Role of Magnetic Resonance Imaging Targeted Biopsy in Detection of Prostate Cancer Harboring Adverse Pathological Features of Intraductal Carcinoma and Invasive Cribriform Carcinoma.

PubMed

Prendeville, Susan; Gertner, Mark; Maganti, Manjula; Pintilie, Melania; Perlis, Nathan; Toi, Ants; Evans, Andrew J; Finelli, Antonio; van der Kwast, Theodorus H; Ghai, Sangeet

2018-07-01

The aim of this study was to compare biopsy detection of intraductal and cribriform pattern invasive prostate carcinoma in multiparametric magnetic resonance imaging positive and negative regions of the prostate. We queried a prospectively maintained, single institution database to identify patients who underwent multiparametric magnetic resonance imaging/ultrasound fusion targeted biopsy and concurrent systematic sextant biopsy of magnetic resonance imaging negative regions between January 2013 and May 2016. All multiparametric magnetic resonance imaging targets were reviewed retrospectively by 2 readers for the PI-RADS™ (Prostate Imaging-Reporting and Data System), version 2 score, the maximum dimension, the apparent diffusion coefficient parameter and whether positive or negative on dynamic contrast enhancement sequence. Biopsy slides were reviewed by 2 urological pathologists for Gleason score/Grade Group and the presence or absence of an intraductal/cribriform pattern. A total of 154 patients were included in study. Multiparametric magnetic resonance imaging/ultrasound fusion targeted biopsy and systematic sextant biopsy of magnetic resonance imaging negative regions were negative for prostate carcinoma in 51 patients, leaving 103 available for the correlation of multiparametric magnetic resonance imaging and the intraductal/cribriform pattern. Prostate carcinoma was identified by multiparametric magnetic resonance imaging/ultrasound fusion targeted biopsy in 93 cases and by systematic sextant biopsy of magnetic resonance imaging negative regions in 76 (p = 0.008). Intraductal/cribriform positive tumor was detected in 23 cases, including at the multiparametric magnetic resonance imaging/ultrasound fusion targeted biopsy site in 22 and at the systematic sextant biopsy of magnetic resonance imaging negative region site in 3 (p <0.001). The intraductal/cribriform pattern was significantly associated with a PI-RADS score of 5 and a decreasing apparent diffusion coefficient value (p = 0.008 and 0.005, respectively). In 19 of the 23 cases with the intraductal/cribriform pattern prior 12-core standard systematic biopsy was negative in 8 and showed Grade Group 1 disease in 11. Multiparametric magnetic resonance imaging/ultrasound fusion targeted biopsy was associated with significantly increased detection of intraductal/cribriform positive prostate carcinoma compared to systematic sextant biopsy of multiparametric magnetic resonance imaging negative regions. This supports the role of magnetic resonance imaging to enhance the detection of clinically aggressive intraductal/cribriform positive prostate carcinoma. Copyright © 2018 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

A Secure Region-Based Geographic Routing Protocol (SRBGR) for Wireless Sensor Networks

PubMed Central

Adnan, Ali Idarous; Hanapi, Zurina Mohd; Othman, Mohamed; Zukarnain, Zuriati Ahmad

2017-01-01

Due to the lack of dependency for routing initiation and an inadequate allocated sextant on responding messages, the secure geographic routing protocols for Wireless Sensor Networks (WSNs) have attracted considerable attention. However, the existing protocols are more likely to drop packets when legitimate nodes fail to respond to the routing initiation messages while attackers in the allocated sextant manage to respond. Furthermore, these protocols are designed with inefficient collection window and inadequate verification criteria which may lead to a high number of attacker selections. To prevent the failure to find an appropriate relay node and undesirable packet retransmission, this paper presents Secure Region-Based Geographic Routing Protocol (SRBGR) to increase the probability of selecting the appropriate relay node. By extending the allocated sextant and applying different message contention priorities more legitimate nodes can be admitted in the routing process. Moreover, the paper also proposed the bound collection window for a sufficient collection time and verification cost for both attacker identification and isolation. Extensive simulation experiments have been performed to evaluate the performance of the proposed protocol in comparison with other existing protocols. The results demonstrate that SRBGR increases network performance in terms of the packet delivery ratio and isolates attacks such as Sybil and Black hole. PMID:28121992

A Secure Region-Based Geographic Routing Protocol (SRBGR) for Wireless Sensor Networks.

PubMed

Adnan, Ali Idarous; Hanapi, Zurina Mohd; Othman, Mohamed; Zukarnain, Zuriati Ahmad

2017-01-01

Due to the lack of dependency for routing initiation and an inadequate allocated sextant on responding messages, the secure geographic routing protocols for Wireless Sensor Networks (WSNs) have attracted considerable attention. However, the existing protocols are more likely to drop packets when legitimate nodes fail to respond to the routing initiation messages while attackers in the allocated sextant manage to respond. Furthermore, these protocols are designed with inefficient collection window and inadequate verification criteria which may lead to a high number of attacker selections. To prevent the failure to find an appropriate relay node and undesirable packet retransmission, this paper presents Secure Region-Based Geographic Routing Protocol (SRBGR) to increase the probability of selecting the appropriate relay node. By extending the allocated sextant and applying different message contention priorities more legitimate nodes can be admitted in the routing process. Moreover, the paper also proposed the bound collection window for a sufficient collection time and verification cost for both attacker identification and isolation. Extensive simulation experiments have been performed to evaluate the performance of the proposed protocol in comparison with other existing protocols. The results demonstrate that SRBGR increases network performance in terms of the packet delivery ratio and isolates attacks such as Sybil and Black hole.

Evaluation of the accuracy of 7 digital scanners: An in vitro analysis based on 3-dimensional comparisons.

PubMed

Renne, Walter; Ludlow, Mark; Fryml, John; Schurch, Zach; Mennito, Anthony; Kessler, Ray; Lauer, Abigail

2017-07-01

As digital impressions become more common and more digital impression systems are released onto the market, it is essential to systematically and objectively evaluate their accuracy. The purpose of this in vitro study was to evaluate and compare the trueness and precision of 6 intraoral scanners and 1 laboratory scanner in both sextant and complete-arch scenarios. Furthermore, time of scanning was evaluated and correlated with trueness and precision. A custom complete-arch model was fabricated with a refractive index similar to that of tooth structure. Seven digital impression systems were used to scan the custom model for both posterior sextant and complete arch scenarios. Analysis was performed using 3-dimensional metrology software to measure discrepancies between the master model and experimental casts. Of the intraoral scanners, the Planscan was found to have the best trueness and precision while the 3Shape Trios was found to have the poorest for sextant scanning (P<.001). The order of trueness for complete arch scanning was as follows: 3Shape D800 >iTero >3Shape TRIOS 3 >Carestream 3500 >Planscan >CEREC Omnicam >CEREC Bluecam. The order of precision for complete-arch scanning was as follows: CS3500 >iTero >3Shape D800 >3Shape TRIOS 3 >CEREC Omnicam >Planscan >CEREC Bluecam. For the secondary outcome evaluating the effect time has on trueness and precision, the complete- arch scan time was highly correlated with both trueness (r=0.771) and precision (r=0.771). For sextant scanning, the Planscan was found to be the most precise and true scanner. For complete-arch scanning, the 3Shape Trios was found to have the best balance of speed and accuracy. Copyright © 2016 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

Toothbrushing procedure in schoolchildren with no previous formal instruction: variables associated to dental biofilm removal.

PubMed

Rossi, Glenda N; Sorazabal, Ana L; Salgado, Pablo A; Squassi, Aldo F; Klemonskis, Graciela L

2016-04-01

The aim of this study was to establish the association between features regarding brushing procedure performed by schoolchildren without previous formal training and the effectiveness of biofilm removal. Out of a population of 8900 6- and 7-year-old schoolchildren in Buenos Aires City, 600 children were selected from schools located in homogeneous risk areas. Informed consent was requested from parents or guardians and formal assent was obtained from children themselves. The final sample consisted of 316 subjects. The following tooth brushing variables were analyzed: toothbrush-gripping, orientation of active part of bristles with respect to the tooth, type of movement applied, brushing both jaws together or separately, including all 6 sextants and duration of brushing. The level of dental biofilm after brushing was determined by O'Leary's index, acceptable cut-off point = 20%. Four calibrated dentists performed observations and clinical examinations. Frequency distribution, central tendency and dispersion measures were calculated. Cluster analyses were performed; proportions of variables for each cluster were compared with Bonferroni's correction and OR was obtained. The most frequent categories were: palm gripping (71.51%); perpendicular orientation (85.8%); horizontal movement (95.6%); separate addressing of jaws (68%) and inclusion of all 6 sextants (50.6%). Mean duration of brushing was 48.78 ± 27.36 seconds. 42.7% of the children achieved an acceptable biofilm level. The cluster with the highest proportion of subjects with acceptable post-brushing biofilm levels (p<0.05) differed significantly from the rest for the variable "inclusion of all 6 sextants in brushing procedure". OR was 2.538 (CI 95% 1.603 - 4.017). Inclusion of all six sextants could be a determinant variable for the removal of biofilm by brushing in schoolchildren, and should be systematized as a component in oral hygiene education. Sociedad Argentina de Investigación Odontológica.

Crew-Aided Autonomous Navigation Project

NASA Technical Reports Server (NTRS)

Holt, Greg

2015-01-01

Manual capability to perform star/planet-limb sightings provides a cheap, simple, and robust backup navigation source for exploration missions independent from the ground. Sextant sightings from spacecraft were first exercised in Gemini and flew as the loss-of-communications backup for all Apollo missions. This study seeks to procure and characterize error sources of navigation-grade sextants for feasibility of taking star and planetary limb sightings from inside a spacecraft. A series of similar studies was performed in the early/mid-1960s in preparation for Apollo missions, and one goal of this study is to modernize and update those findings. This technique has the potential to deliver significant risk mitigation, validation, and backup to more complex low-TRL automated systems under development involving cameras.

Autonomous Navigation Above the GNSS Constellations and Beyond: GPS Navigation for the Magnetospheric Multiscale Mission and SEXTANT Pulsar Navigation Demonstration

NASA Technical Reports Server (NTRS)

Winternitz, Luke

2017-01-01

This talk will describe two first-of-their-kind technology demonstrations attached to ongoing NASA science missions, both of which aim to extend the range of autonomous spacecraft navigation far from the Earth. First, we will describe the onboard GPS navigation system for the Magnetospheric Multiscale (MMS) mission which is currently operating in elliptic orbits reaching nearly halfway to the Moon. The MMS navigation system is a key outgrowth of a larger effort at NASA Goddard Space Flight Center to advance high-altitude Global Navigation Satellite System (GNSS) navigation on multiple fronts, including developing Global Positioning System receivers and onboard navigation software, running simulation studies, and leading efforts to characterize and protect signals at high-altitude in the so-called GNSS Space-Service Volume (SSV). In the second part of the talk, we will describe the Station Explorer for X-ray Timing and Navigation Technology (SEXTANT) mission that aims to make the first in-space demonstration of X-ray pulsar navigation (XNAV). SEXTANT is attached to the NASA astrophysics mission Neutron-star Interior Composition ExploreR (NICER) whose International Space Station mounted X-ray telescope is investigating the fundamental physics of extremes in gravity, material density, and electromagnetic fields found in neutron stars, and whose instrument provides a nearly ideal navigation sensor for XNAV.

Impact of extended prostate biopsy including apical anterior region for cancer detection and prediction of surgical margin status for radical prostatectomy.

PubMed

Hashimoto, Kohei; Shinkai, Nobuo; Tanaka, Toshiaki; Masumori, Naoya

2017-06-01

We investigated diagnostic yield of initial biopsy and repeated biopsy including apical cores. We investigated 573 consecutive men with PSA of ≤20 ng/ml who underwent prostate biopsy between 2004 and 2013. The initial 14-core biopsy consisted of the sextant type, lateral sites at the base and middle, lateral apices (la) at anterior horn sites, and apical anterior sites (aa). The repeated 18-core biopsy consisted of the initial 14-core biopsy with four transition zone (TZ) sites at the base (tzb) and middle (tzm). Prostate cancer was diagnosed in 178 (38.9%) of 458 men with the initial 14-core biopsy, and 44 (38.3%) of 115 men with the repeated 18-core biopsy. In the initial biopsy setting, the unique cancer detection rate was high in apical sites (apex, la, and aa: 6.2%, 6.2% and 5.1%, respectively). In the repeated setting, it was high in the TZ site in addition to the apical site (apex, la, aa, tzm, and tzb: 6.8%, 6.8%, 11.4%, 9.1% and 11.4%, respectively). The positive SM rate at the apex was higher in patients whose cancer was detected only in sites other than the sextant region than for those in the sextant region (36.4% vs. 14.8%, P = 0.037). The initial 14-core and the repeated 18-core biopsy scheme including apical anterior cores are feasible for prostate cancer detection. We propose that apical biopsy cores can be used to predict not only the existence of cancer but also surgical margin status at the apex. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Effect of removing an impacted mandibular third molar on the periodontal status of the mandibular second molar.

PubMed

Montero, Javier; Mazzaglia, Giuseppe

2011-11-01

The aim of this study was to evaluate the change in the periodontal status of mandibular second molars after surgical extraction of adjacent impacted lower third molars. The study was based on a 1-year follow-up of 48 patients (20 men and 28 women) recruited consecutively after the extraction of an impacted lower third molar. Panoramic radiographs were obtained and clinical examinations were carried out at baseline to determine the periodontal status (probing depth and dental plaque and gingival indices) both for the second molar and for the 4 posterior sextants. After surgical removal of the impacted mandibular third molars, all patients were assessed at 3, 6, 9, and 12 months for changes in periodontal status. The periodontal health of the second molar was found to improve gradually after third molar surgery in all clinical parameters. Probing depth was gradually reduced by about 0.6 mm quarterly, until a final depth of 2.6 ± 0.8 mm was attained. The relative risk of having a plaque index and gingival index coded as 0 (healthy) or 1 (minor problems) was about 10 times higher at the end of the follow-up than at baseline for both indices. The periodontal status of the 4 posterior sextants also improved gradually. Molar depth, according to the Pell and Gregory classes and types, seemed to be the main factor modulating both the baseline probing depth and the change in probing depth during follow-up. Our results suggest that the initial periodontal breakdown established on the distal surfaces of the second molars and in the periodontal health of the 4 posterior sextants can be significantly improved 1 year after surgical removal of the ipsilateral lower third molar. Copyright © 2011 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

The risk of finding focal cancer (less than 3 mm) remains high on re-biopsy of patients with persistently increased prostate specific antigen but the clinical significance is questionable.

PubMed

Zackrisson, Bjørn; Aus, Gunnar; Bergdahl, Svante; Lilja, Hans; Lodding, Pär; Pihl, Carl-Gustav; Hugosson, Jonas

2004-04-01

We evaluated the significance of focal prostate cancer found in sextant biopsies in men participating in a biennial prostate specific antigen (PSA) based screening program. In 1995, 10000 men 50 to 65 years old were randomized to biennial screening with PSA testing. Sextant biopsies were recommended when total PSA was 3 ng/ml or greater at screening rounds 1 and 2, and 2.54 ng/ml or greater at subsequent screening rounds. Focal cancer was defined as total a core cancer length of less than 3 mm in the biopsy specimen. Low volume cancer was defined as a total tumor volume of less than 0.5 cm in the radical retropubic prostatectomy specimen. The number of men who underwent biopsy and the number of cancers detected in the 5 possible sets of biopsies were 1725 and 402, 706 and 124, 307 and 36, 103 and 9, and 13 and 0, respectively. The risk of detecting focal cancer was 7.9%, 10.2%, 7.5%, 5.8% and 0%, respectively, but the relative ratio (focal-to-all cancers) increased 34%, 58%, 64%, 67% and, not applicable, respectively. In men with a total core cancer length of less than 10 mm there was no correlation between core cancer length and total tumor volume, as measured in the prostatectomy specimen. Two-thirds of men with a total core cancer length of less than 3 mm had a tumor volume of greater than 0.5 cm, while the risk of low volume cancer was less than 5% only in men with a total core cancer length of greater than 10 mm. In a repeat PSA based screening program sextant biopsies are of little or no value for predicting tumor volume.

Development of Highly Sensitive Bulk Acoustic Wave Device Biosensor Arrays for Screening and Early Detection of Prostate Cancer

DTIC Science & Technology

2009-01-01

Partin, P. C. Walsh, J. I. Epstein, and D. Sidransky, "Quantitative GSTP1 Methylation and the Detection of Prostate Adenocarcinoma in Sextant Biopsies...island methylation changes near the GSTP1 gene in prostatic carcinoma cells detected using the polymerase chain reaction: a new prostate cancer

Proper Procedures for Use and Adjustment of the Survey Sextant.

DTIC Science & Technology

1978-07-01

A N D M A R K I I ‘~— — — — — — — — — — — — — — — p ~~ 11’ FIGURE M . S~~RVl;y SEXT .\\~~ wiTu ‘n:n P’US’~ IN ADJL’ST POSITION. Thelight beams sh

DCASR (Defense Contract Administration Service Region), Boston Is the Customer’s Voice. Total Quality Management

DTIC Science & Technology

1989-10-01

been Hoshin Kanri , the Japanese term for Management by Planning, which loosely translates as "compass" and "sextant". When we initially began the...commitment empowered us to develop a plan which would clearly point the direction ( Hoshin ), as well as provide the structure for getting there ( Kanri

Development of a feed-forward controller for a tracking telescope

NASA Astrophysics Data System (ADS)

Allen, John S.; Stufflebeam, Joseph L.; Feller, Dan

2004-07-01

This paper develops a State Space model of a feed-forward control system in the frequency domain, and time domain. The results of the mathematical model are implemented and the responses of the Elevation and Azimuth servo controller in a tracking telescope called a Cine-Sextant developed for the Utah Test and Training Range.

Saugus River and Tributaries, Lynn Malden, Revere and Saugus, Massachusetts. Flood Damage Reduction. Volume 4. Appendix G. Economics. Appendix H. Socioeconomic.

DTIC Science & Technology

1989-06-01

is not accessible by subway from Boston. Policy guidance for evaluation of recreational facilities for structural flood reduction plans require that...Trapelo Road Waltham, Massachusetts Prepared By: IEP, Inc. P.O. Box 1840 90 Route 6A/Sextant Hill Sandwich , Massachusetts 02563 EPnc. Table of Contents

"Geomat.dk": Historical Instruments of Navigation--Used as Educational Tools in Mathematics

ERIC Educational Resources Information Center

Jakobsen, Ivan Tafteberg; Matthiasen, Jesper

2016-01-01

This paper gives a short description of the scope and content of an educational project. The approach is to use historical navigational devices, such as sextants and cross staffs, to teach mathematics in secondary schools. By making collections of these devices available to teachers and bringing them into the class room a new approach to combine…

Poles, Parking Lots, and Mount Piton: Classroom Activities that Combine Astronomy, History, and Mathematics

ERIC Educational Resources Information Center

Madden, Sean P.; Comstock, Jocelyn M.; Downing, James P.

2006-01-01

This article describes how a series of lessons might be used to allow students to discover the size of the Earth, the distance to the Moon, the size of the Moon, and the altitude of Mount Piton on the Moon. Measurement with a sextant, principles of geometry and trigonometry, and historically important scientists and mathematicians are discussed.

33 CFR 13.01-25 - Description of Gold Lifesaving Medal.

Code of Federal Regulations, 2012 CFR

2012-07-01

... monument surmounted by an American eagle; the figure of a woman stands, to the left, holding in her left hand an oak wreath, and with her right hand, preparing to inscribe the name of the recipient on the monument; to the right are grouped a mast, a yard with a sail, an anchor, a sextant, and a laurel branch...

33 CFR 13.01-25 - Description of Gold Lifesaving Medal.

Code of Federal Regulations, 2011 CFR

2011-07-01

... monument surmounted by an American eagle; the figure of a woman stands, to the left, holding in her left hand an oak wreath, and with her right hand, preparing to inscribe the name of the recipient on the monument; to the right are grouped a mast, a yard with a sail, an anchor, a sextant, and a laurel branch...

33 CFR 13.01-25 - Description of Gold Lifesaving Medal.

Code of Federal Regulations, 2014 CFR

2014-07-01

... monument surmounted by an American eagle; the figure of a woman stands, to the left, holding in her left hand an oak wreath, and with her right hand, preparing to inscribe the name of the recipient on the monument; to the right are grouped a mast, a yard with a sail, an anchor, a sextant, and a laurel branch...

33 CFR 13.01-25 - Description of Gold Lifesaving Medal.

Code of Federal Regulations, 2010 CFR

2010-07-01

... monument surmounted by an American eagle; the figure of a woman stands, to the left, holding in her left hand an oak wreath, and with her right hand, preparing to inscribe the name of the recipient on the monument; to the right are grouped a mast, a yard with a sail, an anchor, a sextant, and a laurel branch...

Design and Operation of the RHIC 80-K Cooler

NASA Astrophysics Data System (ADS)

Nicoletti, A.; Reuter, A.; Sidi-Yekhlef, A.; Talty, P.; Quimby, E.

2004-06-01

A stand-alone cryogenic system designed to maintain the magnets of the Relativistic Heavy Ion Collider (RHIC) at between 80 and 100 K during accelerator shutdown periods has been conceived and designed at Brookhaven National Laboratory and built by PHPK Technologies of Columbus, Ohio. Since most thermal contraction occurs above this temperature, this unit, referred to as the 80-K Cooler, will eliminate the stresses associated with thermal cycling. The cooling system will provide the necessary refrigeration by circulating cooled helium gas at approximately 1500 kPA through the RHIC heat shields and magnets. This helium is cooled by heat exchange with liquid nitrogen and circulated via three cold centrifugal pumps. The nominal delivered cooling capacity required to maintain the magnets at temperature is approximately 36 kW, primarily intercepted at the heat shield. The system also has separate heat exchangers for use as a pre-cooler from room temperature to 82 K. Selection of sextant or sextants for pre-cooling is designed into the RHIC cryogenic distribution system. Topics covered include Cooler design decisions, details of the Cooler as built, integration into the existing RHIC cryogenic system and initial operating experience.

The Chinese People’s Liberation Army and Information Warfare

DTIC Science & Technology

2014-03-01

information confrontation operations across the elec- tromagnetic spectrum. In doing so, as Dr. Wortzel’s monograph explains, the PLA used innovative means...and in- formation confrontation operations across the electro- magnetic spectrum. As this monograph explains, the PLA used innovative means to...depend on information technology. Naviga- tion and positioning is no longer done with compasses or sextants, maps , or charts; it is done with satellite

Periodontal health status in the elderly with different levels of education: a 5-year follow-up study.

PubMed

Siukosaari, Päivi; Ajwani, Shilpi; Ainamo, Anja; Wolf, Juhani; Närhi, Timo

2012-06-01

To assess the association between the periodontal health status and level of education over a 5-year period among the elderly aged 75 years and older. Oral health among the higher educated is known to be better than among the less-well educated. On the other hand, the prevalence and severity of periodontal disease has been found to grow with increasing age. The participants were derived from a population-based Helsinki Aging Study, a random sample of 76-, 81- and 86-year-old elderly. The 170 dentate elderly who underwent clinical oral examinations at baseline and 71 who participated in the follow-up were included in this study. The data was collected from intraoral and radiological examinations and from a structured questionnaire. Subjects with a higher level of education had more retained teeth than subjects with a lower level of education. According to CPITN index, better-educated participants had more healthy sextants, but they also had more sextants with periodontal pockets. Radiographic examination showed similar results. Level of education has a clear effect on the periodontal health status in the elderly. More treatment need seems to polarise into those elderly who are better educated as they retain more teeth into old age. © 2011 The Gerodontology Society and John Wiley & Sons A/S.

Browsing and Visualization of Linked Environmental Data

NASA Astrophysics Data System (ADS)

Nikolaou, Charalampos; Kyzirakos, Kostis; Bereta, Konstantina; Dogani, Kallirroi; Koubarakis, Manolis

2014-05-01

Linked environmental data has started to appear on the Web as environmental researchers make use of technologies such as ontologies, RDF, and SPARQL. Many of these datasets have an important geospatial and temporal dimension. The same is true also for the Web of data that is being rapidly populated not only with geospatial information, but also with temporal information. As the real-world entities represented in linked geospatial datasets evolve over time, the datasets themselves get updated and both the spatial and the temporal dimension of data become significant for users. For example, in the Earth Observation and Environment domains, data is constantly produced by satellite sensors and is associated with metadata containing, among others, temporal attributes, such as the time that an image was acquired. In addition, the acquisitions are considered to be valid for specific periods of time, for example until they get updated by new acquisitions. Satellite acquisitions might be utilized in applications such as the CORINE Land Cover programme operated by the European Environment Agency that makes available as a cartographic product the land cover of European areas. Periodically CORINE publishes the changes in the land cover of these areas in the form of changesets. Tools for exploiting the abundance of geospatial information have also started to emerge. However, these tools are designed for browsing a single data source, while in addition they cannot represent the temporal dimension. This is for two reasons: a) the lack of an implementation of a data model and a query language with temporal features covering the various semantics associated with the representation of time (e.g., valid and user-defined), and b) the lack of a standard temporal extension of RDF that would allow practitioners to utilize when publishing RDF data. Recently, we presented the temporal features of the data model stRDF, the query language stSPARQL, and their implementation in the geospatial RDF store Strabon (http://www.strabon.di.uoa.gr/) which, apart from querying geospatial information, can also be used to query both the valid time of a triple and user-defined time. With the aim of filling the aforementioned gaps and going beyond data exploration to map creation and sharing, we have designed and developed SexTant (http://sextant.di.uoa.gr/). SexTant can be used to produce thematic maps by layering spatiotemporal information which exists in a number of data sources ranging from standard SPARQL endpoints, to SPARQL endpoints following the standard GeoSPARQL defined by the Open Geospatial Consortium (OGC) for the modelling and querying of geospatial information, and other well-adopted geospatial file formats, such as KML and GeoJSON. In this work, we pick some real use cases from the environment domain to showcase the usefulness of SexTant to the environmental studies of a domain expert by presenting its browsing and visualization capabilities using a number of environmental datasets that we have published as linked data and also other geospatial data sources publicly available on the Web, such as KML files.

Development of a Novel, Non-Invasive Diagnostic Test for Prostate Cancer

DTIC Science & Technology

2006-01-01

Chang JJ, Bhargava V , Shinohara K. The optimal systematic prostate biopsy scheme should include 8 rather than 6 biopsies: results of a prospective...sextant and laterally directed biopsies for the detection of prostate cancer. J Urol, 2001, 165:1554-9. 19. Djavan B, Ravery V , Zlotta A, Dobronski P...Smith-Jones PM, Navarro V , Goldsmith SJ, Bander NH. Radioimmunotherapy of prostate cancer in human xenografts using monoclonal antibodies specific to

Refraction near the horizon

NASA Technical Reports Server (NTRS)

Schaefer, Bradley E.; Liller, William

1990-01-01

Variations in astronomical refraction near the horizon are examined. Sunset timings, a sextant mounted on a tripod, and a temperature profile are utilized to derive the variations in refraction data, collected from 7 locations. It is determined that the refraction ranges from 0.234 to 1.678 deg with an rms deviation of 0.16, and it is observed that the variation is larger than previously supposed. Some applications for the variation of refraction value are discussed.

Cancer Localization in the Prostate with F-18 Fluorocholine Positron Emission Tomography. Addendum

DTIC Science & Technology

2010-01-01

of malignancy in anatomical sextants of the prostate gland. The rationale for evaluating fluorocholine as an oncologic tracer applicable to...interest in radiolabeled choline deriv- atives as oncologic tracers for positron emission tomogra- phy (PET) [6, 7]. This approach has shown feasibility in...prostate cancer using the tracer fluorine-18 fluor- omethylcholine (18F-choline) [8–11]. As a preliminary step in evaluating 18F-choline PET/CT as a

Echo-Planar Imaging-Based, J-Resolved Spectroscopic Imaging for Improved Metabolite Detection in Prostate Cancer

DTIC Science & Technology

2015-10-01

cancer is through imaging techniques including ultrasound , computed tomography (CT), and magnetic resonance imaging (MRI) with or without the help...performed at least 8 weeks after transrectal ultrasound -guided sextant biopsy. The entire protocol was ap- proved by the Institutional Review Board...volume of interest (VOI) was localized using three slice-selective radiofrequency (RF) pulses (90°–180°–180°) (Fig. 1). The total time for the

American Practical Navigator. An Epitome of Navigation. Volume 1

DTIC Science & Technology

1977-01-01

may also be provided for bearing observations from repeaters. ’’ie telescopic alidade is basically similar to tie beating circle, except that it is...with the half-second beats of a chronometer). This interval can -then be subtracted from the observed time of each sight. 1506. Reading the sextant.-The...chronometer. Chronometers beat in half seconds, with an audible "tick." Ten seconds before the selected time (perhaps a whole minute), the observer

Application of X-Ray Pulsar Navigation: A Characterization of the Earth Orbit Trade Space

NASA Technical Reports Server (NTRS)

Yu, Wayne

2016-01-01

The potential for pulsars as a navigation source has been studied since their discovery in 1967. X-ray pulsar navigation (XNAV) is a celestial navigation system that uses the consistent timing nature of x-ray photons from milli-second pulsars (MSP) to perform space navigation. By comparing the detected arrival of x-ray photons to a reference database of expected pulsar lightcurve timing models, one can infer a range and range rate measurement based on light time delay. Much of the challenge of XNAV comes from the faint signal, availability, and distant nature of pulsars. This is a study of potential pulsar XNAV measurements to measure extended Kalman filter (EKF) tracking performance with a wide trade space of bounded Earth orbits, using a simulation of existing x-ray detector space hardware. An example of an x-ray detector for XNAV is the NASA Station Explorer for X-ray Timing and Navigation (SEXTANT) mission, a technology demonstration of XNAV set to perform on the International Space Station (ISS) in late 2016early 2017. XNAV hardware implementation is driven by trajectory and environmental influences which add noise to the x-ray pulse signal. In a closed Earth orbit, the radiation environment can exponentially increase the signal noise from x-ray pulsar sources, decreasing the quality and frequency of measurements. The SEXTANT mission in particular improves on the signal to noise ratio by focusing an array of 56 x-ray silicon drift detectors at one pulsar target at a time. This reduces timing glitches and other timing noise contributions from ambient x-ray sources to within a 100 nanosecond resolution. This study also considers the SEXTANT scheduling challenges inherent in a single target observation. Finally, as the navigation sources are now relatively inertial targets, XNAV measurements are also subject to periods of occultation from various celestial bodies. This study focuses on the characterization of these drivers in closed Earth orbits and is not a tuning analysis of the EKF. The study shows that the closed Earth orbit for XNAV performance is reliant on the orbit semi-major axis and eccentricity as well as orbit inclination. These parameters are the primary drivers of pulsar measurement availability and significantly influence the natural spacecraft orbit dynamics. Sensitivity to initial orbit determination error growth due to the scarcity of XNAV measurements within an orbital period require appropriate timing of initial XNAV measurements. The orbit angles of argument of perigee and right ascension of the ascending node, alongside the other orbit parameters, complete the initial cadence of XNAV measurements. The performance of initial XNAV measurements then propagates throughout the experimental period. The study provides a basis to missions who wish to consider XNAV as a potential navigation source in a closed Earth orbit design. It provides a family of orbit trajectories as well as other modeling considerations needed to effectively evaluate if XNAV is an effective navigation source for a potential mission. As an EKF is sensitive to a linearized estimated state, this study has a direct benefit of providing effective XNAV measurements to maintain spacecraft tracking, independent of other navigation sources. In the particular use case of the SEXTANT mission, it also provides a novel scheduling algorithm which addresses the need to prioritize and manage pulsar observations for effective navigation.

Application of X-Ray Pulsar Navigation: A Characterization of the Earth Orbit Trade Space

NASA Technical Reports Server (NTRS)

Yu, Wayne Hong

2016-01-01

The potential for pulsars as a navigation source has been studied since their discovery in 1967. X-ray pulsar navigation (XNAV) is a celestial navigation system that uses the consistent timing nature of x-ray photons from millisecond pulsars (MSP) to perform space navigation. By comparing the detected arrival of x-ray photons to a reference database of expected pulsar light-curve timing models, one can infer a range and range rate measurement based on light time delay. Much of the challenge of XNAV comes from the faint signal, availability, and distant nature of pulsars. This is a study of potential pulsar XNAV measurements to measure extended Kalman filter (EKF) tracking performance with a wide trade space of bounded Earth orbits, using a simulation of existing x-ray detector space hardware. An example of an x-ray detector for XNAV is the NASA Station Explorer for X-ray Timing and Navigation (SEXTANT) mission, a technology demonstration of XNAV set to perform on the International Space Station (ISS) in late 2016early 2017. XNAV hardware implementation is driven by trajectory and environmental influences which add noise to the x-ray pulse signal. In a closed Earth orbit, the radiation environment can exponentially increase the signal noise from x-ray pulsar sources, decreasing the quality and frequency of measurements. The SEXTANT mission in particular improves on the signal to noise ratio by focusing an array of 56 x-ray silicon drift detectors at one pulsar target at a time. This reduces timing glitches and other timing noise contributions from ambient x-ray sources to within a 100 nanosecond resolution. This study also considers the SEXTANT scheduling challenges inherent in a single target observation. Finally, as the navigation sources are now relatively inertial targets, XNAV measurements are also subject to periods of occultation from various celestial bodies. This study focuses on the characterization of these drivers in closed Earth orbits and is not a tuning analysis of the EKF. The study shows that the closed Earth orbit for XNAV performance is reliant on the orbit semi-major axis and eccentricity as well as orbit inclination. These parameters are the primary drivers of pulsar measurement availability and significantly influence the natural spacecraft orbit dynamics. Sensitivity to initial orbit determination error growth due to the scarcity of XNAV measurements within an orbital period require appropriate timing of initial XNAV measurements. The orbit angles of argument of perigee and right ascension of the ascending node, alongside the other orbit parameters, complete the initial cadence of XNAV measurements. The performance of initial XNAV measurements then propagates throughout the experimental period. The study provides a basis to missions who wish to consider XNAV as a potential navigation source in a closed Earth orbit design. It provides a family of orbit trajectories as well as other modeling considerations needed to effectively evaluate if XNAV is an effective navigation source for a potential mission. As an EKF is sensitive to a linearized estimated state, this study has a direct benefit of providing effective XNAV measurements to maintain spacecraft tracking, independent of other navigation sources. In the particular use case of the SEXTANT mission, it also provides a novel scheduling algorithm which addresses the need to prioritize and manage pulsar observations for effective navigation.

Percutaneous pedicle screw fixation through the pedicle of fractured vertebra in the treatment of type A thoracolumbar fractures using Sextant system: an analysis of 38 cases.

PubMed

Wang, Hong-wei; Li, Chang-qing; Zhou, Yue; Zhang, Zheng-feng; Wang, Jian; Chu, Tong-wei

2010-06-01

To prospectively evaluate the feasibility, safety and efficacy of the percutaneous pedicle screw fixation through the pedicle of fractured vertebra in the treatment of type A thoracolumbar fractures using Sextant system in the retrospective non-randomized case-control study. A total of 38 consecutive non-randomized patients with type A thoracolumbar fractures, which had been stabilized posteriorly from December 2006 to March 2009, were examined retrospectively more than 9 months after surgery. Twenty-one patients had been treated conventionally with open pedicle screw fixation (OPSF) and 17 patients received minimally invasive treatment with Sextant percutaneous pedicle screw fixation (SPPSF). As a method of evaluation, the incision size, the intraoperation and postoperative volume of blood loss, operation time, postoperative hospital stay, blood transfusion, the radiological assessment of the sagittal Cobb;s angle, vertebral body angle and vertebral body height were recorded and compared. All patients were followed up for 8-24 months (average 11.6 months). There were significant differences in the incision size, surgical blood loss, surgical draining loss, operation time, hospital stay after operation, blood transfusion, the proportion of antalgic supplement and postoperative incisional VAS between the two groups (P less than 0.05). Mean preoperative kyphotic deformity was 16.0 degree and improved by 9.3 degree after surgery in OPSF group, but 15.2 degree and 10.3 degree respectively in SPPSF group. Mean preoperative angle of the fractured vertebral body was 15.9 degree and improved by 7.9 degree after surgery in OPSF group, but 14.9 degree and 6.6 degree respectively in SPPSF group. Mean anterior vertebral body height (% of normal) was 67.3% before surgery and 95.8% after surgery, but 69.1% and 90.1% respectively in SPPSF group. Mean posterior vertebral body height (% of normal) was 93.3% before surgery and 99.5% after surgery, but 88.9% and 93.3% respectively in SPPSF group. Among the patients whose 9-month follow-up films were available, 3.0 degree of kyphosis correction was lost in OPSF group, but 3.2 degree in SPPSF group. And 1.0 degree of the angle of the fractured vertebral body correction was lost in OPSF group, but 1.5 degree in SPPSF group. Then 3.0% of the anterior vertebral body height correction was lost in OPSF group, but 2.2% in SPPSF group. And 3.0% of the posterior vertebral body height correction was lost in OPSF group, but 2.5% in SPPSF group. The sagittal Cobb's angle, vertebral body angle and anterior height of the fractured vertebra were all significantly different in each group before and after operation (P less than 0.05). There were no significant differences in the postoperative sagittal Cobb's angle, vertebral body angle and the improvement of the vertebral body height and the kyphotic deformity correction between OPSF and SPPSF groups (P larger than 0.05), but there was significant difference in the postoperative anterior height of the fractured vertebra between the two groups (P less than 0.05). The percutaneous pedicle screw fixation through the pedicle of fractured vertebra using Sextant system is a good minimally-invasive surgical therapeutic choice for patients with type A thoracolumbar fracture except for that the SPPSF has a little insufficiency in resuming the anterior height of the fractured vertebra compared with OPSF.

MRI/US fusion-guided prostate biopsy allows for equivalent cancer detection with significantly fewer needle cores in biopsy-naive men

PubMed Central

Yarlagadda, Vidhush K.; Lai, Win Shun; Gordetsky, Jennifer B.; Porter, Kristin K.; Nix, Jeffrey W.; Thomas, John V.; Rais-Bahrami, Soroush

2018-01-01

PURPOSE We aimed to investigate the efficiency and cancer detection of magnetic resonance imaging (MRI)/ultrasonography (US) fusion-guided prostate biopsy in a cohort of biopsy-naive men compared with standard-of-care systematic extended sextant transrectal ultrasonography (TRUS)-guided biopsy. METHODS From 2014 to 2016, 72 biopsy-naive men referred for initial prostate cancer evaluation who underwent MRI of the prostate were prospectively evaluated. Retrospective review was performed on 69 patients with lesions suspicious for malignancy who underwent MRI/US fusion-guided biopsy in addition to systematic extended sextant biopsy. Biometric, imaging, and pathology data from both the MRI-targeted biopsies and systematic biopsies were analyzed and compared. RESULTS There were no significant differences in overall prostate cancer detection when comparing MRI-targeted biopsies to standard systematic biopsies (P = 0.39). Furthermore, there were no significant differences in the distribution of severity of cancers based on grade groups in cases with cancer detection (P = 0.68). However, significantly fewer needle cores were taken during the MRI/US fusion-guided biopsy compared with systematic biopsy (63% less cores sampled, P < 0.001) CONCLUSION In biopsy-naive men, MRI/US fusion-guided prostate biopsy offers equal prostate cancer detection compared with systematic TRUS-guided biopsy with significantly fewer tissue cores using the targeted technique. This approach can potentially reduce morbidity in the future if used instead of systematic biopsy without sacrificing the ability to detect prostate cancer, particularly in cases with higher grade disease. PMID:29770762

GIS embedded hydrological modeling: the SID&GRID project

NASA Astrophysics Data System (ADS)

Borsi, I.; Rossetto, R.; Schifani, C.

2012-04-01

The SID&GRID research project, started April 2010 and funded by Regione Toscana (Italy) under the POR FSE 2007-2013, aims to develop a Decision Support System (DSS) for water resource management and planning based on open source and public domain solutions. In order to quantitatively assess water availability in space and time and to support the planning decision processes, the SID&GRID solution consists of hydrological models (coupling 3D existing and newly developed surface- and ground-water and unsaturated zone modeling codes) embedded in a GIS interface, applications and library, where all the input and output data are managed by means of DataBase Management System (DBMS). A graphical user interface (GUI) to manage, analyze and run the SID&GRID hydrological models based on open source gvSIG GIS framework (Asociación gvSIG, 2011) and a Spatial Data Infrastructure to share and interoperate with distributed geographical data is being developed. Such a GUI is thought as a "master control panel" able to guide the user from pre-processing spatial and temporal data, running the hydrological models, and analyzing the outputs. To achieve the above-mentioned goals, the following codes have been selected and are being integrated: 1. Postgresql/PostGIS (PostGIS, 2011) for the Geo Data base Management System; 2. gvSIG with Sextante (Olaya, 2011) geo-algorithm library capabilities and Grass tools (GRASS Development Team, 2011) for the desktop GIS; 3. Geoserver and Geonetwork to share and discover spatial data on the web according to Open Geospatial Consortium; 4. new tools based on the Sextante GeoAlgorithm framework; 5. MODFLOW-2005 (Harbaugh, 2005) groundwater modeling code; 6. MODFLOW-LGR (Mehl and Hill 2005) for local grid refinement; 7. VSF (Thoms et al., 2006) for the variable saturated flow component; 8. new developed routines for overland flow; 9. new algorithms in Jython integrated in gvSIG to compute the net rainfall rate reaching the soil surface, as input for the unsaturated/saturated flow model. At this stage of the research (which will end April 2013), two primary components of the master control panel are being developed: i. a SID&GRID toolbar integrated into gvSIG map context; ii. a new Sextante set of geo-algorithm to pre- and post-process the spatial data to run the hydrological models. The groundwater part of the code has been fully integrated and tested and 3D visualization tools are being developed. The LGR capability has been extended to the 3D solution of the Richards' equation in order to solve in detail the unsaturated zone where required. To be updated about the project, please follow us at the website: http://ut11.isti.cnr.it/SIDGRID/

Tooth wear in three ethnic groups in Sabah (northern Borneo).

PubMed

Milosevic, A; Lo, M S

1996-12-01

The prevalence and associated aetiologies of tooth wear were investigated in three ethnic groups in Sabah (Northern Borneo) using the Tooth Wear Index (TWI). The number of surfaces with enamel wear only, dentine exposed for less than a third or dentine exposed for more than a third were categorised into the TW minimal, moderate or severe respectively. A structured questionnaire was used to elicit medical/dental history, oral hygiene practices, satisfaction with body image, diet and other personal habits/details. The sample comprised of a self selected sample of 148 dental hospital attenders; 47 (32 per cent) each of ethnic Chinese and Malay and 54 (36 per cent) of ethnic Kadazan, matched for age and with a similar number of scoreable teeth per subject. Dentine exposure within the total sample was a common finding (95 per cent TW with moderate, 41 per cent TW severe). The Kadazan group had significantly (P < 0.05) more surfaces with severe tooth wear than the Chinese or Malay. Tobacco chewing was positively associated (rho = +0.4, P < 0.05) with both moderate and severe tooth wear, as was the habit of crushing/eating bones. Neither carbonated beverages or fresh fruit intake were associated with tooth wear, but their frequency of consumption was low. The buccal and occlusal surfaces of the posterior teeth were the most severely worn. Generally, wear was greater in the upper anterior sextant compared to the lower anterior sextant, with the exception of the lower incisal edges in the Kadazan group. Tooth wear into dentine was a common occurrence, especially among the Kadazan subjects and least among the Chinese subjects. The aetiological factors associated with this tooth wear are different to those encountered in Western cultures.

Daytime Celestial Navigation for the Novice

NASA Astrophysics Data System (ADS)

Sadler, Philip M.; Night, Christopher

2010-03-01

What kinds of astronomical lab activities can high school and college astronomy students carry out easily in daytime? The most impressive is the determination of latitude and longitude from observations of the Sun. The ``shooting of a noon sight'' and its ``reduction to a position'' grew to become a daily practice at the start of the 19th century1 following the perfection of the marine chronometer by John Harrison and its mass production.2 This technique is still practiced by navigators in this age of GPS. Indeed, the U.S. Coast Guard exams for ocean-going licenses include celestial navigation.3 These techniques continue to be used by the military and by private sailors as a backup to all-too-fallible and jammable electronic navigation systems. A sextant, a nautical almanac,4 special sight reduction tables,5 and involved calculations are needed to determine position to the nearest mile using the Sun, Moon, stars, or planets. Yet, finding latitude and longitude to better than 30 miles from measurements of the Sun's altitude is easily within the capability of those taking astronomy or physics for the first time by applying certain basic principles. Moreover, it shows a practical application of astronomy in use the world over. The streamlined method described here takes advantage of the similar level of accuracy of its three components: 1.Observations using a homemade quadrant6 (instead of a sextant), 2. Student-made graphs of the altitude of the Sun over a day7 (replacing lengthy calculation using sight reduction tables), and 3. An averaged 20-year analemma used to find the Sun's navigational coordinates8,9 (rather than the 300+ page Nautical Almanac updated yearly).

SEXTANT X-Ray Pulsar Navigation Demonstration: Initial On-Orbit Results

NASA Technical Reports Server (NTRS)

Mitchell, Jason W.; Winternitz, Luke B.; Hassouneh, Munther A.; Price, Samuel R.; Semper, Sean R.; Yu, Wayne H.; Ray, Paul S.; Wolf, Michael T.; Kerr, Matthew; Wood, Kent S.;

SpaceX CRS-11 "What's on Board?" Science Briefing

NASA Image and Video Library

2017-05-31

Jason Mitchell, project manager for the Station Explorer for X-ray Timing and Navigation Technology, or SEXTANT, instrument, left, and Keith Gendreau, principle investigator for the Neutron star Interior Composition Explorer, or NICER, speak to members of social media in the Kennedy Space Center’s Press Site auditorium. The briefing focused on the purpose of their experiments and instruments to be delivered to the International Space Station on SpaceX CRS-11. A Dragon spacecraft is scheduled to be launched from Kennedy’s Launch Complex 39A on June 1 atop a SpaceX Falcon 9 rocket on the company's 11th Commercial Resupply Services mission to the space station.

Oxycarbonitride phosphors and light emitting devices using the same

DOEpatents

Li, Yuanqiang; Romanelli, Michael Dennis; Tian, Yongchi

2013-10-08

Disclosed herein is a novel family of oxycarbidonitride phosphor compositions and light emitting devices incorporating the same. Within the sextant system of M--Al--Si--O--N--C--Ln and quintuplet system of M--Si--O--N--C--Ln (M=alkaline earth element, Ln=rare earth element), the phosphors are composed of either one single crystalline phase or two crystalline phases with high chemical and thermal stability. In certain embodiments, the disclosed phosphor of silicon oxycarbidonitrides emits green light at wavelength between 530-550 nm. In further embodiments, the disclosed phosphor compositions emit blue-green to yellow light in a wavelength range of 450-650 nm under near-UV and blue light excitation.

Oxycarbonitride phosphors and light emitting devices using the same

DOEpatents

Li, Yuanqiang; Romanelli, Michael Dennis; Tian, Yongchi

2014-07-08

Disclosed herein is a novel family of oxycarbonitride phosphor compositions and light emitting devices incorporating the same. Within the sextant system of M--Al--Si--O--N--C--Ln and quintuplet system of M--Si--O--N--C--Ln (M=alkaline earth element, Ln=rare earth element), the phosphors are composed of either one single crystalline phase or two crystalline phases with high chemical and thermal stability. In certain embodiments, the disclosed phosphor of silicon oxycarbonitrides emits green light at wavelength between 530-550 nm. In further embodiments, the disclosed phosphor compositions emit blue-green to yellow light in a wavelength range of 450-650 nm under near-UV and blue light excitation.

Volumetric modulated arc therapy planning for primary prostate cancer with selective intraprostatic boost determined by 18F-choline PET/CT.

PubMed

Kuang, Yu; Wu, Lili; Hirata, Emily; Miyazaki, Kyle; Sato, Miles; Kwee, Sandi A

2015-04-01

This study evaluated expected tumor control and normal tissue toxicity for prostate volumetric modulated arc therapy (VMAT) with and without radiation boosts to an intraprostatically dominant lesion (IDL), defined by (18)F-choline positron emission tomography/computed tomography (PET/CT). Thirty patients with localized prostate cancer underwent (18)F-choline PET/CT before treatment. Two VMAT plans, plan79 Gy and plan100-105 Gy, were compared for each patient. The whole-prostate planning target volume (PTVprostate) prescription was 79 Gy in both plans, but plan100-105 Gy added simultaneous boost doses of 100 Gy and 105 Gy to the IDL, defined by 60% and 70% of maximum prostatic uptake on (18)F-choline PET (IDLsuv60% and IDLsuv70%, respectively, with IDLsuv70% nested inside IDLsuv60% to potentially enhance tumor specificity of the maximum point dose). Plan evaluations included histopathological correspondence, isodose distributions, dose-volume histograms, tumor control probability (TCP), and normal tissue complication probability (NTCP). Planning objectives and dose constraints proved feasible in 30 of 30 cases. Prostate sextant histopathology was available for 28 cases, confirming that IDLsuv60% adequately covered all tumor-bearing prostate sextants in 27 cases and provided partial coverage in 1 case. Plan100-105 Gy had significantly higher TCP than plan79 Gy across all prostate regions for α/β ratios ranging from 1.5 Gy to 10 Gy (P<.001 for each case). There were no significant differences in bladder and femoral head NTCP between plans and slightly lower rectal NTCP (endpoint: grade ≥ 2 late toxicity or rectal bleeding) was found for plan100-105 Gy. VMAT can potentially increase the likelihood of tumor control in primary prostate cancer while observing normal tissue tolerances through simultaneous delivery of a steep radiation boost to a (18)F-choline PET-defined IDL. Copyright © 2015 Elsevier Inc. All rights reserved.

Experiment T002: Manual navigation sightings

NASA Technical Reports Server (NTRS)

Smith, D.

1971-01-01

Navigation-type measurements through the window of the stabilized Gemini 12 spacecraft by the use of a hand-held sextant are reported. The major objectives were as follows: (1) to evaluate the ability of the crewmen to make accurate navigational measurements by the use of simple instruments in an authentic space flight environment; (2) to evaluate the operational feasibility of the measurement techniques by the use of the pressure suit with the helmet off and with the helmet on and the visor closed; (3) to evaluate operational problems associated with the spacecraft environment; and (4) to validate ground based simulation techniques by comparison of the inflight results with base line data obtained by the pilot by the use of simulators and celestial targets from ground based observatories.

Design Development of a Combined Deployment and Pointing System for the International Space Station Neutron Star Interior Composition Explorer Telescope

NASA Technical Reports Server (NTRS)

Budinoff, Jason; Gendreau, Keith; Arzoumanian, Zaven; Baker, Charles; Berning, Robert; Colangelo, Todd; Holzinger, John; Lewis, Jesse; Liu, Alice; Mitchell, Alissa;

Design Development of a Combined Deployment and Pointing System for the International Space Station Neutron Star Interior Composition Explorer Telescope

NASA Technical Reports Server (NTRS)

Budinoff, Jason; Gendreau, Keith; Arzoumanian, Zaven; Baker, Charles; Berning, Robert; Colangelo, TOdd; Holzinger, John; Lewis, Jesse; Liu, Alice; Mitchell, Alissa;

Clementine Observes the Moon, Solar Corona, and Venus

NASA Technical Reports Server (NTRS)

1997-01-01

In 1994, during its flight, the Clementine spacecraft returned images of the Moon. In addition to the geologic mapping cameras, the Clementine spacecraft also carried two Star Tracker cameras for navigation. These lightweight (0.3 kg) cameras kept the spacecraft on track by constantly observing the positions of stars, reminiscent of the age-old seafaring tradition of sextant/star navigation. These navigation cameras were also to take some spectacular wide angle images of the Moon.

In this picture the Moon is seen illuminated solely by light reflected from the Earth--Earthshine! The bright glow on the lunar horizon is caused by light from the solar corona; the sun is just behind the lunar limb. Caught in this image is the planet Venus at the top of the frame.

Socioeconomic factors and severity of periodontal disease in adults (35-44 years). A cross sectional study

PubMed Central

Almerich-Silla, José-Manuel; Almiñana-Pastor, Pedro J.; Boronat-Catalá, Montserrat; Montiel-Company, José-María

2017-01-01

Background Periodontal disease or periodontitis is an inflammatory disease with a hight prevalence. According to the last oral health survey of the Spanish population, between 24% and 37% of Spaniards aged over 35 years have periodontitis and 6% to 10% of the adult population have deep periodontal pockets. The aim of this study was to determine the association between risk factors and the presence of periodontal pockets in the adult population. Material and Methods A cross sectional or prevalence study of a representative sample of the adult population of the Valencia region was designed. The sample was recruited at 35 health centres, The study was conducted in November and December 2006 under standardized conditions as regards light sources, equipment and instruments and the position of the three previously calibrated dentist examiners. Results The sample examined consisted of 733 individuals (220 men and 513 women). Measured by the CPI, 13% were healthy and 5.5% presented bleeding. The prevalence of calculus was 59.3%, that of 3.5-5.5 mm pockets was 15.8% and that of pockets deeper than 5.5 mm was 4.6%. Almost half the sextants were healthy (2.89), 0.61 presented bleeding and 1.74 presented calculus. The mean number of sextants affected by 3.5-5.5 mm pockets was 0.46 and 0.07 presented deep pockets (>5.5 mm). An adjusted multiple logistic regression model with the presence of periodontal pockets as the dependent variable showed that the significant independent variables were low social class (OR=1.81), smoking (OR=1.68), primary education (OR=1.57), male gender (OR=1.56) and age (OR=1.08). The other study variables were not significant in this model. Conclusions Socioeconomic factors such as primary education and low social class, as well as gender, age and smoking, were found to be associated to a significant degree with greater prevalence of periodontal disease in the adult population. Key words:Periodontal disease, adults, socioeconomic factors, periodontal pockets, cross sectional study. PMID:28936289

[Prostate histopathology of NIH category IV prostatitis detected by sextant prostate needle biopsy from the patients with high prostatic specific antigen].

PubMed

Shimomura, Tatsuya; Kiyota, Hiroshi; Takahashi, Hiroyuki; Madarame, Jun; Kimura, Takahiro; Onodera, Shouichi

2003-08-01

Asymptomatic prostatitis is classified as category IV in NIH classification of prostatitis syndrome (1999). No report concerning this category has been present. We investigated this category histopathologically and clinically, in order to clarify the histopathological distribution and its correlation to the clinical features, in this study. Among 785 patients who were suspected prostate cancer because of their high prostatic specific antigen (PSA) values and to have a sextant prostate needle biopsy was performed between January, 1996 and December, 2000, 88 patients (11.2%) were diagnosed as NIH category IV prostatitis (asymptomatic prostatitis). We observed all pathological specimens stained with Hematoxylin-Eosine, and classified them into subtypes according to the classification criteria for prostatitis defined by True et al. (1999). We also investigated the relationship between histopathological distribution and clinical features such as PSA values, PSA density, the incidence of pyuria or bacteriuria. In the histopathological study, grade distributions were 12.5% (11/88) in mild, 71.6% (63/88) in moderate, and 15.9% (14/88) in severe. Location distributions were 2.3% (2/88) in glandular, 68.2% (60/88) in periglandular, and 29.5% (26/88) in stromal. No relationship between these subtypes and clinical features was recognized statistically. However, 7 patients (7.95%) were diagnosed as prostate cancers, later. Pyuria was found in 29.1% (23/79). Bacteriuria was present in 14.3% (11/77). Isolated bacteria were 4 strains of Enterococcus faccalis, 2 strains of each of Pseudomonas aeruginosa and Staphylococcus aureus, and one strain of each of Escherichia coli, Klebsiella oxytoca, Enterobacter cloacae, Enterobacter aerogenes, Staphylococcus haemolyticus, and Staphylococcus epidermidis. Gram positive rod, and Candida sp. No relationship between these subtypes and bacterial species was recognized. These results indicated that the incidence of NIII category IV prostatits was not low without correlation to any clinical features. However, we should pay attention to the presence of prostate cancer, because a small number of the patients were diagnosed as prostate cancer, later.

Prostate cancer localization with endorectal MR imaging and MR spectroscopic imaging: effect of clinical data on reader accuracy.

PubMed

Dhingsa, Rajpal; Qayyum, Aliya; Coakley, Fergus V; Lu, Ying; Jones, Kirk D; Swanson, Mark G; Carroll, Peter R; Hricak, Hedvig; Kurhanewicz, John

2004-01-01

To determine the effect of digital rectal examination findings, sextant biopsy results, and prostate-specific antigen (PSA) levels on reader accuracy in the localization of prostate cancer with endorectal magnetic resonance (MR) imaging and MR spectroscopic imaging. This was a retrospective study of 37 patients (mean age, 57 years) with biopsy-proved prostate cancer. Transverse T1-weighted, transverse high-spatial-resolution, and coronal T2-weighted MR images and MR spectroscopic images were obtained. Two independent readers, unaware of clinical data, recorded the size and location of suspicious peripheral zone tumor nodules on a standardized diagram of the prostate. Readers also recorded their degree of diagnostic confidence for each nodule on a five-point scale. Both readers repeated this interpretation with knowledge of rectal examination findings, sextant biopsy results, and PSA level. Step-section histopathologic findings were the reference standard. Logistic regression analysis with generalized estimating equations was used to correlate tumor detection with clinical data, and alternative free-response receiver operating characteristic (AFROC) curve analysis was used to examine the overall effect of clinical data on all positive results. Fifty-one peripheral zone tumor nodules were identified at histopathologic evaluation. Logistic regression analysis showed awareness of clinical data significantly improved tumor detection rate (P <.02) from 15 to 19 nodules for reader 1 and from 13 to 19 nodules for reader 2 (27%-37% overall) by using both size and location criteria. AFROC analysis showed no significant change in overall reader performance because there was an associated increase in the number of false-positive findings with awareness of clinical data, from 11 to 21 for reader 1 and from 16 to 25 for reader 2. Awareness of clinical data significantly improves reader detection of prostate cancer nodules with endorectal MR imaging and MR spectroscopic imaging, but there is no overall change in reader accuracy, because of an associated increase in false-positive findings. A stricter definition of a true-positive result is associated with reduced sensitivity for prostate cancer nodule detection. Copyright RSNA, 2004

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

Kuang, Yu; Wu, Lili; Department of Radiation Oncology, Cancer Hospital of Shantou University Medical College, Shantou, Guangdong

Purpose: This study evaluated expected tumor control and normal tissue toxicity for prostate volumetric modulated arc therapy (VMAT) with and without radiation boosts to an intraprostatically dominant lesion (IDL), defined by {sup 18}F-choline positron emission tomography/computed tomography (PET/CT). Methods and Materials: Thirty patients with localized prostate cancer underwent {sup 18}F-choline PET/CT before treatment. Two VMAT plans, plan{sub 79} {sub Gy} and plan{sub 100-105} {sub Gy}, were compared for each patient. The whole-prostate planning target volume (PTV{sub prostate}) prescription was 79 Gy in both plans, but plan{sub 100-105} {sub Gy} added simultaneous boost doses of 100 Gy and 105 Gy to the IDL, definedmore » by 60% and 70% of maximum prostatic uptake on {sup 18}F-choline PET (IDL{sub suv60%} and IDL{sub suv70%}, respectively, with IDL{sub suv70%} nested inside IDL{sub suv60%} to potentially enhance tumor specificity of the maximum point dose). Plan evaluations included histopathological correspondence, isodose distributions, dose-volume histograms, tumor control probability (TCP), and normal tissue complication probability (NTCP). Results: Planning objectives and dose constraints proved feasible in 30 of 30 cases. Prostate sextant histopathology was available for 28 cases, confirming that IDL{sub suv60%} adequately covered all tumor-bearing prostate sextants in 27 cases and provided partial coverage in 1 case. Plan{sub 100-105} {sub Gy} had significantly higher TCP than plan{sub 79} {sub Gy} across all prostate regions for α/β ratios ranging from 1.5 Gy to 10 Gy (P<.001 for each case). There were no significant differences in bladder and femoral head NTCP between plans and slightly lower rectal NTCP (endpoint: grade ≥ 2 late toxicity or rectal bleeding) was found for plan{sub 100-105} {sub Gy}. Conclusions: VMAT can potentially increase the likelihood of tumor control in primary prostate cancer while observing normal tissue tolerances through simultaneous delivery of a steep radiation boost to a {sup 18}F-choline PET-defined IDL.« less

Clementine Observes the Moon, Solar Corona, and Venus

NASA Image and Video Library

1999-06-12

In 1994, during its flight, NASA's Clementine spacecraft returned images of the Moon. In addition to the geologic mapping cameras, the Clementine spacecraft also carried two Star Tracker cameras for navigation. These lightweight (0.3 kg) cameras kept the spacecraft on track by constantly observing the positions of stars, reminiscent of the age-old seafaring tradition of sextant/star navigation. These navigation cameras were also to take some spectacular wide angle images of the Moon. In this picture the Moon is seen illuminated solely by light reflected from the Earth--Earthshine! The bright glow on the lunar horizon is caused by light from the solar corona; the sun is just behind the lunar limb. Caught in this image is the planet Venus at the top of the frame. http://photojournal.jpl.nasa.gov/catalog/PIA00434

The Whipple Museum and Cavendish Laboratory, Cambridge

NASA Astrophysics Data System (ADS)

Pippard, Brian

The Whipple Museum is part of the History and Philosophy of Science Department in the University of Cambridge. It is on your right as soon as you enter Free School Lane from Pembroke Street, and is normally open between 1:30 and 4:30 P.M. on weekdays. The main room, a hall with hammer-beam roof, is a relic of Stephen Perse’s school (1624) now flourishing elsewhere in the city. It houses a large collection of mathematical, physical and astronomical instruments — abaci, Napier’s bones, slide rules; sextants and other surveying instruments; telescopes, compasses and pocket sundials (especially of ivory from Nuremberg 1500-1700); and a Grand Orrery by George Adams (1750). The gallery of a second room is used for special exhibitions, often of items from the well-stocked store. Some specialist catalogues have been compiled and are on sale.

NICER Mission

NASA Image and Video Library

2017-12-08

This video previews the Neutron star Interior Composition Explorer (NICER). NICER is an Astrophysics Mission of Opportunity within NASA’s Explorer program, which provides frequent flight opportunities for world-class scientific investigations from space utilizing innovative, streamlined and efficient management approaches within the heliophysics and astrophysics science areas. NASA’s Space Technology Mission Directorate supports the SEXTANT component of the mission, demonstrating pulsar-based spacecraft navigation. NICER is an upcoming International Space Station payload scheduled to launch in June 2017. Learn more about the mission at nasa.gov/nicer NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Unlocking_Secrets_of_Neutron_Stars_with_NICER

NASA Image and Video Library

2017-05-25

Though we know neutron stars are small and extremely dense, there are still many aspects of these remnants of explosive deaths of other stars that we have yet to understand. NICER, a facility to be mounted on the outside of the International Space Station, seeks to find the answers to some of the questions still being asked about neutron stars. By capturing the arrival time and energy of the x-ray photons produced by pulsars emitted by neutron stars, NICER seeks answer decades-old questions about extreme forms of matter and energy. Data from NICER will also be used in Sextant, an on-board demonstration of pulsar-based navigation. Learn more about: https://www.nasa.gov/mission_pages/station/research/experiments/1966.html and keep up with all the science being conducted aboard your orbiting laboratory by visiting: https://www.nasa.gov/iss-science/ISS Research Overview on nasa.gov http://www.twitter.com/ISS_Research on Twitter.

EMODNet Bathymetry - building and providing a high resolution digital bathymetry for European seas

NASA Astrophysics Data System (ADS)

Schaap, D.

2016-12-01

Access to marine data is a key issue for the EU Marine Strategy Framework Directive and the EU Marine Knowledge 2020 agenda and includes the European Marine Observation and Data Network (EMODnet) initiative. The EMODnet Bathymetry project develops and publishes Digital Terrain Models (DTM) for the European seas. These are produced from survey and aggregated data sets that are indexed with metadata by adopting from SeaDataNet the Common Data Index (CDI) data discovery and access service and the Sextant data products catalogue service. SeaDataNet is a network of major oceanographic data centres around the European seas that manage, operate and further develop a pan-European infrastructure for marine and ocean data management. SeaDataNet is also setting and governing marine data standards, and exploring and establishing interoperability solutions to connect to other e-infrastructures on the basis of standards such as ISO and OGC. The SeaDataNet portal provides users a number of interrelated meta directories, an extensive range of controlled vocabularies, and the various SeaDataNet standards and tools. SeaDataNet at present gives overview and access to more than 1.8 million data sets for physical oceanography, chemistry, geology, geophysics, bathymetry and biology from more than 100 connected data centres from 34 countries riparian to European seas. The latest EMODnet Bathymetry DTM has a resolution of 1/8 arcminute * 1/8 arcminute and covers all European sea regions. Use is made of available and gathered surveys and already more than 13.000 surveys have been indexed by 27 European data providers from 15 countries. Also use is made of composite DTMs as generated and maintained by several data providers for their areas of interest. Already 44 composite DTMs are included in the Sextant data products catalogue. For areas without coverage use is made of the latest global DTM of GEBCO who is partner in the EMODnet Bathymetry project. In return GEBCO integrates the EMODnet DTM to achieve an enriched and better result. The catalogue services and the generated EMODnet can be queried and browsed at the dedicated EMODnet Bathymetry portal which also provides a versatile DTM viewing service with many relevant map layers and functions for retrieving. The EMODnet DTM is publicly available for downloading in various formats.

The NIFFTE Data Acquisition System

NASA Astrophysics Data System (ADS)

Qu, Hai; Niffte Collaboration

2011-10-01

The Neutron Induced Fission Fragment Tracking Experiment (NIFFTE) will employ a novel, high granularity, pressurized Time Projection Chamber to measure fission cross-sections of the major actinides to high precision over a wide incident neutron energy range. These results will improve nuclear data accuracy and benefit the fuel cycle in the future. The NIFFTE data acquisition system (DAQ) has been designed and implemented on the prototype TPC. Lessons learned from engineering runs have been incorporated into some design changes that are being implemented before the next run cycle. A fully instrumented sextant of EtherDAQ cards (16 sectors, 496 channels) will be used for the next run cycle. The Maximum Integrated Data Acquisition System (MIDAS) has been chosen and customized to configure and run the experiment. It also meets the requirement for remote control and monitoring of the system. The integration of the MIDAS online database with the persistent PostgreSQL database has been implemented for experiment usage. The detailed design and current status of the DAQ system will be presented.

SpaceX CRS-11 What's On Board Briefing

NASA Image and Video Library

2017-05-31

NASA Television held a “What’s on Board” science mission briefing from Kennedy Space Center's Press Site to discuss some of the science headed to the International Space Station on SpaceX’s eleventh commercial resupply services mission, CRS-11. SpaceX’s Dragon spacecraft will carry almost 6,000 pounds of supplies and payloads including crucial materials to support dozens of the more than 250 science and research investigations that will occur during Expeditions 52 and 53. CRS-11 will lift off atop a Falcon 9 rocket from Space Launch Complex 39A at NASA’s Kennedy Space Center in Cape Canaveral, Florida. Briefing participants were: -Kathryn Hambleton, NASA Communications -Camille Alleyne, Associate Program Scientist, ISS -Ken Shields, Director of Operations, CASIS/ISS National Lab -Keith Gendreau, Principle Investigator, NICER -Jason W. Mitchell, Project Manager, SEXTANT -Jeremy Banik, Principle Investigator, ROSA -Karen Ocorr, Co-investigator, Fruit Fly Lab-02 -Miriam Sargusingh, Project Lead, CSELS -Dr. Chia Soo, Principle Investigator, Systemic Therapy of NELL-1 for Osteoporosis -Paul Galloway, Program Manager, MUSES

The observatories and instruments of Tycho Brahe

NASA Astrophysics Data System (ADS)

Wolfschmidt, Gudrun

Tycho Brahe (1546-1601) was the most important observational astronomer until the invention of the telescope in 1608. By construction new instruments and devising new observing methods, Tycho succeeded in significantly increasing measurement accuracy: He increased the size of his instruments (e.g. a large wooden quadrant of diameter 5.4 m and a mural quadrant); he used metal and masonry rather than wood; he modified construction techniques to achieve greater stability; to provide shelter from the wind, his instruments were in subterranean nooks; his instruments were permanently and solidly mounted; for better angular readings, he developed new subdivisions and diopters (Tycho used transversals to obtain the greatest possible angular resolution readings. His instrumental sights (diopters) were specially designed to minimize errors); he carefully analysed all the errors (Tycho's aim was to reduce thethe uncertainty to less than one minute of arc); he used fundamental stars for the first time; he preferred measuring equatorial coordinates directly instead of using the zodiacal system, i.e. using the equatorial armillary sphere instead of the zodiacal armillary sphere; he tried a new measuring method with clocks and his mural quadrant (1582) for determining the right ascension; he took atmospheric refraction into account. Most of his high-accuracy instruments have been distroyed. Only two sextants, made by Jost Bürgi and Erasmus Habermel around 1600, still exist in the Narodny Technicky Muzeum (NTM) [National Technical Museum] in Prague. A model of the wooden quadrant is in the old observatory in Copenhagen, in the round tower. But we have good descriptions of the instruments (half circles of 2.3 m radius, quadrants up to 2 m radius including the mural quadrant, sextants up to 1.6 m, armillary spheres of 1.5 m radius and the great equatorial armillary sphere of 2.7 m, triquetrum and celestial globe of 1.5 m) in Tycho's book Astronomiae instauratae mechanica (Wandesburgi 1598, Nuremberg 1602). One of Tycho's instruments in original size was reconstructed in Oldenburg University and in the Steno Museum in Aarhus, Denmark. In Munich, in the Deutsches Museum's permanent astronomy exhibition (opened in 1992), the Uraniborg observatory and its instruments are shown at a scale of 1:10. A similar but larger model (scale 1:5) from the workshop of the Deutsches Museum was given to the Technical Museum in Malmø, Sweden. Tycho's later observatory Stjerneborg can be seen as a reconstruction on the island Hven (Ven/Sweden) with the original foundations for the instruments.

In vivo inflammation mapping of periodontal disease based on diffuse reflectance spectral imaging: a clinical study

NASA Astrophysics Data System (ADS)

Prasanth, Chandra Sekhar; Betsy, Joseph; Jayanthi, Jayaraj L.; Nisha, Unni G.; Prasantila, Janam; Subhash, Narayanan

2013-02-01

Since conventional techniques using periodontal probes have inherent drawbacks in the diagnosis of different grades of gingival inflammation, development of noninvasive screening devices becomes significant. Diffuse reflectance (DR) spectra recorded with white light illumination is utilized to detect periodontal inflammation from the oxygenated hemoglobin absorption ratio R620/R575. A multispectral imaging system is utilized to record narrow-band DR images at 575 and 620 nm from the anterior sextant of the gingivia of 15 healthy volunteers and 25 patients (N=40). An experienced periodontist assesses the level of gingival inflammation at each site through periodontal probing and assigns diagnosis as healthy, mild, moderate, or severe inflammation. The DR image ratio R620/R575 computed for each pixel (8-μm resolution) from the monochrome images is pseudo-color-mapped to identify gingival inflammation sites. The DR image ratio values at each site are compared with clinical diagnosis to estimate the specificity and sensitivity of the DR imaging technique in inflammation mapping. The high diagnostic accuracy is utilized to detect underlying inflammation in six patients with a previous history of periodontitis.

Neutron star Interior Composition Explorer (NICER)

NASA Image and Video Library

2017-12-08

A NICER team member measures the focused optical power of each X-ray concentrator in a clean tent at NASA’s Goddard Space Flight Center. The Neutron star Interior Composition Explorer (NICER) is a NASA Explorer Mission of Opportunity dedicated to studying the extraordinary environments — strong gravity, ultra-dense matter, and the most powerful magnetic fields in the universe — embodied by neutron stars. An attached payload aboard the International Space Station, NICER will deploy an instrument with unique capabilities for timing and spectroscopy of fast X-ray brightness fluctuations. The embedded Station Explorer for X-ray Timing and Navigation Technology demonstration (SEXTANT) will use NICER data to validate, for the first time in space, technology that exploits pulsars as natural navigation beacons. Credit: NASA/Goddard/ Keith Gendreau NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

[Percutaneous treatment of unstable spine fractures - OP video and results from over 300 cases].

PubMed

Prokop, A; Chmielnicki, M

2014-02-01

Minimally invasive surgery for vertebral fractures results in less approach-related morbidity, decreased postoperative pain, and rapid mobilisation of patients. Such procedures can be performed even in elderly patients. However, along with the many advantages, minimally invasive procedures are technically demanding, require sophisticated tools, and there is a learning curve for surgeons. Intraoperative visualisation is often possible only radiologically, and implants are generally much more expensive. Using the data from over 300 unstable vertebral fracture cases treated over the past 3.5 years, we have developed a differentiated treatment concept, depending on the age of the patient and the fracture characteristics. Unstable fractures with involvement of the posterior edge are stabilised from posterior, percutaneously with a fixator. In patients under 60 years, monoaxial screws with inserted rods (top loading) are used, with which distraction and restoration of lordosis are also possible. Patients over 60 years are treated percutaneously with a polyaxial sextant system with rods inserted to avoid avulsion of the pedicle screws from the vertebral body. To avoid cutting through the vertebra, the fenestrated screws can be augmented with cement. The operation technique is demonstrated by a video. Georg Thieme Verlag KG Stuttgart · New York.

Autonomous landing guidance program

NASA Astrophysics Data System (ADS)

Brown, John A.

1996-05-01

The Autonomous Landing Guidance program is partly funded by the US Government under the Technology Reinvestment Project. The program consortium consists of avionics and other equipment vendors, airlines and the USAF. A Sextant Avionique HUD is used to present flight symbology in cursive form as well as millimeter wave radar imagery from Lear Astronics equipment and FLIR Systems dual-channel, forward-looking, infrared imagery. All sensor imagery is presented in raster form. A future aim is to fuse all imagery data into a single presentation. Sensor testing has been accomplished in a Cessna 402 operated by the Maryland Advanced Development Laboratory. Development testing is under way in a Northwest Airlines simulator equipped with HUD and image simulation. Testing is also being carried out using United Airlines Boeing 727 and USAF C-135C (Boeing 707) test aircraft. The paper addresses the technology utilized in sensory and display systems as well as modifications made to accommodate the elements in the aircraft. Additions to the system test aircraft include global positioning systems, inertial navigation systems and extensive data collection equipment. Operational philosophy and benefits for both civil and military users are apparent. Approach procedures have been developed allowing use of Category 1 ground installations in Category 3 conditions.

Protein-energy malnutrition during early childhood and periodontal disease in the permanent dentition of Haitian adolescents aged 12-19 years: a retrospective cohort study.

PubMed

Russell, Stefanie L; Psoter, Walter J; Jean-Charles, Germain; Prophte, Samuel; Gebrian, Bette

2010-05-01

The aim of this retrospective cohort study was to examine whether exposure to early childhood protein-energy malnutrition (ECPEM) is related to worsened periodontal status in the permanent dentition during adolescence. A trained clinician/researcher examined the periodontal status of 96 persons aged 12-19 living in rural Haiti using WHO diagnostic criteria (Community Periodontal Index, WHO 1997). Malnutrition data of the study participants had been collected during the years 1988-1993 by a nongovernmental organization. We compared those who had been malnourished in early childhood, based on z-scores for anthropomorphic data collected during the first 5 years of life, with those who had not been malnourished, regarding mean Community Periodontal Index (CPI) score, controlling for age, sex, socioeconomic status, and smoking. Overall, 57.3% of the participants demonstrated a CPI score of 3 or greater in at least one sextant. ECPEM was independently and positively related to mean CPI score, when controlling for sex and smoking. More than half of these young Haitians demonstrated CPI scores of 3 or greater, and ECPEM was related to poorer periodontal status, as measured by CPI, in the permanent dentition.

Peripheral T-Cell lymphoma manifested as gingival enlargement in a patient with chronic lymphocytic leukemia.

PubMed

Buddula, Aravind; Assad, Daniel

2011-01-01

Chronic lymphocytic leukemia (CLL) is the most common form of leukemia in adults and is associated with increased risk of malignancy. T-cell lymphoma associated with CLL has never been reported. The case report presents a unique case of peripheral T-cell lymphoma on the gingiva of a patient with CLL. A 66-year-old man with a history of CLL was referred to the Mayo Clinic, Department of Dental Specialties, for evaluation of swelling in the upper left posterior sextant. An intraoral examination revealed a soft tissue swelling in the area of teeth number 13 and 15, including the present edentulous ridge between number 13 and 15. An incisional biopsy was performed on the palatal aspect of tooth No. 15 and submitted for histologic evaluation. The histopathology revealed proliferation of large atypical cells beneath the epithelium, positive for antigens CD2, CD3, Beta-F1, TIA-1, and Granzyme B consistent for a diagnosis of a peripheral T-cell lymphoma. A team approach including the hematologist, general dentist and periodontist resulted in timely referrals leading to an early diagnosis and early intervention and treatment.

Neutron star Interior Composition Explorer (NICER)

NASA Image and Video Library

2017-12-08

NICER engineer Steven Kenyon installs an X-ray detector onto the payload’s detector plate. The detectors are protected by red caps during installation because they are very sensitive to dust and other foreign object debris. The Neutron star Interior Composition Explorer (NICER) is a NASA Explorer Mission of Opportunity dedicated to studying the extraordinary environments — strong gravity, ultra-dense matter, and the most powerful magnetic fields in the universe — embodied by neutron stars. An attached payload aboard the International Space Station, NICER will deploy an instrument with unique capabilities for timing and spectroscopy of fast X-ray brightness fluctuations. The embedded Station Explorer for X-ray Timing and Navigation Technology demonstration (SEXTANT) will use NICER data to validate, for the first time in space, technology that exploits pulsars as natural navigation beacons. Credit: NASA/Goddard/ Keith Gendreau NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Neutron star Interior Composition Explorer (NICER)

NASA Image and Video Library

2017-12-08

A photo taken during the NICER range-of-motion test at NASA’s Goddard Space Flight Center shows the photographer’s reflection in the mirror-like radiator surface of the detector plate. Teflon-coated silver tape is used to keep NICER’s detectors cool. The Neutron star Interior Composition Explorer (NICER) is a NASA Explorer Mission of Opportunity dedicated to studying the extraordinary environments — strong gravity, ultra-dense matter, and the most powerful magnetic fields in the universe — embodied by neutron stars. An attached payload aboard the International Space Station, NICER will deploy an instrument with unique capabilities for timing and spectroscopy of fast X-ray brightness fluctuations. The embedded Station Explorer for X-ray Timing and Navigation Technology demonstration (SEXTANT) will use NICER data to validate, for the first time in space, technology that exploits pulsars as natural navigation beacons. Credit: NASA/Goddard/ Keith Gendreau NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Neutron star Interior Composition Explorer (NICER)

NASA Image and Video Library

2017-12-08

Optics Lead Takashi Okajima prepares to align NICER’s X-ray optics. The payload’s 56 mirror assemblies concentrate X-rays onto silicon detectors to gather data that will probe the interior makeup of neutron stars, including those that appear to flash regularly, called pulsars. The Neutron star Interior Composition Explorer (NICER) is a NASA Explorer Mission of Opportunity dedicated to studying the extraordinary environments — strong gravity, ultra-dense matter, and the most powerful magnetic fields in the universe — embodied by neutron stars. An attached payload aboard the International Space Station, NICER will deploy an instrument with unique capabilities for timing and spectroscopy of fast X-ray brightness fluctuations. The embedded Station Explorer for X-ray Timing and Navigation Technology demonstration (SEXTANT) will use NICER data to validate, for the first time in space, technology that exploits pulsars as natural navigation beacons. Credit: NASA/Goddard/ Keith Gendreau NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Neutron star Interior Composition Explorer (NICER)

NASA Image and Video Library

2017-12-08

The NICER payload, blanketed and waiting for launch in the Space Station Processing Facility at NASA’s Kennedy Space Center in Cape Canaveral, Florida. The instrument is in its stowed configuration for launch. The Neutron star Interior Composition Explorer (NICER) is a NASA Explorer Mission of Opportunity dedicated to studying the extraordinary environments — strong gravity, ultra-dense matter, and the most powerful magnetic fields in the universe — embodied by neutron stars. An attached payload aboard the International Space Station, NICER will deploy an instrument with unique capabilities for timing and spectroscopy of fast X-ray brightness fluctuations. The embedded Station Explorer for X-ray Timing and Navigation Technology demonstration (SEXTANT) will use NICER data to validate, for the first time in space, technology that exploits pulsars as natural navigation beacons. Credit: NASA/Goddard/ Keith Gendreau NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Protein-energy malnutrition during early childhood and periodontal disease in the permanent dentition of Haitian adolescents aged 12–19 years: a retrospective cohort study

PubMed Central

RUSSELL, STEFANIE L.; PSOTER, WALTER J.; JEAN-CHARLES, GERMAIN; PROPHTE, SAMUEL; GEBRIAN, BETTE

2010-01-01

Objectives The aim of this retrospective cohort study was to examine whether exposure to early childhood protein-energy malnutrition (ECPEM) is related to worsened periodontal status in the permanent dentition during adolescence. Design A trained clinician/researcher examined the periodontal status of 96 persons aged 12–19 living in rural Haiti using WHO diagnostic criteria (Community Periodontal Index, WHO 1997). Malnutrition data of the study participants had been collected during the years 1988–1993 by a nongovernmental organization. We compared those who had been malnourished in early childhood, based on z-scores for anthropomorphic data collected during the first 5 years of life, with those who had not been malnourished, regarding mean Community Periodontal Index (CPI) score, controlling for age, sex, socioeconomic status, and smoking. Results Overall, 57.3% of the participants demonstrated a CPI score of 3 or greater in at least one sextant. ECPEM was independently and positively related to mean CPI score, when controlling for sex and smoking. Conclusions More than half of these young Haitians demonstrated CPI scores of 3 or greater, and ECPEM was related to poorer periodontal status, as measured by CPI, in the permanent dentition. PMID:20409204

A prediction model for periodontal disease: modelling and validation from a National Survey of 4061 Taiwanese adults.

PubMed

Lai, Hongmin; Su, Chiu-Wen; Yen, Amy Ming-Fang; Chiu, Sherry Yueh-Hsia; Fann, Jean Ching-Yuan; Wu, Wendy Yi-Ying; Chuang, Shu-Lin; Liu, Hsing-Chih; Chen, Hsiu-Hsi; Chen, Li-Sheng

2015-05-01

The aim of this study was to predict periodontal disease (PD) with demographical features, oral health behaviour, and clinical correlates based on a national survey of periodontal disease in Taiwan. A total of 4061 subjects who were enrolled in a cross-sectional nationwide survey on periodontal conditions of residents aged 18 years or older in Taiwan between 2007 and 2008 were included. The community periodontal index (CPI) was used to measure the periodontal status at the subject and sextant levels. Information on demographical features and other relevant predictive factors for PD was collected using a questionnaire. In our study population, 56.2% of subjects had CPI grades ≥3. Periodontitis, as defined by CPI ≥3, was best predicted by a model including age, gender, education, brushing frequency, mobile teeth, gingival bleeding, smoking, and BMI. The area under the curve (AUC) for the final prediction model was 0.712 (0.690-0.734). The AUC was 0.702 (0.665-0.740) according to cross-validation. A prediction model for PD using information obtained from questionnaires was developed. The feasibility of its application to risk stratification of PD should be considered with regard to community-based screening for asymptomatic PD. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

The neutron star interior composition explorer (NICER): mission definition

NASA Astrophysics Data System (ADS)

Arzoumanian, Z.; Gendreau, K. C.; Baker, C. L.; Cazeau, T.; Hestnes, P.; Kellogg, J. W.; Kenyon, S. J.; Kozon, R. P.; Liu, K.-C.; Manthripragada, S. S.; Markwardt, C. B.; Mitchell, A. L.; Mitchell, J. W.; Monroe, C. A.; Okajima, T.; Pollard, S. E.; Powers, D. F.; Savadkin, B. J.; Winternitz, L. B.; Chen, P. T.; Wright, M. R.; Foster, R.; Prigozhin, G.; Remillard, R.; Doty, J.

2014-07-01

Over a 10-month period during 2013 and early 2014, development of the Neutron star Interior Composition Explorer (NICER) mission [1] proceeded through Phase B, Mission Definition. An external attached payload on the International Space Station (ISS), NICER is scheduled to launch in 2016 for an 18-month baseline mission. Its prime scientific focus is an in-depth investigation of neutron stars—objects that compress up to two Solar masses into a volume the size of a city—accomplished through observations in 0.2-12 keV X-rays, the electromagnetic band into which the stars radiate significant fractions of their thermal, magnetic, and rotational energy stores. Additionally, NICER enables the Station Explorer for X-ray Timing and Navigation Technology (SEXTANT) demonstration of spacecraft navigation using pulsars as beacons. During Phase B, substantive refinements were made to the mission-level requirements, concept of operations, and payload and instrument design. Fabrication and testing of engineering-model components improved the fidelity of the anticipated scientific performance of NICER's X-ray Timing Instrument (XTI), as well as of the payload's pointing system, which enables tracking of science targets from the ISS platform. We briefly summarize advances in the mission's formulation that, together with strong programmatic performance in project management, culminated in NICER's confirmation by NASA into Phase C, Design and Development, in March 2014.

Neutron star Interior Composition Explorer (NICER)

NASA Image and Video Library

2017-12-08

NICER’s X-ray concentrator optics are inspected under a black light for dust and foreign object debris that could impair functionality once in space. The payload’s 56 mirror assemblies concentrate X-rays onto silicon detectors to gather data that will probe the interior makeup of neutron stars, including those that appear to flash regularly, called pulsars. The Neutron star Interior Composition Explorer (NICER) is a NASA Explorer Mission of Opportunity dedicated to studying the extraordinary environments — strong gravity, ultra-dense matter, and the most powerful magnetic fields in the universe — embodied by neutron stars. An attached payload aboard the International Space Station, NICER will deploy an instrument with unique capabilities for timing and spectroscopy of fast X-ray brightness fluctuations. The embedded Station Explorer for X-ray Timing and Navigation Technology demonstration (SEXTANT) will use NICER data to validate, for the first time in space, technology that exploits pulsars as natural navigation beacons. Credit: NASA/Goddard/ Keith Gendreau NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Neutron star Interior Composition Explorer (NICER)

NASA Image and Video Library

2017-12-08

NICER engineer Steven Kenyon prepares seven of the 56 X-ray concentrators for installation in the NICER instrument. The payload’s 56 mirror assemblies concentrate X-rays onto silicon detectors to gather data that will probe the interior makeup of neutron stars, including those that appear to flash regularly, called pulsars. The Neutron star Interior Composition Explorer (NICER) is a NASA Explorer Mission of Opportunity dedicated to studying the extraordinary environments — strong gravity, ultra-dense matter, and the most powerful magnetic fields in the universe — embodied by neutron stars. An attached payload aboard the International Space Station, NICER will deploy an instrument with unique capabilities for timing and spectroscopy of fast X-ray brightness fluctuations. The embedded Station Explorer for X-ray Timing and Navigation Technology demonstration (SEXTANT) will use NICER data to validate, for the first time in space, technology that exploits pulsars as natural navigation beacons. Credit: NASA/Goddard/ Keith Gendreau NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Anterior maxillary and mandibular biotype: relationship between gingival thickness and width with respect to underlying bone thickness.

PubMed

La Rocca, Andres Pascual; Alemany, Antonio Santos; Levi, Paul; Juan, Monica Vicario; Molina, Jose Nart; Weisgold, Arnold S

2012-12-01

: Periodontal biotype is considered to be a significant factor related to successful dental treatments. The purpose of this study was to determine the relationship between gingival thickness (GT) and width with respect to the underlying bone thickness in the maxillary and mandibular anterior sextant. : Overall, 180 anterior teeth within healthy patients were assessed. GT and buccal bone thickness (BT) were measured at 3 locations: crestal/gingival margin, tooth apex, and a midpoint between the 2. In addition, the apicoincisal gingival width (GW) was recorded. Clinical and cone beam CT measurements were compared and correlated. : No statistically significant relations were observed between GT and BT measures at any of the 3 positions. The mean GT at crestal mid and apical position for the maxillary teeth was 1.01 (±0.58) mm, 1.06 (±0.48) mm, and 0.83 (±0.47) mm, respectively, and the corresponding mean BT was 1.24 (±0.90) mm, 0.81 (±0.33) mm, and 2.78 (±1.62) mm, respectively. The GW is directly related (R = 0.007; P < 0.05) to the crestal BT. : In this study, the GT is not linked to the BT. However, the GW seems to be associated with the crestal BT.

EMODNet Bathymetry - building and providing a high resolution digital bathymetry for European seas

NASA Astrophysics Data System (ADS)

Schaap, Dick M. A.

2015-04-01

Access to marine data is a key issue for the implementation of the EU Marine Strategy Framework Directive (MSFD). The EU communication 'Marine Knowledge 2020' underpins the importance of data availability and harmonising access to marine data from different sources. The European Marine Observation and Data Network (EMODnet) is a long term marine data initiative from the European Commission Directorate-General for Maritime Affairs and Fisheries (DG MARE) underpinning the Marine Knowledge 2020 strategy. EMODnet is a consortium of organisations assembling European marine data, data products and metadata from diverse sources in a uniform way. The main purpose of EMODnet is to unlock fragmented and hidden marine data resources and to make these available to individuals and organisations (public and private), and to facilitate investment in sustainable coastal and offshore activities through improved access to quality-assured, standardised and harmonised marine data which are interoperable and free of restrictions on use. The EMODnet data infrastructure is developed through a stepwise approach in three major phases. Currently EMODnet is in the 2nd phase of development with seven sub-portals in operation that provide access to marine data from the following themes: bathymetry, geology, physics, chemistry, biology, seabed habitats and human activities. EMODnet development is a dynamic process so new data, products and functionality are added regularly while portals are continuesly improved to make the service more fit for purpose and user friendly with the help of users and stakeholders. The EMODnet Bathymetry project develops and publishes Digital Terrain Models (DTM) for the European seas. These are produced from survey and aggregated data sets, that are indexed with metadata by adopting the SeaDataNet Common Data Index (CDI) data discovery and access service and the SeaDataNet Sextant data products catalogue service. The new EMODnet DTM will have a resolution of 1/8 arcminute * 1/8 arcminute and will cover all European sea regions. Use is made of available and gathered surveys and already more than 10.000 surveys have been indexed by 24 European data providers and originating from more than 120 organisations. Also use is made of composite DTMs as generated and maintained by several data providers for their areas of interest. Already 44 composite DTMs are included in the Sextant data products catalogue. For areas without coverage use is made of the latest global DTM of GEBCO who is partner in the EMODnet Bathymetry project. In return GEBCO integrates the EMODnet DTM to achieve an enriched and better result. The catalogue services and the generated EMODnet can be queried and browsed at the dedicated EMODnet Bathymetry portal which also provides a versatile DTM viewing service with many relevant map layers and functions for retrieving. Activities are underway for further refinement following user feedback. The EMODnet DTM is publicly available for downloading in various formats. The presentation will highlight key details of EMODnet Bathymetry project, its portal and views on the new EMODNet Digital Bathymetry for European seas as to be released early 2015.

EMODNet Bathymetry - building and providing a high resolution digital bathymetry for European seas

NASA Astrophysics Data System (ADS)

Schaap, Dick M. A.

2016-04-01

Access to marine data is a key issue for the EU Marine Strategy Framework Directive and the EU Marine Knowledge 2020 agenda and includes the European Marine Observation and Data Network (EMODNet) initiative. EMODNet aims at assembling European marine data, data products and metadata from diverse sources in a uniform way. The EMODNet data infrastructure is developed through a stepwise approach in three major phases. Currently EMODNet is entering its 3rd phase with operational portals providing access to marine data for bathymetry, geology, physics, chemistry, biology, seabed habitats and human activities, complemented by checkpoint projects, analyzing the fitness for purpose of data provision. The EMODNet Bathymetry project develops and publishes Digital Terrain Models (DTM) for the European seas. These are produced from survey and aggregated data sets that are indexed with metadata by adopting from SeaDataNet the Common Data Index (CDI) data discovery and access service and the Sextant data products catalogue service. SeaDataNet is a network of major oceanographic data centers around the European seas that manage, operate and further develop a pan-European infrastructure for marine and ocean data management. SeaDataNet is also setting and governing marine data standards, and exploring and establishing interoperability solutions to connect to other e-infrastructures on the basis of standards such as ISO and OGC. The SeaDataNet portal provides users a number of interrelated meta directories, an extensive range of controlled vocabularies, and the various SeaDataNet standards and tools. SeaDataNet at present gives overview and access to more than 1.8 million data sets for physical oceanography, chemistry, geology, geophysics, bathymetry and biology from more than 100 connected data centers from 34 countries riparian to European seas. The latest EMODNet Bathymetry DTM has a resolution of 1/8 arc minute * 1/8 arc minute and covers all European sea regions. Use is made of available and gathered surveys and already more than 13.000 surveys have been indexed by 27 European data providers from 15 countries and originating from more than 120 organizations. Also use is made of composite DTMs as generated and maintained by several data providers for their areas of interest. Already 44 composite DTMs are included in the Sextant data products catalogue. For areas without coverage use is made of the latest global DTM of GEBCO who is partner in the EMODNet Bathymetry project. In return GEBCO integrates the EMODNet DTM to achieve an enriched and better result. The catalogue services and the generated EMODNet can be queried and browsed at the dedicated EMODNet Bathymetry portal which also provides a versatile DTM viewing service with many relevant map layers and functions for retrieving. Activities are underway for further refinement following user feedback. The EMODnet DTM is publicly available for downloading in various formats. The presentation will highlight key details of EMODNet Bathymetry project, the recently released EMODNet Digital Bathymetry for all European seas, its portal and its versatile viewer.

Significance of serum total prostate specific antigen and digital rectal examination in the diagnosis of prostate cancer.

PubMed

Abdrabo, Abdelkarim A; Fadlalla, Adil I; Fadl-Elmula, Imad M

2011-11-01

To assess the significance of serum total prostate specific antigen (tPSA) and digital rectal examination (DRE) in the diagnosis of prostate cancer (PC). One hundred and eighteen patients with serum tPSA ranging between 2.5 and 10 ng/ml with lower urinary tract symptoms presented at the Urology Clinic of Soba University Hospital, Khartoum, Sudan from August 2008 and January 2010 were included in the study. Serum tPSA was measured using enzyme immunoassay method, and accordingly, the patients were classified into 2 groups: patients that had tPSA between 2.5-4.0 ng/ml; and patients that had tPSA between 4.1-10 ng/ml. The DRE was performed on all patients by a qualified urologist, and were recorded as a group with suspicion of PC, and a group with no suspicion of PC. All patients underwent transrectal sextant prostate biopsy. The DRE alone showed 63.8% sensitivity and 68% specificity with 46.9% positive predictive value (PPV) for the diagnosis of PC. The tPSA test revealed 91.6% sensitivity and 24% specificity with PPV of 34%. However, when combining DRE and tPSA, the sensitivity reached 100% and the specificity increased to 92% with PPV of 49%. Combining DRE and tPSA test increases the sensitivity, specificity, and PPV of PC detection.

Assessment of the amount of remaining coronal dentine in root-treated teeth.

PubMed

Bandlish, R B; McDonald, A V; Setchell, D J

2006-10-01

There is currently no standardised technique to measure the amount of coronal dentine remaining in a root-treated tooth after crown preparation. The aim of this study was to develop a method of measuring remaining coronal dentine in root-treated teeth and to propose an index for grading tooth restorability. The study recruited 20 patients who had completed molar endodontic treatment at the Eastman Dental Hospital and had been prescribed an amalgam coronal-radicular core with a full coverage cast restoration. Using a series of interlocking special trays and impressions, a method was devised to produce a cast of the amount of remaining dentine coronal to the finish line after crown preparation. This cast was scanned using a laser profilometer and the volume of remaining dentine was calculated. A tooth restorability index (TRI) was developed to assess the strategic value of the remaining dentine. The TRI allowed scores of 0-3 in each sextant with a maximum score of 18 per tooth. Twenty teeth were scored by three examiners and the TRI scores varied from 2 to 13. The volume of coronal dentine varied from 61.73 to 232.22 mm(3). A tooth restorability index has been devised to assess the strategic value of remaining dentine. A Kappa statistic was calculated to produce values of 0.584, 0.688 and 0.720, giving moderate-good agreement between the examiners.

[Oral health among adolescents: aspects relating to hygiene, dental cavities and periodontal disease in the cities of Recife and Feira de Santana, Brazil].

PubMed

Nogueira dos Santos, Nilton Cesar; Alves, Tecia Daltro Borges; Freitas, Valéria Souza; Jamelli, Silvia Regina; Cavalcanti Sarinho, Emanuel Sávio

2007-01-01

To characterize the oral health in adolescents in the cities of Recife and Feira de Santana, Northeast Brazil by assessment of personal hygiene and dental cavities and periodontal disease. Forty adolescents between ten and eighteen years old were assessed through an exploratory study run in Recife in 2005. In Feira de Santana, 971 adolescents (twelve years old) were examined through a cross section study in 2002. It was assessed cavity status through the number of cavitied, missing and filled teeth, visible dental plaque, bleeding gums and periodontal status. The analysis was based on Chi-Square, Kruskall-Wallis and Fisher tests, with a confidence interval of 95%. The most of adolescents followed oral hygiene practices three times a day. The DMTF values presented a median of 1.5 in Recife and averages of 1.89 in state schools, 2.17 in municipal schools and 2.39 in private schools in Feira de Santana. The bleeding gum in Recife presented a median of 27%, and in Feira de Santana the healthy sextant averages of 4.36, 4.08 and 5.16 in state, municipal and private schools respectively. The frequency of the dental cavities was low, with most of the adolescents reporting good habits of oral hygiene and favorable periodontal conditions.

Neutron star Interior Composition Explorer (NICER)

NASA Image and Video Library

2017-12-08

NICER Optics Lead Takashi Okajima makes a fine adjustment to the orientation of one X-ray “concentrator” optic. The 56 optics must point in the same direction in order for NICER to achieve its science goals. The payload’s 56 mirror assemblies concentrate X-rays onto silicon detectors to gather data that will probe the interior makeup of neutron stars, including those that appear to flash regularly, called pulsars. The Neutron star Interior Composition Explorer (NICER) is a NASA Explorer Mission of Opportunity dedicated to studying the extraordinary environments — strong gravity, ultra-dense matter, and the most powerful magnetic fields in the universe — embodied by neutron stars. An attached payload aboard the International Space Station, NICER will deploy an instrument with unique capabilities for timing and spectroscopy of fast X-ray brightness fluctuations. The embedded Station Explorer for X-ray Timing and Navigation Technology demonstration (SEXTANT) will use NICER data to validate, for the first time in space, technology that exploits pulsars as natural navigation beacons. Credit: NASA/Goddard/ Keith Gendreau NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Neutron star Interior Composition Explorer (NICER)

NASA Image and Video Library

2017-12-08

NICER team members Takashi Okajima, Yang Soong, and Steven Kenyon apply epoxy to the X-ray concentrator mounts after alignment. The epoxy holds the optics assemblies fixed in position through the vibrations experienced during launch to the International Space Station. The payload’s 56 mirror assemblies concentrate X-rays onto silicon detectors to gather data that will probe the interior makeup of neutron stars, including those that appear to flash regularly, called pulsars. The Neutron star Interior Composition Explorer (NICER) is a NASA Explorer Mission of Opportunity dedicated to studying the extraordinary environments — strong gravity, ultra-dense matter, and the most powerful magnetic fields in the universe — embodied by neutron stars. An attached payload aboard the International Space Station, NICER will deploy an instrument with unique capabilities for timing and spectroscopy of fast X-ray brightness fluctuations. The embedded Station Explorer for X-ray Timing and Navigation Technology demonstration (SEXTANT) will use NICER data to validate, for the first time in space, technology that exploits pulsars as natural navigation beacons. Credit: NASA/Goddard/ Keith Gendreau NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Neutron star Interior Composition Explorer (NICER)

NASA Image and Video Library

2017-12-08

Many of NICER’s 56 X-ray “concentrators” seen from within the instrument optical bench. Light reflected from the gold surfaces of the 24 concentric foils in each concentrator is focused onto detectors slightly more than 1 meter (3.5 feet) away. The payload’s 56 mirror assemblies concentrate X-rays onto silicon detectors to gather data that will probe the interior makeup of neutron stars, including those that appear to flash regularly, called pulsars. The Neutron star Interior Composition Explorer (NICER) is a NASA Explorer Mission of Opportunity dedicated to studying the extraordinary environments — strong gravity, ultra-dense matter, and the most powerful magnetic fields in the universe — embodied by neutron stars. An attached payload aboard the International Space Station, NICER will deploy an instrument with unique capabilities for timing and spectroscopy of fast X-ray brightness fluctuations. The embedded Station Explorer for X-ray Timing and Navigation Technology demonstration (SEXTANT) will use NICER data to validate, for the first time in space, technology that exploits pulsars as natural navigation beacons. Credit: NASA/Goddard/ Keith Gendreau NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

[Prostate cancer diagnostic by saturation randomized biopsy versus rigid targeted biopsy].

PubMed

Defontaines, J; Salomon, L; Champy, C; Cholley, I; Chiaradia, M; de la Taille, A

2017-12-01

Optimal diagram teaming up randomized biopsy (BR) to targeted biopsy (BC) is still missing for the diagnostic of prostate cancer (CP). This study compares diagram of 6, 12 or 18 BR with or without BC rigid. Between January 2014 and May 2016, 120 patients had prostate biopsy BR and BC. Each patient had 18 BR and BC. Results compared sextant (6 BR), standard (12 BR) and saturation (18 BR) protocol with or without the adding of BC for the detection of CP. Rectal examination was normal, mean PSA at 8.99ng/mL and mean volume at 54cm 3 . It was first round for 48% of patients. Forty-four cancers were found by the group 18 BR+BC (control). The detection rate was respectively, for 6, 12 and 18 BR of 61%, 82% and 91%. The add of BC increased this detection of +27% for 6 BR+BC, +13% for 12 BR+BC and +9% for 18 BR+BC. BC found 70% of all CP. Nine percent of CP were missed by BR only. Significant CP (Gleason≥7) diagnostic was the same for 12 BR+BC and 18 BR+BC. The add of BC to BR increase the detection of CP by 10%. Twelve BR+BC is the optimal diagram for the diagnostic of CP finding 95% of CP and 97% of significant CP. 4. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Contextual and individual determinants of periodontal disease: Multilevel analysis based on Andersen's model.

PubMed

Valente, Maria I B; Vettore, Mario V

2018-04-01

To investigate the relationship of contextual and individual factors with periodontal disease in dentate adults and older people using the Andersen's behavioural model. Secondary individual data from 6011 adults and 2369 older people from the Brazilian Oral Health Survey (2010) were combined with contextual data for 27 cities. Attachment loss (AL) categories for each sextant were coded and summed to obtain the periodontal disease measure. The association of predisposing, enabling and need characteristics at city and individual level with periodontal disease was assessed using an adapted version of the Andersen's behavioural model. Multilevel Poisson regression was used to estimate rate ratios (RR) and 95% CIs. Periodontal disease was associated with contextual predisposing (RR 0.93; 95% CI = 0.87-0.99) and enabling factors (RR 0.99; 95% CI = 0.98-0.99) in adults. Contextual predisposing was also associated with periodontal disease in older people (RR 0.82; 95% CI = 0.73-0.92). Individual predisposing (age, sex and schooling) and need characteristics (perceived treatment need) were common predictors of periodontal disease in adults and older people. Periodontal disease was also associated with behaviours in the latter age group. Contextual predisposing factors and individual characteristics influenced periodontal disease experience in adults and older people. Contextual enabling factors were also meaningful determinants of periodontal disease in the former age group. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Performance Comparison of 1.5 T Endorectal Coil MRI with Non-Endorectal Coil 3.0 T MRI in Patients with Prostate Cancer

PubMed Central

Shah, Zarine K.; Elias, Saba N.; Abaza, Ronney; Zynger, Debra L.; DeRenne, Lawrence A.; Knopp, Michael V.; Guo, Beibei; Schurr, Ryan; Heymsfield, Steven B.; Jia, Guang

2015-01-01

Rationale and Objectives To compare prostate morphology, image quality, and diagnostic performance of 1.5 T endorectal coil MRI and 3.0 T non-endorectal coil MRI in patients with prostate cancer. Materials and Methods MR images obtained of 83 patients with prostate cancer using 1.5 T MRI systems with an endorectal coil were compared to images collected from 83 patients with a 3.0 T MRI system. Prostate diameters were measured and image quality was evaluated by one ABR-certified radiologist (Reader 1) and one ABR-certified diagnostic medical physicist (Reader 2). The likelihood of the peripheral zone cancer presence in each sextant and local extent were rated and compared with histopathologic findings. Results Prostate anterior-posterior diameter measured by both readers was significantly shorter with 1.5 T endorectal MRI than with 3.0 T MRI. The overall image quality score difference was significant only for Reader 1. Both readers found that the two MRI systems provided similar diagnostic accuracy in cancer localization, extraprostatic extension, and seminal vesicle involvement. Conclusion Non-endorectal coil 3.0 T MRI provides prostate images that are natural in shape and that have comparable image quality to those obtained at 1.5 T with an endorectal coil, but not superior diagnostic performance. These findings suggest an opportunity exists for improving technical aspects of 3.0 T prostate MRI. PMID:25579637

Twitter Influenza Surveillance: Quantifying Seasonal Misdiagnosis Patterns and their Impact on Surveillance Estimates.

PubMed

Mowery, Jared

2016-01-01

Influenza (flu) surveillance using Twitter data can potentially save lives and increase efficiency by providing governments and healthcare organizations with greater situational awareness. However, research is needed to determine the impact of Twitter users' misdiagnoses on surveillance estimates. This study establishes the importance of Twitter users' misdiagnoses by showing that Twitter flu surveillance in the United States failed during the 2011-2012 flu season, estimates the extent of misdiagnoses, and tests several methods for reducing the adverse effects of misdiagnoses. Metrics representing flu prevalence, seasonal misdiagnosis patterns, diagnosis uncertainty, flu symptoms, and noise were produced using Twitter data in conjunction with OpenSextant for geo-inferencing, and a maximum entropy classifier for identifying tweets related to illness. These metrics were tested for correlations with World Health Organization (WHO) positive specimen counts of flu from 2011 to 2014. Twitter flu surveillance erroneously indicated a typical flu season during 2011-2012, even though the flu season peaked three months late, and erroneously indicated plateaus of flu tweets before the 2012-2013 and 2013-2014 flu seasons. Enhancements based on estimates of misdiagnoses removed the erroneous plateaus and increased the Pearson correlation coefficients by .04 and .23, but failed to correct the 2011-2012 flu season estimate. A rough estimate indicates that approximately 40% of flu tweets reflected misdiagnoses. Further research into factors affecting Twitter users' misdiagnoses, in conjunction with data from additional atypical flu seasons, is needed to enable Twitter flu surveillance systems to produce reliable estimates during atypical flu seasons.

Association between osteoporosis and periodontal disease among postmenopausal Indian women.

PubMed

Richa; R, Yashoda; Puranik, Manjunath P; Shrivastava, Amit

2017-08-01

The aim of the present study was to determine the association between osteoporosis and periodontal disease among postmenopausal Indian women. A cross-sectional comparative study was conducted among postmenopausal women aged 45-65 years attending various hospitals in Bangalore, India. The examination was performed using the plaque index, gingival index, modified sulcus bleeding index, and community periodontal index. The women then underwent a bone mineral density (BMD) test using an ultrasonometer. Based on the BMD scores, participants were divided into osteoporotic and non-osteoporotic groups. For the statistical analysis, χ 2 -test, Student's t-test, and multiple regression analysis were applied. The mean plaque, gingival, and bleeding scores were significantly higher among osteoporotic women (1.83 ± 0.47, 1.73 ± 0.49, 1.82 ± 0.52) compared to the non-osteoporotic women (1.31 ± 0.40, 1.09 ± 0.52, 1.25 ± 0.50). The mean number of sextants affected for codes 3 and 4 of the community periodontal index and codes 1, 2, and 3 of loss of attachment were significantly higher among osteoporotic group compared to the non-osteoporotic group. Multiple logistic regression tests confirmed the statistically-significant association between osteoporosis and menopause duration, loss of attachment, bleeding, and gingivitis scores. Skeletal BMD is related to clinical attachment loss, bleeding, and gingivitis, which suggests that there is an association between osteoporosis and periodontal diseases. © 2016 John Wiley & Sons Australia, Ltd.

β-catenin as a prognostic factor for prostate cancer (PCa)

PubMed Central

Nowicki, Andrzej; Duda-Szymańska, Joanna

2012-01-01

Introduction The prostate cancer is difficult to predict, and treatment failure is associated with local infiltration, as well as distant metastases. Adhesion and migration abilities to of cancer cells play a major role in formation of metastasis. The participation of β-catenin in pathogene-sis of many types of cancer and benign processes has been an important discovery of recent years. Material and methods The studied material was obtained by transrectal, sextant core biopsy from 102 patients hospitalized in Department of Urology, Regional Hospital in Kalisz (2001-2004). The aim of our study was to determine the predictive value of β-catenin immunoexpression in prostate cancer, to analyze the prognostic aspect of some histopathological features and finally to assess the relationship between β-catenin immunoreactivity and the microscopic image of the tumor. Relationships between the investigated variables were analyzed using the Chi2 test of compatibility. We used the Kaplan-Meier curves to assess survival differences between groups of patients. Finally we established which of the studied factors significantly affect the patient outcome, using the method of Cox proportional hazard regression. Results In prostate cancer in comparison with the normal epithelium, both the location and the strength of β-catenin immunoexpression are impaired. Conclusions Our results indicate that the presence of disorders in β-catenin immunoexpression in prostate cancer cells indicates a high risk of death due to tumor progression and makes it imperative for immediate treatment procedures. PMID:24578946

Performances of the Front-End Electronics for the HADES RPC TOF wall on a 12C beam

NASA Astrophysics Data System (ADS)

Belver, D.; Cabanelas, P.; Castro, E.; Díaz, J.; Garzón, J. A.; Gil, A.; Gonzalez-Diaz, D.; Koenig, W.; Traxler, M.; Zapata, M.

2009-05-01

A Front-End Electronics (FEE) chain for timing accurate measurements has been developed for the RPC wall upgrade of the High-Acceptance DiElectron Spectrometer (HADES). The wall will cover an area of around 8 m with 1122 RPC cells (2244 electronic channels). The FEE chain consists of two boards: a four-channel DaughterBOard (DBO) and a 32-channel MotherBOard (MBO). The DBO uses a fast 2 GHz amplifier feeding a discriminator. The time and the charge information are encoded in the leading and the trailing edge (by a charge to width method) of an LVDS signal. Each MBO houses up to eight DBOs providing them regulated voltage supply, threshold values via DACs, test signals and collection of their trigger outputs. The MBO delivers LVDS signals to a time-to-digital converter readout board (TRB) based on HPTDC for data acquisition. In this work, we present the performance of the FEE measured using: (a) narrow electronic test pulses and (b) real signals read out in a fully instrumented RPC sextant installed in its final position at the HADES. The detector was exposed to particles coming from reactions of a 12C beam on Be and Nb targets at 2 GeV/A kinetic energy. Results for the whole electronic chain (DBO+MBO+TRB) show a timing jitter of around 40 ps/channel for pulses above 100 fC and 80 ps/channel for beam data taken with the RPC.

Neutron star Interior Composition Explorer (NICER)

NASA Image and Video Library

2017-12-08

NICER Optics Lead Takashi Okajima installs one of NICER’s 56 X-ray “concentrators,” each consisting of 24 concentric foils. To minimize the effects of Earth’s gravity on their alignment, the concentrator assemblies were installed from the outside edges toward the center of the plate that houses them. The payload’s 56 mirror assemblies concentrate X-rays onto silicon detectors to gather data that will probe the interior makeup of neutron stars, including those that appear to flash regularly, called pulsars. The Neutron star Interior Composition Explorer (NICER) is a NASA Explorer Mission of Opportunity dedicated to studying the extraordinary environments — strong gravity, ultra-dense matter, and the most powerful magnetic fields in the universe — embodied by neutron stars. An attached payload aboard the International Space Station, NICER will deploy an instrument with unique capabilities for timing and spectroscopy of fast X-ray brightness fluctuations. The embedded Station Explorer for X-ray Timing and Navigation Technology demonstration (SEXTANT) will use NICER data to validate, for the first time in space, technology that exploits pulsars as natural navigation beacons. Credit: NASA/Goddard/ Keith Gendreau NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Seminal epithelium in prostate biopsy can mimic malignant and premalignant prostatic lesions.

PubMed

Arista-Nasr, J; Trolle-Silva, A; Aguilar-Ayala, E; Martínez-Benítez, B

2016-01-01

In most prostate biopsies, the seminal epithelium is easily recognised because it meets characteristic histological criteria. However, some biopsies can mimic malignant or premalignant prostatic lesions. The aims of this study were to analyse the histological appearance of the biopsies that mimic adenocarcinomas or preneoplastic prostatic lesions, discuss the differential diagnosis and determine the frequency of seminal epithelia in prostate biopsies. We consecutively reviewed 500 prostate puncture biopsies obtained using the sextant method and selected those cases in which we observed seminal vesicle or ejaculatory duct epithelium. In the biopsies in which the seminal epithelium resembled malignant or premalignant lesions, immunohistochemical studies were conducted that included prostate-specific antigen and MUC6. The most important clinical data were recorded. Thirty-six (7.2%) biopsies showed seminal epithelium, and 7 of them (1.4%) resembled various prostate lesions, including high-grade prostatic intraepithelial neoplasia, atypical acinar proliferations, adenocarcinomas with papillary patterns and poorly differentiated carcinoma. The seminal epithelium resembled prostate lesions when the lipofuscin deposit, the perinuclear vacuoles or the nuclear pseudoinclusions were inconspicuous or missing. Five of the 7 biopsies showed mild to moderate cellular atypia with small and hyperchromatic nuclei, and only 2 showed cellular pleomorphism. The patients were alive and asymptomatic after an average of 6 years of progression. The seminal epithelium resembles prostatic intraepithelial neoplasia, atypical acinar proliferations and various types of prostatic adenocarcinomas in approximately 1.4% of prostate biopsies. Copyright © 2015 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

Development of a 3D ultrasound-guided prostate biopsy system

NASA Astrophysics Data System (ADS)

Cool, Derek; Sherebrin, Shi; Izawa, Jonathan; Fenster, Aaron

2007-03-01

Biopsy of the prostate using ultrasound guidance is the clinical gold standard for diagnosis of prostate adenocarinoma. However, because early stage tumors are rarely visible under US, the procedure carries high false-negative rates and often patients require multiple biopsies before cancer is detected. To improve cancer detection, it is imperative that throughout the biopsy procedure, physicians know where they are within the prostate and where they have sampled during prior biopsies. The current biopsy procedure is limited to using only 2D ultrasound images to find and record target biopsy core sample sites. This information leaves ambiguity as the physician tries to interpret the 2D information and apply it to their 3D workspace. We have developed a 3D ultrasound-guided prostate biopsy system that provides 3D intra-biopsy information to physicians for needle guidance and biopsy location recording. The system is designed to conform to the workflow of the current prostate biopsy procedure, making it easier for clinical integration. In this paper, we describe the system design and validate its accuracy by performing an in vitro biopsy procedure on US/CT multi-modal patient-specific prostate phantoms. A clinical sextant biopsy was performed by a urologist on the phantoms and the 3D models of the prostates were generated with volume errors less than 4% and mean boundary errors of less than 1 mm. Using the 3D biopsy system, needles were guided to within 1.36 +/- 0.83 mm of 3D targets and the position of the biopsy sites were accurately localized to 1.06 +/- 0.89 mm for the two prostates.

Comparing the effect of a desensitizing material and a self-etch adhesive on dentin sensitivity after periodontal surgery: a randomized clinical trial

PubMed Central

Hajizadeh, Hila; Majidinia, Sara; Moeintaghavi, Amir; Ghavamnasiri, Marjaneh

2017-01-01

Objectives This double-blind randomized placebo-controlled clinical trial evaluated the ability of a desensitizing agent and a self-etch adhesive on cervical dentin sensitivity (CDS) after periodontal surgery. Materials and Methods Ninety hypersensitive teeth of 13 subjects were included in the study. After periodontal surgery, the teeth of each posterior sextant treated with one of the following materials: G1: Clearfil S3 Bond (Kuraray Dental), G2: Gluma Desensitizer (Heraeus Kulzer), and G3: placebo (water). The sensitivity was assessed using evaporative stimuli before treatment (baseline, T0), 1 day after treatment (T1), after 1 week (T2), and after 1 month (T3) according to visual analog scale (VAS). Results Following the treatment, all the 3 groups showed significant reduction of CDS in T1 compared to T0. Reduction of CDS between T1 and T2 was observed only in G1 but there was no significant difference between T2 and T3 in this group. Although we observed a significant difference in T3 compared to T1 and T2 in G2 and G3, comparison of treatment groups in each assessment time showed a significant difference only in T3. According to paired comparison, this was due to the difference between G2 and G3. Conclusions Dentin sensitivity following periodontal surgery will decrease spontaneously over time, but treating the sensitive teeth with Gluma Desensitizer and Clearfil S3 Bond can have some benefits. PMID:28808633

Early star catalogues of the southern sky. De Houtman, Kepler (second and third classes), and Halley

NASA Astrophysics Data System (ADS)

Verbunt, F.; van Gent, R. H.

2011-06-01

De Houtman in 1603, Kepler in 1627 and Halley in 1679 published the earliest modern catalogues of the southern sky. We provide machine-readable versions of these catalogues, make some comparisons between them, and briefly discuss their accuracy on the basis of comparison with data from the modern Hipparcos Catalogue. We also compare our results for De Houtman with those by Knobel in 1917 finding good overall agreement. About half of the ~ 200 new stars (with respect to Ptolemaios) added by De Houtman are in twelve new constellations, half in old constellations like Centaurus, Lupus and Argo. The right ascensions and declinations given by De Houtman have error distributions with widths of about 40', the longitudes and latitudes given by Kepler have error distributions with widths of about 45'. Halley improves on this by more than an order of magnitude to widths of about 3', and all entries in his catalogue can be identified. The measurement errors of Halley are due to a systematic deviation of his sextant (increasing with angle to 2' at 60°) and random errors of 0.7 arcmin. The position errors in the catalogue of Halley are dominated by the position errors in the reference stars, which he took from Brahe. The full Tables Houtman, Classis, Aliter and Halley (see Tables 6, 7, 8) are only available at the CDS via anonymous ftp to cdsarc.u-strasbg.fr (130.79.128.5) or via http://cdsarc.u-strasbg.fr/viz-bin/qcat?J/A+A/530/A93

Generalized aggressive periodontitis: microbiological composition and clinical parameters in non-surgical therapy.

PubMed

Usin, María M; Tabares, Sandra M; Menso, Julieta; de Albera, Estela R; Sembaj, Adela

2016-12-01

The aim of this study was to determine the variations in periodontal parameters and microbiological composition in periodontal pockets at the baseline and 3 and 6 months post treatmentin patients with Generalized Aggressive Periodontitis(GAP) undergoing non surgical periodontal treatment combined with chlorhexidine and systemic antibiotics. Medical and dental history was taken from 10 subjects, average age 30.6±2.7 years, diagnosed with GAP. A non surgical periodontal treatment combined with 0.12% chlorhexidine, 875 mg amoxicillin and 500 mg metronidazole every 12 hours for ten days was conducted. At each visit, the following measurements wererecorded: bacterial plaque (BP), bleeding on probing (BOP), probing depth (PD), clinical attachment level (CAL), hypermobility, and furcation lesions, and a sample of subgingivalplaque was taken from the site of the deepest probing depth of each sextant to identify Porphyromonas gingivalis, Treponemadenticola, Tannerella forsythia, Prevotella intermedia and Aggregatibacter actinomycetemcomitans using molecular biology techniques. After 6 months, the Wilcoxon test showed an increase of 0.97 mm in CAL (p=0.0047) and 2.54 mm in PD(p=0.009). A healthy site was defined as having a PD <5 mm, negative BOP and no pathogenic bacteria detected at 6 months, indicating significant improvement (p=0.008), with OR (95%CI) =4.7 (1.102220.11).With the treatment protocol used in this study, 6 months after treatment, patients had an approximately 4- fold higher possibility of presenting PD <5 mm and periodontal pockets without periodontal pathogenic bacteria. Sociedad Argentina de Investigación Odontológica.

Magnetic resonance/transrectal ultrasound fusion biopsy of the prostate compared to systematic 12-core biopsy for the diagnosis and characterization of prostate cancer: multi-institutional retrospective analysis of 389 patients.

PubMed

Mariotti, Guilherme C; Costa, Daniel N; Pedrosa, Ivan; Falsarella, Priscila M; Martins, Tatiana; Roehrborn, Claus G; Rofsky, Neil M; Xi, Yin; M Andrade, Thais C; Queiroz, Marcos R; Lotan, Yair; Garcia, Rodrigo G; Lemos, Gustavo C; Baroni, Ronaldo H

2016-09-01

To determine the incremental diagnostic value of targeted biopsies added to an extended sextant biopsy scheme on a per-patient, risk-stratified basis in 2 academic centers using different multiparametric magnetic resonance imaging (MRI) protocols, a large group of radiologists, multiple biopsy systems, and different biopsy operators. All patients with suspected prostate cancer (PCa) who underwent multiparametric MRI of the prostate in 2 academic centers between February 2013 and January 2015 followed by systematic and targeted MRI-transrectal ultrasound fusion biopsy were reviewed. Risk-stratified detection rate using systematic biopsies was compared with targeted biopsies on a per-patient basis. The McNemar test was used to compare diagnostic performance of the 2 approaches. A total of 389 men met eligibility criteria. PCa was diagnosed in 47% (182/389), 52%(202/389), and 60%(235/389) of patients using the targeted, systematic, and combined (targeted plus systematic) approach, respectively. Compared with systematic biopsy, targeted biopsy diagnosed 11% (37 vs. 26) more intermediate-to-high risk (P<0.0001) and 16% (10 vs. 16) fewer low-risk tumors (P<0.0001). These results were replicated when data from each center, biopsy-naïve patients, and men with previous negative biopsies were analyzed separately. Targeted MRI-transrectal ultrasound fusion biopsy consistently improved the detection of clinically significant PCa in a large patient cohort with diverse equipment, protocols, radiologists, and biopsy operators as can be encountered in clinical practice. Copyright © 2016 Elsevier Inc. All rights reserved.

Dose Escalation to the Dominant Intraprostatic Lesion Defined by Sextant Biopsy in a Permanent Prostate I-125 Implant: A Prospective Comparative Toxicity Analysis

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

Gaudet, Marc; Vigneault, Eric; Aubin, Sylviane

2010-05-01

Purpose: Using real-time intraoperative inverse-planned permanent seed prostate implant (RTIOP/PSI), multiple core biopsy maps, and three-dimensional ultrasound guidance, we planned a boost volume (BV) within the prostate to which hyperdosage was delivered selectively. The aim of this study was to investigate the potential negative effects of such a procedure. Methods and Materials: Patients treated with RTIOP/PSI for localized prostate cancer with topographic biopsy results received an intraprostatic boost (boost group [BG]). They were compared with patients treated with a standard plan (reference group [RG]). Plans were generated using a simulated annealing inverse planning algorithm. Prospectively recorded urinary, rectal, and sexualmore » toxicities and dosimetric parameters were compared between groups. Results: The study included 120 patients treated with boost technique who were compared with 70 patients treated with a standard plan. Boost technique did not significantly change the number of seeds (55.1/RG vs. 53.6/BG). The intraoperative prostate V150 was slightly higher in BG (75.2/RG vs. 77.2/BG, p = 0.039). Urethra V100, urethra D90, and rectal D50 were significantly lower in the BG. No significant differences were seen in acute or late urinary, rectal, or sexual toxicities. Conclusions: Because there were no differences between the groups in acute and late toxicities, we believe that BV can be planned and delivered to the dominant intraprostatic lesion without increasing toxicity. It is too soon to say whether a boost technique will ultimately increase local control.« less

Oral hygiene status, gingival status, periodontal status, and treatment needs among pregnant and nonpregnant women: A comparative study.

PubMed

Kashetty, Meena; Kumbhar, Sagar; Patil, Smita; Patil, Prashant

2018-01-01

The gingival and periodontal changes during pregnancy are well known. Gingivitis is the most prevalent oral manifestations associated with pregnancy. The hormonal and vascular changes that accompany pregnancy are known to exaggerate the inflammatory response to the local irritants. Hence, a study was designed to assess oral hygiene status, gingival status, periodontal status, and treatment needs (TNs) among pregnant and nonpregnant women. A cross-sectional study was conducted among 120 pregnant and 120 nonpregnant women of 18-44 years age attending the Outpatient Department of Gynaecology and Obstetrics in Government Hospital of Belgaum city, Karnataka, India. The study consisted of an interview and oral examination. Type 3 examination was followed. Simplified Oral Hygiene Index (OHI-S), Gingival Index, and Community Periodontal Index and TNs Index were used to assess "oral hygiene status," "gingival status," and "periodontal status and TNs," respectively. The pregnant women showed poor oral hygiene with the mean OHI-S score as 2.68. Gingivitis was prevalent in almost all the pregnant and nonpregnant women. However, it was found more severe in pregnant women with mean gingival score as 1.25. A definite increase in gingivitis was found from Trimester II to Trimester III. The mean number of sextants showing healthy gingiva was significantly ( P < 0.01) lower among pregnant women. Pregnant women showed poor oral hygiene, more gingival inflammation, and more periodontal disease as compared to nonpregnant women. The severity of gingivitis increased in Trimester III. Proper oral hygiene practice can prevent these diseases and further complications.

Influence of the usual motivation for dental attendance on dental status and oral health-related quality of life.

PubMed

Montero, Javier; Albaladejo, Alberto; Zalba, José-Ignacio

2014-05-01

To evaluate the influence of dental visiting patterns on the dental status and Oral Health-related Quality of Life (OHQoL) of patients visiting the University Clinic of Salamanca (Spain). This cross-sectional study consisted of a clinical oral examination and a questionnaire-based interviewin a consecutive sample of patients seeking a dental examination. Patients were classified as problem-based dental attendees(PB) and regular dental attendees(RB). Clinical and OHQoL(OHIP-14 & OIDP)data were compared betweengroups. Pair-wise comparisons were performed and a Logistic Regression Model was fitted for predicting the Odds Ratio (OR) of being a PB patient. The sample was composed of 255 patients aged 18 to 87 years (mean age: 63.1 ± 12.7; women: 51.8%). The PB patients had a poorer dental status (i.e. caries, periodontal and prosthetic needs), brushed their teethless,and were significantly more impaired in their OHQoL according to both instruments.The logistic regression coefficients demonstrated that on average the OR of being a PB patient was high in this dental patient sample, but this OR increased significantly if the patient was a male (OR= 1.1-5.0) or referred pain-related impacts according to the OHIP and, additionally, the OR decreased significantly as a function of the number of healthy fillings and the number of sextants coded as CPI=0. Regular dental check-ups are associated with better dental status and a better OHQoL after controlling for potentially related confounding factors.

[Active surveillance for prostate cancer: usefulness of endorectal MR at 1.5 Tesla with pelvic phased array coil in detecting significant tumors].

PubMed

Luyckx, F; Hallouin, P; Barré, C; Aillet, G; Chauveau, P; Hétet, J-F; Bouchot, O; Rigaud, J

2011-02-01

To describe and assess MRI signs of significant tumor in a series of patients who all underwent radical prostatectomy and also fulfilled criteria to choose active surveillance according to French "SurAcaP" protocol. The clinical reports of 681 consecutive patients operated on for prostate cancer between 2002 and 2007 were reviewed retrospectively. All patients had endorectal MR (1.5 Tesla) with pelvic phased array coil. (1.5 T erMR PPA). Sixty-one patients (8.9%) fulfilled "SurAcaP" protocol criteria. Preoperative data (MR+core biopsy) were assessed by comparison to whole-mount step section pathology. 85.3% of the 61 patients entering SurAcaP protocol had significant tumor at pathology. (Non Organ Confined Disease (Non OCD)=8.2%, Gleason sum score>6=39.2%). A new exclusion criterion has been assessed: T3MRI±NPS>1 as a predictor tool of significant tumor. ("T3MRI±NPS>1"=Non OCD at MR±number of positive sextants involved in tumor at MR and/or Core Biopsy > to 1). Sensitivity, specificity, PPV, NPV of the criterion "T3MRI±NPS>1" in predicting significant tumor were, respectively: 77%, 33%, 86%, 20%. Adding this criterion to other criteria of the "SurAcaP" protocol could allow the exclusion of all Non OCD, and a decrease in Gleason sum Score>6 rates (20%). Endorectal MR at 1.5 Tesla with pelvic-phased array coil should be considered when selecting patients for active surveillance in the management of prostate cancer. A criterion based upon MR and core biopsy findings, called "T3MR±NSP>1" may represent an exclusion citeria due to its ability to predict significant tumor. Copyright © 2010 Elsevier Masson SAS. All rights reserved.

Geriatric oral health predicaments in New Delhi, India.

PubMed

Singh, Abhinav; Purohit, Bharathi M; Masih, Nitin

2016-01-01

The aim of the present study was to analyze geriatric oral health predicaments in India. Specifically, to assess the oral health status and treatment needs among the geriatric population attending health camps in New Delhi, Northern India. The sample size for the cross-sectional study comprised of 248 elderly participants aged 60 years having attended the health check-up camps organized in New Delhi, India. The community periodontal index was used for assessment of periodontal disease. The World Health Organization's criterion was used for detection of dentition status and treatment needs. The χ(2) -test was used to compare between categorical variables. The Mann-Whitney U-test was used to compare between two groups for quantitative variables. Regression analysis was carried out to identify the factors associated with dental caries and periodontal disease status. The mean number of affected sextants with the highest community periodontal index score of 4 was 3.54 ± 2.45. Mean decayed, missing and filled teeth score of 16.39 ± 8.97 was recorded among the elderly. Prosthetic need was noted among 206 (83.1%) participants. Age and literacy status contributed to 27% and 12% of the variance respectively in the decayed, missing and filled teeth model. (P < 0.001) Major contributory factors in the periodontal disease model for the 37%, 11% and 11% variance were age, sex and tobacco consumption (P < 0.001). Two striking features of the study were the high levels of unmet prosthetic needs and the extremely low utilization of dental care. There is an urgent necessity to resolve the high burden of unmet prosthetic need among the aged in India. © 2015 Japan Geriatrics Society.

The SeaDataNet data products: regional temperature and salinity historical data collections

NASA Astrophysics Data System (ADS)

Simoncelli, Simona; Coatanoan, Christine; Bäck, Orjan; Sagen, Helge; Scoy, Serge; Myroshnychenko, Volodymyr; Schaap, Dick; Schlitzer, Reiner; Iona, Sissy; Fichaut, Michele

2016-04-01

Temperature and Salinity (TS) historical data collections covering the time period 1900-2013 were created for each European marginal sea (Arctic Sea, Baltic Sea, Black Sea, North Sea, North Atlantic Ocean and Mediterranean Sea) within the framework of SeaDataNet2 (SDN) EU-Project and they are now available as ODV collections through the SeaDataNet web catalog at http://sextant.ifremer.fr/en/web/seadatanet/. Two versions have been published and they represent a snapshot of the SDN database content at two different times: V1.1 (January 2014) and V2 (March 2015). A Quality Control Strategy (QCS) has been developped and continuously refined in order to improve the quality of the SDN database content and to create the best product deriving from SDN data. The QCS was originally implemented in collaboration with MyOcean2 and MyOcean Follow On projects in order to develop a true synergy at regional level to serve operational oceanography and climate change communities. The QCS involved the Regional Coordinators, responsible of the scientific assessment, the National Oceanographic Data Centers (NODC) and the data providers that, on the base of the data quality assessment outcome, checked and eventually corrected anomalies in the original data. The QCS consists of four main phases: 1) data harvesting from the central CDI; 2) file and parameter aggregation; 3) quality check analysis at regional level; 4) analysis and correction of data anomalies. The approach is iterative to facilitate the upgrade of SDN database content and it allows also the versioning of data products with the release of new regional data collections at the end of each QCS loop. SDN data collections and the QCS will be presented and the results summarized.

Periodontal health status among permanent residents of low, optimum and high fluoride areas in Kolar District, India.

PubMed

Megalamanegowdru, Jayachandra; Ankola, Anil V; Vathar, Jagadishchandra; Vishwakarma, Prashanthkumar; Dhanappa, Kirankumar B; Balappanavar, Aswini Y

2012-01-01

To assess and compare the periodontal health status among permanent residents of low, optimum and high fluoride areas in Kolar District, India. A house-to-house survey was conducted in a population consisting of 925 permanent residents aged 35 to 44 years in three villages having different levels of fluoride concentrations in the drinking water. The fluoride concentrations in selected villages were 0.48 ppm (low), 1.03 ppm (optimum) and 3.21 ppm (high). The ion selective electrode method was used to estimate the fluoride concentration in the drinking water. Periodontal status was assessed using the Community Periodontal Index (CPI) and loss of attachment (LOA). Results were analysed using the chi-square test and logistic regression. The chi-square test was used to find the group differences and logistic regression to find association between the variables. The overall prevalence of periodontitis was 72.9%; specifically, prevalences were 95.4%, 76.3% and 45.7% in low, optimum and high fluoride areas, respectively. The number of sextants with shallow or deep pockets decreased (shallow pockets: 525, 438, 217; deep pockets: 183, 81, 34) from low to high fluoride areas (odds ratio: 71.3). The low fluoride area had a 7.9-fold higher risk of periodontitis than the optimum fluoride area and a 30-fold higher risk than the high fluoride area, which was highly significant (χ2 = 53.5, P < 0.0001 and χ2 = 192.8, P < 0.001, respectively). The severity of periodontal disease is inversely associated with the fluoride concentrations in drinking water. This relation can provide an approach to fluoride treatments to reduce the prevalence or incidence of this disease.

Can one blood draw replace transrectal ultrasonography-estimated prostate volume to predict prostate cancer risk?

PubMed

Carlsson, Sigrid V; Peltola, Mari T; Sjoberg, Daniel; Schröder, Fritz H; Hugosson, Jonas; Pettersson, Kim; Scardino, Peter T; Vickers, Andrew J; Lilja, Hans; Roobol, Monique J

2013-09-01

To explore whether a panel of kallikrein markers in blood: total, free and intact prostate-specific antigen (PSA) and kallikrein-related peptidase 2, could be used as a non-invasive alternative for predicting prostate cancer on biopsy in a screening setting. The study cohort comprised previously unscreened men who underwent sextant biopsy owing to elevated PSA (≥3 ng/mL) in two different centres of the European Randomized Study of Screening for Prostate Cancer, Rotterdam (n = 2914) and Göteborg (n = 740). A statistical model, based on kallikrein markers, was compared with one based on established clinical factors for the prediction of biopsy outcome. The clinical tests were found to be no better than blood markers, with an area under the curve in favour of the blood measurements of 0.766 vs. 0.763 in Rotterdam and 0.809 vs. 0.774 in Göteborg. Adding digital rectal examination (DRE) or DRE plus transrectal ultrasonography (TRUS) volume to the markers improved discrimination, although the increases were small. Results were similar for predicting high-grade cancer. There was a strong correlation between the blood measurements and TRUS-estimated prostate volume (Spearman's correlation 0.60 in Rotterdam and 0.57 in Göteborg). In previously unscreened men, each with indication for biopsy, a statistical model based on kallikrein levels was similar to a clinical model in predicting prostate cancer in a screening setting, outside the day-to-day clinical practice. Whether a clinical approach can be replaced by laboratory analyses or used in combination with decision models (nomograms) is a clinical judgment that may vary from clinician to clinician depending on how they weigh the different advantages and disadvantages (harms, costs, time, invasiveness) of both approaches. © 2013 BJU International.

The effect of start and stop age at screening on the risk of being diagnosed with prostate cancer

PubMed Central

Arnsrud Godtman, Rebecka; Carlsson, Sigrid; Holmberg, Erik; Stranne, Johan; Hugosson, Jonas

2016-01-01

Purpose The aim of this study was to investigate the effect of age and number of screens on the risk of prostate cancer (PCa) diagnosis. Materials and Methods The Göteborg randomized population-based PCa screening trial has, since 1995, invited men biennially for prostate-specific antigen (PSA)-testing, until the upper age limit 70 years. Men with a PSA-level above the threshold ≥2.5 ng/ml were recommended further work-up including 10-core biopsy (sextant before 2009). The present study comprises 9,065 men born 1930–43 (1944 excluded due to different screening algorithm). Complete attendees were defined as men who accepted all screening invitations (maximum 3–9 invitations). Cumulative incidence of PCa was calculated using standard methods. Results Of the 3,488 (38%) complete attendees, 667 were diagnosed with PCa (follow-up 1995–30 Jun 2014). At the age 70, there was no significant difference in PCa risk between those who started screening at the age of 52 (9 screens), 55 (7 screens) or 60 (5 screens) years. However, the cumulative risk of PCa diagnosis increased dramatically with age and was 7.9% at age 60, 15% at age 65 and 21% at age 70, for men who had been screened ≥4 times. Conclusion There was no clear association between risk of PCa and the number of screens. Starting screening at an early age appears to advance the time of PCa diagnosis but does not seem to increase the risk of being diagnosed with the disease. Age at termination of screening is strongly associated with the risk of being diagnosed with PCa. PMID:26678954

Assessing soil erosion risk using RUSLE through a GIS open source desktop and web application.

PubMed

Duarte, L; Teodoro, A C; Gonçalves, J A; Soares, D; Cunha, M

2016-06-01

Soil erosion is a serious environmental problem. An estimation of the expected soil loss by water-caused erosion can be calculated considering the Revised Universal Soil Loss Equation (RUSLE). Geographical Information Systems (GIS) provide different tools to create categorical maps of soil erosion risk which help to study the risk assessment of soil loss. The objective of this study was to develop a GIS open source application (in QGIS), using the RUSLE methodology for estimating erosion rate at the watershed scale (desktop application) and provide the same application via web access (web application). The applications developed allow one to generate all the maps necessary to evaluate the soil erosion risk. Several libraries and algorithms from SEXTANTE were used to develop these applications. These applications were tested in Montalegre municipality (Portugal). The maps involved in RUSLE method-soil erosivity factor, soil erodibility factor, topographic factor, cover management factor, and support practices-were created. The estimated mean value of the soil loss obtained was 220 ton km(-2) year(-1) ranged from 0.27 to 1283 ton km(-2) year(-1). The results indicated that most of the study area (80 %) is characterized by very low soil erosion level (<321 ton km(-2) year(-1)) and in 4 % of the studied area the soil erosion was higher than 962 ton km(-2) year(-1). It was also concluded that areas with high slope values and bare soil are related with high level of erosion and the higher the P and C values, the higher the soil erosion percentage. The RUSLE web and the desktop application are freely available.

Interdental cleaning and gingival injury potential of interdental toothbrushes.

PubMed

Vogel, Marc; Sener, Beatrice; Roos, M; Attin, Thomas; Schmidlin, Patrick R

2014-01-01

The effective cleaning of interdental spaces using toothbrushes is a challenge. The aim of the present in vitro study was to evaluate on the one hand the interdental cleaning efficiency and on the other hand the gingival injury potential of an electric single-headed sonic toothbrush (Water-pik) and two single-tufted manual toothbrushes (Curaprox 1009; Lactona Interdental Brush). Brushes were evaluated using a brushing device. Test dental casts (maxillary sextants) consisting of black teeth coated with white paint were brushed using standardized horizontal movements. Thereafter, black (i.e. cleaned) areas were measured planimetrically. The soft tissue injury potential was evaluated using front segments of porcine mandibles. In the same brushing device, test brushes were moved over the gingiva. Before and after each treatment, the porcine mucosa was stained with a plaque disclosing agent to visualize injured areas, which could then be measured planimetrically as well. These evaluations were each made after 15, 30, 60, and 120 seconds of brushing. The statistical analysis was performed using non-parametric Mann-Whitney tests, and the level of significance was set at 5%. The best cleaning performance of 46% across all interdental spaces assessed was found with the electric sonic toothbrush (Waterpik), while the performances of the manual brushes from Lactona and Curaprox were 14.8% and 5%, respectively. At each point of evaluation, the gingiva was injured most markedly by the powered sonic toothbrush (Waterpik), followed by the manual Curaprox brush. The smallest damage of the porcine gingiva was produced by the manual Lactona brush. When comparing the manual toothbrushes, the Lactona product revealed a better cleaning performance combined with a smaller injury potential than the Curaprox brush. Thus, the prophylactic goal to achieve high degrees of cleaning while producing minimal damage is important and should have priority when evaluating and selecting toothbrushes.

Percutaneous versus traditional and paraspinal posterior open approaches for treatment of thoracolumbar fractures without neurologic deficit: a meta-analysis.

PubMed

Sun, Xiang-Yao; Zhang, Xi-Nuo; Hai, Yong

2017-05-01

This study evaluated differences in outcome variables between percutaneous, traditional, and paraspinal posterior open approaches for traumatic thoracolumbar fractures without neurologic deficit. A systematic review of PubMed, Cochrane, and Embase was performed. In this meta-analysis, we conducted online searches of PubMed, Cochrane, Embase using the search terms "thoracolumbar fractures", "lumbar fractures", ''percutaneous'', "minimally invasive", ''open", "traditional", "posterior", "conventional", "pedicle screw", "sextant", and "clinical trial". The analysis was performed on individual patient data from all the studies that met the selection criteria. Clinical outcomes were expressed as risk difference for dichotomous outcomes and mean difference for continuous outcomes with 95 % confidence interval. Heterogeneity was assessed using the χ 2 test and I 2 statistics. There were 4 randomized controlled trials and 14 observational articles included in this analysis. Percutaneous approach was associated with better ODI score, less Cobb angle correction, less Cobb angle correction loss, less postoperative VBA correction, and lower infection rate compared with open approach. Percutaneous approach was also associated with shorter operative duration, longer intraoperative fluoroscopy, less postoperative VAS, and postoperative VBH% in comparison with traditional open approach. No significant difference was found in Cobb angle correction, postoperative VBA, VBA correction loss, Postoperative VBH%, VBH correction loss, and pedicle screw misplacement between percutaneous approach and open approach. There was no significant difference in operative duration, intraoperative fluoroscopy, postoperative VAS, and postoperative VBH% between percutaneous approach and paraspianl approach. The functional and the radiological outcome of percutaneous approach would be better than open approach in the long term. Although trans-muscular spatium approach belonged to open fixation methods, it was strictly defined as less invasive approach, which provided less injury to the paraspinal muscles and better reposition effect.

Oral health status of two 12-year-old socially disadvantaged groups in South India: a comparative study.

PubMed

Singh, Abhinav; Sequiera, Peter; Acharya, Shashidhar; Bhat, Maghashyam

2011-01-01

The aim of the present study was to compare and assess the oral health status of 12-year-old children from two socially disadvantaged groups in the Udupi district of South India. A total of 327 children were examined in Ashrama schools, and 340 children were randomly selected for comparison from other government schools. Modified WHO proforma was used for clinical examination. Oral hygiene practices, dental fluorosis, periodontal status, dentition status and dentofacial anomalies were assessed and compared. Chi square test was used for comparison between categorical variables and Mann-Whitney test for comparison between two groups for quantitative variables. P u 0.05 was considered as statistically significant. Dental fluorosis was detected in 22.9% children from Ashrama schools, whereas in the comparison group 14.4% children had dental fluorosis (P u 0.001). Mean Decayed teeth and DMFT value in Ashrama school children were 1.15 ± 1.62, and 1.15 ± 1.62, respectively. In the comparison group, the corresponding values were 0.46 ± 0.98 and 0.48 ± 1.04, respectively (P u 0.001). The mean number of sextants in the Ashrama school children with Community Periodontal Index score 2 was 2.00 ± 1.53, whereas in the comparison group it was 1.31 ± 1.53 (P u 0.001). No significant differences were noted between two groups with respect to Dental Aesthetic Index scores. The present study revealed higher levels of dental caries experience, untreated dental disease and social disadvantage of the children attending Ashrama schools, providing evidence for the need to address the health inequalities of these children.

Influence of Intrinsic Factors on Erosive Tooth Wear in a Large-Scale Epidemiological Study.

PubMed

Alaraudanjoki, Viivi; Laitala, Marja-Liisa; Tjäderhane, Leo; Pesonen, Paula; Lussi, Adrian; Ronkainen, Jukka; Anttonen, Vuokko

2016-01-01

To assess the influence of self-reported intrinsic factors [gastroesophageal reflux disease (GERD), long-term alcoholism, long-term heavy use of alcohol and multiple pregnancies] on erosive tooth wear in a middle-aged cohort sample. Of the total Northern Finland Birth Cohort (NFBC 1966), a convenience sample (n = 3,181) was invited for an oral health examination in 2012-2013, of which 1,962 participated, comprising the final study group. Erosive tooth wear was assessed by sextants using the Basic Erosive Wear Examination Index (BEWE, 0-18). Clinical data were supplemented by questionnaires conducted in 1997/1998 and 2012/2013. The participants were divided into severe (BEWE sum ≥9) and no-to-moderate (BEWE sum 0-8) erosive wear groups, and the logistic regression model was applied. Selected intrinsic factors were quite rare in this cohort sample and explained only 5.9% of the difference in the prevalence and severity of erosive wear. Daily symptoms of GERD [odds ratio (OR) 3.8, confidence interval (CI) 1.2-12.0] and hyposalivation (OR 3.8, CI 1.2-11.8) were the strongest risk indicators for severe erosive wear. Additionally, variables associated with an elevated risk for severe erosive wear were diagnosed alcoholism at any point (OR 2.5, CI 0.7-9.7) and self-reported heavy use of alcohol in both questionnaires (OR 2.0, CI 0.6-6.2). Even low-dose long-term consumption of alcohol was associated with erosive wear. In this cohort sample, intrinsic factors such as GERD or alcoholism alone are relatively uncommon causes of erosive tooth wear. The role of long-term use of alcohol in the erosion process may be bigger than presumed. © 2016 S. Karger AG, Basel.

Bradley and Lacaille: Praxis as Passionate Pursuit of Exact Science

NASA Astrophysics Data System (ADS)

Wilson, C. A.

1997-12-01

From 1700 to 1800, astronomical observation and prediction improved in accuracy by an order of magnitude or more: by century's end astronomers could trust catalogued and predicted positions to within a few arcseconds. Crucial to this improvement were the discoveries of Bradley, which grew out of an endeavor of "normal science," the attempt to confirm with precision Robert Hooke's earlier supposed discovery of annual parallax in Gamma Draconis. On the theoretical side, Bradley's discoveries led to the quiet demise of two earlier doctrines, the Tychonic System and the Aristotelian and Cartesian doctrine of the instantaneous transmission of light. On the side of praxis, Bradley's discoveries meant that observational astronomy must be re-done from the ground up. In 1742 Nicolas-Louis Lacaille (1713-62), who had been admitted to the Paris Academie des Sciences only the year before, proposed to his astronomer colleagues that they take up this task as a cooperative enterprise. His proposal met with silence, but he undertook the project on his own, making it his life's work. By 1757 he had completed his Fundamenta Astronomiae, including a catalogue of 400 bright stars in which for the first time star positions were corrected for aberration and nutation. In 1758 he published his solar tables, the first to incorporate lunar and planetary perturbations as well as aberration and nutation. Lacaille's pendulum clock was not temperature-compensated, and his sextant poorly calibrated, but he was to some extent able to compensate for these flaws by bringing a massive number of observations to bear. Till the 1790s his Fundamenta Astronomiae and Tabulae Solares were important for the increments in accuracy they brought about, and for the inspiration they gave to later astronomers such as Delambre.

Is there an occupational status gradient in the development of periodontal disease in Japanese workers? A 5-year prospective cohort study.

PubMed

Irie, Koichiro; Yamazaki, Toru; Yoshii, Saori; Takeyama, Hideo; Shimazaki, Yoshihiro

2017-02-01

Development of periodontal disease (PD) may be affected by socioeconomic status. This study examined the relationship between occupational status and PD in a 5-year prospective cohort of Japanese workers. In total, 19,633 participants had initial examinations at the Aichi Health Promotion Foundation, of whom 8210 participants aged 20 years or older did not have PD. Follow-up examinations were conducted for 3757 participants, accounting for 45.8% of baseline participants. Ultimately, 3390 participants were analyzed according to the criterion of job classification at baseline, which was based on the International Standard Classification of Occupations, 1987. Oral examinations were performed using the Community Periodontal Index (CPI). The CPI scores were coded as follows: healthy (score of 0); bleeding after probing (1); dental calculus (2); shallow pockets (3); and deep pockets (4). Participants with one or more sextants with a score >2 were diagnosed with PD. Poisson regression analysis was performed to adjust for age and other potential confounders. Overall, 31.6% of men and 23.8% of women had developed PD (CPI scores of 3 or 4). The adjusted relative risk (RR) for PD (CPI scores of 3 or 4) in men was not significant. On the other hand, the adjusted RRs for PD (CPI score of 4) in men were 2.52-, 2.39-, and 2.74-fold higher for skilled workers, sales persons, and drivers, respectively, than for professionals. In contrast, we found no gradient in women. We found a gradient related to the risk of developing PD according to occupational status among men in a Japanese worker population. Copyright © 2016 The Authors. Production and hosting by Elsevier B.V. All rights reserved.

Oral hygiene status, gingival status, periodontal status, and treatment needs among pregnant and nonpregnant women: A comparative study

PubMed Central

Kashetty, Meena; Kumbhar, Sagar; Patil, Smita; Patil, Prashant

2018-01-01

Objectives: The gingival and periodontal changes during pregnancy are well known. Gingivitis is the most prevalent oral manifestations associated with pregnancy. The hormonal and vascular changes that accompany pregnancy are known to exaggerate the inflammatory response to the local irritants. Hence, a study was designed to assess oral hygiene status, gingival status, periodontal status, and treatment needs (TNs) among pregnant and nonpregnant women. Materials and Methods: A cross-sectional study was conducted among 120 pregnant and 120 nonpregnant women of 18–44 years age attending the Outpatient Department of Gynaecology and Obstetrics in Government Hospital of Belgaum city, Karnataka, India. The study consisted of an interview and oral examination. Type 3 examination was followed. Simplified Oral Hygiene Index (OHI-S), Gingival Index, and Community Periodontal Index and TNs Index were used to assess “oral hygiene status,” “gingival status,” and “periodontal status and TNs,” respectively. Results: The pregnant women showed poor oral hygiene with the mean OHI-S score as 2.68. Gingivitis was prevalent in almost all the pregnant and nonpregnant women. However, it was found more severe in pregnant women with mean gingival score as 1.25. A definite increase in gingivitis was found from Trimester II to Trimester III. The mean number of sextants showing healthy gingiva was significantly (P < 0.01) lower among pregnant women. Conclusions: Pregnant women showed poor oral hygiene, more gingival inflammation, and more periodontal disease as compared to nonpregnant women. The severity of gingivitis increased in Trimester III. Proper oral hygiene practice can prevent these diseases and further complications. PMID:29769772

Prostate specific antigen based biennial screening is sufficient to detect almost all prostate cancers while still curable.

PubMed

Hugosson, Jonas; Aus, Gunnar; Lilja, Hans; Lodding, Pär; Pihl, Carl Gustaf; Pileblad, Erik

2003-05-01

We evaluated whether biennial screening with prostate specific antigen (PSA) only is sufficient to detect prostate cancer while still curable. In Göteborg, Sweden 9,972 men 50 to 65 years old were randomized to PSA screening. During 1995 and 1996 these men were invited for a first PSA screening and invited during 1997 and 1998 for a second screening. The screening procedure included PSA measurement in all men and in those with a PSA of 3 ng./ml. or greater also it included digital rectal examination, transrectal ultrasound and sextant biopsies. In the first screening 5,854 men participated and 145 cancers were detected. In the second screening 5,267 men participated and 111 cancers were detected. Only 9 interval cancers were diagnosed. In the second screening 102 cancers (92%) were associated with PSA less than 10 ng./ml. Of 465 men with increased PSA and who underwent biopsy with a benign outcome in the first screening 50 had cancer at the second screening. Of 241 men in whom PSA increased between screenings 1 and 2 cancer was detected in 46. None of the 2,950 men with an initial PSA of less than 1 ng./ml. had a PSA of greater than 3 ng./ml. or interval cancer. In men with a PSA of less than 2 ng./ml. it seems safe to offer repeat screening after 2 years with PSA only. Men with a PSA of 2 to 3 ng./ml. or a value of greater than 3 ng./ml. with negative biopsy may be better served by a shorter screening interval. Thus, different screening intervals are implied depending on baseline PSA.

Treatment planning and dose analysis for interstitial photodynamic therapy of prostate cancer

NASA Astrophysics Data System (ADS)

Davidson, Sean R. H.; Weersink, Robert A.; Haider, Masoom A.; Gertner, Mark R.; Bogaards, Arjen; Giewercer, David; Scherz, Avigdor; Sherar, Michael D.; Elhilali, Mostafa; Chin, Joseph L.; Trachtenberg, John; Wilson, Brian C.

2009-04-01

With the development of new photosensitizers that are activated by light at longer wavelengths, interstitial photodynamic therapy (PDT) is emerging as a feasible alternative for the treatment of larger volumes of tissue. Described here is the application of PDT treatment planning software developed by our group to ensure complete coverage of larger, geometrically complex target volumes such as the prostate. In a phase II clinical trial of TOOKAD vascular targeted photodynamic therapy (VTP) for prostate cancer in patients who failed prior radiotherapy, the software was used to generate patient-specific treatment prescriptions for the number of treatment fibres, their lengths, their positions and the energy each delivered. The core of the software is a finite element solution to the light diffusion equation. Validation against in vivo light measurements indicated that the software could predict the location of an iso-fluence contour to within approximately ±2 mm. The same software was used to reconstruct the treatments that were actually delivered, thereby providing an analysis of the threshold light dose required for TOOKAD-VTP of the post-irradiated prostate. The threshold light dose for VTP-induced prostate damage, as measured one week post-treatment using contrast-enhanced MRI, was found to be highly heterogeneous, both within and between patients. The minimum light dose received by 90% of the prostate, D90, was determined from each patient's dose-volume histogram and compared to six-month sextant biopsy results. No patient with a D90 less than 23 J cm-2 had complete biopsy response, while 8/13 (62%) of patients with a D90 greater than 23 J cm-2 had negative biopsies at six months. The doses received by the urethra and the rectal wall were also investigated.

Role of serial multiparametric magnetic resonance imaging in prostate cancer active surveillance

PubMed Central

Vos, Larissa J; Janoski, Michele; Wachowicz, Keith; Yahya, Atiyah; Boychak, Oleksandr; Amanie, John; Pervez, Nadeem; Parliament, Matthew B; Pituskin, Edith; Fallone, B Gino; Usmani, Nawaid

2016-01-01

AIM: To examine whether addition of 3T multiparametric magnetic resonance imaging (mpMRI) to an active surveillance protocol could detect aggressive or progressive prostate cancer. METHODS: Twenty-three patients with low risk disease were enrolled on this active surveillance study, all of which had Gleason score 6 or less disease. All patients had clinical assessments, including digital rectal examination and prostate specific antigen (PSA) testing, every 6 mo with annual 3T mpMRI scans with gadolinium contrast and minimum sextant prostate biopsies. The MRI images were anonymized of patient identifiers and clinical information and each scan underwent radiological review without the other results known. Descriptive statistics for demographics and follow-up as well as the sensitivity and specificity of mpMRI to identify prostate cancer and progressive disease were calculated. RESULTS: During follow-up (median 24.8 mo) 11 of 23 patients with low-risk prostate cancer had disease progression and were taken off study to receive definitive treatment. Disease progression was identified through upstaging of Gleason score on subsequent biopsies for all 11 patients with only 2 patients also having a PSA doubling time of less than 2 years. All 23 patients had biopsy confirmed prostate cancer but only 10 had a positive index of suspicion on mpMRI scans at baseline (43.5% sensitivity). Aggressive disease prediction from baseline mpMRI scans had satisfactory specificity (81.8%) but low sensitivity (58.3%). Twenty-two patients had serial mpMRI scans and evidence of disease progression was seen for 3 patients all of whom had upstaging of Gleason score on biopsy (30% specificity and 100% sensitivity). CONCLUSION: Addition of mpMRI imaging in active surveillance decision making may help in identifying aggressive disease amongst men with indolent prostate cancer earlier than traditional methods. PMID:27158428

Evaluating the utility of 3D TRUS image information in guiding intra-procedure registration for motion compensation

NASA Astrophysics Data System (ADS)

De Silva, Tharindu; Cool, Derek W.; Romagnoli, Cesare; Fenster, Aaron; Ward, Aaron D.

2014-03-01

In targeted 3D transrectal ultrasound (TRUS)-guided biopsy, patient and prostate movement during the procedure can cause target misalignments that hinder accurate sampling of pre-planned suspicious tissue locations. Multiple solutions have been proposed for motion compensation via registration of intra-procedural TRUS images to a baseline 3D TRUS image acquired at the beginning of the biopsy procedure. While 2D TRUS images are widely used for intra-procedural guidance, some solutions utilize richer intra-procedural images such as bi- or multi-planar TRUS or 3D TRUS, acquired by specialized probes. In this work, we measured the impact of such richer intra-procedural imaging on motion compensation accuracy, to evaluate the tradeoff between cost and complexity of intra-procedural imaging versus improved motion compensation. We acquired baseline and intra-procedural 3D TRUS images from 29 patients at standard sextant-template biopsy locations. We used the planes extracted from the 3D intra-procedural scans to simulate 2D and 3D information available in different clinically relevant scenarios for registration. The registration accuracy was evaluated by calculating the target registration error (TRE) using manually identified homologous fiducial markers (micro-calcifications). Our results indicate that TRE improves gradually when the number of intra-procedural imaging planes used in registration is increased. Full 3D TRUS information helps the registration algorithm to robustly converge to more accurate solutions. These results can also inform the design of a fail-safe workflow during motion compensation in a system using a tracked 2D TRUS probe, by prescribing rotational acquisitions that can be performed quickly and easily by the physician immediately prior to needle targeting.

Monitoring the progression of erosive tooth wear (ETW) using BEWE index in casts and their 3D images: A retrospective longitudinal study.

PubMed

Marro, Francisca; De Lat, Liesa; Martens, Luc; Jacquet, Wolfgang; Bottenberg, Peter

2018-04-13

To determine if the Basic erosive tooth wear index (BEWE index) is able to assess and monitor ETW changes in two consecutive cast models, and detect methodological differences when using the corresponding 3D image replicas. A total of 480 pre-treatment and 2-year post-treatment orthodontic models (n = 240 cast models and n = 240 3D image replicas) from 120 adolescents treated between 2002 and 2013 at the Gent Dental Clinic, Belgium, were scored using the BEWE index. For data analysis only posterior sextants were considered, and inter-method differences were evaluated using Wilcoxon Signed Rank test, Kappa values and Mc Nemar tests (p < 0.05). Correlations between methods were determined using Kendall tau correlation test. Significant changes of ETW were detected between two consecutive models when BEWE index was used to score cast models or their 3D image replicas (p < 0.001). A strong significant correlation (τb: 0.74; p < 0.001) was shown between both methods However, 3D image-BEWE index combination showed a higher probability for detecting initial surface changes, and scored significantly higher than casts (p < 0.001). Incidence and progression of ETW using 3D images was 13.3% (n = 16) and 60.9% (n = 56) respectively, with two subjects developing BEWE = 3 in at least one tooth surface. BEWE index is a suitable tool for the scoring of ETW lesions in 3D images and cast. The combination of both digital 3D records and index, can be used for the monitoring of ETW in a longitudinal approach. The higher sensibility of BEWE index when scoring 3D images might improve the early diagnosis of ETW lesions. The BEWE index combined with digital 3D records of oral conditions might improve the practitioner performance with respect to early diagnosis, monitoring and managing ETW. Copyright © 2018 Elsevier Ltd. All rights reserved.

X-Ray-induced Deuterium Enrichment of N-rich Organics in Protoplanetary Disks: An Experimental Investigation Using Synchrotron Light

NASA Astrophysics Data System (ADS)

Gavilan, Lisseth; Remusat, Laurent; Roskosz, Mathieu; Popescu, Horia; Jaouen, Nicolas; Sandt, Christophe; Jäger, Cornelia; Henning, Thomas; Simionovici, Alexandre; Lemaire, Jean Louis; Mangin, Denis; Carrasco, Nathalie

2017-05-01

The deuterium enrichment of organics in the interstellar medium, protoplanetary disks, and meteorites has been proposed to be the result of ionizing radiation. The goal of this study is to simulate and quantify the effects of soft X-rays (0.1-2 keV), an important component of stellar radiation fields illuminating protoplanetary disks, on the refractory organics present in the disks. We prepared tholins, nitrogen-rich organic analogs to solids found in several astrophysical environments, e.g., Titan’s atmosphere, cometary surfaces, and protoplanetary disks, via plasma deposition. Controlled irradiation experiments with soft X-rays at 0.5 and 1.3 keV were performed at the SEXTANTS beamline of the SOLEIL synchrotron, and were immediately followed by ex-situ infrared, Raman, and isotopic diagnostics. Infrared spectroscopy revealed the preferential loss of singly bonded groups (N-H, C-H, and R-N≡C) and the formation of sp3 carbon defects with signatures at ˜1250-1300 cm-1. Raman analysis revealed that, while the length of polyaromatic units is only slightly modified, the introduction of defects leads to structural amorphization. Finally, tholins were measured via secondary ion mass spectrometry to quantify the D, H, and C elemental abundances in the irradiated versus non-irradiated areas. Isotopic analysis revealed that significant D-enrichment is induced by X-ray irradiation. Our results are compared to previous experimental studies involving the thermal degradation and electron irradiation of organics. The penetration depth of soft X-rays in μm-sized tholins leads to volume rather than surface modifications: lower-energy X-rays (0.5 keV) induce a larger D-enrichment than 1.3 keV X-rays, reaching a plateau for doses larger than 5 × 1027 eV cm-3. Synchrotron fluences fall within the expected soft X-ray fluences in protoplanetary disks, and thus provide evidence of a new non-thermal pathway to deuterium fractionation of organic matter.

Prognostic importance of Gleason 7 disease among patients treated with external beam radiation therapy for prostate cancer: results of a detailed biopsy core analysis.

PubMed

Spratt, Daniel E; Zumsteg, Zach; Ghadjar, Pirus; Pangasa, Misha; Pei, Xin; Fine, Samson W; Yamada, Yoshiya; Kollmeier, Marisa; Zelefsky, Michael J

2013-04-01

To analyze the effect of primary Gleason (pG) grade among a large cohort of Gleason 7 prostate cancer patients treated with external beam radiation therapy (EBRT). From May 1989 to January 2011, 1190 Gleason 7 patients with localized prostate cancer were treated with EBRT at a single institution. Of these patients, 613 had a Gleason 7 with a minimum of a sextant biopsy with nonfragmented cores and full biopsy core details available, including number of cores of cancer involved, percentage individual core involvement, location of disease, bilaterality, and presence of perineural invasion. Median follow-up was 6 years (range, 1-16 years). The prognostic implication for the following outcomes was analyzed: biochemical recurrence-free survival (bRFS), distant metastasis-free survival (DMFS), and prostate cancer-specific mortality (PCSM). The 8-year bRFS rate for pG3 versus pG4 was 77.6% versus 61.3% (P<.0001), DMFS was 96.8% versus 84.3% (P<.0001), and PCSM was 3.7% versus 8.1% (P=.002). On multivariate analysis, pG4 predicted for significantly worse outcome in all parameters. Location of disease (apex, base, mid-gland), perineural involvement, maximum individual core involvement, and the number of Gleason 3+3, 3+4, or 4+3 cores did not predict for distant metastases. Primary Gleason grade 4 independently predicts for worse bRFS, DMFS, and PCSM among Gleason 7 patients. Using complete core information can allow clinicians to utilize pG grade as a prognostic factor, despite not having the full pathologic details from a prostatectomy specimen. Future staging and risk grouping should investigate the incorporation of primary Gleason grade when complete biopsy core information is used. Copyright © 2013 Elsevier Inc. All rights reserved.

Prevalence of dental erosion among 18-year-old adolescents in the borderland districts of Lviv (Ukraine) and Lublin (Poland).

PubMed

Bachanek, Teresa; Hendzel, Barbara; Wolańska, Ewa; Szybinsky, Volodymir; Ogonovsky, Roman; Hrynovets, Volodymir; Samborski, Dariusz; Nakonieczna-Rudnicka, Marta; Chałas, Renata

2018-03-14

Recent epidemiological studies have shown an association between dental erosion occurrence and changes in lifestyle and dietary habits in both developed and developing countries, and now affects different regions of the world. Furthermore, in current literature, studies have shown that the prevalence of erosive tooth wear has increased particularly among the younger population. The aim of the study was to assess the prevalence and severity of erosive tooth wear among 18-year-old adolescents in the districts of Lviv (Ukraine) and Lublin (Poland). College students (254 subjects) aged 18, living in the Lviv and Lublin districts were examined. Erosive lesions presented in the teeth were assessed on the basis of the BEWE (Basic Erosive Wear Examination) index. Among the 137 patients living in the Lublin district, 70 were females and 67 were males, while in the Lviv district, 60 women and 57 men were examined. In both districts, the following numbers of rural patients were examined: 66 in Lublin district and 56 in Lviv district; for urban inhabitants, the numbers were 71 in Lublin and 61 in Lviv. Analysing the BEWE values, it was noted that higher BEWE values, and resulting from them significant differences were observed in both male and female groups living in Lublin, compared with Lviv inhabitants. Based on clinical examination and statistical analysis, the occurrence of lesions of an erosive character in at least one sextant were observed in 59.85% of patients from Lublin district, and in 42.74% of patients from Lviv district. On the basis of the conducted study in the Polish and Ukrainian groups of 18-year-old adolescents living on the borderland, it can be stated that dental erosion is a problem noticeable in both groups of cohorts, but with higher prevalence in the Lublin district.

Burden of poor oral health in older age: findings from a population-based study of older British men.

PubMed

Ramsay, S E; Whincup, P H; Watt, R G; Tsakos, G; Papacosta, A O; Lennon, L T; Wannamethee, S G

2015-12-29

Evidence of the extent of poor oral health in the older UK adult population is limited. We describe the prevalence of oral health conditions, using objective clinical and subjective measures, in a population-based study of older men. Cross-sectional study. A representative sample of men aged 71-92 years in 2010-2012 from the British Regional Heart Study, initially recruited in 1978-1980 from general practices across Britain. Physical examination among 1660 men included the number of teeth, and periodontal disease in index teeth in each sextant (loss of attachment, periodontal pocket, gingival bleeding). Postal questionnaires (completed by 2147 men including all participants who were clinically examined) included self-rated oral health, oral impacts on daily life and current perception of dry mouth experience. Among 1660 men clinically examined, 338 (20%) were edentulous and a further 728 (43%) had <21 teeth. For periodontal disease, 233 (19%) had loss of attachment (>5.5 mm) affecting 1-20% of sites while 303 (24%) had >20% sites affected. The prevalence of gingival bleeding was 16%. Among 2147 men who returned postal questionnaires, 35% reported fair/poor oral health; 11% reported difficulty eating due to oral health problems. 31% reported 1-2 symptoms of dry mouth and 20% reported 3-5 symptoms of dry mouth. The prevalence of edentulism, loss of attachment, or fair/poor self-rated oral health was greater in those from manual social class. These findings highlight the high burden of poor oral health in older British men. This was reflected in both the objective clinical and subjective measures of oral health conditions. The determinants of these oral health problems in older populations merit further research to reduce the burden and consequences of poor oral health in older people. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Prediction of prostate cancer in unscreened men: external validation of a risk calculator.

PubMed

van Vugt, Heidi A; Roobol, Monique J; Kranse, Ries; Määttänen, Liisa; Finne, Patrik; Hugosson, Jonas; Bangma, Chris H; Schröder, Fritz H; Steyerberg, Ewout W

2011-04-01

Prediction models need external validation to assess their value beyond the setting where the model was derived from. To assess the external validity of the European Randomized study of Screening for Prostate Cancer (ERSPC) risk calculator (www.prostatecancer-riskcalculator.com) for the probability of having a positive prostate biopsy (P(posb)). The ERSPC risk calculator was based on data of the initial screening round of the ERSPC section Rotterdam and validated in 1825 and 531 men biopsied at the initial screening round in the Finnish and Swedish sections of the ERSPC respectively. P(posb) was calculated using serum prostate specific antigen (PSA), outcome of digital rectal examination (DRE), transrectal ultrasound and ultrasound assessed prostate volume. The external validity was assessed for the presence of cancer at biopsy by calibration (agreement between observed and predicted outcomes), discrimination (separation of those with and without cancer), and decision curves (for clinical usefulness). Prostate cancer was detected in 469 men (26%) of the Finnish cohort and in 124 men (23%) of the Swedish cohort. Systematic miscalibration was present in both cohorts (mean predicted probability 34% versus 26% observed, and 29% versus 23% observed, both p<0.001). The areas under the curves were 0.76 and 0.78, and substantially lower for the model with PSA only (0.64 and 0.68 respectively). The model proved clinically useful for any decision threshold compared with a model with PSA only, PSA and DRE, or biopsying all men. A limitation is that the model is based on sextant biopsies results. The ERSPC risk calculator discriminated well between those with and without prostate cancer among initially screened men, but overestimated the risk of a positive biopsy. Further research is necessary to assess the performance and applicability of the ERSPC risk calculator when a clinical setting is considered rather than a screening setting. Copyright © 2010 Elsevier Ltd. All rights reserved.

Prognostic Importance of Gleason 7 Disease Among Patients Treated With External Beam Radiation Therapy for Prostate Cancer: Results of a Detailed Biopsy Core Analysis

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

Spratt, Daniel E.; Zumsteg, Zach; Ghadjar, Pirus

2013-04-01

Purpose: To analyze the effect of primary Gleason (pG) grade among a large cohort of Gleason 7 prostate cancer patients treated with external beam radiation therapy (EBRT). Methods and Materials: From May 1989 to January 2011, 1190 Gleason 7 patients with localized prostate cancer were treated with EBRT at a single institution. Of these patients, 613 had a Gleason 7 with a minimum of a sextant biopsy with nonfragmented cores and full biopsy core details available, including number of cores of cancer involved, percentage individual core involvement, location of disease, bilaterality, and presence of perineural invasion. Median follow-up was 6more » years (range, 1-16 years). The prognostic implication for the following outcomes was analyzed: biochemical recurrence-free survival (bRFS), distant metastasis-free survival (DMFS), and prostate cancer-specific mortality (PCSM). Results: The 8-year bRFS rate for pG3 versus pG4 was 77.6% versus 61.3% (P<.0001), DMFS was 96.8% versus 84.3% (P<.0001), and PCSM was 3.7% versus 8.1% (P=.002). On multivariate analysis, pG4 predicted for significantly worse outcome in all parameters. Location of disease (apex, base, mid-gland), perineural involvement, maximum individual core involvement, and the number of Gleason 3+3, 3+4, or 4+3 cores did not predict for distant metastases. Conclusions: Primary Gleason grade 4 independently predicts for worse bRFS, DMFS, and PCSM among Gleason 7 patients. Using complete core information can allow clinicians to utilize pG grade as a prognostic factor, despite not having the full pathologic details from a prostatectomy specimen. Future staging and risk grouping should investigate the incorporation of primary Gleason grade when complete biopsy core information is used.« less

Complications and Clinical Considerations of the Implant-Retained Zirconia Complete-Arch Prosthesis with Various Opposing Dentitions.

PubMed

Gonzalez, Jorge; Triplett, Robert G

To evaluate the performance of the implant-retained zirconia complete-arch prosthesis with various opposing dentitions. The 40 patients included in this retrospective case series study were treated with one or two implant-retained zirconia complete-arch prostheses (ZIRCAP) using the Zirkonzahn protocol. Prettau zirconia frames were created with strategic cutbacks in the structure to extend zirconia incisal coverage of the esthetic anterior sextants and complete monolithic zirconia in the molar areas; subsequent layers of porcelain were applied to nonfunctional and esthetic areas. Patients had three possible occlusal scenarios: (1) maxillary ZIRCAP and mandibular ZIRCAP, (2) maxillary ZIRCAP and mandibular natural dentition, and (3) maxillary ZIRCAP and mandibular conventional hybrid prosthesis. Complications were recorded during follow-up appointments 3, 6, and 12 months after definitive prosthesis delivery. The mean treatment observation period was 33 months. Eight prosthetic complications were noted for the 40 implant-retained zirconia complete-arch prostheses (18.18%), including six cases of minor porcelain chipping and two cases of debonding of the metal insert from the zirconia framework. Maxillary ZIRCAP opposing mandibular ZIRCAP and maxillary ZIRCAP opposing mandibular natural dentition occlusal scenarios presented the same complication ratio of 4. No complications were seen in the maxillary ZIRCAP opposing mandibular conventional hybrid prosthesis group, yet 16 complications were found as denture tooth fractures in 12 mandibular conventional hybrid prostheses (ratio of 0.75). The results indicate that the implant-retained zirconia complete-arch prosthesis offers acceptable performance for use as an alternative to the conventional titanium framework acrylic veneer prosthesis for complete edentulism with a lower incidence of prosthetic complications and fewer maintenance appointments. Chipping of veneering porcelain was the most common complication, but a low incidence was observed in this study. Acrylic denture teeth may represent the weakest link when restoring complete edentulism with a maxillary ZIRCAP and mandibular conventional hybrid prosthesis.

SU-E-T-448: Heightened Apical Positivity of 2-Year Post-Radiotherapy Biopsies Is Not Related to Suboptimal Dosimetry

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

Studenski, M; Stoyanova, R; Abramowitz, M

2015-06-15

Purpose: Previous research has demonstrated that following radiation therapy for prostate cancer, there is a relative increase in positive biopsies in the apex versus the rest of the prostate. The increase could be due to: 1) Inter-fraction apex motion or deformation, 2) Intra-fraction apex motion or deformation, 3) Suboptimal dose coverage in the apex, 4) Tissue composition in the apex and/or 5) Prostate size. In this initial study, the potential for suboptimal dose coverage in the apex was assessed by splitting the prostate planning target volume into the apex (inferior third) and remainder. Methods: 69 patients were selected from 303more » patients treated on a clinical radiotherapy trial for prostate cancer. These patients were selected as they had both a localized (sextant template) 2-year post-treatment biopsy and 3D dose information. Of these patients, 10 had positive biopsies in the apex, 8 in the remainder and 11 in both locations. For all patients, the following dosimetric data was acquired from the apex dose volume histogram: Dmean, Dmax, Dmin, D95% and V100%. Unpaired, one-tailed t-tests were used to test for statistical significance (p < 0.05) between all dosimetric parameters for patients with positive versus negative apical biopsies. Additionally, D95% for the apex was plotted against D95% of the remainder. Results: There was no statistical difference for the selected apical dosimetric parameters for patients with positive versus negative biopsies (p-values > 0.05). No correlation was found between D95% (normalized to the prescription dose) for the apex and remainder (R{sup 2} = 0.0116). Conclusion: No correlation was found between positive apical biopsy and suboptimal dosimetric coverage. Current research is looking into inter-fraction apex motion and deformation as a potential source of the increased apical failure using daily CBCT images.« less

A General Education Course in Cultural Astronomy: Exploring the Universe Through Human Eyes

NASA Astrophysics Data System (ADS)

Larsen, Kristine

2017-01-01

Astronomy courses for non-science majors (often referred to as Astro 101) are the bread and butter of the general education service obligation of astronomy faculty and programs across the US. Their content has traditionally been a general survey of the solar system, stars and galaxies, or even the entire universe. However, because the audience is students who will not be continuing on in astronomy, there is actually no need to cover a broad range of specific topics. Rather, it is more important to concentrate on the scientific process, and hopefully leave the student with an understanding of the relevance of science in everyday life, regardless of his or her major. As a result, some faculty prefer a more interdisciplinary focus for their Astro 101 classes, for example courses on the search for extraterrestrial life. Another option for general education astronomy courses is what has become known as cultural astronomy. Cultural astronomy focuses on the ways in which astronomical knowledge and belief influences human behavior and social structures. Under this umbrella fall two important areas of study, archaeoastronomy (concentrating on ancient cultures) and enthoastronomy (focusing on extant cultures). Such interdisciplinary courses draw heavily upon archaeology, history, anthropology, art, and other fields more traditionally aligned with the humanities and social sciences than the natural sciences, and therefore can be attractive to students in these non-science majors. In such courses, students experience the “humanity” of science: the important connections between science and the human experience, and how experts in myriad fields contribute in meaningful ways to our understanding of how astronomical knowledge has been constructed and disseminated across time and space. This poster describes the content and pedagogy of a general education course in cultural astronomy for non-science majors that stresses hands-on and experiential learning, including the use of planispheres, sundials, simple sextants, astrolabes and the planetarium, as well as the integration of mathematics, myth, and creative writing.

Minerva: An Integrated Geospatial/Temporal Toolset for Real-time Science Decision Making and Data Collection

NASA Astrophysics Data System (ADS)

Lees, D. S.; Cohen, T.; Deans, M. C.; Lim, D. S. S.; Marquez, J.; Heldmann, J. L.; Hoffman, J.; Norheim, J.; Vadhavk, N.

2016-12-01

Minerva integrates three capabilities that are critical to the success of NASA analogs. It combines NASA's Exploration Ground Data Systems (xGDS) and Playbook software, and MIT's Surface Exploration Traverse Analysis and Navigation Tool (SEXTANT). Together, they help to plan, optimize, and monitor traverses; schedule and track activity; assist with science decision-making and document sample and data collection. Pre-mission, Minerva supports planning with a priori map data (e.g., UAV and satellite imagery) and activity scheduling. During missions, xGDS records and broadcasts live data to a distributed team who take geolocated notes and catalogue samples. Playbook provides live schedule updates and multi-media chat. Post-mission, xGDS supports data search and visualization for replanning and analysis. NASA's BASALT (Biologic Analog Science Associated with Lava Terrains) and FINESSE (Field Investigations to Enable Solar System Science and Exploration) projects use Minerva to conduct field science under simulated Mars mission conditions including 5 and 15 minute one-way communication delays. During the recent BASALT-FINESSE mission, two field scientists (EVA team) executed traverses across volcanic terrain to characterize and sample basalts. They wore backpacks with communications and imaging capabilities, and carried field portable spectrometers. The Science Team was 40 km away in a simulated mission control center. The Science Team monitored imaging (video and still), spectral, voice, location and physiological data from the EVA team via the network from the field, under communication delays. Minerva provided the Science Team with a unified context of operations at the field site, so they could make meaningful remote contributions to the collection of 10's of geotagged samples. Minerva's mission architecture will be presented with technical details and capabilities. Through the development, testing and application of Minerva, we are defining requirements for the design of future capabilities to support human and human-robotic missions to deep space and Mars.

The social gradient in oral health: Is there a role for dental anxiety?

PubMed

Bernabé, Eduardo; Humphris, Gerry; Freeman, Ruth

2017-08-01

To evaluate the contribution of dental anxiety to social gradients in different oral health outcomes and whether social gradients in oral health persist once dental anxiety is removed from the population examined. Data from 9035 British adults were analysed. Participants' socioeconomic position (SEP) was measured through education and household income. Dental anxiety was measured with the Modified Dental Anxiety Scale. Poor subjective oral health, oral impacts on quality of life and edentulism among all adults and the number of teeth, the number of decayed, missing and filled surfaces (DMFS) and sextants with pocketing among dentate adults were the oral health outcomes. The contribution of dental anxiety to absolute and relative social inequalities in each oral health outcome (measured with the Slope and Relative Index of Inequality [SII and RII], respectively) was estimated from regression models without and with adjustment for dental anxiety and quantified with the percentage attenuation. Interactions between each SEP indicator and dental anxiety were used to test what would happen if dental anxiety were removed from the whole population. The largest contribution of dental anxiety to explaining oral health inequalities was found for education gradients in perceived outcomes (11%-13%), but dental anxiety explained <4% of social gradients in edentulism. Among dentate adults, dental anxiety accounted for <5% and <7% of education and income gradients, respectively. Only four of the 24 interactions tested were statistically significant. Hence, the education- and income-based SII and RII for oral impacts were nonsignificant among anxiety-free adults but were significant at higher levels of dental anxiety. Little support was found for the role of dental anxiety in explaining social inequalities in various perceived and clinical oral health measures. Oral health inequalities were found among both nondentally anxious and anxious participants. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Pretreatment Endorectal Coil Magnetic Resonance Imaging Findings Predict Biochemical Tumor Control in Prostate Cancer Patients Treated With Combination Brachytherapy and External-Beam Radiotherapy

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

Riaz, Nadeem; Afaq, Asim; Akin, Oguz

Purpose: To investigate the utility of endorectal coil magenetic resonance imaging (eMRI) in predicting biochemical relapse in prostate cancer patients treated with combination brachytherapy and external-beam radiotherapy. Methods and Materials: Between 2000 and 2008, 279 men with intermediate- or high-risk prostate cancer underwent eMRI of their prostate before receiving brachytherapy and supplemental intensity-modulated radiotherapy. Endorectal coil MRI was performed before treatment and retrospectively reviewed by two radiologists experienced in genitourinary MRI. Image-based variables, including tumor diameter, location, number of sextants involved, and the presence of extracapsular extension (ECE), were incorporated with other established clinical variables to predict biochemical control outcomes.more » The median follow-up was 49 months (range, 1-13 years). Results: The 5-year biochemical relapse-free survival for the cohort was 92%. Clinical findings predicting recurrence on univariate analysis included Gleason score (hazard ratio [HR] 3.6, p = 0.001), PSA (HR 1.04, p = 0.005), and National Comprehensive Cancer Network risk group (HR 4.1, p = 0.002). Clinical T stage and the use of androgen deprivation therapy were not correlated with biochemical failure. Imaging findings on univariate analysis associated with relapse included ECE on MRI (HR 3.79, p = 0.003), tumor size (HR 2.58, p = 0.04), and T stage (HR 1.71, p = 0.004). On multivariate analysis incorporating both clinical and imaging findings, only ECE on MRI and Gleason score were independent predictors of recurrence. Conclusions: Pretreatment eMRI findings predict for biochemical recurrence in intermediate- and high-risk prostate cancer patients treated with combination brachytherapy and external-beam radiotherapy. Gleason score and the presence of ECE on MRI were the only significant predictors of biochemical relapse in this group of patients.« less

Model studies of the solar limb shape variation with wavelenght within the PICARD project.

NASA Astrophysics Data System (ADS)

Melo, Stella M. L.; Thuillier, Gerard; Claudel, Jennyfer; Haberreiter, Margit; Mein, Nicole; Schmutz, Werner; Shapiro, Alexander; Sofia, Sabatino; Short, Christopher I.

Solar images in the visible wavelength range show that the disk centre is brighter than the limb region. This phenomenon, which is both known as "centre to limb variation (CLV)", or "limb darkening function", is know to depend on wavelength. Since the CLV is determined by the density and temperature stratification, as well as the chemical composition of the so-lar photosphere, its measurement is important to validate theoretical assumption made when building numerical models of the solar atmosphere. The definition of the solar diameter is nor-mally adopted as the separation between two inflection points at opposite ends of a line passing through the center of the solar disk. Therefore, in order to understand long term variability on the solar diameter, it is important to understand what drives the dependence of the position of the inflection point on wavelength. In this paper we use different available solar atmosphere models to study this dependence. The results presented here refer to quiet Sun conditions and encompass the visible and near infra-red spectral regions, which are the regions of interest for the PICARD Satellite Mission. In a first step we utilize the solar atmosphere parameters with a radiative transfer code. This allows for the study of the impact of different factors such as opacities, electron density and temperature from different models on the results. Then, we compare results obtained using each solar atmosphere model. Our results are compared with existent ground based measurements performed by the Pic du Midi telescope, the balloon board measurements with the Solar Disk Sextant experiment, and with the measurements by the Michelson Doppler Imager on board SoHO satellite. The model simulations show that the position of the inflection point is sensitive to the different parameters and model assumptions. Furthermore, our study shows, for the first time, that the position of the inflection point changes dramatically with and outside of Fraunhofer lines.

Effect of Prostate Magnetic Resonance Imaging/Ultrasound Fusion-guided Biopsy on Radiation Treatment Recommendations

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

Reed, Aaron; Valle, Luca F.; Shankavaram, Uma

Purpose: Targeted magnetic resonance imaging (MRI)/ultrasound fusion prostate biopsy (MRI-Bx) has recently been compared with the standard of care extended sextant ultrasound-guided prostate biopsy (SOC-Bx), with the former associated with an increased rate of detection of clinically significant prostate cancer. The present study sought to determine the influence of MRI-Bx on radiation therapy and androgen deprivation therapy (ADT) recommendations. Methods and Materials: All patients who had received radiation treatment and had undergone SOC-Bx and MRI-Bx at our institution were included. Using the clinical T stage, pretreatment prostate-specific antigen, and Gleason score, patients were categorized into National Comprehensive Cancer Network riskmore » groups and radiation treatment or ADT recommendations assigned. Intensification of the recommended treatment after multiparametric MRI, SOC-Bx, and MRI-Bx was evaluated. Results: From January 2008 to January 2016, 73 patients received radiation therapy at our institution after undergoing a simultaneous SOC-Bx and MRI-Bx (n=47 with previous SOC-Bx). Repeat SOC-Bx and MRI-Bx resulted in frequent upgrading compared with previous SOC-Bx (Gleason score 7, 6.7% vs 44.6%; P<.001; Gleason score 8-10, 2.1% vs 38%; P<.001). MRI-Bx increased the proportion of patients classified as very high risk from 24.7% to 41.1% (P=.027). Compared with SOC-Bx alone, including the MRI-Bx findings resulted in a greater percentage of pathologically positive cores (mean 37% vs 44%). Incorporation of multiparametric MRI and MRI-Bx results increased the recommended use and duration of ADT (duration increased in 28 of 73 patients and ADT was added for 8 of 73 patients). Conclusions: In patients referred for radiation treatment, MRI-Bx resulted in an increase in the percentage of positive cores, Gleason score, and risk grouping. The benefit of treatment intensification in accordance with the MRI-Bx findings is unknown.« less

Saw palmetto alters nuclear measurements reflecting DNA content in men with symptomatic BPH: evidence for a possible molecular mechanism.

PubMed

Veltri, Robert W; Marks, Leonard S; Miller, M Craig; Bales, Wes D; Fan, John; Macairan, Maria Luz; Epstein, Jonathan I; Partin, Alan W

2002-10-01

To examine the nuclear chromatin characteristics of epithelial cells, looking for an SPHB-mediated effect on nuclear DNA structure and organization. Saw palmetto herbal blend (SPHB) causes contraction of prostate epithelial cells and suppression of tissue dihydrotestosterone levels in men with symptomatic benign prostatic hyperplasia, but a fundamental mechanism remains unknown. A 6-month randomized trial, comparing prostatic tissue of men treated with SPHB (n = 20) or placebo (n = 20), was performed. At baseline, the two groups were similar in age (65 versus 64 years), symptoms (International Prostate Symptom Score 18 versus 17), uroflow (maximal urinary flow rate 10 versus 11 mL/s), prostate volume (59 versus 58 cm(3)), prostate-specific antigen (4.2 versus 2.7 ng/mL), and percentage of epithelium (17% versus 16%). Prostatic tissue was obtained by sextant biopsy before and after treatment. Five-micron sections were Feulgen stained and quantitatively analyzed using the AutoCyte QUIC-DNA imaging system. Images were captured from 200 randomly selected epithelial cell nuclei, and 60 nuclear morphometric descriptors (NMDs) (eg, size, shape, DNA content, and textural features) were determined for each nucleus. Logistic regression analysis was used to assess the differences in the variances of the NMDs between the treated and untreated prostate epithelial cells. At baseline, the SPHB and placebo groups had similar NMD values. After 6 months of placebo, no significant change from baseline was found in the NMDs. However, after 6 months of SPHB, 25 of the 60 NMDs were significantly different compared with baseline, and a multivariate model for predicting treatment effect using 4 of the 25 was created (P <0.001). The multivariate model had an area under the receiver operating characteristic curve of 94% and an accuracy of 85%. Six months of SPHB treatment appears to alter the DNA chromatin structure and organization in prostate epithelial cells. Thus, a possible molecular basis for tissue changes and therapeutic effect of the compound is suggested.

Oral health condition of French elderly and risk of dementia: a longitudinal cohort study.

PubMed

Arrivé, E; Letenneur, L; Matharan, F; Laporte, C; Helmer, C; Barberger-Gateau, P; Miquel, J L; Dartigues, J F

2012-06-01

Oral condition could be associated with cognitive impairment, but this is not yet well documented. We therefore hypothesized that people with poor oral condition would be more at risk to develop dementia. The objective of this study thus was to describe the oral condition of French community-dwelling elderly persons and to assess its relationship with the occurrence of dementia. Oral examination was conducted on a sample of individuals aged 66-80 years followed-up prospectively for screening of dementia over 15 years in Gironde, France. Univariate and multivariate analyses of the risk of dementia were performed using a Cox proportional hazard model with delayed entry. Data from 405 individuals were analyzed; 45.4% men; median age at baseline: 70 years [interquartile range (IQR): 68-75]. The median number of decayed, missing, and filled teeth was 18 (IQR: 13-24) and was higher in women (median: 20 versus 17, P = 0.004) and in persons with lower school level (median: 21 versus 17, P = 0.003). Among 348 persons with sextant eligible for periodontal assessment, 2/3 required periodontal care: 5.2% had bleeding observed, 44.8% calculus, 17.8% 4-5 mm pockets, and 2.9%≥ 6 mm pockets. The incidence of dementia during a median follow-up of 10 years (IQR: 6.5-13.7) was 19 per 1000 person-years. The adjusted hazard ratio for a number of missing teeth ≥ 11 (median) on the risk of dementia was 1.13 (95% confidence interval, CI = [0.60-2.12]) in people with higher education (n = 312) and 0.30 (CI = 0.11-0.79) in persons with lower school level (n = 93) (P for modification effect = 0.0002). Having eleven or more missing teeth seemed to be associated with a lower risk of dementia in people with lower education possibly owing to the suppression of source of chronic inflammation. © 2011 John Wiley & Sons A/S.

[A case of locally advanced prostate cancer with low serum testosterone associated with intake of an androgenic medicine].

PubMed

Sakura, Mizuaki; Tsukamoto, Tetsurou; Yonese, Junji; Nakaishi, Masayuki; Maezawa, Takuya; Takimoto, Keita; Fukui, Iwao

2003-05-01

A 74-year-old man was referred to our clinic for the work-up of digitally hard and irregularly surfaced prostate and elevated serum prostate-specific antigen (PSA). His serum PSA was elevated to 41 ng/ml, but testosterone and LH level were decreased to 23.5 ng/dl and 0.5 mIU/ml, respectively. He had a history of taking an androgenic medicine containing methyl-testosterone 2 to 3 times a week for 2 year and 6 months. Transrectal sextant prostatic biopsy revealed moderately differentiated adenocarcinoma (Gleason score: 3 + 4) in 6 of 6 specimens and CT scan of the abdomen showed an enlarged obturator lymph-node (15 mm), resulting in the diagnosis of stage D1 (T3aN1M0) prostate cancer. Since serum testosterone level seemed to recover around the normal level after discontinuation of the exogenous androgen, we treated him with combination androgen blockade with LHRH agonist and bicaltamide, although his testosterone level was very low. Indeed, serum PSA decreased to 0.09 ng/ml and the right obturator node was markedly reduced by the hormone treatment. After the neoadjuvant therapy of 6 months duration, radical prostatectomy and limited pelvic lymph node dissection was carried out. Histologically, viable cancer cells were not found in any of resected lymph nodes, but they remained in bilateral lobes of the prostate (pT2bN0). The histological effect of the neoadjuvant hormone therapy according to General rule for Clinical and Pathological Studies on Prostate Cancer (3rd ed.) was grade 2. The patient has been well with undetectable PSA and no evidence of clinical failure for more than 12 months, though serum testosterone level recovered to near normal (288 ng/dl) 8 months after the cessation of the hormone treatment following the operation. Combination androgen blockade or non-steroidal anti-androgen agent appears to be effective for the treatment of prostatic cancer patients who takes exogenous androgenic medicine, even with a suppressed low serum testosterone level.

Incisor malalignment and the risk of periodontal disease progression.

PubMed

Alsulaiman, Ahmed A; Kaye, Elizabeth; Jones, Judith; Cabral, Howard; Leone, Cataldo; Will, Leslie; Garcia, Raul

2018-04-01

The objective of this study was to investigate the association between incisor crowding, irregularity, and periodontal disease progression in the anterior teeth. Data collected over 35 years from men enrolled in the Veterans Affairs Dental Longitudinal Study included information concerning pocket depth and alveolar bone loss. Plaster casts of the maxillary (n = 400) and mandibular (n = 408) arches were available for baseline measurements. Periodontal disease in the anterior teeth was defined as per arch sum of pathologic pocket depth and sum of teeth with any alveolar bone loss in the anterior sextants. Incisor malalignment status was defined by the anterior tooth size-arch length discrepancy index and Little's Irregularity Index. Adjusted mixed effects linear models computed the beta (β) estimates and 95% confidence intervals (95% CI) of the amounts of change in periodontal disease outcomes by the level of malalignment. In the anterior maxillary arch, crowding and spacing were significantly associated with an increased per-arch sum of pathologic pocket depth (β, 0.70 mm; 95% CI, 0.20-1.21, and β, 0.49 mm; 95% CI, 0.06-0.91, respectively). In the anterior mandibular arch, incisor crowding and irregularity were significantly associated with an increased per-arch sum of pathologic pocket depth (mild crowding: β, 0.47 mm; 95% CI, 0.01-0.93; severe irregularity: β, 0.94 mm; 95% CI, 0.50-1.38), and the sum number of teeth with alveolar bone loss (mild and moderate-to-severe crowding: β, 0.45 teeth; 95% CI, 0.08-0.82; and β, 0.45 teeth; 95% CI, 0.13-0.83, respectively; moderate irregularity: β, 0.34 teeth; 95% CI, 0.06-0.62). Certain incisor malalignment traits (ie, maxillary incisor crowding, maxillary incisor spacing, mandibular incisor mild crowding, mandibular incisor moderate-to-severe crowding, mandibular incisor moderate irregularity, and mandibular incisor severe irregularity) are associated with significant periodontal disease progression. Copyright © 2017 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

The periodontal health of Nepalese schoolchildren.

PubMed

Yeel, R; David, J; Lama, D

2009-12-01

To report on the periodontal status of schoolchildren in urban and rural Nepal and to identify possible risk indicators of poor periodontal health. Cross-sectional 'pathfinder' survey using the stratified cluster sampling technique included seven urban and nine rural sites representing the three geographic divisions and five political regions of Nepal. Second stage sampling involved the random selection of 25 schools (18 government and seven private). Final study population consisted of three age groups: 5-6-years (n=1025), 12-13-years (n=1037) and 15-16-years (n=1053). Periodontal data was collected using CPI based on WHO methodology and criteria by trained examiners. A structured questionnaire was administered to collect information on oral health behavior and socio-economic status. A gradual decline in the mean number of healthy sextants was noted with an increase in age among the schoolchildren. Males and females within a specific school and area showed no statistical significant difference when assessed for differences in score 0 (healthy periodontium) among all age groups except for 15-16-year-olds studying in government-urban schools. Multivariate logistic regression analyses showed that children 5 to 6 years of age studying in government urban (Adjusted Odds Ratio = 1.5, 95% Confidence Interval = 1.1-2.1) and government rural schools (Adj OR = 2.8, 95% CI 1.9-4.1) were at higher risk of having periodontal conditions (CPI scores >0) when compared to those in private urban schools. The probability of poorer periodontal status increased for 12 to 13 (Adjusted OR = 1.9, 95% CI 1.3-2.9) and 15 to 16-year-old children (Adjusted OR = 1.7, 95% CI 1.1-2.5) who studied in government rural schools. A steady increase in periodontal conditions was observed with increasing age. The main risk indicator for unhealthy periodontal status at 5-6 years was studying and residing in government rural and urban schools; while the indicator of unhealthy periodontal status for children 12 to 13 and 15 to 16 years of age was studying in rural government schools.

X-Ray-induced Deuterium Enrichment of N-rich Organics in Protoplanetary Disks: An Experimental Investigation Using Synchrotron Light

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

Gavilan, Lisseth; Carrasco, Nathalie; Remusat, Laurent

The deuterium enrichment of organics in the interstellar medium, protoplanetary disks, and meteorites has been proposed to be the result of ionizing radiation. The goal of this study is to simulate and quantify the effects of soft X-rays (0.1–2 keV), an important component of stellar radiation fields illuminating protoplanetary disks, on the refractory organics present in the disks. We prepared tholins, nitrogen-rich organic analogs to solids found in several astrophysical environments, e.g., Titan’s atmosphere, cometary surfaces, and protoplanetary disks, via plasma deposition. Controlled irradiation experiments with soft X-rays at 0.5 and 1.3 keV were performed at the SEXTANTS beamline ofmore » the SOLEIL synchrotron, and were immediately followed by ex-situ infrared, Raman, and isotopic diagnostics. Infrared spectroscopy revealed the preferential loss of singly bonded groups (N–H, C–H, and R–N≡C) and the formation of sp{sup 3} carbon defects with signatures at ∼1250–1300 cm{sup −1}. Raman analysis revealed that, while the length of polyaromatic units is only slightly modified, the introduction of defects leads to structural amorphization. Finally, tholins were measured via secondary ion mass spectrometry to quantify the D, H, and C elemental abundances in the irradiated versus non-irradiated areas. Isotopic analysis revealed that significant D-enrichment is induced by X-ray irradiation. Our results are compared to previous experimental studies involving the thermal degradation and electron irradiation of organics. The penetration depth of soft X-rays in μ m-sized tholins leads to volume rather than surface modifications: lower-energy X-rays (0.5 keV) induce a larger D-enrichment than 1.3 keV X-rays, reaching a plateau for doses larger than 5 × 10{sup 27} eV cm{sup −3}. Synchrotron fluences fall within the expected soft X-ray fluences in protoplanetary disks, and thus provide evidence of a new non-thermal pathway to deuterium fractionation of organic matter.« less

Influence of functional dentition on satisfaction with oral health and impacts on daily performance among Brazilian adults: a population-based cross-sectional study.

PubMed

Chalub, Loliza Luiz Figueiredo Houri; Ferreira, Raquel Conceição; Vargas, Andréa Maria Duarte

2017-07-11

Dental esthetics, chewing and speech should be preserved in a dentition denominated functional and are closely related to satisfaction with oral health (SOH), impacts caused by oral problems and have a possible association with Oral Health-Related Quality of Life. Thus, the purpose of the present study was to investigate the influence of different concepts of functional dentition (FD) on both SOH and impacts on daily performance (IDP) among Brazilian adults. A cross-sectional study was conducted with 9564 adults (35-44 years). SOH and IDP were evaluated using the Oral Impacts on Daily Performance (OIDP) questionnaire. FD was considered based on four different definitions: I-classification of the World Health Organization (FDWHO = ≥20 teeth); II-well-distributed teeth (WDT = ≥10 teeth in each arch); III-classified by esthetics and occlusion (FD Class5  = sequential presence of one tooth in each arch, ≥10 teeth in each arch, 12 anterior teeth, ≥three posterior occluding pairs [POPs] of premolars and ≥one POP molar bilaterally); and IV-classified by esthetics, occlusion and periodontal status (FD Class6  = FD Class5 plus all sextants with CPI ≤ 3 and/or CAL ≤ 1). The proportion of adults satisfied with oral health and without overall impact (OIDP = 0) was calculated for each definition of FD. Multiple Poisson regression models were adjusted by demographic-socioeconomic characteristics, self-reported oral problems and the use of dental services for each dependent variable. When FD Class5 and FD Class6 were considered a greater proportion of adults reported being satisfied (52.1 and 53.1%, respectively) and have OIDP = 0 (52.4 and 53.3, respectively). In the multiple models, SOH was associated with FD Class5 (RP = 1.21) and FD Class6 (RP = 1.24) and OIDP = 0 was associated with WDT (RP = 1.14) and FD Class6 (RP = 1.21). The greater influence of WDT, FD Class5 and FD Class6 on aspects related to quality of life in comparison to FDWHO demonstrates the need for the establishment of a broader definition of FD that encompasses subjective aspects.

Value of transrectal power Doppler sonography in the detection of low-risk prostate cancers.

PubMed

Sauvain, J-L; Sauvain, E; Rohmer, P; Louis, D; Nader, N; Papavero, R; Bremon, J-M; Jehl, J

2013-01-01

To evaluate the risk of low-risk prostate cancer or prostate cancer that may benefit from surveillance in patients with a PSA level less than 10 ng/ml, a normal digital rectal examination (DRE) and a transrectal power Doppler sonography (PDS) without anomaly. Two hundred and forty-three consecutive patients with a PSA level less than 10 ng/ml and a DRE without anomaly had PDS-guided biopsies: 12 to 15 samples were systematically taken and echo-guided in the suspect areas. The PDS results were rated from 1 to 4: 1: normal, 2: slightly hypoechogenic avascular area in which the hypo-echogenicity disappears after compression by probe, 3: hypoechogenic avascular area, 4: hypoechogenic vascularised area with power Doppler sonography. Patients rated 3 or 4 were considered to be pathological. D'Amico's criteria were used to assess the risk of a biological recurrence after treatment and those of Dall'Era were used to select the patients that could benefit from active surveillance (AS). The PDS was considered to be a true positive if at least one biopsy was positive in the same sextant as the suspect image. In a prospective manner, 106 cancers were diagnosed that could be qualified as low-risk in 84% of the cases (89% with a normal PDS and 79% with an abnormal PDS). Sixty-nine percent of the cases could be subject to AS (86% of the normal PDS cases and 47% of the abnormal PDS cases; P<0.001). The PDS was normal in 159 of the 243 patients (65%). With a normal PDS, there was a 96% probability of not having a high-risk cancer. With an abnormal PDS, at least one biopsy was positive in 57% of the cases and the probability of having a significant cancer was 30% according to the Dall'Era criteria. A significant reduction was noted with a normal PDS, to 36% and 5%, respectively (VPN=95%) (P=0.015). A normal PDS in patients presenting a PSA level less than 10 ng/ml and a DRE without anomaly may be used to put off the indication for a biopsy in order to reduce their number as well as the risks of overtreatment for a latent cancer. Copyright © 2012 Éditions françaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.

Impact of Lesion Visibility on Transrectal Ultrasound on the Prediction of Clinically Significant Prostate Cancer (Gleason Score 3 + 4 or Greater) with Transrectal Ultrasound-Magnetic Resonance Imaging Fusion Biopsy.

PubMed

Garcia-Reyes, Kirema; Nguyen, Hao G; Zagoria, Ronald J; Shinohara, Katsuto; Carroll, Peter R; Behr, Spencer C; Westphalen, Antonio C

2017-09-20

The purpose of this study was to estimate the impact of lesion visibility with transrectal ultrasound on the prediction of clinically significant prostate cancer with transrectal ultrasound-magnetic resonance imaging fusion biopsy. This HIPAA (Health Insurance Portability and Accountability Act) compliant, institutional review board approved, retrospective study was performed in 178 men who were 64.7 years old with prostate specific antigen 8.9 ng/ml. They underwent transrectal ultrasound-magnetic resonance imaging fusion biopsy from January 2013 to September 2016. Visible lesions on magnetic resonance imaging were assigned a PI-RADS™ (Prostate Imaging Reporting and Data System), version 2 score of 3 or greater. Transrectal ultrasound was positive when a hypoechoic lesion was identified. We used a 3-level, mixed effects logistic regression model to determine how transrectal ultrasound-magnetic resonance imaging concordance predicted the presence of clinically significant prostate cancer. The diagnostic performance of the 2 methods was estimated using ROC curves. A total of 1,331 sextants were targeted by transrectal ultrasound-magnetic resonance imaging fusion or systematic biopsies, of which 1,037 were negative, 183 were Gleason score 3 + 3 and 111 were Gleason score 3 + 4 or greater. Clinically significant prostate cancer was diagnosed by transrectal ultrasound and magnetic resonance imaging alone at 20.5% and 19.7% of these locations, respectively. Men with positive imaging had higher odds of clinically significant prostate cancer than men without visible lesions regardless of modality (transrectal ultrasound OR 14.75, 95% CI 5.22-41.69, magnetic resonance imaging OR 12.27, 95% CI 6.39-23.58 and the 2 modalities OR 28.68, 95% CI 14.45-56.89, all p <0.001). The ROC AUC to detect clinically significant prostate cancer using the 2 methods (0.85, 95% CI 0.81-0.89) was statistically greater than that of transrectal ultrasound alone (0.80, 95% CI 0.76-0.85, p = 0.001) and magnetic resonance imaging alone (0.83, 95% CI 0.79-0.87, p = 0.04). The sensitivity and specificity of transrectal ultrasound were 42.3% and 91.6%, and the sensitivity and specificity of magnetic resonance imaging were 62.2% and 84.1%, respectively. Lesion visibility on magnetic resonance imaging or transrectal ultrasound denotes a similar probability of clinically significant prostate cancer. This probability is greater when each examination is positive. Copyright © 2018 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

The added value of percentage of free to total prostate-specific antigen, PCA3, and a kallikrein panel to the ERSPC risk calculator for prostate cancer in prescreened men.

PubMed

Vedder, Moniek M; de Bekker-Grob, Esther W; Lilja, Hans G; Vickers, Andrew J; van Leenders, Geert J L H; Steyerberg, Ewout W; Roobol, Monique J

2014-12-01

Prostate-specific antigen (PSA) testing has limited accuracy for the early detection of prostate cancer (PCa). To assess the value added by percentage of free to total PSA (%fPSA), prostate cancer antigen 3 (PCA3), and a kallikrein panel (4k-panel) to the European Randomised Study of Screening for Prostate Cancer (ERSPC) multivariable prediction models: risk calculator (RC) 4, including transrectal ultrasound, and RC 4 plus digital rectal examination (4+DRE) for prescreened men. Participants were invited for rescreening between October 2007 and February 2009 within the Dutch part of the ERSPC study. Biopsies were taken in men with a PSA level ≥3.0 ng/ml or a PCA3 score ≥10. Additional analyses of the 4k-panel were done on serum samples. Outcome was defined as PCa detectable by sextant biopsy. Receiver operating characteristic curve and decision curve analyses were performed to compare the predictive capabilities of %fPSA, PCA3, 4k-panel, the ERSPC RCs, and their combinations in logistic regression models. PCa was detected in 119 of 708 men. The %fPSA did not perform better univariately or added to the RCs compared with the RCs alone. In 202 men with an elevated PSA, the 4k-panel discriminated better than PCA3 when modelled univariately (area under the curve [AUC]: 0.78 vs. 0.62; p=0.01). The multivariable models with PCA3 or the 4k-panel were equivalent (AUC: 0.80 for RC 4+DRE). In the total population, PCA3 discriminated better than the 4k-panel (univariate AUC: 0.63 vs. 0.56; p=0.05). There was no statistically significant difference between the multivariable model with PCA3 (AUC: 0.73) versus the model with the 4k-panel (AUC: 0.71; p=0.18). The multivariable model with PCA3 performed better than the reference model (0.73 vs. 0.70; p=0.02). Decision curves confirmed these patterns, although numbers were small. Both PCA3 and, to a lesser extent, a 4k-panel have added value to the DRE-based ERSPC RC in detecting PCa in prescreened men. We studied the added value of novel biomarkers to previously developed risk prediction models for prostate cancer. We found that inclusion of these biomarkers resulted in an increase in predictive ability. Copyright © 2014. Published by Elsevier B.V.

Transrectal ultrasonography-guided biopsy does not reliably identify dominant cancer location in men with low-risk prostate cancer.

PubMed

Washington, Samuel L; Bonham, Michael; Whitson, Jared M; Cowan, Janet E; Carroll, Peter R

2012-07-01

Study Type - Diagnostic (exploratory cohort) Level of Evidence 2b What's known on the subject? and What does the study add? The widespread use of serum PSA testing followed by TRUS-guided biopsy have resulted in profound prostate cancer stage migration with many patients presenting with focal rather than multifocal disease. There is increasing interest in the use of focal rather than whole-gland treatment. However, current biopsy schemes may still miss cancer or, even when cancer is identified, its extent or grade might not be accurately characterized. In order for focal therapy to be effective, the area of highest tumour volume and/or grade needs to localized accurately. The aim of this study was to assess how well biopsy, as currently performed, locates the focus of highest prostate cancer volume and/or grade. To evaluate the ability of transrectal ultrasonography (TRUS)-guided extended core biopsy to identify the dominant tumour accurately in men with early stage prostate cancer. Patients with early stage, low-risk prostate cancer who subsequently underwent radical prostatectomy (RP) and had complete surgical specimens were identified. Re-review was performed by a single uropathologist using ImageJ software to identify tumour location, dominant grade (DG) and dominant volume (DV). Pathology findings were then compared with biopsy results. A total of 51 men with early stage, low-risk prostate cancer, who had undergone RP, had complete specimens for review and a median of 15 biopsy cores taken for diagnosis and grading. Sixteen men had a single diagnostic biopsy, 21 had one repeat biopsy, and 14 had two or more repeat biopsies. Compared with surgical findings, biopsy correctly identified the sextant with the largest tumour volume in 55% (95% CI 0.5-0.6) of specimens and the highest grade in 37% (95 CI 0.3-0.5). No demographic or clinical factors were significantly associated with identification of DG. Interval between last biopsy and RP, total tissue length taken and total length of tumour identified were significantly associated with correct identification of DV. Our findings show that TRUS-guided biopsy detects and localizes DV better than it does DG. Even with an extended scheme, TRUS-guided biopsy does not reliably identify dominant cancer location in this low-risk cohort of men with early stage prostate cancer. TRUS-guided biopsy may perform better in similar men with low stage, but higher volume disease. © 2011 BJU INTERNATIONAL.

Phase I study of replication-competent adenovirus-mediated double-suicide gene therapy in combination with conventional-dose three-dimensional conformal radiation therapy for the treatment of newly diagnosed, intermediate- to high-risk prostate cancer.

PubMed

Freytag, Svend O; Stricker, Hans; Pegg, Jan; Paielli, Dell; Pradhan, Deepak G; Peabody, James; DePeralta-Venturina, Mariza; Xia, Xueqing; Brown, Steve; Lu, Mei; Kim, Jae Ho

2003-11-01

The primary study objective was to determine the safety of intraprostatic administration of a replication-competent, oncolytic adenovirus containing a cytosine deaminase (CD)/herpes simplex virus thymidine kinase (HSV-1 TK) fusion gene concomitant with increasing durations of 5-fluorocytosine and valganciclovir prodrug therapy and conventional-dose three-dimensional conformal radiation therapy (3D-CRT) in patients with newly diagnosed, intermediate- to high-risk prostate cancer. Secondary objectives were to determine the persistence of therapeutic transgene expression in the prostate and to examine early posttreatment response. Fifteen patients in five cohorts received a single intraprostatic injection of 10(12) viral particles of the replication-competent Ad5-CD/TKrep adenovirus on day 1. Two days later, patients were administered 5-fluorocytosine and valganciclovir prodrug therapy for 1 (cohorts 1-3), 2 (cohort 4), or 3 (cohort 5) weeks along with 70-74 Gy 3D-CRT. Sextant needle biopsy of the prostate was obtained at 2 (cohort 1), 3 (cohort 2), and 4 (cohort 3) weeks for determination of the persistence of transgene expression. There were no dose-limiting toxicities and no significant treatment-related adverse events. Ninety-four percent of the adverse events observed were mild to moderate and self-limiting. Acute urinary and gastrointestinal toxicities were similar to those expected for conventional-dose 3D-CRT. Therapeutic transgene expression was found to persist in the prostate for up to 3 weeks after the adenovirus injection. As expected for patients receiving definitive radiation therapy, all patients experienced significant declines in prostate-specific antigen (PSA). The mean PSA half-life in patients administered more than 1 week of prodrug therapy was significantly shorter than that of patients receiving prodrugs for only 1 week (0.6 versus 2.0 months; P < 0.02) and markedly shorter than that reported previously for patients treated with conventional-dose 3D-CRT alone (2.4 months). With a median follow-up of only 9 months, 5 of 10 (50%) patients not treated with androgen-deprivation therapy achieved a serum PSA < or = 0.5 ng/ml. The results demonstrate that replication-competent adenovirus-mediated double-suicide gene therapy can be combined safely with conventional-dose 3D-CRT in patients with intermediate- to high-risk prostate cancer. The shorter than expected PSA half-life in patients receiving more than 1 week of prodrug therapy may suggest a possible interaction between the oncolytic adenovirus and/or double-suicide gene therapies and radiation therapy.

Periodontal status and selected parameters of oral condition of Poles aged 65 to 74 years.

PubMed

Konopka, Tomasz; Dembowska, Elżbieta; Pietruska, Małgorzata; Dymalski, Paweł; Górska, Renata

2015-01-01

The goal of this study was the evaluation of the periodontal health by means of CPI score in inhabitants of big and small cities in the age range from 65 to 74 and making comparison with previous Polish and European studies from XXI century. Also an average number of natural teeth, the edentulous persons percentage, the percentage of people with oral function maintenance and prevalence of oral mucosal diseases were evaluated. There were also attempts to evaluate essential behaviours related to the oral health and the percentage of people that are treated with use of non-reimbursed or reimbursed services. Studies were conducted in 5 big cities: Warszawa, Szczecin, Wrocław, Białystok and Toruń, as well as in 4 towns, such as Oława, Police, Łobez and Ełk. From sampling 7400 people aged from 65 to 74 years for the study reported only 807 people. In the mouth evaluated CPI score, number of natural teeth and prevalence of pathological lesions on cavity mucosa. Answers for questions on selected attitudes and health-seeking behaviours related to the oral health and the range of dental treatment were also analysed. Distribution of values of CPI codes in the whole group was as follows: CPI0-1.2%, CPI1-9.4%, CPI2-16.6%, CPI3-21.8%, CPI4-19.7% and the number of people excluded from examinations (1 tooth in the sextant or edentulous 31.3%). The state of the periodontium was worse in big cities and in men. An average number of teeth was 13.7 and was higher in big cities and in men. The percentage of edentulous persons was 28.9% and was higher in towns and in woman. The percentage of people with oral function maintenance was 25.15% and was higher in big cities and in men. The most three common pathologies of the oral cavity were leukoplakia and leukokeratosis that were found in 10.5% of examined people, candidiasis 5.82% and lichen planus 2.2%. The state of the periodontium of Poles at the age from 65 to 74 has not been improved in XXI century, but also does not significantly differ from an average European level. An average number of remaining teeth of Poles at this age has increased, but remains under a European average; also the prevalence of edentulism has decreased, but still remains one of the highest in Europe. The percentage of people with oral function maintenance is very low, thus needs for prosthetic treatment and rehabilitation of masticatory ability remain high. Precancerous lesions in the oral cavity are quite common in this age group. Health-seeking behaviours related to the oral health of older Poles are inadequate and result from a low level of knowledge on dental prophylaxis.

Exercises in Practical Physics

NASA Astrophysics Data System (ADS)

Schuster, Arthur; Lees, Charles H.

2015-10-01

Preface; Preface to the fifth edition; Part I. Preliminary: 1. Treatment of observations; 2. Measurement of length; 3. Measurement of intervals of time; 4. Calibration of a spirit level; 5. Calibration of a graduated tube; Part II. General Physics: 6. The balance; 7. Accurate weighing with the balance; 8. Density of a solid; 9. Density of a liquid; 10. Moments of inertia; 11. Gravitational acceleration by reversible pendulum; 12. Young's modulus by the bending of beams; 13. Modulus of rigidity; 14. Viscosity; 15. Surface tension; Part III. Heat: 16. Coefficient of expansion of a solid; 17. Thermal expansion of a liquid; 18. Coefficient of increase of pressure of a gas with temperature; 19. Coefficient of expansion of a gas as constant pressure; 20. Effect of pressure on the boiling point of a liquid; 21. Laws of cooling; 22. Cooling correction in calorimetry; 23. Specific heat of quartz; 24. Latent heat of water; 25. Latent heat of steam; 26. Heat of solution of a salt; 27. The mechanical equivalent of heat; Part IV. Sound: 28. Frequency of a tuning fork by the syren; 29. The velocity of sound in air and other bodies by Kundt's method; 30. Study of vibrations of tuning forks by means of Lissajous' figures; Part V. Light: 31. Angles by the optical method; 32. The sextant; 33. Curvatures and powers of lenses; 34. Index of refraction by total reflection; 35. Resolving power of a lens; 36. The prism spectroscope; 37. Reduction of spectroscopic measurements to an absolute scale; 38. The spectrometer; 39. Refractive index and dispersion of a solid by the spectrometer; 40. Refractive index and dispersion of a liquid. Specific refractive powers; 41. Photometry; 42. Interference of light. The biprism; 43. Newton's rings; 44. Wave length of light by the diffraction grating; 45. Rotation of plane by polarisation; 46. Saccharimetry; Part VI. Magnetism and Electricity: 47. Horizontal components of magnetic fields; 48. Magnetic dip; 49. Magnetisation curves; 50. The water voltameter; 51. The copper voltameter; 52. Adjustment and standardisation of galvanometers; 53. The Post Office resistance bridge; 54. High resistances; 55. Low resistances; 56. The resistance of a galvanometer; 57. The resistance of a cell; 58. Comparison of resistance standards; 59. Change of resistance with temperature; 60. The resistance of electrolytes; 61. Construction of a standard cell; 62. Electromotive forces; 63. The potentiometer method of measuring currents; 64. Thermo-electric circuits; 65. The mechanical equivalent of heat by the electric method; 66. Induction of electric currents; 67. Standardisation of a ballistic galvanometer; 68. The self-inductance of a coil; 69. Comparison of self and mutual inductances; 70. Leakage and absorption in condensers; 71. Comparison of condensers; 72. The capacitance of a condenser; 73. High resistance by condenser; 74. The characteristic curves of a triode tube; 75. The quadrant electrometer; 76. Ionisation currents by electrometer; Appendix. Details of dimensions of apparatus; Index.

Radiographic Analysis of One-level Minimally Invasive Transforaminal Lumbar Interbody Fusion (MI-TLIF) With Unilateral Pedicle Screw Fixation for Lumbar Degenerative Diseases.

PubMed

Shen, Xiaolong; Wang, Lei; Zhang, Hailong; Gu, Xin; Gu, Guangfei; He, Shisheng

2016-02-01

A prospective randomized study was conducted. The purpose of this study was to assess the radiographic outcomes of one-level minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) with unilateral pedicle screw instrumentation for degenerative lumbar spine disease. MI-TLIF has become an increasingly popular method of lumbar arthrodesis. Recent technological advances in spinal instrumentation have culminated in the development of MI-TLIF with unilateral pedicle screw fixation. However, there are few published studies on radiographic outcomes of the MI-TLIF with unilateral pedicle screw fixation. A total of 65 patients with one-level degenerative lumbar spine disease were enrolled in this study. Patients were randomized into the unilateral or bilateral fixation group based on a computer-generated number list. Thirty-one patients (17 men and 14 women; average age, 57.3 y) were randomized to the unilateral group (group A) and 34 patients (16 men and 18 women; average age, 58.9 y) to the bilateral group (group B). All patients underwent minimally invasive decompression, interbody fusion, and pedicle screw fixation with the assistance of microscopic tubular retractor system (METRx-MD) and Sextant system. All patients were asked to follow-up at 3, 6, and thereafter once every 6 months after surgery. The visual analog scale (VAS), Oswestry disability index (ODI), and modified Prolo (mProlo) scores were obtained for all patients 24 hours before the operation and at each follow-up visit. The whole lumbar lordosis (WL), the segmental lordosis (SL), fusion level disk space angle, lumbar scoliosis angle, and segmental scoliosis angle were determined before and after surgery on standard x-rays. The disk height index (DI) and the lumber curvature index (LI) were also evaluated. The mean follow-up was 26.6 months, with a range of 18-36 months. All patients showed evidence of fusion at 12 months postoperatively. Statistically, there was no significant difference between the 2 groups in terms of demographic data. The average postoperative VAS, ODI, and mProlo scores improved significantly in each group. No significant differences were found between the 2 groups in relation to VAS, ODI, and mProlo scores at each follow-up time point. There were no significant differences between the 2 groups in relation to WL, SL, disk space angle, lumbar scoliosis angle, segmental scoliosis angle, DI, and LI. There was also no difference between postoperative different follow-up visits in terms of these radiographic parameters in both groups. There was a positive linear correlation between the LI and WL in both groups. One-level unilateral pedicle screw instrumented MI-TLIF provided similar radiologic and clinical outcomes to bilateral pedicle screw instrumented MI-TLIF. This study showed that MIS-TLIF with unilateral pedicle screw fixation would be sufficient in the management of preoperatively stable patients with lumbar degenerative disease.

EMODnet Black Sea Checkpoint First Data Adequacy Report

NASA Astrophysics Data System (ADS)

Pinardi, Nadia; Lyubartsev, Vladyslav; Manzella, Giuseppe; Palazov, Atanas; Slabakova, Violeta; Buga, Luminita; Kallos, George; Zodiatis, George; Stylianou, Stavros; Blanc, Frederique; Cesarini, Claudia

2017-04-01

The aim of the first Data Adequacy Report (DAR) of the EMODnet Black Sea Checkpoint project is to assess the basin scale monitoring systems on the basis of input data sets for 11 prescribed Challenges. The first step in this process involved the definition of a "Data Adequacy Framework", which was derived from the ISO 9004:2009 standards. Data Adequacy is essentially defined as the fitness for use of the monitoring data required by the Challenges. The CheckPoint adequacy relates to both the requirements as well as the needs of the Challenges and was developed considering the ISO 9001 Quality Management System. The quality assessment is subdivided into two major "territories": "appropriateness" and "availability". In the first DAR only the "availability" indicators are explored and analyzed. The second step in the analysis is to set up a metadatabase containing standardized information about the input datasets potentially usable by the Challenges to generate their products. The metadatabase is at the back-end of an INSPIRE Web and GIS platform, known as Sextant, and uses the SeaDataNet common vocabulary to identify the categories of characteristics needed by the Challenges and to analyze the statistics of indicators. The DAR contains the first assessment of the Black Sea monitoring system on the basis of the analysis of the availability indicators across all Challenges for the 452 input data sets and the 40 characteristic categories. The 8 availability indicators are classified based upon a three value range color system: "red" meaning "not adequate", "yellow" "partly adequate" and "green" "fully adequate". The analysis shows that for most of the indicators half are "not adequate" and the other half are "adequate". The single most negative score is for the "INSPIRE catalogue service" indicator, which is generally not adequate. Furthermore, the "Pricing" indicator is split in half between "not well documented pricing policy" and "open and free data policy". In summary, however, the majority of the scores for the availability indicators are positive, meaning that most of the data sets to be used by the Challenges are "adequate" in the terms of how they are made available to the Challenges. Twelve characteristic categories score "not adequate" or "partly adequate". This might already indicate a gap in the basin scale monitoring for the specified characteristics, at least from the point of view of adequacy in terms of availability. Finally the EMODnet Thematic Portals and the Copernicus Marine Environment Service (CMEMS) have been evaluated in terms of availability indicators. Results show that with a few exceptions the scores are "totally adequate". In conclusion, it is worth mentioning that the Black Sea Checkpoint service, based upon the metadatabase and the GIS web portal, is coordinated with the Mediterranean Sea and the Atlantic Checkpoint so that the availability indicator analysis will be carried out in the same way in the three basins. This will allow users to differentiate in a near future between the data adequacy of the three basin-scale monitoring systems.

Impact of a 7-Day Field Training on Oral Health Condition in Japan Ground Self-Defense Force Personnel.

PubMed

Yamashita, Koji; Nishiyama, Takeshi; Nagata, Emi; Ramadhani, Atik; Kawada-Matsuo, Miki; Komatsuzawa, Hitoshi; Oho, Takahiko

2017-07-01

In the Japan Ground Self-Defense Force (JGSDF), personnel periodically perform intensive training that mimics the conditions seen in battle and during natural disasters. Military training involves intensive, stressful conditions, and changes in immune responses have been found in personnel following training. Good oral condition is important for military personnel to fulfill their duties; however, they have difficulty performing daily oral care under training conditions. In this study, we investigated the impact of a 7-day field training on the oral health status of JGSDF personnel by comparing their oral condition before and just after training. The participants were 59 male and 3 female JGSDF personnel undergoing a 7-day field training. All personnel provided informed written consent to participate, and this study was approved by the ethics committee of the Kagoshima University Graduate School of Medical and Dental Sciences. Oral health behaviors before and during the training period were surveyed using a self-administered questionnaire. Dental caries was assessed before training in terms of decayed, missing and filled teeth (DMFT), and periodontal condition was examined before and immediately after training using the community periodontal index (CPI). The presence of eight species of bacteria in dental plaque, including commensal streptococci that are early colonizers on the tooth surface, cariogenic bacteria, and periodontopathic bacteria, was determined using real-time polymerase chain reaction. We also assessed antibacterial factors and a stress marker in saliva samples. Sample collection was performed before and just after training. In addition to difference analysis between groups, logistic regression analysis was performed to examine the association between each health behavior and periodontal deterioration. The frequency of toothbrushing decreased, and snacking increased during the training period. Thirty-five personnel (56.5%) showed an increase in individual CPI code, and 57 personnel (91.9%) showed deterioration in the CPI code in 1 or more sextants after training (Figure 1). Toothbrushing frequency was significantly associated with CPI deterioration; the odds ratio in subjects who did not brush their teeth was 7.51 compared to those who brushed at least once during the training period. Severe periodontal deterioration was observed in the high-DMFT group (Figure 2), and toothbrushing frequency during the training period decreased more in this group compared to the low-DMFT group. The percentages of Streptococcus sanguinis and Streptococcus gordonii increased significantly after the training period suggesting dental plaque maturation, and an increase in S. sanguinis was associated with toothbrushing frequency. The lactoferrin concentration in saliva increased significantly after training. We demonstrated periodontal deterioration in JGSDF personnel after a 7-day training. Behavioral changes, especially discontinuation of regular toothbrushing, fostered dental plaque maturation, resulting in inflammatory changes in participants' periodontal condition. The results indicate the importance of performing toothbrushing at least once over a 7-day training period for prevention of periodontal deterioration. The regimen could be applicable to evacuees from disasters because they are under conditions of stress that may limit oral hygiene activity. Reprint & Copyright © 2017 Association of Military Surgeons of the U.S.

The 5th Conference on Asian Trends in Prostate Cancer Hormone Therapy.

PubMed

Akaza, Hideyuki; Moore, Malcolm A; Chang, Shu-Jen; Cheng, Christopher; Choi, Han Yong; Esuvaranathan, Kesavan; Hinotsu, Shiro; Hong, Sung-Joon; Kim, Choung-Soo; Kim, Wun-Jae; Murai, Masaru; Naito, Seiji; Soebadi, Doddy; Song, Jae-Mann; Umbas, Rainy; Usami, Michiyuki; Xia, Shujie; Yang, Chi-Rei

2007-01-01

The Conference on Asian Trends in Prostate Cancer Hormone Therapy is an annual forum for Asian urologists now in its 5th year. The 2006 conference, held in Bali, Indonesia, was attended by 27 leading urologic oncologists from China, Indonesia, Japan, Korea, Singapore, and Taiwan and featured a packed program of presentations and discussions on a wide range of topics such as relationships among clinicians and the newly opened Asia Regional Office for Cancer Control of the International Union Against Cancer (UICC), detection rates of prostate cancer by biopsy in each of the 6 Asian countries, and favored treatment modalities for hormone-refractory prostate cancer (HRPC) in each country. The first session of the conference kicked off with a keynote lecture entitled "Activities of the UICC ARO". UICC's new office will be the nerve center for its activities in the Asia region. Along with the Asian Pacific Organization for Cancer Prevention (APOCP), UICC aims to shift the focus of attention to cancer control. As such APOCP's long-running publication the APJCP is to be re-launched as the Asian Pacific Journal of Cancer Control. Although UICC is primarily concerned with cancer, several risk factors for cancer are common also to other non-communicable diseases such as diabetes and heart disease, and an important strategy is to implement measures to control these various pathologic conditions as a whole. Apart from contributing to an Asian prostate cancer registry the UICC-ARO will provide training courses, working groups, and assistance in collecting and processing data. The keynote lecture was followed by a roundtable discussion on possible ways in which clinicians from each Asian country can work with UICC. A number of suggestions were put forth including better registration, epidemiology research, possible implementation of UICC prostate cancer guidelines, early detection and screening, and roles of diet and phytotherapy. The underlying reasons for the large but dwindling difference in incidence rates of prostate cancer in various regions of Asia should be studied while the opportunity lasts. Session 2 was devoted to 6 presentations on detection rates by biopsy in each country. Although biopsy is the gold standard for detecting prostate cancer in most areas, indications for conducting biopsy are different in each country. For example, in Indonesia doctors may use PSAD 0.15 as the cutoff level. TRUS-guided biopsy is most widely used in Asian countries. Traditional sextant biopsy is often performed, although multiple-core biopsy is commonly available and associated with better detection rates, especially in men with large prostate volume. Positive DRE, high PSA, and older age were identified as factors associated with high biopsy detection rate, although elevated PSA has limited specificity. First biopsy in men with elevated PSA had a positive detection rate of approximately 30% in all countries. Community-based screening in some countries has an overall detection rate of approximately 1%. The favorable treatment modality for HRPC was the subject of the final session. First priority for doctors in all 6 countries is to maintain serum testosterone at castration level. Many therapeutic options are available, from cytotoxic drugs to traditional herbal medicines Chemotherapeutic agents such as estramustine, docetaxel, cyclophosphamide, and mitoxantrone are often given to patients with HRPC although not all are available in every country. Prednisone and dexamethasone are used for secondary hormonal therapy. External beam radiotherapy, radioisotopic drugs such as strontium 89, and bisphosphonates are common choices to control bone pain.

Orion Optical Navigation Progress Toward Exploration: Mission 1

NASA Technical Reports Server (NTRS)

Holt, Greg N.; D'Souza, Christopher N.; Saley, David

2018-01-01

Optical navigation of human spacecraft was proposed on Gemini and implemented successfully on Apollo as a means of autonomously operating the vehicle in the event of lost communication with controllers on Earth. It shares a history with the "method of lunar distances" that was used in the 18th century and gained some notoriety after its use by Captain James Cook during his 1768 Pacific voyage of the HMS Endeavor. The Orion emergency return system utilizing optical navigation has matured in design over the last several years, and is currently undergoing the final implementation and test phase in preparation for Exploration Mission 1 (EM-1) in 2019. The software development is being worked as a Government Furnished Equipment (GFE) project delivered as an application within the Core Flight Software of the Orion camera controller module. The mathematical formulation behind the initial ellipse fit in the image processing is detailed in Christian. The non-linear least squares refinement then follows the technique of Mortari as an estimation process of the planetary limb using the sigmoid function. The Orion optical navigation system uses a body fixed camera, a decision that was driven by mass and mechanism constraints. The general concept of operations involves a 2-hour pass once every 24 hours, with passes specifically placed before all maneuvers to supply accurate navigation information to guidance and targeting. The pass lengths are limited by thermal constraints on the vehicle since the OpNav attitude generally deviates from the thermally stable tail-to-sun attitude maintained during the rest of the orbit coast phase. Calibration is scheduled prior to every pass due to the unknown nature of thermal effects on the lens distortion and the mounting platform deformations between the camera and star trackers. The calibration technique is described in detail by Christian, et al. and simultaneously estimates the Brown-Conrady coefficients and the Star Tracker/Camera interlock angles. Accurate attitude information is provided by the star trackers during each pass. Figure 1 shows the various phases of lunar return navigation when the vehicle is in autonomous operation with lost ground communication. The midcourse maneuvers are placed to control the entry interface conditions to the desired corridor for safe landing. The general form of optical navigation on Orion is where still images of the Moon or Earth are processed to find the apparent angular diameter and centroid in the camera focal plane. This raw data is transformed into range and bearing angle measurements using planetary data and precise star tracker inertial attitude. The measurements are then sent to the main flight computer's Kalman filter to update the onboard state vector. The images are, of course, collected over an arc to converge the state and estimate velocity. The same basic technique was used by Apollo to satisfy loss-of-comm, but Apollo used manual crew sightings with a vehicle-integral sextant instead of autonomously processing optical imagery. The software development is past its Critical Design Review, and is progressing through test and certification for human rating. In support of this, a hardware-in-the-loop test rig was developed in the Johnson Space Center Electro-Optics Lab to exercise the OpNav system prior to integrated testing on the Orion vehicle. Figure 2 shows the rig, which the test team has dubbed OCILOT (Orion Camera In the Loop Optical Testbed). Analysis performed to date shows a delivery that satisfies an allowable entry corridor as shown in Figure 3.

VizieR Online Data Catalog: New standards in 18th century astrometry (Lequeux, 2014)

NASA Astrophysics Data System (ADS)

Lequeux, J.

2014-05-01

Catalogue of Flamsteed (flamstee.dat): John Flamsteed (1646-1719) was the first astronomer in charge of Greenwich Observatory. His stellar catalogue (Flamsteed 1725) was built on observations from 1675 to 1683 with a 6-feet radius sextant mounted on an axis parallel to the polar axis of the Earth, then from 1683 to 1719 with a mural circle with a radius of 79.5 inches (2m). 220 stars over 3925. Catalogue of Romer (romer.dat): Ole (or Olaus) Romer (1644-1710) is principally known for his 1676 discovery of the finite velocity of light, a discovery that he shared with Jean-Dominique Cassini. After a long stay in Paris, he returned to Copenhagen in 1681 and was appointed professor of astronomy at the University. The observatory and all the observations were destroyed in the great Copenhagen fire of 1728, with the exception of observations of 88 stars obtained during three observing nights, from 20 to 23 October 1706. La Caille's catalogue of fundamental stars (lacaifun.dat): Nicolas-Louis La Caille (or Lacaille, or de la Caille, 1713-1762) was a French astronomer who is remembered principally for his survey of the southern sky, where he introduced 14 new constellations that are still in use today. Before leaving for the Cape of Good Hope in 1750, he started a catalogue of the 400 brightest stars of both hemispheres, which he completed during his stays in Cape Town and in the Mauritius island, then after his return to Paris in 1754. He reduced the observations himself, including for the first time corrections for aberration and nutation, and published them with details of the observations and reductions (La Caille 1757). Bailly's adaptation of La Caille's catalogue of fundamental stars (bailly.dat): After the death of La Caille, Jean-Sylvain Bailly published a catalogue of the brighest stars of both hemispheres for the equinox B1750.0 in Ephemerides for 10 year from 1765 to 1775 (Anonymous (Bailly) 1763, p. lvii-lxiv). This catalogue obviously derives from the catalogue named lacaillefund.dat. La Caille's complete survey of the southern sky (lacaisur.dat): During his stay in Cape Town in 1751-1752, La Caille made the first systematic survey of the sky ever, in the modern sense. 244 stars over 9766. La Caille's catalogue of zodiacal stars (lacaizod.dat): When La Caille returned from his southern expedition in 1754, he undertook the construction of a catalogue of zodiacal stars. Mayer's zodiacal catalogue (mayer.dat): At exactly the same time as La Caille, Tobias Mayer (1723-1762) in Gottingen undertook a similar catalogue of zodiacal stars, using a 6-feet radius mural quadrant made by John Bird (1709-1776). 200 stars over 998. Bradley's stellar catalogue (bradley.dat): James Bradley (1693-1762) is famous for his discovery of aberration and nutation. From 1750 to his death in 1762, he built a large stellar catalogue, from observations first with an old mural sector and after 1753 with the Bird 8-ft mural sector located in Greenwich, where it 215 stars over 3220. Piazzi's stellar catalogue (piazzi.dat): Giuseppe Piazzi (1746-1846) built a large catalogue containing 7646 stars from 1792 to 1813, observed in Palermo with an altazimuthal circle of Jesse Ramsden (1735-1800) can still be seen. 202 stars over 7646. Lalande's stellar catalogue (lalande.dat): L'Histoire celeste francaise de Lalande (Lalande 1801), which contains the unreduced observations of approximately 40,000 stars, is the first very large stellar catalogue. 198 stars over ~45000. (10 data files).

Magnetic resonance imaging-targeted, 3D transrectal ultrasound-guided fusion biopsy for prostate cancer: Quantifying the impact of needle delivery error on diagnosis

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

Martin, Peter R., E-mail: pmarti46@uwo.ca; Cool, Derek W.; Romagnoli, Cesare

2014-07-15

Purpose: Magnetic resonance imaging (MRI)-targeted, 3D transrectal ultrasound (TRUS)-guided “fusion” prostate biopsy intends to reduce the ∼23% false negative rate of clinical two-dimensional TRUS-guided sextant biopsy. Although it has been reported to double the positive yield, MRI-targeted biopsies continue to yield false negatives. Therefore, the authors propose to investigate how biopsy system needle delivery error affects the probability of sampling each tumor, by accounting for uncertainties due to guidance system error, image registration error, and irregular tumor shapes. Methods: T2-weighted, dynamic contrast-enhanced T1-weighted, and diffusion-weighted prostate MRI and 3D TRUS images were obtained from 49 patients. A radiologist and radiologymore » resident contoured 81 suspicious regions, yielding 3D tumor surfaces that were registered to the 3D TRUS images using an iterative closest point prostate surface-based method to yield 3D binary images of the suspicious regions in the TRUS context. The probabilityP of obtaining a sample of tumor tissue in one biopsy core was calculated by integrating a 3D Gaussian distribution over each suspicious region domain. Next, the authors performed an exhaustive search to determine the maximum root mean squared error (RMSE, in mm) of a biopsy system that gives P ≥ 95% for each tumor sample, and then repeated this procedure for equal-volume spheres corresponding to each tumor sample. Finally, the authors investigated the effect of probe-axis-direction error on measured tumor burden by studying the relationship between the error and estimated percentage of core involvement. Results: Given a 3.5 mm RMSE for contemporary fusion biopsy systems,P ≥ 95% for 21 out of 81 tumors. The authors determined that for a biopsy system with 3.5 mm RMSE, one cannot expect to sample tumors of approximately 1 cm{sup 3} or smaller with 95% probability with only one biopsy core. The predicted maximum RMSE giving P ≥ 95% for each tumor was consistently greater when using spherical tumor shapes as opposed to no shape assumption. However, an assumption of spherical tumor shape for RMSE = 3.5 mm led to a mean overestimation of tumor sampling probabilities of 3%, implying that assuming spherical tumor shape may be reasonable for many prostate tumors. The authors also determined that a biopsy system would need to have a RMS needle delivery error of no more than 1.6 mm in order to sample 95% of tumors with one core. The authors’ experiments also indicated that the effect of axial-direction error on the measured tumor burden was mitigated by the 18 mm core length at 3.5 mm RMSE. Conclusions: For biopsy systems with RMSE ≥ 3.5 mm, more than one biopsy core must be taken from the majority of tumors to achieveP ≥ 95%. These observations support the authors’ perspective that some tumors of clinically significant sizes may require more than one biopsy attempt in order to be sampled during the first biopsy session. This motivates the authors’ ongoing development of an approach to optimize biopsy plans with the aim of achieving a desired probability of obtaining a sample from each tumor, while minimizing the number of biopsies. Optimized planning of within-tumor targets for MRI-3D TRUS fusion biopsy could support earlier diagnosis of prostate cancer while it remains localized to the gland and curable.« less

A Disturbed Galactic Duo

NASA Astrophysics Data System (ADS)

2011-04-01

The galaxies in this cosmic pairing, captured by the Wide Field Imager on the MPG/ESO 2.2-metre telescope at the La Silla Observatory in Chile, display some curious features, demonstrating that each member of the duo is close enough to feel the distorting gravitational influence of the other. The gravitational tug of war has warped the spiral shape of one galaxy, NGC 3169, and fragmented the dust lanes in its companion NGC 3166. Meanwhile, a third, smaller galaxy to the lower right, NGC 3165, has a front-row seat to the gravitational twisting and pulling of its bigger neighbours. This galactic grouping, found about 70 million light-years away in the constellation Sextans (The Sextant), was discovered by the English astronomer William Herschel in 1783. Modern astronomers have gauged the distance between NGC 3169 (left) and NGC 3166 (right) as a mere 50 000 light-years, a separation that is only about half the diameter of the Milky Way galaxy. In such tight quarters, gravity can start to play havoc with galactic structure. Spiral galaxies like NGC 3169 and NGC 3166 tend to have orderly swirls of stars and dust pinwheeling about their glowing centres. Close encounters with other massive objects can jumble this classic configuration, often serving as a disfiguring prelude to the merging of galaxies into one larger galaxy. So far, the interactions of NGC 3169 and NGC 3166 have just lent a bit of character. NGC 3169's arms, shining bright with big, young, blue stars, have been teased apart, and lots of luminous gas has been drawn out from its disc. In NGC 3166's case, the dust lanes that also usually outline spiral arms are in disarray. Unlike its bluer counterpart, NGC 3166 is not forming many new stars. NGC 3169 has another distinction: the faint yellow dot beaming through a veil of dark dust just to the left of and close to the galaxy's centre [1]. This flash is the leftover of a supernova detected in 2003 and known accordingly as SN 2003cg. A supernova of this variety, classified as a Type Ia, is thought to occur when a dense, hot star called a white dwarf - a remnant of medium-sized stars like our Sun - gravitationally sucks gas away from a nearby companion star. This added fuel eventually causes the whole star to explode in a runaway fusion reaction. The new image presented here of a remarkable galactic dynamic duo is based on data selected by Igor Chekalin for ESO's Hidden Treasures 2010 astrophotography competition. Chekalin won the first overall prize and this image received the second highest ranking of the nearly 100 contest entries [2]. Notes [1] Other much more noticeable points of light, such as the one toward the left end of the spiral arm running underneath of NGC 3169's core, are stars within the Milky Way that happen to fall by chance very close to the line of sight between our telescopes and the galaxies. [2] ESO's Hidden Treasures 2010 competition gave amateur astronomers the opportunity to search through ESO's vast archives of astronomical data, hoping to find a well-hidden gem that needed polishing by the entrants. To find out more about Hidden Treasures, visit http://www.eso.org/public/outreach/hiddentreasures/. More information ESO, the European Southern Observatory, is the foremost intergovernmental astronomy organisation in Europe and the world's most productive astronomical observatory. It is supported by 15 countries: Austria, Belgium, Brazil, the Czech Republic, Denmark, France, Finland, Germany, Italy, the Netherlands, Portugal, Spain, Sweden, Switzerland and the United Kingdom. ESO carries out an ambitious programme focused on the design, construction and operation of powerful ground-based observing facilities enabling astronomers to make important scientific discoveries. ESO also plays a leading role in promoting and organising cooperation in astronomical research. ESO operates three unique world-class observing sites in Chile: La Silla, Paranal and Chajnantor. At Paranal, ESO operates the Very Large Telescope, the world's most advanced visible-light astronomical observatory and VISTA, the world's largest survey telescope. ESO is the European partner of a revolutionary astronomical telescope ALMA, the largest astronomical project in existence. ESO is currently planning a 42-metre European Extremely Large optical/near-infrared Telescope, the E-ELT, which will become "the world's biggest eye on the sky".

TYCHO Brahe's Empiric Methods, His Instruments, His Sudden Escape from Denmark and a New Theory About His Death

NASA Astrophysics Data System (ADS)

Thykier, C.

1992-07-01

Tycho Brahe (1546-1601) was born a noble being, a son of Otto Brahe, and a member of the Royal Danish Council. Very early he developed a great interest in science and especially astronomy. In 1575 Tycho visited the learned Prince Wilhelm II in Kassel. Here he was inspired by the famous instrument maker Burgi to build new precise astronomical instruments, and on the recommendation of Wilhelm King Frederic II of Denmark was given the island Hven (which at that time belonged to Denmark) as an entailed estate. At 26 years old, Tycho became famous for his work DE NOVA STELLA on the supernova that brightened up in 1572, and since this phenomenon kept its position fixed among the stars, it immediately invalidated the Aristotelian dogma of the invariability of the fixed-star world. In 1577 Tycho observed the great comet and followed its celestial motion by means of a quadrant and a sextant. He then came to the conclusion that the comet orbit moved far out among the planets, in contradiction to the Aristotelian dogma of the crystal spheres for the planets. However, Tycho's great contribution to science was his construction of the observatory buildings Uraniborg and Stjerneborg ("Star Castle") with their equipment of ancient sighting instruments and his use of these instruments without telescopes for observations of the planets over a period of almost 20 years. Tycho's work is collected in 15 volumes, OPERA OMNIA by J. L. E. Dreyer. Tycho also mapped Hven correctly and he triangulated both sides of Oresund relative to Hven. When Tycho moved to Prague in 1599 he lived there for a couple of years and met Kepler who became his assistant and collaborator. Kepler was the one who analyzed Tycho's material and derived the Keplerian laws for the motions of the planets. On this basis Newton derived the law of gravitation. Tycho Brahe has been considered the father of modern empirical science. In 1596 he was accused of negligence of his administrative duties and several other things by the young new King Christian IV. Almost all of Tycho Brahe's privileges given to him by the late King Frederik II were taken from him. Shortly after that, he gathered his family and assistants and went to Rostock, from where he wrote a letter to Christian IV saying that he would contemplate returning to Denmark if the king would give him back his privileges. Christian very sternly answered the astronomer that if he should hope to return to Denmark he had to act like a servant. Tycho was too proud to go down to his knees for the king and never returned. So the reason for Tycho's acceptance of the invitation by Emperor Rudolf to come to Prague was that Christian IV would not continue the very considerable financial support to Tycho of about one percentage of the state income. The latest historical research has indicated that a "camarilla" of enemies stood behind Christian IV's aversion against Tycho. Tycho was not merely an astronomer, but also an astrologer and alchemist. As far as we know he never tried to make gold; his alchemic experiments were of medical character. This was not legal without permission from the Church and the University. Both the clergy and the doctors of the university envied the great scientist because princes and learned people preferred to visit Tycho at his "private university" on the island of Hven instead of visiting the University of Copenhagen. A new theory about Tycho's death has appeared. It has always been told that he died of a burst urinary bladder because he drank too much at parties. According to forensic medicine, however, this cannot be true. Tycho lived for some time after he became ill, and a bursted bladder would cause sudden death. A more plausible explanation would be that Tycho poisoned himself with his very strong medicines containing heavy metals like mercury and arsenic.

Beitraege zur Astronomiegeschichte, Band 5 (Acta Historica Astronomiae Vol. 18)

NASA Astrophysics Data System (ADS)

Duerbeck, H. W.; Dick, W. R.; Hamel, J.

2003-01-01

The 18th volume of the Acta Historica Astronomiae is at the same time the sixth collection of essays on the history of astronomy ("Beitræge zur Astronomiegeschichte, Band 6"), edited by the historians of astronomy W.R. Dick (Potsdam) and J. Hamel (Berlin). Besides a few short notices and book reviews, the book contains eight major articles, which deal with astronomical topics covering the time from the 16th to the 19th centuries. The first article by Michael Weichenhan (Berlin) deals with "the invention of the disk-shaped earth: a chapter of Copernican apologetics". The author shows that the concept of a "disc-shaped Earth" was by no means widespread in the middle ages, but restricted to the father of the church Lactantius and some adherents. Nevertheless, it was used by adherents of Copernicus to show the absurd consequences of a strictly literal biblical interpretation -- here concerning the Earth's shape, disc versus sphere, there the geocentric versus the heliocentric system. This thorough philosophical study is followed by two very short articles. "The measuring accuracy of Tycho's large sextant" by Johann Wünsch investigates O-C values of planet-star distances, as based on Tycho's observations as published in the Historia Coelestis (a compilation, which is also based on Tycho's manuscripts, and published in Regensburg in 1672). The result is that standard deviations are 80 arcseconds for Saturn and 89 arcseconds for Jupiter and Mars, an unexpectedly poor result in view of the general opinion that Tycho was famous for his precision work. "The astronomer Christoph Grienberger and the Galilei trial" by Franz Daxecker deals with a Jesuit astronomer who was both the disciple and successor of the mathematician-astronomer Christopher Clavius at the Collegium Romanum. While he was inclined to Galilei early on, he was forced to propagate Aristotelian doctrine. The brief article is very concise, but extremely tiresome to read (3 pages of pure text are embellished by 33 footnotes). The 3-page paper on Grienberger is followed by a 50-page paper on Kordenbusch. Hans Gaab presents a thoroughly researched biography of the Nuremberg astronomer Georg Friedrich Kordenbusch (1731-1802). Educated as a doctor of medicine, he nevertheless became teacher of mathematics and physics at the Egidien gymnasium, attempted to revitalize the Nuremberg Observatory, and issued a second edition of Johann Leonard Rost's Astronomisches Handbuch (1718), the first compendium of astronomy written in German. He also edited and translated some French works (star maps, a description of globes, and an elementary book on cosmography). Dietmar Fürst (Berlin), who has already published in this series three articles on the foundation of Königsberg Observatory, now presents the first part of the history of the Königsberg heliometer, an instrument which is famous since it was used by Bessel to determine the trigonometric parallax of 61 Cygni. Fürst informs us about the purchase and the putting in operation of the instrument, which was endangered by Fraunhofer's death and delayed by (unavoidably counterproductive?) administrative activities. Reinhold Haefner, astronomer at Munich Observatory, and Rolf Riekher, optician in Berlin, have joined forces to present some pioneers of stellar spectroscopy in "the astro-spectroscopic researches by Fraunhofer and Lamont". It is well known that Fraunhofer observed the solar spectrum with high enough resolution to detect the Fraunhofer lines, but it is less known that he also observed bright planets and fixed stars at the Munich Observatiory, with the assistance of its director Soldner. A publication of 1823 gives only a short summary of this stellar work, and Fraunhofer's early death, three years later, was possibly the cause that no detailed article ever appeared. Interestingly, the second director of the observatory, Johann von Lamont, used the new large refractor (aperture: 28 cm, focal length about 5 m) to observe stellar spectra in 1836. The authors quote details from the observing book and present some sketches (whose reproduction is somewhat poor, and the reader is referred to Häfner's history of Munich Observatory, discussed elsewhere in this volume of JAD, to see a better colour reproduction of a spectral sketch of Lamont). The impact of these studies (or rather the lack of it) is also briefly reviewed. Manfred Strumpf (Gotha) describes the difficulties in finding suitable directors for the Gotha Observatory - when the funds became smaller and the post thus became less and less attractive. Only the wealthy Nikolaus von Konkoly, a serious amateur and pioneer of astrophysics, applied even twice, but the administration was reluctant to seriously consider his offer. The result was that the chosen candidates were mainstream astronomers who used Gotha only as a step to foster their career and to find a better position as soon as possible. Finally, Peter Brosche (Daun) and Endre Zsoldos (Budapest) trace the life of a hitherto elusive craftsman-scientist, Friedrich Schwab. He was chosen to be the mechanic of one of the Venus transit expeditions of the German Empire (1882 to Punta Arenas), became university mechanic in Klausenburg, and later teacher at the technical school in Ilmenau. He was an active observer of variable stars and also a specialist in endomological studies. The authors have located a grand-son and have put to light some valuable notes and photographs. As can be seen from the summaries given above, this collection of essays deals mainly with historical events that occurred in Germany and neighboring countries, and focuses mainly on events in the 17th to 19th centuries. All contributions are written in German. The editors have taken care that generally a high standard was kept, although topic and realization make some articles more pleasant to read than others.

The eternal enigma in prostatic biopsy access route.

PubMed

Fabiani, Andrea; Principi, Emanuele; Filosa, Alessandra; Servi, Lucilla

2017-10-03

Dear Editors,We read with interest the article by Di Franco and co-workers (1). The introduction of prostatic magnetic resonance and the relative fusion-biopsy have not yet allowed the expected improvements in prostate biopsy. To our knowledge, there are no works that demonstrate the superiority of fusion techniques on the remaining ultrasound guided prostate biopsies that are still the widely used in the diagnosis of prostate cancer. Furthemore, these technologies are expensive exams and they are not yet available in all centers, especially in those minors. We work at a "minor" center and we always keep in mind that the goal of  prostatic biopsy is the diagnosis and the staging of prostatic neoplasms.. However, it remains uncertain which of the two techniques, transperineal (TP) or transrectal (TR), is superior in terms of detection rate during first biopsy setting. Several studies have compared the prostate cancer detection rate but TR and TP access route in prostatic gland sampling seems to be equivalent in terms of efficiency and complications, as reported by Shen PF et al. (2), despite several methodological limitations recognized in their work. The results reported by Di Franco CA et al. represent the real life experience of most urologists that perform the PB based on their own training experience and available technical devices. From an historical viewpoint, the TP route has been the first one to be used to reach the prostate, both for diagnostic and therapeutic purposes. To date, because it seems to be more invasive and difficult, the TP route is less used worldwide than the TR one (2). Theoretically, the TP approach should detect more prostate cancer than the TR way  because the cores of the TP approach are directed longitudinally to the peripheral zone and the anterior part of the prostate (4). The results reported by Di Franco et al. seems to confirm these considerations. However, our real life experience differ from the conclusions reached in their work. We recently conducted a prospective evaluation of 352 patients who underwent their first prostate biopsy because of a suspicious of prostate cancer (elevated prostate specific antigen (PSA) and/or abnormal digital rectal examination and/or abnormal findings on transrectal prostatic ultrasound). Patients was randomized as following. A total of 187 patients (Group A) underwent a prostatic biopsy with a transperineal approach in a lithotomic position,  using a biplane probe (8818 BK Medical, Denmark) and a fan technique with a single perineal median access (5). The remnants 165 patients (Group B) underwent a transrectal ultrasound guided prostate biopsy in a left lateral position, using a end fire probe configuration (8818 BK Medical, Denmark) and a sagittal technique. The bioptic prostatic mapping was performed with a 12-core scheme sec. Gore (3) by a single experienced operator and the histopathologic evaluation was performed by a single dedicated uro-pathologist. Statistical evaluations were made with a T Student test  (p<0,005). Group A and Group B was similar in term of mean patient age (67,9 years and 67 years respectively), mean total PSA (12,1 ng/ml vs 12 ng/ml) and digital rectal examination positivity (22% vs 29%).  The global cancer detection rate was 33,69% (63/187) in the transperineal prostate biopsy group and 48,48 % (80/165) in the transrectal approach (p=0.0047).  No significant statistical differences were found in the complications rates between the two groups. Statistical evaluation of site of tumor localization reveal only a trend to statistical significance in apical site tumors diagnosed with the TR approach versus the TP technique. The TR approach had a better diagnostic accuracy than TP technique in case of PSA<4 ng/ml, intermediate prostate volume (30 and 50 ml), normal digital rectal examination without any relationship with the patient age. In our experience, two aspect may explain the difference between the two group in term of global detection rate. First, we usually perform transrectal biopsy with a sagittal technique that simulates the transperineal way of needle incidence with the prostatic gland. The lateral and anterior gland portions may be sampled more accurately. Second, our transperineal approach consists in a single perineal median access that can make more difficult the gland sampling between the two lobes. However, there was no significant difference in core positivity rate at the peripheral zone, medium gland, apex or any other site such as reported in many randomized clinical trials (2). Unlike the conclusions reported by Di Franco et al., in our experience we found a statistically significant difference between the TR and TP approach, at the first biopsy setting, in term of global cancer detection rate. No differences were found in terms of complications. Moreover, our data suggest that TR approach had a better diagnostic accuracy than TP technique in case of  PSA<4 ng/ml, prostate volume 30-50 ml, normal digital rectal examination without any relationship with the patient age. The further step of the statistical evaluation of our data will be the definition of the possibility that the TR biopsy determine a better staging of prostate cancer than TP approach as first procedure.    REFERENCES 1)      Di Franco CA, Jallous H., Porru D. et al. A retrospective comparison between transrectal and transperineal prostate biopsy in the detection of prostate cancer Arch Ital Urol Androl 2017; 89(1), 55-92)      Shen FP, Zhu YC, Wei WR et al. The results of transperineal vs transrectal prostate biopsy: a systematic review and meta-analysis. Asian Journal of Androl 2012; 14: 310-15.3)      Gore JL., Shariat SF, Miles BJ., et al. Optimal combinations of systematic sextant and laterally directed biopsies for the detection of prostate cancer. J Urol 2001; 165: 1554-59.  4)      Abdollah F., Novara G., Briganti A. et al. Trasrectal versus transperineal saturation re biopsy of the prostate: is there a difference in cancer detection rate? Urology 2011; 77:9215)      Novella G, Ficarra V, Galfano A, et al. Pain assessment after original transperineal prostate biopsy using a coaxial needle. Urology. 2003; 62 : 689-92.

Obituary: Grote Reber, 1911-2002

NASA Astrophysics Data System (ADS)

Kellermann, Kenneth I.

2003-12-01

Grote Reber, a pioneer of radio astronomy died in Tasmania, Australia on 20 December 2002, two days before his 91st birthday. Reber was born in Chicago on 22 December 1911 and grew up in the Chicago suburb of Wheaton, IL. His father, Schuyler Colefax Reber, who was a lawyer and part owner of a canning factory, died when Grote was only 21; his mother, Harriet Grote was an elementary school teacher in Wheaton. Among her 7th and 8th grade students at Longfellow School in Wheaton was young Edwin Hubble with whom Grote later exchanged views on cosmology. Grote graduated from the Armour Institute of Technology (now the Illinois Institute of Technology) with a degree in Electrical Engineering. He excelled in electronics courses but did less well in mathematics. After receiving his degree in 1933, Grote held a series of jobs with various Chicago companies including the Stewart-Warner and Belmont Radio Corporations. Grote had a lifelong interest in electronics. At the age of 16, he received his amateur radio license, W9GFZ, signed by then Secretary of the Interior, Herbert Hoover. After contacting over 50 countries, he was looking for new challenges. He had read about Karl Jansky's discovery of cosmic radio emission and tried to interest astronomers at Yerkes Observatory, but except for Jesse Greenstein, they showed little interest. ``So," as he later related, ``I consulted with myself and decided to build a dish." He took astronomy courses from Philip Keenan and others at the University of Chicago. Using $2,000 of his own funds (about his annual salary), he took the summer of 1937 off from his engineering job at the Stewart-Warner Corporation to erect a 32-ft parabolic transit dish in a vacant lot next to his mother's house. Using his experience and skills as an electrical engineer and radio amateur he designed, built and tested a series of sensitive radio receivers, which he placed at the focal point of his parabolic dish. Following a succession of failures, in the spring of 1939, he finally succeeded in detecting the galactic radio noise and went on to make the first maps of radio emission from the galaxy and, in 1943, to detect radio emission from the sun. Automobile ignition noise interfered with Reber's observations, so he observed only at night, laboriously writing down every minute the readings from his detector output. In the daytime, he returned to his job in Chicago, catching a few hours sleep each evening before returning to his observations; on weekends he analyzed his data. At first, Grote's discoveries were received with skepticism by the astronomical community and he had great difficulty in getting his papers accepted for publication in the astronomical literature. As he later claimed, ``The astronomers of the time didn't know anything about radio or electronics, and the radio engineers didn't know anything about astronomy. They thought the whole affair was at best a mistake, and at worst a hoax." But, following visits of Kennan and others to his Wheaton facility, he finally convinced "Astrophysical Journal" editor, Otto Struve, and others of the importance of his work. In addition to his classic publications in the "Astrophysical Journal", "Nature", and the "Proceedings of the Institute of Radio Engineers" (now the Institute of Electronic and Electrical Engineering), he also wrote influential reports in "Popular Science", "Scientific American" and "Sky and Telescope". In 1947, together with Jesse Greenstein, he wrote the first review of radio astronomy which was published in the journal, "Observatory". Plagued by local interference, he discussed with Otto Struve moving his antenna to a better site in Texas and also the possibility of building a much larger 200-ft dish. Reber recognized that an equatorial mount would be very expensive and proposed to use an alt-az mount together with an analogue coordinate converter of the type later implemented in Dwingeloo and Jodrell Bank. Through his younger brother Schuyler, then a business student at Harvard, he gained the interest of Harlow Shapley and Fred Whipple but he was unable to obtain any financial support from Harvard or any other university. Following his mother's death in 1945, Grote reluctantly accepted a position with the National Bureau of Standards in Washington and arranged to have his antenna re-erected in Washington where it was put on an alt-azimuth mount. But he was frustrated with government bureaucracy and disillusioned by the growing atmosphere of McCarthyism in Washington. In 1951, he moved to Hawaii where he pursued a variety of research programs in radio astronomy as well as atmospheric and ionospheric physics from the top of Haleakula on the island of Maui. From Hawaii, he moved on to Tasmania in 1954, in order to exploit the ionospheric transparency associated with the south magnetic pole. While radio astronomers in the rest of the world were exploiting the newly emerging microwave technology to move to shorter and shorter wavelengths, Grote, characteristically departing from conventional ``wisdom," concentrated on the extremely long wavelengths. Working with Bill Ellis at the University of Tasmania, Reber designed and built a series of arrays to study Galactic radio emission and absorption at wavelengths of a few hundred meters. Following several years spent at the CSIRO Ionospheric Prediction Service, Grote moved from Hobart to Bothwell, in central Tasmania, where he designed and built an energy efficient home and where he lived for many years and made good friends. With the growing importance after WWII of the contributions being made throughout the world by radio astronomy, Reber's pioneering studies ultimately became widely recognized. In 1961 he received the Cresson Prize from the Franklin Institute and in 1962, an honorary Doctor of Science degree from Ohio State University. He also received the AAS Russell Lecture Prize and the Bruce Medal of the Astronomical Society of the Pacific. Throughout his life, he had a strong interest in political and social issues. Writing to the Director of the NSF and the President of the NAS, he argued against big science and to reduce funding for large radio telescopes such as the VLA. Throughout his career, he questioned the ``big-bang" universe and authored a widely distributed paper on ``The Endless Boundless Universe." He was greatly concerned about the consequences of world population growth and preserving our natural resources, particularly the overuse of fossil fuels, which motivated his research on electric cars and consideration of increased use of sailing ships. He had no tolerance for scientific or other activities that did not meet his high standards but he was generous in giving recognition and praise to those whose work he admired. A college era friend recently described Grote as ``nervously energetic, enthusiastic, with a keen mind that went everywhere, an ever present, lively, sardonic, iconoclastic sense of humor, and strong opinions." In addition to his pioneering work in radio astronomy, Reber also pursued and published research in a variety of fields ranging from radio circuitry and ionospheric physics to studies of cosmic rays, the atmosphere, archaeology and the growth of beans. He held a number of patents, including one for a radio sextant to ``shoot the sun" on cloudy days. Throughout most of his career, he worked as an amateur relying on his deep curiosity along with his imagination and skills as an electronics engineer combined with his persistent, forceful personality, and stubborn disregard for conventional opinion. At various times, he held guest appointments at the National Radio Astronomy Observatory, Ohio State University, the Australian Commonwealth Scientific and Industrial Research Organization and, starting in 1951, he also received generous support from the Research Corporation in New York. However, he valued his independence and was skeptical of the strings that would be attached to any institutional support. He was scornful of establishment science, with its ``self appointed pontiffs," but his achievements were ultimately widely recognized by professional astronomers. Reber's extraordinary achievements as an amateur were probably unique in 20th century science.

Eye-openers from XMM-Newton

NASA Astrophysics Data System (ADS)

2000-02-01

The images were obtained between 19-25 January at the very start of the science payload commissioning process. The spacecraft viewed three regions of the sky: part of the Large Magellanic Cloud (LMC), the Hickson Cluster Group 16 (HCG-16), and the star HR 1099. These targets were chosen because they all present a variety of X-ray extended and point sources and are very interesting regions. The expanding cauldon in the Large Magellanic Cloud The Large Magellanic Cloud also known as the Nebula Major is about 20 thousand light years in diameter. Situated 160 thousand light years from Earth, it is one of two irregularly shaped galaxies that are easily seen with the naked eye in the southern hemisphere. These galaxies are satellites of the Milky Way and appear to be slowly spiralling into our own Galaxy. The first image obtained by the EPIC-PN X-ray cameras viewed the 30 Doradus region of the Large Magellanic Cloud. Also called the Tarantula Nebula, 30 Doradus is a cauldron of creation where exploding stars are releasing vast amounts of matter and where new stars are being born. The image presents the million degree temperatures of the emitting medium, with blue indicating the hottest regions; green intermediate temperatures and red the coldest regions. The white and blue arc-like formation just off the centre is a new object, only part of which was known in the past. It has the appearance of a supernova remnant with its expanding glowing-hot gas producing X-ray emission as it collides with the interstellar medium. On the lower right of the picture is the remains of a star that exploded as Supernova 1987A on 24 February 1987. It was the first supernova to reach naked-eye brightness since 1604 (Kepler's star) and remained visible to the naked eye for nearly nine months. The brightest source in the view, upper left, is another supernova remnant (N157D). Martin Turner, Principal Investigator for the EPIC cameras... "These first pictures are tremendously exciting after so many years of work. They are all that we hoped they would be. In the LMC we can see the elements, which go to make up new stars and planets, being released in giant stellar explosions. We can even see the creation of new stars going on, using elements scattered through space by previous stellar explosions. This is what we built the EPIC cameras for and they are really fulfilling their promise" Multiwavelength views of Hickson Group 16 The HCG-16 viewed by EPIC and by the Optical Monitor in the visible and ultraviolet wavelengths is one of approximately a hundred compact galaxy clusters listed by Canadian astronomer Paul Hickson in the 1980s. The criteria for the Hickson cluster groups included their compactness, their isolation from other galaxies and a limited magnitude range between their members. Most Hicksons are very faint, but a few can be observed with modest aperture telescopes. Galaxies in Hickson groups have a high probability of interacting. Their study has shed light on the question of galactic evolution and the effects of interaction. Investigation into their gravitational behaviour has also significantly contributed to our understanding of "dark matter", the mysterious matter that most astronomers feel comprises well over 90% of our universe. Observation of celestial objects from space over a range of X-ray, ultraviolet and visible wavelengths, is a unique feature of the XMM-Newton mission. The EPIC-PN view of the Hickson 16 group shows a handful of bright X-sources and in the background more than a hundred faint X-ray sources that XMM-Newton is revealing for the first time. Juxtaposing the X-ray view of HCG 16 with that of the Optical Monitor reveals one of the great strengths of XMM-Newton in being able to routinely compare the optical, ultraviolet and X-ray properties of objects. Many of the X-ray sources are revealed as elongated "fuzzy blobs" coincident with some of the optical galaxies. Routine access to ultraviolet images is a first for the mission, allowing astronomers to learn much more about individual objects. Obtaining a ratio of the brightness of individual sources seen with different filters ('filter spectroscopy') gives indications on their temperature and composition. Using XMM-Newton to search for variability from sources such as these will enable astronomers to hunt for those elusive black holes thought to lurk at the centres of many galaxies. "The performance of our instrument is very much as we expected" says Keith Mason, Principal Investigator for the Optical Monitor. "We have worked for over a decade on this mission and it is very exciting having the first data. And the pictures really show all the value of the multi-wavelength approach of the XMM design." HR1099 in an infernal waltz HR 1099 is a sixth magnitude star located about a 100 light years from the Sun only just visible to the naked eye. Its formidable brightness in the EPIC-MOS image conceals in fact a binary pair. Whereas our Sun rotates in 30 days, these two stars are whizzing around each other in only 3 days. The rapid motion causes a kind of infernal dynamo, twisting the stars' magnetic fields into contorted shapes. If one star resembles our own Sun, its partner is infinitely more active than our Sun. It is the scene of intense stellar flares and storms which astronomers believe are due to the release of magnetic energy as the fields untwist. Measuring the phenomena that are present greatly helps us understand the way our own Sun functions and its effects upon us. Again this X-ray image reveals many serendipitous sources, hitherto unknown. Discovering the elements The final two examples of the initial data collected by XMM-Newton take the form of spectra. They are provided by one of the two Reflection Grating Spectrometers (RGS). Just as in optical spectroscopy, different elements absorb and emit light at specific and unique points of the radiation spectrum. The RGS spread these out in the form of two "bananas", the two so-called 'spectral orders' of the instrument. Emission lines appear as distinct features in the rainbow of X-ray colours, acting as signatures that reveal a great deal of information to astronomers. The RGS spectra of HR 1099 are examples. The graphs display peaks or lines that correspond to the various elements present in the source. One can distinguish for instance the presence of different types of iron, oxygen carbon and neon. From the analysis of this data one can deduce the temperatures, densities, abundances and velocities of the different materials. "Firstly, the nice separation of the two spectral order bands shows the resolution of the RGS CCDs is well up to expectations" comments Bert Brinkman, RGS Principal Investigator. "For the spectrometers as a whole, the resolution which is of prime importance, is exactly or marginally better than what we expected after the ground calibrations. The instruments promise a lot for the future." All the images reveal hitherto unknown X-ray sources. Faint point sources barely perceptible with previous X-ray space telescopes appear in all their splendour. Understanding everything they show is somewhat premature since the XMM-Newton instruments have yet to be calibrated. XMM Project Scientist Fred Jansen says: "As these are the very first astronomical data and we are already observing lots of new science, XMM-Newton holds a very clear promise for an exciting and scientific future." ESA's Director of Science Prof. Roger Bonnet is equally impressed. "I am amazed by the quality of the pictures as compared to previous X-ray missions. We see on them a lot of new sources, especially in the parts of the spectrum which correspond to the hottest temperatures and we see that the Universe is hotter than we thought and that many new sources are appearing. We are very hopeful that many more objects will be discovered and that by extending the temperature measurements of the Universe to many objects, we will have a much better picture of the history and the hectic behaviour of stars at the end of their life". The Calibration and Performance Verification phase for XMM-Newton's science instruments is to begin on 3 March, with routine science operations starting in June. (*)Pictures available on the ESA website at http://www.esa.int, then Image Gallery, then News and at http://sci.esa.int/xmm/firstimages Following in Newton's footsteps The European Space Agency has decided to honour one of the world's most illustrious scientists by giving the name of Isaac Newton to the XMM mission. The X-ray space telescope is henceforth called the XMM-Newton observatory. The work of Sir Isaac Newton (1642-1727) in the field of mathematics, optics and physics laid the foundations for modern science. He made a major impact on theoretical and practical astronomy and today one cannot evoke an apple, a reflecting telescope, a light-splitting prism and or a sextant without recalling Newton's contributions to science. "We have chosen this name because Sir Isaac Newton was the man who invented spectroscopy and XMM is a spectroscopy mission" explains Prof. Roger Bonnet ESA Director of Science. "The name of Newton is associated with the falling apple, which is the symbol of gravity and with XMM I hope that we will find a large number of black hole candidates which are of course associated with the theory of gravity. There was no better choice of name than XMM-Newton for this mission". Stargazing with XMM-Newton On the occasion of the presentation of the X-ray observatory's first images, the European Space Agency is launching "Stargazing", the third XMM-Newton competition. European youngsters, 16 to 18 years old at the end of secondary school, will be able to win observing time using the X-ray telescope. "We are extending the concept of backyard astronomy" says Prof. Bonnet. "Through this telescope's ability to be operated from the ground in a friendly way, young people will be offered a unique opportunity to learn how to operate and manage an observatory as complex as XMM-Newton. I would be very surprised if this contest does not trigger some new vocations." This competition follows the "What's new Mr Galileo" essay contest which allowed over 400 lucky winners to visit French Guiana, and the "Draw me a telescope" competition in which young children designed the XMM launch logo. Stargazing will allow school classes throughout Europe to make proposals for observation in conjunction with scientists working on the XMM-Newton mission. The deadline for proposals is 12 May 2000. As from June, two schools per country will be selected. In July-August 2000 two students from each class will be visiting the XMM-Newton Science Operations Centre in Villafranca, Spain in order to finalise their proposals. The best four observation proposals will be selected and will be carried out by the XMM-Newton science team at the end of the year and early 2001. The results will be presented at the following Le Bourget Air Show in mid-June 2001. Further information about the competition and its rules can be found at: http://sci.esa.int/xmm/competition