Science.gov

Sample records for surviving tough times

  1. Lessons from Cacti: How to Survive the Prickles of Life during Tough Times

    ERIC Educational Resources Information Center

    Bigger, Alan S.; Bigger, Linda B.

    2009-01-01

    The saguaro cactus looked a little like humans, in different shapes and sizes. How on earth do they survive in a climate that seems so inhospitable? It is possible to learn lessons for life from a cactus, if one can only get beyond the thorns, and that these lessons will assist one to survive during tough or prickly times. These plants survive…

  2. Tough Questions for Tough Times

    ERIC Educational Resources Information Center

    Parrett, William; Budge, Kathleen

    2009-01-01

    Six high-performing/high-poverty schools provide insights into what it takes to make a dramatic turnaround. School leaders had to make tough calls--and many of those decisions were about how to use resources. The budget in a high-performing, high-poverty school is a moral document, reflective of the school's beliefs about the conditions necessary…

  3. Four Takes on Tough Times

    ERIC Educational Resources Information Center

    Rebell, Michael A.; Odden, Allan; Rolle, Anthony; Guthrie, James W.

    2012-01-01

    Educational Leadership talks with four experts in the fields of education policy and finance about how schools can weather the current financial crisis. Michael A. Rebell focuses on the recession and students' rights; Allan Odden suggests five steps schools can take to improve in tough times; Anthony Rolle describes the tension between equity and…

  4. Four Takes on Tough Times

    ERIC Educational Resources Information Center

    Rebell, Michael A.; Odden, Allan; Rolle, Anthony; Guthrie, James W.

    2012-01-01

    Educational Leadership talks with four experts in the fields of education policy and finance about how schools can weather the current financial crisis. Michael A. Rebell focuses on the recession and students' rights; Allan Odden suggests five steps schools can take to improve in tough times; Anthony Rolle describes the tension between equity and…

  5. Refinery suppliers face tough times

    SciTech Connect

    Rotman, D.; Walsh, K.

    1997-03-12

    Despite a handful of bright spots in hydroprocessing and petrochemical sectors, economic woes plague much of the refinery and petrochemical catalysts business, as suppliers are feeling the impact of mature markets and refiners` ongoing cost cutting. Industry experts say the doldrums could spur further restructuring in the catalyst business, with suppliers scrambling for market share and jockeying for position in growing sectors. Expect further consolidation over the next several years, says Pierre Bonnifay, president of IFP Enterprises (New York). {open_quotes}There are still too many players for the mature [refinery catalyst] markets.{close_quotes} Others agree. {open_quotes}Only about seven [or] eight major suppliers will survive,{close_quotes} says Robert Allsmiller, v.p./refinery and petrochemical catalysts at United Catalysts Inc. (UCI; Louisville, KY). {open_quotes}Who they [will be] is still up in the air.{close_quotes}

  6. Staying Motivated During Tough Times

    NASA Technical Reports Server (NTRS)

    Cole, Jennifer H.

    2008-01-01

    This paper describes the problem of team motivation on a project. Our team was working with the Department of Homeland Security (DHS). The task consisted of figuring out how to safely control and land an airliner using just the thrust from the engines. This is called Throttles-Only Control (TOC). We weren't allowed to modify the airliner in any way, given the time and cost involved, and we had to use a stock airliner with line pilots. The idea was to give the pilots an emergency checklist which would provide them with the most useful information in the shortest time to learn how to fly TOC. The DHS Program office that was supporting us had its funding redirected, due to new priorities. The process of staying motivated for finishing as much of the project as possible is described.

  7. Recruiting good employees in tough times.

    PubMed

    Anderson, P; Pulich, M

    2000-03-01

    In tough hiring times, health care employers must develop a fresh approach to their recruitment techniques and practices in order to capture a desired segment of the labor market. While some of these techniques and practices are new, many are a variation of conventional ones. Successful organizations will simultaneously use a variety of methods, thus enabling them to recruit good employees continually. A tight labor market requires that organizations become creative recruiters.

  8. Surviving Tough Times: From Administrative Reorganizations to Finding New Streams of Revenue, Some Historically Black Colleges and Universities Are Determined to Stay Afloat

    ERIC Educational Resources Information Center

    Powell, Tracie

    2004-01-01

    Overall, historically Black colleges and universities' compassionate and noble mission of educating and nurturing young African American minds has not changed over the years, but leaders at Black campuses are now increasingly having to temper that with tough business decisions. Streamlining, attracting executive leadership and finding new revenue…

  9. Survivability Versus Time

    NASA Technical Reports Server (NTRS)

    Joyner, James J., Sr.

    2014-01-01

    Develop Survivability vs Time Model as a decision-evaluation tool to assess various emergency egress methods used at Launch Complex 39B (LC 39B) and in the Vehicle Assembly Building (VAB) on NASAs Kennedy Space Center. For each hazard scenario, develop probability distributions to address statistical uncertainty resulting in survivability plots over time and composite survivability plots encompassing multiple hazard scenarios.

  10. Sharing Ideas: Tough Times Encourage Colleges to Collaborate

    ERIC Educational Resources Information Center

    Fain, Paul; Blumenstyk, Goldie; Sander, Libby

    2009-01-01

    Tough times are encouraging colleges to share resources in a variety of areas, including campus security, research, and degree programs. Despite its veneer of cooperation, higher education is a competitive industry, where resource sharing is eyed warily. But the recession is chipping away at that reluctance, and institutions are pursuing…

  11. Tough Times: Strategic Planning as a War Canoe

    ERIC Educational Resources Information Center

    Seymour, Daniel

    2011-01-01

    In this article, the author discusses how to make strategic planning a more valuable tool for higher education in today's tough times. Strategic planning is really the answer to five straightforward questions. The first three represent the plan itself, while the last two are what makes the plan vital and dynamic: (1) Why do we exist?; (2) What do…

  12. Sharing Ideas: Tough Times Encourage Colleges to Collaborate

    ERIC Educational Resources Information Center

    Fain, Paul; Blumenstyk, Goldie; Sander, Libby

    2009-01-01

    Tough times are encouraging colleges to share resources in a variety of areas, including campus security, research, and degree programs. Despite its veneer of cooperation, higher education is a competitive industry, where resource sharing is eyed warily. But the recession is chipping away at that reluctance, and institutions are pursuing…

  13. Tough Times: Strategic Planning as a War Canoe

    ERIC Educational Resources Information Center

    Seymour, Daniel

    2011-01-01

    In this article, the author discusses how to make strategic planning a more valuable tool for higher education in today's tough times. Strategic planning is really the answer to five straightforward questions. The first three represent the plan itself, while the last two are what makes the plan vital and dynamic: (1) Why do we exist?; (2) What do…

  14. Professional Development in Tough Financial Times

    ERIC Educational Resources Information Center

    Gandel, Paul B.; Golden, Cynthia

    2004-01-01

    The authors asked a diverse cross-section of their colleagues how they were addressing professional development in tight economic times, when they are all being asked to work more effectively across organizational boundaries. While the survey was informal and not scientific, the authors found that many organizations have maintained strong…

  15. Professional Development in Tough Financial Times

    ERIC Educational Resources Information Center

    Gandel, Paul B.; Golden, Cynthia

    2004-01-01

    The authors asked a diverse cross-section of their colleagues how they were addressing professional development in tight economic times, when they are all being asked to work more effectively across organizational boundaries. While the survey was informal and not scientific, the authors found that many organizations have maintained strong…

  16. The effect of magnetic field intensity and treatment time on graphene / epoxy composites’ fracture toughness

    NASA Astrophysics Data System (ADS)

    Tian, Z. Q.; Zhang, L.; Fu, S.; Yuan, R. H.; Dong, Z. W.; Ren, X. M.

    2016-07-01

    The effect of the intensity of the magnetic field and the treatment time on the fracture toughness of graphene/epoxy composites is researched. Also, the mechanism of the effect of the magnetic field on the fracture toughness of graphene/epoxy composites and a method to improve the impact resistance is explored. Then, three-point bending tests are employed to characterize the fracture toughness of graphene/epoxy composite. The results show that the intervention of magnetic field could induce GNS to generated orientation arrangement, improving the fracture toughness of the graphene/epoxy composite. When the intensity of the magnetic field was increased, the growth rate of the fracture toughness slowed. However, when 2T magnetic was used to synthetically process the material, and when the processing time was less than 50 min, the fracture toughness of the composite material increased significantly.

  17. Mental Toughness Moderates Social Loafing in Cycle Time-Trial Performance.

    PubMed

    Haugen, Tommy; Reinboth, Michael; Hetlelid, Ken J; Peters, Derek M; Høigaard, Rune

    2016-09-01

    The purpose of this study was to determine if mental toughness moderated the occurrence of social loafing in cycle time-trial performance. Twenty-seven men (Mage = 17.7 years, SD = 0.6) completed the Sport Mental Toughness Questionnaire prior to completing a 1-min cycling trial under 2 conditions: once with individual performance identified, and once in a group with individual performance not identified. Using a median split of the mental toughness index, participants were divided into high and low mental toughness groups. Cycling distance was compared using a 2 (trial) × 2 (high-low mental toughness) analysis of variance. We hypothesized that mentally tough participants would perform equally well under both conditions (i.e., no indication of social loafing) compared with low mentally tough participants, who would perform less well when their individual performance was not identifiable (i.e., demonstrating the anticipated social loafing effect). The high mental toughness group demonstrated consistent performance across both conditions, while the low mental toughness group reduced their effort in the non-individually identifiable team condition. The results confirm that (a) clearly identifying individual effort/performance is an important situational variable that may impact team performance and (b) higher perceived mental toughness has the ability to negate the tendency to loaf.

  18. Tough Choices or Tough Times: Bolder Steps for Education Philanthropy? Notes and Resources from the GFE Foundation Leaders Institute (Tamaya, New Mexico, October 19, 2007)

    ERIC Educational Resources Information Center

    Mackinnon, Anne

    2007-01-01

    In late 2006, the National Center on Education and the Economy released "Tough Choices or Tough Times: The Report of the New Commission on the Skills of the American Workforce." With compelling language, the report updated and sharpened the findings of the center's influential 1990 report, "America's Choice: High Skills or Low Wages," which called…

  19. Surviving Tight Times.

    ERIC Educational Resources Information Center

    Neugebauer, Roger

    2002-01-01

    Discusses several strategies recommended by small business experts to help for-profit and non-profit child care centers survive a financial crisis. Strategies include: identifying the source of the problem, monitoring cash flow, reducing or deferring expenditures, expediting regular income and exploring new sources of income, patiently working…

  20. Surviving Tight Times.

    ERIC Educational Resources Information Center

    Neugebauer, Roger

    2002-01-01

    Discusses several strategies recommended by small business experts to help for-profit and non-profit child care centers survive a financial crisis. Strategies include: identifying the source of the problem, monitoring cash flow, reducing or deferring expenditures, expediting regular income and exploring new sources of income, patiently working…

  1. Mental Toughness Moderates Social Loafing in Cycle Time-Trial Performance

    ERIC Educational Resources Information Center

    Haugen, Tommy; Reinboth, Michael; Hetlelid, Ken J.; Peters, Derek M.; Høigaard, Rune

    2016-01-01

    Purpose: The purpose of this study was to determine if mental toughness moderated the occurrence of social loafing in cycle time-trial performance. Method: Twenty-seven men (M[subscript age] = 17.7 years, SD = 0.6) completed the Sport Mental Toughness Questionnaire prior to completing a 1-min cycling trial under 2 conditions: once with individual…

  2. Mental Toughness Moderates Social Loafing in Cycle Time-Trial Performance

    ERIC Educational Resources Information Center

    Haugen, Tommy; Reinboth, Michael; Hetlelid, Ken J.; Peters, Derek M.; Høigaard, Rune

    2016-01-01

    Purpose: The purpose of this study was to determine if mental toughness moderated the occurrence of social loafing in cycle time-trial performance. Method: Twenty-seven men (M[subscript age] = 17.7 years, SD = 0.6) completed the Sport Mental Toughness Questionnaire prior to completing a 1-min cycling trial under 2 conditions: once with individual…

  3. Survival of the scheming: a genetically informed link between the dark triad and mental toughness.

    PubMed

    Onley, Michael; Veselka, Livia; Schermer, Julie Aitken; Vernon, Philip A

    2013-12-01

    The present study is the first behavioral genetic investigation of the Dark Triad traits of personality, consisting of Machiavellianism, narcissism, and psychopathy, and the variable of mental toughness, reflecting individual differences in the ability to cope when under pressure. The purpose of this investigation was to explore a potential explanation for the success of individuals exhibiting the Dark Triad traits in workplace and social settings. Participants were adult twins who completed the MACH-IV, the Narcissistic Personality Inventory, and the Self-Report Psychopathy Scale assessing Machiavellianism, narcissism, and psychopathy, respectively, as well as the MT48, measuring mental toughness. Correlational analyses of the data revealed significant positive phenotypic associations between mental toughness and narcissism. Psychopathy and Machiavellianism, however, both showed some significant negative phenotypic correlations with mental toughness. Bivariate behavioral genetic analyses of the data were conducted to assess the extent to which these significant phenotypic correlations were attributable to common genetic and/or common environmental factors. Results indicate that correlations between narcissism and mental toughness were attributable primarily to common non-shared environmental factors, correlations between Machiavellianism and mental toughness were influenced by both common genetic and common non-shared environmental factors, and the correlations between psychopathy and mental toughness were attributable entirely to correlated genetic factors. Implications of these findings in the context of etiology and organizational adaptation are discussed.

  4. Probabilistic Survivability Versus Time Modeling

    NASA Technical Reports Server (NTRS)

    Joyner, James J., Sr.

    2016-01-01

    This presentation documents Kennedy Space Center's Independent Assessment work completed on three assessments for the Ground Systems Development and Operations (GSDO) Program to assist the Chief Safety and Mission Assurance Officer during key programmatic reviews and provided the GSDO Program with analyses of how egress time affects the likelihood of astronaut and ground worker survival during an emergency. For each assessment, a team developed probability distributions for hazard scenarios to address statistical uncertainty, resulting in survivability plots over time. The first assessment developed a mathematical model of probabilistic survivability versus time to reach a safe location using an ideal Emergency Egress System at Launch Complex 39B (LC-39B); the second used the first model to evaluate and compare various egress systems under consideration at LC-39B. The third used a modified LC-39B model to determine if a specific hazard decreased survivability more rapidly than other events during flight hardware processing in Kennedy's Vehicle Assembly Building.

  5. Probabilistic Survivability Versus Time Modeling

    NASA Technical Reports Server (NTRS)

    Joyner, James J., Sr.

    2015-01-01

    This technical paper documents Kennedy Space Centers Independent Assessment team work completed on three assessments for the Ground Systems Development and Operations (GSDO) Program to assist the Chief Safety and Mission Assurance Officer (CSO) and GSDO management during key programmatic reviews. The assessments provided the GSDO Program with an analysis of how egress time affects the likelihood of astronaut and worker survival during an emergency. For each assessment, the team developed probability distributions for hazard scenarios to address statistical uncertainty, resulting in survivability plots over time. The first assessment developed a mathematical model of probabilistic survivability versus time to reach a safe location using an ideal Emergency Egress System at Launch Complex 39B (LC-39B); the second used the first model to evaluate and compare various egress systems under consideration at LC-39B. The third used a modified LC-39B model to determine if a specific hazard decreased survivability more rapidly than other events during flight hardware processing in Kennedys Vehicle Assembly Building (VAB).Based on the composite survivability versus time graphs from the first two assessments, there was a soft knee in the Figure of Merit graphs at eight minutes (ten minutes after egress ordered). Thus, the graphs illustrated to the decision makers that the final emergency egress design selected should have the capability of transporting the flight crew from the top of LC 39B to a safe location in eight minutes or less. Results for the third assessment were dominated by hazards that were classified as instantaneous in nature (e.g. stacking mishaps) and therefore had no effect on survivability vs time to egress the VAB. VAB emergency scenarios that degraded over time (e.g. fire) produced survivability vs time graphs that were line with aerospace industry norms.

  6. Helping States, Helping Students: Improving Education in Tough Times. 2011 Annual Report

    ERIC Educational Resources Information Center

    Southern Regional Education Board (SREB), 2011

    2011-01-01

    The 2011 Southern Regional Education Board annual report describes SREB's recent achievements and how the organization has helped its 16 member states improve education in tough economic times. The report highlights program activities and also includes remarks from the Board Chair and President, acknowledgment of financial contributors, and lists…

  7. Leveraging Resources and Sustaining Partnerships in Tough Economic Times

    ERIC Educational Resources Information Center

    Booth, Cheryl N.; Vaidya, Shruti J.; Farrell, Patricia A.; Bokemeier, Janet L.

    2004-01-01

    During times of economic uncertainty, how can universities develop and sustain resources for engagement efforts? This article focuses on how a university-wide research and outreach coalition at Michigan State University called Families and Communities Together (FACT) is exploring a variety of funding approaches and implementing successful…

  8. Collection Development "Personal Finance": Thrift for Tough Times

    ERIC Educational Resources Information Center

    Heckman, Lucy

    2009-01-01

    The current economic crisis has naturally reached into one's pocket and made many people anxious about their own finances. As consumers ride out these treacherous times, where can they go to find advice on managing and paying down their debt, protecting their investments, incomes, and retirement plans, and applying for mortgages in a tight credit…

  9. The Frugal Librarian: Thriving in Tough Economic Times

    ERIC Educational Resources Information Center

    Smallwood, Carol, Ed.

    2011-01-01

    Fewer employees, shorter hours, diminished collection budgets, reduced programs and services--all at a time of record library usage. In this book, library expert Carol Smallwood demonstrates that despite the obvious downsides, the necessity of doing business differently can be positive, leading to partnering, sharing, and innovating. This…

  10. Collection Development "Personal Finance": Thrift for Tough Times

    ERIC Educational Resources Information Center

    Heckman, Lucy

    2009-01-01

    The current economic crisis has naturally reached into one's pocket and made many people anxious about their own finances. As consumers ride out these treacherous times, where can they go to find advice on managing and paying down their debt, protecting their investments, incomes, and retirement plans, and applying for mortgages in a tight credit…

  11. The Frugal Librarian: Thriving in Tough Economic Times

    ERIC Educational Resources Information Center

    Smallwood, Carol, Ed.

    2011-01-01

    Fewer employees, shorter hours, diminished collection budgets, reduced programs and services--all at a time of record library usage. In this book, library expert Carol Smallwood demonstrates that despite the obvious downsides, the necessity of doing business differently can be positive, leading to partnering, sharing, and innovating. This…

  12. Analysis of nuclide transport under natural convection and time dependent boundary condition using TOUGH2

    SciTech Connect

    Javeri, V.

    1995-03-01

    After implementation of TOUGH2 at GRS in summer 91, it was first used to analyse the gas transport in a repository for the nuclear waste with negligible heat generation and to verify the results obtained with ECLIPSE/JAV 92/. Since the original version of TOUGH2 does not directly simulate the decay of radionuclide and the time dependent boundary conditions, it is not a appropriate tool to study the nuclide transport in a porous medium/PRU 87, PRU 91/. Hence, in this paper some modifications are proposed to study the nuclide transport under combined influence of natural convection diffusion, dispersion and time dependent boundary condition. Here, a single phase fluid with two liquid components is considered as in equation of state model for water and brine/PRU 91A/.

  13. When times get tough, what happens to TQM? Case study.

    PubMed

    Niven, D

    1993-01-01

    When Mueller Chemical Company's biggest customer, Ameriton, demanded that MCC install a total quality management system five years ago, the effort seemed worth it. Morale improved dramatically at the German company, as did quality and productivity. But now, in this fictional case study, Ameriton has gone bankrupt. As a result, MCC has had to cut its work force, and senior managers are meeting to decide whether TQM should be part of the downsized MCC. Horst Koblitz, director of TQM, and Division Manager Eva Stichen both vote yes. Stichen's division, which never supplied Ameriton, has turned its process-control system into the company's best thanks to TQM. The division is more cost-efficient, product defects are nearly nonexistent, and its safety record is spotless. As Koblitz notes, Ameriton's failure is no reason to abandon all that MCC has built. Furthermore, shareholders and customers would think that MCC was panicking. MCC just needs to tailor its TQM program to a smaller organization. But CFO Georg Becker doesn't think MCC has the time or resources for fine-tuning. And as he sees it, that might be just as well. The distractions that came with TQM took MCC away from its goal of becoming the chemicals market leader in Europe. While the company organized teams, developed measurement systems, and filled out quality reports, its competitors took away much of the market share MCC was after. TQM was a good long-term approach, but it didn't come with a plan for MCC's current situation. And CEO and Chairman Dieter Mueller won't compromise; TQM must either stay or go.(ABSTRACT TRUNCATED AT 250 WORDS)

  14. Linking age, survival, and transit time distributions

    NASA Astrophysics Data System (ADS)

    Calabrese, Salvatore; Porporato, Amilcare

    2015-10-01

    Although the concepts of age, survival, and transit time have been widely used in many fields, including population dynamics, chemical engineering, and hydrology, a comprehensive mathematical framework is still missing. Here we discuss several relationships among these quantities by starting from the evolution equation for the joint distribution of age and survival, from which the equations for age and survival time readily follow. It also becomes apparent how the statistical dependence between age and survival is directly related to either the age dependence of the loss function or the survival-time dependence of the input function. The solution of the joint distribution equation also allows us to obtain the relationships between the age at exit (or death) and the survival time at input (or birth), as well as to stress the symmetries of the various distributions under time reversal. The transit time is then obtained as a sum of the age and survival time, and its properties are discussed along with the general relationships between their mean values. The special case of steady state case is analyzed in detail. Some examples, inspired by hydrologic applications, are presented to illustrate the theory with the specific results. This article was corrected on 11 Nov 2015. See the end of the full text for details.

  15. A snapshot in the effect of time of day on herbage toughness and chemical composition

    USDA-ARS?s Scientific Manuscript database

    Herbage chemical composition varies diurnally; however, it is not known if this variation affects herbage biomechanical properties. The objective of this study was to evaluate potential changes in herbage toughness and particle size reduction index (PSR) in relation to diurnal fluctuations of herbag...

  16. Relationship between mental toughness and physical endurance.

    PubMed

    Crust, Lee; Clough, Peter J

    2005-02-01

    This study tested the criterion validity of the inventory, Mental Toughness 48, by assessing the correlation between mental toughness and physical endurance for 41 male undergraduate sports students. A significant correlation of .34 was found between scores for overall mental toughness and the time a relative weight could be held suspended. Results support the criterion-related validity of the Mental Toughness 48.

  17. Risk-adjusted monitoring of survival times

    SciTech Connect

    Sego, Landon H.; Reynolds, Marion R.; Woodall, William H.

    2009-02-26

    We consider the monitoring of clinical outcomes, where each patient has a di®erent risk of death prior to undergoing a health care procedure.We propose a risk-adjusted survival time CUSUM chart (RAST CUSUM) for monitoring clinical outcomes where the primary endpoint is a continuous, time-to-event variable that may be right censored. Risk adjustment is accomplished using accelerated failure time regression models. We compare the average run length performance of the RAST CUSUM chart to the risk-adjusted Bernoulli CUSUM chart, using data from cardiac surgeries to motivate the details of the comparison. The comparisons show that the RAST CUSUM chart is more efficient at detecting a sudden decrease in the odds of death than the risk-adjusted Bernoulli CUSUM chart, especially when the fraction of censored observations is not too high. We also discuss the implementation of a prospective monitoring scheme using the RAST CUSUM chart.

  18. Aircraft Survivability: Space Survivability - Time to Get Serious, Summer 2008

    DTIC Science & Technology

    2008-01-01

    camera. The optical sensors detected the incendiary flash and demonstrated that their capabilities complement those of the high - speed video system ...see Figure 3), and a high - speed digital imaging system . Usually, PIV is accomplished with a laser to provide the illumination. After...optical component manufacturers to discuss ways of improving the use of high - speed imaging for ballistic survivability testing. The review is

  19. Predicting survival time for cold exposure

    NASA Astrophysics Data System (ADS)

    Tikuisis, Peter

    1995-06-01

    The prediction of survival time (ST) for cold exposure is speculative as reliable controlled data of deep hypothermia are unavailable. At best, guidance can be obtained from case histories of accidental exposure. This study describes the development of a mathematical model for the prediction of ST under sedentary conditions in the cold. The model is based on steady-state heat conduction in a single cylinder comprised of a core and two concentric annular shells representing the fat plus skin and the clothing plus still boundary layer, respectively. The ambient condition can be either air or water; the distinction is made by assigning different values of insulation to the still boundary layer. Metabolic heat production ( M) is comprised of resting and shivering components with the latter predicted by temperature signals from the core and skin. Where the cold exposure is too severe for M to balance heat loss, ST is largely determined by the rate of heat loss from the body. Where a balance occurs, ST is governed by the endurance time for shivering. End of survival is marked by the deep core temperature reaching a value of 30° C. The model was calibrated against survival data of cold water (0 to 20° C) immersion and then applied to cold air exposure. A sampling of ST predictions for the nude exposure of an average healthy male in relatively calm air (1 km/h wind speed) are the following: 1.8, 2.5, 4.1, 9.0, and >24 h for -30, -20, -10, 0, and 10° C, respectively. With two layers of loose clothing (average thickness of 1 mm each) in a 5 km/h wind, STs are 4.0, 5.6, 8.6, 15.4, and >24 h for -50, -40, -30, -20, and -10° C. The predicted STs must be weighted against the extrapolative nature of the model. At present, it would be prudent to use the predictions in a relative sense, that is, to compare or rank-order predicted STs for various combinations of ambient conditions and clothing protection.

  20. Improved survival time trends in Hodgkin's lymphoma.

    PubMed

    Koshy, Matthew; Fairchild, Andrew; Son, Christina H; Mahmood, Usama

    2016-06-01

    There have been dramatic changes in the staging and treatment of Hodgkin's lymphoma (HL) over the past 30 years. We undertook this study to determine if a stage migration had occurred and also examined if treatment associated with later years has improved survival. Patients with stage I-IV HL between 1983 and 2011 were selected from the Surveillance, Epidemiology, and End Results database. Multivariable analysis (MVA) was performed using Cox proportional hazards modeling. The study cohort included 35,680 patients. The stage breakdown in 1983 according to A and B symptoms was follows: 18%, 21%, 12%, and 5% for stage IA, IIA, IIIA, and IVA disease, respectively, and 6%, 11%, 12%, and 15% for stage IB, IIB, IIIB, and IVB disease. The stage breakdown in 2011 according to A and B symptoms was follows: 9%, 29%, 10%, and 6% for stage IA, IIA, IIIA, and IVA disease, respectively, and 4%, 16%, 12%, and 13% for stage IB, IIB, IIIB, and IVB disease. The median follow-up for the entire cohort is 6.1 years. On MVA, the HR for mortality of patients diagnosed in 2006 was 0.60 (95% Confidence Interval (CI): 0.52-0.70) compared to 1983. For stage I and II patients diagnosed in 2006 the HR was 0.62 (95% CI: 0.44-0.87) and 0.40 (95% CI: 0.30-0.55), respectively, compared to patients diagnosed in 1983. For stage III and IV patients diagnosed in 2006 the HR was 0.72 (95% CI: 0.53-0.98) and 0.74 (95% CI: 0.56-0.99), respectively, compared to patients diagnosed in 1983. This is the first study to demonstrate a significant stage migration in early stage Hodgkin's lymphoma. Furthermore, these results demonstrate an improvement in survival over time for patients with Hodgkin's lymphoma which was particularly notable for those with early stage disease.

  1. Intrinsic time scaling in survival analysis: application to biological populations.

    PubMed

    Eakin, T

    1994-11-01

    A method of dimensionless time-scaling based on extrinsic expectation of life at birth but intrinsic to a system generating a survival distribution is introduced. Such scaling allows the survival fraction function and its associated mortality function to serve as Green's functions for their generalized equivalents, i.e., a "population" function and a "death" function. The analytical mechanics of utilizing these concepts are formulated, applied to the classical Gompertz and Weibull survival models, and discussed with respect to biological relevance.

  2. Transformation or Decline? Using Tough Times to Create Higher-Performing Schools

    ERIC Educational Resources Information Center

    Miles, Karen Hawley

    2011-01-01

    Instead of doing less with less during these fiscally challenging times, school districts can seize the moment to usher in school transformation that will leave the schools, families, and communities better off. They could follow the lead of districts such as Baltimore City, Syracuse, and Charlotte-Mecklenburg to think outside traditional cost…

  3. Transformation or Decline? Using Tough Times to Create Higher-Performing Schools

    ERIC Educational Resources Information Center

    Miles, Karen Hawley

    2011-01-01

    Instead of doing less with less during these fiscally challenging times, school districts can seize the moment to usher in school transformation that will leave the schools, families, and communities better off. They could follow the lead of districts such as Baltimore City, Syracuse, and Charlotte-Mecklenburg to think outside traditional cost…

  4. Wise Choices for Tough Times: Innovative Resource Reallocation Strategies To Strengthen the University.

    ERIC Educational Resources Information Center

    American Association of State Colleges and Universities, Washington, DC.

    This publication presents case studies of 10 colleges and universities that developed creative approaches to resource allocation in order to confront the fiscal realities facing higher education. The case studies describe strategic review and planning efforts in times of fiscal austerity. They look at streamlining, but also explore permanent…

  5. Time series modeling of system self-assessment of survival

    SciTech Connect

    Lu, H.; Kolarik, W.J.

    1999-06-01

    Self-assessment of survival for a system, subsystem or component is implemented by assessing conditional performance reliability in real-time, which includes modeling and analysis of physical performance data. This paper proposes a time series analysis approach to system self-assessment (prediction) of survival. In the approach, physical performance data are modeled in a time series. The performance forecast is based on the model developed and is converted to the reliability of system survival. In contrast to a standard regression model, a time series model, using on-line data, is suitable for the real-time performance prediction. This paper illustrates an example of time series modeling and survival assessment, regarding an excessive tool edge wear failure mode for a twist drill operation.

  6. Generating microbial survival curves during thermal processing in real time.

    PubMed

    Peleg, M; Normand, M D; Corradini, M G

    2005-01-01

    To develop a method to calculate and record theoretical microbial survival curves during thermal processing of foods and pharmaceutical products simultaneously with the changing temperature. Moreover, to demonstrate that the method can be used to calculate nonisothermal survival curves, with widely available software such as Microsoft Excel. It has been assumed that the targeted organism's isothermal survival curves are not log linear and hence, the inactivation rate in nonisothermal processes is a function of the momentary temperature and the corresponding survival ratio. This could be expressed by a difference equation, which is an approximation to the continuous rate model. The concept was tested with the isothermal survival parameters of Clostridium botulinum and Bacillus sporothermodurans spores, and Salmonella enteritidis cells, using different kinds of survival models and under temperature profiles resembling those of commercial processes. As expected, there was an excellent agreement between the curves produced by solving the differential equation of the continuous model and by the incremental method, which has been posted on the web as freeware. It is possible to calculate nonisothermal survival curves, in real time, with an algorithm that can be written in the language of general purpose software, to follow the inactivation of one or more targeted organisms simultaneously and to simulate microbial survival patterns under existing or planned industrial thermal processes. Replacement of the traditional 'F0-value', which requires the log linearity of the organism's isothermal survival curves, by the more realistic theoretical survival ratio estimate as a measure of the thermal process efficacy.

  7. How parents of children receiving pediatric palliative care use religion, spirituality, or life philosophy in tough times.

    PubMed

    Hexem, Kari R; Mollen, Cynthia J; Carroll, Karen; Lanctot, Dexter A; Feudtner, Chris

    2011-01-01

    How parents of children with life threatening conditions draw upon religion, spirituality, or life philosophy is not empirically well described. Participants were parents of children who had enrolled in a prospective cohort study on parental decision-making for children receiving pediatric palliative care. Sixty-four (88%) of the 73 parents interviewed were asked an open-ended question on how religion, spirituality, or life philosophy (RSLP) was helpful in difficult times. Responses were coded and thematically organized utilizing qualitative data analysis methods. Any discrepancies amongst coders regarding codes or themes were resolved through discussion that reached consensus. Most parents of children receiving palliative care felt that RSLP was important in helping them deal with tough times, and most parents reported either participation in formal religious communities, or a sense of personal spirituality. A minority of parents, however, did not wish to discuss the topic at all. For those who described their RSLP, their beliefs and practices were associated with qualities of their overall outlook on life, questions of goodness and human capacity, or that "everything happens for a reason." RSLP was also important in defining the child's value and beliefs about the child's afterlife. Prayer and reading the bible were important spiritual practices in this population, and parents felt that these practices influenced their perspectives on the medical circumstances and decision-making, and their locus of control. From religious participation and practices, parents felt they received support from both their spiritual communities and from God, peace and comfort, and moral guidance. Some parents, however, also reported questioning their faith, feelings of anger and blame towards God, and rejecting religious beliefs or communities. RSLP play a diverse and important role in the lives of most, but not all, parents whose children are receiving pediatric palliative care.

  8. How Parents of Children Receiving Pediatric Palliative Care Use Religion, Spirituality, or Life Philosophy in Tough Times

    PubMed Central

    Hexem, Kari R.; Mollen, Cynthia J.; Carroll, Karen; Lanctot, Dexter A.

    2011-01-01

    Abstract Background How parents of children with life threatening conditions draw upon religion, spirituality, or life philosophy is not empirically well described. Methods Participants were parents of children who had enrolled in a prospective cohort study on parental decision-making for children receiving pediatric palliative care. Sixty-four (88%) of the 73 parents interviewed were asked an open-ended question on how religion, spirituality, or life philosophy (RSLP) was helpful in difficult times. Responses were coded and thematically organized utilizing qualitative data analysis methods. Any discrepancies amongst coders regarding codes or themes were resolved through discussion that reached consensus. Results Most parents of children receiving palliative care felt that RSLP was important in helping them deal with tough times, and most parents reported either participation in formal religious communities, or a sense of personal spirituality. A minority of parents, however, did not wish to discuss the topic at all. For those who described their RSLP, their beliefs and practices were associated with qualities of their overall outlook on life, questions of goodness and human capacity, or that “everything happens for a reason.” RSLP was also important in defining the child's value and beliefs about the child's afterlife. Prayer and reading the bible were important spiritual practices in this population, and parents felt that these practices influenced their perspectives on the medical circumstances and decision-making, and their locus of control. From religious participation and practices, parents felt they received support from both their spiritual communities and from God, peace and comfort, and moral guidance. Some parents, however, also reported questioning their faith, feelings of anger and blame towards God, and rejecting religious beliefs or communities. Conclusions RSLP play a diverse and important role in the lives of most, but not all, parents whose

  9. Increasing strength, ductility and impact toughness of ultrafine-grained 6063 aluminium alloy by combining ECAP and a high-temperature short-time aging

    NASA Astrophysics Data System (ADS)

    Meyer, L. W.; Schönherr, R.; Hockauf, M.

    2010-07-01

    Since fully-dense ultrafine or nanocrystalline bulk materials can be processed, there has been an increasing scientific interest in several plastic deformation (SPD) procedures, particularly in the last decade. Especially the equal-channel angular pressing (ECAP) has widely been investigated due to its ability of producing billets sufficiently large for industrial applications in functional or structural components. The significant strength increase based on grain refinement is typically accompanied by a significant decrease in ductility and toughness. Within this work, a new methodology was applied for combining ECAP with a subsequent high-temperature short-time aging for the 6063 aluminium alloy. An increase in strength, ductility as well as impact toughness regarding its coarse grained counterparts was reached. More precisely, ultimate tensile strength, elongation to failure and impact toughness were increased by 46%, 21% and 40% respectively. This was observed after only one run of ECAP at room temperature in a solid-solution treated condition and an aging at 170° C for 18 minutes. The regular aging time for maximum strength at 170° C is around 6 hours. Longer exposure times lead to recrystallisation and, as for regular aging, it leads to overaging, both causing a decrease of properties. The work demonstrates a strategy for an efficient processing of commercial Al-Mg-Si alloys with outstanding mechanical properties.

  10. These Tough Economic Times

    ERIC Educational Resources Information Center

    Desrochers, John E.; Cowan, Katherine C.; Christner, Ray W.

    2009-01-01

    Research has shown that students' social, emotional, and behavioral health affects their academic achievement. This has enormous implications for teachers, school mental health providers, and the students themselves. A student who is hungry, disengaged, preoccupied, or behaviorally disruptive simply is not going to respond as well to even the best…

  11. Triumph in Tough Times

    ERIC Educational Resources Information Center

    Ponder, Anne

    2009-01-01

    The downturn in the economy of the author's state, North Carolina, so far is less severe than that of much of the rest of the nation, due to their diversified economy, financial discipline, constitutional mandate for a balanced budget, "rainy day" fund, and many years of consistent investment in higher education. In the University of…

  12. Retention in Tough Times.

    ERIC Educational Resources Information Center

    Kaye, Beverly; Jordan-Evans, Sharon

    2002-01-01

    Interviews with 25 global talent leaders discuss keeping good people and the challenges and emerging practices for retaining employees. Sidebars discuss retention tips and what keeps people on the job. (JOW)

  13. Operative timing and patient survival following distal splenorenal shunt.

    PubMed

    Pomerantz, R A; Eckhauser, F E; Knol, J A; Guirre, K; Raper, S E; Turcotte, J G

    1989-06-01

    The importance of "operative timing" in cirrhotic patients with variceal hemorrhage is often underemphasized. To evaluate the effects of immediate versus delayed selective portasystemic decompression on hepatic function, operative mortality, and long-term patient survival, we reviewed the records of 77 patients who underwent distal splenorenal shunts (DSRS) over a 14-year period. A hepatic risk status score was calculated at the time of the index bleed (HRS1) or presentation and again just prior to operation (HRS2). Variables analyzed included age, sex, prior bleeding episodes, time from index bleed to operation, transfusion requirements, and etiology of cirrhosis. Operative mortality rates for immediate versus delayed DSRS were 46.2 per cent and 17 per cent, respectively. HRS improved significantly in elective DSRS patients from 1.46 to 1.30. Predictors of HRS2 included HRS1 and time in days from the index bleed to operation. The most important predictor of early survival for all patients after elective DSRS was the HRS2; however, for patients who underwent elective DSRS and survived, HRS1 was a better predictor of length of survival than HRS2. No other variable analyzed accurately predicted survival. We conclude that HRS can be expected to improve with supportive inhospital therapy; improved HRS at the time of operation is associated with decreased operative mortality; and the extent of liver disease as determined by HRS1 appears to be the chief determinant of long-term patient survival.

  14. A Note on Standard Errors for Survival Curves in Discrete-Time Survival Analysis

    ERIC Educational Resources Information Center

    Zwick, Rebecca; Sklar, Jeffrey C.

    2005-01-01

    Cox (1972) proposed a discrete-time survival model that is somewhat analogous to the proportional hazards model for continuous time. Efron (1988) showed that this model can be estimated using ordinary logistic regression software, and Singer and Willett (1993) provided a detailed illustration of a particularly flexible form of the model that…

  15. Indiana Emergent Bilingual Student Time to Reclassification: A Survival Analysis

    ERIC Educational Resources Information Center

    Burke, April M.; Morita-Mullaney, Trish; Singh, Malkeet

    2016-01-01

    In this study, we employed a discrete-time survival analysis model to examine Indiana emergent bilingual time to reclassification as fluent English proficient. The data consisted of five years of statewide English language proficiency scores. Indiana has a large and rapidly growing Spanish-speaking emergent bilingual population, and these students…

  16. Indiana Emergent Bilingual Student Time to Reclassification: A Survival Analysis

    ERIC Educational Resources Information Center

    Burke, April M.; Morita-Mullaney, Trish; Singh, Malkeet

    2016-01-01

    In this study, we employed a discrete-time survival analysis model to examine Indiana emergent bilingual time to reclassification as fluent English proficient. The data consisted of five years of statewide English language proficiency scores. Indiana has a large and rapidly growing Spanish-speaking emergent bilingual population, and these students…

  17. Generalized survival models for correlated time-to-event data.

    PubMed

    Liu, Xing-Rong; Pawitan, Yudi; Clements, Mark S

    2017-09-14

    Our aim is to develop a rich and coherent framework for modeling correlated time-to-event data, including (1) survival regression models with different links and (2) flexible modeling for time-dependent and nonlinear effects with rich postestimation. We extend the class of generalized survival models, which expresses a transformed survival in terms of a linear predictor, by incorporating a shared frailty or random effects for correlated survival data. The proposed approach can include parametric or penalized smooth functions for time, time-dependent effects, nonlinear effects, and their interactions. The maximum (penalized) marginal likelihood method is used to estimate the regression coefficients and the variance for the frailty or random effects. The optimal smoothing parameters for the penalized marginal likelihood estimation can be automatically selected by a likelihood-based cross-validation criterion. For models with normal random effects, Gauss-Hermite quadrature can be used to obtain the cluster-level marginal likelihoods. The Akaike Information Criterion can be used to compare models and select the link function. We have implemented these methods in the R package rstpm2. Simulating for both small and larger clusters, we find that this approach performs well. Through 2 applications, we demonstrate (1) a comparison of proportional hazards and proportional odds models with random effects for clustered survival data and (2) the estimation of time-varying effects on the log-time scale, age-varying effects for a specific treatment, and two-dimensional splines for time and age. Copyright © 2017 John Wiley & Sons, Ltd.

  18. Joint Analysis of Survival Time and Longitudinal Categorical Outcomes

    PubMed Central

    Choi, Jaeun; Cai, Jianwen; Zeng, Donglin; Olshan, Andrew F.

    2013-01-01

    In biomedical or public health research, it is common for both survival time and longitudinal categorical outcomes to be collected for a subject, along with the subject’s characteristics or risk factors. Investigators are often interested in finding important variables for predicting both survival time and longitudinal outcomes which could be correlated within the same subject. Existing approaches for such joint analyses deal with continuous longitudinal outcomes. New statistical methods need to be developed for categorical longitudinal outcomes. We propose to simultaneously model the survival time with a stratified Cox proportional hazards model and the longitudinal categorical outcomes with a generalized linear mixed model. Random effects are introduced to account for the dependence between survival time and longitudinal outcomes due to unobserved factors. The Expectation-Maximization (EM) algorithm is used to derive the point estimates for the model parameters, and the observed information matrix is adopted to estimate their asymptotic variances. Asymptotic properties for our proposed maximum likelihood estimators are established using the theory of empirical processes. The method is demonstrated to perform well in finite samples via simulation studies. We illustrate our approach with data from the Carolina Head and Neck Cancer Study (CHANCE) and compare the results based on our simultaneous analysis and the separately conducted analyses using the generalized linear mixed model and the Cox proportional hazards model. Our proposed method identifies more predictors than by separate analyses. PMID:26052353

  19. Toughness amplification in natural composites

    NASA Astrophysics Data System (ADS)

    Barthelat, Francois; Rabiei, Reza

    2011-04-01

    Natural structural materials such as bone and seashells are made of relatively weak building blocks, yet they exhibit remarkable combinations of stiffness, strength and toughness. This performance can be largely explained by their "staggered microstructure": stiff inclusions of high aspect ratio are laid parallel to each other with some overlap, and bonded by a softer matrix. While stiffness and strength are now well understood for staggered composites, the mechanisms involved in fracture are still largely unknown. This is a significant lack since the amplification of toughness with respect to their components is by far the most impressive feature in natural staggered composites such as nacre or bone. Here a model capturing the salient mechanisms involved in the cracking of a staggered structure is presented. We show that the pullout of inclusions and large process zones lead to tremendous toughness by far exceeding that of individual components. The model also suggests that a material like nacre cannot reach steady state cracking, with the implication that the toughness increases indefinitely with crack advance. These findings agree well with existing fracture data, and for the first time relate microstructural parameters with overall toughness. These insights will prove useful in the design of biomimetic materials, and provide clues on how bone fractures at the nano and microscales.

  20. Survival-time statistics for sample space reducing stochastic processes

    NASA Astrophysics Data System (ADS)

    Yadav, Avinash Chand

    2016-04-01

    Stochastic processes wherein the size of the state space is changing as a function of time offer models for the emergence of scale-invariant features observed in complex systems. I consider such a sample-space reducing (SSR) stochastic process that results in a random sequence of strictly decreasing integers {x (t )},0 ≤t ≤τ , with boundary conditions x (0 )=N and x (τ ) = 1. This model is shown to be exactly solvable: PN(τ ) , the probability that the process survives for time τ is analytically evaluated. In the limit of large N , the asymptotic form of this probability distribution is Gaussian, with mean and variance both varying logarithmically with system size: <τ >˜lnN and στ2˜lnN . Correspondence can be made between survival-time statistics in the SSR process and record statistics of independent and identically distributed random variables.

  1. Survival-time statistics for sample space reducing stochastic processes.

    PubMed

    Yadav, Avinash Chand

    2016-04-01

    Stochastic processes wherein the size of the state space is changing as a function of time offer models for the emergence of scale-invariant features observed in complex systems. I consider such a sample-space reducing (SSR) stochastic process that results in a random sequence of strictly decreasing integers {x(t)},0≤t≤τ, with boundary conditions x(0)=N and x(τ) = 1. This model is shown to be exactly solvable: P_{N}(τ), the probability that the process survives for time τ is analytically evaluated. In the limit of large N, the asymptotic form of this probability distribution is Gaussian, with mean and variance both varying logarithmically with system size: 〈τ〉∼lnN and σ_{τ}^{2}∼lnN. Correspondence can be made between survival-time statistics in the SSR process and record statistics of independent and identically distributed random variables.

  2. Test-Free Fracture Toughness

    NASA Technical Reports Server (NTRS)

    Minnetyan, Levon; Chamis, Christos C. (Technical Monitor)

    2003-01-01

    Computational simulation results can give the prediction of damage growth and progression and fracture toughness of composite structures. The experimental data from literature provide environmental effects on the fracture behavior of metallic or fiber composite structures. However, the traditional experimental methods to analyze the influence of the imposed conditions are expensive and time consuming. This research used the CODSTRAN code to model the temperature effects, scaling effects and the loading effects of fiberbraided composite specimens with and without fiber-optic sensors on the damage initiation and energy release rates. The load-displacement relationship and fracture toughness assessment approach is compared with the test results from literature and it is verified that the computational simulation, with the use of established material modeling and finite element modules, adequately tracks the changes of fracture toughness and subsequent fracture propagation for any fiberbraided composite structure due to the change of fiber orientations, presence of large diameter optical fibers, and any loading conditions.

  3. Integrated Cox's model for predicting survival time of glioblastoma multiforme.

    PubMed

    Ai, Zhibing; Li, Longti; Fu, Rui; Lu, Jing-Min; He, Jing-Dong; Li, Sen

    2017-04-01

    Glioblastoma multiforme is the most common primary brain tumor and is highly lethal. This study aims to figure out signatures for predicting the survival time of patients with glioblastoma multiforme. Clinical information, messenger RNA expression, microRNA expression, and single-nucleotide polymorphism array data of patients with glioblastoma multiforme were retrieved from The Cancer Genome Atlas. Patients were separated into two groups by using 1 year as a cutoff, and a logistic regression model was used to figure out any variables that can predict whether the patient was able to live longer than 1 year. Furthermore, Cox's model was used to find out features that were correlated with the survival time. Finally, a Cox model integrated the significant clinical variables, messenger RNA expression, microRNA expression, and single-nucleotide polymorphism was built. Although the classification method failed, signatures of clinical features, messenger RNA expression levels, and microRNA expression levels were figured out by using Cox's model. However, no single-nucleotide polymorphisms related to prognosis were found. The selected clinical features were age at initial diagnosis, Karnofsky score, and race, all of which had been suggested to correlate with survival time. Both of the two significant microRNAs, microRNA-221 and microRNA-222, were targeted to p27(Kip1) protein, which implied the important role of p27(Kip1) on the prognosis of glioblastoma multiforme patients. Our results suggested that survival modeling was more suitable than classification to figure out prognostic biomarkers for patients with glioblastoma multiforme. An integrated model containing clinical features, messenger RNA levels, and microRNA expression levels was built, which has the potential to be used in clinics and thus to improve the survival status of glioblastoma multiforme patients.

  4. Survival times of pre-1950 US women radium dial workers

    SciTech Connect

    Stehney, A.F.

    1994-05-01

    Survival times of US women radium dial workers to the end of 1989 were examined by life table methods. Included were 1301 women rust employed before 1930 and 1242 first employed in 1930-1949. Expected numbers of deaths were estimated from age- and time-specific death rates for US white females. In the early group, 85 deaths from the well-known radium-induced cancers - bone sarcomas and head carcinomas - were observed, but only 724 deaths from aH other causes were observed vs 755 expected. Life shortening ({plus_minus}S.E.) of 1.8 {plus_minus}0.5 y compared to the general population of US white females was calculated from the time distribution of all deaths in the pre-1930 group. In the 1930--1949 group, 350 deaths were observed vs 343 expected and no bone sarcomas or head carcinomas occurred. Among women who survived at least 2 y after rust measurement of body radium, a significant excess of observed vs expected deaths was found only for radium intakes greater than 1.85 MBq of {sup 226}Ra + {sup 228}Ra, and no trend of deaths or reduction of life expectancy was found with length of employment.

  5. Has survival following pancreaticoduodenectomy for pancreas adenocarcinoma improved over time?

    PubMed

    Salem, Ahmed I; Alfi, Mina; Winslow, Emily; Cho, Clifford S; Weber, Sharon M

    2015-11-01

    Survival following resection of pancreas cancer is poor. It is uncertain whether outcome improved overtime. Due to the recent advances in surgical techniques, diagnostic evaluation, and systemic treatment, we sought to evaluate pancreas cancer outcome over time. Prospectively collected data on patients who underwent pancreaticoduodenectomy for pathologically confirmed pancreatic adenocarcinoma from 1999 to 2012 were analyzed. Perioperative and long-term outcomes were analyzed, comparing patients from era 1 (1999-2005) to patients from era 2 (2006-2012). Two-hundred sixteen patients were evaluated, including 76 in era 1 and 140 in era 2. There was no difference in 30-day mortality (1.3%, era 1 vs. 1.4%, era 2; P = 0.95) or rates of overall 30-day morbidity (49%, era 1 vs. 62%, era 2; P = 0.06). On multivariable analysis after adjusting for perineural invasion, lymphovascular invasion, margin status, EBL, and venous resection, there was no difference in survival between eras (HR = 0.81, P = 0.27, CI = 0.57-1.16). After adjusting for clinicopathological features, there was no association of improved outcome over time. However, despite an increasing prevalence of anatomically advanced and histologically aggressive tumors, perioperative outcomes such as blood loss and margin negativity improved over time, with no increase in 30-day mortality. © 2015 Wiley Periodicals, Inc.

  6. Cranial trauma and the assessment of posttraumatic survival time.

    PubMed

    Steyn, M; De Boer, H H; Van der Merwe, A E

    2014-11-01

    Assessment of trauma on skeletal remains can be very difficult, especially when it comes to the estimation of posttraumatic survival time in partially healed lesions. The ability to reliably estimate the time an individual has survived after sustaining an injury is especially important in cases of child abuse and torture, but can also aid in determining the association between an injury and eventual death. Here a case from South Africa is reported, where the skeletal remains of an unknown individual were found with cranial and scapular fractures. These fractures all presented with macroscopic features indicative of healing. Using recently published data on the timing of fractures by De Boer et al., the two sets of cranial trauma and the scapular fracture were assessed by means of radiology, histology and microCT scanning. This was primarily done in order to obtain more information on the events surrounding the death of this individual, but also to assess the usability of the published methods on cranial fractures. It was found that the initial trauma was most likely sustained at least two weeks before death, whilst a neurosurgical procedure was performed at least one week before death. It seems that cranial fractures, especially if stable, may show some different healing features than postcranial fractures. The individual has since been identified, but unfortunately as is often the case in South Africa, limited information is available and the medical records could not be found. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  7. Project Rescue! Helping a Lost but Determined CIO Navigate the Tough New World of Higher Education IT

    ERIC Educational Resources Information Center

    Laster, Stephen

    2011-01-01

    This column explores the world of Gene, a composite CIO who leads a sizable IT organization for a top 100 university somewhere in America. The author's goal is to help him navigate the tough times ahead of higher education IT. The author peeks into Gene's daily goings-on, investigates his problems, and helps him to not only survive, but prosper.

  8. Project Rescue! Helping a Lost but Determined CIO Navigate the Tough New World of Higher Education IT

    ERIC Educational Resources Information Center

    Laster, Stephen

    2011-01-01

    This column explores the world of Gene, a composite CIO who leads a sizable IT organization for a top 100 university somewhere in America. The author's goal is to help him navigate the tough times ahead of higher education IT. The author peeks into Gene's daily goings-on, investigates his problems, and helps him to not only survive, but prosper.

  9. Fracture toughness of silicon

    NASA Technical Reports Server (NTRS)

    Chen, C. P.; Leipold, M. H.

    1980-01-01

    The paper presents a study to determine the fracture toughness and to characterize fracture modes of silicon as a function of the orientation of single-crystal and polycrystalline material. It is shown that bar specimens cracked by Knoop microhardness indentation and tested to fracture under four-point bending at room temperature were used to determine the fracture toughness values. It is found that the lowest fracture toughness value of single crystal silicon was 0.82 MN/m to the 3/2 in the 111 plane type orientation, although the difference in values in the 111, 110, and 100 planes was small.

  10. Tough Composite Materials

    NASA Technical Reports Server (NTRS)

    Vosteen, L. F. (Compiler); Johnson, N. J. (Compiler); Teichman, L. A. (Compiler)

    1984-01-01

    Papers and working group summaries are presented which address composite material behavior and performance improvement. Topic areas include composite fracture toughness and impact characterization, constituent properties and interrelationships, and matrix synthesis and characterization.

  11. Smart textiles: Tough cotton

    NASA Astrophysics Data System (ADS)

    Avila, Alba G.; Hinestroza, Juan P.

    2008-08-01

    Cotton is an important raw material for producing soft textiles and clothing. Recent discoveries in functionalizing cotton fibres with nanotubes may offer a new line of tough, wearable, smart and interactive garments.

  12. TOUGH2 software qualification

    SciTech Connect

    Pruess, K.; Simmons, A.; Wu, Y.S.; Moridis, G.

    1996-02-01

    TOUGH2 is a numerical simulation code for multi-dimensional coupled fluid and heat flow of multiphase, multicomponent fluid mixtures in porous and fractured media. It belongs to the MULKOM ({open_quotes}MULti-KOMponent{close_quotes}) family of codes and is a more general version of the TOUGH simulator. The MULKOM family of codes was originally developed with a focus on geothermal reservoir simulation. They are suited to modeling systems which contain different fluid mixtures, with applications to flow problems arising in the context of high-level nuclear waste isolation, oil and gas recovery and storage, and groundwater resource protection. TOUGH2 is essentially a subset of MULKOM, consisting of a selection of the better tested and documented MULKOM program modules. The purpose of this package of reports is to provide all software baseline documents necessary for the software qualification of TOUGH2.

  13. Bayesian accelerated failure time model for space-time dependency in a geographically augmented survival model

    PubMed Central

    Onicescu, Georgiana; Lawson, Andrew; Zhang, Jiajia; Gebregziabher, Mulugeta; Wallace, Kristin; Eberth, Jan M

    2016-01-01

    In this paper, we extend the spatially explicit survival model for small area cancer data by allowing dependency between space and time and using accelerated failure time models. Spatial dependency is modeled directly in the definition of the survival, density, and hazard functions. The models are developed in the context of county level aggregated data. Two cases are considered: the first assumes that the spatial and temporal distributions are independent; the second allows for dependency between the spatial and temporal components. We apply the models to prostate cancer data from the Louisiana SEER cancer registry. PMID:26220537

  14. TOUGH Short Course for Scientists and Engineers

    SciTech Connect

    Kowalsky, Michael B.; Finsterle, Stefan

    2006-08-01

    The TOUGH family of codes is a suite of computer programs for the simulation of multiphase fluid and heat flows in porous and fractured media with applications to geothermal reservoir engineering, nuclear waste disposal in geologic formations, geologic carbon sequestration, gas hydrate research, vadose zone hydrology, environmental remediation, oil and gas reservoir engineering, and other mass transport and energy transfer problems in complex geologic settings. TOUGH has been developed in the Earth Sciences Division of the Lawrence Berkeley National Laboratory (LBNL). Many modifications and enhancements have been made to TOUGH (at LBNL and elsewhere) from the time it was first released in 1987. TOUGH and its various descendants (such as iTOUGH2, T2VOC, TMVOC, EWASG, TOUGHREACT, TOUGH+ and many more) are currently in use in approximately 300 research laboratories, private companies, and universities in 33 countries. The LBNL group, headed by Karsten Pruess, serves as custodian of the code. The TOUGH simulators were developed for problems involving strongly heat-driven flow. To describe these phenomena a multi-phase approach to fluid and heat flow is used, which fully accounts for the movement of gaseous and liquid phases, their transport of latent and sensible heat, and phase transitions between liquid and vapor. TOUGH takes account of fluid flow in both liquid and gaseous phases--and, in certain modules, a non-aqueous phase liquid (NAPL)--occurring under pressure, viscous, and gravity forces according to Darcy's law. Interference between the phases is represented by means of relative permeability functions. The code includes Klinkenberg effects and binary diffusion in the gas phase, and capillary and phase adsorption effects for the liquid phase. Heat transport occurs by means of conduction (with thermal conductivity dependent on water saturation), convection, and binary diffusion, which includes both sensible and latent heat. The goal of this training course is to

  15. TOUGH-Fx

    SciTech Connect

    Moridis, George Julius; Kowalsky, Michael; Finsterle, Stefan

    2005-09-01

    TOUGH-Fx represents the next generation of family of codes for the solution of problems of fluid flow and heat transport in complex geologic media. TOUGH-Fx is the successor to the TOUGH2 family of codes developed by LBNL and used extensively all over the world, It is written in FORTRAN 9512003, uses the advanced capabilities of the new language, and was designed to take advantage of the benefits of object-oriented programming. The code can simulate flow and transport of important (economically and environmentally) fluids in the subsurface, as well as heat transport and any changes of phase that occur within the temperature range of the process/phenomenon under study. TOUGH-Fx is the generic name that describes the main components of the computational engine used by the code. For the simulation of a particular process. TOUGH-Fx needs a module (or modules) that describe the equation of state (EOS) of the fluids involved in the process. Thus, simulation of different processes are possible by using the main TOUGH-Fx and invoking the corresponding EOS modules. Such modules include the EOS of water, the EQS of air and other gases, the EOS of volatile organic substances, the EOS or liquid hydrocarbons, etc.

  16. Tough, bio-inspired hybrid materials.

    PubMed

    Munch, E; Launey, M E; Alsem, D H; Saiz, E; Tomsia, A P; Ritchie, R O

    2008-12-05

    The notion of mimicking natural structures in the synthesis of new structural materials has generated enormous interest but has yielded few practical advances. Natural composites achieve strength and toughness through complex hierarchical designs that are extremely difficult to replicate synthetically. We emulate nature's toughening mechanisms by combining two ordinary compounds, aluminum oxide and polymethyl methacrylate, into ice-templated structures whose toughness can be more than 300 times (in energy terms) that of their constituents. The final product is a bulk hybrid ceramic-based material whose high yield strength and fracture toughness [ approximately 200 megapascals (MPa) and approximately 30 MPa.m(1/2)] represent specific properties comparable to those of aluminum alloys. These model materials can be used to identify the key microstructural features that should guide the synthesis of bio-inspired ceramic-based composites with unique strength and toughness.

  17. Tough, Bio-Inspired Hybrid Materials

    NASA Astrophysics Data System (ADS)

    Munch, E.; Launey, M. E.; Alsem, D. H.; Saiz, E.; Tomsia, A. P.; Ritchie, R. O.

    2008-12-01

    The notion of mimicking natural structures in the synthesis of new structural materials has generated enormous interest but has yielded few practical advances. Natural composites achieve strength and toughness through complex hierarchical designs that are extremely difficult to replicate synthetically. We emulate nature’s toughening mechanisms by combining two ordinary compounds, aluminum oxide and polymethyl methacrylate, into ice-templated structures whose toughness can be more than 300 times (in energy terms) that of their constituents. The final product is a bulk hybrid ceramic-based material whose high yield strength and fracture toughness [~200 megapascals (MPa) and ~30 MPa·m1/2] represent specific properties comparable to those of aluminum alloys. These model materials can be used to identify the key microstructural features that should guide the synthesis of bio-inspired ceramic-based composites with unique strength and toughness.

  18. Tough, bio-inspired hybrid materials

    SciTech Connect

    Munch, Etienne; Launey, Maximimilan E.; Alsem, Daan H.; Saiz, Eduardo; Tomsia, Antoni P.; Ritchie, Robert O.

    2008-10-06

    The notion of mimicking natural structures in the synthesis of new structural materials has generated enormous interest but has yielded few practical advances. Natural composites achieve strength and toughness through complex hierarchical designs extremely difficult to replicate synthetically. Here we emulate Nature's toughening mechanisms through the combination of two ordinary compounds, aluminum oxide and polymethylmethacrylate, into ice-templated structures whose toughness can be over 300 times (in energy terms) that of their constituents. The final product is a bulk hybrid ceramic material whose high yield strength and fracture toughness ({approx}200 MPa and {approx}30 MPa{radical}m) provide specific properties comparable to aluminum alloys. These model materials can be used to identify the key microstructural features that should guide the synthesis of bio-inspired ceramic-based composites with unique strength and toughness.

  19. Tough and tender: embodied categorization of gender.

    PubMed

    Slepian, Michael L; Weisbuch, Max; Rule, Nicholas O; Ambady, Nalini

    2011-01-01

    Emerging evidence has shown that human thought can be embodied within physical sensations and actions. Indeed, abstract concepts such as morality, time, and interpersonal warmth can be based on metaphors that are grounded in bodily experiences (e.g., physical temperature can signal interpersonal warmth). We hypothesized that social-category knowledge is similarly embodied, and we tested this hypothesis by examining a sensory metaphor related to categorical judgments of gender. We chose the dimension of "toughness" (ranging from tough to tender), which is often used to characterize differences between males and females. Across two studies, the proprioceptive experience of toughness (vs. tenderness) was manipulated as participants categorized sex-ambiguous faces as male or female. Two different manipulations of proprioceptive toughness predictably biased the categorization of faces toward "male." These findings suggest that social-category knowledge is at least partially embodied.

  20. Mean exit time and survival probability within the CTRW formalism

    NASA Astrophysics Data System (ADS)

    Montero, M.; Masoliver, J.

    2007-05-01

    An intense research on financial market microstructure is presently in progress. Continuous time random walks (CTRWs) are general models capable to capture the small-scale properties that high frequency data series show. The use of CTRW models in the analysis of financial problems is quite recent and their potentials have not been fully developed. Here we present two (closely related) applications of great interest in risk control. In the first place, we will review the problem of modelling the behaviour of the mean exit time (MET) of a process out of a given region of fixed size. The surveyed stochastic processes are the cumulative returns of asset prices. The link between the value of the MET and the timescale of the market fluctuations of a certain degree is crystal clear. In this sense, MET value may help, for instance, in deciding the optimal time horizon for the investment. The MET is, however, one among the statistics of a distribution of bigger interest: the survival probability (SP), the likelihood that after some lapse of time a process remains inside the given region without having crossed its boundaries. The final part of the manuscript is devoted to the study of this quantity. Note that the use of SPs may outperform the standard “Value at Risk" (VaR) method for two reasons: we can consider other market dynamics than the limited Wiener process and, even in this case, a risk level derived from the SP will ensure (within the desired quintile) that the quoted value of the portfolio will not leave the safety zone. We present some preliminary theoretical and applied results concerning this topic.

  1. Test-Free Fracture Toughness

    NASA Technical Reports Server (NTRS)

    Minnetyan, Levon; Chamis, Christos C. (Technical Monitor)

    2003-01-01

    Computational simulation results can give the prediction of damage growth and progression and fracture toughness of composite structures. The experimental data from literature provide environmental effects on the fracture behavior of metallic or fiber composite structures. However, the traditional experimental methods to analyze the influence of the imposed conditions are expensive and time consuming. This research used the CODSTRAN code to model the temperature effects, scaling effects and the loading effects of fiber/braided composite specimens with and without fiber-optic sensors on the damage initiation and energy release rates. The load-displacement relationship and fracture toughness assessment approach is compared with the test results from literature and it is verified that the computational simulation, with the use of established material modeling and finite element modules, adequately tracks the changes of fracture toughness and subsequent fracture propagation for any fiber/braided composite structure due to the change of fiber orientations, presence of large diameter optical fibers, and any loading conditions.

  2. Tough decisions: Reproductive timing and output vary with individuals' physiology, behavior and past success in a social opportunistic breeder.

    PubMed

    Mariette, Mylene M; Buchanan, Katherine L; Buttemer, William A; Careau, Vincent

    2015-11-01

    This article is part of a Special Issue "SBN 2014". Photoperiod and the hormonal response it triggers are key determinants of reproductive timing in birds. However, other cues and physiological traits may permit flexibility in the timing of breeding and perhaps facilitate adaptation to global change. Opportunistic breeders are excellent models to study the adaptive significance of this flexibility, especially at the individual level. Here, we sought to quantify whether particular male physiological and behavioral traits were linked to reproductive timing and output in wild-derived zebra finches. We repeatedly assessed male stress-induced corticosterone levels (CORT), basal metabolic rate (BMR), and activity before releasing them into outdoor aviaries and quantifying each pair's breeding timing, investment, and output over a seven-month period. Despite unlimited access to food and water, the colony breeding activity occurred in waves, probably due to interpair social stimulations. Pairs adjusted their inter-clutch interval and clutch size to social and temperature cues, respectively, but only after successful breeding attempts, suggesting a facultative response to external cues. When these effects were controlled for statistically or experimentally, breeding intervals were repeatable within individuals across reproductive attempts. In addition, males' first laying date and total offspring production varied with complex interactions between pre-breeding CORT, BMR and activity levels. These results suggest that no one trait is under selection but that, instead, correlational selection acts on hormone levels, metabolism, and behavior. Together our results suggest that studying inter-individual variation in breeding strategy and their multiple physiological and behavioral underpinnings may greatly improve our understanding of the mechanisms underlying the evolution of breeding decisions. Copyright © 2015 Elsevier Inc. All rights reserved.

  3. TOUGH User's Guide

    SciTech Connect

    Pruess, K.

    1987-08-01

    This document contains a technical description of the TOUGH computer program, which was developed at Lawrence Berkeley Laboratory for simulating the coupled transport of water, vapor, air and heat in porous and fractured media. The physical processes taken into account in TOUGH are discussed, and the governing equations actually solved by the simulator are stated in full detail. A brief overview is given of the mathematical and numerical methods, and the code architecture. The report provides detailed instructions for preparing input decks. Code applications are illustrated by means of six sample problems.

  4. Generating survival times to simulate Cox proportional hazards models with time-varying covariates.

    PubMed

    Austin, Peter C

    2012-12-20

    Simulations and Monte Carlo methods serve an important role in modern statistical research. They allow for an examination of the performance of statistical procedures in settings in which analytic and mathematical derivations may not be feasible. A key element in any statistical simulation is the existence of an appropriate data-generating process: one must be able to simulate data from a specified statistical model. We describe data-generating processes for the Cox proportional hazards model with time-varying covariates when event times follow an exponential, Weibull, or Gompertz distribution. We consider three types of time-varying covariates: first, a dichotomous time-varying covariate that can change at most once from untreated to treated (e.g., organ transplant); second, a continuous time-varying covariate such as cumulative exposure at a constant dose to radiation or to a pharmaceutical agent used for a chronic condition; third, a dichotomous time-varying covariate with a subject being able to move repeatedly between treatment states (e.g., current compliance or use of a medication). In each setting, we derive closed-form expressions that allow one to simulate survival times so that survival times are related to a vector of fixed or time-invariant covariates and to a single time-varying covariate. We illustrate the utility of our closed-form expressions for simulating event times by using Monte Carlo simulations to estimate the statistical power to detect as statistically significant the effect of different types of binary time-varying covariates. This is compared with the statistical power to detect as statistically significant a binary time-invariant covariate.

  5. Modeling discrete survival time using genomic feature data.

    PubMed

    Ferber, Kyle; Archer, Kellie J

    2015-01-01

    Researchers have recently shown that penalized models perform well when applied to high-throughput genomic data. Previous researchers introduced the generalized monotone incremental forward stagewise (GMIFS) method for fitting overparameterized logistic regression models. The GMIFS method was subsequently extended by others for fitting several different logit link ordinal response models to high-throughput genomic data. In this study, we further extended the GMIFS method for ordinal response modeling using a complementary log-log link, which allows one to model discrete survival data. We applied our extension to a publicly available microarray gene expression dataset (GSE53733) with a discrete survival outcome. The dataset included 70 primary glioblastoma samples from patients of the German Glioma Network with long-, intermediate-, and short-term overall survival. We tested the performance of our method by examining the prediction accuracy of the fitted model. The method has been implemented as an addition to the ordinalgmifs package in the R programming environment.

  6. Rubber dam may increase the survival time of dental restorations.

    PubMed

    Keys, William; Carson, Susan J

    2017-03-01

    Data sourcesCochrane Oral Health's Trials Register, Cochrane Central Register of Controlled Trials (CENTRAL), Medline, Embase, LILACS, SciELO, Chinese BioMedical Literature Database, VIP, China National Knowledge Infrastructure, ClinicalTrials.gov, World Health Organization International Clinical Trials Registry Platform, OpenGrey and Sciencepaper Online databases. Handsearches in a number of journals.Study selectionRandomised controlled trials, including split-mouth studies assessing the effects of rubber dam isolation for restorative treatments in dental patients.Data extraction and synthesisTwo review authors independently screened the results of the electronic searches, extracted data and assessed the risk of bias of the included studies.ResultsFour studies involving a total of 1,270 patients were included. The studies were at high risk of bias. One trial was excluded from the analysis due to inconsistencies in the presented data. Restorations had a significantly higher survival rate in the rubber dam isolation group compared to the cotton roll isolation group at six months in participants receiving composite restorative treatment of non-carious cervical lesions (risk ratio (RR) 1.19, 95% confidence interval (CI) 1.04 to 1.37, very low-quality evidence). The rubber dam group had a lower risk of failure at two years in children undergoing proximal atraumatic restorative treatment in primary molars (hazard ratio (HR) 0.80, 95% CI 0.66 to 0.97, very low-quality evidence). One trial reported limited data showing that rubber dam usage during fissure sealing might shorten the treatment time. None of the included studies mentioned adverse effects or reported the direct cost of the treatment, or the level of patient acceptance/satisfaction. There was also no evidence evaluating the effects of rubber dam usage on the quality of the restorations.ConclusionsWe found some very low-quality evidence, from single studies, suggesting that rubber dam usage in dental direct

  7. Circadian timing of single daily 'meal' affects survival of mice

    NASA Technical Reports Server (NTRS)

    Nelson, W.; Cadotte, L.; Halberg, F.

    1973-01-01

    It is shown that the survival of young mice after abrupt restriction to a single 4-hr span of daily food accessibility can depend on the temporal placement of this feeding span in relation to the lighting regimen. Housing conditions are an important codeterminant of this response.

  8. Accelerating Child Survival and Development in Dark Times.

    ERIC Educational Resources Information Center

    Grant, James P.

    Measures were proposed that would enable UNICEF, in association with others and despite prevailing difficult economic circumstances, to more effectively bring well-being and hope to hundreds of millions of children. Specific proposals were designed to help most countries accelerate child survival and development. Most particularly, it was…

  9. Crunch Time for the Diplomas: Will They Survive?

    ERIC Educational Resources Information Center

    Baker, Mike

    2009-01-01

    This article looks at the introduction of the diplomas as part of the 14-19 reforms in England. It questions whether they can survive the low initial take-up from students, the lack of interest from key parts of the schools sector, and the confusing messages about what sort of qualification they are meant to be. It also asks whether the diplomas…

  10. Accelerating Child Survival and Development in Dark Times.

    ERIC Educational Resources Information Center

    Grant, James P.

    Measures were proposed that would enable UNICEF, in association with others and despite prevailing difficult economic circumstances, to more effectively bring well-being and hope to hundreds of millions of children. Specific proposals were designed to help most countries accelerate child survival and development. Most particularly, it was…

  11. Fracture toughness of fibrous composite materials

    NASA Technical Reports Server (NTRS)

    Poe, C. C., Jr.

    1984-01-01

    Laminates with various proportions of 0 deg, 45 deg, and 90 deg plies were fabricated from T300/5208 and T300/BP-907 graphite/epoxy prepreg tape material. The fracture toughness of each laminate orientation or lay-up was determined by testing center-cracked specimens, and it was also predicted with the general fracture-toughness parameter. The predictions were good except when crack-tip splitting was large, at which time the toughness and strengths tended to be underpredicted. By using predictions, a parametric study was also made of factors that influence fracture toughness. Fiber and matrix properties as well as lay-up were investigated. Without crack-tip splitting, fracture toughness increases in proportion to fiber strength and fiber volume fraction, increases linearly with E(22)/E(11), is largest when the modulus for non-0 deg fibers is greater than that of 0 deg fibers, and is smallest for 0(m)/90(p)(s) lay-ups. (The E(11) and E(22) are Young's moduli of the lamina parallel to and normal to the direction of the fibers, respectively). For a given proportion of 0 deg plies, the most notch-sensitive lay-ups are 0(m)/90(p)(s) and the least sensitive are 0(m)/45(n)(s) and alpha(s). Notch sensitivity increases with the proportion of 0 deg plies and decreases with alpha. Strong, tough matrix materials, which inhibit crack-tip splitting, generally lead to minimum fracture toughness.

  12. A Straight-Talk Survival Guide for Colleges

    ERIC Educational Resources Information Center

    Facione, Peter A.

    2009-01-01

    Times are very tough. The great majority of colleges are looking at 2009 and 2010 and beyond, in anticipation of the deepest budget cuts in more than a generation. But as bad as the financial situation may be, colleges can survive if they take swift and strong emergency action. It is time for some straight talk, starting with the realization that…

  13. A Straight-Talk Survival Guide for Colleges

    ERIC Educational Resources Information Center

    Facione, Peter A.

    2009-01-01

    Times are very tough. The great majority of colleges are looking at 2009 and 2010 and beyond, in anticipation of the deepest budget cuts in more than a generation. But as bad as the financial situation may be, colleges can survive if they take swift and strong emergency action. It is time for some straight talk, starting with the realization that…

  14. Tactics for Tough Budget Times

    ERIC Educational Resources Information Center

    Martin, Ann M.

    2011-01-01

    How does one maintain high goals for instruction with dwindling funds? On a district level, the ability to do more with less is just not possible. It is the capability to reposition available resources that achieves critical goals. One way to visualize this concept is to think of a stretched elastic band. When that band is extended, it changes its…

  15. Tough Times for Adult Learners

    ERIC Educational Resources Information Center

    Tuckett, Alan; Aldridge, Fiona

    2011-01-01

    The key message of NIACE's 2011 survey of adult participation in learning is that recession is bad for lifelong learning for anyone over the age of 25. The survey highlights the central importance of workplaces as sites of adult learning--and the challenges posed to a learning society when opportunities to learn reduce. It shows that the gap…

  16. Tactics for Tough Budget Times

    ERIC Educational Resources Information Center

    Martin, Ann M.

    2011-01-01

    How does one maintain high goals for instruction with dwindling funds? On a district level, the ability to do more with less is just not possible. It is the capability to reposition available resources that achieves critical goals. One way to visualize this concept is to think of a stretched elastic band. When that band is extended, it changes its…

  17. Advanced Single-Polymer Nanofiber-Reinforced Composite - Towards Next Generation Ultralight Superstrong/Tough Structural Material

    DTIC Science & Technology

    2015-04-29

    toughness was an order of magnitude higher than toughness of the best existing advanced fibers and exceeded toughness of spider silk . Mechanisms of...trade-off. Spider silk is one natural material providing exceptionally high toughness at high strength. In addition, several recent carbon nanotube...toughness. The best recorded strengths of as-spun PI nanofibers were 2-3 times higher than the strength of spider silk while showing several times

  18. Review of the fracture toughness approach.

    PubMed

    Soderholm, Karl-Johan

    2010-02-01

    Dental adhesives are usually tested in shear or tension even though neither of these approaches measures the local stress triggering failure. Because the stress level varies extensively over the bonded surface, it seems as a fracture mechanics approach would be more appropriate. In this review different general aspects of fracture mechanics and adhesive joints were reviewed first. That review served as a foundation for a review of fracture toughness studies performed on dental adhesives. The dental adhesive studies were identified through a MEDLINE search using "dental adhesion testing AND enamel OR dentin AND fracture toughness" as search strategy. The outcome of the review revealed that fracture toughness studies performed on dental adhesives are complex, both regarding technical performance as well as achieving good discriminating ability between different adhesives. The review also suggested that most fracture toughness tests of adhesives performed in dentistry are not totally reliable because they usually did not consider the complex stress pattern at the adhesive interface. However, despite these limitations, the review strongly supports the notion that the proper way of studying dental adhesion is by use a fracture mechanics. At the present time, it seems as the fracture energy of adhesives might be more appropriate to determine than their fracture toughness values. Copyright 2009 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

  19. Predicting survival time for metastatic castration resistant prostate cancer: An iterative imputation approach

    PubMed Central

    Deng, Detian; Du, Yu; Ji, Zhicheng; Rao, Karthik; Wu, Zhenke; Zhu, Yuxin; Coley, R. Yates

    2016-01-01

    In this paper, we present our winning method for survival time prediction in the 2015 Prostate Cancer DREAM Challenge, a recent crowdsourced competition focused on risk and survival time predictions for patients with metastatic castration-resistant prostate cancer (mCRPC). We are interested in using a patient's covariates to predict his or her time until death after initiating standard therapy. We propose an iterative algorithm to multiply impute right-censored survival times and use ensemble learning methods to characterize the dependence of these imputed survival times on possibly many covariates. We show that by iterating over imputation and ensemble learning steps, we guide imputation with patient covariates and, subsequently, optimize the accuracy of survival time prediction. This method is generally applicable to time-to-event prediction problems in the presence of right-censoring. We demonstrate the proposed method's performance with training and validation results from the DREAM Challenge and compare its accuracy with existing methods. PMID:28299176

  20. Proceedings of the TOUGH workshop

    SciTech Connect

    Pruess, K.

    1990-09-01

    A workshop on applications and enhancements of the TOUGH/MULKOM family of multiphase fluid and heat flow simulation programs was held at Lawrence Berkeley Laboratory on September 13--14, 1990. The workshop was attended by 62 scientists from seven countries with interests in geothermal reservoir engineering, nuclear waste isolation, unsaturated zone hydrology, environmental problems, and laboratory and field experimentation. The meeting featured 21 technical presentations, extended abstracts of which are reproduced in the present volume in unedited form. Simulator applications included processes on a broad range of space scales, from centimeters to kilometers, with transient times from seconds to geologic time scales. A number of code enhancements were reported that increased execution speeds for large 3-D problems by factors of order 20, reduced memory requirements, and improved user-friendliness. The workshop closed with an open discussion session that focussed on future needs and means for interaction in the TOUGH user community. Input from participants was gathered by means of a questionnaire that is reproduced in the appendix. 171 refs., 91 figs., 16 tabs.

  1. Non-parametric estimation of gap time survival functions for ordered multivariate failure time data.

    PubMed

    Schaubel, Douglas E; Cai, Jianwen

    2004-06-30

    Times between sequentially ordered events (gap times) are often of interest in biomedical studies. For example, in a cancer study, the gap times from incidence-to-remission and remission-to-recurrence may be examined. Such data are usually subject to right censoring, and within-subject failure times are generally not independent. Statistical challenges in the analysis of the second and subsequent gap times include induced dependent censoring and non-identifiability of the marginal distributions. We propose a non-parametric method for constructing one-sample estimators of conditional gap-time specific survival functions. The estimators are uniformly consistent and, upon standardization, converge weakly to a zero-mean Gaussian process, with a covariance function which can be consistently estimated. Simulation studies reveal that the asymptotic approximations are appropriate for finite samples. Methods for confidence bands are provided. The proposed methods are illustrated on a renal failure data set, where the probabilities of transplant wait-listing and kidney transplantation are of interest.

  2. A Multivariate Model for the Meta-Analysis of Study Level Survival Data at Multiple Times

    ERIC Educational Resources Information Center

    Jackson, Dan; Rollins, Katie; Coughlin, Patrick

    2014-01-01

    Motivated by our meta-analytic dataset involving survival rates after treatment for critical leg ischemia, we develop and apply a new multivariate model for the meta-analysis of study level survival data at multiple times. Our data set involves 50 studies that provide mortality rates at up to seven time points, which we model simultaneously, and…

  3. Power Analysis for Trials with Discrete-Time Survival Endpoints

    ERIC Educational Resources Information Center

    Jozwiak, Katarzyna; Moerbeek, Mirjam

    2012-01-01

    Studies on event occurrence aim to investigate if and when subjects experience a particular event. The timing of events may be measured continuously using thin precise units or discretely using time periods. The latter metric of time is often used in social science research and the generalized linear model (GLM) is an appropriate model for data…

  4. Power Analysis for Trials with Discrete-Time Survival Endpoints

    ERIC Educational Resources Information Center

    Jozwiak, Katarzyna; Moerbeek, Mirjam

    2012-01-01

    Studies on event occurrence aim to investigate if and when subjects experience a particular event. The timing of events may be measured continuously using thin precise units or discretely using time periods. The latter metric of time is often used in social science research and the generalized linear model (GLM) is an appropriate model for data…

  5. Two-Sample Inference for Median Survival Times Based on One-Sample Procedures for Censored Survival Data

    DTIC Science & Technology

    1988-08-01

    BTI ..iLi. CoP The Pennsylvania State University Department of Statistics V111 University Park, Pennsylvania TECHNICAL REPORTS AND PREPRINTS Number...compare confidence intervals for the median survival times of four dosage regimens 5-fluorouracil. Refer to Brookmeyer and Crowley (1982a) for a...ANSFIELD, F., KLOTZ, J., and THE CENTRAL ONCOLOGY GROUP (1977), "A Phase III 4-. Study Comparing the Clincial Utility of Four- Dosage Regimens of 5

  6. Survival time estimation using Injury Severity Score (ISS) in homicide cases.

    PubMed

    Cros, Jérôme; Alvarez, Jean-Claude; Sbidian, Emilie; Charlier, Philippe; de la Grandmaison, Geoffroy Lorin

    2013-12-10

    The aim of our study was to assess the value of ISS to estimate survival time in a retrospective study of all homicidal deaths in the Western suburbs of Paris between 1994 and 2008. Stab wounds were the most common cause of death. Survival time between assault and death, determined in 107 cases out of 511 homicide cases, ranged from 0 min to 25 days (mean 39 h). There was an overall significant association between the survival time and the ISS score. ISS and survival time were strongly associated with male victims and a clear trend was seen with women. Regarding the type of wounds, a trend was seen with gunshot wounds and blunt injuries, but not with stab wounds. There was no influence of blood toxicological results and resuscitation attempts. Overall, ISS was a good predictor of a survival under 30 min. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  7. User's Guide for TOUGH2-MP - A Massively Parallel Version of the TOUGH2 Code

    SciTech Connect

    Earth Sciences Division; Zhang, Keni; Zhang, Keni; Wu, Yu-Shu; Pruess, Karsten

    2008-05-27

    TOUGH2-MP is a massively parallel (MP) version of the TOUGH2 code, designed for computationally efficient parallel simulation of isothermal and nonisothermal flows of multicomponent, multiphase fluids in one, two, and three-dimensional porous and fractured media. In recent years, computational requirements have become increasingly intensive in large or highly nonlinear problems for applications in areas such as radioactive waste disposal, CO2 geological sequestration, environmental assessment and remediation, reservoir engineering, and groundwater hydrology. The primary objective of developing the parallel-simulation capability is to significantly improve the computational performance of the TOUGH2 family of codes. The particular goal for the parallel simulator is to achieve orders-of-magnitude improvement in computational time for models with ever-increasing complexity. TOUGH2-MP is designed to perform parallel simulation on multi-CPU computational platforms. An earlier version of TOUGH2-MP (V1.0) was based on the TOUGH2 Version 1.4 with EOS3, EOS9, and T2R3D modules, a software previously qualified for applications in the Yucca Mountain project, and was designed for execution on CRAY T3E and IBM SP supercomputers. The current version of TOUGH2-MP (V2.0) includes all fluid property modules of the standard version TOUGH2 V2.0. It provides computationally efficient capabilities using supercomputers, Linux clusters, or multi-core PCs, and also offers many user-friendly features. The parallel simulator inherits all process capabilities from V2.0 together with additional capabilities for handling fractured media from V1.4. This report provides a quick starting guide on how to set up and run the TOUGH2-MP program for users with a basic knowledge of running the (standard) version TOUGH2 code, The report also gives a brief technical description of the code, including a discussion of parallel methodology, code structure, as well as mathematical and numerical methods used

  8. Association between symptoms and their severity with survival time in hospitalized patients with far advanced cancer.

    PubMed

    Liu, Yong; Xi, Qing-Song; Xia, Shu; Zhuang, Liang; Zheng, Wei; Yu, Shiying

    2011-10-01

    To assess the significance of symptoms and their severity for predicting survival of hospitalized patients with far advanced cancer. Two hundred fifty-six patients with far advanced cancer at the Cancer Center of Tongji Hospital, China were assessed by the Chinese version of the M.D. Anderson Symptom Inventory (MDASI-C). A Cox regression model was used to determine symptoms that could predict survival time. The log-rank test was used to compare the survival of patients accompanied by significant symptoms at different intensities. Median survival was 49 days. Fatigue was the most common and severe symptom, followed by lack of appetite, disturbed sleep, and pain. Multivariate analysis showed that fatigue, shortness of breath, lack of appetite, and feeling sad were independent prognostic factors for survival time (p  < 0.05), with a hazard ratio of dying of 1.39, 1.13, 1.33, and 1.16, respectively. The survival time for patients with different intensities of the four symptoms showed significant differences (p  <  0.01). Fatigue, lack of appetite, feeling sad, and shortness of breath could be predictive factors for survival time of hospitalized patients with far advanced cancer. The more severe these symptoms are, the shorter will be survival time.

  9. Assessment of lead-time bias in estimates of relative survival for breast cancer.

    PubMed

    Andersson, Therese M-L; Rutherford, Mark J; Humphreys, Keith

    2017-02-01

    Relative survival ratios (RSRs) can be useful for evaluating the impact of changes in cancer care on the prognosis of cancer patients or for comparing the prognosis for different subgroups of patients, but their use is problematic for cancer sites where screening has been introduced due to the potential of lead-time bias. Lead-time is survival time that is added to a patient's survival time because of an earlier diagnosis irrespective of a possibly postponed time of death. In the presence of screening it is difficult to disentangle how much of an observed improvement in survival is real and how much is due to lead-time bias. Even so, RSRs are often presented for breast cancer, a site where screening has led to early diagnosis, with the assumption that the lead-time bias is small. We describe a simulation-based framework for studying the lead-time bias due to mammography screening on RSRs of breast cancer based on a natural history model developed in a Swedish setting. We have performed simulations, using this framework, under different assumptions for screening sensitivity and breast cancer survival with the aim of estimating the lead-time bias. Screening every second year among ages 40-75 was introduced assuming that screening had no effect on survival, except for lead-time bias. Relative survival was estimated both with and without screening to enable quantification of the lead-time bias. Scenarios with low, moderate and high breast cancer survival, and low, moderate and high screening sensitivity were simulated, and the lead-time bias assessed in all scenarios. Copyright © 2016 Elsevier Ltd. All rights reserved.

  10. Predicted Water Immersion Survival Times for Anti-Exposure Ensembles

    DTIC Science & Technology

    2005-10-01

    level of garment insulation and anthropometrics to provide guidelines for safe immersed exposure times. 176 Report Documentation Page Form ApprovedOMB...males only. The model can account for variations in weight, body fat (BF), and metabolic rate. For this study, three anthropometric cases were used: (1...chest, abdomen, right and left thighs, calves, feet, biceps, forearms and hands. A clo value can be specified for each area. Clo is a measure of

  11. A discrete-time multiple event process survival mixture (MEPSUM) model

    PubMed Central

    Dean, Danielle O.; Bauer, Daniel J.; Shanahan, Michael J.

    2014-01-01

    Traditional survival analysis was developed to investigate the occurrence and timing of a single event, but researchers have recently begun to ask questions about the order and timing of multiple events. A multiple event process survival mixture model is developed here to analyze non-repeatable events measured in discrete-time that may occur at the same point in time. Building on both traditional univariate survival analysis and univariate survival mixture analysis, the model approximates the underlying multivariate distribution of hazard functions via a discrete-point finite mixture in which the mixing components represent prototypical patterns of event occurrence. The model is applied in an empirical analysis concerning transitions to adulthood, where the events under study include parenthood, marriage, beginning full-time work, and obtaining a college degree. Promising opportunities, as well as possible limitations of the model and future directions for research are discussed. PMID:24079930

  12. Cardiac arrest due to drowning--changes over time and factors of importance for survival.

    PubMed

    Claesson, Andreas; Lindqvist, Jonny; Herlitz, Johan

    2014-05-01

    To evaluate changes in characteristics and survival over time in out-of-hospital cardiac arrest (OHCA) due to drowning and describe factors of importance for survival. Retrospectively reported and treated drowning cases reported to the Swedish OHCA registry between 1990 and 2012, n=529. The data were clustered into three seven-year intervals for comparisons of changes over time. There were no changes in age, gender, witnessed status, shockable rhythm or place of OHCA during the time periods. Bystander CPR increased over time, 59% in interval 1992-1998, versus 74% in interval 2006-2012 (p=0.005). There was a decrease in delay between OHCA and calling for the Emergency Medical Service (EMS) over the years, while calling for the EMS to arrival increased in terms of time. Survival to hospital admission appears to have increased over the years (p=0.009), whereas survival to one month did not change significantly over time. In a multivariate analysis, witnessed status, female gender, bystander CPR, place-home and EMS response time were associated with survival to hospital admission. For survival to one month, place, age, shockable rhythm and logarithmised delay from calling for an ambulance to arrival were of significance for survival. In OHCA due to drowning, over a period of 20 years, bystanders have called for help at an earlier stage and administered CPR more frequently in the past few years. Survival to hospital admission has increased, while shockable rhythm and early arrival of the EMS appear to be the most important factors for survival to one month. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  13. PMR Composites Of Increased Toughness

    NASA Technical Reports Server (NTRS)

    Vannucci, Raymond D.; Bowles, Kenneth J.

    1988-01-01

    Toughness increased without sacrificing processability or hot strength. Resin composition provides best overall balance of composite toughness and retention of mechanical properties at 600 degree F (316 degree C) with processability obtained by substituting 20 mole percent of diamine used in PMR-15 resins with diamine containing twice number of flexible phenyl connecting groups.

  14. On "Tough" Movement in Spanish.

    ERIC Educational Resources Information Center

    Reider, Michael

    1993-01-01

    A survey of native Spanish speakers from both Spain and Latin America found that the choice of predicate adjectives governing "tough" constructions in Spanish (e.g., "el libro es facil de leer") varies by individual, but some patterns did emerge that suggest "tough" constructions and "it is" constructions…

  15. On "Tough" Movement in Spanish.

    ERIC Educational Resources Information Center

    Reider, Michael

    1993-01-01

    A survey of native Spanish speakers from both Spain and Latin America found that the choice of predicate adjectives governing "tough" constructions in Spanish (e.g., "el libro es facil de leer") varies by individual, but some patterns did emerge that suggest "tough" constructions and "it is" constructions…

  16. iMatTOUGH: An open-source Matlab-based graphical user interface for pre- and post-processing of TOUGH2 and iTOUGH2 models

    NASA Astrophysics Data System (ADS)

    Tran, Anh Phuong; Dafflon, Baptiste; Hubbard, Susan

    2016-04-01

    TOUGH2 and iTOUGH2 are powerful models that simulate the heat and fluid flows in porous and fracture media, and perform parameter estimation, sensitivity analysis and uncertainty propagation analysis. However, setting up the input files is not only tedious, but error prone, and processing output files is time consuming. In this study, we present an open source Matlab-based tool (iMatTOUGH) that supports the generation of all necessary inputs for both TOUGH2 and iTOUGH2 and visualize their outputs. The tool links the inputs of TOUGH2 and iTOUGH2, making sure the two input files are consistent. It supports the generation of rectangular computational mesh, i.e., it automatically generates the elements and connections as well as their properties as required by TOUGH2. The tool also allows the specification of initial and time-dependent boundary conditions for better subsurface heat and water flow simulations. The effectiveness of the tool is illustrated by an example that uses TOUGH2 and iTOUGH2 to estimate soil hydrological and thermal properties from soil temperature data and simulate the heat and water flows at the Rifle site in Colorado.

  17. Estimating latent time of maturation and survival costs of reproduction in continuous time from capture-recapture data

    USGS Publications Warehouse

    Ergon, T.; Yoccoz, N.G.; Nichols, J.D.; Thomson, David L.; Cooch, Evan G.; Conroy, Michael J.

    2009-01-01

    In many species, age or time of maturation and survival costs of reproduction may vary substantially within and among populations. We present a capture-mark-recapture model to estimate the latent individual trait distribution of time of maturation (or other irreversible transitions) as well as survival differences associated with the two states (representing costs of reproduction). Maturation can take place at any point in continuous time, and mortality hazard rates for each reproductive state may vary according to continuous functions over time. Although we explicitly model individual heterogeneity in age/time of maturation, we make the simplifying assumption that death hazard rates do not vary among individuals within groups of animals. However, the estimates of the maturation distribution are fairly robust against individual heterogeneity in survival as long as there is no individual level correlation between mortality hazards and latent time of maturation. We apply the model to biweekly capture?recapture data of overwintering field voles (Microtus agrestis) in cyclically fluctuating populations to estimate time of maturation and survival costs of reproduction. Results show that onset of seasonal reproduction is particularly late and survival costs of reproduction are particularly large in declining populations.

  18. Variations in survival time for amalgam and resin composite restorations: a population based cohort analysis.

    PubMed

    Birch, S; Price, R; Andreou, P; Jones, G; Portolesi, A

    2016-09-01

    To estimate the association between the restorative material used and time to further treatment across population cohorts with universal coverage for dental treatment. Cohort study of variation in survival time for tooth restorations over time and by restoration material used based on an Accelerated Failure Time model. Primary dental care clinics. Members of Canada's First Nations and Inuit population covered by the Non-Insured Health Benefits program of Health Canada for the period April 1, 1999 to March 31, 2012. Tooth restorations using resin composite or amalgam material. Survival time of restoration to further treatment. Median survival time for resin composite was 51 days longer than amalgam, for restorations placed in 1999-2000. This difference was not statistically significant (p⟩0.05). Median survival times were lower for females, older subjects. Those visiting the dentist annually, and decreased monotonically over time from 11.2 and 11.3 years for resin composite and amalgam restorations respectively placed in 1999-2000 to 6.9 and 7.0 years for those placed in 2009-10. Resin composite restorations performed no better than amalgams over the study period, but cost considerably more. With the combination of the overall decrease in survival times for both resin composite and amalgam restorations and the increase in use of resin composite, the costs of serving Health Canada's Non-Insured Health Benefits population will rise considerably, even without any increase in the incidence of caries.

  19. Identifying novel clinical surrogates to assess human bone fracture toughness

    PubMed Central

    Granke, Mathilde; Makowski, Alexander J; Uppuganti, Sasidhar; Does, Mark D; Nyman, Jeffry S

    2015-01-01

    Fracture risk does not solely depend on strength but also on fracture toughness, i.e. the ability of bone material to resist crack initiation and propagation. Because resistance to crack growth largely depends on bone properties at the tissue level including collagen characteristics, current X-ray based assessment tools may not be suitable to identify age-, disease-, or treatment-related changes in fracture toughness. To identify useful clinical surrogates that could improve the assessment of fracture resistance, we investigated the potential of 1H nuclear magnetic resonance spectroscopy (NMR) and reference point indentation (RPI) to explain age-related variance in fracture toughness. Harvested from cadaveric femurs (62 human donors), single-edge notched beam (SENB) specimens of cortical bone underwent fracture toughness testing (R-curve method). NMR-derived bound water showed the strongest correlation with fracture toughness properties (r=0.63 for crack initiation, r=0.35 for crack growth, and r=0.45 for overall fracture toughness; p<0.01). Multivariate analyses indicated that the age-related decrease in different fracture toughness properties were best explained by a combination of NMR properties including pore water and RPI-derived tissue stiffness with age as a significant covariate (adjusted R2 = 53.3%, 23.9%, and 35.2% for crack initiation, crack growth, and overall toughness, respectively; p<0.001). These findings reflect the existence of many contributors to fracture toughness and emphasize the utility of a multimodal assessment of fracture resistance. Exploring the mechanistic origin of fracture toughness, glycation-mediated, non-enzymatic collagen crosslinks and intra-cortical porosity are possible determinants of bone fracture toughness and could explain the sensitivity of NMR to changes in fracture toughness. Assuming fracture toughness is clinically important to the ability of bone to resist fracture, our results suggest that improvements in fracture

  20. Identifying Novel Clinical Surrogates to Assess Human Bone Fracture Toughness.

    PubMed

    Granke, Mathilde; Makowski, Alexander J; Uppuganti, Sasidhar; Does, Mark D; Nyman, Jeffry S

    2015-07-01

    Fracture risk does not solely depend on strength but also on fracture toughness; ie, the ability of bone material to resist crack initiation and propagation. Because resistance to crack growth largely depends on bone properties at the tissue level, including collagen characteristics, current X-ray based assessment tools may not be suitable to identify age-related, disease-related, or treatment-related changes in fracture toughness. To identify useful clinical surrogates that could improve the assessment of fracture resistance, we investigated the potential of (1)H nuclear magnetic resonance spectroscopy (NMR) and reference point indentation (RPI) to explain age-related variance in fracture toughness. Harvested from cadaveric femurs (62 human donors), single-edge notched beam (SENB) specimens of cortical bone underwent fracture toughness testing (R-curve method). NMR-derived bound water showed the strongest correlation with fracture toughness properties (r = 0.63 for crack initiation, r = 0.35 for crack growth, and r = 0.45 for overall fracture toughness; p < 0.01). Multivariate analyses indicated that the age-related decrease in different fracture toughness properties were best explained by a combination of NMR properties including pore water and RPI-derived tissue stiffness with age as a significant covariate (adjusted R(2)  = 53.3%, 23.9%, and 35.2% for crack initiation, crack growth, and overall toughness, respectively; p < 0.001). These findings reflect the existence of many contributors to fracture toughness and emphasize the utility of a multimodal assessment of fracture resistance. Exploring the mechanistic origin of fracture toughness, glycation-mediated nonenzymatic collagen crosslinks and intracortical porosity are possible determinants of bone fracture toughness and could explain the sensitivity of NMR to changes in fracture toughness. Assuming fracture toughness is clinically important to the ability of bone to resist fracture

  1. Pore size distribution, survival probability, and relaxation time in random and ordered arrays of fibers

    NASA Astrophysics Data System (ADS)

    Tomadakis, Manolis M.; Robertson, Teri J.

    2003-07-01

    We present a random walk based investigation of the pore size probability distribution and its moments, the survival probability and mean survival time, and the principal relaxation time, for random and ordered arrays of cylindrical fibers of various orientation distributions. The dimensionless mean survival time, principal relaxation time, mean pore size, and mean square pore size are found to increase with porosity, remain practically independent of the directionality of random fiber beds, and attain lower values for ordered arrays. Wide pore size distributions are obtained for random fiber structures and relatively narrow for ordered square arrays, all in very good agreement with theoretically predicted limiting values. Analytical results derived for the pore size probability and its lower moments for square arrays of fibers practically coincide with the corresponding simulation results. Earlier variational bounds on the mean survival time and principal relaxation time are obeyed by our numerical results in all cases, and are found to be quite sharp up to very high porosities. Dimensionless groups representing the deviation of such bounds from our simulation results vary in practically the same range as the corresponding values reported earlier for beds of spherical particles. A universal scaling expression of the literature relating the mean survival time to the mean pore size [S. Torquato and C. L. Y. Yeong, J. Chem. Phys. 106, 8814 (1997)] agrees very well with our results for all types of fiber structures, thus validated for the first time for anisotropic porous media.

  2. TOUGH V2.1

    SciTech Connect

    2011-06-01

    TOUGH2 is a numerical simulator for nonisothermal flows of multicomponent, multiphase fluids in one-, two-, and three-dimensional porous and fracture media. The chief applications for which TOUGH2 is designed are in geothermal reservoir engineering, nuclear waste disposal, environmental assessment and remediation, geologic carbon sequestration, and unsaturated and saturated zone hydrology. The TOUGH2 V2.1 package is an upgrade of TOUGH2 V2.0 (CR-1574) and includes the following improvements and enhancements relative to TOUGH2 V2.0: - Includes all known bug fixes - The module TMVOC (CR-1820) is fully integrated - The module ECO2N (CR-2202) is fully integrated - A fluid property module ECO2M has been added, that can seamlessly model CO2 storage and leakage scenarios, including transitions between super- and sub-critical fluids, and phase changes between liquid and gaseous CO2. The TOUGH2 V2.1 package also supports all legacy fluid property modules, i.e., those packaged into TOUGH2 V2.0 (CR-1574), which includes T2VOC (CR-1254).

  3. EFFECT OF TRITIUM AND DECAY HELIUM ON WELDMENT FRACTURE TOUGHNESS

    SciTech Connect

    Morgan, M; Scott West, S; Michael Tosten, M

    2006-09-26

    The fracture toughness data collected in this study are needed to assess the long-term effects of tritium and its decay product on tritium reservoirs. The results show that tritium and decay helium have negative effects on the fracture toughness properties of stainless steel and its weldments. The data and report from this study has been included in a material property database for use in tritium reservoir modeling efforts like the Technology Investment Program ''Lifecycle Engineering for Tritium Reservoirs''. A number of conclusions can be drawn from the data: (1) For unexposed Type 304L stainless steel, the fracture toughness of weldments was two to three times higher than the base metal toughness. (2) Tritium exposure lowered the fracture toughness properties of both base metals and weldments. This was characterized by lower J{sub Q} values and lower J-da curves. (3) Tritium-exposed-and-aged base metals and weldments had lower fracture toughness values than unexposed ones but still retained good toughness properties.

  4. Matching methods for obtaining survival functions to estimate the effect of a time-dependent treatment

    PubMed Central

    Li, Yun; Schaubel, Douglas E.; He, Kevin

    2013-01-01

    In observational studies of survival time featuring a binary time-dependent treatment, the hazard ratio (an instantaneous measure) is often used to represent the treatment effect. However, investigators are often more interested in the difference in survival functions. We propose semiparametric methods to estimate the causal effect of treatment among the treated with respect to survival probability. The objective is to compare post-treatment survival with the survival function that would have been observed in the absence of treatment. For each patient, we compute a prognostic score (based on the pre-treatment death hazard) and a propensity score (based on the treatment hazard). Each treated patient is then matched with an alive, uncensored and not-yet-treated patient with similar prognostic and/or propensity scores. The experience of each treated and matched patient is weighted using a variant of Inverse Probability of Censoring Weighting to account for the impact of censoring. We propose estimators of the treatment-specific survival functions (and their difference), computed through weighted Nelson-Aalen estimators. Closed-form variance estimators are proposed which take into consideration the potential replication of subjects across matched sets. The proposed methods are evaluated through simulation, then applied to estimate the effect of kidney transplantation on survival among end-stage renal disease patients using data from a national organ failure registry. PMID:25309633

  5. Is Survival Time After Hemorrhage a Heritable, Quantitative Trait?: An Initial Assessment

    DTIC Science & Technology

    2008-06-01

    that in turn was connected to a Differential DC Amplifier and Signal Conditioner (Ectron Corp., San Diego, Calif). Blood pressure was measured and...calculated blood volume was removed during a 26-min period from conscious unrestrained animals. Rats were observed for a maximum of 6 h. Survival time...the Surviving Blood Loss Program of the Defense Advanced Research Projects Agency. DOI: 10.1097/SHK.0b013e31815cfe30 Copyright 2008 by the Shock

  6. Fracture toughness of Alloy 600 and EN82H weld in air and water

    SciTech Connect

    Mills, W.J.; Brown, C.M.

    1999-06-01

    The fracture toughness of Alloy 600 and its weld, EN82H, was characterized in 54 C to 338 C air and hydrogenated water. Elastic-plastic J{sub IC} testing was performed due to the inherent high toughness of these materials. Alloy 600 exhibited excellent fracture toughness under all test conditions. While EN82H welds displayed excellent toughness in air and high temperature water, a dramatic toughness degradation occurred in water at temperatures below 149 C. Comparison of the cracking response in low temperature water with that for hydrogen-precharged specimens tested in air demonstrated that the loss in toughness is due to a hydrogen-induced intergranular cracking mechanism. At loading rates about approx. 1000 MPa {radical}m/h, the toughness in low temperature water is improved because there is insufficient time for hydrogen to embrittle grain boundaries. Electron fractographic examinations were performed to correlate macroscopic properties with key microstructural features and operative fracture mechanisms.

  7. Median Survival Time of Endometrial Cancer Patients with Lymphovascular Invasion at the Hospital Universiti Sains Malaysia.

    PubMed

    Asyikeen, Wan Adnan Wan Nor; Siti-Azrin, Ab Hamid; Jalil, Nur Asyilla Che; Zin, Anani Aila Mat; Othman, Nor Hayati

    2016-11-01

    Endometrial cancer is the most common gynaecologic malignancy among females worldwide. The purpose of this study was to determine the median survival time of endometrial cancer patients at the Hospital Universiti Sains Malaysia (USM). A list of 121 endometrial cancer cases registered at Hospital USM between 2000 until 2011 was retrospectively reviewed. The survival time of the endometrial cancer patients was estimated by Kaplan-Meier survival analysis. Log-rank tests were performed to compare the survival of the patients based on socio-demographics and clinical presentation. Only 108 patients, 87.0%, were included who were of Malay ethnicity. Previous history included menopause in 67.6% of patients and diabetes mellitus in 39.8% of patients; additionally, 63.4% of patients were nulliparous. Tumour staging was as follows: 24.5% stage I, 10.8% stage II, 26.5% stage III and 38.2% stage IV. The overall median survival time of the endometrial cancer patients was 70.20 months (95% confidence interval (CI): 51.79, 88.61). The significant factors were age, the presence of lymphovascular invasion and treatment received. The overall survival of endometrial cancer was low. A prospective study needs to be carried out to discover more effective and accurate tests for the early detection of endometrial cancer.

  8. Estimating survival rates with time series of standing age-structure data

    USGS Publications Warehouse

    Udevitz, Mark S.; Gogan, Peter J.

    2014-01-01

    It has long been recognized that age-structure data contain useful information for assessing the status and dynamics of wildlife populations. For example, age-specific survival rates can be estimated with just a single sample from the age distribution of a stable, stationary population. For a population that is not stable, age-specific survival rates can be estimated using techniques such as inverse methods that combine time series of age-structure data with other demographic data. However, estimation of survival rates using these methods typically requires numerical optimization, a relatively long time series of data, and smoothing or other constraints to provide useful estimates. We developed general models for possibly unstable populations that combine time series of age-structure data with other demographic data to provide explicit maximum likelihood estimators of age-specific survival rates with as few as two years of data. As an example, we applied these methods to estimate survival rates for female bison (Bison bison) in Yellowstone National Park, USA. This approach provides a simple tool for monitoring survival rates based on age-structure data.

  9. Median Survival Time of Endometrial Cancer Patients with Lymphovascular Invasion at the Hospital Universiti Sains Malaysia

    PubMed Central

    Asyikeen, Wan Adnan Wan Nor; Siti-Azrin, Ab Hamid; Jalil, Nur Asyilla Che; Zin, Anani Aila Mat; Othman, Nor Hayati

    2016-01-01

    Background Endometrial cancer is the most common gynaecologic malignancy among females worldwide. The purpose of this study was to determine the median survival time of endometrial cancer patients at the Hospital Universiti Sains Malaysia (USM). Methods A list of 121 endometrial cancer cases registered at Hospital USM between 2000 until 2011 was retrospectively reviewed. The survival time of the endometrial cancer patients was estimated by Kaplan-Meier survival analysis. Log-rank tests were performed to compare the survival of the patients based on socio-demographics and clinical presentation. Results Only 108 patients, 87.0%, were included who were of Malay ethnicity. Previous history included menopause in 67.6% of patients and diabetes mellitus in 39.8% of patients; additionally, 63.4% of patients were nulliparous. Tumour staging was as follows: 24.5% stage I, 10.8% stage II, 26.5% stage III and 38.2% stage IV. The overall median survival time of the endometrial cancer patients was 70.20 months (95% confidence interval (CI): 51.79, 88.61). The significant factors were age, the presence of lymphovascular invasion and treatment received. Conclusion The overall survival of endometrial cancer was low. A prospective study needs to be carried out to discover more effective and accurate tests for the early detection of endometrial cancer. PMID:28090178

  10. Super-tough carbon-nanotube fibres

    NASA Astrophysics Data System (ADS)

    Dalton, Alan B.; Collins, Steve; Muñoz, Edgar; Razal, Joselito M.; Ebron, Von Howard; Ferraris, John P.; Coleman, Jonathan N.; Kim, Bog G.; Baughman, Ray H.

    2003-06-01

    The energy needed to rupture a fibre (its toughness) is five times higher for spider silk than for the same mass of steel wire, which has inspired efforts to produce spider silk commercially. Here we spin 100-metre-long carbon-nanotube composite fibres that are tougher than any natural or synthetic organic fibre described so far, and use these to make fibre supercapacitors that are suitable for weaving into textiles.

  11. Tough choices in tough times: debt and medication nonadherence.

    PubMed

    Kalousova, Lucie; Burgard, Sarah A

    2014-04-01

    Debt is a ubiquitous component of households' financial portfolios. Yet we have scant understanding of how household debt constrains spending on needed health care. Diverse types of debt have different financial properties and recent work has shown that they may have varying implications for spending on needed health care. In this article, we explore the associations between indebtedness and medication nonadherence. First, we consider overall debt levels and then we disaggregate debt into types. We use a population-based sample of 434 residents of southeast Michigan who had been prescribed medications, collected in 2009-2010, the wake of the Great Recession. We find no association between medication nonadherence and total indebtedness. However, when we assess each type of debt separately, we find that having medical or credit card debt is positively associated with medication nonadherence, even net of household income, net worth, and other characteristics. Furthermore, patients with greater amounts of medical or credit card debt are more likely to be nonadherent than those with less. Our results suggest that credit card debt and medical debt may have serious implications for the relative affordability of prescription medications. These associations have been overlooked in past research and deserve further examination.

  12. Tough Choices in Tough Times: Debt and Medication Nonadherence

    ERIC Educational Resources Information Center

    Kalousova, Lucie; Burgard, Sarah A.

    2014-01-01

    Debt is a ubiquitous component of households' financial portfolios. Yet we have scant understanding of how household debt constrains spending on needed health care. Diverse types of debt have different financial properties and recent work has shown that they may have varying implications for spending on needed health care. In this article, we…

  13. Tough Choices in Tough Times: Debt and Medication Nonadherence

    ERIC Educational Resources Information Center

    Kalousova, Lucie; Burgard, Sarah A.

    2014-01-01

    Debt is a ubiquitous component of households' financial portfolios. Yet we have scant understanding of how household debt constrains spending on needed health care. Diverse types of debt have different financial properties and recent work has shown that they may have varying implications for spending on needed health care. In this article, we…

  14. Time-course regulation of quercetin on cell survival/proliferation pathways in human hepatoma cells.

    PubMed

    Granado-Serrano, Ana Belén; Angeles Martín, María; Bravo, Laura; Goya, Luis; Ramos, Sonia

    2008-04-01

    Quercetin, a dietary flavonoid, has been shown to possess anticarcinogenic properties, but the precise molecular mechanisms of action are not thoroughly elucidated. This study was aimed at investigating the time-course regulation effect of quercetin on survival/proliferation pathways in a human hepatoma cell line (HepG2). Quercetin induced a significant time-dependent inactivation of the major survival signaling proteins, i. e., phosphatidylinositol 3-kinase (PI 3-kinase)/protein kinase B (AKT), extracellular regulated kinase (ERK), protein kinase C-alpha (PKC-alpha), in concert with a time-dependent activation of key death-related signals: c-jun amino-terminal kinase (JNK) and PKC-delta. These data suggest that quercetin exerts a tight regulation of survival/proliferation pathways that requires the integration of different signals and persists over time, being the balance of these regulatory signals what determines the fate of HepG2 cells.

  15. Helicopter crashes into water: warning time, final position, and other factors affecting survival.

    PubMed

    Brooks, Christopher J; MacDonald, Conor V; Baker, Susan P; Shanahan, Dennis F; Haaland, Wren L

    2014-04-01

    According to 40 yr of data, the fatality rate for a helicopter crash into water is approximately 25%. Does warning time and the final position of the helicopter in the water influence the survival rate? The National Transportation Safety Board (NTSB) database was queried to identify helicopter crashes into water between 1981 and 2011 in the Gulf of Mexico and Hawaii. Fatality rate, amount of warning time prior to the crash, and final position of the helicopter were identified. There were 133 helicopters that crashed into water with 456 crew and passengers. Of these, 119 occupants (26%) did not survive; of those who did survive, 38% were injured. Twelve died after making a successful escape from the helicopter. Crashes with < 15 s warning had a fatality rate of 22%, compared to 12% for 16-60 s warning and 5% for > 1 min. However, more than half of fatalities (57%) came from crashes for which the warning time could not be determined. Lack of warning time and how to survive in the water after the crash should be a topic for study in all marine survival/aircraft ditching courses. Investigators should be trained to provide estimates of warning time when investigating helicopter crashes into water.

  16. Helicopter Transport Improves Survival Following Injury in the Absence of a Time Saving Advantage

    PubMed Central

    Brown, Joshua B.; Gestring, Mark L.; Guyette, Francis X.; Rosengart, Matthew R.; Stassen, Nicole A.; Forsythe, Raquel M.; Billiar, Timothy R.; Peitzman, Andrew B.; Sperry, Jason L.

    2015-01-01

    Background Although survival benefits have been shown at the population level, it remains unclear what drives the outcome benefits for helicopter emergency medical services (HEMS) in trauma. While speed is often cited as the vital factor of HEMS, we hypothesized a survival benefit would exist in the absence of a time-savings over ground emergency medical services (GEMS). The objective was to examine the association of survival with HEMS compared to GEMS transport across similar prehospital transport times (PHTT). Methods Retrospective cohort of scene HEMS and GEMS transports in the NTDB (2007–2012). Propensity score matching was used to match HEMS and GEMS subjects on the likelihood of HEMS transport. Subjects were stratified by PHTT in 5min increments. Conditional logistic regression determined the association of HEMS with survival across PHTT strata controlling for confounders. Transport distance was estimated from PHTT and average HEMS/GEMS transport speeds. Results There were 155,691 HEMS/GEMS pairs matched. HEMS had a survival benefit over GEMS for PHTT between 6 and 30min. This benefit ranged from a 46% increase in odds of survival between 26–30min (AOR 1.46; 95%CI 1.11—1.93, p<0.01) to an 80% increase in odds of survival between 16–20min (AOR 1.80; 95%CI 1.52—2.03, p<0.01). This PHTT window corresponds to estimated transport distance between 14.3–71.3mi for HEMS and 3.3–16.6mi for GEMS. Conclusions When stratified by PHTT, HEMS had a survival benefit concentrated in a window between 6–30min. Since there was no time-savings advantage for HEMS, these findings may reflect care delivered by HEMS providers. PMID:26603848

  17. Toughness Properties of Nodular Iron

    NASA Astrophysics Data System (ADS)

    Bradley, Walter L.

    1985-01-01

    The German government recently certified ductile iron for construction of nuclear waste transport containers. This approved use of ductile iron for such a critical application represents the culmination of ten years worth of research bringing to light the surprising toughness of ductile iron. This article explains how modern fracture mechanics and microstructure/property relationships have altered the stereotype of ductile iron as a low toughness material.

  18. Venous thromboembolism at time of diagnosis of ovarian cancer: Survival differs in symptomatic and asymptomatic cases.

    PubMed

    Heath, Owen Mortimer; van Beekhuizen, Heleen J; Nama, Vivek; Kolomainen, Desiree; Nobbenhuis, Marielle A E; Ind, Thomas E J; Sohaib, Syed A; Lofts, Fiona J; Heenan, Sue; Gore, Martin; Banerjee, Susana; Kaye, Stan B; Barton, Desmond P J

    2016-01-01

    To determine the impact on survival of symptomatic and asymptomatic venous thromboembolism (VTE) at time of diagnosis of primary ovarian malignancy. The clinical records of 397 consecutive cases of primary ovarian malignancy were studied. Clinical, pathological and survival data were obtained. Of 397 cases, 19 (4.8%) were found to have VTE at diagnosis, of which 63.2% (n=12) were asymptomatic. VTE was significantly associated with reduced overall median survival (28 vs. 45 months, p=0.004). Decreased survival was associated with symptomatic VTE compared to patients with asymptomatic VTE (21 vs. 36 months, p=0.02) whose survival was similar to that of patients without VTE. Decreased survival remained significant in symptomatic patients after controlling for stage of disease at diagnosis, cytoreductive status and adjuvant chemotherapy use. Overall these data suggest for the first time that symptomatic but not asymptomatic VTE prior to primary treatment of ovarian cancer is an independent adverse prognostic factor. Copyright © 2015 Elsevier Ltd. All rights reserved.

  19. Survival time of the susceptible-infected-susceptible infection process on a graph

    NASA Astrophysics Data System (ADS)

    van de Bovenkamp, Ruud; Van Mieghem, Piet

    2015-09-01

    The survival time T is the longest time that a virus, a meme, or a failure can propagate in a network. Using the hitting time of the absorbing state in an uniformized embedded Markov chain of the continuous-time susceptible-infected-susceptible (SIS) Markov process, we derive an exact expression for the average survival time E [T ] of a virus in the complete graph KN and the star graph K1 ,N -1. By using the survival time, instead of the average fraction of infected nodes, we propose a new method to approximate the SIS epidemic threshold τc that, at least for KN and K1 ,N -1, correctly scales with the number of nodes N and that is superior to the epidemic threshold τc(1 )=1/λ1 of the N-intertwined mean-field approximation, where λ1 is the spectral radius of the adjacency matrix of the graph G . Although this new approximation of the epidemic threshold offers a more intuitive understanding of the SIS process, it remains difficult to compare outbreaks in different graph types. For example, the survival in an arbitrary graph seems upper bounded by the complete graph and lower bounded by the star graph as a function of the normalized effective infection rate τ/τc(1 ). However, when the average fraction of infected nodes is used as a basis for comparison, the virus will survive in the star graph longer than in any other graph, making the star graph the worst-case graph instead of the complete graph. Finally, in non-Markovian SIS, the distribution of the spreading attempts over the infectious period of a node influences the survival time, even if the expected number of spreading attempts during an infectious period (the non-Markovian equivalent of the effective infection rate) is kept constant. Both early and late infection attempts lead to shorter survival times. Interestingly, just as in Markovian SIS, the survival times appear to be exponentially distributed, regardless of the infection and curing time distributions.

  20. Survival time of the susceptible-infected-susceptible infection process on a graph.

    PubMed

    van de Bovenkamp, Ruud; Van Mieghem, Piet

    2015-09-01

    The survival time T is the longest time that a virus, a meme, or a failure can propagate in a network. Using the hitting time of the absorbing state in an uniformized embedded Markov chain of the continuous-time susceptible-infected-susceptible (SIS) Markov process, we derive an exact expression for the average survival time E[T] of a virus in the complete graph K_{N} and the star graph K_{1,N-1}. By using the survival time, instead of the average fraction of infected nodes, we propose a new method to approximate the SIS epidemic threshold τ_{c} that, at least for K_{N} and K_{1,N-1}, correctly scales with the number of nodes N and that is superior to the epidemic threshold τ_{c}^{(1)}=1/λ_{1} of the N-intertwined mean-field approximation, where λ_{1} is the spectral radius of the adjacency matrix of the graph G. Although this new approximation of the epidemic threshold offers a more intuitive understanding of the SIS process, it remains difficult to compare outbreaks in different graph types. For example, the survival in an arbitrary graph seems upper bounded by the complete graph and lower bounded by the star graph as a function of the normalized effective infection rate τ/τ_{c}^{(1)}. However, when the average fraction of infected nodes is used as a basis for comparison, the virus will survive in the star graph longer than in any other graph, making the star graph the worst-case graph instead of the complete graph. Finally, in non-Markovian SIS, the distribution of the spreading attempts over the infectious period of a node influences the survival time, even if the expected number of spreading attempts during an infectious period (the non-Markovian equivalent of the effective infection rate) is kept constant. Both early and late infection attempts lead to shorter survival times. Interestingly, just as in Markovian SIS, the survival times appear to be exponentially distributed, regardless of the infection and curing time distributions.

  1. Intraspecific variation in desiccation survival time of Aedes aegypti (L.) mosquito eggs of Australian origin.

    PubMed

    Faull, Katherine J; Williams, Craig R

    2015-12-01

    Aedes aegypti (L.) mosquitoes preferentially oviposit in natural and artificial receptacles where their eggs are able to withstand drying as water levels fluctuate. Desiccation-resistant eggs also increase the potential for establishment in non-native habitats while providing logistical impediments to control programs. Viability and mean survival times of eggs stored under three dryness conditions for up to 367 days were investigated among three field-derived colonies of Australian Ae. aegypti to understand variation in desiccation survival. Further investigations compared egg survival between an established colony and its wild counterpart. Our results confirmed that Ae. aegypti eggs can withstand desiccation for extended periods of time with approximately 2-15% egg viability recorded after one year and viability remaining above 88% under all conditions through 56 days. Intraspecific variations in egg survival times were recorded, suggesting local adaptation while each of the colonies demonstrated a consistent preference for higher humidity. Egg volume varied between the populations, suggesting a relationship between egg volume and survival time, with the marginally larger eggs (Charters Towers and Innisfail) having greater desiccation resistance over the range of conditions. The strong survivorship of Charters Towers eggs in dry, warm conditions demonstrates the adaptive significance of a desiccation-resistant egg.

  2. Decreased Cancer Survival in Individuals Separated at Time of Diagnosis: Critical Period for Cancer Pathophysiology?

    PubMed Central

    Sprehn, Gwen C.; Chambers, Joanna E.; Saykin, Andrew J.; Konski, Andre; Johnstone, Peter A. S.

    2009-01-01

    Background It long has been recognized that married patients have improved cancer survival when compared to unmarried patients. This has been postulated as being due to increased support, potentially leading to better compliance with therapy. Conversely, some data exist pointing to a relationship between marital discord and decreased immunity. We examined whether unmarried patients have a different prognosis by whether they are (a) never married; (b) divorced; (c) widowed; or (d) separated at time of diagnosis. Methods The public access data of the Surveillance, Epidemiology and End Results (SEER) registry were queried for cancer survival across all 17 registries between 1973 and 2004. Data were last updated by SEER in April, 2007. Records of 3.79 million patients were included in the analysis. We specifically analyzed 5- and 10-year relative survival (5yRS, 10yRS), defined as observed survival divided by observed survival of an age-, race- and gender-matched population without disease, for all cancer patients by marital status, with specific subset analyses as indicated. Results Among unmarried patients, those separated at time of diagnosis had the lowest survival, followed by widowed, divorced, and never married patients. 5- and 10-year relative survival of separated patients was 72% and 64% that of married patients, respectively. This relationship persists when data are analyzed by gender. Conclusions Separated marital status is associated with a significant decrement in cancer survival, even in comparison with other unmarried groups. While other socioeconomic variables could contribute to this phenomenon, further research into the immunologic correlates of the acutely stressful condition of marital separation should be conducted. PMID:19705348

  3. The survival time of chocolates on hospital wards: covert observational study.

    PubMed

    Gajendragadkar, Parag R; Moualed, Daniel J; Nicolson, Phillip L R; Adjei, Felicia D; Cakebread, Holly E; Duehmke, Rudolf M; Martin, Claire A

    2013-12-14

    To quantify the consumption of chocolates in a hospital ward environment. Multicentre, prospective, covert observational study. Four wards at three hospitals (where the authors worked) within the United Kingdom. Boxes of Quality Street (Nestlé) and Roses (Cadbury) on the ward and anyone eating these chocolates. Observers covertly placed two 350 g boxes of Quality Street and Roses chocolates on each ward (eight boxes were used in the study containing a total of 258 individual chocolates). These boxes were kept under continuous covert surveillance, with the time recorded when each chocolate was eaten. Median survival time of a chocolate. 191 out of 258 (74%) chocolates were observed being eaten. The mean total observation period was 254 minutes (95% confidence interval 179 to 329). The median survival time of a chocolate was 51 minutes (39 to 63). The model of chocolate consumption was non-linear, with an initial rapid rate of consumption that slowed with time. An exponential decay model best fitted these findings (model R(2)=0.844, P<0.001), with a survival half life (time taken for 50% of the chocolates to be eaten) of 99 minutes. The mean time taken to open a box of chocolates from first appearance on the ward was 12 minutes (95% confidence interval 0 to 24). Quality Street chocolates survived longer than Roses chocolates (hazard ratio for survival of Roses v Quality Street 0.70, 95% confidence interval 0.53 to 0.93, P=0.014). The highest percentages of chocolates were consumed by healthcare assistants (28%) and nurses (28%), followed by doctors (15%). From our observational study, chocolate survival in a hospital ward was relatively short, and was modelled well by an exponential decay model. Roses chocolates were preferentially consumed to Quality Street chocolates in a ward setting. Chocolates were consumed primarily by healthcare assistants and nurses, followed by doctors. Further practical studies are needed.

  4. The survival time of chocolates on hospital wards: covert observational study

    PubMed Central

    Moualed, Daniel J; Nicolson, Phillip L R; Adjei, Felicia D; Cakebread, Holly E; Duehmke, Rudolf M; Martin, Claire A

    2013-01-01

    Objective To quantify the consumption of chocolates in a hospital ward environment. Design Multicentre, prospective, covert observational study. Setting Four wards at three hospitals (where the authors worked) within the United Kingdom. Participants Boxes of Quality Street (Nestlé) and Roses (Cadbury) on the ward and anyone eating these chocolates. Intervention Observers covertly placed two 350 g boxes of Quality Street and Roses chocolates on each ward (eight boxes were used in the study containing a total of 258 individual chocolates). These boxes were kept under continuous covert surveillance, with the time recorded when each chocolate was eaten. Main outcome measure Median survival time of a chocolate. Results 191 out of 258 (74%) chocolates were observed being eaten. The mean total observation period was 254 minutes (95% confidence interval 179 to 329). The median survival time of a chocolate was 51 minutes (39 to 63). The model of chocolate consumption was non-linear, with an initial rapid rate of consumption that slowed with time. An exponential decay model best fitted these findings (model R2=0.844, P<0.001), with a survival half life (time taken for 50% of the chocolates to be eaten) of 99 minutes. The mean time taken to open a box of chocolates from first appearance on the ward was 12 minutes (95% confidence interval 0 to 24). Quality Street chocolates survived longer than Roses chocolates (hazard ratio for survival of Roses v Quality Street 0.70, 95% confidence interval 0.53 to 0.93, P=0.014). The highest percentages of chocolates were consumed by healthcare assistants (28%) and nurses (28%), followed by doctors (15%). Conclusions From our observational study, chocolate survival in a hospital ward was relatively short, and was modelled well by an exponential decay model. Roses chocolates were preferentially consumed to Quality Street chocolates in a ward setting. Chocolates were consumed primarily by healthcare assistants and nurses, followed by doctors

  5. Kernel Smoothed Profile Likelihood Estimation in the Accelerated Failure Time Frailty Model for Clustered Survival Data

    PubMed Central

    Liu, Bo; Lu, Wenbin; Zhang, Jiajia

    2013-01-01

    Summary Clustered survival data frequently arise in biomedical applications, where event times of interest are clustered into groups such as families. In this article we consider an accelerated failure time frailty model for clustered survival data and develop nonparametric maximum likelihood estimation for it via a kernel smoother aided EM algorithm. We show that the proposed estimator for the regression coefficients is consistent, asymptotically normal and semiparametric efficient when the kernel bandwidth is properly chosen. An EM-aided numerical differentiation method is derived for estimating its variance. Simulation studies evaluate the finite sample performance of the estimator, and it is applied to the Diabetic Retinopathy data set. PMID:24443587

  6. Graft pathology at the time of harvest: impact on long-term survival.

    PubMed

    Yuan, Shi-Min; Li, Yun; Ben, Yan Hong; Cheng, Xiao Feng; Li, Da Zhu; Li, De Min; Jing, Hua

    2014-01-01

    This study aims to present the graft pathology at the time of harvest and its impact on long-term survival. The remnants of the bypass grafts from 66 consecutive patients with coronary artery disease receiving a coronary artery bypass grafting were investigated pathologically, and pertinent predictive risk factors and survival were analyzed. Medial degenerative changes with or without intimal proliferation were present in 36.8%, 37.8% and 35.6% of left internal mammary artery (IMA), radial artery and saphenous vein grafts. There were 2 (3.0%) hospital deaths and 9 (14.1%) late deaths. Multinomial logistic regression revealed left IMA pathological changes, dyslipidemia, history of percutaneous transluminal coronary angioplasty/stent deployment and Y-graft were significant predictive risk factors negatively influencing the patients' long-term survival. Kaplan-Meier survival analysis revealed that the long-term survival of patients with left IMA pathological changes were significantly reduced compared with those without (74.1% vs. 91.4%, P=0.002); whereas no differences were noted in long-term survivals between patients with and without pathological changes of the radial arterial or saphenous vein grafts. Pathological changes may be seen in the bypass graft at the time of harvest. The subtle ultrastructural modifications and the expressions of vascular tone regulators might be responsible for late graft patency. The pathological changes of the left IMA at the time of harvest rather than those of the radial artery or saphenous vein graft affect significantly longterm survival. Non-traumatic maneuver of left IMA harvest, well-controlled dyslipidemia and avoidance of using composite grafts can be helpful in maintaining the architecture of the grafts.

  7. Graft pathology at the time of harvest: impact on long-term survival

    PubMed Central

    Yuan, Shi-Min; Li, Yun; Ben, Yan Hong; Cheng, Xiao Feng; Li, Da Zhu; Li, De Min; Jing, Hua

    2014-01-01

    Objective This study aims to present the graft pathology at the time of harvest and its impact on long-term survival. Methods The remnants of the bypass grafts from 66 consecutive patients with coronary artery disease receiving a coronary artery bypass grafting were investigated pathologically, and pertinent predictive risk factors and survival were analyzed. Results Medial degenerative changes with or without intimal proliferation were present in 36.8%, 37.8% and 35.6% of left internal mammary artery (IMA), radial artery and saphenous vein grafts. There were 2 (3.0%) hospital deaths and 9 (14.1%) late deaths. Multinomial logistic regression revealed left IMA pathological changes, dyslipidemia, history of percutaneous transluminal coronary angioplasty/stent deployment and Y-graft were significant predictive risk factors negatively influencing the patients’ long-term survival. Kaplan-Meier survival analysis revealed that the long-term survival of patients with left IMA pathological changes were significantly reduced compared with those without (74.1% vs. 91.4%, P=0.002); whereas no differences were noted in long-term survivals between patients with and without pathological changes of the radial arterial or saphenous vein grafts. Conclusion Pathological changes may be seen in the bypass graft at the time of harvest. The subtle ultrastructural modifications and the expressions of vascular tone regulators might be responsible for late graft patency. The pathological changes of the left IMA at the time of harvest rather than those of the radial artery or saphenous vein graft affect significantly longterm survival. Non-traumatic maneuver of left IMA harvest, well-controlled dyslipidemia and avoidance of using composite grafts can be helpful in maintaining the architecture of the grafts. PMID:25714207

  8. Effect of spaying and timing of spaying on survival of dogs with mammary carcinoma.

    PubMed

    Sorenmo, K U; Shofer, F S; Goldschmidt, M H

    2000-01-01

    The risk of developing mammary gland tumors in dogs is significantly decreased by ovariohysterectomy at an early age. However, previous studies have not found a benefit to ovariohysterectomy concurrent with tumor removal in dogs with established mammary gland tumors, suggesting that the progression of these tumors is independent of continued estrogen stimulation. The purpose of this study was to evaluate the effect of spaying and of the timing of spaying on survival in dogs with mammary gland carcinoma. Signalment, spay status and spay age, tumor characteristics, treatment. survival, and cause of death of 137 dogs with mammary gland carcinoma were analyzed. The dogs were classified into 3 groups according to spay status and spay time: intact dogs, dogs spayed less than 2 years before tumor surgery (SPAY 1), and dogs spayed more than 2 years before their tumor surgery (SPAY 2). Dogs in the SPAY 1 group lived significantly longer than dogs in SPAY 2 and intact dogs (median survival of 755 days, versus 301 and 286 days, respectively, P = .02 and .03). After adjusting for differences between the spay groups with regard to age, histologic differentiation, and vascular invasion, SPAY 1 dogs survived 45% longer compared to dogs that were either intact or in the SPAY 2 group (RR = .55; 95% CI .32-.93; P = .03). This study reveals ovariohysterectomy to be an effective adjunct to tumor removal in dogs with mammary gland carcinoma and that the timing of ovariohysterectomy is important in influencing survival.

  9. Assessing time-by-covariate interactions in relative survival models using restrictive cubic spline functions.

    PubMed

    Bolard, P; Quantin, C; Abrahamowicz, M; Esteve, J; Giorgi, R; Chadha-Boreham, H; Binquet, C; Faivre, J

    2002-01-01

    The Cox model is widely used in the evaluation of prognostic factors in clinical research. However, in population-based studies, which assess long-term survival of unselected populations, relative-survival models are often considered more appropriate. In both approaches, the validity of proportional hazards hypothesis should be evaluated. We propose a new method in which restricted cubic spline functions are employed to model time-by-covariate interactions in relative survival analyses. The method allows investigation of the shape of possible dependence of the covariate effect on time without having to specify a particular functional form. Restricted cubic spline functions allow graphing of such time-by-covariate interactions, to test formally the proportional hazards assumption, and also to test the linearity of the time-by-covariate interaction. Application of our new method to assess mortality in colon cancer provides strong evidence against the proportional hazards hypothesis, which is rejected for all prognostic factors. The results corroborate previous analyses of similar data-sets, suggesting the importance of both modelling of non-proportional hazards and relative survival approach. We also demonstrate the advantages of using restricted cubic spline functions for modelling non-proportional hazards in relative-survival analysis. The results provide new insights in the estimated impact of older age and of period of diagnosis. Using restricted cubic splines in a relative survival model allows the representation of both simple and complex patterns of changes in relative risks over time, with a single parsimonious model without a priori assumptions about the functional form of these changes.

  10. Examining the Influence of Campus Climate on Students' Time to Degree: A Multilevel Discrete-Time Survival Analysis

    ERIC Educational Resources Information Center

    Zhou, Ji; Castellanos, Michelle

    2013-01-01

    Utilizing longitudinal data of 3477 students from 28 institutions, we examine the effects of structural diversity and quality of interracial relation on students' persistence towards graduation within six years. We utilize multilevel discrete-time survival analysis to account for the longitudinal persistence patterns as well as the nested…

  11. Fracture toughness of materials

    SciTech Connect

    Burns, S.J.

    1988-01-01

    Crack tip dislocation emission in bulk specimens have been measured in single crystal specimens and the measurements are well below the accepted theoretical values for dislocation emission. The image forces on a dislocation due to the presence of a semi-infinite crack are used to calculate the potential energy of the dislocation around the crack. Expressions for the radial and tangential forces and for slip and climb forces have been found. Crack tip deformation in Mode I and Mode II fractures on both {l brace}100{r brace} and {l brace}110{r brace} planes have been observed in crystals of LiF. The deformation is shown to nearly completely shield {l brace}110{r brace} plane cracks and prevent their propagation while deformation is less effective in shielding {l brace}100{r brace} plane cracks. The fracture toughness of MgO-partially-stabilized ZrO{sub 2} exhibiting transformation toughening been measured. The equations of linear elastic fracture mechanics have been self-consistantly formulated to include the residual displacement from the transformation wake. MgO single crystals were fatigued in plastic strain control at elevated temperatures. At high temperatures, dense bundles of dislocations were observed in transmission electron microscopy aligned perpendicular to the Burgers' vector directions. The thermodynamics of a superconducting second order phase transformation has been related to jumps in physical properties. A simple energy balance, without assuming an equation of state, is used to relate the rate of change of state variables to measurable physical properties. There are no preconceived assumptions about the superconducting mechanism.

  12. Survival and relaxation time, pore size distribution moments, and viscous permeability in random unidirectional fiber structures

    NASA Astrophysics Data System (ADS)

    Tomadakis, Manolis M.; Robertson, Teri J.

    2005-03-01

    Computer simulation results are presented for the mean survival time, principal relaxation time, mean pore size, and mean square pore size, for random porous structures consisting of parallel nonoverlapping or partially overlapping fibers. The numerical procedure is based on a discrete step-by-step random walk mechanism simulating the Brownian diffusion trajectories of molecules in the porous media. Numerical results on the viscous permeability of these structures are computed with a method based on electrical conduction principles and compared to a variational bound derived from the mean survival time. The results show that nonoverlapping fiber structures exhibit lower values of the dimensionless mean survival time, principal relaxation time, mean pore size, and mean square pore size than randomly overlapping fiber structures of the same porosity, while partially overlapping fiber structures show behavior intermediate to those of the two extreme cases. The mean square pore size (second moment of the pore size distribution) is found to be a very good predictor of the mean survival time for non-, partially, and randomly overlapping fiber structures. Dimensionless groups representing the deviation of variational bounds from our simulation results vary in practically the same range as the corresponding values reported earlier for beds of spherical particles. A universal scaling expression of the literature relating the mean survival time to structural properties [S. Torquato and C. L. Y. Yeong, J. Chem. Phys. 106, 8814 (1997)] agrees very well with our results for all examined fiber structures, thus validated for the first time for porous media formed by partially overlapping particles. The permeability behavior of partially overlapping fiber structures resembles that of nonoverlapping fiber structures for flow parallel to the fibers, but not for transverse flow, where percolation phenomena prevail. The permeability results for beds of unidirectional partially

  13. Survival and relaxation time, pore size distribution moments, and viscous permeability in random unidirectional fiber structures.

    PubMed

    Tomadakis, Manolis M; Robertson, Teri J

    2005-03-01

    Computer simulation results are presented for the mean survival time, principal relaxation time, mean pore size, and mean square pore size, for random porous structures consisting of parallel nonoverlapping or partially overlapping fibers. The numerical procedure is based on a discrete step-by-step random walk mechanism simulating the Brownian diffusion trajectories of molecules in the porous media. Numerical results on the viscous permeability of these structures are computed with a method based on electrical conduction principles and compared to a variational bound derived from the mean survival time. The results show that nonoverlapping fiber structures exhibit lower values of the dimensionless mean survival time, principal relaxation time, mean pore size, and mean square pore size than randomly overlapping fiber structures of the same porosity, while partially overlapping fiber structures show behavior intermediate to those of the two extreme cases. The mean square pore size (second moment of the pore size distribution) is found to be a very good predictor of the mean survival time for non-, partially, and randomly overlapping fiber structures. Dimensionless groups representing the deviation of variational bounds from our simulation results vary in practically the same range as the corresponding values reported earlier for beds of spherical particles. A universal scaling expression of the literature relating the mean survival time to structural properties [S. Torquato and C. L. Y. Yeong, J. Chem. Phys. 106, 8814 (1997)] agrees very well with our results for all examined fiber structures, thus validated for the first time for porous media formed by partially overlapping particles. The permeability behavior of partially overlapping fiber structures resembles that of nonoverlapping fiber structures for flow parallel to the fibers, but not for transverse flow, where percolation phenomena prevail. The permeability results for beds of unidirectional partially

  14. Childhood cancer survival in Switzerland (1976-2013): Time-trends and predictors.

    PubMed

    Schindler, Matthias; Belle, Fabiën N; Grotzer, Michael A; von der Weid, Nicolas X; Kuehni, Claudia E

    2017-01-01

    Population-based studies on childhood cancer survival are key to monitor progress against cancer and to detect potential differences between regions and other subgroups in the population. We investigated time trends and factors associated with childhood cancer survival on a national level in Switzerland, from 1976 to 2013. We extracted data from the population-based Swiss Childhood Cancer Registry of 5,776 children (age 0-14 years) diagnosed with cancer from 1985 to 2014 in Switzerland. We calculated age-adjusted 5-year survival, defined the annual reduction in risk of death (ARR), and explored associations of survival with clinical and demographic factors. Overall, 5-year survival improved significantly, from 64% in 1976-1983 to 88% in 2004-2013. ARR over the whole period was 4% for all diagnostic groups, greatest for Hodgkin lymphomas (8%), ependymomas (6%), Burkitt's lymphomas (6%) and germ cell tumours (6%). Children treated in hospitals without specialised paediatric cancer centre for leukaemia (HR 12.9), lymphoma (HR 5.0) and neuroblastoma (HR 3.7) were at higher risk of death. In French-speaking Switzerland, risk of death was lower for lymphoma (HR 0.6), CNS tumours (HR 0.7) and neuroblastoma (HR 0.5). Children with migration background had a higher risk of death from all tumours except bone tumours. Childhood cancer survival significantly improved from 1976 to 2013, but there is room for further improvement. Survival rates varied by type of clinical treatment, language region and nationality. All paediatric cancer patients should be referred to a specialised paediatric cancer centre. Further research is needed to intervene and completely eliminate inequalities in survival. © 2016 UICC.

  15. Survival time of endodontically treated teeth: a 7-year retrospective clinical study

    NASA Astrophysics Data System (ADS)

    Baldea, Bogdan; Canjau, Silvana; Popescu, Dragos; Tudor, Anca; Todea, Carmen

    2014-01-01

    The aim of this retrospective clinical study was to examine the survival time of endodontically treated teeth (ETT) and the factors that may influence the failure risk, over a period of up to 7 years. The files of 67 patients that received metal free post and core restorations using a standardized technique were analyzed. The survival probability was assessed using Kaplan-Meyer analysis and Log Rank (Matel-Cox). Cox regression was used to assess the risk of failure and to identify possible covariates. The average survival time of the ETT was 6.6 Years. The cumulative failure rate was 5.82% for all type of the restored endodontically treated teeth. The main failure type was encountered in the cervical area of the teeth, and due to the extensive hard tissue loss, the teeth were extracted.

  16. An approach to the drone fleet survivability assessment based on a stochastic continues-time model

    NASA Astrophysics Data System (ADS)

    Kharchenko, Vyacheslav; Fesenko, Herman; Doukas, Nikos

    2017-09-01

    An approach and the algorithm to the drone fleet survivability assessment based on a stochastic continues-time model are proposed. The input data are the number of the drones, the drone fleet redundancy coefficient, the drone stability and restoration rate, the limit deviation from the norms of the drone fleet recovery, the drone fleet operational availability coefficient, the probability of the drone failure-free operation, time needed for performing the required tasks by the drone fleet. The ways for improving the recoverable drone fleet survivability taking into account amazing factors of system accident are suggested. Dependencies of the drone fleet survivability rate both on the drone stability and the number of the drones are analysed.

  17. Measurement of Survival Time in Brachionus Rotifers: Synchronization of Maternal Conditions.

    PubMed

    Kaneko, Gen; Yoshinaga, Tatsuki; Gribble, Kristin E; Welch, David M; Ushio, Hideki

    2016-07-22

    Rotifers are microscopic cosmopolitan zooplankton used as models in ecotoxicological and aging studies due to their several advantages such as short lifespan, ease of culture, and parthenogenesis that enables clonal culture. However, caution is required when measuring their survival time as it is affected by maternal age and maternal feeding conditions. Here we provide a protocol for powerful and reproducible measurement of the survival time in Brachionus rotifers following a careful synchronization of culture conditions over several generations. Empirically, poor synchronization results in early mortality and a gradual decrease in survival rate, thus resulting in weak statistical power. Indeed, under such conditions, calorie restriction (CR) failed to significantly extend the lifespan of B. plicatilis although CR-induced longevity has been demonstrated with well-synchronized rotifer samples in past and present studies. This protocol is probably useful for other invertebrate models, including the fruitfly Drosophila melanogaster and the nematode Caenorhabditis elegans, because maternal age effects have also been reported in these species.

  18. [Blood destruction in pulmonary alveoli: signs of vitality and determination of survival time].

    PubMed

    Oehmichen, M

    1984-01-01

    Lungs from 26 cases were examined in which blood was present as a result of a gunshot wound, a stab wound, or aspiration. Signs of vitality and of a time-dependent reaction sequence were evaluated to determine survival time. Only those morphologic criteria were considered that could be obtained on paraffin sections. In addition to H & E staining, siderin was identified with the Prussian blue reaction and the activities were determined of tartrate-resistant acid phosphatase, as macrophage marker, and naphthol AS-D chloracetate esterase, as granulocyte marker. The following criteria were evaluated: granulocyte emigration, erythrocyte adherence to the surface of macrophages, macrophage ingestion of erythrocytes, and determination of siderin as indicator of intracellular erythrocyte digestion. Adherence was also observed in those cases that did not survive. The initial sign of vitality was granulocyte emigration, which was observed for the first time after a survival time of 5 min. Erythrophages were found after a survival time of 30 min at least, siderophages after 17 h at the earliest. Literature dealing with vitality and age determination, as well as the pathogenesis of the reaction sequence, is discussed.

  19. Developing Mental Toughness: Lessons from Paralympians.

    PubMed

    Powell, Alexander J; Myers, Tony D

    2017-01-01

    Mental toughness (MT) is a key psychological variable related to perseverance and success in performance domains. MT and its development has been explored across a range of contexts and across different sports, but no research to date has examined MT in relation to Paralympic athletes. We sought to understand the lived-experiences of mentally tough Paralympians, aiming to conceptualize MT in a Paralympic context and investigate its development. Ten Paralympic athletes were interviewed using in-depth, semi-structured interviews. The verbatim transcripts of the interviews served as the data for an interpretative phenomenological analysis. Three broad themes and several subthemes emerged in conceptualizing Paralympian MT: characteristics (determination, defiance, pragmatic, optimistic, resilient, self-belief and independence and autonomy), cognitions (normalization, sense of escape, non-acceptance of constraints, influence perception and connection) and cognitive strategies (rational thinking, goal setting, pain management and control). In understanding MT development, two broad themes and several subthemes emerged: formative experiences (challenge, classification, setbacks, critical incident, trauma and recovery, sustained commitment, development of mind-set and perspective during challenge, failure, and acceptance), and support and coping resources (social support and significant others, external shaping, social support, overcoming problems, social comparison and reflective practice). The findings suggest that Paralympians benefited from exposure to highly demanding situations in a supportive environment and this helped develop mentally tough characteristics and behaviors and individualized cognitive coping strategies. Our findings highlight the association between the adaptive development of personal characteristics by overcoming physical and mental setbacks over a sustained time period. Overall, the findings suggest that to develop mentally tough characteristics

  20. Developing Mental Toughness: Lessons from Paralympians

    PubMed Central

    Powell, Alexander J.; Myers, Tony D.

    2017-01-01

    Mental toughness (MT) is a key psychological variable related to perseverance and success in performance domains. MT and its development has been explored across a range of contexts and across different sports, but no research to date has examined MT in relation to Paralympic athletes. We sought to understand the lived-experiences of mentally tough Paralympians, aiming to conceptualize MT in a Paralympic context and investigate its development. Ten Paralympic athletes were interviewed using in-depth, semi-structured interviews. The verbatim transcripts of the interviews served as the data for an interpretative phenomenological analysis. Three broad themes and several subthemes emerged in conceptualizing Paralympian MT: characteristics (determination, defiance, pragmatic, optimistic, resilient, self-belief and independence and autonomy), cognitions (normalization, sense of escape, non-acceptance of constraints, influence perception and connection) and cognitive strategies (rational thinking, goal setting, pain management and control). In understanding MT development, two broad themes and several subthemes emerged: formative experiences (challenge, classification, setbacks, critical incident, trauma and recovery, sustained commitment, development of mind-set and perspective during challenge, failure, and acceptance), and support and coping resources (social support and significant others, external shaping, social support, overcoming problems, social comparison and reflective practice). The findings suggest that Paralympians benefited from exposure to highly demanding situations in a supportive environment and this helped develop mentally tough characteristics and behaviors and individualized cognitive coping strategies. Our findings highlight the association between the adaptive development of personal characteristics by overcoming physical and mental setbacks over a sustained time period. Overall, the findings suggest that to develop mentally tough characteristics

  1. Time-course regulation of survival pathways by epicatechin on HepG2 cells.

    PubMed

    Granado-Serrano, Ana Belén; Angeles Martín, María; Goya, Luis; Bravo, Laura; Ramos, Sonia

    2009-02-01

    Polyphenols, such as epicatechin, have been reported to exhibit a wide range of biological activities. The objective of the present study was to investigate the time-dependent regulation by epicatechin of survival/proliferation pathways in HepG2 cells. Treatment of HepG2 cells with 10 micromol/L epicatechin did not result in any cell damage up to 18 h, as evaluated by the lactate dehydrogenase assay. Moreover, the enhanced cell death evoked by an oxidative stress induced with tert-butyl hydroperoxide was prevented in the cells pretreated 4 or 18 h with epicatechin. Epicatechin-induced survival was a rapid event that was accompanied by early and sustained activation of major survival signaling proteins, such as AKT/phosphatidylinositol 3-kinase and extracellular-regulated kinase (activated from 5 min to 18 h), as well as protein kinase C (PKC)-alpha (30 min to 18 h), in concert with unaltered c-jun N-amino terminal kinase levels and early inactivation of key death-related signals like PKC-delta (5 min to 18 h). Additionally, reactive oxygen species generation was transiently reduced when cells were treated with 10 micromol/L epicatechin (15-240 min). These data suggest that epicatechin induces cellular survival through a tight regulation of survival/proliferation pathways that requires the integration of different signals and persists over time, the ultimate effect on HepG2 cells being regulated by the balance among these signals.

  2. Tough Blends of Polylactide and Castor Oil

    SciTech Connect

    Robertson, Megan L.; Paxton, Jessica M.; Hillmyer, Marc A.

    2012-10-10

    Poly(l-lactide) (PLLA) is a renewable resource polymer derived from plant sugars with several commercial applications. Broader implementation of the material is limited due to its inherent brittleness. We show that the addition of 5 wt % castor oil to PLLA significantly enhances the overall tensile toughness with minimal reductions in the modulus and no plasticization of the PLLA matrix. In addition, we used poly(ricinoleic acid)-PLLA diblock copolymers, synthesized entirely from renewable resources, as compatibilizers for the PLLA/castor oil blends. Ricinoleic acid, the majority fatty acid comprising castor oil, was polymerized through a lipase-catalyzed condensation reaction. The resulting polymers contained a hydroxyl end-group that was subsequently used to initiate the ring-opening polymerization of L-lactide. The binary PLLA/castor oil blend exhibited a tensile toughness seven times greater than neat PLLA. The addition of block copolymer allowed for control over the morphology of the blends, and even further improvement in the tensile toughness was realized - an order of magnitude larger than that of neat PLLA.

  3. Tough blends of polylactide and castor oil.

    PubMed

    Robertson, Megan L; Paxton, Jessica M; Hillmyer, Marc A

    2011-09-01

    Poly(l-lactide) (PLLA) is a renewable resource polymer derived from plant sugars with several commercial applications. Broader implementation of the material is limited due to its inherent brittleness. We show that the addition of 5 wt % castor oil to PLLA significantly enhances the overall tensile toughness with minimal reductions in the modulus and no plasticization of the PLLA matrix. In addition, we used poly(ricinoleic acid)-PLLA diblock copolymers, synthesized entirely from renewable resources, as compatibilizers for the PLLA/castor oil blends. Ricinoleic acid, the majority fatty acid comprising castor oil, was polymerized through a lipase-catalyzed condensation reaction. The resulting polymers contained a hydroxyl end-group that was subsequently used to initiate the ring-opening polymerization of l-lactide. The binary PLLA/castor oil blend exhibited a tensile toughness seven times greater than neat PLLA. The addition of block copolymer allowed for control over the morphology of the blends, and even further improvement in the tensile toughness was realized-an order of magnitude larger than that of neat PLLA.

  4. Fracture toughness design in horse hoof keratin.

    PubMed

    Bertram, J E; Gosline, J M

    1986-09-01

    An engineering fracture mechanics approach was applied to the analysis of the fracture resistance of equine hoof-wall. The relationship between fracture toughness and the morphological organization of the keratin hoof tissue was investigated. Fracture toughness was evaluated using the J-integral analysis method which employs the compact tension test geometry. Tensile tests were also conducted to evaluate the effect of the morphological organization on the stress-strain behaviour. Hoof-wall has greatest fracture resistance for cracks running proximally, parallel to the tubular component of the wall keratin. For fully hydrated material tested in this direction the mean critical J-integral value at failure was 1.19 X 10(4)J m-2. This was nearly three times greater than the value determined for the weakest orientation, in which the crack ran parallel to the material between the tubules. The lower fracture toughness of the intertubular material dominates the fracture behaviour of this tissue. The tubular components of the wall appear to reinforce against fracture along the weak plane and the entire wall organization provides the mechanical capability for limiting and controlling fracture in this tissue.

  5. Recidivism and Survival Time: Racial Disparity among Jail Ex-Inmates

    ERIC Educational Resources Information Center

    Jung, Hyunzee; Spjeldnes, Solveig; Yamatani, Hide

    2010-01-01

    Incarcerated men, most of whom are recidivists, are disproportionately black. Much literature about prison ex-inmates reports on this disparity, yet little is known about racial disparity in recidivism rates among jail ex-inmates. This study examined recidivism rates and survival time (period from release date to rearrest) among male ex-inmates…

  6. Effects of hyperbaric oxygenation on survival time of aluminum phosphide intoxicated rats

    PubMed Central

    Saidi, Hossein; Shokraneh, Farhad; Ghafouri, Hamed-Basir; Shojaie, Shayan

    2011-01-01

    BACKGROUND: Aluminium phosphide (AlP) is used as a fumigant. It produces phosphine gas which is a mitochondrial poison. Although this poisoning has been repeatedly reported in literature with a high mortality rate, there is no known antidote for AlP intoxication. In the present study, we studied the effects of hyperbaric oxygenation (HBO) on the survival time of AlP intoxicated rats. METHODS: Intoxicated rats with AlP (11.5 mg/kg, oral gavage) were placed in hyperbaric oxygenation with different concentrations of compressed air and oxygen. RESULTS: All the animals exposed to AlP died within 5 days. The mean survival times of rats exposed to AlP without any intervention, treated with hyperbaric condition by compressed air, and treated with hyperbaric condition by pure O2 were 91 ± 1, 262 ± 8, and 276 ± 6 minutes, respectively. In analysis of survival times, there was a significant difference between Group 2 which received AlP and the groups which underwent intervention (Groups 2 and 3, p < 0.001; Groups 2 and 4, p < 0.001). CONCLUSIONS: Hyperbaric oxygenation may probably improve the survival time of the intoxicated rats with aluminium phosphide, but it may not decrease the mortality rate. PMID:22973324

  7. It's Deja Vu All over Again: Using Multiple-Spell Discrete-Time Survival Analysis.

    ERIC Educational Resources Information Center

    Willett, John B.; Singer, Judith D.

    1995-01-01

    The multiple-spell discrete-time survival analysis method is introduced and illustrated using longitudinal data on exit from and reentry into the teaching profession. The method is applicable to many educational problems involving the sequential occurrence of disparate events or episodes. (SLD)

  8. Parental Monitoring during Early Adolescence Deters Adolescent Sexual Initiation: Discrete-Time Survival Mixture Analysis

    ERIC Educational Resources Information Center

    Huang, David Y. C.; Murphy, Debra A.; Hser, Yih-Ing

    2011-01-01

    We used discrete-time survival mixture modeling to examine 5,305 adolescents from the 1997 National Longitudinal Survey of Youth regarding the impact of parental monitoring during early adolescence (ages 14-16) on initiation of sexual intercourse and problem behavior engagement (ages 14-23). Four distinctive parental-monitoring groups were…

  9. Survival trees for left-truncated and right-censored data, with application to time-varying covariate data.

    PubMed

    Fu, Wei; Simonoff, Jeffrey S

    2016-12-26

    SUMMARYTree methods (recursive partitioning) are a popular class of nonparametric methods for analyzing data. One extension of the basic tree methodology is the survival tree, which applies recursive partitioning to censored survival data. There are several existing survival tree methods in the literature, which are mainly designed for right-censored data. We propose two new survival trees for left-truncated and right-censored (LTRC) data, which can be seen as a generalization of the traditional survival tree for right-censored data. Further, we show that such trees can be used to analyze survival data with time-varying covariates, essentially building a time-varying covariates survival tree. Implementation of the methods is easy, and simulations and real data analysis results show that the proposed methods work well for LTRC data and survival data with time-varying covariates, respectively.

  10. Anomalous scaling law of strength and toughness of cellulose nanopaper

    PubMed Central

    Zhu, Hongli; Zhu, Shuze; Jia, Zheng; Parvinian, Sepideh; Li, Yuanyuan; Vaaland, Oeyvind; Hu, Liangbing; Li, Teng

    2015-01-01

    The quest for both strength and toughness is perpetual in advanced material design; unfortunately, these two mechanical properties are generally mutually exclusive. So far there exists only limited success of attaining both strength and toughness, which often needs material-specific, complicated, or expensive synthesis processes and thus can hardly be applicable to other materials. A general mechanism to address the conflict between strength and toughness still remains elusive. Here we report a first-of-its-kind study of the dependence of strength and toughness of cellulose nanopaper on the size of the constituent cellulose fibers. Surprisingly, we find that both the strength and toughness of cellulose nanopaper increase simultaneously (40 and 130 times, respectively) as the size of the constituent cellulose fibers decreases (from a mean diameter of 27 μm to 11 nm), revealing an anomalous but highly desirable scaling law of the mechanical properties of cellulose nanopaper: the smaller, the stronger and the tougher. Further fundamental mechanistic studies reveal that reduced intrinsic defect size and facile (re)formation of strong hydrogen bonding among cellulose molecular chains is the underlying key to this new scaling law of mechanical properties. These mechanistic findings are generally applicable to other material building blocks, and therefore open up abundant opportunities to use the fundamental bottom-up strategy to design a new class of functional materials that are both strong and tough. PMID:26150482

  11. Evaluation of the Time-Varying Effect of Prognostic Factors on Survival in Ovarian Cancer.

    PubMed

    Chang, Chung; Chiang, An Jen; Wang, Hui-Ching; Chen, Wei-An; Chen, Jiabin

    2015-11-01

    To explore the risk factors in ovarian cancer with respects of time-varying effects on recurrence and survival. Two hundred and ninety-eight patients with epithelial ovarian cancer in the Kaohsiung Veterans' General Hospital from January 1995 to the end of 2011 were included in the study. The assumption of the Cox proportional hazard model, i.e., the hazard ratio is a constant with time, was tested for available prognostic factors. An extended Cox model was then applied, and a statistical package was constructed to perform multivariate analysis in presence of both time-varying and time-independent factors. Most prognostic factors met the assumption of the Cox proportional hazard model (p > 0.05) except for cancer-associated antigen (CA) 125 nadir concentration during first-line chemotherapy (p = 0.02). Multivariate analysis, where CA125 nadir was allowed to change with time while other factors remained constant, showed that International Federation of Gynecology and Obstetrics (FIGO) stage, residual tumor, CA125 nadir, and age were independent risk factors for recurrence and death. The effect of CA125 nadir on recurrence and overall survival is not constant over time. It loses predictivity on recurrence and survival after 4.5 years. Awareness of the time-varying effects of the prognostic factors is beneficial to gynecologists in patient consultation and case evaluation.

  12. A multivariate model for the meta-analysis of study level survival data at multiple times.

    PubMed

    Jackson, Dan; Rollins, Katie; Coughlin, Patrick

    2014-09-01

    Motivated by our meta-analytic dataset involving survival rates after treatment for critical leg ischemia, we develop and apply a new multivariate model for the meta-analysis of study level survival data at multiple times. Our data set involves 50 studies that provide mortality rates at up to seven time points, which we model simultaneously, and we compare the results to those obtained from standard methodologies. Our method uses exact binomial within-study distributions and enforces the constraints that both the study specific and the overall mortality rates must not decrease over time. We directly model the probabilities of mortality at each time point, which are the quantities of primary clinical interest. We also present I(2) statistics that quantify the impact of the between-study heterogeneity, which is very considerable in our data set.

  13. The L(1/2) regularization approach for survival analysis in the accelerated failure time model.

    PubMed

    Chai, Hua; Liang, Yong; Liu, Xiao-Ying

    2015-09-01

    The analysis of high-dimensional and low-sample size microarray data for survival analysis of cancer patients is an important problem. It is a huge challenge to select the significantly relevant bio-marks from microarray gene expression datasets, in which the number of genes is far more than the size of samples. In this article, we develop a robust prediction approach for survival time of patient by a L(1/2) regularization estimator with the accelerated failure time (AFT) model. The L(1/2) regularization could be seen as a typical delegate of L(q)(0survival analysis by the L(1/2) regularized AFT model compared with other L1 type regularization methods. The proposed procedures are applied to five real DNA microarray datasets to efficiently predict the survival time of patient based on a set of clinical prognostic factors and gene signatures. Copyright © 2014 Elsevier Ltd. All rights reserved.

  14. Mental toughness: progress and prospects.

    PubMed

    Gucciardi, Daniel F

    2017-08-01

    Mental toughness (MT) has become a popular area of investigation and practice within sport and exercise psychology over the past two decades. Since the turn of the twenty first century, there have been hundreds of studies published on mental toughness, yet concerns remain about the conceptualisation and measurement of mental toughness. In this paper, I take stock of past work with the goal of clarifying and elaborating the most fundamental and common aspects of MT. I also look to the future and outline key substantive and methodological issues that may offer the greatest potential for refining the conceptualisation of MT and contributing to theory building on this concept. My hope is that this information will provide a platform from which to foster coherent and systematic scholarly work on MT. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. Functional Status, Time to Transplantation, and Survival Benefit of Kidney Transplantation Among Wait-Listed Candidates

    PubMed Central

    Reese, Peter P.; Shults, Justine; Bloom, Roy D.; Mussell, Adam; Harhay, Meera N.; Abt, Peter; Levine, Matthew; Johansen, Kirsten L.; Karlawish, Jason T.; Feldman, Harold I.

    2015-01-01

    Background In the context of an aging end-stage renal disease population with multiple comorbidities, transplantation professionals face challenges in evaluating the global health of patients awaiting kidney transplantation. Functional status might be useful for identifying which patients will derive a survival benefit from transplantation versus dialysis. Study Design Retrospective cohort study of wait-listed patients using data on functional status from a national dialysis provider linked to United Network for Organ Sharing registry data. Setting & Participants Adult kidney transplant candidates added to the waiting list between the years 2000 and 2006. Predictor Physical function scale of the Medical Outcomes Study 36-Item Short Form Healthy Survey, analyzed as a time-varying covariate. Outcomes Kidney transplantation; Survival benefit of transplantation versus remaining wait-listed. Measurements We used multivariable Cox regression to assess the association between physical function with study outcomes. In survival benefit analyses, transplant status was modeled as a time-varying covariate. Results The cohort comprised 19,242 kidney transplant candidates (median age, 51 years; 36% black race) receiving maintenance dialysis. Candidates in the lowest baseline physical function quartile were more likely to be inactivated (adjusted HR vs. highest quartile, 1.30; 95% CI, 1.21-1.39) and less likely to undergo transplantation (adjusted HR vs. highest quartile, 0.64; 95% CI, 0.61-0.68). After transplantation, worse physical function was associated with shorter 3-year survival (84% vs. 92% for the lowest vs. highest function quartiles). However, compared to dialysis, transplantation was associated with a statistically significant survival benefit by 9 months for patients in every function quartile. Limitations Functional status is self-reported. Conclusions Even patients with low function appear to live longer with kidney transplantation versus dialysis. For waitlisted

  16. Fracture toughness curve shift method

    SciTech Connect

    Nanstad, R.K.; Sokolov, M.A.; McCabe, D.E.

    1995-10-01

    The purpose of this task is to examine the technical basis for the currently accepted methods for shifting fracture toughness curves to account for irradiation damage, and to work through national codes and standards bodies to revise those methods, if a change is warranted. During this reporting period, data from all the relevant HSSI Programs were acquired and stored in a database and evaluated. The results from that evaluation have been prepared in a draft letter report and are summarized here. A method employing Weibull statistics was applied to analyze fracture toughness properties of unirradiated and irradiated pressure vessel steels. Application of the concept of a master curve for irradiated materials was examined and used to measure shifts of fracture toughness transition curves. It was shown that the maximum likelihood approach gave good estimations of the reference temperature, T{sub o}, determined by rank method and could be used for analyzing of data sets where application of the rank method did not prove to be feasible. It was shown that, on average, the fracture toughness shifts generally exceeded the Charpy 41-J shifts; a linear least-squares fit to the data set yielded a slope of 1.15. The observed dissimilarity was analyzed by taking into account differences in effects of irradiation on Charpy impact and fracture toughness properties. Based on these comparisons, a procedure to adjust Charpy 41-J shifts for achieving a more reliable correlation with the fracture toughness shifts was evaluated. An adjustment consists of multiplying the 41-J energy level by the ratio of unirradiated to irradiated Charpy upper shelves to determine an irradiated transition temperature, and then subtracting the unirradiated transition temperature determined at 41 J. For LUS welds, however, an unirradiated level of 20 J (15 ft-1b) was used for the corresponding adjustment for irradiated material.

  17. Analysis of Crack Arrest Toughness.

    DTIC Science & Technology

    1988-01-15

    vload(m) vp tn(m) Vertical Source Load (kN) on wedge HY80 Finite Element 0.0122 0.0099 3.81x10 -4 144 Steel Calculations Experiment 0.0122 --- 3.74x10-4...curve, are bona fide measures of the fracture arrest capability of tough ductile steels . The second is that the J-values represent the crack driving...fibrous mode of crack extension. (b) A new test method for studying fast fracture and arrest in tough steels . (c) Measurements of fast fracture and crack

  18. Ferrofluid flow for TOUGH2

    SciTech Connect

    Oldenburg, Curtis; Moridis, George

    1998-03-24

    We have developed EOS7M, a ferrofluid flow and transport module for TOUGH2. EOS7M calculates the magnetic forces on ferrofluid caused by an external magnetic field and allows simulation of flow and advective transport of ferrofluid-water mixtures through porous media. Such flow problems are strongly coupled and well suited to the TOUGH2 framework. Preliminary applications of EOS7M to some simple pressure and flow problems for which experiments were carried out in the lab show good qualitative agreement with the laboratory results.

  19. Sampling-time effects for persistence and survival in step structural fluctuations.

    PubMed

    Dougherty, D B; Tao, C; Bondarchuk, O; Cullen, W G; Williams, E D; Constantin, M; Dasgupta, C; Das Sarma, S

    2005-02-01

    The effects of sampling rate and total measurement time have been determined for single-point measurements of step fluctuations within the context of first-passage properties. Time dependent scanning tunneling microscopy has been used to evaluate step fluctuations on Ag(111) films grown on mica as a function of temperature (300-410 K) , on screw dislocations on the facets of Pb crystallites at 320 K , and on Al-terminated Si(111) over the temperature range 770-970 K . Although the fundamental time constant for step fluctuations on Ag and Al/Si varies by orders of magnitude over the temperature ranges of measurement, no dependence of the persistence amplitude on temperature is observed. Instead, the persistence probability is found to scale directly with t/delta t where delta t is the time interval used for sampling. Survival probabilities show a more complex scaling dependence, which includes both the sampling interval and the total measurement time t(m) . Scaling with t/delta t occurs only when delta t/ t(m) is a constant. We show that this observation is equivalent to theoretical predictions that the survival probability will scale as delta t/ L(z) , where L is the effective length of a step. This implies that the survival probability for large systems, when measured with fixed values of t(m) or delta t , should also show little or no temperature dependence.

  20. Application of accelerated failure time models for breast cancer patients' survival in Kurdistan Province of Iran.

    PubMed

    Karimi, Asrin; Delpisheh, Ali; Sayehmiri, Kourosh

    2016-01-01

    Breast cancer is the most common cancer and the second common cause of cancer-induced mortalities in Iranian women. There has been a rapid development in hazard models and survival analysis in the last decade. The aim of this study was to evaluate the prognostic factors of overall survival (OS) in breast cancer patients using accelerated failure time models (AFT). This was a retrospective-analytic cohort study. About 313 women with a pathologically proven diagnosis of breast cancer who had been treated during a 7-year period (since January 2006 until March 2014) in Sanandaj City, Kurdistan Province of Iran were recruited. Performance among AFT was assessed using the goodness of fit methods. Discrimination among the exponential, Weibull, generalized gamma, log-logistic, and log-normal distributions was done using Akaik information criteria and maximum likelihood. The 5 years OS was 75% (95% CI = 74.57-75.43). The main results in terms of survival were found for the different categories of the clinical stage covariate, tumor metastasis, and relapse of cancer. Survival time in breast cancer patients without tumor metastasis and relapse were 4, 2-fold longer than other patients with metastasis and relapse, respectively. One of the most important undermining prognostic factors in breast cancer is metastasis; hence, knowledge of the mechanisms of metastasis is necessary to prevent it so occurrence and treatment of metastatic breast cancer and ultimately extend the lifetime of patients.

  1. Time and size at seaward migration influence the sea survival of Salmo salar.

    PubMed

    Jonsson, N; Jonsson, B

    2014-05-01

    Whether time of seaward migration of young Atlantic salmon Salmo salar influences their subsequent survival and growth was investigated in the River Imsa, south-western Norway. Salmo salar were tagged when moving downstream through a trap near the outlet between 1976 and 2010 and recaptured on their adult return. Most descended as smolts in April and May, but some descended during the other months of the year. Annual variation in timing of the smolt migration was significantly correlated with variation in water temperature during spring. Mean total body length of the descending S. salar varied with month of seaward migration. The sea survival of S. salar emigrating from the River Imsa between January and May was 2·8 times higher than for those descending between June and December. The sea survival of the various cohorts decreased with increasing river temperature in April to May, prior to the smolt migration, and decreasing day number when the smolts moved to sea. The size of smolts descending the river between April and May did not affect the survival at sea as much as it affected the survival of migrants descending in any other month of the year. The majority of the downstream migrating S. salar were 2 years old, but proportionally, more 1 year olds moved downstream in the autumn than in the rest of the year. Mean duration between downstream migration of the young and the return migration of the grilse was shortest (12·7 months) for those descending in July and August and longest for those descending in October (21 months). Mean monthly specific growth rate was highest for those migrating downstream between May and July and lowest for those emigrating in September. Based on the present results, it was hypothesized that S. salar emigrating between April and August migrated directly out into the ocean, while those that emigrated between October and March stayed in the estuary until the subsequent spring.

  2. Association of the Timing of Pregnancy With Survival in Women With Breast Cancer.

    PubMed

    Iqbal, Javaid; Amir, Eitan; Rochon, Paula A; Giannakeas, Vasily; Sun, Ping; Narod, Steven A

    2017-05-01

    Increasing numbers of women experience pregnancy around the time of, or after, a diagnosis of breast cancer. Understanding the effect of pregnancy on survival in women with breast cancer will help in the counseling and treatment of these women. To compare the overall survival of women diagnosed with breast cancer during pregnancy or in the postpartum period with that of women who had breast cancer but did not become pregnant. This population-based, retrospective cohort study linked health administrative databases in Ontario, Canada, comprising 7553 women aged 20 to 45 years at the time of diagnosis with invasive breast cancer, from January 1, 2003, to December 31, 2014. Any pregnancy in the period from 5 years before, until 5 years after, the index date of the diagnosis of breast cancer. Women were classified into the following 4 exposure groups: no pregnancy (the referent), pregnancy before breast cancer, pregnancy-associated breast cancer, and pregnancy following breast cancer. Five-year actuarial survival rates for all exposure groups, age-adjusted and multivariable hazard ratios [HRs] of pregnancy for overall survival for all exposure groups, and time-dependent hazard ratios for women with pregnancy following breast cancer. Among the 7553 women in the study (mean age at diagnosis, 39.1 years; median, 40 years; range, 20-44 years) the 5-year actuarial survival rate was 87.5% (95% CI, 86.5%-88.4%) for women with no pregnancy, 85.3% (95% CI, 82.8%-87.8%) for women with pregnancy before breast cancer (age-adjusted hazard ratio, 1.03; 95% CI, 0.85-1.27; P = .73), and 82.1% (95% CI, 78.3%-85.9%) for women with pregnancy-associated breast cancer (age-adjusted hazard ratio, 1.18; 95% CI, 0.91-1.53; P = .20). The 5-year actuarial survival rate was 96.7% (95% CI, 94.1%-99.3%) for women who had pregnancy 6 months or more after diagnosis of breast cancer, vs 87.5% (95% CI, 86.5%-88.4%) for women with no pregnancy) (age-adjusted HR, 0.22; 95% CI, 0.10-0.49; P

  3. 46 CFR 154.605 - Toughness test.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 5 2012-10-01 2012-10-01 false Toughness test. 154.605 Section 154.605 Shipping COAST....605 Toughness test. (a) Each toughness test under §§ 154.610 through 154.625 must meet Subpart 54.05 of this chapter. (b) If subsize test specimens are used for the Charpy V-notch toughness test,...

  4. Predicting the Survival Time for Bladder Cancer Using an Additive Hazards Model in Microarray Data

    PubMed Central

    TAPAK, Leili; MAHJUB, Hossein; SADEGHIFAR, Majid; SAIDIJAM, Massoud; POOROLAJAL, Jalal

    2016-01-01

    Background: One substantial part of microarray studies is to predict patients’ survival based on their gene expression profile. Variable selection techniques are powerful tools to handle high dimensionality in analysis of microarray data. However, these techniques have not been investigated in competing risks setting. This study aimed to investigate the performance of four sparse variable selection methods in estimating the survival time. Methods: The data included 1381 gene expression measurements and clinical information from 301 patients with bladder cancer operated in the years 1987 to 2000 in hospitals in Denmark, Sweden, Spain, France, and England. Four methods of the least absolute shrinkage and selection operator, smoothly clipped absolute deviation, the smooth integration of counting and absolute deviation and elastic net were utilized for simultaneous variable selection and estimation under an additive hazards model. The criteria of area under ROC curve, Brier score and c-index were used to compare the methods. Results: The median follow-up time for all patients was 47 months. The elastic net approach was indicated to outperform other methods. The elastic net had the lowest integrated Brier score (0.137±0.07) and the greatest median of the over-time AUC and C-index (0.803±0.06 and 0.779±0.13, respectively). Five out of 19 selected genes by the elastic net were significant (P<0.05) under an additive hazards model. It was indicated that the expression of RTN4, SON, IGF1R and CDC20 decrease the survival time, while the expression of SMARCAD1 increase it. Conclusion: The elastic net had higher capability than the other methods for the prediction of survival time in patients with bladder cancer in the presence of competing risks base on additive hazards model. PMID:27114989

  5. Warming affects hatching time and early season survival of eastern tent caterpillars.

    PubMed

    Abarca, Mariana; Lill, John T

    2015-11-01

    Climate change is disrupting species interactions by altering the timing of phenological events such as budburst for plants and hatching for insects. We combined field observations with laboratory manipulations to investigate the consequences of climate warming on the phenology and performance of the eastern tent caterpillar (Malacosoma americanum). We evaluated the effects of warmer winter and spring regimes on caterpillar hatching patterns and starvation endurance, traits likely to be under selection in populations experiencing phenological asynchrony, using individuals from two different populations (Washington, DC, and Roswell, GA). We also quantified the proximate and extended fitness effects of early food deprivation and recorded spring phenology of local caterpillars and their host plants. In addition, we conducted laboratory assays to determine if caterpillars are using plant chemical cues to fine-tune their hatching times. Warmer winter temperatures induced earlier hatching and caterpillars from GA survived starvation for periods that were 30% longer than caterpillars from DC. Warmer spring regimes reduced the starvation endurance of caterpillars overwintering in the wild but not in the laboratory. Early starvation dramatically reduced hatchling survival; however, surviving caterpillars did not show detrimental effects on pupal mass or development time. In the field, hatching preceded budburst in both 2013 and 2014 and the period of optimal foliage quality was 2 weeks shorter in 2013. Hatching time was unaffected by exposure to plant volatiles. Overall, we found that warmer temperatures can trigger late-season asynchrony by accelerating plant phenology and caterpillars from different populations exhibit differential abilities to cope with environmental unreliability.

  6. Role of Survival Time and Injury Severity in Fatal Pulmonary Fat Embolism.

    PubMed

    Jarmer, Juliane; Ampanozi, Garyfalia; Thali, Michael J; Bolliger, Stephan A

    2017-03-01

    Pulmonary fat embolism (PFE) is frequent in blunt trauma and may occasionally lead to death. A correlation between fracture grade and severity and PFE grade has been described before, but no correlation between PFE and survival time, fat crushing extent, fat crush grade, or number of body regions with fractures could be noted in this small study. To further examine this, we decided to examine the aforementioned points in a far larger study group.Autopsy protocols of 188 nonresuscitated fatalities with blunt trauma and without right heart injury, which underwent whole body dissection, were retrospectively reviewed concerning the presence and the severity of PFE, injuries, survival time, age, sex, and the body mass index.The fracture grade, the fracture severity, and the number of the fractured regions correlated very well with the grade of PFE, but the crushed regions, crush grade, and crush severity did not. We observed a time correlation between survival time and PFE only in the sense that very rapid deaths were often PFE negative. High-grade PFE was observed most often in patients having died less than 6 hours after the incident, and PFE grades of 2 or more were occasionally noted even after 48 hours.

  7. Tough, but Where's the Love?

    ERIC Educational Resources Information Center

    Coussey, Mary

    2008-01-01

    Every government wants to appear to be tough on asylum seekers. But in failing to offer newcomers immediate access to English language learning one runs the risk of missing out on significant economic and social cohesion benefits. In this article, the author argues that asylum seekers need to get English language support in their first six months…

  8. Fracture toughness of polyimide films

    NASA Technical Reports Server (NTRS)

    Hinkley, J. A.; Mings, S. L.

    1989-01-01

    Two aromatic polyimides and an aromatic polyamide-imide were tested in single edge notched tension. Fracture toughnesses, normalized to 25 micron film thickness ranged from 1.65 to 5.4 MPa m sup 1/2. LARC-TPI, a thermoplastic polyimide, showed evidence of crazing ahead of a growing crack whereas the other materials formed a shear yielded zone.

  9. Prescriptions for Tough Vegetation Problems

    Treesearch

    James H. Miller

    1999-01-01

    Most tough forst vegetation problems are caused by non-native plants. These foreign invaders-often called exotic, alien, or noxious weeds-occur as trees, shrubs, vines, and grasses. Some have been introduced into this country accidentally, but most were brought here intentionally for livestock forage or as ornamentals.

  10. Tough, soluble, aromatic, thermoplastic copolyimides

    NASA Technical Reports Server (NTRS)

    Bryant, Robert G. (Inventor)

    1994-01-01

    Tough, soluble, aromatic, thermoplastic copolyimides were prepared by reacting 4,4'-oxydiphthalic anhydride, 3,4,3',4'-biphenyltetracarboxylic dianhydride and 3,4'-oxydianiline. These copolyimides were found to be soluble in common amide solvents such as acetamide, Nmethylpyrrolidinone, and dimethylformamide allowing them to be applied as the fully imidized copolymer and to be used to prepare a wide range of articles.

  11. iTOUGH2 Sample Problems

    SciTech Connect

    Finsterle, Stefan

    2002-06-18

    iTOUGH2 is a program for parameter estimation, sensitivity analysis, and uncertainty propagation analysis. It is based on the TOUGH2 simulator for non-isothermal multiphase flow in fractured and porous media. This report contains a collection of iTOUGH2 sample problems.

  12. Improving the toughness of ultrahigh strength steel

    SciTech Connect

    Soto, Koji

    2002-01-01

    The ideal structural steel combines high strength with high fracture toughness. This dissertation discusses the toughening mechanism of the Fe/Co/Ni/Cr/Mo/C steel, AerMet 100, which has the highest toughness/strength combination among all commercial ultrahigh strength steels. The possibility of improving the toughness of this steel was examined by considering several relevant factors.

  13. Reduction in predicted survival times in cold water due to wind and waves.

    PubMed

    Power, Jonathan; Simões Ré, António; Barwood, Martin; Tikuisis, Peter; Tipton, Michael

    2015-07-01

    Recent marine accidents have called into question the level of protection provided by immersion suits in real (harsh) life situations. Two immersion suit studies, one dry and the other with 500 mL of water underneath the suit, were conducted in cold water with 10-12 males in each to test body heat loss under three environmental conditions: calm, as mandated for immersion suit certification, and two combinations of wind plus waves to simulate conditions typically found offshore. In both studies mean skin heat loss was higher in wind and waves vs. calm; deep body temperature and oxygen consumption were not different. Mean survival time predictions exceeded 36 h for all conditions in the first study but were markedly less in the second in both calm and wind and waves. Immersion suit protection and consequential predicted survival times under realistic environmental conditions and with leakage are reduced relative to calm conditions. Copyright © 2015. Published by Elsevier Ltd.

  14. Dynamic predictions with time-dependent covariates in survival analysis using joint modeling and landmarking.

    PubMed

    Rizopoulos, Dimitris; Molenberghs, Geert; Lesaffre, Emmanuel M E H

    2017-08-09

    A key question in clinical practice is accurate prediction of patient prognosis. To this end, nowadays, physicians have at their disposal a variety of tests and biomarkers to aid them in optimizing medical care. These tests are often performed on a regular basis in order to closely follow the progression of the disease. In this setting, it is of interest to optimally utilize the recorded information and provide medically relevant summary measures, such as survival probabilities, which will aid in decision making. In this work, we present and compare two statistical techniques that provide dynamically updated estimates of survival probabilities, namely landmark analysis and joint models for longitudinal and time-to-event data. Special attention is given to the functional form linking the longitudinal and event time processes, and to measures of discrimination and calibration in the context of dynamic prediction. © 2017 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  15. Does induction time of mild hypothermia influence the survival duration of septic rats?

    PubMed

    Léon, Karelle; Pichavant-Rafini, Karine; Ollivier, Hélène; Monbet, Valérie; L'Her, Erwan

    2015-06-01

    The relationship between hypothermia induction time and survival duration following sepsis was studied on 31 male Sprague-Dawley rats (median weight 311 g, range 260-356 g). After anesthesia and when the target temperature was reached (normothermia: 38°C or mild induced hypothermia: 34°C), sepsis was induced by cecal ligation and perforation. Five experimental groups were used. In groups 1 and 2, temperature of septic rats was maintained throughout the experiment at 38°C (seven rats) or 34°C (six rats), respectively. In groups 3, 4, and 5, septic rats (six per group) were maintained at 38°C for 1, 2, and 3 hours, respectively, and then placed in mild hypothermia (34°C). For each group, the survival duration was determined and blood samples were performed at the tail to measure tumor necrosis factor-α (TNF-α) plasma concentration. Whatever the experimental group, a decrease in temperature from 38°C to 34°C significantly increased the survival duration of septic rats compared with those maintained at 38°C throughout the experiment. The delay between the onset of sepsis and induction of hypothermia was also crucial. Thus, hypothermia induced after 1 hour of sepsis at 38°C significantly increased the survival duration of septic rats (12 hours 37 minutes±1 hour 4 minutes; group 3) compared with hypothermia induced after 3 hours of sepsis (8 hours 56 minutes±1 h 20 minutes; group 5). Moreover, except for group 5, survival duration improvement of septic rats observed in hypothermia was related to a lower increase of TNF-α plasma concentration compared with septic rats in normothermia. During sepsis, mild induced hypothermia significantly increased the survival duration of septic rats. The earlier hypothermia was applied, the longer the septic rats survived. According to these results, hypothermia may therefore provide the necessary time to apply a proper treatment.

  16. Mediation Analysis with Survival Outcomes: Accelerated Failure Time vs. Proportional Hazards Models

    PubMed Central

    Gelfand, Lois A.; MacKinnon, David P.; DeRubeis, Robert J.; Baraldi, Amanda N.

    2016-01-01

    Objective: 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. Method: 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. Results: 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. Conclusions: 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. PMID:27065906

  17. Survivable architectures for time and wavelength division multiplexed passive optical networks

    NASA Astrophysics Data System (ADS)

    Wong, Elaine

    2014-08-01

    The increased network reach and customer base of next-generation time and wavelength division multiplexed PON (TWDM-PONs) have necessitated rapid fault detection and subsequent restoration of services to its users. However, direct application of existing solutions for conventional PONs to TWDM-PONs is unsuitable as these schemes rely on the loss of signal (LOS) of upstream transmissions to trigger protection switching. As TWDM-PONs are required to potentially use sleep/doze mode optical network units (ONU), the loss of upstream transmission from a sleeping or dozing ONU could erroneously trigger protection switching. Further, TWDM-PONs require its monitoring modules for fiber/device fault detection to be more sensitive than those typically deployed in conventional PONs. To address the above issues, three survivable architectures that are compliant with TWDM-PON specifications are presented in this work. These architectures combine rapid detection and protection switching against multipoint failure, and most importantly do not rely on upstream transmissions for LOS activation. Survivability analyses as well as evaluations of the additional costs incurred to achieve survivability are performed and compared to the unprotected TWDM-PON. Network parameters that impact the maximum achievable network reach, maximum split ratio, connection availability, fault impact, and the incremental reliability costs for each proposed survivable architecture are highlighted.

  18. Effect of loading time on the survival rate of anodic oxidized implants: prospective multicenter study

    PubMed Central

    Kim, Seok-Gyu; Yun, Pil-Young; Park, Hyun-Sik; Shim, June-Sung; Hwang, Jung-Won

    2012-01-01

    PURPOSE The purpose of this prospective study was to evaluate the effect of early loading on survival rate or clinical parameter of anodic oxidized implants during the 12-month postloading period. MATERIALS AND METHODS Total 69 implants were placed in 42 patients. Anodic oxidized implants (GS II, Osstem Cor., Busan, Korea) placed on the posterior mandibles were divided into two groups, according to their prosthetic loading times: test group (2 to 6 weeks), and control group (3 to 4 months). The implant survival rates were determined during one-year postloading period and analyzed by Kaplan-Meier method. The radiographic peri-implant bone loss and periodontal parameters were also evaluated and statistically analyzed by unpaired t-test. RESULTS Total 69 implants were placed in 42 patients. The cumulative postloading implant survival rates were 88.89% in test group, compared to 100% in control group (P<.05). Periimplant marginal bone loss (T: 0.27±0.54 mm, C: 0.40±0.55 mm) and periodontal parameters showed no significant difference between the groups (P>.05). CONCLUSION Within the limitation of the present study, implant survival was affected by early loading on the anodic oxidized implants placed on posterior mandibles during one-year follow-up. Early implant loading did not influence peri-implant marginal bone loss, and periodontal parameters. PMID:22439096

  19. Growing up tough: Comparing the effects of food toughness on juvenile feeding in Sapajus libidinosus and Trachypithecus phayrei crepusculus.

    PubMed

    Chalk-Wilayto, Janine; Ossi-Lupo, Kerry; Raguet-Schofield, Melissa

    2016-09-01

    Studies of primate feeding ontogeny provide equivocal support for reduced juvenile proficiency. When immatures exhibit decreased feeding competency, these differences are attributed to a spectrum of experience- and strength-related constraints and are often linked to qualitative assessments of food difficulty. However, few have investigated age-related differences in feeding ability relative to mechanical property variation across the diet, both within and among food types. In this study, we combined dietary toughness and feeding behavior data collected in the wild from cross-sectional samples of two primate taxa, Sapajus libidinosus and Trachypithecus phayrei crepusculus, to test the prediction that small-bodied juveniles are less efficient at processing tough foods than adults. We defined feeding efficiency as the time spent to ingest and masticate one food item (item bout length) and quantified the toughness and size of foods processed during those feeding bouts. To make the datasets comparable, we limited the dataset to foods processed by more than one age class and opened without tools. The overall toughness of foods processed by both species overlapped considerably, and juveniles and adults in both taxa processed foods of comparable toughness. Feeding efficiency decreased in response to increasing food toughness in leaf monkeys and in response to food size in both taxa. Age was found to be a significant predictor of bout length in leaf monkeys, but not in bearded capuchins. Juvenile S. libidinosus processed smaller fruits than adults, suggesting they employ behavioral strategies to mitigate the effect of consuming large (and occasionally large and tough) foods. We suggest future intra- and interspecific research of juvenile feeding competency utilize intake rates scaled by food size and geometry, as well as by detailed measures of feeding time (e.g., ingestion vs. mastication), in addition to food mechanical properties to facilitate comparisons across

  20. Toughness of fiber reinforced shotcrete

    SciTech Connect

    Morgan, D.R.; Chen, L.; Beaupre, D.

    1995-12-31

    Fibers are added to shotcrete to improve energy absorption and impact resistance, to provide crack resistance and crack control, and to provide apparent ductility, i.e., an ability to continue to carry load after the shotcrete matrix has cracked. In order to be able to quantify the benefits of fiber addition, a variety of different toughness measuring systems have been developed in different countries. Most commonly used are flexural toughness systems which determine load vs. deflection responses and relate the area under the curve to some absolute or dimensionless index energy parameter. In North America the ASTM C1018 test method is most commonly used. In Japan the JSCE-SF4 test procedure is used. A variety of procedures have been used in Europe, but the template approach of the Norwegian Guidelines NBP No. 7, seems to be finding favor. This paper briefly assesses the relative advantages and disadvantages of the various methods of characterizing toughness. It then provides recommendations for a new procedure which uses the ASTM C1018 test method for generating the flexural load vs. deflection curve, but analyzes the data using a modified version of the Norwegian template approach. The load vs. deflection curve is directly compared against four residual strength curves and the fiber reinforced shotcrete assigned one of four toughness performance levels. It is believed that this new procedure should provide suitable within and between laboratory reproducibility and be more suitable for purposes of differentiating between different fiber types and addition rates and specifying toughness for fiber reinforced shotcrete products than any of the existing methods.

  1. Association of Bystander Cardiopulmonary Resuscitation and Survival According to Ambulance Response Times After Out-of-Hospital Cardiac Arrest.

    PubMed

    Rajan, Shahzleen; Wissenberg, Mads; Folke, Fredrik; Hansen, Steen Møller; Gerds, Thomas A; Kragholm, Kristian; Hansen, Carolina Malta; Karlsson, Lena; Lippert, Freddy K; Køber, Lars; Gislason, Gunnar H; Torp-Pedersen, Christian

    2016-12-20

    Bystander-initiated cardiopulmonary resuscitation (CPR) increases patient survival after out-of-hospital cardiac arrest, but it is unknown to what degree bystander CPR remains positively associated with survival with increasing time to potential defibrillation. The main objective was to examine the association of bystander CPR with survival as time to advanced treatment increases. We studied 7623 out-of-hospital cardiac arrest patients between 2005 and 2011, identified through the nationwide Danish Cardiac Arrest Registry. Multiple logistic regression analysis was used to examine the association between time from 911 call to emergency medical service arrival (response time) and survival according to whether bystander CPR was provided (yes or no). Reported are 30-day survival chances with 95% bootstrap confidence intervals. With increasing response times, adjusted 30-day survival chances decreased for both patients with bystander CPR and those without. However, the contrast between the survival chances of patients with versus without bystander CPR increased over time: within 5 minutes, 30-day survival was 14.5% (95% confidence interval [CI]: 12.8-16.4) versus 6.3% (95% CI: 5.1-7.6), corresponding to 2.3 times higher chances of survival associated with bystander CPR; within 10 minutes, 30-day survival chances were 6.7% (95% CI: 5.4-8.1) versus 2.2% (95% CI: 1.5-3.1), corresponding to 3.0 times higher chances of 30-day survival associated with bystander CPR. The contrast in 30-day survival became statistically insignificant when response time was >13 minutes (bystander CPR vs no bystander CPR: 3.7% [95% CI: 2.2-5.4] vs 1.5% [95% CI: 0.6-2.7]), but 30-day survival was still 2.5 times higher associated with bystander CPR. Based on the model and Danish out-of-hospital cardiac arrest statistics, an additional 233 patients could potentially be saved annually if response time was reduced from 10 to 5 minutes and 119 patients if response time was reduced from 7 (the median

  2. Tumor Cells Growth and Survival Time with the Ketogenic Diet in Animal Models: A Systematic Review.

    PubMed

    Khodadadi, Soheila; Sobhani, Nafiseh; Mirshekar, Somaye; Ghiasvand, Reza; Pourmasoumi, Makan; Miraghajani, Maryam; Dehsoukhteh, Somayeh Shahraki

    2017-01-01

    Recently, interest in targeted cancer therapies via metabolic pathways has been renewed with the discovery that many tumors become dependent on glucose uptake during anaerobic glycolysis. Also the inability of ketone bodies metabolization due to various deficiencies in mitochondrial enzymes is the major metabolic changes discovered in malignant cells. Therefore, administration of a ketogenic diet (KD) which is based on high in fat and low in carbohydrates might inhibit tumor growth and provide a rationale for therapeutic strategies. So, we conducted this systematic review to assess the effects of KD on the tumor cells growth and survival time in animal studies. All databases were searched from inception to November 2015. We systematically searched the PubMed, Scopus, Google Scholars, Science Direct and Cochrane Library according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. To assess the quality of included studies we used SYRCLE's RoB tool. 268 articles were obtained from databases by primary search. Only 13 studies were eligible according to inclusion criteria. From included studies, 9 articles indicate that KD had a beneficial effect on tumor growth and survival time. Tumor types were included pancreatic, prostate, gastric, colon, brain, neuroblastoma and lung cancers. In conclusions, although studies in this field are rare and inconsistence, recent findings have demonstrated that KD can potentially inhibit the malignant cell growth and increase the survival time. Because of differences physiology between animals and humans, future studies in cancer patients treated with a KD are needed.

  3. Factors affecting survival time of cholangiocarcinoma patients: a prospective study in Northeast Thailand.

    PubMed

    Woradet, Somkiattiyos; Promthet, Supannee; Songserm, Nopparat; Parkin, Donald Maxwell

    2013-01-01

    Cholangiocarcinoma (CCA) is a major health problem and cause of death among people in Northeastern Thailand. In this prospective study 171 patients newly diagnosed with CCA by physicians in 5 tertiary hospitals in four provinces of northeastern of Thailand between February and July 2011 were followed up to January 2012. The outcome was survival time from diagnosis to death. A total of 758.4 person-months of follow-up were available. The mortality rate was 16.9 per 100 person-months (95%CI: 14.1-20.1). The median survival time among CCA patients was 4.3 months (95%CI: 3.3-5.1). Cox's proportional hazard model was used to study the independent effects of factors affecting survival time among patients. Statistically significant factors included advanced stage at diagnosis (HR: 2.5, 95%CI: 1.7-3.8), presentation with jaundice (HR: 1.7, 95%CI: 1.1-2.4) or ascites (HR: 2.8, 95%CI: 1.8-4.4), and positive serum carcinoembryonic antigen (HR: 2.3, 95%CI: 1.2-4.3). Patients who had received standard treatment had a better prognosis that those who did not (HR: 0.5, 95%CI: 0.3-0.7).

  4. Non-parametric estimation of the post-lead-time survival distribution of screen-detected cancer cases.

    PubMed

    Xu, J L; Prorok, P C

    1995-12-30

    The goal of screening programmes for cancer is early detection and treatment with a consequent reduction in mortality from the disease. Screening programmes need to assess the true benefit of screening, that is, the length of time of extension of survival beyond the time of advancement of diagnosis (lead-time). This paper presents a non-parametric method to estimate the survival function of the post-lead-time survival (or extra survival time) of screen-detected cancer cases based on the observed total life time, namely, the sum of the lead-time and the extra survival time. We apply the method to the well-known data set of the HIP (Health Insurance Plan of Greater New York) breast cancer screening study. We make comparisons with the survival of other groups of cancer cases not detected by screening such as interval cases, cases among individuals who refused screening, and randomized control cases. As compared with Walter and Stitt's model, in which they made parametric assumptions for the extra survival time, our non-parametric method provides a better fit to HIP data in the sense that our estimator for the total survival time has a smaller sum of squares of residuals.

  5. High-toughness graphite/epoxy composite material experiment

    NASA Technical Reports Server (NTRS)

    Felbeck, David K.

    1993-01-01

    This experiment was designed to measure the effect of near-earth space exposure on three mechanical properties of specially toughened 5208/T300 graphite/epoxy composite materials. The properties measured are elastic modulus, strength, and fracture toughness. Six toughness specimens and nine tensile specimens were mounted on an external frame during the 5.8-year orbit of the Long Duration Exposure Facility (LDEF). Three identical sets of specimens were manufactured at the outset: the flight set, a zero-time non-flight set, and a total-time non-flight set.

  6. Measurement of Survival Time in Brachionus Rotifers: Synchronization of Maternal Conditions

    PubMed Central

    Kaneko, Gen; Yoshinaga, Tatsuki; Gribble, Kristin E.; Welch, David M.; Ushio, Hideki

    2016-01-01

    Rotifers are microscopic cosmopolitan zooplankton used as models in ecotoxicological and aging studies due to their several advantages such as short lifespan, ease of culture, and parthenogenesis that enables clonal culture. However, caution is required when measuring their survival time as it is affected by maternal age and maternal feeding conditions. Here we provide a protocol for powerful and reproducible measurement of the survival time in Brachionus rotifers following a careful synchronization of culture conditions over several generations. Empirically, poor synchronization results in early mortality and a gradual decrease in survival rate, thus resulting in weak statistical power. Indeed, under such conditions, calorie restriction (CR) failed to significantly extend the lifespan of B. plicatilis although CR-induced longevity has been demonstrated with well-synchronized rotifer samples in past and present studies. This protocol is probably useful for other invertebrate models, including the fruitfly Drosophila melanogaster and the nematode Caenorhabditis elegans, because maternal age effects have also been reported in these species. PMID:27500471

  7. Mediation analysis for a survival outcome with time-varying exposures, mediators, and confounders.

    PubMed

    Lin, Sheng-Hsuan; Young, Jessica G; Logan, Roger; VanderWeele, Tyler J

    2017-08-15

    We propose an approach to conduct mediation analysis for survival data with time-varying exposures, mediators, and confounders. We identify certain interventional direct and indirect effects through a survival mediational g-formula and describe the required assumptions. We also provide a feasible parametric approach along with an algorithm and software to estimate these effects. We apply this method to analyze the Framingham Heart Study data to investigate the causal mechanism of smoking on mortality through coronary artery disease. The estimated overall 10-year all-cause mortality risk difference comparing "always smoke 30 cigarettes per day" versus "never smoke" was 4.3 (95% CI = (1.37, 6.30)). Of the overall effect, we estimated 7.91% (95% CI: = 1.36%, 19.32%) was mediated by the incidence and timing of coronary artery disease. The survival mediational g-formula constitutes a powerful tool for conducting mediation analysis with longitudinal data. Copyright © 2017 John Wiley & Sons, Ltd.

  8. Time-dependent endpoints as predictors of overall survival in multiple myeloma

    PubMed Central

    2013-01-01

    Background Supporting health care sector decisions using time-dependent endpoints (TDEs) such as time to progression (TTP), progression-free survival (PFS), and event-free survival (EFS) remains controversial. This study estimated the quantitative relationship between median TDE and median overall survival (OS) in multiple myeloma (MM) patients. Methods Studies (excluding allogeneic transplantation) published from 1970 to 2011 were systematically searched (PubMed). The nonparametric Spearman’s rank correlation coefficient measured the association between median TDE and OS. The quantitative relationship between TDEs and OS was estimated with a two-step approach to a simultaneous Tobit model. Results We identified 153 studies: 230 treatment arms, 22,696 patients and mean study duration of 3.8 years. Mean of median TDEs was 22.5 months and median OS was 39.1 months. Correlation coefficients of median TTP, PFS, and EFS with median OS were 0.51 (P = 0.003), 0.75 (P < 0.0001), and 0.84 (P < 0.0001), respectively. We estimate a 2.5 month (95% confidence interval, 1.7–3.2) increase in median OS for each additional month reported for median TDEs. There was no evidence that this relationship differed by type of surrogate. Conclusion TDEs predict OS in MM patients; this relationship may be valuable in clinical trial design, drug comparisons, and economic evaluation. PMID:23497363

  9. Thermal control unit for long-time survival of scientific instruments on lunar surface

    NASA Astrophysics Data System (ADS)

    Ogawa, Kazunori; Iijima, Yuichi; Tanaka, Satoshi

    A thermal control unit (lunar survival module) is being developed for scientific instruments placed on the lunar surface. This unit is designed to be used on the future Japanese lunar landing mission SELENE-2. The lunar surface is a severe environment for scientific instruments. The absence of convective cooling by an atmosphere makes the ground surface temperature variable in the wide range of -200 to 100 degC, an environment in which space electronics can hardly survive. The surface elements must have a thermal control structure to maintain the inner temperature within the operable ranges of the instruments for long-time measurements, such as 1 month or longer beyond the lunar nights. The objectives of this study are to develop a thermal control unit for the SELENE-2 mission. So far, we conducted the concept design of the lunar survival module, and estimated its potential by a thermal mathematical model on the assumption of using a lunar seismometer designed for SELENE-2. The basic structure of the thermal module is rather simple in that a heat insulating shell covers the scientific instruments. The concept is that the conical insulator retains heat in the regolith soil in the daylight, and it can keep the device warm in the night. Results of the model calculations indicated the high potential of long-time survival. A bread board model (BBM) was manufactured, and its thermal-vacuum tests were conducted in order to estimate the validity of some thermal parameters assumed in the computed thermal model. The thermal condition of the lunar surface was simulated by glass beads paved in a vacuum chamber, and a temperature-controlled container. Temperature variations of the BBM in thermal cycling tests were compared to a thermal mathematical model, and the thermal parameters were finally assessed. Feeding the test results back into the thermal model for the lunar surface, some thermal parameters were updated but there was no critical effect on the survivability. The

  10. Ultrasonic ranking of toughness of tungsten carbide

    NASA Technical Reports Server (NTRS)

    Vary, A.; Hull, D. R.

    1983-01-01

    The feasibility of using ultrasonic attenuation measurements to rank tungsten carbide alloys according to their fracture toughness was demonstrated. Six samples of cobalt-cemented tungsten carbide (WC-Co) were examined. These varied in cobalt content from approximately 2 to 16 weight percent. The toughness generally increased with increasing cobalt content. Toughness was first determined by the Palmqvist and short rod fracture toughness tests. Subsequently, ultrasonic attenuation measurements were correlated with both these mechanical test methods. It is shown that there is a strong increase in ultrasonic attenuation corresponding to increased toughness of the WC-Co alloys. A correlation between attenuation and toughness exists for a wide range of ultrasonic frequencies. However, the best correlation for the WC-Co alloys occurs when the attenuation coefficient measured in the vicinity of 100 megahertz is compared with toughness as determined by the Palmqvist technique.

  11. Time-Dependent Tree-Structured Survival Analysis with Unbiased Variable Selection through Permutation Tests

    PubMed Central

    Wallace, M. L.

    2014-01-01

    Incorporating time-dependent covariates into tree-structured survival analysis (TSSA) may result in more accurate prognostic models than if only baseline values are used. Available time-dependent TSSA methods exhaustively test every binary split on every covariate; however, this approach may result in selection bias towards covariates with more observed values. We present a method that uses unbiased significance levels from newly proposed permutation tests to select the time-dependent or baseline covariate with the strongest relationship with the survival outcome. The specific splitting value is identified using only the selected covariate. Simulation results show that the proposed time-dependent TSSA method produces tree models of equal or greater accuracy as compared to baseline TSSA models, even with high censoring rates and large within-subject variability in the time-dependent covariate. To illustrate, the proposed method is applied to data from a cohort of bipolar youth to identify subgroups at risk for self-injurious behavior. PMID:25043382

  12. Effect of timing of postoperative chemotherapy on survival of dogs with osteosarcoma.

    PubMed

    Berg, J; Gebhardt, M C; Rand, W M

    1997-04-01

    After excision of primary tumors, initiation of chemotherapy for micrometastases is often delayed for 2 to 4 weeks to permit patient recovery and early healing of the surgical wound. However, studies using murine tumors have indicated that removal of a primary tumor may cause increased cell proliferation within micrometastases during the first 7 to 10 days after surgery, potentially rendering the micrometastases more susceptible to chemotherapy. Clinical trials assessing the value of early postoperative initiation of chemotherapy for human breast carcinoma have yielded conflicting results. Osteosarcoma of dogs is a naturally occurring model for human tumors likely to have micrometastases at the time of diagnosis. Before surgery, 102 dogs with osteosarcoma were randomized to receive cisplatin and doxorubicin chemotherapy beginning either 2 days or 10 days after amputation. Survival analysis was performed for each treatment group and for a historic control group comprised of 162 dogs treated by amputation alone. Median survival times for dogs treated by amputation alone and for dogs receiving chemotherapy beginning 2 or 10 days after surgery were 5.5, 11.5, and 11.0 months, respectively. Survival was significantly longer for each of the two groups of dogs receiving chemotherapy than for control dogs (P < 0.0001). There was no significant difference in survival between treatment groups (P = 0.727). These results do not disprove the theory that removal of a primary tumor alters the growth kinetics of metastases, but do imply that there is no substantial advantage to early postoperative initiation of adjuvant chemotherapy for spontaneous tumors of large species.

  13. Time on the scene and interventions are associated with improved survival in pediatric out-of-hospital cardiac arrest

    PubMed Central

    Tijssen, Janice A.; Prince, David K.; Morrison, Laurie J.; Atkins, Dianne L.; Austin, Michael A.; Berg, Robert; Brown, Siobhan P.; Christenson, Jim; Egan, Debra; Fedor, Preston J.; Fink, Ericka L.; Meckler, Garth D.; Osmond, Martin H.; Sims, Kathryn A.; Hutchison, James S.

    2015-01-01

    Background Survival is less than 10% for pediatric patients following out-of-hospital cardiac arrest. It is not known if more time on the scene of the cardiac arrest and advanced life support interventions by emergency services personnel are associated with improved survival. Aim This study was performed to determine which times on the scene and which prehospital interventions were associated with improved survival. Methods We studied patients aged 3 days to 19 years old with out-of-hospital cardiac arrest, using the Resuscitation Outcomes Consortium cardiac arrest database from 11 North American regions, from 2005 to 2012. We evaluated survival to hospital discharge according to on-scene times (< 10, 10 to 35 and > 35 minutes). Results Data were available for 2244 patients (1017 infants, 594 children and 633 adolescents). Infants had the lowest rate of survival (3.7%) compared to children (9.8%) and adolescents (16.3%). Survival improved over the 7 year study period especially among adolescents. Survival was highest in the 10 to 35 minute on-scene time group (10.2%) compared to the > 35 minute group (6.9%) and the < 10 minute group (5.3%, p=0.01). Intravenous or intra-osseous access attempts and fluid administration were associated with improved survival, whereas advanced airway attempts were not associated with survival and resuscitation drugs were associated with worse survival. Conclusions In this observational study, a scene time of 10 to 35 minutes was associated with the highest survival, especially among adolescents. Access for fluid resuscitation was associated with increased survival but advanced airway and resuscitation drugs were not. PMID:26095301

  14. Time-Dependence of the Survival Probability of Quarkonia in Quark-Gluon Plasma

    NASA Astrophysics Data System (ADS)

    Mah Hussin, Noor Sabrina; Shalaby, Asmaa; Petridis, Athanasios

    2015-10-01

    The time-dependent Schrödinger equation is used to study the formation of quarkonia and their propagation in Quark-Gluon Plasma (QGP). The initial bound (ground) state is computed using imaginary-time propagation in a confining potential. The QGP is simulated with a confining potential of an extended asymptotic freedom region. The interior of the QGP potential may correspond to a vacuum that differs from that of the exterior region. The initial state propagates through this potential in real time. The survival probability is calculated versus time for various potential parameters and relative momenta of the quarkonium by projecting the interacting wavefunction onto its freely-propagating counterpart. In these calculations the staggered-leap frog method is used with special attention paid to the issue of stability. It is found that quarkonium decay is typically non-exponential. Fast moving states decay faster. Connection with experimental results is done by means of cross-section ratios.

  15. Chaotic dynamics of Comet 1P/Halley: Lyapunov exponent and survival time expectancy

    NASA Astrophysics Data System (ADS)

    Muñoz-Gutiérrez, M. A.; Reyes-Ruiz, M.; Pichardo, B.

    2015-03-01

    The orbital elements of Comet Halley are known to a very high precision, suggesting that the calculation of its future dynamical evolution is straightforward. In this paper we seek to characterize the chaotic nature of the present day orbit of Comet Halley and to quantify the time-scale over which its motion can be predicted confidently. In addition, we attempt to determine the time-scale over which its present day orbit will remain stable. Numerical simulations of the dynamics of test particles in orbits similar to that of Comet Halley are carried out with the MERCURY 6.2 code. On the basis of these we construct survival time maps to assess the absolute stability of Halley's orbit, frequency analysis maps to study the variability of the orbit, and we calculate the Lyapunov exponent for the orbit for variations in initial conditions at the level of the present day uncertainties in our knowledge of its orbital parameters. On the basis of our calculations of the Lyapunov exponent for Comet Halley, the chaotic nature of its motion is demonstrated. The e-folding time-scale for the divergence of initially very similar orbits is approximately 70 yr. The sensitivity of the dynamics on initial conditions is also evident in the self-similarity character of the survival time and frequency analysis maps in the vicinity of Halley's orbit, which indicates that, on average, it is unstable on a time-scale of hundreds of thousands of years. The chaotic nature of Halley's present day orbit implies that a precise determination of its motion, at the level of the present-day observational uncertainty, is difficult to predict on a time-scale of approximately 100 yr. Furthermore, we also find that the ejection of Halley from the Solar system or its collision with another body could occur on a time-scale as short as 10 000 yr.

  16. Tough high performance composite matrix

    NASA Technical Reports Server (NTRS)

    Pater, Ruth H. (Inventor); Johnston, Norman J. (Inventor)

    1994-01-01

    This invention is a semi-interpentrating polymer network which includes a high performance thermosetting polyimide having a nadic end group acting as a crosslinking site and a high performance linear thermoplastic polyimide. Provided is an improved high temperature matrix resin which is capable of performing in the 200 to 300 C range. This resin has significantly improved toughness and microcracking resistance, excellent processability, mechanical performance, and moisture and solvent resistances.

  17. Tough, Soluble, Aromatic, Thermoplastic Copolyimides

    NASA Technical Reports Server (NTRS)

    Bryant, Robert G. (Inventor)

    1998-01-01

    Tough, soluble, aromatic, thermoplastic copolyimides were prepared by reacting 4,4'-oxydiphthalic anhydride, 3,4,3',4'-biphenyltetracarboxylic dianhydride and 3,4'-oxydianiline. These copolyimides were found to be soluble in common amide solvents such as N,N'-dimethyl acetamide, N-methylpyrrolidinone, and dimethylformamide allowing them to be applied as the fully imidized copolymer and to be used to prepare a wide range of articles.

  18. High Fracture Toughness Bearing Development

    DTIC Science & Technology

    1981-12-01

    AFWAL-TR-81-2042 C• ) HIGH FRACTURE TOUGHNESS BEARING DEVELOPMENT SKF Industries, Inc. King of Prussia, PA 19406 December 1981 Final Report for...withthe contractor SKF who wrote the report and found that the inclusion of the proprietary notice was ati oversight on their part. The con-tractor and...TASK SKF Industries, Inc . AREA & WORK UNIT NUMBERS 1100 First Avenue 3048 06 07 King of Prussia, PA 19406 It. CONTROLLING OFFICE NAME AND ADDRESS 12

  19. Nest survival patterns in Eurasian Bittern: effect of nest age, time and habitat variables.

    PubMed

    Polak, Marcin

    2016-01-01

    Determining the key factors affecting the reproductive success of nesting birds is crucial in order to better understand the population dynamics of endangered species and to introduce effective conservation programmes for them. Inhabiting a variety of wetland habitats, aquatic birds actively select safe nesting sites so as to protect their nests against predators. The main aim of the present work was to assess the effect of temporal and habitat variables on the daily nest survival rate of Eurasian Bitterns colonizing semi-natural fishpond habitat in eastern Poland. MARK software was used for the modelling. Eurasian Bittern nests were most vulnerable to depredation at the beginning of the breeding season. This was probably because the reedbed vegetation at this time was not yet dense enough to effectively conceal the nests. There was a positive relationship between nest age and the daily survival rate. Two of the habitat variables analysed were of the greatest significance: water depth and vegetation density. In the Eurasian Bittern population studied here, nests built over deep water and in dense vegetation had the best chances of survival. The results of this work may be useful in the preparation of plans for the conservation and management of populations of this rare and endangered species. Conservation and restoration efforts that attempt to maintain high water levels will be especially beneficial to this avian species that is dependent on wetland ecosystems for breeding.

  20. A Parallelized Pumpless Artificial Placenta System Significantly Prolonged Survival Time in a Preterm Lamb Model.

    PubMed

    Miura, Yuichiro; Matsuda, Tadashi; Usuda, Haruo; Watanabe, Shimpei; Kitanishi, Ryuta; Saito, Masatoshi; Hanita, Takushi; Kobayashi, Yoshiyasu

    2016-05-01

    An artificial placenta (AP) is an arterio-venous extracorporeal life support system that is connected to the fetal circulation via the umbilical vasculature. Previously, we published an article describing a pumpless AP system with a small priming volume. We subsequently developed a parallelized system, hypothesizing that the reduced circuit resistance conveyed by this modification would enable healthy fetal survival time to be prolonged. We conducted experiments using a premature lamb model to test this hypothesis. As a result, the fetal survival period was significantly prolonged (60.4 ± 3.8 vs. 18.2 ± 3.2 h, P < 0.01), and circuit resistance and minimal blood lactate levels were significantly lower in the parallel circuit group, compared with our previous single circuit group. Fetal physiological parameters remained stable until the conclusion of the experiments. In summary, parallelization of the AP system was associated with reduced circuit resistance and lactate levels and allowed preterm lamb fetuses to survive for a significantly longer period when compared with previous studies.

  1. Nest survival patterns in Eurasian Bittern: effect of nest age, time and habitat variables

    PubMed Central

    2016-01-01

    Determining the key factors affecting the reproductive success of nesting birds is crucial in order to better understand the population dynamics of endangered species and to introduce effective conservation programmes for them. Inhabiting a variety of wetland habitats, aquatic birds actively select safe nesting sites so as to protect their nests against predators. The main aim of the present work was to assess the effect of temporal and habitat variables on the daily nest survival rate of Eurasian Bitterns colonizing semi–natural fishpond habitat in eastern Poland. MARK software was used for the modelling. Eurasian Bittern nests were most vulnerable to depredation at the beginning of the breeding season. This was probably because the reedbed vegetation at this time was not yet dense enough to effectively conceal the nests. There was a positive relationship between nest age and the daily survival rate. Two of the habitat variables analysed were of the greatest significance: water depth and vegetation density. In the Eurasian Bittern population studied here, nests built over deep water and in dense vegetation had the best chances of survival. The results of this work may be useful in the preparation of plans for the conservation and management of populations of this rare and endangered species. Conservation and restoration efforts that attempt to maintain high water levels will be especially beneficial to this avian species that is dependent on wetland ecosystems for breeding. PMID:27350897

  2. Fracture toughness anisotropy in shale

    NASA Astrophysics Data System (ADS)

    Chandler, Michael R.; Meredith, Philip G.; Brantut, Nicolas; Crawford, Brian R.

    2016-03-01

    The use of hydraulic fracturing to recover shale gas has focused attention on the fundamental fracture properties of gas-bearing shales, but there remains a paucity of available experimental data on their mechanical and physical properties. Such shales are strongly anisotropic, so that their fracture propagation trajectories depend on the interaction between their anisotropic mechanical properties and the anisotropic in situ stress field in the shallow crust. Here we report fracture toughness measurements on Mancos shale determined in all three principal fracture orientations: Divider, Short Transverse, and Arrester, using a modified short-rod methodology. Experimental results for a range of other sedimentary and carbonate rocks are also reported for comparison purposes. Significant anisotropy is observed in shale fracture toughness measurements at ambient conditions, with values, as high as 0.72 MPa m1/2 where the crack plane is normal to the bedding, and values as low as 0.21 MPa m1/2 where the crack plane is parallel to the bedding. For cracks propagating nonparallel to bedding, we observe a tendency for deviation toward the bedding-parallel orientation. Applying a maximum energy release rate criterion, we determined the conditions under which such deviations are more or less likely to occur under more generalized mixed-mode loading conditions. We find for Mancos shale that the fracture should deviate toward the plane with lowest toughness regardless of the loading conditions.

  3. Survival Times of Meter-Sized Rock Boulders on the Surface of Airless Bodies

    NASA Technical Reports Server (NTRS)

    Basilevsky, A. T.; Head, J. W.; Horz, F.; Ramsley, K.

    2015-01-01

    This study considers the survival times of meter-sized rock boulders on the surfaces of several airless bodies. As the starting point, we employ estimates of the survival times of such boulders on the surface of the Moon by[1], then discuss the role of destruction due to day-night temperature cycling, consider the meteorite bombardment environment on the considered bodies in terms of projectile flux and velocities and finally estimate the survival times. Survival times of meter-sized rocks on lunar surface: The survival times of hand specimen-sized rocks exposed to the lunar surface environment were estimated based on experiments modeling the destruction of rocks by meteorite impacts, combined with measurements of the lunar surface meteorite flux, (e.g.,[2]). For estimations of the survival times of meter-sized lunar boulders, [1] suggested a different approach based on analysis of the spatial density of boulders on the rims of small lunar craters of known absolute age. It was found that for a few million years, only a small fraction of the boulders ejected by cratering process are destroyed, for several tens of million years approx.50% are destroyed, and for 200-300 Ma, 90 to 99% are destroyed. Following [2] and other works, [1] considered that the rocks are mostly destroyed by meteorite impacts. Destruction of rocks by thermal-stress. However, high diurnal temperature variations on the surface of the Moon and other airless bodies imply that thermal stresses may also be a cause of surface rock destruction. Delbo et al. [3] interpreted the observed presence of fine debris on the surface of small asteroids as due to thermal surface cycling. They stated that because of the very low gravity on the surface of these bodies, ejecta from meteorite impacts should leave the body, so formation there of fine debris has to be due to thermal cycling. Based on experiments on heating-cooling of cm-scale pieces of ordinary and carbonaceous chondrites and theoretical modeling of

  4. Adjuvant Radiation Therapy Treatment Time Impacts Overall Survival in Gastric Cancer

    SciTech Connect

    McMillan, Matthew T.; Ojerholm, Eric; Roses, Robert E.; Plastaras, John P.; Metz, James M.; Mamtani, Ronac; Stripp, Diana; Ben-Josef, Edgar; Datta, Jashodeep

    2015-10-01

    Purpose: Prolonged radiation therapy treatment time (RTT) is associated with worse survival in several tumor types. This study investigated whether delays during adjuvant radiation therapy impact overall survival (OS) in gastric cancer. Methods and Materials: The National Cancer Data Base was queried for patients with resected gastric cancer who received adjuvant radiation therapy with National Comprehensive Cancer Network–recommended doses (45 or 50.4 Gy) between 1998 and 2006. RTT was classified as standard (45 Gy: 33-36 days, 50.4 Gy: 38-41 days) or prolonged (45 Gy: >36 days, 50.4 Gy: >41 days). Cox proportional hazards models evaluated the association between the following factors and OS: RTT, interval from surgery to radiation therapy initiation, interval from surgery to radiation therapy completion, radiation therapy dose, demographic/pathologic and operative factors, and other elements of adjuvant multimodality therapy. Results: Of 1591 patients, RTT was delayed in 732 (46%). Factors associated with prolonged RTT were non-private health insurance (OR 1.3, P=.005) and treatment at non-academic facilities (OR 1.2, P=.045). Median OS and 5-year actuarial survival were significantly worse in patients with prolonged RTT compared with standard RTT (36 vs 51 months, P=.001; 39 vs 47%, P=.005); OS worsened with each cumulative week of delay (P<.0004). On multivariable analysis, prolonged RTT was associated with inferior OS (hazard ratio 1.2, P=.002); the intervals from surgery to radiation therapy initiation or completion were not. Prolonged RTT was particularly detrimental in patients with node positivity, inadequate nodal staging (<15 nodes examined), and those undergoing a cycle of chemotherapy before chemoradiation therapy. Conclusions: Delays during adjuvant radiation therapy appear to negatively impact survival in gastric cancer. Efforts to minimize cumulative interruptions to <7 days should be considered.

  5. Adjuvant Radiation Therapy Treatment Time Impacts Overall Survival in Gastric Cancer.

    PubMed

    McMillan, Matthew T; Ojerholm, Eric; Roses, Robert E; Plastaras, John P; Metz, James M; Mamtani, Ronac; Karakousis, Giorgos C; Fraker, Douglas L; Drebin, Jeffrey A; Stripp, Diana; Ben-Josef, Edgar; Datta, Jashodeep

    2015-10-01

    Prolonged radiation therapy treatment time (RTT) is associated with worse survival in several tumor types. This study investigated whether delays during adjuvant radiation therapy impact overall survival (OS) in gastric cancer. The National Cancer Data Base was queried for patients with resected gastric cancer who received adjuvant radiation therapy with National Comprehensive Cancer Network--recommended doses (45 or 50.4 Gy) between 1998 and 2006. RTT was classified as standard (45 Gy: 33-36 days, 50.4 Gy: 38-41 days) or prolonged (45 Gy: >36 days, 50.4 Gy: >41 days). Cox proportional hazards models evaluated the association between the following factors and OS: RTT, interval from surgery to radiation therapy initiation, interval from surgery to radiation therapy completion, radiation therapy dose, demographic/pathologic and operative factors, and other elements of adjuvant multimodality therapy. Of 1591 patients, RTT was delayed in 732 (46%). Factors associated with prolonged RTT were non-private health insurance (OR 1.3, P=.005) and treatment at non-academic facilities (OR 1.2, P=.045). Median OS and 5-year actuarial survival were significantly worse in patients with prolonged RTT compared with standard RTT (36 vs 51 months, P=.001; 39 vs 47%, P=.005); OS worsened with each cumulative week of delay (P<.0004). On multivariable analysis, prolonged RTT was associated with inferior OS (hazard ratio 1.2, P=.002); the intervals from surgery to radiation therapy initiation or completion were not. Prolonged RTT was particularly detrimental in patients with node positivity, inadequate nodal staging (<15 nodes examined), and those undergoing a cycle of chemotherapy before chemoradiation therapy. Delays during adjuvant radiation therapy appear to negatively impact survival in gastric cancer. Efforts to minimize cumulative interruptions to <7 days should be considered. Copyright © 2015 Elsevier Inc. All rights reserved.

  6. TOUGH2Viewer: A post-processing tool for interactive 3D visualization of locally refined unstructured grids for TOUGH2

    NASA Astrophysics Data System (ADS)

    Bonduá, S.; Berry, P.; Bortolotti, V.; Cormio, C.

    2012-09-01

    Within the MAC-GEO research project, funded by Regione Toscana and addressed to the exploitation of high enthalpy geothermal systems, the authors worked on the utilization and customization of the open source numerical simulator TOUGH2, as implemented in the code dedicated to model calibration iTOUGH2. TOUGH2 is one of the most used numerical simulation software for non-isothermal flow of multicomponent, multiphase fluids in one, two and three-dimensional porous and fractured media. Lacking an official Graphical User Interface tool for post-processing operations, several commercial and academic software have been developed to manage and display TOUGH2 input and output data files. Almost all of these tools seem to have limits to visualizing parameter values of the numerical model, work only with a predefined binary version of TOUGH2, and only a few of them can manage locally refined unstructured grids (i.e. Voronoi grids). To overcome these limitations, the authors have developed and tested a dedicated software application (called TOUGH2Viewer) for reading and managing TOUGH2 output files, written in Java and able to provide an interactive 3D view of the numerical model. Several functionalities have been implemented for block query and searching, contour mapping and 3D surface mapping of TOUGH2 primary variables (i.e. pressure, temperature, etc.). TOUGH2Viewer is also able to display 2D and 3D views of mass and heat flow between blocks, for each time step in which the simulation proceeds. The application described in this paper is under development to improve its functionalities; nevertheless the current software release is a valid support tool for post-processing that significantly improves the possibility to inspect the simulated data coming from TOUGH2.

  7. The interlaminar fracture toughness of woven graphite/epoxy composites

    NASA Technical Reports Server (NTRS)

    Funk, Joan G.; Deaton, Jerry W.

    1989-01-01

    The interlaminar fracture toughness of 2-D graphite/epoxy woven composites was determined as a function of stacking sequence, thickness, and weave pattern. Plain, oxford, 5-harness satin, and 8-harness satin weaves of T300/934 material were evaluated by the double cantilever beam test. The fabric material had a G (sub Ic) ranging from 2 to 8 times greater than 0 degrees unidirectional T300/934 tape material. The interlaminar fracture toughness of a particular weave style was dependent on whether the stacking sequence was symmetric or asymmetric and, in some cases, on the fabric orientation.

  8. Nutritional status of patients with alcoholic cirrhosis undergoing liver transplantation: time trends and impact on survival.

    PubMed

    Singal, Ashwani K; Kamath, Patrick S; Francisco Ziller, Nickie; DiCecco, Sara; Shoreibah, M; Kremers, Walter; Charlton, Michael R; Heimbach, Julie K; Watt, Kymberly D; Shah, Vijay H

    2013-08-01

    Alcoholic cirrhotics evaluated for liver transplantation are frequently malnourished or obese. We analyzed alcoholic cirrhotics undergoing transplantation to examine time trends of nutrition/weight, transplant outcome, and effects of concomitant hepatitis C virus (HCV) and/or hepatocellular carcinoma (HCC). Nutrition and transplant outcomes were reviewed for alcoholic cirrhosis with/without HCV/HCC. Malnutrition was defined by subjective global assessment. Body mass index (BMI) classified obesity. A total of 261 patients receiving transplants were separated (1988-2000, 2001-2006, and 2007-2011) to generate similar size cohorts. Mean BMI for the whole cohort was 28 ± 6 with 68% classified as overweight/obese. Mean BMI did not vary among cohorts and was not affected by HCV/HCC. While prevalence of malnutrition did not vary among cohorts, it was lower in patients with HCV/HCC (P < 0.01). One-year graft/patient survival was 90% and not impacted by time period, HCV/HCC, or malnutrition after adjusting for demographics and model end-stage liver disease (MELD). Alcoholic cirrhotics undergoing transplantation are malnourished yet frequently overweight/obese. Among patients selected for transplantation, 1-year post-transplant graft/patient survival is excellent, have not changed over time, and do not vary by nutrition/BMI. Our findings support feasibility of liver transplantation for alcoholic cirrhotics with obesity and malnutrition.

  9. Optimal treatment allocation for placebo-treatment comparisons in trials with discrete-time survival endpoints

    PubMed Central

    Moerbeek, Mirjam; Wong, Weng Kee

    2016-01-01

    In many randomized controlled trials, treatment groups are of equal size but this is not necessarily the best choice. This paper provides a methodology to calculate optimal treatment allocations for longitudinal trials when we wish to compare multiple treatment groups to a placebo group and the comparisons may have unequal importance. The focus is on trials with a survival endpoint measured in discrete time. We assume the underlying survival process is Weibull and show that values for the parameters in the Weibull distribution have an impact on the optimal treatment allocation scheme in an interesting way. Additionally, we incorporate different cost considerations at the subject and measurement levels and determine the optimal number of time periods. We also show that when many events occur at the beginning of the trial, fewer time periods are more efficient. As an application, we revisit a Risperidone maintenance treatment trial in schizophrenia and use our proposed methodology to redesign it and compare merits of our optimal design. PMID:26119759

  10. TRITIUM EFFECTS ON WELDMENT FRACTURE TOUGHNESS

    SciTech Connect

    Morgan, M; Michael Tosten, M; Scott West, S

    2006-07-17

    The effects of tritium on the fracture toughness properties of Type 304L stainless steel and its weldments were measured. Fracture toughness data are needed for assessing tritium reservoir structural integrity. This report provides data from J-Integral fracture toughness tests on unexposed and tritium-exposed weldments. The effect of tritium on weldment toughness has not been measured until now. The data include tests on tritium-exposed weldments after aging for up to three years to measure the effect of increasing decay helium concentration on toughness. The results indicate that Type 304L stainless steel weldments have high fracture toughness and are resistant to tritium aging effects on toughness. For unexposed alloys, weldment fracture toughness was higher than base metal toughness. Tritium-exposed-and-aged base metals and weldments had lower toughness values than unexposed ones but still retained good toughness properties. In both base metals and weldments there was an initial reduction in fracture toughness after tritium exposure but little change in fracture toughness values with increasing helium content in the range tested. Fracture modes occurred by the dimpled rupture process in unexposed and tritium-exposed steels and welds. This corroborates further the resistance of Type 304L steel to tritium embrittlement. This report fulfills the requirements for the FY06 Level 3 milestone, TSR15.3 ''Issue summary report for tritium reservoir material aging studies'' for the Enhanced Surveillance Campaign (ESC). The milestone was in support of ESC L2-1866 Milestone-''Complete an annual Enhanced Surveillance stockpile aging assessment report to support the annual assessment process''.

  11. Using Concurrent Cardiovascular Information to Augment Survival Time Data from Orthostatic Tilt Tests

    NASA Technical Reports Server (NTRS)

    Feiveson, Alan H.; Fiedler, James; Lee, Stuart M. M.; Westby, Christian M.; Stenger, Michael B.; Platts, Steven H.

    2014-01-01

    Orthostatic Intolerance (OI) is the propensity to develop symptoms of fainting during upright standing. OI is associated with changes in heart rate, blood pressure and other measures of cardiac function. Problem: NASA astronauts have shown increased susceptibility to OI on return from space missions. Current methods for counteracting OI in astronauts include fluid loading and the use of compression garments. Multivariate trajectory spread is greater as OI increases. Pairwise comparisons at the same time within subjects allows incorporation of pass/fail outcomes. Path length, convex hull area, and covariance matrix determinant do well as statistics to summarize this spread Missing data problems Time series analysis need many more time points per OTT session treatment of trend? how incorporate survival information?

  12. Tough Like Metal

    NASA Technical Reports Server (NTRS)

    1998-01-01

    Under an SBIR (Small Business Innovative Research) with Lewis Research Center, Advanced Ceramics Corporation developed a family of high temperature and doped boron nitride coating that offer improvement in interface durability of SiC/SiC composites. The new materials are 1,000 times more durable and greatly extend composite lifetimes. The development of this was commercialized with assistance from Lewis and Advanced Ceramic's own money and is supplying several composites manufacturers with new interface coating from an expanded in-line tow coating facility.

  13. How cellulose-based leaf toughness and lamina density contribute to long leaf lifespans of shade-tolerant species.

    PubMed

    Kitajima, Kaoru; Llorens, Anna-Maria; Stefanescu, Carla; Timchenko, Marta Vargas; Lucas, Peter W; Wright, S Joseph

    2012-08-01

    Cell wall fibre and lamina density may interactively affect leaf toughness and leaf lifespan. Here, we tested this with seedlings of 24 neotropical tree species differing in shade tolerance and leaf lifespan under standardized field conditions (140-867 d in gaps; longer in shade). We quantified toughness with a cutting test, explicitly seeking a mechanistic linkage to fibre. Lamina density, but not fracture toughness, exhibited a plastic response to gaps vs shade, while neither trait was affected by leaf age. Toughness corrected for lamina density, a recently recognized indicator of material strength per unit mass, was linearly correlated with cellulose content per unit dry mass. Leaf lifespan was positively correlated with cellulose and toughness in shade-tolerant species but only weakly in gap-dependent species. Leaf lifespan was uncorrelated with lamina thickness, phenolics and tannin concentrations. In path analysis including all species, leaf lifespan was directly enhanced by density and toughness, and indirectly by cellulose via its effect on toughness. Different suites of leaf traits were correlated with early seedling survival in gaps vs shade. In conclusion, cellulose and lamina density jointly enhance leaf fracture toughness, and these carbon-based physical traits, rather than phenolic-based defence, explain species differences in herbivory, leaf lifespan and shade survival.

  14. Integrated survival analysis using an event-time approach in a Bayesian framework

    USGS Publications Warehouse

    Walsh, Daniel P.; Dreitz, VJ; Heisey, Dennis M.

    2015-01-01

    Event-time or continuous-time statistical approaches have been applied throughout the biostatistical literature and have led to numerous scientific advances. However, these techniques have traditionally relied on knowing failure times. This has limited application of these analyses, particularly, within the ecological field where fates of marked animals may be unknown. To address these limitations, we developed an integrated approach within a Bayesian framework to estimate hazard rates in the face of unknown fates. We combine failure/survival times from individuals whose fates are known and times of which are interval-censored with information from those whose fates are unknown, and model the process of detecting animals with unknown fates. This provides the foundation for our integrated model and permits necessary parameter estimation. We provide the Bayesian model, its derivation, and use simulation techniques to investigate the properties and performance of our approach under several scenarios. Lastly, we apply our estimation technique using a piece-wise constant hazard function to investigate the effects of year, age, chick size and sex, sex of the tending adult, and nesting habitat on mortality hazard rates of the endangered mountain plover (Charadrius montanus) chicks. Traditional models were inappropriate for this analysis because fates of some individual chicks were unknown due to failed radio transmitters. Simulations revealed biases of posterior mean estimates were minimal (≤ 4.95%), and posterior distributions behaved as expected with RMSE of the estimates decreasing as sample sizes, detection probability, and survival increased. We determined mortality hazard rates for plover chicks were highest at <5 days old and were lower for chicks with larger birth weights and/or whose nest was within agricultural habitats. Based on its performance, our approach greatly expands the range of problems for which event-time analyses can be used by eliminating the

  15. Integrated survival analysis using an event-time approach in a Bayesian framework

    PubMed Central

    Walsh, Daniel P; Dreitz, Victoria J; Heisey, Dennis M

    2015-01-01

    Event-time or continuous-time statistical approaches have been applied throughout the biostatistical literature and have led to numerous scientific advances. However, these techniques have traditionally relied on knowing failure times. This has limited application of these analyses, particularly, within the ecological field where fates of marked animals may be unknown. To address these limitations, we developed an integrated approach within a Bayesian framework to estimate hazard rates in the face of unknown fates. We combine failure/survival times from individuals whose fates are known and times of which are interval-censored with information from those whose fates are unknown, and model the process of detecting animals with unknown fates. This provides the foundation for our integrated model and permits necessary parameter estimation. We provide the Bayesian model, its derivation, and use simulation techniques to investigate the properties and performance of our approach under several scenarios. Lastly, we apply our estimation technique using a piece-wise constant hazard function to investigate the effects of year, age, chick size and sex, sex of the tending adult, and nesting habitat on mortality hazard rates of the endangered mountain plover (Charadrius montanus) chicks. Traditional models were inappropriate for this analysis because fates of some individual chicks were unknown due to failed radio transmitters. Simulations revealed biases of posterior mean estimates were minimal (≤ 4.95%), and posterior distributions behaved as expected with RMSE of the estimates decreasing as sample sizes, detection probability, and survival increased. We determined mortality hazard rates for plover chicks were highest at <5 days old and were lower for chicks with larger birth weights and/or whose nest was within agricultural habitats. Based on its performance, our approach greatly expands the range of problems for which event-time analyses can be used by eliminating the

  16. A semiparametrically efficient estimator of the time-varying effects for survival data with time-dependent treatment.

    PubMed

    Lin, Huazhen; Fei, Zhe; Li, Yi

    2016-09-01

    The timing of a time-dependent treatment-e.g., when to perform a kidney transplantation-is an important factor for evaluating treatment efficacy. A naïve comparison between the treated and untreated groups, while ignoring the timing of treatment, typically yields biased results that might favor the treated group because only patients who survive long enough will get treated. On the other hand, studying the effect of a time-dependent treatment is often complex, as it involves modeling treatment history and accounting for the possible time-varying nature of the treatment effect. We propose a varying-coefficient Cox model that investigates the efficacy of a time-dependent treatment by utilizing a global partial likelihood, which renders appealing statistical properties, including consistency, asymptotic normality and semiparametric efficiency. Extensive simulations verify the finite sample performance, and we apply the proposed method to study the efficacy of kidney transplantation for end-stage renal disease patients in the U.S. Scientific Registry of Transplant Recipients (SRTR).

  17. Survival time and prognostic factors in cats with newly diagnosed diabetes mellitus: 114 cases (2000-2009).

    PubMed

    Callegari, Carolina; Mercuriali, Edy; Hafner, Michaela; Coppola, Luigi M; Guazzetti, Stefano; Lutz, Thomas A; Reusch, Claudia E; Zini, Eric

    2013-07-01

    To determine overall survival time and identify prognostic factors associated with survival time in cats with newly diagnosed diabetes mellitus. Retrospective case series. 114 cats with newly diagnosed diabetes mellitus. Data for analysis included history, signalment, physical examination findings, hematologic and serum biochemical data, presence of ketoacidosis, and diagnosis of concurrent diseases at initial evaluation. The effects of possible predictors on survival time were determined by calculating hazard ratios (HRs) and 95% confidence intervals (CIs). Median survival time of diabetic cats was 516 days (range, 1 to 3,468 days); 70%, 64%, and 46% lived longer than 3, 6, and 24 months, respectively. Survival time was significantly shorter for cats with higher creatinine concentrations, with a hazard of dying approximately 5% greater for each increase of 10 μg/dL in serum creatinine concentration (adjusted HR, 1.005; 95% CI, 1.003 to 1.007). Ketoacidosis was not significantly associated with survival time (HR, 1.02; 95% CI, 0.590 to 1.78). Cats with newly diagnosed diabetes mellitus had a fair to good prognosis. High serum creatinine concentration at diagnosis was associated with a poor outcome, likely because of the adverse effects of renal dysfunction. Ketoacidosis apparently was not associated with decreased survival time, suggesting that this complication should not necessarily be regarded as unfavorable.

  18. Effect of Thoracic Radiotherapy Timing and Fractionation on Survival in Nonmetastatic Small Cell Lung Carcinoma.

    PubMed

    Wong, Andrew T; Rineer, Justin; Schwartz, David; Becker, Daniel; Safdieh, Joseph; Osborn, Virginia; Schreiber, David

    2017-03-01

    The optimal timing of thoracic radiation therapy (RT) in relation to chemotherapy is unknown in the treatment of nonmetastatic small cell lung cancer (SCLC). We analyzed the National Cancer Data Base (NCDB) to assess the effect on overall survival (OS) of RT timing with chemotherapy for patients with SCLC. The NCDB was queried for patients diagnosed with nonmetastatic SCLC from 1998 to 2011 who had undergone definitive chemoradiation. The patients were stratified into quartiles according to the interval between the start of chemotherapy and the start of RT. The first and second quartiles (RT started 0-20 days after chemotherapy) were classified as "early" RT and the third and fourth quartiles (RT started 21-126 days after chemotherapy) as "late" RT. Patients were included if they had received hyperfractionated 45 Gy in 30 fractions or standard fractionation of ≥ 60 Gy in 1.8- to 2-Gy fractions. Kaplan-Meier analyses of OS were performed, and multivariable Cox regression analysis was conducted to assess the effect of the covariates on OS. A total of 8391 patients were included (50.5% had received early RT). Early RT was associated with significant improvement in survival (5-year OS, 21.9% vs. 19.1%; P = .01). On subgroup analysis, the survival advantage for early RT was significant for patients receiving hyperfractionated RT (5-year OS, 28.2% vs. 21.2%; P = .004) but not for those receiving standard fractionation (19.8% vs. 18.4%; P = .29). On multivariable Cox regression analysis, hyperfractionated RT was associated with reduced mortality (hazard ratio [HR], 0.90; 95% confidence interval [CI], 0.85-0.96; P = .001), but early RT was not (HR, 0.98; 95% CI, 0.94-1.04; P = .53). These data support the early initiation of hyperfractionated thoracic RT for nonmetastatic SCLC. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. Mentally Tough: The Power To Do Your Best.

    ERIC Educational Resources Information Center

    McLaughlin, Peter J.; And Others

    The principles of Mentally Tough were developed to help professional athletes to do their best each time they went out to play. This book brings these strategies to junior and senior high school students. The exercises and activities are intended to teach students how to control their energy level and emotional states so they can always perform…

  20. In a Tough Economy, Charlotte Makes a Play for Football

    ERIC Educational Resources Information Center

    Sander, Libby

    2008-01-01

    Despite tough economic times, the University of North Carolina at Charlotte hopes to win trustees' approval to raise funds to field a Division I-AA football team. Athletics officials and supporters at Charlotte are hopeful that they will raise the more than $45-million in capital expenses necessary to get the program up and running. However, the…

  1. In a Tough Economy, Charlotte Makes a Play for Football

    ERIC Educational Resources Information Center

    Sander, Libby

    2008-01-01

    Despite tough economic times, the University of North Carolina at Charlotte hopes to win trustees' approval to raise funds to field a Division I-AA football team. Athletics officials and supporters at Charlotte are hopeful that they will raise the more than $45-million in capital expenses necessary to get the program up and running. However, the…

  2. Tolazoline decreases survival time during microwave-induced lethal heat stress in anesthetized rats

    SciTech Connect

    Jauchem, J.R.; Chang, K.S.; Frei, M.R.

    1996-03-01

    Effects of {alpha}-adrenergic antagonists have been studied during environmental heating but not during microwave-induced heating. Tolazoline may exert some of its effects via {alpha}-adrenergic blockade. In the present study, ketamine-anesthetized Sprague-Dawley rats were exposed to 2450-MHz microwaves at an average power density of 60 mW/cm{sup 2} (whole-body specific absorption rate of approximately 14 W/kg) until lethal temperatures were attained. The effects of tolazoline (10 mg/kg body weight) on physiological responses (including changes in body temperature, heart rate, blood pressure, and respiratory rate) were examined. Survival time was significantly shorter in the tolazoline group than in saline-treated animals. In general, heart rate and blood pressure responses were similar to those that occur during environmental heat stress. Heart rate, however, was significantly elevated in animals that received tolazoline, both before and during terminal microwave exposure. It is possible that changes associated with the elevated heart rate (e.g., less cardiac filling) in tolazoline-treated animals resulted in greater susceptibility to microwave-induced heating and the lower survival time. 47 refs., 3 figs., 2 tabs.

  3. Survival time prediction of patients with glioblastoma multiforme tumors using spatial distance measurement

    NASA Astrophysics Data System (ADS)

    Zhou, Mu; Hall, Lawrence O.; Goldgof, Dmitry B.; Gillies, Robert J.; Gatenby, Robert A.

    2013-02-01

    Regional variations in tumor blood flow and necrosis are commonly observed in cross sectional imaging of clinical cancers. We hypothesize that radiologically-defined regional variations in tumor characteristics can be used to define distinct "habitats" that reflect the underlying evolutionary dynamics. Here we present an experimental framework to extract spatially-explicit variations in tumor features (habitats) from multiple MRI sequences performed on patients with Glioblastoma Multiforme (GBM). The MRI sequences consist of post gadolinium T1-weighted, FLAIR, and T2-weighted images from The Cancer Genome Atlas (TCGA). Our strategy is to identify spatially distinct, radiologically-defined intratumoral habitats by characterizing each small tumor regions based on their combined properties in 3 different MRI sequences. Initial tumor identification was performed by manually drawing a mask on a T1-weighted post contrast image slice. The extracted tumor was segmented into an enhancing and non-enhancing region by the Otsu segmentation algorithm, followed by a mask mapping procedure onto the corresponding FLAIR and T2-weighted images. Then Otsu was applied on the FLAIR and T2 images separately. We find that tumor heterogeneity measured through Distance Features (DF) can be used as a strong predictor of survival time. In an initial cohort of 16 cases slow progressing tumors have lower DF values (are less heterogeneous) compared to those with fast progression and short survival times.

  4. Fracture toughness testing of polymer matrix composites

    NASA Technical Reports Server (NTRS)

    Grady, Joseph E.

    1992-01-01

    A review of the interlaminar fracture indicates that a standard specimen geometry is needed to obtain consistent fracture toughness measurements in polymer matrix composites. In general, the variability of measured toughness values increases as the toughness of the material increases. This variability could be caused by incorrect sizing of test specimens and/or inconsistent data reduction procedures. A standard data reduction procedure is therefore needed as well, particularly for the tougher materials. Little work has been reported on the effects of fiber orientation, fiber architecture, fiber surface treatment or interlaminar fracture toughness, and the mechanisms by which the fibers increase fracture toughness are not well understood. The little data that is available indicates that woven fiber reinforcement and fiber sizings can significantly increase interlaminar fracture toughness.

  5. A Tough Grind

    NASA Technical Reports Server (NTRS)

    2004-01-01

    NASA's Mars Exploration Rover Spirit took the four images that make up this mosaic with its microscopic imager on sol 82. The mosaic reveals the drilled surface of the target called 'New York' on the rock dubbed 'Mazatzal.' The rock abrasion tool ground for 3 hours and 45 minutes to create this 3.8 millimeter-deep (0.15 inch) hole. The exposed area is 4.5 centimeters (1.8 inches) in diameter.

    Mazatzal was an interesting rock to grind because it has a lighter tone than the previously ground rocks 'Adirondack' and 'Humphrey,' and because it looks different from its surrounding environment. Scientists hypothesized that Mazatzal's surface might be covered with a rind of weathered material. They drilled through this very top layer to reveal the underlying rock.

    Because Mazatzal's surface was not even, the left half of the rock was penetrated more deeply than the right. As can be seen in this image, the right, darker portion of the rock is still covered by the rind material. Spirit completed a second grind at this location at a different angle to remove the remaining veneer from the right side and create an even deeper hole. Images of this second grind will be sent back to Earth in the next sol or two.

    After the Final Grind The image was acquired on sol 85 after the rover drilled into New York a second time with its rock abrasion tool. Remnants of the dark grey coating that covers Mazatzal's interior can be seen at the right side of the hole. The crack in the rock may have once contained fluids out of which minerals precipitated. Each image making up this mosaic is 3 centimeters (1.2 inches) across.

  6. Frozen in Time? Microbial strategies for survival and carbon metabolism over geologic time in a Pleistocene permafrost chronosequence

    NASA Astrophysics Data System (ADS)

    Mackelprang, R.; Douglas, T. A.; Waldrop, M. P.

    2014-12-01

    Permafrost soils have received tremendous interest due to their importance as a global carbon store with the potential to be thawed over the coming centuries. Instead of being 'frozen in time,' permafrost contains active microbes. Most metagenomic studies have focused on Holocene aged permafrost. Here, we target Pleistocene aged ice and carbon rich permafrost (Yedoma), which can differ in carbon content and stage of decay. Our aim was to understand how microbes in the permafrost transform organic matter over geologic time and to identify physiological and biochemical adaptations that enable long-term survival. We used next-generation sequencing to characterize microbial communities along a permafrost age gradient. Samples were collected from the Cold Regions Research and Engineering Laboratory (CRREL) Permafrost Tunnel near Fox, AK, which penetrates a hillside providing access to permafrost ranging in age from 12 to 40 kyr. DNA was extracted directly from unthawed samples. 16S rRNA amplicon (16S) and shotgun metagenome sequencing revealed significant age-driven differences. First, microbial diversity declines with permafrost age, likely due to long-term exposure to environmental stresses and a reduction in metabolic resources. Second, we observed taxonomic differences among ages, with an increasing abundance of Firmicutes (endospore-formers) in older samples, suggesting that dormancy is a common survival strategy in older permafrost. Ordination of 16S and metagenome data revealed age-based clustering. Genes differing significantly between age categories included those involved in lipopolysaccharide assembly, cold-response, and carbon processing. These data point to the physiological adaptations to long-term frozen conditions and to the metabolic processes utilized in ancient permafrost. In fact, a gene common in older samples is involved in cadaverine production, which could potentially explain the putrefied smell of Pleistocene aged permafrost. Coupled with soil

  7. Nonparametric confidence intervals for the ratio of marginal hazard rates of paired survival times.

    PubMed

    Jin, Huan; Zhao, Naiqing; Tu, Dongsheng

    2012-03-01

    Paired survival times with potential censoring are often observed from two treatment groups in clinical trials and other types of clinical studies. The ratio of marginal hazard rates may be used to quantify the treatment effect in these studies. In this paper, a recently proposed nonparametric kernel method is used to estimate the marginal hazard rate, and the method of variance estimates recovery (MOVER) is used for the construction of the confidence intervals of a time-dependent hazard ratio based on the confidence limits of a single marginal hazard rate. Two methods are proposed: one uses the delta method and another adopts the transformation method to construct confidence limits for the marginal hazard rate. Simulations are performed to evaluate the performance of the proposed methods. Real data from two clinical trials are analyzed using the proposed methods. © 2012 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  8. A latent pharmacokinetic time profile to model dose-response survival data.

    PubMed

    Jacobs, Tom; Straetemans, Roel; Molenberghs, Geert; Adriaan Bouwknecht, J; Bijnens, Luc

    2010-07-01

    The accelerating rotarod test is a preclinical pharmacodynamic test to assess the effect of a treatment on an animal's motor coordination. Two models are proposed to analyze the dose-response time-to-event data that typically result from such experiments: (1) a linear regression model and (2) an E(max) model with latent drug concentration at the site of action. Both cope with the survival character of the data. The latter model allows a direct comparison of compounds, but raises the question of whether the study design would benefit from the inclusion of additional mice for plasma concentration sampling on the one hand or whether additional time-to-event data without plasma concentration sampling should be ascertained from these additional mice on the other hand. A simulation study explores the impact on operational characteristics of this change of study design.

  9. Permutation tests for comparing marginal survival functions with clustered failure time data.

    PubMed

    Cai, J; Shen, Y

    2000-11-15

    We propose a class of two-sample non-parametric permutation tests to compare the marginal survival distributions of two groups when the failure times are correlated within cluster, with clusters nested within each group. The permutation distribution effectively takes into account the correlation between failure times within a cluster. The method is able to handle data with clusters of either fixed or variable sizes. Moreover, this class of test statistics is sensitive to various alternatives. The size and power of the proposed tests are assessed by a series of simulation studies. The method is illustrated by application to data from the Hypertension Detection and Follow-up program trial. Copyright 2000 John Wiley and Sons, Ltd.

  10. Is time to recurrence after hysterectomy predictive of survival in patients with early stage endometrial carcinoma?

    PubMed

    Robbins, Jared R; Yechieli, Raphael; Laser, Benjamin; Mahan, Meredith; Rasool, Nabila; Elshaikh, Mohamed A

    2012-10-01

    To determine the prognostic significance of time to recurrence (TTR) on overall survival (OS) and disease-specific survival (DSS) following recurrence in patients with stage I-II uterine endometrioid carcinoma. After IRB approval, we retrospectively identified 57 patients with recurrent endometrioid carcinoma who were initially treated for FIGO 1988 stages I-II between 1987 and 2009. The Kaplan-Meier approach and Cox regression analysis were used to estimate OS and DSS following recurrence and identify factors impacting outcomes. Median follow-up times were 54.8 months from hysterectomy and 19.8 months after recurrence. Median time to recurrence was 20.2 months. Twenty-eight (47%) patients had a recurrence<18 months after hysterectomy and 29 (53%) had a recurrence≥18 months. Both groups were evenly matched regarding initial pathological features and adjuvant treatments. The median OS and DSS in patients with TTR<18 months was shorter than those with TTR≥18 months, but not statistically significant (p=0.216). TTR did not impact outcomes after loco-regional recurrence, but for extrapelvic recurrence, a shorter TTR resulted in worse OS and DSS (p=0.03). On multivariate analysis, isolated loco-regional recurrence (HR 0.28, p=0.001) and salvage radiation therapy (HR 0.47, p=0.045) were statistically significant independent predictors of longer OS following recurrence. TTR as a continuous variable or dichotomized was not predictive of OS or DSS. In our study, the prognostic impact of time to recurrence was less important than the site of recurrence. While not prognostic for the entire cohort or for patients with loco-regional recurrence, TTR<18 months was associated with shorter OS and DSS after extrapelvic recurrence. Copyright © 2012 Elsevier Inc. All rights reserved.

  11. Time-Dependence Of The Survival Probality Of Charmonia In Heavy ION Collisions

    NASA Astrophysics Data System (ADS)

    Petridis, Athanasios; Mah Hussin, Noor Sabrina; Shalaby, Asmaa

    2016-09-01

    The time-dependent Schrödinger equation is used to study the formation of charmonium in heavy ion collisions and its propagation in Quark-Gluon Plasma (QGP) and free space. The initial bound (ground) state is computed using imaginary-time propagation in a confining potential. The QGP is simulated with a confining potential of an extended asymptotic-freedom region. The initial state propagates in real time but the charmonium bound state may become fully developed before or after the QGP formation. To this end the formation-time scales determine the kind of potential in which the quark-antiquark pair propagates and may necessitate the introduction of dissociating potentials. The survival probability is calculated versus time for various potential parameters and relative momenta of the charmonium by projecting the interacting wavefunction onto its freely-propagating counterpart. In these calculations the staggered-leap frog method is used with special attention paid to the issue of stability. It is found that charmonium decay is typically non-exponential. Fast moving states Connection with experimental results is done by means of cross-section ratios. It is shown that suppression and enhancement are both possible depending on the time-scales.

  12. Psychosocial predictors of outcome: time to relapse and survival in patients with early stage melanoma

    PubMed Central

    Brown, J E; Butow, P N; Culjak, G; Coates, A S; Dunn, S M

    2000-01-01

    This study explored psychosocial predictors of relapse and survival in early stage melanoma patients. Patients with locoregional melanoma whose tumour thickness exceeded 0.69 mm, seen at the Sydney Melanoma Unit between 1991 and 1996 participated in the study. Questionnaires were sent to participating patients every 3 months for 2 years. Domains measured included cognitive appraisal of threat, coping, psychological adjustment, quality of life and perceived aim of treatment. Disease and demographic data were obtained from medical records. Multivariate analyses from baseline data used the Cox proportional hazards model. Of the 682 patients invited to participate 426 (62%) agreed. 91 (21%) relapsed and 60 (14%) died within the follow-up period, that ended in October 1997. After controlling for known prognostic indicators, several psychosocial variables predicted time to relapse and/or survival duration. Patients who perceived their aim of treatment to be cured, who did not use avoidance as a coping strategy or who were concerned about their disease experienced longer periods without relapse. Shorter survival duration was associated with a positive mood, the use of avoidance as a coping strategy, not being concerned with their disease and concern about the impact of the disease on family. There is still much to learn about the potential relationships between psychological well being, human behaviours and cancer outcome. Research in this area needs to clarify the psychological processes, as well as understand the biological and/or behavioural mechanisms that may link them to outcome. © 2000 Cancer Research Campaign http://www.bjcancer.com PMID:11076652

  13. Survival of Bacillus pumilus spores for a prolonged period of time in real space conditions.

    PubMed

    Vaishampayan, Parag A; Rabbow, Elke; Horneck, Gerda; Venkateswaran, Kasthuri J

    2012-05-01

    To prevent forward contamination and maintain the scientific integrity of future life-detection missions, it is important to characterize and attempt to eliminate terrestrial microorganisms associated with exploratory spacecraft and landing vehicles. Among the organisms isolated from spacecraft-associated surfaces, spores of Bacillus pumilus SAFR-032 exhibited unusually high resistance to decontamination techniques such as UV radiation and peroxide treatment. Subsequently, B. pumilus SAFR-032 was flown to the International Space Station (ISS) and exposed to a variety of space conditions via the European Technology Exposure Facility (EuTEF). After 18 months of exposure in the EXPOSE facility of the European Space Agency (ESA) on EuTEF under dark space conditions, SAFR-032 spores showed 10-40% survivability, whereas a survival rate of 85-100% was observed when these spores were kept aboard the ISS under dark simulated martian atmospheric conditions. In contrast, when UV (>110 nm) was applied on SAFR-032 spores for the same time period and under the same conditions used in EXPOSE, a ∼7-log reduction in viability was observed. A parallel experiment was conducted on Earth with identical samples under simulated space conditions. Spores exposed to ground simulations showed less of a reduction in viability when compared with the "real space" exposed spores (∼3-log reduction in viability for "UV-Mars," and ∼4-log reduction in viability for "UV-Space"). A comparative proteomics analysis indicated that proteins conferring resistant traits (superoxide dismutase) were present in higher concentration in space-exposed spores when compared to controls. Also, the first-generation cells and spores derived from space-exposed samples exhibited elevated UVC resistance when compared with their ground control counterparts. The data generated are important for calculating the probability and mechanisms of microbial survival in space conditions and assessing microbial contaminants

  14. Survival time of cardiac allografts prolonged by isogeneic BMT in mice.

    PubMed

    Chen, Z; Jiang, H; Chen, R; Feng, S; Jin, J; Bi, Y; Yang, H; Chen, J

    2012-08-01

    To find an approach to prolong the survival time of cardiac allografts in a BALB/c-to-C57/BL6 heterotopic heart transplant model and to try to figure out related chemokines and cytokines, isogeneic and allogeneic BM cells were obtained from pregnant C57/BL6 (♀C57/BL6 × ♂BALB/c) and regular BALB/c mice and injected to the half lethally irradiated C57/BL6 mice 1 day before heart transplantation. Recipients were treated with CsA or phosphate-buffered saline for 7 days. Isogeneic BMT (iBMT) from pregnant C57/BL6 mice was observed to significantly prolong the survival of BALB/c allografts and reduce the lymphocyte infiltration. Allogeneic BMT (aBMT) and iBMT both exhibited signicantly less T-cell proliferation reactivity and the similar degree of chimerism. There was no significant difference in these groups of IFN-γ and IL-4 production. The level of chemokine MIG (CXCL9) dramatically decreased in aBMT and iBMT groups compared with the control group. But there were no significant differences between aBMT and iBMT group. IL-17 and RORγ(t) (receptor-related orphan receptor) production were downregulated in iBMT recipients. These results indicate that iBMT can prolong the survival of cardiac allografts. IL-17 production downregulated in iBMT recipients. This means that iBMT may have important therapeutic implications.

  15. Multi-scale Multi-mechanism Design of Tough Hydrogels: Building Dissipation into Stretchy Networks

    PubMed Central

    Zhao, Xuanhe

    2014-01-01

    As swollen polymer networks in water, hydrogels are usually brittle. However, hydrogels with high toughness play critical roles in many plant and animal tissues as well as in diverse engineering applications. Here we review the intrinsic mechanisms of a wide variety of tough hydrogels developed over past few decades. We show that tough hydrogels generally possess mechanisms to dissipate substantial mechanical energy but still maintain high elasticity under deformation. The integrations and interactions of different mechanisms for dissipating energy and maintaining elasticity are essential to the design of tough hydrogels. A matrix that combines various mechanisms is constructed for the first time to guide the design of next-generation tough hydrogels. We further highlight that a particularly promising strategy for the design is to implement multiple mechanisms across multiple length scales into nano-, micro-, meso-, and macro-structures of hydrogels. PMID:24834901

  16. Mental toughness in sport: motivational antecedents and associations with performance and psychological health.

    PubMed

    Mahoney, John W; Gucciardi, Daniel F; Ntoumanis, Nikos; Mallett, Cliff J; Mallet, Cliff J

    2014-06-01

    We argue that basic psychological needs theory (BPNT) offers impetus to the value of mental toughness as a mechanism for optimizing human functioning. We hypothesized that psychological needs satisfaction (thwarting) would be associated with higher (lower) levels of mental toughness, positive affect, and performance and lower (higher) levels of negative affect. We also expected that mental toughness would be associated with higher levels of positive affect and performance and lower levels of negative affect. Further, we predicted that coaching environments would be related to mental toughness indirectly through psychological needs and that psychological needs would indirectly relate with performance and affect through mental toughness. Adolescent cross-country runners (136 male and 85 female, M(age) = 14.36) completed questionnaires pertaining to BPNT variables, mental toughness, and affect. Race times were also collected. Our findings supported our hypotheses. We concluded that BPNT is generative in understanding some of the antecedents and consequences of mental toughness and is a novel framework useful for understanding mental toughness.

  17. Formation of tough composite joints

    SciTech Connect

    Brun, M.K.

    1997-05-01

    Joints which exhibit tough fracture behavior were formed in a composite with a Si/SiC matrix reinforced with Textron SCS-6 fibers with either boron nitride or silicon nitride fiber coatings. In composites with BN coatings fibers were aligned uniaxially, while composites with Si{sub 3}N{sub 4}-coated fibers had a 0/90{degree} architecture. Lapped joints (joints with overlapping fingers) were necessary to obtain tough behavior. Geometrical requirements necessary to avoid brittle joint failure have been proposed. Joints with a simple overlap geometry (only a few fingers) would have to be very long in order to prevent brittle failure. Typical failure in these joints is caused by a crack propagating along the interfaces between the joint fingers. Joints of the same overall length, but with geometry changed to be symmetric about the joint centerline and with an extra shear surface exhibited tough fractures accompanied with extensive fiber pullout. The initial matrix cracking of these joints was relatively low because cracks propagated easily through the ends of the fingers. Joints with an optimized stepped sawtooth geometry produced composite-like failures with the stress/strain curves containing an elastic region followed by a region of rising stress with an increase of strain. Increasing the fiber/matrix interfacial strength from 9 to 25 MPa, by changing the fiber coating, increased matrix cracking and ultimate strength of the composite significantly. The best joints had matrix cracking stress and ultimate strength of 138 and 240 MPa, respectively. Joint failure was preceded by multiple matrix cracking in the entire composite. The high strength of the joints will permit building of structures containing joints with only a minor reduction of design stresses.

  18. High strength, tough alloy steel

    DOEpatents

    Thomas, Gareth; Rao, Bangaru V. N.

    1979-01-01

    A high strength, tough alloy steel is formed by heating the steel to a temperature in the austenite range (1000.degree.-1100.degree. C.) to form a homogeneous austenite phase and then cooling the steel to form a microstructure of uniformly dispersed dislocated martensite separated by continuous thin boundary films of stabilized retained austenite. The steel includes 0.2-0.35 weight % carbon, at least 1% and preferably 3-4.5% chromium, and at least one other substitutional alloying element, preferably manganese or nickel. The austenite film is stable to subsequent heat treatment as by tempering (below 300.degree. C.) and reforms to a stable film after austenite grain refinement.

  19. Hydrogen fracture toughness tester completion

    SciTech Connect

    Morgan, Michael J.

    2015-09-30

    The Hydrogen Fracture Toughness Tester (HFTT) is a mechanical testing machine designed for conducting fracture mechanics tests on materials in high-pressure hydrogen gas. The tester is needed for evaluating the effects of hydrogen on the cracking properties of tritium reservoir materials. It consists of an Instron Model 8862 Electromechanical Test Frame; an Autoclave Engineering Pressure Vessel, an Electric Potential Drop Crack Length Measurement System, associated computer control and data acquisition systems, and a high-pressure hydrogen gas manifold and handling system.

  20. Correcting for Exposure Misclassification Using Survival Analysis with a Time-varying Exposure

    PubMed Central

    Ahrens, Katherine; Lash, Timothy L.; Louik, Carol; Mitchell, Allen A.; Werler, Martha M.

    2012-01-01

    Purpose Survival analysis is increasingly being used in perinatal epidemiology to assess time-varying risk factors for various pregnancy outcomes. Here we show how quantitative correction for exposure misclassification can be applied to a Cox regression model with a time-varying dichotomous exposure. Methods We evaluated influenza vaccination during pregnancy in relation to preterm birth among 2,267 non-malformed infants whose mothers were interviewed as part of the Slone Birth Defects Study during 2006–2011. The hazard of preterm birth was modeled using a time-varying exposure Cox regression model with gestational age as the time-scale. The effect of exposure misclassification was then modeled using a probabilistic bias analysis that incorporated vaccination date assignment. The parameters for the bias analysis were derived from both internal and external validation data. Results Correction for misclassification of prenatal influenza vaccination resulted in an adjusted hazard ratio (AHR) slightly higher and less precise than the conventional analysis: bias corrected AHR 1.04 [95% simulation interval 0.70, 1.52]; conventional AHR 1.00 [95% confidence interval 0.71, 1.41]. Conclusion Probabilistic bias analysis allows epidemiologists to assess quantitatively the possible confounder-adjusted effect of misclassification of a time-varying exposure, in contrast to a speculative approach to understanding information bias. PMID:23041654

  1. [Survival after poisoning due to intake of ten-times lethal dose of acetone].

    PubMed

    Zettinig, G; Watzinger, N; Eber, B; Henning, G; Klein, W

    1997-11-28

    A 42-year-old man was found unconscious, having swallowed 800 ml of an unknown liquid with suicidal intent. On admission, when his breath smelled strongly of acetone, he was intubated and ventilated, and several gastric lavages were performed. The serum acetone concentration was 2000 mg/l, that in urine 2300 mg/l. The residue of the liquid in the bottle from which he had drunk was pure acetone. Acetone poisoning having been established he was carefully hyperventilated, haemofiltration was performed over 16 hours and forced diuresis with high fluid intake was undertaken. His condition quickly improved and he was extubated after 14 hours. There was no subsequent evidence of organ damage. Repeated measurements of acetone in blood and urine indicated its elimination with a half-life of 11 hours. Literature search revealed that this was the second highest concentration of acetone in blood and urine followed by survival. This case demonstrates that, after acute acetone poisoning with an amount ten times the lethal dose, intensive care and rapid elimination of acetone can achieve sequelae-free survival.

  2. Chaotic dynamics of Halley's comet: Lyapunov exponents and survival-time prospects

    NASA Astrophysics Data System (ADS)

    Muñoz-Gutiérrez, M.; Reyes-Ruiz, M.; Pichardo, B.

    2014-07-01

    We have explored the dynamical evolution of the comet 1P/Halley over 1 Myr with detailed numerical simulations, under the gravitational influence of all the planets in the present-day Solar System (except Mercury). To this purpose, we have employed the Mercury 6.2 code, including, in addition to the planets, the 9 largest minor bodies (among them those known as dwarf planets except for Sedna) to conduct the N-body simulation. The comet's fiduciary orbit, and a set of orbits surrounding it in the phase space (a-e), are solved as test particles in this problem. The ensemble of orbits explored is constructed as a mesh of 10,000 particles with different initial conditions covering the observational error of the orbit in the semimajor axis and eccentricity (± 10^{-6} au and ± 10^{-6}, respectively). We find that the comet's fate is highly sensitive to initial conditions. Survival time maps from the simulations and Laskar frequency analysis maps for the vicinity of Halley's comet are shown. Also, the maximum Lyapunov exponent for neighboring orbits is calculated. This shows that chaos is dominant for these highly eccentric orbits as found by Chirikov & Vecheslavov (1989) and produces large non-stable regions for the comet's surrounding phase space. We provide estimations of the probability of survival of Halley's comet and a general perspective about the dynamical evolution of comets on a wider region of phase-space which covers several currently known Halley-type comets.

  3. Time to lowest postoperative carcinoembryonic antigen level is predictive on survival outcome in rectal cancer

    PubMed Central

    Yu, Huichuan; Luo, Yanxin; Wang, Xiaolin; Bai, Liangliang; Huang, Pinzhu; Wang, Lei; Huang, Meijin; Deng, Yanhong; Wang, Jianping

    2016-01-01

    This study was to investigate whether the time to the lowest postoperative CEA can predict cancer survival. We enrolled 155 rectal cancer patients in this retrospective and longitudinal cohort study. Deepness of response (DpR) of CEA refers to the relative change of the lowest postoperative CEA level from baseline, and time to DpR (TTDpR) refers to the time from surgery to the lowest postoperative CEA level. The median of TTDpR and DpR was 4.5 (range, 3.0–18.0) weeks and −67% (range, −99% to 114%) respectively. Patients with TTDpR 4.5 weeks. Using TTDpR as a continuous variable, the HR of DFS and OS was 1.13 (95% CI 1.06–1.22, P = 0.001) and 1.17 (95% CI 1.07–1.29, P = 0.001) respectively. On multivariate analysis, the predictive value of prolonged TTDpR remained [adjusted HRs: 1.12 (95% CI 1.03–1.21, P = 0.006) and 1.17 (95% CI 1.06–1.28, P = 0.001)]. These findings remained significant in patients with normal preoperative CEA. Our results showed prolonged TTDpR of CEA independently predicted unfavorable survival outcomes, regardless of whether preoperative CEA was elevated or not. PMID:27658525

  4. On the development of MP-TOUGH2

    SciTech Connect

    Oldenburg, C.M.; Hinkins, R.L.; Moridis, G.J.; Pruess, K.

    1995-02-01

    The authors are developing MP-TOUGH2 for exploiting massively parallel computers. The goals of this effort are to (1) create a data-parallel subsurface transport code for solving larger problems than currently practical on workstations, (2) write portable code that can take advantage of scalability to run on machines with more processors, and (3) minimize the necessity for additional validation and verification of the resulting code. The initial strategy they have followed is to focus on optimizing the generic and time-consuming task of linear equation solution while leaving the bulk of TOUGH2 unmodified. In so doing, they have implemented a massively parallel direct solver (MPDS) that takes advantage of the banded structure of TOUGH2 Jacobian matrices. The authors have compared timings of the iterative conjugate gradient solvers DSLUBC, DSLUCS, and DSLUGM written in Fortran77 for the front end with the MPDS which uses the data parallel unit. The MPDS shows good performance relative to the iterative conjugate gradient solvers on the free-convection test problem. The robust direct solution provided by MPDS can be used to (1) check on the veracity of a given iterative conjugate gradient solution, or (2) be used on certain problems where iterative solvers fail to converge. The test problem used in this study is the Elder pure thermal convection problem. For generality, the authors use the TOUGH2 equation of state module EOS3 for water, air, and heat, although this particular problem is a single-phase flow problem.

  5. Time-Varying Effects of Prognostic Factors Associated With Disease-Free Survival in Breast Cancer

    PubMed Central

    Natarajan, Loki; Pu, Minya; Parker, Barbara A.; Thomson, Cynthia A.; Caan, Bette J.; Flatt, Shirley W.; Madlensky, Lisa; Hajek, Richard A.; Al-Delaimy, Wael K.; Saquib, Nazmus; Gold, Ellen B.

    2009-01-01

    Early detection and effective treatments have dramatically improved breast cancer survivorship, yet the risk of relapse persists even 15 years after the initial diagnosis. It is important to identify prognostic factors for late breast cancer events. The authors investigated time-varying effects of tumor characteristics on breast-cancer-free survival using data on 3,088 breast cancer survivors from 4 US states who participated in a randomized dietary intervention trial in 1995–2006, with maximum follow-up through 15 years (median, 9 years). A piecewise constant penalized spline approach incorporating time-varying coefficients was adopted, allowing for deviations from the proportional hazards assumption. This method is more flexible than standard approaches, provides direct estimates of hazard ratios across time intervals, and is computationally tractable. Having a stage II or III tumor was associated with a 3-fold higher hazard of breast cancer than having a stage I tumor during the first 2.5 years after diagnosis; this hazard ratio decreased to 2.1 after 7.7 years, but higher tumor stage remained a significant risk factor. Similar diminishing effects were found for poorly differentiated tumors. Interestingly, having a positive estrogen receptor status was protective up to 4 years after diagnosis but detrimental after 7.7 years (hazard ratio = 1.5). These results emphasize the importance of careful statistical modeling allowing for possibly time-dependent effects in long-term survivorship studies. PMID:19403844

  6. Indium-111 labeled platelet survival time studies in patients with prosthetic heart valves

    SciTech Connect

    Martinovitch, U.; Carrick, P.; Lieberman, L.M.

    1985-05-01

    Platelet survival time (PST) studies are useful to demonstrate whether or not patients with prosthetic heart valves have normal or shortened PST. During treatment for recurrent TIAs the PST will signal whether the patient is returning towards a normal PST. Using Indium-111 labeled platelets (ILP) the authors studied 10 patients suffering recurrent TIAs after prosthetic valve surgery to determine whether low dose aspirin increased their PST toward normal and whether the treatment had a beneficial effect on their TIA episodes. The authors conclude that low dose aspirin therapy as studied by ILP has no beneficial effect on PST or in preventing recurrent TIA. ILP is an important technique that allows the physician to identify those patients with shortened PST and to determine response to therapy.

  7. University Technology Transfer: In Tough Economic Times

    ERIC Educational Resources Information Center

    Powers, Joshua B.; Campbell, Eric G.

    2009-01-01

    In 1907, Frederick Cottrell, professor of chemistry at the University of California-Berkeley and father of the modern academic patent, worried that if universities became too directly involved in patenting and licensing operations, their thirst for profits could lead to the erosion of the openness necessary for academic science to flourish. For…

  8. Entrepreneurial Aussies--Success in Tough Times.

    ERIC Educational Resources Information Center

    Rudolph, John; Barnaart, Antoine; Smith, Mike

    This presentation describes the entrepreneurial and intrapreneurial strategies being adopted by two Technical and Further Education (TAFE) institutions in Australia, Northern Territory University and the Victoria University of Technology. The similarities are stressed between TAFE institutions, North American community and technical colleges, and…

  9. University Technology Transfer: In Tough Economic Times

    ERIC Educational Resources Information Center

    Powers, Joshua B.; Campbell, Eric G.

    2009-01-01

    In 1907, Frederick Cottrell, professor of chemistry at the University of California-Berkeley and father of the modern academic patent, worried that if universities became too directly involved in patenting and licensing operations, their thirst for profits could lead to the erosion of the openness necessary for academic science to flourish. For…

  10. Staying True?: Progressive Leadership in Tough Times

    ERIC Educational Resources Information Center

    Pignatelli, Frank

    2012-01-01

    A system of accountability in public schools predicated upon standardized testing accompanied by high-stakes consequences for leaders, as well as teachers and students, has posed a daunting challenge to educational leaders who align themselves with core tenets of progressive education. This essay explores what it might mean--and take--to stay true…

  11. Exporters are having a tough time

    SciTech Connect

    Not Available

    1987-08-01

    This is an article which is a survey of petroleum activity in the Far East. The article is accompanied by a detailed color map showing the activity in detail. Highlights of the article are that China has become the world's third largest driller and fourth largest producer. In addition, India has benefitted from falling oil prices and its drilling activity is increasing significantly. The newest area in this part of the world is the Pakistan area where the exploratory successes and active licensing procedures have been very successful. Also, new producers are being attracted to Malaysia because of liberalized production sharing contracts. Areas of decreased activity or interest are Indonesia which has responded by offering better incentives to form producers and to Thailand where activity has virtually halted.

  12. Raising Resilient Children during Tough Economic Times

    ERIC Educational Resources Information Center

    Tom, A.; Yuen, S.; Fong, G.; Nemoto, M.; Hisatake, T.; Choy, A.; Chang, W.

    2009-01-01

    Financial hardship can result from many different circumstances--a poor economy, the loss of a job, underemployment, the prolonged illness of a family member, divorce, poor money management, or a combination of several factors. Whatever the cause, the resulting impact on a family can be stressful for all members, including children. Stress from…

  13. Managing board relationships in tough times.

    PubMed

    Commins, Kimberly; Render, John

    2003-01-01

    Scandals have dominated newspaper headlines, bringing corporate directors under increasing scrutiny. These issues continue to elicit public outrage about wrongdoing and ultimately resulted in standards for for-profit corporate board members through the enactment of the Sarbanes Oxley Act in 2002. Although all board members must address corporate responsibility issues, directors of health care organizations also have responsibilities unique to the health care industry that must be met in relation to corporate compliance requirements.

  14. E-Resources in Tough Times

    ERIC Educational Resources Information Center

    Tenopir, Carol

    2004-01-01

    Librarians must get the most for their money and look to technology for new solutions. Several respondents think poor budgets mean more reliance on online databases and electronic full texts with less purchase of print. Companies that produce both media are likely to continue as long as there is a market for both, but they are gearing up for the…

  15. E-Resources in Tough Times

    ERIC Educational Resources Information Center

    Tenopir, Carol

    2004-01-01

    Librarians must get the most for their money and look to technology for new solutions. Several respondents think poor budgets mean more reliance on online databases and electronic full texts with less purchase of print. Companies that produce both media are likely to continue as long as there is a market for both, but they are gearing up for the…

  16. Staying True?: Progressive Leadership in Tough Times

    ERIC Educational Resources Information Center

    Pignatelli, Frank

    2012-01-01

    A system of accountability in public schools predicated upon standardized testing accompanied by high-stakes consequences for leaders, as well as teachers and students, has posed a daunting challenge to educational leaders who align themselves with core tenets of progressive education. This essay explores what it might mean--and take--to stay true…

  17. How to keep cool in tough times.

    PubMed

    Muller-Smith, P

    1999-02-01

    Reengineering is no longer an event that has a beginning and an end. It is an ongoing process of change that continues to occur in all types of businesses. Because there is no longer the sense of security that doing a job well will guarantee continued employment, workers have to approach career planning from a different perspective. Moving up the career ladder in a single organization can no longer serve as the benchmark of success. The contemporary approach to success will be more geared toward the ability to constantly reinvent your unique set of job skills that are transferable from one job setting to another, thus ensuring employability.

  18. Raising Resilient Children during Tough Economic Times

    ERIC Educational Resources Information Center

    Tom, A.; Yuen, S.; Fong, G.; Nemoto, M.; Hisatake, T.; Choy, A.; Chang, W.

    2009-01-01

    Financial hardship can result from many different circumstances--a poor economy, the loss of a job, underemployment, the prolonged illness of a family member, divorce, poor money management, or a combination of several factors. Whatever the cause, the resulting impact on a family can be stressful for all members, including children. Stress from…

  19. Changes in Patient and Technique Survival over Time among Incident Peritoneal Dialysis Patients in Canada

    PubMed Central

    Wald, Ron; Bargman, Joanne M.; Na, Yingbo; Jassal, S. Vanita; Jain, Arsh K.; Moist, Louise; Nessim, Sharon J.

    2012-01-01

    Summary Background and objectives In the last 15 years in Canada, there have been less stringent guidelines for peritoneal dialysis (PD) adequacy, availability of novel PD solutions, and lower PD-related peritonitis rates. Effects of these changes on outcomes of incident patients treated with PD during this period are unknown. Design, setting, participants, & measurements Risk of PD technique failure and mortality were compared among three incident cohorts of PD patients who initiated dialysis during the following periods: 1995–2000, 2001–2005, and 2006–2009. A multivariable model was used to evaluate time to PD technique failure using inverse probability of treatment and censoring weights accounting for changing survival and transplantation rates. Results Between 1995 and 2009,13,120 incident adult PD patients were identified from the Canadian Organ Replacement Register. Compared with the 1995–2000 cohort (n=5183), the risk of PD technique failure was lower among patients between 2001 and 2005 (n=4316) but similar among incident patients between 2006 and 2009 (n=3621). Cause-specific PD technique failure revealed no difference in PD peritonitis-related technique failure over time. PD technique failure due to inadequate PD was initially higher in the 2001–2005 cohort but lower in the 2006–2009 cohort compared with the 1995–2000 cohort. Relative to incident patients between 1995 and 2000, adjusted mortality was lower among incident patients between 2001 and 2005 and 2006 and 2009. Conclusions Survival on PD continues to improve with only modest changes in PD technique failure. Peritonitis remains an ongoing and modifiable source of PD technique failure. PMID:22554718

  20. MiRKAT-S: a community-level test of association between the microbiota and survival times.

    PubMed

    Plantinga, Anna; Zhan, Xiang; Zhao, Ni; Chen, Jun; Jenq, Robert R; Wu, Michael C

    2017-02-08

    Community-level analysis of the human microbiota has culminated in the discovery of relationships between overall shifts in the microbiota and a wide range of diseases and conditions. However, existing work has primarily focused on analysis of relatively simple dichotomous or quantitative outcomes, for example, disease status or biomarker levels. Recently, there is also considerable interest in the relationship between the microbiota and censored survival outcomes, such as in clinical trials. How to conduct community-level analysis with censored survival outcomes is unclear, since standard dissimilarity-based tests cannot accommodate censored survival times and no alternative methods exist. We develop a new approach, MiRKAT-S, for community-level analysis of microbiome data with censored survival times. MiRKAT-S uses ecologically informative distance metrics, such as the UniFrac distances, to generate matrices of pairwise distances between individuals' taxonomic profiles. The distance matrices are transformed into kernel (similarity) matrices, which are used to compare similarity in the microbiota to similarity in survival times between individuals. Simulation studies using synthetic microbial communities demonstrate correct control of type I error and adequate power. We also apply MiRKAT-S to examine the relationship between the gut microbiota and survival after allogeneic blood or bone marrow transplant. We present MiRKAT-S, a method that facilitates community-level analysis of the association between the microbiota and survival outcomes and therefore provides a new approach to analysis of microbiome data arising from clinical trials.

  1. Time-specific patterns of nest survival for ducks and passerines breeding in North Dakota

    USGS Publications Warehouse

    Shaffer, Terry L.; Grant, Todd A.

    2012-01-01

    In many bird species, survival can vary with the age of the nest, with the date a nest was initiated, or among years within the same nesting area. A literature review showed that patterns of survival vary in relation to nest age and date and are often contradictory. Inconsistencies could be a result of temporal variation in the environment or life-history differences among species. We examined patterns of nest survival in relation to nest age, date, and year for several duck and passerine species nesting at a single location in North Dakota during 1998–2003. We predicted that if environment shaped nest survival patterns, then temporal patterns in survival might be similar among three species of upland nesting ducks, and also among three species of grassland passerines nesting at the same site. We expected that survival patterns would differ between ducks and passerines because of relatively disparate life histories and differences in predators that prey on their nests. Nest survival was rarely constant among years, seasonally, or with age of the nest for species that we studied. As predicted, the pattern of survival was similar among duck species, driven mainly by differences in nest survival associated with nest initiation date. The pattern of survival also was similar among passerine species, but nest survival was more influenced by nest age than by date. Our findings suggest that some but not all variation in temporal patterns of nest survival in grassland birds reported in the literature can be explained on the basis of temporal environmental variation. Because patterns of survival were dissimilar among ducks and passerines, it is likely that mechanisms such as predation or brood parasitism have variable influences on productivity of ducks and passerines nesting in the same area. Our results indicate that biologists and managers should not assume that temporal environmental variations, especially factors that affect nest survival, act similarly on all

  2. Survival analysis and prognostic factors of timing of first childbirth among women in Nigeria.

    PubMed

    Fagbamigbe, Adeniyi Francis; Idemudia, Erhabor Sunday

    2016-05-13

    First childbirth in a woman's life is one of the most important events in her life. It marks a turnaround when she might have to drop roles of career building and education, for motherhood and parenthood. The timing of the commencement of these roles affects the child bearing behavior of women as they progress in their reproductive ages. Prevalent early first childbirth in Nigeria has been reported as the main cause of high population growth and high  fertility, mortality and morbidity among women, but little has been documented on the progression into first birth as well as factors affecting it in Nigeria. This paper modelled timing of first birth among women in Nigeria and determined socio-demographic and other factors affecting its timing. We hypothesized that background characteristics of a woman will influence her progression into having first birth. We developed and fitted a survival analysis model to understand the timing of first birth among women in Nigeria using a national representative 2013 NDHS data. Women with no children were right censored as of the date of the survey. The Kaplan Meier survival function was used to estimate the probabilities of first birth not occurring until certain ages of women while Cox proportional hazard regression was used to model the timing of first births at 5 % significance level. About 75.7 % of the respondents had given birth in the Northern region of Nigerian compared with 63.8 % in the South. Half (50.1 %) of the first childbirth occurred within the 15-19 years age bracket and 38.1 % within 20-29 years. The overall median survival time to first birth was 20 years (North 19, South 22), 27 years among women with higher education and 18 years for those with no formal education. The adjusted hazard of first birth was higher in the Northern region of Nigeria than in the South (aHR = 1.24, 95 % CI: 1.20-1.27), and higher in rural areas than in urban areas (aHR = 1.15, 95 % CI: 1.12-1.19). Also, hazard of earlier first

  3. Fracture toughness of hot-pressed beryllium

    NASA Technical Reports Server (NTRS)

    Lemon, D. D.; Brown, W. F., Jr.

    1985-01-01

    This paper presents the results of an investigation into the fracture toughness, sustained-load flaw growth, and fatigue-crack propagation resistance of S200E hot-pressed beryllium at room temperature. It also reviews the literature pertaining to the influence of various factors on the fracture toughness of hot-pressed beryllium determined using fatigue-cracked specimens.

  4. "Under the Tough Old Stars": Ecopedagogical Essays.

    ERIC Educational Resources Information Center

    Jardine, David W.

    This book reviews the pedagogy and ecology of education and the philosophical and historical conditions of these theories, and discusses problems of the curriculum. Contents include: (1) "Introduction: Learning to Work Under the Tough Old Stars"; (2) "Under the Tough Old Stars: Meditation on Pedagogical Hyperactivity and the Mood of Environmental…

  5. "Under the Tough Old Stars": Ecopedagogical Essays.

    ERIC Educational Resources Information Center

    Jardine, David W.

    This book reviews the pedagogy and ecology of education and the philosophical and historical conditions of these theories, and discusses problems of the curriculum. Contents include: (1) "Introduction: Learning to Work Under the Tough Old Stars"; (2) "Under the Tough Old Stars: Meditation on Pedagogical Hyperactivity and the Mood of Environmental…

  6. On the development of a new fracture toughness procedure

    NASA Astrophysics Data System (ADS)

    Bernard, M.; Provan, J. W.

    1989-05-01

    The present ASTM test procedure for plane strain fracture toughness is time consuming, expensive, includes specimen thickness requirements, and provides no assurance of a valid K(sub IC). An attempt to circumvent the thickness limitations and to develop a simple, inexpensive method to determine plane strain fracture toughness is reported. A novel disc-shaped specimen geometry was investigated for the determination of the plane strain fracture toughness of metallic materials. The specimen has an axisymmetric notch on its upper face, is clamped on its periphery and is uniformly and perpendicularly loaded around the notch. The frozen stress photoelasticity method was applied to Araldite specimens with fatigue precracked notches to determine the stress intensity factors and the fracture mode. One configuration was retained and using the crack profile from the test, a finite element study was performed to determine the compliance of the specimen geometry. Finally, the fracture toughness of aluminium Al7075-T651 was determined by applying the critical load obtained from rupture tests.

  7. Tough and tunable adhesion of hydrogels: experiments and models

    NASA Astrophysics Data System (ADS)

    Zhang, Teng; Yuk, Hyunwoo; Lin, Shaoting; Parada, German A.; Zhao, Xuanhe

    2017-06-01

    As polymer networks infiltrated with water, hydrogels are major constituents of animal and plant bodies and have diverse engineering applications. While natural hydrogels can robustly adhere to other biological materials, such as bonding of tendons and cartilage on bones and adhesive plaques of mussels, it is challenging to achieve such tough adhesions between synthetic hydrogels and engineering materials. Recent experiments show that chemically anchoring long-chain polymer networks of tough synthetic hydrogels on solid surfaces create adhesions tougher than their natural counterparts, but the underlying mechanism has not been well understood. It is also challenging to tune systematically the adhesion of hydrogels on solids. Here, we provide a quantitative understanding of the mechanism for tough adhesions of hydrogels on solid materials via a combination of experiments, theory, and numerical simulations. Using a coupled cohesive-zone and Mullins-effect model validated by experiments, we reveal the interplays of intrinsic work of adhesion, interfacial strength, and energy dissipation in bulk hydrogels in order to achieve tough adhesions. We further show that hydrogel adhesion can be systematically tuned by tailoring the hydrogel geometry and silanization time of solid substrates, corresponding to the control of energy dissipation zone and intrinsic work of adhesion, respectively. The current work further provides a theoretical foundation for rational design of future biocompatible and underwater adhesives.

  8. A laboratory means to produce tough aluminum sheet from powder

    NASA Astrophysics Data System (ADS)

    Singleton, O. R.; Royster, D. M.; Thomas, J. R.

    The rapid solidification of aluminum alloys as powder and the subsequent fabrication processes can be used to develop and tailor alloys to satisfy specific aerospace design requirements, including high strength and toughness. Laboratory procedures to produce aluminum powder-metallurgy (PM) materials are efficient but require evidence that the laboratory methods used can produce a product with superior properties. This paper describes laboratory equipment and procedures which can be used to produce tough aluminum PM sheet. The processing of a 2124 + 0.9 percent Zr aluminum alloy powder is used as an example. The fully hardened sheet product is evaluated in terms of properties and microstructure. The key features of the vacuum hot press pressing operation used to consolidate the powder are described. The 2124 + 0.9 percent Zr - T8 temper aluminum sheet produced was both strong (460-490 MPa yield strength) and tough (Kahn Tear unit-propagation- energy values over three times those typical for ingot metallurgy 2024-T81). Both the longitudinal and longitudinal-transverse directions of the sheet were tested. The microstructure was well refined with subgrains of one or two micrometers. Fine dispersoids of Al3Zr in the precipitate free regions adjacent to boundaries are believed to contribute to the improved toughness.

  9. A laboratory means to produce tough aluminum sheet from powder

    NASA Technical Reports Server (NTRS)

    Singleton, O. R.; Royster, D. M.; Thomas, J. R.

    1990-01-01

    The rapid solidification of aluminum alloys as powder and the subsequent fabrication processes can be used to develop and tailor alloys to satisfy specific aerospace design requirements, including high strength and toughness. Laboratory procedures to produce aluminum powder-metallurgy (PM) materials are efficient but require evidence that the laboratory methods used can produce a product with superior properties. This paper describes laboratory equipment and procedures which can be used to produce tough aluminum PM sheet. The processing of a 2124 + 0.9 percent Zr aluminum alloy powder is used as an example. The fully hardened sheet product is evaluated in terms of properties and microstructure. The key features of the vacuum hot press pressing operation used to consolidate the powder are described. The 2124 + 0.9 percent Zr - T8 temper aluminum sheet produced was both strong (460-490 MPa yield strength) and tough (Kahn Tear unit-propagation- energy values over three times those typical for ingot metallurgy 2024-T81). Both the longitudinal and longitudinal-transverse directions of the sheet were tested. The microstructure was well refined with subgrains of one or two micrometers. Fine dispersoids of Al3Zr in the precipitate free regions adjacent to boundaries are believed to contribute to the improved toughness.

  10. Effects of direct and indirect bleach on dentin fracture toughness.

    PubMed

    Tam, L E; Noroozi, A

    2007-12-01

    There are concerns that tooth-whitening procedures irreversibly damage tooth structure. We investigated the hypothesis that dental bleaches significantly affect dentin structural integrity. The objective was to evaluate the effects of peroxide bleaches on dentin fracture toughness. Compact test specimens, composed of human dentin, were used (n = 10/group). Bleach (16% or 10% carbamide peroxide or 3% hydrogen peroxide) or control material, containing 0.1% sodium fluoride, was applied directly or indirectly to dentin through enamel (6 hrs/day) for 2 or 8 weeks. Fracture toughness results were analyzed by ANOVA and Fisher's LSD test (p < 0.05). There were significant decreases in mean fracture toughness after two- and eight-week direct (19-34% and 61-68%, respectively) and indirect (up to 17% and 37%, respectively) bleach application. The in vitro reduction in dentin fracture toughness caused by the application of peroxide bleaches was greater for the direct application method, longer application time, and higher bleach concentration.

  11. Radiation Treatment Time and Overall Survival in Locally Advanced Non-small Cell Lung Cancer.

    PubMed

    McMillan, Matthew T; Ojerholm, Eric; Verma, Vivek; Higgins, Kristin A; Singhal, Sunil; Predina, Jarrod D; Berman, Abigail T; Grover, Surbhi; Robinson, Cliff G; Simone, Charles B

    2017-08-01

    Prolonged radiation treatment (RT) time (RTT) has been associated with worse survival in several malignancies. The present study investigated whether delays during RT are associated with overall survival (OS) in non-small cell lung cancer (NSCLC). The National Cancer Database was queried for patients with stage III NSCLC who had received definitive concurrent chemotherapy and fractionated RT to standard doses (59.4-70.0 Gy) and fractionation from 2004 to 2013. The RTT was classified as standard or prolonged for each treatment regimen according to the radiation dose and number of fractions. Cox proportional hazards models were used to evaluate the association between the following factors and OS: RTT, RT fractionation, demographic and pathologic factors, and chemotherapeutic agents. Of 14,154 patients, the RTT was prolonged in 6262 (44.2%). Factors associated with prolonged RTT included female sex (odds ratio [OR] 1.21, P<.0001), black race (OR 1.20, P=.001), nonprivate health insurance (OR 1.30, P<.0001), and lower income (<$63,000 annually, OR 1.20, P<.0001). The median OS was significantly worse for patients with prolonged RTT than that for those with standard RTT (18.6 vs 22.7 months, P<.0001). Furthermore, the OS worsened with each cumulative interval of delay (standard RTT vs prolonged 1-2 days, 20.5 months, P=.009; prolonged 3-5 days, 17.9 months, P<.0001; prolonged 6-9 days, 17.7 months, P<.0001; prolonged >9 days, 17.1 months, P<.0001). On multivariable analysis, prolonged RTT was independently associated with inferior OS (hazard ratio 1.21, P<.0001). Prolonged RTT as a continuous variable was also significantly associated with worse OS (hazard ratio 1.001, P=.0007). Delays during RT appear to negatively affect survival for patients with locally advanced NSCLC. We have detailed the demographic and socioeconomic barriers influencing prolonged RTT as a method to address the health disparities in this regard. Cumulative interruptions of RT should be

  12. Analysis of multilevel grouped survival data with time-varying regression coefficients.

    PubMed

    Wong, May C M; Lam, K F; Lo, Edward C M

    2011-02-10

    Correlated or multilevel grouped survival data are common in medical and dental research. Two common approaches to analyze such data are the marginal and the random-effects approaches. Models and methods in the literature generally assume that the treatment effect is constant over time. A researcher may be interested in studying whether the treatment effects in a clinical trial vary over time, say fade out gradually. This is of particular clinical value when studying the long-term effect of a treatment. This paper proposed to extend the random effects grouped proportional hazards models by incorporating the possibly time-varying covariate effects into the model in terms of a state-space formulation. The proposed model is very flexible and the estimation can be performed using the MCMC approach with non-informative priors in the Bayesian framework. The method is applied to a data set from a prospective clinical trial investigating the effectiveness of silver diamine fluoride (SDF) and sodium fluoride (NaF) varnish in arresting active dentin caries in the Chinese preschool children. It is shown that the treatment groups with caries removal prior to the topical fluoride applications are most effective in shortening the arrest times in the first 6-month interval, but their effects fade out rapidly since then. The effects of treatment groups without caries removal prior to topical fluoride application drop at a very slow rate and can be considered as more or less constant over time. The applications of SDF solution is found to be more effective than the applications of NaF vanish. Copyright © 2010 John Wiley & Sons, Ltd.

  13. Impact of collaborative care on survival time for dogs with congestive heart failure and revenue for attending primary care veterinarians.

    PubMed

    Lefbom, Bonnie K; Peckens, Neal K

    2016-07-01

    OBJECTIVE To assess the effects of in-person collaborative care by primary care veterinarians (pcDVMs) and board-certified veterinary cardiologists (BCVCs) on survival time of dogs after onset of congestive heart failure (CHF) and on associated revenue for the attending pcDVMs. DESIGN Retrospective cohort study. ANIMALS 26 small-breed dogs treated for naturally occurring CHF secondary to myxomatous mitral valve disease at a multilocation primary care veterinary hospital between 2008 and 2013. PROCEDURES Electronic medical records were reviewed to identify dogs with confirmed CHF secondary to myxomatous mitral valve disease and collect information on patient care, survival time, and pcDVM revenue. Data were compared between dogs that received collaborative care from the pcDVM and a BCVC and dogs that received care from the pcDVM alone. RESULTS Dogs that received collaborative care had a longer median survival time (254 days) than did dogs that received care from the pcDVM alone (146 days). A significant positive correlation was identified between pcDVM revenue and survival time for dogs that received collaborative care (ie, the longer the dog survived, the greater the pcDVM revenue generated from caring for that patient). CONCLUSIONS AND CLINICAL RELEVANCE Findings suggested that collaborative care provided to small-breed dogs with CHF by a BCVC and pcDVM could result in survival benefits for affected dogs and increased revenue for pcDVMs, compared with care provided by a pcDVM alone.

  14. Differences in the timing of cardio-respiratory development determine whether marine gastropod embryos survive or die in hypoxia.

    PubMed

    Rudin-Bitterli, Tabitha S; Spicer, John I; Rundle, Simon D

    2016-04-01

    Physiological plasticity of early developmental stages is a key way by which organisms can survive and adapt to environmental change. We investigated developmental plasticity of aspects of the cardio-respiratory physiology of encapsulated embryos of a marine gastropod, Littorina obtusata, surviving exposure to moderate hypoxia (PO2 =8 kPa) and compared the development of these survivors with that of individuals that died before hatching. Individuals surviving hypoxia exhibited a slower rate of development and altered ontogeny of cardio-respiratory structure and function compared with normoxic controls (PO2 >20 kPa). The onset and development of the larval and adult hearts were delayed in chronological time in hypoxia, but both organs appeared earlier in developmental time and cardiac activity rates were greater. The velum, a transient, 'larval' organ thought to play a role in gas exchange, was larger in hypoxia but developed more slowly (in chronological time), and velar cilia-driven, rotational activity was lower. Despite these effects of hypoxia, 38% of individuals survived to hatching. Compared with those embryos that died during development, these surviving embryos had advanced expression of adult structures, i.e. a significantly earlier occurrence and greater activity of their adult heart and larger shells. In contrast, embryos that died retained larval cardio-respiratory features (the velum and larval heart) for longer in chronological time. Surviving embryos came from eggs with significantly higher albumen provisioning than those that died, suggesting an energetic component for advanced development of adult traits.

  15. Time interval between endometrial biopsy and surgical staging for type I endometrial cancer: association between tumor characteristics and survival outcome.

    PubMed

    Matsuo, Koji; Opper, Neisha R; Ciccone, Marcia A; Garcia, Jocelyn; Tierney, Katherine E; Baba, Tsukasa; Muderspach, Laila I; Roman, Lynda D

    2015-02-01

    To examine whether wait time between endometrial biopsy and surgical staging correlates with tumor characteristics and affects survival outcomes in patients with type I endometrial cancer. A retrospective study was conducted to examine patients with grade 1 and 2 endometrioid adenocarcinoma diagnosed by preoperative endometrial biopsy who subsequently underwent hysterectomy-based surgical staging between 2000 and 2013. Patients who received neoadjuvant chemotherapy or hormonal treatment were excluded. Time interval and grade change between endometrial biopsy and hysterectomy were correlated to demographics and survival outcomes. Median wait time was 57 days (range 1-177 days) among 435 patients. Upgrading of the tumor to grade 3 in the hysterectomy specimen was seen in 4.7% of 321 tumors classified as grade 1 and 18.4% of 114 tumors classified as grade 2 on the endometrial biopsy, respectively. Wait time was not associated with grade change (P>.05). Controlling for age, ethnicity, body habitus, medical comorbidities, CA 125 level, and stage, multivariable analysis revealed that wait time was not associated with survival outcomes (5-year overall survival rates, wait time 1-14, 15-42, 43-84, and 85 days or more; 62.5%, 93.6%, 95.2%, and 100%, respectively, P>.05); however, grade 1 to 3 on the hysterectomy specimen remained as an independent prognosticator associated with decreased survival (5-year overall survival rates, grade 1 to 3 compared with grade change 1 to 1, 82.1% compared with 98.5%, P=.01). Among grade 1 preoperative biopsies, grade 1 to 3 was significantly associated with nonobesity (P=.039) and advanced stage (P=.019). Wait time for surgical staging was not associated with decreased survival outcome in patients with type I endometrial cancer.

  16. Timing of adjuvant chemotherapy and its relation to survival among patients with stage III colon cancer.

    PubMed

    Bos, A C R K; van Erning, F N; van Gestel, Y R B M; Creemers, G J M; Punt, C J A; van Oijen, M G H; Lemmens, V E P P

    2015-11-01

    Currently available data suggest that delaying the start of adjuvant chemotherapy in colon cancer patients has a detrimental effect on survival. We analysed which factors impact on the timing of adjuvant chemotherapy and evaluated the influence on overall survival (OS). Stage III colon cancer patients who underwent resection and received adjuvant chemotherapy between 2008 and 2013 were selected from the Netherlands Cancer Registry. Timing of adjuvant chemotherapy was subdivided into: ⩽ 4, 5-6, 7-8, 9-10, 11-12 and 13-16 weeks post-surgery. Multivariable regressions were performed to assess the influence of several factors on the probability of starting treatment within 8 weeks post-surgery and to evaluate the association of timing of adjuvant chemotherapy with 5-year OS. 6620 patients received adjuvant chemotherapy, 14% commenced after 8 weeks. Factors associated with starting treatment after 8 weeks were older age (Odds ratio (OR) 65-74 versus < 65 years 1.3 (95% confidence interval (CI): 1.14-1.58); OR ⩾ 75 versus < 65 years 1.6 (1.25-1.94)), emergency resection (OR 1.8 (1.41-2.32)), anastomotic leakage (OR 8.1 (6.14-10.62)), referral to another hospital for adjuvant chemotherapy (OR 1.9 (1.36-2.57)) and prolonged postoperative hospital admission (OR 4.7 (3.30-6.68)). Starting 5-8 weeks post-surgery showed no decrease in OS compared to initiation within 4 weeks (Hazard ratio (HR) 5-6 weeks 0.9 (0.79-1.11); HR 7-8 weeks 1.1 (0.91-1.30)). However, commencing beyond 8 weeks was associated with decreased OS compared to initiation within 8 weeks (HR 9-10 weeks 1.4 (1.21-1.68); HR 11-12 weeks 1.3 (1.06-1.59); HR 13-16 weeks 1.7 (1.23-2.23)). Our data support initiating adjuvant chemotherapy in stage III colon cancer patients within 8 weeks post-surgery. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. Effect of Elevated Temperature and Loading Rate on Delamination Fracture Toughness

    NASA Technical Reports Server (NTRS)

    Reeder, J. R.; Allen, D. H.; Bradley, W. L.

    2003-01-01

    The effects of temperature and loading rate on delamination growth were studied. The delamination fracture toughness of IM7/K3B was measured at 149 C, 177 C, and 204 C. At each temperature the tests were performed with a variety of loading rates so that the delamination initiated over the range of time from 0.5 sec to 24 hrs. The double cantilever beam (DCB) test was used to measure fracture toughness. The results showed that the delamination resistance is a complicated function of both time and temperature with the effect of temperature either increasing or decreasing the fracture toughness depending on the time scale. The results also showed that the fracture toughness changed by as much as a factor of three as the time scale changed over the five orders of magnitude tested.

  18. Continuum Damage Modeling for Dynamic Fracture Toughness of Metal Matrix Composites

    NASA Astrophysics Data System (ADS)

    Lee, Intaek; Ochi, Yasuo; Bae, Sungin; Song, Jungil

    Short fiber reinforced metal-matrix composites (MMCs) have widely adopted as structural materials and many experimental researches have been performed to study fracture toughness of it. Fracture toughness is often referred as the plane strain(maximum constraint) fracture toughness KIc determined by the well-established standard test method, such as ASTM E399. But the application for dynamic fracture toughness KId has not been popular yet, because of reliance in capturing the crack propagating time. This paper deals with dynamic fracture toughness testing and simulation using finite element method to evaluate fracture behaviors of MMCs manufactured by squeeze casting process when material combination is varied with the type of reinforcement (appearance, size), volume fraction and combination of reinforcements, and the matrix alloy. The instrumented Charphy impact test was used for KId determination and continuum damage model embedded in commercial FE program is used to investigate the dynamic fracture toughness with the influence of elasto-visco-plastic constitutive relation of quasi-brittle fracture that is typical examples of ceramics and some fibre reinforced composites. With Compared results between experimental method and FE simulation, the determination process for KId is presented. FE simulation coupled with continuum damage model is emphasized single shot simulation can predict the dynamic fracture toughness, KId and real time evolution of that directly.

  19. Tough soluble aromatic thermoplastic copolyimides

    NASA Technical Reports Server (NTRS)

    Bryant, Robert G. (Inventor)

    2000-01-01

    Tough, soluble, aromatic, thermoplastic copolyimides were prepared by reacting 4,4'-oxydiphthalic anhydride, 3,4,3',4'-biphenyltetracarboxylic dianhydride and 3,4'-oxydianiline. Alternatively, these copolyimides may be prepared by reacting 4,4'-oxydiphthalic anhydride with 3,4,3',4'-biphenyltetracarboxylic dianhydride and 3,4'-oxydiisocyanate. Also, the copolyimide may be prepared by reacting the corresponding tetra acid and ester precursors of 4,4'-oxydiphthalic anhydride and 3,4,3',4'-biphenyltetracarboxylic dianhydride with 3,4'-oxydianiline. These copolyimides were found to be soluble in common amide solvents such as N,N'-dimethyl acetamide, N-methylpyrrolidinone, and dimethylformamide allowing them to be applied as the fully imidized copolymer and to be used to prepare a wide range of articles.

  20. The Health Rationale for Family Planning: Timing of Births and Child Survival.

    ERIC Educational Resources Information Center

    United Nations, New York, NY. Population Div.

    Among the most influential findings from the World Fertility Survey (WFS) were those linking fertility patterns to child survival, in particular the findings concerning the high infant and child mortality for children born after a short birth interval. This study examined the relations between fertility and child survival based on more recent data…

  1. Sugar concentration and timing of feeding affect feeding characteristics and survival of a parasitic wasp

    USDA-ARS?s Scientific Manuscript database

    The availability of food sources is critical for parasitoid survival, especially for those that do not host-feed, or in agroecosystems where nectar and honeydew are sometimes spatially and temporally scarce. Therefore, the value of even a single meal can be crucial for survival. Psyttalia lounsbur...

  2. The fracture toughness of borides formed on boronized cold work tool steels

    SciTech Connect

    Sen, Ugur; Sen, Saduman

    2003-06-15

    In this study, the fracture toughness of boride layers of two borided cold work tool steels have been investigated. Boriding was carried out in a salt bath consisting of borax, boric acid, ferro-silicon and aluminum. Boriding was performed at 850 and 950 deg. C for 2 to 7 h. The presence of boride phases were determined by X-ray diffraction (XRD) analysis. Hardness and fracture toughness of borides were measured via Vickers indenter. Increasing of boriding time and temperature leads to reduction of fracture toughness of borides. Metallographic examination showed that boride layer formed on cold work tool steels was compact and smooth.

  3. Time preference and its relationship with age, health, and survival probability

    PubMed Central

    Chao, Li-Wei; Szrek, Helena; Pereira, Nuno Sousa; Pauly, Mark V.

    2009-01-01

    Although theories from economics and evolutionary biology predict that one's age, health, and survival probability should be associated with one's subjective discount rate (SDR), few studies have empirically tested for these links. Our study analyzes in detail how the SDR is related to age, health, and survival probability, by surveying a sample of individuals in townships around Durban, South Africa. In contrast to previous studies, we find that age is not significantly related to the SDR, but both physical health and survival expectations have a U-shaped relationship with the SDR. Individuals in very poor health have high discount rates, and those in very good health also have high discount rates. Similarly, those with expected survival probability on the extremes have high discount rates. Therefore, health and survival probability, and not age, seem to be predictors of one's SDR in an area of the world with high morbidity and mortality. PMID:20376300

  4. Enhancements to the TOUGH2 Simulator as Implemented in iTOUGH2

    SciTech Connect

    Finsterle, Stefan

    2015-03-01

    iTOUGH2 is a program for parameter estimation, sensitivity analysis, and uncertainty propagation analysis. It is based on the TOUGH2 simulator for non-isothermal multiphase, multicomponent flow and transport in fractured and porous media [Pruess, 1987, 1991, 2005, 2011; Falta et al., 1995; Pruess et al., 1999, 2002, 2012; Doughty, 2013]. The core of iTOUGH2 contains slightly modified versions of TOUGH2 modules. Most code modifications are editorial and do not affect the simulation results. As a result, standard TOUGH2 input files can be used in iTOUGH2, and identical results are obtained if iTOUGH2 is run in forward mode. However, a number of modifications have been made as described in this report. They enhance the functionality, flexibilitu, and eas-of-use of the forward simulator. This report complements the reports iTOUGH2 User's Guide, iTOUGH2 Command Referecne, and the collection of tutorial examples in iTOUGH2 Sample Problems.

  5. Survival times of meter-sized rock boulders on the surface of airless bodies

    NASA Astrophysics Data System (ADS)

    Basilevsky, A. T.; Head, J. W.; Horz, F.; Ramsley, K.

    2015-11-01

    Rock boulders are typical features of the surfaces of many airless bodies, so the possibility of estimating their potential survival times may provide insights into the rates of surface-modification processes. As an opening point of this study we employ estimates of the survival times of meter-sized boulders on the surface of the Moon based on analysis of the spatial density of boulders on the rims of small lunar craters of known absolute age (Basilevsky et al., 2013), and apply them, with necessary corrections, to boulders on other bodies. In this approach the major factor of rock destruction is considered to be impacts of meteorites. However another factor of the rock destruction, thermal fatigue due to day-night cycling, does exist and it was claimed by Delbo et al. (2014) as being more important than meteorite impacts. They concluded this on the basis of known presence of fine material on the surface of small asteroids, claiming that due to extremely low gravity on those bodies, the products of meteorite bombardment should leave these bodies, and thus their presence indicates that the process of thermal fatigue should be much more effective there. Delbo et al. (2014) made laboratory experiments on heating-cooling centimeter-sized samples of chondrites and, applying some assumptions and theoretical modeling concluded that, for example, at 1 AU distance from the Sun, the lifetime of 10 cm rock fragments on asteroids with period of rotation from 2.2 to 6 h should be only ~103 to 104 years (that is ~3.5×106 to 1.5×107 thermal cycles) and the larger the rock, the faster it should be destroyed. In response to those conclusions we assessed the results of earlier laboratory experiments, which show that only a part of comminuted material produced by high-velocity impacts into solid rocks is ejected from the crater while another part is not ejected but stays exposed on the target surface and is present in its subsurface. This means that the presence of

  6. Time to benefit for colorectal cancer screening: survival meta-analysis of flexible sigmoidoscopy trials.

    PubMed

    Tang, Victoria; Boscardin, W John; Stijacic-Cenzer, Irena; Lee, Sei J

    2015-04-16

    To determine the time to benefit of using flexible sigmoidoscopy for colorectal cancer screening. Survival meta-analysis. A Cochrane Collaboration systematic review published in 2013, Medline, and Cochrane Library databases. Randomized controlled trials comparing screening flexible sigmoidoscopy with no screening. Trials with fewer than 100 flexible sigmoidoscopy screenings were excluded. Four studies were eligible (total n = 459,814). They were similar for patients' age (50-74 years), length of follow-up (11.2-11.9 years), and relative risk for colorectal cancer related mortality (0.69-0.78 with flexible sigmoidoscopy screening). For every 1000 people screened at five and 10 years, 0.3 and 1.2 colorectal cancer related deaths, respectively, were prevented. It took 4.3 years (95% confidence interval 2.8 to 5.8) to observe an absolute risk reduction of 0.0002 (one colorectal cancer related death prevented for every 5000 flexible sigmoidoscopy screenings). It took 9.4 years (7.6 to 11.3) to observe an absolute risk reduction of 0.001 (one colorectal cancer related death prevented for every 1000 flexible sigmoidoscopy screenings). Our findings suggest that screening flexible sigmoidoscopy is most appropriate for older adults with a life expectancy greater than approximately 10 years. © Tang et al 2015.

  7. Dietary magnesium and copper affect survival time and neuroinflammation in chronic wasting disease

    PubMed Central

    Nichols, Tracy A.; Spraker, Terry R.; Gidlewski, Thomas; Cummings, Bruce; Hill, Dana; Kong, Qingzhong; Balachandran, Aru; VerCauteren, Kurt C.; Zabel, Mark D.

    2016-01-01

    ABSTRACT Chronic wasting disease (CWD), the only known wildlife prion disease, affects deer, elk and moose. The disease is an ongoing and expanding problem in both wild and captive North American cervid populations and is difficult to control in part due to the extreme environmental persistence of prions, which can transmit disease years after initial contamination. The role of exogenous factors in CWD transmission and progression is largely unexplored. In an effort to understand the influence of environmental and dietary constituents on CWD, we collected and analyzed water and soil samples from CWD-negative and positive captive cervid facilities, as well as from wild CWD-endozootic areas. Our analysis revealed that, when compared with CWD-positive sites, CWD-negative sites had a significantly higher concentration of magnesium, and a higher magnesium/copper (Mg/Cu) ratio in the water than that from CWD-positive sites. When cevidized transgenic mice were fed a custom diet devoid of Mg and Cu and drinking water with varied Mg/Cu ratios, we found that higher Mg/Cu ratio resulted in significantly longer survival times after intracerebral CWD inoculation. We also detected reduced levels of inflammatory cytokine gene expression in mice fed a modified diet with a higher Mg/Cu ratio compared to those on a standard rodent diet. These findings indicate a role for dietary Mg and Cu in CWD pathogenesis through modulating inflammation in the brain. PMID:27216881

  8. Nest survival in dusky Canada geese (Branta canadensis occidentalis): Use of discrete-time models

    USGS Publications Warehouse

    Grand, J.B.; Fondell, T.F.; Miller, D.; Anthony, R. Michael

    2006-01-01

    The Dusky Canada Goose (Branta canadensis occidentalis) population that breeds in the Copper River Delta, Alaska, has declined substantially since the late 1970s. Persistent low numbers have been attributed to low productivity in recent years. We examined patterns in survival rates of 1,852 nests to better understand ecological processes that influenced productivity during 1997-2000. We compared 10 nonparametric models of daily survival rate of nests (DSR) that included variation among years, calendar dates, nest initiation dates, and nest ages with equivalent models based on parametric functions. The unequivocal best model included patterns of DSR that varied among discrete periods of years, calendar dates, and nest ages. Generally, DSR was low early in the nesting season and higher midseason. Across years, patterns in DSR were most variable early and late in the nesting season. Daily survival rates of nests declined between the first and second week after initiation, increased until the fourth week, and then declined during the last week before hatch. Nest survival probability estimates ranged from 0.07 to 0.71 across years and nest initiation dates. Mean rates of nest survival ranged between 0.21 and 0.31 each year. We suggest (1) considering models that do not limit estimates of daily nest survival to parametric forms; (2) placing greater emphasis on sample size when nests are rare, to obtain accurate estimates of nest survival; and (3) developing new techniques to estimate the number of nests initiated.

  9. ITOUGH2: Solving TOUGH inverse problems

    SciTech Connect

    Finsterle, S.; Pruess, K.

    1995-03-01

    ITOUGH2 is a program that provides inverse modeling capabilities for the TOUGH2 code. While the main purpose of ITOUGH2 is to estimate two-phase hydraulic properties of calibrating a TOUGH2 model to laboratory or field data, the information obtained by evaluating parameter sensitivities can also be used to optimize the design of an experiment, and to analyze the uncertainty of model predictions. ITOUGH2 has been applied to a number of laboratory and field experiments on different scales. Three examples are discussed in this paper, demonstrating the code`s capability to support test design, data analysis, and model predictions for a variety of TOUGH problems.

  10. Large fracture toughness boron-epoxy composites

    NASA Technical Reports Server (NTRS)

    Atkins, A. G.

    1975-01-01

    The high tensile strengths of strong interfacial bonding may be combined with the large fracture toughness of weak interfacial bonding in brittle fiber/brittle matrix composites by intermittently coating the filaments before layup so as to have random alternate weak and strong regions. Appropriate coating materials enable Cook-Gordon Mode I interfacial debonding to take place, which produces very long pull-out lengths with an associated large contribution to toughness. Unidirectional boron-epoxy composites have been so made which have toughnesses greater than 200 kJ/sq m while retaining rule of mixtures tensile strengths. Similar trends have been observed for crossply layups.

  11. A dynamic Bayesian network approach for time-specific survival probability prediction in patients after ventricular assist device implantation.

    PubMed

    Exarchos, Themis P; Rigas, George; Goletsis, Yorgos; Stefanou, Kostas; Jacobs, Steven; Trivella, Maria-Giovanna; Fotiadis, Dimitrios I

    2014-01-01

    In this work we present a decision support tool for the calculation of time-dependent survival probability for patients after ventricular assist device implantation. Two different models have been developed, a short term one which predicts survival for the first three months and a long term one that predicts survival for one year after implantation. In order to model the time dependencies between the different time slices of the problem, a dynamic Bayesian network (DBN) approach has been employed. DBNs order to capture the temporal events of the patient disease and the temporal data availability. High accuracy results have been reported for both models. The short and long term DBNs reached an accuracy of 96.97% and 93.55% respectively.

  12. Effect of time to initiation of postoperative radiation therapy on survival in surgically managed head and neck cancer.

    PubMed

    Graboyes, Evan M; Garrett-Mayer, Elizabeth; Ellis, Mark A; Sharma, Anand K; Wahlquist, Amy E; Lentsch, Eric J; Nussenbaum, Brian; Day, Terry A

    2017-08-25

    The objective of this study was to determine the effects of National Comprehensive Cancer Network (NCCN) guideline-adherent initiation of postoperative radiation therapy (PORT) and different time-to-PORT intervals on the overall survival (OS) of patients with head and neck squamous cell carcinoma (HNSCC). The National Cancer Data Base was reviewed for the period of 2006-2014, and patients with HNSCC undergoing surgery and PORT were identified. Kaplan-Meier survival estimates, Cox regression analysis, and propensity score matching were used to determine the effects of initiating PORT within 6 weeks of surgery and different time-to-PORT intervals on survival. This study included 41,291 patients. After adjustments for covariates, starting PORT >6 weeks postoperatively was associated with decreased OS (adjusted hazard ratio [aHR], 1.13; 99% confidence interval [CI], 1.08-1.19). This finding remained in the propensity score-matched subset (hazard ratio, 1.21; 99% CI, 1.15-1.28). In comparison with starting PORT 5 to 6 weeks postoperatively, initiating PORT earlier was not associated with improved survival (aHR for ≤ 4 weeks, 0.93; 99% CI, 0.85-1.02; aHR for 4-5 weeks, 0.92; 99% CI, 0.84-1.01). Increasing durations of delay beyond 7 weeks were associated with small, progressive survival decrements (aHR, 1.09, 1.10, and 1.12 for 7-8, 8-10, and >10 weeks, respectively). Nonadherence to NCCN guidelines for initiating PORT within 6 weeks of surgery was associated with decreased survival. There was no survival benefit to initiating PORT earlier within the recommended 6-week timeframe. Increasing durations of delay beyond 7 weeks were associated with small, progressive survival decrements. Cancer 2017. © 2017 American Cancer Society. © 2017 American Cancer Society.

  13. Levels of gemcitabine transport and metabolism proteins predict survival times of patients treated with gemcitabine for pancreatic adenocarcinoma.

    PubMed

    Maréchal, Raphaël; Bachet, Jean-Baptiste; Mackey, John R; Dalban, Cécile; Demetter, Pieter; Graham, Kathryn; Couvelard, Anne; Svrcek, Magali; Bardier-Dupas, Armelle; Hammel, Pascal; Sauvanet, Alain; Louvet, Christophe; Paye, François; Rougier, Philippe; Penna, Christophe; André, Thierry; Dumontet, Charles; Cass, Carol E; Jordheim, Lars Petter; Matera, Eva-Laure; Closset, Jean; Salmon, Isabelle; Devière, Jacques; Emile, Jean-François; Van Laethem, Jean-Luc

    2012-09-01

    Patients who undergo surgery for pancreatic ductal adenocarcinoma (PDAC) frequently receive adjuvant gemcitabine chemotherapy. Key determinants of gemcitabine cytotoxicity include the activities of the human equilibrative nucleoside transporter 1 (hENT1), deoxycytidine kinase (dCK), and ribonucleotide reductase subunit 1 (RRM1). We investigated whether tumor levels of these proteins were associated with efficacy of gemcitabine therapy following surgery. Sequential samples of resected PDACs were retrospectively collected from 434 patients at 5 centers; 142 patients did not receive adjuvant treatment (33%), 243 received adjuvant gemcitabine-based regimens (56%), and 49 received nongemcitabine regimens (11%). We measured protein levels of hENT1, dCK, and RRM1 by semiquantitative immunohistochemistry with tissue microarrays and investigated their relationship with patients' overall survival time. The median overall survival time of patients was 32.0 months. Among patients who did not receive adjuvant treatment, levels of hENT1, RRM1, and dCK were not associated with survival time. Among patients who received gemcitabine, high levels of hENT1 and dCK were significantly associated with longer survival time (hazard ratios of 0.34 [P < .0001] and 0.57 [P = .012], respectively). Interaction tests for gemcitabine administration and hENT1 and dCK status were statistically significant (P = .0007 and P = .016, respectively). On multivariate analysis of this population, hENT1 and dCK retained independent predictive values, and those patients with high levels of each protein had the longest survival times following adjuvant therapy with gemcitabine. High levels of hENT1 and dCK in PDAC predict longer survival times in patients treated with adjuvant gemcitabine. Copyright © 2012 AGA Institute. Published by Elsevier Inc. All rights reserved.

  14. Correlation of Biological Characteristics of Smolts with Survival and Travel Time, 1987 Technical Report.

    SciTech Connect

    Rondorf, Dennis W.; Beeman, John W.; Free, Mary E.

    1988-06-01

    The biological characteristics of smolts were examined to determine their effect on estimates of survival in the Columbia and Snake rivers. Freeze branded groups of steelhead trout (Salmo gairdneri) from Lyons Ferry State Fish Hatchery (SFH) and Wells SFH and spring chinook salmon (Oncorhynchus tshawytscha) from Winthrop National Fish Hatchery (NFH) were used to estimate survival. Past estimates of survival, using a ratio of test and control fish recaptured at McNary Dam, have resulted in estimates > 100%, presumably due to some unknown bias. Study objectives were to determine if stress and descaling, degree of smoltification, and prevalence of bacterial kidney disease (BKD) differed among test and control groups of fish, thereby biasing survival estimates. 19 refs., 20 figs., 10 tabs.

  15. Entrainment and Survival Time of the Llsvps: Effects of Flow in the Thermochemical Pile Interior

    NASA Astrophysics Data System (ADS)

    Mulyukova, E.; Steinberger, B. M.; Dabrowski, M.; Sobolev, S. V.

    2013-12-01

    One of the most robust results from tomographic studies is the existence of two antipodally located Large Low Shear Velocity Provinces (LLSVPs) at the base of the mantle, which appear to be chemically denser than the ambient mantle. Results from reconstruction studies (Torsvik et al., 2006) infer that the LLSVPs are stable, long-lived, and are sampled by deep mantle plumes that rise predominantly from their margins. The amount of the anomalous LLSVP-material that gets entrained into the rising plumes poses a constraint on the survival time of the LLSVPs, as well as on the plume buoyancy, on the lithospheric uplift associated with plume interaction and geochemical signature of the erupted lavas observed at the Earth's surface. Recent estimates for the plume responsible for the formation of the Siberian Flood Basalts give about 15% of entrained dense recycled oceanic crust, which made the hot mantle plume almost neutrally buoyant (Sobolev et al., 2011). If it wasn't for the destabilizing flow, or entrainment, by the hot rising plumes, the anomalously dense material in the Earth's deep mantle may have never made its way to the surface. In order for the entrainment to take place, the destabilizing viscous stresses acting on a volume of anomalously dense material must exceed the gravitationally stabilizing stresses associated with buoyancy. At what conditions are these criteria met in a dynamically active deep mantle? To investigate this question, we perform numerical simulations of thermal convection with presence of a chemically dense basal layer in a 2D Cartesian box. In agreement with other studies, we find that the governing parameters are the buoyancy ratio between the thermal and the chemical density anomalies, as well as the viscosity variations. We observe that for a range of these parameters, an internal convective flow in the interior of the dense layer can develop. This internal flow has an important effect on the evolution of the entire system. First of all

  16. 10 CFR Appendix G to Part 50 - Fracture Toughness Requirements

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Fracture Toughness Requirements G Appendix G to Part 50..., App. G Appendix G to Part 50—Fracture Toughness Requirements I. Introduction and scope. II. Definitions. III. Fracture toughness tests. IV. Fracture toughness requirements. I. Introduction and Scope...

  17. 10 CFR Appendix G to Part 50 - Fracture Toughness Requirements

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 1 2011-01-01 2011-01-01 false Fracture Toughness Requirements G Appendix G to Part 50..., App. G Appendix G to Part 50—Fracture Toughness Requirements I. Introduction and scope. II. Definitions. III. Fracture toughness tests. IV. Fracture toughness requirements. I. Introduction and Scope...

  18. Low expansion superalloy with improved toughness

    DOEpatents

    Smith, D.F.; Stein, L.I.; Hwang, I.S.

    1995-06-20

    A high strength, low coefficient of thermal expansion superalloy exhibiting improved toughness over a broad temperature range down to about 4 K is disclosed. The composition is adapted for use with wrought superconducting sheathing.

  19. Low expansion superalloy with improved toughness

    DOEpatents

    Smith, Darrell F.; Stein, Larry I.; Hwang, Il S.

    1995-01-01

    A high strength, low coefficient of thermal expansion superalloy exhibiting improved toughness over a broad temperature range down to about 4.degree. K. The composition is adapted for use with wrought superconducting sheathing.

  20. Use of TOUGH2 on small computers

    SciTech Connect

    Antunez, E.; Pruess, K.; Moridis, G.

    1995-03-01

    TOUGH2/PC has been tested extensively on different PC platforms (486-33, 486-66, Pentium-90), with encouraging results. TOUGH2 performance has also been tested in other 32-bit computers as the MacIntosh Quadra 800, and a workstation IBM RISC 6000. Results obtained with these machines are compared with PCs` performance. PC results for 3-D geothermal reservoir models are discussed, including: (a) a Cartesian; and (b) a geothermal reservoir model with 1,411 irregular grid blocks. Also discussed are the results of the TOUGH2-compiler performance tests conducted on small computer systems. Code modifications required to operate on 32-bit computers and its setup in each machine environment are described. It is concluded that in today`s market PCs provide the best price/performance alternative to conduct TOUGH2 numerical simulations.

  1. Toughness and strength of nanocrystalline graphene

    PubMed Central

    Shekhawat, Ashivni; Ritchie, Robert O.

    2016-01-01

    Pristine monocrystalline graphene is claimed to be the strongest material known with remarkable mechanical and electrical properties. However, graphene made with scalable fabrication techniques is polycrystalline and contains inherent nanoscale line and point defects—grain boundaries and grain-boundary triple junctions—that lead to significant statistical fluctuations in toughness and strength. These fluctuations become particularly pronounced for nanocrystalline graphene where the density of defects is high. Here we use large-scale simulation and continuum modelling to show that the statistical variation in toughness and strength can be understood with ‘weakest-link' statistics. We develop the first statistical theory of toughness in polycrystalline graphene, and elucidate the nanoscale origins of the grain-size dependence of its strength and toughness. Our results should lead to more reliable graphene device design, and provide a framework to interpret experimental results in a broad class of two-dimensional materials. PMID:26817712

  2. Toughness and strength of nanocrystalline graphene

    DOE PAGES

    Shekhawat, Ashivni; Ritchie, Robert O.

    2016-01-28

    Pristine monocrystalline graphene is claimed to be the strongest material known with remarkable mechanical and electrical properties. However, graphene made with scalable fabrication techniques is polycrystalline and contains inherent nanoscale line and point defects—grain boundaries and grain-boundary triple junctions—that lead to significant statistical fluctuations in toughness and strength. These fluctuations become particularly pronounced for nanocrystalline graphene where the density of defects is high. Here we use large-scale simulation and continuum modelling to show that the statistical variation in toughness and strength can be understood with ‘weakest-link’ statistics. We develop the first statistical theory of toughness in polycrystalline graphene, and elucidatemore » the nanoscale origins of the grain-size dependence of its strength and toughness. Lastly, our results should lead to more reliable graphene device design, and provide a framework to interpret experimental results in a broad class of two-dimensional materials.« less

  3. Toughness and strength of nanocrystalline graphene

    SciTech Connect

    Shekhawat, Ashivni; Ritchie, Robert O.

    2016-01-28

    Pristine monocrystalline graphene is claimed to be the strongest material known with remarkable mechanical and electrical properties. However, graphene made with scalable fabrication techniques is polycrystalline and contains inherent nanoscale line and point defects—grain boundaries and grain-boundary triple junctions—that lead to significant statistical fluctuations in toughness and strength. These fluctuations become particularly pronounced for nanocrystalline graphene where the density of defects is high. Here we use large-scale simulation and continuum modelling to show that the statistical variation in toughness and strength can be understood with ‘weakest-link’ statistics. We develop the first statistical theory of toughness in polycrystalline graphene, and elucidate the nanoscale origins of the grain-size dependence of its strength and toughness. Lastly, our results should lead to more reliable graphene device design, and provide a framework to interpret experimental results in a broad class of two-dimensional materials.

  4. Differences in compliance with Surviving Sepsis Campaign recommendations according to hospital entrance time: day versus night

    PubMed Central

    2013-01-01

    Introduction Higher compliance with Surviving Sepsis Campaign (SSC) recommendations has been associated with lower mortality. The authors evaluate differences in compliance with SSC 6-hour bundle according to hospital entrance time (day versus night) and its impact on hospital mortality. Methods Prospective cohort study of all patients with community-acquired severe sepsis admitted to the intensive care unit of a large university tertiary care hospital, over 3.5 years with a follow-up until hospital discharge. Time to compliance with each recommendation of the SSC 6-hour bundle was calculated according to hospital entrance period: day (08:30 to 20:30) versus night (20:30 to 08:30). For the same periods, clinical staff composition and the number of patients attending the emergency department (ED) was also recorded. Results In this period 300 consecutive patients were included. Compliance rate was (night vs. day): serum lactate measurement 57% vs. 49% (P = 0.171), blood cultures drawn 59% vs. 37% (P < 0.001), antibiotics administration in the first 3 hours 33% vs. 18% (P = 0.003), central venous pressure >8 mmHg 45% vs. 29% (P = 0.021), and central venous oxygen saturation (SvcO2) >70%, 7% vs. 2% (P = 0.082); fluids were administered in all patients with hypotension in both periods and vasopressors were administered in patients with hypotension not responsive to fluids in 100% vs. 99%. Time to get specific actions done was also different (night vs. day): serum lactate measurement (4.5 vs. 7 h, P = 0.018), blood cultures drawn (4 vs. 8 h, P < 0.001), antibiotic administration (5 vs. 8 h, P < 0.001), central venous pressure (8 vs. 11 h, P = 0.01), and SvcO2 monitoring (2.5 vs. 11 h, P = 0.222). The composition of the nursing team was the same around the clock; the medical team was reduced at night with a higher proportion of less differentiated doctors. The number of patients attending the Emergency Department was lower overnight. Hospital mortality rate was 34% in

  5. Collagen IV-modified scaffolds improve islet survival and function and reduce time to euglycemia.

    PubMed

    Yap, Woon Teck; Salvay, David M; Silliman, Michael A; Zhang, Xiaomin; Bannon, Zachary G; Kaufman, Dixon B; Lowe, William L; Shea, Lonnie D

    2013-11-01

    Islet transplantation on extracellular matrix (ECM) protein-modified biodegradable microporous poly(lactide-co-glycolide) scaffolds is a potential curative treatment for type 1 diabetes mellitus (T1DM). Collagen IV-modified scaffolds, relative to control scaffolds, significantly decreased the time required to restore euglycemia from 17 to 3 days. We investigated the processes by which collagen IV-modified scaffolds enhanced islet function and mediated early restoration of euglycemia post-transplantation. We characterized the effect of collagen IV-modified scaffolds on islet survival, metabolism, and insulin secretion in vitro and early- and intermediate-term islet mass and vascular density post-transplantation and correlated these with early restoration of euglycemia in a syngeneic mouse model. Control scaffolds maintained native islet morphologies and architectures as well as collagen IV-modified scaffolds in vivo. The islet size and vascular density increased, while β-cell proliferation decreased from day 16 to 113 post-transplantation. Collagen IV-modified scaffolds promoted islet cell viability and decreased early-stage apoptosis in islet cells in vitro-phenomena that coincided with enhanced islet metabolic function and glucose-stimulated insulin secretion. These findings suggest that collagen IV-modified scaffolds promote the early restoration of euglycemia post-transplantation by enhancing islet metabolism and glucose-stimulated insulin secretion. These studies of ECM proteins, in particular collagen IV, and islet function provide key insights for the engineering of a microenvironment that would serve as a platform for enhancing islet transplantation as a viable clinical therapy for T1DM.

  6. Flow cytometric and radioisotopic determinations of platelet survival time in normal cats and feline leukemia virus-infected cats

    SciTech Connect

    Jacobs, R.M.; Boyce, J.T.; Kociba, G.J.

    1986-01-01

    This study demonstrates the potential usefulness of a flow cytometric technique to measure platelet survival time in cats utilizing autologous platelets labeled in vitro with fluorescein isothiocyanate (FITC). When compared with a 51Cr method, no significant differences in estimated survival times were found. Both the 51Cr and FITC-labeling procedures induced similar changes in platelet shape and collagen-induced aggregation. Platelets labeled with FITC had significantly greater volumes compared with those of glutaraldehyde-fixed platelets. These changes were primarily related to the platelet centrifugation and washing procedures rather than the labels themselves. This novel technique potentially has wide applicability to cell circulation time studies as flow cytometry equipment becomes more readily available. Problems with the technique are discussed. In a preliminary study of the platelet survival time in feline leukemia virus (FeLV)-infected cats, two of three cats had significantly reduced survival times using both flow cytometric and radioisotopic methods. These data suggest increased platelet turnover in FeLV-infected cats.

  7. Incidence and survival time trends for Spanish children and adolescents with leukaemia from 1983 to 2007.

    PubMed

    Marcos-Gragera, R; Galceran, J; Martos, C; de Munain, A L; Vicente-Raneda, M; Navarro, C; Quirós-Garcia, J R; Sánchez, M-J; Ardanaz, E; Ramos, M; Mateos, A; Salmerón, D; Felipe, S; Peris-Bonet, R

    2017-03-01

    We have analysed incidence and survival trends of children and adolescents with leukaemia registered in Spanish population-based cancer registries during the period 1983-2007. Childhood and adolescent leukaemia cases were drawn from the 11 Spanish population-based cancer registries. For survival, registries with data for the period 1991-2005 and follow-up until 31-12-2010 were included. Overall incidence trends were evaluated using joinpoint analysis. Observed survival rates were estimated using Kaplan-Meier, and trends were tested using the log-rank test. Based on 2606 cases (2274 children and 332 adolescents), the overall age-adjusted incidence rate (ASRw) of leukaemia was 47.9 cases per million child-years in children and 23.8 in adolescents. The ASRw of leukaemia increased with an annual percentage change of 9.6 % (95 % CI: 2.2-17.6) until 1990 followed by a stabilisation of rates. In adolescents, incidence did not increase. Five-year survival increased from 66 % in 1991-1995 to 76 % in 2001-2005. By age, survival was dramatically lower in infants (0) and adolescents (15-19) than in the other age groups and no improvement was observed. In both children and adolescents, differences in 5-year survival rates among major subgroups of leukaemias were significant. The increasing incidence trends observed in childhood leukaemias during the study period were confined to the beginning of the period. Remarkable improvements in survival have been observed in Spanish children with leukaemias. However, this improvement was not observed in infants and adolescents.

  8. Tough, High-Performance, Thermoplastic Addition Polymers

    NASA Technical Reports Server (NTRS)

    Pater, Ruth H.; Proctor, K. Mason; Gleason, John; Morgan, Cassandra; Partos, Richard

    1991-01-01

    Series of addition-type thermoplastics (ATT's) exhibit useful properties. Because of their addition curing and linear structure, ATT polymers have toughness, like thermoplastics, and easily processed, like thermosets. Work undertaken to develop chemical reaction forming stable aromatic rings in backbone of ATT polymer, combining high-temperature performance and thermo-oxidative stability with toughness and easy processibility, and minimizing or eliminating necessity for tradeoffs among properties often observed in conventional polymer syntheses.

  9. Individual quality, survival variation and patterns of phenotypic selection on body condition and timing of nesting in birds

    USGS Publications Warehouse

    Blums, P.; Nichols, J.D.; Hines, J.E.; Lindberg, M.; Mednis, A.

    2005-01-01

    Questions about individual variation in 'quality' and fitness are of great interest to evolutionary and population ecologists. Such variation can be investigated using either a random effects approach or an approach that relies on identifying observable traits that are themselves correlated with fitness components. We used the latter approach with data from 1,925 individual females of three species of ducks (tufted duck, Aythya fuligula; common pochard, Aythya ferina; northern shoveler, Anas clypeata) sampled on their breeding grounds at Engure Marsh, Latvia, for over 15 years. Based on associations with reproductive output, we selected two traits, one morphological (relative body condition) and one behavioral (relative time of nesting), that can be used to characterize individual females over their lifetimes. We then asked whether these traits were related to annual survival probabilities of nesting females. We hypothesized quadratic, rather than monotonic, relationships based loosely on ideas about the likely action of stabilizing selection on these two traits. Parameters of these relationships were estimated directly using ultrastructural models embedded within capture-recapture-band-recovery models. Results provided evidence that both traits were related to survival in the hypothesized manner. For all three species, females that tended to nest earlier than the norm exhibited the highest survival rates, but very early nesters experienced reduced survival and late nesters showed even lower survival. For shovelers, females in average body condition showed the highest survival, with lower survival rates exhibited by both heavy and light birds. For common pochard and tufted duck, the highest survival rates were associated with birds of slightly above-average condition, with somewhat lower survival for very heavy birds and much lower survival for birds in relatively poor condition. Based on results from this study and previous work on reproduction, we conclude that

  10. Determine the Influence of Time Held in “Knockdown” Anesthesia on Survival and Stress of Surgically Implanted Juvenile Salmonids

    SciTech Connect

    Woodley, Christa M.; Wagner, Katie A.; Knox, Kasey M.

    2012-01-31

    The Juvenile Salmon Acoustic Telemetry System (JSATS) was developed for the U.S. Army Corp of Engineers Portland District (USACE) to address questions related to survival and performance measures of juvenile salmonids as they pass through the Federal Columbia River Power System (FCRPS). Researchers using JSATS acoustic transmitters (ATs) were tasked with standardizing the surgical implantation procedure to ensure that the stressors of handling and surgery on salmonids were consistent and less likely to cause effects of tagging in survival studies. Researchers questioned whether the exposure time in 'knockdown' anesthesia (or induction) to prepare fish for surgery could influence the survival of study fish (CBSPSC 2011). Currently, fish are held in knockdown anesthesia after they reach Stage 4 anesthesia until the completion of the surgical implantation of a transmitter, varies from 5 to 15 minutes for studies conducted in the Columbia Basin. The Columbia Basin Surgical Protocol Steering Committee (CBSPSC ) expressed concern that its currently recommended 10-minute maximum time limit during which fish are held in anesthetic - tricaine methanesulfonate (MS-222, 80 mg L-1 water) - could increase behavioral and physiological costs, and/or decrease survival of outmigrating juvenile salmonids. In addition, the variability in the time fish are held at Stage 4 could affect the data intended for direct comparison of fish within or among survival studies. Under the current recommended protocol, if fish exceed the 10-minute time limit, they are to be released without surgical implantation, thereby increasing the number of fish handled and endangered species 'take' at the bypass systems for FCRPS survival studies.

  11. Analysis of individual- and time-specific covariate effects on survival of Serinus serinus in north-eastern Spain

    USGS Publications Warehouse

    Conroy, M.J.; Senar, J.C.; Domenech, J.

    2002-01-01

    We developed models for the analysis of recapture data for 2678 serins (Serinus serinus) ringed in north-eastern Spain since 1985. We investigated several time- and individual-specific factors as potential predictors of overall mortality and dispersal patterns, and of gender and age differences in these patterns. Time-specific covariates included minimum daily temperature, days below freezing, and abundance of a strong competitor, siskins (Carduelis spinus) during winter, and maximum temperature and rainfall during summer. Individual covariates included body mass (i.e. body condition), and wing length (i.e. flying ability), and interactions between body mass and environmental factors. We found little support of a predictive relationship between environmental factors and survival, but good evidence of relationships between body mass and survival, especially for juveniles. Juvenile survival appears to vary in a curvilinear manner with increasing mass, suggesting that there may exist an optimal mass beyond which increases are detrimental. The mass-survival relationship does seem to be influenced by at least one environmental factor, namely the abundance of wintering siskins. When siskins are abundant, increases in body mass appear to relate strongly to increasing survival. When siskin numbers are average or low the relationship is largely reversed, suggesting that the presence of strong competition mitigates the otherwise largely negative aspects of greater body mass. Wing length in juveniles also appears to be related positively to survival, perhaps largely due to the influence of a few unusually large juveniles with adult-like survival. Further work is needed to test these relationships, ideally under experimentation.

  12. Disease-specific survival for patients with multiple myeloma: significant improvements over time in all age groups.

    PubMed

    Libby, Edward; Garcia, David; Quintana, Dulcinea; Fekrazad, M Houman; Bauman, Julie; Ebaid, Ala; Hromas, Robert; Rabinowitz, Ian; Wiggins, Charles

    2014-12-01

    This study analyzed the survival of patients with multiple myeloma. Surveillance, Epidemiology, and End Results (SEER) and Centers for Disease Control and Prevention (CDC) databases were queried to calculate myeloma cause-specific survival curves by the Kaplan and Meier product-limit method. The Cox proportional hazards model was used to assess univariate and multivariate predictors of myeloma cause-specific survival. The outcome of interest was death due to myeloma. Results from a Cox proportional hazards model restricted to age and time period at diagnosis demonstrated that the magnitude of improvement in survival by time period varied by age at diagnosis. Among patients under 60 years at diagnosis, hazard ratios for myeloma cause-specific death decreased by more 50% from the first interval of observation to the last. Hazard ratios decreased during the study period by 39% among patients 60-69 years of age and by 27% among patients who were 70 years of age and older. Survival is improving in patients with myeloma of all ages.

  13. Time trends in breast cancer survival: experience in a single centre, 1975-89.

    PubMed Central

    Bradburn, M. J.; Altman, D. G.; Smith, P.; Fentiman, I. S.; Rubens, R. D.

    1998-01-01

    The aim of this retrospective cohort study was to investigate whether survival of patients with breast cancer has changed over the period 1975-89. A total of 2604 women diagnosed as having invasive breast cancer at a clinical oncology unit in London were followed up for between 5 and 20 years. Patients were divided into four groups according to menstrual status (pre or post) and the staging of cancer (operable or inoperable). For each group, survival from diagnosis was compared between three consecutive 5-year cohorts, both with and without adjustments made for relevant prognostic factors. No temporal patterns were found in patients with inoperable cancer, in whom the survival rate was consistently low. Of women with operable cancers, differences were seen only among post-menopausal women, for whom the best survival patterns were seen in patients diagnosed between 1985-89. This is probably due to tamoxifen being commonly prescribed as adjuvant treatment for this cohort of patients. We cannot explain an apparently worse survival in the group of patients presenting in the early 1980s compared with that observed in the late 1970s. PMID:9667672

  14. Time to Thrive, Not Just Survive: Accumulating Advantage for Women in Science

    NASA Astrophysics Data System (ADS)

    Rolison, Debra

    2005-04-01

    Our departments of science, technology, mathematics, and engineering (STEM) need more women as faculty, and not only to show their undergraduates that a career in academia is a viable path. Their absence warns us that an unhealthy environment exists: unhealthy to those scientists who want fulfilling lives beyond academe and unhealthy to those women, who once they demonstrate productivity, scholarship, and mentorship, still reap less respect, space, salary, funding, and awards than their male colleagues. The recalcitrance of too many of our research universities toward diversifying their faculty is a national disgrace in that these universities covet a diversified student body, but do not reflect that pool of talent onto their faculty. Similar difficulties are apparent among the staff of National and Federal laboratories. Self-reform is not getting it done, and is especially frustrating in light of the historic opportunity to change the demographics as scientists and engineers hired in the 1960s retire. Is it time to apply the logic of Title IX--the loss of Federal funds--for the entrenched inability to increase the number of women represented on STEM faculties? Such a threat may be the impetus necessary for university administrators to create departmental environments that women are willing to call home. The July 2004 release of the GAO report on Women's Participation in the Sciences (which also surveyed DOE facilities) reminded those Federal agencies that fund scientific research that Title IX is the law and that these agencies must begin Title IX assessments of compliance in the STEM departments and institutions they fund. It is past time that women thrive, not just survive in their career homes. Using the mechanistic philosophy of Title IX--denial of resources to recalacitrant departments and laboratories--may be the start of a truly inclusive scientific enterprise in the United States. We must accept this opportunity to redirect the nature of the research

  15. Survival times of patients with a first hip fracture with and without subsequent major long-bone fractures.

    PubMed

    Angthong, Chayanin; Angthong, Wirana; Harnroongroj, Thos; Naito, Masatoshi; Harnroongroj, Thossart

    2013-01-01

    Survival rates are poorer after a second hip fracture than after a first hip fracture. Previous survival studies have included in-hospital mortality. Excluding in-hospital deaths from the analysis allows survival times to be evaluated in community-based patients. There is still a lack of data regarding the effects of subsequent fractures on survival times after hospital discharge following an initial hip fracture. This study compared the survival times of community-dwelling patients with hip fracture who had or did not have a subsequent major long-bone fracture. Hazard ratios and risk factors for subsequent fractures and mortality rates with and without subsequent fractures were calculated. Of 844 patients with hip fracture from 2000 through 2008, 71 had a subsequent major long-bone fracture and 773 did not. Patients who died of other causes, such as perioperative complications, during hospitalization were excluded. Such exclusion allowed us to determine the effect of subsequent fracture on the survival of community-dwelling individuals after hospital discharge or after the time of the fracture if they did not need hospitalization. Demographic data, causes of death, and mortality rates were recorded. Differences in mortality rates between the patient groups and hazard ratios were calculated. Mortality rates during the first year and from 1 to 5 years after the most recent fracture were 5.6% and 1.4%, respectively, in patients with subsequent fractures, and 4.7% and 1.4%, respectively, in patients without subsequent fractures. These rates did not differ significantly between the groups. Cox regression analysis and calculation of hazard ratios did not show significant differences between patients with subsequent fractures and those without. On univariate and multivariate analyses, age <75 years and male sex were risk factors for subsequent fracture. This study found that survival times did not differ significantly between patients with and without subsequent major

  16. Relationships of survival time, productivity and cause of death with telomere lengths of cows produced by somatic cell nuclear transfer.

    PubMed

    Konishi, Kazuyuki; Yonai, Miharu; Kaneyama, Kanako; Ito, Satoshi; Matsuda, Hideo; Yoshioka, Hajime; Nagai, Takashi; Imai, Kei

    2011-10-01

    The reproductive ability, milk-producing capacity, survival time and relationships of these parameters with telomere length were investigated in 4 groups of cows produced by somatic cell nuclear transfer (SCNT). Each group was produced using the same donor cells (6 Holstein (1H), 3 Holstein (2H), 4 Jersey (1J) and 5 Japanese Black (1B) cows). As controls, 47 Holstein cows produced by artificial insemination were used. The SCNT cows were artificially inseminated, and multiple deliveries were performed after successive rounds of breeding and conception. No correlation was observed between the telomere length and survival time in the SCNT cows. Causes of death of SCNT cows included accidents, accident-associated infections, inappropriate management, acute mastitis and hypocalcemia. The lifetime productivity of SCNT cows was superior to those of the controls and cell donor cows. All SCNT beef cows with a relatively light burden of lactation remained alive and showed significantly prolonged survival time compared with the cows in the SCNT dairy breeds. These results suggest that the lifetime productivity of SCNT cows was favorable, and their survival time was more strongly influenced by environmental burdens, such as pregnancy, delivery, lactation and feeding management, than by the telomere length.

  17. Effect of coenzyme Q10 on the survival time and lipid peroxidation of adriamycin (doxorubicin) treated mice.

    PubMed

    Shinozawa, S; Etowo, K; Araki, Y; Oda, T

    1984-02-01

    The effect of coenzyme Q10 (Co Q10) was examined on the survival time and lipid peroxidation of adriamycin (ADM)-treated ICR mice. Co Q10 showed a protective effect against a subacute toxicity in mice induced by two intraperitoneal administrations of ADM (15 mg/kg). The group treated orally with 10 mg/kg of Co Q10 showed the longest survival time of all the groups studied (16.81 +/- 10.29 days, mean +/- S.D.) and a significantly longer survival time (p less than 0.001) than the ADM-alone group (7.48 +/- 1.99 days). The inhibitory effect of Co Q10 on the plasma and tissue lipid peroxidation levels did not correlate with the effect of prolonging the survival time of mice. Co Q10 tended to inhibit rises in plasma and liver lipid peroxidation levels induced by ADM administration, but there was no statistically significant difference between treatments. There was a statistically significant different inhibitory effect in the kidney lipid peroxidation levels, but was not in those of the heart.

  18. Estimating Time to Disease Progression Comparing Transition Models and Survival Methods - an Analysis of Multiple Sclerosis Data

    PubMed Central

    Mandel, Micha; Mercier, Francois; Eckert, Benjamin; Chin, Peter; Betensky, Rebecca A.

    2014-01-01

    Summary This paper reports an analysis that aims to quantify the effect of fingolimod, an oral treatment for relapsing remitting multiple sclerosis (MS), on disability progression. The standard approach utilizes survival analysis methods, which may be problematic for MS studies that assess disability at only a few time points and include as a cardinal feature both relapses and remissions. Instead, a Markov transition model, originally developed in the framework of longitudinal data, is fit, and its special probabilistic properties are used to estimate survival curves for time to disability progression. The transition approach models the whole disability process and uses all available transition data for inference, while survival methods concentrate on a single event of interest and use only time to event data. This paper compares the transition model approach to survival analysis methods, and discusses the differences in the interpretations of the estimated parameters. It applies both models to data obtained from two phase 3 clinical trials and finds that both yield positive effects for the new treatment compared to placebo, and provide similar estimates for the probability of disability progression over time. The transition model enables calculation of covariate-specific transition matrices that describe the short-term effect of treatment and other covariates on the disability process. PMID:23410536

  19. Perceived Peer Behavior and the Timing of Sexual Debut in Rwanda: A Survival Analysis of Youth Data.

    ERIC Educational Resources Information Center

    Babalola, Stella

    2004-01-01

    This paper uses survival methods to assess the relationship between perceived peer behavior and the timing of first sex among Rwandan youth. The data derive from a 2001 survey among youth aged 15-24 years in four provinces: Kigali Ville, Butare, Kibuye, and Umutara. A total of 1327 male and female youth were interviewed through a structured…

  20. Two-step feature selection for predicting survival time of patients with metastatic castrate resistant prostate cancer

    PubMed Central

    Shiga, Motoki

    2016-01-01

    Metastatic castrate resistant prostate cancer (mCRPC) is the major cause of death in prostate cancer patients. Even though some options for treatment of mCRPC have been developed, the most effective therapies remain unclear. Thus finding key patient clinical variables related with mCRPC is an important issue for understanding the disease progression mechanism of mCRPC and clinical decision making for these patients. The Prostate Cancer DREAM Challenge is a crowd-based competition to tackle this essential challenge using new large clinical datasets. This paper proposes an effective procedure for predicting global risks and survival times of these patients, aimed at sub-challenge 1a and 1b of the Prostate Cancer DREAM challenge. The procedure implements a two-step feature selection procedure, which first implements sparse feature selection for numerical clinical variables and statistical hypothesis testing of differences between survival curves caused by categorical clinical variables, and then implements a forward feature selection to narrow the list of informative features. Using Cox’s proportional hazards model with these selected features, this method predicted global risk and survival time of patients using a linear model whose input is a median time computed from the hazard model. The challenge results demonstrated that the proposed procedure outperforms the state of the art model by correctly selecting more informative features on both the global risk prediction and the survival time prediction. PMID:27990267

  1. Method to increase the toughness of aluminum-lithium alloys at cryogenic temperatures

    NASA Technical Reports Server (NTRS)

    Sankaran, Krishnan K. (Inventor); Sova, Brian J. (Inventor); Babel, Henry W. (Inventor)

    2006-01-01

    A method to increase the toughness of the aluminum-lithium alloy C458 and similar alloys at cryogenic temperatures above their room temperature toughness is provided. Increasing the cryogenic toughness of the aluminum-lithium alloy C458 allows the use of alloy C458 for cryogenic tanks, for example for launch vehicles in the aerospace industry. A two-step aging treatment for alloy C458 is provided. A specific set of times and temperatures to age the aluminum-lithium alloy C458 to T8 temper is disclosed that results in a higher toughness at cryogenic temperatures compared to room temperature. The disclosed two-step aging treatment for alloy 458 can be easily practiced in the manufacturing process, does not involve impractical heating rates or durations, and does not degrade other material properties.

  2. KMWin – A Convenient Tool for Graphical Presentation of Results from Kaplan-Meier Survival Time Analysis

    PubMed Central

    Gross, Arnd; Ziepert, Marita; Scholz, Markus

    2012-01-01

    Background Analysis of clinical studies often necessitates multiple graphical representations of the results. Many professional software packages are available for this purpose. Most packages are either only commercially available or hard to use especially if one aims to generate or customize a huge number of similar graphical outputs. We developed a new, freely available software tool called KMWin (Kaplan-Meier for Windows) facilitating Kaplan-Meier survival time analysis. KMWin is based on the statistical software environment R and provides an easy to use graphical interface. Survival time data can be supplied as SPSS (sav), SAS export (xpt) or text file (dat), which is also a common export format of other applications such as Excel. Figures can directly be exported in any graphical file format supported by R. Results On the basis of a working example, we demonstrate how to use KMWin and present its main functions. We show how to control the interface, customize the graphical output, and analyse survival time data. A number of comparisons are performed between KMWin and SPSS regarding graphical output, statistical output, data management and development. Although the general functionality of SPSS is larger, KMWin comprises a number of features useful for survival time analysis in clinical trials and other applications. These are for example number of cases and number of cases under risk within the figure or provision of a queue system for repetitive analyses of updated data sets. Moreover, major adjustments of graphical settings can be performed easily on a single window. Conclusions We conclude that our tool is well suited and convenient for repetitive analyses of survival time data. It can be used by non-statisticians and provides often used functions as well as functions which are not supplied by standard software packages. The software is routinely applied in several clinical study groups. PMID:22723912

  3. Time to begin adjuvant chemotherapy and survival in breast cancer patients: a retrospective observational study using latent class analysis.

    PubMed

    Downing, Amy; Twelves, Christopher; Forman, David; Lawrence, Gill; Gilthorpe, Mark S

    2014-01-01

    The analysis of time to treatment data and the evaluation of subsequent effects on health outcomes can be complex due to the nature of the data and the relationships amongst the variables. This study proposes an alternative method of analyzing such data using latent class analysis (LCA). The association between time to begin adjuvant chemotherapy after breast cancer surgery and survival was investigated using both "traditional" regression analysis and LCA. Women with breast cancer undergoing surgery and subsequent adjuvant chemotherapy in two English regions between January 01, 1998 and December 31, 2004 were identified from a linked cancer registry-Hospital Episode Statistics dataset (n = 10,366). Patient, tumor, and treatment information were extracted. A Cox proportional hazards model was used to analyze 5-year survival using regression analysis and LCA. Using "traditional" regression analysis, women beginning chemotherapy >10 weeks after surgery had worse survival in region 1 (HR = 1.49, 95% CI 1.13-1.95 compared to <3 weeks) but not region 2. LCA split the women into three groups representing short, medium, and long waits. The median time to begin chemotherapy in the "long" wait group was 70 (region 1) and 57 (region 2) days. In this group, increased time to begin chemotherapy was associated with worse survival (region 1 HR = 1.15, 95% CI 1.11-1.18; region 2 HR = 1.08, 95% CI 1.03-1.13 per week increase). LCA identified a group of 13-15% of women for whom a longer time to begin chemotherapy had an adverse effect on survival. This methodology provides an excellent framework in which to examine complex associations between the delivery of patient care and patient outcomes. © 2013 Wiley Periodicals, Inc.

  4. The influence of zinc chloride and zinc oxide nanoparticles on air-time survival in freshwater mussels.

    PubMed

    Gagné, François; Auclair, Joëlle; Peyrot, Caroline; Wilkinson, Kevin J

    2015-01-01

    The purpose of this study was to determine the cumulative effects of exposure to either dissolved zinc or nanozinc oxide (nanoZnO) and air-time survival in freshwater mussels. Mussels were exposed to each forms of zinc for 96h then placed in air to determine survival time. A sub-group of mussels before and after 7days of exposure to air were kept aside for the determination of the following biomarkers: arachidonate-dependent cyclooxygenase (COX) and peroxidase (inflammation and oxidative stress), lipid metabolism (total lipids, esterases activity, HO-glycerol, acetyl CoA and phospholipase A2) and lipid damage (lipid peroxidation [LPO]). The results showed that air-time survival was decreased from a mean value of 18.5days to a mean value of 12days in mussels exposed to 2.5mg/L of nanoZnO although it was not lethal based on shell opening at concentrations below 50mg/L after 96h. In mussels exposed to zinc only, the median lethal concentration was estimated at 16mg/L (10-25 95% CI). The air-time survival did not significantly change in mussels exposed to the same concentration of dissolved Zn. Significant weight losses were observed at 0.5mg/L of nanoZnO and at 2.5mg/L for dissolved zinc chloride, and were also significantly correlated with air-time survival (r=0.53; p<0.01). Air exposure significantly increased COX activity in control mussels and in mussels exposed to 0.5mg/L of nanoZnO and zinc chloride. The data also suggested fatty acid breakdown and β-oxidation. Mussels exposed to contaminants are more susceptible to prolonged exposure to air during low water levels. Crown Copyright © 2015. Published by Elsevier Inc. All rights reserved.

  5. Time for College: The Adult Student's Guide to Survival and Success! Second Edition.

    ERIC Educational Resources Information Center

    Siebert, Al; Gilpin, Bernadine

    This guide is designed to help adult students survive and succeed in their college studies. Its 15 chapters contain practical advice on the following topics: obtaining the help available to adult students, confronting and overcoming fears and concerns, enrolling in a program and financing its costs, getting acquainted with the campus during…

  6. Time for College: The Adult Student's Guide to Survival and Success! Second Edition.

    ERIC Educational Resources Information Center

    Siebert, Al; Gilpin, Bernadine

    This guide is designed to help adult students survive and succeed in their college studies. Its 15 chapters contain practical advice on the following topics: obtaining the help available to adult students, confronting and overcoming fears and concerns, enrolling in a program and financing its costs, getting acquainted with the campus during…

  7. Surviving Tight Times or What to Do When the Money Runs Out.

    ERIC Educational Resources Information Center

    Neugebauer, Roger

    1987-01-01

    Recommends strategies to help for-profit and non-profit child care centers survive financial crises. These strategies include discovering the source of the problem; monitoring cash flow; trimming the budget; slowing cash outflow; speeding cash inflow; exploring new income sources; enduring the strain effectively; and avoiding crisis repetition.…

  8. Surviving Tight Times or What to Do When the Money Runs Out.

    ERIC Educational Resources Information Center

    Neugebauer, Roger

    1987-01-01

    Recommends strategies to help for-profit and non-profit child care centers survive financial crises. These strategies include discovering the source of the problem; monitoring cash flow; trimming the budget; slowing cash outflow; speeding cash inflow; exploring new income sources; enduring the strain effectively; and avoiding crisis repetition.…

  9. Air-tough: A fully 3-dimensional linking of atmosphere with soil using eddy diffusivity concept and V-TOUGH

    SciTech Connect

    Montazer, P.

    1995-03-01

    In arid climates, evapotranspiration is a strongly-coupled thermodynamic process that is controlled by the interaction of the atmospheric boundary layer and the upper soil surface. Simulation of this process requires a fully-coupled thermodynamic multi-phase fluid-flow and energy-transport code. Such a code was developed in a previous investigation using V-TOUGH. The resulting efficient computer code, A-TOUGH, simulates the effect of dynamic atmospheric fluctuations on vapor movement between the soil and the atmosphere and the resulting moisture movement in the soil. However, the coupling between the atmosphere and soil employed eddy diffusivity which was only a function of time and not a function of space. In the present study the code is extended to allow spatial as well as temporal variation of eddy diffusivity.

  10. Frequency and survival pattern of in-hospital cardiac arrests: The impacts of etiology and timing.

    PubMed

    Tran, Sheri; Deacon, Naomi; Minokadeh, Anushirvan; Malhotra, Atul; Davis, Daniel P; Villanueva, Sheri; Sell, Rebecca E

    2016-10-01

    Define the frequency and survival pattern of cardiac arrests in relation to the hospital day of event and etiology of arrest. Retrospective cohort study of adult in-hospital cardiac arrests between July 1, 2005, and June 30, 2013, that were classified by etiology of deterioration. Arrests were divided based on hospital day (HD) of event (HD1, HD2-7, HD>7 days), and analysis of frequency was performed. The primary outcome of survival to discharge and secondary outcomes of return of spontaneous circulation (ROSC) and favorable neurological outcomes were compared using multivariable logistic regression analysis. A total of 627 cases were included, 193 (30.8%) cases in group HD1, 206 (32.9%) in HD2-7, and 228 (36.4%) in HD>7. Etiology of arrest demonstrated variability across the groups (p<0.001). Arrests due to ventilation issues increased in frequency with longer hospitalization (p<0.001) while arrests due to dysrhythmia had the opposite trend (p=0.014). Rates of survival to discharge (p=0.038) and favorable neurological outcomes (p=0.002) were lower with increasing hospital days while ROSC was not different among the groups (p=0.183). Survival was highest for HD1 (HD1: 38.9% [95% CI, 32.0-45.7%], p=0.002 vs HD2-7: 34.0% [95% CI, 27.5-40.4%], p<0.001 vs HD>7: 27.2% [95% CI, 21.4-33.0%], p<0.001). The etiology of cardiac arrests varies in frequency as length of hospitalization increases. Survival rates and favorable neurological outcomes are lower for in-hospital arrests occurring later in the hospitalization, even when adjusted for age, sex, and location of event. Understanding these issues may help with focusing therapies and accurate prognostication. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  11. The prognostic role of non-critical lactate levels for in-hospital survival time among ED patients with sepsis.

    PubMed

    Aluisio, Adam R; Jain, Ashika; Baron, Bonny J; Sarraf, Saman; Sinert, Richard; Legome, Eric; Zehtabchi, Shahriar

    2016-02-01

    This study describes emergency department (ED) sepsis patients with non-critical serum venous lactate (LAC) levels (LAC <4.0 mmol/L) who suffered in-hospital mortality and examines LAC in relation to survival times. An ED based retrospective cohort study accrued September 2010 to August 2014. Inclusion criteria were ED admission, LAC sampling, >2 systemic inflammatory response syndrome criteria with an infectious source (sepsis), and in-hospital mortality. Kaplan-Meier curves were used for survival estimates. An a priori sub-group analysis for patients with repeat LAC within 6 hours of initial sampling was undertaken. The primary outcome was time to in-hospital death evaluated using rank-sum tests and regression models. One hundred ninety-seven patients met inclusion criteria. Pulmonary infections were the most common (44%) and median LAC was 1.9 mmol/L (1.5, 2.5). Thirteen patients (7%) died within 24 hours and 79% by ≤28 days. Median survival was 11 days (95% CI, 8.0-13). Sixty-two patients had repeat LAC sampling with 14 (23%) and 48 (77%) having decreasing increasing levels, respectively. No significant differences were observed in treatment requirements between the LAC subgroups. Among patients with decreasing LAC, median survival was 24 days (95% CI, 5-32). For patients with increasing LAC median survival was significantly shorter (7 days; 95% CI, 4-11, P = .04). Patients with increasing LAC had a non-significant trend toward reduced survival (HR = 1.6 95% CI, 0.90-3.0, P = .10). In septic ED patients experiencing in-hospital death, non-critical serum venous lactate may be utilized as a risk-stratifying tool for early mortality, while increasing LAC levels may identify those in danger of more rapid deterioration. Copyright © 2015 Elsevier Inc. All rights reserved.

  12. On the fracture toughness of advanced materials

    SciTech Connect

    Launey, Maximilien E.; Ritchie, Robert O.

    2008-11-24

    Few engineering materials are limited by their strength; rather they are limited by their resistance to fracture or fracture toughness. It is not by accident that most critical structures, such as bridges, ships, nuclear pressure vessels and so forth, are manufactured from materials that are comparatively low in strength but high in toughness. Indeed, in many classes of materials, strength and toughness are almost mutually exclusive. In the first instance, such resistance to fracture is a function of bonding and crystal structure (or lack thereof), but can be developed through the design of appropriate nano/microstructures. However, the creation of tough microstructures in structural materials, i.e., metals, polymers, ceramics and their composites, is invariably a compromise between resistance to intrinsic damage mechanisms ahead of the tip of a crack (intrinsic toughening) and the formation of crack-tip shielding mechanisms which principally act behind the tip to reduce the effective 'crack-driving force' (extrinsic toughening). Intrinsic toughening is essentially an inherent property of a specific microstructure; it is the dominant form of toughening in ductile (e.g., metallic) materials. However, for most brittle (e.g., ceramic) solids, and this includes many biological materials, it is largely ineffective and toughening conversely must be developed extrinsically, by such shielding mechanisms as crack bridging. From a fracture mechanics perspective, this results in toughening in the form of rising resistance-curve behavior where the fracture resistance actually increases with crack extension. The implication of this is that in many biological and high-strength advanced materials, toughness is developed primarily during crack growth and not for crack initiation. This is an important realization yet is still rarely reflected in the way that toughness is measured, which is invariably involves the use of single-value (crack-initiation) parameters such as the

  13. TOUGH+ v1.5 Core Code

    SciTech Connect

    Moridis, George J.

    2015-08-27

    TOUGH+ v1.5 is a numerical code for the simulation of multi-phase, multi-component flow and transport of mass and heat through porous and fractured media, and represents the third update of the code since its first release [Moridis et al., 2008]. TOUGH+ is a successor to the TOUGH2 [Pruess et al., 1991; 2012] family of codes for multi-component, multiphase fluid and heat flow developed at the Lawrence Berkeley National Laboratory. It is written in standard FORTRAN 95/2003, and can be run on any computational platform (workstations, PC, Macintosh). TOUGH+ v1.5 employs dynamic memory allocation, thus minimizing storage requirements. It has a completely modular structure, follows the tenets of Object-Oriented Programming (OOP), and involves the advanced features of FORTRAN 95/2003, i.e., modules, derived data types, the use of pointers, lists and trees, data encapsulation, defined operators and assignments, operator extension and overloading, use of generic procedures, and maximum use of the powerful intrinsic vector and matrix processing operations. TOUGH+ v1.5 is the core code for its family of applications, i.e., the part of the code that is common to all its applications. It provides a description of the underlying physics and thermodynamics of non-isothermal flow, of the mathematical and numerical approaches, as well as a detailed explanation of the general (common to all applications) input requirements, options, capabilities and output specifications. The core code cannot run by itself: it needs to be coupled with the code for the specific TOUGH+ application option that describes a particular type of problem. The additional input requirements specific to a particular TOUGH+ application options and related illustrative examples can be found in the corresponding User’s Manual.

  14. Uric acid as a prognostic factor for survival time: a prospective cohort study of terminally ill cancer patients.

    PubMed

    Shin, Hyun-Sik; Lee, Hye-Ree; Lee, Duk-Chul; Shim, Jae-Yong; Cho, Kyung-Hee; Suh, Sang-Yeon

    2006-06-01

    The aim of this prospective cohort study was to determine whether serum uric acid level is useful as a predictor of survival in terminally ill cancer patients. One hundred eighteen terminally ill cancer patients, including 63 (53.4%) males, were categorized into four groups by serum uric acid levels and followed up until death or to the end of the study. Cox's proportional hazard model was adopted to evaluate the joint effect of some clinicobiological variables on survival. From an initial model containing 51 variables, a final parsimonious model was obtained by means of a stepwise method. Repetitive dispersion analysis was performed for serum uric acid level in 39 subjects for 3 weeks until death. During the study period, 113 (95.76%) subjects expired, and the median survival time was 14 days. In univariate analysis, survival time of the fourth highest group (> or =7.2mg/dL) was significantly shorter than that of the others (hazard ratio (HR)=2.784, P<0.001). After adjustment for low performance status, moderate to severe pain, prolonged prothrombin time, hypocholesterolemia, and high lactate dehydrogenase (LDH) level, high serum uric acid level (> or =7.2mg/dL) was significantly and independently associated with short survival time (HR=2.637, P=0.001). Serum uric acid levels were also significantly increased between the first and the second week before death. These findings suggest that serum uric acid level can be useful in predicting life expectancy in terminally ill cancer patients.

  15. Effect of length biased sampling of unobserved sojourn times on the survival distribution when disease is screen detected.

    PubMed

    Kafadar, Karen; Prorok, Philip C

    2009-07-20

    Data can arise as a length-biased sample rather than as a random sample; e.g. a sample of patients in hospitals or of network cable lines (experimental units with longer stays or longer lines have greater likelihoods of being sampled). The distribution arising from a single length-biased sampling (LBS) time has been derived (e.g. (The Statistical Analysis of Discrete Time Events. Oxford Press: London, 1972)) and applies when the observed outcome relates to the random variable subjected to LBS. Zelen (Breast Cancer: Trends in Research and Treatment. Raven Press: New York, 1976; 287-301) noted that cases of disease detected from a screening program likewise form a length-biased sample among all cases, since longer sojourn times afford greater likelihoods of being screen detected. In contrast to the samples on hospital stays and cable lines, however, the length-biased sojourns (preclinical durations) cannot be observed, although their subsequent clinical durations (survival times) are. This article quantifies the effect of LBS of the sojourn times (or pre-clinical durations) on the distribution of the observed clinical durations when cases undergo periodic screening for the early detection of disease. We show that, when preclinical and clinical durations are positively correlated, the mean, median, and quartiles of the distribution of the clinical duration from screen-detected cases can be substantially inflated-even in the absence of any benefit on survival from the screening procedure. Screening studies that report mean survival time need to take account of the fact that, even in the absence of any real benefit, the mean survival among cases in the screen-detected group will be longer than that among interval cases or among cases that arise in the control arm, above and beyond lead time bias, simply by virtue of the LBS phenomenon

  16. THE RELATIONSHIP BETWEEN MENTAL TOUGHNESS, STRESS, AND BURNOUT AMONG ADOLESCENTS: A LONGITUDINAL STUDY WITH SWISS VOCATIONAL STUDENTS (.).

    PubMed

    Gerber, Markus; Feldmeth, Anne Karina; Lang, Christin; Brand, Serge; Elliot, Catherine; Holsboer-Trachsler, Edith; Pühse, Uwe

    2015-12-01

    Past research has shown that higher stress is associated with increased burnout symptoms. The purpose of this study was to test whether mental toughness protects against symptoms of burnout and whether mental toughness moderates the relationship between perceived stress and burnout over time. Fifty-four vocational students (M age = 18.1 yr., SD = 1.2; 27 males, 27 females) completed self-report questionnaires twice, 10 mo. apart. Perceived stress, mental toughness, and burnout were measured using the Adolescent Stress Questionnaire (ASQ), the Mental Toughness Questionnaire (MTQ), and the Shirom-Melamed Burnout Measure (SMBM). Students who perceived higher stress and lower mental toughness scores reported higher burnout symptoms. Although no significant interaction effects were found between stress and mental toughness in the prediction of burnout, the graphical inspection of the interactions indicated that among students with high stress, those with high mental toughness remained below the cutoff for mild burnout, whereas an increase in burnout symptoms was observable among peers with low mental toughness.

  17. Joint modeling of survival time and longitudinal outcomes with flexible random effects.

    PubMed

    Choi, Jaeun; Zeng, Donglin; Olshan, Andrew F; Cai, Jianwen

    2017-08-30

    Joint models with shared Gaussian random effects have been conventionally used in analysis of longitudinal outcome and survival endpoint in biomedical or public health research. However, misspecifying the normality assumption of random effects can lead to serious bias in parameter estimation and future prediction. In this paper, we study joint models of general longitudinal outcomes and survival endpoint but allow the underlying distribution of shared random effect to be completely unknown. For inference, we propose to use a mixture of Gaussian distributions as an approximation to this unknown distribution and adopt an Expectation-Maximization (EM) algorithm for computation. Either AIC and BIC criteria are adopted for selecting the number of mixtures. We demonstrate the proposed method via a number of simulation studies. We illustrate our approach with the data from the Carolina Head and Neck Cancer Study (CHANCE).

  18. Effect of prehospital triage on revascularization times, left ventricular function, and survival in patients with ST-elevation myocardial infarction.

    PubMed

    Sivagangabalan, Gopal; Ong, Andrew T L; Narayan, Arun; Sadick, Norman; Hansen, Peter S; Nelson, Greg C I; Flynn, Michael; Ross, David L; Boyages, Steven C; Kovoor, Pramesh

    2009-04-01

    Shorter reperfusion times lead to better outcomes in patients with ST-elevation myocardial infarction (STEMI). We assessed the efficacy of prehospital triage with bypass of community hospitals and early activation of the cardiac catheterization team on revascularization times, left ventricular (LV) ejection fraction, and survival. Patients with STEMI (624) were divided into 3 groups determined by site of triage: ambulance field triage (163), interventional center emergency department (202), and 3 community hospital emergency departments (259). Compared with community hospital and interventional center triages, ambulance field triage resulted in a significant median decrease in door-to-balloon times of 68 and 27 minutes, respectively (p <0.001). LV ejection fraction was highest in the field triage group (52 +/- 13%) compared with the interventional center (49 +/- 12%) and community hospital (48 +/- 12%, p = 0.017) groups. Thirty-day mortality was lowest in the ambulance field group (3%) compared with the interventional facility (11%) and community hospital (4%, p = 0.007) groups. There was a significant difference in long-term survival with up to 30-month follow-up among the 3 triage groups (p = 0.041). With time-dependent Cox regression modeling the difference in survival was significant only during the first week after STEMI (p = 0.020). Every extra minute of symptom onset to reperfusion time was associated with a relative risk of long-term mortality of 1.003 (95% confidence interval 1.000 to 1.006, p = 0.027). In conclusion, field triage of patient with STEMI decreased revascularization times, which preserved LV function, and improved early survival.

  19. Design of stiff, tough and stretchy hydrogel composites via nanoscale hybrid crosslinking and macroscale fiber reinforcement.

    PubMed

    Lin, Shaoting; Cao, Changyong; Wang, Qiming; Gonzalez, Mark; Dolbow, John E; Zhao, Xuanhe

    2014-10-14

    Hydrogels' applications are usually limited by their weak mechanical properties. Despite recent great progress in developing tough hydrogels, it is still challenging to achieve high values of , toughness and modulus all together in synthetic hydrogels. In this paper, we designed highly stretchable, tough, yet stiff hydrogel composites via a combination of nanoscale hybrid crosslinking and macroscale fiber reinforcement. The hydrogel composites were constructed by impregnating a 3D-printed thermoplastic-fiber mesh with a tough hydrogel crosslinked both covalently and ionically. The hydrogel composites can achieve a fracture energy of over 30,000 J m(-2), a modulus of over 6 MPa, and can be stretched over 2.8 times even in the presence of large structural defects. The enhancement of toughness in the new hydrogel composites relies on multiple pairs of toughening mechanisms which span over multiple length scales. A theoretical model is further developed to predict the toughness and modulus of the hydrogel composites and guide the design of future materials.

  20. Managing hospitals in turbulent times: do organizational changes improve hospital survival?

    PubMed Central

    Lee, S Y; Alexander, J A

    1999-01-01

    OBJECTIVE: To examine (1) the degree to which organizational changes affected hospital survival; (2) whether core and peripheral organizational changes affected hospital survival differently; and (3) how simultaneous organizational changes affected hospital survival. DATA SOURCES: AHA Hospital Surveys, the Area Resource File, and the AHA Hospital Guides, Part B: Multihospital Systems. STUDY DESIGN: The study employed a longitudinal panel design. We followed changes in all community hospitals in the continental United States from 1981 through 1994. The dependent variable, hospital closure, was examined as a function of multiple changes in a hospital's core and peripheral structures as well as the hospital's organizational and environmental characteristics. Cox regression models were used to test the expectations that core changes increased closure risk while peripheral changes decreased such risk, and that simultaneous core and peripheral changes would lead to higher risk of closure. PRINCIPAL FINDINGS: Results indicated more peripheral than core changes in community hospitals. Overall, findings contradicted our expectations. Change in specialty, a core change, was beneficial for hospitals, because it reduced closure risk. The two most frequent peripheral changes, downsizing and leadership change, were positively associated with closure. Simultaneous organizational changes displayed a similar pattern: multiple core changes reduced closure risk, while multiple peripheral changes increased the risk. These patterns held regardless of the level of uncertainty in hospital environments. CONCLUSIONS: Organizational changes are not all beneficial for hospitals, suggesting that hospital leaders should be both cautious and selective in their efforts to turn their hospitals around. PMID:10536977

  1. Time-related survival effects of two gluconasturtiin hydrolysis products on the terrestrial isopod Porcellio scaber.

    PubMed

    van Ommen Kloeke, A E Elaine; Jager, Tjalling; van Gestel, Cornelis A M; Ellers, Jacintha; van Pomeren, Marinda; Krommenhoek, Thibault; Styrishave, Bjarne; Hansen, Martin; Roelofs, Dick

    2012-11-01

    Glucosinolates are compounds produced by commercial crops which can hydrolyse in a range of natural toxins that may exert detrimental effects on beneficial soil organisms. This study examined the effects of 2-phenylethyl isothiocyanate and 3-phenylpropionitrile on the survival and growth of the woodlouse Porcellio scaber exposed for 28 d. 2-Phenylethyl isothiocyanate dissipated from the soil with half-lives ranging from 19 to 96 h. Exposure through soil showed toxic effects only on survival. The LC50s after 28 d were significantly different at 65.3 mg kg(-1) for 2-phenylethyl isothiocyanate and 155 mg kg(-1) for 3-phenylpropionitrile. A toxicokinetic-toxicodynamic (TKTD) approach, however, revealed that both compounds in fact have very similar effect patterns. The TKTD model was better suited to interpret the survival data than descriptive dose-response analysis (LC(x)), accounting for the fast dissipation of the compounds in the soil. Found effects were within environmentally relevant concentrations. Care should therefore be taken before allowing these natural toxins to enter soil ecosystems in large quantities.

  2. fur (-) mutation increases the survival time of Escherichia coli under photooxidative stress in aquatic environments.

    PubMed

    Darcan, C; Aydin, Ebru

    2012-09-01

    We investigated the survival of the wild type Escherichia coli (QC771) and fur- mutant strain (QC1732) under photooxidative stress in different water sources. The survival of fur- mutant and wild type E. coli was seen as a significant decrease in the visible light samples in the presence of methylene blue (MB). The fur-E. coli strain lived longer than the wild type E. coli strain on exposure to MB and visible light, which generates singlet oxygen, in both lake water (48-h) and pure water (16-h). It is interesting to note that the survival of both wild type and the fur- mutant strain was more protected at 24 °C than at other temperatures. The Fur protein does not have any relation to the entry of E. coli into the viable but nonculturable state (VBNC) under photooxidative stress. This is the first study which shows that fur- mutation increases the resistance of E. coli to photooxidative stress in aquatic environments, and the Fur protein does not have any relation to the entry of E. coli into the VBNC state.

  3. Software qualification of selected TOUGH2 modules

    SciTech Connect

    Wu, Y.S.; Ahlers, C.F.; Fraser, P.; Simmons, A.; Pruess, K.

    1996-10-01

    The purpose of this package of reports is to provide all software baseline documents necessary for the software qualification of the single-phase Gas (EOS1G), Effective Continuum Method (ECM), Saturated/Unsaturated Flow (EOS9), and Radionuclide Transport (T2R3D) modules of TOUGH2, a numerical simulation code for multi-dimensional coupled fluid and heat flow of multiphase, multicomponent fluid mixtures in porous and fractured media. This report contains the following sections: (1) Requirements Specification, (2) Design Description, (3) Software Validation Test Plan and Report, (4) Software User Documentation, and (5) Appendices. These sections comprise sequential parts of the Software Life Cycle, and are not intended to stand alone but should be used in conjunction with the TOUGH User`s Guide (Pruess, 1987), TOUGH2--A General Purpose Numerical Simulator for Multiphase Fluid and Heat Flow (Pruess, 1991), and the above-referenced TOUGH2 software qualification document. The qualification package is complete with the attached Software Identification Form and executable source code for the single-phase Gas, Effective Continuum method, Saturated/Unsaturated Flow, and Radionuclide Transport modules of TOUGH2.

  4. A Neuropsychological Model of Mentally Tough Behavior.

    PubMed

    Hardy, Lew; Bell, James; Beattie, Stuart

    2014-02-01

    Four studies were conducted with two primary objectives: (a) to conceptualize and measure mental toughness from a behavioral perspective and (b) to apply relevant personality theory to the examination of between-person differences in mentally tough behavior. Studies 1 (N = 305 participants from a range of different sports) and 2 (N = 110 high-level cricketers) focused on the development of an informant-rated mental toughness questionnaire that assessed individual differences in ability to maintain or enhance performance under pressure from a wide range of stressors. Studies 3 (N = 214) and 4 (N = 196) examined the relationship between reinforcement sensitivities and mentally tough behavior in high-level cricketers. The highest levels of mental toughness reported by coaches occurred when cricketers were sensitive to punishment and insensitive to reward. Study 4 suggested that such players are predisposed to identify threatening stimuli early, which gives them the best possible opportunity to prepare an effective response to the pressurized environments they encounter. The findings show that high-level cricketers who are punishment sensitive, but not reward sensitive, detect threat early and can maintain goal-directed behavior under pressure from a range of different stressors. © 2013 Wiley Periodicals, Inc.

  5. Mental Toughness in South African Youth.

    PubMed

    Cowden, Richard G; Clough, Peter J; Oppong Asante, Kwaku

    2017-04-01

    Young people are particularly vulnerable to health risk behaviors and interpersonal violence, stimulating scholars' attention towards identifying factors that may reduce the likelihood that these actions will occur. Associated with positive outcomes in a variety of domains, mental toughness in young people might protect them from engaging in potentially deleterious interpersonal or health-risk behaviors, while potentially promoting positive psychological behaviors. Within this framework, the present study investigated the relationships between mental toughness, attitudes towards physical and psychological risk-taking, and trait forgiveness in a sample of 123 (males = 54, females = 69) South African youth ( M age = 23.97 years, SD = 4.46). Univariate and multivariate analyses indicated higher levels of mental toughness were associated with being more forgiving, ([Formula: see text] = .036), perceiving physical risk-taking more positively ([Formula: see text] = .062), but having more negative attitudes towards psychological risk-taking ([Formula: see text] = .036). These findings give credence to mental toughness as a psychological characteristic involved in youth risk-taking perceptions and interpersonal functioning. Future research might explore the integration of mental toughness into the development of future youth risk behavior interventions.

  6. The conflicts between strength and toughness

    NASA Astrophysics Data System (ADS)

    Ritchie, Robert O.

    2011-11-01

    The attainment of both strength and toughness is a vital requirement for most structural materials; unfortunately these properties are generally mutually exclusive. Although the quest continues for stronger and harder materials, these have little to no use as bulk structural materials without appropriate fracture resistance. It is the lower-strength, and hence higher-toughness, materials that find use for most safety-critical applications where premature or, worse still, catastrophic fracture is unacceptable. For these reasons, the development of strong and tough (damage-tolerant) materials has traditionally been an exercise in compromise between hardness versus ductility. Drawing examples from metallic glasses, natural and biological materials, and structural and biomimetic ceramics, we examine some of the newer strategies in dealing with this conflict. Specifically, we focus on the interplay between the mechanisms that individually contribute to strength and toughness, noting that these phenomena can originate from very different lengthscales in a material's structural architecture. We show how these new and natural materials can defeat the conflict of strength versus toughness and achieve unprecedented levels of damage tolerance within their respective material classes.

  7. Patients with type 2 diabetes benefit from primary care-based disease management: a propensity score matched survival time analysis.

    PubMed

    Drabik, Anna; Büscher, Guido; Thomas, Karsten; Graf, Christian; Müller, Dirk; Stock, Stephanie

    2012-08-01

    This study aimed to assess the impact of a nationwide German diabetes mellitus disease management program (DMP) on survival time and costs in comparison to routine care. The authors conducted a retrospective observational cohort study using routine administration data from Germany's largest sickness fund to identify insured suffering from diabetes in 2002. A total of 95,443 insured with type 2 diabetes mellitus who were born before January 1, 1962 met the defined inclusion criteria, resulting in 19,888 pairs of DMP participants and nonparticipants matched for socioeconomic and health status using propensity score matching methods. This is the first time propensity score matching has been used to evaluate a survival benefit of DMPs. In the time frame analyzed (3 years), mean survival time for the DMP group was 1045 days vs. 985 days for the routine care group (P<0.001). Mean daily hospital and total costs (including DMP administration and medical costs) were lower for the DMP group in the case of deceased insureds (92€ vs. 139€ and 122€ vs. 169€, respectively) as well as for censored observations (6€ vs. 7€ and 12.9€ vs. 13.4€, respectively). Mean daily drug costs were slightly lower for deceased insured in the DMP group (difference 0.6€), while no identifiable difference was found for censored observations. In this study, insured who were enrolled in a DMP for diabetes mellitus in the German Statutory Health Insurance showed a significant benefit in survival time. They also incurred lower costs compared to propensity score matched insured in routine care.

  8. Using simulation to interpret a discrete time survival model in a complex biological system: fertility and lameness in dairy cows.

    PubMed

    Hudson, Christopher D; Huxley, Jonathan N; Green, Martin J

    2014-01-01

    The ever-growing volume of data routinely collected and stored in everyday life presents researchers with a number of opportunities to gain insight and make predictions. This study aimed to demonstrate the usefulness in a specific clinical context of a simulation-based technique called probabilistic sensitivity analysis (PSA) in interpreting the results of a discrete time survival model based on a large dataset of routinely collected dairy herd management data. Data from 12,515 dairy cows (from 39 herds) were used to construct a multilevel discrete time survival model in which the outcome was the probability of a cow becoming pregnant during a given two day period of risk, and presence or absence of a recorded lameness event during various time frames relative to the risk period amongst the potential explanatory variables. A separate simulation model was then constructed to evaluate the wider clinical implications of the model results (i.e. the potential for a herd's incidence rate of lameness to influence its overall reproductive performance) using PSA. Although the discrete time survival analysis revealed some relatively large associations between lameness events and risk of pregnancy (for example, occurrence of a lameness case within 14 days of a risk period was associated with a 25% reduction in the risk of the cow becoming pregnant during that risk period), PSA revealed that, when viewed in the context of a realistic clinical situation, a herd's lameness incidence rate is highly unlikely to influence its overall reproductive performance to a meaningful extent in the vast majority of situations. Construction of a simulation model within a PSA framework proved to be a very useful additional step to aid contextualisation of the results from a discrete time survival model, especially where the research is designed to guide on-farm management decisions at population (i.e. herd) rather than individual level.

  9. Using Simulation to Interpret a Discrete Time Survival Model in a Complex Biological System: Fertility and Lameness in Dairy Cows

    PubMed Central

    Hudson, Christopher D.; Huxley, Jonathan N.; Green, Martin J.

    2014-01-01

    The ever-growing volume of data routinely collected and stored in everyday life presents researchers with a number of opportunities to gain insight and make predictions. This study aimed to demonstrate the usefulness in a specific clinical context of a simulation-based technique called probabilistic sensitivity analysis (PSA) in interpreting the results of a discrete time survival model based on a large dataset of routinely collected dairy herd management data. Data from 12,515 dairy cows (from 39 herds) were used to construct a multilevel discrete time survival model in which the outcome was the probability of a cow becoming pregnant during a given two day period of risk, and presence or absence of a recorded lameness event during various time frames relative to the risk period amongst the potential explanatory variables. A separate simulation model was then constructed to evaluate the wider clinical implications of the model results (i.e. the potential for a herd’s incidence rate of lameness to influence its overall reproductive performance) using PSA. Although the discrete time survival analysis revealed some relatively large associations between lameness events and risk of pregnancy (for example, occurrence of a lameness case within 14 days of a risk period was associated with a 25% reduction in the risk of the cow becoming pregnant during that risk period), PSA revealed that, when viewed in the context of a realistic clinical situation, a herd’s lameness incidence rate is highly unlikely to influence its overall reproductive performance to a meaningful extent in the vast majority of situations. Construction of a simulation model within a PSA framework proved to be a very useful additional step to aid contextualisation of the results from a discrete time survival model, especially where the research is designed to guide on-farm management decisions at population (i.e. herd) rather than individual level. PMID:25101997

  10. COMPARATIVE STUDY ON LIVER TRANSPLANTATION WITH AND WITHOUT HEPATOCELLULAR CARCINOMA WITH CIRRHOSIS: ANALYSIS OF MELD, WAITING TIME AND SURVIVAL

    PubMed Central

    de FREITAS, Alexandre Coutinho Teixeira; SHIGUIHARA, Rafael Shinmi; MONTEIRO, Ruan Teles; PAZETO, Thiago Linck; COELHO, Júlio Cezar Uili

    2016-01-01

    Background : Liver transplantation is the usual treatment for hepatocellular carcinoma. Aim: To analyze the MELD score, waiting time and three month and one year survival for liver transplantation in cirrhotic patients affected by hepatocellular carcinoma or not. Methods : This was a retrospective, observational and analytical study of 93 patients submitted to liver transplantation. Results : There were 28 hepatocellular carcinoma and 65 non-hepatocellular carcinoma patients with no differences related to age and sex distribution. The main causes of cirrhosis on hepatocellular carcinoma were hepatitis C virus (57.1%) and hepatitis B virus (28.5%), more frequent than non-hepatocellular carcinoma patients, which presented 27.7% and 4.6% respectively. The physiological and exception MELD score on hepatocellular carcinoma were 11.9 and 22.3 points. On non-hepatocellular carcinoma, it was 19.4 points, higher than the physiological MELD and lower than the exception MELD on hepatocellular carcinoma. The waiting time for transplantation was 96.2 days for neoplasia, shorter than the waiting time for non-neoplasia patients, which was 165.6 days. Three month and one year survival were 85.7% and 78.6% for neoplasia patients, similar to non-neoplasia, which were 77% and 75.4%. Conclusion: Hepatocellular carcinoma patients presented lower physiological MELD score, higher exception MELD score and shorter waiting time for transplantation when compared to non-hepatocellular carcinoma patients. Three month and one year survival were the same between the groups. PMID:27120734

  11. Juvenile Passage Program : A Plan for Estimating Smolt Travel Time and Survival in the Snake and Columbia Rivers

    SciTech Connect

    Skalski, J. R.; Giorgi, Albert E.

    1993-10-01

    A plan for developing a program to evaluate juvenile salmon passage is presented that encompasses the Snake (Lower Granite to McNary Dams), Mid-Columbia (Wells to McNary Dams), and Lower Columbia (McNary to Bonneville Dams) segments of the Snake/Columbia River system. This plan focuses on the use of PIT-tag technology to routinely estimate travel times and reach survival of outmigrating yearling and subyearling Chinook, sockeye, and steelhead during spring and summer months. The proposed program outlines tagging studies that could be implemented in (a) 1992, (b) near term (1993--94), and (c) long term (1995 to the next decade). The evolution of this program over time parallels plans to establish additional PIT-tag detector and slide-gate systems at Little Goose, Lower Monumental, McNary, John Day, and Bonneville Dams. The eventual ability to concurrently estimate travel time and survival of release groups will permit evaluation of travel time-survival-flow relationships and identify possible mortality {open_quotes}hot spots{close_quotes} for remediation.

  12. Cyclicality, Mortality, and the Value of Time: The Case of Coffee Price Fluctuations and Child Survival in Colombia

    PubMed Central

    Miller, Grant; Urdinola, B. Piedad

    2011-01-01

    Recent studies demonstrate procyclical mortality in wealthy countries, but there are reasons to expect a countercyclical relationship in developing nations. We investigate how child survival in Colombia responds to fluctuations in world Arabica coffee prices – and document starkly procyclical child deaths. In studying this result’s behavioral underpinnings, we highlight that: (1) The leading determinants of child health are inexpensive but require considerable time, and (2) As the value of time declines with falling coffee prices, so does the relative price of health. We find a variety of direct evidence consistent with the primacy of time in child health production. PMID:22090662

  13. Cyclicality, Mortality, and the Value of Time: The Case of Coffee Price Fluctuations and Child Survival in Colombia.

    PubMed

    Miller, Grant; Urdinola, B Piedad

    2010-02-01

    Recent studies demonstrate procyclical mortality in wealthy countries, but there are reasons to expect a countercyclical relationship in developing nations. We investigate how child survival in Colombia responds to fluctuations in world Arabica coffee prices - and document starkly procyclical child deaths. In studying this result's behavioral underpinnings, we highlight that: (1) The leading determinants of child health are inexpensive but require considerable time, and (2) As the value of time declines with falling coffee prices, so does the relative price of health. We find a variety of direct evidence consistent with the primacy of time in child health production.

  14. Impact of Time from Completion of Neoadjuvant Chemotherapy to Surgery on Survival Outcomes in Breast Cancer Patients.

    PubMed

    Sanford, Rachel A; Lei, Xiudong; Barcenas, Carlos H; Mittendorf, Elizabeth A; Caudle, Abigail S; Valero, Vicente; Tripathy, Debu; Giordano, Sharon H; Chavez-MacGregor, Mariana

    2016-05-01

    No studies have examined the impact of the interval from conclusion of neoadjuvant chemotherapy to surgery in breast cancer patients. This study was undertaken to investigate the relationship between time interval from neoadjuvant chemotherapy to surgery and survival outcomes. Breast cancer patients diagnosed with stage I-III disease who received neoadjuvant chemotherapy June 1995 to April 2007 were identified. The effect of neoadjuvant chemotherapy to surgery interval, defined as ≤4, 4-6, or >6 weeks, on survival outcomes was examined. Descriptive statistics and Cox proportional hazards models were used. A total of 1101 patients were identified. Median time to surgery was 33 (range 8-159) days; 335 patients (30.4 %) had surgery within 4 weeks of their last dose of neoadjuvant chemotherapy, 524 (47.6 %) within 4-6 weeks, and 242 (22.0 %) after more than 6 weeks. Median follow-up was 94 (range 3-178) months. The 5-year overall survival (OS) estimates were 79, 87, and 81 % in patients who underwent surgery ≤4, 4-6, and >6 weeks after neoadjuvant chemotherapy, respectively (p = 0.03). The three groups did not differ in 5-year recurrence-free survival (RFS) or locoregional recurrence-free survival (LRFS). In multivariable analysis, compared with an interval of ≤4 weeks, patients who underwent surgery at 4-6 or >6 weeks had equivalent OS, LRFS, and RFS; a sensitivity analysis suggested worse OS in patients who underwent surgery at >8 weeks. Patients with neoadjuvant chemotherapy to surgery intervals of up to 8 weeks had equivalent OS, RFS, and LRFS.

  15. A review of statistical issues with progression-free survival as an interval-censored time-to-event endpoint.

    PubMed

    Sun, Xing; Li, Xiaoyun; Chen, Cong; Song, Yang

    2013-01-01

    Frequent rise of interval-censored time-to-event data in randomized clinical trials (e.g., progression-free survival [PFS] in oncology) challenges statistical researchers in the pharmaceutical industry in various ways. These challenges exist in both trial design and data analysis. Conventional statistical methods treating intervals as fixed points, which are generally practiced by pharmaceutical industry, sometimes yield inferior or even flawed analysis results in extreme cases for interval-censored data. In this article, we examine the limitation of these standard methods under typical clinical trial settings and further review and compare several existing nonparametric likelihood-based methods for interval-censored data, methods that are more sophisticated but robust. Trial design issues involved with interval-censored data comprise another topic to be explored in this article. Unlike right-censored survival data, expected sample size or power for a trial with interval-censored data relies heavily on the parametric distribution of the baseline survival function as well as the frequency of assessments. There can be substantial power loss in trials with interval-censored data if the assessments are very infrequent. Such an additional dependency controverts many fundamental assumptions and principles in conventional survival trial designs, especially the group sequential design (e.g., the concept of information fraction). In this article, we discuss these fundamental changes and available tools to work around their impacts. Although progression-free survival is often used as a discussion point in the article, the general conclusions are equally applicable to other interval-censored time-to-event endpoints.

  16. Effects of flavorings, storage conditions, and storage time on survival of Staphylococcus aureus in Sürk cheese.

    PubMed

    Masatcioğlu, Tuğrul M; Avşar, Yahya K

    2005-07-01

    The objectives of this study were to determine the cumulative effects of flavorings (chili pepper, thyme, mint, cumin, nutmeg, allspice, clove, cinnamon, black pepper, salt, and hot red pepper paste), storage conditions, and storage time on the survival of Staphylococcus aureus in Sürk cheese and to monitor the associated chemical changes. Sürk cheese, a traditional Turkish cheese, was produced by heating diluted nonfat yogurt and adding flavorings to the resultant acid-heat curd. The cheese was later inoculated with S. aureus, shaped conically, and stored aerobically for mold growth and anaerobically in olive oil for 30 days at room temperature. The moisture content of aerobically stored cheese decreased over time and led to increases in total solids, salt, salt-in-moisture, and ash content during ripening (P < 0.05). The presence or absence of the flavorings had no significant effect, whereas storage conditions and storage duration decreased the survival of S. aureus (P < 0.05).

  17. Investigating Progression in Substance Use Initiation Using a Discrete-Time Multiple Event Process Survival Mixture (MEPSUM) Approach

    PubMed Central

    Richmond-Rakerd, Leah S.; Fleming, Kimberly A.; Slutske, Wendy S.

    2015-01-01

    The order and timing of substance initiation has significant implications for later problematic patterns of use. Despite the need to study initiation from a multivariate framework, survival analytic methods typically cannot accommodate more than two substances in one model. The Discrete-Time Multiple Event Process Survival Mixture (MEPSUM; Dean, Bauer, & Shanahan, 2014) model represents an advance by incorporating more than two outcomes and enabling establishment of latent classes within a multivariate hazard distribution. Employing a MEPSUM approach, we evaluated patterns of tobacco, alcohol, and cannabis initiation in the National Longitudinal Study of Adolescent to Adult Health (N=18,923). We found four classes that differed in their ages and ordering of peak initiation risk. Demographics, externalizing psychopathology, and personality significantly predicted class membership. Sex differences in the association between delinquency and initiation patterns also emerged. Findings support the utility of the MEPSUM approach in elucidating developmental pathways underlying clinically relevant phenomena. PMID:27127730

  18. TOUGH2 User's Guide Version 2

    SciTech Connect

    Pruess, K.; Oldenburg, C.M.; Moridis, G.J.

    1999-11-01

    TOUGH2 is a numerical simulator for nonisothermal flows of multicomponent, multiphase fluids in one, two, and three-dimensional porous and fractured media. The chief applications for which TOUGH2 is designed are in geothermal reservoir engineering, nuclear waste disposal, environmental assessment and remediation, and unsaturated and saturated zone hydrology. TOUGH2 was first released to the public in 1991; the 1991 code was updated in 1994 when a set of preconditioned conjugate gradient solvers was added to allow a more efficient solution of large problems. The current Version 2.0 features several new fluid property modules and offers enhanced process modeling capabilities, such as coupled reservoir-wellbore flow, precipitation and dissolution effects, and multiphase diffusion. Numerous improvements in previously released modules have been made and new user features have been added, such as enhanced linear equation solvers, and writing of graphics files. The T2VOC module for three-phase flows of water, air and a volatile organic chemical (VOC), and the T2DM module for hydrodynamic dispersion in 2-D flow systems have been integrated into the overall structure of the code and are included in the Version 2.0 package. Data inputs are upwardly compatible with the previous version. Coding changes were generally kept to a minimum, and were only made as needed to achieve the additional functionalities desired. TOUGH2 is written in standard FORTRAN77 and can be run on any platform, such as workstations, PCs, Macintosh, mainframe and supercomputers, for which appropriate FORTRAN compilers are available. This report is a self-contained guide to application of TOUGH2 to subsurface flow problems. It gives a technical description of the TOUGH2 code, including a discussion of the physical processes modeled, and the mathematical and numerical methods used. Illustrative sample problems are presented along with detailed instructions for preparing input data.

  19. Mycobacterium avium subsp. paratuberculosis survival during fermentation of soured milk products detected by culture and quantitative real time PCR methods.

    PubMed

    Klanicova, B; Slana, I; Roubal, P; Pavlik, I; Kralik, P

    2012-07-02

    Mycobacterium avium paratuberculosis (MAP), etiological agent of paratuberculosis in ruminants, is able to survive extreme conditions like very low pH (stomach), high temperature (pasteurization) or low temperature (refrigerated storage). Cheese, infant powder milk, cream and other milk and dairy products might thus be considered as possible sources of MAP for humans. The aim of this study was to investigate the survival of two MAP field isolates during fermentation of three different types of soured milk products (SMP; yogurt, acidophilus milk and kefir) under laboratory conditions. Pasteurized MAP-free milk was artificially contaminated with 10(6)MAPcells/mL and survival and absolute numbers of MAP were monitored during fermentation (4 or 16 h) and after six weeks of storage at 4°C by culture and quantitative real time PCR (qPCR). Viability of MAP was determined by culture using Herrold's egg yolk medium and Middlebrook 7H10 with antibiotics, supplemented with Mycobactin J and incubated at 37°C for up to 12 weeks. The absolute numbers of MAP were quantified by previously published qPCR assays targeting F57 and IS900 loci in MAP genome. We herein confirm that MAP can survive pH reduction, however, longer exposure to pH below 4 in SMP seems to be critical because it inhibits growth. Therefore, it is suggested that probiotic cultures that can decrease pH below 4 during fermentation could provide better inactivation of MAP in SMP.

  20. Effect of intestinal microflora on the survival time of mice exposed to lethal whole-body. gamma. irradiation

    SciTech Connect

    Onoue, M.; Uchida, K.; Yokokura, T.; Takahashi, T.; Mutai, M.

    1981-11-01

    The effect of intestinal microflora on the survival time of mice exposed to 2-kR whole-body ..gamma.. irradiation was studied using germfree, monoassociated, and conventionalized ICR mice. The germfree mice were monoassociated with 1 of 11 bacterial strains, which were isolated from the fresh feces of conventional mice, 2 weeks prior to irradiation. All mice died within 3 weeks after irradiation. Monoassociation with Fusobacterium sp., Streptococcus faecalis, Escherichia coli, or Pseudomonas sp. significantly reduced the mean survival time compared to that of germfree mice. In contrast, monoassociation with Clostridium sp., Bifidobacterium pseudolongum, or Lactobacillus acidophilus significantly prolonged the mean survival time compared to that of germfree mice. This suggests that the latter organisms may perform some activity to protect the mice from radiation injury. In this histopathological autopsy examination, the main lesions were hypocellularity in hematopoietic organs and hemorrhage in various organs. Neither karyorrhexis nor desquamation of intestinal mucosal cells was observed in any mice. From these observations, it is suggested that the death of these mice was related to hematopoietic damage. Bacterial invasion into various organs was observed in conventionalized and Pseudomonas-, E. coli-, or S. faecalis-monoassociated mice but not in Clostridium-, B. pseudolongum-, L. acidophilus-, or Fusobacterium-monoassociated mice.

  1. Increasing the Cryogenic Toughness of Steels

    NASA Technical Reports Server (NTRS)

    Rush, H. F.

    1986-01-01

    Grain-refining heat treatments increase toughness without substantial strength loss. Five alloys selected for study, all at or near technological limit. Results showed clearly grain sizes of these alloys refined by such heat treatments and grain refinement results in large improvement in toughness without substantial loss in strength. Best improvements seen in HP-9-4-20 Steel, at low-strength end of technological limit, and in Maraging 200, at high-strength end. These alloys, in grain refined condition, considered for model applications in high-Reynolds-number cryogenic wind tunnels.

  2. Modified 43XX Steels for High Toughness

    DTIC Science & Technology

    1980-04-01

    AL AMMRC TR 80-20 MODIFIED 43XX STEELS FOR HIGH TOUGHNESS T CS.,•, °x ,•, o o,,o,,,sD T I W4 AftELECTE APRIL 1980 J N.J. Kar, V.F. Zackay and E.R...carried out. Isohra tasomions in these steels resulted inn bbaainni 11-v DI FOR Z 47 RITIOW OF I NOV695 IS OBSOLETE UCASFE SECURITY UCLASSIFIEDINOFTI PAGE...this investigation for Si-modified AISI 4330 steel appear to be superior to those for unmodified AISI 4340 and 300-M steels , whilst the strength-tough

  3. Fracture Toughness Prediction for MWCNT Reinforced Ceramics

    SciTech Connect

    Henager, Charles H.; Nguyen, Ba Nghiep

    2013-09-01

    This report describes the development of a micromechanics model to predict fracture toughness of multiwall carbon nanotube (MWCNT) reinforced ceramic composites to guide future experimental work for this project. The modeling work described in this report includes (i) prediction of elastic properties, (ii) development of a mechanistic damage model accounting for matrix cracking to predict the composite nonlinear stress/strain response to tensile loading to failure, and (iii) application of this damage model in a modified boundary layer (MBL) analysis using ABAQUS to predict fracture toughness and crack resistance behavior (R-curves) for ceramic materials containing MWCNTs at various volume fractions.

  4. Impact of simultaneous kidney-pancreas transplant and timing of transplant on kidney allograft survival.

    PubMed

    Israni, Ajay K; Feldman, Harold I; Propert, Kathleen J; Leonard, Mary; Mange, Kevin C

    2005-02-01

    Since 1988 over 10 000 simultaneous cadaveric pancreas-kidney transplants (SPK) have been performed in the United States among patients with end-stage renal disease due to Type 1 diabetes (T1DM). The two aims of this study were to assess the impact on kidney allograft survival of (i) SPK versus transplantation of a kidney alone (KA), and (ii) SPK prior to versus after initiation of chronic dialysis. This retrospective, non-concurrent cohort study examined registry data collected from 8323 patients waitlisted in the United States for an SPK and transplanted with either an SPK or a KA during January 1, 1990 - October 31, 2002. SPK recipients had an adjusted hazard ratio for kidney allograft loss of 0.63 (95% CI: 0.51-0.77, p < 0.001) compared to transplantation without pancreas allograft. SPK recipients who received their allografts prior to beginning chronic dialysis had a lower rate of kidney allograft loss than SPK recipients who received their transplant after initiation of chronic dialysis (adjusted hazard rates (HR) = 0.83, 95% CI: 0.69-0.99, p = 0.042). Simultaneous transplantation of pancreas-kidney compared to kidney transplantation alone and SPK prior to the initiation of chronic dialysis compared to SPK after initiation of dialysis were both associated with longer kidney allograft survival.

  5. Evaluation of prognostic factors effect on survival time in patients with colorectal cancer, based on Weibull Competing-Risks Model

    PubMed Central

    Moamer, Soraya; Baghestani, Ahmadreza; Pourhoseingholi, Mohamad Amin; Hajizadeh, Nastaran; Ahmadi, Farzaneh; Norouzinia, Mohsen

    2017-01-01

    Aim: The aim of this study was to assess the association between survival of patients with colorectal cancer and prognostic factors in a competing risk parametric model using Weibull distribution. Background: The prognosis of colorectal cancer is relatively good in terms of survival time. In many prognostic studies, patients may be exposed to several types of competing events. These different causes of death are called competing risks. Methods: Data was recorded from 372 patients with colorectal cancer who registered in the Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences (Tehran, Iran) from 2004 to 2015 in a retrospective study. Analysis was performed using competing risks model and Weibull distribution. Software used for data analysis was R, and significance level was regarded as 0.05. Results: The result indicated that, at the end of follow-up, 111 (29.8%) deaths were from colorectal cancer and 14 (3.8%) deaths were due to other diseases. The average body mass index (BMI) was 24.61(SD 3.98). The mean survival time for a patient in 372 was 62.05(SD 48.78) month with median equals to 48 months. According to competing-risks method, only stageIII (HR, 1.69; 95% CI, 1.246-2.315 ), stageIV( HR, 4.51; 95% CI,2.91-6.99 ) and BMI( HR, 0.96; 95% CI, 0.96-0.975) have a significant effect on patient’s survival time. Conclusion: This study indicated pathologic stage (III,IV) and BMI as the prognosis, using a Weibull model with competing risks analysis, while other models without the competing events lead to significant predictors which may be due to over-estimation.

  6. The Association between Phase Angle of Bioelectrical Impedance Analysis and Survival Time in Advanced Cancer Patients: Preliminary Study.

    PubMed

    Lee, So Yeon; Lee, Yong Joo; Yang, Jung-Hwa; Kim, Chul-Min; Choi, Whan-Seok

    2014-09-01

    A frequent manifestation of advanced cancer patients is malnutrition, which is correlated with poor prognosis and high mortality. Bioelectrical impedance analysis (BIA) is an easy-to-use and non-invasive technique to evaluate changes in body composition and nutritional status. We investigated BIA-derived phase angle as a prognostic indicator for survival in advanced cancer patients. Twenty-eight patients treated at the hospice center of Seoul St. Mary's Hospital underwent BIA measurements from January, 2013 to May, 2013. We also evaluated palliative prognostic index (PPI) and palliative performance scale to compare with the prognostic value of phase angle. Cox's proportional hazard models were constructed to evaluate the prognostic effect of phase angle. The Kaplan Meier method was used to calculate survival. Using univariate Cox analysis, phase angle (hazard ratio [HR], 0.61/per degree increase; 95% confidence interval [CI], 0.42 to 0.89; P = 0.010), PPI (HR, 1.21; 95% CI, 1.00 to 1.47; P = 0.048) were found to be significantly associated with survival. Adjusting age, PPI, body mass index, phase angle significantly showed association with survival in multivariate analysis (HR, 0.64/per degree increase; 95% CI, 0.42 to 0.95; P = 0.028). Survival time of patients with phase angle ≥ 4.4° was longer than patients with phase angle < 4.4° (log rank, 6.208; P-value = 0.013). Our data suggest BIA-derived phase angle may serve as an independent prognostic indicator in advanced cancer patients.

  7. Prolonged time to surgery after neoadjuvant chemoradiotherapy increases histopathological response without affecting survival in patients with esophageal or junctional cancer.

    PubMed

    Shapiro, Joel; van Hagen, Pieter; Lingsma, Hester F; Wijnhoven, Bas P L; Biermann, Katharina; ten Kate, Fiebo J W; Steyerberg, Ewout W; van der Gaast, Ate; van Lanschot, J Jan B

    2014-11-01

    To determine the relation between time to surgery (TTS) after neoadjuvant chemoradiotherapy (nCRT) and pathologically complete response (pCR), surgical outcome, and survival in patients with esophageal cancer. Standard treatment for potentially curable esophageal cancer is nCRT plus surgery after 4 to 6 weeks. In rectal cancer patients, evidence suggests that prolonged TTS is associated with a higher pCR rate and possibly with better survival. We identified patients treated with nCRT plus surgery for esophageal cancer between 2001 and 2011. TTS (last day of radiotherapy to day of surgery) varied mainly for logistical reasons. Minimal follow-up was 24 months. The effect of TTS on pCR rate, postoperative complications, and survival was determined with (ordinal) logistic, linear, and Cox regression, respectively. In total, 325 patients were included. Median TTS was 48 days (p25-p75=40-60). After 45 days, TTS was associated with an increased probability of pCR [odds ratio (OR)=1.35 per additional week of TSS, P=0.0004] and a small increased risk of postoperative complications (OR=1.20, P<0.001). Prolonged TTS had no effect on disease-free and overall survivals (HR=1.00 and HR=1.06 per additional week of TSS, P=0.976 and P=0.139, respectively). Prolonged TTS after nCRT increases the probability of pCR and is associated with a slightly increased probability of postoperative complications, without affecting disease-free and overall survivals. We conclude that TTS can be safely prolonged from the usual 4 to 6 weeks up to at least 12 weeks, which facilitates a more conservative wait-and-see strategy after neoadjuvant chemoradiotherapy to be tested.

  8. Baseline and treatment effect heterogeneity for survival times between centers using a random effects accelerated failure time model with flexible error distribution.

    PubMed

    Komárek, Arnost; Lesaffre, Emmanuel; Legrand, Catherine

    2007-12-30

    Nowadays, most clinical trials are conducted in different centers and even in different countries. In most multi-center studies, the primary analysis assumes that the treatment effect is constant over centers. However, it is also recommended to perform an exploratory analysis to highlight possible center by treatment interaction, especially when several countries are involved. We propose in this paper an exploratory Bayesian approach to quantify this interaction in the context of survival data. To this end we used and generalized a random effects accelerated failure time model. The generalization consists in using a penalized Gaussian mixture as an error distribution on top of multivariate random effects that are assumed to follow a normal distribution. For computational convenience, the computations are based on Markov chain Monte Carlo techniques. The proposed method is illustrated on the disease-free survival times of early breast cancer patients collected in the EORTC trial 10854. Copyright (c) 2007 John Wiley & Sons, Ltd.

  9. Comparing proportional hazards and accelerated failure time models for survival analysis.

    PubMed

    Orbe, Jesus; Ferreira, Eva; Núñez-Antón, Vicente

    2002-11-30

    This paper describes a method proposed for a censored linear regression model that can be used in the context of survival analysis. The method has the important characteristic of allowing estimation and inference without knowing the distribution of the duration variable. Moreover, it does not need the assumption of proportional hazards. Therefore, it can be an interesting alternative to the Cox proportional hazards models when this assumption does not hold. In addition, implementation and interpretation of the results is simple. In order to analyse the performance of this methodology, we apply it to two real examples and we carry out a simulation study. We present its results together with those obtained with the traditional Cox model and AFT parametric models. The new proposal seems to lead to more precise results. Copyright 2002 John Wiley & Sons, Ltd.

  10. Effects of time interval between primary melanoma excision and sentinel node biopsy on positivity rate and survival.

    PubMed

    Oude Ophuis, Charlotte M C; van Akkooi, Alexander C J; Rutkowski, Piotr; Voit, Christiane A; Stepniak, Joanna; Erler, Nicole S; Eggermont, Alexander M M; Wouters, Michel W J M; Grünhagen, Dirk J; Verhoef, Cornelis Kees

    2016-11-01

    Sentinel node biopsy (SNB) is essential for adequate melanoma staging. Most melanoma guidelines advocate to perform wide local excision and SNB as soon as possible, causing time pressure. To investigate the role of time interval between melanoma diagnosis and SNB on sentinel node (SN) positivity and survival. This is a retrospective observational study concerning a cohort of melanoma patients from four European Organization for Research and Treatment of Cancer Melanoma Group tertiary referral centres from 1997 to 2013. A total of 4124 melanoma patients underwent SNB. Patients were selected if date of diagnosis and follow-up (FU) information were available, and SNB was performed in <180 d. A total of 3546 patients were included. Multivariable logistic regression and Cox regression analyses were performed to investigate how baseline characteristics and time interval until SNB are related to positivity rate, disease-free survival (DFS) and melanoma-specific survival (MSS). Median time interval was 43 d (interquartile range [IQR] 29-60 d), and 705 (19.9%) of 3546 patients had a positive SN. Sentinel node positivity was equal for early surgery (≤43 d) versus late surgery (>43 d): 19.7% versus 20.1% (p = 0.771). Median FU was 50 months (IQR 24-84 months). Sentinel node metastasis (hazard ratio [HR] 3.17, 95% confidence interval [95% CI] 2.53-3.97), ulceration (HR 1.99, 95% CI 1.58-2.51), Breslow thickness (HR 1.06, 95% CI 1.04-1.08), and male gender (HR 1.58, 95% CI 1.26-1.98) (all p < 0.00001) were independently associated with worse MSS and DFS; time interval was not. No effect of time interval between melanoma diagnosis and SNB on 5-year survival or SN positivity rate was found for a time interval of up to 3 months. This information can be used to counsel patients and remove strict time limits from melanoma guidelines. Copyright © 2016 Elsevier Ltd. All rights reserved.

  11. Clinical patterns in extremely preterm (22 to 24 weeks of gestation) infants in relation to survival time and prognosis.

    PubMed

    Iijima, Shigeo; Arai, Hiroko; Ozawa, Yuri; Kawase, Yasuhiro; Uga, Naoki

    2009-06-01

    We investigated time-related predictors of death or neurological sequelae in extremely preterm infants (EPI) born at 22 to 24 weeks' gestation by categorizing clinical patterns according to their survival time and morbidity. Data on 113 infants born at 22 to 24 weeks' gestation from January 1991 through April 2006 were analyzed by a case-control approach. Cesarean section, Apgar score survived >or= 24 hours, pulmonary hemorrhage and intraventricular hemorrhage (IVH) were significantly associated with death by day 6. Among those surviving >or= 7 days, sepsis and severe IVH were significantly associated with death. Assessment of survivors at a minimum follow-up period of 2 years revealed that protracted mechanical ventilation was significantly associated with a poor neurological outcome. There are various characteristic key events in relation to the outcome at different ages of life in EPI born at 22 to 24 weeks' gestation. Clinicians and parents should discuss management options for the infant on the basis of these findings.

  12. A new plateau in the dose-survival-time response of the golden hamster (Mesocricetus auratus) from whole body irradiation.

    PubMed

    Tsubouchi, S; Matsuzawa, T

    1981-07-01

    The survival time of golden hamsters (Mesocricetus auratus) after whole-body 60Co-gamma-irradiation in the range of 600 to 200 000 rad was investigated. The two plateaus of the dose-survival curve which correspond to bone marrow and gastrointestinal death are similar to those of other species such as mice, rats and mongolian gerbils. A new plateau occurring 40-57 hours after doses of 30 000 to 60 000 rad, where there is a little reduction in survival time, has been found. It is in addition to the well recognized central nevous system (CNS) syndrome. This plateau is observed only in golden hamsters, presumably because of their relatively high resistence to CNS syndrome. Experiments involved partial body irradiation of the animals indicate that the target is in the cephalic one-third of abdomen. The new segment may well indicate a new type of acute somatic radiation injury different from the well known bone marrow, gastrointestinal and CNS syndromes.

  13. 46 CFR 54.05-6 - Toughness test temperatures.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 2 2011-10-01 2011-10-01 false Toughness test temperatures. 54.05-6 Section 54.05-6... Toughness Tests § 54.05-6 Toughness test temperatures. Each toughness test must be conducted at temperatures not warmer than −20 °F or 10 °F below the minimum service temperature, whichever is lower, except that...

  14. 46 CFR 54.05-6 - Toughness test temperatures.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Toughness test temperatures. 54.05-6 Section 54.05-6... Toughness Tests § 54.05-6 Toughness test temperatures. Each toughness test must be conducted at temperatures not warmer than −20 °F or 10 °F below the minimum service temperature, whichever is lower, except that...

  15. 46 CFR 54.05-6 - Toughness test temperatures.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 2 2012-10-01 2012-10-01 false Toughness test temperatures. 54.05-6 Section 54.05-6... Toughness Tests § 54.05-6 Toughness test temperatures. Each toughness test must be conducted at temperatures not warmer than −20 °F or 10 °F below the minimum service temperature, whichever is lower, except that...

  16. 46 CFR 54.05-6 - Toughness test temperatures.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 2 2013-10-01 2013-10-01 false Toughness test temperatures. 54.05-6 Section 54.05-6... Toughness Tests § 54.05-6 Toughness test temperatures. Each toughness test must be conducted at temperatures not warmer than −20 °F or 10 °F below the minimum service temperature, whichever is lower, except that...

  17. 46 CFR 54.05-6 - Toughness test temperatures.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 2 2014-10-01 2014-10-01 false Toughness test temperatures. 54.05-6 Section 54.05-6... Toughness Tests § 54.05-6 Toughness test temperatures. Each toughness test must be conducted at temperatures not warmer than −20 °F or 10 °F below the minimum service temperature, whichever is lower, except that...

  18. Wind Speed during Migration Influences the Survival, Timing of Breeding, and Productivity of a Neotropical Migrant, Setophaga petechia

    PubMed Central

    Drake, Anna; Rock, Christine A.; Quinlan, Sam P.; Martin, Michaela; Green, David J.

    2014-01-01

    Over the course of the annual cycle, migratory bird populations can be impacted by environmental conditions in regions separated by thousands of kilometers. We examine how climatic conditions during discrete periods of the annual cycle influence the demography of a nearctic-neotropical migrant population of yellow warblers (Setophaga petechia), that breed in western Canada and overwinter in Mexico. We demonstrate that wind conditions during spring migration are the best predictor of apparent annual adult survival, male arrival date, female clutch initiation date and, via these timing effects, annual productivity. We find little evidence that conditions during the wintering period influence breeding phenology and apparent annual survival. Our study emphasizes the importance of climatic conditions experienced by migrants during the migratory period and indicates that geography may play a role in which period most strongly impacts migrant populations. PMID:24828427

  19. Wind speed during migration influences the survival, timing of breeding, and productivity of a neotropical migrant, Setophaga petechia.

    PubMed

    Drake, Anna; Rock, Christine A; Quinlan, Sam P; Martin, Michaela; Green, David J

    2014-01-01

    Over the course of the annual cycle, migratory bird populations can be impacted by environmental conditions in regions separated by thousands of kilometers. We examine how climatic conditions during discrete periods of the annual cycle influence the demography of a nearctic-neotropical migrant population of yellow warblers (Setophaga petechia), that breed in western Canada and overwinter in Mexico. We demonstrate that wind conditions during spring migration are the best predictor of apparent annual adult survival, male arrival date, female clutch initiation date and, via these timing effects, annual productivity. We find little evidence that conditions during the wintering period influence breeding phenology and apparent annual survival. Our study emphasizes the importance of climatic conditions experienced by migrants during the migratory period and indicates that geography may play a role in which period most strongly impacts migrant populations.

  20. Associations of red and processed meat with survival after colorectal cancer and differences according to timing of dietary assessment.

    PubMed

    Carr, Prudence R; Jansen, Lina; Walter, Viola; Kloor, Matthias; Roth, Wilfried; Bläker, Hendrik; Chang-Claude, Jenny; Brenner, Hermann; Hoffmeister, Michael

    2016-01-01

    Little is known about the prognostic impact of red and processed meat intake or about changes in consumption after a diagnosis of colorectal cancer (CRC). We investigated associations of baseline red and processed meat with survival outcomes and explored changes in intake among CRC survivors 5 y after diagnosis. A total of 3122 patients diagnosed with CRC between 2003 and 2010 were followed for a median of 4.8 y [DACHS (Darmkrebs: Chancen der Verhütung durch Screening) study]. Patients provided information on diet and other factors in standardized questionnaires at baseline and at the 5-y follow-up. Cox proportional hazards regression models were used to estimate HRs and 95% CIs. Among patients with stage I-III CRC, baseline red and processed meat intake was not associated with overall (>1 time/d compared with <1 time/d; HR: 0.85; 95% CI: 0.67, 1.09), CRC-specific (HR: 0.83; 95% CI: 0.61, 1.14), cardiovascular disease-specific (HR: 0.92; 95% CI: 0.51, 1.68), non-CRC-specific (HR: 0.88; 95% CI: 0.59, 1.30), and recurrence-free (HR: 1.03; 95% CI: 0.80, 1.33) survival; results among stage IV patients were comparable. An association with worse overall survival was found among patients with Kirsten rat sarcoma viral oncogene homolog (KRAS)-mutated CRC (HR: 1.99; 95% CI: 1.10, 3.56) but not with microsatellite instability or CpG island methylator phenotype (CIMP) positivity. A much lower proportion of survivors reported daily consumption of red and processed meat at the 5-y follow-up than at baseline (concordance rate: 39%; κ-value: 0.10; 95% CI: 0.07, 0.13). Our findings suggest that baseline red and processed meat intake is not associated with poorer survival among patients with CRC. The potential interaction with KRAS mutation status warrants further evaluation. Major changes in consumption measured at the 5-y follow-up may have had an impact on our survival estimates. © 2016 American Society for Nutrition.

  1. Notch Fracture Toughness of Glasses: Dependence on Rate, Age, and Geometry

    NASA Astrophysics Data System (ADS)

    Vasoya, Manish; Rycroft, Chris H.; Bouchbinder, Eran

    2016-08-01

    Understanding the fracture toughness (resistance) of glasses is a fundamental problem of prime theoretical and practical importance. Here we theoretically study its dependence on the loading rate, the age (history) of the glass, and the notch radius ρ . Reduced-dimensionality analysis suggests that the notch fracture toughness results from a competition between the initial, age- and history-dependent, plastic relaxation time scale τ0pl and an effective loading time scale τext(K˙ I,ρ ) , where K˙ I is the tensile stress-intensity-factor rate. The toughness is predicted to scale with √{ρ } independently of ξ ≡τext/τ0pl for ξ ≪1 , to scale as T √{ρ }log (ξ ) for ξ ≫1 (related to thermal activation, where T is the temperature), and to feature a nonmonotonic behavior in the crossover region ξ ˜O (1 ) (related to plastic yielding dynamics). These predictions are verified using 2D computations, providing a unified picture of the notch fracture toughness of glasses. The theory highlights the importance of time-scale competition and far-from-steady-state elasto-viscoplastic dynamics for understanding the toughness and shows that the latter varies quite significantly with the glass age (history) and applied loading rate. Experimental support for bulk metallic glasses is presented, and possible implications for applications are discussed.

  2. Mechanical Behavior of Tough Hydrogels for Structural Applications

    NASA Astrophysics Data System (ADS)

    Illeperuma, Widusha Ruwangi Kaushalya

    Hydrogels are widely used in many commercial products including Jell-O, contact lenses, and superabsorbent diapers. In recent decades, hydrogels have been under intense development for biomedical applications, such as scaffolds in tissue engineering, carriers for drug delivery, and valves in microfluidic systems. But the scope is severely limited as conventional hydrogels are weak and brittle and are not very stretchable. This thesis investigates the approaches that enhance the mechanical properties of hydrogels and their structural applications. We discov¬ered a class of exceptionally stretchable and tough hydrogels made from poly-mers that form networks via ionic and covalent crosslinks. Although such a hydrogel contains ~90% water, it can be stretched beyond 20 times its initial length, and has a fracture energy of ~9000 J/m2. The combination of large stretchability, remarkable toughness, and recoverability of stiffness and toughness, along with easy synthesis makes this material much superior over existing hydrogels. Extreme stretchability and blunted crack tips of these hydrogels question the validity of traditional fracture testing methods. We re-examine a widely used pure shear test method to measure the fracture energy. With the experimental and simulation results, we conclude that the pure shear test method can be used to measure fracture energy of extremely stretchable materials. Even though polyacrylamide-alginate hydrogels have an extremely high toughness, it has a relatively low stiffness and strength. We improved the stiffness and strength by embedding fibers. Most hydrogels are brittle, allowing the fibers to cut through the hydrogel when the composite is loaded. But tough hydrogel composites do not fail by the fibers cutting the hydrogel; instead, it undergoes large deforming by fibers sliding through the matrix. Hydrogels were not considered as materials for structural applications. But with enhanced mechanical properties, they have opened up

  3. Mental toughness as a moderator of the intention-behaviour gap in the rehabilitation of knee pain.

    PubMed

    Gucciardi, Daniel F

    2016-06-01

    The purpose of this study was to investigate the role of mental toughness in maximising the effect of intentions to perform rehabilitative exercises on behaviour among a sample of people with knee pain. Cross-sectional survey, with a 2-week time-lagged assessment of exercise behaviour. In total, 193 individuals (nfemale=107, nmale=84) aged between 18 and 69 years (M=30.79, SD=9.39) participated, with 136 (70.5%) retained at both assessment points. At time 1, participants completed an online, multisection survey that encompassed measures of demographic details, severity of problems associated with the knee (e.g., pain, symptoms), past behaviour, mental toughness, and the theory of planned behaviour constructs (TPB; attitudes, subjective norms, perceived behavioural, intentions). Two weeks later, participants retrospectively reported their exercise behaviour for the past 14 days using an online survey. Moderated regression analyses indicated that mental toughness and its interaction with intention accounted for an additional 3% and 4% of the variance in exercise behaviour, respectively. Past behaviour, attitudes, and mental toughness all had direct effects on behaviour, alongside a meaningful interaction between intentions and mental toughness. Specifically, intentions had a stronger effect on exercise behaviour among those individuals high in mental toughness compared to those low in this personal resource. The results of this study shed new light on the intention-behaviour gap by indicating that mental toughness increases the likelihood that intention is translated into action. Copyright © 2015 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

  4. [Relationships between Serum Albumin and Urea Level and the Clinical Pathological Characteristics and Survival Time in Patients with Lung Cancer].

    PubMed

    Li, Yalun; Li, Lei; Zhang, Li; Li, Weimin

    2017-03-20

    Lung cancer is the most common malignancy and is the leading cause of cancer-related death worldwide. Thus, this disease severely threatens human health. This study aims to identify the relationships between serum albumin and urea level and the clinical pathological characteristics and survival time in patients with lung cancer. A total of 1,098 patients with lung cancer were diagnosed by pathology and tested the serum albumin and urea level in West China Hospital of Sichuan University during January 2008 to December 2013. According to the levels of albumin and urea, patients were divided into the normal level group (negative group) and abnormal level group (positive group). The differences of patients' clinical pathological characteristics and survival time in the two groups were analyzed. Differences in age, sex, histological classification, liver metastasis and pleural metastasis were statistically significant between the two groups of serum albumin (P<0.05). Differences in age, intrapulmonary metastasis of 312 patients of squamous cell carcinoma and differences in age, sex, stages, pleural metastasis of 612 patients of adenocarcinoma between the two groups of serum albumin (P<0.05). There were no significant differences between the two groups of urea. In different histological classification between the two groups of serum albumin, the median survival period of squamous cell carcinoma was 36 months and 19 monthes, adenocarcinoma was 35 months and 15 monthes, the abnormal group were all significantly lower than those in the normal group. The median survival period was no significant difference between the two groups of urea. The level of serum albumin is an important indicator for prognosis.

  5. Death certificate only proportions should be age adjusted in studies comparing cancer survival across populations and over time.

    PubMed

    Brenner, Hermann; Castro, Felipe A; Eberle, Andrea; Emrich, Katharina; Holleczek, Bernd; Katalinic, Alexander; Jansen, Lina

    2016-01-01

    The proportion of cases notified by death certificate only (DCO) is a commonly used data quality indicator in studies comparing cancer survival across regions and over time. We aimed to assess dependence of DCO proportions on the age structure of cancer patients. Using data from a national cancer survival study in Germany, we determined age specific and overall (crude) DCO proportions for 24 common forms of cancer. We then derived overall (crude) DCO proportions expected in case of shifts of the age distribution of the cancer populations by 5 and 10 years, respectively, assuming age specific DCO proportions to remain constant. Median DCO proportions across the 24 cancers were 2.4, 3.7, 5.5, 8.5 and 23.9% in age groups 15-44, 45-54, 55-64, 65-74, and 75+, respectively. A decrease of ages by 5 and 10 years resulted in decreases of cancer specific crude DCO proportions ranging from 0.4 to 4.8 and from 0.7 to 8.6 percent units, respectively. Conversely, an increase of ages by 5 and 10 years led to increases of cancer specific crude DCO proportions ranging from 0.8 to 4.8 and from 1.8 to 9.6 percent units, respectively. These changes were of similar magnitude (but in opposite direction) as changes in crude 5-year relative survival resulting from the same shifts in age distribution. The age structure of cancer patient populations has a substantial impact on DCO proportions. DCO proportions should therefore be age adjusted in comparative studies on cancer survival across regions and over time. Copyright © 2015 Elsevier Ltd. All rights reserved.

  6. Veins Improve Fracture Toughness of Insect Wings

    PubMed Central

    Dirks, Jan-Henning; Taylor, David

    2012-01-01

    During the lifetime of a flying insect, its wings are subjected to mechanical forces and deformations for millions of cycles. Defects in the micrometre thin membranes or veins may reduce the insect’s flight performance. How do insects prevent crack related material failure in their wings and what role does the characteristic vein pattern play? Fracture toughness is a parameter, which characterises a material’s resistance to crack propagation. Our results show that, compared to other body parts, the hind wing membrane of the migratory locust S. gregaria itself is not exceptionally tough (1.04±0.25 MPa√m). However, the cross veins increase the wing’s toughness by 50% by acting as barriers to crack propagation. Using fracture mechanics, we show that the morphological spacing of most wing veins matches the critical crack length of the material (1132 µm). This finding directly demonstrates how the biomechanical properties and the morphology of locust wings are functionally correlated in locusts, providing a mechanically ‘optimal’ solution with high toughness and low weight. The vein pattern found in insect wings thus might inspire the design of more durable and lightweight artificial ‘venous’ wings for micro-air-vehicles. Using the vein spacing as indicator, our approach might also provide a basis to estimate the wing properties of endangered or extinct insect species. PMID:22927966

  7. [Relative fracture toughness of differents dental ceramics].

    PubMed

    Pagani, Clovis; Miranda, Carolina Baptista; Bottino, Marco Cícero

    2003-03-01

    Although ceramics present high compressive strength, they are brittle materials due to their low tensile strength so they have lower capacity to absorb shocks. This study evaluated the fracture toughness of different ceramic systems, which refers to the ability of a friable material to absorb defformation energy. Three ceramic systems were investigated. Ten cylindrical samples (5,0mm x 3,0mm), were obtained from each ceramic material as follows: G1- 10 samples of Vitadur Alpha (Vita-Zahnfabrik); G2- 10 samples of IPS Empress2 (Ivoclar-Vivadent); G3- 10 samples of In-Ceram Alumina (Vita-Zahnfabrik). Fracture toughness values were collected upon indentation tests that were performed under a heavy load. A microhardness tester (Digital Microhardness Tester FM) utilized a 500gf load cell during 10seconds to perform four impressions on each sample. Statistically significant results were observed (ANOVA and Kruskal-Wallis tests). In-Ceram Alumina presented the highest median toughness values (2,96N/m3/2), followed by Vitadur Alpha (2,08N/m3/2) and IPS Empress2 (1,05N/m3/2). It may be concluded that different ceramic systems present distinct fracture toughness values, thus In-Ceram is capable of absorbing superior stress when compared to Vitadur Alpha and IPS Empress2.

  8. Animacy and the Acquisition of "Tough" Adjectives

    ERIC Educational Resources Information Center

    Becker, Misha

    2015-01-01

    This article reports on two novel word-learning experiments examining children's use of subject animacy to categorize novel adjectives as either "tough" adjectives (e.g., "easy," "hard") or control adjectives ("afraid," "eager"). In Experiment 1, a group of 4- to 7-year-olds watched videos…

  9. Laboratory Powder Metallurgy Makes Tough Aluminum Sheet

    NASA Technical Reports Server (NTRS)

    Royster, D. M.; Thomas, J. R.; Singleton, O. R.

    1993-01-01

    Aluminum alloy sheet exhibits high tensile and Kahn tear strengths. Rapid solidification of aluminum alloys in powder form and subsequent consolidation and fabrication processes used to tailor parts made of these alloys to satisfy such specific aerospace design requirements as high strength and toughness.

  10. Proceedings of the TOUGH Symposium 2009

    SciTech Connect

    Moridis, George J.; Doughty, Christine; Finsterle, Stefan; Sonnenthal, Eric

    2009-10-01

    Welcome to the TOUGH Symposium 2009. Within this volume are the Symposium Program for eighty-nine papers to be presented in both oral and poster formats. The full papers are available as pdfs linked from the Symposium Program posted on the TOUGH Symposium 2009 website http://esd.lbl.gov/newsandevents/events/toughsymposium09/program.html Additional updated information including any changes to the Program will also be available at the website. The papers cover a wide range of application areas and reflect the continuing trend toward increased sophistication of the TOUGH codes. A CD containing the proceedings papers will be published immediately following the Symposium and sent to all participants. As in the prior Symposium, selected papers will be invited for submission to a number of journals for inclusion in Special Issues focused on applications and developments of the TOUGH codes. These journals include, Transport in Porous Media, Geothermics, Energy Conversion and Management, Journal of Nuclear Science and Technology, and the Vadose Zone Journal.

  11. Tough Ceramic Mimics Mother of Pearl

    ScienceCinema

    Ritchie, Robert

    2016-07-12

    Berkeley Lab scientists have mimicked the structure of mother of pearl to create what may well be the toughest ceramic ever produced. http://newscenter.lbl.gov/press-releases/2008/12/05/scientists-create-tough-ceramic-that-mimics-mother-of-pearl/

  12. Veins improve fracture toughness of insect wings.

    PubMed

    Dirks, Jan-Henning; Taylor, David

    2012-01-01

    During the lifetime of a flying insect, its wings are subjected to mechanical forces and deformations for millions of cycles. Defects in the micrometre thin membranes or veins may reduce the insect's flight performance. How do insects prevent crack related material failure in their wings and what role does the characteristic vein pattern play? Fracture toughness is a parameter, which characterises a material's resistance to crack propagation. Our results show that, compared to other body parts, the hind wing membrane of the migratory locust S. gregaria itself is not exceptionally tough (1.04±0.25 MPa√m). However, the cross veins increase the wing's toughness by 50% by acting as barriers to crack propagation. Using fracture mechanics, we show that the morphological spacing of most wing veins matches the critical crack length of the material (1132 µm). This finding directly demonstrates how the biomechanical properties and the morphology of locust wings are functionally correlated in locusts, providing a mechanically 'optimal' solution with high toughness and low weight. The vein pattern found in insect wings thus might inspire the design of more durable and lightweight artificial 'venous' wings for micro-air-vehicles. Using the vein spacing as indicator, our approach might also provide a basis to estimate the wing properties of endangered or extinct insect species.

  13. Animacy and the Acquisition of "Tough" Adjectives

    ERIC Educational Resources Information Center

    Becker, Misha

    2015-01-01

    This article reports on two novel word-learning experiments examining children's use of subject animacy to categorize novel adjectives as either "tough" adjectives (e.g., "easy," "hard") or control adjectives ("afraid," "eager"). In Experiment 1, a group of 4- to 7-year-olds watched videos…

  14. Fracture toughness testing of polymer matrix composites

    NASA Technical Reports Server (NTRS)

    Grady, Joseph E.

    1992-01-01

    The experimental techniques and associated data analysis methods used to measure the resistance to interlaminar fracture, or 'fracture toughness', of polymer matrix composite materials are described. A review in the use of energy techniques to characterize fracture behavior in elastic solids is given. An overview is presented of the types of approaches employed in the design of delamination-resistant composite materials.

  15. TOUGH3 v1.0

    SciTech Connect

    PAU, GEORGE; JUNG, YOOJIN; FINSTERLE, STEFAN; ZHANG, YINGQI

    2016-09-14

    TOUGH3 V1.0 capabilities to simulate multi-dimensional, multi-phase, multi-component, non-isothermal flow and transport in fractured porous media, with applications geosciences and reservoir engineering and other application areas. TOUGH3 V1.0 supports a number of different combinations of fluids and components (updated equation-of-state (EOS) modules from previous versions of TOUGH, including EOS1, EOS2, EOS3, EOS4, EOS5, EOS7, EOS7R, EOS7C, EOS7CA, EOS8, EOS9, EWASG, TMVOC, ECO2N, and ECO2M). This upgrade includes (a) expanded list of updated equation-of-state (EOS) modules, (b) new hysteresis models, (c) new implementation of parallel and solver functionalities, (d) new linear solver options based on PETSc libraries, (e) new automatic build system that automatically downloads and builds third-party libraries and TOUGH3, (f) new printout in CSV format, (g) dynamic memory allocation, (h) various user features, and (i) bug fixes.

  16. Tough Ceramic Mimics Mother of Pearl

    SciTech Connect

    Ritchie, Robert

    2009-01-01

    Berkeley Lab scientists have mimicked the structure of mother of pearl to create what may well be the toughest ceramic ever produced. http://newscenter.lbl.gov/press-releases/2008/12/05/scientists-create-tough-ceramic-that-mimics-mother-of-pearl/

  17. 46 CFR 154.605 - Toughness test.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Toughness test. 154.605 Section 154.605 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CERTAIN BULK DANGEROUS CARGOES SAFETY STANDARDS FOR SELF-PROPELLED VESSELS CARRYING BULK LIQUEFIED GASES Design, Construction and Equipment Materials §...

  18. 46 CFR 54.05-5 - Toughness test specimens.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Toughness test specimens. 54.05-5 Section 54.05-5 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING PRESSURE VESSELS Toughness Tests § 54.05-5 Toughness test specimens. (a) Charpy V-notch impact tests. Where required, Charpy...

  19. 46 CFR 54.05-5 - Toughness test specimens.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 2 2012-10-01 2012-10-01 false Toughness test specimens. 54.05-5 Section 54.05-5 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING PRESSURE VESSELS Toughness Tests § 54.05-5 Toughness test specimens. (a) Charpy V-notch impact tests. Where required, Charpy...

  20. 46 CFR 54.05-5 - Toughness test specimens.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 2 2011-10-01 2011-10-01 false Toughness test specimens. 54.05-5 Section 54.05-5 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING PRESSURE VESSELS Toughness Tests § 54.05-5 Toughness test specimens. (a) Charpy V-notch impact tests. Where required, Charpy...

  1. 46 CFR 54.05-5 - Toughness test specimens.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 2 2014-10-01 2014-10-01 false Toughness test specimens. 54.05-5 Section 54.05-5 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING PRESSURE VESSELS Toughness Tests § 54.05-5 Toughness test specimens. (a) Charpy V-notch impact tests. Where required, Charpy...

  2. 46 CFR 54.05-5 - Toughness test specimens.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 2 2013-10-01 2013-10-01 false Toughness test specimens. 54.05-5 Section 54.05-5 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING PRESSURE VESSELS Toughness Tests § 54.05-5 Toughness test specimens. (a) Charpy V-notch impact tests. Where required, Charpy...

  3. Fracture toughness testing data: A technology survey and bibliography

    NASA Technical Reports Server (NTRS)

    Stuhrke, W. F.; Carpenter, J. L., Jr.; Moya, N.; Mandel, G.

    1975-01-01

    Announced survey includes reports covering fracture toughness testing for various structural materials including information on plane strain and developing areas of mixed mode and plane strain test conditions. Bibliography references cite work and conclusions in fracture toughness testing and application of fracture toughness test data, and in fracture mechanics analysis.

  4. The limit of strength and toughness of steel

    SciTech Connect

    Guo, Zhen

    2001-12-01

    The ideal structural steel combines high strength with high fracture toughness. This dissertation discusses the governing principles of strength and toughness, along with the approaches that can be used to improve these properties and the inherent limits to how strong and tough a steel can be.

  5. Fracture toughness of dental restorative materials.

    PubMed

    Ilie, Nicoleta; Hickel, Reinhard; Valceanu, Anca Silvia; Huth, Karin Christine

    2012-04-01

    The ability of a restorative material to withstand fracture is of crucial importance especially in stress-bearing area. Therefore, the study aims to analyse the fracture toughness of a large number of dental restorative materials categories. The fracture toughness (K(IC)) of 69 restorative materials belonging to ten materials categories-micro-hybrid, nanofilled, microfilled, packable, ormocer-based, and flowable resin-based composites (RBC), compomers and flowable compomers, as well as glass ionomer cements (GIC) and resin-modified GIC was measured by means of the single-edge notched-beam method after storing the samples (n = 8) for 24 h in distilled water. Data were analyzed with the one-way analysis of variance (ANOVA) followed by the Tukey's test and partial eta-squared statistics (p < 0.05). Large variations between the tested materials within a material category were found. The lowest fracture toughness was reached in the GIC group, followed by the microfilled RBCs, resin-modified GIC, and flowable compomers, which do not differ significantly among each other as a material group. The ormocer-based, packable, and micro-hybrid RBCs performed statistically similar, reaching the highest fracture toughness values. Between the two categories of flowables-composites and compomers-no differences were measured. The correlation between K(IC) and filler volume (0.34) and respective filler weight (0.40) was low. K(IC) increased with the volume fraction of fillers until a critical value of 57%, following with a plateau, with constant values until ca. 65% volume fraction. Above this value, K(IC) decreased slightly. Due to the very large variability of the fracture toughness within a material type, the selection of a suitable restorative material should have not been done with respect to a specific material category, especially in stress-bearing areas, but by considering the individual measured material properties.

  6. Fracture toughness of nine flowable resin composites.

    PubMed

    Bonilla, Esteban D; Yashar, Mahrokh; Caputo, Angelo A

    2003-03-01

    Flowable composite is used in a variety of clinical applications; however, the capacity of these materials to resist crack propagation is not well understood. The purpose of this investigation was to compare the resistance to crack propagation of 9 flowable composites as measured by the fracture toughness. The composites studied include AeliteFlo, Crystal Essence, Flow-it, FloRestore, Permaflo, Revolution, Tetric Flow, VersaFlo, and Wave. Ten specimens of each composite were formed with a brass mold with a 3-mm preformed notch. The final dimensions of each specimen were 2 x 4.2 x 20 mm. All specimens were light-polymerized to manufacturer specifications and stored in air for 24 hours. The fracture toughness value, K(IC) (MNm(-3/2)), for each specimen was measured by use of a 3-point bending mode and a single-edge notched beam at a crosshead speed of 0.125 mm/min until fracture. The data were analyzed statistically by use of 1-way analysis of variance, t tests (P<.05), and regression analysis. The flowable composites tested showed a spectrum of fracture toughness values ranging from 1.15 +/- 0.10 MNm(-3/2) for Wave to 1.65 +/- 0.13 MNm(-3/2) for Permaflo (significantly different, P<.05). The remaining materials formed 1 group with intermediate K(IC) values not different from each other (P>.05) but significantly different from Wave and Permaflo. Comparisons of fracture toughness to the filler content by volume of each composite revealed no correlation. This in vitro study concluded that there was no significant difference among 7 of the 9 composites tested in their resistance to fracture. Permaflo showed the greatest resistance to crack propagation. There was no correlation between the filler content by volume and the fracture toughness of these flowable composites.

  7. Dry stress and survival time of Enterobacter sakazakii and other Enterobacteriaceae in dehydrated powdered infant formula.

    PubMed

    Barron, Juncal Caubilla; Forsythe, Stephen J

    2007-09-01

    Powdered infant formula is not a sterile product, and opportunistic pathogens could multiply in the reconstituted product, resulting in neonatal infections. In this study, the generation of sublethally injured Enterobacteriaceae during desiccation and their persistence in dehydrated powdered infant formula was assessed during a 2.5-year period. The study included 27 strains of Enterobacter sakazakii, Enterobacter cloacae, Salmonella Enteritidis, Citrobacter koseri, Citrobacter freundii, Escherichia coli, Escherichia vulneris, Pantoea spp., Klebsiella oxytoca, and Klebsiella pneumoniae. The number of sublethally injured cells generated during desiccation was lower for K. oxytoca, Pantoea spp., Salmonella Enteritidis, and capsulated strains of E. sakazakii than for the other Enterobacteriaceae. The Enterobacteriaceae could be divided into three groups with respect to their long-term survival in the desiccated state. C. freundii, C. koseri, and E. cloacae were no longer recoverable after 6 months, and Salmonella Enteritidis, K. pneumoniae, and E. coli could not be recovered after 15 months. Pantoea spp., K. oxytoca, and E. vulneris persisted over 2 years, and some capsulated strains of E. sakazakii were still recoverable after 2.5 years.

  8. Mode I Fracture Toughness of Rock - Intrinsic Property or Pressure-Dependent?

    NASA Astrophysics Data System (ADS)

    Stoeckhert, F.; Brenne, S.; Molenda, M.; Alber, M.

    2016-12-01

    The mode I fracture toughness of rock is usually regarded as an intrinsic material parameter independent of pressure. However, most fracture toughness laboratory tests are conducted only at ambient pressure. To investigate fracture toughness of rock under elevated pressures, sleeve fracturing laboratory experiments were conducted with various rock types and a new numerical method was developed for the evaluation of these experiments. The sleeve fracturing experiments involve rock cores with central axial boreholes that are placed in a Hoek triaxial pressure cell to apply an isostatic confining pressure. A polymere tube is pressurized inside these hollow rock cylinders until they fail by tensile fracturing. Numerical simulations incorporating fracture mechanical models are used to obtain a relation between tensile fracture propagation and injection pressure. These simulations indicate that the magnitude of the injection pressure at specimen failure is only depending on the fracture toughness of the tested material, the specimen dimensions and the magnitude of external loading. The latter two are known parameters in the experiments. Thus, the fracture toughness can be calculated from the injection pressure recorded at specimen breakdown. All specimens had a borehole diameter to outer diameter ratio of about 1:10 with outer diameters of 40 and 62 mm. The length of the specimens was about two times the diameter. Maximum external loading was 7.5 MPa corresponding to maximum injection pressures at specimen breakdown of about 100 MPa. The sample set tested in this work includes Permian and Carboniferous sandstones, Jurassic limestones, Triassic marble, Permian volcanic rocks and Devonian slate from Central Europe. The fracture toughness values determined from the sleeve fracturing experiments without confinement using the new numerical method were found to be in good agreement with those from Chevron bend testing according to the ISRM suggested methods. At elevated

  9. Effect of weld thermal cycles on the HAZ toughness of SQV-2A pressure vessel steel

    SciTech Connect

    Matsuda, F.; Ikeuchi, K.; Liao, J.

    1996-12-31

    The toughness of coarse grained heat affected zone (CGHAZ) and intercritically reheated CGHAZ of SQV-2A pressure vessel steel has been investigated with particular attention to the behavior of M-A constituents. The effect of temper-bead thermal cycles on the toughness improvement in ICCGHAZs and temper-bead process. The occurrence of embrittlement in CGHAZs and ICCGHAZs was accompanied by the formation of the M-A constituent. Observations with a scanning electron microscope (SEM) showed that the M-A constituent acted as an initiation site of cleavage facets or secondary cracks. Temper-bead thermal cycles could improve the toughness of ICCGHAZs due to the decomposition of M-A constituents, but the toughness improvement by the temper-bead thermal cycle was influenced strongly by the cooling time {Delta}t{sub 8/5(2)eff} of the second thermal cycle. For short cooling time {Delta}t{sub 8/5(2)eff}, namely for low welding heat-input, the toughness improvement was significant.

  10. Dynamic Fracture Initiation Toughness of a Gamma (Met-PX) Titanium Aluminide at Elevated Temperatures

    NASA Astrophysics Data System (ADS)

    Shazly, Mostafa; Prakash, Vikas; Draper, Susan

    2009-06-01

    Recently, a new generation of titanium aluminide alloy named Gamma-Met PX (GKSS, Geesthacht, Germany) has been developed with better rolling and postrolling characteristics. Previous work on this alloy has shown the material to have higher strengths at room and elevated temperatures when compared with other gamma titanium aluminides. In particular, this new alloy has shown increased ductility at elevated temperatures under both quasistatic and high-strain-rate uniaxial compressive loading. However, its high-strain-rate tensile ductility at room and elevated temperatures is limited to ~1 pct. In the present article, the results of a study investigating the effects of the loading rate and test temperature on the dynamic fracture initiation toughness in Gamma-Met PX are presented. A modified split Hopkinson pressure bar (MSHPB) was used along with high-speed photography, to determine the dynamic fracture initiation toughness. Three-point-bend fracture tests were conducted at impact speeds in the range 1 to 3.6 m/s and at test temperatures up to 1200 °C. Furthermore, the effect of long-time high-temperature air exposure on the fracture toughness was investigated. The results show that the dynamic fracture initiation toughness decreases at test temperatures beyond 600 °C. Moreover, the dynamic fracture initiation toughness was found to decrease with increasing exposure time. The reasons behind this drop are analyzed and discussed.

  11. Genetic relationship of discrete-time survival with fertility and production in dairy cattle using bivariate models

    PubMed Central

    González-Recio, Oscar; Alenda, Rafael

    2007-01-01

    Bivariate analyses of functional longevity in dairy cattle measured as survival to next lactation (SURV) with milk yield and fertility traits were carried out. A sequential threshold-linear censored model was implemented for the analyses of SURV. Records on 96 642 lactations from 41 170 cows were used to estimate genetic parameters, using animal models, for longevity, 305 d-standardized milk production (MY305), days open (DO) and number of inseminations to conception (INS) in the Spanish Holstein population; 31% and 30% of lactations were censored for DO and INS, respectively. Heritability estimates for SURV and MY305 were 0.11 and 0.27 respectively; while heritability estimates for fertility traits were lower (0.07 for DO and 0.03 for INS). Antagonist genetic correlations were estimated between SURV and fertility (-0.78 and -0.54 for DO and INS, respectively) or production (-0.53 for MY305), suggesting reduced functional longevity with impaired fertility and increased milk production. Longer days open seems to affect survival more than increased INS. Also, high productive cows were more problematic, less functional and more liable to being culled. The results suggest that the sequential threshold model is a method that might be considered at evaluating genetic relationship between discrete-time survival and other traits, due to its flexibility. PMID:17612479

  12. Neurogenesis and the Spacing Effect: Learning over Time Enhances Memory and the Survival of New Neurons

    ERIC Educational Resources Information Center

    Sisti, Helene M.; Glass, Arnold L.; Shors, Tracey J.

    2007-01-01

    Information that is spaced over time is better remembered than the same amount of information massed together. This phenomenon, known as the spacing effect, was explored with respect to its effect on learning and neurogenesis in the adult dentate gyrus of the hippocampal formation. Because the cells are generated over time and because learning…

  13. Neurogenesis and the Spacing Effect: Learning over Time Enhances Memory and the Survival of New Neurons

    ERIC Educational Resources Information Center

    Sisti, Helene M.; Glass, Arnold L.; Shors, Tracey J.

    2007-01-01

    Information that is spaced over time is better remembered than the same amount of information massed together. This phenomenon, known as the spacing effect, was explored with respect to its effect on learning and neurogenesis in the adult dentate gyrus of the hippocampal formation. Because the cells are generated over time and because learning…

  14. Gas pressure sintering of silicon nitride to optimize fracture toughness

    SciTech Connect

    Tiegs, T.N.; Nunn, S.D.; Beavers, T.M.; Menchhofer, P.A.; Barker, D.L.; Coffey, D.W.

    1995-06-01

    Gas-pressure sintering (GPS) can be used to densify silicon nitride containing a wide variety of sintering additives. Parameters affecting the sintering behavior include densification temperature, densification time, grain growth temperature, grain growth time and heating rates. The Si{sub 3}N{sub 4}-6% Y{sub 2}O{sub 3}-2% A1{sub 2}O{sub 3} samples sintered to high densities at all conditions used in the present study, whereas the Si{sub 3}N{sub 4}-Sr{sub 2}La{sub 4}Yb{sub 4}(SiO{sub 4}){sub 6}O{sub 2} samples required the highest temperatures and longest times to achieve densities {ge}98 % T. D. The main effect on the fracture toughness for Si{sub 3}N{sub 4}-6% Y{sub 2}O{sub 3}-2% A1{sub 2}O{sub 3} samples was the use of a lower densification temperature, which was 1900C in the present study. For the Si{sub 3}N{sub 4}-Sr{sub 2}La{sub 4}Yb{sub 4}SiO4{sub 4}){sub 6}O{sub 2} composition, fracture toughness was sensitive to and improved by a slower heating rate (10c/min), a lower densification temperature (1900`), a higher grain growth temperature (2000C), and a longer grain growth time (2 h).

  15. Histology and Time to Progression Predict Survival for Lymphoma Recurring after Reduced Intensity Conditioning and Allogeneic Hematopoietic Cell Transplantation

    PubMed Central

    Ram, Ron; Gooley, Ted A.; Maloney, David G.; Press, Oliver W.; Pagel, John M.; Petersdorf, Stephen H.; Shustov, Andrei R.; Flowers, Mary E.D.; O’Donnell, Paul; Sandmaier, Brenda M.; Storb, Rainer F.; Gopal, Ajay K.

    2011-01-01

    Reduced-intensity-conditioning (RIC) prior to allogeneic hematopoietic cell transplantation (HCT) is increasingly employed as a potentially curative option for patients with advanced lymphoma; however relapse remains a major challenge. Unfortunately, little data exist on the outcomes, predictors of survival, and results of specific management strategies of such individuals. One-hundred-one consecutive relapses occurred and were evaluated in 280 lymphoma patients following RIC-HCT. Characteristics included: aggressive non-Hodgkin lymphoma (NHL) (n=42), indolent NHL (n=33) and Hodgkin’s Lymphoma (HL) (n=26). Median time to relapse was 90 (range 3 - 1275) days and graft-versus-host-disease at relapse was present in 56 (55%) patients. Interventions following relapse included no therapy (n=14), withdrawal of immunosuppression alone (n=11), chemoradiotherapy (n=60), and donor lymphocyte infusion/second HCT (n=16). Overall survival (OS) at 3 and 5 years following relapse was 33% (95%CI 23-44%) and 23% (95%CI 13-34%), respectively. Aggressive NHL (vs indolent disease, HR=2.29, p=.008) and relapse <1 month after HCT (vs >6 months HR=3.17 p=.004) were each associated with increased mortality. Estimated 3-year OS after relapse for aggressive, indolent and HL was 16% (95%CI 5-32%), 40% (95%CI 19-61%) and 47% (95%CI 29-64%), respectively. The 1-year survival for patients relapsing within 1 month of HCT was 24% as compared to 52%, 74%, and 77%, for those relapsing at 1-3 months, 3-6 months, and >6 months after HCT. We conclude that despite relapse of lymphoma after RIC-HCT, some patients can experience prolonged survival with better post-relapse outcomes occurring in patients with indolent NHL, HL or late relapse. PMID:21536145

  16. Vitamin D Depletion in Pregnancy Decreases Survival Time, Oxygen Saturation, Lung Weight and Body Weight in Preterm Rat Offspring

    PubMed Central

    Lykkedegn, Sine; Sorensen, Grith Lykke; Beck-Nielsen, Signe Sparre; Pilecki, Bartosz; Duelund, Lars; Marcussen, Niels; Christesen, Henrik Thybo

    2016-01-01

    Animal studies suggest a role of vitamin D in fetal lung development although not studied in preterm animals. We tested the hypothesis that vitamin D depletion aggravates respiratory insufficiency in preterm rat offspring. Furthermore, the effects of vitamin D depletion on growth and lung surfactant were investigated. Female Sprague-Dawley rats were randomly assigned low vitamin D (VDL) or control diet before mating and followed with serum 25-hydroxyvitamin D (s-25(OH)D) determinations. After cesarean section at gestational day 19 (E19) or day 22 (E22), placental weight, birth weight, crown-rump-length (CRL), oxygenation (SaO2) at 30 min and survival time were recorded. The pup lungs were analyzed for phospholipid levels, surfactant protein A-D mRNA and the expression of the vitamin D receptor (VDR). S-25(OH)D was significantly lower in the VDL group at cesarean section (12 vs. 30nmol/L, p<0.0001). Compared to the controls, E19 VDL pups had lower birth weight (2.13 vs. 2.29g, p<0.001), lung weight (0.09 vs. 0.10g, p = 0.002), SaO2 (54% vs. 69%, p = 0.002) as well as reduced survival time (0.50 vs. 1.25h, p<0.0001). At E22, the VDL-induced pulmonary differences were leveled out, but VDL pups had lower CRL (4.0 vs. 4.5cm, p<0.0001). The phospholipid levels and the surfactant protein mRNA expression did not differ between the dietary groups. In conclusion, Vitamin D depletion led to lower oxygenation and reduced survival time in the preterm offspring, associated with reduced lung weight and birth weight. Further studies of vitamin D depletion in respiratory insufficiency in preterm neonates are warranted. PMID:27571350

  17. Epigenetic Homogeneity Within Colorectal Tumors Predicts Shorter Relapse-Free and Overall Survival Times for Patients With Locoregional Cancer.

    PubMed

    Martínez-Cardús, Anna; Moran, Sebastian; Musulen, Eva; Moutinho, Cátia; Manzano, Jose L; Martinez-Balibrea, Eva; Tierno, Montserrat; Élez, Elena; Landolfi, Stefania; Lorden, Patricia; Arribas, Carles; Müller, Fabian; Bock, Christoph; Tabernero, Josep; Esteller, Manel

    2016-11-01

    There are few validated biomarkers that can be used to predict outcomes for patients with colorectal cancer. Part of the challenge is the genetic and molecular heterogeneity of colorectal tumors not only among patients, but also within tumors. We have explored intratumor heterogeneity at the epigenetic level, due to its dynamic nature. We analyzed DNA methylation profiles of the digestive tract surface and the central bulk and invasive front regions of colorectal tumors. We determined the DNA methylation profiles of >450,000 CpG sites in 3 macrodissected regions of 79 colorectal tumors and 23 associated liver metastases, obtained from 2 hospitals in Spain. We also analyzed samples for KRAS and BRAF mutations, 499,170 single nucleotide polymorphisms, and performed immunohistochemical analyses. We observed differences in DNA methylation among the 3 tumor sections; regions of tumor-host interface differed the most from the other tumor sections. Interestingly, tumor samples collected from areas closer to the gastrointestinal transit most frequently shared methylation events with metastases. When we calculated individual coefficients to quantify heterogeneity, we found that epigenetic homogeneity was significantly associated with short time of relapse-free survival (log-rank P = .037) and short time of overall survival (log-rank P = .026) in patients with locoregional colorectal cancer. In an analysis of 79 colorectal tumors, we found significant heterogeneity in patterns of DNA methylation within each tumor; the level of heterogeneity correlates with times of relapse-free and overall survival. Copyright © 2016 AGA Institute. Published by Elsevier Inc. All rights reserved.

  18. Perioperative blood transfusion is not associated with overall survival or time to recurrence after resection of perihilar cholangiocarcinoma

    PubMed Central

    Dekker, Annemiek M.; Wiggers, Jimme K.; Coelen, Robert J.; van Golen, Rowan F.; Besselink, Marc G.H.; Busch, Olivier R.C.; Verheij, Joanne; Hollmann, Markus W.; van Gulik, Thomas M.

    2016-01-01

    Background Perioperative blood transfusions have been associated with worse oncological outcome in several types of cancer. The objective of this study was to assess the effect of perioperative blood transfusions on time to recurrence and overall survival (OS) in patients who underwent curative-intent resection of perihilar cholangiocarcinoma (PHC). Methods This retrospective cohort study included consecutive patients with resected PHC between 1992 and 2013 in a specialized center. Patients with 90-day mortality after surgery were excluded. Patients who did and did not receive perioperative blood transfusions were compared using univariable Kaplan–Meier analysis and multivariable Cox regression. Results Of 145 included patients, 80 (55.2%) received perioperative blood transfusions. The median OS was 49 months for patients without and 41 months for patients with blood transfusions (P = 0.46). In risk-adjusted multivariable Cox regression analysis, blood transfusion was not associated with OS (HR 1.00, 95% CI 0.59–1.68, P = 0.99) or time to recurrence (HR 1.00, 95% CI 0.57–1.78, P = 0.99). In addition, no differences in effect were found between different types of blood products transfused. Conclusion Blood transfusion was not associated with survival or time to recurrence after curative resection of PHC in this series. The alleged association is presumably related to the circumstances necessitating blood transfusions. PMID:27017166

  19. 3D Deep Learning for Multi-modal Imaging-Guided Survival Time Prediction of Brain Tumor Patients

    PubMed Central

    Nie, Dong; Zhang, Han; Adeli, Ehsan; Liu, Luyan

    2016-01-01

    High-grade glioma is the most aggressive and severe brain tumor that leads to death of almost 50% patients in 1–2 years. Thus, accurate prognosis for glioma patients would provide essential guidelines for their treatment planning. Conventional survival prediction generally utilizes clinical information and limited handcrafted features from magnetic resonance images (MRI), which is often time consuming, laborious and subjective. In this paper, we propose using deep learning frameworks to automatically extract features from multi-modal preoperative brain images (i.e., T1 MRI, fMRI and DTI) of high-grade glioma patients. Specifically, we adopt 3D convolutional neural networks (CNNs) and also propose a new network architecture for using multi-channel data and learning supervised features. Along with the pivotal clinical features, we finally train a support vector machine to predict if the patient has a long or short overall survival (OS) time. Experimental results demonstrate that our methods can achieve an accuracy as high as 89.9% We also find that the learned features from fMRI and DTI play more important roles in accurately predicting the OS time, which provides valuable insights into functional neuro-oncological applications. PMID:28149967

  20. 3D Deep Learning for Multi-modal Imaging-Guided Survival Time Prediction of Brain Tumor Patients.

    PubMed

    Nie, Dong; Zhang, Han; Adeli, Ehsan; Liu, Luyan; Shen, Dinggang

    2016-10-01

    High-grade glioma is the most aggressive and severe brain tumor that leads to death of almost 50% patients in 1-2 years. Thus, accurate prognosis for glioma patients would provide essential guidelines for their treatment planning. Conventional survival prediction generally utilizes clinical information and limited handcrafted features from magnetic resonance images (MRI), which is often time consuming, laborious and subjective. In this paper, we propose using deep learning frameworks to automatically extract features from multi-modal preoperative brain images (i.e., T1 MRI, fMRI and DTI) of high-grade glioma patients. Specifically, we adopt 3D convolutional neural networks (CNNs) and also propose a new network architecture for using multi-channel data and learning supervised features. Along with the pivotal clinical features, we finally train a support vector machine to predict if the patient has a long or short overall survival (OS) time. Experimental results demonstrate that our methods can achieve an accuracy as high as 89.9% We also find that the learned features from fMRI and DTI play more important roles in accurately predicting the OS time, which provides valuable insights into functional neuro-oncological applications.

  1. Influence of application sequence and timing of eugenol and lauric arginate (LAE) on survival of spoilage organisms.

    PubMed

    Manrique, Yudith; Gibis, Monika; Schmidt, Herbert; Weiss, Jochen

    2017-06-01

    The effectiveness of sequential applications of the antimicrobials eugenol and lauric arginate (LAE) was investigated against Staphylococcus carnosus, Listeria innocua, Escherichia coli K12, and Pseudomonas fluorescens. The antimicrobials were applied simultaneously at half of their minimum lethal concentrations (MLC) or sequentially at t = 0 h and t = 3, 4, 6 or 8 h. Bacterial survival was determined by direct plate counts. Survivals kinetic were fitted to a growth and mortality model to obtain characteristic parameters that described time-dependent changes from growth to mortality or vice versa. The most effective was a simultaneous exposure of both antimicrobials to the spoilage organisms at the beginning of the incubation period. Efficiency decreases depending on order and timing of the two antimicrobials were observed upon sequential treatments. These were most effective when antimicrobials where applied within a short time period (3-4 h) and when eugenol was first applied against S. carnosus and P. fluorescens. No sequence effects were observed for L. innocua, and sequential treatments proved to be ineffective against E. coli K12. These results were attributed to cells adapting to the first applied antimicrobial. In some cases, this provided protection against the second antimicrobial rendering the overall treatment less effective.

  2. A comparison of the conditional inference survival forest model to random survival forests based on a simulation study as well as on two applications with time-to-event data.

    PubMed

    Nasejje, Justine B; Mwambi, Henry; Dheda, Keertan; Lesosky, Maia

    2017-07-28

    Random survival forest (RSF) models have been identified as alternative methods to the Cox proportional hazards model in analysing time-to-event data. These methods, however, have been criticised for the bias that results from favouring covariates with many split-points and hence conditional inference forests for time-to-event data have been suggested. Conditional inference forests (CIF) are known to correct the bias in RSF models by separating the procedure for the best covariate to split on from that of the best split point search for the selected covariate. In this study, we compare the random survival forest model to the conditional inference model (CIF) using twenty-two simulated time-to-event datasets. We also analysed two real time-to-event datasets. The first dataset is based on the survival of children under-five years of age in Uganda and it consists of categorical covariates with most of them having more than two levels (many split-points). The second dataset is based on the survival of patients with extremely drug resistant tuberculosis (XDR TB) which consists of mainly categorical covariates with two levels (few split-points). The study findings indicate that the conditional inference forest model is superior to random survival forest models in analysing time-to-event data that consists of covariates with many split-points based on the values of the bootstrap cross-validated estimates for integrated Brier scores. However, conditional inference forests perform comparably similar to random survival forests models in analysing time-to-event data consisting of covariates with fewer split-points. Although survival forests are promising methods in analysing time-to-event data, it is important to identify the best forest model for analysis based on the nature of covariates of the dataset in question.

  3. The health care market: can hospitals survive?

    PubMed

    Goldsmith, J C

    1980-01-01

    Does it sound familiar? Resources are scarce, competition is tough, and government regulations and a balanced budget are increasingly hard to meet at the same time. This is not the automobile or oil industry but the health care industry, and hospital managers are facing the same problems. And, maintains the author of this article, they must borrow some proven marketing techniques from business to survive in the new health care market. He first describes the features of the new market (the increasing economic power of physicians, new forms of health care delivery, prepaid health plans, and the changing regulatory environment) and then the possible marketing strategies for dealing with them (competing hard for physicians who control the patient flow and diversifying and promoting the mix of services). He also describes various planning solutions that make the most of a community's hospital facilities and affiliations.

  4. Technology Tools for the Tough Tasks: Plug in for Great Outcomes

    ERIC Educational Resources Information Center

    Simon, Fran

    2012-01-01

    There are a lot of easy-to-use online tools that can help teachers and administrators with the tough tasks involved in running efficient, responsive, and intentional programs. The efficiencies offered through these systems allow busy educators to spend less time managing information and more time doing the work that matters the most--working with…

  5. Technology Tools for the Tough Tasks: Plug in for Great Outcomes

    ERIC Educational Resources Information Center

    Simon, Fran

    2012-01-01

    There are a lot of easy-to-use online tools that can help teachers and administrators with the tough tasks involved in running efficient, responsive, and intentional programs. The efficiencies offered through these systems allow busy educators to spend less time managing information and more time doing the work that matters the most--working with…

  6. Survival time analysis of least killifish (Heterandria formosa) and mosquitofish (Gambusia affinis) in acute exposures to endosulfan sulfate.

    PubMed

    Carriger, John F; Hoang, Tham C; Rand, Gary M

    2010-05-01

    Single-species flow-through toxicity tests were conducted to determine the times-to-death of two indigenous fish to South Florida--least killifish (Heterandria formosa) and mosquitofish (Gambusia affinis)--from acute exposure to endosulfan sulfate. Mortalities were recorded within 8-h periods from test initiation to termination at 96 h. The 96-h LC(50)s for least killifish and mosquitofish estimated using the trimmed-Spearman-Karber method were 2.0 and 2.3 microg/l, respectively. An accelerated failure time model was used to estimate times to death at selected concentrations. Data were fit to log-normal, log-logistic, and Weibull distributions. Acute toxicity data fit to the Weibull distribution produced a better relative fit than log-normal or log-logistic distributions for both toxicity tests. The survival-time profiles and associated statistics illustrate the benefit of considering exposure duration as well as concentration when predicting acute risk to species' populations. Both toxicity tests had similar outcomes from exposure to endosulfan sulfate, with least killifish being slightly more likely to die at lower concentrations and shorter time periods than mosquitofish. From the models generated by the toxicity tests, times-to-death for least killifish and mosquitofish were estimated for environmentally relevant concentrations of total endosulfan at a site of concern in South Florida. When the results from the current toxicity tests were compared to environmental concentrations from previous screening-level ecological risk assessments, the durations necessary to potentially kill 10% or more of the populations of the two native south Florida fish species were estimated to be 77 and 96 h for least killifish and mosquitofish, respectively. However, the exposure values included the alpha and beta isomers as well as endosulfan sulfate; therefore, an understanding of their toxicity might be important in understanding the survival dynamics of fish species in

  7. Estimation of total genetic effects for survival time in crossbred laying hens showing cannibalism, using pedigree or genomic information.

    PubMed

    Brinker, T; Raymond, B; Bijma, P; Vereijken, A; Ellen, E D

    2017-02-01

    Mortality of laying hens due to cannibalism is a major problem in the egg-laying industry. Survival depends on two genetic effects: the direct genetic effect of the individual itself (DGE) and the indirect genetic effects of its group mates (IGE). For hens housed in sire-family groups, DGE and IGE cannot be estimated using pedigree information, but the combined effect of DGE and IGE is estimated in the total breeding value (TBV). Genomic information provides information on actual genetic relationships between individuals and might be a tool to improve TBV accuracy. We investigated whether genomic information of the sire increased TBV accuracy compared with pedigree information, and we estimated genetic parameters for survival time. A sire model with pedigree information (BLUP) and a sire model with genomic information (ssGBLUP) were used. We used survival time records of 7290 crossbred offspring with intact beaks from four crosses. Cross-validation was used to compare the models. Using ssGBLUP did not improve TBV accuracy compared with BLUP which is probably due to the limited number of sires available per cross (~50). Genetic parameter estimates were similar for BLUP and ssGBLUP. For both BLUP and ssGBLUP, total heritable variance (T(2) ), expressed as a proportion of phenotypic variance, ranged from 0.03 ± 0.04 to 0.25 ± 0.09. Further research is needed on breeding value estimation for socially affected traits measured on individuals kept in single-family groups.

  8. Expectation-maximization algorithms for learning a finite mixture of univariate survival time distributions from partially specified class values

    SciTech Connect

    Lee, Youngrok

    2013-05-15

    Heterogeneity exists on a data set when samples from di erent classes are merged into the data set. Finite mixture models can be used to represent a survival time distribution on heterogeneous patient group by the proportions of each class and by the survival time distribution within each class as well. The heterogeneous data set cannot be explicitly decomposed to homogeneous subgroups unless all the samples are precisely labeled by their origin classes; such impossibility of decomposition is a barrier to overcome for estimating nite mixture models. The expectation-maximization (EM) algorithm has been used to obtain maximum likelihood estimates of nite mixture models by soft-decomposition of heterogeneous samples without labels for a subset or the entire set of data. In medical surveillance databases we can find partially labeled data, that is, while not completely unlabeled there is only imprecise information about class values. In this study we propose new EM algorithms that take advantages of using such partial labels, and thus incorporate more information than traditional EM algorithms. We particularly propose four variants of the EM algorithm named EM-OCML, EM-PCML, EM-HCML and EM-CPCML, each of which assumes a specific mechanism of missing class values. We conducted a simulation study on exponential survival trees with five classes and showed that the advantages of incorporating substantial amount of partially labeled data can be highly signi cant. We also showed model selection based on AIC values fairly works to select the best proposed algorithm on each specific data set. A case study on a real-world data set of gastric cancer provided by Surveillance, Epidemiology and End Results (SEER) program showed a superiority of EM-CPCML to not only the other proposed EM algorithms but also conventional supervised, unsupervised and semi-supervised learning algorithms.

  9. Increasing pipeline mechanical integrity through the management of mechanical and toughness data

    SciTech Connect

    Biagiotti, S.F. Jr.; Battisti, J.A.

    1996-07-01

    On October 22, 1991, prompted by two brittle fractures that initiated after pipe movement events, the Office of Pipeline Safety (OPS) issued an Alert Notice requiring pipeline owners and operators of gas or hazardous liquid pipeline facilities to conduct analyses before moving pipelines, whether or not the pipelines are pressurized at the time of movement. Since most operators have not typically maintained detailed information on the material characteristics of all steel pipelines in operation (i.e. fracture toughness properties), the OPS recommended that samples of new pipe, stock pipe, and pipe removed from service should be tested and the results accumulated into a database. To this end, Marathon Pipe Line (MPL) Company developed an in-house database system to manage mechanical, toughness, and weldability properties of pipeline materials. Marathon`s approach to the management of pipeline toughness and mechanical data is presented herein. During the design phase of a planned pipe movement, such as a line lowering, engineers consult the database for mechanical and toughness information related to the grade, size, and line section of interest. Based on the mechanical and toughness historical data, a safe line lowering condition is recommended. Over the last two years, more than 1,200 sets of data on more than 200 line sections have been entered into the database.

  10. Assessment of chronic effects of tebuconazole on survival, reproduction and growth of Daphnia magna after different exposure times.

    PubMed

    Sancho, E; Villarroel, M J; Ferrando, M D

    2016-02-01

    The effect of the fungicide tebuconazole (0.41, 0.52, 0.71 and 1.14mg/L) on survival, reproduction and growth of Daphnia magna organisms was monitored using 14 and 21 days exposure tests. A third experiment was performed by exposing D. magna to the fungicide for 14 days followed by 7 days of recovery (14+7). In order to test fungicide effects on D. magna, parameters as survival, mean whole body length, mean total number of neonates per female, mean number of broods per female, mean brood size per female, time to first brood/reproduction and intrinsic rate of natural increase (r) were used. Reproduction was seriously affected by tebuconazole. All tebuconazole concentrations tested affected the number of broods per female and day to first brood. At 14-days test, number of neonates per female and body size decreased by concentrations of tebuconazole higher than 0.52mg/L, whereas at 21-days test both parameters were affected at all the concentrations tested. Survival of the daphnids after 14 days fungicide exposure did not exhibited differences among experimental and control groups. In this experiment r value was reduced (in a 22%) when animals were exposed to concentrations of 0.71mg/L and 1.14mg/L. Survival of daphnids exposed during 21 days to 1.14mg/L declined, and the intrinsic rate of natural increase (r) decreased in a 30 % for tebuconazole concentrations higher than 0.41mg/L. Longevity of daphnids pre-exposed to tebuconazole for 14 days and 7 days in clean water did not show differences from control values and all of them survived the 21 days of the test. However, after 7 days in fungicide free medium animals were unable to restore control values for reproductive parameters and length. The maximum acceptable toxicant concentration (MATC) was calculated using the r values as parameter of evaluation. MATC estimations were 0.61mg/L and 0.46mg/L for 14 and 21 days, respectively. Results showed that the number of neonates per female was the highest sensitive

  11. Survival Benefit of Primary Prevention Implantable Cardioverter-Defibrillator Therapy After Myocardial Infarction: Does Time to Implant Matter?

    PubMed Central

    Hess, Paul L.; Laird, Amy; Edwards, Rex; Bardy, Gust H.; Bigger, J. Thomas; Buxton, Alfred E.; Moss, Arthur J.; Lee, Kerry L.; Hall, W.J.; Steinman, Richard; Dorian, Paul; Hallstrom, Al; Cappato, Riccardo; Kadish, Alan H.; Kudenchuk, Peter J.; Mark, Daniel B.; Al-Khatib, Sana M.; Piccini, Jonathan P.; Inoue, Lurdes Y.T.; Sanders, Gillian D.

    2013-01-01

    Background Whether there is an optimal time to place an implantable cardioverter-defibrillator (ICD) more than 40 days after myocardial infarction (MI) in guideline-eligible patients is unknown. Objective To evaluate the impact of time from MI to randomization on mortality, re-hospitalizations, and complications. Methods Individual data on patients enrolled in 9 primary and secondary prevention ICD trials were provided. Clinical trials were eligible for the current analysis if they enrolled patients with an MI more than 40 days prior to randomization to primary prevention ICD therapy versus usual care: MADIT-I, MUSTT, MADIT-II, and SCD-HeFT. Results ICD recipients died less frequently than non-recipients at 5 years across all subgroups of time from MI to randomization. In unadjusted Cox proportional hazards regression, a survival benefit was evident in most subgroups. Adjusted Bayesian Weibull survival modeling yielded hazard ratio (HR) 0.50, 95% posterior credible interval [PCI] 0.20–1.25 41–180 days after MI; HR 0.98, 95% PCI 0.37–2.37 181–365 days after MI; HR 0.22, 95% PCI 0.07–0.59 >1–2 years after MI; HR 0.42, 95% PCI 0.17–0.90 >2–5 years after MI; HR 0.55, 95% PCI 0.25–1.15 >5–10 years after MI; and HR 0.48, 95% PCI 0.20–1.02 > 10 years after MI. There was no evidence of an interaction between time from MI and all-cause mortality, re-hospitalizations, or complications. Conclusions In this meta-analysis, there was scant evidence that the efficacy of primary prevention ICD therapy and no evidence that the risks of re-hospitalizations or complications are dependent on time to implantation more than 40 days after MI. PMID:23416381

  12. Multi-Scale In Time Projectile-Target HPC Simulations for Lethality and Survivability

    DTIC Science & Technology

    2004-12-01

    this, there is a renewed interest in the Army for the next generation of projectile-target interaction software technology that can accurately...Objective force. The benefits of this HPC software technology are many folds. They are: 1) reduced run times of an order of magnitude for problems...Finally, example demonstrates the large-scale computational capabilities of the software pCIA-3D. The application of this technology to the

  13. Smoking onset and the time-varying effects of self-efficacy, environmental smoking, and smoking-specific parenting by using discrete-time survival analysis.

    PubMed

    Hiemstra, Marieke; Otten, Roy; Engels, Rutger C M E

    2012-04-01

    This study examined the timing of smoking onset during mid- or late adolescence and the time-varying effects of refusal self-efficacy, parental and sibling smoking behavior, smoking behavior of friends and best friend, and parental smoking-specific communication. We used data from five annual waves of the 'Family and Health' project. In total, 428 adolescents and their parents participated at baseline. Only never smokers were included at baseline (n = 272). A life table and Kaplan-Meier survival curve showed that 51% of all adolescents who did not smoke at baseline did not start smoking within 4 years. The risk for smoking onset during mid- or late adolescence is rather stable (hazard ratio between 16 and 19). Discrete-time survival analyses revealed that low refusal self-efficacy, high frequency of communication, and sibling smoking were associated with smoking onset one year later. No interaction effects were found. Conclusively, the findings revealed that refusal self-efficacy is an important predictor of smoking onset during mid- or late adolescence and is independent of smoking-specific communication and smoking behavior of parents, siblings, and (best) friend(s). Findings emphasize the importance of family prevention programs focusing on self-efficacy skills.

  14. Effect of groove on bone fracture toughness.

    PubMed

    Norman, T L; Vashishth, D; Burr, D B

    1992-12-01

    When testing for the effects of bone orientation on mode I fracture toughness, compact tension specimens are grooved with a V-notch to provide a crack guide. The effect of grooving on the expressions for the critical stress intensity factor (Kc) and the critical strain energy release rate (Gc) for mode I fracture toughness was investigated. Experiments were performed using grooved and ungrooved bovine compact tension specimens. The results indicate that the standard expression used to determine Kc for a compact tension specimen requires modification. The thickness (B) must be modified to account for the thickness between the grooves (Bn). The thickness used in the standard expression is replaced by an effective thickness written as (BBn)0.5. It was also found that the thickness between the grooves should be used in the standard formula for Gc.

  15. Advanced Vadose Zone Simulations Using TOUGH

    SciTech Connect

    Finsterle, S.; Doughty, C.; Kowalsky, M.B.; Moridis, G.J.; Pan,L.; Xu, T.; Zhang, Y.; Pruess, K.

    2007-02-01

    The vadose zone can be characterized as a complex subsurfacesystem in which intricate physical and biogeochemical processes occur inresponse to a variety of natural forcings and human activities. Thismakes it difficult to describe, understand, and predict the behavior ofthis specific subsurface system. The TOUGH nonisothermal multiphase flowsimulators are well-suited to perform advanced vadose zone studies. Theconceptual models underlying the TOUGH simulators are capable ofrepresenting features specific to the vadose zone, and of addressing avariety of coupled phenomena. Moreover, the simulators are integratedinto software tools that enable advanced data analysis, optimization, andsystem-level modeling. We discuss fundamental and computationalchallenges in simulating vadose zone processes, review recent advances inmodeling such systems, and demonstrate some capabilities of the TOUGHsuite of codes using illustrative examples.

  16. Resin blending for toughness in balloon films

    NASA Technical Reports Server (NTRS)

    Farr, M. P.; Harrison, I. R.

    1993-01-01

    The influence of chain architecture on toughness is examined by testing blends of HDPE with different types of low density PEs. The LDPE and LLDPE used have reported similar molecular weights, and densities. Two structural factors differentiate these polymers, long chain branching is peculiar to LDPE, and the short chain branching distribution of the two polymers are different. LDPE has branches which are evenly distributed among all chains. In contrast, the short chain branches in LLDPE are distributed heterogeneously. LLDPE and ULDPE have similar branch distributions but, ULDPE has a higher average number of branches per 1000 carbons and consequently a lower density. The effect which these structural differences have on mechanical properties can be used to investigate which parameters control toughness in PE materials.

  17. Tough germanium nanoparticles under electrochemical cycling.

    PubMed

    Liang, Wentao; Yang, Hui; Fan, Feifei; Liu, Yang; Liu, Xiao Hua; Huang, Jian Yu; Zhu, Ting; Zhang, Sulin

    2013-04-23

    Mechanical degradation of the electrode materials during electrochemical cycling remains a serious issue that critically limits the capacity retention and cyclability of rechargeable lithium-ion batteries. Here we report the highly reversible expansion and contraction of germanium nanoparticles under lithiation-delithiation cycling with in situ transmission electron microscopy (TEM). During multiple cycles to the full capacity, the germanium nanoparticles remained robust without any visible cracking despite ∼260% volume changes, in contrast to the size-dependent fracture of silicon nanoparticles upon the first lithiation. The comparative in situ TEM study of fragile silicon nanoparticles suggests that the tough behavior of germanium nanoparticles can be attributed to the weak anisotropy of the lithiation strain at the reaction front. The tough germanium nanoparticles offer substantial potential for the development of durable, high-capacity, and high-rate anodes for advanced lithium-ion batteries.

  18. Fracture toughness and crack growth of Zerodur

    NASA Technical Reports Server (NTRS)

    Viens, Michael J.

    1990-01-01

    The fracture toughness and crack growth parameters of Zerodur, a low expansion glass ceramic material, were determined. The fracture toughness was determined using indentation techniques and was found to be 0.9 MPa x m(sup 1/2). The crack growth parameters were determined using indented biaxial specimens subjected to static and dynamic loading in an aqueous environment. The crack growth parameters n and 1n(B) were found to be 30.7 and -6.837, respectively. The crack growth parameters were also determined using indented biaxial specimens subjected to dynamic loading in an ambient 50 percent relative humidity environment. The crack growth parameters n and 1n(B) at 50 percent relative humidity were found to be 59.3 and -17.51, respectively.

  19. Tough photoluminescent hydrogels doped with lanthanide.

    PubMed

    Wang, Mei Xiang; Yang, Can Hui; Liu, Zhen Qi; Zhou, Jinxiong; Xu, Feng; Suo, Zhigang; Yang, Jian Hai; Chen, Yong Mei

    2015-03-01

    Photoluminescent hydrogels have emerged as novel soft materials with potential applications in many fields. Although many photoluminescent hydrogels have been fabricated, their scope of usage has been severely limited by their poor mechanical performance. Here, a facile strategy is reported for preparing lanthanide (Ln)-alginate/polyacrylamide (PAAm) hydrogels with both high toughness and photoluminescence, which has been achieved by doping Ln(3+) ions (Ln = Eu, Tb, Eu/Tb) into alginate/PAAm hydrogel networks, where Ln(3+) ions serve as both photoluminescent emitters and physical cross-linkers. The resulting hydrogels exhibit versatile advantages including excellent mechanical properties (∼ MPa strength, ≈ 20 tensile strains, ≈ 10(4) kJ m(-3) energy dissipation), good photoluminescent performance, tunable emission color, excellent processability, and cytocompatibility. The developed tough photoluminescent hydrogels hold great promises for expanding the usage scope of hydrogels.

  20. A tough high performance composite matrix

    NASA Technical Reports Server (NTRS)

    Pater, Ruth H. (Inventor); Johnston, Norman J. (Inventor)

    1992-01-01

    This invention is a semi-interpenetrating polymer network which includes a high performance thermosetting polyimide having a nadic end group acting as a crosslinking site and a high performance linear thermoplastic polyimide. An improved high temperature matrix resin is provided which is capable of performing in the 200 to 300 C range. This resin has significantly improved toughness and microcracking resistance, excellent processability, mechanical performance and moisture and solvent resistances.

  1. Fracture toughness testing data. A bibliography

    NASA Technical Reports Server (NTRS)

    Carpenter, J. L., Jr.; Moya, N.; Stuhrke, W. F.

    1975-01-01

    This bibliography is comprised of approximately 800 reference citations related to the mechanics of failure in aerospace structures. Most of the references are for documents that include fracture toughness testing data and its application or documents on the availability and usefulness of fracture mechanics analysis methodology. The bibliography represents a search of the literature published in the period April 1962 through April 1974 and is largely limited to documents published in the United States.

  2. High strength and high toughness steel

    DOEpatents

    Parker, Earl R.; Zackay, Victor F.

    1979-01-01

    A structural steel which possess both high strength and high toughness and has particular application of cryogenic uses. The steel is produced by the utilization of thermally induced phase transformation following heating in a three-phase field in iron-rich alloys of the Fe-Ni-Ti system, with a preferred composition of 12% nickel, 0.5% titanium, the remainder being iron.

  3. High toughness-high strength iron alloy

    NASA Technical Reports Server (NTRS)

    Stephens, J. R.; Witzke, W. R. (Inventor)

    1980-01-01

    An iron alloy is provided which exhibits strength and toughness characteristics at cryogenic temperatures. The alloy consists essentially of about 10 to 16 percent by weight nickel, about 0.1 to 1.0 percent by weight aluminum, and 0 to about 3 percent by weight copper, with the balance being essentially iron. The iron alloy is produced by a process which includes cold rolling at room temperature and subsequent heat treatment.

  4. Tough Polymer Alloys via Chemically Controlled Morphology

    DTIC Science & Technology

    2007-11-02

    involved the use of polyamides , polyesters and polycarbonates as one component in the blend. The other component was a reactive elastomer , an ABS...material, a core-shell impact modifier, or polypropylene. The end group configuration of the polyamide was shown to be an important consideration in...producing super-tough polyamide blends with low ductile-brittle transition temperatures are described. Cavitation of the rubber phase was shown to be an important part of the toughening mechanism in certain cases.

  5. Resin selection criteria for tough composite structures

    NASA Technical Reports Server (NTRS)

    Chamis, C. C.; Smith, G. T.

    1983-01-01

    Resin selection criteria are derived using a structured methodology consisting of an upward integrated mechanistic theory and its inverse (top-down structured theory). These criteria are expressed in a "criteria selection space" which are used to identify resin bulk properties for improved composite "toughness". The resin selection criteria correlate with a variety of experimental data including laminate strength, elevated temperature effects and impact resistance.

  6. "Striving Readers" Tough to Measure

    ERIC Educational Resources Information Center

    Zehr, Mary Ann

    2009-01-01

    Many students at the Edward Coles Model for Excellence World Language Academy or the Rachel Carson Elementary School in Chicago--schools that takes part in the Striving Readers program--say they came to enjoy reading for the first time or became better readers through the program, now in its fourth year. The federal program supports the…

  7. Heat loss and hypothermia in free diving: Estimation of survival time under water

    NASA Astrophysics Data System (ADS)

    Aguilella-Arzo, Marcel; Alcaraz, Antonio; Aguilella, Vicente M.

    2003-04-01

    The heat exchange between a diver and the colder surrounding water is analyzed on the basis of the fundamental equations of thermal transport. To estimate the decrease in the diver's body temperature as a function of time, we discuss the complex interplay of several factors including the body heat production rate, the role of the diver's wet suit, and the way different heat exchange mechanisms (conduction, convection, and radiation) contribute to thermal transport. This knowledge could be useful to prevent physiological disorders that occur when the human body temperature drops below 35 °C.

  8. Greatly Increased Toughness of Infiltrated Spider Silk

    NASA Astrophysics Data System (ADS)

    Lee, Seung-Mo; Pippel, Eckhard; Gösele, Ulrich; Dresbach, Christian; Qin, Yong; Chandran, C. Vinod; Bräuniger, Thomas; Hause, Gerd; Knez, Mato

    2009-04-01

    In nature, tiny amounts of inorganic impurities, such as metals, are incorporated in the protein structures of some biomaterials and lead to unusual mechanical properties of those materials. A desire to produce these biomimicking new materials has stimulated materials scientists, and diverse approaches have been attempted. In contrast, research to improve the mechanical properties of biomaterials themselves by direct metal incorporation into inner protein structures has rarely been tried because of the difficulty of developing a method that can infiltrate metals into biomaterials, resulting in a metal-incorporated protein matrix. We demonstrated that metals can be intentionally infiltrated into inner protein structures of biomaterials through multiple pulsed vapor-phase infiltration performed with equipment conventionally used for atomic layer deposition (ALD). We infiltrated zinc (Zn), titanium (Ti), or aluminum (Al), combined with water from corresponding ALD precursors, into spider dragline silks and observed greatly improved toughness of the resulting silks. The presence of the infiltrated metals such as Al or Ti was verified by energy-dispersive x-ray (EDX) and nuclear magnetic resonance spectra measured inside the treated silks. This result of enhanced toughness of spider silk could potentially serve as a model for a more general approach to enhance the strength and toughness of other biomaterials.

  9. Measuring fracture toughness in biological materials.

    PubMed

    Taylor, David

    2017-07-05

    Many biological materials fail by cracking. Examples are bone fractures, contact damage in eggs, splits in bamboo culm and defects in cartilage. The mechanical property that best describes failure by cracking is fracture toughness, which quantifies the ease with which cracks propagate and defines a material's tolerance for pre-existing cracks and other stress concentrating features. The measurement of fracture toughness presents some challenges, especially for biological materials. To obtain valid results requires care and, in many cases, considerable ingenuity to design an appropriate specimen and test protocol. Common mistakes include incorrect interpretation of the mechanics of loading in unusual specimen designs, and failures occurring at the material's ultimate tensile strength as a result of specimens or cracks being too small. Interpretation of the resulting toughness data may also present challenges, for example when R-curve behaviour is present. In this article, examples of good and bad practice are described, and some recommendations made. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. Association between the time to surgery and survival among patients with colon cancer: A population-based study.

    PubMed

    Flemming, J A; Nanji, S; Wei, X; Webber, C; Groome, P; Booth, C M

    2017-08-01

    Factors associated with time-to-surgery (TTS) and survival in colon cancer has not been well studied. Cancer Care Ontario recommends surgery within 42 days of diagnosis and that 90% of patients meet this benchmark. We describe factors associated with TTS and survival in routine clinical practice. Retrospective population-based cohort study of patients receiving elective colonic resection after diagnosis of colon cancer in Ontario, Canada from 2002 to 2008 followed until 2012. Factors associated with TTS were identified using multivariate log-binomial and Quantile regression at 42 days and 90th percentiles. The association between TTS and cancer-specific (CSS) and overall survival (OS) were examined using multivariate Cox regression. 4326 patients; median age 71 years and 52% male. Median TTS was 24 days (IQR 14-37); at the 90th percentile 56 days. Factors associated with TTS ≥ 42 days and >90th percentile included older age, co-morbid illness, surgeon volume, and stage I disease (P < 0.05 for all). In patients whose TTS was either at 42 days or 90th percentile, those ≥80 years old waited two weeks longer than those <60 years, individuals with co-morbid illness waited 10 days longer than without co-morbidity, and patients with stage I disease waited 10 days longer than those with stage IV disease (P < 0.05 for all). Delay in TTS > 42 days or >90th percentile was not associated with OS or CSS. Age, co-morbidity, and stage of cancer are associated with TTS. There was no association between TTS and CSS or OS. Copyright © 2017 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

  11. Estimation of expected utility gained from the helmet law in Taiwan by quality-adjusted survival time.

    PubMed

    Tsauo, J Y; Hwang, J S; Chiu, W T; Hung, C C; Wang, J D

    1999-05-01

    The objective of this study was to empirically estimate the expected utility gained from the implementation of the 1997 helmet law in Taiwan by using quality-adjusted survival time (QAST). We randomly selected 400 out of 8221 registered cases of head injury and successfully interviewed 99 cases with the index of health-related quality of life (IHRQ). The function of IHRQ was then multiplied with the corresponding survival function to obtain the QAST for head injury. The total utility gained from the helmet law in Taipei within 1 year was estimated by multiplying the expected loss of utility per patient with the number of prevented cases. The results showed that after 80 months of follow-up, the QAST of the injured population was 66.3 quality-adjusted life-months (QALMs), while that of the reference population was 78.7 QALMs. We extrapolated the QAST for total life expectancy by simulating the survival of head injury cases using the life table data from the general population. The life-long utility loss of a head injury case was found to be 4.8 quality-adjusted life-years (QALY). The number of prevented cases during the first year of enforcement of the helmet law was estimated to be 1300 cases in Taipei, which amounted to 6240 QALYs gained. For lack of data, we were unable to calculate the possible gain from helmet on reduction of severity among nonfatal cases with head injury, and the estimation was only a lower bound. We concluded that the QAST approach is a feasible approach applicable to health policy decision-making, especially in cost-utility analysis.

  12. Short-crack toughness and abrasive machining of silicon nitride

    SciTech Connect

    Xu, H.H.K.; Jahanmir, S.; Ives, L.K.; Job, L.S.; Ritchie, K.T.

    1996-12-01

    Hardness and toughness are often used to analyze the abrasive machining behavior of ceramic materials. However, toughness values of silicon nitride ceramics with microstructures containing elongated grains increase with microstructures containing elongated grains increase with crack extension. The present study investigates the effect of toughness on the process of abrasive machining to determine which value of toughness should be used in the analysis. The toughness curves (i.e., toughness as a function of crack length) of ten different silicon nitride materials are characterized by an indentation-strength technique and an indentation technique. The forces in surface grinding are measured as a function of the depth of cut. Examination of ground surfaces by scanning electron microscopy indicates that the material-removal processes in grinding follows the formation of short cracks (i.e., microcracks) and grain-scale material dislodgement. An indentation fracture model for material removal in abrasive machining is used to correlate the grinding forces with toughness and hardness of the materials. An agreement is obtained between the experimental results and the indentation model only when the toughness associated with short cracks is used. This study shows the importance of using appropriate toughness values corresponding to the microfracture processes in analyzing abrasive machining results for materials possessing rising toughness curves.

  13. Use of Synergistic Interactions to Fabricate Strong, Tough, and Conductive Artificial Nacre Based on Graphene Oxide and Chitosan.

    PubMed

    Wan, Sijie; Peng, Jingsong; Li, Yuchen; Hu, Han; Jiang, Lei; Cheng, Qunfeng

    2015-10-27

    Graphene is the strongest and stiffest material, leading to the development of promising applications in many fields. However, the assembly of graphene nanosheets into macrosized nanocomposites for practical applications remains a challenge. Nacre in its natural form sets the "gold standard" for toughness and strength, which serves as a guide to the assembly of graphene nanosheets into high-performance nanocomposites. Here we show the strong, tough, conductive artificial nacre based on graphene oxide through synergistic interactions of hydrogen and covalent bonding. Tensile strength and toughness was 4 and 10 times higher, respectively, than that of natural nacre. The exceptional integrated strong and tough artificial nacre has promising applications in aerospace, artificial muscle, and tissue engineering, especially for flexible supercapacitor electrodes due to its high electrical conductivity. The use of synergistic interactions is a strategy for the development of high-performance nanocomposites.

  14. Nonparametric inference for the joint distribution of recurrent marked variables and recurrent survival time.

    PubMed

    Yee, Laura M; Chan, Kwun Chuen Gary

    2017-04-01

    Time between recurrent medical events may be correlated with the cost incurred at each event. As a result, it may be of interest to describe the relationship between recurrent events and recurrent medical costs by estimating a joint distribution. In this paper, we propose a nonparametric estimator for the joint distribution of recurrent events and recurrent medical costs in right-censored data. We also derive the asymptotic variance of our estimator, a test for equality of recurrent marker distributions, and present simulation studies to demonstrate the performance of our point and variance estimators. Our estimator is shown to perform well for a wide range of levels of correlation, demonstrating that our estimators can be employed in a variety of situations when the correlation structure may be unknown in advance. We apply our methods to hospitalization events and their corresponding costs in the second Multicenter Automatic Defibrillator Implantation Trial (MADIT-II), which was a randomized clinical trial studying the effect of implantable cardioverter-defibrillators in preventing ventricular arrhythmia.

  15. Survival times of women with metastatic breast cancer starting first-line chemotherapy in routine clinical practice versus contemporary randomised trials.

    PubMed

    Thientosapol, E S; Tran, T T; Della-Fiorentina, S A; Adams, D H; Chantrill, L; Stockler, M R; Kiely, B E

    2013-08-01

    Survival times of women starting first-line chemotherapy for metastatic breast cancer (MBC) in routine clinical practice were determined and compared with those from a systematic review of randomised clinical trials. We identified women with MBC starting first-line chemotherapy from June 2003 to February 2011 and recorded their demographics, tumour and treatment characteristics, and survival times from the start of chemotherapy. Their survival distribution was summarised by the following percentiles (represented scenarios for survival): 90th (worst-case), 75th (lower-typical), 25th (upper-typical) and 10th (best-case), which were compared with the same percentiles from our systematic review of first-line chemotherapy trials. The 273 women had a median age of 56 years, and a median time from diagnosis of MBC of 3 months. Eastern Cooperative Oncology Group performance status was 0-1 in 80%. Tumours were hormone receptor positive in 69%, human epidermal growth factor receptor 2 (HER2)-positive in 27% and triple negative in 13%. Survival times in months in routine clinical practice (vs the systematic review) were: 90th percentile 4 (6); 75th percentile 9 (12); median 20 (22); 25th percentile 36 (36) and 10th percentile 61 (56). Independent predictors of overall survival included HER2-positive disease (hazard ratio (HR) 0.49, P = 0.0002), hormone receptor positive disease (HR 0.51, P = 0.0004), Eastern Cooperative Oncology Group performance status 0-1 (HR 0.36, P < 0.0001) and adjuvant chemotherapy (HR 1.86, P = 0.0002). Median and better survival times in routine practice were similar to those from randomised clinical trials; however, survival times worse than the median were shorter, likely reflecting patient selection in trials. Oncologists should adjust trial-based survival estimates for patients not meeting typical trial eligibility criteria. © 2013 The Authors; Internal Medicine Journal © 2013 Royal Australasian College of Physicians.

  16. Survival times in people with dementia: analysis from population based cohort study with 14 year follow-up

    PubMed Central

    2008-01-01

    Objectives To provide estimates of survival after onset of dementia by age, sex, self reported health, disability, and severity of cognitive impairment. Design Analysis of participants from prospective population based cohort study in 1991-2003, with follow-up of dementia status in all individuals after two and six years (in one centre) and 10 years and in subsamples additionally at six and eight years and mortality until 2005. Setting Multicentre population based study in England and Wales: two rural and three urban centres. Participants 438 participants who developed dementia from a population based study of 13 004 individuals aged 65 years and over drawn from primary care population registers. Main outcome measures Sociodemographic factors, cognitive function, specific health conditions, and self reported health collected at each interview. Cox’s proportional hazards regression models were used to identify predictors of mortality from the selected variables in people who received diagnosis of dementia according the study’s criteria. Results By December 2005, 356 of the 438 (81%) participants who developed dementia during the study had died. Estimated median survival time from onset of dementia to death was 4.1 years (interquartile range 2.5-7.6) for men and 4.6 years (2.9-7.0) for women. There was a difference of nearly seven years in survival between the younger old and the oldest people with dementia: 10.7 (25th centile 5.6) for ages 65-69; 5.4 (interquartile range 3.4-8.3) for ages 70-79; 4.3 (2.8-7.0) for ages 80-89, and 3.8 (2.3-5.2) years for ages ≥90. Significant factors that predicted mortality in the presence of dementia during the follow-up included sex, age of onset, and disability. Conclusion These analyses give a population based estimated median survival for incident dementia of 4.5 years. Such estimates can be used for prognosis and planning for patients, carers, service providers, and policy makers. PMID:18187696

  17. Effect of Migration Pathway on Travel Time and Survival of Acoustic-Tagged Juvenile Salmonids in the Columbia River Estuary

    SciTech Connect

    Harnish, Ryan A.; Johnson, Gary E.; McMichael, Geoffrey A.; Hughes, Michael S.; Ebberts, Blaine D.

    2012-02-01

    Off-channel areas (side channels, tidal flats, sand bars, and shallow-water bays) may serve as important migration corridors through estuarine environments for salmon and steelhead smolts. Relatively large percentages (21-33%) of acoustic-tagged yearling and subyearling Chinook salmon and steelhead smolts were detected migrating through off-channel areas of the Columbia River estuary in 2008. The probability of survival for off-channel migrants (0.78-0.94) was similar to or greater than the survival probability of main channel migrants (0.67-0.93). Median travel times were similar for all species or run types and migration pathways we examined, ranging from 1-2 d. The route used by smolts to migrate through the estuary may affect their vulnerability to predation. Acoustic-tagged steelhead that migrated nearest to avian predator nesting colonies experienced higher predation rates (24%) than those that migrated farthest from the colonies (10%). The use of multiple migration pathways may be advantageous to out-migrating smolts because it helps to buffer against high rates of mortality, which may occur in localized areas, and helps to minimize inter- and intraspecific competition.

  18. Association of survival time with transthoracic echocardiography in stable patients with heart failure: Is routine follow-up ever appropriate?

    PubMed

    Fonseca, Ricardo; Otahal, Petr; Galligan, John; Neilson, Samuel; Huynh, Quan; Saito, Makoto; Negishi, Kazuaki; Marwick, Thomas H

    2017-03-01

    The appropriateness of repeat transthoracic echocardiography (TTE) for stable heart failure (HF) is based on timing of the follow-up examination, but this lacks scientific support. We sought the association of routine follow-up TTE on survival and readmission in stable HF. Patients with HF were selected from consecutive HF admissions from 2008 to 2012. Groups were divided into: no follow-up TTE; routine <1year with no change in status ("rarely appropriate"), ≥1year follow-up with no change in status ("maybe appropriate") and TTE due to change in clinical status ("appropriate"). Survival analysis was performed for the combined endpoint of HF readmission and death, and a separate analysis was performed for HF readmission, with death as a competing risk. Of 550 HF patients, 141 had a follow-up TTE, including 41 (29%) within 1year. The event-free time in years was similar between no TTE (1.10years [95%CI: 0.69, 1.49], routine TTE <1year (2.61years [95% CI: 1.08, 3.04], routine >1year (2.45years [95% CI: 1.37, 5.78]); all were greater than symptomatic patients (0.09years [95% CI: 0.02, 1.80]). HF readmission was independently associated with statins, renal disease, coronary angiography and NYHA class, but not follow-up TTE timing. There were no differences in the cumulative incidence for death between groups. There were no differences in change in management in routine TTE <1year and ≥1year. The distinction of appropriateness of routine repeat TTE in stable HF patients, based on testing <1 or ≥1year after index admission appears unjustified. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  19. KLF4α Upregulation Promotes Cell Cycle Progression and Reduces Survival Time of Patients with Pancreatic Cancer

    PubMed Central

    WEI, DAOYAN; WANG, LIWEI; KANAI, MASASHI; JIA, ZHILIANG; LE, XIANGDONG; LI, QIANG; WANG, HUAMIN; XIE, KEPING

    2011-01-01

    Background & Aims Krüppel-like factor (KLF)4 is a transcription factor associated with tumor suppression and oncogenesis. KLF4 suppresses pancreatic tumorigenesis by unknown mechanisms; we investigated alterations that might affect KLF4 function and lead to tumor formation. Methods We identified different isoforms of KLF4 in pancreatic cancer cells by reverse transcriptase-PCR, cloning, and DNA sequence analyses. We constructed vectors to express the isoform KLF4α and characterize its function. Using real-time PCR, immunoprecipitation, and immunohistochemical analyses, we assessed expression of KLF4α in pancreatic cancer cell lines and tumor tissue samples; xenograft models were used to determine the effect of KLF4α on pancreatic tumorigenesis. Results We identified 4 KLF4 isoforms in human pancreatic cancer cells, designated KLF4α, KLF4β, KLF4γ, and KLF4δ. KLF4α localized primarily to the cytoplasm; its protein and mRNA were upregulated in pancreatic cancer cell lines with high metastatic potential and human pancreatic tumors, compared with normal pancreatic tissue. Transgenic expression of KLF4α reduced expression of p27Kip1 and p21CIP1, promoting cell cycle progression and in vivo tumor formation by pancreatic cancer cells. Increased expression of KLF4α in pancreatic tumor tissue was inversely correlated with overall time of survival in patients with stage II pancreatic ductal adenocarcinoma. Conclusions We identified a splice variant of KLF4 (KLF4α) that is upregulated in aggressive pancreatic cancer cells and human pancreatic tumor tissues. Increased expression promotes growth of pancreatic tumors in mice is associated with reduced survival times of patients. PMID:20727893

  20. Thresholds and timing of pre-operative thrombocytosis and ovarian cancer survival: analysis of laboratory measures from electronic medical records.

    PubMed

    Cozzi, Gabriella D; Samuel, Jacob M; Fromal, Jason T; Keene, Spencer; Crispens, Marta A; Khabele, Dineo; Beeghly-Fadiel, Alicia

    2016-08-08

    Thrombocytosis has been associated with poor ovarian cancer prognosis. However, comparisons of thresholds to define thrombocytosis and evaluation of relevant timing of platelet measurement has not been previously conducted. We selected Tumor Registry confirmed ovarian, primary peritoneal, and fallopian tube cancer cases diagnosed between 1995-2013 from the Vanderbilt University Medical Center. Laboratory measured platelet values from electronic medical records (EMR) were used to determine thrombocytosis at three thresholds: a platelet count greater than 350, 400, or 450 × 10(9)/liter. Timing was evaluated with 5 intervals: on the date of diagnosis, and up to 1, 2, 4, and 8 weeks prior to the date of diagnosis. Cox regression was used to calculate hazard ratios (HR) and confidence intervals (CI) for association with overall survival; adjustment included age, stage, grade, and histologic subtype of disease. Pre-diagnosis platelet measures were available for 136, 241, 280, 297, and 304 cases in the five intervals. The prevalence of thrombocytosis decreased with increasing thresholds and was generally consistent across the five time intervals, ranging from 44.8-53.2 %, 31.6-39.4 %, and 19.9-26.1 % across the three thresholds. Associations with higher grade and stage of disease gained significance as the threshold increased. With the exception of the lowest threshold on the date of diagnosis (HR350: 1.55, 95 % CI: 0.97-2.47), all other survival associations were significant, with the highest reaching twice the risk of death for thrombocytosis on the date of diagnosis (HR400: 2.01, 95 % CI: 1.25-3.23). Our EMR approach yielded associations comparable to published findings from medical record abstraction approaches. In addition, our results indicate that lower thrombocytosis thresholds and platelet measures up to 8 weeks before diagnosis may inform ovarian cancer characteristics and prognosis.

  1. iTOUGH2 Universal Optimization Using the PEST Protocol

    SciTech Connect

    Finsterle, S.A.

    2010-07-01

    iTOUGH2 (http://www-esd.lbl.gov/iTOUGH2) is a computer program for parameter estimation, sensitivity analysis, and uncertainty propagation analysis [Finsterle, 2007a, b, c]. iTOUGH2 contains a number of local and global minimization algorithms for automatic calibration of a model against measured data, or for the solution of other, more general optimization problems (see, for example, Finsterle [2005]). A detailed residual and estimation uncertainty analysis is conducted to assess the inversion results. Moreover, iTOUGH2 can be used to perform a formal sensitivity analysis, or to conduct Monte Carlo simulations for the examination for prediction uncertainties. iTOUGH2's capabilities are continually enhanced. As the name implies, iTOUGH2 is developed for use in conjunction with the TOUGH2 forward simulator for nonisothermal multiphase flow in porous and fractured media [Pruess, 1991]. However, iTOUGH2 provides FORTRAN interfaces for the estimation of user-specified parameters (see subroutine USERPAR) based on user-specified observations (see subroutine USEROBS). These user interfaces can be invoked to add new parameter or observation types to the standard set provided in iTOUGH2. They can also be linked to non-TOUGH2 models, i.e., iTOUGH2 can be used as a universal optimization code, similar to other model-independent, nonlinear parameter estimation packages such as PEST [Doherty, 2008] or UCODE [Poeter and Hill, 1998]. However, to make iTOUGH2's optimization capabilities available for use with an external code, the user is required to write some FORTRAN code that provides the link between the iTOUGH2 parameter vector and the input parameters of the external code, and between the output variables of the external code and the iTOUGH2 observation vector. While allowing for maximum flexibility, the coding requirement of this approach limits its applicability to those users with FORTRAN coding knowledge. To make iTOUGH2 capabilities accessible to many application models

  2. Survival analysis of timing of first marriage among women of reproductive age in Nigeria: regional differences.

    PubMed

    Adebowale, Stephen A; Fagbamigbe, Francis A; Okareh, Titus O; Lawal, Ganiyu O

    2012-12-01

    Early marriage is common among women in developing countries. Age at first marriage (AFM) has health implication on women and their under-five children. In Nigeria, few studies have explored AFM; the current study was designed to fill the gap. Nigeria Demographic and Health Survey, 2008 dataset on married women aged 15-49 (N = 24,986) was used. Chi-square, OLS regression and Cox proportional hazard models were used in the analysis. The mean AFM was 17.8 +/- 4.8 years and significant difference existed between the mean AFM of women in the North (16.0 +/- 3.6) and South (20.4 +/- 5.0) (p < 0.001). Region, education, religion, residence, nutritional status, age at first sexual intercourse and children ever born were significantly associated with timing of first marriage (p < 0.001). Majority of the women married between ages 15-19 years (43.1%), while very few married late (2.3%) and about 27.0% married too early (less than 15 years). Early marriage was more common in all the regions in the North than the South and the hazard was highest in the North West and North East. Women who reside in rural area (H.R = 1.15; C.I = 1.11-1.18) married early than their counterparts in the urban area. Age at first marriage was directly related to levels of education (p < 0.001). Muslim women married early (H.R = 1.34; C.I = 1.29-1.39) than Christians. Three models were generated from the data. Women married too early in Nigeria with Teenage marriage more common in the North than the South. Education has influence on AFM; therefore, women should have at least secondary education before marriage in Nigeria.

  3. Survival times of anomalous melt inclusions from element diffusion in olivine and chromite.

    PubMed

    Spandler, C; O'Neill, H St C; Kamenetsky, V S

    2007-05-17

    The chemical composition of basaltic magma erupted at the Earth's surface is the end product of a complex series of processes, beginning with partial melting and melt extraction from a mantle source and ending with fractional crystallization and crustal assimilation at lower pressures. It has been proposed that studying inclusions of melt trapped in early crystallizing phenocrysts such as Mg-rich olivine and chromite may help petrologists to see beyond the later-stage processes and back to the origin of the partial melts in the mantle. Melt inclusion suites often span a much greater compositional range than associated erupted lavas, and a significant minority of inclusions carry distinct compositions that have been claimed to sample melts from earlier stages of melt production, preserving separate contributions from mantle heterogeneities. This hypothesis is underpinned by the assumption that melt inclusions, once trapped, remain chemically isolated from the external magma for all elements except those that are compatible in the host minerals. Here we show that the fluxes of rare-earth elements through olivine and chromite by lattice diffusion are sufficiently rapid at magmatic temperatures to re-equilibrate completely the rare-earth-element patterns of trapped melt inclusions in times that are short compared to those estimated for the production and ascent of mantle-derived magma or for magma residence in the crust. Phenocryst-hosted melt inclusions with anomalous trace-element signatures must therefore form shortly before magma eruption and cooling. We conclude that the assumption of chemical isolation of incompatible elements in olivine- and chromite-hosted melt inclusions is not valid, and we call for re-evaluation of the popular interpretation that anomalous melt inclusions represent preserved samples of unmodified mantle melts.

  4. Racial Disparities in Colorectal Carcinoma Incidence, Severity and Survival Times Over 10 Years: A Retrospective Single Center Study

    PubMed Central

    Arshad, Hafiz Muhammad Sharjeel; Tetangco, Eula; Shah, Natasha; Kabir, Christopher; Raddawi, Hareth

    2016-01-01

    Background Colorectal cancer (CRC) is the third leading cause of cancer-related deaths in the United States. Although studies have been performed on malignancy behavior in African Americans and Caucasians, scant data are present on other minority racial groups. Methods A retrospective single center study was performed where 1,860 patient charts with a diagnosis of CRC from January 1, 2004 to December 31, 2014 were reviewed. Data collected on each patient included age, gender, ethnicity, primary site and histological stage at the time of diagnosis. Survival time over the course of 5 years was documented for patients from January 1, 2004 to December 31, 2009. Comparisons were made amongst different racial groups for the above mentioned factors. Results Study population consisted of 27.09% African Americans, 65.61% Caucasians, 3.86% Hispanics, 0.54% South Asians, 1.03% Arabs, 0.54% Asians and 0.22% American Indians. Mean age of CRC presentation was found to be significantly different (P < 0.05) between the three largest racial groups: 71 years for Caucasians, 69 years for African Americans, and 61 years for Hispanics. African Americans (27.09%) and Hispanics (28.79%) presented predominantly at stage IV in comparison to other racial groups. Caucasians presented predominantly at stage III (24.84%). The rectum was the most common site of CRC across all racial groups with the exception of Asians, where sigmoid colon was the predominant site (30%). Adenocarcinoma remained the predominant cancer type in all groups. Hispanics had relatively higher incidence rate of carcinoid tumor (12.68%). Survival time analysis showed that Caucasians tend to have better survival probability over 5 years after initial diagnosis as compared to African Americans and Hispanic (P < 0.05). Conclusion There is lack of studies performed on minority racial groups in North America. Our study highlighted some important clinical differences of CRC presentation in different racial groups which are not

  5. A new proposal for multivariable modelling of time-varying effects in survival data based on fractional polynomial time-transformation.

    PubMed

    Sauerbrei, Willi; Royston, Patrick; Look, Maxime

    2007-06-01

    The Cox proportional hazards model has become the standard for the analysis of survival time data in cancer and other chronic diseases. In most studies, proportional hazards (PH) are assumed for covariate effects. With long-term follow-up, the PH assumption may be violated, leading to poor model fit. To accommodate non-PH effects, we introduce a new procedure, MFPT, an extension of the multivariable fractional polynomial (MFP) approach, to do the following: (1) select influential variables; (2) determine a sensible dose-response function for continuous variables; (3) investigate time-varying effects; (4) model such time-varying effects on a continuous scale. Assuming PH initially, we start with a detailed model-building step, including a search for possible non-linear functions for continuous covariates. Sometimes a variable with a strong short-term effect may appear weak or non-influential if 'averaged' over time under the PH assumption. To protect against omitting such variables, we repeat the analysis over a restricted time-interval. Any additional prognostic variables identified by this second analysis are added to create our final time-fixed multivariable model. Using a forward-selection algorithm we search for possible improvements in fit by adding time-varying covariates. The first part to create a final time-fixed model does not require the use of MFP. A model may be given from 'outside' or a different strategy may be preferred for this part. This broadens the scope of the time-varying part. To motivate and illustrate the methodology, we create prognostic models from a large database of patients with primary breast cancer. Non-linear time-fixed effects are found for progesterone receptor status and number of positive lymph nodes. Highly statistically significant time-varying effects are present for progesterone receptor status and tumour size.

  6. 33 CFR 150.503 - What are the time interval requirements for maintenance on survival craft falls?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... requirements for maintenance on survival craft falls? 150.503 Section 150.503 Navigation and Navigable Waters... maintenance on survival craft falls? (a) Each fall used in a launching device for survival craft or rescue boats must be turned end-for-end at intervals of not more than 30 months. (b) Each fall must be...

  7. Simple Clinical Score to Predict 24-Week Survival Times in Patients with Inoperable Malignant Distal Biliary Obstruction as a Tool for Selecting Palliative Metallic or Plastic Stents.

    PubMed

    Sripongpun, Pimsiri; Attasaranya, Siriboon; Chamroonkul, Naichaya; Sookpaisal, Theerapong; Khow-Ean, Uthai; Siripun, Aroon; Kongkamol, Chanon; Piratvisuth, Teerha; Ovartlarnporn, Bancha

    2017-01-17

    Endoscopic biliary drainage (EBD) is the mainstay treatment for inoperable malignant distal biliary obstruction (MDBO). Some authorities suggest that metallic stents are more cost-effective than plastic stents in patients with expected survival of at least 6 months. However, studies attempting to define the predictive factors for such survival times are limited. This study aims to develop a scoring system for predicting a survival time of <24 weeks in these patients. Patients with MDBO from inoperable periampullary cancers who underwent EBD at Songklanagarind Hospital during 2004-2009 were retrospectively analyzed. Baseline clinical, laboratory, and imaging data were retrieved. The survival time data were retrieved from the medical records and Thailand's civil registration database. Multivariate Cox regression model coefficients were used in the development of a survival time prediction scoring system. Ninety-eight patients were included. The overall median survival was 17.6 weeks. Fifty-seven (58.1%) survived <24 weeks. By multivariate analysis, cancer type and liver metastasis were significant predictive factors. The Simple Clinical Score (SCS) was calculated from (2× liver metastasis) + (1× pancreatic cancer) - (2× ampullary cancer) - (1× cholangiocarcinoma), when 1 and 0 were used for the presence and absence of each factor, respectively. The cutoff value of the score ≥0 had a sensitivity and specificity of 0.77 and 0.63, respectively, for predicting a survival time of <24 weeks, with AUC of 0.76. The median survival of patients with SCS <0 and ≥0 was 36.6 and 13.1 weeks, respectively. The scoring system from this study may be beneficial for clinicians to select the appropriate stents in endoscopic biliary drainage in inoperable MDBO patients.

  8. Estimating plane strain fracture toughness of high strength aluminum alloys from crack arrest toughness

    NASA Technical Reports Server (NTRS)

    Dorward, R. C.; Hasse, K. R.

    1977-01-01

    A comparison is made between fracture toughness KIc as measured by recommended ASTM procedures and crack arrest toughness KIa as measured on more than 100 bolt-loaded double-cantilever beam (DCB) specimens from 7075, 7050, and 7049 alloy plates. Close agreement was found between the two values, KIa being on the average less than KIc over a specified range. This indicates that a simplified test based on a bolt-loaded DCB specimen could be used for quality control, lot release, and screening purposes. Measurements of crack length and specimen deflection are all that are required. The specimens do not have to be fatigue precracked, nor is a tensile machine needed.

  9. Sample size calculation in survival trials accounting for time-varying relationship between noncompliance and risk of outcome event.

    PubMed

    Li, Bingbing; Grambsch, Patricia

    2006-01-01

    Most methods of sample size calculations for survival trials adjust the estimated outcome event rates for noncompliance based on the assumption that non-compliance is independent of the risk of the outcome event although there has been published evidence that noncompliers are often at a higher risk than compliers. More recent work has started to consider the situations of informative noncompliance and different risks for noncompliers. However, the possibility of a time-varying association between noncompliance and risk has been ignored. Our analysis indicated a strong time-varying relationship between noncompliance defined as permanent discontinuation of study treatments and risk of the outcome event in the CONVINCE trial. The purpose of this research is to develop methods for the log-rank sample size calculations for two-arm clinical trials that allow for the relationship between risk and noncompliance to vary over time and to study how sample size requirements vary with different patterns of the time relationship. The method developed takes Lakatos' Markov chain approach as a basis, modifying it to incorporate time dynamics, and emphasizing permanent discontinuation of study medication as the form of noncompliance to be considered. Results with our method show that sample size depends on the relative rates of noncompliance in the two arms, the hazard for the outcome event following non-compliance, whether it involves switching to the hazard of the opposite arm or is common to both arms, and whether noncompliance occurs early or late in the trial. These factors interact with each other in complex ways, precluding simple summaries. This research focuses on two-arm clinical trials with time to event as primary outcome measure. The method developed is not directly applicable to trials with more complicated designs and/or trials with other types of primary outcome. The pattern of the relationship between noncompliance and risk can have a dramatic impact on the sample

  10. 'Diamond Jenness': A Tough Grind

    NASA Technical Reports Server (NTRS)

    2004-01-01

    This microscopic imager mosaic of the target area called 'Diamond Jenness' was taken after NASA's Mars Exploration Rover Opportunity ground into the surface with its rock abrasion tool for a second time.

    Opportunity has bored nearly a dozen holes into the inner walls of 'Endurance Crater.' On sols 177 and 178 (July 23 and July 24, 2004), the rover worked double-duty on Diamond Jenness. Surface debris and the bumpy shape of the rock resulted in a shallow and irregular hole, only about 2 millimeters (0.08 inch) deep. The final depth was not enough to remove all the bumps and leave a neat hole with a smooth floor. This extremely shallow depression was then examined by the rover's alpha particle X-ray spectrometer.

    On Sol 178, Opportunity's 'robotic rodent' dined on Diamond Jenness once again, grinding almost an additional 5 millimeters (about 0.2 inch). The rover then applied its Moessbauer spectrometer to the deepened hole. This double dose of Diamond Jenness enabled the science team to examine the rock at varying layers. Results from those grindings are currently being analyzed.

    The image mosaic is about 6 centimeters (2.4 inches) across.

  11. 'Diamond Jenness': A Tough Grind

    NASA Technical Reports Server (NTRS)

    2004-01-01

    This microscopic imager mosaic of the target area called 'Diamond Jenness' was taken after NASA's Mars Exploration Rover Opportunity ground into the surface with its rock abrasion tool for a second time.

    Opportunity has bored nearly a dozen holes into the inner walls of 'Endurance Crater.' On sols 177 and 178 (July 23 and July 24, 2004), the rover worked double-duty on Diamond Jenness. Surface debris and the bumpy shape of the rock resulted in a shallow and irregular hole, only about 2 millimeters (0.08 inch) deep. The final depth was not enough to remove all the bumps and leave a neat hole with a smooth floor. This extremely shallow depression was then examined by the rover's alpha particle X-ray spectrometer.

    On Sol 178, Opportunity's 'robotic rodent' dined on Diamond Jenness once again, grinding almost an additional 5 millimeters (about 0.2 inch). The rover then applied its Moessbauer spectrometer to the deepened hole. This double dose of Diamond Jenness enabled the science team to examine the rock at varying layers. Results from those grindings are currently being analyzed.

    The image mosaic is about 6 centimeters (2.4 inches) across.

  12. Prolonged survival time of sarcoma 180-bearing mice treated with lipid microspheres-entrapped antitumor marine coral prostanoids.

    PubMed

    Honda, A; Mori, Y; Yamada, Y; Nakaike, S; Hayashi, H; Otomo, S

    1988-09-01

    Antitumor marine coral prostanoids (clavulone II and chlorovulone I) were entrapped into lipid microspheres of 0.2 micron diameter to make lipo-drugs. Daily treatment with lipo-chlorovulone I (1.6 mg/kg/day, i.p.) and lipo-clavulone II (12.5 mg/kg/day, i.p.) on days 1 through 5 markedly prolonged the survival time (135% ILS and 73% ILS, respectively) of mice inoculated with sarcoma 180 as compared with that of a corresponding dose of respective free chlorovulone I and clavulone II. These results suggest that lipid microspheres may be used as drug delivery carriers for antitumor coral prostanoids in vivo.

  13. The mediating role of mental toughness in sport.

    PubMed

    Nicholls, A R; Perry, J L; Jones, L; Sanctuary, C; Carson, F; Clough, P J

    2015-01-01

    We conducted two studies that examined different models, which included mental toughness and psychological constructs that are thought to be related to this construct. In Study 1, 531 athletes completed measures of mental toughness, resilience, and emotional intelligence. In Study 2, 522 athletes completed measures of mental toughness, sport motivation, and self-efficacy. There were positive paths between the constructs in the model, which were mediated by mental toughness in Study 1. Further, there was a positive path between mental toughness and self-efficacy, but negative paths with introjected regulation and amotivation in Study 2. This two study paper suggests that it might also be the presence of constructs such as resilience, emotional intelligence, motivation, and/or self-efficacy that enable mentally tough individuals to excel under stressful circumstances rather than just coping.

  14. The mediating role of mental toughness in sport.

    PubMed

    Nicholls, A; Perry, J; Jones, L; Sanctuary, C; Carson, F; Clough, P J

    2015-07-24

    We conducted two studies that examined different models, which included mental toughness and psychological constructs that have been found to be related to this construct. In Study 1, 531 athletes completed measures of mental toughness, resilience, and emotional intelligence. In Study 2, 522 athletes completed measures of mental toughness, sport motivation, and self-efficacy. There were positive paths between the constructs in the model, which were mediated by mental toughness in Study 1. Further, there was a positive path between mental toughness and self-efficacy, but negative paths with introjected regulation and amotivation in Study 2. This two study paper suggests that it might also be the presence of constructs such as resilience, emotional intelligence, motivation, and/or self-efficacy that enable mentally tough individuals to excel under stressful circumstances rather than just coping.

  15. Survival analysis of time to uptake of modern contraceptives among sexually active women of reproductive age in Nigeria

    PubMed Central

    Adebowale, Ayo Stephen; Morhason-Bello, ImranOludare

    2015-01-01

    Objective To assess the timing of modern contraceptive uptake among married and never-married women in Nigeria. Design A retrospective cross-sectional study. Data and method We used nationally representative 2013 Demographic and Health Survey data in Nigeria. Modern contraceptive uptake time was measured as the period between first sexual intercourse and first use of a modern contraceptive. Non-users of modern contraceptives were censored on the date of the survey. Kaplan–Meier survival curves were used to determine the rate of uptake. A Cox proportional-hazards model was used to determine variables influencing the uptake at 5% significance level. Participants A total of 33 223 sexually active women of reproductive age. Outcome measure Time of uptake of a modern contraceptive after first sexual intercourse. Results The median modern contraceptive uptake time was 4 years in never-married and 14 years among ever-married women. Significant differences in modern contraceptive uptake existed in respondents’ age, location, education and wealth status. Never-married women were about three times more likely to use a modern contraceptive than ever-married women (aHR=3.24 (95% CI 2.82 to 3.65)). Women with higher education were six times more likely to use a modern contraceptive than those without education (aHR=6.18 (95% CI 5.15 to 7.42)). Conclusions The rate of modern contraceptive uptake is low, and timing of contraceptive uptake during or after first sexual intercourse differed according to marital status. Age and number of children ever born influenced modern contraceptive uptake among the never-married women, but religion and place of residence were associated with the probability of modern contraceptive uptake among ever-married women. PMID:26671948

  16. Survival analysis of time to uptake of modern contraceptives among sexually active women of reproductive age in Nigeria.

    PubMed

    Fagbamigbe, Adeniyi Francis; Adebowale, Ayo Stephen; Morhason-Bello, ImranOludare

    2015-12-15

    To assess the timing of modern contraceptive uptake among married and never-married women in Nigeria. A retrospective cross-sectional study. We used nationally representative 2013 Demographic and Health Survey data in Nigeria. Modern contraceptive uptake time was measured as the period between first sexual intercourse and first use of a modern contraceptive. Non-users of modern contraceptives were censored on the date of the survey. Kaplan-Meier survival curves were used to determine the rate of uptake. A Cox proportional-hazards model was used to determine variables influencing the uptake at 5% significance level. A total of 33,223 sexually active women of reproductive age. Time of uptake of a modern contraceptive after first sexual intercourse. The median modern contraceptive uptake time was 4 years in never-married and 14 years among ever-married women. Significant differences in modern contraceptive uptake existed in respondents' age, location, education and wealth status. Never-married women were about three times more likely to use a modern contraceptive than ever-married women (aHR=3.24 (95% CI 2.82 to 3.65)). Women with higher education were six times more likely to use a modern contraceptive than those without education (aHR=6.18 (95% CI 5.15 to 7.42)). The rate of modern contraceptive uptake is low, and timing of contraceptive uptake during or after first sexual intercourse differed according to marital status. Age and number of children ever born influenced modern contraceptive uptake among the never-married women, but religion and place of residence were associated with the probability of modern contraceptive uptake among ever-married women. 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/

  17. Intranasal anti-rabies DNA immunization promotes a Th1-related cytokine stimulation associated with plasmid survival time.

    PubMed

    Feria-Romero, Iris Angélica; Chávez-Rueda, Karina; Orozco-Suárez, Sandra; Blanco-Favela, Francisco; Calzada-Bermejo, Fernando; Chávez-Sánchez, Luis; Manuel-Apolinar, Leticia; Hernández-González, Rafael; Aguilar-Setién, Alvaro; Tesoro-Cruz, Emiliano

    2011-10-01

    DNA vaccination has a great potential to decrease infectious diseases worldwide, such as rabies. Here we showed the effects of a single anti-rabies DNA vaccination applied intranasally (IN) on plasmid survival time, neutralizing antibody (NA) titers, G-protein expression and Th1/Th2-related cytokines. Only one 50-μg dose of an anti-rabies DNA vaccine was IN administered to 160 Balb/c mice. Twenty mice were used for the neutralizing antibody study, 35 for the proliferation assay, 35 for Th1/Th2-related cytokines, 35 for glycoprotein expression by immunocytochemistry, and 35 for pGQH detection and G-protein mRNA expression. Th1-type related cytokines from spleen cells (IFN-γ, TNF-α, and IL-2) were detected. Rabies NA titers were ≥0.6 IUs from day 30 onward in the IN DNA-vaccinated group. The plasmid was identified in brains and lungs from days 3-15. The mRNA transcript was amplified in brains and lungs from days 3-30, and G-protein expression was observed in spleens, brains and lungs on days 3, 8, and 15. In all cases, a gradual decrease was observed on days 30 and 45 and absent on day 60. We found that Th1-type related cytokines (IL-2, IFN-γ, and TNF-α) were stimulated during the first month after DNA vaccination, correlating with the proliferation assays. Also, it was associated with the plasmid survival time remaining in lungs and brains prior to its degradation. Copyright © 2011 IMSS. All rights reserved.

  18. Impact of the model-building strategy on inference about nonlinear and time-dependent covariate effects in survival analysis.

    PubMed

    Wynant, Willy; Abrahamowicz, Michal

    2014-08-30

    Cox's proportional hazards (PH) model assumes constant-over-time covariate effects. Furthermore, most applications assume linear effects of continuous covariates on the logarithm of the hazard. Yet, many prognostic factors have time-dependent (TD) and/or nonlinear (NL) effects, that is, violate these conventional assumptions. Detection of such complex effects could affect prognosis and clinical decisions. However, assessing the effects of each of the multiple, often correlated, covariates in flexible multivariable analyses is challenging. In simulations, we investigated the impact of the approach used to build the flexible multivariable model on inference about the TD and NL covariate effects. Results demonstrate that the conclusions regarding the statistical significance of the TD/NL effects depend heavily on the strategy used to decide which effects of the other covariates should be adjusted for. Both a failure to adjust for true TD and NL effects of relevant covariates and inclusion of spurious effects of covariates that conform to the PH and linearity assumptions increase the risk of incorrect conclusions regarding other covariates. In this context, iterative backward elimination of nonsignificant NL and TD effects from the multivariable model, which initially includes all these effects, may help discriminate between true and spurious effects. The practical importance of these issues was illustrated in an example that reassessed the predictive ability of selected biomarkers for survival in advanced non-small-cell lung cancer. In conclusion, a careful model-building strategy and flexible modeling of multivariable survival data can yield new insights about predictors' roles and improve the validity of analyses.

  19. Polygenic Score × Intervention Moderation: an Application of Discrete-Time Survival Analysis to Model the Timing of First Marijuana Use Among Urban Youth.

    PubMed

    Musci, Rashelle J; Fairman, Brian; Masyn, Katherine E; Uhl, George; Maher, Brion; Sisto, Danielle Y; Kellam, Sheppard G; Ialongo, Nicholas S

    2016-11-05

    The present study examines the interaction between a polygenic score and an elementary school-based universal preventive intervention trial and its effects on a discrete-time survival analysis of time to first smoking marijuana. Research has suggested that initiation of substances is both genetically and environmentally driven (Rhee et al., Archives of general psychiatry 60:1256-1264, 2003; Verweij et al., Addiction 105:417-430, 2010). A previous work has found a significant interaction between the polygenic score and the same elementary school-based intervention with tobacco smoking (Musci et al., in press). The polygenic score reflects the contribution of multiple genes and has been shown in prior research to be predictive of smoking cessation, tobacco use, and marijuana use (Uhl et al., Molecular Psychiatry 19:50-54, 2014). Using data from a longitudinal preventive intervention study (N = 678), we examined age of first marijuana use from sixth grade to age 18. Genetic data were collected during emerging adulthood and were genotyped using the Affymetrix 6.0 microarray (N = 545). The polygenic score was computed using these data. Discrete-time survival analysis was employed to test for intervention main and interaction effects with the polygenic score. We found main effect of the polygenic score approaching significance, with the participants with higher polygenic scores reporting their first smoking marijuana at an age significantly later than controls (p = .050). We also found a significant intervention × polygenic score interaction effect at p = .003, with participants at the higher end of the polygenic score benefiting the most from the intervention in terms of delayed age of first use. These results suggest that genetics may play an important role in the age of first use of marijuana and that differences in genetics may account for the differential effectiveness of classroom-based interventions in delaying substance use experimentation.

  20. Marine Structural Steel Toughness Data Bank (Abridged Edition)

    DTIC Science & Technology

    1990-08-31

    August 28, 1991 SR-1311 MARINE STRUCTURAL STEEL TOUGHNESS DATA BANK (ABRIDGED EDITION) A substantial amount of toughness data for commonly used marine... steels is available to ship designers. The information, however, did not exist in a comprehensive database that users could access. The Ship Structure...Committee recognized the need for a conve -ent source of materials design data and sponsored the development of the Marine Structural Steel Toughness