Recombinant zoster (shingles) vaccine, RZV - what you need to know

MedlinePlus

... gov/ency/article/007736.htm Recombinant zoster (shingles) vaccine, RZV - what you need to know To use ... in its entirety from the CDC Recombinant Shingles Vaccine Information Statement (VIS): www.cdc.gov/vaccines/hcp/ ...

Protecting Yourself From Shingles | NIH MedlinePlus the Magazine

MedlinePlus

... with shingles can spread the disease through direct contact with the rash when the rash is in the blister phase. ... person who has never had chickenpox through direct contact with the rash. The person exposed would develop chickenpox, not shingles. ...

Incorporation of recycled asphalt shingles in hot-mixed asphalt pavement mixtures.

DOT National Transportation Integrated Search

2010-03-01

Rises in construction and asphalt binder costs, as well as the growing pressures on landfills, have contributed to the : increased use of tear-off scrap shingles (TOSS) and manufacturer waste scrap shingles (MWSS) into hot-mixed : asphalt (HMA) pavem...

Shingle system

DOEpatents

Dinwoodie, Thomas L [Piedmont, CA

2008-02-12

A barrier, such as a PV module, is secured to a base by a support to create a shingle assembly with a venting region defined between the barrier and base for temperature regulation. Water resistant junctions may be formed between the bases of adjacent shingle assemblies of an array of shingle assemblies. The base may include an insulation layer underlying a water barrier. The base may also include a waterproofing element; the width and height of the barrier may be shorter than the width and height of the waterproofing element.

Asphalt Roofing Shingles Into Energy Project Summary Report

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

Jameson, Rex, PE

2008-04-28

Based on a widely cited September, 1999 report by the Vermont Agency of Natural Resources, nearly 11 million tons of asphalt roofing shingle wastes are produced in the United States each year. Recent data suggests that the total is made up of about 9.4 million tons from roofing tear-offs and about 1.6 million tons from manufacturing scrap. Developing beneficial uses for these materials would conserve natural resources, promote protection of the environment and strengthen the economy. This project explored the feasibility of using chipped asphalt shingle materials in cement manufacturing kilns and circulating fluidized bed (CFB) boilers. A method ofmore » enhancing the value of chipped shingle materials for use as fuel by removing certain fractions for use as substitute raw materials for the manufacture of new shingles was also explored. Procedures were developed to prevent asbestos containing materials from being processed at the chipping facilities, and the frequency of the occurrence of asbestos in residential roofing tear-off materials was evaluated. The economic feasibility of each potential use was evaluated based on experience gained during the project and on a review of the well established use of shingle materials in hot mix asphalt. This project demonstrated that chipped asphalt shingle materials can be suitable for use as fuel in circulating fluidized boilers and cement kilns. More experience would be necessary to determine the full benefits that could be derived and to discover long term effects, but no technical barriers to full scale commercial use of chipped asphalt shingle materials in these applications were discovered. While the technical feasibility of various options was demonstrated, only the use of asphalt shingle materials in hot mix asphalt applications is currently viable economically.« less

Characterization and best use of recycled asphalt shingles in hot-mix asphalt.

DOT National Transportation Integrated Search

2012-10-01

Recycled asphalt shingles (RAS) often containing more than 20 percent asphalt binder has become another black gold in the asphalt industry. There are two basic types of RAS scraps in the market: tear-off asphalt shingles (TOAS) and manufacture waste ...

Mixing and compaction recommendations for warm mix asphalt (WMA) with recycled asphalt shingles (RAS) : final report.

DOT National Transportation Integrated Search

2017-05-01

The use of recycled asphalt shingles (RAS) is an attractive option for asphalt mixture producers due to the : high amount of recycled asphalt binder available in RAS. By weight, RAS contains 10 to 25% asphalt by total : weight of the shingle. The asp...

Installation, care, and maintenance of wood shake and shingle siding

Treesearch

Jack Dwyer; Tony Bonura; Arnie Nebelsick; Sam Williams; Christopher G. Hunt

2011-01-01

This article gives general guidelines for selection, installation, finishing, and maintenance of wood shakes and shingles. The authors gathered information from a variety of sources: research publications on wood finishing, technical data sheets from paint manufacturers, installation instructions for shake and shingle siding, and interviews with experts having...

Shingle System And Method

DOEpatents

Dinwoodie, Thomas L.

2005-04-26

A barrier, such as a PV module, is secured to a base by a support to create a shingle assembly with a venting region defined between the barrier and base for temperature regulation. The bottom edges of the barriers of one row may overlap the top edges of the barriers of another row. The shingle assemblies may be mounted by first mounting the bases to an inclined surface; the barriers may be then secured to the bases using the supports to create rows of shingle assemblies defining venting regions between the barriers and the bases for temperature regulation.

[Reactivation of herpes zoster infection by varicella-zoster virus].

PubMed

Cvjetković, D; Jovanović, J; Hrnjaković-Cvjetković, I; Brkić, S; Bogdanović, M

1999-01-01

There has been considerable interest in varicella-zoster virus in the middle of the twentieth century. Virus isolation in 1958 had made it possible to find out the complete DNA sequence of the varicella-zoster virus. Molecular identify of the causative agents of varicella and shingles had been proved. ETIOPATHOGENESIS AND HISTOPATHOLOGY: Varicella-zoster virus is a member of the Herpesviridae family. After primary infection which results in varicella, the virus becomes latent in the cerebral or posterior root ganglia. Some of these individuals develop shingles after several decades because of virus reactivation. It is caused by decline of cellular immune response. Circumstances such as old age, hard work, using of steroids or malignancies contribute to the appearance of shingles. Histopathological findings include degenerative changes of epithelial cells such as ballooning, multinucleated giant cells and eosinophilic intranuclear inclusions. Shingles occur sporadically, mainly among the elderly who have had varicella. There is no seasonal appearance of shingles. Individuals suffering from shingles may be sometimes contagious for susceptible children because of enormous amount of virus particles in vesicle fluid. Clinically, shingles is characterized at first by pain or discomfort in involved dermatome, usually without constitutional symptoms. Local edema and erythema appear before developing of rash. Maculopapular and vesicular rash evolves into crusts. The most commonly involved ganglia are: lumbar, thoracic, sacral posterior root ganglia, then geniculate ganglion of the VIIth cranial nerve and the trigeminal ganglion. The most common complication, postherpetic neuralgia, may last for as long as two or three weeks, sometimes even one year or more. Other complications that may be seen in shingles, but more rarely, are ocular (keratitis, iridocyclitis, secondary glaucoma, loss of sight), neurological (various motor neuropathies, encephalitis, Guillain-Barre syndrome), secondary bacterial infection of vesicles. Immunocompromised patients often develop more severe disease lasting up to two weeks, skin lesions are more numerous and often with hemorrhagic base and there is a high possibility for cutaneous dissemination and visceral involvement including viral pneumonia, encephalitis and hepatitis. Chronic shingles may also be found in immunocompromised hosts, particularly in those with a diagnosis of HIV infection. In patients with HIV infection, shingles is often characterised by radicular pain and itching several days before appearance of skin lesions. Those patients may have two or more dermatomes involved and recurrences of shingles cannot be quite infrequent in those patients. But visceral involvement is rarer than in other immunocompromised patients. Shingles may occur in the second half of pregnancy and usually have a mild course. However, congenital abnormalities has been described in few cases. The diagnosis of shingles is usually made by history and physical examination. Exceptionally, for example in zoster sine herpete and atypical forms of shingles, virus isolation and serological tests must be used. Some other diseases may cause similar skin lesions and rash (varicella, erysipelas, impetigo, enteroviral infections, herpes simplex infections). These diseases are excluded by using detailed history taking and physical examination, laboratory findings, virus isolation and commercially available serological tests. The vast majority of immunocompetent persons with shingles should be treated only by symptomatic therapy. Predominantly it is directed toward reduction of fever and avoiding secondary bacterial skin infection in immunocompetent hosts. Acute neuritis and post-herpetic neuralgia require administration of various analgesics, even like amitriptyline hydrochloride and fluphenazine hydrochloride. Acyclovir therapy is limited to ophthal

Installation, care, and maintenance of wood shake and shingle roofs

Treesearch

Tony Bonura; Jack Dwyer; Arnie Nebelsick; Brent Stuart; R. Sam Williams; Christopher Hunt

2011-01-01

This article gives general guidelines for selection, installation, finishing, and maintenance of wood shake and shingle roofs. The authors have gathered information from a variety of sources: research publications on wood finishing, technical data sheets from paint manufacturers, installation instructions for shake and shingle roofs, and interviews with experts having...

Fire resistant PV shingle assembly

DOEpatents

Lenox, Carl J.

2012-10-02

A fire resistant PV shingle assembly includes a PV assembly, including PV body, a fire shield and a connection member connecting the fire shield below the PV body, and a support and inter-engagement assembly. The support and inter-engagement assembly is mounted to the PV assembly and comprises a vertical support element, supporting the PV assembly above a support surface, an upper interlock element, positioned towards the upper PV edge, and a lower interlock element, positioned towards the lower PV edge. The upper interlock element of one PV shingle assembly is inter-engageable with the lower interlock element of an adjacent PV shingle assembly. In some embodiments the PV shingle assembly may comprise a ventilation path below the PV body. The PV body may be slidably mounted to the connection member to facilitate removal of the PV body.

Rapid Detection of Herpes Viruses for Clinical Applications

NASA Technical Reports Server (NTRS)

Pierson, Duane; Mehta, Satish

2013-01-01

There are eight herpes viruses that infect humans, causing a wide range of diseases resulting in considerable morbidity and associated costs. Varicella zoster virus (VZV) is a human herpes virus that causes chickenpox in children and shingles in adults. Approximately 1,000,000 new cases of shingles occur each year; post-herpetic neuralgia (PHN) follows shingles in 100,000 to 200,000 people annually. PHN is characterized by debilitating, nearly unbearable pain for weeks, months, and even years. The onset of shingles is characterized by pain, followed by the zoster rash, leading to blisters and severe pain. The problem is that in the early stages, shingles can be difficult to diagnose; chickenpox in adults can be equally difficult to diagnose. As a result, both diseases can be misdiagnosed (false positive/negative). A molecular assay has been adapted for use in diagnosing VZV diseases. The polymerase chain reaction (PCR) assay is a non-invasive, rapid, sensitive, and highly specific method for VZV DNA detection. It provides unequivocal results and can effectively end misdiagnoses. This is an approximately two-hour assay that allows unequivocal diagnosis and rapid antiviral drug intervention. It has been demonstrated that rapid intervention can prevent full development of the disease, resulting in reduced likelihood of PHN. The technology was extended to shingles patients and demonstrated that VZV is shed in saliva and blood of all shingles patients. The amount of VZV in saliva parallels the medical outcome.

Zoster vaccine live for the prevention of shingles in the elderly patient

PubMed Central

Zussman, Jamie; Young, Lorraine

2008-01-01

Shingles, also known as herpes zoster, is a common disease in the elderly population that is caused by reactivation of latent varicella zoster virus. Its manifestations and complications can lead to significant short- and long-term morbidity. In 2006, the United States Food and Drug Administration approved Zoster Vaccine Live (Zostavax®) for the prevention of herpes zoster in immunocompetent adults age 60 and over. The approval was based on the results of a large, multi-center clinical trial, the Shingles Prevention Study. This study showed that vaccination significantly decreased shingles incidence, burden of illness due to disease, and the development of, and severity of postherpetic neuralgia. This review offers an overview of varicella zoster virus infection and complications, a summary of the Shingles Prevention Study, and a critical analysis designed to aid the practicing physician who has questions about vaccine administration. PMID:18686747

Analysis of three-year Wisconsin temperature histories for roof systems using wood, wood-thermoplastic composite, and fiberglass shingles

Treesearch

Jerrold E. Winandy; Cherilyn A. Hatfield

2007-01-01

Temperature histories for various types of roof shingles, wood roof sheathing, rafters, and nonventilated attics were monitored in outdoor attic structures using simulated North American light-framed construction. In this paper, 3-year thermal load histories for wood-based composite roof sheathing, wood rafters, and attics under western redcedar (WRC) shingles, wood-...

Two-year Wisconsin thermal loads for roof assemblies and wood, wood–plastic composite, and fiberglass shingles

Treesearch

Jerrold E. Winandy; Michael Grambsch; Cherilyn Hatfield

2005-01-01

Temperature histories for various types of roof shingles, wood roof sheathing, roof rafters, and non-ventilated attics are being monitored in outdoor attic structures using simulated North American light-framed construction. This report presents 2-year data histories for annual thermal loads for western redcedar, wood–thermoplastic composite, and fiberglass shingles...

Evaluation of the effect of chickenpox vaccination on shingles epidemiology using agent-based modeling.

PubMed

Rafferty, Ellen; McDonald, Wade; Qian, Weicheng; Osgood, Nathaniel D; Doroshenko, Alexander

2018-01-01

Biological interactions between varicella (chickenpox) and herpes zoster (shingles), two diseases caused by the varicella zoster virus (VZV), continue to be debated including the potential effect on shingles cases following the introduction of universal childhood chickenpox vaccination programs. We investigated how chickenpox vaccination in Alberta impacts the incidence and age-distribution of shingles over 75 years post-vaccination, taking into consideration a variety of plausible theories of waning and boosting of immunity. We developed an agent-based model representing VZV disease, transmission, vaccination states and coverage, waning and boosting of immunity in a stylized geographic area, utilizing a distance-based network. We derived parameters from literature, including modeling, epidemiological, and immunology studies. We calibrated our model to the age-specific incidence of shingles and chickenpox prior to vaccination to derive optimal combinations of duration of boosting (DoB) and waning of immunity. We conducted paired simulations with and without implementing chickenpox vaccination. We computed the count and cumulative incidence rate of shingles cases at 10, 25, 50, and 75 years intervals, following introduction of vaccination, and compared the difference between runs with vaccination and without vaccination using the Mann-Whitney U-test to determine statistical significance. We carried out sensitivity analyses by increasing and lowering vaccination coverage and removing biological effect of boosting. Chickenpox vaccination led to a decrease in chickenpox cases. The cumulative incidence of chickenpox had dropped from 1,254 cases per 100,000 person-years pre chickenpox vaccination to 193 cases per 100,000 person-years 10 years after the vaccine implementation. We observed an increase in the all-ages shingles cumulative incidence at 10 and 25 years post chickenpox vaccination and mixed cumulative incidence change at 50 and 75 years post-vaccination. The magnitude of change was sensitive to DoB and ranged from an increase of 22-100 per 100,000 person-years at 10 years post-vaccination for two and seven years of boosting respectively ( p < 0.001). At 75 years post-vaccination, cumulative incidence ranged from a decline of 70 to an increase of 71 per 100,000 person-years for two and seven years of boosting respectively ( p < 0.001). Sensitivity analyses had a minimal impact on our inferences except for removing the effect of boosting. Our model demonstrates that over the longer time period, there will be a reduction in shingles incidence driven by the depletion of the source of shingles reactivation; however in the short to medium term some age cohorts may experience an increase in shingles incidence. Our model offers a platform to further explore the relationship between chickenpox and shingles, including analyzing the impact of different chickenpox vaccination schedules and cost-effectiveness studies.

Surface roughness effects on the solar reflectance of cool asphalt shingles

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

Akbari, Hashem; Berdahl, Paul; Akbari, Hashem

2008-02-17

We analyze the solar reflectance of asphalt roofing shingles that are covered with pigmented mineral roofing granules. The reflecting surface is rough, with a total area approximately twice the nominal area. We introduce a simple analytical model that relates the 'micro-reflectance' of a small surface region to the 'macro-reflectance' of the shingle. This model uses a mean field approximation to account for multiple scattering effects. The model is then used to compute the reflectance of shingles with a mixture of different colored granules, when the reflectances of the corresponding mono-color shingles are known. Simple linear averaging works well, with smallmore » corrections to linear averaging derived for highly reflective materials. Reflective base granules and reflective surface coatings aid achievement of high solar reflectance. Other factors that influence the solar reflectance are the size distribution of the granules, coverage of the asphalt substrate, and orientation of the granules as affected by rollers during fabrication.« less

RAP/RAS workshop.

DOT National Transportation Integrated Search

2013-01-01

: RAP & RAS increases mix stiffness : : Most WMA additives decrease stiffness : : Tear-Off shingles are stiffer than Man-waste shingles : : Using multiple recycled bins improves consistency : : Finer RAS material improves consiste...

Genetics Home Reference: shingles

MedlinePlus

... Aftercare MedlinePlus Encyclopedia: Shingles National Health Service (UK): Post-Herpetic Neuralgia Treatment General Information from MedlinePlus (5 links) Diagnostic Tests Drug Therapy Genetic Counseling Palliative Care Surgery and ...

Health disparities in chickenpox or shingles in Alberta?

PubMed

Russell, M L; Schopflocher, D P; Svenson, L W

2008-01-01

Exploring for evidence of socio-economic health disparities in chickenpox and shingles in Alberta, Canada. Chickenpox and shingles cases were identified from administrative data from Alberta's universal health care insurance system for 1994-2002. Incident cases were those with the earliest dated utilization of a health service (chickenpox: ICD9-CM 052/ICD10-CA B01; shingles: ICD9-CM 053/ ICD10-CA B02). Crude and age-specific rates were estimated for each year by an indicator of socio-demographic status based upon the nature of the payer and eligibility for health care premium subsidy (SES-proxy) for the provincial health care insurance system. Among young children there is a gradient of disparity in chickenpox rates prior to the year in which publicly funded vaccination programs were implemented. After this point, disparities decline but less so for First Nations children than for others. There was no evidence of disparity by SES-proxy for shingles. Publicly funded vaccination programs may effectively contribute to reduction in disease disparities for vaccine-preventable diseases. Further study is required to ascertain why disparities continue for First Nations children.

Solar power roof shingle

NASA Technical Reports Server (NTRS)

Forestieri, A. F.; Ratajczak, A. F.; Sidorak, L. G.

1975-01-01

Silicon solar cell module provides both all-weather protection and electrical power. Module consists of array of circular silicon solar cells bonded to fiberglass substrate roof shingle with fluorinated ethylene propylene encapsulant.

Photos of Shingles

MedlinePlus

... content Start of Search Controls Search Form Controls Cancel Submit Search The CDC CDC A-Z Index ... Z # Start of Search Controls Search Form Controls Cancel Submit Search The CDC Shingles (Herpes Zoster) Note: ...

Herpes zoster (shingles) disseminated (image)

MedlinePlus

Herpes zoster (shingles) normally occurs in a limited area that follows a dermatome (see the "dermatome" picture). In individuals with damaged immune systems, herpes zoster may be widespread (disseminated), causing serious illness. ...

Shingles

MedlinePlus

Herpes zoster - shingles ... Herpes zoster usually clears in 2 to 3 weeks and rarely returns. If the virus affects the ... the chickenpox vaccine. Older adults who receive the herpes zoster vaccine are less likely to have complications ...

Latent Virus Reactivation: From Space to Earth

NASA Technical Reports Server (NTRS)

Mehta, Satish K.; Cohrs, Randall J.; Gilden, Donald H.; Tyring, Stephen K.; Castro, Victoria A.; Ott, C. Mark; Pierson, Duane L.

2010-01-01

Reactivation of latent viruses is a recognized consequence of decreased immunity. More recently viral reactivation has been identified as an important in vivo indicator of clinically relevant immune changes. Viral reactivation can be determined quickly and easily by the presence of virus in saliva and other body fluids. Real-time polymerase chain reaction (PCR) is a highly sensitive and specific molecular method to detect the presence of specific viral DNA. Studies in astronauts demonstrated that herpes simplex virus type 1(HSV-1), Epstein-Barr Virus (EBV), cytomegalovirus (CMV), and varicella zoster virus (VZV) reactivate at rates above normal during and after spaceflight in response to moderately decreased T-cell immunity. This technology was expanded to patients on Earth beginning with human immune deficiency virus (HIV) immuno-compromised patients. The HIV patients shed EBV in saliva at rates 9-fold higher than observed in astronauts demonstrating that the level of EBV shedding reflects the severity of impaired immunity. Whereas EBV reactivation is not expected to produce serious effects in astronauts on missions of 6 months or less, VZV reactivation in astronauts could produce shingles. Reactivation of live, infectious VZV in astronauts with no symptoms was demonstrated in astronauts during and after spaceflight. We applied our technology to study VZV-induced shingles in patients. In a study of 54 shingles patients, we showed salivary VZV was present in every patient on the day antiviral (acyclovir) treatment was initiated. Pain and skin lesions decreased with antiviral treatment. Corresponding decreases in levels of VZV were also observed and accompanied recovery. Although the level of VZV in shingles patients before the treatment was generally higher than those found in astronauts, lower range of VZV numbers in shingles patients overlapped with astronaut s levels. This suggests a potential risk of shingles to astronauts resulting from reactivation of VZV. In another clinical study of 25 shingles patients, PCR technology detected VZV in the serum and peripheral blood mononuclear cells of all 25 patients demonstrating for the first time that viremia is a common manifestation of herpes shingles.

Neurological Consequences of Cytomegalovirus Infection

MedlinePlus

... viruses that causes cold sores (herpes simplex virus), infectious mononucleosis (Epstein-Barr virus), and chickenpox/shingles (varicella zoster ... viruses that causes cold sores (herpes simplex virus), infectious mononucleosis (Epstein-Barr virus), and chickenpox/shingles (varicella zoster ...

Fungal Disfigurement of Paper, and Soft Rot of Cedar Shingles 1

PubMed Central

Eveleigh, D. E.

1970-01-01

Disfiguration of paper by Cladosporium cladosporioides is described, and the association between “soft rot” fungi and the greying of cedar shingles in marine locations is reported. Images PMID:5463581

Facts about Chickenpox and Shingles for Adults

MedlinePlus

... heart failure, heart attack, type II diabetes and major depression. Prevention Chickenpox can be prevented by vaccination. Children ... heart failure, heart attack, type II diabetes and major depression. Antiviral medications can be used to treat shingles ...

Development of a shingle-type solar cell module

NASA Technical Reports Server (NTRS)

Shepard, N. F., Jr.; Sanchez, L. E.

1978-01-01

The development of a solar cell module, which is suitable for use in place of shingles on the sloping roofs of residental or commercial buildings, is reported. The design consists of nineteen series-connected 53 mm diameter solar cells arranged in a closely packed hexagon configuration. The shingle solar cell module consists of two basic functional parts: an exposed rigid portion which contains the solar cell assembly, and a semi-flexible portion which is overlapped by the higher courses of the roof installation. Consideration is given to the semi-flexible substrate configuration and solar cell and module-to-module interconnectors. The results of an electrical performance analysis are given and it is noted that high specific power output can be attributed to the efficient packing of the circular cells within the hexagon shape. The shingle should function for at least 15 years, with a specific power output of 98 W/sq w.

1. DEPENDENCY Both pointed and flat shingles appear to be ...

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

1. DEPENDENCY Both pointed and flat shingles appear to be original. Original purpose of this building was not recorded at the time of this survey. - Annandale Plantation, Dependency, State Routes 30 & 18 vicinity, Georgetown, Georgetown County, SC

Investigation of the use of tear-off shingles in asphalt concrete.

DOT National Transportation Integrated Search

2010-05-01

This investigation focused on the use of asphalt shingles that had been removed from roofs and recycled into asphalt concrete. Upon invitation by the Virginia Department of Transportation (VDOT), three asphalt contractors produced and placed sections...

Effects of recycled shingles and increased RAP percentages : [research brief].

DOT National Transportation Integrated Search

2012-01-01

As asphalt binder becomes more expensive, the use of recycled asphalt materials becomes : more attractive. Recycled asphalt pavement (RAP) and recycled asphalt shingles (RAS) offer a partial substitute for virgin aggregate and binder in asphalt pavem...

29. RECYCLED ATTIC JOISTS SHOWING SHINGLE LATH NOTCHING ON TOP ...

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

29. RECYCLED ATTIC JOISTS SHOWING SHINGLE LATH NOTCHING ON TOP SURFACE (Note shadow of plaster lath on bottom surface. See also PA-1440-28.) - James McCrea Houses, 108-110 Sansom Street, Philadelphia, Philadelphia County, PA

Impact of Recycled Asphalt Shingles (RAS) on Asphalt Binder Performance

DOT National Transportation Integrated Search

2018-01-01

This study evaluated the effect of reclaimed asphalt pavement (RAP) and recycled asphalt shingles (RAS) on virgin binder true grade and fracture energy density (FED). A mortar approach, which avoids the need for binder extraction, was adopted to quan...

Effect of recovered binders from recycled shingles and increased RAP percentages on resultant binder PG.

DOT National Transportation Integrated Search

2011-12-01

This research evaluated the properties of recycled asphalt binders from Wisconsin sources. Continuous grading : properties were measured for 18 recycled binder sources: 12 reclaimed asphalt pavement (RAP) sources and 6 recycled : asphalt shingle sour...

A critical appraisal of 'Shingrix', a novel herpes zoster subunit vaccine (HZ/Su or GSK1437173A) for varicella zoster virus.

PubMed

Bharucha, Tehmina; Ming, Damien; Breuer, Judith

2017-08-03

HZ/Su, branded as 'Shingrix', is one of the newest vaccines to be submitted for multi-national regulatory approval. It is targeted to prevent shingles, a global concern with aging populations. A live attenuated vaccine for shingles has been available for over a decade, however it is contraindicated in specific subgroups of people, and there are added concerns regarding long-term immunogenicity. HZ/Su is the first subunit vaccine developed to protect against shingles. This paper provides a critical appraisal of current evidence regarding HZ/Su.

Evaluation of stone-matrix asphalt mixtures containing recycled asphalt shingles(RAS).

DOT National Transportation Integrated Search

2017-05-01

In recent years, there has been increased interest in the use of reclaimed material in asphalt : mixtures. The use of recycled asphalt shingles (RAS) has been of interest because of the high asphalt : content, although this asphalt is considerably st...

Evaluation of the benefits of adding waste fiberglass asphalt roofing shingles to hot mix asphalt

DOT National Transportation Integrated Search

1997-07-03

The decreased availability of landfills, growing concern over waste disposal, and rising cost of asphalt cement, resulted in an increased interest in incorporating waste asphalt roofing shingles in the production of asphalt concrete mixes. This proje...

A novel technique for the production of cool colored concrete tile and asphalt shingle roofing products

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

Levinson, Ronnen; Akbari, Hashem; Berdahl, Paul

The widespread use of solar-reflective roofing materials can save energy, mitigate urban heat islands and slow global warming by cooling the roughly 20% of the urban surface that is roofed. In this study we created prototype solar-reflective nonwhite concrete tile and asphalt shingle roofing materials using a two-layer spray coating process intended to maximize both solar reflectance and factory-line throughput. Each layer is a thin, quick-drying, pigmented latex paint based on either acrylic or a poly(vinylidene fluoride)/acrylic blend. The first layer is a titanium dioxide rutile white basecoat that increases the solar reflectance of a gray-cement concrete tile from 0.18more » to 0.79, and that of a shingle surfaced with bare granules from 0.06 to 0.62. The second layer is a 'cool' color topcoat with weak near-infrared (NIR) absorption and/or strong NIR backscattering. Each layer dries within seconds, potentially allowing a factory line to pass first under the white spray, then under the color spray. We combined a white basecoat with monocolor topcoats in various shades of red, brown, green and blue to prepare 24 cool color prototype tiles and 24 cool color prototypes shingles. The solar reflectances of the tiles ranged from 0.26 (dark brown; CIELAB lightness value L* = 29) to 0.57 (light green; L* = 76); those of the shingles ranged from 0.18 (dark brown; L* = 26) to 0.34 (light green; L* = 68). Over half of the tiles had a solar reflectance of at least 0.40, and over half of the shingles had a solar reflectance of at least 0.25.« less

5. EXTERIOR OF TRIPLEX COTTAGE ROOF SHOWING MANVILLE COMPOSITION SHINGLES, ...

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

5. EXTERIOR OF TRIPLEX COTTAGE ROOF SHOWING MANVILLE COMPOSITION SHINGLES, POURED CONCRETE CHIMNEYS, AND TRANSLUCENT PLASTIC COVERING OVER WALKWAY AT REAR OF HOUSE (PHOTO LEFT). VIEW TO NORTHWEST. - Lee Vining Creek Hydroelectric System, Triplex Cottage, Lee Vining Creek, Lee Vining, Mono County, CA

Risk of skin and soft tissue infections (including shingles) in patients exposed to anti-tumour necrosis factor therapy: results from the British Society for Rheumatology Biologics Register

PubMed Central

Galloway, James B; Mercer, Louise K; Moseley, Alison; Dixon, William G; Ustianowski, Andrew P; Helbert, Matthew; Watson, Kath D; Lunt, Mark; Hyrich, Kimme L; Symmons, Deborah PM

2013-01-01

Introduction Anti-tumour necrosis factor (TNF) therapy is a mainstay of treatment in rheumatoid arthritis (RA). In 2001, BSRBR was established to evaluate the safety of these agents. This paper addresses the safety of anti-TNF therapy in RA with specific reference to serious skin and soft tissue infections (SSSI) and shingles. Methods A cohort of anti-TNF-treated patients was recruited alongside a comparator group with active RA treated with non-biological disease-modifying antirheumatic drugs (nbDMARD). 11 881 anti-TNF and 3673 nbDMARD patients were analysed. Follow-up was by 6-monthly questionnaires to patients and clinicians. Analyses considered SSSI and shingles separately. Incidence rates (IR) were calculated and then compared using survival analyses. Results The crude IR for SSSI were: anti-TNF 1.6/100 patient-years (95% CI 1.4 to 1.8); nbDMARD 0.7/100 patient-years (95% CI 0.5 to 1.0) and shingles: anti-TNF 1.6/100 patient-years (95% CI 1.3 to 2.0); nbDMARD 0.8/100 patient-years (95% CI 0.6 to 1.1). Adjusted HR were SSSI 1.4 (95% CI 0.9 to 2.4), shingles 1.8 (95% CI 1.2 to 2.8). For SSSI, no significant differences were seen between anti-TNF agents. For shingles, the lowest risk was observed for adalimumab (adjusted HR vs nbDMARD) 1.5 (95% CI 1.1 to 2.0) and highest for infliximab (HR 2.2; 95% CI 1.4 to 3.4)). Conclusion A significantly increased risk of shingles was observed in the anti-TNF-treated cohort. The risk of SSSI tended towards being greater with anti-TNF treatment but was not statistically significant. As with any observational dataset cause and effect cannot be established with certainty as residual confounding may remain. This finding would support the evaluation of zoster vaccination in this population. PMID:22532633

Production of lumber, lath, and shingles in 1918

Treesearch

Henry S. Graves

1920-01-01

In this bulletin, which is one of an annual series covering the period 1904 to 1918, inclusive, with the exception of 1914, are detailed statistics of the 1918 production of lumber, lath, and shingles in the continental United States, with comparative figures from previous annual reports.

19 CFR 134.33 - J-List exceptions.

Code of Federal Regulations, 2014 CFR

2014-04-01

...)). However, in the case of any article described in this list which is imported in a container, the outermost container in which the article ordinarily reaches the ultimate purchaser is required to be marked to.... Scrap and waste. Screws. Shims, track. Shingles (wood), bundles of (except bundles of red-cedar shingles...

19 CFR 134.33 - J-List exceptions.

Code of Federal Regulations, 2013 CFR

2013-04-01

...)). However, in the case of any article described in this list which is imported in a container, the outermost container in which the article ordinarily reaches the ultimate purchaser is required to be marked to.... Scrap and waste. Screws. Shims, track. Shingles (wood), bundles of (except bundles of red-cedar shingles...

19 CFR 134.33 - J-List exceptions.

Code of Federal Regulations, 2012 CFR

2012-04-01

...)). However, in the case of any article described in this list which is imported in a container, the outermost container in which the article ordinarily reaches the ultimate purchaser is required to be marked to.... Scrap and waste. Screws. Shims, track. Shingles (wood), bundles of (except bundles of red-cedar shingles...

Influence of roofing shingles on asphalt concrete mixture properties. Final report

DOT National Transportation Integrated Search

1993-06-01

It is estimated that the production of new roofing shingles generates approximately 1,000,000 tons of waste annually in the U.S., and about 36,000 tons of this waste is in the Twin Cities Metro Area of Minnesota. With another 8.5 million tons of wast...

Asphalt and Wood Shingling. Roofing Workbook and Tests.

ERIC Educational Resources Information Center

Brown, Arthur

This combination workbook and set of tests contains materials on asphalt and wood shingling that have been designed to be used by those studying to enter the roofing and waterproofing trade. It consists of seven instructional units and seven accompanying objective tests. Covered in the individual units are the following topics: shingling…

Design, fabrication, test, and qualification and price analysis of third generation design solar cell modules

NASA Astrophysics Data System (ADS)

Shepard, N. F.

1980-03-01

The Block 4 shingle type module makes it possible to apply a photovoltaic array to the sloping roof of a residential building by simply nailing the overlapping hexagon shaped shingles to the plywood roof sheathing. This third-generation shingle module design consists of nineteen series connected 100 mm diameter solar cells which are arranged in a closely packed hexagon configuration to provide in excess of 75 watts/sq m of exposed module area under standard operating conditions. The solar cells are individually bonded to the embossed underside of a 4.4 mm thick thermally tempered piece of glass. An experimental silicone pottant was used as the transparent bonding adhesive between the cells and glass. The semi-flexible portion of each shingle module is a composite laminate construction consisting of an outer layer of FLEXSEAL bonded to an inner core of closed cell polyethylene foam. Silaprene is used as the substrate laminating adhesive. The module design has satisfactorily survived qualification testing program which includes 50 thermal cycles between -40 and +90 C, a seven day temperature-humidity exposure test, and a wind resistance test.

Design, fabrication, test, and qualification and price analysis of third generation design solar cell modules

NASA Technical Reports Server (NTRS)

Shepard, N. F.

1980-01-01

The Block 4 shingle type module makes it possible to apply a photovoltaic array to the sloping roof of a residential building by simply nailing the overlapping hexagon shaped shingles to the plywood roof sheathing. This third-generation shingle module design consists of nineteen series connected 100 mm diameter solar cells which are arranged in a closely packed hexagon configuration to provide in excess of 75 watts/sq m of exposed module area under standard operating conditions. The solar cells are individually bonded to the embossed underside of a 4.4 mm thick thermally tempered piece of glass. An experimental silicone pottant was used as the transparent bonding adhesive between the cells and glass. The semi-flexible portion of each shingle module is a composite laminate construction consisting of an outer layer of FLEXSEAL bonded to an inner core of closed cell polyethylene foam. Silaprene is used as the substrate laminating adhesive. The module design has satisfactorily survived qualification testing program which includes 50 thermal cycles between -40 and +90 C, a seven day temperature-humidity exposure test, and a wind resistance test.

Summer temperatures of roof assemblies using western redcedar, wood-thermoplastic composite, or fiberglass shingles

Treesearch

Jerrold E. Winandy; H. Michael Barnes; Robert H. Falk

2004-01-01

For over 10 years, the Forest Products Laboratory has been monitoring the temperature histories of roof sheathing, roof rafters, and unventilated attics in outdoor attic structures that simulate typical light-framed construction. This report briefly summarizes findings from the roof temperature assessment project on black and white fiberglass shingles conducted from...

Production of lumber, lath, and shingles in 1917

Treesearch

Franklin H. Smith; Albert H. Pierson

1919-01-01

In this bulletin, which is one of an annual series covering the period 1904 to 1917, inclusive, with the exception of 1914, are detailed statistics of the 1917 production of lumber, lath, and shingles in the continental United States, with comparative figures from previous annual reports. The collection and compilation of the statistics for the Western States was done...

Reducing shingle waste at a manufacturing facility: 1990 MNTAP summer intern report

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

Menke, D.

1990-12-31

CertainTeed manufactures roofing shingles at it`s Shakopee, MN facility. Two process coating lines, and one assembly line, produce fifteen shingle types in fifteen different colors. The wastes generated by this process were the result of planned and unplanned variations in the continuous production process. Planned variations included changes in color, while felt breaks were common unplanned variations. Five options were identified that could reduce the amount of waste generated: Using a standard procedure for recovering from felt breaks, Creating a process cushion to maintain continuous production in the event of temporary shutdowns, An automated color change process, Manufacture of amore » new product from waste material, Minor process changes to reduce the frequency of breaks.« less

Effectiveness of fire-retardant treatments for shingles after 10 years of outdoor weathering

Treesearch

S. L. LeVan; C. A. Holmes

Some building codes require wood shingles to be fire-retardant treated. Because exterior fire-retardant treatments are subjected to weathering, treatment durability and leach resistance are critical for insuring adequate fire protection. We examined the effectiveness of various fire-retardant treatments on wood after 0, 2, 5, and 10 years of outdoor exposure. We used a...

Thermal load histories for North American roof assembles using various cladding materials including wood-thermoplastic composite shingles

Treesearch

J. E. Winandy

2006-01-01

Since 1991, thermal load histories for various roof cladding types have been monitored in outdoor attic structures that simulate classic North American light-framed construction. In this paper, the 2005 thermal loads for wood-based composite roof sheathing, wood rafters, and attics under wood-plastic composite shingles are compared to common North American roof...

A Decision Model for Selecting Energy Efficient Technologies for Low-Sloping Roof Tops Using Value-Focused Thinking

DTIC Science & Technology

2007-03-01

Solar Reflectance Index (SRI) is the combined value of the reflectance and emittance, or the roof’s ability to reject heat. A white shingle has an...directly into the building structure, such as a roof shingle or a sheet of glazing (US DOE, 2006b). Figure 2.6. An Example of Fixed Position Solar ...18 Solar Thermal Systems

Production of lumber, lath, and shingles in Washington and Oregon 1869-1936.

Treesearch

Herman M. Johnson

1938-01-01

For the information of Government and State agencies and of the public, data on annual lumber, shingle, and lath production in Washington and Oregon during the period 1869-1936 are here presented in tabular and graphic form. These data were obtained by the Forest Service, under cooperative agreement with the Bureau of the Census. They include the product of all mills...

A Review of Methods for the Manufacture of Residential Roofing Materials

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

Akbari, Hashem; Levinson, Ronnen; Berdahl, Paul

2003-06-01

Shingles, tiles, and metal products comprise over 80% (by roof area) of the California roofing market (54-58% fiberglass shingle, 8-10% concrete tile, 8-10% clay tile, 7% metal, 3% wood shake, and 3% slate). In climates with significant demand for cooling energy, increasing roof solar reflectance reduces energy consumption in mechanically cooled buildings, and improves occupant comfort in non-conditioned buildings. This report examines methods for manufacturing fiberglass shingles, concrete tiles, clay tiles, and metal roofing. The report also discusses innovative methods for increasing the solar reflectance of these roofing materials. We have focused on these four roofing products because they aremore » typically colored with pigmented coatings or additives. A better understanding of the current practices for manufacturing colored roofing materials would allow us to develop cool colored materials creatively and more effectively.« less

An active-learning laboratory on immunizations.

PubMed

Donohoe, Krista L; Mawyer, Tonya M; Stevens, J Tyler; Morgan, Laura A; Harpe, Spencer E

2012-12-12

To implement and evaluate an active-learning laboratory activity to teach pharmacy students about influenza, pneumococcal, and shingles vaccines. The laboratory session was divided into 6 immunization stations: 3 stations on influenza including a pediatrics station, and 1 station each for pneumococcal, shingles, and anaphylaxis. Although 118 of 123 (95.9%) students had completed an immunization training certificate prior to attending the laboratory, the average score on a pre-assessment to measure immunization knowledge and confidence was 56%. The post-assessment score was 87.4%. Students' confidence improved by 18.7% to 51.2% in each of the 5 areas assessed. Most respondents rated the activity overall as good or excellent on a post-activity evaluation. An active-learning approach to teaching immunizations allowed students to gain knowledge in simulated real-world experiences and reinforced key concepts on influenza, pneumococcal, and shingles vaccines.

Evaluation of the combined effects of reclaimed asphalt pavement (RAP), reclaimed asphalt shingles (RAS), and different virgin binder sources on the performance of blended binders for mixes with higher percentages of RAP and RAS : a research report from t

DOT National Transportation Integrated Search

2015-11-01

This report summarizes the main findings from a project funded by the National Center for : Sustainable Transportation (NCST) to investigate the use of higher percentages of reclaimed : asphalt pavement (RAP) and reclaimed asphalt shingles (RAS) as a...

Herpes zoster with dysfunction of bladder and anus.

PubMed

Jellinek, E H; Tulloch, W S

1976-12-04

Herpes zoster may give rise to dysfunction of bladder and anus. Mucosal lesions have been reported, and 7 cases are described with retention, loss of sensation, or incontinence. Sacral shingles is associated with sensory loss and flaccid detrusor paralysis. Lumbar shingles may cause retention, and zoster at higher levels can also damage the spinal cord. Recovery is usually complete. The implication for schemes of bladder innervation is discussed.

Evaluation of the combined effects of reclaimed asphalt pavement (RAP), reclaimed asphalt shingles (RAS), and different virgin binder sources on the performance of blended binders for mixes with higher percentages of RAP and RAS : a national center for su

DOT National Transportation Integrated Search

2015-11-01

This report summarizes the main findings from a project funded by the National Center for : Sustainable Transportation (NCST) to investigate the use of higher percentages of reclaimed : asphalt pavement (RAP) and reclaimed asphalt shingles (RAS) as a...

Controlling Energy Consumption in Single Buildings.

DTIC Science & Technology

1982-07-01

Asphalt shingles Apartment 1/2" plywood sheathing; 2"x4 ൦% sidewalls; 0% 1/2" plywood Building stud framing (16" c.c.); 2- endwalls. sheathing,3-1/2...cycling does produce additional wear on belts and motor starting circuits. Further, it may affect building air balance between building zones if more...4" common brick; 1/2" Single-strenght sheet; Asphalt shingles; Apartment plywood shetthing; light 30% sidewalls; 0% 1/2" plywood Buiiding framing; no

Development and testing of shingle-type solar cell molecules

NASA Technical Reports Server (NTRS)

Shepard, N. F.

1978-01-01

The details of a shingle module design which produces in excess of 97 watts/sq m of module area at 1 kW/sq m insolation and at 60 C are reported. This selected design employs a tempered glass coverplate to provide the primary solar cell structural support. The fabrication and testing of a preproduction module of this design has demonstrated that this selected approach will meet the environmental testing requirements imposed by the contract.

Latent Virus Reactivation in Astronauts and Shingles Patients

NASA Technical Reports Server (NTRS)

Mehta, Satish K.; Cohrs, Randall J.; Gilden, Donald H.; Tyring, Stephen K.; Castro, Victoria A.; Ott, C. Mark; Pierson, Duane L.

2010-01-01

Spaceflight is a uniquely stressful environment with astronauts experiencing a variety of stressors including: isolation and confinement, psychosocial, noise, sleep deprivation, anxiety, variable gravitational forces, and increased radiation. These stressors are manifested through the HPA and SAM axes resulting in increased stress hormones. Diminished T-lymphocyte functions lead to reactivation of latent herpesviruses in astronauts during spaceflight. Herpes simplex virus reactivated with symptoms during spaceflight whereas Epstein-Barr virus (EBV), cytomegalovirus (CMV), and varicella zoster virus (VZV) reactivate and are shed without symptoms. EBV and VZV are shed in saliva and CMV in the urine. The levels of EBV shed in astronauts increased 10-fold during the flight; CMV and VZV are not typically shed in low stressed individuals, but both were shed in astronauts during spaceflight. All herpes viruses were detected by polymerase chain reaction (PCR) assay. Culturing revealed that VZV shed in saliva was infectious virus. The PCR technology was extended to test saliva of 54 shingles patients. All shingles patients shed VZV in their saliva, and the levels followed the course of the disease. Viremia was also found to be common during shingles. The technology may be used before zoster lesions appear allowing for prevention of disease. The technology may be used for rapid detection of VZV in doctors offices. These studies demonstrated the value of applying technologies designed for astronauts to people on Earth.

A Full Overhead Cost Model for the U.S. Coast Guard Yard, Curtis Bay, Maryland.

DTIC Science & Technology

1982-06-01

80.0 STORAGE SHED B 43 A 35000.50 700.00 B 50 I IMPROVE SHINGLES 1750.43 40.70 B 75 I RELOCTE FLAMB STOR 22432.18 1246.23 81.0 FLAMABLE STORAGE B 43 A...35000.50 700.00 B 45 I UNKWN IMPRVMNT 50.48 1.04 B 50 I IMPROVE SHINGLES 1750.43 40.70 B 75 I RELOCTE FLAMB STOR 22432.18 1246.22 85.0 STORAGE SHED B

42. GARRET, SOUTHWEST CORNER. The roof rafters have been notched ...

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

42. GARRET, SOUTHWEST CORNER. The roof rafters have been notched for shingle lath. In some places the notches and lath do not align. Attached to each joist are furring strips for the 1812 ceiling, allowing it to be lowered about one inch below the under surfaces of the joists. Note that the 1851 shingles were left in place when the 1873-74 tin roof was added. - Twelfth Street Meeting House, 20 South Twelfth Street, Philadelphia, Philadelphia County, PA

DEFENSE INFRASTRUCTURE: DOD Needs to Determine and Use the Most Economical Building Materials and Methods When Acquiring New Permanent Facilities

DTIC Science & Technology

2010-04-01

could result in higher maintenance costs. For example, a wood-frame building finished with a shingle roof might have higher maintenance costs over the...long term compared to a building finished with a steel roof because the shingles would have to be replaced periodically over the life of the...because the exterior surfaces and interior finishes for both the midrise building and separate housing units were very similar, no difference in

Shingle assembly

DOEpatents

Dinwoodie, Thomas L.

2007-02-20

A barrier, such as a PV module, is secured to a base by a support to create a shingle assembly with a venting region defined between the barrier and base for temperature regulation. The first edge of one base may be interengageable with the second edge of an adjacent base to be capable of resisting first and second disengaging forces oriented perpendicular to the edges and along planes oriented parallel to and perpendicular to the base. A deflector may be used to help reduce wind uplift forces.

Aerothermoelastic response analysis for C/SiC panel of ceramic matrix composite shingle thermal protection system

NASA Astrophysics Data System (ADS)

Huo, Lin; Cheng, Xing-Hua; Yang, Tao

2015-05-01

This paper presents a study of aerothermoelastic response of a C/SiC panel, which is a primary structure for ceramic matrix composite shingle thermal protection system for hypersonic vehicles. It is based on a three dimensional thermal protection shingle panel on a quasi-waverider vehicle model. Firstly, the Thin Shock Layer and piston theory are adopted to compute the aerodynamic pressure of rigid body and deformable body, and a series of engineering methods are used to compute the aerodynamic heating. Then an aerothermoelastic loosely-coupled time marching strategy and self-adapting aerodynamic heating time step are developed to analyze the aerothermoelastic response of the panel, with an aerodynamic heating and temperature field coupling parameter selection method being adopted to increase the efficiency. Finally, a few revealing conclusions are reached by analyzing how coupling at different degrees influences the quasi-static aerothermoelastic response of the panel and how aerodynamic pressure of rigid body time step influences the quasi-static aerothermoelastic response on a glide trajectory.

Roofing as a source of nonpoint water pollution.

PubMed

Chang, Mingteh; McBroom, Matthew W; Scott Beasley, R

2004-12-01

Sixteen wooden structures with two roofs each were installed to study runoff quality for four commonly used roofing materials (wood shingle, composition shingle, painted aluminum, and galvanized iron) at Nacogdoches, Texas. Each roof, either facing NW or SE, was 1.22 m wide x 3.66 m long with a 25.8% roof slope. Thus, there were 32 alternatively arranged roofs, consisting of four roof types x two aspects x four replicates, in the study. Runoff from the roofs was collected through galvanized gutters, downspouts, and splitters. The roof runoff was compared to rainwater collected by a wet/dry acid rain collector for the concentrations of eight water quality variables, i.e. Cu(2+), Mn(2+), Pb(2+), Zn(2+), Mg(2+), Al(3+), EC and pH. Based on 31 storms collected between October 1997 and December 1998, the results showed: (1) concentrations of pH, Cu, and Zn in rainwater already exceed the EPA freshwater quality standards even without pollutant inputs from roofs, (2) Zn and Cu, the two most serious pollutants in roof runoff, exceeded the EPA national freshwater water quality standards in virtually 100% and more than 60% of the samples, respectively, (3) pH, EC, and Zn were the only three variables significantly affected by roofing materials, (4) differences in Zn concentrations were significant among all roof types and between all roof runoff and rainwater samples, (5) although there were no differences in Cu concentrations among all roof types and between roof runoff and rainwater, all means and medians of runoff and rainwater exceeded the national water quality standards, (6) water quality from wood shingles was the worst among the roof types studied, and (7) although SE is the most frequent and NW the least frequent direction for incoming storms, only EC, Mg, Mn, and Zn in wood shingle runoff from the SE were significantly higher than those from the NW; the two aspects affected no other elements in runoff from the other three roof types. Also, Zn concentrations from new wood-shingle roofs were significantly higher than those from aged roofs of a previous study. The study demonstrated that roofs could be a serious source of nonpoint water pollution. Since Zn is the most serious water pollutant and wood shingle is the worst of the four roof types, using less compounds and materials associated with Zn along with good care and maintenance of roofs are critical in reducing Zn pollution in roof runoff.

Chickenpox, chickenpox vaccination, and shingles

PubMed Central

Welsby, P D

2006-01-01

Chickenpox in the United Kingdom, where vaccination is not undertaken, has had a stable epidemiology for decades and is a routine childhood illness. Because of vaccination, chickenpox is now a rarity in the USA. In the UK vaccination is not done because introduction of a routine childhood vaccination might drive up the age at which those who are non‐immune get the illness (chickenpox tends to be more severe the older you are), and the incidence of shingles may increase. The United Kingdom is waiting to see what happens in countries where vaccination is routine. PMID:16679476

Operation SHINGLE (Anzio) 22 January-1 February 1944, Offensive, Deliberate Assault, Amphibious

DTIC Science & Technology

1984-05-21

had la’-re diverse supply dumps easily accessible by truck or rail. AS EsU ly de -mands increased’along with allied air attacks, naval --:~-~oac:ore...Planning called -,r the 7-a-tical Air Corps, aided by strategic air assts, t:-’ zcmin enemy airfields prior to D-lay to estrcy c.-=y a: fcrces andi to...00~ ._ --- ?d:-/ ’- CSI BATTLEBOOK / / CS B ATTLEOOK 3-C OPERATION SHINGLE Combat Studies Institute Fort Leaven4qorth, Kansas DTIC EI.% EE--" DE EU

A 70-year-old woman with shingles: review of herpes zoster.

PubMed

Whitley, Richard J

2009-07-01

Herpes zoster is a common late complication of varicella-zoster virus exposure and can be further complicated by postherpetic neuralgia. Ms A is a 70-year-old woman with shingles and Ramsay-Hunt syndrome who presented to the emergency department with a few days of earache followed by pain in the back of her head. Using her case as a springboard, the diagnosis, natural history, and treatment of herpes zoster and postherpetic neuralgia in immunocompetent older adults are reviewed, in addition to the effectiveness of the herpes zoster vaccine.

Sociodemographic predictors of variation in coverage of the national shingles vaccination programme in England, 2014/15.

PubMed

Ward, Charlotte; Byrne, Lisa; White, Joanne M; Amirthalingam, Gayatri; Tiley, Karen; Edelstein, Michael

2017-04-25

In September 2013, England introduced a shingles vaccination programme to reduce incidence and severity of shingles in the elderly. This study aims to assess variation in vaccine coverage with regards to selected sociodemographic factors to inform activities for improving equity of the programme. Eligible 70year-olds were identified from a national vaccine coverage dataset in 2014/15 that includes 95% of GPs in England. NHS England Local Team (LT) and index of multiple deprivation (IMD) scores were assigned to patients based on GP-postcode. Vaccine coverage (%) with 95% confidence intervals (CIs), were calculated overall and by LT, ethnicity and IMD, using binomial regression. Of 502,058 eligible adults, 178,808 (35.6%) had ethnicity recorded. Crude vaccine coverage was 59.5% (95%CI: 59.3-59.7). Coverage was lowest in London (49.6% coverage, 95%CI: 49.0-50.2), and compared to this coverage was significantly higher in all other LTs (+6.3 to +10.4, p<0.001) after adjusting for ethnicity and IMD. Coverage decreased with increasing deprivation and was 8.2% lower in the most deprived (95%CI: 7.3-9.1) compared with the least deprived IMD quintile (64.1% coverage, 95%CI: 63.6-64.6), after adjustment for ethnicity and LT. Compared with White-British (60.7% coverage, 95%CI: 60.5-61.0), other ethnic groups had between 4.0% (Indian) and 21.8% (Mixed: White and Black African) lower coverage. After adjusting for IMD and LT, significantly lower coverage by ethnicity persisted in all groups, except in Mixed: Other, Indian and Bangladeshi compared with White-British. After taking geography and deprivation into account, shingles vaccine coverage varied by ethnicity. White-British, Indian and Bangladeshi groups had highest coverage; Mixed: White and Black African, and Black-other ethnicities had the lowest. Patients' ethnicity and IMD are predictors of coverage which contribute to, but do not wholly account for, geographical variation coverage. Interventions to address service-related, sociodemographic and ethnic inequalities in shingles vaccine coverage are required. Copyright © 2017 Elsevier Ltd. All rights reserved.

The design and development of a rectangular, shingle-type photovoltaic module

NASA Astrophysics Data System (ADS)

Shepard, N. F., Jr.

A shingle-type photovoltaic module has been designed and developed to meet the requirements of specifications for residential applications. The module is ideally suited for installation directly to the sheathing of a sloping, south-facing roof of a residential, industrial, or commercial building. The design requirements are examined, taking into account also module safety requirements. Aspects of module design and analysis are discussed, giving attention to installation details, solar cells and electrical circuit design, the encapsulation system, substrate lamination, and the module-to-module interconnecting cable. Details of module assembly experience and test and outdoor exposure experience are also considered.

The design and development of a rectangular, shingle-type photovoltaic module

NASA Technical Reports Server (NTRS)

Shepard, N. F., Jr.

1982-01-01

A shingle-type photovoltaic module has been designed and developed to meet the requirements of specifications for residential applications. The module is ideally suited for installation directly to the sheathing of a sloping, south-facing roof of a residential, industrial, or commercial building. The design requirements are examined, taking into account also module safety requirements. Aspects of module design and analysis are discussed, giving attention to installation details, solar cells and electrical circuit design, the encapsulation system, substrate lamination, and the module-to-module interconnecting cable. Details of module assembly experience and test and outdoor exposure experience are also considered.

Latent Herpes Viral Reactivation in Astronauts

NASA Technical Reports Server (NTRS)

Pierson, D. L.; Mehta, S. K.; Stowe, R.

2008-01-01

Latent viruses are ubiquitous and reactivate during stressful periods with and without symptoms. Latent herpes virus reactivation is used as a tool to predict changes in the immune status in astronauts and to evaluate associated health risks. Methods: Viral DNA was detected by real time polymerase chain reaction in saliva and urine from astronauts before, during and after short and long-duration space flights. Results and Discussion: EpsteinBarr virus (EBV), cytomegalovirus (CMV), and varicella zoster virus (VZV) reactivated, and viral DNA was shed in saliva (EBV and VZV) or urine (CMV). EBV levels in saliva during flight were 10fold higher than baseline levels. Elevations in EBV specific CD8+ T-cells, viral antibody titers, and specific cytokines were consistent with viral reactivation. Intracellular levels of cytokines were reduced in EBVspecific Tcells. CMV, rarely present in urine of healthy individuals, was shed in urine of 27% of astronauts during all phases of spaceflight. VZV, not found in saliva of asymptomatic individuals, was found in saliva of 50% of astronauts during spaceflight and 35 days after flight. VZV recovered from astronaut saliva was found to be live, infectious virus. DNA sequencing demonstrated that the VZV recovered from astronauts was from the common European strain of VZV. Elevation of stress hormones accompanied viral reactivation indicating involvement of the hypothalmic-pituitary-adrenal and sympathetic adrenal-medullary axes in the mechanism of viral reactivation in astronauts. A study of 53 shingles patients found that all shingles patients shed VZV DNA in their saliva and the VZV levels correlated with the severity of the disease. Lower VZV levels in shingles patients were similar to those observed in astronauts. We proposed a rapid, simple, and cost-effective assay to detect VZV in saliva of patients with suspected shingles. Early detection of VZV infection allows early medical intervention.

Long-Term Effectiveness of the Live Zoster Vaccine in Preventing Shingles: A Cohort Study.

PubMed

Baxter, Roger; Bartlett, Joan; Fireman, Bruce; Marks, Morgan; Hansen, John; Lewis, Edwin; Aukes, Laurie; Chen, Yong; Klein, Nicola P; Saddier, Patricia

2018-01-01

A live attenuated zoster vaccine was licensed in the United States in 2006 for prevention of shingles in persons aged 60 years or older; the indication was extended in 2011 to cover those aged 50-59 years. We assessed vaccine effectiveness (VE) against shingles for 8 years after immunization at Kaiser Permanente Northern California. VE was estimated by Cox regression with a calendar timeline that was stratified by birth year. We adjusted for demographics and time-varying covariates, including comorbidities and immune compromise. From 2007 to 2014, 1.4 million people entered the study when they became age eligible for vaccination; 392,677 (29%) received the zoster vaccine. During 5.8 million person-years of follow-up, 48,889 cases of shingles were observed, including 5,766 among vaccinees. VE was 49.1% (95% confidence interval (CI): 47.5, 50.6) across all follow-up. VE was 67.5% (95% CI: 65.4, 69.5) during the first year after vaccination, waned to 47.2% (95% CI: 44.1, 50.1) during the second year after vaccination, and then waned more gradually through year 8, when VE was 31.8% (95% CI: 15.1, 45.2). Unexpectedly, VE in persons vaccinated when they were aged 80 years or older was similar to VE in younger vaccinees, and VE in persons vaccinated when immune compromised was similar to VE in persons vaccinated when immune competent. © The Author(s) 2017. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Incidence and risk of hospitalisation due to shingles and chickenpox in patients with rheumatic diseases treated with TNF antagonists.

PubMed

García-Doval, Ignacio; Pérez-Zafrilla, Beatriz; Descalzo, Miguel Angel; Roselló, Rosa; Hernández, Maria Victoria; Gómez-Reino, Juan J; Carmona, Loreto

2010-10-01

To estimate the incidence of hospitalisation due to varicella zoster virus (VZV) infection in patients treated with tumour necrosis factor (TNF) antagonists for inflammatory rheumatic conditions and to compare it with the expected rate in the general population. Secondary data analysis was performed of two large databases: (1) the national registry of rheumatic diseases patients treated with biological agents (BIOBADASER); and (2) the national hospital discharge database Conjunto Mínimo Básico de Datos al Alta Hospitalaria. Hospitalisations due to shingles or chickenpox were analysed. For each condition the incidence rate (IR) and the age and gender standardised IR per 100,000 person-years plus the standardised incidence ratio (SIR) and the standardised incidence difference (SID) were estimated. In patients exposed to TNF antagonists, the estimated IR of hospitalisation due to shingles was 32 cases per 100,000 patient-years (95% CI 14 to 78), the expected rate in the general population was 3.4 (95% CI 3.2 to 3.5), the SIR was 9 (95% CI 3 to 20) and the SID was 26 (95% CI 14 to 37). The estimated IR of hospitalisation due to chickenpox was 26 cases per 100,000 (95% CI 10 to 69), the expected rate was 1.9 (95% CI 1.8 to 2.0), the SIR was 19 (95% CI 5 to 47) and the SID 33 (95% CI 21 to 45). Patients suffering rheumatic diseases exposed to TNF antagonists are hospitalised due to VZV infections significantly more frequently than expected in the general population. Since the absolute IR of hospitalisations due to chickenpox and shingles is low in these patients, the implementation of risky preventive measures may not be justified at present.

Shingles (herpes zoster) vaccine (zostavax(®)): a review of its use in the prevention of herpes zoster and postherpetic neuralgia in adults aged ≥50 years.

PubMed

Keating, Gillian M

2013-07-01

The live, attenuated shingles (herpes zoster) vaccine Zostavax(®) is approved in the EU for use in the prevention of herpes zoster and postherpetic neuralgia in adults aged ≥50 years. In adults aged ≥60 years, zoster vaccine reduced the burden of illness associated with herpes zoster, with reductions in the incidence of postherpetic neuralgia and herpes zoster, according to the results of the Shingles Prevention Study. Results of subsequent Short- and Long-Term Persistence Substudies indicate that the efficacy of zoster vaccine is maintained in the longer term, albeit with a gradual decline over time. In the Zostavax Efficacy and Safety Trial, zoster vaccine reduced the incidence of herpes zoster in adults aged 50-59 years. Findings of these studies are supported by the results of large, retrospective, cohort studies. Zoster vaccine was generally well tolerated, with injection-site adverse events being the most commonly reported adverse events. In conclusion, zoster vaccine provides an important opportunity to reduce the burden of illness associated with herpes zoster by reducing the incidence of herpes zoster and postherpetic neuralgia.

Incidence of Latent Virus Shedding during Space Flight

NASA Technical Reports Server (NTRS)

Mehta, Satish K.; Cohrs, Randall J.; Gilden, Donald H.; Tyring, Stephen K.; Ott, C. Mark; Pierson, Duane L.

2008-01-01

Measurements of immune parameters of both cellular and innate immunity indicate alterations in immune function in astronauts. Immune changes are due to stress and perhaps other factors associated with launch, flight, and landing phases. Medical relevance of observed changes is not known. The reactivation of latent viruses has been identified as an important in vivo indicator of clinically relevant immune changes. The polymerase chain reaction (PCR) was used to detect the presence of specific viral DNA in body fluids. Initial studies demonstrated Epstein-Barr virus (EBV) reactivation during all 3 mission phases. EBV is shed in saliva following reactivation from B-cells. Incidence of EBV in saliva was higher than control subjects during all 3 mission phases. However, quantitative PCR revealed 10-fold higher levels of EBV DNA present in saliva collected during flight than found in pre- and post flight specimens. To determine if other latent viruses showed similar effects, cytomegalovirus (CMV), another herpes virus, shed in urine following reactivation was studied. A very low incidence (less than 2%) of CMV in urine is found in healthy, lowstressed individuals. However, 25-50% of astronauts shed CMV in their urine before, during, or after flight. Our studies are now focused on varicella-zoster virus (VZV), the etiological agent of chicken-pox during childhood and shingles later in life. We demonstrated reactivation of VZV and shedding of the virus during and after spaceflight in saliva of astronauts with no sign of active infection or symptoms. The maximum shedding of VZV occurred during the flight phase and diminishes rapidly during the first five days after landing. We have utilized the same PCR assay for VZV in a clinical study of shingles patients. Generally, shingles patients shed much more VZV in saliva than astronauts. However, the VZV levels in astronauts overlap with the lower range of VZV numbers in shingles patients. Saliva from shingles patients and astronauts were cultured and infectious VZV was recovered from both groups. We have concluded that multiple latent viruses do reactivate before, during, and after spaceflight and serve as very sensitive indicators for diminished cellular immunity. Future plans will be focused on the clinical risks posed by the reactivation of these viruses. Initial efforts will determine the effect of longer missions on the International Space Station on the reactivation patterns of these viruses.

Meningitis Myths and Facts

MedlinePlus

... Pertussis (Whooping Cough) Pneumococcal Disease Polio Respiratory Syncytial Virus (RSV) Rotavirus Rubella (German Measles) Shingles (Herpes Zoster) Tetanus (Lockjaw) Advanced Search » Professional ...

Development and Testing of Shingle-type Solar Cell Modules

NASA Technical Reports Server (NTRS)

Shepard, N. F., Jr.

1979-01-01

The design, development, fabrication and testing of a shingle-type terrestrial solar cell module which produces 98 watts/sq m of exposed module area at 1 kW/sq m insolation and 61 C are reported. These modules make it possible to easily incorporate photovoltaic power generation into the sloping roofs of residential or commercial buildings by simply nailing the modules to the plywood roof sheathing. This design consists of nineteen series-connected 53 mm diameter solar cells arranged in a closely packed hexagon configuration. These cells are individually bonded to the embossed surface of a 3 mm thick thermally tempered hexagon-shaped piece of glass. Polyvinyl butyral is used as the laminating adhesive.

Influence of writing and reading intertrack interferences in terms of bit aspect ratio in shingled magnetic recording

NASA Astrophysics Data System (ADS)

Nobuhara, Hirofumi; Okamoto, Yoshihiro; Yamashita, Masato; Nakamura, Yasuaki; Osawa, Hisashi; Muraoka, Hiroaki

2014-05-01

In this paper, we investigate the influence of the writing and reading intertrack interferences (ITIs) in terms of bit aspect ratio (BAR) in shingled magnetic recording by computer simulation using a read/write model which consists of a writing process based on Stoner-Wohlfarth switching asteroid by a one-side shielded isosceles triangular write head and a reading process by an around shielded read head for a discrete Voronoi medium model. The results show that BAR should be 3 to reduce the influence of writing and reading ITIs, media noise, and additive white Gaussian noise in an assumed areal density of 4.61Tbpsi.

Steep-Slope Assembly Testing of Clay and Concrete Tile With and Without Cool Pigmented Colors

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

Miller, William A

Cool color pigments and sub-tile venting of clay and concrete tile roofs significantly impact the heat flow crossing the roof deck of a steep-slope roof. Field measures for the tile roofs revealed a 70% drop in the peak heat flow crossing the deck as compared to a direct-nailed asphalt shingle roof. The Tile Roofing Institute (TRI) and its affiliate members are keenly interested in documenting the magnitude of the drop for obtaining solar reflectance credits with state and federal "cool roof" building efficiency standards. Tile roofs are direct-nailed or are attached to a deck with batten or batten and counter-battenmore » construction. S-Misson clay and concrete tile roofs, a medium-profile concrete tile roof, and a flat slate tile roof were installed on fully nstrumented attic test assemblies. Temperature measures of the roof, deck, attic, and ceiling, heat flows, solar reflectance, thermal emittance, and the ambient weather were recorded for each of the tile roofs and also on an adjacent attic cavity covered with a conventional pigmented and directnailed asphalt shingle roof. ORNL measured the tile's underside temperature and the bulk air temperature and heat flows just underneath the tile for batten and counter-batten tile systems and compared the results to the conventional asphalt shingle.« less

Prevent Shingles

MedlinePlus

... Emergency Preparedness & Response Environmental Health Healthy Living Injury, Violence & Safety Life Stages & Populations Travelers’ Health Workplace Safety & Health Features Media Sign up for Features Get Email Updates To ...

Community and patient values for preventing herpes zoster.

PubMed

Lieu, Tracy A; Ortega-Sanchez, Ismael; Ray, G Thomas; Rusinak, Donna; Yih, W Katherine; Choo, Peter W; Shui, Irene; Kleinman, Ken; Harpaz, Rafael; Prosser, Lisa A

2008-01-01

The US Advisory Committee on Immunization Practices has recently recommended a new vaccine against herpes zoster (shingles) for routine use in adults aged > or =60 years. However, estimates of the cost effectiveness of this vaccine vary widely, in part because of gaps in the data on the value of preventing herpes zoster. Our aims were to (i) generate comprehensive information on the value of preventing a range of outcomes of herpes zoster; (ii) compare these values among community members and patients with shingles and post-herpetic neuralgia (PHN); and (iii) identify clinical and demographic characteristics that explain the variation in these values. Community members drawn from a nationally representative survey research panel (n = 527) completed an Internet-based survey using time trade-off and willingness-to-pay questions to value a series of scenarios that described cases of herpes zoster with varying pain intensities (on a scale of 0 to 10, where 0 represents no pain and 10 represents the worst imaginable pain) and duration (30 days to 1 year). Patients with shingles (n = 382) or PHN (n = 137) [defined as having symptoms for > or =90 days] from two large healthcare systems completed telephone interviews with similar questions to the Internet-based survey and also answered questions about their current experience with herpes zoster. We constructed generalized linear mixed models to evaluate the associations between demographic and clinical characteristics, the length and intensity of the health states and time trade-off and willingness-to-pay values. In time trade-off questions, community members offered a mean of 89 (95% CI 24, 182) discounted days to avoid the least severe scenario (pain level of 3 for 1 month) and a mean of 162 (95% CI 88, 259) discounted days to avoid the most severe scenario (pain level of 8 for 12 months). Compared with patients with shingles, community members traded more days to avoid low-severity scenarios but similar numbers of days to avoid high-severity scenarios. Compared with patients with PHN, community members traded fewer days to avoid high-severity scenarios. In multivariate analyses, older age was the only characteristic significantly associated with higher time trade-off values. In willingness-to-pay questions, community members offered a mean of $US450 (95% CI 203, 893) to avoid pain of level 3 for 1 month and a mean of $US1384 (95% CI 873, 2050) [year 2005 values] to avoid pain of level 8 for 12 months. Community members traded less money than patients with either shingles or PHN to avoid both low- and high-severity scenarios (p-values <0.05 to <0.001). In multivariate models, male gender, higher income and having experienced shingles or PHN were associated with higher willingness to pay to avoid herpes zoster. When patients were asked to assign a value to avoiding their own case of herpes zoster, those with shingles assigned a mean of 67 days or $US2319, while those with PHN assigned a mean of 206 days or $US18 184. Both the time and monetary value traded were associated with the maximum intensity of the pain the individual had experienced, but neither was associated with the duration of the pain. We believe that this study provides the most comprehensive information to date on the value individuals place on preventing herpes zoster, and it includes the only such valuation from nationally representative community members as well as patients with herpes zoster. Community members would trade substantial amounts of time or money to avoid herpes zoster, even in the least severe scenarios. The time trade-off results in this study may differ from those in other studies because of important differences in methods of assessing health utilities. Consideration of both community and patient perspectives is crucial to help decision makers fully determine the implications of their policies now that a vaccine against herpes zoster is available.

Shingles Transmission

MedlinePlus

... Clinical Overview Diagnosis & Testing Prevention in Health Care Settings Laboratory Testing Collecting VZV Specimens CDC National VZV Laboratory Surveillance Resources & References Multimedia Related Links Medline Plus NIH SeniorHealth ...

About Chickenpox

MedlinePlus

... Resources Multimedia Related Links Medline Plus Shingles About Chickenpox Language: English Español (Spanish) Recommend on Facebook Tweet Share Compartir Chickenpox is a very contagious disease caused by the ...

7 CFR 319.40-1 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-01-01

... permit, without being issued a specific permit. Humus, compost, and litter. Partially or wholly decayed... shavings; pickets; stakes; shingles; solid wood packing materials; humus; compost; litter; and wooden...

Salivary Varicella Zoster Virus in Astronauts and in Patients of Herpes Zoster

NASA Technical Reports Server (NTRS)

Mehta, Satish; Pierson, Duane L.

2010-01-01

Spaceflight is a uniquely stressful environment with astronauts experiencing a variety of stressors including: isolation and confinement, psychosocial, noise, sleep deprivation, anxiety, variable gravitational forces, and increased radiation. These stressors are manifested through the HPA and SAM axes resulting in increased stress hormones. Diminished T-lymphocyte functions lead to reactivation of latent herpes viruses in astronauts during spaceflight. Herpes simplex virus reactivated with symptoms during spaceflight whereas Epstein-Barr virus (EBV), cytomegalovirus (CMV), and varicella zoster virus (VZV) reactivate and are shed without symptoms. EBV and VZV are shed in saliva and CMV in the urine. The levels of EBV shed in astronauts increased 10-fold during the flight; CMV and VZV are not typically shed in low stressed individuals, but both were shed in astronauts during spaceflight. All herpesviruses were detected by polymerase chain reaction (PCR) assay. Culturing revealed that VZV shed in saliva was infectious virus. The PCR technology was extended to test saliva of 54 shingles patients. All shingles patients shed VZV in their saliva, and the levels followed the course of the disease. Viremia was also found to be common during shingles. The technology may be used before zoster lesions appear allowing for prevention of disease. The technology may be used for rapid detection of VZV in doctors? offices. These studies demonstrated the value of applying technologies designed for astronauts to people on Earth.

Shingles (Herpes Zoster) Vaccine (Zostavax(®)): A Review in the Prevention of Herpes Zoster and Postherpetic Neuralgia.

PubMed

Keating, Gillian M

2016-06-01

Zostavax(®) is a live attenuated shingles (herpes zoster) vaccine approved in the EU for the prevention of herpes zoster (HZ) and postherpetic neuralgia (PHN) in adults aged ≥50 years. Zoster vaccine protected against HZ in adults aged 50-59 years (ZEST trial) and ≥60 years [Shingles Prevention Study (SPS)], and also reduced the burden of illness associated with HZ and the risk of PHN in adults aged ≥60 years (SPS). A large amount of real-world data also supports the efficacy of zoster vaccine. Results of the SPS Short- and Long-Term Persistence Substudies and real-world studies indicate that zoster vaccine provided continued benefit in the longer term, albeit with a gradual decline in vaccine efficacy over time; long-term effectiveness studies are ongoing. The need for a booster dose is still unknown, but a study showed that, if necessary, a booster dose administered to adults aged ≥70 years who received their first dose of zoster vaccine ≥10 years previously was immunogenic. Zoster vaccine had a favourable safety and tolerability profile, with the most commonly reported adverse events being non-severe injection-site reactions. In conclusion, zoster vaccine reduces the incidence of HZ and PHN, thereby reducing the burden of illness associated with HZ; improved uptake of zoster vaccine is needed.

The Effects of Infrared-Blocking Pigments and Deck Venting on Stone-Coated Metal Residential Roofs

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

Miller, William A

2006-01-01

Field data show that stone-coated metal shakes and S-mission tile, which exploit the use of infraredblocking color pigments (IrBCPs), along with underside venting reduce the heat flow penetrating the conditioned space of a residence by 70% compared with the amount of heat flow penetrating roofs with conventional asphalt shingles. Stone-coated metal roof products are typically placed on battens and counter-battens and nailed through the battens to the roof deck. The design provides venting on the underside of the metal roof that reduces the heat flow penetrating a home. The Metal Construction Association (MCA) and its affiliate members installed stone-coated metalmore » roofs with shake and S-mission tile profiles and a painted metal shake roof on a fully instrumented attic test assembly at Oak Ridge National Laboratory (ORNL). Measurements of roof, deck, attic, and ceiling temperatures; heat flows; solar reflectance; thermal emittance; and ambient weather were recorded for each of the test roofs and also for an adjacent attic cavity covered with a conventional pigmented and direct nailed asphalt shingle roof. All attic assemblies had ridge and soffit venting; the ridge was open to the underside of the stone-coated metal roofs. A control assembly with a conventional asphalt shingle roof was used for comparing deck and ceiling heat transfer rates.« less

Shingles

MedlinePlus

... NINDS supports research on viral proteins and virus defense mechanisms in neurons to understand why the varicella- ... NINDS supports research on viral proteins and virus defense mechanisms in neurons to understand why the varicella- ...

Chickenpox (image)

MedlinePlus

Chickenpox is caused by the varicella-zoster virus, a member of the herpesvirus family. The same virus also causes herpes zoster, shingles, in adults. Chickenpox is extremely contagious, and can be spread by ...

36 CFR 223.277 - Forest botanical products definition.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., transplants, tree sap, and wildflowers. Forest botanical products are not animals, animal parts, Christmas trees, fence material, firewood, insects, mine props, minerals, posts and poles, rails, rocks, shingle...

Postherpetic Neuralgia

MedlinePlus

... burning, sharp and jabbing, or deep and aching. Sensitivity to light touch. People with the condition often ... of shingles. The vaccine is approved by the Food and Drug Administration for adults age 50 and ...

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

none,

The first Challenge Home built in New England features cool-roof shingles, HERS 20–42, and walls densely packed with blown fiberglass. This house won a 2013 Housing Innovation Award in the custom builder category.

Development status on a TPV cylinder for combined heat and electric power for the home

NASA Astrophysics Data System (ADS)

Fraas, Lewis; Samaras, John; Huang, Han-Xiang; Seal, Michael; West, Edward

1999-03-01

Several first-generation water-cooled TPV cylinders have been built and tested. The existing units contain 380 GaSb cells mounted on 20 circuits; the design and test results on these photovoltaic converter arrays are presented here. Tested with a 1600 °C glowbar, one of these cylinders generated 990 Watts from a cell active area of 396 cm2, which is an electric power density of 2.5 Watts per cm2. A second-generation design is presented, using a new shingled circuit assembly. These shingled circuits allow for a slightly larger cylinder design with nearly double the cell active area. Using a SiC emitter operating at 1425 °C, this second-generation cylinder should produce over 1.5 kW of power with improved efficiency.

SRB/SLEEC (Solid Rocket Booster/Shingle Lap Extendible Exit Cone) feasibility study, volume 1

NASA Technical Reports Server (NTRS)

Baker, William H., Jr.

1986-01-01

A preliminary design and analysis was completed for a SLEEC (Shingle Lap Extendible Exit Cone) which could be incorporated on the Space Transportation System (STS) Solid Rocket Booster (SRB). Studies were completed which predicted weights and performance increases and development plans were prepared for the full-scale bench and static test of SLEEC. In conjunction with the design studies, a series of supporting analyses were performed to assure the validity and feasibility of performance, fabrication, cost, and reliability for the selected design. The feasibility and required amounts of bench, static firing, and flight tests considered necessary for the successful incorporation of SLEEC on the Shuttle SRBs were determined. Preliminary plans were completed which define both a follow on study effort and a development program.

HIV Antibody Test

MedlinePlus

... Free Fetal DNA Cerebrospinal Fluid (CSF) Analysis Ceruloplasmin Chemistry Panels Chickenpox and Shingles Tests Chlamydia Testing Chloride ... D. R., Editors (2006). Contemporary Practice in Clinical Chemistry, AACC Press, Washington, DC. Pp. 487-490. Bennett, ...

Lipase Test

MedlinePlus

... Free Fetal DNA Cerebrospinal Fluid (CSF) Analysis Ceruloplasmin Chemistry Panels Chickenpox and Shingles Tests Chlamydia Testing Chloride ... D. R., Editors (© 2006). Contemporary Practice in Clinical Chemistry: AACC Press, Washington, DC. Pp 281-287. Wu, ...

CK-MB Test

MedlinePlus

... Free Fetal DNA Cerebrospinal Fluid (CSF) Analysis Ceruloplasmin Chemistry Panels Chickenpox and Shingles Tests Chlamydia Testing Chloride ... Missouri. Pp. 312-315. Tietz Textbook of Clinical Chemistry and Molecular Diagnostics. Burtis CA, Ashwood ER and ...

Abdominal Pain Syndrome

MedlinePlus

... blood clots to the lungs) Abdominal or chest wall pain: Shingles (herpes zoster infection) Costochondritis (inflammation of ... or tumors), fat (evidence of impaired digestion and absorption of food), and the presence of germs. X- ...

Chickenpox

MedlinePlus

Varicella; Chicken pox ... Chickenpox is caused by the varicella-zoster virus. It is a member of the herpesvirus family. The same virus also causes shingles in adults. Chickenpox can be spread very easily to others from ...

Chest Pain

MedlinePlus

... causes Chest pain can also be caused by: Panic attack. If you have periods of intense fear accompanied ... fear of dying, you may be experiencing a panic attack. Shingles. Caused by a reactivation of the chickenpox ...

Blood Urea Nitrogen Test

MedlinePlus

... Free Fetal DNA Cerebrospinal Fluid (CSF) Analysis Ceruloplasmin Chemistry Panels Chickenpox and Shingles Tests Chlamydia Testing Chloride ... mmol/L 1 from Tietz Textbook of Clinical Chemistry and Molecular Diagnostics. Burtis CA, Ashwood ER, Bruns ...

First Aid: Rashes

MedlinePlus

... for: Parents Kids Teens First Aid: Skin Infections Poison Ivy Erythema Multiforme Hives (Urticaria) Erythema Toxicum Eczema Pityriasis ... Fifth Disease Shingles Diaper Rash Word Find: Skin Poison Ivy Rashes: The Itchy Truth Your Skin Impetigo Ringworm ...

Shingles - aftercare

MedlinePlus

Herpes zoster - treatment ... Mays RM, Petersen ET, Gordon RA, Tyring SK. Herpes zoster. In: Lebwohl MG, Heymann WR, Berth-Jones ... Saunders; 2014:chap 101. Whitley RJ. Chickenpox and herpes zoster (varicella-zoster virus). In: Bennett JE, Dolin ...

Shingles (Herpes Zoster)

MedlinePlus

... Us Media contacts Advertising contacts AAD logo Advertising, marketing and sponsorships Legal notice Copyright © 2018 American Academy ... prohibited without prior written permission. AAD logo Advertising, marketing and sponsorships Legal notice Copyright © 2017 American Academy ...

Shingles

MedlinePlus

... Conditions Pregnancy & Baby Nutrition & Fitness Emotions & Behavior School & Family Life First Aid & Safety Doctors & Hospitals Videos Recipes for Kids Kids site Sitio para niños How the Body Works Puberty & Growing Up Staying Healthy Staying Safe Recipes & ...

Shingles (For Parents)

MedlinePlus

... Conditions Pregnancy & Baby Nutrition & Fitness Emotions & Behavior School & Family Life First Aid & Safety Doctors & Hospitals Videos Recipes for Kids Kids site Sitio para niños How the Body Works Puberty & Growing Up Staying Healthy Staying Safe Recipes & ...

Durable Recycled Superpave Mixes in Kansas

DOT National Transportation Integrated Search

2018-04-01

The use of economical and environment-friendly recycled asphalt materials has become increasingly popular for asphalt pavement construction. In general, reclaimed asphalt pavement (RAP) and recycled asphalt shingles (RAS) are used in hot-mix asphalt ...

Recombinant Zoster (Shingles) Vaccine (RZV)

MedlinePlus

... the site of the injection Headache, muscle aches, fever, shivering, fatigue In clinical trials, most people got a ... people felt tired, had muscle pain, a headache, shivering, fever, stomach pain, or nausea. About 1 out of ...

Anti-Seizure Medications: Relief from Nerve Pain

MedlinePlus

... be debilitating and difficult to control. Nerve damage (neuropathy) can be caused by many conditions, including: Diabetes. ... and pain in your hands and feet (diabetic neuropathy). Shingles. Anyone who has had chickenpox is at ...

Development and testing of shingle-type solar cell modules. Final report

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

Shepard, N.F.

1979-02-28

The design, development, fabrication and testing of a shingle-type terrestrial solar cell module which produces 98 watts/m/sup 2/ of exposed module area at 1 kW/m/sup 2/ insolation and 61/sup 0/C are reported. These modules make it possible to easily incorporate photovoltaic power generation into the sloping roofs of residential or commercial buildings by simply nailing the modules to the plywood roof sheathing. This design consists of nineteen series-connected 53 mm diameter solar cells arranged in a closely packaged hexagon configuration. These cells are individually bonded to the embossed surface of a 3 mm thick thermally tempered hexagon-shaped piece of ASGmore » SUNADEX glass. Monsanto SAFLEX polyvinyl butyral is used as the laminating adhesive. RTVII functions as the encapsulant between the underside of the glass superstrate and a rear protective sheet of 0.8 mm thick TEXTOLITE. The semi-flexible portion of each shingle module is a composite laminate construction consisting of outer layers of B.F. Goodrich FLEXSEAL and an epichlorohydrin closed cell foam core. The module design has satisfactorily survived the JPL-defined qualification testing program which includes 50 thermal cycles between -40 and +90/sup 0/C, a seven-day temperature-humidity exposure test and a mechanical integrity test consisting of a bidirectional cyclic loading at 2390 Pa (50 lb/ft/sup 2/) which is intended to simulate loads due to a 45 m/s (100 mph) wind.« less

Beale Air Force Base, Perimeter Acquisition Vehicle Entry PhasedArray Warning ...

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

Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, Satellite Communications Terminal, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

View of twofamily house at 520522 Rison Ave., NE, originally ...

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

View of two-family house at 520-522 Rison Ave., NE, originally occupied by workers in nearby mills. Note original asbestos shingle roof - 520-522 Rison Avenue, Northeast (House), Huntsville, Madison County, AL

Preliminary investigation of RAP and RAS in HMAC.

DOT National Transportation Integrated Search

2010-02-01

laboratory study was undertaken to investigate how various proportions of reclaimed asphalt pavement (RAP) and reclaimed asphalt shingles (RAS) added to hot mixed asphalt concrete (HMAC) mixtures affect the Superpave performance grade of the blended ...

Tdap Booster Requirements for Secondary Schools

MedlinePlus

... HPV Rubella Influenza Smallpox Measles Tetanus MenACWY Varicella (chickenpox) MenB Zoster (shingles) Mumps View All Pertussis Talking ... TRANSLATE FOR IAC TRAVEL (INTERNATIONAL) UNPROTECTED PEOPLE REPORTS Chickenpox Diphtheria Hepatitis A Hepatitis B >> view all VACCINATING ...

Beale Air Force Base, Perimeter Acquisition Vehicle Entry PhasedArray Warning ...

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

Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, Electric Substation, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

Looking north Beale Air Force Base, Perimeter Acquisition Vehicle ...

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

Looking north - Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, Electric Substation, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

BNP and NT-proBNP Test

MedlinePlus

... Free Fetal DNA Cerebrospinal Fluid (CSF) Analysis Ceruloplasmin Chemistry Panels Chickenpox and Shingles Tests Chlamydia Testing Chloride ... 488-95. William Clarke. Contemporary Practice in Clinical Chemistry, 2nd Edition Paperback – February 4, 2011. ISBN-13: ...

Beale Air Force Base, Perimeter Acquisition Vehicle Entry PhasedArray Warning ...

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

Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, Microwave Equipment Building, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

Shingles vaccine - what you need to know

MedlinePlus

... varicella zoster virus, the same virus that causes chickenpox. After you have chickenpox, the virus stays in your body and can ... person. However, a person who has never had chickenpox (or chickenpox vaccine) could get chickenpox from someone ...

Shingles - Multiple Languages

MedlinePlus

... Haitian Creole (Kreyol ayisyen) Hmong (Hmoob) Indonesian (Bahasa Indonesia) Japanese (日本語) Khmer (ភាសាខ្មែរ) Korean ( ... Centers for Disease Control and Prevention Indonesian (Bahasa Indonesia) Expand Section Vaccine Information Statement (VIS) -- Live Zoster ( ...

Best practice for using RAS in HMA.

DOT National Transportation Integrated Search

2012-04-01

The use of recycled asphalt shingles (RAS) in hot-mix asphalt (HMA) mixtures has the potential to : significantly reduce the cost of asphalt paving mixes while conserving energy and preserving the : environment. This report documents the best practic...

High RAP mixes design methodology with balanced performance.

DOT National Transportation Integrated Search

2011-11-01

"The use of reclaimed asphalt pavement (RAP) and recycled asphalt shingles (RAS) can significantly reduce the increasing cost of hot-mix asphalt paving, conserve energy, and protect the environment. This report presents a comprehensive study focusing...

The Temperature of Various Surfaces Exposed to Solar Radiation: An Experiment.

ERIC Educational Resources Information Center

Russell, Dena G.; Bartels, Richard A.

1989-01-01

Examines the effect of solar radiation on colored shingles. Describes the experimental procedure, results, and discussion. Presents a picture of the experimental arrangement and three graphs of data measured at different dates. (YP)

29 CFR 570.67 - Occupations in roofing operations and on or about a roof (Order 16).

Code of Federal Regulations, 2011 CFR

2011-07-01

... pitch, asphalt prepared paper, tile, composite roofing materials, slate, metal, translucent materials, and shingles of asbestos, asphalt, wood or other materials) to roofs of buildings or other structures...

29 CFR 570.67 - Occupations in roofing operations and on or about a roof (Order 16).

Code of Federal Regulations, 2013 CFR

2013-07-01

... pitch, asphalt prepared paper, tile, composite roofing materials, slate, metal, translucent materials, and shingles of asbestos, asphalt, wood or other materials) to roofs of buildings or other structures...

29 CFR 570.67 - Occupations in roofing operations and on or about a roof (Order 16).

Code of Federal Regulations, 2012 CFR

2012-07-01

... pitch, asphalt prepared paper, tile, composite roofing materials, slate, metal, translucent materials, and shingles of asbestos, asphalt, wood or other materials) to roofs of buildings or other structures...

Beale Air Force Base, Perimeter Acquisition Vehicle Entry PhasedArray Warning ...

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

Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, Civil Engineering Storage Building, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

Software offers transparent, straightforward assessment of pavement additives : research spotlight.

DOT National Transportation Integrated Search

2015-04-01

Adding new materials to pavement layers is a proven technique to : improve performance. Many types of additivesfrom engineered : polymers and acids to recycled pavement, crumb rubber, shingles : and glasshave been used to help construct better ...

Interior, looking northeast Beale Air Force Base, Perimeter Acquisition ...

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

Interior, looking northeast - Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, Microwave Equipment Building, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

Efficacy of live zoster vaccine in preventing zoster and postherpetic neuralgia

PubMed Central

Gilden, D.

2011-01-01

Declining cell-mediated immunity to varicella zoster virus (VZV) in elderly individuals results in virus reactivation manifest by zoster (shingles) and postherpetic neuralgia (PHN). To prevent virus reactivation, a new VZV vaccine (Zostavax, Merck) that boosts cell-mediated immunity to VZV was developed. The 3-year Shingles Prevention Study showed that Zostavax significantly reduced burden of disease due to zoster and PHN. Despite its cost-effectiveness for adults ages 65 to 75 years, as determined in the US, Canada and UK, less than 2% of immunocompetent adults over age 60 years in the US were immunized in 2007. This was due to a combination of lack of patient awareness of the vaccine, physicians’ uncertainty about the duration of protection, and different cost-sharing plans for immunization. Nevertheless, zoster vaccine is safe, effective, and highly recommended for immunization of immunocompetent individuals over age 60 years with no history of recent zoster. PMID:21294791

PV module mounting method and mounting assembly

DOEpatents

Lenox, Carl J.S.; Johnson, Kurt M.

2013-04-23

A method for mounting PV modules to a deck includes selecting PV module layout pattern so that adjacent PV module edges are spaced apart. PV mounting and support assemblies are secured to the deck according to the layout pattern using fasteners extending into the deck. The PV modules are placed on the PV mounting and support assemblies. Retaining elements are located over and secured against the upper peripheral edge surfaces of the PV modules so to secure them to the deck with the peripheral edges of the PV modules spaced apart from the deck. In some examples a PV module mounting assembly, for use on a shingled deck, comprises flashing, a base mountable on the flashing, a deck-penetrating fastener engageable with the base and securable to the deck so to secure the flashing and the base to the shingled deck, and PV module mounting hardware securable to the base.

The Equivalent Thermal Resistance of Tile Roofs with and without Batten Systems

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

Miller, William A

Clay and concrete tile roofs were installed on a fully instrumented attic test facility operating in East Tennessee s climate. Roof, attic and deck temperatures and heat flows were recorded for each of the tile roofs and also on an adjacent attic cavity covered with a conventionally pigmented and direct-nailed asphalt shingle roof. The data were used to benchmark a computer tool for simulation of roofs and attics and the tool used to develop an approach for computing an equivalent seasonal R-value for sub-tile venting. The approach computed equal heat fluxes through the ceilings of roofs having different combinations ofmore » surface radiation properties and or building constructions. A direct nailed shingle roof served as a control for estimating the equivalent thermal resistance of the air space. Simulations were benchmarked to data in the ASHRAE Fundamentals for the thermal resistance of inclined and closed air spaces.« less

What Everyone Should Know about Zostavax

MedlinePlus

... vaccine. Contact your insurer to find out. Private health insurance Most private health insurance plans cover the vaccine for people 60 years ... shingles vaccine). If you do not currently have health insurance, learn more about affordable health coverage options . To ...

Pharmaceutical Approval Update.

PubMed

Kaufman, Michele B

2018-03-01

Zoster vaccine recombinant, adjuvanted (Shingrix) for the prevention of shingles in adults; angiotensin II injection (Giapreza) to increase blood pressure in adults with septic or other distributive shock; and glycopyrrolate inhalation solution (Lonhala Magnair) for the maintenance treatment of chronic obstructive pulmonary disease.

SECOND FLOOR, VIEW OF THE NORTH PLAIN OF THE 1772 ...

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

SECOND FLOOR, VIEW OF THE NORTH PLAIN OF THE 1772 ROOF TO SHOW ROUND-BUTT WOOD SHINGLES; THIS ROOF IS PROTECTED BY THE 1784 SHED ADDITION - Murray-Dick-Fawcett House, 517 Prince Street, Alexandria, Independent City, VA

2. VIEW OF BLOCK AND TACKLE FOR MOVING CEDAR LOGS ...

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

2. VIEW OF BLOCK AND TACKLE FOR MOVING CEDAR LOGS FROM POND TO JACK LADDER--AN ENDLESS CHAIN CONVEYOR THAT MOVES LOGS INTO MILL - Lester Shingle Mill, 1602 North Eighteenth Street, Sweet Home, Linn County, OR

35. Photocopy of negative (original in possession of WACC), photographer ...

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

35. Photocopy of negative (original in possession of WACC), photographer unknown, c.1915 FARAWAY RANCH AS COMPLETED WITH ADOBE BRICK WALLS AND WOOD SHINGLE ROOF - Faraway Ranch, Erickson-Riggs Ranch House, State Highway 181, Willcox, Cochise County, AZ

1. Historic American Buildings Survey (Fed.) Stanely P. Mixon, Photographer ...

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

1. Historic American Buildings Survey (Fed.) Stanely P. Mixon, Photographer Mar. 27, 1940 (A) EXTERIOR, GENERAL VIEW FROM STREET BELOW) (JUST MADE INTO TENEMENTS & EXTERIOR COVERED WITH ASBESTOS SHINGLES) - Jonathan Latimer House, New London, New London County, CT

Preliminary investigation of RAP and RAS in HMAC : final report, February 2010.

DOT National Transportation Integrated Search

2010-02-01

A laboratory study was undertaken to investigate how various proportions of reclaimed asphalt pavement (RAP) and reclaimed asphalt shingles (RAS) added to hot mixed asphalt concrete (HMAC) mixtures affect the Superpave performance grade of the blende...

29 CFR 570.67 - Occupations in roofing operations and on or about a roof (Order 16).

Code of Federal Regulations, 2010 CFR

2010-07-01

..., including painting and coating of existing roofs; the construction of the sheathing or base of roofs (wood..., and shingles of asbestos, asphalt, wood or other materials) to roofs of buildings or other structures...

What Everyone Should Know about Shingles Vaccine (Shingrix)

MedlinePlus

... vaccine. Contact your insurer to find out. Private health insurance Many private health insurance plans will cover the vaccine, but there may ... about Shingrix. If you do not currently have health insurance, learn more about affordable health coverage options . To ...

Guidelines on design and construction of high performance thin HMA overlays.

DOT National Transportation Integrated Search

2016-08-01

Key Components of Mix Design and Material Properties: : High-quality aggregate - SAC A for high : volume roads : - PG 70 or 76 (Polymer Modified binders) : - RAP and RAS (shingles) not allowed : - Minimum binder content ( Over 6%) : - Pay for binder ...

75 FR 63840 - Government-Owned Inventions; Availability for Licensing

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-18

..., shingles, CMV disease, mononucleosis, and Kaposi's sarcoma. Applications: Prevention or treatment of..., cytomegalovirus, varicella zoster, and Kaposi's sarcoma- associated herpesvirus). Advantage: Inhibition of histone... repression of viral genomes and the requirement to de-repress these genomes for productive infection appears...

Fundamental evaluation of the interaction between RAS/RAP and virgin asphalt binders.

DOT National Transportation Integrated Search

2017-08-01

A comprehensive laboratory testing program was conducted in this research project to examine the blending between reclaimed asphalt pavement (RAP)/recycled asphalt shingles (RAS) and virgin asphalt binders and to evaluate the factors that may affect ...

Oblique perspective of portal, due north. Bridge has gable roof ...

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

Oblique perspective of portal, due north. Bridge has gable roof clad with wood shingles and has board and batten siding. - Watson Mill Bridge, Spanning South Fork Broad River, Watson Mill Road, Watson Mill Bridge State Park, Comer, Madison County, GA

Literature review : performance of RAP/RAS mixes and new direction.

DOT National Transportation Integrated Search

2014-04-01

In the last several years reclaimed asphalt pavement (RAP) and recycled asphalt shingles (RAS) have been : widely used in asphalt mixes in Texas. The use of RAP/RAS can significantly reduce the initial cost of : asphalt mixtures, conserve energy, and...

18. VIEW OF BALES OF CEDAR TOW (CEDAR SHAVING WITH ...

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

18. VIEW OF BALES OF CEDAR TOW (CEDAR SHAVING WITH SAWDUST TUMBLED OUT) SOLD FOR GARDEN AND ANIMAL BEDDING, AND OTHER AGRICULTURAL USES; TUMBLER IS CYLINDRICAL MACHINE TO LEFT - Lester Shingle Mill, 1602 North Eighteenth Street, Sweet Home, Linn County, OR

Computer Maintenance Operations Center (CMOC), additional computer support equipment ...

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

Computer Maintenance Operations Center (CMOC), additional computer support equipment - Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, Techinical Equipment Building, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

Testing protocols to ensure performance of high asphalt binder replacement mixes using RAP and RAS.

DOT National Transportation Integrated Search

2015-12-01

The use of reclaimed asphalt pavement (RAP) and recycled asphalt shingles (RAS) in asphalt concrete (AC) mixtures can reduce demand for virgin aggregates and asphalt binder, bringing environmental and economic benefits. However, replacing virgin asph...

Validation of RAP and/or RAS in hydraulic cement concrete : project summary.

DOT National Transportation Integrated Search

2017-01-31

Reclaimed or recycled asphalt pavement (RAP) : and recycled asphalt shingles (RAS) have been : widely used in hot-mix asphalt (HMA) in Texas. : However, a high volume of RAP is still available : in stockpiles along the Texas Department of : Transport...

Shingle 2.0: generalising self-consistent and automated domain discretisation for multi-scale geophysical models

NASA Astrophysics Data System (ADS)

Candy, Adam S.; Pietrzak, Julie D.

2018-01-01

The approaches taken to describe and develop spatial discretisations of the domains required for geophysical simulation models are commonly ad hoc, model- or application-specific, and under-documented. This is particularly acute for simulation models that are flexible in their use of multi-scale, anisotropic, fully unstructured meshes where a relatively large number of heterogeneous parameters are required to constrain their full description. As a consequence, it can be difficult to reproduce simulations, to ensure a provenance in model data handling and initialisation, and a challenge to conduct model intercomparisons rigorously. This paper takes a novel approach to spatial discretisation, considering it much like a numerical simulation model problem of its own. It introduces a generalised, extensible, self-documenting approach to carefully describe, and necessarily fully, the constraints over the heterogeneous parameter space that determine how a domain is spatially discretised. This additionally provides a method to accurately record these constraints, using high-level natural language based abstractions that enable full accounts of provenance, sharing, and distribution. Together with this description, a generalised consistent approach to unstructured mesh generation for geophysical models is developed that is automated, robust and repeatable, quick-to-draft, rigorously verified, and consistent with the source data throughout. This interprets the description above to execute a self-consistent spatial discretisation process, which is automatically validated to expected discrete characteristics and metrics. Library code, verification tests, and examples available in the repository at https://github.com/shingleproject/Shingle. Further details of the project presented at http://shingleproject.org.

CMC thermal protection system for future reusable launch vehicles: Generic shingle technological maturation and tests

NASA Astrophysics Data System (ADS)

Pichon, T.; Barreteau, R.; Soyris, P.; Foucault, A.; Parenteau, J. M.; Prel, Y.; Guedron, S.

2009-07-01

Experimental re-entry demonstrators are currently being developed in Europe, with the objective of increasing the technology readiness level (TRL) of technologies applicable to future reusable launch vehicles. Among these are the Pre-X programme, currently funded by CNES, the French Space Agency, and which is about to enter into development phase B, and the IXV, within the future launcher preparatory programme (FLPP) funded by ESA. One of the major technologies necessary for such vehicles is the thermal protection system (TPS), and in particular the ceramic matrix composites (CMC) based windward TPS. In support of this goal, technology maturation activities named "generic shingle" were initiated beginning of 2003 by SPS, under a CNES contract, with the objective of performing a test campaign of a complete shingle of generic design, in preparation of the development of a re-entry experimental vehicle decided in Europe. The activities performed to date include: the design, manufacturing of two C/SiC panels, finite element model (FEM) calculation of the design, testing of technological samples extracted from a dedicated panel, mechanical pressure testing of a panel, and a complete study of the attachment system. Additional testing is currently under preparation on the panel equipped with its insulation, seal, attachment device, and representative portion of cold structure, to further assess its behaviour in environments relevant to its application The paper will present the activities that will have been performed in 2006 on the prediction and preparation of these modal characterization, dynamic, acoustic as well as thermal and thermo-mechanical tests. Results of these tests will be presented and the lessons learned will be discussed.

3D architecture modeling of reservoir compartments in a Shingled Turbidite Reservoir using high-resolution seismic data and sparse well control, example from Mars {open_quotes}Pink{close_quotes} reservoir, Mississippi Canyon Area, Gulf of Mexico

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

Chapin, M.A.; Mahaffie, M.J.; Tiller, G.M.

1996-12-31

Economics of most deep-water development projects require large reservoir volumes to be drained with relatively few wells. The presence of reservoir compartments must therefore be detected and planned for in a pre-development stage. We have used 3-D seismic data to constrain large-scale, deterministic reservoir bodies in a 3-D architecture model of Pliocene-turbidite sands of the {open_quotes}E{close_quotes} or {open_quotes}Pink{close_quotes} reservoir, Prospect Mars, Mississippi Canyon Areas 763 and 807, Gulf of Mexico. Reservoir compartmentalization is influenced by stratigraphic shingling, which in turn is caused by low accommodation space predentin the upper portion of a ponded seismic sequence within a salt withdrawal mini-basin.more » The accumulation is limited by updip onlap onto a condensed section marl, and by lateral truncation by a large scale submarine erosion surface. Compartments were suggested by RFT pressure variations and by geochemical analysis of RFT fluid samples. A geological interpretation derived from high-resolution 3-D seismic and three wells was linked to 3-D architecture models through seismic inversion, resulting in a reservoir all available data. Distinguishing subtle stratigraphical shingles from faults was accomplished by detailed, loop-level mapping, and was important to characterize the different types of reservoir compartments. Seismic inversion was used to detune the seismic amplitude, adjust sandbody thickness, and update the rock properties. Recent development wells confirm the architectural style identified. This modeling project illustrates how high-quality seismic data and architecture models can be combined in a pre-development phase of a prospect, in order to optimize well placement.« less

3D architecture modeling of reservoir compartments in a Shingled Turbidite Reservoir using high-resolution seismic data and sparse well control, example from Mars [open quotes]Pink[close quotes] reservoir, Mississippi Canyon Area, Gulf of Mexico

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

Chapin, M.A.; Mahaffie, M.J.; Tiller, G.M.

1996-01-01

Economics of most deep-water development projects require large reservoir volumes to be drained with relatively few wells. The presence of reservoir compartments must therefore be detected and planned for in a pre-development stage. We have used 3-D seismic data to constrain large-scale, deterministic reservoir bodies in a 3-D architecture model of Pliocene-turbidite sands of the [open quotes]E[close quotes] or [open quotes]Pink[close quotes] reservoir, Prospect Mars, Mississippi Canyon Areas 763 and 807, Gulf of Mexico. Reservoir compartmentalization is influenced by stratigraphic shingling, which in turn is caused by low accommodation space predentin the upper portion of a ponded seismic sequence withinmore » a salt withdrawal mini-basin. The accumulation is limited by updip onlap onto a condensed section marl, and by lateral truncation by a large scale submarine erosion surface. Compartments were suggested by RFT pressure variations and by geochemical analysis of RFT fluid samples. A geological interpretation derived from high-resolution 3-D seismic and three wells was linked to 3-D architecture models through seismic inversion, resulting in a reservoir all available data. Distinguishing subtle stratigraphical shingles from faults was accomplished by detailed, loop-level mapping, and was important to characterize the different types of reservoir compartments. Seismic inversion was used to detune the seismic amplitude, adjust sandbody thickness, and update the rock properties. Recent development wells confirm the architectural style identified. This modeling project illustrates how high-quality seismic data and architecture models can be combined in a pre-development phase of a prospect, in order to optimize well placement.« less

Modeling the performance properties of RAS and RAP blended asphalt mixes using chemical compositional information.

DOT National Transportation Integrated Search

2017-01-01

Reclaimed asphalt pavement (RAP) and recycled asphalt shingles (RAS) can improve the sustainability of asphalt concrete (AC) due to cost savings and environmental factors, but it is necessary to ensure that pavement performance is not compromised. To...

View of the PAVE PAWS radar from approach along Spencer ...

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

View of the PAVE PAWS radar from approach along Spencer Paul Road, looking northwest - Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

Tuberculosis Control - SD Dept. of Health

Science.gov Websites

Salmonellosis Scabies SARS - Severe Acute Respiratory Syndrome Shigellosis Shingles Silicosis Sinusitis - NIH Communicable Diseases Communicable Disease Links Disease Fact Sheets Acute Pesticide Poisoning AIDS/HIV Algal Hepatitis C Herpes Gladiatorum Herpes II Histoplasmosis Infectious Mononucleosis Influenza Kawasaki Syndrome

View of Face A and Face B Arrays, looking northeast ...

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

View of Face A and Face B Arrays, looking northeast - Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, Techinical Equipment Building, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

Use of manufactured waste shingles in a hot-mix asphalt field project.

DOT National Transportation Integrated Search

2008-01-01

The Virginia Department of Transportation (VDOT) is faced with trying to maintain its roads with materials whose cost is increasing at an alarming rate. The significant cost increase for asphalt concrete, which is used to pave a majority of Virginia'...

Computer Maintenance Operations Center (CMOC), showing duplexed cyber 170174 computers ...

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

Computer Maintenance Operations Center (CMOC), showing duplexed cyber 170-174 computers - Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, Techinical Equipment Building, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

Balanced RAP/RAS mix design and performance evaluation system for project-specific service conditions.

DOT National Transportation Integrated Search

2012-11-01

The use of reclaimed asphalt pavement (RAP) and recycled asphalt shingles (RAS) can significantly reduce the increasing cost of hot-mix asphalt paving, conserve energy, and protect the environment. However, the premature cracking problem has been a s...

Varicella zoster virus: chickenpox and shingles.

PubMed

Gould, Dinah

The varicella zoster virus causes two infections: varicella, also known as chickenpox occurring mostly in childhood, and herpes zoster, also known as shingles affecting mainly older people. Varicella usually occurs in children under ten years of age. It is generally a mild infection and in the UK vaccination is not offered as part of the routine immunisation programme. However, adults who develop varicella are at risk of developing complications and the infection is likely to be more severe. Serious complications are a particular risk for pregnant women, unborn children, neonates and those who are immunocompromised. Nurses whose work brings them into contact with those at risk have a vital role in providing information about the importance of avoiding varicella. After the acute infection, the varicella zoster virus gains access to the ganglia in the sensory nervous system where it can remain dormant for years. Reactivation results in herpes zoster, a common and unpleasant illness. A vaccine for herpes zoster was introduced for people aged 70-79 in the UK in September 2013.

SRB/SLEEC (Solid Rocket Booster/Shingle Lap Extendible Exit Cone) feasibility study, volume 2. Appendix A: Design study for a SLEEC actuation system

NASA Technical Reports Server (NTRS)

Thompson, D. S.

1986-01-01

The results are presented of a design feasibility study of a self-contained (powered) actuation system for a Shingle Lap Extendible Exit Cone (SLEEC) for Transportation System (STS). The evolution of the SLEEC actuation system design is reviewed, the final design concept is summarized, and the results of the detailed study of the final concept of the actuation system are treated. A conservative design using proven mechanical components was established as a major program priority. The final mechanical design has a very low development risk since the components, which consist of ballscrews, gearing, flexible shaft drives, and aircraft cables, have extensive aerospace applications and a history of proven reliability. The mathematical model studies have shown that little or no power is required to deploy the SLEEC actuation system because acceleration forces and internal pressure from the rocket plume provide the required energies. A speed control brake is incorporated in the design in order to control the rate of deployment.

The application of photovoltaic roof shingles to residential and commercial buildings

NASA Technical Reports Server (NTRS)

Shepard, N. F., Jr.; Sanchez, L. E.

1978-01-01

The recent development of a shingle-type solar-cell module makes it possible to incorporate easily photovoltaic power generation into the sloping roofs of residential or commercial buildings. These modules, which use a closely packed array of nineteen 53-mm-diameter circular solar cells, are capable of producing 101 watts/sq m of module area under standard operating conditions. This module performance is achievable by the use of solar cells with an average efficiency of 13.3 percent at 1 kW/sq m air-mass-1.5 insolation and at a cell temperature of 28 C. When these modules are mounted on a sloping south-facing roof which is insulated on the rear surface, the annual energy generated at the maximum power operating point will vary from 255.6 to 137.3 kWh/sq m of module area depending on the site location, with Albuquerque, NM, and Seattle, WA, representing the highest and lowest values of the thirteen sites considered.

Design of a photovoltaic system for a passive design northeast all-electric residence

NASA Astrophysics Data System (ADS)

Mehalick, E. M.; Tully, G. F.; Johnson, J.; Parker, J.; Felice, R.

1982-01-01

A photovoltaic system was developed and integrated into a passively designed, low energy consuming home suitable for the Northeast region of the country. The selected array size is 4.1 kW and covers 51 square meters of roof area. The design addresses the residential market segment of low energy consuming houses with limited roof area availability for photovoltaic arrays. A direct mount, next generation, larger sized, photovoltaic shingle module is used to reduce installation costs over earlier generation shingle modules. A 4 kW line-commutated inverter is used in the power conversion subsystem, since it is representative of currently available equipment. The complete system and house design are described, including all the pertinent installation and construction drawings. Specific performance results are presented for the Boston and Madison region. The system design presented, coupled with previously completed designs, provide a set of design options expected to be available to residential homeowners in the mid 1980's.

Efficacy of live zoster vaccine in preventing zoster and postherpetic neuralgia.

PubMed

Gilden, D

2011-05-01

Declining cell-mediated immunity to varicella zoster virus (VZV) in elderly individuals results in virus reactivation manifest by zoster (shingles) and postherpetic neuralgia (PHN). To prevent virus reactivation, a new VZV vaccine (Zostavax; Merck) that boosts cell-mediated immunity to VZV was developed. The 3-year Shingles Prevention Study showed that Zostavax significantly reduced burden of disease because of zoster and PHN. Despite its cost-effectiveness for adults aged 65-75 years, as determined in the United States, Canada and UK, <2% of immunocompetent adults over age 60 years in the United States were immunized in 2007. This was because of a combination of lack of patient awareness of the vaccine, physicians' uncertainty about the duration of protection and different cost-sharing plans for immunization. Nevertheless, zoster vaccine is safe, effective and highly recommended for immunization of immunocompetent individuals over age 60 years with no history of recent zoster. © 2011 The Association for the Publication of the Journal of Internal Medicine.

Selenium in soils of the Lower Wasatch Formation, Campbell County, Wyoming: Geochemistry, distribution, and environmental hazards

NASA Technical Reports Server (NTRS)

Kolm, K. E.

1975-01-01

The author has identified the following significant results. Seleniferous Shingle series soils and sandstone outcrops of section 27, T 48 N, R 71 W, Wyoming are mapped on aerial photography by their association with Astragalus bisulcatus. Chemical leachate analyses and atomic absorption methods reveal all studied Samsil and Shingle soils to contain acid, base, and water soluble selenium compounds, and that water extractions showed varied concentration behavior due to soil pH. Acid-soluble selenium is found to be associated with smectite. Statistical analyses confirm that A. bisulcatus presence has a weak influence on soil-lens organic selenium concentration, and determine the importance of other geobotanical factors for convertor presence. Environmental procedures of high selenium lens burial, convertor plant eradication, and revegetated site monitoring are recommended. Usage of density analysis and photographic enlargement are used to successfully produce both a control area and a Campbell County, Wyoming regional map of A. bisulcatus supportive soils and outcrops using Skylab photography.

View of McKenzieRichey covered well showing log and lumber construction ...

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

View of McKenzie-Richey covered well showing log and lumber construction and shingles, facing southeast - McKenzie Property, Covered Well, North Bank of Sailor Gulch, 750 feet northwest of intersection of U.S.F.S. Roads 651 & 349, Placerville, Boise County, ID

Berkeley Bravado: Rochdale Village, University of California, Berkeley

ERIC Educational Resources Information Center

Woodbridge, Sally

1975-01-01

Rochdale Village is a successful example of active student participation in the design and construction of student housing. The apartment complex reflects students' desire for a village of lowrise, wood-shingled buildings, while meeting the University of California's density requirement of 250 units per acre. (JG)

Detail of array panels, Face B, with active and terminated ...

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

Detail of array panels, Face B, with active and terminated dipole elements - Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, Techinical Equipment Building, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

29 CFR 570.54 - Logging occupations and occupations in the operation of any sawmill, lath mill, shingle mill, or...

Code of Federal Regulations, 2010 CFR

2010-07-01

... convenience of the user, the revised text is set forth as follows: § 570.54 Forest fire fighting and forest... performed, or mining operations. Portable sawmill shall mean a sawmilling operation where no office or...

Looking into Generator Room, showing electromagnetic pulse (EMP) filter boxes ...

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

Looking into Generator Room, showing electromagnetic pulse (EMP) filter boxes mounted above door - Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, Power Plant, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

Waste tire and shingle scrap/bituminous paving test sections on the Munger Recreational Trail Gateway segment. interim report

DOT National Transportation Integrated Search

1991-02-01

The need to reduce Minnesota's dependence on land fills resulted in a unique cooperative venture by three state agencies. A partnership was forged between the Minnesota Pollution Control Agency (MPCA), the Minnesota Department of Natural Resources (D...

Within compound, looking southeast Power Plant (Building 5761) to left, ...

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

Within compound, looking southeast Power Plant (Building 5761) to left, Satellite Communications Terminal (Building 5771), center - Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

40 CFR 63.11566 - What definitions apply to this subpart?

Code of Federal Regulations, 2010 CFR

2010-07-01

...) used to manufacture shingles and rolled roofing products. Coating mixer means the equipment used to mix... substrate. Hot-mix asphalt operation means operations involved in mixing asphalt cement and aggregates to... determined gravimetrically using EPA Method 5A—Determination of Particulate Matter Emissions From the Asphalt...

40 CFR 60.472 - Standards for particulate matter.

Code of Federal Regulations, 2012 CFR

2012-07-01

... (CONTINUED) STANDARDS OF PERFORMANCE FOR NEW STATIONARY SOURCES Standards of Performance for Asphalt Processing and Asphalt Roofing Manufacture § 60.472 Standards for particulate matter. (a) On and after the...) Particulate matter in excess of: (i) 0.04 kg/Mg (0.08 lb/ton) of asphalt shingle or mineral-surfaced roll...

Historical Architectural Survey of Delaware Water Gap National Recreational Area 1975. Volume 1.

DTIC Science & Technology

1975-01-01

Owner: Hazel V. Irvine (presently Blue Delft Antiques) Estimated Date: Circa 1900 Historic Name: None (Summer home for Owners of Dingman House Hotel ... Construction : 1-1/2-story, frame Foundation, stone piers Wood siding on gable ends Novelty siding on sides Roof, asphalt shingles . 2 Riverstone

Looking northwest, Face B Array to left, Face C (rear) ...

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

Looking northwest, Face B Array to left, Face C (rear) center, Power Plant (Building 5761), to right - Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, Techinical Equipment Building, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

Synthesis and Biological Evaluation of Brain-Specific Anti-RNA Viral Agents

DTIC Science & Technology

1989-06-30

disease or ultimately death. DNA viruses are subdivided into five families and include the pathogens responsible for labial and genital herpes, chicken ... pox , shingles and mononucleosis. RNA viruses are present in more numerous forms and are subdivided into ten families. These viruses are unusual in

Laboratory evaluation of high asphalt binder replacement with recycled asphalt shingles (RAS) for a low n-design asphalt mixture.

DOT National Transportation Integrated Search

2012-10-01

This study investigated the effect of high asphalt binder replacement for a low N-design asphalt mixture including : RAP and RAS on performance indicators such as permanent deformation, fracture, fatigue potentials, and : stiffness, was studied. An e...

Within compound, looking northwest, Power Plant (Building 5761) and Guard ...

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

Within compound, looking northwest, Power Plant (Building 5761) and Guard Tower (Building 5762) to left, Electrical Substation to right - Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

Field performance of RAS test sections and laboratory investigation of impact of rejuvenators on engineering properties of RAP/RAS mixes.

DOT National Transportation Integrated Search

2014-04-01

In the last several years, recycled asphalt shingles (RAS), in addition to reclaimed asphalt pavement (RAP), : have been widely used in Texas. The use of RAS can significantly reduce the cost of asphalt mixtures, conserve : energy, and protect the en...

Product (P1) from project 0-6738 : performance studies and future directions for mixes containing RAP and RAS.

DOT National Transportation Integrated Search

2013-01-01

In recent years both reclaimed asphalt pavement (RAP) and recycled asphalt shingles (RAS) have been widely used in asphalt mixes by the asphalt paving industry in Texas. The use of RAP and RAS can save tax payers money, and it is also good for the...

Venting of attics & cathedral ceilings

Treesearch

William B. Rose; Anton TenWolde

2002-01-01

Current building codes typically call for attic ventilation to minimize condensation on the underside of roof sheathing. Summer cooling of attic air, minimizing ice dams, and extending the service life of the roof materials often are cited as additional benefits of attic ventilation. In fact, most asphalt shingle manufacturers warrant their products only for ventilated...

Oregon's forest products industry: 1982.

Treesearch

James O. Howard

1984-01-01

This report presents the findings of a 100-percent survey of the primary forest products industry in Oregon for 1982. The survey included the following sectors: lumber; veneer and plywood; pulp and board; shake and shingle; export; and post, pole, and piling. Tabular presentations include characteristics of the industry, nature and flow of logs consumed, and...

Full-Genome Sequence of a Novel Varicella-Zoster Virus Clade Isolated in Mexico

PubMed Central

Rodríguez-Castillo, Araceli; Ortiz-Alcántara, Joanna María; Gonzalez-Durán, Elizabeth; Segura-Candelas, José Miguel; Pérez-Agüeros, Sandra Ivette; Escobar-Escamilla, Noé; Méndez-Tenorio, Alfonso; Diaz-Quiñonez, José Alberto

2015-01-01

Varicella-zoster virus (VZV) is a member of the Herpesviridae family, which causes varicella (chicken pox) and herpes zoster (shingles) in humans. Here, we report the complete genome sequence of varicella-zoster virus, isolated from a vesicular fluid sample, revealing the circulation of VZV clade VIII in Mexico. PMID:26159533

Near Zero Energy Housing at Ft. Campbell: Energy Modeling Results

DTIC Science & Technology

2007-05-01

Excellence Baseline Ft. Campbell Single Family Home 2 Story 2,100 ft2 living space 325 ft2 garage 2 x 4 metal frame R-13 batt in wall Asphalt shingle ...Model south facing windows with overhangs to take advantage of solar gain in winter, and shading summer sun Construction cost estimates for

Production, management, and environment symposium: Environmental footprint of livestock production - Greenhouse gas emissions and climate change

USDA-ARS?s Scientific Manuscript database

This manuscript is the introduction to the 2015 Production, Management, and Environment symposium titled “Environmental Footprint of Livestock Production – Greenhouse Gas Emissions and Climate Change” that was held at the Joint Annual Meeting of the ASAS and ADSA at the Rosen Shingle Creek Resort in...

NIHSeniorHealth Celebrating 10 Years of online health and wellness information! | NIH MedlinePlus the Magazine

MedlinePlus

... information Open captioned videos Easy-to-read language Research-based Content Over 60 health topics 150 health videos Over 200 quizzes Frequently asked questions Bi-weekly healthy aging tips Most Popular Health Topics Exercise and Physical Activity * Eating Well as You Get Older * Shingles * ...

40 CFR 60.472 - Standards for particulate matter.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 6 2010-07-01 2010-07-01 false Standards for particulate matter. 60... Processing and Asphalt Roofing Manufacture § 60.472 Standards for particulate matter. (a) On and after the...) Particulate matter in excess of: (i) 0.04 kg/Mg (0.08 lb/ton) of asphalt shingle or mineral-surfaced roll...

40 CFR 60.472 - Standards for particulate matter.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 7 2013-07-01 2013-07-01 false Standards for particulate matter. 60... Processing and Asphalt Roofing Manufacture § 60.472 Standards for particulate matter. (a) On and after the...) Particulate matter in excess of: (i) 0.04 kg/Mg (0.08 lb/ton) of asphalt shingle or mineral-surfaced roll...

40 CFR 60.472 - Standards for particulate matter.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 7 2014-07-01 2014-07-01 false Standards for particulate matter. 60... Processing and Asphalt Roofing Manufacture § 60.472 Standards for particulate matter. (a) On and after the...) Particulate matter in excess of: (i) 0.04 kg/Mg (0.08 lb/ton) of asphalt shingle or mineral-surfaced roll...

40 CFR 60.472 - Standards for particulate matter.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 6 2011-07-01 2011-07-01 false Standards for particulate matter. 60... Processing and Asphalt Roofing Manufacture § 60.472 Standards for particulate matter. (a) On and after the...) Particulate matter in excess of: (i) 0.04 kg/Mg (0.08 lb/ton) of asphalt shingle or mineral-surfaced roll...

77 FR 27262 - Self-Regulatory Organizations; Financial Industry Regulatory Authority, Inc.; Order Approving a...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-09

... University Law School, and Director, Cornell Securities Law Clinic, and Brenda Beauchamp, Cornell Law School... letter from Jill I. Gross, Director, Edward Pekarek, Assistant Director, and Genavieve Shingle, Student..., scheduling, and traveling to hearings; (3) it would provide an alternative for customers who are unable to...

California's forest products industry: 1982.

Treesearch

James O. Howard

1984-01-01

This report presents the findings of a 100-percent survey of the primary forest products industry in California for 1982. The survey included the following sectors: lumber; veneer and plywood; pulp and board; shake and shingle; export; and post, pole, and piling. Tabular presentations include characteristics of the industry, nature and flow of logs consumed, and...

California's forest products industry: 1985.

Treesearch

James O. Howard; Franklin R. Ward

1988-01-01

This report presents the findings of a 100-percent survey of the primary forest products industry in California for 1985. The survey included the following sectors: lumber; veneer and plywood; pulp and board; shake and shingle; export; and post, pole, and piling. Tables, presented by sector and for the industry as a whole, include characteristics of the industry,...

California's forest products industry: 1992.

Treesearch

Franklin R. Ward

1995-01-01

This report presents the findings of a survey of primary forest products industries in California for 1992. The survey included the following sectors: lumber; pulp and board; shake and shingle; export; and post, pole, and piling. Veneer and plywood mills are not included because they could not be presented without disclosing critical details. Tables, presented by...

California's forest products industry: 1994.

Treesearch

Franklin R. Ward

1997-01-01

This report presents the findings of a survey of primary forest products industries in California for 1994. The survey included the following sectors: lumber; veneer; pulp and board; shake and shingle; export; and post, pole, and piling. Tables, presented by sector and for the industry as a whole, include characteristics of the industry, nature and flow of logs...

Exterior, looking west, Equipment Building to left, Tower at center, ...

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

Exterior, looking west, Equipment Building to left, Tower at center, Civil Engineering Storage Building (Building 5765) at left - Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, Microwave Equipment Building, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

Performance and operational analysis of a liquid desiccant open-flow solar collector

NASA Astrophysics Data System (ADS)

Grodzka, P. G.; Rico, S. S.

1982-10-01

Theoretical predictions of the heat and mass transfer in an open flow solar collector used in conjunction with an absorption chiller are compared with performance data from a rooftop system. The study focuses on aqueous solutions of a hygroscopic salt, e.g., LiCl, flowing continuously over a solar absorbing surface. Water in the solution sublimes to a region of lower vapor pressure, i.e., the atmosphere. Direction of the water-depleted dessiccant to a storage volume and then to circulation around an evaporator unit permits operation of a solar-powered air conditioner. A closed form solution was defined for the heat and mass transfer, along with a finite difference solution. The system studied comprised a sloped roof top with 2500 sq ft of asphalt shingles, collector pipes beneath the shingles, and two 500 gal storage tanks. Relatively good agreement was found between the models and the recorded data, although some discrepancies were present when considering temperatures and performance at specific times of day. The measured 30-40% efficiencies indicated that further development of the system is warranted.

Performance of a Haynes 188 metallic standoff thermal protection system at Mach 7

NASA Technical Reports Server (NTRS)

Avery, D. E.

1981-01-01

A flight weight, metallic thermal protection system (TPS) model applicable to reentry and hypersonic vehicles was subjected to multiple cycles of both radiant and aerothermal heating to evaluate its aerothermal performance and structural integrity. The TPS was designed for a maximum operating temperature of 1255 K and featured a shingled, corrugation stiffened corrugated skin heat shield of Haynes 188, a cobalt base alloy. The model was subjected to 3 radiant preheat/aerothermal tests for a total of 67 seconds and to 15 radiant heating tests for a total of 85.9 minutes at 1255 K. The TPS limited the primary structure to temperatures below 430 K in all tests. No catastrophic failures occurred in the heat shields, supports, or insulation system. The TPS continued to function even after exposure to a differential temperature 4 times the design value produced thermal buckles in the outer skin. The shingled thermal expansion joint effectively allowed for thermal expansion of the heat shield without allowing any appreciable hot gas flow into the model cavity, even though the overlap gap between shields increased after several thermal cycles.

Sequential retinal necrosis secondary to varicella zoster in unrecognised long-standing HIV infection: patient safety report.

PubMed

Ning, Brigid Ky; Kelly, Simon P; Chu, Celia; Morgan, Emile

2018-03-21

A retired woman with left ophthalmic shingles of over 2 years' duration attended with bilateral vision loss and systemic upset. Acute retinal necrosis with detachment was detected on right fundus examination. Cataract in left eye precluded funduscopy. Ocular ultrasonography revealed fibrotic retinal detachment in the left eye. MRI brain and orbits also showed signals of retinal detachment. No abnormal MRI signal within the optic nerve or brain was found. Varicella zoster virus was detected in ocular aqueous and blood samples. High-dose intravenous acyclovir was administered. HIV test was positive with a very low CD4 count. Antiretroviral medications were prescribed. There was no recovery of vision. She was certified as blind, and social services were involved in seeking to provide alterations to her home in view of her severe disability. This case highlights the importance of suspecting HIV in patients with severe or chronic ophthalmic shingles. Images and implications for clinical practice are presented. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Areal density optimizations for heat-assisted magnetic recording of high-density media

NASA Astrophysics Data System (ADS)

Vogler, Christoph; Abert, Claas; Bruckner, Florian; Suess, Dieter; Praetorius, Dirk

2016-06-01

Heat-assisted magnetic recording (HAMR) is hoped to be the future recording technique for high-density storage devices. Nevertheless, there exist several realization strategies. With a coarse-grained Landau-Lifshitz-Bloch model, we investigate in detail the benefits and disadvantages of a continuous and pulsed laser spot recording of shingled and conventional bit-patterned media. Additionally, we compare single-phase grains and bits having a bilayer structure with graded Curie temperature, consisting of a hard magnetic layer with high TC and a soft magnetic one with low TC, respectively. To describe the whole write process as realistically as possible, a distribution of the grain sizes and Curie temperatures, a displacement jitter of the head, and the bit positions are considered. For all these cases, we calculate bit error rates of various grain patterns, temperatures, and write head positions to optimize the achievable areal storage density. Within our analysis, shingled HAMR with a continuous laser pulse moving over the medium reaches the best results and thus has the highest potential to become the next-generation storage device.

[The impact of population growth on Tamba Kosi, a Himalayan valley in Nepal].

PubMed

Verliat, S

1994-01-01

Two several-month-long stays in the isolated Tamba Kosi valley in Nepal in 1983 and 1986 allowed an assessment of the importance of changes in rural societies. In about 50 years, the oldest inhabitants of some villages have seen the number of houses quadruple. In the absence of reliable statistical data, the inhabitants say that the Tamba Kosi valley population has doubled in the last 25 years. This population growth exacerbates the multiethnic fight for good land (i.e., ground of modest slope, hot, and humid). Many people have emigrated, which has somewhat eased problems relative to population growth. Soil degradation, which is becoming more and more acute, drives the inhabitants to cut down trees and clear the land for cultivation of new plots. These new plots are running up against steep slopes and high altitude. Most families have barely two hectares, which must suffice to feed 5-6 people on average. This fuels intensification of agricultural production, resulting in low efficacy. Livestock mutilate forests with their hooves and teeth. The marked increase in the variety of livestock accelerates this destruction. Three types of building materials are used in this high valley: thatch, shingles (fir tree), and bamboo matting. The disappearance of wild grasses used to make thatch roofs and people moving to higher and higher altitudes resulted in use of shingles to make roofs. Buildings made of shingles, which demanded changes in construction techniques, changed the conception of homes. They became the preferred building type, which increased the demand for fir trees and deforestation. This lead to a demand for roofing material made of bamboo matting and another change in construction techniques. The retreat of the forest and disappearance of the most wanted plant species are the most spectacular impacts of population growth. This environmental degradation exacerbates erosion at all bioclimatic altitudes.

Prevention of residential roof fires by use of a class "A" fire rated roof system.

PubMed

Edlich, Richard F; Winters, Kathryne L; Long, William B; Britt, L D

2004-01-01

Because residential roof fires remain a life-threatening danger to residential homeowners in the United States, we describe in detail a national fire prevention program for reducing residential roof fires by use of an Underwriters Laboratories Inc. (UL) and National Fire Protection Association Class A fire rated roof system. This Class A system should comply with the test requirements for fire resistance of roof coverings, as outlined in UL 790 or in ASTM International (ASTM) E-108. Both the Asphalt Roofing Manufacturer's Association (ARMA) and the National Roofing Contractors Association (NRCA) have set up guidelines for selecting a new roof for the homeowner. Class A, fiber-glass-based asphalt roofing shingles represent an overwhelming share of the United States residential roofing market, and, as such, the Class A rated roofing system remains an excellent alternative to wood shingles and shakes. Fortunately, the Class A fire rating is available for certain wood shingle products that incorporate a factory-applied, fire resistant treatment. However, in this circumstance, wood products labeled as Class B shakes or shingles must be installed over spaced or solid sheathing that have been covered either with one layer of 1/4 in. (6.4 mm) thick noncombustible roof board, or with one layer of minimum 72-lb. fiber-glass-based mineral surfaced cap sheet, or with another specialty roofing sheet to obtain the Class A fire rating. Clay, tile, slate, and metal have been assigned Class A fire ratings in the codes (but often without testing). These alternative roofing materials are often considerably more expensive. Proper application, ventilation, and insulation of roofing systems are required to prevent heat and moisture buildup in the attic, which can damage the roofing system, making it more susceptible to water leakage as well as ignition in the event of a fire. The NRCA has devised excellent recommendations for the homeowner to prequalify the contractor. In addition, a warranty for any new roofing material is important for the homeowner to ensure that the roofing can be repaired by the contractor or manufacturer during the specified warranty period, in case of contractor error or a manufacturing defect. In addition, the homeowner should ensure that the warranty is transferable to any future owner of the home to allow the buyer to have the same warranty benefits as the original owner. The State of California has mandated strict roofing requirements to prevent residential fires. In the absence of this legislation in other states, the homeowner must follow the guidelines outlined in this collective review to ensure that a roofing system with Class A fire protection is installed. Other fire safety precautions that should also be considered mandatory are to include smoke alarms, escape plans, and retrofit fire sprinklers.

Determination of Optimum Vitamin D Nutrition in Young Women

DTIC Science & Technology

2012-10-01

03/10/2010 03/17/2010 Life Threatening Definitely Not 5/18/2009 4/20/2010 60270 400 Fronto-temporal craniotomy / resection of hemangioma 03/17...sinus infection 10/16/2009 10/26/2009 No 60252 shingles 11/16/2009 12/5/2009 No 60252 chest cold w/ cough & drainage 2/23/2010 No 60252

3rd Generation Thermal Imager Sensor Performance

DTIC Science & Technology

2006-11-01

suffers in the day compared to the night. This degradation is related to high levels of daytime clutter caused by solar reflections and loading and...1 2 3 4 5 LWIR σT (K) M W IR σ T (K ) MWIR = LWIR White Building Block Door Road Roof Shingle Window Rural Backgrounds: MWIR σT vs LWIR σT

A performance comparison of asphalt mixtures modified with hydrated lime, polymer modified binder and reclaimed asphalt shingles (RAS) on Route 50 Moniteau, Morgan and Pettis counties.

DOT National Transportation Integrated Search

2013-03-01

Hydrated lime was required in high traffic asphalt mixtures controlled by Section 403 of the Missouri Standard Specifications for Highway Construction from the late 1980s through much of the 1990s primarily as an anti-stripping agent but also f...

77 FR 22374 - Self-Regulatory Organizations; Financial Industry Regulatory Authority, Inc.; Notice of Filing of...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-13

... I. Gross, Director, Edward Pekarek, Assistant Director, and Genavieve Shingle, Student Intern... finds good cause, pursuant to Section 19(b)(2) of the Act \\11\\ for approving the proposed rule change... that good cause exists to approve the proposal, as modified by Amendment No. 1, on an accelerated basis...

Silvical characteristics of Atlantic white-cedar (Chamaecyparis thyoides)

Treesearch

S. Little

1959-01-01

Atlantic white-cedar ((Chamaecyparis thyoides (L.) B.S.P.) has been a highly prized species since Colonial times because of the durability and high quality of its wood. The wood has been used for many purposes: boat boards, shingles and lath, framing, house and boat finish, pails and tanks, cabin logs, posts, and poles. Good white-cedar has always...

A profile of wood use in nonresidential building construction

Treesearch

H. N. Spelter; R. G. Anderson

This report presents estimates of the amounts of lumber, glued-laminated lumber, trusses, plywood, particleboard, hardboard, and wood shingles used in new nonresidential building construction in the United States. Use of wood products is shown for several building types, project sizes, and building components. The estimates are based on a survey of 489 projects under...

The Rise of the Essay Coach

ERIC Educational Resources Information Center

Gose, Ben

2007-01-01

College admissions essay coaches have been hanging out shingles since the early 1990s. The business has grown sharply over the past decade thanks to the ease of editing via the Internet and students' desire to gain any possible edge as many colleges have become more selective. The companies, with names like Cambridge Essay Service, EssayEdge,…

Oregon's forest products industry: 1988.

Treesearch

James O. Howard; Franklin R. Ward

1991-01-01

This report presents the findings of a survey of all primary forest products industries in Oregon for 1988. The survey included the following sectors: lumber; veneer and plywood; pulp and board; shake and shingle; export; and post, pole, and piling. Tables, presented by sector and for the industry as a whole, include characteristics of the industry, nature and flow of...

California's forest products industry: 1988.

Treesearch

James O. Howard; Franklln R. Ward

1991-01-01

This report presents the findings of a survey of all primary forest products industries in California for 1988. The survey included the following sectors: lumber; veneer and plywood; pulp and board; shake and shingle; export; and post, pole, and piling. Tables, presented by sector and for the industry as a whole, include characteristics of the industry, nature and flow...

Oregon's forest products industry: 1985.

Treesearch

James O. Howard; Franklin R. Ward

1988-01-01

This report presents the findings of a 100-percent survey of the primary forest products industry in Oregon for 1985. The survey included the following sectors: lumber; veneer and plywood; pulp and board; shake and shingle; export; and post, pole, and piling. Tables, presented by sector and for the industry as a whole, include characteristics of the industry, nature...

Oregon's forest products industry: 1992.

Treesearch

Franklin R. Ward

1995-01-01

This report presents the findings of a survey of primary forest products industries in. Oregon for 1992. The survey included the following sectors: lumber; veneer and plywood; pulp and board; shake and shingle; export; and post, pole, and piling. Tables, presented by sector and for the industry as a whole, include characteristics of the industry, nature and flow of...

Oregon's forest products industry: 1994.

Treesearch

Franklin R. Ward

1997-01-01

This report presents the findings of a survey of primary forest products industries in Oregon for 1994. The survey included the following sectors: lumber; veneer; pulp and board; shake and shingle; export; and post, pole, and piling. Tables, presented by sector and for the industry as a whole, include characteristics of the industry, nature and flow of logs consumed,...

Asphalt Pavements Session 2E-2 : Missouri's Use of Recycled Asphalt Shingles in Hot Asphalt [SD .WMV (720x480/29fps/289.0 MB)

DOT National Transportation Integrated Search

2003-12-01

This study evaluates one of the recycling techniques used to rehabilitate pavement, called Cold In-Place Recycling (CIR). CIR is one of the fastest growing road rehabilitation techniques because it is quick and cost-effective. The document reports on...

Within compound, from Guard Tower, looking southeast, Power Plant (Building ...

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

Within compound, from Guard Tower, looking southeast, Power Plant (Building 5761) to left, Satellite Communications Terminal (Building 5771) center, Supply Warehouse (Building 5768) to left - Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

Full-Genome Sequence of a Novel Varicella-Zoster Virus Clade Isolated in Mexico.

PubMed

Garcés-Ayala, Fabiola; Rodríguez-Castillo, Araceli; Ortiz-Alcántara, Joanna María; Gonzalez-Durán, Elizabeth; Segura-Candelas, José Miguel; Pérez-Agüeros, Sandra Ivette; Escobar-Escamilla, Noé; Méndez-Tenorio, Alfonso; Diaz-Quiñonez, José Alberto; Ramirez-González, José Ernesto

2015-07-09

Varicella-zoster virus (VZV) is a member of the Herpesviridae family, which causes varicella (chicken pox) and herpes zoster (shingles) in humans. Here, we report the complete genome sequence of varicella-zoster virus, isolated from a vesicular fluid sample, revealing the circulation of VZV clade VIII in Mexico. Copyright © 2015 Garcés-Ayala et al.

Photovoltaic Roofs

NASA Technical Reports Server (NTRS)

Drummond, R. W., Jr.; Shepard, N. F., Jr.

1984-01-01

Solar cells perform two functions: waterproofing roof and generating electricity. Sections through horizontal and slanting joints show overlapping modules sealed by L-section rubber strips and side-by-side modules sealed by P-section strips. Water seeping through seals of slanting joints drains along channels. Rooftop photovoltaic array used watertight south facing roof, replacing shingles, tar, and gravel. Concept reduces cost of residential solar-cell array.

Turbine rotor-stator leaf seal and related method

DOEpatents

Herron, William Lee; Butkiewicz, Jeffrey John

2003-01-01

A seal assembly for installation between rotating and stationary components of a machine includes a first plurality of leaf spring segments secured to the stationary component in a circumferential array surrounding the rotating component, the leaf spring segments each having a radial mounting portion and a substantially axial sealing portion, the plurality of leaf spring segments shingled in a circumferential direction.

1. GENERAL VIEW OF LOG POND AND BOOM FOR UNLOADING ...

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

1. GENERAL VIEW OF LOG POND AND BOOM FOR UNLOADING CEDAR LOGS FROM TRUCKS AT LOG DUMP, ADJACENT TO MILL; TRUCKS FORMERLY USED TRIP STAKES, THOUGH FOR SAFER HANDLING OF LOGS WELDED STAKES ARE NOW REQUIRED; AS A RESULT LOADING IS NOW DONE WITH A CRANE - Lester Shingle Mill, 1602 North Eighteenth Street, Sweet Home, Linn County, OR

Northern white-cedar (Thuja occidentalis L.): an annotated bibliography

Treesearch

Philip V. Hofmeyer; Laura S. Kenefic; Robert S. Seymour

2007-01-01

Northern white-cedar (Thuja occidentalis L.) is arguably one of the least studied commercial tree species in United States and Canada. It is an important source of wildlife habitat and forage, as well as commodities such as fence posts, shingles and siding. Much of the research on this species comes from the Lake States and Canada; few studies have...

Within compound, from Guard Tower (Building 5762), looking southwest, Technical ...

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

Within compound, from Guard Tower (Building 5762), looking southwest, Technical Equipment Building (Building 5760) to left, Microwave Tower (associated with Building 5769) and Civil Engineering Storage Building (Building 5766) to left - Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

Within compound, from Gate House, looking northwest, Power Plant (Building ...

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

Within compound, from Gate House, looking northwest, Power Plant (Building 5761) to left, Electrical Substation (Building 5770) and Supply Warehouse (Building 5768) center, Satellite Communications Terminal (Building 5771) to far left - Beale Air Force Base, Perimeter Acquisition Vehicle Entry Phased-Array Warning System, End of Spencer Paul Road, north of Warren Shingle Road (14th Street), Marysville, Yuba County, CA

Hospital Corpsman 3 + 2. Revision

DTIC Science & Technology

1981-01-01

scorpion of ) medical importance is the type called Cen-- truroides sculpturatus found in Mexico and cer- BRW-ELS tain areas of the American Southwest...Endemic centers medical officer’s supervision, exist in mountainous regions of Mexico , Central N and South America, th Bakn,.atr 1. Preventive measures...34’ CHICKENPOX-HERPES ZOSTER ( VARICELLA -SHINGLES) TREATMENT. Symptomatic treatment is normally all that is necessary. Wet compresses M. Chickenpox is an

4. EXTERIOR OF SOUTH END OF BUILDING 105 SHOWING TALL ...

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

4. EXTERIOR OF SOUTH END OF BUILDING 105 SHOWING TALL RUSTIC STYLE CHIMNEY WITH GABLE FRAME, METAL ROOF, AND CONCRETE WALKWAY AND STEP TO OPEN SIDE-ENTRY DOOR AT PHOTO ENTER. ORIGINAL DECORATIVE WOOD SHIPLAP SIDING ON UPPER END GABLE HAS BEEN COVERED WITH ASPHALT SHINGLES. VIEW TO NORTH. - Rush Creek Hydroelectric System, Worker Cottage, Rush Creek, June Lake, Mono County, CA

1. Perspective view from northeast of former Surgeon's Quarters. This ...

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

1. Perspective view from northeast of former Surgeon's Quarters. This duplex structure also housed the Secretary and was built in 1887. It is attributed to architect Henry C. Koch, due to the similarity between this Shingle Style house and his contemporary design for the Soldiers' Home Chapel. - National Home for Disabled Volunteer Soldiers, Northwestern Branch, Surgeon's Quarters, 5000 West National Avenue, Milwaukee, Milwaukee County, WI

Stone Quarries and Sourcing in the Carolina Slate Belt

DTIC Science & Technology

2006-04-01

a hilltop with a localized outcrop of small boulders of andesite porphyry . A revisit revealed that the site had recently been destroyed by...rocks are dacitic and include flows, tuffs, breccias, and porphyries . Metasedimentary rocks are metamudstone and fine metasandstone. The Uwharrie...Rocks of this zone, from Shingle Trap, Hattaway, and Sugarloaf Mountains, are mainly light to dark gray metadacite porphyry or metadacitic

Patterns of tree species diversity and composition in old-field successional forests in central Illinois

Treesearch

Scott M. Bretthauer; George Z. Gertner; Gary L. Rolfe; Jeffery O. Dawson

2003-01-01

Tree species diversity increases and dominance decreases with proximity to forest border in two 60-year-old successional forest stands developed on abandoned agricultural land in Piatt County, Illinois. A regression equation allowed us to quantify an increase in diversity with closeness to forest border for one of the forest stands. Shingle oak is the most dominant...

Female Head Athletic Trainers in NCAA Division I (IA Football) Athletics: How They Made It to the Top

ERIC Educational Resources Information Center

Gorant, JoAnne

2012-01-01

The profession of athletic training has opened its doors to women, who now slightly outnumber men in the profession (Shingles, 2001; WATC, 1997, 2005). Unfortunately, this representation does not carry over into positions of high rank. The purpose of this qualitative study was to examine the lived experiences of female head athletic trainers in…

Photovoltaic sheathing element with one or more tabs

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

Keenihan, James R; Langmaid, Joseph A; Lopez, Leonardo C.

2017-02-07

The present invention is premised upon an assembly that includes at least a photovoltaic sheathing element capable of being affixed on a building structure. The shingle including at least a photovoltaic cell assembly, a body portion attached to one or more portions of the photovoltaic cell assembly. Wherein the body portion includes one or more top peripheral tabs each capable of fitting under one or more vertically adjoining devices.

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

none,

This case study describes a DOE Zero Energy Ready Home in Old Greenwich, CT, that scored HERS 40 without PV and HERS 27 with PV. This 4,100 ft2 custom home has 13-inch ICF basement walls and 11-inch ICF above-grade walls with a closed-cell spray foam-insulated roof deck, and a continuously running ERV. The house has a dual-fuel heat pump, an instantaneous condensing water heater, and 4.5-kW solar shingles.

Integrating Recycled Glass Cullet in Asphalt Roof Shingles to Mitigate Heat Island Effect

DTIC Science & Technology

2014-05-01

polymer, 39.3% bituminous composition, 57.5% trap rock dust stabilizer. Using recycled rubber, the formula is 3.2% elastomeric polymer, 37.2...and then rock or slag granules with similar gradation for the headlap granules. Ideal top surface materials are either igneous or metamorphic ...inherently opaque, and must be resistant to multiple heat-thaw cycles. The granules most widely used are crushed slate, basalt, and trap rock (Pagen

Soiling of building envelope surfaces and its effect on solar reflectance. Part I: Analysis of roofing product databases

DOE PAGES

Sleiman, Mohamad; Ban-Weiss, George; Gilbert, Haley E.; ...

2011-12-01

The use of highly reflective “cool” roofing materials can decrease demand for air conditioning, mitigate the urban heat island effect, and potentially slow global warming. However, initially high roof solar reflectance can be degraded by natural soiling and weathering processes. We evaluated solar reflectance losses after three years of natural exposure reported in two separate databases: the Rated Products Directory of the US Cool Roof Rating Council (CRRC) and information reported by manufacturers to the US Environmental Protection Agency (EPA)’s ENERGY STAR® rating program. Many product ratings were culled because they were duplicative (within a database) or not measured. Amore » second, site-resolved version of the CRRC dataset was created by transcribing from paper records the site-specific measurements of aged solar reflectance in Florida, Arizona and Ohio. Products with high initial solar reflectance tended to lose reflectance, while those with very low initial solar reflectance tended to become more reflective as they aged. Within the site-resolved CRRC database, absolute solar reflectance losses for samples of medium-to-high initial solar reflectance were 2 - 3 times greater in Florida (hot and humid) than in Arizona (hot and dry); losses in Ohio (temperate but polluted) were intermediate. Disaggregating results by product type, factory-applied coating, field-applied coating, metal, modified bitumen, shingle, singleply membrane and tile, revealed that absolute solar reflectance losses were largest for fieldapplied coating, modified bitumen and single-ply membrane products, and smallest for factoryapplied coating and metal products.The 2008 Title 24 provisional aged solar reflectance formula overpredicts the measured aged solar reflectance of 0% to 30% of each product type in the culled public CRRC database. The rate of overprediction was greatest for field-applied coating and single-ply membrane products and least for factory-applied coating, shingle, and metal products. New product-specific formulas can be used to estimate provisional aged solar reflectance from initial solar reflectance pending measurement of aged solar reflectance. The appropriate value of soiling resistance varies by product type and is selected to attain some desired overprediction rate for the formula. The correlations for shingle products presented in this paper should not be used to predict aged solar reflectance or estimate provisional aged solar reflectance because the data set is too small and too limited in range of initial solar reflectance.« less

48. REMOVAL OF FIRST TRUSS. The first truss removed here ...

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

48. REMOVAL OF FIRST TRUSS. The first truss removed here rests on ground plates and awaits the similar placement of all the trusses for temporary storage. In the foreground are cut out sections of roofing also removed by crane. Note the 1873-74 standing seam sheet metal roof above the 1851 shingling. The roof pole gutters were in part made up of bench back rails. - Twelfth Street Meeting House, 20 South Twelfth Street, Philadelphia, Philadelphia County, PA

Declining incidence of chickenpox in the absence of universal childhood immunisation

PubMed Central

Lowe, G; Salmon, R; Thomas, D; Evans, M

2004-01-01

Objective: To examine the epidemiology of chickenpox in Wales from 1986 to 2001. Design: Descriptive analysis of chickenpox consultations reported by the Welsh general practice sentinel surveillance scheme for infectious diseases, compared with annual shingles consultation rates from the same scheme to exclude reporting fatigue and data from a general practice morbidity database to validate results. Setting: A total of 226 884 patients registered with one of 30 volunteer general practices participating in the sentinel surveillance scheme. Main outcome measures: Age standardised and age specific incidence of chickenpox. Results: Crude and age standardised consultation rates for chickenpox declined from 1986 to 2001, with loss of epidemic cycling. Rates remained stable in 0–4 year olds but declined in all older age groups, particularly those aged 5–14 years. Shingles consultation rates remained constant over the same period. Data from the morbidity database displayed similar trends. Conclusion: General practitioner consultation rates for chickenpox are declining in Wales except in pre-school children. These findings are unlikely to be a reporting artefact but may be explained either by an overall decline in transmission or increased social mixing in those under 5 years old, through formal child care and earlier school entry, and associated increasing rates of mild or subclinical infection in this age group. Further investigation, particularly by serological surveillance, is necessary before universal varicella immunisation can be considered in the UK. PMID:15383443

Impacts of Changing Climate, Hydrology and Land Use on the Stormwater Runoff of Urbanizing Central Florida

NASA Astrophysics Data System (ADS)

Huq, E.; Abdul-Aziz, O. I.

2017-12-01

We computed the historical and future storm runoff scenarios for the Shingle Creek Basin, including the growing urban centers of central Florida (e.g., City of Orlando). Storm Water Management Model (SWMM 5.1) of US EPA was used to develop a mechanistic hydrologic model for the basin by incorporating components of urban hydrology, hydroclimatological variables, and land use/cover features. The model was calibrated and validated with historical streamflow of 2004-2013 near the outlet of the Shingle Creek. The calibrated model was used to compute the sensitivities of stormwater budget to reference changes in hydroclimatological variables (rainfall and evapotranspiration) and land use/cover features (imperviousness, roughness). Basin stormwater budgets for the historical (2010s = 2004-2013) and future periods (2050s = 2030-2059; 2080s = 2070-2099) were also computed based on downscaled climatic projections of 20 GCMs-RCMs representing the coupled model intercomparison project (CMIP5), and anticipated changes in land use/cover. The sensitivity analyses indicated the dominant drivers of urban runoff in the basin. Comparative assessment of the historical and future stormwater runoff scenarios helped to locate basin areas that would be at a higher risk of future stormwater flooding. Importance of the study lies in providing valuable guidelines for managing stormwater flooding in central Florida and similar growing urban centers around the world.

The contribution of particles washed from rooftops to contaminant loading to urban streams.

PubMed

Van Metre, P C; Mahler, B J

2003-09-01

Rooftops are both a source of and a pathway for contaminated runoff in urban environments. To investigate the importance of particle-associated contamination in rooftop runoff, particles washed from asphalt shingle and galvanized metal roofs at sites 12 and 102 m from a major expressway were analyzed for major and trace elements and PAHs. Concentrations and yields from rooftops were compared among locations and roofing material types and to loads monitored during runoff events in the receiving urban stream to evaluate rooftop sources and their potential contribution to stream loading. Concentrations of zinc, lead, pyrene, and chrysene on a mass per mass basis in a majority of rooftop samples exceeded established sediment quality guidelines for probable toxicity of bed sediments to benthic biota. Fallout near the expressway was greater than farther away, as indicated by larger yields of all contaminants investigated, although some concentrations were lower. Metal roofing was a source of cadmium and zinc and asphalt shingles a source of lead. The contribution of rooftop washoff to watershed loading was estimated to range from 6 percent for chromium and arsenic to 55 percent for zinc. Estimated contributions from roofing material to total watershed load were greatest for zinc and lead, contributing about 20 and 18 percent, respectively. The contribution from atmospheric deposition of particles onto rooftops to total watershed loads in stormwater was estimated to be greatest for mercury, contributing about 46 percent.

Willingness to pay for a QALY based on community member and patient preferences for temporary health states associated with herpes zoster.

PubMed

Lieu, Tracy A; Ray, G Thomas; Ortega-Sanchez, Ismael R; Kleinman, Ken; Rusinak, Donna; Prosser, Lisa A

2009-01-01

A clear sense of what society is willing to pay for a QALY could enhance the usefulness of cost-effectiveness analysis as a field. Scant information exists on willingness to pay (WTP) for a QALY based on direct elicitation of preferences from community members or patients. We had the opportunity to evaluate WTP per QALY using data from a survey on temporary health outcomes related to herpes zoster. Our aims were to (i) describe how much community members are willing to pay to save a QALY based on scenarios describing temporary health states; (ii) evaluate how WTP per QALY varies based on experience with the disease being described and with demographic variables; and (iii) evaluate how the duration and intensity of pain in a scenario influences WTP per QALY. Community members drawn from a nationally representative survey research panel (n = 478) completed an Internet-based survey using time trade-off (TTO) and WTP questions to value a series of scenarios that described herpes zoster cases of varying pain intensity (on a scale of 0-10) and duration (30 days to 1 year). Patients with shingles (n = 354) or postherpetic neuralgia (PHN; n = 120) [defined as having symptoms for 90 days or more] from two large healthcare systems completed telephone interviews with similar questions. Mean and median WTP per QALY values were calculated by dividing the WTP amount by the discounted time traded for each scenario. Responses with a WTP value of more than zero and a TTO value of zero (which would have resulted in an undefined value) were excluded. TTO values were discounted by 3% per year. WTP per QALY means were calculated after trimming the top and bottom 2.5% of responses. Multivariate analyses were conducted using generalized linear mixed models that assumed a negative binomial distribution. Among all respondents, the WTP per QALY ranged from a median of $US7000 to $US11,000 and a trimmed mean of $US26 000 to $US45,000 (year 2005 values), depending on the scenario described. WTP per QALY values varied significantly with respondent characteristics, as well as among respondents with similar characteristics. In multivariate analyses, the mean WTP per QALY was higher among respondents who were younger, male or had higher educational or income levels. After adjusting for these demographic variables, patients who had experienced shingles gave responses with the highest WTP per QALY values. Patients who had experienced PHN gave the lowest values, and community members gave values intermediate to the shingles and PHN groups. In multivariate models that evaluated the effects of pain and duration of the hypothetical zoster scenario, lower duration was associated with higher WTP per QALY. This effect appeared to be due to people increasing the amounts of time they would be willing to trade as duration increased, without proportional increases in the amounts of money they would be willing to pay. Community members and patients gave mean WTP per QALY values that varied significantly based on age, sex, socioeconomic status, experience with shingles and duration of the health state evaluated. The variability in WTP per QALY suggests that it may be difficult to define a unitary threshold of dollars per QALY for policy making based on cost-effectiveness analyses.

Sex and Gender Impact Immune Responses to Vaccines Among the Elderly

PubMed Central

Fink, Ashley L.

2015-01-01

In response to the recommended vaccines in older-aged individuals, sex differences occur in response to those that protect against influenza, tetanus, pertussis, shingles, and pneumococcal infections. The efficacy of vaccines recommended for older-aged adults is consistently greater for females than for males. Gender differences as well as biological sex differences can influence vaccine uptake, responses, and outcome in older-aged individuals, which should influence guidelines, formulations, and dosage recommendations for vaccines in the elderly. PMID:26525340

Block 4 solar cell module design and test specification for residential applications

NASA Technical Reports Server (NTRS)

1978-01-01

Near-term design, qualification and acceptance requirements are provided for terrestrial solar cell modules suitable for incorporation in photovoltaic power sources (2 kW to 10 kW) applied to single family residential installations. Requirement levels and recommended design limits for selected performance criteria are specified for modules intended principally for rooftop installations. Modules satisfying the requirements of this specification fall into one of two categories, residential panel or residential shingle, both meeting general performance requirements plus additional category peculiar constraints.

EFG solar modules

NASA Technical Reports Server (NTRS)

1978-01-01

Six photovoltaic modules using solar cells fabricated from silicon ribbons were assembled and delivered to JPL. Each module was comprised of four separate submodules which were parallel connected. The submodules contained 45 EFG cells which were series interconnected by a shingle or overlapping design. The inherent rectangular shape of the cells allowed a high packing factor to be achieved. The average efficiency of the six modules, corrected to AM1 at 28 C was 8.7%, which indicates that the average encapsulated cell efficiency was 10.0%.

Influence of vegetation on the infilling of a macrotidal embayment: examples from salt marshes and shingle spit of the Baie de Somme (North France)

NASA Astrophysics Data System (ADS)

Le Bot, Sophie; Forey, Estelle; Lafite, Robert; Langlois, Estelle

2015-04-01

As many estuaries in the English Channel, the Baie de Somme is currently filling with a mean seabed elevation between 1.3 and 1.8 cm/yr. Embankments and polders, as well as sea level rise, increase this natural accretion process, which leads to important modifications of environment uses. Interactions between vegetation and sediment dynamics constitute a key-point to consider, in order to better understand the infilling processes in estuaries. To estimate the effect of vegetation on these processes, two particular environments have been studied in the bay: (i) the mid salt marsh covered with Halimione portulacoides, associated with a silty sedimentation, and (ii) the shingle spit, that closes the bay from the South, on which the sea kale (Crambe maritime), a protected pioneer species, develops. Salt marshes progress with a rate of 5-10 m/yr (mean value calculated on the 1947-2011 period). Sedimentological analysis have been conducted on 9 cores (50cm long) collected in three Halimione communities of the bay. They are associated with a silty-dominated (38-84 micrometer) sedimentation under the influence of decantation processes. Rhythmicity is observed in the sedimentation, due to the repetition of a two-layer pattern, that includes a dark layer composed of vegetal rests and that would represent annual sedimentation. Annual sedimentation rates (0.7 to 5.8 cm/yr) are consistent with mean values previously recorded. The shingle spit progresses to the North under the influence of the littoral drift at a rate of 7 m/yr (mean value calculated on the 1947-2011 period). Sea kales are observed on parts formed since several years, above the level of the highest astronomical tides. TLS surveys and sedimentation bars have allowed to measure erosion/sedimentation volumes at the scale of the spit and of sea kale individuals, during spring 2013. Individuals of this species facilitate the trapping of sand, transported by winds from the intertidal flats. Sea kale thus contributes to the maintenance of sand at the surface of the spit during spring (development period of sea kales) and, probably to the progressive silting up of the spit on a longer-term. Thus, sea kale indirectly favours the filling of the bay through the building up and consolidation of the spit that, in turn, enhances sheltered conditions increasing the part of decantation processes in the sedimentation in the bay. (financial support by Région Haute-Normandie and Réseau d'Observation du Littoral Normand et Picard, ROLNP)

Exterior Weathering Durability of Some Leach-Resistant Fire-Retardant Treatments for Wood Shingles: A Five-Year Report.

DTIC Science & Technology

1981-07-01

phos. Code 29 impregnation phonium chloride (90%. in water) 12.5.5%, sodium hydroxide 150%. in water) 2.16%, urea 2.06/%, a liquid melamine 4.35...1.08%.. dicyandlamide 4.54%. (9) impregnation formaldehyde (37%) 4.32%. phosphoric acid 7.06%. water $3.0%. UOFP_2 Pressure Treating solution: Urea 1.44...sodium hydroxide (500o in water) 0.8710, urea 0.800o. a liquid melamine 1.74°o, water 91.570 o. 29 Pressure impregnation Treating solution: Tetrakis

Pediatric Patient with a Rash

PubMed Central

Sutton, Jared; Walsh, Ryan; Franklin, Jillian

2014-01-01

A 2 year old fully immunized male with no personal history of chicken pox presented to the emergency department with a chief complaint of a rash for one week after returning from a hiking trip in a remote island in Canada. After initially being diagnosed with contact dermatitis, a diagnosis of herpes zoster was made by confirmatory viral polymerase chain reaction testing. The purpose of this case report is to examine the literature for the incidence and etiology of shingles in children without a prior history of a primary varicella rash outbreak. PMID:25035735

L10 FePtCu bit patterned media

NASA Astrophysics Data System (ADS)

Brombacher, C.; Grobis, M.; Lee, J.; Fidler, J.; Eriksson, T.; Werner, T.; Hellwig, O.; Albrecht, M.

2012-01-01

Chemically ordered 5 nm-thick L10 FePtCu films with strong perpendicular magnetic anisotropy were post-patterned by nanoimprint lithography into a dot array over a 3 mm-wide circumferential band on a 3 inch Si wafer. The dots with a diameter of 30 nm and a center-to-center pitch of 60 nm appear as single domain and reveal an enhanced switching field as compared to the continuous film. We demonstrate successful recording on a single track using shingled writing with a conventional hard disk drive write/read head.

Test and evaluation of the attic temperature reduction potential of plastic roof shakes

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

Holton, J.K.; Beggs, T.R.

1999-07-01

While monitoring the comparative performance of two test houses in Pittsburgh, Pennsylvania, it was noticed that the attic air temperature of one house with a plastic shake roof was consistently 20 F (11 C) cooler than its twin with asphalt shingles during peak summer cooling periods. More detailed monitoring of the temperatures on the plastic shake, the roof deck, and the attic showed this effect to be largely due to the plastic shake and not to better roof venting or other heat loss mechanisms.

Shingrix: The New Adjuvanted Recombinant Herpes Zoster Vaccine.

PubMed

James, Stephanie F; Chahine, Elias B; Sucher, Allana J; Hanna, Cassandra

2018-02-01

To review the immunogenicity, efficacy, and safety of the herpes zoster subunit vaccine (HZ/su) for use in adult patients for the prevention of shingles. A literature search through PubMed was conducted (June 2008 to October 2017) using the terms shingles vaccine and varicella zoster virus. References from retrieved articles and the prescribing information were also reviewed for any additional material. The literature search was limited to human studies published in English. Randomized controlled, multicenter trials were reviewed and included to evaluate the safety and efficacy of HZ/su. Literature on the epidemiology and pathology of herpes zoster virus infections and recommendations from the Advisory Committee on Immunization Practices (ACIP) were also reviewed. HZ/su is a new adjuvanted recombinant vaccine approved by the Food and Drug Administration for the prevention of herpes zoster in adults 50 years of age and older. HZ/su significantly reduced the risk of developing herpes zoster by more than 90% as compared with placebo and displayed a comparable adverse effect profile. The most common local adverse events were injection site pain, redness, and swelling, and the most common systemic adverse events were myalgia, fatigue, and headache. The ACIP recommends the routine use of HZ/su as the preferred vaccine for the prevention of herpes zoster in immunocompetent adults 50 years of age and older. Based on published immunogenicity, efficacy, and safety data, as well as the recent recommendations by the ACIP, HZ/su should be included on both hospital and community pharmacy formularies and recommended to all immunocompetent patients older than 50 years to prevent herpes zoster.

A Study of the Energy-Saving Potential of Metal Roofs Incorporating Dynamic Insulation Systems

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

Biswas, Kaushik; Miller, William A; Kriner, Scott

2013-01-01

This article presents various metal roof configurations that were tested at Oak Ridge National Laboratory in Tennessee, U.S. between 2009 and 2013, and describes their potential for reducing the attic-generated space-conditioning loads. These roofs contained different combinations of phase-change material, rigid insulation, low emittance surface, and above-sheathing ventilation with standing-seam metal panels on top. These roofs were designed to be installed on existing roofs decks, or on top of asphalt shingles for retrofit construction. All the tested roofs showed the potential for substantial energy savings compared to an asphalt shingle roof, which was used as a control for comparison. Themore » roofs were constructed on a series of adjacent attics separated at the gables using thick foam insulation. The attics were built on top of a conditioned room. All attics were vented at the soffit and ridge. The test roofs and attics were instrumented with an array of thermocouples. Heat flux transducers were installed in the roof deck and attic floor (ceiling) to measure the heat flows through the roof and between the attic and conditioned space below. Temperature and heat flux data were collected during the heating, cooling and swing seasons over a three-year period. Data from previous years of testing have been published. Here, data from the latest roof configurations being tested in year three of the project are presented. All test roofs were highly effective in reducing the heat flows through the roof and ceiling, and in reducing the diurnal attic-temperature fluctuations.« less

Performance Evaluation of Advanced Retrofit Roof Technologies Using Field-Test Data Phase Three Final Report, Volume 1

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

Biswas, Kaushik; Childs, Phillip W; Atchley, Jerald Allen

2014-05-01

This article presents various metal roof configurations that were tested at Oak Ridge National Laboratory in Tennessee, U.S.A. between 2009 and 2013, and describes their potential for reducing the attic-generated space conditioning loads. These roofs contained different combinations of phase change material, rigid insulation, low emittance surface and above-sheathing ventilation, with standing-seam metal panels on top. These roofs were designed to be installed on existing roofs decks, or on top of asphalt shingles for retrofit construction. All the tested roofs showed the potential for substantial energy savings compared to an asphalt shingle roof, which was used as a control formore » comparison. The roofs were constructed on a series of adjacent attics separated at the gables using thick foam insulation. The attics were built on top of a conditioned room. All attics were vented at the soffit and ridge. The test roofs and attics were instrumented with an array of thermocouples. Heat flux transducers were installed in the roof deck and attic floor (ceiling) to measure the heat flows through the roof and between the attic and conditioned space below. Temperature and heat flux data were collected during the heating, cooling and swing seasons over a 3 year period. Data from previous years of testing have been published. Here, data from the latest roof configurations being tested in year 3 of the project are presented. All test roofs were highly effective in reducing the heat flows through the roof and ceiling, and in reducing the diurnal attic temperature fluctuations.« less

Practical issues for using solar-reflective materials to mitigate urban heat islands

NASA Astrophysics Data System (ADS)

Bretz, Sarah; Akbari, Hashem; Rosenfeld, Arthur

Solar-reflective or high-albedo, alternatives to traditionally absorptive urban surfaces such as rooftops and roadways can reduce cooling energy use and improve urban air quality at almost no cost. This paper presents information to support programs that mitigate urban heat islands with solar-reflective surfaces: estimates of the achievable increase in albedo for a variety of surfaces, issues related to the selection of materials and costs and benefits of using them. As an example, we present data for Sacramento, California. In Sacramento, we estimate that 20% of the 96 square mile area is dark roofing and 10% is dark pavement. Based on the change in albedo that is achievable for these surfaces, the overall albedo of Sacramento could be increased by 18%, a change that would produce significant energy savings and increase comfort within the city. Roofing market data indicate which roofing materials should be targeted for incentive programs. In 1995, asphalt shingle was used for over 65% of residential roofing area in the U.S. and 6% of commercial. Built-up roofing was used for about 5% of residential roofing and about 30% of commercial roofing. Single-ply membranes covered about 9% of the residential roofing area and over 30% of the commercial area. White, solar-reflective alternatives are presently available for these roofing materials but a low- first-cost, solar-reflective alternative to asphalt shingles is needed to capture the sloped-roof market. Since incoming solar radiation has a large non-visible component, solar-reflective materials can also be produced in a variety of colors.

Investigation of the proposed solar-driven moisture phenomenon in asphalt shingle roofs

DOE PAGES

Boudreaux, Philip; Pallin, Simon; Jackson, Roderick

2016-01-19

We report that unvented, sealed or conditioned attics are an energy efficiency measure to reduce the thermal load of the home and decrease the space conditioning energy consumption. This retrofit is usually done by using spray polyurethane foam underneath the roof sheathing and on the gables and soffits of an attic to provide a thermal and air barrier. Unvented attics perform well from this perspective but from a moisture perspective sometimes the unvented attic homes have high interior humidity or moisture damage to the roof. As homes become more air tight and energy efficient, an understanding of the hygrothermal dynamicsmore » of the home become more important. One proposed reason for high unvented attic humidity has been that moisture can come through the asphalt shingle roof system and increase the moisture content of the roof sheathing and attic air. This has been called solar driven moisture. Oak Ridge National Laboratory (ORNL) investigated this proposed phenomenon by examining the physical properties of a roof and the physics required for the phenomenon. Results showed that there are not favorable conditions for solar driven moisture to occur. ORNL also conducted an experimental study on an unvented attic home and compared the humidity below the roof sheathing before and after a vapor impermeable underlayment was installed. There was no statistically significant difference in absolute humidity before and after the vapor barrier was installed. Finally, the outcome of the theoretical and experimental study both suggest that solar driven moisture does not occur in any significant amount.« less

Integrated residential photovoltaic array development

NASA Astrophysics Data System (ADS)

Shepard, N. F., Jr.

1981-12-01

An advanced, universally-mountable, integrated residential photovoltaic array concept was defined based upon an in-depth formulation and evaluation of three candidate approaches which were synthesized from existing or proposed residential array concepts. The impact of module circuitry and process sequence is considered and technology gaps and performance drivers associated with residential photovoltaic array concepts are identified. The actual learning experience gained from the comparison of the problem areas of the hexagonal shingle design with the rectangular module design led to what is considered an advanced array concept. Building the laboratory mockup provided actual experience and the opportunity to uncover additional technology gaps.

Therapeutic potential of stellate ganglion block in orofacial pain: a mini review.

PubMed

Jeon, Younghoon

2016-09-01

Orofacial pain is a common complaint of patients that causes distress and compromises the quality of life. It has many etiologies including trauma, interventional procedures, nerve injury, varicella-zoster (shingles), tumor, and vascular and idiopathic factors. It has been demonstrated that the sympathetic nervous system is usually involved in various orofacial pain disorders such as postherpetic neuralgia, complex regional pain syndromes, and atypical facial pain. The stellate sympathetic ganglion innervates the head, neck, and upper extremity. In this review article, the effect of stellate ganglion block and its mechanism of action in orofacial pain disorders are discussed.

Zeroing in on zoster: a tale of many disorders produced by one virus

PubMed Central

Galetta, Kristin M.; Gilden, Don

2015-01-01

While herpes zoster infection has been recognized since antiquity, chickenpox (varicella) was confused with smallpox until the 1800s, when both illnesses became better understood. In the 20th century, varicella zoster virus (VZV) was shown to cause varicella upon primary (first-time) infection and herpes zoster (shingles) after reactivation of latent VZV. Scientific progress over the past 50 years has rapidly advanced the understanding and prevention of disease produced by VZV. Combined imaging and virological studies continue to reveal the protean neurological, ocular and visceral disorders produced by VZV. PMID:26454371

Integrated residential photovoltaic array development

NASA Technical Reports Server (NTRS)

Shepard, N. F., Jr.

1981-01-01

An advanced, universally-mountable, integrated residential photovoltaic array concept was defined based upon an in-depth formulation and evaluation of three candidate approaches which were synthesized from existing or proposed residential array concepts. The impact of module circuitry and process sequence is considered and technology gaps and performance drivers associated with residential photovoltaic array concepts are identified. The actual learning experience gained from the comparison of the problem areas of the hexagonal shingle design with the rectangular module design led to what is considered an advanced array concept. Building the laboratory mockup provided actual experience and the opportunity to uncover additional technology gaps.

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

Rosen, M.R.; Collins, L.B.; Wyrwoll, K.H.

The Houtman Abrolhos reefs are located 80 km off the west coast of Australia between latitudes 28 and 29{degree} south. The islands are situated on three Pleistocene carbonate reef platforms which rise above the surrounding shelf. The modern coral reefs are close to the geographic limit for coral growth in the southern hemisphere and survive due to the presence of the Leeuwin current (a poleward-flowing warm stream). Two major shallow-water benthic communities coexist in the Abrolhos: a macroalgal-dominated community on the windward platform margins and a coral-dominated community on the leeward margins. These communities overlap-particularly in the platform lagoons, wheremore » competition between macroalgae and corals is intense. This interaction has been suggested as a major factor controlling the growth of cord reefs at high latitudes. The Holocene carbonate sediments lack nonskeletal components and are dominated by coral and coralline algal fragments with subordinate molluskan and echinoderm debris. The accumulations can be grouped into the following major facies: (1) coral framestone and coralline algal/serpulid boundstone, (2) submarine sand sheets, (3) subaerial coral storm ridges, (4-) peritidal to subtidal shingle and rubble veneers composed of dominantly coral debris, and (5) eolian dunes and beach sand. The Holocene sediment is a thin (< 2 m) veneer on the Pleistocene reef platform, which is emergent as small islands. The Pleistocene platform is composed of reef facies that can be directly related to the Holocene sediments. The platform is composed of framestone and boundstone facies (corals and coralline algal/serpulid facies), rudstones (submarine coral rubble facies), planar-bedded skeletal grainstones dipping 12-13{degree} (submarine sand sheet and peritidal shingle facies), and large 15-m-high eolianite dunes (eolian dune facies).« less

Review of the Persistence of Herpes Zoster Vaccine Efficacy in Clinical Trials.

PubMed

Cook, Stephen J; Flaherty, Dennis K

2015-11-01

The live attenuated herpes zoster vaccine(*) was approved for the prevention of shingles in 2006. Initial Phase III clinical trials proved vaccine efficacy persisted during the study duration; however, assessment of long-term efficacy required additional studies. This article reviews efficacy data for the zoster vaccine that have been published since 2004. It focuses on studies assessing declining vaccine efficacy. MEDLINE, EMBASE, CENTRAL, and CINAHL databases were searched for zoster vaccine efficacy trials. Randomized controlled trials published from 2004 to 2015 were included in the review. Six studies were included in the review. The zoster vaccine reduced the risk of herpes zoster by 51.3% to 72.4% in 2 Phase III trials. Primary and other analyses showed the vaccine was effective at reducing the burden of illness (61.1%), postherpetic neuralgia (66.5%), disease interference on functional status (66.2%), and disease impact on health-related quality of life (55%) compared with placebo. Surveillance studies showed a decrease in vaccine efficacy for reducing the incidence of herpes zoster during follow-up years 3.3 to 7.8 (39.6% relative reduction) and 4.7 to 11.6 (21.1% relative reduction). Initial zoster vaccine efficacy is significant, but declines in post-vaccination years 3 to 11. This raises the question about the need for possible revaccination with the zoster vaccine. Clinicians should consider the declining efficacy when administering the zoster vaccine to patients. Future studies will need to address the impact of the varicella vaccine on the incidence of shingles and whether this impacts the efficacy of the zoster vaccine. Copyright © 2015 Elsevier HS Journals, Inc. All rights reserved.

Complex Regional Pain Syndrome following an Episode of Herpes Zoster: A Case Report.

PubMed

Marrero, Christopher E; Mclean, Neuyen; Varnado, Keyana

2017-01-01

Complex regional pain syndrome (CRPS) is characterized by searing pain, hyperalgesia, edema, allodynia, and skin changes. CRPS may be difficult to diagnose and to treat given poorly understood mechanisms as well as its presentation of symptoms that may mimic common conditions such as joint stiffness in this condition as well as rheumatoid arthritis. A 71-year-old female presented to our clinic post shingles of the right upper extremity. We diagnosed her with CRPS based on the Budapest diagnostic criteria and the clinical findings of pain and decreased the range of motion along with edema, hypersensitivity, discoloration and allodynia of the right thumb and index finger. She was treated with vitamin C as well as gabapentin and physical therapy. The patient was unable to go consistently to physical therapy due to insurance limitations, and we found no clinical benefit of vitamin C in reducing her symptoms. She was lost to follow-up during her treatment but re-emerged at 21 months. At that time she reported, she was largely unchanged in regards to her right-hand symptoms but did believe the gabapentin was helpful and still continued to take 300 mg daily. This case report highlights the usefulness of the Budapest diagnostic criteria to make the diagnosis of CRPS when associated with shingles, which can cause long-term pain and mimic some findings. Prompt diagnosis is important, as recovery typically extends beyond 6 months; our patient still reported continued symptoms at 21 months post initial presentation. Our primary treatment plan was physical therapy, which she discontinued due to insurance limitations. We recommend that patients, physicians, and third-party payers work together to extend access to physical therapy. More investigation is warranted regarding symptomatic treatment, as we found limited clinical benefit of gabapentin and vitamin C.

Rapid Detection of the Varicella Zoster Virus in Saliva

NASA Technical Reports Server (NTRS)

Pierson, Duane L.; Mehta, Satish K.; Cohrs, Randall J.; Gilden, Don H.; Harding, Robert E.

2011-01-01

Varicella zoster virus (VZV) causes chicken pox on first exposure (usually in children), and reactivates from latency causing shingles (usually in adults). Shingles can be extremely painful, causing nerve damage, organ damage, and blindness in some cases. The virus can be life-threatening in immune-compromised individuals. The virus is very difficult to culture for diagnosis, requiring a week or longer. This invention is a rapid test for VZV from a saliva sample and can be performed in a doctor s office. The kit is small, compact, and lightweight. Detec tion is sensitive, specific, and noninvasive (no needles); only a saliva sample is required. The test provides results in minutes. The entire test is performed in a closed system, with no exposure to infectious materials. The components are made mostly of inexpensive plastic injection molded parts, many of which can be purchased off the shelf and merely assembled. All biological waste is contained for fast, efficient disposal. This innovation was made possible because of discovery of a NASA scientists flight experiment showing the presence of VZV in saliva during high stress periods and disease. This finding enables clinicians to quickly screen patients for VZV and treat the ones that show positive results with antiviral medicines. This promotes a rapid recovery, easing of pain and symptoms, and reduces chances of complications from zoster. Screening of high-risk patients could be incorporated as part of a regular physical exam. These patients include the elderly, pregnant women, and immune-compromised individuals. In these patients, VZV can be a life-threatening disease. In both high- and low-risk patients, early detection and treatment with antiviral drugs can dramatically decrease or even eliminate the clinical manifestation of disease.

Zoster vaccine (Zostavax): a review of its use in preventing herpes zoster and postherpetic neuralgia in older adults.

PubMed

Sanford, Mark; Keating, Gillian M

2010-02-01

Individuals who have been infected with varicella zoster virus (VZV) are at risk for developing herpes zoster and this risk appears to be related to a decline in VZV-specific cell-mediated immunity (CMI). Zostavax (zoster vaccine) is a one-dose, high-potency, live, attenuated VZV vaccine that boosts VZV-specific CMI and this is its presumed mechanism of action. Zoster vaccine is registered in the EU for use in adults aged >or=50 years for the prevention of herpes zoster and herpes zoster-related postherpetic neuralgia. In the Shingles Prevention Study, a placebo-controlled trial in adults aged >or=60 years (n = 38 546), zoster vaccine led to a sustained boost of VZV-specific CMI. Over a mean herpes zoster surveillance period of 3.1 years, zoster vaccine reduced the herpes zoster-related burden of illness by 61%, reduced the incidence of herpes zoster by 51% and reduced the incidence of postherpetic neuralgia by 67%. Zoster vaccine recipients who developed herpes zoster had a shorter illness duration and severity than placebo recipients who developed herpes zoster. Zoster vaccine had continuing efficacy in a Shingles Prevention Study subpopulation followed for 7 years post-vaccination. Zoster vaccine was generally well tolerated in older adults. While cost-effectiveness estimates in pharmacoeconomic analyses varied widely according to vaccine and herpes zoster parameter cost/benefit estimates, an analysis from a UK perspective found a zoster vaccine immunization programme in adults aged 65 years to be cost effective. In older adults, the zoster vaccine has the potential to significantly reduce the herpes zoster burden of illness by decreasing the incidence of herpes zoster or reducing its severity.

The effect of roofing material on the quality of harvested rainwater.

PubMed

Mendez, Carolina B; Klenzendorf, J Brandon; Afshar, Brigit R; Simmons, Mark T; Barrett, Michael E; Kinney, Kerry A; Kirisits, Mary Jo

2011-02-01

Due to decreases in the availability and quality of traditional water resources, harvested rainwater is increasingly used for potable and non-potable purposes. In this study, we examined the effect of conventional roofing materials (i.e., asphalt fiberglass shingle, Galvalume(®) metal, and concrete tile) and alternative roofing materials (i.e., cool and green) on the quality of harvested rainwater. Results from pilot-scale and full-scale roofs demonstrated that rainwater harvested from any of these roofing materials would require treatment if the consumer wanted to meet United States Environmental Protection Agency primary and secondary drinking water standards or non-potable water reuse guidelines; at a minimum, first-flush diversion, filtration, and disinfection are recommended. Metal roofs are commonly recommended for rainwater harvesting applications, and this study showed that rainwater harvested from metal roofs tends to have lower concentrations of fecal indicator bacteria as compared to other roofing materials. However, concrete tile and cool roofs produced harvested rainwater quality similar to that from the metal roofs, indicating that these roofing materials also are suitable for rainwater harvesting applications. Although the shingle and green roofs produced water quality comparable in many respects to that from the other roofing materials, their dissolved organic carbon concentrations were very high (approximately one order of magnitude higher than what is typical for a finished drinking water in the United States), which might lead to high concentrations of disinfection byproducts after chlorination. Furthermore the concentrations of some metals (e.g., arsenic) in rainwater harvested from the green roof suggest that the quality of commercial growing media should be carefully examined if the harvested rainwater is being considered for domestic use. Hence, roofing material is an important consideration when designing a rainwater catchment. Copyright © 2011 Elsevier Ltd. All rights reserved.

Advanced composite combustor structural concepts program

NASA Technical Reports Server (NTRS)

Sattar, M. A.; Lohmann, R. P.

1984-01-01

An analytical study was conducted to assess the feasibility of and benefits derived from the use of high temperature composite materials in aircraft turbine engine combustor liners. The study included a survey and screening of the properties of three candidate composite materials including tungsten reinforced superalloys, carbon-carbon and silicon carbide (SiC) fibers reinforcing a ceramic matrix of lithium aluminosilicate (LAS). The SiC-LAS material was selected as offering the greatest near term potential primarily on the basis of high temperature capability. A limited experimental investigation was conducted to quantify some of the more critical mechanical properties of the SiC-LAS composite having a multidirection 0/45/-45/90 deg fiber orientation favored for the combustor linear application. Rigorous cyclic thermal tests demonstrated that SiC-LAS was extremely resistant to the thermal fatigue mechanisms that usually limit the life of metallic combustor liners. A thermal design study led to the definition of a composite liner concept that incorporated film cooled SiC-LAS shingles mounted on a Hastelloy X shell. With coolant fluxes consistent with the most advanced metallic liner technology, the calculated hot surface temperatures of the shingles were within the apparent near term capability of the material. Structural analyses indicated that the stresses in the composite panels were low, primarily because of the low coefficient of expansion of the material and it was concluded that the dominant failure mode of the liner would be an as yet unidentified deterioration of the composite from prolonged exposure to high temperature. An economic study, based on a medium thrust size commercial aircraft engine, indicated that the SiC-LAS combustor liner would weigh 22.8N (11.27 lb) less and cost less to manufacture than advanced metallic liner concepts intended for use in the late 1980's.

A cranial nail for fetal shunting.

PubMed

Saunders, R L; Simmons, G M; Edwards, W H; Crow, H C

1985-01-01

A small number of human fetal hydrocephalics have been treated by ventriculoamniotic shunts of silastic tubing. The Colorado device appears to be the one most commonly used. The original experimental device tested on a primate model resembled a hollow shingle nail. This was designed by Michedja and Hodgen, contained a spring valve, measured approximately 32 X 4 mm and was placed by hysterotomy. An attractive feature of this design was its fixation by impaction in the skull, preventing displacement by fetal activity, a reported disadvantage with the silastic devices. To our knowledge, no one has used this nail-like design and tailored it to transuterine percutaneous placement in a human case.

Penile herpes zoster: an unusual location for a common disease.

PubMed

Bjekic, Milan; Markovic, Milica; Sipetic, Sandra

2011-01-01

Herpes zoster is a common dermatological condition which affects up to 20% of the population, most frequently involving the thoracic and facial dermatomes with sacral lesions occurring rarely and only a few reported cases of penile shingles. We report two cases of unusual penile clinical presentations of varicella zoster virus infection in immunocompetent men. The patients presented with grouped clusters of vesicles and erythema on the left side of penile shaft and posterior aspect of the left thigh and buttock, involving s2-s4 dermatomes. The lesions resolved quickly upon administration of oral antiviral therapy. Penile herpes zoster should not be overlooked in patients with unilateral vesicular rash.

Widespread skin rash following travel to South-East Asia.

PubMed

Creamer, Andrew

2014-02-20

A 21-year-old man presented with a widespread, intensely pruritic skin rash, which developed acutely 5 days after returning from a backpacking holiday in Thailand. On initial presentation to his general practitioner, an erythematous, papular rash was noted in the upper right back, with smaller clusters of lesions on the buttocks and right arm. Based on the anatomical distribution of the lesions, a preliminary diagnosis of shingles was made. Over the following 2 weeks, the lesions failed to improve, and new snake-like lesions appeared. A dermatologist made the diagnosis of cutaneous larva migrans. The skin lesions rapidly resolved following oral albendazole therapy.

[Geriatric medicine].

PubMed

Lajoso, Sonia; Launay, Cyrille P; Poloni, Barbara; Büla, Christophe; Gold, Gabriel; Lang, Pierre-Olivier

2017-01-11

In 2016, consequences, contributing factors, and prevention of inappropriate drug prescribing were investigated. Two studies lift the veil on unexplained falls and syncope. A meta-analysis questions the need to adapting transfusion's threshold to comorbidities, and another one the performance of screening for swallowing disorders. The Framingham Heart Study reports the declining of the incidence of vascular dementia. The role played by microbleeds in cognitive deterioration was investigated and aducanumab showed encouraging effect in Alzheimer's disease. When vaccination against influenza for health workers in nursing home was challenged by a meta-analysis this recommendation must be followed. Vaccines against shingles are effective and safe, and a study confirms the efficacy of the HZ7su among 70+.

Micro-mechanisms of Surface Defects Induced on Aluminum Alloys during Plastic Deformation at Elevated Temperatures

NASA Astrophysics Data System (ADS)

Gali, Olufisayo A.

Near-surface deformed layers developed on aluminum alloys significantly influence the corrosion and tribological behavior as well as reduce the surface quality of the rolled aluminum. The evolution of the near-surface microstructures induced on magnesium containing aluminum alloys during thermomechanical processing has been investigated with the aim generating an understanding of the influence of individual forming parameters on its evolution and examine the microstructure of the roll coating induced on the mating steel roll through material transfer during rolling. The micro-mechanisms related to the various features of near-surface microstructure developed during tribological conditions of the simulated hot rolling process were identified. Thermomechanical processing experiments were performed with the aid of hot rolling (operating temperature: 550 to 460 °C, 4, 10 and 20 rolling pass schedules) and hot forming (operating temperature: 350 to 545 °C, strain rate: 4 x 10-2 s-1) tribo-simulators. The surface, near-surface features and material transfer induced during the elevated temperature plastic deformation were examined and characterized employing optical interferometry, SEM/EDS, FIB and TEM. Near-surface features characterized on the rolled aluminum alloys included; cracks, fractured intermetallic particles, aluminum nano-particles, oxide decorated grain boundaries, rolled-in oxides, shingles and blisters. These features were related to various individual rolling parameters which included, the work roll roughness, which induced the formation of shingles, rolling marks and were responsible for the redistribution of surface oxide and the enhancements of the depth of the near-surface damage. The enhanced stresses and strains experienced during rolling were related to the formation and propagation of cracks, the nanocrystalline structure of the near-surface layers and aluminum nano-particles. The mechanism of the evolution of the near-surface microstructure were determined to include grain boundary sliding which induced the cracks at the surface and subsurface of the alloy, magnesium diffusion to free surfaces, crack propagation from shear stresses and the shear strains inducing the nanocrystalline grain structure, the formation of shingles by the shear deformation of micro-wedges induced by the work roll grooves, and the deformation of this oxide covered micro-wedges inducing the rolled-in oxides. Magnesium diffusion to free surfaces was identified as inducing crack healing due to the formation of MgO within cracks and was responsible for the oxide decorated grain boundaries. An examination of the roll coating revealed a complex layered microstructure that was induced through tribo-chemical and mechanical entrapment mechanisms. The microstructure of the roll coating suggested that the work roll material and the rolled aluminum alloy were essential in determining its composition and structure. Subsequent hot forming processes revealed the rich oxide-layer of the near-surface microstructure was beneficial for reducing the coefficient of friction during tribological contact with the steel die. Damage to the microstructure include cracks induced from grain boundary sliding of near-surface grains and the formation of oxide fibres within cracks of the near-surface deformed layers.

Integrated residential photovoltaic array development

NASA Astrophysics Data System (ADS)

Shepard, N. F., Jr.

1981-02-01

An optimum integrated residential photovoltaic array/module is addressed. Nineteen existing or proposed systems intended for residential applications are described. Each of these systems is rated against a comprehensive set of evaluation criteria in an effort to formulate three module design concepts for further study and analysis. This evaluation led to a number of observations which are enumerated and should be considered in future module and array designs. Three module concepts are presented as baseline design approaches to be further analyzed and optimized. These options include: (1) a rectangular, direct mounted, shingle type module; (2) an integrally mounted module with nonconductive exposed elements; and (3) an aluminum framed, stand off module. Preliminary design drawings are presented for each of these module configurations.

Integrated residential photovoltaic array development

NASA Technical Reports Server (NTRS)

Shepard, N. F., Jr.

1981-01-01

An optimum integrated residential photovoltaic array/module is addressed. Nineteen existing or proposed systems intended for residential applications are described. Each of these systems is rated against a comprehensive set of evaluation criteria in an effort to formulate three module design concepts for further study and analysis. This evaluation led to a number of observations which are enumerated and should be considered in future module and array designs. Three module concepts are presented as baseline design approaches to be further analyzed and optimized. These options include: (1) a rectangular, direct mounted, shingle type module; (2) an integrally mounted module with nonconductive exposed elements; and (3) an aluminum framed, stand off module. Preliminary design drawings are presented for each of these module configurations.

Maintenance Plan for Historic Buildings within the Presidio of San Francisco Historic Landmark District.

DTIC Science & Technology

1982-12-10

S ^ %/;;>>; ->^ rr^7»-.~ iT »v *.**.• ••’ y.>.,,l’,’V V;T... It was determined from the outset that it would be necessary to work closely with the National Park Service Western Regional Office and the ü. S ... s *S’j>S’jfri?j?±?*yj?*?uL^a. IT • ’••••••’••• •• •-••’••••-•’•’-•••-•"-•’•>-.** — VN $ s 7.3.2 SLATE SHINGLES .v. •«vj surface.

[Current events in vaccination].

PubMed

Aubert, M; Aumaître, H; Beytout, J; Bloch, K; Bouhour, D; Callamand, P; Chave, C; Cheymol, J; Combadière, B; Dahlab, A; Denis, F; De Pontual, L; Dodet, B; Dommergues, M-A; Dufour, V; Gagneur, A; Gaillat, J; Gaudelus, J; Gavazzi, G; Gillet, Y; Gras-le-Guen, C; Haas, H; Hanslik, T; Hau-Rainsard, I; Larnaudie, S; Launay, O; Lorrot, M; Loulergue, P; Malvy, D; Marchand, S; Picherot, G; Pinquier, D; Pulcini, C; Rabaud, C; Regnier, F; Reinert, P; Sana, C; Savagner, C; Soubeyrand, B; Stephan, J-L; Strady, C

2011-11-01

The annual meeting of the Infectious Disease Society of America (IDSA) ; which brought together nearly 5000 participants from over 80 countries in Vancouver, Canada, October 21 to 24, 2010 ; provided a review of the influenza (H1N1) 2009 pandemic, evaluated vaccination programmes and presented new vaccines under development. With 12,500 deaths in the United States in 2009-2010, the influenza (H1N1) 2009 pandemic was actually less deadly than the seasonal flu. But it essentially hit the young, and the toll calculated in years of life lost is high. The monovalent vaccines, whether live attenuated or inactivated with or without adjuvants, were well tolerated in toddlers, children, adults and pregnant women. In order to protect infants against pertussis, family members are urged to get their booster shots. The introduction of the 13-valent Pneumococcal conjugated vaccine in the beginning of 2010 may solve - but for how long ? - the problem of serotype replacement, responsible for the re-increasing incidence of invasive Pneumococcal infections observed in countries that had introduced the 7-valent vaccine. The efficacy of a rotavirus vaccine has been confirmed, with a reduction in hospitalization in the United States and a reduction in gastroenteritis-related deaths in Mexico. In the United States, vaccination of pre-adolescents against human papillomavirus (HPV) has not resulted in any specific undesirable effects. Routine vaccination against chicken pox, recommended since 1995, has not had an impact on the evolution of the incidence of shingles. Vaccination against shingles, recommended in the United States for subjects 60 years and over, shows an effectiveness of 55 %, according to a cohort study (Kaiser Permanente, Southern California). Although some propose the development of personalized vaccines according to individual genetic characteristics, the priority remains with increasing vaccine coverage, not only in infants but also in adults and the elderly. Vaccine calendars that cover a whole lifetime should be promoted, since the vaccination of adults and seniors is a determining factor of good health at all ages. Copyright © 2011. Published by Elsevier SAS.

Complex Regional Pain Syndrome following an Episode of Herpes Zoster: A Case Report

PubMed Central

Marrero, Christopher E; Mclean, Neuyen; Varnado, Keyana

2017-01-01

Introduction: Complex regional pain syndrome (CRPS) is characterized by searing pain, hyperalgesia, edema, allodynia, and skin changes. CRPS may be difficult to diagnose and to treat given poorly understood mechanisms as well as its presentation of symptoms that may mimic common conditions such as joint stiffness in this condition as well as rheumatoid arthritis. Case Report: A 71-year-old female presented to our clinic post shingles of the right upper extremity. We diagnosed her with CRPS based on the Budapest diagnostic criteria and the clinical findings of pain and decreased the range of motion along with edema, hypersensitivity, discoloration and allodynia of the right thumb and index finger. She was treated with vitamin C as well as gabapentin and physical therapy. The patient was unable to go consistently to physical therapy due to insurance limitations, and we found no clinical benefit of vitamin C in reducing her symptoms. She was lost to follow-up during her treatment but re-emerged at 21 months. At that time she reported, she was largely unchanged in regards to her right-hand symptoms but did believe the gabapentin was helpful and still continued to take 300 mg daily. Conclusion: This case report highlights the usefulness of the Budapest diagnostic criteria to make the diagnosis of CRPS when associated with shingles, which can cause long-term pain and mimic some findings. Prompt diagnosis is important, as recovery typically extends beyond 6 months; our patient still reported continued symptoms at 21 months post initial presentation. Our primary treatment plan was physical therapy, which she discontinued due to insurance limitations. We recommend that patients, physicians, and third-party payers work together to extend access to physical therapy. More investigation is warranted regarding symptomatic treatment, as we found limited clinical benefit of gabapentin and vitamin C. PMID:28819596

Review of the United States universal varicella vaccination program: Herpes zoster incidence rates, cost-effectiveness, and vaccine efficacy based primarily on the Antelope Valley Varicella Active Surveillance Project data

PubMed Central

Goldman, G.S.; King, P.G.

2013-01-01

In a cooperative agreement starting January 1995, prior to the FDA's licensure of the varicella vaccine on March 17, the Centers for Disease Control and Prevention (CDC) funded the Los Angeles Department of Health Services’ Antelope Valley Varicella Active Surveillance Project (AV-VASP). Since only varicella case reports were gathered, baseline incidence data for herpes zoster (HZ) or shingles was lacking. Varicella case reports decreased 72%, from 2834 in 1995 to 836 in 2000 at which time approximately 50% of children under 10 years of age had been vaccinated. Starting in 2000, HZ surveillance was added to the project. By 2002, notable increases in HZ incidence rates were reported among both children and adults with a prior history of natural varicella. However, CDC authorities still claimed that no increase in HZ had occurred in any US surveillance site. The basic assumptions inherent to the varicella cost–benefit analysis ignored the significance of exogenous boosting caused by those shedding wild-type VZV. Also ignored was the morbidity associated with even rare serious events following varicella vaccination as well as the morbidity from increasing cases of HZ among adults. Vaccine efficacy declined below 80% in 2001. By 2006, because 20% of vaccinees were experiencing breakthrough varicella and vaccine-induced protection was waning, the CDC recommended a booster dose for children and, in 2007, a shingles vaccination was approved for adults aged 60 years and older. In the prelicensure era, 95% of adults experienced natural chickenpox (usually as children)—these cases were usually benign and resulted in long-term immunity. Varicella vaccination is less effective than the natural immunity that existed in prevaccine communities. Universal varicella vaccination has not proven to be cost-effective as increased HZ morbidity has disproportionately offset cost savings associated with reductions in varicella disease. Universal varicella vaccination has failed to provide long-term protection from VZV disease. PMID:22659447

Skin conditions common to people with HIV infection or AIDS.

PubMed

Kalibala, S

1990-04-01

The World Health Organization clinical criteria for AIDS diagnosis in Africa include Kaposi's sarcoma, Herpes zoster, Herpes simplex, and pruritic maculopapular rash, which have a predictive value for HIV seropositivity of 71-98%. Skin conditions may be classified as: 1) generalized dermatitis, 2) bacterial, fungal, viral, and parasitic infections, and 3) skin tumors. Pruritic maculopapular rash (prurigo) is often the first outward sign of HIV infection. Soothing preparations such as calamine lotion or E45 emollient cream can be applied. Occasionally antihistamine may be necessary, e.g., 10 mg of chlorpheniramine 8 hourly. Skin lesions may become secondarily infected with bacteria; usually Staphylococcus aureus and Streptococcus species. Persistent folliculitis or carbuncles should be treated with flucloxacillin 250 mg QDS for 7 days. In HIV/AIDS fungal infections often develop secondary infection. Candidiasis (thrush) is caused by yeasts, mainly Candida albicans and a small percentage by Tolurosis glabrata. Many HIV-infected patients suffer from seborrheic dermatitis. Fungal diseases more typically present as ringworms of the scalp (Tinea capitis). Whitfield's ointment is effective for ringworm. Antifungal creams such as miconazol or clotrimazole and systemic antifungal tablets such as ketoconazole, fluconazole, and itraconazole are also effective. Gentian violet lotion twice daily and Acyclovir tablets, 200 mg 5 times daily for 5 days, may help to reduce secondary Herpes simplex infection. HIV has been associated with an increased incidence of Herpes zoster (shingles). It is often necessary to give analgesics like aspirin or paracetamol to control the pain. Gentian violet paint may help to prevent secondary infection. When shingles affects the eye, Acyclovir tablets (800 mg 5 times daily) should be given. Kaposi's sarcoma affects wider age groups, and it is disseminated and more aggressive than the endemic type. Treatment options include radiotherapy and systemic cytotoxics such as vincristine. Intralesional injections of the drug interferon have also given successful results with some patients.

Herpes Zoster Vaccine in the Long-Term Care Setting: A Clinical and Logistical Conundrum.

PubMed

Schafer, Katherine Montag; Reidt, Shannon

2016-01-01

Advancing age is associated with an increased risk of herpes zoster (shingles) infection and latent effects such as postherpetic neuralgia. The herpes zoster vaccine is recommended in those 60 years of age and older and has been shown to prevent both the primary disease and associated complications. While this recommendation applies to those living in long-term care facilities, there is little clinical evidence to support use in this population. Additionally, there are logistical barriers that may complicate the use of the vaccine. The article examines the evidence for vaccinating residents in long-term care facilities and discusses logistical barriers to vaccination. Pharmacists and providers may consider life expectancy and other factors when evaluating which patients should receive the vaccination.

Herpes Zoster Vaccination: Controversies and Common Clinical Questions.

PubMed

Van Epps, Puja; Schmader, Kenneth E; Canaday, David H

2016-01-01

Herpes zoster, clinically referred to as shingles, is an acute, cutaneous viral infection caused by reactivation of the varicella zoster virus, the same virus that causes chickenpox. The incidence of herpes zoster and its complications increase with decline in cell-mediated immunity, including age-associated decline. The most effective management strategy for herpes zoster is prevention of the disease through vaccination in those who are most vulnerable. Despite the demonstrated efficacy in reducing the incidence and severity of herpes zoster, the uptake of vaccine remains low. Here, we will discuss the controversies that surround the live herpes zoster vaccine and address the common clinical questions that arise. We will also discuss the new adjuvanted herpes zoster vaccine currently under investigation. © 2015 S. Karger AG, Basel.

Herpes Zoster Associated Hospital Admissions in Italy: Review of the Hospital Discharge Forms

PubMed Central

Gabutti, Giovanni; Serenelli, Carlotta; Cavallaro, Alessandra; Ragni, Pietro

2009-01-01

In Italy a specific surveillance system for zoster does not exist, and thus updated and complete epidemiological data are lacking. The objective of this study was to retrospectively review the national hospital discharge forms database for the period 1999–2005 using the code ICD9-CM053. In the period 1999–2005, 35,328 hospital admissions have been registered with annual means of 4,503 hospitalizations and 543 day-hospital admissions. The great part of hospitalizations (61.9%) involved subjects older than 65 years; the mean duration of stay was 8 days. These data, even if restricted to hospitalizations registered at national level, confirm the epidemiological impact of shingles and of its complications. PMID:19826547

Technology Solutions Case Study: Field Testing an Unvented Roof with Asphalt Shingles in a Cold Climate

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

K. Ueno and J. Lstiburek

2015-09-01

Test houses with unvented roof assemblies were built to measure long-term moisture performance, in the Chicago area (5A) and the Houston area (2A). The Chicago-area test bed had seven experimental rafter bays, including a "control" vented compact roof, and six unvented roof variants with cellulose or fiberglass insulation. The interior was run at 50% RH. All roofs except the vented cathedral assembly experienced wood moisture contents and RH levels high enough to constitute failure. Disassembly at the end of the experiment showed that the unvented fiberglass roofs had wet sheathing and mold growth. In contrast, the cellulose roofs only hadmore » slight issues, such as rusted fasteners and sheathing grain raise.« less

Reducing pain in acute herpes zoster with plain occlusive dressings: a case report.

PubMed

Keegan, David A

2015-04-25

The pain of acute herpes zoster (shingles) is severe and difficult to control. The medications used to control pain have a variety of important and potentially serious side effects. To the best of my knowledge, this is the first case report of using a plain topical occlusive dressing to reduce the pain of herpes zoster, avoiding the use of medication. A 40-year-old Caucasian man and a qualified physician (the author), developed a dermatomal vesicular rash consistent with herpes zoster. Applying plain topical occlusive dressings reduced the severity of his pain to an ignorable level. Plain topical occlusive dressings provide effective pain relief for acute herpes zoster, thereby avoiding the risks accompanying medication use.

Herpes zoster: A clinicocytopathological insight.

PubMed

Shah, Snehal; Singaraju, Sasidhar; Einstein, A; Sharma, Ashish

2016-01-01

Herpes zoster or shingles is reactivation of the varicella zoster virus that had entered the cutaneous nerve endings during an earlier episode of chicken pox traveled to the dorsal root ganglia and remained in a latent form. This condition is characterized by occurrence of multiple, painful, unilateral vesicles and ulceration which shows a typical single dermatome involvement. In this case report, we present a patient with herpes zoster involving the mandibular division of the trigeminal nerve, with unilateral vesicles over the right side of lower third of face along the trigeminal nerve tract, with intraoral involvement of buccal mucosa, labial mucosa and the tongue of the same side. Cytopathology revealed classic features of herpes infection including inclusion bodies, perinuclear halo and multinucleated cells.

Coexistence of two species of haplosporidian parasites in a population of the marine amphipod Parhyale hawaiensis with evidence for parasite phagocytosis and transmission mode.

PubMed

Ismail, Tarek Gad El-Kareem

2011-04-01

The amphipod Parhyale hawaiensis live hiding underneath stones and shingles along the shore line in supra-littoral zone of Sharm El-Nagha site, Hurghada city, Red Sea. The collected specimens of P. hawaiensis are infected with two protozoan parasites, Urosporidium sp. and Haplosporidium sp. which invade many organs of both females and males. The life cycle of the parasites was described in addition to their histopathological effects on host's tissues. The study showed some evidence for the defense reaction of the host as engulfing and degraded stages of parasites by granulocytes. The two parasite species coexist at different prevalence's in one host population and bi-infected individuals were few.

Herpes Zoster Immunization in Older Adults Has Big Benefits.

PubMed

Breivik, Harald

2015-09-01

A case of acute herpes zoster neuralgia (shingles) in a 78-year-old patient is described. The value and importance of immunizing against herpes zoster to decrease the incidence and severity of both acute herpes zoster neuralgia and postherpetic neuralgia are described. --This report is adapted from paineurope 2015: Issue 1, ©Haymarket Medical Publications Ltd., and is presented with permission. paineurope is provided as a service to pain management by Mundipharma International, Ltd., and is distributed free of charge to health care professionals in Europe. Archival issues can be viewed via the Web site: www.paineurope.com , at which health professionals can find links to the original articles and request copies of the quarterly publication and access additional pain education and pain management resources.

Field Testing Unvented Roofs with Asphalt Shingles in Cold and Hot-Humid Climates

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

Ueno, Kohta; Lstiburek, Joseph W.

2015-09-01

Test houses with unvented roof assemblies were built to measure long-term moisture performance, in the Chicago area (5A) and the Houston area (2A). The Chicago-area test bed had seven experimental rafter bays, including a control vented compact roof, and six unvented roof variants with cellulose or fiberglass insulation. The interior was run at 50% RH. The Houston-area roof was an unvented attic insulated with spray-applied fiberglass. Most ridges and hips were built with a diffusion vent detail, capped with vapor permeable roof membrane. In contrast, the diffusion vent roofs had drier conditions at the roof peak in wintertime, but duringmore » the summer, RHs and MCs were higher than the unvented roof (albeit in the safe range).« less

Vaccination to prevent varicella and shingles

PubMed Central

Breuer, J

2001-01-01

Vaccination of healthy children against varicella using the live attenuated Oka vaccine has been available in Japan and south Korea for several years. In 1996, a programme of universal vaccination of children to prevent varicella was introduced in the USA and other countries, including Canada, Germany, and Sweden, have licensed the vaccine for use in healthy children. This article reviews the origin of the Oka vaccine and the evidence for vaccine safety and efficacy in children and adults. Universal vaccination of children and targeted vaccination of groups at risk of severe varicella are discussed. The possible use of the Oka vaccine to prevent zoster is reviewed, and initiatives to develop new varicella zoster virus vaccines are outlined. Key Words: chickenpox • varicella zoster • herpes zoster • vaccination • leukaemia PMID:11577118

Safety of herpes zoster vaccine in the shingles prevention study: a randomized trial.

PubMed

Simberkoff, Michael S; Arbeit, Robert D; Johnson, Gary R; Oxman, Michael N; Boardman, Kathy D; Williams, Heather M; Levin, Myron J; Schmader, Kenneth E; Gelb, Lawrence D; Keay, Susan; Neuzil, Kathleen; Greenberg, Richard N; Griffin, Marie R; Davis, Larry E; Morrison, Vicki A; Annunziato, Paula W

2010-05-04

The herpes zoster vaccine is effective in preventing herpes zoster and postherpetic neuralgia in immunocompetent older adults. However, its safety has not been described in depth. To describe local adverse effects and short- and long-term safety profiles of herpes zoster vaccine in immunocompetent older adults. Randomized, placebo-controlled trial with enrollment from November 1998 to September 2001 and follow-up through April 2004 (mean, 3.4 years). A Veterans Affairs Coordinating Center generated the permutated block randomization scheme, which was stratified by site and age. Participants and follow-up study personnel were blinded to treatment assignments. (ClinicalTrials.gov registration number: NCT00007501) 22 U.S. academic centers. 38 546 immunocompetent adults 60 years or older, including 6616 who participated in an adverse events substudy. Single dose of herpes zoster vaccine or placebo. Serious adverse events and rashes in all participants and inoculation-site events in substudy participants during the first 42 days after inoculation. Thereafter, vaccination-related serious adverse events and deaths were monitored in all participants, and hospitalizations were monitored in substudy participants. After inoculation, 255 (1.4%) vaccine recipients and 254 (1.4%) placebo recipients reported serious adverse events. Local inoculation-site side effects were reported by 1604 (48%) vaccine recipients and 539 (16%) placebo recipients in the substudy. A total of 977 (56.6%) of the vaccine recipients reporting local side effects were aged 60 to 69 years, and 627 (39.2%) were older than 70 years. After inoculation, herpes zoster occurred in 7 vaccine recipients versus 24 placebo recipients. Long-term follow-up (mean, 3.39 years) showed that rates of hospitalization or death did not differ between vaccine and placebo recipients. Participants in the substudy were not randomly selected. Confirmation of reported serious adverse events with medical record data was not always obtained. Herpes zoster vaccine is well tolerated in older, immunocompetent adults. Cooperative Studies Program, Department of Veterans Affairs, Office of Research and Development; grants from Merck to the Veterans Affairs Cooperative Studies Program; and the James R. and Jesse V. Scott Fund for Shingles Research.

[Current events in vaccination].

PubMed

Aubert, M; Aumaître, H; Beytout, J; Bloch, K; Bouhour, D; Callamand, P; Chave, C; Cheymol, J; Combadière, B; Dahlab, A; Denis, F; De Pontual, L; Dodet, B; Dommergues, M A; Dufour, V; Gagneur, A; Gaillat, J; Gaudelus, J; Gavazzi, G; Gillet, Y; Gras-le-Guen, C; Haas, H; Hanslik, T; Hau-Rainsard, I; Larnaudie, S; Launay, O; Lorrot, M; Loulergue, P; Malvy, D; Marchand, S; Picherot, G; Pinquier, D; Pulcini, C; Rabaud, C; Regnier, F; Reinert, P; Sana, C; Savagner, C; Soubeyrand, B; Stephan, J L; Strady, C

2011-05-01

The annual meeting of the Infectious Disease Society of America (IDSA); which brought together nearly 5000 participants from over 80 countries in Vancouver, Canada, October 21 to 24, 2010; provided a review of the influenza (H1N1) 2009 pandemic, evaluated vaccination programmes and presented new vaccines under development. With 12,500 deaths in the United States in 2009-2010, the influenza (H1N1) 2009 pandemic was actually less deadly than the seasonal flu. But it essentially hit the young, and the toll calculated in years of life lost is high. The monovalent vaccines, whether live attenuated or inactivated with or without adjuvants, were well tolerated in toddlers, children, adults and pregnant women. In order to protect infants against pertussis, family members are urged to get their booster shots. The introduction of the 13-valent Pneumococcal conjugated vaccine in the beginning of 2010 may solve--but for how long?--the problem of serotype replacement, responsible for the re-increasing incidence of invasive Pneumococcal infections observed in countries that had introduced the 7-valent vaccine. The efficacy of a rotavirus vaccine has been confirmed, with a reduction in hospitalization in the United States and a reduction in gastroenteritis-related deaths in Mexico. In the United States, vaccination of pre-adolescents against human papillomavirus (HPV) has not resulted in any specific undesirable effects. Routine vaccination against chicken pox, recommended since 1995, has not had an impact on the evolution of the incidence of shingles. Vaccination against shingles, recommended in the United States for subjects 60 years and over, shows an effectiveness of 55%, according to a cohort study (Kaiser Permanente, Southern California). Although some propose the development of personalized vaccines according to individual genetic characteristics, the priority remains with increasing vaccine coverage, not only in infants but also in adults and the elderly. Vaccine calendars that cover a whole lifetime should be promoted, since the vaccination of adults and seniors is a determining factor of good health at all ages. Copyright © 2011. Published by Elsevier SAS.. All rights reserved.

Review of the United States universal varicella vaccination program: Herpes zoster incidence rates, cost-effectiveness, and vaccine efficacy based primarily on the Antelope Valley Varicella Active Surveillance Project data.

PubMed

Goldman, G S; King, P G

2013-03-25

In a cooperative agreement starting January 1995, prior to the FDA's licensure of the varicella vaccine on March 17, the Centers for Disease Control and Prevention (CDC) funded the Los Angeles Department of Health Services' Antelope Valley Varicella Active Surveillance Project (AV-VASP). Since only varicella case reports were gathered, baseline incidence data for herpes zoster (HZ) or shingles was lacking. Varicella case reports decreased 72%, from 2834 in 1995 to 836 in 2000 at which time approximately 50% of children under 10 years of age had been vaccinated. Starting in 2000, HZ surveillance was added to the project. By 2002, notable increases in HZ incidence rates were reported among both children and adults with a prior history of natural varicella. However, CDC authorities still claimed that no increase in HZ had occurred in any US surveillance site. The basic assumptions inherent to the varicella cost-benefit analysis ignored the significance of exogenous boosting caused by those shedding wild-type VZV. Also ignored was the morbidity associated with even rare serious events following varicella vaccination as well as the morbidity from increasing cases of HZ among adults. Vaccine efficacy declined below 80% in 2001. By 2006, because 20% of vaccinees were experiencing breakthrough varicella and vaccine-induced protection was waning, the CDC recommended a booster dose for children and, in 2007, a shingles vaccination was approved for adults aged 60 years and older. In the prelicensure era, 95% of adults experienced natural chickenpox (usually as children)-these cases were usually benign and resulted in long-term immunity. Varicella vaccination is less effective than the natural immunity that existed in prevaccine communities. Universal varicella vaccination has not proven to be cost-effective as increased HZ morbidity has disproportionately offset cost savings associated with reductions in varicella disease. Universal varicella vaccination has failed to provide long-term protection from VZV disease. Copyright © 2012 Elsevier Ltd. All rights reserved.

The cost-effectiveness of varicella and combined varicella and herpes zoster vaccination programmes in the United Kingdom.

PubMed

van Hoek, Albert Jan; Melegaro, Alessia; Gay, Nigel; Bilcke, Joke; Edmunds, W John

2012-02-01

Despite the existence of varicella vaccine, many developed countries have not introduced it into their national schedules, partly because of concerns about whether herpes zoster (HZ, shingles) will increase due to a lack of exogenous boosting. The magnitude of any increase in zoster that might occur is dependent on rates at which adults and children mix - something that has only recently been quantified - and could be reduced by simultaneously vaccinating older individuals against shingles. This study is the first to assess the cost-effectiveness of combined varicella and zoster vaccination options and compare this to alternative programmes. The cost-effectiveness of various options for the use of varicella-zoster virus (VZV) containing vaccines was explored using a transmission dynamic model. Underlying contact rates are estimated from a contemporary survey of social mixing patterns, and uncertainty in these derived from bootstrapping the original sample. The model was calibrated to UK data on varicella and zoster incidence. Other parameters were taken from the literature. UK guidance on perspective and discount rates were followed. The results of the incremental cost-effectiveness analysis suggest that a combined policy is cost-effective. However, the cost-effectiveness of this policy (and indeed the childhood two-dose policy) is influenced by projected benefits that accrue many decades (80-100 years or more) after the start of vaccination. If the programme is evaluated over shorter time frames, then it would be unlikely to be deemed cost-effective, and may result in declines in population health, due to a projected rise in the incidence of HZ. The findings are also sensitive to a number of parameters that are inaccurately quantified, such as the risk of HZ in varicella vaccine responders. Policy makers should be aware of the potential negative benefits in the first 30-50 years after introduction of a childhood varicella vaccine. This can only be partly mitigated by the introduction of a herpes zoster vaccine. They have to decide how they value the potential benefits beyond this time to consider childhood vaccination cost effective. Copyright © 2011 Elsevier Ltd. All rights reserved.

Analysis of T Cell Responses during Active Varicella-Zoster Virus Reactivation in Human Ganglia

PubMed Central

Steain, Megan; Sutherland, Jeremy P.; Rodriguez, Michael; Cunningham, Anthony L.; Slobedman, Barry

2014-01-01

ABSTRACT Varicella-zoster virus (VZV) is responsible for both varicella (chickenpox) and herpes zoster (shingles). During varicella, the virus establishes latency within the sensory ganglia and can reactivate to cause herpes zoster, but the immune responses that occur in ganglia during herpes zoster have not previously been defined. We examined ganglia obtained from individuals who, at the time of death, had active herpes zoster. Ganglia innervating the site of the cutaneous herpes zoster rash showed evidence of necrosis, secondary to vasculitis, or localized hemorrhage. Despite this, there was limited evidence of VZV antigen expression, although a large inflammatory infiltrate was observed. Characterization of the infiltrating T cells showed a large number of infiltrating CD4+ T cells and cytolytic CD8+ T cells. Many of the infiltrating T cells were closely associated with neurons within the reactivated ganglia, yet there was little evidence of T cell-induced neuronal apoptosis. Notably, an upregulation in the expression of major histocompatibility complex class I (MHC-I) and MHC-II molecules was observed on satellite glial cells, implying these cells play an active role in directing the immune response during herpes zoster. This is the first detailed characterization of the interaction between T cells and neuronal cells within ganglia obtained from patients suffering herpes zoster at the time of death and provides evidence that CD4+ and cytolytic CD8+ T cell responses play an important role in controlling VZV replication in ganglia during active herpes zoster. IMPORTANCE VZV is responsible for both varicella (chickenpox) and herpes zoster (shingles). During varicella, the virus establishes a life-long dormant infection within the sensory ganglia and can reawaken to cause herpes zoster, but the immune responses that occur in ganglia during herpes zoster have not previously been defined. We examined ganglia obtained from individuals who, at the time of death, had active herpes zoster. We found that specific T cell subsets are likely to play an important role in controlling VZV replication in ganglia during active herpes zoster. PMID:24352459

Design of a photovoltaic system for a southeast all-electric residence

NASA Astrophysics Data System (ADS)

Mehalick, E. M.; Tully, G. F.; Johnson, J.; Truncellito, N.; Schaeffer, R.; Parker, J.

1982-01-01

A photovoltaic system was developed and integrated into a single-story residence suitable for the Southeast region of the country. The design addresses an integral mounted array which displaces conventional roof sheathing, roofing felt and shingles. The array has a rated power output of 5.6 kW and covers 86 sq.m. of roof area. A 6 kW utility-tied inverter is used in the power conversion subsystem, representative of a lower cost version, currently available hardware. The system provides feedback of excess energy to the utility, which is the most promising approach for grid-connected systems in the mid-1980's. The complete system and house design are described, including all the pertinent installation and construction drawings. Specific performance results are presented for the Miami, Florida, and Charleston, SC, regions.

The Effects of Scales on Autorotation of Monarch Butterfly Forewings

NASA Astrophysics Data System (ADS)

Dechello, Nicole; Lang, Amy

2014-11-01

The wings of Monarch butterflies (Danus plexippus) have scales of approximately 100 micrometers that cover their wings in a roof-shingle pattern, and these scales are hypothesized to help improve flight efficiency for their long migration. The aerodynamic effects of the scales, particularly involving the leading edge vortex formation and resulting lift, were investigated by observing the natural autorotation of forewing specimen when dropped in quiescent air. A high-speed camera recorded drop tests of 32 forewings both with scales and after removal of the scales. It was found that the scales, on average, comprised 17% of the forewing mass. Tracking software was used to analyze the videos for several parameters, including descent speed and radius of rotation. NSF ECE Grant #1358991 supported the first author as an research experience for undergraduate (REU) student.

Suppression of ITI by array head reading and 2D-equalization

NASA Astrophysics Data System (ADS)

Nakamura, Y.; Suzuto, R.; Osawa, H.; Okamoto, Y.; Kanai, Y.; Muraoka, H.

2017-05-01

Two-dimensional magnetic recording (TDMR) by shingled magnetic recording (SMR) draws attention as a next generation technology to increase the recording density in hard disk drive (HDD). It is shown that the two-dimensional finite impulse response (2D-FIR) filter provides gain the reproducing waveforms from an array head with 3 readers in the TDMR under a specification of 4 Tbit/inch.2 We evaluate the effect of the intertrack interference (ITI) reduction by 2D-FIR using the correlation between the real FIR filter output and the partial response class-I (PR1) signal corresponding to recording sequence by the computer simulation. The results show that the 2D-FIR filter is effective to mitigate ITI and improves the signal-to-noise ratio at the discriminate point by about 0.6 dB.

Heat-assisted magnetic recording of bit-patterned media beyond 10 Tb/in2

NASA Astrophysics Data System (ADS)

Vogler, Christoph; Abert, Claas; Bruckner, Florian; Suess, Dieter; Praetorius, Dirk

2016-03-01

The limits of areal storage density that is achievable with heat-assisted magnetic recording are unknown. We addressed this central question and investigated the areal density of bit-patterned media. We analyzed the detailed switching behavior of a recording bit under various external conditions, allowing us to compute the bit error rate of a write process (shingled and conventional) for various grain spacings, write head positions, and write temperatures. Hence, we were able to optimize the areal density yielding values beyond 10 Tb/in2. Our model is based on the Landau-Lifshitz-Bloch equation and uses hard magnetic recording grains with a 5-nm diameter and 10-nm height. It assumes a realistic distribution of the Curie temperature of the underlying material, grain size, as well as grain and head position.

Long-term use of mizoribine in rheumatoid arthritis patients on hemodialysis.

PubMed

Saisho, K; Kurosawa, O; Fukanoki, T; Hanafusa, A; Tajima, N

2001-06-01

Abstract Small doses of mizoribine (MZR) were administered to five rheumatoid arthritis (RA) patients on hemodialysis (HD). A maintenance dose of 25 mg or less was administered either once per day or once following HD. The Lansbury activity index improved in all patients. The blood concentrations of MZR before and after HD were 0.33-1.79 μg/ml and 0-0.93 μg/ml, respectively. Hence, the rate of elimination by HD ranged from 50.3% to 83.4%. As far as side effects were concerned, alopecia was seen in two patients, and one patient developed shingles. However, the severity of these symptoms was mild and, after discontinuing or reducing the dose of MZR for a certain period of time, we were able to continue its administration. These findings suggest that the long-term administration of MZR is a useful treatment for RA patients on HD.

TPV Power Source Using Infrared-Sensitive Cells with Commercially Available Radiant Tube Burner

NASA Astrophysics Data System (ADS)

Fraas, Lewis; Minkin, Leonid; Hui, She; Avery, James; Howells, Christopher

2004-11-01

Over the last several years, JX Crystals has invented and systematically developed the key components for thermophotovoltaic systems. These key components include GaSb infrared sensitive cells, high power density shingle circuits, dielectric filters, and hydrocarbon-fueled radiant tube burners. Most recently, we invented and demonstrated an antireflection (AR)-coated tungsten IR emitter which when integrated with the other key components should make TPV systems with efficiencies over 10% practical. However, the use of the AR tungsten emitter requires an oxygen-free hermetic seal enclosure. During a 2003 Small Business Innovative Research (SBIR) Phase I contract, we integrated a tungsten emitter foil and a commercial SiC radiant tube burner within an emitter thermos and successfully demonstrated its operation at high temperature. We also designed a complete stand alone 500 W TPV generator. During the upcoming SBIR Phase II, we plan to implement this design in hardware.

Design of a photovoltaic system for a southwest all-electric residence

NASA Astrophysics Data System (ADS)

Mehalick, E. M.; Obrien, G.; Tully, G. F.; Johnson, J.; Parker, J.

1980-04-01

The grid connected residential photovoltaic system for the Southwest is designed to meet both space conditioning requirements and all conventional electrical load requirements for an all-electric residence. The system is comprised of two major subsystems, the solar array and the power conditioning subsystem (PCS). An 8 kW peak photovoltaic array been designed for the house. The 93 square meters solar array uses a shingle solar cell module in a highly redundant series/parallel matrix. The photovoltaic generated power is supplied to a 10kVA power conversion subsystem which is controlled to track the solar array maximum power operating point and feed the 240 Vac output power directly to the house loads or back to the utility when excess power is generated. The photovoltaic power is isolated from the utility by a 15 kVA transformer. The house design and subsystem specifications are given in detail.

[Chickenpox and shingles: one virus, two diseases and current vaccination recommendations in Switzerland].

PubMed

Eckert, Nadine; Masserey Spicher, Virginie

2016-01-01

Adults, pregnant women, premature babies and immunocompromised persons are at increased risk for varicella complications. Therefore the current Swiss vaccination recommendations against varicella include a general recommendation for 11 to 15 year old adolescents with a negative varicella history, as well as a specific recommendation for risk groups. The goal of both recommendations is to reduce varicella complications in persons most at risk. The vaccine is not universally recommended for all toddlers in Switzerland, while this is the case in some countries such as the United States. Pros and cons of different vaccination strategies, as well as possible short- and long-term effects on herpes zoster incidence are taken into account. In the United States, there was a marked decline in incidence and hospitalisations, but an increased herpes zoster incidence in the short term. Finally, public health aspects of herpes zoster, post-herpetic neuralgia and possible vaccination strategies are outlined.

[Pain in herpes zoster: Prevention and treatment].

PubMed

Calvo-Mosquera, G; González-Cal, A; Calvo-Rodríguez, D; Primucci, C Y; Plamenov-Dipchikov, P

Shingles is a painful rash that results from reactivation of latent varicella-zoster virus in the dorsal root ganglia or cranial nerves. In this article an update is presented on the prevention and pharmacological treatment of the secondary pain from the virus infection. The most effective way to prevent post-herpetic neuralgia and its consequences is the prevention of herpes itself. A live attenuated vaccine (the Oka strain varicella zoster virus) has been available for several years, and is approved in adults aged 50 years old. Although this vaccine has shown to be effective against herpes zoster and post-herpetic neuralgia, its effectiveness decreases with age and is contraindicated in patients with some form of immunosuppression. Today the recombinant vaccines provide an alternative, and may be administered to immunocompromised persons. Copyright © 2016 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

VZV Replication Assays

PubMed Central

Griffiths, Samantha J.; Haas, Jürgen

2017-01-01

Varicella zoster virus (VZV) is a human herpesvirus which causes Varicella (chickenpox) upon primary infection and Zoster (shingles) following reactivation from latency (von Bokay, 1909). Whilst VZV is extensively studied, inherent features of VZV replication, such as cell-association of virus particles during in vitro culture and a restricted host range (limited to humans and some other primates) mean the cellular and viral mechanisms underlying VZV reactivation and pathogenesis remain largely uncharacterised. Much remains to be learnt about VZV, interactions with its host, and the development of disease. This protocol describes a basic VZV replication assay using a recombinant VZV-GFP reporter virus. As VZV is highly cell-associated in tissue culture, the reporter virus inoculum described here is a preparation of infected cells. This reporter virus-infected cell line can be used in combination with siRNA gene depletion or cDNA overexpression transfection protocols to determine the effect of individual cellular genes on virus replication. PMID:29085851

Epidemiology of shingles.

PubMed

Glynn, C; Crockford, G; Gavaghan, D; Cardno, P; Price, D; Miller, J

1990-10-01

One thousand and nineteen patients with acute varicella zoster viral infection were referred to the physiotherapy department for treatment between 1978 and 1986. Sixty per cent were women and 40% were men with a mean age of 58 years (range 9-96 years). The prevalence varied between 1.3 and 1.6 per 1000 per annum. The left side was affected in 52% while the right was affected in 48%. The thoracic dermatomes were the most commonly affected (56%) followed by cervical (17%), lumbar (10%), sacral (5%), and the trigeminal nerve was infected in 12%. There was a significant seasonal (P less than 0.001) variation in the prevalence of acute varicella zoster virus infection, most common in the summer and least common in the spring. There was no clustering in time and space so that it is unlikely that the varicella zoster virus is infective or that re-exposure to the virus causes reactivation of the latent virus.

Cost effectiveness of herpes zoster vaccine in Canada.

PubMed

Najafzadeh, Mehdi; Marra, Carlo A; Galanis, Eleni; Patrick, David M

2009-01-01

Herpes zoster (HZ), or shingles, results from reactivation of latent varicella zoster virus in the sensory ganglia of adults, and results in significant morbidity in the elderly, including the development of post-herpetic neuralgia (PHN). The lifetime risk of HZ is about 20-30% and the incidence increases with age. The protective effect of the HZ vaccine has been shown in a large clinical trial; however, the effectiveness of the vaccine decreased with age of vaccination. We sought to compare the incremental cost and health benefits of HZ vaccine over status quo (no HZ vaccine) from the perspective of the Canadian healthcare payer. We developed a discrete-event simulation model comparing the costs and QALYs accrued to patients receiving HZ vaccine to those who did not. The effect of the vaccine on the (i) incidence of severe, moderate or mild HZ; (ii) severity and duration of HZ; (iii) incidence of PHN among patients with HZ; (iv) duration of PHN; and (v) costs associated with treating HZ and PHN were modelled. Data from published literature, including the Shingle Prevention Study, were used for transition probabilities. Health resource utilizations were estimated using administrative data retrieved from the British Columbia Medical Services Plan and hospital separation databases in British Columbia from 1994 to 2003. Utility estimates were obtained from various published sources. Canadian 2008 costs were used and both cost and QALYs were discounted at a 5% annual rate in the base-case analyses. On average, receiving the vaccination lowered mean direct medical costs (excluding the vaccine costs) by $Can35 per person. The incremental cost and QALYs per person receiving the vaccine versus no vaccination were $Can115 and 0.0028 QALYs, respectively, resulting in an incremental cost-effectiveness ratio of $Can41 709 per QALY gained for a cohort of elderly subjects aged >or=60 years. Results were robust in probabilistic and univariate sensitivity analyses. Expected value of perfect information was estimated at $Can47.72 per person, reflecting the expected monetary losses that could be avoided by having perfect information on all model parameters. HZ vaccination of adults, especially for individuals aged 60-75 years, seems to be a cost-effective intervention and might be considered by Canadian decision makers.

Cost-effectiveness of a vaccine to prevent herpes zoster and postherpetic neuralgia in older adults.

PubMed

Hornberger, John; Robertus, Katherine

2006-09-05

The Shingles Prevention Study showed that a varicella-zoster virus (VZV) vaccine administered to adults 60 years of age or older reduced the incidence of herpes zoster from 11.12 to 5.42 cases per 1000 person-years. Median follow-up was 3.1 years, and relative risk reduction was 51.3% (95% CI, 44.2% to 57.6%). To assess the extent to which clinical and cost variables influence the cost-effectiveness of VZV vaccination for preventing herpes zoster in immunocompetent older adults. Decision theoretical model. English-language data published to March 2006 identified from MEDLINE on herpes zoster rates, vaccine effectiveness, quality of life, medical resource use, and unit costs. Immunocompetent adults 60 years of age or older with a history of VZV infection. Lifetime. U.S. societal. Varicella-zoster virus vaccination versus no vaccination. Incremental quality-adjusted survival and cost per quality-adjusted life-year (QALY) gained. By reducing incidence and severity of herpes zoster, vaccination can increase quality-adjusted survival by 0.6 day compared with no vaccination. One scenario in which vaccination costs less than 100,000 dollars per QALY gained is when 1) the unit cost of vaccination is less than 200 dollars, 2) the age at vaccination is less than 70 years, and 3) the duration of vaccine efficacy is more than 30 years. Vaccination would be more cost-effective in "younger" older adults (age 60 to 64 years) than in "older" older adults (age > or =80 years). Longer life expectancy and a higher level of vaccine efficacy offset a lower risk for herpes zoster in the younger group. Other factors influencing cost-effectiveness include quality-of-life adjustments for acute zoster, unit cost of the vaccine, risk for herpes zoster, and duration of vaccine efficacy. The effectiveness of VZV vaccination remains uncertain beyond the median 3.1-year duration of follow-up in the Shingles Prevention Study. Varicella-zoster virus vaccination to prevent herpes zoster in older adults would increase QALYs compared with no vaccination. Resolution of uncertainties about the average quality-of-life effects of acute zoster and the duration of vaccine efficacy is needed to better determine the cost-effectiveness of zoster vaccination in older adults.

Clinical and molecular aspects of varicella zoster virus infection

PubMed Central

Gilden, Don; Nagel, Maria A.; Mahalingam, Ravi; Mueller, Niklaus H.; Brazeau, Elizabeth A.; Pugazhenthi, Subbiah; Cohrs, Randall J.

2009-01-01

Summary A declining cell-mediated immunity to varicella zoster virus (VZV) with advancing age or immunosuppression results in virus reactivation from latently infected human ganglia anywhere along the neuraxis. Virus reactivation produces zoster, often followed by chronic pain (postherpetic neuralgia or PHN) as well as vasculopathy, myelopathy, retinal necrosis and cerebellitis. VZV reactivation also produces pain without rash (zoster sine herpete). Vaccination after age 60 reduces the incidence of shingles by 51%, PHN by 66% and the burden of illness by 61%. However, even if every healthy adult over age 60 years is vaccinated, there would still be about 500,000 zoster cases annually in the United States alone, about 200,000 of whom will experience PHN. Analyses of viral nucleic acid and gene expression in latently infected human ganglia and in an animal model of varicella latency in primates are serving to determine the mechanism(s) of VZV reactivation with the aim of preventing reactivation and the clinical sequelae. PMID:19946620

Decentralized solar photovoltaic energy systems

NASA Astrophysics Data System (ADS)

Krupka, M. C.

1980-09-01

Emphasis was placed upon the selection and use of a model residential photovoltaic system to develop and quantify the necessary data. The model consists of a reference home located in Phoenix, AZ utilizing a unique solar cell array roof shingle combination. Silicon solar cells, rated at 13.5 percent efficiency at 28 C and 100 mW/sq cm insolation are used to generate 10 kW (peak). An all electric home is considered with lead acid battery storage, DC AC inversion and utility backup. The reference home is compared to others in regions of different insolation. It is suggested that solar cell materials production and fabrication may have the major environmental impact when comparing all facets of photovoltaic system usage. Fabrication of the various types of solar cell systems involves the need, handling, and transportation of many toxic and hazardous chemicals with attendant health and safety impacts. Increases in production of such materials as lead, antimony, sulfuric acid, copper, plastics, cadmium and gallium will be required should large scale usage of photovoltaic systems be implemented.

Infectious Disease Risk Associated with Space Flight

NASA Technical Reports Server (NTRS)

Pierson, Duane L.

2010-01-01

This slide presentation opens with views of the shuttle in various stages of preparation for launch, a few moments after launch prior to external fuel tank separation, a few pictures of the earth,and several pictures of astronomical interest. The presentation reviews the factors effecting the risks of infectious disease during space flight, such as the crew, water, food, air, surfaces and payloads and the factors that increase disease risk, the factors affecting the risk of infectious disease during spaceflight, and the environmental factors affecting immunity, such as stress. One factor in space infectious disease is latent viral reactivation, such as herpes. There are comparisons of the incidence of viral reactivation in space, and in other analogous situations (such as bed rest, or isolation). There is discussion of shingles, and the pain and results of treatment. There is a further discussion of the changes in microbial pathogen characteristics, using salmonella as an example of the increased virulence of microbes during spaceflight. A factor involved in the risk of infectious disease is stress.

Outer nuclear membrane fusion of adjacent nuclei in varicella-zoster virus-induced syncytia.

PubMed

Wang, Wei; Yang, Lianwei; Huang, Xiumin; Fu, Wenkun; Pan, Dequan; Cai, Linli; Ye, Jianghui; Liu, Jian; Xia, Ningshao; Cheng, Tong; Zhu, Hua

2017-12-01

Syncytia formation has been considered important for cell-to-cell spread and pathogenesis of many viruses. As a syncytium forms, individual nuclei often congregate together, allowing close contact of nuclear membranes and possibly fusion to occur. However, there is currently no reported evidence of nuclear membrane fusion between adjacent nuclei in wild-type virus-induced syncytia. Varicella-zoster virus (VZV) is one typical syncytia-inducing virus that causes chickenpox and shingles in humans. Here, we report, for the first time, an interesting observation of apparent fusion of the outer nuclear membranes from juxtaposed nuclei that comprise VZV syncytia both in ARPE-19 human epithelial cells in vitro and in human skin xenografts in the SCID-hu mouse model in vivo. This work reveals a novel aspect of VZV-related cytopathic effect in the context of multinucleated syncytia. Additionally, the information provided by this study could be helpful for future studies on interactions of viruses with host cell nuclei. Copyright © 2017 Elsevier Inc. All rights reserved.

Can Naturoptics fund Naturopathic Universities to Develop Interlocked Mentoring Relationships with Proposed Universities to Check Sensitivities of Individuals with Spina Bifida, to Environmentally Generated EMF Information about 'Quakes, Hurricanes, etc.?

NASA Astrophysics Data System (ADS)

McLeod, David M.; Ataide, Italani; McLeod, Roger D.

2006-03-01

Individuals harboring the herpes zoster virus following chicken pox, are susceptible to attacks of shingles. They may indicate peculiar awareness of pricking `pin and needle' sensations and co-symptoms of tinnitus and/or Meuniere's syndrome. RDM used similar symptoms in FL to predict the earthquake ninety miles north of Guantanamo bay in 1998. An astounding burial site in Florida from over six thousand years ago had a teenaged boy with severe spina bifida, with non-Asian genes, who could not have survived without very capable health support. Two youthful individuals likewise afflicted with spina bifida were unearthed from one site at Pompeii, entombed by the eruption of Vesuvius, August 24 and 25, CE 79. We know how to locate sites, active with EMF, which have tornado, hurricane and earthquake associations, and would like to foster joint research also involving Hawaiian and other volcanoes.

Surface patterning of GaAs under irradiation with very heavy polyatomic Au ions

NASA Astrophysics Data System (ADS)

Bischoff, L.; Böttger, R.; Heinig, K.-H.; Facsko, S.; Pilz, W.

2014-08-01

Self-organization of surface patterns on GaAs under irradiation with heavy polyatomic Au ions has been observed. The patterns depend on the ion mass, and the substrate temperature as well as the incidence angle of the ions. At room temperature, under normal incidence the surface remains flat, whereas above 200 °C nanodroplets of Ga appear after irradiation with monatomic, biatomic as well as triatomic Au ions of kinetic energies in the range of 10-30 keV per atom. In the intermediate temperature range of 100-200 °C meander- and dot-like patterns form, which are not related to Ga excess. Under oblique ion incidence up to 45° from the surface normal, at room temperature the surface remains flat for mon- and polyatomic Au ions. For bi- and triatomic ions in the range of 60° ≤ α ≤ 70° ripple patterns have been found, which become shingle-like for α ≥ 80°, whereas the surface remains flat for monatomic ions.

The neurobiology of varicella zoster virus infection

PubMed Central

Gilden, D.; Mahalingam, R.; Nagel, M. A.; Pugazhenthi, S.; Cohrs, R. J.

2011-01-01

Varicella zoster virus (VZV) is a neurotropic herpesvirus that infects nearly all humans. Primary infection usually causes chickenpox (varicella), after which virus becomes latent in cranial nerve ganglia, dorsal root ganglia and autonomic ganglia along the entire neuraxis. Although VZV cannot be isolated from human ganglia, nucleic acid hybridization and, later, polymerase chain reaction proved that VZV is latent in ganglia. Declining VZV-specific host immunity decades after primary infection allows virus to reactivate spontaneously, resulting in shingles (zoster) characterized by pain and rash restricted to 1-3 dermatomes. Multiple other serious neurological and ocular disorders also result from VZV reactivation. This review summarizes the current state of knowledge of the clinical and pathological complications of neurological and ocular disease produced by VZV reactivation, molecular aspects of VZV latency, VZV virology and VZV-specific immunity, the role of apoptosis in VZV-induced cell death, and the development of an animal model provided by simian varicella virus infection of monkeys. PMID:21342215

Arsenic removal using natural biomaterial-based sorbents.

PubMed

Ansone, Linda; Klavins, Maris; Viksna, Arturs

2013-10-01

Arsenic contamination of water is a major problem worldwide. A possible solution can be approached through developing new sorbents based on cost-effective and environmentally friendly natural biomaterials. We have developed new sorbents based on biomaterial impregnation with iron oxyhydroxide. In this study, raw peat material, iron-modified peat, iron-modified biomass (shingles, straw, sands, cane and moss) as well as iron humate were used for the removal of arsenate from contaminated water. The highest sorption capacity was observed in iron-modified peat, and kinetic studies indicated that the amount of arsenic sorbed on this material exceeds 90 % in 5 h. Arsenate sorption on iron-modified peat is characterised by the pseudo-second-order mechanism. The results of arsenic sorption in the presence of competing substances indicated that sulphate, nitrate, chloride and tartrate anions have practically no influence on As(V) sorption onto Fe-modified peat, whereas the presence of phosphate ions and humic acid significantly lowers the arsenic removal efficiency.

Polarimetric scattering behavior of materials at terahertz frequencies

NASA Astrophysics Data System (ADS)

DiGiovanni, David Anthony

Terahertz spectroscopic techniques have long been used to characterize the electromagnetic behavior of materials for use in radar, astronomy, and remote sensing applications. Spectroscopic information is valuable, but additional information about materials is present in the polarization of the scattered radiation. This thesis has investigated the polarimetric scattering behavior of various rough dielectric and metallic materials from 100 GHz to 1.55 THz. Common building materials and terrain, such as sand, gravel, soil, concrete, and roofing shingles, were studied. In order to obtain a better understanding of basic rough surface scattering phenomenology in this region of the spectrum, roughened metal and plastic samples were studied as well. The scattering behavior of these materials was studied as a function of incident angle, roughness, frequency, and polarization. Theoretical scattering models were used to compare measured results to theoretical predictions. Good agreement was observed between scattering measurements and theoretical predictions based on the small perturbation theory for the roughened metal surfaces. However, a substantial disagreement was observed for the rough dielectric surfaces and is discussed.

Burden of post-herpetic neuralgia in a sample of UK residents aged 50 years or older: findings from the zoster quality of life (ZQOL) study

PubMed Central

2014-01-01

Background Post-herpetic neuralgia (PHN) is the most common complication of herpes zoster (shingles). As a chronic condition, PHN can have a substantial adverse impact on patients’ lives. However, UK-specific data concerning the burden of PHN on individual patients, healthcare systems and wider society, are lacking. As the first UK-wide cross-sectional study of its kind, The Zoster Quality of Life (ZQOL) study was designed to address these concerns. Methods Patients (n = 152) with a confirmed diagnosis of PHN (defined as pain persisting ≥ 3 months following rash onset) and aged ≥50 years were recruited from primary and secondary/tertiary care centres throughout the UK. All patients completed validated questionnaires, including the Zoster Brief Pain Inventory (ZBPI), the Medical Outcomes Study Short-Form 36 (SF-36), the EuroQol-5 Dimensions (EQ-5D) and the Treatment Satisfaction with Medication (TSQM) questionnaire. Where available, mean patient population scores on these questionnaires were compared to scores derived from age-matched normative samples to quantify the burden associated with PHN. Results Despite numerous consultations with healthcare professionals and receiving multiple medications for the management of their PHN, the majority of patients reported being in pain ‘most of the time’ or ‘all of the time’. A total of 59.9% (n = 91) of all PHN patients reported pain in the preceding 24 hours to assessment at levels (ZBPI worst pain ≥ 5) typically considered to have a significant impact on Health Related Quality of Life (HRQoL). Accordingly, scores for SF-36 and EQ-5D indicated significant deficits in HRQoL among PHN patients compared to age-matched norms (p < 0.05) and patients reported being dissatisfied with the perceived efficacy of therapies received for the management of PHN. Increased pain severity was observed among older participants and higher levels of pain severity were associated with greater HRQoL deficits. Conclusions The inadequate relief provided by PHN therapies available in the UK is associated with a significant burden among PHN patients in terms of pain severity and deficits in HRQoL which may persist for years. Therefore, alternative means such as prevention of shingles and PHN, are essential for reducing the impact on individual patients, healthcare systems and society as a whole. PMID:24920439

The role of solar ultraviolet irradiation in zoster.

PubMed Central

Zak-Prelich, M.; Borkowski, J. L.; Alexander, F.; Norval, M.

2002-01-01

Ultraviolet radiation (UVR) suppresses many aspects of cell-mediated immunity but it is uncertain whether solar UV exposure alters resistance to human infectious diseases. Varicella-zoster virus (VZV) causes varicella (chickenpox) and can reactivate from latency to cause zoster (shingles). The monthly incidence of chickenpox and zoster in a defined Polish population over 2 years was recorded and ground level solar UV was measured daily. There was a significant seasonality of UVR. Evidence of seasonal variation was found for all zoster cases and for zoster in males, with the lowest number of cases in the winter. The number of zoster cases with lesions occurring on exposed body sites (the face) demonstrated highly significant seasonality with a peak in July/August. Seasonal models for UVR and zoster cases showed similar temporal patterns. By contrast, for varicella, the maximum number of cases was found in March and the minimum in August/September, probably explained by the respiratory spread of VZV. It is tempting to speculate that the increase in solar UVR in the summer could induce suppression of cellular immunity, thus contributing to the corresponding rise in the incidence of zoster. PMID:12558343

Herpes zoster and the search for an effective vaccine

PubMed Central

Arnold, N.

2016-01-01

Summary Primary infection with varicella zoster virus (VZV), an exclusively human neurotrophic alphaherpsesvirus, results in varicella, known more commonly as chickenpox. Like other alphaherpesviruses, VZV establishes latency in the sensory ganglia and can reactivate to cause herpes zoster (also known as shingles), a painful and debilitating disease, especially in elderly and immunocompromised individuals. The overall incidence of herpes zoster in Europe and the United States is three per 1000 people, but increases sharply after 60 years of age to 10 per 1000 people. Zostavax® is a vaccine approved by the Federal Drug Administration for the prevention of herpes zoster. Unfortunately, this vaccine reduces the incidence of disease by only 51% and the incidence of post‐herpetic neuralgia by 66·5% when administered to those aged 60 and older. Moreover, it is contraindicated for individuals who are immunocompromised or receiving immunosuppressant treatments, although they are at higher risk for herpes zoster compared to immune‐competent older individuals. This paper reviews VZV pathogenesis, host responses and current vaccines available to prevent herpes zoster. PMID:27164323

The role of solar ultraviolet irradiation in zoster.

PubMed

Zak-Prelich, M; Borkowski, J L; Alexander, F; Norval, M

2002-12-01

Ultraviolet radiation (UVR) suppresses many aspects of cell-mediated immunity but it is uncertain whether solar UV exposure alters resistance to human infectious diseases. Varicella-zoster virus (VZV) causes varicella (chickenpox) and can reactivate from latency to cause zoster (shingles). The monthly incidence of chickenpox and zoster in a defined Polish population over 2 years was recorded and ground level solar UV was measured daily. There was a significant seasonality of UVR. Evidence of seasonal variation was found for all zoster cases and for zoster in males, with the lowest number of cases in the winter. The number of zoster cases with lesions occurring on exposed body sites (the face) demonstrated highly significant seasonality with a peak in July/August. Seasonal models for UVR and zoster cases showed similar temporal patterns. By contrast, for varicella, the maximum number of cases was found in March and the minimum in August/September, probably explained by the respiratory spread of VZV. It is tempting to speculate that the increase in solar UVR in the summer could induce suppression of cellular immunity, thus contributing to the corresponding rise in the incidence of zoster.

The Glycoprotein B Cytoplasmic Domain Lysine Cluster Is Critical for Varicella-Zoster Virus Cell-Cell Fusion Regulation and Infection

PubMed Central

Arvin, Ann M.; Oliver, Stefan L.

2016-01-01

ABSTRACT The conserved glycoproteins gB and gH-gL are essential for herpesvirus entry and cell-cell fusion induced syncytium formation, a characteristic of varicella-zoster virus (VZV) pathology in skin and sensory ganglia. VZV syncytium formation, which has been implicated in the painful condition of postherpetic neuralgia, is regulated by the cytoplasmic domains of gB (gBcyt) via an immunoreceptor tyrosine-based inhibition motif (ITIM) and gH (gHcyt). A lysine cluster (K894, K897, K898, and K900) in the VZV gBcyt was identified by sequence alignment to be conserved among alphaherpesviruses, suggesting a functional role. Alanine and arginine substitutions were used to determine if the positive charge and susceptibility to posttranslational modifications of these lysines contributed to gB/gH-gL cell-cell fusion. Critically, the positive charge of the lysine residues was necessary for fusion regulation, as alanine substitutions induced a 440% increase in fusion compared to that of the wild-type gBcyt while arginine substitutions had wild-type-like fusion levels in an in vitro gB/gH-gL cell fusion assay. Consistent with these results, the alanine substitutions in the viral genome caused exaggerated syncytium formation, reduced VZV titers (−1.5 log10), and smaller plaques than with the parental Oka (pOka) strain. In contrast, arginine substitutions resulted in syncytia with only 2-fold more nuclei, a −0.5-log10 reduction in titers, and pOka-like plaques. VZV mutants with both an ITIM mutation and either alanine or arginine substitutions had reduced titers and small plaques but differed in syncytium morphology. Thus, effective VZV propagation is dependent on cell-cell fusion regulation by the conserved gBcyt lysine cluster, in addition to the gBcyt ITIM and the gHcyt. IMPORTANCE Varicella-zoster virus (VZV) is a ubiquitous pathogen that causes chickenpox and shingles. Individuals afflicted with shingles risk developing the painful condition of postherpetic neuralgia (PHN), which has been difficult to treat because the underlying cause is not well understood. Additional therapies are needed, as the current vaccine is not recommended for immunocompromised individuals and its efficacy decreases with the age of the recipient. VZV is known to induce the formation of multinuclear cells in neuronal tissue, which has been proposed to be a factor contributing to PHN. This study examines the role of a lysine cluster in the cytoplasmic domain of the VZV fusion protein, gB, in the formation of VZV induced multinuclear cells and in virus replication kinetics and spread. The findings further elucidate how VZV self-regulates multinuclear cell formation and may provide insight into the development of new PHN therapies. PMID:27795427

Effects of climate change on wave height at the coast

NASA Astrophysics Data System (ADS)

Wolf, J.

2003-04-01

To make progress towards the ultimate objective of predicting coastal vulnerability to climate change, we need to predict the probability of extreme values of sea level and wave height, and their likely variation with changing climate. There is evidence of changes in sea level and wave height on various time-scales. For example, the North Atlantic Oscillation appears to be responsible for increasing wave height in the North Atlantic over recent decades. The impact of changes in wave height in the North Atlantic at the coastline in the North Sea, the Hebrides/Malin Shelf and the English Channel will be quite different. Three different, and contrasting areas are examined The effect of changing sea levels, due to global warming and changes in tides and surge height and frequency, is combined with increases in offshore wave height. Coastal wave modelling, using the WAM and SWAN wave models, provides a useful tool for examining the possible impacts of climate change at the coast. This study is part of a Tyndall Centre project which is examining the vulnerability of the UK coast to changing wave climate and sea level. These changes are likely to be especially important in low-lying areas with coastal wetlands such as the north Norfolk coast, which has been selected as a detailed case study area. In this area there are offshore shallow banks and extensive inter-tidal areas. There are transitions from upper marsh to freshwater grazing marshes, sand dunes, shingle beaches, mudflats and sandflats. Many internationally important and varied habitats are threatened by rising sea levels and changes in storminess due to potential climate change effects. Likely changes in overtopping of coastal embankments, inundation of intertidal areas, sediment transport and coastal erosion are examined. Changes in low water level may be important as well as high water. The second area of study is Christchurch Bay in the English Channel. The English Channel is exposed to swell from the North Atlantic and a moderate tidal range. The coastline is quite developed with popular beaches. There are defended and undefended stretches of coastline. The waves reaching the coastline are modulated by the strong tidal streams in the Solent and shoal areas like Shingles Bank. The Sea of the Hebrides is an area important for fishing and tourism, but is the part of the UK exposed to the most severe waves, being most directly connected with the North Atlantic. The UK’s first wave power plant is in operation on Islay. Sea level changes are likely to be relatively unimportant but changes in wave climate could have a direct impact on local economic activity.

Varicella zoster virus vaccines: potential complications and possible improvements.

PubMed

Silver, Benjamin; Zhu, Hua

2014-10-01

Varicella zoster virus (VZV) is the causative agent of varicella (chicken pox) and herpes zoster (shingles). After primary infection, the virus remains latent in sensory ganglia, and reactivates upon weakening of the cellular immune system due to various conditions, erupting from sensory neurons and infecting the corresponding skin tissue. The current varicella vaccine (v-Oka) is highly attenuated in the skin, yet retains its neurovirulence and may reactivate and damage sensory neurons. The reactivation is sometimes associated with postherpetic neuralgia (PHN), a severe pain along the affected sensory nerves that can linger for years, even after the herpetic rash resolves. In addition to the older population that develops a secondary infection resulting in herpes zoster, childhood breakthrough herpes zoster affects a small population of vaccinated children. There is a great need for a neuro-attenuated vaccine that would prevent not only the varicella manifestation, but, more importantly, any establishment of latency, and therefore herpes zoster. The development of a genetically-defined live-attenuated VZV vaccine that prevents neuronal and latent infection, in addition to primary varicella, is imperative for eventual eradication of VZV, and, if fully understood, has vast implications for many related herpesviruses and other viruses with similar pathogenic mechanisms.

Varicella zoster virus infection

PubMed Central

Gershon, Anne A.; Breuer, Judith; Cohen, Jeffrey I.; Cohrs, Randall J.; Gershon, Michael D.; Gilden, Don; Grose, Charles; Hambleton, Sophie; Kennedy, Peter G. E.; Oxman, Michael N.; Seward, Jane F.; Yamanishi, Koichi

2017-01-01

Infection with varicella zoster virus (VZV) causes varicella (chickenpox), which can be severe in immunocompromised individuals, infants and adults. Primary infection is followed by latency in ganglionic neurons. During this period, no virus particles are produced and no obvious neuronal damage occurs. Reactivation of the virus leads to virus replication, which causes zoster (shingles) in tissues innervated by the involved neurons, inflammation and cell death — a process that can lead to persistent radicular pain (postherpetic neuralgia). The pathogenesis of postherpetic neuralgia is unknown and it is difficult to treat. Furthermore, other zoster complications can develop, including myelitis, cranial nerve palsies, meningitis, stroke (vasculopathy), retinitis, and gastroenterological infections such as ulcers, pancreatitis and hepatitis. VZV is the only human herpesvirus for which highly effective vaccines are available. After varicella or vaccination, both wild-type and vaccine-type VZV establish latency, and long-term immunity to varicella develops. However, immunity does not protect against reactivation. Thus, two vaccines are used: one to prevent varicella and one to prevent zoster. In this Primer we discuss the pathogenesis, diagnosis, treatment, and prevention of VZV infections, with an emphasis on the molecular events that regulate these diseases. For an illustrated summary of this Primer, visit: http://go.nature.com/14×VI1 PMID:27188665

Rapid Radiochemical Methods for Asphalt Paving Material ...

EPA Pesticide Factsheets

Technical Brief Validated rapid radiochemical methods for alpha and beta emitters in solid matrices that are commonly encountered in urban environments were previously unavailable for public use by responding laboratories. A lack of tested rapid methods would delay the quick determination of contamination levels and the assessment of acceptable site-specific exposure levels. Of special concern are matrices with rough and porous surfaces, which allow the movement of radioactive material deep into the building material making it difficult to detect. This research focuses on methods that address preparation, radiochemical separation, and analysis of asphalt paving materials and asphalt roofing shingles. These matrices, common to outdoor environments, challenge the capability and capacity of very experienced radiochemistry laboratories. Generally, routine sample preparation and dissolution techniques produce liquid samples (representative of the original sample material) that can be processed using available radiochemical methods. The asphalt materials are especially difficult because they do not readily lend themselves to these routine sample preparation and dissolution techniques. The HSRP and ORIA coordinate radiological reference laboratory priorities and activities in conjunction with HSRP’s Partner Process. As part of the collaboration, the HSRP worked with ORIA to publish rapid radioanalytical methods for selected radionuclides in building material matrice

Asbestos removal in the construction industry. Master's thesis

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

Banks, A.J.

The purpose of this report is to examine the impact of asbestos abatement on the construction industry. It is estimated that the cleanup effort may cost $100 billion over the next twenty five years. More than 733,000 structures, or twenty percent of U. S. commercial and public properties are believed to contain asbestos. Some of the material is in a friable state. This asbestos is crumbling into microscopic fibers that can float in through the air. The use of asbestos was restricted after high doses of its fibers were found to scar lungs, causing cancer and other diseases. Construction businessesmore » use 50 percent of the U. S. supply of asbestos in asbestos cement pipes, sheets, siding shingles, floor tiles, coatings, and sealants. Some 29,000 workers install asbestos insulation during building construction. Other estimates of exposed workers include 20,400 in demolition, 67,800 in abatement, 82,500 in general building renovation, 135,700 doing routine maintenance in buildings, and 183,200 in routine maintenance in general industry. The demand for asbestos removal services exceeds the ability of the industry to supply it safely. Asbestos management and removal are major issues for the construction industry world wide.« less

Microstructural Analysis and Rheological Modeling of Asphalt Mixtures Containing Recycled Asphalt Materials.

PubMed

Falchetto, Augusto Cannone; Moon, Ki Hoon; Wistuba, Michael P

2014-09-02

The use of recycled materials in pavement construction has seen, over the years, a significant increase closely associated with substantial economic and environmental benefits. During the past decades, many transportation agencies have evaluated the effect of adding Reclaimed Asphalt Pavement (RAP), and, more recently, Recycled Asphalt Shingles (RAS) on the performance of asphalt pavement, while limits were proposed on the amount of recycled materials which can be used. In this paper, the effect of adding RAP and RAS on the microstructural and low temperature properties of asphalt mixtures is investigated using digital image processing (DIP) and modeling of rheological data obtained with the Bending Beam Rheometer (BBR). Detailed information on the internal microstructure of asphalt mixtures is acquired based on digital images of small beam specimens and numerical estimations of spatial correlation functions. It is found that RAP increases the autocorrelation length (ACL) of the spatial distribution of aggregates, asphalt mastic and air voids phases, while an opposite trend is observed when RAS is included. Analogical and semi empirical models are used to back-calculate binder creep stiffness from mixture experimental data. Differences between back-calculated results and experimental data suggest limited or partial blending between new and aged binder.

Liposomal adjuvants for human vaccines.

PubMed

Alving, Carl R; Beck, Zoltan; Matyas, Gary R; Rao, Mangala

2016-06-01

Liposomes are well-known as drug carriers, and are now critical components of two of six types of adjuvants present in licensed vaccines. The liposomal vaccine adjuvant field has long been dynamic and innovative, and research in this area is further examined as new commercial products appear in parallel with new vaccines. In an arena where successful products exist the potential for new types of vaccines with liposomal adjuvants, and alternative liposomal adjuvants that could emerge for new types of vaccines, are discussed. Major areas include: virosomes, constructed from phospholipids and proteins from influenza virus particles; liposomes containing natural and synthetic neutral or anionic phospholipids, cholesterol, natural or synthetic monophosphoryl lipid A, and QS21 saponin; non-phospholipid cationic liposomes; and combinations and mixtures of liposomes and immunostimulating ingredients as adjuvants for experimental vaccines. Liposomes containing monophosphoryl lipid A and QS21 have considerable momentum that will result soon in emergence of prophylactic vaccines to malaria and shingles, and possible novel cancer vaccines. The licensed virosome vaccines to influenza and hepatitis A will be replaced with virosome vaccines to other infectious diseases. Alternative liposomal formulations are likely to emerge for difficult diseases such as tuberculosis or HIV-1 infection.

Aerothermal performance and damage tolerance of a Rene 41 metallic standoff thermal protection system at Mach 6.7

NASA Technical Reports Server (NTRS)

Avery, D. E.

1984-01-01

A flight-weight, metallic thermal protection system (TPS) model applicable to Earth-entry and hypersonic-cruise vehicles was subjected to multiple cycles of both radiant and aerothermal heating in order to evaluate its aerothermal performance, structural integrity, and damage tolerance. The TPS was designed for a maximum operating temperature of 2060 R and featured a shingled, corrugation-stiffened corrugated-skin heat shield of Rene 41, a nickel-base alloy. The model was subjected to 10 radiant heating tests and to 3 radiant preheat/aerothermal tests. Under radiant-heating conditions with a maximum surface temperature of 2050 R, the TPS performed as designed and limited the primary structure away from the support ribs to temperatures below 780 R. During the first attempt at aerothermal exposure, a failure in the panel-holder test fixture severely damaged the model. However, two radiant preheat/aerothermal tests were made with the damaged model to test its damage tolerance. During these tests, the damaged area did not enlarge; however, the rapidly increasing structural temperature measuring during these tests indicates that had the damaged area been exposed to aerodynamic heating for the entire trajectory, an aluminum burn-through would have occurred.

Microstructural Analysis and Rheological Modeling of Asphalt Mixtures Containing Recycled Asphalt Materials

PubMed Central

Cannone Falchetto, Augusto; Moon, Ki Hoon; Wistuba, Michael P.

2014-01-01

The use of recycled materials in pavement construction has seen, over the years, a significant increase closely associated with substantial economic and environmental benefits. During the past decades, many transportation agencies have evaluated the effect of adding Reclaimed Asphalt Pavement (RAP), and, more recently, Recycled Asphalt Shingles (RAS) on the performance of asphalt pavement, while limits were proposed on the amount of recycled materials which can be used. In this paper, the effect of adding RAP and RAS on the microstructural and low temperature properties of asphalt mixtures is investigated using digital image processing (DIP) and modeling of rheological data obtained with the Bending Beam Rheometer (BBR). Detailed information on the internal microstructure of asphalt mixtures is acquired based on digital images of small beam specimens and numerical estimations of spatial correlation functions. It is found that RAP increases the autocorrelation length (ACL) of the spatial distribution of aggregates, asphalt mastic and air voids phases, while an opposite trend is observed when RAS is included. Analogical and semi empirical models are used to back-calculate binder creep stiffness from mixture experimental data. Differences between back-calculated results and experimental data suggest limited or partial blending between new and aged binder. PMID:28788190

Spinstand demonstration of areal density enhancement using two-dimensional magnetic recording (invited)

NASA Astrophysics Data System (ADS)

Lippman, Thomas; Brockie, Richard; Coker, Jon; Contreras, John; Galbraith, Rick; Garzon, Samir; Hanson, Weldon; Leong, Tom; Marley, Arley; Wood, Roger; Zakai, Rehan; Zolla, Howard; Duquette, Paul; Petrizzi, Joe

2015-05-01

Exponential growth of the areal density has driven the magnetic recording industry for almost sixty years. But now areal density growth is slowing down, suggesting that current technologies are reaching their fundamental limit. The next generation of recording technologies, namely, energy-assisted writing and bit-patterned media, remains just over the horizon. Two-Dimensional Magnetic Recording (TDMR) is a promising new approach, enabling continued areal density growth with only modest changes to the heads and recording electronics. We demonstrate a first generation implementation of TDMR by using a dual-element read sensor to improve the recovery of data encoded by a conventional low-density parity-check (LDPC) channel. The signals are combined with a 2D equalizer into a single modified waveform that is decoded by a standard LDPC channel. Our detection hardware can perform simultaneous measurement of the pre- and post-combined error rate information, allowing one set of measurements to assess the absolute areal density capability of the TDMR system as well as the gain over a conventional shingled magnetic recording system with identical components. We discuss areal density measurements using this hardware and demonstrate gains exceeding five percent based on experimental dual reader components.

Evaluation of the breakdown behaviour of ATLAS silicon pixel sensors after partial guard-ring removal

NASA Astrophysics Data System (ADS)

Goessling, C.; Klingenberg, R.; Muenstermann, D.; Wittig, T.

2010-12-01

To avoid geometrical inefficiencies in the ATLAS pixel detector, the concept of shingling is used up to now in the barrel section. For the upgrades of ATLAS, it is desired to avoid this as it increases the volume and material budget of the pixel layers and complicates the cooling. A direct planar edge-to-edge arrangement of pixel modules has not been possible in the past due to about 1100 μm of inactive edge composed of approximately 600 μm of guard rings and 500 μm of safety margin. In this work, the safety margin and guard rings of ATLAS SingleChip sensors were cut at different positions using a standard diamond dicing saw and irradiated afterwards to explore the breakdown behaviour and the leakage current development. It is found that the inactive edge can be reduced to about 400 μm of guard rings with almost no reduction in pre-irradiation testability and leakage current performance. This is in particular important for the insertable b-layer upgrade of ATLAS (IBL) where inactive edges of less than 450 μm width are required.

[Facial paralysis in children].

PubMed

Muler, H; Paquelin, F; Cotin, G; Luboinski, B; Henin, J M

1975-01-01

Facial paralyses in children may be grouped under headings displaying a certain amount of individuality. Chronologically, first to be described are neonatal facial paralyses. These are common and are nearly always cured within a few days. Some of these cases are due to the mastoid being crushed at birth with or without the use of forceps. The intra-osseous pathway of the facial nerve is then affected throughout its length. However, a cure is often spontaneous. When this desirable development does not take place within three months, the nerve should be freed by decompressive surgery. The special anatomy of the facial nerve in the new-born baby makes this a delicate operation. Later, in all stages of acute otitis, acute mastoiditis or chronic otitis, facial paralysis can be seen. Treatment depends on the stage reached by the otitis: paracentesis, mastoidectomy, various scraping procedures, and, of course, antibiotherapy. The other causes of facial paralysis in children are very much less common: a frigore or viral, traumatic, occur ring in the course of acute poliomyelitis, shingles or tumours of the middle ear. To these must be added exceptional causes such as vitamin D intoxication, idiopathic hypercalcaemia and certain haemopathies.

Measuring the gypsum content of C&D debris fines.

PubMed

Musson, Stephen E; Xu, Qiyong; Townsend, Timothy G

2008-11-01

Construction and demolition (C&D) debris recycling facilities often produce a screened material intended for use as alternative daily cover (ADC) at active landfills or for shaping and grading at closed landfills. This product contains soil and small pieces of wood, concrete, gypsum drywall, shingles and other components of C&D debris. Concerns have been raised over the contribution of gypsum drywall in C&D debris fines to odor problems at landfills where the product is used. To address such concerns, limitations may be placed on the percentage of gypsum (or sulfate) that can occur, and standardized testing procedures are required to permit valid compliance testing. A test procedure was developed for measuring the gypsum content in C&D debris fines. The concentration of sulfate leached in an aqueous solution was used to estimate the initial gypsum content of the sample. The impact of sample size and leaching time were evaluated. Precision and accuracy increased with increasing gypsum content. Results from replicate samples had an average relative standard deviation of 9%. The gypsum content of fines obtained from different facilities in the US varied widely from 1% to over 25%. These variations not only occurred between differing facilities, but within batches produced within a single facility.

Characterization of surface-water resources in the Great Basin National Park area and their susceptibility to ground-water withdrawals in adjacent valleys, White Pine County, Nevada

USGS Publications Warehouse

Elliott, Peggy E.; Beck, David A.; Prudic, David E.

2006-01-01

Eight drainage basins and one spring within the Great Basin National Park area were monitored continually from October 2002 to September 2004 to quantify stream discharge and assess the natural variability in flow. Mean annual discharge for the stream drainages ranged from 0 cubic feet per second at Decathon Canyon to 9.08 cubic feet per second at Baker Creek. Seasonal variability in streamflow generally was uniform throughout the network. Minimum and maximum mean monthly discharges occurred in February and June, respectively, at all but one of the perennial streamflow sites. Synoptic-discharge, specific-conductance, and water- and air-temperature measurements were collected during the spring, summer, and autumn of 2003 along selected reaches of Strawberry, Shingle, Lehman, Baker, and Snake Creeks, and Big Wash to determine areas where surface-water resources would be susceptible to ground-water withdrawals in adjacent valleys. Comparison of streamflow and water-property data to the geology along each stream indicated areas where surface-water resources likely or potentially would be susceptible to ground-water withdrawals. These areas consist of reaches where streams (1) are in contact with permeable rocks or sediments, or (2) receive water from either spring discharge or ground-water inflow.

Imaging and locating paleo-channels using geophysical data from meandering system of the Mun River, Khorat Plateau, Northeastern Thailand

NASA Astrophysics Data System (ADS)

Nimnate, P.; Thitimakorn, T.; Choowong, M.; Hisada, K.

2017-12-01

The Khorat Plateau from northeast Thailand, the upstream part of the Mun River flows through clastic sedimentary rocks. A massive amount of sand was transported. We aimed to understand the evolution of fluvial system and to discuss the advantages of two shallow geophysical methods for describing subsurface morphology of modern and paleo-channels. We applied Electrical Resistivity Tomography (ERT) and Ground Penetrating Radar (GPR) to characterize the lateral, vertical morphological and sedimentary structures of paleo-channels, floodplain and recent point bars. Both methods were interpreted together with on-sites boreholes to describe the physical properties of subsurface sediments. As a result, we concluded that four radar reflection patterns including reflection free, shingled, inclined and hummocky reflections were appropriated to apply as criteria to characterize lateral accretion, the meandering rivers with channel-filled sequence and floodplain were detected from ERT profiles. The changes in resistivity correspond well with differences in particle size and show relationship with ERT lithological classes. Clay, silt, sand, loam and bedrock were classified by the resistivity data. Geometry of paleo-channel embayment and lithological differences can be detected by ERT, whereas GPR provides detail subsurface facies for describing point bar sand deposit better than ERT.

A Real-Time PCR Assay to Identify and Discriminate Among Wild-Type and Vaccine Strains of Varicella-Zoster Virus and Herpes Simplex Virus in Clinical Specimens, and Comparison With the Clinical Diagnoses

PubMed Central

Harbecke, Ruth; Oxman, Michael N.; Arnold, Beth A.; Ip, Charlotte; Johnson, Gary R.; Levin, Myron J.; Gelb, Lawrence D.; Schmader, Kenneth E.; Straus, Stephen E.; Wang, Hui; Wright, Peter F.; Pachucki, Constance T.; Gershon, Anne A.; Arbeit, Robert D.; Davis, Larry E.; Simberkoff, Michael S.; Weinberg, Adriana; Williams, Heather M.; Cheney, Carol; Petrukhin, Luba; Abraham, Katalin G.; Shaw, Alan; Manoff, Susan; Antonello, Joseph M.; Green, Tina; Wang, Yue; Tan, Charles; Keller, Paul M.

2014-01-01

A real-time PCR assay was developed to identify varicella-zoster virus (VZV) and herpes simplex virus (HSV) DNA in clinical specimens from subjects with suspected herpes zoster (HZ; shingles). Three sets of primers and probes were used in separate PCR reactions to detect and discriminate among wild-type VZV (VZV-WT), Oka vaccine strain VZV (VZV-Oka), and HSV DNA, and the reaction for each virus DNA was multiplexed with primers and probe specific for the human β-globin gene to assess specimen adequacy. Discrimination of all VZV-WT strains, including Japanese isolates and the Oka parent strain, from VZV-Oka was based upon a single nucleotide polymorphism at position 106262 in ORF 62, resulting in preferential amplification by the homologous primer pair. The assay was highly sensitive and specific for the target virus DNA, and no cross-reactions were detected with any other infectious agent. With the PCR assay as the gold standard, the sensitivity of virus culture was 53% for VZV and 77% for HSV. There was 92% agreement between the clinical diagnosis of HZ by the Clinical Evaluation Committee and the PCR assay results. PMID:19475609

Seismic definition of Lower Cretaceous delta, south Whale subbasin, offshore Newfoundland

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

Jayasinghe, N.R.; Stokes, R.E.

1986-05-01

Recognition of stratigraphic traps in areas where previous prospects were structural is a trend attributable partly to the availability of new, high-quality seismic data. In the South Whale subbasin, offshore Newfoundland, Canada, such a change in exploration philosophy is presently being evaluated. Exploratory drilling offshore eastern Canada began in 1966 in the South Whale subbasin. By the end of 1973, 13 wells were drilled in this subbasin; however, lack of success discouraged further drilling. These wells evaluated large, salt-related structures, well defined by seismic data. Although an adequate reservoir was encountered in a number of these wells, faulting associated withmore » halokinesis may have resulted in petroleum migration out of the reservoir. Interpretation of recently acquired high-quality seismic data indicate a delta in the Lower Cretaceous Missisauga Formation in the study area. Seismic dip sections across the delta show a shingled progradation pattern suggesting a wave-dominated depositional environment. The delta comprises approximately 400 km/sup 2/, with closure in the eastern half. Data from wells in the area indicate that adequate source and sealing beds could be present. Furthermore, rocks of similar age in the nearby Avalon basin contain significant petroleum accumulations, the most notable being within the Hibernia oil field.« less

Do terrestrial hermit crabs sniff? Air flow and odorant capture by flicking antennules

PubMed Central

Koehl, M. A. R.

2016-01-01

Capture of odorant molecules by olfactory organs from the surrounding fluid is the first step of smelling. Sniffing intermittently moves fluid across sensory surfaces, increasing delivery rates of molecules to chemosensory receptors and providing discrete odour samples. Aquatic malacostracan crustaceans sniff by flicking olfactory antennules bearing arrays of chemosensory hairs (aesthetascs), capturing water in the arrays during downstroke and holding the sample during return stroke. Terrestrial malacostracans also flick antennules, but how their flicking affects odour capture from air is not understood. The terrestrial hermit crab, Coenobita rugosus, uses antennules bearing shingle-shaped aesthetascs to capture odours. We used particle image velocimetry to measure fine-scale fluid flow relative to a dynamically scaled physical model of a flicking antennule, and computational simulations to calculate diffusion to aesthetascs by odorant molecules carried in that flow. Air does not flow into the aesthetasc array during flick downstrokes or recovery strokes. Odorants are captured from air flowing around the outside of the array during flick downstrokes, when aesthetascs face upstream and molecule capture rates are 21% higher than for stationary antennules. Bursts of flicking followed by pauses deliver discrete odour samples to olfactory sensors, causing intermittency in odour capture by a different mechanism than aquatic crustaceans use. PMID:26763332

Update on recommendations for use of herpes zoster vaccine.

PubMed

Hales, Craig M; Harpaz, Rafael; Ortega-Sanchez, Ismael; Bialek, Stephanie R

2014-08-22

Herpes zoster vaccine (Zostavax [Merck & Co., Inc.]) was licensed in 2006 and recommended by the Advisory Committee on Immunization Practices (ACIP) in 2008 for prevention of herpes zoster (shingles) and its complications among adults aged ≥60 years. The Food and Drug Administration (FDA) approved the use of Zostavax in 2011 for adults aged 50 through 59 years based on a large study of safety and efficacy in this age group. ACIP initially considered the use of herpes zoster vaccine among adults aged 50 through 59 years in June 2011, but declined to recommend the vaccine in this age group, citing shortages of Zostavax and limited data on long-term protection afforded by herpes zoster vaccine. In October 2013, ACIP reviewed the epidemiology of herpes zoster and its complications, herpes zoster vaccine supply, short-term vaccine efficacy in adults aged 50 through 59 years, short- and long- term vaccine efficacy and effectiveness in adults aged ≥60 years, an updated cost-effectiveness analysis, and deliberations of the ACIP herpes zoster work group, all of which are summarized in this report. No vote was taken, and ACIP maintained its current recommendation that herpes zoster vaccine be routinely recommended for adults aged ≥60 years. Meeting minutes are available at http://www.cdc.gov/vaccines/acip/meetings/meetings-info.html.

Do terrestrial hermit crabs sniff? Air flow and odorant capture by flicking antennules.

PubMed

Waldrop, Lindsay D; Koehl, M A R

2016-01-01

Capture of odorant molecules by olfactory organs from the surrounding fluid is the first step of smelling. Sniffing intermittently moves fluid across sensory surfaces, increasing delivery rates of molecules to chemosensory receptors and providing discrete odour samples. Aquatic malacostracan crustaceans sniff by flicking olfactory antennules bearing arrays of chemosensory hairs (aesthetascs), capturing water in the arrays during downstroke and holding the sample during return stroke. Terrestrial malacostracans also flick antennules, but how their flicking affects odour capture from air is not understood. The terrestrial hermit crab, Coenobita rugosus, uses antennules bearing shingle-shaped aesthetascs to capture odours. We used particle image velocimetry to measure fine-scale fluid flow relative to a dynamically scaled physical model of a flicking antennule, and computational simulations to calculate diffusion to aesthetascs by odorant molecules carried in that flow. Air does not flow into the aesthetasc array during flick downstrokes or recovery strokes. Odorants are captured from air flowing around the outside of the array during flick downstrokes, when aesthetascs face upstream and molecule capture rates are 21% higher than for stationary antennules. Bursts of flicking followed by pauses deliver discrete odour samples to olfactory sensors, causing intermittency in odour capture by a different mechanism than aquatic crustaceans use. © 2016 The Author(s).

An industry update: the latest developments in therapeutic delivery.

PubMed

Simpson, Iain

2017-02-01

This Industry Update covers the period from 1 October through to 31 October 2016, and is based on information sourced from company press releases, scientific literature, patents and various news websites. The month saw several news items covering drug-delivery devices, including a new sensor to monitor and support the use of inhalers; launch in the UK of a new autoinjector for Cimzia ® , UCB's rheumatoid arthritis drug; and approval of Roche's Lucentis ® in a prefilled syringe. Research was also published to show the value of continuous blood pressure monitoring in dementia management. Astellas announced the acquisition of German pharmaceutical company Ganymed while Sunovion completed its purchase of Cynapsus. A new EU-funded collaboration was announced looking at the value of PET-based biomarkers in Alzheimer's disease. GSK gained USA approval for its shingles vaccine, but Novo Nordisk and Sanofi received complete response letters from the US FDA, requiring further information before regulatory review of their drug submissions can be completed. The UK's NICE concluded that a drug marketed by BMS to treat a common type of lung cancer was not cost-effective and Cornell University announced results showing that its nanoparticle technology, originally developed as a tumor biomarker, could be effective in directly treating the disease.

Herpes zoster vaccine and the incidence of recurrent herpes zoster in an immunocompetent elderly population.

PubMed

Tseng, Hung Fu; Chi, Margaret; Smith, Ning; Marcy, Stephen M; Sy, Lina S; Jacobsen, Steven J

2012-07-15

The benefit of vaccinating immunocompetent patients who have had shingles has not been examined. The study assessed the association between vaccination and the incidence of herpes zoster recurrence among persons with a recent episode of clinically diagnosed herpes zoster. This is a matched cohort study in Kaiser Permanente Southern California. Study populations were immunocompetent elderly individuals ≥ 60 years old with a recent episode of herpes zoster. Incidence of recurrent herpes zoster was compared between the vaccinated and the unvaccinated matched cohorts. A total of 1036 vaccinated and 5180 unvaccinated members were included. On the basis of clinically confirmed cases, the incidence of recurrent herpes zoster among persons aged <70 years was 0.99 (95% confidence interval [CI], .02-5.54) and 2.20 (95% CI, 1.10-3.93) cases per 1000 person-years in the vaccinated and unvaccinated cohorts, respectively. The adjusted hazard ratio was 0.39 (95% CI, .05-4.45) among persons aged <70 years and 1.05 (95% CI, .30-3.69) among persons aged ≥ 70 years. The risk of herpes zoster recurrence following a recent initial episode is fairly low among immunocompetent adults, regardless of vaccination status. Such a low risk suggests that one should evaluate the necessity of immediately vaccinating immunocompetent patients who had a recent herpes zoster episode.

Vaccination against Herpes Zoster and Postherpetic Neuralgia

PubMed Central

Oxman, Michael N.; Levin, Myron J.

2008-01-01

Background. Herpes zoster (HZ) and postherpetic neuralgia (PHN) cause significant morbidity in older adults. The incidence and severity of HZ and PHN increase with age in association with an age-related decline in varicella-zoster virus (VZV)-specific cell-mediated immunity (VZV-CMI). VZV vaccines can boost VZV-CMI. Therefore, we tested the hypothesis that VZV vaccination would protect older adults against HZ and PHN. Methods. We enrolled 38,546 adults ⩾60 years of age in a randomized, double-blind, placebo-controlled trial of an investigational HZ vaccine and actively followed subjects for the development of HZ. The primary end point was the burden of illness due to HZ (HZ BOI), a composite measure of the incidence, severity, and duration of pain and discomfort caused by HZ. The secondary end point was the incidence of PHN. Results. Subject retention was >95%. HZ vaccine reduced the HZ BOI by 61.1% (95% confidence interval [CI], 51.1%–69.1%; P < .001) and reduced the incidence of PHN by 66.5% (95% CI, 47.5%–79.2%; P < .001). The incidence of HZ was also reduced by 51.3% (95% CI, 44.2%–57.6%; P < .001). HZ vaccine was well tolerated; injection site reactions were generally mild. HZ vaccine neither caused nor induced HZ. Conclusion. The Shingles Prevention Study demonstrated that HZ vaccine significantly reduced the morbidity due to HZ and PHN in older adults. PMID:18419402

Quantitative exposure matrix for asphalt fume, total particulate matter, and respirable crystalline silica among roofing and asphalt manufacturing workers.

PubMed

Fayerweather, William E; Trumbore, David C; Johnson, Kathleen A; Niebo, Ronald W; Maxim, L Daniel

2011-09-01

This paper summarizes available data on worker exposures to asphalt fume (soluble fraction), total particulate matter, and respirable crystalline silica (quartz) [hereinafter RCS] over a 30-year period in Owens Corning's asphalt production and roofing manufacturing plants. For the period 1977 through 2006, the air-monitoring database contains more than 1,400 personal samples for asphalt fume (soluble fraction), 2,400 personal samples for total particulate, and 1,300 personal samples for RCS. Unique process-job categories were identified for the asphalt production and roofing shingle manufacturing plants. Quantitative exposures were tabulated by agent, process-job, and calendar period to form an exposure matrix for use in subsequent epidemiologic studies of the respiratory health of these workers. Analysis of time trends in exposure data shows substantial and statistically significant exposure reductions for asphalt fume (soluble fraction), total particulate matter, and respirable crystalline silica at Owens Corning plants. Cumulative distribution plots for the most recent sampling period (2001-2006) show that 95% of the asphalt fume (soluble fraction) measurements were less than 0.25 mg/m3; 95% of the total particulate measurements were less than 2.2 mg/m3; and 95% of the RCS measurements were less than 0.05 mg/m3. Several recommendations are offered to improve the design of future monitoring efforts.

Direct transfer of viral and cellular proteins from varicella-zoster virus-infected non-neuronal cells to human axons.

PubMed

Grigoryan, Sergei; Yee, Michael B; Glick, Yair; Gerber, Doron; Kepten, Eldad; Garini, Yuval; Yang, In Hong; Kinchington, Paul R; Goldstein, Ronald S

2015-01-01

Varicella Zoster Virus (VZV), the alphaherpesvirus that causes varicella upon primary infection and Herpes zoster (shingles) following reactivation in latently infected neurons, is known to be fusogenic. It forms polynuclear syncytia in culture, in varicella skin lesions and in infected fetal human ganglia xenografted to mice. After axonal infection using VZV expressing green fluorescent protein (GFP) in compartmentalized microfluidic cultures there is diffuse filling of axons with GFP as well as punctate fluorescence corresponding to capsids. Use of viruses with fluorescent fusions to VZV proteins reveals that both proteins encoded by VZV genes and those of the infecting cell are transferred in bulk from infecting non-neuronal cells to axons. Similar transfer of protein to axons was observed following cell associated HSV1 infection. Fluorescence recovery after photobleaching (FRAP) experiments provide evidence that this transfer is by diffusion of proteins from the infecting cells into axons. Time-lapse movies and immunocytochemical experiments in co-cultures demonstrate that non-neuronal cells fuse with neuronal somata and proteins from both cell types are present in the syncytia formed. The fusogenic nature of VZV therefore may enable not only conventional entry of virions and capsids into axonal endings in the skin by classical entry mechanisms, but also by cytoplasmic fusion that permits viral protein transfer to neurons in bulk.

Direct Transfer of Viral and Cellular Proteins from Varicella-Zoster Virus-Infected Non-Neuronal Cells to Human Axons

PubMed Central

Grigoryan, Sergei; Yee, Michael B; Glick, Yair; Gerber, Doron; Kepten, Eldad; Garini, Yuval; Yang, In Hong; Kinchington, Paul R.; Goldstein, Ronald S.

2015-01-01

Varicella Zoster Virus (VZV), the alphaherpesvirus that causes varicella upon primary infection and Herpes zoster (shingles) following reactivation in latently infected neurons, is known to be fusogenic. It forms polynuclear syncytia in culture, in varicella skin lesions and in infected fetal human ganglia xenografted to mice. After axonal infection using VZV expressing green fluorescent protein (GFP) in compartmentalized microfluidic cultures there is diffuse filling of axons with GFP as well as punctate fluorescence corresponding to capsids. Use of viruses with fluorescent fusions to VZV proteins reveals that both proteins encoded by VZV genes and those of the infecting cell are transferred in bulk from infecting non-neuronal cells to axons. Similar transfer of protein to axons was observed following cell associated HSV1 infection. Fluorescence recovery after photobleaching (FRAP) experiments provide evidence that this transfer is by diffusion of proteins from the infecting cells into axons. Time-lapse movies and immunocytochemical experiments in co-cultures demonstrate that non-neuronal cells fuse with neuronal somata and proteins from both cell types are present in the syncytia formed. The fusogenic nature of VZV therefore may enable not only conventional entry of virions and capsids into axonal endings in the skin by classical entry mechanisms, but also by cytoplasmic fusion that permits viral protein transfer to neurons in bulk. PMID:25973990

Mitochondrial Haplogroups as a Risk Factor for Herpes Zoster.

PubMed

Levinson, Rebecca T; Hulgan, Todd; Kalams, Spyros A; Fessel, Joshua P; Samuels, David C

2016-10-01

Background.  Herpes zoster, or shingles, is a common, painful reactivation of latent varicella zoster virus infection. Understanding host factors that predispose to herpes zoster may permit development of more effective prevention strategies. Our objective was to examine mitochondrial haplogroups as a potential host factor related to herpes zoster incidence. Methods.  Study participants were drawn from BioVU, a deoxyribonucleic acid (DNA) biobank connected to deidentified electronic medical records (EMRs) from Vanderbilt University Medical Center. Our study used 9691 Caucasian individuals with herpes zoster status determined by International Classification of Diseases, Ninth Revision codes 053-053.9. Cases and controls were matched on sex and date of birth within 5 years. Mitochondrial haplogroups were defined from mitochondrial DNA variants genotyped on the Illumina 660W or Illumina Infinium Human-Exome Beadchip. Sex and date of birth were extracted from the EMR. Results.  European mitochondrial haplogroup H had a protective association with herpes zoster status (odds ratio [OR] = .82; 95% confidence interval [CI], .71-.94; P = .005), whereas haplogroup clade IWX was a risk factor for herpes zoster status (OR = 1.38; 95% CI, 1.07-1.77; P = .01). Conclusions.  Mitochondrial haplogroup influences herpes zoster risk. Knowledge of a patient's mitochondrial haplogroup could allow for a precision approach to the management of herpes zoster risk through vaccination strategies and management of other modifiable risk factors.

Apigenin, a Natural Flavonoid, Attenuates EAE Severity Through the Modulation of Dendritic Cell and Other Immune Cell Functions.

PubMed

Ginwala, Rashida; McTish, Emily; Raman, Chander; Singh, Narendra; Nagarkatti, Mitzi; Nagarkatti, Prakash; Sagar, Divya; Jain, Pooja; Khan, Zafar K

2016-03-01

Apigenin, a natural flavonoid, found in several plants, fruits, vegetables, herbs, and spices, is known to have anti-oxidant and anti-inflammatory properties that are evident in the use of these substances for centuries as medicinal approaches to treat asthma, insomnia, Parkinson's disease, neuralgia, and shingles. However, there is a considerable dearth of information regarding its effect on immune cells, especially dendritic cells (DC) that maintain the critical balance between an immunogenic and tolerogenic immune response, in an immunospecialized location like the central nervous system (CNS). In this paper we looked at the anti-inflammatory properties of Apigenin in restoration of immune function and the resultant decrease in neuroinflammation. In vivo, a significant reduction in severity of experimental autoimmune encephalomyelitis (EAE) progression and relapse was observed in C57BL/6 (progressive) and SJL/J (relapse-remitting) mouse models of multiple sclerosis upon treatment with Apigenin. Apigenin treated EAE mice show decreased expression of α4 integrin and CLEC12A on splenic DCs and an increased retention of immune cells in the periphery compared to untreated EAE mice. This correlated consequently with immunohistochemistry findings of decreased immune cell infiltration and reduced demyelination in the CNS. These results indicate a protective role of Apigenin against the neurodegenerative effects resulting from the entry of DC stimulated pathogenic T cells into the CNS thus implicating a potential therapy for neuroinflammatory disease.

RNA-seq Analysis of Host and Viral Gene Expression Highlights Interaction between Varicella Zoster Virus and Keratinocyte Differentiation

PubMed Central

Singh, Manuraj; Kanda, Ravinder K.; Yee, Michael B.; Kellam, Paul; Hollinshead, Michael; Kinchington, Paul R.; O'Toole, Edel A.; Breuer, Judith

2014-01-01

Varicella zoster virus (VZV) is the etiological agent of chickenpox and shingles, diseases characterized by epidermal skin blistering. Using a calcium-induced keratinocyte differentiation model we investigated the interaction between epidermal differentiation and VZV infection. RNA-seq analysis showed that VZV infection has a profound effect on differentiating keratinocytes, altering the normal process of epidermal gene expression to generate a signature that resembles patterns of gene expression seen in both heritable and acquired skin-blistering disorders. Further investigation by real-time PCR, protein analysis and electron microscopy revealed that VZV specifically reduced expression of specific suprabasal cytokeratins and desmosomal proteins, leading to disruption of epidermal structure and function. These changes were accompanied by an upregulation of kallikreins and serine proteases. Taken together VZV infection promotes blistering and desquamation of the epidermis, both of which are necessary to the viral spread and pathogenesis. At the same time, analysis of the viral transcriptome provided evidence that VZV gene expression was significantly increased following calcium treatment of keratinocytes. Using reporter viruses and immunohistochemistry we confirmed that VZV gene and protein expression in skin is linked with cellular differentiation. These studies highlight the intimate host-pathogen interaction following VZV infection of skin and provide insight into the mechanisms by which VZV remodels the epidermal environment to promote its own replication and spread. PMID:24497829

[Herpes zoster of the trigeminal nerve: a case report and review of the literature].

PubMed

Carbone, V; Leonardi, A; Pavese, M; Raviola, E; Giordano, M

2004-01-01

Herpes zoster (shingles) is caused when the varicella zoster virus that has remained latent since an earlier varicella infection (chicken-pox) is reactivated. Herpes Zoster is a less common and endemic disease than varicella: factors causing reactivation are still not well known, but it occurs in older and/or immunocompromised individuals. Following reactivation, centrifugal migration of herpes zoster virus (HZV) occurs along sensory nerves to produce a characteristic painful cutaneous or mucocutaneous vesicular eruption that is generally limited to the single affected dermatome. Herpes zoster may affect any sensory ganglia and its cutaneous nerve: the most common sites affected are thoracic dermatomes (56%), followed by cranial nerves (13%) and lumbar (13%), cervical (11%) and sacral nerves (4%). Among cranial nerves, the trigeminal and facial nerves are the most affected due to reactivation of HZV latent in gasserian and geniculated ganglia. The 1st division of the trigeminal nerve is commonly affected, whereas the 2nd and the 3rd are rarely involved. During the prodromal stage, the only presenting symptom may be odontalgia, which may prove to be a diagnostic challenge for the dentist, since many diseases can cause orofacial pain, and the diagnosis must be established before final treatment. A literature review of herpes zoster of the trigeminal nerve is presented and the clinical presentation, differential diagnosis and treatment modalities are underlined. A case report is presented.

Varicella Zoster Complications

PubMed Central

Nagel, Maria A.; Gilden, Don

2013-01-01

Opinion statement Varicella zoster virus (VZV) is an exclusively human neurotropic alphaherpesvirus. Primary infection causes varicella (chickenpox), after which virus becomes latent in ganglionic neurons along the entire neuraxis. With advancing age or immunosuppression, cell-mediated immunity to VZV declines and virus reactivates to cause zoster (shingles), which can occur anywhere on the body. Skin lesions resolve within 1-2 weeks, while complete cessation of pain usually takes 4-6 weeks. Zoster can be followed by chronic pain (postherpetic neuralgia), cranial nerve palsies, zoster paresis, meningoencephalitis, cerebellitis, myelopathy, multiple ocular disorders and vasculopathy that can mimic giant cell arteritis. All of the neurological and ocular disorders listed above may also develop without rash. Diagnosis of VZV-induced neurological disease may require examination of CSF, serum and/ or ocular fluids. In the absence of rash in a patient with neurological disease potentially due to VZV, CSF should be examined for VZV DNA by PCR and for anti-VZV IgG and IGM. Detection of VZV IgG antibody in CSF is superior to detection of VZV DNA in CSF to diagnose vasculopathy, recurrent myelopathy, and brainstem encephalitis. Oral antiviral drugs speed healing of rash and shorten acute pain. Immunocompromised patients require intravenous acyclovir. First-line treatments for post-herpetic neuralgia include tricyclic antidepressants gabapentin, pregabalin, and topical lidocaine patches. VZV vasculopathy, meningoencephalitis, and myelitis are all treated with intravenous acyclovir. PMID:23794213

LGBT health and vaccinations: Findings from a community health survey of Lexington-Fayette County, Kentucky, USA.

PubMed

Jones, Jeff; Poole, Asheley; Lasley-Bibbs, Vivian; Johnson, Mark

2016-04-07

Data on adult immunization coverage at the state level and for LGBT Americans in particular are sparse. This study reports the results of a 2012 Lexington-Fayette County, Kentucky, community health assessment's results asking about eight adult vaccinations among 218 lesbian, gay, bisexual, and transgendered (LGBT) respondents. Researchers collected data using an online survey distributed through LGBT social media, posters, and LGBT print media. The LGBT sample largely matches the demographics of the county as a whole except this group reports higher level of education and fewer uninsured individuals. Among LGBT respondents, immunization prevalence reaches 68.0% (annual Influenza), 65.7% (Hepatitis B), 58.8% (Chickenpox/Varicella), 55.9% (Hepatitis A), 41.2% (Smallpox), and 25.8% (Pneumonia). Among respondents who are currently within the recommended 19-26 years age range for the Human Papillomavirus (HPV) vaccine, the LGBT females are less likely to report receiving the vaccine (15.4%) compared to the national coverage percentage of 34.5%. Males, however, are more likely to have received the vaccine (10.3%) than the national percentage of 2.3%. The small number of LGBT seniors in the study report a much higher prevalence of the Shingles (Herpes Zoster) vaccines than for U.S. seniors 60 and older (71.4% compared to 20.1% nationally). LGBT respondents report higher percentages of adult vaccination. Copyright © 2016 Elsevier Ltd. All rights reserved.

Documentation of roller-bearing effect on butterfly inspired grooves

NASA Astrophysics Data System (ADS)

Gautam, Sashank; Lang, Amy

2017-11-01

Butterfly wings are covered with scales in a roof shingle pattern which align together to form grooves. The increase or decrease of laminar friction drag depends on the flow orientation to the scales. Flow in the longitudinal direction to the grooves encounters increased surface area which increases the friction drag. However, in the transverse direction, for low Re laminar flow, a single vortex is formed inside each groove and is predicted to remain stable due to the very low Re of the flow in each cavity. These embedded vortices act as roller bearings to the flow above, such that the fluid from the outer boundary layer does not mix with fluid inside the cavities. This leads to a reduction of skin friction drag when compared to a smooth surface. When the cavity flow Re is increased beyond a critical point, the vortex becomes unstable and the low-momentum fluid in the grooves mixes with the outer boundary layer flow, increasing the drag. The objective of this experiment is to determine the critical Re where the embedded vortex transitions from a stable to an unstable state using DPIV. Subsequently, for steady vortex conditions, a comparison of skin friction drag between the grooved and flat plate can show that the butterfly scaled surface can result in sub-laminar friction drag. The National Science Foundation (Grant No. 1335848).

PERFORMANCE EVALUATION OF A SUSTAINABLE AND ENERGY EFFICIENT RE-ROOFING TECHNOLOGY USING FIELD-TEST DATA

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

Biswas, Kaushik; Miller, William A; Childs, Phillip W

2011-01-01

Three test attics were constructed to evaluate a new sustainable method of re-roofing utilizing photo-voltaic (PV) laminates, metal roofing panels, and PCM heat sink in the Envelope Systems Research Apparatus (ESRA) facility in the ORNL campus. Figure 1 is a picture of the three attic roofs located adjacent to each other. The leftmost roof is the conventional shingle roof, followed by the metal panel roof incorporating the cool-roof coating, and third from left is the roof with the PCM. On the PCM roof, the PV panels are seen as well; they're labelled from left-to-right as panels 5, 6 and 7.more » The metal panel roof consists of three metal panels with the cool-roof coating; in further discussion this is referred to as the infrared reflective (IRR) metal roof. The IRR metal panels reflect the incoming solar radiation and then quickly re-emit the remaining absorbed portion, thereby reducing the solar heat gain of the attic. Surface reflectance of the panels were measured using a Solar Spectrum Reflectometer. In the 0.35-2.0 {mu}m wavelength interval, which accounts for more than 94% of the solar energy, the IRR panels have an average reflectance of 0.303. In the infrared portion of the spectrum, the IRR panel reflectance is 0.633. The PCM roof consists of a layer of macro-encapsulated bio-based PCM at the bottom, followed by a 2-cm thick layer of dense fiberglass insulation with a reflective surface on top, and metal panels with pre-installed PV laminates on top. The PCM has a melting point of 29 C (84.2 F) and total enthalpy between 180 and 190 J/g. The PCM was macro-packaged in between two layers of heavy-duty plastic foil forming arrays of PCM cells. Two air cavities, between PCM cells and above the fiberglass insulation, helped the over-the-deck natural air ventilation. It is anticipated that during summer, this extra ventilation will help in reducing the attic-generated cooling loads. The extra ventilation, in conjunction with the PCM heat sink, are used to minimize thermal stresses due to the PV laminates on sunny days. In PV laminates sunlight is converted into electricity and heat simultaneous. In case of building integrated applications, a relatively high solar absorption of amorphous silicon laminates can be utilized during the winter for solar heating purposes with PCM providing necessary heat storage capacity. However, PV laminates may also generate increased building cooling loads during the summer months. Therefore, in this project, the PCM heat sink was to minimize summer heat gains as well. The PCM-fibreglass-PV assembly and the IRR metal panels are capable of being installed directly on top of existing shingle roofs during re-roofing, precluding the need for recycling or disposal of waste materials. The PV laminates installed on the PCM attic are PVL-144 models from Uni-Solar. Each laminate contains 22 triple junction amorphous silicon solar cells connected in series. The silicon cells are of dimensions 356 mm x 239 mm (14-in. x 9.4-in.). The PVL-144 laminate is encapsulated in durable ETFE (poly-ethylene-co-tetrafluoroethylene) high light-transmissive polymer. Table 1 lists the power, voltage and current ratings of the PVL-144 panel.« less

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

Jones, B.; Renaut, R.W.

Complex calcite crystals are an integral component of precipitates that form around the orifices of the Loburu and Mawe Moto hot springs on the shores of Lake bogoria, Kenya. Two types of large (up to 4 cm long) noncrystallographic dendrites are important components of these deposits. Feather dendrites are characterized by multiple levels of branching with individual branches developed through crystal splitting and spherulitic growth. Scandulitic (from Latin meaning shingle) dendrites are formed of stacked calcite crystals and are generally more compact than feather dendrites. These developed through the incremental stacking of rectangular-shaped calcite crystals that initially grew as skeletalmore » crystals. Feather and scandulitic dendrites precipitated from the same waters in the same springs. The difference in morphology is therefore related to microenvironments in which they grew. Feather dendrites grew in any direction in pools of free-standing water provided that they were in constant contact with the solute. Conversely, scandulitic dendrites grew on rims of dams where water flowed over the surface in concert with the pulses of spring water. Thus, each calcite crystal in these dendrites represents one episode of crystal growth. The orientation of the component crystals in scandulitic dendrites is controlled by the topography of the dam or surface, not crystallographic criteria. The noncrystallographic dendrites formed from spring waters with initial temperatures of 90--99 C. Surficial water cooling, loss of CO{sub 2}, and presence of other elements that can interfere with crystal growth contributed to the formation of these unusual crystals.« less

Three-Dimensional Normal Human Neural Progenitor Tissue-Like Assemblies: A Model for Persistent Varicell-Zoster Virus Infection and Platform to Study Viral Infectivity and Oxidative Stress and Damage

NASA Technical Reports Server (NTRS)

Goodwin, T. J.; McCarthy, M.; Osterrieder, N.; Cohrs, R. J.; Kaufer, B. B.

2014-01-01

The environment of space results in a multitude of challenges to the human physiology that present barriers to extended habitation and exploration. Over 40 years of investigation to define countermeasures to address space flight adaptation has left gaps in our knowledge regarding mitigation strategies partly due to the lack of investigative tools, monitoring strategies, and real time diagnostics to understand the central causative agent(s) responsible for physiologic adaptation and maintaining homeostasis. Spaceflight-adaptation syndrome is the combination of space environmental conditions and the synergistic reaction of the human physiology. Our work addresses the role of oxidative stress and damage (OSaD) as a negative and contributing Risk Factor (RF) in the following areas of combined spaceflight related dysregulation: i) radiation induced cellular damage [1], [2] ii) immune impacts and the inflammatory response [3], [4] and iii) varicella zoster virus (VZV) reactivation [5]. Varicella-zoster (VZV)/Chicken Pox virus is a neurotropic human alphaherpesvirus resulting in varicella upon primary infection, suppressed by the immune system becomes latent in ganglionic neurons, and reactivates under stress events to re-express in zoster and possibly shingles. Our laboratory has developed a complex threedimensional (3D) normal human neural tissue model that emulates several characteristics of the human trigeminal ganglia (TG) and allows the study of combinatorial experimentation which addresses, simultaneously, OSaD associated with Spaceflight adaptation and habitation [6].

Apigenin, a Natural Flavonoid, Attenuates EAE Severity Through the Modulation of Dendritic Cell and Other Immune Cell Functions

PubMed Central

Ginwala, Rashida; McTish, Emily; Raman, Chander; Singh, Narendra; Nagarkatti, Mitzi; Nagarkatti, Prakash; Sagar, Divya

2016-01-01

Apigenin, a natural flavonoid, found in several plants, fruits, vegetables, herbs, and spices, is known to have anti-oxidant and anti-inflammatory properties that are evident in the use of these substances for centuries as medicinal approaches to treat asthma, insomnia, Parkinson’s disease, neuralgia, and shingles. However, there is a considerable dearth of information regarding its effect on immune cells, especially dendritic cells (DC) that maintain the critical balance between an immunogenic and tolerogenic immune response, in an immunospecialized location like the central nervous system (CNS). In this paper we looked at the anti-inflammatory properties of Apigenin in restoration of immune function and the resultant decrease in neuroinflammation. In vivo, a significant reduction in severity of experimental autoimmune encephalomyelitis (EAE) progression and relapse was observed in C57BL/6 (progressive) and SJL/J (relapse-remitting) mouse models of multiple sclerosis upon treatment with Apigenin. Apigenin treated EAE mice show decreased expression of α4 integrin and CLEC12A on splenic DCs and an increased retention of immune cells in the periphery compared to untreated EAE mice. This correlated consequently with immunohistochemistry findings of decreased immune cell infiltration and reduced demyelination in the CNS. These results indicate a protective role of Apigenin against the neurodegenerative effects resulting from the entry of DC stimulated pathogenic T cells into the CNS thus implicating a potential therapy for neuroinflammatory disease. PMID:26040501

Hydrology of Lake Tohopekaliga, Osceola County, Florida

USGS Publications Warehouse

Phelps, G.G.

1982-01-01

Lake Tohopekaliga, one of the major lakes in central Florida, provides flood control in the upper Kissimmee River basin, recreation for fishermen and boaters, water for live-stock, esthetic surroundings for homesites, and serves as a receiving body for treated effluent from municipal sewage treatment plants. The purpose of this map report is to provide a general reconnaissance of the lake, based primarily on existing geologic , hydrologic and water-quality data. The lake has a surface area of about 30 square miles and a mean depth of about 5 feet. Maximum depth measured was about 13 feet. Inflow to the lake comes from Shingle Creek and St. Cloud canal and outflow is through the South-port canal. Regulation of lake levels for flood control began in the early 1960 's and has resulted in a decrease in the range of lake stage of about 3 feet. Concentrations of pesticide residues in lake bottom sediments do not appear to have increased from 1972 to 1980. The lake has abundant aquatic vegetation, the amount and extent of which varies with fluctuating water levels. Water-quality data collected between 1954-77 are summarized in the report and additional data collected in 1980 are also shown. The range of plant nutrient concentrations measured in May 1980 are: Total organic nitrogen 0.71-2.2 milligrams per liter. Most water-quality parameters vary from one area of the lake to another because of restricted areal circulation due to the shape of the lake. (USGS)

Herpes zoster and vaccination: a clinical review.

PubMed

Adams, Erin N; Parnapy, Sarah; Bautista, Philip

2010-05-01

Herpes zoster, herpes zoster vaccine, and the cost-effectiveness of the vaccine are reviewed. Herpes zoster infection is estimated to affect one in three people during their lifetime. Two thirds of people who develop this disease are over age 60 years. Postherpetic neuralgia (PHN) is the most common complication of herpes zoster, occurring in 10-18% of patients. The associated chronic pain can be very debilitating, affecting patients' quality of life. The pain may last for months or years and is difficult to treat, leading to increased health care costs and morbidity. To prevent herpes zoster, a live attenuated vaccine was developed and approved for marketing in 2006 for individuals age > or = 60 years. The safety and efficacy of the vaccine were evaluated in the Shingles Prevention Study in 38,546 adults age > or = 60 years. Compared with placebo, administration of the vaccine resulted in a 51.3% reduction in the incidence of herpes zoster and a 66.5% reduction in the incidence of PHN (p < 0.001 for both comparisons). A single dose of the vaccine is approximately $162 and is not covered by all insurance plans. Several studies evaluated the cost-effectiveness of the vaccine, which was found to be most beneficial in individuals age 70 years or older. The use of the vaccine appears to reduce health care costs and protect the public health. The herpes zoster vaccine is effective in preventing herpes zoster and decreasing the incidence of complications. However, insurance coverage may hinder eligible patients from receiving the vaccination.

Microstructural growth increments in the brachiopods Liothyrella uva and L. neozelanica: preliminary study of growth analysis and proxy calibration

NASA Astrophysics Data System (ADS)

Romanin, Marco; Aleksandra Bitner, Maria; Brand, Uwe

2017-04-01

Brachiopods secrete low-Mg calcite shells in near equilibrium with the surrounding sea water, with respect to their secondary and tertiary layers. For this reason, in recent years they have been intensively studied as archives for oceanographic and environmental proxies. The primary layer has been shown not to be deposited in equilibrium with the ambient sea water, leading to a novel cleaning protocol proposed by Zaki et al (2015). In the spite of improving on existing proxies, the shell microstructure and growth has to be taken in to account in their applications. The secretion of the primary layer is known to be external of the shell, but in SEM investigations of Liothyrella uva and L. neozelanica we discovered that the primary layer has its origin within the fibres of the secondary layer. Furthermore, the primary layer calcite is not a continuum but instead it consists of a 'new' band for each major growth increment. There is overlap between the preceding and subsequent 'band' (or shingles) of the primary layer, which may extend into the secondary/tertiary layer. This finding may lead to more comprehensive knowledge of shell microstructure processes in L. uva and L. neozelanica that may be applied and extended to other modern and fossil brachiopods, including age dating of brachiopods. This discovery may make brachiopod archives more reliable and consistent proxies when applied to and interpreting their geological record.

Risk of multiple myeloma in a case-spouse study.

PubMed

Andreotti, Gabriella; Katz, Michael; Hoering, Antje; Van Ness, Brian; Crowley, John; Morgan, Gareth; Hoover, Robert N; Baris, Dalsu; Durie, Brian

2016-01-01

This study examined lifestyle, occupation, medical history and medication use with multiple myeloma risk in a case-spouse study (481 patients, 351 spouses). Odds ratios (ORs) and 95% confidence intervals (CI) were calculated using logistic regression. Compared to spouse controls, cases were more likely to have a family history of multiple myeloma (OR = 2.8, 95% CI = 1.2-6.4) and smoked cigarettes (OR = 1.7, 95% CI = 1.2-2.5), but less likely to have consumed alcohol (OR = 0.6, 95% CI = 0.4-0.9). Nurse/health practitioners (OR = 2.8, 95% CI = 1.3-6.2) and production workers (OR = 3.7, 95% CI = 1.0-13.7) had significantly increased risks; and some occupations linked to diesel exhaust had elevated, but non-significant, risks. History of herpes simplex (OR = 1.7, 95% CI = 1.2-2.4), shingles (OR = 1.7, 95% CI = 1.1-2.7), sexually transmitted diseases (OR = 2.0, 95% CI = 1.0-3.7) and medication allergies (OR = 1.7, 95% CI = 1.2-2.4) were associated with higher risks. Use of angiotensin-converting enzyme inhibitors, anti-convulsants, antidepressants, statins and diuretics were associated with reduced risks. The results are consistent with previous population-based studies and support the utility of patient databanks and spouse controls as a resource in epidemiologic research.

Reservoir sequence analysis: A new technology for the 90`s and its application to oil and gas fields

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

Wornardt, W.W.

1996-08-01

Reservoir Sequence Analysis when applied to existing fields can increase the production, life of the field and extend the field with a minimum of cost. In this technology we identify reservoir sands in a standard-of-reference well, to establish a seismic sequence stratigraphic well-tie for the entire field. Age date the Maximum Flooding Surfaces and Sequence Boundaries above and below reservoir sands on a well-log and seismic pro- file and/or workstation using High Resolution Biostratigraphic Analysis, species abundance and diversity histograms and their patterns, and paleoenvironmental paleobathymetric changes. Identify the systems tracts and their corresponding reservoir sands in between age datedmore » Maximum Flooding Surfaces. Interpret the reservoir sands as to type, i.e. IVF, point bar, coastal belt, forced regression, falling stage, bottom-set (shingled) turbidites, slope fan channel, channel overbank, and basin floor fans. Identify and correlate the same individual sands in different wells, and note new sands in a well and sands that shale-out in a well. Correlate the Maximum Flooding Surfaces above and below the reservoir section in additional wells to see which part of the reservoir section and sands have been penetrated. Identify systems tracts in additional wells and construct isopach, sand percent maps of individual systems tract interval in each well. Correlate sand packages, with a high degree of confidence, from upthrown to downthrown fault blocks, around salt domes, and updip with downdip.« less

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

Boudreaux, Philip; Pallin, Simon; Jackson, Roderick

We report that unvented, sealed or conditioned attics are an energy efficiency measure to reduce the thermal load of the home and decrease the space conditioning energy consumption. This retrofit is usually done by using spray polyurethane foam underneath the roof sheathing and on the gables and soffits of an attic to provide a thermal and air barrier. Unvented attics perform well from this perspective but from a moisture perspective sometimes the unvented attic homes have high interior humidity or moisture damage to the roof. As homes become more air tight and energy efficient, an understanding of the hygrothermal dynamicsmore » of the home become more important. One proposed reason for high unvented attic humidity has been that moisture can come through the asphalt shingle roof system and increase the moisture content of the roof sheathing and attic air. This has been called solar driven moisture. Oak Ridge National Laboratory (ORNL) investigated this proposed phenomenon by examining the physical properties of a roof and the physics required for the phenomenon. Results showed that there are not favorable conditions for solar driven moisture to occur. ORNL also conducted an experimental study on an unvented attic home and compared the humidity below the roof sheathing before and after a vapor impermeable underlayment was installed. There was no statistically significant difference in absolute humidity before and after the vapor barrier was installed. Finally, the outcome of the theoretical and experimental study both suggest that solar driven moisture does not occur in any significant amount.« less

Safety of zoster vaccine in elderly adults following documented herpes zoster.

PubMed

Morrison, Vicki A; Oxman, Michael N; Levin, Myron J; Schmader, Kenneth E; Guatelli, John C; Betts, Robert F; Gelb, Larry D; Pachucki, Constance T; Keay, Susan K; Menzies, Barbara; Griffin, Marie R; Kauffman, Carol A; Marques, Adriana R; Toney, John F; Simberkoff, Michael S; Serrao, Richard; Arbeit, Robert D; Gnann, John W; Greenberg, Richard N; Holodniy, Mark; Keitel, Wendy A; Yeh, Shingshing S; Davis, Larry E; Crawford, George E; Neuzil, Kathy M; Johnson, Gary R; Zhang, Jane H; Harbecke, Rith; Chan, Ivan S F; Keller, Paul M; Williams, Heather M; Boardman, Kathy D; Silber, Jeffrey L; Annunziato, Paula W

2013-08-15

After completion of the Shingles Prevention Study (SPS; Department of Veterans Affairs Cooperative Studies Program Number 403), SPS participants who had initially received placebo were offered investigational zoster vaccine without charge. This provided an opportunity to determine the relative safety of zoster vaccine in older adults following documented herpes zoster (HZ). A total of 13 681 SPS placebo recipients who elected to receive zoster vaccine were followed for serious adverse events (SAE) for 28 days after vaccination. In contrast to the SPS, a prior episode of HZ was not a contraindication to receiving zoster vaccine. The SPS placebo recipients who received zoster vaccine included 420 who had developed documented HZ during the SPS. The mean interval between the onset of HZ and the receipt of zoster vaccine in the 420 recipients with prior HZ was 3.61 years (median interval, 3.77 years [range, 3-85 months]); the interval was <5 years for approximately 80% of recipients. The proportion of vaccinated SPS placebo recipients with prior HZ who developed ≥ 1 SAE (0.95%) was not significantly different from that of vaccinated SPS placebo recipients with no prior history of HZ (0.66%), and the distribution of SAEs in the 2 groups was comparable. These results demonstrate that the general safety of zoster vaccine in older persons is not altered by a recent history of documented HZ, supporting the safety aspect of the Centers for Disease Control and Prevention Advisory Committee on Immunization Practices recommendation to administer zoster vaccine to all persons ≥ 60 years of age with no contraindications, regardless of a prior history of HZ.

Novel approach to differentiate subclades of varicella-zoster virus genotypes E1 and E2 in Germany.

PubMed

Schmidt-Chanasit, Jonas; Olschläger, Stephan; Bialonski, Alexandra; Heinemann, Patrick; Bleymehl, Karoline; Gross, Gerd; Günther, Stephan; Ulrich, Rainer G; Doerr, Hans Wilhelm

2009-11-01

Varicella-zoster virus (VZV) is the causative agent of chicken pox (varicella) in children and reactivation of VZV in elderly or immunocompromised persons can cause shingles (zoster). A subclade differentiation of the most prevalent VZV genotypes E1 and E2 in Germany was not possible with the current genotyping methods in use, but is highly important to understand the VZV molecular evolution in more detail and especially to follow up the routes of infection. Therefore the objective of this study was to develop a simple PCR-based method for differentiation of E1 and E2 subclades. Viral DNA was isolated from vesicle fluid samples of six selected German zoster patients and used to amplify nine complete open reading frames (ORFs) of the VZV genome by different PCR assays. Phylogenetic analysis was performed by a Bayesian approach. Based on the analysis of a total of nine ORFs, a 7482 bp stretch consisting of ORFs 5, 37 and 62 contained informative sites for identification of novel subclades E1a, E2a and E2b for VZV genotypes E1 and E2. Specific single nucleotide polymorphisms (SNPs) were demonstrated for subclades E2a and E2b within the ORFs 5, 37 and 62, whereas a subclade E1a-specific SNP was found in ORF 56. The classification of E1 and E2 subclades may facilitate a more exact and in-depth monitoring of the molecular evolution of VZV in Germany in the future.

Varicella-zoster virus glycoprotein expression differentially induces the unfolded protein response in infected cells

PubMed Central

Carpenter, John E.; Grose, Charles

2014-01-01

Varicella-zoster virus (VZV) is a human herpesvirus that spreads to children as varicella or chicken pox. The virus then establishes latency in the nervous system and re-emerges, typically decades later, as zoster or shingles. We have reported previously that VZV induces autophagy in infected cells as well as exhibiting evidence of the Unfolded Protein Response (UPR): XBP1 splicing, a greatly expanded Endoplasmic Reticulum (ER) and CHOP expression. Herein we report the results of a UPR specific PCR array that measures the levels of mRNA of 84 different components of the UPR in VZV infected cells as compared to tunicamycin treated cells as a positive control and uninfected, untreated cells as a negative control. Tunicamycin is a mixture of chemicals that inhibits N-linked glycosylation in the ER with resultant protein misfolding and the UPR. We found that VZV differentially induces the UPR when compared to tunicamycin treatment. For example, tunicamycin treatment moderately increased (8-fold) roughly half of the array elements while downregulating only three (one ERAD and two FOLD components). VZV infection on the other hand upregulated 33 components including a little described stress sensor CREB-H (64-fold) as well as ER membrane components INSIG and gp78, which modulate cholesterol synthesis while downregulating over 20 components mostly associated with ERAD and FOLD. We hypothesize that this expression pattern is associated with an expanding ER with downregulation of active degradation by ERAD and apoptosis as the cell attempts to handle abundant viral glycoprotein synthesis. PMID:25071735

Long-term Persistence of Zoster Vaccine Efficacy

PubMed Central

Morrison, Vicki A.; Johnson, Gary R.; Schmader, Kenneth E.; Levin, Myron J.; Zhang, Jane H.; Looney, David J.; Betts, Robert; Gelb, Larry; Guatelli, John C.; Harbecke, Ruth; Pachucki, Connie; Keay, Susan; Menzies, Barbara; Griffin, Marie R.; Kauffman, Carol A.; Marques, Adriana; Toney, John; Boardman, Kathy; Su, Shu-Chih; Li, Xiaoming; Chan, Ivan S. F.; Parrino, Janie; Annunziato, Paula; Oxman, Michael N.; Davis, LE.; Kauffman, CA; Keay, SK; Straus, SE; Marques, AR; Soto, NE; Brunell, P; Gnann, JW; Serrao, R; Cotton, DJ; Goodman, RP; Arbeit, RD; Pachucki, CT; Levin, MJ; Schmader, KE; Keitel, WA; Greenberg, RN; Morrison, VA; Wright, PF; Griffin, MR; Simberkoff, MS; Yeh, SS; Lobo, Z; Holodniy, M; Loutit, J; Betts, RF; Gelb, LD; Crawford, GE; Guatelli, J; Brooks, PA; Looney, DJ; Neuzil, KM; Toney, JF; Kauffman, CA; Keay, SK; Marques, AR; Pachucki, CT; Levin, MJ; Schmader, KE; Morrison, VA; Wright, PF; Griffin, MR; Betts, RF; Gelb, LD; Guatelli, JC; Looney, DJ; Neuzil, KM; Menzies, B; Toney, JF

2015-01-01

Background. The Shingles Prevention Study (SPS) demonstrated zoster vaccine efficacy through 4 years postvaccination. A Short-Term Persistence Substudy (STPS) demonstrated persistence of vaccine efficacy for at least 5 years. A Long-Term Persistence Substudy (LTPS) was undertaken to further assess vaccine efficacy in SPS vaccine recipients followed for up to 11 years postvaccination. Study outcomes were assessed for the entire LTPS period and for each year from 7 to 11 years postvaccination. Methods. Surveillance, case determination, and follow-up were comparable to those in SPS and STPS. Because SPS placebo recipients were offered zoster vaccine before the LTPS began, there were no unvaccinated controls. Instead, SPS and STPS placebo results were used to model reference placebo groups. Results. The LTPS enrolled 6867 SPS vaccine recipients. Compared to SPS, estimated vaccine efficacy in LTPS decreased from 61.1% to 37.3% for the herpes zoster (HZ) burden of illness (BOI), from 66.5% to 35.4% for incidence of postherpetic neuralgia, and from 51.3% to 21.1% for incidence of HZ, and declined for all 3 outcome measures from 7 through 11 years postvaccination. Vaccine efficacy for the HZ BOI was significantly greater than zero through year 10 postvaccination, whereas vaccine efficacy for incidence of HZ was significantly greater than zero only through year 8. Conclusions. Estimates of vaccine efficacy decreased over time in the LTPS population compared with modeled control estimates. Statistically significant vaccine efficacy for HZ BOI persisted into year 10 postvaccination, whereas statistically significant vaccine efficacy for incidence of HZ persisted only through year 8. PMID:25416754

Systematic review of incidence and complications of herpes zoster: towards a global perspective

PubMed Central

Kawai, Kosuke; Gebremeskel, Berhanu G; Acosta, Camilo J

2014-01-01

Objective The objective of this study was to characterise the incidence rates of herpes zoster (HZ), also known as shingles, and risk of complications across the world. Design We systematically reviewed studies examining the incidence rates of HZ, temporal trends of HZ, the risk of complications including postherpetic neuralgia (PHN) and HZ-associated hospitalisation and mortality rates in the general population. The literature search was conducted using PubMed, EMBASE and the WHO library up to December 2013. Results We included 130 studies conducted in 26 countries. The incidence rate of HZ ranged between 3 and 5/1000 person-years in North America, Europe and Asia-Pacific, based on studies using prospective surveillance, electronic medical record data or administrative data with medical record review. A temporal increase in the incidence of HZ was reported in the past several decades across seven countries, often occurring before the introduction of varicella vaccination programmes. The risk of developing PHN varied from 5% to more than 30%, depending on the type of study design, age distribution of study populations and definition. More than 30% of patients with PHN experienced persistent pain for more than 1 year. The risk of recurrence of HZ ranged from 1% to 6%, with long-term follow-up studies showing higher risk (5–6%). Hospitalisation rates ranged from 2 to 25/100 000 person-years, with higher rates among elderly populations. Conclusions HZ is a significant global health burden that is expected to increase as the population ages. Future research with rigorous methods is important. PMID:24916088

Field Testing Unvented Roofs with Asphalt Shingles in Cold and Hot-Humid Climates

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

Ueno, Kohta; Lstiburek, Joseph W.

2015-09-01

Insulating roofs with dense-pack cellulose (instead of spray foam) has moisture risks, but is a lower cost approach. If moisture risks could be addressed, buildings could benefit from retrofit options, and the ability to bring HVAC systems within the conditioned space. Test houses with unvented roof assemblies were built to measure long-term moisture performance, in the Chicago area (5A) and the Houston area (2A). The Chicago-area test bed had seven experimental rafter bays, including a control vented compact roof, and six unvented roof variants with cellulose or fiberglass insulation. The interior was run at 50% RH. All roofs except themore » vented cathedral assembly experienced wood moisture contents and RH levels high enough to constitute failure. Disassembly at the end of the experiment showed that the unvented fiberglass roofs had wet sheathing and mold growth. In contrast, the cellulose roofs only had slight issues, such as rusted fasteners and sheathing grain raise. The Houston-area roof was an unvented attic insulated with spray-applied fiberglass. Most ridges and hips were built with a diffusion vent detail, capped with vapor permeable roof membrane. Some ridge sections were built as a conventional unvented roof, as a control. In the control unvented roofs, roof peak RHs reached high levels in the first winter; as exterior conditions warmed, RHs quickly fell. In contrast, the diffusion vent roofs had drier conditions at the roof peak in wintertime, but during the summer, RHs and MCs were higher than the unvented roof (albeit in the safe range).« less

Building America Case Study: Field Testing an Unvented Roof with Asphalt Shingles in a Cold Climate, Boilingbrook, Illinois

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

2015-09-01

Insulating roofs with dense-pack cellulose (instead of spray foam) has moisture risks, but is a lower cost approach. If moisture risks could be addressed, buildings could benefit from retrofit options, and the ability to bring HVAC systems within the conditioned space. Test houses with unvented roof assemblies were built to measure long-term moisture performance, in the Chicago area (5A) and the Houston area (2A). The Chicago-area test bed had seven experimental rafter bays, including a 'control' vented compact roof, and six unvented roof variants with cellulose or fiberglass insulation. The interior was run at 50% RH. All roofs except themore » vented cathedral assembly experienced wood moisture contents and RH levels high enough to constitute failure. Disassembly at the end of the experiment showed that the unvented fiberglass roofs had wet sheathing and mold growth. In contrast, the cellulose roofs only had slight issues, such as rusted fasteners and sheathing grain raise. The Houston-area roof was an unvented attic insulated with spray-applied fiberglass. Most ridges and hips were built with a 'diffusion vent' detail, capped with vapor permeable roof membrane. Some ridge sections were built as a conventional unvented roof, as a control. In the control unvented roofs, roof peak RHs reached high levels in the first winter; as exterior conditions warmed, RHs quickly fell. In contrast, the diffusion vent roofs had drier conditions at the roof peak in wintertime, but during the summer, RHs and MCs were higher than the unvented roof (albeit in the safe range).« less

Vaccination for tomorrow: the need to improve immunisation rates.

PubMed

Kassianos, George

2010-01-01

Since the 1998 health scare about measles mumps and rubella (MMR) immunisation, vaccination rates for measles have suffered. Although these recovered for a brief period in 2004-05, they have stalled again and latest figures suggest that only 85% of children are now immunised against this disease. The UK has become one of the five countries in the European Union with the highest measles rates. Meanwhile the wider picture indicates that other vaccination rates, including for seasonal influenza, are not meeting targets. This is a potential sign that the MMR scare and myths around immunisation are setting a worrying trend of some people losing confidence in the practice of vaccination. The UK has expanded its childhood immunisation programme to include the human papilloma virus vaccine (HPV) which protects against some types of cervical cancer. New life-saving vaccines for diseases, including meningococcal B meningitis (a strain of meningitis not yet covered by the existing vaccination programme), shingles and hepatitis C will soon become available. It is therefore important that information is available to the general public about the excellent safety record and benefits of vaccination to ensure that as many people as possible can take advantage of these new vaccines. This article explores the current uptake of, and attitudes towards, vaccination programmes and discusses some myths about immunisation. It suggests that community health care teams with access to adults, including parents of children and young people who need vaccination, are well placed to help challenge some of these myths and promote the benefits of immunisation. Practical suggestions are included on how this can be achieved.

Visualization and quantitation of abundant macroautophagy in virus-infected cells by confocal three-dimensional fluorescence imaging.

PubMed

Jackson, Wallen; Yamada, Masaki; Moninger, Thomas; Grose, Charles

2013-10-01

Varicella-zoster virus (VZV) is a human herpesvirus. Primary infection causes varicella (chickenpox), a viremic illness typified by an exanthem consisting of several hundred vesicles. When VZV reactivates from latency in the spinal ganglia during late adulthood, the emerging virus causes a vesicular dermatomal rash (herpes zoster or shingles). To expand investigations of autophagy during varicella and zoster, newer 3D imaging technology was combined with laser scanning confocal microscopy to provide animations of autophagosomes in the vesicular rash. First, the cells were immunolabeled with antibodies against VZV proteins and the LC3 protein, an integral autophagosomal protein. Antibody reagents lacking activity against the human blood group A1 antigen were selected. After laser excitation of the samples, optimized emission detection bandwidths were configured by Zeiss Zen control software. Confocal Z-stacks comprising up to 40 optical slices were reconstructed into 3D animations with the aid of Imaris software. With this imaging technology, individual autophagosomes were clearly detectable as spheres within each vesicular cell. To enumerate the number of autophagosomes, data sets from 50 cells were reconstructed as 3D fluorescence images and analyzed with MeasurementPro software. The mean number of autophagosomes per infected vesicular cell was >100, although over 200 autophagosomes were seen in a few cells. In summary, macroautophagy was easily quantitated within VZV-infected cells after immunolabeling and imaging by 3D confocal animation technology. These same 3D imaging techniques will be applicable for investigations of autophagy in other virus-infected cells. Copyright © 2013 The Authors. Published by Elsevier B.V. All rights reserved.

Herpes zoster vaccine: A health economic evaluation for Switzerland.

PubMed

Blank, Patricia R; Ademi, Zanfina; Lu, Xiaoyan; Szucs, Thomas D; Schwenkglenks, Matthias

2017-07-03

Herpes zoster (HZ) or "shingles" results from a reactivation of the varicella zoster virus (VZV) acquired during primary infection (chickenpox) and surviving in the dorsal root ganglia. In about 20% of cases, a complication occurs, known as post-herpetic neuralgia (PHN). A live attenuated vaccine against VZV is available for the prevention of HZ and subsequent PHN. The present study aims to update an earlier evaluation estimating the cost-effectiveness of the HZ vaccine from a Swiss third party payer perspective. It takes into account updated vaccine prices, a different age cohort, latest clinical data and burden of illness data. A Markov model was developed to simulate the lifetime consequences of vaccinating 15% of the Swiss population aged 65-79 y. Information from sentinel data, official statistics and published literature were used. Endpoints assessed were number of HZ and PHN cases, quality-adjusted life years (QALYs), costs of hospitalizations, consultations and prescriptions. Based on a vaccine price of CHF 162, the vaccination strategy accrued additional costs of CHF 17,720,087 and gained 594 QALYs. The incremental cost-effectiveness ratio (ICER) was CHF 29,814 per QALY gained. Sensitivity analyses showed that the results were most sensitive to epidemiological inputs, utility values, discount rates, duration of vaccine efficacy, and vaccine price. Probabilistic sensitivity analyses indicated a more than 99% chance that the ICER was below 40,000 CHF per QALY. Findings were in line with existing cost-effectiveness analyses of HZ vaccination. This updated study supports the value of an HZ vaccination strategy targeting the Swiss population aged 65-79 y.

Improving pneumococcal and herpes zoster vaccination uptake: expanding pharmacist privileges.

PubMed

Taitel, Michael S; Fensterheim, Leonard E; Cannon, Adam E; Cohen, Edward S

2013-09-01

To investigate how state-authorized pharmacist immunization privileges influence pharmacist intervention effectiveness in delivering pneumococcal and herpes zoster vaccinations and assess the implications these privileges have on vaccination rates. Cross-sectional study of Walgreens vaccination records from August 2011 to March 2012. A random sample of patients having a claim for influenza vaccination in the study period was selected. Vaccination uptake rates for pneumococcal disease and herpes zoster were calculated for previously unvaccinated patients at high risk for these conditions. Rates were examined by state-level pharmacist privileges. For states authorizing immunization by protocol or prescriptive authority, the 1-year pneumococcal vaccination uptake rate for previously unvaccinated, high-risk persons was 6.6%, compared with 2.5% for states requiring a prescription (P <.0001), and 2.8% for states with no authorization (P <.0001). For herpes zoster, the 1-year vaccination uptake rate was 3.3% for states authorizing per protocol/prescriptive authority, compared with 2.8% (not significant, P <.05) for states authorizing by prescription, and 1.0% for states with no authorization (P <.0001). A 148% increase of pneumococcal vaccination and a 77% increase of herpes zoster vaccination would result if all states granted pharmacists full immunization privileges. This analysis demonstrates that states that offer pharmacists full immunization privileges have higher vaccination uptake rates than states with restricted or no authorization. Considering the suboptimal vaccination rates of pneumonia and shingles and the public health goals of 2020, states with limited or no immunization authorization for pharmacists should consider expanding pharmacist privileges for these vaccinations.

Health economic evaluation of a vaccine for the prevention of herpes zoster (shingles) and post-herpetic neuralgia in adults in Belgium.

PubMed

Annemans, L; Bresse, X; Gobbo, C; Papageorgiou, M

2010-01-01

To determine the cost-effectiveness of vaccination against herpes zoster (HZ) and post-herpetic neuralgia (PHN) in individuals aged 60 years and older in Belgium. A Markov model was developed to compare the cost-effectiveness of vaccination with that of a policy of no vaccination. The model estimated the lifetime incidence and consequences of HZ and PHN using inputs derived from Belgian data, literature sources, and expert opinion. Cost-effectiveness was measured by the incremental cost-effectiveness ratio (ICER), expressed as cost per quality-adjusted life-year (QALY) gained. Vaccination in individuals aged 60 years and older resulted in ICERs of €6,799 (third party payer perspective), €7,168 (healthcare perspective), and €7,137 (societal perspective). The number needed to vaccinate to prevent one case was 12 for HZ, and 35 or 36 for PHN depending on the definition used. Univariate sensitivity analyses produced ICERs of €4,959-19,052/QALY; duration of vaccine efficacy had the greatest impact on cost-effectiveness. Probabilistic sensitivity analysis showed at least a 94% probability of ICERs remaining below the unofficial €30,000 threshold. Key strengths of the model are the combination of efficacy data from a pivotal clinical trial with country-specific epidemiological data and complete sensitivity analysis performed. Main limitations are the use of non country-specific PHN proportion and non Belgian disease-specific utilities. Results are comparable with those recently published. HZ vaccination in individuals aged 60 years and older would represent a cost-effective strategy in Belgium.

Interaction of allergy history and antibodies to specific Varicella zoster virus proteins on glioma risk

PubMed Central

Lee, Seung-Tae; Bracci, Paige; Zhou, Mi; Rice, Terri; Wiencke, John; Wrensch, Margaret; Wiemels, Joseph

2014-01-01

Glioma is the most common cancer of the central nervous system but with few confirmed risk factors. Glioma has been inversely associated with chicken pox, shingles, and seroreactivity to varicella virus (VZV), as well as to allergies and allergy-associated IgE. The role of antibody reactivity against individual VZV antigens has not been assessed. Ten VZV-related proteins, selected for high immunogenicity or known function, were synthesized and used as targets for antibody measurements in the sera of 143 glioma cases and 131 healthy controls selected from the San Francisco Bay Area Adult Glioma Study. Glioma cases exhibited significantly reduced seroreactivity compared to controls for six antigens, including proteins IE63 (OR = 0.26, 95%CI:0.12-0.58, comparing lowest quartile to highest), and the VZV-unique protein ORF2p (OR = 0.44, 95%CI:0.21-0.96, lowest quartile to highest). When stratifying the study population into those with low and high self-reported allergy history, VZV protein seroreactivity was only associated inversely with glioma among individuals self-reporting more than two allergies. The data provide insight into both allergy and VZV effects on glioma: strong anti-VZV reactions in highly allergic individuals is associated with reduced occurrence of glioma. This result suggests a role for specificity in the anti-VZV immunity in brain tumor suppression for both individual VZV antigens and in the fine-tuning of the immune response by allergy. Anti-VZV reactions may also be a biomarker of effective CNS immunosurveillance due to the tropism of the virus. PMID:24127236

A trivalent subunit antigen glycoprotein vaccine as immunotherapy for genital herpes in the guinea pig genital infection model.

PubMed

Awasthi, Sita; Hook, Lauren M; Shaw, Carolyn E; Friedman, Harvey M

2017-12-02

An estimated 417 million people worldwide ages 15 to 49 are infected with herpes simplex virus type 2 (HSV-2), the most common cause of genital ulcer disease. Some individuals experience frequent recurrences of genital lesions, while others only have subclinical infection, yet all risk transmitting infection to their intimate partners. A vaccine was developed that prevents shingles, which is a recurrent infection caused by varicella-zoster virus (VZV), a closely related member of the Herpesviridae family. The success of the VZV vaccine has stimulated renewed interest in a therapeutic vaccine for genital herpes. We have been evaluating a trivalent subunit antigen vaccine for prevention of genital herpes. Here, we assess the trivalent vaccine as immunotherapy in guinea pigs that were previously infected intravaginally with HSV-2. The trivalent vaccine contains HSV-2 glycoproteins C, D, and E (gC2, gD2, gE2) subunit antigens administered with CpG and alum as adjuvants. We previously demonstrated that antibodies to gD2 neutralize the virus while antibodies to gC2 and gE2 block their immune evasion activities, including evading complement attack and inhibiting activities mediated by the IgG Fc domain, respectively. Here, we demonstrate that the trivalent vaccine significantly boosts ELISA titers and neutralizing antibody titers. The trivalent vaccine reduces the frequency of recurrent genital lesions and vaginal shedding of HSV-2 DNA by approximately 50% and almost totally eliminates vaginal shedding of replication-competent virus, suggesting that the trivalent vaccine is a worthy candidate for immunotherapy of genital herpes.

Amino acid substitutions in the thymidine kinase gene of induced acyclovir-resistant herpes simplex virus type 1

NASA Astrophysics Data System (ADS)

Hussin, Ainulkhir; Nor, Norefrina Shafinaz Md; Ibrahim, Nazlina

2013-11-01

Acyclovir (ACV) is an antiviral drug of choice in healthcare setting to treat infections caused by herpes viruses, including, but not limited to genital herpes, cold sores, shingles and chicken pox. Acyclovir resistance has emerged significantly due to extensive use and misuse of this antiviral in human, especially in immunocompromised patients. However, it remains unclear about the amino acid substitutions in thymidine (TK) gene, which specifically confer the resistance-associated mutation in herpes simplex virus. Hence, acyclovir-resistant HSV-1 was selected at high concentration (2.0 - 4.5 μg/mL), and the TK-gene was subjected to sequencing and genotypic characterization. Genotypic sequences comparison was done using HSV-1 17 (GenBank Accesion no. X14112) for resistance-associated mutation determination whereas HSV-1 KOS, HSV-1 473/08 and HSV clinical isolates sequences were used for polymorphism-associated mutation. The result showed that amino acid substitutions at the non-conserved region (UKM-1: Gln34Lys, UKM-2: Arg32Ser & UKM-5: Arg32Cys) and ATP-binding site (UKM-3: Tyr53End & UKM-4: Ile54Leu) of the TK-gene. These discoveries play an important role to extend another dimension to the evolution of acyclovir-resistant HSV-1 and suggest that selection at high ACV concentration induced ACV-resistant HSV-1 evolution. These findings also expand the knowledge on the type of mutations among acyclovir-resistant HSV-1. In conclusion, HSV-1 showed multiple strategies to exhibit acyclovir resistance, including amino acid substitutions in the TK gene.

Formation and use of coal combustion residues from three types of power plants burning Illinois coals

USGS Publications Warehouse

Demir, I.; Hughes, R.E.; DeMaris, P.J.

2001-01-01

Coal, ash, and limestone samples from a fluidized bed combustion (FBC) plant, a pulverized coal combustion (PC) plant, and a cyclone (CYC) plant in Illinois were analyzed to determine the combustion behavior of mineral matter, and to propose beneficial uses for the power plant ashes. Pyrite and marcasite in coal were converted during combustion to glass, hematite and magnetite. Calcite was converted to lime and anhydrite. The clay minerals were altered to mullite and glass. Quartz was partially altered to glass. Trace elements in coal were partially mobilized during combustion and, as a result, emitted into the atmosphere or adsorbed on fly ash or on hardware on the cool side of the power plants. Overall, the mobilities of 15 trace elements investigated were lower at the FBC plant than at the other plants. Only F and Mn at the FBC plant, F, Hg, and Se at the PC plant and Be, F, Hg, and Se at the CYC plant had over 50% of their concentrations mobilized. Se and Ge could be commercially recovered from some of the combustion ashes. The FBC ashes could be used as acid neutralizing agents in agriculture and waste treatment, and to produce sulfate fertilizers, gypsum wall boards, concrete, and cement. The PC and CYC fly ashes can potentially be used in the production of cement, concrete, ceramics, and zeolites. The PC and CYC bottom ashes could be used in stabilized road bases, as frits in roof shingles, and perhaps in manufacturing amber glass. ?? 2001 Elsevier Science Ltd. All rights reserved.

Lunar Rhythms In Forestry Traditions - Lunar-Correlated Phenomena In Tree Biology And Wood Properties

NASA Astrophysics Data System (ADS)

Zürcher, Ernst

For more than 2000 years, certain forestry practices and rules regarding tree felling have been carried out in observance to Moon cycles. A general review of the different types of rules followed (known in Europe and on other continents and stemming from both written sources and current practitioners) shows that special timber uses are mentioned in relation to a specific felling date which supposedly ensures advantageous wood properties. These empirical forestry traditions apply to a range of wood uses as diverse as building timber, shingles, wooden chimneys, fuel wood, resonance wood for harmony tables of violins, cheese-boxes, barrels and ploughs. In each of these cases, felling at the ``right date'' is thought to be an important factor to ensure the required properties of the product. Moreover, the rafting of timber used to be limited to certain days of the Moon cycle, when the water was supposed to carry the wood in the best way. The second part presents scientific studies concerned, on the one hand, with ``Moon phases'' factor. They deal with elements of tree biology such as germination and initial growth of tropical trees (where strong and systematic variations and their complicating aspects have been observed), insect attacks on trees and reversible fluctuations of stem diameters. On the other hand, some works concentrate on wood properties and the relation between wood and water. They deal with the durability of wood, with systematic density variations after kiln-drying and with variations in the compression strength of the corresponding samples. An overview tries to find a common link between empirical practices and the scientific results.

Housing a Raspberry Pi Connected AS-1 Seismometer in a Solar-Paneled Shed

NASA Astrophysics Data System (ADS)

Marton, F.; Tokman, T. L.; Echreshzadeh, M.; Palaric, K. D.; Filippone, N. V.; Sivo, J.

2016-12-01

Last year, students working on the SeismoSTEM project at Bergen Community College successfully manufactured and assembled an AS-1 seismometer1. However, issues students encountered were not knowing where to place the TC-1 and AS-1 seismometers, nor how to configure the instruments with a computer for monitoring and measuring earthquakes. Our solution was to purchase a Raspberry Pi 3 model B, which has four USB ports and a Wi-Fi adapter. We then installed the Raspbian operating system that can run jAmaSeis, which allows for the collection and analysis of seismic data. In terms of the shed that was constructed last summer2, we installed roof shingles, as well as a ventilation system to prevent overheating. The seismometers will then be placed on a concrete slab. In the future, we plan on applying a wood varnish around the exterior of the shed, as well as gravel around the shed for water drainage as well as to make it more visually appealing. Moreover, we plan on mounting a 170-W solar panel on the roof to charge a 12-V deep cycle marine battery, which will provide electricity to the system. References: 1Tokman, T.L. et al., What's shaking? Manufacturing & assembling an AS-1 educational seismometer for undergraduate stem research, Geological Society of America Abstracts with Programs. Vol. 47, No. 7, p.524, 2015. 2Palaric, K.D., et al., Constructing a solar-powered seismic station for educational seismometers, Geological Society of America Abstracts with Programs. Vol. 47, No. 7, p.524, 2015.

Soiling of building envelope surfaces and its effect on solar reflectance – Part III: Interlaboratory study of an accelerated aging method for roofing materials

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

Sleiman, Mohamad; Chen, Sharon; Gilbert, Haley E.

A laboratory method to simulate natural exposure of roofing materials has been reported in a companion article. Here in the current article, we describe the results of an international, nine-participant interlaboratory study (ILS) conducted in accordance with ASTM Standard E691-09 to establish the precision and reproducibility of this protocol. The accelerated soiling and weathering method was applied four times by each laboratory to replicate coupons of 12 products representing a wide variety of roofing categories (single-ply membrane, factory-applied coating (on metal), bare metal, field-applied coating, asphalt shingle, modified-bitumen cap sheet, clay tile, and concrete tile). Participants reported initial and laboratory-agedmore » values of solar reflectance and thermal emittance. Measured solar reflectances were consistent within and across eight of the nine participating laboratories. Measured thermal emittances reported by six participants exhibited comparable consistency. For solar reflectance, the accelerated aging method is both repeatable and reproducible within an acceptable range of standard deviations: the repeatability standard deviation sr ranged from 0.008 to 0.015 (relative standard deviation of 1.2–2.1%) and the reproducibility standard deviation sR ranged from 0.022 to 0.036 (relative standard deviation of 3.2–5.8%). The ILS confirmed that the accelerated aging method can be reproduced by multiple independent laboratories with acceptable precision. In conclusion, this study supports the adoption of the accelerated aging practice to speed the evaluation and performance rating of new cool roofing materials.« less

Classical seismic sequence stratigraphic interpretation of intraslope basin fill: Deepwater Nigeria

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

Duncan, E.A.

Detailed interpretation of seismic facies patterns performed within the workstation environment provides an observation based methodology for constructing depositional models of turbidite and other reservoir bearing systems expected in deepwater Nigeria. The increased fidelity of the workstation allows greater detail and accuracy to be imposed onto depositional model construction by vastly improving the discrimination of depositional from structural seismic reflection geometries. In deepwater Nigeria interslope basins, depositional cyclicity is clearly indicated by vertical seismic facies successions in the same way as can be recognized in bed thickness trends from outcrop or well log data. The recognition of the seismic faciesmore » successions appears to break the stratigraphy into at least fourth and fifth order scale sequences. Highly {open_quotes}zoomed{close_quotes} instantaneous phase displays enhance the reflection character so that near outcrop scale (resolution less than 50 mters) interpretations of depositional facies can be made. Common seismic facies and geologic interpretation include: (1) low angle erosional surfaces as channel scour or mass wasting detachment; (2) low relief mounds, often in compensation cycle overlapping stacks reflecting compacted channelbelt fill; (3) unidirectional, low angle clinoform sets suggesting laterial accretion within a channel belt or possible contourite mounds; (4) abrupt, shingled blocks illustrating tilted fault blocks of small scale intraformation slumping; and (5) high reflection amplitude and continuous, parallel reflections of pelagic and hemipelagic condensed sections. There are other subtle seismic facies resolvable given the incraesed fidelity of the workstation interpretation. Mapping and translation of these geometries into more robust stratigraphic predictions should have positive impact on exploration and development success.« less

Safety of Zoster Vaccine in Elderly Adults Following Documented Herpes Zoster

PubMed Central

Morrison, Vicki A.; Oxman, Michael N.; Levin, Myron J.; Schmader, Kenneth E.; Guatelli, John C.; Betts, Robert F.; Gelb, Larry D.; Pachucki, Constance T.; Keay, Susan K.; Menzies, Barbara; Griffin, Marie R.; Kauffman, Carol A.; Marques, Adriana R.; Toney, John F.; Simberkoff, Michael S.; Serrao, Richard; Arbeit, Robert D.; Gnann, John W.; Greenberg, Richard N.; Holodniy, Mark; Keitel, Wendy A.; Yeh, Shingshing S.; Davis, Larry E.; Crawford, George E.; Neuzil, Kathy M.; Johnson, Gary R.; Zhang, Jane H.; Harbecke, Rith; Chan, Ivan S. F.; Keller, Paul M.; Williams, Heather M.; Boardman, Kathy D.; Silber, Jeffrey L.; Annunziato, Paula W.

2013-01-01

Background. After completion of the Shingles Prevention Study (SPS; Department of Veterans Affairs Cooperative Studies Program Number 403), SPS participants who had initially received placebo were offered investigational zoster vaccine without charge. This provided an opportunity to determine the relative safety of zoster vaccine in older adults following documented herpes zoster (HZ). Methods. A total of 13 681 SPS placebo recipients who elected to receive zoster vaccine were followed for serious adverse events (SAE) for 28 days after vaccination. In contrast to the SPS, a prior episode of HZ was not a contraindication to receiving zoster vaccine. The SPS placebo recipients who received zoster vaccine included 420 who had developed documented HZ during the SPS. Results. The mean interval between the onset of HZ and the receipt of zoster vaccine in the 420 recipients with prior HZ was 3.61 years (median interval, 3.77 years [range, 3–85 months]); the interval was <5 years for approximately 80% of recipients. The proportion of vaccinated SPS placebo recipients with prior HZ who developed ≥1 SAE (0.95%) was not significantly different from that of vaccinated SPS placebo recipients with no prior history of HZ (0.66%), and the distribution of SAEs in the 2 groups was comparable. Conclusions. These results demonstrate that the general safety of zoster vaccine in older persons is not altered by a recent history of documented HZ, supporting the safety aspect of the Centers for Disease Control and Prevention Advisory Committee on Immunization Practices recommendation to administer zoster vaccine to all persons ≥60 years of age with no contraindications, regardless of a prior history of HZ. PMID:23633406

Varicella zoster virus-specific immune responses to a herpes zoster vaccine in elderly recipients with major depression and the impact of antidepressant medications.

PubMed

Irwin, Michael R; Levin, Myron J; Laudenslager, Mark L; Olmstead, Richard; Lucko, Anne; Lang, Nancy; Carrillo, Carmen; Stanley, Harold A; Caulfield, Michael J; Weinberg, Adriana; Chan, Ivan S F; Clair, Jim; Smith, Jeff G; Marchese, R D; Williams, Heather M; Beck, Danielle J; McCook, Patricia T; Zhang, Jane H; Johnson, Gary; Oxman, Michael N

2013-04-01

The Depression Substudy of the Shingles Prevention Study (SPS) was designed to evaluate the association between major depression and immune responses to a high-titer live attenuated varicella zoster virus (VZV) vaccine (zoster vaccine), which boosts cell-mediated immunity (CMI) to VZV and decreases the incidence and severity of herpes zoster (HZ). The Depression Substudy was a 2-year longitudinal cohort study in 92 community-dwelling adults≥60 years of age who were enrolled in the SPS, a large, double-blind, placebo-controlled Veterans Affairs Cooperative zoster vaccine efficacy study. Forty subjects with major depressive disorder, stratified by use of antidepressant medications, and 52 age- and sex-matched controls with no history of depression or other mental illness had their VZV-CMI measured prior to vaccination with zoster vaccine or placebo and at 6 weeks, 1 year, and 2 years postvaccination. Depressed subjects who were not treated with antidepressant medications had lower levels of VZV-CMI following administration of zoster vaccine than nondepressed controls or depressed subjects receiving antidepressants even when antidepressant medications failed to alter depressive symptom severity (P<.005). Similar results were obtained taking into account the time-varying status of depression and use of antidepressant medications, as well as changes in depressive symptoms, during the postvaccination period. Depressed patients have diminished VZV-CMI responses to zoster vaccine, and treatment with antidepressant medication is associated with normalization of these responses. Because higher levels of VZV-CMI correlate with lower risk and severity of HZ, untreated depression may increase the risk and severity of HZ and reduce the efficacy of zoster vaccine.

Social media for arthritis-related comparative effectiveness and safety research and the impact of direct-to-consumer advertising.

PubMed

Curtis, Jeffrey R; Chen, Lang; Higginbotham, Phillip; Nowell, W Benjamin; Gal-Levy, Ronit; Willig, James; Safford, Monika; Coe, Joseph; O'Hara, Kaitlin; Sa'adon, Roee

2017-03-07

Social media may complement traditional data sources to answer comparative effectiveness/safety questions after medication licensure. The Treato platform was used to analyze all publicly available social media data including Facebook, blogs, and discussion boards for posts mentioning inflammatory arthritis (e.g. rheumatoid, psoriatic). Safety events were self-reported by patients and mapped to medical ontologies, resolving synonyms. Disease and symptom-related treatment indications were manually redacted. The units of analysis were unique terms in posts. Pre-specified conditions (e.g. herpes zoster (HZ)) were selected based upon safety signals from clinical trials and reported as pairwise odds ratios (ORs); drugs were compared with Fisher's exact test. Empirically identified events were analyzed using disproportionality analysis and reported as relative reporting ratios (RRRs). The accuracy of a natural language processing (NLP) classifier to identify cases of shingles associated with arthritis medications was assessed. As of October 2015, there were 785,656 arthritis-related posts. Posts were predominantly US posts (75%) from patient authors (87%) under 40 years of age (61%). For HZ posts (n = 1815), ORs were significantly increased with tofacitinib versus other rheumatoid arthritis therapies. ORs for mentions of perforated bowel (n = 13) were higher with tocilizumab versus other therapies. RRRs associated with tofacitinib were highest in conditions related to baldness and hair regrowth, infections and cancer. The NLP classifier had a positive predictive value of 91% to identify HZ. There was a threefold increase in posts following television direct-to-consumer advertisement (p = 0.04); posts expressing medication safety concerns were significantly more frequent than favorable posts. Social media is a challenging yet promising data source that may complement traditional approaches for comparative effectiveness research for new medications.

Along-strike continuity of structure, stratigraphy, and kinematic history in the Himalayan thrust belt: The view from Northeastern India

NASA Astrophysics Data System (ADS)

DeCelles, P. G.; Carrapa, B.; Gehrels, G. E.; Chakraborty, T.; Ghosh, P.

2016-12-01

The Himalaya consists of thrust sheets tectonically shingled together since 58 Ma as India collided with and slid beneath Asia. Major Himalayan structures, including the South Tibetan Detachment (STD), Main Central Thrust (MCT), Lesser Himalayan Duplex (LHD), Main Boundary Thrust (MBT), and Main Frontal Thrust (MFT), persist along strike from northwestern India to Arunachal Pradesh near the eastern end of the orogenic belt. Previous work suggests significant basement involvement and a kinematic history unique to the Arunachal Himalaya. We present new geologic and geochronologic data to support a regional structural cross section and kinematic restoration of the Arunachal Himalaya. Large Paleoproterozoic orthogneiss bodies (Bomdila Gneiss) previously interpreted as Indian basement have ages of 1774-1810 Ma, approximately 50 Ma younger than Lesser Himalayan strata into which their granitic protoliths intruded. Bomdila Gneiss is therefore part of the Lesser Himalayan cover sequence, and no evidence exists for basement involvement in the Arunachal Himalaya. Minimum shortening in rocks structurally beneath the STD is 421 km. The MCT was active during the early Miocene; STD extension overlapped MCT shortening and continued until approximately 15-12 Ma; and growth of the LHD began 11 Ma, followed by slip along the MBT (post-7.5 Ma) and MFT (post-1 Ma) systems. Earlier thrusting events involved long-distance transport of strong, low-taper thrust sheets, whereas events after 12-10 Ma stacked smaller, weaker thrust sheets into a steeply tapered orogenic wedge dominated by duplexing. A coeval kinematic transition is observed in other Himalayan regions, suggesting that orogenic wedge behavior was controlled by rock strength and erodibility.

Elements of a CERCLA action at a former Army ammunition plant

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

Tucker, D.F.; Marotz, G.A.; Frazier, G.F.

1999-07-01

The Sunflower Army Ammunition Plant covers 44 km{sup 2} and is located near several large population centers. Leased sites within the plant are now being used for various activities including recreation and manufacturing. Plans are in place for conversion of an additional 3,000 ha to a commercial amusement park. Some 400 structures from the plant remain and most must be removed if further ventures are to take place. Many of the buildings are structurally unsound or contain potentially hazardous materials, such as explosive residues, lead sheathing or asbestos shingles, that were stored or used in the construction of the structures.more » State and federal agencies agreed that the buildings should be destroyed, but the method to do so was unclear. Analysis on building by building basis revealed that in many cases explosive residue made it unsafe to remove the buildings by any other method rather than combustion. Completion of a comprehensive destruction plan that included ground-level monitoring of combustion plumes, and burn scheduling under tightly prescribed micro and mesoscale meteorological conditions was approved by the EPA as a non-time critical removal action under CERCLA in 1996; the US Army was designated as the lead agency. Personnel at the University of Kansas assisted in developing the destruction plan and helped conduct two test burns using the comprehensive plan protocols. Results of one test burn scenario on June 26, 1997, intended as a test of probable dispersion safety margin and covered extensively by print and television media, the EPA and State agencies, are described in this paper. The selected building was smaller than typical of the buildings on the plant site. The events leading to a burn decision on the test day are used to illustrate the decision-making process.« less

Cost-effectiveness analysis of a vaccination program for the prevention of herpes zoster and post-herpetic neuralgia in adults aged 50 and over in Germany.

PubMed

Préaud, Emmanuelle; Uhart, Mathieu; Böhm, Katharina; Aidelsburger, Pamela; Anger, Delphine; Bianic, Florence; Largeron, Nathalie

2015-01-01

Herpes zoster (HZ; shingles) is a common viral disease that affects the nerves and surrounding skin causing a painful dermatomal rash and leading to debilitating complications such as, mainly, post-herpetic neuralgia (PHN). Currently, there is no effective treatment for HZ and PHN. The objective of this study was to assess the cost-effectiveness of a HZ vaccination program in Germany. An existing Markov Model was adapted to the German healthcare setting to compare a vaccination policy to no vaccination on a lifetime time-horizon, considering 2 scenarios: vaccinating people starting at the age of 50 or at the age of 60 years, from the perspective of the statutory health insurance (SHI) and the societal perspective. According to the perspective, vaccinating 20% of the 60+ German population resulted in 162,713 to 186,732 HZ and 31,657 to 35,793 PHN cases avoided. Corresponding incremental cost-effectiveness ratios (ICER) were 39,306 €/QALY from the SHI perspective and 37,417 €/QALY from a societal perspective. Results for the 50+ German population ranged from 336,468 to 394,575 HZ and from 48,637 to 56,087 PHN cases avoided from the societal perspective. Corresponding ICER were 39,782 €/QALY from a SHI perspective and 32,848 €/QALY from a societal perspective. Sensitivity analyses showed that results are mainly impacted by discount rates, utility values and use of alternative epidemiological data.The model indicated that a HZ vaccination policy in Germany leads to significant public health benefits and could be a cost-effective intervention. The results were robust and consistent with local and international existing literature.

Three-Dimensional Normal Human Neutral Progenitor Tissue-Like Assemblies: A Model for Persistent Varicella-Zoster Virus Infection and Platform to Study Oxidate Stress and Damage in Multiple Hit Scenarios

NASA Technical Reports Server (NTRS)

Goodwin, Thomas J.; McCarthy, M.; Osterrieder, N.; Cohrs, R. J.; Kaufer, B. B.

2014-01-01

The environment of space results in a multitude of challenges to the human physiology that present barriers to extended habitation and exploration. Over 40 years of investigation to define countermeasures to address space flight adaptation has left gaps in our knowledge regarding mitigation strategies partly due to the lack of investigative tools, monitoring strategies, and real time diagnostics to understand the central causative agent(s) responsible for physiologic adaptation and maintaining homeostasis. Spaceflight-adaptation syndrome is the combination of space environmental conditions and the synergistic reaction of the human physiology. Our work addresses the role of oxidative stress and damage (OSaD) as a negative and contributing Risk Factor (RF) in the following areas of combined spaceflight related dysregulation: i) radiation induced cellular damage [1], [2] ii) immune impacts and the inflammatory response [3], [4] and iii) varicella zoster virus (VZV) reactivation [5]. Varicella-zoster (VZV)/Chicken Pox virus is a neurotropic human alphaherpes virus resulting in varicella upon primary infection, suppressed by the immune system becomes latent in ganglionic neurons, and reactivates under stress events to re-express in zoster and possibly shingles. Our laboratory has developed a complex three-dimensional (3D) normal human neural tissue model that emulates several characteristics of the human trigeminal ganglia (TG) and allows the study of combinatorial experimentation which addresses, simultaneously, OSaD associated with Spaceflight adaptation and habitation [6]. By combining the RFs of microgravity, radiation, and viral infection we will demonstrate that living in the space environment leads to significant physiological consequences for the peripheral and subsequently the central nervous system (PNS, CNS) associated with OSaD generation and consequentially endangers long-duration and exploration-class missions.

Validation and results of a scale model of dew deposition in urban environments

NASA Astrophysics Data System (ADS)

Richards, K.; Oke, T. R.

2002-12-01

There is growing interest in urban dew and its significance in questions of urban climate and air pollution deposition, but little research has been undertaken to study it. In this study, a generic, urban residential neighbourhood is modelled out-of-doors at a scale of 0.125, using three wooden houses (1.08 m tall), a concrete pavement (1.0 m in width), a grassed park (7.5 m in half-width) and several small trees (up to 1.5 m tall). The thermal inertia of each house is inflated, according to the internal thermal mass (ITM) approach, so that nocturnal surface temperatures are conserved. First-order validation was achieved through comparison with data collected at nearby full-scale sites in Vancouver, BC, Canada. Moisture accumulation (measured by blotting on grass and by lysimetry) is found to be primarily controlled by nocturnal weather conditions and the intrinsic nature of each substrate, e.g. dewfall is abundant on nights with few clouds and light winds, and on surfaces such as grass and asphalt-shingle roofs, which cool rapidly after sunset. However, these responses are modified by location effects related to the net radiation balance of the surface, which itself is strongly linked to site geometry as expressed by sky view factor and whether surfaces are isolated from heat sources. The dominant mechanism is argued to be the systematic increase in longwave radiation loss that is associated with increased sky view. Results agree with those observed at the full scale and suggest that maps of sky view factor, and knowledge of dew at an open site, can potentially be used to create maps of dew distribution in urban and other complex environments.

Observation and modelling of urban dew

NASA Astrophysics Data System (ADS)

Richards, Katrina

Despite its relevance to many aspects of urban climate and to several practical questions, urban dew has largely been ignored. Here, simple observations an out-of-doors scale model, and numerical simulation are used to investigate patterns of dewfall and surface moisture (dew + guttation) in urban environments. Observations and modelling were undertaken in Vancouver, B.C., primarily during the summers of 1993 and 1996. Surveys at several scales (0.02-25 km) show that the main controls on dew are weather, location and site configuration (geometry and surface materials). Weather effects are discussed using an empirical factor, FW . Maximum dew accumulation (up to ~ 0.2 mm per night) is seen on nights with moist air and high FW , i.e., cloudless conditions with light winds. Favoured sites are those with high Ysky and surfaces which cool rapidly after sunset, e.g., grass and well insulated roofs. A 1/8-scale model is designed, constructed, and run at an out-of-doors site to study dew patterns in an urban residential landscape which consists of house lots, a street and an open grassed park. The Internal Thermal Mass (ITM) approach is used to scale the thermal inertia of buildings. The model is validated using data from full-scale sites in Vancouver. Patterns in the model agree with those seen at the full-scale, i.e., dew distribution is governed by weather, site geometry and substrate conditions. Correlation is shown between Ysky and surface moisture accumulation. The feasibility of using a numerical model to simulate urban dew is investigated using a modified version of a rural dew model. Results for simple isolated surfaces-a deciduous tree leaf and an asphalt shingle roof-show promise, especially for built surfaces.

Clinical Characteristics and Outcomes in a Population With Disseminated Herpes Zoster: A Retrospective Cohort Study.

PubMed

Bollea-Garlatti, M L; Bollea-Garlatti, L A; Vacas, A S; Torre, A C; Kowalczuk, A M; Galimberti, R L; Ferreyro, B L

2017-03-01

Shingles is the cutaneous expression of the reactivation of latent varicella zoster virus infection in sensory ganglia. It presents as vesicles in the corresponding dermatome. The condition is called disseminated herpes zoster (DHZ) when more than 2 contiguous dermatomes are affected, more than 20 vesicles are observed outside the initial dermatome, or involvement is systemic. DHZ is rare and most frequently occurs in immunocompromised patients. To describe the epidemiology, predisposing factors, clinical presentation, laboratory findings, and clinical course of patients with DHZ, and to compare the findings in immunocompromised and immunocompetent patients. We analyzed a retrospective case series of adults hospitalized between February 2010 and October 2015. Forty-one patients with virologically confirmed manifestations of DHZ were included. Stress as a trigger factor was detected in 39% and immunodepression in 58.5%. Immunocompromised patients were younger than the immunocompetent patients (mean ages, 60.5 vs 82 years, P<.01). The 8 immunocompetent patients with no detectable trigger factors were older (mean age, 85 years). In 95% of cases, DHZ was initially limited to a single dermatome and then spread to other dermatomes or became disseminated. Thrombocytopenia was detected in 56% of cases. Complication rates were similar in immunocompromised and immunocompetent patients (54% vs 59%, P>.01). Six patients died; there was no difference in mortality between the 2 groups. This study provides evidence on the relationship between DHZ, the presence of underlying immunodepression, and complications. Immunosenescence may play an important role in the onset of this disease in older immunocompetent patients. Copyright © 2016 AEDV. Publicado por Elsevier España, S.L.U. All rights reserved.

FV-100 versus valacyclovir for the prevention of post-herpetic neuralgia and the treatment of acute herpes zoster-associated pain: A randomized-controlled trial.

PubMed

Tyring, Stephen K; Lee, Patricia; Hill, Gordon T; Silverfield, Joel C; Moore, Angela Yen; Matkovits, Theresa; Sullivan-Bolyai, John

2017-07-01

This prospective, parallel-group, randomized, double-blind, multicenter study compared the efficacy and safety of FV-100 with valacyclovir for reducing pain associated with acute herpes zoster (HZ). Patients, ≥50 years of age, diagnosed with HZ within 72 h of lesion appearance who had HZ-associated pain, were randomized 1:1:1 to a 7-day course of either FV-100 200 mg QD (n = 117), FV-100 400 mg QD (n = 116), or valacyclovir 1000 mg TID (n =117). Efficacy was evaluated on the basis of the burden of illness (BOI; Zoster Brief Pain Inventory scores); incidence and duration of clinically significant pain (CSP); pain scores; incidence and severity of post-herpetic neuralgia (PHN); and times to full lesion crusting and to lesion healing. Safety was evaluated on the basis of adverse event (AE)/SAE profiles, changes in laboratory and vital signs values, and results of electrocardiograms. The burden of illness scores for pain through 30 days were 114.5, 110.3, and 118.0 for FV-100 200 mg, FV-100 400 mg, and valacyclovir 3000 mg, respectively. The incidences of PHN at 90 days for FV-100 200 mg, FV-100 400 mg, and valacyclovir 3000 mg were 17.8%, 12.4%, and 20.2%, respectively. Adverse event and SAE profiles of the two FV-100 and the valacyclovir groups were similar and no untoward signals or trends were evident. These results demonstrate a potential for FV-100 as an antiviral for the treatment of shingles that could both reduce the pain burden of the acute episode and reduce the incidence of PHN compared with available treatments. © 2016 Wiley Periodicals, Inc.

Antioxidant and anti-inflammatory activities of the phenolic extracts of Sapium sebiferum (L.) Roxb. leaves.

PubMed

Fu, Rao; Zhang, Yu-Ting; Guo, Yi-Ran; Huang, Qiu-Lan; Peng, Tong; Xu, Ying; Tang, Lin; Chen, Fang

2013-05-20

The leaves of Sapium sebiferum have long been used in Traditional Chinese Medicine (TCM) for the treatment of eczema, shingles, edema, swelling, ascites, scabs, and snakebites, among other maladies. The present study aimed to investigate the antioxidant and anti-inflammatory effects of the phenolic extracts of Sapium sebiferum leaves using in vitro and in vivo models. The in vitro antioxidant activities of the extracts were measured using common chemical methods (total phenolic content; total flavonoid content; scavenging of DPPH·, ABTS+·, superoxide, and nitrite radicals; reducing power; β-carotene bleaching; and FTC assays). The in vivo topical anti-inflammatory activities were tested using the 12-O-tetradecanoylphorbol-13-acetate (TPA)-induced dermatitis animal model. The SOD and CAT activities and the GSH content of ear tissue were also determined using test kits. The extracts of Sapium sebiferum leaves exhibited strong in vitro antioxidant activities. They also showed significant (P<0.001) and dose-dependent anti-inflammatory activities in an acute dermatitis model at the doses of 0.03 mg/ear, 0.1mg/ear, and 0.3mg/ear. The application of Sapium sebiferum leaf extracts increased the SOD and CAT activities and the GSH content relative to those of the TPA treatment group. The anti-inflammatory effect of the Sapium sebiferum leaf extract was positively correlated with its antioxidant activity. These results demonstrate that Sapium sebiferum leaf extract is an effective anti-inflammatory agent in the TPA-induced dermatitis model, and its anti-inflammatory effect is related, at least in part, to its antioxidant activity. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Structure of the Varicella Zoster Virus Thymidylate Synthase Establishes Functional and Structural Similarities as the Human Enzyme and Potentiates Itself as a Target of Brivudine

PubMed Central

Hew, Kelly; Dahlroth, Sue-Li; Veerappan, Saranya; Pan, Lucy Xin; Cornvik, Tobias; Nordlund, Pär

2015-01-01

Varicella zoster virus (VZV) is a highly infectious human herpesvirus that is the causative agent for chicken pox and shingles. VZV encodes a functional thymidylate synthase (TS), which is the sole enzyme that produces dTMP from dUMP de novo. To study substrate binding, the complex structure of TSVZV with dUMP was determined to a resolution of 2.9 Å. In the absence of a folate co-substrate, dUMP binds in the conserved TS active site and is coordinated similarly as in the human encoded TS (TSHS) in an open conformation. The interactions between TSVZV with dUMP and a cofactor analog, raltitrexed, were also studied using differential scanning fluorimetry (DSF), suggesting that TSVZV binds dUMP and raltitrexed in a sequential binding mode like other TS. The DSF also revealed interactions between TSVZV and in vitro phosphorylated brivudine (BVDUP), a highly potent anti-herpesvirus drug against VZV infections. The binding of BVDUP to TSVZV was further confirmed by the complex structure of TSVZV and BVDUP solved at a resolution of 2.9 Å. BVDUP binds similarly as dUMP in the TSHS but it induces a closed conformation of the active site. The structure supports that the 5-bromovinyl substituent on BVDUP is likely to inhibit TSVZV by preventing the transfer of a methylene group from its cofactor and the subsequent formation of dTMP. The interactions between TSVZV and BVDUP are consistent with that TSVZV is indeed a target of brivudine in vivo. The work also provided the structural basis for rational design of more specific TSVZV inhibitors. PMID:26630264

The influence of sea level and cyclones on Holocene reef flat development: Middle Island, central Great Barrier Reef

NASA Astrophysics Data System (ADS)

Ryan, E. J.; Smithers, S. G.; Lewis, S. E.; Clark, T. R.; Zhao, J. X.

2016-09-01

The geomorphology and chronostratigraphy of the reef flat (including microatoll ages and elevations) were investigated to better understand the long-term development of the reef at Middle Island, inshore central Great Barrier Reef. Eleven cores across the fringing reef captured reef initiation, framework accretion and matrix sediments, allowing a comprehensive appreciation of reef development. Precise uranium-thorium ages obtained from coral skeletons revealed that the reef initiated ~7873 ± 17 years before present (yBP), and most of the reef was emplaced in the following 1000 yr. Average rates of vertical reef accretion ranged between 3.5 and 7.6 mm yr-1. Reef framework was dominated by branching corals ( Acropora and Montipora). An age hiatus of ~5000 yr between 6439 ± 19 and 1617 ± 10 yBP was observed in the core data and attributed to stripping of the reef structure by intense cyclones during the mid- to late-Holocene. Large shingle ridges deposited onshore and basset edges preserved on the reef flat document the influence of cyclones at Middle Island and represent potential sinks for much of the stripped material. Stripping of the upper reef structure around the outer margin of the reef flat by cyclones created accommodation space for a thin (<1.2 m) veneer of reef growth after 1617 ± 10 yBP that grew over the eroded mid-Holocene reef structure. Although limited fetch and open-water exposure might suggest the reef flat at Middle Island is quite protected, our results show that high-energy waves presumably generated by cyclones have significantly influenced both Holocene reef growth and contemporary reef flat geomorphology.

Cost Effectiveness of a Shingles Vaccine Booster for Currently Vaccinated Adults in the U.S.

PubMed

Le, Phuc; Rothberg, Michael B

2017-12-01

The Advisory Committee on Immunization Practices recommends a single dose of the live attenuated herpes zoster vaccine in people aged ≥60 years. Because vaccine-induced protection decreases to zero after 10 years, many vaccinated people will soon be subject to an increased risk of the disease. The study objective was to determine the cost effectiveness of a herpes zoster vaccine booster and its optimal timing among immunocompetent adults first vaccinated at aged ≥60 years. A Markov model was built to follow vaccinated individuals for a lifetime. From the societal perspective, costs and quality-adjusted life years were compared between no booster versus booster options. A booster was given any time between 1 and 20 years after the first dose, and for those who had the first dose at different ages: 60, 70, and 80 years. Because people entered the model already vaccinated, costs and side effects of the first dose were not included. The booster was assumed to have the same efficacy and waning rate as the initial vaccination. Model inputs were based on published literature. A cost effectiveness threshold of $100,000/quality-adjusted life year was used. The analysis was conducted in 2016. Cost effectiveness of a booster varied by age and time since vaccination. The booster cost <$100,000/quality-adjusted life year if given >5 years after the initial dose, but was most cost effective at around 10 years. The finding was robust to wide variations in model inputs. Under current assumptions, a booster dose of herpes zoster vaccine would be cost effective for all vaccinated people 10 years after initial vaccination. Copyright © 2017 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Varicella Zoster Virus–Specific Immune Responses to a Herpes Zoster Vaccine in Elderly Recipients With Major Depression and the Impact of Antidepressant Medications

PubMed Central

Irwin, Michael R.; Levin, Myron J.; Laudenslager, Mark L.; Olmstead, Richard; Lucko, Anne; Lang, Nancy; Carrillo, Carmen; Stanley, Harold A.; Caulfield, Michael J.; Weinberg, Adriana; Chan, Ivan S. F.; Clair, Jim; Smith, Jeff G.; Marchese, R. D.; Williams, Heather M.; Beck, Danielle J.; McCook, Patricia T.; Zhang, Jane H.; Johnson, Gary; Oxman, Michael N.

2013-01-01

Background. The Depression Substudy of the Shingles Prevention Study (SPS) was designed to evaluate the association between major depression and immune responses to a high-titer live attenuated varicella zoster virus (VZV) vaccine (zoster vaccine), which boosts cell-mediated immunity (CMI) to VZV and decreases the incidence and severity of herpes zoster (HZ). The Depression Substudy was a 2-year longitudinal cohort study in 92 community-dwelling adults ≥60 years of age who were enrolled in the SPS, a large, double-blind, placebo-controlled Veterans Affairs Cooperative zoster vaccine efficacy study. Methods. Forty subjects with major depressive disorder, stratified by use of antidepressant medications, and 52 age- and sex-matched controls with no history of depression or other mental illness had their VZV-CMI measured prior to vaccination with zoster vaccine or placebo and at 6 weeks, 1 year, and 2 years postvaccination. Results. Depressed subjects who were not treated with antidepressant medications had lower levels of VZV-CMI following administration of zoster vaccine than nondepressed controls or depressed subjects receiving antidepressants even when antidepressant medications failed to alter depressive symptom severity (P < .005). Similar results were obtained taking into account the time-varying status of depression and use of antidepressant medications, as well as changes in depressive symptoms, during the postvaccination period. Conclusions. Depressed patients have diminished VZV-CMI responses to zoster vaccine, and treatment with antidepressant medication is associated with normalization of these responses. Because higher levels of VZV-CMI correlate with lower risk and severity of HZ, untreated depression may increase the risk and severity of HZ and reduce the efficacy of zoster vaccine. PMID:23413415

Cost-effectiveness of a vaccine to prevent herpes zoster and postherpetic neuralgia in older adults.

PubMed

Rothberg, Michael B; Virapongse, Anunta; Smith, Kenneth J

2007-05-15

A vaccine to prevent herpes zoster was recently approved by the United States Food and Drug Administration. We sought to determine the cost-effectiveness of this vaccine for different age groups. We constructed a cost-effectiveness model, based on the Shingles Prevention Study, to compare varicella zoster vaccination with usual care for healthy adults aged >60 years. Outcomes included cost in 2005 US dollars and quality-adjusted life expectancy. Costs and natural history data were drawn from the published literature; vaccine efficacy was assumed to persist for 10 years. For the base case analysis, compared with usual care, vaccination increased quality-adjusted life expectancy by 0.0007-0.0024 quality-adjusted life years per person, depending on age at vaccination and sex. These increases came almost exclusively as a result of prevention of acute pain associated with herpes zoster and postherpetic neuralgia. Vaccination also increased costs by $94-$135 per person, compared with no vaccination. The incremental cost-effectiveness ranged from $44,000 per quality-adjusted life year saved for a 70-year-old woman to $191,000 per quality-adjusted life year saved for an 80-year-old man. For the sensitivity analysis, the decision was most sensitive to vaccine cost. At a cost of $46 per dose, vaccination cost <$50,000 per quality-adjusted life year saved for all adults >60 years of age. Other variables related to the vaccine (duration, efficacy, and adverse effects), postherpetic neuralgia (incidence, duration, and utility), herpes zoster (incidence and severity), and the discount rate all affected the cost-effectiveness ratio by >20%. The cost-effectiveness of the varicella zoster vaccine varies substantially with patient age and often exceeds $100,000 per quality-adjusted life year saved. Age should be considered in vaccine recommendations.

A trivalent subunit antigen glycoprotein vaccine as immunotherapy for genital herpes in the guinea pig genital infection model

PubMed Central

Awasthi, Sita; Hook, Lauren M.; Shaw, Carolyn E.; Friedman, Harvey M.

2017-01-01

ABSTRACT An estimated 417 million people worldwide ages 15 to 49 are infected with herpes simplex virus type 2 (HSV-2), the most common cause of genital ulcer disease. Some individuals experience frequent recurrences of genital lesions, while others only have subclinical infection, yet all risk transmitting infection to their intimate partners. A vaccine was developed that prevents shingles, which is a recurrent infection caused by varicella-zoster virus (VZV), a closely related member of the Herpesviridae family. The success of the VZV vaccine has stimulated renewed interest in a therapeutic vaccine for genital herpes. We have been evaluating a trivalent subunit antigen vaccine for prevention of genital herpes. Here, we assess the trivalent vaccine as immunotherapy in guinea pigs that were previously infected intravaginally with HSV-2. The trivalent vaccine contains HSV-2 glycoproteins C, D, and E (gC2, gD2, gE2) subunit antigens administered with CpG and alum as adjuvants. We previously demonstrated that antibodies to gD2 neutralize the virus while antibodies to gC2 and gE2 block their immune evasion activities, including evading complement attack and inhibiting activities mediated by the IgG Fc domain, respectively. Here, we demonstrate that the trivalent vaccine significantly boosts ELISA titers and neutralizing antibody titers. The trivalent vaccine reduces the frequency of recurrent genital lesions and vaginal shedding of HSV-2 DNA by approximately 50% and almost totally eliminates vaginal shedding of replication-competent virus, suggesting that the trivalent vaccine is a worthy candidate for immunotherapy of genital herpes. PMID:28481687

Remote Sensing of Atlanta's Urban Sprawl and the Distribution of Land Cover and Surface Temperatures

NASA Technical Reports Server (NTRS)

Laymon, Charles A.; Estes, Maurice G., Jr.; Quattrochi, Dale A.; Arnold, James E. (Technical Monitor)

2001-01-01

Between 1973 and 1992, an average of 20 ha of forest was lost each day to urban expansion of Atlanta, Georgia. Urban surfaces have very different thermal properties than natural surfaces-storing solar energy throughout the day and continuing to release it as sensible heat well after sunset. The resulting heat island effect serves as catalysts for chemical reactions from vehicular exhaust and industrialization leading to a deterioration in air quality. In this study, high spatial resolution multispectral remote sensing data has been used to characterize the type, thermal properties, and distribution of land surface materials throughout the Atlanta metropolitan area. Ten-meter data were acquired with the Advanced Thermal and Land Applications Sensor (ATLAS) on May 11 and 12, 1997. ATLAS is a 15-channel multispectral scanner that incorporates the Landsat TM bands with additional bands in the middle reflective infrared and thermal infrared range. The high spatial resolution permitted discrimination of discrete surface types (e.g., concrete, asphalt), individual structures (e.g., buildings, houses) and their associated thermal characteristics. There is a strong temperature contrast between vegetation and anthropomorphic features. Vegetation has a modal temperature at about 20 C, whereas asphalt shingles, pavement, and buildings have a modal temperature of about 39 C. Broad-leaf vegetation classes are indistinguishable on a thermal basis alone. There is slightly more variability (plus or minus 5 C) among the urban surfaces. Grasses, mixed vegetation and mixed urban surfaces are intermediate in temperature and are characterized by broader temperature distributions with modes of about 29 C. Thermal maps serve as a basis for understanding the distribution of "hotspots", i.e., how landscape features and urban fabric contribute the most heat to the lower atmosphere.

Remote Sensing of Atlanta's Urban Sprawl and the Distribution of Land Cover and Surface Temperature

NASA Technical Reports Server (NTRS)

Laymon, Charles A.; Estes, Maurice G., Jr.; Quattrochi, Dale A.; Goodman, H. Michael (Technical Monitor)

2001-01-01

Between 1973 and 1992, an average of 20 ha of forest was lost each day to urban expansion of Atlanta, Georgia. Urban surfaces have very different thermal properties than natural surfaces-storing solar energy throughout the day and continuing to release it as sensible heat well after sunset. The resulting heat island effect serves as catalysts for chemical reactions from vehicular exhaust and industrialization leading to a deterioration in air quality. In this study, high spatial resolution multispectral remote sensing data has been used to characterize the type, thermal properties, and distribution of land surface materials throughout the Atlanta metropolitan area. Ten-meter data were acquired with the Advanced Thermal and Land Applications Sensor (ATLAS) on May 11 and 12, 1997. ATLAS is a 15-channel multispectral scanner that incorporates the Landsat TM bands with additional bands in the middle reflective infrared and thermal infrared range. The high spatial resolution permitted discrimination of discrete surface types (e.g., concrete, asphalt), individual structures (e.g., buildings, houses) and their associated thermal characteristics. There is a strong temperature contrast between vegetation and anthropomorphic features. Vegetation has a modal temperature at about 20 C, whereas asphalt shingles, pavement, and buildings have a modal temperature of about 39 C. Broad-leaf vegetation classes are indistinguishable on a thermal basis alone. There is slightly more variability (+/-5 C) among the urban surfaces. Grasses, mixed vegetation and mixed urban surfaces are intermediate in temperature and are characterized by broader temperature distributions with modes of about 29 C. Thermal maps serve as a basis for understanding the distribution of "hotspots", i.e., how landscape features and urban fabric contribute the most heat to the lower atmosphere.

[Vaccines against varicella-zoster virus (VZV)].

PubMed

Salleras, Luis; Salleras, Montserrat; Soldevila, Nuria; Prat, Andreu; Garrido, Patricio; Domínguez, Ángela

2015-01-01

In Western countries, two attenuated varicella vaccines derived from the OKA strain are licensed: Varilrix® GlaxoSmithKline (OKA/RIT strain) and Varivax® Merck Sharp and Dohme (OKA/Merck strain). Currently, in Spain, varicella vaccination is only included in the Ministry of Health, Social Services and Equality official vaccination calendar for administration in adolescents who have not had the disease. Given the good results obtained in Navarra and Madrid with universal administration of the vaccine in children, it would be desirable to include the vaccine in the routine immunization schedule, with the administration of two doses at 15-18 months of age in the future. The protective efficacy of the attenuated herpes zoster vaccine was evaluated in the Shingles Prevention Study, which showed that in the short term (0-4 years) the vaccine reduced the incidence of herpes zoster by 53%, post-herpetic neuralgia by 66%, and the disease burden in immunocompetent persons aged ≥60 years by 61%. Another study demonstrated protective efficacy in persons aged 50-59 years. Over time, the protective efficacy decreases, but remains at acceptable levels, especially for post-herpetic neuralgia and the disease burden. Recently, the results of a controlled clinical trial (phase III) conducted in 18 countries to assess the protective efficacy of the inactivated subunit vaccine (glycoprotein E) adjuvanted with the adjuvant AS01B were published. The study inferred that the vaccine significantly reduced the incidence of herpes zoster in the short term (3.2 years) in people aged ≥50 years. Vaccine protection did not decrease with age at vaccination, ranging between 96.8% and 97.9% in all age groups. Copyright © 2015. Published by Elsevier España, S.L.U.

Searching for forcing signatures in decadal patterns of shoreline change

NASA Astrophysics Data System (ADS)

Burningham, H.; French, J.

2016-12-01

Analysis of shoreline position at spatial scales of the order 10 - 100 km and at a multi-decadal time-scale has the potential to reveal regional coherence (or lack of) in the primary controls on shoreline tendencies and trends. Such information is extremely valuable for the evaluation of climate forcing on coastal behaviour. Segmenting a coast into discrete behaviour units based on these types of analyses is often subjective, however, and in the context of pervasive human interventions and alongshore variability in ocean climate, determining the most important controls on shoreline dynamics can be challenging. Multivariate analyses provide one means to resolve common behaviours across shoreline position datasets, thereby underpinning a more objective evaluation of possible coupling between shorelines at different scales. In an analysis of the Suffolk coast (eastern England) we explore the use of multivariate statistics to understand and classify mesoscale coastal behaviour. Suffolk comprises a relatively linear shoreline that shifts from east-facing in the north to southeast-facing in the south. Although primarily formed of a beach foreshore backed by cliffs or shingle barrier, the shoreline is punctuated at 3 locations by narrow tidal inlets with offset entrances that imply a persistent north to south sediment transport direction. Tidal regime decreases south to north from mesotidal (3.6m STR) to microtidal (1.9m STR), and the bimodal wave climate (northeast and southwest modes) presents complex local-scale variability in nearshore conditions. Shorelines exhibit a range of decadal behaviours from rapid erosion (up to 4m/yr) to quasi-stability that cannot be directly explained by the spatial organisation of contemporary landforms or coastal defences. A multivariate statistical approach to shoreline change analysis helps to define the key modes of change and determine the most likely forcing factors.

Pain and pain management in dermatology.

PubMed

Beiteke, Ulrike; Bigge, Stefan; Reichenberger, Christina; Gralow, Ingrid

2015-10-01

It is estimated that 23 million Germans suffer from chronic pain. A recent survey has revealed that 30 % of chronic pain patients are dissatisfied with their pain management. Furthermore, five million Germans suffer from neuropathic pain, 20 % of whom are inadequately treated. Pain is also a symptom of many dermatologic diseases, which is mostly somatic and may be classified as mild in the majority of cases. Nevertheless, research on the quality of life (QoL) has increasingly shown a marked impairment of QoL by moderate pain such as in psoriatic arthritis. -Severe pain is associated with herpes zoster (shingles), leg ulcers, and pyoderma gangrenosum. This article addresses the basics of pain classification and, in a short excerpt, pain transduction/transmission and modulation. The use of standardized diagnostic -scales is recommended for the purpose of recording and monitoring pain intensity, which allows for the optimization of therapy and consistent interdisciplinary -communication. Any dermatology residency program includes the acquisition of knowledge and skills in pain management. This review therefore aims to present fundamental therapeutic concepts based on the expanded WHO analgesic ladder, and describes a step-wise therapeutic approach and combination therapies. The article focuses on the pain management of the above-mentioned severely painful, conservatively treated dermatoses. Besides well-established therapeutic agents and current -therapeutic standards, it discusses specific options based on guidelines (where available). Current knowledge on peri- and postoperative pain management is briefly outlined. This article addresses: ▸ The fundamentals of the classification and neurophysiology of pain; ▸ Standards for pain documentation in children and adults; ▸ General standards for pharmaceutical pain management; ▸ Current specific treatment options for postherpetic neuralgia, leg ulcers, and -pyoderma gangrenosum in conjunction with the expanded WHO analgesic -ladder. © 2015 Deutsche Dermatologische Gesellschaft (DDG). Published by John Wiley & Sons Ltd.

Immunogenicity and safety of a live attenuated shingles (herpes zoster) vaccine (Zostavax®) in individuals aged ≥ 70 years: a randomized study of a single dose vs. two different two-dose schedules.

PubMed

Vesikari, Timo; Hardt, Roland; Rümke, Hans C; Icardi, Giancarlo; Montero, Jordi; Thomas, Stéphane; Sadorge, Christine; Fiquet, Anne

2013-04-01

Disease protection provided by herpes zoster (HZ) vaccination tends to reduce as age increases. This study was designed to ascertain whether a second dose of the HZ vaccine, Zostavax(®), would increase varicella zoster virus (VZV)-specific immune response among individuals aged ≥ 70 y. Individuals aged ≥ 70 y were randomized to receive HZ vaccine in one of three schedules: a single dose (0.65 mL), two doses at 0 and 1 mo, or two doses at 0 and 3 mo. VZV antibody titers were measured at baseline, 4 weeks after each vaccine dose, and 12 mo after the last dose. In total, 759 participants (mean age 76.1 y) were randomized to receive vaccination. Antibody responses were similar after a single dose or two doses of HZ vaccine [post-dose 2/post-dose 1 geometric mean titer (GMT) ratios for the 1-mo or 3-mo schedules were 1.11, 95% confidence interval (CI) 1.02-1.22 and 0.78, 95% CI 0.73-0.85], respectively). The 12-mo post-dose 2/12-mo post-dose 1 GMT ratio was similar for the 1-mo schedule and for the 3-mo schedule (1.06, 95% CI 0.96-1.17 and 1.08, 95% CI 0.98-1.19, respectively). Similar immune responses were observed in participants aged 70-79 y and those aged ≥ 80 y. HZ vaccine was generally well tolerated, with no evidence of increased adverse event incidence after the second dose with either schedule. Compared with a single-dose regimen, two-dose vaccination did not increase VZV antibody responses among individuals aged ≥ 70 y. Antibody persistence after 12 mo was similar with all three schedules.

Resolving precipitation-induced water content profiles through inversion of dispersive GPR data

NASA Astrophysics Data System (ADS)

Mangel, A. R.; Moysey, S. M.; Van Der Kruk, J.

2015-12-01

Ground-penetrating radar (GPR) has become a popular tool for monitoring hydrologic processes. When monitoring infiltration, the thin wetted zone that occurs near the ground surface at early times may act as a dispersive waveguide. This low-velocity layer traps the GPR waves, causing specific frequencies of the signal to travel at different phase velocities, confounding standard traveltime analysis. In a previous numerical study we demonstrated the potential of dispersion analysis for estimating the depth distribution of waveguide water contents. Here, we evaluate the effectiveness of the methodology when applying it to experimental time-lapse dispersive GPR data collected during a laboratory infiltration experiment in a relatively homogenous soil. A large sand-filled tank is equipped with an automated gantry to independently control the position of 1000 MHz source and receiver antennas. The system was programmed to repeatedly collect a common mid-point (CMP) profile at the center of the tank followed by two constant offset profiles (COP) in the x and y direction. Each collection was completed in 30 s and repeated 50 times during a 28 min experiment. Two minutes after the start of measurements, the surface of the sand was irrigated at a constant flux rate of 0.006 cm/sec for 23 minutes. Time-lapse COPs show increases in traveltime to reflectors in the tank associated with increasing water content, as well as the development of a wetting front reflection. From 4-10 min, the CMPs show a distinct shingling characteristic that is indicative of waveguide dispersion. Forward models where the waveguide is conceptualized as discrete layers and a piece-wise linear function were used to invert picked dispersion curves for waveguide properties. We show the results from both inversion approaches for multiple dispersive CMPs and show how the single layer model fails to represent the gradational nature of the wetting front.

Recombination of Globally Circulating Varicella-Zoster Virus

PubMed Central

Depledge, Daniel P.; Kundu, Samit; Atkinson, Claire; Brown, Julianne; Haque, Tanzina; Hussaini, Yusuf; MacMahon, Eithne; Molyneaux, Pamela; Papaevangelou, Vassiliki; Sengupta, Nitu; Koay, Evelyn S. C.; Tang, Julian W.; Underhill, Gillian S.; Grahn, Anna; Studahl, Marie; Breuer, Judith; Bergström, Tomas

2015-01-01

ABSTRACT Varicella-zoster virus (VZV) is a human herpesvirus, which during primary infection typically causes varicella (chicken pox) and establishes lifelong latency in sensory and autonomic ganglia. Later in life, the virus may reactivate to cause herpes zoster (HZ; also known as shingles). To prevent these diseases, a live-attenuated heterogeneous vaccine preparation, vOka, is used routinely in many countries worldwide. Recent studies of another alphaherpesvirus, infectious laryngotracheitis virus, demonstrate that live-attenuated vaccine strains can recombine in vivo, creating virulent progeny. These findings raised concerns about using attenuated herpesvirus vaccines under conditions that favor recombination. To investigate whether VZV may undergo recombination, which is a prerequisite for VZV vaccination to create such conditions, we here analyzed 115 complete VZV genomes. Our results demonstrate that recombination occurs frequently for VZV. It thus seems that VZV is fully capable of recombination if given the opportunity, which may have important implications for continued VZV vaccination. Although no interclade vaccine-wild-type recombinant strains were found, intraclade recombinants were frequently detected in clade 2, which harbors the vaccine strains, suggesting that the vaccine strains have already been involved in recombination events, either in vivo or in vitro during passages in cell culture. Finally, previous partial and complete genomic studies have described strains that do not cluster phylogenetically to any of the five established clades. The additional VZV strains sequenced here, in combination with those previously published, have enabled us to formally define a novel sixth VZV clade. IMPORTANCE Although genetic recombination has been demonstrated to frequently occur for other human alphaherpesviruses, herpes simplex viruses 1 and 2, only a few ancient and isolated recent recombination events have hitherto been demonstrated for VZV. In the present study, we demonstrate that VZV also frequently undergoes genetic recombination, including strains belonging to the clade containing the vOKA strain. PMID:25926648

Microbiology laboratory and the management of mother-child varicella-zoster virus infection

PubMed Central

De Paschale, Massimo; Clerici, Pierangelo

2016-01-01

Varicella-zoster virus, which is responsible for varicella (chickenpox) and herpes zoster (shingles), is ubiquitous and causes an acute infection among children, especially those aged less than six years. As 90% of adults have had varicella in childhood, it is unusual to encounter an infected pregnant woman but, if the disease does appear, it can lead to complications for both the mother and fetus or newborn. The major maternal complications include pneumonia, which can lead to death if not treated. If the virus passes to the fetus, congenital varicella syndrome, neonatal varicella (particularly serious if maternal rash appears in the days immediately before or after childbirth) or herpes zoster in the early years of life may occur depending on the time of infection. A Microbiology laboratory can help in the diagnosis and management of mother-child infection at four main times: (1) when a pregnant woman has been exposed to varicella or herpes zoster, a prompt search for specific antibodies can determine whether she is susceptible to, or protected against infection; (2) when a pregnant woman develops clinical symptoms consistent with varicella, the diagnosis is usually clinical, but a laboratory can be crucial if the symptoms are doubtful or otherwise unclear (atypical patterns in immunocompromised subjects, patients with post-vaccination varicella, or subjects who have received immunoglobulins), or if there is a need for a differential diagnosis between varicella and other types of dermatoses with vesicle formation; (3) when a prenatal diagnosis of uterine infection is required in order to detect cases of congenital varicella syndrome after the onset of varicella in the mother; and (4) when the baby is born and it is necessary to confirm a diagnosis of varicella (and its complications), make a differential diagnosis between varicella and other diseases with similar symptoms, or confirm a causal relationship between maternal varicella and malformations in a newborn. PMID:27563537

Sex differences underlying orofacial varicella zoster associated pain in rats.

PubMed

Stinson, Crystal; Deng, Mohong; Yee, Michael B; Bellinger, Larry L; Kinchington, Paul R; Kramer, Phillip R

2017-05-17

Most people are initially infected with varicella zoster virus (VZV) at a young age and this infection results in chickenpox. VZV then becomes latent and reactivates later in life resulting in herpes zoster (HZ) or "shingles". Often VZV infects neurons of the trigeminal ganglia to cause ocular problems, orofacial disease and occasionally a chronic pain condition termed post-herpetic neuralgia (PHN). To date, no model has been developed to study orofacial pain related to varicella zoster. Importantly, the incidence of zoster associated pain and PHN is known to be higher in women, although reasons for this sex difference remain unclear. Prior to this work, no animal model was available to study these sex-differences. Our goal was to develop an orofacial animal model for zoster associated pain which could be utilized to study the mechanisms contributing to this sex difference. To develop this model VZV was injected into the whisker pad of rats resulting in IE62 protein expression in the trigeminal ganglia; IE62 is an immediate early gene in the VZV replication program. Similar to PHN patients, rats showed retraction of neurites after VZV infection. Treatment of rats with gabapentin, an agent often used to combat PHN, ameliorated the pain response after whisker pad injection. Aversive behavior was significantly greater for up to 7 weeks in VZV injected rats over control inoculated rats. Sex differences were also seen such that ovariectomized and intact female rats given the lower dose of VZV showed a longer affective response than male rats. The phase of the estrous cycle also affected the aversive response suggesting a role for sex steroids in modulating VZV pain. These results suggest that this rat model can be utilized to study the mechanisms of 1) orofacial zoster associated pain and 2) the sex differences underlying zoster associated pain.

Airborne Exposures to Polycyclic Aromatic Compounds Among Workers in Asphalt Roofing Manufacturing Facilities.

PubMed

Trumbore, David C; Osborn, Linda V; Johnson, Kathleen A; Fayerweather, William E

2015-01-01

We studied exposure of 151 workers to polycyclic aromatic compounds and asphalt emissions during the manufacturing of asphalt roofing products-including 64 workers from 10 asphalt plants producing oxidized, straight-run, cutback, and wax- or polymer-modified asphalts, and 87 workers from 11 roofing plants producing asphalt shingles and granulated roll roofing. The facilities were located throughout the United States and used asphalt from many refiners and crude oils. This article helps fill a gap in exposure data for asphalt roofing manufacturing workers by using a fluorescence technique that targets biologically active 4-6 ring polycyclic aromatic compounds and is strongly correlated with carcinogenic activity in animal studies. Worker exposures to polycyclic aromatic compounds were compared between manufacturing plants, at different temperatures and using different raw materials, and to important external benchmarks. High levels of fine limestone particulate in the plant air during roofing manufacturing increased polycyclic aromatic compound exposure, resulting in the hypothesis that the particulate brought adsorbed polycyclic aromatic compounds to the worker breathing zone. Elevated asphalt temperatures increased exposures during the pouring of asphalt. Co-exposures in these workplaces which act as confounders for both the measurement of total organic matter and fluorescence were detected and their influence discussed. Exposures to polycyclic aromatic compounds in asphalt roofing manufacturing facilities were lower than or similar to those reported in hot-mix paving application studies, and much below those reported in studies of hot application of built-up roofing asphalt. These relatively low exposures in manufacturing are primarily attributed to air emission controls in the facilities, and the relatively moderate temperatures, compared to built-up roofing, used in these facilities for oxidized asphalt. The exposure to polycyclic aromatic compounds was a very small part of the overall worker exposure to asphalt fume, on average less than 0.07% of the benzene-soluble fraction. Measurements of benzene-soluble fraction were uniformly below the American Conference of Governmental Industrial Hygienists' Threshold Limit Value for asphalt fume.

Site selection for DOE/JIP gas hydrate drilling in the northern Gulf of Mexico

USGS Publications Warehouse

Hutchinson, Deborah; Shelander, Dianna; Dai, J.; McConnell, D.; Shedd, William; Frye, Matthew; Ruppel, Carolyn D.; Boswell, R.; Jones, Emrys; Collett, Timothy S.; Rose, Kelly K.; Dugan, Brandon; Wood, Warren T.

2008-01-01

n the late spring of 2008, the Chevron-led Gulf of Mexico Gas Hydrate Joint Industry Project (JIP) expects to conduct an exploratory drilling and logging campaign to better understand gas hydrate-bearing sands in the deepwater Gulf of Mexico. The JIP Site Selection team selected three areas to test alternative geological models and geophysical interpretations supporting the existence of potential high gas hydrate saturations in reservoir-quality sands. The three sites are near existing drill holes which provide geological and geophysical constraints in Alaminos Canyon (AC) lease block 818, Green Canyon (GC) 955, and Walker Ridge (WR) 313. At the AC818 site, gas hydrate is interpreted to occur within the Oligocene Frio volcaniclastic sand at the crest of a fold that is shallow enough to be in the hydrate stability zone. Drilling at GC955 will sample a faulted, buried Pleistocene channel-levee system in an area characterized by seafloor fluid expulsion features, structural closure associated with uplifted salt, and abundant seismic evidence for upward migration of fluids and gas into the sand-rich parts of the sedimentary section. Drilling at WR313 targets ponded sheet sands and associated channel/levee deposits within a minibasin, making this a non-structural play. The potential for gas hydrate occurrence at WR313 is supported by shingled phase reversals consistent with the transition from gas-charged sand to overlying gas-hydrate saturated sand. Drilling locations have been selected at each site to 1) test geological methods and models used to infer the occurrence of gas hydrate in sand reservoirs in different settings in the northern Gulf of Mexico; 2) calibrate geophysical models used to detect gas hydrate sands, map reservoir thicknesses, and estimate the degree of gas hydrate saturation; and 3) delineate potential locations for subsequent JIP drilling and coring operations that will collect samples for comprehensive physical property, geochemical and other analyses

The Influence of Hepatic and Renal Impairment on the Pharmacokinetics of a Treatment for Herpes Zoster, Amenamevir (ASP2151): Phase 1, Open-Label, Single-Dose, Parallel-Group Studies.

PubMed

Kusawake, Tomohiro; Kowalski, Donna; Takada, Akitsugu; Kato, Kota; Katashima, Masataka; Keirns, James J; Lewand, Michaelene; Lasseter, Kenneth C; Marbury, Thomas C; Preston, Richard A

2017-12-01

Amenamevir (ASP2151) is a nonnucleoside human herpesvirus helicase-primase inhibitor that was approved in Japan for the treatment of herpes zoster (shingles) in 2017. This article reports the results of two clinical trials that investigated the effects of renal and hepatic impairment on the pharmacokinetics of amenamevir. These studies were phase 1, open-label, single-dose (oral 400 mg), parallel-group studies evaluating the pharmacokinetics, safety, and tolerability of amenamevir in healthy participants and participants with moderate hepatic impairment and mild, moderate, and severe renal impairment. In the hepatic impairment study, the pharmacokinetic profile of amenamevir in participants with moderate hepatic impairment was generally similar to that of participants with normal hepatic function. In the renal impairment study, the area under the amenamevir concentration versus time curve from the time of dosing up to the time of the last sample with extrapolation to infinity of the terminal phase was increased by 78.1% in participants with severe renal impairment. There was a positive relationship between creatinine clearance and oral and renal clearance for amenamevir in the renal impairment study. In both studies, amenamevir was safe and well tolerated. The findings of the hepatic impairment study indicate that no dosing adjustment is required in patients with moderate hepatic impairment. In the renal impairment study, systemic amenamevir exposure was increased by renal impairment. However, it is unlikely that renal impairment will have a significant effect on the safety of amenamevir given that in previous pharmacokinetic and safety studies in healthy individuals amenamevir was safe and well tolerated after a single dose (5-2400 mg, fasted condition) and repeated doses for 7 days (300 or 600 mg, fed condition), and the amount of amenamevir exposure in the renal impairment study was covered by those studies. These findings suggest that amenamevir does not require dosage reduction in accordance with the creatinine clearance FUNDING: Astellas Pharma.

A psychosocial approach to dentistry for the underserved: incorporating theory into practice.

PubMed

Flaer, Paul J; Younis, Mustafa Z; Benjamin, Paul L; Al Hajeri, Maha

2010-01-01

Dentistry for the underserved is more than an egalitarian social issue--it is a key factor in the health and social progress of our nation. The first signs or manifestations of several diseases such as varicella (i.e., chicken pox and shingles), STDs, and influenza become apparent in the oral cavity. The value of access to quality dentistry is an immeasurable factor in maintaining general medical health of people and fulfilling their psychosocial needs of pain reduction and enhanced cosmetics. In the United States, for the most part, only the middle and upper classes receive non-extraction, restorative, and prosthetic dentistry that is economically within their ability to pay. In addition, uninsured and poverty-level individuals often must face overwhelming long waiting lists, unnecessary referrals, lack of choice, and bureaucratic hurdles when seeking primary dental care. Therefore, it seems pertinent to put forth the question: What are the critical values and beliefs of psychosocial theory that can underscore the practice of dentistry for underserved populations in the United States? The widely employed public health theory, the health belief model (HBM), is applied to evaluate psychosocial factors in dental care for the underserved. The HBM is used to predict and explain behavioral changes in dental health and associated belief patterns. The HBM as applied to dentistry for the underserved predicts self-perceptions of susceptibility and seriousness of dental disease, health status, cues to action, and self-efficacy. Furthermore, patients can make judgments about benefits, costs, and risks of dental treatment. A theoretical approach to dentistry employing the HBM, mediated by values and culture, can provide significant insights into patient thinking, beliefs, and perceptions. These insights can mediate access to and use of primary care dental services by underserved populations. Evidence-based practice (i.e., based on research using the scientific method) has been put forth as the future of modern dentistry. However, the practice of dentistry need not just be evidence-based, but have its roots clearly grounded in theory.

Varicella zoster virus-associated morbidity and mortality in Africa: a systematic review protocol

PubMed Central

Hussey, Hannah S; Abdullahi, Leila H; Collins, Jamie E; Muloiwa, Rudzani; Hussey, Gregory D; Kagina, Benjamin M

2016-01-01

Introduction Varicella zoster virus (VZV) causes varicella (chicken pox) and herpes zoster (shingles). Worldwide, these diseases are associated with significant morbidity. Most of the epidemiological data on VZV come from high income countries. There are few data on VZV in Africa, where tropical climates and high HIV/AIDS prevalence rates are expected to impact the epidemiology of VZV. Safe and effective vaccinations for both varicella and herpes zoster exist, but are not routinely used in Africa. There are very few data available on VZV disease burden in Africa to guide the introduction of these vaccines on the continent. Our aim is to conduct a systematic review of the VZV-associated morbidity and mortality in Africa, which will provide critical information that could be used to develop vaccination policies against these diseases in Africa. Methods and analysis Electronic databases will be searched and all studies published after 1974 that meet predefined criteria will be assessed. The primary outcomes for the study are VZV incidence/prevalence, hospitalisation rates and total death rates. The secondary outcome for this study is the proportion of VZV hospitalisations and/or deaths associated with HIV/AIDS. Two reviewers will screen the titles and abstracts, and then independently review the full texts, to determine if studies are eligible for inclusion. A risk of bias and quality assessment tool will be used to score all included studies. Following standardised data extraction, a trend analysis using R-programming software will be conducted to investigate the trend of VZV. Depending on the characteristics of included studies, subgroup analyses will be performed. This review will be reported according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Ethics and dissemination As this is a protocol for a systematic review, which will use already published data, no ethics approval is required. Findings will be disseminated in peer-reviewed journals. Trial registration number CRD42015026144. PMID:27098823

Long Term Persistence of IgE Anti-Varicella Zoster Virus in Pediatric and Adult Serum Post Chicken Pox Infection and after Vaccination with Varicella Virus Vaccine.

PubMed

Smith-Norowitz, Tamar A; Josekutty, Joby; Silverberg, Jonathan I; Lev-Tov, Hadar; Norowitz, Yitzchok M; Kohlhoff, Stephan; Nowakowski, Maja; Durkin, Helen G; Bluth, Martin H

2009-12-01

The production of IgE specific to different viruses (HIV-1, Parvovirus B19, RSV), and the ability for IgE anti-HIV-1 to suppress HIV-1 production in vitro, strongly suggest an important role for IgE and/or anti viral specific IgE in viral pathogenesis. Previous studies in our laboratory were the first to report the presence of IgE anti-varicella zoster virus (VZV) in an adolescent patient with shingles. However, the presence and long term persistence of IgE anti VZV antibodies has not been studied in adults. The presence of serum IgE in addition to IgE and IgG anti-VZV antibody in sera were studied in children (N=12) (0-16 y/o) and adults (N=9) (32-76 y/o) with either a past history of (wild type) chicken pox (N=7 children, 9 adults) or 5 years after vaccination with varicella zoster (N=2 children) (Varicella virus vaccine live, Oka/Merck), as well as in non-infected subjects (N=3 children). Of the patients who had a positive history of chicken pox 13 of 16 (81%) contained IgE anti-VZV antibodies; they were both serum IgEHi (>100 IU/ml) and IgELo (<100 IU/ml). Of the patients who were vaccinated, IgE anti-VZV antibodies were undetected. In contrast, serum from the patients without a history of chicken pox or vaccination did not make either IgE or IgG anti-VZV antibodies. This is the first demonstration of the existence of IgE anti-VZV antibodies, and its long-term persistence in serum of previously infected subjects. Future studies regarding the functional role of anti-viral IgE and its relationship to VZV are warranted.

Alzheimer's disease Braak Stage progressions: reexamined and redefined as Borrelia infection transmission through neural circuits.

PubMed

MacDonald, Alan B

2007-01-01

Brain structure in health is a dynamic energized equation incorporating chemistry, neuronal structure, and circuitry components. The chemistry "piece" is represented by multiple neurotransmitters such as Acetylcholine, Serotonin, and Dopamine. The neuronal structure "piece" incorporates synapses and their connections. And finally circuits of neurons establish "architectural blueprints" of anatomic wiring diagrams of the higher order of brain neuron organizations. In Alzheimer's disease, there are progressive losses in all of these components. Brain structure crumbles. The deterioration in Alzheimer's is ordered, reproducible, and stepwise. Drs. Braak and Braak have described stages in the Alzheimer disease continuum. "Progressions" through Braak Stages benchmark "Regressions" in Cognitive function. Under the microscope, the Stages of Braak commence in brain regions near to the hippocampus, and over time, like a tsunami wave of destruction, overturn healthy brain regions, with neurofibrillary tangle damaged neurons "marching" through the temporal lobe, neocortex and occipital cortex. In effect the destruction ascends from the limbic regions to progressively destroy the higher brain centers. Rabies infection also "begins low and finishes high" in its wave of destruction of brain tissue. Herpes Zoster infections offer the paradigm of clinical latency of infection inside of nerves before the "marching commences". Varicella Zoster virus enters neurons in the pediatric years. Dormant virus remains inside the neurons for 50-80 years, tissue damage late in life (shingles) demonstrates the "march of the infection" down neural pathways (dermatomes) as linear areas of painful blisters loaded with virus from a childhood infection. Amalgamation of Zoster with Rabies models produces a hybrid model to explain all of the Braak Stages of Alzheimer's disease under a new paradigm, namely "Alzheimer's neuroborreliosis" in which latent Borrelia infections ascend neural circuits through the hippocampus to the higher brain centers, creating a trail of neurofibrillary tangle injured neurons in neural circuits of cholinergic neurons by transsynaptic transmission of infection from nerve to nerve.

A review of changes in composition of hot mix asphalt in the United States.

PubMed

Mundt, Diane J; Marano, Kristin M; Nunes, Anthony P; Adams, Robert C

2009-11-01

This review researched the materials, methods, and practices in the hot mix asphalt industry that might impact future exposure assessments and epidemiologic research on road paving workers. Since World War II, the U.S. interstate highway system, increased traffic volume, transportation speeds, and vehicle axle loads have necessitated an increase in demand for hot mix asphalt for road construction and maintenance, while requiring a consistent road paving product that meets state-specific physical performance specifications. We reviewed typical practices in hot mix asphalt paving in the United States to understand the extent to which materials are and have been added to hot mix asphalt to meet specifications and how changes in practices and technology could affect evaluation of worker exposures for future research. Historical documents were reviewed, and industry experts from 16 states were interviewed to obtain relevant information on industry practices. Participants from all states reported additive use, with most being less than 2% by weight. Crumb rubber and recycled asphalt pavement were added in concentrations approximately 10% per unit weight of the mix. The most frequently added materials included polymers and anti-stripping agents. Crumb rubber, sulfur, asbestos, roofing shingles, slag, or fly ash have been used in limited amounts for short periods of time or in limited geographic areas. No state reported using coal tar as an additive to hot mix asphalt or as a binder alternative in hot mix pavements for high-volume road construction. Coal tar may be present in recycled asphalt pavement from historical use, which would need to be considered in future exposure assessments of pavers. Changes in hot mix asphalt production and laydown emission control equipment have been universally implemented over time as the technology has become available to reduce potential worker exposures. This work is a companion review to a study undertaken in the petroleum refining sector that investigated current and historical use of additives in producing petroleum-derived asphalt cements.

TASK 2.5.7 FIELD EXPERIMENTS TO EVALUATE COOL-COLORED ROOFING

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

Miller, William A; Cherry, Nigel J; Allen, Richard Lowell

Aesthetically pleasing dark roofs can be formulated to reflect like a highly reflective white roof in the near infrared portion of the solar spectrum. New paint pigments increase the near infrared reflectance of exterior finishes by minimizing the absorption of near-infrared radiation (NIR). The boost in the NIR reflectance drops the surface temperatures of roofs and walls, which in turn reduces cooling-energy use and provides savings for the homeowner and relief for the utilities. In moderate and hot climates, a roof surface with high solar reflectance and high thermal emittance was shown by Akbari et al. (2004) and by Parkermore » and Sherwin (1998) to reduce the exterior temperature and produce savings in comfort cooling. The new cool color pigments can potentially reduce emissions of carbon dioxide, which in turn reduces metropolitan heat buildup and urban smog. The pigments can also help conserve water resources otherwise used to clean and process fuel consumed by fossil-fuel driven power plants. Cool roofs also result in a lower ambient temperature that further decreases the need for air conditioning, retards smog formation, and improves thermal comfort. Parker, Sonne and Sherwin (2002) demonstrated that white barrel and white flat tiles reduced cooling energy consumption by 22% of the base load used by an adjacent and identical home having direct nailed dark shingles. Part of the savings was due to the reflectance of the white tiles; however, another part was due to the mass of the tile and to the venting occurring within the double batten installation. With, Cherry and Haig (2009) have studied the influence of the thermal mass and batten space ventilation and have found that, referenced to an asphalt shingle system, it can be equivalent to an additional 28 points of solar reflectivity. The double batten arrangement has wooden counter battens laid vertically (soffit-to-ridge) against the roof deck, and then the conventional battens are laid horizontally across the counter battens, providing a nailing surface for the concrete tile. This double batten construction forms an inclined air channel running from the soffit to the ridge. The bottom surface of the channel is formed by the roof decking and is relatively flat and smooth. The top surface is created by the underside of the roofing tiles, and is designed to be an air permeable covering to alleviate the underside air pressure and minimize wind uplift on the tiles. The resulting air flows also have a cooling influence which further complicates prediction of the heat penetrating through the deck because an accurate measure of the airflow is required to predict the heat transfer. Measured temperatures and heat flows at the roof surface, within the attic and at the ceiling of the houses are discussed as well as the power usage to help gauge the benefit of cool-pigmented reflective roof products fitted with and without ventilation above the roof deck. Ventilation occurring above the deck is an inherent feature for tile roof assemblies, and is formed by an air space between the exterior face of the roof sheathing and the underside of the tile. The greater the tile s profile the greater is the effect of the ventilation which herein is termed above-sheathing ventilation (ASV). However, because of the complexity of the thermally induced flow, little credit is allowed by state and federal building codes. ASHRAE (2005) provides empirical data for the effective thermal resistance of plane air spaces. A -in. (0.0191-m) plane air space inclined at 45 with the horizontal has an RUS-0.85 (RSI-0.15) . Our intent is to help further deploy cool color pigments in roofs by conducting field experiments to evaluate the new cool-colored roofing materials in the hot climate of Southern California. The collected data will be used to showcase and market the performance of new cool-roof products and also to help formulate and validate computer codes capable of calculating the heat transfer occurring within the attic and the whole building. Field measures and computer predictions showed that the demonstration home without a NIR-reflective tile coating and without above-sheathing ventilation had the greatest roof deck heat flow and subsequently the highest electrical usage. The house with both NIR paint pigments on the tile and with ASV had the least deck heat flows and therefore caused the home to consume the least amount of energy. The relative performance of the reflective coating and the ventilation individually is less obvious, but it is clear that the combination of a reflective tile with ASV is the preferred solution for the best energy saving.« less

Factors associated with herpes zoster vaccination status and acceptance of vaccine recommendation in community pharmacies.

PubMed

Teeter, Benjamin S; Garza, Kimberly B; Stevenson, T Lynn; Williamson, Margaret A; Zeek, Megan L; Westrick, Salisa C

2014-09-29

1. Identify patient characteristics, awareness and knowledge associated with herpes zoster (HZ) vaccination status. 2. Identify self-reported reasons for not receiving Zostavax(®). 3. Assess the impact of a patient education program by measuring post-intervention interest in obtaining the Zostavax(®) vaccine across reasons for being unvaccinated. A cross-sectional design with patients aged 60 years or older in 51 community pharmacies in Alabama and Florida was utilized. During the Introductory Pharmacy Practice Experience in summer 2013, 137 immunization-certified student pharmacists provided patient education on HZ and Zostavax(®) to unvaccinated patients using the Shingles Vaccine Information Statement. An interviewer-administered questionnaire assessed patient awareness of HZ, receipt of recommendations to receive Zostavax(®), and patient characteristics as well as vaccination status, reasons for being unvaccinated and interest in obtaining Zostavax(®) after the educational session. A total of 681 patients participated in a conversation with a student pharmacist regarding their HZ vaccination status. The majority were female (57.6%), white (84.6%), and unvaccinated (73.6%). Results from logistic regression suggest that participants were more likely to be vaccinated if they received a recommendation from a healthcare provider (OR=5.15), received the influenza vaccine during the previous year (OR=3.56), or knew that Zostavax(®) was recommended for individuals over 60 years of age (OR=3.55). The most frequently provided reasons for being unvaccinated were "haven't gotten around to it/forgot" (27.2%) and "didn't know it was needed" (27.1%). After the educational session, the majority (72.5%) of unvaccinated patients were interested in speaking with their pharmacist or physician about receiving Zostavax(®). Analysis suggests that interest differed across initial reason for being unvaccinated (χ(2)=64.44; p<0.01). Recommendations from healthcare providers are valued by patients and can improve vaccination rates. The patient education program increased interest in receiving Zostavax(®) and this interest differed depending on the reason provided for being unvaccinated. Copyright © 2014 Elsevier Ltd. All rights reserved.

Asphalt fume exposure levels in North American asphalt production and roofing manufacturing operations.

PubMed

Axten, Charles W; Fayerweather, William E; Trumbore, David C; Mueller, Dennis J; Sampson, Arthur F

2012-01-01

This study extends by 8 years (1998-2005) a previous survey of asphalt fume exposures within North American asphalt processing and roofing product manufacturing workers. It focuses on characterizing personal, full-shift samples and seeks to address several limitations of the previous survey. Five major roofing manufacturers with established occupational health programs submitted workplace asphalt fume sampling results to a central repository for review and analysis. A certified industrial hygienist-led quality assurance team oversaw the data collection, consolidation, and analysis efforts. The analysis dataset consisted of 1261 personal exposure samples analyzed for total particulate (TP) and benzene soluble fraction (BSF) using existing NIOSH methods. For BSF, the survey's arithmetic (0.25 mg/m(3), SD = 0.62) and geometric (0.12 mg/m(3), GSD = 2.88) means indicate that the industry has sustained the control levels achieved in the late 1980s, early 1990s. Similar results were found for TP. The survey-wide summary statistics are consistent with other post-1990 multi-company exposure studies. Although these findings indicate that currently available controls are capable of achieving substantial (95%) compliance with the current threshold limit value in asphalt processing and inorganic shingle and roll plants, they also show that the majority of plants are not achieving this level of exposure control, and that exposures are significantly higher in plants making other product lines, particularly organic felt products. The current retrospective survey of existing company exposure data, like its predecessor, has several important limitations. These include lack of data on smaller manufacturers and on several commercially important product lines; insufficient information on the prevalence and effectiveness of engineering controls; no standard criteria by which to define and assess exposures in non-routine operations; and a paucity of exposure data collected as part of a random sampling strategy. To improve efforts to characterize exposures and potential health risks in roofing plants, a prospective program is currently being developed and piloted with the aim of building a more complete, higher-quality database based on a common industrial hygiene protocol.

Physical and Thermal Structure of the Bishop Tuff, California

NASA Astrophysics Data System (ADS)

Wilson, C. J.; Hildreth, W.

2001-12-01

The 0.76 Ma Bishop Tuff, California, includes an ignimbrite constructed from a series of overlapping packages of material erupted sequentially and simultaneously from multiple sources around the ring fracture of Long Valley caldera (Wilson, C.J.N., Hildreth, W., 1997, Journal of Geology 105, 407-439). Exceptionally good continuous exposures of the ignimbrite in the walls of Owens Gorge to the east of Long Valley provide a cross-section through the east-side packages (Ig1E and Ig2E). We have measured 10 sections up the gorge walls to draw up a cross section of the ignimbrite down Owens Gorge, using lithic abundances and lithologies to define the physical eruptive packages and their subdivisions, and measurements of tuff bulk density (as an easily measured proxy for welding intensity) to define the thermal eruptive packages. The physically emplaced bodies of ignimbrite represent an overlapping, shingling suite of material such that successively later ignimbrite occurs most prominently farther away from source. Two major and two lesser zones of maximum density (welding) are present, the lower two (in Ig1Ea and lower Ig1Eb) in upper Owens Gorge, and the two most prominent (upper Ig1Eb and Ig2Eb) in middle and lower parts of the gorge. Welding fluctuations are controlled by bulk temperatures of individual batches of hotter and cooler material, but the intensity of the welding also depends on deposit thickness (i.e. load stress). Physically defined contacts between ignimbrite packages show that time breaks inferred to be of hours may not result in formation of any visible parting or flow unit boundary. Furthermore, positions of density (welding) minima between zones of higher density tuff do not coincide with horizons of stratigraphic significance. These observations lead to two conclusions. (1) The absence of clear partings or flow unit boundaries in an ignimbrite sequence is not diagnostic either of the material representing a single flow unit, or of the material being continuously progressively aggraded. (2) Use of the density (welding) minimum to locate the boundaries of cooling units and in measuring and modelling the emplacement and thermal history of compound cooling units may lead to errors.

Medicinal plants used for the treatment of various skin disorders by a rural community in northern Maputaland, South Africa.

PubMed

De Wet, Helene; Nciki, Sibongile; van Vuuren, Sandy F

2013-07-19

Skin diseases have been of major concern recently due to their association with the Human Immunodeficiency Virus and Acquired Immunity Deficiency Syndrome (HIV/AIDS). The study area (northern Maputaland) has the highest HIV infection rate in South Africa, which made them more prone to a wide range of skin conditions. Fungal infections due to the hot climate and overcrowding households are common in this area, as well as burn accidents due to the use of wood as the major fuel for cooking. It is known that the lay people in this area depend on medicinal plants for their primary health care. However no survey has been done in northern Maputaland to document the medicinal plants used to treat various skin disorder. Interviews were undertaken at 80 homesteads, using structured questionnaires. The focus was on plants used for dermatological conditions and information regarding vernacular plant names, plant parts used, preparation (independently and in various combinations) and application was collected. A total of 87 lay people, both male (22%) and female (78%) were interviewed on their knowledge of medicinal plants used to treat disorders of the skin. Forty-seven plant species from 35 families were recorded in the present survey for the treatment of 11 different skin disorders including abscesses, acne, burns, boils, incisions, ringworm, rashes, shingles, sores, wounds and warts. When searching the most frequently used scientific databases (ScienceDirect, Scopus and Pubmed), nine plant species (Acacia burkei, Brachylaena discolor, Ozoroa engleri, Parinari capensis, subsp. capensis, Portulacaria afra, Sida pseudocordifolia, Solanum rigescens, Strychnos madagascariensis and Drimia delagoensis) were found to be recorded for the first time globally as a treatment for skin disorders. Fourteen plant combinations were used. Surprisingly, the application of enema's was frequently mentioned. The preference of traditional medicine over allopathic medicine by most of the interviewees strengthens previous studies on the importance that traditional medicine can have in the primary health care system in this rural community. Studies to validate the potential of these plants independently and in their various combinations is underway to provide insight into the anti-infective role of each plant.

Herpes Zoster and Tofacitinib Therapy in Patients With Rheumatoid Arthritis

PubMed Central

Winthrop, Kevin L; Yamanaka, Hisashi; Valdez, Hernan; Mortensen, Eric; Chew, Robert; Krishnaswami, Sriram; Kawabata, Thomas; Riese, Richard

2014-01-01

Objective Patients with rheumatoid arthritis (RA) are at increased risk for herpes zoster (HZ) (i.e., shingles). The aim of this study was to determine whether treatment with tofacitinib increases the risk of HZ in patients with RA. Methods HZ cases were identified as those reported by trial investigators from the databases of the phase II, phase III, and long-term extension (LTE) clinical trials in the Tofacitinib RA Development Program. Crude incidence rates (IRs) of HZ per 100 patient-years (with 95% confidence intervals [95% CIs]) were calculated by exposure group. Logistic regression analyses were performed to evaluate potential risk factors for HZ (e.g., age, prednisone use). Results Among 4,789 participants, 239 were identified as having tofacitinib-associated HZ during the phase II, phase III, and LTE trials, of whom 208 (87%) were female and whose median age was 57 years (range 21–75 years). One HZ case (0.4%) was multidermatomal; none of the cases involved visceral dissemination or death. Twenty-four patients with HZ (10%) permanently discontinued treatment with tofacitinib, and 16 (7%) were either hospitalized or received intravenous antiviral drugs. The crude HZ IR across the development program was 4.4 per 100 patient-years (95% CI 3.8–4.9), but the IR was substantially higher within Asia (7.7 per 100 patient-years, 95% CI 6.4–9.3). Older age was associated with HZ (odds ratio 1.9, 95% CI 1.5–2.6), and IRs for HZ were similar between patients receiving 5 mg tofacitinib twice daily (4.4 per 100 patient-years, 95% CI 3.2–6.0) and those receiving 10 mg twice daily (4.2 per 100 patient-years, 95% CI 3.1–5.8). In the phase III trials among placebo recipients, the incidence of HZ was 1.5 per 100 patient-years (95% CI 0.5–4.6). Conclusion In the Tofacitinib RA Development Program, increased rates of HZ were observed in patients treated with tofacitinib compared with those receiving placebo, particularly among patients within Asia. Complicated HZ among tofacitinib-treated patients was rare. PMID:24943354

Evaluation and improvement of micro-surfacing mix design method and modelling of asphalt emulsion mastic in terms of filler-emulsion interaction

NASA Astrophysics Data System (ADS)

Robati, Masoud

This Doctorate program focuses on the evaluation and improving the rutting resistance of micro-surfacing mixtures. There are many research problems related to the rutting resistance of micro-surfacing mixtures that still require further research to be solved. The main objective of this Ph.D. program is to experimentally and analytically study and improve rutting resistance of micro-surfacing mixtures. During this Ph.D. program major aspects related to the rutting resistance of micro-surfacing mixtures are investigated and presented as follow: 1) evaluation of a modification of current micro-surfacing mix design procedures: On the basis of this effort, a new mix design procedure is proposed for type III micro-surfacing mixtures as rut-fill materials on the road surface. Unlike the current mix design guidelines and specification, the new mix design is capable of selecting the optimum mix proportions for micro-surfacing mixtures; 2) evaluation of test methods and selection of aggregate grading for type III application of micro-surfacing: Within the term of this study, a new specification for selection of aggregate grading for type III application of micro-surfacing is proposed; 3) evaluation of repeatability and reproducibility of micro-surfacing mixture design tests: In this study, limits for repeatability and reproducibility of micro-surfacing mix design tests are presented; 4) a new conceptual model for filler stiffening effect on asphalt mastic of micro-surfacing: A new model is proposed, which is able to establish limits for minimum and maximum filler concentrations in the micro-surfacing mixture base on only the filler important physical and chemical properties; 5) incorporation of reclaimed asphalt pavement and post-fabrication asphalt shingles in micro-surfacing mixture: The effectiveness of newly developed mix design procedure for micro-surfacing mixtures is further validated using recycled materials. The results present the limits for the use of RAP and RAS amount in micro-surfacing mixtures; 6) new colored micro-surfacing formulations with improved durability and performance: The significant improvement of around 45% in rutting resistance of colored and conventional micro-surfacing mixtures is achieved through employing low penetration grade bitumen polymer modified asphalt emulsion stabilized using nanoparticles.

Varicella zoster virus-associated morbidity and mortality in Africa: a systematic review protocol.

PubMed

Hussey, Hannah S; Abdullahi, Leila H; Collins, Jamie E; Muloiwa, Rudzani; Hussey, Gregory D; Kagina, Benjamin M

2016-04-20

Varicella zoster virus (VZV) causes varicella (chicken pox) and herpes zoster (shingles). Worldwide, these diseases are associated with significant morbidity. Most of the epidemiological data on VZV come from high income countries. There are few data on VZV in Africa, where tropical climates and high HIV/AIDS prevalence rates are expected to impact the epidemiology of VZV. Safe and effective vaccinations for both varicella and herpes zoster exist, but are not routinely used in Africa. There are very few data available on VZV disease burden in Africa to guide the introduction of these vaccines on the continent. Our aim is to conduct a systematic review of the VZV-associated morbidity and mortality in Africa, which will provide critical information that could be used to develop vaccination policies against these diseases in Africa. Electronic databases will be searched and all studies published after 1974 that meet predefined criteria will be assessed. The primary outcomes for the study are VZV incidence/prevalence, hospitalisation rates and total death rates. The secondary outcome for this study is the proportion of VZV hospitalisations and/or deaths associated with HIV/AIDS. Two reviewers will screen the titles and abstracts, and then independently review the full texts, to determine if studies are eligible for inclusion. A risk of bias and quality assessment tool will be used to score all included studies. Following standardised data extraction, a trend analysis using R-programming software will be conducted to investigate the trend of VZV. Depending on the characteristics of included studies, subgroup analyses will be performed. This review will be reported according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. As this is a protocol for a systematic review, which will use already published data, no ethics approval is required. Findings will be disseminated in peer-reviewed journals. CRD42015026144. 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/

Medicinal plants used for the treatment of various skin disorders by a rural community in northern Maputaland, South Africa

PubMed Central

2013-01-01

Background Skin diseases have been of major concern recently due to their association with the Human Immunodeficiency Virus and Acquired Immunity Deficiency Syndrome (HIV/AIDS). The study area (northern Maputaland) has the highest HIV infection rate in South Africa, which made them more prone to a wide range of skin conditions. Fungal infections due to the hot climate and overcrowding households are common in this area, as well as burn accidents due to the use of wood as the major fuel for cooking. It is known that the lay people in this area depend on medicinal plants for their primary health care. However no survey has been done in northern Maputaland to document the medicinal plants used to treat various skin disorder. Methods Interviews were undertaken at 80 homesteads, using structured questionnaires. The focus was on plants used for dermatological conditions and information regarding vernacular plant names, plant parts used, preparation (independently and in various combinations) and application was collected. Results A total of 87 lay people, both male (22%) and female (78%) were interviewed on their knowledge of medicinal plants used to treat disorders of the skin. Forty-seven plant species from 35 families were recorded in the present survey for the treatment of 11 different skin disorders including abscesses, acne, burns, boils, incisions, ringworm, rashes, shingles, sores, wounds and warts. When searching the most frequently used scientific databases (ScienceDirect, Scopus and Pubmed), nine plant species (Acacia burkei, Brachylaena discolor, Ozoroa engleri, Parinari capensis, subsp. capensis, Portulacaria afra, Sida pseudocordifolia, Solanum rigescens, Strychnos madagascariensis and Drimia delagoensis) were found to be recorded for the first time globally as a treatment for skin disorders. Fourteen plant combinations were used. Surprisingly, the application of enema’s was frequently mentioned. Conclusions The preference of traditional medicine over allopathic medicine by most of the interviewees strengthens previous studies on the importance that traditional medicine can have in the primary health care system in this rural community. Studies to validate the potential of these plants independently and in their various combinations is underway to provide insight into the anti-infective role of each plant. PMID:23870616

The pUL37 tegument protein guides alpha-herpesvirus retrograde axonal transport to promote neuroinvasion

PubMed Central

Richards, Alexsia L.; Sollars, Patricia J.; Stults, Austin M.; Pickard, Gary E.

2017-01-01

A hallmark property of the neurotropic alpha-herpesvirinae is the dissemination of infection to sensory and autonomic ganglia of the peripheral nervous system following an initial exposure at mucosal surfaces. The peripheral ganglia serve as the latent virus reservoir and the source of recurrent infections such as cold sores (herpes simplex virus type I) and shingles (varicella zoster virus). However, the means by which these viruses routinely invade the nervous system is not fully understood. We report that an internal virion component, the pUL37 tegument protein, has a surface region that is an essential neuroinvasion effector. Mutation of this region rendered herpes simplex virus type 1 (HSV-1) and pseudorabies virus (PRV) incapable of spreading by retrograde axonal transport to peripheral ganglia both in culture and animals. By monitoring the axonal transport of individual viral particles by time-lapse fluorescence microscopy, the mutant viruses were determined to lack the characteristic sustained intracellular capsid motion along microtubules that normally traffics capsids to the neural soma. Consistent with the axonal transport deficit, the mutant viruses did not reach sites of latency in peripheral ganglia, and were avirulent. Despite this, viral propagation in peripheral tissues and in cultured epithelial cell lines remained robust. Selective elimination of retrograde delivery to the nervous system has long been sought after as a means to develop vaccines against these ubiquitous, and sometimes devastating viruses. In support of this potential, we find that HSV-1 and PRV mutated in the effector region of pUL37 evoked effective vaccination against subsequent nervous system challenges and encephalitic disease. These findings demonstrate that retrograde axonal transport of the herpesviruses occurs by a virus-directed mechanism that operates by coordinating opposing microtubule motors to favor sustained retrograde delivery of the virus to the peripheral ganglia. The ability to selectively eliminate the retrograde axonal transport mechanism from these viruses will be useful in trans-synaptic mapping studies of the mammalian nervous system, and affords a new vaccination paradigm for human and veterinary neurotropic herpesviruses. PMID:29216315

A History Worth Preserving

NASA Astrophysics Data System (ADS)

Kelly, Cynthia

2008-04-01

The Manhattan Project transformed the course of American and world history, science, politics and society. If we can read about this in books and watch History Channel documentaries, why do we need to preserve some of the properties of this enormous undertaking? The presentation, ``A History Worth Preserving,'' will address why some of the physical properties need to be preserved and which ones we are struggling to maintain for future generations. The story of this effort begins in 1997 as the Department of Energy was posed to demolish the last remaining Manhattan Project properties at the Los Alamos laboratory. Located deep behind security fences, the ``V Site's'' asbestos-shingled wooden buildings looked like humble garages with over-sized wooden doors. The ``V Site'' properties were almost lost twice, first to bulldozers and then the Cerro Grande fire of 2000. Now, visitors can stand inside the building where J. Robert Oppenheimer and his crew once worked and imagine the Trinity ``gadget'' hanging from its hoist shortly before it ushered in the Atomic Age on July 16, 1945. As Richard Rhodes has commented, we preserve what we value of the physical past because it specifically embodies our social past. But many challenge whether the Manhattan Project properties ought to be preserved. Rather than recognize the Manhattan Project as a great achievement worthy of commemoration, some see it as a regrettable event, producing an instrument to take man's inhumanity to man to extremes. While these divergent views will no doubt persist, the significance of the Manhattan Project in producing the world's first atomic bombs is irrefutable. Preserving some of its tangible remains is essential so that future generations can understand what the undertaking entailed from its humble wooden sheds to enormous first-of-a-kind industrial plants with 125,000 people working in secret and living in frontier-like communities. With continuing pressure for their demolition, what progress has been made in preserving some properties of the Manhattan Project? The presentation will share the handful of remaining properties that we believe are needed to tell the story of the Manhattan Project. It will share our successes, what is still at risk, and the on-going struggle to preserve this history.

Post-licensure safety surveillance of zoster vaccine live (Zostavax®) in the United States, Vaccine Adverse Event Reporting System (VAERS), 2006-2015.

PubMed

Miller, Elaine R; Lewis, Paige; Shimabukuro, Tom T; Su, John; Moro, Pedro; Woo, Emily Jane; Jankosky, Christopher; Cano, Maria

2018-03-26

Herpes zoster (HZ), or shingles, is caused by reactivation of varicella-zoster virus in latently infected individuals. Live-attenuated HZ vaccine (zoster vaccine live, ZVL) is approved in the United States for persons aged ≥50 years and recommended by the CDC for persons ≥60 years. We analyzed U.S. reports of adverse events (AEs) following ZVL submitted to the Vaccine Adverse Event Reporting System (VAERS), a spontaneous reporting system to monitor vaccine safety, for persons vaccinated May 1, 2006, through January 31, 2015. We conducted descriptive analysis, clinical reviews of reports with selected pre-specified conditions, and empirical Bayesian data mining. VAERS received 23,092 reports following ZVL, of which 22,120 (96%) were classified as non-serious. Of reports where age was documented (n = 18,817), 83% were in persons aged ≥60 years. Reporting rates of AEs were 106 and 4.4 per 100,000 ZVL doses distributed for all reports and serious reports, respectively. When ZVL was administered alone among persons aged ≥50 years, injection site erythema (27%), HZ (17%), injection site swelling (17%), and rash (14%) were the most commonly reported symptoms among non-serious reports; HZ (29%), pain (18%), and rash (16%) were the most commonly reported symptoms among serious reports. Six reports included laboratory evidence of vaccine-strain varicella-zoster virus (Oka/Merck strain) infection; AEs included HZ, HZ- or varicella-like illness, and local reaction with vesicles. In our review of reports of death with sufficient information to determine cause (n = 46, median age 75 years), the most common causes were heart disease (n = 28), sepsis (n = 4), and stroke (n = 3). Empirical Bayesian data mining did not detect new or unexpected safety signals. Findings from our safety review of ZVL are consistent with those from pre-licensure clinical trials and other post-licensure assessments. Transient injection-site reactions, HZ, and rashes were most frequently reported to VAERS following ZVL. Overall, our results are reassuring regarding the safety of ZVL.

The warm and cold neutral phase in the local interstellar medium at absolute value of B greater than or equal to 10 deg

NASA Astrophysics Data System (ADS)

Poppel, W. G. L.; Marronetti, P.; Benaglia, P.

1994-07-01

We made a systematic separation of both the neutral phases using the atlases of 21-cm profiles of Heiles & Habing (1974) and Colomb et al. (1980), complemented with other data. First, we fitted the emission of the warm neutral medium (WNM) by means of a broad Gaussian curve (velocity dispersion sigma approximately 10-14 km/s). We derived maps of the column densities NWH and the radial velocities VW of the WNM. Its overall distribution appears to be very inhomogeneous with a large hole in the range b greater than or equal to +50 deg. However, if the hole is excluded, the mean latitude-profiles admit a rough cosec absolute value of b-fit common to both hemispheres. A kinematical analysis of VW for the range 10 deg less than or equal to absolute value of b less than or equal to 40 deg indicates a mean differential rotation with a small nodal deviation. At absolute value of b greater than 50 deg VW is negative, with larger values and discontinuities in the north. On the mean, sigma increases for absolute value of b decreasing, as is expected from differential rotation. From a statistical study of the peaks of the residual profiles we derived some characteristics of the cold neutral medium (CNM). The latter is generally characterized by a single component of sigma approximately 2-6 km/s. Additionally we derived the sky-distribution of the column densities NCH and the radial velocities VC of the CNM within bins of 1.2 deg sec b x 1 deg in l, b. Furthermore, we focused on the characteristics of Linblad's feature A of cool gas by considering the narrow ridge of local H I, which appears in the b-V contour maps at fixed l (e.g. Schoeber 1976). The ridge appears to be the main component of the CNM. We suggest a scenario for the formulation and evolution of the Gould belt system of stars and gas on the basis of an explosive event within a shingle of cold dense gas tilted to the galactic plane. The scenario appears to be consistent with the results found for both the neutral phases, as well as with Danly's (1989) optical and UV observations of interstellar cool gas in the lower halo.

Geomorphic Map of Worcester County, Maryland, Interpreted from a LIDAR-Based, Digital Elevation Model

USGS Publications Warehouse

Newell, Wayne L.; Clark, Inga

2008-01-01

A recently compiled mosaic of a LIDAR-based digital elevation model (DEM) is presented with geomorphic analysis of new macro-topographic details. The geologic framework of the surficial and near surface late Cenozoic deposits of the central uplands, Pocomoke River valley, and the Atlantic Coast includes Cenozoic to recent sediments from fluvial, estuarine, and littoral depositional environments. Extensive Pleistocene (cold climate) sandy dune fields are deposited over much of the terraced landscape. The macro details from the LIDAR image reveal 2 meter-scale resolution of details of the shapes of individual dunes, and fields of translocated sand sheets. Most terrace surfaces are overprinted with circular to elliptical rimmed basins that represent complex histories of ephemeral ponds that were formed, drained, and overprinted by younger basins. The terrains of composite ephemeral ponds and the dune fields are inter-shingled at their margins indicating contemporaneous erosion, deposition, and re-arrangement and possible internal deformation of the surficial deposits. The aggregate of these landform details and their deposits are interpreted as the products of arid, cold climate processes that were common to the mid-Atlantic region during the Last Glacial Maximum. In the Pocomoke valley and its larger tributaries, erosional remnants of sandy flood plains with anastomosing channels indicate the dynamics of former hydrology and sediment load of the watershed that prevailed at the end of the Pleistocene. As the climate warmed and precipitation increased during the transition from late Pleistocene to Holocene, dune fields were stabilized by vegetation, and the stream discharge increased. The increased discharge and greater local relief of streams graded to lower sea levels stimulated down cutting and created the deeply incised valleys out onto the continental shelf. These incised valleys have been filling with fluvial to intertidal deposits that record the rising sea level and warmer, more humid climate in the mid-Atlantic region throughout the Holocene. Thus, the geomorphic details provided by the new LIDAR DEM actually record the response of the landscape to abrupt climate change. Holocene trends and land-use patterns from Colonial to modern times can also be interpreted from the local macro- scale details of the landscape. Beyond the obvious utility of these data for land-use planning and assessments of resources and hazards, the new map presents new details on the impact of climate changes on a mid-latitude, outer Coastal plain landscape.

Subclinical Shed of Infectious Varicella zoster Virus in Astronauts

NASA Technical Reports Server (NTRS)

Cohrs, Randall J.; Mehta, Satish K.; Schmid, D. Scott; Gilden, Donald H.; Pierson, Duane L.

2007-01-01

Aerosol borne varicella zoster virus (VZV) enters the nasopharynx and replicates in tonsillar T-cells, resulting in viremia and varicella (chickenpox). Virus then becomes latent in cranial nerve, dorsal root and autonomic nervous system ganglia along the entire neuraxis (1). Decades later, as cell-mediated immunity to VZV declines (4), latent VZV can reactivate to produce zoster (shingles). Infectious VZV is present in patients with varicella or zoster, but shed of infectious virus in the absence of disease has not been shown. We previously detected VZV DNA in saliva of astronauts during and shortly after spaceflight, suggesting stress induced subclinical virus reactivation (3). We show here that VZV DNA as well as infectious virus in present in astronaut saliva. VZV DNA was detected in saliva during and after a 13-day spaceflight in 2 of 3 astronauts (Fig. panel A). Ten days before liftoff, there was a rise in serum anti-VZV antibody in subjects 1 and 2, consistent with virus reactivation. In subject 3, VZV DNA was not detected in saliva, and there was no rise in anti-VZV antibody titer. Subject 3 may have been protected from virus reactivation by having zoster <10 years ago, which provides a boost in cell-medicated immunity to VZV (2). No VZV DNA was detected in astronaut saliva months before spaceflight, or in saliva of 10 age/sex-matched healthy control subjects sampled on alternate days for 3 weeks (88 saliva samples). Saliva taken 2-6 days after landing from all 3 subjects was cultured on human fetal lung cells (Fig. panel B). Infectious VZV was recovered from saliva of subjects 1 and 2 on the second day after landing. Virus specificity was confirmed by antibody staining and DNA analysis which showed it to be VZV of European descent, common in the US (5). Further, both antibody staining and DNA PCR demonstrated that no HSV-1 was detected in any infected culture. This is the first report of infectious VZV shedding in the absence of clinical disease. Spaceflight presents a uniquely stressful environment which includes physical isolation and confinement, anxiety, sleep deprivation, as well as exposure to increased radiation and microgravity. It is interesting that in our study, VZV and not HSV-1 reactivation was detected, since stress-induced HSV-1 reactivation has been reported (6). Future studies are needed to determine the specific inducer of VZV reactivation.

The use, safety, and effectiveness of herpes zoster vaccination in individuals with inflammatory and autoimmune diseases: a longitudinal observational study

PubMed Central

2011-01-01

Introduction Zostavax, a live attenuated vaccine, has been approved in the United States for use in older individuals to reduce the risk and severity of herpes zoster (HZ), also known as shingles. The vaccine is contraindicated in individuals taking anti-tumor necrosis factor alpha (anti-TNF) therapies or other biologics commonly used to treat autoimmune diseases because of the safety concern that zoster vaccine may be associated with a short-term HZ risk. The objective of the study was to examine the use, safety (short-term HZ risk after vaccination), and effectiveness of zoster vaccine in individuals with rheumatoid arthritis, psoriasis, psoriatic arthritis, ankylosing spondylitis, and/or inflammatory bowel diseases. Methods We conducted a cohort study of patients aged 50 years and older with rheumatoid arthritis, psoriasis, psoriatic arthritis, ankylosing spondylitis, and/or inflammatory bowel diseases by using administrative claims data from a nationwide health plan from January 1, 2005, to August 31, 2009. We examined the extent to which zoster vaccine was used; assessed factors associated with vaccine use (Cox proportional hazards regression); and compared the incidence rates of herpes zoster (HZ) between vaccinated and unvaccinated patients. Results Among 44,115 patients with the autoimmune diseases, 551 (1.2%) received zoster vaccine, and 761 developed HZ. Zoster vaccine use increased continuously after approval in 2006. Younger and healthier patients, those who had an HZ infection within the past 6 months, and those who were not using anti-TNF therapies were more likely to receive the vaccine. Approximately 6% of vaccinated patients were using anti-TNF therapies at the time of vaccination. The incidence rates of HZ were similar in vaccinated and unvaccinated patients (standardized incidence ratio, 0.99; 95% confidence interval, 0.29 to 3.43). Conclusions Use of the zoster vaccine was uncommon among older patients with autoimmune diseases, including those not exposed to immunosuppressive medications. The short-term risk of HZ did not appear to be increased in vaccinated patients, even among those using immunosuppressive therapies (for example, biologics) at the time of vaccination. However, our study was limited by the small number of vaccinated patients, and further evidence is needed to confirm the vaccine's safety and efficacy in this population. PMID:22024532

The use, safety, and effectiveness of herpes zoster vaccination in individuals with inflammatory and autoimmune diseases: a longitudinal observational study.

PubMed

Zhang, Jie; Delzell, Elizabeth; Xie, Fenglong; Baddley, John W; Spettell, Claire; McMahan, Raechele M; Fernandes, Joaquim; Chen, Lang; Winthrop, Kevin; Curtis, Jeffrey R

2011-01-01

Zostavax, a live attenuated vaccine, has been approved in the United States for use in older individuals to reduce the risk and severity of herpes zoster (HZ), also known as shingles. The vaccine is contraindicated in individuals taking anti-tumor necrosis factor alpha (anti-TNF) therapies or other biologics commonly used to treat autoimmune diseases because of the safety concern that zoster vaccine may be associated with a short-term HZ risk. The objective of the study was to examine the use, safety (short-term HZ risk after vaccination), and effectiveness of zoster vaccine in individuals with rheumatoid arthritis, psoriasis, psoriatic arthritis, ankylosing spondylitis, and/or inflammatory bowel diseases. We conducted a cohort study of patients aged 50 years and older with rheumatoid arthritis, psoriasis, psoriatic arthritis, ankylosing spondylitis, and/or inflammatory bowel diseases by using administrative claims data from a nationwide health plan from January 1, 2005, to August 31, 2009. We examined the extent to which zoster vaccine was used; assessed factors associated with vaccine use (Cox proportional hazards regression); and compared the incidence rates of herpes zoster (HZ) between vaccinated and unvaccinated patients. Among 44,115 patients with the autoimmune diseases, 551 (1.2%) received zoster vaccine, and 761 developed HZ. Zoster vaccine use increased continuously after approval in 2006. Younger and healthier patients, those who had an HZ infection within the past 6 months, and those who were not using anti-TNF therapies were more likely to receive the vaccine. Approximately 6% of vaccinated patients were using anti-TNF therapies at the time of vaccination. The incidence rates of HZ were similar in vaccinated and unvaccinated patients (standardized incidence ratio, 0.99; 95% confidence interval, 0.29 to 3.43). Use of the zoster vaccine was uncommon among older patients with autoimmune diseases, including those not exposed to immunosuppressive medications. The short-term risk of HZ did not appear to be increased in vaccinated patients, even among those using immunosuppressive therapies (for example, biologics) at the time of vaccination. However, our study was limited by the small number of vaccinated patients, and further evidence is needed to confirm the vaccine's safety and efficacy in this population.

Cost-effectiveness of vaccination of the elderly against herpes zoster in The Netherlands.

PubMed

de Boer, Pieter T; Pouwels, Koen B; Cox, Juul M; Hak, Eelko; Wilschut, Jan C; Postma, Maarten J

2013-02-18

Each year a substantial number of Dutch elderly suffers from herpes zoster (HZ), caused by the reactivation of the varicella zoster virus (VZV). A potential complication of HZ is postherpetic neuralgia (PHN) which results in a prolonged loss of quality of life. A large randomized clinical trial, labelled the Shingles Prevention study (SPS), demonstrated that a live attenuated VZV vaccine can reduce the incidence of HZ and PHN. We aimed to estimate the incremental cost-effectiveness ratio (ICER) of vaccination of the elderly against HZ versus no such vaccination in The Netherlands. A cohort model was developed to compare the costs and effects in a vaccinated and a non-vaccinated age- and gender-stratified cohort of immune-competent elderly. Vaccination age was varied from 60 to 75 years. Data from published literature such as the SPS were used for transition probabilities. The study was performed from the societal as well as the health care payer's perspective and results were expressed in euros per quality-adjusted life year (QALY) gained. In the base case, we estimated that vaccination of a cohort of 100,000 60-year-olds would prevent 4136 cases of HZ, 305 cases of PHN resulting in a QALY-gain of 209. From the societal perspective, a total of €1.9 million was saved and the ICER was €35,555 per QALY gained when a vaccine price of €87 was used. Vaccination of women resulted in a lower ICER than vaccination of men (€33,258 vs. €40,984 per QALY gained). The vaccination age with the most favourable ICER was 70 years (€29,664 per QALY gained). Parameters with a major impact on the ICER were the vaccine price and HZ incidence rates. In addition, the model was sensitive to utility of mild pain, vaccine efficacy at the moment of uptake and the duration of protection induced by the vaccine. Vaccination against HZ might be cost-effective for ages ranging from 60 to 75 when a threshold of €50,000 per QALY gained would be used, at €20,000 per QALY this might not be the case. Additional information on the duration of vaccine-protection is needed to further optimize cost-effectiveness estimations. Copyright © 2012 Elsevier Ltd. All rights reserved.

A comparison of herpes simplex virus type 1 and varicella-zoster virus latency and reactivation.

PubMed

Kennedy, Peter G E; Rovnak, Joel; Badani, Hussain; Cohrs, Randall J

2015-07-01

Herpes simplex virus type 1 (HSV-1; human herpesvirus 1) and varicella-zoster virus (VZV; human herpesvirus 3) are human neurotropic alphaherpesviruses that cause lifelong infections in ganglia. Following primary infection and establishment of latency, HSV-1 reactivation typically results in herpes labialis (cold sores), but can occur frequently elsewhere on the body at the site of primary infection (e.g. whitlow), particularly at the genitals. Rarely, HSV-1 reactivation can cause encephalitis; however, a third of the cases of HSV-1 encephalitis are associated with HSV-1 primary infection. Primary VZV infection causes varicella (chickenpox) following which latent virus may reactivate decades later to produce herpes zoster (shingles), as well as an increasingly recognized number of subacute, acute and chronic neurological conditions. Following primary infection, both viruses establish a latent infection in neuronal cells in human peripheral ganglia. However, the detailed mechanisms of viral latency and reactivation have yet to be unravelled. In both cases latent viral DNA exists in an 'end-less' state where the ends of the virus genome are joined to form structures consistent with unit length episomes and concatemers, from which viral gene transcription is restricted. In latently infected ganglia, the most abundantly detected HSV-1 RNAs are the spliced products originating from the primary latency associated transcript (LAT). This primary LAT is an 8.3 kb unstable transcript from which two stable (1.5 and 2.0 kb) introns are spliced. Transcripts mapping to 12 VZV genes have been detected in human ganglia removed at autopsy; however, it is difficult to ascribe these as transcripts present during latent infection as early-stage virus reactivation may have transpired in the post-mortem time period in the ganglia. Nonetheless, low-level transcription of VZV ORF63 has been repeatedly detected in multiple ganglia removed as close to death as possible. There is increasing evidence that HSV-1 and VZV latency is epigenetically regulated. In vitro models that permit pathway analysis and identification of both epigenetic modulations and global transcriptional mechanisms of HSV-1 and VZV latency hold much promise for our future understanding in this complex area. This review summarizes the molecular biology of HSV-1 and VZV latency and reactivation, and also presents future directions for study.

Utilizing TEMPO surface estimates to determine changes in emissions, community exposure and environmental impacts from cement kilns across North America using alternative fuels

NASA Astrophysics Data System (ADS)

Pegg, M. J.; Gibson, M. D.; Asamany, E.

2015-12-01

A major problem faced by all North American (NA) Governments is managing solid waste from residential and non-residential sources. One way to mitigate the need to expand landfill sites across NA is waste diversion for use as alternative fuel in industries such as cement manufacture. Currently, waste plastic, tires, waste shingles and other high carbon content waste destined for landfill are being explored, or currently used, as an alternative supplemental fuels for use in cement kilns across NA. While this is an attractive, environmentally sustainable solution, significant knowledge gaps remain in our fundamental understanding of whether these alternative fuels may lead to increased air pollution emissions from cement kilns across NA. The long-term objective of using TEMPO is to advance fundamental understanding of uncharacterized air pollution emissions and to assess the actual or potential environmental and health impacts of these emissions from cement kilns across NA. TEMPO measurements will be made in concert with in-situ observations augmented by air dispersion, land-use regression and receptor modelling. This application of TEMPO follows on from current research on a series of bench scale and pilot studies for Lafarge Canada Inc., that investigated the change in combustion emissions from various mixtures of coal (C), petroleum coke (PC) and non-recyclable alternative fuels. From our work we demonstrated that using an alternative fuel mixture in a cement kiln has potential to reduce emissions of CO2 by 34%; reduce NOx by 80%, and reduce fuel SO2 emissions by 98%. We also provided evidence that there would be a significant reduction in the formation of secondary ground-level ozone (O3) and secondary PM2.5 in downwind stack plumes if alternative waste derived fuels are used. The application of air dispersion, source apportionment, land use regression; together with remote sensing offers a powerful set of tools with the potential to improve air pollution community exposure research in NA. The application of the new NASA TEMPO satellite to track the dispersion of SO2, PM2.5 and NO2 in plumes and secondary O3 and aerosol formation downwind of cement kilns opens up an exciting new avenue of air pollution research in NA.

A comparison of herpes simplex virus type 1 and varicella-zoster virus latency and reactivation

PubMed Central

Kennedy, Peter G. E.; Rovnak, Joel; Badani, Hussain

2015-01-01

Herpes simplex virus type 1 (HSV-1; human herpesvirus 1) and varicella-zoster virus (VZV; human herpesvirus 3) are human neurotropic alphaherpesviruses that cause lifelong infections in ganglia. Following primary infection and establishment of latency, HSV-1 reactivation typically results in herpes labialis (cold sores), but can occur frequently elsewhere on the body at the site of primary infection (e.g. whitlow), particularly at the genitals. Rarely, HSV-1 reactivation can cause encephalitis; however, a third of the cases of HSV-1 encephalitis are associated with HSV-1 primary infection. Primary VZV infection causes varicella (chickenpox) following which latent virus may reactivate decades later to produce herpes zoster (shingles), as well as an increasingly recognized number of subacute, acute and chronic neurological conditions. Following primary infection, both viruses establish a latent infection in neuronal cells in human peripheral ganglia. However, the detailed mechanisms of viral latency and reactivation have yet to be unravelled. In both cases latent viral DNA exists in an ‘end-less’ state where the ends of the virus genome are joined to form structures consistent with unit length episomes and concatemers, from which viral gene transcription is restricted. In latently infected ganglia, the most abundantly detected HSV-1 RNAs are the spliced products originating from the primary latency associated transcript (LAT). This primary LAT is an 8.3 kb unstable transcript from which two stable (1.5 and 2.0 kb) introns are spliced. Transcripts mapping to 12 VZV genes have been detected in human ganglia removed at autopsy; however, it is difficult to ascribe these as transcripts present during latent infection as early-stage virus reactivation may have transpired in the post-mortem time period in the ganglia. Nonetheless, low-level transcription of VZV ORF63 has been repeatedly detected in multiple ganglia removed as close to death as possible. There is increasing evidence that HSV-1 and VZV latency is epigenetically regulated. In vitro models that permit pathway analysis and identification of both epigenetic modulations and global transcriptional mechanisms of HSV-1 and VZV latency hold much promise for our future understanding in this complex area. This review summarizes the molecular biology of HSV-1 and VZV latency and reactivation, and also presents future directions for study. PMID:25794504

Rapid Detection of the Varicella Zoster Virus

NASA Technical Reports Server (NTRS)

Lewis, Michelle P.; Harding, Robert

2011-01-01

1.Technology Description-Researchers discovered that when the Varicella Zoster Virus (VZV) reactivates from latency in the body, the virus is consistently present in saliva before the appearance of skin lesions. A small saliva sample is mixed with a specialized reagent in a test kit. If the virus is present in the saliva sample, the mixture turns a red color. The sensitivity and specificity emanates from an antibody-antigen reaction. This technology is a rapid, non-invasive, point of-of-care testing kit for detecting the virus from a saliva sample. The device is easy to use and can be used in clinics and in remote locations to quickly detect VZV and begin treatment with antiviral drugs. 2.Market Opportunity- RST Bioscience will be the first and only company to market a rapid, same day test kit for the detection of VZV in saliva. The RST detection test kit will have several advantages over existing, competitive technology. The test kit is self contained and laboratory equipment is not required for analysis of the sample. Only a single saliva sample is required to be taken instead of blood or cerebral spinal fluid. The test kit is portable, sterile and disposable after use. RST detection test kits require no electrical power or expensive storage equipment and can be used in remote locations. 3.Market Analysis- According to the CDC, it is estimated that 1 million cases of shingles occur each year in the U.S. with more than half over the age of sixty. There is a high demand for rapid diagnostics by the public. The point-of-care testing (POCT) market is growing faster than other segments of in vitro diagnostics. According to a July 2007 InteLab Corporation industry report the overall market for POCT was forecast to increase from $10.3 billion in 2005 to $18.7 billion by 2011. The market value of this test kit has not been determined. 4.Competition- The VZV vaccine prevents 50% of cases and reduces neuralgia by 66%. The most popular test detects VZV-specific IgM antibody in blood. Other tests include running a sample in a polymerase chain reaction analyzer, enzyme immunoassay, latex agglutination, indirect fluorescent antibody and fluorescent antibody to membrane antigen assay. These existing tests require laboratory analysis by trained personnel, expensive equipment, invasive procedures and a longer period of time to obtain test results.

Evolution of Cocirculating Varicella-Zoster Virus Genotypes during a Chickenpox Outbreak in Guinea-Bissau

PubMed Central

Gray, Eleanor R.; Kundu, Samit; Cooray, Samantha; Poulsen, Anja; Aaby, Peter; Breuer, Judith

2014-01-01

ABSTRACT Varicella-zoster virus (VZV), a double-stranded DNA alphaherpesvirus, is associated with seasonal outbreaks of varicella in nonimmunized populations. Little is known about whether these outbreaks are associated with a single or multiple viral genotypes and whether new mutations rapidly accumulate during transmission. Here, we take advantage of a well-characterized population cohort in Guinea-Bissau and produce a unique set of 23 full-length genome sequences, collected over 7 months from eight households. Comparative sequence analysis reveals that four distinct genotypes cocirculated among the population, three of which were present during the first week of the outbreak, although no patients were coinfected, which indicates that exposure to infectious virus from multiple sources is common during VZV outbreaks. Transmission of VZV was associated with length polymorphisms in the R1 repeat region and the origin of DNA replication. In two cases, these were associated with the formation of distinct lineages and point to the possible coevolution of these loci, despite the lack of any known functional link in VZV or related herpesviruses. We show that these and all other sequenced clade 5 viruses possess a distinct R1 repeat motif that increases the acidity of an ORF11p protein domain and postulate that this has either arisen or been lost following divergence of the major clades. Thus, sequencing of whole VZV genomes collected during an outbreak has provided novel insights into VZV biology, transmission patterns, and (recent) natural history. IMPORTANCE VZV is a highly infectious virus and the causative agent of chickenpox and shingles, the latter being particularly associated with the risk of painful complications. Seasonal outbreaks of chickenpox are very common among young children, yet little is known about the dynamics of the virus during person-to-person to transmission or whether multiple distinct viruses seed and/or cocirculate during an outbreak. In this study, we have sequenced chickenpox viruses from an outbreak in Guinea-Bissau that are supported by detailed epidemiological data. Our data show that multiple different virus strains seeded and were maintained throughout the 6-month outbreak period and that viruses transmitted between individuals accumulated new mutations in specific genomic regions. Of particular interest is the potential coevolution of two distinct parts of the genomes and our calculations of the rate of viral mutation, both of which increase our understanding of how VZV evolves over short periods of time in human populations. PMID:25275123

Evolution of cocirculating varicella-zoster virus genotypes during a chickenpox outbreak in Guinea-Bissau.

PubMed

Depledge, Daniel P; Gray, Eleanor R; Kundu, Samit; Cooray, Samantha; Poulsen, Anja; Aaby, Peter; Breuer, Judith

2014-12-01

Varicella-zoster virus (VZV), a double-stranded DNA alphaherpesvirus, is associated with seasonal outbreaks of varicella in nonimmunized populations. Little is known about whether these outbreaks are associated with a single or multiple viral genotypes and whether new mutations rapidly accumulate during transmission. Here, we take advantage of a well-characterized population cohort in Guinea-Bissau and produce a unique set of 23 full-length genome sequences, collected over 7 months from eight households. Comparative sequence analysis reveals that four distinct genotypes cocirculated among the population, three of which were present during the first week of the outbreak, although no patients were coinfected, which indicates that exposure to infectious virus from multiple sources is common during VZV outbreaks. Transmission of VZV was associated with length polymorphisms in the R1 repeat region and the origin of DNA replication. In two cases, these were associated with the formation of distinct lineages and point to the possible coevolution of these loci, despite the lack of any known functional link in VZV or related herpesviruses. We show that these and all other sequenced clade 5 viruses possess a distinct R1 repeat motif that increases the acidity of an ORF11p protein domain and postulate that this has either arisen or been lost following divergence of the major clades. Thus, sequencing of whole VZV genomes collected during an outbreak has provided novel insights into VZV biology, transmission patterns, and (recent) natural history. VZV is a highly infectious virus and the causative agent of chickenpox and shingles, the latter being particularly associated with the risk of painful complications. Seasonal outbreaks of chickenpox are very common among young children, yet little is known about the dynamics of the virus during person-to-person to transmission or whether multiple distinct viruses seed and/or cocirculate during an outbreak. In this study, we have sequenced chickenpox viruses from an outbreak in Guinea-Bissau that are supported by detailed epidemiological data. Our data show that multiple different virus strains seeded and were maintained throughout the 6-month outbreak period and that viruses transmitted between individuals accumulated new mutations in specific genomic regions. Of particular interest is the potential coevolution of two distinct parts of the genomes and our calculations of the rate of viral mutation, both of which increase our understanding of how VZV evolves over short periods of time in human populations. Copyright © 2014 Depledge et al.

Hurricane Ike Deposits on the Bolivar Peninsula, Galveston Bay, Texas

NASA Astrophysics Data System (ADS)

Evans, C. A.; Wilkinson, M. J.; Eppler, D.

2011-12-01

In September 2008, Hurricane Ike made landfall on Galveston Bay, close to the NASA Johnson Space Center (JSC). The storm flooded much of the area with a storm surge ranging from 11-20 feet. The Bolivar peninsula, the southeastern coast of Galveston Bay, experienced the brunt of the surge. Several agencies collected excellent imagery baselines before the storm and complementary data a few days afterward that helped define the impacts of the storm. In April of 2011, a team of scientists and astronauts from JSC conducted field mapping exercises along the Bolivar Peninsula, the section of the Galveston Bay coast most impacted by the storm. Astronauts routinely observe and document coastal changes from orbit aboard the International Space Station. As part of their basic Earth Science training, scientists at the Johnson Space Center take astronauts out for field mapping exercises so that they can better recognize and understand features and processes that they will later observe from the International Space Station. Using pre-storm baseline images of the Bolivar Peninsula near Rollover Pass and Gilchrist (NOAA/Google Earth Imagery and USGS aerial imagery and lidar data), the astronauts mapped current coastline positions at defined locations, and related their findings to specific coastal characteristics, including channel, jetties, and other developments. In addition to mapping, we dug trenches along both the Gulf of Mexico coast as well as the Galveston Bay coast of the Bolivar peninsula to determine the depth of the scouring from the storm on the Gulf side, and the amount of deposition of the storm surge deposits on the Bay side of the peninsula. The storm signature was easy to identify by sharp sediment transitions and, in the case of storm deposits, a layer of storm debris (roof shingles, PVC pipes, etc) and black, organic rich layers containing buried sea grasses in areas that were marshes before the storm. The amount of deposition was generally about 20-25 cm; the local areas experiencing obvious deposition are readily obvious in post-Ike imagery of the region. We used a March 2010 aerial photograph from the NOAA-Google Earth collection because construction and vegetation recovery was minimal. Based on the before and after aerial imagery and the trenching data collected over two days, we can begin to characterize the material transported and deposited by Hurricane Ike along one stretch of the Bolivar peninsula. We summarize the results from our mapping and trenching data. The basic data collected 2.5 years after the storm are ephemeral as the storm deposits become reworked and overprinted by coastal processes, vegetation regrowth and reconstruction.

Evidence for local and global redox conditions at an Early Ordovician (Tremadocian) mass extinction

NASA Astrophysics Data System (ADS)

Edwards, Cole T.; Fike, David A.; Saltzman, Matthew R.; Lu, Wanyi; Lu, Zunli

2018-01-01

Profound changes in environmental conditions, particularly atmospheric oxygen levels, are thought to be important drivers of several major biotic events (e.g. mass extinctions and diversifications). The early Paleozoic represents a key interval in the oxygenation of the ocean-atmosphere system and evolution of the biosphere. Global proxies (e.g. carbon (δ13C) and sulfur (δ34S) isotopes) are used to diagnose potential changes in oxygenation and infer causes of environmental change and biotic turnover. The Cambrian-Ordovician contains several trilobite extinctions (some are apparently local, but others are globally correlative) that are attributed to anoxia based on coeval positive δ13C and δ34S excursions. These extinction and excursion events have yet to be coupled with more recently developed proxies thought to be more reflective of local redox conditions in the water column (e.g. I/Ca) to confirm whether these extinctions were associated with oxygen crises over a regional or global scale. Here we examine an Early Ordovician (Tremadocian Stage) extinction event previously interpreted to reflect a continuation of recurrent early Paleozoic anoxic events that expanded into nearshore environments. δ13C, δ34S, and I/Ca trends were measured from three sections in the Great Basin region to test whether I/Ca trends support the notion that anoxia was locally present in the water column along the Laurentian margin. Evidence for anoxia is based on coincident, but not always synchronous, positive δ13C and δ34S excursions (mainly from carbonate-associated sulfate and less so from pyrite data), a 30% extinction of standing generic diversity, and near-zero I/Ca values. Although evidence for local water column anoxia from the I/Ca proxy broadly agrees with intervals of global anoxia inferred from δ13C and δ34S trends, a more complex picture is evident where spatially and temporally variable local trends are superimposed on time-averaged global trends. Stratigraphic sections from the distal and deeper part of the basin (Shingle Pass and Meiklejohn Peak) preserve synchronous global (δ13C and δ34S) and water column (I/Ca) evidence for anoxia, but not at the more proximal section (Ibex, UT). Although geochemical and paleontological evidence point toward anoxia as the driver of this Early Ordovician extinction event, differences between I/Ca and δ13C-δ34S signals suggest regional variation in the timing, extent, and persistence of anoxia.

Beach Cusps: Spatial distribution and time evolution at Massaguaçú beach (SP), Brazil

NASA Astrophysics Data System (ADS)

dos Santos, H. H.; Siegle, E.; Sousa, P. H.

2013-05-01

Beach cusps are crescentic morphological structures observed on the foreshore of beaches characterized by steep seaward protruding extensions, called cusp horns, and gently sloped landward extensions, called cusp embayments. Their formation depends on the grain size, beach slope, tidal range and incoming waves. Cusps are best developed on gravel or shingle beaches, small tidal range with a large slope for incoming waves generate a well-developed swash excursion. These structures are quickly responding to wave climate and tidal range, changing the position of the rhythmic features on the beach face. Beach cusps are favored by normal incoming waves, while oblique waves tend to wash these features out. This study aims to analyze the spatial distribution and temporal evolution of rhythmic features such as beach cusps in Massaguaçú embayment (Caraguatatuba, northern coast of São Paulo, Brazil). This embayment has an extension of 7.5 km with reflective beaches cusped mainly in its more exposed central portion. The data set for this study consists of a series of video images (Argus system), covering a stretch of the beach. Visible beach cusps were digitalized from these rectified images. Results obtained from the images were related to the wave climate, water level and the storm surges. Results show that the cusps on the upper portion of the foreshore were more regular and present than the cusps on the lower portion of the foreshore due to the tidal modulation of wave action. The cusp spacing on the upper portion of the foreshore is of about 38 m and the lower portion of the foreshore is of about 28 m and their presence was correlated with the wave direction and water elevation. As expected, waves approaching with shore-normal angles (southeast direction) were favorable to the formation of beach cusps while the waves from the southwest, south, east and northeast generated a longshore current that reduced or destroyed any rhythmic feature. Other important forcing was the influence of the water level. Waves acting at higher water levels are able to produce the less dynamic upper layer of cusps. During 31 consecutive days from 8 July 2011 to 8 August of the same year these features show four periods with the presence of cusps on the upper and lower portion of the foreshore with three periods with cups only on the upper portion of the foreshore. The analyzed dataset shows the highly dynamic behavior of cusps, with rapid generation and destruction, related directly to its forcing hydrodynamic conditions.

Human Embryonic Stem Cell-Derived Neurons Are Highly Permissive for Varicella-Zoster Virus Lytic Infection.

PubMed

Sadaoka, Tomohiko; Schwartz, Cindi L; Rajbhandari, Labchan; Venkatesan, Arun; Cohen, Jeffrey I

2018-01-01

Varicella-zoster virus (VZV) is highly cell associated when grown in culture and has a much higher (4,000- to 20,000-fold increased) particle-to-PFU ratio in vitro than herpes simplex virus (HSV). In contrast, VZV is highly infectious in vivo by airborne transmission. Neurons are major targets for VZV in vivo ; in neurons, the virus can establish latency and reactivate to produce infectious virus. Using neurons derived from human embryonic stem cells (hESC) and cell-free wild-type (WT) VZV, we demonstrated that neurons are nearly 100 times more permissive for WT VZV infection than very-early-passage human embryonic lung cells or MRC-5 diploid human fibroblasts, the cells used for vaccine production or virus isolation. The peak titers achieved after infection were ∼10-fold higher in human neurons than in MRC-5 cells, and the viral genome copy number-to-PFU ratio for VZV in human neurons was 500, compared with 50,000 for MRC-5 cells. Thus, VZV may not necessarily have a higher particle-to-PFU ratio than other herpesviruses; instead, the cells previously used to propagate virus in vitro may have been suboptimal. Furthermore, based on electron microscopy, neurons infected with VZV produced fewer defective or incomplete viral particles than MRC-5 cells. Our data suggest that neurons derived from hESC may have advantages compared to other cells for studies of VZV pathogenesis, for obtaining stocks of virus with high titers, and for isolating VZV from clinical specimens. IMPORTANCE Varicella-zoster virus (VZV) causes chickenpox and shingles. Cell-free VZV has been difficult to obtain, both for in vitro studies and for vaccine production. While numerous cells lines have been tested for their ability to produce high titers of VZV, the number of total virus particles relative to the number of viral particles that can form plaques in culture has been reported to be extremely high relative to that in other viruses. We show that VZV grows to much higher titers in human neurons than in other cell types in vitro and that the number of total virus genomes relative to the number of viral particles that can form plaques in culture is much lower in human neurons than other cultured cells. These findings indicate that human neurons may be useful for studying VZV in vitro , for growing preparations of virus with high titers, and for isolating the virus from human samples. Copyright © 2017 American Society for Microbiology.

Challenges in adult vaccination.

PubMed

de Gomensoro, Eduardo; Del Giudice, Giuseppe; Doherty, T Mark

2018-05-01

Life-long primary prevention interventions beginning and continuing throughout an individual's lifetime are increasingly seen as key to meeting the global healthcare challenges that accompany demographic changes - a concept referred to as "Healthy aging". In this perspective, vaccination is seen as part of a triad, together with healthy diet and exercise. Current adult vaccine coverage is lower than target vaccination rates in most developed countries, and so vaccine preventable diseases continue to present a substantial burden on health and healthcare resources, especially in older individuals. In part, this is due to lack of knowledge and understanding of the benefits of vaccination, inconsistent recommendations by providers and uncertainties about cost benefits. However, lower vaccine effectiveness in older adults plays a part, and new vaccines with novel characteristics to improve effectiveness in older adults are required. A life-course immunization approach to ensure optimal vaccine uptake across adults of all ages can be expected to reduce morbidity and mortality in later life. To achieve this, greater emphasis on public and healthcare provider education is necessary, based on appropriate economic analyses that demonstrate the overall value of vaccination. This article introduces the technical, economic, political and demographic issues that make establishing effective adult vaccination programs such a difficult, but pressing issue, and outlines some of the steps that are now being taken to address them. Key messages Life-long preventive activities that start and continue throughout life are essential, especially as the world's population is "getting older". This "Healthy aging" approach includes not only healthy diet and physical exercise; vaccination is critical in reducing some infectious diseases and their complications. Many adults, especially older adults (who have lower immunity than younger people) develop infections such as influenza and shingles that could potentially be prevented through vaccination. This review provides a perspective on the challenges in delivering a life-course immunization program. While some vaccines are less effective in older people, newer vaccines have been developed which provide stronger and longer protection in older patients than standard existing vaccines. However, the benefits of vaccination can only be realized if the vaccines are recommended and used. For that purpose, greater education of patients and their healthcare providers is necessary. Better knowledge of vaccines and making sure that all adults are up to date with all their recommended vaccines is an essential part of "Healthy aging". This should prevent not only vaccine-preventable diseases but also reduce the risk of complications in later life.

Indoor climate and moisture durability performances of houses with unvented attic roof constructions in a mixed-humid climate.

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

Pallin, Simon B.; Boudreaux, Philip R.; Jackson, Roderick K.

2014-10-01

A sealed or unvented attic is an energy-efficient envelope component that can reduce the amount of energy a house consumes for space conditioning if the air handler and/or ducts are located in the attic. The attic is typically sealed by using spray foam on the underside of the roof deck and covering the soffit, ridge and gable vents to minimize air leakage from the attic to the outside. This approach can save up to 10% in space-conditioning energy when ducts are located in the attic (DOE 2013). Past research done by ORNL and Florida Solar Energy Center suggests that inmore » more hot, humid climates, an unvented attic could potentially create a more humid, uncomfortable living environment than a vented attic (Colon 2011, Boudreaux, Pallin et al. 2013). Research showed that controlling the higher indoor humidity could reduce the energy savings from the sealed, unvented attic, which in turn would decrease the energy savings payback. Research also showed that the roof assembly (5.5 inches of open-cell foam, 1inch of closed-cell foam, OSB, felt paper, and asphalt shingles) stored moisture, thus acting as a moisture buffer. During the fall and winter, the roof assembly stored moisture and during the spring and summer it released moisture. This phenomenon is not seen in a vented attic, in which the air exchange rate to the outside is greater and, in the winter, helps to dehumidify the attic air. It was also seen that in a vented attic, the direction of water vapor diffusion is on average from the attic to the interior of the house. Air leakage from the attic to the interior also occurs during more of the year in a house with an unvented attic than in one with a vented attic. These discoveries show that the moisture dynamics in a house with an unvented attic are much different from those in a house with a vented attic. This study reports on a series of computer model investigations completed to determine the key variables impacting indoor comfort and the durability of roof assemblies against moisture. The key variables investigated were the leakage area from the attic to the outside, leakage area from the attic to the interior, leakage area from the interior to the outside, supply duct leakage in the attic, and interior moisture generation. These investigations are described in this report.« less

Annual incidence rates of herpes zoster among an immunocompetent population in the United States.

PubMed

Johnson, Barbara H; Palmer, Liisa; Gatwood, Justin; Lenhart, Gregory; Kawai, Kosuke; Acosta, Camilo J

2015-11-06

Herpes zoster (HZ), also known as shingles, is a painful and commonly occurring condition in the United States. In spite of a universally recommended vaccine for use in immunocompetent adults aged 60 years and older, HZ continues to impact the American public, and a better understanding of its current incidence is needed. The objective of the current study is to estimate the overall and age- and gender-specific incidence rates (IRs) of HZ among an immunocompetent US population in 2011 following availability of a vaccine. Claims data from the Truven Health MarketScan® Research databases between 01/01/2011 and 12/31/2011 were extracted. Immunocompetent adult patients, enrolled as of January 1, 2011 were analyzed. The denominator was defined as eligible subjects who were immunocompetent, had no evidence of zoster vaccination, and no diagnosis of HZ (International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis code 053.xx) in the 90 days prior to January 1, 2011. Subjects contributed person-days to the denominator until the occurrence of one of the following events: end of continuous enrollment in the database, a claim for zoster vaccination, diagnosis of HZ or end of the observation period (December 31, 2011). The numerator was defined as enrollees within the denominator file exhibiting evidence of HZ. Annual IRs were calculated for the entire population in the database as well as by gender and age group; standardized IRs were also produced using the 2010 US Census data. The overall annual IR of HZ across all ages was 4.47 per 1000 person-years (95% confidence interval [CI]: 4.44-4.50) which monotonically increased with age from 0.86 (95% CI: 0.84-0.88) for those aged ≤ 19 to 12.78 (95% CI: 12.49-13.07) for patients ≥ 80 years. The IR was 8.46 (95% CI: 8.39-8.52) among adults ≥ 50 years and 10.46 (95% CI: 10.35-10.56) among those aged ≥ 60 years. Women compared to men had higher HZ incidence (5.25, 95% CI: 5.21-5.29 vs. 3.66, 95% CI: 3.62-3.69) and this was seen across all age groups. When adjusted for age and gender using 2010 US Census data, the annual IR was 4.63 per 1000 person-years (95% CI: 4.61-4.66). Despite the availability of a vaccine, HZ remains common among immunocompetent adults in the US with incidence rates of HZ observed to increase with age and be higher in women than men.

Hurricane Ike Deposits on the Bolivar Peninsula, Galveston Bay, Texas

NASA Technical Reports Server (NTRS)

Evans, Cynthia A.; Wilkinson, M. J.; Eppler, Dean

2011-01-01

In September 2008, Hurricane Ike made landfall on Galveston Bay, close to the NASA Johnson Space Center (JSC). The storm flooded much of the area with a storm surge ranging from 11 -20 feet. The Bolivar peninsula, the southeastern coast of Galveston Bay, experienced the brunt of the surge. Several agencies collected excellent imagery baselines before the storm and complementary data a few days afterward that helped define the impacts of the storm. In April of 2011, a team of scientists and astronauts from JSC conducted field mapping exercises along the Bolivar Peninsula, the section of the Galveston Bay coast most impacted by the storm. Astronauts routinely observe and document coastal changes from orbit aboard the International Space Station. As part of their basic Earth Science training, scientists at the Johnson Space Center take astronauts out for field mapping exercises so that they can better recognize and understand features and processes that they will later observe from the International Space Station. Using pre -storm baseline images of the Bolivar Peninsula near Rollover Pass and Gilchrist (NOAA/Google Earth Imagery and USGS aerial imagery and lidar data), the astronauts mapped current coastline positions at defined locations, and related their findings to specific coastal characteristics, including channel, jetties, and other developments. In addition to mapping, we dug trenches along both the Gulf of Mexico coast as well as the Galveston Bay coast of the Bolivar peninsula to determine the depth of the scouring from the storm on the Gulf side, and the amount of deposition of the storm surge deposits on the Bay side of the peninsula. The storm signature was easy to identify by sharp sediment transitions and, in the case of storm deposits, a layer of storm debris (roof shingles, PVC pipes, etc) and black, organic rich layers containing buried sea grasses in areas that were marshes before the storm. The amount of deposition was generally about 20 -25 cm; the local areas experiencing obvious deposition are readily obvious in post -Ike imagery of the region. We used a March 2010 aerial photograph from the NOAA -Google Earth collection because construction and vegetation recovery was minimal. Based on the before and after aerial imagery and the trenching data collected over two days, we can begin to characterize the material transported and deposited by Hurricane Ike along one stretch of the Bolivar peninsula. We summarize the results from our mapping and trenching data. The basic data collected 2.5 years after the storm are ephemeral as the storm deposits become reworked and overprinted by coastal processes, vegetation regrowth and reconstruction.

Experiences with 6-mercaptopurine and azathioprine therapy in pediatric patients with severe ulcerative colitis.

PubMed

Kader, H A; Mascarenhas, M R; Piccoli, D A; Stouffer, N O; Baldassano, R N

1999-01-01

The effectiveness of 6-mercaptopurine combined with azathioprine in treating severe ulcerative colitis has been shown in several adult studies. Reported pediatric experiences are rare. The purpose of this study was to investigate the safety and the potential efficacy of 6-mercaptopurine and azathioprine in the treatment of active ulcerative colitis in a pediatric population. The medical records of patients with active ulcerative colitis who were under observation at The Children's Hospital of Philadelphia and its satellite clinics from January 1984 through December 1997 were retrospectively reviewed. Patients were included who had received a diagnosis of ulcerative colitis, who met no criteria for Crohn's colitis, and who had received treatment with 6-mercaptopurine and azathioprine. They were then analyzed for the development of side effects, the indication to use 6-mercaptopurine and azathioprine, and the ability to discontinue corticosteroid use in those patients taking 5-acetylsalicylic acid products who were corticosteroid-dependent or whose disease was refractory to treatment. Excluded from the corticosteroid analyses were patients who underwent surgery for their disease and patients treated with 5-acetylsalicylic acid only. Statistical analysis was performed by the Kaplan-Meier survival curve and paired Student's t-test. In a review of 200 medical records of patients with active ulcerative colitis, 20 patients met the criteria. The patients' average age at the initiation of treatment with 6-mercaptopurine and azathioprine was 13.8 years. Sixteen patients (80%) were corticosteroid dependent and 3 (15%) had ulcerative colitis refractory to corticosteroid treatment. One patient had severe colitis treated with 5-acetylsalicylic acid only. Discontinuation of corticosteroid was accomplished in 12 (75%) of 16 patients. The median time to discontinuation of corticosteroid after initiation of 6-mercaptopurine and azathioprine therapy was 8.4 months. Eight patients (67%), observed from 3 months to 65 months, have continued without corticosteroid therapy. Side effects included pancreatitis and shingles that resulted in discontinuation of 5-acetylsalicylic acid, leukopenia corrected by withholding 6-mercaptopurine, and self-resolved hepatitis. The data support the safety of 6-mercaptopurine and azathioprine use in the treatment of pediatric patients with ulcerative colitis; side effects were minimal and reversible. Eighteen (90%) of 20 patients tolerated the therapy well. The results also show that 12 (75%) of 16 pediatric patients with ulcerative colitis will benefit from the use of 6-mercaptopurine and azathioprine after initial discontinuation of corticosteroid therapy. Although 6-mercaptopurine and azathioprine may not prevent further relapses, medical management of these flares may be less intense and may not require long-term corticosteroid use. Prospective clinical trials in pediatric patients are necessary to delineate further the role of 6-mercaptopurine and azathioprine in pediatric ulcerative colitis.

High-resolution mapping of the 1998 lava flows at Axial Seamount

NASA Astrophysics Data System (ADS)

Chadwick, B.; Clague, D. A.; Embley, R. W.; Caress, D. W.; Paduan, J. B.; Sasnett, P.

2011-12-01

Axial Seamount (an active hotspot volcano on the Juan de Fuca Ridge) last erupted in 1998 and produced two lava flows (a "northern" and a "southern" flow) along the upper south rift zone separated by a distance of 4 km. Geologic mapping of the 1998 lava flows has been carried out with a combination of visual observations from multiple submersible dives since 1998, and with high-resolution bathymetry, most recently collected with the MBARI mapping AUV (the D. Allan B.) since 2007. The new mapping results revise and update the previous preliminary flow outlines, areas, and volumes. The high-resolution bathymetry (1-m grid cell size) allows eruptive fissures fine-scale morphologic features to be resolved with new and remarkable clarity. The morphology of both lava flows can be interpreted as a consequence of a specific sequence of events during their emplacement. The northern sheet flow is long (4.6 km) and narrow (500 m), and erupted in the SE part of Axial caldera, where it temporarily ponded and inflated on relatively flat terrain before draining out southward toward steeper slopes. The inflation and drain-out of this sheet flow by ~ 3.5 m over 2.5 hours was previously documented by a monitoring instrument that was caught in the lava flow. Our geologic mapping shows that the morphology of the northern sheet flow varies along its length primarily due to gradients in the underlying slope and processes active during flow emplacement. The original morphology of the sheet flow where it ponded is lobate, with pillows near the margins, whereas the central axis of drain-out and collapse is floored with lineated, ropy, and jumbled lava morphologies. The southern lava flow, in contrast, is mostly pillow lava where it cascaded down the steep slope on the east flank of the south rift zone, but also has a major area of collapse where lava ponded temporarily near the rift axis. These results show that submarine lava flows have more subsurface hydraulic connectivity than has previously been supposed. For example, a common morphologic feature at the downslope ends of the 1998 lava flows (and on many older flows at Axial) is large lobes covered with pillows that are 200-500-m in diameter, 10-20-m thick, and are capped with centered, dendritic collapse areas 5-10 m deep. These large lobes show clear evidence of inflation and drain-out, and are often arranged in a shingle-like fashion, implying progressive emplacement at decreasing distance from the eruptive vent with time. Such features are impossible to discern from visual observations alone and are only revealed by high-resolution bathymetry.

Coastal land loss and gain as potential earthquake trigger mechanism in SCRs

NASA Astrophysics Data System (ADS)

Klose, C. D.

2007-12-01

In stable continental regions (SCRs), historic data show earthquakes can be triggered by natural tectonic sources in the interior of the crust and also by sources stemming from the Earth's sub/surface. Building off of this framework, the following abstract will discuss both as potential sources that might have triggered the 2007 ML4.2 Folkestone earthquake in Kent, England. Folkestone, located along the Southeast coast of Kent in England, is a mature aseismic region. However, a shallow earthquake with a local magnitude of ML = 4.2 occurred on April 28 2007 at 07:18 UTC about 1 km East of Folkestone (51.008° N, 1.206° E) between Dover and New Romney. The epicentral error is about ±5 km. While coastal land loss has major effects towards the Southwest and the Northeast of Folkestone, research observations suggest that erosion and landsliding do not exist in the immediate Folkestone city area (<1km). Furthermore, erosion removes rock material from the surface. This mass reduction decreases the gravitational stress component and would bring a fault away from failure, given a tectonic normal and strike-slip fault regime. In contrast, land gain by geoengineering (e.g., shingle accumulation) in the harbor of Folkestone dates back to 1806. The accumulated mass of sand and gravel accounted for a 2.8·109 kg (2.8 Mt) in 2007. This concentrated mass change less than 1 km away from the epicenter of the mainshock was able to change the tectonic stress in the strike-slip/normal stress regime. Since 1806, shear and normal stresses increased at most on oblique faults dipping 60±10°. The stresses reached values ranging between 1.0 KPa and 30.0 KPa in up to 2 km depth, which are critical for triggering earthquakes. Furthermore, the ratio between holding and driving forces continuously decreased for 200 years. In conclusion, coastal engineering at the surface most likely dominates as potential trigger mechanism for the 2007 ML4.2 Folkestone earthquake. It can be anticipated that the mainshock nucleated at shallower depth (<500 m) near the Paleozoic surface a) where differential stresses are generally maximum and b) because earthquakes in aseismic regions are generally overestimated by 88% due to sparse instrumental coverage. The latter was suggested by recent research on shallow seismicitiy (<10 km) in SCRs in northeastern USA and eastern Canada. Data of the focal mechanism provided by the British Geological Survey (BGS) confirm fault zone orientations of 326°/74° (strike-slip fault component) and 71°/48° (normal fault component).

Possible Origin of High-Amplitude Reflection Packages (HARPs) in the Canada Basin, Arctic Ocean

NASA Astrophysics Data System (ADS)

Lebedeva-Ivanova, Nina; Hutchinson, Deborah; Shimeld, John; Chian, Deping; Hart, Patrick; Jackson, Ruth; Saltus, Richard; Mosher, David

2013-04-01

The Canada Basin (CB) of the Arctic Ocean is a semi-enclosed ocean basin surrounded by the Alaskan and Canadian margins to the south and east, the Alpha-Mendeleev Large Igneous Province (AMLIP) to the north and the subsided continental Chukchi Borderland (ChB) to the west. During 2007-2011, US-Canada expeditions collected ~15,000 km multichannel seismic data and sonobuoy reflection and refraction seismic data with average spacing of ~80 km mostly over the CB and AMLIP. High-amplitude reflective packages (HARPs) underlie the mostly flat-lying sediments of CB. Although HARPs are discontinuous in the central CB, they become more continuous toward ChB and AMLIP. HARPs are often the most reflective events in the seismic section, exceeding even the seafloor reflection. Only rarely are reflections seen beneath HARPs. Where best developed, HARPs are ~100-300 ms TWTT, consisting of several high-amplitude wavelets with a pronounced narrow frequency band within the limits of ~10-30 Hz. This character of HARPs is consistent with patterns produced by constructive interference of thin beds (Widess, 1973). Forward modeling of sonobuoy data, synthetic tests, and frequency analysis of the tuning effect suggest that HARPs are composed of a series of alternating high- and low-velocity layers. The high-velocity layers are ~100-200 m thick with P-velocities of ~3.5-4.5 km/s. The low-velocity layers are about half as thick with velocities of ~2-3 km/s. A broad range of possible interpretations of rock composition exists from these velocities, e.g. sandstone and interbedded shale (Prince Patrick Island, Harrison and Brent, 2005); or tholeiitic basalts flows and sediments (Voring volcanic margin, Olanke and Eldholm, 1994); or sills and sediments (Newfoundland margin, Peron-Pinvidic et all, 2010). HARP can be associated with several origins. In the central and southern CB, where oceanic spreading is interpreted, HARPs are discontinuous among high-relief, but otherwise low-amplitude reflections interpreted to be large basement blocks. These discontinuous HARPs, associated with basement, are presumed synchronous with the seafloor spreading event that opened CB. Further north, near AMLIP, HARPs are more continuous over 10s of km, suggesting an origin associated with magmatism of AMLIP. In several areas in northern CB, HARPs have a shingled, en-echelon character, suggestive of sills intruding younger (i.e., post-rift) sediments. These relations suggest that HARPs are associated with basalts (flows and sills) interbedded with or separated by thinner sediment layers. Although the deep sediments and basement of CB are unsampled, seismic stratigraphic relationships suggest HARPs are of at least two ages: one associated with rifting/seafloor spreading (~125 Ma?) and a younger one associated with a post-rift magmatic pulse on AMLIP (~90-80 Ma?).

A Literature Review of Sealed and Insulated Attics—Thermal, Moisture and Energy Performance

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

Less, Brennan; Walker, Iain; Levinson, Ronnen

In this literature review and analysis, we focus on the thermal, moisture and energy performance of sealed and insulated attics in California climates. Thermal. Sealed and insulated attics are expected to maintain attic air temperatures that are similar to those in the house within +/- 10°F. Thermal stress on the assembly, namely high shingle and sheathing temperatures, are of minimal concern. In the past, many sealed and insulated attics were constructed with insufficient insulation levels (~R-20) and with too much air leakage to outside, leading to poor thermal performance. To ensure high performance, sealed and insulated attics in new Californiamore » homes should be insulated at levels at least equivalent to the flat ceiling requirements in the code, and attic envelopes and ducts should be airtight. We expect that duct systems in well-constructed sealed and insulated attics should have less than 2% HVAC system leakage to outside. Moisture. Moisture risk in sealed and insulated California attics will increase with colder climate regions and more humid outside air in marine zones. Risk is considered low in the hot-dry, highly populated regions of the state, where most new home construction occurs. Indoor humidity levels should be controlled by following code requirements for continuous whole-house ventilation and local exhaust. Pending development of further guidance, we recommend that the air impermeable insulation requirements of the International Residential Code (2012) be used, as they vary with IECC climate region and roof finish. Energy. Sealed and insulated attics provide energy benefits only if HVAC equipment is located in the attic volume, and the benefits depend strongly on the insulation and airtightness of the attic and ducts. Existing homes with leaky, uninsulated ducts in the attic should have major savings. When compared with modern, airtight duct systems in a vented attic, sealed and insulated attics in California may still provide substantial benefit. Energy performance is expected to be roughly equivalent between sealed and insulated attics and prescriptive advanced roof/attic options in Title 24 2016. System performance can also be expected to improve, such as pull down time, performance at peak load, etc. We expect benefits to be reduced for all advanced roof/attic approaches, relative to a traditional vented attic, as duct system leakage is reduced close to 0. The most recent assessments, comparing advanced roof/attic assemblies to code compliant vented attics suggest average 13% TDV energy savings, with substantial variation by climate zone (more savings in more extreme climates). Similar 6-11% reductions in seasonally adjusted HVAC duct thermal losses have been measured in a small subset of such California homes using the ducts in conditioned space approach. Given the limited nature of energy and moisture monitoring in sealed and insulated attic homes, there is crucial need for long-term data and advanced modeling of these approaches in the California new and existing home contexts.« less

Costs of adult vaccination in medical settings and pharmacies: an observational study.

PubMed

Singhal, Puneet K; Zhang, Dongmu

2014-09-01

Community pharmacies are a convenient setting for vaccinating adults against infectious diseases in the United States. Whether the costs paid for vaccination in pharmacies differ from those in medical settings is unclear. To examine whether the direct medical costs paid for adult vaccination differ by vaccination setting. This was an observational retrospective study using 2010 MarketScan Commercial Claims and Encounters and Medicare Supplemental and Coordination of Benefits databases. Adults receiving herpes zoster or shingles vaccine, pneumococcal vaccine 23-valent, or influenza vaccines were identified using Current Procedural Terminology codes and National Drug Code numbers from medical and pharmacy claims files, respectively, between January 1 and December 31, 2010, in 1 of the following 3 settings: physician offices; other medical settings (e.g., inpatient/outpatient hospitals, emergency rooms); and pharmacies. Patients were adults aged ≥60 years on the date of zoster vaccination and aged ≥19 years on the date of pneumococcal or influenza vaccinations. The final study samples meeting inclusion/exclusion criteria were 54,042 for zoster vaccine, 154,994 for pneumococcal vaccine, and 1,657,264 for influenza vaccine. The vaccination costs included the health plan and enrollee paid amounts for the product; vaccine administration; dispensing fee; and, where applicable, the visit. The mean (SD) vaccination costs paid per vaccine administration were estimated by vaccine and type of setting, overall, and by geographic region and type of health plan. The costs paid for the same vaccine across vaccination settings were compared using analysis of variance with post hoc tests (Tukey). Of those receiving zoster, pneumococcal, and influenza vaccines, 25%, 1%, and 7%, respectively, received the vaccines at a pharmacy. Compared with other U.S. regions, pharmacy-based vaccination for these 3 vaccines was generally more frequent in the West and the South. Overall, the mean (SD) costs paid per enrollee per vaccine administration at physician offices, other medical settings, and pharmacies were as follows: for zoster vaccine, $208.72 (42.10), $209.51 (50.83), and $168.50 (15.66), respectively (P <0.05); for pneumococcal vaccine, $65.69 (27.54), $72.11 (49.95), and $54.98 (9.72), respectively (P <0.05); and for influenza vaccine, $29.29 (15.29), $24.20 (13.12), and $21.57 (6.63), respectively (P <0.05). The mean amounts paid also differed by geographic region and type of health plan, with costs usually lower for the vaccinations given at pharmacies. The average direct costs paid per adult vaccination were lower in pharmacies compared with physician offices and other medical settings by 16%-26% and 11%-20%, respectively. These results were mostly consistent across geographic regions and types of health plans. These data may help payers and policymakers understand the economic value of adult vaccination in different settings, especially in pharmacies.

Continental growth by successive accretion of oceanic lithosphere: Evidence from tilted seismic anisotropy

NASA Astrophysics Data System (ADS)

Babuska, V.; Plomerova, J.; Karato, S. I.

2012-04-01

Although many studies indicate that subduction-related accretion, subduction-driven magmatism and tectonic stacking are major crustal-growth mechanisms, how the mantle lithosphere forms remains enigmatic. Cook (AGU Geod. Series 1986) published a model of continental 'shingling' based on seismic reflection data indicating dipping structures in the deep crust of accreted terranes. Helmstaedt and Gurney (J. Geoch. Explor. 1995) and Hart et al. (Geology 1997) suggest that the Archean continental lithosphere consists of alternating layers of basalt and peridotite derived from subducted and obducted Archean oceanic lithosphere. Peridotite xenoliths from the Mojavian mantle lithosphere (Luffi et al., JGR 2009), as well as xenoliths of eclogites underlying the Sierra Nevada batholith in California (Horodynskij et al., EPSL 2007), are representative for oceanic slab fragments successively attached to the continent. Recent seismological findings also seem to support a model of continental lithosphere built from systems of paleosubductions of plates of ancient oceanic lithosphere (Babuska and Plomerova, AGU Geoph. Monograph 1989), or by stacking of the plates (Helmstaedt and Schulze, Geol. Soc. Aust. Spec. Publ. 1989). Seismic anisotropy in the oceanic mantle lithosphere, explained mainly by the olivine A- (or D-) type fabric (Karato et al., Annu. Rev. Earth Planet. Sci. 2008), was discovered almost a half century ago (Hess, Nature 1964). Though it is difficult to determine seismic anisotropy within an active subducting slab (e.g., Healy et al., EPSL 2009; Eberhart-Phillips and Reyners, JGR 2009), field observations and laboratory experiments indicate the oceanic olivine fabric might be preserved there to a depth of at least 200-300 km. Dipping anisotropic fabrics in domains of the European mantle lithosphere were interpreted as systems of 'frozen' paleosubductions (Babuska and Plomerova, PEPI 2006), and the lithosphere base as a boundary between a fossil anisotropy in the lithospheric mantle and an underlying seismic anisotropy related to present-day flow in the asthenosphere (Plomerova and Babuska, Lithos 2010). Deep dipping reflectors in the Slave Craton were modelled as tops of a fossil oceanic lithosphere (Bostock, Lithos 1999). Using S-wave receiver functions, Miller and Eaton (GRL 2010) also interpreted mid-lithosphere discontinuities beneath British Columbia as remnant oceanic slabs. Strong radial anisotropy from global surface-wave data (Babuska et al., PAGEOPH 1998; Khan et al., JGR 2011), as well as differences between body-wave tomography images from SH and SV waves (Eken et al., Tectonophys. 2010), both showing strong anisotropy only down to ~200 km, are in agreement with the models of inclined olivine fabrics found in Phanerozoic and Precambrian mantle lithosphere (Plomerova et al., Solid Earth 2011). Models of assemblages of microplates with their own inclined fossil fabrics do not support a lithosphere growth by simple cooling processes, which should result in horizontal fabrics. The models with dipping fabrics also contribute to mapping boundaries of individual blocks building the continental lithosphere.

Tidal dunes versus tidal bars: The sedimentological and architectural characteristics of compound dunes in a tidal seaway, the lower Baronia Sandstone (Lower Eocene), Ager Basin, Spain

NASA Astrophysics Data System (ADS)

Olariu, Cornel; Steel, Ronald J.; Dalrymple, Robert W.; Gingras, Murray K.

2012-11-01

The Lower Eocene Baronia Formation in the Ager Basin is interpreted as a series of stacked compound dunes confined within a tectonically generated embayment or tidal seaway. This differs from the previous interpretation of lower Baronia sand bodies as tidal bars in the front of a delta. The key architectural building block of the succession, the deposit of a single compound dune, forms a 1-3 m-thick, upward coarsening succession that begins with highly bioturbated, muddy, very fine to fine grained sandstone that contains an open-marine Cruziana ichnofacies. This is overlain gradationally by ripple-laminated sandstone that is commonly bioturbated and contains mud drapes. The succession is capped by fine- to coarse-grained sandstones that contain both planar and trough cross-strata with unidirectional or bi-directional paleocurrent directions and occasional thin mud drapes on the foresets. The base of a compound dune is gradational where it migrated over muddy sandstone deposited between adjacent dunes, but is sharp and erosional where it migrated over the stoss side of a previous compound dune. The cross strata that formed by simple superimposed dunes dip in the same direction as the inclined master bedding planes within the compound dune, forming a forward-accretion architecture. This configuration is the fundamental reason why these sandbodies are interpreted as compound tidal dunes rather than as tidal bars, which, in contrast, generate lateral-accretion architecture. In the Baronia, fields of compound dunes generated tabular sandbodies 100s to 1000s of meters in extent parallel to the paleocurrent direction and up to 6 m thick that alternate vertically with highly bioturbated muddy sandstones (up to 10 m thick) that represent the low-energy fringes of the dune fields or periods of high sea level when current speeds decreased. Each cross-stratified sandstone sheet (compound-dune complexes) contains overlapping lenticular "shingles" formed by individual compound dunes, separated by 10-30 cm of bioturbated muddy sandstone, which migrated over each other in an offlapping, progradational fashion. Each compound-dune complex (the best reservoir rock) thins as it downlaps, at average rates of 3-4 m/km in a dip direction. These reservoir units can be comprised of discrete compartments, each formed by a single compound dune, that extend for 500-1000 m in the direction of the current, and are at least 350-600 m wide in a flow-transverse direction. Distinguishing between tidal bars and tidal dunes in an ancient tidal succession can be difficult because both can contain similar cross-bedded facies and have overlapping thicknesses; however, the internal architecture and sandbody orientations are different. Tidal bars have their long axis almost parallel both to the tidal current direction and to the strike of the lateral-accretion master surfaces. In inshore areas, they are bounded by channels and fine upward. Large compound tidal dunes, in contrast, have their crest oriented approximately normal to the tidal currents and contain a forward-accretion architecture. Coeval channels are uncommon within large, sub-tidal dune fields. The above distinctions are very important to reservoir description and modeling, because the long axis of the intra-reservoir compartments in the two cases will be 90° apart.

Clinical implications of aging skin: cutaneous disorders in the elderly.

PubMed

Farage, Miranda A; Miller, Kenneth W; Berardesca, Enzo; Maibach, Howard I

2009-01-01

Aging skin undergoes progressive degenerative change. Structural and physiologic changes that occur as a natural consequence of intrinsic aging combined with the effects of a lifetime of ongoing cumulative extrinsic damage and environment insult (e.g. overexposure to solar radiation) can produce a marked susceptibility to dermatologic disorders in the elderly. As skin ages, the vasculature progressively atrophies. The supporting dermis also deteriorates, with collagen and elastin fibers becoming sparse and increasingly disordered. These changes leave the elderly increasingly susceptible to both vascular disorders such as stasis dermatitis and skin injuries such as pressure ulcers and skin tears, with a steadily decreasing ability to effect skin repair. A parallel erosion of normal immune function produces higher levels of autoimmune skin disorders such as bullous pemphigoid, benign mucous membrane pemphigoid, paraneoplastic pemphigoid, and pemphigus vulgaris. Lichen sclerosus, an autoimmune disorder often occurring in the genital area in older women, is not common but is an important development because of the potential for substantial discomfort as well as serious complications. The prevalence of polypharmacy in this population increases the risk for autoimmune drug reactions, and diagnosis should be undertaken with an awareness that polypharmacy in this population creates a greatly increased susceptibility to drug eruptions that can mimic other cutaneous disorders. Immunologic senescence in the elderly also sets the stage for potential reactivation of the Varicella zoster virus, in which initial dermatologic involvement expands into the major sensory ganglia. Known as shingles, this disorder can be excruciatingly painful with the potential to cause blindness if the optic nerve becomes involved. Dermatoses such as xerosis, pruritus, and eczema are also widespread in the elderly, create substantial suffering in those afflicted, and often prove recalcitrant to treatment. Individual susceptibility to specific types of contact dermatitis changes over the lifetime, and seborrheic dermatitis is substantially more prevalent in the elderly. It is not uncommon for older patients to have multiple impairments, with the potential for cognitive dysfunction as well as impaired vision, hearing, or mobility. In addition, they may not have adequate housing or nutrition, or the financial resources necessary for adequate compliance. Physicians must take into consideration the patient's physical ability to comply with the recommended therapy as well as socioeconomic factors that may impact on compliance. Simple topical regimens are preferable wherever possible in order to maximize compliance and, therefore, efficacy. Extra effort may be necessary to ensure that instructions are accurately followed and that ongoing compliance with the regimen prescribed is actually achieved. Management of dermatologic disorders in the elderly is often less than optimal, due to the fact that the special needs and limitations of this population are not adequately considered. Treatments should consider the intrinsic differences between younger and older patients that may impact on diagnosis and therapy choice. The aged patient is often afflicted with numerous co-morbidities that can influence the choice of therapy. Skin integrity in the elderly is compromised, and safety concerns are increased with the long-term use of any medication prescribed. In addition, the prevalence of polypharmacy in the aged population substantially increases the risk of cutaneous drug reactions, which can profoundly complicate accurate diagnosis of dermatologic disorders. The aged population also needs to be more closely monitored because of increased fragility of the skin and the physical limitations that may hinder compliance with prescribed regimens.

Vaccines for preventing herpes zoster in older adults.

PubMed

Gagliardi, Anna M Z; Andriolo, Brenda N G; Torloni, Maria R; Soares, Bernardo G O

2016-03-03

Herpes zoster, also known as 'shingles', is a neurocutaneous disease characterised by the reactivation of the latent varicella zoster virus (VZV), the virus that causes chickenpox when immunity to VZV declines. It is an extremely painful condition that can last many weeks or months and it can significantly compromise the quality of life of affected individuals. The natural process of aging is associated with a reduction in cellular immunity and this predisposes older people to herpes zoster. Vaccination with an attenuated form of VZV activates specific T cell production avoiding viral reactivation. The Food and Drug Administration has approved a herpes zoster vaccine with an attenuated active virus for clinical use among older adults, which has been tested in large populations. A new adjuvanted recombinant VZV subunit zoster vaccine has also been tested. It consists of recombinant VZV glycoprotein E and a liposome-based AS01B adjuvant system. This new vaccine is not yet available for clinical use. To evaluate the effectiveness and safety of vaccination for preventing herpes zoster in older adults. For this 2015 update, we searched the Cochrane Central Register of Controlled Trials (CENTRAL 2015, Issue 9), MEDLINE (1948 to the 3rd week of October 2015), EMBASE (2010 to October 2015), CINAHL (1981 to October 2015) and LILACS (1982 to October 2015). Randomised controlled trials (RCTs) or quasi-RCTs comparing zoster vaccine with placebo or no vaccine, to prevent herpes zoster in older adults (mean age > 60 years). Two review authors independently collected and analysed data using a data extraction form. They also performed 'Risk of bias' assessment. We identified 13 studies involving 69,916 participants. The largest study included 38,546 participants. All studies were conducted in high-income countries and included only healthy Caucasian individuals ≥ 60 years of age without immunosuppressive comorbidities. Ten studies used live attenuated varicella zoster virus (VZV) vaccines. Three studies tested a new type of vaccine not yet available for clinical use. We judged five of the included studies to be at low risk of bias.The incidence of herpes zoster, at up to three years of follow-up, was lower in participants who received the vaccine than in those who received a placebo: risk ratio (RR) 0.49; 95% confidence interval (CI) 0.43 to 0.56, risk difference (RD) 2%, number needed to treat to benefit (NNTB) 50; GRADE: moderate quality evidence. The vaccinated group had a higher incidence of mild to moderate intensity adverse events. These date came from one large study that included 38,546 people aged 60 years or older.A study including 8122 participants compared the new vaccine (not yet available) to the placebo; the group that received the new vaccine had a lower incidence of herpes zoster at 3.2 years of follow-up: RR 0.04, 95% CI 0.02 to 0.10, RD 3%, NNTB 33; GRADE: moderate quality evidence. The vaccinated group had a higher incidence of adverse events but most them were of mild to moderate intensity.All studies received funding from the pharmaceutical industry. Herpes zoster vaccine is effective in preventing herpes zoster disease and this protection can last three years. In general, zoster vaccine is well tolerated; it produces few systemic adverse events and injection site adverse events of mild to moderate intensity.There are studies of a new vaccine (with a VZV glycoproteic fraction plus adjuvant), which is currently not yet available for clinical use.

Vaccines for preventing herpes zoster in older adults.

PubMed

Gagliardi, Anna M Z; Gomes Silva, Brenda Nazaré; Torloni, Maria R; Soares, Bernardo G O

2012-10-17

Herpes zoster or, as it is commonly called, 'shingles' is a neurocutaneous disease characterised by the reactivation of varicella zoster virus (VZV), the virus that causes chickenpox, which is latent in the dorsal spinal ganglia when immunity to VZV declines. It is an extremely painful condition which can often last for many weeks or months, impairing the patient's quality of life. The natural aging process is associated with a reduction of cellular immunity which predisposes to herpes zoster. Vaccination with an attenuated form of VZV activates specific T cell production, therefore avoiding viral reactivation. A herpes zoster vaccine with an active virus has been approved for clinical use among older adults by the Food and Drug Administration and has been tested in large populations. To evaluate the effectiveness and safety of vaccination for preventing herpes zoster in older adults. We searched the following sources for relevant studies: CENTRAL 2012, Issue 7, MEDLINE (1948 to July week 1, 2012), EMBASE (2010 to July 2012), LILACS (1982 to July 2012) and CINAHL (1981 to July 2012). We also reviewed reference lists of identified trials and reviews for additional studies. Randomised controlled trials (RCTs) or quasi-RCTs comparing zoster vaccine with placebo or no vaccine, to prevent herpes zoster in older adults (mean age > 60 years). Two review authors independently collected and analysed data using a data extraction form. They also carried out an assessment of risk of bias. We identified eight RCTs with a total of 52,269 participants. Three studies were classified at low risk of bias. The main outcomes on effectiveness and safety were extracted from one clinical trial with a low risk of bias. Four studies compared zoster vaccine versus placebo; one study compared high-potency zoster vaccine versus low-potency zoster vaccine; one study compared refrigerated zoster vaccine versus frozen zoster vaccine; one study compared live zoster vaccine versus inactivated zoster vaccine and one study compared zoster vaccine versus pneumococcal polysaccharide vaccine (pneumo 23).Confirmed cases of herpes zoster were less frequent in patients who received the vaccine than in those who received a placebo: risk ratio (RR) 0.49 (95% confidence interval (CI) 0.43 to 0.56), with a risk difference (RD) of 2%, and number needed to treat to benefit (NNTB) of 50. Analyses according to age groups indicated a greater benefit in participants aged 60 to 69 years, RR 0.36 (95% CI 0.30 to 0.45) and in participants aged 70 years and over, RR 0.63 (95% CI 0.53 to 0.75). Vaccine-related systemic adverse effects were more frequent in the vaccinated group (RR 1.29, 95% CI 1.05 to 1.57, number needed to treat to harm (NNTH) = 100). The pooled data risk ratio for adverse effects for participants with one or more inoculation site adverse effect was RR 4.51 (95% CI 2.35 to 8.68), and the NNTH was 2.8 (95% CI 2.3 to 3.4). Side effects were more frequent in younger (60 to 69 years) than in older (70 years and over) participants. Herpes zoster vaccine is effective in preventing herpes zoster disease. Although vaccine benefits are larger in the younger age group (60 to 69 years), this is also the age group with more adverse events. In general, zoster vaccine is well tolerated; it produces few systemic adverse events and injection site adverse effects of mild to moderate intensity.

Evaluating Cool Impervious Surfaces: Application to an Energy-Efficient Residential Roof and to City Pavements

NASA Astrophysics Data System (ADS)

Rosado, Pablo Javier

Summer urban heat island (UHI) refers to the phenomenon of having higher urban temperatures compared to the those in surrounding suburban and rural areas. Higher urban air temperatures lead to increased cooling demand, accelerates the formation of smog, and contributes to the generation of greenhouse gas emissions. Dark-colored impervious surfaces cover a significant fraction of an urban fabric, and as hot and dry surfaces, are a major contributor to the UHI effect. Adopting solar-reflective ("cool") roofs and cool pavements, and increasing the urban vegetation, are strategies proven to mitigate urban heat islands. These strategies often have an "indirect" effect (ambient cooling) and "direct" effect (change in solar energy flux entering the conditioned space) on the energy use of buildings. This work investigates some elements of the UHI mitigation strategies, specifically the annual direct effect of a cool roof, and the direct and indirect effects of cool pavements. The first topic researched in this paper consists in an experimental assessment of the direct effects from replacing a conventional dark roof with a highly energy-efficient cool roof. The study measures and calculates the annual benefits of the cool roof on the cooling and heating energy uses, and the associated emission reductions. The energy savings attributed to the cool roof are validated by measuring the difference between the homes in the heat loads that entered the conditioned space through the ceiling and HVAC ducts. Fractional annual cooling energy savings (26%) were 2.6 times the 10% daily cooling energy savings measured in a previous study that used a white coating to increase the albedo of an asphalt shingle roof by the same amount (0.44). The improved cooling energy savings (26% vs. 10%) may be attributed to the cool tile's above-sheathing ventilation, rather than to its high thermal mass. The roof also provided energy savings during the heating season, yielding fractional annual gas heating savings of 4% and electric heating savings of 3%. The slightly positive fractional annual heating energy savings likely resulted from the tile roof's high thermal capacitance, which increased the overnight temperature of the attic air. Thus cool tile roofs should be perceived as a technology that provides energy and environmental benefits during the cooling season as well as the heating season. The second topic investigates the direct and indirect effects of cool pavements on the energy use of California's building stock. First, a simple urban canyon model was developed to calculate the canyon albedo after the user provides the solar position, canyon orientation, and dimensions of the canyon walls, road, and setbacks. Next, a method is presented to correct the values of temperature changes obtained from previous urban climate models to values that would be obtained from canyon geometries that distinguish between road and setbacks (e.g. sidewalk, front yard). The new canyon model is used to scale the temperature changes obtained from a recent urban climate model that simulated the climatological impact of cool pavements on various California cities. The adjusted temperature changes are then combined with building energy simulations to investigate the effect of cool pavements on the cooling, heating, and lighting energy uses of buildings as well as the environmental impact related to these energy uses. Net (direct + indirect) conditioning (cooling + heating) energy savings and environmental savings from cool pavements were smaller in residential buildings than in commercial buildings. Additionally, residential buildings strongly dominate the building stock in all of the evaluated cities. Therefore, even though most cities yielded conditioning energy and environmental savings, they were small due to the minuscule savings from the residential buildings. When increasing the albedo by 0.20 of all public pavements in different California cities, Los Angeles was the city with the largest savings, yielding only 0.60% in Primary Energy Demand and 0.30% in Global Warming Potential (GWP). Some of the cities experienced even a small net penalty in GWP of up to 0.20%.

Budget-Impact Analysis of Alternative Herpes Zoster Vaccine Strategies: A U.S. HMO Perspective.

PubMed

Graham, Jonathan; Mauskopf, Josephine; Kawai, Kosuke; Johnson, Kelly D; Xu, Ruifeng; Acosta, Camilo J

2016-07-01

A herpes zoster vaccine has been approved by the FDA for use in prevention of herpes zoster in individuals who are aged 50 years or older. The Advisory Committee on Immunization Practices (ACIP) recommends vaccination only in individuals who are aged 60 years and older. To (a) estimate the overall budget and health impact of either the introduction of a new vaccination strategy (individuals over the age of 50 years vs. individuals over the age of 60 years) within a hypothetical health plan or simply an increase in coverage within the population aged 60 years and over and (b) discern what effect copayments and changes to copayments have on the health plan's budget. A decision-analytic economic model was developed to inform managed care decision makers of the potential effect on costs and outcomes associated with the use of the herpes zoster vaccine for prevention of herpes zoster (i.e., simple zoster or shingles). The model took a U.S. payer perspective. The number of eligible patients entering the model was estimated by considering the age distribution of the plan population and the percentage of patients contraindicated for vaccination (i.e., those who were immunocompromised or who had a history of anaphylactic/anaphylactoid reaction to gelatin, neomycin, or any other component of the vaccine). Eligible patients were vaccinated based on the projected uptake rates among the unvaccinated population in 2 possible vaccination scenarios: (1) a vaccination strategy in which only individuals over age 60 years can be vaccinated and (2) a vaccination strategy in which individuals over age 50 years can be vaccinated. Vaccination was assumed to reverse the age-related decline in immunity against zoster. The population vaccinated each year was estimated based on the uptake rates (percentage of the eligible unvaccinated that are vaccinated) required to reach a target annual coverage (percentage ever vaccinated). Patients could experience costs and outcomes related to vaccination or related to herpes zoster. Specifically, vaccination could cause adverse events that would require the use of health care resources. Patients who developed zoster could experience postherpetic neuralgia or develop nonpain complications that would require the use of health care resources. Vaccine costs, zoster cases (with and without postherpetic neuralgia or nonpain complication), and vaccine-related adverse events for the 2 vaccination scenarios were estimated for each budget year. For a managed care organization population of 5 million members, the model estimated that a vaccination program that included patients over age 50 years instead of a program limiting vaccination to those over age 60 years was associated with a decrease in the number of patients developing zoster (2,372-3,392 cases avoided over 5 years). Annual incremental per-member-per-month (PMPM) costs associated with this vaccination program change were estimated to range from $0.08 to $0.14. When the vaccination program was kept at age 60 years and over and coverage was increased, the model estimated that the annual incremental PMPM costs ranged from $0.04 to $0.06. Differences in costs were driven primarily by vaccination costs. The results of the scenario analyses showed that lower vaccination costs because of the application of copayments for a managed care organization reduced the magnitude of the total cost increase associated with the increase in uptake. Vaccinating individuals aged 50 to 59 years with the herpes zoster vaccine would likely have an impact on a health plan's budget because of the expected increase in the total number of individuals being vaccinated in the population, with limited cost savings because of fewer cases of herpes zoster. Higher coverage of vaccinations resulted in a greater increase in total costs each year. However, increasing coverage would also result in a decrease in the number of individuals developing zoster and associated postherpetic neuralgia and nonpain complications over the next 5 years. Merck & Co. funded this study/research and was involved in all stages of study conduct, including analysis of the data. Merck & Co. also undertook all costs associated with the development and publication of this manuscript. Graham and Mauskopf (and/or their institutions) received research funding from Merck & Co. to develop the budget-impact estimates and for other research studies. Johnson, Xu, and Acosta are employees of Merck & Co. Kawai was employed by Merck & Co. during part of the time of this study. Graham and Mauskopf were primarily responsible for the design and programming of the economic model, identification and final selection of the input parameter values, interpretation of the study results, and preparation of the study report. Johnson, Kawai, Xu, and Acosta contributed to model design, input parameter estimation, interpretation of the results, and review of and revisions to the study report. All authors had access to the data, participated in the development of this manuscript, and gave final approval before submission. All authors have agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Biomechanical and biological aspects of defect treatment in fractures using helical plates.

PubMed

Perren, S M; Regazzoni, P; Fernandez, A A D

2014-01-01

The clinical case of figure 1 through figure 11 shows a series of impressive failures of plate fixation. The plates were repeatedly applied bridging a comminuted bone segment in a heavy patient. The biomechanical analysis elaborates why this happened and proposes an unconventional procedure to prevent this failure with a minimally invasive procedure. A plate bridging an open gap or a defect in a long bone diaphysis is exposed to full functional load. According to clinical observations such plate application often fails even without external load such as weight bearing. The plate risks to break through fatigue when exposed during a long time to cyclic loading. This type of failure has been observed even with broad plates as well in femoral as in tibiae. The first option to avoid such failure consists in protecting the plate by installing load sharing between plate and either bone or an additional implant. This reduces the load carried by the plate to a safe level. Load sharing with bone may be installed at surgery by establishing solid mechanical bridge between the two main fragments of the fractured bone. The optimal load sharing relies on a solid compressed contact between the main fragments. It can be established because the bone is able to take a large load which results in optimal protection of the plate. In the case of an extended comminuted bone segment it may be very difficult, traumatizing and inefficient to reconstruct the bone. In the present case it was impossible to establish load sharing through the bone. The second option protecting the plate is provided by callus bridging of the gap or defect. The formation of a solid callus bridge takes time but the fatigue failure of the plate also takes time. Therefore, the callus bridge may prevent a late fatigue failure. The surgeon may select one of several options: - Replacing the lack of bone support using a second plate which immediately alleviates plate loading. The drawback of application of a second conventional plate is the extent of surgical trauma at the critical site of healing. - Shingling and/or applying an autologous cancellous bone graft: This procedure provides initially no relevant load sharing but will do so after a couple of weeks. The mechanical coupling of the comparably soft graft and the main fracture fragments presents little problems. Applying a cortical bone graft: Such a graft does provide initial only small load sharing and does a less good job inducing callus than a cancellous graft. Furthermore, the coupling by callus between a somewhat rigid bone graft and the mobile main fracture fragments requires a solid maintained contact. If the cortical graft is fixed using implants with small contact area to the graft such as screws or cerclage loops, the local stress may be critical and the graft may break. When the cortical graft is fixed with cerclage wires the procedure must take into account the limited strength of the individual cerclage. Therefore multiple and well-spaced cerclages are required and may lead to success especially if an intramedullary component of the implant contributes to protection (6). The degree of unloading depends apparently on the stiffness of the material of the protecting splint. Though, more important is the effect of the dimensions of the splint. While titanium as a material is about 50% less stiff than steel, the thickness of the implant changes the stiffness with the third power. That is doubling the thickness results in eightfold increased stiffness. When considering the unloading by application of a second plate the leverage of the second plate plays an important role. The larger the distance between the axis of bending and the second implant the larger the protecting effect. The helical plate (2, 3, 7) as introduced by A.A.D. Fernandez offers biological and mechanical advantages. It can be applied without touching the fracture site maintaining the critical biology intact and provides mechanically efficient unloading. Its application is fairly simple: The helical plate is modified conventional long and small plate that is twisted between its ends about 90 degrees. The twist is applied using "bending irons" (4, 5, 8) whereby the force required is small and the exact degree of twist is not critical. Therefore the twist is applicable operating bending irons by hand. Assuming a situation where a plate bridging a defect or non-union has failed the broken plate is replaced by a similar implant: At the distal end of the bone fracture and opposite to the surgical approach a small incision allows to slide in the helical plate in such a way that proximally the plate ends on the same side of the limb as the replaced plate. Ideally the two plate ends meet and the application of the helical plate does not ask for an additional surgical exposure at this location. Otherwise a small minimally invasive exposure is required. The helical plate is then fixed to the main bone fragments using a couple of locked screws. The following case demonstrates the use and efficiency of the helical plate saving a situation where multiple attempts using conventional plates had failed. The successful final treatment of this case was performed by A. A. D. Fernandez.

Pleistocene glaciation of the Jackson Hole area, Wyoming

USGS Publications Warehouse

Pierce, Kenneth L.; Licciardi, Joseph M.; Good, John M.; Jaworowski, Cheryl

2018-01-24

Pleistocene glaciations and late Cenozoic offset on the Teton fault have played central roles in shaping the scenic landscapes of the Teton Range and Jackson Hole area in Wyoming. The Teton Range harbored a system of mountain-valley glaciers that produced the striking geomorphic features in these mountains. However, the comparatively much larger southern sector of the Greater Yellowstone glacial system (GYGS) is responsible for creating the more expansive glacial landforms and deposits that dominate Jackson Hole. The glacial history is also inextricably associated with the Yellowstone hotspot, which caused two conditions that have fostered extensive glaciation: (1) uplift and consequent cold temperatures in greater Yellowstone; and (2) the lowland track of the hotspot (eastern Snake River Plain) that funneled moisture to the Yellowstone Plateau and the Yellowstone Crescent of High Terrain (YCHT).The penultimate (Bull Lake) glaciation filled all of Jackson Hole with glacial ice. Granitic boulders on moraines beyond the south end of Jackson Hole have cosmogenic 10Be exposure ages of ~150 thousand years ago (ka) and correlate with Marine Isotope Stage 6. A thick loess mantle subdues the topography of Bull Lake moraines and caps Bull Lake outwash terraces with a reddish buried soil near the base of the loess having a Bk horizon that extends down into the outwash gravel. The Bull Lake glaciation of Jackson Hole extended 48 kilometers (km) farther south than the Pinedale, representing the largest separation of these two glacial positions in the Western United States. The Bull Lake is also more extensive than the Pinedale on the west (22 km) and southwest (23 km) margins of the GYGS but not on the north and east. This pattern is explained by uplift and subsidence on the leading and trailing “bow-wave” of the YCHT, respectively.During the last (Pinedale) glaciation, mountain-valley glaciers of the Teton Range extended to the western edge of Jackson Hole and built bouldery moraines that commonly enclose lakes. On the southern margin of the GYGS, prominent glacial outwash terraces define three phases of the Pinedale glaciation in Jackson Hole: Pinedale-1 (Pd-1) by Antelope Flats with subdued channel patterns on the east side of Jackson Hole; Pinedale-2 (Pd-2) by a large outwash fan that includes Baseline Flat on the west side of Jackson Hole with well-defined channel patterns; and Pinedale-3 (Pd-3) by The Potholes and other outwash fans farther up the Snake River in central Jackson Hole. During Pinedale glaciation, three glacial lobes of the GYGS fed into Jackson Hole, and the relative importance of these lobes changed dramatically through time. During the Pd-1 glaciation, the eastern Buffalo Fork lobe dominated whereas in Pd-2 and Pd-3 time the northern Snake River lobe dominated. This is consistent with migration of the GYGS center of ice mass westward and southward as glaciers built up towards the moisture source provided by storms moving northeastward up the eastern Snake River Plain. The recession of the eastern Buffalo Fork lobe in Pd-2 and Pd-3 times is consistent with an enlarged ice mass on the Yellowstone Plateau that placed the eastern part of the GYGS in a precipitation or snow shadow.In Pd-1 time, the Buffalo Fork lobe reached its maximum extent and was joined by the Pacific Creek lobe. This culmination may correlate with the ~21–18 ka ages of moraines in the Teton Range and nearby ranges. Three subdivisions of Pd-1 glaciation built moraines that are nearly or entirely covered by outwash almost 100 meters thick. In Pd-2 time, the Snake River lobe joined with the Pacific Creek lobe and built a large outwash fan south of the present-day Jackson Lake. Boulders on a moraine at the head of this fan are dated to 15.5 ± 0.5 ka. The relation between Teton glaciers and those of the GYGS is indicated by outwash from these Pd-2 moraines that partly buries outer Jenny Lake moraines dated to 15.2 ± 0.7 ka. East of the large outwash fan, Pd-2 ice advanced across the glacial-age Triangle X-2 lake sediments, perhaps in a surge. The Buffalo Fork lobe retreated more than 20 km up valley from its Pd-1 position and Pd-2 ice of the Snake River and Pacific Creek lobes advanced into the area previously occupied by the Buffalo Fork lobe. The Pd-3 position flanks the margin of Jackson Lake and represents a retreat to a stable position after the Pd-2 7-km advance that may have been a surge across the Triangle X-2 lake sediments. The Potholes and South Landing outwash fans were built in the area deglaciated by the retreat from Pd-2 to Pd-3 time. The Spalding Bay outwash fan continued to incise and a meltwater stream flowed just outside the Teton glacier that filled the present Jenny Lake and deposited the 14.4 ± 0.8 ka inner Jenny Lake moraines.Glacial outwash terraces increase in slope toward their respective moraines of the GYGS and are complex in both north-south and east-west directions. The Pd-1 terrace slopes to the west where it is buried by the Pd-2 outwash. The post-depositional tilting of the Pd-1 outwash terrace is an order of magnitude smaller than the original westward depositional slope. The Pd-1, 2, and 3 terraces have a shingle-like geometry such that the highest terrace decreases in age down valley, and in southern Jackson Hole, the Pd-3 terrace is only 3–5 m above the Snake River.In Pd-1 time the combined Buffalo Fork and Pacific Creek lobes scoured out four basins: (1) Emma Matilda Lake; (2) Two Ocean Lake; (3) a deep basin from lower Pacific Creek to beneath the Oxbows and Jackson Lake Dam; and (4) the largest basin from the lower Buffalo Fork to Deadmans Bar of the Snake River. These basins are largely filled with fine-grained sediment and are now marked by moist lowlands or lakes. In Pd-2 and Pd-3 time the Snake River lobe scoured the present 120-m deep Jackson Lake and possibly the 120-m deeper sediment-filled basin. Subglacial erosion of the Jackson Lake basin by confined water jets is supported by eskers that climb up to the head of the South Landing outwash fan.