∼2 cm/year. The fastest subsidence occurs in highly populated areas suffer vulnerable to flooding and sea level rise impact. In urban areas we found a correlation between land subsidence with residential or industrial land use. It concludes that land subsidence is mainly caused by ground water consumption for industrial and residential use respectively.

Mapping slope movements in Alpine environments using TerraSAR-X interferometric methods

NASA Astrophysics Data System (ADS)

Barboux, Chloé; Strozzi, Tazio; Delaloye, Reynald; Wegmüller, Urs; Collet, Claude

2015-11-01

Mapping slope movements in Alpine environments is an increasingly important task in the context of climate change and natural hazard management. We propose the detection, mapping and inventorying of slope movements using different interferometric methods based on TerraSAR-X satellite images. Differential SAR interferograms (DInSAR), Persistent Scatterer Interferometry (PSI), Short-Baseline Interferometry (SBAS) and a semi-automated texture image analysis are presented and compared in order to determine their contribution for the automatic detection and mapping of slope movements of various velocity rates encountered in Alpine environments. Investigations are conducted in a study region of about 6 km × 6 km located in the Western Swiss Alps using a unique large data set of 140 DInSAR scenes computed from 51 summer TerraSAR-X (TSX) acquisitions from 2008 to 2012. We found that PSI is able to precisely detect only points moving with velocities below 3.5 cm/yr in the LOS, with a root mean squared error of about 0.58 cm/yr compared to DGPS records. SBAS employed with 11 days summer interferograms increases the range of detectable movements to rates up to 35 cm/yr in the LOS with a root mean squared error of 6.36 cm/yr, but inaccurate measurements due to phase unwrapping are already possible for velocity rates larger than 20 cm/year. With the semi-automated texture image analysis the rough estimation of the velocity rates over an outlined moving zone is accurate for rates of "cm/day", "dm/month" and "cm/month", but due to the decorrelation of yearly TSX interferograms this method fails for the observation of slow movements in the "cm/yr" range.

Mapping ground surface deformation using temporarily coherent point SAR interferometry: Application to Los Angeles Basin

USGS Publications Warehouse

Zhang, L.; Lu, Zhong; Ding, X.; Jung, H.-S.; Feng, G.; Lee, C.-W.

2012-01-01

Multi-temporal interferometric synthetic aperture radar (InSAR) is an effective tool to detect long-term seismotectonic motions by reducing the atmospheric artifacts, thereby providing more precise deformation signal. The commonly used approaches such as persistent scatterer InSAR (PSInSAR) and small baseline subset (SBAS) algorithms need to resolve the phase ambiguities in interferogram stacks either by searching a predefined solution space or by sparse phase unwrapping methods; however the efficiency and the success of phase unwrapping cannot be guaranteed. We present here an alternative approach – temporarily coherent point (TCP) InSAR (TCPInSAR) – to estimate the long term deformation rate without the need of phase unwrapping. The proposed approach has a series of innovations including TCP identification, TCP network and TCP least squares estimator. We apply the proposed method to the Los Angeles Basin in southern California where structurally active faults are believed capable of generating damaging earthquakes. The analysis is based on 55 interferograms from 32 ERS-1/2 images acquired during Oct. 1995 and Dec. 2000. To evaluate the performance of TCPInSAR on a small set of observations, a test with half of interferometric pairs is also performed. The retrieved TCPInSAR measurements have been validated by a comparison with GPS observations from Southern California Integrated GPS Network. Our result presents a similar deformation pattern as shown in past InSAR studies but with a smaller average standard deviation (4.6 mm) compared with GPS observations, indicating that TCPInSAR is a promising alternative for efficiently mapping ground deformation even from a relatively smaller set of interferograms.

InSAR Time Series to Characterize Landslide Ground Deformations in a Tropical Urban Environment: Focus on Bukavu, East African Rift System (RD Congo).

NASA Astrophysics Data System (ADS)

Nobile, A.; d'Oreye, N.; Monsieurs, E.; Dewitte, O.; Kervyn, F.

2016-12-01

The western branch of the East African Rift System, in Central Africa, is a region naturally prone to landslides due to factors such as heavy rainfall, tectonic activity and steep topography. In addition, sensibility to slope instability is expected to increase in the future in response to increasing demographic pressure and land use/land cover changes. The Rift flanks west of Lake Kivu (DRC) are one of the Congolese regions most affected by landslides. Although heavy rainfall periods and earthquakes are the main triggering factors, nothing is known on their potential role on the current dynamics of existing landslides Here we used InSAR time series to monitor ground deformations associated to large slow-moving landslides that continuously affect highly populated slopes in the city of Bukavu (DRC). Bukavu is located within the Rift, on the southern shore of Lake Kivu, in a tropical environment. Using >100 Cosmo-SkyMed SAR images, acquired between March 2015 and June 2016 with a mean revisiting time of 8 days per orbit (ascending and descending), we produce displacement-rate maps and ground deformation time series using different techniques: Persistent Scatter (PS), Small Baseline Subset (SBAS) and Multidimensional Small Baseline Subsets (MSBAS). The three techniques provides similar results in areas with relatively small displacements (few mm per months). However, in areas where displacements are much higher and where coherence is lost by traditional techniques, MSBAS, that process concurrently the two satellite orbits improving temporal resolution, is more efficient. It allows to measure higher ground deformation rates by keeping the coherence. For one specific landslide where intense field mapping was done, the results show clearly the pattern of the deformations that divides the landslide in blocks that move with different velocity (up to 20 cm/yr). This pattern is consistent with field observations and possibly related to the anthropic activity. Furthermore, DGPS measurements, taken at 21 benchmarks in the area during the same period, allow validating the InSAR results. The combination of InSAR data with rainfall and seismic monitoring, and field observations should help us, when longer time-series will be available, to better understand the mechanisms (both natural and human) that affect this landslide.

2014-2016 Mt. Etna Ground deformation imaged by SISTEM approach using GPS and SENTINEL-1A/1B TOPSAR data

NASA Astrophysics Data System (ADS)

Bonforte, Alessandro; Guglielmino, Francesco; Puglisi, Giuseppe

2017-04-01

In the frame of the EC FP7 MED-SUV project (call FP7 ENV.2012.6.4-2), and thanks to the GEO-GSNL initiative, GPS data and SENTINEL 1A/1B TOPSAR acquired on Mt. Etna between October 2014 and November 2016 were analyzed. The SENTINEL data were used in order to combine and integrate them with GPS, and detail the ground deformation recorded by GPS on Mt. Etna, during the last two-year's volcanic activity. The Sentinel data were processed by GAMMA software, using a spectral diversity method and a procedure able to co-register the SENTINEL pairs with extremely high precision (< 0.01 pixel). In order to optimize the time processing, a new software architecture based on the hypervisor virtualization technology for the x64 versions of Windows has been implemented. The DInSAR results are analysed and successively used as input for the time series analysis using the StaMPS package. On December 28, 2014 eruptive activity resumed at Mt. Etna with a fire fountain activity feeding two lava flows spreading on the eastern and south-western upper flanks of the volcano, producing evident deformation at the summit of the volcano. GPS displacements and Sentinel-1A ascending interferogram were calculated in order to image the ground deformation pattern accompanying the eruption. The ground deformation pattern has been perfectly depicted by the GPS network, mainly affecting the uppermost part of the volcano edifice, with a strong decay of the deformation, according to a very shallow and strong dyke intrusion. The Sentinel 1A SAR data, covering the similar time spanning, confirmed that most of displacements are related to the dike intrusion, and evidenced a local gravity-driven motion of the western wall of the Valle del Bove, probably related to the dike intrusion. To monitor the temporal successive evolution of ground deformation, we performed an A-DInSAR SENTINEL analysis using the Small BAseline Subset (SBAS) approach included with the StaMPS processing package. The April 2015-December 2015, SBAS Time series, shown a volcano inflation, with an uplift of about 28 mm localized in the central and western area of the volcano. Suddenly, in the first days of December 2015, volcanic activity abruptly restarted at the central crater with a very strongly explosive eruption; this kind of activity continued, with a decreasing intensity, with other episodes at the same crater and then involving, in turn, all the other three summit craters of the volcano. On December 8, when the eruptive activity was concluding, a seismic swarm affected the uppermost part of the Pernicana fault where it joins the NE-Rift. The SBAS time series have then been integrated by the SISTEM algorithm with the ground displacements measured by two GPS surveys carried out on the NE flank of the volcano at the end of April and in mid-December 2015. Results of this data integration provide a very detailed picture of the ground deformation pattern on the volcano, preceding and accompanying the vigorous eruption and the seismic swarm; besides the general inflation of the edifice during the pre-eruptive period. The January 2016 - November 2016 is the last period analyzed, characterized by the kinematic of the eastern unstable flank, with displacement involving both the Pernicana fault and the other structures dissecting this sector of the volcano.

HBV core protein allosteric modulators differentially alter cccDNA biosynthesis from de novo infection and intracellular amplification pathways.

PubMed

Guo, Fang; Zhao, Qiong; Sheraz, Muhammad; Cheng, Junjun; Qi, Yonghe; Su, Qing; Cuconati, Andrea; Wei, Lai; Du, Yanming; Li, Wenhui; Chang, Jinhong; Guo, Ju-Tao

2017-09-01

Hepatitis B virus (HBV) core protein assembles viral pre-genomic (pg) RNA and DNA polymerase into nucleocapsids for reverse transcriptional DNA replication to take place. Several chemotypes of small molecules, including heteroaryldihydropyrimidines (HAPs) and sulfamoylbenzamides (SBAs), have been discovered to allosterically modulate core protein structure and consequentially alter the kinetics and pathway of core protein assembly, resulting in formation of irregularly-shaped core protein aggregates or "empty" capsids devoid of pre-genomic RNA and viral DNA polymerase. Interestingly, in addition to inhibiting nucleocapsid assembly and subsequent viral genome replication, we have now demonstrated that HAPs and SBAs differentially modulate the biosynthesis of covalently closed circular (ccc) DNA from de novo infection and intracellular amplification pathways by inducing disassembly of nucleocapsids derived from virions as well as double-stranded DNA-containing progeny nucleocapsids in the cytoplasm. Specifically, the mistimed cuing of nucleocapsid uncoating prevents cccDNA formation during de novo infection of hepatocytes, while transiently accelerating cccDNA synthesis from cytoplasmic progeny nucleocapsids. Our studies indicate that elongation of positive-stranded DNA induces structural changes of nucleocapsids, which confers ability of mature nucleocapsids to bind CpAMs and triggers its disassembly. Understanding the molecular mechanism underlying the dual effects of the core protein allosteric modulators on nucleocapsid assembly and disassembly will facilitate the discovery of novel core protein-targeting antiviral agents that can more efficiently suppress cccDNA synthesis and cure chronic hepatitis B.

Detecting and Measuring Land Subsidence in Houston-Galveston, Texas using Interferometric Synthetic Aperture Radar (InSAR) and Global Positioning System Data, 2012-2016

NASA Astrophysics Data System (ADS)

Reed, A.; Baker, S.

2016-12-01

Several cities in the Houston-Galveston (HG) region in Texas have subsided up to 13 feet over several decades due to natural and anthropogenic processes [Yu et al. 2014]. Land subsidence, a gradual sinking of the Earth's surface, is an often human-induced hazard and a major environmental problem expedited by activities such as mining, oil and gas extraction, urbanization and excessive groundwater pumping. We are able to detect and measure subsidence in HG using interferometric synthetic aperture radar (InSAR) and global positioning systems (GPS). Qu et al. [2015] used ERS, Envisat, and ALOS-1 to characterize subsidence in HG from 1995 to 2011, but a five-year gap in InSAR measurements exists due to a lack of freely available SAR data. We build upon the previous study by comparing subsidence patterns detected by Sentinel-1 data starting in July 2015. We used GMT5SAR to generate a stack of interferograms with perpendicular baselines less than 100 meters and temporal baselines less than 100 days to minimize temporal and spatial decorrelation. We applied the short baseline subset (SBAS) time series processing using GIAnT and compared our results with GPS measurements. The implications of this work will strengthen land subsidence monitoring systems in HG and broadly aid in the development of effective water resource management policies and strategies.

How the integration of traditional birth attendants with formal health systems can increase skilled birth attendance.

PubMed

Byrne, Abbey; Morgan, Alison

2011-11-01

Forty years of safe motherhood programming has demonstrated that isolated interventions will not reduce maternal mortality sufficiently to achieve MDG 5. Although skilled birth attendants (SBAs) can intervene to save lives, traditional birth attendants (TBAs) are often preferred by communities. Considering the value of both TBAs and SBAs, it is important to review strategies for maximizing their respective strengths. To describe mechanisms to integrate TBAs with the health system to increase skilled birth attendance and examine the components of successful integration. A systematic review of interventions linking TBAs and formal health workers, measuring outcomes of skilled birth attendance, referrals, and facility deliveries. Thirty-three articles met the selection criteria. Mechanisms used for integration included training and supervision of TBAs, collaboration skills for health workers, inclusion of TBAs at health facilities, communication systems, and clear definition of roles. Impact on skilled birth attendance depended on selection of TBAs, community participation, and addressing barriers to access. Successful approaches were context-specific. The integration of TBAs with formal health systems increases skilled birth attendance. The greatest impact is seen when TBA integration is combined with complementary actions to overcome context-specific barriers to contact among SBAs, TBAs, and women. Copyright © 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

How downstream sub-basins depend on upstream inflows to avoid scarcity: typology and global analysis of transboundary rivers

NASA Astrophysics Data System (ADS)

Munia, Hafsa Ahmed; Guillaume, Joseph H. A.; Mirumachi, Naho; Wada, Yoshihide; Kummu, Matti

2018-05-01

Countries sharing river basins are often dependent upon water originating outside their boundaries; meaning that without that upstream water, water scarcity may occur with flow-on implications for water use and management. We develop a formalisation of this concept drawing on ideas about the transition between regimes from resilience literature, using water stress and water shortage as indicators of water scarcity. In our analytical framework, dependency occurs if water from upstream is needed to avoid scarcity. This can be diagnosed by comparing different types of water availability on which a sub-basin relies, in particular local runoff and upstream inflows. At the same time, possible upstream water withdrawals reduce available water downstream, influencing the latter water availability. By developing a framework of scarcity and dependency, we contribute to the understanding of transitions between system regimes. We apply our analytical framework to global transboundary river basins at the scale of sub-basin areas (SBAs). Our results show that 1175 million people live under water stress (42 % of the total transboundary population). Surprisingly, the majority (1150 million) of these currently suffer from stress only due to their own excessive water use and possible water from upstream does not have impact on the stress status - i.e. they are not yet dependent on upstream water to avoid stress - but could still impact on the intensity of the stress. At the same time, 386 million people (14 %) live in SBAs that can avoid stress owing to available water from upstream and have thus upstream dependency. In the case of water shortage, 306 million people (11 %) live in SBAs dependent on upstream water to avoid possible shortage. The identification of transitions between system regimes sheds light on how SBAs may be affected in the future, potentially contributing to further refined analysis of inter- and intrabasin hydro-political power relations and strategic planning of management practices in transboundary basins.

Atmospheric corrections in interferometric synthetic aperture radar surface deformation - a case study of the city of Mendoza, Argentina

NASA Astrophysics Data System (ADS)

Balbarani, S.; Euillades, P. A.; Euillades, L. D.; Casu, F.; Riveros, N. C.

2013-09-01

Differential interferometry is a remote sensing technique that allows studying crustal deformation produced by several phenomena like earthquakes, landslides, land subsidence and volcanic eruptions. Advanced techniques, like small baseline subsets (SBAS), exploit series of images acquired by synthetic aperture radar (SAR) sensors during a given time span. Phase propagation delay in the atmosphere is the main systematic error of interferometric SAR measurements. It affects differently images acquired at different days or even at different hours of the same day. So, datasets acquired during the same time span from different sensors (or sensor configuration) often give diverging results. Here we processed two datasets acquired from June 2010 to December 2011 by COSMO-SkyMed satellites. One of them is HH-polarized, and the other one is VV-polarized and acquired on different days. As expected, time series computed from these datasets show differences. We attributed them to non-compensated atmospheric artifacts and tried to correct them by using ERA-Interim global atmospheric model (GAM) data. With this method, we were able to correct less than 50% of the scenes, considering an area where no phase unwrapping errors were detected. We conclude that GAM-based corrections are not enough for explaining differences in computed time series, at least in the processed area of interest. We remark that no direct meteorological data for the GAM-based corrections were employed. Further research is needed in order to understand under what conditions this kind of data can be used.

Discovery and Mechanistic Study of Benzamide Derivatives That Modulate Hepatitis B Virus Capsid Assembly.

PubMed

Wu, Shuo; Zhao, Qiong; Zhang, Pinghu; Kulp, John; Hu, Lydia; Hwang, Nicky; Zhang, Jiming; Block, Timothy M; Xu, Xiaodong; Du, Yanming; Chang, Jinhong; Guo, Ju-Tao

2017-08-15

Chronic hepatitis B virus (HBV) infection is a global public health problem. Although the currently approved medications can reliably reduce the viral load and prevent the progression of liver diseases, they fail to cure the viral infection. In an effort toward discovery of novel antiviral agents against HBV, a group of benzamide (BA) derivatives that significantly reduced the amount of cytoplasmic HBV DNA were discovered. The initial lead optimization efforts identified two BA derivatives with improved antiviral activity for further mechanistic studies. Interestingly, similar to our previously reported sulfamoylbenzamides (SBAs), the BAs promote the formation of empty capsids through specific interaction with HBV core protein but not other viral and host cellular components. Genetic evidence suggested that both SBAs and BAs inhibited HBV nucleocapsid assembly by binding to the heteroaryldihydropyrimidine (HAP) pocket between core protein dimer-dimer interfaces. However, unlike SBAs, BA compounds uniquely induced the formation of empty capsids that migrated more slowly in native agarose gel electrophoresis from A36V mutant than from the wild-type core protein. Moreover, we showed that the assembly of chimeric capsids from wild-type and drug-resistant core proteins was susceptible to multiple capsid assembly modulators. Hence, HBV core protein is a dominant antiviral target that may suppress the selection of drug-resistant viruses during core protein-targeting antiviral therapy. Our studies thus indicate that BAs are a chemically and mechanistically unique type of HBV capsid assembly modulators and warranted for further development as antiviral agents against HBV. IMPORTANCE HBV core protein plays essential roles in many steps of the viral replication cycle. In addition to packaging viral pregenomic RNA (pgRNA) and DNA polymerase complex into nucleocapsids for reverse transcriptional DNA replication to take place, the core protein dimers, existing in several different quaternary structures in infected hepatocytes, participate in and regulate HBV virion assembly, capsid uncoating, and covalently closed circular DNA (cccDNA) formation. It is anticipated that small molecular core protein assembly modulators may disrupt one or multiple steps of HBV replication, depending on their interaction with the distinct quaternary structures of core protein. The discovery of novel core protein-targeting antivirals, such as benzamide derivatives reported here, and investigation of their antiviral mechanism may lead to the identification of antiviral therapeutics for the cure of chronic hepatitis B. Copyright © 2017 American Society for Microbiology.

Interseismic Deformation along the Red River Fault from InSAR Measurements

NASA Astrophysics Data System (ADS)

Chen, J.; Li, Z.; Clarke, P. J.

2017-12-01

The Red River Fault (RRF) zone is a profound geological discontinuity separating South China from Indochina. Right lateral movements along this >900 km fault are considered to accommodate the extrusion of SE China. Crustal deformation monitoring at high resolution is the key to understand the present-day mode of deformation in this zone and its interaction with the adjacent regions. This is the first study to measure the interseismic deformation of the entire fault with ALOS-1/2 and Sentinel-1 observations. Nine ascending tracks of ALOS-1 data between 2007 and 2011 are collected from the Alaska Satellite Facility (ASF), four descending tracks of Sentinel-1 data are acquired every 24 days since October 2014, and ALOS-2 data are being systematically acquired since 2014. The long wavelength (L-band) of ALOS-1/2 and short temporal baseline of Sentinel-1 ensure good coherence to overcome the limitations of heavy vegetation and variable climate in the region. Stacks of interferograms are generated by our automatic processing chain based on the InSAR Scientific Computing Environment (ISCE) software, ionospheric errors are estimated and corrected using the split-spectrum method (Fattahi et al., IEEE Trans. Geosci. Remote Sens., 2017) and the tropospheric delays are calibrated using the Generic Atmospheric Correction Online Service for InSAR (GACOS: http://ceg-research.ncl.ac.uk/v2/gacos) with high-resolution ECMWF products (Yu et al., J. Geophys. Res., 2017). Time series analysis is performed to determine the interseismic deformation rate of the RRF using the in-house InSAR time series with atmospheric estimation model (InSAR TS + AEM) package based on the Small Baseline Subset (SBAS) algorithm. Our results reveal the decrease of slip rate from north to south. We map the interseismic strain rate field to characterize the deformation patterns and seismic hazard throughout the RRF zone.

Nature-based solutions for hydro-meteorological risk reduction and nutrient removal in the Nordic and Arctic regions

NASA Astrophysics Data System (ADS)

Bring, Arvid; Kalantari, Zahra

2017-04-01

Natural ecological functions provide essential and fundamental benefits to mankind, but can also be actively employed in nature-based solutions to specific challenges in society. For example, water-related ecosystem services have a role in such societal benefits as flood protection, erosion control, and excess nutrient removal. Ecosystem services may be produced and consumed in different locations, and research has recently attempted to formalize this discrepancy in identifying service providing areas (SPAs), service benefitting areas (SBAs), and service connecting areas (SCAs). However, in terms of water-related services, there is a lack of formal evaluation of how SPAs, SBAs, and SCAs are related to hydrological measures such as discharge, flood recurrence, excess nutrient removal, etc. We seek to map SPAs, SBAs and SCAs for a number of key ecosystem services in the Nordic and Arctic region though established ecological definitions (typically, based on land use) and evaluate the findings alongside metrics of hydrological connectivity (river networks), provisioning areas (runoff generating areas), and benefitting areas (river stretches where water flow is moderated). We make use of extensive GIS analysis using both high-resolution land cover data and river network maps. In the end, the results are expected to contribute to identifying how water-related ecosystem services can be employed as nature-based solutions for hydro-meteorological risk reduction and nutrient removal in a changing climate in the Nordic and Arctic regions.

Partial nitritation of raw anaerobic sludge digester liquor by swim-bed and swim-bed activated sludge processes and comparison of their sludge characteristics.

PubMed

Qiao, Sen; Kawakubo, Yuki; Koyama, Toichiro; Furukawa, Kenji

2008-11-01

This study evaluated performance of swim-bed (SB) reactors packed with a novel acrylic fiber carrier (BF) and swim-bed activated sludge (SBAS) reactor for partial nitritation of anaerobic sludge digester liquor from a municipal wastewater treatment plant. Comparison of characteristics of sludge obtained from both the reactors was also made. The average conversion rates of ammonium to nitrite were 52.3% and 40.0% under relatively high nitrogen loading rates over 3.0 kg-N/m(3)/d, respectively in two reactors. The average BOD(5) removal efficiencies were 74.3% and 64.4%, respectively in the two reactors. The size of the sludge pellets taken from SB and SBAS reactors was found to be approximately three times (229 mum versus 88 mum) of that of the seed sludge. This sludge also had relatively high extracellular proteins levels indicating better sludge settling capability as compared to the sludge taken from SBAS reactor. Although the effluent nitrite/ammonium ratios had fluctuated in both reactor in some extent, the low dissolved oxygen concentration (average of 2.5 versus 0.35 mg/l), low suspended solids (average of 33.3 versus 33.5 mg/l), and about 50% ammonium conversion to nitrite demonstrated the application potential of anammox process for nitrogen removal.

Application of Satellite Based Augmentation Systems to Altitude Separation

NASA Astrophysics Data System (ADS)

Magny, Jean Pierre

This paper presents the application of GNSS1, or more precisely of Satellite Based Augmentation Systems (SBAS), to vertical separation for en-route, approach and landing operations. Potential improvements in terms of operational benefit and of safety are described for two main applications. First, vertical separation between en-route aircraft, which requires a system available across wide areas. SBAS (EGNOS, WAAS, and MSAS) are very well suited for this purpose before GNSS2 becomes available. And secondly, vertical separation from the ground during approach and landing, for which preliminary design principles of instrument approach procedures and safety issues are presented. Approach and landing phases are the subject of discussions within ICAO GNSS-P. En-route phases have been listed as GNSS-P future work and by RTCA for development of new equipments.

Potential inundated coastal area estimation in Shanghai with multi-platform SAR and altimetry data

NASA Astrophysics Data System (ADS)

Ma, Guanyu; Yang, Tianliang; Zhao, Qing; Kubanek, Julia; Pepe, Antonio; Dong, Hongbin; Sun, Zhibin

2017-09-01

As global warming problem is becoming serious in recent decades, the global sea level is continuously rising. This will cause damages to the coastal deltas with the characteristics of low-lying land, dense population, and developed economy. Continuously reclamation costal intertidal and wetland areas are making Shanghai, the mega city of Yangtze River Delta, more vulnerable to sea level rise. In this paper, we investigate the land subsidence temporal evolution of patterns and processes on a stretch of muddy coast located between the Yangtze River Estuary and Hangzou Bay with differential synthetic aperture radar interferometry (DInSAR) analyses. By exploiting a set of 31 SAR images acquired by the ENVISAT/ASAR from February 2007 to May 2010 and a set of 48 SAR images acquired by the COSMO-SkyMed (CSK) sensors from December 2013 to March 2016, coherent point targets as long as land subsidence velocity maps and time series are identified by using the Small Baseline Subset (SBAS) algorithm. With the DInSAR constrained land subsidence model, we predict the land subsidence trend and the expected cumulative subsidence in 2020, 2025 and 2030. Meanwhile, we used altimetrydata and densely distributed in the coastal region are identified (EEMD) algorithm to obtain the average sea level rise rate in the East China Sea. With the land subsidence predictions, sea level rise predictions, and high-precision digital elevation model (DEM), we analyze the combined risk of land subsidence and sea level rise on the coastal areas of Shanghai. The potential inundated areas are mapped under different scenarios.

Applications of Radar Interferometric Techniques to Assess Natural Hazards and their Controlling Factors

NASA Astrophysics Data System (ADS)

Sultan, M.; Becker, R.; Gebremichael, E.; Othman, A.; Emil, M.; Ahmed, M.; Elkadiri, R.; Pankratz, H. G.; Chouinard, K.

2015-12-01

Radar interferometric techniques including Persistent Scatterer (PS), Small BAseline Subset (SBAS), and two and three pass (differential interferometry) methods were applied to Synthetic Aperture Radar (SAR) datasets. These include the European Space Agency (ESA) ERS-1, ERS-2, Environmental satellite (Envisat), and Phased Array type L-band Synthetic Aperture Radar (PALSAR) to conduct the following: (1) map the spatial distribution of land deformation associated with a wide range of geologic settings, (2) quantify the rates of the observed land deformation, and (3) identify the factors controlling the observed deformation. The research topics/areas include: (1) subsidence associated with sediment compaction in a Delta setting (Nile Delta, Egypt), (2) deformation in a rifting setting (Red Sea rifting along the Red Sea coastal zone and proximal basement outcrops in Egypt and Saudi Arabia), (3) deformation associated with salt dome intrusion and the dissolution of sabkha deposits (Jazan area in Saudi Arabia), (4) mass transport associated with debris flows (Jazan area in Saudi Arabia), and (5) deformation preceding, contemporaneous with, or following large earthquakes (in Nepal; magnitude: 7.8; date: April, 25, 2015) and medium earthquakes (in Harrat Lunayyir volcanic field, central Saudi Arabia; magnitude: 5.7; date: May 19, 2009). The identification of the factor(s) controlling the observed deformation was attained through spatial correlation of extracted radar velocities with relevant temporal and static ground based and remotely sensed geological and cultural data sets (e.g., lithology, structure, precipitation, land use, and earthquake location, magnitude, and focal mechanism) in a Geographical Information System (GIS) environment.

NASA Johnson Space Center: Mini AERCam Testing with GSS6560

NASA Technical Reports Server (NTRS)

Cryant, Scott P.

2004-01-01

This slide presentation reviews the testing of the Miniature Autonomous Extravehicular Robotic Camera (Mini AERCam) with the GPS/SBAS simulation system, GSS6560. There is a listing of several GPS based programs at NASA Johnson, including the testing of Shuttle testing of the GPS system. Including information about Space Integrated GPS/INS (SIGI) testing. There is also information about the standalone ISS SIGI test,and testing of the SIGI for the Crew Return Vehicle. The Mini AERCam is a small, free-flying camera for remote inspections of the ISS, it uses precise relative navigation with differential carrier phase GPS to provide situational awareness to operators. The closed loop orbital testing with and without the use of the GSS6550 system of the Mini AERCam system is reviewed.

Monitoring and modeling of sinkholes affecting the Jordanian coast of the Dead Sea through satellite interferometric techniques

NASA Astrophysics Data System (ADS)

Tessari, Giulia; Pasquali, Paolo; Floris, Mario

2016-04-01

Differential Interferometric Synthetic Aperture Radar (DInSAR) techniques have been applied to investigate sinkholes affecting the Jordanian coast of the Dead Sea. The Dead Sea is a hyper saline terminal lake located in a pull-apart basin. Most of the area is characterized by highly karstic and fractured rock formations that are connected with faults. Karstic conduits extend from the land into the sea. Since the 1960s, the Dead Sea level is dropping at an increasing rate: from about 60 cm/yr in the 1970s up to 1 m/yr in the 2000s. From about the mid-1980s, sinkholes appeared more and more frequently over and around the emerged mudflats and salt flats. Strong subsidence and landslides also affect some segments of the coast. Nowadays, several thousands of sinkholes attest that the degradation of the Dead Sea coast is worsening. Deformation analysis has been focused on the Ghor Al Haditha area, located in the South-Eastern part of the lake coast. SAR data acquired by three different sensors, ERS, ENVISAT and COSMO- SkyMed have been analysed. 70 ERS images from 1992 to 2009 and 30 ENVISAT images from 2003 to 2010 have been processed. SBAS technique has been applied to define surface velocity and displacement maps. Results obtained from the SBAS technique, applied to ERS and Envisat data, highlight a diffuse subsiding of the entire Eastern coast of the Dead Sea. It was not possible to detect single sinkholes because of the resolution of these sensors (25m2) and the small size of each punctual event that is generally varying from a few meters to a hundred meters diameter. Furthermore, SBAS has been applied to 23 COSMO-SkyMed SAR satellite images from December 2011 to May 2013. The high resolution of these data (3m x 3m) and the short revisiting time allowed precise information of the displacement of punctual sinkholes beyond the overall subsidence of the coast. A specific sinkhole has been identified in order to understand its temporal evolution. The considered phenomenon reached a total displacement of around 120 mm in 18 months in its central part. On the basis of the results from DInSAR processing, a simplified analytical model has been implemented. Vertical and horizontal components of the surface displacement field obtained from analysis of SAR images have been used as input data to derive geometric parameters of the source and in particular to estimate the volumetric strain of the phenomenon. Position, dimension and mechanism have been obtained.

Assessing natural hazards in NE Colombia using Sentinel-1 interferometry

NASA Astrophysics Data System (ADS)

Olen, Stephanie; Bookhagen, Bodo

2017-04-01

The DIGENTI project (Digitaler Entscheidertisch für das Naturgefahrenmanagement auf Basis von Satellitendaten und VGI (Volunteered Geographic Information)) aims to assess the natural hazard threat to the Cesar and La Guajira departments of northeast Colombia as guidance for decision makers and disaster relief workers. As members of the DIGENTI project, we use Sentinel-1 synthetic aperture radar (SAR) interferometry to detect hillslope movements, delineate settlements, and monitor damage to urban areas. Our study area, located in the remote Serranía del Perijá mountain range on the border of Colombia and Venezuela, is mountainous, highly vegetated, and experiences high and spatially variable rainfall (between 1 and 4 m a-1). The remote nature of the region, coupled with the favorable conditions for mass movements and other hillslope instabilities, make it an ideal location to employ remote sensing techniques to monitor potential natural hazards. In the highly vegetated Serranía del Perijá mountain range, traditional damage proxy mapping is complicated by vegetation-related coherence loss between SAR scenes. Cross-referencing existing maps, we define regions of consistently high coherence as settled or urban areas. Using the spatial extent of settled or urban areas as a mask, we establish an algorithm to use coherence loss only in these regions as a damage proxy in urban areas where the local population will be most affected. Outside of settlements, hillslope instabilities and movements are quantified and mapped using a two-prong approach: (1) Horizontal ground displacement is be calculated by dense amplitude cross-correlation using the topsOffsetApp in the InSAR Scientific Computing Environment (ISCE). This allows the location, direction, and magnitude of mass movements and hillslope instabilities to be identified and mapped; (2) We use a timeseries of interferograms to quantify vertical ground deformation (e.g., as caused by landsliding) during the Sentinel-1 time window. To do this we employ the small baseline subset (SBAS) technique to create a timeseries of potential landslides in our study area. This technique has the added advantage of overcoming poor coherence between individual InSAR scenes (e.g., caused by vegetation cover). The output of the SBAS analysis will be used to designate natural hazard "hot spots" that will enhance static estimates of factor of safety and landslide risk (e.g., based on digital elevation models). Both the timeseries of horizontal and vertical surface movements and their spatial extent are compared to regional rainfall and vegetation patterns to aid in future natural hazard assessment. Preliminary work is being done to apply these algorithms to other regions with markedly different climate and tectonic settings (NW Argentine Andes and the Arun Valley, Nepal).

The Subsidence Signature Due To Groundwater Extraction as Inferred from Remote Sensing Data in Mexico City

NASA Astrophysics Data System (ADS)

Patel, V.; Chen, J.

2015-12-01

Mexico City is facing a severe water shortage; current drought conditions in the city have led to an increase in the demand for groundwater, the pumping of which can cause significant land subsidence. In this study we explored what new information interferometric synthetic aperture radar (InSAR) data collected by the TerraSAR-X satellite could bring to water resource managers in the city so that they can efficiently and sustainably allocate water resources. Previous work done over Mexico City indicates that InSAR can be used to detect deformation due to groundwater pumping. Cabral-Cano et al. (2008) processed InSAR data acquired from ERS between 1996-2000 and from ENVISAT between 2003-2005. They compared the deformation map to geology maps of the region with information obtained by seismic methods. They found that a spatial correlation between the land deformation and the presence of young lacustrine clay beds, which indicate that the subsidence was caused by fluid pressure loss in the aquitard. They also concluded that the subsidence, for the most part, had no seasonal variation and continues to occur at near-constant, high rates. TerraSAR-­X satellite data is known to be more sensitive to small deformations than the data from satellites used in previous studies in the region because of its frequent revisit cycle, short wavelength, and accurate orbital information. For this project, we derived long sequences of crustal deformation time series from TerraSAR-­X data between May 2011 and December 2012 using the Small Baseline Subset (SBAS) method. The resulting time series was then compared to GPS data for calibration and validation. We observed a long-term deformation that was similar to those found in previous studies. The next step in our work is to determine whether the increased sensitivity of the TerraSAR-­X data allows us to detect a seasonal deformation pattern over the study area.

Deformation signals from InSAR time series analysis related to the 2007 and 2011 east rift zone intrusions at Kilauea Volcano, Hawaii

NASA Astrophysics Data System (ADS)

Baker, S.; Amelung, F.

2011-12-01

Located on the Big Island of Hawaii, Kilauea volcano is one of the most active volcanoes on Earth with continuous eruptive activity since 1983. The eruptive activity is predominately from the Pu'u O'o vent within the east rift zone, but periodic intrusions occur in the upper east rift zone between the summit and Pu'u O'o. These intrusions occur as dikes typically accompanied by fissure openings and eruptions of small volumes of lava. Interferometric synthetic aperture radar (InSAR) provides surface displacement measurements showing how the ground moves before, during, and after these intrusions. Given the recent increase in the number of active or planned SAR satellites and the more frequent repeat-pass times, InSAR is proving to be a valuable monitoring tool for volcanic hazards. Using data from Radarsat-1, Envisat, ALOS, and TerraSAR-X satellites, we generate line-of-sight InSAR time series using the small baseline subset (SBAS) which provides dense spatial and temporal coverage at Kilauea covering the 17 June 2007 and 5 March 2011 intrusions. For these two events, the summit caldera area switches from deflation to inflation months to years before both intrusions, and just prior to the intrusions we observe increased rates of inflation accompanied by elevated seismic activity in the upper east rift zone. Observations of the intrusion relate surface displacement and the response of the summit caldera area provide insight into the shallow magmatic system and the connectivity of the system. By combining InSAR time series with other geophysical data sets (such as seismic or GPS), we obtain more details about the associated hazard and a better understanding of the time-dependent relationship between what we are measuring and the controlling processes at the volcano.

Developing an Arctic Observing Network: Looking Beyond Scientific Research as a Driver to Broader Societal Benefits as Drivers

NASA Astrophysics Data System (ADS)

Jeffries, M. O.

2017-12-01

This presentation will address the first ever application of the Societal Benefit Areas approach to continuing efforts to develop an integrated pan-Arctic Observing Network. The scientific research community has been calling for an Arctic Observing Network since the early years of this century, at least. There is no question of the importance of research-driven observations at a time when rapid changes occurring throughout the Arctic environmental system are affecting people and communities in the Arctic and in regions far from the Arctic. Observations are need for continued environmental monitoring and change detection; improving understanding of how the system and its components function, and how they are connected to lower latitude regions; advancing numerical modeling capabilities for forecasting and projection; and developing value-added products and services for people and communities, and for decision- and policymaking. Scientific research is, without question, a benefit to society, but the benefits of Earth observations extend beyond scientific research. Societal Benefit Areas (SBAs) were first described by the international Group on Earth Observations (GEO) and have since been used by USGEO as the basis for its National Earth Observation Assessments. The most recent application of SBAs to Earth observing realized a framework of SBAs, SBA Sub-areas, and Key Objectives required for the completion of a full Earth observing assessment for the Arctic. This framework, described in a report released in June 2017, and a brief history of international efforts to develop an integrated pan-Arctic Observing Network, are the subjects of this presentation.

Factors that influence the provision of intrapartum and postnatal care by skilled birth attendants in low- and middle-income countries: a qualitative evidence synthesis.

PubMed

Munabi-Babigumira, Susan; Glenton, Claire; Lewin, Simon; Fretheim, Atle; Nabudere, Harriet

2017-11-17

In many low- and middle-income countries women are encouraged to give birth in clinics and hospitals so that they can receive care from skilled birth attendants. A skilled birth attendant (SBA) is a health worker such as a midwife, doctor, or nurse who is trained to manage normal pregnancy and childbirth. (S)he is also trained to identify, manage, and refer any health problems that arise for mother and baby. The skills, attitudes and behaviour of SBAs, and the extent to which they work in an enabling working environment, impact on the quality of care provided. If any of these factors are missing, mothers and babies are likely to receive suboptimal care. To explore the views, experiences, and behaviours of skilled birth attendants and those who support them; to identify factors that influence the delivery of intrapartum and postnatal care in low- and middle-income countries; and to explore the extent to which these factors were reflected in intervention studies. Our search strategies specified key and free text terms related to the perinatal period, and the health provider, and included methodological filters for qualitative evidence syntheses and for low- and middle-income countries. We searched MEDLINE, OvidSP (searched 21 November 2016), Embase, OvidSP (searched 28 November 2016), PsycINFO, OvidSP (searched 30 November 2016), POPLINE, K4Health (searched 30 November 2016), CINAHL, EBSCOhost (searched 30 November 2016), ProQuest Dissertations and Theses (searched 15 August 2013), Web of Science (searched 1 December 2016), World Health Organization Reproductive Health Library (searched 16 August 2013), and World Health Organization Global Health Library for WHO databases (searched 1 December 2016). We included qualitative studies that focused on the views, experiences, and behaviours of SBAs and those who work with them as part of the team. We included studies from all levels of health care in low- and middle-income countries. One review author extracted data and assessed study quality, and another review author checked the data. We synthesised data using the best fit framework synthesis approach and assessed confidence in the evidence using the GRADE-CERQual (Confidence in the Evidence from Reviews of Qualitative research) approach. We used a matrix approach to explore whether the factors identified by health workers in our synthesis as important for providing maternity care were reflected in the interventions evaluated in the studies in a related intervention review. We included 31 studies that explored the views and experiences of different types of SBAs, including doctors, midwives, nurses, auxiliary nurses and their managers. The included studies took place in Africa, Asia, and Latin America.Our synthesis pointed to a number of factors affecting SBAs' provision of quality care. The following factors were based on evidence assessed as of moderate to high confidence. Skilled birth attendants reported that they were not always given sufficient training during their education or after they had begun clinical work. Also, inadequate staffing of facilities could increase the workloads of skilled birth attendants, make it difficult to provide supervision and result in mothers being offered poorer care. In addition, SBAs did not always believe that their salaries and benefits reflected their tasks and responsibilities and the personal risks they undertook. Together with poor living and working conditions, these issues were seen to increase stress and to negatively affect family life. Some SBAs also felt that managers lacked capacity and skills, and felt unsupported when their workplace concerns were not addressed.Possible causes of staff shortages in facilities included problems with hiring and assigning health workers to facilities where they were needed; lack of funding; poor management and bureaucratic systems; and low salaries. Skilled birth attendants and their managers suggested factors that could help recruit, keep, and motivate health workers, and improve the quality of care; these included good-quality housing, allowances for extra work, paid vacations, continuing education, appropriate assessments of their work, and rewards.Skilled birth attendants' ability to provide quality care was also limited by a lack of equipment, supplies, and drugs; blood and the infrastructure to manage blood transfusions; electricity and water supplies; and adequate space and amenities on maternity wards. These factors were seen to reduce SBAs' morale, increase their workload and infection risk, and make them less efficient in their work. A lack of transport sometimes made it difficult for SBAs to refer women on to higher levels of care. In addition, women's negative perceptions of the health system could make them reluctant to accept referral.We identified some other factors that also may have affected the quality of care, which were based on findings assessed as of low or very low confidence. Poor teamwork and lack of trust and collaboration between health workers appeared to negatively influence care. In contrast, good collaboration and teamwork appeared to increase skilled birth attendants' motivation, their decision-making abilities, and the quality of care. Skilled birth attendants' workloads and staff shortages influenced their interactions with mothers. In addition, poor communication undermined trust between skilled birth attendants and mothers. Many factors influence the care that SBAs are able to provide to mothers during childbirth. These include access to training and supervision; staff numbers and workloads; salaries and living conditions; and access to well-equipped, well-organised healthcare facilities with water, electricity, and transport. Other factors that may play a role include the existence of teamwork and of trust, collaboration, and communication between health workers and with mothers. Skilled birth attendants reported many problems tied to all of these factors.

Monitoring the UPS and Downs of Sumatra and Java with D-Insar Time-Series

NASA Astrophysics Data System (ADS)

Chaussard, E.; Amelung, F.

2010-12-01

We performed, for the first time, a global D-InSAR survey of the Indonesian islands of Sumatra and Java to define locations where deformation is occurring. The goals of this study are 1) to create an inventory of actively deforming volcanic centers and 2) monitor all types of ground motion. This work provides ground deformation data for previously unmonitored areas and can assist the Indonesian authorities to improve hazards assessment. The D-InSAR survey covers an area of about 500 000 km2 and 3000 km long on the islands of Sumatra, Java and Bali. We used ALOS data from 45 tracks and more than 1500 granules obtained from the Alaska Satellite Facility (ASF) through the US Government Research Consortium (USGRC). We completed more than 1000 interferograms spanning a period from the end of 2006 to the beginning of 2009. L-band SAR images enable deformation mapping at global scales even in highly vegetated areas where C-band signal experiences loss of coherence. To identify locations where ground deformations are occurring, we used multiple SAR acquisitions of the same area and performed time series analysis using the Small BAseline Subset (SBAS) method. Interferograms with a maximum spatial baseline of 3000 m were phase-unwrapped and subsequently inverted for the phase with respect to the first acquisition. Temporal coherence of each pixel is computed on the set of interferograms in order to select only pixels with high temporal coherence. The compiled InSAR velocity map reveals the background level of activity of the 84 volcanic centers constituting the Sumatra, Java and Bali volcanic arcs. We identified possible uplift at 6 volcanic centers: Agung (Bali), Lamongan (Java), Lawu (Java), Slamet (Java), Kerinci (Sumatra) and Sinabung (Sumatra). Moreover, we identified subsidence in 5 major cities and 1 coastal area. Subsidence rates range from 6 cm/yr in Medan, the largest city of Sumatra, to more than 15 cm/yr in Jakarta. These major subsidence areas are probably due to ground water extraction needed to support the increasing population and industrial activities.

Dynamic deformation of Seguam Island, Alaska, 1992--2008, from multi-interferogram InSAR processing

USGS Publications Warehouse

Lee, Chang-Wook; Lu, Zhong; Won, Joong-Sun; Jung, Hyung-Sup; Dzurisin, Daniel

2013-01-01

We generated a time-series of ERS-1/2 and ENVISAT interferometric synthetic aperture radar (InSAR) images to study ground surface deformation at Seguam Island from 1992 to 2008. We used the small baseline subset (SBAS) technique to reduce artifacts associated with baseline uncertainties and atmospheric delay anomalies, and processed images from two adjacent tracks to validate our results. Seguam Island comprises the remnants of two late Quaternary calderas, one in the western caldera of the island and one in the eastern part of the island. The western caldera subsided at a constant rate of ~ 1.6 cm/yr throughout the study period, while the eastern caldera experienced alternating periods of subsidence and uplift: ~ 5 cm/year uplift during January 1993–October 1993 (stage 1), ~ 1.6 cm/year subsidence during October 1993–November 1998 (stage 2), ~ 2.0 cm/year uplift during November 1998–September 2000 (stage 3), ~ 1.4 cm/year subsidence during September 2000–November 2005 (stage 4), and ~ 0.8 cm/year uplift during November 2005– July 2007 (stage 5). Source modeling indicates a deflationary source less than 2 km below sea level (BSL) beneath the western caldera and two sources beneath the eastern caldera: an inflationary source 2.5–6.0 km BSL and a deflationary source less than 2 km BSL. We suggest that uplift of the eastern caldera is driven by episodic intrusions of basaltic magma into a poroelastic reservoir 2.5–6.0 km BSL beneath the caldera. Cooling and degassing of the reservoir between intrusions results in steady subsidence of the overlying surface. Although we found no evidence of magma intrusion beneath the western caldera during the study period, it is the site (Pyre Peak) of all historical eruptions on the island and therefore cooling and degassing of intrusions presumably contributes to subsidence there as well. Another likely subsidence mechanism in the western caldera is thermoelastic contraction of lava flows emplaced near Pyre Peak during several historical eruptions, most recently in 1977 and 1992–93.

Evaluating the Mosul Dam's Instability after Resumption of Maintenance

NASA Astrophysics Data System (ADS)

Al-husseinawi, Y.; Li, Z.; Clarke, P. J.; Edwards, S.

2017-12-01

There is serious concern about the safety of Mosul dam in the north of Iraq. Millions of people in the downstream area are exposed to risk of catastrophic collapse of this dam due to its soluble foundation. Recent study (Milillo et al., 2016, Scientific Report/10.1038/srep37408) reported that the dam deformation has accelerated since August 2014, when grouting operations were interrupted due to the conflict in the region. In this study, we investigate the health of Mosul dam since Jun 2016 using three independent datasets: Sentinel-1A/B SAR images, levelling, and GPS measurement. The latter are based on three epochs of terrestrial observation for levelling and GPS data: March 2016, December 2016 and July 2017. During this period, maintenance operations are being recovered to keep the dam stable. The monitoring network, on which the levelling and GPS observations are based, consists of eighty-seven pillars distributed on the dam surface. The results from InSAR and leveling data show that the dam crest is settling by 9 mm/yr. In contrast to previous studies, our results show a deceleration in the settlement. This may be due to the maintenance operations performed in the last few months. InSAR time series analysis was performed using the in-house tool TM-SBAS. When using the small baseline Sentinel-1 constellation, all possibilities of image choice are taken into consideration and the SRTM DEM accuracy is sufficient to generate the differential interferograms. Data from both Sentinel-1A and -1B images are used, and these results can be compared with multi-platform (Envisat, Sentinel-1, Cosmo-SkyMed, and TerraSar-X) data collected during the period between March 2003 and September 2016.

Sentinel-1 and ground-based sensors for a continuous monitoring of the Corvara landslide kinematic (South Tirol, Italy)

NASA Astrophysics Data System (ADS)

Schlögel, Romy; Darvishi, Mehdi; Cuozzo, Giovanni; Kofler, Christian; Rutzinger, Martin; Zieher, Thomas; Toschi, Isabella; Remondino, Fabio

2017-04-01

Sentinel-1 mission allows us to have Synthetic Aperture Radar (SAR) acquisitions over large areas every 6 days with spatial resolution of 20 m. This new open-source generation of satellites has enhanced the capabilities for continuously studying earth surface changes. Over the past two decades, several studies have demonstrated the potential of Differential Synthetic Aperture Radar Interferometry (DInSAR) for detecting and quantifying land surface deformation. DInSAR limitations and challenges are linked to the SAR properties and the field conditions (especially in Alpine environments) leading to spatial and temporal decorrelation of the SAR signal. High temporal decorrelation can be caused by changes in vegetation (particularly in non-urban areas), atmospheric conditions or high ground surface velocity. In this study, kinematics of the complex and vegetated Corvara landslide, situated in Val Badia (South Tirol, Italy), are monitored by a network of 3 permanent and 13 monthly Differential Global Positioning System (DGPS) stations. The slope displacement rates are found to be highly unsteady and reach several meters a year. This analysis focuses on evaluating the limitations of Sentinel-1 imagery processed with Small Baseline Subset (SBAS) technique in comparison to ground-based measurements for assessing the landslide kinematic linked to meteorological conditions. Selecting some particular acquisitions, coherence thresholds and unwrapping processes gives various results in terms of reliability and accuracy supporting the understanding of the landslide velocity field. The evolution of the coherence and phase signals are studied according to the changing field conditions and the monitored ground-based displacements. DInSAR deformation maps and residual topographic heights are finally compared with difference of high resolution Digital Elevation Models at local scale. This research is conducted within the project LEMONADE (http://lemonade.mountainresearch.at) funded by the Euregio Science Fund.

Gravity and InSAR remote sensing of groundwater usage in the Sahel and Horn of Africa

NASA Astrophysics Data System (ADS)

Neely, W.; Borsa, A. A.; Burney, J. A.; Devlin, K.

2016-12-01

Changes in the Earth's climatic systems influence agro-ecological conditions on local, regional, and global scales. With the world's highest population growth rate, sub-Saharan Africa faces particularly acute concerns regarding food security and resource management. Historical sources of surface water for agricultural production may become less reliable and/or limited with increased climate variability, and African countries have already begun to depend on more stable sources of groundwater. Expected increases in groundwater usage pose questions about the sustainability of current agricultural practices, which require new sources of information to answer. Due to the logistics and costs to implement in situ networks to monitor regional water security, current remote sensing missions offer an affordable alternative. The Gravity Recovery and Climate Experiment (GRACE) has proven to be effective in quantifying changes in terrestrial water storage (TWS) at the regional scale using near-monthly gravity measurements from orbit. Using over a decade of measurements, we estimate TWS anomalies in Niger and Ethiopia. These anomalies offer a proxy for hydrological stressing, indicating potential targets for additional analysis. We use independent, but complementary, estimates of surface displacements from Interferometric Synthetic Aperture Radar (InSAR) to provide information on local groundwater withdrawal. Using data from ESA's Sentinel 1 mission and JAXA's Advanced Land Observing Satellite (ALOS) missions, we characterize the surface deformation over the past decade in regions of active groundwater pumping using the Small Baseline Subset (SBAS) technique. In particular, we investigate ties of ground motion to known agricultural/industrial land usage near Niamey, Niger and Eastern Oromia, Ethiopia to better understand how human activity affects available groundwater resources.

Crustal Deformation along San Andreas Fault System revealed by GPS and Sentinel-1 InSAR

NASA Astrophysics Data System (ADS)

Xu, X.; Sandwell, D. T.

2017-12-01

We present a crustal deformation velocity map along the San Andreas Fault System by combining measurements from Sentinel-1 Interferometric Synthetic Aperture Radar (InSAR) and Global Positioning System (GPS) velocity models (CGM V1). We assembled 5 tracks of descending Sentinel-1 InSAR data spanning 2014.11-2017.02, and produced 545 interferograms, each of which covers roughly 250km x 420km area ( 60 bursts). These interferograms are unwrapped using SNAPHU [Chen & Zebker, 2002], with the 2Npi unwrapping ambiguity corrected with a sparse recovery method. We used coherence-based small baseline subset (SBAS) method [Tong & Schmidt, 2016] together with atmospheric correction by common-point stacking [Tymofyeyeva and Fialko, 2015] to construct deformation time series [Xu et. al., 2017]. Then we project the horizontal GPS model and vertical GPS data into satellite line-of-sight directions separately. We first remove the horizontal GPS model from InSAR measurements and perform elevation-dependent atmospheric phase correction. Then we compute the discrepancy between the remaining InSAR measurements and vertical GPS data. We interpolate this discrepancy and remove it from the residual InSAR measurements. Finally, we restore the horizontal GPS model. Preliminary results show that fault creep over the San Jacinto fault, the Elsinore fault, and the San Andreas creeping section is clearly resolved. During the period of drought, the Central Valley of California was subsiding at a high rate (up to 40 cm/yr), while the city of San Jose is uplifting due to recharge, with a quaternary fault acting as a ground water barrier. These findings will be reported during the meeting.

High quality InSAR data linked to seasonal change in hydraulic head for an agricultural area in the San Luis Valley, Colorado

NASA Astrophysics Data System (ADS)

Reeves, Jessica A.; Knight, Rosemary; Zebker, Howard A.; Schreüder, Willem A.; Shanker Agram, Piyush; Lauknes, Tom R.

2011-12-01

In the San Luis Valley (SLV), Colorado legislation passed in 2004 requires that hydraulic head levels in the confined aquifer system stay within the range experienced in the years 1978-2000. While some measurements of hydraulic head exist, greater spatial and temporal sampling would be very valuable in understanding the behavior of the system. Interferometric synthetic aperture radar (InSAR) data provide fine spatial resolution measurements of Earth surface deformation, which can be related to hydraulic head change in the confined aquifer system. However, change in cm-scale crop structure with time leads to signal decorrelation, resulting in low quality data. Here we apply small baseline subset (SBAS) analysis to InSAR data collected from 1992 to 2001. We are able to show high levels of correlation, denoting high quality data, in areas between the center pivot irrigation circles, where the lack of water results in little surface vegetation. At three well locations we see a seasonal variation in the InSAR data that mimics the hydraulic head data. We use measured values of the elastic skeletal storage coefficient to estimate hydraulic head from the InSAR data. In general the magnitude of estimated and measured head agree to within the calculated error. However, the errors are unacceptably large due to both errors in the InSAR data and uncertainty in the measured value of the elastic skeletal storage coefficient. We conclude that InSAR is capturing the seasonal head variation, but that further research is required to obtain accurate hydraulic head estimates from the InSAR deformation measurements.

Improved Persistent Scatterer analysis using Amplitude Dispersion Index optimization of dual polarimetry data

NASA Astrophysics Data System (ADS)

Esmaeili, Mostafa; Motagh, Mahdi

2016-07-01

Time-series analysis of Synthetic Aperture Radar (SAR) data using the two techniques of Small BAseline Subset (SBAS) and Persistent Scatterer Interferometric SAR (PSInSAR) extends the capability of conventional interferometry technique for deformation monitoring and mitigating many of its limitations. Using dual/quad polarized data provides us with an additional source of information to improve further the capability of InSAR time-series analysis. In this paper we use dual-polarized data and combine the Amplitude Dispersion Index (ADI) optimization of pixels with phase stability criterion for PSInSAR analysis. ADI optimization is performed by using Simulated Annealing algorithm to increase the number of Persistent Scatterer Candidate (PSC). The phase stability of PSCs is then measured using their temporal coherence to select the final sets of pixels for deformation analysis. We evaluate the method for a dataset comprising of 17 dual polarization SAR data (HH/VV) acquired by TerraSAR-X data from July 2013 to January 2014 over a subsidence area in Iran and compare the effectiveness of the method for both agricultural and urban regions. The results reveal that using optimum scattering mechanism decreases the ADI values in urban and non-urban regions. As compared to single-pol data the use of optimized polarization increases initially the number of PSCs by about three times and improves the final PS density by about 50%, in particular in regions with high rate of deformation which suffer from losing phase stability over the time. The classification of PS pixels based on their optimum scattering mechanism revealed that the dominant scattering mechanism of the PS pixels in the urban area is double-bounce while for the non-urban regions (ground surfaces and farmlands) it is mostly single-bounce mechanism.

"I was on the way to the hospital but delivered in the bush": Maternal health in Ghana's Upper West Region in the context of a traditional birth attendants' ban.

PubMed

Rishworth, Andrea; Dixon, Jenna; Luginaah, Isaac; Mkandawire, Paul; Tampah Prince, Caesar

2016-01-01

This study examines perceptions and experiences of mothers, traditional birth attendants (TBA), and skilled birth attendants (SBA) regarding Ghana's recent policy that forbids TBAs from undertaking deliveries and restricts their role to referrals. In the larger context of Ghana's highly underdeveloped and geographically uneven health care system, this study draws on the political ecology of health framework to explore the ways global safe motherhood policy discourses intersect with local socio-cultural and political environments of Ghana's Upper West Region (UWR). This study reveals that futile improvements in maternal health and the continued reliance on TBAs illustrate the government's inability to understand local realities marked by poor access to SBAs or modern health care services. Using focus group discussions (FGDs) (n = 10) and in-depth interviews (IDIs) (n = 48) conducted in Ghana's UWR, the findings suggest that mothers generally perceive TBAs as better placed to conduct deliveries in rural isolated communities, where in most cases no SBAs are present or easily accessible. The results indicate that by adhering to the World Health Organization's guidelines, the local government may be imposing detrimental, unintended consequences on maternal and child health in remote rural locations. In addition, the findings suggest that the new policy has resulted in considerable confusion among TBAs, many of whom remain oblivious or have not been officially notified about the new policy. Furthermore, participant accounts suggest that the new policy is seen as contributing to worsening relations and tensions between TBAs and SBAs, a situation that undermines the delivery of maternal health services in the region. The study concludes by suggesting relevant policy recommendations. Copyright © 2015 Elsevier Ltd. All rights reserved.

Hydrothermal fluid flow models of Campi Flegrei caldera, Italy constrained by InSAR surface deformation time series observations

NASA Astrophysics Data System (ADS)

Lundgren, P.; Lanari, R.; Manzo, M.; Sansosti, E.; Tizzani, P.; Hutnak, M.; Hurwitz, S.

2008-12-01

Campi Flegrei caldera, Italy, located along the Bay of Naples, has a long history of significant vertical deformation, with the most recent large uplift (>1.5m) occurring in 1983-1984. Each episode of uplift has been followed by a period of subsidence that decreases in rate with time and may be punctuated by brief episodes of lesser uplift. The large amplitude of the major uplifts that occur without volcanic activity, and the subsequent subsidence has been argued as evidence for hydrothermal amplification of any magmatic source. The later subsidence and its temporal decay have been argued as due to diffusion of the pressurized caldera fill material into the less porous surrounding country rock. We present satellite synthetic aperture radar (SAR) interferometry (InSAR) time series analysis of ERS and Envisat data from the European Space Agency, based on exploiting the Small Baseline Subset (SBAS) approach [Berardino et al., 2002]; this allows us to generate maps of relative surface deformation though time, beginning in 1992 through 2007, that are relevant to both ascending and descending satellite orbits. The general temporal behavior is one of subsidence punctuated by several lesser uplift episodes. The spatial pattern of deformation can be modeled through simple inflation/deflation sources in an elastic halfspace. Given the evidence to suggest that fluids may play a significant role in the temporal deformation of Campi Flegrei, rather than a purely magmatic or magma chamber-based interpretation, we model the temporal and spatial evolution of surface deformation as a hydrothermal fluid flow process. We use the TOUGH2-BIOT2 set of numerical codes [Preuss et al., 1999; Hsieh, 1996], which couple multi-phase (liquid-gas) and multi-component (H2O-CO2) fluid flow in a porous or fractured media with plane strain deformation and fluid flow in a linearly elastic porous medium. We explore parameters related to the depth and temporal history of fluid injection, fluid composition, circulation geometries, and the physical properties of the media, to explain the InSAR time series. References: Berardino, P., R. Lanari, E. Sansosti (2002), A new Algorithm for surface deformation monitoring based on small baseline differential SAR interferograms, IEEE Transactions on Geoscience and Remote Sensing, 40, 11, 2375-2383. Pruess, L., C. Oldenburg, and G. Moridis (1999), TOUGH2 user's guide, version 2.0, Paper LBNL-43134, Lawrence Berkeley Natl. Lab., Berkeley, Calif. Hsieh, P. A. (1996), Deformation-induced changes in hydraulic head during ground-water withdrawal, Ground Water, 34, 1082-1089.

Sentinel-1 automatic processing chain for volcanic and seismic areas monitoring within the Geohazards Exploitation Platform (GEP)

NASA Astrophysics Data System (ADS)

De Luca, Claudio; Zinno, Ivana; Manunta, Michele; Lanari, Riccardo; Casu, Francesco

2016-04-01

The microwave remote sensing scenario is rapidly evolving through development of new sensor technology for Earth Observation (EO). In particular, Sentinel-1A (S1A) is the first of a sensors' constellation designed to provide a satellite data stream for the Copernicus European program. Sentinel-1A has been specifically designed to provide, over land, Differential Interferometric Synthetic Aperture Radar (DInSAR) products to analyze and investigate Earth's surface displacements. S1A peculiarities include wide ground coverage (250 km of swath), C-band operational frequency and short revisit time (that will reduce from 12 to 6 days when the twin system Sentinel-1B will be placed in orbit during 2016). Such characteristics, together with the global coverage acquisition policy, make the Sentinel-1 constellation to be extremely suitable for volcanic and seismic areas studying and monitoring worldwide, thus allowing the generation of both ground displacement information with increasing rapidity and new geological understanding. The main acquisition mode over land is the so called Interferometric Wide Swath (IWS) that is based on the Terrain Observation by Progressive Scans (TOPS) technique and that guarantees the mentioned S1A large coverage characteristics at expense of a not trivial interferometric processing. Moreover, the satellite spatial coverage and the reduced revisit time will lead to an exponential increase of the data archives that, after the launch of Sentine-1B, will reach about 3TB per day. Therefore, the EO scientific community needs from the one hand automated and effective DInSAR tools able to address the S1A processing complexity, and from the other hand the computing and storage capacities to face out the expected large amount of data. Then, it is becoming more crucial to move processors and tools close to the satellite archives, being not efficient anymore the approach of downloading and processing data with in-house computing facilities. To address these issues, ESA recently funded the development of the Geohazards Exploitation Platform (GEP), a project aimed at putting together data, processing tools and results to make them accessible to the EO scientific community, with particular emphasis to the Geohazard Supersites & Natural Laboratories and the CEOS Seismic Hazards and Volcanoes Pilots. In this work we present the integration of the parallel version of a well-known DInSAR algorithm referred to as Small BAseline Subset (P-SBAS) within the GEP platform for processing Sentinel-1 data. The integration allowed us to set up an operational on-demand web tool, open to every user, aimed at automatically processing S1A data for the generation of SBAS displacement time-series. Main characteristics as well as a number of experimental results obtained by using the implemented web tool will be also shown. This work is partially supported by: the RITMARE project of Italian MIUR, the DPC-CNR agreement and the ESA GEP project.

The Semantic Management of Environmental Resources within the Interoperable Context of the EuroGEOSS: Alignment of GEMET and the GEOSS SBAs

NASA Astrophysics Data System (ADS)

Cialone, Claudia; Stock, Kristin

2010-05-01

EuroGEOSS is a European Commission funded project. It aims at improving a scientific understanding of the complex mechanisms which drive changes affecting our planet, identifying and establishing interoperable arrangements between environmental information systems. These systems would be sustained and operated by organizations with a clear mandate and resources and rendered available following the specifications of already existent frameworks such as GEOSS (the Global Earth Observation System of systems)1 and INSPIRE (the Infrastructure for Spatial Information in the European Community)2. The EuroGEOSS project's infrastructure focuses on three thematic areas: forestry, drought and biodiversity. One of the important activities in the project is the retrieval, parsing and harmonization of the large amount of heterogeneous environmental data available at local, regional and global levels between these strategic areas. The challenge is to render it semantically and technically interoperable in a simple way. An initial step in achieving this semantic and technical interoperability involves the selection of appropriate classification schemes (for example, thesauri, ontologies and controlled vocabularies) to describe the resources in the EuroGEOSS framework. These classifications become a crucial part of the interoperable framework scaffolding because they allow data providers to describe their resources and thus support resource discovery, execution and orchestration of varying levels of complexity. However, at present, given the diverse range of environmental thesauri, controlled vocabularies and ontologies and the large number of resources provided by project participants, the selection of appropriate classification schemes involves a number of considerations. First of all, there is the semantic difficulty of selecting classification schemes that contain concepts that are relevant to each thematic area. Secondly, EuroGEOSS is intended to accommodate a number of existing environmental projects (for example, GEOSS and INSPIRE). This requirement imposes constraints on the selection. Thirdly, the selected classification scheme or group of schemes (if more than one) must be capable of alignment (establishing different kinds of mappings between concepts, hence preserving intact the original knowledge schemes) or merging (the creation of another unique ontology from the original ontological sources) (Pérez-Gómez et al., 2004). Last but not least, there is the issue of including multi-lingual schemes that are based on free, open standards (non-proprietary). Using these selection criteria, we aim to support open and convenient data discovery and exchange for users who speak different languages (particularly the European ones for the broad scopes of EuroGEOSS). In order to support the project, we have developed a solution that employs two classification schemes: the Societal Benefit Areas (SBAs)3: the upper-level environmental categorization developed for the GEOSS project and the GEneral Multilingual Environmental Thesaurus (GEMET)4: a general environmental thesaurus whose conceptual structure has already been integrated with the spatial data themes proposed by the INSPIRE project. The former seems to provide the spatial data keywords relevant to the INSPIRE's Directive (JRC, 2008). In this way, we provide users with a basic set of concepts to support resource description and discovery in the thematic areas while supporting the requirements of INSPIRE and GEOSS. Furthermore, the use of only two classification schemes together with the fact that the SBAs are very general categories while GEMET includes much more detailed, yet still top-level, concepts, makes alignment an achievable task. Alignment was selected over merging because it leaves the existing classification schemes intact and requires only a simple activity of defining mappings from GEMET to the SBAs. In order to accomplish this task we are developing a simple, automated, open-source application to assist thematic experts in defining the mappings between concepts in the two classification schemes. The application will then generate SKOS mappings (exactMatch, closeMatch, broadMatch, narrowMatch, relatedMatch) based on thematic expert selections between the concepts in GEMET with the SBAs (including both the general Societal Benefit Areas and their subcategories). Once these mappings are defined and the SKOS files generated, resource providers will be able to select concepts from either GEMET or the SBAs (or a mixture) to describe their resources, and discovery approaches will support selection of concepts from either classification scheme, also returning results classified using the other scheme. While the focus of our work has been on the SBAs and GEMET, we also plan to provide a method for resource providers to further extend the semantic infrastructure by defining alignments to new classification schemes if these are required to support particular specialized thematic areas that are not covered by GEMET. In this way, the approach is flexible and suited to the general scope of EuroGEOSS, allowing specialists to increase at will the level of semantic quality and specificity of data to the initial infrastructural skeleton of the project. References ____________________________________________ Joint research Centre (JRC), 2008. INSPIRE Metadata Editor User Guide Pérez-Gómez A., Fernandez-Lopez M., Corcho O. Ontological engineering: With Examples from the Areas of Knowledge Management, e-Commerce and the Semantic Web.Spinger: London, 2004

Exploitation of the Intermittent SBAS (ISBAS) algorithm with COSMO-SkyMed data for landslide inventory mapping in north-western Sicily, Italy

NASA Astrophysics Data System (ADS)

Novellino, A.; Cigna, F.; Sowter, A.; Ramondini, M.; Calcaterra, D.

2017-03-01

A large scale study of landslide processes was undertaken by coupling conventional geomorphological field surveys with aerial photographs along with an advanced Interferometric Synthetic Aperture Radar (InSAR) analysis of ground instability in north-western Sicily. COSMO-SkyMed satellite images for the period between 2008 and 2011 were processed using the Intermittent Small BAseline Subset (ISBAS) technique, recently developed at the Department of Civil Engineering of the University of Nottingham. The use of ISBAS allowed the derivation of ground surface displacements across non-urbanized areas, thus overcoming one of the main limitations of conventional interferometric techniques. ISBAS provides ground motion information not only for urban but also for rural, woodland, grassland and agricultural terrains, which cover > 60% of north-western Sicily, thereby improving by 40 times in some cases, the slope instability investigation capabilities of InSAR methods. ISBAS ground motion data enabled the updating of the landslide inventory for the areas of Piana degli Albanesi and Marineo (over 130 km2), which encompass a number of active, dormant and inactive landslides according to the pre-existing landslide inventory maps produced through aerial photo-interpretation and local field checks. An average of ∼ 7000 ISBAS pixels km- 2 allowed the detection of small displacements in regions difficult to access. In particular, 226 landslides - mainly slides, flows and creep and four badlands were identified, comprising a total area of 25.3 km2. When compared to the previous landslide inventory maps, 84 phenomena were confirmed, 67 new events were detected and 79 previously mapped events were re-assessed, modifying their typology, boundary and/or state of activity. Because the InSAR method used here is designed to measure slow rates of velocity and therefore may not detect fast-moving, events such as falls and topples, the results for Piana degli Albanesi and Marineo demonstrate the validity of this method to support land management, underlying the time and cost benefits of a combined approach using traditional monitoring procedures and satellite InSAR methods especially if slow-moving slope movements prevail.

An Investigation into the Optimal Number of Distractors in Single-Best Answer Exams

ERIC Educational Resources Information Center

Kilgour, James M.; Tayyaba, Saadia

2016-01-01

In UK medical schools, five-option single-best answer (SBA) questions are the most widely accepted format of summative knowledge assessment. However, writing SBA questions with four effective incorrect options is difficult and time consuming, and consequently, many SBAs contain a high frequency of implausible distractors. Previous research has…

Optimal Divergence-Free Hatch Filter for GNSS Single-Frequency Measurement.

PubMed

Park, Byungwoon; Lim, Cheolsoon; Yun, Youngsun; Kim, Euiho; Kee, Changdon

2017-02-24

The Hatch filter is a code-smoothing technique that uses the variation of the carrier phase. It can effectively reduce the noise of a pseudo-range with a very simple filter construction, but it occasionally causes an ionosphere-induced error for low-lying satellites. Herein, we propose an optimal single-frequency (SF) divergence-free Hatch filter that uses a satellite-based augmentation system (SBAS) message to reduce the ionospheric divergence and applies the optimal smoothing constant for its smoothing window width. According to the data-processing results, the overall performance of the proposed filter is comparable to that of the dual frequency (DF) divergence-free Hatch filter. Moreover, it can reduce the horizontal error of 57 cm to 37 cm and improve the vertical accuracy of the conventional Hatch filter by 25%. Considering that SF receivers dominate the global navigation satellite system (GNSS) market and that most of these receivers include the SBAS function, the filter suggested in this paper is of great value in that it can make the differential GPS (DGPS) performance of the low-cost SF receivers comparable to that of DF receivers.

Optimal Divergence-Free Hatch Filter for GNSS Single-Frequency Measurement

PubMed Central

Park, Byungwoon; Lim, Cheolsoon; Yun, Youngsun; Kim, Euiho; Kee, Changdon

2017-01-01

The Hatch filter is a code-smoothing technique that uses the variation of the carrier phase. It can effectively reduce the noise of a pseudo-range with a very simple filter construction, but it occasionally causes an ionosphere-induced error for low-lying satellites. Herein, we propose an optimal single-frequency (SF) divergence-free Hatch filter that uses a satellite-based augmentation system (SBAS) message to reduce the ionospheric divergence and applies the optimal smoothing constant for its smoothing window width. According to the data-processing results, the overall performance of the proposed filter is comparable to that of the dual frequency (DF) divergence-free Hatch filter. Moreover, it can reduce the horizontal error of 57 cm to 37 cm and improve the vertical accuracy of the conventional Hatch filter by 25%. Considering that SF receivers dominate the global navigation satellite system (GNSS) market and that most of these receivers include the SBAS function, the filter suggested in this paper is of great value in that it can make the differential GPS (DGPS) performance of the low-cost SF receivers comparable to that of DF receivers. PMID:28245584

Potential Deep Seated Landslide Mapping from Various Temporal Data - Benchmark, Aerial Photo, and SAR

NASA Astrophysics Data System (ADS)

Wang, Kuo-Lung; Lin, Jun-Tin; Lee, Yi-Hsuan; Lin, Meei-Ling; Chen, Chao-Wei; Liao, Ray-Tang; Chi, Chung-Chi; Lin, Hsi-Hung

2016-04-01

Landslide is always not hazard until mankind development in highly potential area. The study tries to map deep seated landslide before the initiation of landslide. Study area in central Taiwan is selected and the geological condition is quite unique, which is slate. Major direction of bedding in this area is northeast and the dip ranges from 30-75 degree to southeast. Several deep seated landslides were discovered in the same side of bedding from rainfall events. The benchmarks from 2002 ~ 2009 are in this study. However, the benchmarks were measured along Highway No. 14B and the road was constructed along the peak of mountains. Taiwan located between sea plates and continental plate. The elevation of mountains is rising according to most GPS and benchmarks in the island. The same trend is discovered from benchmarks in this area. But some benchmarks are located in landslide area thus the elevation is below average and event negative. The aerial photos from 1979 to 2007 are used for orthophoto generation. The changes of land use are obvious during 30 years and enlargement of river channel is also observed in this area. Both benchmarks and aerial photos have discovered landslide potential did exist this area but how big of landslide in not easy to define currently. Thus SAR data utilization is adopted in this case. DInSAR and SBAS sar analysis are used in this research and ALOS/PALSAR from 2006 to 2010 is adopted. DInSAR analysis shows that landslide is possible mapped but the error is not easy to reduce. The error is possibly form several conditions such as vegetation, clouds, vapor, etc. To conquer the problem, time series analysis, SBAS, is adopted in this research. The result of SBAS in this area shows that large deep seated landslides are easy mapped and the accuracy of vertical displacement is reasonable.

Skilled Birth Attendants: who is who? A descriptive study of definitions and roles from nine Sub Saharan African countries.

PubMed

Adegoke, Adetoro; Utz, Bettina; Msuya, Sia E; van den Broek, Nynke

2012-01-01

Availability of a Skilled Birth Attendant (SBA) during childbirth is a key indicator for MDG5 and a strategy for reducing maternal and neonatal mortality in Africa. There is limited information on how SBAs and their functions are defined. The aim of this study was to map the cadres of health providers considered SBAs in Sub Saharan Africa (SSA); to describe which signal functions of Essential Obstetric Care (EmOC) they perform and assess whether they are legislated to perform these functions. Key personnel in the Ministries of Health, teaching institutions, referral, regional and district hospitals completed structured questionnaires in nine SSA countries in 2009-2011. A total of 21 different cadres of health care providers (HCP) were reported to be SBA. Type and number of EmOC signal functions reported to be provided, varied substantially between cadres and countries. Parenteral antibiotics, uterotonic drugs and anticonvulsants were provided by most SBAs. Removal of retained products of conception and assisted vaginal delivery were the least provided signal functions. Except for the cadres of obstetricians, medical doctors and registered nurse-midwives, there was lack of clarity regarding signal functions reported to be performed and whether they were legislated to perform these. This was particularly for manual removal of placenta, removal of retained products and assisted vaginal delivery. In some countries, cadres not considered SBA performed deliveries and provided EmOC signal functions. In other settings, cadres reported to be SBA were able to but not legislated to perform key EmOC signal functions. Comparison of cadres of HCPs reported to be SBA across countries is difficult because of lack of standardization in names, training, and functions performed. There is a need for countries to develop clear guidelines defining who is a SBA and which EmOC signal functions each cadre of HCP is expected to provide.

Quantifying changes in land-surface height in bioenergy palm oil plantations (Sumatra) using InSAR time series.

NASA Astrophysics Data System (ADS)

Zhou, Zhiwei; Waldron, Susan; Li, Zhenhong

2013-04-01

Tropical peatlands in Southeast Asia cover ~ 439,238 km sq. and represent ~77 % of global tropical peatland carbon stores and ~11 % of global peatland area. These landscapes are substantial C stores accounting for ~17-19 % of the global peat C pool (Page et al., 2010). Within southeast Asia, Indonesian peatlands hold most C (57.4 Pg, 65 %), followed by Malaysia (9.1 Pg, 10 %). In recent decades the drive to use these soils for agriculture and often the palm oil biogenergy crop, has driven fire-clearing, deforestation and drainage of these carbon landscapes. The drainage can lead to respiration of the soil carbon store and subsidence of the peatland (Hooijer et al., 2012), reducing their strength as a current C store and their capacity for future soil C storage. Using field-based surveying to monitor changes in the past peatland surface height, and over the large areas typical of commercial agricultural palm oil plantations, is challenging such that measurements are more likely to describe a small area and be only a snapshot in time. Upscaling and understanding the rate of change in surface height through time may be overcome using remote sensing approaches. Here we present data on the change in peatland surface height in Indonesia palm oil plantations, detected using the Interferometry Synthetic Aperture Radar (InSAR) Small BAseline Set (SBAS) approach (Berardino et al., 2002). Using data from July 2007 to January 2011, we have generated a map of the rate of change of mean height, and time series of change in surface height for several plantation areas. To do this we used two independent ALOS L-band tracks SAR images, as there is a lack of ground data for validation, coherence in output provides confidence the results are representative. Our analysis to date shows that in drained and planted palm oil areas: 1) the rate of change in surface height (decrease) can vary; 2) the decrease in surface height can be up to 5 cm/year; 3) the largest decrease in surface height observed was 15 cm. Here we will explain further our approach to estimating change in surface height and consider these results in the context of the loss of regional and global C storage. Berardino, P., Fornaro, G., Lanari, R. & Sansosti, E. 2002. A new algorithm for surface deformation monitoring based on small baseline differential SAR interferograms. Geoscience and Remote Sensing, IEEE Transactions on, 40, 2375-2383. Hooijer, A., Page, S., Jauhiainen, J., Lee, W. A., Lu, X. X., Idris, A. & Anshari, G. 2012. Subsidence and carbon loss in drained tropical peatlands. Biogeosciences, 9, 1053-1071. Page, S., Wüst R.& Banks C. 2010. Past and present carbon accumulation and loss in Southeast Asian peatlands. PAGES news, 18, 25-27.

A sustainability model based on cloud infrastructures for core and downstream Copernicus services

NASA Astrophysics Data System (ADS)

Manunta, Michele; Calò, Fabiana; De Luca, Claudio; Elefante, Stefano; Farres, Jordi; Guzzetti, Fausto; Imperatore, Pasquale; Lanari, Riccardo; Lengert, Wolfgang; Zinno, Ivana; Casu, Francesco

2014-05-01

The incoming Sentinel missions have been designed to be the first remote sensing satellite system devoted to operational services. In particular, the Synthetic Aperture Radar (SAR) Sentinel-1 sensor, dedicated to globally acquire over land in the interferometric mode, guarantees an unprecedented capability to investigate and monitor the Earth surface deformations related to natural and man-made hazards. Thanks to the global coverage strategy and 12-day revisit time, jointly with the free and open access data policy, such a system will allow an extensive application of Differential Interferometric SAR (DInSAR) techniques. In such a framework, European Commission has been funding several projects through the GMES and Copernicus programs, aimed at preparing the user community to the operational and extensive use of Sentinel-1 products for risk mitigation and management purposes. Among them, the FP7-DORIS, an advanced GMES downstream service coordinated by Italian National Council of Research (CNR), is based on the fully exploitation of advanced DInSAR products in landslides and subsidence contexts. In particular, the DORIS project (www.doris-project.eu) has developed innovative scientific techniques and methodologies to support Civil Protection Authorities (CPA) during the pre-event, event, and post-event phases of the risk management cycle. Nonetheless, the huge data stream expected from the Sentinel-1 satellite may jeopardize the effective use of such data in emergency response and security scenarios. This potential bottleneck can be properly overcome through the development of modern infrastructures, able to efficiently provide computing resources as well as advanced services for big data management, processing and dissemination. In this framework, CNR and ESA have tightened up a cooperation to foster the use of GRID and cloud computing platforms for remote sensing data processing, and to make available to a large audience advanced and innovative tools for DInSAR products generation and exploitation. In particular, CNR is porting the multi-temporal DInSAR technique referred to as Small Baseline Subset (SBAS) into the ESA G-POD (Grid Processing On Demand) and CIOP (Cloud Computing Operational Pilot) platforms (Elefante et al., 2013) within the SuperSites Exploitation Platform (SSEP) project, which aim is contributing to the development of an ecosystem for big geo-data processing and dissemination. This work focuses on presenting the main results that have been achieved by the DORIS project concerning the use of advanced DInSAR products for supporting CPA during the risk management cycle. Furthermore, based on the DORIS experience, a sustainability model for Core and Downstream Copernicus services based on the effective exploitation of cloud platforms is proposed. In this framework, remote sensing community, both service providers and users, can significantly benefit from the Helix Nebula-The Science Cloud initiative, created by European scientific institutions, agencies, SMEs and enterprises to pave the way for the development and exploitation of a cloud computing infrastructure for science. REFERENCES Elefante, S., Imperatore, P. , Zinno, I., M. Manunta, E. Mathot, F. Brito, J. Farres, W. Lengert, R. Lanari, F. Casu, 2013, "SBAS-DINSAR Time series generation on cloud computing platforms". IEEE IGARSS Conference, Melbourne (AU), July 2013.

Analysis of recent surface deformation at Ischia Island Volcano (South Italy) via multi-platform monitoring systems

NASA Astrophysics Data System (ADS)

Manzo, Mariarosaria; De Martino, Prospero; Castaldo, Raffaele; De Luca, Claudio; Dolce, Mario; Scarpato, Giovanni; Tizzani, Pietro; Zinno, Ivana; Lanari, Riccardo

2017-04-01

Ischia Island is a densely populated volcanic area located in the North-Western sector of the Gulf of Napoli (South Italy), whose activity is characterized by eruptions (the last one occurred in 1302 A.D.), earthquakes (the most disastrous ones occurred in 1881 and in 1883), fumarolic-hydrothermal manifestations and ground deformation. In this work we carry out the surface deformation time-series analysis occurring at the Island by jointly exploiting data collected via two different monitoring systems. In particular, we take advantage from the large amount of periodic and continuous geodetic measurements collected by the GPS (campaign and permanent) stations deployed on the Island and belonging to the INGV-OV monitoring network. Moreover, we benefit from the large, free and open archive of C-band SAR data acquired over the Island by the Sentinel-1 constellation of the Copernicus Program, and processed via the advanced Differential SAR Interferometry (DInSAR) technique referred to as Small BAseline Subset (SBAS) algorithm [Berardino et al., 2002]. We focus on the 2014-2017 time period to analyze the recent surface deformation phenomena occurring on the Island, thus extending a previous study, aimed at investigating the temporal evolution of the ground displacements affecting the Island and limited to the 1992-2003 time interval [Manzo et al., 2006]. The performed integrated analysis provides relevant spatial and temporal information on the Island surface deformation pattern. In particular, it reveals a rather complex deformative scenario, where localized phenomena overlap/interact with a spatially extended deformation pattern that involves many Island sectors, with no evidence of significant uplift phenomena. Moreover, it shows a good agreement and consistency between the different kinds of data, thus providing a clear picture of the recent dynamics at Ischia Island that can be profitably exploited to deeply investigate the physical processes behind the observed deformation phenomena. Acknowledgments This work is partially supported by the IREA-CNR/Italian Department of Civil Protection agreement and the I-AMICA project (Infrastructure of High Technology for Environmental and Climate Monitoring-PONa3_00363). References Berardino, P., G. Fornaro, R. Lanari, and E. Sansosti (2002), A new algorithm for surface deformation monitoring based on small baseline differential SAR interferograms, IEEE Trans. Geosci. Remote Sens., 40, 2375-2383, doi:10.1109/TGRS.2002.803792. Manzo, M., G. P. Ricciardi, F. Casu, G. Ventura, G. Zeni, S. Borgström, P. Berardino, C. Del Gaudio, and R. Lanari (2006), Surface deformation analysis in the Ischia Island (Italy) based on spaceborne radar interferometry, Journal of Volcanology and Geothermal Research, 151, 399-416, doi:10.1016/j.jvolgeores.2005.09.010.

76 FR 1595 - Notice of Request for Extension of a Currently Approved Information Collection

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-11

... collection in support of the program of the Agency's use of supervised bank accounts (SBA). DATES: Comments... Accounts. OMB Number: 0575-0158. Expiration Date of Approval: 04/30/2011 Type of Request: Extension of a... that do not qualify for loans under commercial rates and terms. The Agency use SBAs as a mechanism to...

On the ionospheric impact of recent storm events on satellite-based augmentation systems in middle and low-latitude sectors

NASA Technical Reports Server (NTRS)

Komjathy, Attila; Sparks, Lawrence; Mannucci, Anthony J.; Pi, Xiaoqing

2003-01-01

The Ionospheric correction algorithms have been characterized extensively for the mid-latitude region of the ionosphere where benign conditions usually exist. The United States Federal Aviation Administration's (FAA) Wide Area Augmentation System (WAAS) for civil aircraft navigation is focused primarily on the Conterminous United States (CONUS). Other Satellite-based Augmentation Systems (SBAS) include the European Geostationary Navigation Overlay Service (EGNOS) and the Japanese Global Navigation Satellite System (MSAS). Researchers are facing a more serious challenge in addressing the ionospheric impact on navigation using SBAS in other parts of the world such as the South American region on India. At equatorial latitudes, geophysical conditions lead to the so-called Appleton-Hartree (equatorial) anomaly phenomenon, which results in significantly larger ionospheric range delays and range delay spatial gradients than is observed in the CONUS or European sectors. In this paper, we use GPS measurements of geomagnetic storm days to perform a quantitative assessment of WAAS-type ionospheric correction algorithms in other parts of the world such as the low-latitude Brazil and mid-latitude Europe. For the study, we access a world-wide network of 400+ dual frequency GPS receivers.

The exploitation of large archives of space-borne C-band SAR data in the framework of FP7-DORIS Project

NASA Astrophysics Data System (ADS)

Del Ventisette, Chiara; Ciampalini, Andrea

2013-04-01

DORIS (Ground Deformations Risk Scenarios: an Advanced Assessment Service) is an advanced downstream service project within the seventh Framework Programme of the European Commission. A European team was set up in order to make the best views of the most advanced research and technologies outcomes in the field of Earth Observation (EO) for the improvement of risk management. The aim of the DORIS project is the development of new methodologies for the detection, mapping, monitoring and forecasting of ground deformations. DORIS integrates traditional and innovative EO and ground based (non-EO) data to improve our understanding of the complex phenomena at different temporal and spatial scales and in various physiographic and environmental settings that result in ground deformations, including landslides and ground subsidence, for civil protection purposes. One of the goal of the Doris Project is the exploitation of the large data archives for geohazards mapping. In this work the existing ESA Synthetic Aperture Radar (SAR) archives, operating in the microwave C-band (data collected by the ERS-1/2 and ENVISAT satellite) were analysed through new algorithms developed to reconstruct long time series (almost 20 years) and the obtained preliminary results are presented. The algorithms are based on Small BAseline Subset technique (SBAS; developed by CNR-IREA), ERS- ENVISAT Stitching (T.R.E.), Stable Point Network (SPN; Altamira) and ERS-ENVISAT Interferometric Point Target Analysis (IPTA; Gamma). The potentiality of these algorithms were evaluate in selected test sites characterized by different ground deformation phenomena (landslide and/or subsidence): i) Central Umbria (Italy); ii) Messina Province (Italy); iii) Rácalmás (Hungary); iv) Silesian Coal Basin (Poland); v) Tramuntana Range (Mallorca, Spain) and vi) St. Moritz (Switzerland). The results demonstrate the usefulness of the implemented algorithms, but in some cases there is a loss of the coherent points, especially in the most unstable areas.

Assessment of DInSAR Potential in Simulating Geological Subsurface Structure

NASA Astrophysics Data System (ADS)

Fouladi Moghaddam, N.; Rudiger, C.; Samsonov, S. V.; Hall, M.; Walker, J. P.; Camporese, M.

2013-12-01

High resolution geophysical surveys, including seismic, gravity, magnetic, etc., provide valuable information about subsurface structuring but they are very costly and time consuming with non-unique and sometimes conflicting interpretations. Several recent studies have examined the application of DInSAR to estimate surface deformation, monitor possible fault reactivation and constrain reservoir dynamic behaviour in geothermal and groundwater fields. The main focus of these studies was to generate an elevation map, which represents the reservoir extraction induced deformation. This research study, however, will focus on developing methods to simulate subsurface structuring and identify hidden faults/hydraulic barriers using DInSAR surface observations, as an innovative and cost-effective reconnaissance exploration tool for planning of seismic acquisition surveys in geothermal and Carbon Capture and Sequestration regions. By direct integration of various DInSAR datasets with overlapping temporal and spatial coverage we produce multi-temporal ground deformation maps with high resolution and precision to evaluate the potential of a new multidimensional MSBAS technique (Samsonov & d'Oreye, 2012). The technique is based on the Small Baseline Subset Algorithm (SBAS) that is modified to account for variation in sensor parameters. It allows integration of data from sensors with different wave-band, azimuth and incidence angles, different spatial and temporal sampling and resolutions. These deformation maps then will be used as an input for inverse modelling to simulate strain history and shallow depth structure. To achieve the main objective of our research, i.e. developing a method for coupled InSAR and geophysical observations and better understanding of subsurface structuring, comparing DInSAR inverse modelling results with previously provided static structural model will result in iteratively modified DInSAR structural model for adequate match with in situ observations. The newly developed and modified algorithm will then be applied in another part of the region where subsurface information is limited.

InSAR to support sustainable urbanization over compacting aquifers: The case of Toluca Valley, Mexico

NASA Astrophysics Data System (ADS)

Castellazzi, Pascal; Garfias, Jaime; Martel, Richard; Brouard, Charles; Rivera, Alfonso

2017-12-01

This paper illustrates how InSAR alone can be used to delineate potential ground fractures related to aquifer system compaction. An InSAR-derived ground fracturing map of the Toluca Valley, Mexico, is produced and validated through a field campaign. The results are of great interest to support sustainable urbanization and show that InSAR processing of open-access Synthetic Aperture Radar (SAR) data from the Sentinel-1 satellites can lead to reliable and cost-effective products directly usable by cities to help decision-making. The Toluca Valley Aquifer (TVA) sustains the water needs of two million inhabitants living within the valley, a growing industry, an intensively irrigated agricultural area, and 38% of the water needs of the megalopolis of Mexico City, located 40 km east of the valley. Ensuring water sustainability, infrastructure integrity, along with supporting the important economic and demographic growth of the region, is a major challenge for water managers and urban developers. This paper presents a long-term analysis of ground fracturing by interpreting 13 years of InSAR-derived ground displacement measurements. Small Baseline Subset (SBAS) and Persistent Scatterer Interferometry (PSI) techniques are applied over three SAR datasets totalling 93 acquisitions from Envisat, Radarsat-2, and Sentinel-1A satellites and covering the period from 2003 to 2016. From 2003 to 2016, groundwater level declines of up to 1.6 m/yr, land subsidence up to 77 mm/yr, and major infrastructure damages are observed. Groundwater level data show highly variable seasonal responses according to their connectivity to recharge areas. However, the trend of groundwater levels consistently range from -0.5 to -1.5 m/yr regardless of the well location and depth. By analysing the horizontal gradients of vertical land subsidence, we provide a potential ground fracture map to assist in future urban development planning in the Toluca Valley.

New insights into the magma chamber activity under Mauna Loa inferred from SBAS-InSAR and geodetic inversion modelling

NASA Astrophysics Data System (ADS)

Varugu, B. K.; Amelung, F.

2017-12-01

Mauna Loa volcano, located on the Big Island, Hawaii, is the largest volcano on the earth and historically been one of the most active volcanoes on the earth. Since its last eruption in 1984, there was a decrease in the magmatic activity, yet episodic inflations with increased seismicity sparks interests in the scientific community and there is strong need to monitor the volcano with growing infrastructure close to the flanks of the volcano. Geodetic modelling of the previous inflations illustrate that the magma activity is due to inflation of hydraulically connected dike and magma chamber located from 4-8km beneath the summit (Amelung et al. 2007). Most of the seismicity observed on Mauna Loa is due to the movement along a decollement fault situated at the base of the volcano. Magma inflation under Mauna Loa has started again during the last quarter of 2013 and is continuing still with an increased seismicity. In this study, we used 140 images form COSMO SkyMED between 2013-2017 to derive and model the ground deformation. We carried out time series InSAR analysis using Small Baseline (SB) approach. While the deformation pattern seems similar in many ways to the previous inflation periods, geodetic modelling for inversion of source parameters indicate a significant propagation of the dike ( 1 km) into the South West Rift Zone(SWRZ) and a decreased depth of the dike top from summit, compared to the previous inflations. Such propagation needs to be studied further in view of the steep slope of SWRZ. In understanding the dynamics of this propagating dike, we also observed an increased seismic activity since 2014 in the vicinity of the modelled dike. Here in this study we attempt to characterize the stresses induced by the propagating dike and seaward slipping movement along the basal decollement, to explain the increased seismicity using a finite element model.

Surface Deformation in Quetta Valley, Balochistan, Pakistan

NASA Astrophysics Data System (ADS)

Huang, J.; Shuhab, K.; Wulamu, A.; Crupa, W.; Khan, A. S.; Kakar, D. M.; Kasi, A.

2015-12-01

In February 2011, several ground fissures up to ~1.8 km in length appeared in the Quetta Valley, Balochsitan, Pakistan. It is not clear what caused the sudden occurrence of these fissures. The region is tectonically active and bounded to the west by several regional strike-slip faults including the north-south striking left-lateral Chaman fault system that slips at ~10 mm per year. Several large earthquakes have occurred recently in this area, one fatal 6.4 magnitude (Mw) earthquake occurred on October 28th, 2008. Some parts of Quetta Valley are subsiding; GPS data from two stations in Quetta that span mid-2006 - 2009 recorded subsidence rates of ~10 cm per year. Although subsidence in urban areas is generally attributed to groundwater depletion, it is not clear whether ground fissures are caused by water withdrawal or related to tectonics of the region. This study is designed to quantify and assess the source of surface deformation in Quetta Valley using InSAR, GPS, seismic and earthquake centroid moment tensor data. To detect and map the spatial-temporal features of the processes that led to the surface deformation, we used two time series, i.e., 15 European Remote Sensing (ERS-1/2) satellite images from 1992 - 1999 and 27 ENVISAT images spanning 2003 - 2010. A Differential Interferometric Synthetic Aperture Radar (DInSAR) Small Baseline Subset (SBAS) technique was used to investigate surface deformation. Eleven continuous-GPS stations within the InSAR antenna footprint were compared with the InSAR time series for quality control. Preliminary InSAR results revealed that the areas in and around the fissures are subsiding at 5 cm per year. Five seismic lines totaling ~60 km, acquired in 2003, were used to interpret faults beneath Holocene alluvium in the Quetta Valley. One of the blind faults is a north-south striking thrust fault mapped north into the Takatu range. However, a focal mechanism for the 2008 earthquake in this region indicated northwest-southeast strike-slip fault movement.

Residual settlements detection of ocean reclaimed lands with multi-platform SAR time series and SBAS technique: a case study of Shanghai Pudong International Airport

NASA Astrophysics Data System (ADS)

Yu, Lei; Yang, Tianliang; Zhao, Qing; Pepe, Antonio; Dong, Hongbin; Sun, Zhibin

2017-09-01

Shanghai Pudong International airport is one of the three major international airports in China. The airport is located at the Yangtze estuary which is a sensitive belt of sea and land interaction region. The majority of the buildings and facilities in the airport are built on ocean-reclaimed lands and silt tidal flat. Residual ground settlement could probably occur after the completion of the airport construction. The current status of the ground settlement of the airport and whether it is within a safe range are necessary to be investigated. In order to continuously monitor the ground settlement of the airport, two Synthetic Aperture Radar (SAR) time series, acquired by X-band TerraSAR-X (TSX) and TanDEM-X (TDX) sensors from December 2009 to December 2010 and from April 2013 to July 2015, were used for analyzing with SBAS technique. We firstly obtained ground deformation measurement of each SAR subset. Both of the measurements show that obvious ground subsidence phenomenon occurred at the airport, especially in the second runway, the second terminal, the sixth cargo plane and the eighth apron. The maximum vertical ground deformation rates of both SAR subset measurements were greater than -30 mm/year, while the cumulative ground deformations reached up to -30 mm and -35 mm respectively. After generation of SBAS-retrieved ground deformation for each SAR subset, we performed a joint analysis to combine time series of each common coherent point by applying a geotechnical model. The results show that three centralized areas of ground deformation existed in the airport, mainly distributed in the sixth cargo plane, the fifth apron and the fourth apron, The maximum vertical cumulative ground subsidence was more than -70 mm. In addition, by analyzing the combined time series of four selected points, we found that the ground deformation rates of the points located at the second runway, the third runway, and the second terminal, were progressively smaller as time goes by. It indicates that the stabilities of the foundation around these points were gradually enhanced.

Taming Log Files from Game/Simulation-Based Assessments: Data Models and Data Analysis Tools. Research Report. ETS RR-16-10

ERIC Educational Resources Information Center

Hao, Jiangang; Smith, Lawrence; Mislevy, Robert; von Davier, Alina; Bauer, Malcolm

2016-01-01

Extracting information efficiently from game/simulation-based assessment (G/SBA) logs requires two things: a well-structured log file and a set of analysis methods. In this report, we propose a generic data model specified as an extensible markup language (XML) schema for the log files of G/SBAs. We also propose a set of analysis methods for…

Block Copolymer-Based Supramolecular Elastomers with High Extensibility and Large Stress Generation Capability

NASA Astrophysics Data System (ADS)

Noro, Atsushi; Hayashi, Mikihiro

We prepared block copolymer-based supramolecular elastomers with high extensibility and large stress generation capability. Reversible addition fragmentation chain transfer polymerizations were conducted under normal pressure and high pressure to synthesize several large molecular weight polystyrene-b-[poly(butyl acrylate)-co-polyacrylamide]-b-polystyrene (S-Ba-S) block copolymers. Tensile tests revealed that the largest S-Ba-S with middle block molecular weight of 3140k achieved a breaking elongation of over 2000% with a maximum tensile stress of 3.6 MPa and a toughness of 28 MJ/m3 while the reference sample without any middle block hydrogen bonds, polystyrene-b-poly(butyl acrylate)-b-polystyrene with almost the same molecular weight, was merely viscous and not self-standing. Hence, incorporation of hydrogen bonds into a long soft middle block was found to be beneficial to attain high extensibility and large stress generation capability probably due to concerted combination of entropic changes and internal potential energy changes originaing from the dissociation of multiple hydrogen bonds by elongation. This work was supported by JSPS KAKENHI Grant Numbers 13J02357, 24685035, 15K13785, and 23655213 for M.H. and A.N. A.N. also expresses his gratitude for Tanaka Rubber Science & Technology Award by Enokagaku-Shinko Foundation, Japan.

AATR an ionospheric activity indicator specifically based on GNSS measurements

NASA Astrophysics Data System (ADS)

Juan, José Miguel; Sanz, Jaume; Rovira-Garcia, Adrià; González-Casado, Guillermo; Ibáñez, D.; Perez, R. Orus

2018-03-01

This work reviews an ionospheric activity indicator useful for identifying disturbed periods affecting the performance of Global Navigation Satellite System (GNSS). This index is based in the Along Arc TEC Rate (AATR) and can be easily computed from dual-frequency GNSS measurements. The AATR indicator has been assessed over more than one Solar Cycle (2002-2017) involving about 140 receivers distributed world-wide. Results show that it is well correlated with the ionospheric activity and, unlike other global indicators linked to the geomagnetic activity (i.e. DST or Ap), it is sensitive to the regional behaviour of the ionosphere and identifies specific effects on GNSS users. Moreover, from a devoted analysis of different Satellite Based Augmentation System (SBAS) performances in different ionospheric conditions, it follows that the AATR indicator is a very suitable mean to reveal whether SBAS service availability anomalies are linked to the ionosphere. On this account, the AATR indicator has been selected as the metric to characterise the ionosphere operational conditions in the frame of the European Space Agency activities on the European Geostationary Navigation Overlay System (EGNOS). The AATR index has been adopted as a standard tool by the International Civil Aviation Organization (ICAO) for joint ionospheric studies in SBAS. In this work we explain how the AATR is computed, paying special attention to the cycle-slip detection, which is one of the key issues in the AATR computation, not fully addressed in other indicators such as the Rate Of change of the TEC Index (ROTI). After this explanation we present some of the main conclusions about the ionospheric activity that can extracted from the AATR values during the above mentioned long-term study. These conclusions are: (a) the different spatial correlation related with the MOdified DIP (MODIP) which allows to clearly separate high, mid and low latitude regions, (b) the large spatial correlation in mid latitude regions which allows to define a planetary index, similar to the geomagnetic ones, (c) the seasonal dependency which is related with the longitude and (d) the variation of the AATR value at different time scales (hourly, daily, seasonal, among others) which confirms most of the well-known time dependences of the ionospheric events, and finally, (e) the relationship with the space weather events.

Incorporation Kinetics in Mixed Anion Compound Semiconductor Alloys

DTIC Science & Technology

2013-01-01

been studied . 5-8 but few reports attempting to systematically determine the Sb/As incorporation as a function of growth parameters exist other...droplets are not expected to form. In this case , the surface is always covered in either the anion or segregant such that s + a =1. The rate of...values were determined in two different ways. In the first case we started by measuring the growth rates with RHEED oscillations under excess group

40 CFR 80.245 - How does a small refiner apply for a sulfur baseline?

Code of Federal Regulations, 2011 CFR

2011-07-01

... sulfur baseline? 80.245 Section 80.245 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) REGULATION OF FUELS AND FUEL ADDITIVES Gasoline Sulfur Hardship Provisions § 80.245 How does a small refiner apply for a sulfur baseline? (a) Any refiner seeking small...

40 CFR 80.245 - How does a small refiner apply for a sulfur baseline?

Code of Federal Regulations, 2014 CFR

2014-07-01

... sulfur baseline? 80.245 Section 80.245 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) REGULATION OF FUELS AND FUEL ADDITIVES Gasoline Sulfur Hardship Provisions § 80.245 How does a small refiner apply for a sulfur baseline? (a) Any refiner seeking small...

40 CFR 80.245 - How does a small refiner apply for a sulfur baseline?

Code of Federal Regulations, 2010 CFR

2010-07-01

... sulfur baseline? 80.245 Section 80.245 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) REGULATION OF FUELS AND FUEL ADDITIVES Gasoline Sulfur Hardship Provisions § 80.245 How does a small refiner apply for a sulfur baseline? (a) Any refiner seeking small...

40 CFR 80.245 - How does a small refiner apply for a sulfur baseline?

Code of Federal Regulations, 2013 CFR

2013-07-01

... sulfur baseline? 80.245 Section 80.245 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) REGULATION OF FUELS AND FUEL ADDITIVES Gasoline Sulfur Hardship Provisions § 80.245 How does a small refiner apply for a sulfur baseline? (a) Any refiner seeking small...

40 CFR 80.245 - How does a small refiner apply for a sulfur baseline?

Code of Federal Regulations, 2012 CFR

2012-07-01

... sulfur baseline? 80.245 Section 80.245 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) REGULATION OF FUELS AND FUEL ADDITIVES Gasoline Sulfur Hardship Provisions § 80.245 How does a small refiner apply for a sulfur baseline? (a) Any refiner seeking small...

Large-area landslide detection and monitoring with ALOS/PALSAR imagery data over Northern California and Southern Oregon, USA

USGS Publications Warehouse

Zhao, Chaoying; Lu, Zhong; Zhang, Qin; de la Fuente, Juan

2012-01-01

Multi-temporal ALOS/PALSAR images are used to automatically investigate landslide activity over an area of ~ 200 km by ~ 350 km in northern California and southern Oregon. Interferometric synthetic aperture radar (InSAR) deformation images, InSAR coherence maps, SAR backscattering intensity images, and a DEM gradient map are combined to detect active landslides by setting individual thresholds. More than 50 active landslides covering a total of about 40 km2 area are detected. Then the short baseline subsets (SBAS) InSAR method is applied to retrieve time-series deformation patterns of individual detected landslides. Down-slope landslide motions observed from adjacent satellite tracks with slightly different radar look angles are used to verify InSAR results and measurement accuracy. Comparison of the landslide motion with the precipitation record suggests that the landslide deformation correlates with the rainfall rate, with a lag time of around 1–2 months between the precipitation peak and the maximum landslide displacement. The results will provide new insights into landslide mechanisms in the Pacific Northwest, and facilitate development of early warning systems for landslides under abnormal rainfall conditions. Additionally, this method will allow identification of active landslides in broad areas of the Pacific Northwest in an efficient and systematic manner, including remote and heavily vegetated areas difficult to inventory by traditional methods.

The evidences of progressive pressurization of volcanic conduit as driving forces of unrest phenomena analyzed via modelling of multiplatform geodetic measurements: Fernandina (GALAPAGOS) and Maunaloa (HAWAII) case studies

NASA Astrophysics Data System (ADS)

Pepe, Susi; Castaldo, Raffaele; Casu, Francesco; D'Auria, Luca; De Luca, Claudio; De Novellis, Vincenzo; Solaro, Giuseppe; Tizzani, Pietro

2017-04-01

We investigated the source of the ground deformation pattern affecting the Mauna Loa (Hawaii) and Fernandina (Galapagos) volcanoes by jointly exploiting different dataset collected by both GPS and multiplatform and multiorbit SAR sensors. We exploited the advanced Differential SAR Interferometry (DInSAR) techniques to analyze unrest episode in two different geodynamics context. Our main goal is the understanding of the relationship among the spatio-temporal evolution of the ground deformation field and the temporal volumetric variation of the detected geodetic source during the uplift phenomena. We highlight the huge opportunity in understanding volcano unrest phenomena offered by the joint use of remote sensing data and inversion procedures: this prospect is particularly relevant for the analysis of uplift events, when other geophysical measurements are not available. For Mauna Loa (Hawaii) and Fernandina (Galapagos) volcanoes, the performed statistic analysis support the source pipe-like as the more suitable geometry to explain the unrest phenomena in which magmatic masses intrude in volcanic conduits. In particular, the deformation time series achieved at MounaLoa volcano are achieved by 23 GPS permanent stations of the Hawaii surveillance network, processed by Nevada Geodetic Laboratory, 7 SAR dataset acquired from ascending and descending orbits, with different look angles and along different tracks, by the C-Band Envisat satellite along the 2003 - 2010 time period for a total of 189 SAR imagery. Moreover, we exploited 2 dataset collected from ascending and descending passes by the X-Band Cosmo Sky-Med constellation during the 2012 - 2015 time span . These SAR datasets have been processed through the advanced DInSAR technique referred to as P-SBAS (De Luca et al., 2016), which allows us to retrieve the Line of Sight (LOS) projection of the surface deformation and analyze its temporal evolution by generating displacement time series. Starting this data collection, we determined the source responsible of deformation observed and in particular the results of our inversions show that the pipe source contributes substantially to both the ground deformation pattern and the cost function. In the case of Fernandina Volcano (Galápagos) we exploited the advanced Differential SAR Interferometry (DInSAR) techniques to analyze the 2012-2013 uplift episode by using X-band data from the COSMO-SkyMed (CSK) satellite constellation. This volcano falls among those not well monitored, therefore, the availability of CSK data, acquired with a repeat time ranging from 4 to 12 days and with a ground resolution of 3 meters, represents a unique opportunity to perform a detailed study of the space and time ground deformation field changes (Sansosti et al., 2014). In addition, in this case study we computed the ground deformation time series by applying the Small BAseline Subset (SBAS)-DInSAR approach (Berardino et al., 2002) to CSK data, acquired from both ascending and descending orbits. The results of their combination (vertical and horizontal E-W components) are used in order to evaluate, through a cross correlation analysis (Tizzani et al., 2009; 2015), the volcanic areas that are characterized by similar uplift temporal behavior. Subsequently, we determine the geometry, location and the temporal evolution of the geodetic source responsible for the 2012 - 2013 uplift event by applying an inverse method to the DInSAR measurements. We search for its geometrical parameters and volume variation that minimize the difference between the observed data and the modelled ground deformation field. We tested various analytical models and finally, using the Akaike Information Criterion (Akaike, 1965) among the tested analytical sources, we selected the tilted pipe. The pipe model is similar to the prolate ellipsoid, but the size of the smaller axis is kept fixed to a very small value (i.e., 10 m). Despite having a similar fit with the prolate ellipsoid, the tilted pipe-like source has been selected because it has a lower number of degrees of freedom. Both vertical and E-W cross-correlated maps support the hypothesis of the existence of a single active source, characterized by a spatial stability over the entire considered time interval. Indeed, with the proposed source inversion procedure, we have shown that the inflation of a SE dipping tilted closed pipe-like pressurized source explains the observed ground deformation pattern very well. This result suggests that the observed uplift phenomenon could be produced by the progressive pressurization of a shallow elongated magma chamber, before the eruption onset phase. References Akaike, H. On the statistical estimation of the frequency response function of a system having multiple input. Ann. Inst. Stat. Math. 17, 185-210 (1965). Berardino, P., Fornaro, G., Lanari, R., Sansosti, E. (2002). A new algorithm for surface deformation monitoring based on small baseline differential SAR interferograms, IEEE Trans. Geosci. Remote Sens., 40, 2375-2383, doi:10.1109/TGRS.2002.803792. De Luca, C.; Cuccu, R.; Elefante, S.; Zinno, I.; Manunta, M.; Casola, V.; Rivolta, G.; Lanari, R.; Casu, F. An On-Demand Web Tool for the Unsupervised Retrieval of Earth's Surface Deformation from SAR Data: The P-SBAS Service within the ESA G-POD Environment. Remote Sens. 2015, 7, 15630-15650. Fialko, Y., Khazan, Y. and Simons, M. (2001), Deformation due to a pressurized horizontal circular crack in an elastic half-space, with applications to volcano geodesy. Geophysical Journal International, 146(1), 181-190 Mogi, K. (1958), Relations between the eruptions of various volcanoes and the deformations of the ground surfaces around them. Bulletin of the Earthquake Research Institute 36, 99-134. McTigue, D. F. (1987), Elastic stress and deformation near a finite spherical magma body: Resolution of the point source paradox. Journal of Geophysical Research: Solid Earth (1978-2012), 92(B12), 12931-12940. Okada, Y. Surface deformation due to shear and tensile faults in a half-space. Bull. Seism. Soc. Am. 75, 1135-1154 (1985). Sansosti, E., Berardino, P., Bonano, M., Calò, F., Castaldo, R., Casu, F., Manunta, M., Manzo, M., Pepe, A., Pepe, S., Solaro, G., Tizzani, P., Zeni, G., Lanari, R. (2014). How second generation SAR systems are impacting the analysis of ground deformation. International Journal of Applied Earth Observation and Geoinformation, 28, doi:10.1016/j.jag.2013.10.007. Tizzani, P., Battaglia, M., Zeni, G., Atzori, S., Berardino, P., Lanari, R. (2009). Uplift and magma intrusion at Long Valley caldera from InSAR and gravity measurements, Geology, January 2009 37; no.1; p. 63-66; doi:10.1130/G25318A.1 Tizzani, P., Battaglia, M., Castaldo, R., Pepe, A., Zeni, G., Lanari, R. (2015). Magma and fluid migration at Yellowstone Caldera in the last three decades inferred from InSAR, leveling, and gravity measurements. J. Geophys. Res. Solid Earth, 120, 2627-2647. doi: 10.1002/2014JB011502. Yang, X. M., Davis, P. M., and Dieterich, J. H. (1988), Deformation from inflation of a dipping finite prolate spheroid in an elastic half-space as a model for volcanic stressing. Journal of Geophysical Research: Solid Earth (1978-2012), 93(B5), 4249-4257.

UAVSAR and TerraSAR-X Based InSAR Detection of Localized Subsidence in the New Orleans Area

NASA Astrophysics Data System (ADS)

Blom, R. G.; An, K.; Jones, C. E.; Latini, D.

2014-12-01

Vulnerability of the US Gulf coast to inundation has received increased attention since hurricanes Katrina and Rita. Compounding effects of sea level rise, wetland loss, and regional and local subsidence makes flood protection a difficult challenge, and particularly for the New Orleans area. Key to flood protection is precise knowledge of elevations and elevation changes. Analysis of historical and continuing geodetic measurements show surprising complexity, including locations subsiding more rapidly than considered during planning of hurricane protection and coastal restoration projects. Combining traditional, precise geodetic data with interferometric synthetic aperture radar (InSAR) observations can provide geographically dense constraints on surface deformation. The Gulf Coast environment is challenging for InSAR techniques, especially with systems not designed for interferometry. We use two InSAR capable systems, the L- band (24 cm wavelength) airborne JPL/NASA UAVSAR, and the DLR/EADS Astrium spaceborne TerraSAR X-band (3 cm wavelength), and compare results. First, we are applying pair-wise InSAR to the longer wavelength UAVSAR data to detect localized elevation changes potentially impacting flood protection infrastructure from 2009 - 2014. We focus on areas on and near flood protection infrastructure to identify changes indicative of subsidence, structural deformation, and/or seepage. The Spaceborne TerraSAR X-band SAR system has relatively frequent observations, and dense persistent scatterers in urban areas, enabling measurement of very small displacements. We compare L-band UAVSAR results with permanent scatterer (PS-InSAR) and Short Baseline Subsets (SBAS) interferometric analyses of a stack composed by 28 TerraSAR X-band images acquired over the same period. Thus we can evaluate results from the different radar frequencies and analyses techniques. Preliminary results indicate subsidence features potentially of a variety of causes, including ground water pumping to post recent construction ground compaction. Our overall goal is to enable incorporation of InSAR into the decision making process via identification and delineation of areas of persistent subsidence, and provide input to improve monitoring and planning in flood risk areas.

A strategy for Local Surface Stability Monitoring Using SAR Imagery

NASA Astrophysics Data System (ADS)

Kim, J.; Lan, C. W.; Lin, S. Y.; vanGasselt, S.; Yun, H.

2017-12-01

In order to provide sufficient facilities to satisfy a growing number of residents, nowadays there are many constructions and maintenance of infrastructures or buildings undergoing above and below the surface of urban area. In some cases we have learned that disasters might happen if the developments were conducted on unknown or geologically unstable ground or in over-developed areas. To avoid damages caused by such settings, it is essential to perform a regular monitoring scheme to understand the ground stability over the whole urban area. Through long-term monitoring, we firstly aim to observe surface stability over the construction sites. Secondly, we propose to implement an automatic extraction and tracking of suspicious unstable area. To achieve this, we used 12-days-interval C-band Sentinel-1A Synthetic Aperture Radar (SAR) images as the main source to perform regular monitoring. Differential Interferometric SAR (D-InSAR) technique was applied to generate interferograms. Together with the accumulation of updated Sentinel-1A SAR images, time series interferograms were formed accordingly. For the purpose of observing surface stability over known construction sites, the interferograms and the unwrapped products could be used to identify the surface displacement occurring before and after specific events. In addition, Small Baseline Subset (SBAS) and Permanent Scatterers (PS) approaches combining a set of unwrapped D-InSAR interferograms were also applied to derive displacement velocities over long-term periods. For some cases, we conducted the ascending and descending mode time series analysis to decompose three surface migration vectors and to precisely identify the risk pattern. Regarding the extraction of suspicious unstable areas, we propose to develop an automatic pattern recognition algorithm for the identification of specific fringe patterns involving various potential risks. The detected fringes were tracked in the time series interferograms and overlapped with various GIS layers to find correlations with the environmental elements causing the risks. Taipei City and Taichung City located in northern Taiwan and Ulsan City in Korea were selected to demonstrate the feasibility of the proposed method.

Perceptions of users and providers on barriers to utilizing skilled birth care in mid- and far-western Nepal: a qualitative study.

PubMed

Onta, Sharad; Choulagai, Bishnu; Shrestha, Binjwala; Subedi, Narayan; Bhandari, Gajananda P; Krettek, Alexandra

2014-01-01

Although skilled birth care contributes significantly to the prevention of maternal and newborn morbidity and mortality, utilization of such care is poor in mid- and far-western Nepal. This study explored the perceptions of service users and providers regarding barriers to skilled birth care. We conducted 24 focus group discussions, 12 each with service users and service providers from different health institutions in mid- and far-western Nepal. All discussions examined the perceptions and experiences of service users and providers regarding barriers to skilled birth care and explored possible solutions to overcoming such barriers. Our results determined that major barriers to skilled birth care include inadequate knowledge of the importance of services offered by skilled birth attendants (SBAs), distance to health facilities, unavailability of transport services, and poor availability of SBAs. Other barriers included poor infrastructure, meager services, inadequate information about services/facilities, cultural practices and beliefs, and low prioritization of birth care. Moreover, the tradition of isolating women during and after childbirth decreased the likelihood that women would utilize delivery care services at health facilities. Service users and providers perceived inadequate availability and accessibility of skilled birth care in remote areas of Nepal, and overall utilization of these services was poor. Therefore, training and recruiting locally available health workers, helping community groups establish transport mechanisms, upgrading physical facilities and services at health institutions, and increasing community awareness of the importance of skilled birth care will help bridge these gaps.

Historical series and Near Real Time data analysis produced within ASI-SRV project infrastructures

NASA Astrophysics Data System (ADS)

Silvestri, M.; Musacchio, M.; Buongiorno, M.; Corradini, S.; Lombardo, V.; Merucci, L.; Spinetti, C.; Sansosti, E.; Pugnaghi, S.; Teggi, S.; Vignoli, S.; Amodio, A.; Dini, L.

2009-12-01

ASI-Sistema Rischio Vulcanico (SRV) project is devoted to the development of a pre-operative integrated system managing different Earth Observation (EO) and Non EO data to respond to specific needs of the Italian Civil Protection Department (DPC) and improve the monitoring of Italian active volcanoes. The project provides the capability to maintain a repository where the acquired data are stored and generates products offering a support to risk managers during the different volcanic activity phases. All the products are obtained considering technical choices and developments of ASI-SRV based on flexible and scalable modules which take into account also the new coming space sensors and new processing algorithms. An important step of the project development regards the technical and scientific feasibility of the provided products that depends on the data availability, accuracy algorithms and models used in the processing and of course the possibility to validate the results by means of comparison with non-EO independent measurements. The ASI-SRV infrastrucutre is based on a distributed client/server architecture which implies that different processors need to ingest data set characterized by a constant and common structure. ASI-SRV will develop, in its final version, a centralized HW-SW system located at INGV which will control two complete processing chains, one located at INGV for Optical data, and the other located at IREA for SAR data. The produced results will be disseminated through a WEB-GIS interface which will allow the DPC to overview and assimilate the products in a compatible format respect to their local monitoring system in order to have an immediate use of the provided information. In this paper the first results producing ground deformation measurement via Differential Interferometric SAR (DInSAR) techniques by using SAR data and via the application of the Small BAseline Subset (SBAS) technique developed at IREA, are reported. Moreover different products obtained using optical data (ASTER, MODIS, HYPERION, and AVHRR) are also reported. The processing modules for EO Optical sensors data are based on procedures those allow to estimate a number of parameters which include: surface thermal proprieties, concentration and flux of sulphur dioxide (SO2), water vapor and volcanic aerosol optical thickness, ash emissions and to characterize the volcanic products in terms of composition and geometry. For the analysis of the surface thermal characteristics, the available algorithms allow to extract information useful to detect small changes in the retrieved parameters. ASI-SRV foresees the generation of significant information also for the definition of the new lava and ash cover distribution after the end of an eruption.

SBAS-InSAR analysis of a decade of surface deformation at Mauna Loa (Hawai'i): Preliminary results

NASA Astrophysics Data System (ADS)

La Marra, Daniele; Poland, Michael; Miklius, Asta; Acocella, Valerio

2015-04-01

The Big Island of Hawai`i consists five coalesced volcanoes: Hualālai, Mauna Loa, Kilauea, Mauna Kea, Kohala. Mauna Loa, the largest, has erupted 39 times since 1832, with the last eruption in 1984. The volcano summit hosts the Moku'aweoweo caldera from which two volcanic rift zones radiate: the Northeast Rift Zone (NERZ) and Southwest Rift Zone (SWRZ). These rifts are the reflection of past dike intrusions combined with instability of the SE flank of the volcano, possibly related to slip along a low angle decollement thrust fault 12-14 km beneath the volcano. Geodetic (InSAR, GPS) and seismic data have been used to characterize recent periods of unrest at Mauna Loa. InSAR studies spanning the period between 2002 and 2005 suggest a magma chamber 4.7-km depth below the summit, with a radius of 1.1 km, and a dike intrusion at 4 to 8-km depth and 8 km-long. These studies, however, are focused on relatively short-term processes (up to a few years), and a longer-term reconstruction of the volcano's evolution is lacking. In this work, we use SAR data, exploiting the SBAS technique, to study deformation of Mauna Loa from 2003 to 2014, and we try to relate this overall evolution to that the neighboring Kilauea. We use acquisitions from two satellites: ENVISAT (descending track 200 and ascending track 365), spanning from 2003 to the end of 2010, and COSMO-SkyMed (descending and ascending orbits), spanning from 2012 to the middle of 2014. These data are merged time series data from 24 continuously operating GPS stations, which allows us to calibrate the InSAR SBAS time series. Results show an overall good agreement between the InSAR and GPS time series. The displacement of each portion of the volcano between 2003-2014 has been thus constrained in detail. The summit area of Mauna Loa has under gone a long-term inflation from 2003 to 2014, with a peak of about 8 cm of vertical deformation between mid-2004 to mid-2005, especially on the summit. Part of this deformation may be related to the instability of the flank. We identified several distinct periods with linear deformation behavior. This deformation is now being used to obtain the best-fit parameters for the sources in each of these periods through analytical modeling. Subsequently, we will incorporate these model parameters in a 3D model that employs the finite element method to include complexities like topography and vertical/lateral heterogeneities.

Land deformation in Saint Louis, Missouri measured by ALOS InSAR and PolINSAR validated with DGPS base stations

NASA Astrophysics Data System (ADS)

Ghulam, A.

2011-12-01

DInSAR is a solid technique to estimate land subsidence and rebound using phase information from multiple SAR acquisitions over the same location from the same orbits, but from a slightly different observing geometry. However, temporal decorrelation and atmospheric effects are often a challenge to the accuracy of the DInSAR measurements. Such uncertainties may be overcome using time series interferogram stacking, e.g., permanent scatterer interferometry (Ferretti, et al., 2000, 2001). However, it requires large number of image collections. In this paper, interferometric synthetic aperture radar (InSAR) data pairs from the Phased Array type L-band Synthetic Aperture Radar (PALSAR) sensor onboard Advanced Land Observing Satellite (ALOS) are used to measure seasonal and annual land surface deformation over Saint Louis, Missouri. The datasets cover four years of time period spanning from 2006 to 2010. With the limited data coverage that is not suitable for permanent scatterer interferometry, the paper demonstrates the efficacy of dual pair interferometry from both fine-beam single polarization mode and dual-pol polarimetric images and short baseline interferometry (SBAS) approach (Berardino, et al., 2002) with an estimation accuracy comparable to differential global position systems (DGPS). We also present the impact of using assumed phase-stable ground control points versus GPS base stations for orbital refinement and phase unwrapping on overall measurement accuracy by comparing the deformation results from DInSAR and Polarimetric InSAR with DGPS base stations and ground truthing.

40 CFR 80.595 - How does a small or GPA refiner apply for a motor vehicle diesel fuel volume baseline for the...

Code of Federal Regulations, 2010 CFR

2010-07-01

... for a motor vehicle diesel fuel volume baseline for the purpose of extending their gasoline sulfur... a small or GPA refiner apply for a motor vehicle diesel fuel volume baseline for the purpose of... duration of the GPA standards under § 80.540 must apply for a motor vehicle diesel fuel volume baseline by...

Perceptions of users and providers on barriers to utilizing skilled birth care in mid- and far-western Nepal: a qualitative study

PubMed Central

Onta, Sharad; Choulagai, Bishnu; Shrestha, Binjwala; Subedi, Narayan; Bhandari, Gajananda P.; Krettek, Alexandra

2014-01-01

Background Although skilled birth care contributes significantly to the prevention of maternal and newborn morbidity and mortality, utilization of such care is poor in mid- and far-western Nepal. This study explored the perceptions of service users and providers regarding barriers to skilled birth care. Design We conducted 24 focus group discussions, 12 each with service users and service providers from different health institutions in mid- and far-western Nepal. All discussions examined the perceptions and experiences of service users and providers regarding barriers to skilled birth care and explored possible solutions to overcoming such barriers. Results Our results determined that major barriers to skilled birth care include inadequate knowledge of the importance of services offered by skilled birth attendants (SBAs), distance to health facilities, unavailability of transport services, and poor availability of SBAs. Other barriers included poor infrastructure, meager services, inadequate information about services/facilities, cultural practices and beliefs, and low prioritization of birth care. Moreover, the tradition of isolating women during and after childbirth decreased the likelihood that women would utilize delivery care services at health facilities. Conclusions Service users and providers perceived inadequate availability and accessibility of skilled birth care in remote areas of Nepal, and overall utilization of these services was poor. Therefore, training and recruiting locally available health workers, helping community groups establish transport mechanisms, upgrading physical facilities and services at health institutions, and increasing community awareness of the importance of skilled birth care will help bridge these gaps. PMID:25119066

40 CFR 80.250 - How is the small refiner sulfur baseline and volume determined?

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 17 2012-07-01 2012-07-01 false How is the small refiner sulfur... AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) REGULATION OF FUELS AND FUEL ADDITIVES Gasoline Sulfur Hardship Provisions § 80.250 How is the small refiner sulfur baseline and volume determined? (a)(1) The...

40 CFR 80.250 - How is the small refiner sulfur baseline and volume determined?

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 16 2011-07-01 2011-07-01 false How is the small refiner sulfur... AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) REGULATION OF FUELS AND FUEL ADDITIVES Gasoline Sulfur Hardship Provisions § 80.250 How is the small refiner sulfur baseline and volume determined? (a)(1) The...

40 CFR 80.250 - How is the small refiner sulfur baseline and volume determined?

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 17 2014-07-01 2014-07-01 false How is the small refiner sulfur... AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) REGULATION OF FUELS AND FUEL ADDITIVES Gasoline Sulfur Hardship Provisions § 80.250 How is the small refiner sulfur baseline and volume determined? (a)(1) The...

40 CFR 80.250 - How is the small refiner sulfur baseline and volume determined?

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 17 2013-07-01 2013-07-01 false How is the small refiner sulfur... AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) REGULATION OF FUELS AND FUEL ADDITIVES Gasoline Sulfur Hardship Provisions § 80.250 How is the small refiner sulfur baseline and volume determined? (a)(1) The...

40 CFR 80.250 - How is the small refiner sulfur baseline and volume determined?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 16 2010-07-01 2010-07-01 false How is the small refiner sulfur... AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) REGULATION OF FUELS AND FUEL ADDITIVES Gasoline Sulfur Hardship Provisions § 80.250 How is the small refiner sulfur baseline and volume determined? (a)(1) The...

Monitoring large-scale landslides and their induced hazard with COSMO-SkyMed Intermittent SBAS (ISBAS): a case study in north-western Sicily, Italy.

NASA Astrophysics Data System (ADS)

Novellino, Alessandro; Cigna, Francesca; Jordan, Colm; Sowter, Andrew; Calcaterra, Domenico

2014-05-01

Landslides detection and mapping are fundamental requirements for every hazard and risk evaluation. Due to their inevitable shortcomings, geomorphological field surveys and airphoto interpretation do not document all the gravitational events. Indeed some unstable slopes are inaccessible to field surveyors, while some landslides are too slow to be detected with the naked eye or interpretation of aerial photographs. In this work, we integrate geomorphological surveys with ground motion data derived by employing COSMO-SkyMed satellite imagery and the Intermittent Small BAseline Subset (ISBAS; Sowter et al., 2013), a new Advanced Differential Interferometry Synthetic Aperture Radar (ADInSAR) technique which has been developed recently at the Nottingham University in the UK. The main advantage of ISBAS with respect to other InSAR and SBAS techniques, is the possibility to detect good radar reflectors even in non-urbanized terrain, where ground targets usually look intermittently coherent, meaning they have high coherence only in some interferograms but not in others. ISBAS has proven capable of increasing results over natural, woodland and agricultural terrains and, as a result, it makes it possible to improve the detection of landslide boundaries and the assessment of the state of activity where other InSAR approaches fail. We used COSMO-SkyMed StripMap data covering the period between November 2008 and October 2011, with 3m ground range resolution, 40° look angle and minimum revisiting time of 8 days. The data consist of 38 ascending images (track 133, frame 380) with ground track angle at scene centre of 169.5° from the north-south direction. These have been obtained thanks to an agreement between the Italian Ministry for the Environment, Land and Sea and the University of Naples 'Federico II'. We tested ISBAS in north-western Sicily (southern Italy), over a 1,530 km2 area where 1,473 landslides have been identified based on optical imagery and field surveys by the local Hydro-geomorphological Setting Plan published in 2006. The geological and tectonic setting of the area, related to the Apenninic-Maghrebian Chain orogeny, makes most of the instability phenomena of complex or flow type with an extremely slow to very slow velocity, namely very suitable for an interferometric analysis. We show the results for Piana degli Albanesi, a thrust faults-bounded basin located in the northern Mt. Kumeta massif, filled in with Lower Miocene marls and pelitic deposits. Here landslide risk affects housing and public infrastructure (e.g. the SP34, the SP38 and SP102 highways), and the unstable slopes extend up to a gravity masonry dam, such as to require continuous rebuilding of infrastructures in the portions with the higher displacement rates. The ISBAS results for ascending geometry entail an unprecedented 685,518 points in a 90 km2 extended processing area, and their Line Of Sight velocities range between -6.4 mm/yr (away from the sensor) and +6.6mm/yr (towards the sensor). ISBAS results detect a total of 89 mapped landslides, of which 23 are previously not recorded. The analysis of ISBAS COSMO-SKyMed time-series allows us to compare the deformation trends to rainfall events, and to evaluate the correlation between heavy or prolonged rainfall and accelerations in the ground motion histories of the identified landslides. Sowter A., Bateson L., Strange P., Ambrose K., Syafiudin M.F., 2013. DInSAR estimation of land motion using intermittent coherence with application to the South Derbyshire and Leicestershire coalfields. Remote Sensing Letters, v.4 : 979-987.

Spatial and Temporal Characteristics of Land Deformation in Northern Saudi Arabia: Inferences from Radar Interferometric Applications

NASA Astrophysics Data System (ADS)

Othman, A.; Sultan, M.; Gebremichael, E.; Sefry, S.; Yanar, R.; Alharbi, H.; Albalawi, S.; Emil, M. K.; Pankratz, H. G.

2016-12-01

Over the past two decades, land deformation phenomena and related losses in public and private property were reported from the northern part of the Kingdom of Saudi Arabia in Al Jowf region (100,212 km²; from lat: 29.25°N to 30.90°N, from long: 37.60°E to 40.70°E). We applied an integrated approach (geotechnical, geology, remote sensing, geodesy, hydrogeology, and GIS) to identify areas affected by these phenomena, quantify the nature and magnitude of deformation, investigate the factors controlling the deformation, and recommend solutions for these problems. We applied a three-fold approach in three different areas (Alisawiyah, Wadi Alsarhan, and Sakaka areas) to accomplish the following: (1) assess the spatial distribution of land deformation and quantify deformation rates using InSAR methods Persistent Scatterer Interferometry (PSI) and Small BAseline Subsets (SBAS); (2) generate a GIS database to encompass all relevant data and derived products (e.g., remote sensing, geology, geotechnical, GPS, groundwater extraction rates, distribution of urban areas, etc.), and (3) correlate findings from the InSAR exercise with relevant spatial and temporal datasets in search of causal effects. Findings revealed the following: (1) high and consistent subsidence rates (5 to 13 mm/yr) from multiple interferometric techniques; (2) subsided areas correlated largely with the distribution of irrigated agricultural land over alluvial and unconfined aquifers (e.g., Tawil and Jauf aquifers), areas characterized by high and a progressive increase in groundwater extraction (1.2 bcm/yr) as evidenced from the satellite-based temporal distribution of irrigated lands (area irrigated lands: 1998: 37,737 ha; 2013: 70,869 ha); (3) high subsidence rates ( 8 mm/yr) were also detected over urban areas (e.g., Sakaka, Dumat Aljandal, and Tubarjal ), subsidence being caused by disposal of wastewater in the subsurface leading to rise in water tables, dissolution of substrate rocks/sediments (e.g., carbonates, evaporates, sabkhas), and settling of buildings and infrastructures; (4) presence of numerous sinkholes within the Aruma formation (limestone and dolomite) that appear as incoherent circular domains (diameter range: 20 to 50 m) on the derived radar products within subsiding areas (subsidence rates: up to 6 mm/yr).

A prototype of an automated high resolution InSAR volcano-monitoring system in the MED-SUV project

NASA Astrophysics Data System (ADS)

Chowdhury, Tanvir A.; Minet, Christian; Fritz, Thomas

2016-04-01

Volcanic processes which produce a variety of geological and hydrological hazards are difficult to predict and capable of triggering natural disasters on regional to global scales. Therefore it is important to monitor volcano continuously and with a high spatial and temporal sampling rate. The monitoring of active volcanoes requires the reliable measurement of surface deformation before, during and after volcanic activities and it helps for the better understanding and modelling of the involved geophysical processes. Space-borne synthetic aperture radar (SAR) interferometry (InSAR), persistent scatterer interferometry (PSI) and small baseline subset algorithm (SBAS) provide a powerful tool for observing the eruptive activities and measuring the surface changes of millimetre accuracy. All the mentioned techniques with deformation time series extraction address the challenges by exploiting medium to large SAR image stacks. The process of selecting, ordering, downloading, storing, logging, extracting and preparing the data for processing is very time consuming has to be done manually for every single data-stack. In many cases it is even an iterative process which has to be done regularly and continuously. Therefore, data processing becomes slow which causes significant delays in data delivery. The SAR Satellite based High Resolution Data Acquisition System, which will be developed at DLR, will automate this entire time consuming tasks and allows an operational volcano monitoring system. Every 24 hours the system runs for searching new acquired scene over the volcanoes and keeps track of the data orders, log the status and download the provided data via ftp-transfer including E-Mail alert. Furthermore, the system will deliver specified reports and maps to a database for review and use by specialists. The user interaction will be minimized and iterative processes will be totally avoided. In this presentation, a prototype of SAR Satellite based High Resolution Data Acquisition System, which is developed and operated by DLR, will be described in detail. The workflow of the developed system is described which allow a meaningful contribution of SAR for monitoring volcanic eruptive activities. A more robust and efficient InSAR data processing in IWAP processor will be introduced in the framework of a remote sensing task of MED-SUV project. An application of the developed prototype system to a historic eruption of Mount Etna and Piton de la Fournaise will be depicted in the last part of the presentation.

InSAR Time Series Analysis and Geophysical Modeling of City Uplift Associated with Geothermal Drillings in Staufen im Breisgau, Germany

NASA Astrophysics Data System (ADS)

Motagh, M.; Lubitz, C.

2014-12-01

Geothermal energy is of increasing importance as alternative, environmentally friendly technology for heat management. Direct interaction with the subsurface requires careful implementation, in particular in geological complex regions. The historical city Staufen im Breisgau, SW Germany, has attracted national attention as a case of implementation failure with severe consequences, causing debates on the applicability and security of this sustainable technique. Located at the eastern transition zone of the Upper Rhine Graben and the Schwarzwald massif, the geothermal potential is high at Staufen due to strong temperature gradients. In September 2007, seven boreholes for geothermal probes were drilled up to a depth of 140 m to provide a new heat management for the city hall. Within five years an uplift phenomenon has been observed in Staufen reaching more than 40 cm in places and 269 buildings were damaged. Hydro-chemical driven anhydrite-gypsum transformation in the subsurface was identified as the cause leading to volume increase that is observable as surface uplift. This process is associated with the geothermal drilling activities that have crossed several groundwater levels. In this work, we summarize and present the findings of spaceborne Synthetic Aperture Radar Interferometry (InSAR) analysis of the uplift in Staufen over the last five years from July 2008 through July 2013. By applying the Small Baseline Subset (SBAS) method, we find a localized elliptical-shaped deformation field in NE-SW orientation. Area of maximum uplift is located 50 m NNE of the drilling zone. At this location, we observe a cumulative uplift of approx. 13.7 cm ± 0.34 cm (mean value within an area of 30 m by 30 m) from July 2008 to July 2009, which reduced to cumulative uplift of 3 cm ± 0.25 cm from July 2012 to July 2013. The deceleration can be related to applied countermeasures as borehole sealing and groundwater pumping. The observed ground surface response was compared to regularly performed leveling measurements and shows indications of significant symmetric horizontal motions, which were further investigated by a combined analysis of SAR imagery from ascending and descending orbits. Moreover, InSAR observations were inverted using geophysical models to derive first order characteristics of deformation source at depth.

Knowledge, attitudes and practices of traditional birth attendants in pastoralist communities of Laikipia and Samburu counties, Kenya: a cross-sectional survey

PubMed Central

Reeve, Matthew; Onyo, Pamela; Nyagero, Josephat; Morgan, Alison; Nduba, John; Kermode, Michelle

2016-01-01

Introduction Current efforts to reduce maternal and newborn mortality focus on promoting institutional deliveries with skilled birth attendants (SBAs), and discouraging deliveries at home attended by traditional birth attendants (TBAs). In rural Kenya, semi-nomadic pastoralist communities are underserved by the formal health system, experience high maternal and neonatal mortality, and rely primarily on TBAs for delivery care, despite Government proscription of TBA-assisted births. This study examined the knowledge, attitude and practices of TBAs serving these communities to assess the potential for collaboration between TBAs and SBAs. Methods A cross-sectional, interviewer-administered survey was conducted among 171 TBAs from Maasai and Samburu pastoralist communities in Laikipia and Samburu counties, Kenya, as part of a larger mixed-methods study in partnership with a local service provider. Results BAs were relatively elderly (mean age 59.6 years), and attended an average of 5-6 deliveries per year. A minority (22.2%) had received formal training. They provided antenatal, intra-partum and post-partum care. Most TBA care was non-interventionist, but not necessarily consistent with best practice. Most had encountered birth complications, but knowledge regarding management of complications was sub-optimal. Most had previously referred at least one woman to a health facility (80.1%), were key participants in decision making to refer women (96.5%), and had been present at an institutional delivery (54.4%). Conclusion TBAs continue to be key providers of maternal and neonatal healthcare in regions where the formal health system has poor coverage or acceptability. Strengthening existing TBA/SBA collaborations could improve both community links to the formal health system, and the quality of care provided to pastoralist women, while remaining consistent with current Government policy. PMID:28439337

Linking the Observation of Essential Variables to Societal Benefits

NASA Astrophysics Data System (ADS)

Sylak-Glassman, E.

2017-12-01

Different scientific communities have established sets of commonly agreed upon essential variables to help coordinate data collection in a variety of Earth observation areas. As an example, the World Meteorological Organization Global Climate Observing System has identified 50 Essential Climate Variables (ECVs), such as sea-surface temperature and carbon dioxide, which are required to monitoring the climate and detect and attribute climate change. In addition to supporting climate science, measuring these ECVs deliver many types of societal benefits, ranging from disaster mitigation to agricultural productivity to human health. While communicating the value in maintaining and improving observational records for these variables has been a challenge, quantifying how the measurement of these ECVs results in the delivery of many different societal benefits may help support their continued measurement. The 2016 National Earth Observation Assessment (EOA 2016) quantified the impact of individual Earth observation systems, sensors, networks, and surveys (or Earth observation systems, for short) on the achievement of 217 Federal objectives in 13 societal benefit areas (SBAs). This study will demonstrate the use of the EOA 2016 dataset to show the different Federal objectives and SBAs that are impacted by the Earth observation systems used to measure ECVs. Describing how the measurements from these Earth observation systems are used not only to maintain the climate record but also to meet additional Federal objectives may help articulate the continued measurement of the ECVs. This study will act as a pilot for the use of the EOA 2016 dataset to map between the measurements required to observe additional sets of variables, such as the Essential Ocean Variables and Essential Biodiversity Variables, and the ability to achieve a variety of societal benefits.

Knowledge, attitudes and practices of traditional birth attendants in pastoralist communities of Laikipia and Samburu counties, Kenya: a cross-sectional survey.

PubMed

Reeve, Matthew; Onyo, Pamela; Nyagero, Josephat; Morgan, Alison; Nduba, John; Kermode, Michelle

2016-01-01

Current efforts to reduce maternal and newborn mortality focus on promoting institutional deliveries with skilled birth attendants (SBAs), and discouraging deliveries at home attended by traditional birth attendants (TBAs). In rural Kenya, semi-nomadic pastoralist communities are underserved by the formal health system, experience high maternal and neonatal mortality, and rely primarily on TBAs for delivery care, despite Government proscription of TBA-assisted births. This study examined the knowledge, attitude and practices of TBAs serving these communities to assess the potential for collaboration between TBAs and SBAs. A cross-sectional, interviewer-administered survey was conducted among 171 TBAs from Maasai and Samburu pastoralist communities in Laikipia and Samburu counties, Kenya, as part of a larger mixed-methods study in partnership with a local service provider. BAs were relatively elderly (mean age 59.6 years), and attended an average of 5-6 deliveries per year. A minority (22.2%) had received formal training. They provided antenatal, intra-partum and post-partum care. Most TBA care was non-interventionist, but not necessarily consistent with best practice. Most had encountered birth complications, but knowledge regarding management of complications was sub-optimal. Most had previously referred at least one woman to a health facility (80.1%), were key participants in decision making to refer women (96.5%), and had been present at an institutional delivery (54.4%). TBAs continue to be key providers of maternal and neonatal healthcare in regions where the formal health system has poor coverage or acceptability. Strengthening existing TBA/SBA collaborations could improve both community links to the formal health system, and the quality of care provided to pastoralist women, while remaining consistent with current Government policy.

A regional multilevel analysis: can skilled birth attendants uniformly decrease neonatal mortality?

PubMed

Singh, Kavita; Brodish, Paul; Suchindran, Chirayath

2014-01-01

Globally 40 % of deaths to children under-five occur in the very first month of life with three-quarters of these deaths occurring during the first week of life. The promotion of delivery with a skilled birth attendant (SBA) is being promoted as a strategy to reduce neonatal mortality. This study explored whether SBAs had a protective effect against neonatal mortality in three different regions of the world. The analysis pooled data from nine diverse countries for which recent Demographic and Health Survey data were available. Multilevel logistic regression was used to understand the influence of skilled delivery on two outcomes-neonatal mortality during the first week of life and during the first day of life. Control variables included age, parity, education, wealth, residence (urban/rural), geographic region (Africa, Asia and Latin America/Caribbean), antenatal care and tetanus immunization. The direction of the effect of skilled delivery on neonatal mortality was dependent on geographic region. While having a SBA at delivery was protective against neonatal mortality in Latin America/Caribbean, in Asia there was only a protective effect for births in the first week of life. In Africa SBAs were associated with higher neonatal mortality for both outcomes, and the same was true for deaths on the first day of life in Asia. Many women in Africa and Asia deliver at home unless a complication occurs, and thus skilled birth attendants may be seeing more women with complications than their unskilled counterparts. In addition there are issues with the definition of a SBA with many attendants in both Africa and Asia not actually having the needed training and equipment to prevent neonatal mortality. Considerable investment is needed in terms of training and health infrastructure to enable these providers to save the youngest lives.

Safe and sensible preprocessing and baseline correction of pupil-size data.

PubMed

Mathôt, Sebastiaan; Fabius, Jasper; Van Heusden, Elle; Van der Stigchel, Stefan

2018-02-01

Measurement of pupil size (pupillometry) has recently gained renewed interest from psychologists, but there is little agreement on how pupil-size data is best analyzed. Here we focus on one aspect of pupillometric analyses: baseline correction, i.e., analyzing changes in pupil size relative to a baseline period. Baseline correction is useful in experiments that investigate the effect of some experimental manipulation on pupil size. In such experiments, baseline correction improves statistical power by taking into account random fluctuations in pupil size over time. However, we show that baseline correction can also distort data if unrealistically small pupil sizes are recorded during the baseline period, which can easily occur due to eye blinks, data loss, or other distortions. Divisive baseline correction (corrected pupil size = pupil size/baseline) is affected more strongly by such distortions than subtractive baseline correction (corrected pupil size = pupil size - baseline). We discuss the role of baseline correction as a part of preprocessing of pupillometric data, and make five recommendations: (1) before baseline correction, perform data preprocessing to mark missing and invalid data, but assume that some distortions will remain in the data; (2) use subtractive baseline correction; (3) visually compare your corrected and uncorrected data; (4) be wary of pupil-size effects that emerge faster than the latency of the pupillary response allows (within ±220 ms after the manipulation that induces the effect); and (5) remove trials on which baseline pupil size is unrealistically small (indicative of blinks and other distortions).

Investigating the creeping section of the San Andreas Fault using ALOS PALSAR interferometry

NASA Astrophysics Data System (ADS)

Agram, P. S.; Wortham, C.; Zebker, H. A.

2010-12-01

In recent years, time-series InSAR techniques have been used to study the temporal characteristics of various geophysical phenomena that produce surface deformation including earthquakes and magma migration in volcanoes. Conventional InSAR and time-series InSAR techniques have also been successfully used to study aseismic creep across faults in urban areas like the Northern Hayward Fault in California [1-3]. However, application of these methods to studying the time-dependent creep across the Central San Andreas Fault using C-band ERS and Envisat radar satellites has resulted in limited success. While these techniques estimate the average long-term far-field deformation rates reliably, creep measurement close to the fault (< 3-4 Km) is virtually impossible due to heavy decorrelation at C-band (6cm wavelength). Shanker and Zebker (2009) [4] used the Persistent Scatterer (PS) time-series InSAR technique to estimate a time-dependent non-uniform creep signal across a section of the creeping segment of the San Andreas Fault. However, the identified PS network was spatially very sparse (1 per sq. km) to study temporal characteristics of deformation of areas close to the fault. In this work, we use L-band (24cm wavelength) SAR data from the PALSAR instrument on-board the ALOS satellite, launched by Japanese Aerospace Exploration Agency (JAXA) in 2006, to study the temporal characteristics of creep across the Central San Andreas Fault. The longer wavelength at L-band improves observed correlation over the entire scene which significantly increased the ground area coverage of estimated deformation in each interferogram but at the cost of decreased sensitivity of interferometric phase to surface deformation. However, noise levels in our deformation estimates can be decreased by combining information from multiple SAR acquisitions using time-series InSAR techniques. We analyze 13 SAR acquisitions spanning the time-period from March 2007 to Dec 2009 using the Short Baseline Subset Analysis (SBAS) time-series InSAR technique [3]. We present detailed comparisons of estimated time-series of fault creep as a function of position along the fault including the locked section around Parkfield, CA. We also present comparisons between the InSAR time-series and GPS network observations in the Parkfield region. During these three years of observation, the average fault creep is estimated to be 35 mm/yr. References [1] Bürgmann,R., E. Fielding and, J. Sukhatme, Slip along the Hayward fault, California, estimated from space-based synthetic aperture radar interferometry, Geology,26, 559-562, 1998. [2] Ferretti, A., C. Prati and F. Rocca, Permanent Scatterers in SAR Interferometry, IEEE Trans. Geosci. Remote Sens., 39, 8-20, 2001. [3] Lanari, R.,F. Casu, M. Manzo, and P. Lundgren, Application of SBAS D- InSAR technique to fault creep: A case study of the Hayward Fault, California. Remote Sensing of Environment, 109(1), 20-28, 2007. [4] Shanker, A. P., and H. Zebker, Edgelist phase unwrapping algorithm for time-series InSAR. J. Opt. Soc. Am. A, 37(4), 2010.

The dead do not lie: using skeletal remains for rapid assessment of historical small-mammal community baselines

PubMed Central

Terry, Rebecca C.

2010-01-01

Conservation and restoration efforts are often hindered by a lack of historical baselines that pre-date intense anthropogenic environmental change. In this paper I document that natural accumulations of skeletal remains represent a potential source of high-quality data on the historical composition and structure of small-mammal communities. I do so by assessing the fidelity of modern, decadal and centennial-scale time-averaged samples of skeletal remains (concentrated by raptor predation) to the living small-mammal communities from which they are derived. To test the power of skeletal remains to reveal baseline shifts, I employ the design of a natural experiment, comparing two taphonomically similar Great Basin cave localities in areas where anthropogenic land-use practices have diverged within the last century. I find relative stasis at the undisturbed site, but document rapid restructuring of the small-mammal community at the site subjected to recent disturbance. I independently validate this result using historical trapping records to show that dead remains accurately capture both the magnitude and direction of this baseline shift. Surveys of skeletal remains therefore provide a simple, powerful and rapid alternative approach for gaining insight into the historical structure and dynamics of modern small-mammal communities. PMID:20031992

Progress towards achieving and maintaining maternal and neonatal tetanus elimination in the African region.

PubMed

Ridpath, Alison Delano; Scobie, Heather Melissa; Shibeshi, Messeret Eshetu; Yakubu, Ahmadu; Zulu, Flint; Raza, Azhar Abid; Masresha, Balcha; Tohme, Rania

2017-01-01

Despite the availability of effective tetanus prevention strategies, as of 2016, Maternal and Neonatal Tetanus Elimination (MNTE) has not yet been achieved in 18 countries globally. In this paper, we review the status of MNTE in the World Health Organization African Region (AFR),and provide recommendations for achieving and maintaining MNTE in AFR. As of November 2016, 37 (79%) AFR countries have achieved MNTE, with 10 (21%) countries remaining. DTP3 coverage increased from 52% in 2000 to 76% in 2015. In 2015, coverage with at least 2 doses of tetanus containing vaccine (TT2+) and proportion of newborns protected at birth (PAB) were 69% and 77%, compared with 44% and 62% in 2000, respectively. Since 1999, over 79 million women of reproductive age (WRA) have been vaccinated with TT2+ through supplementary immunization activities (SIAs). Despite the progress, only 54% of births were attended by skilled birth attendants (SBAs), 5 (11%) countries provided the 3 WHO-recommended booster doses to both sexes, and about 5.5 million WRA still need to be reached with SIAs. Coverage disparities still exist between countries that have achieved MNTE and those that have not. In 2015, coverage with DTP3 and PAB were higher in MNTE countries compared with those yet to achieve MNTE: 84% vs. 68% and 86% vs. 69%, respectively. Challenges to achieving MNTE in the remaining AFR countries include weak health systems, competing priorities, insufficient funding, insecurity, and sub-optimal neonatal tetanus (NT) surveillance. To achieve and maintain MNTE in AFR, increasing SBAs and tetanus vaccination coverage, integrating tetanus vaccination with other opportunities (e.g., polio and measles campaigns, mother and child health days), and providing appropriately spaced booster doses are needed. Strengthening NT surveillance and conducting serosurveys would ensure appropriate targeting of MNTE activities and high-quality information for validating the achievement and maintenance of elimination.

Progress towards achieving and maintaining maternal and neonatal tetanus elimination in the African region

PubMed Central

Ridpath, Alison Delano; Scobie, Heather Melissa; Shibeshi, Messeret Eshetu; Yakubu, Ahmadu; Zulu, Flint; Raza, Azhar Abid; Masresha, Balcha; Tohme, Rania

2017-01-01

Despite the availability of effective tetanus prevention strategies, as of 2016, Maternal and Neonatal Tetanus Elimination (MNTE) has not yet been achieved in 18 countries globally. In this paper, we review the status of MNTE in the World Health Organization African Region (AFR),and provide recommendations for achieving and maintaining MNTE in AFR. As of November 2016, 37 (79%) AFR countries have achieved MNTE, with 10 (21%) countries remaining. DTP3 coverage increased from 52% in 2000 to 76% in 2015. In 2015, coverage with at least 2 doses of tetanus containing vaccine (TT2+) and proportion of newborns protected at birth (PAB) were 69% and 77%, compared with 44% and 62% in 2000, respectively. Since 1999, over 79 million women of reproductive age (WRA) have been vaccinated with TT2+ through supplementary immunization activities (SIAs). Despite the progress, only 54% of births were attended by skilled birth attendants (SBAs), 5 (11%) countries provided the 3 WHO-recommended booster doses to both sexes, and about 5.5 million WRA still need to be reached with SIAs. Coverage disparities still exist between countries that have achieved MNTE and those that have not. In 2015, coverage with DTP3 and PAB were higher in MNTE countries compared with those yet to achieve MNTE: 84% vs. 68% and 86% vs. 69%, respectively. Challenges to achieving MNTE in the remaining AFR countries include weak health systems, competing priorities, insufficient funding, insecurity, and sub-optimal neonatal tetanus (NT) surveillance. To achieve and maintain MNTE in AFR, increasing SBAs and tetanus vaccination coverage, integrating tetanus vaccination with other opportunities (e.g., polio and measles campaigns, mother and child health days), and providing appropriately spaced booster doses are needed. Strengthening NT surveillance and conducting serosurveys would ensure appropriate targeting of MNTE activities and high-quality information for validating the achievement and maintenance of elimination. PMID:29296159

The GEOSS User Requirement Registry (URR): A Cross-Cutting Service-Oriented Infrastructure Linking Science, Society and GEOSS

NASA Astrophysics Data System (ADS)

Plag, H.-P.; Foley, G.; Jules-Plag, S.; Ondich, G.; Kaufman, J.

2012-04-01

The Group on Earth Observations (GEO) is implementing the Global Earth Observation System of Systems (GEOSS) as a user-driven service infrastructure responding to the needs of users in nine interdependent Societal Benefit Areas (SBAs) of Earth observations (EOs). GEOSS applies an interdisciplinary scientific approach integrating observations, research, and knowledge in these SBAs in order to enable scientific interpretation of the collected observations and the extraction of actionable information. Using EOs to actually produce these societal benefits means getting the data and information to users, i.e., decision-makers. Thus, GEO needs to know what the users need and how they would use the information. The GEOSS User Requirements Registry (URR) is developed as a service-oriented infrastructure enabling a wide range of users, including science and technology (S&T) users, to express their needs in terms of EOs and to understand the benefits of GEOSS for their fields. S&T communities need to be involved in both the development and the use of GEOSS, and the development of the URR accounts for the special needs of these communities. The GEOSS Common Infrastructure (GCI) at the core of GEOSS includes system-oriented registries enabling users to discover, access, and use EOs and derived products and services available through GEOSS. In addition, the user-oriented URR is a place for the collection, sharing, and analysis of user needs and EO requirements, and it provides means for an efficient dialog between users and providers. The URR is a community-based infrastructure for the publishing, viewing, and analyzing of user-need related information. The data model of the URR has a core of seven relations for User Types, Applications, Requirements, Research Needs, Infrastructure Needs, Technology Needs, and Capacity Building Needs. The URR also includes a Lexicon, a number of controlled vocabularies, and

Physical Activity as a Vital Sign: A Systematic Review

PubMed Central

Allen, Kelli D.; Ambrose, Kirsten R.; Stiller, Jamie L.; Evenson, Kelly R.; Voisin, Christiane; Hootman, Jennifer M.; Callahan, Leigh F.

2017-01-01

Introduction Physical activity (PA) is strongly endorsed for managing chronic conditions, and a vital sign tool (indicator of general physical condition) could alert providers of inadequate PA to prompt counseling or referral. This systematic review examined the use, definitions, psychometric properties, and outcomes of brief PA instruments as vital sign measures, with attention primarily to studies focused on arthritis. Methods Electronic databases were searched for English-language literature from 1985 through 2016 using the terms PA, exercise, vital sign, exercise referral scheme, and exercise counseling. Of the 838 articles identified for title and abstract review, 9 articles qualified for full text review and data extraction. Results Five brief PA measures were identified: Exercise Vital Sign (EVS), Physical Activity Vital Sign (PAVS), Speedy Nutrition and Physical Activity Assessment (SNAP), General Practice Physical Activity Questionnaire (GPPAQ), and Stanford Brief Activity Survey (SBAS). Studies focusing on arthritis were not found. Over 1.5 years of using EVS in a large hospital system, improvements occurred in relative weight loss among overweight patients and reduction in glycosylated hemoglobin among diabetic patients. On PAVS, moderate physical activity of 5 or more days per week versus fewer than 5 days per week was associated with a lower body mass index (−2.90 kg/m2). Compared with accelerometer-defined physical activity, EVS was weakly correlated (r = 0.27), had low sensitivity (27%–59%), and high specificity (74%–89%); SNAP showed weak agreement (κ = 0.12); GPPAQ had moderate sensitivity (46%) and specificity (50%), and SBAS was weakly correlated (r = 0.10–0.28), had poor to moderate sensitivity (18%–67%), and had moderate specificity (58%–79%). Conclusion Few studies have examined a brief physical activity tool as a vital sign measure. Initial investigations suggest the promise of these simple and quick assessment tools, and research is needed to test the effects of their use on chronic disease outcomes. PMID:29191260

Multiple Acquisition InSAR Analysis: Persistent Scatterer and Small Baseline Approaches

NASA Astrophysics Data System (ADS)

Hooper, A.

2006-12-01

InSAR techniques that process data from multiple acquisitions enable us to form time series of deformation and also allow us to reduce error terms present in single interferograms. There are currently two broad categories of methods that deal with multiple images: persistent scatterer methods and small baseline methods. The persistent scatterer approach relies on identifying pixels whose scattering properties vary little with time and look angle. Pixels that are dominated by a singular scatterer best meet these criteria; therefore, images are processed at full resolution to both increase the chance of there being only one dominant scatterer present, and to reduce the contribution from other scatterers within each pixel. In images where most pixels contain multiple scatterers of similar strength, even at the highest possible resolution, the persistent scatterer approach is less optimal, as the scattering characteristics of these pixels vary substantially with look angle. In this case, an approach that interferes only pairs of images for which the difference in look angle is small makes better sense, and resolution can be sacrificed to reduce the effects of the look angle difference by band-pass filtering. This is the small baseline approach. Existing small baseline methods depend on forming a series of multilooked interferograms and unwrapping each one individually. This approach fails to take advantage of two of the benefits of processing multiple acquisitions, however, which are usually embodied in persistent scatterer methods: the ability to find and extract the phase for single-look pixels with good signal-to-noise ratio that are surrounded by noisy pixels, and the ability to unwrap more robustly in three dimensions, the third dimension being that of time. We have developed, therefore, a new small baseline method to select individual single-look pixels that behave coherently in time, so that isolated stable pixels may be found. After correction for various error terms, the phase values of the selected pixels are unwrapped using a new three-dimensional algorithm. We apply our small baseline method to an area in southern Iceland that includes Katla and Eyjafjallajökull volcanoes, and retrieve a time series of deformation that shows transient deformation due to intrusion of magma beneath Eyjafjallajökull. We also process the data using the Stanford method for persistent scatterers (StaMPS) for comparison.

Small intracerebral hemorrhages have a low spot sign prevalence and are less likely to expand.

PubMed

Dowlatshahi, Dar; Yogendrakumar, Vignan; Aviv, Richard I; Rodriguez-Luna, David; Molina, Carlos A; Silva, Yolanda; Dzialowski, Imanuel; Czlonkowska, Anna; Boulanger, Jean-Martin; Lum, Cheemun; Gubitz, Gord; Padma, Vasantha; Roy, Jayanta; Kase, Carlos S; Bhatia, Rohit; Hill, Michael D; Demchuk, Andrew M

2016-02-01

Hematoma expansion is a major predictor of morbidity and mortality after intracerebral hemorrhage (ICH). Both baseline hematoma volume and the CT-angiogram (CTA) spot sign predict hematoma expansion. Because the CTA spot sign may represent foci of active hemorrhage, we hypothesized that patients with smaller baseline hematoma volumes are less likely to be spot sign positive, and therefore less likely to expand. We sought to validate our prior finding that small hematomas are unlikely to expand, and to determine the relationship between baseline hematoma volume, spot sign status, and risk of hematoma expansion. Data were from the prospective PREDICT ICH study. Patients presenting within 6 h of symptom onset with completed baseline CT, CTA, and follow-up CT were included. Baseline hematoma volume was categorized a priori (<3 mL, 3-10 mL, 10-20 mL, >20 mL). The primary outcome was significant hematoma expansion (≥6 mL, ≥12.5 mL or ≥33%) and secondary outcomes were early neurological worsening, good clinical outcome (modified Rankin Scale 0-3), and mortality at 90 days. Among 315 patients meeting the inclusion criteria, baseline hematoma volume category predicted absolute hematoma expansion (p < 0.001), spot sign prevalence (p < 0.001), early neurologic worsening (p = 0.002), clinical outcome (p < 0.001), and mortality (p < 0.001). Very small hematomas (<3 mL) were unlikely to be spot positive (7.7%), unlikely to expand (2.6%), and were associated with a 73% chance of good clinical outcome. Spot sign appeared to be most predictive of expansion in the 3-10 mL baseline hematoma volume category. Very small hematomas are unlikely to expand and have a low spot sign prevalence. Hemostatic therapy trials may be best targeted at hemorrhages >3 mL in volume. © 2016 World Stroke Organization.

Measuring Surface Subsidence in Wuhan, China with SENTINEL-1 Data Using Psinsar

NASA Astrophysics Data System (ADS)

Benattou, M. M.; Balz, T.; Liao, M.

2018-04-01

We use the potential of Sentinel-1 for urban subsidence monitoring. A case study was conducted in Wuhan using Sentinel-1A images acquired from 22nd June 2015 to the 24th of April 2017 acquired from an ascending orbit. Our results using PSInSAR are compared to a recent study using SBAS. Moreover, in another experiment, only more recent data, containing 18 images from the 7th of March 2017 to the 14th of March 2018, have been processed in order to analysis changes in the subsidence behavior over the study area. In addition to that, the proposed method (PSInSAR) was used to measure the water height in the east lake using metallic objects as stable PS points.

Wab-InSAR: a new wavelet based InSAR time series technique applied to volcanic and tectonic areas

NASA Astrophysics Data System (ADS)

Walter, T. R.; Shirzaei, M.; Nankali, H.; Roustaei, M.

2009-12-01

Modern geodetic techniques such as InSAR and GPS provide valuable observations of the deformation field. Because of the variety of environmental interferences (e.g., atmosphere, topography distortion) and incompleteness of the models (assumption of the linear model for deformation), those observations are usually tainted by various systematic and random errors. Therefore we develop and test new methods to identify and filter unwanted periodic or episodic artifacts to obtain accurate and precise deformation measurements. Here we present and implement a new wavelet based InSAR (Wab-InSAR) time series approach. Because wavelets are excellent tools for identifying hidden patterns and capturing transient signals, we utilize wavelet functions for reducing the effect of atmospheric delay and digital elevation model inaccuracies. Wab-InSAR is a model free technique, reducing digital elevation model errors in individual interferograms using a 2D spatial Legendre polynomial wavelet filter. Atmospheric delays are reduced using a 3D spatio-temporal wavelet transform algorithm and a novel technique for pixel selection. We apply Wab-InSAR to several targets, including volcano deformation processes at Hawaii Island, and mountain building processes in Iran. Both targets are chosen to investigate large and small amplitude signals, variable and complex topography and atmospheric effects. In this presentation we explain different steps of the technique, validate the results by comparison to other high resolution processing methods (GPS, PS-InSAR, SBAS) and discuss the geophysical results.

40 CFR 80.285 - Who may generate credits under the ABT program?

Code of Federal Regulations, 2010 CFR

2010-07-01

... who produce gasoline from crude oil, and are: (i) Refiners who establish a sulfur baseline under § 80.295 for a refinery; (ii) Foreign refiners for refineries with an approved baseline under § 80.94, or refineries with baselines established in accordance with § 80.290(d); or (iii) Small refiners for any...

General proactive interference and the N450 response.

PubMed

Tays, William J; Dywan, Jane; Segalowitz, Sidney J

2009-10-25

Strategic repetition of verbal stimuli can effectively produce proactive interference (PI) effects in the Sternberg working memory task. Unique fronto-cortical activation to PI-eliciting letter probes has been interpreted as reflecting brain responses to PI. However, the use of only a small set of stimuli (e.g., letters and digits) requires constant repetition of stimuli in both PI and baseline trials, potentially creating a general PI effect in all conditions. We used event-related potentials to examine general PI effects by contrasting the interference-related frontal N450 response in two Sternberg tasks using a small versus large set size. We found that the N450 response differed significantly from baseline during the small set-size task only for response-conflict PI trials but not when PI was created solely from stimulus repetition. During the large set-size task N450 responses in both the familiarity-based and response-conflict PI conditions differed from baseline but not from each other. We conclude that the general stimulus repetition inherent in small set-size conditions can mask effects of familiarity-based PI and complicate the interpretation of any associated neural response.

Descriptive Analysis of a Baseline Concussion Battery Among U.S. Service Academy Members: Results from the Concussion Assessment, Research, and Education (CARE) Consortium.

PubMed

O'Connor, Kathryn L; Dain Allred, C; Cameron, Kenneth L; Campbell, Darren E; D'Lauro, Christopher J; Houston, Megan N; Johnson, Brian R; Kelly, Tim F; McGinty, Gerald; O'Donnell, Patrick G; Peck, Karen Y; Svoboda, Steven J; Pasquina, Paul; McAllister, Thomas; McCrea, Michael; Broglio, Steven P

2018-03-28

The prevalence and possible long-term consequences of concussion remain an increasing concern to the U.S. military, particularly as it pertains to maintaining a medically ready force. Baseline testing is being used both in the civilian and military domains to assess concussion injury and recovery. Accurate interpretation of these baseline assessments requires one to consider other influencing factors not related to concussion. To date, there is limited understanding, especially within the military, of what factors influence normative test performance. Given the significant physical and mental demands placed on service academy members (SAM), and their relatively high risk for concussion, it is important to describe demographics and normative profile of SAMs. Furthermore, the absence of available baseline normative data on female and non-varsity SAMs makes interpretation of post-injury assessments challenging. Understanding how individuals perform at baseline, given their unique individual characteristics (e.g., concussion history, sex, competition level), will inform post-concussion assessment and management. Thus, the primary aim of this manuscript is to characterize the SAM population and determine normative values on a concussion baseline testing battery. All data were collected as part of the Concussion Assessment, Research and Education (CARE) Consortium. The baseline test battery included a post-concussion symptom checklist (Sport Concussion Assessment Tool (SCAT), psychological health screening inventory (Brief Symptom Inventory (BSI-18) and neurocognitive evaluation (ImPACT), Balance Error Scoring System (BESS), and Standardized Assessment of Concussion (SAC). Linear regression models were used to examine differences across sexes, competition levels, and varsity contact levels while controlling for academy, freshman status, race, and previous concussion. Zero inflated negative binomial models estimated symptom scores due to the high frequency of zero scores. Significant, but small, sex effects were observed on the ImPACT visual memory task. While, females performed worse than males (p < 0.0001, pη2 = 0.01), these differences were small and not larger than the effects of the covariates. A similar pattern was observed for competition level on the SAC. There was a small, but significant difference across competition level. SAMs participating in varsity athletics did significantly worse on the SAC compared to SAMs participating in club or intramural athletics (all p's < 0.001, η2 = 0.01). When examining symptom reporting, males were more than two times as likely to report zero symptoms on the SCAT or BSI-18. Intramural SAMs had the highest number of symptoms and severity compared to varsity SAMs (p < 0.0001, Cohen's d < 0.2). Contact level was not associated with SCAT or BSI-18 symptoms among varsity SAMs. Notably, the significant differences across competition level on SCAT and BSI-18 were sub-clinical and had small effect sizes. The current analyses provide the first baseline concussion battery normative data among SAMs. While statistically significant differences may be observed on baseline tests, the effect sizes for competition and contact levels are very small, indicating that differences are likely not clinically meaningful at baseline. Identifying baseline differences and significant covariates is important for future concussion-related analyses to inform concussion evaluations for all athlete levels.

Phase 1 of the First Solar Small Power System Experiment (experimental System No. 1). Volume 3: Appendix E - N

NASA Technical Reports Server (NTRS)

Clark, T. B. (Editor)

1979-01-01

The design of a solar electric power plant for a small community is reported. Topics covered include: (1) control configurations and interface requirements for the baseline power system; (2) annual small power system output; (3) energy requirements for operation of the collectors and control building; (4) life cycle costs and reliability predictions; (5) thermal conductivities and costs of receiver insulation materials; (6) transient thermal modelling for the baseline receiver/thermal transport system under normal and inclement operating conditions; (7) high temperature use of sodium; (8) shading in a field of parabolic collectors; and (9) buffer storage materials.

BILLIARDS: Baseline Instrumented Lithology Lander, Inspector and Asteroid Redirection Demonstration System

NASA Technical Reports Server (NTRS)

Marcus, Matthew; Sloane, Joshua; Ortiz, Oliver; Barbee, Brent

2015-01-01

BILLIARDS Baseline Instrumented Lithology Lander, Inspector, and Asteroid Redirection Demonstration System Proposed demonstration mission for Billiard-Ball concept Select asteroid pair with natural close approach to minimize cost and complexity Primary Objectives Rendezvous with a small (10m), near Earth (alpha) asteroid Maneuver the alpha asteroid to a collision with a 100m (beta) asteroid Produce a detectable deflection or disruption of the beta asteroid Secondary objectives Contribute knowledge of asteroid composition and characteristics Contribute knowledge of small-body formation Opportunity for international collaboration

Small Engine Component Technology (SECT) study

NASA Technical Reports Server (NTRS)

Singh, B.

1986-01-01

Small advanced (450 to 850 pounds thrust, 2002 to 3781 N) gas turbine engines were studied for a subsonic strategic cruise missile application, using projected year 2000 technology. An aircraft, mission characteristics, and baseline (state-of-the-art) engine were defined to evaluate technology benefits. Engine performance and configuration analyses were performed for two and three spool turbofan and propfan engine concepts. Mission and Life Cycle Cost (LCC) analyses were performed in which the candidate engines were compared to the baseline engines over a prescribed mission. The advanced technology engines reduced system LCC up to 41 percent relative to the baseline engine. Critical aerodynamic, materials, and mechanical systems turbine engine technologies were identified and program plans were defined for each identified critical technology.

Small pulmonary nodules in baseline and incidence screening rounds of low-dose CT lung cancer screening

PubMed Central

Walter, Joan E.; Oudkerk, Matthijs

2017-01-01

Currently, lung cancer screening by low-dose computed tomography (LDCT) is widely recommended for high-risk individuals by US guidelines, but there still is an ongoing debate concerning respective recommendations for European countries. Nevertheless, the available data regarding pulmonary nodules released by lung cancer screening studies could improve future screening guidelines, as well as the clinical practice of incidentally detected pulmonary nodules on routine CT scans. Most lung cancer screening trials present results for baseline and incidence screening rounds separately, clustering pulmonary nodules initially found at baseline screening and newly detected pulmonary nodules after baseline screening together. This approach does not appreciate possible differences among pulmonary nodules detected at baseline and firstly detected at incidence screening rounds and is heavily influenced by methodological differences of the respective screening trials. This review intends to create a basis for assessing non-calcified pulmonary nodules detected during LDCT lung cancer screening in a more clinical relevant manner. The aim is to present data of non-calcified pulmonary baseline nodules and new non-calcified pulmonary incident nodules without clustering them together, thereby also simplifying translation to the clinical practice of incidentally detected pulmonary nodules. Small pulmonary nodules newly detected at incidence screening rounds of LDCT lung cancer screening may possess a greater lung cancer probability than pulmonary baseline nodules at a smaller size, which is essential for the development of new guidelines. PMID:28331823

A cluster randomized implementation trial to measure the effectiveness of an intervention package aiming to increase the utilization of skilled birth attendants by women for childbirth: study protocol

PubMed Central

2014-01-01

Background Nepal is on track to achieve MDG 5 but there is a huge sub-national disparity with existing high maternal mortality in western and hilly regions. The national priority is to reduce this disparity to achieve the goal at sub-national level. Evidences from developing countries show that increasing utilization of skilled attendant at birth is an important indicator for reducing maternal death. Further, there is a very low utilization during childbirth in western and hilly regions of Nepal which clearly depicts the barriers in utilization of skilled birth attendants. So, there is a need to overcome the identified barriers to increase the utilization thereby decreasing the maternal mortality. The hypothesis of this study is that through a package of interventions the utilization of skilled birth attendants will be increased and hence improve maternal health in Nepal. Method/Design This study involves a cluster randomized controlled trial involving approximately 5000 pregnant women in 36 clusters. The 18 intervention clusters will receive the following interventions: i) mobilization of family support for pregnant women to reach the health facility, ii) availability of emergency funds for institutional childbirth, iii) availability of transport options to reach a health facility for childbirth, iv) training to health workers on communication skills, v) security provisions for SBAs to reach services 24/24 through community mobilization; 18 control clusters will not receive the intervention package. The final evaluation of the intervention is planned to be completed by October 2014. Primary study output of this study is utilization of SBA services. Secondary study outputs measure the uptake of antenatal care, post natal checkup for mother and baby, availability of transportation for childbirth, operation of emergency fund, improved reception of women at health services, and improved physical security of SBAs. Discussion The intervention package is designed to increase the utilization of skilled birth attendants by overcoming the barriers related to awareness, finance, transport, security etc. If proven effective, the Ministry of Health has committed to scale up the intervention package throughout the country. Trial registration number ISRCTN78892490. PMID:24646123

Impacts and societal benefits of research activities at Summit Station, Greenland

NASA Astrophysics Data System (ADS)

Hawley, R. L.; Burkhart, J. F.; Courville, Z.; Dibb, J. E.; Koenig, L.; Vaughn, B. H.

2017-12-01

Summit Station began as the site for the Greenland Ice Sheet Project 2 ice core in 1989. Since then, it has hosted both summer campaign science, and since 1997, year-round observations of atmospheric and cryospheric processes. The station has been continuously occupied since 2003. While most of the science activities at the station are supported by the US NSF Office of Polar Programs, the station also hosts many interagency and international investigations in physical glaciology, atmospheric chemistry, satellite validation, astrophysics and other disciplines. Summit is the only high elevation observatory north of the Arctic circle that can provide clean air or snow sites. The station is part of the INTER-ACT consortium of Arctic research stations with the main objective to identify, understand, predict and respond to diverse environmental changes, and part of the International Arctic Systems for Observing the Atmosphere (IASOA) that coordinates Arctic research activities and provides a networked, observations-based view of the Arctic. The Summit Station Science Summit, sponsored by NSF, assembled a multidisciplinary group of scientists to review Summit Station science, define the leading research questions for Summit, and make community-based recommendations for future science goals and governance for Summit. The impact of several on-going observation records was summarized in the report "Sustaining the Science Impact of Summit Station, Greenland," including the use of station data in weather forecasts and climate models. Observations made at the station as part of long-term, year-round research or during shorter summer-only campaign seasons contribute to several of the identified Social Benefit Areas (SBAs) outlined in the International Arctic Observations Assessment Framework published by the IDA Science and Technology Policy Institute and Sustaining Arctic Observing Networks as an outcome of the 2016 Arctic Science Ministerial. The SBAs supported by research conducted at Summit include Fundamental Understanding of Arctic Systems, Infrastructure and Operations, Terrestrial and Freshwater Ecosystems and Processes and Weather and Climate. Future efforts at maintaining the station's long-term climate record will focus on these areas, as identified in the Summit Station Science Summit report.

A cluster randomized implementation trial to measure the effectiveness of an intervention package aiming to increase the utilization of skilled birth attendants by women for childbirth: study protocol.

PubMed

Bhandari, Gajananda P; Subedi, Narayan; Thapa, Janak; Choulagai, Bishnu; Maskey, Mahesh K; Onta, Sharad R

2014-03-19

Nepal is on track to achieve MDG 5 but there is a huge sub-national disparity with existing high maternal mortality in western and hilly regions. The national priority is to reduce this disparity to achieve the goal at sub-national level. Evidences from developing countries show that increasing utilization of skilled attendant at birth is an important indicator for reducing maternal death. Further, there is a very low utilization during childbirth in western and hilly regions of Nepal which clearly depicts the barriers in utilization of skilled birth attendants. So, there is a need to overcome the identified barriers to increase the utilization thereby decreasing the maternal mortality. The hypothesis of this study is that through a package of interventions the utilization of skilled birth attendants will be increased and hence improve maternal health in Nepal. This study involves a cluster randomized controlled trial involving approximately 5000 pregnant women in 36 clusters. The 18 intervention clusters will receive the following interventions: i) mobilization of family support for pregnant women to reach the health facility, ii) availability of emergency funds for institutional childbirth, iii) availability of transport options to reach a health facility for childbirth, iv) training to health workers on communication skills, v) security provisions for SBAs to reach services 24/24 through community mobilization; 18 control clusters will not receive the intervention package. The final evaluation of the intervention is planned to be completed by October 2014. Primary study output of this study is utilization of SBA services. Secondary study outputs measure the uptake of antenatal care, post natal checkup for mother and baby, availability of transportation for childbirth, operation of emergency fund, improved reception of women at health services, and improved physical security of SBAs. The intervention package is designed to increase the utilization of skilled birth attendants by overcoming the barriers related to awareness, finance, transport, security etc. If proven effective, the Ministry of Health has committed to scale up the intervention package throughout the country. ISRCTN78892490.

Uterine Tonus Assessment by Midwives versus Patient self-assessment in the active management of the third stage of labor (UTAMP): study protocol for a randomized controlled trial.

PubMed

Browne, Joyce L; Damale, Nelson K R; Raams, Tessa M; Van der Linden, Eva L; Maya, Ernest T; Doe, Roseline; Rijken, Marcus J; Adanu, Richard; Grobbee, Diederick E; Franx, Arie; Klipstein-Grobusch, Kerstin

2015-12-18

Postpartum hemorrhage (PPH) is the leading cause of maternal mortality worldwide and accounts for one third of maternal deaths in low-income and middle-income countries. PPH can be prevented by active management of the third stage of labor (AMTSL), a series of steps recommended by the World Health Organization to be performed by skilled birth attendants (SBAs). Task shifting in the AMTSL step of uterotonic drugs administration to community health workers, traditional birth attendants and self-administration has been investigated as a strategy to increase access to quality obstetric care considering persistent SBA and facility-based delivery shortages. The aim of this study is to assess task shifting in the final step of AMTSL and compare uterine tonus assessment by a SBA to self-assessment. The study is an individual-level two-arm non-inferiority randomized controlled trial (RCT). A total of 800 women will be recruited in Korle Bu Teaching Hospital in Accra, Ghana. Adult women in labor at term with an expected vaginal delivery who received antenatal instructions for self-assessment of uterine tonus will be eligible for inclusion. Women with an increased risk for PPH will be excluded. Women will be randomized to uterine tone assessment by a skilled birth attendant (midwife) or uterine tone self-assessment (with the safety back-up of a midwife present in case of PPH or uterine atony). Postpartum blood loss will be measured through weighing of disposable mats. The main study endpoints are PPH (≥500 ml blood loss), severe PPH (≥1000 ml blood loss), mean blood loss, and routine maternal and neonatal outcomes. Participants and caregivers will not be blinded given the nature of the intervention. A reduction of PPH-related maternal mortality requires full implementation of AMTSL. Task shifting of uterine tone assessment may contribute to increased AMTSL implementation in (clinical) settings where SBAs capacity is constrained. Clinicaltrials.gov: NCT02223806 , registration August 2014. PACTR201402000736158 , registration July 2014. University of Ghana, Medical School Ethical and Protocol Review Committee: MS-Et/M.8-P4.1/2014-2015.

Phase 1 of the First Solar Small Power System Experiment (experimental System No. 1). Volume 2: Appendix A - D

NASA Technical Reports Server (NTRS)

Clark, T. B. (Editor)

1979-01-01

Recommended conceptual designs for the baseline solar concentrator and electrical subsystems are defined, and trade offs that were evaluated to arrive at the baseline systems are presented. In addition, the developmental history of the Stirling engine is reviewed, the U4 configuration is described, and a Stirling engine heat pipe system is evaluated for solar application where sodium vapor is used as the heat source. An organic Rankine cycle engine is also evaluated for solar small power system application.

Application of InSAR to detection of localized subsidence and its effects on flood protection infrastructure in the New Orleans area

NASA Astrophysics Data System (ADS)

Jones, Cathleen; Blom, Ronald; Latini, Daniele

2014-05-01

The vulnerability of the United States Gulf of Mexico coast to inundation has received increasing attention in the years since hurricanes Katrina and Rita. Flood protection is a challenge throughout the area, but the population density and cumulative effect of historic subsidence makes it particularly difficult in the New Orleans area. Analysis of historical and continuing geodetic measurements identifies a surprising degree of complexity in subsidence (Dokka 2011), including regions that are subsiding at rates faster than those considered during planning for hurricane protection and for coastal restoration projects. Improved measurements are possible through combining traditional single point, precise geodetic data with interferometric synthetic aperture radar (InSAR) observations for to obtain geographically dense constraints on surface deformation. The Gulf Coast environment is very challenging for InSAR techniques, especially with systems not designed for interferometry. We are applying pair-wise InSAR to longer wavelength (L-band, 24 cm) synthetic aperture radar data acquired with the airborne UAVSAR instrument (http://uavsar.jpl.nasa.gov/) to detect localized change impacting flood protection infrastructure in the New Orleans area during the period from 2009 - 2013. Because aircraft motion creates large-scale image artifacts across the scene, we focus on localized areas on and near flood protection infrastructure to identify anomalous change relative to the surrounding area indicative of subsidence, structural deformation, and/or seepage (Jones et al., 2011) to identify areas where problems exist. C-band and particularly X-band radar returns decorrelate over short time periods in rural or less urbanized areas and are more sensitive to atmospheric affects, necessitating more elaborate analysis techniques or, at least, a strict limit on the temporal baseline. The new generation of spaceborne X-band SAR acquisitions ensure relatively high frequency of acquisition, a dramatic increase of persistent scatter density in urban areas, and improved measurement of very small displacements (Crosetto et al., 2010). We compare the L-band UAVSAR results with permanent scatterer (PS-InSAR) and Short Baseline Subsets (SBAS) interferometric analyses of a stack composed by 28 TerraSAR X-band images acquired over the same period, to determine the influence of different radar frequencies and analyses techniques. Our applications goal is to demonstrate a technique to inform targeted ground surveys, identify areas of persistent subsidence, and improve overall monitoring and planning in flood risk areas. Dokka, 2011, The role of deep processes in late 20th century subsidence of New Orleans and coastal areas of southern Louisiana and Mississippi: J. Geophys. Res., 116, B06403, doi:10.1029/2010JB008008. Jones, C. E., G. Bawden, S. Deverel, J. Dudas, S. Hensley, Study of movement and seepage along levees using DINSAR and the airborne UAVSAR instrument, Proc. SPIE 8536, SAR Image Analysis, Modeling, and Techniques XII, 85360E (November 21, 2012); doi:10.1117/12.976885. Crosetto, M., Monserrat, O., Iglesias, R., & Crippa, B. (2010). Persistent Scatterer Interferometry: Potential, limits and initial C-and X-band comparison. Photogrammetric engineering and remote sensing, 76(9), 1061-1069. Acknowledgments: This research was carried out in part at the Jet Propulsion Laboratory, California Institute of Technology, under contract with the National Aeronautics and Space Administration.

Nucleotide supplementation and the growth of term small for gestational age infants.

PubMed Central

Cosgrove, M.; Davies, D. P.; Jenkins, H. R.

1996-01-01

A double blind randomised controlled trial in small for gestational age (SGA) infants, whose intestinal mucosa was shown to be functionally impaired as a result of intrauterine undernutrition, was carried out to investigate the hypothesis that nucleotide supplementation of a milk formula could improve catchup growth. Anthropometric data were collected on 74 infants, 39 randomly allocated to the nucleotide supplemented group (group N) and 35 to a standard formula group (group S). From study entry to 2 months of age, infants in group N had significantly higher mean rates of weight gain (106.3 compared with 94.7 g/kg baseline weight/week) and length gain (21.8 v 19.7 mm/m baseline length/week). Over the whole six months for which the trial formula was provided group N had significantly higher mean rates of gain of weight (80.1 compared with 71.8 g/kg baseline weight/week), length (16.2 compared with 15.0 mm/m baseline length/week), and head circumference (11.8 compared with 10.8 mm/m baseline head circumference/week). Catchup growth in SGA infants is therefore improved by nucleotide supplementation of infant formula. PMID:8777659

Weight loss is coupled with improvements to affective state in obese participants engaged in behavior change therapy based on incremental, self-selected "small changes".

PubMed

Paxman, Jenny R; Hall, Anna C; Harden, Charlotte J; O'Keeffe, Jean; Simper, Trevor N

2011-05-01

The aim of this study was to investigate the effects of a group behavior change intervention involving self-selected, contextualized, and mediated goal setting on anthropometric, affective, and dietary markers of health. It was hypothesized that the intervention would elicit changes consistent with accepted health recommendations for obese individuals. A rolling program of 12-week "Small Changes" interventions during 24 months recruited 71 participants; each program accommodated 10 to 13 adults (body mass index [BMI] ≥ 30 kg/m²). Fifty-eight participants completed Small Changes. Repeated measures were made at baseline, 6 and 12 weeks. Anthropometric measures included height and weight (to calculate BMI), body composition, waist circumference, and blood pressure. Affective state was monitored using relevant validated questionnaires. Dietary assessment used 3-day household measures food diaries with Schofield equations to monitor underreporting. Relevant blood measures were recorded throughout. Across the measurement period, Small Changes elicited a significant reduction in body weight (baseline, 102.95 ± 15.47 vs 12 weeks 100.09 ± 16.01 kg, P < .0005), coupled with associated significant improvements in BMI, body fat percentage, and waist circumference measures. There were additional significant positive changes in measures of affective state including general well-being (baseline, 58.92 ± 21.22 vs 12 weeks 78.04 ± 14.60, P < .0005) and total mood disturbance (baseline, 31.19 ± 34.03 vs 12 weeks 2.67 ± 24.96, P < .0005). Dietary changes that occurred were largely consistent with evidenced-based recommendations for weight management and included significant reductions in total energy intake and in fat and saturated fat as a proportion of energy. The Small Changes approach can elicit a range of health-orientated benefits for obese participants, and although further work is needed to ascertain the longevity of such effects, the outcomes from Small Changes are likely to help inform health professionals when framing the future of weight management. Long-term follow-up of Small Changes is warranted. Copyright © 2011 Elsevier Inc. All rights reserved.

Detection of small subendocardial infarction using speckle tracking echocardiography in a rat model.

PubMed

Bachner-Hinenzon, Noa; Shlomo, Liron; Khamis, Hanan; Ertracht, Offir; Vered, Zvi; Malka, Assaf; Binah, Ofer; Adam, Dan

2016-10-01

It is challenging to detect small nontransmural infarcts visually or automatically. As it is important to detect myocardial infarction (MI) at early stages, we tested the hypothesis that small nontransmural MI can be detected using speckle tracking echocardiography (STE) at the acute stage. Minimal nontransmural infarcts were induced in 18 rats by causing recurrent ischemia-reperfusion of the left anterior descending (LAD) coronary artery, followed by a 30-min ligation and by reperfusion. A week later, the scar size was measured by histological analysis. Each rat underwent three echocardiography measurements: at baseline, 1 day post-MI, and 1 week post-MI. To measure the peak circumferential strain (CS), peak systolic CS, radial strain (RS), and time-to-peak (TTP) of the CS, short-axis view of the apex was analyzed by a STE program. The TTP was normalized by the duration of the heart cycle to create percent change of heart cycle. Histological analysis after 1 week showed scar size of 4±6% at the anterior wall. At 24 h post-MI, the peak CS, peak systolic CS, and RS were reduced compared to baseline at the anterior wall due to the MI, and at the adjacent segments-the anterior septum and lateral wall, due to stunning (P<.05). However, only the anterior wall, the genuine damaged segment, showed prolonged TTP vs baseline (baseline 36%, 24 h 48%, P<.05). The TTP of the CS can distinguish between regions adjacent to MI (stunned or tethered) and MI, even in small nontransmural infarcts. © 2016, Wiley Periodicals, Inc.

Multirisk analysis along the Road 7, Mendoza Province, Argentina

NASA Astrophysics Data System (ADS)

Wick, Emmanuel; Baumann, Valérie; Michoud, Clément; Derron, Marc-Henri; Jaboyedoff, Michel; Rune Lauknes, Tom; Marengo, Hugo; Rosas, Mario

2010-05-01

The National Road 7 crosses Argentina from East to West, linking Buenos Aires to the Chile border. This road is an extremely important corridor crossing the Andes Cordillera, but it is exposed to numerous natural hazards, such as rockfalls, debris flows and snow avalanches. The study area is located in the Mendoza Province, between Potrerillos and Las Cuevas in the Chilean border. This study has for main goals to achieve a regional mapping of geohazards susceptibility along the Road 7 corridor using modern remote sensing and numerical modelling techniques completed by field investigations. The main topics are: - Detection and monitoring of deep-seated gravitational slope deformations by time-series satellite radar interferometry (InSAR) methods. The area of interest is mountainous with almost no vegetation permitting an optimized InSAR processing. Our results are based on applying the small-baseline subset (SBAS) method to a time-series of Envisat ASAR images. - Rockfalls susceptibility mapping is realized using statistical analysis of the slope angle distribution, including external knowledge on the geology and land cover, to detect the potential source areas (quantitative DEM analysis). The run-outs are assessed with numerical methods based on the shallow angle method with Conefall. A second propagation is performed using the alpha-beta methodology (3D numerical modelling) with RAS and is compared to the first one. - Debris flow susceptibility mapping is realized using DF-IGAR to detect starting and spreading areas. Slope, flow accumulations, contributive surfaces, plan curvature, geological and land use dataset are used. The spreading is simulated by a multiple flow algorithm (rules the path that the debris flow will follow) coupled to a run-out distance calculation (energy-based). - Snow avalanches susceptibility mapping is realized using DF-IGAR to map sources areas and propagations. To detect the sources areas, slope, altitude, land-use and minimum surfaces are needed. DF-IGAR simulates the spreading by means of the "Perla" methodology. Furthermore, RAS performs the spreading based on the "alpha-beta" method. All these methods are based on Aster and SRTM DEM (grid 30 m) and observations of both optical and radar satellite imagery (Aster, Quickbird, Worldview, Ikonos, Envisat ASAR) and aerial photographs. Several field campaigns are performed to calibrate the regional models with adapted parameters. Susceptibility maps of the entire area for rockfalls, debris flows and snow avalanches at a scale of 1:100'000 are created. Those maps and the field investigations are cross-checked to identify and prioritize hotspots. It appears that numerous road sectors are subject to highly active phenomena. Some mitigation works already exist but they are often under-dimensioned, inadequate or neglected. Recommendations for priority and realistic mitigation measures along the endangered road sectors identified are proposed.

Surface deformation time-series analysis at Ischia Island (South Italy) carried out via multi-platform monitoring systems

NASA Astrophysics Data System (ADS)

Manzo, Mariarosaria; Del Gaudio, Carlo; De Martino, Prospero; Ricco, Ciro; Tammaro, Umberto; Castaldo, Raffaele; Tizzani, Pietro; Lanari, Riccardo

2014-05-01

Ischia Island, located at the North-Western corner of the Gulf of Napoli (South Italy), is a volcanic area, whose state of activity is testified from eruptions (the last one occurred in 1302), earthquakes (the most disastrous in 1881 and 1883), hydrothermal manifestations and ground deformation. In this work we present the state of the art of the Ischia Island ground deformation phenomena through the joint analysis of data collected via different monitoring methodologies (leveling, GPS, and Differential SAR Interferometry) during the last twenty years. In particular, our analysis benefits from the large amount of periodic and continuous geodetic measurements collected by the 257 leveling benchmarks and the 20 (17 campaign and 3 permanent) GPS stations deployed on the island. Moreover, it takes advantage from the large archives of C-band SAR data (about 300 ascending and descending ERS-1/2 and ENVISAT images) acquired over the island since 1992 and the development of the advanced Differential SAR Interferometry (DInSAR) technique referred to as Small BAseline Subset (SBAS). The latter, allows providing space-time information on the ground displacements measured along the radar line of sight (LOS), and thanks to the availability of multi-orbit SAR data, permits to discriminate the vertical and east-west components of the detected displacements. Our integrated analysis reveals a complex deformative scenario; in particular, it identifies a spatially extended subsidence pattern, which increases as we move to higher heights, with no evidence of any uplift phenomena. This broad effect involve the Northern, Eastern, Southern and South-Western sectors of the island where we measure velocity values not exceeding -6 mm/year; moreover, we identify a more localized phenomenon affecting the North-Western area in correspondence to the Fango zone, where velocity values up to -10 mm/year are retrieved. In addition, our study shows a migration of the Eastern sector of the island towards West with velocity values of -1/-2 mm/year. Conversely, a not clear behaviour of the central and South-Western areas is found; indeed, while the GPS velocity vectors are primarily Northward directed, the DInSAR measurements reveal a migration of these sectors towards East; in both cases we measure deformation velocity values of a very few mm/year. This discrepancy is very likely related to the fact that the North deformation component does not contribute to the measured LOS displacement component due to the nearly polar characteristics of the radar sensor orbits. The performed integrated time-series analysis can significantly contribute to the comprehension of the volcanic island dynamics, especially in the case of long-term observations that promote the investigation, modelling and interpretation of the physical processes behind the deformation phenomena at different temporal and spatial scales.

Infantile Accountability: When Big Data Meet Small Children

ERIC Educational Resources Information Center

Wrigley, Terry; Wormwell, Louise

2016-01-01

This article examines a government attempt to impose testing of 4-year-olds as a baseline against which to "hold primary schools accountable" for children's subsequent progress. It examines the various forms of baseline testing in this experiment and analyses the misleading claims made for the "predictive validity" of baseline…

Cognitive Performance as Predictor and Outcome of Adolescent Bariatric Surgery: A Nonrandomized Pilot Study.

PubMed

Mackey, Eleanor R; Jacobs, Marni; Nadler, Evan P; Olson, Alexandra; Pearce, Alaina; Cherry, J Bradley C; Magge, Sheela N; Mietus-Snyer, Michele; Vaidya, Chandan

2018-05-16

Evidence in adults suggests that improvements in cognitive performance may follow weight loss resulting from bariatric surgery, and baseline cognitive performance may be associated with weight loss following surgery. This has not been evaluated in adolescents. Participants were 38 adolescents of age 14-21 years composed of three groups: (1) 12 adolescents with severe obesity who received vertical sleeve gastrectomy during the study (VSG); (2) 14 adolescents with severe obesity who were wait-listed for VSG (WL); and (3) 12 healthy weight controls (HC). Participants completed testing of visual memory, verbal memory, and executive functioning at baseline (T1), which occurred presurgery for the VSG group, and approximately 4 months after baseline (T2). Body mass index (BMI) was assessed at T1, T2, and additionally at 6 months following VSG for the adolescents who received surgery. Although there was evidence of greater improvement for the VSG as compared with WL and HC groups in visual and verbal memory, group differences did not reach significance and effect sizes were small (η2 < 0.01). There was a significant positive association between indices of baseline executive functioning and excess BMI loss at 6 months postsurgery. This small pilot study showed no significant differences by group in cognitive performance post-VSG. There was a significant association of baseline cognitive performance with weight loss outcomes. Given the very preliminary nature of these results in a small sample, future research should examine these relationships in a larger sample and evaluate mechanisms of these associations (e.g., insulin resistance, sleep, physical activity).

Advanced System Design Requirements for Large and Small Fixed-wing Aerial Application Systems for Agriculture

NASA Technical Reports Server (NTRS)

Hinely, J. T., Jr.; Boyles, R. Q., Jr.

1979-01-01

Several candidate aircraft configurations were defined over the range of 1000 to 10,000 pounds payload and evaluated over a broad spectrum of agricultural missions. From these studies, baseline design points were selected at 3200 pounds payload for the small aircraft and 7500 pounds for the large aircraft. The small baseline aircraft utilizes a single turboprop powerplant while the large aircraft utilizes two turboprop powerplants. These configurations were optimized for wing loading, aspect ratio, and power loading to provide the best mission economics in representative missions. Wing loading of 20 lb/sq ft was selected for the small aircraft and 25 lb/sq ft for the large aircraft. Aspect ratio of 8 was selected for both aircraft. It was found that a 10% reduction in engine power from the original configurations provided improved mission economics for both aircraft by reducing the cost of the turboprop. Refined configurations incorporate a 675 HP engine in the small aircraft and two 688 HP engines in the large aircraft.

Small-scale loess landslide monitoring with small baseline subsets interferometric synthetic aperture radar technique-case study of Xingyuan landslide, Shaanxi, China

NASA Astrophysics Data System (ADS)

Zhao, Chaoying; Zhang, Qin; He, Yang; Peng, Jianbing; Yang, Chengsheng; Kang, Ya

2016-04-01

Small baseline subsets interferometric synthetic aperture radar technique is analyzed to detect and monitor the loess landslide in the southern bank of the Jinghe River, Shaanxi province, China. Aiming to achieve the accurate preslide time-series deformation results over small spatial scale and abrupt temporal deformation loess landslide, digital elevation model error, coherence threshold for phase unwrapping, and quality of unwrapping interferograms must be carefully checked in advance. In this experience, land subsidence accompanying a landslide with the distance <1 km is obtained, which gives a sound precursor for small-scale loess landslide detection. Moreover, the longer and continuous land subsidence has been monitored while deformation starting point for the landslide is successfully inverted, which is key to monitoring the similar loess landslide. In addition, the accelerated landslide deformation from one to two months before the landslide can provide a critical clue to early warning of this kind of landslide.

Stability analysis of geomagnetic baseline data obtained at Cheongyang observatory in Korea

NASA Astrophysics Data System (ADS)

Amran, Shakirah M.; Kim, Wan-Seop; Cho, Heh Ree; Park, Po Gyu

2017-07-01

The stability of baselines produced by Cheongyang (CYG) observatory from the period of 2014 to 2016 is analysed. Step heights of higher than 5 nT were found in H and Z components in 2014 and 2015 due to magnetic noise in the absolute-measurement hut. In addition, a periodic modulation behaviour observed in the H and Z baseline curves was related to annual temperature variation of about 20 °C in the fluxgate magnetometer hut. Improvement in data quality was evidenced by a small dispersion between successive measurements from June 2015 to the end of 2016. Moreover, the baseline was also improved by correcting the discontinuity in the H and Z baselines.

Recent Innovations in Small-N Designs for Research and Practice in "Professional School Counseling"

ERIC Educational Resources Information Center

McDougall, Dennis; Smith, Douglas

2006-01-01

This article illustrates an innovative small-N research design that researchers and practitioners can use to investigate questions of interest in "professional school counseling." The distributed criterion (DC) design integrates elements of three classic small-N research designs--the changing criterion, reversal, and multiple baseline. The DC…

Pre-seizure architecture of the local connections of the epileptic focus examined via graph-theory.

PubMed

Vecchio, Fabrizio; Miraglia, Francesca; Vollono, Catello; Fuggetta, Filomena; Bramanti, Placido; Cioni, Beatrice; Rossini, Paolo Maria

2016-10-01

Epilepsy is characterized by unpredictable and sudden paroxysmal neuronal firing occurrences and sometimes evolving in clinically evident seizure. To predict seizure event, small-world characteristic in nine minutes before seizure, divided in three 3-min periods (T0, T1, T2) were investigated. Intracerebral recordings were obtained from 10 patients with drug resistant focal epilepsy examined by means of stereotactically implanted electrodes; analysis was focused in a period of low spiking (Baseline) and during two seizures. Networks' architecture is undirected and weighted. Electrodes' contacts close to epileptic focus are the vertices, edges are weighted by mscohere (=magnitude squared coherence). Differences were observed between Baseline and T1 and between Baseline and T2 in theta band; and between Baseline and T1, Baseline and T2, and near-significant difference between T0 and T2 in Alpha 2 band. Moreover, an intra-band index was computed for small worldness as difference between Theta and Alpha 2. It was found a growing index trend from Baseline to T2. Cortical network features a specific pre-seizure architecture which could predict the incoming epileptic seizure. Through this study future researches could investigate brain connectivity modifications approximating a clinical seizure also in order to address a preventive therapy. Copyright © 2016 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

Baseline Hemodynamics and Response to Contrast Media During Diagnostic Cardiac Catheterization Predict Adverse Events in Heart Failure Patients.

PubMed

Denardo, Scott J; Vock, David M; Schmalfuss, Carsten M; Young, Gregory D; Tcheng, James E; O'Connor, Christopher M

2016-07-01

Contrast media administered during cardiac catheterization can affect hemodynamic variables. However, little is documented about the effects of contrast on hemodynamics in heart failure patients or the prognostic value of baseline and changes in hemodynamics for predicting subsequent adverse events. In this prospective study of 150 heart failure patients, we measured hemodynamics at baseline and after administration of iodixanol or iopamidol contrast. One-year Kaplan-Meier estimates of adverse event-free survival (death, heart failure hospitalization, and rehospitalization) were generated, grouping patients by baseline measures of pulmonary capillary wedge pressure (PCWP) and cardiac index (CI), and by changes in those measures after contrast administration. We used Cox proportional hazards modeling to assess sequentially adding baseline PCWP and change in CI to 5 validated risk models (Seattle Heart Failure Score, ESCAPE [Evaluation Study of Congestive Heart Failure and Pulmonary Artery Catheterization Effectiveness], CHARM [Candesartan in Heart Failure: Assessment of Reduction in Mortality and Morbidity], CORONA [Controlled Rosuvastatin Multinational Trial in Heart Failure], and MAGGIC [Meta-Analysis Global Group in Chronic Heart Failure]). Median contrast volume was 109 mL. Both contrast media caused similarly small but statistically significant changes in most hemodynamic variables. There were 39 adverse events (26.0%). Adverse event rates increased using the composite metric of baseline PCWP and change in CI (P<0.01); elevated baseline PCWP and decreased CI after contrast correlated with the poorest prognosis. Adding both baseline PCWP and change in CI to the 5 risk models universally improved their predictive value (P≤0.02). In heart failure patients, the administration of contrast causes small but significant changes in hemodynamics. Calculating baseline PCWP with change in CI after contrast predicts adverse events and increases the predictive value of existing models. Patients with elevated baseline PCWP and decreased CI after contrast merit greatest concern. © 2016 American Heart Association, Inc.

Mipomersen preferentially reduces small low-density lipoprotein particle number in patients with hypercholesterolemia.

PubMed

Santos, Raul D; Raal, Frederick J; Donovan, Joanne M; Cromwell, William C

2015-01-01

Because of variability in lipoprotein cholesterol content, low-density lipoprotein (LDL) cholesterol frequently underrepresents or overrepresents the number of LDL particles. Mipomersen is an antisense oligonucleotide that reduces hepatic production of apolipoprotein B-100, the sole apolipoprotein of LDL. To characterize the effects of mipomersen on lipoprotein particle numbers as well as subclass distribution using nuclear magnetic resonance (NMR) spectroscopy. We compared the tertiary results for the direct measurement of LDL particle numbers by NMR among 4 placebo-controlled, phase 3 studies of mipomersen that had similar study designs but different patient populations: homozygous familial hypercholesterolemia (HoFH), severe hypercholesterolemia, heterozygous familial hypercholesterolemia with established coronary artery disease, or hypercholesterolemia with high risk for coronary heart disease (HC-CHD). HoFH patients had the highest median total LDL particles at baseline compared with HC-CHD patients, who had the lowest. At baseline, the HoFH population uniquely had a greater mean percentage of large LDL particles (placebo, 60.2%; mipomersen, 54.9%) compared with small LDL particles (placebo, 33.1%; mipomersen, 38.9%). In all 4 studies, mipomersen was associated with greater reductions from baseline in the concentrations of small LDL particles compared with those of large LDL particles, and both total LDL particles and small LDL particles were statistically significantly reduced. Mipomersen consistently reduced all LDL particle numbers and preferentially reduced the concentration of small LDL particles in all 4 phase 3 studies. Copyright © 2015 National Lipid Association. Published by Elsevier Inc. All rights reserved.

Stability and Agreement of a Microtransducer and an Air-Filled Balloon Esophageal Catheter in the Monitoring of Esophageal Pressure.

PubMed

Augusto, Renan Maloni; Albuquerque, André Luis Pereira; Jaeger, Thomas; de Carvalho, Carlos Roberto Ribeiro; Caruso, Pedro

2017-02-01

The use of esophageal catheters with microtransducer promises advantages over traditional catheters with air-filled balloons. However, performance comparisons between these 2 types of catheters are scarce and incomplete. A catheter with a 9.5-cm air-filled balloon at the distal tip and a catheter with a microtransducer mounted within a flexible silicone rubber were tested in vitro and in vivo. In vitro, the response times of both catheters were compared, and the drift of the baseline pressure of the microtransducer catheter was evaluated over a 6-h period. In vivo, 11 healthy volunteers had both catheters inserted, and the drift of the baseline esophageal pressure was measured over a 3-h period. Also, the correlation and agreement of the baseline and changes in the esophageal pressure of both catheters were evaluated. In vitro, the microtransducer catheter had a response time significantly higher (262 × 114 Hz, P < .01) and a good pressure stability, with a mean baseline pressure drift of 1.4 cm H 2 O. In vivo, both catheters presented a small and similar baseline esophageal pressure drift (P = 0.08). For measurements of baseline and changes in esophageal pressure, the correlation and agreement between the catheters were poor, with a large bias between them. The catheter with the microtransducer had a small baseline pressure drift, similar to the air-filled balloon catheter. The low agreement between the catheters does not allow the microtransducer catheter to be used as a surrogate for the traditional air-filled balloon catheter. Copyright © 2017 by Daedalus Enterprises.

Lacunar Infarcts, but Not Perivascular Spaces, Are Predictors of Cognitive Decline in Cerebral Small-Vessel Disease

PubMed Central

Trippier, Sarah; Lawrence, Andrew J.; Lambert, Christian; Zeestraten, Eva; Williams, Owen A.; Patel, Bhavini; Morris, Robin G.; Barrick, Thomas R.; MacKinnon, Andrew D.; Markus, Hugh S.

2018-01-01

Background and Purpose— Cerebral small-vessel disease is a major cause of cognitive impairment. Perivascular spaces (PvS) occur in small-vessel disease, but their relationship to cognitive impairment remains uncertain. One reason may be difficulty in distinguishing between lacunes and PvS. We determined the relationship between baseline PvS score and PvS volume with change in cognition over a 5-year follow-up. We compared this to the relationship between baseline lacune count and total lacune volume with cognition. In addition, we examined change in PvS volume over time. Methods— Data from the prospective SCANS study (St Georges Cognition and Neuroimaging in Stroke) of patients with symptomatic lacunar stroke and confluent leukoaraiosis were used (n=121). Multimodal magnetic resonance imaging was performed annually for 3 years and neuropsychological testing annually for 5 years. Lacunes were manually identified and distinguished from PvS. PvS were rated using a validated visual rating scale, and PvS volumes calculated using T1-weighted images. Linear mixed-effect models were used to determine the impact of PvS and lacunes on cognition. Results— Baseline PvS scores or volumes showed no association with cognitive indices. No change was detectable in PvS volumes over the 3 years. In contrast, baseline lacunes associated with all cognitive indices and predicted cognitive decline over the 5-year follow-up. Conclusions— Although a feature of small-vessel disease, PvS are not a predictor of cognitive decline, in contrast to lacunes. This study highlights the importance of carefully differentiating between lacunes and PvS in studies investigating vascular cognitive impairment. PMID:29438074

Taking the Measure of Massive Stars and their Environments with the CHARA Array Long-baseline Interferometer

NASA Astrophysics Data System (ADS)

Gies, Douglas R.

2017-11-01

Most massive stars are so distant that their angular diameters are too small for direct resolution. However, the observational situation is now much more favorable, thanks to new opportunities available with optical/IR long-baseline interferometry. The Georgia State University Center for High Angular Resolution Astronomy Array at Mount Wilson Observatory is a six-telescope instrument with a maximum baseline of 330 meters, which is capable of resolving stellar disks with diameters as small as 0.2 milliarcsec. The distant stars are no longer out of range, and many kinds of investigations are possible. Here we summarize a number of studies involving angular diameter measurements and effective temperature estimates for OB stars, binary and multiple stars (including the σ Orionis system), and outflows in Luminous Blue Variables. An enlarged visitors program will begin in 2017 that will open many opportunities for new programs in high angular resolution astronomy.

Chemical, Biological, and Radiological (CBR) Contamination Survivability, Small Items of Equipment

DTIC Science & Technology

2012-06-22

thickness (number of coats), paint condition, and surface cleanliness (mud, grease, and other). j. Pretest (baseline) and posttest (30 days after...survivability testing of small items of mission-essential (ME) Army materiel. Small items, for example , include personal gear, small arms, radios...their effects. An example would be the age of the paint on the surface (aged, new, etc.). f. The only current mechanism for converting agent mass

Transforming Science Data for GIS: How to Find and Use NASA Earth Observation Data Without Being a Rocket Scientist

NASA Technical Reports Server (NTRS)

Bagwell, Ross; Peters, Byron; Berrick, Stephen

2017-01-01

NASAs Earth Observing System Data Information System (EOSDIS) manages Earth Observation satellites and the Distributed Active Archive Centers (DAACs), where the data is stored and processed. The challenge is that Earth Observation data is complicated. There is plenty of data available, however, the science teams have had a top-down approach: define what it is you are trying to study -select a set of satellite(s) and sensor(s), and drill down for the data.Our alternative is to take a bottom-up approach using eight environmental fields of interest as defined by the Group on Earth Observations (GEO) called Societal Benefit Areas (SBAs): Disaster Resilience (DR) Public Health Surveillance (PHS) Energy and Mineral Resource Management (EMRM) Water Resources Management (WRM) Infrastructure and Transport Management (ITM) Sustainable Urban Development (SUD) Food Security and Sustainable Agriculture (FSSA) Biodiversity and Ecosystems Sustainability (BES).

N+3 Small Commercial Efficient and Quiet Transportation for Year 2030-2035

NASA Technical Reports Server (NTRS)

DAngelo, Martin M.; Gallman, John; Johnson, Vicki; Garcia, Elena; Tai, Jimmy; Young, Russell

2010-01-01

This study develops a future scenario that enables convenient point-to-point commercial air travel via a large network of community airports and a new class of small airliners. A network demand and capacity study identifies current and future air travel demands and the capacity of this new network to satisfy these demands. A current technology small commercial airliner is defined to meet the needs of the new network, as a baseline for evaluating the improvement brought about by advanced technologies. Impact of this new mode of travel on the infrastructure and surrounding communities of the small airports in this new N+3 network are also evaluated. Year 2030-2035 small commercial airliner technologies are identified and a trade study conducted to evaluate and select those with the greatest potential for enhancing future air travel and the study metrics. The selected advanced air vehicle concept is assessed against the baseline aircraft, and an advanced, but conventional aircraft, and the study metrics. The key technologies of the selected advanced air vehicle are identified, their impact quantified, and risk assessments and roadmaps defined.

40 CFR 63.1281 - Control equipment requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

... requirements for sources except small glycol dehydration units. Owners and operators of small glycol dehydration units shall comply with the control requirements in paragraph (f) of this section. (1) The control... or operator shall determine glycol dehydration unit baseline operations (as defined in § 63.1271...

40 CFR 63.1281 - Control equipment requirements.

Code of Federal Regulations, 2014 CFR

2014-07-01

... requirements for sources except small glycol dehydration units. Owners and operators of small glycol dehydration units shall comply with the control requirements in paragraph (f) of this section. (1) The control... or operator shall determine glycol dehydration unit baseline operations (as defined in § 63.1271...

Distributed Turboelectric Propulsion for Hybrid Wing Body Aircraft

NASA Technical Reports Server (NTRS)

Kim, Hyun Dae; Brown, Gerald V.; Felder, James L.

2008-01-01

Meeting future goals for aircraft and air traffic system performance will require new airframes with more highly integrated propulsion. Previous studies have evaluated hybrid wing body (HWB) configurations with various numbers of engines and with increasing degrees of propulsion-airframe integration. A recently published configuration with 12 small engines partially embedded in a HWB aircraft, reviewed herein, serves as the airframe baseline for the new concept aircraft that is the subject of this paper. To achieve high cruise efficiency, a high lift-to-drag ratio HWB was adopted as the baseline airframe along with boundary layer ingestion inlets and distributed thrust nozzles to fill in the wakes generated by the vehicle. The distributed powered-lift propulsion concept for the baseline vehicle used a simple, high-lift-capable internally blown flap or jet flap system with a number of small high bypass ratio turbofan engines in the airframe. In that concept, the engine flow path from the inlet to the nozzle is direct and does not involve complicated internal ducts through the airframe to redistribute the engine flow. In addition, partially embedded engines, distributed along the upper surface of the HWB airframe, provide noise reduction through airframe shielding and promote jet flow mixing with the ambient airflow. To improve performance and to reduce noise and environmental impact even further, a drastic change in the propulsion system is proposed in this paper. The new concept adopts the previous baseline cruise-efficient short take-off and landing (CESTOL) airframe but employs a number of superconducting motors to drive the distributed fans rather than using many small conventional engines. The power to drive these electric fans is generated by two remotely located gas-turbine-driven superconducting generators. This arrangement allows many small partially embedded fans while retaining the superior efficiency of large core engines, which are physically separated but connected through electric power lines to the fans. This paper presents a brief description of the earlier CESTOL vehicle concept and the newly proposed electrically driven fan concept vehicle, using the previous CESTOL vehicle as a baseline.

Astronomical observatories on the Moon

NASA Astrophysics Data System (ADS)

Swanson, Paul N.; Cutts, James A.

1994-06-01

The Space Exploration Initiative presents an opportunity to construct astronomical telescopes on the Moon using the infrastructure provided by the lunar outpost. Small automatically deployed telescopes can be carried on the survey missions, be deployed on the lunar surface and be operated remotely from the Earth. Possibilities for early, small optical telescopes are a zenith pointed transit telescope, a student telescope, and a 0.5 to 1 meter automatic, fully steerable telescope. After the lunar outpost is established the lunar interferometers will be constructed in an evolutionary fashion. There are three lunar interferometers which have been studied. The most ambitious is the optical interferometer with a 1 to 2 -km baseline and seven 1.5 aperture elements arranged in a 'Y' configuration with a central beam combiner. The Submillimeter interferometer would use seven, 5-m reflectors in a 'Y' or circular configuration with a 1-km baseline. The Very Low Frequency (VLF) array would operate below 30 mHz with as many as 100 elements and a 200-km baseline.

Next-generation Event Horizon Telescope developments: new stations for enhanced imaging

NASA Astrophysics Data System (ADS)

Palumbo, Daniel; Johnson, Michael; Doeleman, Sheperd; Chael, Andrew; Bouman, Katherine

2018-01-01

The Event Horizon Telescope (EHT) is a multinational Very Long Baseline Interferometry (VLBI) network of dishes joined to resolve general relativistic behavior near a supermassive black hole. The imaging quality of the EHT is largely dependent upon the sensitivity and spatial frequency coverage of the many baselines between its constituent telescopes. The EHT already contains many highly sensitive dishes, including the crucial Atacama Large Millimeter/Submillimeter Array (ALMA), making it viable to add smaller, cheaper telescopes to the array, greatly improving future capabilities of the EHT. We develop tools for optimizing the positions of new dishes in planned arrays. We also explore the feasibility of adding small orbiting dishes to the EHT, and develop orbital optimization tools for space-based VLBI imaging. Unlike the Millimetron mission planned to be at L2, we specifically treat near-earth orbiters, and find rapid filling of spatial frequency coverage across a large range of baseline lengths. Finally, we demonstrate significant improvement in image quality when adding small dishes to planned arrays in simulated observations.

Experimental Analysis of Small-Group Performance Effectiveness: Behavioral and Biological Interactions.

DTIC Science & Technology

1982-04-01

processes requiring systematic experimental analysis. Accordingly, group performance effectiveness studies were initiated to 61 assess the effects on...the experiment. 67 active processes associated with Joining the respective established groups, but the absence of baseline levels precludes such an...novitiate in comparison to such values observed during baseline days suggested an active process associated with the joining of the group and emphasized the

Quality of life analyses from the randomized, open-label, phase III PointBreak study of pemetrexed-carboplatin-bevacizumab followed by maintenance pemetrexed-bevacizumab versus paclitaxel-carboplatin-bevacizumab followed by maintenance bevacizumab in patients with stage IIIB or IV nonsquamous non-small-cell lung cancer.

PubMed

Spigel, David R; Patel, Jyoti D; Reynolds, Craig H; Garon, Edward B; Hermann, Robert C; Govindan, Ramaswamy; Olsen, Mark R; Winfree, Katherine B; Chen, Jian; Liu, Jingyi; Guba, Susan C; Socinski, Mark A; Bonomi, Philip

2015-02-01

Treatment impact on quality of life (QoL) informs treatment management decisions in advanced nonsquamous non-small-cell lung cancer (NS NSCLC). QoL outcomes from the phase III PointBreak trial are reported. Chemonaive patients (n = 939) with stage IIIB/IV nonsquamous non-small-cell lung cancer and Eastern Cooperative Oncology Group performance status 0 to 1 were randomized (1:1) to pemetrexed-carboplatin-bevacizumab (pemetrexed arm) or paclitaxel-carboplatin-bevacizumab (paclitaxel arm). Patients without progressive disease received maintenance pemetrexed-bevacizumab (pemetrexed arm) or bevacizumab (paclitaxel arm). QoL was assessed using Functional Assessment of Cancer Therapy (FACT)-General (FACT-G), FACT-Lung (FACT-L), and FACT/Gynecologic Oncology Group-Neurotoxicity (FACT-Ntx) instruments. Subscale scores, total scores, and trial outcome indices were analyzed using linear mixed-effects models. Post hoc analyses examined the association between baseline FACT scores and overall survival (OS). Mean score differences in change from baseline significantly favored the pemetrexed arm for the neurotoxicity subscale score, FACT-Ntx total scores, and FACT-Ntx trial outcome index. They occurred at cycle 2 (p < 0.001) and persisted through induction cycles 2 to 4 and six maintenance cycles. Investigator-assessed, qualitative, drug-related differences in grade 2 (1.6% versus 10.6%) and grade 3 (0.0% versus 4.1%) sensory neuropathy and grade 3/4 fatigue (10.9% versus 5.0%, p = 0.0012) were observed between the pemetrexed and paclitaxel arms. Baseline FACT-G, FACT-L, and FACT-Ntx scores were significant prognostic factors for OS (p < 0.001). Randomized patients reported similar changes in QoL, except for less change from baseline in neurotoxicity on the pemetrexed arm; investigators reported greater neurotoxicity on the paclitaxel arm and greater fatigue on the pemetrexed arm. Higher baseline FACT scores were favorable prognostic factors for OS.

Do older adults with chronic low back pain differ from younger adults in regards to baseline characteristics and prognosis?

PubMed

Manogharan, S; Kongsted, A; Ferreira, M L; Hancock, M J

2017-05-01

Low back pain (LBP) in older adults is poorly understood because the vast majority of the LBP research has focused on the working aged population. The aim of this study was to compare older adults consulting with chronic LBP to middle aged and young adults consulting with chronic LBP, in terms of their baseline characteristics, and pain and disability outcomes over 1 year. Data were systematically collected as part of routine care in a secondary care spine clinic. At initial presentation patients answered a self-report questionnaire and underwent a physical examination. Patients older than 65 were classified as older adults and compared to middle aged (45-65 years old) and younger adults (17-44 years old) for 10 baseline characteristics. Pain intensity and disability were collected at 6 and 12 month follow-ups and compared between age groups. A total of 14,479 participants were included in the study. Of these 3087 (21%) patients were older adults, 6071 (42%) were middle aged and 5321 (37%) were young adults. At presentation older adults were statistically different to the middle aged and younger adults for most characteristics measured (e.g. less intense back pain, more leg pain and more depression); however, the differences were small. The change in pain and disability over 12 months did not differ between age groups. This study found small baseline differences in older people with chronic LBP compared to middle aged and younger adults. There were no associations between age groups and the clinical course. Small baseline differences exist in older people with chronic low back pain compared to middle aged and younger adults referred to secondary care for chronic low back pain. Older adults present with slightly less intense low back pain but slightly more intense leg pain. Changes in pain intensity and disability over a 12 month period were similar across all age groups. © 2017 European Pain Federation - EFIC®.

The ESA Geohazard Exploitation Platform

NASA Astrophysics Data System (ADS)

Bally, Philippe; Laur, Henri; Mathieu, Pierre-Philippe; Pinto, Salvatore

2015-04-01

Earthquakes represent one of the world's most significant hazards in terms both of loss of life and damages. In the first decade of the 21st century, earthquakes accounted for 60 percent of fatalities from natural disasters, according to the United Nations International Strategy for Disaster Reduction (UNISDR). To support mitigation activities designed to assess and reduce risks and improve response in emergency situations, satellite EO can be used to provide a broad range of geo-information services. This includes for instance crustal block boundary mapping to better characterize active faults, strain rate mapping to assess how rapidly faults are deforming, soil vulnerability mapping to help estimate how the soil is behaving in reaction to seismic phenomena, geo-information to assess the extent and intensity of the earthquake impact on man-made structures and formulate assumptions on the evolution of the seismic sequence, i.e. where local aftershocks or future main shocks (on nearby faults) are most likely to occur. In May 2012, the European Space Agency and the GEO Secretariat convened the International Forum on Satellite EO for Geohazards now known as the Santorini Conference. The event was the continuation of a series of international workshops such as those organized by the Geohazards Theme of the Integrated Global Observing Strategy Partnership. In Santorini the seismic community has set out a vision of the EO contribution to an operational global seismic risk program, which lead to the Geohazard Supersites and Natural Laboratories (GSNL) initiative. The initial contribution of ESA to suuport the GSNL was the first Supersites Exploitation Platform (SSEP) system in the framework of Grid Processing On Demand (GPOD), now followed by the Geohazard Exploitation Platform (GEP). In this presentation, we will describe the contribution of the GEP for exploiting satellite EO for geohazard risk assessment. It is supporting the GEO Supersites and has been further expanded to address broader objectives of the geohazards community. In particular it is a contribution to the CEOS WG Disasters and its Seismic Hazards Pilot and terrain deformation applications of its Volcano Pilot. The geohazards platform is sourced with elements - data, tools, and processing- relevant to the geohazards theme and related exploitation scenarios. For example, platform provides access to large SAR data collections and services to support SAR Interferometry (InSAR), in particular the Persistent Scatterer Interferometry (PSI) and Small Baseline Subset (SBAS) techniques, to provide precise terrain deformation. The GEP includes data coming from the ENVISAT ASAR and ERS archives, already hosted in the ESA clusters and in ESA's Virtual Archive and further extended to cover the requirements of the CEOS Pilot on Seismic Hazards. The GEP is gradually accessing Sentinel-1A data alongside with EO data from other space agencies with an interest in the geohazard exploitation platform. Further to this, the platform is intended to be available in the framework of the European Plate Observing System (EPOS) initiative, in order to help its users exploit EO data to support solid Earth monitoring and geophysical and geological analysis.

Product retrieval time in small tobacco retail outlets before and after the Australian plain packaging policy: real-world study.

PubMed

Wakefield, Melanie; Bayly, Megan; Scollo, Michelle

2014-01-01

We aimed to assess change in cigarette pack retrieval time in small retail outlets following the introduction of plain packaging in Australia in 1 December 2012. A sample of 303 milk bars, convenience stores, petrol stations and newsagents was selected in four capital cities, stratified by area socioeconomic status. In June and September (baseline months), the first 2 weeks of December 2012, and February 2013, stores were visited by trained fieldworkers who requested a cigarette pack of a pre-determined brand, variant and pack size, unobtrusively recording the time from the end of the request to when the pack was scanned or placed on the counter. In multivariate analysis, December retrieval time (12.43 s) did not differ from June (10.91 s; p=0.410) or February (10.37 s; p=0.382), but was slower than September (9.84 s; p=0.024). In December, retrieval time declined as days after plain packaging implementation increased (β=-0.21, p=0.011), returning to the baseline range by the second week of implementation. This pattern was not observed in baseline months or in February. Sensitivity analyses showed that results were robust to the variability in purchasing circumstances in tobacco retail outlets. Retailers quickly gained experience with the new plain packaging legislation, evidenced by retrieval time having returned to the baseline range by the second week of implementation and remaining so several months later. The long retrieval times predicted by tobacco industry-funded retailer groups and the consequent costs they predicted would fall upon small retailers from plain packaging are unlikely to eventuate.

Birth weight predicted baseline muscular efficiency, but not response of energy expenditure to calorie restriction: An empirical test of the predictive adaptive response hypothesis.

PubMed

Workman, Megan; Baker, Jack; Lancaster, Jane B; Mermier, Christine; Alcock, Joe

2016-07-01

Aiming to test the evolutionary significance of relationships linking prenatal growth conditions to adult phenotypes, this study examined whether birth size predicts energetic savings during fasting. We specifically tested a Predictive Adaptive Response (PAR) model that predicts greater energetic saving among adults who were born small. Data were collected from a convenience sample of young adults living in Albuquerque, NM (n = 34). Indirect calorimetry quantified changes in resting energy expenditure (REE) and active muscular efficiency that occurred in response to a 29-h fast. Multiple regression analyses linked birth weight to baseline and postfast metabolic values while controlling for appropriate confounders (e.g., sex, body mass). Birth weight did not moderate the relationship between body size and energy expenditure, nor did it predict the magnitude change in REE or muscular efficiency observed from baseline to after fasting. Alternative indicators of birth size were also examined (e.g., low v. normal birth weight, comparison of tertiles), with no effects found. However, baseline muscular efficiency improved by 1.1% per 725 g (S.D.) increase in birth weight (P = 0.037). Birth size did not influence the sensitivity of metabolic demands to fasting-neither at rest nor during activity. Moreover, small birth size predicted a reduction in the efficiency with which muscles convert energy expended into work accomplished. These results do not support the ascription of adaptive function to phenotypes associated with small birth size. © 2015 Wiley Periodicals, Inc. Am. J. Hum. Biol. 28:484-492, 2016. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

No Clinically Significant Changes in Pulmonary Function Following Stereotactic Body Radiation Therapy for Early- Stage Peripheral Non-Small Cell Lung Cancer: An Analysis of RTOG 0236

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

Stanic, Sinisa, E-mail: sinisa.stanic@carle.com; Paulus, Rebecca; Timmerman, Robert D.

2014-04-01

Purpose: To investigate pulmonary function test (PFT) results and arterial blood gas changes (complete PFT) following stereotactic body radiation therapy (SBRT) and to see whether baseline PFT correlates with lung toxicity and overall survival in medically inoperable patients receiving SBRT for early stage, peripheral, non-small cell lung cancer (NSCLC). Methods and Materials: During the 2-year follow-up, PFT data were collected for patients with T1-T2N0M0 peripheral NSCLC who received effectively 18 Gy × 3 in a phase 2 North American multicenter study (Radiation Therapy Oncology Group [RTOG] protocol 0236). Pulmonary toxicity was graded by using the RTOG SBRT pulmonary toxicity scale. Paired Wilcoxon signedmore » rank test, logistic regression model, and Kaplan-Meier method were used for statistical analysis. Results: At 2 years, mean percentage predicted forced expiratory volume in the first second and diffusing capacity for carbon monoxide declines were 5.8% and 6.3%, respectively, with minimal changes in arterial blood gases and no significant decline in oxygen saturation. Baseline PFT was not predictive of any pulmonary toxicity following SBRT. Whole-lung V5 (the percentage of normal lung tissue receiving 5 Gy), V10, V20, and mean dose to the whole lung were almost identical between patients who developed pneumonitis and patients who were pneumonitis-free. Poor baseline PFT did not predict decreased overall survival. Patients with poor baseline PFT as the reason for medical inoperability had higher median and overall survival rates than patients with normal baseline PFT values but with cardiac morbidity. Conclusions: Poor baseline PFT did not appear to predict pulmonary toxicity or decreased overall survival after SBRT in this medically inoperable population. Poor baseline PFT alone should not be used to exclude patients with early stage lung cancer from treatment with SBRT.« less

Quantification of baseline pupillary response and task-evoked pupillary response during constant and incremental task load.

PubMed

Mosaly, Prithima R; Mazur, Lukasz M; Marks, Lawrence B

2017-10-01

The methods employed to quantify the baseline pupil size and task-evoked pupillary response (TEPR) may affect the overall study results. To test this hypothesis, the objective of this study was to assess variability in baseline pupil size and TEPR during two basic working memory tasks: constant load of 3-letters memorisation-recall (10 trials), and incremental load memorisation-recall (two trials of each load level), using two commonly used methods (1) change from trail/load specific baseline, (2) change from constant baseline. Results indicated that there was a significant shift in baseline between the trails for constant load, and between the load levels for incremental load. The TEPR was independent of shifts in baseline using method 1 only for constant load, and method 2 only for higher levels of incremental load condition. These important findings suggest that the assessment of both the baseline and methods to quantify TEPR are critical in ergonomics application, especially in studies with small number of trials per subject per condition. Practitioner Summary: Quantification of TEPR can be affected by shifts in baseline pupil size that are most likely affected by non-cognitive factors when other external factors are kept constant. Therefore, quantification methods employed to compute both baseline and TEPR are critical in understanding the information processing of humans in practical ergonomics settings.

Gold and palladium minerals (including empirical PdCuBiSe3) from the former Roter Bär mine, St. Andreasberg, Harz Mountains, Germany: a result of low-temperature, oxidising fluid overprint

NASA Astrophysics Data System (ADS)

Cabral, Alexandre Raphael; Ließmann, Wilfried; Lehmann, Bernd

2015-10-01

At Roter Bär, a former underground mine in the polymetallic deposits of St. Andreasberg in the middle-Harz vein district, Germany, native gold and palladium minerals occur very locally in clausthalite-hematite pockets of few millimetres across in carbonate veinlets. The native gold is a Au-Ag intermetallic compound and the palladium minerals are characterised as mertieite-II [Pd8(Sb,As)3] and empirical PdCuBiSe3 with some S. The latter coexists with bohdanowiczite (AgBiSe2), a mineral that is stable below 120 °C. The geological setting of Roter Bär, underneath a post-Variscan unconformity, and its hematite-selenide-gold association suggest that oxidising hydrothermal brines of low temperature were instrumental to the Au-Pd mineralisation. The Roter Bär Au-Pd mineralisation can be explained by Permo-Triassic, red-bed-derived brines in the context of post-Variscan, unconformity-related fluid overprint.

[Emotional, physical and psychiatric disorders in relatives of schizophrenia patients in Mexico].

PubMed

Rascón, María Luisa; Caraveo, Jorge; Valencia, Marcelo

2010-01-01

A study was to investigate the frequency with which they have emotional disorders, physical and psychiatric symptoms in FCPI, knowing the relationship with demographic variables and clinical caregivers of patients with schizophrenia. It was a cross sectional, descriptive, correlational, study and ex-post-facto, of a non probabilistic sample, using 131 relatives carers. Instruments. 1-The Compositive International Diagnostic Interview version 1.0 (CIDI) 2-Social Behaviour Assessment Schedule 2nd Ed. (SBAS). 58% of the relatives presented 1 to 4 psychiatric diagnoses, the most frequent was: depression (20.6%), alcohol dependence (9.9%) and dissociative disorders (7.6%); the relatives' carers reported some physical (48%) or emotional (74%) illness related to the presence of the schizophrenia in their relatives. The predictive variables associated with the presence of psychopathology in the relatives carers': the presence of active symptomatology in the patient, the years of evolution of the illness and the number of hospitalizations, r = 0.38; p > 0.000.

Factors that influence the provision of intrapartum and postnatal care by skilled birth attendants in low- and middle-income countries: a qualitative evidence synthesis

PubMed Central

Munabi-Babigumira, Susan; Glenton, Claire; Lewin, Simon; Fretheim, Atle; Nabudere, Harriet

2017-01-01

Background In many low- and middle-income countries women are encouraged to give birth in clinics and hospitals so that they can receive care from skilled birth attendants. A skilled birth attendant (SBA) is a health worker such as a midwife, doctor, or nurse who is trained to manage normal pregnancy and childbirth. (S)he is also trained to identify, manage, and refer any health problems that arise for mother and baby. The skills, attitudes and behaviour of SBAs, and the extent to which they work in an enabling working environment, impact on the quality of care provided. If any of these factors are missing, mothers and babies are likely to receive suboptimal care. Objectives To explore the views, experiences, and behaviours of skilled birth attendants and those who support them; to identify factors that influence the delivery of intrapartum and postnatal care in low- and middle-income countries; and to explore the extent to which these factors were reflected in intervention studies. Search methods Our search strategies specified key and free text terms related to the perinatal period, and the health provider, and included methodological filters for qualitative evidence syntheses and for low- and middle-income countries. We searched MEDLINE, OvidSP (searched 21 November 2016), Embase, OvidSP (searched 28 November 2016), PsycINFO, OvidSP (searched 30 November 2016), POPLINE, K4Health (searched 30 November 2016), CINAHL, EBSCOhost (searched 30 November 2016), ProQuest Dissertations and Theses (searched 15 August 2013), Web of Science (searched 1 December 2016), World Health Organization Reproductive Health Library (searched 16 August 2013), and World Health Organization Global Health Library for WHO databases (searched 1 December 2016). Selection criteria We included qualitative studies that focused on the views, experiences, and behaviours of SBAs and those who work with them as part of the team. We included studies from all levels of health care in low- and middle-income countries. Data collection and analysis One review author extracted data and assessed study quality, and another review author checked the data. We synthesised data using the best fit framework synthesis approach and assessed confidence in the evidence using the GRADE-CERQual (Confidence in the Evidence from Reviews of Qualitative research) approach. We used a matrix approach to explore whether the factors identified by health workers in our synthesis as important for providing maternity care were reflected in the interventions evaluated in the studies in a related intervention review. Main results We included 31 studies that explored the views and experiences of different types of SBAs, including doctors, midwives, nurses, auxiliary nurses and their managers. The included studies took place in Africa, Asia, and Latin America. Our synthesis pointed to a number of factors affecting SBAs’ provision of quality care. The following factors were based on evidence assessed as of moderate to high confidence. Skilled birth attendants reported that they were not always given sufficient training during their education or after they had begun clinical work. Also, inadequate staffing of facilities could increase the workloads of skilled birth attendants, make it difficult to provide supervision and result in mothers being offered poorer care. In addition, SBAs did not always believe that their salaries and benefits reflected their tasks and responsibilities and the personal risks they undertook. Together with poor living and working conditions, these issues were seen to increase stress and to negatively affect family life. Some SBAs also felt that managers lacked capacity and skills, and felt unsupported when their workplace concerns were not addressed. Possible causes of staff shortages in facilities included problems with hiring and assigning health workers to facilities where they were needed; lack of funding; poor management and bureaucratic systems; and low salaries. Skilled birth attendants and their managers suggested factors that could help recruit, keep, and motivate health workers, and improve the quality of care; these included good-quality housing, allowances for extra work, paid vacations, continuing education, appropriate assessments of their work, and rewards. Skilled birth attendants’ ability to provide quality care was also limited by a lack of equipment, supplies, and drugs; blood and the infrastructure to manage blood transfusions; electricity and water supplies; and adequate space and amenities on maternity wards. These factors were seen to reduce SBAs’ morale, increase their workload and infection risk, and make them less efficient in their work. A lack of transport sometimes made it difficult for SBAs to refer women on to higher levels of care. In addition, women’s negative perceptions of the health system could make them reluctant to accept referral. We identified some other factors that also may have affected the quality of care, which were based on findings assessed as of low or very low confidence. Poor teamwork and lack of trust and collaboration between health workers appeared to negatively influence care. In contrast, good collaboration and teamwork appeared to increase skilled birth attendants’ motivation, their decision-making abilities, and the quality of care. Skilled birth attendants’ workloads and staff shortages influenced their interactions with mothers. In addition, poor communication undermined trust between skilled birth attendants and mothers. Authors' conclusions Many factors influence the care that SBAs are able to provide to mothers during childbirth. These include access to training and supervision; staff numbers and workloads; salaries and living conditions; and access to well-equipped, well-organised healthcare facilities with water, electricity, and transport. Other factors that may play a role include the existence of teamwork and of trust, collaboration, and communication between health workers and with mothers. Skilled birth attendants reported many problems tied to all of these factors. What factors influence the delivery of care by skilled birth attendants in low- and middle-income countries? Review aim The aim of this Cochrane synthesis of qualitative evidence was to identify factors that influence the provision of care by skilled birth attendants. To answer this question, we searched for and analysed qualitative studies of skilled birth attendants’ views, experiences, and behaviour. This synthesis complements another Cochrane Review assessing the effect of strategies to promote women’s use of healthcare facilities when giving birth. Key messages Many factors influence the care that skilled birth attendants provide to mothers during childbirth. These include access to training and supervision; staff numbers and workloads; salaries and living conditions; and access to well-equipped, well-organised healthcare facilities with water, electricity, and transport. Other factors that may play a role include the existence of teamwork, trust, collaboration, and communication between health workers and with mothers. Skilled birth attendants reported many problems tied to these factors. What did we study in the synthesis? In low- and middle-income countries, many mothers still die during childbirth. Women are encouraged to give birth in health facilities rather than at home so they can receive care from skilled birth attendants. A skilled birth attendant is a health worker such as a midwife, doctor, or nurse who is trained to manage a normal pregnancy and childbirth, and refer the mother and newborn when complications arise. By exploring skilled birth attendants’ views, experiences, and behaviour, this synthesis aimed to identify factors that can influence their ability to provide quality care. Main findings We included 31 studies conducted in Africa, Asia, and Latin America. Participants were skilled birth attendants including doctors, midwives, nurses, auxiliary nurses and their managers. Our synthesis pointed to several factors that affected skilled birth attendants’ provision of quality care. The following factors are based on evidence assessed as of moderate to high confidence. Skilled birth attendants reported that they sometimes had insufficient training during their education or after they had begun work. Where facilities lacked staff, skilled birth attendants’ workloads could increase, it could become difficult to provide supervision, and mothers could receive poorer care. In addition, skilled birth attendants did not always believe that their salaries and benefits reflected their tasks and responsibilities and the personal risks they undertook. Together with poor living and working conditions, these issues could lead to stress and affect skilled birth attendants' family life. Some skilled birth attendants felt that managers lacked capacity and skills, and they felt unsupported when their workplace concerns were not addressed. Possible causes of staff shortages included problems with hiring and assigning health workers to health facilities; lack of funding; poor management and bureaucratic systems; and low salaries. Skilled birth attendants and their managers suggested factors that could help recruit, keep, and motivate health workers, and improve the quality of their work; these included good-quality housing, allowances for extra work, paid vacations, continued education, proper assessments of their work, and rewards. Skilled birth attendants’ ability to provide quality care was also limited by a lack of equipment, drugs, and supplies; blood and the infrastructure to manage blood transfusions; electricity and water supplies; and adequate space and amenities on maternity wards. These factors were seen to reduce skilled birth attendants’ morale, increase their workload and infection risk, and make them less efficient in their work. A lack of transport sometimes made it difficult for skilled birth attendants to refer women to higher levels of care. In addition, women’s negative perceptions of the health system could make them reluctant to accept referral. We identified some other factors that also may have affected the quality of care, which were based on findings assessed as of low or very low confidence. Poor teamwork and lack of trust and collaboration between health workers appeared to negatively influence care. In contrast, good collaboration and teamwork appeared to increase skilled birth attendants’ motivation, their decision-making abilities, and the quality of care. Skilled birth attendants’ workloads and staff shortages influenced their interactions with mothers. In addition, poor communication undermined trust between skilled birth attendants and mothers. How up-to-date is this review? We searched for studies published before November 2016. PMID:29148566

Presentation Of The Small Baseline NSBAS Processing Chain On A Case Example: The ETNA Deformation Monitoring From 2003 to 2010 Using ENVISAT Data

NASA Astrophysics Data System (ADS)

Doin, Marie-Pierre; Lodge, Felicity; Guillaso, Stephane; Jolivet, Romain; Lasserre, Cecile; Ducret, Gabriel; Grandin, Raphael; Pathier, Erwan; Pinel, Virginie

2012-01-01

We assemble a processing chain that handles InSAR computation from raw data to time series analysis. A large part of the chain (from raw data to geocoded unwrapped interferograms) is based on ROI PAC modules (Rosen et al., 2004), with original routines rearranged and combined with new routines to process in series and in a common radar geometry all SAR images and interferograms. A new feature of the software is the range-dependent spectral filtering to improve coherence in interferograms with long spatial baselines. Additional components include a module to estimate and remove digital elevation model errors before unwrapping, a module to mitigate the effects of the atmospheric phase delay and remove residual orbit errors, and a module to construct the phase change time series from small baseline interferograms (Berardino et al. 2002). This paper describes the main elements of the processing chain and presents an example of application of the software using a data set from the ENVISAT mission covering the Etna volcano.

Adaptive echolocation behavior in bats for the analysis of auditory scenes

PubMed Central

Chiu, Chen; Xian, Wei; Moss, Cynthia F.

2009-01-01

Summary Echolocating bats emit sonar pulses and listen to returning echoes to probe their surroundings. Bats adapt their echolocation call design to cope with dynamic changes in the acoustic environment, including habitat change or the presence of nearby conspecifics/heterospecifics. Seven pairs of big brown bats, Eptesicus fuscus, were tested in this study to examine how they adjusted their echolocation calls when flying and competing with a conspecific for food. Results showed that differences in five call parameters, start/end frequencies, duration, bandwidth and sweep rate, significantly increased in the two-bat condition compared with the baseline data. In addition, the magnitude of spectral separation of calls was negatively correlated with the baseline call design differences in individual bats. Bats with small baseline call frequency differences showed larger increases in call frequency separation when paired than those with large baseline call frequency differences, suggesting that bats actively change their sonar call structure if pre-existing differences in call design are small. Call design adjustments were also influenced by physical spacing between two bats. Calls of paired bats exhibited the largest design separations when inter-bat distance was shorter than 0.5 m, and the separation decreased as the spacing increased. All individuals modified at least one baseline call parameter in response to the presence of another conspecific. We propose that dissimilarity between the time–frequency features of sonar calls produced by different bats aids each individual in segregating echoes of its own sonar vocalizations from the acoustic signals of neighboring bats. PMID:19376960

Small Groups, Big Gains: Efficacy of a Tier 2 Phonological Awareness Intervention with Preschoolers with Early Literacy Deficits

ERIC Educational Resources Information Center

Kruse, Lydia G.; Spencer, Trina D.; Olszewski, Arnold; Goldstein, Howard

2015-01-01

Purpose: The purpose of the present study was to evaluate the efficacy of a phonological awareness (PA) intervention, designed for Tier 2 instruction in a Response to Intervention (RTI) model, delivered to small groups of preschoolers. Method: A multiple-baseline design across participants was used to evaluate the efficacy of the intervention on…

A Prompting Procedure for Increasing Sales in a Small Pet Store

ERIC Educational Resources Information Center

Milligan, Jacqueline; Hantula, Donald A.

2006-01-01

A simple prompting procedure involving index cards was used to increase suggestive selling by the owner/operator of a small pet grooming business. Over a year of baseline data revealed that no sales prompts were given and few pet products were sold. When the owner was prompted by an index card to ask customers if they wanted to purchase pet…

Planned improvements to the Owens Valley frequency-agile interferometer

NASA Technical Reports Server (NTRS)

Hurford, Gordon J.; Gary, D. E.

1988-01-01

Three small antennas will be added to the OVRO interferometer to form a five-element solar-dedicated array. This would provide up to 7 or 10 baselines (compared to the present 1 or 3). This would be sufficient to apply microwave diagnostics to most active region and burst sources. By using frequency-synthesis it would also provide an imaging capability comparable to that of an approximately 100 baseline interferometer. Expansion of the array is discussed.

The CEOS Atmospheric Composition Constellation (ACC), an Integrated Observing System

NASA Astrophysics Data System (ADS)

Hilsenrath, E.; Langen, J.; Zehner, C.

2008-05-01

The Atmospheric Composition (AC) Constellation is one of four pilot projects initiated by the Committee for Earth Observations Systems (CEOS) to bring about technical/scientific cooperation among space agencies that meet the goals of GEO and comply with the CEOS member agencies national programs. The Constellation concept has been endorsed in the GEO Work Plan, 2007-2009. The AC Constellation goal is to collect and deliver data to develop and improve monitoring, assessment and predictive capabilities for changes in the ozone layer, air quality and climate forcing associated with changes in the environment. These data will support five of the nine GEO SBAs: Health, Energy, Climate, Hazards, and Ecosystems. At the present time ESA, EC, CSA, CNES, JAXA, DLR, NIVR, NASA, NOAA and Eumetsat are participating in the Constellation study, and have major assets in orbit including 17 instruments on seven platforms. One goal of the Constellation study is to identify missing capabilities that will result when the present orbiting research satellites missions end and those not included in the next generation operational missions. Missing observations include very accurate and high spatial resolution measurements needed to be to track trends in atmospheric composition and understand their relationship to climate change. The following are the top level objectives for the AC Constellation Concept Study: • Develop a virtual constellation of existing and upcoming missions using synergies among the instruments and identify missing capabilities. • Study advanced architecture with new space assets and varying orbits with expectations that new technology could also be brought forward to best meet user requirements • Data system interoperability to insure that data are useful, properly targeted, and easily accessible. To demonstrate that the Constellation concept can provide value added data products, the ACC has initiated the three projects that are being supported by the participating space agencies. These include 1) Time of day changes in NO2 using Aura/OMI and Metop/GOME-2. 2) Near-real-time fire detection and smoke forecasts using multiple satellites (A-Train, GOES, GOME-2, MSG, etc) and trajectory model, and 3) Improved volcanic ash alerts for aviation hazard avoidance from satellite SO2 and ash data from SCIAMACHY, OMI, GOME-2, AIRS and SEVIRI. Each of the three projects will address the GEO SBAs with consideration to discovery and interoperability of their data products. The status of the ACC studies will be reviewed with a progress report on the above three projects.

Randomised controlled trial of informal team sports for cardiorespiratory fitness and health benefit in Pacific adults.

PubMed

Biddle, Mark G; Vincent, Grace; McCambridge, Alana; Britton, Gabrielle; Dewes, Ofa; Elley, C Raina; Moyes, Simon A; Edge, Johann

2011-12-01

Rates of obesity, Type 2 diabetes and cardiovascular disease are high among Pacific people in New Zealand. Physical activity is recommended in the prevention and management of these conditions. Community-based, 'small-sided game' group activities may be an effective and culturally appropriate way to promote physical activity within Pacific communities. To assess the effectiveness of small-sided games-based exercise on fitness and health parameters among Pacific adults over four weeks. Twenty untrained (13 female) Pacific adults were randomised to intervention or control. Intervention participants were offered 45 minutes of small-sided games three times per week for four weeks. Control participants were offered one-month gym membership after the trial. Primary outcomes included cardiorespiratory fitness (VO₂peak) and leg strength (maximal concentric force of quadriceps at 60°/second) measured at baseline and four weeks. Secondary outcomes included glycaemia, lipid profile, blood pressure (BP), and inflammatory markers. Multivariable regression models were used to assess differences between groups, adjusting for baseline values, age and gender. At baseline, mean age was 34.8 years (SD 12.6), BMI 36.3 (6.7), systolic BP 127.7 mmHg (12.1), HbA1c 6.1% (1.9), VO₂peak 2.5 L/min (0.6) and leg strength 170.0 N.m (57.4). Sixteen participants completed the trial. Change in outcomes were greater in intervention than control participants in absolute VO₂peak (0.9 L/min (p=0.003)), leg strength (17.8 N.m (p=0.04)) and HDL (0.12 mmol/L (p=0.02)). There were no other significant differences. Small-sided games appear to be a promising means for improving the health and cardiorespiratory fitness and reducing the risk of diabetes and cardiovascular disease in Pacific adults.

Modeling Nonlinear Errors in Surface Electromyography Due To Baseline Noise: A New Methodology

PubMed Central

Law, Laura Frey; Krishnan, Chandramouli; Avin, Keith

2010-01-01

The surface electromyographic (EMG) signal is often contaminated by some degree of baseline noise. It is customary for scientists to subtract baseline noise from the measured EMG signal prior to further analyses based on the assumption that baseline noise adds linearly to the observed EMG signal. The stochastic nature of both the baseline and EMG signal, however, may invalidate this assumption. Alternately, “true” EMG signals may be either minimally or nonlinearly affected by baseline noise. This information is particularly relevant at low contraction intensities when signal-to-noise ratios (SNR) may be lowest. Thus, the purpose of this simulation study was to investigate the influence of varying levels of baseline noise (approximately 2 – 40 % maximum EMG amplitude) on mean EMG burst amplitude and to assess the best means to account for signal noise. The simulations indicated baseline noise had minimal effects on mean EMG activity for maximum contractions, but increased nonlinearly with increasing noise levels and decreasing signal amplitudes. Thus, the simple baseline noise subtraction resulted in substantial error when estimating mean activity during low intensity EMG bursts. Conversely, correcting EMG signal as a nonlinear function of both baseline and measured signal amplitude provided highly accurate estimates of EMG amplitude. This novel nonlinear error modeling approach has potential implications for EMG signal processing, particularly when assessing co-activation of antagonist muscles or small amplitude contractions where the SNR can be low. PMID:20869716

Applications and development of new algorithms for displacement analysis using InSAR time series

NASA Astrophysics Data System (ADS)

Osmanoglu, Batuhan

Time series analysis of Synthetic Aperture Radar Interferometry (InSAR) data has become an important scientific tool for monitoring and measuring the displacement of Earth's surface due to a wide range of phenomena, including earthquakes, volcanoes, landslides, changes in ground water levels, and wetlands. Time series analysis is a product of interferometric phase measurements, which become ambiguous when the observed motion is larger than half of the radar wavelength. Thus, phase observations must first be unwrapped in order to obtain physically meaningful results. Persistent Scatterer Interferometry (PSI), Stanford Method for Persistent Scatterers (StaMPS), Short Baselines Interferometry (SBAS) and Small Temporal Baseline Subset (STBAS) algorithms solve for this ambiguity using a series of spatio-temporal unwrapping algorithms and filters. In this dissertation, I improve upon current phase unwrapping algorithms, and apply the PSI method to study subsidence in Mexico City. PSI was used to obtain unwrapped deformation rates in Mexico City (Chapter 3),where ground water withdrawal in excess of natural recharge causes subsurface, clay-rich sediments to compact. This study is based on 23 satellite SAR scenes acquired between January 2004 and July 2006. Time series analysis of the data reveals a maximum line-of-sight subsidence rate of 300mm/yr at a high enough resolution that individual subsidence rates for large buildings can be determined. Differential motion and related structural damage along an elevated metro rail was evident from the results. Comparison of PSI subsidence rates with data from permanent GPS stations indicate root mean square (RMS) agreement of 6.9 mm/yr, about the level expected based on joint data uncertainty. The Mexico City results suggest negligible recharge, implying continuing degradation and loss of the aquifer in the third largest metropolitan area in the world. Chapters 4 and 5 illustrate the link between time series analysis and three-dimensional (3-D) phase unwrapping. Chapter 4 focuses on the unwrapping path. Unwrapping algorithms can be divided into two groups, path-dependent and path-independent algorithms. Path-dependent algorithms use local unwrapping functions applied pixel-by-pixel to the dataset. In contrast, path-independent algorithms use global optimization methods such as least squares, and return a unique solution. However, when aliasing and noise are present, path-independent algorithms can underestimate the signal in some areas due to global fitting criteria. Path-dependent algorithms do not underestimate the signal, but, as the name implies, the unwrapping path can affect the result. Comparison between existing path algorithms and a newly developed algorithm based on Fisher information theory was conducted. Results indicate that Fisher information theory does indeed produce lower misfit results for most tested cases. Chapter 5 presents a new time series analysis method based on 3-D unwrapping of SAR data using extended Kalman filters. Existing methods for time series generation using InSAR data employ special filters to combine two-dimensional (2-D) spatial unwrapping with one-dimensional (1-D) temporal unwrapping results. The new method, however, combines observations in azimuth, range and time for repeat pass interferometry. Due to the pixel-by-pixel characteristic of the filter, the unwrapping path is selected based on a quality map. This unwrapping algorithm is the first application of extended Kalman filters to the 3-D unwrapping problem. Time series analyses of InSAR data are used in a variety of applications with different characteristics. Consequently, it is difficult to develop a single algorithm that can provide optimal results in all cases, given that different algorithms possess a unique set of strengths and weaknesses. Nonetheless, filter-based unwrapping algorithms such as the one presented in this dissertation have the capability of joining multiple observations into a uniform solution, which is becoming an important feature with continuously growing datasets.

Using Video Self-Modelling to Increase Active Learning Responses during Small-Group Reading Instruction for Primary School Pupils with Social Emotional and Mental Health Difficulties

ERIC Educational Resources Information Center

Young-Pelton, Cheryl A.; Bushman, Samantha L.

2015-01-01

Effectiveness of a video self-modelling (VSM) intervention was examined with primary schoolchildren who attended a full-time special education programme for pupils with social emotional and behavioural difficulties and who exhibited inappropriate behaviour during small-group reading instruction. A randomised multiple-probe baseline design was used…

Ecological baseline studies

NASA Technical Reports Server (NTRS)

Vickers, D.

1980-01-01

Environmental studies of Merritt Island are discussed. Five areas of the island's ecology are examined. They include: a terrestrial community analyses, a plant community study, a small mammal population study, a rainfall study, and an ichthyological analyses.

Small Engine Technology (SET) Task 24 Business and Regional Aircraft System Studies

NASA Technical Reports Server (NTRS)

Lieber, Lysbeth

2003-01-01

This final report has been prepared by Honeywell Engines & Systems, Phoenix, Arizona, a unit of Honeywell International Inc., documenting work performed during the period June 1999 through December 1999 for the National Aeronautics and Space Administration (NASA) Glenn Research Center, Cleveland, Ohio, under the Small Engine Technology (SET) Program, Contract No. NAS3-27483, Task Order 24, Business and Regional Aircraft System Studies. The work performed under SET Task 24 consisted of evaluating the noise reduction benefits compared to the baseline noise levels of representative 1992 technology aircraft, obtained by applying different combinations of noise reduction technologies to five business and regional aircraft configurations. This report focuses on the selection of the aircraft configurations and noise reduction technologies, the prediction of noise levels for those aircraft, and the comparison of the noise levels with those of the baseline aircraft.

The state effect of depressive and anxiety disorders on big five personality traits.

PubMed

Karsten, Julie; Penninx, Brenda W J H; Riese, Hariëtte; Ormel, Johan; Nolen, Willem A; Hartman, Catharina A

2012-05-01

Neuroticism and extraversion are affected by depressive disorder state. Less is known about depressive state effects on conscientiousness, agreeableness and openness. Furthermore, state effects of anxiety disorders on personality have been far less studied than those of depressive disorder. Here, we aim to determine the extent of change in all five personality traits associated with the occurrence of or recovery from depressive and anxiety disorders. Using the Composite International Diagnostic Interview (CIDI) at baseline and two-year follow-up, respondents from the Netherlands Study of Depression and Anxiety (NESDA) were divided into four groups: unaffected at baseline and follow-up, occurrence, recovery, and affected at baseline and follow-up. Personality change (NEO-five factor inventory) was examined in the occurrence and recovery groups relative to the unaffected and affected groups, respectively. Analyses were repeated, differentiating between (specific) depressive and anxiety disorders. We found small state effects of affective disorders on neuroticism, extraversion and conscientiousness. Corrected for each other, both depressive and anxiety disorders showed small state effects on neuroticism, but effects on extraversion and conscientiousness were mainly associated with depressive disorders. State effects were small. When assessing neuroticism, the presence of both depressive and anxiety disorders should be taken into account, as both may independently increase neuroticism scores. However, when assessing extraversion and conscientiousness, depressive disorders but not anxiety disorders are likely to be of influence. Agreeableness and openness are influenced by neither. Copyright © 2012 Elsevier Ltd. All rights reserved.

Small Engine Component Technology (SECT) studies

NASA Technical Reports Server (NTRS)

Meyer, P. K.; Harbour, L.

1986-01-01

A study was conducted to identify component technology requirements for small, expendable gas turbine engines that would result in substantial improvements in performance and cost by the year 2000. A subsonic, 2600 nautical mile (4815 km) strategic cruise missile mission was selected for study. A baseline (state-of-the-art) engine and missile configuration were defined to evaluate the advanced technology engines. Two advanced technology engines were configured and evaluated using advanced component efficiencies and ceramic composite materials; a 22:1 overall pressure ratio, 3.85 bypass ratio twin-spool turbofan; and an 8:1 overall pressure, 3.66 bypass ratio, single-spool recuperated turbofan with 0.85 recuperator effectiveness. Results of mission analysis indicated a reduction in fuel burn of 38 and 47 percent compared to the baseline engine when using the advanced turbofan and recuperated turbofan, respectively. While use of either advanced engine resulted in approximately a 25 percent reduction in missile size, the unit life cycle (LCC) cost reduction of 56 percent for the advanced turbofan relative to the baseline engine gave it a decisive advantage over the recuperated turbofan with 47 percent LCC reduction. An additional range improvement of 10 percent results when using a 56 percent loaded carbon slurry fuel with either engine. These results can be realized only if significant progress is attained in the fields of solid lubricated bearings, small aerodynamic component performance, composite ceramic materials and integration of slurry fuels. A technology plan outlining prospective programs in these fields is presented.

The Heritability of Macular Response to Supplemental Lutein and Zeaxanthin: A Classic Twin Study

PubMed Central

Hammond, Christopher J.; Liew, S. H. Melissa; Van Kuijk, Frederik J.; Beatty, Stephen; Nolan, John M.; Spector, Tim D.; Gilbert, Clare E.

2012-01-01

Purpose. Antioxidant supplements may reduce age-related macular degeneration (AMD) progression. The macular carotenoids are of particular interest because of their biochemical, optical, and anatomic properties. This classic twin study was designed to determine the heritability of macular pigment (MP) augmentation in response to supplemental lutein (L) and zeaxanthin (Z). Methods. A total of 322 healthy female twin volunteers, aged 16–50 years (mean 40 ± 8.7) was enrolled in a prospective, nonrandomized supplement study. Macular pigment optical density (MPOD) measurements using two techniques (2-wavelength fundus autofluorescence [AF] and heterochromatic flicker photometry [HFP]), and serum concentrations of L and Z, were recorded at baseline, and at 3 and 6 months following daily supplementation with 18 mg L and 2.4 mg Z for a study period of 6 months. Results. At baseline, mean MPOD was 0.44 density units (SD 0.21, range 0.04–1.25) using HFP, and 0.41 density units (SD 0.15) using AF. Serum L and Z levels were raised significantly from baseline following 3 months' supplementation (mean increase 223% and 633%, respectively, P < 0.0001 for both), with no MPOD increase. After 6 months' supplementation, a small increase in MPOD was seen (mean increase 0.025 ± 0.16, P = 0.02, using HFP). Subdivision of baseline MPOD into quartiles revealed that baseline levels made no difference to the treatment effect. Genetic factors explained 27% (95% confidence interval [CI] 7–45) of the variation in MPOD response. Distribution profiles of macular pigment did not change in response to supplementation. Conclusions. MPOD response to supplemental L and Z for a period of 6 months was small (an increase over baseline of 5.7% and 3.7%, measured using HFP and AF, respectively), and was moderately heritable. Further study is indicated to investigate the functional and clinical impact of supplementation with the macular carotenoids. PMID:22700713

Severity of Illness Scores May Misclassify Critically Ill Obese Patients.

PubMed

Deliberato, Rodrigo Octávio; Ko, Stephanie; Komorowski, Matthieu; Armengol de La Hoz, M A; Frushicheva, Maria P; Raffa, Jesse D; Johnson, Alistair E W; Celi, Leo Anthony; Stone, David J

2018-03-01

Severity of illness scores rest on the assumption that patients have normal physiologic values at baseline and that patients with similar severity of illness scores have the same degree of deviation from their usual state. Prior studies have reported differences in baseline physiology, including laboratory markers, between obese and normal weight individuals, but these differences have not been analyzed in the ICU. We compared deviation from baseline of pertinent ICU laboratory test results between obese and normal weight patients, adjusted for the severity of illness. Retrospective cohort study in a large ICU database. Tertiary teaching hospital. Obese and normal weight patients who had laboratory results documented between 3 days and 1 year prior to hospital admission. None. Seven hundred sixty-nine normal weight patients were compared with 1,258 obese patients. After adjusting for the severity of illness score, age, comorbidity index, baseline laboratory result, and ICU type, the following deviations were found to be statistically significant: WBC 0.80 (95% CI, 0.27-1.33) × 10/L; p = 0.003; log (blood urea nitrogen) 0.01 (95% CI, 0.00-0.02); p = 0.014; log (creatinine) 0.03 (95% CI, 0.02-0.05), p < 0.001; with all deviations higher in obese patients. A logistic regression analysis suggested that after adjusting for age and severity of illness at least one of these deviations had a statistically significant effect on hospital mortality (p = 0.009). Among patients with the same severity of illness score, we detected clinically small but significant deviations in WBC, creatinine, and blood urea nitrogen from baseline in obese compared with normal weight patients. These small deviations are likely to be increasingly important as bigger data are analyzed in increasingly precise ways. Recognition of the extent to which all critically ill patients may deviate from their own baseline may improve the objectivity, precision, and generalizability of ICU mortality prediction and severity adjustment models.

Ecological baseline studies in Los Alamos and Guaje Canyons County of Los Alamos, New Mexico. A two-year study

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

Foxx, T.S.

1995-11-01

During the summers of 1993 and 1994, the Biological Resource Evaluations Team (BRET) of the Environmental Protection Group (ESH-8) conducted baseline studies within two canyon systems, Los Alamos and Guaje Canyons. Biological data was collected within each canyon to provide background and baseline information for Ecological Risk models. Baseline studies included establishment of permanent vegetation plots within each canyon along the elevational gradient. Then, in association with the various vegetation types, surveys were conducted for ground dwelling insects, birds, and small mammals. The stream channels associated with the permanent vegetation plots were characterized and aquatic macroinvertebrates collected within the streammore » monthly throughout a six-month period. The Geographic Position System (GPS) in combination with ARC INFO was used to map the study areas. Considerable data was collected during these surveys and are summarized in individual chapters.« less

Small scale homelike special care units and traditional special care units: effects on cognition in dementia; a longitudinal controlled intervention study.

PubMed

Kok, Jeroen S; van Heuvelen, Marieke J G; Berg, Ina J; Scherder, Erik J A

2016-02-16

Evidence shows that living in small scale homelike Special Care Units (SCU) has positive effects on behavioural and psychological symptoms of patients with dementia. Effects on cognitive functioning in relation to care facilities, however, are scarcely investigated. The purpose of this study is to gain more insight into the effects of living in small scale homelike Special Care Units, compared to regular SCU's, on the course of cognitive functioning in dementia. A group of 67 patients with dementia who moved from a regular SCU to a small scale homelike SCU and a group of 48 patients with dementia who stayed in a regular SCU participated in the study. Cognitive and behavioural functioning was assessed by means of a neuropsychological test battery and observation scales one month before (baseline), as well as 3 (post) and 6 months (follow-up) after relocation. Comparing the post and follow-up measurement with the baseline measurement, no significant differences on separate measures of cognitive functioning between both groups were found. Additional analyses, however, on 'domain clusters' revealed that global cognitive functioning of the small scale homelike SCU group showed significantly less cognitive decline three months after the transfer (p < 0.05). Effect sizes (95% CI) show a tendency for better aspects of cognition in favour of the homelike small scaled SCU group, i.e., visual memory, picture recognition, cognitive decline as observed by representatives and the clustered domains episodic memory and global cognitive functioning. While there is no significant longitudinal effect on the progression of cognitive decline comparing small scaled homelike SCU's with regular SCU's for patients with dementia, analyses on the domain clusters and effect sizes cautiously suggest differences in favour of the small scaled homelike SCU for different aspects of cognition.

Efficacy of acarbose in different geographical regions of the world: analysis of a real-life database.

PubMed

Weng, Jianping; Soegondo, Sidartawan; Schnell, Oliver; Sheu, Wayne H-H; Grzeszczak, Wladyslaw; Watada, Hirotaka; Yamamoto, Noriyuki; Kalra, Sanjay

2015-02-01

Alpha-glucosidase inhibitors are recommended in some international guidelines as first-line, second-line and third-line treatment options but are not used worldwide due to perceived greater effectiveness in Asians than Caucasians. Data from ten post-marketing non-interventional studies using acarbose, the most widely used alpha-glucosidase inhibitor, from 21 countries, provinces and country groups were pooled. Effects on glycated hemoglobin (HbA1c ) were analysed for four major ethnicity/region groups (European Caucasians and Asians from East, Southeast and South Asia) to identify differences in the response to acarbose. The safety and efficacy populations included 67 682 and 62 905 patients, respectively. Mean HbA1c in the total population decreased by 1.12 ± 1.31% at the 3-month visit from 8.4% at baseline (p < 0.0001). Reductions in HbA1c , fasting plasma glucose and post-prandial plasma glucose were greater in patients with higher baseline values. Acarbose was well tolerated, with few episodes of hypoglycemia (0.03%) and gastrointestinal adverse events (2.76%). Data from 30 730 Caucasians from Europe and Asians from three major regions of Asia with non-missing gender/age information and baseline/3-month HbA1c data were analysed by multivariable analyses of covariance. After adjustment for relevant baseline confounding factors, Southeast and East Asians had slightly better responses to acarbose than South Asians and European Caucasians; however, the differences were small. Acarbose was effective in both European Caucasians and Asians; however, after adjustment for baseline confounding factors, significant small differences in response favoured Southeast and East Asians. © 2014 The Authors. Diabetes/Metabolism Research and Reviews published by John Wiley & Sons, Ltd.

Intrafractional baseline drift during free breathing breast cancer radiation therapy.

PubMed

Jensen, Christer Andre; Acosta Roa, Ana María; Lund, Jo-Åsmund; Frengen, Jomar

2017-06-01

Intrafraction motion in breast cancer radiation therapy (BCRT) has not yet been thoroughly described in the literature. It has been observed that baseline drift occurs as part of the intrafraction motion. This study aims to measure baseline drift and its incidence in free-breathing BCRT patients using an in-house developed laser system for tracking the position of the sternum. Baseline drift was monitored in 20 right-sided breast cancer patients receiving free breathing 3D-conformal RT by using an in-house developed laser system which measures one-dimensional distance in the AP direction. A total of 357 patient respiratory traces from treatment sessions were logged and analysed. Baseline drift was compared to patient positioning error measured from in-field portal imaging. The mean overall baseline drift at end of treatment sessions was -1.3 mm for the patient population. Relatively small baseline drift was observed during the first fraction; however it was clearly detected already at the second fraction. Over 90% of the baseline drift occurs during the first 3 min of each treatment session. The baseline drift rate for the population was -0.5 ± 0.2 mm/min in the posterior direction the first minute after localization. Only 4% of the treatment sessions had a 5 mm or larger baseline drift at 5 min, all towards the posterior direction. Mean baseline drift in the posterior direction in free breathing BCRT was observed in 18 of 20 patients over all treatment sessions. This study shows that there is a substantial baseline drift in free breathing BCRT patients. No clear baseline drift was observed during the first treatment session; however, baseline drift was markedly present at the rest of the sessions. Intrafraction motion due to baseline drift should be accounted for in margin calculations.

Statistical testing of baseline differences in sports medicine RCTs: a systematic evaluation.

PubMed

Peterson, Ross L; Tran, Matthew; Koffel, Jonathan; Stovitz, Steven D

2017-01-01

The CONSORT (Consolidated Standards of Reporting Trials) statement discourages reporting statistical tests of baseline differences between groups in randomised controlled trials (RCTs). However, this practice is still common in many medical fields. Our aim was to determine the prevalence of this practice in leading sports medicine journals. We conducted a comprehensive search in Medline through PubMed to identify RCTs published in the years 2005 and 2015 from 10 high-impact sports medicine journals. Two reviewers independently confirmed the trial design and reached consensus on which articles contained statistical tests of baseline differences. Our search strategy identified a total of 324 RCTs, with 85 from the year 2005 and 239 from the year 2015. Overall, 64.8% of studies (95% CI (59.6, 70.0)) reported statistical tests of baseline differences; broken down by year, this percentage was 67.1% in 2005 (95% CI (57.1, 77.1)) and 64.0% in 2015 (95% CI (57.9, 70.1)). Although discouraged by the CONSORT statement, statistical testing of baseline differences remains highly prevalent in sports medicine RCTs. Statistical testing of baseline differences can mislead authors; for example, by failing to identify meaningful baseline differences in small studies. Journals that ask authors to follow the CONSORT statement guidelines should recognise that many manuscripts are ignoring the recommendation against statistical testing of baseline differences.

Acoustic startle response in rats predicts inter-individual variation in fear extinction.

PubMed

Russo, Amanda S; Parsons, Ryan G

2017-03-01

Although a large portion of the population is exposed to a traumatic event at some point, only a small percentage of the population develops post-traumatic stress disorder (PTSD), suggesting the presence of predisposing factors. Abnormal acoustic startle response (ASR) has been shown to be associated with PTSD, implicating it as a potential predictor of the development of PTSD-like behavior. Since poor extinction and retention of extinction learning are characteristic of PTSD patients, it is of interest to determine if abnormal ASR is predictive of development of such deficits. To determine whether baseline ASR has utility in predicting the development of PTSD-like behavior, the relationship between baseline ASR and freezing behavior following Pavlovian fear conditioning was examined in a group of adult, male Sprague-Dawley rats. Baseline acoustic startle response (ASR) was assessed preceding exposure to a Pavlovian fear conditioning paradigm where freezing behavior was measured during fear conditioning, extinction training, and extinction testing. Although there was no relationship between baseline ASR and fear memory following conditioning, rats with low baseline ASR had significantly lower magnitude of retention of the extinction memory than rats with high baseline ASR. The results suggest that baseline ASR has value as a predictive index of the development of a PTSD-like phenotype. Copyright © 2017 Elsevier Inc. All rights reserved.

Stability of the Baseline Holder in Readout Circuits For Radiation Detectors

PubMed Central

Chen, Y.; Cui, Y.; O’Connor, P.; Seo, Y.; Camarda, G. S.; Hossain, A.; Roy, U.; Yang, G.; James, R. B.

2016-01-01

Baseline holder (BLH) circuits are used widely to stabilize the analog output of application-specific integrated circuits (ASICs) for high-count-rate applications. The careful design of BLH circuits is vital to the overall stability of the analog-signal-processing chain in ASICs. Recently, we observed self-triggered fluctuations in an ASIC in which the shaping circuits have a BLH circuit in the feedback loop. In fact, further investigations showed that methods of enhancing small-signal stabilities cause an even worse situation. To resolve this problem, we used large-signal analyses to study the circuit’s stability. We found that a relatively small gain for the error amplifier and a small current in the non-linear stage of the BLH are required to enhance stability in large-signal analysis, which will compromise the properties of the BLH. These findings were verified by SPICE simulations. In this paper, we present our detailed analysis of the BLH circuits, and propose an improved version of them that have only minimal self-triggered fluctuations. We summarize the design considerations both for the stability and the properties of the BLH circuits. PMID:27182081

A comparison of blood gases, biochemistry, and hematology to ecomorphology in a health assessment of pinfish (Lagodon rhomboides)

PubMed Central

Collins, Sara; Dornburg, Alex; Flores, Joseph M.; Dombrowski, Daniel S.

2016-01-01

Despite the promise of hematological parameters and blood chemistry in monitoring the health of marine fishes, baseline data is often lacking for small fishes that comprise central roles in marine food webs. This study establishes blood chemistry and hematological baseline parameters for the pinfish Lagodon rhomboides, a small marine teleost that is among the most dominant members of near-shore estuarine communities of the Atlantic Ocean and Gulf of Mexico. Given their prominence, pinfishes are an ideal candidate species to use as a model for monitoring changes across a wide range of near-shore marine communities. However, pinfishes exhibit substantial morphological differences associated with a preference for feeding in primarily sea-grass or sand dominated habitats, suggesting that differences in the foraging ecology of individuals could confound health assessments. Here we collect baseline data on the blood physiology of pinfish while assessing the relationship between blood parameters and measured aspects of feeding morphology using data collected from 37 individual fish. Our findings provide new baseline health data for this important near shore fish species and find no evidence for a strong linkage between blood physiology and either sex or measured aspects of feeding morphology. Comparing our hematological and biochemical data to published results from other marine teleost species suggests that analyses of trends in blood value variation correlated with major evolutionary transitions in ecology will shed new light on the physiological changes that underlie the successful diversification of fishes. PMID:27602261

A comparison of blood gases, biochemistry, and hematology to ecomorphology in a health assessment of pinfish (Lagodon rhomboides).

PubMed

Collins, Sara; Dornburg, Alex; Flores, Joseph M; Dombrowski, Daniel S; Lewbart, Gregory A

2016-01-01

Despite the promise of hematological parameters and blood chemistry in monitoring the health of marine fishes, baseline data is often lacking for small fishes that comprise central roles in marine food webs. This study establishes blood chemistry and hematological baseline parameters for the pinfish Lagodon rhomboides, a small marine teleost that is among the most dominant members of near-shore estuarine communities of the Atlantic Ocean and Gulf of Mexico. Given their prominence, pinfishes are an ideal candidate species to use as a model for monitoring changes across a wide range of near-shore marine communities. However, pinfishes exhibit substantial morphological differences associated with a preference for feeding in primarily sea-grass or sand dominated habitats, suggesting that differences in the foraging ecology of individuals could confound health assessments. Here we collect baseline data on the blood physiology of pinfish while assessing the relationship between blood parameters and measured aspects of feeding morphology using data collected from 37 individual fish. Our findings provide new baseline health data for this important near shore fish species and find no evidence for a strong linkage between blood physiology and either sex or measured aspects of feeding morphology. Comparing our hematological and biochemical data to published results from other marine teleost species suggests that analyses of trends in blood value variation correlated with major evolutionary transitions in ecology will shed new light on the physiological changes that underlie the successful diversification of fishes.

Effect of high-dose pitavastatin on glucose homeostasis in patients at elevated risk of new-onset diabetes: insights from the CAPITAIN and PREVAIL-US studies.

PubMed

Chapman, M J; Orsoni, A; Robillard, P; Hounslow, N; Sponseller, C A; Giral, P

2014-05-01

Statin treatment may impair glucose homeostasis and increase the risk of new-onset diabetes mellitus, although this may depend on the statin, dose and patient population. We evaluated the effects of pitavastatin 4 mg/day on glucose homeostasis in patients with metabolic syndrome in the CAPITAIN trial. Findings were validated in a subset of patients enrolled in PREVAIL-US. Participants with a well defined metabolic syndrome phenotype were recruited to CAPITAIN to reduce the influence of confounding factors. Validation and comparison datasets were selected comprising phenotypically similar subsets of individuals enrolled in PREVAIL-US and treated with pitavastatin or pravastatin, respectively. Mean change from baseline in parameters of glucose homeostasis (fasting plasma glucose [FPG], glycated hemoglobin [HbA1c], insulin, quantitative insulin-sensitivity check index [QUICKI] and homeostasis model of assessment-insulin resistance [HOMA-IR]) and plasma lipid profile were assessed at 6 months (CAPITAIN) and 3 months (PREVAIL-US) after initiating treatment. In CAPITAIN (n = 12), no significant differences from baseline in HbA1c, insulin, HOMA-IR and QUICKI were observed at day 180 in patients treated with pitavastatin. A small (4%) increase in FPG from baseline to day 180 (P < 0.05), was observed. In the validation dataset (n = 9), no significant differences from baseline in glycemic parameters were observed at day 84 (all comparisons P > 0.05). Similar results were observed for pravastatin in the comparison dataset (n = 14). Other than a small change in FPG in the CAPITAIN study, neutral effects of pitavastatin on glucose homeostasis were observed in two cohorts of patients with metabolic syndrome, independent of its efficacy in reducing levels of atherogenic lipoproteins. The small number of patients and relatively short follow-up period represent limitations of the study. Nevertheless, these data suggest that statin-induced diabetogenesis may not represent a class effect.

Assessing the In Vitro Effectiveness of Antimicrobials against Mycoplasma mycoides subsp. mycoides Small-Colony Type To Reduce Contagious Bovine Pleuropneumonia Infection

PubMed Central

Ayling, R. D.; Bisgaard-Frantzen, S.; March, J. B.; Godinho, K.; Nicholas, R. A. J.

2005-01-01

In vitro minimum inhibitory concentrations were determined for 21 antimicrobials against 41 isolates of Mycoplasma mycoides subsp. mycoides small-colony type, the cause of contagious bovine pleuropneumonia. Of the antimicrobials used most widely in Africa, oxytetracycline and tilmicosin were effective, while the isolates were resistant to tylosin. These results provide a baseline for monitoring antimicrobial resistance. PMID:16304194

Panasonic Small Cell Testing for AHPS

NASA Technical Reports Server (NTRS)

Pearson, C.; Blackmore, P.; Lain, M.; Walpole, A.; Darcy, Eric

2006-01-01

AEA selection and successful Interim Design Review for AHPS proves maturity of small cell approach for very large batteries. Cells show excellent opportunity for battery mass reduction for AHPS and other low cycle applications. Lack of cycle and extended calendar life make EOL battery performance difficult (AHPS 8 year mission). Preliminary design, AEA retained SONY 18650HC cell as baseline: a) Well characterized performance; b) Wealth of safety test data.

Comparison of fluorescence rejection methods of baseline correction and shifted excitation Raman difference spectroscopy

NASA Astrophysics Data System (ADS)

Cai, Zhijian; Zou, Wenlong; Wu, Jianhong

2017-10-01

Raman spectroscopy has been extensively used in biochemical tests, explosive detection, food additive and environmental pollutants. However, fluorescence disturbance brings a big trouble to the applications of portable Raman spectrometer. Currently, baseline correction and shifted-excitation Raman difference spectroscopy (SERDS) methods are the most prevailing fluorescence suppressing methods. In this paper, we compared the performances of baseline correction and SERDS methods, experimentally and simulatively. Through the comparison, it demonstrates that the baseline correction can get acceptable fluorescence-removed Raman spectrum if the original Raman signal has good signal-to-noise ratio, but it cannot recover the small Raman signals out of large noise background. By using SERDS method, the Raman signals, even very weak compared to fluorescence intensity and noise level, can be clearly extracted, and the fluorescence background can be completely rejected. The Raman spectrum recovered by SERDS has good signal to noise ratio. It's proved that baseline correction is more suitable for large bench-top Raman system with better quality or signal-to-noise ratio, while the SERDS method is more suitable for noisy devices, especially the portable Raman spectrometers.

Analytical fuel property effects: Small combustors, phase 2

NASA Technical Reports Server (NTRS)

Hill, T. G.; Monty, J. D.; Morton, H. L.

1985-01-01

The effects of non-standard aviation fuels on a typical small gas turbine combustor were studied and the effectiveness of design changes intended to counter the effects of these fuels was evaluated. The T700/CT7 turboprop engine family was chosen as being representative of the class of aircraft power plants desired for this study. Fuel properties, as specified by NASA, are characterized by low hydrogen content and high aromatics levels. No. 2 diesel fuel was also evaluated in this program. Results demonstrated the anticipated higher than normal smoke output and flame radiation intensity with resulting increased metal temperatures on the baseline T700 combustor. Three new designs were evaluated using the non standard fuels. The three designs incorporated enhanced cooling features and smoke reduction features. All three designs, when burning the broad specification fuels, exhibited metal temperatures at or below the baseline combustor temperatures on JP-5. Smoke levels were acceptable but higher than predicted.

At the sources of one's well-being: early rehabilitation for employees with symptoms of distress.

PubMed

Kuoppala, Jaana; Kekoni, Jouni

2013-07-01

To examine the effects of a new multifaceted early rehabilitation program on employee well-being targeted on distressed employees in small-to-medium sized workplaces. Fifty-two employees (92% women; age: 34 to 66 years) participated in five biweekly sessions with one follow-up day at 6 months. Rehabilitation professionals specially trained for the mindfulness method covered topics from health, nutrition, sleep, physical activity to stress management. Employees were divided by their well-being level at baseline into "healthy" and "symptomatic" groups. Main outcomes were job, mental, and physical well-being. Well-being among the symptomatic employees reached that of the healthy ones at baseline. Also, the healthy participants benefited from the program to a small degree. The preliminary findings of this new program are promising although more research is needed on its effects and cost-effectiveness.

Use of a new availability index to evaluate the effect of policy changes to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) on the food environment in New Orleans.

PubMed

O'Malley, Keelia; Luckett, Brian G; Dunaway, Lauren Futrell; Bodor, J Nicholas; Rose, Donald

2015-01-01

Changes to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) occurred in 2009 when supplemental foods offered through the programme were updated to align with current dietary recommendations. The present study reports on a new index developed to monitor the retail environment's adoption of these new food supply requirements in New Orleans. A 100-point WIC Availability Index (WIC-AI) was derived from new minimum state stocking requirements for WIC vendors. A sample of supermarkets, medium and small food stores was assessed in 2009 before changes were implemented and in 2010 after revisions had gone into effect. WIC-AI scores were utilized to compare differences in meeting requirements by store type, WIC vendor status and year of measurement. Supermarkets, medium and small WIC and non-WIC food stores in New Orleans, Louisiana, USA. At baseline supermarkets had the highest median WIC-AI score (93·3) followed by medium (69·8) and small food stores (48·0). Small WIC stores had a higher median WIC-AI score at baseline than small non-WIC stores (66·9 v. 38·0). Both medium and small WIC stores significantly increased their median WIC-AI scores between 2009 and 2010 (P<0·01). The increased median WIC-AI score in small food stores was largely attributed to increased availability of cereals and grains, juices and fruit, and infant fruit and vegetables. The WIC-AI is a simple tool useful in summarizing complex food store environment data and may be adapted for use in other states or a national level to inform food policy decisions and direction.

Impact of Implementing Antibiotic Stewardship Programs in 15 Small Hospitals: A Cluster-Randomized Intervention.

PubMed

Stenehjem, Edward; Hersh, Adam L; Buckel, Whitney R; Jones, Peter; Sheng, Xiaoming; Evans, R Scott; Burke, John P; Lopansri, Bert K; Srivastava, Rajendu; Greene, Tom; Pavia, Andrew T

2018-02-23

Studies on the implementation of antibiotic stewardship programs (ASPs) in small hospitals are limited. Accreditation organizations now require all hospitals to have ASPs. The objective of this cluster-randomized intervention was to assess the effectiveness of implementing ASPs in Intermountain Healthcare's 15 small hospitals. Each hospital was randomized to 1 of 3 ASPs of escalating intensity. Program 1 hospitals were provided basic antibiotic stewardship education and tools, access to an infectious disease hotline, and antibiotic utilization data. Program 2 hospitals received those interventions plus advanced education, audit and feedback for select antibiotics, and locally controlled antibiotic restrictions. Program 3 hospitals received program 2 interventions plus audit and feedback on the majority of antibiotics, and an infectious diseases-trained clinician approved restricted antibiotics and reviewed microbiology results. Changes in total and broad-spectrum antibiotic use within programs (intervention versus baseline) and the difference between programs in the magnitude of change in antibiotic use (eg, program 3 vs 1) were evaluated with mixed models. Program 3 hospitals showed reductions in total (rate ratio, 0.89; confidence interval, .80-.99) and broad-spectrum (0.76; .63-.91) antibiotic use when the intervention period was compared with the baseline period. Program 1 and 2 hospitals did not experience a reduction in antibiotic use. Comparison of the magnitude of effects between programs showed a similar trend favoring program 3, but this was not statistically significant. Only the most intensive ASP intervention was associated with reduction in total and broad-spectrum antibiotic use when compared with baseline. NCT03245879.

Resident outcomes in small-house nursing homes: a longitudinal evaluation of the initial green house program.

PubMed

Kane, Rosalie A; Lum, Terry Y; Cutler, Lois J; Degenholtz, Howard B; Yu, Tzy-Chyi

2007-06-01

To determine the effects of a small-house nursing home model, THE GREEN HOUSE (GH), on residents' reported outcomes and quality of care. Two-year longitudinal quasi-experimental study comparing GH residents with residents at two comparison sites using data collected at baseline and three follow-up intervals. Four 10-person GHs, the sponsoring nursing home for those GHs, and a traditional nursing home with the same owner. All residents in the GHs (40 at any time) at baseline and three 6-month follow-up intervals, and 40 randomly selected residents in each of the two comparison groups. The GH alters the physical scale environment (small-scale, private rooms and bathrooms, residential kitchen, dining room, and hearth), the staffing model for professional and certified nursing assistants, and the philosophy of care. Scales for 11 domains of resident quality of life, emotional well-being, satisfaction, self-reported health, and functional status were derived from interviews at four points in time. Quality of care was measured using indicators derived from Minimum Data Set assessments. Controlling for baseline characteristics (age, sex, activities of daily living, date of admission, and proxy interview status), statistically significant differences in self-reported dimensions of quality of life favored the GHs over one or both comparison groups. The quality of care in the GHs at least equaled, and for change in functional status exceeded, the comparison nursing homes. The GH is a promising model to improve quality of life for nursing home residents, with implications for staff development and medical director roles.

Detection of atmospheric pressure loading using very long baseline interferometry measurements

NASA Technical Reports Server (NTRS)

Vandam, T. M.; Herring, T. A.

1994-01-01

Loading of the Earth by the temporal redistribution of global atmospheric mass is likely to displace the positions of geodetic monuments by tens of millimeters both vertically and horizontally. Estimates of these displacements are determined by convolving National Meteorological Center (NMC) global values of atmospheric surface pressure with Farrell's elastic Green's functions. An analysis of the distances between radio telescopes determined by very long baseline interferometry (VLBI) between 1984 and 1992 reveals that in many of the cases studied there is a significant contribution to baseline length change due to atmospheric pressure loading. Our analysis covers intersite distances of between 1000 and 10,000 km and is restricted to those baselines measured more than 100 times. Accounting for the load effects (after first removing a best fit slope) reduces the weighted root-mean-square (WRMS) scatter of the baseline length residuals on 11 of the 22 baselines investigated. The slight degradation observed in the WRMS scatter on the remaining baselines is largely consistent with the expected statistical fluctuations when a small correction is applied to a data set having a much larger random noise. The results from all baselines are consistent with approximately 60% of the computed pressure contribution being present in the VLBI length determinations. Site dependent coefficients determined by fitting local pressure to the theoretical radial displacement are found to reproduce the deformation caused by the regional pressure to within 25% for most inland sites. The coefficients are less reliable at near coastal and island stations.

Egnos Limitations over Central and Eastern Poland - Results of Preliminary Tests of Egnos-Eupos Integration Project

NASA Astrophysics Data System (ADS)

Jaworski, Leszek; Swiatek, Anna; Zdunek, Ryszard

2013-09-01

The problem of insufficient accuracy of EGNOS correction for the territory of Poland, located at the edge of EGNOS range is well known. The EEI PECS project (EGNOS EUPOS Integration) assumes improving the EGNOS correction by using the GPS observations from Polish ASG-EUPOS stations. One of the EEI project tasks was the identification of EGNOS performance limitations over Poland and services for EGNOSS-EUPOS combination. The two sets of data were used for those goals: statistical, theoretical data obtained using the SBAS simulator software, real data obtained during the measurements. The real measurements were managed as two types of measurements: static and dynamic. Static measurements are continuously managing using Septentrio PolaRx2 receiver. The SRC permanent station works in IMAGE/PERFECT project. Dynamic measurements were managed using the Mobile GPS Laboratory (MGL). Receivers (geodetic and navigation) were working in two modes: determining navigation position from standalone GPS, determining navigation position from GPS plus EGNOS correction. The paper presents results of measurements' analyses and conclusions based on which the next tasks in EEI project are completed

High levels of antimony in dust from e-waste recycling in southeastern China.

PubMed

Bi, Xiangyang; Li, Zhonggen; Zhuang, Xiaochun; Han, Zhixuan; Yang, Wenlin

2011-11-01

Environmental contamination due to uncontrolled e-waste recycling is an emerging global issue. Antimony (Sb) is a toxic element used in semiconductor components and flame retardants for circuit board within electronic equipment. When e-waste is recycled, Sb is released and contaminates the surrounding environment; however, few studies have characterized the extent of this problem. In this study, we investigated Sb and arsenic (As) distributions in indoor dust from 13 e-waste recycling villages in Guiyu, Guangdong Province, southeastern China. Results revealed significantly elevated concentrations of Sb (6.1-232 mg/kg) in dust within all villages, which were 3.9-147 times higher than those from the non e-waste sites, indicating e-waste recycling was an important source of Sb pollution. On the contrary, As concentrations (5.4-17.7 mg/kg) in e-waste dusts were similar to reference values from the control sites. Therefore, dusts emitted from e-waste recycling may be characterized by high Sb/As ratios, which may help identify the contamination due to the e-waste recycling activities. Copyright © 2011 Elsevier B.V. All rights reserved.

Use of NTRIP for optimizing the decoding algorithm for real-time data streams.

PubMed

He, Zhanke; Tang, Wenda; Yang, Xuhai; Wang, Liming; Liu, Jihua

2014-10-10

As a network transmission protocol, Networked Transport of RTCM via Internet Protocol (NTRIP) is widely used in GPS and Global Orbiting Navigational Satellite System (GLONASS) Augmentation systems, such as Continuous Operational Reference System (CORS), Wide Area Augmentation System (WAAS) and Satellite Based Augmentation Systems (SBAS). With the deployment of BeiDou Navigation Satellite system(BDS) to serve the Asia-Pacific region, there are increasing needs for ground monitoring of the BeiDou Navigation Satellite system and the development of the high-precision real-time BeiDou products. This paper aims to optimize the decoding algorithm of NTRIP Client data streams and the user authentication strategies of the NTRIP Caster based on NTRIP. The proposed method greatly enhances the handling efficiency and significantly reduces the data transmission delay compared with the Federal Agency for Cartography and Geodesy (BKG) NTRIP. Meanwhile, a transcoding method is proposed to facilitate the data transformation from the BINary EXchange (BINEX) format to the RTCM format. The transformation scheme thus solves the problem of handing real-time data streams from Trimble receivers in the BeiDou Navigation Satellite System indigenously developed by China.

Current Status of the Development of a Transportable and Compact VLBI System by NICT and GSI

NASA Technical Reports Server (NTRS)

Ishii, Atsutoshi; Ichikawa, Ryuichi; Takiguchi, Hiroshi; Takefuji, Kazuhiro; Ujihara, Hideki; Koyama, Yasuhiro; Kondo, Tetsuro; Kurihara, Shinobu; Miura, Yuji; Matsuzaka, Shigeru;

Increase in Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) Had a Strong Impact on the Development of Type 2 Diabetes in Japanese Individuals with Impaired Insulin Secretion: The Saku Study

PubMed Central

Morimoto, Akiko; Tatsumi, Yukako; Soyano, Fumie; Miyamatsu, Naomi; Sonoda, Nao; Godai, Kayo; Ohno, Yuko; Noda, Mitsuhiko; Deura, Kijyo

2014-01-01

Our aim was to assess the impact of increase in homeostasis model assessment of insulin resistance (HOMA-IR) on the development of type 2 diabetes in Japanese individuals with impaired insulin secretion (IIS). This study included 2,209 participants aged 30–69 without diabetes at baseline who underwent comprehensive medical check-ups between April 2006 and March 2007 at Saku Central Hospital. Participants were classified into eight groups according to the combination of baseline IIS status (non-IIS and IIS) and category of HOMA-IR change between the baseline and follow-up examinations (decrease, no change/small increase, moderate increase, and large increase). Type 2 diabetes was determined from fasting and 2 h post-load plasma glucose concentrations at the follow-up examination between April 2009 and March 2011. At baseline, 669 individuals (30.3%) were classified as having IIS. At follow-up, 74 individuals developed type 2 diabetes. After adjusting for confounding factors including baseline HOMA-IR values, the multivariable-adjusted odds ratios (95% confidence intervals) for type 2 diabetes in the non-IIS with a decrease (mean change in HOMA-IR: −0.47), non-IIS with a moderate increase (mean change in HOMA-IR: 0.28), non-IIS with a large increase (mean change in HOMA-IR: 0.83), IIS with a decrease (mean change in HOMA-IR: −0.36), IIS with no change/small increase (mean change in HOMA-IR: 0.08), IIS with a moderate increase (mean change in HOMA-IR: 0.27), and IIS with a large increase (mean change in HOMA-IR: 0.73) groups, relative to the non-IIS with no change/small increase (mean change in HOMA-IR: 0.08) group were 0.23 (0.04, 1.11), 1.22 (0.26, 5.72), 2.01 (0.70, 6.46), 1.37 (0.32, 4.28), 3.60 (0.83, 15.57), 5.24 (1.34, 20.52), and 7.01 (1.75, 24.18), respectively. Moderate and large increases in HOMA-IR had a strong impact on the development of type 2 diabetes among individuals with IIS in this Japanese population. PMID:25166121

Increase in homeostasis model assessment of insulin resistance (HOMA-IR) had a strong impact on the development of type 2 diabetes in Japanese individuals with impaired insulin secretion: the Saku study.

PubMed

Morimoto, Akiko; Tatsumi, Yukako; Soyano, Fumie; Miyamatsu, Naomi; Sonoda, Nao; Godai, Kayo; Ohno, Yuko; Noda, Mitsuhiko; Deura, Kijyo

2014-01-01

Our aim was to assess the impact of increase in homeostasis model assessment of insulin resistance (HOMA-IR) on the development of type 2 diabetes in Japanese individuals with impaired insulin secretion (IIS). This study included 2,209 participants aged 30-69 without diabetes at baseline who underwent comprehensive medical check-ups between April 2006 and March 2007 at Saku Central Hospital. Participants were classified into eight groups according to the combination of baseline IIS status (non-IIS and IIS) and category of HOMA-IR change between the baseline and follow-up examinations (decrease, no change/small increase, moderate increase, and large increase). Type 2 diabetes was determined from fasting and 2 h post-load plasma glucose concentrations at the follow-up examination between April 2009 and March 2011. At baseline, 669 individuals (30.3%) were classified as having IIS. At follow-up, 74 individuals developed type 2 diabetes. After adjusting for confounding factors including baseline HOMA-IR values, the multivariable-adjusted odds ratios (95% confidence intervals) for type 2 diabetes in the non-IIS with a decrease (mean change in HOMA-IR: -0.47), non-IIS with a moderate increase (mean change in HOMA-IR: 0.28), non-IIS with a large increase (mean change in HOMA-IR: 0.83), IIS with a decrease (mean change in HOMA-IR: -0.36), IIS with no change/small increase (mean change in HOMA-IR: 0.08), IIS with a moderate increase (mean change in HOMA-IR: 0.27), and IIS with a large increase (mean change in HOMA-IR: 0.73) groups, relative to the non-IIS with no change/small increase (mean change in HOMA-IR: 0.08) group were 0.23 (0.04, 1.11), 1.22 (0.26, 5.72), 2.01 (0.70, 6.46), 1.37 (0.32, 4.28), 3.60 (0.83, 15.57), 5.24 (1.34, 20.52), and 7.01 (1.75, 24.18), respectively. Moderate and large increases in HOMA-IR had a strong impact on the development of type 2 diabetes among individuals with IIS in this Japanese population.

Poor health kills small business: illness and microenterprises in South Africa.

PubMed

Chao, Li-Wei; Pauly, Mark; Szrek, Helena; Pereira, Nuno Sousa; Bundred, Frances; Cross, Catherine; Gow, Jeff

2007-01-01

Small businesses contribute almost 50 percent of total employment and 30 percent of gross domestic product in South Africa, but the impact of poor health and AIDS on these businesses is poorly documented. Using three waves of longitudinal data from predominantly African neighborhoods in peri-urban Durban, South Africa, this project investigates the connections between the health of the owner of a micro- and small enterprise (MSE) and the MSE's growth, survival, or exit. The results show that poor baseline health and declines in health over time are both significantly associated with subsequent business closure.

Capabilities of long-baseline experiments in the presence of a sterile neutrino

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

Dutta, Debajyoti; Gandhi, Raj; Kayser, Boris

Assuming that there is a sterile neutrino, we ask what then is the ability of long-baseline experiments to i) establish that neutrino oscillation violates CP, ii) determine the three-neutrino mass ordering, and iii) determine which CP-violating phase or phases are the cause of any CP violation that may be observed. We find that the ability to establish CP violation and to determine the mass ordering could be very substantial. However, the effects of the sterile neutrino could be quite large, and it might prove very difficult to determine which phase is responsible for an observed CP violation. We explain whymore » a sterile neutrino changes the long-baseline sensitivities to CP violation and to the mass ordering in the ways that it does. We note that long-baseline experiments can probe the presence of sterile neutrinos in a way that is different from, and complementary to, the probes of short-baseline experiments. As a result, we explore the question of how large sterile-active mixing angles need to be before long-baseline experiments can detect their effects, or how small they need to be before the interpretation of these experiments can safely disregard the possible existence of sterile neutrinos.« less

Capabilities of long-baseline experiments in the presence of a sterile neutrino

DOE PAGES

Dutta, Debajyoti; Gandhi, Raj; Kayser, Boris; ...

2016-11-21

Assuming that there is a sterile neutrino, we ask what then is the ability of long-baseline experiments to i) establish that neutrino oscillation violates CP, ii) determine the three-neutrino mass ordering, and iii) determine which CP-violating phase or phases are the cause of any CP violation that may be observed. We find that the ability to establish CP violation and to determine the mass ordering could be very substantial. However, the effects of the sterile neutrino could be quite large, and it might prove very difficult to determine which phase is responsible for an observed CP violation. We explain whymore » a sterile neutrino changes the long-baseline sensitivities to CP violation and to the mass ordering in the ways that it does. We note that long-baseline experiments can probe the presence of sterile neutrinos in a way that is different from, and complementary to, the probes of short-baseline experiments. As a result, we explore the question of how large sterile-active mixing angles need to be before long-baseline experiments can detect their effects, or how small they need to be before the interpretation of these experiments can safely disregard the possible existence of sterile neutrinos.« less

Incident lacunes influence cognitive decline: the LADIS study.

PubMed

Jokinen, H; Gouw, A A; Madureira, S; Ylikoski, R; van Straaten, E C W; van der Flier, W M; Barkhof, F; Scheltens, P; Fazekas, F; Schmidt, R; Verdelho, A; Ferro, J M; Pantoni, L; Inzitari, D; Erkinjuntti, T

2011-05-31

In cerebral small vessel disease, the core MRI findings include white matter lesions (WML) and lacunar infarcts. While the clinical significance of WML is better understood, the contribution of lacunes to the rate of cognitive decline has not been established. This study investigated whether incident lacunes on MRI determine longitudinal cognitive change in elderly subjects with WML. Within the Leukoaraiosis and Disability Study (LADIS), 387 subjects were evaluated with repeated MRI and neuropsychological assessment at baseline and after 3 years. Predictors of change in global cognitive function and specific cognitive domains over time were analyzed with multivariate linear regression. After controlling for demographic factors, baseline cognitive performance, baseline lacunar and WML lesion load, and WML progression, the number of new lacunes was related to subtle decrease in compound scores for executive functions (p = 0.021) and speed and motor control (p = 0.045), but not for memory or global cognitive function. Irrespective of lacunes, WML progression was associated with decrease in executive functions score (p = 0.016). Incident lacunes on MRI parallel a steeper rate of decline in executive functions and psychomotor speed. Accordingly, in addition to WML, lacunes determine longitudinal cognitive impairment in small vessel disease. Although the individual contribution of lacunes on cognition was modest, they cannot be considered benign findings, but indicate a risk of progressive cognitive impairment.

The effect of isolated core training on selected measures of golf swing performance.

PubMed

Weston, Matthew; Coleman, Neil J; Spears, Iain R

2013-12-01

This study aimed to quantify the effect of an 8-wk isolated core training program on selected ball and club parameters during the golf swing and also the variability of these measures. Thirty-six club-level golfers were randomly assigned to an exercise (n = 18) or control (n =18) group. The exercise group participated in an 8-wk core training program, which included eight basic exercises. Both groups continued with their normal activity levels including golf. Baseline and postintervention measurements included club-head speed, backspin, sidespin, and timed core endurance. Baseline measures for club-head speed, backspin, sidespin, and core endurance test were 79.9 ± 8.4 mph, 3930 ± 780 rpm, 1410 ± 610 rpm, and 91 ± 56 s for the intervention group and 77.6 ± 8.8 mph, 3740 ± 910 rpm, 1290 ± 730 rpm, and 69 ± 55 s for the control group (mean ± SD). The effect of our core training, when compared with control, was a likely small improvement in club-head speed (3.6%; 90% confidence limits = ±2.7%) and a very likely small improvement in muscular endurance (61%; ±33%). The effect on backspin (5%; ±10%) and sidespin (-6%; ±20%) was unclear. Baseline variability for club-head speed, backspin, and sidespin (based on 10 swings per golfer) was 5.7% ± 5.3%, 43% ± 19%, and 140% ± 180% for the intervention group and 6.5% ± 5.3%, 53% ± 53%, and 170% ± 130% for control group. The effect of the intervention on within-subject variability was a moderate decrease for club-head speed, a small decrease for backspin, and a small increase for sidespin when compared with control. The benefits achieved from our isolated core training program are comparable with those from other studies.

Predicting clinical concussion measures at baseline based on motivation and academic profile.

PubMed

Trinidad, Katrina J; Schmidt, Julianne D; Register-Mihalik, Johna K; Groff, Diane; Goto, Shiho; Guskiewicz, Kevin M

2013-11-01

The purpose of this study was to predict baseline neurocognitive and postural control performance using a measure of motivation, high school grade point average (hsGPA), and Scholastic Aptitude Test (SAT) score. Cross-sectional. Clinical research center. Eighty-eight National Collegiate Athletic Association Division I incoming student-athletes (freshman and transfers). Participants completed baseline clinical concussion measures, including a neurocognitive test battery (CNS Vital Signs), a balance assessment [Sensory Organization Test (SOT)], and motivation testing (Rey Dot Counting). Participants granted permission to access hsGPA and SAT total score. Standard scores for each CNS Vital Signs domain and SOT composite score. Baseline motivation, hsGPA, and SAT explained a small percentage of the variance of complex attention (11%), processing speed (12%), and composite SOT score (20%). Motivation, hsGPA, and total SAT score do not explain a significant amount of the variance in neurocognitive and postural control measures but may still be valuable to consider when interpreting neurocognitive and postural control measures.

Analysis of Critical Earth Observation Priorities for Societal Benefit

NASA Astrophysics Data System (ADS)

Zell, E. R.; Huff, A. K.; Carpenter, A. T.; Friedl, L.

2011-12-01

To ensure that appropriate near real-time (NRT) and historical Earth observation data are available to benefit society and meet end-user needs, the Group on Earth Observations (GEO) sponsored a multi-disciplinary study to identify a set of critical and common Earth observations associated with 9 Societal Benefit Areas (SBAs): Agriculture, Biodiversity, Climate, Disasters, Ecosystems, Energy, Health, Water, and Weather. GEO is an intergovernmental organization working to improve the availability, access, and use of Earth observations to benefit society through a Global Earth Observation System of Systems (GEOSS). The study, overseen by the GEO User Interface Committee, focused on the "demand" side of Earth observation needs: which users need what types of data, and when? The methodology for the study was a meta-analysis of over 1,700 publicly available documents addressing Earth observation user priorities, under the guidance of expert advisors from around the world. The result was a ranking of 146 Earth observation parameters that are critical and common to multiple SBAs, based on an ensemble of 4 statistically robust methods. Within the results, key details emerged on NRT observations needed to serve a broad community of users. The NRT observation priorities include meteorological parameters, vegetation indices, land cover and soil property observations, water body and snow cover properties, and atmospheric composition. The results of the study and examples of NRT applications will be presented. The applications are as diverse as the list of priority parameters. For example, NRT meteorological and soil moisture information can support monitoring and forecasting for more than 25 infectious diseases, including epidemic diseases, such as malaria, and diseases of major concern in the U.S., such as Lyme disease. Quickly evolving events that impact forests, such as fires and insect outbreaks, can be monitored and forecasted with a combination of vegetation indices, fuel moisture content, burn scars, and meteorological parameters. Impacts to public health and livelihoods due to food insecurity, algal blooms, and air pollution can be addressed through NRT monitoring of specific events utilizing land cover, atmospheric composition, water quality, and meteorological observations. More broadly, the assessment of water availability for drinking and agriculture and the development of floods and storms rely on continuous feeds of NRT meteorological and atmospheric composition observations. Overall, this multi-disciplinary study of user needs for NRT data and products can inform the design and operation of NRT data systems. Follow-on work for this study will also be presented, focusing on the availability of current and future satellite measurements (including NRT) of the 30 most critical Earth observation priorities, as well as a detailed analysis of users' needs for precipitation data. The results of this study summarize the priorities for critical Earth observations utilized globally for societal benefit.

A New Approach for Identifying Ionospheric Gradients in the Context of the Gagan System

NASA Astrophysics Data System (ADS)

Kudala, Ravi Chandra

2012-10-01

The Indian Space Research Organization and the Airports Authority of India are jointly implementing the Global Positioning System (GPS) aided GEO Augmented Navigation (GAGAN) system in order to meet the following required navigation performance (RNP) parameters: integrity, continuity, accuracy, and availability (for aircraft operations). Such a system provides the user with orbit, clock, and ionospheric corrections in addition to ranging signals via the geostationary earth orbit satellite (GEOSAT). The equatorial ionization anomaly (EIA), due to rapid non-uniform electron-ion recombination that persists on the Indian subcontinent, causes ionospheric gradients. Ionospheric gradients represent the most severe threat to high-integrity differential GNSS systems such as GAGAN. In order to ensure integrity under conditions of an ionospheric storm, the following three objectives must be met: careful monitoring, error bounding, and sophisticated storm-front modeling. The first objective is met by continuously tracking data due to storms, and, on quiet days, determining precise estimates of the threat parameters from reference monitoring stations. The second objective is met by quantifying the above estimates of threat parameters due to storms through maximum and minimum typical thresholds. In the context GAGAN, this work proposes a new method for identifying ionospheric gradients, in addition to determining an appropriate upper bound, in order to sufficiently understand error during storm days. Initially, carrier phase data of the GAGAN network from Indian TEC stations for both storm and quiet days was used for estimating ionospheric spatial and temporal gradients (the vertical ionospheric gradient (σVIG) and the rate of the TEC index (ROTI), respectively) in multiple viewing directions. Along similar lines, using the carrier to noise ratio (C/N0) for the same data, the carrier to noise ratio index (σCNRI) was derived. Subsequently, the one-toone relationship between σVIG and σCNRI was examined. High values of σVIG were determined for strong noise signals and corresponded to minimal σCNRI, indicating poor phase estimations and, in turn, an erroneous location. On the other hand, low values of σVIG were produced for weak noise signals and corresponded to maximum σCNRI, indicating strong phase estimations and, in turn, accurate locations. In other words, if a gradient persists in the line of sight direction of GEOSAT for aviation users, the down link L- band signal itself becomes erroneous. As a result, the en-route aviation user fails to receive a SBAS correction message leading to deprivation for the main objective of GAGAN. On the other hand, since the proposed approach enhances the receivers of both the aviation user and the reference monitoring station in terms of their performance, based on σCNRI, the integrity of SBAS messages themselves can be analyzed and considered for forward corrections.

Design and baseline characteristics of the 10 Small Steps Study: a randomised controlled trial of an intervention to promote healthy behaviour using a lifestyle score and personalised feedback.

PubMed

Parekh, Sanjoti; Vandelanotte, Corneel; King, David; Boyle, Frances M

2012-03-12

Non-communicable diseases (NCDs) are the leading causes of death globally and are associated with a limited set of common, modifiable health behaviours: tobacco use, physical inactivity, harmful use of alcohol and unhealthy diet. General practice offers an ideal avenue for addressing such health behaviours on a population-wide basis. This paper describes the protocol of a multiple health behaviour change intervention designed for implementation in general practice and summarises the baseline characteristics of its participants. The 10 Small Steps (10SS) study, a randomised controlled trial, involved 4,678 adult general practice patients in Queensland, Australia. Self-reported data were collected to establish the proportion of participants meeting recommended guidelines for ten health behaviours: physical activity, body mass index, alcohol, smoking and six dietary behaviours. Participants were randomised to four groups: contact at baseline only ('single intervention' and corresponding control group) and contact at baseline and 3 months ('dual intervention' and corresponding control group). At each contact the participants received a computer-tailored feedback and one page information sheet according to their allocation to intervention or control groups. Change in the intervention group compared to the control group was assessed at 3 and12 months after baseline data collection.Responses were summed to calculate an individual lifestyle score (the Prudence Score), which ranged from 0 to 10. The baseline response was 56.5% (4678 of 8343 invited participants) and the study sample was primarily female (68.7%) with an average age of 47 years. The mean Prudence Score was 5.8 (95%CI 5.75-5.85). Baseline data from the 10SS study show that nearly all participants engage in some health behaviours but relatively few adhere simultaneously to a core set of dietary and lifestyle behaviours associated with risk of NCDs. Ample scope exists to improve health behaviour to reduce NCDs in the general practice setting and the 10SS study trial will provide data on the extent to which a minimal computer-tailored intervention can meet this objective. The protocol developed for the 10SS study has potential for translation into routine general practice as it has minimal impact on practice routine whilst contributing to primary prevention objectives. The Australian New Zealand Clinical Trials Registry ACTRN12611001213932.

Reactive flow modeling of small scale detonation failure experiments for a baseline non-ideal explosive

NASA Astrophysics Data System (ADS)

Kittell, David E.; Cummock, Nick R.; Son, Steven F.

2016-08-01

Small scale characterization experiments using only 1-5 g of a baseline ammonium nitrate plus fuel oil (ANFO) explosive are discussed and simulated using an ignition and growth reactive flow model. There exists a strong need for the small scale characterization of non-ideal explosives in order to adequately survey the wide parameter space in sample composition, density, and microstructure of these materials. However, it is largely unknown in the scientific community whether any useful or meaningful result may be obtained from detonation failure, and whether a minimum sample size or level of confinement exists for the experiments. In this work, it is shown that the parameters of an ignition and growth rate law may be calibrated using the small scale data, which is obtained from a 35 GHz microwave interferometer. Calibration is feasible when the samples are heavily confined and overdriven; this conclusion is supported with detailed simulation output, including pressure and reaction contours inside the ANFO samples. The resulting shock wave velocity is most likely a combined chemical-mechanical response, and simulations of these experiments require an accurate unreacted equation of state (EOS) in addition to the calibrated reaction rate. Other experiments are proposed to gain further insight into the detonation failure data, as well as to help discriminate between the role of the EOS and reaction rate in predicting the measured outcome.

Reactive flow modeling of small scale detonation failure experiments for a baseline non-ideal explosive

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

Kittell, David E.; Cummock, Nick R.; Son, Steven F.

2016-08-14

Small scale characterization experiments using only 1–5 g of a baseline ammonium nitrate plus fuel oil (ANFO) explosive are discussed and simulated using an ignition and growth reactive flow model. There exists a strong need for the small scale characterization of non-ideal explosives in order to adequately survey the wide parameter space in sample composition, density, and microstructure of these materials. However, it is largely unknown in the scientific community whether any useful or meaningful result may be obtained from detonation failure, and whether a minimum sample size or level of confinement exists for the experiments. In this work, itmore » is shown that the parameters of an ignition and growth rate law may be calibrated using the small scale data, which is obtained from a 35 GHz microwave interferometer. Calibration is feasible when the samples are heavily confined and overdriven; this conclusion is supported with detailed simulation output, including pressure and reaction contours inside the ANFO samples. The resulting shock wave velocity is most likely a combined chemical-mechanical response, and simulations of these experiments require an accurate unreacted equation of state (EOS) in addition to the calibrated reaction rate. Other experiments are proposed to gain further insight into the detonation failure data, as well as to help discriminate between the role of the EOS and reaction rate in predicting the measured outcome.« less

Monitoring of vegetation response to elk population and habitat management in Rocky Mountain National Park, 2008–14

USGS Publications Warehouse

Zeigenfuss, Linda C.; Johnson, Therese L.

2015-12-17

Increases in the number of small-diameter, tree-sized (stems greater than 2.5 meter height) aspen stems were observed but only inside fences that excluded ungulates. In unfenced areas, stand structure was stagnant, with many medium- and large-diameter (older) stems and no replacement of small-diameter stems. By 2013, aspen saplings (stems less than or equal to 2.5 meter height) were recruiting on 29 percent of sampled sites, an increase from 13 percent of sites at baseline, but this was mainly due to growth inside fences. Upland herbaceous offtake dropped below baseline levels (61 percent) on both core and noncore winter range in 2010–14. Less than 10 percent of the upland areas had intense herbivory (greater than 85 percent offtake), and less than 30 percent of the landscape had offtake greater than 70 percent after 2009. Offtake levels in 2013 and 2014 indicated an increase in grazing pressure on upland sites compared to 2010–12 levels, but this change may have been in response to loss of large patches of both herbaceous and woody forage in Moraine Park following the 2012 Fern Lake Fire. Winter willow offtake remained steady from 2009 to 2014, and although there were no substantial increases in offtake, there were also no consistent declines. Winter-range willow offtake was below the baseline level of 35 percent only in 2013 and 2014. Willow heights have stayed at or above baseline levels of 0.9 meter. Average heights of willow increased compared to baseline measures within fenced habitat on the core winter range and on noncore (all unfenced) winter range. Willow cover increased at least 75 percent compared to baseline within core winter-range fenced areas and roughly 25 percent in noncore winter range. Overall, during the first 5 years of implementation, the EVMP at Rocky Mountain National Park seems to be making steady progress toward the vegetation objectives set out by the EVMP. Habitat fencing has been the most effective means of improving aspen and willow habitat conditions.

Relationship of baseline HDL subclasses, small dense LDL and LDL triglyceride to cardiovascular events in the AIM-HIGH clinical trial.

PubMed

Albers, John J; Slee, April; Fleg, Jerome L; O'Brien, Kevin D; Marcovina, Santica M

2016-08-01

Previous results of the AIM-HIGH trial showed that baseline levels of the conventional lipid parameters were not predictive of future cardiovascular (CV) outcomes. The aims of this secondary analysis were to examine the levels of cholesterol in high density lipoprotein (HDL) subclasses (HDL2-C and HDL3-C), small dense low density lipoprotein (sdLDL-C), and LDL triglyceride (LDL-TG) at baseline, as well as the relationship between these levels and CV outcomes. Individuals with CV disease and low baseline HDL-C levels were randomized to simvastatin plus placebo or simvastatin plus extended release niacin (ERN), 1500 to 2000 mg/day, with ezetimibe added as needed in both groups to maintain an on-treatment LDL-C in the range of 40-80 mg/dL. The primary composite endpoint was death from coronary disease, nonfatal myocardial infarction, ischemic stroke, hospitalization for acute coronary syndrome, or symptom-driven coronary or cerebrovascular revascularization. HDL-C, HDL3-C, sdLDL-C and LDL-TG were measured at baseline by detergent-based homogeneous assays. HDL2-C was computed by the difference between HDL-C and HDL3-C. Analyses were performed on 3094 study participants who were already on statin therapy prior to enrollment in the trial. Independent contributions of lipoprotein fractions to CV events were determined by Cox proportional hazards modeling. Baseline HDL3-C was protective against CV events (HR: 0.84, p = 0.043) while HDL-C, HDL2-C, sdLDL-C and LDL-TG were not event-related (HR: 0.96, p = 0.369; HR: 1.07, p = 0.373; HR: 1.05, p = 0.492; HR: 1.03, p = 0.554, respectively). The results of this secondary analysis of the AIM-HIGH Study indicate that levels of HDL3-C, but not other lipoprotein fractions, are predictive of CV events, suggesting that the HDL3 subclass may be primarily responsible for the inverse association of HDL-C and CV disease. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Relationship of baseline HDL subclasses, small dense LDL and LDL triglyceride to cardiovascular events in the AIM-HIGH clinical trial

PubMed Central

Albers, John J; Slee, April; Fleg, Jerome L; O’Brien, Kevin D; Marcovina, Santica M

2016-01-01

Background and aims Previous results of the AIM-HIGH trial showed that baseline levels of the conventional lipid parameters were not predictive of future cardiovascular (CV) outcomes. The aims of this secondary analysis were to examine the levels of cholesterol in high density lipoprotein (HDL) subclasses (HDL2-C and HDL3-C), small dense low density lipoprotein (sdLDL-C), and LDL triglyceride (LDL-TG) at baseline, as well as the relationship between these levels and CV outcomes. Methods Individuals with CV disease and low baseline HDL-C levels were randomized to simvastatin plus placebo or simvastatin plus extended release niacin (ERN), 1,500 to 2,000 mg/day, with ezetimibe added as needed in both groups to maintain an on-treatment LDL-C in the range of 40 to 80 mg/dL. The primary composite endpoint was death from coronary disease, nonfatal myocardial infarction, ischemic stroke, hospitalization for acute coronary syndrome, or symptom-driven coronary or cerebrovascular revascularization. HDL-C, HDL3-C, sdLDL-C and LDL-TG were measured at baseline by detergent-based homogeneous assays. HDL2-C was computed by the difference between HDL-C and HDL3-C. Analyses were performed on 3,094 study participants who were already on statin therapy prior to enrollment in the trial. Independent contributions of lipoprotein fractions to CV events were determined by Cox proportional hazards modeling. Results Baseline HDL3-C was protective against CV events (HR: 0.84, p=0.043) while HDL-C, HDL2-C, sdLDL-C and LDL-TG were not event-related (HR: 0.96, p=0.369; HR: 1.07, p=0.373; HR: 1.05, p=0.492; HR: 1.03, p=0.554, respectively). Conclusions The results of this secondary analysis of the AIM-HIGH Study indicate that levels of HDL3-C, but not other lipoprotein fractions, are predictive of CV events, suggesting that the HDL3 subclass may be primarily responsible for the inverse association of HDL-C and CV disease. PMID:27320173

Analysis of central nervous system efficacy in the J-ALEX study of alectinib versus crizotinib in ALK-positive non-small-cell lung cancer.

PubMed

Nishio, Makoto; Nakagawa, Kazuhiko; Mitsudomi, Tetsuya; Yamamoto, Nobuyuki; Tanaka, Tomohiro; Kuriki, Hiroshi; Zeaiter, Ali; Tamura, Tomohide

2018-07-01

We determined the central nervous system (CNS) efficacy of alectinib by calculating time to CNS progression and cumulative incidence rates (CIRs) of CNS progression, non-CNS progression and death in patients with anaplastic lymphoma kinase (ALK)-positive non-small-cell lung cancer (NSCLC) enrolled in the J-ALEX phase III study. Japanese patients aged ≥20 years with ALK-positive NSCLC who were ALK inhibitor-naïve and chemotherapy-naïve, or who had received one previous chemotherapy regimen, were enrolled. Patients with treated or untreated asymptomatic CNS metastases were eligible. Treatment comprised oral alectinib 300 mg twice daily or crizotinib 250 mg twice daily until progressive disease, unacceptable toxicity, death or withdrawal. Imaging scans (computed tomography/magnetic resonance imaging) were taken at baseline and at regular intervals throughout the study. The CIRs for CNS progression, non-CNS progression and death were calculated for patients with and without baseline CNS metastases using a competing risks method. The hazard ratio for time to CNS progression in patients with and without baseline CNS metastases was 0.51 (95% confidence interval [CI]: 0.16-1.64; P = 0.2502) and 0.19 (95% CI: 0.07-0.53; P = 0.0004), respectively. The CIRs of CNS progression and non-CNS progression were lower in the alectinib group than in the crizotinib group at all time points. The 1-year CIRs of CNS progression were 16.8% and 5.9% with crizotinib and alectinib, respectively, and the 1-year CIRs of non-CNS progression were 38.4% and 17.5%, respectively. Comparable findings were obtained in patients with or without baseline CNS metastases. Alectinib appears to avert the progression of CNS metastases in patients with ALK-positive NSCLC and baseline CNS metastases, and to prevent the development of new CNS lesions in patients without baseline CNS disease. Copyright © 2018 The Authors. Published by Elsevier B.V. All rights reserved.

The impact of worksite wellness in a small business setting.

PubMed

Merrill, Ray M; Aldana, Steven G; Vyhlidal, Tonya P; Howe, Greg; Anderson, David R; Whitmer, R William

2011-02-01

This study evaluates the level of participation and effectiveness of a worksite wellness program in a small business setting. Three years of wellness participation and risk data from Lincoln Industries was analyzed. All Lincoln Industry employees participated in at least some level of wellness programming. Significant improvements in body fat, blood pressure, and flexibility were observed across time. The largest improvements in risk were seen among older employees and those with the highest baseline values. This small business was able to improve the health of the entire workforce population by integrating wellness deeply into their culture and operations. Replication of this program in other small business settings could have a large impact on public health since 60 million adults in the United States work in small businesses.

Lifestyle and Metformin Treatment Favorably Influence Lipoprotein Subfraction Distribution in the Diabetes Prevention Program

PubMed Central

Temprosa, M.; Otvos, J.; Brunzell, J.; Marcovina, S.; Mather, K.; Arakaki, R.; Watson, K.; Horton, E.; Barrett-Connor, E.

2013-01-01

Context: Although intensive lifestyle change (ILS) and metformin reduce diabetes incidence in subjects with impaired glucose tolerance (IGT), their effects on lipoprotein subfractions have not been studied. Objective: The objective of the study was to characterize the effects of ILS and metformin vs placebo interventions on lipoprotein subfractions in the Diabetes Prevention Program. Design: This was a randomized clinical trial, testing the effects of ILS, metformin, and placebo on diabetes development in subjects with IGT. Participants: Selected individuals with IGT randomized in the Diabetes Prevention Program participated in the study. Interventions: Interventions included randomization to metformin 850 mg or placebo twice daily or ILS aimed at a 7% weight loss using a low-fat diet with increased physical activity. Main Outcome Measures: Lipoprotein subfraction size, density, and concentration measured by magnetic resonance and density gradient ultracentrifugation at baseline and 1 year were measured. Results: ILS decreased large and buoyant very low-density lipoprotein, small and dense low-density lipoprotein (LDL), and small high-density lipoprotein (HDL) and raised large HDL. Metformin modestly reduced small and dense LDL and raised small and large HDL. Change in insulin resistance largely accounted for the intervention-associated decreases in large very low-density lipoprotein, whereas changes in body mass index (BMI) and adiponectin were strongly associated with changes in LDL. Baseline and a change in adiponectin were related to change in large HDL, and BMI change associated with small HDL change. The effect of metformin to increase small HDL was independent of adiponectin, BMI, and insulin resistance. Conclusion: ILS and metformin treatment have favorable effects on lipoprotein subfractions that are primarily mediated by intervention-related changes in insulin resistance, BMI, and adiponectin. Interventions that slow the development of diabetes may also retard the progression of atherosclerosis. PMID:23979954

Early weight loss predicts the reduction of obesity in men with erectile dysfunction and hypogonadism undergoing long-term testosterone replacement therapy.

PubMed

Salman, Mahmoud; Yassin, Dany-Jan; Shoukfeh, Huda; Nettleship, Joanne Elisabeth; Yassin, Aksam

2017-03-01

We and others have previously shown that testosterone replacement therapy (TRT) results in sustained weight loss in the majority of middle-aged hypogonadal men. Previously, however, a small proportion failed to lose at least 5% of their baseline weight. The reason for this is not yet understood. In the present study, we sought to identify early indicators that may predict successful long-term weight loss, defined as a reduction of at least 5% of total body weight relative to baseline weight (T0), in men with hypogonadism undergoing TRT. Eight parameters measured were assessed as potential predictors of sustained weight loss: loss of 3% or more of baseline weight after 1 year of TU treatment, severe hypogonadism, BMI, waist circumference, International Prostate Symptom Score (IPSS), glycated hemoglobin (HbA 1C ), age and use of vardenafil. Among the eight measured parameters, three factors were significantly associated with sustained weight loss over the entire period of TU treatment: (1) a loss of 3% of the baseline body weight after 1 year of TRT; (2) baseline BMI over 30; and (3) a waist circumference >102 cm. Age was not a predictor of weight loss.

Cell Death, Inflammation, Tumor Burden, and Proliferation Blood Biomarkers Predict Lung Cancer Radiotherapy Response and Correlate With Tumor Volume and Proliferation Imaging.

PubMed

Salem, Ahmed; Mistry, Hitesh; Backen, Alison; Hodgson, Clare; Koh, Pek; Dean, Emma; Priest, Lynsey; Haslett, Kate; Trigonis, Ioannis; Jackson, Alan; Asselin, Marie-Claude; Dive, Caroline; Renehan, Andrew; Faivre-Finn, Corinne; Blackhall, Fiona

2018-05-01

There is an unmet need to develop noninvasive biomarkers to stratify patients in drug-radiotherapy trials. In this pilot study we investigated lung cancer radiotherapy response and toxicity blood biomarkers and correlated findings with tumor volume and proliferation imaging. Blood samples were collected before and during (day 21) radiotherapy. Twenty-six cell-death, hypoxia, angiogenesis, inflammation, proliferation, invasion, and tumor-burden biomarkers were evaluated. Clinical and laboratory data were collected. Univariate analysis was performed on small-cell and non-small-cell lung cancer (NSCLC) whereas multivariate analysis focused on NSCLC. Blood samples from 78 patients were analyzed. Sixty-one (78.2%) harbored NSCLC, 48 (61.5%) received sequential chemoradiotherapy. Of tested baseline biomarkers, undetectable interleukin (IL)-1b (hazard ratio [HR], 4.02; 95% confidence interval [CI], 2.04-7.93; P < .001) was the only significant survival covariate. Of routinely collected laboratory tests, high baseline neutrophil count was a significant survival covariate (HR, 1.07; 95% CI, 1.02-1.11; P = .017). Baseline IL-1b and neutrophil count were prognostic for survival in a multivariate model. The addition of day-21 cytokeratin-19 antigen modestly improved this model's survival prediction (concordance probability, 0.75-0.78). Chemotherapy (P < .001) and baseline keratinocyte growth factor (P = .019) predicted acute esophagitis, but only chemotherapy remained significant after Bonferroni correction. Baseline angioprotein-1 and hepatocyte growth factor showed a direct correlation with tumor volume whereas changes in vascular cell adhesion molecule 1 showed significant correlations with 18F-fluorothymidine (FLT) positron emission tomography (PET). Select biomarkers are prognostic after radiotherapy in this lung cancer series. The correlation between circulating biomarkers and 18F-FLT PET is shown, to our knowledge for the first time, highlighting their potential role as imaging surrogates. Copyright © 2018 The Authors. Published by Elsevier Inc. All rights reserved.

SU-E-I-68: Practical Considerations On Implementation of the Image Gently Pediatric CT Protocols

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

Zhang, J; Adams, C; Lumby, C

Purpose: One limitation associated with the Image Gently pediatric CT protocols is practical implementation of the recommended manual techniques. Inconsistency as a result of different practice is a possibility among technologist. An additional concern is the added risk of data error that would result in over or underexposure. The Automatic Exposure Control (AEC) features automatically reduce radiation for children. However, they do not work efficiently for the patients of very small size and relative large size. This study aims to implement the Image Gently pediatric CT protocols in the practical setting while maintaining the use of AEC features for pediatricmore » patients of varying size. Methods: Anthropomorphological abdomen phantoms were scanned in a CT scanner using the Image Gently pediatric protocols, the AEC technique with a fixed adult baseline, and automatic protocols with various baselines. The baselines were adjusted corresponding to patient age, weight and posterioranterior thickness to match the Image Gently pediatric CT manual techniques. CTDIvol was recorded for each examination. Image noise was measured and recorded for image quality comparison. Clinical images were evaluated by pediatric radiologists. Results: By adjusting vendor default baselines used in the automatic techniques, radiation dose and image quality can match those of the Image Gently manual techniques. In practice, this can be achieved by dividing pediatric patients into three major groups for technologist reference: infant, small child, and large child. Further division can be done but will increase the number of CT protocols. For each group, AEC can efficiently adjust acquisition techniques for children. This implementation significantly overcomes the limitation of the Image Gently manual techniques. Conclusion: Considering the effectiveness in clinical practice, Image Gently Pediatric CT protocols can be implemented in accordance with AEC techniques, with adjusted baselines, to achieve the goal of providing the most appropriate radiation dose for pediatric patients of varying sizes.« less

Are crossing dependencies really scarce?

NASA Astrophysics Data System (ADS)

Ferrer-i-Cancho, R.; Gómez-Rodríguez, C.; Esteban, J. L.

2018-03-01

The syntactic structure of a sentence can be modelled as a tree, where vertices correspond to words and edges indicate syntactic dependencies. It has been claimed recurrently that the number of edge crossings in real sentences is small. However, a baseline or null hypothesis has been lacking. Here we quantify the amount of crossings of real sentences and compare it to the predictions of a series of baselines. We conclude that crossings are really scarce in real sentences. Their scarcity is unexpected by the hubiness of the trees. Indeed, real sentences are close to linear trees, where the potential number of crossings is maximized.

Aerodynamic and acoustic performance of ejectors for engine-under-the-wing concepts

NASA Technical Reports Server (NTRS)

Vonglahn, U.; Goodykoontz, J. H.; Groesbeck, D.

1974-01-01

Subsonic thrust augmentation, exhaust plume velocity contours and acoustic characteristics of a small-scale, 6-tube mixer nozzle with ejector were obtained with and without a wing. Thrust augmentation up to 30 percent was achieved. Aerodynamic results showed that at a given location, greater downstream velocities are obtained with an ejector than with the baseline nozzle. Ejectors reduce high frequency noise; however, low frequency noise amplification also occurs. Acoustic reflections off the wing increase the noise level to a ground observer. With an ejector, the acoustic benefits of forward velocity may be significantly reduced compared with the baseline nozzle.

Drug Burden Index and change in cognition over time in community-dwelling older men: the CHAMP study.

PubMed

Jamsen, Kris M; Gnjidic, Danijela; Hilmer, Sarah N; Ilomäki, Jenni; Le Couteur, David G; Blyth, Fiona M; Handelsman, David J; Naganathan, Vasi; Waite, Louise M; Cumming, Robert G; Bell, J Simon

2017-03-01

Anticholinergic and sedative medications are associated with acute cognitive impairment, but the long-term impact on change in cognition is unclear. This study investigated the effect of anticholinergic and sedative medications, quantified using the Drug Burden Index (DBI), on change in cognition over time in community-dwelling older men. This was a prospective cohort study of men aged ≥70 years in Sydney, Australia. DBI was assessed at baseline, 2, and 5 years. Cognitive performance was assessed using the Mini-Mental State Exam (MMSE) at each wave. Logistic quantile mixed-effects modelling was used to assess the adjusted effect of DBI on the median MMSE-time profile. Analyses were restricted to men with English-speaking backgrounds (n = 1059, 862, and 611 at baseline, 2, and 5 years). Overall, 292 (27.7%), 258 (29.9%), and 189 (31.3%) men used anticholinergic or sedative medications at baseline, 2, and 5 years. There was a concave relationship between MMSE and time, where higher DBI corresponded to lower MMSE scores (coefficient: -0.161; 95% CI: -0.250 to -0.071) but not acceleration of declining MMSE over time. Exposure to anticholinergic and sedative medications is associated with a small impairment in cognitive performance but not decline in cognition over time. KEY MESSAGES Exposure to anticholinergic and sedative medications, quantified using the Drug Burden Index, is associated with small cross-sectional impairments in cognitive performance. There was no evidence that exposure to anticholinergic and sedative medications is associated with accelerating decline in cognitive performance over a 5-year follow-up. Older people taking anticholinergic and sedative medications may derive immediate but small benefits in cognitive performance from clinical medication reviews to minimize or cease prescribing of these medications.

Role of Ongoing, Intrinsic Activity of Neuronal Populations for Quantitative Neuroimaging of Functional Magnetic Resonance Imaging–Based Networks

PubMed Central

Herman, Peter; Sanganahalli, Basavaraju G.; Coman, Daniel; Blumenfeld, Hal; Rothman, Douglas L.

2011-01-01

Abstract A primary objective in neuroscience is to determine how neuronal populations process information within networks. In humans and animal models, functional magnetic resonance imaging (fMRI) is gaining increasing popularity for network mapping. Although neuroimaging with fMRI—conducted with or without tasks—is actively discovering new brain networks, current fMRI data analysis schemes disregard the importance of the total neuronal activity in a region. In task fMRI experiments, the baseline is differenced away to disclose areas of small evoked changes in the blood oxygenation level-dependent (BOLD) signal. In resting-state fMRI experiments, the spotlight is on regions revealed by correlations of tiny fluctuations in the baseline (or spontaneous) BOLD signal. Interpretation of fMRI-based networks is obscured further, because the BOLD signal indirectly reflects neuronal activity, and difference/correlation maps are thresholded. Since the small changes of BOLD signal typically observed in cognitive fMRI experiments represent a minimal fraction of the total energy/activity in a given area, the relevance of fMRI-based networks is uncertain, because the majority of neuronal energy/activity is ignored. Thus, another alternative for quantitative neuroimaging of fMRI-based networks is a perspective in which the activity of a neuronal population is accounted for by the demanded oxidative energy (CMRO2). In this article, we argue that network mapping can be improved by including neuronal energy/activity of both the information about baseline and small differences/fluctuations of BOLD signal. Thus, total energy/activity information can be obtained through use of calibrated fMRI to quantify differences of ΔCMRO2 and through resting-state positron emission tomography/magnetic resonance spectroscopy measurements for average CMRO2. PMID:22433047

Habit formation in children: Evidence from incentives for healthy eating.

PubMed

Loewenstein, George; Price, Joseph; Volpp, Kevin

2016-01-01

We present findings from a field experiment conducted at 40 elementary schools involving 8000 children and 400,000 child-day observations, which tested whether providing short-run incentives can create habit formation in children. Over a 3- or 5-week period, students received an incentive for eating a serving of fruits or vegetables during lunch. Relative to an average baseline rate of 39%, providing small incentives doubled the fraction of children eating at least one serving of fruits or vegetables. Two months after the end of the intervention, the consumption rate at schools remained 21% above baseline for the 3-week treatment and 44% above baseline for the 5-week treatment. These findings indicate that short-run incentives can produce changes in behavior that persist after incentives are removed. Copyright © 2015 Elsevier B.V. All rights reserved.

Missing continuous outcomes under covariate dependent missingness in cluster randomised trials

PubMed Central

Diaz-Ordaz, Karla; Bartlett, Jonathan W

2016-01-01

Attrition is a common occurrence in cluster randomised trials which leads to missing outcome data. Two approaches for analysing such trials are cluster-level analysis and individual-level analysis. This paper compares the performance of unadjusted cluster-level analysis, baseline covariate adjusted cluster-level analysis and linear mixed model analysis, under baseline covariate dependent missingness in continuous outcomes, in terms of bias, average estimated standard error and coverage probability. The methods of complete records analysis and multiple imputation are used to handle the missing outcome data. We considered four scenarios, with the missingness mechanism and baseline covariate effect on outcome either the same or different between intervention groups. We show that both unadjusted cluster-level analysis and baseline covariate adjusted cluster-level analysis give unbiased estimates of the intervention effect only if both intervention groups have the same missingness mechanisms and there is no interaction between baseline covariate and intervention group. Linear mixed model and multiple imputation give unbiased estimates under all four considered scenarios, provided that an interaction of intervention and baseline covariate is included in the model when appropriate. Cluster mean imputation has been proposed as a valid approach for handling missing outcomes in cluster randomised trials. We show that cluster mean imputation only gives unbiased estimates when missingness mechanism is the same between the intervention groups and there is no interaction between baseline covariate and intervention group. Multiple imputation shows overcoverage for small number of clusters in each intervention group. PMID:27177885

Missing continuous outcomes under covariate dependent missingness in cluster randomised trials.

PubMed

Hossain, Anower; Diaz-Ordaz, Karla; Bartlett, Jonathan W

2017-06-01

Attrition is a common occurrence in cluster randomised trials which leads to missing outcome data. Two approaches for analysing such trials are cluster-level analysis and individual-level analysis. This paper compares the performance of unadjusted cluster-level analysis, baseline covariate adjusted cluster-level analysis and linear mixed model analysis, under baseline covariate dependent missingness in continuous outcomes, in terms of bias, average estimated standard error and coverage probability. The methods of complete records analysis and multiple imputation are used to handle the missing outcome data. We considered four scenarios, with the missingness mechanism and baseline covariate effect on outcome either the same or different between intervention groups. We show that both unadjusted cluster-level analysis and baseline covariate adjusted cluster-level analysis give unbiased estimates of the intervention effect only if both intervention groups have the same missingness mechanisms and there is no interaction between baseline covariate and intervention group. Linear mixed model and multiple imputation give unbiased estimates under all four considered scenarios, provided that an interaction of intervention and baseline covariate is included in the model when appropriate. Cluster mean imputation has been proposed as a valid approach for handling missing outcomes in cluster randomised trials. We show that cluster mean imputation only gives unbiased estimates when missingness mechanism is the same between the intervention groups and there is no interaction between baseline covariate and intervention group. Multiple imputation shows overcoverage for small number of clusters in each intervention group.

Reliability and Validity of the Sport Concussion Assessment Tool-3 (SCAT3) in High School and Collegiate Athletes.

PubMed

Chin, Esther Y; Nelson, Lindsay D; Barr, William B; McCrory, Paul; McCrea, Michael A

2016-09-01

The Sport Concussion Assessment Tool-3 (SCAT3) facilitates sideline clinical assessments of concussed athletes. Yet, there is little published research on clinically relevant metrics for the SCAT3 as a whole. We documented the psychometric properties of the major SCAT3 components (symptoms, cognition, balance) and derived clinical decision criteria (ie, reliable change score cutoffs and normative conversation tables) for clinicians to apply to cases with and without available preinjury baseline data. Cohort study (diagnosis); Level of evidence, 2. High school and collegiate athletes (N = 2018) completed preseason baseline evaluations including the SCAT3. Re-evaluations of 166 injured athletes and 164 noninjured controls were performed within 24 hours of injury and at 8, 15, and 45 days after injury. Analyses focused on predictors of baseline performance, test-retest reliability, and sensitivity and specificity of the SCAT3 using either single postinjury cutoffs or reliable change index (RCI) criteria derived from this sample. Athlete sex, level of competition, attention-deficit/hyperactivity disorder (ADHD), learning disability (LD), and estimated verbal intellectual ability (but not concussion history) were associated with baseline scores on ≥1 SCAT3 components (small to moderate effect sizes). Female sex, high school level of competition (vs college), and ADHD were associated with higher baseline symptom ratings (d = 0.25-0.32). Male sex, ADHD, and LD were associated with lower baseline Standardized Assessment of Concussion (SAC) scores (d = 0.28-0.68). Male sex, high school level of competition, ADHD, and LD were associated with poorer baseline Balance Error Scoring System (BESS) performance (d = 0.14-0.26). After injury, the symptom checklist manifested the largest effect size at the 24-hour assessment (d = 1.52), with group differences diminished but statistically significant at day 8 (d = 0.39) and nonsignificant at day 15. Effect sizes for the SAC and BESS were small to moderate at 24 hours (SAC: d = -0.36; modified BESS: d = 0.46; full BESS: d = 0.51) and became nonsignificant at day 8 (SAC) and day 15 (BESS). Receiver operating characteristic curve analyses demonstrated a stronger discrimination for symptoms (area under the curve [AUC] = 0.86) than cognitive and balance measures (AUCs = 0.58 and 0.62, respectively), with comparable discrimination of each SCAT3 component using postinjury scores alone versus baseline-adjusted scores (P = .71-.90). Normative conversion tables and RCI criteria were created to facilitate the use of the SCAT3 both with and without baseline test results. Individual predictors should be taken into account when interpreting the SCAT3. The normative conversion tables and RCIs presented can be used to help interpret concussed athletes' performance both with and without baseline data, given the comparability of the 2 interpretative approaches. © 2016 The Author(s).

Effects of adjunctive eslicarbazepine acetate on serum lipids in patients with partial-onset seizures: Impact of concomitant statins and enzyme-inducing antiepileptic drugs.

PubMed

Mintzer, Scott; Wechsler, Robert T; Rogin, Joanne B; Gidal, Barry E; Schwab, Matthias; Ben-Menachem, Elinor; Carreño, Mar; da Silva, Patrício Soares; Moreira, Joana; Li, Yan; Blum, David; Grinnell, Todd

2018-03-01

To evaluate the effects of eslicarbazepine acetate (ESL) on lipid metabolism and to determine whether reduced statin exposure during ESL therapy has clinical consequences. We conducted a post-hoc analysis of pooled data for serum lipids (laboratory values) from three phase III, multicenter, randomized, double-blind, placebo-controlled trials of adjunctive ESL therapy (400, 800, or 1200 mg once daily) in patients with treatment-refractory partial-onset seizures. Changes from baseline in serum lipid levels were analyzed according to use of statins and/or enzyme-inducing antiepileptic drugs (EIAEDs) during the baseline period. In total, 426 and 1021 placebo- and ESL-treated patients, respectively, were included in the analysis. With regard to the changes from baseline in serum concentrations, there were statistically significant differences between the placebo and ESL 1200 mg QD groups, for both total cholesterol (TC) and high-density lipoprotein cholesterol (HDL-C), but the effect sizes were small (+4.1 mg/dL and +1.8 mg/dL, respectively). A small but significant difference in low-density lipoprotein cholesterol (LDL-C; -5.0 mg/dL) was observed between the ESL 400 mg QD group and the placebo group. In patients not taking a concomitant EIAED, there were no changes with ESL 400 mg QD, but modest and statistically significant increases in cholesterol fractions (TC, LDL-C and HDL-C) with ESL 800 mg QD (<6 mg/dL) and ESL 1200 mg QD (<10 mg/dL). ESL had no consistent effect on lipids in patients taking a concomitant EIAED. In patients taking statins during baseline, there were no clinically relevant changes in serum lipids during use of ESL, although the subgroups were small. These results suggest that ESL does not appear to have clinically significant effects on serum lipids, nor does the pharmacokinetic interaction between ESL and statins have an impact on serum lipid concentrations. Copyright © 2018 The Authors. Published by Elsevier B.V. All rights reserved.

Shifting baselines in Antarctic ecosystems; ecophysiological response to warming in Lissarca miliaris at Signy Island, Antarctica.

PubMed

Reed, Adam J; Thatje, Sven; Linse, Katrin

2012-01-01

The Antarctic Peninsula has experienced a rapid increase in atmospheric temperature over the last 50 years. Whether or not marine organisms thriving in this cold stenothermal environment are able to cope with warming is of concern. Here, we present changes to the growth and shell characteristics of the ecologically important, small and short lived brooding bivalve Lissarca miliaris from Signy Island, Antarctica. Using material collected from the 1970's to the present day, we show an increase in growth rate and adult shell deterioration accompanied by a decrease in offspring size, associated with an increase in annual average temperatures. Critical changes to the bivalve's ecology seen today evidence the problem of a shift in baseline since the onset of warming recorded in Antarctica. These small bivalves are demonstrating ecophysiological responses to subtle warming that, provided warming continues, could soon surpass a physiological tipping point, adding to warming associated threats such as increased predatory pressure and ocean acidification.

Shifting Baselines in Antarctic Ecosystems; Ecophysiological Response to Warming in Lissarca miliaris at Signy Island, Antarctica

PubMed Central

Reed, Adam J.; Thatje, Sven; Linse, Katrin

2012-01-01

The Antarctic Peninsula has experienced a rapid increase in atmospheric temperature over the last 50 years. Whether or not marine organisms thriving in this cold stenothermal environment are able to cope with warming is of concern. Here, we present changes to the growth and shell characteristics of the ecologically important, small and short lived brooding bivalve Lissarca miliaris from Signy Island, Antarctica. Using material collected from the 1970's to the present day, we show an increase in growth rate and adult shell deterioration accompanied by a decrease in offspring size, associated with an increase in annual average temperatures. Critical changes to the bivalve's ecology seen today evidence the problem of a shift in baseline since the onset of warming recorded in Antarctica. These small bivalves are demonstrating ecophysiological responses to subtle warming that, provided warming continues, could soon surpass a physiological tipping point, adding to warming associated threats such as increased predatory pressure and ocean acidification. PMID:23285298

Analytical fuel property effects--small combustors

NASA Technical Reports Server (NTRS)

Sutton, R. D.; Troth, D. L.; Miles, G. A.

1984-01-01

The consequences of using broad-property fuels in both conventional and advanced state-of-the-art small gas turbine combustors are assessed. Eight combustor concepts were selected for initial screening, of these, four final combustor concepts were chosen for further detailed analysis. These included the dual orifice injector baseline combustor (a current production 250-C30 engine combustor) two baseline airblast injected modifications, short and piloted prechamber combustors, and an advanced airblast injected, variable geometry air staged combustor. Final predictions employed the use of the STAC-I computer code. This quasi 2-D model includes real fuel properties, effects of injector type on atomization, detailed droplet dynamics, and multistep chemical kinetics. In general, fuel property effects on various combustor concepts can be classified as chemical or physical in nature. Predictions indicate that fuel chemistry has a significant effect on flame radiation, liner wall temperature, and smoke emission. Fuel physical properties that govern atomization quality and evaporation rates are predicted to affect ignition and lean-blowout limits, combustion efficiency, unburned hydrocarbon, and carbon monoxide emissions.

The Influence of Social Context on Changes in Fruit and Vegetable Consumption: Results of the Healthy Directions Studies

PubMed Central

Sorensen, Glorian; Stoddard, Anne M.; Dubowitz, Tamara; Barbeau, Elizabeth M.; Bigby, JudyAnn; Emmons, Karen M.; Berkman, Lisa F.; Peterson, Karen E.

2007-01-01

As part of the Harvard Cancer Prevention Program Project, we used a social contextual model of health behavior change to test an intervention targeting multiple risk-related behaviors in working-class, multiethnic populations. We examined the relationships between the social contextual factors in our conceptual model and changes in fruit and vegetable consumption from baseline to completion of intervention in health centers and small business studies. We analyzed change in fruit and vegetable consumption, measured at baseline and final assessments by self-report, in 2 randomized controlled prevention trials: 1 in small businesses (n = 974) and 1 in health centers (n = 1954). Stronger social networks, social norms that were more supportive, food sufficiency, and less household crowding were associated with greater change in fruit and vegetable intake. We also observed differences between our intervention sites. Social context can play an important role in promoting changes in fruit and vegetable consumption. PMID:17538059

Sexual dysfunction during treatment of major depressive disorder with vilazodone, citalopram, or placebo: results from a phase IV clinical trial.

PubMed

Clayton, Anita H; Gommoll, Carl; Chen, Dalei; Nunez, Rene; Mathews, Maju

2015-07-01

Sexual dysfunction commonly occurs with major depressive disorder (MDD). Vilazodone, a selective serotonin reuptake inhibitor and 5-HT1A receptor partial agonist antidepressant approved for the treatment of MDD in adults, was evaluated to determine its effects on sexual function. The primary study was a double-blind, randomized, controlled trial comparing vilazodone 20 and 40 mg/day with placebo; citalopram 40 mg/day was an active control (NCT01473381; http://www.clinicaltrials.gov). Post-hoc analyses evaluated change from baseline to week 10 on the Changes in Sexual Functioning Questionnaire (CSFQ); no inferential statistics were performed. CSFQ scores increased for women [1.2 (citalopram) to 3.0 (vilazodone 40 mg)] and men [1.2 (vilazodone 40 mg) to 3.5 (placebo)] in all treatment groups. Greater changes in CSFQ scores were seen in responders [women: 2.33 (citalopram) to 5.06 (vilazodone 40 mg); men: 2.26 (vilazodone 40 mg) to 4.35 (placebo)] versus nonresponders. CSFQ change from baseline was small for patients with normal baseline sexual function; in patients with baseline sexual dysfunction, CSFQ scores improved across groups [women: 2.35 (citalopram) to 4.52 (vilazodone 40 mg); men 2.83 (vilazodone 40 mg) to 6.43 (placebo)]. Across treatment groups, baseline sexual function improved in women and men, MDD responders, and patients with baseline sexual dysfunction.

Self-Compassion as a Prospective Predictor of PTSD Symptom Severity Among Trauma-Exposed U.S. Iraq and Afghanistan War Veterans

PubMed Central

Hiraoka, Regina; Meyer, Eric C.; Kimbrel, Nathan A.; DeBeer, Bryann B.; Gulliver, Suzy Bird; Morissette, Sandra B.

2016-01-01

U. S. combat veterans of the Iraq and Afghanistan wars have elevated rates of posttraumatic stress disorder (PTSD) compared to the general population. Self-compassion, characterized by self-kindness, a sense of common humanity when faced with suffering, and mindful awareness of suffering, is a potentially modifiable factor implicated in the development and maintenance of PTSD. We examined the concurrent and prospective relationship between self-compassion and PTSD symptom severity after accounting for level of combat exposure and baseline PTSD severity. Participants at baseline assessment were 115 Iraq and Afghanistan war veterans exposed to 1 or more traumatic events during deployment (n = 101 at follow-up). PTSD symptoms were assessed using the Clinician Administered PTSD Scale for DSM-IV at baseline and 12 months. Self-compassion and combat exposure were assessed at baseline via self-report. Self-compassion was associated with baseline PTSD symptoms after accounting for combat exposure (β = −.59; p < .001; ΔR2 = .34; f2 = .67; large effect) and predicted 12-month PTSD symptom severity after accounting for combat exposure and baseline PTSD severity (β = −.24; p = .008; ΔR2 = .03; f2 = .08; small effect). Findings suggest that interventions that increase self-compassion may be beneficial for treating chronic PTSD symptoms among some Iraq and Afghanistan war veterans. PMID:25808565

Independence From Parenteral Nutrition and Intravenous Fluid Support During Treatment With Teduglutide Among Patients With Intestinal Failure Associated With Short Bowel Syndrome

PubMed Central

Iyer, Kishore R.; Kunecki, Marek; Boullata, Joseph I.; Fujioka, Ken; Joly, Francisca; Gabe, Simon; Pape, Ulrich-Frank; Schneider, Stéphane M.; Virgili Casas, María Nuria; Ziegler, Thomas R.; Li, Benjamin; Youssef, Nader N.; Jeppesen, Palle B.

2016-01-01

Background: In phase III clinical studies, treatment with teduglutide was associated with clinically meaningful reductions (≥20% from baseline) in parenteral support (PS; parenteral nutrition and/or intravenous fluids) requirements in adult patients with intestinal failure associated with short bowel syndrome (SBS-IF). This analysis reports clinical characteristics of patients who achieved complete independence from PS during teduglutide treatment. Materials and Methods: Post hoc analysis of adult patients who achieved complete PS independence during treatment with teduglutide 0.05 mg/kg/d. Data were pooled from 5 teduglutide clinical trials (2 phase III placebo-controlled trials [NCT00081458 and NCT00798967] and their respective extension studies [NCT00172185, NCT00930644, NCT01560403]). Descriptive statistics were used; no between-group comparisons were performed because of the small sample size and lack of comparator. Results: Of 134 patients, 16 gained oral or enteral autonomy after a median of 5 years of PS dependence and 89 weeks of teduglutide treatment. Demographic and baseline disease characteristics varied among patients (median age, 55 years; 50% men; median baseline PS volume, 5.1 L/wk; median residual small intestine length, 52.5 cm). Most patients who achieved PS independence had colon-in-continuity; however, there was no significant difference in the frequency of PS independence among patients who maintained colon-in-continuity vs those who did not. Conclusion: Findings from this post hoc analysis suggest that oral or enteral autonomy is possible for some patients with SBS-IF who are treated with teduglutide, regardless of baseline characteristics and despite long-term PS dependence. PMID:27875291

Autonomic Evaluation of Patients With Gastroparesis and Neurostimulation: Comparisons of Direct/Systemic and Indirect/Cardiac Measures

PubMed Central

Stocker, Abigail; Abell, Thomas L.; Rashed, Hani; Kedar, Archana; Boatright, Ben; Chen, Jiande

2016-01-01

Background Disorders of nausea, vomiting, abdominal pain, and related problems often are manifestations of gastrointestinal, neuromuscular, and/or autonomic dysfunction. Many of these patients respond to neurostimulation, either gastric electrical stimulation or electroacupuncture. Both of these therapeutic techniques appear to influence the autonomic nervous system which can be evaluated directly by traditional testing and indirectly by heart rate variability. Methods We studied patients undergoing gastric neuromodulation by both systemic autonomic testing (39 patients, six males and 33 females, mean age 38 years) and systemic autonomic testing and heart rate variability (35 patients, seven males and 28 females, mean age 37 years) testing before and after gastric neuromodulation. We also performed a pilot study using both systemic autonomic testing and heart rate variability in a small number of patients (five patients, all females, mean age 48.6 years) with diabetic gastroparesis at baseline to compare the two techniques at baseline. Systemic autonomic testing and heart rate variability were performed with standardized techniques and gastric electrical stimulation was performed as previously described with electrodes implanted serosally in the myenteric plexus. Results Both systemic autonomic testing and heart rate variability measures were often abnormal at baseline and showed changes after gastric neuromodulation therapy in two groups of symptomatic patients. Pilot data on a small group of similar patients with systemic automatic nervous measures and heart rate variability showed good concordance between the two techniques. Conclusions Both traditional direct autonomic measures and indirect measures such as heart rate variability were evaluated, including a pilot study of both methods in the same patient group. Both appear to be useful in evaluation of patients at baseline and after stimulation therapies; however, a future full head-to-head comparison is warranted. PMID:27785318

Analysis of circulating angiogenic biomarkers from patients in two phase III trials in lung cancer of chemotherapy alone or chemotherapy and thalidomide

PubMed Central

Young, R J; Tin, A W; Brown, N J; Jitlal, M; Lee, S M; Woll, P J

2012-01-01

Background: Thalidomide has potent anti-inflammatory and anti-angiogenic properties. It was evaluated in combination with chemotherapy in two randomised placebo-controlled trials in patients with small cell lung cancer (SCLC, n=724) and advanced non-small cell lung cancer (NSCLC, n=722). Neither study demonstrated an improvement in overall survival with the addition of thalidomide to chemotherapy. This study investigated circulating angiogenic biomarkers in a subset of these patients. Methods: Serial plasma samples were collected in a cohort of patients enrolled in these two trials (n=95). Vascular endothelial growth factor (VEGF), soluble truncated form of VEGF receptor-2 (sVEGFR-2), interleukin-8 (IL-8), tumour necrosis factor-α (TNF-α), basic fibroblast growth factor (bFGF) and soluble intercellular adhesion molecule-1 (sICAM-1) levels were measured by enzyme-linked immunosorbent assays. Results were correlated with patient clinical data including stage, response rate and progression-free survival (PFS). Results: Baseline biomarker levels were not significantly different between SCLC and NSCLC. For pooled treatment groups, limited stage SCLC was associated with lower baseline VEGF (P=0.046), sICAM-1 (P=0.008) and IL-8 (P=0.070) than extensive stage disease. Low baseline IL-8 was associated with a significantly improved PFS in both SCLC and NSCLC (P=0.028), and a greater reduction in IL-8 was associated with a significantly improved tumour response (P=0.035). Baseline angiogenic factor levels, however, did not predict response to thalidomide. Conclusion: Circulating angiogenic biomarkers did not identify patients who benefited from thalidomide treatment. PMID:22353811

A one-year follow-up on the effects of raloxifene on thyroid function in postmenopausal women.

PubMed

Ceresini, Graziano; Morganti, Simonetta; Rebecchi, Isabella; Bertone, Luca; Ceda, Gian Paolo; Bacchi-Modena, Alberto; Sgarabotto, Mariapaola; Baldini, Monica; Ablondi, Fabrizio; Valenti, Giorgio; Braverman, Lewis E

2004-01-01

Estrogens increase serum thyroxine-binding globulin (TBG) and total thyroxine (TT4) concentrations. Serum free thyroxine (FT4) concentrations, however, remain normal. Raloxifene (RAL) is a selective estrogen receptor modulator used to treat postmenopausal osteoporosis. Data on the long-term effects of RAL on thyroid physiology are scanty. We evaluated the effects of RAL administration for 1 year on thyroid function in osteopenic, postmenopausal women. Fifty osteopenic, postmenopausal women were randomly assigned to receive either RAL (60 mg/day, n = 25) or placebo (PL, n = 25) for 1 year, in a double-blind study. Measurements of serum TBG, TT4, FT4, thyroid-stimulating hormone (TSH), thyroid hormone-binding ratio (THBR), FT4 index (FT4-I) and TT4/TBG ratio were carried out at baseline and after 4 and 12 months of therapy. Baseline values were similar in both treatment groups. Serum TBG concentrations were increased during RAL treatment from baseline values of 29.60 +/- 0.9 microg/mL to 31.45 +/- 1.33 and 32.34 +/- 1.37 microg/mL at 4 months and 1 year, respectively (P < 0.05, baseline v 1-year values) but were unchanged during PL treatment. A small, insignificant increase in TT4 and TSH concentrations occurred in the RAL group and no changes in the PL group. All other values were unchanged during either treatment. These results demonstrate that RAL significantly increased serum TBG levels, but the changes were small and not accompanied by changes in FT4-I, FT4, or TSH concentrations, suggesting that long-term RAL treatment is unlikely to clinically affect the thyroid status in euthyroid, postmenopausal women.

Association of Sex Hormones With Sexual Function, Vitality, and Physical Function of Symptomatic Older Men With Low Testosterone Levels at Baseline in the Testosterone Trials

PubMed Central

Cunningham, Glenn R.; Stephens-Shields, Alisa J.; Rosen, Raymond C.; Wang, Christina; Ellenberg, Susan S.; Matsumoto, Alvin M.; Bhasin, Shalender; Molitch, Mark E.; Farrar, John T.; Cella, David; Barrett-Connor, Elizabeth; Cauley, Jane A.; Cifelli, Denise; Crandall, Jill P.; Ensrud, Kristine E.; Fluharty, Laura; Gill, Thomas M.; Lewis, Cora E.; Pahor, Marco; Resnick, Susan M.; Storer, Thomas W.; Swerdloff, Ronald S.; Anton, Stephen; Basaria, Shehzad; Diem, Susan; Tabatabaie, Vafa; Hou, Xiaoling

2015-01-01

Context: The prevalence of sexual dysfunction, low vitality, and poor physical function increases with aging, as does the prevalence of low total and free testosterone (TT and FT) levels. However, the relationship between sex hormones and age-related alterations in older men is not clear. Objective: To test the hypotheses that baseline serum TT, FT, estradiol (E2), and sex hormone-binding globulin (SHBG) levels are independently associated with sexual function, vitality, and physical function in older symptomatic men with low testosterone levels participating in the Testosterone Trials (TTrials). Design: Cross-sectional study of baseline measures in the TTrials. Setting: The study was conducted at 12 sites in the United States. Participants: The 788 TTrials participants were ≥ 65 years and had evidence of sexual dysfunction, diminished vitality, and/or mobility disability, and an average of two TT < 275 ng/dL. Interventions: None. Main Outcome Measures: Question 4 of Psychosocial Daily Questionnaire (PDQ-Q4), the FACIT-Fatigue Scale, and the 6-minute walk test. Results: Baseline serum TT and FT, but not E2 or SHBG levels had small, but statistically significant associations with validated measures of sexual desire, erectile function, and sexual activity. None of these hormones was significantly associated within or across trials with FACIT-Fatigue, PHQ-9 Depression or Physical Function-10 scores, or gait speed. Conclusions: FT and TT levels were consistently, independently, and positively associated, albeit to a small degree, with measures of sexual desire, erectile function, and sexual activity, but not with measures of vitality or physical function in symptomatic older men with low T who qualified for the TTrials. PMID:25548978

Impact of clinical parameters and systemic inflammatory status on epidermal growth factor receptor-mutant non-small cell lung cancer patients readministration with epidermal growth factor receptor tyrosine kinase inhibitors.

PubMed

Chen, Yu-Mu; Lai, Chien-Hao; Rau, Kun-Ming; Huang, Cheng-Hua; Chang, Huang-Chih; Chao, Tung-Ying; Tseng, Chia-Cheng; Fang, Wen-Feng; Chung, Yu-Hsiu; Wang, Yi-Hsi; Su, Mao-Chang; Huang, Kuo-Tung; Liu, Shih-Feng; Chen, Hung-Chen; Chang, Ya-Chun; Chang, Yu-Ping; Wang, Chin-Chou; Lin, Meng-Chih

2016-11-08

Epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitor (TKI) readministration to lung cancer patients is common owing to the few options available. Impact of clinical factors on prognosis of EGFR-mutant non-small cell lung cancer (NSCLC) patients receiving EGFR-TKI readministration after first-line EGFR-TKI failure and a period of TKI holiday remains unclear. Through this retrospective study, we aimed to understand the impact of clinical factors in such patients. Of 1386 cases diagnosed between December 2010 and December 2013, 80 EGFR-mutant NSCLC patients who were readministered TKIs after failure of first-line TKIs and intercalated with at least one cycle of cytotoxic agent were included. We evaluated clinical factors that may influence prognosis of TKI readministration as well as systemic inflammatory status in terms of neutrophil-to-lymphocyte ratio (NLR) and lymphocyte-to-monocyte ratio (LMR). Baseline NLR and LMR were estimated at the beginning of TKI readministration and trends of NLR and LMR were change amount from patients receiving first-Line TKIs to TKIs readministration. Median survival time since TKI readministration was 7.0 months. In the univariable analysis, progression free survival (PFS) of first-line TKIs, baseline NLR and LMR, and trend of LMR were prognostic factors in patients receiving TKIs readministration. In the multivariate analysis, only PFS of first-line TKIs (p < 0.001), baseline NLR (p = 0.037), and trend of LMR (p = 0.004) were prognostic factors. Longer PFS of first-line TKIs, low baseline NLR, and high trend of LMR were good prognostic factors in EGFR-mutant NSCLC patients receiving TKI readministration.

Correlation of Neutrophil to Lymphocyte Ratio and Absolute Neutrophil Count With Outcomes With PD-1 Axis Inhibitors in Patients With Advanced Non-Small-Cell Lung Cancer.

PubMed

Zer, Alona; Sung, Mike R; Walia, Preet; Khoja, Leila; Maganti, Manjula; Labbe, Catherine; Shepherd, Frances A; Bradbury, Penelope A; Feld, Ronald; Liu, Geoffrey; Iazzi, Melissa; Zawisza, Dianne; Nouriany, Nazanin; Leighl, Natasha B

2018-05-08

Programmed death-1 (PD-1) axis inhibitors have become standard therapy in advanced non-small-cell lung cancer (NSCLC). Response might be delayed and pseudo-progression occasionally occurs in patients who eventually benefit from treatment. Additional markers beyond programmed death ligand 1 (PD-L1) expression are needed to assist in patient selection, response evaluation, and treatment decisions. The relationship between prospectively collected clinical outcomes (response, disease control rate [DCR], treatment duration, overall survival) and hematologic parameters (neutrophil to lymphocyte ratio [NLR], absolute neutrophil count [ANC], and platelet to lymphocyte ratio [PLR]) was explored retrospectively in advanced NSCLC patients treated with PD-1 axis inhibitors at a major cancer center from May 2013 to August 2016. Hematologic parameters at baseline and during treatment (week 2 or 3 and week 8) were included. Of 88 patients treated with PD-1 axis inhibitors, 22 (25%) experienced partial response. Baseline NLR ≤4 was associated with superior DCR (74% vs. 50%; P = .025), treatment duration (P = .037), time to progression (P = .053), and overall survival (P = .019), with no differential association according to PD-L1 tumor expression. Lower NLR and ANC during treatment were also associated with response to treatment (P = .025 and P = .017, respectively), and treatment duration (P = .036 and P = .008). No association was found between baseline PLR and DCR, response, treatment duration, nor overall survival. Baseline NLR ≤4 and lower NLR and ANC during treatment might correlate with disease control and treatment response and should be explored further as potential predictors of treatment benefit in larger studies. Copyright © 2018. Published by Elsevier Inc.

Association of sex hormones with sexual function, vitality, and physical function of symptomatic older men with low testosterone levels at baseline in the testosterone trials.

PubMed

Cunningham, Glenn R; Stephens-Shields, Alisa J; Rosen, Raymond C; Wang, Christina; Ellenberg, Susan S; Matsumoto, Alvin M; Bhasin, Shalender; Molitch, Mark E; Farrar, John T; Cella, David; Barrett-Connor, Elizabeth; Cauley, Jane A; Cifelli, Denise; Crandall, Jill P; Ensrud, Kristine E; Fluharty, Laura; Gill, Thomas M; Lewis, Cora E; Pahor, Marco; Resnick, Susan M; Storer, Thomas W; Swerdloff, Ronald S; Anton, Stephen; Basaria, Shehzad; Diem, Susan; Tabatabaie, Vafa; Hou, Xiaoling; Snyder, Peter J

2015-03-01

The prevalence of sexual dysfunction, low vitality, and poor physical function increases with aging, as does the prevalence of low total and free testosterone (TT and FT) levels. However, the relationship between sex hormones and age-related alterations in older men is not clear. To test the hypotheses that baseline serum TT, FT, estradiol (E2), and sex hormone-binding globulin (SHBG) levels are independently associated with sexual function, vitality, and physical function in older symptomatic men with low testosterone levels participating in the Testosterone Trials (TTrials). Cross-sectional study of baseline measures in the TTrials. The study was conducted at 12 sites in the United States. The 788 TTrials participants were ≥ 65 years and had evidence of sexual dysfunction, diminished vitality, and/or mobility disability, and an average of two TT < 275 ng/dL. None. Question 4 of Psychosocial Daily Questionnaire (PDQ-Q4), the FACIT-Fatigue Scale, and the 6-minute walk test. Baseline serum TT and FT, but not E2 or SHBG levels had small, but statistically significant associations with validated measures of sexual desire, erectile function, and sexual activity. None of these hormones was significantly associated within or across trials with FACIT-Fatigue, PHQ-9 Depression or Physical Function-10 scores, or gait speed. FT and TT levels were consistently, independently, and positively associated, albeit to a small degree, with measures of sexual desire, erectile function, and sexual activity, but not with measures of vitality or physical function in symptomatic older men with low T who qualified for the TTrials.

Exposure-response analysis of alectinib in crizotinib-resistant ALK-positive non-small cell lung cancer.

PubMed

Morcos, Peter N; Nueesch, Eveline; Jaminion, Felix; Guerini, Elena; Hsu, Joy C; Bordogna, Walter; Balas, Bogdana; Mercier, Francois

2018-05-10

Alectinib is a selective and potent anaplastic lymphoma kinase (ALK) inhibitor that is active in the central nervous system (CNS). Alectinib demonstrated robust efficacy in a pooled analysis of two single-arm, open-label phase II studies (NP28673, NCT01801111; NP28761, NCT01871805) in crizotinib-resistant ALK-positive non-small-cell lung cancer (NSCLC): median overall survival (OS) 29.1 months (95% confidence interval [CI]: 21.3-39.0) for alectinib 600 mg twice daily (BID). We investigated exposure-response relationships from final pooled phase II OS and safety data to assess alectinib dose selection. A semi-parametric Cox proportional hazards model analyzed relationships between individual median observed steady-state trough concentrations (C trough,ss ) for combined exposure of alectinib and its major metabolite (M4), baseline covariates (demographics and disease characteristics) and OS. Univariate logistic regression analysis analyzed relationships between C trough,ss and incidence of adverse events (AEs: serious and Grade ≥ 3). Overall, 92% of patients (n = 207/225) had C trough,ss data and were included in the analysis. No statistically significant relationship was found between C trough,ss and OS following alectinib treatment. The only baseline covariates that statistically influenced OS were baseline tumor size and prior crizotinib treatment duration. Larger baseline tumor size and shorter prior crizotinib treatment were both associated with shorter OS. Logistic regression confirmed no significant relationship between C trough,ss and AEs. Alectinib 600 mg BID provides systemic exposures at plateau of response for OS while maintaining a well-tolerated safety profile. This analysis confirms alectinib 600 mg BID as the recommended global dose for patients with crizotinib-resistant ALK-positive NSCLC.

The Effects of Different Passive Static Stretching Intensities on Recovery from Unaccustomed Eccentric Exercise - A Randomized Controlled Trial.

PubMed

Apostolopoulos, Nikos C; Lahart, Ian M; Plyley, Michael J; Taunton, Jack; Nevill, Alan M; Koutedakis, Yiannis; Wyon, Matthew; Metsios, George S

2018-03-12

Effects of passive static stretching intensity on recovery from unaccustomed eccentric exercise of right knee extensors was investigated in 30 recreationally active males randomly allocated into three groups: high-intensity (70-80% maximum perceived stretch), low-intensity (30-40% maximum perceived stretch), and control. Both stretching groups performed 3 sets of passive static stretching exercises of 60s each for hamstrings, hip flexors, and quadriceps, over 3 consecutive days, post-unaccustomed eccentric exercise. Muscle function (eccentric and isometric peak torque) and blood biomarkers (CK and CRP) were measured before (baseline) and after (24, 48, and 72h) unaccustomed eccentric exercise. Perceived muscle soreness scores were collected immediately (time 0), and after 24, 48, and 72h post-exercise. Statistical time x condition interactions observed only for eccentric peak torque (p=.008). Magnitude-based inference analyses revealed low-intensity stretching had most likely, very likely, or likely beneficial effects on perceived muscle soreness (48-72h and 0-72h) and eccentric peak torque (baseline-24h and baseline-72h), compared with high-intensity stretching. Compared with control, low-intensity stretching had very likely or likely beneficial effects on perceived muscle soreness (0-24h and 0-72h), eccentric peak torque (baseline-48h and baseline-72h), and isometric peak torque (baseline-72h). High-intensity stretching had likely beneficial effects on eccentric peak torque (baseline-48h), but likely harmful effects eccentric peak torque (baseline-24h) and CK (baseline-48h and baseline-72h), compared with control. Therefore, low-intensity stretching is likely to result in small-to-moderate beneficial effects on perceived muscle soreness and recovery of muscle function post-unaccustomed eccentric exercise, but not markers of muscle damage and inflammation, compared with high-intensity or no stretching.

Scaling of energy absorbing composite plates

NASA Technical Reports Server (NTRS)

Jackson, Karen; Lavoie, J. Andre; Morton, John

1994-01-01

The energy absorption response and crushing characteristics of geometrically scaled graphite-Kevlar epoxy composite plates were investigated. Two different trigger mechanisms including notch, and steeple geometries were incorporated into the plate specimens to initiate crushing. Sustained crushing was achieved with a new test fixture which provided lateral support to prevent global buckling. Values of specific sustained crushing stress (SSCS) were obtained which were lower than values reported for tube specimens from previously published data. Two sizes of hybrid plates were fabricated; a baseline or model plate, and a full-scale plate with inplane dimensions scaled by a factor of two. The thickness dimension of the full-scale plates was increased using two different techniques: the ply-level method in which each ply orientation in the baseline laminate stacking sequence is doubled, and the sublaminate technique in which the baseline laminate stacking sequence is repeated as a group. Results indicated that the SSCS has a small dependence on trigger mechanism geometry. However, a reduction in the SSCS of 10-25% was observed for the full-scale plates as compared with the baseline specimens, indicating a scaling effect in the crushing response.

The Collision Auto Repair Safety Study (CARSS): a health and safety intervention.

PubMed

Parker, David L; Bejan, Anca; Brosseau, Lisa M; Skan, Maryellen; Xi, Min

2015-01-01

Collision repair employs approximately 205,500 people in 33,400 shops. Workers are exposed to a diverse array of chemical, physical, and ergonomic hazards. CARSS was based on a random and purposeful sample. Baseline and one baseline and one-year evaluations consisted of 92 questions addressing issues, such as Right-to-Know, fire protection, painting-related hazards, ergonomics, electrical safety, and personal protective equipment. Owners received a report and selected at least 30% of items found deficient for remediation. In-person and web-based services were provided. Forty-nine shops were evaluated at baseline and 45 at follow-up. At baseline, 54% of items were present. This improved to 71% at follow-up (P < 0.0001). Respiratory protection improved 37% (P < 0.0001) and Right-to-Know training increased 30% (P < 0.0001). Owners completed 61% of items they selected for remediation. Small businesses' interventions should address the lack of personnel and administrative infrastructure. Tailored information regarding hazards and easy-to-use training and administrative programs overcome many barriers to improvement. © 2014 Wiley Periodicals, Inc.

Small transport aircraft technology propeller study

NASA Technical Reports Server (NTRS)

Black, B. M.; Magliozzi, B.; Rohrbach, C.

1983-01-01

A study to define potential benefits of advanced technology propeller for 1985-1990 STAT commuter airplanes was completed. Two baselines, a Convair, 30 passenger, 0.47 Mach number airplane and a Lockheed, 50 passenger, 0.70 Mach number airplane, were selected from NASA-Ames sponsored airframe contracts. Parametric performance, noise level, weight and cost trends for propellers with varying number of blades, activity factor, camber and diameter incorporating blade sweep, tip proplets, advanced composite materials, advanced airfoils, advanced prevision synchrophasing and counter-rotation are presented. The resulting DOC, fuel burned, empty weight and acquisition cost benefits are presented for resizings of the two baseline airplanes. Six-bladed propeller having advanced composite blades, advanced airfoils, tip proplets and advanced prevision synchrophasers provided the maximum DOC improvements for both airplanes. DOC and fuel burned were reduced by 8.3% and 17.0% respectively for the Convair airplane and by 24.9% and 41.2% respectively for the Lockheed airplane. The larger reductions arose from a baseline definition with very heavy fuselage acoustic treatment. An alternate baseline, with a cabin noise 13dB in excess of the objective, was also studied.

Propensity score to detect baseline imbalance in cluster randomized trials: the role of the c-statistic.

PubMed

Leyrat, Clémence; Caille, Agnès; Foucher, Yohann; Giraudeau, Bruno

2016-01-22

Despite randomization, baseline imbalance and confounding bias may occur in cluster randomized trials (CRTs). Covariate imbalance may jeopardize the validity of statistical inferences if they occur on prognostic factors. Thus, the diagnosis of a such imbalance is essential to adjust statistical analysis if required. We developed a tool based on the c-statistic of the propensity score (PS) model to detect global baseline covariate imbalance in CRTs and assess the risk of confounding bias. We performed a simulation study to assess the performance of the proposed tool and applied this method to analyze the data from 2 published CRTs. The proposed method had good performance for large sample sizes (n =500 per arm) and when the number of unbalanced covariates was not too small as compared with the total number of baseline covariates (≥40% of unbalanced covariates). We also provide a strategy for pre selection of the covariates needed to be included in the PS model to enhance imbalance detection. The proposed tool could be useful in deciding whether covariate adjustment is required before performing statistical analyses of CRTs.

Cumulative incidence rates for CNS and non-CNS progression in two phase II studies of alectinib in ALK-positive NSCLC.

PubMed

Gadgeel, Shirish; Shaw, Alice T; Barlesi, Fabrice; Crinò, Lucio; Yang, James Chih-Hsin; Dingemans, Anne-Marie C; Kim, Dong-Wan; de Marinis, Filippo; Schulz, Mathias; Liu, Shiyao; Gupta, Ravindra; Kotb, Ahmed; Ou, Sai-Hong Ignatius

2018-01-01

We evaluated the cumulative incidence rate (CIR) of central nervous system (CNS) and non-CNS progression in alectinib-treated patients with anaplastic lymphoma kinase (ALK)-positive non-small-cell lung cancer (NSCLC) to determine the extent to which alectinib may treat or control CNS disease. Patients with crizotinib-pretreated locally advanced or metastatic disease received alectinib 600 mg orally twice daily in two phase II trials. All patients underwent baseline imaging and regular centrally reviewed scans. At 24 months, the CIR for CNS progression was lower in patients without vs with baseline CNS metastases (8.0 vs 43.9%). Patients with baseline CNS disease and prior radiotherapy had a higher CIR of CNS progression than radiotherapy-naive patients (50.5 vs 27.4%) and a lower CIR of non-CNS progression (25.8 vs 42.5%). Adverse events leading to withdrawal occurred in 5.9% and 6.7% of patients with and without baseline CNS metastases, respectively. This analysis indicates a potential role for alectinib in controlling and preventing CNS metastases.

Effects of a 5-HT(3) antagonist, ondansetron, on fasting and postprandial small bowel water content assessed by magnetic resonance imaging.

PubMed

Marciani, L; Wright, J; Foley, S; Hoad, C L; Totman, J J; Bush, D; Hartley, C; Armstrong, A; Manby, P; Blackshaw, E; Perkins, A C; Gowland, P A; Spiller, R C

2010-09-01

5-HT(3) antagonists have been shown to be effective in relieving the symptoms of irritable bowel syndrome with diarrhoea (IBS-D). Using a recently validated magnetic resonance imaging (MRI) method, we have demonstrated reduced fasting small bowel water content (SBWC) in IBS-D associated with accelerated small bowel transit. We hypothesized that slowing of transit with ondansetron would lead to an increase in SBWC by inhibiting fasting motility. To assess the effects of ondansetron compared with placebo in healthy volunteers on SBWC and motility in two different groups of subjects, one studied using MRI and another using manometry. Healthy volunteers were given either a placebo or ondansetron on the day prior to and on the study day. Sixteen volunteers underwent baseline fasting and postprandial MRI scans for 270 min. In a second study, a separate group of n = 18 volunteers were intubated and overnight migrating motor complex (MMC) recorded. Baseline MRI scans were carried out after the tube was removed. Fasting SBWC was markedly increased by ondansetron (P < 0.0007). Ondansetron reduced the overall antroduodenal Motility Index (P < 0.04). The subjects who were intubated had significantly lower fasting SBWC (P < 0.0002) compared with the group of subjects who were not intubated. The 5-HT(3) receptor antagonism increased fasting small bowel water. This was associated with reduced fasting antroduodenal Motility Index which may explain the clinical benefit of such drugs. 2010 Blackwell Publishing Ltd.

Numerical study on influence of single control surface on aero elastic behavior of forward-swept wing

NASA Astrophysics Data System (ADS)

Wang, Ning; Su, Xinbing; Ma, Binlin; Zhang, Xiaofei

2017-10-01

In order to study the influence of elastic forward-swept wing (FSW) with single control surface, the computational fluid dynamics/computational structural dynamics (CFD/CSD) loose coupling static aero elastic numerical calculation method was adopted for numerical simulation. The effects of the elastic FSW with leading- or trailing-edge control surface on aero elastic characteristics were calculated and analysed under the condition of high subsonic speed. The result shows that, the deflection of every single control surface could change the aero elastic characteristics of elastic FSW greatly. Compared with the baseline model, when leading-edge control surface deflected up, under the condition of small angles of attack, the aerodynamic characteristics was poor, but the bending and torsional deformation decreased. Under the condition of moderate angles of attack, the aerodynamic characteristics was improved, but bending and torsional deformation increased; When leading-edge control surface deflected down, the aerodynamic characteristics was improved, the bending and torsional deformation decreased/increased under the condition of small/moderate angles of attack. Compared with the baseline model, when trailing-edge control surface deflected down, the aerodynamic characteristics was improved. The bending and torsional deformation increased under the condition of small angles of attack. The bending deformation increased under the condition of small angles of attack, but torsional deformation decreases under the condition of moderate angles of attack. So, for the elastic FSW, the deflection of trailing-edge control surface play a more important role on the improvement of aerodynamic and elastic deformation characteristics.

Recovery of pectoralis major and triceps brachii after bench press exercise.

PubMed

Ferreira, Diogo V; Gentil, Paulo; Soares, Saulo Rodrigo Sampaio; Bottaro, Martim

2017-11-01

The present study evaluated and compared the recovery of pectoralis major (PM) and triceps brachii (TB) muscles of trained men after bench press exercise. Eighteen volunteers performed eight sets of bench press exercise to momentary muscle failure and were evaluated for TB and PM peak torque and total work on an isokinetic dynamometer. PM peak torque and total work remained lower than baseline for 72 and 96 h, respectively. TB peak torque was only different from baseline immediately post training, while total work was significantly lower than baseline immediately and 48 h after training. Normalized peak torque values were only different between TB and PM at 48 h after training. Considering the small and nonsignificant difference between the recovery of TB and PM muscles, the results suggest that bench press exercise may promote a similar stress on these muscles. Muscle Nerve 56: 963-967, 2017. © 2016 Wiley Periodicals, Inc.

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

Chen, Dong; Heidelberger, Philip; Sugawara, Yutaka

An apparatus and method for extending the scalability and improving the partitionability of networks that contain all-to-all links for transporting packet traffic from a source endpoint to a destination endpoint with low per-endpoint (per-server) cost and a small number of hops. An all-to-all wiring in the baseline topology is decomposed into smaller all-to-all components in which each smaller all-to-all connection is replaced with star topology by using global switches. Stacking multiple copies of the star topology baseline network creates a multi-planed switching topology for transporting packet traffic. Point-to-point unified stacking method using global switch wiring methods connects multiple planes ofmore » a baseline topology by using the global switches to create a large network size with a low number of hops, i.e., low network latency. Grouped unified stacking method increases the scalability (network size) of a stacked topology.« less

Optical aperture synthesis with electronically connected telescopes

PubMed Central

Dravins, Dainis; Lagadec, Tiphaine; Nuñez, Paul D.

2015-01-01

Highest resolution imaging in astronomy is achieved by interferometry, connecting telescopes over increasingly longer distances and at successively shorter wavelengths. Here, we present the first diffraction-limited images in visual light, produced by an array of independent optical telescopes, connected electronically only, with no optical links between them. With an array of small telescopes, second-order optical coherence of the sources is measured through intensity interferometry over 180 baselines between pairs of telescopes, and two-dimensional images reconstructed. The technique aims at diffraction-limited optical aperture synthesis over kilometre-long baselines to reach resolutions showing details on stellar surfaces and perhaps even the silhouettes of transiting exoplanets. Intensity interferometry circumvents problems of atmospheric turbulence that constrain ordinary interferometry. Since the electronic signal can be copied, many baselines can be built up between dispersed telescopes, and over long distances. Using arrays of air Cherenkov telescopes, this should enable the optical equivalent of interferometric arrays currently operating at radio wavelengths. PMID:25880705

Walker occupancy has an impact on changing airborne bacterial communities in an underground pedestrian space, as small-dust particles increased with raising both temperature and humidity.

PubMed

Okubo, Torahiko; Osaki, Takako; Nozaki, Eriko; Uemura, Akira; Sakai, Kouhei; Matushita, Mizue; Matsuo, Junji; Nakamura, Shinji; Kamiya, Shigeru; Yamaguchi, Hiroyuki

2017-01-01

Although human occupancy is a source of airborne bacteria, the role of walkers on bacterial communities in built environments is poorly understood. Therefore, we visualized the impact of walker occupancy combined with other factors (temperature, humidity, atmospheric pressure, dust particles) on airborne bacterial features in the Sapporo underground pedestrian space in Sapporo, Japan. Air samples (n = 18; 4,800L/each sample) were collected at 8:00 h to 20:00 h on 3 days (regular sampling) and at early morning / late night (5:50 h to 7:50 h / 22:15 h to 24:45 h) on a day (baseline sampling), and the number of CFUs (colony forming units) OTUs (operational taxonomic units) and other factors were determined. The results revealed that temperature, humidity, and atmospheric pressure changed with weather. The number of walkers increased greatly in the morning and evening on each regular sampling day, although total walker numbers did not differ significantly among regular sampling days. A slight increase in small dust particles (0.3-0.5μm) was observed on the days with higher temperature regardless of regular or baseline sampling. At the period on regular sampling, CFU levels varied irregularly among days, and the OTUs of 22-phylum types were observed, with the majority being from Firmicutes or Proteobacteria (γ-), including Staphylococcus sp. derived from human individuals. The data obtained from regular samplings reveled that although no direct interaction of walker occupancy and airborne CFU and OTU features was observed upon Pearson's correlation analysis, cluster analysis indicated an obvious lineage consisting of walker occupancy, CFU numbers, OTU types, small dust particles, and seasonal factors (including temperature and humidity). Meanwhile, at the period on baseline sampling both walker and CFU numbers were similarly minimal. Taken together, the results revealed a positive correlation of walker occupancy with airborne bacteria that increased with increases in temperature and humidity in the presence of airborne small particles. Moreover, the results indicated that small dust particles at high temperature and humidity may be a crucial factor responsible for stabilizing the bacteria released from walkers in built environments. The findings presented herein advance our knowledge and understanding of the relationship between humans and bacterial communities in built environments, and will help improve public health in urban communities.

Walker occupancy has an impact on changing airborne bacterial communities in an underground pedestrian space, as small-dust particles increased with raising both temperature and humidity

PubMed Central

Okubo, Torahiko; Osaki, Takako; Nozaki, Eriko; Uemura, Akira; Sakai, Kouhei; Matushita, Mizue; Matsuo, Junji; Nakamura, Shinji; Kamiya, Shigeru

2017-01-01

Although human occupancy is a source of airborne bacteria, the role of walkers on bacterial communities in built environments is poorly understood. Therefore, we visualized the impact of walker occupancy combined with other factors (temperature, humidity, atmospheric pressure, dust particles) on airborne bacterial features in the Sapporo underground pedestrian space in Sapporo, Japan. Air samples (n = 18; 4,800L/each sample) were collected at 8:00 h to 20:00 h on 3 days (regular sampling) and at early morning / late night (5:50 h to 7:50 h / 22:15 h to 24:45 h) on a day (baseline sampling), and the number of CFUs (colony forming units) OTUs (operational taxonomic units) and other factors were determined. The results revealed that temperature, humidity, and atmospheric pressure changed with weather. The number of walkers increased greatly in the morning and evening on each regular sampling day, although total walker numbers did not differ significantly among regular sampling days. A slight increase in small dust particles (0.3–0.5μm) was observed on the days with higher temperature regardless of regular or baseline sampling. At the period on regular sampling, CFU levels varied irregularly among days, and the OTUs of 22-phylum types were observed, with the majority being from Firmicutes or Proteobacteria (γ-), including Staphylococcus sp. derived from human individuals. The data obtained from regular samplings reveled that although no direct interaction of walker occupancy and airborne CFU and OTU features was observed upon Pearson's correlation analysis, cluster analysis indicated an obvious lineage consisting of walker occupancy, CFU numbers, OTU types, small dust particles, and seasonal factors (including temperature and humidity). Meanwhile, at the period on baseline sampling both walker and CFU numbers were similarly minimal. Taken together, the results revealed a positive correlation of walker occupancy with airborne bacteria that increased with increases in temperature and humidity in the presence of airborne small particles. Moreover, the results indicated that small dust particles at high temperature and humidity may be a crucial factor responsible for stabilizing the bacteria released from walkers in built environments. The findings presented herein advance our knowledge and understanding of the relationship between humans and bacterial communities in built environments, and will help improve public health in urban communities. PMID:28922412

Double-blind, Placebo-controlled Study Assessing the Effect of Chocolate Consumption in Subjects with a History of Acne Vulgaris.

PubMed

Caperton, Caroline; Block, Samantha; Viera, Martha; Keri, Jonette; Berman, Brian

2014-05-01

To assess the effect of chocolate on acne exacerbation in males between the ages of 18 and 35 with a history of acne vulgaris. Double-blind, placebo-controlled, randomized, controlled trial. Single-site, outpatient, research, clinical facility at an academic research institution. Fourteen men between the ages of 18 and 35 were assigned to swallow capsules filled with either unsweetened 100-percent cocoa, hydrolyzed gelatin powder, or a combination of the two, at baseline. Lesions were assessed and photographs were taken at baseline, Day 4, and Day 7. Of the 14 subjects, 13 completed this Institutional Review Board approved study. A statistically significant increase in the mean number of total acneiform lesions (comedones, papules, pustules, nodules) was detected on both Day 4 (p=0.006) and Day 7 (p=0.043) compared to baseline. A small-strength positive Pearson's correlation coefficient existed between the amount of chocolate each subject consumed and the number of lesions each subject developed between baseline and Day 4 (r=0.250), while a medium-strength positive correlation existed between baseline and Day 7 (r=0.314). No serious adverse events occurred. It appears that in acne-prone, male individuals, the consumption of chocolate correlates to an increase in the exacerbation of acne.

Photovoltaic utility/customer interface study

NASA Astrophysics Data System (ADS)

Eichler, C. H.; Hayes, T. P.; Matthews, M. M.; Wilraker, V. F.

1980-12-01

The technical, economic, and legal and regulatory issues of interconnecting small, privately-owned, on-site photovoltaic generating systems to an electric utility are addressed. Baseline residential, commercial and industrial class photovoltaic systems were developed. Technical issues of concern affecting this interconnection were identified and included fault protection, undervoltage protection, lamp flicker, revenue metering, loss of synchromism, electrical safety, prevention of backfeeding a de-energized utility feeder, effects of on-site generation on utility relaying schemes, effects of power conditioner harmonic distortion on the electric utility, system isolation, electromagnetic interference and site power factor as seen by the utility. Typical interconnection wiring diagrams were developed for interconnecting each class of baseline photovoltaic generating system.

Evaluation of Variable Refrigerant Flow Systems Performance on Oak Ridge National Laboratory s Flexible Research Platform: Part 2 Heating Season Analysis

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

Im, Piljae; Malhotra, Mini; Munk, Jeffrey D.

The performance of two HVAC systems was evaluated using ORNL’s FRP, which is a two-story, 3,200 ft2 (297.3 m2) multi-zone unoccupied building that represents a typical low-rise, small office building common in the US existing building stock. The FRP is equipped with a conventional 12.5 ton (44 kW) RTU-VAV reheat system as the baseline system. For this study, a 12 ton (42 kW) VRF with a dedicated outdoor air system (DOAS) was installed to be compared with the baseline RTU system.

Teaching Self-Control to Small Groups of Dually Diagnosed Adults.

ERIC Educational Resources Information Center

Dixon, Mark R.; Holcomb, Sharon

2000-01-01

A study used a progressive delay procedure to teach self-control to six adults with mental retardation. At baseline, participants chose an immediate smaller reinforcer rather than a larger delayed reinforcer. Progressive increases in work requirements for gaining access to a larger reinforcer resulted in participants selecting larger delayed…

The effects of small-scale, homelike facilities for older people with dementia on residents, family caregivers and staff: design of a longitudinal, quasi-experimental study.

PubMed

Verbeek, Hilde; van Rossum, Erik; Zwakhalen, Sandra M G; Ambergen, Ton; Kempen, Gertrudis I J M; Hamers, Jan P H

2009-01-20

Small-scale and homelike facilities for older people with dementia are rising in current dementia care. In these facilities, a small number of residents live together and form a household with staff. Normal, daily life and social participation are emphasized. It is expected that these facilities improve residents' quality of life. Moreover, it may have a positive influence on staff's job satisfaction and families involvement and satisfaction with care. However, effects of these small-scale and homelike facilities have hardly been investigated. Since the number of people with dementia increases, and institutional long-term care is more and more organized in small-scale and homelike facilities, more research into effects is necessary. This paper presents the design of a study investigating effects of small-scale living facilities in the Netherlands on residents, family caregivers and nursing staff. A longitudinal, quasi-experimental study is carried out, in which 2 dementia care settings are compared: small-scale living facilities and regular psychogeriatric wards in traditional nursing homes. Data is collected from residents, their family caregivers and nursing staff at baseline and after 6 and 12 months of follow-up. Approximately 2 weeks prior to baseline measurement, residents are screened on cognition and activities of daily living (ADL). Based on this screening profile, residents in psychogeriatric wards are matched to residents living in small-scale living facilities. The primary outcome measure for residents is quality of life. In addition, neuropsychiatric symptoms, depressive symptoms and social engagement are assessed. Involvement with care, perceived burden and satisfaction with care provision are primary outcome variables for family caregivers. The primary outcomes for nursing staff are job satisfaction and motivation. Furthermore, job characteristics social support, autonomy and workload are measured. A process evaluation is performed to investigate to what extent small-scale living facilities and psychogeriatric wards are designed as they were intended. In addition, participants' satisfaction and experiences with small-scale living facilities are investigated. A longitudinal, quasi-experimental study is presented to investigate effects of small-scale living facilities. Although some challenges concerning this design exist, it is currently the most feasible method to assess effects of this relatively new dementia care setting.

Celecoxib Monotherapy Maintained Small Intestinal Mucosa Better Compared With Loxoprofen Plus Lansoprazole Treatment: A Double-blind, Randomized, Controlled Trial.

PubMed

Fujimori, Shunji; Hanada, Ryuzo; Hayashida, Mari; Sakurai, Toshiyuki; Ikushima, Ippei; Sakamoto, Choitsu

2016-03-01

The aim of this study was to compare celecoxib with loxoprofen for protection of small intestine. RCT studies report that COX-2 selective inhibitor celecoxib induces fewer small intestinal injuries than nonselective nonsteroidal anti-inflammatory drugs (NSAIDs). Loxoprofen is a prodrug nonselective NSAID developed to protect upper gastrointestinal tract. A total of 150 healthy volunteers (40 to 70 y) were enrolled. After medical checkup including laboratory data, subjects were randomly assigned to celecoxib (200 mg daily) or loxoprofen (180 mg daily) plus lansoprazole (15 mg daily). All drugs were prepared using inactive capsules. After randomization, all subjects were first examined by baseline capsule endoscopy (CE). After 14 days, subjects underwent posttreatment CE. We compared baseline and posttreatment CE findings of the 2 groups. All CE data were evaluated blindly by 3 reviewers. Pretreatment and posttreatment laboratory variables were also compared. A total of 74 subjects (49±6 y, F/M: 36/38) were enrolled in celecoxib group and 76 subjects (49±7 y, F/M: 39/37)in loxoprofen group. Five in celecoxib group and 4 in loxoprofen group were excluded from CE analysis mainly due to incomplete CE. The percentage of subjects with at least 1 posttreatment mucosal break was lower in celecoxib group (10%) than in loxoprofen group (49%) (P<0.0001). A total of 0.3±1.0 posttreatment small intestinal mucosal breaks were detected in the celecoxib group, and 6.8±21.5 in the loxoprofen group (P<0.0001). Posttreatment hemoglobin concentration in loxoprofen group (5.1% reduction) was lower compared with celecoxib group (2.1% reduction) (P=0.006). In terms of protection of small intestine from NSAIDs toxicity, celecoxib monotherapy was superior to loxoprofen+lansoprazole combination therapy (UMIN: 000007936).

Small intestinal bacterial overgrowth in irritable bowel syndrome: are there any predictors?

PubMed Central

2010-01-01

Background Small intestinal bacterial overgrowth (SIBO) is a condition in which excessive levels of bacteria, mainly the colonic-type species are present in the small intestine. Recent data suggest that SIBO may contribute to the pathophysiology of Irritable bowel syndrome (IBS). The purpose of this study was to identify potential predictors of SIBO in patients with IBS. Methods Adults with IBS based on Rome II criteria who had predominance of bloating and flatulence underwent a glucose breath test (GBT) to determine the presence of SIBO. Breath samples were obtained at baseline and at 30, 45, 60, 75 and 90 minutes after ingestion of 50 g of glucose dissolved in 150 mL of water. Results of the glucose breath test, which measures hydrogen and methane levels in the breath, were considered positive for SIBO if 1) the hydrogen or methane peak was >20 ppm when the baseline was <10 ppm, or 2) the hydrogen or methane peak increased by 12 ppm when baseline was ≥10 ppm. Results Ninety-eight patients were identified who underwent a GBT (mean age, 49 y; 78% female). Thirty-five patients (36%) had a positive GBT result suggestive of SIBO. A positive GBT result was more likely in patients >55 years of age (odds ratio [OR], 3.6; 95% confidence interval [CI], 1.4-9.0) and in females (OR, 4.0; 95% CI, 1.1-14.5). Hydrogen was detected more frequently in patients with diarrhea-predominant IBS (OR, 8; 95% CI, 1.4-45), and methane was the main gas detected in patients with constipation-predominant IBS (OR, 8; 95% CI, 1.3-44). There was no significant correlation between the presence of SIBO and the predominant bowel pattern or concurrent use of tegaserod, proton pump inhibitors, or opiate analgesics. Conclusions Small intestinal bacterial overgrowth was present in a sizeable percentage of patients with IBS with predominance of bloating and flatulence. Older age and female sex were predictors of SIBO in patients with IBS. Identification of possible predictors of SIBO in patients with IBS could aid in the development of successful treatment plans. PMID:20175924

Small intestinal bacterial overgrowth in irritable bowel syndrome: are there any predictors?

PubMed

Reddymasu, Savio C; Sostarich, Sandra; McCallum, Richard W

2010-02-22

Small intestinal bacterial overgrowth (SIBO) is a condition in which excessive levels of bacteria, mainly the colonic-type species are present in the small intestine. Recent data suggest that SIBO may contribute to the pathophysiology of Irritable bowel syndrome (IBS). The purpose of this study was to identify potential predictors of SIBO in patients with IBS. Adults with IBS based on Rome II criteria who had predominance of bloating and flatulence underwent a glucose breath test (GBT) to determine the presence of SIBO. Breath samples were obtained at baseline and at 30, 45, 60, 75 and 90 minutes after ingestion of 50 g of glucose dissolved in 150 mL of water. Results of the glucose breath test, which measures hydrogen and methane levels in the breath, were considered positive for SIBO if 1) the hydrogen or methane peak was >20 ppm when the baseline was <10 ppm, or 2) the hydrogen or methane peak increased by 12 ppm when baseline was >or=10 ppm. Ninety-eight patients were identified who underwent a GBT (mean age, 49 y; 78% female). Thirty-five patients (36%) had a positive GBT result suggestive of SIBO. A positive GBT result was more likely in patients >55 years of age (odds ratio [OR], 3.6; 95% confidence interval [CI], 1.4-9.0) and in females (OR, 4.0; 95% CI, 1.1-14.5). Hydrogen was detected more frequently in patients with diarrhea-predominant IBS (OR, 8; 95% CI, 1.4-45), and methane was the main gas detected in patients with constipation-predominant IBS (OR, 8; 95% CI, 1.3-44). There was no significant correlation between the presence of SIBO and the predominant bowel pattern or concurrent use of tegaserod, proton pump inhibitors, or opiate analgesics. Small intestinal bacterial overgrowth was present in a sizeable percentage of patients with IBS with predominance of bloating and flatulence. Older age and female sex were predictors of SIBO in patients with IBS. Identification of possible predictors of SIBO in patients with IBS could aid in the development of successful treatment plans.

Two-dimensional ionospheric tomography over the low-latitude Indian region: An intercomparison of ART and MART algorithms

NASA Astrophysics Data System (ADS)

Das, Sukanta Kumar; Shukla, Ashish Kumar

2011-04-01

Single-frequency users of a satellite-based augmentation system (SBAS) rely on ionospheric models to mitigate the delay due to the ionosphere. The ionosphere is the major source of range and range rate errors for users of the Global Positioning System (GPS) who require high-accuracy positioning. The purpose of the present study is to develop a tomography model to reconstruct the total electron content (TEC) over the low-latitude Indian region which lies in the equatorial ionospheric anomaly belt. In the present study, the TEC data collected from the six TEC collection stations along a longitudinal belt of around 77 degrees are used. The main objective of the study is to find out optimum pixel size which supports a better reconstruction of the electron density and hence the TEC over the low-latitude Indian region. Performance of two reconstruction algorithms Algebraic Reconstruction Technique (ART) and Multiplicative Algebraic Reconstruction Technique (MART) is analyzed for different pixel sizes varying from 1 to 6 degrees in latitude. It is found from the analysis that the optimum pixel size is 5° × 50 km over the Indian region using both ART and MART algorithms.

Enrichment of Gold in Antimony Matte by Direct Smelting of Refractory Gold Concentrate

NASA Astrophysics Data System (ADS)

Yang, Tianzu; Xie, Boyi; Liu, Weifeng; Zhang, Duchao; Chen, Lin

2018-04-01

Conventional cyanidation technology achieves low gold recovery when used to process refractory gold concentrate. Based on the geochemical characteristics of gold deposit mineralization, a new method is proposed herein for gold enrichment in antimony matte by smelting of refractory gold concentrate. The effects of the FeO/SiO2 and CaO/SiO2 ratios, smelting temperature, and smelting time on the gold recovery were investigated in detail. The optimum conditions were determined to be FeO/SiO2 ratio of 1.2, CaO/SiO2 ratio of 0.4, smelting temperature of 1200°C, and smelting time of 45 min. The gold content in antimony matte and smelting slag was 96.68 and 1.13 g/t, respectively. The gold, antimony, and arsenic recovery was 97.72%, 26.89%, and 6.56%, respectively, with most of the antimony and arsenic volatilized into dust. Mineral liberation analyzer results showed that the antimony matte mainly consisted of FeS and FeO, with three phases, viz. FeAs, SbAs, and AuSb, embedded between them, indicating that gold was easily enriched with antimony and arsenic during smelting of refractory gold concentrate.

Enrichment of Gold in Antimony Matte by Direct Smelting of Refractory Gold Concentrate

NASA Astrophysics Data System (ADS)

Yang, Tianzu; Xie, Boyi; Liu, Weifeng; Zhang, Duchao; Chen, Lin

2018-06-01

Conventional cyanidation technology achieves low gold recovery when used to process refractory gold concentrate. Based on the geochemical characteristics of gold deposit mineralization, a new method is proposed herein for gold enrichment in antimony matte by smelting of refractory gold concentrate. The effects of the FeO/SiO2 and CaO/SiO2 ratios, smelting temperature, and smelting time on the gold recovery were investigated in detail. The optimum conditions were determined to be FeO/SiO2 ratio of 1.2, CaO/SiO2 ratio of 0.4, smelting temperature of 1200°C, and smelting time of 45 min. The gold content in antimony matte and smelting slag was 96.68 and 1.13 g/t, respectively. The gold, antimony, and arsenic recovery was 97.72%, 26.89%, and 6.56%, respectively, with most of the antimony and arsenic volatilized into dust. Mineral liberation analyzer results showed that the antimony matte mainly consisted of FeS and FeO, with three phases, viz. FeAs, SbAs, and AuSb, embedded between them, indicating that gold was easily enriched with antimony and arsenic during smelting of refractory gold concentrate.

Measurement of Subsidence Across the Sacramento Delta: Applying InSAR to a Coherence-challenged Area

NASA Astrophysics Data System (ADS)

Jones, C. E.; Sharma, P.

2014-12-01

InSAR-based measurement of ground subsidence rates are notoriously challenging in agricultural areas because of rapid temporal decorrelation introduced by physical disturbance of the ground and water content changes. This can be mitigated by the use of longer wavelength instruments and time series techniques, but measurement remains a challenge particularly in areas where the deformation rates are low. Here we discuss techniques developed to work with low coherence data in a project to measure sub-island scale subsidence rates across the Sacramento-San Joaquin Delta using SBAS processing of L-band UAVSAR data collected between July 2009 and February 2014. Determination of rates in this area is particularly valuable because of the Delta's critical importance as a water resource for the State of California and as an enormously productive estuarine ecosystem. Subsidence across the region has left most of the man-made islands below mean sea level and the levees maintaining their integrity are subject to a wide range of threats, including failure during earthquakes on the nearby Hayward and San Andreas fault. This research was conducted at the Jet Propulsion Laboratory, California Institute of Technology, under contract with the National Aeronautics and Space Administration.

Star Scheduling Mode—A New Observing Strategy for Monitoring Weak Southern Radio Sources with the AuScope VLBI Array

NASA Astrophysics Data System (ADS)

McCallum, Lucia; Mayer, David; Le Bail, Karine; Schartner, Matthias; McCallum, Jamie; Lovell, Jim; Titov, Oleg; Shu, Fengchun; Gulyaev, Sergei

2017-11-01

The International Celestial Reference Frame suffers from significantly less observations in the southern hemisphere compared to the northern one. One reason for this is the historically low number of very long baseline interferometry radio telescopes in the south. The AuScope very long baseline interferometry array with three new telescopes on the Australian continent and an identical antenna in New Zealand were built to address this issue. While the overall number of observations in the south has greatly improved since then, a closer look reveals that this improvement is only true for strong radio sources (source flux densities >0.6 Jy). The new array of small very long baseline interferometry antennas has a relatively low baseline sensitivity so that only strong sources can be observed within a short integration time. A new observing strategy, the star scheduling mode, was developed to enable efficient observations of weak sources during geodetic sessions, through the addition of a single more sensitive antenna to the network. This scheduling mode was implemented in the Vienna very long baseline interferometry Software and applied in four 24-h sessions in 2016. These observations provide updated positions and source flux densities for 42 weak southern radio sources and significantly reduce the formal uncertainties for these sources. The star scheduling mode now allows the AuScope very long baseline interferometry array to undertake greater responsibility in monitoring sources in the southern sky, without significantly weakening the session for geodetic purposes.

Predicting clinical decline in progressive agrammatic aphasia and apraxia of speech.

PubMed

Whitwell, Jennifer L; Weigand, Stephen D; Duffy, Joseph R; Clark, Heather M; Strand, Edythe A; Machulda, Mary M; Spychalla, Anthony J; Senjem, Matthew L; Jack, Clifford R; Josephs, Keith A

2017-11-28

To determine whether baseline clinical and MRI features predict rate of clinical decline in patients with progressive apraxia of speech (AOS). Thirty-four patients with progressive AOS, with AOS either in isolation or in the presence of agrammatic aphasia, were followed up longitudinally for up to 4 visits, with clinical testing and MRI at each visit. Linear mixed-effects regression models including all visits (n = 94) were used to assess baseline clinical and MRI variables that predict rate of worsening of aphasia, motor speech, parkinsonism, and behavior. Clinical predictors included baseline severity and AOS type. MRI predictors included baseline frontal, premotor, motor, and striatal gray matter volumes. More severe parkinsonism at baseline was associated with faster rate of decline in parkinsonism. Patients with predominant sound distortions (AOS type 1) showed faster rates of decline in aphasia and motor speech, while patients with segmented speech (AOS type 2) showed faster rates of decline in parkinsonism. On MRI, we observed trends for fastest rates of decline in aphasia in patients with relatively small left, but preserved right, Broca area and precentral cortex. Bilateral reductions in lateral premotor cortex were associated with faster rates of decline of behavior. No associations were observed between volumes and decline in motor speech or parkinsonism. Rate of decline of each of the 4 clinical features assessed was associated with different baseline clinical and regional MRI predictors. Our findings could help improve prognostic estimates for these patients. © 2017 American Academy of Neurology.

Earthquake relocations and InSAR analysis following the June 12th 2011 eruption of Nabro volcano, Afar

NASA Astrophysics Data System (ADS)

Hamlyn, Joanna; Wright, Tim; Keir, Derek; Neuberg, Jurgen; Grandin, Raphael; Goitom, Berhe; Hammond, James; Kibreab, Alem; Ogubazghi, Ghebrebrhan; Pagli, Carolina; Sansosti, Eugenio

2014-05-01

Nabro volcano sits on the southern part of Danakil block to the east of the Afar depression, on the Arabian plate. On the 12th June 2011, Nabro volcano suddenly erupted after being inactive for 10,000 years. The eruption caused a 17-km-long lava flow, a 15-km-high ash cloud, and ranks as one of the largest emissions of SO2 since the Mt. Pinatubo (1991) event. This eruption creates an important opportunity to use seismicity and surface deformation measurements to understand the subsurface magmatic system and deformation of a hazardous, off axis caldera during continental rupture. We installed a network of 8 seismometers around Nabro caldera which began recording on the 31st August and tasked SAR acquisitions from TerraSAR-X (TSX) and Cosmo-SkyMed (CSK) satellites. The SAR images used for this study post date the eruption. We used TSX stripmap mode images from ascending and descending orbits. Using a small baseline approach, we used 25 images acquired between the 1st July 2011 to the 5th October 2012 on descending orbit 046, to create 34 interferograms. We complemented these with 19 images from ascending orbit 130 spanning the 6th July 2011 to the 10th October 2012 from ascending orbit 130, which we used to create 21 interferograms. We produced a velocity ratemap and timeseries using π-RATE showing subsidence of up to 25cm/yr centred on Nabro. We used a Monte-Carlo hybrid downhill simplex technique to invert the dataset and found the best fitting solution as a mogi source at 6.9 ±1.1 km depth, and located at a 13.35 (lat) and 41.69 (long). The time dependence observed is consistent with a viscoelastic relaxation around the magma chamber, following depletion. Concurrent with the TSX acquisitions, CSK imaged the volcano on a descending track between 26th June 2011 and 18th July 2012 within the ASI project SAR4Volcanoes, and 64 images were used to produce 171 interferograms which were inverted to form a timeseries using a SBAS approach. This dataset has an overall subsidence signal, but the time series shows a shorter wavelength fluctuation of ground deformation, which is not apparent in the TSX data. We processed the seismic signals detected by the temporary local network and by a seismic station within a permanent regional array, to provide hypocentre locations for the period September-October, 2011. We used Hypoinverse-2000 to provide preliminary locations for events, which were then relocated using HypoDD. Absolute error after Hypoinverse-2000 processing was approximately ±2 and ±4 km in the horizontal and the vertical directions, respectively. Using HypoDD, relative errors were reduced to ±20 and ±30 m in the horizontal and vertical directions, respectively. The hypocentres show clusters of activity as well as aseismic regions. The majority of the earthquakes are located at the active vent, with fewer events located on the flanks. There is a smaller cluster of events to the south-west of Nabro beneath neighbouring Mallahle volcanic caldera, despite no eruption occurring here nor any post-eruptive deformation. This may imply some stress triggering mechanism or some pressure connection between the magma system of the two calderas. We present both the seismic and InSAR datasets as a joint approach to understand this eruption, as well as further implications for other 'quiet calderas'.

The results of a randomized trial of a quality improvement intervention in the care of patients with heart failure. The MISCHF Study Investigators.

PubMed

Philbin, E F; Rocco, T A; Lindenmuth, N W; Ulrich, K; McCall, M; Jenkins, P L

2000-10-15

Quality improvement and disease management programs for heart failure have improved quality of care and patient outcomes at large tertiary care hospitals. The purpose of this study was to measure the effects of a regional, multihospital, collaborative quality improvement intervention on care and outcomes in heart failure in community hospitals. This randomized controlled study included 10 acute care community hospitals in upstate New York. After a baseline period, 5 hospitals were randomly assigned to receive a multifaceted quality improvement intervention (n = 762 patients during the baseline period; n = 840 patients postintervention), while 5 were assigned to a "usual care" control (n = 640 patients during the baseline period; n = 664 patients postintervention). Quality of care was determined using explicit criteria by reviewing the charts of consecutive patients hospitalized with the primary diagnosis of heart failure during the baseline period and again in the postintervention period. Clinical outcomes included hospital length of stay and charges, in-hospital and 6-month mortality, hospital readmission, and quality of life measured after discharge. Patients had similar characteristics in the baseline and postintervention phases in the intervention and control groups. Using hospital-level analyses, the intervention had mixed effects on 5 quality-of-care markers that were not statistically significant. The mean of the average length of stay among hospitals decreased from 8.0 to 6.2 days in the intervention group, with a smaller decline in mean length of stay in the control group (7.7 to 7.0 days). The net effects of the intervention were nonsignificant changes in length of stay of -1.1 days (95% confidence interval [CI]: -2.9 to 0.7 days, P = 0.18) and in hospital charges of -$817 (95% CI: -$2560 to $926, P = 0.31). There were small and nonsignificant effects on mortality, hospital readmission, and quality of life. The incremental effect of regional collaboration among peer community hospitals toward the goal of quality improvement was small and limited to a slightly, but not significantly, shorter length of stay.

Pooled Analysis of CNS Response to Alectinib in Two Studies of Pretreated Patients With ALK-Positive Non-Small-Cell Lung Cancer.

PubMed

Gadgeel, Shirish M; Shaw, Alice T; Govindan, Ramaswamy; Gandhi, Leena; Socinski, Mark A; Camidge, D Ross; De Petris, Luigi; Kim, Dong-Wan; Chiappori, Alberto; Moro-Sibilot, Denis L; Duruisseaux, Michael; Crino, Lucio; De Pas, Tommaso; Dansin, Eric; Tessmer, Antje; Yang, James Chih-Hsin; Han, Ji-Youn; Bordogna, Walter; Golding, Sophie; Zeaiter, Ali; Ou, Sai-Hong Ignatius

2016-12-01

Purpose Alectinib has shown activity in the CNS in phase I and II studies. To further evaluate this activity, we pooled efficacy and safety data from two single-arm phase II studies (NP28761 and NP28673; ClinicalTrials.gov identifiers: NCT01871805 and NCT01801111, respectively) in patients with ALK-positive non-small-cell lung cancer (NSCLC). Patients and Methods Both studies included patients with ALK-positive NSCLC who had previously received crizotinib; all patients received alectinib 600 mg twice per day. The primary end point in both studies was independent review committee (IRC)-assessed objective response rate (ORR; by Response Evaluation Criteria in Solid Tumors [RECIST] version 1.1). Additional end points (all by IRC) included CNS ORR (CORR), CNS disease control rate (CDCR), and CNS duration of response (CDOR). Results One hundred thirty-six patients had baseline CNS metastases (60% of the overall study populations); 50 patients (37%) had measurable CNS disease at baseline. Ninety-five patients (70%) had prior CNS radiotherapy; 55 patients completed the CNS radiotherapy more than 6 months before starting alectinib. Median follow-up time was 12.4 months (range, 0.9 to 19.7 months). For patients with baseline measurable CNS disease, IRC CORR was 64.0% (95% CI, 49.2% to 77.1%), CDCR was 90.0% (95% CI, 78.2% to 96.7%), and median CDOR was 10.8 months (95% CI, 7.6 to 14.1 months). For patients with measurable and/or nonmeasurable baseline CNS disease, IRC CORR was 42.6% (95% CI, 34.2% to 51.4%), CDCR was 85.3% (95% CI, 78.2% to 90.8%), and median CDOR was 11.1 months (95% CI, 10.3 months to not evaluable). CORR was 35.8% (95% CI, 26.2% to 46.3%) for patients with prior radiotherapy (n = 95) and 58.5% (95% CI, 42.1% to 73.7%) for patients without prior radiotherapy (n = 41). As previously reported, alectinib was well tolerated, regardless of baseline CNS disease. Conclusion Alectinib showed good efficacy against CNS metastases, in addition to systemic activity, in crizotinib-refractory ALK-positive NSCLC.

First clinical trial of the "MiRo" capsule endoscope by using a novel transmission technology: electric-field propagation.

PubMed

Bang, Seungmin; Park, Jeong Youp; Jeong, Seok; Kim, Young Ho; Shim, Han Bo; Kim, Tae Song; Lee, Don Haeng; Song, Si Young

2009-02-01

We developed a capsule endoscope (CE), "MiRo," with the novel transmission technology of electric-field propagation. The technology uses the human body as a conductive medium for data transmission. Specifications of the prototype include the ability to receive real-time images; size, 10.8 x 24 mm; weight, 3.3 g; field of view, 150 degrees; resolution of power, 320 x 320 pixels; and transmittal speed, 2 frames per second. To evaluate the clinical safety and diagnostic feasibility of the prototype MiRo, we conducted a multicenter clinical trial. All volunteers underwent baseline examinations, including EGD and electrocardiography for the screening of GI obstructive and cardiovascular diseases, before the trial. In the first 10 cases, 24-hour Holter monitoring was also performed. To evaluate the diagnostic feasibility, transmission rate of the captured images, inspection rate of the entire small bowel, and quality of transmitted images (graded as outstanding, excellent, good/average, below average, and poor) were analyzed. Of the 49 healthy volunteers, 45 were included in the trial, and 4 were excluded because of baseline abnormalities. No adverse effects were noted. All CEs were expelled within 2 days, and the entire small bowel could be explored in all cases. The transmission rates of the captured image in the stomach, small bowel, and colon were 99.5%, 99.6%, and 97.2%, respectively. The mean total duration of image transmission was 9 hours, 51 minutes, and the mean transit time of the entire small bowel was 4 hours, 33 minutes. Image quality was graded as good or better in 41 cases (91.1%). Details of the villi and vascular structures of the entire small bowel were clearly visualized in 31 cases (68.9%). MiRo is safe and effective for exploring the entire small bowel, with good image quality and real-time feasibility. This novel transmission technology may have applications beyond the field of capsule endoscopy.

Global navigation satellite systems performance analysis and augmentation strategies in aviation

NASA Astrophysics Data System (ADS)

Sabatini, Roberto; Moore, Terry; Ramasamy, Subramanian

2017-11-01

In an era of significant air traffic expansion characterized by a rising congestion of the radiofrequency spectrum and a widespread introduction of Unmanned Aircraft Systems (UAS), Global Navigation Satellite Systems (GNSS) are being exposed to a variety of threats including signal interferences, adverse propagation effects and challenging platform-satellite relative dynamics. Thus, there is a need to characterize GNSS signal degradations and assess the effects of interfering sources on the performance of avionics GNSS receivers and augmentation systems used for an increasing number of mission-essential and safety-critical aviation tasks (e.g., experimental flight testing, flight inspection/certification of ground-based radio navigation aids, wide area navigation and precision approach). GNSS signal deteriorations typically occur due to antenna obscuration caused by natural and man-made obstructions present in the environment (e.g., elevated terrain and tall buildings when flying at low altitude) or by the aircraft itself during manoeuvring (e.g., aircraft wings and empennage masking the on-board GNSS antenna), ionospheric scintillation, Doppler shift, multipath, jamming and spurious satellite transmissions. Anyone of these phenomena can result in partial to total loss of tracking and possible tracking errors, depending on the severity of the effect and the receiver characteristics. After designing GNSS performance threats, the various augmentation strategies adopted in the Communication, Navigation, Surveillance/Air Traffic Management and Avionics (CNS + A) context are addressed in detail. GNSS augmentation can take many forms but all strategies share the same fundamental principle of providing supplementary information whose objective is improving the performance and/or trustworthiness of the system. Hence it is of paramount importance to consider the synergies offered by different augmentation strategies including Space Based Augmentation System (SBAS), Ground Based Augmentation System (GBAS), Aircraft Based Augmentation System (ABAS) and Receiver Autonomous Integrity Monitoring (RAIM). Furthermore, by employing multi-GNSS constellations and multi-sensor data fusion techniques, improvements in availability and continuity can be obtained. SBAS is designed to improve GNSS system integrity and accuracy for aircraft navigation and landing, while an alternative approach to GNSS augmentation is to transmit integrity and differential correction messages from ground-based augmentation systems (GBAS). In addition to existing space and ground based augmentation systems, GNSS augmentation may take the form of additional information being provided by other on-board avionics systems, such as in ABAS. As these on-board systems normally operate via separate principles than GNSS, they are not subject to the same sources of error or interference. Using suitable data link and data processing technologies on the ground, a certified ABAS capability could be a core element of a future GNSS Space-Ground-Aircraft Augmentation Network (SGAAN). Although current augmentation systems can provide significant improvement of GNSS navigation performance, a properly designed and flight-certified SGAAN could play a key role in trusted autonomous system and cyber-physical system applications such as UAS Sense-and-Avoid (SAA).

Using Self-Instruction to Teach Counseling Skills to School Psychology Students: An Efficacy Study

ERIC Educational Resources Information Center

Loe, Scott A.; Jones, W. Paul; Crank, Joe N.; Krach, S. Kathleen

2009-01-01

Counseling is highly valued by school psychology faculty and practitioners but represents a small area of concentration within many graduate training programs, often comprised only of two or three survey courses without a supervised practicum experience. This multiple baseline, across subjects, study involving nine school psychology trainees…

Implementing Conjoint Behavioral Consultation for African American Children from a Low-SES, Urban Setting

ERIC Educational Resources Information Center

Ohmstede, Tammi J.; Yetter, Georgette

2015-01-01

This study investigated the effectiveness of conjoint behavioral consultation (CBC) for addressing externalizing behavior concerns in African American children at home and school in a low-socioeconomic status (SES), urban setting. A small-n, multiple-baseline design was employed across participants. Three of the six caregivers were unable to…

The Influence of Non-Nociceptive Factors on Hot Plate Latency in Rats

PubMed Central

Gunn, Amanda; Bobeck, Erin N.; Weber, Ceri; Morgan, Michael M.

2010-01-01

The hot plate is a widely used test to assess nociception. The effect of non-nociceptive factors (weight, sex, activity, habituation, and repeated testing) on hot plate latency was examined. Comparison of body weight and hot plate latency revealed a small but significant inverse correlation (light rats had longer latencies). Habituating rats to the test room for 1 hr prior to testing did not decrease hot plate latency except for female rats tested on Days 2 - 4. Hot plate latency decreased with repeated daily testing, but this was not caused by a decrease in locomotor activity or learning to respond. Activity on the hot plate was consistent across all four trials, and prior exposure to a room temperature plate caused a similar decrease in latency as rats tested repeatedly on the hot plate. Despite this decrease in baseline hot plate latency, there was no difference in morphine antinociceptive potency. The present study shows that weight, habituation to the test room, and repeated testing can alter baseline hot plate latency, but these effects are small and have relatively little impact on morphine antinociception. PMID:20797920

Effects of Strength Training Sessions Performed with Different Exercise Orders and Intervals on Blood Pressure and Heart Rate Variability.

PubMed

Lemos, Sandro; Figueiredo, Tiago; Marques, Silvio; Leite, Thalita; Cardozo, Diogo; Willardson, Jeffrey M; Simão, Roberto

2018-01-01

This study compared the effect of a strength training session performed at different exercise orders and rest intervals on blood pressure and heart rate variability (HRV). Fifteen trained men performed different upper body exercise sequences [large to small muscle mass (SEQA) and small to large muscle mass (SEQB)] in randomized order with rest intervals between sets and exercises of 40 or 90 seconds. Fifteen repetition maximum loads were tested to control the training intensity and the total volume load. The results showed, significant reductions for systolic blood pressure (SBP) for all sequences compared to baseline and, post-exercise: SEQA90 at 20, 30, 40, 50 and 60 minutes; SEQA40 and SEQB40 at 20 minutes and SEQB90 at 10, 20, 30, 40, 50 and 60 minutes. For diastolic blood pressure (DBP), significant reductions were found for three sequences compared to baseline and, post-exercise: SEQA90 and SEQA40 at 50 and 60 minutes; SEQB40 at 10, 30 and 60 minutes. For HRV, there were significant differences in frequency domain for all sequences compared to baseline. In conclusion, when performing upper body strength training sessions, it is suggested that 90 second rest intervals between sets and exercises promotes a post-exercise hypotensive response in SBP. The 40 second rest interval between sets and exercises was associated with greater cardiac stress, and might be contraindicated when working with individuals that exhibit symptoms of cardiovascular disease.

A randomized, controlled intervention of machine guarding and related safety programs in small metal-fabrication businesses.

PubMed

Parker, David L; Brosseau, Lisa M; Samant, Yogindra; Xi, Min; Pan, Wei; Haugan, David

2009-01-01

Metal fabrication employs an estimated 3.1 million workers in the United States. The absence of machine guarding and related programs such as lockout/tagout may result in serious injury or death. The purpose of this study was to improve machine-related safety in small metal-fabrication businesses. We used a randomized trial with two groups: management only and management-employee. We evaluated businesses for the adequacy of machine guarding (machine scorecard) and related safety programs (safety audit). We provided all businesses with a report outlining deficiencies and prioritizing their remediation. In addition, the management-employee group received four one-hour interactive training sessions from a peer educator. We evaluated 40 metal-fabrication businesses at baseline and 37 (93%) one year later. Of the three nonparticipants, two had gone out of business. More than 40% of devices required for adequate guarding were missing or inadequate, and 35% of required safety programs and practices were absent at baseline. Both measures improved significantly during the course of the intervention. No significant differences in changes occurred between the two intervention groups. Machine-guarding practices and programs improved by up to 13% and safety audit scores by up to 23%. Businesses that added safety committees or those that started with the lowest baseline measures showed the greatest improvements. Simple and easy-to-use assessment tools allowed businesses to significantly improve their safety practices, and safety committees facilitated this process.

Spatiotemporal characteristics and vascular sources of neural-specific and -nonspecific fMRI signals at submillimeter columnar resolution

PubMed Central

Moon, Chan Hong; Fukuda, Mitsuhiro; Kim, Seong-Gi

2012-01-01

The neural specificity of hemodynamic-based functional magnetic resonance imaging (fMRI) signals are dependent on both the vascular regulation and the sensitivity of the applied fMRI technique to different types and sizes of blood vessels. In order to examine the specificity of MRI-detectable hemodynamic responses, submillimeter blood oxygenation-level dependent (BOLD) and cerebral blood volume (CBV) fMRI studies were performed in a well-established cat orientation column model at 9.4 Tesla. Neural-nonspecific and -specific signals were separated by comparing the fMRI responses of orthogonal orientation stimuli. The BOLD response was dominantly neural-nonspecific, mostly originating from pial and intracortical emerging veins, and thus was highly correlated with baseline blood volume. Uneven baseline CBV may displace or distort small functional domains in high-resolution BOLD maps. The CBV response in the parenchyma exhibited dual spatiotemporal characteristics, a fast and early neural-nonspecific response (with 4.3-s time constant) and a slightly slower and delayed neural-specific response (with 9.4-s time constant). The nonspecific CBV signal originates from early-responding arteries and arterioles, while the specific CBV response, which is not correlated with baseline blood volume, arises from late-responding microvessels including small pre-capillary arterioles and capillaries. Our data indicate that although the neural specificity of CBV fMRI signals is dependent on stimulation duration, high-resolution functional maps can be obtained from steady-state CBV studies. PMID:22960251

CD10/neutral endopeptidase 24.11 regulates fetal lung growth and maturation in utero by potentiating endogenous bombesin-like peptides.

PubMed

King, K A; Hua, J; Torday, J S; Drazen, J M; Graham, S A; Shipp, M A; Sunday, M E

1993-05-01

Bombesin-like peptides (BLPs) are mitogens for bronchial epithelial cells and small cell lung carcinomas, and increase fetal lung growth and maturation in utero and in organ cultures. BLPs are hydrolyzed by the enzyme CD10/neutral endopeptidase 24.11 (CD10/NEP) which is expressed in bronchial epithelium and functions to inhibit BLP-mediated growth of small cell lung carcinomas. To determine whether CD10/NEP regulates peptide-mediated lung development, we administered a specific CD10/NEP inhibitor, SCH32615, to fetal mice in utero from gestational days e15-17. Fetal lung tissues were evaluated on e18 for: (a) growth using [3H]thymidine incorporation into nuclear DNA; and (b) maturation using: [3H]-choline incorporation into surfactant phospholipids, electron microscopy for type II pneumocytes, and Northern blot analyses for surfactant apoproteins A, B, and C. Inhibition of CD10/NEP stimulated [3H]thymidine incorporation into DNA (70% above baseline, P < 0.005), [3H]choline incorporation into surfactant phospholipids (38% above baseline, P < 0.005), increased numbers of type II pneumocytes (36% above baseline, P = 0.07), and fivefold higher surfactant protein A transcripts (P < 0.05). CD10/NEP-mediated effects were completely blocked by the specific bombesin receptor antagonist, [D-Phe12, Leu14]bombesin. These observations suggest that CD10/NEP regulates fetal lung growth and maturation mediated by endogenous BLPs.

CD10/neutral endopeptidase 24.11 regulates fetal lung growth and maturation in utero by potentiating endogenous bombesin-like peptides.

PubMed Central

King, K A; Hua, J; Torday, J S; Drazen, J M; Graham, S A; Shipp, M A; Sunday, M E

1993-01-01

Bombesin-like peptides (BLPs) are mitogens for bronchial epithelial cells and small cell lung carcinomas, and increase fetal lung growth and maturation in utero and in organ cultures. BLPs are hydrolyzed by the enzyme CD10/neutral endopeptidase 24.11 (CD10/NEP) which is expressed in bronchial epithelium and functions to inhibit BLP-mediated growth of small cell lung carcinomas. To determine whether CD10/NEP regulates peptide-mediated lung development, we administered a specific CD10/NEP inhibitor, SCH32615, to fetal mice in utero from gestational days e15-17. Fetal lung tissues were evaluated on e18 for: (a) growth using [3H]thymidine incorporation into nuclear DNA; and (b) maturation using: [3H]-choline incorporation into surfactant phospholipids, electron microscopy for type II pneumocytes, and Northern blot analyses for surfactant apoproteins A, B, and C. Inhibition of CD10/NEP stimulated [3H]thymidine incorporation into DNA (70% above baseline, P < 0.005), [3H]choline incorporation into surfactant phospholipids (38% above baseline, P < 0.005), increased numbers of type II pneumocytes (36% above baseline, P = 0.07), and fivefold higher surfactant protein A transcripts (P < 0.05). CD10/NEP-mediated effects were completely blocked by the specific bombesin receptor antagonist, [D-Phe12, Leu14]bombesin. These observations suggest that CD10/NEP regulates fetal lung growth and maturation mediated by endogenous BLPs. Images PMID:8486767

Electron microscopic quantification of collagen fibril diameters in the rabbit medial collateral ligament: a baseline for comparison.

PubMed

Frank, C; Bray, D; Rademaker, A; Chrusch, C; Sabiston, P; Bodie, D; Rangayyan, R

1989-01-01

To establish a normal baseline for comparison, thirty-one thousand collagen fibril diameters were measured in calibrated transmission electron (TEM) photomicrographs of normal rabbit medial collateral ligaments (MCL's). A new automated method of quantitation was used to compare statistically fibril minimum diameter distributions in one midsubstance location in both MCL's from six animals at 3 months of age (immature) and three animals at 10 months of age (mature). Pooled results demonstrate that rabbit MCL's have statistically different (p less than 0.001) mean minimum diameters at these two ages. Interanimal differences in mean fibril minimum diameters were also significant (p less than 0.001) and varied by 20% to 25% in both mature and immature animals. Finally, there were significant differences (p less than 0.001) in mean diameters and distributions from side-to-side in all animals. These mean left-to-right differences were less than 10% in all mature animals but as much as 62% in some immature animals. Statistical analysis of these data demonstrate that animal-to-animal comparisons using these protocols require a large number of animals with appropriate numbers of fibrils being measured to detect small intergroup differences. With experiments which compare left to right ligaments, far fewer animals are required to detect similarly small differences. These results demonstrate the necessity for rigorous control of sampling, an extensive normal baseline and statistically confirmed experimental designs in any TEM comparisons of collagen fibril diameters.

Baseline triglyceride levels and insulin sensitivity are major determinants of the increase of LDL particle size and buoyancy induced by rosuvastatin treatment in patients with primary hyperlipidemia.

PubMed

Kostapanos, Michael S; Milionis, Haralampos J; Lagos, Konstantinos G; Rizos, Christos B; Tselepis, Alexandros D; Elisaf, Moses S

2008-08-20

The influence of various statins on low-density-lipoprotein (LDL)-particle phenotype has been reportedly trivial or moderate. We assessed the effect of rosuvastatin (the newest statin available) on the LDL subfraction profile in patients with primary hyperlipidemia. One hundred and twenty patients with primary hyperlipidemia without evidence of cardiovascular disease were randomized to therapeutic lifestyle modification ('control' group, N=60) or therapeutic lifestyle modification plus rosuvastatin 20 mg/day (N=60). Laboratory evaluation was performed at baseline and 12 weeks post-treatment. LDL subfraction analysis was carried out electrophoretically using of high-resolution 3% polyacrylamide gel tubes and the Lipoprint LDL System. Rosuvastatin induced a redistribution of LDL-cholesterol from small-dense LDL particles to large-buoyant ones and increased the mean LDL particle size. This beneficial effect was observed only in patients with baseline triglyceride levels >or=150 mg/dl (mean LDL particle size 255+/-7 A vs 260+/-5 A, P<0.01), whereas the LDL subfraction profile was not altered in those with triglyceride levels <150 mg/dl. Stepwise multivariate linear regression analysis revealed that baseline triglyceride levels (R(2)=0.29, P=0.001) followed by baseline insulin resistance as assessed by the HOmeostasis Model Assessment (HOMA) (R(2)=0.25, P=0.001) were independently associated with the rosuvastatin-induced increase in the mean LDL particle size. In conclusion, rosuvastatin at 20 mg/day favorably modified the relative distribution of LDL-cholesterol distribution on LDL subfractions as well as on the mean LDL particle size in patients treated for primary dyslipidemia. Baseline triglyceride levels as well as baseline HOMA-index were found to be the major predictors of this beneficial action of rosuvastatin.

Comorbid Trends in World Trade Center Cough Syndrome and Probable Posttraumatic Stress Disorder in Firefighters

PubMed Central

Niles, Justin K.; Gustave, Jackson; Cohen, Hillel W.; Zeig-Owens, Rachel; Kelly, Kerry J.; Glass, Lara; Prezant, David J.

2011-01-01

Background: We describe the relationship between World Trade Center (WTC) cough syndrome symptoms, pulmonary function, and symptoms consistent with probable posttraumatic stress disorder (PTSD) in WTC-exposed firefighters in the first year post-September 11, 2001 (baseline), and 3 to 4 years later (follow-up). Methods: Five thousand three hundred sixty-three firefighters completed pulmonary function tests (PFTs) and questionnaires at both times. Relationships among WTC cough syndrome, probable PTSD, and PFTs were analyzed using simple and multivariable models. We also examined the effects of cofactors, including WTC exposure. Results: WTC cough syndrome was found in 1,561 firefighters (29.1%) at baseline and 1,186 (22.1%) at follow-up, including 559 with delayed onset (present only at follow-up). Probable PTSD was found in 458 firefighters (8.5%) at baseline and 548 (10.2%) at follow-up, including 343 with delayed onset. Baseline PTSD symptom counts and probable PTSD were associated with WTC cough syndrome at baseline, at follow-up, and in those with delayed-onset WTC cough syndrome. Similarly, WTC cough syndrome symptom counts and WTC cough syndrome at baseline were associated with probable PTSD at baseline, at follow-up, and in those with delayed-onset probable PTSD. WTC arrival time and work duration were cofactors of both outcomes. A small but consistent association existed between pulmonary function and WTC cough syndrome, but none with PTSD. Conclusions: The study showed a moderate association between WTC cough syndrome and probable PTSD. The presence of one contributed to the likelihood of the other, even after adjustment for shared cofactors such as WTC exposure. PMID:21546435

Breast and cervical cancer control among Pacific Islander and Southeast Asian Women: participatory action research strategies for baseline data collection in California.

PubMed

Kagawa-Singer, Marjorie; Park Tanjasiri, Sora; Lee, Susan W; Foo, Mary Anne; Ngoc Nguyen, Tu-Uyen; Tran, Jacqueline H; Valdez, Annalyn

2006-01-01

No data exists on the breast and cervical cancer screening practices among Cambodian, Laotian, Thai, and Tongan women. In this article, we describe the efforts required to conduct a baseline survey among these non-English-speaking women using the participatory action research (PAR) approach. We tailored small population sampling techniques to each of the populations in partnership with Community Health Outreach workers. A total of 1825 surveys were successfully conducted in 8 communities. PAR and the culturally based techniques used to conduct the survey proved successful in maintaining scientific rigor, developing true community-researcher partnership, and achieving over 99% participation.

Physical Activity for Campus Employees: A University Worksite Wellness Program.

PubMed

Butler, Carling E; Clark, B Ruth; Burlis, Tamara L; Castillo, Jacqueline C; Racette, Susan B

2015-04-01

Workplaces provide ideal environments for wellness programming. The purpose of this study was to explore exercise self-efficacy among university employees and the effects of a worksite wellness program on physical activity, cardiorespiratory fitness, and cardiovascular disease (CVD) risk factors. Participants included 121 university employees (85% female). The worksite wellness program included cardiovascular health assessments, personal health reports, 8 weeks of pedometer-based walking and tracking activities, and weekly wellness sessions. Daily step count was assessed at baseline, Week 4, and Week 8. Exercise self-efficacy and CVD risk factors were evaluated at baseline and follow-up. Daily step count increased from 6566 ± 258 (LSM ± SE) at baseline to 8605 ± 356 at Week 4 and 9107 ± 388 at Week 8 (P < .0001). Steps increased among normal weight, overweight, and obese subgroups. Exercise self-efficacy correlated with baseline steps (P < .05). Small improvements were observed in cardiorespiratory fitness, body mass index, blood pressure, blood glucose, total cholesterol, and triglycerides (all P < .01). A worksite wellness program was effective for improving physical activity, cardiorespiratory fitness, and CVD risk factors among university employees. Exercise barriers and outcome expectations were identified and have implications for future worksite wellness programming.

Physical activity for campus employees: a university worksite wellness program

PubMed Central

Butler, Carling E.; Clark, B. Ruth; Burlis, Tamara L.; Castillo, Jacqueline C.; Racette, Susan B.

2014-01-01

Background Workplaces provide ideal environments for wellness programming. The purpose of this study was to explore exercise self-efficacy among university employees and the effects of a worksite wellness program on physical activity, cardiorespiratory fitness, and CVD risk factors. Methods Participants included 121 university employees (85% female). The worksite wellness program included cardiovascular health assessments, personal health reports, 8 weeks of pedometer-based walking and tracking activities, and weekly wellness sessions. Daily step count was assessed at baseline, week 4, and week 8. Exercise self-efficacy and CVD risk factors were evaluated at baseline and follow-up. Results Daily step count increased from 6566 ± 258 (LSM ± SE) at baseline to 8605 ± 356 at week 4 and 9107 ± 388 at week 8 (P < .0001). Steps increased among normal weight, overweight, and obese sub-groups. Exercise self-efficacy correlated with baseline steps (P < .05). Small improvements were observed in cardiorespiratory fitness, BMI, blood pressure, blood glucose, total cholesterol, and triglycerides (all P < .01). Conclusions A worksite wellness program was effective for increasing physical activity, cardiorespiratory fitness, and CVD risk factors among university employees. Exercise barriers and outcome expectations were identified and have implications for future worksite wellness programming. PMID:24905703

Post-Activation Brain Warming: A 1-H MRS Thermometry Study

PubMed Central

Rango, Mario; Bonifati, Cristiana; Bresolin, Nereo

2015-01-01

Purpose Temperature plays a fundamental role for the proper functioning of the brain. However, there are only fragmentary data on brain temperature (Tbr) and its regulation under different physiological conditions. Methods We studied Tbr in the visual cortex of 20 normal subjects serially with a wide temporal window under different states including rest, activation and recovery by a visual stimulation-Magnetic Resonance Spectroscopy Thermometry combined approach. We also studied Tbr in a control region, the centrum semiovale, under the same conditions. Results Visual cortex mean baseline Tbr was higher than mean body temperature (37.38 vs 36.60, P<0.001). During activation Tbr remained unchanged at first and then showed a small decrease (-0.20 C°) around the baseline value. After the end of activation Tbr increased consistently (+0.60 C°) and then returned to baseline values after some minutes. Centrum semiovale Tbr remained unchanged through rest, visual stimulation and recovery. Conclusion These findings have several implications, among them that neuronal firing itself is not a major source of heat release in the brain and that there is an aftermath of brain activation that lasts minutes before returning to baseline conditions. PMID:26011731

Transdiagnostic versus disorder-specific internet-delivered cognitive behaviour therapy for anxiety and depression in primary care.

PubMed

Newby, Jill M; Mewton, Louise; Andrews, Gavin

2017-03-01

Disorder-specific and transdiagnostic internet cognitive behaviour therapy (iCBT) programs are effective for anxiety and depression, but no studies have compared their effectiveness in primary care. Patient characteristics, adherence and effectiveness of Transdiagnostic iCBT (n=1005) were compared to disorder-specific programs for generalized anxiety disorder (GAD) (n=738) and depression (n=366) in a naturalistic non-randomised comparison study. Patients completed their iCBT program in primary care. The PHQ-9 (depression), GAD-7 (generalized anxiety), K-10 (distress), and the WHODAS-II (disability) were measured at pre- and post-treatment. Patients in the Transdiagnostic program had higher comorbidity rates and baseline distress. All programs were associated with medium to large within-group effect sizes for improving anxiety, depression and distress between pre- and post-treatment (d's=0.64-1.39). Controlling for baseline group differences in severity, we found small effect sizes favoring the Transdiagnostic program over the GAD program in reducing PHQ-9 (d=0.44, 95%CI: 0.34-0.53), K-10 (d=0.21, 95%CI: 0.16-0.35) and WHODAS scores (d=0.20, 95%CI: 0.10-0.29), and small effect sizes favoring the Transdiagnostic program over the Depression program in reducing GAD-7 scores (d=0.48, 95%CI: 0.36-0.60). A smaller proportion of patients completed the Transdiagnostic program (44.9%) compared to the depression (51.6%) and GAD (49.2%) programs, which was attributable to baseline differences in age and symptom severity. Both Transdiagnostic iCBT and disorder-specific iCBT programs are effective in primary care, but there appears to be small effects favoring Transdiagnostic iCBT. Methods to increase adherence are needed to optimize the benefits to patients, and these findings await replication in a RCT. Copyright © 2016 Elsevier Ltd. All rights reserved.

Supplementation during pregnancy with small-quantity lipid-based nutrient supplements or multiple micronutrients, compared with iron and folic acid, increases women's urinary iodine concentration in semiurban Ghana: A randomized controlled trial.

PubMed

Adu-Afarwuah, Seth; Young, Rebecca T; Lartey, Anna; Okronipa, Harriet; Ashorn, Per; Ashorn, Ulla; Zeilani, Mamane; Dewey, Kathryn G

2018-04-01

There is little information on whether prenatal multiple micronutrient (MMN) supplements containing iodine affect women's iodine status. In the International Lipid-based Nutrient Supplements DYAD-Ghana trial, we aimed to assess women's urinary iodine concentration (UIC, μg/L) during pregnancy, as one of the planned secondary outcomes. Women (n = 1,320) <20 weeks of gestation were randomized to consume 60 mg iron and 400 μg folic acid per day (iron and folic acid [IFA]); 18 vitamins and minerals including 250 μg iodine per day (MMN); or 20 g/day of small-quantity lipid-based nutrient supplements (LNS) with the same and additional 4 vitamins and minerals as the MMN (LNS). In a subsample (n = 295), we tested differences in groups' geometric mean UICs at 36 weeks of gestation controlling for baseline UIC and compared the geometric means (approximately median UICs) with the World Health Organization (WHO) cut-offs: median UIC <150, 150-249, and ≥500 reflecting low, adequate, and excessive iodine intakes, respectively. At baseline, overall median UIC was 137. At 36 weeks of gestation, controlling for baseline UIC, geometric mean (95% confidence interval) UICs of the MMN (161 [133, 184]) and LNS (158 [132, 185]) groups did not differ; both values were significantly greater (overall p = .004) than that of the IFA group (116 [101, 135]). The median UICs of the MMN and LNS groups were within the WHO "adequate" range, whereas that of the IFA group was below the WHO adequate range. In this setting, supplementation during pregnancy with small-quantity LNS or MMN providing iodine at the WHO-recommended dose, compared with IFA, increases the likelihood of adequate iodine status. © 2017 The Authors. Maternal & Child Nutrition published by John Wiley & Sons, Ltd.

Demersal and larval fish assemblages in the Chukchi Sea

NASA Astrophysics Data System (ADS)

Norcross, Brenda L.; Holladay, Brenda A.; Busby, Morgan S.; Mier, Kathryn L.

2010-01-01

A multidisciplinary research cruise was conducted in the Chukchi Sea in summer 2004 during which we investigated assemblages of small demersal fishes and ichthyoplankton and the water masses associated with these assemblages. This study establishes a baseline of 30 demersal fish and 25 ichthyoplankton taxa in US and Russian waters of the Chukchi Sea. Presence/absence of small demersal fish clustered into four assemblages: Coastal Fishes, Western Chukchi Fishes, South Central Chukchi Fishes, and North Central Chukchi Fishes. Habitats occupied by small demersal fishes were characterized by sediment type, bottom salinity, and bottom temperature. Abundance of ichthyoplankton grouped into three assemblages with geographical extent similar to that of the bottom assemblages, except that there was a single assemblage for Central Chukchi Fishes. Water-column temperature and salinity characterized ichthyoplankton habitats. Three water masses, Alaska Coastal Water, Bering Sea Water, and Winter Water, were identified from both bottom and depth-averaged water-column temperature and salinity. A fourth water mass, Resident Chukchi Water, was identified only in the bottom water. The water mass and habitat characteristics with which demersal and larval fish assemblages were associated create a baseline to measure anticipated effects of climate change that are expected to be most severe at high latitudes. Monitoring fish assemblages could be a tool for assessing the effects of climate change. Climate-induced changes in distributions of species would result in a restructuring of fish assemblages in the Chukchi Sea.

Improvements in Cardiovascular Risk Factors in Young Adults in a Randomized Trial of Approaches to Weight Gain Prevention

PubMed Central

Wing, Rena R.; Tate, Deborah F.; Garcia, Katelyn R.; Bahnson, Judy; Lewis, Cora E.; Espeland, Mark A.

2017-01-01

Objective Weight gain occurs commonly in young adults and increases cardiovascular (CVD) risk. We previously reported that two self-regulation interventions reduced weight gain relative to control. Here we examine whether these interventions also benefit CVD risk factors. Methods SNAP (Study of Novel Approaches to Weight Gain Prevention) was a randomized trial in 2 academic settings (N=599; 18–35 years; body mass index 21–30 kg/m2) comparing two interventions (Self-Regulation with Small Changes; Self-Regulation with Large Changes) and Control. Small Changes taught participants to make daily small changes (approximately 100 calorie) in intake and activity. Large Changes taught participants to initially lose 5–10 pounds to buffer anticipated weight gains. CVD risk factors were assessed at baseline and 2 years in 471 participants. Results Although Large Changes was associated with more beneficial changes in glucose, insulin, and HOMA-IR than Control, these differences were not significant after adjusting for multiple comparisons or 2-year weight change. Comparison of participants grouped by percent weight change baseline to 2 years showed significant differences for several CVD risk factors, with no interaction with treatment condition. Conclusions Magnitude of weight change, rather than specific weight gain prevention interventions, was related to changes in CVD risk factors in young adults. PMID:28782918

Double-blind, Placebo-controlled Study Assessing the Effect of Chocolate Consumption in Subjects with a History of Acne Vulgaris

PubMed Central

Caperton, Caroline; Block, Samantha; Viera, Martha; Keri, Jonette

2014-01-01

Objective: To assess the effect of chocolate on acne exacerbation in males between the ages of 18 and 35 with a history of acne vulgaris. Design: Double-blind, placebo-controlled, randomized, controlled trial. Setting: Single-site, outpatient, research, clinical facility at an academic research institution. Participants: Fourteen men between the ages of 18 and 35 were assigned to swallow capsules filled with either unsweetened 100-percent cocoa, hydrolyzed gelatin powder, or a combination of the two, at baseline. Measurements: Lesions were assessed and photographs were taken at baseline, Day 4, and Day 7. Results: Of the 14 subjects, 13 completed this Institutional Review Board approved study. A statistically significant increase in the mean number of total acneiform lesions (comedones, papules, pustules, nodules) was detected on both Day 4 (p=0.006) and Day 7 (p=0.043) compared to baseline. A small-strength positive Pearson’s correlation coefficient existed between the amount of chocolate each subject consumed and the number of lesions each subject developed between baseline and Day 4 (r=0.250), while a medium-strength positive correlation existed between baseline and Day 7 (r=0.314). No serious adverse events occurred. Conclusion: It appears that in acne-prone, male individuals, the consumption of chocolate correlates to an increase in the exacerbation of acne. PMID:24847404

Self-Compassion as a prospective predictor of PTSD symptom severity among trauma-exposed U.S. Iraq and Afghanistan war veterans.

PubMed

Hiraoka, Regina; Meyer, Eric C; Kimbrel, Nathan A; DeBeer, Bryann B; Gulliver, Suzy Bird; Morissette, Sandra B

2015-04-01

U.S. combat veterans of the Iraq and Afghanistan wars have elevated rates of posttraumatic stress disorder (PTSD) compared to the general population. Self-compassion, characterized by self-kindness, a sense of common humanity when faced with suffering, and mindful awareness of suffering, is a potentially modifiable factor implicated in the development and maintenance of PTSD. We examined the concurrent and prospective relationship between self-compassion and PTSD symptom severity after accounting for level of combat exposure and baseline PTSD severity in 115 Iraq and Afghanistan war veterans exposed to 1 or more traumatic events during deployment. PTSD symptoms were assessed using the Clinician Administered PTSD Scale for DSM-IV (CAPS-IV) at baseline and 12 months (n =101). Self-compassion and combat exposure were assessed at baseline via self-report. Self-compassion was associated with baseline PTSD symptoms after accounting for combat exposure (β = -.59; p < .001; ΔR(2) = .34; f(2) = .67; large effect) and predicted 12-month PTSD symptom severity after accounting for combat exposure and baseline PTSD severity (β = -.24; p = .008; ΔR(2) = .03; f(2) = .08; small effect). Findings suggest that interventions that increase self-compassion may be beneficial for treating chronic PTSD symptoms among some Iraq and Afghanistan war veterans. Copyright © 2015 Wiley Periodicals, Inc., A Wiley Company.

Sustained attention performance during sleep deprivation associates with instability in behavior and physiologic measures at baseline.

PubMed

Chua, Eric Chern-Pin; Yeo, Sing-Chen; Lee, Ivan Tian-Guang; Tan, Luuan-Chin; Lau, Pauline; Cai, Shiwei; Zhang, Xiaodong; Puvanendran, Kathiravelu; Gooley, Joshua J

2014-01-01

To identify baseline behavioral and physiologic markers that associate with individual differences in sustained attention during sleep deprivation. In a retrospective study, ocular, electrocardiogram, and electroencephalogram (EEG) measures were compared in subjects who were characterized as resilient (n = 15) or vulnerable (n = 15) to the effects of total sleep deprivation on sustained attention. Chronobiology and Sleep Laboratory, Duke-NUS Graduate Medical School Singapore. Healthy volunteers aged 22-32 years from the general population. Subjects were kept awake for at least 26 hours under constant environmental conditions. Every 2 hours, sustained attention was assessed using a 10-minute psychomotor vigilance task (PVT). During baseline sleep and recovery sleep, EEG slow wave activity was similar in resilient versus vulnerable subjects, suggesting that individual differences in vulnerability to sleep loss were not related to differences in homeostatic sleep regulation. Rather, irrespective of time elapsed since wake, subjects who were vulnerable to sleep deprivation exhibited slower and more variable PVT response times, lower and more variable heart rate, and higher and more variable EEG spectral power in the theta frequency band (6.0-7.5 Hz). Performance decrements in sustained attention during sleep deprivation associate with instability in behavioral and physiologic measures at baseline. Small individual differences in sustained attention that are present at baseline are amplified during prolonged wakefulness, thus contributing to large between-subjects differences in performance and sleepiness.

solar thermal power systems advanced solar thermal technology project, advanced subsystems development

NASA Technical Reports Server (NTRS)

1979-01-01

The preliminary design for a prototype small (20 kWe) solar thermal electric generating unit was completed, consisting of several subsystems. The concentrator and the receiver collect solar energy and a thermal buffer storage with a transport system is used to provide a partially smoothed heat input to the Stirling engine. A fossil-fuel combustor is included in the receiver designs to permit operation with partial or no solar insolation (hybrid). The engine converts the heat input into mechanical action that powers a generator. To obtain electric power on a large scale, multiple solar modules will be required to operate in parallel. The small solar electric power plant used as a baseline design will provide electricity at remote sites and small communities.

Concussion-Like Symptoms in Child and Youth Athletes at Baseline: What Is "Typical"?

PubMed

Hunt, Anne Williams; Paniccia, Melissa; Reed, Nick; Keightley, Michelle

2016-10-01

After a concussion, guidelines emphasize that an athlete should be asymptomatic before starting a return-to-play protocol. However, many concussion symptoms are nonspecific and may be present in individuals without concussion. Limited evidence exists regarding the presence of "typical" or preinjury (baseline) symptoms in child and youth athletes. To describe the frequency of symptoms reported at baseline by child and youth athletes and identify how age, sex, history of concussion, and learning factors influence the presence of baseline symptoms. Cross-sectional cohort study. Baseline testing was conducted at a hospital research laboratory or in a sport or school setting (eg, gym or arena). A total of 888 child (9-12 years old, n = 333) and youth (13-17 years old, n = 555) athletes participated (46.4% boys and 53.6% girls, average age = 13.09 ± 1.83 years). Demographic and symptom data were collected as part of a baseline protocol. Age-appropriate versions of the Post-Concussion Symptom Inventory (a self-report concussion-symptoms measure with strong psychometric properties for pediatric populations) were administered. Demographic data (age, sex, concussion history, learning factors) were also collected. Common baseline symptoms for children were feeling sleepier than usual (30% boys, 24% girls) and feeling nervous or worried (17% boys, 25% girls). Fatigue was reported by more than half of the youth group (50% boys, 67% girls). Nervousness was reported by 32% of youth girls. Headaches, drowsiness, and difficulty concentrating were each reported by 25% of youth boys and girls. For youths, a higher total symptom score was associated with increasing age and number of previous concussions, although these effects were small (age r s = 0.143, number of concussions r s = .084). No significant relationships were found in the child group. Children and youths commonly experienced symptoms at baseline, including fatigue and nervousness. Whether clinicians should expect complete symptom resolution after concussion is not clear.

The extent of intestinal failure-associated liver disease in patients referred for intestinal rehabilitation is associated with increased mortality: an analysis of the pediatric intestinal failure consortium database.

PubMed

Javid, Patrick J; Oron, Assaf P; Duggan, Christopher; Squires, Robert H; Horslen, Simon P

2017-09-05

The advent of regional multidisciplinary intestinal rehabilitation programs has been associated with improved survival in pediatric intestinal failure. Yet, the optimal timing of referral for intestinal rehabilitation remains unknown. We hypothesized that the degree of intestinal failure-associated liver disease (IFALD) at initiation of intestinal rehabilitation would be associated with overall outcome. The multicenter, retrospective Pediatric Intestinal Failure Consortium (PIFCon) database was used to identify all subjects with baseline bilirubin data. Conjugated bilirubin (CBili) was used as a marker for IFALD, and we stratified baseline bilirubin values as CBili<2 mg/dL, CBili 2-4 mg/dL, and CBili>4 mg/dL. The association between baseline CBili and mortality was examined using Cox proportional hazards regression. Of 272 subjects in the database, 191 (70%) children had baseline bilirubin data collected. 38% and 28% of patients had CBili >4 mg/dL and CBili <2 mg/dL, respectively, at baseline. All-cause mortality was 23%. On univariate analysis, mortality was associated with CBili 2-4 mg/dL, CBili >4 mg/dL, prematurity, race, and small bowel atresia. On regression analysis controlling for age, prematurity, and diagnosis, the risk of mortality was increased by 3-fold for baseline CBili 2-4 mg/dL (HR 3.25 [1.07-9.92], p=0.04) and 4-fold for baseline CBili >4 mg/dL (HR 4.24 [1.51-11.92], p=0.006). On secondary analysis, CBili >4 mg/dL at baseline was associated with a lower chance of attaining enteral autonomy. In children with intestinal failure treated at intestinal rehabilitation programs, more advanced IFALD at referral is associated with increased mortality and decreased prospect of attaining enteral autonomy. Early referral of children with intestinal failure to intestinal rehabilitation programs should be strongly encouraged. Treatment Study, Level III. Copyright © 2017 Elsevier Inc. All rights reserved.

Effect of baseline corrections on displacements and response spectra for several recordings of the 1999 Chi-Chi, Taiwan, earthquake

USGS Publications Warehouse

Boore, D.M.

2001-01-01

Displacements derived from many of the accelerogram recordings of the 1999 Chi-Chi, Taiwan, earthquake show drifts when only a simple baseline derived from the pre-event portion of the record is removed from the records. The appearance of the velocity and displacement records suggests that changes in the zero level of the acceleration are responsible for these drifts. The source of the shifts in zero level are unknown, but in at least one case it is almost certainly due to tilting of the ground. This article illustrates the effect on the ground velocity, ground displacement, and response spectra of several schemes for accounting for these baseline shifts. A wide range of final displacements can be obtained for various choices of baseline correction, and comparison with nearby GPS stations (none of which are colocated with the accelerograph stations) do not help in choosing the appropriate baseline correction. The results suggest that final displacements estimated from the records should be used with caution. The most important conclusion for earthquake engineering purposes, however, is that the response spectra for periods less than about 20 sec are usually unaffected by the baseline correction. Although limited to the analysis of only a small number of recordings, the results may have more general significance both for the many other recordings of this earthquake and for data that will be obtained in the future from similar high-quality accelerograph networks now being installed or soon to be installed in many parts of the world.

Correlating Cognitive Decline with White Matter Lesion and Brain Atrophy MRI Measurements in Alzheimer’s Disease

PubMed Central

Bilello, Michel; Doshi, Jimit; Nabavizadeh, S. Ali; Toledo, Jon B.; Erus, Guray; Xie, Sharon X.; Trojanowski, John Q.; Han, Xiaoyan; Davatzikos, Christos

2015-01-01

Background Vascular risk factors are increasingly recognized as risks factors for Alzheimer’s disease (AD) and early conversion from mild cognitive impairment (MCI) to dementia. While neuroimaging research in AD has focused on brain atrophy, metabolic function or amyloid deposition, little attention has been paid to the effect of cerebrovascular disease to cognitive decline. Objective To investigate the correlation of brain atrophy and white matter lesions with cognitive decline in AD, MCI, and control subjects. Methods Patients with AD and MCI, and healthy subjects were included in this study. Subjects had a baseline MRI scan, and baseline and follow-up neuropsychological battery (CERAD). Regional volumes were measured, and white matter lesion segmentation was performed. Correlations between rate of CERAD score decline and white matter lesion load and brain structure volume were evaluated. In addition, voxel-based correlations between baseline CERAD scores and atrophy and white matter lesion measures were computed. Results CERAD rate of decline was most significantly associated with lesion loads located in the fornices. Several temporal lobe ROI volumes were significantly associated with CERAD decline. Voxel-based analysis demonstrated strong correlation between baseline CERAD scores and atrophy measures in the anterior temporal lobes. Correlation of baseline CERAD scores with white matter lesion volumes achieved significance in multilobar subcortical white matter. Conclusion Both baseline and declines in CERAD scores correlate with white matter lesion load and gray matter atrophy. Results of this study highlight the dominant effect of volume loss, and underscore the importance of small vessel disease as a contributor to cognitive decline in the elderly. PMID:26402108

Indicators of asthma control among students in a rural, school-based asthma management program

PubMed Central

Rasberry, Catherine N.; Cheung, Karen; Buckley, Rebekah; Dunville, Richard; Daniels, Brandy; Cook, Deborah; Robin, Leah; Dean, Blair

2015-01-01

Objective The evaluation sought to determine if a comprehensive, school-based asthma management program in a small, rural school district helped students improve asthma control. Methods To determine if students in the asthma program demonstrated better asthma control than students in a comparison school district, the evaluation team used a quasi-experimental, cross-sectional design and administered questionnaires assessing asthma control (which included FEV1 measurement) to 456 students with asthma in the intervention and comparison districts. Data were analyzed for differences in asthma control between students in the two districts. To determine if students in the intervention experienced increased asthma control between baseline and follow-up, the evaluation team used a one-group retrospective design. Program records for 323 students were analyzed for differences in percent of predicted forced expiratory volume in one second (FEV1) between baseline and follow-up. Results Students with asthma in the intervention district exhibited significantly better asthma control than students with asthma in the comparison district. Percent of predicted FEV1 did not change significantly between baseline and follow-up for the intervention participants; however, post hoc analyses revealed students with poorly-controlled asthma at baseline had significantly higher FEV1 scores at follow-up, and students with well-controlled asthma at baseline had significantly lower FEV1 scores at follow-up. Conclusions Findings suggest the comprehensive school-based program led to improvements in asthma control for students with poorly controlled asthma at baseline, and school-based programs need mechanisms for tracking students with initially well-controlled asthma in order to ensure they maintain control. PMID:24730771

Correlating Cognitive Decline with White Matter Lesion and Brain Atrophy Magnetic Resonance Imaging Measurements in Alzheimer's Disease.

PubMed

Bilello, Michel; Doshi, Jimit; Nabavizadeh, S Ali; Toledo, Jon B; Erus, Guray; Xie, Sharon X; Trojanowski, John Q; Han, Xiaoyan; Davatzikos, Christos

2015-01-01

Vascular risk factors are increasingly recognized as risks factors for Alzheimer's disease (AD) and early conversion from mild cognitive impairment (MCI) to dementia. While neuroimaging research in AD has focused on brain atrophy, metabolic function, or amyloid deposition, little attention has been paid to the effect of cerebrovascular disease to cognitive decline. To investigate the correlation of brain atrophy and white matter lesions with cognitive decline in AD, MCI, and control subjects. Patients with AD and MCI, and healthy subjects were included in this study. Subjects had a baseline MRI scan, and baseline and follow-up neuropsychological battery (CERAD). Regional volumes were measured, and white matter lesion segmentation was performed. Correlations between rate of CERAD score decline and white matter lesion load and brain structure volume were evaluated. In addition, voxel-based correlations between baseline CERAD scores and atrophy and white matter lesion measures were computed. CERAD rate of decline was most significantly associated with lesion loads located in the fornices. Several temporal lobe ROI volumes were significantly associated with CERAD decline. Voxel-based analysis demonstrated strong correlation between baseline CERAD scores and atrophy measures in the anterior temporal lobes. Correlation of baseline CERAD scores with white matter lesion volumes achieved significance in multilobar subcortical white matter. Both baseline and declines in CERAD scores correlate with white matter lesion load and gray matter atrophy. Results of this study highlight the dominant effect of volume loss, and underscore the importance of small vessel disease as a contributor to cognitive decline in the elderly.

The effects of gender, long-term need for recovery and trait inhibition-rumination on morning and evening saliva cortisol secretion.

PubMed

Rydstedt, Leif W; Cropley, Mark; Devereux, Jason J; Michalianou, Georgia

2009-07-01

The aim of this study was to investigate the long-term effects of need for recovery from work and trait rumination on saliva cortisol secretion. The sample consisted of 76 white-collar workers, 52 men and 24 women who had previously provided baseline data four years earlier and volunteered to participate in the present study. In the present study, saliva cortisol secretion was measured over seven consecutive days, on awakening, and at 10 p.m. No relationships were found between the independent variables and morning saliva cortisol levels. High trait rumination at baseline, however, was significantly related to higher evening cortisol levels for both women and men. Baseline need for recovery from work was strongly related to evening cortisol secretion for women, but in the opposite direction than expected. The present results add to the small but equivocal body of literature that has examined the long-term effects of work strain on cortisol secretion.

Measurement of fish movements at depths to 6000 m using a deep-ocean lander incorporating a short base-line sonar utilizing miniature code-activated transponder technology

NASA Astrophysics Data System (ADS)

Bagley, P. M.; Bradley, S.; Priede, I. G.; Gray, P.

1999-12-01

Most research on animal behaviour in the deep ocean (to depths of 6000 m) is restricted to the capture of dead specimens or viewing activity over small areas of the sea floor by means of cameras or submersibles. This paper describes the use of a miniature acoustic code-activated transponder (CAT) tag and short base-line sonar to track the movements of deep-sea fish in two dimensions over an area 1 km in diameter centred on a lander platform. The CAT tags and sonar are transported to the deep-sea floor by means of a subsea mooring which is ballasted so that it lands and remains on the sea floor for the duration of the tracking experiment (the lander). A description of the CAT, lander and short base-line sonar is given. Results are presented to illustrate the operation of the system.

Adult height and health-related quality of life after growth hormone therapy in small for gestational age subjects.

PubMed

Bannink, E; Djurhuus, C B; Christensen, T; Jøns, K; Hokken-Koelega, A

2010-01-01

To estimate health-related quality of life (HRQoL) in non-growth hormone deficient (GHD) small for gestational age (SGA) children before and after growth hormone (GH) treatment to adult height (AH). This was a multicentre, two-arm trial. Following an initial 2-year double-blind study period, patients entered a 2-year extension period followed by treatment to AH. At baseline patients were randomised to GH (0.033 or 0.067 mg/kg/day) and continued treatment at that dose until AH. Height was assessed at baseline and 3-monthly intervals to AH (height velocity <2 cm/year). Height standard deviation score (SDS) before and after GH therapy was mapped onto estimated HRQoL scores up to AH. Of the 79 children randomised into the study 53 were non-GHD (defined as peak GH >20 mU/L [peak 24-h GH value and peak arginine tolerance test]). At baseline these children had a mean (mean [+/-SD]) height SDS of -3.2 (0.7), height velocity SDS -0.6 (1.2) and age, 8.1 (1.9) years. Estimated HRQoL scores were significantly (p < 0.001) increased from baseline at AH (ΔHRQoL, 95% CI) (0.033 mg/kg/day, 0.112 [0.092, 0.132]; 0.067 mg/kg/day, 0.115 [0.094, 0.136]). HRQoL was not different between treatment groups. A significant gain in AH, relative to an SGA reference population, was reported in GH-treated patients. Mean (95% CI) ΔAH SDS (0.033 mg/kg/day, +1.4 [1.1, 1.6]. 0.067 mg/kg/day, +1.7[1.4, 2.0]). The analysis assumes HRQoL can be mapped onto height SDS. GH treatment in short children born SGA without signs of persistent catch-up growth was associated with significant improvement in HRQoL and normalisation of AH.

Randomised clinical trial: Polyethylene glycol 3350 with sports drink vs. polyethylene glycol with electrolyte solution as purgatives for colonoscopy--the incidence of hyponatraemia.

PubMed

Matro, R; Daskalakis, C; Negoianu, D; Katz, L; Henry, C; Share, M; Kastenberg, D

2014-09-01

Polyethylene glycol 3350 plus sports drink (PEG-SD) is a hypo-osmotic purgative commonly used for colonoscopy, though little safety data are available. To evaluate the effect of PEG-SD on serum sodium (Na) and other electrolytes compared with PEG-electrolyte solution (PEG-ELS). We performed a single center, prospective, randomised, investigator-blind comparison of PEG-ELS to PEG-SD in out-patients undergoing colonoscopy. Laboratories were obtained at baseline and immediately before and after colonoscopy. The primary endpoint was development of hyponatraemia (Na <135 mmol/L) the day of colonoscopy. Changes in electrolyte levels were computed as the difference between the lowest value on the day of colonoscopy and baseline. Purgative tolerance and efficacy were assessed. A total of 389 patients were randomised; 364 took purgative and had baseline and day of colonoscopy labs (180 PEG-SD, 184 PEG-ELS). The groups were well matched except for a higher fraction of women and Blacks in PEG-ELS. Seven patients (3.9%) in PEG-SD and four patients (2.2%) in PEG-ELS developed hyponatraemia (OR = 1.82, 95% CI: 0.45-8.62, P = 0.376). Changes in electrolytes from baseline were small but significantly worse with PEG-SD for sodium, potassium and chloride (P = 0.001, 0.012, 0.001, respectively). Preparation completion, adverse events, and overall colon cleansing were similar between the groups, but PEG-ELS had more excellent preparations (52% vs. 30%; P = 0.001). Greater, but very modest, electrolyte changes occur with PEG-SD. Hyponatraemia is infrequent with both purgatives. A significant increase in hyponatraemia was not identified for PEG-SD vs. PEG-ELS, but the sample size may have been inadequate to identify a small, but clinically important difference. ClinicalTrials.gov identifier NCT01299779. © 2014 John Wiley & Sons Ltd.

75 FR 10873 - Energy Conservation Program: Energy Conservation Standards for Small Electric Motors

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-09

... design option to be technologically feasible if it is in use by the respective industry or if research.... Baseline Motor Performance 3. Higher Efficiency Motor Designs a. Electrical Steel b. Thermal Analysis c... a variety of provisions designed to improve energy efficiency. Part A of Title III (42 U.S.C. 6291...

Elementary systems of medicine.

PubMed

Fabrega, H

1979-06-01

The beliefs about causes of disease, orientations to medical problems, and the treatment practices of relatively small and elementary societies are reviewed and analyzed. Selected published reports of this problem area of ethnomedicine serve as source material. An attempt is made to induce generalizations which will serve as a possible baseline for studies dealing with related material pertaining to more advanced societies.

The Effects of Cooperative Learning on the Classroom Participation of Students Placed at Risk for Societal Failure

ERIC Educational Resources Information Center

Drakeford, William

2012-01-01

A multiple baseline design across two subjects was used to determine the effectiveness of cooperative learning techniques on increasing student participation. The study was conducted on two male secondary students attending the upward bound pre-college program. Each student worked in small groups with specific roles, and two observers documented…

Sampling considerations for establishment of baseline loadings from forested watersheds for TMDL application

Treesearch

Pamela J. Edwards; Karl W.J. Williard; James N. Kochenderfer

2004-01-01

Five methods for estimating maximum daily and annual nitrate (NO3) and suspended sediment loads using periodic sampling of varying intensities were compared to actual loads calculated from intensive stormflow and baseflow sampling from small, forested watersheds in north central West Virginia to determine if the less intensive sampling methods were accurate and could...

Small-size pedestrian detection in large scene based on fast R-CNN

NASA Astrophysics Data System (ADS)

Wang, Shengke; Yang, Na; Duan, Lianghua; Liu, Lu; Dong, Junyu

2018-04-01

Pedestrian detection is a canonical sub-problem of object detection with high demand during recent years. Although recent deep learning object detectors such as Fast/Faster R-CNN have shown excellent performance for general object detection, they have limited success for small size pedestrian detection in large-view scene. We study that the insufficient resolution of feature maps lead to the unsatisfactory accuracy when handling small instances. In this paper, we investigate issues involving Fast R-CNN for pedestrian detection. Driven by the observations, we propose a very simple but effective baseline for pedestrian detection based on Fast R-CNN, employing the DPM detector to generate proposals for accuracy, and training a fast R-CNN style network to jointly optimize small size pedestrian detection with skip connection concatenating feature from different layers to solving coarseness of feature maps. And the accuracy is improved in our research for small size pedestrian detection in the real large scene.

Categorical improvements in disease severity in patients with major depressive disorder treated with vilazodone: post hoc analysis of four randomized, placebo-controlled trials.

PubMed

Durgam, Suresh; Chen, Changzheng; Gommoll, Carl P; Edwards, John; Citrome, Leslie

2016-01-01

In three 8-week studies of vilazodone 40 mg/d (NCT00285376, NCT00683592, and NCT01473394) and a 10-week study of vilazodone 20 or 40 mg/d (NCT01473381), adults with major depressive disorder (MDD) showed significantly greater improvement with vilazodone versus placebo in global disease severity as measured by mean change from baseline in Clinical Global Impression of Severity (CGI-S) score. To assess the proportion of patients achieving clinically meaningful improvement, a post hoc pooled analysis was conducted using categorical shifts in disease severity based on CGI-S scores at baseline and end of treatment (EOT). Analyses were conducted in the pooled intent-to-treat population (N=2,218). Definitions of categorical shifts included CGI-S ≥4 (moderately ill or worse) at baseline to CGI-S ≤2 (normal or borderline ill) at EOT; CGI-S ≥5 (markedly ill or worse) at baseline to CGI-S ≤2 at EOT; and CGI-S ≥6 (severely ill or worse) at baseline to CGI-S ≤3 (mildly ill or better) at EOT. At baseline, 2,217 patients were moderately ill or worse. The percentage who improved to normal or borderline ill was significantly higher with vilazodone than with placebo (40.0% versus 27.8%; odds ratio [OR] =1.7, P <0.001; number needed to treat [NNT] =9). In the 979 patients who were markedly ill or worse at baseline, the percentage who improved to normal or borderline ill was significantly higher with vilazodone than with placebo (36.8% versus 25.5%; OR =1.7, P <0.001; NNT =9). The small number of severely ill patients at baseline (n =43) provided inadequate power to detect statistically significant between-group differences, but an NNT =5 was found for improvement to mildly ill or better. Categorical shift analyses, defined using baseline and EOT CGI-S scores, showed that significantly higher proportions of patients had clinically meaningful improvements in global disease severity with vilazodone 20-40 mg/d versus placebo. This type of analysis may be useful for evaluating the effects of antidepressant treatment in adults with MDD.

Concepts for 20/30 GHz satcom systems for direct-to-user applications

NASA Technical Reports Server (NTRS)

Jorasch, R.; Davies, R.; Baker, M.

1980-01-01

A baseline technique is described for implementing a direct-to-user (DTU) satcom communications system at 20/30 GHz transmission frequency. The purpose of this application is to utilize the high capacity frequency spectrum at K(A) band for communications among thousands of small terminals located at or close to a customer's facility. The baseline DTU system utilizes a TDMA method of communications with QPSK modulation. Twenty-five coverage beams from a geosynchronous orbit spacecraft provide full coverage of CONUS. Low cost terminals are limited to less than 4.5 meters diameter. The impact of rain attenuation on communications availability is examined. Other techniques including satellite switched antenna beams are outlined and critical K(A)-band technology developments are identified.

Establishment of a rotor model basis

NASA Technical Reports Server (NTRS)

Mcfarland, R. E.

1982-01-01

Radial-dimension computations in the RSRA's blade-element model are modified for both the acquisition of extensive baseline data and for real-time simulation use. The baseline data, which are for the evaluation of model changes, use very small increments and are of high quality. The modifications to the real-time simulation model are for accuracy improvement, especially when a minimal number of blade segments is required for real-time synchronization. An accurate technique for handling tip loss in discrete blade models is developed. The mathematical consistency and convergence properties of summation algorithms for blade forces and moments are examined and generalized integration coefficients are applied to equal-annuli midpoint spacing. Rotor conditions identified as 'constrained' and 'balanced' are used and the propagation of error is analyzed.

Application of a CROPWAT Model to Analyze Crop Yields in Nicaragua

NASA Astrophysics Data System (ADS)

Doria, R.; Byrne, J. M.

2013-12-01

ABSTRACT Changes in climate are likely to influence crop yields due to varying evapotranspiration and precipitation over agricultural regions. In Nicaragua, agriculture is extensive, with new areas of land brought into production as the population increases. Nicaraguan staple food items (maize and beans) are produced mostly by small scale farmers with less than 10 hectares, but they are critical for income generation and food security for rural communities. Given that the majority of these farmers are dependent on rain for crop irrigation, and that maize and beans are sensitive to variations in temperature and rainfall patterns, the present study was undertaken to assess the impact of climate change on these crop yields. Climate data were generated per municipio representing the three major climatic zones of the country: the wet Pacific lowland, the cooler Central highland, and the Caribbean lowland. Historical normal climate data from 1970-2000 (baseline period) were used as input to CROPWAT model to analyze the potential and actual evapotranspiration (ETo and ETa, respectively) that affects crop yields. Further, generated local climatic data of future years (2030-2099) under various scenarios were inputted to the CROPWAT to determine changes in ETo and ETa from the baseline period. Spatial variability maps of both ETo and ETa as well as crop yields were created. Results indicated significant variation in seasonal rainfall depth during the baseline period and predicted decreasing trend in the future years that eventually affects yields. These maps enable us to generate appropriate adaptation measures and best management practices for small scale farmers under future climate change scenarios. KEY WORDS: Climate change, evapotranspiration, CROPWAT, yield, Nicaragua

One year test-retest reliability of neurocognitive baseline scores in 10- to 12-year olds.

PubMed

Moser, Rosemarie Scolaro; Schatz, Philip; Grosner, Emily; Kollias, Kelly

2017-01-01

How often youth athletes 10-12 years of age should undergo neurocognitive baseline testing remains an unanswered question. We sought to examine the test-retest reliability of annual ImPACT data in a sample of middle school athletes. Participants were 30 youth athletes, ages 10-12 years (Mean = 11.6, SD = 0.6) selected from a larger database of 10-18 year old athletes, who completed two consecutive annual baseline evaluations using the online version of ImPACT. Athlete assent and parental consent were obtained for all participants. Assessments were conducted either individually or in small groups of 2 to 3 athletes, under the supervision of a neuropsychologist or post-doctoral fellow. Test-retest coefficients were as follows: Verbal Memory .71, Visual Memory .35, Visual Motor Speed .69, Reaction Time .34. Intra-class Correlation Coefficients (single/average) were as follows: Verbal Memory .70/.83, Visual Memory .35/.52, Visual Motor Speed .69/.82, Reaction Time .34/.50. Regression-based measures to correct for practice effects revealed that only a small percentage of cases fell outside 90 and 95% confidence intervals, reflecting stability across assessments. Findings indicate that test-retest reliability of Verbal Memory and Visual Motor Speed are generally stable in 10-12 year old athletes. Nevertheless, Visual Memory Index, Reaction Time Index, and Symptom Checklist scores appear to be less reliable over time, especially compared to published data on high school athletes, suggesting the utility of re-testing on an annual basis in this younger age group.

Longitudinal changes in anthropometric characteristics of elderly Europeans. SENECA Investigators.

PubMed

de Groot, C P; Perdigao, A L; Deurenberg, P

1996-07-01

Assess longitudinal changes in height, body weight, triceps skinfold thickness and circumferences in elderly Europeans. Longitudinal study including baseline measurements taken in 1988/1989 which were repeated in 1993. Baseline and follow-up data were collected in nine European research towns: Hamme/Belgium (H/F), Roskilde/Denmark (R/DK), Haguenau/France (H/F), Romans/France (R/F), Padua/Italy (P/I), Culemborg/the Netherlands (C/NL), Vila Franca de Xira/Portugal (V/P), Betanzos/Spain (B/E), Yverdon/Switzerland (Y/CH). Single 1993 measurements were carried out in 4 towns: Coimbra/Portugal (C/P), Marki/Poland (M/PL), Ballymoney-Limavady-Portstewart/Northern Ireland/UK (BLP/NI/UK), Mansfield/Connecticut/USA (M/CT/USA). Using standardized methodologies data were collected from a random stratified sample of elderly men and women born between 1913 and 1918 including a total of 1242 subjects in 1993. At most sites stature had decreased by 1-2cm. Median weight changed by -1.5 kg to -3.5 kg in only three towns. An increase of at least 5 kg of body weight had taken place in 9% of men and 6% of women whereas 16% of both men and women had lost at least 5 kg of their baseline weight. Serial changes in triceps skinfold thickness, arm circumference and waist-to-hip ratio were small. Height declined with age. Median changes in other anthropometric characteristics of interest were small. These changes resulted from both considerable gains and losses of body weight in a significant proportion of the SENECA populations.

Blood pressure after recent stroke: baseline findings from the secondary prevention of small subcortical strokes trial.

PubMed

White, Carole L; Pergola, Pablo E; Szychowski, Jeff M; Talbert, Robert; Cervantes-Arriaga, Amin; Clark, Heather D; Del Brutto, Oscar H; Godoy, Ivan Esteban; Hill, Michael D; Pelegrí, Antoni; Sussman, Craig R; Taylor, Addison A; Valdivia, José; Anderson, Dave C; Conwit, Robin; Benavente, Oscar R

2013-09-01

Hypertension is the most powerful risk factor for stroke. The aim of this study was to characterize baseline blood pressure in participants in the Secondary Prevention of Small Subcortical Strokes trial. For this cross-sectional analysis, participants were categorized by baseline systolic blood pressure (SBP) < 120, 120-139, 140-159, 160-179, and ≥ 180 mm Hg and compared on demographic and clinical characteristics. Predictors of SBP < 140 mm Hg were examined. Mean SBP was 143±19 mm Hg while receiving an average of 1.7 antihypertensive medications; SBP ≥ 140 mm Hg for 53% and ≥ 160 mm Hg for 18% of the 3,020 participants. Higher SBP was associated with a history of hypertension and hypertension for longer duration (both P < 0.0001). Higher SBPs were associated with more extensive white matter disease on magnetic resonance imaging (P < 0.0001). There were significant differences in entry-level SBP when participants were categorized by race and region (both P < 0.0001). Black participants were more likely to have SBP ≥ 140 mm Hg. Multivariable logistic regression showed an independent effect for region with those from Canada more likely (odds ratio = 1.7; 95% confidence interval, 1.29, 2.32) to have SBP < 140 mm Hg compared with participants from United States. In this cohort with symptomatic lacunar stroke, more than half had uncontrolled hypertension at approximately 2.5 months after stroke. Regional, racial, and clinical differences should be considered to improve control and prevent recurrent stroke.

Sampling effects on the identification of roadkill hotspots: Implications for survey design.

PubMed

Santos, Sara M; Marques, J Tiago; Lourenço, André; Medinas, Denis; Barbosa, A Márcia; Beja, Pedro; Mira, António

2015-10-01

Although locating wildlife roadkill hotspots is essential to mitigate road impacts, the influence of study design on hotspot identification remains uncertain. We evaluated how sampling frequency affects the accuracy of hotspot identification, using a dataset of vertebrate roadkills (n = 4427) recorded over a year of daily surveys along 37 km of roads. "True" hotspots were identified using this baseline dataset, as the 500-m segments where the number of road-killed vertebrates exceeded the upper 95% confidence limit of the mean, assuming a Poisson distribution of road-kills per segment. "Estimated" hotspots were identified likewise, using datasets representing progressively lower sampling frequencies, which were produced by extracting data from the baseline dataset at appropriate time intervals (1-30 days). Overall, 24.3% of segments were "true" hotspots, concentrating 40.4% of roadkills. For different groups, "true" hotspots accounted from 6.8% (bats) to 29.7% (small birds) of road segments, concentrating from <40% (frogs and toads, snakes) to >60% (lizards, lagomorphs, carnivores) of roadkills. Spatial congruence between "true" and "estimated" hotspots declined rapidly with increasing time interval between surveys, due primarily to increasing false negatives (i.e., missing "true" hotspots). There were also false positives (i.e., wrong "estimated" hotspots), particularly at low sampling frequencies. Spatial accuracy decay with increasing time interval between surveys was higher for smaller-bodied (amphibians, reptiles, small birds, small mammals) than for larger-bodied species (birds of prey, hedgehogs, lagomorphs, carnivores). Results suggest that widely used surveys at weekly or longer intervals may produce poor estimates of roadkill hotspots, particularly for small-bodied species. Surveying daily or at two-day intervals may be required to achieve high accuracy in hotspot identification for multiple species. Copyright © 2015 Elsevier Ltd. All rights reserved.

Percutaneous closure of patent ductus arteriosus in small infants with significant lung disease may offer faster recovery of respiratory function when compared to surgical ligation.

PubMed

Abu Hazeem, Anas A; Gillespie, Matthew J; Thun, Haley; Munson, David; Schwartz, Matthew C; Dori, Yoav; Rome, Jonathan J; Glatz, Andrew C

2013-10-01

To describe our experience with percutaneous closure of patent ductus arteriosus (PDA) in small infants and compare outcomes to matched surgical patients. Ligation via thoracotomy has been used to close PDAs in small infants, but has been associated with respiratory and hemodynamic compromise. We hypothesized that percutaneous closure would offer faster recovery of respiratory function. Patients <4 kg requiring positive pressure ventilation who underwent percutaneous PDA closure between January 2000 and April 2012 were reviewed and matched to contemporary surgical patients on gestational age (GA), birth weight (BW), procedure weight (WT), and ventilation mode. Patients returned to baseline respiratory status when the product of mean airway pressure and FiO2 returned to pre-procedural levels. Eight matched pairs were included. Median BW, GA, and WT were 1.43 kg (0.52-2.97), 29.8 weeks (24-39), and 2.8 kg (2.2-3.9) for catheter patients and 1.55 kg (0.48-3.04), 29 weeks (23-37), and 2.75 kg (2.3-4.2) for surgical patients. Complete PDA closure occurred in all. The median time to return to baseline respiratory status was significantly shorter in the percutaneous group (17 hr (range 0-113) vs. 53 hr (range 13-219), P < 0.05). In the percutaneous group, two patients developed mild aortic coarctation, one mild left pulmonary artery stenosis, and four femoral vascular thromboses which all resolved with medical therapy. Surgical complications included significant respiratory and cardiac compromise, rib fractures and urinary retention. Percutaneous closure of PDA in small infants on respiratory support is equivalent in safety and efficacy and may offer shorter recovery time than surgical ligation. Copyright © 2013 Wiley Periodicals, Inc.

The LDIFLARE and CCM methods demonstrate early nerve fibre abnormalities in untreated hypothyroidism: a prospective study.

PubMed

Sharma, Sanjeev; Tobin, Victoria; Vas, Prashant R J; Rayman, Gerry

2018-05-31

Recent studies using skin biopsy suggest presence of small fibre neuropathy in subclinical hypothyroidism. This study uses two novel non-invasive methods - the Laser Doppler imager (LDIFLARE) and Corneal confocal microscopy (CCM) - to assess small fibre function (SFF) and structure (SFS) respectively in newly diagnosed hypothyroidism (HT) before and after adequate treatment. Single-center, prospective, intervention-based cohort study. 20 patients with newly diagnosed HT- 15 primary and 5 post-radioiodine - along with 20 age-matched healthy controls (HC). Both HT and HC were assessed neurologically at diagnosis and baseline respectively. The HT group was reassessed after optimal replacement (defined as TSH:0.27-4.20mIU/L) with levothyroxine (LT4) while HC were reviewed at 1-year interval. Neurological assessment for small fibres was performed using the LDIFLARE for SFF and CCM for SFS while large fibres were studied by sural nerve conduction velocity (SNCV) and amplitude (SNAP). At baseline, compared to HC, both LDIFLARE (mean±SD) (6.74±1.20vs.8.90±1.75cm2; p=0.0002) and CCM-nerve fibre density (CNFD) (50.77±6.54vs.58.32±6.54no/mm2;p=0.002) were significantly reduced in HT whereas neither SNCV nor SNAP were different (p=>0.05). Following optimal LT4 treatment, both LDIFLARE (7.72±1.12vs.6.74±1.20 cm2; p=<0.0001) and CNFD (54.43±5.70vs.50.77±6.54no/mm2; p=0.02) improved significantly but remained significantly reduced compared to HC (p=0.008 and p=0.01 respectively) despite normalization of TSH. This study demonstrates that dysfunction of small fibres precedes large neural fibres in early hypothyroidism. This can be reversed by replacement therapy to achieve a biochemically euthyroid state but small fibres neural outcomes continued to be remain low when compared to HC.

Predictors of the physical impact of Multiple Sclerosis following community-based, exercise trial.

PubMed

Kehoe, M; Saunders, J; Jakeman, P; Coote, S

2015-04-01

Studies evaluating exercise interventions in people with multiple sclerosis (PwMS) demonstrate small to medium positive effects and large variability on a number of outcome measures. No study to date has tried to explain this variability. This paper presents a novel exploration of data examining the predictors of outcome for PwMS with minimal gait impairment following a randomised, controlled trial evaluating community-based exercise interventions (N = 242). The primary variable was the physical component of the Multiple Sclerosis Impact Scale-29, version 2 (MSIS-29, v2) after a 10-week, controlled intervention period. Predictors were identified a priori and were measured at baseline. Multiple linear regression was conducted. Four models are presented lower MSIS-29, v2 scores after the intervention period were best predicted by a lower baseline MSIS-29,v2, a lower baseline Modified Fatigue Impact Score (physical subscale), randomisation to an exercise intervention, a longer baseline walking distance measured by the Six Minute Walk Test and female gender. This model explained 57.4% of the variance (F (5, 211) = 59.24, p < 0.01). These results suggest that fatigue and walking distance at baseline contribute significantly to predicting MSIS-29, v29 (physical component) after intervention, and thus should be the focus of intervention and assessment. Exercise is an important contributor to minimising the physical impact of MS, and gender-specific interventions may be warranted. © The Author(s), 2014.

New subsolid pulmonary nodules in lung cancer screening: a brief report of the NELSON trial.

PubMed

Walter, Joan E; Heuvelmans, Marjolein A; Yousaf-Khan, Uraujh; Dorrius, Monique D; Thunnissen, Erik; Schermann, Anna; Groen, Harry J M; van der Aalst, Carlijn M; Nackaerts, Kristiaan; Vliegenthart, Rozemarijn; de Koning, Harry J; Oudkerk, Matthijs

2018-05-15

Low-dose computed tomography (LDCT) lung cancer screening is recommended in the United States. While new solid nodules after baseline screening have a high lung cancer probability at small size and require lower size cutoff values than baseline nodules, there only is limited evidence on management of new subsolid nodules. Within the Dutch-Belgian randomized controlled LDCT lung cancer screening trial (NELSON), 7557 participants underwent baseline screening between April 2004 and December 2006. Participants with new subsolid nodules detected after the baseline screening round were included. In the three incidence screening rounds, 60 new subsolid nodules (43 [72%] part-solid, 17 [28%] nonsolid) not visible in retrospect were detected in 51 participants, representing 0.7% (51/7295) of participants with at least one incidence screening. Eventually, 6% (3/51) of participants with a new subsolid nodule were diagnosed with a (pre-)malignancy in such a nodule. All (pre-)malignancies were adenocarcinoma (in situ) and diagnostic work-up (referral 950, 364, and 366 days after first detection respectively) showed favorable staging (stage I). Overall, 65% (33/49) of subsolid nodules with an additional follow-up screening were resolving. Less than 1% of participants in LDCT lung cancer screening presents with a new subsolid nodule after baseline. Contrary to new solid nodules, data suggest that new subsolid nodules may not require a more aggressive follow-up. Copyright © 2018 International Association for the Study of Lung Cancer. Published by Elsevier Inc. All rights reserved.

Ensembles of novelty detection classifiers for structural health monitoring using guided waves

NASA Astrophysics Data System (ADS)

Dib, Gerges; Karpenko, Oleksii; Koricho, Ermias; Khomenko, Anton; Haq, Mahmoodul; Udpa, Lalita

2018-01-01

Guided wave structural health monitoring uses sparse sensor networks embedded in sophisticated structures for defect detection and characterization. The biggest challenge of those sensor networks is developing robust techniques for reliable damage detection under changing environmental and operating conditions (EOC). To address this challenge, we develop a novelty classifier for damage detection based on one class support vector machines. We identify appropriate features for damage detection and introduce a feature aggregation method which quadratically increases the number of available training observations. We adopt a two-level voting scheme by using an ensemble of classifiers and predictions. Each classifier is trained on a different segment of the guided wave signal, and each classifier makes an ensemble of predictions based on a single observation. Using this approach, the classifier can be trained using a small number of baseline signals. We study the performance using Monte-Carlo simulations of an analytical model and data from impact damage experiments on a glass fiber composite plate. We also demonstrate the classifier performance using two types of baseline signals: fixed and rolling baseline training set. The former requires prior knowledge of baseline signals from all EOC, while the latter does not and leverages the fact that EOC vary slowly over time and can be modeled as a Gaussian process.

Continuous detection of weak sensory signals in afferent spike trains: the role of anti-correlated interspike intervals in detection performance.

PubMed

Goense, J B M; Ratnam, R

2003-10-01

An important problem in sensory processing is deciding whether fluctuating neural activity encodes a stimulus or is due to variability in baseline activity. Neurons that subserve detection must examine incoming spike trains continuously, and quickly and reliably differentiate signals from baseline activity. Here we demonstrate that a neural integrator can perform continuous signal detection, with performance exceeding that of trial-based procedures, where spike counts in signal- and baseline windows are compared. The procedure was applied to data from electrosensory afferents of weakly electric fish (Apteronotus leptorhynchus), where weak perturbations generated by small prey add approximately 1 spike to a baseline of approximately 300 spikes s(-1). The hypothetical postsynaptic neuron, modeling an electrosensory lateral line lobe cell, could detect an added spike within 10-15 ms, achieving near ideal detection performance (80-95%) at false alarm rates of 1-2 Hz, while trial-based testing resulted in only 30-35% correct detections at that false alarm rate. The performance improvement was due to anti-correlations in the afferent spike train, which reduced both the amplitude and duration of fluctuations in postsynaptic membrane activity, and so decreased the number of false alarms. Anti-correlations can be exploited to improve detection performance only if there is memory of prior decisions.

Bladder volume-dependent excitatory and inhibitory influence of lumbosacral dorsal and ventral roots on bladder activity in rats

PubMed Central

Sugaya, Kimio; de Groat, William C.

2011-01-01

This study was undertaken to examine the role of the afferent and efferent pathways of the lumbosacral spinal nerve roots in the tonic control of bladder activity. Changes of isovolumetric bladder activity were recorded in 21 sympathectomized female rats under urethane anesthesia following transection of the dorsal (DRT) and ventral (VRT) lumbosacral spinal roots, and after intraperitoneal administration of hexamethonium. DRT altered the baseline intravesical pressure in a bladder volume-dependent manner in each animal. The percent change of baseline pressure after VRT following DRT was also dependent upon bladder volume. The percent change of baseline pressure after VRT alone was similarly dependent on bladder volume, but not after VRT followed by DRT. The percent change of baseline intravesical pressure (y)(−9 to +8 cm H2O, −56 to +46%) after DRT and VRT depended upon bladder volume (x)(y = 44.7 x −40.4) in all rats. Hexamethonium increased the amplitude of small myogenic bladder contractions after DRT and VRT. In conclusion, the bladder is tonically excited or inhibited by a local reflex pathway and by a parasympathetic reflex pathway that depends on connections with the lumbosacral spinal cord and the pelvic nerves. Both reflex mechanisms are influenced by bladder volume. PMID:17878597

Food Choice Architecture: An Intervention in a Secondary School and its Impact on Students' Plant-based Food Choices.

PubMed

Ensaff, Hannah; Homer, Matt; Sahota, Pinki; Braybrook, Debbie; Coan, Susan; McLeod, Helen

2015-06-02

With growing evidence for the positive health outcomes associated with a plant-based diet, the study's purpose was to examine the potential of shifting adolescents' food choices towards plant-based foods. Using a real world setting of a school canteen, a set of small changes to the choice architecture was designed and deployed in a secondary school in Yorkshire, England. Focussing on designated food items (whole fruit, fruit salad, vegetarian daily specials, and sandwiches containing salad) the changes were implemented for six weeks. Data collected on students' food choice (218,796 transactions) enabled students' (980 students) selections to be examined. Students' food choice was compared for three periods: baseline (29 weeks); intervention (six weeks); and post-intervention (three weeks). Selection of designated food items significantly increased during the intervention and post-intervention periods, compared to baseline (baseline, 1.4%; intervention 3.0%; post-intervention, 2.2%) χ(2)(2) = 68.1, p < 0.001. Logistic regression modelling also revealed the independent effect of the intervention, with students 2.5 times as likely (p < 0.001) to select the designated food items during the intervention period, compared to baseline. The study's results point to the influence of choice architecture within secondary school settings, and its potential role in improving adolescents' daily food choices.

How perfectionism and ineffectiveness influence growth of eating disorder risk in young adolescent girls.

PubMed

Wade, Tracey D; Wilksch, Simon M; Paxton, Susan J; Byrne, Susan M; Austin, S Bryn

2015-03-01

While perfectionism is widely considered to influence risk for eating disorders, results of longitudinal studies are mixed. The goal of the current study was to investigate a more complex model of how baseline perfectionism (both high personal standards and self-critical evaluative concerns) might influence change in risk status for eating disorders in young adolescent girls, through its influence on ineffectiveness. The study was conducted with 926 girls (mean age of 13 years), and involved three waves of data (baseline, 6- and 12-month follow-up). Latent growth curve modelling, incorporating the average rate at which risk changed over time, the intercept (initial status) of ineffectiveness, and baseline perfectionism, was used to explore longitudinal mediation. Personal standards was not supported as contributing to risk but results indicated that the higher mean scores on ineffectiveness over the three waves mediated the relationship between higher baseline self-critical evaluative concerns and both measures of eating disorder risk. The relationship between concern over mistakes and change in risk was small and negative. These results suggest the usefulness of interventions related to self-criticism and ineffectiveness for decreasing risk for developing an eating disorder in young adolescent girls. Copyright © 2015 Elsevier Ltd. All rights reserved.

Do various baseline characteristics of transversus abdominis and lumbar multifidus predict clinical outcomes in nonspecific low back pain? A systematic review.

PubMed

Wong, Arnold Y L; Parent, Eric C; Funabashi, Martha; Stanton, Tasha R; Kawchuk, Gregory N

2013-12-01

Although individual reports suggest that baseline morphometry or activity of transversus abdominis or lumbar multifidus predict clinical outcome of low back pain (LBP), a related systematic review is unavailable. Therefore, this review summarized evidence regarding the predictive value of these muscular characteristics. Candidate publications were identified from 6 electronic medical databases. After review, 5 cohort studies were included. Although this review intended to encompass studies using different muscle assessment methods, all included studies coincidentally used ultrasound imaging. No research investigated the relation between static morphometry and clinical outcomes. Evidence synthesis showed limited evidence supporting poor baseline transversus abdominis contraction thickness ratio as a treatment effect modifier favoring motor control exercise. Limited evidence supported that high baseline transversus abdominis lateral slide was associated with higher pain intensity after various exercise interventions at 1-year follow-up. However, there was limited evidence for the absence of relation between the contraction thickness ratio of transversus abdominis or anticipatory onset of lateral abdominal muscles at baseline and the short- or long-term LBP intensity after exercise interventions. There was conflicting evidence for a relation between baseline percent thickness change of lumbar multifidus during contraction and the clinical outcomes of patients after various conservative treatments. Given study heterogeneity, the small number of included studies and the inability of conventional greyscale B-mode ultrasound imaging to measure muscle activity, our findings should be interpreted with caution. Further large-scale prospective studies that use appropriate technology (ie, electromyography to assess muscle activity) should be conducted to investigate the predictive value of morphometry or activity of these muscles with respect to LBP-related outcomes measures. Copyright © 2013 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

Sustained Attention Performance during Sleep Deprivation Associates with Instability in Behavior and Physiologic Measures at Baseline

PubMed Central

Chua, Eric Chern-Pin; Yeo, Sing-Chen; Lee, Ivan Tian-Guang; Tan, Luuan-Chin; Lau, Pauline; Cai, Shiwei; Zhang, Xiaodong; Puvanendran, Kathiravelu; Gooley, Joshua J.

2014-01-01

Study Objectives: To identify baseline behavioral and physiologic markers that associate with individual differences in sustained attention during sleep deprivation. Design: In a retrospective study, ocular, electrocardiogram, and electroencephalogram (EEG) measures were compared in subjects who were characterized as resilient (n = 15) or vulnerable (n = 15) to the effects of total sleep deprivation on sustained attention. Setting: Chronobiology and Sleep Laboratory, Duke-NUS Graduate Medical School Singapore. Participants: Healthy volunteers aged 22-32 years from the general population. Interventions: Subjects were kept awake for at least 26 hours under constant environmental conditions. Every 2 hours, sustained attention was assessed using a 10-minute psychomotor vigilance task (PVT). Measurements and Results: During baseline sleep and recovery sleep, EEG slow wave activity was similar in resilient versus vulnerable subjects, suggesting that individual differences in vulnerability to sleep loss were not related to differences in homeostatic sleep regulation. Rather, irrespective of time elapsed since wake, subjects who were vulnerable to sleep deprivation exhibited slower and more variable PVT response times, lower and more variable heart rate, and higher and more variable EEG spectral power in the theta frequency band (6.0-7.5 Hz). Conclusions: Performance decrements in sustained attention during sleep deprivation associate with instability in behavioral and physiologic measures at baseline. Small individual differences in sustained attention that are present at baseline are amplified during prolonged wakefulness, thus contributing to large between-subjects differences in performance and sleepiness. Citation: Chua EC; Yeo SC; Lee IT; Tan LC; Lau P; Cai S; Zhang X; Puvanendran K; Gooley JJ. Sustained attention performance during sleep deprivation associates with instability in behavior and physiologic measures at baseline. SLEEP 2014;37(1):27-39. PMID:24470693

Baseline and annual repeat rounds of screening: implications for optimal regimens of screening.

PubMed

Henschke, Claudia I; Salvatore, Mary; Cham, Matthew; Powell, Charles A; DiFabrizio, Larry; Flores, Raja; Kaufman, Andrew; Eber, Corey; Yip, Rowena; Yankelevitz, David F

2018-03-01

Differences in results of baseline and subsequent annual repeat rounds provide important information for optimising the regimen of screening. A prospective cohort study of 65,374 was reviewed to examine the frequency/percentages of the largest noncalcified nodule (NCN), lung cancer cell types and Kaplan-Meier (K-M) survival rates, separately for baseline and annual rounds. Of 65,374 baseline screenings, NCNs were identified in 28,279 (43.3%); lung cancer in 737 (1.1%). Of 74,482 annual repeat screenings, new NCNs were identified in 4959 (7%); lung cancer in 179 (0.24%). Only adenocarcinoma was diagnosed in subsolid NCNs. Percentages of lung cancers by cell type were significantly different (p < 0.0001) in the baseline round compared with annual rounds, reflecting length bias, as were the ratios, reflecting lead times. Long-term K-M survival rate was 100% for typical carcinoids and for adenocarcinomas manifesting as subsolid NCNs; 85% (95% CI 81-89%) for adenocarcinoma, 74% (95% CI 63-85%) for squamous cell, 48% (95% CI 34-62%) for small cell. The rank ordering by lead time was the same as the rank ordering by survival rates. The significant differences in the frequency of NCNs and frequency and aggressiveness of diagnosed cancers in baseline and annual repeat need to be recognised for an optimal regimen of screening. • Lung cancer aggressiveness varies considerably by cell type and nodule consistency. • Kaplan-Meier survival rates varied by cell type between 100% and 48%. • The percentages of lung cancers by cell type in screening rounds reflect screening biases. • Rank ordering by cell type survival is consistent with that by lead times. • Empirical evidence provides critical information for the regimen of screening.

Dynamic Contrast-Enhanced Magnetic Resonance Imaging as a Pharmacodynamic Biomarker for Pazopanib in Metastatic Renal Carcinoma.

PubMed

Sweis, Randy F; Medved, Milica; Towey, Shannon; Karczmar, Gregory S; Oto, Aytekin; Szmulewitz, Russell Z; O'Donnell, Peter H; Fishkin, Paul; Karrison, Theodore; Stadler, Walter M

2017-04-01

Traditional imaging assessment criteria might not correlate well with clinical benefit from vascular endothelial growth factor pathway-directed therapy in metastatic renal cancer. Preclinical data suggest tumor growth is preceded by a rise in K trans level, a parameter derived from dynamic contrast-enhanced (DCE) magnetic resonance imaging (MRI) that reflects vascular permeability. We thus hypothesized that K trans might be a predictive biomarker for pazopanib. Patients with metastatic renal cancer were treated with pazopanib at 800 mg oral daily until disease progression. MRI of the abdomen and pelvis with a DCE-MRI sequence was obtained at baseline and every 8 weeks. Seventy-three DCE-MRI scans were completed and 66 were technically assessable. Of the 17 patients with at least 1 DCE-MRI scan after the baseline scan, 16 (94%) had a decline in K trans level. Changes in K trans compared with baseline after 1, 8, 16, and 24 weeks were -49%, -65%, -63%, and -53%, respectively (P = .0052, repeated measures analysis of variance). The median K trans nadir occurred at 8 weeks. The median progression-free survival (PFS) was 32.1 weeks. PFS was longer in patients with higher baseline K trans values (P = .036, log rank). Baseline K trans did not reach significance in a Cox proportional hazard model including clinical prognostic index and previous treatments (P = .083). We show that K trans is a pharmacodynamic biomarker for pazopanib therapy in metastatic renal cancer. Because of the small sample size, the predictive capacity of K trans recovery could not be assessed, but baseline K trans correlated with PFS. Copyright © 2016 Elsevier Inc. All rights reserved.

The CEOS-Land Surface Imaging Constellation Portal for GEOSS: A resource for land surface imaging system information and data access

USGS Publications Warehouse

Holm, Thomas; Gallo, Kevin P.; Bailey, Bryan

2010-01-01

The Committee on Earth Observation Satellites is an international group that coordinates civil space-borne observations of the Earth, and provides the space component of the Global Earth Observing System of Systems (GEOSS). The CEOS Virtual Constellations concept was implemented in an effort to engage and coordinate disparate Earth observing programs of CEOS member agencies and ultimately facilitate their contribution in supplying the space-based observations required to satisfy the requirements of the GEOSS. The CEOS initially established Study Teams for four prototype constellations that included precipitation, land surface imaging, ocean surface topography, and atmospheric composition. The basic mission of the Land Surface Imaging (LSI) Constellation [1] is to promote the efficient, effective, and comprehensive collection, distribution, and application of space-acquired image data of the global land surface, especially to meet societal needs of the global population, such as those addressed by the nine Group on Earth Observations (GEO) Societal Benefit Areas (SBAs) of agriculture, biodiversity, climate, disasters, ecosystems, energy, health, water, and weather. The LSI Constellation Portal is the result of an effort to address important goals within the LSI Constellation mission and provide resources to assist in planning for future space missions that might further contribute to meeting those goals.

A Microstrip Patch-Fed Short Backfire Antenna for the Tracking and Data Relay Satellite System-Continuation (TDRSS-C) Multiple Access (MA) Array

NASA Technical Reports Server (NTRS)

Nessel, James A.; Kory, Carol L.; Lambert, Kevin M.; Acosta, Roberto J.

2006-01-01

Short Backfire Antennas (SBAs) are widely utilized for mobile satellite communications, tracking, telemetry, and wireless local area network (WLAN) applications due to their compact structure and excellent radiation characteristics [1-3]. Typically, these SBA s consist of an excitation element (i.e., a half-wavelength dipole), a reflective bottom plane, a planar sub-reflector located above the "exciter", and an outer circular rim. This configuration is capable of achieving gains on the order of 13-15 dBi, but with relatively narrow bandwidths (approx.3%-5%), making it incompatible with the requirements of the next generation enhanced Tracking and Data Relay Satellite System-Continuation (TDRSS-C) Multiple Access (MA) array [1]. Several attempts have been made to enhance the bandwidth performance of the common dipole-fed SBA by employing various other feeding mechanisms (e.g., waveguide, slot) with moderate success [4-5]. In this paper, a novel method of using a microstrip patch is employed for the first time to excite an SBA. The patch element is fed via two H-shaped slots electromagnetically coupled to a broadband hybrid coupler to maintain a wide bandwidth, as well as provide for dual circular polarization capabilities.

Patient-specific and global convolutional neural networks for robust automatic liver tumor delineation in follow-up CT studies.

PubMed

Vivanti, Refael; Joskowicz, Leo; Lev-Cohain, Naama; Ephrat, Ariel; Sosna, Jacob

2018-03-10

Radiological longitudinal follow-up of tumors in CT scans is essential for disease assessment and liver tumor therapy. Currently, most tumor size measurements follow the RECIST guidelines, which can be off by as much as 50%. True volumetric measurements are more accurate but require manual delineation, which is time-consuming and user-dependent. We present a convolutional neural networks (CNN) based method for robust automatic liver tumor delineation in longitudinal CT studies that uses both global and patient specific CNNs trained on a small database of delineated images. The inputs are the baseline scan and the tumor delineation, a follow-up scan, and a liver tumor global CNN voxel classifier built from radiologist-validated liver tumor delineations. The outputs are the tumor delineations in the follow-up CT scan. The baseline scan tumor delineation serves as a high-quality prior for the tumor characterization in the follow-up scans. It is used to evaluate the global CNN performance on the new case and to reliably predict failures of the global CNN on the follow-up scan. High-scoring cases are segmented with a global CNN; low-scoring cases, which are predicted to be failures of the global CNN, are segmented with a patient-specific CNN built from the baseline scan. Our experimental results on 222 tumors from 31 patients yield an average overlap error of 17% (std = 11.2) and surface distance of 2.1 mm (std = 1.8), far better than stand-alone segmentation. Importantly, the robustness of our method improved from 67% for stand-alone global CNN segmentation to 100%. Unlike other medical imaging deep learning approaches, which require large annotated training datasets, our method exploits the follow-up framework to yield accurate tumor tracking and failure detection and correction with a small training dataset. Graphical abstract Flow diagram of the proposed method. In the offline mode (orange), a global CNN is trained as a voxel classifier to segment liver tumor as in [31]. The online mode (blue) is used for each new case. The input is baseline scan with delineation and the follow-up CT scan to be segmented. The main novelty is the ability to predict failures by trying the system on the baseline scan and the ability to correct them using the patient-specific CNN.

Processing and characterization of unidirectional thermoplastic nanocomposites

NASA Astrophysics Data System (ADS)

Narasimhan, Kameshwaran

The manufacture of continuous fibre-reinforced thermoplastic nanocomposites is discussed for the case of E-Glass reinforced polypropylene (PP) matrix and for E-Glass reinforced Polyamide-6 (Nylon-6), with and without dispersed nanoclay (montmorillonite) platelets. The E-Glass/PP nanocomposite was manufactured using pultrusion, whereas the E-Glass/Nylon-6 nanocomposite was manufactured using compression molding. Mechanical characterization of nanocomposites were performed and compared with traditional microcomposites. Compressive as well as shear strength of nanocomposites was improved by improving the yield strength of the surrounding matrix through the dispersion of nanoclay. Significant improvements were achieved in compressive strength and shear strength with relatively low nanoclay loadings. Initially, polypropylene with and without nanoclay were melt intercalated using a single-screw extruder and the pultruded nanocomposite was fabricated using extruded pre-impregnated (pre-preg) tapes. Compression tests were performed as mandated by ASTM guidelines. SEM and TEM characterization revealed presence of nanoclay in an intercalated and partially exfoliated morphology. Mechanical tests confirmed significant improvements in compressive strength (˜122% at 10% nanoclay loading) and shear strength (˜60% at 3% nanoclay loading) in modified pultruded E-Glass/PP nanocomposites in comparison with baseline properties. Uniaxial tensile tests showed a small increase in tensile strength (˜3.4%) with 3% nanoclay loading. Subsequently, E-Glass/Nylon-6 nanocomposite panels were manufactured by compression molding. Compression tests were performed according to IITRI guidelines, whereas short beam shear and uni-axial tensile tests were performed according to ASTM standards. Mechanical tests confirmed strength enhancement with nanoclay addition, with a significant improvement in compressive strength (50% at 4% nanoclay loading) and shear strength (˜36% at 4% nanoclay loading) when compared with the baseline E-Glass/Nylon-6. Uni-axial tensile tests resulted in a small increase in tensile strength (˜3.2%) with 4% nanoclay loading. Also, hygrothermal aging (50°C and 100% RH) of baseline and nanoclay modified (4%) E-Glass/Nylon-6 was studied. It was observed that the moisture diffusion process followed Fickian diffusion. E-Glass/Nylon-6 modified with 4% nanoclay loading showed improved barrier performance with a significant reduction (˜30%) in moisture uptake compared to baseline E-Glass/Nylon-6 composites. Significant improvement in mechanical properties was also observed in hygrothermally aged nanocomposite specimens when compared with the aged baseline composite.

Management of the baseline shift using a new and simple method for respiratory-gated radiation therapy: Detectability and effectiveness of a flexible monitoring system

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

Tachibana, Hidenobu; Kitamura, Nozomi; Ito, Yasushi

2011-07-15

Purpose: In respiratory-gated radiation therapy, a baseline shift decreases the accuracy of target coverage and organs at risk (OAR) sparing. The effectiveness of audio-feedback and audio-visual feedback in correcting the baseline shift in the breathing pattern of the patient has been demonstrated previously. However, the baseline shift derived from the intrafraction motion of the patient's body cannot be corrected by these methods. In the present study, the authors designed and developed a simple and flexible system. Methods: The system consisted of a web camera and a computer running our in-house software. The in-house software was adapted to template matching andmore » also to no preimage processing. The system was capable of monitoring the baseline shift in the intrafraction motion of the patient's body. Another marker box was used to monitor the baseline shift due to the flexible setups required of a marker box for gated signals. The system accuracy was evaluated by employing a respiratory motion phantom and was found to be within AAPM Task Group 142 tolerance (positional accuracy <2 mm and temporal accuracy <100 ms) for respiratory-gated radiation therapy. Additionally, the effectiveness of this flexible and independent system in gated treatment was investigated in healthy volunteers, in terms of the results from the differences in the baseline shift detectable between the marker positions, which the authors evaluated statistically. Results: The movement of the marker on the sternum [1.599 {+-} 0.622 mm (1 SD)] was substantially decreased as compared with the abdomen [6.547 {+-} 0.962 mm (1 SD)]. Additionally, in all of the volunteers, the baseline shifts for the sternum [-0.136 {+-} 0.868 (2 SD)] were in better agreement with the nominal baseline shifts than was the case for the abdomen [-0.722 {+-} 1.56 mm (2 SD)]. The baseline shifts could be accurately measured and detected using the monitoring system, which could acquire the movement of the marker on the sternum. The baseline shift-monitoring system with the displacement-based methods for highly accurate respiratory-gated treatments should be used to make most of the displacement-based gating methods. Conclusions: The advent of intensity modulated radiation therapy and volumetric modulated radiation therapy facilitates margin reduction for the planning target volumes and the OARs, but highly accurate irradiation is needed to achieve target coverage and OAR sparing with a small margin. The baseline shifts can affect treatment not only with the respiratory gating system but also without the system. Our system can manage the baseline shift and also enables treatment irradiation to be undertaken with high accuracy.« less

Upgraded automotive gas turbine engine design and development program, volume 2

NASA Technical Reports Server (NTRS)

Wagner, C. E. (Editor); Pampreen, R. C. (Editor)

1979-01-01

Results are presented for the design and development of an upgraded engine. The design incorporated technology advancements which resulted from development testing on the Baseline Engine. The final engine performance with all retro-fitted components from the development program showed a value of 91 HP at design speed in contrast to the design value of 104 HP. The design speed SFC was 0.53 versus the goal value of 0.44. The miss in power was primarily due to missing the efficiency targets of small size turbomachinery. Most of the SFC deficit was attributed to missed goals in the heat recovery system relative to regenerator effectiveness and expected values of heat loss. Vehicular fuel consumption, as measured on a chassis dynamometer, for a vehicle inertia weight of 3500 lbs., was 15 MPG for combined urban and highway driving cycles. The baseline engine achieved 8 MPG with a 4500 lb. vehicle. Even though the goal of 18.3 MPG was not achieved with the upgraded engine, there was an improvement in fuel economy of 46% over the baseline engine, for comparable vehicle inertia weight.

Forward Swept Compressor Testing

NASA Technical Reports Server (NTRS)

Miller, David P.

1997-01-01

A new forward-swept rotor designed by Allison Engine Company was tested in NASA Lewis Research Center's CE-18 facility. This testing was a follow-on project sponsored by NASA Lewis to study range enhancements in small turbomachinery. The test was conducted against a baseline rotor design that was also tested in CE-18. The design point for the rotor was a rotor pressure ratio of 2.69, a mass flow of 10.52 lbm/sec, and an adiabatic efficiency of 89.1 percent. Test data indicate that the rotor met the pressure ratio of 2.69 with a 10.77 lbm/sec flow rate, a 87.5-percent adiabatic efficiency, and a 19.5-percent stall margin. The baseline rotor achieved a pressure ratio of 2.69 at a 10.77 lbm/sec flow rate with a stall margin of only 9.2 percent and an adiabatic efficiency of 87.0 percent. The major differences are the significant stall margin increase and the substantially higher off-design peak efficiencies of the forward-swept rotor. The substantially higher performance over the baseline rotor design makes the new design a viable technology candidate for future products.

A Statistical Simulation Approach to Safe Life Fatigue Analysis of Redundant Metallic Components

NASA Technical Reports Server (NTRS)

Matthews, William T.; Neal, Donald M.

1997-01-01

This paper introduces a dual active load path fail-safe fatigue design concept analyzed by Monte Carlo simulation. The concept utilizes the inherent fatigue life differences between selected pairs of components for an active dual path system, enhanced by a stress level bias in one component. The design is applied to a baseline design; a safe life fatigue problem studied in an American Helicopter Society (AHS) round robin. The dual active path design is compared with a two-element standby fail-safe system and the baseline design for life at specified reliability levels and weight. The sensitivity of life estimates for both the baseline and fail-safe designs was examined by considering normal and Weibull distribution laws and coefficient of variation levels. Results showed that the biased dual path system lifetimes, for both the first element failure and residual life, were much greater than for standby systems. The sensitivity of the residual life-weight relationship was not excessive at reliability levels up to R = 0.9999 and the weight penalty was small. The sensitivity of life estimates increases dramatically at higher reliability levels.

Randomized controlled trial of melatonin for children with autistic spectrum disorders and sleep problems.

PubMed

Garstang, J; Wallis, M

2006-09-01

Melatonin is often used for autistic children with sleep disorders, despite a lack of published evidence in this population. A randomized, placebo-controlled double-blind crossover trial of melatonin was undertaken in 11 children with autistic spectrum disorder (ASD). Seven children completed the trial. Sleep latency was 2.6 h [95% confidence intervals (CI) 2.28-2.93] baseline, 1.91 h (95% CI 1.78-2.03) with placebo and 1.06 h (95% CI 0.98-1.13) with melatonin. Wakings per night were 0.35 (95% CI 0.18-0.53) baseline, 0.26 (95% CI 0.20-0.34) with placebo and 0.08 (95% CI 0.04-0.12) with melatonin. Total sleep duration was 8.05 h (95% CI 7.65-8.44) baseline, 8.75 h (95% CI 8.56-8.98) with placebo and 9.84 h (95% CI 9.68-9.99) with melatonin. Although the study was small owing to recruitment difficulties, it still provides evidence of effectiveness of melatonin in children with sleep difficulties and ASD, which we predict a larger study would confirm.

Baseline heart rate, sensation seeking, and aggression in young adult women: a two-sample examination.

PubMed

Wilson, Laura C; Scarpa, Angela

2013-01-01

Although substantial literature discusses sensation seeking as playing a role in the relationship between baseline heart rate and aggression, few published studies have tested the relationships among these variables. Furthermore, most prior studies have focused on risk factors of aggression in men and have largely ignored this issue in women. Two samples (n = 104; n = 99) of young adult women completed measures of resting heart rate, sensation seeking, and aggression. Across the two samples of females there was no evidence for the relationships of baseline heart rate with sensation seeking or with aggression that has been consistently shown in males. Boredom susceptibility and disinhibition subscales of sensation seeking were consistently significantly correlated with aggression. The lack of significance and the small effect sizes indicate that other mechanisms are also at work in affecting aggression in young adult women. Finally, it is important to consider the type of sensation seeking in relation to aggression, as only boredom susceptibility and disinhibition were consistently replicated across samples. © 2013 Wiley Periodicals, Inc.

Analysis of serum protein levels of angiogenic factors and their soluble receptors as markers of response to cediranib in the NCIC CTG BR.24 clinical trial.

PubMed

Addison, Christina L; Ding, Keyue; Seymour, Lesley; Zhao, Huijun; Laurie, Scott A; Shepherd, Frances A; Goss, Glenwood D; Bradbury, Penelope A

2015-11-01

Prognostic and predictive ability of circulating vascular endothelial growth factor (VEGF), stromal derived factor (SDF)-1α and soluble VEGF receptors (sVEGFR) 2 and 3, were evaluated in non-small cell lung cancer (NSCLC) patients enrolled in NCIC Clinical Trials Group BR. 24 comparing chemotherapy with or without cediranib. Biomarker levels were assessed by ELISA in serum from 149/296 enrolled patients at baseline and 146/149 patients after one treatment cycle. Experimental cut-offs for baseline measures determined using a graphic method were: < or ≥1 ng/ml, SDF-1α: ≤ or >3.5 ng/ml, sVEGFR2: < or ≥11 ng/ml and sVEGFR3: < or ≥35.5 ng/ml. Changes in markers from baseline to on-treatment were predefined as increased ≥10%, stable within 10% or decreased ≥10%. Cox regression models were used to correlate biomarkers with patient characteristics and outcomes including progression-free survival (PFS) and overall survival (OS). No baseline biomarker was prognostic for OS, however, high baseline sVEGFR2 was prognostic for better PFS (p=0.0008) in the chemotherapy alone arm. Low baseline sVEGFR2 or sVEGFR3 were predictive of PFS benefit from cediranib (interaction p=0.06 and p=0.05, respectively). While on treatment, VEGF-A increases were associated with better PFS (p=0.02) and OS (p=0.01) for cediranib treated patients. Decreases in sVEGFR2 (p=0.01) or sVEGFR3 (p=0.02) were also predictive of better OS in cediranib treated patients. Low baseline sVEGFR2 and sVEGFR3 were predictive for PFS benefit from cediranib, whereas increases in VEGF-A and decreases in sVEGFR2 or sVEGFR3 levels from baseline to on-treatment were predictive of an OS benefit from cediranib in chemotherapy treated NSCLC patients. Validation of these results is warranted. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Concussion-Like Symptoms in Child and Youth Athletes at Baseline: What Is “Typical”?

PubMed Central

Hunt, Anne Williams; Paniccia, Melissa; Reed, Nick; Keightley, Michelle

2016-01-01

Context: After a concussion, guidelines emphasize that an athlete should be asymptomatic before starting a return-to-play protocol. However, many concussion symptoms are nonspecific and may be present in individuals without concussion. Limited evidence exists regarding the presence of “typical” or preinjury (baseline) symptoms in child and youth athletes. Objective: To describe the frequency of symptoms reported at baseline by child and youth athletes and identify how age, sex, history of concussion, and learning factors influence the presence of baseline symptoms. Design: Cross-sectional cohort study. Setting: Baseline testing was conducted at a hospital research laboratory or in a sport or school setting (eg, gym or arena). Patients or Other Participants: A total of 888 child (9−12 years old, n = 333) and youth (13−17 years old, n = 555) athletes participated (46.4% boys and 53.6% girls, average age = 13.09 ± 1.83 years). Main Outcome Measure(s): Demographic and symptom data were collected as part of a baseline protocol. Age-appropriate versions of the Post-Concussion Symptom Inventory (a self-report concussion-symptoms measure with strong psychometric properties for pediatric populations) were administered. Demographic data (age, sex, concussion history, learning factors) were also collected. Results: Common baseline symptoms for children were feeling sleepier than usual (30% boys, 24% girls) and feeling nervous or worried (17% boys, 25% girls). Fatigue was reported by more than half of the youth group (50% boys, 67% girls). Nervousness was reported by 32% of youth girls. Headaches, drowsiness, and difficulty concentrating were each reported by 25% of youth boys and girls. For youths, a higher total symptom score was associated with increasing age and number of previous concussions, although these effects were small (age rs = 0.143, number of concussions rs = .084). No significant relationships were found in the child group. Conclusions: Children and youths commonly experienced symptoms at baseline, including fatigue and nervousness. Whether clinicians should expect complete symptom resolution after concussion is not clear. PMID:27834505

Baseline Kidney Function as Predictor of Mortality and Kidney Disease Progression in HIV-Positive Patients

PubMed Central

Ibrahim, Fowzia; Hamzah, Lisa; Jones, Rachael; Nitsch, Dorothea; Sabin, Caroline; Post, Frank A.

2012-01-01

Background Chronic kidney disease (CKD) is associated with increased all-cause mortality and kidney disease progression. Decreased kidney function at baseline may identify human immunodeficiency virus (HIV)-positive patients at increased risk of death and kidney disease progression. Study Design Observational cohort study. Setting & Participants 7 large HIV cohorts in the United Kingdom with kidney function data available for 20,132 patients. Predictor Baseline estimated glomerular filtration rate (eGFR). Outcomes Death and progression to stages 4-5 CKD (eGFR <30 mL/min/1.73 m2 for >3 months) in Cox proportional hazards and competing-risk regression models. Results Median age at baseline was 34 (25th-75th percentile, 30-40) years, median CD4 cell count was 350 (25th-75th percentile, 208-520) cells/μL, and median eGFR was 100 (25th-75th percentile, 87-112) mL/min/1.73 m2. Patients were followed up for a median of 5.3 (25th-75th percentile, 2.0-8.9) years, during which 1,820 died and 56 progressed to stages 4-5 CKD. A U-shaped relationship between baseline eGFR and mortality was observed. After adjustment for potential confounders, eGFRs <45 and >105 mL/min/1.73 m2 remained associated significantly with increased risk of death. Baseline eGFR <90 mL/min/1.73 m2 was associated with increased risk of kidney disease progression, with the highest incidence rates of stages 4-5 CKD (>3 events/100 person-years) observed in black patients with eGFR of 30-59 mL/min/1.73 m2 and those of white/other ethnicity with eGFR of 30-44 mL/min/1.73 m2. Limitations The relatively small numbers of patients with decreased eGFR at baseline and low rates of progression to stages 4-5 CKD and lack of data for diabetes, hypertension, and proteinuria. Conclusions Although stages 4-5 CKD were uncommon in this cohort, baseline eGFR allowed the identification of patients at increased risk of death and at greatest risk of kidney disease progression. PMID:22521282

Evidence of major genes for exercise heart rate and blood pressure at baseline and in response to 20 weeks of endurance training: the HERITAGE family study.

PubMed

An, P; Borecki, I B; Rankinen, T; Pérusse, L; Leon, A S; Skinner, J S; Wilmore, J H; Bouchard, C; Rao, D C

2003-10-01

Major gene effects on exercise heart rate (HR) and blood pressure (BP) measured at 50 W and 80 % maximal oxygen uptake (VO (2)max) were assessed in 99 White families in the HERITAGE Family Study. Exercise HR and BP were measured both before and after 20 weeks of endurance training. The baseline phenotypes were adjusted for the effects of age and BMI, whereas the training responses (post-training minus baseline) were adjusted for the effects of age, BMI and the corresponding baseline values, within four sex-by-generation groups. Baseline exercise HR at 50 W was under the influence of a major recessive gene and a multifactorial component, which accounted for 30 % and 27 % of the variance, respectively. The training response was found to be under the influence of a major dominant gene, which accounted for 27 % of the variance. These significant major gene effects were independent of the effects of cigarette smoking, baseline VO (2)max, and the resting HR levels. No significant interactions were found between genotype and age, sex, or BMI. No major gene effect was found for exercise BP. Instead, we found the baseline exercise BP at 50 W and 80 % VO (2)max and the training response at 50 W were solely influenced by multifactorial effects, which accounted for about 50 %, 40 % and 20 % of the variance, respectively. No familial resemblance was found for training responses in exercise HR or BP at 80 % VO (2)max. Segregation analysis also was carried out for exercise HR in Whites pooled with a small sample of Blacks in HERITAGE. Similar major effects were found, but the transmission from parents to offspring did not follow Mendelian expectations, suggesting sample heterogeneity. In conclusion, submaximal exercise HR at baseline and in response to endurance training was influenced by putative major genes, with no evidence of interactions with sex, age or BMI, in contrast to a multifactorial etiology for exercise BP.

Multilayer Optimization of Heterogeneous Networks Using Grammatical Genetic Programming.

PubMed

Fenton, Michael; Lynch, David; Kucera, Stepan; Claussen, Holger; O'Neill, Michael

2017-09-01

Heterogeneous cellular networks are composed of macro cells (MCs) and small cells (SCs) in which all cells occupy the same bandwidth. Provision has been made under the third generation partnership project-long term evolution framework for enhanced intercell interference coordination (eICIC) between cell tiers. Expanding on previous works, this paper instruments grammatical genetic programming to evolve control heuristics for heterogeneous networks. Three aspects of the eICIC framework are addressed including setting SC powers and selection biases, MC duty cycles, and scheduling of user equipments (UEs) at SCs. The evolved heuristics yield minimum downlink rates three times higher than a baseline method, and twice that of a state-of-the-art benchmark. Furthermore, a greater number of UEs receive transmissions under the proposed scheme than in either the baseline or benchmark cases.

Personality Predicts Mortality Risk: An Integrative Data Analysis of 15 International Longitudinal Studies.

PubMed

Graham, Eileen K; Rutsohn, Joshua P; Turiano, Nicholas A; Bendayan, Rebecca; Batterham, Philip J; Gerstorf, Denis; Katz, Mindy J; Reynolds, Chandra A; Sharp, Emily S; Yoneda, Tomiko B; Bastarache, Emily D; Elleman, Lorien G; Zelinski, Elizabeth M; Johansson, Boo; Kuh, Diana; Barnes, Lisa L; Bennett, David A; Deeg, Dorly J H; Lipton, Richard B; Pedersen, Nancy L; Piccinin, Andrea M; Spiro, Avron; Muniz-Terrera, Graciela; Willis, Sherry L; Schaie, K Warner; Roan, Carol; Herd, Pamela; Hofer, Scott M; Mroczek, Daniel K

2017-10-01

This study examined the Big Five personality traits as predictors of mortality risk, and smoking as a mediator of that association. Replication was built into the fabric of our design: we used a Coordinated Analysis with 15 international datasets, representing 44,094 participants. We found that high neuroticism and low conscientiousness, extraversion, and agreeableness were consistent predictors of mortality across studies. Smoking had a small mediating effect for neuroticism. Country and baseline age explained variation in effects: studies with older baseline age showed a pattern of protective effects (HR<1.00) for openness, and U.S. studies showed a pattern of protective effects for extraversion. This study demonstrated coordinated analysis as a powerful approach to enhance replicability and reproducibility, especially for aging-related longitudinal research.

Comparative effectiveness from a single-arm trial and real-world data: alectinib versus ceritinib.

PubMed

Davies, Jessica; Martinec, Michael; Delmar, Paul; Coudert, Mathieu; Bordogna, Walter; Golding, Sophie; Martina, Reynaldo; Crane, Gracy

2018-06-26

To compare the overall survival of anaplastic lymphoma kinase-positive non-small-cell lung cancer patients who received alectinib with those who received ceritinib. Two treatment arms (alectinib [n = 183] and ceritinib [n = 67]) were extracted from clinical trials and an electronic health record database, respectively. Propensity scores were applied to balance baseline characteristics. Kaplan-Meier and multivariate Cox regression were conducted. After propensity score adjustment, baseline characteristics were balanced. Alectinib had a prolonged median overall survival (alectinib = 24.3 months and ceritinib = 15.6 months) and lower risk of death (hazard ratio: 0.65; 95% CI: 0.48-0.88). Alectinib was associated with prolonged overall survival versus ceritinib, which is consistent with efficacy evidence from clinical trials.

Incipient fault detection study for advanced spacecraft systems

NASA Technical Reports Server (NTRS)

Milner, G. Martin; Black, Michael C.; Hovenga, J. Mike; Mcclure, Paul F.

1986-01-01

A feasibility study to investigate the application of vibration monitoring to the rotating machinery of planned NASA advanced spacecraft components is described. Factors investigated include: (1) special problems associated with small, high RPM machines; (2) application across multiple component types; (3) microgravity; (4) multiple fault types; (5) eight different analysis techniques including signature analysis, high frequency demodulation, cepstrum, clustering, amplitude analysis, and pattern recognition are compared; and (6) small sample statistical analysis is used to compare performance by computation of probability of detection and false alarm for an ensemble of repeated baseline and faulted tests. Both detection and classification performance are quantified. Vibration monitoring is shown to be an effective means of detecting the most important problem types for small, high RPM fans and pumps typical of those planned for the advanced spacecraft. A preliminary monitoring system design and implementation plan is presented.

Creating a Culture of Wellness: A Baseline Multidimensional Analysis of Wellness at a Small Private Historically Black College and University

ERIC Educational Resources Information Center

Romano, Victor Owen

2013-01-01

Wellness is something that needs to be taught, encouraged, and valued within a community for it to be obtainable. Preventable health disparities attributed to lack of physical activity continue to be a burden in predominantly African-American communities. Preventative wellness programming has been shown to be successful for students, as well as…

Soil leachate responses during 10 years of induced whole-watershed acidification

Treesearch

Pamela J. Edwards; James N. Kochenderfer; Dean W. Coble; Mary Beth Adams

2002-01-01

Soil solution was collected from zero-tension lysimeters for 10 yr on two small central Appalachian watersheds in West Virginia, U.S.A. Ammonium sulfate fertilizer was applied to one catchment 3 times per year during each year. The other watershed was used as a reference to account for ambient baseline conditions. Ca and Mg concentrations collected below the A- and B-...

Effects of Planning and Goal Setting on Reducing Latency to Task Engagement for Struggling Readers in Middle School

ERIC Educational Resources Information Center

Stevenson, Nathan A.

2016-01-01

The current study examined the effect of a planning and goal-setting intervention in reducing latency to task engagement. This study used a multiple baseline design across participants for two seventh-grade and two eighth-grade students in a remedial reading class. The behavioral intervention was administered in small groups at the start of each…

High level of chromosomal instability in circulating tumor cells of ROS1-rearranged non-small-cell lung cancer

PubMed Central

Pailler, E.; Auger, N.; Lindsay, C. R.; Vielh, P.; Islas-Morris-Hernandez, A.; Borget, I.; Ngo-Camus, M.; Planchard, D.; Soria, J.-C.; Besse, B.; Farace, F.

2015-01-01

Background Genetic aberrations affecting the c-ros oncogene 1 (ROS1) tyrosine kinase gene have been reported in a small subset of patients with non-small-cell lung cancer (NSCLC). We evaluated whether ROS1-chromosomal rearrangements could be detected in circulating tumor cells (CTCs) and examined tumor heterogeneity of CTCs and tumor biopsies in ROS1-rearranged NSCLC patients. Patients and methods Using isolation by size of epithelial tumor cells (ISET) filtration and filter-adapted-fluorescence in situ hybridization (FA-FISH), ROS1 rearrangement was examined in CTCs from four ROS1-rearranged patients treated with the ROS1-inhibitor, crizotinib, and four ROS1-negative patients. ROS1-gene alterations observed in CTCs at baseline from ROS1-rearranged patients were compared with those present in tumor biopsies and in CTCs during crizotinib treatment. Numerical chromosomal instability (CIN) of CTCs was assessed by DNA content quantification and chromosome enumeration. Results ROS1 rearrangement was detected in the CTCs of all four patients with ROS1 rearrangement previously confirmed by tumor biopsy. In ROS1-rearranged patients, median number of ROS1-rearranged CTCs at baseline was 34.5 per 3 ml blood (range, 24–55). In ROS1-negative patients, median background hybridization of ROS1-rearranged CTCs was 7.5 per 3 ml blood (range, 7–11). Tumor heterogeneity, assessed by ROS1 copy number, was significantly higher in baseline CTCs compared with paired tumor biopsies in the three patients experiencing PR or SD (P < 0.0001). Copy number in ROS1-rearranged CTCs increased significantly in two patients who progressed during crizotinib treatment (P < 0.02). CTCs from ROS1-rearranged patients had a high DNA content and gain of chromosomes, indicating high levels of aneuploidy and numerical CIN. Conclusion We provide the first proof-of-concept that CTCs can be used for noninvasive and sensitive detection of ROS1 rearrangement in NSCLC patients. CTCs from ROS1-rearranged patients show considerable heterogeneity of ROS1-gene abnormalities and elevated numerical CIN, a potential mechanism to escape ROS1-inhibitor therapy in ROS1-rearranged NSCLC tumors. PMID:25846554

Impact of Small Body Weight on Tenofovir-Associated Renal Dysfunction in HIV-Infected Patients: A Retrospective Cohort Study of Japanese Patients

PubMed Central

Nishijima, Takeshi; Komatsu, Hirokazu; Gatanaga, Hiroyuki; Aoki, Takahiro; Watanabe, Koji; Kinai, Ei; Honda, Haruhito; Tanuma, Junko; Yazaki, Hirohisa; Tsukada, Kunihisa; Honda, Miwako; Teruya, Katsuji; Kikuchi, Yoshimi; Oka, Shinichi

2011-01-01

Background Treatment with tenofovir is sometimes associated with renal dysfunction. Limited information is available on this side effect in patients with small body weight, although the use of tenofovir will spread rapidly in Asia and Africa, where patients are likely to be of smaller body weight. Methods In a single-center cohort, Japanese patients with HIV infection who started tenofovir-containing antiretroviral therapy were retrospectively analyzed. The incidence of tenofovir-associated renal dysfunction, defined as more than 25% decrement of estimated glomerular filtration rate (eGFR) from the baseline, was determined. The effects of small body weight and body mass index (BMI) on tenofovir-associated renal dysfunction, respectively, were estimated in univariate and multivariate Cox hazards models as the primary exposure. Other possible risk factors were evaluated by univariate analysis and those found significant were entered into the multivariate analysis. Results The median weight of 495 patients was 63 kg. Tenofovir-related renal dysfunction occurred in 97 (19.6%) patients (incidence: 10.5 per 100 person-years). Univariate analysis showed that the incidence of tenofovir-related renal dysfunction was significantly associated with smaller body weight and BMI, respectively (per 5 kg decrement, HR = 1.23; 95% CI, 1.10–1.37; p<0.001)(per 1 kg/m2 decrement, HR = 1.14; 95% CI, 1.05–1.23; p = 0.001). Old age, high baseline eGFR, low serum creatinine, low CD4 count, high HIV viral load, concurrent nephrotoxic drugs, hepatitis C infection, and current smoking were also associated with tenofovir-related renal dysfunction. Multivariate analysis identified small body weight as a significant risk (adjusted HR = 1.13; 95% CI, 1.01–1.27; p = 0.039), while small BMI had marginal significance (adjusted HR = 1.07; 95% CI 1.00–1.16; p = 0.058). Conclusion The incidence of tenofovir-associated renal dysfunction in Japanese patients was high. Small body weight was identified as an independent risk factor for tenofovir-associated renal dysfunction. Close monitoring of renal function is advocated for patients with small body weight treated with tenofovir. PMID:21799928

Effects of Yoga and Aerobic Exercise on Actigraphic Sleep Parameters in Menopausal Women with Hot Flashes.

PubMed

Buchanan, Diana Taibi; Landis, Carol A; Hohensee, Chancellor; Guthrie, Katherine A; Otte, Julie L; Paudel, Misti; Anderson, Garnet L; Caan, Bette; Freeman, Ellen W; Joffe, Hadine; LaCroix, Andrea Z; Newton, Katherine M; Reed, Susan D; Ensrud, Kristine E

2017-01-15

To determine effects of yoga and aerobic exercise compared with usual activity on objective assessments of sleep in midlife women. Secondary analyses of a randomized controlled trial in the Menopause Strategies: Finding Lasting Answers for Symptoms and Health (MsFLASH) network conducted among 186 late transition and postmenopausal women aged 40-62 y with hot flashes. Women were randomized to 12 w of yoga, supervised aerobic exercise, or usual activity. The mean and coefficient of variation (CV) of change in actigraph sleep measures from each intervention group were compared to the usual activity group using linear regression models. Baseline values of the primary sleep measures for the entire sample were mean total sleep time (TST) = 407.5 ± 56.7 min; mean wake after sleep onset (WASO) = 54.6 ± 21.8 min; mean CV for WASO = 37.7 ± 18.7 and mean CV for number of long awakenings > 5 min = 81.5 ± 46.9. Changes in the actigraphic sleep outcomes from baseline to weeks 11-12 were small, and none differed between groups. In an exploratory analysis, women with baseline Pittsburgh Sleep Quality Index higher than 8 had significantly reduced TST-CV following yoga compared with usual activity. This study adds to the currently scant literature on objective sleep outcomes from yoga and aerobic exercise interventions for this population. Although small effects on self-reported sleep quality were previously reported, the interventions had no statistically significant effects on actigraph measures, except for potentially improved sleep stability with yoga in women with poor self-reported sleep quality. © 2017 American Academy of Sleep Medicine

Tolerability of loteprednol/tobramycin versus dexamethasone/tobramycin in healthy volunteers: results of a 4-week, randomized, double-masked, parallel-group study.

PubMed

Bartlett, Jimmy D; Holland, Edward J; Usner, Dale W; Paterno, Michael R; Comstock, Timothy L

2008-08-01

To compare the ocular comfort and tolerability of loteprednol etabonate 0.5%/tobramycin 0.3% (LE/T; Zylet) with dexamethasone 0.1%/tobramycin 0.3% (DM/T; TobraDex) in healthy volunteers. In this multicenter, randomized, double-masked, parallel-group study, healthy volunteers (n = 306) were randomized to receive LE/T or DM/T four times per day for 28 days. Subjects recorded subjective ratings for seven comfort/tolerability parameters using an electronic patient diary (EPD). The primary endpoint was the difference at week 4 from the ratings of an artificial tear at baseline in comfort/tolerability parameters between treatment groups, using a noninferiority paradigm. ClinicalTrials. gov, NCT 00532961. The 97.5% confidence intervals for the lower bound were within -10 for all of the seven comfort/ tolerability parameters evaluated (pain, stinging/burning, irritation, itchiness, foreign-body sensation, dryness, and light sensitivity). Secondary analysis revealed small but significant within-treatment differences in pain favoring LE/T over tears and in light sensitivity favoring tears over DM/T (p < 0.01). Small between-treatment differences in the changes from baseline tear ratings to individual study visits favored LE/T for pain, stinging/burning, irritation, itchiness, foreign-body sensation, and light sensitivity at visit 4 (p < or = 0.04); for pain, stinging/burning, and foreignbody sensation at visit 5 (p < or = 0.03), and for dryness and light sensitivity at visit 6 (p < or = 0.05). LE/T satisfied all conditions of noninferiority to DM/T in comfort and tolerability. Subjects receiving LE/T were more likely to report better ocular comfort/tolerability ratings relative to baseline artificial tears than subjects receiving DM/T. The study population consisted of healthy volunteers.

Sleep breathing disorders and cognitive function in the elderly: an 8-year follow-up study. the proof-synapse cohort.

PubMed

Martin, Magali Saint; Sforza, Emilia; Roche, Frédéric; Barthélémy, Jean Claude; Thomas-Anterion, Catherine

2015-02-01

Sleep breathing disorder (SBD) may be an important factor in age-related cognitive decline. In a cohort of healthy elderly subjects, we performed an 8-y longitudinal study to assess whether changes in cognitive function occur in untreated elderly patients with SBD and without dementia and the factors implicated in these changes. A population-based longitudinal study. Clinical research settings. A total of 559 participants of the PROOF study aged 67 y at the study entry and free from neurological disorders were examined. N/A. Abnormal breathing events were defined by an apnea-hypopnea index (AHI) > 15. The raw cognitive data and averaged Z-scores for the attentional, executive, and memory functions were collected at the baseline and follow-up. At baseline, AHI > 15 was found in 54% of subjects with 18% having an AHI > 30. At follow-up, the presence of abnormal breathing events was associated with a slight but significant decline in the attentional domain (P = 0.01), which was more evident in the subjects with an AHI > 30 (P = 0.004). No significant changes over time were observed in the executive and memory functions. Several indices of chronic hypoxemia, defined either as a cumulative peripheral oxygen saturation (SpO2) < 90% or a minimal SpO2, accounted for portions of the variance in the decline in attention. All observed effects were small, accounting for 4-7% of variance in multivariate models. In healthy elderly subjects, various components of sleep breathing disorder at baseline were associated with small changes in selected cognitive functions specific to the attention domain after controlling for multiple comorbidities, such as sleepiness, hypertension, diabetes, anxiety, and depression. ClinicalTrials.gov identifiers NCT 00759304 and NCT 00766584. © 2015 Associated Professional Sleep Societies, LLC.

Genetic variations and patient-reported quality of life among patients with lung cancer.

PubMed

Sloan, Jeff A; de Andrade, Mariza; Decker, Paul; Wampfler, Jason; Oswold, Curtis; Clark, Matthew; Yang, Ping

2012-05-10

Recent evidence has suggested a relationship between the baseline quality of life (QOL) self-reported by patients with cancer and genetic disposition. We report an analysis exploring relationships among baseline QOL assessments and candidate genetic variations in a large cohort of patients with lung cancer. QOL data were provided by 1,299 patients with non-small-cell lung cancer observed at the Mayo Clinic between 1997 and 2007. Overall QOL and subdomains were assessed by either Lung Cancer Symptom Scale or Linear Analog Self Assessment measures; scores were transformed to a scale of 0 to 10, with higher scores representing better status. Baseline QOL scores assessed within 1 year of diagnosis were dichotomized as clinically deficient (CD) or not. A total of 470 single nucleotide polymorphisms (SNPs) in 56 genes of three biologic pathways were assessed for association with QOL measures. Logistic regression with training/validation samples was used to test the association of SNPs with CD QOL. Six SNPs on four genes were replicated using our split schemes. Three SNPs in the MGMT gene (adjusted analysis, rs3858300; unadjusted analysis, rs10741191 and rs3852507) from DNA repair pathway were associated with overall QOL. Two SNPs (rs2287396 [GSTZ1] and rs9524885 [ABCC4]) from glutathione metabolic pathway were associated with fatigue in unadjusted analysis. In adjusted analysis, two SNPs (rs2756109 [ABCC2] and rs9524885 [ABCC4]) from glutathione metabolic pathway were associated with pain. We identified three SNPs in three glutathione metabolic pathway genes and three SNPs in two DNA repair pathway genes associated with QOL measures in patients with non-small-cell lung cancer.

Efficacy of alectinib in central nervous system metastases in crizotinib-resistant ALK-positive non-small-cell lung cancer: Comparison of RECIST 1.1 and RANO-HGG criteria.

PubMed

Gandhi, Leena; Ou, Sai-Hong Ignatius; Shaw, Alice T; Barlesi, Fabrice; Dingemans, Anne-Marie C; Kim, Dong-Wan; Camidge, D Ross; Hughes, Brett G M; Yang, James C-H; de Castro, Javier; Crino, Lucio; Léna, Hervé; Do, Pascal; Golding, Sophie; Bordogna, Walter; Zeaiter, Ali; Kotb, Ahmed; Gadgeel, Shirish

2017-09-01

Central nervous system (CNS) progression is common in patients with anaplastic lymphoma kinase-positive (ALK+) non-small-cell lung cancer (NSCLC) receiving crizotinib. Next-generation ALK inhibitors have shown activity against CNS metastases, but accurate assessment of response and progression is vital. Data from two phase II studies in crizotinib-refractory ALK+ NSCLC were pooled to examine the CNS efficacy of alectinib, a CNS-active ALK inhibitor, using Response Evaluation Criteria in Solid Tumours (RECIST version 1.1) and Response Assessment in Neuro-Oncology high-grade glioma (RANO-HGG) criteria. Both studies enrolled patients aged ≥18 years who had previously received crizotinib. NP28761 was conducted in North America and NP28673 was a global study. All patients received 600 mg oral alectinib twice daily and had baseline CNS imaging. CNS response for those with baseline CNS metastases was determined by an independent review committee. Baseline measurable CNS disease was identified in 50 patients by RECIST and 43 by RANO-HGG. CNS objective response rate was 64.0% by RECIST (95% confidence interval [CI]: 49.2-77.1; 11 CNS complete responses [CCRs]) and 53.5% by RANO-HGG (95% CI: 37.7-68.8; eight CCRs). CNS responses were durable, with consistent estimates of median duration of 10.8 months with RECIST and 11.1 months with RANO-HGG. Of the 39 patients with measurable CNS disease by both RECIST and RANO-HGG, only three (8%) had CNS progression according to one criteria but not the other (92% concordance rate). Alectinib demonstrated promising efficacy in the CNS for ALK+ NSCLC patients pretreated with crizotinib, regardless of the assessment criteria used. Copyright © 2017 Elsevier Ltd. All rights reserved.

Feature-fused SSD: fast detection for small objects

NASA Astrophysics Data System (ADS)

Cao, Guimei; Xie, Xuemei; Yang, Wenzhe; Liao, Quan; Shi, Guangming; Wu, Jinjian

2018-04-01

Small objects detection is a challenging task in computer vision due to its limited resolution and information. In order to solve this problem, the majority of existing methods sacrifice speed for improvement in accuracy. In this paper, we aim to detect small objects at a fast speed, using the best object detector Single Shot Multibox Detector (SSD) with respect to accuracy-vs-speed trade-off as base architecture. We propose a multi-level feature fusion method for introducing contextual information in SSD, in order to improve the accuracy for small objects. In detailed fusion operation, we design two feature fusion modules, concatenation module and element-sum module, different in the way of adding contextual information. Experimental results show that these two fusion modules obtain higher mAP on PASCAL VOC2007 than baseline SSD by 1.6 and 1.7 points respectively, especially with 2-3 points improvement on some small objects categories. The testing speed of them is 43 and 40 FPS respectively, superior to the state of the art Deconvolutional single shot detector (DSSD) by 29.4 and 26.4 FPS.

Numeric score-based conditional and overall change-in-status indices for ordered categorical data.

PubMed

Lyles, Robert H; Kupper, Lawrence L; Barnhart, Huiman X; Martin, Sandra L

2015-11-30

Planned interventions and/or natural conditions often effect change on an ordinal categorical outcome (e.g., symptom severity). In such scenarios, it is sometimes desirable to assign a priori scores to observed changes in status, typically giving higher weight to changes of greater magnitude. We define change indices for such data based upon a multinomial model for each row of a c × c table, where the rows represent the baseline status categories. We distinguish an index designed to assess conditional changes within each baseline category from two others designed to capture overall change. One of these overall indices measures expected change across a target population. The other is scaled to capture the proportion of total possible change in the direction indicated by the data, so that it ranges from -1 (when all subjects finish in the least favorable category) to +1 (when all finish in the most favorable category). The conditional assessment of change can be informative regardless of how subjects are sampled into the baseline categories. In contrast, the overall indices become relevant when subjects are randomly sampled at baseline from the target population of interest, or when the investigator is able to make certain assumptions about the baseline status distribution in that population. We use a Dirichlet-multinomial model to obtain Bayesian credible intervals for the conditional change index that exhibit favorable small-sample frequentist properties. Simulation studies illustrate the methods, and we apply them to examples involving changes in ordinal responses for studies of sleep deprivation and activities of daily living. Copyright © 2015 John Wiley & Sons, Ltd.

Apathy in late-life depression: common, persistent, and disabling.

PubMed

Yuen, Genevieve S; Bhutani, Saumya; Lucas, Bryony J; Gunning, Faith M; AbdelMalak, Bassem; Seirup, Joanna K; Klimstra, Sibel A; Alexopoulos, George S

2015-05-01

The aims of this study were to examine: (1) the relationship between apathy and disability in late-life depression, and (2) the functional significance of improvement in apathy following escitalopram treatment in terms of its relationship to disability. Subjects were 71 non-demented elderly with non-psychotic major depression. After a 2-week single-blind placebo period, subjects who had Hamilton Depression Rating Scale (HDRS) ≥ 18 received escitalopram 10 mg daily for 12 weeks. Apathy and disability were assessed with the Apathy Evaluation Scale (AES) and the World Health Organization Disability Assessment Scale II (WHODAS), respectively. These measures and the HDRS were administered at baseline and again following 12 weeks of treatment. At baseline, 38% of depressed subjects had significant apathy (AES ≥ 36.5). Severity of apathy at baseline significantly correlated with severity of disability. In a multivariate regression model, baseline severity of apathy, but not the overall depressive syndrome (HDRS), significantly correlated with baseline disability. Following escitalopram treatment, improvement in apathy significantly correlated with improvement in disability measures, while change in the rest of the depressive syndrome did not. The overall change in apathy and disability in response to escitalopram treatment was significant but small. Apathy is common in late-life depression and is associated with disability above and beyond the influence of other depressive symptoms. Given the strong relationship between apathy and disability, understanding the neurobiology of apathy and developing treatments for apathy may improve the functional outcomes of late-life depression. Copyright © 2015 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

Multibaseline interferometric SAR at millimeterwaves test of an algorithm on real data and a synthetic scene

NASA Astrophysics Data System (ADS)

Essen, Helmut; Brehm, Thorsten; Boehmsdorff, Stephan

2007-10-01

Interferometric Synthetic Aperture Radar has the capability to provide the user with the 3-D-Information of land surfaces. To gather data with high height estimation accuracy it is necessary to use a wide interferometric baseline or a high radar frequency. However the problem of resolving the phase ambiguity at smaller wavelengths is more critical than at longer wavelengths, as the unambiguous height interval is inversely proportional to the radar wavelength. To solve this shortcoming, a multiple baseline approach can be used with a number of neighbouring horns and an increasing baselength going from narrow to wide. The narrowest, corresponding to adjacent horns, is then assumed to be unambiguous in phase. This initial interferogram is used as a starting point for the algorithm, which in the next step, unwraps the interferogram with the next wider baseline using the coarse height information to solve the phase ambiguities. This process is repeated consecutively until the interferogram with highest precision is unwrapped. On the expense of this multi-channel-approach the algorithm is simple and robust, and even the amount of processing time is reduced considerably, compared to traditional methods. The multiple baseline approach is especially adequate for millimeterwave radars as antenna horns with relatively small aperture can be used, while a sufficient 3-dB beamwidth is maintained. The paper describes the multiple baseline algorithm and shows the results of tests on real data and a synthetic area. Possibilities and limitations of this approach are discussed. Examples of digital elevation maps derived from measured data at millimeterwaves are shown.

GABA level, gamma oscillation, and working memory performance in schizophrenia

PubMed Central

Chen, Chi-Ming A.; Stanford, Arielle D.; Mao, Xiangling; Abi-Dargham, Anissa; Shungu, Dikoma C.; Lisanby, Sarah H.; Schroeder, Charles E.; Kegeles, Lawrence S.

2014-01-01

A relationship between working memory impairment, disordered neuronal oscillations, and abnormal prefrontal GABA function has been hypothesized in schizophrenia; however, in vivo GABA measurements and gamma band neural synchrony have not yet been compared in schizophrenia. This case–control pilot study (N = 24) compared baseline and working memory task-induced neuronal oscillations acquired with high-density electroencephalograms (EEGs) to GABA levels measured in vivo with magnetic resonance spectroscopy. Working memory performance, baseline GABA level in the left dorsolateral prefrontal cortex (DLPFC), and measures of gamma oscillations from EEGs at baseline and during a working memory task were obtained. A major limitation of this study is a relatively small sample size for several analyses due to the integration of diverse methodologies and participant compliance. Working memory performance was significantly lower for patients than for controls. During the working memory task, patients (n = 7) had significantly lower amplitudes in gamma oscillations than controls (n = 9). However, both at rest and across working memory stages, there were significant correlations between gamma oscillation amplitude and left DLPFC GABA level. Peak gamma frequency during the encoding stage of the working memory task (n = 16) significantly correlated with GABA level and working memory performance. Despite gamma band amplitude deficits in patients across working memory stages, both baseline and working memory-induced gamma oscillations showed strong dependence on baseline GABA levels in patients and controls. These findings suggest a critical role for GABA function in gamma band oscillations, even under conditions of system and cognitive impairments as seen in schizophrenia. PMID:24749063

Tafamidis delays disease progression in patients with early stage transthyretin familial amyloid polyneuropathy: additional supportive analyses from the pivotal trial.

PubMed

Keohane, Denis; Schwartz, Jeffrey; Gundapaneni, Balarama; Stewart, Michelle; Amass, Leslie

2017-03-01

Tafamidis, a non-NSAID highly specific transthyretin stabilizer, delayed neurologic disease progression as measured by Neuropathy Impairment Score-Lower Limbs (NIS-LL) in an 18-month, double-blind, placebo-controlled randomized trial in 128 patients with early-stage transthyretin V30M familial amyloid polyneuropathy (ATTRV30M-FAP). The current post hoc analyses aimed to further evaluate the effects of tafamidis in delaying ATTRV30M-FAP progression in this trial. Pre-specified, repeated-measures analysis of change from baseline in NIS-LL in this trial (ClinicalTrials.gov NCT00409175) was repeated with addition of baseline as covariate and multiple imputation analysis for missing data by treatment group. Change in NIS-LL plus three small-fiber nerve tests (NIS-LL + Σ3) and NIS-LL plus seven nerve tests (NIS-LL + Σ7) were assessed without baseline as covariate. Treatment outcomes over the NIS-LL, Σ3, Σ7, modified body mass index and Norfolk Quality of Life-Diabetic Neuropathy Total Quality of Life Score were also examined using multivariate analysis techniques. Neuropathy progression based on NIS-LL change from baseline to Month 18 remained significantly reduced for tafamidis versus placebo in the baseline-adjusted and multiple imputation analyses. NIS-LL + Σ3 and NIS-LL + Σ7 captured significant treatment group differences. Multivariate analyses provided strong statistical evidence for a superior tafamidis treatment effect. These supportive analyses confirm that tafamidis delays neurologic progression in early-stage ATTRV30M-FAP. NCT00409175.

Optimization of the Neutrino Factory, revisited

NASA Astrophysics Data System (ADS)

Agarwalla, Sanjib K.; Huber, Patrick; Tang, Jian; Winter, Walter

2011-01-01

We perform the baseline and energy optimization of the Neutrino Factory including the latest simulation results on the magnetized iron detector (MIND). We also consider the impact of τ decays, generated by νμ → ντ or ν e → ντ appearance, on the mass hierarchy, CP violation, and θ 13 discovery reaches, which we find to be negligible for the considered detector. For the baseline-energy optimization for small sin2 2 θ 13, we qualitatively recover the results with earlier simulations of the MIND detector. We find optimal baselines of about 2500km to 5000km for the CP violation measurement, where now values of E μ as low as about 12 GeV may be possible. However, for large sin2 2 θ 13, we demonstrate that the lower threshold and the backgrounds reconstructed at lower energies allow in fact for muon energies as low as 5 GeV at considerably shorter baselines, such as FNAL-Homestake. This implies that with the latest MIND analysis, low-and high-energy versions of the Neutrino Factory are just two different versions of the same experiment optimized for different parts of the parameter space. Apart from a green-field study of the updated detector performance, we discuss specific implementations for the two-baseline Neutrino Factory, where the considered detector sites are taken to be currently discussed underground laboratories. We find that reasonable setups can be found for the Neutrino Factory source in Asia, Europe, and North America, and that a triangular-shaped storage ring is possible in all cases based on geometrical arguments only.

GABA level, gamma oscillation, and working memory performance in schizophrenia.

PubMed

Chen, Chi-Ming A; Stanford, Arielle D; Mao, Xiangling; Abi-Dargham, Anissa; Shungu, Dikoma C; Lisanby, Sarah H; Schroeder, Charles E; Kegeles, Lawrence S

2014-01-01

A relationship between working memory impairment, disordered neuronal oscillations, and abnormal prefrontal GABA function has been hypothesized in schizophrenia; however, in vivo GABA measurements and gamma band neural synchrony have not yet been compared in schizophrenia. This case-control pilot study (N = 24) compared baseline and working memory task-induced neuronal oscillations acquired with high-density electroencephalograms (EEGs) to GABA levels measured in vivo with magnetic resonance spectroscopy. Working memory performance, baseline GABA level in the left dorsolateral prefrontal cortex (DLPFC), and measures of gamma oscillations from EEGs at baseline and during a working memory task were obtained. A major limitation of this study is a relatively small sample size for several analyses due to the integration of diverse methodologies and participant compliance. Working memory performance was significantly lower for patients than for controls. During the working memory task, patients (n = 7) had significantly lower amplitudes in gamma oscillations than controls (n = 9). However, both at rest and across working memory stages, there were significant correlations between gamma oscillation amplitude and left DLPFC GABA level. Peak gamma frequency during the encoding stage of the working memory task (n = 16) significantly correlated with GABA level and working memory performance. Despite gamma band amplitude deficits in patients across working memory stages, both baseline and working memory-induced gamma oscillations showed strong dependence on baseline GABA levels in patients and controls. These findings suggest a critical role for GABA function in gamma band oscillations, even under conditions of system and cognitive impairments as seen in schizophrenia.

The effects of increasing body mass index on heartburn severity, frequency and response to treatment with dexlansoprazole or lansoprazole

PubMed Central

Peura, D A; Pilmer, B; Hunt, B; Mody, R; Perez, M C

2013-01-01

Background Higher body mass index (BMI) is a recognised risk factor for gastro-oesophageal reflux disease (GERD). Data regarding the impact of BMI on proton pump inhibitor (PPI) therapy are conflicting. Aim To assess the impact of BMI on baseline heartburn symptom severity and frequency and response to PPI therapy in patients with non-erosive GERD (NERD) or erosive oesophagitis (EO). Methods In post hoc analyses of phase 3 trial data, 621 NERD and 2692 EO patients were stratified by BMI (<25, 25 to <30 and ≥30 kg/m2). NERD patients received either dexlansoprazole MR 30 mg or placebo daily for 4 weeks. EO patients received either dexlansoprazole MR 60 mg or lansoprazole 30 mg for 8 weeks. Symptom frequency and severity were assessed at baseline and subsequently by daily diary. Results In both the NERD and EO cohorts, baseline heartburn severity increased with increasing BMI. The impact of PPI therapy on the reduction in heartburn symptom frequency and severity in both NERD and EO patients was similar across BMI categories. EO healing rates in patients treated with dexlansoprazole but not lansoprazole were higher in obese patients compared with those with a BMI <30 kg/m2. Differences between the PPIs were small. Conclusions The PPIs evaluated in this study reduced the frequency and severity of 24-h heartburn regardless of baseline BMI. In addition, because patients with higher BMI have more severe symptoms at baseline, they may experience greater therapeutic gain with dexlansoprazole (NERD and erosive oesophagitis) and possibly lansoprazole (erosive oesophagitis) treatment. PMID:23451835

The effects of increasing body mass index on heartburn severity, frequency and response to treatment with dexlansoprazole or lansoprazole.

PubMed

Peura, D A; Pilmer, B; Hunt, B; Mody, R; Perez, M C

2013-04-01

Higher body mass index (BMI) is a recognised risk factor for gastro-oesophageal reflux disease (GERD). Data regarding the impact of BMI on proton pump inhibitor (PPI) therapy are conflicting. To assess the impact of BMI on baseline heartburn symptom severity and frequency and response to PPI therapy in patients with non-erosive GERD (NERD) or erosive oesophagitis (EO). In post hoc analyses of phase 3 trial data, 621 NERD and 2692 EO patients were stratified by BMI (<25, 25 to <30 and ≥30 kg/m(2) ). NERD patients received either dexlansoprazole MR 30 mg or placebo daily for 4 weeks. EO patients received either dexlansoprazole MR 60 mg or lansoprazole 30 mg for 8 weeks. Symptom frequency and severity were assessed at baseline and subsequently by daily diary. In both the NERD and EO cohorts, baseline heartburn severity increased with increasing BMI. The impact of PPI therapy on the reduction in heartburn symptom frequency and severity in both NERD and EO patients was similar across BMI categories. EO healing rates in patients treated with dexlansoprazole but not lansoprazole were higher in obese patients compared with those with a BMI <30 kg/m(2) . Differences between the PPIs were small. The PPIs evaluated in this study reduced the frequency and severity of 24-h heartburn regardless of baseline BMI. In addition, because patients with higher BMI have more severe symptoms at baseline, they may experience greater therapeutic gain with dexlansoprazole (NERD and erosive oesophagitis) and possibly lansoprazole (erosive oesophagitis) treatment. © 2013 Blackwell Publishing Ltd.

Changes in Heart Rate Associated with Exenatide Once Weekly: Pooled Analysis of Clinical Data in Patients with Type 2 Diabetes.

PubMed

Marso, Steven P; Hardy, Elise; Han, Jenny; Wang, Hui; Chilton, Robert J

2018-04-01

Glucagon-like peptide-1 receptor agonists (GLP-1RAs) improve glycemia in patients with type 2 diabetes, but heart rate increases have been observed. A pooled post hoc analysis of 11 randomized clinical trials (N = 4595) of 10-30 weeks' duration from the exenatide once-weekly (QW) development program evaluated heart rate with exenatide QW (intervention group) and exenatide twice daily (BID), liraglutide, and non-GLP-1RAs (insulin, metformin, pioglitazone, and sitagliptin) (comparison groups). The time course and size of heart rate changes from baseline and the relationship of heart rate change with baseline heart rate were studied. A multivariate analysis (9 studies; N = 3903) examined associations between patient characteristics or treatments and heart rate increases. Mean baseline heart rate ± standard deviation was 75.0 ± 8.5 beats per minute (bpm) with exenatide QW (n = 2096), 75.8 ± 8.7 bpm with exenatide BID (n = 606), 75.2 ± 8.9 bpm with liraglutide (n = 450), and 74.5 ± 8.6 bpm with non-GLP-1RAs (n = 1443). Least-squares mean ± standard error changes from baseline to final heart rate were + 2.7 ± 0.2, + 1.0 ± 0.3, and + 3.0 ± 0.4 bpm with exenatide QW, exenatide BID, and liraglutide, respectively, and - 0.8 ± 0.2 bpm with non-GLP-1RAs. The size and direction of heart rate changes in individual patients varied within each treatment group at all time points. At posttreatment follow-up, heart rate reverted to the baseline level after GLP-1RA discontinuation. Heart rate changes correlated negatively with baseline heart rate for all therapies (r = - 0.3 to - 0.4). Baseline heart rate was the strongest predictor of increased heart rate. Small increases in heart rate were associated with exenatide QW, exenatide BID, and liraglutide treatments but reverted to baseline after discontinuation. Increases were more likely in patients with a low baseline heart rate. The clinical relevance of these heart rate increases is unknown but will be clarified by several ongoing and recently completed cardiovascular outcome studies.

The problem of isotopic baseline: Reconstructing the diet and trophic position of fossil animals

NASA Astrophysics Data System (ADS)

Casey, Michelle M.; Post, David M.

2011-05-01

Stable isotope methods are powerful, frequently used tools which allow diet and trophic position reconstruction of organisms and the tracking of energy sources through ecosystems. The majority of ecosystems have multiple food sources which have distinct carbon and nitrogen isotopic signatures despite occupying a single trophic level. This difference in the starting isotopic composition of primary producers sets up an isotopic baseline that needs to be accounted for when calculating diet or trophic position using stable isotopic methods. This is particularly important when comparing animals from different regions or different times. Failure to do so can cause erroneous estimations of diet or trophic level, especially for organisms with mixed diets. The isotopic baseline is known to vary seasonally and in concert with a host of physical and chemical variables such as mean annual rainfall, soil maturity, and soil pH in terrestrial settings and lake size, depth, and distance from shore in aquatic settings. In the fossil record, the presence of shallowing upward suites of rock, or parasequences, will have a considerable impact on the isotopic baseline as basin size, depth and distance from shore change simultaneously with stratigraphic depth. For this reason, each stratigraphic level is likely to need an independent estimation of baseline even within a single outcrop. Very little is known about the scope of millennial or decadal variation in isotopic baseline. Without multi-year data on the nature of isotopic baseline variation, the impacts of time averaging on our ability to resolve trophic relationships in the fossil record will remain unclear. The use of a time averaged baseline will increase the amount of error surrounding diet and trophic position reconstructions. Where signal to noise ratios are low, due to low end member disparity (e.g., aquatic systems), or where the observed isotopic shift is small (≤ 1‰) the error introduced by time averaging may severely inhibit the scope of one's interpretations and limit the types of questions one can reliably answer. In situations with strong signal strength, resulting from high amounts of end member disparity (e.g., terrestrial settings), this additional error maybe surmountable. Baseline variation that is adequately characterized can be dealt with by applying multiple end-member mixing models.

Quality of Life Analysis of a Radiation Dose-Escalation Study of Patients With Non-Small-Cell Lung Cancer: A Secondary Analysis of the Radiation Therapy Oncology Group 0617 Randomized Clinical Trial.

PubMed

Movsas, Benjamin; Hu, Chen; Sloan, Jeffrey; Bradley, Jeffrey; Komaki, Ritsuko; Masters, Gregory; Kavadi, Vivek; Narayan, Samir; Michalski, Jeff; Johnson, Douglas W; Koprowski, Christopher; Curran, Walter J; Garces, Yolanda I; Gaur, Rakesh; Wynn, Raymond B; Schallenkamp, John; Gelblum, Daphna Y; MacRae, Robert M; Paulus, Rebecca; Choy, Hak

2016-03-01

A recent randomized radiation dose-escalation trial in unresectable stage III non-small-cell lung cancer (NSCLC) (Radiation Therapy Oncology Group [RTOG] 0617) showed a lower survival rate in the high-dose radiation therapy (RT) arm (74 Gy) than in the low-dose arm (60 Gy) with concurrent chemotherapy. The primary QOL hypothesis predicted a clinically meaningful decline in quality of life (QOL) via the Functional Assessment of Cancer Therapy (FACT)-Lung Cancer Subscale (LCS) in the high-dose RT arm at 3 months. The RTOG 0617 trial was a randomized phase 3 study (conducted from November 2007 to November 2011) in stage III NSCLC using a 2 × 2 factorial design and stratified by histology, positron emission tomography staging, performance status, and irradiation technique (3-dimensional conformal RT [3D-CRT] vs intensity-modulated RT [IMRT]). A total of 185 institutions in the United States and Canada took part. Of 424 eligible patients with stage III NSCLC randomized, 360 (85%) consented to QOL evaluation, of whom 313 (88%) completed baseline QOL assessments. Treatment with 74-Gy vs 60-Gy RT with concurrent and consolidation carboplatin/paclitaxel with or without cetuximab. The QOL data were collected prospectively via FACT Trial Outcome Index (FACT-TOI), calculated as the sum of the following measures: Physical Well Being (PWB), Functional Well Being (FWB), and the LCS. Data are presented at baseline and 3 and 12 months via minimal clinically meaningful changes of 2 points or more for PWB, FWB, and LCS or 5 points or more for TOI. Of the 313 patients who completed baseline QOL assessments, 219 patients (70%) completed the 3-month QOL assessments, and 137 of the living patients (57%) completed the 12-month assessment. Patient demographics and baseline QOL scores were comparable between the 74-Gy and 60-Gy arms. Significantly more patients in the 74-Gy arm than in the 60-Gy arm had clinically meaningful decline in FACT-LCS at 3 months (45% vs 30%; P = .02). At 12 months, fewer patients who received IMRT (vs 3D-CRT) had clinically meaningful decline in FACT-LCS (21% vs 46%; P = .003). Baseline FACT-TOI was associated with overall survival in multivariate analysis. Despite few differences in clinician-reported toxic effects between treatment arms, QOL analysis demonstrated a clinically meaningful decline in QOL in the 74-Gy arm at 3 months, confirming the primary QOL hypothesis. Baseline QOL was an independent prognostic factor for survival. clinicaltrials.gov Identifier: NCT00533949.

The effect of vilazodone on sexual function during the treatment of major depressive disorder.

PubMed

Clayton, Anita H; Kennedy, Sidney H; Edwards, John B; Gallipoli, Susan; Reed, Carol R

2013-10-01

  Sexual dysfunction is common in major depressive disorder (MDD), and many serotonergic antidepressants adversely affect sexual function. Vilazodone, a novel serotonin (5-HT) reuptake inhibitor and 5-HT1A partial agonist approved for MDD, exerts its effects at the 5-HT transporter and at both presynaptic and postsynaptic 5-HT1A receptors. This mechanism may limit sexual dysfunction.   To summarize effects of vilazodone (40 mg/day, with food) on sexual function in adults with MDD.   Data sources were three Phase III studies: two 8-week, placebo-controlled studies (NCT00285376 and NCT00683592) and a 52-week open-label study (NCT00644358). Sexual function was assessed by analyzing changes from baseline to end of treatment (EOT) using validated measures.   Arizona Sexual Experience Scale or Changes in Sexual Functioning Questionnaire.   Population included 869 patients (vilazodone, 436; placebo, 433) from placebo-controlled studies and 599 patients from the open-label study. Sexual dysfunction prevalence was high (50%, men; 68%, women) before treatment and declined during treatment in vilazodone and placebo groups, indicating improvement on average. At EOT, stable/improved sexual function was observed in ≥91% of patients in placebo-controlled studies; treatment group differences in sexual dysfunction at EOT were not statistically significant for either sex. Differences vs. placebo in changes from baseline of sexual function scores were small and were generally not statistically significant; effect sizes (Cohen's D) were generally of low magnitude. In the placebo-controlled studies, 8.0% of vilazodone-treated patients and 0.9% of placebo-treated patients reported ≥1 sexual-function-related treatment-emergent adverse event (P<0.001).   Half of men and two thirds of women with MDD had sexual dysfunction at baseline; sexual function improved on average in both vilazodone and placebo groups. Results suggest that vilazodone may have a small adverse impact on sexual function in adults with MDD relative to the high prevalence of sexual dysfunction at baseline. © 2012 International Society for Sexual Medicine.

Imaging Cellular Proliferation During Chemo-Radiotherapy: A Pilot Study of Serial {sup 18}F-FLT Positron Emission Tomography/Computed Tomography Imaging for Non-Small-Cell Lung Cancer

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

Everitt, Sarah, E-mail: Sarah.Everitt@petermac.or; Department of Medical Imaging and Radiation Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria; Hicks, Rodney J.

2009-11-15

Purpose: To establish whether {sup 18}F-3'-deoxy-3'-fluoro-L-thymidine ({sup 18}F-FLT) can monitor changes in cellular proliferation of non-small-cell lung cancer (NSCLC) during radical chemo-radiotherapy (chemo-RT). Methods and Materials: As part of a prospective pilot study, 5 patients with locally advanced NSCLC underwent serial {sup 18}F-FLT positron emission tomography (PET)/computed tomography (CT) scans during treatment. Baseline {sup 18}F-FLT PET/CT scans were compared with routine staging {sup 18}F-FDG PET/CT scans. Two on-treatment {sup 18}F-FLT scans were performed for each patient on Days 2, 8, 15 or 29, providing a range of time points for response assessment. Results: In all 5 patients, baseline lesional uptakemore » of {sup 18}F-FLT on PET/CT corresponded to staging {sup 18}F-FDG PET/CT abnormalities. {sup 18}F-FLT uptake in tumor was observed on five of nine (55%) on-treatment scans, on Days 2, 8 and 29, but not Day 15. A 'flare' of {sup 18}F-FLT uptake in the primary tumor of one case was observed after 2 Gy of radiation (1.22 x baseline). The remaining eight on-treatment scans demonstrated a mean reduction in {sup 18}F-FLT tumor uptake of 0.58 x baseline. A marked reduction of {sup 18}F-FLT uptake in irradiated bone marrow was observed for all cases. This reduction was observed even after only 2 Gy, and all patients demonstrated a complete absence of proliferating marrow after 10 Gy. Conclusions: This proof of concept study indicates that {sup 18}F-FLT uptake can monitor the distinctive biologic responses of epithelial cancers and highly radiosensitive normal tissue changes during radical chemo-RT. Further studies of {sup 18}F-FLT PET/CT imaging during therapy may suggest that this tracer is useful in developing response-adapted RT for NSCLC.« less

Comparative efficacy of two battery-powered toothbrushes on dental plaque removal.

PubMed

Ruhlman, C Douglas; Bartizek, Robert D; Biesbrock, Aaron R

2002-01-01

A number of clinical studies have consistently demonstrated that power toothbrushes deliver superior plaque removal compared to manual toothbrushes. Recently, a new power toothbrush (Crest SpinBrush) has been marketed with a design that fundamentally differs from other marketed power toothbrushes. Other power toothbrushes feature a small, round head designed to oscillate for enhanced cleaning between the teeth and below the gumline. The new power toothbrush incorporates a similar round oscillating head in conjunction with fixed bristles, which allows the user to brush with optimal manual brushing technique. The objective of this randomized, examiner-blind, parallel design study was to compare the plaque removal efficacy of a positive control power toothbrush (Colgate Actibrush) to an experimental toothbrush (Crest SpinBrush) following a single use among 59 subjects. Baseline plaque scores were 1.64 and 1.40 for the experimental toothbrush and control toothbrush treatment groups, respectively. With regard to all surfaces examined, the experimental toothbrush delivered an adjusted (via analysis of covariance) mean difference between baseline and post-brushing plaque scores of 0.47, while the control toothbrush delivered an adjusted mean difference of 0.33. On average, the difference between toothbrushes was statistically significant (p = 0.013). Because the covariate slope for the experimental group was statistically significantly greater (p = 0.001) than the slope for the control group, a separate slope model was used. Further analysis demonstrated that the experimental group had statistically significantly greater plaque removal than the control group for baseline plaque scores above 1.43. With respect to buccal surfaces, using a separate slope analysis of covariance, the experimental toothbrush delivered an adjusted mean difference between baseline and post-brushing plaque scores of 0.61, while the control toothbrush delivered an adjusted mean difference of 0.39. This difference between toothbrushes was also statistically significant (p = 0.002). On average, the results on lingual surfaces demonstrated similar directional scores favoring the experimental toothbrush; however these results did not achieve statistical significance. In conclusion, the experimental Crest SpinBrush, with its novel fixed and oscillating bristle design, was found to be more effective than the positive control Colgate Actibrush, which is designed with a small round oscillating cluster of bristles.

Effect on Fasting Serum Glucose Levels of Adding Ezetimibe to Statins in Patients With Nondiabetic Hypercholesterolemia.

PubMed

Toth, Peter P; Catapano, Alberico L; Farnier, Michel; Foody, Joanne; Tomassini, Joanne E; Jensen, Erin; Polis, Adam B; Hanson, Mary E; Musliner, Thomas A; Tershakovec, Andrew M

2016-12-15

Statin therapy is associated with a slightly increased risk of developing diabetes mellitus and insulin resistance in patients without diabetes. Ezetimibe combined with statins may be considered for high-risk patients who do not achieve optimal low-density lipoprotein cholesterol lowering on statin monotherapy or who are statin intolerant. Changes in fasting serum glucose (FSG) levels during ezetimibe, ezetimibe/statin, and statin treatments were assessed using data pooled from clinical trials in hypercholesterolemic and heterozygous familial hypercholesterolemic patients, who were or were not receiving statin therapy. Study types included first-line trials in statin-naive/wash-out patients and second-line add-on and uptitration studies in patients on stable statin therapy. Similar analyses of FSG changes were performed separately for each study type in patients who were nondiabetic at baseline. Across all study types and treatments, mean FSG increases from baseline were small (0.5 to 3.7 mg/dl with ezetimibe/statin; 0.2 to 4.6 mg/dl with statins) and decreased over time; between-treatment differences (0.3 to 1.4 mg/dl) were nonsignificant for all comparisons. Proportions of patients with elevated FSG ≥126 mg/dl during therapy were low and similar for all treatments in the overall cohort (1.2% to 4.3%). Elevations were highest (3.3% to 25.7%) among patients with baseline factors characteristic of metabolic syndrome and prediabetes, including higher FSG, body mass index, and triglyceride levels, and numerically lower baseline high-density lipoprotein cholesterol; however, these factors were not related to FSG increases. Changes in low-density lipoprotein cholesterol, body mass index, high-density lipoprotein cholesterol, triglycerides, and apolipoprotein B were not significantly correlated with FSG increases. In conclusion, statin therapy was associated with small FSG increases, and the addition of ezetimibe did not further increase FSG levels beyond those of statins when given to patients who are statin naive or those on statin therapy. Copyright © 2016 The Authors and Merck Sharp & Dohme Corp. Published by Elsevier Inc. All rights reserved.

Food Choice Architecture: An Intervention in a Secondary School and its Impact on Students’ Plant-based Food Choices

PubMed Central

Ensaff, Hannah; Homer, Matt; Sahota, Pinki; Braybrook, Debbie; Coan, Susan; McLeod, Helen

2015-01-01

With growing evidence for the positive health outcomes associated with a plant-based diet, the study’s purpose was to examine the potential of shifting adolescents’ food choices towards plant-based foods. Using a real world setting of a school canteen, a set of small changes to the choice architecture was designed and deployed in a secondary school in Yorkshire, England. Focussing on designated food items (whole fruit, fruit salad, vegetarian daily specials, and sandwiches containing salad) the changes were implemented for six weeks. Data collected on students’ food choice (218,796 transactions) enabled students’ (980 students) selections to be examined. Students’ food choice was compared for three periods: baseline (29 weeks); intervention (six weeks); and post-intervention (three weeks). Selection of designated food items significantly increased during the intervention and post-intervention periods, compared to baseline (baseline, 1.4%; intervention 3.0%; post-intervention, 2.2%) χ2(2) = 68.1, p < 0.001. Logistic regression modelling also revealed the independent effect of the intervention, with students 2.5 times as likely (p < 0.001) to select the designated food items during the intervention period, compared to baseline. The study’s results point to the influence of choice architecture within secondary school settings, and its potential role in improving adolescents’ daily food choices. PMID:26043039

Aerosol can puncture device operational test plan

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

Leist, K.J.

1994-05-03

Puncturing of aerosol cans is performed in the Waste Receiving and Processing Facility Module 1 (WRAP 1) process as a requirement of the waste disposal acceptance criteria for both transuranic (TRU) waste and low-level waste (LLW). These cans have contained such things as paints, lubricating oils, paint removers, insecticides, and cleaning supplies which were used in radioactive facilities. Due to Westinghouse Hanford Company (WHC) Fire Protection concerns of the baseline system`s fire/explosion proof characteristics, a study was undertaken to compare the baseline system`s design to commercially available puncturing devices. While the study found no areas which might indicate a riskmore » of fire or explosion, WHC Fire Protection determined that the puncturing system must have a demonstrated record of safe operation. This could be obtained either by testing the baseline design by an independent laboratory, or by substituting a commercially available device. As a result of these efforts, the commercially available Aerosolv can puncturing device was chosen to replace the baseline design. Two concerns were raised with the system. Premature blinding of the coalescing/carbon filter, due to its proximity to the puncture and draining operation; and overpressurization of the collection bottle due to its small volume and by blinding of the filter assembly. As a result of these concerns, testing was deemed necessary. The objective of this report is to outline test procedures for the Aerosolv.« less

Impact of response shift on the assessment of treatment effects using the Oral Health Impact Profile.

PubMed

Reissmann, Daniel R; Remmler, Antje; John, Mike T; Schierz, Oliver; Hirsch, Christian

2012-12-01

The assessment of changes in oral health-related quality of life (OHRQoL) is challenging because individuals' concepts and internal standards of OHRQoL may change over time. The aim of this study was to detect response shifts in OHRQoL assessments made using the Oral Health Impact Profile (OHIP). Oral health-related quality of life was assessed in a consecutive sample of 126 patients seeking prosthodontic care. Patients were asked to rate their OHRQoL before treatment started and 1 month after treatment was finished, using the German 49-item version of the OHIP. When rating their OHRQoL after treatment, patients were also asked to rate their pre-treatment OHRQoL without having access to their baseline data. The response shift was calculated as the difference in OHIP summary scores between the initial assessment and the retrospective baseline assessment. The OHIP mean scores decreased from 31.8 at the initial baseline assessment to 24.4 after treatment. The retrospective baseline assessment resulted in an OHIP mean score of 38.1, corresponding to a response shift of 6.3 OHIP points. The effect size (Cohen's d = 0.21) of the response shift was considered small. The response shift phenomenon and its magnitude have important implications for dental practice, where patients and dentists often assess perceived treatment effects retrospectively. © 2012 Eur J Oral Sci.

Ensembles of novelty detection classifiers for structural health monitoring using guided waves

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

Dib, Gerges; Karpenko, Oleksii; Koricho, Ermias

Guided wave structural health monitoring uses sparse sensor networks embedded in sophisticated structures for defect detection and characterization. The biggest challenge of those sensor networks is developing robust techniques for reliable damage detection under changing environmental and operating conditions. To address this challenge, we develop a novelty classifier for damage detection based on one class support vector machines. We identify appropriate features for damage detection and introduce a feature aggregation method which quadratically increases the number of available training observations.We adopt a two-level voting scheme by using an ensemble of classifiers and predictions. Each classifier is trained on a differentmore » segment of the guided wave signal, and each classifier makes an ensemble of predictions based on a single observation. Using this approach, the classifier can be trained using a small number of baseline signals. We study the performance using monte-carlo simulations of an analytical model and data from impact damage experiments on a glass fiber composite plate.We also demonstrate the classifier performance using two types of baseline signals: fixed and rolling baseline training set. The former requires prior knowledge of baseline signals from all environmental and operating conditions, while the latter does not and leverages the fact that environmental and operating conditions vary slowly over time and can be modeled as a Gaussian process.« less

Clinical and Vitamin Response to a Short-Term Multi-Micronutrient Intervention in Brazilian Children and Teens: From Population Data to Interindividual Responses.

PubMed

Mathias, Mariana Giaretta; Coelho-Landell, Carolina de Almeida; Scott-Boyer, Marie-Pier; Lacroix, Sébastien; Morine, Melissa J; Salomão, Roberta Garcia; Toffano, Roseli Borges Donegá; Almada, Maria Olímpia Ribeiro do Vale; Camarneiro, Joyce Moraes; Hillesheim, Elaine; de Barros, Tamiris Trevisan; Camelo-Junior, José Simon; Campos Giménez, Esther; Redeuil, Karine; Goyon, Alexandre; Bertschy, Emmanuelle; Lévêques, Antoine; Oberson, Jean-Marie; Giménez, Catherine; Carayol, Jerome; Kussmann, Martin; Descombes, Patrick; Métairon, Slyviane; Draper, Colleen Fogarty; Conus, Nelly; Mottaz, Sara Colombo; Corsini, Giovanna Zambianchi; Myoshi, Stephanie Kazu Brandão; Muniz, Mariana Mendes; Hernandes, Lívia Cristina; Venâncio, Vinícius Paula; Antunes, Lusania Maria Greggi; da Silva, Rosana Queiroz; Laurito, Taís Fontellas; Rossi, Isabela Ribeiro; Ricci, Raquel; Jorge, Jéssica Ré; Fagá, Mayara Leite; Quinhoneiro, Driele Cristina Gomes; Reche, Mariana Chinarelli; Silva, Paula Vitória Sozza; Falquetti, Letícia Lima; da Cunha, Thaís Helena Alves; Deminice, Thalia Manfrin Martins; Tambellini, Tâmara Hambúrguer; de Souza, Gabriela Cristina Arces; de Oliveira, Mariana Moraes; Nogueira-Pileggi, Vicky; Matsumoto, Marina Takemoto; Priami, Corrado; Kaput, Jim; Monteiro, Jacqueline Pontes

2018-03-01

Micronutrients are in small amounts in foods, act in concert, and require variable amounts of time to see changes in health and risk for disease. These first principles are incorporated into an intervention study designed to develop new experimental strategies for setting target recommendations for food bioactives for populations and individuals. A 6-week multivitamin/mineral intervention is conducted in 9-13 year olds. Participants (136) are (i) their own control (n-of-1); (ii) monitored for compliance; (iii) measured for 36 circulating vitamin forms, 30 clinical, anthropometric, and food intake parameters at baseline, post intervention, and following a 6-week washout; and (iv) had their ancestry accounted for as modifier of vitamin baseline or response. The same intervention is repeated the following year (135 participants). Most vitamins respond positively and many clinical parameters change in directions consistent with improved metabolic health to the intervention. Baseline levels of any metabolite predict its own response to the intervention. Elastic net penalized regression models are identified, and significantly predict response to intervention on the basis of multiple vitamin/clinical baseline measures. The study design, computational methods, and results are a step toward developing recommendations for optimizing vitamin levels and health parameters for individuals. © 2018 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

The knowledge-attitude dissociation in geriatric education: can it be overcome?

PubMed

Koh, Gerald C H; Merchant, Reshma A; Lim, Wee Shiong; Amin, Zubair

2012-09-01

A knowledge-attitude dissociation often exists in geriatrics where knowledge but not attitudes towards elderly patients improve with education. This study aims to determine whether a holistic education programme incorporating multiple educational strategies such as early exposure, ageing simulation and small group teaching results in improving geriatrics knowledge and attitudes among medical students. We administered the 18-item University of California Los Angeles (UCLA) Geriatric Knowledge Test (GKT) and the Singapore-modified 16-item UCLA Geriatric Attitudes Test (GAT) to 2nd year students of the old curriculum in 2009 (baseline reference cohort, n = 254), and before and after the new module to students of the new curriculum in 2010 (intervention cohort, n = 261), both at the same time of the year. At baseline, between the baseline reference and intervention cohort, there was no difference in knowledge (UCLA-GKT Score: 31.6 vs 33.5, P = 0.207) but attitudes of the intervention group were worse than the baseline reference group (UCLA-GAT Score: 3.53 vs 3.43, P = 0.003). The new module improved both the geriatric knowledge (UCLA-GKT Score: 34.0 vs 46.0, P <0.001) and attitudes (UCLA-GAT Score: 3.43 vs 3.50, P <0.001) of the intervention cohort. A geriatric education module incorporating sound educational strategies improved both geriatric knowledge and attitudes among medical students.

Surface Properties of the Moon, Venus and Small Bodies from Radar Observations

NASA Technical Reports Server (NTRS)

Campbell, Donald B.

1997-01-01

Studies of the moon during the period of the grant revolved around the issues of the possible presence of ice at the lunar poles and the determination of the electrical properties of the maria regoliths. The search for ice at the poles was conducted using measurements of the radar backscatter cross sections and circular polarization ratios measured from 125 m resolution Arecibo radar imagery at 13 cm wavelength obtained by Nicholas Stacy. No clear indication of the presence of ice was found in areas thought to be in permanent shadow from solar radiation. Then Cornell graduate student Greg Black modeled the radar backscattering behavior of the icy Galilean satellites using three wavelength measurements of their radar backscattering properties obtained with the Arecibo and Goldstone radars. The radar scattering properties of Europa, Ganymede, and Callisto are unlike those of any other object observed with planetary radars. They are strongly backscattering with specific radar cross sections that can exceed unity. Polarization ratios are also high, approx. 1.5, indicative of multiple scattering, and the echos follow a diffuse scattering law at all incident angles with no indication of quasi-specular reflections. 3) Most of our effort on small bodies went into developing and investigating methods for long baseline radar synthesis imaging of near-earth asteroids and comets. At X-band, the width of the synthesized beam of the Very Long Baseline Array (VLBA) is approximately 15 m at 0.03AU, a typical close approach distance for near-earth asteroids. A small amount of work was done analyzing Venus data from Arecibo and the Magellan mission.

Analysing a cycling grand tour: Can we monitor fatigue with intensity or load ratios?

PubMed

Sanders, Dajo; Heijboer, Mathieu; Hesselink, Matthijs K C; Myers, Tony; Akubat, Ibrahim

2018-06-01

This study evaluated the changes in ratios of different intensity (rating of perceived exertion; RPE, heart rate; HR, power output; PO) and load measures (session-RPE; sRPE, individualized TRIMP; iTRIMP, Training Stress Score™; TSS) in professional cyclists. RPE, PO and HR data was collected from twelve professional cyclists (VO 2max 75 ± 6 ml∙min∙kg -1 ) during a two-week baseline training period and during two cycling Grand Tours. Subjective:objective intensity (RPE:HR, RPE:PO) and load (sRPE:iTRIMP, sRPE:TSS) ratios and external:internal intensity (PO:HR) and load (TSS:iTRIMP) ratios were calculated for every session. Moderate to large increases in the RPE:HR, RPE:PO and sRPE:TSS ratios (d = 0.79-1.79) and small increases in the PO:HR and sRPE:iTRIMP ratio (d = 0.21-0.41) were observed during Grand Tours compared to baseline training data. Differences in the TSS:iTRIMP ratio were trivial to small (d = 0.03-0.27). Small to moderate week-to-week changes (d = 0.21-0.63) in the PO:HR, RPE:PO, RPE:HR, TSS:iTRIMP, sRPE:iTRIMP and sRPE:TSS were observed during the Grand Tour. Concluding, this study shows the value of using ratios of intensity and load measures in monitoring cyclists. Increases in ratios could reflect progressive fatigue that is not readily detected by changes in solitary intensity/load measures.

Visual Acuity Change over 12 Months in the Prospective Progression of Atrophy Secondary to Stargardt Disease (ProgStar) Study: ProgStar Report Number 6.

PubMed

Kong, Xiangrong; Strauss, Rupert W; Cideciyan, Artur V; Michaelides, Michel; Sahel, José-Alain; Munoz, Beatriz; Ahmed, Mohamed; Ervin, Ann M; West, Sheila K; Cheetham, Janet K; Scholl, Hendrik P N

2017-11-01

To estimate the yearly rate of change of best-corrected visual acuity (BCVA) and the risk of loss 1 line or more over 1 year and to identify risk factors for BCVA loss in patients with Stargardt disease (STGD1). Multicenter, prospective cohort study. Two hundred fifty-nine patients (489 eyes) with molecularly confirmed STGD1 enrolled at 9 centers in the United States and Europe. Participants were followed up every 6 months, and data at the baseline and 6- and 12-month visits were analyzed. Best-corrected visual acuity was measured using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol. Standardized reporting forms were used to collect participants' characteristics and clinical observations. Linear mixed effects models were used to estimate the rate of BCVA loss. Linear models with generalized estimating equations were used to identify risk factors for BCVA loss of 1 line or more over 1 year. Change in BCVA over 1 year. Cross-sectional analysis at baseline showed that earlier symptom onset and longer duration since onset was associated with worse BCVA. Longitudinal analysis showed no overall significant change of BCVA within 12 months, but the rate of BCVA change was significantly different by baseline BCVA (P < 0.001). The BCVA of eyes with baseline BCVA of 20/25 or better declined at a rate of 2.8 ETDRS letters per year (P = 0.10), eyes with baseline BCVA between 20/25 and 20/70 declined at a rate of 2.3 ETDRS letters per year (P = 0.002), eyes with baseline BCVA between 20/70 and 20/200 declined at a rate of 0.8 ETDRS letters per year (P = 0.08), and eyes with baseline BCVA worse than 20/200 showed a significant improvement of 2.3 ETDRS letters per year (P < 0.001). Overall, 12.9% of eyes lost 1 line or more, and the risk of such BCVA loss was different by baseline BCVA level (P = 0.016). Smoking and vitamin A use was not associated significantly with baseline BCVA, nor with rate of BCVA loss over 1 year. Change in BCVA in STGD1 patients over a 12-month period was small, but varied depending on baseline BCVA. Given the slow change during 1 year, BCVA is unlikely to be a sensitive outcome measure for STGD1 treatment trials with 1 year's duration. Copyright © 2017 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

15 KW Small Turboelectric Power Generation System

DTIC Science & Technology

2006-08-18

1 hour per response, including the time for reviewing instnlctions, searching existing data sources, gathering and maintaining the data needed, and...pressure rise is consistent with data from the baseline compressor and a large body of published diffuser data . Table 1 LTS22 Compressor Preliminary... data on designs of 150 HP, 60 HP, and 5 HP engine size class, and in subsequent engine testing. The design methodology encompasses basic sizing

The Effect of High Versus Low Teacher Affect and Passive Versus Active Student Activity During Music Listening on Preschool Children's Attention, Piece Preference, Time Spent Listening, and Piece Recognition.

ERIC Educational Resources Information Center

Sims, Wendy L.

1986-01-01

Small-group listening lessons and subsequent individual posttests were used to judge 94 three- through five-year-old subjects' attention, paired-comparison piece preference, time spent listening, and piece recognition. Research procedures included a modified multiple baseline design and split-screen video taping of instructional sessions.…

Trastuzumab-induced cardiotoxicity.

PubMed

Moss, Lisa Stegall; Starbuck, Mandy Fields; Mayer, Deborah K; Harwood, Elaine Brooks; Glotzer, Jana

2009-11-01

To review trastuzumab-related cardiotoxic effects in the breast cancer adjuvant setting, present a system for pretreatment screening for cardiovascular risk factors, describe monitoring recommendations, provide a tool to facilitate adherence to monitoring guidelines, and discuss implications for patient education. Literature regarding cardiotoxicity and trastuzumab in breast cancer. Trastuzumab was approved in 2006 for use in the adjuvant setting. A small percentage of women (approximately 4%) developed heart failure during or after treatment. However, the trials excluded women with cardiac disease. Current screening for cardiotoxicity relies on sequential left ventricular function measurements with either echocardiography or multigated acquisition scanning at baseline and every three months. Treatment modifications are recommended if changes from baseline are detected. Long-term and late effects have yet to be determined. Although a small number of women experienced cardiotoxicity in the adjuvant setting, an increase may be seen because women with preexisting heart disease receive this treatment. Guidelines and tools will be helpful for appropriate and consistent screening of cardiac risk factors and disease prior to initiation of trastuzumab and for monitoring during and after administration. Nurses are instrumental in assessing, monitoring, and treating women receiving trastuzumab. Implementing guidelines to promote adherence to recommended monitoring is important in the early detection of cardiotoxicity in this population. Educating women about their treatment and side effects is an important aspect of care.

Exercise training improves free testosterone in lifelong sedentary aging men.

PubMed

Hayes, Lawrence D; Herbert, Peter; Sculthorpe, Nicholas F; Grace, Fergal M

2017-07-01

As the impact of high-intensity interval training (HIIT) on systemic hormones in aging men is unstudied to date, we investigated whether total testosterone (TT), sex hormone-binding globulin (SHBG), free testosterone (free-T) and cortisol (all in serum) were altered following HIIT in a cohort of 22 lifelong sedentary (62 ± 2 years) older men. As HIIT requires preconditioning exercise in sedentary cohorts, participants were tested at three phases, each separated by six-week training; baseline (phase A), following conditioning exercise (phase B) and post-HIIT (phase C). Each measurement phase used identical methods. TT was significantly increased following HIIT (~17%; P  < 0.001) with most increase occurring during preconditioning (~10%; P  = 0.007). Free-T was unaffected by conditioning exercise ( P  = 0.102) but was significantly higher following HIIT compared to baseline (~4.5%; P  = 0.023). Cortisol remained unchanged from A to C ( P  = 0.138). The present data indicate a combination of preconditioning, and HIIT increases TT and SHBG in sedentary older males, with the HIIT stimulus accounting for a small but statistically significant increase in free-T. Further study is required to determine the biological importance of small improvements in free-T in aging men. © 2017 The authors.

Post-Seismic Deformation from the 2009 Mw 6.3 Dachaidan Earthquake in the Northern Qaidam Basin Detected by Small Baseline Subset InSAR Technique

PubMed Central

Liu, Yang; Xu, Caijun; Wen, Yangmao; Li, Zhicai

2016-01-01

On 28 August 2009, one thrust-faulting Mw 6.3 earthquake struck the northern Qaidam basin, China. Due to the lack of ground observations in this remote region, this study presents high-precision and high spatio-temporal resolution post-seismic deformation series with a small baseline subset InSAR technique. At the temporal scale, this changes from fast to slow with time, with a maximum uplift up to 7.4 cm along the line of sight 334 days after the event. At the spatial scale, this is more obvious at the hanging wall than that at the footwall, and decreases from the middle to both sides at the hanging wall. We then propose a method to calculate the correlation coefficient between co-seismic and post-seismic deformation by normalizing them. The correlation coefficient is found to be 0.73, indicating a similar subsurface process occurring during both phases. The results indicate that afterslip may dominate the post-seismic deformation during 19–334 days after the event, which mainly occurs with the fault geometry and depth similar to those of the c-seismic rupturing, and partly extends to the shallower and deeper depths. PMID:26861330

Post-Seismic Deformation from the 2009 Mw 6.3 Dachaidan Earthquake in the Northern Qaidam Basin Detected by Small Baseline Subset InSAR Technique.

PubMed

Liu, Yang; Xu, Caijun; Wen, Yangmao; Li, Zhicai

2016-02-05

On 28 August 2009, one thrust-faulting Mw 6.3 earthquake struck the northern Qaidam basin, China. Due to the lack of ground observations in this remote region, this study presents high-precision and high spatio-temporal resolution post-seismic deformation series with a small baseline subset InSAR technique. At the temporal scale, this changes from fast to slow with time, with a maximum uplift up to 7.4 cm along the line of sight 334 days after the event. At the spatial scale, this is more obvious at the hanging wall than that at the footwall, and decreases from the middle to both sides at the hanging wall. We then propose a method to calculate the correlation coefficient between co-seismic and post-seismic deformation by normalizing them. The correlation coefficient is found to be 0.73, indicating a similar subsurface process occurring during both phases. The results indicate that afterslip may dominate the post-seismic deformation during 19-334 days after the event, which mainly occurs with the fault geometry and depth similar to those of the c-seismic rupturing, and partly extends to the shallower and deeper depths.

Protocol Development for the NASA-JSC Lunar-Mars Life Support Test Project (LMLSTP) Phase 3 Project: A Report on Baseline Studies at KSC for Continuous Salad Production

NASA Technical Reports Server (NTRS)

Goins, G. D.; Yorio, N. C.; Vivenzio, H. R.

1998-01-01

The Phase 3 Lunar-Mars Life Support Test Project (LMLSTP) was conducted in a 20-foot chamber at Johnson Space Center. The overall objective of the Phase 3 project was to conduct a 90-day regenerative life support system test involving 4 human subjects to demonstrate an integrated biological and physicochemical life support system. A secondary objective of the Phase 3 LMLSTP was to demonstrate the ability to produce salad-type vegetable by integration of a small benchtop growth chamber located within the crew habitat area. This small chamber, commercially manufactured as the Controlled Environment Research Ecosystem (CERES 2010(TM)), functioned as a means to continuously provide fresh lettuce crops for crew members. The CERES 2010(TM) growth chamber utilized hardware components developed for effective plant biomass production in spaceflight applications. These components included: (1) LED lighting; (2) Astroculture(TM) Root Trays; and (3) Zeoponic media. In planning for the LMLSTP Phase 3, a request was put forward for KSC scientists to generate a protocol for successful continuous planting, culturing, and harvesting of the salad-crop, lettuce. By conducting baseline tests with components of the CERES 2010(TM), a protocol was developed.

Reducing cardiovascular risk factors in non-selected outpatients with schizophrenia.

PubMed

Hansen, Mette Vinther; Hjorth, Peter; Kristiansen, Christina Blanner; Vandborg, Kirsten; Gustafsson, Lea Nørgaard; Munk-Jørgensen, Povl

2016-06-01

Cardiovascular diseases are the most common causes of premature death in patients with schizophrenia. We aimed at reducing cardiovascular risk factors in non-selected outpatients with schizophrenia using methods proven effective in short-term trials. Furthermore, we examined whether any baseline characteristics were associated with positive outcomes. All outpatients treated for schizophrenia at two Danish hospitals were included in this 1-year follow-up study. The patients were offered health interventions both individually and in groups. Weight, waist circumference, blood glucose and lipids and information on smoking and alcohol were obtained. On average, small significant increases in body mass index (BMI) and waist circumferences were observed while small non-significant improvements in other cardiovascular risk factors were seen. Patients with high baseline BMI and patients with duration of treated illness beyond 2 years had significantly better intervention outcomes. Our results show that it was difficult to improve physical health in a group of non-selected patients with schizophrenia as part of routine care. The patients were not easily motivated to participate in the interventions, and it was difficult to monitor the recommended metabolic risk measures in the patient group. Future research should focus on simple strategies in health promotion that can be integrated into routine care. © The Author(s) 2016.

Reducing cardiovascular risk factors in non-selected outpatients with schizophrenia.

PubMed

Hansen, Mette Vinther; Hjorth, Peter; Kristiansen, Christina Blanner; Vandborg, Kirsten; Gustafsson, Lea Nørgaard; Munk-Jørgensen, Povl

2016-06-01

Cardiovascular diseases are the most common causes of premature death in patients with schizophrenia. We aimed at reducing cardiovascular risk factors in non-selected outpatients with schizophrenia using methods proven effective in short-term trials. Furthermore, we examined whether any baseline characteristics were associated with positive outcomes. All outpatients treated for schizophrenia at two Danish hospitals were included in this 1-year follow-up study. The patients were offered health interventions both individually and in groups. Weight, waist circumference, blood glucose, serum lipids, and information on smoking and alcohol were obtained. On average, small significant increases in body mass index (BMI) and waist circumferences were observed while small non-significant improvements in other cardiovascular risk factors were seen. Patients with high baseline BMI and patients with duration of treated illness beyond 2 years had significantly better intervention outcomes. Our results show that it was difficult to improve physical health in a group of non-selected patients with schizophrenia as part of routine care. The patients were not easily motivated to participate in the interventions, and it was difficult to monitor the recommended metabolic risk measures in the patient group. Future research should focus on simple strategies in health promotion that can be integrated into routine care. © The Author(s) 2016.

Preliminary assessment of active rock slope instabilities in the high Himalaya of Bhutan

NASA Astrophysics Data System (ADS)

Dini, Benedetta; Manconi, Andrea; Leith, Kerry; Loew, Simon

2016-04-01

The small kingdom of Bhutan, nested between India and Tibet (between 88° and 92° east and 26° and 28° north), is characterised by markedly different landscapes and climatic zones. V-shaped, forest-covered valleys in the south, affected by the monsoonal rains, give gradually way to steep, barren slopes of U-shaped valleys in the drier north, host of the highest peaks, a large number of glaciers and glacial lakes. A transition zone of vegetated, elevated plateaus collects the towns in which most of the population lives. Landslides in the high Himalaya of Bhutan have not been extensively studied despite the primary and secondary hazards related to them. The regulations and restrictions to travel to and within Bhutan imposed by the government, as well as the extremely rugged terrain hinder the accessibility to remote slopes and valleys, both of which have resulted in lack of data and investigations. In this work, we aim at producing an inventory of large rock slope instabilities (> 1 million m3) across the high Himalaya of Bhutan, identifying types of failure, assessing the activity and analysing the distribution of landslides in combination with predisposing and preparatory factors, such as lithology, tectonic structures, hypsometry, deglaciation, fluvial erosive power and climate. At this stage, we rely on the information retrieved through satellite remote sensing data, i.e. medium and high resolution DEMs, optical images and space borne Synthetic Aperture Radar (SAR) data. An initial inventory was compiled based on the identification of geomorphological features associated with slope instabilities using the available Google Earth images. Moreover, we assessed the SAR data coverage and the expected geometrical distortions by assuming different sensors (ERS, Envisat, and ALOS Palsar-1). As we are mainly interested in detecting the surface deformation related to large unstable slopes by applying Differential SAR, we also computed the percentage of potentially detectable movement along the satellite line of sight by assuming that the dominant motion is along the line of maximum slope. Finally, we present the preliminary surface velocities and displacement time series obtained by applying the P-SBAS technique (implemented within the ESA Geohazard Exploitation Platform) on available SAR data (24 images, period 2007-2010, Envisat ASAR, track 176), where several anomalies identified have been interpreted as active rock slope instabilities previously unknown.

Small Engine Component Technology (SECT) study

NASA Technical Reports Server (NTRS)

Larkin, T. R.

1986-01-01

The objective of this study is to identify high payoff technologies for year 2000 small gas turbine engines, and to provide a technology plan to guide research and technology efforts toward revolutionizing the small gas turbine technology base. The goal is to define the required technology to provide a 30 percent reduction in mission fuel burned, to reduce direct operating costs by at least 10 percent, and to provide increased reliability and durability of the gas turbine propulsion system. The baseline established to evaluate the year 2000 technology base was an 8-passenger commercial tilt-rotor aircraft powered by a current technology gas turbine engine. Three basic engine cycles were studied: the simple cycle engine, a waste heat recovery cycle, and a wave rotor engine cycle. For the simple cycle engine, two general arrangements were considered: the traditional concentric spool arrangement and a nonconcentric spool arrangement. Both a regenerative and a recuperative cycle were studied for the waste heat recovery cycle.

Frequency-varying synchronous micro-vibration suppression for a MSFW with application of small-gain theorem

NASA Astrophysics Data System (ADS)

Peng, Cong; Fan, Yahong; Huang, Ziyuan; Han, Bangcheng; Fang, Jiancheng

2017-01-01

This paper presents a novel synchronous micro-vibration suppression method on the basis of the small gain theorem to reduce the frequency-varying synchronous micro-vibration forces for a magnetically suspended flywheel (MSFW). The proposed synchronous micro-vibration suppression method not only eliminates the synchronous current fluctuations to force the rotor spinning around the inertia axis, but also considers the compensation caused by the displacement stiffness in the permanent-magnet (PM)-biased magnetic bearings. Moreover, the stability of the proposed control system is exactly analyzed by using small gain theorem. The effectiveness of the proposed micro-vibration suppression method is demonstrated via the direct measurement of the disturbance forces for a MSFW. The main merit of the proposed method is that it provides a simple and practical method in suppressing the frequency varying micro-vibration forces and preserving the nominal performance of the baseline control system.

The cost of lithium is unlikely to upend the price of Li-ion storage systems

NASA Astrophysics Data System (ADS)

Ciez, Rebecca E.; Whitacre, J. F.

2016-07-01

As lithium ion batteries become more common in electric vehicles and other storage applications, concerns about the cost of their namesake material, and its impact on the cost of these batteries, will continue. However, examining the constituent materials of these devices shows that lithium is a relatively small contributor to both the battery mass and manufacturing cost. The use of more expensive lithium precursor materials results in less than 1% increases in the cost of lithium ion cells considered. Similarly, larger fluctuations in the global lithium price (from 0 to 25/kg from a baseline of 7.50 per kg of Li2CO3) do not change the cost of lithium ion cells by more than 10%. While this small cost increase will not have a substantial impact on consumers, it could affect the manufacturers of these lithium ion cells, who already operate with small profit margins.

Extreme Temperature Performance of Automotive-Grade Small Signal Bipolar Junction Transistors

NASA Technical Reports Server (NTRS)

Boomer, Kristen; Damron, Benny; Gray, Josh; Hammoud, Ahmad

2018-01-01

Electronics designed for space exploration missions must display efficient and reliable operation under extreme temperature conditions. For example, lunar outposts, Mars rovers and landers, James Webb Space Telescope, Europa orbiter, and deep space probes represent examples of missions where extreme temperatures and thermal cycling are encountered. Switching transistors, small signal as well as power level devices, are widely used in electronic controllers, data instrumentation, and power management and distribution systems. Little is known, however, about their performance in extreme temperature environments beyond their specified operating range; in particular under cryogenic conditions. This report summarizes preliminary results obtained on the evaluation of commercial-off-the-shelf (COTS) automotive-grade NPN small signal transistors over a wide temperature range and thermal cycling. The investigations were carried out to establish a baseline on functionality of these transistors and to determine suitability for use outside their recommended temperature limits.

RadioAstron Observations of the Quasar 3C273: A Challenge to the Brightness Temperature Limit

NASA Astrophysics Data System (ADS)

Kovalev, Y. Y.; Kardashev, N. S.; Kellermann, K. I.; Lobanov, A. P.; Johnson, M. D.; Gurvits, L. I.; Voitsik, P. A.; Zensus, J. A.; Anderson, J. M.; Bach, U.; Jauncey, D. L.; Ghigo, F.; Ghosh, T.; Kraus, A.; Kovalev, Yu. A.; Lisakov, M. M.; Petrov, L. Yu.; Romney, J. D.; Salter, C. J.; Sokolovsky, K. V.

2016-03-01

Inverse Compton cooling limits the brightness temperature of the radiating plasma to a maximum of 1011.5 K. Relativistic boosting can increase its observed value, but apparent brightness temperatures much in excess of 1013 K are inaccessible using ground-based very long baseline interferometry (VLBI) at any wavelength. We present observations of the quasar 3C 273, made with the space VLBI mission RadioAstron on baselines up to 171,000 km, which directly reveal the presence of angular structure as small as 26 μas (2.7 light months) and brightness temperature in excess of 1013 K. These measurements challenge our understanding of the non-thermal continuum emission in the vicinity of supermassive black holes and require a much higher Doppler factor than what is determined from jet apparent kinematics.

Demonstration of intercontinental DSN clock synchronization by VLBI

NASA Technical Reports Server (NTRS)

Hurd, W. J.

1973-01-01

The prototype system for Deep Space Network clock synchronization by VLBI has been demonstrated to operate successfully over intercontinental baselines in a series of experiments between Deep Space Stations at Madrid, Spain, and Goldstone, California. As predicted by analysis and short baseline demonstration, the system achieves reliable synchronization between 26m and 64m antenna stations with 17 and 37K nominal system temperatures using under one million bits of data from each station. Semi-real-time operation is feasible since this small amount of data can be transmitted to JPL and processed within minutes. The system resolution is 50 to 400ns, depending on the amount of data processed and the source intensity. The accuracy is believed to be comparable to the resolution, although it could be independently confirmed to only about 5 microseconds using LORAN C.

Baseline scheme for polarization preservation and control in the MEIC ion complex

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

Derbenev, Yaroslav S.; Lin, Fanglei; Morozov, Vasiliy

2015-09-01

The scheme for preservation and control of the ion polarization in the Medium-energy Electron-Ion Collider (MEIC) has been under active development in recent years. The figure-8 configuration of the ion rings provides a unique capability to control the polarization of any ion species including deuterons by means of "weak" solenoids rotating the particle spins by small angles. Insertion of "weak" solenoids into the magnetic lattices of the booster and collider rings solves the problem of polarization preservation during acceleration of the ion beam. Universal 3D spin rotators designed on the basis of "weak" solenoids allow one to obtain any polarizationmore » orientation at an interaction point of MEIC. This paper presents the baseline scheme for polarization preservation and control in the MEIC ion complex.« less

Parallel algorithm of VLBI software correlator under multiprocessor environment

NASA Astrophysics Data System (ADS)

Zheng, Weimin; Zhang, Dong

2007-11-01

The correlator is the key signal processing equipment of a Very Lone Baseline Interferometry (VLBI) synthetic aperture telescope. It receives the mass data collected by the VLBI observatories and produces the visibility function of the target, which can be used to spacecraft position, baseline length measurement, synthesis imaging, and other scientific applications. VLBI data correlation is a task of data intensive and computation intensive. This paper presents the algorithms of two parallel software correlators under multiprocessor environments. A near real-time correlator for spacecraft tracking adopts the pipelining and thread-parallel technology, and runs on the SMP (Symmetric Multiple Processor) servers. Another high speed prototype correlator using the mixed Pthreads and MPI (Massage Passing Interface) parallel algorithm is realized on a small Beowulf cluster platform. Both correlators have the characteristic of flexible structure, scalability, and with 10-station data correlating abilities.

Economic performance of small ruminants in mixed-farming systems of Southern Ethiopia.

PubMed

Legesse, Getahun; Siegmund-Schultze, Marianna; Abebe, Girma; Zárate, Anne Valle

2010-10-01

This study evaluates the household income contribution and the profitability of traditional small ruminant enterprises in two mixed-farming systems of southern Ethiopia (viz. Adilo and Kofele). Small ruminant production is an integral part of mixed systems in the Ethiopian highlands. The assessment of the current economic performance of small ruminants indicates production-related opportunities and constraints and provides baseline data against which the success of future interventions can be measured. Detailed information on economic parameters was gathered through a 1-year period of flock and household monitoring (155 households) between September 2005 and August 2006. Structured surveys were conducted with the participating households to elicit information on income-expense details of small ruminant and other agricultural enterprises. Small ruminants contributed considerably to cash income and to a limited extent to human nutrition especially when other sources were in short supply. The annual profit per animal ranged from 20 to 37 Ethiopian Birr. The return to capital was 17% in Kofele and 29% in Adilo, with both values vastly exceeding the national interest rate. The sale of small ruminants contributed to 39% and 23% of total farm cash income among small ruminant keepers in Adilo and Kofele, respectively. Sale prices are highest before holidays. Researches should target at how to use available feed resources in a timely and cost-effective fashion to make use of the seasonal market opportunities.

A cam deformity is gradually acquired during skeletal maturation in adolescent and young male soccer players: a prospective study with minimum 2-year follow-up.

PubMed

Agricola, Rintje; Heijboer, Marinus P; Ginai, Abida Z; Roels, Pauline; Zadpoor, Amir A; Verhaar, Jan A N; Weinans, Harrie; Waarsing, Jan H

2014-04-01

A cam deformity is a major risk factor for hip osteoarthritis, and its formation is thought to be influenced by high-impact sporting activities during growth. To (1) prospectively study whether a cam deformity can evolve over time in adolescents and whether its formation only occurs during skeletal maturation and (2) examine whether clinical or radiographic features can predict the formation of a cam deformity. Cohort study (prognosis); Level of evidence, 2. Preprofessional soccer players (N = 63; mean age, 14.43 years; range, 12-19 years) participated both at baseline and follow-up (mean follow-up, 2.4 ± 0.06 years). At both time points, standardized anteroposterior and frog-leg lateral radiographs were obtained. For each hip, the α angle was measured, and the anterosuperior head-neck junction was classified by a 3-point visual system as normal, flattened, or having a prominence. Differences between baseline and follow-up values for the α angle and the prevalence of each visual hip classification were calculated. Additionally, the amount of internal hip rotation, growth plate extension into the neck, and neck shaft angle were determined. Overall, there was a significant increase in the prevalence of a cam deformity during follow-up. In boys aged 12 and 13 years at baseline, the prevalence of a flattened head-neck junction increased significantly during follow-up (13.6% to 50.0%; P = .002). In all hips with an open growth plate at baseline, the prevalence of a prominence increased from 2.1% to 17.7% (P = .002). After closure of the proximal femoral growth plate, there was no significant increase in the prevalence or increase in severity of a cam deformity. The α angle increased significantly from 59.4° at baseline to 61.3° at follow-up (P = .018). The amount of growth plate extension was significantly associated with the α angle and hip classification (P = .001). A small neck shaft angle and limited internal rotation were associated with cam deformities and could also significantly predict the formation of cam deformities (α angle >60°) at follow-up. In youth soccer players, cam deformities gradually develop during skeletal maturation and are probably stable from the time of growth plate closure. The formation of a cam deformity might be prevented by adjusting athletic activities during a small period of skeletal growth, which will have a major effect on the prevalence of hip osteoarthritis.

A multicenter, randomized, double-blind, placebo-controlled trial of high-dose rebamipide treatment for low-dose aspirin-induced moderate-to-severe small intestinal damage.

PubMed

Watanabe, Toshio; Takeuchi, Toshihisa; Handa, Osamu; Sakata, Yasuhisa; Tanigawa, Tetsuya; Shiba, Masatsugu; Naito, Yuji; Higuchi, Kazuhide; Fujimoto, Kazuma; Yoshikawa, Toshikazu; Arakawa, Tetsuo

2015-01-01

Low-dose aspirin (LDA) frequently causes small bowel injury. While some drugs have been reported to be effective in treating LDA-induced small intestinal damage, most studies did not exclude patients with mild damage thought to be clinically insignificant. We conducted a multicenter, randomized, double-blind, placebo-controlled trial to assess the efficacy of a high dose of rebamipide, a gastroprotective drug, for LDA-induced moderate-to-severe enteropathy. We enrolled patients who received 100 mg of enteric-coated aspirin daily for more than 3 months and were found to have more than 3 mucosal breaks (i.e., erosions or ulcers) in the small intestine by capsule endoscopy. Eligible patients were assigned to receive either rebamipide 300 mg (triple dose) 3 times daily or placebo for 8 weeks in a 2:1 ratio. Capsule endoscopy was then repeated. The primary endpoint was the change in the number of mucosal breaks from baseline to 8 weeks. Secondary endpoints included the complete healing of mucosal breaks at 8 weeks and the change in Lewis score (an endoscopic score assessing damage severity) from baseline to 8 weeks. The study was completed by 38 patients (rebamipide group: n = 25, placebo group: n = 13). After 8 weeks of treatment, rebamipide, but not placebo, significantly decreased the number of mucosal breaks (p = 0.046). While the difference was not significant (p = 0.13), the rate of complete mucosal break healing in the rebamipide group (32%, 8 of 25) tended to be higher than that in the placebo group (7.7%, 1 of 13). Rebamipide treatment significantly improved intestinal damage severity as assessed by the Lewis score (p = 0.02), whereas placebo did not. The triple dose of rebamipide was well tolerated. High-dose rebamipide is effective for the treatment of LDA-induced moderate-to-severe enteropathy. UMIN Clinical Trials Registry UMIN000003463.

A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial of High-Dose Rebamipide Treatment for Low-Dose Aspirin-Induced Moderate-to-Severe Small Intestinal Damage

PubMed Central

Watanabe, Toshio; Takeuchi, Toshihisa; Handa, Osamu; Sakata, Yasuhisa; Tanigawa, Tetsuya; Shiba, Masatsugu; Naito, Yuji; Higuchi, Kazuhide; Fujimoto, Kazuma; Yoshikawa, Toshikazu; Arakawa, Tetsuo

2015-01-01

Background Low-dose aspirin (LDA) frequently causes small bowel injury. While some drugs have been reported to be effective in treating LDA-induced small intestinal damage, most studies did not exclude patients with mild damage thought to be clinically insignificant. Aim We conducted a multicenter, randomized, double-blind, placebo-controlled trial to assess the efficacy of a high dose of rebamipide, a gastroprotective drug, for LDA-induced moderate-to-severe enteropathy. Methods We enrolled patients who received 100 mg of enteric-coated aspirin daily for more than 3 months and were found to have more than 3 mucosal breaks (i.e., erosions or ulcers) in the small intestine by capsule endoscopy. Eligible patients were assigned to receive either rebamipide 300 mg (triple dose) 3 times daily or placebo for 8 weeks in a 2:1 ratio. Capsule endoscopy was then repeated. The primary endpoint was the change in the number of mucosal breaks from baseline to 8 weeks. Secondary endpoints included the complete healing of mucosal breaks at 8 weeks and the change in Lewis score (an endoscopic score assessing damage severity) from baseline to 8 weeks. Results The study was completed by 38 patients (rebamipide group: n = 25, placebo group: n = 13). After 8 weeks of treatment, rebamipide, but not placebo, significantly decreased the number of mucosal breaks (p = 0.046). While the difference was not significant (p = 0.13), the rate of complete mucosal break healing in the rebamipide group (32%, 8 of 25) tended to be higher than that in the placebo group (7.7%, 1 of 13). Rebamipide treatment significantly improved intestinal damage severity as assessed by the Lewis score (p = 0.02), whereas placebo did not. The triple dose of rebamipide was well tolerated. Conclusions High-dose rebamipide is effective for the treatment of LDA-induced moderate-to-severe enteropathy. Trial Registration UMIN Clinical Trials Registry UMIN000003463 PMID:25874951

Effects of Robot-Assisted Therapy for the Upper Limb After Stroke.

PubMed

Veerbeek, Janne M; Langbroek-Amersfoort, Anneli C; van Wegen, Erwin E H; Meskers, Carel G M; Kwakkel, Gert

2017-02-01

Robot technology for poststroke rehabilitation is developing rapidly. A number of new randomized controlled trials (RCTs) have investigated the effects of robot-assisted therapy for the paretic upper limb (RT-UL). To systematically review the effects of poststroke RT-UL on measures of motor control of the paretic arm, muscle strength and tone, upper limb capacity, and basic activities of daily living (ADL) in comparison with nonrobotic treatment. Relevant RCTs were identified in electronic searches. Meta-analyses were performed for measures of motor control (eg, Fugl-Meyer Assessment of the arm; FMA arm), muscle strength and tone, upper limb capacity, and basic ADL. Subgroup analyses were applied for the number of joints involved, robot type, timing poststroke, and treatment contrast. Forty-four RCTs (N = 1362) were included. No serious adverse events were reported. Meta-analyses of 38 trials (N = 1206) showed significant but small improvements in motor control (~2 points FMA arm) and muscle strength of the paretic arm and a negative effect on muscle tone. No effects were found for upper limb capacity and basic ADL. Shoulder/elbow robotics showed small but significant effects on motor control and muscle strength, while elbow/wrist robotics had small but significant effects on motor control. RT-UL allows patients to increase the number of repetitions and hence intensity of practice poststroke, and appears to be a safe therapy. Effects on motor control are small and specific to the joints targeted by RT-UL, whereas no generalization is found to improvements in upper limb capacity. The impact of RT-UL started in the first weeks poststroke remains unclear. These limited findings could mainly be related to poor understanding of robot-induced motor learning as well as inadequate designing of RT-UL trials, by not applying an appropriate selection of stroke patients with a potential to recovery at baseline as well as the lack of fixed timing of baseline assessments and using an insufficient treatment contrast early poststroke.

Asteroid Redirect Mission: Update on Planetary Defense Demonstration and Small Bodies Benefits and Community Interaction

NASA Astrophysics Data System (ADS)

Reeves, D.; Mazanek, D. D.; Abell, P. A.; Brophy, J. R.; Chodas, P. W.; Cichy, B. D.

2016-12-01

The National Aeronautics and Space Administration (NASA) is developing the Asteroid Redirect Mission (ARM) to robotically visit a large near-Earth asteroid (NEA), collect a multi-ton boulder and regolith samples from its surface, demonstrate the enhanced gravity tractor (EGT) planetary defense technique, return the asteroidal material to a stable orbit around the Moon, and explore the returned material with a crewed mission in the mid-2020s. Recent analysis of the EGT has led to a change in the robotic baseline operations from a halo orbit, to an in-line stand-off. This study took into account the uncertainties in size and mass of the current reference target (2008 EV5), the desire to be able to perform the EGT operations with the collected boulder augmenting the spacecraft mass or with the spacecraft alone, the assumed capability of the ARM solar electric propulsion (SEP) system, and the extensibility to future planetary defense missions. This presentation will cover the findings that led to this change in the baseline, as well as the benefits that this EGT demonstration will provide. ARM is a capability and technology demonstration mission, which will also benefit our understanding of small bodies in the areas of science, planetary defense, and asteroidal resources and in-situ resource utilization (ISRU). The synergistic benefits of both the robotic and crewed segments will be discussed in addition to describing ARM's interaction with communities that are interested in small bodies, including: the Formulation Assessment and Support Team (FAST) effort, the Small Bodies Assessment Group (SBAG) Special Action Team (SAT) effort, and the upcoming Investigation Team (IT). The IT, which is expected to be announced in the spring of 2017, will assist the ARM project in the definition, design, development, and operations phases of the ARRM with the goal of maximizing the probability of mission success and the knowledge return from the mission.

Ammonia Leak Locator Study

NASA Technical Reports Server (NTRS)

Dodge, Franklin T.; Wuest, Martin P.; Deffenbaugh, Danny M.

1995-01-01

The thermal control system of International Space Station Alpha will use liquid ammonia as the heat exchange fluid. It is expected that small leaks (of the order perhaps of one pound of ammonia per day) may develop in the lines transporting the ammonia to the various facilities as well as in the heat exchange equipment. Such leaks must be detected and located before the supply of ammonia becomes critically low. For that reason, NASA-JSC has a program underway to evaluate instruments that can detect and locate ultra-small concentrations of ammonia in a high vacuum environment. To be useful, the instrument must be portable and small enough that an astronaut can easily handle it during extravehicular activity. An additional complication in the design of the instrument is that the environment immediately surrounding ISSA will contain small concentrations of many other gases from venting of onboard experiments as well as from other kinds of leaks. These other vapors include water, cabin air, CO2, CO, argon, N2, and ethylene glycol. Altogether, this local environment might have a pressure of the order of 10(exp -7) to 10(exp -6) torr. Southwest Research Institute (SwRI) was contracted by NASA-JSC to provide support to NASA-JSC and its prime contractors in evaluating ammonia-location instruments and to make a preliminary trade study of the advantages and limitations of potential instruments. The present effort builds upon an earlier SwRI study to evaluate ammonia leak detection instruments [Jolly and Deffenbaugh]. The objectives of the present effort include: (1) Estimate the characteristics of representative ammonia leaks; (2) Evaluate the baseline instrument in the light of the estimated ammonia leak characteristics; (3) Propose alternative instrument concepts; and (4) Conduct a trade study of the proposed alternative concepts and recommend promising instruments. The baseline leak-location instrument selected by NASA-JSC was an ion gauge.

Growth and Puberty in a 2-Year Open-Label Study of Lisdexamfetamine Dimesylate in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder.

PubMed

Banaschewski, Tobias; Johnson, Mats; Nagy, Peter; Otero, Isabel Hernández; Soutullo, César A; Yan, Brian; Zuddas, Alessandro; Coghill, David R

2018-05-01

Stimulant medications for the treatment of attention-deficit/hyperactivity disorder have a history of safe and effective use; however, concerns exist that they may adversely affect growth trajectories in children and adolescents. The objective of this study was to evaluate the longer-term effects of lisdexamfetamine dimesylate on weight, height, body mass index and pubertal development in children and adolescents with attention-deficit/hyperactivity disorder. Children and adolescents aged 6-17 years with attention-deficit/hyperactivity disorder took open-label lisdexamfetamine dimesylate (30, 50 or 70 mg/day) in this open-label 2-year safety and efficacy study. Safety evaluations included treatment-emergent adverse events, measurement of weight, height and body mass index, and self-reported pubertal status using Tanner staging. The safety analysis population comprised all enrolled participants (N = 314) and 191 (60.8%) completed the study. Weight decrease was reported as a treatment-emergent adverse event in 63 participants (20.1%) and two participants (0.6%) discontinued the study as a result of treatment-emergent adverse events of weight decrease. Growth retardation of moderate intensity was reported as a treatment-emergent adverse event for two participants. From baseline to the last on-treatment assessment, there were increases in mean weight of 2.1 kg (standard deviation 5.83) and height of 6.1 cm (standard deviation 4.90), and a body mass index decrease of 0.5 kg/m 2 (standard deviation 1.72). Mean weight, height and body mass index z-scores decreased over the first 36 weeks of the study and then stabilised. Changes from baseline to the last on-treatment assessment in mean z-scores for weight, height and body mass index were significantly less than zero (- 0.51, - 0.24 and - 0.59, respectively; nominal p < 0.0001). The proportion of participants with a z-score of < - 1 ranged from 5.1% (baseline) to 22.1% (week 84) for weight, 8.2% (baseline) to 12.6% (week 96) for height, and 8.3% (baseline) to 28.8% (week 96) for body mass index. Thirteen participants (4.1%) shifted to a weight below the fifth percentile at the last on-treatment assessment from a higher weight category at baseline. At the last on-treatment assessment, most participants remained at their baseline Tanner stage or had shifted higher. Findings from this comprehensive examination of growth outcomes associated with lisdexamfetamine dimesylate treatment over 2 years were consistent with previous studies of stimulant medications. Whilst mean weight and height increased over the course of the study, there was a small but transient reduction in mean weight, height and body mass index z-scores. A small increase in the proportion of participants in the lowest weight and body mass index categories highlights the importance of the regular monitoring of weight and height. There was no evidence of delayed onset of puberty. CLINICALTRIALS. NCT01328756.

Does Kinesiophobia Modify the Effects of Physical Therapy on Outcomes in Patients With Sciatica in Primary Care? Subgroup Analysis From a Randomized Controlled Trial.

PubMed

Verwoerd, Annemieke J H; Luijsterburg, Pim A J; Koes, Bart W; el Barzouhi, Abdelilah; Verhagen, Arianne P

2015-09-01

A higher level of kinesiophobia appears to be associated with poor recovery in patients with sciatica. The aim of this study was to investigate whether kinesiophobia modifies the effect of physical therapy on outcomes in patients with sciatica. This was a subgroup analysis from a randomized controlled trial. The study was conducted in a primary care setting. A total of 135 patients with acute sciatica participated. Patients were randomly assigned to groups that received (1) physical therapy plus general practitioners' care (intervention group) or (2) general practitioners' care alone (control group). Kinesiophobia at baseline was measured with the Tampa Scale for Kinesiophobia (TSK) and a single substitute question for kinesiophobia (SQK). Pain and recovery were assessed at 3- and 12-month follow-ups. Regression analysis was used to test for interaction between the level of kinesiophobia at baseline and treatment allocation. Subgroup results were calculated for patients classified with high fear of movement and for those classified with low fear of movement. Kinesiophobia at baseline interacted with physical therapy in the analysis with leg pain intensity at 12-month follow-up. Kinesiophobia at baseline did not interact with physical therapy regarding any outcome at 3-month follow-up or recovery at 12-month follow-up. When comparing both treatment groups in the subgroup of patients with high fear of movement (n=73), the only significant result was found for leg pain intensity difference from baseline at 12-month follow-up (intervention group: X̅=-5.0, SD=2.6; control group: X̅=-3.6, SD=2.7). The post hoc study design and relatively small sample size were limitations of the study. In 135 patients with sciatica, evidence shows that patients with a higher level of kinesiophobia at baseline may particularly benefit from physical therapy with regard to decreasing leg pain intensity at 12-month follow-up. © 2015 American Physical Therapy Association.

Effects of Transcranial Direct Current Stimulation over Left Dorsolateral pFC on the Attentional Blink Depend on Individual Baseline Performance.

PubMed

London, Raquel E; Slagter, Heleen A

2015-12-01

Selection mechanisms that dynamically gate only relevant perceptual information for further processing and sustained representation in working memory are critical for goal-directed behavior. We examined whether this gating process can be modulated by anodal transcranial direct current stimulation (tDCS) over left dorsolateral pFC (DLPFC)--a region known to play a key role in working memory and conscious access. Specifically, we examined the effects of tDCS on the magnitude of the so-called "attentional blink" (AB), a deficit in identifying the second of two targets presented in rapid succession. Thirty-four participants performed a standard AB task before (baseline), during, and after 20 min of 1-mA anodal and cathodal tDCS in two separate sessions. On the basis of previous reports linking individual differences in AB magnitude to individual differences in DLPFC activity and on suggestions that effects of tDCS depend on baseline brain activity levels, we hypothesized that anodal tDCS over left DLPFC would modulate the magnitude of the AB as a function of individual baseline AB magnitude. Indeed, individual differences analyses revealed that anodal tDCS decreased the AB in participants with a large baseline AB but increased the AB in participants with a small baseline AB. This effect was only observed during (but not after) stimulation, was not found for cathodal tDCS, and could not be explained by regression to the mean. Notably, the effects of tDCS were not apparent at the group level, highlighting the importance of taking individual variability in performance into account when evaluating the effectiveness of tDCS. These findings support the idea that left DLPFC plays a critical role in the AB and in conscious access more generally. They are also in line with the notion that there is an optimal level of prefrontal activity for cognitive function, with both too little and too much activity hurting performance.

Statin-related aminotransferase elevation according to baseline aminotransferases level in real practice in Korea.

PubMed

Kim, H-S; Lee, S H; Kim, H; Lee, S-H; Cho, J H; Lee, H; Yim, H W; Kim, S-H; Choi, I-Y; Yoon, K-H; Kim, J H

2016-06-01

Higher rate of statin-related hepatotoxicity has been reported for Koreans than for Westerners. Moreover, statin-related aminotransferase elevation for those who show borderline levels of aspartate transaminase (AST) and alanine transaminase (ALT) (≤×3 of UNL) at baseline has not been fully investigated. Post-statin changes AST/ALT levels during the first year for 21 233 Korean outpatients at two large academic teaching hospitals from January 2009 to December 2013 were analysed using electronic health record data. The date of the first statin prescription was set as baseline. We also performed a comparative analysis of statin-related AST/ALT elevations according to the type of statin, followed by an analysis of clinical risk factors. The progression rate to abnormal AST/ALT values [>×3 the upper normal limit (UNL)] was significantly higher (2·4-16% vs. 0·3-1·7%, P < 0·001) in subjects with borderline (>×1, but ≤×3 of UNL) compared with normal AST/ALT values at baseline. Those with normal baseline AST/ALT did not show significantly different progression rate between different statin medications (P = 0·801). However, patients taking pitavastatin (HR = 0·76, P = 0·657) were least likely to develop abnormal AST/ALT, whereas those taking fluvastatin (HR = 2·96, P = 0·029) were the most likely to develop abnormal AST/ALT compared with atorvastatin for patients who were with baseline borderline AST/ALT. However, given the small sample sizes and the observational nature of our study, these need further study. It is advisable to regularly monitor AST/ALT levels even in patients with AST/ALT increases >×1. Future studies should aim to determine the possible risk factors for each specific statin type by analysing various confounding variables. © 2016 The Authors. Journal of Clinical Pharmacy and Therapeutics Published by John Wiley & Sons Ltd.

Higher baseline viral diversity correlates with lower HBsAg decline following PEGylated interferon-alpha therapy in patients with HBeAg-positive chronic hepatitis B.

PubMed

Li, Hu; Zhang, Li; Ren, Hong; Hu, Peng

2018-01-01

Viral diversity seems to predict treatment outcomes in certain viral infections. The aim of this study was to evaluate the association between baseline intra-patient viral diversity and hepatitis B surface antigen (HBsAg) decline following PEGylated interferon-alpha (Peg-IFN-α) therapy. Twenty-six HBeAg-positive patients who were treated with Peg-IFN-α were enrolled. Nested polymerase chain reaction (PCR), cloning, and sequencing of the hepatitis B virus S gene were performed on baseline samples, and normalized Shannon entropy (Sn) was calculated as a measure of small hepatitis B surface protein (SHBs) diversity. Multiple regression analysis was used to estimate the association between baseline Sn and HBsAg decline. Of the 26 patients enrolled in the study, 65.4% were male and 61.5% were infected with hepatitis B virus genotype B. The median HBsAg level at baseline was 4.5 log 10 IU/mL (interquartile range: 4.1-4.9) and declined to 3.0 log 10 IU/mL (interquartile range: 1.7-3.9) after 48 weeks of Peg-IFN-α treatment. In models adjusted for baseline alanine aminotransferase (ALT) and HBsAg, the adjusted coefficients (95% CI) for ΔHBsAg and relative percentage HBsAg decrease were -1.3 (-2.5, -0.2) log 10 IU/mL for higher SHBs diversity (Sn≥0.58) patients and -26.4% (-50.2%, -2.5%) for lower diversity (Sn<0.58) patients. Further analysis showed that the "a" determinant upstream flanking region and the first loop of the "a" determinant (nucleotides 341-359, 371-389, and 381-399) were the main sources of higher SHBs diversity. Baseline intra-patient SHBs diversity was inverse to HBsAg decline in HBeAg-positive chronic hepatitis B (CHB) patients receiving Peg-IFN-α monotherapy. Also, more sequence variations within the "a" determinant upstream flanking region and the first loop of the "a" determinant were the main sources of the higher SHBs diversity.

Supervision and computerized neurocognitive baseline test performance in high school athletes: an initial investigation.

PubMed

Kuhn, Andrew Warren; Solomon, Gary S

2014-01-01

Computerized neuropsychological testing batteries have provided a time-efficient and cost-efficient way to assess and manage the neurocognitive aspects of patients with sport-related concussion. These tests are straightforward and mostly self-guided, reducing the degree of clinician involvement required by traditional clinical neuropsychological paper-and-pencil tests. To determine if self-reported supervision status affected computerized neurocognitive baseline test performance in high school athletes. Retrospective cohort study. Supervised testing took place in high school computer libraries or sports medicine clinics. Unsupervised testing took place at the participant's home or another location with computer access. From 2007 to 2012, high school athletes across middle Tennessee (n = 3771) completed computerized neurocognitive baseline testing (Immediate Post-Concussion Assessment and Cognitive Testing [ImPACT]). They reported taking the test either supervised by a sports medicine professional or unsupervised. These athletes (n = 2140) were subjected to inclusion and exclusion criteria and then matched based on age, sex, and number of prior concussions. We extracted demographic and performance-based data from each de-identified baseline testing record. Paired t tests were performed between the self-reported supervised and unsupervised groups, comparing the following ImPACT baseline composite scores: verbal memory, visual memory, visual motor (processing) speed, reaction time, impulse control, and total symptom score. For differences that reached P < .05, the Cohen d was calculated to measure the effect size. Lastly, a χ(2) analysis was conducted to compare the rate of invalid baseline testing between the groups. All statistical tests were performed at the 95% confidence interval level. Self-reported supervised athletes demonstrated better visual motor (processing) speed (P = .004; 95% confidence interval [0.28, 1.52]; d = 0.12) and faster reaction time (P < .001; 95% confidence interval [-0.026, -0.014]; d = 0.21) composite scores than self-reported unsupervised athletes. Speed-based tasks were most affected by self-reported supervision status, although the effect sizes were relatively small. These data lend credence to the hypothesis that supervision status may be a factor in the evaluation of ImPACT baseline test scores.

The Tupange Project in Kenya: A Multifaceted Approach to Increasing Use of Long-Acting Reversible Contraceptives

PubMed Central

Muthamia, Michael; Owino, Kenneth; Nyachae, Paul; Kilonzo, Margaret; Kamau, Mercy; Otai, Jane; Kabue, Mark; Keyonzo, Nelson

2016-01-01

ABSTRACT Background: Long-acting reversible contraceptives (LARCs) are safe and highly effective, and they have higher continuation rates than short-acting methods. Because only a small percentage of sexually active women in Kenya use LARCs, the Tupange project implemented a multifaceted approach to increase uptake of LARCs, particularly among the urban poor. The project included on-site mentoring, whole-site orientation, commodity security, quality improvement, and multiple demand-promotion and service-provision strategies, in the context of wide method choice. We report on activities in Nairobi between July 2011 and December 2014, the project implementation period. Methods: We used a household longitudinal survey of women of reproductive age to measure changes in the contraceptive prevalence rate (CPR) and other family planning-related variables. At baseline in July 2010, 2,676 women were interviewed; about 50% were successfully tracked and interviewed at endline in December 2014. A baseline service delivery point (SDP) survey of 112 health facilities and 303 service providers was conducted in July 2011, and an endline SDP survey was conducted in December 2014 to measure facility-based interventions. The SDP baseline survey was conducted after the household survey, as facilities were selected based on where clients said they obtained services. Results: The project led to significant increases in use of implants and intrauterine devices (IUDs). Uptake of implants increased by 6.5 percentage points, from 2.4% at baseline to 8.9% by endline, and uptake of IUDs increased by 2.1 percentage points, from 2.2% to 4.3%. By the endline survey, 37.7% of clients using pills and injectables at baseline had switched to LARCs. Contraceptive use among the poorest and poor wealth quintiles increased by 20.5 and 21.5 percentage points, respectively, from baseline to endline. Various myths and misconceptions reported about family planning methods declined significantly between baseline and endline. Conclusion: Training, commodity security, multiple service delivery models, and demand promotion were the cornerstones of a successful approach to reach the urban poor in Nairobi with LARCs. PMID:27540124

The effects of atomoxetine on emotional control in adults with ADHD: An integrated analysis of multicenter studies.

PubMed

Asherson, P; Stes, S; Nilsson Markhed, M; Berggren, L; Svanborg, P; Kutzelnigg, A; Deberdt, W

2015-06-01

To investigate the effects of atomoxetine on emotional control in adults with ADHD. We performed an integrated analysis using individual patient data pooled from three Eli Lilly-sponsored studies. An integrated analysis can be viewed as a meta-analysis of individual patient-level data, rather than study-level summary data. Two populations were identified: a large sample of patients with pre-treatment baseline data (the "overall population"; n=2846); and a subset of these patients with placebo-controlled efficacy data from baseline to 10 or 12 weeks after initiating treatment (the "placebo-controlled population"; n=829). At baseline, in the overall population, ∼50% of ADHD patients had BRIEF-AS (Behavior Rating Inventory of Executive Function-Adult Version Self-Report) Emotional control subscores between 21 and 30, compared with ∼10% of normative subjects in the BRIEF-A manual. At endpoint, in the placebo-controlled population, atomoxetine led to a small (effect size 0.19) but significant (P=0.013) treatment effect for emotional control. The effect size was 0.32 in patients with BRIEF-AS Emotional control scores>20 at baseline. Improvements in emotional control correlated with improvements in the core ADHD symptoms and quality-of-life. As deficient emotional control is associated with impaired social, educational and occupational functioning over and above that explained by core ADHD symptoms alone, improvements in emotional control may be clinically relevant. At baseline, adults with ADHD were more likely to have impaired emotional control than normative subjects. In the adult ADHD patients, atomoxetine treatment was associated with improvements in emotional control, as well as in core ADHD symptoms and quality-of-life. Copyright © 2015. Published by Elsevier Masson SAS.

Long-term safety and serologic response to measles, mumps, and rubella vaccination in HIV-1 infected adults.

PubMed

Stermole, Benjamin M; Grandits, Greg A; Roediger, Mollie P; Clark, Brychan M; Ganesan, Anuradha; Weintrob, Amy C; Crum-Cianflone, Nancy F; Ferguson, Tomas M; Macalino, Grace E; Landrum, Michael L

2011-04-05

We analyzed HIV viral load (VL) and CD4 count changes, and antibody responses following MMR vaccination of individuals in the U.S. Military HIV Natural History Study cohort. Cases receiving at least one dose of MMR vaccine after HIV diagnosis were matched 1:2 to HIV-positive controls not receiving the vaccine. Baseline was defined as time of vaccination for cases and indexed and matched to the time post-HIV diagnosis for controls. Changes in CD4 count and VL at 6, 12, 18 and 24 months were compared between cases and controls using a general linear model. Available sera from cases were tested for MMR seropositivity at baseline and post-vaccination at 6, 12, 18, and 24 months. Overall mean CD4 count change from baseline through 24 months was 20 (±23) cells/μL greater for cases than controls (p=0.39). Similar non-significant changes in CD4 cell count were seen in the subset of those not on HAART at baseline. VL changes were small and similar between groups (mean differential change -0.04 (±0.18) log(10) copies/mL; p=0.84). Of 21 vaccinated participants with baseline serologic testing, 14 (67%) were reactive to measles, 19 (91%) to mumps, and 20 (95%) to rubella. Three (43%) of 7 participants nonreactive to measles developed measles IgG; for mumps, 1 (50%) of 2 developed mumps IgG; for rubella, 1 (100%) developed rubella IgG. MMR vaccination did not result in detrimental immunologic or virologic changes through 24 months post-vaccination. Copyright © 2011 Elsevier Ltd. All rights reserved.

Changes in hormones and biomarkers in polycystic ovarian syndrome treated with gastric bypass.

PubMed

Eid, George M; McCloskey, Carol; Titchner, Rebecca; Korytkowski, Mary; Gross, Debra; Grabowski, Cynthia; Wilson, Mark

2014-01-01

Small retrospective studies have demonstrated reduction in weight and co-morbid hirsutism and diabetes in women with polycystic ovary syndrome (PCOS) treated with Roux-en-Y gastric bypass. The objective of this study was to prospectively determine clinical improvements in obese women with PCOS treated with gastric bypass and identify postoperative biomarker changes. Data were collected on obese women with PCOS undergoing Roux-en-Y gastric bypass over 1 year. Testosterone, follicle stimulating hormone, lutenizing hormone, insulin, fasting glucose, and lipid levels were obtained preoperatively at baseline, and 6 and 12 months after surgery. Testosterone was used as the primary hormonal biomarker. A physical examination for body mass index (BMI) and hirsutism, and information on menstrual pattern were collected at baseline and 3, 6, and 12 months after surgery. Data were available for 14 women. Mean BMI decreased from 44.8±5.9 kg/m(2) at baseline to 29.2±5.9 kg/m(2) at 12 months postoperatively. Significant improvements were seen in testosterone, fasting glucose, insulin, cholesterol, and triglyceride at 12 months (P<.05). At baseline, irregular menses were reported in 10 patients; all patients were experiencing regular menses 6 and 12 months after surgery. Hirsutism was present in 11 patients at baseline and only 7 patients at 12 months. Improvements in biomarkers, menstrual cycling, and hirsutism was not correlated with degree of weight change. Gastric bypass achieved significant reductions in BMI, testosterone, and markers of glucose and lipid metabolism. These data confirm reports of previous retrospective studies showing weight reduction and health improvement in women with PCOS treated with gastric bypass. Published by Elsevier Inc.

Clinical Benefits of Rivastigmine in the Real World Dementia Clinics of the Okayama Rivastigmine Study (ORS).

PubMed

Matsuzono, Kosuke; Sato, Kota; Kono, Syoichiro; Hishikawa, Nozomi; Ohta, Yasuyuki; Yamashita, Toru; Deguchi, Kentaro; Nakano, Yumiko; Abe, Koji

2015-01-01

Alzheimer's disease (AD) is one of the most important diseases in an aging society, but the clinical effects of rivastigmine have not been fully examined in real world domestic clinics. We performed the "Okayama Rivastigmine Study (ORS)" to retrospectively analyze the clinical effects of rivastigmine (n = 75) or donepezil (n = 71) on AD patients with seven dementia assessment batteries at the baseline, 3, 6, and 12 months. In addition, we divided the rivastigmine group into two subgroups at the baseline: the mild behavioral and psychological symptoms of dementia (BPSD) group (Abe's BPSD score (ABS) <6) and the severe BPSD group (6≤ABS). In these two subgroups, baseline scores and changes were also retrospectively analyzed until 12 months. Rivastigmine significantly improved the Mini-Mental State Examination score at 3 months (*p <  0.05 versus baseline) and at 6 months (*p <  0.05), the Frontal Assessment Battery (FAB) at 6 months (*p <  0.05), and ABS at 3 months (**p <  0.01) while donepezil only stabilized the three cognitive scores. On the other hand, the Geriatric Depression Scale and the Apathy Scale were stable until 12 months in both groups. Baseline BPSD severity-dependent analysis showed a small improvement of FAB at 6 months in the mild BPSD subgroup (*p <  0.05) and a great improvement of ABS at 3 months in the severe BPSD subgroup (**p <  0.01) in the rivastigmine group. Our present study showed that rivastigmine improved both cognitive and affective functions at 3 and 6 months, and suggested an advantage at 3 and 6 months compared to donepezil in real world dementia clinics.

Effects of dog-assisted intervention on behavioural and psychological symptoms of dementia.

PubMed

Nordgren, Lena; Engström, Gabriella

2014-04-01

To evaluate the effect of a dog-assisted intervention on the behavioural and psychological symptoms of residents with dementia during a six-month period. The study was conducted in eight nursing homes in Sweden. A total of 33 residents with dementia, 20 in the intervention group and 13 in the control group, were recruited. The Cohen-Mansfield Agitation Inventory (CMAI) and the Multi-Dimensional Dementia Assessment Scale (MDDAS) were used to assess the effects of a dog-assisted intervention on participants' behavioural and psychological symptoms. The intervention comprised ten sessions, lasting between 45 and 60 minutes, once or twice a week. Descriptive statistics were used to analyse background data, comparisons between groups at baseline were performed using the Mann-Whitney U test, and the Wilcoxon rank sum test was used to test differences in groups over time. In the intervention group changes from baseline to follow up immediately after the intervention were not significant, possibly because of the small sample size. Some positive tendencies were observed: the CMAI mean score for physical non-aggressive behaviours decreased from 18.5 at baseline to 15.3 at follow up immediately after the intervention; lower scores indicate fewer symptoms. Mean and median MDDAS scores for behavioural symptoms decreased from 15.3 and 13.5 respectively at baseline to 13.1 and 12.0 respectively at follow up immediately after the intervention; lower scores indicate fewer symptoms. The CMAI mean score for verbal agitation increased significantly (P=0.035) from 17.2 at baseline to 20.6 at follow up six months after the intervention. Dog-assisted intervention may provide an alternative or a complement to pharmacological treatments to reduce behavioural symptoms in people with dementia, but its value and place in care require further evaluation.

No sex differences in use of dopaminergic medication in early Parkinson disease in the US and Canada - baseline findings of a multicenter trial.

PubMed

Umeh, Chizoba C; Pérez, Adriana; Augustine, Erika F; Dhall, Rohit; Dewey, Richard B; Mari, Zoltan; Simon, David K; Wills, Anne-Marie A; Christine, Chadwick W; Schneider, Jay S; Suchowersky, Oksana

2014-01-01

Sex differences in Parkinson disease clinical features have been reported, but few studies have examined sex influences on use of dopaminergic medication in early Parkinson disease. The objective of this study was to test if there are differences in the type of dopaminergic medication used and levodopa equivalent daily dose between men and women with early Parkinson disease enrolled in a large multicenter study of Creatine as a potential disease modifying therapy - the National Institute of Neurological Disorders and Stroke Exploratory Trials in Parkinson Disease Long-Term Study-1. Baseline data of 1,741 participants from 45 participating sites were analyzed. Participants from the United States and Canada were enrolled within five years of Parkinson Disease diagnosis. Two outcome variables were studied: type of dopaminergic medication used and levodopa equivalent daily dose at baseline in the Long-Term Study-1. Chi-square statistic and linear regression models were used for statistical analysis. There were no statistically significant differences in the frequency of use of different types of dopaminergic medications at baseline between men and women with Parkinson Disease. A small but statistically significant difference was observed in the median unadjusted levodopa equivalent daily dose at baseline between women (300 mg) and men (325 mg), but this was not observed after controlling for disease duration (years since Parkinson disease diagnosis), disease severity (Unified Parkinson's Disease Rating Scale Motor and Activities of Daily Living Scores), and body weight. In this large multicenter study, we did not observe sex differences in the type and dose of dopaminergic medications used in early Parkinson Disease. Further research is needed to evaluate the influence of male or female sex on use of dopaminergic medication in mid- and late-stage Parkinson Disease.