Ha, Ninh Thi; Harris, Mark; Robinson, Suzanne; Preen, David; Moorin, Rachael
2017-07-01
This study aimed to develop a risk stratification strategy for evaluating the relationship between complications of diabetes and the risk of diabetic-related hospitalization to accurately classify diabetes severity. The study used administrative health records for 40,624 individuals with diabetes aged ≥18years in Western Australian. The adapted Diabetes Complication Severity Index (DCSI), socio-demographic and clinical characteristics were used in random effects negative binomial and threshold effect models to determine the optimal stratification strategy for diabetes severity based on the homogeneity of the risk of hospitalization in response to variation of the DCSI. The optimal stratification of people with diabetes was specified by four sub-populations. The first sub-population was no complications with an inverse association with the risk of hospitalizations (coefficient-0.247, SE 0.03). Further three sub-populations with DCSI at one (coefficient 0.289, SE 0.01), two (coefficient 0.339, SE 0.01) and three or more (coefficient 0.381, SE 0.01) were used to accurately describe the impact of DCSI on the risk of hospitalization. A stratification into four subpopulations based on the homogeneous impact of diabetes DCSI on the risk of hospitalization may be more suitable for evaluating health care interventions and planning health care provision. Copyright © 2017 Elsevier Inc. All rights reserved.
Modelling the distribution of chickens, ducks, and geese in China
Prosser, Diann J.; Wu, Junxi; Ellis, Erie C.; Gale, Fred; Van Boeckel, Thomas P.; Wint, William; Robinson, Tim; Xiao, Xiangming; Gilbert, Marius
2011-01-01
Global concerns over the emergence of zoonotic pandemics emphasize the need for high-resolution population distribution mapping and spatial modelling. Ongoing efforts to model disease risk in China have been hindered by a lack of available species level distribution maps for poultry. The goal of this study was to develop 1 km resolution population density models for China's chickens, ducks, and geese. We used an information theoretic approach to predict poultry densities based on statistical relationships between poultry census data and high-resolution agro-ecological predictor variables. Model predictions were validated by comparing goodness of fit measures (root mean square error and correlation coefficient) for observed and predicted values for 1/4 of the sample data which were not used for model training. Final output included mean and coefficient of variation maps for each species. We tested the quality of models produced using three predictor datasets and 4 regional stratification methods. For predictor variables, a combination of traditional predictors for livestock mapping and land use predictors produced the best goodness of fit scores. Comparison of regional stratifications indicated that for chickens and ducks, a stratification based on livestock production systems produced the best results; for geese, an agro-ecological stratification produced best results. However, for all species, each method of regional stratification produced significantly better goodness of fit scores than the global model. Here we provide descriptive methods, analytical comparisons, and model output for China's first high resolution, species level poultry distribution maps. Output will be made available to the scientific and public community for use in a wide range of applications from epidemiological studies to livestock policy and management initiatives.
Modelling the distribution of chickens, ducks, and geese in China
Prosser, Diann J.; Wu, Junxi; Ellis, Erle C.; Gale, Fred; Van Boeckel, Thomas P.; Wint, William; Robinson, Tim; Xiao, Xiangming; Gilbert, Marius
2011-01-01
Global concerns over the emergence of zoonotic pandemics emphasize the need for high-resolution population distribution mapping and spatial modelling. Ongoing efforts to model disease risk in China have been hindered by a lack of available species level distribution maps for poultry. The goal of this study was to develop 1 km resolution population density models for China’s chickens, ducks, and geese. We used an information theoretic approach to predict poultry densities based on statistical relationships between poultry census data and high-resolution agro-ecological predictor variables. Model predictions were validated by comparing goodness of fit measures (root mean square error and correlation coefficient) for observed and predicted values for ¼ of the sample data which was not used for model training. Final output included mean and coefficient of variation maps for each species. We tested the quality of models produced using three predictor datasets and 4 regional stratification methods. For predictor variables, a combination of traditional predictors for livestock mapping and land use predictors produced the best goodness of fit scores. Comparison of regional stratifications indicated that for chickens and ducks, a stratification based on livestock production systems produced the best results; for geese, an agro-ecological stratification produced best results. However, for all species, each method of regional stratification produced significantly better goodness of fit scores than the global model. Here we provide descriptive methods, analytical comparisons, and model output for China’s first high resolution, species level poultry distribution maps. Output will be made available to the scientific and public community for use in a wide range of applications from epidemiological studies to livestock policy and management initiatives. PMID:21765567
Evaluation of damping loss factor of flat laminates by sound transmission
NASA Astrophysics Data System (ADS)
Parrinello, A.; Ghiringhelli, G. L.
2018-06-01
A novel approach to investigate and evaluate the damping loss factor of a planar multilayered structure is presented. A statistical analysis reveals the connection between the damping properties of the structure and the transmission of sound through the thickness of its laterally infinite counterpart. The obtained expression for the panel loss factor involves all the derivatives of the transmission and reflection coefficients of the layered structure with respect each layer damping. The properties of the fluid for which the sound transmission is evaluated are chosen to fulfil the hypotheses on the basis of the statistical formulation. A transfer matrix approach is used to compute the required transmission and reflection coefficients, making it possible to deal with structures having arbitrary stratifications of different layers and also granting high efficiency in a wide frequency range. Comparison with alternative formulations and measurements demonstrates the effectiveness of the proposed methodology.
NASA Astrophysics Data System (ADS)
Li, Sen; Zhong, Zhong
2014-02-01
An improved flux-gradient relationship between momentum φm(ζ) and sensible heat φh(ζ) is obtained by the use of the observational data over an alpine meadow in the eastern Tibet Plateau, in Maqu of China during the period June to August, 2010. The empirical coefficients of Businger—Dyer type function for the cases of unstable and stable stratification are modified. Non-dimensional vertical gradients of wind and potential temperature are calculated by three fitting functions; that is, the log—linear, log—square, and log—cubic functions, respectively. It is found that the von Karman constant approaches 0.4025 and the Prandtl number is about 1.10 based on the measurements in near-neutral conditions, which are within reasonable range proposed in previous studies. The revised flux-gradient profile functions of -1/5 power law for momentum and -1/3 power law for sensible heat are best fitted in unstable stratification conditions. Meanwhile, 2/5 power law, instead of linear functions, is more appropriate in stable stratification cases for momentum and sensible heat. Compared with results from previous studies in which traditional functions are used, the momentum and sensible heat fluxes estimated by the revised profile functions in the current study are much closer to the observations for the unstable and stable stratification conditions.
Influence of slosh baffles on thermodynamic performance in liquid hydrogen tank.
Liu, Zhan; Li, Cui
2018-03-15
A calibrated CFD model is built to investigate the influence of slosh baffles on the pressurization performance in liquid hydrogen (LH 2 ) tank. The calibrated CFD model is proven to have great predictive ability by compared against the flight experimental results. The pressure increase, thermal stratification and wall heat transfer coefficient of LH 2 tank have been detailedly studied. The results indicate that slosh baffles have a great influence on tank pressure increase, fluid temperature distribution and wall heat transfer. Owning to the existence of baffles, the stratification thickness increases gradually with the distance from tank axis to tank wall. While for the tank without baffles, the stratification thickness decreases firstly and then increases with the increase of the distance from the axis. The "M" type stratified thickness distribution presents in tank without baffles. One modified heat transfer coefficient correlation has been proposed with the change of fluid temperature considered by multiplying a temperature correction factor. It has been proven that the average relative prediction errors of heat transfer coefficient reduced from 19.08% to 4.98% for the wet tank wall of the tank, from 8.93% to 4.27% for the dry tank wall, respectively, calculated by the modified correlation. Copyright © 2017 Elsevier B.V. All rights reserved.
Gagnon, J.; Lévesque, E.; Borduas, F.; Chiquette, J.; Diorio, C.; Duchesne, N.; Dumais, M.; Eloy, L.; Foulkes, W.; Gervais, N.; Lalonde, L.; L’Espérance, B.; Meterissian, S.; Provencher, L.; Richard, J.; Savard, C.; Trop, I.; Wong, N.; Knoppers, B.M.; Simard, J.
2016-01-01
In recent years, risk stratification has sparked interest as an innovative approach to disease screening and prevention. The approach effectively personalizes individual risk, opening the way to screening and prevention interventions that are adapted to subpopulations. The international perspective project, which is developing risk stratification for breast cancer, aims to support the integration of its screening approach into clinical practice through comprehensive tool-building. Policies and guidelines for risk stratification—unlike those for population screening programs, which are currently well regulated—are still under development. Indeed, the development of guidelines for risk stratification reflects the translational aspects of perspective. Here, we describe the risk stratification process that was devised in the context of perspective, and we then explain the consensus-based method used to develop recommendations for breast cancer screening and prevention in a risk-stratification approach. Lastly, we discuss how the recommendations might affect current screening policies. PMID:28050152
Investigating Summer Thermal Stratification in Lake Ontario
NASA Astrophysics Data System (ADS)
James, S. C.; Arifin, R. R.; Craig, P. M.; Hamlet, A. F.
2017-12-01
Seasonal temperature variations establish strong vertical density gradients (thermoclines) between the epilimnion and hypolimnion. Accurate simulation of vertical mixing and seasonal stratification of large lakes is a crucial element of the thermodynamic coupling between lakes and the atmosphere in integrated models. Time-varying thermal stratification patterns can be accurately simulated with the versatile Environmental Fluid Dynamics Code (EFDC). Lake Ontario bathymetry was interpolated onto a 2-km-resolution curvilinear grid with vertical layering using a new approach in EFDC+, the so-called "sigma-zed" coordinate system which allows the number of vertical layers to be varied based on water depth. Inflow from the Niagara River and outflow to the St. Lawrence River in conjunction with hourly meteorological data from seven local weather stations plus three-hourly data from the North American Regional Reanalysis govern the hydrodynamic and thermodynamic responses of the Lake. EFDC+'s evaporation algorithm was updated to more accurately simulate net surface heat fluxes. A new vertical mixing scheme from Vinçon-Leite that implements different eddy diffusivity formulations above and below the thermocline was compared to results from the original Mellor-Yamada vertical mixing scheme. The model was calibrated by adjusting solar-radiation absorption coefficients in addition to background horizontal and vertical mixing parameters. Model skill was evaluated by comparing measured and simulated vertical temperature profiles at shallow (20 m) and deep (180 m) locations on the Lake. These model improvements, especially the new sigma-zed vertical discretization, accurately capture thermal-stratification patterns with low root-mean-squared errors when using the Vinçon-Leite vertical mixing scheme.
Gupta, Manoj; Choudhury, Partha Sarathi; Rawal, Sudhir; Goel, Harish Chandra; Singh, Amitabh; Talwar, Vineet; Sahoo, Saroj Kumar
2017-01-01
Current imaging modalities for prostate cancer (PC) had limitations for risk stratification and staging. Magnetic resonance imaging (MRI) frequently underestimated lymphatic metastasis while bone scintigraphy often had diagnostic dilemmas. Prostatic specific membrane antigen (PSMA) positron emission tomography-computed tomography (PET/CT) has been remarkable in diagnosing PC recurrence and staging. We hypothesized it can become one-stop-shop for initial risk stratification and staging. Ninety seven PSMA PET-CT studies were re analysed for tumor node metastases (TNM) staging and risk stratification of lymphatic and distant metastases proportion. The histopathology of 23/97 patients was available as gold standard. Chi-square test was used for proportion comparison. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), over-estimation, under-estimation and correct-estimation of T and N stages were calculated. Cohen's kappa coefficient (k) was derived for inter-rater agreement. Lymphic or distant metastases detection on PSMA PET/CT increased significantly with increase in risk category. PSMA PET/CT sensitivity, specificity, PPV and NPV for extra prostatic extension (EPE), seminal vesicle invasion (SVI) and lymphatic metastases were 63.16%, 100%, 100%, 36.36% & 55%, 100%, 100%, 25% and 65.62%, 99.31%, 87.50%, 97.53%, respectively. Cohen's kappa coefficient showed substantial agreement between PSMA PET/CT and histopathological lymphic metastases (κ 0.734) however, it was just in fair agreement (κ 0.277) with T stage. PSMA PET/CT over-estimated, under-estimated and correct-estimated T and N stages in 8.71%, 39.13%, 52.17% and 8.71%, 4.35%, 86.96% cases, respectively. We found that PSMA PET/CT has potential for initial risk stratifications with reasonable correct estimation for N stage. However, it can underestimate T stage. Hence, we suggest that PSMA PET/CT should be used for staging and initial risk stratification of PC as one-stop-shop with regional MRI in surgically resectable cases.
Background stratified Poisson regression analysis of cohort data.
Richardson, David B; Langholz, Bryan
2012-03-01
Background stratified Poisson regression is an approach that has been used in the analysis of data derived from a variety of epidemiologically important studies of radiation-exposed populations, including uranium miners, nuclear industry workers, and atomic bomb survivors. We describe a novel approach to fit Poisson regression models that adjust for a set of covariates through background stratification while directly estimating the radiation-disease association of primary interest. The approach makes use of an expression for the Poisson likelihood that treats the coefficients for stratum-specific indicator variables as 'nuisance' variables and avoids the need to explicitly estimate the coefficients for these stratum-specific parameters. Log-linear models, as well as other general relative rate models, are accommodated. This approach is illustrated using data from the Life Span Study of Japanese atomic bomb survivors and data from a study of underground uranium miners. The point estimate and confidence interval obtained from this 'conditional' regression approach are identical to the values obtained using unconditional Poisson regression with model terms for each background stratum. Moreover, it is shown that the proposed approach allows estimation of background stratified Poisson regression models of non-standard form, such as models that parameterize latency effects, as well as regression models in which the number of strata is large, thereby overcoming the limitations of previously available statistical software for fitting background stratified Poisson regression models.
On the role of modeling choices in estimation of cerebral aneurysm wall tension.
Ramachandran, Manasi; Laakso, Aki; Harbaugh, Robert E; Raghavan, Madhavan L
2012-11-15
To assess various approaches to estimating pressure-induced wall tension in intracranial aneurysms (IA) and their effect on the stratification of subjects in a study population. Three-dimensional models of 26 IAs (9 ruptured and 17 unruptured) were segmented from Computed Tomography Angiography (CTA) images. Wall tension distributions in these patient-specific geometric models were estimated based on various approaches such as differences in morphological detail utilized or modeling choices made. For all subjects in the study population, the peak wall tension was estimated using all investigated approaches and were compared to a reference approach-nonlinear finite element (FE) analysis using the Fung anisotropic model with regionally varying material fiber directions. Comparisons between approaches were focused toward assessing the similarity in stratification of IAs within the population based on peak wall tension. The stratification of IAs tension deviated to some extent from the reference approach as less geometric detail was incorporated. Interestingly, the size of the cerebral aneurysm as captured by a single size measure was the predominant determinant of peak wall tension-based stratification. Within FE approaches, simplifications to isotropy, material linearity and geometric linearity caused a gradual deviation from the reference estimates, but it was minimal and resulted in little to no impact on stratifications of IAs. Differences in modeling choices made without patient-specificity in parameters of such models had little impact on tension-based IA stratification in this population. Increasing morphological detail did impact the estimated peak wall tension, but size was the predominant determinant. Copyright © 2012 Elsevier Ltd. All rights reserved.
NASA Astrophysics Data System (ADS)
Cortesi, A. B.; Smith, B. L.; Yadigaroglu, G.; Banerjee, S.
1999-01-01
The direct numerical simulation (DNS) of a temporally-growing mixing layer has been carried out, for a variety of initial conditions at various Richardson and Prandtl numbers, by means of a pseudo-spectral technique; the main objective being to elucidate how the entrainment and mixing processes in mixing-layer turbulence are altered under the combined influence of stable stratification and thermal conductivity. Stratification is seen to significantly modify the way by which entrainment and mixing occur by introducing highly-localized, convective instabilities, which in turn cause a substantially different three-dimensionalization of the flow compared to the unstratified situation. Fluid which was able to cross the braid region mainly undisturbed (unmixed) in the unstratified case, pumped by the action of rib pairs and giving rise to well-formed mushroom structures, is not available with stratified flow. This is because of the large number of ribs which efficiently mix the fluid crossing the braid region. More efficient entrainment and mixing has been noticed for high Prandtl number computations, where vorticity is significantly reinforced by the baroclinic torque. In liquid sodium, however, for which the Prandtl number is very low, the generation of vorticity is very effectively suppressed by the large thermal conduction, since only small temperature gradients, and thus negligible baroclinic vorticity reinforcement, are then available to counterbalance the effects of buoyancy. This is then reflected in less efficient entrainment and mixing. The influence of the stratification and the thermal conductivity can also be clearly identified from the calculated entrainment coefficients and turbulent Prandtl numbers, which were seen to accurately match experimental data. The turbulent Prandtl number increases rapidly with increasing stratification in liquid sodium, whereas for air and water the stratification effect is less significant. A general law for the entrainment coefficient as a function of the Richardson and Prandtl numbers is proposed, and critically assessed against experimental data.
Intermediate outcomes in randomized clinical trials: an introduction
2013-01-01
Background Intermediate outcomes are common and typically on the causal pathway to the final outcome. Some examples include noncompliance, missing data, and truncation by death like pregnancy (e.g. when the trial intervention is given to non-pregnant women and the final outcome is preeclampsia, defined only on pregnant women). The intention-to-treat approach does not account properly for them, and more appropriate alternative approaches like principal stratification are not yet widely known. The purposes of this study are to inform researchers that the intention-to-treat approach unfortunately does not fit all problems we face in experimental research, to introduce the principal stratification approach for dealing with intermediate outcomes, and to illustrate its application to a trial of long term calcium supplementation in women at high risk of preeclampsia. Methods Principal stratification and related concepts are introduced. Two ways for estimating causal effects are discussed and their application is illustrated using the calcium trial, where noncompliance and pregnancy are considered as intermediate outcomes, and preeclampsia is the main final outcome. Results The limitations of traditional approaches and methods for dealing with intermediate outcomes are demonstrated. The steps, assumptions and required calculations involved in the application of the principal stratification approach are discussed in detail in the case of our calcium trial. Conclusions The intention-to-treat approach is a very sound one but unfortunately it does not fit all problems we find in randomized clinical trials; this is particularly the case for intermediate outcomes, where alternative approaches like principal stratification should be considered. PMID:23510143
A probabilistic topic model for clinical risk stratification from electronic health records.
Huang, Zhengxing; Dong, Wei; Duan, Huilong
2015-12-01
Risk stratification aims to provide physicians with the accurate assessment of a patient's clinical risk such that an individualized prevention or management strategy can be developed and delivered. Existing risk stratification techniques mainly focus on predicting the overall risk of an individual patient in a supervised manner, and, at the cohort level, often offer little insight beyond a flat score-based segmentation from the labeled clinical dataset. To this end, in this paper, we propose a new approach for risk stratification by exploring a large volume of electronic health records (EHRs) in an unsupervised fashion. Along this line, this paper proposes a novel probabilistic topic modeling framework called probabilistic risk stratification model (PRSM) based on Latent Dirichlet Allocation (LDA). The proposed PRSM recognizes a patient clinical state as a probabilistic combination of latent sub-profiles, and generates sub-profile-specific risk tiers of patients from their EHRs in a fully unsupervised fashion. The achieved stratification results can be easily recognized as high-, medium- and low-risk, respectively. In addition, we present an extension of PRSM, called weakly supervised PRSM (WS-PRSM) by incorporating minimum prior information into the model, in order to improve the risk stratification accuracy, and to make our models highly portable to risk stratification tasks of various diseases. We verify the effectiveness of the proposed approach on a clinical dataset containing 3463 coronary heart disease (CHD) patient instances. Both PRSM and WS-PRSM were compared with two established supervised risk stratification algorithms, i.e., logistic regression and support vector machine, and showed the effectiveness of our models in risk stratification of CHD in terms of the Area Under the receiver operating characteristic Curve (AUC) analysis. As well, in comparison with PRSM, WS-PRSM has over 2% performance gain, on the experimental dataset, demonstrating that incorporating risk scoring knowledge as prior information can improve the performance in risk stratification. Experimental results reveal that our models achieve competitive performance in risk stratification in comparison with existing supervised approaches. In addition, the unsupervised nature of our models makes them highly portable to the risk stratification tasks of various diseases. Moreover, patient sub-profiles and sub-profile-specific risk tiers generated by our models are coherent and informative, and provide significant potential to be explored for the further tasks, such as patient cohort analysis. We hypothesize that the proposed framework can readily meet the demand for risk stratification from a large volume of EHRs in an open-ended fashion. Copyright © 2015 Elsevier Inc. All rights reserved.
NASA Astrophysics Data System (ADS)
Troitskaya, Yu. I.; Ezhova, E. V.; Zilitinkevich, S. S.
2013-10-01
The surface-drag and mass-transfer coefficients are determined within a self-consistent problem of wave-induced perturbations and mean fields of velocity and density in the air, using a quasi-linear model based on the Reynolds equations with down-gradient turbulence closure. Investigation of a harmonic wave propagating along the wind has disclosed that the surface drag is generally larger for shorter waves. This effect is more pronounced in the unstable and neutral stratification. The stable stratification suppresses turbulence, which leads to weakening of the momentum and mass transfer.
NASA Astrophysics Data System (ADS)
Anjum, A.; Mir, N. A.; Farooq, M.; Khan, M. Ijaz; Hayat, T.
2018-06-01
This article addresses thermally stratified stagnation point flow of viscous fluid induced by a non-linear variable thicked Riga plate. Velocity and thermal slip effects are incorporated to disclose the flow analysis. Solar thermal radiation phenomenon is implemented to address the characteristics of heat transfer. Variations of different physical parameters on the horizontal velocity and temperature distributions are described through graphs. Graphical interpretations of skin friction coefficient (drag force at the surface) and Nusselt number (rate of heat transfer) are also addressed. Modified Hartman number and thermal stratification parameter result in reduction of temperature distribution.
Turbulent entrainment in a strongly stratified barrier layer
NASA Astrophysics Data System (ADS)
Pham, H. T.; Sarkar, S.
2017-06-01
Large-eddy simulation (LES) is used to investigate how turbulence in the wind-driven ocean mixed layer erodes the stratification of barrier layers. The model consists of a stratified Ekman layer that is driven by a surface wind. Simulations at a wide range of N0/f are performed to quantify the effect of turbulence and stratification on the entrainment rate. Here, N0 is the buoyancy frequency in the barrier layer and f is the Coriolis parameter. The evolution of the mixed layer follows two stages: a rapid initial deepening and a late-time growth at a considerably slower rate. During the first stage, the mixed layer thickens to the depth that is proportional to u∗/
Comments: Should Principal Stratification Be Used to Study Mediational Processes?
ERIC Educational Resources Information Center
VanderWeele, Tyler J.
2012-01-01
Principal stratification provides an approach to study the effect of an exposure on an outcome within strata defined by the effect of the exposure on some third, posttreatment, variable (Frangakis & Rubin, 2002). There has been more recent interest in using principal stratification to study the extent to which the effect of an exposure on an…
Lanfer, A; Hebestreit, A; Ahrens, W; Krogh, V; Sieri, S; Lissner, L; Eiben, G; Siani, A; Huybrechts, I; Loit, H-M; Papoutsou, S; Kovács, E; Pala, V
2011-04-01
To investigate the reproducibility of food consumption frequencies derived from the food frequency section of the Children's Eating Habits Questionnaire (CEHQ-FFQ) that was developed and used in the IDEFICS (Identification and prevention of dietary- and lifestyle-induced health effects in children and infants) project to assess food habits in 2- to 9-year-old European children. From a subsample of 258 children who participated in the IDEFICS baseline examination, parental questionnaires of the CEHQ were collected twice to assess reproducibility of questionnaire results from 0 to 354 days after the first examination. Weighted Cohen's kappa coefficients (κ) and Spearman's correlation coefficients (r) were calculated to assess agreement between the first and second questionnaires for each food item of the CEHQ-FFQ. Stratification was performed for sex, age group, geographical region and length of period between the first and second administrations. Fisher's Z transformation was applied to test correlation coefficients for significant differences between strata. For all food items analysed, weighted Cohen's kappa coefficients (κ) and Spearman's correlation coefficients (r) were significant and positive (P<0.001). Reproducibility was lowest for diet soft drinks (κ=0.23, r=0.32) and highest for sweetened milk (κ=0.68, r=0.76). Correlation coefficients were comparable to those of previous studies on FFQ reproducibility in children and adults. Stratification did not reveal systematic differences in reproducibility by sex and age group. Spearman's correlation coefficients differed significantly between northern and southern European countries for 10 food items. In nine of them, the lower respective coefficient was still high enough to conclude acceptable reproducibility. As expected, longer time (>128 days) between the first and second administrations resulted in a generally lower, yet still acceptable, reproducibility. Results indicate that the CEHQ-FFQ gives reproducible estimates of the consumption frequency of 43 food items from 14 food groups in European children.
NASA Technical Reports Server (NTRS)
Kassemi, Mohammad; Kartuzova, Olga; Hylton, Sonya
2015-01-01
Laminar models agree closely with the pressure evolution and vapor phase temperature stratification but under-predict liquid temperatures. Turbulent SST k-w and k-e models under-predict the pressurization rate and extent of stratification in the vapor but represent liquid temperature distributions fairly well. These conclusions seem to equally apply to large cryogenic tank simulations as well as small scale simulant fluid pressurization cases. Appropriate turbulent models that represent both interfacial and bulk vapor phase turbulence with greater fidelity are needed. Application of LES models to the tank pressurization problem can serve as a starting point.
Physical and biogeochemical controls on polymictic behavior in Sierra Nevada stream pools
NASA Astrophysics Data System (ADS)
Lucas, R. G.; Conklin, M. H.; Tyler, S. W.; Suarez, F. I.; Moran, J. E.; Esser, B. K.
2011-12-01
We observed polymictic behavior in stream pools in a low gradient montane meadow in the southern Sierra Nevada mountains, California. Thermal stratification in stream pools has been observed in various environments; stratification generally persists where the buoyancy forces created by a variation in water density, as a function of water temperature, are able to overcome turbulent forces resulting from stream flow. Because the density gradient creates a relatively weak buoyancy force, low flow conditions are generally required in order to overcome the turbulent forces. In some studies, a cold water source in to the pool bottoms can help to increase the density gradient and perpetuate thermal stratification. Our study took place in Long Meadow, Sequoia National Park, California. Long Meadow lies in the Wolverton Creek watershed and is part of the Southern Sierra Critical Zone Observatory. The 1-4 m diameter and 1-2 m deep pools in our study stratified thermally during the day and mixed completely at night. The low gradient of the meadow provided low stream flows. Piezometers in the meadow indicated groundwater discharge into the meadow in the months during which stratification was observed. Radon 222 activity measured in the pools also indicated groundwater influx to the pool bottoms. We used Fluent, a computational fluid dynamics equation solver, to construct a model of one of the observed pools. Initially we attempted to model the physical mechanisms controlling thermal stratification in the pool including stream flow, groundwater discharge, solar radiation, wind speed, and air, stream and ground water temperatures. Ultimately we found the model best agreed with our observed pool temperatures when we considered the light attenuation coefficients as a function of the dissolve organic carbon (DOC) concentration. Elevated DOC concentrations are expected in low stream flow regimes associated with highly organic soils such as a montane meadow. DOC concentrations measured in samples collected from the meadow stream, pools, and ground water wells ranged from 3.09 to 5.25 mg/L. We used a power equation taken from the literature to vary the visible light attenuation with DOC values measured in the meadow system. Light attenuation coefficients determined from measured DOC concentrations ranged from 0.507 m-1 to 0.899 m-1. The results from our modeling efforts indicate that in low flow streams and rivers elevated concentrations of DOC can increase the potential for thermal stratification in stream pools.
Improving the Power of GWAS and Avoiding Confounding from Population Stratification with PC-Select
Tucker, George; Price, Alkes L.; Berger, Bonnie
2014-01-01
Using a reduced subset of SNPs in a linear mixed model can improve power for genome-wide association studies, yet this can result in insufficient correction for population stratification. We propose a hybrid approach using principal components that does not inflate statistics in the presence of population stratification and improves power over standard linear mixed models. PMID:24788602
Jacob, Joseph; Bartholmai, Brian J; Rajagopalan, Srinivasan; Brun, Anne Laure; Egashira, Ryoko; Karwoski, Ronald; Kokosi, Maria; Wells, Athol U; Hansell, David M
2016-11-23
To evaluate computer-based computer tomography (CT) analysis (CALIPER) against visual CT scoring and pulmonary function tests (PFTs) when predicting mortality in patients with connective tissue disease-related interstitial lung disease (CTD-ILD). To identify outcome differences between distinct CTD-ILD groups derived following automated stratification of CALIPER variables. A total of 203 consecutive patients with assorted CTD-ILDs had CT parenchymal patterns evaluated by CALIPER and visual CT scoring: honeycombing, reticular pattern, ground glass opacities, pulmonary vessel volume, emphysema, and traction bronchiectasis. CT scores were evaluated against pulmonary function tests: forced vital capacity, diffusing capacity for carbon monoxide, carbon monoxide transfer coefficient, and composite physiologic index for mortality analysis. Automated stratification of CALIPER-CT variables was evaluated in place of and alongside forced vital capacity and diffusing capacity for carbon monoxide in the ILD gender, age physiology (ILD-GAP) model using receiver operating characteristic curve analysis. Cox regression analyses identified four independent predictors of mortality: patient age (P < 0.0001), smoking history (P = 0.0003), carbon monoxide transfer coefficient (P = 0.003), and pulmonary vessel volume (P < 0.0001). Automated stratification of CALIPER variables identified three morphologically distinct groups which were stronger predictors of mortality than all CT and functional indices. The Stratified-CT model substituted automated stratified groups for functional indices in the ILD-GAP model and maintained model strength (area under curve (AUC) = 0.74, P < 0.0001), ILD-GAP (AUC = 0.72, P < 0.0001). Combining automated stratified groups with the ILD-GAP model (stratified CT-GAP model) strengthened predictions of 1- and 2-year mortality: ILD-GAP (AUC = 0.87 and 0.86, respectively); stratified CT-GAP (AUC = 0.89 and 0.88, respectively). CALIPER-derived pulmonary vessel volume is an independent predictor of mortality across all CTD-ILD patients. Furthermore, automated stratification of CALIPER CT variables represents a novel method of prognostication at least as robust as PFTs in CTD-ILD patients.
NASA Astrophysics Data System (ADS)
Ur Rehman, Khali; Ali Khan, Abid; Malik, M. Y.; Hussain, Arif
2017-09-01
The effects of temperature stratification on a tangent hyperbolic fluid flow over a stretching cylindrical surface are studied. The fluid flow is achieved by taking the no-slip condition into account. The mathematical modelling of the physical problem yields a nonlinear set of partial differential equations. These obtained partial differential equations are converted in terms of ordinary differential equations. Numerical investigation is done to identify the effects of the involved physical parameters on the dimensionless velocity and temperature profiles. In the presence of temperature stratification it is noticed that the curvature parameter makes both the fluid velocity and fluid temperature increase. In addition, positive variations in the thermal stratification parameter produce retardation with respect to the fluid flow, as a result the fluid temperature drops. The skin friction coefficient shows a decreasing nature for increasing value of both power law index and Weissenberg number, whereas the local Nusselt number is an increasing function of the Prandtl number, but opposite trends are found with respect to the thermal stratification parameter. The obtained results are validated by making a comparison with the existing literature which brings support to the presently developed model.
Effects of warm water inflows on the dispersion of pollutants in small reservoirs.
Palancar, María C; Aragón, José M; Sánchez, Fernando; Gil, Roberto
2006-11-01
The effects of the warm water discharged by a nuclear power plant (NPP) into a small reservoir are studied. A case study is presented (José Cabrera NPP-Zorita Hidráulica Reservoir) with experimental data of the reservoir stratification and predicted data of the dispersion of radioactive pollutants from operative or accidental releases. The vertical and longitudinal temperature profiles, electrical conductivity and transparency of the reservoir water were measured for an annual cycle. The results indicate that the continuous warm water discharge from the NPP causes permanent and artificial reservoir stratification. The stratification is significant within 1500 m upstream and 1000 m downstream from the warm water outfall. The pollutant dispersion has been predicted by using a flow model based on N(T) perfect-mixing compartments in series with feedback. The model parameter, N(T), is calculated from the longitudinal diffusion coefficient. The prediction of pollutant dispersion by means of this model shows that the stratification slows down the vertical mixing in the whole water body, and reduces the reservoir volume that is effective for the dilution and dispersion of pollutants. This means that, in the case of a radioactive pollutant release, the reservoir radioactivity level could increase significantly.
The bio-optical properties of CDOM as descriptor of lake stratification.
Bracchini, Luca; Dattilo, Arduino Massimo; Hull, Vincent; Loiselle, Steven Arthur; Martini, Silvia; Rossi, Claudio; Santinelli, Chiara; Seritti, Alfredo
2006-11-01
Multivariate statistical techniques are used to demonstrate the fundamental role of CDOM optical properties in the description of water masses during the summer stratification of a deep lake. PC1 was linked with dissolved species and PC2 with suspended particles. In the first principal component that the role of CDOM bio-optical properties give a better description of the stratification of the Salto Lake with respect to temperature. The proposed multivariate approach can be used for the analysis of different stratified aquatic ecosystems in relation to interaction between bio-optical properties and stratification of the water body.
NASA Astrophysics Data System (ADS)
Hayat, Tasawar; Qayyum, Sajid; Alsaedi, Ahmed; Ahmad, Bashir
2018-03-01
This article addresses the magnetohydrodynamic (MHD) stagnation point flow of third grade fluid towards a nonlinear stretching sheet. Energy expression is based through involvement of variable thermal conductivity. Heat and mass transfer aspects are described within the frame of double stratification effects. Boundary layer partial differential systems are deduced. Governing systems are then converted into ordinary differential systems by invoking appropriate variables. The transformed expressions are solved through homotopic technique. Impact of embedded variables on velocity, thermal and concentration fields are displayed and argued. Numerical computations are presented to obtain the results of skin friction coefficient and local Nusselt and Sherwood numbers. It is revealed that larger values of magnetic parameter reduces the velocity field while reverse situation is noticed due to wall thickness variable. Temperature field and local Nusselt number are quite reverse for heat generation/absorption parameter. Moreover qualitative behaviors of concentration field and local Sherwood number are similar for solutal stratification parameter.
Spatial Evolution of the Thickness Variations over a CFRP Laminated Structure
NASA Astrophysics Data System (ADS)
Davila, Yves; Crouzeix, Laurent; Douchin, Bernard; Collombet, Francis; Grunevald, Yves-Henri
2017-10-01
Ply thickness is one of the main drivers of the structural performance of a composite part. For stress analysis calculations (e.g., finite element analysis), composite plies are commonly considered to have a constant thickness compared to the reality (coefficients of variation up to 9% of the mean ply thickness). Unless this variability is taken into account reliable property predictions cannot be made. A modelling approach of such variations is proposed using parameters obtained from a 16-ply quasi-isotropic CFRP plate cured in an autoclave. A discrete Fourier transform algorithm is used to analyse the frequency response of the observed ply and plate thickness profiles. The model inputs, obtained by a mathematical representation of the ply thickness profiles, permit the generation of a representative stratification considering the spatial continuity of the thickness variations that are in good agreement with the real ply profiles spread over the composite part. A residual deformation FE model of the composite plate is used to illustrate the feasibility of the approach.
Gong, Yi; Zhang, Xi; Chen, Rui; Wei, Yan; Zou, Zhongmin; Chen, Xinghua
2017-01-01
To investigate the association of C-MYC protein expression and risk stratification in mantle cell lymphoma (MCL), and to evaluate the utility of C-MYC protein as a prognostic biomarker in clinical practice. We conducted immunohistochemical staining of C-MYC, Programmed cell death ligand 1 (PD-L1), CD8, Ki-67, p53 and SRY (sex determining region Y) -11 (SOX11) to investigate their expression in 64 patients with MCL. The staining results and other clinical data were evaluated for their roles in risk stratification of MCL cases using ANOVA, Chi-square, and Spearman's Rank correlation coefficient analysis. Immunohistochemical staining in our study indicated that SOX11, Ki-67 and p53 presented nuclear positivity of tumor cells, CD8 showed membrane positivity in infiltrating T lymphocytes while PD-L1 showed membrane and cytoplasmic positivity mainly in macrophage cells and little in tumor cells. We observed positive staining of C-MYC either in the nucleus or cytoplasm or in both subcellular locations. There were significant differences in cytoplasmic C-MYC expression, Ki-67 proliferative index of tumor cells, and CD8 positive tumor infiltrating lymphocytes (CD8+TIL) among three risk groups ( P = 0.000, P = 0.037 and P =0.020, respectively). However, no significant differences existed in the expression of nuclear C-MYC, SOX11, p53, and PD-L1 in MCL patients with low-, intermediate-, and high risks. In addition, patient age and serum LDH level were also significantly different among 3 groups of patients ( P = 0.006 and P = 0.000, respectively). Spearman's rank correlation coefficient analysis indicated that cytoplasmic C-MYC expression, Ki-67 index, age, WBC, as well as LDH level had significantly positive correlations with risk stratification ( P = 0.000, 0.015, 0.000, 0.029 and 0.000, respectively), while CD8+TIL in tumor microenvironment negatively correlated with risk stratification of patients ( P = 0.006). Patients with increased positive cytoplasmic expression of C-MYC protein and decreased CD8+TIL appeared to be associated with a poor response to chemotherapy, but the correlation was not statistically significant. Our study suggested that assessment of cytoplasmic C-MYC overexpression and cytotoxic T lymphocytes (CTLs) by immunohistochemical staining might be helpful for MCL risk stratification and outcome prediction. However, large cohort studies of MCL patients with complete follow up are needed to validate our speculation.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Hu, R.
This report documents the initial progress on the reduced-order flow model developments in SAM for thermal stratification and mixing modeling. Two different modeling approaches are pursued. The first one is based on one-dimensional fluid equations with additional terms accounting for the thermal mixing from both flow circulations and turbulent mixing. The second approach is based on three-dimensional coarse-grid CFD approach, in which the full three-dimensional fluid conservation equations are modeled with closure models to account for the effects of turbulence.
NASA Astrophysics Data System (ADS)
Sosik, Heidi M.; Green, Rebecca E.; Pegau, W. Scott; Roesler, Collin S.
2001-05-01
Relationships between optical and physical properties were examined on the basis of intensive sampling at a site on the New England continental shelf during late summer 1996 and spring 1997. During both seasons, particles were found to be the primary source of temporal and vertical variability in optical properties since light absorption by dissolved material, though significant in magnitude, was relatively constant. Within the particle pool, changes in phytoplankton were responsible for much of the observed optical variability. Physical processes associated with characteristic seasonal patterns in stratification and mixing contributed to optical variability mostly through effects on phytoplankton. An exception to this generalization occurred during summer as the passage of a hurricane led to a breakdown in stratification and substantial resuspension of nonphytoplankton particulate material. Prior to the hurricane, conditions in summer were highly stratified with subsurface maxima in absorption and scattering coefficients. In spring, stratification was much weaker but increased over the sampling period, and a modest phytoplankton bloom caused surface layer maxima in absorption and scattering coefficients. These seasonal differences in the vertical distribution of inherent optical properties were evident in surface reflectance spectra, which were elevated and shifted toward blue wavelengths in the summer. Some seasonal differences in optical properties, including reflectance spectra, suggest that a significant shift toward a smaller particle size distribution occurred in summer. Shorter timescale optical variability was consistent with a variety of influences including episodic events such as the hurricane, physical processes associated with shelfbreak frontal dynamics, biological processes such as phytoplankton growth, and horizontal patchiness combined with water mass advection.
ERIC Educational Resources Information Center
Page, Lindsay C.; Feller, Avi; Grindal, Todd; Miratrix, Luke; Somers, Marie-Andree
2015-01-01
Increasingly, researchers are interested in questions regarding treatment-effect variation across partially or fully latent subgroups defined not by pretreatment characteristics but by postrandomization actions. One promising approach to address such questions is principal stratification. Under this framework, a researcher defines endogenous…
Irradiance attenuation coefficient in a stratified ocean - A local property of the medium
NASA Technical Reports Server (NTRS)
Gordon, H. R.
1980-01-01
The influence of optically important constituents of water on the absorption (a) and scattering (b) coefficients and the backscattering probability is considered, with emphasis placed on measuring the volume scattering function (B/theta/). Two stratification models are examined; one in which the phase function (B(theta)/b) is depth independent and only b/c is allowed to vary with optical depth, and the other in which both b/c and the phase function depend on depth. The results demonstrate that Gordon's (1977) technique of estimating a and b is applicable without change to a stratified ocean.
BAYESIAN BICLUSTERING FOR PATIENT STRATIFICATION.
Khakabimamaghani, Sahand; Ester, Martin
2016-01-01
The move from Empirical Medicine towards Personalized Medicine has attracted attention to Stratified Medicine (SM). Some methods are provided in the literature for patient stratification, which is the central task of SM, however, there are still significant open issues. First, it is still unclear if integrating different datatypes will help in detecting disease subtypes more accurately, and, if not, which datatype(s) are most useful for this task. Second, it is not clear how we can compare different methods of patient stratification. Third, as most of the proposed stratification methods are deterministic, there is a need for investigating the potential benefits of applying probabilistic methods. To address these issues, we introduce a novel integrative Bayesian biclustering method, called B2PS, for patient stratification and propose methods for evaluating the results. Our experimental results demonstrate the superiority of B2PS over a popular state-of-the-art method and the benefits of Bayesian approaches. Our results agree with the intuition that transcriptomic data forms a better basis for patient stratification than genomic data.
Social Stratification: A Modular Approach. Cultural Anthropology.
ERIC Educational Resources Information Center
Kassebaum, Peter
Designed for use as supplementary instructional material in a cultural anthropology course, this learning module introduces students to the basic concepts of social stratification, one of the more controversial areas of contemporary social theory. An overview is provided of the explanations that have been put forth by social philosophers for…
Potential Impacts of Offshore Wind Farms on North Sea Stratification
Carpenter, Jeffrey R.; Merckelbach, Lucas; Callies, Ulrich; Clark, Suzanna; Gaslikova, Lidia; Baschek, Burkard
2016-01-01
Advances in offshore wind farm (OWF) technology have recently led to their construction in coastal waters that are deep enough to be seasonally stratified. As tidal currents move past the OWF foundation structures they generate a turbulent wake that will contribute to a mixing of the stratified water column. In this study we show that the mixing generated in this way may have a significant impact on the large-scale stratification of the German Bight region of the North Sea. This region is chosen as the focus of this study since the planning of OWFs is particularly widespread. Using a combination of idealised modelling and in situ measurements, we provide order-of-magnitude estimates of two important time scales that are key to understanding the impacts of OWFs: (i) a mixing time scale, describing how long a complete mixing of the stratification takes, and (ii) an advective time scale, quantifying for how long a water parcel is expected to undergo enhanced wind farm mixing. The results are especially sensitive to both the drag coefficient and type of foundation structure, as well as the evolution of the pycnocline under enhanced mixing conditions—both of which are not well known. With these limitations in mind, the results show that OWFs could impact the large-scale stratification, but only when they occupy extensive shelf regions. They are expected to have very little impact on large-scale stratification at the current capacity in the North Sea, but the impact could be significant in future large-scale development scenarios. PMID:27513754
Potential Impacts of Offshore Wind Farms on North Sea Stratification.
Carpenter, Jeffrey R; Merckelbach, Lucas; Callies, Ulrich; Clark, Suzanna; Gaslikova, Lidia; Baschek, Burkard
2016-01-01
Advances in offshore wind farm (OWF) technology have recently led to their construction in coastal waters that are deep enough to be seasonally stratified. As tidal currents move past the OWF foundation structures they generate a turbulent wake that will contribute to a mixing of the stratified water column. In this study we show that the mixing generated in this way may have a significant impact on the large-scale stratification of the German Bight region of the North Sea. This region is chosen as the focus of this study since the planning of OWFs is particularly widespread. Using a combination of idealised modelling and in situ measurements, we provide order-of-magnitude estimates of two important time scales that are key to understanding the impacts of OWFs: (i) a mixing time scale, describing how long a complete mixing of the stratification takes, and (ii) an advective time scale, quantifying for how long a water parcel is expected to undergo enhanced wind farm mixing. The results are especially sensitive to both the drag coefficient and type of foundation structure, as well as the evolution of the pycnocline under enhanced mixing conditions-both of which are not well known. With these limitations in mind, the results show that OWFs could impact the large-scale stratification, but only when they occupy extensive shelf regions. They are expected to have very little impact on large-scale stratification at the current capacity in the North Sea, but the impact could be significant in future large-scale development scenarios.
Experimental study of stratified jet by simultaneous measurements of velocity and density fields
NASA Astrophysics Data System (ADS)
Xu, Duo; Chen, Jun
2012-07-01
Stratified flows with small density difference commonly exist in geophysical and engineering applications, which often involve interaction of turbulence and buoyancy effect. A combined particle image velocimetry (PIV) and planar laser-induced fluorescence (PLIF) system is developed to measure the velocity and density fields in a dense jet discharged horizontally into a tank filled with light fluid. The illumination of PIV particles and excitation of PLIF dye are achieved by a dual-head pulsed Nd:YAG laser and two CCD cameras with a set of optical filters. The procedure for matching refractive indexes of two fluids and calibration of the combined system are presented, as well as a quantitative analysis of the measurement uncertainties. The flow structures and mixing dynamics within the central vertical plane are studied by examining the averaged parameters, turbulent kinetic energy budget, and modeling of momentum flux and buoyancy flux. At downstream, profiles of velocity and density display strong asymmetry with respect to its center. This is attributed to the fact that stable stratification reduces mixing and unstable stratification enhances mixing. In stable stratification region, most of turbulence production is consumed by mean-flow convection, whereas in unstable stratification region, turbulence production is nearly balanced by viscous dissipation. Experimental data also indicate that at downstream locations, mixing length model performs better in mixing zone of stable stratification regions, whereas in other regions, eddy viscosity/diffusivity models with static model coefficients represent effectively momentum and buoyancy flux terms. The measured turbulent Prandtl number displays strong spatial variation in the stratified jet.
Using known populations of pronghorn to evaluate sampling plans and estimators
Kraft, K.M.; Johnson, D.H.; Samuelson, J.M.; Allen, S.H.
1995-01-01
Although sampling plans and estimators of abundance have good theoretical properties, their performance in real situations is rarely assessed because true population sizes are unknown. We evaluated widely used sampling plans and estimators of population size on 3 known clustered distributions of pronghorn (Antilocapra americana). Our criteria were accuracy of the estimate, coverage of 95% confidence intervals, and cost. Sampling plans were combinations of sampling intensities (16, 33, and 50%), sample selection (simple random sampling without replacement, systematic sampling, and probability proportional to size sampling with replacement), and stratification. We paired sampling plans with suitable estimators (simple, ratio, and probability proportional to size). We used area of the sampling unit as the auxiliary variable for the ratio and probability proportional to size estimators. All estimators were nearly unbiased, but precision was generally low (overall mean coefficient of variation [CV] = 29). Coverage of 95% confidence intervals was only 89% because of the highly skewed distribution of the pronghorn counts and small sample sizes, especially with stratification. Stratification combined with accurate estimates of optimal stratum sample sizes increased precision, reducing the mean CV from 33 without stratification to 25 with stratification; costs increased 23%. Precise results (mean CV = 13) but poor confidence interval coverage (83%) were obtained with simple and ratio estimators when the allocation scheme included all sampling units in the stratum containing most pronghorn. Although areas of the sampling units varied, ratio estimators and probability proportional to size sampling did not increase precision, possibly because of the clumped distribution of pronghorn. Managers should be cautious in using sampling plans and estimators to estimate abundance of aggregated populations.
Quantitative analysis of spatial variability of geotechnical parameters
NASA Astrophysics Data System (ADS)
Fang, Xing
2018-04-01
Geotechnical parameters are the basic parameters of geotechnical engineering design, while the geotechnical parameters have strong regional characteristics. At the same time, the spatial variability of geotechnical parameters has been recognized. It is gradually introduced into the reliability analysis of geotechnical engineering. Based on the statistical theory of geostatistical spatial information, the spatial variability of geotechnical parameters is quantitatively analyzed. At the same time, the evaluation of geotechnical parameters and the correlation coefficient between geotechnical parameters are calculated. A residential district of Tianjin Survey Institute was selected as the research object. There are 68 boreholes in this area and 9 layers of mechanical stratification. The parameters are water content, natural gravity, void ratio, liquid limit, plasticity index, liquidity index, compressibility coefficient, compressive modulus, internal friction angle, cohesion and SP index. According to the principle of statistical correlation, the correlation coefficient of geotechnical parameters is calculated. According to the correlation coefficient, the law of geotechnical parameters is obtained.
Howard, Scott C.; Chantada, Guillermo; Israels, Trijn; Khattab, Mohammed; Alcasabas, Patricia; Lam, Catherine G.; Faulkner, Lawrence; Park, Julie R.; London, Wendy B.; Matthay, Katherine K.
2015-01-01
Neuroblastoma is the most common extracranial solid tumor in childhood in high‐income countries (HIC), where consistent treatment approaches based on clinical and tumor biological risk stratification have steadily improved outcomes. However, in low‐ and middle‐ income countries (LMIC), suboptimal diagnosis, risk stratification, and treatment may occur due to limited resources and unavailable infrastructure. The clinical practice guidelines outlined in this manuscript are based on current published evidence and expert opinions. Standard risk stratification and treatment explicitly adapted to graduated resource settings can improve outcomes for children with neuroblastoma by reducing preventable toxic death and relapse. Pediatr Blood Cancer 2015;62:1305–1316. © 2015 The Authors. Pediatric Blood & Cancer, published by Wiley Periodicals, Inc. PMID:25810263
Properties of Endogenous Post-Stratified Estimation using remote sensing data
John Tipton; Jean Opsomer; Gretchen Moisen
2013-01-01
Post-stratification is commonly used to improve the precision of survey estimates. In traditional poststratification methods, the stratification variable must be known at the population level. When suitable covariates are available at the population level, an alternative approach consists of fitting a model on the covariates, making predictions for the population and...
NASA Technical Reports Server (NTRS)
Stanturf, J. A.; Heimbuch, D. G.
1980-01-01
A refinement to the matrix approach to environmental impact assessment is to use landscape units in place of separate environmental elements in the analysis. Landscape units can be delineated by integrating remotely sensed data and available single-factor data. A remote sensing approach to landscape stratification is described and the conditions under which it is superior to other approaches that require single-factor maps are indicated. Flowcharts show the steps necessary to develop classification criteria, delineate units and a map legend, and use the landscape units in impact assessment. Application of the approach to assessing impacts of a transmission line in Montana is presented to illustrate the method.
Mental health in primary care: an evaluation using the Item Response Theory.
Rocha, Hugo André da; Santos, Alaneir de Fátima Dos; Reis, Ilka Afonso; Santos, Marcos Antônio da Cunha; Cherchiglia, Mariângela Leal
2018-01-01
OBJECTIVE To determine the items of the Brazilian National Program for Improving Access and Quality of Primary Care that better evaluate the capacity to provide mental health care. METHODS This is a cross-sectional study carried out using the Graded Response Model of the Item Response Theory using secondary data from the second cycle of the National Program for Improving Access and Quality of Primary Care, which evaluates 30,523 primary care teams in the period from 2013 to 2014 in Brazil. The internal consistency, correlation between items, and correlation between items and the total score were tested using the Cronbach's alpha, Spearman's correlation, and point biserial coefficients, respectively. The assumptions of unidimensionality and local independence of the items were tested. Word clouds were used as one way to present the results. RESULTS The items with the greatest ability to discriminate were scheduling of the agenda according to risk stratification, keeping of records of the most serious cases of users in psychological distress, and provision of group care. The items that required a higher level of mental health care in the parameter of location were the provision of any type of group care and the provision of educational and mental health promotion activities. Total Cronbach's alpha coefficient was 0.87. The items that obtained the highest correlation with total score were the recording of the most serious cases of users in psychological distress and scheduling of the agenda according to risk stratification. The final scores obtained oscillated between -2.07 (minimum) and 1.95 (maximum). CONCLUSIONS There are important aspects in the discrimination of the capacity to provide mental health care by primary health care teams: risk stratification for care management, follow-up of the most serious cases, group care, and preventive and health promotion actions.
Tanaka, Shiro; Matsuyama, Yutaka; Ohashi, Yasuo
2017-08-30
Increasing attention has been focused on the use and validation of surrogate endpoints in cancer clinical trials. Previous literature on validation of surrogate endpoints are classified into four approaches: the proportion explained approach; the indirect effects approach; the meta-analytic approach; and the principal stratification approach. The mainstream in cancer research has seen the application of a meta-analytic approach. However, VanderWeele (2013) showed that all four of these approaches potentially suffer from the surrogate paradox. It was also shown that, if a principal surrogate satisfies additional criteria called one-sided average causal sufficiency, the surrogate cannot exhibit a surrogate paradox. Here, we propose a method for estimating principal effects under a monotonicity assumption. Specifically, we consider cancer clinical trials which compare a binary surrogate endpoint and a time-to-event clinical endpoint under two naturally ordered treatments (e.g. combined therapy vs. monotherapy). Estimation based on a mean score estimating equation will be implemented by the expectation-maximization algorithm. We will also apply the proposed method as well as other surrogacy criteria to evaluate the surrogacy of prostate-specific antigen using data from a phase III advanced prostate cancer trial, clarifying the complementary roles of both the principal stratification and meta-analytic approaches in the evaluation of surrogate endpoints in cancer. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.
ERIC Educational Resources Information Center
Oerlemans, Anoek M.; Hartman, Catharina A.; De Bruijn, Yvette G. E.; Van Steijn, Daphne J.; Franke, Barbara; Buitelaar, Jan K.; Rommelse, Nanda N. J.
2015-01-01
Autism spectrum disorders (ASD) and attention-deficit/hyperactivity disorder (ADHD) are highly heterogeneous neuropsychiatric disorders, that frequently co-occur. This study examined whether stratification into single-incidence (SPX) and multi-incidence (MPX) is helpful in (a) parsing heterogeneity and (b) detecting overlapping and unique…
ERIC Educational Resources Information Center
Xu, Jun; Lee, Jennifer C.
2013-01-01
In this article, we propose a shift in race research from a one-dimensional hierarchical approach to a multidimensional system of racial stratification. Building upon Claire Kim's (1999) racial triangulation theory, we examine how the American public rates Asians relative to blacks and whites along two dimensions of racial stratification: racial…
Stapleton, Tadhg; Connolly, Deirdre; O'Neill, Desmond
2015-01-01
While a clinical pre-selection screening process for a stroke patient's suitability for driving has been acknowledged, little is known about the factors or processes influencing this screening typically conducted by clinicians practicing at a generalist level. This study explored this clinical stratification process through the use of semi-structured interviews with senior occupational therapists (n = 17) and stroke physicians (n = 7) using qualitative description methodology. The findings revealed a trichotomy stratification of stroke patients for driving in the clinical setting; those who are fit to drive, unfit to drive, and a "maybe" group who need more detailed assessment and observation. Factors that had a major influence on this clinical-based stratification of driving suitability were client's levels of awareness, insight, and impulsivity. A period of prolonged contact with the client was preferential to guide the stratification decision in order for clinicians to build a comprehensive picture of the person. A mix of assessment approaches including standardized assessment but with increased emphasis on naturalistic observation of functional performance underpinned the clinical stratification process. This study uncovers some of the factors and processes influencing the early clinical-based stratification of driving suitability after stroke, and highlights the contribution of the generalist practitioner in the assessment of fitness to drive continuum.
Huckel Schneider, Carmen; Gillespie, James A; Wilson, Andrew
2017-05-01
Risk stratification has become a widely used tool for linking people identified at risk of health deterioration to the most appropriate evidence-based care. This article systematically reviews recent literature to determine key factors that have been identified as critical enablers and/or barriers to successful implementation of risk stratification tools at a system level. A systematic search found 23 articles and four promising protocols for inclusion in the review, covering the use to 20 different risk stratification tools. These articles reported on only a small fraction of the risk stratification tools used in health systems; suggesting that while the development and statistical validation of risk stratification algorithms is widely reported, there has been little published evaluation of how they are implemented in real-world settings. Controlled studies provided some evidence that the use of risk stratification tools in combination with a care management plan offer patient benefits and that the use of a risk stratification tool to determine components of a care management plan may contribute to reductions in hospital readmissions, patient satisfaction and improved patient outcomes. Studies with the strongest focus on implementation used qualitative and case study methods. Among these, the literature converged on four key areas of implementation that were found to be critical for overcoming barriers to success: the engagement of clinicians and safeguarding equity, both of which address barriers of acceptance; the health system context to address administrative, political and system design barriers; and data management and integration to address logistical barriers.
Trivedi, Palak J.; Corpechot, Christophe; Pares, Albert
2015-01-01
Primary biliary cirrhosis (PBC) and primary sclerosing cholangitis (PSC) are infrequent autoimmune cholestatic liver diseases, that disproportionate to their incidence and prevalence, remain very important causes of morbidity and mortality for patients with liver disease. Mechanistic insights spanning genetic risks and biological pathways to liver injury and fibrosis have led to a renewed interest in developing therapies beyond ursodeoxycholic acid that are aimed at both slowing disease course and improving quality of life. International cohort studies have facilitated a much greater understanding of disease heterogeneity, and in so doing highlight the opportunity to provide patients with a more individualized assessment of their risk of progressive liver disease, based on clinical, laboratory, or imaging findings. This has led to a new approach to patient care that focuses on risk stratification (both high and low risk); and furthermore allows such stratification tools to help identify patient subgroups at greatest potential benefit from inclusion in clinical trials. In this article, we review the applicability and validity of risk stratification in autoimmune cholestatic liver disease, highlighting strengths and weaknesses of current and emergent approaches. (Hepatology 2016;63:644–659) PMID:26290473
LIDAR detection of forest fire smoke above Sofia
NASA Astrophysics Data System (ADS)
Grigorov, Ivan; Deleva, Atanaska; Stoyanov, Dimitar; Kolev, Nikolay; Kolarov, Georgi
2015-01-01
The distribution of aerosol load in the atmosphere due to two forest fires near Sofia (the capital city of Bulgaria) was studied using two aerosol lidars which operated at 510.6 nm and 1064 nm. Experimental data is presented as 2D-heatmaps of the evolution of attenuated backscatter coefficient profiles and mean profile of the aerosol backscatter coefficient, calculated for each lidar observation. Backscatter related Angstrom exponent was used as a criterion in particle size estimation of detected smoke layers. Calculated minimal values at altitudes where the aerosol layer was observed corresponded to predominant fraction of coarse aerosol. Dust-transport forecast maps and calculations of backward trajectories were employed to make conclusions about aerosol's origin. They confirmed the local transport of smoke aerosol over the city and lidar station. DREAM forecast maps predicted neither cloud cover, nor Saharan load in the air above Sofia on the days of measurements. The results of lidar observations are discussed in conjunction with meteorological situation, aiming to better explain the reason for the observed aerosol stratification. The data of regular radio sounding of the atmosphere showed a characteristic behavior with small differences of the values between the air temperature and dew-point temperature profiles at aerosol smoke layer altitude. So the resulting stratification revealed the existence of atmospheric layers with aerosol trapping properties.
High resolution monitoring of episodic stratification events in an enclosed marine system
NASA Astrophysics Data System (ADS)
Sullivan, Timothy; Broszeit, Stefanie; O'Sullivan, Keith P. A.; McAllen, Rob; Davenport, John; Regan, Fiona
2013-05-01
While hypoxic and anoxic environments have existed throughout geological time, their frequency of occurrence in shallow coastal and estuarine areas appears to be increasing. However, few data are available on the physicochemical conditions at the boundary between anoxic and normoxic layers, including the conditions required for both formation and dissipation of stratification. Advances in autonomous environmental sensing technology have produced robust sensors capable of detailed measurements under inhospitable conditions created in such environments. In this study, an autonomous sensor approach was used to compare water column properties above and below the stratification before during and after dissipation of the stratification. Further, an investigation into the effect of the stratification on sedimentation rates of organic and inorganic matter and current speeds is reported here. Lough Hyne, a seasonally stratified temperate marine lake provided favourable conditions for this study. It was shown that temperatures dropped rapidly above the oxy-thermocline while increasing rapidly below the stratification, leading to a mixing of the complete water column. This was reflected in oxygen measurements below the stratification, which rose from anoxia to normoxic conditions over the same time period. During summer, the thermocline formed a barrier to organic matter sedimentation, reducing it significantly when present, while inorganic matter sedimentation was unaffected by the presence of thermocline. It also caused a reduction in current speeds below the thermocline.
Wang, W. Q.; Song, S. Q.; Li, S. H.; Gan, Y. Y.; Wu, J. H.; Cheng, H. Y.
2009-01-01
The effect of stratification on dormancy release of grape seeds crossing from the sub- to the supraoptimal range of temperatures and water contents was analysed by modified threshold models. The stratification impacted on dormancy release in three different ways: (i) dormancy was consistently released with prolonged stratification time when stratified at temperatures of <15 °C; (ii) at 15 °C and 20 °C, the stratification effect initially increased, and then decreased with extended time; and (iii) stratification at 25 °C only reduced germinable seeds. These behaviours indicated that stratification could not only release primary dormancy but also induce secondary dormancy in grape seed. The rate of dormancy release changed linearly in two phases, while induction increased exponentially with increasing temperature. The thermal time approaches effectively quantified dormancy release only at suboptimal temperature, but a quantitative method to integrate the occurrence of dormancy release and induction at the same time could describe it well at either sub- or supraoptimal temperatures. The regression with the percentage of germinable seeds versus stratification temperature or water content within both the sub- and supraoptimal range revealed how the optimal temperature (Tso) and water content (Wso) for stratification changed. The Tso moved from 10.6 °C to 5.3 °C with prolonged time, while Wso declined from >0.40 g H2O g DW−1 at 5 °C to ∼0.23 g H2O g DW−1 at 30 °C. Dormancy release in grape seeds can occur across a very wide range of conditions, which has important implications for their ability to adapt to a changeable environment in the wild. PMID:19491305
Brown, Tyson H; Richardson, Liana J; Hargrove, Taylor W; Thomas, Courtney S
2016-06-01
This study examines how the intersecting consequences of race-ethnicity, gender, socioeconomics status (SES), and age influence health inequality. We draw on multiple-hierarchy stratification and life course perspectives to address two main research questions. First, does racial-ethnic stratification of health vary by gender and/or SES? More specifically, are the joint health consequences of racial-ethnic, gender, and socioeconomic stratification additive or multiplicative? Second, does this combined inequality in health decrease, remain stable, or increase between middle and late life? We use panel data from the Health and Retirement Study (N = 12,976) to investigate between- and within-group differences in in self-rated health among whites, blacks, and Mexican Americans. Findings indicate that the effects of racial-ethnic, gender, and SES stratification are interactive, resulting in the greatest racial-ethnic inequalities in health among women and those with higher levels of SES. Furthermore, racial-ethnic/gender/SES inequalities in health tend to decline with age. These results are broadly consistent with intersectionality and aging-as-leveler hypotheses. © American Sociological Association 2016.
Brown, Tyson H.; Richardson, Liana J.; Hargrove, Taylor W.; Thomas, Courtney S.
2016-01-01
This study examines how the intersecting consequences of race-ethnicity, gender, socioeconomics status (SES), and age influence health inequality. We draw on multiple-hierarchy stratification and life course perspectives to address two main research questions. First, does racial-ethnic stratification of health vary by gender and/or SES? More specifically, are the joint health consequences of racial-ethnic, gender, and socioeconomic stratification additive or multiplicative? Second, does this combined inequality in health decrease, remain stable, or increase between middle and late life? We use panel data from the Health and Retirement Study (N = 12,976) to investigate between- and within-group differences in in self-rated health among whites, blacks, and Mexican Americans. Findings indicate that the effects of racial-ethnic, gender, and SES stratification are interactive, resulting in the greatest racial-ethnic inequalities in health among women and those with higher levels of SES. Furthermore, racial-ethnic/gender/SES inequalities in health tend to decline with age. These results are broadly consistent with intersectionality and aging-as-leveler hypotheses. PMID:27284076
NASA Astrophysics Data System (ADS)
Hamraz, Hamid; Contreras, Marco A.; Zhang, Jun
2017-08-01
Airborne LiDAR point cloud representing a forest contains 3D data, from which vertical stand structure even of understory layers can be derived. This paper presents a tree segmentation approach for multi-story stands that stratifies the point cloud to canopy layers and segments individual tree crowns within each layer using a digital surface model based tree segmentation method. The novelty of the approach is the stratification procedure that separates the point cloud to an overstory and multiple understory tree canopy layers by analyzing vertical distributions of LiDAR points within overlapping locales. The procedure does not make a priori assumptions about the shape and size of the tree crowns and can, independent of the tree segmentation method, be utilized to vertically stratify tree crowns of forest canopies. We applied the proposed approach to the University of Kentucky Robinson Forest - a natural deciduous forest with complex and highly variable terrain and vegetation structure. The segmentation results showed that using the stratification procedure strongly improved detecting understory trees (from 46% to 68%) at the cost of introducing a fair number of over-segmented understory trees (increased from 1% to 16%), while barely affecting the overall segmentation quality of overstory trees. Results of vertical stratification of the canopy showed that the point density of understory canopy layers were suboptimal for performing a reasonable tree segmentation, suggesting that acquiring denser LiDAR point clouds would allow more improvements in segmenting understory trees. As shown by inspecting correlations of the results with forest structure, the segmentation approach is applicable to a variety of forest types.
Prediction of Breast Cancer Risk by Aberrant Methylation in Mammary Duct Lavage
2006-07-01
Assessment of breast epithelial cells obtained by nipple duct lavage (NDL) may have value for breast cancer risk stratification. NDL was performed in 150...contribute to risk stratification. 15. SUBJECT TERMS breast cancer, DNA methylation, Methylation Specific PCR, Nipple Duct Lavage, Risk assessment 16...carcinogenesis. Nipple duct lavage (NDL) is a minimally invasive approach for obtaining breast epithelial cells. Cytological atypia identified in nipple
Predicting the risk of sudden cardiac death.
Lerma, Claudia; Glass, Leon
2016-05-01
Sudden cardiac death (SCD) is the result of a change of cardiac activity from normal (typically sinus) rhythm to a rhythm that does not pump adequate blood to the brain. The most common rhythms leading to SCD are ventricular tachycardia (VT) or ventricular fibrillation (VF). These result from an accelerated ventricular pacemaker or ventricular reentrant waves. Despite significant efforts to develop accurate predictors for the risk of SCD, current methods for risk stratification still need to be improved. In this article we briefly review current approaches to risk stratification. Then we discuss the mathematical basis for dynamical transitions (called bifurcations) that may lead to VT and VF. One mechanism for transition to VT or VF involves a perturbation by a premature ventricular complex (PVC) during sinus rhythm. We describe the main mechanisms of PVCs (reentry, independent pacemakers and abnormal depolarizations). An emerging approach to risk stratification for SCD involves the development of individualized dynamical models of a patient based on measured anatomy and physiology. Careful analysis and modelling of dynamics of ventricular arrhythmia on an individual basis will be essential in order to improve risk stratification for SCD and to lay a foundation for personalized (precision) medicine in cardiology. © 2015 The Authors. The Journal of Physiology © 2015 The Physiological Society.
McMahan, Zsuzsanna H.; Wigley, Fredrick M.
2015-01-01
Digital ischemia is a painful and often disfiguring event. Such an ischemic event often leads to tissue loss and can significantly affect the patient’s quality of life. Digital ischemia can be secondary to a vasculopathy, vasculitis, embolic disease, trauma, or extrinsic vascular compression. It is an especially serious complication in patients with scleroderma. Risk stratification of patients with scleroderma at risk for digital ischemia is now possible with clinical assessment and autoantibody profiles. Because there are a variety of conditions that lead to digital ischemia, it is important to understand the pathophysiology underlying each ischemic presentation in order to target therapy appropriately. Significant progress has been made in the last two decades in defining the pathophysiological processes leading to digital ischemia in rheumatic diseases. In this article we review the risk stratification, diagnosis, and management of patients with digital ischemia and provide a practical approach to therapy, particularly in scleroderma. PMID:26523153
Impact of Satellite Remote Sensing Data on Simulations of ...
We estimated surface salinity flux and solar penetration from satellite data, and performed model simulations to examine the impact of including the satellite estimates on temperature, salinity, and dissolved oxygen distributions on the Louisiana continental shelf (LCS) near the annual hypoxic zone. Rainfall data from the Tropical Rainfall Measurement Mission (TRMM) were used for the salinity flux, and the diffuse attenuation coefficient (Kd) from Moderate Resolution Imaging Spectroradiometer (MODIS) were used for solar penetration. Improvements in the model results in comparison with in situ observations occurred when the two types of satellite data were included. Without inclusion of the satellite-derived surface salinity flux, realistic monthly variability in the model salinity fields was observed, but important inter-annual variability wasmissed. Without inclusion of the satellite-derived light attenuation, model bottom water temperatures were too high nearshore due to excessive penetration of solar irradiance. In general, these salinity and temperature errors led to model stratification that was too weak, and the model failed to capture observed spatial and temporal variability in water-column vertical stratification. Inclusion of the satellite data improved temperature and salinity predictions and the vertical stratification was strengthened, which improved prediction of bottom-water dissolved oxygen. The model-predicted area of bottom-water hypoxia on the
Mental health in primary care: an evaluation using the Item Response Theory
da Rocha, Hugo André; dos Santos, Alaneir de Fátima; Reis, Ilka Afonso; Santos, Marcos Antônio da Cunha; Cherchiglia, Mariângela Leal
2018-01-01
ABSTRACT OBJECTIVE To determine the items of the Brazilian National Program for Improving Access and Quality of Primary Care that better evaluate the capacity to provide mental health care. METHODS This is a cross-sectional study carried out using the Graded Response Model of the Item Response Theory using secondary data from the second cycle of the National Program for Improving Access and Quality of Primary Care, which evaluates 30,523 primary care teams in the period from 2013 to 2014 in Brazil. The internal consistency, correlation between items, and correlation between items and the total score were tested using the Cronbach’s alpha, Spearman’s correlation, and point biserial coefficients, respectively. The assumptions of unidimensionality and local independence of the items were tested. Word clouds were used as one way to present the results. RESULTS The items with the greatest ability to discriminate were scheduling of the agenda according to risk stratification, keeping of records of the most serious cases of users in psychological distress, and provision of group care. The items that required a higher level of mental health care in the parameter of location were the provision of any type of group care and the provision of educational and mental health promotion activities. Total Cronbach’s alpha coefficient was 0.87. The items that obtained the highest correlation with total score were the recording of the most serious cases of users in psychological distress and scheduling of the agenda according to risk stratification. The final scores obtained oscillated between -2.07 (minimum) and 1.95 (maximum). CONCLUSIONS There are important aspects in the discrimination of the capacity to provide mental health care by primary health care teams: risk stratification for care management, follow-up of the most serious cases, group care, and preventive and health promotion actions. PMID:29489992
Effect of sample stratification on dairy GWAS results
2012-01-01
Background Artificial insemination and genetic selection are major factors contributing to population stratification in dairy cattle. In this study, we analyzed the effect of sample stratification and the effect of stratification correction on results of a dairy genome-wide association study (GWAS). Three methods for stratification correction were used: the efficient mixed-model association expedited (EMMAX) method accounting for correlation among all individuals, a generalized least squares (GLS) method based on half-sib intraclass correlation, and a principal component analysis (PCA) approach. Results Historical pedigree data revealed that the 1,654 contemporary cows in the GWAS were all related when traced through approximately 10–15 generations of ancestors. Genome and phenotype stratifications had a striking overlap with the half-sib structure. A large elite half-sib family of cows contributed to the detection of favorable alleles that had low frequencies in the general population and high frequencies in the elite cows and contributed to the detection of X chromosome effects. All three methods for stratification correction reduced the number of significant effects. EMMAX method had the most severe reduction in the number of significant effects, and the PCA method using 20 principal components and GLS had similar significance levels. Removal of the elite cows from the analysis without using stratification correction removed many effects that were also removed by the three methods for stratification correction, indicating that stratification correction could have removed some true effects due to the elite cows. SNP effects with good consensus between different methods and effect size distributions from USDA’s Holstein genomic evaluation included the DGAT1-NIBP region of BTA14 for production traits, a SNP 45kb upstream from PIGY on BTA6 and two SNPs in NIBP on BTA14 for protein percentage. However, most of these consensus effects had similar frequencies in the elite and average cows. Conclusions Genetic selection and extensive use of artificial insemination contributed to overlapped genome, pedigree and phenotype stratifications. The presence of an elite cluster of cows was related to the detection of rare favorable alleles that had high frequencies in the elite cluster and low frequencies in the remaining cows. Methods for stratification correction could have removed some true effects associated with genetic selection. PMID:23039970
Pifer, Ashley D; Miskin, Daniel R; Cousins, Sarah L; Fairey, Julian L
2011-07-08
Using asymmetrical flow field-flow fractionation (AF4) and fluorescence parallel factor analysis (PARAFAC), we showed physicochemical properties of chromophoric dissolved organic matter (CDOM) in the Beaver Lake Reservoir (Lowell, AR) were stratified by depth. Sampling was performed at a drinking water intake structure from May to July 2010 at three depths (3-, 10-, and 18-m) below the water surface. AF4-fractograms showed that the CDOM had diffusion coefficient peak maximums between 3.5 and 2.8 x 10⁻⁶ cm² s⁻¹, which corresponded to a molecular weight range of 680-1950 Da and a size of 1.6-2.5 nm. Fluorescence excitation-emission matrices of whole water samples and AF4-generated fractions were decomposed with a PARAFAC model into five principal components. For the whole water samples, the average total maximum fluorescence was highest for the 10-m depth samples and lowest (about 40% less) for 18-m depth samples. While humic-like fluorophores comprised the majority of the total fluorescence at each depth, a protein-like fluorophore was in the least abundance at the 10-m depth, indicating stratification of both total fluorescence and the type of fluorophores. The results present a powerful approach to investigate CDOM properties and can be extended to investigate CDOM reactivity, with particular applications in areas such as disinfection byproduct formation and control and evaluating changes in drinking water source quality driven by climate change. Copyright © 2010 Elsevier B.V. All rights reserved.
Sengupta, Dhriti; Choudhury, Ananyo; Basu, Analabha; Ramsay, Michèle
2016-01-01
Genomic variation in Indian populations is of great interest due to the diversity of ancestral components, social stratification, endogamy and complex admixture patterns. With an expanding population of 1.2 billion, India is also a treasure trove to catalogue innocuous as well as clinically relevant rare mutations. Recent studies have revealed four dominant ancestries in populations from mainland India: Ancestral North-Indian (ANI), Ancestral South-Indian (ASI), Ancestral Tibeto–Burman (ATB) and Ancestral Austro-Asiatic (AAA). The 1000 Genomes Project (KGP) Phase-3 data include about 500 genomes from five linguistically defined Indian-Subcontinent (IS) populations (Punjabi, Gujrati, Bengali, Telugu and Tamil) some of whom are recent migrants to USA or UK. Comparative analyses show that despite the distinct geographic origins of the KGP-IS populations, the ANI component is predominantly represented in this dataset. Previous studies demonstrated population substructure in the HapMap Gujrati population, and we found evidence for additional substructure in the Punjabi and Telugu populations. These substructured populations have characteristic/significant differences in heterozygosity and inbreeding coefficients. Moreover, we demonstrate that the substructure is better explained by factors like differences in proportion of ancestral components, and endogamy driven social structure rather than invoking a novel ancestral component to explain it. Therefore, using language and/or geography as a proxy for an ethnic unit is inadequate for many of the IS populations. This highlights the necessity for more nuanced sampling strategies or corrective statistical approaches, particularly for biomedical and population genetics research in India. PMID:27797945
Revealing cancer subtypes with higher-order correlations applied to imaging and omics data.
Graim, Kiley; Liu, Tiffany Ting; Achrol, Achal S; Paull, Evan O; Newton, Yulia; Chang, Steven D; Harsh, Griffith R; Cordero, Sergio P; Rubin, Daniel L; Stuart, Joshua M
2017-03-31
Patient stratification to identify subtypes with different disease manifestations, severity, and expected survival time is a critical task in cancer diagnosis and treatment. While stratification approaches using various biomarkers (including high-throughput gene expression measurements) for patient-to-patient comparisons have been successful in elucidating previously unseen subtypes, there remains an untapped potential of incorporating various genotypic and phenotypic data to discover novel or improved groupings. Here, we present HOCUS, a unified analytical framework for patient stratification that uses a community detection technique to extract subtypes out of sparse patient measurements. HOCUS constructs a patient-to-patient network from similarities in the data and iteratively groups and reconstructs the network into higher order clusters. We investigate the merits of using higher-order correlations to cluster samples of cancer patients in terms of their associations with survival outcomes. In an initial test of the method, the approach identifies cancer subtypes in mutation data of glioblastoma, ovarian, breast, prostate, and bladder cancers. In several cases, HOCUS provides an improvement over using the molecular features directly to compare samples. Application of HOCUS to glioblastoma images reveals a size and location classification of tumors that improves over human expert-based stratification. Subtypes based on higher order features can reveal comparable or distinct groupings. The distinct solutions can provide biologically- and treatment-relevant solutions that are just as significant as solutions based on the original data.
Liu, Bo; Liu, Pei; Xu, Zhenli; Zhou, Shenggao
2013-10-01
Near a charged surface, counterions of different valences and sizes cluster; and their concentration profiles stratify. At a distance from such a surface larger than the Debye length, the electric field is screened by counterions. Recent studies by a variational mean-field approach that includes ionic size effects and by Monte Carlo simulations both suggest that the counterion stratification is determined by the ionic valence-to-volume ratios. Central in the mean-field approach is a free-energy functional of ionic concentrations in which the ionic size effects are included through the entropic effect of solvent molecules. The corresponding equilibrium conditions define the generalized Boltzmann distributions relating the ionic concentrations to the electrostatic potential. This paper presents a detailed analysis and numerical calculations of such a free-energy functional to understand the dependence of the ionic charge density on the electrostatic potential through the generalized Boltzmann distributions, the role of ionic valence-to-volume ratios in the counterion stratification, and the modification of Debye length due to the effect of ionic sizes.
Liu, Bo; Liu, Pei; Xu, Zhenli; Zhou, Shenggao
2013-01-01
Near a charged surface, counterions of different valences and sizes cluster; and their concentration profiles stratify. At a distance from such a surface larger than the Debye length, the electric field is screened by counterions. Recent studies by a variational mean-field approach that includes ionic size effects and by Monte Carlo simulations both suggest that the counterion stratification is determined by the ionic valence-to-volume ratios. Central in the mean-field approach is a free-energy functional of ionic concentrations in which the ionic size effects are included through the entropic effect of solvent molecules. The corresponding equilibrium conditions define the generalized Boltzmann distributions relating the ionic concentrations to the electrostatic potential. This paper presents a detailed analysis and numerical calculations of such a free-energy functional to understand the dependence of the ionic charge density on the electrostatic potential through the generalized Boltzmann distributions, the role of ionic valence-to-volume ratios in the counterion stratification, and the modification of Debye length due to the effect of ionic sizes. PMID:24465094
Santos, Ana A. S.; Silva, Anne K. F.; Vanderlei, Franciele M.; Christofaro, Diego G. D.; Gonçalves, Aline F. L.; Vanderlei, Luiz C. M.
2016-01-01
ABSTRACT Background Cardiac risk stratification is related to the risk of the occurrence of events induced by exercise. Despite the existence of several protocols to calculate risk stratification, studies indicating that there is similarity between these protocols are still unknown. Objective To evaluate the agreement between the existing protocols on cardiac risk rating in cardiac patients. Method The records of 50 patients from a cardiac rehabilitation program were analyzed, from which the following information was extracted: age, sex, weight, height, clinical diagnosis, medical history, risk factors, associated diseases, and the results from the most recent laboratory and complementary tests performed. This information was used for risk stratification of the patients in the protocols of the American College of Sports Medicine, the Brazilian Society of Cardiology, the American Heart Association, the protocol designed by Frederic J. Pashkow, the American Association of Cardiovascular and Pulmonary Rehabilitation, the Société Française de Cardiologie, and the Sociedad Española de Cardiología. Descriptive statistics were used to characterize the sample and the analysis of agreement between the protocols was calculated using the Kappa coefficient. Differences were considered with a significance level of 5%. Results Of the 21 analyses of agreement, 12 were considered significant between the protocols used for risk classification, with nine classified as moderate and three as low. No agreements were classified as excellent. Different proportions were observed in each risk category, with significant differences between the protocols for all risk categories. Conclusion The agreements between the protocols were considered low and moderate and the risk proportions differed between protocols. PMID:27556385
The feasibility of thermal and compositional convection in Earth's inner core
NASA Astrophysics Data System (ADS)
Lythgoe, Karen H.; Rudge, John F.; Neufeld, Jerome A.; Deuss, Arwen
2015-05-01
Inner core convection, and the corresponding variations in grain size and alignment, has been proposed to explain the complex seismic structure of the inner core, including its anisotropy, lateral variations and the F-layer at the base of the outer core. We develop a parametrized convection model to investigate the possibility of convection in the inner core, focusing on the dominance of the plume mode of convection versus the translation mode. We investigate thermal and compositional convection separately so as to study the end-members of the system. In the thermal case the dominant mode of convection is strongly dependent on the viscosity of the inner core, the magnitude of which is poorly constrained. Furthermore recent estimates of a large core thermal conductivity result in stable thermal stratification, hindering convection. However, an unstable density stratification may arise due to the pressure dependant partition coefficient of certain light elements. We show that this unstable stratification leads to compositionally driven convection, and that inner core translation is likely to be the dominant convective mode due to the low compositional diffusivity. The style of convection resulting from a combination of both thermal and compositional effects is not easy to understand. For reasonable parameter estimates, the stabilizing thermal buoyancy is greater than the destabilizing compositional buoyancy. However we anticipate complex double diffusive processes to occur given the very different thermal and compositional diffusivities.
The Feasibility of Thermal and Compositional Convection in Earth's Inner Core
NASA Astrophysics Data System (ADS)
Lythgoe, K.; Rudge, J. F.; Neufeld, J. A.; Deuss, A. F.
2014-12-01
Inner core convection, and the corresponding variations in grain size and alignment, has been proposed to explain the complex seismic structure of the inner core, including its anisotropy, lateral variations and the F-layer at the base of the outer core. We develop a parameterised convection model to investigate the possibility of convection in the inner core, focusing on the dominance of the plume mode of convection versus the translation mode. We investigate thermal and compositional convection separately so as to study the end-members of the system. In the thermal case the dominant mode of convection is strongly dependent on the viscosity of the inner core, the magnitude of which is poorly constrained. Furthermore recent estimates of a large core thermal conductivity result in stable thermal stratification, hindering convection. However, an unstable density stratification may arise due to the pressure dependant partition coefficient of certain light elements. We show that this unstable stratification leads to compositionally driven convection, and that inner core translation is likely to be the dominant convective mode due to the low compositional diffusivity. The style of convection resulting from a combination of both thermal and compositional effects is not easy to understand. The stabilising thermal buoyancy is greater than the destabilising compositional buoyancy, however we anticipate complex double diffusive processes to occur given the very different thermal and compositional diffusivities and more work is needed to understand these processes.
Polar ocean stratification in a cold climate.
Sigman, Daniel M; Jaccard, Samuel L; Haug, Gerald H
2004-03-04
The low-latitude ocean is strongly stratified by the warmth of its surface water. As a result, the great volume of the deep ocean has easiest access to the atmosphere through the polar surface ocean. In the modern polar ocean during the winter, the vertical distribution of temperature promotes overturning, with colder water over warmer, while the salinity distribution typically promotes stratification, with fresher water over saltier. However, the sensitivity of seawater density to temperature is reduced as temperature approaches the freezing point, with potential consequences for global ocean circulation under cold climates. Here we present deep-sea records of biogenic opal accumulation and sedimentary nitrogen isotopic composition from the Subarctic North Pacific Ocean and the Southern Ocean. These records indicate that vertical stratification increased in both northern and southern high latitudes 2.7 million years ago, when Northern Hemisphere glaciation intensified in association with global cooling during the late Pliocene epoch. We propose that the cooling caused this increased stratification by weakening the role of temperature in polar ocean density structure so as to reduce its opposition to the stratifying effect of the vertical salinity distribution. The shift towards stratification in the polar ocean 2.7 million years ago may have increased the quantity of carbon dioxide trapped in the abyss, amplifying the global cooling.
Huebner, Thomas; Goernig, Matthias; Schuepbach, Michael; Sanz, Ernst; Pilgram, Roland; Seeck, Andrea; Voss, Andreas
2010-01-01
Background: Electrocardiographic methods still provide the bulk of cardiovascular diagnostics. Cardiac ischemia is associated with typical alterations in cardiac biosignals that have to be measured, analyzed by mathematical algorithms and allegorized for further clinical diagnostics. The fast growing fields of biomedical engineering and applied sciences are intensely focused on generating new approaches to cardiac biosignal analysis for diagnosis and risk stratification in myocardial ischemia. Objectives: To present and review the state of the art in and new approaches to electrocardiologic methods for non-invasive detection and risk stratification in coronary artery disease (CAD) and myocardial ischemia; secondarily, to explore the future perspectives of these methods. Methods: In follow-up to the Expert Discussion at the 2008 Workshop on "Biosignal Analysis" of the German Society of Biomedical Engineering in Potsdam, Germany, we comprehensively searched the pertinent literature and databases and compiled the results into this review. Then, we categorized the state-of-the-art methods and selected new approaches based on their applications in detection and risk stratification of myocardial ischemia. Finally, we compared the pros and cons of the methods and explored their future potentials for cardiology. Results: Resting ECG, particularly suited for detecting ST-elevation myocardial infarctions, and exercise ECG, for the diagnosis of stable CAD, are state-of-the-art methods. New exercise-free methods for detecting stable CAD include cardiogoniometry (CGM); methods for detecting acute coronary syndrome without ST elevation are Body Surface Potential Mapping, functional imaging and CGM. Heart rate variability and blood pressure variability analyses, microvolt T-wave alternans and signal-averaged ECG mainly serve in detecting and stratifying the risk for lethal arrythmias in patients with myocardial ischemia or previous myocardial infarctions. Telemedicine and ambient-assisted living support the electrocardiological monitoring of at-risk patients. Conclusions: There are many promising methods for the exercise-free, non-invasive detection of CAD and myocardial ischemia in the stable and acute phases. In the coming years, these new methods will help enhance state-of-the-art procedures in routine diagnostics. The future can expect that equally novel methods for risk stratification and telemedicine will transition into clinical routine. PMID:21063467
Pollutant Plume Dispersion in the Atmospheric Boundary Layer over Idealized Urban Roughness
NASA Astrophysics Data System (ADS)
Wong, Colman C. C.; Liu, Chun-Ho
2013-05-01
The Gaussian model of plume dispersion is commonly used for pollutant concentration estimates. However, its major parameters, dispersion coefficients, barely account for terrain configuration and surface roughness. Large-scale roughness elements (e.g. buildings in urban areas) can substantially modify the ground features together with the pollutant transport in the atmospheric boundary layer over urban roughness (also known as the urban boundary layer, UBL). This study is thus conceived to investigate how urban roughness affects the flow structure and vertical dispersion coefficient in the UBL. Large-eddy simulation (LES) is carried out to examine the plume dispersion from a ground-level pollutant (area) source over idealized street canyons for cross flows in neutral stratification. A range of building-height-to-street-width (aspect) ratios, covering the regimes of skimming flow, wake interference, and isolated roughness, is employed to control the surface roughness. Apart from the widely used aerodynamic resistance or roughness function, the friction factor is another suitable parameter that measures the drag imposed by urban roughness quantitatively. Previous results from laboratory experiments and mathematical modelling also support the aforementioned approach for both two- and three-dimensional roughness elements. Comparing the UBL plume behaviour, the LES results show that the pollutant dispersion strongly depends on the friction factor. Empirical studies reveal that the vertical dispersion coefficient increases with increasing friction factor in the skimming flow regime (lower resistance) but is more uniform in the regimes of wake interference and isolated roughness (higher resistance). Hence, it is proposed that the friction factor and flow regimes could be adopted concurrently for pollutant concentration estimate in the UBL over urban street canyons of different roughness.
Novel Molecular Imaging Approaches to Abdominal Aortic Aneurysm Risk Stratification
Toczek, Jakub; Meadows, Judith L.; Sadeghi, Mehran M.
2015-01-01
Selection of patients for abdominal aortic aneurysm (AAA) repair is currently based on aneurysm size, growth rate and symptoms. Molecular imaging of biological processes associated with aneurysm growth and rupture, e.g., inflammation and matrix remodeling, could improve patient risk stratification and lead to a reduction in AAA morbidity and mortality. 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET) and ultrasmall superparamagnetic particles of iron oxide (USPIO) magnetic resonance imaging are two novel approaches to AAA imaging evaluated in clinical trials. A variety of other tracers, including those that target inflammatory cells and proteolytic enzymes (e.g., integrin αvβ3 and matrix metalloproteinases), have proven effective in preclinical models of AAA and show great potential for clinical translation. PMID:26763279
On electron bunching and stratification of glow discharges
DOE Office of Scientific and Technical Information (OSTI.GOV)
Golubovskii, Yuri B.; Kolobov, Vladimir I.; Nekuchaev, Vladimir O.
2013-10-15
Plasma stratification and excitation of ionization waves is one of the fundamental problems in gas discharge physics. Significant progress in this field is associated with the name of Lev Tsendin. He advocated the need for the kinetic approach to this problem contrary to the traditional hydrodynamic approach, introduced the idea of electron bunching in spatially periodic electric fields, and developed a theory of kinetic resonances for analysis of moving striations in rare gases. The present paper shows how Tsendin's ideas have been further developed and applied for understanding the nature of the well-known S-, P-, and R-striations observed in glowmore » discharges of inert gases at low pressures and currents. We review numerical solutions of a Fokker-Planck kinetic equation in spatially periodic electric fields under the effects of elastic and inelastic collisions of electrons with atoms. We illustrate the formation of kinetic resonances at specific field periods for different shapes of injected Electron Distribution Functions (EDF). Computer simulations illustrate how self-organization of the EDFs occurs under nonlocal conditions and how Gaussian-like peaks moving along resonance trajectories are formed in a certain range of discharge conditions. The calculated EDFs agree well with the experimentally measured EDFs for the S, P, and R striations in noble gases. We discuss how kinetic resonances affect dispersion characteristics of moving striations and mention some non-linear effects associated with glow discharge stratification. We propose further studies of stratification phenomena combining physical kinetics and non-linear physics.« less
High-resolution Mapping of Forest Carbon Stocks in the Colombian Amazon
NASA Astrophysics Data System (ADS)
Asner, G. P.; Clark, J. K.; Mascaro, J.; Galindo García, G. A.; Chadwick, K. D.; Navarrete Encinales, D. A.; Paez-Acosta, G.; Cabrera Montenegro, E.; Kennedy-Bowdoin, T.; Duque, Á.; Balaji, A.; von Hildebrand, P.; Maatoug, L.; Bernal, J. F. Phillips; Knapp, D. E.; García Dávila, M. C.; Jacobson, J.; Ordóñez, M. F.
2012-03-01
High-resolution mapping of tropical forest carbon stocks can assist forest management and improve implementation of large-scale carbon retention and enhancement programs. Previous high-resolution approaches have relied on field plot and/or Light Detection and Ranging (LiDAR) samples of aboveground carbon density, which are typically upscaled to larger geographic areas using stratification maps. Such efforts often rely on detailed vegetation maps to stratify the region for sampling, but existing tropical forest maps are often too coarse and field plots too sparse for high resolution carbon assessments. We developed a top-down approach for high-resolution carbon mapping in a 16.5 million ha region (>40 %) of the Colombian Amazon - a remote landscape seldom documented. We report on three advances for large-scale carbon mapping: (i) employing a universal approach to airborne LiDAR-calibration with limited field data; (ii) quantifying environmental controls over carbon densities; and (iii) developing stratification- and regression-based approaches for scaling up to regions outside of LiDAR coverage. We found that carbon stocks are predicted by a combination of satellite-derived elevation, fractional canopy cover and terrain ruggedness, allowing upscaling of the LiDAR samples to the full 16.5 million ha region. LiDAR-derived carbon mapping samples had 14.6 % uncertainty at 1 ha resolution, and regional maps based on stratification and regression approaches had 25.6 % and 29.6 % uncertainty, respectively, in any given hectare. High-resolution approaches with reported local-scale uncertainties will provide the most confidence for monitoring changes in tropical forest carbon stocks. Improved confidence will allow resource managers and decision-makers to more rapidly and effectively implement actions that better conserve and utilize forests in tropical regions.
Air- ice-snow interaction in the Northern Hemisphere under different stability conditions
NASA Astrophysics Data System (ADS)
Repina, Irina; Chechin, Dmitry; Artamonov, Arseny
2013-04-01
The traditional parameterizations of the atmospheric boundary layer are based on similarity theory and the coefficients of turbulent transfer, describing the atmospheric-surface interaction and the diffusion of impurities in the operational models of air pollution, weather forecasting and climate change. Major drawbacks of these parameterizations is that they are not applicable for the extreme conditions of stratification and currents over complex surfaces (such as sea ice, marginal ice zone or stormy sea). These problem could not be overcome within the framework of classical theory, i.e, by rectifying similarity functions or through the introduction of amendments to the traditional turbulent closure schemes. Lack of knowledge on the structure of the surface air layer and the exchange of momentum, heat and moisture between the rippling water surface and the atmosphere at different atmospheric stratifications is at present the major obstacle which impede proper functioning of the operational global and regional weather prediction models and expert models of climate and climate change. This is especially important for the polar regions, where in winter time the development of strong stable boundary layer in the presence of polynyas and leads usually occur. Experimental studies of atmosphere-ice-snow interaction under different stability conditions are presented. Strong stable and unstable conditions are discussed. Parametrizations of turbulent heat and gas exchange at the atmosphere ocean interface are developed. The dependence of the exchange coefficients and aerodynamic roughness on the atmospheric stratification over the snow and ice surface is experimentally confirmed. The drag coefficient is reduced with increasing stability. The behavior of the roughness parameter is simple. This result was obtained in the Arctic from the measurements over hummocked surface. The value of the roughness in the Arctic is much less than that observed over the snow in the middle and even high latitudes of the Northern Hemisphere because the stable conditions above Arctic ice field dominate. Under such conditions the air flow over the uneven surface behaves in the way it does over the even one. This happens because depressions between ridges are filled with heavier air up to the height of irreguralities. As a result, the air moves at the level of ridges without entering depressions. Increased heat and mass transfer over polynyas and leads through self-organization of turbulent convection is found. The work was sponsored by RFBR grants and funded by the Government of the Russian Federation grants.
Sengupta, Dhriti; Choudhury, Ananyo; Basu, Analabha; Ramsay, Michèle
2016-12-31
Genomic variation in Indian populations is of great interest due to the diversity of ancestral components, social stratification, endogamy and complex admixture patterns. With an expanding population of 1.2 billion, India is also a treasure trove to catalogue innocuous as well as clinically relevant rare mutations. Recent studies have revealed four dominant ancestries in populations from mainland India: Ancestral North-Indian (ANI), Ancestral South-Indian (ASI), Ancestral Tibeto-Burman (ATB) and Ancestral Austro-Asiatic (AAA). The 1000 Genomes Project (KGP) Phase-3 data include about 500 genomes from five linguistically defined Indian-Subcontinent (IS) populations (Punjabi, Gujrati, Bengali, Telugu and Tamil) some of whom are recent migrants to USA or UK. Comparative analyses show that despite the distinct geographic origins of the KGP-IS populations, the ANI component is predominantly represented in this dataset. Previous studies demonstrated population substructure in the HapMap Gujrati population, and we found evidence for additional substructure in the Punjabi and Telugu populations. These substructured populations have characteristic/significant differences in heterozygosity and inbreeding coefficients. Moreover, we demonstrate that the substructure is better explained by factors like differences in proportion of ancestral components, and endogamy driven social structure rather than invoking a novel ancestral component to explain it. Therefore, using language and/or geography as a proxy for an ethnic unit is inadequate for many of the IS populations. This highlights the necessity for more nuanced sampling strategies or corrective statistical approaches, particularly for biomedical and population genetics research in India. © The Author(s) 2016. Published by Oxford University Press on behalf of the Society for Molecular Biology and Evolution.
Jenkins, Tania M
2018-06-01
The United States relies on international and osteopathic medical graduates ("non-USMDs") to fill one third of residency positions because of a shortage of American MD graduates ("USMDs"). Non-USMDs are often informally excluded from top residency positions, while USMDs tend to fill the most prestigious residencies. Little is known, however, about whether the training in these different settings is comparable or how it impacts patients. Drawing on 23 months of ethnographic fieldwork and 123 interviews, I compare training at two internal medicine programs: a community hospital staffing 90% non-USMDs and a university hospital staffing 99% USMDs. The community program's structure lent itself to a hands-off approach resulting in "inconsistent autonomy." In contrast, the university hospital supervised its residents much more regularly, resulting in "supported autonomy." I conclude that medicine may be stratified in unexpected ways between USMDs and non-USMDs and that stratification may matter for patients.
NASA Astrophysics Data System (ADS)
Chan, Ming-Chung; Liu, Chun-Ho
2013-04-01
Recently, with the ever increasing urban areas in developing countries, the problem of air pollution due to vehicular exhaust arouses the concern of different groups of people. Understanding how different factors, such as urban morphology, meteorological conditions and human activities, affect the characteristics of street canyon ventilation, pollutant dispersion above urban areas and pollutant re-entrainment from the shear layer can help us improve air pollution control strategies. Among the factors mentioned above, thermal stratification is a significant one determining the pollutant transport behaviors in certain situation, e.g. when the urban surface is heated by strong solar radiation, which, however, is still not widely explored. The objective of this study is to gain an in-depth understanding of the effects of unstable thermal stratification on the flows and pollutant dispersion within and above urban street canyons through numerical modeling using large-eddy simulation (LES). In this study, LES equipped with one-equation subgrid-scale (SGS) model is employed to model the flows and pollutant dispersion within and above two-dimensional (2D) urban street canyons (flanked by idealized buildings, which are square solid bars in these models) under different intensities of unstable thermal stratifications. Three building-height-to-street-width (aspect) ratios, 0.5, 1 and 2, are included in this study as a representation of different building densities. The prevailing wind flow above the urban canopy is driven by background pressure gradient, which is perpendicular to the street axis, while the condition of unstable thermal stratification is induced by applying a higher uniform temperature on the no-slip urban surface. The relative importance between stratification and background wind is characterized by the Richardson number, with zero value as a neutral case and negative value as an unstable case. The buoyancy force is modeled by Boussinesq approximation and the intensity of stratification is controlled by the gravitational acceleration. The urban characteristic is modeled by periodic boundary conditions at the domain inlet-outlet and spanwise extent, so as to simulate the infinitely long and wide urban area. Pollutant dispersion is modeled by scalar transport with the pollutant area source on the ground of the first street canyon and by open boundary condition at the domain outlet. The numerical models are solved with incremental time steps until it reaches the pseudo steady-state. Afterwards, a set of data is collected for each model such that the temporal averages of mean and fluctuating field variables do not vary significantly if more time steps are included. It is found that the ventilation performance is improved and the plume dispersion in shear layer is enhanced when the stratification is more unstable. The mean flows, turbulent transports of pollutant and momentum, pollutant concentration fields in different unstable stratifications will be discussed with profile and contour plots. The ventilation performance of a street canyon evaluated by air exchange rate (ACH) and pollutant exchange rate (PCH) at roof level and the plume dispersion characterized by the mean plume height and dispersion coefficient in shear layer will also be discussed.
NASA Astrophysics Data System (ADS)
Xu, Wenrui; Lai, Dong
2017-10-01
In coalescing neutron star (NS) binaries, tidal force can resonantly excite low-frequency (≲500 Hz ) oscillation modes in the NS, transferring energy between the orbit and the NS. This resonant tide can induce phase shift in the gravitational waveforms, and potentially provide a new window of studying NS interior using gravitational waves. Previous works have considered tidal excitations of pure g-modes (due to stable stratification of the star) and pure inertial modes (due to Coriolis force), with the rotational effect treated in an approximate manner. However, for realistic NSs, the buoyancy and rotational effects can be comparable, giving rise to mixed inertial-gravity modes. We develop a nonperturbative numerical spectral code to compute the frequencies and tidal coupling coefficients of these modes. We then calculate the phase shift in the gravitational waveform due to each resonance during binary inspiral. Given the uncertainties in the NS equation of state and stratification property, we adopt polytropic NS models with a parametrized stratification. We derive relevant scaling relations and survey how the phase shift depends on various properties of the NS. We find that for canonical NSs (with mass M =1.4 M⊙ and radius R =10 km ) and modest rotation rates (≲300 Hz ), the gravitational wave phase shift due to a resonance is generally less than 0.01 radian. But the phase shift is a strong function of R and M , and can reach a radian or more for low-mass NSs with larger radii (R ≳15 km ). Significant phase shift can also be produced when the combination of stratification and rotation gives rise to a very low frequency (≲20 Hz in the inertial frame) modified g-mode. As a by-product of our precise calculation of oscillation modes in rotating NSs, we find that some inertial modes can be strongly affected by stratification; we also find that the m =1 r -mode, previously identified to have a small but finite inertial-frame frequency based on the Cowling approximation, in fact has essentially zero frequency, and therefore cannot be excited during the inspiral phase of NS binaries.
Characterization of Sodium Thermal Hydraulics with Optical Fiber Temperature Sensors
NASA Astrophysics Data System (ADS)
Weathered, Matthew Thomas
The thermal hydraulic properties of liquid sodium make it an attractive coolant for use in Generation IV reactors. The liquid metal's high thermal conductivity and low Prandtl number increases efficiency in heat transfer at fuel rods and heat exchangers, but can also cause features such as high magnitude temperature oscillations and gradients in the coolant. Currently, there exists a knowledge gap in the mechanisms which may create these features and their effect on mechanical structures in a sodium fast reactor. Two of these mechanisms include thermal striping and thermal stratification. Thermal striping is the oscillating temperature field created by the turbulent mixing of non-isothermal flows. Usually this occurs at the reactor core outlet or in piping junctions and can cause thermal fatigue in mechanical structures. Meanwhile, thermal stratification results from large volumes of non-isothermal sodium in a pool type reactor, usually caused by a loss of coolant flow accident. This stratification creates buoyancy driven flow transients and high temperature gradients which can also lead to thermal fatigue in reactor structures. In order to study these phenomena in sodium, a novel method for the deployment of optical fiber temperature sensors was developed. This method promotes rapid thermal response time and high spatial temperature resolution in the fluid. The thermal striping and stratification behavior in sodium may be experimentally analyzed with these sensors with greater fidelity than ever before. Thermal striping behavior at a junction of non-isothermal sodium was fully characterized with optical fibers. An experimental vessel was hydrodynamically scaled to model thermal stratification in a prototypical sodium reactor pool. Novel auxiliary applications of the optical fiber temperature sensors were developed throughout the course of this work. One such application includes local convection coefficient determination in a vessel with the corollary application of level sensing. Other applications were cross correlation velocimetry to determine bulk sodium flow rate and the characterization of coherent vortical structures in sodium with temperature frequency data. The data harvested, instrumentation developed and techniques refined in this work will help in the design of more robust reactors as well as validate computational models for licensing sodium fast reactors.
Measurement of the Specific Heat Using a Gravity Cancellation Approach
NASA Technical Reports Server (NTRS)
Zhong, Fang
2003-01-01
The specific heat at constant volume C(sob V) of a simple fluid diverges near its liquid-vapor critical point. However, gravity-induced density stratification due to the divergence of isothermal susceptibility hinders the direct comparison of the experimental data with the predictions of renormalization group theory. In the past, a microgravity environment has been considered essential to eliminate the density stratification. We propose to perform specific heat measurements of He-3 on the ground using a method to cancel the density stratification. A He-3 fluid layer will be heated from below, using the thermal expansion of the fluid to cancel the hydrostatic compression. A 6% density stratification at a reduced temperature of 10(exp -5) can be cancelled to better than 0.1% with a steady 1.7 micro K temperature difference across a 0.05 cm thick fluid layer. A conventional AC calorimetry technique will be used to determine the heat capacity. The minimized bulk density stratification with a relaxation time 6500 sec at a reduced temperature of 10(exp -5) will stay unchanged during 1 Hz AC heating. The smear of the specific heat divergence due to the temperature difference across the cell is about 0.1% at a reduced temperature of 10(exp -6). The combination of using High Resolution Thermometry with a 0.5 n K temperature resolution in the AC technique and the cancellation of the density stratification will enable C(sub V) to be measured down to a reduced temperature of 10(exp -6) with less than a 1% systematic error.
Stratification of a two-phase monodisperse system in a plane laminar flow
DOE Office of Scientific and Technical Information (OSTI.GOV)
Fedoseev, V. B., E-mail: vbfedoseev@yandex.ru
2016-05-15
A thermodynamic approach is used to describe the distribution of particles of a disperse phase in a plane laminar flow. The effect of the density, shape, and velocity of disperse particles in the flow is considered. Conditions are described under which various modes of stratification of the flow (near-wall, central, intermediate, and multilayer modes) arise. The equilibrium distributions obtained are self-similar; this allows one to compare the behavior of colloidal, highly disperse, coarsely disperse, and coarse-grain systems for various shear velocities and flow widths.
NASA Astrophysics Data System (ADS)
Mahmood, Faisal; Johannesen, Helle H.; Geertsen, Poul; Hansen, Rasmus H.
2017-04-01
An imaging biomarker for early prediction of treatment response potentially provides a non-invasive tool for better prognostics and individualized management of the disease. Radiotherapy (RT) response is generally related to changes in gross tumor volume manifesting months later. In this prospective study we investigated the apparent diffusion coefficient (ADC), perfusion fraction and pseudo diffusion coefficient derived from diffusion weighted MRI as potential early biomarkers for radiotherapy response of brain metastases. It was a particular aim to assess the optimal time point for acquiring the DW-MRI scan during the course of treatment, since to our knowledge this important question has not been addressed directly in previous studies. Twenty-nine metastases (N = 29) from twenty-one patients, treated with whole-brain fractionated external beam RT were analyzed. Patients were scanned with a 1 T MRI system to acquire DW-, T2*W-, T2W- and T1W scans, before start of RT, at each fraction and at follow up two to three months after RT. The DW-MRI parameters were derived using regions of interest based on high b-value images (b = 800 s mm-2). Both volumetric and RECIST criteria were applied for response evaluation. It was found that in non-responding metastases the mean ADC decreased and in responding metastases it increased. The volume based response proved to be far more consistently predictable by the ADC change found at fraction number 7 and later, compared to the linear response (RECIST). The perfusion fraction and pseudo diffusion coefficient did not show sufficient prognostic value with either response assessment criteria. In conclusion this study shows that the ADC derived using high b-values may be a reliable biomarker for early assessment of radiotherapy response for brain metastases patients. The earliest response stratification can be achieved using two DW-MRI scans, one pre-treatment and one at treatment day 7-9 (equivalent to 21 Gy).
Cohen, D; Stamnes, S; Tanikawa, T; Sommersten, E R; Stamnes, J J; Lotsberg, J K; Stamnes, K
2013-04-22
A comparison is presented of two different methods for polarized radiative transfer in coupled media consisting of two adjacent slabs with different refractive indices, each slab being a stratified medium with no change in optical properties except in the direction of stratification. One of the methods is based on solving the integro-differential radiative transfer equation for the two coupled slabs using the discrete ordinate approximation. The other method is based on probabilistic and statistical concepts and simulates the propagation of polarized light using the Monte Carlo approach. The emphasis is on non-Rayleigh scattering for particles in the Mie regime. Comparisons with benchmark results available for a slab with constant refractive index show that both methods reproduce these benchmark results when the refractive index is set to be the same in the two slabs. Computed results for test cases with coupling (different refractive indices in the two slabs) show that the two methods produce essentially identical results for identical input in terms of absorption and scattering coefficients and scattering phase matrices.
Prospective Validation of ATA and ETA Sonographic Pattern Risk of Thyroid Nodules Selected for FNAC.
Maino, Fabio; Forleo, Raffaella; Martinelli, Martina; Fralassi, Noemi; Barbato, Filomena; Pilli, Tania; Capezzone, Marco; Brilli, Lucia; Ciuoli, Cristina; Di Cairano, Giovanni; Nigi, Laura; Pacini, Furio; Castagna, Maria Grazia
2018-06-01
Recently, the American Thyroid Association (ATA) and the European Thyroid Association (ETA) have proposed that thyroid ultrasound (US) should be used to stratify the risk of malignancy in thyroid nodules and to aid decision-making about whether fine-needle aspiration cytology (FNAC) is indicated. To validate and to compare the ATA and ETA US risk stratification systems of thyroid nodules in a prospective series of thyroid nodules submitted to FNAC. We prospectively evaluated 432 thyroid nodules selected for FNAC from 340 patients. Cytology reports were based on the five categories according to the criteria of the British Thyroid Association. The proportion of Thy2 nodules decreased significantly, whereas the proportion of Thy4/Thy5 nodules significantly increased with increasing US risk class (P < 0.0001). The ability to identify benign and malignant nodules was similar between ATA and ETA systems. According to ATA and ETA US risk stratification systems, 23.7% and 56.0% nodules did not meet the criteria for FNAC, respectively. Considering only categories at lower risk of malignancy, the cumulative malignancy rate in these nodules was 1.2% for ATA and 1.7% for ETA US risk stratification systems. ETA and ATA US risk stratification systems provide effective malignancy risk stratification for thyroid nodules. In clinical practice, using this approach, we should be able to reduce the number of unnecessary FNAC without losing clinically relevant thyroid cancer.
High-resolution mapping of forest carbon stocks in the Colombian Amazon
NASA Astrophysics Data System (ADS)
Asner, G. P.; Clark, J. K.; Mascaro, J.; Galindo García, G. A.; Chadwick, K. D.; Navarrete Encinales, D. A.; Paez-Acosta, G.; Cabrera Montenegro, E.; Kennedy-Bowdoin, T.; Duque, Á.; Balaji, A.; von Hildebrand, P.; Maatoug, L.; Bernal, J. F. Phillips; Yepes Quintero, A. P.; Knapp, D. E.; García Dávila, M. C.; Jacobson, J.; Ordóñez, M. F.
2012-07-01
High-resolution mapping of tropical forest carbon stocks can assist forest management and improve implementation of large-scale carbon retention and enhancement programs. Previous high-resolution approaches have relied on field plot and/or light detection and ranging (LiDAR) samples of aboveground carbon density, which are typically upscaled to larger geographic areas using stratification maps. Such efforts often rely on detailed vegetation maps to stratify the region for sampling, but existing tropical forest maps are often too coarse and field plots too sparse for high-resolution carbon assessments. We developed a top-down approach for high-resolution carbon mapping in a 16.5 million ha region (> 40%) of the Colombian Amazon - a remote landscape seldom documented. We report on three advances for large-scale carbon mapping: (i) employing a universal approach to airborne LiDAR-calibration with limited field data; (ii) quantifying environmental controls over carbon densities; and (iii) developing stratification- and regression-based approaches for scaling up to regions outside of LiDAR coverage. We found that carbon stocks are predicted by a combination of satellite-derived elevation, fractional canopy cover and terrain ruggedness, allowing upscaling of the LiDAR samples to the full 16.5 million ha region. LiDAR-derived carbon maps have 14% uncertainty at 1 ha resolution, and the regional map based on stratification has 28% uncertainty in any given hectare. High-resolution approaches with quantifiable pixel-scale uncertainties will provide the most confidence for monitoring changes in tropical forest carbon stocks. Improved confidence will allow resource managers and decision makers to more rapidly and effectively implement actions that better conserve and utilize forests in tropical regions.
Acoustic sounding of wind velocity profiles in a stratified moving atmosphere.
Ostashev, V E; Georges, T M; Clifford, S F; Goedecke, G H
2001-06-01
The paper deals with analytical and numerical studies of the effects of atmospheric stratification on acoustic remote sensing of wind velocity profiles by sodars. Both bistatic and monostatic schemes are considered. Formulas for the Doppler shift of an acoustic echo signal scattered by atmospheric turbulence advected with the mean wind in a stratified moving atmosphere are derived. Numerical studies of these formulas show that errors in retrieving wind velocity can be of the order of 1 m/s if atmospheric stratification is ignored. Formulas for the height at which wind velocity is retrieved are also derived. Approaches are proposed which allow one to take into account the effects of atmospheric stratification when restoring the wind velocity profile from measured values of the Doppler shift and the time interval of acoustic impulse propagation from a sodar to the scattering volume and back to the ground.
Improving risk-stratification of Diabetes complications using temporal data mining.
Sacchi, Lucia; Dagliati, Arianna; Segagni, Daniele; Leporati, Paola; Chiovato, Luca; Bellazzi, Riccardo
2015-01-01
To understand which factor trigger worsened disease control is a crucial step in Type 2 Diabetes (T2D) patient management. The MOSAIC project, funded by the European Commission under the FP7 program, has been designed to integrate heterogeneous data sources and provide decision support in chronic T2D management through patients' continuous stratification. In this work we show how temporal data mining can be fruitfully exploited to improve risk stratification. In particular, we exploit administrative data on drug purchases to divide patients in meaningful groups. The detection of drug consumption patterns allows stratifying the population on the basis of subjects' purchasing attitude. Merging these findings with clinical values indicates the relevance of the applied methods while showing significant differences in the identified groups. This extensive approach emphasized the exploitation of administrative data to identify patterns able to explain clinical conditions.
The Forgotten Man--The Non-Faculty Non-Classified University Employee
ERIC Educational Resources Information Center
Hohenstein, Walter V.; Williams, Bernard Jay
1974-01-01
The authors describe multiple approaches to the problem of definition, stratification, and personnel policy applicable to the professional, non-faculty work force found in most American universities. (Editor)
Understanding multidecadal variability in ENSO amplitude
NASA Astrophysics Data System (ADS)
Russell, A.; Gnanadesikan, A.
2013-12-01
Sea surface temperatures (SSTs) in the tropical Pacific vary as a result of the coupling between the ocean and atmosphere driven largely by the El Niño - Southern Oscillation (ENSO). ENSO has a large impact on the local climate and hydrology of the tropical Pacific, as well as broad-reaching effects on global climate. ENSO amplitude is known to vary on long timescales, which makes it very difficult to quantify its response to climate change and constrain the physical processes that drive it. In order to assess the extent of unforced multidecadal changes in ENSO variability, a linear regression of local SST changes is applied to the GFDL CM2.1 model 4000-yr pre-industrial control run. The resulting regression coefficient strengths, which represent the sensitivity of SST changes to thermocline depth and zonal wind stress, vary by up to a factor of 2 on multi-decadal time scales. This long-term modulation in ocean-atmosphere coupling is highly correlated with ENSO variability, but do not explain the reasons for such variability. Variation in the relationship between SST changes and wind stress points to a role for changing stratification in the central equatorial Pacific in modulating ENSO amplitudes with stronger stratification reducing the response to winds. The main driving mechanism we have identified for higher ENSO variance are changes in the response of zonal winds to SST anomalies. The shifting convection and precipitation patterns associated with the changing state of the atmosphere also contribute to the variability of the regression coefficients. These mechanisms drive much of the variability in ENSO amplitude and hence ocean-atmosphere coupling in the tropical Pacific.
Advanced colorectal neoplasia risk stratification by penalized logistic regression.
Lin, Yunzhi; Yu, Menggang; Wang, Sijian; Chappell, Richard; Imperiale, Thomas F
2016-08-01
Colorectal cancer is the second leading cause of death from cancer in the United States. To facilitate the efficiency of colorectal cancer screening, there is a need to stratify risk for colorectal cancer among the 90% of US residents who are considered "average risk." In this article, we investigate such risk stratification rules for advanced colorectal neoplasia (colorectal cancer and advanced, precancerous polyps). We use a recently completed large cohort study of subjects who underwent a first screening colonoscopy. Logistic regression models have been used in the literature to estimate the risk of advanced colorectal neoplasia based on quantifiable risk factors. However, logistic regression may be prone to overfitting and instability in variable selection. Since most of the risk factors in our study have several categories, it was tempting to collapse these categories into fewer risk groups. We propose a penalized logistic regression method that automatically and simultaneously selects variables, groups categories, and estimates their coefficients by penalizing the [Formula: see text]-norm of both the coefficients and their differences. Hence, it encourages sparsity in the categories, i.e. grouping of the categories, and sparsity in the variables, i.e. variable selection. We apply the penalized logistic regression method to our data. The important variables are selected, with close categories simultaneously grouped, by penalized regression models with and without the interactions terms. The models are validated with 10-fold cross-validation. The receiver operating characteristic curves of the penalized regression models dominate the receiver operating characteristic curve of naive logistic regressions, indicating a superior discriminative performance. © The Author(s) 2013.
A Stepwise Integrated Approach to Personalized Risk Predictions in Stage III Colorectal Cancer.
Salvucci, Manuela; Würstle, Maximilian L; Morgan, Clare; Curry, Sarah; Cremona, Mattia; Lindner, Andreas U; Bacon, Orna; Resler, Alexa J; Murphy, Áine C; O'Byrne, Robert; Flanagan, Lorna; Dasgupta, Sonali; Rice, Nadege; Pilati, Camilla; Zink, Elisabeth; Schöller, Lisa M; Toomey, Sinead; Lawler, Mark; Johnston, Patrick G; Wilson, Richard; Camilleri-Broët, Sophie; Salto-Tellez, Manuel; McNamara, Deborah A; Kay, Elaine W; Laurent-Puig, Pierre; Van Schaeybroeck, Sandra; Hennessy, Bryan T; Longley, Daniel B; Rehm, Markus; Prehn, Jochen H M
2017-03-01
Purpose: Apoptosis is essential for chemotherapy responses. In this discovery and validation study, we evaluated the suitability of a mathematical model of apoptosis execution (APOPTO-CELL) as a stand-alone signature and as a constituent of further refined prognostic stratification tools. Experimental Design: Apoptosis competency of primary tumor samples from patients with stage III colorectal cancer ( n = 120) was calculated by APOPTO-CELL from measured protein concentrations of Procaspase-3, Procaspase-9, SMAC, and XIAP. An enriched APOPTO-CELL signature (APOPTO-CELL-PC3) was synthesized to capture apoptosome-independent effects of Caspase-3. Furthermore, a machine learning Random Forest approach was applied to APOPTO-CELL-PC3 and available molecular and clinicopathologic data to identify a further enhanced signature. Association of the signature with prognosis was evaluated in an independent colon adenocarcinoma cohort (TCGA COAD, n = 136). Results: We identified 3 prognostic biomarkers ( P = 0.04, P = 0.006, and P = 0.0004 for APOPTO-CELL, APOPTO-CELL-PC3, and Random Forest signatures, respectively) with increasing stratification accuracy for patients with stage III colorectal cancer.The APOPTO-CELL-PC3 signature ranked highest among all features. The prognostic value of the signatures was independently validated in stage III TCGA COAD patients ( P = 0.01, P = 0.04, and P = 0.02 for APOPTO-CELL, APOPTO-CELL-PC3, and Random Forest signatures, respectively). The signatures provided further stratification for patients with CMS1-3 molecular subtype. Conclusions: The integration of a systems-biology-based biomarker for apoptosis competency with machine learning approaches is an appealing and innovative strategy toward refined patient stratification. The prognostic value of apoptosis competency is independent of other available clinicopathologic and molecular factors, with tangible potential of being introduced in the clinical management of patients with stage III colorectal cancer. Clin Cancer Res; 23(5); 1200-12. ©2016 AACR . ©2016 American Association for Cancer Research.
On the rising motion of a drop in stratified fluids
NASA Astrophysics Data System (ADS)
Bayareh, M.; Doostmohammadi, A.; Dabiri, S.; Ardekani, A. M.
2013-10-01
The rising dynamics of a deformable drop in a linearly stratified fluid is numerically obtained using a finite-volume/front-tracking method. Our results show that the drag coefficient of a spherical drop in a stratified fluid enhances as C_{d,s}/C_{d,h}-1˜ Fr_d^{-2.86} for drop Froude numbers in the range of 4 < Frd < 16. The role of the deformability of the drop on the temporal evolution of the motion is investigated along with stratification and inertial effects. We also present the important role of stratification on the transient rising motion of the drop. It is shown that a drop can levitate in the presence of a vertical density gradient. The drop undergoes a fading oscillatory motion around its neutrally buoyant position except for high viscosity ratio drops where the oscillation occurs around a density level lighter than the neutral buoyancy level. In addition, a detailed characterization of the flow signature of a rising drop in a linearly stratified fluid including the buoyancy induced vortices and the resultant buoyant jet is presented.
Tests for a disease-susceptibility locus allowing for an inbreeding coefficient (F).
Song, Kijoung; Elston, Robert C
2003-11-01
We begin by discussing the false positive test results that arise because of cryptic relatedness and population substructure when testing a disease susceptibility locus. We extend and evaluate the Hardy-Weinberg disequilibrium (HWD) method, allowing for an inbreeding coefficient (F) in a similar way that Devlin and Roeder (1999) allowed for inbreeding in a case-control study. Then we compare the HWD measure and the common direct measure of linkage disequilibrium, both when there is no population substructure (F = 0) and when there is population substructure (F not = 0), for a single marker. The HWD test statistic gives rise to false positives caused by population stratification. These false positives can be controlled by adjusting the test statistic for the amount of variance inflation caused by the inbreeding coefficient (F). The power loss for the HWD test that arises when controlling for population structure is much less than that which arises for the common direct measure of linkage disequilibrium. However, in the multiplicative model, the HWD test has virtually no power even when allowing for non-zero F.
Cancer Stratification by Molecular Imaging
Weber, Justus; Haberkorn, Uwe; Mier, Walter
2015-01-01
The lack of specificity of traditional cytotoxic drugs has triggered the development of anticancer agents that selectively address specific molecular targets. An intrinsic property of these specialized drugs is their limited applicability for specific patient subgroups. Consequently, the generation of information about tumor characteristics is the key to exploit the potential of these drugs. Currently, cancer stratification relies on three approaches: Gene expression analysis and cancer proteomics, immunohistochemistry and molecular imaging. In order to enable the precise localization of functionally expressed targets, molecular imaging combines highly selective biomarkers and intense signal sources. Thus, cancer stratification and localization are performed simultaneously. Many cancer types are characterized by altered receptor expression, such as somatostatin receptors, folate receptors or Her2 (human epidermal growth factor receptor 2). Similar correlations are also known for a multitude of transporters, such as glucose transporters, amino acid transporters or hNIS (human sodium iodide symporter), as well as cell specific proteins, such as the prostate specific membrane antigen, integrins, and CD20. This review provides a comprehensive description of the methods, targets and agents used in molecular imaging, to outline their application for cancer stratification. Emphasis is placed on radiotracers which are used to identify altered expression patterns of cancer associated markers. PMID:25749472
NASA Astrophysics Data System (ADS)
Troitskaya, Yu. I.; Ermakova, O. S.; Kandaurov, A. A.; Kozlov, D. S.; Sergeev, D. A.; Zilitinkevich, S. S.
2017-11-01
Influence of the spray generation due to the fragmentation of the "bag-breakup" type on momentum exchange in the atmospheric boundary layer above the sea surface at hurricane winds was investigated on the basis of the analysis of the results of laboratory experiments. It was shown that aerodynamic drag is determined by the contribution of three factors: first, the drag of the "bag-breakup" canopies as obstacles; second, acceleration of the spray formed during fragmentation by the air flow; and the third factor is related to the stratification of the near-water atmospheric layer due to the presence of levitated water droplets. Combination of all three factors leads to a non-monotonous dependence of the aerodynamic drag coefficient on wind speed, which confirms the results of the field and laboratory measurements.
Coefficients of productivity for Yellowstone's grizzly bear habitat
Mattson, David John; Barber, Kim; Maw, Ralene; Renkin, Roy
2004-01-01
This report describes methods for calculating coefficients used to depict habitat productivity for grizzly bears in the Yellowstone ecosystem. Calculations based on these coefficients are used in the Yellowstone Grizzly Bear Cumulative Effects Model to map the distribution of habitat productivity and account for the impacts of human facilities. The coefficients of habitat productivity incorporate detailed information that was collected over a 20-year period (1977-96) on the foraging behavior of Yellowstone's bears and include records of what bears were feeding on, when and where they fed, the extent of that feeding activity, and relative measures of the quantity consumed. The coefficients also incorporate information, collected primarily from 1986 to 1992, on the nutrient content of foods that were consumed, their digestibility, characteristic bite sizes, and the energy required to extract and handle each food. Coefficients were calculated for different time periods and different habitat types, specific to different parts of the Yellowstone ecosystem. Stratifications included four seasons of bear activity (spring, estrus, early hyperphagia, late hyperphagia), years when ungulate carrion and whitebark pine seed crops were abundant versus not, areas adjacent to (< 100 m) or far away from forest/nonforest edges, and areas inside or outside of ungulate winter ranges. Densities of bear activity in each region, habitat type, and time period were incorporated into calculations, controlling for the effects of proximity to human facilities. The coefficients described in this report and associated estimates of grizzly bear habitat productivity are unique among many efforts to model the conditions of bear habitat because calculations include information on energetics derived from the observed behavior of radio-marked bears.
Managing US-Mexico "border health": an organizational field approach.
Collins-Dogrul, Julie
2006-12-01
During World War II Mexican and US health professionals and organizations constructed a transnational organizational field to manage the border's public health problems. Despite barriers to inter-organizational cooperation, including disparate administrative structures and North-South stratification, the field's transnational approach to health on the border has continued for 60 years. Using archival data to track changes in the number and types of organizations, this article argues that the field practitioners call "border health" reconfigured during the North American Free Trade Association (NAFTA) decade from an era of loosely organized professionals to a specialized bureaucracies era. This change brought new vitality to border health, with transnational ties increasing and diversifying, but has not weakened entrenched cross-border inequalities. The organizational history of the US-Mexico border health field demonstrates how macro-politics and inter-organizational stratification shape transnational public health problems.
Current approaches for risk stratification of infectious complications in pediatric oncology.
Härtel, Christoph; Deuster, Maresa; Lehrnbecher, Thomas; Schultz, Christian
2007-11-01
Infections are serious complications of cytoreductive therapy in pediatric cancer patients presenting with febrile neutropenia. It is standard of care to initiate empirical intravenous broad-spectrum antibiotics until the fever and neutropenia resolve. However, it might be effective and safe to allow for early hospital discharge in certain subgroups of patients. Two strategies for risk stratification of pediatric cancer patients with regard to infectious complications are discussed in this review: (1) clinical risk parameters and laboratory measures to assist therapeutic management at presentation with fever in neutropenia, and (2) investigations of individual genetic susceptibility factors to tailor potential prophylactic approaches. Given the data available from a significant number of small studies, a large prospective non-inferiority trial is essential to assess low-risk clinical factors and additional laboratory or genetic markers for their predictive value. (c) 2007 Wiley-Liss, Inc.
Reddy, Ashok; Sessums, Laura; Gupta, Reshma; Jin, Janel; Day, Tim; Finke, Bruce; Bitton, Asaf
2017-09-01
Risk-stratified care management is essential to improving population health in primary care settings, but evidence is limited on the type of risk stratification method and its association with care management services. We describe risk stratification patterns and association with care management services for primary care practices in the Comprehensive Primary Care (CPC) initiative. We undertook a qualitative approach to categorize risk stratification methods being used by CPC practices and tested whether these stratification methods were associated with delivery of care management services. CPC practices reported using 4 primary methods to stratify risk for their patient populations: a practice-developed algorithm (n = 215), the American Academy of Family Physicians' clinical algorithm (n = 155), payer claims and electronic health records (n = 62), and clinical intuition (n = 52). CPC practices using practice-developed algorithm identified the most number of high-risk patients per primary care physician (282 patients, P = .006). CPC practices using clinical intuition had the most high-risk patients in care management and a greater proportion of high-risk patients receiving care management per primary care physician (91 patients and 48%, P =.036 and P =.128, respectively). CPC practices used 4 primary methods to identify high-risk patients. Although practices that developed their own algorithm identified the greatest number of high-risk patients, practices that used clinical intuition connected the greatest proportion of patients to care management services. © 2017 Annals of Family Medicine, Inc.
NASA Astrophysics Data System (ADS)
Hanike, Yusrianti; Sadik, Kusman; Kurnia, Anang
2016-02-01
This research implemented unemployment rate in Indonesia that based on Poisson distribution. It would be estimated by modified the post-stratification and Small Area Estimation (SAE) model. Post-stratification was one of technique sampling that stratified after collected survey data. It's used when the survey data didn't serve for estimating the interest area. Interest area here was the education of unemployment which separated in seven category. The data was obtained by Labour Employment National survey (Sakernas) that's collected by company survey in Indonesia, BPS, Statistic Indonesia. This company served the national survey that gave too small sample for level district. Model of SAE was one of alternative to solved it. According the problem above, we combined this post-stratification sampling and SAE model. This research gave two main model of post-stratification sampling. Model I defined the category of education was the dummy variable and model II defined the category of education was the area random effect. Two model has problem wasn't complied by Poisson assumption. Using Poisson-Gamma model, model I has over dispersion problem was 1.23 solved to 0.91 chi square/df and model II has under dispersion problem was 0.35 solved to 0.94 chi square/df. Empirical Bayes was applied to estimate the proportion of every category education of unemployment. Using Bayesian Information Criteria (BIC), Model I has smaller mean square error (MSE) than model II.
On the instability of a liquid sheet moving in vacuum
NASA Astrophysics Data System (ADS)
Sisoev, G. M.; Osiptsov, A. N.; Koroteev, A. A.
2018-03-01
A linear stability analysis of a non-isothermal liquid sheet moving in vacuum is studied taking into account the temperature dependencies of the liquid viscosity, thermal conductivity, and surface tension coefficients. It is found that there are two mechanisms of instability. The short-wave instability is caused by viscosity stratification across the sheet due to nonuniform temperature profiles developed downstream in the cooling sheet. The long-wave thermocapillary instability is caused by the temperature gradient along the sheet surfaces. Computed examples of steady flows and their instabilities demonstrated that the unstable short waves have much larger amplification factors.
Stratification-Based Outlier Detection over the Deep Web.
Xian, Xuefeng; Zhao, Pengpeng; Sheng, Victor S; Fang, Ligang; Gu, Caidong; Yang, Yuanfeng; Cui, Zhiming
2016-01-01
For many applications, finding rare instances or outliers can be more interesting than finding common patterns. Existing work in outlier detection never considers the context of deep web. In this paper, we argue that, for many scenarios, it is more meaningful to detect outliers over deep web. In the context of deep web, users must submit queries through a query interface to retrieve corresponding data. Therefore, traditional data mining methods cannot be directly applied. The primary contribution of this paper is to develop a new data mining method for outlier detection over deep web. In our approach, the query space of a deep web data source is stratified based on a pilot sample. Neighborhood sampling and uncertainty sampling are developed in this paper with the goal of improving recall and precision based on stratification. Finally, a careful performance evaluation of our algorithm confirms that our approach can effectively detect outliers in deep web.
Newman, Erika A; Nuchtern, Jed G
2016-10-01
Neuroblastoma is an embryonic cancer of neural crest cell lineage, accounting for up to 10% of all pediatric cancer. The clinical course is heterogeneous ranging from spontaneous regression in neonates to life-threatening metastatic disease in older children. Much of this clinical variance is thought to result from distinct pathologic characteristics that predict patient outcomes. Consequently, many research efforts have been focused on identifying the underlying biologic and genetic features of neuroblastoma tumors in order to more clearly define prognostic subgroups for treatment stratification. Recent technological advances have placed emphasis on the integration of genetic alterations and predictive biologic variables into targeted treatment approaches to improve patient survival outcomes. This review will focus on these recent advances and the implications they have on the diagnostic, staging, and treatment approaches in modern neuroblastoma clinical management. Copyright © 2016 Elsevier Inc. All rights reserved.
Stratification-Based Outlier Detection over the Deep Web
Xian, Xuefeng; Zhao, Pengpeng; Sheng, Victor S.; Fang, Ligang; Gu, Caidong; Yang, Yuanfeng; Cui, Zhiming
2016-01-01
For many applications, finding rare instances or outliers can be more interesting than finding common patterns. Existing work in outlier detection never considers the context of deep web. In this paper, we argue that, for many scenarios, it is more meaningful to detect outliers over deep web. In the context of deep web, users must submit queries through a query interface to retrieve corresponding data. Therefore, traditional data mining methods cannot be directly applied. The primary contribution of this paper is to develop a new data mining method for outlier detection over deep web. In our approach, the query space of a deep web data source is stratified based on a pilot sample. Neighborhood sampling and uncertainty sampling are developed in this paper with the goal of improving recall and precision based on stratification. Finally, a careful performance evaluation of our algorithm confirms that our approach can effectively detect outliers in deep web. PMID:27313603
Vertical stratification of the foliar fungal community in the world's tallest trees.
Harrison, Joshua G; Forister, Matthew L; Parchman, Thomas L; Koch, George W
2016-12-01
The aboveground tissues of plants host numerous, ecologically important fungi, yet patterns in the spatial distribution of these fungi remain little known. Forest canopies in particular are vast reservoirs of fungal diversity, but intracrown variation in fungal communities has rarely been explored. Knowledge of how fungi are distributed throughout tree crowns will contribute to our understanding of interactions between fungi and their host trees and is a first step toward investigating drivers of community assembly for plant-associated fungi. Here we describe spatial patterns in fungal diversity within crowns of the world's tallest trees, coast redwoods (Sequoia sempervirens). We took a culture-independent approach, using the Illumina MiSeq platform, to characterize the fungal assemblage at multiple heights within the crown across the geographical range of the coast redwood. Within each tree surveyed, we uncovered evidence for vertical stratification in the fungal community; different portions of the tree crown harbored different assemblages of fungi. We also report between-tree variation in the fungal community within redwoods. Our results suggest the potential for vertical stratification of fungal communities in the crowns of other tall tree species and should prompt future study of the factors giving rise to this stratification. © 2016 Botanical Society of America.
Changing the paradigm: the potential for targeted therapy in laryngeal squamous cell carcinoma
Ludwig, Megan L.; Birkeland, Andrew C.; Hoesli, Rebecca; Swiecicki, Paul; Spector, Matthew E.; Brenner, J. Chad
2016-01-01
Laryngeal squamous cell carcinoma (LSCC) remains a highly morbid and fatal disease. Historically, it has been a model example for organ preservation and treatment stratification paradigms. Unfortunately, survival for LSCC has stagnated over the past few decades. As the era of next-generation sequencing and personalized treatment for cancer approaches, LSCC may be an ideal disease for consideration of further treatment stratification and personalization. Here, we will discuss the important history of LSCC as a model system for organ preservation, unique and potentially targetable genetic signatures of LSCC, and methods for bringing stratified, personalized treatment strategies to the 21st century. PMID:27144065
Golestani, Reza; Sadeghi, Mehran M.
2014-01-01
Summary Imaging cellular and molecular processes associated with aneurysm expansion, dissection, and rupture can potentially transform the management of patients with thoracic and abdominal aortic aneurysm (TAA and AAA). Here, we review recent advances in molecular imaging of aortic aneurysm, focusing on imaging modalities with the greatest potential for clinical translation and application, PET, SPECT and MRI. Inflammation (e.g., with 18F-FDG, nanoparticles) and matrix remodeling (e.g., with matrix metalloproteinase-targeted tracers) are highlighted as promising targets for molecular imaging of aneurysm. Potential alternative or complementary approaches to molecular imaging for aneurysm risk stratification are briefly discussed. PMID:24381115
NASA Astrophysics Data System (ADS)
Bellón, Beatriz; Bégué, Agnès; Lo Seen, Danny; Lebourgeois, Valentine; Evangelista, Balbino Antônio; Simões, Margareth; Demonte Ferraz, Rodrigo Peçanha
2018-06-01
Cropping systems' maps at fine scale over large areas provide key information for further agricultural production and environmental impact assessments, and thus represent a valuable tool for effective land-use planning. There is, therefore, a growing interest in mapping cropping systems in an operational manner over large areas, and remote sensing approaches based on vegetation index time series analysis have proven to be an efficient tool. However, supervised pixel-based approaches are commonly adopted, requiring resource consuming field campaigns to gather training data. In this paper, we present a new object-based unsupervised classification approach tested on an annual MODIS 16-day composite Normalized Difference Vegetation Index time series and a Landsat 8 mosaic of the State of Tocantins, Brazil, for the 2014-2015 growing season. Two variants of the approach are compared: an hyperclustering approach, and a landscape-clustering approach involving a previous stratification of the study area into landscape units on which the clustering is then performed. The main cropping systems of Tocantins, characterized by the crop types and cropping patterns, were efficiently mapped with the landscape-clustering approach. Results show that stratification prior to clustering significantly improves the classification accuracies for underrepresented and sparsely distributed cropping systems. This study illustrates the potential of unsupervised classification for large area cropping systems' mapping and contributes to the development of generic tools for supporting large-scale agricultural monitoring across regions.
Simulating 2,368 temperate lakes reveals weak coherence in stratification phenology
Read, Jordan S.; Winslow, Luke A.; Hansen, Gretchen J. A.; Van Den Hoek, Jamon; Hanson, Paul C.; Bruce, Louise C; Markfort, Corey D.
2014-01-01
Changes in water temperatures resulting from climate warming can alter the structure and function of aquatic ecosystems. Lake-specific physical characteristics may play a role in mediating individual lake responses to climate. Past mechanistic studies of lake-climate interactions have simulated generic lake classes at large spatial scales or performed detailed analyses of small numbers of real lakes. Understanding the diversity of lake responses to climate change across landscapes requires a hybrid approach that couples site-specific lake characteristics with broad-scale environmental drivers. This study provides a substantial advancement in lake ecosystem modeling by combining open-source tools with freely available continental-scale data to mechanistically model daily temperatures for 2,368 Wisconsin lakes over three decades (1979-2011). The model accurately predicted observed surface layer temperatures (RMSE: 1.74°C) and the presence/absence of stratification (81.1% agreement). Among-lake coherence was strong for surface temperatures and weak for the timing of stratification, suggesting individual lake characteristics mediate some - but not all - ecologically relevant lake responses to climate.
Xu, Junjun; Williams-Livingston, Arletha; Gaglioti, Anne; McAllister, Calvin; Rust, George
2018-01-01
The use of value metrics is often dependent on payer-initiated health care management incentives. There is a need for practices to define and manage their own patient panels regardless of payer to participate effectively in population health management. A key step is to define a panel of primary care patients with high comorbidity profiles. Our sample included all patients seen in an urban academic family medicine clinic over a two-year period. The simplified risk stratification was built using internal electronic health record and billing system data based on ICD-9 codes. There were 347 patients classified as high-risk out of the 5,364 patient panel. Average age was 59 years (SD 15). Hypertension (90%), hyperlipidemia (62%), and depression (55%) were the most common conditions among high-risk patients. Simplified risk stratification provides a feasible option for our team to understand and respond to the nuances of population health in our underserved community.
Mathieu, Romain; Vartolomei, Mihai D; Mbeutcha, Aurélie; Karakiewicz, Pierre I; Briganti, Alberto; Roupret, Morgan; Shariat, Shahrokh F
2016-08-01
The aim of this review was to provide an overview of current biomarkers and risk stratification models in urothelial cancer of the upper urinary tract (UTUC). A non-systematic Medline/PubMed literature search was performed using the terms "biomarkers", "preoperative models", "postoperative models", "risk stratification", together with "upper tract urothelial carcinoma". Original articles published between January 2003 and August 2015 were included based on their clinical relevance. Additional references were collected by cross referencing the bibliography of the selected articles. Various promising predictive and prognostic biomarkers have been identified in UTUC thanks to the increasing knowledge of the different biological pathways involved in UTUC tumorigenesis. These biomarkers may help identify tumors with aggressive biology and worse outcomes. Current tools aim at predicting muscle invasive or non-organ confined disease, renal failure after radical nephroureterectomy and survival outcomes. These models are still mainly based on imaging and clinicopathological feature and none has integrated biomarkers. Risk stratification in UTUC is still suboptimal, especially in the preoperative setting due to current limitations in staging and grading. Identification of novel biomarkers and external validation of current prognostic models may help improve risk stratification to allow evidence-based counselling for kidney-sparing approaches, perioperative chemotherapy and/or risk-based surveillance. Despite growing understanding of the biology underlying UTUC, management of this disease remains difficult due to the lack of validated biomarkers and the limitations of current predictive and prognostic tools. Further efforts and collaborations are necessaryry to allow their integration in daily practice.
Kim, Brian W; Yousman, Wina; Wong, Wei Xiang; Cheng, Cheng; McAninch, Elizabeth A
2016-06-01
The American Thyroid Association (ATA) has recently revised its guidance pertaining to thyroid nodules and follicular cell-derived thyroid cancer. The 2015 guidelines are massive in both scope and scale, with changes in the organizational approach to risk stratification of nodules and cancer, as well as multiple sections covering new material. This review highlights the major structural and organizational changes, focusing attention on the most dramatically changed recommendations, that is, those recommendations that clinicians will find striking because they call for significant divergence from prior clinical practice. The revised approach to thyroid nodule risk stratification is based on sonographic pattern, with an emphasis on pattern rather than growth in the long-term surveillance of nodules. Accumulating data have also been incorporated into an updated risk stratification scheme for thyroid cancer that increases the size of the low-risk pool, in part because low-volume lymph nodal metastases are now considered low risk. The most fundamentally altered recommendation is that lobectomy might be considered as the initial surgical approach for follicular cell-derived thyroid cancers from 1 to 4 cm in size. The underlying theme of the 2015 ATA guidelines is that "less is more." As these new recommendations are adopted, fewer fine-needle aspiration biopsies will need to be done, less extensive surgeries will become more common, less radioactive iodine will be used either for treatment or for diagnostics, and less stimulated thyroglobulin testing will be done. Mastery of these guidelines will help clinicians know when it is reasonable to do less, thus providing responsibly individualized therapy for their patients.
Advanced techniques to prepare seed to sow
Robert P. Karrfalt
2013-01-01
This paper reviews research on improving the basic technique of cold stratification for tree and shrub seeds. Advanced stratification techniques include long stratification, stratification re-dry, or multiple cycles of warm-cold stratification. Research demonstrates that careful regulation of moisture levels and lengthening the stratification period have produced a...
Galper, Benjamin Z.; Wang, Y. Claire; Einstein, Andrew J.
2015-01-01
Background Several approaches have been proposed for risk-stratification and primary prevention of coronary heart disease (CHD), but their comparative and cost-effectiveness is unknown. Methods We constructed a state-transition microsimulation model to compare multiple approaches to the primary prevention of CHD in a simulated cohort of men aged 45–75 and women 55–75. Risk-stratification strategies included the 2013 American College of Cardiology/American Heart Association (ACC/AHA) guidelines on the treatment of blood cholesterol, the Adult Treatment Panel (ATP) III guidelines, and approaches based on coronary artery calcium (CAC) scoring and C-reactive protein (CRP). Additionally we assessed a treat-all strategy in which all individuals were prescribed either moderate-dose or high-dose statins and all males received low-dose aspirin. Outcome measures included CHD events, costs, medication-related side effects, radiation-attributable cancers, and quality-adjusted-life-years (QALYs) over a 30-year timeframe. Results Treat-all with high-dose statins dominated all other strategies for both men and women, gaining 15.7 million QALYs, preventing 7.3 million myocardial infarctions, and saving over $238 billion, compared to the status quo, far outweighing its associated adverse events including bleeding, hepatitis, myopathy, and new-onset diabetes. ACC/AHA guidelines were more cost-effective than ATP III guidelines for both men and women despite placing 8.7 million more people on statins. For women at low CHD risk, treat-all with high-dose statins was more likely to cause a statin-related adverse event than to prevent a CHD event. Conclusions Despite leading to a greater proportion of the population placed on statin therapy, the ACC/AHA guidelines are more cost-effective than ATP III. Even so, at generic prices, treating all men and women with statins and all men with low-dose aspirin appears to be more cost-effective than all risk-stratification approaches for the primary prevention of CHD. Especially for low-CHD risk women, decisions on the appropriate primary prevention strategy should be based on shared decision making between patients and healthcare providers. PMID:26422204
Schob, Stefan; Beeskow, Anne; Dieckow, Julia; Meyer, Hans-Jonas; Krause, Matthias; Frydrychowicz, Clara; Hirsch, Franz-Wolfgang; Surov, Alexey
2018-05-31
Medulloblastomas are the most common central nervous system tumors in childhood. Treatment and prognosis strongly depend on histology and transcriptomic profiling. However, the proliferative potential also has prognostical value. Our study aimed to investigate correlations between histogram profiling of diffusion-weighted images and further microarchitectural features. Seven patients (age median 14.6 years, minimum 2 years, maximum 20 years; 5 male, 2 female) were included in this retrospective study. Using a Matlab-based analysis tool, histogram analysis of whole apparent diffusion coefficient (ADC) volumes was performed. ADC entropy revealed a strong inverse correlation with the expression of the proliferation marker Ki67 (r = - 0.962, p = 0.009) and with total nuclear area (r = - 0.888, p = 0.044). Furthermore, ADC percentiles, most of all ADCp90, showed significant correlations with Ki67 expression (r = 0.902, p = 0.036). Diffusion histogram profiling of medulloblastomas provides valuable in vivo information which potentially can be used for risk stratification and prognostication. First of all, entropy revealed to be the most promising imaging biomarker. However, further studies are warranted.
Vertical Structure of The Polluted Low Troposphere During Escompte 2001.
NASA Astrophysics Data System (ADS)
Saïd, F.; Escompte Team
ESCOMPTE 2001 is a field experiment that took place in the south-east of France, from June 11th to July 13th, with the aim of understanding chemical constitu- ants transformation and transport and to improve numerical models devoted to pol- lution study and forecasting. Information about the experiment can be found on http://medias.obs-mip.fr/escompte. The studied area was roughly 120x120 km includ- ing a big town, Marseille and a petroleum complex around the Fos-Berre pond. Various experimental means such as radiosounding, UHF and VHF radars, lidars and aircraft were involved in order to study the 3D distribution of chemical species in relationship with the dynamical processes. The vertical distribution of horizontal wind, ozone, aerosols and water vapor content revealed several cases with complex stratification. This stratification could also be detected on the lidars extinction coefficients or on the radars reflectivity. The superposed layers extended on large areas and were steady. The aim is to try to understand how these staggered layers have been formed and whether they interfere with the mixed layer. If ever they did, they could play a major part in the pollution process.
Inference for Environmental Intervention Studies using Principal Stratification
Hackstadt, A. J.; Butz, Arlene M.; Williams, D’Ann L.; Diette, Gregory B.; Breysse, Patrick N.; Matsui, Elizabeth C.; Peng, Roger D.
2014-01-01
Previous research has found evidence of an association between indoor air pollution and asthma morbidity in children. Environmental intervention studies have been performed to examine the role of household environmental interventions in altering indoor air pollution concentrations and improving health. Previous environmental intervention studies have found only modest effects on health outcomes and it is unclear if the health benefits provided by environmental modification are comparable to those provided by medication. Traditionally, the statistical analysis of environmental intervention studies has involved performing two intention-to-treat analyses that separately estimate the effect of the environmental intervention on health and the effect of the environmental intervention on indoor air pollution concentrations. We propose a principal stratification (PS) approach to examine the extent to which an environmental intervention’s effect on health outcomes coincides with its effect on indoor air pollution. We apply this approach to data from a randomized air cleaner intervention trial conducted in a population of asthmatic children living in Baltimore, Maryland, USA. We find that amongst children for whom the air cleaner reduced indoor particulate matter concentrations, the intervention resulted in a meaningful improvement of asthma symptoms with an effect generally larger than previous studies have shown. A key benefit of using principal stratification in environmental intervention studies is that it allows investigators to estimate causal effects of the intervention for sub-groups defined by changes in the indoor air pollution concentration. PMID:25164949
Inference for environmental intervention studies using principal stratification.
Hackstadt, Amber J; Matsui, Elizabeth C; Williams, D'Ann L; Diette, Gregory B; Breysse, Patrick N; Butz, Arlene M; Peng, Roger D
2014-12-10
Previous research has found evidence of an association between indoor air pollution and asthma morbidity in children. Environmental intervention studies have been performed to examine the role of household environmental interventions in altering indoor air pollution concentrations and improving health. Previous environmental intervention studies have found only modest effects on health outcomes and it is unclear if the health benefits provided by environmental modification are comparable with those provided by medication. Traditionally, the statistical analysis of environmental intervention studies has involved performing two intention-to-treat analyses that separately estimate the effect of the environmental intervention on health and the effect of the environmental intervention on indoor air pollution concentrations. We propose a principal stratification approach to examine the extent to which an environmental intervention's effect on health outcomes coincides with its effect on indoor air pollution. We apply this approach to data from a randomized air cleaner intervention trial conducted in a population of asthmatic children living in Baltimore, Maryland, USA. We find that among children for whom the air cleaner reduced indoor particulate matter concentrations, the intervention resulted in a meaningful improvement of asthma symptoms with an effect generally larger than previous studies have shown. A key benefit of using principal stratification in environmental intervention studies is that it allows investigators to estimate causal effects of the intervention for sub-groups defined by changes in the indoor air pollution concentration. Copyright © 2014 John Wiley & Sons, Ltd.
A new map of global ecological land units—An ecophysiographic stratification approach
Sayre, Roger; Dangermond, Jack; Frye, Charlie; Vaughan, Randy; Aniello, Peter; Breyer, Sean P.; Cribbs, Douglas; Hopkins, Dabney; Nauman, Richard; Derrenbacher, William; Wright, Dawn J.; Brown, Clint; Convis, Charles; Smith, Jonathan H.; Benson, Laurence; Van Sistine, Darren; Warner, Harumi; Cress, Jill Janene; Danielson, Jeffrey J.; Hamann, Sharon L.; Cecere, Thomas; Reddy, Ashwan D.; Burton, Devon; Grosse, Andrea; True, Diane; Metzger, Marc; Hartmann, Jens; Moosdorf, Nils; Durr, Hans; Paganini, Marc; Defourny, Pierre; Arino, Olivier; Maynard, Simone; Anderson, Mark; Comer, Patrick
2014-01-01
In response to the need and an intergovernmental commission for a high resolution and data-derived global ecosystem map, land surface elements of global ecological pattern were characterized in an ecophysiographic stratification of the planet. The stratification produced 3,923 terrestrial ecological land units (ELUs) at a base resolution of 250 meters. The ELUs were derived from data on land surface features in a three step approach. The first step involved acquiring or developing four global raster datalayers representing the primary components of ecosystem structure: bioclimate, landform, lithology, and land cover. These datasets generally represent the most accurate, current, globally comprehensive, and finest spatial and thematic resolution data available for each of the four inputs. The second step involved a spatial combination of the four inputs into a single, new integrated raster dataset where every cell represents a combination of values from the bioclimate, landforms, lithology, and land cover datalayers. This foundational global raster datalayer, called ecological facets (EFs), contains 47,650 unique combinations of the four inputs. The third step involved an aggregation of the EFs into the 3,923 ELUs. This subdivision of the Earth’s surface into relatively fine, ecological land areas is designed to be useful for various types of ecosystem research and management applications, including assessments of climate change impacts to ecosystems, economic and non-economic valuation of ecosystem services, and conservation planning.
Santana, Daniel Bia; Zócalo, Yanina A; Armentano, Ricardo L
2012-03-01
New strategies are urgently needed to identify subjects at increased risk of atherosclerotic cardiovascular disease (ACVD) development or complications. A National Public University Center (CUiiDARTE) was created in Uruguay, based on six main pillars: 1) integration of experts in different disciplines and creation of multidisciplinary teams, 2) incidence in public and professional education programs to give training in the use of new technologies and to shift the focus from ACVD treatment to disease prevention, 3) implementation of free vascular studies in the community (distributed rather than centralized healthcare), 4) innovation and application of e-Health and noninvasive technology and approaches, 5) design and development of a biomedical approach to determine the target population and patient workflow, and 6) improvement in individual risk estimation and differentiation between aging and ACVD-related arterial changes using population-based epidemiological and statistical patient-specific models. This work describes main features of CUiiDARTE project implementation, the scientific and technological steps and innovations done for individual risk stratification, and sub-clinical ACVD diagnosis. © 2012 IEEE
The consideration of atmospheric stability within wind farm AEP calculations
NASA Astrophysics Data System (ADS)
Schmidt, Jonas; Chang, Chi-Yao; Dörenkämper, Martin; Salimi, Milad; Teichmann, Tim; Stoevesandt, Bernhard
2016-09-01
The annual energy production of an existing wind farm including thermal stratification is calculated with two different methods and compared to the average of three years of SCADA data. The first method is based on steady state computational fluid dynamics simulations and the assumption of Reynolds-similarity at hub height. The second method is a wake modelling calculation, where a new stratification transformation model was imposed on the Jensen an Ainslie wake models. The inflow states for both approaches were obtained from one year WRF simulation data of the site. Although all models underestimate the mean wind speed and wake effects, the results from the phenomenological wake transformation are compatible with high-fidelity simulation results.
Berto, D; Giani, M; Savelli, F; Centanni, E; Ferrari, C R; Pavoni, B
2010-07-01
The light absorbing fraction of dissolved organic carbon (DOC), known as chromophoric dissolved organic matter (CDOM) showed wide seasonal variations in the temperate estuarine zone in front of the Po River mouth. DOC concentrations increased from winter through spring mainly as a seasonal response to increasing phytoplankton production and thermohaline stratification. The monthly dependence of the CDOM light absorption by salinity and chlorophyll a concentrations was explored. In 2003, neither DOC nor CDOM were linearly correlated with salinity, due to an exceptionally low Po river inflow. Though the CDOM absorbance coefficients showed a higher content of chromophoric dissolved organic matter in 2004 with respect to 2003, the spectroscopic features confirmed that the qualitative nature of CDOM was quite similar in both years. CDOM and DOC underwent a conservative mixing, only after relevant Po river freshets, and a change in optical features with an increase of the specific absorption coefficient was observed, suggesting a prevailing terrestrial origin of dissolved organic matter. Published by Elsevier Ltd.
Transport of particles, drops, and small organisms in density stratified fluids
NASA Astrophysics Data System (ADS)
Ardekani, Arezoo M.; Doostmohammadi, Amin; Desai, Nikhil
2017-10-01
Sedimenting particles and motile organisms are ubiquitously found in oceans and lakes, where density stratification naturally occurs due to temperature or salinity gradients. We explore the effects of stratification on the fundamental hydrodynamics of settling particles, rising drops, and small organisms. The results of our direct numerical simulations of the sedimentation of particles show that the presence of vertical density gradients in the water column can substantially affect the settling dynamics of a particle, interaction between a pair of particles, and settling rates and microstructure of suspension of particles. We show that elongation of particles affects both the settling orientation and the settling rate of particles in stratified fluids, which will have direct consequences on the vertical flux of particulate matter and carbon flux in the ocean. We further demonstrate an unexpected effect of buoyancy, potentially affecting a broad range of processes at pycnoclines in oceans and lakes. In particular, stratification has a major effect on the flow field, energy expenditure, and nutrient uptake of small organisms. In addition, the role of stratification in pattern formation of bioconvection plumes of algal cells and in biogenic mixing is investigated. In particular, the numerical approach allows for considering the effects of background turbulence and hydrodynamic perturbations produced by swimming organisms, shedding light on the contribution of organisms in the mixing process in aqueous environments.
NASA Astrophysics Data System (ADS)
Nixdorf, E.; Boehrer, B.
2015-11-01
Lake stratification controls the cycling of dissolved matter within the water body. This is of particular interest in the case of meromictic lakes, where permanent density stratification of the deep water limits vertical transport, and a chemically different (reducing) milieu can be established. As a consequence, the geochemical setting and the mixing regime of a lake can stabilize each other mutually. We attempt a quantitative approach to the contribution of chemical reactions sustaining the density stratification. As an example, we chose the prominent case of iron meromixis in Waldsee near Doebern, a small lake that originated from near-surface underground mining of lignite. From a data set covering 4 years of monthly measured electrical conductivity profiles, we calculated summed conductivity as a quantitative variable reflecting the amount of electro-active substances in the entire lake. Seasonal variations followed the changing of the chemocline height. Coinciding changes of electrical conductivities in the monimolimnion indicated that a considerable share of substances, precipitated by the advancing oxygenated epilimnion, re-dissolved in the remaining anoxic deep waters and contributed considerably to the density stratification. In addition, we designed a lab experiment, in which we removed iron compounds and organic material from monimolimnetic waters by introducing air bubbles. Precipitates could be identified by visual inspection. Eventually, the remaining solutes in the aerated water layer looked similar to mixolimnetic Waldsee water. Due to its reduced concentration of solutes, this water became less dense and remained floating on nearly unchanged monimolimnetic water. In conclusion, iron meromixis as seen in Waldsee did not require two different sources of incoming waters, but the inflow of iron-rich deep groundwater and the aeration through the lake surface were fully sufficient for the formation of iron meromixis.
Magnetically Induced Rotating Rayleigh-Taylor Instability.
Scase, Matthew M; Baldwin, Kyle A; Hill, Richard J A
2017-03-03
Classical techniques for investigating the Rayleigh-Taylor instability include using compressed gasses 1 , rocketry 2 or linear electric motors 3 to reverse the effective direction of gravity, and accelerate the lighter fluid toward the denser fluid. Other authors e.g. 4 , 5 , 6 have separated a gravitationally unstable stratification with a barrier that is removed to initiate the flow. However, the parabolic initial interface in the case of a rotating stratification imposes significant technical difficulties experimentally. We wish to be able to spin-up the stratification into solid-body rotation and only then initiate the flow in order to investigate the effects of rotation upon the Rayleigh-Taylor instability. The approach we have adopted here is to use the magnetic field of a superconducting magnet to manipulate the effective weight of the two liquids to initiate the flow. We create a gravitationally stable two-layer stratification using standard flotation techniques. The upper layer is less dense than the lower layer and so the system is Rayleigh-Taylor stable. This stratification is then spun-up until both layers are in solid-body rotation and a parabolic interface is observed. These experiments use fluids with low magnetic susceptibility, |χ| ~ 10 -6 - 10 -5 , compared to a ferrofluids. The dominant effect of the magnetic field applies a body-force to each layer changing the effective weight. The upper layer is weakly paramagnetic while the lower layer is weakly diamagnetic. When the magnetic field is applied, the lower layer is repelled from the magnet while the upper layer is attracted towards the magnet. A Rayleigh-Taylor instability is achieved with application of a high gradient magnetic field. We further observed that increasing the dynamic viscosity of the fluid in each layer, increases the length-scale of the instability.
Does the Sverdrup critical depth model explain bloom dynamics in estuaries?
Lucas, L.V.; Cloern, J.E.; Koseff, Jeffrey R.; Monismith, Stephen G.; Thompson, J.K.
1998-01-01
In this paper we use numerical models of coupled biological-hydrodynamic processes to search for general principles of bloom regulation in estuarine waters. We address three questions: what are the dynamics of stratification in coastal systems as influenced by variable freshwater input and tidal stirring? How does phytoplankton growth respond to these dynamics? Can the classical Sverdrup Critical Depth Model (SCDM) be used to predict the timing of bloom events in shallow coastal domains such as estuaries? We present results of simulation experiments which assume that vertical transport and net phytoplankton growth rates are horizontally homogeneous. In the present approach the temporally and spatially varying turbulent diffusivities for various stratification scenarios are calculated using a hydrodynamic code that includes the Mellor-Yamada 2.5 turbulence closure model. These diffusivities are then used in a time- and depth-dependent advection-diffusion equation, incorporating sources and sinks, for the phytoplankton biomass. Our modeling results show that, whereas persistent stratification greatly increases the probability of a bloom, semidiurnal periodic stratification does not increase the likelihood of a phytoplankton bloom over that of a constantly unstratified water column. Thus, for phytoplankton blooms, the physical regime of periodic stratification is closer to complete mixing than to persistent stratification. Furthermore, the details of persistent stratification are important: surface layer depth, thickness of the pycnocline, vertical density difference, and tidal current speed all weigh heavily in producing conditions which promote the onset of phytoplankton blooms. Our model results for shallow tidal systems do not conform to the classical concepts of stratification and blooms in deep pelagic systems. First, earlier studies (Riley, 1942, for example) suggest a monotonic increase in surface layer production as the surface layer shallows. Our model results suggest, however, a nonmonotonic relationship between phytoplankton population growth and surface layer depth, which results from a balance between several 'competing' processes, including the interaction of sinking with turbulent mixing and average net growth occurring within the surface layer. Second, we show that the traditional SCDM must be refined for application to energetic shallow systems or for systems in which surface layer mixing is not strong enough to counteract the sinking loss of phytoplankton. This need for refinement arises because of the leakage of phytoplankton from the surface layer by turbulent diffusion and sinking, processes not considered in the classical SCDM. Our model shows that, even for low sinking rates and small turbulent diffusivities, a significant % of the phytoplankton biomass produced in the surface layer can be lost by these processes.
Apple, Fred S; Murakami, MaryAnn M; Quist, Heidi H; Pearce, Lesly A; Wieczorek, Stacey; Wu, Alan H B
2003-07-01
We evaluated the risk assessment value of a commercial cardiac troponin (cTn; Ortho Vitros ECi, Ortho-Clinical Diagnostics, Raritan, NJ) I assay in patients with symptoms of myocardial ischemia suggestive of acute coronary syndrome and compared findings with those for a commercial cTnT assay in the same population. The cTn levels were measured by both assays in plasma samples from 273 patients during 24 hours after admission. Baseline and maximum concentrations were used for risk stratification; cutoffs were the 99th percentile and 10% coefficient of variation. End points were all-cause death and cardiac events within 60 days. Relative risks (RRs) were estimated using Cox proportional hazards regression models and Kaplan-Meier curves. RRs of cardiac events and death were significantly higher with increased baseline and maximum concentrations using either cTnI cutoff. The respective mortality rates for baseline cTnI of more than 0.08 microgram/L vs 0.08 microgram/L or less were 17.4% vs 2.9% (P = .001); cardiac event rates were 11.5% vs 3.6% (P = .03). Exclusion of patients with ST-segment elevation had no significant effect on rates for either assay. Mortality was higher in the intermediate (0.09-0.2 microgram/L) than in the low (< or = 0.08 microgram/L) group for cTnI, with directionally similar results for cTnT. Our findings validate the Ortho cTnI assay as a risk stratification biomarker in patients with symptoms of myocardial ischemia.
Direct numerical simulation of turbulent plane Couette flow under neutral and stable stratification
NASA Astrophysics Data System (ADS)
Mortikov, Evgeny
2017-11-01
Direct numerical simulation (DNS) approach was used to study turbulence dynamics in plane Couette flow under conditions ranging from neutral stability to the case of extreme stable stratification, where intermittency is observed. Simulations were performed for Reynolds numbers, based on the channel height and relative wall speed, up to 2 ×105 . Using DNS data, which covers a wide range of stability conditions, parameterizations of pressure correlation terms used in second-order closure turbulence models are discussed. Particular attention is also paid to the sustainment of intermittent turbulence under strong stratification. Intermittent regime is found to be associated with the formation of secondary large-scale structures elongated in the spanwise direction, which define spatially confined alternating regions of laminar and turbulent flow. The spanwise length of this structures increases with the increase in the bulk Richardson number and defines and additional constraint on the computational box size. In this work DNS results are presented in extended computational domains, where the intermittent turbulence is sustained for sufficiently higher Richardson numbers than previously reported.
Role of imaging in evaluation of sudden cardiac death risk in hypertrophic cardiomyopathy.
Geske, Jeffrey B; Ommen, Steve R
2015-09-01
Hypertrophic cardiomyopathy (HCM) is the most common heritable cardiomyopathy and is associated with sudden cardiac death (SCD) - an uncommon but devastating clinical outcome. This review is designed to assess the role of imaging in established risk factor assessment and its role in emerging SCD risk stratification. Recent publications have highlighted the crucial role of imaging in HCM SCD risk stratification. Left ventricular hypertrophy assessment remains the key imaging determinant of risk. Data continue to emerge on the role of systolic dysfunction, apical aneurysms, left atrial enlargement and left ventricular outflow tract obstruction as markers of risk. Quantitative assessment of delayed myocardial enhancement and T1 mapping on cardiac MRI continue to evolve. Recent multicenter trials have allowed multivariate SCD risk assessment in large HCM cohorts. Given aggregate risk with presence of multiple risk factors, a single parameter should not be used in isolation to determine implantable cardiac defibrillator candidacy. Use of all available imaging data, including cardiac magnetic resonance tissue characterization, allows a comprehensive approach to SCD stratification and implantable cardiac defibrillator decision-making.
Bourque, Jamieson M.; Beller, George A.
2015-01-01
Exercise stress electrocardiography (ExECG) is underutilized as the initial test modality in patients with interpretable electrocardiograms able to exercise. Although, stress myocardial imaging techniques provide valuable diagnostic and prognostic information, variables derived from ExECG can yield substantial data for risk stratification, either supplementary to imaging variables, or without concurrent imaging. In addition to exercise-induced ischemic ST depression, such markers as ST segment elevation in lead AVR, abnormal heart rate recovery post-exercise, failure to achieve target heart rate, and poor exercise capacity improve risk stratification of ExECG. For example, patients achieving ≥10 METS on ExECG have a very low prevalence of inducible ischemia and an excellent prognosis. In contrast, cardiac imaging techniques add diagnostic and prognostic value in higher risk populations (e.g. poor functional capacity, diabetes, chronic kidney disease). Optimal test selection for symptomatic patients with suspected coronary artery disease requires a patient-centered approach factoring in the risk/benefit ratio and cost-effectiveness. PMID:26563861
NASA Astrophysics Data System (ADS)
Moiseeva, N.; Churilova, T.; Efimova, T.; Krivenko, O.; Latushkin, A.
2017-11-01
Variability of the bio-optical properties of the Crimean coastal waters in June 2016 has been analyzed. The type of vertical distribution chlorophyll a concentration and phytoplankton light absorption coefficients and spectra shape differed between shallow and deeper water. In the deeper water seasonal stratification divided euphotic zone into layers with different environmental conditions. In the deeper part of the euphotic zone (below the thermocline) phytoplankton absorption spectra had local maximum at 550 nm, which was likely to be associated with high abundance of cyanobacteria (Synechococcus sps.) in the phytoplankton community. The concentration of chlorophyll a specific light absorption coefficient of phytoplankton decreased with depth (especially pronounced in the blue domain of the spectrum). In the shallow water the vertical distributions of all absorption properties were relatively homogeneous due to vertical water mixing. In the shallow water non-algal particles light absorption coefficient and its contribution to total particulate absorption were higher than those in the deeper water. The non-algal particles (NAP) and colored dissolved organic matter (CDOM) light absorption spectra were well described by an exponential function with a slope averaging 0.010 nm-1 (SD = 0.001 nm-1) and 0.022 nm-1 (SD = 0.0060 nm-1), correspondingly. The CDOM absorption at 440 nm and slope coefficient varied significantly across the investigated area, which was possibly associated with the terrestrial influences. The assessment of the contribution of phytoplankton, NAP and CDOM to total light absorption showed that CDOM dominated in the absorption at 440 nm.
Shalimu, Dilinuer; Sun, Jia; Baskin, Carol C; Baskin, Jerry M; Sun, Liwei; Liu, Yujun
2016-01-01
The transition from seed dormancy to germination is triggered by environmental factors, and in pomegranate (Punica granatum) seeds higher germination percentages are achieved by warm + cold stratification rather than by cold stratification alone. Our objective was to define the pattern of internal oxidative changes in pomegranate seeds as dormancy was being broken by warm + cold stratification and by cold stratification alone. Embryos isolated from seeds after 1-42 days of warm stratification, after 56 days of warm stratification + 7, 28 or 56 days of cold stratification, and after 1-84 days of cold stratification alone, were used in biochemical tests. Hydrogen peroxide (H2O2), nitric oxide (NO), proline, lipid peroxidation, protein carbonylation, and activities of the scavenging enzymes superoxide dismutase (SOD), hydrogen peroxide enzyme and peroxidase in the embryos were assessed by colorimetric methods. Our results indicated that warm + cold stratification had a stronger dormancy-breaking effect than cold stratification (85% versus 50% germination), which may be attributed to a higher yield of H2O2, NO, lipid peroxidation and protein carbonylation in warm + cold stratification. Furthermore, warm + cold stratification-induced H2O2 change led to greater changes (elevation followed by attenuation) in activities of the scavenging enzymes than that induced by cold stratification alone. These results indicated that restriction of the level of reactive oxygen species change within a positive and safe range by such enzymes promoted seed germination. In addition, a relatively strong elevation of proline during warm + cold stratification also contributed to dormancy breakage and subsequent germination. In conclusion, the strong dormancy alleviating effect of warm + cold stratification on pomegranate seeds may be attributed to the corresponding active oxidative change via H2O2, NO, proline, malondialdehyde, protein carbonylation and scavenging enzymes. Published by Oxford University Press on behalf of the Annals of Botany Company.
Shalimu, Dilinuer; Sun, Jia; Baskin, Carol C.; Baskin, Jerry M.; Sun, Liwei; Liu, Yujun
2016-01-01
The transition from seed dormancy to germination is triggered by environmental factors, and in pomegranate (Punica granatum) seeds higher germination percentages are achieved by warm + cold stratification rather than by cold stratification alone. Our objective was to define the pattern of internal oxidative changes in pomegranate seeds as dormancy was being broken by warm + cold stratification and by cold stratification alone. Embryos isolated from seeds after 1–42 days of warm stratification, after 56 days of warm stratification + 7, 28 or 56 days of cold stratification, and after 1–84 days of cold stratification alone, were used in biochemical tests. Hydrogen peroxide (H2O2), nitric oxide (NO), proline, lipid peroxidation, protein carbonylation, and activities of the scavenging enzymes superoxide dismutase (SOD), hydrogen peroxide enzyme and peroxidase in the embryos were assessed by colorimetric methods. Our results indicated that warm + cold stratification had a stronger dormancy-breaking effect than cold stratification (85% versus 50% germination), which may be attributed to a higher yield of H2O2, NO, lipid peroxidation and protein carbonylation in warm + cold stratification. Furthermore, warm + cold stratification-induced H2O2 change led to greater changes (elevation followed by attenuation) in activities of the scavenging enzymes than that induced by cold stratification alone. These results indicated that restriction of the level of reactive oxygen species change within a positive and safe range by such enzymes promoted seed germination. In addition, a relatively strong elevation of proline during warm + cold stratification also contributed to dormancy breakage and subsequent germination. In conclusion, the strong dormancy alleviating effect of warm + cold stratification on pomegranate seeds may be attributed to the corresponding active oxidative change via H2O2, NO, proline, malondialdehyde, protein carbonylation and scavenging enzymes. PMID:27154624
Primary thrombocytosis in children
Kucine, Nicole; Chastain, Katherine M.; Mahler, Michelle B.; Bussel, James B.
2014-01-01
Myeloproliferative neoplasms are uncommon disorders in children, for which we have limited understanding of the pathogenesis and optimal management. JAK2 and MPL mutations, while common drivers of myeloproliferative neoplasms in adult patients, are not clearly linked to pediatric disease. Management and clinical outcomes in adults have been well delineated with defined recommendations for risk stratification and treatment. This is not the case for pediatric patients, for whom there is neither a standard approach to workup nor any consensus regarding management. This review will discuss thrombocytosis in children, including causes of thrombocytosis in children, the limited knowledge we have regarding pediatric primary thrombocytosis, and our thoughts on potential risk stratification and management, and future questions to be answered by laboratory research and collaborative clinical study. PMID:24688110
Principal Score Methods: Assumptions, Extensions, and Practical Considerations
ERIC Educational Resources Information Center
Feller, Avi; Mealli, Fabrizia; Miratrix, Luke
2017-01-01
Researchers addressing posttreatment complications in randomized trials often turn to principal stratification to define relevant assumptions and quantities of interest. One approach for the subsequent estimation of causal effects in this framework is to use methods based on the "principal score," the conditional probability of belonging…
Wolach, Ofir; Amitai, Irina; DeAngelo, Daniel J
2017-12-01
Significant advances have been made in recent years in the field of Philadelphia-negative acute lymphoblastic leukaemia (ALL). New insights into the biology and genetics of ALL as well as novel clinical observations and new drugs are changing the way we diagnose, risk-stratify and treat adult patients with ALL. New genetic subtypes and alterations refine risk stratification and uncover new actionable therapeutic targets. The incorporation of more intensive, paediatric and paediatric-inspired approaches for young adults seem to have a positive impact on survival in this population. Minimal residual disease at different time points can assist in tailoring risk-adapted interventions for patients based on individual response. Finally, novel targeted approaches with monoclonal antibodies, immunotherapies and small molecules are moving through clinical development and entering the clinic. The aim of this review is to consolidate the abundance of emerging data and to review and revisit the concepts of risk-stratification, choice of induction and post-remission strategies as well as to discuss and update the approach to specific populations with ALL, such as young adult, elderly/unfit and relapsed/refractory patients with ALL. © 2017 John Wiley & Sons Ltd.
NASA Astrophysics Data System (ADS)
Miller, P. I.; Loveday, B. R.
2016-02-01
Stratification is of critical importance to the mixing and productivity of the ocean, though currently it can only be measured using in situ sampling, profiling buoys or underwater autonomous vehicles. Stratification is understood to affect the surface aggregation of pelagic fish and hence the foraging behaviour and distribution of their predators such as seabirds and cetaceans. Satellite Earth observation sensors cannot directly detect stratification, but can observe surface features related to the presence of stratification, for example shelf-sea fronts that separate tidally-mixed water from seasonally stratified water. This presentation describes a novel algorithm that accumulates evidence for stratification from a sequence of oceanic front maps, and in certain regions can reveal the timing of the seasonal onset and breakdown of stratification. Initial comparisons will be made with seabird locations acquired through GPS tagging. If successful, a remotely-sensed stratification timing index would augment the ocean front metrics already developed at PML, that have been applied in over 20 journal articles relating marine predators to ocean fronts. The figure below shows a preliminary remotely-sensed 'stratification' index, for 25-31 Jul. 2010, where red indicates water with stronger evidence for stratification.
Kinematic parameters of internal waves of the second mode in the South China Sea
NASA Astrophysics Data System (ADS)
Kurkina, Oxana; Talipova, Tatyana; Soomere, Tarmo; Giniyatullin, Ayrat; Kurkin, Andrey
2017-10-01
Spatial distributions of the main properties of the mode function and kinematic and non-linear parameters of internal waves of the second mode are derived for the South China Sea for typical summer conditions in July. The calculations are based on the Generalized Digital Environmental Model (GDEM) climatology of hydrological variables, from which the local stratification is evaluated. The focus is on the phase speed of long internal waves and the coefficients at the dispersive, quadratic and cubic terms of the weakly non-linear Gardner model. Spatial distributions of these parameters, except for the coefficient at the cubic term, are qualitatively similar for waves of both modes. The dispersive term of Gardner's equation and phase speed for internal waves of the second mode are about a quarter and half, respectively, of those for waves of the first mode. Similarly to the waves of the first mode, the coefficients at the quadratic and cubic terms of Gardner's equation are practically independent of water depth. In contrast to the waves of the first mode, for waves of the second mode the quadratic term is mostly negative. The results can serve as a basis for expressing estimates of the expected parameters of internal waves for the South China Sea.
Qin, Pengfei; Li, Zhiqiang; Jin, Wenfei; Lu, Dongsheng; Lou, Haiyi; Shen, Jiawei; Jin, Li; Shi, Yongyong; Xu, Shuhua
2014-02-01
Population stratification acts as a confounding factor in genetic association studies and may lead to false-positive or false-negative results. Previous studies have analyzed the genetic substructures in Han Chinese population, the largest ethnic group in the world comprising ∼20% of the global human population. In this study, we examined 5540 Han Chinese individuals with about 1 million single-nucleotide polymorphisms (SNPs) and screened a panel of ancestry informative markers (AIMs) to facilitate the discerning and controlling of population structure in future association studies on Han Chinese. Based on genome-wide data, we first confirmed our previous observation of the north-south differentiation in Han Chinese population. Second, we developed a panel of 150 validated SNP AIMs to determine the northern or southern origin of each Han Chinese individual. We further evaluated the performance of our AIMs panel in association studies in simulation analysis. Our results showed that this AIMs panel had sufficient power to discern and control population stratification in Han Chinese, which could significantly reduce false-positive rates in both genome-wide association studies (GWAS) and candidate gene association studies (CGAS). We suggest this AIMs panel be genotyped and used to control and correct population stratification in the study design or data analysis of future association studies, especially in CGAS which is the most popular approach to validate previous reports on genetic associations of diseases in post-GWAS era.
Is risk stratification ever the same as 'profiling'?
Braithwaite, R Scott; Stevens, Elizabeth R; Caplan, Arthur
2016-05-01
Physicians engage in risk stratification as a normative part of their professional duties. Risk stratification has the potential to be beneficial in many ways, and implicit recognition of this potential benefit underlies its acceptance as a cornerstone of the medical profession. However, risk stratification also has the potential to be harmful. We argue that 'profiling' is a term that corresponds to risk stratification strategies in which there is concern that ethical harms exceed likely or proven benefits. In the case of risk stratification for health goals, this would occur most frequently if benefits were obtained by threats to justice, autonomy or privacy. We discuss implications of the potential overlap between risk stratification and profiling for researchers and for clinicians, and we consider whether there are salient characteristics that make a particular risk stratification algorithm more or less likely to overlap with profiling, such as whether the risk stratification algorithm is based on voluntary versus non-voluntary characteristics, based on causal versus non-causal characteristics, or based on signifiers of historical disadvantage. We also discuss the ethical challenges created when a risk stratification scheme helps all subgroups but some more than others, or when risk stratification harms some subgroups but benefits the aggregate group. 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/
Turbulent Plume Dispersion over Two-dimensional Idealized Urban Street Canyons
NASA Astrophysics Data System (ADS)
Wong, C. C. C.; Liu, C. H.
2012-04-01
Human activities are the primary pollutant sources which degrade the living quality in the current era of dense and compact cities. A simple and reasonably accurate pollutant dispersion model is helpful to reduce pollutant concentrations in city or neighborhood scales by refining architectural design or urban planning. The conventional method to estimate the pollutant concentration from point/line sources is the Gaussian plume model using empirical dispersion coefficients. Its accuracy is pretty well for applying to rural areas. However, the dispersion coefficients only account for the atmospheric stability and streamwise distance that often overlook the roughness of urban surfaces. Large-scale buildings erected in urban areas significantly modify the surface roughness that in turn affects the pollutant transport in the urban canopy layer (UCL). We hypothesize that the aerodynamic resistance is another factor governing the dispersion coefficient in the UCL. This study is thus conceived to study the effects of urban roughness on pollutant dispersion coefficients and the plume behaviors. Large-eddy simulations (LESs) are carried out to examine the plume dispersion from a ground-level pollutant source over idealized 2D street canyons in neutral stratification. Computations with a wide range of aspect ratios (ARs), including skimming flow to isolated flow regimes, are conducted. The vertical profiles of pollutant distribution for different values of friction factor are compared that all reach a self-similar Gaussian shape. Preliminary results show that the pollutant dispersion is closely related to the friction factor. For relatively small roughness, the factors of dispersion coefficient vary linearly with the friction factor until the roughness is over a certain level. When the friction factor is large, its effect on the dispersion coefficient is less significant. Since the linear region covers at least one-third of the full range of friction factor in our empirical analysis, urban roughness is a major factor for dispersion coefficient. The downstream air quality could then be a function of both atmospheric stability and urban roughness.
A Model-Based Approach to Inventory Stratification
Ronald E. McRoberts
2006-01-01
Forest inventory programs report estimates of forest variables for areas of interest ranging in size from municipalities to counties to States and Provinces. Classified satellite imagery has been shown to be an effective source of ancillary data that, when used with stratified estimation techniques, contributes to increased precision with little corresponding increase...
ERIC Educational Resources Information Center
Tuval, Smadar; Orr, Emda
2009-01-01
Based on "Social representations theory", this ethnographic research examines the processes by which two Israeli elementary schools represented some children, but not others, as "weak" students and in need of remedial teaching. This approach differs from most current research regarding children with disabilities, which mainly…
ERIC Educational Resources Information Center
Powell, Bryan; Smith, Gareth Dylan; D'Amore, Abigail
2017-01-01
Music education takes place in socio-political systems that institutionalise cultural hegemony and social stratification through perpetuating symbolically violent practices and unconscious assumptions regarding the purpose of music and music education in society. Education systems serve to perpetuate class divisions and structures, excluding the…
DOE Office of Scientific and Technical Information (OSTI.GOV)
Dickson, T.L.
1993-01-01
This report discusses probabilistic fracture mechanics (PFM) analysis which is a major element of the comprehensive probabilistic methodology endorsed by the NRC for evaluation of the integrity of Pressurized Water Reactor (PWR) pressure vessels subjected to pressurized-thermal-shock (PTS) transients. It is anticipated that there will be an increasing need for an improved and validated PTS PFM code which is accepted by the NRC and utilities, as more plants approach the PTS screening criteria and are required to perform plant-specific analyses. The NRC funded Heavy Section Steel Technology (HSST) Program at Oak Ridge National Laboratories is currently developing the FAVOR (Fracturemore » Analysis of Vessels: Oak Ridge) PTS PFM code, which is intended to meet this need. The FAVOR code incorporates the most important features of both OCA-P and VISA-II and contains some new capabilities such as PFM global modeling methodology, the capability to approximate the effects of thermal streaming on circumferential flaws located inside a plume region created by fluid and thermal stratification, a library of stress intensity factor influence coefficients, generated by the NQA-1 certified ABAQUS computer code, for an adequate range of two and three dimensional inside surface flaws, the flexibility to generate a variety of output reports, and user friendliness.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Dickson, T.L.
1993-04-01
This report discusses probabilistic fracture mechanics (PFM) analysis which is a major element of the comprehensive probabilistic methodology endorsed by the NRC for evaluation of the integrity of Pressurized Water Reactor (PWR) pressure vessels subjected to pressurized-thermal-shock (PTS) transients. It is anticipated that there will be an increasing need for an improved and validated PTS PFM code which is accepted by the NRC and utilities, as more plants approach the PTS screening criteria and are required to perform plant-specific analyses. The NRC funded Heavy Section Steel Technology (HSST) Program at Oak Ridge National Laboratories is currently developing the FAVOR (Fracturemore » Analysis of Vessels: Oak Ridge) PTS PFM code, which is intended to meet this need. The FAVOR code incorporates the most important features of both OCA-P and VISA-II and contains some new capabilities such as PFM global modeling methodology, the capability to approximate the effects of thermal streaming on circumferential flaws located inside a plume region created by fluid and thermal stratification, a library of stress intensity factor influence coefficients, generated by the NQA-1 certified ABAQUS computer code, for an adequate range of two and three dimensional inside surface flaws, the flexibility to generate a variety of output reports, and user friendliness.« less
Apple, Fred S; Quist, Heidi E; Murakami, MaryAnn M
2004-04-01
Increasing numbers of patients are presenting to emergency departments with symptoms suggestive of an acute myocardial infarction. To demonstrate the comparative performance of the Ortho Vitros Troponin I and Beckman Access AccuTnI assays used to detect myocardial infarction and to develop risk stratification schemes for all-cause death in patients who presented with myocardial ischemia symptoms that were suggestive of acute coronary syndrome (ACS). The prospective enrollment of patients with ACS and the measurement of serial plasma samples by 2 commercial cardiac troponin I (cTnI) assays. A metropolitan medical center that admitted patients with ACS during a 2-month period. The study population consisted of 200 consecutively admitted patients who presented with symptoms that were suggestive of ACS. Correlation scatterplots showed no significant bias between cTnI assays based on 659 specimens across the dynamic range of each assay. Only minor differences in slopes and intercepts were observed between assays when correlations were based across selected concentration ranges. The receiver operating characteristic curve areas for the detection of myocardial infarction were not significantly different (Ortho,.991; Beckman,.995). At the 99th percentile (Beckman, 0.04 microg/L; Ortho, 0.08 microg/L), each assay demonstrated 100% sensitivity with 78% and 80% specificity, respectively. Kaplan-Meier survival curves and the log-rank test were used to compare time-to-event data. Patients with increased baseline cTnI values had higher odds ratios of death than did those with normal concentrations. For Ortho, the 99th percentile cutoff was 5.9, and the 10% coefficient of variation cutoff was 10.3; for Beckman, the 99th percentile cutoff was 31.4, and the 10% coefficient of variation cutoff was 15.3. Comparable diagnostic and risk stratification abilities were demonstrated in patients with ACS by the Ortho Vitros and Beckman Access cTnI assays, with no significant analytic bias between cTnI assays.
Revealing the timing of ocean stratification using remotely sensed ocean fronts
NASA Astrophysics Data System (ADS)
Miller, Peter I.; Loveday, Benjamin R.
2017-10-01
Stratification is of critical importance to the circulation, mixing and productivity of the ocean, and is expected to be modified by climate change. Stratification is also understood to affect the surface aggregation of pelagic fish and hence the foraging behaviour and distribution of their predators such as seabirds and cetaceans. Hence it would be prudent to monitor the stratification of the global ocean, though this is currently only possible using in situ sampling, profiling buoys or underwater autonomous vehicles. Earth observation (EO) sensors cannot directly detect stratification, but can observe surface features related to the presence of stratification, for example shelf-sea fronts that separate tidally-mixed water from seasonally stratified water. This paper describes a novel algorithm that accumulates evidence for stratification from a sequence of oceanic front maps, and discusses preliminary results in comparison with in situ data and simulations from 3D hydrodynamic models. In certain regions, this method can reveal the timing of the seasonal onset and breakdown of stratification.
Xiao, Lishan; Lin, Tao; Chen, Shaohua; Zhang, Guoqin; Ye, Zhilong; Yu, Zhaowu
2015-01-01
The relationship between social stratification and municipal solid waste generation remains uncertain under current rapid urbanization. Based on a multi-object spatial sampling technique, we selected 191 households in a rapidly urbanizing area of Xiamen, China. The selected communities were classified into three types: work-unit, transitional, and commercial communities in the context of housing policy reform in China. Field survey data were used to characterize household waste generation patterns considering community stratification. Our results revealed a disparity in waste generation profiles among different households. The three community types differed with respect to family income, living area, religious affiliation, and homeowner occupation. Income, family structure, and lifestyle caused significant differences in waste generation among work-unit, transitional, and commercial communities, respectively. Urban waste generation patterns are expected to evolve due to accelerating urbanization and associated community transition. A multi-scale integrated analysis of societal and ecosystem metabolism approach was applied to waste metabolism linking it to particular socioeconomic conditions that influence material flows and their evolution. Waste metabolism, both pace and density, was highest for family structure driven patterns, followed by lifestyle and income driven. The results will guide community-specific management policies in rapidly urbanizing areas.
Tadeo, Irene; Piqueras, Marta; Montaner, David; Villamón, Eva; Berbegall, Ana P; Cañete, Adela; Navarro, Samuel; Noguera, Rosa
2014-02-01
Risk classification and treatment stratification for cancer patients is restricted by our incomplete picture of the complex and unknown interactions between the patient's organism and tumor tissues (transformed cells supported by tumor stroma). Moreover, all clinical factors and laboratory studies used to indicate treatment effectiveness and outcomes are by their nature a simplification of the biological system of cancer, and cannot yet incorporate all possible prognostic indicators. A multiparametric analysis on 184 tumor cylinders was performed. To highlight the benefit of integrating digitized medical imaging into this field, we present the results of computational studies carried out on quantitative measurements, taken from stromal and cancer cells and various extracellular matrix fibers interpenetrated by glycosaminoglycans, and eight current approaches to risk stratification systems in patients with primary and nonprimary neuroblastoma. New tumor tissue indicators from both fields, the cellular and the extracellular elements, emerge as reliable prognostic markers for risk stratification and could be used as molecular targets of specific therapies. The key to dealing with personalized therapy lies in the mathematical modeling. The use of bioinformatics in patient-tumor-microenvironment data management allows a predictive model in neuroblastoma.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Samohyl, P.
The application of the LBB requires also fatigue flaw growth assessment. This analysis was performed for PWR nuclear power plants types VVER 440/230, VVER 440/213c, VVER 1000/320. Respecting that these NPP`s were designed according to Russian codes that differ from US codes it was needed to compare these approaches. Comparison with our experimental data was accomplished, too. Margins of applicability of the US methods and their modifications for the materials used for construction of Czech and Slovak NPP`s are shown. Computer code accomplishing the analysis according to described method is presented. Some measurement and calculations show that thermal stratifications inmore » horizontal pipelines can lead to additive loads that are not negligible and can be dangerous. An attempt to include these loads induced by steady-state stratification was made.« less
Accurate and robust genomic prediction of celiac disease using statistical learning.
Abraham, Gad; Tye-Din, Jason A; Bhalala, Oneil G; Kowalczyk, Adam; Zobel, Justin; Inouye, Michael
2014-02-01
Practical application of genomic-based risk stratification to clinical diagnosis is appealing yet performance varies widely depending on the disease and genomic risk score (GRS) method. Celiac disease (CD), a common immune-mediated illness, is strongly genetically determined and requires specific HLA haplotypes. HLA testing can exclude diagnosis but has low specificity, providing little information suitable for clinical risk stratification. Using six European cohorts, we provide a proof-of-concept that statistical learning approaches which simultaneously model all SNPs can generate robust and highly accurate predictive models of CD based on genome-wide SNP profiles. The high predictive capacity replicated both in cross-validation within each cohort (AUC of 0.87-0.89) and in independent replication across cohorts (AUC of 0.86-0.9), despite differences in ethnicity. The models explained 30-35% of disease variance and up to ∼43% of heritability. The GRS's utility was assessed in different clinically relevant settings. Comparable to HLA typing, the GRS can be used to identify individuals without CD with ≥99.6% negative predictive value however, unlike HLA typing, fine-scale stratification of individuals into categories of higher-risk for CD can identify those that would benefit from more invasive and costly definitive testing. The GRS is flexible and its performance can be adapted to the clinical situation by adjusting the threshold cut-off. Despite explaining a minority of disease heritability, our findings indicate a genomic risk score provides clinically relevant information to improve upon current diagnostic pathways for CD and support further studies evaluating the clinical utility of this approach in CD and other complex diseases.
The generalized scattering coefficient method for plane wave scattering in layered structures
NASA Astrophysics Data System (ADS)
Liu, Yu; Li, Chao; Wang, Huai-Yu; Zhou, Yun-Song
2017-02-01
The generalized scattering coefficient (GSC) method is pedagogically derived and employed to study the scattering of plane waves in homogeneous and inhomogeneous layered structures. The numerical stabilities and accuracies of this method and other commonly used numerical methods are discussed and compared. For homogeneous layered structures, concise scattering formulas with clear physical interpretations and strong numerical stability are obtained by introducing the GSCs. For inhomogeneous layered structures, three numerical methods are employed: the staircase approximation method, the power series expansion method, and the differential equation based on the GSCs. We investigate the accuracies and convergence behaviors of these methods by comparing their predictions to the exact results. The conclusions are as follows. The staircase approximation method has a slow convergence in spite of its simple and intuitive implementation, and a fine stratification within the inhomogeneous layer is required for obtaining accurate results. The expansion method results are sensitive to the expansion order, and the treatment becomes very complicated for relatively complex configurations, which restricts its applicability. By contrast, the GSC-based differential equation possesses a simple implementation while providing fast and accurate results.
Assessing FAO-56 dual crop coefficients using eddy covariance flux partitioning
USDA-ARS?s Scientific Manuscript database
Current approaches to scheduling crop irrigation using reference evapotranspiration (ET0) recommend using a dual-coefficient approach using basal (Kcb) and soil (Ke) coefficients along with a stress coefficient (Ks) to model crop evapotranspiration (ETc), [e.g. ETc=(Ks*Kcb+Ke)*ET0]. However, determi...
A Comparative Review of Stratification Texts and Readers
ERIC Educational Resources Information Center
Peoples, Clayton D.
2012-01-01
Social stratification is a core substantive area within sociology. There are a number of textbooks and readers available on the market that deal with this central topic. In this article, I conduct a comparative review of (a) four stratification textbooks and (b) four stratification readers. (Contains 2 tables.)
Pressure vessel fracture, fatigue, and life management: PVP-Volume 233
DOE Office of Scientific and Technical Information (OSTI.GOV)
Bhandari, S.; Milella, P.P.; Pennell, W.E.
1992-01-01
This volume contains papers relating to the structural integrity assessment of pressure vessels and piping, with special emphasis on the effects of aging. The papers are organized in the following five areas: (1) pressure vessel life management; (2) fracture characterization using local and dual-parameter approaches; (3) stratification and thermal fatigue; (4) creep, fatigue, and fracture; and (5) integrated approach to integrity assessment of pressure components. Separate abstracts were prepared for 39 papers in this conference.
The new dyslipidemia guidelines: what is the debate?
Anderson, Todd J; Mancini, G B John; Genest, Jacques; Grégoire, Jean; Lonn, Eva M; Hegele, Robert A
2015-05-01
Dyslipidemia is a major risk factor for the development of atherosclerotic disease. Therefore, lifestyle interventions and pharmacological approaches to decrease cholesterol are widely used in cardiovascular disease prevention. The introduction and widespread use of 3-hydroxy-3 methylglutaryl coenzyme A inhibitors (statins) for individuals at risk of atherosclerotic disease has been an important advance in cardiovascular care. There can be no doubt that better control of dyslipidemia, even in subjects whose low-density lipoprotein cholesterol level is not particularly high, has reduced overall event rates. On a background of lifestyle interventions, statins are routinely used to decrease risk along with aspirin and interventions to control hypertension and diabetes. More than other risk factors, the approach to the identification and treatment of dyslipidemia has been heterogeneous and widely debated. The recent release of the 2013 American College of Cardiology/American Heart Association dyslipidemia guidelines has reignited the controversy over the best approach for risk stratification and treatment. In this article we review the importance of statin therapy for global cardiovascular risk reduction, compare the Canadian Cardiovascular Society dyslipidemia guidelines with other standards, and discuss the points of debate. Despite the seeming variety of recommendations, their common link is a systematic approach to risk stratification and treatment, which will continue to benefit our patients at risk. Copyright © 2015 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
Fire management over large landscapes: a hierarchical approach
Kenneth G. Boykin
2008-01-01
Management planning for fires becomes increasingly difficult as scale increases. Stratification provides land managers with multiple scales in which to prepare plans. Using statistical techniques, Geographic Information Systems (GIS), and meetings with land managers, we divided a large landscape of over 2 million acres (White Sands Missile Range) into parcels useful in...
ERIC Educational Resources Information Center
Mitsumura, Masakazu
2012-01-01
Multivariate forms of social oppression, such as racism, linguicism, and heterosexism, are manifested in schools that, as part of our communities, reflect the societal stratification and structural inequalities of a larger society. Teacher educators engaged in multicultural education are responsible for providing pre-service teachers with…
Numerical simulation of turbulent stratified flame propagation in a closed vessel
NASA Astrophysics Data System (ADS)
Gruselle, Catherine; Lartigue, Ghislain; Pepiot, Perrine; Moureau, Vincent; D'Angelo, Yves
2012-11-01
Reducing pollutants emissions while keeping a high combustion efficiency and a low fuel consumption is an important challenge for both gas turbine (GT) and internal combustion engines (ICE). To fulfill these new constraints, stratified combustion may constitute an efficient strategy. A tabulated chemistry approach based on FPI combined to a low-Mach number method is applied in the analysis of a turbulent propane-air flame with equivalence ratio (ER) stratification, which has been studied experimentally by Balusamy [S. Balusamy, Ph.D Thesis, INSA-Rouen (2010)]. Flame topology, along with flame velocity statistics, are well reproduced in the simulation, even if time-history effects are not accounted for in the tabulated approach. However, these effects may become significant when exhaust gas recirculation (EGR) is introduced. To better quantify them, both ER and EGR-stratified two-dimensional flames are simulated using finite-rate chemistry and a semi-detailed mechanism for propane oxidation. The numerical implementation is first investigated in terms of efficiency and accuracy, with a focus on splitting errors. The resulting flames are then analyzed to investigate potential extensions of the FPI technique to EGR stratification.
Villandré, Luc; Hutcheon, Jennifer A; Perez Trejo, Maria Esther; Abenhaim, Haim; Jacobsen, Geir; Platt, Robert W
2011-01-01
We present a model for longitudinal measures of fetal weight as a function of gestational age. We use a linear mixed model, with a Box-Cox transformation of fetal weight values, and restricted cubic splines, in order to flexibly but parsimoniously model median fetal weight. We systematically compare our model to other proposed approaches. All proposed methods are shown to yield similar median estimates, as evidenced by overlapping pointwise confidence bands, except after 40 completed weeks, where our method seems to produce estimates more consistent with observed data. Sex-based stratification affects the estimates of the random effects variance-covariance structure, without significantly changing sex-specific fitted median values. We illustrate the benefits of including sex-gestational age interaction terms in the model over stratification. The comparison leads to the conclusion that the selection of a model for fetal weight for gestational age can be based on the specific goals and configuration of a given study without affecting the precision or value of median estimates for most gestational ages of interest. PMID:21931571
Confidence bounds for normal and lognormal distribution coefficients of variation
Steve Verrill
2003-01-01
This paper compares the so-called exact approach for obtaining confidence intervals on normal distribution coefficients of variation to approximate methods. Approximate approaches were found to perform less well than the exact approach for large coefficients of variation and small sample sizes. Web-based computer programs are described for calculating confidence...
Numerical Study of Wake Vortex Behavior in Turbulent Domains with Ambient Stratification
NASA Technical Reports Server (NTRS)
Switzer, George F.; Proctor, Fred H.
2000-01-01
A three-dimensional large eddy simulation model is used to investigate the sensitivity of ambient stratification with turbulence on the behavior of aircraft wake vortices. Modeled ambient turbulence levels range from very weak to moderate, and stratification levels range from strongly stable to unstable. The results of profound significance from this study are: 1) very little sensitivity between vortex linking time and the level of stratification, 2) the mean vortex separation remained nearly constant regardless of stratification and turbulence (at least prior to linking), 3) the wake vortices did not rise regardless of the level of stratification, and 4) for very strong stratification, the vortex stopped descending and quickly dissipated even before vortex linking could occur. These results are supported by experimental data and are contrary to conclusions from other numerical studies that assume laminar flow and/or relatively-low Reynolds numbers.
USDA-ARS?s Scientific Manuscript database
Current approaches to scheduling crop irrigation using reference evapotranspiration (ET0) recommend using a dual-coefficient approach using basal (Kcb) and soil (Ke) coefficients along with a stress coefficient (Ks) to model crop evapotranspiration (ETc), [e.g. ETc=(Ks*Kcb+Ke)*ET0]. However, indepe...
Dynamo Tests for Stratification Below the Core-Mantle Boundary
NASA Astrophysics Data System (ADS)
Olson, P.; Landeau, M.
2017-12-01
Evidence from seismology, mineral physics, and core dynamics points to a layer with an overall stable stratification in the Earth's outer core, possibly thermal in origin, extending below the core-mantle boundary (CMB) for several hundred kilometers. In contrast, energetic deep mantle convection with elevated heat flux implies locally unstable thermal stratification below the CMB in places, consistent with interpretations of non-dipole geomagnetic field behavior that favor upwelling flows below the CMB. Here, we model the structure of convection and magnetic fields in the core using numerical dynamos with laterally heterogeneous boundary heat flux in order to rationalize this conflicting evidence. Strongly heterogeneous boundary heat flux generates localized convection beneath the CMB that coexists with an overall stable stratification there. Partially stratified dynamos have distinctive time average magnetic field structures. Without stratification or with stratification confined to a thin layer, the octupole component is small and the CMB magnetic field structure includes polar intensity minima. With more extensive stratification, the octupole component is large and the magnetic field structure includes intense patches or high intensity lobes in the polar regions. Comparisons with the time-averaged geomagnetic field are generally favorable for partial stratification in a thin layer but unfavorable for stratification in a thick layer beneath the CMB.
NASA Astrophysics Data System (ADS)
Moodie, A. J.; Nittrouer, J. A.; Ma, H.; Lamb, M. P.; Carlson, B.; Kineke, G. C.; Parker, G.
2017-12-01
High concentrations of suspended sediment in channelized fluid flow produces density stratification that can alter the turbulent flow structure, thus limiting fluid momentum redistribution and affecting sediment transport capacity. A low channel-bed slope and large flow depth are hypothesized to be additional important factors contributing to density stratification. However, there are limited observations of density stratification in large rivers, especially those that carry significant fluxes of mud, and so the conditions leading to the development of density stratification are poorly constrained. The Yellow River, China, is a fine-grained and low-sloping river that maintains some of the highest suspended sediment concentrations in large rivers worldwide, making it an ideal natural laboratory for studying density stratification and its impact on sediment transport. Suspended sediment samples from the lower Yellow River, collected over a range of discharge conditions, produced sediment concentration profiles that are used in conjunction with velocity profiles to determine the threshold shear velocity for density stratification effects to develop. Comparing measured and predicted concentration and velocity profiles demonstrates that, there is no significant density stratification for base flow conditions; however, above a shear velocity value of 0.05 m/s, there is a progressive offset between the measured and predicted profiles, indicating that density stratification is increasingly important with higher shear stress values. The analyses further indicate that sediment entrainment from the bed and sediment diffusivity within the water column are significantly impacted by density stratification, suggesting that shear stress and sediment transport rates are inhibited by the development of density stratification. Near-bed concentration measurements are used to assess a stress-to-entrainment relationship, accounting for density stratification. These measurements are being used to refine relations for sediment entrainment and sediment flux in sandy and muddy, lowland rivers and deltas.
NASA Astrophysics Data System (ADS)
Yang, Yichen; Wang, Yongwei; Zhang, Zhen; Wang, Wei; Ren, Xia; Gao, Yaqi; Liu, Shoudong; Lee, Xuhui
2018-04-01
Among several influential factors, the geographical position and depth of a lake determine its thermal structure. In temperate zones, shallow lakes show significant differences in thermal stratification compared to deep lakes. Here, the variation in thermal stratification in Lake Taihu, a shallow fresh water lake, is studied systematically. Lake Taihu is a warm polymictic lake whose thermal stratification varies in short cycles of one day to a few days. The thermal stratification in Lake Taihu has shallow depths in the upper region and a large amplitude in the temperature gradient, the maximum of which exceeds 5°C m-1. The water temperature in the entire layer changes in a relatively consistent manner. Therefore, compared to a deep lake at similar latitude, the thermal stratification in Lake Taihu exhibits small seasonal differences, but the wide variation in the short term becomes important. Shallow polymictic lakes share the characteristic of diurnal mixing. Prominent differences on the duration and frequency of long-lasting thermal stratification are found in these lakes, which may result from the differences of local climate, lake depth, and fetch. A prominent response of thermal stratification to weather conditions is found, being controlled by the stratifying effect of solar radiation and the mixing effect of wind disturbance. Other than the diurnal stratification and convection, the representative responses of thermal stratification to these two factors with contrary effects are also discussed. When solar radiation increases, stronger wind is required to prevent the lake from becoming stratified. A daily average wind speed greater than 6 m s-1 can maintain the mixed state in Lake Taihu. Moreover, wind-induced convection is detected during thermal stratification. Due to lack of solar radiation, convection occurs more easily in nighttime than in daytime. Convection occurs frequently in fall and winter, whereas long-lasting and stable stratification causes less convection in summer.
Jabeen, Nazish
2014-01-01
ABSTRACT Kashmiri population in the northeast of Pakistan has strong historical, cultural and linguistic affinities with the neighbouring populations of upper Punjab and Potohar region of Pakistan. However, the study of consanguineous unions, which are customarily practised in many populations of Pakistan, revealed marked differences between the Kashmiris and other populations of northern Pakistan with respect to the distribution of marriage types and inbreeding coefficient (F). The current descriptive epidemiological study carried out in Bhimber district of Mirpur division, Azad Jammu and Kashmir, Pakistan, demonstrated that consanguineous marriages were 62% of the total marriages (F=0.0348). First-cousin unions were the predominant type of marriages and constituted 50.13% of total marital unions. The estimates of inbreeding coefficient were higher in the literate subjects, and consanguinity was witnessed to be rising with increasing literacy level. Additionally, consanguinity was observed to be associated with ethnicity, family structure, language, and marriage arrangements. Based upon these data, a distinct sociobiological structure, with increased stratification and higher genomic homozygosity, is expected for this Kashmiri population. In this communication, we present detailed distribution of the types of marital unions and the incidences of consanguinity and inbreeding coefficient (F) across various sociodemographic strata of Bhimber/Mirpuri population. The results of this study would have implication not only for other endogamous populations of Pakistan but also for the sizeable Kashmiri community immigrated to Europe. PMID:25076667
2013-09-30
analyze the MCR drifter, in situ mini-catamaran, pressure, and USGS tripod observations; • describe the tidal chocking behavior at New River Inlet (NRI...i.e. waves , wind and potentially stratification) APPROACH Our approach is to collect field observations to evaluate the sensitivity of Delft3D at...forecast model using the predicted tides, wind, wave and river discharge conditions to optimize spatial coverage and drifter retrieval operations. On
NASA Astrophysics Data System (ADS)
Indarsih, Indrati, Ch. Rini
2016-02-01
In this paper, we define variance of the fuzzy random variables through alpha level. We have a theorem that can be used to know that the variance of fuzzy random variables is a fuzzy number. We have a multi-objective linear programming (MOLP) with fuzzy random of objective function coefficients. We will solve the problem by variance approach. The approach transform the MOLP with fuzzy random of objective function coefficients into MOLP with fuzzy of objective function coefficients. By weighted methods, we have linear programming with fuzzy coefficients and we solve by simplex method for fuzzy linear programming.
Overview and recent advances in the treatment of neuroblastoma.
Whittle, Sarah B; Smith, Valeria; Doherty, Erin; Zhao, Sibo; McCarty, Scott; Zage, Peter E
2017-04-01
Children with neuroblastoma have widely divergent outcomes, ranging from cure in >90% of patients with low risk disease to <50% for those with high risk disease. Recent research has shed light on the biology of neuroblastoma, allowing for more accurate risk stratification and treatment reduction in many cases, although newer treatment strategies for children with high-risk and relapsed neuroblastoma are needed to improve outcomes. Areas covered: Neuroblastoma epidemiology, diagnosis, risk stratification, and recent advances in treatment of both newly diagnosed and relapsed neuroblastoma. Expert commentary: The identification of newer tumor targets and of novel cell-mediated immunotherapy agents may lead to novel therapeutic approaches, and clinical trials for regimens designed to target individual genetic aberrations in tumors are underway. A combination of therapeutic modalities will likely be required to improve survival and cure rates for patients with high-risk neuroblastoma.
Numerical simulation of turbulence and sediment transport of medium sand
NASA Astrophysics Data System (ADS)
Schmeeckle, M. W.
2012-12-01
Eleven numerical simulations, ranging from no transport to bedload to vigorous suspension transport, are presented of a combined large eddy simulation (LES) and distinct element model (DEM) of an initially flat bed of medium sand. The fluid and particles are fully coupled in momentum. The friction coefficient, defined here as the squared ratio of the friction velocity to the depth-averaged velocity, is in good agreement with well-known rough bed relations at no transport and increases with the intensity of bedload transport. The friction coefficient nearly doubles in value at the onset of sediment suspension owing to a rapid increase of the depth over which particles and fluid exchange momentum. The friction coefficient decreases with increasing suspension intensity because of increasingly stable stratification. Fluid Reynolds stress and time-averaged velocity profiles in the bedload regime agree well with previous experiments and simulations. Also consistent with previous studies of suspended sediment, there is an increase in slope of the lower portion of the velocity profile that has been modeled in the past using stably stratified eddy viscosity closures or an adjusted von Karman constant. Stokes numbers in the simulations, using an estimated lagrangian integral time scale, are less than unity. As such, particles faithfully follow the fluid, except for particle settling and grain-grain interactions near the bed. Fluid-particle velocity correlation coefficients approach one in portions of the flow where volumetric sediment concentrations are below about ten percent. Bedload entrainment is critically connected to vertical velocity fluctuations. When a fluid packet approaches the bed from the interior of the flow (i.e. a sweep), fluid is forced into the bed, and at the edges of the sweep, fluid is forced out of the bed. Much of the particle entrainment occurs at these sweep edges. Fluid velocity statistics following the particles reveal that moving bedload particles are preferentially concentrated in zones of upward fluid velocity. This may explain previous observations noting a rapid vertical rise at the beginning of saltation trajectories. The simulations described here have no lift forces. Because of the short particle time scales relative to that of the turbulent structures, high transport stage bedload entrainment zones involve mutual interaction between turbulence structures and bed deformation. These deformation structures appear as depressed areas of the bed at the center of the sweep and raised areas of entraining particles at the edges of the sweep penetration. Suspended sediment entrainment structures are similar to these bedload entrainment structures but have much larger scales. Preferential concentration of suspended grains in zones of upward moving fluid dampens turbulence intensities and momentum transport. Much of the suspended transport takes place within this highly concentrated near-bed zone of damped turbulence. Particle-fluid correlation coefficients are relatively low in the lower portion of this highly concentrated suspended sediment zone, owing to particle-particle interactions. As such, Rouse-like profiles utilizing eddy viscosity closures, adjusted according to flux Richardson numbers, do not adequately describe the physics of this zone.
Pulsational stabilities of a star in thermal imbalance - Comparison between the methods
NASA Technical Reports Server (NTRS)
Vemury, S. K.
1978-01-01
The stability coefficients for quasi-adiabatic pulsations for a model in thermal imbalance are evaluated using the dynamical energy (DE) approach, the total (kinetic plus potential) energy (TE) approach, and the small amplitude (SA) approaches. From a comparison among the methods, it is found that there can exist two distinct stability coefficients under conditions of thermal imbalance as pointed out by Demaret. It is shown that both the TE approaches lead to one stability coefficient, while both the SA approaches lead to another coefficient. The coefficient obtained through the energy approaches is identified as the one which determines the stability of the velocity amplitudes. For a prenova model with a thin hydrogen-burning shell in thermal imbalance, several radial modes are found to be unstable both for radial displacements and for velocity amplitudes. However, a new kind of pulsational instability also appears, viz., while the radial displacements are unstable, the velocity amplitudes may be stabilized through the thermal imbalance terms.
Mark D. Nelson; Ronald E. McRoberts; Greg C. Liknes; Geoffrey R. Holden
2005-01-01
Landsat Thematic Mapper (TM) satellite imagery and Forest Inventory and Analysis (FIA) plot data were used to construct forest/nonforest maps of Mapping Zone 41, National Land Cover Dataset 2000 (NLCD 2000). Stratification approaches resulting from Maximum Likelihood, Fuzzy Convolution, Logistic Regression, and k-Nearest Neighbors classification/prediction methods were...
Military Famine, Human Rights, and Child Hunger: A Cross-National Analysis, 1990-2000
ERIC Educational Resources Information Center
Jenkins, J. Craig; Scanlan, Stephen J.; Peterson, Lindsey
2007-01-01
Discussions of world hunger have focused on economic growth and international food aid, assuming that food supply is the critical issue. The authors show that food access rooted in social stratification and military power is the central problem. Synthesizing the entitlement and military famine approaches to hunger, the authors examine the effects…
NASA Astrophysics Data System (ADS)
Camp, Jon J.; Hanson, Dennis P.; Lowe, Val J.; Kemp, Bradley J.; Senjem, Matthew L.; Murray, Melissa E.; Dickson, Dennis W.; Parisi, Joseph E.; Petersen, Ronald C.; Robb, Richard A.; Holmes, David R.
2016-03-01
We have previously described an automated system for the co-registration of PiB and FDG PET images with structural MRI and a neurological anatomy atlas to produce region-specific quantization of cortical activity and amyloid burden. We also reported a global joint PiB/FDG histogram-based measure (FDG-Associated PiB Uptake Ratio - FAPUR) that performed as well as regional PiB ratio in stratifying Alzheimer's disease (AD) and Lewy Body Dementia (LBD) patients from normal subjects in an autopsy-verified cohort of 31. In this paper we examine results of this analysis on a clinically-verified cohort of 718 normal volunteers. We found that the global FDG ratio correlated negatively with age (r2 = 0.044) and global PiB ratio correlated positively with age (r2=0.038). FAPUR also correlated negatively with age (r2-.025), and in addition, we introduce a new metric - the Pearson's correlation coefficient (r2) of the joint PiB/FDG histogram which correlates positively (r2=0.014) with age. We then used these measurements to construct age-weighted Z-scores for all measurements made on the original autopsy cohort. We found similar stratification using Z-scores compared to raw values; however, the joint PiB/FDG r2 Z-score showed the greatest stratification ability.
STELLAR CONTRIBUTION FUNCTIONS IN THE AGE OF CHEMICAL STRATIFICATION
NASA Astrophysics Data System (ADS)
Cowley, Charles; Sheminova, Valya; Castelli, Fiorella; Monier, Richard
2018-01-01
Contribution functions (CF's) were important tools to probe formation depths of features in the early numerical calculations of analytical stellar spectroscopy. In more recent work, CF's have played a minor role. Gray's (2005) text briefly discusses CF's, but CF's are not in Hubeny and Mihalas (2015). Gurtovenko and Sheminova (2015) give an extensive review of contribution functions in a recent preprint (arXiv:1505.00975). The realization that the atmospheres of certain stars are chemically stratified (Ryabchikova, Wade \\& LeBlanc, 2003, in IAU Symp. 210), and much subsequent work makes CF's of current interest. We employ new as well as older methods to compute CF's to find important layers, either for specific intensity or line depth for various points on the line profile. The most important layer is the one that causes the biggest change in the magnitude of the feature when the line absorption coefficient is set equal to zero for successive layers. This is readily done for a stratified or unstratified model. For an equivalent width, W, we calculate $(W-W_i/W) $, where $W_i$ is the equivalent width without absorption from the $i^th$ layer. We concentrate on cases where stratification is most obvious, for example, the Ca II K-line profile in the roAp stars and HR 6000 (Castelli, et al. 2017, A\\&A, 601, A119).
Proposals for enhanced health risk assessment and stratification in an integrated care scenario
Dueñas-Espín, Ivan; Vela, Emili; Pauws, Steffen; Bescos, Cristina; Cano, Isaac; Cleries, Montserrat; Contel, Joan Carles; de Manuel Keenoy, Esteban; Garcia-Aymerich, Judith; Gomez-Cabrero, David; Kaye, Rachelle; Lahr, Maarten M H; Lluch-Ariet, Magí; Moharra, Montserrat; Monterde, David; Mora, Joana; Nalin, Marco; Pavlickova, Andrea; Piera, Jordi; Ponce, Sara; Santaeugenia, Sebastià; Schonenberg, Helen; Störk, Stefan; Tegner, Jesper; Velickovski, Filip; Westerteicher, Christoph; Roca, Josep
2016-01-01
Objectives Population-based health risk assessment and stratification are considered highly relevant for large-scale implementation of integrated care by facilitating services design and case identification. The principal objective of the study was to analyse five health-risk assessment strategies and health indicators used in the five regions participating in the Advancing Care Coordination and Telehealth Deployment (ACT) programme (http://www.act-programme.eu). The second purpose was to elaborate on strategies toward enhanced health risk predictive modelling in the clinical scenario. Settings The five ACT regions: Scotland (UK), Basque Country (ES), Catalonia (ES), Lombardy (I) and Groningen (NL). Participants Responsible teams for regional data management in the five ACT regions. Primary and secondary outcome measures We characterised and compared risk assessment strategies among ACT regions by analysing operational health risk predictive modelling tools for population-based stratification, as well as available health indicators at regional level. The analysis of the risk assessment tool deployed in Catalonia in 2015 (GMAs, Adjusted Morbidity Groups) was used as a basis to propose how population-based analytics could contribute to clinical risk prediction. Results There was consensus on the need for a population health approach to generate health risk predictive modelling. However, this strategy was fully in place only in two ACT regions: Basque Country and Catalonia. We found marked differences among regions in health risk predictive modelling tools and health indicators, and identified key factors constraining their comparability. The research proposes means to overcome current limitations and the use of population-based health risk prediction for enhanced clinical risk assessment. Conclusions The results indicate the need for further efforts to improve both comparability and flexibility of current population-based health risk predictive modelling approaches. Applicability and impact of the proposals for enhanced clinical risk assessment require prospective evaluation. PMID:27084274
Mishra-Kalyani, Pallavi S.; Johnson, Brent A.; Glass, Jonathan D.; Long, Qi
2016-01-01
Clinical disease registries offer a rich collection of valuable patient information but also pose challenges that require special care and attention in statistical analyses. The goal of this paper is to propose a statistical framework that allows for estimating the effect of surgical insertion of a percutaneous endogastrostomy (PEG) tube for patients living with amyotrophic lateral sclerosis (ALS) using data from a clinical registry. Although all ALS patients are informed about PEG, only some patients agree to the procedure which, leads to the potential for selection bias. Assessing the effect of PEG is further complicated by the aggressively fatal disease, such that time to death competes directly with both the opportunity to receive PEG and clinical outcome measurements. Our proposed methodology handles the “censoring by death” phenomenon through principal stratification and selection bias for PEG treatment through generalized propensity scores. We develop a fully Bayesian modeling approach to estimate the survivor average causal effect (SACE) of PEG on BMI, a surrogate outcome measure of nutrition and quality of life. The use of propensity score methods within the principal stratification framework demonstrates a significant and positive effect of PEG treatment, particularly when time of treatment is included in the treatment definition. PMID:27640365
NASA Astrophysics Data System (ADS)
Mishra-Kalyani, Pallavi S.; Johnson, Brent A.; Glass, Jonathan D.; Long, Qi
2016-09-01
Clinical disease registries offer a rich collection of valuable patient information but also pose challenges that require special care and attention in statistical analyses. The goal of this paper is to propose a statistical framework that allows for estimating the effect of surgical insertion of a percutaneous endogastrostomy (PEG) tube for patients living with amyotrophic lateral sclerosis (ALS) using data from a clinical registry. Although all ALS patients are informed about PEG, only some patients agree to the procedure which, leads to the potential for selection bias. Assessing the effect of PEG is further complicated by the aggressively fatal disease, such that time to death competes directly with both the opportunity to receive PEG and clinical outcome measurements. Our proposed methodology handles the “censoring by death” phenomenon through principal stratification and selection bias for PEG treatment through generalized propensity scores. We develop a fully Bayesian modeling approach to estimate the survivor average causal effect (SACE) of PEG on BMI, a surrogate outcome measure of nutrition and quality of life. The use of propensity score methods within the principal stratification framework demonstrates a significant and positive effect of PEG treatment, particularly when time of treatment is included in the treatment definition.
Xiao, Lishan; Lin, Tao; Chen, Shaohua; Zhang, Guoqin; Ye, Zhilong; Yu, Zhaowu
2015-01-01
The relationship between social stratification and municipal solid waste generation remains uncertain under current rapid urbanization. Based on a multi-object spatial sampling technique, we selected 191 households in a rapidly urbanizing area of Xiamen, China. The selected communities were classified into three types: work-unit, transitional, and commercial communities in the context of housing policy reform in China. Field survey data were used to characterize household waste generation patterns considering community stratification. Our results revealed a disparity in waste generation profiles among different households. The three community types differed with respect to family income, living area, religious affiliation, and homeowner occupation. Income, family structure, and lifestyle caused significant differences in waste generation among work-unit, transitional, and commercial communities, respectively. Urban waste generation patterns are expected to evolve due to accelerating urbanization and associated community transition. A multi-scale integrated analysis of societal and ecosystem metabolism approach was applied to waste metabolism linking it to particular socioeconomic conditions that influence material flows and their evolution. Waste metabolism, both pace and density, was highest for family structure driven patterns, followed by lifestyle and income driven. The results will guide community-specific management policies in rapidly urbanizing areas. PMID:26690056
The role stratification on Indian ocean mixing under global warming
NASA Astrophysics Data System (ADS)
Praveen, V.; Valsala, V.; Ravindran, A. M.
2017-12-01
The impact of changes in Indian ocean stratification on mixing under global warming is examined. Previous studies on global warming and associated weakening of winds reported to increase the stratification of the world ocean leading to a reduction in mixing, increased acidity, reduced oxygen and there by a reduction in productivity. However this processes is not uniform and are also modulated by changes in wind pattern of the future. Our study evaluate the role of stratification and surface fluxes on mixing focusing northern Indian ocean. A dynamical downscaling study using Regional ocean Modelling system (ROMS) forced with stratification and surface fluxes from selected CMIP5 models are presented. Results from an extensive set of historical and Representative Concentration Pathways 8.5 (rcp8.5) scenario simulations are used to quantify the distinctive role of stratification on mixing.
Pawłowski, Tomasz Andrzej; Staszak, Aleksandra Maria
2016-05-20
Acer pseudoplatanus seeds are characterized by a deep physiological embryo dormancy that requires a few weeks of cold stratification in order to promote germination. Understanding the function of proteins and their related metabolic pathways, in conjunction with the plant hormones implicated in the breaking of seed dormancy, would expand our knowledge pertaining to this process. In this study, a proteomic approach was used to analyze the changes occurring in seeds in response to cold stratification, which leads to dormancy release. In addition, the involvement of abscisic (ABA) and gibberellic acids (GA) was also examined. Fifty-three proteins showing significant changes were identified by mass spectrometry. An effect of ABA on protein variation was observed at the beginning of stratification, while the influence of GA on protein abundance was observed during the middle phase of stratification. The majority of proteins associated with dormancy breaking in the presence of only water, and also ABA or GA, were classified as being involved in metabolism and genetic information processing. For metabolic-related proteins, the effect of ABA on protein abundance was stimulatory for half of the proteins and inhibitory for half of the proteins. On the other hand, the effect on genetic information processing related proteins was stimulatory. GA was found to upregulate both metabolic-related and genetic information processing-related proteins. While seed dormancy breaking depends on proteins involved in a variety of processes, proteins associated with methionine metabolism (adenosine kinase, methionine synthase) and glycine-rich RNA binding proteins appear to be of particular importance. Copyright © 2016 Elsevier GmbH. All rights reserved.
Water-Column Stratification Observed along an AUV-Tracked Isotherm
NASA Astrophysics Data System (ADS)
Zhang, Y.; Messié, M.; Ryan, J. P.; Kieft, B.; Stanway, M. J.; Hobson, B.; O'Reilly, T. C.; Raanan, B. Y.; Smith, J. M.; Chavez, F.
2016-02-01
Studies of marine physical, chemical and microbiological processes benefit from observing in a Lagrangian frame of reference, i.e. drifting with ambient water. Because these processes can be organized relative to specific density or temperature ranges, maintaining observing platforms within targeted environmental ranges is an important observing strategy. We have developed a novel method to enable a Tethys-class long-range autonomous underwater vehicle (AUV) (which has a propeller and a buoyancy engine) to track a target isotherm in buoyancy-controlled drift mode. In this mode, the vehicle shuts off its propeller and autonomously detects the isotherm and stays with it by actively controlling the vehicle's buoyancy. In the June 2015 CANON (Controlled, Agile, and Novel Observing Network) Experiment in Monterey Bay, California, AUV Makai tracked a target isotherm for 13 hours to study the coastal upwelling system. The tracked isotherm started from 33 m depth, shoaled to 10 m, and then deepened to 29 m. The thickness of the tracked isotherm layer (within 0.3°C error from the target temperature) increased over this duration, reflecting weakened stratification around the isotherm. During Makai's isotherm tracking, another long-range AUV, Daphne, acoustically tracked Makai on a circular yo-yo trajectory, measuring water-column profiles in Makai's vicinity. A wave glider also acoustically tracked Makai, providing sea surface measurements on the track. The presented method is a new approach for studying water-column stratification, but requires careful analysis of the temporal and spatial variations mingled in the vehicles' measurements. We will present a synthesis of the water column's stratification in relation to the upwelling conditions, based on the in situ measurements by the mobile platforms, as well as remote sensing and mooring data.
Khavanin, Nima; Jordan, Sumanas W; Vieira, Brittany L; Hume, Keith M; Mlodinow, Alexei S; Simmons, Christopher J; Murphy, Robert X; Gutowski, Karol A; Kim, John Y S
2015-11-01
Combined abdominal and breast surgery presents a convenient and relatively cost-effective approach for accomplishing both procedures. This study is the largest to date assessing the safety of combined procedures, and it aims to develop a simple pretreatment risk stratification method for patients who desire a combined procedure. All women undergoing abdominoplasty, panniculectomy, augmentation mammaplasty, and/or mastopexy in the TOPS database were identified. Demographics and outcomes for combined procedures were compared to individual procedures using χ(2) and Student's t-tests. Multiple logistic regression provided adjusted odds ratios for the effect of a combined procedure on 30-day complications. Among combined procedures, a logistic regression model determined point values for pretreatment risk factors including diabetes (1 point), age over 53 (1), obesity (2), and 3+ ASA status (3), creating a 7-point pretreatment risk stratification tool. A total of 58,756 cases met inclusion criteria. Complication rates among combined procedures (9.40%) were greater than those of aesthetic breast surgery (2.66%; P < .001) but did not significantly differ from abdominal procedures (9.75%; P = .530). Nearly 77% of combined cases were classified as low-risk (0 points total) with a 9.78% complication rates. Medium-risk patients (1 to 3 points) had a 16.63% complication rate, and high-risk (4 to 7 points) 38.46%. Combining abdominal and breast procedures is safe in the majority of patients and does not increase 30-day complications rates. The risk stratification tool can continue to ensure favorable outcomes for patients who may desire a combined surgery. 4 Risk. © 2015 The American Society for Aesthetic Plastic Surgery, Inc. Reprints and permission: journals.permissions@oup.com.
ERIC Educational Resources Information Center
Sao Pedro, Michael A.; Baker, Ryan S. J. d.; Gobert, Janice D.
2013-01-01
When validating assessment models built with data mining, generalization is typically tested at the student-level, where models are tested on new students. This approach, though, may fail to find cases where model performance suffers if other aspects of those cases relevant to prediction are not well represented. We explore this here by testing if…
ERIC Educational Resources Information Center
Addi-Raccah, Audrey
2006-01-01
Background: Women school leaders may act as social agents who promote gender equality, but evidence is inconclusive regarding the effect of women's leadership on gender stratification in the workplace. Purpose: Based on the similarity-attraction perspective, this study examined male and female school leaders' relations to similar others in three…
Temperature modifies the health effects of particulate matter in Brisbane, Australia
NASA Astrophysics Data System (ADS)
Ren, Cizao; Tong, Shilu
2006-11-01
A few epidemiological studies have examined whether there was an interactive effect between temperature and ambient particulate matter on cardiorespiratory morbidity and mortality, but the results were inconsistent. The present study used three time-series approaches to explore whether maximum temperature modified the impact of ambient particulate matter less than 10 μm in diameter (PM10) on daily respiratory hospital admissions, cardiovascular hospital admissions, respiratory emergency visits, cardiovascular emergency visits, non-external cause mortality and cardiovascular mortality in Brisbane between 1996 and 2001. The analytical approaches included a bivariate response surface model, a non-stratification parametric model and a stratification parametric model. Results show that there existed a statistically significant interaction between PM10 and temperature on most health outcomes at various lags. PM10 exhibited more adverse health effects on warm days than cold days. The choice of the degree of freedom for smoothers to adjust for confounders and the selection of arbitrary cut-offs for temperature affected the interaction estimates to a certain extent, but did not change the overall conclusion. The results imply that it is important to control and reduce the emission of air particles in Brisbane, particularly when temperature increases.
Sports participation, physical activity, and health in the European regions.
Lera-López, Fernando; Marco, Rocio
2018-08-01
In a context of stagnation of the level of health-enhancing physical activity in Europe, this study examines the geographical stratification of sports participation and physical activity (PA) at the regional level in 28 European countries. While previous research has focused on the national approach, this study considers the regional level across 208 European regions. Individual survey data from the Eurobarometer 80.2 is combined with a regional-level approach to the 208 regions to quantify sports participation and PA at the regional level. The results show important differences and a geographical stratification of sports participation and PA among the European regions, albeit following different patterns. In particular, a north-south gap is identified in terms of PA rates and an east-west gap is detected in terms of sports participation levels. Applying the cluster technique, a taxonomy of four different European regions is developed considering both types of indicators. Finally, the existence of sports spatial spillovers among regions is verified, obtaining a positive autocorrelation among neighbouring regions for being involved in PA and sporting activities. The results may have significant implications in terms of policy measures to improve health through PA and sports participation at the regional level in Europe.
Palaeoceanography. Antarctic stratification and glacial CO2.
Keeling, R F; Visbeck, M
2001-08-09
One way of accounting for lowered atmospheric carbon dioxide concentrations during Pleistocene glacial periods is by invoking the Antarctic stratification hypothesis, which links the reduction in CO2 to greater stratification of ocean surface waters around Antarctica. As discussed by Sigman and Boyle, this hypothesis assumes that increased stratification in the Antarctic zone (Fig. 1) was associated with reduced upwelling of deep waters around Antarctica, thereby allowing CO2 outgassing to be suppressed by biological production while also allowing biological production to decline, which is consistent with Antarctic sediment records. We point out here, however, that the response of ocean eddies to increased Antarctic stratification can be expected to increase, rather than reduce, the upwelling rate of deep waters around Antarctica. The stratification hypothesis may have difficulty in accommodating eddy feedbacks on upwelling within the constraints imposed by reconstructions of winds and Antarctic-zone productivity in glacial periods.
Genetic address book for retinal cell types.
Siegert, Sandra; Scherf, Brigitte Gross; Del Punta, Karina; Didkovsky, Nick; Heintz, Nathaniel; Roska, Botond
2009-09-01
The mammalian brain is assembled from thousands of neuronal cell types that are organized in distinct circuits to perform behaviorally relevant computations. Transgenic mouse lines with selectively marked cell types would facilitate our ability to dissect functional components of complex circuits. We carried out a screen for cell type-specific green fluorescent protein expression in the retina using BAC transgenic mice from the GENSAT project. Among others, we identified mouse lines in which the inhibitory cell types of the night vision and directional selective circuit were selectively labeled. We quantified the stratification patterns to predict potential synaptic connectivity between marked cells of different lines and found that some of the lines enabled targeted recordings and imaging of cell types from developing or mature retinal circuits. Our results suggest the potential use of a stratification-based screening approach for characterizing neuronal circuitry in other layered brain structures, such as the neocortex.
NASA Astrophysics Data System (ADS)
Ahmad, S.; Farooq, M.; Javed, M.; Anjum, Aisha
2018-03-01
A current analysis is carried out to study theoretically the mixed convection characteristics in squeezing flow of Sutterby fluid in squeezed channel. The constitutive equation of Sutterby model is utilized to characterize the rheology of squeezing phenomenon. Flow characteristics are explored with dual stratification. In flowing fluid which contains heat and mass transport, the first order chemical reaction and radiative heat flux affect the transport phenomenon. The systems of non-linear governing equations have been modulating which then solved by mean of convergent approach (Homotopy Analysis Method). The graphs are reported and illustrated for emerging parameters. Through graphical explanations, drag force, rate of heat and mass transport are conversed for different pertinent parameters. It is found that heat and mass transport rate decays with dominant double stratified parameters and chemical reaction parameter. The present two-dimensional examination is applicable in some of the engineering processes and industrial fluid mechanics.
Clinical diagnosis and staging of cholangiocarcinoma
Blechacz, Boris; Komuta, Mina; Roskams, Tania; Gores, Gregory J.
2012-01-01
Cholangiocarcinoma is the most frequent biliary malignancy. It is difficult to diagnose owing to its anatomic location, growth patterns and lack of definite diagnostic criteria. Currently, cholangiocarcinoma is classified into the following types according to its anatomic location along the biliary tree: intrahepatic, perihilar or distal extrahepatic cholangiocarcinoma. These cholangiocarcinoma types differ in their biological behavior and management. The appropriate stratification of patients with regard to the anatomic location and stage of cholangiocarcinoma is a key determinate in their management. Staging systems can guide this stratification and provide prognostic information. In addition, staging systems are essential in order to compare and contrast the outcomes of different therapeutic approaches. A number of staging systems exist for cholangiocarcinoma—several early ones have been updated, and new ones are being developed. We discuss the emerging diagnostic criteria as well as the different staging systems for cholangiocarcinoma, and provide a critical appraisal regarding these advances in biliary tract malignancies. PMID:21808282
A roadmap towards personalized immunology.
Delhalle, Sylvie; Bode, Sebastian F N; Balling, Rudi; Ollert, Markus; He, Feng Q
2018-01-01
Big data generation and computational processing will enable medicine to evolve from a "one-size-fits-all" approach to precise patient stratification and treatment. Significant achievements using "Omics" data have been made especially in personalized oncology. However, immune cells relative to tumor cells show a much higher degree of complexity in heterogeneity, dynamics, memory-capability, plasticity and "social" interactions. There is still a long way ahead on translating our capability to identify potentially targetable personalized biomarkers into effective personalized therapy in immune-centralized diseases. Here, we discuss the recent advances and successful applications in "Omics" data utilization and network analysis on patients' samples of clinical trials and studies, as well as the major challenges and strategies towards personalized stratification and treatment for infectious or non-communicable inflammatory diseases such as autoimmune diseases or allergies. We provide a roadmap and highlight experimental, clinical, computational analysis, data management, ethical and regulatory issues to accelerate the implementation of personalized immunology.
Syncope: risk stratification and clinical decision making.
Peeters, Suzanne Y G; Hoek, Amber E; Mollink, Susan M; Huff, J Stephen
2014-04-01
Syncope is a common occurrence in the emergency department, accounting for approximately 1% to 3% of presentations. Syncope is best defined as a brief loss of consciousness and postural tone followed by spontaneous and complete recovery. The spectrum of etiologies ranges from benign to life threatening, and a structured approach to evaluating these patients is key to providing care that is thorough, yet cost-effective. This issue reviews the most relevant evidence for managing and risk stratifying the syncope patient, beginning with a focused history, physical examination, electrocardiogram, and tailored diagnostic testing. Several risk stratification decision rules are compared for performance in various scenarios, including how age and associated comorbidities may predict short-term and long-term adverse events. An algorithm for structured, evidence-based care of the syncope patient is included to ensure that patients requiring hospitalization are managed appropriately and those with benign causes are discharged safely.
NASA Technical Reports Server (NTRS)
Coward, Adrian V.; Papageorgiou, Demetrios T.; Smyrlis, Yiorgos S.
1994-01-01
In this paper the nonlinear stability of two-phase core-annular flow in a pipe is examined when the acting pressure gradient is modulated by time harmonic oscillations and viscosity stratification and interfacial tension is present. An exact solution of the Navier-Stokes equations is used as the background state to develop an asymptotic theory valid for thin annular layers, which leads to a novel nonlinear evolution describing the spatio-temporal evolution of the interface. The evolution equation is an extension of the equation found for constant pressure gradients and generalizes the Kuramoto-Sivashinsky equation with dispersive effects found by Papageorgiou, Maldarelli & Rumschitzki, Phys. Fluids A 2(3), 1990, pp. 340-352, to a similar system with time periodic coefficients. The distinct regimes of slow and moderate flow are considered and the corresponding evolution is derived. Certain solutions are described analytically in the neighborhood of the first bifurcation point by use of multiple scales asymptotics. Extensive numerical experiments, using dynamical systems ideas, are carried out in order to evaluate the effect of the oscillatory pressure gradient on the solutions in the presence of a constant pressure gradient.
NASA Astrophysics Data System (ADS)
Woo, S. B.; Song, J. I.; Jang, T. H.; Park, C. J.; Kwon, H. K.
2017-12-01
Artificial forcing according to operation of the tidal power plant (TPP) affects the physical environmental changes near the power plant. Strong turbulence by generation is expected to change the stratification structure of the Lake Sihwa inside. In order to examine the stratification changes by the power plant operation, ship bottom mounted observation were performed for 13 hours using an acoustic Doppler current profiler (ADCP) and Conductivity-Temperature-Depth (CTD) in Lake Sihwa at near TPP. The strong stratification in Sihwa Lake is maintained before TPP operation. The absence of external forces and freshwater inflow from the land forms the stratification in the Lake. Strong winds in a stratification statement lead to two-layer circulation. After wind event, multi-layer velocity structure is formed which lasted for approximately 4 h. After TPP operation, the jet flow was observed in entire water column at the beginning of the power generation. Vortex is formed by strong jet flow and maintained throughout during power generation period. Strong turbulence flow is generated by the turbine blades, enhancing vertical mixing. External forces, which dominantly affect Lake Sihwa, have changed from the wind to the turbulent flow. The stratification was extinguished by strong turbulent flow and becomes fully-mixed state. Changes in stratification structure are expected to affect material transport and ecological environment change continuously.
The Cost-Effective Evaluation of Syncope.
Angus, Steven
2016-09-01
Syncope is a common clinical problem that carries a high socioeconomic burden. A structured approach in the evaluation of syncope with special emphasis on a detailed history, comprehensive physical examination that includes orthostatic vital signs, and an electrocardiogram, proves to be the most cost-effective approach. The need for additional testing and hospital admission should be based on the results of the initial evaluation and use of risk-stratification tools that help identify those syncope patients at highest risk for poor outcomes. Copyright © 2016 Elsevier Inc. All rights reserved.
Lee, Y H; Bae, S-C
2016-12-01
This study aimed to evaluate the relationship between the circulating serum leptin level and rheumatoid arthritis (RA) and to establish a correlation between serum leptin levels and RA activity. We searched the PUBMED, EMBASE, and Cochrane databases. A meta-analysis was performed, comparing the serum/plasma leptin levels in patients with RA and healthy controls. Correlation coefficients between serum leptin level and either disease activity score 28 (DAS28) or C‑reactive protein (CRP) in RA patients were also examined. Thirteen studies with a total of 648 RA patients and 426 controls were included in this meta-analysis. Circulating leptin level was significantly higher in the RA group than in the control group (SMD = 1.056, 95 % CI = 0.647-1.465, p = 4.2 × 10 -7 ). In addition, stratification by ethnicity showed a significantly elevated leptin level in the RA group in Caucasian, Turkish, and Arab populations (SMD = 0.813, 95 % CI = 0.137-1.490, p = 0.018, SMD = 0.981, 95 % CI = 0.307-1.655, p = 0.004, and SMD = 1.469, 95 % CI = 0.443-2.495, p = 0.005 respectively). A meta-analysis of correlation coefficients showed a small but significantly positive correlation between the circulating leptin level and either DAS28 (correlation coefficient = 0.275, 95 % CI = 0.076-0.452, p = 0.007) or CRP (correlation coefficient = 0.274, 95 % CI = 0.068-0.458, p = 0.010). Our meta-analysis demonstrated that the circulating leptin level is significantly higher in patients with RA and that a small but significantly positive correlation exists between leptin levels and RA activity.
Investigation of Stable Atmospheric Stratification Effect on the Dynamics of Descending Vortex Pairs
DOT National Transportation Integrated Search
1979-02-01
The physics of vortex flows in stratified fluids is studied with the objective of determining the influence of stable stratification on the descent of aircraft vortex pairs. Vortex rings descending into linear and discontinuous density stratification...
Areal Control Using Generalized Least Squares As An Alternative to Stratification
Raymond L. Czaplewski
2001-01-01
Stratification for both variance reduction and areal control proliferates the number of strata, which causes small sample sizes in many strata. This might compromise statistical efficiency. Generalized least squares can, in principle, replace stratification for areal control.
Rainfall as a trigger for stratification and winter phytoplankton growth in temperate shelf seas
NASA Astrophysics Data System (ADS)
Jardine, Jenny; Palmer, Matthew; Mahaffey, Claire; Holt, Jason; Mellor, Adam; Wakelin, Sarah
2017-04-01
We present new data from ocean gliders to investigate physical controls on stratification and phytoplankton dynamics, collected in the Celtic Sea between November 2014 and August 2015 as part of the UK Shelf Sea Biogeochemistry programme. This presentation focuses on the winter period (Jan-March) when the diurnal heating cycle results in regular but weak near surface stratification followed by night-time convection. Despite low light conditions, this daily cycle often promotes a daytime increase in observed chlorophyll fluorescence, indicative of phytoplankton growth. This daily cycle is occasionally interrupted when buoyancy inputs are sufficient to outcompete night-time convection and result in short-term periods of sustained winter stratification, typically lasting 2-3 days. Sustained stratification often coincides with periods of heavy rainfall, suggesting freshwater input from precipitation may play a role on these events by producing a subtle yet significant freshening of the surface layer of the order of 0.005 PSU. Comparing rainfall estimates with observed salinity changes confirms rainfall to often be the initiator of these winter stratification periods. As winter winds subside and solar heating increases towards spring, the water column becomes more susceptible to periods of halo-stratification, such that heavy rainfall during the winter-spring transition is likely to promote sustained stratification. The timing and extent of a heavy rainfall event in March 2015 does suggest it may be the critical trigger for shelf-wide stratification that eventually instigates the spring bloom. We propose that the timing of these downpours relative to the daily heating cycle can be a triggering mechanism for both short term and seasonal stratification in shelf seas, and so play a critical role in winter and early spring phytoplankton growth and the shelf sea carbon cycle. We further test the importance of this process using historical data, and results from the NEMO-AMM7 model to test how rainfall events have affected previous winter and spring conditions.
Wang, Hong-Ling; Tian, Chang-Yan
2017-01-01
Cold stratification is a requirement for seed dormancy breaking in many species, and thus it is one of the important factors for the regulation of timing of germination. However, few studies have examined the influence of various environmental conditions during cold stratification on subsequent germination, and no study has compared such effects on the performance of dormant versus non-dormant seeds. Seeds of halophytes in the cold desert might experience different light and salinity conditions during and after cold stratification. As such, dimorphic seeds (non-dormant brown seeds and black seeds with non-deep physiological dormancy) of Suaeda aralocaspica were cold stratified under different light (12 h light–12 h darkness photoperiod or continuous darkness) or salinity (0, 200 or 1,000 mmol L-1 NaCl) conditions for 20 or 40 days. Then stratified seeds were incubated under different light or salinity conditions at daily (12/12 h) temperature regime of 10:25 °C for 20 days. For brown seeds, cold stratification was also part of the germination period. In contrast, almost no black seeds germinated during cold stratification. The longer the cold stratification, the better the subsequent germination of black seeds, regardless of light or salinity conditions. Light did not influence germination of brown seeds. Germination of cold-stratified black seeds was inhibited by darkness, especially when they were stratified in darkness. With an increase in salinity at the stage of cold stratification or germination, germination percentages of both seed morphs decreased. Combinational pre-treatments of cold stratification and salinity did not increase salt tolerance of dimorphic seeds in germination phase. Thus, light and salinity conditions during cold stratification partly interact with these conditions during germination stage and differentially affect germination of dimorphic seeds of S. aralocaspica. PMID:28828266
The influence of atmospheric stratification on scatterometer data
NASA Technical Reports Server (NTRS)
Louis, Jean-Francois; Hoffman, Ross N.
1989-01-01
The effects of atmospheric stratification and the stability of the atmospheric stratification on the scatterometer data measuring surface winds over the ocean were investigated using the boundary layer model developed by Louis (1979). A variational analysis method is proposed, which allows direct assimilation of scatterometer data. It is shown that the effect of the stability of atmospheric stratification on the wind increment is relatively small. However, it is a systematic effect, and neglecting it would consistently underestimate the winds in stable regions.
An Improved Model of Cryogenic Propellant Stratification in a Rotating, Reduced Gravity Environment
NASA Technical Reports Server (NTRS)
Oliveira, Justin; Kirk, Daniel R.; Schallhorn, Paul A.; Piquero, Jorge L.; Campbell, Mike; Chase, Sukhdeep
2007-01-01
This paper builds on a series of analytical literature models used to predict thermal stratification within rocket propellant tanks. The primary contribution to the literature is to add the effect of tank rotation and to demonstrate the influence of rotation on stratification times and temperatures. This work also looks levels of thermal stratification for generic propellant tanks (cylindrical shapes) over a parametric range of upper-stage coast times, heating levels, rotation rates, and gravity levels.
A Mechanism for Stratifying Lava Flows
NASA Astrophysics Data System (ADS)
Rice, A.
2005-12-01
Relict lava flows (e.g., komatiites) are often reported to be zoned in the vertical, each zone separated by a sharp contact. Such stratifications in igneous flows, both intrusive and extrusive, can be treated as analogues of suspended loads of sediments in rivers and streams, and hence amenable to quantitative treatment derived for the hydraulic environment as long as dynamic similitude is assured. Situations typically encountered in the hydraulic environment are streams carrying a bed load at the bottom of the stream, the bed load separated by a sharp horizon from a sediment load carried above it. This sediment load may be topped by others of decreasing density as one moves to the surface of the flow, with perhaps the uppermost layer clear of any suspended matter. Rules exist for estimating the thickness D of these loads: one of them is given by D ~ 4.4V3/rgcvs where V is the shear velocity or average velocity of the flow, r = (ρs - ρl)/ρl where ρs is the density of the suspended solid matter, ρl the density of the fluid, g the acceleration of gravity, c the concentration of the particulate content and vs the settling velocity. The settling velocity is secured through Stoke's Law and the velocity of the flow is given by V = R2/3S1/2/n where R is the hydraulic radius, S the gradient along which the fluid flows and n is the Manning Coefficient. In the igneous case, the bed load would be composed of primocrysts, i.e., of the first crystals to come out of solution as the flow cools along its run. This would leave the upper portions of the flow more evolved except perhaps for a quenched crust riding atop the flow. As the viscosity of the flow is dependent not only on temperature but on composition and crystal content, the mean velocity of each layer will be different from the layer above and below it. This requires shear at the interface of adjoining stratifications, which brings into play another mechanism: dispersive pressure (the Bagnold effect). Dispersive pressure will drive primocrysts into boundary layers such as that attending the bottom of the flow and at those separating stratifications. For instance, if the primocrysts were spinals, then a Cr high might be expected at the interfaces separating stratifications. Since the melt throughout is evolving as it moves down stream, compositional variations along strike (as well is in the vertical) might be expected. Application of the above notions falls within the confines of field observation.
Near-Surface Effects of Free Atmosphere Stratification in Free Convection
NASA Astrophysics Data System (ADS)
Mellado, Juan Pedro; van Heerwaarden, Chiel C.; Garcia, Jade Rachele
2016-04-01
The effect of a linear stratification in the free atmosphere on near-surface properties in a free convective boundary layer (CBL) is investigated by means of direct numerical simulation. We consider two regimes: a neutral stratification regime, which represents a CBL that grows into a residual layer, and a strong stratification regime, which represents the equilibrium (quasi-steady) entrainment regime. We find that the mean buoyancy varies as z^{-1/3}, in agreement with classical similarity theory. However, the root-mean-square (r.m.s.) of the buoyancy fluctuation and the r.m.s. of the vertical velocity vary as z^{-0.45} and ln z, respectively, both in disagreement with theory. These scaling laws are independent of the stratification regime, but the depth over which they are valid depends on the stratification. In the strong stratification regime, this depth is about 20 to 25 % of the CBL depth instead of the commonly used 10 %, which we only observe under neutral conditions. In both regimes, the near-surface flow structure can be interpreted as a hierarchy of circulations attached to the surface. Based on this structure, we define a new near-surface layer in free convection, the plume-merging layer, that is conceptually different from the constant-flux layer. The varying depth of the plume-merging layer depending on the stratification accounts for the varying depth of validity of the scaling laws. These findings imply that the buoyancy transfer law needed in mixed-layer and single-column models is well described by the classical similarity theory, independent of the stratification in the free atmosphere, even though other near-surface properties, such as the r.m.s. of the buoyancy fluctuation and the r.m.s. of the vertical velocity, are inconsistent with that theory.
NASA Astrophysics Data System (ADS)
Magee, Madeline R.; Wu, Chin H.
2017-12-01
Water temperatures and stratification are important drivers for ecological and water quality processes within lake systems, and changes in these with increases in air temperature and changes to wind speeds may have significant ecological consequences. To properly manage these systems under changing climate, it is important to understand the effects of increasing air temperatures and wind speed changes in lakes of different depths and surface areas. In this study, we simulate three lakes that vary in depth and surface area to elucidate the effects of the observed increasing air temperatures and decreasing wind speeds on lake thermal variables (water temperature, stratification dates, strength of stratification, and surface heat fluxes) over a century (1911-2014). For all three lakes, simulations showed that epilimnetic temperatures increased, hypolimnetic temperatures decreased, the length of the stratified season increased due to earlier stratification onset and later fall overturn, stability increased, and longwave and sensible heat fluxes at the surface increased. Overall, lake depth influences the presence of stratification, Schmidt stability, and differences in surface heat flux, while lake surface area influences differences in hypolimnion temperature, hypolimnetic heating, variability of Schmidt stability, and stratification onset and fall overturn dates. Larger surface area lakes have greater wind mixing due to increased surface momentum. Climate perturbations indicate that our larger study lakes have more variability in temperature and stratification variables than the smaller lakes, and this variability increases with larger wind speeds. For all study lakes, Pearson correlations and climate perturbation scenarios indicate that wind speed has a large effect on temperature and stratification variables, sometimes greater than changes in air temperature, and wind can act to either amplify or mitigate the effect of warmer air temperatures on lake thermal structure depending on the direction of local wind speed changes.
Regression analysis on the variation in efficiency frontiers for prevention stage of HIV/AIDS.
Kamae, Maki S; Kamae, Isao; Cohen, Joshua T; Neumann, Peter J
2011-01-01
To investigate how the cost effectiveness of preventing HIV/AIDS varies across possible efficiency frontiers (EFs) by taking into account potentially relevant external factors, such as prevention stage, and how the EFs can be characterized using regression analysis given uncertainty of the QALY-cost estimates. We reviewed cost-effectiveness estimates for the prevention and treatment of HIV/AIDS published from 2002-2007 and catalogued in the Tufts Medical Center Cost-Effectiveness Analysis (CEA) Registry. We constructed efficiency frontier (EF) curves by plotting QALYs against costs, using methods used by the Institute for Quality and Efficiency in Health Care (IQWiG) in Germany. We stratified the QALY-cost ratios by prevention stage, country of study, and payer perspective, and estimated EF equations using log and square-root models. A total of 53 QALY-cost ratios were identified for HIV/AIDS in the Tufts CEA Registry. Plotted ratios stratified by prevention stage were visually grouped into a cluster consisting of primary/secondary prevention measures and a cluster consisting of tertiary measures. Correlation coefficients for each cluster were statistically significant. For each cluster, we derived two EF equations - one based on the log model, and one based on the square-root model. Our findings indicate that stratification of HIV/AIDS interventions by prevention stage can yield distinct EFs, and that the correlation and regression analyses are useful for parametrically characterizing EF equations. Our study has certain limitations, such as the small number of included articles and the potential for study populations to be non-representative of countries of interest. Nonetheless, our approach could help develop a deeper appreciation of cost effectiveness beyond the deterministic approach developed by IQWiG.
A new stratification of mourning dove call-count routes
Blankenship, L.H.; Humphrey, A.B.; MacDonald, D.
1971-01-01
The mourning dove (Zenaidura macroura) call-count survey is a nationwide audio-census of breeding mourning doves. Recent analyses of the call-count routes have utilized a stratification based upon physiographic regions of the United States. An analysis of 5 years of call-count data, based upon stratification using potential natural vegetation, has demonstrated that this uew stratification results in strata with greater homogeneity than the physiographic strata, provides lower error variance, and hence generates greatet precision in the analysis without an increase in call-count routes. Error variance was reduced approximately 30 percent for the contiguous United States. This indicates that future analysis based upon the new stratification will result in an increased ability to detect significant year-to-year changes.
How-to-Do-It: A Practical Method for Teaching Seed Stratification.
ERIC Educational Resources Information Center
Englert, Karen M.; Shontz, Nancy N.
1989-01-01
Described is a laboratory procedure for teaching seed stratification. Materials, methods, results, and applicability of the experiment are explained. Diagrams showing the percent of total germination as a function of stratification time and the germination rate of stratified seeds are included. (RT)
Educational Stratification in Russia during the Soviet Period.
ERIC Educational Resources Information Center
Gerber, Theodore P.; Hout, Michael
1995-01-01
Maintains that, in spite of state efforts to reduce educational inequities, stratification actually increased during the Soviet period. Removing gender preferences for men corrected some inequity. However, parents' education, occupation, and geographical origin contributed to the stratification. Contains a concise history of Soviet educational…
Accuracy of Remotely Sensed Classifications For Stratification of Forest and Nonforest Lands
Raymond L. Czaplewski; Paul L. Patterson
2001-01-01
We specify accuracy standards for remotely sensed classifications used by FIA to stratify landscapes into two categories: forest and nonforest. Accuracy must be highest when forest area approaches 100 percent of the landscape. If forest area is rare in a landscape, then accuracy in the nonforest stratum must be very high, even at the expense of accuracy in the forest...
Bertoluci, Marcello Casaccia; Moreira, Rodrigo Oliveira; Faludi, André; Izar, Maria Cristina; Schaan, Beatriz D; Valerio, Cynthia Melissa; Bertolami, Marcelo Chiara; Chacra, Ana Paula; Malachias, Marcus Vinicius Bolivar; Vencio, Sérgio; Saraiva, José Francisco Kerr; Betti, Roberto; Turatti, Luiz; Fonseca, Francisco Antonio Helfenstein; Bianco, Henrique Tria; Sulzbach, Marta; Bertolami, Adriana; Salles, João Eduardo Nunes; Hohl, Alexandre; Trujilho, Fábio; Lima, Eduardo Gomes; Miname, Marcio Hiroshi; Zanella, Maria Teresa; Lamounier, Rodrigo; Sá, João Roberto; Amodeo, Celso; Pires, Antonio Carlos; Santos, Raul D
2017-01-01
Since the first position statement on diabetes and cardiovascular prevention published in 2014 by the Brazilian Diabetes Society, the current view on primary and secondary prevention in diabetes has evolved as a result of new approaches on cardiovascular risk stratification, new cholesterol lowering drugs, and new anti-hyperglycemic drugs. Importantly, a pattern of risk heterogeneity has emerged, showing that not all diabetic patients are at high or very high risk. In fact, most younger patients who have no overt cardiovascular risk factors may be more adequately classified as being at intermediate or even low cardiovascular risk. Thus, there is a need for cardiovascular risk stratification in patients with diabetes. The present panel reviews the best current evidence and proposes a practical risk-based approach on treatment for patients with diabetes. The Brazilian Diabetes Society, the Brazilian Society of Cardiology, and the Brazilian Endocrinology and Metabolism Society gathered to form an expert panel including 28 cardiologists and endocrinologists to review the best available evidence and to draft up-to-date an evidence-based guideline with practical recommendations for risk stratification and prevention of cardiovascular disease in diabetes. The guideline includes 59 recommendations covering: (1) the impact of new anti-hyperglycemic drugs and new lipid lowering drugs on cardiovascular risk; (2) a guide to statin use, including new definitions of LDL-cholesterol and in non-HDL-cholesterol targets; (3) evaluation of silent myocardial ischemia and subclinical atherosclerosis in patients with diabetes; (4) hypertension treatment; and (5) the use of antiplatelet therapy. Diabetes is a heterogeneous disease. Although cardiovascular risk is increased in most patients, those without risk factors or evidence of sub-clinical atherosclerosis are at a lower risk. Optimal management must rely on an approach that will cover both cardiovascular disease prevention in individuals in the highest risk as well as protection from overtreatment in those at lower risk. Thus, cardiovascular prevention strategies should be individualized according to cardiovascular risk while intensification of treatment should focus on those at higher risk.
Griffin, Heather; Soneji, Yasmina; Van Baars, Romy; Arora, Rupali; Jenkins, David; van de Sandt, Miekel; Wu, Zhonglin; Quint, Wim; Jach, Robert; Okon, Krzysztof; Huras, Hubert; Singer, Albert; Doorbar, John
2015-01-01
High-risk HPV types cause cervical lesions of varying severity, ranging from transient productive infections to high-grade neoplasia. Disease stratification requires the examination of lesional pathology, and possibly also the detection of biomarkers. P16INK4a and MCM are established surrogates of high-risk HPV E6/E7 activity, and can be extensively expressed in high-grade lesions. Here we have combined these two cellular biomarkers with detection of the abundant HPV-encoded E4 protein in order to identify both productive and transforming lesions. This approach has allowed us to distinguish true papillomavirus infections from similar pathologies, and has allowed us to divide the heterogeneous CIN2 category into those that are CIN1-like and express E4, and those that more closely resemble non-productive CIN3. To achieve this, 530 lesional areas were evaluated according to standard pathology criteria and by using a multiple staining approach that allows us to superimpose biomarker patterns either singly or in combination onto an annotated haematoxylin & eosin image. Conventional grading of neoplasia was established by review panel, and compared directly to the composite molecular pathology visualised on the same tissue section. The detection of E4 coincided with the onset of vacuolation, becoming abundant in koilocytes as the MCM marker declined and cells lost their defined nuclear margins as visualised by standard H&E staining. Of the dual marker approaches, p16INK4a and E4 appeared most promising, with E4 generally identifying areas of low-grade disease even when p16INK4a was present. Extensive p16INK4a expression usually coincided with an absence of E4 expression or its focal retention in sporadic cells within the lesion. Our results suggest that a straightforward molecular evaluation of HPV life-cycle deregulation in cervical neoplasia may help improve disease stratification, and that this can be achieved using complementary molecular biomarker pairs such as MCM/E4 or more promisingly, p16INK4a/E4 as an adjunct to conventional pathology. PMID:25953390
The Effect of Barotropic and Baroclinic Tides on Coastal Stratification and Mixing
NASA Astrophysics Data System (ADS)
Suanda, S. H.; Feddersen, F.; Kumar, N.
2017-12-01
The effects of barotropic and baroclinic tides on subtidal stratification and vertical mixing are examined with high-resolution, three-dimensional numerical simulations of the Central Californian coastal upwelling region. A base simulation with realistic atmospheric and regional-scale boundary forcing but no tides (NT) is compared to two simulations with the addition of predominantly barotropic local tides (LT) and with combined barotropic and remotely generated, baroclinic tides (WT) with ≈ 100 W m-1 onshore baroclinic energy flux. During a 10 day period of coastal upwelling when the domain volume-averaged temperature is similar in all three simulations, LT has little difference in subtidal temperature and stratification compared to NT. In contrast, the addition of remote baroclinic tides (WT) reduces the subtidal continental shelf stratification up to 50% relative to NT. Idealized simulations to isolate barotropic and baroclinic effects demonstrate that within a parameter space of typical U.S. West Coast continental shelf slopes, barotropic tidal currents, incident energy flux, and subtidal stratification, the dissipating baroclinic tide destroys stratification an order of magnitude faster than barotropic tides. In WT, the modeled vertical temperature diffusivity at the top (base) of the bottom (surface) boundary layer is increased up to 20 times relative to NT. Therefore, the width of the inner-shelf (region of surface and bottom boundary layer overlap) is increased approximately 4 times relative to NT. The change in stratification due to dissipating baroclinic tides is comparable to the magnitude of the observed seasonal cycle of stratification.
Heesen, Christoph; Kleiter, Ingo; Meuth, Sven G; Krämer, Julia; Kasper, Jürgen; Köpke, Sascha; Gaissmaier, Wolfgang
2017-05-15
Natalizumab (NAT) is associated with the risk of progressive multifocal leukoencephalopathy (PML). Risk stratification algorithms have been developed, however, without detectable reduction of PML incidence. To evaluate to which extent patients and physicians understand and accept risks associated with NAT treatment. Prospective observational cohort study in German MS centers (n=73) among NAT-treated MS patients (n=801) and their neurologists (n=99). Patients included in this study had mean disease duration of 10.2years and a mean NAT treatment duration of 24months. More than 90% of patients and physicians voted for shared decision making or an informed choice decision making approach. Patients and physicians perceived a similar threat from MS as serious disease and both overestimated treatment benefits from NAT based on trial data. Men perceived MS more severe than women and perception of seriousness increased with age in both groups and in patients as well with increasing disability. Although patients evaluated their PML risk higher, their risk acceptance was significantly higher than of their neurologists. Risk stratification knowledge was good among neurologists and significantly lower among patients. While patients and physicians seem to have realistic risk perception of PML and knowledge of risk stratification concepts, the threat of MS and the perception of treatment benefits may explain the ongoing high acceptance of PML risk. Copyright © 2017 Elsevier B.V. All rights reserved.
Page, Lindsay C
2012-04-01
Results from MDRC's longitudinal, random-assignment evaluation of career-academy high schools reveal that several years after high-school completion, those randomized to receive the academy opportunity realized a $175 (11%) increase in monthly earnings, on average. In this paper, I investigate the impact of duration of actual academy enrollment, as nearly half of treatment group students either never enrolled or participated for only a portion of high school. I capitalize on data from this experimental evaluation and utilize a principal stratification framework and Bayesian inference to investigate the causal impact of academy participation. This analysis focuses on a sample of 1,306 students across seven sites in the MDRC evaluation. Participation is measured by number of years of academy enrollment, and the outcome of interest is average monthly earnings in the period of four to eight years after high school graduation. I estimate an average causal effect of treatment assignment on subsequent monthly earnings of approximately $588 among males who remained enrolled in an academy throughout high school and more modest impacts among those who participated only partially. Different from an instrumental variables approach to treatment non-compliance, which allows for the estimation of linear returns to treatment take-up, the more general framework of principal stratification allows for the consideration of non-linear returns, although at the expense of additional model-based assumptions.
Education and Social Stratification Processes in Comparative Perspective.
ERIC Educational Resources Information Center
Kerckhoff, Alan C.
2001-01-01
Discusses three characteristics of educational systems that have been used to explain social stratification processes: stratification, standardization, and vocational specificity. Describes how these characteristics affect the movement of students through school and into the labor force in France, Germany, Great Britain, and the United States.…
NASA Astrophysics Data System (ADS)
Camporesi, Roberto
2011-06-01
We present an approach to the impulsive response method for solving linear constant-coefficient ordinary differential equations based on the factorization of the differential operator. The approach is elementary, we only assume a basic knowledge of calculus and linear algebra. In particular, we avoid the use of distribution theory, as well as of the other more advanced approaches: Laplace transform, linear systems, the general theory of linear equations with variable coefficients and the variation of constants method. The approach presented here can be used in a first course on differential equations for science and engineering majors.
Recursive formulas for the partial fraction expansion of a rational function with multiple poles.
NASA Technical Reports Server (NTRS)
Chang, F.-C.
1973-01-01
The coefficients in the partial fraction expansion considered are given by Heaviside's formula. The evaluation of the coefficients involves the differential of a quotient of two polynomials. A simplified approach for the evaluation of the coefficients is discussed. Leibniz rule is applied and a recurrence formula is derived. A coefficient can also be determined from a system of simultaneous equations. Practical methods for the performance of the computational operations involved in both approaches are considered.
Principal Stratification — a Goal or a Tool?
Pearl, Judea
2011-01-01
Principal stratification has recently become a popular tool to address certain causal inference questions, particularly in dealing with post-randomization factors in randomized trials. Here, we analyze the conceptual basis for this framework and invite response to clarify the value of principal stratification in estimating causal effects of interest. PMID:21556288
Marginal Mean Weighting through Stratification: Adjustment for Selection Bias in Multilevel Data
ERIC Educational Resources Information Center
Hong, Guanglei
2010-01-01
Defining causal effects as comparisons between marginal population means, this article introduces marginal mean weighting through stratification (MMW-S) to adjust for selection bias in multilevel educational data. The article formally shows the inherent connections among the MMW-S method, propensity score stratification, and…
Li, X; Chen, Y; Zhan, J
1997-05-01
The seeds of Coptis chinensis need stratification to break dormancy. In this paper the changes of enzyme activities DNA contents and protein contents in stratification under refrigeration and outdoor temperature conditions, as well as the influence of ABA treatment were studied.
Forest inventory and stratified estimation: a cautionary note
John Coulston
2008-01-01
The Forest Inventory and Analysis (FIA) Program uses stratified estimation techniques to produce estimates of forest attributes. Stratification must be unbiased and stratification procedures should be examined to identify any potential bias. This note explains simple techniques for identifying potential bias, discriminating between sample bias and stratification bias,...
Cardiac risk stratification in cardiac rehabilitation programs: a review of protocols
da Silva, Anne Kastelianne França; Barbosa, Marianne Penachini da Costa de Rezende; Bernardo, Aline Fernanda Barbosa; Vanderlei, Franciele Marques; Pacagnelli, Francis Lopes; Vanderlei, Luiz Carlos Marques
2014-01-01
Objective Gather and describe general characteristics of different protocols of risk stratification for cardiac patients undergoing exercise. Methods We conducted searches in LILACS, IBECS, MEDLINE, Cochrane Library, and SciELO electronic databases, using the following descriptors: Cardiovascular Disease, Rehabilitation Centers, Practice Guideline, Exercise and Risk Stratification in the past 20 years. Results Were selected eight studies addressing methods of risk stratification in patients undergoing exercise. Conclusion None of the methods described could cover every situation the patient can be subjected to; however, they are essential to exercise prescription. PMID:25140477
Breakup of last glacial deep stratification in the South Pacific
NASA Astrophysics Data System (ADS)
Basak, Chandranath; Fröllje, Henning; Lamy, Frank; Gersonde, Rainer; Benz, Verena; Anderson, Robert F.; Molina-Kescher, Mario; Pahnke, Katharina
2018-02-01
Stratification of the deep Southern Ocean during the Last Glacial Maximum is thought to have facilitated carbon storage and subsequent release during the deglaciation as stratification broke down, contributing to atmospheric CO2 rise. Here, we present neodymium isotope evidence from deep to abyssal waters in the South Pacific that confirms stratification of the deepwater column during the Last Glacial Maximum. The results indicate a glacial northward expansion of Ross Sea Bottom Water and a Southern Hemisphere climate trigger for the deglacial breakup of deep stratification. It highlights the important role of abyssal waters in sustaining a deep glacial carbon reservoir and Southern Hemisphere climate change as a prerequisite for the destabilization of the water column and hence the deglacial release of sequestered CO2 through upwelling.
Design of an efficient electrolyte circulation system for the lead-acid battery
NASA Astrophysics Data System (ADS)
Thuerk, D.
The design and operation of an electrolyte circulation system are described. Application of lead acid batteries to electric vehicle and other repetitive deep cycle services produces a nondesirable state in the battery cells, electrolyte stratification. This stratification is the result of acid and water generation at the electrodes during cycling. With continued cycling, the extent of the stratification increases and prevents complete charging with low percentages of overcharge. Ultimately this results in extremely short life for the battery system. The stratification problem was overcome by substantially overcharging the battery. This abusive overcharge produces gassing rates sufficient to mix the electrolyte during the end portion of the charge. Overcharge, even though it is required to eliminate stratification, produces the undesirable results related to high voltage and gassing rates.
Propagation of 3D internal gravity wave beams in a slowly varying stratification
NASA Astrophysics Data System (ADS)
Fan, Boyu; Akylas, T. R.
2017-11-01
The time-mean flows induced by internal gravity wave beams (IGWB) with 3D variations have been shown to have dramatic implications for long-term IGWB dynamics. While uniform stratifications are convenient both theoretically and in the laboratory, stratifications in the ocean can vary by more than an order of magnitude over the ocean depth. Here, in view of this fact, we study the propagation of a 3D IGWB in a slowly varying stratification. We assume that the stratification varies slowly relative to the local variations in the wave profile. In the 2D case, the IGWB bends in response to the changing stratification, but nonlinear effects are minor even in the finite amplitude regime. For a 3D IGWB, in addition to bending, we find that nonlinearity results in the transfer of energy from waves to a large-scale time-mean flow associated with the mean potential vorticity, similar to IGWB behavior in a uniform stratification. In a weakly nonlinear setting, we derive coupled evolution equations that govern this process. We also use these equations to determine the stability properties of 2D IGWB to 3D perturbations. These findings indicate that 3D effects may be relevant and possibly fundamental to IGWB dynamics in nature. Supported by NSF Grant DMS-1512925.
Sorbye, H; Köhne, C-H; Sargent, D J; Glimelius, B
2007-10-01
Prognostic factors have the potential to determine the survival of patients to a greater extent than current antineoplastic agents. Despite this knowledge, there is no consensus on, first, what patient characteristics to report and, second, what stratification factors to use in metastatic colorectal cancer trials. Seven leading oncology and medical journals were reviewed for phase II and III publications reporting on medical treatment of metastatic colorectal cancer patients during 2001-2005. One hundred and forty-three studies with 21 214 patients were identified. The reporting of patient characteristics and use of stratification was noted. Age, gender, performance status, metastases location, sites and adjuvant chemotherapy were often reported (99-63%). Laboratory values as alkaline phosphatase, lactate dehydrogenase and white blood cell count, repeatedly found to be of prognostic relevance, were rarely reported (5-9%). Stratification was used in all phase III trials; however, only study centre was used with any consistency. There is considerable inconsistency in the reporting of patient characteristics and use of stratification factors in metastatic colorectal cancer trials. We propose a standardization of patient characteristics reporting and stratification factors. A common set of characteristics and strata will aid in trial reporting, interpretation and future meta-analyses.
NASA Astrophysics Data System (ADS)
Sun, Y.; Ditmar, P.; Riva, R.
2016-12-01
Time-varying gravity field solutions of the GRACE satellite mission enable an observation of Earth's mass transport on a monthly basis since 2002. One of the remaining challenges is how to complement these solutions with sufficiently accurate estimates of very low-degree spherical harmonic coefficients, particularly degree-1 coefficients and C20. An absence or inaccurate estimation of these coefficients may result in strong biases in mass transports estimates. Variations in degree-1 coefficients reflect geocenter motion and variations in the C20coefficients describe changes in the Earth's dynamic oblateness (ΔJ2). In this study, we developed a novel methodology to estimate monthly variations in degree-1 and C20coefficients by combing GRACE data with oceanic mass anomalies (combination approach). Unlike the method by Swenson et al. (2008), the proposed approach exploits noise covariance information of both input datasets and thus produces stochastically optimal solutions. A numerical simulation study is carried out to verify the correctness and performance of the proposed approach. We demonstrate that solutions obtained with the proposed approach have a significantly higher quality, as compared to the method by Swenson et al. Finally, we apply the proposed approach to real monthly GRACE solutions. To evaluate the obtained results, we calculate mass transport time-series over selected regions where minimal mass anomalies are expected. A clear reduction in the RMS of the mass transport time-series (more than 50 %) is observed there when the degree-1 and C20 coefficients obtained with the proposed approach are used. In particular, the seasonal pattern in the mass transport time-series disappears almost entirely. The traditional approach (degree-1 coefficients based on Swenson et al. (2008) and C20 based on SLR data), in contrast, does not reduce that RMS or even makes it larger (e.g., over the Sahara desert). We further show that the degree-1 variations play a major role in the observed improvement. At the same time, the usage of the C20 solutions obtained with the combination approach yields a similar accuracy of mass anomaly estimates, as compared to the results based on SLR analysis. The computed degree-1 and C20 coefficients will be made publicly available.
Plume Dispersion over Idealized Urban-liked Roughness with Height Variation: an LES Approach
NASA Astrophysics Data System (ADS)
Wong, Colman Ching Chi; Liu, Chun-Ho
2013-04-01
Human activities (e.g. vehicular emission) are the primary pollutant sources affecting the health and living quality of stakeholders in modern compact cities. Gaussian plume dispersion model is commonly used for pollutant distribution estimate that works well over rural areas with flat terrain. However, its major parameters, dispersion coefficients, exclude the effect of surface roughness that unavoidably prone to error handling the pollutant transport in the urban boundary layer (UBL) over building roughness. Our recent large-eddy simulation (LES) has shown that urban surfaces affect significantly the pollutant dispersion over idealized, identical two-dimensional (2D) street canyons of uniform height. As an extension to our on-going effort, this study is conceived to investigate how rough urban surfaces, which are constructed by 2D street canyons of non-uniform height, modify the UBL pollutant dispersion . A series of LESs with idealized roughness elements of non-uniform heights were performed in neutral stratification. Building models with two different heights were placed alternatively in the computational domain to construct 2D street canyons in cross flows. The plume dispersion from a ground-level passive pollutant source over more realistic urban areas was then examined. Along with the existing building-height-to-street-width (aspect) ratio (AR), a new parameter, building-height variability (BHV), is used to measure the building height unevenness. Four ARs (1, 0.5, 0.25 and 0.125) and three BHVs (20%, 40% and 60%) were considered in this study. Preliminary results show that BHV greatly increases the aerodynamic roughness of the hypothetical urban surfaces for narrow street canyons. Analogous to our previous findings, the air exchange rate (ACH) of street canyons increases with increasing friction factor, implying that street-level ventilation could be improved by increasing building roughness via BHV. In addition, the parameters used in dispersion coefficient estimates are related to the friction factor in the way similar to that of uniform street canyons, i.e. they are linear functions of friction factor when the roughness is small and become insensitive to friction factor thereafter over very rough surfaces. It is thus suggested that aerodynamic resistance is the key factor affecting the air quality in urban areas. Moreover, the friction factor could be used to parameterize the dispersion coefficients over different roughness elements.
Eriksen, Ann C; Andersen, Johnnie B; Kristensson, Martin; dePont Christensen, René; Hansen, Torben F; Kjær-Frifeldt, Sanne; Sørensen, Flemming B
2017-08-29
Precise prognostic and predictive variables allowing improved post-operative treatment stratification are missing in patients treated for stage II colon cancer (CC). Investigation of tumor infiltrating lymphocytes (TILs) may be rewarding, but the lack of a standardized analytic technique is a major concern. Manual stereological counting is considered the gold standard, but digital pathology with image analysis is preferred due to time efficiency. The purpose of this study was to compare manual stereological estimates of TILs with automatic counts obtained by image analysis, and at the same time investigate the heterogeneity of TILs. From 43 patients treated for stage II CC in 2002 three paraffin embedded, tumor containing tissue blocks were selected one of them representing the deepest invasive tumor front. Serial sections from each of the 129 blocks were immunohistochemically stained for CD3 and CD8, and the slides were scanned. Stereological estimates of the numerical density and area fraction of TILs were obtained using the computer-assisted newCAST stereology system. For the image analysis approach an app-based algorithm was developed using Visiopharm Integrator System software. For both methods the tumor areas of interest (invasive front and central area) were manually delineated by the observer. Based on all sections, the Spearman's correlation coefficients for density estimates varied from 0.9457 to 0.9638 (p < 0.0001), whereas the coefficients for area fraction estimates ranged from 0.9400 to 0.9603 (P < 0.0001). Regarding heterogeneity, intra-class correlation coefficients (ICC) for CD3+ TILs varied from 0.615 to 0.746 in the central area, and from 0.686 to 0.746 in the invasive area. ICC for CD8+ TILs varied from 0.724 to 0.775 in the central area, and from 0.746 to 0.765 in the invasive area. Exact objective and time efficient estimates of numerical densities and area fractions of CD3+ and CD8+ TILs in stage II colon cancer can be obtained by image analysis and are highly correlated to the corresponding estimates obtained by the gold standard based on stereology. Since the intra-tumoral heterogeneity was low, this method may be recommended for quantifying TILs in only one histological section representing the deepest invasive tumor front.
The recurrence coefficients of semi-classical Laguerre polynomials and the fourth Painlevé equation
NASA Astrophysics Data System (ADS)
Filipuk, Galina; Van Assche, Walter; Zhang, Lun
2012-05-01
We show that the coefficients of the three-term recurrence relation for orthogonal polynomials with respect to a semi-classical extension of the Laguerre weight satisfy the fourth Painlevé equation when viewed as functions of one of the parameters in the weight. We compare different approaches to derive this result, namely, the ladder operators approach, the isomonodromy deformations approach and combining the Toda system for the recurrence coefficients with a discrete equation. We also discuss a relation between the recurrence coefficients for the Freud weight and the semi-classical Laguerre weight and show how it arises from the Bäcklund transformation of the fourth Painlevé equation.
Kodavasal, Janardhan; Lavoie, George A.; Assanis, Dennis N.; ...
2015-10-26
Full-cycle computational fluid dynamics simulations with gasoline chemical kinetics were performed to determine the impact of breathing and fuel injection strategies on thermal and compositional stratification, combustion and emissions during homogeneous charge compression ignition combustion. The simulations examined positive valve overlap and negative valve overlap strategies, along with fueling by port fuel injection and direct injection. The resulting charge mass distributions were analyzed prior to ignition using ignition delay as a reactivity metric. The reactivity stratification arising from differences in the distributions of fuel–oxygen equivalence ratio (Φ FO), oxygen molar fraction (χ O2) and temperature (T) was determined for threemore » parametric studies. In the first study, the reactivity stratification and burn duration for positive valve overlap valve events with port fuel injection and early direct injection were nearly identical and were dominated by wall-driven thermal stratification. nitrogen oxide (NO) and carbon monoxide (CO) emissions were negligible for both injection strategies. In the second study, which examined negative valve overlap valve events with direct injection and port fuel injection, reactivity stratification increased for direct injection as the Φ FO and T distributions associated with direct fuel injection into the hot residual gas were positively correlated; however, the latent heat absorbed from the hot residual gas by the evaporating direct injection fuel jet reduced the overall thermal and reactivity stratification. These stratification effects were offsetting, resulting in similar reactivity stratification and burn durations for the two injection strategies. The higher local burned gas temperatures with direct injection resulted in an order of magnitude increase in NO, while incomplete combustion of locally over-lean regions led to a sevenfold increase in CO emissions compared to port fuel injection. The final study evaluated positive valve overlap and negative valve overlap valve events with direct injection. Furthermore, relative to positive valve overlap, the negative valve overlap condition had a wider reactivity stratification, a longer burn duration and higher NO and CO emissions associated with reduced fuel–air mixing.« less
Arbabi, Vahid; Pouran, Behdad; Weinans, Harrie; Zadpoor, Amir A
2016-09-06
Analytical and numerical methods have been used to extract essential engineering parameters such as elastic modulus, Poisson׳s ratio, permeability and diffusion coefficient from experimental data in various types of biological tissues. The major limitation associated with analytical techniques is that they are often only applicable to problems with simplified assumptions. Numerical multi-physics methods, on the other hand, enable minimizing the simplified assumptions but require substantial computational expertise, which is not always available. In this paper, we propose a novel approach that combines inverse and forward artificial neural networks (ANNs) which enables fast and accurate estimation of the diffusion coefficient of cartilage without any need for computational modeling. In this approach, an inverse ANN is trained using our multi-zone biphasic-solute finite-bath computational model of diffusion in cartilage to estimate the diffusion coefficient of the various zones of cartilage given the concentration-time curves. Robust estimation of the diffusion coefficients, however, requires introducing certain levels of stochastic variations during the training process. Determining the required level of stochastic variation is performed by coupling the inverse ANN with a forward ANN that receives the diffusion coefficient as input and returns the concentration-time curve as output. Combined together, forward-inverse ANNs enable computationally inexperienced users to obtain accurate and fast estimation of the diffusion coefficients of cartilage zones. The diffusion coefficients estimated using the proposed approach are compared with those determined using direct scanning of the parameter space as the optimization approach. It has been shown that both approaches yield comparable results. Copyright © 2016 Elsevier Ltd. All rights reserved.
NASA Technical Reports Server (NTRS)
Sader, Steven A.
1987-01-01
The effect of forest biomass, canopy structure, and species composition on L-band synthetic aperature radar data at 44 southern Mississippi bottomland hardwood and pine-hardwood forest sites was investigated. Cross-polarization mean digital values for pine forests were significantly correlated with green weight biomass and stand structure. Multiple linear regression with five forest structure variables provided a better integrated measure of canopy roughness and produced highly significant correlation coefficients for hardwood forests using HV/VV ratio only. Differences in biomass levels and canopy structure, including branching patterns and vertical canopy stratification, were important sources of volume scatter affecting multipolarization radar data. Standardized correction techniques and calibration of aircraft data, in addition to development of canopy models, are recommended for future investigations of forest biomass and structure using synthetic aperture radar.
Miura, Sachiko; Haku, Eijitsu; Hirai, Toshiko; Marugami, Nagaaki; Itoh, Takahiro; Tanaka, Takehiro; Kichikawa, Kimihiko; Ohishi, Hajime
2008-06-01
During conservative therapy of infantile hypertrophic pyloric stenosis (IHPS) with atropine sulfate, there are many patients who do not achieve normal values of pyloric wall thickness and canal length even though they are clinically cured (vomiting has ceased); an objective criterion for cure has not yet been established. The aim of this study was to examine whether the appearance of pyloric wall stratification can be used as a criterion for cure. Twenty infants with IHPS who were treated conservatively were enrolled. Two of them ultimately required surgery. Ultrasound examinations were done serially and the pyloric wall thickness and canal length were measured. The echogenicity of the pyloric wall and the presence of wall stratification were noted. On admission, all infants satisfied the ultrasound criteria for IHPS and had a heterogeneous pyloric wall without stratification. With conservative therapy, symptoms disappeared, the pyloric wall thickness and the canal length gradually decreased, the echogenicity gradually became homogeneous and hypoechoic, and wall stratification appeared (in most cases before the pyloric wall thickness and the canal length had normalized). The absence of wall stratification suggests that cellular interstitial changes, such as edema or inflammation, are present in the pyloric wall in the acute stage. Pyloric wall stratification was absent during the acute stage, but it appeared after initiation of treatment but before the pyloric wall thickness and the canal length had normalized. The presence of pyloric wall stratification can be used as a criterion for cure; the absence of wall stratification can be added to ultrasound diagnostic criteria for IHPS.
Stratified sampling design based on data mining.
Kim, Yeonkook J; Oh, Yoonhwan; Park, Sunghoon; Cho, Sungzoon; Park, Hayoung
2013-09-01
To explore classification rules based on data mining methodologies which are to be used in defining strata in stratified sampling of healthcare providers with improved sampling efficiency. We performed k-means clustering to group providers with similar characteristics, then, constructed decision trees on cluster labels to generate stratification rules. We assessed the variance explained by the stratification proposed in this study and by conventional stratification to evaluate the performance of the sampling design. We constructed a study database from health insurance claims data and providers' profile data made available to this study by the Health Insurance Review and Assessment Service of South Korea, and population data from Statistics Korea. From our database, we used the data for single specialty clinics or hospitals in two specialties, general surgery and ophthalmology, for the year 2011 in this study. Data mining resulted in five strata in general surgery with two stratification variables, the number of inpatients per specialist and population density of provider location, and five strata in ophthalmology with two stratification variables, the number of inpatients per specialist and number of beds. The percentages of variance in annual changes in the productivity of specialists explained by the stratification in general surgery and ophthalmology were 22% and 8%, respectively, whereas conventional stratification by the type of provider location and number of beds explained 2% and 0.2% of variance, respectively. This study demonstrated that data mining methods can be used in designing efficient stratified sampling with variables readily available to the insurer and government; it offers an alternative to the existing stratification method that is widely used in healthcare provider surveys in South Korea.
Elsey-Quirk, T.; Middleton, B.A.; Proffitt, C.E.
2009-01-01
We examined the effects of cold stratification and salinity on seed flotation of eight salt marsh species. Four of the eight species were tested for germination success under different stratification, salinity, and flooding conditions. Species were separated into two groups, four species received wet stratification and four dry stratification and fresh seeds of all species were tested for flotation and germination. Fresh seeds of seven out of eight species had flotation times independent of salinity, six of which had average flotation times of at least 50 d. Seeds of Spartina alterniflora and Spartina patens had the shortest flotation times, averaging 24 and 26 d, respectively. Following wet stratification, the flotation time of S. alterniflora seeds in higher salinity water (15 and 36 ppt) was reduced by over 75% and germination declined by more than 90%. Wet stratification reduced the flotation time of Distichlis spicata seeds in fresh water but increased seed germination from 2 to 16% in a fluctuating inundation regime. Fresh seeds of Iva frutescens and S. alternflora were capable of germination and therefore are non-dormant during dispersal. Fresh seeds of I. frutescens had similar germination to dry stratified seeds ranging 25-30%. Salinity reduced seed germination for all species except for S. alterniflora. A fluctuating inundation regime was important for seed germination of the low marsh species and for germination following cold stratification. The conditions that resulted in seeds sinking faster were similar to the conditions that resulted in higher germination for two of four species. ?? 2009 Elsevier B.V.
On Stratification in Changing Higher Education: The "Analysis of Status" Revisited
ERIC Educational Resources Information Center
Bloch, Roland; Mitterle, Alexander
2017-01-01
This article seeks to shed light on current dynamics of stratification in changing higher education and proposes an analytical perspective to account for these dynamics based on Martin Trow's work on "the analysis of status." In research on higher education, the term "stratification" is generally understood as a metaphor that…
Eigenmode resonance in a two-layer stratification
NASA Astrophysics Data System (ADS)
Kanda, Isao; Linden, P. F.
2002-06-01
In this paper, we study the velocity field at the density interface of a two-layer stratification system when the flow is forced at the mid-depth of the lower layer by the source sink forcing method. It is known that, in a sufficiently strong linear stratification, the source sink forcing in certain configurations produces a single-vortex pattern which corresponds to the lowest eigenmode of the Helmholtz equation (Kanda & Linden 2001). Two types of forcing configuration are used for the two-layer experiments: one that leads to a steady single-vortex pattern in a linear stratification, and one that results in an unsteady irregular state. Strong single-vortex patterns appear intermittently for the former configurations despite the absence of stratification at the forcing height. When the single-vortex pattern occurs at the density interface, a similar flow field extends down to the forcing height. The behaviour is explained as the coupling of the resonant eigenmode at the interface with the horizontal component of the forcing jets. The results show that stratification can organise a flow, even though it is forced by an apparently random three-dimensional forcing.
M2 tidal effects in greater cook strait, New Zealand
NASA Astrophysics Data System (ADS)
Kibblewhite, Alick C.; Ash, David E.
1980-05-01
The application of a M2 nonlinear numerical tidal model to the shelf seas of central New Zealand (~38.500 km2 area) is described. It has provided a preliminary assessment of tidal and residual currents, bottom stress, energy dissipation, and the stratification index. The existence of a permanent, tidally driven mesoscale eddy (~75 km diameter) is predicted nort of D'Urville Island. Large spatial gradients in bottom stress qualitatively agree with many features of the surficial sediment distribution. A comparison of all available bulk stratification data with the h/u3 stratification index clearly demonstrates the dominance of tidal versus wind mixing over the control of summer stratification. A potential application of the model to fisheries science is suggested through a comparison of the stratification index contour map and some observations of squid fishing vessel locations.
M 2 tidal effects in greater Cook Strait, New Zealand
NASA Astrophysics Data System (ADS)
Bowman, Malcolm J.; Kibblewhite, Alick C.; Ash, David E.
1980-05-01
The application of an M2 nonlinear numerical tidal model to the shelf seas of central New Zealand (˜38,500 km2 area) is described. It has provided a preliminary assessment of tidal and residual currents, bottom stress, energy dissipation, and the stratification index. The existence of a permanent, tidally driven mesoscale eddy (˜75 km diameter) is predicted north of D'Urville Island. Large spatial gradients in bottom stress qualitatively agree with many features of the surficial sediment distribution. A comparison of all available bulk stratification data with the h/u3 stratification index clearly demonstrates the dominance of tidal versus wind mixing over the control of summer stratification. A potential application of the model to fisheries science is suggested through a comparison of the stratification index contour map and some observations of squid fishing vessel locations.
A reconceptualization of age stratification in China.
Yin, P; Lai, K H
1983-09-01
Using the concepts of age stratification theory--age effect, cohort effect, and subcohort differences--this paper provides a new perspective on age stratification in China. Currently, the literature suggests that the status of elderly people declined after the Communist Revolution and will further decline with modernization. We discuss the problems with this perspective and argue, instead, that the status of elderly adults did not decline for the majority of the aged during the Maoist years. Rather, the most important change in the age stratification system during the Maoist years was the change in the criterion of age stratification--from age differences to cohort and subcohort differences. Furthermore, the subcohort of elderly adults who suffered the most status decline during the Maoist years--the bourgeoisie--may actually enjoy an increase in status with the recent modernization impetus. Research suggestions from this new perspective are discussed.
Defining Precision Medicine Approaches to Autism Spectrum Disorders: Concepts and Challenges.
Loth, Eva; Murphy, Declan G; Spooren, Will
2016-01-01
The tremendous clinical and etiological variability between individuals with autism spectrum disorder (ASD) has made precision medicine the most promising treatment approach. It aims to combine new pathophysiologically based treatments with objective tests (stratification biomarkers) to predict which treatment may be beneficial for a particular person. Here we discuss significant advances and current challenges for this approach: rare monogenic forms of ASD have provided a major breakthrough for the identification of treatment targets by providing a means to trace causal links from a gene to specific molecular alterations and biological pathways. To estimate whether treatment targets thus identified may be useful for larger patient groups we need a better understanding of whether different etiologies (i.e., genetic and environmental risk factors acting at different critical time points) lead to convergent or divergent molecular mechanisms, and how they map onto differences in circuit-level brain and cognitive development, and behavioral symptom profiles. Several recently failed clinical trials with syndromic forms of ASD provide valuable insights into conceptual and methodological issues linked to limitations in the translatability from animal models to humans, placebo effects, and a need for mechanistically plausible, objective outcome measures. To identify stratification biomarkers that enrich participant selection in clinical trials, large-scale multi-modal longitudinal observational studies are underway. Addressing these different factors in the next generation of research studies requires a translatable developmental perspective and multidisciplinary, collaborative efforts, with a commitment to sharing protocols and data, to increase transparency and reproducibility.
Postoperative urinary retention after inguinal hernia repair: a single institution experience.
Blair, A B; Dwarakanath, A; Mehta, A; Liang, H; Hui, X; Wyman, C; Ouanes, J P P; Nguyen, H T
2017-12-01
Inguinal hernia repair is a common general surgery procedure with low morbidity. However, postoperative urinary retention (PUR) occurs in up to 22% of patients, resulting in further extraneous treatments.This single institution series investigates whether patient comorbidities, surgical approaches, and anesthesia methods are associated with developing PUR after inguinal hernia repairs. This is a single institution retrospective review of inguinal hernia from 2012 to 2015. PUR was defined as patients without a postoperative urinary catheter who subsequently required bladder decompression due to an inability to void. Univariate and multivariate logistic regressions were performed to quantify the associations between patient, surgical, and anesthetic factors with PUR. Stratification analysis was conducted at age of 50 years. 445 patients were included (42.9% laparoscopic and 57.1% open). Overall rate of PUR was 11.2% (12% laparoscopic, 10.6% open, and p = 0.64). In univariate analysis, PUR was significantly associated with patient age >50 and history of benign prostatic hyperplasia (BPH). Risk stratification for age >50 revealed in this cohort a 2.49 times increased PUR risk with lack of intraoperative bladder decompression (p = 0.013). At our institution, we found that patient age, history of BPH, and bilateral repair were associated with PUR after inguinal hernia repair. No association was found with PUR and laparoscopic vs open approach. Older males may be at higher risk without intraoperative bladder decompression, and therefore, catheter placement should be considered in this population, regardless of surgical approach.
Tan, Chuen Seng; Støer, Nathalie C; Chen, Ying; Andersson, Marielle; Ning, Yilin; Wee, Hwee-Lin; Khoo, Eric Yin Hao; Tai, E-Shyong; Kao, Shih Ling; Reilly, Marie
2017-01-01
The control of confounding is an area of extensive epidemiological research, especially in the field of causal inference for observational studies. Matched cohort and case-control study designs are commonly implemented to control for confounding effects without specifying the functional form of the relationship between the outcome and confounders. This paper extends the commonly used regression models in matched designs for binary and survival outcomes (i.e. conditional logistic and stratified Cox proportional hazards) to studies of continuous outcomes through a novel interpretation and application of logit-based regression models from the econometrics and marketing research literature. We compare the performance of the maximum likelihood estimators using simulated data and propose a heuristic argument for obtaining the residuals for model diagnostics. We illustrate our proposed approach with two real data applications. Our simulation studies demonstrate that our stratification approach is robust to model misspecification and that the distribution of the estimated residuals provides a useful diagnostic when the strata are of moderate size. In our applications to real data, we demonstrate that parity and menopausal status are associated with percent mammographic density, and that the mean level and variability of inpatient blood glucose readings vary between medical and surgical wards within a national tertiary hospital. Our work highlights how the same class of regression models, available in most statistical software, can be used to adjust for confounding in the study of binary, time-to-event and continuous outcomes.
Probst, Marc A.; Kanzaria, Hemal K.; Hoffman, Jerome R.; Mower, William R.; Moheimani, Roya S.; Sun, Benjamin C.; Quigley, Denise D.
2015-01-01
Background Palpitations are a common emergency department (ED) complaint, yet relatively little research exists on this topic from an emergency care perspective. Objectives We sought to describe the perceptions and clinical decision-making processes of emergency physicians (EP) surrounding patients with palpitations. Methods We conducted 21 semistructured interviews with a convenience sample of EPs. We recruited participants from academic and community practice settings from four regions of the US. The transcribed interviews were analyzed using a combination of structural coding and grounded theory approaches with ATLAS.ti, a qualitative data analysis software program. Results EPs perceive palpitations to be a common but generally benign chief complaint. EPs' clinical approach to palpitations, with regards to testing, treatment and ED management, can be classified as relating to one or more of the following themes: (1) risk-stratification, (2) diagnostic categorization, (3) algorithmic management, and (4) case-specific gestalt. With regard to disposition decisions, four main themes emerged: (1) presence of a serious diagnosis, (2) perceived need for further cardiac testing/monitoring, (3) presence of key associated symptoms, (4) request of other physician or patient desire. The inter-rater reliability exercise yielded a Fleiss' kappa measure of 0.69, indicating substantial agreement between coders. Conclusion EPs perceive palpitations to be a common but generally benign chief complaint. EPs rely on one, or more, of four main clinical approaches to manage these patients. These findings could help guide future efforts at developing risk-stratification tools and clinical algorithms for patients with palpitations. PMID:25943288
NASA Technical Reports Server (NTRS)
Herbst, E.; Leung, C. M.
1986-01-01
In order to incorporate large ion-polar neutral rate coefficients into existing gas phase reaction networks, it is necessary to utilize simplified theoretical treatments because of the significant number of rate coefficients needed. The authors have used two simple theoretical treatments: the locked dipole approach of Moran and Hamill for linear polar neutrals and the trajectory scaling approach of Su and Chesnavich for nonlinear polar neutrals. The former approach is suitable for linear species because in the interstellar medium these are rotationally relaxed to a large extent and the incoming charged reactants can lock their dipoles into the lowest energy configuration. The latter approach is a better approximation for nonlinear neutral species, in which rotational relaxation is normally less severe and the incoming charged reactants are not as effective at locking the dipoles. The treatments are in reasonable agreement with more detailed long range theories and predict an inverse square root dependence on kinetic temperature for the rate coefficient. Compared with the locked dipole method, the trajectory scaling approach results in rate coefficients smaller by a factor of approximately 2.5.
Noninvasive esthetic treatment for hypomaturation amelogenesis imperfecta: a case report.
Nahsan, Flávia Pardo Salata; Silva, Luciana Mendonça da; Lima, Thiago Mendes de; Bertocco, Verônica Pereira de Lima; Chui, Fabíola Mendonça da Silva; Martins, Leandro de Moura
2016-01-01
Enamel alterations, such as amelogenesis imperfecta, can compromise the harmony of the smile and the patient's self-esteem and may cause tooth sensitivity. A simple and effective treatment approach uses the natural stratification of composite resins to mask deficient enamel formation and mimic the natural appearance of the substrate. The operative steps and principles for restorative success are described in this case report with 36-month follow-up.
Al-Chokhachy, R.; Budy, P.; Conner, M.
2009-01-01
Using empirical field data for bull trout (Salvelinus confluentus), we evaluated the trade-off between power and sampling effort-cost using Monte Carlo simulations of commonly collected mark-recapture-resight and count data, and we estimated the power to detect changes in abundance across different time intervals. We also evaluated the effects of monitoring different components of a population and stratification methods on the precision of each method. Our results illustrate substantial variability in the relative precision, cost, and information gained from each approach. While grouping estimates by age or stage class substantially increased the precision of estimates, spatial stratification of sampling units resulted in limited increases in precision. Although mark-resight methods allowed for estimates of abundance versus indices of abundance, our results suggest snorkel surveys may be a more affordable monitoring approach across large spatial scales. Detecting a 25% decline in abundance after 5 years was not possible, regardless of technique (power = 0.80), without high sampling effort (48% of study site). Detecting a 25% decline was possible after 15 years, but still required high sampling efforts. Our results suggest detecting moderate changes in abundance of freshwater salmonids requires considerable resource and temporal commitments and highlight the difficulties of using abundance measures for monitoring bull trout populations.
Senn, Stephen; Graf, Erika; Caputo, Angelika
2007-12-30
Stratifying and matching by the propensity score are increasingly popular approaches to deal with confounding in medical studies investigating effects of a treatment or exposure. A more traditional alternative technique is the direct adjustment for confounding in regression models. This paper discusses fundamental differences between the two approaches, with a focus on linear regression and propensity score stratification, and identifies points to be considered for an adequate comparison. The treatment estimators are examined for unbiasedness and efficiency. This is illustrated in an application to real data and supplemented by an investigation on properties of the estimators for a range of underlying linear models. We demonstrate that in specific circumstances the propensity score estimator is identical to the effect estimated from a full linear model, even if it is built on coarser covariate strata than the linear model. As a consequence the coarsening property of the propensity score-adjustment for a one-dimensional confounder instead of a high-dimensional covariate-may be viewed as a way to implement a pre-specified, richly parametrized linear model. We conclude that the propensity score estimator inherits the potential for overfitting and that care should be taken to restrict covariates to those relevant for outcome. Copyright (c) 2007 John Wiley & Sons, Ltd.
Avram, Anca M; Esfandiari, Nazanene H; Wong, Ka Kit
2015-05-01
The use of preablation diagnostic radioiodine scans for risk stratification and radioiodine therapy planning for differentiated thyroid cancer (DTC) remains controversial. The objective was to assess the contribution of preablation diagnostic 131-I scans with SPECT/CT (Dx 131-I scan) to (1) the risk stratification and (2) the postoperative management of DTC. The study was designed as a prospective sequential patient series. The study was conducted at a University hospital. Three hundred twenty patients (pts) with DTC (219F; 101M, mean age 47.3 ± 16.4 y, range 10-90) were studied. Using clinical and histopathology information an endocrinologist performed risk stratification and determined postoperative management with respect to radioiodine therapy (RAI) planning. The decision to withhold or to administer RAI, and the recommended low, medium or high therapeutic 131-I activity were recorded. Dx 131-I scans were performed and interpreted by two nuclear medicine physicians as showing thyroid remnant, cervical nodal, or distant metastases. The endocrinologist then reperformed risk stratification and reformulated management after consideration of Dx 131-I scans and stimulated thyroglobulin (Tg) information. Main outcome measures were changes in risk stratification and management after Dx 131-I scans. Detection of unsuspected nodal and distant metastases and elevated stimulated Tg levels resulted in a change in the estimated risk of recurrence in 15% of patients, and management in 31% of patients, as compared to initial risk stratification and management based on histopathology alone. Both imaging data and stimulated thyroglobulin levels acquired at the time of Dx 131-I scans are consequential for 131-I therapy planning, providing information that changes risk stratification in 15% of patients as compared to recurrence risk estimation based on histopathology alone. Dx 131-I scans contribute to risk stratification by defining residual nodal and distant metastatic disease, changing clinical management in 29.4% of patients.
Vertical Mixing in the Dead Sea
NASA Astrophysics Data System (ADS)
Gertman, Isaac; Ozer, Tal; Katsenelson, Boris; Lensky, Nadav
2015-04-01
For hundreds of years, the Dead Sea was characterized by a stable haline stratification, supported by runoff. The penetration of the winter convection was limited to an upper mixed layer (UML) of about 30-50 m. Below the UML, a stable halocline prevented the mixing. As a result of the runoff reduction, the UML salinity increased and the gravitational stability diminished. During the winter of 1978-1979, the sea water overturned, ending the long-term stable hydrological regime. Since 1979, the haline stratification structure reoccurred twice after extremely rainy winters, in 1980-82 and 1992-1995. In other years, the sea was entirely mixed by winter thermal convection ( which occurs from November to March ) and had a seasonal pycnocline beneath the UML during summer. Profiles of temperature and quasi-salinity (density anomaly from 1000 kg/m3 for the chosen reference temperature of 32° C) during the last 19 years, show the formation of summer ``overturning halocline'' beneath the UML, and the thermocline that supports the stable stratification. Another warm and saline layer is formed also during the summer period near the bottom. This layer spreads from the southern part of the sea, where end-brine is discharged to the sea from the Israeli and Jordanian salt plants' evaporation ponds. The end-brine has extremely high salinity (˜ 350 g/kg) and, in spite of the high temperatures ( ˜ 45° C), high density (1350 kg/m^3), it therefore spreads as a gravitational current in the Dead Sea deep basin. Estimation of the density ratio (Rρ) for the Dead Sea water (where measurements of water salinity is quite difficult) was done using quasi-salinity (σ32) and potential temperature (θ): Rρ= [α(partialθ/partial z)]/[β(partial σ32/partial z)], where α and β are temperature expansion and quasi-salinity contraction coefficients respectively. The values of α and β for the Dead Sea water were defined from water samples collected during 2008. The Rρ values confirm that the summer Dead Sea thermohaline structure is appropriate for double diffusion mixing. A salt fingers regime beneath the UML (1.3< Rρ
Heimann, David C.; Femmer, Suzanne R.
1998-01-01
This report presents the results of a study conducted by the U.S. Geological Survey in cooperation with the Missouri Department of Natural Resources from December 1995 through May 1997 to describe the water quality, hydrologic, and invertebrate characteristics of three remnant wetlands. These data may be used to help develop selected water-quality standards for wetlands in Missouri. Wetlands monitored in this study include Spile Lake, Vernon County; Little Bean Marsh, Platte County; and Forker Oxbow, Linn County, Missouri. Extremes in physicochemical properties in these wetlands were greatly affected by thermal stratification, hydrologic fluctuations, biological activity, and ice formation. The wetlands had dissolved-oxygen concentrations below the 5-milligrams-per-liter State water-quality standard from 40 to 60 percent of a selected 1-year period, corresponding to periods of thermal stratification. Hydrologic fluctuations were common as the water-surface elevation changes in these systems ranged up to 12 feet during the course of the study. Photosynthesis and respiration are likely causes of diurnal fluctuations in pH and dissolved oxygen throughout the study period, but particularly in the summer months. Periods of ice formation were short lived in the wetlands, but corresponded with maximum values of specific conductance and dissolved oxygen in all three systems. Analyses of invertebrate results using the Jaccard Coefficient of Community Similarity indicated mixed results. Woody snag sample results showed little similarities between sites, while sweep net sample results indicated similarities existed. Most of the families detected at these sites are considered organic tolerant as indicated by the Hilsenhoff Biotic Index. Analysis of the dominant taxon indicates that one or two invertebrate families that are tolerant to organic enrichment generally dominate the wetlands. The hydrologic, water quality, and invertebrate information analyzed in this study indicate that while there are similarities among wetlands, these are unique systems. The statistical comparisons between water-quality constituents in wetlands and streams indicate dissimilarities are common. Including the presence of thermal stratification in these wetlands, the exclusions and modifications in State standards that are applied to lakes and reservoirs also may be applicable.
Dissipation in the Baltic proper during winter stratification
NASA Astrophysics Data System (ADS)
Lass, Hans Ulrich; Prandke, Hartmut; Liljebladh, Bengt
2003-06-01
Profiles of dissipation rates and stratification between 10 and 120 m depth were measured with a loosely tethered profiler over a 9-day winter period in the Gotland Basin of the Baltic Sea. Supplementary measurements of current profiles were made with moored ADCPs. Temporal and spatial patterns of the stratification were observed by means of towed CTD. Shallow freshwater lenses in the surface mixed layer, mesoscale eddies, inertial oscillations, and inertial waves as part of the internal wave spectrum provided the marine physical environment for the small-scale turbulence. Two well-separated turbulence regimes were detected. The turbulence in the surface mixed layer was well correlated with the wind. The majority of the energy flux from the wind to the turbulent kinetic energy was dissipated within the surface mixed layer. A minor part of this flux was consumed by changes of the potential energy of the fresh water lenses. The penetration depth Hpen of the wind-driven turbulence into the weakly stratified surface mixed layer depended on the local wind speed (W10) as Hpen = cW103/2 Active erosion of the Baltic halocline by wind-driven turbulence is expected for wind speeds greater than 14 m/s. The turbulence in the strongly stratified interior of the water column was quite independent of the meteorological forcing at the sea surface. The integrated production of turbulent kinetic energy exceeded the energy loss of inertial oscillations in the surface layer suggesting additional energy sources which might have been provided by inertial wave radiation during geostrophic adjustment of coastal jets and mesoscale eddies. The averaged dissipation rate profile in the stratified part of the water column, best fitted by ɛ ∝ EN, was different from the scaling of the dissipation in the thermocline of the ocean [, 1986]. The diapycnical mixing coefficient (Kv) was best fit by Kv = a0/N according to [1987] with a0 ≈ 0.87 × 10-7 m2/s2. The diapycnal diffusivity estimated from the dissipation rate was lower than those estimated by the bulk method.
How many genomics targets can a portfolio afford?
Betz, Ulrich A K
2005-08-01
The pharmaceutical industry can look back at a history of successful innovations. Although genomics technologies have provided drug discovery pipelines with a plethora of new potential drug targets, solid target validation is crucial to avoiding high attrition rates. Biomarkers for patient stratification and approaches for personalized medicine will further help to reduce the risk associated with new targets. To achieve an overall risk balance, portfolios have to be supplemented with precedented targets, me-too approaches and line extensions of existing drugs. However, capitalizing on genomics investments and working on unprecedented targets is essential for a continuous stream of innovative drugs.
NASA Astrophysics Data System (ADS)
Camporesi, Roberto
2016-01-01
We present an approach to the impulsive response method for solving linear constant-coefficient ordinary differential equations of any order based on the factorization of the differential operator. The approach is elementary, we only assume a basic knowledge of calculus and linear algebra. In particular, we avoid the use of distribution theory, as well as of the other more advanced approaches: Laplace transform, linear systems, the general theory of linear equations with variable coefficients and variation of parameters. The approach presented here can be used in a first course on differential equations for science and engineering majors.
Humaidan, Peter; Alviggi, Carlo; Fischer, Robert; Esteves, Sandro C
2016-01-01
In reproductive medicine little progress has been achieved regarding the clinical management of patients with a reduced ovarian reserve or poor ovarian response (POR) to stimulation with exogenous gonadotropins -a frustrating experience for clinicians as well as patients. Despite the efforts to optimize the definition of this subgroup of patients, the existing POR criteria unfortunately comprise a heterogeneous population and, importantly, do not offer any recommendations for clinical handling. Recently, the POSEIDON group ( P atient- O riented S trategies E ncompassing I ndividualize D O ocyte N umber) proposed a new stratification of assisted reproductive technology (ART) in patients with a reduced ovarian reserve or unexpected inappropriate ovarian response to exogenous gonadotropins. In brief, four subgroups have been suggested based on quantitative and qualitative parameters, namely, i. Age and the expected aneuploidy rate; ii. Ovarian biomarkers (i.e. antral follicle count [AFC] and anti-Müllerian hormone [AMH]), and iii. Ovarian response - provided a previous stimulation cycle was performed. The new classification introduces a more nuanced picture of the "low prognosis patient" in ART, using clinically relevant criteria to guide the physician to most optimally manage this group of patients. The POSEIDON group also introduced a new measure for successful ART treatment, namely, the ability to retrieve the number of oocytes needed for the specific patient to obtain at least one euploid embryo for transfer. This feature represents a pragmatic endpoint to clinicians and enables the development of prediction models aiming to reduce the time-to-pregnancy (TTP). Consequently, the POSEIDON stratification should not be applied for retrospective analyses having live birth rate (LBR) as endpoint. Such an approach would fail as the attribution of patients to each Poseidon group is related to specific requirements and could only be made prospectively. On the other hand, any prospective approach (i.e. RCT) should be performed separately in each specific group.
Proposals for enhanced health risk assessment and stratification in an integrated care scenario.
Dueñas-Espín, Ivan; Vela, Emili; Pauws, Steffen; Bescos, Cristina; Cano, Isaac; Cleries, Montserrat; Contel, Joan Carles; de Manuel Keenoy, Esteban; Garcia-Aymerich, Judith; Gomez-Cabrero, David; Kaye, Rachelle; Lahr, Maarten M H; Lluch-Ariet, Magí; Moharra, Montserrat; Monterde, David; Mora, Joana; Nalin, Marco; Pavlickova, Andrea; Piera, Jordi; Ponce, Sara; Santaeugenia, Sebastià; Schonenberg, Helen; Störk, Stefan; Tegner, Jesper; Velickovski, Filip; Westerteicher, Christoph; Roca, Josep
2016-04-15
Population-based health risk assessment and stratification are considered highly relevant for large-scale implementation of integrated care by facilitating services design and case identification. The principal objective of the study was to analyse five health-risk assessment strategies and health indicators used in the five regions participating in the Advancing Care Coordination and Telehealth Deployment (ACT) programme (http://www.act-programme.eu). The second purpose was to elaborate on strategies toward enhanced health risk predictive modelling in the clinical scenario. The five ACT regions: Scotland (UK), Basque Country (ES), Catalonia (ES), Lombardy (I) and Groningen (NL). Responsible teams for regional data management in the five ACT regions. We characterised and compared risk assessment strategies among ACT regions by analysing operational health risk predictive modelling tools for population-based stratification, as well as available health indicators at regional level. The analysis of the risk assessment tool deployed in Catalonia in 2015 (GMAs, Adjusted Morbidity Groups) was used as a basis to propose how population-based analytics could contribute to clinical risk prediction. There was consensus on the need for a population health approach to generate health risk predictive modelling. However, this strategy was fully in place only in two ACT regions: Basque Country and Catalonia. We found marked differences among regions in health risk predictive modelling tools and health indicators, and identified key factors constraining their comparability. The research proposes means to overcome current limitations and the use of population-based health risk prediction for enhanced clinical risk assessment. The results indicate the need for further efforts to improve both comparability and flexibility of current population-based health risk predictive modelling approaches. Applicability and impact of the proposals for enhanced clinical risk assessment require prospective evaluation. 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/
Araki, Tadashi; Jain, Pankaj K; Suri, Harman S; Londhe, Narendra D; Ikeda, Nobutaka; El-Baz, Ayman; Shrivastava, Vimal K; Saba, Luca; Nicolaides, Andrew; Shafique, Shoaib; Laird, John R; Gupta, Ajay; Suri, Jasjit S
2017-01-01
Stroke risk stratification based on grayscale morphology of the ultrasound carotid wall has recently been shown to have a promise in classification of high risk versus low risk plaque or symptomatic versus asymptomatic plaques. In previous studies, this stratification has been mainly based on analysis of the far wall of the carotid artery. Due to the multifocal nature of atherosclerotic disease, the plaque growth is not restricted to the far wall alone. This paper presents a new approach for stroke risk assessment by integrating assessment of both the near and far walls of the carotid artery using grayscale morphology of the plaque. Further, this paper presents a scientific validation system for stroke risk assessment. Both these innovations have never been presented before. The methodology consists of an automated segmentation system of the near wall and far wall regions in grayscale carotid B-mode ultrasound scans. Sixteen grayscale texture features are computed, and fed into the machine learning system. The training system utilizes the lumen diameter to create ground truth labels for the stratification of stroke risk. The cross-validation procedure is adapted in order to obtain the machine learning testing classification accuracy through the use of three sets of partition protocols: (5, 10, and Jack Knife). The mean classification accuracy over all the sets of partition protocols for the automated system in the far and near walls is 95.08% and 93.47%, respectively. The corresponding accuracies for the manual system are 94.06% and 92.02%, respectively. The precision of merit of the automated machine learning system when compared against manual risk assessment system are 98.05% and 97.53% for the far and near walls, respectively. The ROC of the risk assessment system for the far and near walls is close to 1.0 demonstrating high accuracy. Copyright © 2016 Elsevier Ltd. All rights reserved.
CoAIMs: A Cost-Effective Panel of Ancestry Informative Markers for Determining Continental Origins
Londin, Eric R.; Keller, Margaret A.; Maista, Cathleen; Smith, Gretchen; Mamounas, Laura A.; Zhang, Ran; Madore, Steven J.; Gwinn, Katrina; Corriveau, Roderick A.
2010-01-01
Background Genetic ancestry is known to impact outcomes of genotype-phenotype studies that are designed to identify risk for common diseases in human populations. Failure to control for population stratification due to genetic ancestry can significantly confound results of disease association studies. Moreover, ancestry is a critical factor in assessing lifetime risk of disease, and can play an important role in optimizing treatment. As modern medicine moves towards using personal genetic information for clinical applications, it is important to determine genetic ancestry in an accurate, cost-effective and efficient manner. Self-identified race is a common method used to track and control for population stratification; however, social constructs of race are not necessarily informative for genetic applications. The use of ancestry informative markers (AIMs) is a more accurate method for determining genetic ancestry for the purposes of population stratification. Methodology/Principal Findings Here we introduce a novel panel of 36 microsatellite (MSAT) AIMs that determines continental admixture proportions. This panel, which we have named Continental Ancestry Informative Markers or CoAIMs, consists of MSAT AIMs that were chosen based upon their measure of genetic variance (Fst), allele frequencies and their suitability for efficient genotyping. Genotype analysis using CoAIMs along with a Bayesian clustering method (STRUCTURE) is able to discern continental origins including Europe/Middle East (Caucasians), East Asia, Africa, Native America, and Oceania. In addition to determining continental ancestry for individuals without significant admixture, we applied CoAIMs to ascertain admixture proportions of individuals of self declared race. Conclusion/Significance CoAIMs can be used to efficiently and effectively determine continental admixture proportions in a sample set. The CoAIMs panel is a valuable resource for genetic researchers performing case-control genetic association studies, as it can control for the confounding effects of population stratification. The MSAT-based approach used here has potential for broad applicability as a cost effective tool toward determining admixture proportions. PMID:20976178
ERIC Educational Resources Information Center
Chew, Matthew M.
2008-01-01
Sociologists of knowledge find that academic stratification is present among individual scholars, genders, networks, fields, and all kinds of scientific organizations, while communications scholars have been studying global cultural asymmetry for a long time. Yet few researchers have explored the global dimension of academic stratification. In…
Optimized endogenous post-stratification in forest inventories
Paul L. Patterson
2012-01-01
An example of endogenous post-stratification is the use of remote sensing data with a sample of ground data to build a logistic regression model to predict the probability that a plot is forested and using the predicted probabilities to form categories for post-stratification. An optimized endogenous post-stratified estimator of the proportion of forest has been...
Regadas Filho, J G L; Tedeschi, L O; Cannas, A; Vieira, R A M; Rodrigues, M T
2014-11-01
The first objective of this research was to assess the ability of the Small Ruminant Nutrition System (SRNS) mechanistic model to predict metabolizable energy intake (MEI) and milk yield (MY) when using a heterogeneous fiber pool scenario (GnG1), compared with a traditional, homogeneous scenario (G1). The second objective was to evaluate an alternative approach to estimating the dry matter intake (DMI) of goats to be used in the SRNS model. The GnG1 scenario considers an age-dependent fractional transference rate for fiber particles from the first ruminal fiber pool (raft) to an escapable pool (λr), and that this second ruminal fiber pool (i.e., escapable pool) follows an age-independent fractional escape rate for fiber particles (ke). Scenario G1 adopted only a single fractional passage rate (kp). All parameters were estimated individually by using equations published in the literature, except for 2 passage rate equations in the G1 scenario: 1 developed with sheep data (G1-S) and another developed with goat data (G1-G). The alternative approach to estimating DMI was based on an optimization process using a series of dietary constraints. The DMI, MEI, and MY estimated for the GnG1 and G1 scenarios were compared with the results of an independent dataset (n=327) that contained information regarding DMI, MEI, MY, and milk and dietary compositions. The evaluation of the scenarios was performed using the coefficient of determination (R(2)) between the observed and predicted values, mean bias (MB), bias correction factor (Cb), and concordance correlation coefficient. The MEI estimated by the GnG1 scenario yielded precise and accurate values (R(2) = 082; MB = 0.21 Mcal/d; Cb = 0.98) similar to those of the G1-S (R(2) = 0.85; MB = 0.10 Mcal/d; Cb=0.99) and G1-G (R(2) = 0.84; MB = 0.18 Mcal/d; Cb = 0.98) scenarios. The results were also similar for the MY, but a substantial MB was found as follows: GnG1 (R(2) = 0.74; MB = 0.70 kg/d; Cb = 0.79), G1-S (R(2) = 0.71; MB = 0.58 kg/d(1); Cb = 0.85) and G1-G (R(2) = 0.71; MB = 0.65 kg/d; Cb = 0.82). The alternative approach for DMI prediction provided better results with the G1-G scenario (R(2)=0.88; MB = -71.67 g/d; Cb = 0.98). We concluded that the GnG1 scenario is valid within mechanistic models such as the SRNS and that the alternative approach for estimating DMI is reasonable and can be used in diet formulations for goats. Copyright © 2014 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.
Damping of Loop Oscillations in the Stratified Corona
NASA Astrophysics Data System (ADS)
Erdélyi, R.; Mendoza-Briceño, C. A.
2004-01-01
SOHO and TRACE observations have confirmed the theoretical predictions by Roberts et al. (1984) almost two solar cycles ago, namely, coronal loops may oscillate. These oscillations, and in particular their damping, are of fundamental importance for solar physics since they can provide diagnostics of the plasma medium. In the present paper we apply this concept to hot and stratified and nonisothermal coronal loops observed by e.g. TRACE or SUMER on-board SOHO. We investigate the effect of stratification on (i) the damping of standing waves and (ii) on propagating coherent disturbances (i.e. basically slow MHD waves). The effect of stratification results, if we may say so, in an approximate 15-20% of reduction in damping time for the parameter regime that characterise hot SUMER or TRACE loops. This is a good news as theoretical speculations in the literature usually suffer from an over-estimate of the damping of oscillations caused by e.g. thermal conduction or viscosity in the non-stratified atmosphere approach.
Has the "Equal Environments" assumption been tested in twin studies?
Eaves, Lindon; Foley, Debra; Silberg, Judy
2003-12-01
A recurring criticism of the twin method for quantifying genetic and environmental components of human differences is the necessity of the so-called "equal environments assumption" (EEA) (i.e., that monozygotic and dizygotic twins experience equally correlated environments). It has been proposed to test the EEA by stratifying twin correlations by indices of the amount of shared environment. However, relevant environments may also be influenced by genetic differences. We present a model for the role of genetic factors in niche selection by twins that may account for variation in indices of the shared twin environment (e.g., contact between members of twin pairs). Simulations reveal that stratification of twin correlations by amount of contact can yield spurious evidence of large shared environmental effects in some strata and even give false indications of genotype x environment interaction. The stratification approach to testing the equal environments assumption may be misleading and the results of such tests may actually be consistent with a simpler theory of the role of genetic factors in niche selection.
Brugada syndrome: diagnosis, risk stratification, and management.
Adler, Arnon
2016-01-01
Asymptomatic patients with Brugada syndrome (BrS) have a small, but not trivial, risk of cardiac events. Their risk stratification and its impact on their management are controversial. The review focuses on the clinical aspects of BrS with special emphasis on the asymptomatic patient. Emerging data suggest that drug and fever-induced type I Brugada patterns are more common than previously appreciated. Although preliminary, these data may imply that asymptomatic patients with induced Brugada pattern are at an even lower risk than currently estimated.The latest data regarding induced ventricular arrhythmias during electrophysiological studies support its use as an indication for an implantable cardioverter defibrillator; however, this issue remains highly controversial.Several new risk markers, such as presence of the Brugada pattern in infero-lateral leads or the concomitant finding of an early repolarization pattern, have recently been proposed. Most asymptomatic BrS patients are at low risk of cardiac events. The presence of new risk markers in this population may prompt consideration of primary prevention measures; however, data supporting this approach are still limited.
Scaling field data to calibrate and validate moderate spatial resolution remote sensing models
Baccini, A.; Friedl, M.A.; Woodcock, C.E.; Zhu, Z.
2007-01-01
Validation and calibration are essential components of nearly all remote sensing-based studies. In both cases, ground measurements are collected and then related to the remote sensing observations or model results. In many situations, and particularly in studies that use moderate resolution remote sensing, a mismatch exists between the sensor's field of view and the scale at which in situ measurements are collected. The use of in situ measurements for model calibration and validation, therefore, requires a robust and defensible method to spatially aggregate ground measurements to the scale at which the remotely sensed data are acquired. This paper examines this challenge and specifically considers two different approaches for aggregating field measurements to match the spatial resolution of moderate spatial resolution remote sensing data: (a) landscape stratification; and (b) averaging of fine spatial resolution maps. The results show that an empirically estimated stratification based on a regression tree method provides a statistically defensible and operational basis for performing this type of procedure.
Shi, Lu
2010-01-01
There is controversy over to what degree banning sugar-sweetened beverage (SSB) sales at schools could decrease the SSB intake. This paper uses the adolescent sample of 2005 California Health Interview Survey to estimate the association between the availability of SSB from school vending machines and the amount of SSB consumption. Propensity score stratification and kernel-based propensity score matching are used to address the selection bias issue in cross-sectional data. Propensity score stratification shows that adolescents who had access to SSB through their school vending machines consumed 0.170 more drinks of SSB than those who did not (P < .05). Kernel-based propensity score matching shows the SSB consumption difference to be 0.158 on the prior day (P < .05). This paper strengthens the evidence for the association between SSB availability via school vending machines and the actual SSB consumption, while future studies are needed to explore changes in other beverages after SSB becomes less available.
Salselas, Ana; Pestana, Inês; Bischoff, Francisco; Guimarães, Mariana; Andrade, Joaquim Aguiar
2015-01-01
Pregnant women with thromboembolic diseases, previous thrombotic episodes or thrombophilia family history were supervised in a multidisciplinary Obstetrics/ Hematology consultation in Centro Hospitalar São João EPE, Porto, Portugal. For the evaluation and medication of these women, a risk stratification scale was used. The aim of this study was to validate a Risk Stratification Scale and thromboprophylaxis protocol by means of comparing it with a similar scale, developed and published by Sarig. We have compared: The distribution, by risk groups, obtained through the application of the two scales on pregnant women followed at Centro Hospitalar São João, Porto, Portugal, consultation; the sensibility and specificity for each one of the scales (DeLong scale, applied to Receiver Operating Characteristic) curves; the outcomes in pregnancies followed in Hospital São João, Porto, PortugalResults: According to our Hema-Obs risk stratification scale, 29% were allocated to low-risk, 47% to high-risk and 24% to very-high-risk groups. According to Galit Sarig risk stratification scale, 24% were considered low-risk, 53% moderate, 16% high-risk and 7% as very high-risk group. In our study we observed 9% of spontaneous abortions, in comparison with 18% in the Galit Sarig cohort. From the application of Receiver Operating Characteristic curve to both risk stratification scales, the results of the calculated areas were 58,8% to our Hema-Obs risk stratification scale and 38,7% to Galit Sarig risk stratification scale, with a Delong test significancie of p = 0.0006. We concluded that Hema-Obs risk stratification scale is an effective support for clinical monitoring of therapeutic strategies.
Chen, Shun-Ying; Chou, Shih-Han; Tsai, Ching-Chu; Hsu, Wen-Yu; Baskin, Carol C; Baskin, Jerry M; Chien, Ching-Te; Kuo-Huang, Ling-Long
2015-09-01
Breaking of seed dormancy by moist cold stratification involves complex interactions in cells. To assess the effect of moist cold stratification on dormancy break in seeds of Acer morrisonense, we monitored percentages and rates of germination and changes in plant growth regulators, sugars, amino acids and embryo ultrastructure after various periods of cold stratification. Fresh seeds incubated at 25/15 °C for 24 weeks germinated to 61%, while those cold stratified at 5 °C for 12 weeks germinated to 87% in 1 week. Neither exogenous GA3 nor GA4 pretreatment significantly increased final seed germination percentage. Total ABA content of seeds cold stratified for 12 weeks was reduced about 3.3-fold, to a concentration similar to that in germinated seeds (radicle emergence). Endogenous GA3 and GA7 were detected in 8-week and 12-week cold stratified seeds but not in fresh seeds. Numerous protein and lipid bodies were present in the plumule, first true leaves and cotyledons of fresh seeds. Protein and lipid bodies decreased greatly during cold stratification, and concentrations of total soluble sugars and amino acids increased. The major non-polar sugars in fresh seeds were sucrose and fructose, but sucrose increased and fructose decreased significantly during cold stratification. The major free amino acids were proline and tryptophan in fresh seeds, and proline increased and tryptophan decreased during cold stratification. Thus, as dormancy break occurs during cold stratification seeds of A. morrisonense undergo changes in plant growth regulators, proteins, lipids, sugars, amino acids and cell ultrastructure. Copyright © 2015 Elsevier Masson SAS. All rights reserved.
The role of thermal stratification in tidal exchange at the mouth of San Diego Bay
Chadwick, D. B.; Largier, J. L.; Cheng, R.T.; Aubrey, D.G.; Friedrichs, C.T.; Aubrey, D.G.; Friedrichs, C.T.
1996-01-01
We have examined, from an observational viewpoint, the role of thermal stratification in the tidal exchange process at the mouth of San Diego Bay. In this region, we found that both horizontal and vertical exchange processes appear to be active. The vertical exchange in this case was apparently due to the temperature difference between the'bay water and ocean water. We found that the structure of the outflow and the nature of the tidal exchange process both appear to be influenced by thermal stratification. The tidal outflow was found to lift-off tan the bottom during the initial and later stages of the ebb flow when barotropic forcing was weak. During the peak ebb flow, the mouth section was flooded, and the outflow extended to the bottom. As the ebb flow weakened, a period of two-way exchange occurred, with the surface layer flowing seaward, and the deep layer flowing into the bay. The structure of the tidal-residual flow and the residual transport of a measured tracer were strongly influenced by this vertical exchange. Exchange appeared to occur laterally as well, in a manner consistent with the tidal-pumping mechanism described by Stommel and Farmer [1952]. Tidal cycle variations in shear and stratification were characterized by strong vertical shear and breakdown of stratification during the ebb, and weak vertical shear and build-up of stratification on the flood. Evaluation of multiple tidal-cycles from time-series records of flow and temperature indicated that the vertical variations of the flow and stratification observed during the cross-sectional measurements are a general phenomenon during the summer. Together, these observations suggest that thermal stratification can play an important role in regulating the tidal exchange of low-inflow estuaries.
NASA Astrophysics Data System (ADS)
Jiang, Chunhua; Yang, Guobin; Deng, Chi; Zhou, Chen; Zhu, Peng; Yokoyama, Tatsuhiro; Song, Huan; Lan, Ting; Ni, Binbin; Zhao, Zhengyu; Zhang, Yuannong
2015-12-01
Simultaneous observations of F2 layer stratification and spread F at postmidnight (00:00 LT to 05:00 LT) were carried out on 22, 23, and 28 November 2013, using ionosondes distributed over a northern equatorial anomaly region at three specific locations, i.e., Puer (PUR, 22.7°N, 101.05°E, dip latitude 12.9°N), Chiang Mai (CMU, 18.8°N, 98.9°E, dip latitude 9.04°N), and Chumphon (CPN, 10.7°N, 99.4°E, dip latitude 0.93°N). The results show that both the PUR and CMU stations observed the F2 layer stratification at postmidnight in the Northern Hemisphere, frequently accompanied with gravity waves (the periods~30-100 min). It is reported that F2 layer stratification at postmidnight can be observed in the Northern Hemisphere for the first time. It is suggested that the thermospheric neutral wind triggered by gravity waves strongly contribute to the altitude dependence of the combined vertical plasma velocity, which consequently poses significant impacts on the occurrence of the low-latitude F2 layer stratification at postmidnight. In addition, the spread F other than F2 layer stratification was observed at the CPN station located at the geomagnetic equator, suggesting that smaller geomagnetic inclination tend to inhibit the postmidnight F2 layer stratification in the equatorial region. Furthermore, on 23 November 2013 a good correlation was identified between the F2 layer stratification at PUR and the spread F at both CMU and CPN, possibly due to that the large-scale gravity waves originating at middle latitudes contribute to the nighttime spread F observed in the low-latitude and equatorial regions.
Zhang, Yunlin; Wu, Zhixu; Liu, Mingliang; He, Jianbo; Shi, Kun; Zhou, Yongqiang; Wang, Mingzhu; Liu, Xiaohan
2015-05-15
From January 2010 to March 2014, detailed depth profiles of water temperature, dissolved oxygen (DO), and chromophoric dissolved organic matter (CDOM) were collected at three sites in Lake Qiandaohu, a large, deep subtropical reservoir in China. Additionally, we assessed the changes in DO stratification over the past 61 years (1953-2013) based on our empirical models and long-term air temperature and transparency data. The DO concentration never fell below 2 mg/L, the critical value for anoxia, and the DO depth profiles were closely linked to the water temperature depth profiles. In the stable stratification period in summer and autumn, the significant increase in CDOM in the metalimnion explained the decrease in DO due to the oxygen consumed by CDOM. Well-developed oxygen stratification was detected at the three sites in spring, summer and autumn and was associated with thermal stratification. Oxycline depth was significantly negatively correlated with daily air temperature and thermocline thickness but significantly positively correlated with thermocline depth during the stratification weakness period (July-February). However, there were no significant correlations among these parameters during the stratification formation period (March-June). The increase of 1.67 °C in yearly average daily air temperature between 1980 and 2013 and the decrease of 0.78 m in Secchi disk depth caused a decrease of 1.65 m and 2.78 m in oxycline depth, respectively, facilitating oxygen stratification and decreasing water quality. Therefore, climate warming has had a substantial effect on water quality through changing the DO regime in Lake Qiandaohu. Copyright © 2015 Elsevier Ltd. All rights reserved.
Stratified Sampling Design Based on Data Mining
Kim, Yeonkook J.; Oh, Yoonhwan; Park, Sunghoon; Cho, Sungzoon
2013-01-01
Objectives To explore classification rules based on data mining methodologies which are to be used in defining strata in stratified sampling of healthcare providers with improved sampling efficiency. Methods We performed k-means clustering to group providers with similar characteristics, then, constructed decision trees on cluster labels to generate stratification rules. We assessed the variance explained by the stratification proposed in this study and by conventional stratification to evaluate the performance of the sampling design. We constructed a study database from health insurance claims data and providers' profile data made available to this study by the Health Insurance Review and Assessment Service of South Korea, and population data from Statistics Korea. From our database, we used the data for single specialty clinics or hospitals in two specialties, general surgery and ophthalmology, for the year 2011 in this study. Results Data mining resulted in five strata in general surgery with two stratification variables, the number of inpatients per specialist and population density of provider location, and five strata in ophthalmology with two stratification variables, the number of inpatients per specialist and number of beds. The percentages of variance in annual changes in the productivity of specialists explained by the stratification in general surgery and ophthalmology were 22% and 8%, respectively, whereas conventional stratification by the type of provider location and number of beds explained 2% and 0.2% of variance, respectively. Conclusions This study demonstrated that data mining methods can be used in designing efficient stratified sampling with variables readily available to the insurer and government; it offers an alternative to the existing stratification method that is widely used in healthcare provider surveys in South Korea. PMID:24175117
Breakup of last glacial deep stratification in the South Pacific.
Basak, Chandranath; Fröllje, Henning; Lamy, Frank; Gersonde, Rainer; Benz, Verena; Anderson, Robert F; Molina-Kescher, Mario; Pahnke, Katharina
2018-02-23
Stratification of the deep Southern Ocean during the Last Glacial Maximum is thought to have facilitated carbon storage and subsequent release during the deglaciation as stratification broke down, contributing to atmospheric CO 2 rise. Here, we present neodymium isotope evidence from deep to abyssal waters in the South Pacific that confirms stratification of the deepwater column during the Last Glacial Maximum. The results indicate a glacial northward expansion of Ross Sea Bottom Water and a Southern Hemisphere climate trigger for the deglacial breakup of deep stratification. It highlights the important role of abyssal waters in sustaining a deep glacial carbon reservoir and Southern Hemisphere climate change as a prerequisite for the destabilization of the water column and hence the deglacial release of sequestered CO 2 through upwelling. Copyright © 2018 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.
Contrasting Drainage and Stratification in Horizontal Vs Vertical Micellar Foam Films
NASA Astrophysics Data System (ADS)
Wojcik, Ewelina; Yilixiati, Subinuer; Zhang, Yiran; Sharma, Vivek
Understanding and controlling the drainage kinetics of thin films is an important problem that underlies the stability, lifetime and rheology of foams and emulsions. In foam films formed with micellar solutions, the surfactant is present as interfacially-adsorbed layer at both liquid-air interfaces, as well as in bulk as self-assembled supramolecular structures called micelles. Ultrathin micellar films exhibit stratification due to confinement-induced structuring and layering of micelles. Stratification in micellar foam films is manifested as stepwise thinning over time, and it leads to the coexistence of flat domains with discretely different thicknesses. In this contribution we use Interferometry Digital Imaging Optical Microscopy (IDIOM) protocols to visualize and analyze thickness transitions and variations associated with stratification in micellar foam films made with sodium dodecyl sulfate (SDS). We contrast the drainage and stratification dynamics in horizontal and vertical foam films, and investigate the role played by gravitational, viscous, interfacial and surface forces.
An initial investigation into methods of computing transonic aerodynamic sensitivity coefficients
NASA Technical Reports Server (NTRS)
Carlson, Leland A.
1992-01-01
Research conducted during the period from July 1991 through December 1992 is covered. A method based upon the quasi-analytical approach was developed for computing the aerodynamic sensitivity coefficients of three dimensional wings in transonic and subsonic flow. In addition, the method computes for comparison purposes the aerodynamic sensitivity coefficients using the finite difference approach. The accuracy and validity of the methods are currently under investigation.
Penalized spline estimation for functional coefficient regression models.
Cao, Yanrong; Lin, Haiqun; Wu, Tracy Z; Yu, Yan
2010-04-01
The functional coefficient regression models assume that the regression coefficients vary with some "threshold" variable, providing appreciable flexibility in capturing the underlying dynamics in data and avoiding the so-called "curse of dimensionality" in multivariate nonparametric estimation. We first investigate the estimation, inference, and forecasting for the functional coefficient regression models with dependent observations via penalized splines. The P-spline approach, as a direct ridge regression shrinkage type global smoothing method, is computationally efficient and stable. With established fixed-knot asymptotics, inference is readily available. Exact inference can be obtained for fixed smoothing parameter λ, which is most appealing for finite samples. Our penalized spline approach gives an explicit model expression, which also enables multi-step-ahead forecasting via simulations. Furthermore, we examine different methods of choosing the important smoothing parameter λ: modified multi-fold cross-validation (MCV), generalized cross-validation (GCV), and an extension of empirical bias bandwidth selection (EBBS) to P-splines. In addition, we implement smoothing parameter selection using mixed model framework through restricted maximum likelihood (REML) for P-spline functional coefficient regression models with independent observations. The P-spline approach also easily allows different smoothness for different functional coefficients, which is enabled by assigning different penalty λ accordingly. We demonstrate the proposed approach by both simulation examples and a real data application.
Fusion of multi-source remote sensing data for agriculture monitoring tasks
NASA Astrophysics Data System (ADS)
Skakun, S.; Franch, B.; Vermote, E.; Roger, J. C.; Becker Reshef, I.; Justice, C. O.; Masek, J. G.; Murphy, E.
2016-12-01
Remote sensing data is essential source of information for enabling monitoring and quantification of crop state at global and regional scales. Crop mapping, state assessment, area estimation and yield forecasting are the main tasks that are being addressed within GEO-GLAM. Efficiency of agriculture monitoring can be improved when heterogeneous multi-source remote sensing datasets are integrated. Here, we present several case studies of utilizing MODIS, Landsat-8 and Sentinel-2 data along with meteorological data (growing degree days - GDD) for winter wheat yield forecasting, mapping and area estimation. Archived coarse spatial resolution data, such as MODIS, VIIRS and AVHRR, can provide daily global observations that coupled with statistical data on crop yield can enable the development of empirical models for timely yield forecasting at national level. With the availability of high-temporal and high spatial resolution Landsat-8 and Sentinel-2A imagery, course resolution empirical yield models can be downscaled to provide yield estimates at regional and field scale. In particular, we present the case study of downscaling the MODIS CMG based generalized winter wheat yield forecasting model to high spatial resolution data sets, namely harmonized Landsat-8 - Sentinel-2A surface reflectance product (HLS). Since the yield model requires corresponding in season crop masks, we propose an automatic approach to extract winter crop maps from MODIS NDVI and MERRA2 derived GDD using Gaussian mixture model (GMM). Validation for the state of Kansas (US) and Ukraine showed that the approach can yield accuracies > 90% without using reference (ground truth) data sets. Another application of yearly derived winter crop maps is their use for stratification purposes within area frame sampling for crop area estimation. In particular, one can simulate the dependence of error (coefficient of variation) on the number of samples and strata size. This approach was used for estimating the area of winter crops in Ukraine for 2013-2016. The GMM-GDD approach is further extended for HLS data to provide automatic winter crop mapping at 30 m resolution for crop yield model and area estimation. In case of persistent cloudiness, addition of Sentinel-1A synthetic aperture radar (SAR) images is explored for automatic winter crop mapping.
Brito, Juan P; Ito, Yasuhiro; Miyauchi, Akira; Tuttle, R Michael
2016-01-01
The 2015 American Thyroid Association thyroid cancer management guidelines endorse an active surveillance management approach as an alternative to immediate biopsy and surgery in subcentimeter thyroid nodules with highly suspicious ultrasonographic characteristics and in cytologically confirmed very low risk papillary thyroid cancer (PTC). However, the guidelines provide no specific recommendations with regard to the optimal selection of patients for an active surveillance management approach. This article describes a risk-stratified clinical decision-making framework that was developed by the thyroid cancer disease management team at Memorial Sloan Kettering Cancer Center as the lessons learned from Kuma Hospital in Japan were applied to a cohort of patients with probable or proven papillary microcarcinoma (PMC) who were being evaluated for an active surveillance management approach in the United States. A risk-stratified approach to the evaluation of patients with probable or proven PMC being considered for an active surveillance management approach requires an evaluation of three interrelated but distinct domains: (i) tumor/neck ultrasound characteristics (e.g., size of the primary tumor, the location of the tumor within the thyroid gland); (ii) patient characteristics (e.g., age, comorbidities, willingness to accept observation); and (iii) medical team characteristics (e.g., availability and experience of the multidisciplinary team). Based on an analysis of the critical factors within each of these domains, patients with probable or proven PTC can then be classified as ideal, appropriate, or inappropriate candidates for active surveillance. Risk stratification utilizing the proposed decision-making framework will improve the ability of clinicians to recognize individual patients with proven or probable PMC who are most likely to benefit from an active surveillance management option while at the same time identifying patients with proven or probable PMC that would be better served with an upfront biopsy and surgical management approach.
Modelling the distribution of domestic ducks in Monsoon Asia
Van Bockel, Thomas P.; Prosser, Diann; Franceschini, Gianluca; Biradar, Chandra; Wint, William; Robinson, Tim; Gilbert, Marius
2011-01-01
Domestic ducks are considered to be an important reservoir of highly pathogenic avian influenza (HPAI), as shown by a number of geospatial studies in which they have been identified as a significant risk factor associated with disease presence. Despite their importance in HPAI epidemiology, their large-scale distribution in Monsoon Asia is poorly understood. In this study, we created a spatial database of domestic duck census data in Asia and used it to train statistical distribution models for domestic duck distributions at a spatial resolution of 1km. The method was based on a modelling framework used by the Food and Agriculture Organisation to produce the Gridded Livestock of the World (GLW) database, and relies on stratified regression models between domestic duck densities and a set of agro-ecological explanatory variables. We evaluated different ways of stratifying the analysis and of combining the prediction to optimize the goodness of fit of the predictions. We found that domestic duck density could be predicted with reasonable accuracy (mean RMSE and correlation coefficient between log-transformed observed and predicted densities being 0.58 and 0.80, respectively), using a stratification based on livestock production systems. We tested the use of artificially degraded data on duck distributions in Thailand and Vietnam as training data, and compared the modelled outputs with the original high-resolution data. This showed, for these two countries at least, that these approaches could be used to accurately disaggregate provincial level (administrative level 1) statistical data to provide high resolution model distributions.
Measures of Body Size and Composition and Risk of Incident Atrial Fibrillation in Older People
Karas, Maria G.; Yee, Laura M.; Biggs, Mary L.; Djoussé, Luc; Mukamal, Kenneth J.; Ix, Joachim H.; Zieman, Susan J.; Siscovick, David S.; Gottdiener, John S.; Rosenberg, Michael A.; Kronmal, Richard A.; Heckbert, Susan R.; Kizer, Jorge R.
2016-01-01
Various anthropometric measures, including height, have been associated with atrial fibrillation (AF). This raises questions about the appropriateness of using ratio measures such as body mass index (BMI), which contains height squared in its denominator, in the evaluation of AF risk. Among older adults, the optimal anthropometric approach to risk stratification of AF remains uncertain. Anthropometric and bioelectrical impedance measures were obtained from 4,276 participants (mean age = 72.4 years) free of cardiovascular disease in the Cardiovascular Health Study. During follow-up (1989–2008), 1,050 cases of AF occurred. BMI showed a U-shaped association, whereas height, weight, waist circumference, hip circumference, fat mass, and fat-free mass were linearly related to incident AF. The strongest adjusted association occurred for height (per each 1-standard-deviation increment, hazard ratio = 1.38, 95% confidence interval: 1.25, 1.51), which exceeded all other measures, including weight (hazard ratio = 1.21, 95% confidence interval: 1.13, 1.29). Combined assessment of log-transformed weight and height showed regression coefficients that departed from the 1 to −2 ratio inherent in BMI, indicating a loss of predictive information. Risk estimates for AF tended to be stronger for hip circumference than for waist circumference and for fat-free mass than for fat mass, which was explained largely by height. These findings highlight the prominent role of body size and the inadequacy of BMI as determinants of AF in older adults. PMID:27188936
Current databases on biological variation: pros, cons and progress.
Ricós, C; Alvarez, V; Cava, F; García-Lario, J V; Hernández, A; Jiménez, C V; Minchinela, J; Perich, C; Simón, M
1999-11-01
A database with reliable information to derive definitive analytical quality specifications for a large number of clinical laboratory tests was prepared in this work. This was achieved by comparing and correlating descriptive data and relevant observations with the biological variation information, an approach that had not been used in the previous efforts of this type. The material compiled in the database was obtained from published articles referenced in BIOS, CURRENT CONTENTS, EMBASE and MEDLINE using "biological variation & laboratory medicine" as key words, as well as books and doctoral theses provided by their authors. The database covers 316 quantities and reviews 191 articles, fewer than 10 of which had to be rejected. The within- and between-subject coefficients of variation and the subsequent desirable quality specifications for precision, bias and total error for all the quantities accepted are presented. Sex-related stratification of results was justified for only four quantities and, in these cases, quality specifications were derived from the group with lower within-subject variation. For certain quantities, biological variation in pathological states was higher than in the healthy state. In these cases, quality specifications were derived only from the healthy population (most stringent). Several quantities (particularly hormones) have been treated in very few articles and the results found are highly discrepant. Therefore, professionals in laboratory medicine should be strongly encouraged to study the quantities for which results are discrepant, the 90 quantities described in only one paper and the numerous quantities that have not been the subject of study.
An analytical model of capped turbulent oscillatory bottom boundary layers
NASA Astrophysics Data System (ADS)
Shimizu, Kenji
2010-03-01
An analytical model of capped turbulent oscillatory bottom boundary layers (BBLs) is proposed using eddy viscosity of a quadratic form. The common definition of friction velocity based on maximum bottom shear stress is found unsatisfactory for BBLs under rotating flows, and a possible extension based on turbulent kinetic energy balance is proposed. The model solutions show that the flow may slip at the top of the boundary layer due to capping by the water surface or stratification, reducing the bottom shear stress, and that the Earth's rotation induces current and bottom shear stress components perpendicular to the interior flow with a phase lag (or lead). Comparisons with field and numerical experiments indicate that the model predicts the essential characteristics of the velocity profiles, although the agreement is rather qualitative due to assumptions of quadratic eddy viscosity with time-independent friction velocity and a well-mixed boundary layer. On the other hand, the predicted linear friction coefficients, phase lead, and veering angle at the bottom agreed with available data with an error of 3%-10%, 5°-10°, and 5°-10°, respectively. As an application of the model, the friction coefficients are used to calculate e-folding decay distances of progressive internal waves with a semidiurnal frequency.
Principal Stratification — Uses and Limitations
VanderWeele, Tyler J
2011-01-01
Pearl (2011) asked for the causal inference community to clarify the role of the principal stratification framework in the analysis of causal effects. Here, I argue that the notion of principal stratification has shed light on problems of non-compliance, censoring-by-death, and the analysis of post-infection outcomes; that it may be of use in considering problems of surrogacy but further development is needed; that it is of some use in assessing “direct effects”; but that it is not the appropriate tool for assessing “mediation.” There is nothing within the principal stratification framework that corresponds to a measure of an “indirect” or “mediated” effect. PMID:21841939
Effects of Density Stratification in Compressible Polytropic Convection
NASA Astrophysics Data System (ADS)
Manduca, Cathryn M.; Anders, Evan H.; Bordwell, Baylee; Brown, Benjamin P.; Burns, Keaton J.; Lecoanet, Daniel; Oishi, Jeffrey S.; Vasil, Geoffrey M.
2017-11-01
We study compressible convection in polytropically-stratified atmospheres, exploring the effect of varying the total density stratification. Using the Dedalus pseudospectral framework, we perform 2D and 3D simulations. In these experiments we vary the number of density scale heights, studying atmospheres with little stratification (1 density scale height) and significant stratification (5 density scale heights). We vary the level of convective driving (quantified by the Rayleigh number), and study flows at similar Mach numbers by fixing the initial superadiabaticity. We explore the differences between 2D and 3D simulations, and in particular study the equilibration between different reservoirs of energy (kinetic, potential and internal) in the evolved states.
Buried layers: On the origins, rise, and fall of stratification theories.
Wieser, Martin
2018-02-01
This article presents a historical analysis of the origins, rise, and demise of theories of stratification ( Schichtentheorien ). Following their roots in the ancient metaphysical idea of the "great chain of being," Aristotle's scala naturae , the medieval "Jacob's ladder," and Leibniz's concept of the lex continua, I argue that theories of stratification represent the modern heir to the ancient cosmological idea of a harmonious, hierarchical, and unified universe. Theories of stratification reached their heyday during the interwar period within German academia, proliferating over a vast number of disciplines and rising to special prominence within personality psychology, feeding the hope for a unitary image of the world and of human beings, their biological and mental development, their social organization and cultural creations. This article focuses on the role of visuality as a distinct mode of scientific knowledge within theories of stratification as well as the cultural context that provided the fertile ground for their flowering in the Weimar Republic. Finally, the rapid demise of theories of stratification during the 1950s is discussed, and some reasons for their downfall during the second half of the 20th century are explored. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
NASA Astrophysics Data System (ADS)
Soloviev, Alexander; Schluessel, Peter
The model presented contains interfacial, bubble-mediated, ocean mixed layer, and remote sensing components. The interfacial (direct) gas transfer dominates under conditions of low and—for quite soluble gases like CO2—moderate wind speeds. Due to the similarity between the gas and heat transfer, the temperature difference, ΔT, across the thermal molecular boundary layer (cool skin of the ocean) and the interfacial gas transfer coefficient, Kint are presumably interrelated. A coupled parameterization for ΔT and Kint has been derived in the context of a surface renewal model [Soloviev and Schluessel, 1994]. In addition to the Schmidt, Sc, and Prandtl, Pr, numbers, the important parameters are the surface Richardson number, Rƒ0, and the Keulegan number, Ke. The more readily available cool skin data are used to determine the coefficients that enter into both parameterizations. At high wind speeds, the Ke-number dependence is further verified with the formula for transformation of the surface wind stress to form drag and white capping, which follows from the renewal model. A further extension of the renewal model includes effects of solar radiation and rainfall. The bubble-mediated component incorporates the Merlivat et al. [1993] parameterization with the empirical coefficients estimated by Asher and Wanninkhof [1998]. The oceanic mixed layer component accounts for stratification effects on the air-sea gas exchange. Based on the example of GasEx-98, we demonstrate how the results of parameterization and modeling of the air-sea gas exchange can be extended to the global scale, using remote sensing techniques.
Ensemble Solute Transport in 2-D Operator-Stable Random Fields
NASA Astrophysics Data System (ADS)
Monnig, N. D.; Benson, D. A.
2006-12-01
The heterogeneous velocity field that exists at many scales in an aquifer will typically cause a dissolved solute plume to grow at a rate faster than Fick's Law predicts. Some statistical model must be adopted to account for the aquifer structure that engenders the velocity heterogeneity. A fractional Brownian motion (fBm) model has been shown to create the long-range correlation that can produce continually faster-than-Fickian plume growth. Previous fBm models have assumed isotropic scaling (defined here by a scalar Hurst coefficient). Motivated by field measurements of aquifer hydraulic conductivity, recent techniques were developed to construct random fields with anisotropic scaling with a self-similarity parameter that is defined by a matrix. The growth of ensemble plumes is analyzed for transport through 2-D "operator- stable" fBm hydraulic conductivity (K) fields. Both the longitudinal and transverse Hurst coefficients are important to both plume growth rates and the timing and duration of breakthrough. Smaller Hurst coefficients in the transverse direction lead to more "continuity" or stratification in the direction of transport. The result is continually faster-than-Fickian growth rates, highly non-Gaussian ensemble plumes, and a longer tail early in the breakthrough curve. Contrary to some analytic stochastic theories for monofractal K fields, the plume growth rate never exceeds Mercado's [1967] purely stratified aquifer growth rate of plume apparent dispersivity proportional to mean distance. Apparent super-Mercado growth must be the result of other factors, such as larger plumes corresponding to either a larger initial plume size or greater variance of the ln(K) field.
Carrillo-Larco, Rodrigo M; Gilman, Robert H; Checkley, William; Smeeth, Liam; Casas, Juan P
2018-01-01
Background Studies have reported the incidence/risk of becoming obese, but few have described the trajectories of body mass index (BMI) and waist circumference (WC) over time, especially in low/middle-income countries. We assessed the trajectories of BMI and WC according to sex in four sites in Peru. Methods Data from the population-based CRONICAS Cohort Study were analysed. We fitted a population-averaged model by using generalised estimating equations. The outcomes of interest, with three data points over time, were BMI and WC. The exposure variable was the factorial interaction between time and study site. Results At baseline mean age was 55.7 years (SD: 12.7) and 51.6% were women. Mean follow-up time was 2.5 years (SD: 0.4). Over time and across sites, BMI and WC increased linearly. The less urbanised sites showed a faster increase than more urbanised sites, and this was also observed after sex stratification. Overall, the fastest increase was found for WC compared with BMI. Compared with Lima, the fastest increase in WC was in rural Puno (coefficient=0.73, P<0.001), followed by urban Puno (coefficient=0.59, P=0.001) and Tumbes (coefficient=0.22, P=0.088). Conclusions There was a linear increase in BMI and WC across study sites, with the greatest increase in less urbanised areas. The ongoing urbanisation process, common to Peru and other low/middle-income countries, is accompanied by different trajectories of increasing obesity-related markers. PMID:29472520
Optimum strata boundaries and sample sizes in health surveys using auxiliary variables
2018-01-01
Using convenient stratification criteria such as geographical regions or other natural conditions like age, gender, etc., is not beneficial in order to maximize the precision of the estimates of variables of interest. Thus, one has to look for an efficient stratification design to divide the whole population into homogeneous strata that achieves higher precision in the estimation. In this paper, a procedure for determining Optimum Stratum Boundaries (OSB) and Optimum Sample Sizes (OSS) for each stratum of a variable of interest in health surveys is developed. The determination of OSB and OSS based on the study variable is not feasible in practice since the study variable is not available prior to the survey. Since many variables in health surveys are generally skewed, the proposed technique considers the readily-available auxiliary variables to determine the OSB and OSS. This stratification problem is formulated into a Mathematical Programming Problem (MPP) that seeks minimization of the variance of the estimated population parameter under Neyman allocation. It is then solved for the OSB by using a dynamic programming (DP) technique. A numerical example with a real data set of a population, aiming to estimate the Haemoglobin content in women in a national Iron Deficiency Anaemia survey, is presented to illustrate the procedure developed in this paper. Upon comparisons with other methods available in literature, results reveal that the proposed approach yields a substantial gain in efficiency over the other methods. A simulation study also reveals similar results. PMID:29621265
Optimum strata boundaries and sample sizes in health surveys using auxiliary variables.
Reddy, Karuna Garan; Khan, Mohammad G M; Khan, Sabiha
2018-01-01
Using convenient stratification criteria such as geographical regions or other natural conditions like age, gender, etc., is not beneficial in order to maximize the precision of the estimates of variables of interest. Thus, one has to look for an efficient stratification design to divide the whole population into homogeneous strata that achieves higher precision in the estimation. In this paper, a procedure for determining Optimum Stratum Boundaries (OSB) and Optimum Sample Sizes (OSS) for each stratum of a variable of interest in health surveys is developed. The determination of OSB and OSS based on the study variable is not feasible in practice since the study variable is not available prior to the survey. Since many variables in health surveys are generally skewed, the proposed technique considers the readily-available auxiliary variables to determine the OSB and OSS. This stratification problem is formulated into a Mathematical Programming Problem (MPP) that seeks minimization of the variance of the estimated population parameter under Neyman allocation. It is then solved for the OSB by using a dynamic programming (DP) technique. A numerical example with a real data set of a population, aiming to estimate the Haemoglobin content in women in a national Iron Deficiency Anaemia survey, is presented to illustrate the procedure developed in this paper. Upon comparisons with other methods available in literature, results reveal that the proposed approach yields a substantial gain in efficiency over the other methods. A simulation study also reveals similar results.
Sherwood, C.R.
2000-01-01
A one-dimensional (vertical) numerical model of currents, mixing, frazil ice concentration, and suspended sediment concentration has been developed and applied in the shallow southeastern Kara Sea. The objective of the calculations is to determine whether conditions suitable for turbid ice formation can occur during times of rapid cooling and wind- and wave-induced sediment resuspension. Although the model uses a simplistic approach to ice particles and neglects ice-sediment interactions, the results for low-stratification, shallow (∼20-m) freeze-up conditions indicate that the coconcentrations of frazil ice and suspended sediment in the water column are similar to observed concentrations of sediment in turbid ice. This suggests that wave-induced sediment resuspension is a viable mechanism for turbid ice formation, and enrichment mechanisms proposed to explain the high concentrations of sediment in turbid ice relative to sediment concentrations in underlying water may not be necessary in energetic conditions. However, salinity stratification found near the Ob' and Yenisey Rivers damps mixing between ice-laden surface water and sediment-laden bottom water and probably limits incorporation of resuspended sediment into turbid ice until prolonged or repeated wind events mix away the stratification. Sensitivity analyses indicate that shallow (≤20 m), unstratified waters with fine bottom sediment (settling speeds of ∼1 mm s−1 or less) and long open water fetches (>25 km) are ideal conditions for resuspension.
NASA Astrophysics Data System (ADS)
Paço, Teresa A.; Pôças, Isabel; Cunha, Mário; Silvestre, José C.; Santos, Francisco L.; Paredes, Paula; Pereira, Luís S.
2014-11-01
The estimation of crop evapotranspiration (ETc) from the reference evapotranspiration (ETo) and a standard crop coefficient (Kc) in olive orchards requires that the latter be adjusted to planting density and height. The use of the dual Kc approach may be the best solution because the basal crop coefficient Kcb represents plant transpiration and the evaporation coefficient reproduces the soil coverage conditions and the frequency of wettings. To support related computations for a super intensive olive orchard, the model SIMDualKc was adopted because it uses the dual Kc approach. Alternatively, to consider the physical characteristics of the vegetation, the satellite-based surface energy balance model METRIC™ - Mapping EvapoTranspiration at high Resolution using Internalized Calibration - was used to estimate ETc and to derive crop coefficients. Both approaches were compared in this study. SIMDualKc model was calibrated and validated using sap-flow measurements of the transpiration for 2011 and 2012. In addition, eddy covariance estimation of ETc was also used. In the current study, METRIC™ was applied to Landsat images from 2011 to 2012. Adaptations for incomplete cover woody crops were required to parameterize METRIC. It was observed that ETc obtained from both approaches was similar and that crop coefficients derived from both models showed similar patterns throughout the year. Although the two models use distinct approaches, their results are comparable and they are complementary in spatial and temporal scales.
The molecular genetic makeup of acute lymphoblastic leukemia | Office of Cancer Genomics
Abstract: Genomic profiling has transformed our understanding of the genetic basis of acute lymphoblastic leukemia (ALL). Recent years have seen a shift from microarray analysis and candidate gene sequencing to next-generation sequencing. Together, these approaches have shown that many ALL subtypes are characterized by constellations of structural rearrangements, submicroscopic DNA copy number alterations, and sequence mutations, several of which have clear implications for risk stratification and targeted therapeutic intervention.
Molecular reclassification of Crohn's disease: a cautionary note on population stratification.
Maus, Bärbel; Jung, Camille; Mahachie John, Jestinah M; Hugot, Jean-Pierre; Génin, Emmanuelle; Van Steen, Kristel
2013-01-01
Complex human diseases commonly differ in their phenotypic characteristics, e.g., Crohn's disease (CD) patients are heterogeneous with regard to disease location and disease extent. The genetic susceptibility to Crohn's disease is widely acknowledged and has been demonstrated by identification of over 100 CD associated genetic loci. However, relating CD subphenotypes to disease susceptible loci has proven to be a difficult task. In this paper we discuss the use of cluster analysis on genetic markers to identify genetic-based subgroups while taking into account possible confounding by population stratification. We show that it is highly relevant to consider the confounding nature of population stratification in order to avoid that detected clusters are strongly related to population groups instead of disease-specific groups. Therefore, we explain the use of principal components to correct for population stratification while clustering affected individuals into genetic-based subgroups. The principal components are obtained using 30 ancestry informative markers (AIM), and the first two PCs are determined to discriminate between continental origins of the affected individuals. Genotypes on 51 CD associated single nucleotide polymorphisms (SNPs) are used to perform latent class analysis, hierarchical and Partitioning Around Medoids (PAM) cluster analysis within a sample of affected individuals with and without the use of principal components to adjust for population stratification. It is seen that without correction for population stratification clusters seem to be influenced by population stratification while with correction clusters are unrelated to continental origin of individuals.
Molecular Reclassification of Crohn’s Disease: A Cautionary Note on Population Stratification
Maus, Bärbel; Jung, Camille; Mahachie John, Jestinah M.; Hugot, Jean-Pierre; Génin, Emmanuelle; Van Steen, Kristel
2013-01-01
Complex human diseases commonly differ in their phenotypic characteristics, e.g., Crohn’s disease (CD) patients are heterogeneous with regard to disease location and disease extent. The genetic susceptibility to Crohn’s disease is widely acknowledged and has been demonstrated by identification of over 100 CD associated genetic loci. However, relating CD subphenotypes to disease susceptible loci has proven to be a difficult task. In this paper we discuss the use of cluster analysis on genetic markers to identify genetic-based subgroups while taking into account possible confounding by population stratification. We show that it is highly relevant to consider the confounding nature of population stratification in order to avoid that detected clusters are strongly related to population groups instead of disease-specific groups. Therefore, we explain the use of principal components to correct for population stratification while clustering affected individuals into genetic-based subgroups. The principal components are obtained using 30 ancestry informative markers (AIM), and the first two PCs are determined to discriminate between continental origins of the affected individuals. Genotypes on 51 CD associated single nucleotide polymorphisms (SNPs) are used to perform latent class analysis, hierarchical and Partitioning Around Medoids (PAM) cluster analysis within a sample of affected individuals with and without the use of principal components to adjust for population stratification. It is seen that without correction for population stratification clusters seem to be influenced by population stratification while with correction clusters are unrelated to continental origin of individuals. PMID:24147066
Gong, Yi; Chen, Rui; Zhang, Xi; Zou, Zhong Min; Chen, Xing Hua
2017-07-01
To investigate the risk stratification of aggressive B cell lymphoma using the immune microenvironment and clinical factors. A total of 127 patients with aggressive B cell lymphoma between 2014 and 2015 were enrolled in this study. CD4, Foxp3, CD8, CD68, CD163, PD-1, and PD-L1 expression levels were evaluated in paraffin-embedded lymphoma tissues to identify their roles in the risk stratification. Eleven factors were identified for further evaluation using analysis of variance, chi-square, and multinomial logistic regression analysis. Significant differences in 11 factors (age, Ann Arbor stage, B symptom, ECOG performance status, infiltrating CD8+ T cells, PD-L1 expression, absolute blood monocyte count, serum lactate dehydrogenase, serum iron, serum albumin, and serum β2-microglobulin) were observed among patient groups stratified by at least two risk stratification methods [International Prognostic Index (IPI), revised IPI, and NCCN-IPI models] (P < 0.05). Concordance rates were high (81.4%-100.0%) when these factors were used for the risk stratification. No difference in the risk stratification results was observed with or without the Ann Arbor stage data. We developed a convenient and inexpensive tool for use in risk stratification of aggressive B cell lymphomas, although further studies on the role of immune microenvironmental factors are needed. Copyright © 2017 The Editorial Board of Biomedical and Environmental Sciences. Published by China CDC. All rights reserved.
Raevsky, O A; Grigor'ev, V J; Raevskaja, O E; Schaper, K-J
2006-06-01
QSPR analyses of a data set containing experimental partition coefficients in the three systems octanol-water, water-gas, and octanol-gas for 98 chemicals have shown that it is possible to calculate any partition coefficient in the system 'gas phase/octanol/water' by three different approaches: (1) from experimental partition coefficients obtained in the corresponding two other subsystems. However, in many cases these data may not be available. Therefore, a solution may be approached (2), a traditional QSPR analysis based on e.g. HYBOT descriptors (hydrogen bond acceptor and donor factors, SigmaCa and SigmaCd, together with polarisability alpha, a steric bulk effect descriptor) and supplemented with substructural indicator variables. (3) A very promising approach which is a combination of the similarity concept and QSPR based on HYBOT descriptors. In this approach observed partition coefficients of structurally nearest neighbours of a compound-of-interest are used. In addition, contributions arising from differences in alpha, SigmaCa, and SigmaCd values between the compound-of-interest and its nearest neighbour(s), respectively, are considered. In this investigation highly significant relationships were obtained by approaches (1) and (3) for the octanol/gas phase partition coefficient (log Log).
van Rosendael, Alexander R; Maliakal, Gabriel; Kolli, Kranthi K; Beecy, Ashley; Al'Aref, Subhi J; Dwivedi, Aeshita; Singh, Gurpreet; Panday, Mohit; Kumar, Amit; Ma, Xiaoyue; Achenbach, Stephan; Al-Mallah, Mouaz H; Andreini, Daniele; Bax, Jeroen J; Berman, Daniel S; Budoff, Matthew J; Cademartiri, Filippo; Callister, Tracy Q; Chang, Hyuk-Jae; Chinnaiyan, Kavitha; Chow, Benjamin J W; Cury, Ricardo C; DeLago, Augustin; Feuchtner, Gudrun; Hadamitzky, Martin; Hausleiter, Joerg; Kaufmann, Philipp A; Kim, Yong-Jin; Leipsic, Jonathon A; Maffei, Erica; Marques, Hugo; Pontone, Gianluca; Raff, Gilbert L; Rubinshtein, Ronen; Shaw, Leslee J; Villines, Todd C; Gransar, Heidi; Lu, Yao; Jones, Erica C; Peña, Jessica M; Lin, Fay Y; Min, James K
Machine learning (ML) is a field in computer science that demonstrated to effectively integrate clinical and imaging data for the creation of prognostic scores. The current study investigated whether a ML score, incorporating only the 16 segment coronary tree information derived from coronary computed tomography angiography (CCTA), provides enhanced risk stratification compared with current CCTA based risk scores. From the multi-center CONFIRM registry, patients were included with complete CCTA risk score information and ≥3 year follow-up for myocardial infarction and death (primary endpoint). Patients with prior coronary artery disease were excluded. Conventional CCTA risk scores (conventional CCTA approach, segment involvement score, duke prognostic index, segment stenosis score, and the Leaman risk score) and a score created using ML were compared for the area under the receiver operating characteristic curve (AUC). Only 16 segment based coronary stenosis (0%, 1-24%, 25-49%, 50-69%, 70-99% and 100%) and composition (calcified, mixed and non-calcified plaque) were provided to the ML model. A boosted ensemble algorithm (extreme gradient boosting; XGBoost) was used and the entire data was randomly split into a training set (80%) and testing set (20%). First, tuned hyperparameters were used to generate a trained model from the training data set (80% of data). Second, the performance of this trained model was independently tested on the unseen test set (20% of data). In total, 8844 patients (mean age 58.0 ± 11.5 years, 57.7% male) were included. During a mean follow-up time of 4.6 ± 1.5 years, 609 events occurred (6.9%). No CAD was observed in 48.7% (3.5% event), non-obstructive CAD in 31.8% (6.8% event), and obstructive CAD in 19.5% (15.6% event). Discrimination of events as expressed by AUC was significantly better for the ML based approach (0.771) vs the other scores (ranging from 0.685 to 0.701), P < 0.001. Net reclassification improvement analysis showed that the improved risk stratification was the result of down-classification of risk among patients that did not experience events (non-events). A risk score created by a ML based algorithm, that utilizes standard 16 coronary segment stenosis and composition information derived from detailed CCTA reading, has greater prognostic accuracy than current CCTA integrated risk scores. These findings indicate that a ML based algorithm can improve the integration of CCTA derived plaque information to improve risk stratification. Published by Elsevier Inc.
Covariate-free and Covariate-dependent Reliability.
Bentler, Peter M
2016-12-01
Classical test theory reliability coefficients are said to be population specific. Reliability generalization, a meta-analysis method, is the main procedure for evaluating the stability of reliability coefficients across populations. A new approach is developed to evaluate the degree of invariance of reliability coefficients to population characteristics. Factor or common variance of a reliability measure is partitioned into parts that are, and are not, influenced by control variables, resulting in a partition of reliability into a covariate-dependent and a covariate-free part. The approach can be implemented in a single sample and can be applied to a variety of reliability coefficients.
Standards for Standardized Logistic Regression Coefficients
ERIC Educational Resources Information Center
Menard, Scott
2011-01-01
Standardized coefficients in logistic regression analysis have the same utility as standardized coefficients in linear regression analysis. Although there has been no consensus on the best way to construct standardized logistic regression coefficients, there is now sufficient evidence to suggest a single best approach to the construction of a…
Probabilistic Modeling Of Ocular Biomechanics In VIIP: Risk Stratification
NASA Technical Reports Server (NTRS)
Feola, A.; Myers, J. G.; Raykin, J.; Nelson, E. S.; Mulugeta, L.; Samuels, B.; Ethier, C. R.
2016-01-01
Visual Impairment and Intracranial Pressure (VIIP) syndrome is a major health concern for long-duration space missions. Currently, it is thought that a cephalad fluid shift in microgravity causes elevated intracranial pressure (ICP) that is transmitted along the optic nerve sheath (ONS). We hypothesize that this in turn leads to alteration and remodeling of connective tissue in the posterior eye which impacts vision. Finite element (FE) analysis is a powerful tool for examining the effects of mechanical loads in complex geometries. Our goal is to build a FE analysis framework to understand the response of the lamina cribrosa and optic nerve head to elevations in ICP in VIIP. To simulate the effects of different pressures on tissues in the posterior eye, we developed a geometric model of the posterior eye and optic nerve sheath and used a Latin hypercubepartial rank correlation coef-ficient (LHSPRCC) approach to assess the influence of uncertainty in our input parameters (i.e. pressures and material properties) on the peak strains within the retina, lamina cribrosa and optic nerve. The LHSPRCC approach was repeated for three relevant ICP ranges, corresponding to upright and supine posture on earth, and microgravity [1]. At each ICP condition we used intraocular pressure (IOP) and mean arterial pressure (MAP) measurements of in-flight astronauts provided by Lifetime Surveillance of Astronaut Health Program, NASA Johnson Space Center. The lamina cribrosa, optic nerve, retinal vessel and retina were modeled as linear-elastic materials, while other tissues were modeled as a Mooney-Rivlin solid (representing ground substance, stiffness parameter c1) with embedded collagen fibers (stiffness parameters c3, c4 and c5). Geometry creationmesh generation was done in Gmsh [2], while FEBio was used for all FE simulations [3]. The LHSPRCC approach resulted in correlation coefficients in the range of 1. To assess the relative influence of the uncertainty in an input parameter on the peak strains, we ranked and then normalized these coefficients, considering that normalized values 0.5 implied a substantial influence on the range of the peak strains in the optic nerve head (ONH). IOP and ICP were found to have a major influence on the peak strains in the ONH, as did optic nerve and LC stiffness. Interestingly, the stiffness of the sclera far from the scleral canal did not have a large influence on peak strains in ONH tissues; however, the collagen fiber stiffness in the peripapillary sclera and annular ring both influenced the peak strains within the ONH. We have created a physiologically relevant model that incorporated collagen fibers to study the effects of elevated ICP. Elevated ICP resulted in strains in the optic nerve that are not predicted to occur on earth: the upright or supine conditions. We found that IOP, ICP, lamina cribrosa stiffness and optic nerve stiffness had the highest association with these extreme strains in the ONH. These extreme strains may activate mechanosensitive cells that induce tissue remodeling and are a risk factor for the development of VIIP.
USDA-ARS?s Scientific Manuscript database
Germination of Styrax japonicus Sieb. et. Zucc. seeds was promoted by warm stratification (WS) at around 20 °C followed by cold stratification (CS) at around 5oC. Biochemical and physiological changes in Styrax seeds during these WS and CS treatments were not investigated. The objective of this wo...
ERIC Educational Resources Information Center
Hassani, Mohammad; Ghasemi, Seyyed Jamal Mir
2016-01-01
This study was carried out in order to explore the status of stratification within higher education through measuring cultural, economic and social capital of students in major academic disciplines across universities in Urmia, Northwestern Iran. The findings indicate that there are stratification structures in the presence of students in…
The Impact of Internal Wave Seasonality on the Continental Shelf Energy Budget
NASA Astrophysics Data System (ADS)
Wihsgott, Juliane U.; Sharples, Jonathan; Hopkins, Joanne; Palmer, Matthew R.; Mattias Green, J. A.
2017-04-01
Heating-stirring models are widely used to simulate the timing and strength of stratification in continental shelf environments. Such models are based on bulk potential energy (PE) budgets: the loss of PE due to thermal stratification is balanced by wind and tidal mixing. The model often fails to accurately predict the observed vertical structure, as it only considers forces acting on the surface and bottom boundary of the water column. This highlights the need for additional internal energy sources to close this budget, and produce an accurate seasonal cycle of stratification. We present new results that test the impact of boundary layer and internal wave forcing on stratification and vertical density structure in continental shelves. A new series of continuous measurements of full water depth vertical structure, dynamics and meteorological data spanning 17 months (March'14-July'15) provide unprecedented coverage over a full seasonal cycle at a station 120 km north-east from the continental shelf break. We observe a highly variable but energetic internal wave field from the onset of stratification that suggests a continuous supply of internal PE. The heating-stirring model reproduces bulk characteristics of the seasonal cycle. While it accurately predicts the timing of the onset in spring and peak stratification in late summer there is a persistent 20 J m-3 positive offset between the model and observations throughout this period. By including a source of internal energy in the model we improve the prediction for the strength of stratification and the vertical distribution of heat. Yet a constant source of PE seems to result in a seasonal discrepancy resulting in too little mixing during strong stratification and too much mixing during transient periods. The discrepancy seen in the model is consistent with the seasonality observed in the internal wave field. We will establish the role that changing stratification (N2) exerts on the internal wave field and vice versa. Ultimately, we will demonstrate how the strength and vertical range of shear varies seasonally and what effect it has on supplying PE to midwater mixing.
Gas Chromatography Data Classification Based on Complex Coefficients of an Autoregressive Model
Zhao, Weixiang; Morgan, Joshua T.; Davis, Cristina E.
2008-01-01
This paper introduces autoregressive (AR) modeling as a novel method to classify outputs from gas chromatography (GC). The inverse Fourier transformation was applied to the original sensor data, and then an AR model was applied to transform data to generate AR model complex coefficients. This series of coefficients effectively contains a compressed version of all of the information in the original GC signal output. We applied this method to chromatograms resulting from proliferating bacteria species grown in culture. Three types of neural networks were used to classify the AR coefficients: backward propagating neural network (BPNN), radial basis function-principal component analysismore » (RBF-PCA) approach, and radial basis function-partial least squares regression (RBF-PLSR) approach. This exploratory study demonstrates the feasibility of using complex root coefficient patterns to distinguish various classes of experimental data, such as those from the different bacteria species. This cognition approach also proved to be robust and potentially useful for freeing us from time alignment of GC signals.« less
NASA Astrophysics Data System (ADS)
Junkermann, Wolfgang
2005-03-01
During the ESCOMPTE campaign 2001, the vertical distribution of ultraviolet actinic radiation was investigated with concurrent measurements of ozone, aerosol size distributions, and scattering coefficients using a microlight aircraft as airborne platform. Three-dimensional (3D) measurements were performed on a regional scale in the area between Avignon, Aix-en-Provence, and Marseille up to an altitude of 4000 m a.s.l. The results show a pronounced dependence of the vertical actinic flux distribution on aerosol load and stratification while horizontally no significant variability was observed. Furthermore, investigations under cloudy conditions and in the vicinity of cumulus clouds were performed allowing comparisons with one-dimensional and recently published three-dimensional model results. Cloud effects of scattered convective clouds were often found to be masked by aerosols and the aerosol content was generally the dominating factor controlling radiation transfer.
Loodts, V; Trevelyan, P M J; Rongy, L; De Wit, A
2016-10-01
Various spatial density profiles can develop in partially miscible stratifications when a phase A dissolves with a finite solubility into a host phase containing a dissolved reactant B. We investigate theoretically the impact of an A+B→C reaction on such density profiles in the host phase and classify them in a parameter space spanned by the ratios of relative contributions to density and diffusion coefficients of the chemical species. While the density profile is either monotonically increasing or decreasing in the nonreactive case, reactions combined with differential diffusivity can create eight different types of density profiles featuring up to two extrema in density, at the reaction front or below it. We use this framework to predict various possible hydrodynamic instability scenarios inducing buoyancy-driven convection around such reaction fronts when they propagate parallel to the gravity field.
Isopycnal mixing by mesoscale eddies significantly impacts oceanic anthropogenic carbon uptake
NASA Astrophysics Data System (ADS)
Gnanadesikan, Anand; Pradal, Marie-Aude; Abernathey, Ryan
2015-06-01
Anthropogenic carbon dioxide uptake varies across Earth System Models for reasons that have remained obscure. When varied within a single model, the lateral eddy mixing coefficient ARedi produces a range of uptake similar to the modeled range. The highest uptake, resulting from a simulation with a constant ARedi of 2400 m2/s, simulates 15% more historical carbon uptake than a model with ARedi = 400 m2/s. A sudden doubling in carbon dioxide produces a 21% range in carbon uptake across the models. Two spatially dependent representations of ARedi produce uptake that lies in the middle of the range of constant values despite predicting very large values in the subtropical gyres. One-dimensional diffusive models of the type used for integrated assessments can be fit to the simulations, with ARedi accounting for a substantial fraction of the effective vertical diffusion. Such models, however, mask significant regional changes in stratification and biological carbon storage.
Integrin Beta 1 Suppresses Multilayering of a Simple Epithelium
Chen, Jichao; Krasnow, Mark A.
2012-01-01
Epithelia are classified as either simple, a single cell layer thick, or stratified (multilayered). Stratified epithelia arise from simple epithelia during development, and transcription factor p63 functions as a key positive regulator of epidermal stratification. Here we show that deletion of integrin beta 1 (Itgb1) in the developing mouse airway epithelium abrogates airway branching and converts this monolayer epithelium into a multilayer epithelium with more than 10 extra layers. Mutant lung epithelial cells change mitotic spindle orientation to seed outer layers, and cells in different layers become molecularly and functionally distinct, hallmarks of normal stratification. However, mutant lung epithelial cells do not activate p63 and do not switch to the stratified keratin profile of epidermal cells. These data, together with previous data implicating Itgb1 in regulation of epidermal stratification, suggest that the simple-versus-stratified developmental decision may involve not only stratification inducers like p63 but suppressors like Itgb1 that prevent simple epithelia from inappropriately activating key steps in the stratification program. PMID:23285215
Effects of treatment and seed source on germination of eastern redcedar seed
David F. Van Haverbeke; C. W. Comer
1985-01-01
Germination of eastern redcedar (Juniperus virginiana L.) seeds was best with a 96-hour soak in citric acid (10,000 ppm), with 6 weeks of moist-warm (24° C) stratification, and 10 weeks of moist-cold (5° C) stratification. Geographic seed sources responded differently to treatment. Use of fresh seeds could reduce the time in moist-warm stratification, would improve...
Dehesh, Tania; Zare, Najaf; Ayatollahi, Seyyed Mohammad Taghi
2015-01-01
Univariate meta-analysis (UM) procedure, as a technique that provides a single overall result, has become increasingly popular. Neglecting the existence of other concomitant covariates in the models leads to loss of treatment efficiency. Our aim was proposing four new approximation approaches for the covariance matrix of the coefficients, which is not readily available for the multivariate generalized least square (MGLS) method as a multivariate meta-analysis approach. We evaluated the efficiency of four new approaches including zero correlation (ZC), common correlation (CC), estimated correlation (EC), and multivariate multilevel correlation (MMC) on the estimation bias, mean square error (MSE), and 95% probability coverage of the confidence interval (CI) in the synthesis of Cox proportional hazard models coefficients in a simulation study. Comparing the results of the simulation study on the MSE, bias, and CI of the estimated coefficients indicated that MMC approach was the most accurate procedure compared to EC, CC, and ZC procedures. The precision ranking of the four approaches according to all above settings was MMC ≥ EC ≥ CC ≥ ZC. This study highlights advantages of MGLS meta-analysis on UM approach. The results suggested the use of MMC procedure to overcome the lack of information for having a complete covariance matrix of the coefficients.
Johnson, Tracy L; Brewer, Daniel; Estacio, Raymond; Vlasimsky, Tara; Durfee, Michael J; Thompson, Kathy R; Everhart, Rachel M; Rinehart, Deborath J; Batal, Holly
2015-01-01
The Center for Medicare and Medicaid Innovation (CMMI) awarded Denver Health's (DH) integrated, safety net health care system $19.8 million to implement a "population health" approach into the delivery of primary care. This major practice transformation builds on the Patient Centered Medical Home (PCMH) and Wagner's Chronic Care Model (CCM) to achieve the "Triple Aim": improved health for populations, care to individuals, and lower per capita costs. This paper presents a case study of how DH integrated published predictive models and front-line clinical judgment to implement a clinically actionable, risk stratification of patients. This population segmentation approach was used to deploy enhanced care team staff resources and to tailor care-management services to patient need, especially for patients at high risk of avoidable hospitalization. Developing, implementing, and gaining clinical acceptance of the Health Information Technology (HIT) solution for patient risk stratification was a major grant objective. In addition to describing the Information Technology (IT) solution itself, we focus on the leadership and organizational processes that facilitated its multidisciplinary development and ongoing iterative refinement, including the following: team composition, target population definition, algorithm rule development, performance assessment, and clinical-workflow optimization. We provide examples of how dynamic business intelligence tools facilitated clinical accessibility for program design decisions by enabling real-time data views from a population perspective down to patient-specific variables. We conclude that population segmentation approaches that integrate clinical perspectives with predictive modeling results can better identify high opportunity patients amenable to medical home-based, enhanced care team interventions.
A New Map of Standardized Terrestrial Ecosystems of the Conterminous United States
Sayre, Roger G.; Comer, Patrick; Warner, Harumi; Cress, Jill
2009-01-01
A new map of standardized, mesoscale (tens to thousands of hectares) terrestrial ecosystems for the conterminous United States was developed by using a biophysical stratification approach. The ecosystems delineated in this top-down, deductive modeling effort are described in NatureServe's classification of terrestrial ecological systems of the United States. The ecosystems were mapped as physically distinct areas and were associated with known distributions of vegetation assemblages by using a standardized methodology first developed for South America. This approach follows the geoecosystems concept of R.J. Huggett and the ecosystem geography approach of R.G. Bailey. Unique physical environments were delineated through a geospatial combination of national data layers for biogeography, bioclimate, surficial materials lithology, land surface forms, and topographic moisture potential. Combining these layers resulted in a comprehensive biophysical stratification of the conterminous United States, which produced 13,482 unique biophysical areas. These were considered as fundamental units of ecosystem structure and were aggregated into 419 potential terrestrial ecosystems. The ecosystems classification effort preceded the mapping effort and involved the independent development of diagnostic criteria, descriptions, and nomenclature for describing expert-derived ecological systems. The aggregation and labeling of the mapped ecosystem structure units into the ecological systems classification was accomplished in an iterative, expert-knowledge-based process using automated rulesets for identifying ecosystems on the basis of their biophysical and biogeographic attributes. The mapped ecosystems, at a 30-meter base resolution, represent an improvement in spatial and thematic (class) resolution over existing ecoregionalizations and are useful for a variety of applications, including ecosystem services assessments, climate change impact studies, biodiversity conservation, and resource management.
Zhao, Huaqing; Rebbeck, Timothy R; Mitra, Nandita
2009-12-01
Confounding due to population stratification (PS) arises when differences in both allele and disease frequencies exist in a population of mixed racial/ethnic subpopulations. Genomic control, structured association, principal components analysis (PCA), and multidimensional scaling (MDS) approaches have been proposed to address this bias using genetic markers. However, confounding due to PS can also be due to non-genetic factors. Propensity scores are widely used to address confounding in observational studies but have not been adapted to deal with PS in genetic association studies. We propose a genomic propensity score (GPS) approach to correct for bias due to PS that considers both genetic and non-genetic factors. We compare the GPS method with PCA and MDS using simulation studies. Our results show that GPS can adequately adjust and consistently correct for bias due to PS. Under no/mild, moderate, and severe PS, GPS yielded estimated with bias close to 0 (mean=-0.0044, standard error=0.0087). Under moderate or severe PS, the GPS method consistently outperforms the PCA method in terms of bias, coverage probability (CP), and type I error. Under moderate PS, the GPS method consistently outperforms the MDS method in terms of CP. PCA maintains relatively high power compared to both MDS and GPS methods under the simulated situations. GPS and MDS are comparable in terms of statistical properties such as bias, type I error, and power. The GPS method provides a novel and robust tool for obtaining less-biased estimates of genetic associations that can consider both genetic and non-genetic factors. 2009 Wiley-Liss, Inc.
Narrow-sense heritability estimation of complex traits using identity-by-descent information.
Evans, Luke M; Tahmasbi, Rasool; Jones, Matt; Vrieze, Scott I; Abecasis, Gonçalo R; Das, Sayantan; Bjelland, Douglas W; de Candia, Teresa R; Yang, Jian; Goddard, Michael E; Visscher, Peter M; Keller, Matthew C
2018-03-28
Heritability is a fundamental parameter in genetics. Traditional estimates based on family or twin studies can be biased due to shared environmental or non-additive genetic variance. Alternatively, those based on genotyped or imputed variants typically underestimate narrow-sense heritability contributed by rare or otherwise poorly tagged causal variants. Identical-by-descent (IBD) segments of the genome share all variants between pairs of chromosomes except new mutations that have arisen since the last common ancestor. Therefore, relating phenotypic similarity to degree of IBD sharing among classically unrelated individuals is an appealing approach to estimating the near full additive genetic variance while possibly avoiding biases that can occur when modeling close relatives. We applied an IBD-based approach (GREML-IBD) to estimate heritability in unrelated individuals using phenotypic simulation with thousands of whole-genome sequences across a range of stratification, polygenicity levels, and the minor allele frequencies of causal variants (CVs). In simulations, the IBD-based approach produced unbiased heritability estimates, even when CVs were extremely rare, although precision was low. However, population stratification and non-genetic familial environmental effects shared across generations led to strong biases in IBD-based heritability. We used data on two traits in ~120,000 people from the UK Biobank to demonstrate that, depending on the trait and possible confounding environmental effects, GREML-IBD can be applied to very large genetic datasets to infer the contribution of very rare variants lost using other methods. However, we observed apparent biases in these real data, suggesting that more work may be required to understand and mitigate factors that influence IBD-based heritability estimates.
Freer, Phoebe E; Slanetz, Priscilla J; Haas, Jennifer S; Tung, Nadine M; Hughes, Kevin S; Armstrong, Katrina; Semine, A Alan; Troyan, Susan L; Birdwell, Robyn L
2015-09-01
Stemming from breast density notification legislation in Massachusetts effective 2015, we sought to develop a collaborative evidence-based approach to density notification that could be used by practitioners across the state. Our goal was to develop an evidence-based consensus management algorithm to help patients and health care providers follow best practices to implement a coordinated, evidence-based, cost-effective, sustainable practice and to standardize care in recommendations for supplemental screening. We formed the Massachusetts Breast Risk Education and Assessment Task Force (MA-BREAST) a multi-institutional, multi-disciplinary panel of expert radiologists, surgeons, primary care physicians, and oncologists to develop a collaborative approach to density notification legislation. Using evidence-based data from the Institute for Clinical and Economic Review, the Cochrane review, National Comprehensive Cancer Network guidelines, American Cancer Society recommendations, and American College of Radiology appropriateness criteria, the group collaboratively developed an evidence-based best-practices algorithm. The expert consensus algorithm uses breast density as one element in the risk stratification to determine the need for supplemental screening. Women with dense breasts and otherwise low risk (<15% lifetime risk), do not routinely require supplemental screening per the expert consensus. Women of high risk (>20% lifetime) should consider supplemental screening MRI in addition to routine mammography regardless of breast density. We report the development of the multi-disciplinary collaborative approach to density notification. We propose a risk stratification algorithm to assess personal level of risk to determine the need for supplemental screening for an individual woman.
Probst, Marc A; Kanzaria, Hemal K; Hoffman, Jerome R; Mower, William R; Moheimani, Roya S; Sun, Benjamin C; Quigley, Denise D
2015-08-01
Palpitations are a common emergency department (ED) complaint, yet relatively little research exists on this topic from an emergency care perspective. We sought to describe the perceptions and clinical decision-making processes of emergency physicians (EP) surrounding patients with palpitations. We conducted 21 semistructured interviews with a convenience sample of EPs. We recruited participants from academic and community practice settings from four regions of the United States. The transcribed interviews were analyzed using a combination of structural coding and grounded theory approaches with ATLAS.ti, a qualitative data analysis software program (version 7; Atlas.ti Scientific Software Development GmbH, Berlin, Germany). EPs perceive palpitations to be a common but generally benign chief complaint. EPs' clinical approach to palpitations, with regards to testing, treatment, and ED management, can be classified as relating to one or more of the following themes: (1) risk stratification, (2) diagnostic categorization, (3) algorithmic management, and (4) case-specific gestalt. With regard to disposition decisions, four main themes emerged: (1) presence of a serious diagnosis, (2) perceived need for further cardiac testing/monitoring, (3) presence of key associated symptoms, (4) request of other physician or patient desire. The interrater reliability exercise yielded a Fleiss' kappa measure of 0.69, indicating substantial agreement between coders. EPs perceive palpitations to be a common but generally benign chief complaint. EPs rely on one or more of four main clinical approaches to manage these patients. These findings could help guide future efforts at developing risk-stratification tools and clinical algorithms for patients with palpitations. Copyright © 2015 Elsevier Inc. All rights reserved.
NASA Astrophysics Data System (ADS)
Aristizábal, María. F.; Fewings, Melanie R.; Washburn, Libe
2017-10-01
In the Santa Barbara Channel, California, and around the Northern Channel Islands, water temperature fluctuations in the diurnal and semidiurnal frequency bands are intermittent, with amplitudes that vary on time scales of days to weeks. The cause of this intermittency is not well understood. We studied the effects of the barotropic tide, vertical stratification, propagation of coastal-trapped waves, regional wind relaxations, and diurnal-band winds on the intermittency of the temperature fluctuations during 1992-2015. We used temperature data from 43 moorings in 10-200 m water depth and wind data from two buoys and one land station. Subtidal-frequency changes in vertical stratification explain 20-40% of the intermittency in diurnal and semidiurnal temperature fluctuations at time scales of days to weeks. Along the mainland north of Point Conception and at the Northern Channel Islands, the relaxation of upwelling-favorable winds substantially increases vertical stratification, accounting for up to 55% of the subtidal-frequency variability in stratification. As a result of the enhanced stratification, wind relaxations enhance the diurnal and semidiurnal temperature fluctuations at those sites, even though the diurnal-band wind forcing decreases during wind relaxation. A linear model where the background stratification is advected vertically explains a substantial fraction of the temperature fluctuations at most sites. The increase of vertical stratification and subsequent increase in diurnal and semidiurnal temperature fluctuations during wind relaxation is a mechanism that can supply nutrients to the euphotic zone and kelp forests in the Channel in summer when upwelling is weak.
Stratification and salt-wedge in the Seomjin river estuary under the idealized tidal influence
NASA Astrophysics Data System (ADS)
Hwang, Jin Hwan; Jang, Dongmin; Kim, Yong Hoon
2017-12-01
Advection, straining, and vertical mixing play primary roles in the process of estuarine stratification. Estuaries can be classified as salt-wedge, partially-mixed or well-mixed depending on the vertical density structure determined by the balancing of advection, mixing and straining. In particular, straining plays a major role in the stratification of the estuarine water body along the estuarine channel. Also, the behavior of a salt wedge with a halocline shape in a stratified channel can be controlled by the competition between straining and mixing induced by buoyancy from the riverine source and tidal forcing. The present study uses Finite Volume Coastal Ocean Model (FVCOM) to show that straining and vertical mixing play major roles in controlling along-channel flow and stratification structures in the Seomjin river estuary (SRE) under idealized conditions. The Potential Energy Anomaly (PEA) dynamic equation quantifies the governing processes thereby enabling the determination of the stratification type. By comparing terms in the equation, we examined how the relative strengths of straining and mixing alter the stratification types in the SRE due to changes in river discharge and the depth resulting from dredging activities. SRE under idealized tidal forcing tends to be partially-mixed based on an analysis of the balance between terms and the vertical structure of salinity, and the morphological and hydrological change in SRE results in the shift of stratification type. While the depth affects the mixing, the freshwater discharge mainly controls the straining, and the balance between mixing and straining determines the final state of the stratification in an estuarine channel. As a result, the development and location of a salt wedge along the channel in a partially mixed and highly stratified condition is also determined by the ratio of straining to mixing. Finally, our findings confirm that the contributions of mixing and straining can be assessed by using the conventional non-dimensional parameters with respect to salt-wedge behavior.
Measuring multivariate association and beyond
Josse, Julie; Holmes, Susan
2017-01-01
Simple correlation coefficients between two variables have been generalized to measure association between two matrices in many ways. Coefficients such as the RV coefficient, the distance covariance (dCov) coefficient and kernel based coefficients are being used by different research communities. Scientists use these coefficients to test whether two random vectors are linked. Once it has been ascertained that there is such association through testing, then a next step, often ignored, is to explore and uncover the association’s underlying patterns. This article provides a survey of various measures of dependence between random vectors and tests of independence and emphasizes the connections and differences between the various approaches. After providing definitions of the coefficients and associated tests, we present the recent improvements that enhance their statistical properties and ease of interpretation. We summarize multi-table approaches and provide scenarii where the indices can provide useful summaries of heterogeneous multi-block data. We illustrate these different strategies on several examples of real data and suggest directions for future research. PMID:29081877
Remote sensing of particle dynamics: a two-component unmixing model in a western UK shelf sea.
NASA Astrophysics Data System (ADS)
Mitchell, Catherine; Cunningham, Alex
2014-05-01
The relationship between the backscattering and absorption coefficients, in particular the backscattering to absorption ratio, is mediated by the type of particles present in the water column. By considering the optical signals to be driven by phytoplankton and suspended minerals, with a relatively constant influence from CDOM, radiative transfer modelling is used to propose a method for retrieving the optical contribution of phytoplankton and suspended minerals to the total absorption coefficient with mean percentage errors of below 5% for both components. These contributions can be converted to constituent concentrations if the appropriate specific inherent optical properties are known or can be determined from the maximum and minimum backscattering to absorption ratios of the data. Remotely sensed absorption and backscattering coefficients from eight years of MODIS data for the Irish Sea reveal maximum backscattering to absorption coefficient ratios over the winter (with an average for the region of 0.27), which then decrease to a minimum over the summer months (with an average of 0.06) before increasing again through to winter, indicating a change in the particles present in the water column. Application of the two-component unmixing model to this data showed seasonal cycles of both phytoplankton and suspended mineral concentrations which vary in both amplitude and periodicity depending on their location. For example, in the Bristol Channel the amplitude of the suspended mineral concentration throughout one cycle is approximately 75% greater than a yearly cycle in the eastern Irish Sea. These seasonal cycles give an insight into the complex dynamics of particles in the water column, indicating the suspension of sediment throughout the winter months and the loss of sediments from the surface layer over the summer during stratification. The relationship between the timing of the phytoplankton spring bloom and changes in the availability of light in the water column can be studied to gain an understanding into the phytoplankton phenology across the region.
Optimizing energy growth as a tool for finding exact coherent structures
NASA Astrophysics Data System (ADS)
Olvera, D.; Kerswell, R. R.
2017-08-01
We discuss how searching for finite-amplitude disturbances of a given energy that maximize their subsequent energy growth after a certain later time T can be used to probe the phase space around a reference state and ultimately to find other nearby solutions. The procedure relies on the fact that of all the initial disturbances on a constant-energy hypersphere, the optimization procedure will naturally select the one that lies closest to the stable manifold of a nearby solution in phase space if T is large enough. Then, when in its subsequent evolution the optimal disturbance transiently approaches the new solution, a flow state at this point can be used as an initial guess to converge the solution to machine precision. We illustrate this approach in plane Couette flow by rediscovering the spanwise-localized "snake" solutions of Schneider et al. [Phys. Rev. Lett. 104, 104501 (2010), 10.1103/PhysRevLett.104.104501], probing phase space at very low Reynolds numbers (less than 127.7 ) where the constant-shear solution is believed to be the global attractor and examining how the edge between laminar and turbulent flow evolves when stable stratification eliminates the turbulence. We also show that the steady snake solution smoothly delocalizes as unstable stratification is gradually turned on until it connects (via an intermediary global three-dimensional solution) to two-dimensional Rayleigh-Bénard roll solutions.
Neuroblastoma: clinical and biological approach to risk stratification and treatment.
Tolbert, Vanessa P; Matthay, Katherine K
2018-05-01
Neuroblastoma is the most common extra-cranial solid tumor of childhood and the most common in the first year of life. It is a unique malignancy in that infants often present with either localized or metastatic disease that can spontaneously regress without intervention while older children can succumb to the disease after months to years of arduous therapy. Given this wide range of outcomes, the International Neuroblastoma Risk Group was created to stratify patients based on presenting characteristics and tumor biology in order to guide intensity of treatment strategies. The goal has been to decrease therapy for low-risk patients to avoid long-term complications while augmenting and targeting therapies for high-risk patients to improve overall survival. The international risk stratification depends on age, stage, histology, MYCN gene amplification status, tumor cell ploidy and segmental chromosomal abnormalities. Treatment for asymptomatic low-risk patients with an estimated survival of > 98% is often observation or surgical resection alone, whereas intermediate-risk patients with an estimated survival of > 90% require moderate doses of response-adjusted chemotherapy along with resection. High-risk patients undergo multiple cycles of combination chemotherapy before surgery, followed by consolidation with myeloablative autologous hematopoietic stem cell transplantation and local radiation and finally immunotherapy with differentiation therapy as maintenance phase. With this approach, outcome for patients with neuroblastoma has improved, as the field continues to expand efforts in more targeted therapies for high-risk patients.
Poulsen, Nicklas N; Pedersen, Morten E; Østergaard, Jesper; Petersen, Nickolaj J; Nielsen, Christoffer T; Heegaard, Niels H H; Jensen, Henrik
2016-09-20
Detection of immune responses is important in the diagnosis of many diseases. For example, the detection of circulating autoantibodies against double-stranded DNA (dsDNA) is used in the diagnosis of Systemic Lupus Erythematosus (SLE). It is, however, difficult to reach satisfactory sensitivity, specificity, and accuracy with established assays. Also, existing methodologies for quantification of autoantibodies are challenging to transfer to a point-of-care setting. Here we present the use of flow-induced dispersion analysis (FIDA) for rapid (minutes) measurement of autoantibodies against dsDNA. The assay is based on Taylor dispersion analysis (TDA) and is fully automated with the use of standard capillary electrophoresis (CE) based equipment employing fluorescence detection. It is robust toward matrix effects as demonstrated by the direct analysis of samples composed of up to 85% plasma derived from human blood samples, and it allows for flexible exchange of the DNA sequences used to probe for the autoantibodies. Plasma samples from SLE positive patients were analyzed using the new FIDA methodology as well as by standard indirect immunofluorescence and solid-phase immunoassays. Interestingly, the patient antibodies bound DNA sequences with different affinities, suggesting pronounced heterogeneity among autoantibodies produced in SLE. The FIDA based methodology is a new approach for autoantibody detection and holds promise for being used for patient stratification and monitoring of disease activity.
Bayesian Meta-Analysis of Coefficient Alpha
ERIC Educational Resources Information Center
Brannick, Michael T.; Zhang, Nanhua
2013-01-01
The current paper describes and illustrates a Bayesian approach to the meta-analysis of coefficient alpha. Alpha is the most commonly used estimate of the reliability or consistency (freedom from measurement error) for educational and psychological measures. The conventional approach to meta-analysis uses inverse variance weights to combine…
Determination of aerodynamic sensitivity coefficients in the transonic and supersonic regimes
NASA Technical Reports Server (NTRS)
Elbanna, Hesham M.; Carlson, Leland A.
1989-01-01
The quasi-analytical approach is developed to compute airfoil aerodynamic sensitivity coefficients in the transonic and supersonic flight regimes. Initial investigation verifies the feasibility of this approach as applied to the transonic small perturbation residual expression. Results are compared to those obtained by the direct (finite difference) approach and both methods are evaluated to determine their computational accuracies and efficiencies. The quasi-analytical approach is shown to be superior and worth further investigation.
Developing a PTEN-ERG Signature to Improve Molecular Risk Stratification in Prostate Cancer
2017-10-01
SUPPLEMENTARY NOTES 14. ABSTRACT Prostate cancer (PCA) is a clinically and genetically heterogeneous and the development of a molecular classification is...AWARD NUMBER: W81XWH-16-1-0739 TITLE: Developing a PTEN-ERG Signature to Improve Molecular Risk Stratification in Prostate Cancer PRINCIPAL...AND SUBTITLE 5a. CONTRACT NUMBER Developing a PTEN-ERG Signature to Improve Molecular Risk Stratification in Prostate Cancer 5b. GRANT NUMBER W81XWH
Density stratification effects in sand-bed rivers
Wright, S.; Parker, G.
2004-01-01
In this paper the effects of density stratification in sand-bed rivers are studied by the application of a model of vertical velocity and concentration profiles, coupled through the use of a turbulence closure that retains the buoyancy terms. By making the governing equations dimensionless, it is revealed that the slope is the additional dimensionless parameter introduced by inclusion of the buoyancy terms. The primary new finding is that in general density stratification effects tend to be greater in large, low-slope rivers than in their smaller, steeper brethren. Under high flow conditions the total suspended load and size distribution of suspended sediment can be significantly affected by density stratification, and should be accounted for in any general theory of suspended transport. ?? ASCE.
Eddy-driven stratification initiates North Atlantic spring phytoplankton blooms.
Mahadevan, Amala; D'Asaro, Eric; Lee, Craig; Perry, Mary Jane
2012-07-06
Springtime phytoplankton blooms photosynthetically fix carbon and export it from the surface ocean at globally important rates. These blooms are triggered by increased light exposure of the phytoplankton due to both seasonal light increase and the development of a near-surface vertical density gradient (stratification) that inhibits vertical mixing of the phytoplankton. Classically and in current climate models, that stratification is ascribed to a springtime warming of the sea surface. Here, using observations from the subpolar North Atlantic and a three-dimensional biophysical model, we show that the initial stratification and resulting bloom are instead caused by eddy-driven slumping of the basin-scale north-south density gradient, resulting in a patchy bloom beginning 20 to 30 days earlier than would occur by warming.
Abundance stratification in the atmospheres of blue horizontal-branch stars
NASA Astrophysics Data System (ADS)
LeBlanc, F.
2013-12-01
Horizontal-branch stars with effective temperatures larger than approximately 11 500 K show abundance anomalies as well as other peculiar observational properties believed to be due to atomic diffusion in their atmosphere. These stars possess low rotational velocities that makes it possible for atomic diffusion to come into play and are therefore of great interest with respect to diffusion theory. Observational anomalies of blue horizontal-branch stars found in globular clusters such as photometric jumps and gaps are reviewed. Recent detections of vertical stratification of elements are also discussed. These results are compared to predictions of atmospheric modeling while including vertical stratification of the elements. The atmospheric structure of these models is calculated self-consistently while taking into account vertical stratification of the elements.
Lubbock, Alexander L R; Stewart, Grant D; O'Mahony, Fiach C; Laird, Alexander; Mullen, Peter; O'Donnell, Marie; Powles, Thomas; Harrison, David J; Overton, Ian M
2017-06-26
Metastatic clear cell renal cell cancer (mccRCC) portends a poor prognosis and urgently requires better clinical tools for prognostication as well as for prediction of response to treatment. Considerable investment in molecular risk stratification has sought to overcome the performance ceiling encountered by methods restricted to traditional clinical parameters. However, replication of results has proven challenging, and intratumoural heterogeneity (ITH) may confound attempts at tissue-based stratification. We investigated the influence of confounding ITH on the performance of a novel molecular prognostic model, enabled by pathologist-guided multiregion sampling (n = 183) of geographically separated mccRCC cohorts from the SuMR trial (development, n = 22) and the SCOTRRCC study (validation, n = 22). Tumour protein levels quantified by reverse phase protein array (RPPA) were investigated alongside clinical variables. Regularised wrapper selection identified features for Cox multivariate analysis with overall survival as the primary endpoint. The optimal subset of variables in the final stratification model consisted of N-cadherin, EPCAM, Age, mTOR (NEAT). Risk groups from NEAT had a markedly different prognosis in the validation cohort (log-rank p = 7.62 × 10 -7 ; hazard ratio (HR) 37.9, 95% confidence interval 4.1-353.8) and 2-year survival rates (accuracy = 82%, Matthews correlation coefficient = 0.62). Comparisons with established clinico-pathological scores suggest favourable performance for NEAT (Net reclassification improvement 7.1% vs International Metastatic Database Consortium score, 25.4% vs Memorial Sloan Kettering Cancer Center score). Limitations include the relatively small cohorts and associated wide confidence intervals on predictive performance. Our multiregion sampling approach enabled investigation of NEAT validation when limiting the number of samples analysed per tumour, which significantly degraded performance. Indeed, sample selection could change risk group assignment for 64% of patients, and prognostication with one sample per patient performed only slightly better than random expectation (median logHR = 0.109). Low grade tissue was associated with 3.5-fold greater variation in predicted risk than high grade (p = 0.044). This case study in mccRCC quantitatively demonstrates the critical importance of tumour sampling for the success of molecular biomarker studies research where ITH is a factor. The NEAT model shows promise for mccRCC prognostication and warrants follow-up in larger cohorts. Our work evidences actionable parameters to guide sample collection (tumour coverage, size, grade) to inform the development of reproducible molecular risk stratification methods.
NASA Astrophysics Data System (ADS)
Foreman, A. D.; Charles, C. D.; Rae, J. W. B.; Adkins, J. F.; Slowey, N. C.
2015-12-01
Many models show that the relative intensity of stratification is a primary variable governing the sequestration and release of carbon from the ocean over ice ages. The wide-scale observations necessary to test these model-derived hypotheses are not yet sufficient, but sedimentary depth transects represent a promising approach for making progress. Here we present paired stable isotopic (d18O, d13C) and trace metal data (Mg/Ca, B/Ca) from benthic foraminifera collected from a highly vertically-resolved depth transect from the mid-depth and deep SE Atlantic. These observations, which cover Marine Isotope Stages 5e, 5d, 5a, 4, and the Last Glacial Maximum, document the evolution of glacial conditions from the previous interglacial, and provide detailed observations regarding the magnitude and timing of changes in temperature and salinity within the deep ocean at key time points over the last glacial/interglacial cycle. Furthermore, the comparison between purely 'physical' tracers (i.e. Mg/Ca, d18O) and tracers sensitive to the carbon cycle (i.e. d13C and B/Ca) provides critical insight into the relationship between deep/mid-depth stratification and global carbon dynamics. Notably among our observations, the paired stable isotope and trace metal results strongly suggest that much of the ice-age cooling of deep South Atlantic occurred at the MIS 5e/5d transition, while the onset of salinity stratification in the mid-depth South Atlantic occurred at the MIS 5/4 transition.
What Determines Water Temperature Dynamics in the San Francisco Bay-Delta System?
NASA Astrophysics Data System (ADS)
Vroom, J.; van der Wegen, M.; Martyr-Koller, R. C.; Lucas, L. V.
2017-11-01
Water temperature is an important factor determining estuarine species habitat conditions. Water temperature is mainly governed by advection (e.g., from rivers) and atmospheric exchange processes varying strongly over time (day-night, seasonally) and the spatial domain. On a long time scale, climate change will impact water temperature in estuarine systems due to changes in river flow regimes, air temperature, and sea level rise. To determine which factors govern estuarine water temperature and its sensitivity to changes in its forcing, we developed a process-based numerical model (Delft3D Flexible Mesh) and applied it to a well-monitored estuarine system (the San Francisco Estuary) for validation. The process-based approach allows for detailed process description and a physics-based analysis of governing processes. The model was calibrated for water year 2011 and incorporated 3-D hydrodynamics, salinity intrusion, water temperature dynamics, and atmospheric coupling. Results show significant skill in reproducing temperature observations on daily, seasonal, and yearly time scales. In North San Francisco Bay, thermal stratification is present, enhanced by salinity stratification. The temperature of the upstream, fresh water Delta area is captured well in 2-D mode, although locally—on a small scale—vertical processes (e.g., stratification) may be important. The impact of upstream river temperature and discharge and atmospheric forcing on water temperatures differs throughout the Delta, possibly depending on dispersion and residence times. Our modeling effort provides a sound basis for future modeling studies including climate change impact on water temperature and associated ecological modeling, e.g., clam and fish habitat and phytoplankton dynamics.
Ebel, B.A.; Mirus, B.B.; Heppner, C.S.; VanderKwaak, J.E.; Loague, K.
2009-01-01
Distributed hydrologic models capable of simulating fully-coupled surface water and groundwater flow are increasingly used to examine problems in the hydrologic sciences. Several techniques are currently available to couple the surface and subsurface; the two most frequently employed approaches are first-order exchange coefficients (a.k.a., the surface conductance method) and enforced continuity of pressure and flux at the surface-subsurface boundary condition. The effort reported here examines the parameter sensitivity of simulated hydrologic response for the first-order exchange coefficients at a well-characterized field site using the fully coupled Integrated Hydrology Model (InHM). This investigation demonstrates that the first-order exchange coefficients can be selected such that the simulated hydrologic response is insensitive to the parameter choice, while simulation time is considerably reduced. Alternatively, the ability to choose a first-order exchange coefficient that intentionally decouples the surface and subsurface facilitates concept-development simulations to examine real-world situations where the surface-subsurface exchange is impaired. While the parameters comprising the first-order exchange coefficient cannot be directly estimated or measured, the insensitivity of the simulated flow system to these parameters (when chosen appropriately) combined with the ability to mimic actual physical processes suggests that the first-order exchange coefficient approach can be consistent with a physics-based framework. Copyright ?? 2009 John Wiley & Sons, Ltd.
Katki, Hormuzd A; Schiffman, Mark
2018-05-01
Our work involves assessing whether new biomarkers might be useful for cervical-cancer screening across populations with different disease prevalences and biomarker distributions. When comparing across populations, we show that standard diagnostic accuracy statistics (predictive values, risk-differences, Youden's index and Area Under the Curve (AUC)) can easily be misinterpreted. We introduce an intuitively simple statistic for a 2 × 2 table, Mean Risk Stratification (MRS): the average change in risk (pre-test vs. post-test) revealed for tested individuals. High MRS implies better risk separation achieved by testing. MRS has 3 key advantages for comparing test performance across populations with different disease prevalences and biomarker distributions. First, MRS demonstrates that conventional predictive values and the risk-difference do not measure risk-stratification because they do not account for test-positivity rates. Second, Youden's index and AUC measure only multiplicative relative gains in risk-stratification: AUC = 0.6 achieves only 20% of maximum risk-stratification (AUC = 0.9 achieves 80%). Third, large relative gains in risk-stratification might not imply large absolute gains if disease is rare, demonstrating a "high-bar" to justify population-based screening for rare diseases such as cancer. We illustrate MRS by our experience comparing the performance of cervical-cancer screening tests in China vs. the USA. The test with the worst AUC = 0.72 in China (visual inspection with acetic acid) provides twice the risk-stratification (i.e. MRS) of the test with best AUC = 0.83 in the USA (human papillomavirus and Pap cotesting) because China has three times more cervical precancer/cancer. MRS could be routinely calculated to better understand the clinical/public-health implications of standard diagnostic accuracy statistics. Published by Elsevier Inc.
Hong, Chae Moon; Lee, Won Kee; Jeong, Shin Young; Lee, Sang-Woo; Ahn, Byeong-Cheol; Lee, Jaetae
2014-11-01
The aim of this study was to validate the effectiveness of delayed risk stratification (DRS) in predicting structural progression and compare the predictive value of American Thyroid Association (ATA) risk stratification with that of DRS in patients with differentiated thyroid cancer (DTC). A total of 398 patients with DTC who underwent surgery followed by radioactive iodine ablation were enrolled. Patients were categorized as having excellent response, acceptable response, biochemical incomplete response, or structural incomplete response at 8-15 months' evaluation after radioactive iodine ablation for DRS. Effectiveness of DRS was evaluated according to structural progression-free survival (PFS; median follow-up, 10.7 years). A total of 229 patients (57.5%) were classified as having excellent response, 78 (19.6%) as having acceptable response, 62 (15.6%) as having biochemical incomplete response, and 29 patients (7.3%) as having structural incomplete response. After DRS, 60.2% of intermediate-risk patients and 20.5% of high-risk patients were shifted to the excellent response category. Sixty-nine patients (17.3%) showed structural progression. DRS showed statistical difference in PFS (hazard ratio, 4.268; 95% confidence interval, 3.258-5.477; P<0.001). In multivariate analysis of ATA risk stratification and DRS, DRS was significantly associated with PFS (hazard ratio, 4.383; 95% confidence interval, 3.250-5.912; P<0.001), but ATA risk stratification was not. There was no significant difference in deviances between the use of DRS alone and the use of both DRS and ATA risk stratification (χ=0.103, d.f.=1, P=0.748). DRS is superior to ATA risk stratification in predicting structural disease progression for DTC patients.
The formation of low-angle eolian stratification through the migration of protodunes
NASA Astrophysics Data System (ADS)
Ewing, R. C.; Phillips, J. D.; Weymer, B. A.; Barrineaux, P.; Bowling, R.; Nittrouer, J. A.
2017-12-01
Protodunes are low-relief, slipfaceless migrating bed forms that represent the emergent form of eolian sand dunes. Protodunes develop as cm-scale topography out of a flat bed of sand and evolve spatially and temporally into dunes with angle-of-repose slipfaces. Protodunes at White Sands Dune Field in New Mexico form at the upwind, trailing margin of the field, on dune stoss slopes, and in interdune areas. Here we analyze protodunes at the upwind margin of White Sands by coupling 200 mHz ground penetrating radar (GPR) with time-series high-resolution topography to characterize the origin and evolution of protodune stratification and the stratigraphic transition into fully developed dunes. We surveyed a 780m transect in the resultant transport direction of the dune field from SW to NE from sand patches through protodunes and into the first dune. We used airborne lidar surveys and structure-from-motion photogrammetry from 2007, 2008, 2009, 2010, 2015, and 2016. We find that protodune stratification forms at angles between 0-10 degrees by protodune migration. Dip angles increase as protodune amplitude increases along the transect. Accumulation of low-angle stratification increases across the first 650m and ranges from none to subcritical. Nearly aggradational accumulation of low-angle stratification occurs over the last 100m and is a precursor to angle-of-repose slipface formation. The origins of the aggradation and slipface development appear to be linked to protodune merging, dune interactions, and possibly to the development of a dune field-scale boundary layer. Protodunes and the formation of low-angle stratification at the upwind margin of White Sands are a good analog to the initiation of dune field development from sand sheets and the formation of low-angle stratification found at the base of eolian successions in the stratigraphic record.
NASA Technical Reports Server (NTRS)
Lovrich, T. N.; Schwartz, S. H.
1975-01-01
Temperature and pressure data obtained from the saturated Freon 113 PCA closed-tank stratification tests are presented. The data presented in tabular form are the test conditions, sensible heat values, and Freon 113 PCA liquid and ullage (vapor) properties. Also included, are graphical representations of the liquid bulk temperature and pressure histories, and dimensionless liquid-ullage delta-temperature profiles. Modified Grashof numbers and Fourier number-history data are also presented graphically.
Observations and analysis of a stratification-destratification event in a tropical estuary
NASA Astrophysics Data System (ADS)
Uncles, R. J.; Ong, J. E.; Gong, W. K.
1990-11-01
A data set comprising 31 continuous tidal cycles was collected in the Sungai Merbok Estuary, Malaysia, in June 1987 as part of an ecological study of nutrient fluxes from a tropical mangrove estuary. Currents, salinity and salinity stratification at a deep-channel (15 m) station near the mouth of the Merbok Estuary showed a pronounced spring-neap variability. The slow currents and weak vertical mixing at neap tides favoured the formation of a stratified water column and generated a neap-spring cycle of water column stabilization and destabilization. A strong stratification event occurred during the period of observations. This was partly driven by a modest freshwater spate which coincided with neap tides. An eddy viscosity-diffusivity model of the stratification, which assumed a constant, longitudinal salinity gradient, demonstrated a pronounced stratification-destratification cycle due to neap-spring variations in vertical mixing. Larger and more realistic stratification was modelled when the estimated, time-varying longitudinal salinity gradient was incorporated. This gradient maximized in response to the peak in freshwater runoff. The measured and modelled density-driven circulations showed qualitative similarities and were of the order of 10 cm s -1 at neap tides. The circulation was weaker during spring tides. The tidally-filtered salt transport due to vertical shear was directed up-estuary and was an order of magnitude smaller during spring tides. The results are discussed in terms of their relevance to mangrove system oceanography.
NASA Astrophysics Data System (ADS)
Skala, Melissa Caroline
2007-12-01
Cancer morbidity and mortality is greatly reduced when the disease is diagnosed and treated early in its development. Tissue biopsies are the gold standard for cancer diagnosis, and an accurate diagnosis requires a biopsy from the malignant portion of an organ. Light, guided through a fiber optic probe, could be used to inspect regions of interest and provide real-time feedback to determine the optimal tissue site for biopsy. This approach could increase the diagnostic accuracy of current biopsy procedures. The studies in this thesis have characterized changes in tissue optical signals with carcinogenesis, increasing our understanding of the sensitivity of optical techniques for cancer detection. All in vivo studies were conducted on the dimethylbenz[alpha]anthracene treated hamster cheek pouch model of epithelial carcinogenesis. Multiphoton microscopy studies in the near infrared wavelength region quantified changes in tissue morphology and fluorescence with carcinogenesis in vivo. Statistically significant morphological changes with precancer included increased epithelial thickness, loss of stratification in the epithelium, and increased nuclear diameter. Fluorescence changes included a statistically significant decrease in the epithelial fluorescence intensity per voxel at 780 nm excitation, a decrease in the fluorescence lifetime of protein-bound nicotinamide adenine dinucleotide (NADH, an electron donor in oxidative phosphorylation), and an increase in the fluorescence lifetime of protein-bound flavin adenine dinucleotide (FAD, an electron acceptor in oxidative phosphorylation) with precancer. The redox ratio (fluorescence intensity of FAD/NADH, a measure of the cellular oxidation-reduction state) did not significantly change with precancer. Cell culture experiments (MCF10A cells) indicated that the decrease in protein-bound NADH with precancer could be due to increased levels of glycolysis. Point measurements of diffuse reflectance and fluorescence spectra in the ultraviolet to visible wavelength range indicated that the most diagnostic optical signals originate from sub-surface tissue layers. Optical properties extracted from these spectroscopy measurements showed a significant decrease in the hemoglobin saturation, absorption coefficient, reduced scattering coefficient and fluorescence intensity (at 400 nm excitation) in neoplastic compared to normal tissues. The results from these studies indicate that multiphoton microscopy and optical spectroscopy can non-invasively provide information on tissue structure and function in vivo that is related to tissue pathology.
The effect of stratification on premixed swirl-flame flashback by using porous center-body injection
NASA Astrophysics Data System (ADS)
McCaslin, Andrew; Ranjan, Rakesh; Clemens, Noel
2016-11-01
Boundary layer flashback must be prevented in order to stably operate stationary gas turbines. One strategy to avoid flashback is to create equivalence-ratio stratification, such as by reducing the fuel/air ratio in the boundary layer below the flammability limit. Typically, stratification is achieved by using radially non-uniform fuel injection. The goal of the current study is to reduce the propensity of flashback in a premixed annular swirl combustor that uses a premix section with center-body. A porous metal center-body (10 micron pore size) is used to bleed air directly into the boundary layer and thus locally reduce the equivalence ratio. Planar laser-induced fluorescence imaging of anisole-seeded flow is carried out to assess the stratification in the flow. Time-resolved PIV and chemiluminescence imaging are used to investigate flashback at atmospheric pressure conditions. A comparative study between fully premixed and stratified flame flashback is conducted to determine how stratification influences flashback physics. This work was sponsored by the DOE NETL under Grant DEFC2611-FE0007107. This source of funding is gratefully acknowledged.
Li, Jingjing; Chatzeli, Lemonia; Panousopoulou, Eleni; Tucker, Abigail S.; Green, Jeremy B. A.
2016-01-01
Ectodermal organs, which include teeth, hair follicles, mammary ducts, and glands such as sweat, mucous and sebaceous glands, are initiated in development as placodes, which are epithelial thickenings that invaginate and bud into the underlying mesenchyme. These placodes are stratified into a basal and several suprabasal layers of cells. The mechanisms driving stratification and invagination are poorly understood. Using the mouse molar tooth as a model for ectodermal organ morphogenesis, we show here that vertical, stratifying cell divisions are enriched in the forming placode and that stratification is cell division dependent. Using inhibitor and gain-of-function experiments, we show that FGF signalling is necessary and sufficient for stratification but not invagination as such. We show that, instead, Shh signalling is necessary for, and promotes, invagination once suprabasal tissue is generated. Shh-dependent suprabasal cell shape suggests convergent migration and intercalation, potentially accounting for post-stratification placode invagination to bud stage. We present a model in which FGF generates suprabasal tissue by asymmetric cell division, while Shh triggers cell rearrangement in this tissue to drive invagination all the way to bud formation. PMID:26755699
Self-pressurization of a spherical liquid hydrogen storage tank in a microgravity environment
NASA Technical Reports Server (NTRS)
Lin, C. S.; Hasan, M. M.
1992-01-01
Thermal stratification and self-pressurization of partially filled liquid hydrogen (LH2) storage tanks under microgravity condition is studied theoretically. A spherical tank is subjected to a uniform and constant wall heat flux. It is assumed that a vapor bubble is located in the tank center such that the liquid-vapor interface and tank wall form two concentric spheres. This vapor bubble represents an idealized configuration of a wetting fluid in microgravity conditions. Dimensionless mass and energy conservation equations for both vapor and liquid regions are numerically solved. Coordinate transformation is used to capture the interface location which changes due to liquid thermal expansion, vapor compression, and mass transfer at liquid-vapor interface. The effects of tank size, liquid fill level, and wall heat flux on the pressure rise and thermal stratification are studied. Liquid thermal expansion tends to cause vapor condensation and wall heat flux tends to cause liquid evaporation at the interface. The combined effects determine the direction of mass transfer at the interface. Liquid superheat increases with increasing wall heat flux and liquid fill level and approaches an asymptotic value.
Shi, Lu
2010-01-01
There is controversy over to what degree banning sugar-sweetened beverage (SSB) sales at schools could decrease the SSB intake. This paper uses the adolescent sample of 2005 California Health Interview Survey to estimate the association between the availability of SSB from school vending machines and the amount of SSB consumption. Propensity score stratification and kernel-based propensity score matching are used to address the selection bias issue in cross-sectional data. Propensity score stratification shows that adolescents who had access to SSB through their school vending machines consumed 0.170 more drinks of SSB than those who did not (P < .05). Kernel-based propensity score matching shows the SSB consumption difference to be 0.158 on the prior day (P < .05). This paper strengthens the evidence for the association between SSB availability via school vending machines and the actual SSB consumption, while future studies are needed to explore changes in other beverages after SSB becomes less available. PMID:20976298
Conlon, Anna S C; Taylor, Jeremy M G; Elliott, Michael R
2014-04-01
In clinical trials, a surrogate outcome variable (S) can be measured before the outcome of interest (T) and may provide early information regarding the treatment (Z) effect on T. Using the principal surrogacy framework introduced by Frangakis and Rubin (2002. Principal stratification in causal inference. Biometrics 58, 21-29), we consider an approach that has a causal interpretation and develop a Bayesian estimation strategy for surrogate validation when the joint distribution of potential surrogate and outcome measures is multivariate normal. From the joint conditional distribution of the potential outcomes of T, given the potential outcomes of S, we propose surrogacy validation measures from this model. As the model is not fully identifiable from the data, we propose some reasonable prior distributions and assumptions that can be placed on weakly identified parameters to aid in estimation. We explore the relationship between our surrogacy measures and the surrogacy measures proposed by Prentice (1989. Surrogate endpoints in clinical trials: definition and operational criteria. Statistics in Medicine 8, 431-440). The method is applied to data from a macular degeneration study and an ovarian cancer study.
Conlon, Anna S. C.; Taylor, Jeremy M. G.; Elliott, Michael R.
2014-01-01
In clinical trials, a surrogate outcome variable (S) can be measured before the outcome of interest (T) and may provide early information regarding the treatment (Z) effect on T. Using the principal surrogacy framework introduced by Frangakis and Rubin (2002. Principal stratification in causal inference. Biometrics 58, 21–29), we consider an approach that has a causal interpretation and develop a Bayesian estimation strategy for surrogate validation when the joint distribution of potential surrogate and outcome measures is multivariate normal. From the joint conditional distribution of the potential outcomes of T, given the potential outcomes of S, we propose surrogacy validation measures from this model. As the model is not fully identifiable from the data, we propose some reasonable prior distributions and assumptions that can be placed on weakly identified parameters to aid in estimation. We explore the relationship between our surrogacy measures and the surrogacy measures proposed by Prentice (1989. Surrogate endpoints in clinical trials: definition and operational criteria. Statistics in Medicine 8, 431–440). The method is applied to data from a macular degeneration study and an ovarian cancer study. PMID:24285772
Worth, L J; Lingaratnam, S; Taylor, A; Hayward, A M; Morrissey, S; Cooney, J; Bastick, P A; Eek, R W; Wei, A; Thursky, K A
2011-01-01
Utilization of risk-stratification tools in the setting of neutropenic fever is currently limited by inadequate knowledge and lack of awareness. Within this context, the approach to management of low-risk patients with neutropenic fever is inconsistent with the available evidence across many Australian treating centres. These clinical guidelines define and clarify an accepted standard of care for this patient group given the current evidence base. The Multinational Association for Supportive Care in Cancer risk index is presented as the preferred risk assessment tool for determining patient risk. Suitability of ambulatory care within specific patient populations is discussed, with defined eligibility criteria provided to guide clinical decision-making. Detailed recommendations for implementing appropriate ambulatory strategies, such as early discharge and outpatient antibiotic therapy, are also provided. Due consideration is given to infrastructural requirements and other supportive measures at a resourcing and operational level. An analysis of the relevant health economics is also presented. © 2011 The Authors. Internal Medicine Journal © 2011 Royal Australasian College of Physicians.
Carrillo-Larco, Rodrigo M; Miranda, J Jaime; Gilman, Robert H; Checkley, William; Smeeth, Liam; Bernabé-Ortiz, Antonio
2018-05-01
Studies have reported the incidence/risk of becoming obese, but few have described the trajectories of body mass index (BMI) and waist circumference (WC) over time, especially in low/middle-income countries. We assessed the trajectories of BMI and WC according to sex in four sites in Peru. Data from the population-based CRONICAS Cohort Study were analysed. We fitted a population-averaged model by using generalised estimating equations. The outcomes of interest, with three data points over time, were BMI and WC. The exposure variable was the factorial interaction between time and study site. At baseline mean age was 55.7 years (SD: 12.7) and 51.6% were women. Mean follow-up time was 2.5 years (SD: 0.4). Over time and across sites, BMI and WC increased linearly. The less urbanised sites showed a faster increase than more urbanised sites, and this was also observed after sex stratification. Overall, the fastest increase was found for WC compared with BMI. Compared with Lima, the fastest increase in WC was in rural Puno (coefficient=0.73, P<0.001), followed by urban Puno (coefficient=0.59, P=0.001) and Tumbes (coefficient=0.22, P=0.088). There was a linear increase in BMI and WC across study sites, with the greatest increase in less urbanised areas. The ongoing urbanisation process, common to Peru and other low/middle-income countries, is accompanied by different trajectories of increasing obesity-related markers. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Stratification and mobility in contemporary Egypt.
Nagi, Saad Z; Nagi, Omar
2011-01-01
The objectives in this statement are to characterize and explain the patterns of change in stratification and mobility in Egypt, over the last half century, by placing them within conceptual, explanatory, and historical contexts. First, literature relevant to the primary concepts of "class" and "status", is reviewed. Second, four institutions whose influence is fundamental in shaping these patterns are identified to form an explanatory context: family, polity, economy, and education. And third, an historical account is presented to demonstrate the interplay of these institutions and their consequences for stratification and mobility. For this, four periods are identified that are marked by change in the dominance of institutions and their corresponding influence on stratification and mobility. In addition to data available in relevant literature, this analysis utilizes primary data generated through a national probability household survey.
Kim, Kyungmok; Lee, Jaewook
2016-01-01
This paper describes a sliding friction model for an electro-deposited coating. Reciprocating sliding tests using ball-on-flat plate test apparatus are performed to determine an evolution of the kinetic friction coefficient. The evolution of the friction coefficient is classified into the initial running-in period, steady-state sliding, and transition to higher friction. The friction coefficient during the initial running-in period and steady-state sliding is expressed as a simple linear function. The friction coefficient in the transition to higher friction is described with a mathematical model derived from Kachanov-type damage law. The model parameters are then estimated using the Markov Chain Monte Carlo (MCMC) approach. It is identified that estimated friction coefficients obtained by MCMC approach are in good agreement with measured ones. PMID:28773359
Next-generation sequencing of cancer genomes: back to the future
Walter, Matthew J; Graubert, Timothy A; DiPersio, John F; Mardis, Elaine R; Wilson, Richard K; Ley, Timothy J
2010-01-01
The systematic karyotyping of bone marrow cells was the first genomic approach used to personalize therapy for patients with leukemia. The paradigm established by cytogenetic studies in leukemia (from gene discovery to therapeutic intervention) now has the potential to be rapidly extended with the use of whole-genome sequencing approaches for cancer, which are now possible. We are now entering a period of exponential growth in cancer gene discovery that will provide many novel therapeutic targets for a large number of cancer types. Establishing the pathogenetic relevance of individual mutations is a major challenge that must be solved. However, after thousands of cancer genomes have been sequenced, the genetic rules of cancer will become known and new approaches for diagnosis, risk stratification and individualized treatment of cancer patients will surely follow. PMID:20161678
Causes and Diagnosis of Abnormal Vaginal Bleeding.
Sokol, Elizabeth; Peddinti, Radhika
2015-07-01
Abnormal vaginal bleeding in a postmenarchal adolescent patient is most often related to dysfunctional uterine bleeding. However, there are other potential etiologies, including hematologic disorders, infections, and oncologic problems. We present a 12-year-old girl who presented with prolonged vaginal bleeding and was ultimately diagnosed with rhabdomyosarcoma. In this article, we discuss the approach to a patient with vaginal bleeding along with a more in-depth review of risk stratification in rhabdomyosarcoma, including treatment options such as chemotherapy, surgery, and radiation therapy. Copyright 2015, SLACK Incorporated.
Shafizadeh, Tracy B.; Moler, Edward J.; Kolberg, Janice A.; Nguyen, Uyen Thao; Hansen, Torben; Jorgensen, Torben; Pedersen, Oluf; Borch-Johnsen, Knut
2011-01-01
Background Given the increasing worldwide incidence of diabetes, methods to assess diabetes risk which would identify those at highest risk are needed. We compared two risk-stratification approaches for incident type 2 diabetes mellitus (T2DM); factors of metabolic syndrome (MetS) and a previously developed diabetes risk score, PreDx® Diabetes Risk Score (DRS). DRS assesses 5 yr risk of incident T2DM based on the measurement of 7 biomarkers in fasting blood. Methodology/Principal Findings DRS was evaluated in baseline serum samples from 4,128 non-diabetic subjects in the Inter99 cohort (Danes aged 30–60) for whom diabetes outcomes at 5 years were known. Subjects were classified as having MetS based on the presence of at least 3 MetS risk factors in baseline clinical data. The sensitivity and false positive rate for predicting diabetes using MetS was compared to DRS. When the sensitivity was fixed to match MetS, DRS had a significantly lower false positive rate. Similarly, when the false positive rate was fixed to match MetS, DRS had a significantly higher specificity. In further analyses, subjects were classified by presence of 0–2, 3 or 4–5 risk factors with matching proportions of subjects distributed among three DRS groups. Comparison between the two risk stratification schemes, MetS risk factors and DRS, were evaluated using Net Reclassification Improvement (NRI). Comparing risk stratification by DRS to MetS factors in the total population, the NRI was 0.146 (p = 0.008) demonstrating DRS provides significantly improved stratification. Additionally, the relative risk of T2DM differed by 15 fold between the low and high DRS risk groups, but only 8-fold between the low and high risk MetS groups. Conclusions/Significance DRS provides a more accurate assessment of risk for diabetes than MetS. This improved performance may allow clinicians to focus preventive strategies on those most in need of urgent intervention. PMID:21829540
ON THE APPROACH TO NON-EQUILIBRIUM STATIONARY STATES AND THE THEORY OF TRANSPORT COEFFICIENTS
DOE Office of Scientific and Technical Information (OSTI.GOV)
Balescu, R.
1961-07-01
A general formula for the time dependent electric current arising from a constant electric field is derived similarly to Kubo's theory. This formula connects the time dependence of the current to the singularities of the resolvent of Liouville's operator of a classical system. Direct contact is made with the general theory of approach to equilibrium developed by Prigogine and his coworkers. It constitutes a framework for a diagram expansion of transport coefficients. A proof of the existence of a stationary state and of its stability (to first order in the field) are given. It is rigorously shown that, whereas themore » approach to the stationary state is in general governed by complicated non-markoffian equations, the stationary state itself (and thus the calculation of transport coefficients) is always determined by an asymptotic cross section. This implies that transport coefficients can always be calculated from a markoffian Boltzmann-like equation even in situations in which that equation does not describe properly the approach to the stationary state. (auth)« less
Energy Spectra of Strongly Stratified and Rotating Turbulence
NASA Technical Reports Server (NTRS)
Mahalov, Alex; Nicolaenko, Basil; Zhou, Ye
1998-01-01
Turbulence under strong stratification and rotation is usually characterized as quasi-two dimensional turbulence. We develop a "quasi-two dimensional" energy spectrum which changes smoothly between the Kolmogorov -5/3 law (no stratification), the -2 scalings of Zhou for the case of strong rotation, as well as the -2 scalings for the case of strong rotation and stratification. For strongly stratified turbulence, the model may give the -2 scaling predicted by Herring; and the -5/3 scaling indicated by some mesoscale observations.
Novella, John; DeBiasi, Ralph M; Coplan, Neil L; Suri, Ranji; Keller, Seth
2014-01-01
Sudden cardiac death (SCD) as the first clinical manifestation of Wolff-Parkinson-White (WPW) syndrome is a well-documented, although rare occurrence. The incidence of SCD in patients with WPW ranges from 0% to 0.39% annually. Controversy exists regarding risk stratification for patients with preexcitation on surface electrocardiogram (ECG), particularly in those who are asymptomatic. This article focuses on the role of risk stratification using exercise and pharmacologic testing in patients with WPW pattern on ECG.
Curriculum Placement and Educational Stratification in France.
ERIC Educational Resources Information Center
Hout, Michael; Garnier, Maurice A.
1979-01-01
Maintains that curriculum differentiation in France is the keystone of educational, and, consequently, social stratification. Factors which influence curriculum differentiation include father's occupation, academic performance, parents' expectations, and teachers' expectations. (DB)
Ustrzycka, Alicja; Piotrowska, Natalia; Bonk, Alicja; Filipiak, Janusz; Tylmann, Wojciech
2018-06-01
An isotopic monitoring was undertaken in 2012-2014 at Lake Żabińskie (Mazurian Lakeland, NE Poland). The aim was to identify the factors and processes controlling an isotopic composition of the lake water and to explore the mechanism responsible for recording the climatic signal in stable isotope composition of deposited carbonates. δ 18 O and δ 2 H in the precipitation, lake water column, inflows and outflow, δ 18 O and δ 13 C in the carbonate fraction of sediments trapped in the water column were recorded with monthly resolution. A relationship between δ 18 O and δ 2 H in local precipitation was used to estimate the local meteoric water line. The dataset obtained for the water enabled to identify the modification of the water's isotopic composition due to evaporation, connected with seasonal lake water stratification and mixing patterns. Statistically significant correlation coefficients suggest that the δ 18 O of the carbonate fraction in the sediment traps depends on the δ 18 O of rainfall water and on air temperature. The fractionation coefficient α shows that in summer months the carbonate precipitation process is closest to equilibrium. As expected for an exorheic lake, no significant correlation was observed between δ 18 O and δ 13 C in precipitated carbonate.
NASA Astrophysics Data System (ADS)
Alawadi, Wisam; Al-Rekabi, Wisam S.; Al-Aboodi, Ali H.
2018-03-01
The Shiono and Knight Method (SKM) is widely used to predict the lateral distribution of depth-averaged velocity and boundary shear stress for flows in compound channels. Three calibrating coefficients need to be estimated for applying the SKM, namely eddy viscosity coefficient ( λ), friction factor ( f) and secondary flow coefficient ( k). There are several tested methods which can satisfactorily be used to estimate λ, f. However, the calibration of secondary flow coefficients k to account for secondary flow effects correctly is still problematic. In this paper, the calibration of secondary flow coefficients is established by employing two approaches to estimate correct values of k for simulating asymmetric compound channel with different side slopes of the internal wall. The first approach is based on Abril and Knight (2004) who suggest fixed values for main channel and floodplain regions. In the second approach, the equations developed by Devi and Khatua (2017) that relate the variation of the secondary flow coefficients with the relative depth ( β) and width ratio ( α) are used. The results indicate that the calibration method developed by Devi and Khatua (2017) is a better choice for calibrating the secondary flow coefficients than using the first approach which assumes a fixed value of k for different flow depths. The results also indicate that the boundary condition based on the shear force continuity can successfully be used for simulating rectangular compound channels, while the continuity of depth-averaged velocity and its gradient is accepted boundary condition in simulations of trapezoidal compound channels. However, the SKM performance for predicting the boundary shear stress over the shear layer region may not be improved by only imposing the suitable calibrated values of secondary flow coefficients. This is because difficulties of modelling the complex interaction that develops between the flows in the main channel and on the floodplain in this region.
Personalized assessment and management of women at risk for breast cancer in North America.
Pruthi, Sandhya; Heisey, Ruth; Bevers, Therese
2015-03-01
Many women at increased risk for breast cancer would benefit from referral for genetic testing, enhanced screening, preventive therapy or risk-reducing surgery. We present a visual model and a step-wise approach to assist with a personalized risk stratification and management of these women. We present current recommendations with respect to lifestyle behaviors and mammographic screening, and we review the current evidence regarding enhanced screening and risk-reducing therapies. We discuss the usefulness of three risk-assessment tools in determining whether a woman qualifies for genetic testing, enhanced screening or preventive therapy and present four cases to demonstrate the usefulness of this approach in the clinical setting.
NASA Technical Reports Server (NTRS)
Kirkpatrick, M. P.; Mansour, N. N.; Ackerman, A. S.; Stevens, D. E.
2003-01-01
The use of large eddy simulation, or LES, to study the atmospheric boundary layer dates back to the early 1970s when Deardor (1972) used a three-dimensional simulation to determine velocity and temperature scales in the convective boundary layer. In 1974 he applied LES to the problem of mixing layer entrainment (Deardor 1974) and in 1980 to the cloud-topped boundary layer (Deardor 1980b). Since that time the LES approach has been applied to atmospheric boundary layer problems by numerous authors. While LES has been shown to be relatively robust for simple cases such as a clear, convective boundary layer (Mason 1989), simulation of the cloud-topped boundary layer has proved more of a challenge. The combination of small length scales and anisotropic turbulence coupled with cloud microphysics and radiation effects places a heavy burden on the turbulence model, especially in the cloud-top region. Consequently, over the past few decades considerable effort has been devoted to developing turbulence models that are better able to parameterize these processes. Much of this work has involved taking parameterizations developed for neutral boundary layers and deriving corrections to account for buoyancy effects associated with the background stratification and local buoyancy sources due to radiative and latent heat transfer within the cloud (see Lilly 1962; Deardor 1980a; Mason 1989; MacVean & Mason 1990, for example). In this paper we hope to contribute to this effort by presenting a number of turbulence models in which the model coefficients are calculated dynamically during the simulation rather than being prescribed a priori.
Strain-Rate-Free Diffusion Flames: Initiation, Properties, and Quenching
NASA Technical Reports Server (NTRS)
Fendell, Francis; Rungaldier, Harald; Gokoglu, Suleyman; Schultz, Donald
1997-01-01
For about a half century, the stabilization of a steady planar deflagration on a heat-sink-type flat-flame burner has been of extraordinary service for the theoretical modeling and diagnostic probing of combusting gaseous mixtures. However, most engineering devices and most unwanted fire involve the burning of initially unmixed reactants. The most vigorous burning of initially separated gaseous fuel and oxidizer is the diffusion flame. In this useful idealization (limiting case), the reactants are converted to product at a mathematically thin interface, so no interpenetration of fuel and oxidizer occurs. This limit is of practical importance because it often characterizes the condition of optimal performance (and sometimes environmentally objectionable operation) of a combustor. A steady planar diffusion flame is most closely approached in the laboratory in the counterflow apparatus. The utility of this simple-strain-rate flow for the modeling and probing of diffusion flames was noted by Pandya and Weinberg 35 years ago, though only in the last decade or so has its use become internationally common place. However, typically, as the strain rate a is reduced below about 20 cm(exp -1), and the diffusion-flame limit (reaction rate much faster than the flow rate) is approached, the burning is observed to become unstable in earth gravity. The advantageous steady planar flow is not available in the diffusion-flame limit in earth gravity. This is unfortunate because the typical spatial scale in a counterflow is (k/a)(sup 1/2), where k denotes a characteristic diffusion coefficient; thus, the length scale becomes large, and the reacting flow is particularly amenable to diagnostic probing, as the diffusion-flame limit is approached. The disruption of planar symmetry is owing the fact that, as the strain rate a decreases, the residence time (l/a) of the throughput in the counterflow burner increases. Observationally, when the residence time exceeds about 50 msec, the inevitably present convective (Rayleigh-Benard) instabilities, associated with hot-under-cold (flame-under-fresh-reactant) stratification of fluid in a gravitational field, have time to grow to finite amplitude during transit of the burner.
Conomos, Matthew P; Miller, Michael B; Thornton, Timothy A
2015-05-01
Population structure inference with genetic data has been motivated by a variety of applications in population genetics and genetic association studies. Several approaches have been proposed for the identification of genetic ancestry differences in samples where study participants are assumed to be unrelated, including principal components analysis (PCA), multidimensional scaling (MDS), and model-based methods for proportional ancestry estimation. Many genetic studies, however, include individuals with some degree of relatedness, and existing methods for inferring genetic ancestry fail in related samples. We present a method, PC-AiR, for robust population structure inference in the presence of known or cryptic relatedness. PC-AiR utilizes genome-screen data and an efficient algorithm to identify a diverse subset of unrelated individuals that is representative of all ancestries in the sample. The PC-AiR method directly performs PCA on the identified ancestry representative subset and then predicts components of variation for all remaining individuals based on genetic similarities. In simulation studies and in applications to real data from Phase III of the HapMap Project, we demonstrate that PC-AiR provides a substantial improvement over existing approaches for population structure inference in related samples. We also demonstrate significant efficiency gains, where a single axis of variation from PC-AiR provides better prediction of ancestry in a variety of structure settings than using 10 (or more) components of variation from widely used PCA and MDS approaches. Finally, we illustrate that PC-AiR can provide improved population stratification correction over existing methods in genetic association studies with population structure and relatedness. © 2015 WILEY PERIODICALS, INC.
Freer, Phoebe E.; Slanetz, Priscilla J.; Haas, Jennifer S.; Tung, Nadine M.; Hughes, Kevin S.; Armstrong, Katrina; Semine, A. Alan; Troyan, Susan L.; Birdwell, Robyn L.
2015-01-01
Purpose Stemming from breast density notification legislation in Massachusetts effective 2015, we sought to develop a collaborative evidence-based approach to density notification that could be used by practitioners across the state. Our goal was to develop an evidence-based consensus management algorithm to help patients and health care providers follow best practices to implement a coordinated, evidence-based, cost-effective, sustainable practice and to standardize care in recommendations for supplemental screening. Methods We formed the Massachusetts Breast Risk Education and Assessment Task Force (MA-BREAST) a multi-institutional, multi-disciplinary panel of expert radiologists, surgeons, primary care physicians, and oncologists to develop a collaborative approach to density notification legislation. Using evidence-based data from the Institute for Clinical and Economic Review (ICER), the Cochrane review, National Comprehensive Cancer Network (NCCN) guidelines, American Cancer Society (ACS) recommendations, and American College of Radiology (ACR) appropriateness criteria, the group collaboratively developed an evidence-based best-practices algorithm. Results The expert consensus algorithm uses breast density as one element in the risk stratification to determine the need for supplemental screening. Women with dense breasts and otherwise low risk (<15% lifetime risk), do not routinely require supplemental screening per the expert consensus. Women of high risk (>20% lifetime) should consider supplemental screening MRI in addition to routine mammography regardless of breast density. Conclusion We report the development of the multi-disciplinary collaborative approach to density notification. We propose a risk stratification algorithm to assess personal level of risk to determine the need for supplemental screening for an individual woman. PMID:26290416
NASA Astrophysics Data System (ADS)
Yang, Wei; Wei, Hao; Zhao, Liang
2017-11-01
Tidal straining describes the straining effect induced by the vertical shear of oscillatory tidal currents that act on horizontal density gradients. It tends to create tidal periodic stratification and modulate the turbulence in the bottom boundary layer (BBL). Here, we present observations of current, hydrology and turbulence obtained at two mooring stations that are characterized by two typical hydrological environments in the East China Sea (ECS). One is located adjacent to the Changjiang River's mouth, and the other is located over a sloping shelf which is far from the freshwater sources. Tidal straining induces a semidiurnal switching between stable and unstable stratification at both stations. Near-bottom high-frequency velocity measurements further reveal that the dissipation rate of turbulent kinetic energy (TKE) is highly elevated during periods when unstable stratification occurs. A comparison between the TKE dissipation rate (ɛ) and the shear production (P) further reveals that the near-bottom mixing is locally shear-induced most of the time except during the unstable stratification period. Within this period, the magnitude of dissipation exceeds the expected value based on the law of the wall by an order of magnitude. The buoyancy flux that calculated by the balance method is too small to compensate for the existing discrepancy between the dissipation and shear production. Another plausible candidate is the advection of TKE, which may play an important role in the TKE budget during the unstable stratification period.
Fron Chabouis, Hélène; Chabouis, Francis; Gillaizeau, Florence; Durieux, Pierre; Chatellier, Gilles; Ruse, N Dorin; Attal, Jean-Pierre
2014-01-01
Operative clinical trials are often small and open-label. Randomization is therefore very important. Stratification and minimization are two randomization options in such trials. The first aim of this study was to compare stratification and minimization in terms of predictability and balance in order to help investigators choose the most appropriate allocation method. Our second aim was to evaluate the influence of various parameters on the performance of these techniques. The created software generated patients according to chosen trial parameters (e.g., number of important prognostic factors, number of operators or centers, etc.) and computed predictability and balance indicators for several stratification and minimization methods over a given number of simulations. Block size and proportion of random allocations could be chosen. A reference trial was chosen (50 patients, 1 prognostic factor, and 2 operators) and eight other trials derived from this reference trial were modeled. Predictability and balance indicators were calculated from 10,000 simulations per trial. Minimization performed better with complex trials (e.g., smaller sample size, increasing number of prognostic factors, and operators); stratification imbalance increased when the number of strata increased. An inverse correlation between imbalance and predictability was observed. A compromise between predictability and imbalance still has to be found by the investigator but our software (HERMES) gives concrete reasons for choosing between stratification and minimization; it can be downloaded free of charge. This software will help investigators choose the appropriate randomization method in future two-arm trials.
Piquet, Anouk M-T; Bolhuis, Henk; Meredith, Michael P; Buma, Anita G J
2011-06-01
Antarctic coastal waters undergo major physical alterations during summer. Increased temperatures induce sea-ice melting and glacial melt water input, leading to strong stratification of the upper water column. We investigated the composition of micro-eukaryotic and bacterial communities in Ryder Bay, Antarctic Peninsula, during and after summertime melt water stratification, applying community fingerprinting (denaturing gradient gel electrophoresis) and sequencing analysis of partial 18S and 16S rRNA genes. Community fingerprinting of the eukaryotic community revealed two major patterns, coinciding with a period of melt water stratification, followed by a period characterized by regular wind-induced breakdown of surface stratification. During the first stratified period, we observed depth-related differences in eukaryotic fingerprints while differences in bacterial fingerprints were weak. Wind-induced breakdown of the melt water layer caused a shift in the eukaryotic community from an Actinocyclus sp.- to a Thalassiosira sp.-dominated community. In addition, a distinct transition in the bacterial community was found, but with a few days' delay, suggesting a response to the changes in the eukaryotic community rather than to the mixing event itself. Sequence analysis revealed a shift from an Alpha- and Gammaproteobacteria to a Cytophaga-Flavobacterium-Bacteroides-dominated community under mixed conditions. Our results show that melt water stratification and the transition to nonstabilized Antarctic surface waters may have an impact not only on micro-eukaryotic but also bacterial community composition. © 2011 Federation of European Microbiological Societies. Published by Blackwell Publishing Ltd. All rights reserved.
Kuntsche, Sandra; Gmel, Gerhard; Knibbe, Ronald A; Kuendig, Hervé; Bloomfield, Kim; Kramer, Stephanie; Grittner, Ulrike
2006-01-01
First, this paper investigates (i) gender differences in associations of social stratification, family roles, and heavy drinking, and (ii) country differences in these associations. Second, it seeks to explain country differences in the associations of social stratification and family roles with alcohol consumption by societal level variables. Survey data of 25 to 49-years-old from eight European countries were used. Logistic regressions were used to analyse gender differences in the association between family roles (marriage, having children), social stratification (education, employment), and heavy drinking (>20 g/day for women; 30 g/day for men). Gender differences were tested by means of interactions between gender and social stratification/family roles. Structural measures of work desirability, social welfare, and gender equity were used to explain differences in associations across countries. The associations between social stratification, family roles, and heavy drinking varied across gender and countries. A country's social welfare system was associated with heavy drinking only among women. Women in countries with a strong social welfare system, such as Nordic countries, tended to drink more heavily if employed, having lower formal education, and a non-traditional family role. In countries with weak social welfare systems or work desirability, heavy drinking was associated with high education, while effects of family roles and employment were small. It appeared that the social welfare system and gender equity of a country determines to a large extent how education, employment, and family roles are associated with heavy drinking.
NASA Technical Reports Server (NTRS)
Lei, Ning; Chiang, Kwo-Fu; Oudrari, Hassan; Xiong, Xiaoxiong
2011-01-01
Optical sensors aboard Earth orbiting satellites such as the next generation Visible/Infrared Imager/Radiometer Suite (VIIRS) assume that the sensors radiometric response in the Reflective Solar Bands (RSB) is described by a quadratic polynomial, in relating the aperture spectral radiance to the sensor Digital Number (DN) readout. For VIIRS Flight Unit 1, the coefficients are to be determined before launch by an attenuation method, although the linear coefficient will be further determined on-orbit through observing the Solar Diffuser. In determining the quadratic polynomial coefficients by the attenuation method, a Maximum Likelihood approach is applied in carrying out the least-squares procedure. Crucial to the Maximum Likelihood least-squares procedure is the computation of the weight. The weight not only has a contribution from the noise of the sensor s digital count, with an important contribution from digitization error, but also is affected heavily by the mathematical expression used to predict the value of the dependent variable, because both the independent and the dependent variables contain random noise. In addition, model errors have a major impact on the uncertainties of the coefficients. The Maximum Likelihood approach demonstrates the inadequacy of the attenuation method model with a quadratic polynomial for the retrieved spectral radiance. We show that using the inadequate model dramatically increases the uncertainties of the coefficients. We compute the coefficient values and their uncertainties, considering both measurement and model errors.
Transfer having a coupling coefficient higher than its active material
NASA Technical Reports Server (NTRS)
Lesieutre, George A. (Inventor); Davis, Christopher L. (Inventor)
2001-01-01
A coupling coefficient is a measure of the effectiveness with which a shape-changing material (or a device employing such a material) converts the energy in an imposed signal to useful mechanical energy. Device coupling coefficients are properties of the device and, although related to the material coupling coefficients, are generally different from them. This invention describes a class of devices wherein the apparent coupling coefficient can, in principle, approach 1.0, corresponding to perfect electromechanical energy conversion. The key feature of this class of devices is the use of destabilizing mechanical pre-loads to counter inherent stiffness. The approach is illustrated for piezoelectric and thermoelectrically actuated devices. The invention provides a way to simultaneously increase both displacement and force, distinguishing it from alternatives such as motion amplification, and allows transducer designers to achieve substantial performance gains for actuator and sensor devices.
Calculation of thermal expansion coefficient of glasses based on topological constraint theory
NASA Astrophysics Data System (ADS)
Zeng, Huidan; Ye, Feng; Li, Xiang; Wang, Ling; Yang, Bin; Chen, Jianding; Zhang, Xianghua; Sun, Luyi
2016-10-01
In this work, the thermal expansion behavior and the structure configuration evolution of glasses were studied. Degree of freedom based on the topological constraint theory is correlated with configuration evolution; considering the chemical composition and the configuration change, the analytical equation for calculating the thermal expansion coefficient of glasses from degree of freedom was derived. The thermal expansion of typical silicate and chalcogenide glasses was examined by calculating their thermal expansion coefficients (TEC) using the approach stated above. The results showed that this approach was energetically favorable for glass materials and revealed the corresponding underlying essence from viewpoint of configuration entropy. This work establishes a configuration-based methodology to calculate the thermal expansion coefficient of glasses that, lack periodic order.
ERIC Educational Resources Information Center
Camporesi, Roberto
2011-01-01
We present an approach to the impulsive response method for solving linear constant-coefficient ordinary differential equations based on the factorization of the differential operator. The approach is elementary, we only assume a basic knowledge of calculus and linear algebra. In particular, we avoid the use of distribution theory, as well as of…
Interaction between photons and leaf canopies
NASA Technical Reports Server (NTRS)
Knyazikhin, Yuri V.; Marshak, Alexander L.; Myneni, Ranga B.
1991-01-01
The physics of neutral particle interaction for photons traveling in media consisting of finite-dimensional scattering centers that cross-shade mutually is investigated. A leaf canopy is a typical example of such media. The leaf canopy is idealized as a binary medium consisting of randomly distributed gaps (voids) and regions with phytoelements (turbid phytomedium). In this approach, the leaf canopy is represented by a combination of all possible open oriented spheres. The mathematical approach for characterizing the structure of the host medium is considered. The extinction coefficient at any phase-space location in a leaf canopy is the product of the extinction coefficient in the turbid phytomedium and the probability of absence gaps at that location. Using a similar approach, an expression for the differential scattering coefficient is derived.
NASA Astrophysics Data System (ADS)
Bandriyana, B.; Utaja
2010-06-01
Thermal stratification introduces thermal shock effect which results in local stress and fatique problems that must be considered in the design of nuclear power plant components. Local stress and fatique calculation were performed on the Pressurize Surge Line piping system of the Pressurize Water Reactor of the Nuclear Power Plant. Analysis was done on the operating temperature between 177 to 343° C and the operating pressure of 16 MPa (160 Bar). The stagnant and transient condition with two kinds of stratification model has been evaluated by the two dimensional finite elements method using the ANSYS program. Evaluation of fatigue resistance is developed based on the maximum local stress using the ASME standard Code formula. Maximum stress of 427 MPa occurred at the upper side of the top half of hot fluid pipe stratification model in the transient case condition. The evaluation of the fatigue resistance is performed on 500 operating cycles in the life time of 40 years and giving the usage value of 0,64 which met to the design requirement for class 1 of nuclear component. The out surge transient were the most significant case in the localized effects due to thermal stratification.
Siler, Kyle; Haustein, Stefanie; Smith, Elise; Larivière, Vincent; Alperin, Juan Pablo
2018-01-01
Using a database of recent articles published in the field of Global Health research, we examine institutional sources of stratification in publishing access outcomes. Traditionally, the focus on inequality in scientific publishing has focused on prestige hierarchies in established print journals. This project examines stratification in contemporary publishing with a particular focus on subscription vs. various Open Access (OA) publishing options. Findings show that authors working at lower-ranked universities are more likely to publish in closed/paywalled outlets, and less likely to choose outlets that involve some sort of Article Processing Charge (APCs; gold or hybrid OA). We also analyze institutional differences and stratification in the APC costs paid in various journals. Authors affiliated with higher-ranked institutions, as well as hospitals and non-profit organizations pay relatively higher APCs for gold and hybrid OA publications. Results suggest that authors affiliated with high-ranked universities and well-funded institutions tend to have more resources to choose pay options with publishing. Our research suggests new professional hierarchies developing in contemporary publishing, where various OA publishing options are becoming increasingly prominent. Just as there is stratification in institutional representation between different types of publishing access, there is also inequality within access types.
Influences of exit and stair conditions on human evacuation in a dormitory
NASA Astrophysics Data System (ADS)
Lei, Wenjun; Li, Angui; Gao, Ran; Wang, Xiaowei
2012-12-01
Evacuation processes of students are investigated by experiment and simulation. The experiment is performed for students evacuating from a dormitory with an exit and stairs. FDS+Evac is proposed to simulate the exit and stair dynamics of occupant evacuation. Concerning the exit and stair widths, we put forward some useful standpoints. Good agreement is achieved between the predicted results and experimental results. With the increase of exit width, a significant stratification phenomenon will be found in flow rate. Stratification phenomenon is that two different stable flow rates will emerge during the evacuation. And the flow rate curve looks like a ladder. The larger the exit width, the earlier the stratification phenomenon appears. When exit width is more than 2.0 m, the flow rate of each exit width is divided into two stable stages, and the evacuation times show almost no change. The judgment that the existence of stairs causes flow stratification is reasonable. By changing the width of the stairs, we proved that judgment. The smaller the width of BC, the earlier the stratification appears. We found that scenario 5 is the most adverse circumstance. Those results are helpful in performance-based design of buildings.
Correction of Population Stratification in Large Multi-Ethnic Association Studies
Serre, David; Montpetit, Alexandre; Paré, Guillaume; Engert, James C.; Yusuf, Salim; Keavney, Bernard; Hudson, Thomas J.; Anand, Sonia
2008-01-01
Background The vast majority of genetic risk factors for complex diseases have, taken individually, a small effect on the end phenotype. Population-based association studies therefore need very large sample sizes to detect significant differences between affected and non-affected individuals. Including thousands of affected individuals in a study requires recruitment in numerous centers, possibly from different geographic regions. Unfortunately such a recruitment strategy is likely to complicate the study design and to generate concerns regarding population stratification. Methodology/Principal Findings We analyzed 9,751 individuals representing three main ethnic groups - Europeans, Arabs and South Asians - that had been enrolled from 154 centers involving 52 countries for a global case/control study of acute myocardial infarction. All individuals were genotyped at 103 candidate genes using 1,536 SNPs selected with a tagging strategy that captures most of the genetic diversity in different populations. We show that relying solely on self-reported ethnicity is not sufficient to exclude population stratification and we present additional methods to identify and correct for stratification. Conclusions/Significance Our results highlight the importance of carefully addressing population stratification and of carefully “cleaning” the sample prior to analyses to obtain stronger signals of association and to avoid spurious results. PMID:18196181
Change and Stability in Educational Stratification.
ERIC Educational Resources Information Center
Mare, Robert D.
1981-01-01
Using statistical models, discusses educational stratification with respect to socioeconomic origins. Describes the effects of social background on grade progression change across cohorts born during the 20th century and the consequences of these changes. (JW)
ERIC Educational Resources Information Center
Weber, Deborah A.
Greater understanding and use of confidence intervals is central to changes in statistical practice (G. Cumming and S. Finch, 2001). Reliability coefficients and confidence intervals for reliability coefficients can be computed using a variety of methods. Estimating confidence intervals includes both central and noncentral distribution approaches.…
Bacanu, Silviu-Alin
2017-01-01
Starting from a forensic problem, Homer et al. showed that it was possible to detect if an individual contributes only 0.5% of the DNA in a pool. The finding was extended to prove the possibility of detecting whether a subject participated in a small homogeneous GWAS. We denote this as the detection of a subject belonging to a certain cohort (SBCC). Subsequently, Visscher and Hill showed that the power to detect SBCC signal for an ethnically homogeneous cohort depends roughly on the ratio of the number of independent markers and total sample size. However, it is not clear if the same holds for more ethnically diverse cohorts. Later, Masca et al. propose running as SBCC test a regression of departure from assumed population frequency of i) subject genotype on ii) cohort of interest frequency. They use simulations to show that the approach has better SBCC detection power than the original Homer method but is impeded by population stratification. To investigate the possibility of SBCC detection in multi-ethnic cohorts, we generalize the Masca et al. approach by theoretically deriving the correlation between a subject genotype and the cohort reference allele frequencies (RAFs) for stratified cohorts. Based on the derived formula, we theoretically show that, due to background stratification noise, SBCC detection is unlikely even for mildly stratified cohorts of size greater than around a thousand subjects. Thus, for the vast majority of contemporary cohorts, the fear of compromising privacy via SBCC detection is unfounded.
Cardoso, Joana; Mesquita, Marta; Dias Pereira, António; Bettencourt-Dias, Mónica; Chaves, Paula; Pereira-Leal, José B
2016-01-01
Barrett's esophagus is the major risk factor for esophageal adenocarcinoma. It has a low but non-neglectable risk, high surveillance costs and no reliable risk stratification markers. We sought to identify early biomarkers, predictive of Barrett's malignant progression, using a meta-analysis approach on gene expression data. This in silico strategy was followed by experimental validation in a cohort of patients with extended follow up from the Instituto Português de Oncologia de Lisboa de Francisco Gentil EPE (Portugal). Bioinformatics and systems biology approaches singled out two candidate predictive markers for Barrett's progression, CYR61 and TAZ. Although previously implicated in other malignancies and in epithelial-to-mesenchymal transition phenotypes, our experimental validation shows for the first time that CYR61 and TAZ have the potential to be predictive biomarkers for cancer progression. Experimental validation by reverse transcriptase quantitative PCR and immunohistochemistry confirmed the up-regulation of both genes in Barrett's samples associated with high-grade dysplasia/adenocarcinoma. In our cohort CYR61 and TAZ up-regulation ranged from one to ten years prior to progression to adenocarcinoma in Barrett's esophagus index samples. Finally, we found that CYR61 and TAZ over-expression is correlated with early focal signs of epithelial to mesenchymal transition. Our results highlight both CYR61 and TAZ genes as potential predictive biomarkers for stratification of the risk for development of adenocarcinoma and suggest a potential mechanistic route for Barrett's esophagus neoplastic progression.
Personalized medicine in Europe: not yet personal enough?
Di Paolo, Antonello; Sarkozy, François; Ryll, Bettina; Siebert, Uwe
2017-04-19
Personalized medicine has the potential to allow patients to receive drugs specific to their individual disease, and to increase the efficiency of the healthcare system. There is currently no comprehensive overview of personalized medicine, and this research aims to provide an overview of the concept and definition of personalized medicine in nine European countries. A targeted literature review of selected health databases and grey literature was conducted to collate information regarding the definition, process, use, funding, impact and challenges associated with personalized medicine. In-depth qualitative interviews were carried out with experts with health technology assessment, clinical provisioning, payer, academic, economic and industry experience, and with patient organizations. We identified a wide range of definitions of personalized medicine, with most studies referring to the use of diagnostics and individual biological information such as genetics and biomarkers. Few studies mentioned patients' needs, beliefs, behaviour, values, wishes, utilities, environment and circumstances, and there was little evidence in the literature for formal incorporation of patient preferences into the evaluation of new medicines. Most interviewees described approaches to stratification and segmentation of patients based on genetic markers or diagnostics, and few mentioned health-related quality of life. The published literature on personalized medicine is predominantly focused on patient stratification according to individual biological information. Although these approaches are important, incorporation of environmental factors and patients' preferences in decision making is also needed. In future, personalized medicine should move from treating diseases to managing patients, taking into account all individual factors.
Clinical guidelines and practice: in search of the truth.
Kereiakes, Dean J; Antman, Elliott M
2006-09-19
Data from randomized clinical trials, non-randomized studies, and registries, as well as expert panel consensus are appropriately weighted and woven into the context of clinical practice guidelines. Recent guidelines for the care of patients with ischemic heart disease have emphasized both risk stratification and early coronary angiography with revascularization of patients with high-risk indicators. Advances in our understanding of the pathogenesis of acute coronary syndromes and the dynamics of therapeutic innovation (improvement in catheter-based technologies and adjunctive pharmacotherapy) mandate the timely update and revision of practice guidelines. We believe that the weight of evidence remains clearly in support of an early invasive treatment strategy based on risk stratification. Arguments regarding treatment strategy (invasive vs. conservative) are misguided, and greater focus should be placed on improving the treatment-risk paradox demonstrated in clinical practice as well as on strategies to enhance current guideline compliance and utilization. Interest exists in establishing regional centers of excellence for care of patients with acute ischemic heart disease, analogous to the regionalized approach already established for patients with trauma or stroke. This approach is supported by data that demonstrate an inverse relationship between both institutional and operator procedural volumes and mortality, as well as by existing constraints in resources such as specialized nurses and subspecialty-trained physicians. It is appropriate at this time to briefly review specific aspects of the American College of Cardiology/American Heart Association practice guidelines and the current process of care for acute ischemic heart disease.
Advantages of early diagnosis of diabetic neuropathy in the prevention of diabetic foot ulcers.
Sanz-Corbalán, Irene; Lázaro-Martínez, José Luis; García-Morales, Esther; Molines-Barroso, Raúl; Álvaro-Afonso, Francisco; García-Álvarez, Yolanda
2017-12-26
to evaluate the utility of the sudomotor function test (SFT) as a clinical tool in the Risk Stratification System of diabetic patients and to demonstrate the earlier detection of the risk of developing diabetic foot ulcers (DFU) compared to the standard clinical tests. prospective follow-up study on 263 patients enrolled consecutively over 3.5 years. Diabetic patients without active DFU were classified according to the International Working Group Risk Stratification System (RSS) and categorized according to the results of the Semmes-Wenstein Monofilament (SWM) and biothesiometer measurements or the SFT. The main outcome evaluated was the development of DFU. median follow-up was 42 [38-44] months. Sixty patients (22.8%) developed DFU after a median of 6.2 [3-17] months. Ten patients that were included in the no-risk group (group 0) based on the SWM and biothesiometer results developed DFU. Thus the sensitivity of this approach was 83.33% and the specificity was 50.47%. Based on the SFT results, all patients that developed DFU were included in the correct risk group. This approach had 100% sensitivity and 31.53% specificity. Regarding the diagnostic accuracy of the two Methods, the respective AUC values were 0.776 (95% CI 0.702-0.849) and 0.816 (95% CI 0.757-0.874). SFT improved RSS in diabetic patients in a specialized diabetic foot unit. SFT categorized patients correctly according to the risk of developing DFU. Copyright © 2017 Elsevier B.V. All rights reserved.
Emsley, Richard; Dunn, Graham; White, Ian R
2010-06-01
Complex intervention trials should be able to answer both pragmatic and explanatory questions in order to test the theories motivating the intervention and help understand the underlying nature of the clinical problem being tested. Key to this is the estimation of direct effects of treatment and indirect effects acting through intermediate variables which are measured post-randomisation. Using psychological treatment trials as an example of complex interventions, we review statistical methods which crucially evaluate both direct and indirect effects in the presence of hidden confounding between mediator and outcome. We review the historical literature on mediation and moderation of treatment effects. We introduce two methods from within the existing causal inference literature, principal stratification and structural mean models, and demonstrate how these can be applied in a mediation context before discussing approaches and assumptions necessary for attaining identifiability of key parameters of the basic causal model. Assuming that there is modification by baseline covariates of the effect of treatment (i.e. randomisation) on the mediator (i.e. covariate by treatment interactions), but no direct effect on the outcome of these treatment by covariate interactions leads to the use of instrumental variable methods. We describe how moderation can occur through post-randomisation variables, and extend the principal stratification approach to multiple group methods with explanatory models nested within the principal strata. We illustrate the new methodology with motivating examples of randomised trials from the mental health literature.
Mavrogeni, Sophie I; Sfikakis, Petros P; Dimitroulas, Theodoros; Koutsogeorgopoulou, Loukia; Katsifis, Gikas; Markousis-Mavrogenis, George; Kolovou, Genovefa; Kitas, George D
2018-06-01
Life expectancy in autoimmune rheumatic diseases (ARDs) remains lower compared to the general population, due to various comoborbidities. Cardiovascular disease (CVD) represents the main contributor to premature mortality. Conventional and biologic disease-modifying antirheumatic drugs (DMARDs) have considerably improved long-term outcomes in ARDs not only by suppressing systemic inflammation but also by lowering CVD burden. Regarding atherosclerotic disease prevention, EULAR has recommended tight disease control accompanied by regular assessment of traditional CVD risk factors and lifestyle changes. However, this approach, although rational and evidence-based, does not account for important issues such as myocardial inflammation and the long asymptomatic period that usually proceeds clinical manifestations of CVD disease in ARDs before or after the diagnosis of systemic disease. Cardiovascular magnetic resonance (CMR) can offer reliable, reproducible and operator independent information regarding myocardial inflammation, ischemia and fibrosis. Some studies suggest a role for CMR in the risk stratification of ARDs and demonstrate that oedema/fibrosis visualisation with CMR may have the potential to inform cardiac and rheumatic treatment modification in ARDs with or without abnormal routine cardiac evaluation. In this review, we discuss how CMR findings could influence anti-rheumatic treatment decisions targeting optimal control of both systemic and myocardial inflammation irrespective of clinical manifestations of cardiac disease. CMR can provide a different approach that is very promising for risk stratification and treatment modification; however, further studies are needed before the inclusion of CMR in the routine evaluation and treatment of patients with ARDs.
Assessing impacts of roads: application of a standard assessment protocol
Duniway, Michael C.; Herrick, Jeffrey E.
2013-01-01
Adaptive management of road networks depends on timely data that accurately reflect the impacts those systems are having on ecosystem processes and associated services. In the absence of reliable data, land managers are left with little more than observations and perceptions to support management decisions of road-associated disturbances. Roads can negatively impact the soil, hydrologic, plant, and animal processes on which virtually all ecosystem services depend. The Interpreting Indicators of Rangeland Health (IIRH) protocol is a qualitative method that has been demonstrated to be effective in characterizing impacts of roads. The goal of this study were to develop, describe, and test an approach for using IIRH to systematically evaluate road impacts across large, diverse arid and semiarid landscapes. We developed a stratified random sampling approach to plot selection based on ecological potential, road inventory data, and image interpretation of road impacts. The test application on a semiarid landscape in southern New Mexico, United States, demonstrates that the approach developed is sensitive to road impacts across a broad range of ecological sites but that not all the types of stratification were useful. Ecological site and road inventory strata accounted for significant variability in the functioning of ecological processes but stratification based on apparent impact did not. Analysis of the repeatability of IIRH applied to road plots indicates that the method is repeatable but consensus evaluations based on multiple observers should be used to minimize risk of bias. Landscape-scale analysis of impacts by roads of contrasting designs (maintained dirt or gravel roads vs. non- or infrequently maintained roads) suggests that future travel management plans for the study area should consider concentrating traffic on fewer roads that are well designed and maintained. Application of the approach by land managers will likely provide important insights into minimizing impacts of road networks on key ecosystem services.
Tidal asymmetries of velocity and stratification over a bathymetric depression in a tropical inlet
NASA Astrophysics Data System (ADS)
Waterhouse, Amy F.; Valle-Levinson, Arnoldo; Morales Pérez, Rubén A.
2012-10-01
Observations of current velocity, sea surface elevation and vertical profiles of density were obtained in a tropical inlet to determine the effect of a bathymetric depression (hollow) on the tidal flows. Surveys measuring velocity profiles were conducted over a diurnal tidal cycle with mixed spring tides during dry and wet seasons. Depth-averaged tidal velocities during ebb and flood tides behaved according to Bernoulli dynamics, as expected. The dynamic balance of depth-averaged quantities in the along-channel direction was governed by along-channel advection and pressure gradients with baroclinic pressure gradients only being important during the wet season. The vertical structure of the along-channel flow during flood tides exhibited a mid-depth maximum with lateral shear enhanced during the dry season as a result of decreased vertical stratification. During ebb tides, along-channel velocities in the vicinity of the hollow were vertically sheared with a weak return flow at depth due to choking of the flow on the seaward slope of the hollow. The potential energy anomaly, a measure of the amount of energy required to fully mix the water column, showed two peaks in stratification associated with ebb tide and a third peak occurring at the beginning of flood. After the first mid-ebb peak in stratification, ebb flows were constricted on the seaward slope of the hollow resulting in a bottom return flow. The sinking of surface waters and enhanced mixing on the seaward slope of the hollow reduced the potential energy anomaly after maximum ebb. The third peak in stratification during early flood occurred as a result of denser water entering the inlet at mid-depth. This dense water mixed with ambient deep waters increasing the stratification. Lateral shear in the along-channel flow across the hollow allowed trapping of less dense water in the surface layers further increasing stratification.
Dempsey, Adam B.; Curran, Scott J.; Wagner, Robert M.
2016-01-14
Many research studies have shown that low temperature combustion in compression ignition engines has the ability to yield ultra-low NOx and soot emissions while maintaining high thermal efficiency. To achieve low temperature combustion, sufficient mixing time between the fuel and air in a globally dilute environment is required, thereby avoiding fuel-rich regions and reducing peak combustion temperatures, which significantly reduces soot and NOx formation, respectively. It has been demonstrated that achieving low temperature combustion with diesel fuel over a wide range of conditions is difficult because of its properties, namely, low volatility and high chemical reactivity. On the contrary, gasolinemore » has a high volatility and low chemical reactivity, meaning it is easier to achieve the amount of premixing time required prior to autoignition to achieve low temperature combustion. In order to achieve low temperature combustion while meeting other constraints, such as low pressure rise rates and maintaining control over the timing of combustion, in-cylinder fuel stratification has been widely investigated for gasoline low temperature combustion engines. The level of fuel stratification is, in reality, a continuum ranging from fully premixed (i.e. homogeneous charge of fuel and air) to heavily stratified, heterogeneous operation, such as diesel combustion. However, to illustrate the impact of fuel stratification on gasoline compression ignition, the authors have identified three representative operating strategies: partial, moderate, and heavy fuel stratification. Thus, this article provides an overview and perspective of the current research efforts to develop engine operating strategies for achieving gasoline low temperature combustion in a compression ignition engine via fuel stratification. In this paper, computational fluid dynamics modeling of the in-cylinder processes during the closed valve portion of the cycle was used to illustrate the opportunities and challenges associated with the various fuel stratification levels.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Dempsey, Adam B.; Curran, Scott J.; Wagner, Robert M.
Many research studies have shown that low temperature combustion in compression ignition engines has the ability to yield ultra-low NOx and soot emissions while maintaining high thermal efficiency. To achieve low temperature combustion, sufficient mixing time between the fuel and air in a globally dilute environment is required, thereby avoiding fuel-rich regions and reducing peak combustion temperatures, which significantly reduces soot and NOx formation, respectively. It has been demonstrated that achieving low temperature combustion with diesel fuel over a wide range of conditions is difficult because of its properties, namely, low volatility and high chemical reactivity. On the contrary, gasolinemore » has a high volatility and low chemical reactivity, meaning it is easier to achieve the amount of premixing time required prior to autoignition to achieve low temperature combustion. In order to achieve low temperature combustion while meeting other constraints, such as low pressure rise rates and maintaining control over the timing of combustion, in-cylinder fuel stratification has been widely investigated for gasoline low temperature combustion engines. The level of fuel stratification is, in reality, a continuum ranging from fully premixed (i.e. homogeneous charge of fuel and air) to heavily stratified, heterogeneous operation, such as diesel combustion. However, to illustrate the impact of fuel stratification on gasoline compression ignition, the authors have identified three representative operating strategies: partial, moderate, and heavy fuel stratification. Thus, this article provides an overview and perspective of the current research efforts to develop engine operating strategies for achieving gasoline low temperature combustion in a compression ignition engine via fuel stratification. In this paper, computational fluid dynamics modeling of the in-cylinder processes during the closed valve portion of the cycle was used to illustrate the opportunities and challenges associated with the various fuel stratification levels.« less
NASA Astrophysics Data System (ADS)
Wilkinson, A.; Guala, M.; Hondzo, M.
2017-12-01
Harmful Algal Blooms (HAB) are made up of potentially toxic freshwater microorganisms called cyanobacteria, because of this they are a ecological and public health hazard. The occurrences of toxic HAB are unpredictable and highly spatially and temporary variable in freshwater ecosystems. To study the abiotic drivers for toxic HAB, a floating research station has been deployed in a hyper-eutrophic lake in Madison Lake, Minnesota, from June-October 2016. This research station provides full depth water quality (hourly) and meteorological monitoring (5 minutes). Water quality monitoring is performed by an autonomously traversed water quality sonde that provides chemical, physical and biological measurements; including phycocyanin, a photosynthetic pigment distinct to cyanobacteria. A bloom of cyanobacteria recorded in the epiliminion in mid-July was driven by prolonged strong thermal stratification in the water column, high surface water temperatures and high phosphate concentrations in the epiliminion. The high biovolume (BV) persisted until late September and was sustained below the surface after stratification weakened, when the thermocline did not confine cyanobacteria-rich layers any more, and cyanobacteria vertical heterogeneities decayed in the water column. High correlations among BV stratification, surface water temperature, and stratification stability informed the development of a quantitative relationship to determine how BV heterogeneities vary with thermal structure in the water column. The BV heterogeneity decreased with thermal stratification stability and surface water temperature, and the dynamic lake stability described by the Lake Number. Finally the location of maximum BV accumulation showed diurnal patterns ie. BV peaks were observed at 1 m depth during the day and deeper layers during the night, which followed patterns in light penetration and thermocline depth. These findings capture cyanobacteria vertical and temporal heterogeneities on a on full depth, seasonal scale and quantify BV distribution throughout the water column under different stratification conditions, which can be important for mitigating risks of contamination of drinking water and recreational exposure.
External validation of scoring systems in risk stratification of upper gastrointestinal bleeding.
Anchu, Anna Cherian; Mohsina, Subair; Sureshkumar, Sathasivam; Mahalakshmy, T; Kate, Vikram
2017-03-01
The aim of this study was to externally validate the four commonly used scoring systems in the risk stratification of patients with upper gastrointestinal bleed (UGIB). Patients of UGIB who underwent endoscopy within 24 h of presentation were stratified prospectively using the pre-endoscopy Rockall score (PRS) >0, complete Rockall score (CRS) >2, Glasgow Blatchford bleeding scores (GBS) >3, and modified GBS (m-GBS) >3 scores. Patients were followed up to 30 days. Prognostic accuracy of the scores was done by comparing areas under curve (AUC) in terms of overall risk stratification, re-bleeding, mortality, need for intervention, and length of hospitalization. One hundred and seventy-five patients were studied. All four scores performed better in the overall risk stratification on AUC [PRS = 0.566 (CI: 0.481-0.651; p-0.043)/CRS = 0.712 (CI: 0.634-0.790); p<0.001)/GBS = 0.810 (CI: 0.744-0.877; p->0.001); m-GBS = 0.802 (CI: 0.734-0.871; p<0.001)], whereas only CRS achieved significance in identifying re-bleed [AUC-0.679 (CI: 0.579-0.780; p = 0.003)]. All the scoring systems except PRS were found to be significantly better in detecting 30-day mortality with a high AUC (CRS = 0.798; p-0.042)/GBS = 0.833; p-0.023); m-GBS = 0.816; p-0.031). All four scores demonstrated significant accuracy in the risk stratification of non-variceal patients; however, only GBS and m-GBS were significant in variceal etiology. Higher cutoff scores achieved better sensitivity/specificity [RS > 0 (50/60.8), CRS > 1 (87.5/50.6), GBS > 7 (88.5/63.3), m-GBS > 7(82.3/72.6)] in the risk stratification. GBS and m-GBS appear to be more valid in risk stratification of UGIB patients in this region. Higher cutoff values achieved better predictive accuracy.
A Theory of Density Layering in Stratified Turbulence using Statistical State Dynamics
NASA Astrophysics Data System (ADS)
Fitzgerald, J.; Farrell, B.
2016-12-01
Stably stratified turbulent fluids commonly develop density structures that are layered in the vertical direction (e.g., Manucharyan et al., 2015). Within layers, density is approximately constant and stratification is weak. Between layers, density varies rapidly and stratification is strong. A common explanation for the existence of layers invokes the negative diffusion mechanism of Phillips (1972) & Posmentier (1977). The physical principle underlying this mechanism is that the flux-gradient relationship connecting the turbulent fluxes of buoyancy to the background stratification must have the special property of weakening fluxes with strengthening gradient. Under these conditions, the evolution of the stratification is governed by a negative diffusion problem which gives rise to spontaneous layer formation. In previous work on stratified layering, this flux-gradient property is often assumed (e.g, Posmentier, 1977) or drawn from phenomenological models of turbulence (e.g., Balmforth et al., 1998).In this work we develop the theoretical underpinnings of layer formation by applying stochastic turbulence modeling and statistical state dynamics (SSD) to predict the flux-gradient relation and analyze layer formation directly from the equations of motion. We show that for stochastically-forced homogeneous 2D Boussinesq turbulence, the flux-gradient relation can be obtained analytically and indicates that the fluxes always strengthen with stratification. The Phillips mechanism thus does not operate in this maximally simplified scenario. However, when the problem is augmented to include a large scale background shear, we show that the flux-gradient relationship is modified so that the fluxes weaken with stratification. Sheared and stratified 2D Boussinesq turbulence thus spontaneously forms density layers through the Phillips mechanism. Using SSD (Farrell & Ioannou 2003), we obtain a closed, deterministic dynamics for the stratification and the statistical turbulent state. We show that density layers form as a linear instability of the sheared turbulence, associated with a supercritical bifurcation. We further show that SSD predicts the nonlinear equilibration and maintenance of the layers, and captures the phenomena of layer growth and mergers (Radko, 2007).
DOE Office of Scientific and Technical Information (OSTI.GOV)
Baumann, Brian C.; He, Jiwei; Hwang, Wei-Ting
Purpose: To inform prospective trials of adjuvant radiation therapy (adj-RT) for bladder cancer after radical cystectomy, a locoregional failure (LF) risk stratification was proposed. This stratification was developed and validated using surgical databases that may not reflect the outcomes expected in prospective trials. Our purpose was to assess sources of bias that may affect the stratification model's validity or alter the LF risk estimates for each subgroup: time bias due to evolving surgical techniques; trial accrual bias due to inclusion of patients who would be ineligible for adj-RT trials because of early disease progression, death, or loss to follow-up shortlymore » after cystectomy; bias due to different statistical methods to estimate LF; and subgrouping bias due to different definitions of the LF subgroups. Methods and Materials: The LF risk stratification was developed using a single-institution cohort (n=442, 1990-2008) and the multi-institutional SWOG 8710 cohort (n=264, 1987-1998) treated with radical cystectomy with or without chemotherapy. We evaluated the sensitivity of the stratification to sources of bias using Fine-Gray regression and Kaplan-Meier analyses. Results: Year of radical cystectomy was not associated with LF risk on univariate or multivariate analysis after controlling for risk group. By use of more stringent inclusion criteria, 26 SWOG patients (10%) and 60 patients from the single-institution cohort (14%) were excluded. Analysis of the remaining patients confirmed 3 subgroups with significantly different LF risks with 3-year rates of 7%, 17%, and 36%, respectively (P<.01), nearly identical to the rates without correcting for trial accrual bias. Kaplan-Meier techniques estimated higher subgroup LF rates than competing risk analysis. The subgroup definitions used in the NRG-GU001 adj-RT trial were validated. Conclusions: These sources of bias did not invalidate the LF risk stratification or substantially change the model's LF estimates.« less
Switching theory-based steganographic system for JPEG images
NASA Astrophysics Data System (ADS)
Cherukuri, Ravindranath C.; Agaian, Sos S.
2007-04-01
Cellular communications constitute a significant portion of the global telecommunications market. Therefore, the need for secured communication over a mobile platform has increased exponentially. Steganography is an art of hiding critical data into an innocuous signal, which provide answers to the above needs. The JPEG is one of commonly used format for storing and transmitting images on the web. In addition, the pictures captured using mobile cameras are in mostly in JPEG format. In this article, we introduce a switching theory based steganographic system for JPEG images which is applicable for mobile and computer platforms. The proposed algorithm uses the fact that energy distribution among the quantized AC coefficients varies from block to block and coefficient to coefficient. Existing approaches are effective with a part of these coefficients but when employed over all the coefficients they show there ineffectiveness. Therefore, we propose an approach that works each set of AC coefficients with different frame work thus enhancing the performance of the approach. The proposed system offers a high capacity and embedding efficiency simultaneously withstanding to simple statistical attacks. In addition, the embedded information could be retrieved without prior knowledge of the cover image. Based on simulation results, the proposed method demonstrates an improved embedding capacity over existing algorithms while maintaining a high embedding efficiency and preserving the statistics of the JPEG image after hiding information.
DNS of helicity-induced stratified turbulent flow
NASA Astrophysics Data System (ADS)
Chandy, Abhilash J.; Rahimi, Abbas
2013-11-01
Helical flows undergoing density stratification have wide applications in meteorological phenomena such as dust devils, tornadoes, and hurricanes due to the complexity and disasters caused by them. Direct numerical simulations (DNS) of transition to turbulence in a stably stratified Boussinesq fluid are presented for different rotation and stratification intensities. In order to understand the effect of velocity on the energy cascade, comparisons are made between helicity initiated and non-helical flows. Results show that stratification decelerates the helicity decay and causes velocity and vorticity to align with each other. With respect to the helical and non-helical flow comparisons, the total energy in the presence of stratification decays faster with helicity. In addition, the behavior of length scales were examined by comparing temporal variations of the vertical shearing of velocities. Results showed a growing asymmetry with time in the case of helical flow, while non-helical flow stayed close to begin symmetric.
Niemelä, R; Koskela, H; Engström, K
2001-08-01
The purpose of the study was to investigate the performance of displacement ventilation in a large factory hall where large components of stainless steel for paper, pulp and chemical industries were manufactured. The performance of displacement ventilation was evaluated in terms of concentration distributions of welding fumes and grinding particles, flow field of the supply air and temperature distributions. Large differences in vertical stratification patterns between hexavalent chromium (Cr(VI)) and other particulate contaminants were observed. The concentration of Cr(VI) was notably lower in the zone of occupancy than in the upper part of the factory hall, whereas the concentrations of total airborne particles and trivalent chromium (Cr(III)) were higher in the occupied zone than in the upper zone. The stratification of Cr(VI) had the same tendency as the air temperature stratification caused by the displacement flow field.
New Methods for the Analysis of Heartbeat Behavior in Risk Stratification
Glass, Leon; Lerma, Claudia; Shrier, Alvin
2011-01-01
Developing better methods for risk stratification for tachyarrhythmic sudden cardiac remains a major challenge for physicians and scientists. Since the transition from sinus rhythm to ventricular tachycardia/fibrillation happens by different mechanisms in different people, it is unrealistic to think that a single measure will be adequate to provide a good index for risk stratification. We analyze the dynamical properties of ventricular premature complexes over 24 h in an effort to understand the underlying mechanisms of ventricular arrhythmias and to better understand the arrhythmias that occur in individual patients. Two dimensional density plots, called heartprints, correlate characteristic features of the dynamics of premature ventricular complexes and the sinus rate. Heartprints show distinctive characteristics in individual patients. Based on a better understanding of the natures of transitions from sinus rhythm to sudden cardiac and the mechanisms of arrhythmia prior to cardiac arrest, it should be possible to develop better methods for risk stratification. PMID:22144963
General Series Solutions for Stresses and Displacements in an Inner-fixed Ring
NASA Astrophysics Data System (ADS)
Jiao, Yongshu; Liu, Shuo; Qi, Dexuan
2018-03-01
The general series solution approach is provided to get the stress and displacement fields in the inner-fixed ring. After choosing an Airy stress function in series form, stresses are expressed by infinite coefficients. Displacements are obtained by integrating the geometric equations. For an inner-fixed ring, the arbitrary loads acting on outer edge are extended into two sets of Fourier series. The zero displacement boundary conditions on inner surface are utilized. Then the stress (and displacement) coefficients are expressed by loading coefficients. A numerical example shows the validity of this approach.
Semi-automatic aircraft control system
NASA Technical Reports Server (NTRS)
Gilson, Richard D. (Inventor)
1978-01-01
A flight control type system which provides a tactile readout to the hand of a pilot for directing elevator control during both approach to flare-out and departure maneuvers. For altitudes above flare-out, the system sums the instantaneous coefficient of lift signals of a lift transducer with a generated signal representing ideal coefficient of lift for approach to flare-out, i.e., a value of about 30% below stall. Error signals resulting from the summation are read out by the noted tactile device. Below flare altitude, an altitude responsive variation is summed with the signal representing ideal coefficient of lift to provide error signal readout.
NASA Astrophysics Data System (ADS)
Gryanik, Vladimir M.; Lüpkes, Christof
2018-02-01
In climate and weather prediction models the near-surface turbulent fluxes of heat and momentum and related transfer coefficients are usually parametrized on the basis of Monin-Obukhov similarity theory (MOST). To avoid iteration, required for the numerical solution of the MOST equations, many models apply parametrizations of the transfer coefficients based on an approach relating these coefficients to the bulk Richardson number Rib. However, the parametrizations that are presently used in most climate models are valid only for weaker stability and larger surface roughnesses than those documented during the Surface Heat Budget of the Arctic Ocean campaign (SHEBA). The latter delivered a well-accepted set of turbulence data in the stable surface layer over polar sea-ice. Using stability functions based on the SHEBA data, we solve the MOST equations applying a new semi-analytic approach that results in transfer coefficients as a function of Rib and roughness lengths for momentum and heat. It is shown that the new coefficients reproduce the coefficients obtained by the numerical iterative method with a good accuracy in the most relevant range of stability and roughness lengths. For small Rib, the new bulk transfer coefficients are similar to the traditional coefficients, but for large Rib they are much smaller than currently used coefficients. Finally, a possible adjustment of the latter and the implementation of the new proposed parametrizations in models are discussed.
Contemporary approach to essential thrombocythemia and polycythemia vera.
Aruch, Daniel; Mascarenhas, John
2016-03-01
Management of polycythemia vera and essential thrombocythemia requires understanding of the key concepts regarding diagnosis, risk stratification, and management. Essential thrombocythemia and polycythemia vera are among the Philadelphia chromosome negative myeloproliferative neoplasms. They are characterized by overproduction of blood cells and their complications include thrombosis, hemorrhage, and progression to myelofibrosis or acute myeloid leukemia (AML). Management of essential thrombocythemia/polycythemia vera requires recognition of the risk factors for thrombosis and hemorrhage. Risk stratification allows the clinician to make a treatment plan that may include antiplatelet therapy with aspirin alone or in combination with therapeutic phlebotomy in the case of polycythemia vera, or cytoreductive therapy for high-risk patients with either essential thrombocythemia or polycythemia vera. Hydroxyurea remains first-line therapy for high-risk patients with essential thrombocythemia/polycythemia vera, whereas second-line options include anagrelide, pegylated-IFNα-2a, and the JAK1/2 inhibitor ruxolitinib. The current evaluation of pegylated-IFNα-2a in global phase II and III studies will provide clarity to the potential long-term benefit and risks associated with this biologic in patients with essential thrombocythemia/polycythemia vera. Novel therapeutics aimed at prevention of disease progression to myelofibrosis/AML are the focus of current clinical trials. Risk stratification of patients with essential thrombocythemia/polycythemia vera by age and/or history of thrombosis provides the basis of risk adapted therapeutic intervention. Aggressive control of modifiable cardiovascular risk factors, the use of antiplatelet agents, control of the hematocrit less than 45% in polycythemia vera, and cytoreductive therapy in high-risk essential thrombocythemia/polycythemia vera patients is the focus of management. The exact role of IFN-α remains undefined and under active investigation, and the recent approval of ruxolitinib provides patients with polycythemia vera a second-line option.
Sood, Manish M.; Larkina, Maria; Thumma, Jyothi R.; Tentori, Francesca; Gillespie, Brenda W.; Fukuhara, Shunichi; Mendelssohn, David C.; Chan, Kevin; de Sequera, Patricia; Komenda, Paul; Rigatto, Claudio; Robinson, Bruce M.
2013-01-01
Benefits and risks of antithrombotic agents remain unclear in the hemodialysis population. We aimed to determine variation in antithrombotic agent use, rates of major bleeding events, and to determine factors predictive of stroke and bleeding to allow for risk stratification, enabling more rational decisions about using antithrombotic agents. The sample included 48,144 patients in 12 countries in the Dialysis Outcomes and Practice Patterns Study Phase I–IV. Antithrombotic agents included oral anticoagulants (OAC), ASA and anti-platelet agents (APA). OAC prescription, comorbidities and vascular access were assessed at study entry; data on clinical events including hospitalization due to bleeding were collected every four months during follow-up. There was wide variation in OAC (0.3–18%), APA (3–25%) and ASA use (8–36%), and major bleeding rates (0.05–0.22 events/year) among countries. Rates of all-cause mortality, cardiovascular mortality, and bleeding events requiring hospitalization were elevated in patients prescribed OAC across adjusted models. The CHADS2 score predicted the risk of stroke in atrial fibrillation patients. Gastrointestinal bleeding in the past 12 months was highly predictive of major bleeding events; for patients with previous gastrointestinal bleeding, the rate of bleeding exceeded the rate of stroke by at least 2-fold across categories of CHADS2 score. Prescription of antithrombotic agents varied greatly. The CHADS2 score and a history of gastrointestinal bleeding were predictive of stroke and bleeding events, respectively, with bleeding rates substantially exceeding stroke rates in all groups including patients at high stroke risk. Appropriate risk stratification and a cautious approach should be considered before OAC use in the dialysis population. PMID:23677245
ERIC Educational Resources Information Center
Camporesi, Roberto
2016-01-01
We present an approach to the impulsive response method for solving linear constant-coefficient ordinary differential equations of any order based on the factorization of the differential operator. The approach is elementary, we only assume a basic knowledge of calculus and linear algebra. In particular, we avoid the use of distribution theory, as…
ERIC Educational Resources Information Center
Bloom, Howard S.; Raudenbush, Stephen W.; Weiss, Michael J.; Porter, Kristin
2017-01-01
The present article considers a fundamental question in evaluation research: "By how much do program effects vary across sites?" The article first presents a theoretical model of cross-site impact variation and a related estimation model with a random treatment coefficient and fixed site-specific intercepts. This approach eliminates…
Liao, Fuyuan; Jan, Yih-Kuen
2012-06-01
This paper presents a recurrence network approach for the analysis of skin blood flow dynamics in response to loading pressure. Recurrence is a fundamental property of many dynamical systems, which can be explored in phase spaces constructed from observational time series. A visualization tool of recurrence analysis called recurrence plot (RP) has been proved to be highly effective to detect transitions in the dynamics of the system. However, it was found that delay embedding can produce spurious structures in RPs. Network-based concepts have been applied for the analysis of nonlinear time series recently. We demonstrate that time series with different types of dynamics exhibit distinct global clustering coefficients and distributions of local clustering coefficients and that the global clustering coefficient is robust to the embedding parameters. We applied the approach to study skin blood flow oscillations (BFO) response to loading pressure. The results showed that global clustering coefficients of BFO significantly decreased in response to loading pressure (p<0.01). Moreover, surrogate tests indicated that such a decrease was associated with a loss of nonlinearity of BFO. Our results suggest that the recurrence network approach can practically quantify the nonlinear dynamics of BFO.
Chang, Melanie L.; Yokoyama, Jennifer S.; Branson, Nick; Dyer, Donna J.; Hitte, Christophe; Overall, Karen L.
2009-01-01
Until recently, canine genetic research has not focused on population structure within breeds, which may confound the results of case–control studies by introducing spurious correlations between phenotype and genotype that reflect population history. Intrabreed structure may exist when geographical origin or divergent selection regimes influence the choices of potential mates for breeding dogs. We present evidence for intrabreed stratification from a genome-wide marker survey in a sample of unrelated dogs. We genotyped 76 Border Collies, 49 Australian Shepherds, 17 German Shepherd Dogs, and 17 Portuguese Water Dogs for our primary analyses using Affymetrix Canine v2.0 single-nucleotide polymorphism (SNP) arrays. Subsets of autosomal markers were examined using clustering algorithms to facilitate assignment of individuals to populations and estimation of the number of populations represented in the sample. SNPs passing stringent quality control filters were employed for explicitly phylogenetic analyses reconstructing relationships between individuals using maximum parsimony and Bayesian methods. We used simulation studies to explore the possible effects of intrabreed stratification on genome-wide association studies. These analyses demonstrate significant stratification in at least one of our primary breeds of interest, the Border Collie. Demographic and pedigree data suggest that this population substructure may result from geographic isolation or divergent selection regimes practiced by breeders with different breeding program goals. Simulation studies indicate that such stratification could result in false discovery rates significant enough to confound genome-wide association analyses. Intrabreed stratification should be accounted for when designing and interpreting the results of case–control association studies using purebred dogs.
An indirect approach to the extensive calculation of relationship coefficients
Colleau, Jean-Jacques
2002-01-01
A method was described for calculating population statistics on relationship coefficients without using corresponding individual data. It relied on the structure of the inverse of the numerator relationship matrix between individuals under investigation and ancestors. Computation times were observed on simulated populations and were compared to those incurred with a conventional direct approach. The indirect approach turned out to be very efficient for multiplying the relationship matrix corresponding to planned matings (full design) by any vector. Efficiency was generally still good or very good for calculating statistics on these simulated populations. An extreme implementation of the method is the calculation of inbreeding coefficients themselves. Relative performances of the indirect method were good except when many full-sibs during many generations existed in the population. PMID:12270102
NASA Technical Reports Server (NTRS)
Odonnell, M.; Miller, J. G.
1981-01-01
The use of a broadband backscatter technique to obtain the frequency dependence of the longitudinal-wave ultrasonic backscatter coefficient from a collection of scatterers in a solid is investigated. Measurements of the backscatter coefficient were obtained over the range of ultrasonic wave vector magnitude-glass sphere radius product between 0.1 and 3.0 from model systems consisting of dilute suspensions of randomly distributed crown glass spheres in hardened polyester resin. The results of these measurements were in good agreement with theoretical prediction. Consequently, broadband measurements of the ultrasonic backscatter coefficient may represent a useful approach toward characterizing the physical properties of scatterers in intrinsically inhomogeneous materials such as composites, metals, and ceramics, and may represent an approach toward nondestructive evaluation of these materials.
Interpreting Regression Results: beta Weights and Structure Coefficients are Both Important.
ERIC Educational Resources Information Center
Thompson, Bruce
Various realizations have led to less frequent use of the "OVA" methods (analysis of variance--ANOVA--among others) and to more frequent use of general linear model approaches such as regression. However, too few researchers understand all the various coefficients produced in regression. This paper explains these coefficients and their…
Bayesian Meta-Analysis of Cronbach's Coefficient Alpha to Evaluate Informative Hypotheses
ERIC Educational Resources Information Center
Okada, Kensuke
2015-01-01
This paper proposes a new method to evaluate informative hypotheses for meta-analysis of Cronbach's coefficient alpha using a Bayesian approach. The coefficient alpha is one of the most widely used reliability indices. In meta-analyses of reliability, researchers typically form specific informative hypotheses beforehand, such as "alpha of…
Summer Stratification and Fall Overturn--In a Jar.
ERIC Educational Resources Information Center
Foley, Arlene F.
1984-01-01
Provided are procedures for a demonstration which illustrates the concept of summer stratification of lakes in the temperate zone as maintained by thermal resistance to mixing. The demonstration requires only food coloring, water, and common laboratory equipment. (JN)
NASA Astrophysics Data System (ADS)
Anurose, T. J.; Bala Subrahamanyam, D.
2014-06-01
The performance of a surface-layer parameterization scheme in a high-resolution regional model (HRM) is carried out by comparing the model-simulated sensible heat flux (H) with the concurrent in situ measurements recorded at Thiruvananthapuram (8.5° N, 76.9° E), a coastal station in India. With a view to examining the role of atmospheric stability in conjunction with the roughness lengths in the determination of heat exchange coefficient (CH) and H for varying meteorological conditions, the model simulations are repeated by assigning different values to the ratio of momentum and thermal roughness lengths (i.e. z0m/z0h) in three distinct configurations of the surface-layer scheme designed for the present study. These three configurations resulted in differential behaviour for the varying meteorological conditions, which is attributed to the sensitivity of CH to the bulk Richardson number (RiB) under extremely unstable, near-neutral and stable stratification of the atmosphere.
Max Tech Efficiency Electric HPWH with low-GWP Halogenated Refrigerant
DOE Office of Scientific and Technical Information (OSTI.GOV)
Nawaz, Kashif; Shen, Bo; Elatar, Ahmed F.
A scoping-level analysis was conducted to determine the maximum performance of an electric heat pump water heater (HPWH) with low GWP refrigerants (hydroflouroolefins (HFO), hydrofluorocarbons (HFC), and blends). A baseline heat pump water heater (GE GeoSpring) deploying R-134a was analyzed first using the DOE/ORNL Heat Pump Design Model (HPDM) modeling tool. The model was calibrated using experimental data to match the water temperature stratification in tank, first hour rating, energy factor and coefficient of performance. A CFD modeling tool was used to further refine the HPDM tank model. After calibration, the model was used to simulate the performance of alternativemore » refrigerants. The parametric analysis concluded that by appropriate selection of equipment size and condenser tube wrap configuration the overall performance of emerging low GWP refrigerants for HPWH application not only exceed the Energy Star Energy Factor criteria i.e. 2.20, but is also comparable to some of the most efficient products in the market.« less
Nedea, S V; van Steenhoven, A A; Markvoort, A J; Spijker, P; Giordano, D
2014-05-01
The influence of gas-surface interactions of a dilute gas confined between two parallel walls on the heat flux predictions is investigated using a combined Monte Carlo (MC) and molecular dynamics (MD) approach. The accommodation coefficients are computed from the temperature of incident and reflected molecules in molecular dynamics and used as effective coefficients in Maxwell-like boundary conditions in Monte Carlo simulations. Hydrophobic and hydrophilic wall interactions are studied, and the effect of the gas-surface interaction potential on the heat flux and other characteristic parameters like density and temperature is shown. The heat flux dependence on the accommodation coefficient is shown for different fluid-wall mass ratios. We find that the accommodation coefficient is increasing considerably when the mass ratio is decreased. An effective map of the heat flux depending on the accommodation coefficient is given and we show that MC heat flux predictions using Maxwell boundary conditions based on the accommodation coefficient give good results when compared to pure molecular dynamics heat predictions. The accommodation coefficients computed for a dilute gas for different gas-wall interaction parameters and mass ratios are transferred to compute the heat flux predictions for a dense gas. Comparison of the heat fluxes derived using explicit MD, MC with Maxwell-like boundary conditions based on the accommodation coefficients, and pure Maxwell boundary conditions are discussed. A map of the heat flux dependence on the accommodation coefficients for a dense gas, and the effective accommodation coefficients for different gas-wall interactions are given. In the end, this approach is applied to study the gas-surface interactions of argon and xenon molecules on a platinum surface. The derived accommodation coefficients are compared with values of experimental results.
Late summer zoogeography of the northern Bering and Chukchi seas
NASA Astrophysics Data System (ADS)
Sigler, Michael F.; Mueter, Franz J.; Bluhm, Bodil A.; Busby, Morgan S.; Cokelet, Edward D.; Danielson, Seth L.; Robertis, Alex De; Eisner, Lisa B.; Farley, Edward V.; Iken, Katrin; Kuletz, Kathy J.; Lauth, Robert R.; Logerwell, Elizabeth A.; Pinchuk, Alexei I.
2017-01-01
Ocean currents, water masses, and seasonal sea ice formation contribute to determining relationships among the biota of the Bering and Chukchi seas. The Bering Sea communicates with the Chukchi Sea via northward advection of water, nutrients, organic matter, and plankton through Bering Strait. We used data from concurrent surveys of zooplankton, pelagic fishes and jellyfish, epibenthic fishes and invertebrates, and seabirds to identify faunal distribution patterns and environmental factors that are related to these faunal distributions within the US portions of the Chukchi Sea shelf and Bering Sea shelf north of Nunivak Island. Regional differences in late summer (August-September) distributions of biota largely reflected the underlying hydrography. Depth, temperature, salinity, stratification, and chlorophyll a, but less so sediment-related or nutrient-related factors, were related to the distributions of the assemblages (zooplankton: depth, salinity, stratification; pelagic fishes and jellyfish: depth, stratification, chlorophyll a; epibenthic fishes and invertebrates: depth, temperature, salinity; seabirds: temperature, salinity, stratification). These six environmental factors that most influenced distributions of zooplankton, pelagic fishes/jellyfish, epibenthic fishes and invertebrate, and seabird assemblages likely can be simplified to three factors reflecting bottom depth, water mass, and their stratification and productivity (which are tightly linked in the study region). The assemblages were principally structured from nearshore to offshore and from south to north. The nearshore to offshore contrast usually was stronger in the south, where the enormous discharge of the Yukon River is more apparent and extends farther offshore, influencing zooplankton, pelagic fish/jellyfish, and seabird assemblages. Some assemblages overlapped spatially (e.g., seabird and zooplankton), indicating shared influential environmental factors or trophic linkages among assemblages. The gradients in assemblage composition were gradual for epibenthic taxa, abrupt for zooplankton taxa, and intermediate for pelagic fish/jellyfish and seabird taxa, implying that zooplankton assemblage structure is most strongly tied to water mass, epibenthic least, with the other two taxa intermediates. Three communities (i.e., cross-assemblage groupings) emerged based on maps of ordination axes and core use areas by taxa; one associated with Alaska Coastal Water (warmer, fresher, nutrient depauperate), second associated with Chirikov Basin and the southern Chukchi Sea (colder, saltier, nutrient rich), and third associated with the northern Chukchi shelf (colder and saltier but not as nutrient rich). Gradients in species composition occurred both within and between these communities. The Chirikov Basin/southern Chukchi Sea community was characterized by distinct zooplankton and seabird taxa, but was not strongly associated with distinct pelagic or epibenthic fish and invertebrate taxa. Although comprehensive data were only available for a single year and annual variation may affect the generality of our results, our comprehensive ecosystem survey approach yielded new insights into the ecological relationships (specifically, gradients in assemblage composition and identification of communities) of this Arctic region.
Transfer coefficients in ultracold strongly coupled plasma
NASA Astrophysics Data System (ADS)
Bobrov, A. A.; Vorob'ev, V. S.; Zelener, B. V.
2018-03-01
We use both analytical and molecular dynamic methods for electron transfer coefficients in an ultracold plasma when its temperature is small and the coupling parameter characterizing the interaction of electrons and ions exceeds unity. For these conditions, we use the approach of nearest neighbor to determine the average electron (ion) diffusion coefficient and to calculate other electron transfer coefficients (viscosity and electrical and thermal conductivities). Molecular dynamics simulations produce electronic and ionic diffusion coefficients, confirming the reliability of these results. The results compare favorably with experimental and numerical data from earlier studies.
The correspondence of surface climate parameters with satellite and terrain data
NASA Technical Reports Server (NTRS)
Dozier, Jeff; Davis, Frank
1987-01-01
One of the goals of the research was to develop a ground sampling stragegy for calibrating remotely sensed measurements of surface climate parameters. The initial sampling strategy involved the stratification of the terrain based on important ancillary surface variables such as slope, exposure, insolation, geology, drainage, fire history, etc. For a spatially heterogeneous population, sampling error is reduced and efficiency increased by stratification of the landscape into more homogeneous sub-areas and by employing periodic random spacing of samples. These concepts were applied in the initial stratification of the study site for the purpose of locating and allocating instrumentation.
Ismail, R; Kassim, M A; Inman, M; Baharim, N H; Azman, S
2002-01-01
Environmental monitoring was carried out at Upper Layang Reservoir situated in Masai, Johor, Malaysia. The study shows that thermal stratification and natural mixing of the water column do exist in the reservoir and the level of stratification varies at different times of the year. Artificial destratification via diffused air aeration techniques was employed at the reservoir for two months. The results show that thermal stratification was eliminated after a week of continuous aeration. The concentrations of iron and to a lesser extent manganese in the water column was also reduced during the aeration period.
Covariance of biophysical data with digital topograpic and land use maps over the FIFE site
NASA Technical Reports Server (NTRS)
Davis, F. W.; Schimel, D. S.; Friedl, M. A.; Michaelsen, J. C.; Kittel, T. G. F.; Dubayah, R.; Dozier, J.
1992-01-01
This paper discusses the biophysical stratification of the FIFE site, implementation of the stratification utilizing geographic information system methods, and validation of the stratification with respect to field measurements of biomass, Bowen ratio, soil moisture, and the greenness vegetation index (GVI) derived from TM satellite data. Maps of burning and topographic position were significantly associated with variation in GVI, biomass, and Bowen ratio. The stratified design did not significantly alter the estimated site-wide means for surface climate parameters but accounted for between 25 and 45 percent of the sample variance depending on the variable.
2016-01-01
The widespread use of ultrasonography places it in a key position for use in the risk stratification of thyroid nodules. The French proposal is a five-tier system, our version of a thyroid imaging reporting and database system (TI-RADS), which includes a standardized vocabulary and report and a quantified risk assessment. It allows the selection of the nodules that should be referred for fine-needle aspiration biopsies. Effort should be directed towards merging the different risk stratification systems utilized around the world and testing this unified system with multi-center studies. PMID:26324117
The warmer the ocean surface, the shallower the mixed layer. How much of this is true?
González‐Pola, C.; Fernández‐Diaz, J.
2017-01-01
Abstract Ocean surface warming is commonly associated with a more stratified, less productive, and less oxygenated ocean. Such an assertion is mainly based on consistent projections of increased near‐surface stratification and shallower mixed layers under global warming scenarios. However, while the observed sea surface temperature (SST) is rising at midlatitudes, the concurrent ocean record shows that stratification is not unequivocally increasing nor is MLD shoaling. We find that while SST increases at three study areas at midlatitudes, stratification both increases and decreases, and MLD deepens with enhanced deepening of winter MLDs at rates over 10 m decade−1. These results rely on the estimation of several MLD and stratification indexes of different complexity on hydrographic profiles from long‐term hydrographic time‐series, ocean reanalysis, and Argo floats. Combining this information with estimated MLDs from buoyancy fluxes and the enhanced deepening/attenuation of the winter MLD trends due to changes in the Ekman pumping, MLD variability involves a subtle interplay between circulation and atmospheric forcing at midlatitudes. Besides, it is highlighted that the density difference between the surface and 200 m, the most widely used stratification index, should not be expected to reliably inform about changes in the vertical extent of mixing. PMID:29201584
Luo, Wei; Chen, Tong-bin; Gao, Ding; Zheng, Yu-qi; Zheng, Guo-di
2004-03-01
The experiment of co-composting of sewage sludge and pig manure was studied. The moisture contents were 50.82%-60.87% at the stage of temperature rising and 38.7%-52.17% at the stage of thermophilic fermentation, and the stratification of moisture content were not obvious for both stages because the door, the internal wall and the depth of the composting bay had little effect on the stratification. At the stage of cooling, the moisture content was 24.54%-49.39%, and the stratification of moisture content was remarkable as the door, the internal wall and the depth of the composting bay had great influence on it. At the stage of maturity, the moisture content was 19.18%-49.34%, and the stratification of moisture weakened, for which the door and the internal wall were mainly responsible. At the different composting stage, the degree of difference of moisture content on the profiles of the pile was of the order: maturity stage > cooling stage > thermophilic stage = temperature rising stage, and the moisture content in the pile was as follows: the lower > the middle > the upper. The relation between moisture content and composting time meeted with two-order kinetics equation.
Glacial ocean circulation and stratification explained by reduced atmospheric temperature
NASA Astrophysics Data System (ADS)
Jansen, Malte F.
2017-01-01
Earth’s climate has undergone dramatic shifts between glacial and interglacial time periods, with high-latitude temperature changes on the order of 5-10 °C. These climatic shifts have been associated with major rearrangements in the deep ocean circulation and stratification, which have likely played an important role in the observed atmospheric carbon dioxide swings by affecting the partitioning of carbon between the atmosphere and the ocean. The mechanisms by which the deep ocean circulation changed, however, are still unclear and represent a major challenge to our understanding of glacial climates. This study shows that various inferred changes in the deep ocean circulation and stratification between glacial and interglacial climates can be interpreted as a direct consequence of atmospheric temperature differences. Colder atmospheric temperatures lead to increased sea ice cover and formation rate around Antarctica. The associated enhanced brine rejection leads to a strongly increased deep ocean stratification, consistent with high abyssal salinities inferred for the last glacial maximum. The increased stratification goes together with a weakening and shoaling of the interhemispheric overturning circulation, again consistent with proxy evidence for the last glacial. The shallower interhemispheric overturning circulation makes room for slowly moving water of Antarctic origin, which explains the observed middepth radiocarbon age maximum and may play an important role in ocean carbon storage.
Glacial ocean circulation and stratification explained by reduced atmospheric temperature
Jansen, Malte F.
2017-01-01
Earth’s climate has undergone dramatic shifts between glacial and interglacial time periods, with high-latitude temperature changes on the order of 5–10 °C. These climatic shifts have been associated with major rearrangements in the deep ocean circulation and stratification, which have likely played an important role in the observed atmospheric carbon dioxide swings by affecting the partitioning of carbon between the atmosphere and the ocean. The mechanisms by which the deep ocean circulation changed, however, are still unclear and represent a major challenge to our understanding of glacial climates. This study shows that various inferred changes in the deep ocean circulation and stratification between glacial and interglacial climates can be interpreted as a direct consequence of atmospheric temperature differences. Colder atmospheric temperatures lead to increased sea ice cover and formation rate around Antarctica. The associated enhanced brine rejection leads to a strongly increased deep ocean stratification, consistent with high abyssal salinities inferred for the last glacial maximum. The increased stratification goes together with a weakening and shoaling of the interhemispheric overturning circulation, again consistent with proxy evidence for the last glacial. The shallower interhemispheric overturning circulation makes room for slowly moving water of Antarctic origin, which explains the observed middepth radiocarbon age maximum and may play an important role in ocean carbon storage. PMID:27994158
Impact on Water Heater Performance of Heating Methods that Promote Tank Temperature Stratification
DOE Office of Scientific and Technical Information (OSTI.GOV)
Gluesenkamp, Kyle R; BushPE, John D
2016-01-01
During heating of a water heater tank, the vertical temperature stratification of the water can be increased or decreased, depending on the method of heating. Methods that increase stratification during heating include (1) removing cold water from the tank bottom, heating it, and re-introducing it to the tank top at relatively low flow rate, (2) using a heat exchanger wrapped around the tank, through which heating fluid (with finite specific heat) flows from top to bottom, and (3) using an immersed heat element that is relatively high in the tank. Using such methods allows for improved heat pump water heatermore » (HPWH) cycle efficiencies when the heat pump can take advantage of the lower temperatures that exist lower in the tank, and accommodate the resulting glide. Transcritical cycles are especially well-suited to capitalize on this opportunity, and other HPWH configurations (that have been proposed elsewhere) may benefit as well. This work provides several stratification categories of heat pump water heater tank configurations relevant to their stratification potential. To illustrate key differences among categories, it also compiles available experimental data for (a) single pass pumped flow, (b) multi-pass pumped flow, and (c) top-down wrapped tank with transcritical refrigerant.« less
The warmer the ocean surface, the shallower the mixed layer. How much of this is true?
Somavilla, R; González-Pola, C; Fernández-Diaz, J
2017-09-01
Ocean surface warming is commonly associated with a more stratified, less productive, and less oxygenated ocean. Such an assertion is mainly based on consistent projections of increased near-surface stratification and shallower mixed layers under global warming scenarios. However, while the observed sea surface temperature (SST) is rising at midlatitudes, the concurrent ocean record shows that stratification is not unequivocally increasing nor is MLD shoaling. We find that while SST increases at three study areas at midlatitudes, stratification both increases and decreases, and MLD deepens with enhanced deepening of winter MLDs at rates over 10 m decade-1. These results rely on the estimation of several MLD and stratification indexes of different complexity on hydrographic profiles from long-term hydrographic time-series, ocean reanalysis, and Argo floats. Combining this information with estimated MLDs from buoyancy fluxes and the enhanced deepening/attenuation of the winter MLD trends due to changes in the Ekman pumping, MLD variability involves a subtle interplay between circulation and atmospheric forcing at midlatitudes. Besides, it is highlighted that the density difference between the surface and 200 m, the most widely used stratification index, should not be expected to reliably inform about changes in the vertical extent of mixing.
Glacial ocean circulation and stratification explained by reduced atmospheric temperature.
Jansen, Malte F
2017-01-03
Earth's climate has undergone dramatic shifts between glacial and interglacial time periods, with high-latitude temperature changes on the order of 5-10 °C. These climatic shifts have been associated with major rearrangements in the deep ocean circulation and stratification, which have likely played an important role in the observed atmospheric carbon dioxide swings by affecting the partitioning of carbon between the atmosphere and the ocean. The mechanisms by which the deep ocean circulation changed, however, are still unclear and represent a major challenge to our understanding of glacial climates. This study shows that various inferred changes in the deep ocean circulation and stratification between glacial and interglacial climates can be interpreted as a direct consequence of atmospheric temperature differences. Colder atmospheric temperatures lead to increased sea ice cover and formation rate around Antarctica. The associated enhanced brine rejection leads to a strongly increased deep ocean stratification, consistent with high abyssal salinities inferred for the last glacial maximum. The increased stratification goes together with a weakening and shoaling of the interhemispheric overturning circulation, again consistent with proxy evidence for the last glacial. The shallower interhemispheric overturning circulation makes room for slowly moving water of Antarctic origin, which explains the observed middepth radiocarbon age maximum and may play an important role in ocean carbon storage.
NASA Astrophysics Data System (ADS)
Riethdorf, Jan-Rainer; Max, Lars; Nürnberg, Dirk; Lembke-Jene, Lester; Tiedemann, Ralf
2013-01-01
Based on models and proxy data, it has been proposed that salinity-driven stratification weakened in the subarctic North Pacific during the last deglaciation, which potentially contributed to the deglacial rise in atmospheric carbon dioxide. We present high-resolution subsurface temperature (TMg/Ca) and subsurface salinity-approximating (δ18Oivc-sw) records across the last 20,000 years from the subarctic North Pacific and its marginal seas, derived from combined stable oxygen isotopes and Mg/Ca ratios of the planktonic foraminiferal species Neogloboquadrina pachyderma (sin.). Our results indicate regionally differing changes of subsurface conditions. During the Heinrich Stadial 1 and the Younger Dryas cold phases, our sites were subject to reduced thermal stratification, brine rejection due to sea-ice formation, and increased advection of low-salinity water from the Alaskan Stream. In contrast, the Bølling-Allerød warm phase was characterized by strengthened thermal stratification, stronger sea-ice melting, and influence of surface waters that were less diluted by the Alaskan Stream. From direct comparison with alkenone-based sea surface temperature estimates (SSTUk'37), we suggest deglacial thermocline changes that were closely related to changes in seasonal contrasts and stratification of the mixed layer. The modern upper-ocean conditions seem to have developed only since the early Holocene.
Haustein, Stefanie; Smith, Elise; Larivière, Vincent; Alperin, Juan Pablo
2018-01-01
Using a database of recent articles published in the field of Global Health research, we examine institutional sources of stratification in publishing access outcomes. Traditionally, the focus on inequality in scientific publishing has focused on prestige hierarchies in established print journals. This project examines stratification in contemporary publishing with a particular focus on subscription vs. various Open Access (OA) publishing options. Findings show that authors working at lower-ranked universities are more likely to publish in closed/paywalled outlets, and less likely to choose outlets that involve some sort of Article Processing Charge (APCs; gold or hybrid OA). We also analyze institutional differences and stratification in the APC costs paid in various journals. Authors affiliated with higher-ranked institutions, as well as hospitals and non-profit organizations pay relatively higher APCs for gold and hybrid OA publications. Results suggest that authors affiliated with high-ranked universities and well-funded institutions tend to have more resources to choose pay options with publishing. Our research suggests new professional hierarchies developing in contemporary publishing, where various OA publishing options are becoming increasingly prominent. Just as there is stratification in institutional representation between different types of publishing access, there is also inequality within access types. PMID:29479492
Modeling Secondary Organic Aerosols over Europe: Impact of Activity Coefficients and Viscosity
NASA Astrophysics Data System (ADS)
Kim, Y.; Sartelet, K.; Couvidat, F.
2014-12-01
Semi-volatile organic species (SVOC) can condense on suspended particulate materials (PM) in the atmosphere. The modeling of condensation/evaporation of SVOC often assumes that gas-phase and particle-phase concentrations are at equilibrium. However, recent studies show that secondary organic aerosols (SOA) may not be accurately represented by an equilibrium approach between the gas and particle phases, because organic aerosols in the particle phase may be very viscous. The condensation in the viscous liquid phase is limited by the diffusion from the surface of PM to its core. Using a surrogate approach to represent SVOC, depending on the user's choice, the secondary organic aerosol processor (SOAP) may assume equilibrium or model dynamically the condensation/evaporation between the gas and particle phases to take into account the viscosity of organic aerosols. The model is implemented in the three-dimensional chemistry-transport model of POLYPHEMUS. In SOAP, activity coefficients for organic mixtures can be computed using UNIFAC for short-range interactions between molecules and AIOMFAC to also take into account the effect of inorganic species on activity coefficients. Simulations over Europe are performed and POLYPHEMUS/SOAP is compared to POLYPHEMUS/H2O, which was previously used to model SOA using the equilibrium approach with activity coefficients from UNIFAC. Impacts of the dynamic approach on modeling SOA over Europe are evaluated. The concentrations of SOA using the dynamic approach are compared with those using the equilibrium approach. The increase of computational cost is also evaluated.
Ghadri, Jelena-Rima; Wittstein, Ilan Shor; Prasad, Abhiram; Sharkey, Scott; Dote, Keigo; Akashi, Yoshihiro John; Cammann, Victoria Lucia; Crea, Filippo; Galiuto, Leonarda; Desmet, Walter; Yoshida, Tetsuro; Manfredini, Roberto; Eitel, Ingo; Kosuge, Masami; Nef, Holger M; Deshmukh, Abhishek; Lerman, Amir; Bossone, Eduardo; Citro, Rodolfo; Ueyama, Takashi; Corrado, Domenico; Kurisu, Satoshi; Ruschitzka, Frank; Winchester, David; Lyon, Alexander R; Omerovic, Elmir; Bax, Jeroen J; Meimoun, Patrick; Tarantini, Guiseppe; Rihal, Charanjit; Y-Hassan, Shams; Migliore, Federico; Horowitz, John D; Shimokawa, Hiroaki; Lüscher, Thomas Felix; Templin, Christian
2018-06-07
The clinical expert consensus statement on takotsubo syndrome (TTS) part II focuses on the diagnostic workup, outcome, and management. The recommendations are based on interpretation of the limited clinical trial data currently available and experience of international TTS experts. It summarizes the diagnostic approach, which may facilitate correct and timely diagnosis. Furthermore, the document covers areas where controversies still exist in risk stratification and management of TTS. Based on available data the document provides recommendations on optimal care of such patients for practising physicians.
Ghadri, Jelena-Rima; Wittstein, Ilan Shor; Prasad, Abhiram; Sharkey, Scott; Dote, Keigo; Akashi, Yoshihiro John; Cammann, Victoria Lucia; Crea, Filippo; Galiuto, Leonarda; Desmet, Walter; Yoshida, Tetsuro; Manfredini, Roberto; Eitel, Ingo; Kosuge, Masami; Nef, Holger M; Deshmukh, Abhishek; Lerman, Amir; Bossone, Eduardo; Citro, Rodolfo; Ueyama, Takashi; Corrado, Domenico; Kurisu, Satoshi; Ruschitzka, Frank; Winchester, David; Lyon, Alexander R; Omerovic, Elmir; Bax, Jeroen J; Meimoun, Patrick; Tarantini, Guiseppe; Rihal, Charanjit; Y.-Hassan, Shams; Migliore, Federico; Horowitz, John D; Shimokawa, Hiroaki; Lüscher, Thomas Felix; Templin, Christian
2018-01-01
Abstract The clinical expert consensus statement on takotsubo syndrome (TTS) part II focuses on the diagnostic workup, outcome, and management. The recommendations are based on interpretation of the limited clinical trial data currently available and experience of international TTS experts. It summarizes the diagnostic approach, which may facilitate correct and timely diagnosis. Furthermore, the document covers areas where controversies still exist in risk stratification and management of TTS. Based on available data the document provides recommendations on optimal care of such patients for practising physicians. PMID:29850820
2009-02-03
computational approach to accommodation coefficients and its application to noble gases on aluminum surface Nathaniel Selden Uruversity of Southern Cahfornia, Los ...8217 ,. 0.’ a~ .......,..,P. • " ,,-0, "p"’U".. ,Po"D.’ 0.’P.... uro . P." FIG. 5: Experimental and computed radiometri~ force for argon (left), xenon
Determination of aerodynamic sensitivity coefficients for wings in transonic flow
NASA Technical Reports Server (NTRS)
Carlson, Leland A.; El-Banna, Hesham M.
1992-01-01
The quasianalytical approach is applied to the 3-D full potential equation to compute wing aerodynamic sensitivity coefficients in the transonic regime. Symbolic manipulation is used to reduce the effort associated with obtaining the sensitivity equations, and the large sensitivity system is solved using 'state of the art' routines. The quasianalytical approach is believed to be reasonably accurate and computationally efficient for 3-D problems.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Lanza, Mathieu; Lique, François, E-mail: francois.lique@univ-lehavre.fr
The determination of hyperfine structure resolved excitation cross sections and rate coefficients due to H{sub 2} collisions is required to interpret astronomical spectra. In this paper, we present several theoretical approaches to compute these data. An almost exact recoupling approach and approximate sudden methods are presented. We apply these different approaches to the HCl–H{sub 2} collisional system in order to evaluate their respective accuracy. HCl–H{sub 2} hyperfine structure resolved cross sections and rate coefficients are then computed using recoupling and approximate sudden methods. As expected, the approximate sudden approaches are more accurate when the collision energy increases and the resultsmore » suggest that these approaches work better for para-H{sub 2} than for ortho-H{sub 2} colliding partner. For the first time, we present HCl–H{sub 2} hyperfine structure resolved rate coefficients, computed here for temperatures ranging from 5 to 300 K. The usual Δj{sub 1} = ΔF{sub 1} propensity rules are observed for the hyperfine transitions. The new rate coefficients will significantly help the interpretation of interstellar HCl emission lines observed with current and future telescopes. We expect that these new data will allow a better determination of the HCl abundance in the interstellar medium, that is crucial to understand the interstellar chlorine chemistry.« less
Acute myeloid leukemia in children: Current status and future directions.
Taga, Takashi; Tomizawa, Daisuke; Takahashi, Hiroyuki; Adachi, Souichi
2016-02-01
Acute myeloid leukemia (AML) accounts for 25% of pediatric leukemia and affects approximately 180 patients annually in Japan. The treatment outcome for pediatric AML has improved through advances in chemotherapy, hematopoietic stem cell transplantation (HSCT), supportive care, and optimal risk stratification. Currently, clinical pediatric AML studies are conducted separately according to the AML subtypes: de novo AML, acute promyelocytic leukemia (APL), and myeloid leukemia with Down syndrome (ML-DS). Children with de novo AML are treated mainly with anthracyclines and cytarabine, in some cases with HSCT, and the overall survival (OS) rate now approaches 70%. Children with APL are treated with an all-trans retinoic acid (ATRA)-combined regimen with an 80-90% OS. Children with ML-DS are treated with a less intensive regimen compared with non-DS patients, and the OS is approximately 80%. HSCT in first remission is restricted to children with high-risk de novo AML only. To further improve outcomes, it will be necessary to combine more accurate risk stratification strategies using molecular genetic analysis with assessment of minimum residual disease, and the introduction of new drugs in international collaborative clinical trials. © 2015 Japan Pediatric Society.
Alexander, L M
1998-01-01
The Joint National Committee's report on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure was released in November 1997. With its release, an increased emphasis on "treating the patient, not just the number" has taken place. The report provides a comprehensive review of recent clinical evidence that helps guide clinical decision making in the care of the hypertensive patient. A new disease classification system entitled "risk stratification" is introduced and takes into account comorbid conditions that are present for many hypertensive individuals. This risk stratification is then linked to treatment strategies and provides a concise decision analysis framework to aid in clinical decision making. Community-based prevention strategies are also highlighted and should raise the awareness of clinicians to adopt these recommendations and integrate them more aggressively into daily practice. Increased emphasis on patient compliance to improve overall hypertension control rates is also presented. Maximum efficacy through once-daily dosing and fixed-dose combinations are reviewed in the report. The JNC report is a comprehensive resource for clinicians in primary care practice. Its evidenced-based approach is a wonderful teaching tool for those clinicians who also serve as clinical educators in primary care.
Porter, L F; Black, G C M
2014-07-01
Ophthalmology has been an early adopter of personalized medicine. Drawing on genomic advances to improve molecular diagnosis, such as next-generation sequencing, and basic and translational research to develop novel therapies, application of genetic technologies in ophthalmology now heralds development of gene replacement therapies for some inherited monogenic eye diseases. It also promises to alter prediction, diagnosis and management of the complex disease age-related macular degeneration. Personalized ophthalmology is underpinned by an understanding of the molecular basis of eye disease. Two important areas of focus are required for adoption of personalized approaches: disease stratification and individualization. Disease stratification relies on phenotypic and genetic assessment leading to molecular diagnosis; individualization encompasses all aspects of patient management from optimized genetic counseling and conventional therapies to trials of novel DNA-based therapies. This review discusses the clinical implications of these twin strategies. Advantages and implications of genetic testing for patients with inherited eye diseases, choice of molecular diagnostic modality, drivers for adoption of personalized ophthalmology, service planning implications, ethical considerations and future challenges are considered. Indeed, whilst many difficulties remain, personalized ophthalmology truly has the potential to revolutionize the specialty. © 2014 The Authors. Clinical Genetics published by JohnWiley & Sons A/S. Published by John Wiley & Sons Ltd.
Tissue-based biomarkers in prostate cancer
Clinton, Timothy N.; Bagrodia, Aditya; Lotan, Yair; Margulis, Vitaly; Raj, Ganesh V; Woldu, Solomon L
2017-01-01
Introduction Prostate cancer is a heterogeneous disease. Existing risk stratification tools based on standard clinlicopathologic variables (prostate specific antigen [PSA], Gleason score, and tumor stage) provide a modest degree of predictive ability. Advances in high-throughput sequencing has led to the development of several novel tissue-based biomarkers that can improve prognostication in prostate cancer management. Areas Covered The authors review commercially-available, tissue-based biomarker assays that improve upon existing risk-stratification tools in several areas of prostate cancer management, including the appropriateness of active surveillance and aiding in decision making regarding the use of adjuvant therapy. Additionally, some of the obstacles to the widespread adoption of these biomarkers and discuss several investigational sources of new biomarkers are discussed. Expert Commentary Work is ongoing to answer pertinent clinical questions in prostate cancer management including which patients should undergo biopsy, active surveillance, receive adjuvant therapy, and what systemic therapy is best in the first-line. Incorporation into novel biomarkers may allow for the incorporation of a ‘personalized’ approach to management. Further validation will be required and questions of cost must be considered before wide scale adoption of these biomarkers. Tumor heterogeneity may impose a ceiling on the prognostic ability of biomarkers using currently available techniques. PMID:29226251
Subsurface storage of freshwater in South Florida; a digital analysis of recoverability
Merritt, Michael L.
1983-01-01
As part of a feasibility study of cyclic freshwater injection, digital models were implemented to analyze the relation of recovery efficiency to various hydrogeologic conditions which could prevail in brackish aquifers and to various management regimes. The analyses implemented an approach in which the control for sensitivity testing was a hypothetical aquifer representative of potential injection zones in south Florida, and parameter variations in sensitivity tests represented possible variations in aquifer conditions in the area. The permeability of the aquifer determined whether buoyancy stratification could reduce recovery efficiency. The range of permeability leading to buoyancy stratification became lower as resident fluid salinity increased. Thus, recovery efficiency was optimized by both low permeability and low resident fluid density. High levels of simulated hydrodynamic dispersion led to the lowest estimates of recovery efficiency. Advection by regional flow within the artesian injection zone could significantly affect recovery efficiency, depending upon the storage period, the volume injected, and site-specific hydraulic characteristics. Recovery efficiency was unrelated to the rate of injection or withdrawal or to the degree of penetration of permeable layers, and improved with successive cycles of injection and recovery. (USGS)
Determining the Drag Coefficient of Rotational Symmetric Objects Falling through Liquids
ERIC Educational Resources Information Center
Houari, Ahmed
2012-01-01
I will propose here a kinematic approach for measuring the drag coefficient of rotational symmetric objects falling through liquids. For this, I will show that one can obtain a measurement of the drag coefficient of a rotational symmetric object by numerically solving the equation of motion describing its fall through a known liquid contained in a…
Graphical Solution of the Monic Quadratic Equation with Complex Coefficients
ERIC Educational Resources Information Center
Laine, A. D.
2015-01-01
There are many geometrical approaches to the solution of the quadratic equation with real coefficients. In this article it is shown that the monic quadratic equation with complex coefficients can also be solved graphically, by the intersection of two hyperbolas; one hyperbola being derived from the real part of the quadratic equation and one from…
EVALUATING ECOREGIONS FOR SAMPLING AND MAPPING LAND-COVER PATTERNS
Ecoregional stratification has been proposed for sampling and mapping land- cover composition and pattern over time. Using a wall-to-wall land-cover map of the United States, we evaluated geographic scales of variance for 17 landscape pattern indices, and compared stratification ...
The effects of soak temperature on sugar maple seed germination
Carol A. Janerette
1978-01-01
The temperature at which sugar maple seeds were soaked before stratification significantly influenced their germination. Maximal germination was obtained when seeds were soaked at 4?C, but if seeds were soaked at 25?C, germination decreased and the stratification requirement increased.
Germination Conditions For Poison Ivy
Nathan M. Schiff; Kristina F. Connor; Margaret S. Devall
2004-01-01
Several scarification and stratification treatments were tested to optimize germination conditions for poison ivy [Toxicodendron radicans (L.) Kunst]. Fall-collected seeds soaked for 1 hour in water showed increasing germination with increasing stratification. Scarification with concentrated sulphuric acid for 30 minutes resulted in approximately 65...
DOE Office of Scientific and Technical Information (OSTI.GOV)
Perfetti, Christopher M; Rearden, Bradley T
2014-01-01
This work introduces a new approach for calculating sensitivity coefficients for generalized neutronic responses to nuclear data uncertainties using continuous-energy Monte Carlo methods. The approach presented in this paper, known as the GEAR-MC method, allows for the calculation of generalized sensitivity coefficients for multiple responses in a single Monte Carlo calculation with no nuclear data perturbations or knowledge of nuclear covariance data. The theory behind the GEAR-MC method is presented here, and proof of principle is demonstrated by using the GEAR-MC method to calculate sensitivity coefficients for responses in several 3D, continuous-energy Monte Carlo applications.
Third-harmonic generation of a laser-driven quantum dot with impurity
NASA Astrophysics Data System (ADS)
Sakiroglu, S.; Kilic, D. Gul; Yesilgul, U.; Ungan, F.; Kasapoglu, E.; Sari, H.; Sokmen, I.
2018-06-01
The third-harmonic generation (THG) coefficient for a laser-driven quantum dot with an on-center Gaussian impurity under static magnetic field is theoretically investigated. Laser field effect is treated within the high-frequency Floquet approach and the analytical expression of the THG coefficient is deduced from the compact density-matrix approach. The numerical results demonstrate that the application of intense laser field causes substantial changes on the behavior of THG. In addition the position and magnitude of the resonant peak of THG coefficient is significantly affected by the magnetic field, quantum dot size and the characteristic parameters of the impurity potential.
A systematic study of multiple minerals precipitation modelling in wastewater treatment.
Kazadi Mbamba, Christian; Tait, Stephan; Flores-Alsina, Xavier; Batstone, Damien J
2015-11-15
Mineral solids precipitation is important in wastewater treatment. However approaches to minerals precipitation modelling are varied, often empirical, and mostly focused on single precipitate classes. A common approach, applicable to multi-species precipitates, is needed to integrate into existing wastewater treatment models. The present study systematically tested a semi-mechanistic modelling approach, using various experimental platforms with multiple minerals precipitation. Experiments included dynamic titration with addition of sodium hydroxide to synthetic wastewater, and aeration to progressively increase pH and induce precipitation in real piggery digestate and sewage sludge digestate. The model approach consisted of an equilibrium part for aqueous phase reactions and a kinetic part for minerals precipitation. The model was fitted to dissolved calcium, magnesium, total inorganic carbon and phosphate. Results indicated that precipitation was dominated by the mineral struvite, forming together with varied and minor amounts of calcium phosphate and calcium carbonate. The model approach was noted to have the advantage of requiring a minimal number of fitted parameters, so the model was readily identifiable. Kinetic rate coefficients, which were statistically fitted, were generally in the range 0.35-11.6 h(-1) with confidence intervals of 10-80% relative. Confidence regions for the kinetic rate coefficients were often asymmetric with model-data residuals increasing more gradually with larger coefficient values. This suggests that a large kinetic coefficient could be used when actual measured data is lacking for a particular precipitate-matrix combination. Correlation between the kinetic rate coefficients of different minerals was low, indicating that parameter values for individual minerals could be independently fitted (keeping all other model parameters constant). Implementation was therefore relatively flexible, and would be readily expandable to include other minerals. Copyright © 2015 Elsevier Ltd. All rights reserved.
Recovery of singularities from a backscattering Born approximation for a biharmonic operator in 3D
NASA Astrophysics Data System (ADS)
Tyni, Teemu
2018-04-01
We consider a backscattering Born approximation for a perturbed biharmonic operator in three space dimensions. Previous results on this approach for biharmonic operator use the fact that the coefficients are real-valued to obtain the reconstruction of singularities in the coefficients. In this text we drop the assumption about real-valued coefficients and also establish the recovery of singularities for complex coefficients. The proof uses mapping properties of the Radon transform.
Mixing Efficiency in the Ocean.
Gregg, M C; D'Asaro, E A; Riley, J J; Kunze, E
2018-01-03
Mixing efficiency is the ratio of the net change in potential energy to the energy expended in producing the mixing. Parameterizations of efficiency and of related mixing coefficients are needed to estimate diapycnal diffusivity from measurements of the turbulent dissipation rate. Comparing diffusivities from microstructure profiling with those inferred from the thickening rate of four simultaneous tracer releases has verified, within observational accuracy, 0.2 as the mixing coefficient over a 30-fold range of diapycnal diffusivities. Although some mixing coefficients can be estimated from pycnocline measurements, at present mixing efficiency must be obtained from channel flows, laboratory experiments, and numerical simulations. Reviewing the different approaches demonstrates that estimates and parameterizations for mixing efficiency and coefficients are not converging beyond the at-sea comparisons with tracer releases, leading to recommendations for a community approach to address this important issue.
Mixing Efficiency in the Ocean
NASA Astrophysics Data System (ADS)
Gregg, M. C.; D'Asaro, E. A.; Riley, J. J.; Kunze, E.
2018-01-01
Mixing efficiency is the ratio of the net change in potential energy to the energy expended in producing the mixing. Parameterizations of efficiency and of related mixing coefficients are needed to estimate diapycnal diffusivity from measurements of the turbulent dissipation rate. Comparing diffusivities from microstructure profiling with those inferred from the thickening rate of four simultaneous tracer releases has verified, within observational accuracy, 0.2 as the mixing coefficient over a 30-fold range of diapycnal diffusivities. Although some mixing coefficients can be estimated from pycnocline measurements, at present mixing efficiency must be obtained from channel flows, laboratory experiments, and numerical simulations. Reviewing the different approaches demonstrates that estimates and parameterizations for mixing efficiency and coefficients are not converging beyond the at-sea comparisons with tracer releases, leading to recommendations for a community approach to address this important issue.
Neutral solute transport across osteochondral interface: A finite element approach.
Arbabi, Vahid; Pouran, Behdad; Weinans, Harrie; Zadpoor, Amir A
2016-12-08
Investigation of the solute transfer across articular cartilage and subchondral bone plate could nurture the understanding of the mechanisms of osteoarthritis (OA) progression. In the current study, we approached the transport of neutral solutes in human (slight OA) and equine (healthy) samples using both computed tomography and biphasic-solute finite element modeling. We developed a multi-zone biphasic-solute finite element model (FEM) accounting for the inhomogeneity of articular cartilage (superficial, middle and deep zones) and subchondral bone plate. Fitting the FEM model to the concentration-time curves of the cartilage and the equilibrium concentration of the subchondral plate/calcified cartilage enabled determination of the diffusion coefficients in the superficial, middle and deep zones of cartilage and subchondral plate. We found slightly higher diffusion coefficients for all zones in the human samples as compared to the equine samples. Generally the diffusion coefficient in the superficial zone of human samples was about 3-fold higher than the middle zone, the diffusion coefficient of the middle zone was 1.5-fold higher than that of the deep zone, and the diffusion coefficient of the deep zone was 1.5-fold higher than that of the subchondral plate/calcified cartilage. Those ratios for equine samples were 9, 2 and 1.5, respectively. Regardless of the species considered, there is a gradual decrease of the diffusion coefficient as one approaches the subchondral plate, whereas the rate of decrease is dependent on the type of species. Copyright © 2016 Elsevier Ltd. All rights reserved.
Mediation Analysis with Survival Outcomes: Accelerated Failure Time vs. Proportional Hazards Models.
Gelfand, Lois A; MacKinnon, David P; DeRubeis, Robert J; Baraldi, Amanda N
2016-01-01
Survival time is an important type of outcome variable in treatment research. Currently, limited guidance is available regarding performing mediation analyses with survival outcomes, which generally do not have normally distributed errors, and contain unobserved (censored) events. We present considerations for choosing an approach, using a comparison of semi-parametric proportional hazards (PH) and fully parametric accelerated failure time (AFT) approaches for illustration. We compare PH and AFT models and procedures in their integration into mediation models and review their ability to produce coefficients that estimate causal effects. Using simulation studies modeling Weibull-distributed survival times, we compare statistical properties of mediation analyses incorporating PH and AFT approaches (employing SAS procedures PHREG and LIFEREG, respectively) under varied data conditions, some including censoring. A simulated data set illustrates the findings. AFT models integrate more easily than PH models into mediation models. Furthermore, mediation analyses incorporating LIFEREG produce coefficients that can estimate causal effects, and demonstrate superior statistical properties. Censoring introduces bias in the coefficient estimate representing the treatment effect on outcome-underestimation in LIFEREG, and overestimation in PHREG. With LIFEREG, this bias can be addressed using an alternative estimate obtained from combining other coefficients, whereas this is not possible with PHREG. When Weibull assumptions are not violated, there are compelling advantages to using LIFEREG over PHREG for mediation analyses involving survival-time outcomes. Irrespective of the procedures used, the interpretation of coefficients, effects of censoring on coefficient estimates, and statistical properties should be taken into account when reporting results.
Particle dispersion in a stably stratified channel flow
NASA Astrophysics Data System (ADS)
Pasquero, C.; Armenio, V.
2003-04-01
The motion of particles in a stably stratified channel flow is relevant in geophysic and environmental applications. In the present research this problem has been studied numerically using a mixed Lagrangian-Eulerian technique (Lagrangian motion of an ensemble of particles in an Eulerian field) by means of large eddy simulation. A stratified channel flows can be decomposed into a buoyancy affected region, with a strong turbulent activity, close to the walls, and into a buoyancy dominated region, where turbulence is strongly inhibited, in the center of the channel. For strong stratifications, counter gradient heat fluxes steepen the density gradient moving hot fluid up and cold fluid down. The stratification in the central region of the channel becomes extremely stable. However, the vertical turbulent energy, defined as the difference between the total vertical kinetic energy and its temporal average, is very strong. Particle statistics have shown that this can be related to the presence of high frequency internal waves, that do not contribute to dispersion because of their highly coherent behavior. Vertical stratification is shown to reduce or increase the decorrelation time for vertical motion, depending on the Richardson number. When stratification is increased there are two competing effects: Structures have a smaller vertical scale (acting to reduce the decorrelation time) and vertical velocities are smaller (acting to increase the decorrelation time, since particles stay for a longer time into a given structure in the flow). It has been shown that for low stratification the first mechanism dominates, while for large stratification the second effect is more important. The research is in progress and results for both fluid and inertial particles will be presented at the conference.
Jasso, Guillermina
2011-01-01
Migration and stratification are increasingly intertwined. One day soon it will be impossible to understand one without the other. Both focus on life chances. Stratification is about differential life chances - who gets what and why - and migration is about improving life chances - getting more of the good things of life. To examine the interconnections of migration and stratification, we address a mix of old and new questions, carrying out analyses newly enabled by a unique new data set on recent legal immigrants to the United States (the New Immigrant Survey). We look at immigrant processing and lost documents, depression due to the visa process, presentation of self, the race-ethnic composition of an immigrant cohort (made possible by the data for the first time since 1961), black immigration from Africa and the Americas, skin-color diversity among couples formed by U.S. citizen sponsors and immigrant spouses, and English fluency among children age 8–12 and their immigrant parents. We find, inter alia, that children of previously illegal parents are especially more likely to be fluent in English, that native-born U.S. citizen women tend to marry darker, that immigrant applicants who go through the visa process while already in the United States are more likely to have their documents lost and to suffer visa depression, and that immigration, by introducing accomplished black immigrants from Africa (notably via the visa lottery), threatens to overturn racial and skin color associations with skill. Our analyses show the mutual embeddedness of migration and stratification in the unfolding of the immigrants' and their children's life chances and the impacts on the stratification structure of the United States. PMID:26321771
DiLiberti, J H
2000-01-01
US childhood poverty rates have increased for most of the past 2 decades. Although overall mortality among children has apparently fallen during this interval, these aggregate mortality rates may hide a disproportionate burden imposed on the least advantaged. This study assessed the impact of social stratification on long-term US childhood mortality rates and examined the temporal relationship between mortality attributable to social stratification and childhood poverty rates. Using US childhood mortality data obtained from the Compressed Mortality File (National Center for Health Statistics) and a county-level measure of social stratification (residential telephone availability), I evaluated the impact of social stratification on long-term trends (1968-1992) in age-adjusted mortality and compared the resulting attributable proportions to trends in childhood poverty rates. Between 1968 and 1987 the proportion of US childhood deaths attributable to social stratification decreased from.22 to.17. Subsequently, it increased to.24 in 1992, despite continuous declines in overall childhood mortality rates. These proportions correlated strongly with earlier childhood poverty rates, taking into account an apparent 9-year lag. Among black children comparable trends were not observed, although throughout this time period their mortality rates were far higher than among the rest of the population and declined more slowly. Despite declining childhood mortality rates between 1968 and 1992, children living in the least advantaged counties continued to die at higher rates than those living in the most advantaged counties. This differential worsened considerably after 1987, and by 1992 had a substantive impact on US life expectancy at birth, resulting in perhaps the most significant (in terms of years of life lost) reversal in the health of the US public in the 20th century.
Baker, David B; Johnson, Laura T; Confesor, Remegio B; Crumrine, John P
2017-11-01
During the re-eutrophication of Lake Erie, dissolved reactive phosphorus (DRP) loading and concentrations to the lake have nearly doubled, while particulate phosphorus (PP) has remained relatively constant. One potential cause of increased DRP concentrations is P stratification, or the buildup of soil-test P (STP) in the upper soil layer (<5 cm). Stratification often accompanies no-till and mulch-till practices that reduce erosion and PP loading, practices that have been widely implemented throughout the Lake Erie Basin. To evaluate the extent of P stratification in the Sandusky Watershed, certified crop advisors were enlisted to collect stratified soil samples (0-5 or 0-2.5 cm) alongside their normal agronomic samples (0-20 cm) ( = 1758 fields). The mean STP level in the upper 2.5 cm was 55% higher than the mean of agronomic samples used for fertilizer recommendations. The amounts of stratification were highly variable and did not correlate with agronomic STPs (Spearman's = 0.039, = 0.178). Agronomic STP in 70% of the fields was within the buildup or maintenance ranges for corn ( L.) and soybeans [ (L.) Merr.] (0-46 mg kg Mehlich-3 P). The cumulative risks for DRP runoff from the large number of fields in the buildup and maintenance ranges exceeded the risks from fields above those ranges. Reducing stratification by a one-time soil inversion has the potential for larger and quicker reductions in DRP runoff risk than practices related to drawing down agronomic STP levels. Periodic soil inversion and mixing, targeted by stratified STP data, should be considered a viable practice to reduce DRP loading to Lake Erie. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.
Utility of Risk Stratification for Paclitaxel Hypersensitivity Reactions.
Otani, Iris M; Lax, Timothy; Long, Aidan A; Slawski, Benjamin R; Camargo, Carlos A; Banerji, Aleena
2017-10-03
Hypersensitivity reactions (HSRs) are a common impediment to paclitaxel therapy. Management strategies to guide care after a paclitaxel-induced HSR are needed. The objective was to evaluate the utility and safety of risk stratification on the basis of severity of the initial HSR. A risk stratification pathway was developed on the basis of a retrospective review of the management and outcome of 130 patients with paclitaxel-induced HSRs at Massachusetts General Hospital. This pathway was then studied prospectively in patients referred to Allergy/Immunology with paclitaxel-induced HSRs. The study population (n = 35) had a mean age of 56.1 ± 12 years and most were women (n = 33 [94%]). All 5 patients (15%) with grade 1 initial HSRs were successfully reexposed to paclitaxel, 1 patient at the standard infusion rate and 4 patients at 50% of the standard infusion rate. Thirty patients (85%) with grade 2 to 4 initial HSRs underwent initial paclitaxel desensitization based on the risk stratification pathway. No patients developed severe HSRs using the pathway. Eleven (31%) patients had HSRs that were mild to moderate in nature (grade 1, n = 4 [11%]; grade 2, n = 6 [17%]; grade 3, n = 1 [3%]) during their first desensitization. Sixteen (46%) of the 35 patients safely returned to the outpatient infusion setting for paclitaxel treatment at 50% of the standard infusion rate. Seven (20%) discontinued paclitaxel before the completion of the risk stratification pathway because of disease progression, completion of therapy, or death. A management strategy using the initial HSR severity for risk stratification allowed patients to receive paclitaxel safely. Copyright © 2017 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.
Representing Reservoir Stratification in Land Surface and Earth System Models
NASA Astrophysics Data System (ADS)
Yigzaw, W.; Li, H. Y.; Leung, L. R.; Hejazi, M. I.; Voisin, N.; Payn, R. A.; Demissie, Y.
2017-12-01
A one-dimensional reservoir stratification modeling has been developed as part of Model for Scale Adaptive River Transport (MOSART), which is the river transport model used in the Accelerated Climate Modeling for Energy (ACME) and Community Earth System Model (CESM). Reservoirs play an important role in modulating the dynamic water, energy and biogeochemical cycles in the riverine system through nutrient sequestration and stratification. However, most earth system models include lake models that assume a simplified geometry featuring a constant depth and a constant surface area. As reservoir geometry has important effects on thermal stratification, we developed a new algorithm for deriving generic, stratified area-elevation-storage relationships that are applicable at regional and global scales using data from Global Reservoir and Dam database (GRanD). This new reservoir geometry dataset is then used to support the development of a reservoir stratification module within MOSART. The mixing of layers (energy and mass) in the reservoir is driven by eddy diffusion, vertical advection, and reservoir inflow and outflow. Upstream inflow into a reservoir is treated as an additional source/sink of energy, while downstream outflow represented a sink. Hourly atmospheric forcing from North American Land Assimilation System (NLDAS) Phase II and simulated daily runoff by ACME land component are used as inputs for the model over the contiguous United States for simulations between 2001-2010. The model is validated using selected observed temperature profile data in a number of reservoirs that are subject to various levels of regulation. The reservoir stratification module completes the representation of riverine mass and heat transfer in earth system models, which is a major step towards quantitative understanding of human influences on the terrestrial hydrological, ecological and biogeochemical cycles.
Kim, Bia Z; Patel, Dipika V; McKelvie, James; Sherwin, Trevor; McGhee, Charles N J
2017-09-01
To assess the effect of preoperative risk stratification for phacoemulsification surgery on intraoperative complications in a teaching hospital. Prospective cohort study. Prospective assessment of consecutive phacoemulsification cases (N = 500) enabled calculation of a risk score (M-score of 0-8) using a risk stratification system. M-scores of >3 were allocated to senior surgeons. All surgeries were performed in a public teaching hospital setting, Auckland, New Zealand, in early 2016. Postoperatively, data were reviewed for complications and corrected distance visual acuity (CDVA). Results were compared to a prospective study (N = 500, phase 1) performed prior to formal introduction of risk stratification. Intraoperative complications increased with increasing M-scores (P = .044). Median M-score for complicated cases was higher (P = .022). Odds ratio (OR) for a complication increased 1.269 per unit increase in M-score (95% confidence interval [CI] 1.007-1.599, P = .043). Overall rate of any intraoperative complication was 5.0%. Intraoperative complication rates decreased from 8.4% to 5.0% (OR = 0.576, P = .043) comparing phase 1 and phase 2 (formal introduction of risk stratification). The severity of complications also reduced. A significant decrease in complications for M = 0 (ie, minimal risk cases) was also identified comparing the current study (3.1%) to phase 1 (7.2%), P = .034. There was no change in postoperative complication risks (OR 0.812, P = .434) or in mean postoperative CDVA (20/30, P = .484) comparing current with phase 1 outcomes. A simple preoperative risk stratification system, based on standard patient information gathered at preoperative consultation, appears to reduce intraoperative complications and support safer surgical training by appropriate allocation of higher-risk cases. Copyright © 2017 Elsevier Inc. All rights reserved.
Estimation of methane emission rate changes using age-defined waste in a landfill site.
Ishii, Kazuei; Furuichi, Toru
2013-09-01
Long term methane emissions from landfill sites are often predicted by first-order decay (FOD) models, in which the default coefficients of the methane generation potential and the methane generation rate given by the Intergovernmental Panel on Climate Change (IPCC) are usually used. However, previous studies have demonstrated the large uncertainty in these coefficients because they are derived from a calibration procedure under ideal steady-state conditions, not actual landfill site conditions. In this study, the coefficients in the FOD model were estimated by a new approach to predict more precise long term methane generation by considering region-specific conditions. In the new approach, age-defined waste samples, which had been under the actual landfill site conditions, were collected in Hokkaido, Japan (in cold region), and the time series data on the age-defined waste sample's methane generation potential was used to estimate the coefficients in the FOD model. The degradation coefficients were 0.0501/y and 0.0621/y for paper and food waste, and the methane generation potentials were 214.4 mL/g-wet waste and 126.7 mL/g-wet waste for paper and food waste, respectively. These coefficients were compared with the default coefficients given by the IPCC. Although the degradation coefficient for food waste was smaller than the default value, the other coefficients were within the range of the default coefficients. With these new coefficients to calculate methane generation, the long term methane emissions from the landfill site was estimated at 1.35×10(4)m(3)-CH(4), which corresponds to approximately 2.53% of the total carbon dioxide emissions in the city (5.34×10(5)t-CO(2)/y). Copyright © 2013 Elsevier Ltd. All rights reserved.
NASA Technical Reports Server (NTRS)
Elbanna, Hesham M.; Carlson, Leland A.
1992-01-01
The quasi-analytical approach is applied to the three-dimensional full potential equation to compute wing aerodynamic sensitivity coefficients in the transonic regime. Symbolic manipulation is used to reduce the effort associated with obtaining the sensitivity equations, and the large sensitivity system is solved using 'state of the art' routines. Results are compared to those obtained by the direct finite difference approach and both methods are evaluated to determine their computational accuracy and efficiency. The quasi-analytical approach is shown to be accurate and efficient for large aerodynamic systems.
NASA Astrophysics Data System (ADS)
Finenko, Z. Z.; Churilova, T. Ya.
An assessment of the spatial and temporal variation in the photo physiological parameters and chlorophyll-specific absorption coefficients of marine phytoplankton is essential for estimate of global primary production by satellite data. Relationships of photosynthesis rate on light intensity have been used for estimation of two photosynthetic parameters of phytoplankton in the Black Sea: light saturated photosynthesis intensity (Pb/max, mgC mg Chl-1 h-1) and photosynthesis efficiency (alpha/b mgC mg Chl -1 h-1/ W m-2). The results have shown that variability of photosynthetic parameters of surface phytoplankton during the year varied by one order of values: Pb/max - from 1 to 11 mg C mg Chl-1 h-1 and (alpha/b - from 0.04 to 0.35 mg C mg Chl-1 h-1/Wm-2. Temporal dynamics was characterised by increasing of the values from winter to summer and decreasing to the end of the year. The vertical profiles of Pb/max and alpha/b had opposite character of change: values of Pb/max decreased with depth, alpha/b - increased. Photosynthetic parameters changed with depth more significantly at time of stratification, than - without stratification. The influence of temperature, nitrate concentration and light intensity on Pb/max rather evidence, but temperature and optical depth effect on Pb/max more significantly. Depth-dependent variability of photosynthesis efficiency is generally effected of nutrient concentration. Vertical uniformity of maximum quantum yield of photosynthesis (Fm) and spectral mean absorption coefficient of phytoplankton (aph) in euphotic zone were obtained for cold period of year. In summer - Fm increased from surface to bottom of euphotic zone, aph - decrease. Fm and aph values of surface phytoplankton depended on chlorophyll concentration but their changes had opposite direction: Fm - increased and aph - decreased when chlorophyll concentration grew. As a result Pb/max = Z Fm aph Ik T and alpha/b = Z Fm aph T (where Z - a dimensional constant equal to the atomic mass of carbon, Ik - the photon flux density at which photosynthesis rate becomes light saturated, (mol photons m-2 s-1; T - a constant value for transition from seconds by one hour) change in 2-3 times for the range of chlorophyll concentration (0.05-10.0 mg m-3 ). Pb/max and alpha/b have been approximated by one-peaked curve with maximum at 3 mg m -3 Chl a concentration. These relationships could be used for modeling of Pb/max and alpha/b based on surface chlorophyll concentrations from satellite colour images.
Recycling irrigation reservoir stratification and implications for crop health and production.
USDA-ARS?s Scientific Manuscript database
Stratification is often assumed to only take place in deep water bodies. Recycling irrigation reservoirs often are shallow; however, they receive agricultural runoff containing elevated concentrations of nutrients and sediments. This study investigated the temperature, dissolved oxygen and pH charac...
Domain and nanoridge growth kinetics in stratifying foam films
NASA Astrophysics Data System (ADS)
Zhang, Yiran; Sharma, Vivek
Ultrathin films exhibit stratification due to confinement-induced structuring and layering of small molecules in simple fluids, and of supramolecular structures like micelles, lipid layers and nanoparticles in complex fluids. Stratification proceeds by the formation and growth of thinner domains at the expense of surrounding thicker film, and results in formation of nanoscopic terraces and mesas within a film. The detailed mechanisms underlying stratification are still under debate, and are resolved in this contribution by addressing long-standing experimental and theoretical challenges. Thickness variations in stratifying films are visualized and analyzed using interferometry, digital imaging and optical microscopy (IDIOM) protocols, with unprecedented high spatial (thickness <100 nm, lateral 500 nm) and temporal resolution (<1 ms). Using IDIOM protocols we developed recently, we characterize the shape and the growth dynamics of nanoridges that flank the expanding domains in micellar thin films. We show that topographical changes including nanoridge growth, and the overall stratification dynamics, can be described quantitatively by nonlinear thin film equation, amended with supramolecular oscillatory surface forces.
Thrash, Barry R; Menges, Craig W; Pierce, Robert H; McCance, Dennis J
2006-04-28
Keratinocyte differentiation and stratification are complex processes involving multiple signaling pathways, which convert a basal proliferative cell into an inviable rigid squame. Loss of attachment to the basement membrane triggers keratinocyte differentiation, while in other epithelial cells, detachment from the extracellular matrix leads to rapid programmed cell death or anoikis. The potential role of AKT in providing a survival signal necessary for stratification and differentiation of primary human keratinocytes was investigated. AKT activity increased during keratinocyte differentiation and was attributed to the specific activation of AKT1 and AKT2. Targeted reduction of AKT1 expression, but not AKT2, by RNA interference resulted in an abnormal epidermis in organotypic skin cultures with a thin parabasal region and a pronounced but disorganized cornified layer. This abnormal stratification was due to significant cell death in the suprabasal layers and was alleviated by caspase inhibition. Normal expression patterns of both early and late markers of keratinocyte differentiation were also disrupted, producing a poorly developed stratum corneum.
Drainage and Stratification Kinetics of Foam Films
NASA Astrophysics Data System (ADS)
Zhang, Yiran; Sharma, Vivek
2014-03-01
Baking bread, brewing cappuccino, pouring beer, washing dishes, shaving, shampooing, whipping eggs and blowing bubbles all involve creation of aqueous foam films. Foam lifetime, drainage kinetics and stability are strongly influenced by surfactant type (ionic vs non-ionic), and added proteins, particles or polymers modify typical responses. The rate at which fluid drains out from a foam film, i.e. drainage kinetics, is determined in the last stages primarily by molecular interactions and capillarity. Interestingly, for certain low molecular weight surfactants, colloids and polyelectrolyte-surfactant mixtures, a layered ordering of molecules, micelles or particles inside the foam films leads to a stepwise thinning phenomena called stratification. Though stratification is observed in many confined systems including foam films containing particles or polyelectrolytes, films containing globular proteins seem not to show this behavior. Using a Scheludko-type cell, we experimentally study the drainage and stratification kinetics of horizontal foam films formed by protein-surfactant mixtures, and carefully determine how the presence of proteins influences the hydrodynamics and thermodynamics of foam films.
Effect of stable stratification on dispersion within urban street canyons: A large-eddy simulation
NASA Astrophysics Data System (ADS)
Li, Xian-Xiang; Britter, Rex; Norford, Leslie K.
2016-11-01
This study employs a validated large-eddy simulation (LES) code with high tempo-spatial resolution to investigate the effect of a stably stratified roughness sublayer (RSL) on scalar transport within an urban street canyon. The major effect of stable stratification on the flow and turbulence inside the street canyon is that the flow slows down in both streamwise and vertical directions, a stagnant area near the street level emerges, and the vertical transport of momentum is weakened. Consequently, the transfer of heat between the street canyon and overlying atmosphere also gets weaker. The pollutant emitted from the street level 'pools' within the lower street canyon, and more pollutant accumulates within the street canyon with increasing stability. Under stable stratification, the dominant mechanism for pollutant transport within the street canyon has changed from ejections (flow carries high-concentration pollutant upward) to unorganized motions (flow carries high-concentration pollutant downward), which is responsible for the much lower dispersion efficiency under stable stratifications.
O'Neal, Eryn Nicole; Beckman, Laura O; Spohn, Cassia
2016-05-24
The sexual stratification hypothesis suggests that criminal justice responses to sexual victimization will differ depending on the victim/suspect racial/ethnic dyad. Previous research examining the sexual stratification hypothesis has primarily focused on court processes, and the small body of literature examining arrest decisions is dated. There remains substantial opportunity for testing the sexual stratification hypothesis at response stages apart from the court level (i.e., arrest). Using quantitative data on 655 sexual assault complaints that were reported to the Los Angeles County Sherriff's Department (LASD) and the Los Angeles Police Department (LAPD) in 2008, this study examines the effect of the victim/suspect racial/ethnic dyad on the decision to arrest. Findings suggest that police consider the victim/suspect racial/ethnic dyad when making arrest decisions. In addition, victim characteristics, strength of evidence indicators, and measures of case factors predict the police decision to make an arrest. © The Author(s) 2016.
Project VeSElkA: results of abundance analysis for HD 53929 and HD 63975
NASA Astrophysics Data System (ADS)
Ndiaye, M. L.; LeBlanc, F.; Khalack, V.
2018-03-01
Project VeSElkA (Vertical Stratification of Element Abundances) has been initiated with the aim to detect and study the vertical stratification of element abundances in the atmosphere of chemically peculiar stars. Abundance stratification occurs in hydrodynamically stable stellar atmospheres due to the migration of the elements caused by atomic diffusion. Two HgMn stars, HD 53929 and HD 63975 were selected from the VeSElkA sample and analysed with the aim to detect some abundance peculiarities employing the ZEEMAN2 code. We present the results of abundance analysis of HD 53929 and HD 63975 observed recently with the spectropolarimeter ESPaDOnS at Canada-France-Hawaii Telescope. Evidence of phosphorus vertical stratification was detected in the atmosphere of these two stars. In both cases, phosphorus abundance increases strongly towards the superficial layers. The strong overabundance of Mn found in stellar atmosphere of both stars confirms that they are HgMn type stars.
Sell, Andrew; Fadaei, Hossein; Kim, Myeongsub; Sinton, David
2013-01-02
Predicting carbon dioxide (CO(2)) security and capacity in sequestration requires knowledge of CO(2) diffusion into reservoir fluids. In this paper we demonstrate a microfluidic based approach to measuring the mutual diffusion coefficient of carbon dioxide in water and brine. The approach enables formation of fresh CO(2)-liquid interfaces; the resulting diffusion is quantified by imaging fluorescence quenching of a pH-dependent dye, and subsequent analyses. This method was applied to study the effects of site-specific variables--CO(2) pressure and salinity levels--on the diffusion coefficient. In contrast to established, macro-scale pressure-volume-temperature cell methods that require large sample volumes and testing periods of hours/days, this approach requires only microliters of sample, provides results within minutes, and isolates diffusive mass transport from convective effects. The measured diffusion coefficient of CO(2) in water was constant (1.86 [± 0.26] × 10(-9) m(2)/s) over the range of pressures (5-50 bar) tested at 26 °C, in agreement with existing models. The effects of salinity were measured with solutions of 0-5 M NaCl, where the diffusion coefficient varied up to 3 times. These experimental data support existing theory and demonstrate the applicability of this method for reservoir-specific testing.
Torus Approach in Gravity Field Determination from Simulated GOCE Gravity Gradients
NASA Astrophysics Data System (ADS)
Liu, Huanling; Wen, Hanjiang; Xu, Xinyu; Zhu, Guangbin
2016-08-01
In Torus approach, observations are projected to the nominal orbits with constant radius and inclination, lumped coefficients provides a linear relationship between observations and spherical harmonic coefficients. Based on the relationship, two-dimensional FFT and block-diagonal least-squares adjustment are used to recover Earth's gravity field model. The Earth's gravity field model complete to degree and order 200 is recovered using simulated satellite gravity gradients on a torus grid, and the degree median error is smaller than 10-18, which shows the effectiveness of Torus approach. EGM2008 is employed as a reference model and the gravity field model is resolved using the simulated observations without noise given on GOCE orbits of 61 days. The error from reduction and interpolation can be mitigated by iterations. Due to polar gap, the precision of low-order coefficients is lower. Without considering these coefficients the maximum geoid degree error and cumulative error are 0.022mm and 0.099mm, respectively. The Earth's gravity field model is also recovered from simulated observations with white noise 5mE/Hz1/2, which is compared to that from direct method. In conclusion, it is demonstrated that Torus approach is a valid method for processing massive amount of GOCE gravity gradients.
NASA Astrophysics Data System (ADS)
Carter, Brandon; Chamel, Nicolas; Haensel, Pawel
Phenomena such as pulsar frequency glitches are believed to be attributable to differential rotation of a current of "free" superfluid neutrons at densities above the "drip" threshold in the ionic crust of a neutron star. Such relative flow is shown to be locally describable by adaption of a canonical two-fluid treatment that emphasizes the role of the momentum covectors constructed by differentiation of action with respect to the currents, with allowance for stratification whereby the ionic number current may be conserved even when the ionic charge number Z is altered by beta processes. It is demonstrated that the gauge freedom to make different choices of the chemical basis determining which neutrons are counted as "free" does not affect their "superfluid" momentum covector, which must locally have the form of a gradient (though it does affect the "normal" momentum covector characterizing the protons and those neutrons that are considered to be "confined" in the nuclei). It is shown how the effect of "entrainment" (whereby the momentum directions deviate from those of the currents) is controlled by the (gauge-independent) mobility coefficient {K}, estimated in recent microscopical quantum mechanical investigations, which suggest that the corresponding (gauge-dependent) "effective mass" m⋆ of the free neutrons can become very large in some layers. The relation between this treatment of the crust layers and related work (using different definitions of "effective mass") intended for the deeper core layers is discussed.
On the Micrometeorology of the Southern Great Plains. 2: Turbulence Statistics
NASA Astrophysics Data System (ADS)
Hicks, Bruce B.; Pendergrass, W. R.; Vogel, C. A.; Keener, R. N.; Leyton, S. M.
2015-03-01
Fast-response micrometeorological data obtained from an instrumented 32-m tower at an arid site near Ocotillo, Texas are used to examine the daily time evolution of the lower atmosphere. Correlation coefficients between turbulence properties (fast response wind-speed components and temperature) confirm that over this sparsely vegetated site the effects of convection are observed soon after sunrise, well ahead of the morning transition from stable to unstable stratification. Details of this kind are obscured when results are considered as functions of conventional stability parameters, since such standard analytical methods combine features of the morning and evening transitions into a single presentation. Partial correlation coefficients and semi-partials indicate that the local turbulent kinetic energy is mainly associated with local fluxes of heat and momentum near neutral and in most stable conditions, but decreases substantially during the times of strongest instability (possibly reflecting the scatter introduced by sampling infrequent convective episodes using a single tower). For many of the variables considered here, the standard deviations are about the same as the linear averages, indicating that the distributions are close to log-normal. The present data indicate that if the intent is to address some specific situation then 10 % error bounds on turbulence quantities (e.g. fluxes) correspond to averaging over a distance scale of the order of 10 km and a time scale of about 3 h. As the distance and time scales become smaller, the uncertainties due to factors external to the local surface increase.
Situational Lightning Climatologies for Central Florida: Phase V
NASA Technical Reports Server (NTRS)
Bauman, William H., III
2011-01-01
The AMU added three years of data to the POR from the previous work resulting in a 22-year POR for the warm season months from 1989-2010. In addition to the flow regime stratification, moisture and stability stratifications were added to separate more active from less active lighting days within the same flow regime. The parameters used for moisture and stability stratifications were PWAT and TI which were derived from sounding data at four Florida radiosonde sites. Lightning data consisted of NLDN CG lightning flashes within 30 NM of each airfield. The AMU increased the number of airfields from nine to thirty-six which included the SLF, CCAFS, PAFB and thirty-three airfields across Florida. The NWS MLB requested the AMU calculate lightning climatologies for additional airfields that they support as a backup to NWS TBW which was then expanded to include airfields supported by NWS JAX and NWS MFL. The updated climatologies of lightning probabilities are based on revised synoptic-scale flow regimes over the Florida peninsula (Lambert 2007) for 5-, 10-, 20- and 30-NM radius range rings around the thirty-six airfields in 1-, 3- and 6-hour increments. The lightning, flow regime, moisture and stability data were processed in S-PLUS software using scripts written by the AMU to automate much of the data processing. The S-PLUS data files were exported to Excel to allow the files to be combined in Excel Workbooks for easier data handling and to create the tables and charts for the Gill. The AMU revised the Gill developed in the previous phase (Bauman 2009) with the new data and provided users with an updated HTML tool to display and manipulate the data and corresponding charts. The tool can be used with most web browsers and is computer operating system independent. The AMU delivered two Gills - one with just the PWAT stratification and one with both the PWAT and TI stratifications due to insufficient data in some of the PWATITI stratification combinations. This will allow the forecasters to choose a moisture-only or moisture/stability stratification depending on the flow regime and available data.
Are Strong Zonal Winds in Giant Planets Caused by Density-Stratification?
NASA Astrophysics Data System (ADS)
Verhoeven, J.; Stellmach, S.
2012-12-01
One of the most striking features of giant planets like Jupiter and Saturn are the zonal wind patterns observed on their surfaces. The mechanism that drives this differential rotation is still not clearly identified and is currently strongly debated in the astro- and geophysics community. Different mechanisms have been proposed over the last decades. Here, a recently discovered mechanism based on background density stratification (Glatzmaier et al., 2009) is investigated. This mechanism has the potential to overcome known difficulties of previous explanations and its efficiency has been demonstrated in 2-d simulations covering equatorial planes. By performing highly resolved numerical simulations in a local Cartesian geometry, we are able to test the efficiency and functionality of this mechanism in turbulent, rotating convection in three spatial dimensions. The choice of a Cartesian model geometry naturally excludes other known mechanisms capable of producing differential rotation, thus allowing us to investigate the role of density stratification in isolation. Typically, the dynamics can be classified into two main regimes: A regime exhibiting strong zonal winds for weak to moderate thermal driving and a regime where zonal winds are largely absent in the case of a strong thermal forcing. Our results indicate that previous 2-d results must be handled with care and can only explain parts of the full 3-d behavior. We show that the density-stratification mechanism tends to operate in a more narrow parameter range in 3-d as compared to 2-d simulations. The dynamics of the regime transition is shown to differ in both cases, which renders scaling laws derived from two-dimensional studies questionable. Based on our results, we provide estimates for the importance of the density-stratification mechanism for giant planets like Jupiter (strong density stratification), for systems like the Earth's core (weak density stratification) and compare its efficiency with other suggested mechanisms for driving differential rotation. Gary A. Glatzmaier, Martha Evonuk and Tamara M. Rogers (2009), Differential rotation in giant planets maintained by density-stratified turbulent convection. Geophysical and Astrophysical Fluid Dynamics, Vol. 103, No. 1, 31-51.
Lake Stability and Winter-Spring Transitions: Decoupled Ice Duration and Winter Stratification
NASA Astrophysics Data System (ADS)
Daly, J.; Dana, S.; Neal, B.
2016-12-01
Ice-out is an important historical record demonstrating the impact of warmer air temperatures on lake ice. To better understand regional differences in ice-out trends, to characterize the thermal dynamics of smaller mountain lakes, and to develop baseline data for Maine's high elevations landscapes, sub-hourly water temperatures have been collected in over a dozen of Maine's mountain lakes since 2010. Both surface water and hypolimnion temperature data are recorded year-round, facilitating the determination of ice-in, ice-out, and the duration of winter stratification. The multi-year record from sites across as 250 km transect allows us to compare spatial variability related to lake morphometry and location with inter-annual variability related to local weather. All of the study lakes are large enough to stratify during the summer and mix extensively during the fall. Most years, our data show that the onset of winter stratification is nearly synchronous across the study area and is associated with cold air temperatures. Winter stratification can begin days to weeks before ice-in; the timing of ice-in shows more variability, with both elevation and basin aspect influencing the timing. Ice-out shows both the anticipated spatial and interannual variability; some years there is strong coherence between locations while other years show high variability, possibly a function of differences in snowpack. Ice-out is not always immediately followed by the end of winter stratification, there is sometimes a lag of days to weeks before the lakes mix. If the warm temperatures that lead to ice-out are followed by calm days without significant wind, the surface of some lakes begins to warm quickly maintaining the density difference and prolonging winter stratification. The longer the lag time, the stronger the density difference becomes which may also result in a very brief period of mixing in the spring prior to set-up of summer stratification. This year's El Niño event resulted in very late ice-in, leading to an unusually short ice duration period at most sites. However, ice-out for these sites was within the range observed previous years and there may not be a significant impact on summer water temperatures.
A PRIM approach to predictive-signature development for patient stratification
Chen, Gong; Zhong, Hua; Belousov, Anton; Devanarayan, Viswanath
2015-01-01
Patients often respond differently to a treatment because of individual heterogeneity. Failures of clinical trials can be substantially reduced if, prior to an investigational treatment, patients are stratified into responders and nonresponders based on biological or demographic characteristics. These characteristics are captured by a predictive signature. In this paper, we propose a procedure to search for predictive signatures based on the approach of patient rule induction method. Specifically, we discuss selection of a proper objective function for the search, present its algorithm, and describe a resampling scheme that can enhance search performance. Through simulations, we characterize conditions under which the procedure works well. To demonstrate practical uses of the procedure, we apply it to two real-world data sets. We also compare the results with those obtained from a recent regression-based approach, Adaptive Index Models, and discuss their respective advantages. In this study, we focus on oncology applications with survival responses. PMID:25345685
pyNBS: A Python implementation for network-based stratification of tumor mutations.
Huang, Justin K; Jia, Tongqiu; Carlin, Daniel E; Ideker, Trey
2018-03-28
We present pyNBS: a modularized Python 2.7 implementation of the network-based stratification (NBS) algorithm for stratifying tumor somatic mutation profiles into molecularly and clinically relevant subtypes. In addition to release of the software, we benchmark its key parameters and provide a compact cancer reference network that increases the significance of tumor stratification using the NBS algorithm. The structure of the code exposes key steps of the algorithm to foster further collaborative development. The package, along with examples and data, can be downloaded and installed from the URL http://www.github.com/huangger/pyNBS/. jkh013@ucsd.edu.
Glacial/interglacial changes in subarctic north pacific stratification.
Jaccard, S L; Haug, G H; Sigman, D M; Pedersen, T F; Thierstein, H R; Röhl, U
2005-05-13
Since the first evidence of low algal productivity during ice ages in the Antarctic Zone of the Southern Ocean was discovered, there has been debate as to whether it was associated with increased polar ocean stratification or with sea-ice cover, shortening the productive season. The sediment concentration of biogenic barium at Ocean Drilling Program site 882 indicates low algal productivity during ice ages in the Subarctic North Pacific as well. Site 882 is located southeast of the summer sea-ice extent even during glacial maxima, ruling out sea-ice-driven light limitation and supporting stratification as the explanation, with implications for the glacial cycles of atmospheric carbon dioxide concentration.
NASA Technical Reports Server (NTRS)
Childs, D. W.
1983-01-01
An improved theory for the prediction of the rotordynamic coefficients of turbulent annular seals was developed. Predictions from the theory are compared to the experimental results and an approach for the direct calculation of empirical turbulent coefficients from test data are introduced. An improved short seal solution is shown to do a better job of calculating effective stiffness and damping coefficients than either the original short seal solution or a finite length solution. However, the original short seal solution does a much better job of predicting equivalent added mass coefficient.
An ischemia-guided approach for risk stratification in patients with acute coronary syndromes.
Pepine, C J
2000-12-28
The optimal management approach for patients with non-ST-segment elevation acute coronary syndromes continues to be an issue of debate. An ischemia-guided strategy appears to be effective as an alternative to either a very conservative "wait-and-see" approach or a very aggressive routine revascularization approach. The need for another approach is supported by the lack of conclusive evidence-based results favoring an early routine invasive treatment strategy. In the Thrombolysis in Myocardial Infarction (TIMI) IIIB trial, there were no differences in the incidence of death or myocardial infarction (MI) between patients treated with an early invasive approach and those treated with a conservative approach to treatment. Significantly worse outcomes were shown in patients assigned to an early invasive strategy in the Veterans Affairs Non-Q-Wave Infarction Strategies in Hospital (VANQWISH) trial at 1-year follow-up (111 clinical events in the invasive group vs 85 in the conservative group; p = 0.05). Registry information, including that from the Organization to Assess Strategies for Ischemic Syndromes (OASIS), which included approximately 8,000 patients with unstable angina or suspected MI, has even suggested an excess hazard with a routine invasive approach. Patients with non-ST-segment elevation MI observed in the Global Use of Strategies to Open Occluded Coronary Arteries in Acute Coronary Syndromes (GUSTO)-IIB and Platelet IIb/IIIa in Unstable Angina: Receptor Suppression Using Integrilin Therapy (PURSUIT) trials also fared better with an ischemia-guided strategy. Even the recent FRagmin and Fast Revascularization during InStability in Coronary artery disease (FRISC II) trial investigators had to be very selective relative to eliminating high-risk patients in the first week and treating with intense anti-ischemic therapy and 5-7 days of low-molecular-weight heparin therapy to show an advantage for assigned revascularization. A careful clinical evaluation with attention to early risk stratification is essential in the ischemia-guided approach. The Braunwald classification for unstable angina helps identify independent clinical predictors of a poor outcome; high risk is clearly associated with Braunwald class III and type C. Electrocardiographic and biochemical markers for myocardial necrosis (cardiac troponin T or I) are important tools for assessing the presence and degree of ischemia and associated risk for adverse outcome. Noninvasive evaluation of left ventricular ejection fraction is essential for identifying those at high risk due to impaired contractile function. When these conventional markers do not provide conclusive information, noninvasive stress testing is most helpful to further identify those at highest risk for revascularization.
ERIC Educational Resources Information Center
Raykov, Tenko; Marcoulides, George A.
2015-01-01
A latent variable modeling procedure that can be used to evaluate intraclass correlation coefficients in two-level settings with discrete response variables is discussed. The approach is readily applied when the purpose is to furnish confidence intervals at prespecified confidence levels for these coefficients in setups with binary or ordinal…
On time-dependent diffusion coefficients arising from stochastic processes with memory
NASA Astrophysics Data System (ADS)
Carpio-Bernido, M. Victoria; Barredo, Wilson I.; Bernido, Christopher C.
2017-08-01
Time-dependent diffusion coefficients arise from anomalous diffusion encountered in many physical systems such as protein transport in cells. We compare these coefficients with those arising from analysis of stochastic processes with memory that go beyond fractional Brownian motion. Facilitated by the Hida white noise functional integral approach, diffusion propagators or probability density functions (pdf) are obtained and shown to be solutions of modified diffusion equations with time-dependent diffusion coefficients. This should be useful in the study of complex transport processes.
Elsayed, Mustafa M A; Vierl, Ulrich; Cevc, Gregor
2009-06-01
Potentiometric lipid membrane-water partition coefficient studies neglect electrostatic interactions to date; this leads to incorrect results. We herein show how to account properly for such interactions in potentiometric data analysis. We conducted potentiometric titration experiments to determine lipid membrane-water partition coefficients of four illustrative drugs, bupivacaine, diclofenac, ketoprofen and terbinafine. We then analyzed the results conventionally and with an improved analytical approach that considers Coulombic electrostatic interactions. The new analytical approach delivers robust partition coefficient values. In contrast, the conventional data analysis yields apparent partition coefficients of the ionized drug forms that depend on experimental conditions (mainly the lipid-drug ratio and the bulk ionic strength). This is due to changing electrostatic effects originating either from bound drug and/or lipid charges. A membrane comprising 10 mol-% mono-charged molecules in a 150 mM (monovalent) electrolyte solution yields results that differ by a factor of 4 from uncharged membranes results. Allowance for the Coulombic electrostatic interactions is a prerequisite for accurate and reliable determination of lipid membrane-water partition coefficients of ionizable drugs from potentiometric titration data. The same conclusion applies to all analytical methods involving drug binding to a surface.
NASA Astrophysics Data System (ADS)
Hanasoge, Shravan; Agarwal, Umang; Tandon, Kunj; Koelman, J. M. Vianney A.
2017-09-01
Determining the pressure differential required to achieve a desired flow rate in a porous medium requires solving Darcy's law, a Laplace-like equation, with a spatially varying tensor permeability. In various scenarios, the permeability coefficient is sampled at high spatial resolution, which makes solving Darcy's equation numerically prohibitively expensive. As a consequence, much effort has gone into creating upscaled or low-resolution effective models of the coefficient while ensuring that the estimated flow rate is well reproduced, bringing to the fore the classic tradeoff between computational cost and numerical accuracy. Here we perform a statistical study to characterize the relative success of upscaling methods on a large sample of permeability coefficients that are above the percolation threshold. We introduce a technique based on mode-elimination renormalization group theory (MG) to build coarse-scale permeability coefficients. Comparing the results with coefficients upscaled using other methods, we find that MG is consistently more accurate, particularly due to its ability to address the tensorial nature of the coefficients. MG places a low computational demand, in the manner in which we have implemented it, and accurate flow-rate estimates are obtained when using MG-upscaled permeabilities that approach or are beyond the percolation threshold.
Introducing Social Stratification and Inequality: An Active Learning Technique.
ERIC Educational Resources Information Center
McCammon, Lucy
1999-01-01
Summarizes literature on techniques for teaching social stratification. Describes the three parts of an exercise that enables students to understand economic and political inequality: students are given a family scenario, create household budgets, and finally rework the national budget with their family scenario groups. Discusses student…
Wind Energy-Related Atmospheric Boundary Layer Large-Eddy Simulation Using OpenFOAM: Preprint
DOE Office of Scientific and Technical Information (OSTI.GOV)
Churchfield, M.J.; Vijayakumar, G.; Brasseur, J.G.
This paper develops and evaluates the performance of a large-eddy simulation (LES) solver in computing the atmospheric boundary layer (ABL) over flat terrain under a variety of stability conditions, ranging from shear driven (neutral stratification) to moderately convective (unstable stratification).
Pisani, Luigi; Roozeman, Jan-Paul; Simonis, Fabienne D; Giangregorio, Antonio; van der Hoeven, Sophia M; Schouten, Laura R; Horn, Janneke; Neto, Ary Serpa; Festic, Emir; Dondorp, Arjen M; Grasso, Salvatore; Bos, Lieuwe D; Schultz, Marcus J
2017-10-25
We assessed the potential of risk stratification of ARDS patients using SpO 2 /FiO 2 and positive end-expiratory pressure (PEEP) at ARDS onset and after 24 h. We used data from a prospective observational study in patients admitted to a mixed medical-surgical intensive care unit of a university hospital in the Netherlands. Risk stratification was by cutoffs for SpO 2 /FiO 2 and PEEP. The primary outcome was in-hospital mortality. Patients with moderate or severe ARDS with a length of stay of > 24 h were included in this study. Patients were assigned to four predefined risk groups: group I (SpO 2 /FiO 2 ≥ 190 and PEEP < 10 cm H 2 O), group II (SpO 2 /FiO 2 ≥ 190 and PEEP ≥ 10 cm), group III (SpO 2 /FiO 2 < 190 and PEEP < 10 cm H 2 O) and group IV (SpO 2 /FiO 2 < 190 and PEEP ≥ 10 cm H 2 O). The analysis included 456 patients. SpO 2 /FiO 2 and PaO 2 /FiO 2 had a strong relationship (P < 0.001, R 2 = 0.676) that could be described in a linear regression equation (SpO 2 /FiO 2 = 42.6 + 1.0 * PaO 2 /FiO 2 ). Risk stratification at initial ARDS diagnosis resulted in groups that had no differences in in-hospital mortality. Risk stratification at 24 h resulted in groups with increasing mortality rates. The association between group assignment at 24 h and outcome was confounded by several factors, including APACHE IV scores, arterial pH and plasma lactate levels, and vasopressor therapy. In this cohort of patients with moderate or severe ARDS, SpO 2 /FiO 2 and PaO 2 /FiO 2 have a strong linear relationship. In contrast to risk stratification at initial ARDS diagnosis, risk stratification using SpO 2 /FiO 2 and PEEP after 24 h resulted in groups with worsening outcomes. Risk stratification using SpO 2 /FiO 2 and PEEP could be practical, especially in resource-limited settings.
Visualizing the Genetic Landscape of Arabidopsis Seed Performance1[W][OA
Joosen, Ronny Viktor Louis; Arends, Danny; Willems, Leo Albert Jan; Ligterink, Wilco; Jansen, Ritsert C.; Hilhorst, Henk W.M.
2012-01-01
Perfect timing of germination is required to encounter optimal conditions for plant survival and is the result of a complex interaction between molecular processes, seed characteristics, and environmental cues. To detangle these processes, we made use of natural genetic variation present in an Arabidopsis (Arabidopsis thaliana) Bayreuth × Shahdara recombinant inbred line population. For a detailed analysis of the germination response, we characterized rate, uniformity, and maximum germination and discuss the added value of such precise measurements. The effects of after-ripening, stratification, and controlled deterioration as well as the effects of salt, mannitol, heat, cold, and abscisic acid (ABA) with and without cold stratification were analyzed for these germination characteristics. Seed morphology (size and length) of both dry and imbibed seeds was quantified by using image analysis. For the overwhelming amount of data produced in this study, we developed new approaches to perform and visualize high-throughput quantitative trait locus (QTL) analysis. We show correlation of trait data, (shared) QTL positions, and epistatic interactions. The detection of similar loci for different stresses indicates that, often, the molecular processes regulating environmental responses converge into similar pathways. Seven major QTL hotspots were confirmed using a heterogeneous inbred family approach. QTLs colocating with previously reported QTLs and well-characterized mutants are discussed. A new connection between dormancy, ABA, and a cripple mucilage formation due to a naturally occurring mutation in the MUCILAGE-MODIFIED2 gene is proposed, and this is an interesting lead for further research on the regulatory role of ABA in mucilage production and its multiple effects on germination parameters. PMID:22158761
Vanhoutte, Kurt; de Asmundis, Carlo; Francesconi, Anna; Figysl, Jurgen; Steurs, Griet; Boussy, Tim; Roos, Markus; Mueller, Andreas; Massimo, Lucio; Paparella, Gaetano; Van Caelenberg, Kristien; Chierchia, Gian Battista; Sarkozy, Andrea; Terradellas, Pedro Brugada Y; Zizi, Martin
2009-01-01
Atrial fibrillation (AF) is a frequent chronic dysrythmia with an incidence that increases with age (>40). Because of its medical and socio-economic impacts it is expected to become an increasing burden on most health care systems. AF is a multi-factorial disease for which the identification of subtypes is warranted. Novel approaches based on the broad concepts of systems biology may overcome the blurred notion of normal and pathological phenotype, which is inherent to high throughput molecular arrays analysis. Here we apply an internal contrast algorithm on AF patient data with an analytical focus on potential entry pathways into the disease. We used a RMA (Robust Multichip Average) normalized Affymetrix micro-array data set from 10 AF patients (geo_accession #GSE2240). Four series of probes were selected based on physiopathogenic links with AF entryways: apoptosis (remodeling), MAP kinase (cell remodeling), OXPHOS (ability to sustain hemodynamic workload) and glycolysis (ischemia). Annotated probe lists were polled with Bioconductor packages in R (version 2.7.1). Genetic profile contrasts were analysed with hierarchical clustering and principal component analysis. The analysis revealed distinct patient groups for all probe sets. A substantial part (54% till 67%) of the variance is explained in the first 2 principal components. Genes in PC1/2 with high discriminatory value were selected and analyzed in detail. We aim for reliable molecular stratification of AF. We show that stratification is possible based on physiologically relevant gene sets. Genes with high contrast value are likely to give pathophysiological insight into permanent AF subtypes.