Sample records for total floor coverage

  1. Interactive computation of coverage regions for indoor wireless communication

    NASA Astrophysics Data System (ADS)

    Abbott, A. Lynn; Bhat, Nitin; Rappaport, Theodore S.

    1995-12-01

    This paper describes a system which assists in the strategic placement of rf base stations within buildings. Known as the site modeling tool (SMT), this system allows the user to display graphical floor plans and to select base station transceiver parameters, including location and orientation, interactively. The system then computes and highlights estimated coverage regions for each transceiver, enabling the user to assess the total coverage within the building. For single-floor operation, the user can choose between distance-dependent and partition- dependent path-loss models. Similar path-loss models are also available for the case of multiple floors. This paper describes the method used by the system to estimate coverage for both directional and omnidirectional antennas. The site modeling tool is intended to be simple to use by individuals who are not experts at wireless communication system design, and is expected to be very useful in the specification of indoor wireless systems.

  2. Area Handbook Series: Saudi Arabia. A Country Study.

    DTIC Science & Technology

    1992-12-01

    diet, domestic production constituted less than half of total demand Egg production also increased rapidly during the 1980s. The numbers of broiler ...Michael Field’s The Merchants. For ongoing coverage of the kingdom’s economy, three sources are recom- mended. Middle East Economic Digest , Middle East...Middle East Economic Digest , up to 200 prisoners might share a single room. Basic food was provided, usually eaten by hand from the floor, although

  3. The MOBB experiment: A prototype permanent off-shore ocean bottom broadband station

    NASA Astrophysics Data System (ADS)

    Romanowicz, Barbara; Stakes, Debra; Uhrhammer, Robert; McGill, Paul; Neuhauser, Doug; Ramirez, Tony; Dolenc, David

    Technical accomplishments of the past 10 years in the design and deployment of sea floor broadband seismic systems are now making it possible to start addressing the issue of the limited coverage of the Earth that can be achieved through land-based installations, at the regional or global scale. In particular, the September 2002 Ocean Mantle Dynamics (OMD) workshop in Snowbird, Utah [OMD Workshop Committee, 2003] proposed the development of two “leap-frogging arrays” of about 30 broadband sea floor instruments to fill geophysically important target holes in ocean coverage for deployment periods of 1 to 2 years. The rationale for an off-shore (“Webfoot”) component of the SArray/Earth-scope “Bigfoot” array was also highlighted at this meeting, pointing out that the study of the North American continent should not stop at the ocean margin.The ocean floor environment is challenging for broadband seismology for several reasons. Broadband seismometers cannot be simply “dropped off” a ship with the expectation that they will produce useable data, particularly on the horizontal components. Several pilot experiments, [e.g., Montagner et al., 1994; OSN1, 1998; Suyehiro et al., 2002] have addressed the issue of optimal installation of ocean bottom stations, and in particular, have carried out comparisons between borehole, sea floor, and buried sea floor installations.

  4. Forest floor methane flux modelled by soil water content and ground vegetation - comparison to above canopy flux

    NASA Astrophysics Data System (ADS)

    Halmeenmäki, Elisa; Peltola, Olli; Haikarainen, Iikka; Ryhti, Kira; Rannik, Üllar; Pihlatie, Mari

    2017-04-01

    Methane (CH4) is an important and strong greenhouse gas of which atmospheric concentration is rising. While boreal forests are considered as an important sink of CH4 due to soil CH4 oxidation, the soils have also a capacity to emit CH4. Moreover, vegetation is shown to contribute to the ecosystem-atmosphere CH4 flux, and it has been estimated to be the least well known natural sources of CH4. In addition to well-known CH4 emissions from wetland plants, even boreal trees have been discovered to emit CH4. At the SMEAR (Station for Measuring Ecosystem-Atmosphere Relations) II station in Hyytiälä, southern Finland (61° 51' N, 24°17' E; 181 m asl), we have detected small CH4 emissions from above the canopy of a Scots pine (Pinus sylvestris) dominated forest. To assess the origin of the observed emissions, we conducted forest floor CH4 flux measurements with 54 soil chambers at the footprint area of the above canopy flux measurements during two growing seasons. In addition, we measured the soil volumetric water content (VWC) every time next to the forest floor chamber measurements, and estimated vegetation coverages inside the chambers. In order to model the forest floor CH4 flux at the whole footprint area, we combined lidar (light detection and ranging) data with the field measurements. To predict the soil water content and thus the potential CH4 flux, we used local elevation, slope, and ground return intensity (GRI), calculated from the lidar data (National Land Survey of Finland). We categorized the soil chambers into four classes based on the VWC so that the class with the highest VWC values includes all the soil chambers with a potential to emit CH4. Based on a statistically significant correlation between the VWC and the forest floor CH4 flux (r = 0.30, p < 0.001), we modelled the potential forest floor CH4 flux of the whole area. The results of the soil chamber measurements show a few areas of the forest floor with significant CH4 emissions. The modelled map of the potential CH4 flux is consistent with the measurements of the flux and the VWC, indicating that the wetter areas have potential for CH4 emissions, while the drier areas have potential for CH4 uptake. Preliminary results of the vegetation coverage show a positive correlation between the first year forest floor CH4 flux and the coverage of Sphagnum spp. mosses (r = 0.55, p < 0.001). Furthermore, we will include the vegetation coverage to the analysis, and compare the modelled forest floor CH4 flux with the measured above canopy flux. This ongoing research will give valuable information about the CH4 sources and dynamics in boreal forests.

  5. Comprehensive smoke alarm coverage in lower economic status homes: alarm presence, functionality, and placement.

    PubMed

    Sidman, Elanor A; Grossman, David C; Mueller, Beth A

    2011-08-01

    The objectives of this study are to estimate smoke alarm coverage and adherence with national guidelines in low- to mid-value owner-occupied residences, and to identify resident demographic, behavioral, and building characteristics and other fire and burn safety practices associated with smoke alarm utilization. Baseline visits were conducted with 779 households in King County, Washington, for a randomized trial of smoke alarm functionality. Presence, functionality, features, and location of pre-existing smoke alarms were ascertained by staff observation and testing. Household and building descriptors were collected using questionnaires. Households were classified by presence of smoke alarms, functional alarms, and functional and properly mounted alarms placed in hallways and on each floor but not in recommended avoidance locations. Smoke alarms were present in 89%, and functional units in 78%, of households. Only 6-38% met all assessed functionality and placement recommendations. Homes frequently lacked alarms in any bedrooms or on each floor. Building age, but not renovation status, was associated with all dimensions of smoke alarm coverage; post-1980 constructions were 1.7 times more likely to comply with placement recommendations than were pre-1941 homes (95% CI: 1.1-2.6). Respondent education and race/ethnicity, children <5 years, residency duration, number of floors, wood stoves and fireplaces, number of smoke alarms, recency of smoke alarm testing, carbon monoxide monitors, and fire ladders displayed varying relationships with alarm presence, functionality, and placement. Strategies for maintaining smoke alarms in functional condition and improving compliance with placement recommendations are necessary to achieve universal coverage, and will benefit the majority of households.

  6. [Variation pattern and its affecting factors of three-dimensional landscape in urban residential community of Shenyang].

    PubMed

    Zhang, Pei-Feng; Hu, Yuan-Man; Xiong, Zai-Ping; Liu, Miao

    2011-02-01

    Based on the 1:10000 aerial photo in 1997 and the three QuickBird images in 2002, 2005, and 2008, and by using Barista software and GIS and RS techniques, the three-dimensional information of the residential community in Tiexi District of Shenyang was extracted, and the variation pattern of the three-dimensional landscape in the district during its reconstruction in 1997-2008 and related affecting factors were analyzed with the indices, ie. road density, greening rate, average building height, building height standard deviation, building coverage rate, floor area rate, building shape coefficient, population density, and per capita GDP. The results showed that in 1997-2008, the building area for industry decreased, that for commerce and other public affairs increased, and the area for residents, education, and medical cares basically remained stable. The building number, building coverage rate, and building shape coefficient decreased, while the floor area rate, average building height, height standard deviation, road density, and greening rate increased. Within the limited space of residential community, the containing capacity of population and economic activity increased, and the environment quality also improved to some extent. The variation degree of average building height increased, but the building energy consumption decreased. Population growth and economic development had positive correlations with floor area rate, road density, and greening rate, but negative correlation with building coverage rate.

  7. Accuracy of integrated total pelvic floor ultrasound compared to defaecatory MRI in females with pelvic floor defaecatory dysfunction

    PubMed Central

    Pilkington, Sophie A; Grierson, Catherine; Rutherford, Elizabeth; Schizas, Alexis M P; Nugent, Karen P; Williams, Andrew B

    2016-01-01

    Objective: Defaecatory MRI allows multicompartmental assessment of defaecatory dysfunction but is often inaccessible. Integrated total pelvic floor ultrasound (transperineal, transvaginal, endoanal) may provide a cheap, portable alternative. The accuracy of total pelvic floor ultrasound for anatomical abnormalities when compared with defaecatory MRI was assessed. Methods: The dynamic images from 68 females who had undergone integrated total pelvic floor ultrasound and defaecatory MRI between 2009 and 2015 were blindly reviewed. The following were recorded: rectocoele, enterocoele, intussusception and cystocoele. Results: There were 26 rectocoeles on MRI (49 rectocoeles on ultrasound), 24 rectocoeles with intussusception on MRI (19 rectocoeles on ultrasound), 23 enterocoeles on MRI (24 enterocoeles on ultrasound) and 49 cystocoeles on MRI (35 cystocoeles on ultrasound). Sensitivity and specificity of total pelvic floor ultrasound were 81% and 33% for rectocoele, 60% and 91% for intussusception, 65% and 80% for enterocoele and 65% and 84% for cystocoele when compared with defaecatory MRI. This gave a negative-predictive value and positive-predictive value of 74% and 43% for rectocoele, 80% and 79% for intussusception, 82% and 63% for enterocoele and 48% and 91% for cystocoele. Conclusion: Integrated total pelvic floor ultrasound may serve as a screening tool for pelvic floor defaecatory dysfunction; when normal, defaecatory MRI can be avoided, as rectocoele, intussusception and enterocoele are unlikely to be present. Advances in knowledge: This is the first study to compare integrated total pelvic floor ultrasound with defaecatory MRI. The results support the use of integrated total pelvic floor ultrasound as a screening tool for defaecatory dysfunction. PMID:27730818

  8. Clinical evaluation of coverage of open wounds: Polyglycolic acid sheet with fibrin glue spray vs split thickness skin

    PubMed Central

    Mochizuki, Yumi; Tomioka, Hirofumi; Tushima, Fumihiko; Shimamoto, Hiroaki; Hirai, Hideaki; Oikawa, Yuu; Harada, Hiroyuki

    2016-01-01

    Purpose: This study aimed to evaluate the coverage of oral wounds using either a polyglycolic acid (PGA) sheet or split-thickness skin grafting (STSG). Materials and Methods: A total of 119 cases of wound coverage using a PGA sheet and fibrin glue spray as well as 132 cases of wound coverage cases using STSG were reviewed retrospectively. The site of the excision area, perioperative conditions, and postoperative functional problems were evaluated. Results: The PGA group had significantly shorter operation time, earlier start of oral intake, and shorter hospitalization than the STSG group. If the PGA sheet over the wound with exposed bone could be protected by a surgical sprint, oral food intake could be started on the day after surgery at the earliest. When the size of the wound in the buccal excisional area was classified into two groups (<6 or ≥6 cm2), mouth opening in the STSG group was significantly larger at 3 months postoperatively. When the size of the wound in the tongue and floor of mouth was classified into two groups (<12 or ≥12 cm2), the STSG group had a significantly higher score in postoperative speech intelligibility. Conclusion: Selection of a PGA sheet or STSG based on the consideration of defect size, tumor location, patients’ local and general condition and tolerance for surgery could reduce the patients’ postsurgical dysfunctional problems. PMID:28299263

  9. A lining vomer flap for palate pushback in unilateral cleft palate repair.

    PubMed

    Clavin, H D; Owsley, J Q

    1978-01-01

    A combinaation vomer mucoperiosteal flap and nasal floor mucoperiosteal flap is described which is used to achieve nasal coverage in unilateral cleft palate patients requiring pushbacks. A posteriorly based readily accessible vomer flap is raised on the cleft side and used as nasal lining for the palatal mucoperiosteal flap on the non-cleft side. On the cleft side, a symmetrically sized nasal floor flap is easily elevated under direct vision and used to cover the nasal aspect of the corresponding mucoperiosteal palatal flap.

  10. 120 Years of U.S. Residential Housing Stock and Floor Space

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

    Pinto de Moura, Maria C.; Smith, Steven J.; Belzer, David B.

    2015-08-11

    Energy consumption in the residential sector accounts for one-fifth of total U.S. energy consumption and energy-related CO2 emissions. Floor space is a major driver of building energy demand. This paper develops a historical time series of total residential floor space for 1891-2010 and examines the role of socio-economic drivers GDP, population and household size on floor space. Using primarily data from the U.S. Census Bureau, we develop new construction and vintage-disaggregated housing stock for three building types, and address various data inconsistency issues. An examination of the long-term relationship of GDP and total residential floor space shows a remarkably constantmore » trend over the period. While population increases five times over the period, a 50% decrease in household size contributes towards a tenfold increase in the number of housing units and floor space, while average floor space per unit remains surprisingly constant, as a result of housing retirement dynamics. In the last 30 years, however, these trends appear to be changing, as household size shows signs of leveling off, or even increasing again, while average floor space per unit has been increasing. Total residential sector primary energy consumption and floor space show a similar growth trend over the last 60 years.« less

  11. Finance Committee actions ready health reform debate for House, Senate floors.

    PubMed

    1994-07-07

    The activity of the US Senate Finance Committee was reported for the health care reform bill, which was sent out of committee to the floor of the Senate on July 2, 1994. The bill out of committee did not include provision for universal insurance coverage, and included amendments that might remove abortion, family planning, and reproductive health services from the standard package of required employee benefits. Other health reform measures where reported out of the Senate Labor and Human Resources Committee, the House Ways and Means Committee, and the Education and Labor Committee, which all contained a provision for universal insurance coverage through employer mandates, a standard benefits package, and comprehensive family planning services and reproductive health care. The Labor and Human Resources bill included counseling and education for family planning. Both House bills exempted family planning services from cost sharing requirements. Abortion coverage in these three bills was covered under "services for pregnant women." The Senate Finance Committee bill adopted "market reforms" which would reduce the cost of coverage for employers. A standard benefits package would be determined by all employers, regardless of whether employers contributed to coverage. The critical point of the Senate Finance bill is that it provides the opportunity to deny services for abortion on religious or moral grounds and to deny services for contraception, AIDS treatment, or substance abuse, by making acceptance optional by states and by insurers and by employers. The House Rules Committee will begin the first week in August to reconcile differences in the House bills. The Senate will reconcile differences in some fashion, without a prescribed procedure.

  12. Topoclimatological and snowhydrological survey of Switzerland

    NASA Technical Reports Server (NTRS)

    Winiger, M. (Principal Investigator)

    1980-01-01

    The author has identified the following significant results. Low temperature zones depend on the topography and the terrain coverage type (besides the meteorological situation). The usual pattern of cold zones at the bottom of the valleys, warmer belts along the valley slopes, and cold mountain tops is modified by the terrain coverage type. Rural and forested areas normally have different surface temperatures, but along a vertical profile the temperature decrease (or increase) is often of the same order of magnitude. Because there is also a close correlation between the topography and terrain coverage (high percentage of forested areas at the valley slopes up to the timber line, much less along the valley floors), the surface temperature of the warm slope zone is increased compared to a valley profile with uniform coverage.

  13. Nondestructive structural evaluation of wood floor systems with a vibration technique.

    Treesearch

    Xiping Wang; Robert J. Ross; Lawrence Andrew Soltis

    2002-01-01

    The objective of this study was to determine if transverse vibration methods could be used to effectively assess the structural integrity of wood floors as component systems. A total of 10 wood floor systems, including 3 laboratory-built floor sections and 7 in-place floors in historic buildings, were tested. A forced vibration method was applied to the floor systems...

  14. OFF-GAS ANALYSIS RESULTS AND FINE PORE RETROFIT CASE HISTORY FOR HARTFORD, CONNECTICUT

    EPA Science Inventory

    In the summer of 1982, the Hartford Metropolitan District Commission, Hartford County, Connecticut, Water Pollution Control Facility underwent a retrofit form a spiral roll coarse bubble to a full floor coverage fine pore aeration system. Work performed included all new in-tank ...

  15. 120 Years of U.S. Residential Housing Stock and Floor Space.

    PubMed

    Moura, Maria Cecilia P; Smith, Steven J; Belzer, David B

    2015-01-01

    Residential buildings are a key driver of energy consumption and also impact transportation and land-use. Energy consumption in the residential sector accounts for one-fifth of total U.S. energy consumption and energy-related CO2 emissions, with floor space a major driver of building energy demands. In this work a consistent, vintage-disaggregated, annual long-term series of U.S. housing stock and residential floor space for 1891-2010 is presented. An attempt was made to minimize the effects of the incompleteness and inconsistencies present in the national housing survey data. Over the 1891-2010 period, floor space increased almost tenfold, from approximately 24,700 to 235,150 million square feet, corresponding to a doubling of floor space per capita from approximately 400 to 800 square feet. While population increased five times over the period, a 50% decrease in household size contributed towards a tenfold increase in the number of housing units and floor space, while average floor space per unit remains surprisingly constant, as a result of housing retirement dynamics. In the last 30 years, however, these trends appear to be changing, as household size shows signs of leveling off, or even increasing again, while average floor space per unit has been increasing. GDP and total floor space show a remarkably constant growth trend over the period and total residential sector primary energy consumption and floor space show a similar growth trend over the last 60 years, decoupling only within the last decade.

  16. 120 years of U.S. residential housing stock and floor space

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

    Moura, Maria Cecilia P.; Smith, Steven J.; Belzer, David B.

    Residential buildings are a key driver of energy consumption and also impact transportation and land-use. Energy consumption in the residential sector accounts for one-fifth of total U.S. energy consumption and energy-related CO₂ emissions, with floor space a major driver of building energy demands. In this work a consistent, vintage-disaggregated, annual long-term series of U.S. housing stock and residential floor space for 1891–2010 is presented. An attempt was made to minimize the effects of the incompleteness and inconsistencies present in the national housing survey data. Over the 1891–2010 period, floor space increased almost tenfold, from approximately 24,700 to 235,150 million squaremore » feet, corresponding to a doubling of floor space per capita from approximately 400 to 800 square feet. While population increased five times over the period, a 50% decrease in household size contributed towards a tenfold increase in the number of housing units and floor space, while average floor space per unit remains surprisingly constant, as a result of housing retirement dynamics. In the last 30 years, however, these trends appear to be changing, as household size shows signs of leveling off, or even increasing again, while average floor space per unit has been increasing. GDP and total floor space show a remarkably constant growth trend over the period and total residential sector primary energy consumption and floor space show a similar growth trend over the last 60 years, decoupling only within the last decade.« less

  17. 120 Years of U.S. Residential Housing Stock and Floor Space

    PubMed Central

    Moura, Maria Cecilia P.; Smith, Steven J.; Belzer, David B.

    2015-01-01

    Residential buildings are a key driver of energy consumption and also impact transportation and land-use. Energy consumption in the residential sector accounts for one-fifth of total U.S. energy consumption and energy-related CO2 emissions, with floor space a major driver of building energy demands. In this work a consistent, vintage-disaggregated, annual long-term series of U.S. housing stock and residential floor space for 1891–2010 is presented. An attempt was made to minimize the effects of the incompleteness and inconsistencies present in the national housing survey data. Over the 1891–2010 period, floor space increased almost tenfold, from approximately 24,700 to 235,150 million square feet, corresponding to a doubling of floor space per capita from approximately 400 to 800 square feet. While population increased five times over the period, a 50% decrease in household size contributed towards a tenfold increase in the number of housing units and floor space, while average floor space per unit remains surprisingly constant, as a result of housing retirement dynamics. In the last 30 years, however, these trends appear to be changing, as household size shows signs of leveling off, or even increasing again, while average floor space per unit has been increasing. GDP and total floor space show a remarkably constant growth trend over the period and total residential sector primary energy consumption and floor space show a similar growth trend over the last 60 years, decoupling only within the last decade. PMID:26263391

  18. 120 years of U.S. residential housing stock and floor space

    DOE PAGES

    Moura, Maria Cecilia P.; Smith, Steven J.; Belzer, David B.; ...

    2015-08-11

    Residential buildings are a key driver of energy consumption and also impact transportation and land-use. Energy consumption in the residential sector accounts for one-fifth of total U.S. energy consumption and energy-related CO₂ emissions, with floor space a major driver of building energy demands. In this work a consistent, vintage-disaggregated, annual long-term series of U.S. housing stock and residential floor space for 1891–2010 is presented. An attempt was made to minimize the effects of the incompleteness and inconsistencies present in the national housing survey data. Over the 1891–2010 period, floor space increased almost tenfold, from approximately 24,700 to 235,150 million squaremore » feet, corresponding to a doubling of floor space per capita from approximately 400 to 800 square feet. While population increased five times over the period, a 50% decrease in household size contributed towards a tenfold increase in the number of housing units and floor space, while average floor space per unit remains surprisingly constant, as a result of housing retirement dynamics. In the last 30 years, however, these trends appear to be changing, as household size shows signs of leveling off, or even increasing again, while average floor space per unit has been increasing. GDP and total floor space show a remarkably constant growth trend over the period and total residential sector primary energy consumption and floor space show a similar growth trend over the last 60 years, decoupling only within the last decade.« less

  19. Things I'll Never Say: Stories of Growing up Undocumented in the United States

    ERIC Educational Resources Information Center

    Hernandez, Ingrid; Mendoza, Fermin; Lio, Mario; Latthi, Jirayut; Eusebio, Catherine

    2011-01-01

    Debate goes on about the proposed Development, Relief and Education for Alien Minors (DREAM) Act. In presidential speeches, one-minute congressional floor statements, and intermittent media coverage, we hear passionate arguments for and against this federal legislation that would provide a path toward citizenship for hundreds of thousands of…

  20. 78 FR 48367 - TRICARE Program; Clarification of Benefit Coverage of Durable Equipment and Ordering or...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-08

    ... allow certain other authorized individual professional providers acting within the scope of their... Management Activity (TMA) can reimburse for the base or basic equipment or device that meet the beneficiary's... Docket Management System Office, 4800 Mark Center Drive, 2nd floor, East Tower, Suite 02G09, Alexandria...

  1. Market for Hawaii hardwood lumber in new single-family houses on Oahu, Hawaii

    Treesearch

    John D. Zinnikas; R. Sidney Boone

    1967-01-01

    The total potential market for flooring, siding, and cabinet and millwork in new single-family houses on Oahu was between 10½ and 11 million board feet of lumber in 1963. The total possible market for lumber in new single-family house construction from 1965 to 1970 is estimated at 18 to 23 million square feet of floor-ing, 28 to 36 million square feet of...

  2. 7 CFR Exhibit D to Subpart A of... - Thermal Performance Construction Standards

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... floor insulation, the total heat loss attributed to the floor from the heated area shall not exceed the heat loss calculated for floors with required insulation. AInsulation may be omitted from floors over.... Definitions A. British thermal unit (Btu) means the quantity of heat required to raise the temperature of one...

  3. 7 CFR Exhibit D to Subpart A of... - Thermal Performance Construction Standards

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... floor insulation, the total heat loss attributed to the floor from the heated area shall not exceed the heat loss calculated for floors with required insulation. AInsulation may be omitted from floors over.... Definitions A. British thermal unit (Btu) means the quantity of heat required to raise the temperature of one...

  4. 7 CFR Exhibit D to Subpart A of... - Thermal Performance Construction Standards

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... floor insulation, the total heat loss attributed to the floor from the heated area shall not exceed the heat loss calculated for floors with required insulation. AInsulation may be omitted from floors over.... Definitions A. British thermal unit (Btu) means the quantity of heat required to raise the temperature of one...

  5. 7 CFR Exhibit D to Subpart A of... - Thermal Performance Construction Standards

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... floor insulation, the total heat loss attributed to the floor from the heated area shall not exceed the heat loss calculated for floors with required insulation. AInsulation may be omitted from floors over.... Definitions A. British thermal unit (Btu) means the quantity of heat required to raise the temperature of one...

  6. 7 CFR Exhibit D to Subpart A of... - Thermal Performance Construction Standards

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... floor insulation, the total heat loss attributed to the floor from the heated area shall not exceed the heat loss calculated for floors with required insulation. AInsulation may be omitted from floors over.... Definitions A. British thermal unit (Btu) means the quantity of heat required to raise the temperature of one...

  7. Grazing system and floor type effects on blood biochemistry, growth and carcass characteristics of Nguni goats

    PubMed Central

    Chikwanda, Allen Tapiwa; Muchenje, Voster

    2017-01-01

    Objective Purpose was to determine the effects of grazing system and floor type on concentrations of blood metabolites, activity of creatine kinase, body weight and carcass characteristics of castrated Nguni goats. Methods Forty eight, 7 month old goats were randomly allocated to herding and tethering treatments from 0800 to 1300 hours and accommodated on slatted and earth floors daily. Blood samples were collected by jugular venipuncture every fifteenth day for metabolite analysis. Slaughter was done at a commercial abattoir following 5 months of monitoring. Results Tethered goats had significantly higher concentrations of urea (5.19 mmol/L) (p< 0.001), creatinine (55.87 μmol/L) (p<0.05), total protein (64.60 g/L) (p<0.01), and globulin (49.79 g/L) (p<0.001), whereas herded goats had higher glucose (3.38 mmol/L) (p<0.001), albumin (15.33 g/L) (p<0.05), albumin/globulin ratio (0.34) (p<0.01), and body weight (24.87 kg) (p< 0.001). Slatted floors caused higher (p<0.01) albumin at 15.37 g/L. The interaction of grazing system and floor type affected creatinine, total protein, globulin at (p<0.01) and albumen/globulin ratio at (p<0.01). The least creatinine concentration and albumin/globulin ratio was in herded and tethered goats that were accommodated on earth floors, respectively. The highest total protein and globulin concentrations were in serum of tethered goats that were accommodated on earth floors. The highest (p<0.05) dressing percentage (45.26%) was in herded goats accommodated on slatted floors. Conclusion Herding of goats lowered globulin concentration, improved estimated feed intake, blood glucose and albumin concentrations, albumin globulin ratio, increased body weights and weight related carcass characteristics. Floor type had very little effects on metabolites where earth floors only reduced albumin concentration. Tethering and housing goats on earth floors resulted in double stress that increased chronic infections. PMID:28002930

  8. Hardwood? Carpet? or Tile? A comparison of flooring costs under residential conditions

    Treesearch

    David G. Martens; David G. Martens

    1971-01-01

    Initial installation cost, annual maintenance cost, and total long-term cost are important in the purchase of flooring products. Before deciding on a flooring material, the prudent buyer will consider each of these in relation to his personal desires. From these evaluations, he will then be able to select the flooring material that is best suited to his individual...

  9. Room scatter effects in Total Skin Electron Irradiation: Monte Carlo simulation study.

    PubMed

    Nevelsky, Alexander; Borzov, Egor; Daniel, Shahar; Bar-Deroma, Raquel

    2017-01-01

    Total Skin Electron Irradiation (TSEI) is a complex technique which usually involves the use of large electron fields and the dual-field approach. In this situation, many electrons scattered from the treatment room floor are produced. However, no investigations of the effect of scattered electrons in TSEI treatments have been reported. The purpose of this work was to study the contribution of floor scattered electrons to skin dose during TSEI treatment using Monte Carlo (MC) simulations. All MC simulations were performed with the EGSnrc code. Influence of beam energy, dual-field angle, and floor material on the contribution of floor scatter was investigated. Spectrum of the scattered electrons was calculated. Measurements of dose profile were performed in order to verify MC calculations. Floor scatter dependency on the floor material was observed (at 20 cm from the floor, scatter contribution was about 21%, 18%, 15%, and 12% for iron, concrete, PVC, and water, respectively). Although total dose profiles exhibited slight variation as functions of beam energy and dual-field angle, no dependence of the floor scatter contribution on the beam energy or dual-field angle was found. The spectrum of the scattered electrons was almost uniform between a few hundred KeV to 4 MeV, and then decreased linearly to 6 MeV. For the TSEI technique, dose contribution due to the electrons scattered from the room floor may be clinically significant and should be taken into account during design and commissioning phases. MC calculations can be used for this task. © 2017 The Authors. Journal of Applied Clinical Medical Physics published by Wiley Periodicals, Inc. on behalf of American Association of Physicists in Medicine.

  10. Usefulness of the anterolateral thigh flap with vascularized fascia lata for reconstruction of orbital floor and nasal surface after total maxillectomy.

    PubMed

    Joo, Young-Hoon; Cho, Kwang-Jae; Park, Jun-Ook; Kim, Min-Sik

    2013-09-01

    The aim of this study was to describe a technique using the fascia lata (FL) component of the anterolateral thigh (ALT) flap to re-create the orbital floor and lateral nasal wall after total maxillectomy. Retrospective analysis of medical records. A total of 22 patients underwent maxillary reconstruction using a composite ALT-FL flap following cancer resection. All patients underwent total maxillectomies via the Weber-Ferguson approach. The ALT flap was harvested with the deep fascia of the thigh with the aim of using it for lining of the orbital floor and lateral nasal cavity. The FL was sutured to the palatine bone inferiorly, nasal bone and zygomatic bone superiorly, and nasopharyngeal mucosa posteriorly to provide an orbital floor and make a neonasal cavity. There was 100% free flap survival. Speech was normal in eight (36%) patients, near normal in 10 (46%), and intelligible in four (18%). Seventeen (77%) patients gained a good facial appearance, and five (23%) a fair appearance. Sixteen (73%) patients complained of mild nasal crust formation, and the rest (27%) developed moderate crust. Microvascular reconstruction using a composite ALT-FL flap provided a reliable fascial component for orbital floor and nasal surface reconstruction of total maxillectomy defects. Copyright © 2013 The American Laryngological, Rhinological and Otological Society, Inc.

  11. Polypropylene Darning: A New Alternative for Reconstruction of Orbital Floor after Total Maxillectomy.

    PubMed

    Sharma, Prashant

    2015-06-01

    Removal of orbital floor is an integral part of total (radical) maxillectomy (type IIIa), which if not managed properly, may lead to some eye related distressing complications like diplopia, eyelid malposition, epiphora, dacryocystitis, enopthalmos and ectoprion. Among all, diplopia is the most distressing complication which hampers daily activity. Various options for orbital floor reconstruction are available like titanium sheet, polypropylene mesh, non-vascularized or vascularized bone graft, pedicled flaps, micro-vascular free flaps, prosthesis placement, and split skin graft followed by obturator placement. Till date no-body has tried stabilization of eye ball by 'darning' the orbital floor using non-absorbable suture. 'Polypropylene suture darning' is an easy to learn, novel method with equally good results. Five patients with potentially resectable tumors underwent total maxillectomy. I used polypropylene 3-0 round body suture and 'darning' was done at orbital floor, incorporating periosteum (if remaining) and peri-orbital fat into the sutures. Muscle flaps were done to provide bulk and palatal reconstruction. Assessment of patients was done post-operatively at day-5 i.e., before discharge and at 1 month after surgery, and also in further follow up visits. The results were very good in terms of clear vision & eye movements (directly related to 'darning'), and the aesthetic look of patients and bilateral symmetry were satisfactory (not related to darning). Darning of orbital floor by polypropylene after total maxillectomy is an easy to learn and cost-effective method of reconstruction with good results.

  12. Orbital floor reconstruction using a tensor fascia lata sling after total maxillectomy.

    PubMed

    Jung, Bok Ki; Yun, In Sik; Lee, Won Jai; Lew, Dae Hyun; Choi, Eun Chang; Lee, Dong Won

    2016-05-01

    Reconstruction after total maxillectomy with extensive orbital floor defects poses a significant challenge for the reconstruction. The aim of this study is to present the outcomes of orbital floor reconstruction using tensor fascia lata slings after total maxillectomy and to compare these results to orbital floor reconstruction using alloplastic implants. This was a retrospective analysis of 19 consecutive patients who underwent tumor resection with orbital floor removal for malignancies. Reconstructions were performed using either tensor fascia lata slings (Group A) or alloplastic implants (Group B). The early and late postoperative outcomes such as wound infection, plate exposure, ectropion, diplopia, and enophthalmos, were analyzed and compared between the two groups. Patients in group A had significantly less wound complication than in group B (p < 0.05). In group A, there were no early or late wound complications after the operation. However, in group B, five patients had infection, the plate was exposed in eight of fourteen patients, and three patients had enophthalmos. Eight patients in group B underwent reoperation to correct their complications. Reconstruction of the orbital floor with a tensor fascia lata sling offers reliable support to the globe and prevents the ophthalmic complications associated with loss of orbital support. Copyright © 2016 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  13. Under the Golden Gate bridge: views of the sea floor near the entrance to San Francisco Bay, California

    USGS Publications Warehouse

    Dartnell, Peter; Barnard, Patrick L.; Chin, John L.; Hanes, Daniel; Kvitek, Rikk G.; Iampietro, Pat J.; Gardner, James V.

    2006-01-01

    San Francisco Bay in Northern California is one of the largest and most altered estuaries within the United States. The sea floor within the bay as well as at its entrance is constantly changing due to strong tidal currents, aggregate mining, dredge disposal, and the creation of new land using artificial fill. Understanding this dynamic sea floor is critical for addressing local environmental issues, which include defining pollution transport pathways, deciphering tectonics, and identifying benthic habitats. Mapping commercial interests such as safe ship navigation and dredge disposal is also significantly aided by such understanding. Over the past decade, the U.S. Geological Survey (USGS), the National Oceanic and Atmospheric Administration (NOAA), and California State University, Monterey Bay (CSUMB) in cooperation with the U.S. Army Corps of Engineers (USACOE) and the Center for Integrative Coastal Observation, Research and Education (CICORE) have partnered to map central San Francisco Bay and its entrance under the Golden Gate Bridge using multibeam echosounders. These sonar systems can continuously map to produce 100 percent coverage of the sea floor at meter-scale resolution and thus produce an unprecedented view of the floor of the bay. This poster shows views of the sea floor in west-central San Francisco Bay around Alcatraz and Angel Islands, underneath the Golden Gate Bridge, and through its entrance from the Pacific Ocean. The sea floor is portrayed as a shaded relief surface generated from the multibeam data color-coded for depth from light blues for the shallowest values to purples for the deepest. The land regions are portrayed by USGS digital orthophotographs (DOQs) overlaid on USGS digital elevation models (DEMs). The water depths have a 4x vertical exaggeration while the land areas have a 2x vertical exaggeration.

  14. The effect of floor type on the performance, cleanliness, carcass characteristics and meat quality of dairy origin bulls.

    PubMed

    Murphy, V S; Lowe, D E; Lively, F O; Gordon, A W

    2018-05-01

    The aim of this study was to evaluate the effect of using different floor types to accommodate growing and finishing beef cattle on their performance, cleanliness, carcass characteristics and meat quality. In total, 80 dairy origin young bulls (mean initial live weight 224 kg (SD=28.4 kg)) were divided into 20 blocks with four animals each according to live weight. The total duration of the experimental period was 204 days. The first 101 days was defined as the growing period, with the remainder of the study defined as the finishing period. Cattle were randomly assigned within blocks to one of four floor type treatments, which included fully slatted flooring throughout the entire experimental period (CS); fully slatted flooring covered with rubber strips throughout the entire experimental period (RS); fully slatted flooring during the growing period and moved to a solid floor covered with straw bedding during the finishing period (CS-S) and fully slatted flooring during the growing period and moved to fully slatted flooring covered with rubber strips during the finishing period (CS-RS). Bulls were offered ad libitum grass silage supplemented with concentrates during the growing period. During the finishing period, bulls were offered concentrates supplemented with chopped barley straw. There was no significant effect of floor type on total dry matter intake (DMI), feed conversion ratio, daily live weight gain or back fat depth during the growing and finishing periods. Compared with bulls accommodated on CS, RS and CS-RS, bulls accommodated on CS-S had a significantly lower straw DMI (P<0.01). Although bulls accommodated on CS and CS-S were significantly dirtier compared with those accommodated on RS and CS-RS on days 50 (P<0.05) and 151 (P<0.01), there was no effect of floor type on the cleanliness of bulls at the end of the growing and finishing periods. There was also no significant effect of floor type on carcass characteristics or meat quality. However, bulls accommodated on CS-S had a tendency for less channel, cod and kidney fat (P=0.084) compared with those accommodated on CS, RS and CS-RS. Overall, floor type had no effect on the performance, cleanliness, carcass characteristics or meat quality of growing or finishing beef cattle.

  15. Chemical properties of litter inputs and organic matter along the Canadian Boreal Forest Transect Case Study

    NASA Astrophysics Data System (ADS)

    Preston, C. M.; Bhatti, J. S.; Norris, C. E.; Quideau, S. A.; Arevalo, C.

    2012-04-01

    To improve prediction of climate change impacts on the carbon balance of boreal forests, we are investigating C stocks, fluxes and organic matter quality of jack pine (Pinus banksiana) and black spruce (Picea mariana) stands in northern Saskatchewan and Manitoba along the Boreal Forest Transect Case Study (BFTCS). Jack pine stands occupy well-drained sandy soils with thin forest floor, whereas poorly-drained black spruce stands have a thick moss-dominated forest floor. Carbon storage for jack pine and black spruce stands respectively was 3.0-5.5 kg m-2 and 5.2-8.2 kg m-2 in vegetation, and 0.20-0.85 kg m-2 and 0.12-0.40 kg m-2 in coarse woody debris. Forest floor C stock was much higher for black spruce (6.0-12.7 kg m-2) than for jack pine (0.6-0.82 kg m-2). Mineral soil C to 50 cm was also significantly higher for black spruce (3.3-12.5 kg m-2) than for jack pine sites (2.2-3.0 kg m-2). Black spruce forest floor properties indicate hindered decomposition and N cycling, with high C/N ratios, strongly stratified and depleted ^13C and ^15N values, high tannins and phenolics, and 13C nuclear magnetic resonance (NMR) spectra typical of poorly decomposed plant material, especially roots and mosses. The thinner jack pine forest floor appears to be dominated by lichen, with charcoal in some samples. These contrasts are unlikely due to the small differences in aboveground litter inputs (110 vs 121 g m-2) for jack pine and black spruce respectively, 2000-2010 means) or litter quality. Development of colder, wetter and thicker black spruce forest floor is more likely associated with soil texture and drainage, further exacerbated by increasing sphagnum coverage and forest floor depth. This suggests that small environmental changes could trigger large C losses through enhanced forest floor decomposition. An investigation of mineral soil C stabilization in four jack pine sites showed that silt plus clay accounted for 15-43 % of 0-1 m C (1.5-2.8 kg m-2); silt held 0.9-3.3% of horizon mass and 13-31% of total C. Carbon-13 NMR of HF-treated silt fractions showed that alkyl and O-alkyl C dominated the A and B horizons, but C-horizon samples were higher in aromatic C, possibly of fire origin. HCl hydrolysis was used to to isolate older C, but most 14C dates were modern, with five samples from deeper horizons ranging from 141-5184 ybp. HCl residues were mainly alkyl and aromatic C. Especially for black spruce stands, soil C appears to be dominated by inputs from roots and moss, and stabilized mainly by environmental factors; soil C stored as thick forest floor is also vulnerable to loss by fire. Forest floor and mineral soil show evidence of pyrogenic C, but quantitative data are lacking to assess its role in long-term C sequestration. Considering the sensitivity of this region to climate change, further research should focus on understanding the processes controlling climate, vegetation and soil interactions throughout the lifecycle of jack pine and black spruce forests.

  16. A biologically inspired controller to solve the coverage problem in robotics.

    PubMed

    Rañó, Iñaki; Santos, José A

    2017-06-05

    The coverage problem consists on computing a path or trajectory for a robot to pass over all the points in some free area and has applications ranging from floor cleaning to demining. Coverage is solved as a planning problem-providing theoretical validation of the solution-or through heuristic techniques which rely on experimental validation. Through a combination of theoretical results and simulations, this paper presents a novel solution to the coverage problem that exploits the chaotic behaviour of a simple biologically inspired motion controller, the Braitenberg vehicle 2b. Although chaos has been used for coverage, our approach has much less restrictive assumptions about the environment and can be implemented using on-board sensors. First, we prove theoretically that this vehicle-a well known model of animal tropotaxis-behaves as a charge in an electro-magnetic field. The motion equations can be reduced to a Hamiltonian system, and, therefore the vehicle follows quasi-periodic or chaotic trajectories, which pass arbitrarily close to any point in the work-space, i.e. it solves the coverage problem. Secondly, through a set of extensive simulations, we show that the trajectories cover regions of bounded workspaces, and full coverage is achieved when the perceptual range of the vehicle is short. We compare the performance of this new approach with different types of random motion controllers in the same bounded environments.

  17. Interpolation of Reconnaissance Multibeam and Single-Beam Bathymetry Offshore of Milford, Connecticut

    USGS Publications Warehouse

    Poppe, L.J.; Ackerman, S.D.; McMullen, K.Y.; Schattgen, P.T.; Schaer, J.D.; Doran, E.F.

    2008-01-01

    This report releases echosounder data from the northern part of the National Oceanic and Atmospheric Administration (NOAA) hydrographic survey H11044 in Long Island Sound, off Milford, Connecticut. The data have been interpolated and regridded into a complete-coverage data set and image of the sea floor. The grid produced as a result of the interpolation is at 10-m resolution. These data extend an already published set of reprocessed bathymetric data from the southern part of survey H11044. In Long Island Sound, the U.S. Geological Survey, in cooperation with NOAA and the Connecticut Department of Environmental Protection, is producing detailed maps of the sea floor. Part of the current phase of research involves studies of sea-floor topography and its effect on the distributions of sedimentary environments and benthic habitats. This data set provides a more continuous perspective of the sea floor than was previously available. It helps to define topographic variability and benthic-habitat diversity for the area and improves our understanding of oceanographic processes controlling the distribution of sediments and benthic habitats. Inasmuch as precise information on environmental setting is important for selecting sampling sites and accurately interpreting point measurements, this data set can also serve as a base map for subsequent sedimentological, geochemical, and biological research.

  18. Male-to-female transsexualism: laparoscopic pelvic floor repair of prolapsed neovagina.

    PubMed

    Condous, George; Jones, Robert; Lam, Alan M

    2006-06-01

    The incidence of prolapse of the neovagina after male-to-female gender reassignment surgery is unknown. We present the first case of laparoscopic total pelvic floor repair in a male-to-female transsexual. This surgical procedure combined an understanding of the anatomy of the male pelvis with the principles of laparoscopic pelvic floor repair in the XX female.

  19. Comparison, association, and risk assessment of phthalates in floor dust at different indoor environments in Delaware, USA.

    PubMed

    Bi, Xiaolong; Yuan, Shoujun; Pan, Xiaojun; Winstead, Cherese; Wang, Qiquan

    2015-01-01

    This study aimed to compare and assess phthalate contamination in various indoor environments. In this study, 44 floor dust samples from different indoor environments in Delaware, USA were collected and analyzed for 14 phthalates using gas chromatography-mass spectrometry. Phthalates were detected in all dust samples with the total concentration ranging from 84 to 7117 mg kg(-1). DEHP (di-2-ethylhexyl phthalate), BzBP (benzylbutyl phthalate), DBP (dibutyl phthalate), and DiBP (di-isobutyl phthalate) were both the most frequently and abundantly detected phthalates. The average concentration of total phthalates in dust from offices, student dorms, gyms, stores, and daycare centers was found to be significantly or insignificantly (P = 0.05) higher than that in dust from houses and apartments. Plastic flooring materials and the application of floor care chemical products were positively associated with total phthalate concentration in floor dust. Toxicological risk assessment indicated that an investigated daycare center in this study was the only indoor environment that may cause the intake amount of DEHP of infants, toddlers, and children via dust ingestion to exceed the reference dose established by the U.S. Environmental Protection Agency (USEPA). Regular monitoring on phthalate contamination in sensitive indoor environments is recommended.

  20. Effect of different flooring systems on weight and pressure distribution on claws of dairy cows.

    PubMed

    Telezhenko, E; Bergsten, C; Magnusson, M; Ventorp, M; Nilsson, C

    2008-05-01

    Weight and pressure distribution on the claw were studied in Swedish Holsteins housed in different flooring systems. A total of 127 cows housed in different sections of the experimental barn were used. Each section had different flooring in the walking and standing areas. There were rubber mats or abrasive mastic asphalt flooring on the alleys or a low-abrasive slatted concrete floor. Some sections had feed-stalls equipped with rubber mats; other sections did not. The vertical ground reaction force, contact area, and average contact pressure were determined on the left hind foot using the I-Scan system and analyzed with the F-scan system. These determinations were made in each of the following 3 zones of the claw: bulb, wall, and sole. Most of the weight on claws exposed to concrete floors was carried by the bulb (37.4 +/- 3.5 and 18.3 +/- 2.9% of weight exerted on the foot in the lateral and medial claw, respectively) and the wall zone (20.0 +/- 2.6 and 13.4 +/- 2.4% on lateral and medial claw, respectively). The weight and pressure distribution in cows kept on sections with rubber covered alleys but passing daily over the asphalt floor on their way to the milking parlor did not differ in any zones, except for lateral bulbs, compared with those exposed to slatted concrete alone. Still, the weight bearing of the sole zone in cows kept on rubber mats without access to asphalt was less than that of cows kept on concrete slatted floors (5.1 +/- 0.7 vs. 12.7 +/- 1.1% and 1.1 +/- 0.5 vs. 8.7 +/- 0.7% in lateral and medial claws, respectively). In cows kept on asphalt flooring without feed-stalls, most weight was exerted to the sole zone (36.2 +/- 2.9 and 22.2 +/- 1.8% in lateral and medial claws, respectively). Feed-stalls in combination with asphalt flooring yielded a decreased total contact area (30.1 +/- 1.2 cm(2)) compared with asphalt floors without feed-stalls (35.7 +/- 1.2 cm(2)). The largest total contact area was obtained on the asphalt floor without feed-stalls, resulting in a lower contact pressure (39.8 +/- 2.3 N/cm(2)) than in claws exposed to concrete (66.0 +/- 2.7 N/ cm(2)) or rubber mats (56.7 +/- 1.7 N/cm(2)). In conclusion, housing with abrasive floors resulted in claws with increased contact area at the sole surface and therefore, decreased contact pressure, but reduced the weight-bearing role of the strongest part of the claw capsule, the claw wall.

  1. Singular and combined effects of blowdown, salvage logging, and wildfire on forest floor and soil mercury pools.

    PubMed

    Mitchell, Carl P J; Kolka, Randall K; Fraver, Shawn

    2012-08-07

    A number of factors influence the amount of mercury (Hg) in forest floors and soils, including deposition, volatile emission, leaching, and disturbances such as fire. Currently the impact on soil Hg pools from other widespread forest disturbances such as blowdown and management practices like salvage logging are unknown. Moreover, ecological and biogeochemical responses to disturbances are generally investigated within a single-disturbance context, with little currently known about the impact of multiple disturbances occurring in rapid succession. In this study we capitalize on a combination of blowdown, salvage logging and fire events in the sub-boreal region of northern Minnesota to assess both the singular and combined effects of these disturbances on forest floor and soil total Hg concentrations and pools. Although none of the disturbance combinations affected Hg in mineral soil, we did observe significant effects on both Hg concentrations and pools in the forest floor. Blowdown increased the mean Hg pool in the forest floor by 0.76 mg Hg m(-2) (223%). Salvage logging following blowdown created conditions leading to a significantly more severe forest floor burn during wildfire, which significantly enhanced Hg emission. This sequence of combined events resulted in a mean loss of approximately 0.42 mg Hg m(-2) (68% of pool) from the forest floor, after conservatively accounting for potential losses via enhanced soil leaching and volatile emissions between the disturbance and sampling dates. Fire alone or blowdown followed by fire did not significantly affect the total Hg concentrations or pools in the forest floor. Overall, unexpected consequences for soil Hg accumulation and by extension, atmospheric Hg emission and risk to aquatic biota, may result when combined impacts are considered in addition to singular forest floor and soil disturbances.

  2. A micro-computed tomographic study of band-shaped root canal isthmuses, having their floor in the apical third of mesial roots of mandibular first molars.

    PubMed

    Keleş, A; Keskin, C

    2018-02-01

    To conduct a quantitative and qualitative analysis of the band-shaped isthmus area, the floor of which was in the apical third in the mesial roots of mandibular first molars using micro-computed tomography (micro-CT). Micro-CT images of 269 mesial roots of mandibular first molars were evaluated, and 40 specimens with a band-shaped isthmus, with a floor in the apical third, were selected. The major diameter, minor diameter, roundness, area and perimeter values for the most coronal and apical slices where the isthmus was visible were measured. The distances between these slices were measured as the isthmus length, and the total volume, structure model index and surface area of the isthmus were measured. The distances between the isthmus floor and two apical foramina and the number of root canal orifices were calculated. The dimensions of the isthmus roof and the floor were compared, and the data were analysed using descriptive statistics and Student's t-tests with a significance threshold set at 5%. A total of 15% of the specimens had band-shaped isthmuses with a floor in the apical third. The isthmus roof exhibited significantly greater major and minor diameter values compared to the isthmus floor (P < 0.05). No significant difference was detected between the isthmus roof and the floor with regard to roundness (P > 0.05). Three- and two-dimensional analyses of the mesial roots of mandibular molars revealed that band-shaped isthmuses had complex shapes. © 2017 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  3. Pelvic Floor and Urinary Distress in Women with Fibromyalgia

    PubMed Central

    Jones, Kim Dupree; Maxwell, Charlene; Mist, Scott D.; King, Virginia; Denman, Mary Anna; Gregory, W. Thomas

    2017-01-01

    Fibromyalgia (FM) patients were recently found to have more symptom burden from bothersome pelvic pain syndromes that women seeking care for pelvic floor disease at a urogynecology clinic. We sought to further characterize pelvic floor symptoms in a larger sample of FM patients using of validated questionnaires. Female listserv members of the Fibromyalgia Information Foundation completed an online survey of three validated questionnaires: the Pelvic Floor Distress Inventory 20 (PFDI-20), the Pelvic Pain, Urgency and Frequency Questionnaire (PUF), and the Revised Fibromyalgia Impact Questionnaire (FIQR). Scores were characterized using descriptive statistics. Patients (n = 204 with complete data on 177) were on average 52.3 ± 11.4 years with a mean parity of 2.5 ± 1.9. FM severity based on FIQR score (57.2 ± 14.9) positively correlated with PFDI-20 total 159.08 ± 55.2 (r = .34, p <.001) and PUF total 16.54 ± 7 (r = .36, p <.001). Women with FM report significantly bothersome pelvic floor and urinary symptoms. Fibromyalgia management should include evaluation and treatment of pelvic floor disorders recognizing that pelvic distress and urinary symptoms are associated with more severe FM symptoms. Validated questionnaires, like the ones used in this study, are easily incorporated into clinical practice. PMID:26259883

  4. Systematic review of pelvic floor interventions during pregnancy.

    PubMed

    Schreiner, Lucas; Crivelatti, Isabel; de Oliveira, Julia M; Nygaard, Christiana C; Dos Santos, Thais G

    2018-04-28

    Pelvic floor interventions during pregnancy could reduce the impact of pregnancy and delivery on the pelvic floor. To determine the effects of pelvic floor interventions during pregnancy on childbirth-related and pelvic floor parameters. PubMed, Embase, and LILACS were searched for reports published during between 1990 and 2016 in English, Spanish, or Portuguese. The search terms were "pregnancy," "pelvic floor muscle training," and related terms. Randomized controlled trials with healthy pregnant women were included. Baseline and outcome data (childbirth-related parameters, pelvic floor symptoms) were compared for three interventions: EPI-NO (Tecsana, Munich, Germany) perineal dilator, pelvic floor muscle training, and perineal massage. A total of 22 trials were included. Two of three papers assessing EPI-NO showed no benefit. The largest study investigating pelvic floor muscle training reported a significant reduction in the duration of the second stage of labor (P<0.01), and this intervention also reduced the incidence of urinary incontinence (evaluated in 10 trials). Two of six trials investigating perineal massage reported that a lower rate of perineal pain was associated with this intervention. Pelvic floor muscle training and perineal massage improved childbirth-related parameters and pelvic floor symptoms, whereas EPI-NO showed no benefit. © 2018 International Federation of Gynecology and Obstetrics.

  5. Efficacy of sellar opening in the pituitary adenoma resection of transsphenoidal surgery influences the degree of tumor resection.

    PubMed

    Wang, Shousen; Qin, Yong; Xiao, Deyong; Wei, Liangfeng

    2017-07-24

    Endonasal transsphenoidal microsurgery is often adopted in the resection of pituitary adenoma, and has showed satisfactory treatment and minor injuries. It is important to accurately localize sellar floor and properly incise the bone and dura matter. Fifty-one patients with pituitary adenoma undergoing endonasal transsphenoidal microsurgery were included in the present study. To identify the scope of sellar floor opening, CT scan of the paranasal sinus and MRI scan of the pituitary gland were performed for each subject. Intraoperatively, internal carotid artery injury, leakage of cerebrospinal fluid, and tumor texture were recorded, and postoperative complications and residual tumors were identified. The relative size of sellar floor opening significantly differed among the pituitary micro-, macro- and giant adenoma groups, and between the total and partial tumor resection groups. The ratio of sellar floor opening area to maximal tumor area was significantly different between the total and partial resection groups. Logistic regression analysis revealed that the ratio of sellar floor opening area to the largest tumor area, tumor texture, tumor invasion and age were independent prognostic factors. The vertical distance between the top point of sellar floor opening and planum sphenoidale significantly differed between the patients with and without leakage of cerebrospinal fluid. These results together indicated that relatively insufficient sellar floor opening is a cause of leading to residual tumor, and the higher position of the opening and closer to the planum sphenoidale are likely to induce the occurrence of leakage of cerebrospinal fluid.

  6. Some Forest Floor Fuelbed Characteristics of Black Oak Stands in Southeast Missouri

    Treesearch

    John S. Crosby; Robert M. Loomis

    1974-01-01

    Black oak forest floor fuelbeds under 20 - and 40-year-old stands in southeast Missouri averaged 6.4 and 4.2 inches in depth, respectively. Loose Litter averaged 2.0 and 2.9 tons per acre and 3.3 inces in depth. Bulk density of litter averaged 0.33 and 0.49 lb/ft3 and of total forest floor 0.89 and 1.10 lbs/ft3, respectively.

  7. Does pelvic floor muscle training abolish symptoms of urinary incontinence? A randomized controlled trial.

    PubMed

    Celiker Tosun, O; Kaya Mutlu, E; Ergenoglu, A M; Yeniel, A O; Tosun, G; Malkoc, M; Askar, N; Itil, I M

    2015-06-01

    To determine whether symptoms of urinary incontinence is reduced by pelvic floor muscle training, to determine whether urinary incontinence can be totally eliminated by strengthening the pelvic floor muscle to grade 5 on the Oxford scale. Prospective randomized controlled clinical trial. Outpatient urogynecology department. One hundred thirty cases with stress and mixed urinary incontinence. All participants were randomly allocated to the pelvic floor muscle training group or control group. A 12-week home based exercise program, prescribed individually, was performed by the pelvic floor muscle training group. Urinary incontinence symptoms (Incontinence Impact Questionnaire-7, Urogenital Distress Inventory-6, bladder diary, stop test and pad test) were assessed, and the pelvic floor muscle strength was measured for (PERFECT testing, perineometric and ultrasound) all participants before and after 12 weeks of treatment. The pelvic floor muscle training group had significant improvement in their symptoms of urinary incontinence (P=0.001) and an increase in pelvic floor muscle strength (P=0.001, by the dependent t test) compared with the control group. All the symptoms of urinary incontinence were significantly decreased in the patients that had reached pelvic floor muscle strength of grade 5 and continued the pelvic floor muscle training (P<0.05). The study demonstrated that pelvic floor muscle training is effective in reducing the symptoms of stress and mixed urinary incontinence and in increasing pelvic floor muscle strength. © The Author(s) 2014.

  8. MANUAL FOR OPERATIONAL DOCUMENTARY PHOTOGRAPHY (ODP)

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

    Hendrix, V.V.

    1963-12-23

    The SL-1 incident showed the need for pre-incident photographs of the facility to aid in rescue or recovery operations. A system of documentary photographic coverage was developed to fill this need for all the NRTS reactors and facilities. In this system, aperture cards with photographic negatives are used, and the cards are coded with respect to facility, room, floor, angle, and other variables. Operational planning for documentary photographs and updating of the cards are discussed. (D.L.C.)

  9. Wall-Friction Support of Vertical Loads in Submerged Sand and Gravel Columns

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

    Walton, O. R.; Vollmer, H. J.; Hepa, V. S.

    Laboratory studies of the ‘floor-loads’ under submerged vertical columns of sand and/or gravel indicate that such loads can be approximated by a buoyancy-corrected Janssen-silo-theory-like relationship. Similar to conditions in storage silos filled with dry granular solids, most of the weight of the sand or gravel is supported by wall friction forces. Laboratory measurements of the loads on the floor at the base of the water-filled columns (up to 25-diameters tall) indicate that the extra floor-load from the addition of the granular solid never exceeded the load that would exist under an unsupported (wide) bed of submerged sand or gravel thatmore » has a total depth corresponding to only two column-diameters. The measured floorloads reached an asymptotic maximum value when the depth of granular material in the columns was only three or four pipe-diameters, and never increased further as the columns were filled to the top (e.g. up to heights of 10 to 25 diameters). The floor-loads were stable and remained the same for days after filling. Aggressive tapping (e.g. hitting the containing pipe on the outside, manually with a wrench up and down the height and around the circumference) could increase (and occasionally decrease) the floor load substantially, but there was no sudden collapse or slumping to a state without significant wall friction effects. Considerable effort was required, repeatedly tapping over almost the entire column wall periphery, in order to produce floor-loads that corresponded to the total buoyancy-corrected weight of granular material added to the columns. Projecting the observed laboratory behavior to field conditions would imply that a stable floor-load condition, with only a slightly higher total floor pressure than the preexisting hydrostatic-head, would exist after a water-filled bore-hole is filled with sand or gravel. Significant seismic vibration (either a large nearby event or many micro-seismic events over an extended period) would likely be necessary before the full (buoyancy-corrected) weight of the sand and/or gravel would be ‘delivered’ to the bottom of the submerged column.« less

  10. Frankia and Alnus rubra canopy roots: an assessment of genetic diversity, propagule availability, and effects on soil nitrogen.

    PubMed

    Kennedy, Peter G; Schouboe, Jesse L; Rogers, Rachel H; Weber, Marjorie G; Nadkarni, Nalini M

    2010-02-01

    The ecological importance of microbial symbioses in terrestrial soils is widely recognized, but their role in soils that accumulate in forest canopies is almost entirely unknown. To address this gap, this study investigated the Frankia-Alnus rubra symbiosis in canopy and forest floor roots at Olympic National Park, WA, USA. Sixteen mature A. rubra trees were surveyed and Frankia genetic diversity in canopy and forest floor nodules was assessed with sequence-based nifH analyses. A seedling bioassay experiment was conducted to determine Frankia propagule availability in canopy and forest floor soils. Total soil nitrogen from both environments was also quantified. Nodules were present in the canopies of nine of the 16 trees sampled. Across the study area, Frankia canopy and forest floor assemblages were similar, with both habitats containing the same two genotypes. The composition of forest floor and canopy genotypes on the same tree was not always identical, however, suggesting that dispersal was not a strictly local phenomenon. Frankia seedling colonization was similar in canopy soils regardless of the presence of nodules as well as in forest floor soils, indicating that dispersal was not likely to be a major limiting factor. The total soil nitrogen of canopy soils was higher than that of forest floor soils, but the presence of Frankia nodules in canopy soils did not significantly alter soil nitrogen levels. Overall, this study indicates that the Frankia-A. rubra symbiosis is similar in canopy and forest floor environments. Because canopy roots are exposed to different environmental conditions within very small spatial areas and because those areas can be easily manipulated (e.g., fertilizer or watering treatments), they present microbial ecologists with a unique arena to examine root-microbe interactions.

  11. Residential Mercury Contamination in Adobe Brick Homes in Huancavelica, Peru

    PubMed Central

    Hagan, Nicole; Robins, Nicholas; Hsu-Kim, Heileen; Halabi, Susan; Espinoza Gonzales, Ruben Dario; Richter, Daniel deB.; Vandenberg, John

    2013-01-01

    This is the first study of adobe brick contamination anywhere in the world. Huancavelica, Peru is the site of historic cinnabar refining and one of the most mercury (Hg) contaminated urban areas in the world. Over 80% of homes in Huancavelica are constructed with adobe bricks made from Hg contaminated soil. In this study we measured total Hg concentrations in adobe brick, dirt floor, surface dust, and air samples from the interior of 60 adobe brick houses located in four neighborhoods. Concentrations of total Hg in adobe bricks, dirt floors, and surface dust ranged from 8.00 to 1070 µg/g, 3.06 to 926 µg/g, and 0.02 to 9.69 µg/wipe, respectively, with statistically significant differences between the four neighborhoods. Concentrations of Hg in adobe brick and dirt floor samples in Huancavelica were orders of magnitude higher than in Ayacucho, a non-mining town in Peru. A strong correlation exists between total Hg concentrations in adobe bricks and dirt floors which confirms that adobe bricks were being made on-site and not purchased from an off-site source. A strong correlation between surface dust and adobe bricks and dirt floors indicates that walls and floors serve as indoor sources of Hg contamination. Elemental Hg vapor concentrations were below detection (<0.5 µg/m3) in most homes; however in homes with detectable levels, concentrations up to 5.1 µg/m3 were observed. No statistically significant differences in Hg vapor measurements were observed between neighborhoods. This study demonstrates that building materials used widely in developing communities, such as adobe bricks, may be a substantial source of residential Hg exposure in silver or gold refining communities where Hg is produced or used for amalgamation in artisanal gold production. PMID:24040399

  12. Comparison of slime-producing coagulase-negative Staphylococcus colonization rates on vinyl and ceramic tile flooring materials.

    PubMed

    Yazgi, H; Uyanik, M H; Ayyildiz, A

    2009-01-01

    This study investigated the colonization of slime-producing coagulase-negative Staphylococcus (CoNS) in 80 patient wards in Turkey (40 vinyl and 40 ceramic tile floors). A total of 480 samples that included 557 CoNS isolates were obtained. Slime production was investigated with the Christensen method and methicillin-susceptibility was tested by the disk-diffusion method. There was a significant difference in the percentage of slime-producing CoNS isolates on vinyl (12.4%) versus ceramic tile flooring (4.4%). From vinyl flooring, the percentage of slime producing methicillin-resistant CoNS (MRCoNS) (8.9%) was significantly higher than for methicillin-sensitive CoNS (MSCoNS) (3.6%), whereas there was no difference from ceramic tile flooring (2.5% MRCoNS versus 1.8% MSCoNS). The most commonly isolated slime-producing CoNS species was S. epidermidis on both types of flooring. It is concluded that vinyl flooring seems to be a more suitable colonization surface for slime-producing CoNS than ceramic tile floors. Further studies are needed to investigate bacterial strains colonized on flooring materials, which are potential pathogens for nosocomial infections.

  13. Evaluation of ceiling lifts: transfer time, patient comfort and staff perceptions.

    PubMed

    Alamgir, Hasanat; Li, Olivia Wei; Yu, Shicheng; Gorman, Erin; Fast, Catherine; Kidd, Catherine

    2009-09-01

    Mechanical lifting devices have been developed to reduce healthcare worker injuries related to patient handling. The purpose of this study was to evaluate ceiling lifts in comparison to floor lifts based on transfer time, patient comfort and staff perceptions in three long-term care facilities with varying ceiling lift coverage. The time required to transfer or reposition patients along with patient comfort levels were recorded for 119 transfers. Transfers performed with ceiling lifts required on average less time (bed to chair transfers: 156.9 seconds for ceiling lift, 273.6 seconds for floor lift) and were found to be more comfortable for patients. In the three facilities, 143 healthcare workers were surveyed on their perceptions of patient handling tasks and equipment. For both transferring and repositioning tasks, staff preferred to use ceiling lifts and also found them to be less physically demanding. Further investigation is needed on repositioning tasks to ensure safe practice.

  14. Small scale turbidity currents in a tectonically active submarine graben, the Gulf of Corinth (Greece): their significance in dispersing mine tailings and their relevance to basin filling

    NASA Astrophysics Data System (ADS)

    Papatheodorou, G.; Stefatos, A.; Christodoulou, D.; Ferentinos, G.

    2003-04-01

    The Gulf of Corinth is an intra-plate active graben within the Aegean microplate, which is characterized by high frequency occurrence of gravitative mass movements. A detailed marine survey in Antikyra bay, on the northern margin of the graben, was carried out (i) to study the bathymetry and morphology of the seafloor and (ii) to examine the distribution and dispersion of bauxite “red-mud” tailings and the formation of present-day fine grained, thin bedded turbidites. The examination of high resolution seismic profiles has shown that the northern flank of the gulf of Corinth consists of the shelf, slope and basin floor. The shelf has an average width of 10 km and dips very gently at a gradient less than 1.2o to a depth of 300m. The slope extends from the 300m to the 700m isobath with a gradient ranging from 5o to 7.5o. The basin floor deeper than the 700m isobath is flat with a gradient less than 0.1o. The shelf break and upper slope are affected by mass-movements. The seafloor on slope is incised by numerous channels trending in a NNE-SSW direction. The floor of the plain is covered by ponded turbidites. The analysis of cores based on (i) the texture and the structure of the individual layers of the surficial sedimentary cover and (ii) the tracing of bauxite red-mud tailing which have been discharged since 1970 on the upper shelf of the Antikyra Bay, have shown that: (i) Shelf and upper slope sediments are transported to the basin floor by turbidity flows. (ii) The slope surface is affected by the erosional action of the turbidity currents. (iii) The basin floor is covered by thin-bedded fine-grained turbidites whose thickness ranges from 0.8-4 cm. (iv) The individual turbidite beds, which consist of silt and clay, are structureless and are separated by sharp, planar or erosional contacts. (v) Hemipelagic intercalations are absent. The number of turbiditic events recorded in the surveyed area is from 2-5 events over a period of 15 years or 122 to 333 events per 1000 years. Each turbidite is usually lobe shaped and has an areal coverage from 4 to 12 km2. The turbidites overlap and cover a total area of 48 km2. The total thickness of the turbidites deposited during this period was between 5 and 12 cm which indicate sedimentation rates from 320 to 800 cm per 1000 years. The turbidites form a sedimentary body over the surveyed area whose volume is conservatively estimated at 35 x 10-5 km3. The high sedimentation rates and the high frequency of turbiditic events suggest that they play an important role in the filling of seismically active basins and that their volumetric contribution to basin infill is comparable to that of megaturbidites.

  15. Chemical characteristics and acidity of soluble organic substances from a northern hardwood forest floor, central Maine, USA

    NASA Astrophysics Data System (ADS)

    Vance, George F.; David, Mark B.

    1991-12-01

    Our understanding of the chemistry, structure, and reactions of organic substances in forest floor leachates is limited and incomplete. Therefore, we examined the organic and inorganic chemistry of forest floor leachates collected from a hardwood forest in central Maine over a two-year period (1987-1989), including detailed study of dissolved organic carbon (DOC). Seasonal variations in NH 4+, NO 3-, K +, and total Al were believed due to organic matter decomposition and release. Leaching of other base cations closely followed that of NO 3-. Snowmelt resulted in NO 3- levels that decreased in time due to flushing of mineralization/nitrification by-products that had accumulated during the winter months. Total DOC ranged from 2228 to 7193 μmol L -1 with an average of 4835 μmol L -1. Monosaccharides and polyphenols constituted 3.9% (range of 3.4 to 4.4%) and 3.0% (2.2 to 3.7%) of the DOC, respectively, which suggests DOC may contain partially oxidized products that are possibly of a lignocellulose nature. Fractionation of the forest floor DOC indicated high organic acid contents (hydrophobic and hydrophilic acids) that averaged 92% of the total DOC. Organic acids were isolated and analyzed for elemental content (C, H, N, and S), and determination of UV absorptivity ( E 4/E 6) ratios, CuO oxidation products, FT-IR and 13C-NMR spectra, and acidity by potentiometric titration. Results from these analyses indicate the organic acids in the forest floor leachates are similar to fulvic acids. Hydrophobic and hydrophilic acids had average exchange acidities of 0.126 and 0.148 μeq μmol -1 C, respectively, and pKa, of 4.23 and 4.33. Their FT-IR and 13C-NMR spectra suggest they are primarily carboxylic acids, with aliphatic and aromatic structure. An organic charge contribution model was developed using titration data, DOC fractionation percentages, and the total DOC in the forest floor leachates. Application of the model to all solutions accounted for 97% of the charge balance deficits. Adjusted values for the flux of C and organic acidity due to organic solutes in forest floor leachates indicated translocation of 112 to 260 kg C ha -1 yr -1 and 460 to 1330 eq ha -1 yr -1, respectively, to the underlying mineral subsurface horizons.

  16. Effect of dietary protein source and cereal type on the incidence of sudden death syndrome in broiler chickens.

    PubMed

    Blair, R; Jacob, J P; Gardiner, E E

    1990-08-01

    Three experiments were conducted to compare the incidence of Sudden Death Syndrome (SDS) in male Peterson by Arbor Acre broiler chickens fed diets with either corn or wheat as the grain type and meat meal or soybean meal as the main protein source. In the first two experiments, the broilers were raised in floor pens to 6 wk of age, and in the third experiment they were raised in battery-brooder cages to 4 wk of age. In both floor pen studies, total mortality and the incidence of SDS were significantly higher for wheat-fed birds, while SDS as a percentage of total mortality was not affected by cereal type. In the brooder study, neither total mortality nor mortality from SDS was significantly affected by cereal type. In the floor pen studies, the incidence of SDS as a percentage of the birds housed, was reduced by the inclusion of meat meal in the diet. In the brooder study, total mortality and the incidence of SDS were not affected by protein source, but SDS as a percentage of total mortality was reduced with the inclusion of meat meal in the diet.

  17. Sphagnum mosses limit total carbon consumption during fire in Alaskan black spruce forests

    Treesearch

    G. Shetler; .R. Turetsky; E. Kane; E. Kasischke

    2008-01-01

    The high water retention of hummock-forming Sphagnum species minimizes soil moisture fluctuations and might protect forest floor organic matter from burning during wildfire. We hypothesized that Sphagnum cover reduces overall forest floor organic matter consumption during wildfire compared with other ground-layer vegetation. We...

  18. Forest floor and mineral soil respiration rates in a northern Minnesota red pine chronosequence

    Treesearch

    Matthew Powers; Randall Kolka; John Bradford; Brian Palik; Martin Jurgensen

    2017-01-01

    We measured total soil CO2 efflux (RS) and efflux from the forest floor layers (RFF) in red pine (Pinus resinosa Ait.) stands of different ages to examine relationships between stand age and belowground C cycling. Soil temperature and RS were often lower in...

  19. High-rise buildings and neurologically favorable outcome after out-of-hospital cardiac arrest.

    PubMed

    Kobayashi, Daisuke; Kitamura, Tetsuhisa; Kiyohara, Kosuke; Nishiyama, Chika; Hayashida, Sumito; Fujii, Tomoko; Izawa, Junichi; Shimamoto, Tomonari; Matsuyama, Tasuku; Hatakeyama, Toshihiro; Katayama, Yusuke; Kiguchi, Takeyuki; Kawamura, Takashi; Iwami, Taku

    2016-12-01

    The number of people living in high-rise buildings has recently been increasing in Japan, and delayed transport time by emergency-medical-service (EMS) personnel from higher floors could lead to lower survival after out-of-hospital cardiac arrest (OHCA). However, there are no clinical studies assessing the association between the floor where patients reside and neurologically favorable outcome after OHCA. This was a prospective, population-based study conducted in Osaka City, Japan that enrolled adults aged >=18years suffering an OHCA of cardiac origin before EMS arrival between 2013 and 2014. The primary outcome measure was one-month survival with neurologically favorable outcome. We divided OHCA patients into the following groups: those residing on >=3 floors (the high floor group) and <3 floors (the low floor group). Multiple logistic regression analysis was used to assess factors associated with neurologically favorable outcome. A total of 2979 patients were eligible for analysis. Of them, 1885 (62.3%) occurred below the third floor and 1094 (37.4%) occurred at or above the third floor. The proportion of neurologically favorable outcome after OHCA was significantly lower in the high floor group than in the low floor group (2.7% [30/1094] versus 4.8% [91/1885], P=0.005). In a multivariate analysis, neurologically favorable outcome after OHCA was significantly lower in the high floor group than in the low floor group (adjusted odds ratio, 0.59 [95% confidence interval, 0.37-0.96]). In this population, one-month survival with neurologically favorable outcome from OHCA was lower in the high floor group than in the low floor group. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  20. Knowledge of the pelvic floor in nulliparous women

    PubMed Central

    Neels, Hedwig; Wyndaele, Jean-Jacques; Tjalma, Wiebren A. A.; De Wachter, Stefan; Wyndaele, Michel; Vermandel, Alexandra

    2016-01-01

    [Purpose] Proper pelvic floor function is important to avoid serious dysfunctions including incontinence, prolapse, and sexual problems. The current study evaluated the knowledge of young nulliparous women about their pelvic floor and identified what additional information they wanted. [Subjects and Methods] In this cross-sectional survey, a validated, 36 item questionnaire was distributed to 212 nulliparous women. The questionnaire addressed demography, pelvic floor muscles, pelvic floor dysfunction, and possible information sources. Descriptive statistics were generated for all variables. Stability and validity testing were performed using Kappa statistics and intra class correlation coefficients to define agreement for each question. The study was approved by the ethics Committee (B300201318334). [Results] Using a VAS scale (0 to 10), the women rated their knowledge about the pelvic floor as a mean of 2.4 (SD 2.01). A total of 93% of the women were insufficiently informed and requested more information; 25% had concerns about developing urinary incontinence, and 14% about fecal incontinence. Many of the women were unaware what pelvic floor training meant. [Conclusion] There was a significant lack of knowledge about pelvic floor function among nulliparous women. The majority of nulliparous women expressed a need for education, which might offer a way to reduce dysfunction. PMID:27313364

  1. Sidescan sonar imagery and surficial geologic interpretation of the sea floor off Branford, Conneticut

    USGS Publications Warehouse

    Poppe, L.J.; Paskevich, V.F.; Moser, M.S.; DiGiacomo-Cohen, M. L.; Christman, E.B.

    2004-01-01

    The U.S. Geological Survey (USGS), in cooperation with the National Oceanic and Atmospheric Administration (NOAA) and the Connecticut Department of Environmental Protection (CT DEP), Figure 1 - Map of Study Areahas produced detailed geologic maps of the sea floor in Long Island Sound, a major East Coast estuary surrounded by the most densely populated region of the United States. These studies have built upon cooperative research between the USGS and the State of Connecticut that was initiated in 1982. The current phase of this research program is directed toward studies of sea-floor sediment distribution, processes that control sediment distribution, nearshore environmental concerns, and the relation of benthic community structures to the sea-floor geology. Anthropogenic wastes, toxic chemicals, and changes in land-use patterns resulting from residential, commercial, and recreational development have stressed the environment of the Sound, causing degradation and potential loss of benthic habitats (Koppelman and others, 1976; Long Island Sound Study, 1994). Detailed maps of the sea floor are needed to help evaluate the extent of adverse impacts and to help wisely manage resources in the future. Therefore, in a continuing effort to better understand Long Island Sound, we are constructing and interpreting sidescan sonar mosaics (complete-coverage acoustic images of the sea floor) within specific areas of special interest (Poppe and Polloni, 1998). The mosaic presented herein, which was produced during survey H11043 by NOAA 's Atlantic Hydrographic Branch, covers approximately 41.1 km2 of the sea floor in north-central Long Island Sound off Branford, Connecticut. Shell bed provides shelter for juvenille skate.The mosaic and its interpretation serve many purposes, including: (1) defining the geological variability of the sea floor, which is one of the primary controls of benthic habitat diversity; (2) improving our understanding of the processes that control the distribution and transport of bottom sediments and the distribution of benthic habitats and associated infaunal community structures; and (3) providing a detailed framework for future research, monitoring, and management activities. The sidescan sonar mosaic also serves as a base map for subsequent sedimentological, geochemical, and biological observations, because precise information on environmental setting is important for selection of sampling sites and for appropriate interpretation of point measurements.

  2. Buffing, burnishing, and stripping of vinyl asbestos floor tile

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

    Hollett, B.A.; Edwards, A.; Clark, P.J.

    Studies were conducted to evaluate airborne asbestos concentrations during the three principal types of preventative maintenance (low-speed spray-buffing, ultra high-speed burnishing, and wet-stripping) used on asbestos-containing floor tiles. These were done under pre-existing and prepared levels of floor care maintenance. Airborne asbestos concentrations were measured before and during each floor care procedure to determine the magnitude of the increase in airborne asbestos levels during each procedure. Airborne total fiber concentrations were also measured for comparison with the Occupational Safety and Health Administration`s (OSHA) Permissible Exposure Limit (PEL) of 0.1 f/cm{sup 3}. Low-speed spray-buffing and wet-stripping were evaluated on pre-existing floormore » conditions and three levels of prepared floor care conditions (poor, medium, and good). Ultra high-speed burnishing and wet-stripping were evaluated on two levels of prepared floor care conditions (poor and good). Floor care conditions were defined in consultation with the Chemical Specialty Manufacturers Association and other representatives of floor-care chemical manufacturers. Controlled studies were conducted in an unoccupied building at the decommissioned Chanute Air Force Base in Rantoul, Illinois, with the cooperation of the U.S. Air Force. The building offered approximately 8600 ft{sup 2} of open floor space tiled with 9-inch by 9-inch resilient floor tile containing approximately 5% chrysotile asbestos.« less

  3. How do cattle respond to sloped floors? An investigation using behavior and electromyograms.

    PubMed

    Rajapaksha, E; Tucker, C B

    2014-05-01

    On dairy farms, flooring is often sloped to facilitate drainage. Sloped floors have been identified as a possible risk factor for lameness, but relatively little is known about how this flooring feature affects dairy cattle. Ours is the first study to evaluate the short-term effects of floor slope on skeletal muscle activity, restless behavior (measured by number of steps), and latency to lie down after 90 min of standing. Sixteen Holstein cows were exposed to floors with a 0, 3, 6, or 9% slope in a crossover design, with a minimum of 45 h between each testing session. Electromyograms were used to evaluate the activity of middle gluteal and biceps femoris muscles. Muscle activity was evaluated in 2 contexts: (1) static muscle contractions when cows continuously transferred weight to each hind leg, before and after 90 min of standing; and (2) dynamic contractions that occurred during 90 min of treatment exposure. Median power frequency and median amplitude of both static and dynamic muscle electrical signals were calculated. Total muscle activity was calculated using the root mean square of the signals. Restless behavior, the number of steps per treatment, steps and kicks in the milking parlor, and the latency to lie down after the test sessions were also measured. It was predicted that restless behavior, muscle fatigue (as measured by median power frequency and median amplitude), total muscle activity, and latency to lie down after testing would increase with floor slope. However, no treatment differences were found. Median power frequency was significantly greater for the middle gluteal muscle [35 ± 4 Hz (mean and SE)] compared with the biceps femoris muscle (24 ± 3 Hz), indicating that the contractive properties of these muscles differ. The number of steps per minute and total muscle activity increased significantly over 90 min of standing, irrespective of floor slope. Although restless behavior and muscle function did not change with slope in our study, this work demonstrates that electromyograms can be used to measure skeletal leg muscle activity in cattle. This technology, along with restless behavior, could be useful in assessing cow comfort in other situations, such as prolonged standing. Copyright © 2014 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  4. Properties of the ellipse-line-ellipse trajectory with asymmetrical variations

    NASA Astrophysics Data System (ADS)

    Guo, Zijia; Noo, Frédéric; Maier, Andreas; Lauritsch, Guenter

    2016-03-01

    Three-dimensional cone-beam (CB) imaging using a multi-axis floor-mounted (or ceiling-mounted) C-arm system has become an important tool in interventional radiology. This success motivates new developments to improve image quality. One direction in which advancement is sought is the data acquisition geometry and related CB artifacts. Currently, data acquisition is performed using the circular short-scan trajectory, which yields limited axial coverage and also provides incomplete data for accurate reconstruction. To improve the image quality, as well as to increase the coverage in the longitudinal direction of the patient, we recently introduced the ellipse- line-ellipse trajectory and showed that this trajectory provides full R-line coverage within the field-of-view, which is a key property for accurate reconstruction from truncated data. An R-line is any segment of line that connects two source positions. Here, we examine how the application of asymmetrical variations to the definition of the ELE trajectory impacts the R-line coverage. This question is significant to understand how much flexibility can be used in the implementation of the ELE trajectory, particularly to adapt the scan to patient anatomy and imaging task of interest. Two types of asymmetrical variations, called axial and angular variations, are investigated.

  5. Gut microbiota composition is correlated to grid floor induced stress and behavior in the BALB/c mouse.

    PubMed

    Bangsgaard Bendtsen, Katja Maria; Krych, Lukasz; Sørensen, Dorte Bratbo; Pang, Wanyong; Nielsen, Dennis Sandris; Josefsen, Knud; Hansen, Lars H; Sørensen, Søren J; Hansen, Axel Kornerup

    2012-01-01

    Stress has profound influence on the gastro-intestinal tract, the immune system and the behavior of the animal. In this study, the correlation between gut microbiota composition determined by Denaturing Grade Gel Electrophoresis (DGGE) and tag-encoded 16S rRNA gene amplicon pyrosequencing (454/FLX) and behavior in the Tripletest (Elevated Plus Maze, Light/Dark Box, and Open Field combined), the Tail Suspension Test, and Burrowing in 28 female BALB/c mice exposed to two weeks of grid floor induced stress was investigated. Cytokine and glucose levels were measured at baseline, during and after exposure to grid floor. Stressing the mice clearly changed the cecal microbiota as determined by both DGGE and pyrosequencing. Odoribacter, Alistipes and an unclassified genus from the Coriobacteriaceae family increased significantly in the grid floor housed mice. Compared to baseline, the mice exposed to grid floor housing changed the amount of time spent in the Elevated Plus Maze, in the Light/Dark Box, and burrowing behavior. The grid floor housed mice had significantly longer immobility duration in the Tail Suspension Test and increased their number of immobility episodes from baseline. Significant correlations were found between GM composition and IL-1α, IFN-γ, closed arm entries of Elevated Plus Maze, total time in Elevated Plus Maze, time spent in Light/Dark Box, and time spent in the inner zone of the Open Field as well as total time in the Open Field. Significant correlations were found to the levels of Firmicutes, e.g. various species of Ruminococccaceae and Lachnospiraceae. No significant difference was found for the evaluated cytokines, except an overall decrease in levels from baseline to end. A significant lower level of blood glucose was found in the grid floor housed mice, whereas the HbA1c level was significantly higher. It is concluded that grid floor housing changes the GM composition, which seems to influence certain anxiety-related parameters.

  6. Formaldehyde and TVOC emission behavior of laminate flooring by structure of laminate flooring and heating condition.

    PubMed

    An, Jae-Yoon; Kim, Sumin; Kim, Hyun-Joong

    2011-03-15

    Formaldehyde was measured with a desiccator, a 20 L chamber and the FLEC method. The formaldehyde emission rate from laminate was the highest at 32 °C using the desiccator, which then decreased with time. The formaldehyde emission using the 20 L small chamber and FLEC showed a similar tendency. There was a strong correlation between the formaldehyde and total volatile organic compounds (TVOCs) with both types of floorings using the two different methods. The formaldehyde emission rate and TVOC results were higher when tested using the FLEC method than with the 20 L small chamber method. The emission rate was affected by the joint edge length in laminate flooring. Toluene, ethylbenzene and xylene were the main VOCs emitted from laminate flooring, and there were more unidentified VOCs emitted than identified VOCs. The samples heated with a floor heating system emitted more formaldehyde than those heated using an air circulation system due to the temperature difference between the bottom panel and flooring. The TVOC emission level of the samples was higher when an air circulation system was used than when a floor heating system was used due to the high ventilation rate. Copyright © 2010 Elsevier B.V. All rights reserved.

  7. 24 CFR 3285.505 - Crawlspace ventilation.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... of ventilation openings must not be less than one square foot (ft.2) for every 150 square feet (ft.2) of the home's floor area. The total area of ventilation openings may be reduced to one square foot (ft.2) for every 1,500 square feet (ft.2) of the home's floor area, where a uniform 6-mil polyethylene...

  8. 24 CFR 3285.505 - Crawlspace ventilation.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... of ventilation openings must not be less than one square foot (ft.2) for every 150 square feet (ft.2) of the home's floor area. The total area of ventilation openings may be reduced to one square foot (ft.2) for every 1,500 square feet (ft.2) of the home's floor area, where a uniform 6-mil polyethylene...

  9. 24 CFR 3285.505 - Crawlspace ventilation.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... of ventilation openings must not be less than one square foot (ft.2) for every 150 square feet (ft.2) of the home's floor area. The total area of ventilation openings may be reduced to one square foot (ft.2) for every 1,500 square feet (ft.2) of the home's floor area, where a uniform 6-mil polyethylene...

  10. 24 CFR 3285.505 - Crawlspace ventilation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... of ventilation openings must not be less than one square foot (ft.2) for every 150 square feet (ft.2) of the home's floor area. The total area of ventilation openings may be reduced to one square foot (ft.2) for every 1,500 square feet (ft.2) of the home's floor area, where a uniform 6-mil polyethylene...

  11. Improving treatment geometries in total skin electron therapy: Experimental investigation of linac angles and floor scatter dose contributions using Cherenkov imaging.

    PubMed

    Andreozzi, Jacqueline M; Brůža, Petr; Tendler, Irwin I; Mooney, Karen E; Jarvis, Lesley A; Cammin, Jochen; Li, Harold; Pogue, Brian W; Gladstone, David J

    2018-06-01

    The purpose of this study was to identify the optimal treatment geometry for total skin electron therapy (TSET) using a new optimization metric from Cherenkov image analysis, and to investigate the sensitivity of the Cherenkov imaging method to floor scatter effects in this unique treatment setup. Cherenkov imaging using an intensified charge coupled device (ICCD) was employed to measure the relative surface dose distribution as a 2D image in the total skin electron treatment plane. A 1.2 m × 2.2 m × 1 cm white polyethylene sheet was placed vertically at a source to surface distance (SSD) of 300 cm, and irradiated with 6 MeV high dose rate TSET beams. The linear accelerator coordinate system used stipulates 0° is the bottom of the gantry arc, and progresses counterclockwise so that gantry angle 270° produces a horizontal beam orthogonal to the treatment plane. First, all unique pairs of treatment beams were analyzed to determine the performance of the currently recommended symmetric treatment angles (±20° from the horizontal), compared to treatment geometries unconstrained to upholding gantry angle symmetry. This was performed on two medical linear accelerators (linacs). Second, the extent of the floor scatter contributions to measured surface dose at the extended SSD required for TSET were imaged using three gantry angles of incidence: 270° (horizontal), 253° (-17°), and 240° (-30°). Images of the surface dose profile at each angle were compared to the standard concrete floor when steel plates, polyvinyl chloride (PVC), and solid water were placed on the ground at the base of the treatment plane. Postprocessing of these images allowed for comparison of floor material-based scatter profiles with previously published simulation results. Analysis of the symmetric treatment geometry (270 ± 20°) and the identified optimal treatment geometry (270 + 23° and 270 - 17°) showed a 16% increase in the 90% isodose area for the latter field pair on the first linac. The optimal asymmetric pair for the second linac (270 + 25° and 270 - 17°) provided a 52% increase in the 90% isodose area when compared to the symmetric geometry. Difference images between Cherenkov images captured with test materials (steel, PVC, and solid water) and the control (concrete floor) demonstrated relative changes in the two-dimensional (2D) dose profile over a 1 × 1.9 m region of interest (ROI) that were consistent with published simulation data. Qualitative observation of the residual images demonstrates localized increases and decreases with respect to the change in floor material and gantry angle. The most significant changes occurred when the beam was most directly impinging the floor (gantry angle 240°, horizontal -30°), where the PVC floor material decreased scatter dose by 1-3% in 7.2% of the total ROI area, and the steel plate increased scatter dose by 1-3% in 7.0% of the total ROI area. An updated Cherenkov imaging method identified asymmetric, machine-dependent TSET field angle pairs that provided much larger 90% isodose areas than the commonly adopted symmetric geometry suggested by Task Group 30 Report 23. A novel demonstration of scatter dose Cherenkov imaging in the TSET field was established. © 2018 American Association of Physicists in Medicine.

  12. Measuring the EMS patient access time interval and the impact of responding to high-rise buildings.

    PubMed

    Morrison, Laurie J; Angelini, Mark P; Vermeulen, Marian J; Schwartz, Brian

    2005-01-01

    To measure the patient access time interval and characterize its contribution to the total emergency medical services (EMS) response time interval; to compare the patient access time intervals for patients located three or more floors above ground with those less than three floors above or below ground, and specifically in the apartment subgroup; and to identify barriers that significantly impede EMS access to patients in high-rise apartments. An observational study of all patients treated by an emergency medical technician paramedics (EMT-P) crew was conducted using a trained independent observer to collect time intervals and identify potential barriers to access. Of 118 observed calls, 25 (21%) originated from patients three or more floors above ground. The overall median and 90th percentile (95% confidence interval) patient access time intervals were 1.61 (1.27, 1.91) and 3.47 (3.08, 4.05) minutes, respectively. The median interval was 2.73 (2.22, 3.03) minutes among calls from patients located three or more stories above ground compared with 1.25 (1.07, 1.55) minutes among those at lower levels. The patient access time interval represented 23.5% of the total EMS response time interval among calls originating less than three floors above or below ground and 32.2% of those located three or more stories above ground. The most frequently encountered barriers to access included security code entry requirements, lack of directional signs, and inability to fit the stretcher into the elevator. The patient access time interval is significantly long and represents a substantial component of the total EMS response time interval, especially among ambulance calls originating three or more floors above ground. A number of barriers appear to contribute to delayed paramedic access.

  13. Phenyl mercuric acetate (PMA): mercury-bearing flexible gymnasium floors in schools--evaluation of hazards and controlled abatement.

    PubMed

    Beaulieu, Harry J; Beaulieu, Serrita; Brown, Chris

    2008-06-01

    Phenyl mercuric acetate (PMA) historically has been used as a catalyst in polyurethane systems. In the 1950s-1970s, PMA was used as a catalyst in the 3M Tartan brand polyurethane flexible floors that were installed commonly in school gymnasiums. Mercury vapor is released into air above the surface of these floors. Sampling mercury in bulk flooring material and mercury vapor in air was conducted in nine Idaho schools in the spring of 2006. These evaluations were conducted in response to concerns by school officials that the floors could contain mercury and could release the mercury vapor into the air, presenting a potential health hazard for students, staff, and visitors. Controlled abatement was conducted in one school where remodeling would impact the mercury-bearing flexible gym floors ( approximately 9,000 ft(2) total). The controlled abatement consisted of containment of the work area with negative air technology; worker protection, including mercury-specific training, use of personal protective equipment, and biological and exposure monitoring; and environmental protection, including proper disposal of mercury-bearing hazardous waste material.

  14. Effect of Different Flooring Designs on the Performance and Foot Pad Health in Broilers and Turkeys.

    PubMed

    Chuppava, Bussarakam; Visscher, Christian; Kamphues, Josef

    2018-05-03

    Litter quality has a significant influence on the performance and foot pad health in poultry. The objective of this study was to evaluate the effects of different types of flooring designs on the performance and foot pad health in fattening broilers and turkeys. Three trials were conducted for each species using a total of 720 Ross 308 broilers and 720 Big 6 turkeys. After day seven, animals were randomly assigned to four groups with three subgroups each: G1—floor pens with litter, G2—floor pens with litter and floor heating, G3—partially-slatted flooring, including a littered area, and G4—fully-slatted flooring with a sand bath (900 cm²). Animals of both species had a significantly higher final body weight at dissection (day 36) after being reared on fully-slatted floors compared to common littered floors. In turkeys, the feed conversion ratio was worse in G4 (1.53 ± 0.04) than in G1 (1.47 ± 0.02) and G2 (1.48 ± 0.03). Water to feed ratio was significantly higher in G2 than other groups. Turkeys’ foot pad health was significantly better in G4 than in other groups beginning at day 21. In turkeys, platforms with slatted floors that allow for temporary separation of the feet from the litter could lead to improvements in foot pad health which could better enable the realization of species-specific behaviours and activities in littered areas.

  15. Effect of chronic nitrogen additions on soil nitrogen fractions in red spruce stands

    USGS Publications Warehouse

    David, M.B.; Cupples, A.M.; Lawrence, G.B.; Shi, G.; Vogt, K.; Wargo, P.M.

    1998-01-01

    The responses of temperate and boreal forest ecosystems to increased nitrogen (N) inputs have been varied, and the responses of soil N pools have been difficult to measure. In this study, fractions and pool sizes of N were determined in the forest floor of red spruce stands at four sites in the northeastern U.S. to evaluate the effect of increased N inputs on forest floor N. Two of the stands received 100 kg N ha-1 yr-1 for three years, one stand received 34 kg N ha-1 yr-1 for six years, and the remaining stand received only ambient N inputs. No differences in total N content or N fractions were measured in samples of the Oie and Oa horizons between treated and control plots in the three sites that received N amendments. The predominant N fraction in these samples was amino acid N (31-45 % of total N), followed by hydrolyzable unidentified N (16-31% of total N), acid- soluble N (18-22 % of total N), and NH4/+-N (9-13 % of total N). Rates of atmospheric deposition varied greatly among the four stands. Ammonium N and amino acid N concentrations in the Oie horizon were positively related to wet N deposition, with respective r2 values of 0.92 and 0.94 (n = 4, p < 0.05). These relationships were somewhat stronger than that observed between atmospheric wet N deposition and total N content of the forest floor, suggesting that these pools retain atmospherically deposited N. The NH4/+- N pool may represent atmospherically deposited N that is incorporated into organic matter, whereas the amino acid N pool could result from microbial immobilization of atmospheric N inputs. The response of forest floor N pools to applications of N may be masked, possibly by the large soil N pool, which has been increased by the long-term input of N from atmospheric deposition, thereby overwhelming the short-term treatments.

  16. Short communication: Flooring preferences of dairy cows at calving.

    PubMed

    Campler, M; Munksgaard, L; Jensen, M B; Weary, D M; von Keyserlingk, M A G

    2014-02-01

    The present study investigated the flooring preference during the 30 h before parturition in Holstein dairy cows housed individually in a maternity pen. Seventeen multiparous cows were moved, on average, 2 d before expected calving date into an individual maternity pen with 3 different flooring surfaces: 10 cm of sand, pebble-top rubber mats, or concrete flooring, each covered with 15 cm of straw. Calving location, lying time, and total time and number of lying bouts on each of the floor types were recorded during 2 periods: precalving (24 to 29 h before calving) and at calving (0 to 5h before calving). Ten cows calved on sand, 6 on concrete, and 1 on the rubber mat. Lying bouts increased during the hours closest to calving, regardless of flooring. The number of lying bouts did not differ between flooring types precalving but cows had more lying bouts on sand and concrete compared with rubber at calving. Cows spent more time lying down on sand and concrete compared with rubber precalving, but lying times did not differ between treatments at calving. Cows that calved on sand spent more time lying on sand at calving compared with the other 2 flooring types. Cows that calved on concrete did not show a flooring preference at calving. These results indicate that rubber mats are the least preferred by dairy cows in the maternity pens, even when covered with a deep layer of straw. Copyright © 2014 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  17. Fuel loadings in southwestern ecosystems of the United States

    Treesearch

    Stephen S. Sackett; Sally M Haase

    1996-01-01

    Natural forest fuel loadings cause extreme fire behavior during dry, windy weather experienced during most fire seasons in the Southwest. Fire severity is also exacerbated from burning heavy fuels, including heavy humus layers on the forest floor. Ponderosa pine and mixed conifer stands possess more than 21.7 and 44.1 tons per acre of total forest floor fuel,...

  18. Aspen development on similar soils in Minnesota and British Columbia after compaction and forest floor removal

    Treesearch

    Douglas M. Stone; Richard Kabzems

    2002-01-01

    Forest management practices that decrease soil porosity and remove organic matter can reduce site productivity. We evaluated effects of four treatments-merchantable bole harvest (MBH) with three levels of soil compaction (none, light, or heavy), and total woody vegetation harvest plus forest floor removal (FFR)-on fifth-year regeneration and growth of aspen (...

  19. [Microsite characteristics of pit and mound and their effects on the vegetation regeneration in Pinus koraiensis-dominated broadleaved mixed forest].

    PubMed

    Du, Shan; Duan, Wen-Biao; Wang, Li-Xia; Chen, Li-Xin; Wei, Quan-Shuai; Li, Meng; Wang, Li-dong

    2013-03-01

    Abstract: An investigation was conducted in a 2.55 hm2 plot of Pinus koraiensis-dominated broad-leaved mixed forest to study the microsite characteristics of pit and mound formed by 42 treefalls and the status of vegetation regeneration on the microsites. The soil water content, soil temperature, relative air humidity, and photosynthetically active radiation (PAR) on five microsites (mound top, mound face, pit wall, pit bottom, and intact forest floor) were measured. Among the five mirosites, mound top had the highest PAR (527.9 micromol.m-2.s-1 ) while intact forest floor had the lowest one (58.7 micromol.m-2.s-), mound top had the highest soil temperature (16.0 degrees C) but pit bottom had the lowest one (13.3 degrees C), pit bottom had the highest soil water content (34.6%) but mound face had the lowest one (0.5%), and intact forest floor had the highest relative air humidity (75.9%) but mound top had the lowest one (68.0%). The frequency of forming pit/ mound complex by the tree species was decreased in the order of Pinus koraiensis (42. 9%) >Picea asperata (31.0%) > Betula platyphylla (16.7%) > Abies fabri (7. 1%) > Prunus padus (2.4%). Among the 42 treefalls, two-thirds of them were in northwest direction. The treefalls volume had significant positive correlations with pit depth, pit length, mound height, and mound width, but negative correlation with mound thickness. The treefall mean diameter at breast height had significant positive correlations with pit width (r=0.328, P=0.017) and pit length (r=0.527, P= 0). The tree species richness at the microsites decreased in the order of intact forest floor > pit > mound, and the tree species coverage was in the sequence of intact forest floor > pit > mound.

  20. Most efficient questionnaires to measure quality of life, physical function, and pain in patients with metastatic spine disease: a cross-sectional prospective survey study.

    PubMed

    Paulino Pereira, Nuno Rui; Janssen, Stein J; Raskin, Kevin A; Hornicek, Francis J; Ferrone, Marco L; Shin, John H; Bramer, Jos A M; van Dijk, Cornelis Nicolaas; Schwab, Joseph H

    2017-07-01

    Assessing quality of life, functional outcome, and pain has become important in assessing the effectiveness of treatment for metastatic spine disease. Many questionnaires are able to measure these outcomes; few are validated in patients with metastatic spine disease. As a result, there is no consensus on the ideal questionnaire to use in these patients. Our study aim was to assess whether certain questionnaires measuring quality of life, functional outcome, and pain (1) correlated with each other, (2) measured the construct they claim to measure, (3) had good coverage-floor and ceiling effects, (4) were reliable, and (5) whether there were differences in completion time between them. This is a prospective cross-sectional survey study from three outpatient clinics (two orthopedic oncology clinics and one neurosurgery clinic) from two affiliated tertiary hospital care centers. We included 100 consecutive patients with metastatic spine disease between July 2014 and February 2016. We excluded non-English-speaking patients. The following questionnaires were given in random order: Oswestry Disability Index (ODI) or Neck Disability Index (NDI), Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function, PROMIS Pain Intensity, EuroQol-5 Dimensions (EQ-5D), and the Spine Oncology Study Group Outcome Questionnaire (SOSG-OQ). We used exploratory factor analysis-correlating questionnaires with an underlying mathematically derived trait-to assess if questionnaires measured the same concept. Coverage was assessed by floor and ceiling effects, and reliability was assessed by standard error of measurement as a function of ability. Differences in completion times were tested using the Friedman test. Questionnaires measured the construct they were developed for, as demonstrated with high correlations (>0.7) with the underlying trait. A floor effect was present in the PROMIS Pain Intensity (7.0%), ODI or NDI (4.0%), and the PROMIS Physical Function (1.0%) questionnaires. A ceiling effect was present in the EQ-5D questionnaire (6.0%). The SOSG-OQ had no floor or ceiling effect. The PROMIS Physical Function and PROMIS Pain Intensity proved to be the most reliable, whereas the EQ-5D was the least reliable. Completion time differed among questionnaires (p<.001) and was shortest for the PROMIS Pain Intensity (median 24 seconds) and PROMIS Physical Function (median 42 seconds). In patients with metastatic spine disease, we recommend the SOSG-OQ for measuring quality of life, the PROMIS Physical Function for measuring physical function, and the PROMIS Pain Intensity for measuring pain. Published by Elsevier Inc.

  1. Restoration of the centre of rotation in primary total hip arthroplasty: the influence of acetabular floor depth and reaming technique.

    PubMed

    Meermans, G; Doorn, J Van; Kats, J-J

    2016-12-01

    One goal of total hip arthroplasty is to restore normal hip anatomy. The aim of this study was to compare displacement of the centre of rotation (COR) using a standard reaming technique with a technique in which the acetabulum was reamed immediately peripherally and referenced off the rim. In the first cohort the acetabulum was reamed to the floor followed by sequentially larger reamers. In the second cohort the acetabulum was only reamed peripherally, starting with a reamer the same size as the native femoral head. Anteroposterior pelvic radiographs were analysed for acetabular floor depth and vertical and horizontal position of the COR. Horizontally, the mean medial displacement of the COR was 0.8 mm (standard deviation (sd) 1.4) in the peripheral remaing group and 5.0 mm (sd 3.30) in the standard reaming group (p < 0.001). Vertically, the mean superior displacement of the COR was 0.7 mm (sd 1.3) in the peripheral reaming group and 3.7 mm (sd 2.6) in the standard reaming group (p < 0.001). In the standard reaming group, there was a strong correlation between the pre-operative acetabular floor depth and displacement of the COR (p < 0.001). Reaming the acetabulum to the floor can lead to significant displacement of the COR medially and superiorly. This displacement is related to the pre-operative acetabular floor depth and cannot always be compensated by using a high offset stem. Cite this article: Bone Joint J 2016;98-B:1597-603. ©2016 The British Editorial Society of Bone & Joint Surgery.

  2. Human Occupancy as a Source of Indoor Airborne Bacteria

    PubMed Central

    Hospodsky, Denina; Qian, Jing; Nazaroff, William W.; Yamamoto, Naomichi; Bibby, Kyle; Rismani-Yazdi, Hamid; Peccia, Jordan

    2012-01-01

    Exposure to specific airborne bacteria indoors is linked to infectious and noninfectious adverse health outcomes. However, the sources and origins of bacteria suspended in indoor air are not well understood. This study presents evidence for elevated concentrations of indoor airborne bacteria due to human occupancy, and investigates the sources of these bacteria. Samples were collected in a university classroom while occupied and when vacant. The total particle mass concentration, bacterial genome concentration, and bacterial phylogenetic populations were characterized in indoor, outdoor, and ventilation duct supply air, as well as in the dust of ventilation system filters and in floor dust. Occupancy increased the total aerosol mass and bacterial genome concentration in indoor air PM10 and PM2.5 size fractions, with an increase of nearly two orders of magnitude in airborne bacterial genome concentration in PM10. On a per mass basis, floor dust was enriched in bacterial genomes compared to airborne particles. Quantitative comparisons between bacterial populations in indoor air and potential sources suggest that resuspended floor dust is an important contributor to bacterial aerosol populations during occupancy. Experiments that controlled for resuspension from the floor implies that direct human shedding may also significantly impact the concentration of indoor airborne particles. The high content of bacteria specific to the skin, nostrils, and hair of humans found in indoor air and in floor dust indicates that floors are an important reservoir of human-associated bacteria, and that the direct particle shedding of desquamated skin cells and their subsequent resuspension strongly influenced the airborne bacteria population structure in this human-occupied environment. Inhalation exposure to microbes shed by other current or previous human occupants may occur in communal indoor environments. PMID:22529946

  3. Seasonal Variations in Ash Content of Some Michigan Forest Floor Fuels

    Treesearch

    Robert M. Loomis

    1982-01-01

    Samples from the forest floor litter layer were collected seasonally from under medium to fully stocked larger sapling to sawtimber stands in Lower Michigan to study seasonal ash content changes. The total ash and silica-free ash content of tree foliage in the upper part of the litter layer differed little from season to season. Differences in ash content due to...

  4. Sea-Floor Images and Data from Multibeam Surveys in San Francisco Bay, Southern California, Hawaii, the Gulf of Mexico, and Lake Tahoe, California-Nevada

    USGS Publications Warehouse

    Dartnell, Peter; Gardiner, James V.

    1999-01-01

    Accurate base maps are a prerequisite for any geologic study, regardless of the objectives. Land-based studies commonly utilize aerial photographs, USGS 7.5-minute quadrangle maps, and satellite images as base maps. Until now, studies that involve the ocean floor have been at a disadvantage due to an almost complete lack of accurate marine base maps. Many base maps of the sea floor have been constructed over the past century but with a wide range in navigational and depth accuracies. Only in the past few years has marine surveying technology advanced far enough to produce navigational accuracy of 1 meter and depth resolutions of 50 centimeters. The Pacific Seafloor Mapping Project of the U.S. Geological Survey's, Western Coastal and Marine Geology Program, Menlo Park, California, U.S.A., in cooperation with the Ocean Mapping Group, University of New Brunswick, Fredericton, Canada, is using this new technology to systematically map the ocean floor and lakes. This type of marine surveying, called multibeam surveying, collects high-resolution bathymetric and backscatter data that can be used for various base maps, GIS coverages, and scientific visualization methods. This is an interactive CD-ROM that contains images, movies, and data of all the surveys the Pacific Seafloor Mapping Project has completed up to January 1999. The images and movies on this CD-ROM, such as shaded relief of the bathymetry, backscatter, oblique views, 3-D views, and QuickTime movies help the viewer to visualize the multibeam data. This CD-ROM also contains ARC/INFO export (.e00) files and full-resolution TIFF images of all the survey sites that can be downloaded and used in many GIS packages.

  5. Evolution of the Olympus Mons Caldera, Mars

    NASA Technical Reports Server (NTRS)

    Mouginis-Mark, Peter J.; Robinson, Mark S.; Zuber, Maria T.

    1990-01-01

    Extensive high-resolution (15 to 20 m/pixel) coverage of Olympus Mons volcano permits the investigation of the sequence of events associated with the evolution of the nested summit caldera. The sequence of the intra-caldera events is well illustrated by image data collected on orbits 473S and 474S of Viking Orbiter 1. These data cover both the oldest and youngest portions of the caldera floor. The chronology inferred from the observations is presented which in turn can be interpreted in terms of the internal structure of the volcano (i.e., magma chamber depth and the existence of dikes).

  6. Validation of the Spine Oncology Study Group-Outcomes Questionnaire to assess quality of life in patients with metastatic spine disease.

    PubMed

    Janssen, Stein J; Teunis, Teun; van Dijk, Eva; Ferrone, Marco L; Shin, John H; Hornicek, Francis; Schwab, Joseph H

    2017-06-01

    General questionnaires are often used to assess quality of life in patients with spine metastases, although a disease-specific survey did not exist until recently. The Spine Oncology Study Group has developed an outcomes questionnaire (SOSG-OQ) to measure quality of life in these patients. However, a scoring system was not developed, and the questionnaire was not validated in a group of patients, nor was it compared with other general quality of life questionnaires such as the EuroQol 5 Dimensions (EQ-5D) questionnaire. Our primary null hypothesis is that there is no association between the SOSG-OQ and EQ-5D. Our secondary null hypothesis is that there is no difference in coverage and internal consistency between the SOSG-OQ and EQ-5D. We also assess coverage, consistency, and validity of the domains within the SOSG-OQ. A survey study from a tertiary care spine referral center was used for this study. The patient sample consisted of 82 patients with spine metastases, myeloma, or lymphoma. The SOSG-OQ (27 questions, 6 domains) score ranges from 0 to 80, with a higher score indicating worse quality of life. The EQ-5D (5 questions, 5 domains) index score ranges from 0 to 1, with a higher score indicating better quality of life. The association between the SOSG-OQ and EQ-5D index score was assessed using the Spearman rank correlation. Instrument coverage and precision were assessed by determining item completion rate, median score with range, and floor and ceiling effect. Internal consistency was assessed using Cronbach alpha. Multitrait analysis and exploratory factor analysis were used to analyze properties of the individual domains in the SOSG-OQ. The Spearman rank correlation between the SOSG-OQ and EQ-5D questionnaire was high (r=-0.83, p<.001). Internal consistency of the SOSG-OQ (0.92, 95% CI: 0.89-0.94) was higher as compared to the internal consistency of the EQ-5D (0.73, 95% CI: 0.63-0.84; p<.001). The SOSG-OQ score had no floor or ceiling effect indicating good coverage (median 30, range 3-64), whereas the EQ-5D had a ceiling effect of 10% (median 0.71, range 0.05-1). In conclusion, our study proposes a scoring methodology-after reversing four inversely scored items-for the SOSG-OQ and shows that the questionnaire is a valid tool for the assessment of quality of life in patients with metastatic spine disease. The SOSG-OQ is superior to the EQ-5D in terms of coverage and internal consistency but consists of more questions. Copyright © 2015 Elsevier Inc. All rights reserved.

  7. Migration of DEHP and DINP into dust from PVC flooring products at different surface temperature.

    PubMed

    Jeon, Seunghwan; Kim, Ki-Tae; Choi, Kyungho

    2016-03-15

    Phthalates are important endocrine disrupting chemicals that have been linked to various adverse human health effects. Phthalates are ubiquitously present in indoor environment and could enter humans. Vinyl or PVC floorings have been recognized as one of important sources of phthalate release to indoor environment including house dust. In the present study, we estimated the migration of di(2-ethylhexyl)phthalate (DEHP) and di-isononyl phthalate (DINP) from the flooring materials into the dust under different heating conditions. For this purpose, a small chamber specifically designed for the present study and a Field and Laboratory Emission Cell (FLEC) were used, and four major types of PVC flooring samples including two UV curing paint coated, an uncoated residential, and a wax-coated commercial type were tested. Migration of DEHP was observed for an uncoated residential type and a wax-coated commercial type flooring. After 14 days of incubation, the levels of DEHP in the dust sample was determined at room temperature on average (standard deviation) at 384 ± 19 and 481 ± 53 μg/g, respectively. In contrast, migration of DINP was not observed. The migration of DEHP was strongly influenced by surface characteristics such as UV curing coating. In the residential flooring coated with UV curing paint, migration of DEHP was not observed at room temperature. But under the heated condition, the release of DEHP was observed in the dust in the FLEC. Migration of DEHP from flooring materials increased when the flooring was heated (50 °C). In Korea, heated flooring system, or 'ondol', is very common mode of heating in residential setting, therefore the contribution of PVC flooring to the total indoor DEHP exposure among general population is expected to be greater especially during winter season when the floor is heated. Copyright © 2015 Elsevier B.V. All rights reserved.

  8. Improved repeatability of nasal potential difference with a larger surface catheter.

    PubMed

    Vermeulen, François; Proesmans, Marijke; Boon, Mieke; De Boeck, Kris

    2015-05-01

    To increase the power of nasal potential difference (NPD) as a biomarker of CFTR function, improvement of its repeatability is needed. We evaluated the improvement in repeatability resulting from measuring NPD (1) over a larger surface area and (2) at a fixed location. To assess repeatability, NPD was measured on two occasions with a new method using a larger surface catheter at fixed locations on the nasal floor (LSC-floor(5cm) and LSC-floor(3cm)) or at the most negative basal potential (LSC-floor(max)); with a sidehole catheter on the nasal floor at 5 cm) from the nasal margin (SHC-floor(5cm)) or at the most negative potential (SHC-floor(max)); and with an endhole catheter below the inferior surface of the lower turbinate at the most negative potential (EHC-turb(max)). The within-subject standard deviation (S(w)) for repeated measurements of the total chloride response in the controls was smallest with the LSC-floor at a fixed location (LSC-floor(5cm) 3.1 mV; 95% CI 2.3-4.6 mV) and highest with the SHC-floor (SHC-floor(max) 14.6 mV; 95% CI 10.9-22.2 mV) or the EHC-turbinate (EHC-turb(max) 12.5 mV; 95% CI 10.7-23.0 mV) at the most negative basal potential. Measuring with the LSC-floor at the maximal potential increased the Sw (LSC-floor(max) 8.8 mV, 95% CI 6.0-16.1 mV, p=0.009 vs LSC-floor(5cm)), while measuring with the SHC-floor at a fixed location slightly decreased the Sw (SHC-floor(5cm) 9.8 mV, 95% CI 8.9-20.6 mV, p=0.06 vs SHC-floor(max)). In patients with cystic fibrosis, the S(w) was comparable, between 2.2 mV and 4.3 mV. Sample size calculations for trials using NPD to assess changes in ion transport showed that the number of subjects to be included could be approximately halved measuring with the larger surface catheter at a fixed location vs SHC or EHC at fixed locations. Measuring the NPD at a fixed location and over a larger surface resulted in increased repeatability and thereby also power as a biomarker of CFTR modulation. Copyright © 2014 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.

  9. Quantifying macropore recharge: Examples from a semi-arid area

    USGS Publications Warehouse

    Wood, W.W.; Rainwater, Ken A.; Thompson, D.B.

    1997-01-01

    The purpose of this paper is to illustrate the significantly increased resolution of determining macropore recharge by combining physical, chemical, and isotopic methods of analysis. Techniques for quantifying macropore recharge were developed for both small-scale (1 to 10 km2) and regional-scale areas in and semi-arid areas. The Southern High Plains region of Texas and New Mexico was used as a representative field site to test these methods. Macropore recharge in small-scale areas is considered to be the difference between total recharge through floors of topographically dosed basins and interstitial recharge through the same area. On the regional scale, macropore recharge was considered to be the difference between regional average annual recharge and interstitial recharge measured in the unsaturated zone. Stable isotopic composition of ground water and precipitation was used us an independent estimate of macropore recharge on the regional scale. Results of this analysis suggest that in the Southern High Plains recharge flux through macropores is between 60 and 80 percent of the total 11 mm/y. Between 15 and 35 percent of the recharge occurs by interstitial recharge through the basin floors. Approximately 5 percent of the total recharge occurs as either interstitial or matrix recharge between the basin floors, representing approximately 95 percent of the area. The approach is applicable to other arid and semi-arid areas that focus rainfall into depressions or valleys.The purpose of this paper is to illustrate the significantly increased resolution of determining macropore recharge by combining physical, chemical, and isotopic methods of analysis. Techniques for quantifying macropore recharge were developed for both small-scale (1 to 10 km2) and regional-scale areas in arid and semi-arid areas. The Southern High Plains region of Texas and New Mexico was used as a representative field site to test these methods. Macropore recharge in small-scale areas is considered to be the difference between total recharge through floors of topographically closed basins and interstitial recharge through the same area. On the regional scale, macropore recharge was considered to be the difference between regional average annual recharge and interstitial recharge measured in the unsaturated zone. Stable isotopic composition of ground water and precipitation was used as an independent estimate of macropore recharge on the regional scale. Results of this analysis suggest that in the Southern High Plains recharge flux through macropores is between 60 and 80 percent of the total 11 mm/y. Between 15 and 35 percent of the recharge occurs by interstitial recharge through the basin floors. Approximately 5 percent of the total recharge occurs as either interstitial or matrix recharge between the basin floors, representing approximately 95 percent of the area. The approach is applicable to other arid and semi-arid areas that focus rainfall into depressions or valleys.

  10. Mars global digital dune database and initial science results

    USGS Publications Warehouse

    Hayward, R.K.; Mullins, K.F.; Fenton, L.K.; Hare, T.M.; Titus, T.N.; Bourke, M.C.; Colaprete, A.; Christensen, P.R.

    2007-01-01

    A new Mars Global Digital Dune Database (MGD3) constructed using Thermal Emission Imaging System (THEMIS) infrared (IR) images provides a comprehensive and quantitative view of the geographic distribution of moderate- to large-size dune fields (area >1 kM2) that will help researchers to understand global climatic and sedimentary processes that have shaped the surface of Mars. MGD3 extends from 65??N to 65??S latitude and includes ???550 dune fields, covering ???70,000 km2, with an estimated total volume of ???3,600 km3. This area, when combined with polar dune estimates, suggests moderate- to large-size dune field coverage on Mars may total ???800,000 km2, ???6 times less than the total areal estimate of ???5,000,000 km2 for terrestrial dunes. Where availability and quality of THEMIS visible (VIS) or Mars Orbiter Camera. narrow-angle (MOC NA) images allow, we classify dunes and include dune slipface measurements, which are derived from gross dune morphology and represent the prevailing wind direction at the last time of significant dune modification. For dunes located within craters, the azimuth from crater centroid to dune field centroid (referred to as dune centroid azimuth) is calculated and can provide an accurate method for tracking dune migration within smooth-floored craters. These indicators of wind direction are compared to output from a general circulation model (GCM). Dune centroid azimuth values generally correlate to regional wind patterns. Slipface orientations are less well correlated, suggesting that local topographic effects may play a larger role in dune orientation than regional winds. Copyright 2007 by the American Geophysical Union.

  11. The role of litterfall in transferring Fukushima-derived radiocesium to a coniferous forest floor.

    PubMed

    Teramage, Mengistu T; Onda, Yuichi; Kato, Hiroaki; Gomi, Takashi

    2014-08-15

    The deposition of Fukushima-derived radiocesium via falling litter in a coniferous forest 180 km downwind immediately following the nuclear power plant accident was investigated. The litterfall contribution to the transfer of radiocesium from the forest canopy to the forest floor was determined, and this pathway was compared with hydrological pathways. The results demonstrated that during the observation period, a total of approximately 5.5 kBq m(-2) of Fukushima-derived radiocesium was deposited on the forest floor through throughfall (53%), stemflow (2.3%) and litterfall (45%) routes. The data revealed that the contributions of hydrological pathways became less important as time passed. However, the litterfall route, which transferred approximately 31% (2.5±0.6 kBq m(-2)) of the local fallout within the observation period, continued depositing radiocesium onto the forest floor. Copyright © 2014 Elsevier B.V. All rights reserved.

  12. An audit of NICE guidelines on antenatal pelvic floor exercises.

    PubMed

    Ismail, Sharif I M F

    2009-12-01

    The National Institute for Health and Clinical Excellence (NICE) recommends antenatal pelvic floor exercises during first pregnancy to reduce postpartum stress incontinence. The aim of this audit was to assess patient awareness and compliance with this guideline. An anonymous self-constructed questionnaire was given to patients after their first delivery. A total of 223 questionnaires were returned over a 6-month period. Although 95% of patients were aware of the importance of pelvic floor exercises, only a limited proportion of them had the right information and a minority practised them. Printed material seemed to be very influential in getting the message across. The importance of giving information early in pregnancy and national awareness was shown in the suggestions for improvement. Patient awareness and actual practise of antenatal pelvic floor exercises did not meet NICE guidelines, calling for strategies to improve awareness and adherence.

  13. Dynamic translabial ultrasound versus echodefecography combined with the endovaginal approach to assess pelvic floor dysfunctions: How effective are these techniques?

    PubMed

    Murad-Regadas, S M; Karbage, S A; Bezerra, L S; Regadas, F S P; da Silva Vilarinho, A; Borges, L B; Regadas Filho, F S P; Veras, L B

    2017-07-01

    The aim of this study was to evaluate the role of dynamic translabial ultrasound (TLUS) in the assessment of pelvic floor dysfunction and compare the results with echodefecography (EDF) combined with the endovaginal approach. Consecutive female patients with pelvic floor dysfunction were eligible. Each patient was assessed with EDF combined with the endovaginal approach and TLUS. The diagnostic accuracy of the TLUS was evaluated using the results of EDF as the standard for comparison. A total of 42 women were included. Four sphincter defects were identified with both techniques, and EDF clearly showed if the defect was partial or total and additionally identified the pubovisceral muscle defect. There was substantial concordance regarding normal relaxation and anismus. Perfect concordance was found with rectocele and cystocele. The rectocele depth was measured with TLUS and quantified according to the EDF classification. Fair concordance was found for intussusception. There was no correlation between the displacement of the puborectal muscle at maximum straining on EDF with the displacement of the anorectal junction (ARJ), compared at rest with maximal straining on TLUS to determine perineal descent (PD). The mean ARJ displacement was similar in patients with normal and those with excessive PD on TLUS. Both modalities can be used as a method to assess pelvic floor dysfunction. The EDF using 3D anorectal and endovaginal approaches showed advantages in identification of the anal sphincters and pubodefects (partial or total). There was good correlation between the two techniques, and a TLUS rectocele classification based on size that corresponds to the established classification using EDF was established.

  14. [Quantification of acetabular coverage in normal adult].

    PubMed

    Lin, R M; Yang, C Y; Yu, C Y; Yang, C R; Chang, G L; Chou, Y L

    1991-03-01

    Quantification of acetabular coverage is important and can be expressed by superimposition of cartilage tracings on the maximum cross-sectional area of the femoral head. A practical Autolisp program on PC AutoCAD has been developed by us to quantify the acetabular coverage through numerical expression of the images of computed tomography. Thirty adults (60 hips) with normal center-edge angle and acetabular index in plain X ray were randomly selected for serial drops. These slices were prepared with a fixed coordination and in continuous sections of 5 mm in thickness. The contours of the cartilage of each section were digitized into a PC computer and processed by AutoCAD programs to quantify and characterize the acetabular coverage of normal and dysplastic adult hips. We found that a total coverage ratio of greater than 80%, an anterior coverage ratio of greater than 75% and a posterior coverage ratio of greater than 80% can be categorized in a normal group. Polar edge distance is a good indicator for the evaluation of preoperative and postoperative coverage conditions. For standardization and evaluation of acetabular coverage, the most suitable parameters are the total coverage ratio, anterior coverage ratio, posterior coverage ratio and polar edge distance. However, medial coverage and lateral coverage ratios are indispensable in cases of dysplastic hip because variations between them are so great that acetabuloplasty may be impossible. This program can also be used to classify precisely the type of dysplastic hip.

  15. Emission of volatile organic compounds (VOCs) from PVC floor coverings.

    PubMed

    Wiglusz, R; Igielska, B; Sitko, E; Nikel, G; Jarnuszkiewicz, I

    1998-01-01

    In this study 29 PVC floor coverings were tested for emission of vinyl chloride (VC) and other volatile organic compounds (VOCs). A study on the effect of higher temperature on emission of VOCs from newly manufactured PVC flooring was also carried out. The study was conducted in climatic chamber, according to Polish Standard PN-89/Z-04021. GC method was used for analyzing of the compounds emitted. VC was not emitted from any of the floorings tested. Other VOCs were emitted in different concentrations. The influence of temperature on emission was conducted at temperatures of 23 degrees C and 35 degrees C from 2 hrs up to 180 days after introduction of materials in the chamber. The increase of temperature caused increase of total volatile organic compounds (TVOC) emission during 24 hrs of experiment. Then the emission was comparable for both temperatures. After 9 days emission of identified and unidentified compounds (TVOC) showed a rapid decay and stayed on very low level during a few months. The study conducted showed that PVC floorings after 10 days of installation in the room should not be source of indoor air contamination.

  16. [Responses of plant community structure and species composition to warming and N addition in an alpine meadow, northern Tibetan Plateau, China].

    PubMed

    Zong, Ning; Chai, Xi; Shi, Pei Li; Jiang, Jing; Niu, Ben; Zhang, Xian Zhou; He, Yong Tao

    2016-12-01

    Global climate warming and increasing nitrogen (N) deposition, as controversial global environmental issues, may distinctly affect the functions and processes of terrestrial ecosystems. It has been reported that the Qinghai-Tibet Plateau has been experiencing significant warming in recent decades, especially in winter. Previous studies have mainly focused on the effects of warming all the year round; however, few studies have tested the effects of winter warming. To investigate the effects of winter warming and N addition on plant community structure and species composition of alpine meadow, long-term N addition and simulated warming experiment was conducted in alpine meadow from 2010 in Damxung, northern Tibet. The experiment consisted of three warming patterns: Year-round warming (YW), winter warming (WW) and control (NW), crossed respectively with five N gradients: 0, 10, 20, 40, 80 kg N·hm -2 ·a -1 . From 2012 to 2014, both warming and N addition significantly affected the total coverage of plant community. Specifically, YW significantly decreased the total coverage of plant community. Without N addition, WW remarkably reduced the vegetation coverage. However, with N addition, the total vegetation coverage gradually increased with the increase of N level. Warming and N addition had different effects on plants from different functional groups. Warming significantly reduced the plant coverage of grasses and sedges, while N addition significantly enhanced the plant coverage of grasses. Regression analyses showed that the total coverage of plant community was positively related to soil water content in vigorous growth stages, indicating that the decrease in soil water content resulted from warming during dry seasons might be the main reason for the decline of total community coverage. As soil moisture in semi-arid alpine meadow is mainly regulated by rainfalls, our results indicated that changes in spatial and temporal patterns of rainfalls under the future climate change scenarios would dramatically influence the vegetation coverage and species composition. Additionally, the effects of increasing atmospheric N deposition on vegetation community might also depend on the change of rainfall patterns.

  17. Benthic habitat map of the U.S. Coral Reef Task Force Watershed Partnership Initiative Kā'anapali priority study area and the State of Hawai'i Kahekili Herbivore Fisheries Management Area, west-central Maui, Hawai'i

    USGS Publications Warehouse

    Cochran, Susan A.; Gibbs, Ann E.; White, Darla J.

    2014-01-01

    Nearshore areas off of west-central Maui, Hawai‘i, once dominated by abundant coral coverage, now are characterized by an increased abundance of turf algae and macroalgae. In an effort to improve the health and resilience of the coral reef system, the Kahekili Herbivore Fisheries Management Area was established by the State of Hawai‘i, and the U.S. Coral Reef Task Force selected the Kā‘anapali region as a priority study area. To support these efforts, the U.S. Geological survey mapped nearly 5 km2 of sea floor from the shoreline to water depths of about 30 m. Unconsolidated sediment (predominantly sand) constitutes 65 percent of the sea floor in the mapped area. Reef and other hardbottom potentially available for coral recruitments constitutes 35 percent of the mapped area. Of this potentially available hardbottom, only 51 percent is covered with a minimum of 10 percent coral, and most is found between 5 and 10 m water depth.

  18. Urban development control based on transportation carrying capacity

    NASA Astrophysics Data System (ADS)

    Miharja, M.; Sjafruddin, A. H.

    2017-06-01

    Severe transportation problems in Indonesian urban areas are stimulated by one fundamental factor, namely lack of awareness on transportation carrying capacity in these areas development control. Urban land use development towards more physical coverage is typically not related with the capability of transportation system to accommodate additional trips volume. Lack of clear connection between development permit with its implication on the transportation side has led to a phenomenon of exceeding transport demand over supply capacity. This paper discusses the concept of urban land use development control which will be related with transport carrying capacity. The discussion would cover both supply and demand sides of transportation. From supply side, the analysis regarding the capacity of transport system would take both existing as well as potential road network capacity could be developed. From demand side, the analysis would be through the control of a maximum floor area and public transport provision. Allowed maximum floor area for development would be at the level of generating traffic at reasonable volume. Ultimately, the objective of this paper is to introduce model to incorporate transport carrying capacity in Indonesian urban land use development control.

  19. Marine biology

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

    Thurman, H.V.; Webber, H.H.

    1984-01-01

    This book discusses both taxonomic and ecological topics on marine biology. Full coverage of marine organisms of all five kingdoms is provided, along with interesting and thorough discussion of all major marine habitats. Organization into six major parts allows flexibility. It also provides insight into important topics such as disposal of nuclear waste at sea, the idea that life began on the ocean floor, and how whales, krill, and people interact. A full-color photo chapter reviews questions, and exercises. The contents are: an overview marine biology: fundamental concepts/investigating life in the ocean; the physical ocean, the ocean floor, the naturemore » of water, the nature and motion of ocean water; general ecology, conditions for life in the sea, biological productivity and energy transfer; marine organisms; monera, protista, mycota and metaphyta; the smaller marine animals, the large animals marine habitats, the intertidal zone/benthos of the continental shelf, the photic zone, the deep ocean, the ocean under stress, marine pollution, appendix a: the metric system and conversion factors/ appendix b: prefixes and suffixes/ appendix c: taxonomic classification of common marine organisms, and glossary, and index.« less

  20. A prospective randomized controlled trial of the two-window technique without membrane versus the solo-window technique with membrane over the osteotomy window for maxillary sinus augmentation.

    PubMed

    Yu, Huajie; He, Danqing; Qiu, Lixin

    2017-12-01

    Maturation of the grafted volume after lateral sinus elevation is crucial for the long-term survival of dental implants. To compare endo-sinus histomorphometric bone formation between the solo- and two-window maxillary sinus augmentation techniques with or without membrane coverage for the rehabilitation of multiple missing posterior teeth. Patients with severely atrophic posterior maxillae were randomized to receive lateral sinus floor elevation via the solo-window technique with membrane coverage (Control Group) or the two-window technique without coverage (Test Group). Six months after surgery, bone core specimens harvested from the lateral aspect were histomorphometrically analyzed. Ten patients in each group underwent 21 maxillary sinus augmentations. Histomorphometric analysis revealed mean newly formed bone values of 26.08 ± 16.23% and 27.14 ± 18.11%, mean connective tissue values of 59.34 ± 12.42% and 50.03 ± 17.13%, and mean residual graft material values of 14.6 ± 14.56% and 22.78 ± 10.83% in the Test and Control Groups, respectively, with no significant differences. The two-window technique obtained comparative maturation of the grafted volume even without membrane coverage, and is a viable alternative for the rehabilitation of severely atrophic posterior maxillae with multiple missing posterior teeth. © 2017 Wiley Periodicals, Inc.

  1. Influence of plastic slatted floors compared with pine shaving litter on Pekin Duck condition during the summer months.

    PubMed

    Fraley, S M; Fraley, G S; Karcher, D M; Makagon, M M; Lilburn, M S

    2013-07-01

    The management and well-being of commercial Pekin ducks has been studied in the European Union where straw is the predominant litter source. In the United States, however, the most prevalent litter is wood shavings, with a recent trend toward using plastic slatted flooring. A previous study in the United States evaluated the relationship between flooring type (litter, slats) and duck condition during winter months and found very few differences between the 2 in terms of overall duck condition. The purpose of the current study was to reevaluate the 2 flooring systems during the summer months to determine if seasonal differences would interact with flooring type to have an impact on duck condition. Eighteen commercial barns that produce Pekin ducks for Maple Leaf Farms Inc. (Leesburg, IN), located in northern Indiana and southern Wisconsin (n = 9 litter; n = 9 raised slatted floor), were used for this study. Twenty ducks were randomly selected from 5 predetermined areas within each house (n = 100 total) and scored for eye condition, nostril and feather cleanliness, and feather and foot pad quality at 7, 21, and 32 d of age. Environmental data, including carbon monoxide, ammonia, RH, and temperature, were also obtained at each collection day. The only statistical differences in body condition occurred at 7 d; there were more ducks with clear eyes and eye rings on the litter flooring, whereas average nostril scores were better on the plastic slatted floors. Live weight, weight gain per day, flock mortality, and condemnations at the plant were collected, and the only statistical difference was a higher gain per day for ducks reared on slatted floors compared with litter (P < 0.05). There were no differences between flooring systems in the environmental parameters measured within the barns. In summary, there were very few differences between the litter and slatted flooring systems, indicating that there may not be clear advantages for one particular flooring system over the other from the point of view of duck well-being and production.

  2. Implications of employer coverage of contraception: Cost-effectiveness analysis of contraception coverage under an employer mandate.

    PubMed

    Canestaro, W; Vodicka, E; Downing, D; Trussell, J

    2017-01-01

    Mandatory employer-based insurance coverage of contraception in the US has been a controversial component of the Affordable Care Act (ACA). Prior research has examined the cost-effectiveness of contraception in general; however, no studies have developed a formal decision model in the context of the new ACA provisions. As such, this study aims to estimate the relative cost-effectiveness of insurance coverage of contraception under employer-sponsored insurance coverage taking into consideration newer regulations allowing for religious exemptions. A decision model was developed from the employer perspective to simulate pregnancy costs and outcomes associated with insurance coverage. Method-specific estimates of contraception failure rates, outcomes and costs were derived from the literature. Uptake by marital status and age was drawn from a nationally representative database. Providing no contraception coverage resulted in 33 more unintended pregnancies per 1000 women (95% confidence range: 22.4; 44.0). This subsequently significantly increased the number of unintended births and terminations. Total costs were higher among uninsured women owing to higher costs of pregnancy outcomes. The effect of no insurance was greatest on unmarried women 20-29 years old. Denying female employees' full coverage of contraceptives increases total costs from the employer perspective, as well as the total number of terminations. Insurance coverage was found to be significantly associated with women's choice of contraceptive method in a large nationally representative sample. Using a decision model to extrapolate to pregnancy outcomes, we found a large and statistically significant difference in unintended pregnancy and terminations. Denying women contraception coverage may have significant consequences for pregnancy outcomes. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. Effect of pelvic floor muscle exercise on pelvic floor muscle activity and voiding functions during pregnancy and the postpartum period.

    PubMed

    Kahyaoglu Sut, Hatice; Balkanli Kaplan, Petek

    2016-03-01

    The aim of this study was to investigate the effects of pelvic floor muscle exercise during pregnancy and the postpartum period on pelvic floor muscle activity and voiding functions. Pregnant women (n = 60) were randomly assigned into two groups (Training [n = 30] and Control [n = 30]) using a computer-based system. Pelvic floor muscle strength was measured using a perineometry device. Urinary symptoms were measured using the Urinary Distress Inventory (UDI-6), Incontinence Impact Questionnaire (IIQ-7), and the Overactive Bladder Questionnaire (OAB-q). Voiding functions were measured using uroflowmetry and 3-day voiding diaries. Measurements were obtained at week 28, weeks 36-38 of pregnancy, and postpartum weeks 6-8. Pelvic floor muscle strength significantly decreased during the pregnancy (P < 0.001). However, pelvic floor muscle strength improvement was significantly higher in the Training group compared to the Control group (P < 0.001). The UDI-6, IIQ-7, and OAB-q scores did not significantly change during weeks 36-38 of pregnancy in the Training group (P > 0.05). However, UDI-6, coping, concern, and total scores of OAB-q were significantly decreased during weeks 36-38 of pregnancy in the Control group (P < 0.05). The UDI-6 and OAB-q scores were significantly improved during postpartum weeks 6-8 (P < 0.05). Voiding functions were negatively affected in both groups, decreasing during weeks 36-38 of pregnancy and improving during the postpartum period. Pregnancy and delivery affect pelvic floor muscle strength, urinary symptoms, quality of life, and voiding functions. Pelvic floor muscle exercises applied during pregnancy and the postpartum period increase pelvic floor muscle strength and prevent deterioration of urinary symptoms and quality of life in pregnancy. © 2015 Wiley Periodicals, Inc.

  4. A Commercial Architecture for Satellite Imagery

    DTIC Science & Technology

    2006-09-01

    incorporates image detection from the visible and near - infrared wavelengths, 3) 16 Ball Aerospace...present limited total area coverage since the field of regard is smallest. The opposite is true for resolution and total area coverage near apogee. The...27 B. SENSOR FIELD OF REGARD ...................................................................27 1. Spherical Analysis

  5. Influence of flooring type during transport and holding on bacteria recovery from broiler carcass rinses before and after defeathering.

    PubMed

    Buhr, R J; Cason, J A; Dickens, J A; Hinton, A; Ingram, K D

    2000-03-01

    Four trials were conducted to determine whether conventional solid or elevated wire mesh flooring, during transport and holding of broilers prior to slaughter, influenced the number of bacteria recovered from feathered and defeathered carcasses. After 4 h off feed, 7-wk-old broilers were placed at commercial density into a modified commercial transport dump-coop on either fiberglass sheeting or 2.54x2.54 cm wire mesh flooring that allowed feces to fall through. Broilers were transported for 1 h and then held for 13 h under a covered shed before processing. Broilers were killed by electrocution, and the vents were plugged to prevent escape of feces. External carcass rinses were obtained twice (from the same carcass) from eight broilers per flooring treatment per trial, before scalding and defeathering and again after defeathering and removal of the head and feet. Greater numbers of total aerobes, coliforms, and Escherichia coli were recovered from feathered carcasses than from defeathered carcasses. Campylobacter count was also less for defeathered than feathered carcasses from the solid flooring treatment but did not significantly decrease following defeathering of carcasses from the wire flooring. The incidence of Campylobacter-positive carcasses was reduced following defeathering for both flooring treatments, but the percentage of Salmonellae-positive carcasses remained constant. Coliform (log10 6.20 vs. 5.63 cfu/mL of rinse) and E. coli (log10 5.93 vs. 5.36) counts in the feathered rinses were significantly higher for the solid flooring compared with wire flooring, respectively. After defeathering, the number of coliforms (log10 3.12) and E. coli (log10 2.91) recovered did not differ between flooring treatments. Aerobic plate count (log10 7.06 and 4.02), Campylobacter count (log10 2.49 and 1.80), and the incidence of Campylobacter-positive (44 and 11%) and Salmonellae-positive (52 and 50%) carcasses for feathered and defeathered rinses, respectively, did not differ between flooring treatments. These results indicate that although broilers transported and held on solid flooring had noticeably dirtier breast feathers and higher coliform and E. coli counts prior to scalding and defeathering, bacteria recovery from external carcass rinses did not differ between the solid and wire flooring treatments after defeathering.

  6. An Approach to the Quantitative Study of Sea Floor Topography.

    DTIC Science & Technology

    1980-01-01

    Basement in the Pacific Ocean MAGNETIC TOTAL RMS ANOMALY SPREADING RELIEF MEAN RMS RIDGE WINDOW RATE (cm/yr) (meters) RELIEF (meters) Nazca-Cocos 0-2’ 6 104...investigation. V. CONCLUSIONS The sea floor and the lithologic boundaries below it can generally be thought of as interfaces of acoustic impedance mismatch... Magnetic Anomalies , and Plate Tectonic History of the Mouth of the Gulf of California. Geol. Soc. Am. Bull., v. 83, p. 3345-3360. Luyendyk, B. P

  7. Biocrusts role on nitrogen cycle and microbial communities from underlying soils in drylands

    NASA Astrophysics Data System (ADS)

    Anguita-Maeso, Manuel; Miralles*, Isabel; van Wesemael, Bas; Lázaro, Roberto; Ortega, Raúl; Garcia-Salcedo, José Antonio; Soriano**, Miguel

    2017-04-01

    Biocrusts are distributed in arid areas widely covering most of the soil surface and playing an essential role in the functioning of nitrogen cycle. The absence of biocrust coverage might affect the soil nitrogen content and the quantity and diversity of microbial communities in underlying biocrust soils. To analyse this mater, we have collected three underlying soils biocrusts samples dominated by the lichen Diploschistes diacapsis and Squamarina lentigera from Tabernas desert (southeast of Spain) at two extremes of its spatial distribution range: one with a high percentage of biocrust coverage and other with a huge degradation and low percentage of biocrust coverage in order to determine differences on the total nitrogen content and microbial communities from these underlying soils. DNA from these samples was isolated though a commercial kit and it was used as template for metagenomic analysis. We accomplished a sequencing of the amplicons V4-V5 of the 16S rRNA gene with Next-Generation Sequencing (NGS) Illumina MiSeq platform and a relative quantity of bacteria (rRNA 16S) and fungi (ITS1-5.8S) were conducted by quantitative qPCR. Total nitrogen was measured by the Kjeldahl method. Statistical analyses were based on ANOVAs, heatmap and Generalized Linear Models (GLM). The results showed 1.89E+09 bacteria per gram of soil in the high biocrust coverage position while 6.98E+08 microorganisms per gram of soil were found in the less favourable position according to the lower percentage of biocrust coverage. Similarly, 1.19E+12 was the amount of fungi per gram of soil located in the favourable position with higher biocrust coverage and 7.62E+11 was found in the unfavourable position. Furthermore, the soil under high percentage of biocrust coverage showed the greatest total nitrogen content (1.1 g kg-1) whereas the soil sampled under depressed percentage of biocrust coverage displayed the fewest quantity of total nitrogen content (0.9 g kg-1). Metagenomic and statistical analysis exhibited different bacteria communities according to underlying soils with unlike percentage of biocrust coverage. Opitutus and Adhaeribacter predominated in soil under high biocrust coverage percentage whereas Chelatococcus was found as prevalent bacteria community in soils under low biocrust coverage percentage. Our data illustrate that the percentage of biocrust coverage influence the total nitrogen content in underlying biocrust soils and also affects the amount and the variety of bacteria communities in these underlying soils. (*) Financial support by Marie Curie Intra-European Fellowship (FP7-577 PEOPLE-2013-IEF, Proposal n° 623393) and (**) by the Ministerio de Economía y Competitividad (MINECO) cofinanced with FEDER funds (project CGL2015-71709-R) is acknowledged.

  8. A health plan to reduce poverty.

    PubMed

    Weil, Alan

    2007-01-01

    Noting that the failures of the U.S. health care system are compounding the problems faced by low-income Americans, Alan Weil argues that any strategy to reduce poverty must provide access to health care for all low-income families. Although nearly all children in families with incomes under 200 percent of poverty are eligible for either Medicaid or the State Children's Health Insurance Program (SCHIP), the parents of poor children often lack health insurance. Parents who leave welfare normally get a year of coverage but then lose coverage unless their employer provides it, and many employers of low-wage workers do not offer health insurance. Similarly, parents who take low-paying jobs to avoid welfare usually have no coverage at all. This lack of coverage discourages adults from working and may also affect the health of children because adults without health insurance are less likely to take their children for preventive care. Weil proposes creating a federal earned income health credit (EIHC) and redefining the federal floor of coverage through Medicaid and SCHIP. His aim is to make health insurance affordable for low-income families and to make sure enough options are available that individuals and families can get coverage using a combination of their own, their employer's, and public resources. Weil would expand Medicaid eligibility to include all families whose income falls below the poverty line. The EIHC would be a refundable tax credit that would be available to parents during the year in advance of filing a tax return. The credit, which would be based on taxpayer earnings and family structure, would phase in as earnings increase, reach a plateau, and then phase out farther up the income scale. The credit would be larger for families with dependents. The EIHC would function seamlessly with the employee payroll withholding system. It would be available only to adults who demonstrate that they had health insurance coverage during the year and, for adults with children, only if their eligible dependent children were enrolled in either a private or public insurance program. Weil's proposal would cover individuals who receive coverage from their employer and those who do not. The proposal smooths transitions from public to private coverage, and it anticipates a substantial role for states. Weil estimates that his policy would cost about $45 billion a year.

  9. Soil organic carbon and nitrogen accumulation on coal mine spoils reclaimed with maritime pine (Pinus pinaster Aiton) in Agacli-Istanbul.

    PubMed

    Sever, Hakan; Makineci, Ender

    2009-08-01

    Mining operations on open coal mines in Agacli-Istanbul have resulted in the destruction of vast amounts of land. To rehabilitate these degraded lands, plantations on this area began in 1988. Twelve tree species were planted, however, the most planted tree species was maritime pine (Pinus pinaster Aiton). This study performed on 14 sample plots randomly selected in maritime pine plantations on coal mine soil/spoils in 2005. Soil samples were taken from eight different soil layers (0-1, 1-3, 3-5, 5-10, 10-20, 20-30, 30-40 and 40-50 cm) into the soil profile. On soil samples; fine soil fraction (<2 mm), soil acidity (pH), organic carbon (C(org)) and total nitrogen (N(t)) contents were investigated, and results were compared statistically among soil layers. As a result, 17 years after plantations, total forest floor accumulation determined as 17,973.20 kg ha(-1). Total nitrogen and organic matter amounts of forest floor were 113.90 and 14,640.92 kg ha(-1) respectively. Among soil layers, the highest levels of organic carbon (1.77%) and total nitrogen (0.096%) and the lowest pH value (pH 5.38) were found in 0-1 cm soil layer, and the variation differs significantly among soil layers. Both organic carbon and total nitrogen content decreased, pH values increased from 0-1 to 5-10 cm layer. In conclusion, according to results obtained maritime pine plantations on coal mine spoils; slow accumulation and decomposition of forest floor undergo simultaneously. Depending on these changes organic carbon and total nitrogen contents increased in upper layer of soil/spoil.

  10. Translation and validation of the Rhinosinusitis Disability Index for use in Nigeria.

    PubMed

    Asoegwu, C N; Nwawolo, C C; Okubadejo, N U

    2017-07-01

    The Rhinosinusitis Disability Index (RSDI) is a validated and reliable measure of severity of chronic rhinosinusitis. The objective of this study was to translate and validate the instrument for use in Nigeria. This is a methodological study. 71 patients with chronic rhinosinusitis attending two Otolaryngology clinics in Lagos, Nigeria. Using standardized methods and trained translators, the RSDI was translated to vernacular (Yoruba language) and back-translated to culturally appropriate English. Data analysis comprised of assessment of the item quality, content validity and internal consistency of the back-translated Rhinosinusitis Disability Index (bRSDI), and correlation to the original RSDI. Content validity (floor and ceiling effects) showed 0% floor and ceiling effects for the total scores, 0% ceiling effects for all domains and floor effect for physical domain, and 9.9 and 8.5% floor effects for functional and emotional domains, respectively. The mean item-own correlation for physical domain was 0.54 ± 0.08, 0.72 ± 0.08 for functional domain and 0.74 ± 0.07 for emotional domain. All domain item-own correlations were higher than item-other domain correlations. The total Cronbach's alpha was 0.936 and was higher than 0.70 for all the domains representing good internal consistency. Pearson correlation analysis showed strong correlation of RSDI to bRSDI (total score 0.881; p = 0.000, and domain subscores-physical: 0.788; p = 0.000, functional: 0.830; p = 0.000, and emotional: 0.888; p = 0.000). The back-translated Rhinosinusitis Disability Index shows good face and content validity with good internal consistency while correlating linearly and significantly with the original Rhinosinusitis Disability Index and is recommended for use in Nigeria.

  11. [Comparison of the efficacy and safety between TVT-O and TVT-O with biofeedback pelvic floor electrical stimulation on female stress urinary incontinence].

    PubMed

    Min, Ling; Zhao, Xia

    2015-01-01

    To compare the efficacy and safety between tension-free vaginal tape obturator technique (TVT-O) and TVT-O with biofeedback pelvic floor electrical stimulation on the therapy of female stress urinary incontinence. In this prospective study, 120 female patients of female stress urinary incontinence were enrolled from January 2012 to December 2013. The patients were randomly assigned to two groups, 60 in group A received TVT-O alone, while 60 in group B not only received TVT-O but also received biofeedback pelvic floor electrical stimulation. All the patients were followed up for 12 months to assess the efficacy and safety of the two procedures. Subjective indices [total volume of urine (TV), the total frequency of urination (TOV), the total leakage of urine events (TL), urinary incontinence related quality of life questionnaire (I-QOL), International Advisory Committee on urinary incontinence urinary incontinence questionnaire short form scale (ICI-Q-SF)] and objective indices [Valsalva leak point pressure (VLPP), maximum flow rate (MFR), residual urine volume (RUV),pad test] were analyzed. Overall, the cure rate was 75% at 1 year follow-up for group A and 88.33% for group B (P<0.05). The effective rate was 16.67% for group A and 10% for group B (P<0.05). The ineffective rate was 8.33% for group A and 1.67% for group B (P<0.05). TV, I-QOL, ICI-Q-SF, VLPP and pad test in group B were superior to group A (P<0.05). Pelvic floor electrical stimulation biofeedback therapy could improve the curative effects of TVT-O on the treatment of female stress urinary incontinence.

  12. Reconstruction of the pelvic floor and the vagina after total pelvic exenteration using the transverse musculocutaneous gracilis flap.

    PubMed

    Kaartinen, Ilkka S; Vuento, Maarit H; Hyöty, Marja K; Kallio, Jukka; Kuokkanen, Hannu O

    2015-01-01

    Total pelvic exenteration (TPE) is a rare operation in which the pelvic contents are removed entirely. Several options for pelvic floor and vaginal reconstruction have been described including transverse rectus abdominis musculocutaneous (TRAM) or deep inferior epigastric perforator (DIEP) flaps. The transverse musculocutaneous gracilis (TMG) flap has been introduced for breast reconstruction as a free flap. We adopted the pedicled TMG flap for reconstructions after TPE. To the best of our knowledge, this is the first report of this method in the literature. Between November 2011 and February 2014, 12 patients underwent TPE and reconstruction with unilateral (six patients) or bilateral (six patients) pedicled TMG flaps. Five patients underwent vaginal reconstruction with bilateral TMG flaps. We describe the operative procedure and the outcome of the operation in these patients. The total mean operative times for TPE with or without vaginal reconstruction were 467 ± 12 and 386 ± 59 min, respectively. The TMG flaps had enough vascular tissue and mobility for reconstructing the TPE defects. There was distal edge necrosis in one out of 18 flaps, while the rest survived completely. During the follow-up, complete wound healing with no signs of weakening of the pelvic floor was observed in all cases. Soft-tissue reconstructions are needed to reduce complications associated with TPE, to secure the pelvic floor and to reconstruct the vagina in select patients. The TMG flap is a logical flap choice that does not lead to functional deficits, complicate the abdominal ostomies or weaken the abdominal wall. It reduces the length of operation compared to that of abdominal flaps. IV, therapeutic. Copyright © 2014 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  13. Flooring in front of the feed bunk affects feeding behavior and use of freestalls by dairy cows.

    PubMed

    Tucker, C B; Weary, D M; de Passillé, A M; Campbell, B; Rushen, J

    2006-06-01

    In 2 experiments we assessed how preferences, time budgets, and feeding behavior of dairy cows change in response to flooring surfaces in front of the feed bunk. In Experiment 1, 12 nonlactating dairy cattle were individually housed with access to 2 standing platforms filled with either concrete or sawdust. In Experiment 2, 24 nonlactating dairy cattle were given access to either concrete or Animat rubber flooring in front of the feed bunk. In Experiment 1, cows preferred the sawdust to the concrete flooring. In both experiments, cows provided with a softer floor in front of the feed bunk spent more time standing near the feed bunk without eating (Experiment 1: 67 vs. 40 min/d on sawdust vs. concrete, respectively, SEM = 5.6 min/d; Experiment 2: 176 vs. 115 min/d on Animat vs. concrete, respectively, SEM = 20.5 min/d) compared with when they were kept on concrete. The increased time spent at the feed bunk was due to a combination of more frequent eating and standing bouts, indicating that cows were more willing to move on nonconcrete flooring. Total time spent eating was significantly greater on the softer floor in Experiment 2, but not in Experiment 1 (Exp. 1: 289 vs. 275 min/d on sawdust and concrete, respectively, SEM = 7.3 min/d; Exp. 2: 330 vs. 289 min/d on Animat and concrete, respectively, SEM = 15.4), although feed intake was increased on the sawdust treatment in Experiment 1. Cows spent significantly more time lying in the feed alley when the flooring was rubber (219 vs. 53 min/d on Animat and concrete, SEM = 53.6 min/d), perhaps because the lying area in Experiment 2 was inadequate. In conclusion, cows prefer to stand on softer flooring in front of the feed bunk, and are more willing to move on and spend more time standing in front of the feed bunk when provided with softer flooring. These results indicate that cows find softer flooring surfaces more comfortable to stand on than concrete, and highlight the importance of evaluating the comfort of the entire facility.

  14. Transforming Pinus pinaster forest to recreation site: preliminary effects on LAI, some forest floor, and soil properties.

    PubMed

    Öztürk, Melih; Bolat, İlyas

    2014-04-01

    This study investigates the effects of forest transformation into recreation site. A fragment of a Pinus pinaster plantation forest was transferred to a recreation site in the city of Bartın located close to the Black Sea coast of northwestern Turkey. During the transformation, some of the trees were selectively removed from the forest to generate more open spaces for the recreationists. As a result, Leaf Area Index (LAI) decreased by 0.20 (about 11%). Additionally, roads and pathways were introduced into the site together with some recreational equipment sealing parts of the soil surface. Consequently, forest environment was altered with a semi-natural landscape within the recreation site. The purpose of this study is to assess the effects of forest transformation into recreation site particularly in terms of the LAI parameter, forest floor, and soil properties. Preliminary monitoring results indicate that forest floor biomass is reduced by 26% in the recreation site compared to the control site. Soil temperature is increased by 15% in the recreation site where selective removal of trees expanded the gaps allowing more light transmission. On the other hand, the soil bulk density which is an indicator of soil compaction is unexpectedly slightly lower in the recreation site. Organic carbon (C(org)) and total nitrogen (N(total)) together with the other physical and chemical parameter values indicate that forest floor and soil have not been exposed to much disturbance. However, subsequent removal of trees that would threaten the vegetation, forest floor, and soil should not be allowed. The activities of the recreationists are to be concentrated on the paved spaces rather than soil surfaces. Furthermore, long-term monitoring and management is necessary for both the observation and conservation of the site.

  15. Fungal extracellular polysaccharides in house dust as a marker for exposure to fungi: relations with culturable fungi, reported home dampness, and respiratory symptoms.

    PubMed

    Douwes, J; van der Sluis, B; Doekes, G; van Leusden, F; Wijnands, L; van Strien, R; Verhoeff, A; Brunekreef, B

    1999-03-01

    Epidemiologic studies have demonstrated an association between indoor fungal growth and respiratory symptoms. However, in only a few studies was fungal exposure actually measured. The purpose of this study was to evaluate the measurement by enzyme immunoassay of extracellular polysaccharides of Aspergillus and Penicillium species (EPS-Asp/Pen ) in house dust as a marker for fungal exposure and to study the relations between EPS-Asp/Pen levels and home dampness and respiratory symptoms in children. Extracts of house dust samples from bedroom and living room floors and mattresses from homes of 31 children with chronic respiratory symptoms and 29 children with no chronic respiratory symptoms were analyzed for EPS-Asp/Pen. EPS-Asp/Pen were readily detectable (40 to 46,513 nanogram equivalent/g dust) in 161 house dust extracts, with highest concentrations in living room floor dust. EPS-Asp/Pen levels were 2 to 3 times higher on carpeted floors than on smooth floors. EPS-Asp/Pen were significantly correlated with total culturable fungi (r = 0.3 to 0.5) and with house dust mite allergens (r = 0.3 to 0.5). EPS-Asp/Pen levels in living room floor dust were positively associated with occupant-reported home dampness. This was not observed for EPS-Asp/Pen in bedroom floor and mattress dust. EPS-Asp/Pen levels in living room floor dust were positively associated with respiratory symptoms. EPS-Asp/Pen in bedroom floor and mattress dust showed a reversed association with respiratory symptoms, possibly because of allergen-avoidance measures taken in the bedroom. The enzyme immunoassay for fungal EPS-Asp/Pen may be a useful method for exposure assessment of indoor fungi.

  16. New Approaches to the Sea-Floor Mapping: Results From the GEBCO-NF Alumni Team's Technique Developments in Preparation to the Shell Ocean Discovery XPRIZE 2017.

    NASA Astrophysics Data System (ADS)

    Bazhenova, E.; Zarayskaya, Y.; Wigley, R. A.; Anderson, R.; Falconer, R. K. H.; Kearns, T.; Martin, T.; Minami, H.; Roperez, J.; Rosedee, A.; Sade, H.; Seeboruth, S.; Simpson, B.; Sumiyoshi, M.; Tinmouth, N.; Zwolak, K.

    2017-12-01

    In preparation for the XPRIZE 2017 Round 1, a new sea-floor mapping system has been assembled based on an Unmanned Surface Vessel (USV) coupled with an Autonomous Underwater Vehicle (AUV). USV operation allows reducing logistics costs, while the AUV provides enhanced maneuverability and high accuracy of stabilization for the mapping missions. The AUV is equipped with a high-resolution interferometric synthetic aperture sonar (HISAS) and a multibeam sonar (MBES), covering a wide bathymetry swath and the nadir, respectively. Typically operating at 20 to 40 m altitude, the HISAS is capable of providing SAS imagery with 4 x 4 cm resolution and bathymetry with 40 x 40 cm resolution throughout the swath. Smaller areas of interest (50 x 50 m) can be further examined using the Spot processing technique, to produce SAS imagery with 2 x 2 cm resolution and high- resolution SAS bathymetry with 5 x 5 cm resolution. This allows multi-aspect imaging and examination of seabed geological features at different scales. Advanced data post-processing can be performed to produce 3D images of objects and explore their structure using the shadow contrast and shape. Being an interferometric system, the HISAS collects data for both imagery and bathymetry in the same swath. This improves the robustness for SAS in areas with significant relief. In the standard survey mode, the HISAS can typically collect SAS data at 2.6 km2/hr over relatively flat ground. Another limiting factor to the HISAS data coverage and quality is the vehicle stability influenced by downslope and cross currents and the resulting vehicle's speed. From experience, the best coverage occurs at a vehicle speed of around 2 m/s. At slower speeds the vehicle starts to lose steerage leading to degradation of tracking and navigation performance, which harms the focusing algorithm that creates the SAS data. For the AUV mission planning in unknown areas or in case of highly variable conditions at the study site, MBES reconnaissance data can be acquired at higher altitudes prior to running the AUV close to the seabed. Additionally, the MBES is used to collect the acoustic bottom reflectivity (backscatter) data, which allows further sea-floor characterization and potentially description of sediment types and marine bottom habitats, such as coral reefs, deep sea hydrothermal vents etc.

  17. The Plains of Venus

    NASA Astrophysics Data System (ADS)

    Sharpton, V. L.

    2013-12-01

    Volcanic plains units of various types comprise at least 80% of the surface of Venus. Though devoid of topographic splendor and, therefore often overlooked, these plains units house a spectacular array of volcanic, tectonic, and impact features. Here I propose that the plains hold the keys to understanding the resurfacing history of Venus and resolving the global stratigraphy debate. The quasi-random distribution of impact craters and the small number that have been conspicuously modified from the outside by plains-forming volcanism have led some to propose that Venus was catastrophically resurfaced around 725×375 Ma with little volcanism since. Challenges, however, hinge on interpretations of certain morphological characteristics of impact craters: For instance, Venusian impact craters exhibit either radar dark (smooth) floor deposits or bright, blocky floors. Bright floor craters (BFC) are typically 100-400 m deeper than dark floor craters (DFC). Furthermore, all 58 impact craters with ephemeral bright ejecta rays and/or distal parabolic ejecta patterns have bright floor deposits. This suggests that BFCs are younger, on average, than DFCs. These observations suggest that DFCs could be partially filled with lava during plains emplacement and, therefore, are not strictly younger than the plains units as widely held. Because the DFC group comprises ~80% of the total crater population on Venus the recalculated emplacement age of the plains would be ~145 Ma if DFCs are indeed volcanically modified during plains formation. Improved image and topographic data are required to measure stratigraphic and morphometric relationships and resolve this issue. Plains units are also home to an abundant and diverse set of volcanic features including steep-sided domes, shield fields, isolated volcanoes, collapse features and lava channels, some of which extend for 1000s of kilometers. The inferred viscosity range of plains-forming lavas, therefore, is immense, ranging from the extremely fluid flows (i.e., channel formers), to viscous, possibly felsic lavas of steep-sided domes. Wrinkle ridges deform many plains units and this has been taken to indicate that these ridges essentially form an early stratigraphic marker that limits subsequent volcanism to a minimum. However, subtle backscatter variations within many ridged plains units suggest (but do not prove) that some plains volcanism continued well after local ridge deformation ended. Furthermore, many of volcanic sources show little, if any, indications of tectonic modification and detailed analyses have concluded that resurfacing rates could be similar to those on Earth. Improving constraints on the rates and styles of volcanism within the plains could lend valuable insights into the evolution of Venus's internal heat budget and the transition from thin-lid to thick-lid tectonic regimes. Improved spatial and radiometric resolution of radar images would greatly improve abilities to construct the complex local stratigraphy of ridged plains. Constraining the resurfacing history of Venus is central to understanding how Earth-sized planets evolve and whether or not their evolutionary pathways lead to habitability. This goal can only be adequately addressed if broad coverage is added to the implementation strategies of any future mapping missions to Venus.

  18. Pelvic floor muscle rehabilitation for patients with lifelong premature ejaculation: a novel therapeutic approach.

    PubMed

    Pastore, Antonio L; Palleschi, Giovanni; Fuschi, Andrea; Maggioni, Cristina; Rago, Rocco; Zucchi, Alessandro; Costantini, Elisabetta; Carbone, Antonio

    2014-06-01

    Premature ejaculation is the most common male sexual disorder. The aim of the study was to evaluate the possible therapeutic role of pelvic floor muscle rehabilitation in patients affected by lifelong premature ejaculation. We treated 40 men with lifelong premature ejaculation, reporting, a baseline intravaginal ejaculatory latency time (IELT) ≤ 1 min, with 12-week pelvic floor muscle rehabilitation. At the end of the rehabilitation, mean IELTs were calculated to evaluate the effectiveness of the therapy. At the end of the treatment, 33 (82.5%) of the 40 patients gained control of their ejaculatory reflex, with a mean IELT of 146.2 s (range: 123.6-152.4 s). A total of 13 out of 33 (39%) patients were evaluated at 6 months follow up, and they maintained a significant IELT (112.6 s) compared with their initial IELT (mean 39.8 s). The results obtained in our subjects treated with pelvic floor rehabilitation are promising. This therapy represents an important cost reduction compared with the standard treatment (selective serotonin reuptake inhibitors). Based on the present data, we propose pelvic floor muscle rehabilitation as a new, viable therapeutic option for the treatment of premature ejaculation.

  19. Force-length relationship in the pelvic floor muscles under transverse vaginal distension: a method study in healthy women.

    PubMed

    Verelst, M; Leivseth, G

    2004-01-01

    The purpose of this study was to investigate whether there is a relationship between changes in the diameter of the urogenital hiatus and force developed in pelvic floor musculature. In addition, we wanted to examine the reliability of the method that measures force development in the pelvic floor in the transverse direction of the urogenital hiatus. Passive and total force in the pelvic floor was measured with an intra-vaginal device in 20 healthy parous volunteers. The measurements were done with a consecutively increasing diameter in the transverse plane of the urogenital hiatus. The procedure was repeated with a few days interval. The measurements show an increase in force with an increasing device-diameter. The results are reliable at all the diameters tested, estimated by the within-subject day-to-day variability which was non-significant. The 40 mm diameter device is most favourable, estimated by Bland Altman plots of the test-retest measurements. Force development in pelvic floor muscles increased as a function of vaginal diameter when measured in the frontal plane. The measurements were reliable at all the different diameters chosen. 2004 Wiley-Liss, Inc.

  20. 24 CFR 242.1 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    .... Debt service coverage ratio is a measure of a hospital's ability to pay interest and principal with cash generated from current operations. Debt service ratio is calculated as follows: Debt Service Coverage Ratio (total debt service coverage on all long-term capital debt) equals the excess of revenues...

  1. 24 CFR 242.1 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    .... Debt service coverage ratio is a measure of a hospital's ability to pay interest and principal with cash generated from current operations. Debt service ratio is calculated as follows: Debt Service Coverage Ratio (total debt service coverage on all long-term capital debt) equals the excess of revenues...

  2. 7 CFR 3560.105 - Insurance and taxes.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...) Windstorm Coverage. (ii) Earthquake Coverage. (iii) Sinkhole Insurance or Mine Subsidence Insurance. (3) For... the total insured value. (iv) Earthquake Coverage. In the event that the borrower obtains earthquake... insurance or mine subsidence insurance should be similar to what would be required for earthquake insurance...

  3. 7 CFR 3560.105 - Insurance and taxes.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...) Windstorm Coverage. (ii) Earthquake Coverage. (iii) Sinkhole Insurance or Mine Subsidence Insurance. (3) For... the total insured value. (iv) Earthquake Coverage. In the event that the borrower obtains earthquake... insurance or mine subsidence insurance should be similar to what would be required for earthquake insurance...

  4. 7 CFR 3560.105 - Insurance and taxes.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...) Windstorm Coverage. (ii) Earthquake Coverage. (iii) Sinkhole Insurance or Mine Subsidence Insurance. (3) For... the total insured value. (iv) Earthquake Coverage. In the event that the borrower obtains earthquake... insurance or mine subsidence insurance should be similar to what would be required for earthquake insurance...

  5. 7 CFR 3560.105 - Insurance and taxes.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...) Windstorm Coverage. (ii) Earthquake Coverage. (iii) Sinkhole Insurance or Mine Subsidence Insurance. (3) For... the total insured value. (iv) Earthquake Coverage. In the event that the borrower obtains earthquake... insurance or mine subsidence insurance should be similar to what would be required for earthquake insurance...

  6. 7 CFR 3560.105 - Insurance and taxes.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...) Windstorm Coverage. (ii) Earthquake Coverage. (iii) Sinkhole Insurance or Mine Subsidence Insurance. (3) For... the total insured value. (iv) Earthquake Coverage. In the event that the borrower obtains earthquake... insurance or mine subsidence insurance should be similar to what would be required for earthquake insurance...

  7. Extended ellipse-line-ellipse trajectory for long-object cone-beam imaging with a mounted C-arm system

    NASA Astrophysics Data System (ADS)

    Yu, Zhicong; Lauritsch, Günter; Dennerlein, Frank; Mao, Yanfei; Hornegger, Joachim; Noo, Frédéric

    2016-02-01

    Recent reports show that three-dimensional cone-beam (CB) imaging with a floor-mounted (or ceiling-mounted) C-arm system has become a valuable tool in interventional radiology. Currently, a circular short scan is used for data acquisition, which inevitably yields CB artifacts and a short coverage in the direction of the patient table. To overcome these two limitations, a more sophisticated data acquisition geometry is needed. This geometry should be complete in terms of Tuy’s condition and should allow continuous scanning, while being compatible with the mechanical constraints of mounted C-arm systems. Additionally, the geometry should allow accurate image reconstruction from truncated data. One way to ensure such a feature is to adopt a trajectory that provides full R-line coverage within the field-of-view (FOV). An R-line is any segment of line that connects two points on a source trajectory, and the R-line coverage is the set of points that belong to an R-line. In this work, we propose a novel geometry called the extended ellipse-line-ellipse (ELE) for long-object imaging with a mounted C-arm system. This trajectory is built from modules consisting of two elliptical arcs connected by a line. We demonstrate that the extended ELE can be configured in many ways so that full R-line coverage is guaranteed. Both tight and relaxed parametric settings are presented. All results are supported by extensive mathematical proofs provided in appendices. Our findings make the extended ELE trajectory attractive for axially-extended FOV imaging in interventional radiology.

  8. Acoustic mapping as an environmental management tool: I. detection of barrels of low-level radioactive waste, Gulf of the Farallones National Marine Sanctuary, California

    USGS Publications Warehouse

    Karl, Herman A.; Schwab, William C.; Wright, A. St. C.; Drake, David E.; Chin, John L.; Danforth, William W.; Ueber, Edward

    1994-01-01

    An example of the potential of this technique is summarized herein for the Gulf of the Farallones region. More than 47 800 drums (55 gallon) and other containers of low-level radioactive waste were dumped on the continental margin offshore the San Francisco Bay between 1946 and 1970. These drums now litter a large area (1200 km2) of the sea floor within the Gulf of the Farallones National Marine Sanctuary (GFNMS). The exact location of the drums and the potential hazard the drums pose to the environment are unknown. To evaluate the risk, samples of the sediment, biota and water must be collected near and distant from the concentrations of barrels. To do this the exact location of the barrels must be known prior to sampling. The USGS, through a cooperative research agreement with GFNMS, used sidescan sonar to map two areas within the sanctuary. Total sea-floor coverage was obtained and computer-processed sonographic mosaics were constructed on board ship. Many small nongeologic targets were distributed throughout the survey areas that covered about 70 km2 on the shelf and 120 km2 on the slope. Analysis of the sidescan data suggests that the targets are 55-gallon drums. This interpretation was confirmed at one site with an underwater video and 35-mm camera system. Data were collected with both a 30-kHz and a 120-kHz sidescan system within a 15-km2 area on the shelf. We found that the barrels were more easily detected with the mid-range 30-kHz system than with the higher resolution 120-kHz system. Maps of barrel distribution derived from the sonographs are being used to design sampling schemes to evaluate the risk that the radioactivity may have on the biota and environment.

  9. Incidence of lameness and abrasions in piglets in identical farrowing pens with four different types of floor

    PubMed Central

    Zoric, Mate; Nilsson, Ebba; Lundeheim, Nils; Wallgren, Per

    2009-01-01

    Background Lameness in piglets is a major animal welfare issue. Floor abrasiveness is a common cause of superficial injury in piglets in farrowing pens. The abrasion achieved may act as a gate for infections, which in turn may induce development of infectious arthritis. In this study, the influence of improvements of the floor quality and of increased ratios of straw in identical farrowing pens was measured. Methods The study was carried out at a herd with four identical farrowing units with solid concrete floor bedded with 1 kg chopped straw per sow and 1 hg per piglet and day. Nothing was changed in the management of the four identical farrowing units, but four experimental groups were created: Group I – control, Group II – the amount of bedding was doubled. The surface of the floor was repaired in two units, Group III – Piglet Floor®, Flowcrete Sweden AB, Perstorp, Sweden and Group IV – Thorocrete SL®, Växa Halland, Sweden. Three farrowing batches were studies in each unit. In total, 93 litters (1,073 piglets) were examined for foot and skin lesions until the age of 3 weeks. The occurrence of lameness was registered until weaning at an average age of 4.5 weeks. Twenty seven lame piglets were culled instead of medicinally treated and subjected to necropsy including histopathological and microbiological examinations. Isolates of streptococci, staphylococci and E. coli were tested with respect to antimicrobial resistance. Results Piglet born on the repaired floors had the lowest prevalences of abrasions at carpus. Also the doubled straw ration decreased the abrasions. Skin lesions at carpus decreased significantly in magnitude in all four systems from day 10. At day 3, the sole bruising scores of the control unit were greater than the other three units (p < 0.001). At day 10 and 17, sole bruising was less common in the units with repaired floors than in the control group and the group with doubled straw ration. In total 41 piglets were diagnosed as lame, corresponding to 3.8% of all live-born piglets (n = 1,073). Around 85% of these diagnoses took place during the first 3 weeks of life and the risk incidence of lameness decreased from 1.5% during the first week of life to 0.5% during the fourth week. The incidence of lameness was highest in the control unit and lowest in the units with repaired floors. Twenty lame piglets were confirmed to have bacterial growth in the joint. The causative agents were Streptococcus dysgalactiae subsp. equisimilis (60%), Staphylococcus hyicus subsp. hyicus (35%) and Escherichia coli (5%). These isolates were sensitive to all antibiotics included in the antimicrobial panels. Conclusion The results suggest that proper maintenance of the floor can prevent the degree of roughness and abrasiveness of the floors, which in turn can contribute significantly to prevention of abrasions, sole bruising and lameness in piglets. Maintaining the surface of concrete floors with two different commercially available solutions both decreased the incidence of abrasions and sole bruisings and thereby also of arthritis significantly. Also doubling the amount of chopped straw turned out to prevent development of skin lesions and sole bruisings to some extent, and subsequently also the incidence of arthritis. PMID:19463187

  10. Synthetic rubber surface as an alternative to concrete to improve welfare and performance of finishing beef cattle reared on fully slatted flooring.

    PubMed

    Brscic, M; Ricci, R; Prevedello, P; Lonardi, C; De Nardi, R; Contiero, B; Gottardo, F; Cozzi, G

    2015-08-01

    The aim of this study was to compare a fully slatted concrete floor (concrete slatted (CS)) with the same floor on which synthetic rubber slats were placed on the concrete slats (rubber slatted (RS)) as housing solution for finishing beef cattle. The present study involved five commercial beef cattle farms in which the floor of at least three pens was kept as fully slatted, and in an equal number of pens a rubber cover was placed on the floor, tightly matching the gap profile of the concrete slats to allow the drainage of manure. A total of 326 finishing beef bulls were used (153 on CS and 173 on RS), and regardless of the floor treatment animals were housed in groups of 6 to 12 bulls/pen with a space allowance of 3.1 ± 0.2 m2/bull. Bulls had similar initial live weights (422.3 kg on CS and 425.0 kg on RS), but bulls on RS were heavier at the end of the finishing period with a higher average daily gain than bulls kept on CS (1.53 v. 1.46 kg/day; P<0.05). The proportion of bulls treated for locomotor problems was lower in RS pens compared with CS. Rubber covering prevented the occurrence of bursitis, but it increased the odds for hoof overgrowth at end of the finishing period. Hoof overgrowth detected in vivo in bulls on RS was confirmed at the slaughterhouse by the longer dorsal wall and diagonal lengths of the hoof as well as by a more acute toe angle. Compared with bulls on CS, bulls on RS showed less inactivity and resting time, increased social interactions, decreased abnormal lying down and unsuccessful attempts to lie down, as well as shortened the time for lying down. Bulls in RS pens were dirtier compared with those in CS pens, likely due to the draining gaps being reduced to 11.6 ± 1.2% of the total pen surface compared with the 16.9 ± 1.7% in CS pens. This study gave further evidence about the positive effects of the RS floor on growth performance and welfare of finishing beef cattle, although compromising cleanliness and hoof overgrowth.

  11. Effects of a single inhalative exposure to formaldehyde on the open field behavior of mice.

    PubMed

    Malek, Fathi A; Möritz, Klaus-Uwe; Fanghänel, Jochen

    2004-02-01

    The effects of formaldehyde on the explorative behavior and locomotor activity of mice after a single inhalative exposure were examined in an open field. Adult male mice were exposed to approximately 1.1 ppm, 2.3 ppm, or 5.2 ppm formaldehyde vapour for 2 hours and the open field test was carried out two hours after the end of exposure (trial 1) and repeated 24 hours thereafter (trial 2). The following behavioral parameters were quantitatively examined: numbers of crossed floor squares (inner, peripheral, total), sniffing, grooming, rearing, climbing, and incidence of fecal boli. The results of the first trial revealed that the motion activity was significantly reduced in all exposed groups. In the 1.1 ppm group, the frequency of rearing was reduced and that of floor sniffing increased. The exposure to the two higher formaldehyde concentrations caused a significant decrease in total numbers of floor squares crossed by the subjects, air sniffing, and rearing. The open field test on the next day (trial 2) showed that the frequencies of floor sniffing, grooming, and rearing in all formaldehyde groups were significantly altered. In the 2.5 ppm group, an increased incidence of fecal boli was observed. From the results obtained, we conclude that the exposure of male mice to formaldehyde vapour affects their locomotor and explorative activity in the open field, and that some open field parameters are still altered in the exposed animals even after 24 hours.

  12. Observational scores of dampness and mold associated with measurements of microbial agents and moisture in three public schools

    PubMed Central

    Cho, S. J.; Cox-Ganser, J. M.; Park, J.-H.

    2015-01-01

    We examined associations between observational dampness scores and measurements of microbial agents and moisture in three public schools. A dampness score was created for each room from 4-point-scale scores (0–3) of water damage, water stains, visible mold, moldy odor, and wetness for each of 8 room components (ceiling, walls, windows, floor, ventilation, furniture, floor trench, and pipes), when present. We created mixed microbial exposure indices (MMEIs) for each of 121 rooms by summing decile ranks of 8 analytes (total culturable fungi; total, Gram-negative, and Gram-positive culturable bacteria; ergosterol; (1→3)-β-D-glucan; muramic acid; and endotoxin) in floor dust. We found significant (P ≤ 0.01) linear associations between the dampness score and culturable bacteria (total, Gram-positive, and Gram-negative) and the MMEIs. Rooms with dampness scores greater than 0.25 (median) had significantly (P < 0.05) higher levels of most microbial agents, MMEIs, and relative moisture content than those with lower scores (≤0.25). Rooms with reported recent water leaks had significantly (P < 0.05) higher dampness scores than those with historical or no reported water leaks. This study suggests that observational assessment of dampness and mold using a standardized form may be valuable for identifying and documenting water damage and associated microbial contamination. PMID:25650175

  13. Inferiorly based buccinator myomucosal island flap in oral and pharyngeal reconstruction. Four techniques to increase its application

    PubMed Central

    Rahpeyma, Amin; khajehahmadi, Saeedeh

    2015-01-01

    Introduction Reconstruction of oral and pharyngeal defects after pathologic resections with the same tissue is an optimal and ideal target. Islanded variety of inferiorly pedicled facial artery musculomucosal flap, in which facial artery and vein are skeletonized (referred to as inferiorly based BUMIF), is suitable for reconstruction of medium-sized mucosal defects. Presentation of cases In this article, with four cases, modifications of this flap are demonstrated in reconstruction of large intraoral and oropharyngeal defects and coverage of alveolar ridge in the mandible. Discussion In some situations, there is a need for more mucosal paddle, longer vascular pedicle and more adaptation to the recipient bed. Conclusion Relocating Stensen’s duct increases the mucosal paddle with cranial extension of superior limit while differential incision of the mucosa and buccinator muscle in mandibular vestibule extend the lower limit of this flap. Bone suture is a good complementary technique when this flap is used for coverage of mandibular alveolar ridge. Inferiorly based BUMIF with added length is indicated for oropharyngeal and contralateral mouth floor reconstructions. PMID:26218177

  14. Rates of Reconstruction Failure in Patients Undergoing Immediate Reconstruction With Tissue Expanders and/or Implants and Postmastectomy Radiation Therapy

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

    Fowble, Barbara, E-mail: BFowble@radonc.ucsf.edu; Park, Catherine; Wang, Frederick

    2015-07-01

    Objectives: Mastectomy rates for breast cancer have increased, with a parallel increase in immediate reconstruction. For some women, tissue expander and implant (TE/I) reconstruction is the preferred or sole option. This retrospective study examined the rate of TE/I reconstruction failure (ie, removal of the TE or I with the inability to replace it resulting in no final reconstruction or autologous tissue reconstruction) in patients receiving postmastectomy radiation therapy (PMRT). Methods and Materials: Between 2004 and 2012, 99 women had skin-sparing mastectomies (SSM) or total nipple/areolar skin-sparing mastectomies (TSSM) with immediate TE/I reconstruction and PMRT for pathologic stage II to IIImore » breast cancer. Ninety-seven percent had chemotherapy (doxorubicin and taxane-based), 22% underwent targeted therapies, and 78% had endocrine therapy. Radiation consisted of 5000 cGy given in 180 to 200 cGy to the reconstructed breast with or without treatment to the supraclavicular nodes. Median follow-up was 3.8 years. Results: Total TE/I failure was 18% (12% without final reconstruction, 6% converted to autologous reconstruction). In univariate analysis, the strongest predictor of reconstruction failure (RF) was absence of total TE/I coverage (acellular dermal matrix and/or serratus muscle) at the time of radiation. RF occurred in 32.5% of patients without total coverage compared to 9% with coverage (P=.0069). For women with total coverage, the location of the mastectomy scar in the inframammary fold region was associated with higher RF (19% vs 0%, P=.0189). In multivariate analysis, weight was a significant factor for RF, with lower weight associated with a higher RF. Weight appeared to be a surrogate for the interaction of total coverage, thin skin flaps, interval to exchange, and location of the mastectomy scar. Conclusions: RFs in patients receiving PMRT were lowered with total TE/I coverage at the time of radiation by avoiding inframammary fold incisions and with a preferred interval of 6 months to exchange.« less

  15. Integrated Multibeam and LIDAR Bathymetry Data Offshore of New London and Niantic, Connecticut

    USGS Publications Warehouse

    Poppe, L.J.; Danforth, W.W.; McMullen, K.Y.; Parker, Castle E.; Lewit, P.G.; Doran, E.F.

    2010-01-01

    Nearshore areas within Long Island Sound are of great interest to the Connecticut and New York research and resource management communities because of their ecological, recreational, and commercial importance. Although advances in multibeam echosounder technology permit the construction of high-resolution representations of sea-floor topography in deeper waters, limitations inherent in collecting fixed-angle multibeam data make using this technology in shallower waters (less than 10 meters deep) difficult and expensive. These limitations have often resulted in data gaps between areas for which multibeam bathymetric datasets are available and the adjacent shoreline. To address this problem, the geospatial data sets released in this report seamlessly integrate complete-coverage multibeam bathymetric data acquired off New London and Niantic Bay, Connecticut, with hydrographic Light Detection and Ranging (LIDAR) data acquired along the nearshore. The result is a more continuous sea floor representation and a much smaller gap between the digital bathymetric data and the shoreline than previously available. These data sets are provided online and on CD-ROM in Environmental Systems Research Institute (ESRI) raster-grid and GeoTIFF formats in order to facilitate access, compatibility, and utility.

  16. Barriers to pelvic floor physical therapy utilization for treatment of female urinary incontinence.

    PubMed

    Washington, Blair B; Raker, Christina A; Sung, Vivian W

    2011-08-01

    The purpose of this study was to estimate the effect of insurance status on pelvic floor physical therapy (PFPT) nonparticipation for the treatment of urinary incontinence. A cross-sectional study of women referred to PFPT for urinary incontinence between January 2009 and June 2010 was conducted. A telephone questionnaire was administered. Multiple logistic regression was used to identify risk factors for nonparticipation. Thirty-three percent of women with private insurance and 17% with other insurance were PFPT nonparticipants. On multiple logistic regression, women with Medicare were more likely to participate in PFPT (odds ratio [OR], 0.12; 95% confidence interval [CI], 0.01-0.72). Risk factors for nonparticipation included insurance noncoverage (OR, 103.85; 95% CI, 6.21-infinity) and a negative perception regarding the benefit of PFPT (OR, 5.07; 95% CI, 2.16-12.49). Among women who were referred to PFPT for urinary incontinence, insurance noncoverage and negative patient perception of efficacy were risk factors for nonparticipation, although having Medicare was protective. Improving patient education and insurance coverage for PFPT may increase usage. Copyright © 2011 Mosby, Inc. All rights reserved.

  17. Courthouse Prototype Building

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

    Malhotra, Mini; New, Joshua Ryan; Im, Piljae

    As part of DOE's support of ANSI/ASHRAE/IES Standard 90.1 and IECC, researchers at Pacific Northwest National Laboratory (PNNL) apply a suite of prototype buildings covering 80% of the commercial building floor area in the U.S. for new construction. Efforts have started on expanding the prototype building suite to cover 90% of the commercial building floor area in the U.S., by developing prototype models for additional building types including place of worship, public order and safety, public assembly. Courthouse is courthouse is a sub-category under the “Public Order and Safety" building type category; other sub-categories include police station, fire station, andmore » jail, reformatory or penitentiary.ORNL used building design guides, databases, and documented courthouse projects, supplemented by personal communication with courthouse facility planning and design experts, to systematically conduct research on the courthouse building and system characteristics. This report documents the research conducted for the courthouse building type and proposes building and system characteristics for developing a prototype building energy model to be included in the Commercial Building Prototype Model suite. According to the 2012 CBECS, courthouses occupy a total of 436 million sqft of floor space or 0.5% of the total floor space in all commercial buildings in the US, next to fast food (0.35%), grocery store or food market (0.88%), and restaurant or cafeteria (1.2%) building types currently included in the Commercial Prototype Building Model suite. Considering aggregated average, courthouse falls among the larger with a mean floor area of 69,400 sqft smaller fuel consumption intensity building types and an average of 94.7 kBtu/sqft compared to 77.8 kBtu/sqft for office and 80 kBtu/sqft for all commercial buildings.Courthouses range in size from 1000 sqft to over a million square foot building gross square feet and 1 courtroom to over 100 courtrooms. Small courthouses represent a majority of courthouse buildings. However, collectively they comprise a small fraction of total courthouse floor area in the US. Spaces and operation of courthouse also varies depending on the court type (federal court vs state court; district, appellate, versus Supreme Court) and jurisdiction (general jurisdiction, general jurisdiction trial, or special courts). Based on the statistics on courthouses, general jurisdiction trial court is considered for the prototype model. The model is assumed to be a 4-courtroom, small, 72,000 sqft three-story building including a ground level/ basement.« less

  18. Urban Density Indices Using Mean Shift-Based Upsampled Elevetion Data

    NASA Astrophysics Data System (ADS)

    Charou, E.; Gyftakis, S.; Bratsolis, E.; Tsenoglou, T.; Papadopoulou, Th. D.; Vassilas, N.

    2015-04-01

    Urban density is an important factor for several fields, e.g. urban design, planning and land management. Modern remote sensors deliver ample information for the estimation of specific urban land classification classes (2D indicators), and the height of urban land classification objects (3D indicators) within an Area of Interest (AOI). In this research, two of these indicators, Building Coverage Ratio (BCR) and Floor Area Ratio (FAR) are numerically and automatically derived from high-resolution airborne RGB orthophotos and LiDAR data. In the pre-processing step the low resolution elevation data are fused with the high resolution optical data through a mean-shift based discontinuity preserving smoothing algorithm. The outcome is an improved normalized digital surface model (nDSM) is an upsampled elevation data with considerable improvement regarding region filling and "straightness" of elevation discontinuities. In a following step, a Multilayer Feedforward Neural Network (MFNN) is used to classify all pixels of the AOI to building or non-building categories. For the total surface of the block and the buildings we consider the number of their pixels and the surface of the unit pixel. Comparisons of the automatically derived BCR and FAR indicators with manually derived ones shows the applicability and effectiveness of the methodology proposed.

  19. GLORIA II Sonograph Mosaic of the Western U.S. Exclusive Economic Zone

    NASA Astrophysics Data System (ADS)

    Cacchione, D. A.; Drake, D. E.; Edwards, B.; Field, M.; Gardner, J.; Hampton, M.; Karl, H.; McCulloch, D.; Kenyon, N.; Masson, D.

    In 1983 the United States declared sovereign rights and jurisdiction over living and nonliving resources in an area extending 200 nautical miles (370 km) seaward from its shores. In response to the establishment of this Exclusive Economic Zone (EEZ), the U.S. Geological Survey (USGS) has implemented a program, called EEZ-Scan, to systematically map the EEZ, using the Geological Long- Range Inclined ASDIC (GLORIA) II longrange side scan sonar system developed by the Institute of Oceanographic Sciences (IOS) of Great Britain [Somers et al, 1978]. The first part of the EEZ-Scan field program was completed in the summer of 1984, when USGS and IOS scientists surveyed the EEZ off the western conterminous United States aboard the British research vessel Farnella (Figure 1). The west coast survey, requiring 96 days of ship time and four separate legs, has resulted in virtually total sonograph coverage of the sea floor from the continental shelf break to the 200-nautical mile limit between the Mexican and Canadian borders, an area of about 850,000 km2 . Other data collected on the cruises included two-channel digital seismic reflection and 3.5-kHz highresolution and 10-kHz bathymetric profiles, as well as towed magnetometer data along approximately 20,000 km of trackline spaced nominally at 30-km intervals.

  20. Three-Dimensional Host Bone Coverage in Total Hip Arthroplasty for Crowe Types II and III Developmental Dysplasia of the Hip.

    PubMed

    Xu, Jiawei; Qu, Xinhua; Li, Huiwu; Mao, Yuanqing; Yu, Degang; Zhu, Zhenan

    2017-04-01

    Recommendations for minimum cup coverage based on anteroposterior radiographs are widely used as an intraoperative guide in total hip arthroplasty for patients with developmental dysplasia of the hip. The purpose of this study was to examine the validity of two-dimensional (2D) measurement of coverage with three-dimensional (3D) coverage and to identify parameters for determining the 3D coverage during surgery. We developed a technique to accurately reproduce the intraoperative anatomic geometry of the dysplastic acetabulum and measure the 3D cup coverage postoperatively. With this technique, we retrospectively analyzed the difference and correlation between 2D and 3D measurements of native bone coverage in 35 patients (45 hips) with Crowe II or III DDH. Linear regression analysis was performed to examine the intraoperative parameters related to coverage. The mean follow-up period was 7.64 years (range, 6.1-9.5 years). There was a significant difference and a fair correlation between 2D and 3D measurements. The 2D measurement underestimated the 3D cup coverage by approximately 13%. An excellent linear relationship was noted between the 3D coverage/uncoverage and the height of the uncovered portion (R 2  = 0.8440, P < .0001). There was no case of loosening or revision during the follow-up. Current minimum cup coverage recommendations based on 2D radiograph measurements should not be used as a direct intraoperative guide. The height of the uncovered portion is a useful parameter to determine the 3D coverage during surgery. Copyright © 2016 Elsevier Inc. All rights reserved.

  1. WOMAC and SF-36: instruments for evaluating the health-related quality of life of elderly people with total hip arthroplasty. A descriptive study.

    PubMed

    Rampazo-Lacativa, Mariana Kátia; Santos, Ariene Angelini dos; Coimbra, Arlete Maria Valente; D'Elboux, Maria José

    2015-01-01

    Quality-of-life results have increasingly been evaluated among patients undergoing joint replacements. The objective of this study was to compare two assessment instruments for health-related quality of life (one generic and the other specific), among elderly patients undergoing total hip arthroplasty. Cross-sectional descriptive study in a reference hospital in the region of Campinas. The subjects were 88 elderly outpatients aged 60 years or over who underwent primary total hip arthroplasty. Two instruments for assessing health-related quality of life were applied: the generic Medical Study 36-item Short-Form Health Survey (SF-36) and the specific Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Cronbach's alpha and the ceiling and floor effects of the instruments were evaluated. The scores from both instruments showed that issues of a physical nature affected these elderly people's quality of life most. The pain and stiffness dimensions of WOMAC showed ceiling effects and only the functional capacity and pain dimensions of the SF-36 did not show the ceiling effect. The SF-36 presented floor effects in the dimensions of physical and emotional aspects. Cronbach's alpha was considered satisfactory in both instruments (α > 0.70). The floor and ceiling effects that were observed suggest that these instruments may present some limitations in detecting changes to the majority of the SF-36 dimensions, except for functional capacity and pain, and to the pain and stiffness dimensions of WOMAC, when applied to elderly people with total hip arthroplasty.

  2. Pelvic floor muscle rehabilitation for patients with lifelong premature ejaculation: a novel therapeutic approach

    PubMed Central

    Palleschi, Giovanni; Fuschi, Andrea; Maggioni, Cristina; Rago, Rocco; Zucchi, Alessandro; Costantini, Elisabetta; Carbone, Antonio

    2014-01-01

    Objectives: Premature ejaculation is the most common male sexual disorder. The aim of the study was to evaluate the possible therapeutic role of pelvic floor muscle rehabilitation in patients affected by lifelong premature ejaculation. Methods: We treated 40 men with lifelong premature ejaculation, reporting, a baseline intravaginal ejaculatory latency time (IELT) ≤ 1 min, with 12-week pelvic floor muscle rehabilitation. Results: At the end of the rehabilitation, mean IELTs were calculated to evaluate the effectiveness of the therapy. At the end of the treatment, 33 (82.5%) of the 40 patients gained control of their ejaculatory reflex, with a mean IELT of 146.2 s (range: 123.6–152.4 s). A total of 13 out of 33 (39%) patients were evaluated at 6 months follow up, and they maintained a significant IELT (112.6 s) compared with their initial IELT (mean 39.8 s). Conclusions: The results obtained in our subjects treated with pelvic floor rehabilitation are promising. This therapy represents an important cost reduction compared with the standard treatment (selective serotonin reuptake inhibitors). Based on the present data, we propose pelvic floor muscle rehabilitation as a new, viable therapeutic option for the treatment of premature ejaculation. PMID:24883105

  3. [Effects of Electric Stimulation and Biofeedback for Pelvic Floor Muscle Exercise in Women with Vaginal Rejuvenation Women].

    PubMed

    Lee, Jung Bok; Choi, So Young

    2015-10-01

    The purpose of this study was to investigate the effects of pelvic floor muscle exercise using electric stimulation and biofeedback on maximum pressure of vaginal contraction, vaginal contraction duration and sexual function in women who have had vaginal rejuvenation. The research design was a non-equivalent control group non-synchronized design study. Participants in this study were women who had vaginal rejuvenation at C obstetrics and gynecology hospital. The 15 participants in the experimental group were given pelvic floor muscle exercise using electric stimulation and biofeedback and the 15 participants in the control group received self pelvic floor muscle exercise. For maximum pressure of vaginal contraction, the experimental group showed a statistically significant increase compared to than the control group (t=5.96, p<.001). For vaginal contraction duration, the experimental group also showed a statistically significant increase compared to the control group (t=3.23, p=.003). For women's sexual function, the experimental group showed a significant increase when compared to the control group in total sexual function scores (t=3.41, p=.002). The results indicate that pelvic floor muscle exercise with electric stimulation and biofeedback after vaginal rejuvenation is effective in strengthening vaginal contraction pressure, vaginal contraction and that it also positively functions to increase women's sexual function.

  4. Reliability and validity of a Turkish version of the Global Pelvic Floor Bother Questionnaire.

    PubMed

    Doğan, Hanife; Özengin, Nuriye; Bakar, Yeşim; Duran, Bülent

    2016-10-01

    The aim of this study was to translate the Global Pelvic Floor Bother Questionnaire (GPFBQ) into Turkish and to assess its validity and reliability. The Turkish adaptation of the GPFBQ was created by following the stages of the intercultural adaptation process. A test-retest interval of 1 week was used to assess the reliability, which was examined by the intraclass correlation coefficient. The validity of the GPFBQ was assessed and compared with the Pelvic Floor Distress Inventory-20 (PFDI-20) and the Pelvic Floor Impact Questionnaire-7 (PFIQ-7) using Spearman's rank correlation coefficients. For construct validity, confirmatory factor analysis was performed. A total of 131 women, whose mean age was 46.83 years, were included in the study. The test-retest reliability of the GPFBQ was excellent (0.998, p < 0.0001). The GPFBQ correlated significantly with the PFDI-20 (r = 0.860, p = 0.00) and PFIQ-7 (r = 0.802, p = 0.00). Confirmatory factor analysis was performed to determine construct validity, and it was found that it had four dimensions. The Turkish version of the GPFBQ is a valid and reliable tool for assessing the symptoms of bother and severity in Turkish-speaking women with pelvic floor dysfunction.

  5. Analysis of Bone Height Changes after Maxillary Sinus Augmentation with Simultaneous and Delayed Placement of Dental Implants: A Clinical and Radiographic Study.

    PubMed

    Yin, Lihua; Yu, Zhanhai; Chen, Zhuofan; Huang, Baoxin; Zhang, Kailiang; Zhou, Ailing; Li, Xiangxin

    2016-08-01

    To retrospectively assess the changes of the vertical height of the maxillary sinus floor after augmentation with simultaneous and delayed placement of implants. In total, 38 patients with 76 implants were involved; vertical bone height of the sinus floor was radiographically measured at different stages including preoperation, immediately postsurgery, 6 and 12 months postsurgery, and 6 and 24 months postfunctional loading. Sinus augmentation significantly increased vertical bone height of the sinus floor for both the simultaneous and delayed groups. The survival rate was 100% in the simultaneous group and 95.46% in the delayed group. For simultaneous placement, the vertical bone height of the sinus floor at 6 and 12 months postsurgery was significantly less than that immediately postsurgery. For both groups, augmented bone height of the sinus floor showed significant decrease from 6 months to 24 months postfunctional loading. The mean value of final bone augmentation was 5.85 mm for simultaneous placement and 5.80 mm for delayed placements. Sinus augmentation with simultaneous and delayed placement of implants led to similar survival rates and bone augmentation. Resorption of augmentative bone was evident at 24 months postfunctional loading in both cases. © 2015 by the American College of Prosthodontists.

  6. Electromagnetically levitated vibration isolation system for the manufacturing process of silicon monocrystals

    NASA Technical Reports Server (NTRS)

    Kanemitsu, Yoichi; Watanabe, Katsuhide; Yano, Kenichi; Mizuno, Takayuki

    1994-01-01

    This paper introduces a study on an Electromagnetically Levitated Vibration Isolation System (ELVIS) for isolation control of large-scale vibration. This system features no mechanical contact between the isolation table and the installation floor, using a total of four electromagnetic actuators which generate magnetic levitation force in the vertical and horizontal directions. The configuration of the magnet for the vertical direction is designed to prevent any generation of restoring vibratory force in the horizontal direction. The isolation system is set so that vibration control effects due to small earthquakes can be regulated to below 5(gal) versus horizontal vibration levels of the installation floor of up t 25(gal), and those in the horizontal relative displacement of up to 30 (mm) between the floor and levitated isolation table. In particular, studies on the relative displacement between the installation floor and the levitated isolation table have been made for vibration control in the horizontal direction. In case of small-scale earthquakes (Taft wave scaled: max. 25 gal), the present system has been confirmed to achieve a vibration isolation to a level below 5 gal. The vibration transmission ratio of below 1/10 has been achieved versus continuous micro-vibration (approx. one gal) in the horizontal direction on the installation floor.

  7. Maternal blood pressure and heart rate response to pelvic floor muscle training during pregnancy.

    PubMed

    Ferreira, Cristine H; Naldoni, Luciane M V; Ribeiro, Juliana Dos Santos; Meirelles, Maria Cristina C C; Cavalli, Ricardo de Carvalho; Bø, Kari

    2014-07-01

    To assess whether maternal blood pressure (BP) and heart rate (HR) change significantly in response to pelvic floor muscle training during pregnancy. Longitudinal exploratory study with repeated measurements. Twenty-seven nulliparous healthy women of mean age 23.3 years (range 18-36) and mean body mass index 23.4 (range 23.1-29.5). Individual supervised pelvic floor muscle training from gestational week 20 till 36 with assessment of BP and HR at gestational weeks 20, 24, 28, 32 and 36. Systolic and diastolic BP was measured before and after each training session and HR was monitored during each session. Pelvic floor muscle training did not change BP. 77% (n = 21) of participants exceeded 70% of estimated maximum HR during at least one session. The time for exceeding 70% of estimated maximum HR was between 2.2 and 3.2 % of the total exercise session. Increases in BP and HR from gestational weeks 20 till 36 were within normal limits for pregnant women. Pelvic floor muscle training in nulliparous sedentary pregnant women does not increase BP. It significantly increases HR during the exercise sessions, but only for a limited period of time and with no negative long-term effect on BP or HR. © 2014 Nordic Federation of Societies of Obstetrics and Gynecology.

  8. Perineal Massage Improves the Dyspareunia Caused by Tenderness of the Pelvic Floor Muscles.

    PubMed

    Silva, Ana Paula Moreira da; Montenegro, Mary Lourdes; Gurian, Maria Beatriz Ferreira; Mitidieri, Andreia Moreira de Souza; Lara, Lucia Alves da Silva; Poli-Neto, Omero Benedicto; Rosa E Silva, Julio Cesar

    2017-01-01

    Aim  To evaluate the long-term effectiveness of perineal Thiele massage in the treatment of women with dyspareunia caused by tenderness of the pelvic floor muscles. Methods  A total of 18 women with diagnoses of dyspareunia caused by tenderness of the pelvic floor muscles were included in the study. The women were divided in two groups: the dyspareunia (D) group - 8 women with dyspareunia caused by tenderness of the pelvic floor muscles; and the chronic pelvic pain group (CPP) group - 10 women with dyspareunia caused by tenderness of the pelvic floor muscles associated with CPP. Each patient filled out the Visual Analogue Scale (VAS), the McGill Pain Index, the Female Sexual Function Index (FSFI) and the Hospital Anxiety and Depression Scale (HADS). After an evaluation, the women underwent transvaginal massage using the Thiele technique over a period of 5 minutes, once a week for 4 weeks. Results  All women had significant improvements in their dyspareunia according the VAS and the McGill Pain Index ( p  < 0,001), but the HADS scores did not show significant differences. Regarding sexual function, the D group showed improvements on all aspects of sexual function, while the CPP group showed differences only in the pain domain. Conclusion  Thiele massage is effective in the treatment of dyspareunia caused by tenderness of the pelvic floor muscles with a long-term pain relief. Thieme-Revinter Publicações Ltda Rio de Janeiro, Brazil.

  9. Decreasing Postanesthesia Care Unit to Floor Transfer Times to Facilitate Short Stay Total Joint Replacements.

    PubMed

    Sibia, Udai S; Grover, Jennifer; Turcotte, Justin J; Seanger, Michelle L; England, Kimberly A; King, Jennifer L; King, Paul J

    2018-04-01

    We describe a process for studying and improving baseline postanesthesia care unit (PACU)-to-floor transfer times after total joint replacements. Quality improvement project using lean methodology. Phase I of the investigational process involved collection of baseline data. Phase II involved developing targeted solutions to improve throughput. Phase III involved measured project sustainability. Phase I investigations revealed that patients spent an additional 62 minutes waiting in the PACU after being designated ready for transfer. Five to 16 telephone calls were needed between the PACU and the unit to facilitate each patient transfer. The most common reason for delay was unavailability of the unit nurse who was attending to another patient (58%). Phase II interventions resulted in transfer times decreasing to 13 minutes (79% reduction, P < .001). Phase III recorded sustained transfer times at 30 minutes, a net 52% reduction (P < .001) from baseline. Lean methodology resulted in the immediate decrease of PACU-to-floor transfer times by 79%, with a 52% sustained improvement. Our methods can also be used to improve efficiencies of care at other institutions. Copyright © 2016 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

  10. Symbol Error Rate of Underlay Cognitive Relay Systems over Rayleigh Fading Channel

    NASA Astrophysics Data System (ADS)

    Ho van, Khuong; Bao, Vo Nguyen Quoc

    Underlay cognitive systems allow secondary users (SUs) to access the licensed band allocated to primary users (PUs) for better spectrum utilization with the power constraint imposed on SUs such that their operation does not harm the normal communication of PUs. This constraint, which limits the coverage range of SUs, can be offset by relaying techniques that take advantage of shorter range communication for lower path loss. Symbol error rate (SER) analysis of underlay cognitive relay systems over fading channel has not been reported in the literature. This paper fills this gap. The derived SER expressions are validated by simulations and show that underlay cognitive relay systems suffer a high error floor for any modulation level.

  11. Dynamic Vertical Mapping with Crowdsourced Smartphone Sensor Data

    PubMed Central

    Moslehi Rad, Omid Reza; Prehofer, Christian; Hugentobler, Urs

    2018-01-01

    In this paper, we present our novel approach for the crowdsourced dynamic vertical mapping of buildings. For achieving this, we use the barometric sensor of smartphones to estimate altitude differences and the moment of the outdoor to indoor transition to extract reference pressure. We have identified the outdoor–indoor transition (OITransition) via the fusion of four different sensors. Our approach has been evaluated extensively over a period of 6 months in different humidity, temperature, and cloud-coverage situations, as well as over different hours of the day, and it is found that it can always predict the correct number of floors, while it can approximate the altitude with an average error of 0.5 m. PMID:29415472

  12. Is Pelvic Floor Muscle Training Effective for Men With Poststroke Lower Urinary Tract Symptoms? A Single-Blinded Randomized, Controlled Trial.

    PubMed

    Tibaek, Sigrid; Gard, Gunvor; Dehlendorff, Christian; Iversen, Helle K; Biering-Soerensen, Fin; Jensen, Rigmor

    2017-09-01

    The aim of the current study was to evaluate the effect of pelvic floor muscle training in men with poststroke lower urinary tract symptoms. Thirty-one poststroke men, median age 68 years, were included in this single-blinded randomized controlled trial. Thirty participants, 15 in each group, completed the study. The intervention consisted of 3 months (12 weekly sessions) of pelvic floor muscle training in groups and home exercises. The effect was evaluated by the DAN-PSS-1 (Danish Prostate Symptom Score) questionnaire, a voiding diary, and digital anal palpation of the pelvic floor muscle. The DAN-PSS-1, symptom score indicated a statistical significant improvement ( p < .01) in the treatment group from pretest to posttest, but not in the control group. The DAN-PSS-1, total score improved statistically significantly in both groups from pretest to posttest (treatment group: p < .01; control group: p = .03). The median voiding frequency per 24 hours decreased from 11 at pretest to 7 (36%; p = .04) at posttest and to 8 (27%; p = .02) at follow-up in treatment group, although not statistical significantly more than the control group. The treatment group but not the control group improved statistically significantly in pelvic floor muscle function ( p < .01) and strength ( p < .01) from pretest to posttest and from pretest to follow-up ( p = .03; p < .01). Compared with the control group the pretest to posttest was significantly better in the treatment group ( p = .03). The results indicate that pelvic floor muscle training has an effect for lower urinary tract symptoms, although statistical significance was only seen for pelvic floor muscle.

  13. Forest floor leachate fluxes under six different tree species on a metal contaminated site.

    PubMed

    Van Nevel, Lotte; Mertens, Jan; De Schrijver, An; Baeten, Lander; De Neve, Stefaan; Tack, Filip M G; Meers, Erik; Verheyen, Kris

    2013-03-01

    Trees play an important role in the biogeochemical cycling of metals, although the influence of different tree species on the mobilization of metals is not yet clear. This study examined effects of six tree species on fluxes of Cd, Zn, DOC, H(+) and base cations in forest floor leachates on a metal polluted site in Belgium. Forest floor leachates were sampled with zero-tension lysimeters in a 12-year-old post-agricultural forest on a sandy soil. The tree species included were silver birch (Betula pendula), oak (Quercus robur and Q. petraea), black locust (Robinia pseudoacacia), aspen (Populus tremula), Scots pine (Pinus sylvestris) and Douglas fir (Pseudotsuga menziesii). We show that total Cd fluxes in forest floor leachate under aspen were slightly higher than those in the other species' leachates, yet the relative differences between the species were considerably smaller when looking at dissolved Cd fluxes. The latter was probably caused by extremely low H(+) amounts leaching from aspen's forest floor. No tree species effect was found for Zn leachate fluxes. We expected higher metal leachate fluxes under aspen as its leaf litter was significantly contaminated with Cd and Zn. We propose that the low amounts of Cd and Zn leaching under aspen's forest floor were possibly caused by high activity of soil biota, for example burrowing earthworms. Furthermore, our results reveal that Scots pine and oak were characterized by high H(+) and DOC fluxes as well as low base cation fluxes in their forest floor leachates, implying that those species might enhance metal mobilization in the soil profile and thus bear a potential risk for belowground metal dispersion. Copyright © 2013 Elsevier B.V. All rights reserved.

  14. Dedifferentiated liposarcoma of the oral floor: A case study and literature review of 50 cases of head and neck neoplasm.

    PubMed

    Nimura, Fumikazu; Nakasone, Toshiyuki; Matsumoto, Hirofumi; Maruyama, Tessho; Matayoshi, Akira; Maruyama, Nobuyuki; Yoshimi, Naoki; Arasaki, Akira; Nishihara, Kazuhide

    2018-05-01

    Dedifferentiated liposarcoma (DDLS) has a relatively poor prognosis, however this neoplasm rarely occurs in the head and neck. To date, no definite protocol has been established for the diagnosis and treatment of head and neck DDLS. The present study reports the case of a 69-year-old male patient with DDLS of the oral floor. To the best of our knowledge, this is the first documented case of oral floor DDLS. In addition, this is the first reported case with the development of a second primary malignancy following the treatment of head and neck DDLS. A literature review of 50 cases of head and neck DDLS revealed that preoperative biopsy is not reliable for the diagnosis of these tumors and an accurate pathological diagnosis with total resection is preferred.

  15. Dedifferentiated liposarcoma of the oral floor: A case study and literature review of 50 cases of head and neck neoplasm

    PubMed Central

    Nimura, Fumikazu; Nakasone, Toshiyuki; Matsumoto, Hirofumi; Maruyama, Tessho; Matayoshi, Akira; Maruyama, Nobuyuki; Yoshimi, Naoki; Arasaki, Akira; Nishihara, Kazuhide

    2018-01-01

    Dedifferentiated liposarcoma (DDLS) has a relatively poor prognosis, however this neoplasm rarely occurs in the head and neck. To date, no definite protocol has been established for the diagnosis and treatment of head and neck DDLS. The present study reports the case of a 69-year-old male patient with DDLS of the oral floor. To the best of our knowledge, this is the first documented case of oral floor DDLS. In addition, this is the first reported case with the development of a second primary malignancy following the treatment of head and neck DDLS. A literature review of 50 cases of head and neck DDLS revealed that preoperative biopsy is not reliable for the diagnosis of these tumors and an accurate pathological diagnosis with total resection is preferred. PMID:29740489

  16. Attributes of the Federal Energy Management Program's Federal Site Building Characteristics Database

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

    Loper, Susan A.; Sandusky, William F.

    2010-12-31

    Typically, the Federal building stock is referred to as a group of about one-half million buildings throughout the United States. Additional information beyond this level is generally limited to distribution of that total by agency and maybe distribution of the total by state. However, additional characterization of the Federal building stock is required as the Federal sector seeks ways to implement efficiency projects to reduce energy and water use intensity as mandated by legislation and Executive Order. Using a Federal facility database that was assembled for use in a geographic information system tool, additional characterization of the Federal building stockmore » is provided including information regarding the geographical distribution of sites, building counts and percentage of total by agency, distribution of sites and building totals by agency, distribution of building count and floor space by Federal building type classification by agency, and rank ordering of sites, buildings, and floor space by state. A case study is provided regarding how the building stock has changed for the Department of Energy from 2000 through 2008.« less

  17. Effects of Re-vegetation on Herbaceous Species Composition and Biological Soil Crusts Development in a Coal Mine Dumping Site

    NASA Astrophysics Data System (ADS)

    Zhao, Yang; Zhang, Peng; Hu, Yigang; Huang, Lei

    2016-02-01

    Despite the critical roles of plant species' diversity and biological soil crusts (BSCs) in arid and semi-arid ecosystems, the restoration of the diversity of herbaceous species and BSCs are rarely discussed during the process of vegetation restoration of anthropogenically damaged areas in these regions. In this study, the herbaceous plant species composition, along with the BSCs coverage and thicknesses, was investigated at six different re-vegetation type sites, and the natural vegetation site of the Heidaigou open pit coal mine in China's Inner Mongolia Autonomous Region was used as a reference. The highest total species richness (16), as well as the species richness (4.4), occurred in the Tree and Herbaceous vegetation type site. The species composition similarities between the restored sites and the reference site were shown to be very low, and ranged from 0.09 to 0.42. Also, among the restored sites, the similarities of the species were fairly high and similar, and ranged from 0.45 to 0.93. The density and height of the re-vegetated woody plants were significantly correlated with the indexes of the diversity of the species. The Shrub vegetation type site showed the greatest total coverage (80 %) of BSCs and algae crust coverage (48 %). The Shrub and Herbaceous type had the greatest thicknesses of BSCs, with as much as 3.06 mm observed, which was followed by 2.64 mm for the Shrub type. There was a significant correlation observed between the coverage of the total BSCs, and the total vegetation and herbaceous vegetation coverage, as well as between the algae crust coverage and the herbaceous vegetation coverage. It has been suggested that the re-vegetated dwarf woody plant species (such as shrubs and semi-shrubs) should be chosen for the optimal methods of the restoration of herbaceous species diversity at dumping sites, and these should be planted with low density. Furthermore, the effects of vegetation coverage on the colonization and development the BSCs should be considered in order to reconstruct the vegetation in disturbed environments, such as mine dumpsites in arid areas.

  18. Vaccination coverage for measles, mumps and rubella in anthroposophical schools in Gelderland, The Netherlands.

    PubMed

    Klomp, Judith H E; van Lier, Alies; Ruijs, Wilhelmina L M

    2015-06-01

    Social clustering of unvaccinated children in anthroposophical schools occurs, as inferred from various measles outbreaks that can be traced to these schools. However, accurate vaccination coverage data of anthroposophical schools are not widely available. In 2012, we performed a survey to estimate the vaccination coverage in three different grades of 11 anthroposophical schools in Gelderland, The Netherlands. We also gauged the opinion on childhood vaccination of the parents and compared these with the results of a national survey. In 2014, we were also able to obtain the registered total vaccination coverage per school from the national vaccination register to compare this with our survey data. The self-reported MMR vaccination coverage (2012) in the three grades of the schools in our study was 83% (range 45-100% per school). The registered total vaccination coverage (2014) was 78% (range 59-88% per school). The 95% confidence intervals of the two different vaccination coverages overlap for all schools. The parents in this study were less convinced about the beneficial effect of vaccinations and more worried about the possible side effects of vaccination compared with parents in general. Despite high overall vaccination coverage, the WHO goal to eliminate measles and rubella will not easily be achieved when social clustering of unvaccinated children in anthroposophical schools remains. © The Author 2014. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  19. Symptomatic knee disorders in floor layers and graphic designers. A cross-sectional study

    PubMed Central

    2012-01-01

    Background Previous studies have described an increased risk of developing tibio-femoral osteoarthritis (TF OA), meniscal tears and bursitis among those with a trade as floor layers. The purpose of this study was to analyse symptomatic knee disorders among floor layers that were highly exposed to kneeling work tasks compared to graphic designers without knee-demanding work tasks. Methods Data on the Knee injury and Osteoarthritis Outcome Score (KOOS) were collected by questionnaires. In total 134 floor layers and 120 graphic designers had a bilateral radiographic knee examination to detect TF OA and patella-femoral (PF) OA. A random sample of 92 floor layers and 49 graphic designers had Magnetic Resonance Imaging (MRI) of both knees to examine meniscal tears. Means of the subscales of KOOS were compared by analysis of variance. The risk ratio of symptomatic knee disorders defined as a combination of radiological detected knee OA or MRI-detected meniscal tears combined with a low KOOS score was estimated by logistic regression in floor layers with 95% confidence interval (CI) and adjusted for age, body mass index, traumas, and knee-straining sports activities. Symptomatic knee OA or meniscal tears were defined as a combination of low KOOS-scores and radiographic or MRI pathology. Results Symptomatic TF and medial meniscal tears were found in floor layers compared to graphic designers with odds ratios 2.6 (95%CI 0.99-6.9) and 2.04 (95% CI 0.77-5.5), respectively. There were no differences in PF OA. Floor layers scored significantly lower on all KOOS subscales compared to graphic designers. Significantly lower scores on the KOOS subscales were also found for radiographic TF and PF OA regardless of trade but not for meniscal tears. Conclusions The study showed an overall increased risk of developing symptomatic TF OA in a group of floor layers with a substantial amount of kneeling work positions. Prevention would be appropriate to reduce the proportion of kneeling postures e.g. by working with tools used from a standing working position. PMID:23009280

  20. Manometric and ultrasonographic characteristics of patients with coexisting fecal incontinence and constipation.

    PubMed

    Somers, M; Peleman, C; Van Malderen, K; Verlinden, W; Francque, S; De Schepper, H

    2017-01-01

    The treatment of fecal incontinence (FI) depends upon the dominant pathophysiology: impaired sphincter contractility or overflow due to pelvic floor dyssynergia and insufficient rectal emptying. In this study, we aimed to define the manometric and anorectal ultrasound characteristics in FI patients with and without constipation. We did a retrospective study of 365 anal manometries, performed between October 2012 and July 2015, in patients with FI. Clinical information was obtained from questionnaires. In 220 of these patients an anorectal ultrasound was also available. Key results : A high prevalence of self-reported constipation was seen in the total population of FI patients (66%). This number was lower (31%) when Rome IV criteria were applied. A very high percentage of manometric pelvic floor dyssynergia was seen in the total population with FI (81%). However, patients with FI and constipation did not show pelvic floor dyssynergia more often than patients without constipation. Anal resting pressure, squeeze pressure and anorectal pressure sensitivity were not different when comparing patients without and with constipation. The prevalence of a functional defecation disorder (FDD) in our study population of FI patients was 20%. Wexner score in this subgroup was lower compared with patients without FDD. Anal sphincter defects were more prevalent in women than men, and were associated with diminished sphincter contractility. A very high percentage of FI patients showed manometric pelvic floor dyssynergia. The coexistence of fecal incontinence and constipation did not increase this percentage. Constipation is a frequent and underestimated cause of FI. A correct diagnosis has a major impact on treatment. We aimed to characterize the manometric and transrectal ultrasound profile of FI patients with and without signs of coexisting constipation. - A very high percentage of incontinent patients showed pelvic floor dyssynergia, however no significant difference between the group with and the group without constipation was seen. Anal resting pressure, squeeze pressure and anorectal pressure sensitivity did not differ significantly either. © Acta Gastro-Enterologica Belgica.

  1. Analysis on the Change of Vegetation Coverage in Qinghai Province from 2000 TO 2012

    NASA Astrophysics Data System (ADS)

    Wang, J.; Yan, Q.; Liu, Z.; Luo, C.

    2013-07-01

    Qinghai Province is one of the important provinces on the Qinghai-Tibet Plateau in China. Its unique alpine meadow ecosystem makes it become the most concentrated areas of biodiversity in high altitudes in the world. Researching the vegetation coverage and changes of Qinghai province can reflect effectively and timely processing of changes and problems of ecological quality in the region. This research will give a long time series monitoring of the vegetation coverage of Qinghai province based on maximum value composite (MVC) and S-G filtering algorithm using MODIS data of the year of 2000-2012, then analyze the change using coefficient of variability(CV) and trend line analysis. According to research, during the past 13 years, more than half of Qinghai Province's vegetation coverage is well, both the east and south have a high coverage, while the northwest is lower. The changing of vegetation coverage also has showed a steady and improving trend in 13 years. The largest area is slight improved area is about 29.08% of the total area, and the second largest area is significant improved area is about 21.09% of the total area. In this research can learn directly the vegetation coverage and changes of Qinghai province and provide reference and scientific basis for the protection and governance of ecological environment.

  2. The Influence of Household- and Community-Level Sanitation and Fecal Sludge Management on Urban Fecal Contamination in Households and Drains and Enteric Infection in Children

    PubMed Central

    Berendes, David; Kirby, Amy; Clennon, Julie A.; Raj, Suraja; Yakubu, Habib; Leon, Juan; Robb, Katharine; Kartikeyan, Arun; Hemavathy, Priya; Gunasekaran, Annai; Ghale, Ben; Kumar, J. Senthil; Mohan, Venkata Raghava; Kang, Gagandeep; Moe, Christine

    2017-01-01

    Urban sanitation necessitates management of fecal sludge inside and outside the household. This study examined associations between household sanitation, fecal contamination, and enteric infection in two low-income neighborhoods in Vellore, India. Surveys and spatial analysis assessed the presence and clustering of toilets and fecal sludge management (FSM) practices in 200 households. Fecal contamination was measured in environmental samples from 50 households and household drains. Enteric infection was assessed from stool specimens from children under 5 years of age in these households. The two neighborhoods differed significantly in toilet coverage (78% versus 33%) and spatial clustering. Overall, 49% of toilets discharged directly into open drains (“poor FSM”). Children in households with poor FSM had 3.78 times higher prevalence of enteric infection when compared with children in other households, even those without toilets. In the neighborhood with high coverage of household toilets, children in households with poor FSM had 10 times higher prevalence of enteric infection than other children in the neighborhood and drains in poor FSM clusters who had significantly higher concentrations of genogroup II norovirus. Conversely, children in households with a toilet that contained excreta in a tank onsite had 55% lower prevalence of enteric infection compared with the rest of the study area. Notably, households with a toilet in the neighborhood with low toilet coverage had more fecal contamination on floors where children played compared with those without a toilet. Overall, both toilet coverage levels and FSM were associated with environmental fecal contamination and, subsequently, enteric infection prevalence in this urban setting. PMID:28719269

  3. Observational scores of dampness and mold associated with measurements of microbial agents and moisture in three public schools.

    PubMed

    Cho, S J; Cox-Ganser, J M; Park, J-H

    2016-04-01

    We examined associations between observational dampness scores and measurements of microbial agents and moisture in three public schools. A dampness score was created for each room from 4-point-scale scores (0-3) of water damage, water stains, visible mold, moldy odor, and wetness for each of 8 room components (ceiling, walls, windows, floor, ventilation, furniture, floor trench, and pipes), when present. We created mixed microbial exposure indices (MMEIs) for each of 121 rooms by summing decile ranks of 8 analytes (total culturable fungi; total, Gram-negative, and Gram-positive culturable bacteria; ergosterol; (1→3)-β-D-glucan; muramic acid; and endotoxin) in floor dust. We found significant (P ≤ 0.01) linear associations between the dampness score and culturable bacteria (total, Gram-positive, and Gram-negative) and the MMEIs. Rooms with dampness scores greater than 0.25 (median) had significantly (P < 0.05) higher levels of most microbial agents, MMEIs, and relative moisture content than those with lower scores (≤0.25). Rooms with reported recent water leaks had significantly (P < 0.05) higher dampness scores than those with historical or no reported water leaks. This study suggests that observational assessment of dampness and mold using a standardized form may be valuable for identifying and documenting water damage and associated microbial contamination. Published 2015. This article is a U.S. Government work and is in the public domain in the USA.

  4. Religion and mythology in a sample of undergraduate psychology of women courses.

    PubMed

    Taylor, Christina J; Galasso, Rosemarie

    2008-10-01

    The coverage of religion and mythology in undergraduate courses in the Psychology of Women was explored by (a) surveying a sample of undergraduate instructors (N=72); and (b) examining coverage in textbooks on the Psychology of Women (N=95). 48.6% of teachers said they include some coverage, while 43.1% said they never do. The total percentage of coverage in textbooks is small, ranging from a mean of 2.0% in the 1970s to 1.1% in the current decade.

  5. Spatial distribution of ammonium and calcium in optimally fertilized pine plantation soils

    Treesearch

    Ivan Edwards; Andrew Gillespie; Jennifer Chen; Kurt Johnsen; Ronald Turco

    2005-01-01

    Commercial timber production is increasingly reliant on long-term fertilization to maximize stand productivity, yet we do not understand the extent to which this practice homogenizes soil properties. The effects of 16 yr of optimal fertilization and optimal fertilization with irrigation (fertigation) on forest floor depth, pH, total organic carbon (TOC) and total...

  6. Immunisation coverage of adults: a vaccination counselling campaign in the pharmacies in Switzerland.

    PubMed

    Valeri, Fabio; Hatz, Christoph; Jordan, Dominique; Leuthold, Claudine; Czock, Astrid; Lang, Phung

    2014-01-01

    To assess vaccination coverage for adults living in Switzerland. Through a media campaign, the general population was invited during 1 month to bring their vaccination certificates to the pharmacies to have their immunisation status evaluated with the software viavac©, and to complete a questionnaire. A total of 496 pharmacies in Switzerland participated in the campaign, of which 284 (57%) submitted valid vaccination information. From a total of 3,634 participants in the campaign, there were 3,291 valid cases (participants born ≤ 1992) and 1,011 questionnaires completed. Vaccination coverage for the participants was 45.9% and 34.6% for five and six doses of diphtheria, 56.4% and 44.0% for tetanus and 66.3% and 48.0% for polio, respectively. Coverage estimates for one and two doses of measles vaccine were 76.5% and 49.4%, respectively, for the birth cohort 1967-1992 and 4.0% and 0.8%, respectively, for the cohort ≤ 1966. There was a significant difference in coverage for most vaccinations between the two aforementioned birth cohorts. A plot of the measles vaccine coverage over time shows that the increase in coverage correlated with policy changes in the Swiss Immunisation Schedule. Despite selection bias and low participation, this study indicates that vaccination coverage for the basic recommended immunisations in the adult population in Switzerland is suboptimal. More efforts using various means and methods are needed to increase immunisation coverage in adolescents before they leave school. An established method to determine vaccination coverage for the general population could provide invaluable insights into the effects of changes in vaccination policies and disease outbreaks.

  7. Do modern total knee replacements improve tibial coverage?

    PubMed

    Meier, Malin; Webb, Jonathan; Collins, Jamie E; Beckmann, Johannes; Fitz, Wolfgang

    2018-01-25

    The purpose of the present study is to compare newer designs of various symmetric and asymmetric tibial components and measure tibial bone coverage using the rotational safe zone defined by two commonly utilized anatomic rotational landmarks. Computed tomography scans (CT scans) of one hundred consecutive patients scheduled for total knee arthroplasty were obtained pre-operatively. A virtual proximal tibial cut was performed and two commonly used rotational axes were added for each image: the medio-lateral axis (ML-axis) and the medial 1/3 tibial tubercle axis (med-1/3-axis). Different symmetric and asymmetric implant designs were then superimposed in various rotational positions for best cancellous and cortical coverage. The images were imported to a public domain imaging software, and cancellous and cortical bone coverage was computed for each image, with each implant design in various rotational positions. One single implant type could not be identified that provided the best cortical and cancellous coverage of the tibia, irrespective of using the med-1/3-axis or the ML-axis for rotational alignment. However, it could be confirmed that the best bone coverage was dependent on the selected rotational landmark. Furthermore, improved bone coverage was observed when tibial implant positions were optimized between the two rotational axes. Tibial coverage is similar for symmetric and asymmetric designs, but depends on the rotational landmark for which the implant is designed. The surgeon has the option to improve tibial coverage by optimizing placement between the two anatomic rotational alignment landmarks, the medial 1/3 and the ML-axis. Surgeons should be careful assessing intraoperative rotational tibial placement using the described anatomic rotational landmarks to optimize tibial bony coverage without compromising patella tracking. III.

  8. Effect of incremental filling technique on adhesion of light-cured resin composite to cavity floor.

    PubMed

    Chikawa, Hirokazu; Inai, Norimichi; Cho, Eitetsu; Kishikawa, Ryuzo; Otsuki, Masayuki; Foxton, Richard M; Tagami, Junji

    2006-09-01

    The purpose of this study was to evaluate the effect of various incremental filling techniques on adhesion between composite and cavity floor using light-cured resin composite. Black ABS resin and hybrid resin composite were used as mold materials--instead of dentin--for the preparation of cavities, and standardized to 5x5x5 mm. Each cavity was then treated with a bonding system (Clearfil SE bond). Resin composite (Clearfil Photo Core) was placed on the bonding resin using different incremental filling techniques or in bulk and irradiated for a total of 80 seconds using a halogen light unit. Specimens were subjected to the micro-tensile bond test at a crosshead speed of 1 mm/min. Data were analyzed by two-way ANOVA. The results indicated that an incremental filling technique was more effective in improving adhesion to the cavity floor than a bulk filling technique.

  9. AURORA BOREALIS - European Research Icebreaker With Drilling Capability

    NASA Astrophysics Data System (ADS)

    Biebow, N.; Lembke-Jene, L.; Kunz-Pirrung, M.; Thiede, J.

    2008-12-01

    The polar oceans are the least known areas of the globe, in although they hold the key to many of our climate´s secrets. How does the sea ice coverage and the sea water properties change? How do plants and animals survive under the most extreme conditions of the earth? Which information of past climate change can be read from the sediments at the sea-floor and how can the future changing climate be predicted? In order to answer such and further questions, for the moment a hypermodern research vessel, the AURORA BOREALIS, is planned, which can handle the cool summers and freezing winters of the polar oceans and which can drill deep into the sea floor. AURORA BOREALIS will be the most advanced Research Icebreaker in the world with a multi-functional role of drilling in deep ocean basins and supporting climate/environmental research and decision support for stakeholder governments for the next 35-40 years. It will have a high icebreaking capacity to penetrate autonomously (single ship operation) into the central Arctic Ocean with more than 2.5 meters of ice cover, during all seasons of the year. The new technological features will include dynamic positioning in closed sea- ice cover, satellite navigation and ice-management support and the deployment and operation of Remotely Operated Vehicles (ROV) and Autonomous Underwater Vehicles (AUVs) from the twin moon-pools. A unique feature of the vessel is the deep-sea drilling rig, which will enable sampling of the ocean floor and sub-sea up to 5000 m water and 1000 m penetration at the most inhospitable places on earth. The drilling capability will be deployed in both Polar Regions on the long run and AURORA BOREALIS will be the only vessel worldwide that could undertake this type of scientific investigation.

  10. Investigating Mars: Kaiser Crater Dunes

    NASA Image and Video Library

    2018-01-24

    This VIS image of Kaiser Crater shows individual dunes and where the dunes have coalesced into longer dune forms. The addition of sand makes the dunes larger and the intra-dune areas go from sand-free to complete coverage of the hard surface of the crater floor. With a continued influx of sand the region will transition from individual dunes to a sand sheet with surface dune forms. Kaiser Crater is located in the southern hemisphere in the Noachis region west of Hellas Planitia. Kaiser Crater is just one of several large craters with extensive dune fields on the crater floor. Other nearby dune filled craters are Proctor, Russell, and Rabe. Kaiser Crater is 207 km (129 miles) in diameter. The dunes are located in the southern part of the crater floor. The Odyssey spacecraft has spent over 15 years in orbit around Mars, circling the planet more than 69000 times. It holds the record for longest working spacecraft at Mars. THEMIS, the IR/VIS camera system, has collected data for the entire mission and provides images covering all seasons and lighting conditions. Over the years many features of interest have received repeated imaging, building up a suite of images covering the entire feature. From the deepest chasma to the tallest volcano, individual dunes inside craters and dune fields that encircle the north pole, channels carved by water and lava, and a variety of other feature, THEMIS has imaged them all. For the next several months the image of the day will focus on the Tharsis volcanoes, the various chasmata of Valles Marineris, and the major dunes fields. We hope you enjoy these images! Orbit Number: 1423 Latitude: -46.9573 Longitude: 18.6192 Instrument: VIS Captured: 2002-04-10 16:44 https://photojournal.jpl.nasa.gov/catalog/PIA22173

  11. Forest floor and mineral soil respiration rates in a northern Minnesota red pine chronosequence

    USGS Publications Warehouse

    Powers, Matthew; Kolka, Randall; Bradford, John B.; Palik, Brian J.; Jurgensen, Martin

    2018-01-01

    We measured total soil CO2 efflux (RS) and efflux from the forest floor layers (RFF) in red pine (Pinus resinosaAit.) stands of different ages to examine relationships between stand age and belowground C cycling. Soil temperature and RS were often lower in a 31-year-old stand (Y31) than in 9-year-old (Y9), 61-year-old (Y61), or 123-year-old (Y123) stands. This pattern was most apparent during warm summer months, but there were no consistent differences in RFF among different-aged stands. RFF represented an average of 4–13% of total soil respiration, and forest floor removal increased moisture content in the mineral soil. We found no evidence of an age effect on the temperature sensitivity of RS, but respiration rates in Y61 and Y123 were less sensitive to low soil moisture than RS in Y9 and Y31. Our results suggest that soil respiration’s sensitivity to soil moisture may change more over the course of stand development than its sensitivity to soil temperature in red pine, and that management activities that alter landscape-scale age distributions in red pine forests could have significant impacts on rates of soil CO2 efflux from this forest type.

  12. Abdominopelvic kinesiotherapy for pelvic floor muscle training: a tested proposal in different groups.

    PubMed

    Botelho, Simone; Martinho, Natalia Miguel; Silva, Valéria Regina; Marques, Joseane; Alves, Fabiola Kenia; Riccetto, Cássio

    2015-12-01

    This video's proposal was to present one of the pelvic floor muscle (PFM) training programs used in our research, and to study the effects of abdominopelvic kinesiotherapy on female PFM function. A total of 82 women participated in this study, 11 nulliparous, 13 primiparous pregnant, 20 primiparous postpartum and 38 postmenopausal women, who were evaluated first by digital palpation, then by either electromyography or vaginal dynamometry to investigate their PFM strength, followed by ICIQ UI-SF and ICIQ-OAB to evaluate urinary symptoms. This intervention protocol lasted for 60 min, three times a week, with a total of 10 sessions, and was supervised by a physiotherapist, using a gym ball, according to Marques and collaborators. A significant increase in PFM strength was observed by digital palpation in all groups. This finding was confirmed by electromyography in both pregnant (p = 0.0001) and postpartum (p = 0.0001) groups, as well as in 20 of the 38 women from the postmenopausal group (p = 0.003) then by vaginal dynamometry (p = 0.02) in the rest of the women (18) from the same group, with a concomitant decrease in urinary symptoms (p < 0.05). The abdominopelvic kinesiotherapy program promotes an increase in pelvic floor muscle strength and a decrease in urinary symptoms.

  13. The relationship between medical care costs and personal bankruptcy.

    PubMed

    Brotman, Billie Ann

    2006-01-01

    The number of personal bankruptcy filings has broken records over the last few years. Filings for nonbusiness bankruptcy protection totaled 1,650,279 in 2003, an increase of 9.6 percent between the years 2002 and 2003. This article examines the relationship in the United States between personal bankruptcy filings, and medical care costs and coverage. There seems to be a positive, statistically significant relationship between medical care costs and nonbusiness bankruptcy numbers; however, medical care coverage has limited or no explanatory value as a factor explaining total nonbusiness bankruptcy filings. The regression models suggest a weak or no relationship between the number of nonbusiness bankruptcy filings and health insurance coverage.

  14. Evaporation components of a boreal forest: variations during the growing season

    NASA Astrophysics Data System (ADS)

    Grelle, A.; Lundberg, A.; Lindroth, A.; Morén, A.-S.; Cienciala, E.

    1997-10-01

    To improve the understanding of interactions between the boreal forest and the climate system as a key issue for global climate change, the water budget of a mixed pine and spruce forest in central Sweden was estimated by measurements of the water flux components and the total evaporation flux during the period 16 May-31 October 1995. Total evaporation was measured using eddy correlation and the components were obtained using measurements of precipitation, throughfall, tree transpiration, and forest floor evaporation. On a daily basis, tree transpiration was the dominant evaporation component during the vegetation period. However, it could be efficiently blocked by a wet canopy associated with large interception evaporation. The accumulated total evaporation was 399 mm, transpiration was 243 mm, forest floor evaporation was 56 mm and interception evaporation was 74 mm. The accumulated sum of interception, transpiration, and floor evaporation was 51 mm larger than the actual measured total evaporation. This difference was mainly attributed to the fact that transpiration was measured in a rather dense 50-year-old stand while total evaporation represented the average conditions of older, roughly 100-year-old stands. To compare eddy-correlation measurements with small-scale measurements of evaporation components, a source area analysis was made to select the flux data that give the best representation of the investigated stand. Especially under stable atmospheric conditions the requirements for surface homogeneity were very high and extreme care had to be taken to be aware of the flux source areas. Canopy water storage was determined by two methods: by the water balance of the canopy, which gave a result of 3.3 mm; and by the so-called minimum method based on plots of throughfall versus precipitation, which gave a much lower value of 1.5 mm. Seasonal interception evaporation constituted 30% of the precipitation.

  15. Long-term experiment with orchard floor management systems: influence on apple yield and chemical composition.

    PubMed

    Slatnar, Ana; Licznar-Malanczuk, Maria; Mikulic-Petkovsek, Maja; Stampar, Franci; Veberic, Robert

    2014-05-07

    The study focuses on the response of apple primary and secondary metabolism and some important quality parameters to three living mulch treatments, classical herbicide fallow, and black polypropylene strip application in two apple cultivars. Primary and secondary metabolites were analyzed after 10 years of ground cover experiments. Soluble solids, firmness, and color measurements indicate differences among orchard floor management treatments. Significantly, lower levels of individual sugars have been measured in fruit of different living mulch treatments compared with fruit harvested from trees subjected to the herbicide strip treatment. Total sugar content was higher in fruit of the herbicide strip treatment in both cultivars analyzed. Significantly higher levels of total organic acids were only detected in 'Pinova' fruit of the Festuca ovina L. treatment. Long-term response of both cultivars to living mulch treatments indicated that apples increase the accumulation of almost all analyzed individual phenolic compounds.

  16. KENNEDY SPACE CENTER, FLA. - In the Space Station Processing Facility, technicians on the floor watch as a tray is extended from inside the Pressurized Module, or PM, part of the Japanese Experiment Module (JEM). The PM provides a shirt-sleeve environment in which astronauts on the International Space Station can conduct microgravity experiments. There are a total of 23 racks, including 10 experiment racks, inside the PM providing a power supply, communications, air conditioning, hardware cooling, water control and experiment support functions.

    NASA Image and Video Library

    2003-09-24

    KENNEDY SPACE CENTER, FLA. - In the Space Station Processing Facility, technicians on the floor watch as a tray is extended from inside the Pressurized Module, or PM, part of the Japanese Experiment Module (JEM). The PM provides a shirt-sleeve environment in which astronauts on the International Space Station can conduct microgravity experiments. There are a total of 23 racks, including 10 experiment racks, inside the PM providing a power supply, communications, air conditioning, hardware cooling, water control and experiment support functions.

  17. Distributions of lesser mealworm (Coleoptera: Tenebrionidae) in litter of a compacted earth floor broiler house in subtropical Queensland, Australia.

    PubMed

    Lambkin, Trevor A; Kopittke, Rosemary A; Rice, Steven J; Bartlett, Justin S; Zalucki, Myron P

    2007-08-01

    Distributions of lesser mealworm, Alphitobius diaperinus (Panzer) (Coleoptera: Tenebrionidae), in litter of a compacted earth floor broiler house in southeastern Queensland, Australia, were studied over two flocks. Larvae were the predominant stage recorded. Significantly low densities occurred in open locations and under drinker cups where chickens had complete access, whereas high densities were found under feed pans and along house edges where chicken access was restricted. For each flock, lesser mealworm numbers increased at all locations over the first 14 d, especially under feed pans and along house edges, peaking at approximately 26 d and then declining over the final 28 d. A life stage profile per flock was devised that consisted of the following: beetles emerge from the earth floor at the beginning of each flock, and females lay eggs, producing larvae that peak in numbers at approximately 3 wk; after a further 3 to 4 wk, larvae leave litter to pupate in the earth floor, and beetles then emerge by the end of the flock time. Removing old litter from the brooder section at the end of a flock did not greatly reduce mealworm numbers over the subsequent flock, but it seemed to prevent numbers increasing, while an increase in numbers in the grow-out section was recorded after reusing litter. Areas under feed pans and along house edges accounted for 5% of the total house area, but approximately half the estimated total number of lesser mealworms in the broiler house occurred in these locations. The results of this study will be used to determine optimal deployment of site-specific treatments for lesser mealworm control.

  18. Sources and Coverage of Medical News on Front Pages of US Newspapers

    PubMed Central

    Lai, William Y. Y.; Lane, Trevor; Jones, Alison

    2009-01-01

    Background Medical news that appears on newspaper front pages is intended to reach a wide audience, but how this type of medical news is prepared and distributed has not been systematically researched. We thus quantified the level of visibility achieved by front-page medical stories in the United States and analyzed their news sources. Methodology Using the online resource Newseum, we investigated front-page newspaper coverage of four prominent medical stories, and a high-profile non-medical news story as a control, reported in the US in 2007. Two characteristics were quantified by two raters: which newspaper titles carried each target front-page story (interrater agreement, >96%; kappa, >0.92) and the news sources of each target story (interrater agreement, >94%; kappa, >0.91). National rankings of the top 200 US newspapers by audited circulation were used to quantify the extent of coverage as the proportion of the total circulation of ranked newspapers in Newseum. Findings In total, 1630 front pages were searched. Each medical story appeared on the front pages of 85 to 117 (67.5%–78.7%) ranked newspaper titles that had a cumulative daily circulation of 23.1 to 33.4 million, or 61.8% to 88.4% of all newspapers. In contrast, the non-medical story achieved front-page coverage in 152 (99.3%) newspaper titles with a total circulation of 41.0 million, or 99.8% of all newspapers. Front-page medical stories varied in their sources, but the Washington Post, Los Angeles Times, New York Times and the Associated Press together supplied 61.7% of the total coverage of target front-page medical stories. Conclusion Front-page coverage of medical news from different sources is more accurately revealed by analysis of circulation counts rather than of newspaper titles. Journals wishing to widen knowledge of research news and organizations with important health announcements should target at least the four dominant media organizations identified in this study. PMID:19724643

  19. A comparison between stabilization exercises and pelvic floor muscle training in women with pelvic organ prolapse.

    PubMed

    Özengin, Nuriye; Ün Yıldırım, Necmiye; Duran, Bülent

    2015-03-01

    This study aimed to compare the effectiveness of stabilization exercises and pelvic floor muscle training in women with stage 1 and 2 pelvic organ prolapse. In a total 38 women with pelvic organ prolapse whose average age was 45.60 years, pelvic floor muscles were evaluated with electromyography, and prolapse with pelvic organ prolapse quantification system, and the quality of life with prolapse quality of life questionnaire. Afterwards, the subjects were divided into two groups; stabilization exercise group (n=19) and pelvic floor muscle training group (n=19). Stabilization exercise group were given training for 8 weeks, 3 times a week. Pelvic floor muscle training group were given eight-week home exercises. Each group was assessed before training and after eight weeks. An increase was found in the pelvic muscle activation response in the 2 groups (p≤0.05). There was no difference in EMG activity values between the groups (p>0.05). A difference was found in the values Aa, Ba and C in subjects of each group (p≤0.05), and the TVL, Ap, Bp and D values of subjects in pelvic floor muscle training group (p≤0.05) in the before and after pelvic organ prolapse quantification system assessment, however, no difference was found between the groups (p≤0.05). A positive difference was found in the effect of prolapse sub parameter in each of the two groups, and in general health perception sub parameter in subjects of stabilization exercise group (p<0.05) in the prolapse quality of life questionnaire. It was concluded that both training programs increased the pelvic floor muscle strength, provided a decline in prolapse stages. Stabilization exercise has increased general health perception unlike home training, thus, these exercises can be added to the treatment of women with prolapse.

  20. A comparison between stabilization exercises and pelvic floor muscle training in women with pelvic organ prolapse

    PubMed Central

    Özengin, Nuriye; Ün Yıldırım, Necmiye; Duran, Bülent

    2015-01-01

    Objective: This study aimed to compare the effectiveness of stabilization exercises and pelvic floor muscle training in women with stage 1 and 2 pelvic organ prolapse. Materials and Methods: In a total 38 women with pelvic organ prolapse whose average age was 45.60 years, pelvic floor muscles were evaluated with electromyography, and prolapse with pelvic organ prolapse quantification system, and the quality of life with prolapse quality of life questionnaire. Afterwards, the subjects were divided into two groups; stabilization exercise group (n=19) and pelvic floor muscle training group (n=19). Stabilization exercise group were given training for 8 weeks, 3 times a week. Pelvic floor muscle training group were given eight-week home exercises. Each group was assessed before training and after eight weeks. Results: An increase was found in the pelvic muscle activation response in the 2 groups (p≤0.05). There was no difference in EMG activity values between the groups (p>0.05). A difference was found in the values Aa, Ba and C in subjects of each group (p≤0.05), and the TVL, Ap, Bp and D values of subjects in pelvic floor muscle training group (p≤0.05) in the before and after pelvic organ prolapse quantification system assessment, however, no difference was found between the groups (p≤0.05). A positive difference was found in the effect of prolapse sub parameter in each of the two groups, and in general health perception sub parameter in subjects of stabilization exercise group (p<0.05) in the prolapse quality of life questionnaire. Conclusions: It was concluded that both training programs increased the pelvic floor muscle strength, provided a decline in prolapse stages. Stabilization exercise has increased general health perception unlike home training, thus, these exercises can be added to the treatment of women with prolapse. PMID:28913034

  1. PVC--as flooring material--and its association with incident asthma in a Swedish child cohort study.

    PubMed

    Larsson, M; Hägerhed-Engman, L; Kolarik, B; James, P; Lundin, F; Janson, S; Sundell, J; Bornehag, C G

    2010-12-01

    The Dampness in Buildings and Health study (DBH) started in the year 2000 in Värmland, Sweden, with a baseline questionnaire sent to all children (n = 14,077) aged 1-6. Five years later, a follow-up questionnaire was sent to the children who were 1-3 years at baseline. A total of 4779 children participated in both the baseline and the follow-up studies and constitute the study population in this cohort study. The aim of this study was to examine the association between exposure to PVC-flooring in the child's and parent's bedroom in homes of children aged 1-3 and the incidence of asthma, rhinitis, and eczema during the following 5-year period. Adjusted analyses showed that the incidence of asthma among children was associated with PVC-flooring in the child's bedroom (AOR 1.52; 95% CI 0.99-2.35) and in the parent's bedroom (1.46; 0.96-2.23). The found risks were on borderline of significance and should therefore be interpreted with caution. There was further a positive relationship between the number of rooms with PVC-flooring and the cumulative incidence of asthma. PVC-flooring was found to be a stronger risk factor for incident asthma in multifamily homes when compared with single-family houses and in smoking families compared with non-smoking families and in women. These longitudinal data from the DBH study found an association between the presence of PVC-flooring in the home and incident asthma in children. However, earlier results from the DBH study have shown that PVC-flooring is one important source for phthalates in indoor dust, and exposure to such phthalates was found to be associated with asthma and allergy among children. This emphasizes the need for prospective studies that focus on the importance of prenatal and neonatal exposure to phthalates in the development of asthma and allergy in children. © 2010 John Wiley & Sons A/S.

  2. Effect of intravenous endotoxin on blood cell profiles of broilers housed in cages and floor litter environments.

    PubMed

    Wang, W; Wideman, R F; Chapman, M E; Bersi, T K; Erf, G F

    2003-12-01

    Commercial broilers are constantly exposed to airborne microorganisms and endotoxin (lipopolysaccharide, LPS). It has been shown that microbial contamination of the air was higher in broiler houses using floor litter than in broiler houses using netting-type floors. The current study evaluated the effect of housing conditions on blood leukocyte profiles and tested the hypothesis that, when compared to broilers reared in clean stainless steel cages (Cage group), broilers raised on floor litter (Floor group) should experience a higher environmental challenge and have a desensitized immune system that may exhibit better tolerance/resistance to subsequent intravenous LPS challenge. Hematological parameters were evaluated prior to and following i.v. administration of 1 mg/kg BW Salmonella typhimurium LPS (dissolved at 1 mg/0.25 mL in PBS) or i.v. injection of 0.25 mL/kg BW PBS alone. The results showed that prior to LPS/PBS injection, broilers in the cage group had higher heterophil and monocyte concentrations, a higher B cell percentage within the lymphocyte population, and a higher heterophil to lymphocyte (H:L) ratio in the blood. The i.v. LPS injection resulted in 25% mortality in the cage group and 42% mortality in the floor group within 8 h post-injection. LPS reduced the concentrations of total white blood cells (WBC) and all differential WBC except eosinophils and increased thrombocyte concentrations within 1 h post-injection in both groups. All of these values returned to their respective pre-injection levels within 48 h post-injection in the surviving birds. The two groups exhibited similar overall hematological changes after LPS injection except that the cage group showed a higher H:L ratio at 8 h post-injection and a lower B-cell percentage within the lymphocyte population at 48 h post-injection when compared with the floor group. We concluded that the immune systems of broilers reared on floor litter were desensitized and exhibited less pronounced leukocyte responses to i.v. LPS when compared with those of broilers reared in clean stainless steel cages. However, such desensitization of the immune system did not help broilers survive subsequent i.v. LPS challenge.

  3. Radiographic Underestimation of In Vivo Cup Coverage Provided by Total Hip Arthroplasty for Dysplasia.

    PubMed

    Nie, Yong; Wang, HaoYang; Huang, ZeYu; Shen, Bin; Kraus, Virginia Byers; Zhou, Zongke

    2018-01-01

    The accuracy of using 2-dimensional anteroposterior pelvic radiography to assess acetabular cup coverage among patients with developmental dysplasia of the hip after total hip arthroplasty (THA) remains unclear in retrospective clinical studies. A group of 20 patients with developmental dysplasia of the hip (20 hips) underwent cementless THA. During surgery but after acetabular reconstruction, bone wax was pressed onto the uncovered surface of the acetabular cup. A surface model of the bone wax was generated with 3-dimensional scanning. The percentage of the acetabular cup that was covered by intact host acetabular bone in vivo was calculated with modeling software. Acetabular cup coverage also was determined from a postoperative supine anteroposterior pelvic radiograph. The height of the hip center (distance from the center of the femoral head perpendicular to the inter-teardrop line) also was determined from radiographs. Radiographic cup coverage was a mean of 6.93% (SD, 2.47%) lower than in vivo cup coverage for these 20 patients with developmental dysplasia of the hip (P<.001). However, both methods yielded highly correlated measurements for cup coverage (Pearson r=0.761, P<.001). The size of the acetabular cup (P=.001) but not the position of the hip center (high vs normal) was significantly associated with the difference between radiographic and in vivo cup coverage. Two-dimensional radiographically determined cup coverage conservatively reflects in vivo cup coverage and remains an important index (taking 7% underestimation errors and the effect of greater underestimation of larger cup size into account) for assessing the stability of the cup and monitoring for adequate ingrowth of bone. [Orthopedics. 2018; 41(1):e46-e51.]. Copyright 2017, SLACK Incorporated.

  4. 76 FR 43988 - Procurement List; Additions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-22

    ... Sill, OK. NPAs: Professional Contract Services, Inc., Austin, TX (Prime Contractor); Work Services.... Contracting Activity: General Services Administration, Fort Worth, TX Coverage: A-List for the Total...: Department of the Army Research, Development, & Engineering Command, Natick, MA. Coverage: C-List for 100% of...

  5. Budget impact analysis of insulin therapies and associated delivery systems.

    PubMed

    Lee, Lauren J; Smolen, Lee J; Klein, Timothy M; Foster, Shonda A; Whiteman, Doug; Jorgenson, James A; Hultgren, Steve

    2012-06-01

    A budget impact analysis of insulin therapies and associated delivery systems is presented. Based on inputted procurement totals, per-item costs (based on 2011 average wholesale price), insulin distribution system (floor stock or individual patient supply), waste, and treatment protocols for a specified time frame, the budget impact model approximated the number of patients treated with subcutaneous insulin, costs, utilization, waste, and injection mechanism (pen safety needle or syringe) costs. To calculate net changes, results of one-year 3-mL vial use were subtracted from one-year 10-mL vial or 3-mL pen use. Switching from a 10-mL vial to a 3-mL vial was associated with reductions in both costs and waste. The net reductions in costs and waste ranged from $15,482 and 120,000 IU, respectively, for floor-stock 10-mL vial to floor-stock 3-mL vial conversion to $871,548 and 6,750,000 IU, respectively, for individual patient supply 10-mL vial to floor-stock 3-mL vial conversion. Switching from floor-stock 10-mL vials to individual patient supply 3-mL vials increased costs and waste by $164,659 and 1,275,000 IU, respectively. Converting from individual patient supply 3-mL pens to individual patient supply 3-mL vials reduced costs by $117,236 but did not decrease waste. A budget impact analysis of the conversion of either 10-mL insulin vials or 3-mL insulin pens to 3-mL insulin vials found reductions in both cost and waste, except when converting from floor-stock 10-mL vials to individual patient supply 3-mL vials.

  6. Assessment of fungal diversity in a water-damaged office building.

    PubMed

    Green, Brett J; Lemons, Angela R; Park, Yeonmi; Cox-Ganser, Jean M; Park, Ju-Hyeong

    2017-04-01

    Recent studies have described fungal communities in indoor environments using gene sequencing-based approaches. In this study, dust-borne fungal communities were elucidated from a water-damaged office building located in the northeastern region of the United States using internal transcribed spacer (ITS) rRNA gene sequencing. Genomic DNA was extracted from 5 mg of floor dust derived from 22 samples collected from either the lower floors (n = 8) or a top floor (n = 14) of the office building. ITS gene sequencing resolved a total of 933 ITS sequences and was clustered into 216 fungal operational taxonomic units (OTUs). Analysis of fungal OTUs at the 97% similarity threshold showed a difference between the lower and top floors that was marginally significant (p = 0.049). Species richness and diversity indices were reduced in the lower floor samples compared to the top floor samples and there was a high degree of compositional dissimilarity within and between the two different areas within the building. Fungal OTUs were placed in the phyla Ascomycota (55%), Basidiomycota (41%), Zygomycota (3%), Glomeromycota (0.4%), Chytridiomycota (0.3%), and unassigned fungi (0.5%). The Ascomycota classes with the highest relative abundances included the Dothideomycetes (30%) and Eurotiomycetes (16%). The Basidiomycota consisted of the classes Ustilaginomycetes (14%), Tremellomycetes (11%), and Agaricomycetes (8%). Sequence reads derived from the plant pathogen Ustilago syntherismae were the most abundant in the analysis as were obligate Basidiomycota yeast species that accounted for 12% and 11% of fungal ITS sequences, respectively. ITS gene sequencing provides additional insight into the diversity of fungal OTUs. These data further highlight the contribution of fungi placed in the phylum Basidiomycota, obligate yeasts, as well as xerophilic species that are typically not resolved using traditional culture methods.

  7. Matching Deep Tow Camera study and Sea Floor geochemical characterization of gas migration at the Tainan Ridge, South China Sea

    NASA Astrophysics Data System (ADS)

    Fan, L. F.; Lien, K. L.; Hsieh, I. C.; Lin, S.

    2017-12-01

    Methane seep in deep sea environment could lead to build up of chemosynthesis communities, and a number of geological and biological anomalies as compare to the surrounding area. In order to examine the linkage between seep anomalies and those at the vicinity background area, and to detail mapping those spatial variations, we used a deep towed camera system (TowCam) to survey seafloor on the Tainan Ridge, Northeastern South China Sea (SCS). The underwater sea floor pictures could provide better spatial variations to demonstrate impact of methane seep on the sea floor. Water column variations of salinity, temperature, dissolved oxygen were applied to delineate fine scale variations at the study area. In addition, sediment cores were collected for chemical analyses to confirm the existence of local spatial variations. Our results show large spatial variations existed as a result of differences in methane flux. In fact, methane is the driving force for the observed biogeochemical variations in the water column, on the sea floor, and in the sediment. Of the area we have surveyed, there are approximately 7% of total towcam survey data showing abnormal water properties. Corresponding to the water column anomalies, underwater sea floor pictures taken from those places showed that chemosynthetic clams and muscles could be identified, together with authigenic carbonate buildups, and bacterial mats. Moreover, sediment cores with chemical anomalies also matched those in the water column and on the sea floor. These anomalies, however, represent only a small portion of the area surveyed and could not be identified with typical (random) coring method. Methane seep, therefore, require tedious and multiple types of surveys to better understand the scale and magnitude of seep and biogeochemical anomalies those were driven by gas migrations.

  8. Does pelvic floor muscle contraction early after delivery cause perineal pain in postpartum women?

    PubMed

    Neels, Hedwig; De Wachter, Stefan; Wyndaele, Jean-Jacques; Wyndaele, Michel; Vermandel, Alexandra

    2017-01-01

    Pelvic floor muscle training is effective and necessary in the prevention and treatment of pelvic floor dysfunction during pregnancy and after childbirth. But because of the high prevalence of perineal pain observed in women after childbirth, many women and caregivers fear to start pelvic floor muscle training immediately after childbirth. However, it is unknown whether pelvic floor muscle contractions (PFMC) provoke perineal pain in women shortly after childbirth. Therefore, the main objective is to study whether PFMC performed immediately after childbirth is painful or not. Observational longitudinal study. Perineal pain was assessed (1-6 days and 9 weeks postpartum) using a visual analogue scale (VAS 0-10) during PFMC and during several activities of daily living (ADL), during micturition and defecation. Descriptive statistics, Wilcoxon and McNemar tests were used. A total of 233 women participated (148 primiparous and 85 multiparous). Immediately postpartum the prevalence and intensity of pain during ADL (73%; VAS 4.9 (±2.3)), micturition (47%; VAS 3.4 (±1.7)) and defecation (19%; VAS 3.6 (±2.2)) were significantly higher (all p<0.000) than during PFMC (8%; VAS 2.2 (±0.9)). At 9 weeks postpartum, 30% experienced perineal pain during sexual intercourse (VAS 4.6 +/- 2.3) and 18% during defecation (VAS 4.7 +/- 2.3), but none during PFMC. Perineal pain is highly prevalent immediately after childbirth during ADL, micturition and defecation, but not during PFMC (only 8%). In case perineal pain occurs during PFMC, the intensity of pain is low (VAS 2). These results show that fear of perineal pain should not discourage women to start pelvic floor muscle training shortly after childbirth. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  9. Study of pelvic floor and sphincter muscles in congenital pouch colon with the help of three-dimensional CT scan.

    PubMed

    Maletha, Madhukar; Kureel, S N; Khan, Tanvir Roshan; Wakhlu, Ashish

    2010-12-01

    Congenital pouch colon (CPC) is a pouch-like dilatation of shortened colon associated with anorectal malformation (ARM). The disease is prevalent in northern India. Postoperatively, the continence results are not as good as in other ARMs and there is higher incidence of incontinence and perineal soiling in these patients. The present study aimed to evaluate the pelvic floor and sphincter muscle characteristics in patients of CPC with the help of 64-slice computerized tomography with three-dimensional (3D) volumetric reconstructions of images, thus, to know the overall quality of these muscles in the patients. The study was conducted in patients admitted over a period of July 2007 to November 2008 in our department. Totally, eight patients of CPC were subjected to 64-slice CT with three-dimensional reconstructions of images and different parameters such as quality of pelvic floor muscles, configuration of vertical and parasagittal fibres, shape and thickness of sphincter muscle complex, attenuation values of sphincters were studied. The 3D reconstructed images of pelvis in patients of CPC showed a well-developed pelvic floor and sphincter muscle complex. The length of the parasagittal fibres, transverse width of the vertical fibres and CT attenuation values of these structures with overall muscle quality were found to be good in these patients. In cases of CPC, the pelvic floor muscles including striated muscle complex (vertical and parasagittal fibres) are well developed. Higher rates of incontinence and soiling in CPC are not because of poorly developed pelvic floor and sphincter muscles. Three-dimensional CT can also provide important anatomical information that can help the operating surgeon while performing surgery.

  10. Sleep Quality and Vigilance Differ Among Inpatient Nurses Based on the Unit Setting and Shift Worked.

    PubMed

    Surani, Salim; Hesselbacher, Sean; Guntupalli, Bharat; Surani, Sara; Subramanian, Shyam

    2015-12-01

    Sleepiness in nurses has been shown to impact patient care and safety. The objectives of this study are to measure sleep quality, sleepiness, fatigue, and vigilance in inpatient nurses and to assess how setting (intensive care unit versus the general floor) and shift worked (day versus night) affect these measures. Nurses from both the ICU and floor were included in the study. Participants completed questionnaires assessing self-reported sleep quality (Pittsburgh Sleep Quality Index, PSQI), sleepiness (Stanford Sleepiness Scale and Epworth Sleepiness Scale, ESS), and fatigue (Fatigue Severity Scale, FSS). Vigilance was measured by means of the psychomotor vigilance test (PVT), before and after a 12-hour duty shift. The ESS was abnormal in 22% of all nurses, the FSS was abnormal in 33%, and the global PSQI was abnormal in 63%. More ICU nurses than floor nurses reported abnormal sleep quality (component 5) on the PSQI. Sleep medication use (PSQI component 6) was higher in night shift nurses. The FSS was greater in night shift nurses. On preshift PVT testing, day-shift nurses overall provided faster mean reaction time (RT) than night-shift nurses. ICU nurses working the day shift made more than twice as many total errors and false starts than day shift floor nurses. Floor nurses demonstrated a significant decrease from preshift to postshift in the mean of the fastest 10% RT. Our data indicate that a significant number of inpatient nurses have impaired sleep quality, excessive sleepiness, and abnormal fatigue, which may place them at a greater risk of making medical errors and harming patients; these problems are especially pronounced in night shift workers. PVT results were inconsistent, but floor and day shift nurses performed better on some tasks than ICU and night shift nurses.

  11. Measuring coverage in MNCH: total survey error and the interpretation of intervention coverage estimates from household surveys.

    PubMed

    Eisele, Thomas P; Rhoda, Dale A; Cutts, Felicity T; Keating, Joseph; Ren, Ruilin; Barros, Aluisio J D; Arnold, Fred

    2013-01-01

    Nationally representative household surveys are increasingly relied upon to measure maternal, newborn, and child health (MNCH) intervention coverage at the population level in low- and middle-income countries. Surveys are the best tool we have for this purpose and are central to national and global decision making. However, all survey point estimates have a certain level of error (total survey error) comprising sampling and non-sampling error, both of which must be considered when interpreting survey results for decision making. In this review, we discuss the importance of considering these errors when interpreting MNCH intervention coverage estimates derived from household surveys, using relevant examples from national surveys to provide context. Sampling error is usually thought of as the precision of a point estimate and is represented by 95% confidence intervals, which are measurable. Confidence intervals can inform judgments about whether estimated parameters are likely to be different from the real value of a parameter. We recommend, therefore, that confidence intervals for key coverage indicators should always be provided in survey reports. By contrast, the direction and magnitude of non-sampling error is almost always unmeasurable, and therefore unknown. Information error and bias are the most common sources of non-sampling error in household survey estimates and we recommend that they should always be carefully considered when interpreting MNCH intervention coverage based on survey data. Overall, we recommend that future research on measuring MNCH intervention coverage should focus on refining and improving survey-based coverage estimates to develop a better understanding of how results should be interpreted and used.

  12. Measuring Coverage in MNCH: Total Survey Error and the Interpretation of Intervention Coverage Estimates from Household Surveys

    PubMed Central

    Eisele, Thomas P.; Rhoda, Dale A.; Cutts, Felicity T.; Keating, Joseph; Ren, Ruilin; Barros, Aluisio J. D.; Arnold, Fred

    2013-01-01

    Nationally representative household surveys are increasingly relied upon to measure maternal, newborn, and child health (MNCH) intervention coverage at the population level in low- and middle-income countries. Surveys are the best tool we have for this purpose and are central to national and global decision making. However, all survey point estimates have a certain level of error (total survey error) comprising sampling and non-sampling error, both of which must be considered when interpreting survey results for decision making. In this review, we discuss the importance of considering these errors when interpreting MNCH intervention coverage estimates derived from household surveys, using relevant examples from national surveys to provide context. Sampling error is usually thought of as the precision of a point estimate and is represented by 95% confidence intervals, which are measurable. Confidence intervals can inform judgments about whether estimated parameters are likely to be different from the real value of a parameter. We recommend, therefore, that confidence intervals for key coverage indicators should always be provided in survey reports. By contrast, the direction and magnitude of non-sampling error is almost always unmeasurable, and therefore unknown. Information error and bias are the most common sources of non-sampling error in household survey estimates and we recommend that they should always be carefully considered when interpreting MNCH intervention coverage based on survey data. Overall, we recommend that future research on measuring MNCH intervention coverage should focus on refining and improving survey-based coverage estimates to develop a better understanding of how results should be interpreted and used. PMID:23667331

  13. Observational: prospective study of indirect pulp treatment in primary molars using resin-modified glass ionomer and 2% chlorhexidine gluconate: a 12-month Follow-up.

    PubMed

    Rosenberg, Linda; Atar, Michael; Daronch, Marcia; Honig, Amy; Chey, Marshall; Funny, Margaret D; Cruz, Luis

    2013-01-01

    This study's purpose was to determine the efficacy of indirect pulp treatment (IPT) in primary molars when using 2% chlorhexidine gluconate disinfecting solution and resin-modified glass ionomer (RMGI) liner after 12 months. Three- to 10-year-old subjects with deep carious lesions who met selection criteria participated. Infected dentin was removed using a caries detector, and residual affected dentin was left on the pulpal floor to prevent pulp exposure. A 2% chlorhexidine gluconate solution and a RMGI liner were placed. Teeth were restored with composite or full-coverage (stainless steel crown [SSC]) restorations. Follow-up evaluations at 3, 6, and 12 months included clinical, radiographic, and photographic assessments. A total of 60 teeth were treated. Treatment was successful in 50/50 (100%), 41/42 (∼98%), and 31/32 (∼97%) teeth at the 3-, 6-, and 12-month follow-up visits, respectively. Failures included one at 6 months in a primary second molar with a composite restoration and another at 12 months in a primary first molar with a SSC. Indirect pulp treatment is effective in primary teeth, although appropriate case selection and an adequate marginal seal are essential for a successful outcome. Further prospective studies are needed to expand the body of evidence that clinicians use to justify decisions on clinical care.

  14. Visual associations cued recall A Paradigm for Measuring Episodic Memory Decline in Alzheimer's Disease.

    PubMed

    Meyer, Sascha R A; Spaan, Pauline E J; Boelaarts, Leo; Ponds, Rudolf W H M; Schmand, Ben; de Jonghe, Jos F M

    2016-09-01

    Repeated measurements of episodic memory are needed for monitoring amnestic mild cognitive impairment (aMCI) and mild Alzheimer's disease (AD). Most episodic memory tests may pose a challenge to patients, even when they are in the milder stages of the disease. This cross-sectional study compared floor effects of the Visual Association Test (VAT) and the Rey Auditory Verbal Learning Test (RAVLT) in healthy elderly controls and in patients with aMCI or AD (N = 125). A hierarchical multiple regression analysis was used to examine whether linear or quadratic trends best fitted the data of cognitive test performance across global cognitive impairment. Results showed that VAT total scores decreased linearly across the range of global cognitive impairment, whereas RAVLT total scores showed a quadratic trend, with total scores levelling off for 90% of aMCI patients and 94% of AD patients. We conclude that the VAT shows few if any floor effects in patients with aMCI and mild AD and is therefore a potentially promising cognitive test for monitoring episodic memory impairment.

  15. Maxillary Sinus Dimensions Decrease as Age and Tooth Loss Increase.

    PubMed

    Velasco-Torres, Miguel; Padial-Molina, Miguel; Avila-Ortiz, Gustavo; García-Delgado, Raúl; OʼValle, Francisco; Catena, Andrés; Galindo-Moreno, Pablo

    2017-04-01

    To investigate the correlation between patient-dependent variables and dimensional variations of the maxillary sinus. In this cross-sectional study, a total of 394 individual cone-beam computed tomography scans were evaluated by one calibrated examiner to measure the total volume of the maxillary sinus, the distance between the medial and the lateral walls at 5, 10, and 15 mm vertically from the sinus floor, the height of septa (if present), and the height of the maxillary sinus cavity from both the alveolar crest and the sinus floor to the meatus. Recorded patient-dependent variables were age, gender, and edentulism status. Total maxillary sinus volume was significantly smaller in completely and partially edentulous patients than in dentate subjects. This finding was influenced by age, as older patients exhibited less volume, regardless of gender and edentulism status. Age showed an indirect correlation with the distance to the meatus, the sinus volume, and the mediolateral dimensions. Additionally, the prevalence of accessory meatus in this population was 29.19%. The dimensions of the maxillary sinus are influenced by age and edentulism status being reduced by aging and tooth loss.

  16. Methane and carbon dioxide flux in the profile of wood ant (Formica aquilonia) nests and the surrounding forest floor during a laboratory incubation.

    PubMed

    Jílková, Veronika; Picek, Tomáš; Šestauberová, Martina; Krištůfek, Václav; Cajthaml, Tomáš; Frouz, Jan

    2016-10-01

    We compared methane (CH4) and carbon dioxide (CO2) fluxes in samples collected from the aboveground parts of wood ant nests and in the organic and mineral layer of the surrounding forest floor. Gas fluxes were measured during a laboratory incubation, and microbial properties (abundance of fungi, bacteria and methanotrophic bacteria) and nutrient contents (total and available carbon and nitrogen) were also determined. Both CO2 and CH4 were produced from ant nest samples, indicating that the aboveground parts of wood ant nests act as sources of both gases; in comparison, the forest floor produced about four times less CO2 and consumed rather than produced CH4 Fluxes of CH4 and CO2 were positively correlated with contents of available carbon and nitrogen. The methanotrophic community was represented by type II methanotrophic bacteria, but their abundance did not explain CH4 flux. Fungal abundance was greater in ant nest samples than in forest floor samples, but bacterial abundance was similar in both kinds of samples, suggesting that the organic materials in the nests may have been too recalcitrant for bacteria to decompose. The results indicate that the aboveground parts of wood ant nests are hot spots of CO2 and CH4 production in the forest floor. © FEMS 2016. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  17. The influence of age on posterior pelvic floor dysfunction in women with obstructed defecation syndrome.

    PubMed

    Murad-Regadas, S M; Rodrigues, L V; Furtado, D C; Regadas, F S P; Olivia da S Fernandes, G; Regadas Filho, F S P; Gondim, A C; de Paula Joca da Silva, R

    2012-06-01

    Knowledge of risk factors is particularly useful to prevent or manage pelvic floor dysfunction but although a number of such factors have been proposed, results remain inconsistent. The purpose of this study was to evaluate the impact of aging on the incidence of posterior pelvic floor disorders in women with obstructed defecation syndrome evaluated using echodefecography. A total of 334 patients with obstructed defecation were evaluated using echodefecography in order to quantify posterior pelvic floor dysfunction (rectocele, intussusception, mucosal prolapse, paradoxical contraction or non-relaxation of the puborectalis muscle, and grade III enterocele/sigmoidocele). Patients were grouped according to the age (Group I = patients up to 50 years of age; Group II = patients over 50 years of age) to evaluate the isolated and associated incidence of dysfunctions. To evaluate the relationship between dysfunction and age-related changes, patients were also stratified into decades. Group I included 196 patients and Group II included 138. The incidence of significant rectocele, intussusception, rectocele associated with intussusception, rectocele associated with mucosal prolapse and 3 associated disorders was higher in Group II, whereas anismus was more prevalent in Group I. The incidence of significant rectocele, intussusception, mucosal prolapse and grade III enterocele/sigmoidocele was found to increase with age. Conversely, anismus decreased with age. Aging was shown to influence the incidence of posterior pelvic floor disorders (rectocele, intussusception, mucosa prolapse and enterocele/sigmoidocele), but not the incidence of anismus, in women with obstructed defecation syndrome.

  18. Tennessee health plan tobacco cessation coverage.

    PubMed

    Kolade, Folasade M

    2014-01-01

    To evaluate the smoking cessation coverage available from public and private Tennessee health plans. Cross-sectional study. The sampling frame for private plans was a register of licensed plans obtained from the Tennessee Commerce Department. Government websites and reports provided TennCare data. Data were abstracted from plan manuals and formularies for benefit year 2012. Classification of coverage included comprehensive-all seven recommended medications plus individual and group counseling; moderate-at least two forms of nicotine replacement therapy (NRT) plus bupropion and varenicline and one form of counseling; inadequate-at least one treatment, or none-no medications or counseling, or coverage only for pregnant women. Of nine private plans, one provided comprehensive coverage; two, moderate coverage; four, inadequate coverage, as did TennCare; and two plans provided no coverage. Over 362,800 smokers had inadequate access to cessation treatments under TennCare, while 119,094 smokers had inadequate or no cessation coverage under private plans. In 2012, Tennessee fell short of Healthy People goals for total managed care and comprehensive TennCare coverage of smoking cessation. If Tennessee mandates that all health plans provide full coverage, 481,900 smokers may immediately be in a better position to quit. © 2013 Wiley Periodicals, Inc.

  19. [Palatograms and linguograms for studying misarticulation following surgery for tumors of the tongue and oral cavity floor].

    PubMed

    Lewandowski, Leszek

    2006-01-01

    This work deals with the mechanism of misarticulation following surgery for malignancies in the oral cavity. The underlying cause was dysfunction of the tongue due to partial or total resection, consequences of the resection of the mandible together with the oral cavity floor, or dysfunkction of the lower lip failing to seal the space of Donders. Anatomic alternations reveal themselves as shifts in the points of contact between structures of the articulation system noticeable on palatograms or linguograms. Limited mobility of tongue tip may affect speech, particularly in the case of sounds of the first and second articulation zone.

  20. Incorrect installation and use of materials as the cause of a severe air pollution incident in a school building.

    PubMed

    Rella, Rocco; Sturaro, Alberto; Vianello, Alvise

    2014-07-15

    The proofing treatment of the floor slabs with a solvent based material and successive treatment with epoxy resin resulted in significant air contamination in a primary school. The contamination caused illnesses in many occupants of school. The GC/MS investigations of the air showed the presence of indane and other aromatic solvents, which was unusual as they are not correlated to outdoor pollution and derived from inner layers of the new flooring. The total concentration of these chemicals in air was in the order of several mg/m(3). Copyright © 2014 Elsevier B.V. All rights reserved.

  1. [Coverage of cervical cancer screening in Catalonia, Spain (2008-2011)].

    PubMed

    Rodríguez-Salés, Vanesa; Roura, Esther; Ibáñez, Raquel; Peris, Mercè; Bosch, F Xavier; Coma E, Ermengol; Silvia de Sanjosé

    2014-01-01

    To estimate cervical cytology coverage for the period 2008-2011 by age groups and health regions from data recorded in the medical records of women attending centers within the Catalan national health system. The data used to estimate coverage were obtained from the primary care information system. This information was anonymous and included age, center, date, and the results of cytological smears for a total of 2,292,564 women aged 15 years or more. A total of 758,690 smears were performed in 595,868 women. Among women aged 25-65 years, the estimated coverage was 32.4% of the assigned population and was 40.8% in the population attended. Geographical variation was observed, with higher coverage among health regions closer to Barcelona. Abnormal Pap smears increased slightly from 2008 to 2011 (from 3% to 3.5%, respectively, p <0.001). In women with a negative first smear, the mean interval until the second smear was 2.4 years, but only 50% of women with a negative first smear in 2008 attended a second round during the study period. Cervical screening coverage in the National Health Service of Catalonia includes one in three women. Second round participation was poor. Existing computer systems in primary care centers can ensure monitoring of population-based screening programs for cervical cancer. These systems could be used to plan an organized screening program to ensure wider coverage and better follow-up. Copyright © 2013 SESPAS. Published by Elsevier Espana. All rights reserved.

  2. On Connected Target k-Coverage in Heterogeneous Wireless Sensor Networks.

    PubMed

    Yu, Jiguo; Chen, Ying; Ma, Liran; Huang, Baogui; Cheng, Xiuzhen

    2016-01-15

    Coverage and connectivity are two important performance evaluation indices for wireless sensor networks (WSNs). In this paper, we focus on the connected target k-coverage (CTC k) problem in heterogeneous wireless sensor networks (HWSNs). A centralized connected target k-coverage algorithm (CCTC k) and a distributed connected target k-coverage algorithm (DCTC k) are proposed so as to generate connected cover sets for energy-efficient connectivity and coverage maintenance. To be specific, our proposed algorithms aim at achieving minimum connected target k-coverage, where each target in the monitored region is covered by at least k active sensor nodes. In addition, these two algorithms strive to minimize the total number of active sensor nodes and guarantee that each sensor node is connected to a sink, such that the sensed data can be forwarded to the sink. Our theoretical analysis and simulation results show that our proposed algorithms outperform a state-of-art connected k-coverage protocol for HWSNs.

  3. Reliability and validity of the Tigrigna version of the Pelvic Floor Distress Inventory-Short Form 20 (PFDI-20) and Pelvic Floor Impact Questionnaire-7 (PFIQ-7).

    PubMed

    Goba, Gelila K; Legesse, Awol Yeman; Zelelow, Yibrah Berhe; Gebreselassie, Mussie Alemayehu; Rogers, Rebecca G; Kenton, Kimberly S; Mueller, Margaret G

    2018-03-13

    This study adapted the Pelvic Floor Distress Inventory-Short Form 20 (PFDI-20) and the Pelvic Floor Impact Questionnaire-7 (PFIQ-7) into the Tigrigna language of northern Ethiopia and validated the their reliability and validity through patient interviews. Expert translation, cognitive interviewing, and patient interviews using translated questionnaires were conducted. A subset of women was reinterviewed 1 week later. Intraclass correlation coefficients (ICC), Bland-Altman analysis, and Cronbach's alpha values were assessed. Total and subscale scores were compared between women with and without pelvic floor disorders (PFDs) using the Mann-Whitney U test. Spearman's correlation coefficients were used to compare severity of pelvic organ prolapse (POP) stage according to the POP Quantification (POP-Q) system and PFDI-20 and PFIQ-7 and subscale scores. Ten women participated in cognitive interviewing and 118 age 49 ± 10 years, mean ± standard deviation (SD) with and without PFDs were interviewed using the translated questionnaires, both of which presented adequate face validity and test-retest reliability [intraclass correlation coefficient (ICC) 0.765-0.969, p < 0.001]. Construct validity was significant between clinical symptoms and full forms (p <0.001) and their subscales (p <0.001), except for the Pelvic Organ Prolapse Impact Questionnaire (POPIQ). Differences between first and second scores on total PFDI-20 and PFIQ-7 and subscales largely fell within 0 ± 1.96 SD. Cronbach's alpha values were 0.891-0.930 for PFDI-20 and 0.909-0.956 for PFIQ-7 (p < 0.001). Analysis of known groups showed differences PFDI-20 and PFIQ-7 scores between women with and without PFDs (p <0.001 for full forms and subscales, except for anal incontinence (AI) and the Urinary Impact Questionnaire (UIQ)/POPIQ. The translated Tigrigna versions of the PFDI-20 and PFIQ-7 questionnaires are reliable, valid, and feasible tools to evaluate symptoms and quality of life (QoL) of Tigrigna-speaking Ethiopian women with PFDs.

  4. Ten-year results from the long-term soil productivity study in aspen ecosystems of the northern Great Lakes region

    Treesearch

    Richard Voldseth; Brian J. Palik; John Elioff

    2011-01-01

    Impacts of organic matter removal and compaction on soil properties and productivity are reported from the first 10 years of the Long-Term Soil Productivity Study in Great Lakes aspen ecosystems. Organic matter removal treatments included main bole, total tree harvest, and total tree harvest with forest floor removal. Compaction treatments included minimal compaction,...

  5. Throughfall and stemflow dynamics in a riparian cedar swamp: possible ecohydrological feedbacks

    NASA Astrophysics Data System (ADS)

    Duval, T. P.

    2012-12-01

    Partitioning of rainfall through forest canopies as throughfall and stemflow have deservedly been the subject of much research in the past; however, very little is known about the fluxes of water and solutes through forested wetland communities. Temperate swamps are characterized by intermittent canopy coverage, with areas that are denser than upland forests of similar species, but also contain canopy gaps of meadow and marsh communities,. Understanding the role of vegetation on the distribution of precipitation in these ecosystems is necessary to effectively constrain water balance estimates and predict possible community responses to shifting climate regimes. This study examines throughfall, stemflow, and interception dynamics in a riparian cedar swamp in Alliston, Ontario, Canada over the 2012 growing season. Throughfall averaged 76 % of above-canopy rainfall; however, there were spatial-magnitude interaction variations within the swamp. For events less than 20 mm, between 17 and 75 % of the measured swamp floor received greater depth of rain than above the canopy, whereas for events greater than 20 mm only between 2 and 23 % of the sampled swamp floor received more water than the actual event. The observed spatial variability in throughfall was not related to leaf area index, suggesting remote sensing modelling efforts may not be an accurate method for quantification of wetland precipitation dynamics. Stemflow along the predominantly cedar trees averaged 5 %; therefore, net precipitation on a seasonal basis in this cedar swamp was 81 % of above canopy rainfall. Throughfall DOC and total nitrogen concentrations averaged 31 and 2.2 mg/L, respectively, with stemflow DOC and TN concentrations averaging 109 and 6.5 mg/L, respectively. These values are much higher than reported for upland forest species. In general, throughfall magnitudes increased and solute concentrations decreased with increasing distance from the existing forest boles. The delivery of high reactive-solute concentrations through stemflow and comparatively reduced throughfall water fluxes closer to the trees may represent an ecohydrological feedback to cedar maintenance in swamp ecosystems by enriching the root zone soil with nutrients and shedding water away from the roots in a system where the presence of water is viewed as a stress to optimal growth.

  6. The impact of sanitation interventions on latrine coverage and latrine use: A systematic review and meta-analysis.

    PubMed

    Garn, Joshua V; Sclar, Gloria D; Freeman, Matthew C; Penakalapati, Gauthami; Alexander, Kelly T; Brooks, Patrick; Rehfuess, Eva A; Boisson, Sophie; Medlicott, Kate O; Clasen, Thomas F

    2017-04-01

    An estimated 2.4 billion people still lack access to improved sanitation and 946 million still practice open defecation. The World Health Organization (WHO) commissioned this review to assess the impact of sanitation on coverage and use, as part of its effort to develop a set of guidelines on sanitation and health. We systematically reviewed the literature and used meta-analysis to quantitatively characterize how different sanitation interventions impact latrine coverage and use. We also assessed both qualitative and quantitative studies to understand how different structural and design characteristics of sanitation are associated with individual latrine use. A total of 64 studies met our eligibility criteria. Of 27 intervention studies that reported on household latrine coverage and provided a point estimate with confidence interval, the average increase in coverage was 14% (95% CI: 10%, 19%). The intervention types with the largest absolute increases in coverage included the Indian government's "Total Sanitation Campaign" (27%; 95% CI: 14%, 39%), latrine subsidy/provision interventions (16%; 95% CI: 8%, 24%), latrine subsidy/provision interventions that also incorporated education components (17%; 95% CI: -5%, 38%), sewerage interventions (14%; 95% CI: 1%, 28%), sanitation education interventions (14%; 95% CI: 3%, 26%), and community-led total sanitation interventions (12%; 95% CI: -2%, 27%). Of 10 intervention studies that reported on household latrine use, the average increase was 13% (95% CI: 4%, 21%). The sanitation interventions and contexts in which they were implemented varied, leading to high heterogeneity across studies. We found 24 studies that examined the association between structural and design characteristics of sanitation facilities and facility use. These studies reported that better maintenance, accessibility, privacy, facility type, cleanliness, newer latrines, and better hygiene access were all frequently associated with higher use, whereas poorer sanitation conditions were associated with lower use. Our results indicate that most sanitation interventions only had a modest impact on increasing latrine coverage and use. A further understanding of how different sanitation characteristics and sanitation interventions impact coverage and use is essential in order to more effectively attain sanitation access for all, eliminate open defecation, and ultimately improve health. Copyright © 2016 Elsevier GmbH. All rights reserved.

  7. Relationship between vegetation coverage and abundance, size, and diet of juvenile largemouth bass during winter

    USGS Publications Warehouse

    Miranda, L.E.; Pugh, L.L.

    1997-01-01

    Juvenile largemouth bass Micropterus salmoides were collected by electrofishing during October through March 1992-1994 from coves (???25 ha) covered with aquatic macrophytes over 1-65% of their area. Mean total length of juvenile largemouth bass was highest in coves with the least vegetated cover, but increase in mean length between October and March was highest in coves having near 20% vegetation coverage. Catch per unit effort decreased between October and March; decreases were least at vegetation coverages near 10-20%, highest at coverages of 5% or less, and intermediate at coverages of 30-65%. By March, these disparate decreases contributed to the formation of a dome-like relationship between vegetation coverage and catch per unit effort. Consumption of fish foods was highest when vegetation coverage was low, but decreased asymptotically as coverage increased; consumption of invertebrate foods increased at low coverage, peaked near 20-30% coverage, and decreased at higher coverage. We suggest that greater length increases and greater abundance at 10-25% vegetation coverage were stimulated by a favorable blend of food availability and cover. Our results support reports that maximum recruitment of largemouth bass occurs at intermediate levels of vegetation coverage, and we further suggests that such increased production is reinforced during winter, when survival, invertebrate consumption, and length increases are highest at intermediate levels of vegetation coverage.

  8. Multi-sourced, 3D geometric characterization of volcanogenic karst features: Integrating lidar, sonar, and geophysical datasets (Invited)

    NASA Astrophysics Data System (ADS)

    Sharp, J. M.; Gary, M. O.; Reyes, R.; Halihan, T.; Fairfield, N.; Stone, W. C.

    2009-12-01

    Karstic aquifers can form very complex hydrogeological systems and 3-D mapping has been difficult, but Lidar, phased array sonar, and improved earth resistivity techniques show promise in this and in linking metadata to models. Zacatón, perhaps the Earth’s deepest cenote, has a sub-aquatic void space exceeding 7.5 x 106 cubic m3. It is the focus of this study which has created detailed 3D maps of the system. These maps include data from above and beneath the the water table and within the rock matrix to document the extent of the immense karst features and to interpret the geologic processes that formed them. Phase 1 used high resolution (20 mm) Lidar scanning of surficial features of four large cenotes. Scan locations, selected to achieve full feature coverage once registered, were established atop surface benchmarks with UTM coordinates established using GPS and Total Stations. The combined datasets form a geo-registered mesh of surface features down to water level in the cenotes. Phase 2 conducted subsurface imaging using Earth Resistivity Imaging (ERI) geophysics. ERI identified void spaces isolated from open flow conduits. A unique travertine morphology exists in which some cenotes are dry or contain shallow lakes with flat travertine floors; some water-filled cenotes have flat floors without the cone of collapse material; and some have collapse cones. We hypothesize that the floors may have large water-filled voids beneath them. Three separate flat travertine caps were imaged: 1) La Pilita, which is partially open, exposing cap structure over a deep water-filled shaft; 2) Poza Seca, which is dry and vegetated; and 3) Tule, which contains a shallow (<1 m) lake. A fourth line was run adjacent to cenote Verde. La Pilita ERI, verified by SCUBA, documented the existence of large water-filled void zones ERI at Poza Seca showed a thin cap overlying a conductive zone extending to at least 25 m depth beneath the cap with no lower boundary of this zone evident. Verde ERI indicate a deep water-filled cavity below the 45 m deep floor. Phase 3 acquired high-resolution imagery of the underwater voids. Because of the great depths (In 1994, Bowden descended to a record 289 meters), unmanned exploration is required to explore these systems. Supported by NASA, the DEPTHX (DEep Phreatic THermal eXplorer) robotic mapper was designed. DEPTHX conducted 3-D underwater mapping missions of 4 cenotes. These found no lateral tunnels connecting the cenotes. The cenote, El Zacatón was shown to be 319 meters deep making it is the deepest underwater vertical shaft and second deepest underwater cave in the world. Spatial geochemical data collected during DEPTHX mapping indicate that water in the 3 of the cenotes is homogeneous, but the 4th (Verde) displays typical lacustrine chemoclines. The data collected by DEPTHX data are being combined with other geologic information to study the nature of the hypogenic karst processes that formed this system.

  9. Supplemental Coverage Associated With More Rapid Spending Growth For Medicare Beneficiaries

    PubMed Central

    Golberstein, Ezra; Walsh, Kayo; He, Yulei; Chernew, Michael E.

    2013-01-01

    Lowering both Medicare spending and the rate of Medicare spending growth is important for the nation’s fiscal health. Policy makers in search of ways to achieve these reductions have looked at the role that supplemental coverage for Medicare beneficiaries plays in Medicare spending. Supplemental coverage makes health care more affordable for beneficiaries but also makes beneficiaries insensitive to the cost of their care, thereby increasing the demand for care. Ours is the first empirical study to investigate whether supplemental Medicare coverage is associated with higher rates of spending growth over time. We found that supplemental insurance coverage was associated with significantly higher rates of overall spending growth. Specifically, employer-sponsored and self-purchased supplemental coverage were associated with annual total spending growth rates of 7.17 percent and 7.18 percent, respectively, compared to 6.08 percent annual growth for beneficiaries without supplemental coverage. Results for Medicare program spending were more equivocal, however. Our results are consistent with the belief that current trends away from generous employer-sponsored supplemental coverage and efforts to restrict the generosity of supplemental coverage may slow spending growth. PMID:23650320

  10. Incidence of Listeria spp. in Ready-to-Eat Food Processing Plant Environments Regulated by the U.S. Food Safety and Inspection Service and the U.S. Food and Drug Administration.

    PubMed

    Reinhard, Robert G; Kalinowski, Robin M; Bodnaruk, Peter W; Eifert, Joseph D; Boyer, Renee R; Duncan, Susan E; Bailey, R Hartford

    2018-06-07

    A multiyear survey of 31 ready-to-eat (RTE) food processing plants in the United States was conducted to determine the incidence of Listeria spp. in various RTE production environments. Samples were collected from 22 RTE plants regulated by the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) and from 9 RTE food plants regulated by the U.S. Department of Health and Human Services' Food and Drug Administration (FDA). Only nonfood contact surfaces in the RTE manufacturing areas with exposed RTE product were sampled. Each sample was individually analyzed for the presence of Listeria spp. by using a PCR-based rapid assay. In total, 4,829 samples were collected from various locations, including freezers, equipment framework, floors, walls, wall-floor junctures, drains, floor mats, doors, and cleaning tools. Nine (29%) of the facilities had zero samples positive for Listeria spp. in the production environment, whereas 22 (71%) had one or more samples positive for Listeria spp. The total incidence of Listeria spp. in all RTE food plants was 4.5%. The positive rate in plants regulated by the FSIS ranged from 0 to 9.7%, whereas the positive rate in plants regulated by the FDA ranged from 1.2 to 36%.

  11. Impact of the buildings areas on the fire incidence.

    PubMed

    Srekl, Jože; Golob, Janvit

    2010-03-01

    A survey of statistical studies shows that probability of fires is expressed by the equation P(A) = KAα, where A = total floor area of the building and K and  are constants for an individual group, or risk category. This equation, which is based on the statistical data on fires in Great Britain, does not include the impact factors such as the number of employees and the activities carried out in these buildings. In order to find out possible correlations between the activities carried out in buildings, the characteristics of buildings and number of fires, we used a random sample which included 134 buildings as industrial objects, hotels, restaurants, warehouses and shopping malls. Our study shows that the floor area of buildings has low impact on the incidence of fires. After analysing the sample of buildings by using multivariate analysis we proved a correlation between the number of fires, floor area of objects, work operation period (per day) and the number of employees in objects.

  12. Sea-floor gouges caused by migrating gray whales off northern California

    USGS Publications Warehouse

    Cacchione, D.A.; Drake, D.E.; Field, M.E.; Tate, G.B.

    1987-01-01

    Side-scan sonar records collected during March and April 1981 and 1982 off northern California contain elongate depressions whose sizes and shapes are similar to sea-floor gouges made by feeding gray whales (Eschrichtius robustus) in the northern Bering Sea and in shallow embayments off British Columbia. The discovery of the whale gouges in the sonar records was unexpected, and supports some of the previous speculation that gray whales feed opportunistically during migration. Gouges occupy about 0.032% of the 7.6 km2 of sea floor that was surveyed, which represents about 575 metric tons of excavated material. Although seemingly minor in amount, the total amount of bottom sediment removed from the central and northern California continental shelf by gray whale activities year after year represents macroscale biologically induced erosion and could have significant geological implications in shelf erosion and depositional schemes. This is the only published evidence of benthic feeding by gray whales along their migration route off northern California. ?? 1987.

  13. Structural loads preliminary results

    NASA Technical Reports Server (NTRS)

    Alfaro-Bou, E.

    1986-01-01

    From a total of 351 instrumentation channels, 341 channels (97%) were in operation during the initial impact of the airplane. Both NASA seats, the energy absorbing seat and the standard seat, maintained their integrity during the impact. The floor accelerations at the seat locations were lower than the accelerations required for the energy absorbers to stroke; consequently, the energy absorbing seat did not stroke. The two seats remained firm in place during the crash and no seat attachment failures were observed. Due to the low accelerations experienced during the crash, both seats performed as standard seats. In the airplane structure, the accelerations were higher at both the point of impact in the left wing and at the forward end of the fuselage. The accelerations on the floor were higher toward the front than toward the rear and the floor accelerations on the left side were higher than on the right side at the front of the fuselage, but toward the rear they evened out.

  14. Sky coverage modeling for the whole sky for laser guide star multiconjugate adaptive optics.

    PubMed

    Wang, Lianqi; Andersen, David; Ellerbroek, Brent

    2012-06-01

    The scientific productivity of laser guide star adaptive optics systems strongly depends on the sky coverage, which describes the probability of finding natural guide stars for the tip/tilt wavefront sensor(s) to achieve a certain performance. Knowledge of the sky coverage is also important for astronomers planning their observations. In this paper, we present an efficient method to compute the sky coverage for the laser guide star multiconjugate adaptive optics system, the Narrow Field Infrared Adaptive Optics System (NFIRAOS), being designed for the Thirty Meter Telescope project. We show that NFIRAOS can achieve more than 70% sky coverage over most of the accessible sky with the requirement of 191 nm total rms wavefront.

  15. Health insurance for all long-term care workers: estimated costs and coverage impacts in Minnesota and recommendations for States.

    PubMed

    Wright, Bernadette; Gruman, Cindy; Alecxih, Lisa; Knatterud, Larhae

    2012-01-01

    A major barrier to building a strong workforce to meet the growing need for long-care is lack of affordable health benefits. This study projects impacts of funding health coverage for all long-term care workers in Minnesota. Under the most cost effective model plan design, enrollment in employer-sponsored coverage would increase 73% to 100% for individual coverage and 26% to 42% for family coverage. Total monthly costs would be $698/worker in the commercial market or $634/worker through a new dedicated risk pool. Based on our findings and past research, the authors present recommendations for structuring and implementing a long-term care worker health insurance initiative.

  16. A cross-sectional vaccination coverage study in preschool children attending nurseries-kindergartens: Implications on economic crisis effect

    PubMed Central

    Menegas, Damianos; Katsioulis, Antonis; Theodoridou, Maria; Kremastinou, Jenny; Hadjichristodoulou, Christos

    2017-01-01

    ABSTRACT Vaccination coverage studies are important in determining a population's vaccination status and strategically adjusting national immunization programs. This study assessed full and timely vaccination coverage of preschool children aged 2–3 y attending nurseries-kindergartens (N-K) nationwide at the socioeconomic crisis onset. Geographically stratified cluster sampling was implemented considering prefectures as strata and N-K as clusters. The N-K were selected by simple random sampling from the sampling frame while their number was proportional to the stratum size. In total, 185 N-K (response rate 93.9%) and 2539 children (response rate 81.5%) participated. Coverage with traditional vaccines for diphtheria-tetanus-pertussis, polio and measles-mumps-rubella was very high (>95%), followed by Haemophilus influenzae type b and varicella vaccines. Despite very high final coverage, delayed vaccination was observed for hepatitis B (48.3% completed by 12 months). Significant delay was observed for the booster dose of pneumococcal conjugate vaccines (PCV) and meningococcal C conjugate vaccines (MCC). Of the total population studied, 82.3% received 3 PCV doses by 12 months, while 62.3% received the fourth dose by 24 months and 76.2% by 30 months. However, 89.6% received at least one MCC dose over 12 months. Timely vaccinated for hepatitis A with 2 doses by 24 months were 6.1%. Coverage was significantly low for Rotavirus (<20%) and influenza (23.1% one dose). High vaccination coverage is maintained for most vaccines at the beginning of the crisis in Greece. Coverage and timeliness show an increasing trend compared to previous studies. Sustained efforts are needed to support the preventive medicine system as socioeconomic instability continues. PMID:27669156

  17. Orbital blowout fracture location in Japanese and Chinese patients.

    PubMed

    Sun, Michelle T; Wu, Wencan; Watanabe, Akihide; Kakizaki, Hirohiko; Chen, Ben; Ueda, Kosuke; Katori, Nobutada; Takahashi, Yasuhiro; Selva, Dinesh

    2015-01-01

    To characterize the location of orbital blowout fractures in Asian individuals. This was a retrospective review of 470 consecutive Asian patients with orbital blowout fractures who presented to four tertiary care hospitals in Japan and China. Computed tomography (CT) characterized the location and severity of fractures involving the medial wall, the orbital floor, and/or the maxilloethmoidal strut. A total of 475 orbital blowout fractures were identified. More than one fracture location was involved in 19% of all cases. The medial orbital wall was the most commonly involved location, presenting in 29 cases (61%), of which 204 (43%) were isolated medial blowout fractures. The orbital floor was the second most common location involved, present in 226 cases (48%) with 150 isolated orbital floor fractures (32%), while the maxilloethmoidal strut was involved in 45 cases (9%) with 30 of those being isolated strut fractures (6%). The majority of fractures (62%) were classified as moderately severe, whilst 14% were mild, and 24% were severe. Associated nasal fractures were present in 16% of the cases. Orbital blowout fractures in Japanese and Chinese individuals occur most commonly in the medial wall. This is in contrast to previous reports on white individuals, who tend to sustain fractures involving the orbital floor rather than the medial wall.

  18. VeLoc: Finding Your Car in Indoor Parking Structures.

    PubMed

    Gao, Ruipeng; He, Fangpu; Li, Teng

    2018-05-02

    While WiFi-based indoor localization is attractive, there are many indoor places without WiFi coverage with a strong demand for localization capability. This paper describes a system and associated algorithms to address the indoor vehicle localization problem without the installation of additional infrastructure. In this paper, we propose VeLoc, which utilizes the sensor data of smartphones in the vehicle together with the floor map of the parking structure to track the vehicle in real time. VeLoc simultaneously harnesses constraints imposed by the map and environment sensing. All these cues are codified into a novel augmented particle filtering framework to estimate the position of the vehicle. Experimental results show that VeLoc performs well when even the initial position and the initial heading direction of the vehicle are completely unknown.

  19. KSC-2012-6505

    NASA Image and Video Library

    2012-12-19

    VANDENBERG AFB, Calif.-- Technicians monitor activity as the transport container delivering NASA's Landsat Data Continuity Mission, or LDCM, satellite is lowered to the floor at the prelaunch processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

  20. VizieR Online Data Catalog: Spectroscopy of standard stars (Joner+, 2015)

    NASA Astrophysics Data System (ADS)

    Joner, M. D.; Hintz, E. G.

    2016-06-01

    Between 2005 and 2015, spectroscopic data were obtained using the 1.2-m McKellar Telescope of the Dominion Astrophysical Observatory (DAO). In total, data were secured on 153 nights using the telescope in robotic mode. Observations were made using the Coude spectrograph with the 3231 grating, which provided 40.9Å/mm. Using the Site4 CCD with 15μm pixels gives 0.614Å/pixel. With 4096 pixels along the dispersion axis, this provided a total coverage of approximately 2500Å. Aligning the grating to give a central wavelength of 5710Å allowed a spectral coverage from 4450 to 6970Å, which provided coverage of both Hα and Hβ. In total we examined 75 field stars (table2), 12 stars from the Coma star cluster (table3), 24 from the Hyades (table4), 17 from the Pleiades (table5), and 8 from NGC 752 (table6). These stars cover a spectral type range from O9 to K2. (5 data files).

  1. Overcoming Spatial and Temporal Barriers to Public Access Defibrillators Via Optimization.

    PubMed

    Sun, Christopher L F; Demirtas, Derya; Brooks, Steven C; Morrison, Laurie J; Chan, Timothy C Y

    2016-08-23

    Immediate access to an automated external defibrillator (AED) increases the chance of survival for out-of-hospital cardiac arrest (OHCA). Current deployment usually considers spatial AED access, assuming AEDs are available 24 h a day. The goal of this study was to develop an optimization model for AED deployment, accounting for spatial and temporal accessibility, to evaluate if OHCA coverage would improve compared with deployment based on spatial accessibility alone. This study was a retrospective population-based cohort trial using data from the Toronto Regional RescuNET Epistry cardiac arrest database. We identified all nontraumatic public location OHCAs in Toronto, Ontario, Canada (January 2006 through August 2014) and obtained a list of registered AEDs (March 2015) from Toronto Paramedic Services. Coverage loss due to limited temporal access was quantified by comparing the number of OHCAs that occurred within 100 meters of a registered AED (assumed coverage 24 h per day, 7 days per week) with the number that occurred both within 100 meters of a registered AED and when the AED was available (actual coverage). A spatiotemporal optimization model was then developed that determined AED locations to maximize OHCA actual coverage and overcome the reported coverage loss. The coverage gain between the spatiotemporal model and a spatial-only model was computed by using 10-fold cross-validation. A total of 2,440 nontraumatic public OHCAs and 737 registered AED locations were identified. A total of 451 OHCAs were covered by registered AEDs under assumed coverage 24 h per day, 7 days per week, and 354 OHCAs under actual coverage, representing a coverage loss of 21.5% (p < 0.001). Using the spatiotemporal model to optimize AED deployment, a 25.3% relative increase in actual coverage was achieved compared with the spatial-only approach (p < 0.001). One in 5 OHCAs occurred near an inaccessible AED at the time of the OHCA. Potential AED use was significantly improved with a spatiotemporal optimization model guiding deployment. Copyright © 2016 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  2. Effect of space allowance and flooring on the behavior of pregnant ewes.

    PubMed

    Vik, S G; Øyrehagen, O; Bøe, K E

    2017-05-01

    Space allowance recommendations for pregnant ewes vary considerably. The aim of this experiment was to investigate the effect of space allowance and floor type on activity, lying position, displacements, and aggressive interactions in pregnant ewes. A 3 × 2 factorial experiment was conducted with space allowance (0.75, 1.50, and 2.25 m/ewe) and type of flooring (straw bedding and expanded metal flooring) as the main factors. A total of 48 pregnant ewes were randomly assigned to 6 groups with 8 ewes in each group. All groups were exposed to each treatment for 7 d. The ewes were video recorded for 24 h at the end of each treatment period and general activity, lying position in the pen, and social lying position were scored every 15 min. Displacements and aggressive interactions were scored continuously from 1030 to 1430 h. Mean lying time ( < 0.0001) and time spent lying simultaneously ( < 0.0001) increased whereas time spent eating ( < 0.001) and standing ( < 0.001) decreased when space allowance increased from 0.75 to 1.50 m/ewe. Further increasing the space allowance to 2.25 m/ewe, however, had no effect on these parameters. Sitting was observed only in the 0.75 m/ewe treatment. Type of flooring had no significant effect on general activity. Ewes in the straw bedding treatment spent more time lying in the middle of the pen than ewes on expanded metal ( < 0.0001), but space allowance had no significant effect on this parameter. The proportion of time spent lying against side walls increased ( < 0.0001) whereas the proportion of time spent lying against the back wall decreased ( < 0.0001) when the space allowance was increased. In general, the distance between the ewes when lying significantly increased when space allowance increased from 0.75 to 1.50 m/ewe. Total number of displacements when lying ( < 0.0001) and aggressive interactions when active ( < 0.001) decreased when space allowance increased from 0.75 to 1.50 m/ewe and further slightly decreased, although the decrease was significant only for displacements when lying, when space allowance increased to 2.25 m/ewe. Low-ranked ewes were not exposed to more aggressive behavior than high-ranked ewes. In conclusion, increasing space allowance from 0.75 to 1.50 m/ewe had positive effects on activity and behavior in pregnant ewes, but further increasing space allowance to 2.25 m/ewe had limited effects, as did type of flooring. Hence, recommended space allowance for pregnant ewes should not be lower than 1.50 m/ewe.

  3. Effects of magnetic stimulation on urodynamic stress incontinence refractory to pelvic floor muscle training in a randomized sham-controlled study.

    PubMed

    Yamanishi, Tomonori; Suzuki, Tsuneki; Sato, Ryo; Kaga, Kanya; Kaga, Mayuko; Fuse, Miki

    2017-09-29

    The aim of the present study was to evaluate the effect of magnetic stimulation on urodynamic stress incontinence refractory to pelvic floor muscle training in a randomized sham-controlled study. Female patients with urodynamic stress incontinence who had not been cured by pelvic floor muscle training were randomly assigned at a ratio of 2 : 1 to either active treatment or sham treatment for 10 weeks. The randomization was made using magnetic cards for individuals indicating active or sham stimulation. The primary endpoint was changes in the number of incontinence episodes/week, with secondary endpoints of the degree of incontinence (in g/day; determined using the pad test), the total score on the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF), the ICIQ quality of life (QOL) score, and the abdominal leak point pressure (ALPP) on urodynamic study. Although 39 patients were enrolled in the study, 9 dropped out, leaving a total patients for analysis (18 in the active treatment group, 12 in the sham treatment group). The number of incontinence episodes/week, the degree of incontinence, total ICIQ-SF score, ICIQ-QOL score, and ALPP were significantly improved after active treatment compared with baseline (all P < .05), but did not change significantly after sham treatment. There was a significant intergroup difference with regard to changes from baseline in the ICIQ-SF and ALPP in favor of the active treatment group (P < .05). There were no significant differences in any other parameters between the 2 groups. Treatment-related adverse events were not found in both groups. Magnetic stimulation was effective in treating urodynamic stress incontinence. © 2017 John Wiley & Sons Australia, Ltd.

  4. 42 CFR 416.41 - Condition for coverage-Governing body and management.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... governing the ASC's total operation. The governing body has oversight and accountability for the quality... management. 416.41 Section 416.41 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF... for Coverage § 416.41 Condition for coverage—Governing body and management. The ASC must have a...

  5. 78 FR 63983 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    ...; Total Annual Hours: 14,310. (For policy questions regarding this collection contact Coles Mercier at 410... Coverage of Suppliers of End Stage Renal Disease (ESRD) Services and Supporting Regulations; Use: The...; Conditions for Coverage for End-Stage Renal Disease Facilities. The requirements fall into two categories...

  6. 42 CFR 416.41 - Condition for coverage-Governing body and management.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... governing the ASC's total operation. The governing body has oversight and accountability for the quality... management. 416.41 Section 416.41 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF... for Coverage § 416.41 Condition for coverage—Governing body and management. The ASC must have a...

  7. Vertical distribution of soil extractable organic C and N contents and total C and N stocks in 78-year-old tree plantations in subtropical Australia.

    PubMed

    Zhou, Xiaoqi; Dong, Haibo; Lan, Zhongming; Bacon, Gary; Hao, Yanbin; Chen, Chengrong

    2017-10-01

    Few studies have focused on the effects of long-term forest plantations on the soil profile of carbon (C) and nitrogen (N) stocks. In this study, we selected 78-year-old tree plantations that included three coniferous tree species (i.e., slash pine, hoop pine and kauri pine) and a Eucalyptus species in subtropical Australia. We measured soil extractable organic C (EOC) and N (EON) contents and total C and N stocks under different tree species on the forest floor and along a soil profile to 100 cm depth. The results showed that Eucalyptus had significantly higher soil EOC contents (3.3 Mg ha -1 ) than the other tree species (EOC of 1.9-2.3 Mg ha -1 ) and had significantly higher EON (156 kg ha -1 ) contents than slash pine (107 kg ha -1 ). Eucalyptus had significantly higher soil C (58.9 Mg ha -1 ) and N (2.03 Mg ha -1 ) stocks than the other tree species (22.3-27.6 Mg C ha -1 and 0.71-1.23 Mg N ha -1 ) at 0-100 cm depth. There were no differences in soil C stocks at the 0-100 cm depth among the coniferous tree species. Forest floor C stocks had stronger effects on mineral soil total N stocks than fine root biomass, whereas fine root biomass exerted stronger effects on soil total C stocks at the 0-100 cm depth than forest floor C and N stocks. Our results addressed large differences in soil C and N stocks under different tree species, which can provide useful information for local forest management practices in this region.

  8. Magnetic structure of Bayonnaise knoll caldera including Hakurei hydrothermal site obtained from near-bottom magnetic vector field mapping by autonomous underwater vehicle

    NASA Astrophysics Data System (ADS)

    Honsho, C.; Ura, T.; Kim, K.

    2012-12-01

    The Bayonnaise knoll caldera is one of the silicic submarine calderas in the Izu-Ogasawara Arc in Japan. In 2003, a large-scale hydrothermal deposit was found in the caldera, called the Hakurei deposit. The caldera had been explored by four surveys using autonomous underwater vehicles (AUVs) from 2008 to 2011, and the near-bottom magnetic field was mapped over about 75% of the caldera floor. We carried out detailed correction for the magnetic field produced by the vehicle body, which allowed us to take advantage of the vector anomaly instead of the total anomaly for the magnetic inversion. We applied the inversion method using the block model together with the Akaike's Bayesian information criterion (ABIC). One remarkable thing is that we recognized significant difference between the magnetic inversion result using the vector anomaly and that using the total anomaly: the latter result explains the observed total anomalies excellently, but does not explain the vector anomalies adequately. Except for a rare case where the vector anomaly is perpendicular to the main field throughout, the total anomaly should be sufficient for evaluating the entire field, provided that the data is collected in sufficiently high density. In fact, the track lines of our survey sometimes separate from each other by about twice the altitude of the vehicle (100 m), which can lead to considerable aliasing in the sampled field. The vector anomaly can provide vital information in such a situation. The obtained magnetization distribution is well correlated with the topography. The caldera rim and central cone have weak magnetization, which is consistent with the fact that they consist of dacite rocks. On the other hand, the caldera floor shows high magnetization, which implies the existence of basaltic rocks. The high magnetization appears to continue north and south beyond the caldera rim, forming an NS-trending high magnetization zone. Because the caldera floor is generally covered with sediment and pumice, the existence of basaltic rocks in the caldera floor has not yet been directly confirmed. As for the regional settings, however, there are NS-lined small knolls in the north and south of the caldera, which seem to continue across the caldera, and these knolls are known to consist of basaltic rocks. We postulate that the high magnetization zone of the caldera is due to basaltic volcanism, which formed the knoll chains and occurred after the formation of the silicic caldera. The Hakurei hydrothermal site is located on the southeastern rim of the caldera floor, near an inferred intersection of the caldera rim and the knoll chain. In the magnetization map, the Hakurei deposit is located near the edge of the high magnetization zone. We can clearly observe a zone of reduced magnetization associated with the deposit, probably caused by the high-temperature hydrothermal alteration of the host basaltic rock.

  9. Housing type and myopia: the mediating role of parental myopia.

    PubMed

    Wu, Xiaoyan; Gao, Guopeng; Jin, Juxiang; Hua, Wenjuan; Tao, Liming; Xu, Shaojun; Tao, Fangbiao

    2016-08-31

    Myopia has become a significant global public health concern, and is highly prevalent worldwide especially in Asian countries. It is associated with genetic factors as well as socioeconomic status; however, the underlying cause for school myopia has not been established. This study evaluates the impact of living environment on school myopia in Chinese school-aged children. A large cross-sectional sample of area- and ethnicity-matched school children; a total of 43, 771 children from 12 cities participated in this study. The presence of myopia was self-reported and potential risk factors were determined by questionnaires. The self-reported prevalence of myopia in Chinese children was 31.8 % (n = 13, 928). In multiple logistic regression analysis, higer risk of myopia among school-aged children was significantly positively associated with both parental myopia (OR = 3.57; 95 % CI: 3.26-3.90), living in 1-3 floor (OR = 1.28; 95 % CI: 2.57-3.15), 4-6 floor (OR = 1.84; 95 % CI: 1.73-1.95) and 7 floor or more (OR = 2.02; 95 % CI: 1.88-2.16). Particularly, housing type was independently associated with myopia after stratified by parental myopia. An increasing prevalence of myopia was found with increasing floor of housing type in each outdoor time group. Housing type was independently associated with myopia, after stratified by parental myopia. Flat room, lower living floor and more outdoor time may be protective factors for myopia among school-aged children in mainland China.

  10. Use of Anthropogenic Sea Floor Structures by Australian Fur Seals: Potential Positive Ecological Impacts of Marine Industrial Development?

    PubMed Central

    Arnould, John P. Y.; Monk, Jacquomo; Ierodiaconou, Daniel; Hindell, Mark A.; Semmens, Jayson; Hoskins, Andrew J.; Costa, Daniel P.; Abernathy, Kyler; Marshall, Greg J.

    2015-01-01

    Human-induced changes to habitats can have deleterious effects on many species that occupy them. However, some species can adapt and even benefit from such modifications. Artificial reefs have long been used to provide habitat for invertebrate communities and promote local fish populations. With the increasing demand for energy resources within ocean systems, there has been an expansion of infrastructure in near-shore benthic environments which function as de facto artificial reefs. Little is known of their use by marine mammals. In this study, the influence of anthropogenic sea floor structures (pipelines, cable routes, wells and shipwrecks) on the foraging locations of 36 adult female Australian fur seals (Arctocephalus pusillus doriferus) was investigated. For 9 (25%) of the individuals, distance to anthropogenic sea floor structures was the most important factor in determining the location of intensive foraging activity. Whereas the influence of anthropogenic sea floor structures on foraging locations was not related to age and mass, it was positively related to flipper length/standard length (a factor which can affect manoeuvrability). A total of 26 (72%) individuals tracked with GPS were recorded spending time in the vicinity of structures (from <1% to >75% of the foraging trip duration) with pipelines and cable routes being the most frequented. No relationships were found between the amount of time spent frequenting anthropogenic structures and individual characteristics. More than a third (35%) of animals foraging near anthropogenic sea floor structures visited more than one type of structure. These results further highlight potentially beneficial ecological outcomes of marine industrial development. PMID:26132329

  11. The Effect of Environmentally Friendly Wallpaper and Flooring Material on Indoor Air Quality and Atopic Dermatitis: A Pilot Study

    PubMed Central

    Na, Jung Im; Byun, Sang Young; Jeong, Mi Young; Park, Kyoung Chan

    2014-01-01

    Background Formaldehyde (FA) and other volatile organic compounds (VOCs) are considered among the main causes of atopic aggravation. Their main sources include wallpapers, paints, adhesives, and flooring materials. Objective To assess the effects of environmentally friendly wallpaper and flooring material on indoor air quality and atopic dermatitis severity. Methods Thirty patients with atopic dermatitis were enrolled in this study. To improve air quality, the wallpaper and flooring in the homes of the subjects were replaced with plant- or silica-based materials. The indoor air concentration of FA and the total VOCs (TVOCs) were measured before remodeling and 2, 6, and 10 weeks thereafter. Pruritus and the severity of atopic eczema were evaluated by using a questionnaire and the eczema area and severity index (EASI) score before and at 4, 8, and 12 weeks after remodeling. The subjects were instructed to continue their therapy for atopic dermatitis. Results The houses of 24 subjects were remodeled; all subjects completed the study. The concentration of FA in ambient air significantly decreased within 2 weeks after remodeling. The TVOC level showed a decrease at week 2 but increased again at weeks 6 and 10. The reduction of pruritus and EASI score was statistically significant in patients whose baseline EASI score was >3. Conclusion Replacing the wallpaper and flooring of houses with environmentally friendly material reduced FA in ambient air and improved pruritus and the severity of atopic eczema. The improvement of pruritus and eczema was statistically significant in patients whose baseline EASI score was >3. PMID:25473219

  12. Use of Anthropogenic Sea Floor Structures by Australian Fur Seals: Potential Positive Ecological Impacts of Marine Industrial Development?

    PubMed

    Arnould, John P Y; Monk, Jacquomo; Ierodiaconou, Daniel; Hindell, Mark A; Semmens, Jayson; Hoskins, Andrew J; Costa, Daniel P; Abernathy, Kyler; Marshall, Greg J

    2015-01-01

    Human-induced changes to habitats can have deleterious effects on many species that occupy them. However, some species can adapt and even benefit from such modifications. Artificial reefs have long been used to provide habitat for invertebrate communities and promote local fish populations. With the increasing demand for energy resources within ocean systems, there has been an expansion of infrastructure in near-shore benthic environments which function as de facto artificial reefs. Little is known of their use by marine mammals. In this study, the influence of anthropogenic sea floor structures (pipelines, cable routes, wells and shipwrecks) on the foraging locations of 36 adult female Australian fur seals (Arctocephalus pusillus doriferus) was investigated. For 9 (25%) of the individuals, distance to anthropogenic sea floor structures was the most important factor in determining the location of intensive foraging activity. Whereas the influence of anthropogenic sea floor structures on foraging locations was not related to age and mass, it was positively related to flipper length/standard length (a factor which can affect manoeuvrability). A total of 26 (72%) individuals tracked with GPS were recorded spending time in the vicinity of structures (from <1% to >75% of the foraging trip duration) with pipelines and cable routes being the most frequented. No relationships were found between the amount of time spent frequenting anthropogenic structures and individual characteristics. More than a third (35%) of animals foraging near anthropogenic sea floor structures visited more than one type of structure. These results further highlight potentially beneficial ecological outcomes of marine industrial development.

  13. Soil organic matter composition and quality across fire severity gradients in coniferous and deciduous forests of the southern boreal region

    NASA Astrophysics Data System (ADS)

    Miesel, Jessica R.; Hockaday, William C.; Kolka, Randall K.; Townsend, Philip A.

    2015-06-01

    Recent patterns of prolonged regional drought in southern boreal forests of the Great Lakes region, USA, suggest that the ecological effects of disturbance by wildfire may become increasingly severe. Losses of forest soil organic matter (SOM) during fire can limit soil nutrient availability and forest regeneration. These processes are also influenced by the composition of postfire SOM. We sampled the forest floor layer (i.e., full organic horizon) and 0-10 cm mineral soil from stands dominated by coniferous (Pinus banksiana Lamb.) or deciduous (Populus tremuloides Michx.) species 1-2 months after the 2011 Pagami Creek wildfire in northern Minnesota. We used solid-state 13C NMR to characterize SOM composition across a gradient of fire severity in both forest cover types. SOM composition was affected by fire, even when no statistically significant losses of total C stocks were evident. The most pronounced differences in SOM composition between burned and unburned reference areas occurred in the forest floor for both cover types. Carbohydrate stocks in forest floor and mineral horizons decreased with severity level in both cover types, whereas pyrogenic C stocks increased with severity in the coniferous forest floor and decreased in only the highest severity level in the deciduous forest floor. Loss of carbohydrate and lignin pools contributed to a decreased SOM stability index and increased decomposition index. Our results suggest that increases in fire severity expected to occur under future climate scenarios may lead to changes in SOM composition and dynamics with consequences for postfire forest recovery and C uptake.

  14. Cross-cultural adaptation and validation of Persian Achilles tendon Total Rupture Score.

    PubMed

    Ansari, Noureddin Nakhostin; Naghdi, Soofia; Hasanvand, Sahar; Fakhari, Zahra; Kordi, Ramin; Nilsson-Helander, Katarina

    2016-04-01

    To cross-culturally adapt the Achilles tendon Total Rupture Score (ATRS) to Persian language and to preliminary evaluate the reliability and validity of a Persian ATRS. A cross-sectional and prospective cohort study was conducted to translate and cross-culturally adapt the ATRS to Persian language (ATRS-Persian) following steps described in guidelines. Thirty patients with total Achilles tendon rupture and 30 healthy subjects participated in this study. Psychometric properties of floor/ceiling effects (responsiveness), internal consistency reliability, test-retest reliability, standard error of measurement (SEM), smallest detectable change (SDC), construct validity, and discriminant validity were tested. Factor analysis was performed to determine the ATRS-Persian structure. There were no floor or ceiling effects that indicate the content and responsiveness of ATRS-Persian. Internal consistency was high (Cronbach's α 0.95). Item-total correlations exceeded acceptable standard of 0.3 for the all items (0.58-0.95). The test-retest reliability was excellent [(ICC)agreement 0.98]. SEM and SDC were 3.57 and 9.9, respectively. Construct validity was supported by a significant correlation between the ATRS-Persian total score and the Persian Foot and Ankle Outcome Score (PFAOS) total score and PFAOS subscales (r = 0.55-0.83). The ATRS-Persian significantly discriminated between patients and healthy subjects. Explanatory factor analysis revealed 1 component. The ATRS was cross-culturally adapted to Persian and demonstrated to be a reliable and valid instrument to measure functional outcomes in Persian patients with Achilles tendon rupture. II.

  15. Inequities in coverage of preventive child health interventions: the rural drinking water supply program and the universal immunization program in Rajasthan, India.

    PubMed

    Mohan, Pavitra

    2005-02-01

    I assessed whether the Rural Drinking Water Supply Program (RDWSP) and the Universal Immunization Program (UIP) have achieved equitable coverage in Rajasthan, India, and explored program characteristics that affect equitable coverage of preventive health interventions. A total of 2460 children presenting at 12 primary health facilities in one district of Rajasthan were enrolled and classified into economic quartiles based on possession of assets. Immunization coverage and prime source of drinking water were compared across quartiles. A higher access to piped water by wealthier families (P< .001) was compensated by higher access to hand pumps by poorer families (P<.001), resulting in equal access to a safe source (P=.9). Immunization coverage was inequitable, favoring the wealthier children (P<.001). The RDWSP has achieved equitable coverage, while UIP coverage remains highly inequitable. Programs can make coverage more equitable by formulating explicit objectives to ensure physical access to all, promoting the intervention's demand by the poor, and enhancing the support and monitoring of frontline workers who deliver these interventions.

  16. Florida Educational Facilities, 1996.

    ERIC Educational Resources Information Center

    Florida State Dept. of Education, Tallahassee. Office of Educational Facilities.

    This document contains information, photographs, and floor plans of many of Florida's new elementary through high school facilities occupied in 1996. Each entry lists the facility's type, building size, student capacity, and general structural information. Also provided is information on the facility's total construction cost; the architects and…

  17. Florida Educational Facilities, 1997.

    ERIC Educational Resources Information Center

    Florida State Dept. of Education, Tallahassee. Office of Educational Facilities.

    This document contains information, photographs, and floor plans of many of Florida's new elementary through high school facilities occupied in 1997. Each entry lists the facility's type, building size, student capacity, and general structural information. Also provided is information on the facility's total construction cost; the architects and…

  18. Florida Educational Facilities, 1998.

    ERIC Educational Resources Information Center

    Florida State Dept. of Education, Tallahassee. Office of Educational Facilities.

    This document contains information, photographs, and floor plans of many of Florida's new elementary through high school facilities occupied in 1998. Each entry lists the facility's type, building size, student capacity, and general structural information. Also provided is information on the facility's total construction cost; the architects and…

  19. DIETARY EXPOSURES OF YOUNG CHILDREN, PART 1: MODEL DEVELOPMENT AND STUDY DESIGN

    EPA Science Inventory

    Young children contact surfaces (hands, floors, etc.) that may be contaminated with pesticides. Thus, dietary exposures of young children are difficult to measure, but are needed to support the aggregate exposure assessments. Evaluation of dietary field protocols and a total die...

  20. Breaking Lander-Waterman’s Coverage Bound

    PubMed Central

    Nashta-ali, Damoun; Motahari, Seyed Abolfazl; Hosseinkhalaj, Babak

    2016-01-01

    Lander-Waterman’s coverage bound establishes the total number of reads required to cover the whole genome of size G bases. In fact, their bound is a direct consequence of the well-known solution to the coupon collector’s problem which proves that for such genome, the total number of bases to be sequenced should be O(G ln G). Although the result leads to a tight bound, it is based on a tacit assumption that the set of reads are first collected through a sequencing process and then are processed through a computation process, i.e., there are two different machines: one for sequencing and one for processing. In this paper, we present a significant improvement compared to Lander-Waterman’s result and prove that by combining the sequencing and computing processes, one can re-sequence the whole genome with as low as O(G) sequenced bases in total. Our approach also dramatically reduces the required computational power for the combined process. Simulation results are performed on real genomes with different sequencing error rates. The results support our theory predicting the log G improvement on coverage bound and corresponding reduction in the total number of bases required to be sequenced. PMID:27806058

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

    Fowler, Kimberly M.; Kora, Angela R.

    This report is a summary of the water analysis performance for the Denver, Colorado Wynkoop Building. The Wynkoop Building (Figure 1) was built in 2006 as the Environmental Protection Agency (EPA) Region 8 Headquarters intended to house over 900 occupants in the 301,292 gross square feet (248,849 rentable square feet). The building was built on a brownfield in the Lower Downtown Historic District as part of an urban redevelopment effort. The building was designed and constructed through a public-private partnership with the sustainable design elements developed jointly by General Services Administration (GSA) and EPA. That partnership is still active withmore » all parties still engaged to optimize building operations and use the building as a Learning Laboratory. The building design achieved U.S. Green Building Council Leadership in Energy and Environmental Design for New Construction (LEED-NC) Gold Certification in 2008 (Figure 2) and a 2008 EPA Energy Star Rating of 96 with design highlights that include: (1) Water use was designed to use 40% less than a typical design baseline. The design included low flow fixtures, waterless urinals and dual flush toilets; (2) Native and adaptive vegetation were selected to minimize the need for irrigation water for landscaping; and (3) Energy use intensity was modeled at 66.1 kBtus/gross square foot, which is 39% better than ASHRAE 90.1 1999. The Wynkoop Building water use (10 gallons/square foot) was measured at lower than industry average (15 gallons/square foot) and GSA goals (13 gallons/square foot), however, it was higher than building management expected it would be. The type of occupants and number of occupants can have a significant impact on fixture water use. The occupancy per floor varied significantly over the study time period, which added uncertainty to the data analysis. Investigation of the fixture use on the 2nd, 5th, and 7th floors identified potential for water use reduction if the flush direction of the dual-flush toilet handles was reversed. The building management retrofitted the building's toilets with handles that operated on reduced flush when pushed down (0.8 gallons) and full flush when pulled up (1.1 gallons). The water pressure on the 5th floor (< 30 psi) is less than half the pressure on the 7th floor (>80 psi). The measured water savings post-retrofit was lower on the 5th floor than the 7th floor. The differences in water pressure may have had an impact on the quantity of water used per floor. The second floor water use was examined prior to and following the toilet fixture retrofit. This floor is where conference rooms for non-building occupants are available for use, thus occupancy is highly variable. The 3-day average volume per flush event was higher post-retrofit (0.79 gallons per event), in contrast to pre-retrofit (0.57 gallons per event). There were 40% more flush events post retrofit, which impacted the findings. Water use in the third floor fitness center was also measured for a limited number of days. Because of water line accessibility, only water use on the men's side of the fitness center was measured and from that the total fitness center water use was estimated. Using the limited data collected, the fitness center shower water use is approximately 2% of the whole building water use. Overall water use in the Wynkoop Building is below the industry baseline and GSA expectations. The dual flush fixture replacement appears to have resulted in additional water savings that are expected to show a savings in the total annual water use.« less

  2. Carbon stocks of three secondary coniferous forests along an altitudinal gradient on Loess Plateau in inland China

    PubMed Central

    Liu, Ning; Nan, Hongwei

    2018-01-01

    Natural forests in inland China are generally distributed in montane area and secondary due to a semi-arid climate and past anthropogenic disturbances. However, quantification of carbon (C) stock in these forests and the role of altitude in determining C storage and its partition among ecosystem components are unclear. We sampled 54 stands of three secondary coniferous forests (Larix principis-rupprechtii (LP) forest, Picea meyerii (PM) forest and Pinus tabulaeformis (PT) forest) on Loess Plateau in an altitudinal range of 1200-2700m a.s.l. C stocks of tree layer, shrub layer, herb layer, coarse wood debris, forest floor and soil were estimated. We found these forests had relatively high total C stocks. Driven by both higher vegetation and soil C stocks, total C stocks of LP and PM forests in the high altitudinal range were 375.0 and 368.4 t C ha-1 respectively, significantly higher than that of PT forest in the low altitudinal range (230.2 t C ha-1). In addition, understory shrubs accounted for about 20% of total biomass in PT forest. The proportions of vegetation to total C stock were similar among in the three forests (below 45%), so were the proportions of soil C stock (over 54%). Necromass C stocks were also similar among these forests, but their proportions to total C stock were significantly lower in LP and PM forests (1.4% and 1.6%) than in PT forest (3.0%). Across forest types, vegetation biomass and soil C stock simultaneously increased with increasing altitude, causing fairly unchanged C partitioning among ecosystem components along the altitudinal gradient. Soil C stock also increased with altitude in LP and PT forests. Forest floor necromass decreased with increasing altitude across the three forests. Our results suggest the important role of the altitudinal gradient in C sequestration and floor necromass of these three forests in terms of alleviated water conditions and in soil C storage of LP and PM forests in terms of temperature change. PMID:29723254

  3. Oncology house physician model: a response to changes in pediatric resident coverage.

    PubMed

    Rapson, Alicia; Kersun, Leslie

    2014-10-01

    Given decreasing resident duty hours, subspecialty hospitalist models have emerged to help compensate for the restructured presence of residents. We sought to examine the impact of our pediatric oncology hospitalist model on the oncology unit staff. The survey was developed after a literature review of subspecialty hospitalist models. The final surveys were designed using a 5-point Likert scale. Descriptive statistics were used to compile baseline demographic characteristics of respondents and overall responses to survey questions. Respondents agreed that house physicians provide better continuity of care (96.8%), are more comfortable with the experience level of the physician (98.4%), and are better able to answer questions (92%). Respondents also agreed that house physicians serve as backup for system-related and patient-related questions and found security knowing an experienced provider was on the floor (87.5%). Responses to open-ended questions indicated that the house physician model has impacted fellow education. Our oncology house physician model helps account for decreased residency duty hours. This can serve as a model for other institutions requiring subspecialty inpatient coverage, given resident work hour restrictions. Adjustments in the clinical education of hematology/oncology fellows need to be considered in the setting of competent, consistent, and experienced front-line providers.

  4. Influenza Vaccination Coverage and Its Associated Factors among North Korean Defectors Living in the Republic of Korea.

    PubMed

    Song, In Gyu; Lee, Haewon; Yi, Jinseon; Kim, Min Sun; Park, Sang Min

    2015-09-01

    This study aimed to examine influenza vaccination coverage of North Korean defectors (NKD) in the Republic of Korea (Korea) and explore the factors affected the vaccination coverage. Total 378 NKD were analyzed. Four Korean control subjects were randomly matched by age and gender from the Korea National Health and Nutrition Examination Survey V (n = 1,500). The adjusted vaccination coverage revealed no statistical difference between the defectors group and indigenous group (29.1% vs. 29.5%, P = 0.915). In the aged under 50 group, the vaccination coverage of NKD was higher than that of Korean natives (37.8% vs. 25.8%, P = 0.016). However in the aged 50 yr and over group, the vaccination coverage of North Korean defectors was lower than that of the natives (28.0% vs. 37.6%, P = 0.189). Even the gap was wider in the aged 65 yr and over group (36.4% vs. 77.8%, P = 0.007). Gender and medical check-up experience within 2 yr showed association with the vaccination coverage of NKD. Influenza vaccination coverage of aged defectors' group (aged 50 yr and over) was lower than indigenous people though overall vaccination coverage was similar. Further efforts to increase influenza vaccination coverage of this group are needed.

  5. Dose-Effect Relationships for Individual Pelvic Floor Muscles and Anorectal Complaints After Prostate Radiotherapy

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

    Smeenk, Robert Jan, E-mail: r.smeenk@rther.umcn.nl; Hoffmann, Aswin L.; Hopman, Wim P.M.

    2012-06-01

    Purpose: To delineate the individual pelvic floor muscles considered to be involved in anorectal toxicity and to investigate dose-effect relationships for fecal incontinence-related complaints after prostate radiotherapy (RT). Methods and Materials: In 48 patients treated for localized prostate cancer, the internal anal sphincter (IAS) muscle, the external anal sphincter (EAS) muscle, the puborectalis muscle (PRM), and the levator ani muscles (LAM) in addition to the anal wall (Awall) and rectal wall (Rwall) were retrospectively delineated on planning computed tomography scans. Dose parameters were obtained and compared between patients with and without fecal urgency, incontinence, and frequency. Dose-effect curves were constructed.more » Finally, the effect of an endorectal balloon, which was applied in 28 patients, was investigated. Results: The total volume of the pelvic floor muscles together was about three times that of the Awall. The PRM was exposed to the highest RT dose, whereas the EAS received the lowest dose. Several anal and rectal dose parameters, as well as doses to all separate pelvic floor muscles, were associated with urgency, while incontinence was associated mainly with doses to the EAS and PRM. Based on the dose-effect curves, the following constraints regarding mean doses could be deduced to reduce the risk of urgency: {<=}30 Gy to the IAS; {<=}10 Gy to the EAS; {<=}50 Gy to the PRM; and {<=}40 Gy to the LAM. No dose-effect relationships for frequency were observed. Patients treated with an endorectal balloon reported significantly less urgency and incontinence, while their treatment plans showed significantly lower doses to the Awall, Rwall, and all pelvic floor muscles. Conclusions: Incontinence-related complaints show specific dose-effect relationships to individual pelvic floor muscles. Dose constraints for each muscle can be identified for RT planning. When only the Awall is delineated, substantial components of the continence apparatus are excluded.« less

  6. Dose-effect relationships for individual pelvic floor muscles and anorectal complaints after prostate radiotherapy.

    PubMed

    Smeenk, Robert Jan; Hoffmann, Aswin L; Hopman, Wim P M; van Lin, Emile N J Th; Kaanders, Johannes H A M

    2012-06-01

    To delineate the individual pelvic floor muscles considered to be involved in anorectal toxicity and to investigate dose-effect relationships for fecal incontinence-related complaints after prostate radiotherapy (RT). In 48 patients treated for localized prostate cancer, the internal anal sphincter (IAS) muscle, the external anal sphincter (EAS) muscle, the puborectalis muscle (PRM), and the levator ani muscles (LAM) in addition to the anal wall (Awall) and rectal wall (Rwall) were retrospectively delineated on planning computed tomography scans. Dose parameters were obtained and compared between patients with and without fecal urgency, incontinence, and frequency. Dose-effect curves were constructed. Finally, the effect of an endorectal balloon, which was applied in 28 patients, was investigated. The total volume of the pelvic floor muscles together was about three times that of the Awall. The PRM was exposed to the highest RT dose, whereas the EAS received the lowest dose. Several anal and rectal dose parameters, as well as doses to all separate pelvic floor muscles, were associated with urgency, while incontinence was associated mainly with doses to the EAS and PRM. Based on the dose-effect curves, the following constraints regarding mean doses could be deduced to reduce the risk of urgency: ≤ 30 Gy to the IAS; ≤ 10 Gy to the EAS; ≤ 50 Gy to the PRM; and ≤ 40 Gy to the LAM. No dose-effect relationships for frequency were observed. Patients treated with an endorectal balloon reported significantly less urgency and incontinence, while their treatment plans showed significantly lower doses to the Awall, Rwall, and all pelvic floor muscles. Incontinence-related complaints show specific dose-effect relationships to individual pelvic floor muscles. Dose constraints for each muscle can be identified for RT planning. When only the Awall is delineated, substantial components of the continence apparatus are excluded. Copyright © 2012 Elsevier Inc. All rights reserved.

  7. 45 CFR 156.20 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...: Actuarial value (AV) means the percentage paid by a health plan of the percentage of the total allowed costs... 1302(c) of the Affordable Care Act; and (3) A bronze, silver, gold, or platinum level of coverage as... values as defined by section 1302(d)(1) of the Affordable Care Act of plan coverage. Percentage of the...

  8. 7 CFR 1740.8 - Scoring criteria for the grant competition.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... follows: (1) The rural population of a core coverage area must be calculated. The rural population of a county is calculated by subtracting the county's urban population(s) from the total county population. If the core coverage area consists of multiple counties, the rural population is the sum of all included...

  9. 7 CFR 1740.8 - Scoring criteria for the grant competition.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... follows: (1) The rural population of a core coverage area must be calculated. The rural population of a county is calculated by subtracting the county's urban population(s) from the total county population. If the core coverage area consists of multiple counties, the rural population is the sum of all included...

  10. 7 CFR 1740.8 - Scoring criteria for the grant competition.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... follows: (1) The rural population of a core coverage area must be calculated. The rural population of a county is calculated by subtracting the county's urban population(s) from the total county population. If the core coverage area consists of multiple counties, the rural population is the sum of all included...

  11. 7 CFR 1740.8 - Scoring criteria for the grant competition.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... follows: (1) The rural population of a core coverage area must be calculated. The rural population of a county is calculated by subtracting the county's urban population(s) from the total county population. If the core coverage area consists of multiple counties, the rural population is the sum of all included...

  12. 75 FR 41449 - Procurement List Additions and Deletion

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-16

    ... the requirement of the U.S. Army, as aggregated by the Department of the Army Research, Development..., Philadelphia, PA Coverage: C-List for 100% of the requirement of the Department of Defense, as aggregated by... Acquisition Service, GSA/FSS OFC SUP CTR--Paper Products, New York, NY Coverage: A-List for the Total...

  13. 5 CFR 875.414 - Will benefits be coordinated with other coverage?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... SERVICE REGULATIONS (CONTINUED) FEDERAL LONG TERM CARE INSURANCE PROGRAM Coverage § 875.414 Will benefits... coordination of benefits (COB) guidelines set by the National Association of Insurance Commissioners. The total benefits from all plans that pay a long term care benefit to you should not exceed the actual costs you...

  14. 20 CFR 404.1911 - Effects of a totalization agreement on entitlement to hospital insurance benefits.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Act by combining the person's periods of coverage under the social security system of the United States with the person's periods of coverage under the social security system of the foreign country... entitlement to hospital insurance benefits. 404.1911 Section 404.1911 Employees' Benefits SOCIAL SECURITY...

  15. Barriers to and Budget Impact of Lumbar Total Disc Replacement Utilization.

    PubMed

    Sandhu, Faheem; Blumenthal, Scott; Grunch, Betsy; Kimball, Bent; Ferko, Nicole; Hollmann, Sarah

    2017-12-15

    : Evidence on the favorable efficacy, safety, and cost effectiveness of lumbar total disc replacement (TDR) compared with fusion for lumbar degenerative disc disease is mounting; however, a key barrier identified for TDR utilization is lack of coverage by US health insurers. Although economic considerations in a fee-for-service model should not be a determining factor in patient access, concerns regarding the budget impact of lumbar TDR surgery may unfortunately underlie coverage decisions. On the basis of the data available and economic modeling, the panel agreed that there is no indication that there would be a dramatic increase in patients seeking lumbar TDR. Considering several possible scenarios on potential growth in TDR utilization with coverage, as well as growth in the overall surgical pool of patients, economic modeling demonstrated that adoption of lumbar TDR would result in minimal or no budget impact for commercial insurance plans. Considering these model results and the economic literature, the panel concluded that adopting lumbar TDR within a coverage policy is expected to remain cost neutral for the insurer.

  16. Prime Contract Awards by Service Category and Federal Supply Classification, Fiscal Years 1980, 1981, 1982, 1983.

    DTIC Science & Technology

    1983-01-01

    GYMNASTIC EQUIPMENT 1,773 2 e94 3,938 2 49P TOTAL 4,552 5,038 8 292 5 278 79 CLEANING EQUIPMENT AND SUPPLIES 7910 FLOOR POLISHERS AND VACUUM CLEANERS 1,188...8020 PAINT AND ARTISTS BRUSHES 10 67 11 0 8030 PRESERVATIVE AND SEALING COMPOUNDS 851 8.340 2.169 1.183 8040 ADHESIVES 272 447 839 278 TOTAL 7.288 18,248

  17. Hitting the Optimal Vaccination Percentage and the Risks of Error: Why to Miss Right.

    PubMed

    Harvey, Michael J; Prosser, Lisa A; Messonnier, Mark L; Hutton, David W

    2016-01-01

    To determine the optimal level of vaccination coverage defined as the level that minimizes total costs and explore how economic results change with marginal changes to this level of coverage. A susceptible-infected-recovered-vaccinated model designed to represent theoretical infectious diseases was created to simulate disease spread. Parameter inputs were defined to include ranges that could represent a variety of possible vaccine-preventable conditions. Costs included vaccine costs and disease costs. Health benefits were quantified as monetized quality adjusted life years lost from disease. Primary outcomes were the number of infected people and the total costs of vaccination. Optimization methods were used to determine population vaccination coverage that achieved a minimum cost given disease and vaccine characteristics. Sensitivity analyses explored the effects of changes in reproductive rates, costs and vaccine efficacies on primary outcomes. Further analysis examined the additional cost incurred if the optimal coverage levels were not achieved. Results indicate that the relationship between vaccine and disease cost is the main driver of the optimal vaccination level. Under a wide range of assumptions, vaccination beyond the optimal level is less expensive compared to vaccination below the optimal level. This observation did not hold when the cost of the vaccine cost becomes approximately equal to the cost of disease. These results suggest that vaccination below the optimal level of coverage is more costly than vaccinating beyond the optimal level. This work helps provide information for assessing the impact of changes in vaccination coverage at a societal level.

  18. Tobacco images and texts in Norwegian magazines and newspapers.

    PubMed

    Løchen, Maja-Lisa; Gram, Inger Torhild; Skattebo, Sigrid; Kolstrup, Nils

    2007-01-01

    Print media may influence smoking behaviour through tobacco advertisements and editorial use of tobacco pictures and texts. In Norway tobacco advertising has been banned for many years. The authors studied the coverage of tobacco promotion and tobacco and health in some general Norwegian magazines and newspapers. The findings were related to the publications' policy as stated by their editors. During three months in 1998-99 all pictures of tobacco and smoking situations were registered, plus the coverage on health aspects of tobacco in all consecutive issues of 7 newspapers and 19 magazines. The editors were asked about their attitudes regarding indirect tobacco advertisement and editorial use of people smoking. All editors for men's magazines and the majority of newspaper editors had no restrictions on displaying both indirect tobacco advertisements and images of people smoking. In total, 610 texts or pictures on tobacco were found in the 624 issues of magazines and newspapers. Only 26 items were indirect tobacco advertisements. Items promoting smoking were more common than coverage of tobacco and health (71% vs 29%), and occurred most frequently in men's magazines (2.1 per issue) and least frequently in local newspapers (0.3 per issue). The proportion of tobacco and health coverage compared with the total tobacco coverage was significantly lower in men's than in family magazines and local newspapers. Editors should be encouraged to increase the coverage of tobacco and health in print media. This may be an important factor in helping their readers to give up or not to take up smoking.

  19. [Runoff loss of soil mineral nitrogen and its relationship with grass coverage on Loess slope land].

    PubMed

    Zhang, Yali; Li, Huai'en; Zhang, Xingchang; Xiao, Bo

    2006-12-01

    In a simulated rainfall experiment on Loess slope land, this paper determined the rainfall, surface runoff and the effective depth of interaction (EDI) between rainfall and soil mineral nitrogen, and studied the effects of grass coverage on the EDI and the runoff loss of soil mineral nitrogen. The results showed that with the increase of EDI, soil nitrogen in deeper layers could be released into surface runoff through dissolution and desorption. The higher the grass coverage, the deeper the EDI was. Grass coverage promoted the interaction between surface runoff and surface soil. On the slope land with 60%, 80% and 100% of grass coverage, the mean content of runoff mineral nitrogen increased by 34.52%, 32.67% and 6.00%, while surface runoff decreased by 4.72%, 9.84% and 12.89%, and eroded sediment decreased by 83.55%, 87.11% and 89.01%, respectively, compared with bare slope land. The total runoff loss of soil mineral nitrogen on the lands with 60%, 80%, and 100% of grass coverage was 95.73%, 109.04%, and 84.05% of that on bare land, respectively. Grass cover had dual effects on the surface runoff of soil mineral nitrogen. On one hand, it enhanced the influx of soil mineral nitrogen to surface runoff, and on the other hand, it markedly decreased the runoff, resulting in the decrease of soil mineral nitrogen loss through runoff and sediment. These two distinct factors codetermined the total runoff loss of soil mineral nitrogen.

  20. Total skin electron therapy in the lying‐on‐the‐floor position using a customized flattening filter to accommodate frail patients

    PubMed Central

    Antolak, John A.

    2013-01-01

    A total skin electron (TSE) floor technique is presented for treating patients who are unable to safely stand for extended durations. A customized flattening filter is used to eliminate the need for field junctioning, improve field uniformity, and reduce setup time. The flattening filter is constructed from copper and polycarbonate, fits into the linac's accessory slot, and is optimized to extend the useful height and width of the beam such that no field junctions are needed during treatment. A TSE floor with flattening filter (TSE FF) treatment course consisted of six patient positions: three supine and three prone. For all treatment fields, electron beam energy was 6 MeV; collimator settings were an x of 30 cm, y of 40 cm, and θcoll of 0°; and a 0.4 cm thick polycarbonate spoiler was positioned in front of the patient. Percent depth dose (PDD) and photon contamination for the TSE FF technique were compared with our standard technique, which is similar to the Stanford technique. Beam profiles were measured using radiochromic film, and dose uniformity was verified using an anthropomorphic radiological phantom. The TSE FF technique met field uniformity requirements specified by the American Association of Physicists in Medicine Task Group 30. TSE FF R80 ranges from 4 to 4.8 mm. TSE FF photon contamination was ~ 3%. Anthropomorphic radiological phantom verification demonstrated that dose to the entire skin surface was expected to be within about ±15% of the prescription dose, except for the perineum, scalp vertex, top of shoulder, and soles of the feet. The TSE floor technique presented herein eliminates field junctioning, is suitable for patients who cannot safely stand during treatment, and provides comparable quality and uniformity to the Stanford technique. PACS number: 87 PMID:24036864

  1. Effect of radiocesium transfer on ambient dose rate in forest environments affected by the Fukushima Nuclear Power Plant accident

    NASA Astrophysics Data System (ADS)

    Kato, H.

    2015-12-01

    We investigated the transfer of canopy-intercepted radiocesium to the forest floor during 3 years following the Fukushima Daiichi Nuclear Power Plant accident. The cesium-137 (Cs-137) contents in throughfall, stemflow, and litterfall were monitored in two coniferous stands (plantation of Japanese cedar) and a deciduous broad-leaved forest stand (Japanese oak with red pine). We also measured the ambient dose rate (ADR) at different heights in the forest using a survey meter and a portable Ge gamma-ray detector. Total Cs-137 deposition flux from the canopy to forest floor for the mature cedar, young cedar, and the mixed broad-leaved stands were 166 kBq/m2, 174 kBq/m2, and 60 kBq/m2, respectively. These values correspond to 38%, 40% and 13% of total atmospheric input after the accident. The ambient dose rate in forest exhibited height dependency and its vertical distribution varied with forest type and stand age. The ambient dose rate showed an exponential decrease with time for all the forest sites, however the decreasing trend differed depending on the height of dose measurement and forest type. The ambient dose rate at the canopy (approx. 10 m-height) decreased faster than that expected from physical decay of the two radiocesium isotopes, whereas those at the forest floor varied between the three forest stands. The radiocesium deposition via throughfall seemed to increase ambient dose rate during the first 200 days after the accident, however there was no clear relationship between litterfall and ambient dose rate since 400 days after the accident. These data suggested that the ambient dose rate in forest environment varied both spatially and temporally reflecting the transfer of radiocesium from canopy to forest floor. However, further monitoring investigation and analysis are required to determine the effect of litterfall on long-term trend of ambient dose rate in forest environments.

  2. Sexual function and quality of life in women with urinary incontinence treated by a complete pelvic floor rehabilitation program (biofeedback, functional electrical stimulation, pelvic floor muscles exercises, and vaginal cones).

    PubMed

    Rivalta, Massimo; Sighinolfi, Maria Chiara; Micali, Salvatore; De Stefani, Stefano; Bianchi, Giampaolo

    2010-03-01

    Urinary incontinence (UI) is a debilitating condition that can cause discomfort, embarrassment, loss of confidence; it can lead to withdrawal from social life, and adversely affects physical and mental health, sexual function and quality of life (QoL) in women. The aim is to determine the impact of combined pelvic floor rehabilitation (PFR) on UI, female sexual dysfunction, and QoL. Female Sexual Function Index questionnaire (FSFI) and King's Health Questionnaire (KHQ). Sixteen patients with UI were selected and underwent a complete PFR program (biofeedback, functional electrical stimulation, pelvic floor muscles exercises, and vaginal cones). Patient filled out the FSFI questionnaire and the KHQ at the baseline and at follow-up. After PFR none of the patients reported urine leakage during sexual activity. Resolution of incontinence was achieved in 13 (81.25%) women. Only three (18.75%) patients had positive 1-hour pad test after the treatment. There was significant difference between pad test leakage before and after the PFR (P < 0.001). The mean Stamey incontinence score was 1.37 +/- 0.5 at the baseline vs. 0.25 +/- 0.57 at the follow up (P < 0.001). Before PFR, FSFI total score ranged from 25.8 to 2 (mean 14.65 +/- 6.88), after treatment the FSFI total score ranged from 36 to 2 (mean 22.65 +/- 9.5) (P < 0.001). The improvement of the scores in the six FSFI domains, 5 months after the conclusion of PFR, was statistically significant (desire, arousal, lubrication, orgasm, satisfaction, and pain). All the nine domains in the KHQ presented a low average score after treatment and the improvements were statistically significant. PFR led to a significant difference in the daily use of pads, 1-hour pad test, and Stamey incontinence scores. The treatment caused an improvement in patient's QoL index and sexual function.

  3. Schneiderian membrane detachment using transcrestal hydrodynamic ultrasonic cavitational sinus lift: a human cadaver head study and histologic analysis.

    PubMed

    Troedhan, Angelo; Kurrek, Andreas; Wainwright, Marcel; Jank, Siegfried

    2014-08-01

    Recent studies have suggested the osteogenic layer of the periosteum at the base of the sinus membrane to play a key role in bone regeneration after sinus lift procedures. Thus, atraumatic detachment of the sinus membrane with an intact periosteum seems mandatory. The present histologic study of fresh human cadaver heads investigated the detachment behavior and histologic integrity of the detached periosteum after application of the transcrestal hydrodynamic ultrasonic cavitational sinus lift (tHUCSL-INTRALIFT). A total of 15 sinuses in 8 fresh human cadaver heads were treated using tHUCSL-INTRALIFT. After surgery, they were checked macroscopically for damage to the sinus membrane and then processed for histologic inspection under light microscopy. A total of 150 histologic specimens, randomly selected from the core surgical sites, were investigated using hematoxylin-eosin (HE), Azan, and trichrome staining. None of the 150 inspected specimens showed any perforation or dissection of the periosteum from the subepithelial connective tissue and respiratory epithelium and were fully detached from the bony antrum floor. The connecting Sharpey fibers revealed to be cleanly separated from the sinus floor in all specimens. The results of the present study suggest tHUCSL-INTRALIFT should be used to perform predictable and safe detachment of the periosteum from the bony sinus floor as a prerequisite for undisturbed and successful physiologic subantral bone regeneration. Copyright © 2014 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  4. Development and Testing of a Mobile Platform for Tank Remediation

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

    Nance, T.A.

    2001-01-16

    The Department of Energy (DOE) is committed to removing millions of gallons of high level radioactive waste from waste storage tanks at the Savannah River Site (SRS). SRS was the first site in the DOE complex to have emptied and closed high level waste tanks. Tank closure at the Site is now progressing to tanks containing waste composed of liquid and large deposits of solids, including a tank that has a potential ''heel''. A heel is a hardened mass of solid waste material spread across the tank bottom. Tank closure requires breaking up this heel and moving the material tomore » the intake of a pumping system for transfer from the tank. In the past, overhead spray systems have been used with some success at moving waste. But the limited number of risers restricts the coverage area of the overhead spray system. Therefore, a floor- level spray system will be used to separate manageable size chunks of the material from the heel. The chunks will be guided into the pump's intake to be remove from the tank. The floor-level spray system movement will be accomplished by using a mobile platform, a crawler, which provides transport to nearly every point on the tank floor. Transport of the spray system will allow the system to ''corral'' the waste away from the tank walls and control the movement of the material across the tank floor. Because the available access riser is small, and a wide crawler platform is required to support the spray system, the crawler's frame must fold to enter the tank. After entry into the tank, the crawler unfolds on the tank floor using the crawler drive tracks to expand the frame and position the mobile platform under the entry riser. The spray system will then be lowered separately through the entry riser and mated onto the crawler on the tank floor. The crawler and spray system are tethered and controlled remotely by personnel at the control station. Motorized cable reels will also be remotely controlled to pay out, retrieve, and manage the tethers as the mobile platform moves the spray system across the tank floor. Both the crawler and spray systems are designed to be retrievable. Development of the tank cleaning system was evaluated using a performance test program. The tests evaluated the spray system dynamics, the crawler's fit through the riser, the crawler landing in mocked up tank with simulant, the crawler's traction, and the crawler and spray system mating. Initial testing verified the crawler platform was compatible with the dynamics produced by the spray system. The riser fit test confirmed that a dedicated riser is required for deployment of the crawler and the spray system. The crawler traction test defined the capabilities of the crawler at different levels of simulant. Deployment testing through a mockup riser verified the basic system processes. Finally, testing of the complete system in a full-scale mockup with sludge simulant was performed to evaluate the tank cleaning ability of the crawler. This paper describes th e tank conditions, the tank closure process, the development of the crawler and spray system, and the testing program and results used to evaluate the mobile platform and spray system.« less

  5. SU-E-J-159: Analysis of Total Imaging Uncertainty in Respiratory-Gated Radiotherapy

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

    Suzuki, J; Okuda, T; Sakaino, S

    Purpose: In respiratory-gated radiotherapy, the gating phase during treatment delivery needs to coincide with the corresponding phase determined during the treatment plan. However, because radiotherapy is performed based on the image obtained for the treatment plan, the time delay, motion artifact, volume effect, and resolution in the images are uncertain. Thus, imaging uncertainty is the most basic factor that affects the localization accuracy. Therefore, these uncertainties should be analyzed. This study aims to analyze the total imaging uncertainty in respiratory-gated radiotherapy. Methods: Two factors of imaging uncertainties related to respiratory-gated radiotherapy were analyzed. First, CT image was used to determinemore » the target volume and 4D treatment planning for the Varian Realtime Position Management (RPM) system. Second, an X-ray image was acquired for image-guided radiotherapy (IGRT) for the BrainLAB ExacTrac system. These factors were measured using a respiratory gating phantom. The conditions applied during phantom operation were as follows: respiratory wave form, sine curve; respiratory cycle, 4 s; phantom target motion amplitude, 10, 20, and 29 mm (which is maximum phantom longitudinal motion). The target and cylindrical marker implanted in the phantom coverage of the CT images was measured and compared with the theoretically calculated coverage from the phantom motion. The theoretical position of the cylindrical marker implanted in the phantom was compared with that acquired from the X-ray image. The total imaging uncertainty was analyzed from these two factors. Results: In the CT image, the uncertainty between the target and cylindrical marker’s actual coverage and the coverage of CT images was 1.19 mm and 2.50mm, respectively. In the Xray image, the uncertainty was 0.39 mm. The total imaging uncertainty from the two factors was 1.62mm. Conclusion: The total imaging uncertainty in respiratory-gated radiotherapy was clinically acceptable. However, an internal margin should be added to account for the total imaging uncertainty.« less

  6. [Influenza vaccination coverage (2011-2014) in healthcare workers from two health departments of the Valencian Community and hospital services more vulnerable to the flu.

    PubMed

    Tuells, José; García-Román, Vicente; Duro-Torrijos, José Luis

    2018-04-05

    Health care workers can transmit influenza to patients in health centers, therefore its vaccination is considered a preventive measure first order. The objective of this study was to know the coverage of vaccination against seasonal influenza in health professionals in two health departments of the Valencian Community (Torrevieja and Elx- Crevillent), in the seasons 2011-12, 2012-13 and 2013-14. TA cross-sectional descriptive study was carried out to determine the coverage of influenza vaccination through the Nominal Vaccine Registry (NVR) of the Conselleria de Sanitat de la Generalitat Valenciana. The services with the highest risk of contagion were detected through requests for PCR analysis in patients suspected of influenza during the 2013-14 season. A total of 2035 health professionals were surveyed who achieved an average vaccination coverage of 27.2% in the 2013-14 season, showing an upward trend from the 2011-12 season. Significant differences were observed between professional categories and, practitioners presented the lowest coverage. A total of 192 PCR requests were recorded in both departments. The services which concentrate a greater number of requests were: Internal Medicine (n = 100), urgency service (n = 37), intensive care unit (n = 25) and Pediatrics ( n=154); The influenza vaccination coverage of these services in the 2013-14 seasons was 27.0%, 32.3%, 34.3% and 25.3%, respectively. Although they show an upward trend, vaccination coverage is low in health care personnel. Nurses are the best vaccinated. It would be appropriate to implement immunization strategies aimed specifically at services that, because of their activity, pose a greater risk to the patient.

  7. Does pelvic floor muscle training improve female sexual function? A systematic review.

    PubMed

    Ferreira, Cristine Homsi Jorge; Dwyer, Peter L; Davidson, Melissa; De Souza, Alison; Ugarte, Julio Alvarez; Frawley, Helena C

    2015-12-01

    We performed a review of the literature reporting on the effects of pelvic floor muscle training (PFMT) on female sexual function (SF). Pubmed (from 1946 to December 2014), Ovid Medline (from 1946 to December 2014), CINAHL (from 1937 to December 2014), PsycINFO (from 1805 to December 2014), Scopus and Cochrane Central Register of Controlled Trials were searched by two independent reviewers. Randomised controlled trials (RCTs) investigating the impact of PFMT on women's SF published in English were included. Methodological quality was scored using the PEDro scale. Data were analysed qualitatively and interpreted. A total of 1341 women were included in the eight RCTs covered by this review. The studies were published between 1997 and 2014. Methodological scores were between 4 and 7. The sample included derived from heterogeneous populations of women. In only one study was SF the primary outcome measure. Pelvic floor dysfunction was an inclusion criterion in the majority of studies. Most studies reported a significant improvement in SF score after PFMT between control and intervention groups. Although most studies indicated an improvement of at least one sexual variable in women with pelvic floor dysfunction, and one study demonstrated an improvement in SF in postpartum women selected independently of their continence status, the results need to be interpreted with caution. High-quality RCTs specifically designed to investigate the impact of PFMT on women's SF are required.

  8. Orbital Floor Reconstruction with Free Flaps after Maxillectomy

    PubMed Central

    Sampathirao, Leela Mohan C. S. R.; Thankappan, Krishnakumar; Duraisamy, Sriprakash; Hedne, Naveen; Sharma, Mohit; Mathew, Jimmy; Iyer, Subramania

    2013-01-01

    Background The purpose of this study is to evaluate the outcome of orbital floor reconstruction with free flaps after maxillectomy. Methods This was a retrospective analysis of 34 consecutive patients who underwent maxillectomy with orbital floor removal for malignancies, reconstructed with free flaps. A cross-sectional survey to assess the functional and esthetic outcome was done in 28 patients who were alive and disease-free, with a minimum of 6 months of follow-up. Results Twenty-six patients had bony reconstruction, and eight had soft tissue reconstruction. Free fibula flap was the commonest flap used (n = 14). Visual acuity was normal in 86%. Eye movements were normal in 92%. Abnormal globe position resulted in nine patients. Esthetic satisfaction was good in 19 patients (68%). Though there was no statistically significant difference in outcome of visual acuity, eye movement, and patient esthetic satisfaction between patients with bony and soft tissue reconstruction, more patients without bony reconstruction had abnormal globe position (p = 0.040). Conclusion Free tissue transfer has improved the results of orbital floor reconstruction after total maxillectomy, preserving the eye. Good functional and esthetic outcome was achieved. Though our study favors a bony orbital reconstruction, a larger study with adequate power and equal distribution of patients among the groups would be needed to determine this. Free fibula flap remains the commonest choice when a bony reconstruction is contemplated. PMID:24436744

  9. Orbital floor reconstruction with free flaps after maxillectomy.

    PubMed

    Sampathirao, Leela Mohan C S R; Thankappan, Krishnakumar; Duraisamy, Sriprakash; Hedne, Naveen; Sharma, Mohit; Mathew, Jimmy; Iyer, Subramania

    2013-06-01

    Background The purpose of this study is to evaluate the outcome of orbital floor reconstruction with free flaps after maxillectomy. Methods This was a retrospective analysis of 34 consecutive patients who underwent maxillectomy with orbital floor removal for malignancies, reconstructed with free flaps. A cross-sectional survey to assess the functional and esthetic outcome was done in 28 patients who were alive and disease-free, with a minimum of 6 months of follow-up. Results Twenty-six patients had bony reconstruction, and eight had soft tissue reconstruction. Free fibula flap was the commonest flap used (n = 14). Visual acuity was normal in 86%. Eye movements were normal in 92%. Abnormal globe position resulted in nine patients. Esthetic satisfaction was good in 19 patients (68%). Though there was no statistically significant difference in outcome of visual acuity, eye movement, and patient esthetic satisfaction between patients with bony and soft tissue reconstruction, more patients without bony reconstruction had abnormal globe position (p = 0.040). Conclusion Free tissue transfer has improved the results of orbital floor reconstruction after total maxillectomy, preserving the eye. Good functional and esthetic outcome was achieved. Though our study favors a bony orbital reconstruction, a larger study with adequate power and equal distribution of patients among the groups would be needed to determine this. Free fibula flap remains the commonest choice when a bony reconstruction is contemplated.

  10. Effects of box handle position and carrying range on bi-manual carrying capacity for females.

    PubMed

    Wu, Swei-Pi; Loiu, Yi; Chien, Te Hong

    2015-01-01

    This study utilizes a psychophysical approach to examine the effects on carrying capacity for bi-manual carrying tasks involving different handle positions and carrying ranges. A total of 16 female subjects participated in the experiment in groups of two people, and each group of subjects performed the tasks in a random order with 12 different combinations of carrying task. The independent variables are handle position (upper, middle, lower) and carrying range (F-F: floor height carried to floor height, F-W: floor height carried to waist height, W-W: waist height carried to waist height, W-F: waist height carried to floor height), the dependent variable is the maximum acceptable carried weight (MAWC), heart rate (HR), and the rating of perceived exertion (RPE). The results show that the handle position has a significant effect on MAWC and overall RPE but no significant effect on HR. Carrying range has a significant effect on the MAWC and HR, but no significant effect on overall HR. The handle position and carrying range have a significant interaction on the MAWC and HR. The RPE for different body parts shows significant differences, and the hands feel the most tired. Overall, this study confirms that the lower handle position with the W-W carrying range is the best combination for a two-person carrying task.

  11. Trouvelot Crater Deposit

    NASA Image and Video Library

    2002-12-04

    Like many of the craters in the Oxia Palus region of Mars, Trouvelot Crater, shown in this NASA Mars Odyssey image, hosts an eroded, light-toned, sedimentary deposit on its floor. Compared with the much larger example in Becquerel Crater to the NE, the Trouvelot deposit has been so eroded by the scouring action of dark, wind-blown sand that very little of it remains. Tiny outliers of bright material separated from the main mass attest to the once, more really extensive coverage by the deposit. A similar observation can be made for White Rock, the best known example of a bright, crater interior deposit. The origin of the sediments in these deposits remains enigmatic but they are likely the result of fallout from ash or dust carried by the thin martian atmosphere. http://photojournal.jpl.nasa.gov/catalog/PIA04017

  12. 7 CFR 2902.39 - Floor strippers.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... biobased content of at least 78 percent, which shall be based on the amount of qualifying biobased carbon in the product as a percent of the weight (mass) of the total organic carbon in the finished product. (c) Preference compliance date. No later than May 14, 2009, procuring agencies, in accordance with...

  13. Nirgal Vallis (Released 27 March 2002)

    NASA Technical Reports Server (NTRS)

    2002-01-01

    This THEMIS image shows a sinuous valley network channel with sharp bends cutting across the cratered highlands of the southern hemisphere of Mars. The channel is named Nirgal Vallis, which is from the Babylonian word for 'Mars.' Nirgal Vallis is a channel with a total length of approximately 500 km. It is approximately 6 km wide in this region. Gullies and alluvial deposits discovered by Mars Global Surveyor are clearly visible on the polar-facing (south) wall and floor of Nirgal Vallis. These gullies appear to emanate from a specific layer in the walls. There is a pronounced sparsity of gullies on the equator-ward facing slopes. The gullies have been proposed to have formed by the subsurface release of water. Patches of dunes are also seen on the channel floor, notably along the edges of the channel floor near the canyon walls. There is still debate within the scientific community as to how valley networks themselves form: surface runoff (rainfall/snowmelt) or headward erosion via groundwater sapping. This image is approximately 22 km wide and 60 km in length; north is toward the top.

  14. The effect of physician staffing model on patient outcomes in a medical progressive care unit.

    PubMed

    Yoo, E J; Damaghi, N; Shakespeare, W G; Sherman, M S

    2016-04-01

    Although evidence supports the impact of intensivist physician staffing in improving intensive care unit (ICU) outcomes, the optimal coverage for progressive care units (PCU) is unknown. We sought to determine how physician staffing models influence outcomes for intermediate care patients. We conducted a retrospective observational comparison of patients admitted to the medical PCU of an academic hospital during 12-month periods of high-intensity and low-intensity staffing. A total of 318 PCU patients were eligible for inclusion (143 high-intensity and 175 low-intensity). We found that low-intensity patients were more often stepped up from the emergency department and floor, whereas high-intensity patients were ICU transfers (61% vs 42%, P = .001). However, Mortality Probability Model scoring was similar between the 2 groups. In adjusted analysis, there was no association between intensity of staffing and hospital mortality (odds ratio, 0.84; 95% confidence interval, 0.36-1.99; P = .69) or PCU mortality (odds ratio, 0.96; 95% confidence interval, 0.38-2.45; P = .69). There was also no difference in subsequent ICU admission rates or in PCU length of stay. We found no evidence that high-intensity intensivist physician staffing improves outcomes for intermediate care patients. In a strained critical care system, our study raises questions about the role of the intensivist in the graded care options between intensive and conventional ward care. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. Multi-Objective Optimization of Spacecraft Trajectories for Small-Body Coverage Missions

    NASA Technical Reports Server (NTRS)

    Hinckley, David, Jr.; Englander, Jacob; Hitt, Darren

    2017-01-01

    Visual coverage of surface elements of a small-body object requires multiple images to be taken that meet many requirements on their viewing angles, illumination angles, times of day, and combinations thereof. Designing trajectories capable of maximizing total possible coverage may not be useful since the image target sequence and the feasibility of said sequence given the rotation-rate limitations of the spacecraft are not taken into account. This work presents a means of optimizing, in a multi-objective manner, surface target sequences that account for such limitations.

  16. Where's the dust? Characterizing locations of azinphos-methyl residues in house and vehicle dust among farmworkers with young children.

    PubMed

    Coronado, Gloria D; Griffith, William C; Vigoren, Eric M; Faustman, Elaine M; Thompson, Beti

    2010-12-01

    Organophosphate pesticides are commonly used in the United States, and farmworkers are at risk for chronic exposure. Using data from a community randomized trial to interrupt the take-home pathway of pesticide exposure, we examined the association between floor surface type (smooth floor, thin carpet, and thick carpet) and rooms in which dust samples were collected (living room vs. non-living room) and concentrations of azinphos-methyl residues in home environments. We also examined the association between vehicle type (truck, auto, or other) and footwell floor surfaces (carpeted, smooth surface, or no mat) and concentrations of azinphos-methyl in vehicle dust samples. Dust samples were collected from 203 and 179 households and vehicles, respectively. All households had at least one child aged 2-6. Vehicle dust samples were collected from footwells of the vehicle used for commuting to and from work. A total of 183 samples were collected from living rooms, and 20 were collected from other rooms in the home. Forty-two samples were collected from thick carpets, 130 from thin carpets, and 27 from smooth floor surfaces. Thick and thin carpets had a significantly greater dust mass than smooth floor surfaces (6.0 g/m(2) for thick carpets, 7.8 g/m(2) for thin carpets, and 1.5 g/m(2) for smooth surfaces). Of the 179 vehicle samples, 113 were from cars, 34 from trucks, and 32 from other vehicles. Vehicles with no mats had a significantly higher mass of dust (21.3 g) than those with hard mats (9.3 g) but did not differ from vehicles with plush mats (12.0 g). Further research is needed to characterize the environment in which children may be exposed to pesticides.

  17. Prevalence and Trends of Symptomatic Pelvic Floor Disorders in U.S. Women

    PubMed Central

    Wu, Jennifer M.; Vaughan, Camille P.; Goode, Patricia S.; Redden, David T.; Burgio, Kathryn L.; Richter, Holly E.; Markland, Alayne D.

    2014-01-01

    Objective To estimate the prevalence and trends of these pelvic floor disorders in U.S. women from 2005–2010. Methods We utilized the National Health and Nutritional Examination Survey (NHANES) from 2005–2006, 2007–2008, and 2009–2010. A total of 7,924 non-pregnant women (aged 20 years or older) were categorized as having: urinary incontinence – moderate to severe (3 or higher on a validated urinary incontinence (UI) severity index, range 0–12); fecal incontinence – at least monthly (solid, liquid, or mucus stool); and pelvic organ prolapse – seeing or feeling a bulge. Potential risk factors included age, race and ethnicity, parity, education, poverty income ratio, body mass index (BMI) (<25, 25–29, ≥30 kg/m2), co-morbidity count, and reproductive factors. Using appropriate sampling weights, weighted chi square analysis and multivariable logistic regression models with odds ratios (OR) and 95% confidence intervals (95% CI) were reported. Results The weighted prevalence rate of one or more pelvic floor disorder was 25.0% (95% CI 23.6, 26.3), including 17.1% (95% CI 15.8, 18.4) of women with moderate-to-severe urinary incontinence, 9.4% (95% CI 8.6, 10.2) with fecal incontinence, and 2.9% (95% CI 2.5, 3.4) with prolapse. From 2005 to 2010, no significant differences were found in the prevalence rates of any individual disorder or for all disorders combined (p>0.05). After adjusting for potential confounders, higher BMI, greater parity, and hysterectomy were associated with higher odds of one or more pelvic floor disorder. Conclusion Although rates of pelvic floor disorders did not change from 2005–2010, these condition remain common with one quarter of adult U.S. women reporting at least one disorder. PMID:24463674

  18. Rushing, distraction, walking on contaminated floors and risk of slipping in limited-service restaurants: a case--crossover study.

    PubMed

    Verma, Santosh K; Lombardi, David A; Chang, Wen Ruey; Courtney, Theodore K; Huang, Yueng-Hsiang; Brennan, Melanye J; Mittleman, Murray A; Ware, James H; Perry, Melissa J

    2011-08-01

    This nested case-crossover study examined the association between rushing, distraction and walking on a contaminated floor and the rate of slipping, and whether the effects varied according to weekly hours worked, job tenure and use of slip-resistant shoes. At baseline, workers from 30 limited-service restaurants in the USA reported average work hours, average weekly duration of exposure to each transient risk factor and job tenure at the current location. Use of slip-resistant shoes was determined. During the following 12 weeks, participants reported weekly their slip experience and exposures to the three transient exposures at the time of slipping. The case-crossover design was used to estimate the rate ratios using the Mantel-Haenszel estimator for person-time data. Among 396 participants providing baseline information, 210 reported one or more slips with a total of 989 slips. Rate of slipping was 2.9 times higher when rushing as compared to working at a normal pace (95% CI 2.5 to 3.3). Rate of slipping was also significantly increased by distraction (rate ratio (RR) 1.7, 95% CI 1.5 to 2.0) and walking on a contaminated floor (RR 14.6, 95% CI 12.6 to 17.0). Use of slip-resistant shoes decreased the effects of rushing and walking on a contaminated floor. Rate ratios for all three transient factors decreased monotonically as job tenure increased. The results suggest the importance of these transient risk factors, particularly floor contamination, on rate of slipping in limited-service restaurant workers. Stable characteristics, such as slip-resistant shoes, reduced the effects of transient exposures.

  19. Where’s the Dust? Characterizing Locations of Azinphos-Methyl Residues in House and Vehicle Dust Among Farmworkers with Young Children

    PubMed Central

    Coronado, Gloria D.; Griffith, William C.; Vigoren, Eric M.; Faustman, Elaine M.; Thompson, Beti

    2010-01-01

    Organophosphate pesticides (OPs) are commonly used in the United States, and farm workers are at risk for chronic exposure. Using data from a community randomized trial to interrupt the take-home pathway of pesticide exposure, we examined the association between floor surface type (smooth floor, thin carpet, and thick carpet) and rooms in which dust samples were collected (living room vs. non-living room) and concentrations of azinphos-methyl residues in home environments. We also examined the association between vehicle type (truck, auto, or other) and footwell floor surfaces (carpeted, smooth surface, or no mat) and concentrations of azinphos-methyl in vehicle dust samples. Dust samples were collected from 203 and 179 households and vehicles, respectively. All households had at least one child aged 2–6. Vehicle dust samples were collected from footwells of the vehicle used for commuting to and from work. A total of 183 samples were collected from living rooms, and 20 were collected from other rooms in the home. Forty-two samples were collected from thick carpets, 130 from thin carpets, and 27 from smooth floor surfaces. Thick and thin carpets had a significantly greater dust mass than smooth floor surfaces (6.0 g/m2 for thick carpets, 7.8 g/m2 for thin carpets, and 1.5 g/m2 for smooth surfaces). Of the 179 vehicle samples, 113 were from cars, 34 from trucks, and 32 from other vehicles. Vehicles with no mats had a significantly higher mass of dust (21.3 g) than those with hard mats (9.3 g) but did not differ from vehicles with plush mats (12.0g). Further research is needed to characterize the environment in which children may be exposed to pesticides. PMID:20945243

  20. Barium proctography vs magnetic resonance proctography for pelvic floor disorders: a comparative study.

    PubMed

    Pilkington, S A; Nugent, K P; Brenner, J; Harris, S; Clarke, A; Lamparelli, M; Thomas, C; Tarver, D

    2012-10-01

    Accurate and reliable imaging of pelvic floor dynamics is important for tailoring treatment in pelvic floor disorders; however, two imaging modalities are available. Barium proctography (BaP) is widely used, but involves a significant radiation dose. Magnetic resonance (MR) proctography allows visualization of all pelvic midline structures but patients are supine. This project investigates whether there are measurable differences between BaP and MR proctography. Patient preference for the tests was also investigated. Consecutive patients referred for BaP were invited to participate (National Research Ethics Service approved). Participants underwent BaP in Poole and MR proctography in Dorchester. Proctograms were reported by a consultant radiologist with pelvic floor subspecialization. A total of 71 patients were recruited. Both tests were carried out on 42 patients. Complete rectal emptying was observed in 29% (12/42) on BaP and in 2% (1/42) on MR proctography. Anismus was reported in 29% (12/42) on BaP and 43% (18/42) on MR proctography. MR proctography missed 31% (11/35) of rectal intussusception detected on BaP. In 10 of these cases no rectal evacuation was achieved during MR proctography. The measure of agreement between grade of rectal intussusception was fair (κ=0.260) although MR proctography tended to underestimate the grade. Rectoceles were extremely common but clinically relevant differences in size were evident. Patients reported that they found MR proctography less embarrassing but harder to empty their bowel. The results demonstrate that MR proctography under-reports pelvic floor abnormalities especially where there has been poor rectal evacuation. © 2012 The Authors. Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland.

  1. Size and site dependent biological hazard potential of particulate matters collected from different heights at the vicinity of a building construction.

    PubMed

    Li, Huaqiong; Fang, Crystal Hay Yu; Shi, Wenxiong; Gurusamy, Subramaniam; Li, Shuzhou; Krishnan, Manoj N; George, Saji

    2015-11-04

    Although building constructions are a recurring part of urbanization, the health risk of particulate matters (PM) originating from such activities have seldom been subjected to detailed studies. We sought to characterize the relative risk of air borne PM collected from different heights (ground and top floor) of a building adjacent to a building under early phase of construction. We determined the physico-chemical properties such as size and shape, elemental composition and surface charge of the PM. The oxidative stress dependent cytotoxic and pro-inflammatory responses were assessed in BEAS-2B and RAW 264.7 cell lines using high-content-screening platforms. In comparison to top floor, the total mass of PM collected from ground floor was two-three folds higher and the mass fraction was dominated by PM20-35. Elemental analysis showed abundance of Si, Al, K, Ca and Fe in bigger PM while for PM0.25-0.5 it was mostly constituted by C and crystals rich in S and K. PM caused NFκB activation, secretion of pro-inflammatory cytokines and cytotoxicity wherein PM0.25-0.5 was the most potent among the tested PM. Estimated exposure level and lung burden together with the data on hazard potential were used for developing a MATLAB based risk-assessment model which suggested that the potential for health risk is relatively higher at the ground floor. Our studies demonstrated differences in, relative abundance of PM, their physicochemical and biological properties collected from different heights adjacent to a construction site and showed that relative health risk is higher at the ground floor. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  2. 2009-2010 Seasonal Influenza Vaccination Coverage among College Students from 8 Universities in North Carolina

    ERIC Educational Resources Information Center

    Poehling, Katherine A.; Blocker, Jill; Ip, Edward H.; Peters, Timothy R.; Wolfson, Mark

    2012-01-01

    Objective: The authors sought to describe the 2009-2010 seasonal influenza vaccine coverage of college students. Participants: A total of 4,090 college students from 8 North Carolina universities participated in a confidential, Web-based survey in October-November 2009. Methods: Associations between self-reported 2009-2010 seasonal influenza…

  3. SU-E-T-333: Dosimetric Impact of Rotational Error On the Target Coverage in IMPT Lung Cancer Plans

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

    Rana, S; Zheng, Y

    2015-06-15

    Purpose: The main purpose of this study was to investigate the impact of rotational (yaw, roll, and pitch) error on the planning target volume (PTV) coverage in lung cancer plans generated by intensity modulated proton therapy (IMPT). Methods: In this retrospective study, computed tomography (CT) dataset of previously treated lung case was used. IMPT plan were generated on the original CT dataset using left-lateral (LL) and posterior-anterior (PA) beams for a total dose of 74 Gy[RBE] with 2 Gy[RBE] per fraction. In order to investigate the dosimetric impact of rotational error, 12 new CT datasets were generated by re-sampling themore » original CT dataset for rotational (roll, yaw, and pitch) angles ranged from −5° to +5°, with an increment of 2.5°. A total of 12 new IMPT plans were generated based on the re-sampled CT datasets using beam parameters identical to the ones in the original IMPT plan. All treatment plans were generated in XiO treatment planning system. The PTV coverage (i.e., dose received by 95% of the PTV volume, D95) in new IMPT plans were then compared with the PTV coverage in the original IMPT plan. Results: Rotational errors caused the reduction in the PTV coverage in all 12 new IMPT plans when compared to the original IMPT lung plan. Specifically, the PTV coverage was reduced by 4.94% to 50.51% for yaw, by 4.04% to 23.74% for roll, and by 5.21% to 46.88% for pitch errors. Conclusion: Unacceptable dosimetric results were observed in new IMPT plans as the PTV coverage was reduced by up to 26.87% and 50.51% for rotational error of 2.5° and 5°, respectively. Further investigation is underway in evaluating the PTV coverage loss in the IMPT lung cancer plans for smaller rotational angle change.« less

  4. A New Way to Measure the World's Protected Area Coverage

    PubMed Central

    Barr, Lissa M.; Pressey, Robert L.; Fuller, Richard A.; Segan, Daniel B.; McDonald-Madden, Eve; Possingham, Hugh P.

    2011-01-01

    Protected areas are effective at stopping biodiversity loss, but their placement is constrained by the needs of people. Consequently protected areas are often biased toward areas that are unattractive for other human uses. Current reporting metrics that emphasise the total area protected do not account for this bias. To address this problem we propose that the distribution of protected areas be evaluated with an economic metric used to quantify inequality in income— the Gini coefficient. Using a modified version of this measure we discover that 73% of countries have inequitably protected their biodiversity and that common measures of protected area coverage do not adequately reveal this bias. Used in combination with total percentage protection, the Gini coefficient will improve the effectiveness of reporting on the growth of protected area coverage, paving the way for better representation of the world's biodiversity. PMID:21957458

  5. Floors: Selection and Maintenance.

    ERIC Educational Resources Information Center

    Berkeley, Bernard

    Flooring for institutional, commercial, and industrial use is described with regard to its selection, care, and maintenance. The following flooring and subflooring material categories are discussed--(1) resilient floor coverings, (2) carpeting, (3) masonry floors, (4) wood floors, and (5) "formed-in-place floors". The properties, problems,…

  6. Spring and Summer Changes at the South Pole as Seen by the Mars Orbiter Camera

    NASA Technical Reports Server (NTRS)

    Ingersoll, A. P.; Murray, B. C.; Byrne, S.; DeJong, E.; Danielson, G. E.; Herkenhoff, K. E.; Kieffer, H. H.; Soderblom, L. A.

    2000-01-01

    The Mars Orbiter Camera (MOC) on the Mars Global Surveyor (MGS) spacecraft has been able to follow individual features as the CO2 frost disappears and exposes the material underneath. Because the orbit of MGS is inclined at an angle of 93 degrees relative to the equator, the spacecraft gets especially good coverage of the ring at 87 degrees latitude. The following is a list of phenomena that have been seen during the spring and summer at the South Pole: (1) Circular depressions that are approximately ten meters deep and hundreds of meters in diameter. They are found only within the residual polar cap, the part that survives the summer. The high areas between the depressions are flat-topped mesas whose sides are concave circular arcs. In some places the depressions form patterns that exhibit north-south symmetry, suggesting some control by sunlight; (2) Dark layers that are exposed on the walls of the mesas. Each layer is at most a few meters thick. The dark layers might accumulate during climatic episodes of high atmospheric dust content, or they might accumulate during the annual cycling of dusty CO2; (3) Albedo differences that develop during the summer within the residual cap. These include subtle darkening of the floors of the depressions relative to the mesas and occasional major darkening of the floors, especially near the edge of the cap. The floors and mesas form a distinct stratum, suggesting they represent a distinct compositional boundary. For instance the floors may be water and the mesas may be CO2; (4) Small dark features that appear in spring on the seasonal frost outside the residual cap. Some of the features have parallel tails that are clearly shaped by the wind. Others are more symmetric, like dark snowflakes, with multiple branching arms. After the CO2 frost has disappeared the arms are seen as troughs and the centers as topographic lows; (5) Polygons whose sides are dark troughs. Those that are outside the residual cap seem to disappear when the frost disappears. The polygons and the dark snowflakelike structures may be related, and suggest that CO2 frost may form cohesive slabs; (6) Irregular depressions outside the residual cap. They look like degraded versions of the circular depressions inside the residual cap, and may be a remnant of the cap's changing location; and (7) Areas of burial and exhumation of circular depressions. Thomas et al. give an example with a sharp boundary: On one side the depressions are buried and on the other side they are exposed. In other cases there are rounded troughs up to one kilometer wide, which are dark in summer and appear to have eroded down below the floor of the circular depressions.

  7. Obesity coverage gap: Consumers perceive low coverage for obesity treatments even when workplace wellness programs target BMI.

    PubMed

    Wilson, Elizabeth Ruth; Kyle, Theodore K; Nadglowski, Joseph F; Stanford, Fatima Cody

    2017-02-01

    Evidence-based obesity treatments, such as bariatric surgery, are not considered essential health benefits under the Affordable Care Act. Employer-sponsored wellness programs with incentives based on biometric outcomes are allowed and often used despite mixed evidence regarding their effectiveness. This study examines consumers' perceptions of their coverage for obesity treatments and exposure to workplace wellness programs. A total of 7,378 participants completed an online survey during 2015-2016. Respondents answered questions regarding their health coverage for seven medical services and exposure to employer wellness programs that target weight or body mass index (BMI). Using χ 2 tests, associations between perceptions of exposure to employer wellness programs and coverage for medical services were examined. Differences between survey years were also assessed. Most respondents reported they did not have health coverage for obesity treatments, but more of the respondents with employer wellness programs reported having coverage. Neither the perception of coverage for obesity treatments nor exposure to wellness programs increased between 2015 and 2016. Even when consumers have exposure to employer wellness programs that target BMI, their health insurance often excludes obesity treatments. Given the clinical and cost-effectiveness of such treatments, reducing that coverage gap may mitigate obesity's individual- and population-level effects. © 2017 The Obesity Society.

  8. The impact of traditional fire management on soil carbon and nitrogen pools in a montane forest, southern Ethiopia

    Treesearch

    Dong-Gill Kim; Habitamu Taddese; Abrham Belay; Randy Kolka

    2016-01-01

    We conducted studies to assess the impact of traditional fire management on soil organic carbon and total nitrogen pools. We compared organic carbon and total nitrogen pools in forest floor and mineral soil (0–100-cm depth) in three areas burned by local communities (B) with adjacent unburned areas (UB) (three paired sites; 1, 5 and 9 years since fire; hereafter B1-UB...

  9. Public Health Policy in Support of Insurance Coverage for Smoking Cessation Treatments

    PubMed Central

    Schwartz, Robert; Haji, Farzana; Babayan, Alexey; Longo, Christopher; Ferrence, Roberta

    2017-01-01

    Insurance coverage for evidence-based smoking cessation treatments (SCTs) promotes uptake and reduces smoking rates. Published studies in this area are based in the US where employers are the primary source of health insurance. In Ontario, Canada, publicly funded healthcare does not cover SCTs, but it can be supplemented with employer-sponsored benefit plans. This study explores factors affecting the inclusion/exclusion of smoking cessation (SC) benefits. In total, 17 interviews were conducted with eight employers (auto, retail, banking, municipal and university industries), four health insurers, two government representatives and three advisors/consultants. Overall, SCT coverage varied among industries; it was inconsistently restrictive and SCT differed by coverage amount and length of use. Barriers impeding coverage included the lack of the following: Canadian-specific return on investment (ROI), SC cost information, employer demand, government regulations/incentives and employee awareness of and demand. A Canadian evidence-based calculation of ROI for SC coupled with government incentives and public education may be needed to promote uptake of SCT coverage by employers. PMID:28617238

  10. Duplicate Health Insurance Coverage: Determinants of Variation Across States

    PubMed Central

    Luft, Harold S.; Maerki, Susan C.

    1982-01-01

    Although it is recognized that many people have duplicate private health insurance coverage, either through separate purchase or as health benefits in multi-earner families, there has been little analysis of the factors determining duplicate coverage rates. A new data source, the Survey of Income and Education, offers a comparison with the only previous source of state level data, the estimates from the Health Insurance Association of America. The R2 between the two sets is only .3 and certain problems can be traced to the methodology underlying the HIAA figures. Using figures for gross and net coverage, the ratio of total policies to people with private coverage ranges from .94 in Utah to 1.53 in Illinois. Measures of industry distribution, per capita income and employment explain a large portion of the variance, but it appears that these factors operate in opposite directions for group and non-group policies. Similar sociodemographic variables also explain net coverage. These findings have substantial implications for research and the structuring of employee health benefits. PMID:10309638

  11. Score Distributions of the Balance Outcome Measure for Elder Rehabilitation (BOOMER) in Community-Dwelling Older Adults With Vertebral Fracture.

    PubMed

    Brown, Zachary M; Gibbs, Jenna C; Adachi, Jonathan D; Ashe, Maureen C; Hill, Keith D; Kendler, David L; Khan, Aliya; Papaioannou, Alexandra; Prasad, Sadhana; Wark, John D; Giangregorio, Lora M

    2017-11-28

    We sought to evaluate the Balance Outcome Measure for Elder Rehabilitation (BOOMER) in community-dwelling women 65 years and older with vertebral fracture and to describe score distributions and potential ceiling and floor effects. This was a secondary data analysis of baseline data from the Build Better Bones with Exercise randomized controlled trial using the BOOMER. A total of 141 women with osteoporosis and radiographically confirmed vertebral fracture were included. Concurrent validity and internal consistency were assessed in comparison to the Short Physical Performance Battery (SPPB). Normality and ceiling/floor effects of total BOOMER scores and component test items were also assessed. Exploratory analyses of assistive aid use and falls history were performed. Tests for concurrent validity demonstrated moderate correlation between total BOOMER and SPPB scores. The BOOMER component tests showed modest internal consistency. Substantial ceiling effect and nonnormal score distributions were present among overall sample and those not using assistive aids for total BOOMER scores, although scores were normally distributed for those using assistive aids. The static standing with eyes closed test demonstrated the greatest ceiling effects of the component tests, with 92% of participants achieving a maximal score. While the BOOMER compares well with the SPPB in community-dwelling women with vertebral fractures, researchers or clinicians considering using the BOOMER in similar or higher-functioning populations should be aware of the potential for ceiling effects.

  12. Assessment of gray whale feeding grounds and sea floor interaction in the northeastern Bering Sea

    USGS Publications Warehouse

    Nelson, C.H.; Johnson, K.R.; Barber, John H.

    1983-01-01

    A dense ampeliscid amphipod community in Chirikov Basin and around St. Lawrence Island in the northeastern Bering Sea has been outlined by summarizing biological studies, analyzing bioturbation in sediment samples, and examining sea floor photos and videotapes. The amphipod population is associated with a homogeneous, relict fine-grained sand body 0.10-1.5 m thick that is deposited during the marine transgression over the Bering land bridge 8,000-10,000 yr B.P. Modern current and water mass movements and perhaps whale feeding activity prevent modern deposition in this area. The distribution of the transgressive sand sheet, associated amphipod community and feeding gray whales mapped by aerial survey correlate closely with three types of sea-floor pits observed on high (500 kHz) and low (105 kHz) resolution side-scan sonar; they are attributed to gray whale feeding traces and their subsequent current scour modification. The fresh and modified feeding pits are present in 22,000 km2 of the basin and they cover a total of 2 to 18% of the sea floor in different areas of the feeding region. The smallest size class of pits approximates whale mouth gape size and is assumed to represent fresh whale feeding pits. Fresh feeding disturbance of the sea floor is estimated to average about 5.7% for a full feeding season. Combined with information that 34% of the measured benthic biomass is amphipod prey species, and calculating the number of gray whale feeding days in the Alaskan waters plus amount consumed per day, it can be estimated that Chirikov Basin, 2% of the feeding area, supplies a minimum of 5.3 to 7.1% of the gray whale's food resource in the Bering Sea and Arctic Ocean. If a maximum of 50% of the fresh feeding features are assumed to be missed because they parallel side-scan beam paths, then a maximum whale food resource of 14.2% is possible in northeastern Bering Sea. Because of side-scan techniques and possible higher amphipod biomass estimates, a reasonable minimum estimate of the total whale food resource in northeastern Bering Sea is 10%. These data show that side-scan sonar is a powerful new technique for analyzing marine mammal benthic feeding grounds. Sonographs reveal that the gray whales profoundly disturb the substrate and initiate substantial further erosion by bottom currents, all of which enhances productivity of the prey species and results in a 'farming of the sea floor'. In turn, because of the high concentration of whale prey species in a prime feeding ground that is vulnerable to the development of petroleum and mining for sand, great care is required in the exploitation of these resources in the Chirikov Basin.

  13. Combining GOES-16 Geostationary Lightning Mapper with the ground based Earth Networks Total Lightning Network

    NASA Astrophysics Data System (ADS)

    Stock, M.; Lapierre, J. L.; Zhu, Y.

    2017-12-01

    Recently, the Geostationary Lightning Mapper (GLM) began collecting optical data to locate lightning events and flashes over the North and South American continents. This new instrument promises uniformly high detection efficiency (DE) over its entire field of view, with location accuracy on the order of 10 km. In comparison, Earth Networks Total Lightning Networks (ENTLN) has a less uniform coverage, with higher DE in regions with dense sensor coverage, and lower DE with sparse sensor coverage. ENTLN also offers better location accuracy, lightning classification, and peak current estimation for their lightning locations. It is desirable to produce an integrated dataset, combining the strong points of GLM and ENTLN. The easiest way to achieve this is to simply match located lightning processes from each system using time and distance criteria. This simple method will be limited in scope by the uneven coverage of the ground based network. Instead, we will use GLM group locations to look up the electric field change data recorded by ground sensors near each GLM group, vastly increasing the coverage of the ground network. The ground waveforms can then be used for: improvements to differentiation between glint and lightning for GLM, higher precision lighting location, current estimation, and lightning process classification. Presented is an initial implementation of this type of integration using preliminary GLM data, and waveforms from ENTLN.

  14. Coverage of, and compliance with, mass drug administration under the programme to eliminate lymphatic filariasis in India: a systematic review.

    PubMed

    Babu, Bontha V; Babu, Gopalan R

    2014-09-01

    India's mass drug administration (MDA) programme to eliminate lymphatic filariasis (PELF) covers all 250 endemic districts, but compliance with treatment is not adequate for the programme to succeed in eradicating this neglected tropical disease. The objective of our study was to systematically review published studies on the coverage of and compliance with MDA under the PELF in India. We searched several databases-PubMed/Medline, Google Scholar, CINAHL/EBSCO, Web of Knowledge (including Web of Science) and OVID-and by applying selection criteria identified a total of 36 papers to include in the review. Overall MDA coverage rates varied between 48.8% and 98.8%, while compliance rates ranged from 20.8% to 93.7%. The coverage-compliance gap is large in many MDA programmes. The effective level of compliance, ≥65%, was reported in only 10 of a total of 31 MDAs (5 of 20 MDAs in rural areas and 2 of 12 MDAs in urban areas). The review has identified a gap between coverage and compliance, and potentially correctable causes of this gap. These causes need to be addressed if the Indian programme is to advance towards elimination of lymphatic filariasis. © The Author 2014. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  15. Estimating Premium and Out-of-Pocket Outlays Under All Child Dental Coverage Options in the Federally Facilitated Marketplace.

    PubMed

    Vujicic, Marko; Yarbrough, Cassandra

    2017-03-01

    To estimate premium and out-of-pocket costs for child dental care services under various dental coverage options offered within the federally facilitated marketplace. We estimated premium and out-of-pocket costs for child dental care services for 12 patient profiles, which vary by dental care use and spending. We did this for 1039 medical plans that include child dental coverage, 2703 medical plans that do not include child dental coverage, and 583 stand-alone dental plans for the 2015 plan year. Our analysis is based on plan data from the Center for Consumer Information and Insurance Oversight and Data.HealthCare.Gov. On average, expected total financial outlays for child dental care services were lower when dental coverage was embedded within a medical plan compared with the alternative of a stand-alone dental plan. The difference, however, in average expected out-of-pocket spending varied significantly for our 12 patient profiles. Older children who are very high users of dental care, for example, have lower expected out-of-pocket costs under a stand-alone dental plan. For the vast majority of other age groups and dental care use profiles, the reverse holds. Our results show that embedding dental coverage within medical plans, on average, results in lower total financial outlays for child beneficiaries. Although our results are specific to the federally facilitated marketplace, they hold lessons for both state-based marketplaces and the general private health insurance and dental benefits market, as well. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  16. Posterosuperior Placement of a Standard-Sized Cup at the True Acetabulum in Acetabular Reconstruction of Developmental Dysplasia of the Hip With High Dislocation.

    PubMed

    Xu, Jiawei; Xu, Chen; Mao, Yuanqing; Zhang, Jincheng; Li, Huiwu; Zhu, Zhenan

    2016-06-01

    We sought to evaluate posterosuperior placement of the acetabular component at the true acetabulum during acetabular reconstruction in patients with Crowe type-IV developmental dysplasia of the hip. Using pelvic computed tomography and image processing, we developed a two-dimensional mapping technique to demonstrate the distribution of preoperative three-dimensional cup coverage at the true acetabulum, determined the postoperative location of the acetabular cup, and calculated postoperative three-dimensional coverage for 16 Crowe type-IV dysplastic hips in 14 patients with a mean age of 52 years (33-78 years) who underwent total hip arthroplasty. Mean follow-up was 6.3 years (5.5-7.3 years). On preoperative mapping, the maximum three-dimensional coverage using a 44-mm cup was 87.31% (77.36%-98.14%). Mapping enabled the successful replacement of 16 hips using a mean cup size of 44.13 mm (42-46 mm) with posterosuperior placement of the cup. Early weight-bearing and no prosthesis revision or loosening during follow-up were achieved in all patients. The postoperative two-dimensional coverage on anteroposterior radiographs and three-dimensional coverage were 96.15% (89.49%-100%) and 83.42% (71.81%-98.50%), respectively. This technique may improve long-term implant survival in patients with Crowe-IV developmental dysplasia of the hip undergoing total hip arthroplasty by allowing the use of durable bearings, increasing host bone coverage, ensuring initial stability, and restoring the normal hip center. Copyright © 2015 Elsevier Inc. All rights reserved.

  17. Trends in influenza vaccination coverage rates in South Korea from 2005 to 2014: Effect of public health policies on vaccination behavior.

    PubMed

    Seo, Jeongmin; Lim, Juwon

    2018-05-05

    Influenza is a major cause of morbidity and mortality worldwide. Annual vaccination is effective in its prevention and is recommended especially in susceptible populations such as the elderly over 65 years, children younger than 5, pregnant women, and people with chronic diseases. Overall, South Korea has a high vaccination rate owing to its National Immunization Program, although the method and extent of its coverage varies among the target subgroups. The aim of this study is to assess the trend of influenza vaccination coverage between 2005 and 2014 in South Korea to address the influence of sociodemographic and disease factors on vaccination behavior. Also, we aim to compare the vaccination coverage of target subgroups and evaluate the effect of relevant policies to provide suggestions for their improvement. A total of 61,036 respondents from the Korea National Health and Nutrition Examination Surveys III to VI were included. The total influenza vaccination coverage increased from 38.0% in 2005 to 44.1% in 2014. Vaccination coverage was higher among the elderly aged ≥65 years (range, 70.0-79.8%; p-for-trend <0.001) and children under 5 (range, 64.6-78.9%; p-for-trend < 0.001) than among pregnant women (range, 9.4-37.8%; p-for-trend = 0.122) and people with chronic diseases (range, 29.6-42.6%; p-for-trend = 0.068) from 2005 to 2014. High vaccination coverage was associated with female gender, rural residence, low education level, high income, and increasing number of chronic diseases. But the effect of high income on high vaccination coverage was absent in the elderly aged ≥65 years and children under 5. Influenza vaccination rates have steadily increased from 2005 to 2014 in South Korea. Disparities between target groups correspond to their financial coverage under the National Immunization Program, and financial aids remove the influence of high income on higher vaccination rates. Future vaccination policies should focus on pregnant women and people with chronic diseases. Copyright © 2018 Elsevier Ltd. All rights reserved.

  18. An Analysis of BBC Television Coverage of the 2014 Invictus Games.

    PubMed

    Shirazipour, Celina H; Meehan, Madelaine; Latimer-Cheung, Amy E

    2017-01-01

    The Invictus Games are a parasport competition for service members and veterans with illnesses and injuries. The 2014 Games were aired by the BBC, for a total of 12 hr of coverage. This study aimed to investigate what messages were conveyed regarding parasport for veterans during the BBC's Invictus Games broadcast. A content analysis was conducted. Five qualitative themes were identified: sport as rehabilitation, the promotion of ability over disability, the social environment, key outcomes of participation, and the importance of competition. Quantitative results indicated that 2 segment types accounted for the majority of the broadcast: sport coverage (50.57%) and athlete experiences (12.56%). Around half of the coverage focused on participants with a physical disability (51.62%). The findings demonstrate key similarities to and differences from previous explorations of parasport media coverage, with the needs of the event and athlete population potentially influencing the broadcast.

  19. Effect of rubber flooring on dairy cattle stepping behavior and muscle activity.

    PubMed

    Rajapaksha, Eranda; Winkler, Christoph; Tucker, Cassandra B

    2015-04-01

    Use of compressible flooring, such as rubber, has increased on dairy farms. Rubber improves locomotion and is well used by cattle in preference experiments that combine walking and standing. Previous work has found that rubber is particularly beneficial for lame animals, perhaps because a softer material is particularly useful when a single hoof is compromised. The goal of this work was to evaluate the effect of flooring while standing, because cattle in freestall housing spend 40 to 50% of their time engaged in this behavior. In a 2 × 2 design, cows (n = 16) were evaluated on 4 standing surfaces that varied in terms of both floor type (concrete or rubber) and presentation [same floor under all 4 legs (all 4 legs on either concrete or rubber) or a rough surface under only one hind leg and the other 3 legs on concrete or rubber] in a crossover design. Surface electromyograms were used to evaluate muscle fatigue, total activity, and movement of muscle activity between legs during 1 h of standing. Muscle fatigue was evaluated in 2 contexts: (1) static contractions when cows continuously transferred weight to each hind leg, before and after 1 h of standing, and (2) dynamic contractions associated with steps during 1 h on treatment surfaces. In addition, stepping rate, time between each consecutive step, and the latency to lie down after testing were measured. No interaction between floor type and presentation was found. Presentation had a significant effect; when one hind leg was on a rough surface, cattle took 1.7 times more steps with this leg and the non-rough hind leg had 1.2 times more muscle activity, compared with when all 4 legs were on the same surface. These changes are consistent with movement away from concrete with protrusions. When standing on rubber, muscle-activity movements among legs remained stable (0.6-0.7 movements per min) over 1 h but increased on concrete (0.6-0.9 movements per min), indicating that, like humans, cattle may sway to counteract effects of standing. However, additional work, including measurements of blood flow in the leg, is needed to fully understand the biological implications of these changes. Overall, the rubber flooring tested had little effect on standing behavior. Copyright © 2015 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  20. FIRST FLOOR FRONT ROOM. SECOND FLOOR HAS BEEN REMOVED NOTE ...

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

    FIRST FLOOR FRONT ROOM. SECOND FLOOR HAS BEEN REMOVED-- NOTE PRESENCE OF SECOND FLOOR WINDOWS (THE LATTER FLOOR WAS REMOVED MANY YEARS AGO), See also PA-1436 B-12 - Kid-Physick House, 325 Walnut Street, Philadelphia, Philadelphia County, PA

  1. 49 CFR 238.435 - Interior fittings and surfaces.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... expected to strike the fitting, when the floor of the passenger car decelerates with a triangular crash... attachment in a passenger car shall be designed to withstand, with deflection but without total failure, the... triangular crash pulse having a peak of 8g and a duration of 250 milliseconds. (b) Each seat back in a...

  2. 49 CFR 238.435 - Interior fittings and surfaces.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... expected to strike the fitting, when the floor of the passenger car decelerates with a triangular crash... attachment in a passenger car shall be designed to withstand, with deflection but without total failure, the... triangular crash pulse having a peak of 8g and a duration of 250 milliseconds. (b) Each seat back in a...

  3. 49 CFR 238.435 - Interior fittings and surfaces.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... expected to strike the fitting, when the floor of the passenger car decelerates with a triangular crash... attachment in a passenger car shall be designed to withstand, with deflection but without total failure, the... triangular crash pulse having a peak of 8g and a duration of 250 milliseconds. (b) Each seat back in a...

  4. 49 CFR 238.435 - Interior fittings and surfaces.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... expected to strike the fitting, when the floor of the passenger car decelerates with a triangular crash... attachment in a passenger car shall be designed to withstand, with deflection but without total failure, the... triangular crash pulse having a peak of 8g and a duration of 250 milliseconds. (b) Each seat back in a...

  5. Properties of dissolved and total organic matter in throughfall, stemflow and forest floor leachate of Central European forests

    NASA Astrophysics Data System (ADS)

    Bischoff, S.; Schwarz, M. T.; Siemens, J.; Thieme, L.; Wilcke, W.; Michalzik, B.

    2014-10-01

    For the first time, we investigated the composition of dissolved organic matter (DOM) compared to total OM (TOM, consisting of DOM and particulate OM, POM) in throughfall, stemflow and forest floor leachate of beech and spruce forests using solid state 13C nuclear magnetic resonance spectroscopy. We hypothesized that the composition and properties of OM in forest ecosystem water samples differed between DOM and TOM and between the two tree species. Under beech, a contribution of phyllosphere-derived fresh POM was echoed in structural differences. Compared with DOM, TOM exhibited higher relative intensities for the alkyl C region, representing aliphatic C from less decomposed organic material, and lower relative intensities for lignin-derived and aromatic C of the aryl C region, resulting in lower aromaticity indices and reduced humification intensities. Since differences in the structural composition of DOM and TOM were less pronounced under spruce than under beech, we suspect a~tree species-related effect on the origin of OM composition and resulting properties (e.g. recalcitrance, allelopathic potential).

  6. The Extended Nasoseptal Flap for Skull Base Reconstruction of the Clival Region: An Anatomical and Radiological Study

    PubMed Central

    Peris-Celda, Maria; Pinheiro-Neto, Carlos Diogenes; Funaki, Takeshi; Fernandez-Miranda, Juan C.; Gardner, Paul; Snyderman, Carl; Rhoton, Albert L.

    2013-01-01

    Objective Reconstruction of large clival defects after an endoscopic endonasal procedure is challenging. The objective is to analyze the morphology, indications, and limitations of the extended nasoseptal flap, which adds the nasal floor and inferior meatus mucosa, compared with the standard nasoseptal flap, for clival reconstruction. Design Twenty-seven sides of formalin-fixed anatomical specimens and 13 computed tomography (CT) scans were used. Under 0-degree endoscopic visualization, a standard flap on one side and an extended flap on the other side were performed, as well as exposure of the sella, cavernous sinus, and clival dura mater. Coverage of both flaps was assessed, and they were incised and extracted for measurements. Results The extended flap has two parts: septal and inferior meatal. The extended flaps are 20 mm longer and add 774 mm2 of mucosal area. They cover a clival defect from tuberculum to foramen magnum in 66.6% cases and from below the sella in 91.6%. They cover both parasellar and paraclival segments of the internal carotid arteries. The lateral inferior limits are the medial aspect of the hypoglossal canals and Eustachian tubes. CT scans can predict the need or limitation of an extended nasoseptal flap. Conclusions The nasal floor and inferior meatus mucosa adds a significant area for reconstruction of the clivus. A defect laterally beyond the hypoglossal canals is not likely covered with this variation of the flap. Preoperative CT scans are useful to guide the reconstruction techniques. PMID:24436940

  7. Pelvic floor muscle exercises utilizing trunk stabilization for treating postpartum urinary incontinence: randomized controlled pilot trial of supervised versus unsupervised training.

    PubMed

    Kim, Eun-Young; Kim, Suhn-Yeop; Oh, Duck-Won

    2012-02-01

    To investigate the effect of supervised and unsupervised pelvic floor muscle exercises utilizing trunk stabilization for treating postpartum urinary incontinence and to compare the outcomes. Randomized, single-blind controlled study. Outpatient rehabilitation hospital. Eighteen subjects with postpartum urinary incontinence. Subjects were randomized to either a supervised training group with verbal instruction from a physiotherapist, or an unsupervised training group after undergoing a supervised demonstration session. Bristol Female Lower Urinary Tract Symptom questionnaire (urinary symptoms and quality of life) and vaginal function test (maximal vaginal squeeze pressure and holding time) using a perineometer. The change values for urinary symptoms (-27.22 ± 6.20 versus -18.22 ± 5.49), quality of life (-5.33 ± 2.96 versus -1.78 ± 3.93), total score (-32.56 ± 8.17 versus -20.00 ± 6.67), maximal vaginal squeeze pressure (18.96 ± 9.08 versus 2.67 ± 3.64 mmHg), and holding time (11.32 ± 3.17 versus 5.72 ± 2.29 seconds) were more improved in the supervised group than in the unsupervised group (P < 0.05). In the supervised group, significant differences were found for all variables between pre- and post-test values (P < 0.01), whereas the unsupervised group showed significant differences for urinary symptom score, total score and holding time between the pre- and post-test results (P < 0.05). These findings suggest that exercising the pelvic floor muscles by utilizing trunk stabilization under physiotherapist supervision may be beneficial for the management of postpartum urinary incontinence.

  8. Metaproteogenomics reveals the soil microbial communities active in nutrient cycling processes under different tree species

    NASA Astrophysics Data System (ADS)

    Keiblinger, Katharina Maria; Masse, Jacynthe; Zühlke, Daniela; Riedel, Katharina; Zechmeister-Boltenstern, Sophie; Prescott, Cindy E.; Grayston, Sue

    2016-04-01

    Tree species exert strong effects on microbial communities in litter and soil and may alter rates of soil processes fundamental to nutrient cycling and carbon fluxes (Prescott and Grayston 2013). However, the influence of tree species on decomposition processes are still contradictory and poorly understood. An understanding of the mechanisms underlying plant influences on soil processes is important for our ability to predict ecosystem response to altered global/environmental conditions. In order to link microbial community structure and function to forest-floor nutrient cycling processes, we sampled forest floors under western redcedar (Thuja plicata), Douglas-fir (Pseudotsuga menziesii) and Sitka spruce (Picea sitchensis) grown in nutrient-poor sites in common garden experiments on Vancouver island (Canada). We measured forest-floor total N, total C, initial NH4+ and NO3- concentrations, DOC, Cmic and Nmic. Gross rates of ammonification and NH4+ consumption were measured using the 15N pool-dilution method. Organic carbon quality was assessed through FTIR analyses. Microbial community structure was analysed by a metaproteogenomic approach using 16S and ITS amplification and sequencing with MiSeq platform. Proteins were extracted and peptides characterized via LC-MS/MS on a Velos Orbitrap to assess the active microbial community. Different microbial communities were active under the three tree species and variation in process rates were observed and will be discussed. This research provides new insights on microbial processes during organic matter decomposition. The metaproteogenomic approach enables us to investigate these changes with respect to possible effects on soil C-storage at even finer taxonomic resolution.

  9. Out-of-pocket health care expenditures, by insurance status, 2007-10.

    PubMed

    Catlin, Mary K; Poisal, John A; Cowan, Cathy A

    2015-01-01

    Out-of-pocket health care spending in the United States totaled $306.2 billion in 2010 and represented 11.8 percent of total national health expenditures, according to the Centers for Medicare and Medicaid Services' National Health Expenditure Accounts. Spending by people with employer-sponsored health insurance and those covered by Medicare accounted for over 80 percent of total out-of-pocket spending. People without comprehensive medical coverage accounted for less than 8 percent of all out-of-pocket expenditures in 2010. Between 2007 and 2010 per person out-of-pocket spending grew most rapidly for people primarily covered by employer-sponsored insurance and declined for people primarily covered by Medicare and those without coverage. Project HOPE—The People-to-People Health Foundation, Inc.

  10. Community based rehabilitation: Does it really improve the level of productivity among persons with physical disabilities?

    PubMed

    Moniruzzaman; Saha, Palash Chandra; Habib, Md Monjurul

    2015-01-01

    The Community Based Rehabilitation (CBR) is a common approach to work with disable people to improve their quality of life by improving the level of productivity and integrating them into society. But the effectiveness of CBR varies by country to country. The aim of the study was to find out whether CBR programs really improved the level of productivity among persons with physical disabilities. A cross-sectional study was conducted among equal number of respondents (n=51) from each CBR coverage and non-coverage areas from two different upazilla (sub-districts) located 40 km away from the capital city of Bangladesh. Respondents were selected purposively and data were collected by face to face interviews. Willer's (1994) version of the Community Integration Questionnaire (CIQ) was used to measure the level of productivity among adult with physical disabilities. The mean score of total productivity integration in CBR coverage and non-coverage areas were 4.3 ± 2.4 and 4.5 ± 2.2 respectively. This difference was statistically non-significant (p=0.602).The levels of productivity integration between CBR coverage and non-coverage areas varied only 2-4% (p=0.793). The mean score of productivity integration and levels of productivity were not different significantly in CBR coverage and non-coverage areas.

  11. Sun Protection Among New Zealand Primary School Children.

    PubMed

    Gage, Ryan; Leung, William; Stanley, James; Reeder, Anthony; Mackay, Christina; Smith, Moira; Barr, Michelle; Chambers, Tim; Signal, Louise

    2017-12-01

    Schools are an important setting for raising skin cancer prevention awareness and encouraging sun protection. We assessed the clothes worn and shade used by 1,278 children in eight schools in the Wellington region of New Zealand. These children were photographed for the Kids'Cam project between September 2014 and March 2015 during school lunch breaks. Children's mean clothing coverage (expressed as a percentage of body area covered) was calculated. Data on school sun-safety policies were obtained via telephone. Mean total body clothing coverage was 70.3% (95% confidence interval = 66.3%, 73.8%). Body regions with the lowest mean coverage were the head (15.4% coverage), neck (36.1% coverage), lower arms (46.1% coverage), hands (5.3% coverage), and calves (30.1% coverage). Children from schools with hats as part of the school uniform were significantly more likely to wear a hat (52.2%) than children from schools without a school hat (2.7%). Most children (78.4%) were not under the cover of shade. Our findings suggest that New Zealand children are not sufficiently protected from the sun at school. Schools should consider comprehensive approaches to improve sun protection, such as the provision of school hats, sun-protective uniforms, and the construction of effective shade.

  12. Quantification of pelvic floor muscle strength in female urinary incontinence: A systematic review and comparison of contemporary methodologies.

    PubMed

    Deegan, Emily G; Stothers, Lynn; Kavanagh, Alex; Macnab, Andrew J

    2018-01-01

    There remains no gold standard for quantification of voluntary pelvic floor muscle (PFM) strength, despite international guidelines that recommend PFM assessment in females with urinary incontinence (UI). Methods currently reported for quantification of skeletal muscle strength across disciplines are systematically reviewed and their relevance for clinical and academic use related to the pelvic floor are described. A systematic review via Medline, PubMed, CINHAL, and the Cochrane database using key terms for pelvic floor anatomy and function were cross referenced with skeletal muscle strength quantification from 1946 to 2016. Full text peer-reviewed articles in English having female subjects with incontinence were identified. Each study was analyzed for use of controls, type of methodology as direct or indirect measures, benefits, and limitations of the technique. A total of 1586 articles were identified of which 50 met the inclusion criteria. Nine methodologies of determining PFM strength were described including: digital palpation, perineometer, dynamometry, EMG, vaginal cones, ultrasonography, magnetic resonance imaging, urine stream interruption test, and the Colpexin pull test. Thirty-two percent lacked a control group. Technical refinements in both direct and indirect instrumentation for PFM strength measurement are allowing for sensitivity. However, the most common methods of quantification remain digital palpation and perineometry; techniques that pose limitations and yield subjective or indirect measures of muscular strength. Dynamometry has potential as an accurate and sensitive tool, but is limited by inability to assess PFM strength during dynamic movements. © 2017 Wiley Periodicals, Inc.

  13. A worldwide comparison of the management of T1 and T2 anterior floor of the mouth and tongue squamous cell carcinoma - Extent of surgical resection and reconstructive measures.

    PubMed

    Kansy, Katinka; Mueller, Andreas Albert; Mücke, Thomas; Koersgen, Friederike; Wolff, Klaus Dietrich; Zeilhofer, Hans-Florian; Hölzle, Frank; Pradel, Winnie; Schneider, Matthias; Kolk, Andreas; Smeets, Ralf; Acero, Julio; Haers, Piet; Ghali, G E; Hoffmann, Jürgen

    2017-12-01

    Microvascular surgery following tumor resection has become an important field of oral maxillofacial surgery (OMFS). Following the results on general aspects of current reconstructive practice in German-speaking countries, Europe and worldwide, this paper presents specific concepts for the management of resection and reconstruction of T1/T2 squamous cell carcinoma (SCC) of the anterior floor of the mouth and tongue. The DOESAK questionnaire was distributed in three different phases to a growing number of maxillofacial units worldwide. Within this survey, clinical patient settings were presented to participants and center-specific treatment strategies were evaluated. A total of 188 OMFS units from 36 different countries documented their treatment strategies for T1/T2 anterior floor of the mouth squamous cell carcinoma and tongue carcinoma. For floor of mouth carcinoma close to the mandible, a wide variety of concepts are presented: subperiosteal removal of the tumor versus continuity resection of the mandible and reconstruction ranging from locoregional closure to microvascular bony reconstruction. For T2 tongue carcinoma, concepts are more uniform. These results demonstrate the lack of evidence and the controversy of different guidelines for the extent of safety margins and underline the crucial need of global prospective randomized trials on this topic to finally obtain evidence for a common guideline based on a strong community of OMFS units. Copyright © 2017 European Association for Cranio-Maxillo-Facial Surgery. All rights reserved.

  14. [Physiotherapy and neurogenic lower urinary tract dysfunction in multiple sclerosis patients: a randomized controlled trial].

    PubMed

    Gaspard, L; Tombal, B; Opsomer, R-J; Castille, Y; Van Pesch, V; Detrembleur, C

    2014-09-01

    This randomized controlled trial compare the efficacy of pelvic floor muscle training vs. transcutaneous posterior tibial nerve stimulation. Inclusion criteria were EDSS score<7 and presence of lower urinary tract symptoms. Exclusion criteria were multiple sclerosis relapse during the study, active urinary tract infection and pregnancy. The primary outcome was quality of life (SF-Qualiveen questionnaire). Secondary outcomes included overactive bladder (USP questionnaire) score and frequency of urgency episodes (3-day bladder diary). Sample size was calculated after 18 patients were included. Data analysis was blinded. Each patient received 9 sessions of 30 minutes weekly. Patients were randomized in pelvic floor muscles exercises with biofeedback group (muscle endurance and relaxation) or transcutaneous posterior tibial nerve stimulation group (rectangular alternative biphasic current with low frequency). A total of 31 patients were included. No difference appeared between groups for quality of life, overactive bladder and frequency of urgency episodes (respectively P=0.197, P=0.532 et P=0.788). These parameters were significantly improved in pelvic floor muscle training group (n=16) (respectively P=0.004, P=0.002 et P=0.006) and in transcutaneous posterior tibial nerve stimulation group (n=15) (respectively P=0.001, P=0.001 et P=0.031). Pelvic floor muscle training and transcutaneous posterior tibial nerve stimulation improved in the same way symptoms related to urgency in MS patients with mild disability. 2. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  15. The impact of new vaccine introduction on the coverage of existing vaccines: a cross-national, multivariable analysis.

    PubMed

    Shearer, Jessica C; Walker, Damian G; Risko, Nicholas; Levine, Orin S

    2012-12-14

    A surge of new and underutilized vaccine introductions into national immunization programmes has called into question the effect of new vaccine introduction on immunization and health systems. In particular, countries deciding whether to introduce a new or underutilized vaccine into their routine immunization programme may query possible effects on the delivery and coverage of existing vaccines. Using coverage of diphtheria-tetanus-pertussis (DTP) vaccine as a proxy for immunization system performance, this study aims to test whether new vaccine introduction into national immunization programs was associated with changes in coverage of three doses of DTP vaccine among infants. DTP3 vaccine coverage was analyzed in 187 countries during 1999-2009 using multivariable cross-national mixed-effect longitudinal models. Controlling for other possible determinants of DTP3 coverage at the national level these models found minimal association between the introduction of Hepatitis-, Haemophilus influenzae type b-, and rotavirus-containing vaccines and DTP3 coverage. Instead, frequent and sometimes large fluctuations in coverage are associated with other development and health systems variables, including the presence of armed conflict, coverage of antenatal care services, infant mortality, the percent of health expenditures that are private and total health expenditures per capita. Introductions of new vaccines did not affect national coverage of DTP3 vaccine in the countries studied. Introductions of other new vaccines and multiple vaccine introductions should be monitored for immunization and health systems impacts. Copyright © 2012 Elsevier Ltd. All rights reserved.

  16. Determinants of inequality in the up-to-date fully immunization coverage among children aged 24-35 months: Evidence from Zhejiang province, East China.

    PubMed

    Hu, Yu; Wang, Ying; Chen, Yaping; Li, Qian

    2017-08-03

    This study aimed to determine the degree and determinants of inequality in up-to-date fully immunization (UTDFI) coverage among children of Zhejiang province, east China. We used data from the Zhejiang provincial vaccination coverage survey of 2014 and the health outcome was the UTDFI status among children aged 24-35 months. The household income per month was used as an index of socio-economic status for the inequality analysis. The concentration index (CI) was used to quantify the degree of inequality and the decomposition approach was applied to quantify the contributions from demographic factors to inequality in UTDFI coverage. The UTDFI coverage was 80.63% and the CI for UTDFI coverage was 0.12028 (95% CI: 0.10852-0.13175), indicating that immunization practice significantly favored children with relatively higher socio-economic status. The results of decomposition analysis suggested that 68.2% of the socio-economic inequality in UTDFI coverage should be explained by the mother's education level. Furthermore, factors such as birth order, ethnic group, maternal employment status, residence, immigration status, GDP per-capital and percentage of public health spending of the total health spending also could explain the disparity in UTDFI coverage. There exists inequality in UTDFI coverage among the socio-economic disadvantage children. Health interventions of narrowing the socio-economic inequality in UTDFI coverage will benefit from being supplemented with strategies aimed at poverty and illiteracy reduction.

  17. A preliminary analysis of library holdings as compared to the basic resources for pharmacy education list.

    PubMed

    Vaughan, K T L V; Lerner, Rachel C

    2013-01-01

    The catalogs of 11 university libraries were analyzed against the Basic Resources for Pharmaceutical Education (BRPE) to measure the percent coverage of the core total list as well as the core sublist. There is no clear trend in this data to link school age, size, or rank with percentage of coverage of the total list or the "First Purchase" core list when treated as independent variables. Approximately half of the schools have significantly higher percentages of core titles than statistically expected. Based on this data, it is difficult to predict what percentage of titles on the BRPE a library will contain.

  18. Workers' decisions to take-up offered health insurance coverage: assessing the importance of out-of-pocket premium costs.

    PubMed

    Cooper, Philip F; Vistnes, Jessica

    2003-07-01

    Many proposed policy initiatives involve subsidies directed toward encouraging employers to offer coverage and toward workers to encourage enrollment in offered plans. Given that insurance coverage reflects employers' decisions to offer coverage, eligibility requirements for such coverage, and employees' take-up decisions, all three elements are important when considering mechanisms to decrease the number of uninsured individuals. In this study, we examine the relationship between workers' decisions to take-up offers of health insurance and annual out-of-pocket contributions, total premiums, and employer and workforce characteristics. We model the take-up decision using cross-sectional data from approximately 18,000 establishments per year from the 1997 to 1999 Medical Expenditure Panel Survey - Insurance Component. We find that workers are less likely to enroll in coverage as single employee contributions increase. Our results for family contributions are much smaller than for single contributions and are not statistically significant in all years. Our simulation results suggest that reducing employee contribution levels for single coverage from existing levels in 1999 to zero would yield an increase in take-up rates of roughly 6% points in establishments that had required a positive level of contributions. Our results also indicate that of the 13.8 million private sector workers who decline coverage from their employers, 2.5 million would potentially enroll in employer-sponsored coverage if the cost of single coverage were to fall to zero. Reducing employee contributions will increase take-up rates; however, even when employees pay nothing for their coverage, some employees elect not to enroll.

  19. 75 FR 70719 - Multilayered Wood Flooring From the People's Republic of China: Initiation of Countervailing Duty...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-18

    ... DEPARTMENT OF COMMERCE International Trade Administration [C-570-971] Multilayered Wood Flooring...''), whose members (Anderson Hardwood Floors, LLC; Award Hardwood Floors; Baker's Creek Wood Floors, Inc... Group, Inc.) are domestic producers of multilayered wood flooring.\\1\\ In response to the Department's...

  20. 76 FR 76690 - Multilayered Wood Flooring From the People's Republic of China: Amended Final Determination of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-08

    ... DEPARTMENT OF COMMERCE International Trade Administration [A-570-970] Multilayered Wood Flooring... is issuing an antidumping duty order on multilayered wood flooring (``wood flooring'') from the... antidumping duty investigation of wood flooring from the PRC. See Multilayered Wood Flooring From the People's...

  1. Coverage of Developed and Developing Nations in American Wire Services to Asia.

    ERIC Educational Resources Information Center

    Giffard, C. Anthony

    A study was conducted to contrast the news coverage of developed and developing nations, and of the United States specifically, as transmitted to Asia by the Associated Press (AP) and United Press International (UPI). A total of 556 AP reports and 453 UPI reports drawn from a 6-week period were coded for more than 100 variables and 47 topics. The…

  2. A Pilot Study of the Effectiveness of Indoor Plants for Removal of Volatile Organic Compounds in Indoor Air in a Seven-Story Office Building

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

    Apte, Michael G.; Apte, Joshua S.

    2010-04-27

    The Paharpur Business Centre and Software Technology Incubator Park (PBC) is a 7 story, 50,400 ft{sup 2} office building located near Nehru Place in New Delhi India. The occupancy of the building at full normal operations is about 500 people. The building management philosophy embodies innovation in energy efficiency while providing full service and a comfortable, safe, healthy environment to the occupants. Provision of excellent Indoor Air Quality (IAQ) is an expressed goal of the facility, and the management has gone to great lengths to achieve it. This is particularly challenging in New Delhi, where ambient urban pollution levels rankmore » among the worst on the planet. The approach to provide good IAQ in the building includes a range of technical elements: air washing and filtration of ventilation intake air from rooftop air handler, the use of an enclosed rooftop greenhouse with a high density of potted plants as a bio-filtration system, dedicated secondary HVAC/air handling units on each floor with re-circulating high efficiency filtration and UVC treatment of the heat exchanger coils, additional potted plants for bio-filtration on each floor, and a final exhaust via the restrooms located at each floor. The conditioned building exhaust air is passed through an energy recovery wheel and chemisorbent cartridge, transferring some heat to the incoming air to increase the HVAC energy efficiency. The management uses 'green' cleaning products exclusively in the building. Flooring is a combination of stone, tile and 'zero VOC' carpeting. Wood trim and finish appears to be primarily of solid sawn materials, with very little evidence of composite wood products. Furniture is likewise in large proportion constructed from solid wood materials. The overall impression is that of a very clean and well-kept facility. Surfaces are polished to a high sheen, probably with wax products. There was an odor of urinal cake in the restrooms. Smoking is not allowed in the building. The plants used in the rooftop greenhouse and on the floors were made up of a number of species selected for the following functions: daytime metabolic carbon dioxide (CO{sub 2}) absorption, nighttime metabolic CO{sub 2} absorption, and volatile organic compound (VOC) and inorganic gas absorption/removal for air cleaning. The building contains a reported 910 indoor plants. Daytime metabolic species reported by the PBC include Areca Palm, Oxycardium, Rubber Plant, and Ficus alii totaling 188 plants (21%). The single nighttime metabolic species is the Sansevieria with a total of 28 plants (3%). The 'air cleaning' plant species reported by the PBC include the Money Plant, Aglaonema, Dracaena Warneckii, Bamboo Palm, and Raphis Palm with a total of 694 plants (76%). The plants in the greenhouse (Areca Palm, Rubber Plant, Ficus alii, Bamboo Palm, and Raphis Palm) numbering 161 (18%) of those in the building are grown hydroponically, with the room air blown by fan across the plant root zones. The plants on the building floors are grown in pots and are located on floors 1-6. We conducted a one-day monitoring session in the PBC on January 1, 2010. The date of the study was based on availability of the measurement equipment that the researchers had shipped from Lawrence Berkeley National Lab in the U.S.A. The study date was not optimal because a large proportion of the regular building occupants were not present being New Year's Day. An estimated 40 people were present in the building all day during January 1. This being said, the building systems were in normal operations, including the air handlers and other HVAC components. The study was focused primarily on measurements in the Greenhouse and 3rd and 5th floor environments as well as rooftop outdoors. Measurements included a set of volatile organic compounds (VOCs) and aldehydes, with a more limited set of observations of indoor and outdoor particulate and carbon dioxide concentrations. Continuous measurements of Temperature (T) and relative humidity (RH) were made selected indoor and outdoor locations.« less

  3. A Comparison of Coverage Restrictions for Biopharmaceuticals and Medical Procedures.

    PubMed

    Chambers, James; Pope, Elle; Bungay, Kathy; Cohen, Joshua; Ciarametaro, Michael; Dubois, Robert; Neumann, Peter J

    2018-04-01

    Differences in payer evaluation and coverage of pharmaceuticals and medical procedures suggest that coverage may differ for medications and procedures independent of their clinical benefit. We hypothesized that coverage for medications is more restricted than corresponding coverage for nonmedication interventions. We included top-selling medications and highly utilized procedures. For each intervention-indication pair, we classified value in terms of cost-effectiveness (incremental cost per quality-adjusted life-year), as reported by the Tufts Medical Center Cost-Effectiveness Analysis Registry. For each intervention-indication pair and for each of 10 large payers, we classified coverage, when available, as either "more restrictive" or as "not more restrictive," compared with a benchmark. The benchmark reflected the US Food and Drug Administration label information, when available, or pertinent clinical guidelines. We compared coverage policies and the benchmark in terms of step edits and clinical restrictions. Finally, we regressed coverage restrictiveness against intervention type (medication or nonmedication), controlling for value (cost-effectiveness more or less favorable than a designated threshold). We identified 392 medication and 185 procedure coverage decisions. A total of 26.3% of the medication coverage and 38.4% of the procedure coverage decisions were more restrictive than their corresponding benchmarks. After controlling for value, the odds of being more restrictive were 42% lower for medications than for procedures. Including unfavorable tier placement in the definition of "more restrictive" greatly increased the proportion of medication coverage decisions classified as "more restrictive" and reversed our findings. Therapy access depends on factors other than cost and clinical benefit, suggesting potential health care system inefficiency. Copyright © 2018 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  4. Public Health Policy in Support of Insurance Coverage for Smoking Cessation Treatments.

    PubMed

    Schwartz, Robert; Haji, Farzana; Babayan, Alexey; Longo, Christopher; Ferrence, Roberta

    2017-05-01

    Insurance coverage for evidence-based smoking cessation treatments (SCTs) promotes uptake and reduces smoking rates. Published studies in this area are based in the US where employers are the primary source of health insurance. In Ontario, Canada, publicly funded healthcare does not cover SCTs, but it can be supplemented with employer-sponsored benefit plans. This study explores factors affecting the inclusion/exclusion of smoking cessation (SC) benefits. In total, 17 interviews were conducted with eight employers (auto, retail, banking, municipal and university industries), four health insurers, two government representatives and three advisors/consultants. Overall, SCT coverage varied among industries; it was inconsistently restrictive and SCT differed by coverage amount and length of use. Barriers impeding coverage included the lack of the following: Canadian-specific return on investment (ROI), SC cost information, employer demand, government regulations/incentives and employee awareness of and demand. A Canadian evidence-based calculation of ROI for SC coupled with government incentives and public education may be needed to promote uptake of SCT coverage by employers. Copyright © 2017 Longwoods Publishing.

  5. Intra-aneurysmal flow disruption after implantation of the Medina® Embolization Device depends on aneurysm neck coverage.

    PubMed

    Frölich, Andreas Maximilian; Nawka, Marie Teresa; Ernst, Marielle; Frischmuth, Isabell; Fiehler, Jens; Buhk, Jan-Hendrik

    2018-01-01

    Flow disruption achieved by braided intrasaccular implants is a novel treatment strategy for cerebrovascular aneurysms. We hypothesized that the degree of intra-aneurysmal flow disruption can be quantified in vitro and is influenced by device position across the aneurysm neck. We tested this hypothesis using the Medina® Embolization Device (MED). Ten different patient-specific elastic vascular models were manufactured. Models were connected to a pulsatile flow circuit, filled with a blood-mimicking fluid and treated by two operators using a single MED. Intra-aneurysmal flow velocity was measured using conventional and high-frequency digital subtraction angiography (HF-DSA) before and after each deployment. Aneurysm neck coverage by the implanted devices was assessed with flat detector computed tomography on a three-point Likert scale. A total of 80 individual MED deployments were performed by the two operators. The mean intra-aneurysmal flow velocity reduction after MED implantation was 33.6% (27.5-39.7%). No significant differences in neck coverage (p = 0.99) or flow disruption (p = 0.84) were observed between operators. The degree of flow disruption significantly correlated with neck coverage (ρ = 0.42, 95% CI: 0.21-0.59, p = 0.002) as well as with neck area (ρ = -0,35, 95% CI: -0.54 --0.13, p = 0.024). On multiple regression analysis, both neck coverage and total neck area were independent predictors of flow disruption. The degree of intra-aneurysmal flow disruption after MED implantation can be quantified in vitro and varies considerably between different aneurysms and different device configurations. Optimal device coverage across the aneurysm neck improves flow disruption and may thus contribute to aneurysm occlusion.

  6. Theoretical studies of positron states and annihilation characteristics at the oxidized Cu(100) surface

    NASA Astrophysics Data System (ADS)

    Fazleev, N. G.; Weiss, A. H.

    2013-04-01

    In this work we present the results of theoretical studies of positron surface and bulk states and annihilation probabilities of surface-trapped positrons with relevant core electrons at the oxidized Cu(100) surface under conditions of high oxygen coverage. An ab-initio study of the electronic properties of the Cu(100) missing row reconstructed surface at various on surface and sub-surface oxygen coverages has been performed on the basis of the density functional theory (DFT) using the Dmol3 code and the generalized gradient approximation (GGA). Surface structures in calculations have been constructed by adding oxygen atoms to various surface hollow and sub-surface octahedral sites of the 0.5 monolayer (ML) missing row reconstructed phase of the Cu(100) surface with oxygen coverages ranging from 0.5 to 1.5 ML. The charge redistribution at the surface and variations in atomic structure and chemical composition of the topmost layers associated with oxidation and surface reconstruction have been found to affect the spatial extent and localization of the positron surface state wave function and annihilation probabilities of surface trapped positrons with relevant core electrons. Theoretical results are compared with experimental data obtained from studies of oxidation of the Cu(100) surface using positron annihilation induced Auger electron spectroscopy (PAES). It has been shown that positron annihilation probabilities with Cu 3s and 3p core electrons decrease when total (on-surface and sub-surface) oxygen coverage of the Cu(100) surface increases up to 1 ML. The calculations show that for high oxygen coverage when total oxygen coverage is 1. 5 ML the positron is not bound to the surface.

  7. Theoretical studies of positron states and annihilation characteristics at the oxidized Cu(100) surface

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

    Fazleev, N. G.; Weiss, A. H.

    2013-04-19

    In this work we present the results of theoretical studies of positron surface and bulk states and annihilation probabilities of surface-trapped positrons with relevant core electrons at the oxidized Cu(100) surface under conditions of high oxygen coverage. An ab-initio study of the electronic properties of the Cu(100) missing row reconstructed surface at various on surface and sub-surface oxygen coverages has been performed on the basis of the density functional theory (DFT) using the Dmol3 code and the generalized gradient approximation (GGA). Surface structures in calculations have been constructed by adding oxygen atoms to various surface hollow and sub-surface octahedral sitesmore » of the 0.5 monolayer (ML) missing row reconstructed phase of the Cu(100) surface with oxygen coverages ranging from 0.5 to 1.5 ML. The charge redistribution at the surface and variations in atomic structure and chemical composition of the topmost layers associated with oxidation and surface reconstruction have been found to affect the spatial extent and localization of the positron surface state wave function and annihilation probabilities of surface trapped positrons with relevant core electrons. Theoretical results are compared with experimental data obtained from studies of oxidation of the Cu(100) surface using positron annihilation induced Auger electron spectroscopy (PAES). It has been shown that positron annihilation probabilities with Cu 3s and 3p core electrons decrease when total (on-surface and sub-surface) oxygen coverage of the Cu(100) surface increases up to 1 ML. The calculations show that for high oxygen coverage when total oxygen coverage is 1. 5 ML the positron is not bound to the surface.« less

  8. Modelling the affordability and distributional implications of future health care financing options in South Africa.

    PubMed

    McIntyre, Di; Ataguba, John E

    2012-03-01

    South Africa is considering introducing a universal health care system. A key concern for policy-makers and the general public is whether or not this reform is affordable. Modelling the resource and revenue generation requirements of alternative reform options is critical to inform decision-making. This paper considers three reform scenarios: universal coverage funded by increased allocations to health from general tax and additional dedicated taxes; an alternative reform option of extending private health insurance coverage to all formal sector workers and their dependents with the remainder using tax-funded services; and maintaining the status quo. Each scenario was modelled over a 15-year period using a spreadsheet model. Statistical analyses were also undertaken to evaluate the impact of options on the distribution of health care financing burden and benefits from using health services across socio-economic groups. Universal coverage would result in total health care spending levels equivalent to 8.6% of gross domestic product (GDP), which is comparable to current spending levels. It is lower than the status quo option (9.5% of GDP) and far lower than the option of expanding private insurance cover (over 13% of GDP). However, public funding of health services would have to increase substantially. Despite this, universal coverage would result in the most progressive financing system if the additional public funding requirements are generated through a surcharge on taxable income (but not if VAT is increased). The extended private insurance scheme option would be the least progressive and would impose a very high payment burden; total health care payments on average would be 10.7% of household consumption expenditure compared with the universal coverage (6.7%) and status quo (7.5%) options. The least pro-rich distribution of service benefits would be achieved under universal coverage. Universal coverage is affordable and would promote health system equity, but needs careful design to ensure its long-term sustainability.

  9. Variation in out of pocket health care costs for individuals with anxiety disorders by type of insurance coverage.

    PubMed

    Tucker, Klariz; Dark, Tyra; Harman, Jeffrey S

    2018-06-15

    Given that out-of-pocket (OOP) costs impact adherence to treatment and recent and proposed changes to the health insurance system that impact OOP costs, it is imperative to understand the OOP cost burden faced by individuals with anxiety disorders depending upon type of insurance coverage. The objective of this study was to determine the annual OOP cost burden faced by individuals with anxiety disorders and the variation of these costs by type of insurance coverage. Using weighted nationally representative data from the 2011-2014 Medical Expenditure Panel Surveys, total OOP health care costs were assessed for all respondents who indicated that they had an anxiety disorder (N = 9985). Total OOP health care costs were also calculated separately by type of insurance. Average annual OOP costs among individuals with anxiety was $1152. The highest OOP cost were incurred by individuals with private fee-for-service (FFS) insurance ($1356/year, 4.1% of annual income), while individuals enrolled in HMOs with dual Medicare/Medicaid had the lowest OOP cost ($129/year, 6.8% of annual income). Individuals without insurance had high OOP cost burden ($1309/year, 12.5% of annual income). Individuals with anxiety disorders have a wide range of OOP cost depending upon their insurance coverage. Those with anxiety should carefully consider their choice of insurance coverage if interested in minimizing OOP costs. Copyright © 2018 Elsevier Ltd. All rights reserved.

  10. Magnetic Resonance Imaging (MRI): Dynamic Pelvic Floor

    MedlinePlus

    ... Site Index A-Z Magnetic Resonance Imaging (MRI) – Dynamic Pelvic Floor Dynamic pelvic floor magnetic resonance imaging ( ... the limitations of pelvic floor MRI? What is dynamic pelvic floor MRI? Magnetic resonance imaging (MRI) is ...

  11. FIRST FLOOR REAR ROOM. SECOND FLOOR HAS BEEN REMOVED NOTE ...

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

    FIRST FLOOR REAR ROOM. SECOND FLOOR HAS BEEN REMOVED-- NOTE PRESENCE OF SECOND FLOOR WINDOWS AT LEFT. See also PA-1436 B-6 - Kid-Physick House, 325 Walnut Street, Philadelphia, Philadelphia County, PA

  12. FIRST FLOOR REAR ROOM. SECOND FLOOR HAS BEEN REMOVED NOTE ...

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

    FIRST FLOOR REAR ROOM. SECOND FLOOR HAS BEEN REMOVED-- NOTE PRESENCE OF SECOND FLOOR WINDOWS AT LEFT. See also PA-1436 B-13 - Kid-Physick House, 325 Walnut Street, Philadelphia, Philadelphia County, PA

  13. Low VOC Barrier Coating for Industrial Maintenance

    DTIC Science & Technology

    2012-09-01

    VOC Total Solids (wt) Total Solids (volume) Percent Pigment Stormer Viscosity Brookfield Viscosity Pot Life Sag Resistance Theoretical...Percent Pigment – Stormer Viscosity – Brookfield Viscosity – Pot Life – Sag Resistance – Theoretical Coverage – Drying Times – Mixing Ratio

  14. Trends in nutrient concentrations, loads, and yields in streams in the Sacramento, San Joaquin, and Santa Ana Basins, California, 1975-2004

    USGS Publications Warehouse

    Kratzer, Charles R.; Kent, Robert; Seleh, Dina K.; Knifong, Donna L.; Dileanis, Peter D.; Orlando, James L.

    2011-01-01

    A comprehensive database was assembled for the Sacramento, San Joaquin, and Santa Ana Basins in California on nutrient concentrations, flows, and point and nonpoint sources of nutrients for 1975-2004. Most of the data on nutrient concentrations (nitrate, ammonia, total nitrogen, orthophosphate, and total phosphorus) were from the U.S. Geological Survey's National Water Information System database (35.2 percent), the California Department of Water Resources (21.9 percent), the University of California at Davis (21.6 percent), and the U.S. Environmental Protection Agency's STOrage and RETrieval database (20.0 percent). Point-source discharges accounted for less than 1 percent of river flows in the Sacramento and San Joaquin Rivers, but accounted for close to 80 percent of the nonstorm flow in the Santa Ana River. Point sources accounted for 4 and 7 percent of the total nitrogen and total phosphorus loads, respectively, in the Sacramento River at Freeport for 1985-2004. Point sources accounted for 8 and 17 percent of the total nitrogen and total phosphorus loads, respectively, in the San Joaquin River near Vernalis for 1985-2004. The volume of wastewater discharged into the Santa Ana River increased almost three-fold over the study period. However, due to improvements in wastewater treatment, the total nitrogen load to the Santa Ana River from point sources in 2004 was approximately the same as in 1975 and the total phosphorus load in 2004 was less than in 1975. Nonpoint sources of nutrients estimated in this study included atmospheric deposition, fertilizer application, manure production, and tile drainage. The estimated dry deposition of nitrogen exceeded wet deposition in the Sacramento and San Joaquin Valleys and in the basin area of the Santa Ana Basin, with ratios of dry to wet deposition of 1.7, 2.8, and 9.8, respectively. Fertilizer application increased appreciably from 1987 to 2004 in all three California basins, although manure production increased in the San Joaquin Basin but decreased in the Sacramento and Santa Ana Basins from 1982 to 2002. Tile drainage accounted for 22 percent of the total nitrogen load in the San Joaquin River near Vernalis for 1985-2004. Nutrient loads and trends were calculated by using the log-linear multiple-regression model, LOADEST. Loads were calculated for water years 1975-2004 for 22 sites in the Sacramento Basin, 15 sites in the San Joaquin Basin, and 6 sites in the Santa Ana Basin. The average annual load of total nitrogen and total phosphorus for 1985-2004 in subbasins in the Sacramento and San Joaquin Basins were divided by their drainage areas to calculate average annual yield. Total nitrogen yields were greater than 2.45 tons per square mile per year [(tons/mi2)/yr] in about 61 percent of the valley floor in the San Joaquin Basin compared with only about 12 percent of the valley floor in the Sacramento Basin. Total phosphorus yields were greater than 0.34 (tons/mi2)/yr in about 43 percent of the valley floor in the San Joaquin Basin compared with only about 5 percent in the valley floor of the Sacramento Basin. In a stepwise multiple linear-regression analysis of 30 subbasins in the Sacramento and San Joaquin Basins, the most important explanatory variables (out of 11 variables) for the response variable (total nitrogen yield) were the percentage of land use in (1) orchards and vineyards, (2) row crops, and (3) urban categories. For total phosphorus yield, the most important explanatory variable was the amount of fertilizer application plus manure production. Trends were evaluated for three time periods: 1975-2004, 1985-2004, and 1993-2004. Most trends in flow-adjusted concentrations of nutrients in the Sacramento Basin were downward for all three time periods. The decreasing nutrient trends in the American River at Sacramento and the Sacramento River at Freeport for 1975-2004 were attributed to the consolidation of wastewater in the Sacramento metropolitan area in December 1982 to

  15. Estimation of measles vaccination coverage using the Lot Quality Assurance Sampling (LQAS) method--Tamilnadu, India, 2002-2003.

    PubMed

    Sivasankaran, Saravanan; Manickam, P; Ramakrishnan, R; Hutin, Y; Gupte, M D

    2006-04-28

    As part of the global strategic plan to reduce the number of measles deaths in India, the state of Tamilnadu aims at > or =95% measles vaccination coverage. A study was conducted to measure overall coverage levels for the Poondi Primary Health Center (PPHC), a rural health-care facility in Tiruvallur District, and to determine whether any of the PPHC's six health subcenters had coverage levels <95%. The Lot Quality Assurance Sampling (LQAS) method was used to identify health subcenters in the PPHC area with measles vaccination coverage levels <95% among children aged 12-23 months. Lemeshow and Taber sampling plans were used to determine that the measles vaccination status of 73 children aged 12--23 months had to be assessed in each health subcenter coverage area, with a 5% level of significance and a decision value of two. If more than two children were unvaccinated, the null hypothesis (i.e., that coverage in the health subcenter was low [<95%]) was not rejected. If the number of unvaccinated children was two or fewer, the null hypothesis was rejected, and coverage in the subcenter was considered to be good (i.e., > or =95%). All data were pooled in a stratified sample to estimate overall total coverage in the PPHC area. For two (33.3%) of the six health subcenters, more than two children were unvaccinated (i.e., coverage was <95%). Combining results from all six health subcenters generated a coverage estimate of 97.7% (95% confidence interval = 95.7-98.8) on the basis of 428 (97.7%) of 438 children identified as vaccinated. LQAS techniques proved useful in identifying small health areas with lower vaccination coverage, which helps to target interventions. Monthly review of vaccination coverage by subcenter and village is recommended to identify pockets of unvaccinated children and to maintain uniform high coverage in the PPHC area.

  16. Earthquake response of storey building in Jakarta using accelerographs data analysis

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

    Julius, Admiral Musa, E-mail: admiralmusajulius@yahoo.com; Jakarta Geophysics Observatory, Indonesia Agency of Meteorology Climatology and Geophysics; Sunardi, Bambang, E-mail: b.sunardi@gmail.com

    As seismotectonic, the Jakarta city will be greatly affected by the earthquake which originated from the subduction zone of the Sunda Strait and south of Java. Some occurrences of earthquakes in these location are often perceived by the occupants in the upper floors of multi-storey buildings in Jakarta but was not perceived by the occupants on the ground floor. The case shows the difference in ground-motion parameters on each floor height. The analysis of the earthquake data recorded by accelerographs on different floors need to be done to know the differences in ground-motion parameters. Data used in this research ismore » accelerograph data installed on several floors in the main building of Meteorology Climatology and Geophysics Agency with a case study of Kebumen earthquake on January 25{sup th} 2014. Parameters analyzed include the Peak Ground Acceleration (PGA), Peak Ground Displacement (PGD), Peak Spectral Acceleration (PSA), Amplification (Ag), and the Effective Duration of earthquake (t{sub e}). Research stages include accelerographs data acquisition in three (3) different floors, conversion and data partition for each component, conversion to units of acceleration, determination of PGA, PGD, PSA, Ag and t{sub e} as well as data analysis. The study shows the value of PGA on the ground floor, 7{sup th} floor and 15{sup th} floors, respectively are 0.016 g, 0.053 g and 0.116 g. PGD on the ground floor, 7{sup th} floor and 15{sup th} floor respectively are 2.15 cm, 2.98 cm and 4.92 cm. PSA on the ground floor, 7{sup th} floor and 15{sup th} floor respectively are 0.067 g, 0.308 g and 0.836 g. Amplification of the peak acceleration value on the ground floor, 7{sup th} floor and 15{sup th} floor to the surface rock are 4.37, 6.07 and 7.30. Effective duration of the earthquake on the ground floor, 7{sup th} floor and 15{sup th} floor respectively are 222.28 s, 202.28 s and 91.58 s. In general, with increasing floor of the building, the value of the peak ground acceleration, peak ground displacement, peak spectral acceleration and amplification growing, contrary to the value of the effective duration of earthquake decreases. The difference in this parameter is strongly influenced by local soil conditions and building construction.« less

  17. [Factors associated with reported vaccination coverage in early infancy: results of a telephone survey].

    PubMed

    Nebot, M; Muñoz, E; Figueres, M; Rovira, G; Robert, M; Minguell, D

    2001-01-01

    Barcelona's Continuing Immunization Plan affords the possibility Of monitoring the immunization coverage of the population by means of the voluntary family postal notification system. Prior studies have revealed that some families fail to provide notification while being correctly vaccinated, which can lead to actual coverage being underestimated. The objectives of this study are to estimate the early childhood immunization coverage of the population and to ascertain the factors associated with failure to provide notification of immunization. A phone survey was conducted on a sample of 500 children regarding whom there was no record of any notification of the first three childhood vaccine doses (diphtheria, tetanus, whooping cough and oral polio), in addition to a sample of 500 children who were on record as having been immunized. To estimate the actual immunization coverage, all children were considered to have been properly immunized when their family members did provide notification. As regards those who failed to reply, it was considered in the worst of cases that these were cases of children who had not be immunized. In the best of cases scenario, a coverage similar to those of the responses was assumed. The response to the questionnaire was higher among those who had previously provided notification of immunization by way of the postal notification system (79.1%) than among those who had failed to provide notification of immunization (67%). The leading factors associated with failure to report immunization status were the size of the families, the use of private health care services and the place of birth of the parents. Solely six (6) cases of those who had failed to report immunization admitted to not having immunized their children, totaling 1.9% of the responses. The immunization coverage of the population in question would total 99.7% in the best of cases and 93.7% in the worst of cases scenario. Immunization coverage of the population in question is quite high. The results underline the importance of promoting immunization notification among health care professionals, especially in the private sector.

  18. 76 FR 53633 - Airworthiness Directives; Viking Air Limited (Type Certificate No. A-815 Formerly Held by...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-29

    ... Building Ground Floor, Room W12-140, 1200 New Jersey Avenue, SE., Washington, DC 20590. FOR FURTHER... form required in paragraph (f)(1) of airplanes: Within (figure 1 of this this AD, the total maximum...) 329-4090; e-mail: [email protected] . Figure 1 (g) Paperwork Reduction Act Burden Statement A...

  19. Soil and forest floor characteristics

    Treesearch

    Ralph E. J. Boerner; Sherri J. Morris; Kelly L. M. Decker; Todd F. Hutchinson

    2003-01-01

    The soils of the four study areas in southern Ohio were dominated by silt loams derived from sandstones and shales. The soils at Bluegrass Ridge (BR) had significantly more clay and sand and significantly less silt than soils of the other study areas. Total inorganic N (TIN) and available NH4 were greatest in soils from Watch Rock (WR) and least...

  20. Comparison study of thickness swell performance of commercial oriented strandboard flooring products

    Treesearch

    Hongmei Gu; Siqun Wang; Trairat Neimsuwan; Sunguo Wang

    2005-01-01

    The multiple layer structure of oriented strandboard (OSB) has a significant influence on its performance, including thickness swell (TS). TS is recognized as an important performance property for OSB products. Optimization of TS through layer property ma- nipulation to achieve the lowest total TS while maintaining acceptable mechanical properties is attainable if the...

  1. How to estimate forest carbon for large areas from inventory data

    Treesearch

    James E. Smith; Linda S. Heath; Peter B. Woodbury

    2004-01-01

    Carbon sequestration through forest growth provides a low-cost approach for meeting state and national goals to reduce net accumulations of atmospheric carbon dioxide. Total forest ecosystem carbon stocks include "pools" in live trees, standing dead trees, understory vegetation, down dead wood, forest floor, and soil. Determining the level of carbon stocks in...

  2. Goodbye, Orlando? Heat and Hot Issues, Theme Parks, and a Busy Show Floor

    ERIC Educational Resources Information Center

    Berry, John; Blumenstein, Lynn; DiMattia, Susan; Kenney, Brian; Oder, Norman; Rogers, Michael

    2004-01-01

    The American Library Association's (ALA) Annual Conference, June 24?30, in steamy Orlando, drew 19,575 people, including 5,739 exhibitors, the lowest total since Miami in 1994, not counting the SARS-shadowed conference in Toronto last year (see statistics, p. 15). Although this years conference was filled with exciting events, this abstract is…

  3. Spatial patterns in carbon storage in a lake states' landscape

    Treesearch

    J. C. Bell; D. F. Grigal; P. C. Bates; C. A. Butler

    1996-01-01

    We estimated total organic carbon storage (C -- kg m-2) in biomass, forest floor, and soil for a gently undulating glacial outwash landscape in east-central Minnesota (45° 25'N, 93° 10'W). Abandoned agricultural tracts are common, and nearly 40 percent of the area is wet mineral or organic soil. Quantitative models...

  4. Floor Identification with Commercial Smartphones in Wifi-Based Indoor Localization System

    NASA Astrophysics Data System (ADS)

    Ai, H. J.; Liu, M. Y.; Shi, Y. M.; Zhao, J. Q.

    2016-06-01

    In this paper, we utilize novel sensors built-in commercial smart devices to propose a schema which can identify floors with high accuracy and efficiency. This schema can be divided into two modules: floor identifying and floor change detection. Floor identifying module starts at initial phase of positioning, and responsible for determining which floor the positioning start. We have estimated two methods to identify initial floor based on K-Nearest Neighbors (KNN) and BP Neural Network, respectively. In order to improve performance of KNN algorithm, we proposed a novel method based on weighting signal strength, which can identify floors robust and quickly. Floor change detection module turns on after entering into continues positioning procedure. In this module, sensors (such as accelerometer and barometer) of smart devices are used to determine whether the user is going up and down stairs or taking an elevator. This method has fused different kinds of sensor data and can adapt various motion pattern of users. We conduct our experiment with mobile client on Android Phone (Nexus 5) at a four-floors building with an open area between the second and third floor. The results demonstrate that our scheme can achieve an accuracy of 99% to identify floor and 97% to detecting floor changes as a whole.

  5. Polybrominated dibenzo-p-dioxins/dibenzofurans and polybrominated diphenyl ethers in soil, vegetation, workshop-floor dust, and electronic shredder residue from an electronic waste recycling facility and in soils from a chemical industrial complex in eastern China

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

    Jing Ma; Rudolf Addink; Sehun Yun

    2009-10-01

    In this study, 11 2,3,7,8-substituted PBDD/Fs and 10 polybrominated diphenyl ether (PBDE) congeners were determined in electronic shredder waste, workshop-floor dust, soil, and leaves (of plants on the grounds of the facility) from a large-scale electronic wastes (e-waste) recycling facility and in surface soil from a chemical-industrial complex (comprising a coke-oven plant, a coal-fired power plant, and a chlor-alkali plant) as well as agricultural areas in eastern China. Total PBDD/F concentrations in environmental samples were in the range of 113-818 pg/g dry wt (dw) for leaves, 392-18,500 pg/g dw for electronic shredder residues, 716-80,0000 pg/g dw for soil samples, andmore » 89,600-14,3000 pg/g dw for workshop-floor dust from the e-waste recycling facility and in a range from nondetect (ND) to 427 pg/g dw in soil from the chemical-industrial complex. The highest mean concentrations of total PBDD/Fs were found in soil samples and workshop-floor dust from the e-waste recycling facility. The dioxin-like toxic equivalent (measured as TEQ) concentrations of PBDD/Fs were greater than the TEQs of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) reported in our previous study for the same set of samples. The concentrations of PBDFs were several orders of magnitude higher than the concentrations of PBDDs in samples from the e-waste facility or from soil from the chemical-industrial complex. A significant correlation was found between the concentrations of {Sigma}PBDD/Fs and {Sigma}PBDEs (r = 0.769, p < 0.01) and between SPBDD/Fs and the previously reported SPCDD/F concentrations (r = 0.805, p < 0.01). The estimated daily human intakes of TEQs contributed by PBDD/Fs via soil/dust ingestion and dermal exposures in e-waste recycling facilities were higher than the intakes of TEQs contributed by PCDD/Fs, calculated in our previous study. 45 refs., 2 figs., 2 tabs.« less

  6. The response of ecosystem carbon pools to management approaches in loblolly pine (Pinus taeda L.) plantations

    NASA Astrophysics Data System (ADS)

    Vogel, J. G.; Bacon, A. R.; Bracho, R. G.; Gonzalez-Benecke, C. A.; Fox, T. D.; Laviner, M. A.; Kane, M.; Burkhart, H.; Martin, T.; Will, R.; Ross, C. W.; Grunwald, S.; Jokela, E. J.; Meek, C.

    2016-12-01

    Extending from Virginia to east Texas in the southeastern United States, managed pine plantations are an important component of the region's carbon cycle. An objective of the Pine Integrated Network: Education, Mitigation, and Adaptation project (PINEMAP) is to improve estimates of how ecosystem carbon pools respond to the management strategies used to increase the growth of loblolly pine plantations. Experimental studies (108 total) that have been used to understand plantation productivity and stand dynamics by university-forest industry cooperatives were measured for the carbon stored in the trees, roots, coarse-wood, detritus in soil, forest floor, understory and soils to 1-meter. The age of the studied plantations ranged from 4-26 years at the time of sampling, with 26 years very near the period when these plantations are commonly harvested. Across all study sites, 455 experimental plots were measured. The average C storage across all pools, sites, and treatments was 192 Mg C ha-1, with the average percentage of the total coming from soil (44%), tree biomass (40%), forest floor (8%), root (5%), soil detritus (2%), understory biomass (1%), and coarse-wood (<1%) pools. Plots had as a treatment either fertilization, competition control, and stand density control (thinning), and every possible combination of treatments including `no treatment'. A paired plot analysis was used where two plots at a site were examined for relative differences caused by a single treatment and these differences averaged across the region. Thinning as a stand-alone treatment significantly reduced forest floor mass by 60%, and the forest floor in the thinned plus either competition control or fertilization was 18.9% and 19.2% less, respectively, than unthinned stands combined with the same treatments. Competition control increased C storage in tree biomass by 12% and thinning decreased tree biomass by 32%. Thinning combined with fertilization had lower soil carbon (0-1 m) than unthinned-fertilized plots (22%), although the replication for this combination was relatively low (n=6). Overall these results suggest that maintaining higher tree densities increases ecosystem carbon storage across multiple pools of C in loblolly pine plantations.

  7. Assessing the performance of LOINC® and RadLex for coverage of CT scans across three sites in a health information exchange.

    PubMed

    Beitia, Anton Oscar; Kuperman, Gilad; Delman, Bradley N; Shapiro, Jason S

    2013-01-01

    We evaluated the performance of LOINC® and RadLex standard terminologies for covering CT test names from three sites in a health information exchange (HIE) with the eventual goal of building an HIE-based clinical decision support system to alert providers of prior duplicate CTs. Given the goal, the most important parameter to assess was coverage for high frequency exams that were most likely to be repeated. We showed that both LOINC® and RadLex provided sufficient coverage for our use case through calculations of (a) high coverage of 90% and 94%, respectively for the subset of CTs accounting for 99% of exams performed and (b) high concept token coverage (total percentage of exams performed that map to terminologies) of 92% and 95%, respectively. With trends toward greater interoperability, this work may provide a framework for those wishing to map radiology site codes to a standard nomenclature for purposes of tracking resource utilization.

  8. Distribution of alcohol consumption and expenditures and the impact of improved measurement on coverage of alcohol sales in the 2000 National Alcohol Survey.

    PubMed

    Kerr, William C; Greenfield, Thomas K

    2007-10-01

    To validate improved survey estimates of alcohol volume and new expenditures questions, these measures were aggregated and evaluated through comparison to sales data. Using the new measures, we examined their distributions by estimating the proportion of mean intake, heavy drinking days, and alcohol expenditures among drinkers grouped by volume. The 2000 National Alcohol Survey is a random digit dialed telephone survey of the United States with 7,612 respondents including 323 who were recontacted for drink ethanol measurement. Among drinkers, we utilized improved drink ethanol content estimates and beverage-specific graduated frequency measures to assess alcohol consumption and past month beverage-specific spending reports to estimate expenditures. Coverage of alcohol sales by the new measures was estimated to be 52.3% for consumption and 59.3% for expenditures. Coverage was best for wine at 92.1% of sales, but improved most for spirits from 37.2% to 55.2%, when empirical drink ethanol content was applied. Distribution estimates showed that the top 10% of drinkers drank 55.3% of the total alcohol consumed, accounted for 61.6% of all 5+ and nearly 80% of all 12+ drinking days. Spirits consumption was the most concentrated with the top decile consuming 62.9% of the total for this beverage. This decile accounted for 33% of total expenditures, even though its mean expenditure per drink was considerably lower ($0.79) than the bottom 50% of drinkers ($4.75). The distributions of mean alcohol intake and heavy drinking days are highly concentrated in the U.S. population. Lower expenditures per drink by the heaviest drinkers suggest substantial downward quality substitution, drinking in cheaper contexts or other bargain pricing strategies. Empirical drink ethanol estimates improved survey coverage of sales particularly for spirits, but significant under-coverage remains, highlighting need for further self-report measurement improvement.

  9. Representations and coverage of non-English-speaking immigrants and multicultural issues in three major Australian health care publications

    PubMed Central

    2010-01-01

    Background No recent Australian studies or literature, provide evidence of the extent of coverage of multicultural health issues in Australian healthcare research. A series of systematic literature reviews in three major Australian healthcare journals were undertaken to discover the level, content, coverage and overall quality of research on multicultural health. Australian healthcare journals selected for the study were The Medical Journal of Australia (MJA), The Australian Health Review (AHR), and The Australian and New Zealand Journal of Public Health (ANZPH). Reviews were undertaken of the last twelve (12) years (1996-August 2008) of journal articles using six standard search terms: 'non-English-speaking', 'ethnic', 'migrant', 'immigrant', 'refugee' and 'multicultural'. Results In total there were 4,146 articles published in these journals over the 12-year period. A total of 90 or 2.2% of the total articles were articles primarily based on multicultural issues. A further 62 articles contained a major or a moderate level of consideration of multicultural issues, and 107 had a minor mention. Conclusions The quantum and range of multicultural health research and evidence required for equity in policy, services, interventions and implementation is limited and uneven. Most of the original multicultural health research articles focused on newly arrived refugees, asylum seekers, Vietnamese or South East Asian communities. While there is some seminal research in respect of these represented groups, there are other communities and health issues that are essentially invisible or unrepresented in research. The limited coverage and representation of multicultural populations in research studies has implications for evidence-based health and human services policy. PMID:20044938

  10. Dancer perceptions of the force reduction of dance floors used by a professional touring ballet company.

    PubMed

    Hopper, Luke S; Wheeler, Talia J; Webster, James M; Allen, Nick; Roberts, Jonathan R; Fleming, Paul R

    2014-01-01

    The mechanical properties of dance floors have the potential to influence dancers' performance and injury risk. Little information is available that describes dancers' preferences for dance floor mechanical properties. Investigation of dancers' perceptions of varied dance floors can serve to enlighten governing bodies, floor manufacturers, and the dance community. The aim of this study was to assess the perceptions of dancers from a touring professional ballet company regarding four floors with varied force reduction (FR) that were created to replicate those used by the company in normal dance training and performance. A specialized questionnaire was developed that incorporated a series of qualitative and quantitative measures that could be used by participants to express their perceptions of the custom built dance floors. Floor FR was quantified with reference to the protocols specified by European standards. Dancer perceptions were in general agreement with floor FR values; however, some discrepancies were observed. Dancers expressed a preference for floor FR within the mid to upper limits (57% to 72%) of the European standards, although a minority preferred low FR (approximately 36%) floors. A limited ability to perceive inconsistencies in FR across test floors was observed, which may have implications for injury risk. Investigation of the perceptions of dancers from more diverse backgrounds, on floors that provide a closer representation of typical dance studio and stage sizes, over longer periods of time, would provide further insight into the perceptual and adaptive responses of dancers to varied floor mechanical properties.

  11. BCDP: Budget Constrained and Delay-Bounded Placement for Hybrid Roadside Units in Vehicular Ad Hoc Networks

    PubMed Central

    Li, Peng; Huang, Chuanhe; Liu, Qin

    2014-01-01

    In vehicular ad hoc networks, roadside units (RSUs) placement has been proposed to improve the the overall network performance in many ITS applications. This paper addresses the budget constrained and delay-bounded placement problem (BCDP) for roadside units in vehicular ad hoc networks. There are two types of RSUs: cable connected RSU (c-RSU) and wireless RSU (w-RSU). c-RSUs are interconnected through wired lines, and they form the backbone of VANETs, while w-RSUs connect to other RSUs through wireless communication and serve as an economical extension of the coverage of c-RSUs. The delay-bounded coverage range and deployment cost of these two cases are totally different. We are given a budget constraint and a delay bound, the problem is how to find the optimal candidate sites with the maximal delay-bounded coverage to place RSUs such that a message from any c-RSU in the region can be disseminated to the more vehicles within the given budget constraint and delay bound. We first prove that the BCDP problem is NP-hard. Then we propose several algorithms to solve the BCDP problem. Simulation results show the heuristic algorithms can significantly improve the coverage range and reduce the total deployment cost, compared with other heuristic methods. PMID:25436656

  12. Vaccination coverage among children in kindergarten--United States, 2009-10 school year.

    PubMed

    2011-06-03

    Healthy People 2020 objectives include maintaining vaccination coverage among children in kindergarten (IID-10) (1). The target is ≥95% vaccination coverage for the following vaccines: poliovirus; diphtheria and tetanus toxoids and acellular pertussis (DTP/DTaP/DT); measles, mumps, and rubella (MMR); hepatitis B (HepB); and varicella (1). Data from school assessment surveys are used to monitor vaccination coverage and vaccination exemption levels among children enrolled in kindergarten. This report summarizes data from school assessment surveys submitted to CDC by 48 federal immunization program grantees (including 47 states and the District of Columbia) for the 2009-10 school year to describe vaccination coverage and exemption rates (2). For that period, 17 grantees reported coverage of ?95% for four vaccines (poliovirus, DTP/DTaP/DT, MMR, and HepB) and four grantees reported coverage of ≥95% for 2 doses of varicella vaccine. Total exemption rates, including medical, religious, and philosophical exemptions, ranged from <1% to 6.2% across grantees, and 15 grantees reported exemption rates<1%. Survey methods for vaccination coverage and exemption rates varied among grantees, making comparisons difficult and limiting the use of school assessment surveys to report aggregate national rates. Further standardization of school assessment survey methods will generate comparable data between grantees to monitor and track progress in reaching national objectives, and allow development of best practice guidelines for grantees to more effectively use and report school coverage and exemption data. CDC will continue to monitor vaccination coverage and exemption levels and assist grantees in identification of local areas with low vaccination coverage or high exemption rates for further evaluation or intervention.

  13. Twenty-four-hour in-house neonatologist coverage and long-term neurodevelopmental outcomes of preterm infants.

    PubMed

    Lodha, A; Brown, N; Soraisham, A; Amin, H; Tang, S; Singhal, N

    2017-08-01

    To compare short- and long-term neurodevelopmental outcomes at 3 years of corrected age of preterm infants cared for by 24-hour in-house staff neonatologists and those cared for by staff neonatologists during daytime only. Retrospective analysis of prospectively collected follow-up data on all nonanomalous preterm infants from 1998 to 2004 excluding year 2001 as a washout period. Infants were divided into two groups based on care provided by staff neonatologists: 24-hour in-house coverage (24-hour coverage 1998-2000) and daytime coverage (day coverage 2002-2004). Short- and long-term outcomes were compared. A total of 387 (78%) of the screened infants were included. Twenty-four-hour coverage (n=179) and day coverage (n=208) groups had a median birth weight (BW) of 875 g (range 470-1250) and 922 g (480-1530; P=0.028), respectively, and both had a median gestational age of 27 weeks. In the day coverage group, a smaller proportion of mothers had chorioamnionitis (20% vs. 30%; P=0.025), received less antibiotics (62% vs. 73%; P=0.023), and infants had fewer cases of confirmed sepsis (14% vs. 23%; P=0.022). In the day coverage group, a larger number of infants had respiratory distress syndrome (87% vs. 77%; P=0.011) and required prolonged mechanical ventilation (median 31 vs. 21 days; P=0.002). The incidence of major neurodevelopmental impairment was not significantly different between the two groups (odds ratio 0.76; 95% confidence interval 0.34-1.65). Duration of mechanical ventilation was reduced with 24-hour in-house coverage by staff neonatologists. However, 24-hour coverage was not associated with any difference in neurodevelopmental (ND) outcomes at 3-year corrected age.

  14. Indoor Lighting Facilities

    NASA Astrophysics Data System (ADS)

    Matsushima, Koji; Saito, Yoshinori; Ichikawa, Shigenori; Kawauchi, Takao; Tanaka, Tsuneo; Hirano, Rika; Tazuke, Fuyuki

    According to the statistics on building construction floor area from the Ministry of Land, Infrastructure, Transport and Tourism, the total floor area of building construction started in Japan in 2007 was 160,991 thousand square meters, or 14.8% less than the area of the previous year, and the reduction was the first reduction in the past five years. The office markets in Tokyo and Nagoya were active, as represented by the supplies of skyscrapers, and energy saving measures, such as the adoption of high efficiency lighting equipment, the control for initial stage illuminance, daylight harvesting, and the use of occupancy sensors, were well established. In the field of public construction, including museums, multi-purpose halls, and religious buildings, the total area of the new construction was 10.8% less than the total for the previous year, and this reduction was a continuation of an eleven-year trend. In spaces with high ceiling, the innovation for easy replacement of light sources used with reflection mirror systems and optical fibers was noted. Hospitals adapted to the expectation for improved services in their selection of lighting facilities to improve the residential environment for patients while taking into consideration the needs of the aging population, by their use of devices in corridors to help maintain a continuity of light. In libraries, a pendant system was developed to illuminate both ceilings and book shelves. In the field of theaters and halls, the time limit for repairing existing systems had come for the large facilities that were opened during the theater and hall construction boom of the 1960s through 1980s, and around 26 renovations were done. Almost all the renovations were conversions to intelligent dimming systems and lighting control desks. In the field of stores and commercial facilities, the atmosphere and glitter of the selling floor was produced by new light sources, such as ceramic metal halide lamps and LEDs, which have high efficiency, long life, and excellent color rendering properties. In the field of lodging, restaurants, and services, suitable atmospheres for the locations were produced by devices for controlling the light distribution of 12 V tungsten halogen equipment and by the use of indirect illumination in up-scale restaurants. In the field of residence, as was the case in the previous year, lighting distribution plans corresponding to diverse activities, such as island kitchens and home theaters, were adopted in horizontally or vertically arranged floor plans. Also, light sources, appliances, and controls with excellent efficiency were adopted for common spaces in order to correspond to the energy saving law.

  15. Comparison of changes in the mobility of the pelvic floor muscle on during the abdominal drawing-in maneuver, maximal expiration, and pelvic floor muscle maximal contraction

    PubMed Central

    Jung, Halim; Jung, Sangwoo; Joo, Sunghee; Song, Changho

    2016-01-01

    [Purpose] The purpose of this study was to compare changes in the mobility of the pelvic floor muscle during the abdominal drawing-in maneuver, maximal expiration, and pelvic floor muscle maximal contraction. [Subjects] Thirty healthy adults participated in this study (15 men and 15 women). [Methods] All participants performed a bridge exercise and abdominal curl-up during the abdominal drawing-in maneuver, maximal expiration, and pelvic floor muscle maximal contraction. Pelvic floor mobility was evaluated as the distance from the bladder base using ultrasound. [Results] According to exercise method, bridge exercise and abdominal curl-ups led to significantly different pelvic floor mobility. The pelvic floor muscle was elevated during the abdominal drawing-in maneuver and descended during maximal expiration. Finally, pelvic floor muscle mobility was greater during abdominal curl-up than during the bridge exercise. [Conclusion] According to these results, the abdominal drawing-in maneuver induced pelvic floor muscle contraction, and pelvic floor muscle contraction was greater during the abdominal curl-up than during the bridge exercise. PMID:27065532

  16. Comparison of changes in the mobility of the pelvic floor muscle on during the abdominal drawing-in maneuver, maximal expiration, and pelvic floor muscle maximal contraction.

    PubMed

    Jung, Halim; Jung, Sangwoo; Joo, Sunghee; Song, Changho

    2016-01-01

    [Purpose] The purpose of this study was to compare changes in the mobility of the pelvic floor muscle during the abdominal drawing-in maneuver, maximal expiration, and pelvic floor muscle maximal contraction. [Subjects] Thirty healthy adults participated in this study (15 men and 15 women). [Methods] All participants performed a bridge exercise and abdominal curl-up during the abdominal drawing-in maneuver, maximal expiration, and pelvic floor muscle maximal contraction. Pelvic floor mobility was evaluated as the distance from the bladder base using ultrasound. [Results] According to exercise method, bridge exercise and abdominal curl-ups led to significantly different pelvic floor mobility. The pelvic floor muscle was elevated during the abdominal drawing-in maneuver and descended during maximal expiration. Finally, pelvic floor muscle mobility was greater during abdominal curl-up than during the bridge exercise. [Conclusion] According to these results, the abdominal drawing-in maneuver induced pelvic floor muscle contraction, and pelvic floor muscle contraction was greater during the abdominal curl-up than during the bridge exercise.

  17. Total Quality Management (TQM) Bibliography

    DTIC Science & Technology

    1990-04-01

    GTE FIE COPY DTIC c" ECTE 8JUL 25 1990u TOTAL QUALITY MANAGEMENT (TQM) BIBLIOGRAPHY APRIL-1990 Jointly supported by __’__________-_________ Jointly...Arsenal, AL 35898-5241 1I. TITLE (Include Security Classification) TOTAL QUALITY MANAGEMENT (TQM) BIBL IRAPHY APRIL-1990 12. PERSONAL AUTHOR(S) Knott...implementation of the concept of total quality management (TQM). The selected coverage includes books, periodical articles, conference papers and reports. Coded

  18. 78 FR 30329 - Multilayered Wood Flooring from China

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-22

    ...)] Multilayered Wood Flooring from China AGENCY: United States International Trade Commission. ACTION: Notice of...-1179 (Final) concerning multilayered wood flooring (``MLWF'') from China. For further information... Hardwood Floors, Inc.; BR Custom Surface; Real Wood Floors, LLC; Galleher Corp.; and DPR International, LLC...

  19. Nitrogen cycling in canopy soils of tropical montane forests responds rapidly to indirect N and P fertilization.

    PubMed

    Matson, Amanda L; Corre, Marife D; Veldkamp, Edzo

    2014-12-01

    Although the canopy can play an important role in forest nutrient cycles, canopy-based processes are often overlooked in studies on nutrient deposition. In areas of nitrogen (N) and phosphorus (P) deposition, canopy soils may retain a significant proportion of atmospheric inputs, and also receive indirect enrichment through root uptake followed by throughfall or recycling of plant litter in the canopy. We measured net and gross rates of N cycling in canopy soils of tropical montane forests along an elevation gradient and assessed indirect effects of elevated nutrient inputs to the forest floor. Net N cycling rates were measured using the buried bag method. Gross N cycling rates were measured using (15) N pool dilution techniques. Measurements took place in the field, in the wet and dry season, using intact cores of canopy soil from three elevations (1000, 2000 and 3000 m). The forest floor had been fertilized biannually with moderate amounts of N and P for 4 years; treatments included control, N, P, and N + P. In control plots, gross rates of NH4 (+) transformations decreased with increasing elevation; gross rates of NO3 (-) transformations did not exhibit a clear elevation trend, but were significantly affected by season. Nutrient-addition effects were different at each elevation, but combined N + P generally increased N cycling rates at all elevations. Results showed that canopy soils could be a significant N source for epiphytes as well as contributing up to 23% of total (canopy + forest floor) mineral N production in our forests. In contrast to theories that canopy soils are decoupled from nutrient cycling in forest floor soil, N cycling in our canopy soils was sensitive to slight changes in forest floor nutrient availability. Long-term atmospheric N and P deposition may lead to increased N cycling, but also increased mineral N losses from the canopy soil system. © 2014 John Wiley & Sons Ltd.

  20. Anatomic-histologic study of the floor of the mouth: the lingual lymph nodes.

    PubMed

    Ananian, Sargis G; Gvetadze, Shalva R; Ilkaev, Konstantin D; Mochalnikova, Valeria V; Zayratiants, Georgiy O; Mkhitarov, Vladimir A; Yang, Xin; Ciciashvili, Aleksandr M

    2015-06-01

    The lingual lymph nodes are inconstant nodes located within the fascial/intermuscular spaces of the floor of the mouth. Oral tongue squamous cell carcinoma has been reported to recur and metastasize in lingual lymph nodes with poor prognosis. Lingual lymph nodes are not currently included in basic tongue squamous cell carcinoma surgery. Twenty-one cadavers (7 males, 14 females) were studied, aged from 57 to 94 years (mean age 76.3 years). The gross specimen of the floor of the mouth was divided into blocks: A (median nodes), B, B' (parahyoid), C, C' (paraglandular). Serial histological microslides were cut and stained with hematoxylin-eosin. Frequency of lingual lymph nodes in each block and their microscopic features were assessed. The lingual lymph nodes in overall number of 7 were detected in 5 of the 21 cadavers (23.8%). The total incidence of lingual lymph node was 33.3% (7 nodes/21 cadavers). Block A failed to demonstrate any lymph nodes (0%); Blocks B, B'-2 nodes (9.5%) and 2 nodes (9.5%), respectively; Blocks C, C'-1 node (4.8%) and 2 nodes (9.5%), respectively. The mean lingual lymph node length was 4.1 mm (from 1.4 to 8.7 mm), the mean thickness was 2.8 mm (from 0.8 to 7.5 mm). Five cadavers (23.8%) revealed mucosa-associated lymphoid tissue. Atrophic changes appeared in 4 (57.1%) lingual lymph nodes. The presence of lymph node-bearing tissue in the floor of the mouth is demonstrated. In account of resection radicalism and better local control the fat tissue of the floor of the mouth should be removed in conjunction to glossectomy. Further anatomic and clinical research is required to establish the role of lingual lymph node in oral squamous cell carcinoma recurrence and metastasis. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  1. Manganese and Mn/Ca ratios in soil and vegetation in forests across the northeastern US: Insights on spatial Mn enrichment.

    PubMed

    Richardson, J B

    2017-03-01

    Manganese (Mn) cycling in the Critical Zone is important because of its role as an essential nutrient and potential toxicity to plants and organisms. Quantifying Mn enrichment in terrestrial environments has been limited since Mn is monoisotopic. However, elemental ratios of Mn/Ca ratios may be used to determine spatial Mn enrichment and in aboveground and belowground pools. The objectives of this study were to quantify the spatial variation in Mn concentrations and Mn/Ca ratios in foliage, bolewood, forest floor, and mineral soil horizons across the northeastern United States and compare Mn/Ca ratios to estimate enrichment. Forest floor and mineral soil samples were collected from 26 study sites across the northeastern United States and analyzed by strong acid digestion. Foliage and bolewood was collected from 12 of the 26 sites and analyzed for total Mn and Ca. Our results show forest floor and mineral soil horizon Mn concentrations and Mn/Ca ratios were higher at Pennsylvania and New York sites than New Hampshire and Vermont sites. Using a modified isotope equation, enrichment factors (EF) for Mn/Ca ratios were calculated to be ~3.6 in the forest floor, upper and lower mineral soil horizons at sites in New York and Pennsylvania compared to reference sites in New Hampshire and Vermont. Foliar and bolewood Mn concentrations also decreased from Pennsylvania towards New Hampshire. Moreover, foliar and bolewood Mn concentrations were strongly correlated to forest floor, upper, and lower mineral soil Mn concentrations. It was hypothesized that internal cycling (uptake, throughfall, and litterfall) of Mn controls retention of enriched Mn in forests. Geologic influences from a lithologic gradient and soil pH gradient could also influence Mn enrichment in addition to Mn pollution. Ratios of Mn/Ca and other elemental ratios hold promise as geochemical tracers but require further development. Copyright © 2016 Elsevier B.V. All rights reserved.

  2. Applying GIS and fine-resolution digital terrain models to assess three-dimensional population distribution under traffic impacts.

    PubMed

    Wu, Chih-Da; Lung, Shih-Chun Candice

    2012-01-01

    Pollution exhibits significant variations horizontally and vertically within cities; therefore, the size and three-dimensional (3D) spatial distribution of population are significant determinants of urban health. This paper presents a novel methodology, 3D digital geography (3DIG) methodology, for investigating 3D spatial distributions of population in close proximity to traffic, thus the potential highly exposed population under traffic impacts. 3DIG applies geographic information system and fine-resolution (5 m) digital terrain models to obtain the number of building floors in residential zones of the Taipei metropolis; the vertical distribution of population at different floors was estimated based on demographic data in each census tract. In addition, population within 5, 10, 20, 50, and 100 m from the roadways was estimated. Field validation indicated that model results were reliable and accurate; the final population estimation differs only by 0.88% from the demographic database. The results showed that among the total 6.5 million Taipei residents, 0.8 (12.3%), 1.5 (22.9%), 2.3 (34.9), and 2.7 (41.1%) million residents live on the first or second floor within 5, 10, 20, and 50 m, respectively, of municipal roads. There are 22 census tracts with more than half of their residents living on the first or second floor within 5 m of municipal roads. In addition, half of the towns in Taipei city and county with >13.9% and 12.1% of residents live on the first and second floors within 5 m of municipal roads, respectively. These findings highlight the huge number of Taipei residents in close proximity to traffic and have significant implications for exposure assessment and environmental epidemiological studies. This study demonstrates that 3DIG is a versatile methodology for various research and policy planning in which 3D spatial population distribution is the central focus.

  3. Fire effects on temperate forest soil C and N storage.

    PubMed

    Nave, Lucas E; Vance, Eric D; Swanston, Christopher W; Curtis, Peter S

    2011-06-01

    Temperate forest soils store globally significant amounts of carbon (C) and nitrogen (N). Understanding how soil pools of these two elements change in response to disturbance and management is critical to maintaining ecosystem services such as forest productivity, greenhouse gas mitigation, and water resource protection. Fire is one of the principal disturbances acting on forest soil C and N storage and is also the subject of enormous management efforts. In the present article, we use meta-analysis to quantify fire effects on temperate forest soil C and N storage. Across a combined total of 468 soil C and N response ratios from 57 publications (concentrations and pool sizes), fire had significant overall effects on soil C (-26%) and soil N (-22%). The impacts of fire on forest floors were significantly different from its effects on mineral soils. Fires reduced forest floor C and N storage (pool sizes only) by an average of 59% and 50%, respectively, but the concentrations of these two elements did not change. Prescribed fires caused smaller reductions in forest floor C and N storage (-46% and -35%) than wildfires (-67% and -69%), and the presence of hardwoods also mitigated fire impacts. Burned forest floors recovered their C and N pools in an average of 128 and 103 years, respectively. Among mineral soils, there were no significant changes in C or N storage, but C and N concentrations declined significantly (-11% and -12%, respectively). Mineral soil C and N concentrations were significantly affected by fire type, with no change following prescribed burns, but significant reductions in response to wildfires. Geographic variation in fire effects on mineral soil C and N storage underscores the need for region-specific fire management plans, and the role of fire type in mediating C and N shifts (especially in the forest floor) indicates that averting wildfires through prescribed burning is desirable from a soils perspective.

  4. Evaluation of Wildlife Mitigation Sites at the Chief Joseph Dam Project (1993/1994 Season)

    DTIC Science & Technology

    1994-07-22

    vermiculatus black greasewood CHENOPODIACEAE R, BS. BB SHCA Shepherdia canadensis buffalo-berry ELAEAGNACEAE hrf. Sites SYAL Symphoricarpos albus...Occurances 26.0 Percent Coverage 41.50% Percent Coverage 46.80% - Sat End Total Species Start I End Total I rowo 98.0 72.8 25.2 1 syal 0.5 1.0 0.5 2 sya...96.1 91.9 4.2 2 shsp. 1.0 8.5 7.5 3 syal 72.8 72.2 0.6 3 syal 1.8 6.5 4.7 4 rowo 69.5 67.7 1.8 4 cost 7.5 10.1 2.6 5 syal 66.5 65.8 0.7 5 cost 13.4

  5. A worldwide comparison of the management of surgical treatment of advanced oral cancer.

    PubMed

    Kansy, Katinka; Mueller, Andreas Albert; Mücke, Thomas; Koersgen, Friederike; Wolff, Klaus Dietrich; Zeilhofer, Hans-Florian; Hölzle, Frank; Pradel, Winnie; Schneider, Matthias; Kolk, Andreas; Smeets, Ralf; Acero, Julio; Haers, Piet; Ghali, G E; Hoffmann, Jürgen

    2018-03-01

    Microvascular surgery following tumor resection has become an important field of oral and maxillofacial surgery (OMFS). Following the results from management of T1/T2 floor-of-mouth and tongue squamous cell carcinoma (SCC) in German-speaking countries, Europe, and worldwide, this paper presents specific concepts for the management of resection and reconstruction of T3/T4 SCC of the maxillary and mandibular alveolar process and tongue. The DÖSAK questionnaire was distributed in three different phases to a growing number of maxillofacial units worldwide. Within this survey, clinical patient settings were presented to participants and center-specific treatment strategies were evaluated. A total of 188 OMFS units from 36 different countries documented their treatment strategies for T3/T4 maxillary and mandibular alveolar process and tongue SCC. The extent of surgical resections and subsequent reconstructions is more consistent than with T1/T2 tumors, although the controversy surrounding continuity resections and mandible-sparing procedures remains. For continuity resection of the mandible the fibula free flap is the most frequently used bone replacement, whereas maxilla reconstruction concepts are less consistent, ranging from locoregional coverage concepts and different microvascular reconstruction options to treatment via obturator prosthesis. Results from treatment strategies for T3/T4 tumors underline the limited evidence for the appropriate amount of resection and subsequent reconstruction process, especially in cases involving the mandible. Prospective randomized trials will be necessary in the long term to establish valid treatment guidelines. Copyright © 2018 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  6. High Awareness but Low Coverage of a Locally Produced Fortified Complementary Food in Abidjan, Côte d'Ivoire: Findings from a Cross-Sectional Survey.

    PubMed

    Leyvraz, Magali; Rohner, Fabian; Konan, Amoin G; Esso, Lasme J C E; Woodruff, Bradley A; Norte, Augusto; Adiko, Adiko F; Bonfoh, Bassirou; Aaron, Grant J

    2016-01-01

    Poor complementary feeding practices among infants and young children in Côte d'Ivoire are major contributing factors to the country's high burden of malnutrition. As part of a broad effort to address this issue, an affordable, nutritious, and locally produced fortified complementary food product was launched in the Côte d'Ivoire in 2011. The objective of the current research was to assess various levels of coverage of the program and to identify coverage barriers. A cross-sectional household survey was conducted among caregivers of children less than 2-years of age living in Abidjan, Côte d'Ivoire. Four measures of coverage were assessed: "message coverage" (i.e., has the caregiver ever heard of the product?), "contact coverage" (i.e., has the caregiver ever fed the child the product?), "partial coverage" (i.e., has the caregiver fed the child the product in the previous month?), and "effective coverage" (i.e., has the caregiver fed the child the product in the previous 7 days?). A total of 1,113 caregivers with children between 0 and 23 months of age were interviewed. Results showed high message coverage (85.0%), moderate contact coverage (37.8%), and poor partial and effective coverages (8.8% and 4.6%, respectively). Product awareness was lower among caregivers from poorer households, but partial and effective coverages were comparable in both poor and non-poor groups. Infant and young child feeding (IYCF) practices were generally poor and did not appear to have improved since previous assessments. In conclusion, the results from the present study indicate that availability on the market and high awareness among the target population is not sufficient to achieve high and effective coverage. With market-based delivery models, significant efforts are needed to improve demand. Moreover, given the high prevalence of malnutrition and poor IYCF practices, additional modes of delivering IYCF interventions and improving IYCF practices should be considered.

  7. Healthcare Coverage for HIV Provider Visits Before and After Implementation of the Affordable Care Act

    PubMed Central

    Berry, Stephen A.; Fleishman, John A.; Yehia, Baligh R.; Cheever, Laura W.; Hauck, Heather; Korthuis, P. Todd; Mathews, W. Christopher; Keruly, Jeanne; Nijhawan, Ank E.; Agwu, Allison L.; Somboonwit, Charurut; Moore, Richard D.; Gebo, Kelly A.

    2016-01-01

    Background. Before implementation of the Patient Protection and Affordable Care Act (ACA) in 2014, 100 000 persons living with human immunodeficiency virus (HIV) (PLWH) lacked healthcare coverage and relied on a safety net of Ryan White HIV/AIDS Program support, local charities, or uncompensated care (RWHAP/Uncomp) to cover visits to HIV providers. We compared HIV provider coverage before (2011–2013) versus after (first half of 2014) ACA implementation among a total of 28 374 PLWH followed up in 4 sites in Medicaid expansion states (California, Oregon, and Maryland), 4 in a state (New York) that expanded Medicaid in 2001, and 2 in nonexpansion states (Texas and Florida). Methods. Multivariate multinomial logistic models were used to assess changes in RWHAP/Uncomp, Medicaid, and private insurance coverage, using Medicare as a referent. Results. In expansion state sites, RWHAP/Uncomp coverage decreased (unadjusted, 28% before and 13% after ACA; adjusted relative risk ratio [ARRR], 0.44; 95% confidence interval [CI], .40–.48). Medicaid coverage increased (23% and 38%; ARRR, 1.82; 95% CI, 1.70–1.94), and private coverage was unchanged (21% and 19%; 0.96; .89–1.03). In New York sites, both RWHAP/Uncomp (20% and 19%) and Medicaid (50% and 50%) coverage were unchanged, while private coverage decreased (13% and 12%; ARRR, 0.86; 95% CI, .80–.92). In nonexpansion state sites, RWHAP/Uncomp (57% and 52%) and Medicaid (18% and 18%) coverage were unchanged, while private coverage increased (4% and 7%; ARRR, 1.79; 95% CI, 1.62–1.99). Conclusions. In expansion state sites, half of PLWH relying on RWHAP/Uncomp coverage shifted to Medicaid, while in New York and nonexpansion state sites, reliance on RWHAP/Uncomp remained constant. In the first half of 2014, the ACA did not eliminate the need for RWHAP safety net provider visit coverage. PMID:27143660

  8. [Utilization and coverage of a Food and Nutritional Surveillance System in Rio Grande do Sul state, Brazil].

    PubMed

    Jung, Natália Miranda; Bairros, Fernanda de Souza; Neutzling, Marilda Borges

    2014-05-01

    This article seeks to describe the utilization and coverage percentage of the Nutritional and Food Surveillance System (SISVAN-Web) in the Regional Health Offices of Rio Grande do Sul in 2010 and to assess its correlation with socio-economic, demographic and health system organization variables at the time. It is an ecological study that used secondary data from the SISVAN-Web, the Department of Primary Health Care, the IT Department of the Unified Health System and the Brazilian Institute of Geography and Statistics. The evaluation of utilization and coverage data was restricted to nutritional status. The percentage of utilization of SISVAN-Web refers to the number of cities that fed the system. Total coverage was defined as the percentage of individuals in all stages of the life cycle monitored by SISVAN-Web. It was found that 324 cities fed the application, corresponding to a utilization percentage of 65.3%. Greater system coverage was observed in all Regional Health Coordination (RHC) Units for ages 0 to 5 years and 5-10 years. There was a significant association between the percentage of utilization of SISVAN-Web and Family Health Strategy coverage in each RHC Unit. The results of this study indicated low percentages of utilization and coverage of SISVAN-Web in Rio Grande do Sul.

  9. Structural deformation at the Flynn Creek impact crater, Tennessee - A preliminary report on deep drilling

    NASA Technical Reports Server (NTRS)

    Roddy, D. J.

    1979-01-01

    The geologic and core drilling studies described in the present paper show that the Flynn Creek crater has such distinctive morphological features as a broad flat hummocky floor; large central peak; locally terraced crater walls; uplifted, as well as flat-lying rim segments; and a surrounding ejecta blanket. The major structural features include a shallow depth of total brecciation and excavation as compared with apparent crater diameter; a thin breccia lens underlain by a thin zone of disrupted strata; concentric ring fault zones in inner rim, beneath crater wall, and outer crater floor regions; a large central uplift underlain by a narrow dipping zone of deeply disrupted strata; faulted, folded, brecciated, and fractured rim strata; and uplifted rim strata, which dip away from the crater, and flat-lying rim strata, which terminate as inward dipping rocks.

  10. Measurement properties of the Human Activity Profile questionnaire in hospitalized patients.

    PubMed

    Souza, Daniel C; Wegner, Fernando; Costa, Lucíola C M; Chiavegato, Luciana D; Lunardi, Adriana C

    To test the measurement properties (reproducibility, internal consistency, ceiling and floor effects, and construct validity) of the Human Activity Profile (HAP) questionnaire in hospitalized patients. This measurement properties study recruited one-hundred patients hospitalized for less than 48h for clinical or surgical reasons. The HAP was administered at baseline and after 48h in a test-retest design). The International Physical Activity Questionnaire (IPAQ-6) was also administered at baseline, aiming to assess the construct validity. We tested the following measurement properties: reproducibility (reliability assessed by type 2,1 intraclass correlation coefficient (ICC 2,1 )); agreement by the standard error of measurement (SEM) and by the minimum detectable change with 90% confidence (MDC 90 ), internal consistency by Cronbach's alpha, construct validity using a chi-square test, and ceiling and floor effects by calculating the proportion of patients who achieved the minimum or maximum scores. Reliability was excellent with an ICC of 0.99 (95% CI=0.98-0.99). SEM was 1.44 points (1.5% of the total score), the MDD 90 was 3.34 points (3.5% of the total score) and the Cronbach's alpha was 0.93 (alpha if item deleted ranging from 0.94 to 0.94). An association was observed between patients classified by HAP and by IPAQ-6 (χ 2 =3.38; p=0.18). Ceiling or floor effects were not observed. The HAP shows adequate measurement properties for the assessment of the physical activity/inactivity level in hospitalized patients. Copyright © 2017 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier Editora Ltda. All rights reserved.

  11. Reliability and validity of the Persian lower extremity functional scale (LEFS) in a heterogeneous sample of outpatients with lower limb musculoskeletal disorders.

    PubMed

    Negahban, Hossein; Hessam, Masumeh; Tabatabaei, Saeid; Salehi, Reza; Sohani, Soheil Mansour; Mehravar, Mohammad

    2014-01-01

    The aim was to culturally translate and validate the Persian lower extremity functional scale (LEFS) in a heterogeneous sample of outpatients with lower extremity musculoskeletal disorders (n = 304). This is a prospective methodological study. After a standard forward-backward translation, psychometric properties were assessed in terms of test-retest reliability, internal consistency, construct validity, dimensionality, and ceiling or floor effects. The acceptable level of intraclass correlation coefficient >0.70 and Cronbach's alpha coefficient >0.70 was obtained for the Persian LEFS. Correlations between Persian LEFS and Short-Form 36 Health Survey (SF-36) subscales of Physical Health component (rs range = 0.38-0.78) were higher than correlations between Persian LEFS and SF-36 subscales of Mental Health component (rs range = 0.15-0.39). A corrected item--total correlation of >0.40 (Spearman's rho) was obtained for all items of the Persian LEFS. Horn's parallel analysis detected a total of two factors. No ceiling or floor effects were detected for the Persian LEFS. The Persian version of the LEFS is a reliable and valid instrument that can be used to measure functional status in Persian-speaking patients with different musculoskeletal disorders of the lower extremity. Implications for Rehabilitation The Persian lower extremity functional scale (LEFS) is a reliable, internally consistent and valid instrument, with no ceiling or floor effects, to determine functional status of heterogeneous patients with musculoskeletal disorders of the lower extremity. The Persian version of the LEFS can be used in clinical and research settings to measure function in Iranian patients with different musculoskeletal disorders of the lower extremity.

  12. Genetic characterization of Arcobacter isolates from various sources.

    PubMed

    Shah, A H; Saleha, A A; Zunita, Z; Cheah, Y K; Murugaiyah, M; Korejo, N A

    2012-12-07

    Arcobacter is getting more attention due to its detection from wide host-range and foods of animal origin. The objective of this study was to determine the prevalence of Arcobacter spp. in various sources at farm level and beef retailed in markets in Malaysia and to assess the genetic relatedness among them. A total of 273 samples from dairy cattle including cattle (n=120), floor (n=30), water (n=18) and milk (n=105) as well as 148 beef samples collected from retail markets were studied. The overall prevalence of Arcobacter in various sources was 15% (63/421). However, source-wise detection rate of Arcobacter spp. was recorded as 26.66% (8/30) in floor, 26.3% (39/148) in beef, 11.11% (2/18) in water, 7.6% (8/105) in milk and 6.66% (8/120) in cattle. Arcobacter butzleri was the frequently isolated species however, a total of 75%, 66.7%, 53.8%, 50% and 12.5%% samples from floor, milk, beef, water and cattle, respectively, were carrying more than one species simultaneously. One (12.5%) cattle and beef sample (2.5%) found to be carrying one Arcobacter spp., A. skirrowii, only. Typing of Arcobacter isolates was done though pulsed field gel electrophoresis (PFGE) after digested with Eag1 restriction endonuclease (RE). Digestion of genomic DNA of Arcobacter from various sources yielded 12 major clusters (≥ 50% similarity) which included 29 different band patterns. A number of closely related A. butzleri isolates were found from beef samples which indicate cross contamination of common type of Arcobacter. Fecal shedding of Arcobacter by healthy animals can contaminate water and milk which may act as source of infection in humans. Copyright © 2012 Elsevier B.V. All rights reserved.

  13. Reconstruction of Midface and Orbital Wall Defects After Maxillectomy and Orbital Content Preservation With Titanium Mesh and Fascia Lata: 3-Year Follow-Up.

    PubMed

    Motiee-Langroudi, Maziar; Harirchi, Iraj; Amali, Amin; Jafari, Mehrdad

    2015-12-01

    To describe the authors' experience in the reconstruction of patients after total maxillectomy with preservation of orbital contents for maxillary tumors using titanium mesh and autogenous fascia lata, where no setting for free flap reconstruction is available. Twelve consecutive patients with paranasal sinus tumors underwent total maxillectomy without orbital exenterations and primary reconstruction. The defects were reconstructed by titanium mesh in combination with autogenous fascia lata in the orbital floor performed by 1 surgical team. Titanium mesh (0.2 mm thick) was contoured and fixed to reconstruct the orbital floor and obtain midface projection. Fascia lata was used to cover the titanium mesh along the orbital floor to prevent fat entrapment in the mesh holes. The most common pathology was squamous cell carcinoma (50%). Patients' mean age was 45.66 years (33 to 74 yr). The mean follow-up period was 35.2 months (30 to 49 months). During follow-up, no infection or foreign body reaction was encountered. Extrusion of titanium mesh occurred in 4 patients who underwent postoperative radiotherapy. Two cases of mild diplopia at extreme gaze occurred early during the postoperative period that resolved after a few months. Placing fascia lata between the titanium mesh surface of the orbital implant and the orbital contents was successful in preventing long-term diplopia or dystopia. Nevertheless, exposure of the titanium implant through the skin surface represented a complication of this technique in 25% of patients. Further studies are required with head-to-head comparisons of artificial materials and free flaps for reconstruction of maxillectomy defects. Copyright © 2015 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  14. Distribution of surficial sediment in Long Island Sound and adjacent waters: Texture and total organic carbon

    USGS Publications Warehouse

    Poppe, L.J.; Knebel, H.J.; Mlodzinska, Z.J.; Hastings, M.E.; Seekins, B.A.

    2000-01-01

    The surficial sediment distribution within Long Island Sound has been mapped and described using bottom samples, photography, and sidescan sonar, combined with information from the geologic literature. The distributions of sediment type and total organic carbon (TOC) reveal several broad trends that are largely related to the sea-floor geology, the bathymetry, and the effects of modern tidal- and wind-driven currents. Sediment types are most heterogeneous in bathymetrically complex and shallow nearshore areas; the heterogeneity diminishes and the texture fines with decreasing bottom-current energy. Lag deposits of gravel and gravelly sand dominate the surficial sediment texture in areas where bottom currents are the strongest (such as where tidal flow is constricted) and where glacial till crops out at the sea floor. Sand is the dominant sediment type in areas characterized by active sediment transport and in shallow areas affected by fine-grained winnowing. Silty sand and sand-silt-clay mark transitions within the basin from higher- to lower-energy environments, suggesting a diminished hydraulic ability to sort and transport sediment. Clayey silt and silty clay are the dominant sediment types accumulating in the central and western basins and in other areas characterized by long-term depositional environments. The amount of TOC in the sediments of Long Island Sound varies inversely with sediment grain size. Concentrations average more than 1.9% (dry weight) in clayey silt, but are less than 0.4% in sand. Generally, values for TOC increase both toward the west in the Sound and from the shallow margins to the deeper parts of the basin floor. Our data also suggest that TOC concentrations can vary seasonally.

  15. The reliability and validity of the Turkish version of Fullerton Advanced Balance (FAB-T) scale.

    PubMed

    Iyigun, Gozde; Kirmizigil, Berkiye; Angin, Ender; Oksuz, Sevim; Can, Filiz; Eker, Levent; Rose, Debra J

    2018-06-04

    The aim of this study was to evaluate the reliability and validity of the Turkish version of the FAB(FAB-T) scale in the older Turkish adults. The reliability and validity of the scale was tested on 200 community-dwelling older adults. FAB-T scale was scored by different physiotherapists on different days to evaluate inter-rater and intrarater reliability. The Berg Balance Scale (BBS) was used for the evaluation of convergent validity, and the content validity of the FAB-T scale was investigated. The FAB-T scale showed very high inter- and intra-rater reliability. For inter-rater agreement, on the individual test items and total score ICC values were 0.92 (95 %CI; 0.90-0.94) and 0.96 (95% CI; 0.95-0.97) respectively. The intra-rater agreement, on the individual test items and total score ICC values were 0.93 (95 %CI; 0.91- 0.95) and 0.96 (95% CI; 0.95- 0.97) respectively. There was a good agreement between the FAB-T and BBS scales. A high correlation was found between the BBS and FAB-T scales [rho = 0.70 (%95 CI; 0.62-0.76)] indicating good convergent validity. Considering the content validity of the FAB-T scale, no floor (floor score: 0%) or ceiling (ceiling score: 6.5%) effect was detected. The FAB-T scale was successfully translated from the original English version (FAB) and demonstrated strong psychometric features. It was found that the FAB-T scale has very high inter-rater and intra-rater reliability. Considering the convergent validity, the scale has high correlation with the BBS. The FAB-T has no floor and ceiling effect. Copyright © 2018 Elsevier B.V. All rights reserved.

  16. Footwear and flooring: charge generation in combination with a person as influenced by environmental moisture

    NASA Astrophysics Data System (ADS)

    Swenson, D. E.

    2015-10-01

    It is well known that a person walking on a floor will liberate electrostatic charge. The amount of charge that can be accumulated on a person by walking is dependent on many factors that are also well understood. Among these factors is the electrical resistance between a person and ground. The electrical resistance of footwear, other clothing, a person's skin resistance and the contact resistance between footwear and the floor impact the total resistance of the system. As important as measuring resistance may be as an evaluation method, it does not take into account triboelectric generation of charge. The recent revisions of ANSI/ESD S20.20[1] from the ESD Association and IEC61340-5-1[2] from IEC TC101 - Electrostatics, both include a dynamic walking test since experience in recent years has shown that resistance alone does not predict how a footwear and flooring system will actually perform. The USA group ASHRAE1, commissioned a study to evaluate electrostatic charge generation inside data centres as influenced by environmental moisture (relative and absolute humidity)[3][4]. The reason for this study is that past data centre operating guidelines have called for a very narrow range of temperature and humidity control, largely because of the anecdotal evidence that moderate to high RH impacts static electricity generation and accumulation. This results in a massive consumption of electricity to maintain a narrow window of temperature and environmental moisture. Broadening or eliminating humidity controls could result in a major saving of electricity and money.

  17. Changes of polarimetric scattering characteristics of ALOS PALSAR caused by the 2011 Eruption of Shinmoe-dake Volcano

    NASA Astrophysics Data System (ADS)

    Ohkura, Hiroshi

    Full polarimetric SAR images of ALOS PALSAR of Shinmoe-dake volcano in Japan were analyzed. The volcano erupted in January, 2011 and volcano ash deposited more than 10 cm in 12 km (2) and 1 m in 2 km (2) . Two images before and after the eruption were compared based on a point view of the four-component scattering model to detect changes of polarimetric scattering characteristics. The main detected changes are as follows. Total power of the four-component scattering model decreased on a farslope after the eruption. An incident angle on a farslope is larger than the angle on a foreslope. Decrease of surface roughness due to deposited volcanic ashes makes back-scattering smaller in the area of a larger incidence angle. However the rate of the double-bounce component got higher in a forest at the foot of a mountain slope and on a plain, where the ground surface is almost horizontal and the incident angle is relatively-large. Decrease of roughness of the forest floor increases forward scattering on the floor of the larger incident angle. This increases the double-bounced scattering due to bouncing back between the forest floor and trunks which stand "perpendicularly" on the almost horizontal forest floor. The rate of the surface scattering component got higher around an area where layover occurred. In the study area, most of layovers occurred at a ridge where an incidence angle was small. Decrease of surface roughness due to the ash deposit increases the surface scattering power in the area of the small incidence angle.

  18. Formation and loss of humic substances during decomposition in a pine forest floor

    USGS Publications Warehouse

    Qualls, R.G.; Takiyama, A.; Wershaw, R. L.

    2003-01-01

    Since twice as much C is sequestered in soils as is contained in the atmosphere, the factors controlling the decomposition rate of soil C are important to the assessment of the effects of climatic change. The formation of chemically resistant humic substances might be an important process controlling recycling of CO2 to the atmosphere. Our objectives were to measure the rate of formation and loss of humic substances during 13 yr of litter decomposition. We placed nets on the floor of a white pine (Pinus strobus) forest to separate each annual layer of litter for 13 yr and measured humic substance concentration using NaOH extraction followed by chromatographic fractionation. The humic acid fraction increased from 2.1% of the C in litterfall to 15.7% after 1 yr. On a grams per square meter (g m-2) basis the humic substance fraction increased during the first year and then declined, with a half decay time (t1/2) of 5.1 yr, which was significantly slower than the bulk litter (t1/2 = 3.9 yr). The carboxylic C concentration estimated from 13C nuclear magnetic resonance (NMR) increased in the litter over time, though total mass of carboxylic acid C in the forest floor also declined over the 13-yr period (t1/2 = 4.6 yr). While humic substances in the forest floor decomposed at a somewhat slower rate than bulk litter during Years 1 to 13, they decomposed much faster than has been calculated from 14C dating of the refractory fraction of organic matter in the mineral soil.

  19. Randomized, controlled trial of biofeedback with anal manometry, transanal ultrasound, or pelvic floor retraining with digital guidance alone in the treatment of mild to moderate fecal incontinence.

    PubMed

    Solomon, Michael J; Pager, Chet K; Rex, Jenny; Roberts, Rachael; Manning, Jane

    2003-06-01

    A prospective, three-armed, randomized, controlled trial was performed to assess whether pelvic floor exercises with biofeedback using anal manometry or transanal ultrasound are superior to pelvic floor exercises with feedback from digital examination alone in terms of continence, quality of life, physiologic sphincter strength, and compliance. Its secondary objectives were to assess whether there are any differences in these outcomes between biofeedback with transanal ultrasound vs. anal manometry and to correlate the physiologic measures with clinical outcome. One hundred twenty patients with mild to moderate fecal incontinence were randomized into one of three treatment groups: biofeedback with anal manometry, biofeedback with transanal ultrasound, or pelvic floor exercises with feedback from digital examination alone. Commencing one week after an initial 45-minute assessment session, patients attended monthly treatments for a total of five sessions. Each session lasted 30 minutes and involved sphincter exercises with biofeedback that involved instrumentation or digital examination alone, and patients were encouraged to perform identical exercises twice per day between outpatient visits. One hundred two patients (85 percent) completed the four-month treatment program. Across all treatment allocations, patients experienced modest but highly significant improvements in all nine outcome measures during treatment, with 70 percent of all patients perceiving improvement in symptom severity and 69 percent of patients reporting improved quality of life. With the possible exception of isotonic fatigue time, there were no significant differences between the three treatment groups in compliance, physiologic sphincter strength, and clinical or quality-of-life measures. Correlations between physiologic measures and clinical outcomes were much stronger with ultrasound-based measures than with manometry. Although patients in this study who completed pelvic floor exercises with feedback from digital examination achieved no additional benefit from biofeedback and measurement with transanal ultrasound or manometry, it may be that the guidance received through digital examination alone offered patients in the pelvic floor exercise group an effective biofeedback mechanism. Contrary to our hypothesis, the use of transanal ultrasound offered no benefit over manometry, but the use of ultrasound for isotonic fatigue time and isometric fatigue contractions provided potentially important physiologic measures that require further study. This study has confirmed, through a large sample of patients, that pelvic floor retraining programs are an effective treatment for improving physiologic, clinical, and quality-of-life parameters in the short term.

  20. 76 FR 26685 - Multilayered Wood Flooring From the People's Republic of China: Alignment of Final Countervailing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-09

    ... DEPARTMENT OF COMMERCE International Trade Administration [C-570-971] Multilayered Wood Flooring... determination in this countervailing duty investigation of multilayered wood flooring (``wood flooring'') from... simultaneously initiated antidumping and countervailing duty investigations of wood flooring from the PRC. See...

  1. Tungsten erosion by unipolar arcing in DIII-D

    NASA Astrophysics Data System (ADS)

    Bykov, I.; Chrobak, C. P.; Abrams, T.; Rudakov, D. L.; Unterberg, E. A.; Wampler, W. R.; Hollmann, E. M.; Moyer, R. A.; Boedo, J. A.; Stahl, B.; Hinson, E. T.; Yu, J. H.; Lasnier, C. J.; Makowski, M.; McLean, A. G.

    2017-12-01

    Unipolar arcing was an important mechanism of metal surface erosion during the recently conducted Metal Rings Campaign in DIII-D when two toroidally continuous tile rings with 5 cm wide W-coated TZM inserts were installed in graphite tiles in the lower divertor, one on the floor and one on the shelf. Most of the arc damage occurred on the shelf ring. The total amount of W removed by arcing from the affected ˜4% of the shelf ring area was estimated ˜0.8 × 1021 at., about half of the total amount of W eroded and redeposited outside the inserts (1.8 ± 0.9)×1021 at. The rings were exposed for a total of ˜480 discharges, an equivalent of plasma time on W surfaces (with {{I}}{{p}}> 0.5 MA) ˜103 s. Arcing was monitored in situ with WI (400.9 nm) filtered camera and photomultipliers and showed that: (i) arcing only occurred during ELMs and disruptions, (ii) arcing rate was much lower on the floor than on the shelf ring, and (iii) arcing had a low cut off power flux density about 2 MW m-2. About half of arc tracks had large {10}\\circ pitch angle and probably were produced during disruptions. Such tracks were only found on the shelf. Moderate toroidal variation of the arc track density and W erosion with nearly n = 1 pattern has been measured.

  2. 2. VIEW OF LOWER MILL FLOOR FOUNDATION, SHOWING, LEFT TO ...

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

    2. VIEW OF LOWER MILL FLOOR FOUNDATION, SHOWING, LEFT TO RIGHT, EDGE OF MILLING FLOOR, TABLE FLOOR, VANNING FLOOR, LOADING LEVEL, TAILINGS POND IN RIGHT BACKGROUND. VIEW IS LOOKING FROM THE NORTHWEST - Mountain King Gold Mine & Mill, 4.3 Air miles Northwest of Copperopolis, Copperopolis, Calaveras County, CA

  3. 75 FR 79019 - Multilayered Wood Flooring From China

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-17

    ...)] Multilayered Wood Flooring From China Determinations On the basis of the record \\1\\ developed in the subject... imports from China of multilayered wood flooring, provided for in subheadings 4409.10, 4409.29, 4412.31... multilayered wood flooring. The following companies are members of the CAHP: Anderson Hardwood Floors, LLC...

  4. CAST FLOOR WITH VIEW OF TORPEDO LADLE (BENEATH CAST FLOOR) ...

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

    CAST FLOOR WITH VIEW OF TORPEDO LADLE (BENEATH CAST FLOOR) AND KEEPERS OF THE CAST HOUSE FLOOR, S.L. KIMBROUGH AND DAVID HOLMES. - U.S. Steel, Fairfield Works, Blast Furnace No. 8, North of Valley Road, West of Ensley-Pleasant Grove Road, Fairfield, Jefferson County, AL

  5. Reducing Floor Impact Vibration and Sound Using a Momentum Exchange Impact Damper

    NASA Astrophysics Data System (ADS)

    Son, Lovely; Kawachi, Makoto; Matsuhisa, Hiroshi; Utsuno, Hideo

    This paper deals with reducing floor impact vibration and sound by using a momentum exchange impact damper. The impact damper consists of a spring and a mass that is contact with the floor. When a falling object collides with the floor, the floor interacts with the damper mass, and the momentum of the falling object is transferred to the damper. In this works a computational model is formulated to simulate dynamic floor vibration induced by impact. The floor vibration is simulated for various sized damper masses. A proof-of-concept experimental apparatus was fabricated to represent a floor with an impact damper. This example system consists of an acrylic plate, a ball for falling object, and an impact damper. A comparison between simulated and experimental results were in good agreement in suggesting that the proposed impact damper is effective at reducing floor impact vibration and sound by 25% and 63%, respectively.

  6. The influence of body mass index and gender on the impact attenuation properties of flooring systems.

    PubMed

    Bhan, Shivam; Levine, Iris; Laing, Andrew C

    2013-12-01

    The biomechanical effectiveness of safety floors has never been assessed during sideways falls with human volunteers. Furthermore, the influence of body mass index (BMI) and gender on the protective capacity of safety floors is unknown. The purpose of this study was to test whether safety floors provide greater impact attenuation compared with traditional flooring, and whether BMI and gender modify their impact attenuation properties. Thirty participants (7 men and 7 women of low BMI; 7 men and 9 women of high BMI) underwent lateral pelvis release trials on 2 common floors and 4 safety floors. As a group, the safety floors reduced peak force (by up to 11.7%), and increased the time to peak force (by up to 25.5%) compared with a traditional institutional grade floor. Force attenuation was significantly higher for the low BMI group, and for males. Force attenuation was greatest for the low BMI males, averaging 26.5% (SD = 3.0) across the safety floors. These findings demonstrate an overall protective effect of safety floors during lateral falls on the pelvis, but also suggest augmented benefits for frail older adults (often with low body mass) who are at an increased risk of hip fracture.

  7. Surgical reconstruction of pelvic floor descent: anatomic and functional aspects.

    PubMed

    Wagenlehner, F M E; Bschleipfer, T; Liedl, B; Gunnemann, A; Petros, P; Weidner, W

    2010-01-01

    The human pelvic floor is a complex structure and pelvic floor dysfunction is seen frequently in females. This review focuses on the surgical reconstruction of the pelvic floor employing recent findings on functional anatomy. A selective literature research was performed by the authors. Pelvic floor activity is regulated by 3 main muscular forces that are responsible for vaginal tension and suspension of the pelvic floor organs, bladder and rectum. A variety of symptoms can derive from pelvic floor dysfunctions, such as urinary urge and stress incontinence, abnormal bladder emptying, fecal incontinence, obstructive bowel disease syndrome and pelvic pain. These symptoms mainly derive, for different reasons, from laxity in the vagina or its supporting ligaments as a result of altered connective tissue. Pelvic floor reconstruction is nowadays driven by the concept that in case of pelvic floor symptoms, restoration of the anatomy will translate into restoration of the physiology and ultimately improve patients' symptoms. The surgical reconstruction of the anatomy is almost exclusively focused on the restoration of the lax pelvic floor ligaments. Exact preoperative identification of the anatomical lesions is necessary to allow for exact anatomical reconstruction with respect to the muscular forces of the pelvic floor. Copyright 2010 S. Karger AG, Basel.

  8. Deflection of Resilient Materials for Reduction of Floor Impact Sound

    PubMed Central

    Lee, Jung-Yoon; Kim, Jong-Mun

    2014-01-01

    Recently, many residents living in apartment buildings in Korea have been bothered by noise coming from the houses above. In order to reduce noise pollution, communities are increasingly imposing bylaws, including the limitation of floor impact sound, minimum thickness of floors, and floor soundproofing solutions. This research effort focused specifically on the deflection of resilient materials in the floor sound insulation systems of apartment houses. The experimental program involved conducting twenty-seven material tests and ten sound insulation floating concrete floor specimens. Two main parameters were considered in the experimental investigation: the seven types of resilient materials and the location of the loading point. The structural behavior of sound insulation floor floating was predicted using the Winkler method. The experimental and analytical results indicated that the cracking strength of the floating concrete floor significantly increased with increasing the tangent modulus of resilient material. The deflection of the floating concrete floor loaded at the side of the specimen was much greater than that of the floating concrete floor loaded at the center of the specimen. The Winkler model considering the effect of modulus of resilient materials was able to accurately predict the cracking strength of the floating concrete floor. PMID:25574491

  9. Deflection of resilient materials for reduction of floor impact sound.

    PubMed

    Lee, Jung-Yoon; Kim, Jong-Mun

    2014-01-01

    Recently, many residents living in apartment buildings in Korea have been bothered by noise coming from the houses above. In order to reduce noise pollution, communities are increasingly imposing bylaws, including the limitation of floor impact sound, minimum thickness of floors, and floor soundproofing solutions. This research effort focused specifically on the deflection of resilient materials in the floor sound insulation systems of apartment houses. The experimental program involved conducting twenty-seven material tests and ten sound insulation floating concrete floor specimens. Two main parameters were considered in the experimental investigation: the seven types of resilient materials and the location of the loading point. The structural behavior of sound insulation floor floating was predicted using the Winkler method. The experimental and analytical results indicated that the cracking strength of the floating concrete floor significantly increased with increasing the tangent modulus of resilient material. The deflection of the floating concrete floor loaded at the side of the specimen was much greater than that of the floating concrete floor loaded at the center of the specimen. The Winkler model considering the effect of modulus of resilient materials was able to accurately predict the cracking strength of the floating concrete floor.

  10. The distribution over time of costs and social net benefits for pertussis immunization programs.

    PubMed

    Girard, Dorota Zdanowska

    2010-03-01

    The cost of a six-dose pertussis immunization programs for children and adolescents is investigated in relation to estimators of the price of acellular vaccine, the value of a child's life, levels of vaccination rate and discount rates. We compare the cost of the program maintained over time at 90% with three alternative strategies, each involving a decrease in vaccination coverage. Data from England and Wales, 1966-2005, is used to formalize a delay in occurrence of pertussis cases as a result of a fall in coverage. We first apply the criterion of minimization of the total social cost of pertussis to identify the best cost saving immunization strategy. The results are also discussed in form of the discounted present value of the total social net benefits. We find that the discounted present value of the total social net benefit is maximized when a stable vaccination program at 90% is compared to a gradual decrease in vaccination coverage leading to the lowest vaccination rate. The benefits to society of providing sustained immunization strategy, vaccinating the highest proportion of children and adolescents, are systematically proved on the basis of the second optimisation criterion, independently of the level of estimators applied during economic evaluation for the cost variables.

  11. Liquid Elevations and Topographic Constraints of Titan's Lacustrine Basins at the end of Cassini: Hydrology and Formation

    NASA Astrophysics Data System (ADS)

    Hayes, A. G., Jr.; Birch, S.; Corlies, P.; Poggiali, V.; Dietrich, W. E.; Howard, A. D.; Kirk, R. L.; Mastrogiuseppe, M.; Malaska, M.; Moore, J. M.; Mitchell, K. L.

    2017-12-01

    The topographic information provided by Cassini RADAR Altimetry, SAR Topography, and stereo photogrammetry has opened new doors for Titan research by allowing the quantitative analysis of morphologic form as well as relative measurements of liquid elevation. Herein, we investigate the relative elevation of liquid bodies and the three-dimensional morphology of Titan's lacustrine basins in order to provide observables that will constrain connectivity and plausible formation mechanisms. Using delay-Dopler processed altimetry measurements we show that the liquid elevations of Titan's Mare are the same to within measurement error, consistent with an equipotential surface. The liquid elevation of several smaller lakes, however, are found to be several hundreds above this sea level, suggesting that they exist in isolated or perched basins. Within a given topographic basin, the floor elevations of empty lakes are typically higher than the local liquid elevation, suggesting either the presence of an impermeable boundary or local subsurface connectivity. Basins with floors closer to the local phreatic surface appear brighter to both nadir and off-nadir microwave observations than those that are more elevated, indicating a potential change in composition. The majority of Titan's lakes reside in sharp edged depressions whose planform curvature suggests expansion through uniform scarp retreat. Many, but not all, of these basins exhibit flat floors and hundred-meter scale steep-sided raised rims that present a challenge to formation models. Raised rims are found on 57% of all the lakes in our study, including for all lakes >500 km2 in area. With super-resolution altimetry profiles, the raised rims can also be correlated directly with SAR image data, allowing for the identification of raised rims on other lakes, even when they lack topographic data coverage.. The basins are often topographically closed with no evidence for inflow or flow channels at the 300 m resolution of Cassini SAR images. The implications of these observations will be discussed in the context of common basin formation models. We conclude that sublimation and dissolution mechanisms can best match the observed constraints, but that challenges still exist in their implementation.

  12. 78 FR 21398 - Notice of Intent to Prepare a Supplemental Environmental Impact Statement for the Approval of a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-10

    ... square foot tribal gaming facility to be located on the Tribe's Reservation, which qualifies as ``Indian... for the management of a 203,000 square foot gaming facility on the Tribe's Reservation, which is... total estimated gaming floor area for the gaming facility is 70,000 square feet. The exterior of the...

  13. Stepping over obstacles: anticipatory modifications in children with and without Down syndrome.

    PubMed

    Virji-Babul, Naznin; Brown, Michelle

    2004-12-01

    The purpose of this study was to explore the mechanism of anticipatory control of gait in relation to the perception of an obstacle. Typically developing (TD) children (4-7 years of age) and children with Down syndrome (5-6 years of age) walked and stepped over obstacles of two different heights-a "subtle" obstacle that was placed at a very low distance from the floor (1% of total body height) and an "obvious" obstacle that was placed at a much higher distance from the floor (15% of total body height). Spatial and temporal measures of the gait cycle were analyzed. TD children showed increased variability in pre-obstacle step lengths only in response to the higher obstacle. Children with DS showed a decrease in variability in response to the higher obstacle and marked qualitative changes in their gait cycle. Both groups of children were able to scale toe clearance with obstacle height. These results show that TD young children can make task-specific anticipatory adjustments by modulating step length and toe clearance. Children with DS show appropriate scaling of toe clearance and are beginning to show the emergence of anticipatory responses under specific environmental conditions.

  14. Effect of Coadsorbed Water on the Photodecomposition of Acetone on TiO2(110)

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

    Henderson, Michael A.

    2008-06-10

    The influence of coadsorbed water on the photodecomposition of acetone on TiO2 was examined using temperature programmed desorption (TPD) and the rutile TiO2(110) surface as a model photocatalyst. Of the two major influences ascribed to water in the heterogeneous photocatalysis literature (promotion via OH radical supply and inhibition due to site blocking), only the negative influence of water was observed. As long as the total water and acetone coverage was maintained well below the first layer saturation coverage (‘1 ML’), little inhibition of acetone photodecomposition was observed. However, as the total water+acetone coverage exceeded 1 ML, acetone was preferentially displacedmore » from the first layer to physisorbed states by water and the extent of acetone photodecomposition attenuated. The displacement originated from water compressing acetone into high coverage regions where increased acetone-acetone repulsions caused displacement from the first layer. The immediate product of acetone photodecomposition was adsorbed acetate, which occupies twice as many surface sites per molecule as compared to acetone. Since the acetate intermediate was more stable on the TiO2(110) surface than either water or acetone (as gauged by TPD) and since its photodecomposition rate was less than that of acetone, additional surface sites were not opened up during acetone photodecomposition for previously displaced acetone molecules to re-enter the first layer. Results in this study suggest that increased molecular-level repulsions between organic molecules brought about by increased water coverage are as influential in the inhibiting effect of water on photooxidation rates as are water-organic repulsions.« less

  15. Modern Theories of Pelvic Floor Support : A Topical Review of Modern Studies on Structural and Functional Pelvic Floor Support from Medical Imaging, Computational Modeling, and Electromyographic Perspectives.

    PubMed

    Peng, Yun; Miller, Brandi D; Boone, Timothy B; Zhang, Yingchun

    2018-02-12

    Weakened pelvic floor support is believed to be the main cause of various pelvic floor disorders. Modern theories of pelvic floor support stress on the structural and functional integrity of multiple structures and their interplay to maintain normal pelvic floor functions. Connective tissues provide passive pelvic floor support while pelvic floor muscles provide active support through voluntary contraction. Advanced modern medical technologies allow us to comprehensively and thoroughly evaluate the interaction of supporting structures and assess both active and passive support functions. The pathophysiology of various pelvic floor disorders associated with pelvic floor weakness is now under scrutiny from the combination of (1) morphological, (2) dynamic (through computational modeling), and (3) neurophysiological perspectives. This topical review aims to update newly emerged studies assessing pelvic floor support function among these three categories. A literature search was performed with emphasis on (1) medical imaging studies that assess pelvic floor muscle architecture, (2) subject-specific computational modeling studies that address new topics such as modeling muscle contractions, and (3) pelvic floor neurophysiology studies that report novel devices or findings such as high-density surface electromyography techniques. We found that recent computational modeling studies are featured with more realistic soft tissue constitutive models (e.g., active muscle contraction) as well as an increasing interest in simulating surgical interventions (e.g., artificial sphincter). Diffusion tensor imaging provides a useful non-invasive tool to characterize pelvic floor muscles at the microstructural level, which can be potentially used to improve the accuracy of the simulation of muscle contraction. Studies using high-density surface electromyography anal and vaginal probes on large patient cohorts have been recently reported. Influences of vaginal delivery on the distribution of innervation zones of pelvic floor muscles are clarified, providing useful guidance for a better protection of women during delivery. We are now in a period of transition to advanced diagnostic and predictive pelvic floor medicine. Our findings highlight the application of diffusion tensor imaging, computational models with consideration of active pelvic floor muscle contraction, high-density surface electromyography, and their potential integration, as tools to push the boundary of our knowledge in pelvic floor support and better shape current clinical practice.

  16. External Hand Forces Exerted by Long-Term Care Staff to Push Floor-Based Lifts: Effects of Flooring System and Resident Weight.

    PubMed

    Lachance, Chantelle C; Korall, Alexandra M B; Russell, Colin M; Feldman, Fabio; Robinovitch, Stephen N; Mackey, Dawn C

    2016-09-01

    The aim of this study was to investigate the effects of flooring type and resident weight on external hand forces required to push floor-based lifts in long-term care (LTC). Novel compliant flooring is designed to reduce fall-related injuries among LTC residents but may increase forces required for staff to perform pushing tasks. A motorized lift may offset the effect of flooring on push forces. Fourteen female LTC staff performed straight-line pushes with two floor-based lifts (conventional, motor driven) loaded with passengers of average and 90th-percentile resident weights over four flooring systems (concrete+vinyl, compliant+vinyl, concrete+carpet, compliant+carpet). Initial and sustained push forces were measured by a handlebar-mounted triaxial load cell and compared to participant-specific tolerance limits. Participants rated pushing difficulty. Novel compliant flooring increased initial and sustained push forces and subjective ratings compared to concrete flooring. Compared to the conventional lift, the motor-driven lift substantially reduced initial and sustained push forces and perceived difficulty of pushing for all four floors and both resident weights. Participants exerted forces above published tolerance limits only when using the conventional lift on the carpet conditions (concrete+carpet, compliant+carpet). With the motor-driven lift only, resident weight did not affect push forces. Novel compliant flooring increased linear push forces generated by LTC staff using floor-based lifts, but forces did not exceed tolerance limits when pushing over compliant+vinyl. The motor-driven lift substantially reduced push forces compared to the conventional lift. Results may help to address risk of work-related musculoskeletal injury, especially in locations with novel compliant flooring. © 2016, Human Factors and Ergonomics Society.

  17. Variation in carbon storage and its distribution by stand age and forest type in boreal and temperate forests in northeastern China.

    PubMed

    Wei, Yawei; Li, Maihe; Chen, Hua; Lewis, Bernard J; Yu, Dapao; Zhou, Li; Zhou, Wangming; Fang, Xiangmin; Zhao, Wei; Dai, Limin

    2013-01-01

    The northeastern forest region of China is an important component of total temperate and boreal forests in the northern hemisphere. But how carbon (C) pool size and distribution varies among tree, understory, forest floor and soil components, and across stand ages remains unclear. To address this knowledge gap, we selected three major temperate and two major boreal forest types in northeastern (NE) China. Within both forest zones, we focused on four stand age classes (young, mid-aged, mature and over-mature). Results showed that total C storage was greater in temperate than in boreal forests, and greater in older than in younger stands. Tree biomass C was the main C component, and its contribution to the total forest C storage increased with increasing stand age. It ranged from 27.7% in young to 62.8% in over-mature stands in boreal forests and from 26.5% in young to 72.8% in over-mature stands in temperate forests. Results from both forest zones thus confirm the large biomass C storage capacity of old-growth forests. Tree biomass C was influenced by forest zone, stand age, and forest type. Soil C contribution to total forest C storage ranged from 62.5% in young to 30.1% in over-mature stands in boreal and from 70.1% in young to 26.0% in over-mature in temperate forests. Thus soil C storage is a major C pool in forests of NE China. On the other hand, understory and forest floor C jointly contained less than 13% and <5%, in boreal and temperate forests respectively, and thus play a minor role in total forest C storage in NE China.

  18. Sexual function in cervical cancer patients: Psychometric properties and performance of a Chinese version of the Female Sexual Function Index.

    PubMed

    Liu, Huayun; Yu, Juping; Chen, Yongyi; He, Pingping; Zhou, Lianqing; Tang, Xinhui; Liu, Xiangyu; Li, Xuying; Wu, Yanping; Wang, Yuhua

    2016-02-01

    This study aimed to examine the psychometric properties and performance of a Chinese version of the Female Sexual Function Index (FSFI) among a sample of Chinese women with cervical cancer. A cross-sectional survey design was used. The respondents included 215 women with cervical cancer in an oncology hospital in China. A translated Chinese version of the FSFI was used to investigate their sexual functioning. Psychometric testing included internal consistency reliability (Cronbach's alpha coefficient and item-total correlations), test-retest reliability, construct validity (principal component analysis via oblique rotation and confirmatory factor analysis), and variability (floor and ceiling effects). The mean score of the total scale was 20.65 ± 4.77. The Cronbach values were .94 for the total scale, .72-.90 for the domains. Test-retest correlation coefficients over 2-4 weeks were .84 (p < .05) for the total scale, .68-.83 for the subscales. Item-total correlation coefficients ranged between .47 and .83 (p < .05). A five-factor model was identified via principal component analysis and established by confirmatory factor analysis, including desire/arousal, lubrication, orgasm, satisfaction, and pain. There was no evidence of floor or ceiling effects. With good psychometric properties similar to its original English version, this Chinese version of the FSFI is demonstrated to be a reliable and valid instrument that can be used to assess sexual functioning of women with cervical cancer in China. Future research is still needed to confirm its psychometric properties and performance among a large sample. Copyright © 2015 Elsevier Ltd. All rights reserved.

  19. Variation in Carbon Storage and Its Distribution by Stand Age and Forest Type in Boreal and Temperate Forests in Northeastern China

    PubMed Central

    Wei, Yawei; Li, Maihe; Chen, Hua; Lewis, Bernard J.; Yu, Dapao; Zhou, Li; Zhou, Wangming; Fang, Xiangmin; Zhao, Wei; Dai, Limin

    2013-01-01

    The northeastern forest region of China is an important component of total temperate and boreal forests in the northern hemisphere. But how carbon (C) pool size and distribution varies among tree, understory, forest floor and soil components, and across stand ages remains unclear. To address this knowledge gap, we selected three major temperate and two major boreal forest types in northeastern (NE) China. Within both forest zones, we focused on four stand age classes (young, mid-aged, mature and over-mature). Results showed that total C storage was greater in temperate than in boreal forests, and greater in older than in younger stands. Tree biomass C was the main C component, and its contribution to the total forest C storage increased with increasing stand age. It ranged from 27.7% in young to 62.8% in over-mature stands in boreal forests and from 26.5% in young to 72.8% in over-mature stands in temperate forests. Results from both forest zones thus confirm the large biomass C storage capacity of old-growth forests. Tree biomass C was influenced by forest zone, stand age, and forest type. Soil C contribution to total forest C storage ranged from 62.5% in young to 30.1% in over-mature stands in boreal and from 70.1% in young to 26.0% in over-mature in temperate forests. Thus soil C storage is a major C pool in forests of NE China. On the other hand, understory and forest floor C jointly contained less than 13% and <5%, in boreal and temperate forests respectively, and thus play a minor role in total forest C storage in NE China. PMID:23977252

  20. 16. THIRD FLOOR BLDG. 28A, DETAIL CUTOUT IN FLOOR FOR ...

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

    16. THIRD FLOOR BLDG. 28A, DETAIL CUTOUT IN FLOOR FOR WOOD BLOCK FLOORING LOOKING EAST. - Fafnir Bearing Plant, Bounded on North side by Myrtle Street, on South side by Orange Street, on East side by Booth Street & on West side by Grove Street, New Britain, Hartford County, CT

  1. Tangential Floor in a Classroom Setting

    ERIC Educational Resources Information Center

    Marti, Leyla

    2012-01-01

    This article examines floor management in two classroom sessions: a task-oriented computer lesson and a literature lesson. Recordings made in the computer lesson show the organization of floor when a task is given to students. Temporary or "incipient" side floors (Jones and Thornborrow, 2004) emerge beside the main floor. In the literature lesson,…

  2. 77 FR 71167 - Multilayered Wood Flooring From the People's Republic of China: Notice of Court Decision Not in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-29

    ... DEPARTMENT OF COMMERCE International Trade Administration [C-570-971] Multilayered Wood Flooring... public that the final judgment in this case is not in harmony with the Department's Wood Flooring Final... multilayered wood flooring (``wood flooring'') from the People's Republic of China (``PRC'') covering the...

  3. State medicaid coverage for tobacco cessation treatments and barriers to coverage - United States, 2008-2014.

    PubMed

    Singleterry, Jennifer; Jump, Zach; Lancet, Elizabeth; Babb, Stephen; MacNeil, Allison; Zhang, Lei

    2014-03-28

    Medicaid enrollees have a higher smoking prevalence than the general population (30.1% of adult Medicaid enrollees aged <65 years smoke, compared with 18.1% of U.S. adults of all ages), and smoking-related disease is a major contributor to increasing Medicaid costs. Evidence-based cessation treatments exist, including individual, group, and telephone counseling and seven Food and Drug Administration (FDA)-approved medications. A Healthy People 2020 objective (TU-8) calls for all state Medicaid programs to adopt comprehensive coverage of these treatments. However, most states do not provide such coverage. To monitor trends in state Medicaid cessation coverage, the American Lung Association collected data on coverage of all evidence-based cessation treatments except telephone counseling by state Medicaid programs (for a total of nine treatments), as well as data on barriers to accessing these treatments (such as charging copayments or limiting the number of covered quit attempts) from December 31, 2008, to January 31, 2014. As of 2014, all 50 states and the District of Columbia cover some cessation treatments for at least some Medicaid enrollees, but only seven states cover all nine treatments for all enrollees. Common barriers in 2014 include duration limits (40 states for at least some populations or plans), annual limits (37 states), prior authorization requirements (36 states), and copayments (35 states). Comparing 2008 with 2014, 33 states added treatments to coverage, and 22 states removed treatments from coverage; 26 states removed barriers to accessing treatments, and 29 states added new barriers. The evidence from previous analyses suggests that states could reduce smoking-related morbidity and health-care costs among Medicaid enrollees by providing Medicaid coverage for all evidence-based cessation treatments, removing all barriers to accessing these treatments, promoting the coverage, and monitoring its use.

  4. Modelling the implications of moving towards universal coverage in Tanzania.

    PubMed

    Borghi, Josephine; Mtei, Gemini; Ally, Mariam

    2012-03-01

    A model was developed to assess the impact of possible moves towards universal coverage in Tanzania over a 15-year time frame. Three scenarios were considered: maintaining the current situation ('the status quo'); expanded health insurance coverage (the estimated maximum achievable coverage in the absence of premium subsidies, coverage restricted to those who can pay); universal coverage to all (government revenues used to pay the premiums for the poor). The model estimated the costs of delivering public health services and all health services to the population as a proportion of Gross Domestic Product (GDP), and forecast revenue from user fees and insurance premiums. Under the status quo, financial protection is provided to 10% of the population through health insurance schemes, with the remaining population benefiting from subsidized user charges in public facilities. Seventy-six per cent of the population would benefit from financial protection through health insurance under the expanded coverage scenario, and 100% of the population would receive such protection through a mix of insurance cover and government funding under the universal coverage scenario. The expanded and universal coverage scenarios have a significant effect on utilization levels, especially for public outpatient care. Universal coverage would require an initial doubling in the proportion of GDP going to the public health system. Government health expenditure would increase to 18% of total government expenditure. The results are sensitive to the cost of health system strengthening, the level of real GDP growth, provider reimbursement rates and administrative costs. Promoting greater cross-subsidization between insurance schemes would provide sufficient resources to finance universal coverage. Alternately, greater tax funding for health could be generated through an increase in the rate of Value-Added Tax (VAT) or expanding the income tax base. The feasibility and sustainability of efforts to promote universal coverage will depend on the ability of the system to contain costs.

  5. Seasonal influenza immunisation in Europe. Overview of recommendations and vaccination coverage for three seasons: pre-pandemic (2008/09), pandemic (2009/10) and post-pandemic (2010/11).

    PubMed

    Mereckiene, J; Cotter, S; Nicoll, A; Lopalco, P; Noori, T; Weber, Jt; D'Ancona, F; Levy-Bruhl, D; Dematte, L; Giambi, C; Valentiner-Branth, P; Stankiewicz, I; Appelgren, E; O Flanagan, D

    2014-04-24

    Since 2008, annual surveys of influenza vaccination policies, practices and coverage have been undertaken in 29 European Union (EU)/ European Economic Area (EEA) countries. After 2009, this monitored the impact of European Council recommendation to increase vaccination coverage to 75% among risk groups. This paper summarises the results of three seasonal influenza seasons: 2008/09, 2009/10 and 2010/11. In 2008/09, 27/29 countries completed the survey; in 2009/10 and 2010/11, 28/29 completed it. All or almost all countries recommended vaccination of older people (defined as those aged ≥50, ≥55, ≥59, ≥60 or ≥65 years), and people aged ≥6 months with clinical risk and healthcare workers. A total of 23 countries provided vaccination coverage data for older people, but only 7 and 10 had data for the clinical risk groups and healthcare workers, respectively. The number of countries recommending vaccination for some or all pregnant women increased from 10 in 2008/09 to 22 in 2010/11. Only three countries could report coverage among pregnant women. Seasonal influenza vaccination coverage during and after the pandemic season in older people and clinical groups remained unchanged in countries with higher coverage. However, small decreases were seen in most countries during this period. The results of the surveys indicate that most EU/EEA countries recommend influenza vaccination for the main target groups; however, only a few countries have achieved the target of 75% coverage among risk groups. Coverage among healthcare workers remained low.

  6. Medicaid Coverage of Methadone Maintenance and the Use of Opioid Agonist Therapy Among Pregnant Women in Specialty Treatment.

    PubMed

    Bachhuber, Marcus A; Mehta, Pooja K; Faherty, Laura J; Saloner, Brendan

    2017-12-01

    Opioid agonist therapy (OAT) is the standard of care for pregnant women with opioid use disorder (OUD). Medicaid coverage policies may strongly influence OAT use in this group. To examine the association between Medicaid coverage of methadone maintenance and planned use of OAT in the publicly funded treatment system. Retrospective cross-sectional analysis of treatment admissions in 30 states extracted from the Treatment Episode Data Set (2013 and 2014). Medicaid-insured pregnant women with OUD (n=3354 treatment admissions). The main outcome measure was planned use of OAT on admission. The main exposure was state Medicaid coverage of methadone maintenance. Using multivariable logistic regression models adjusting for sociodemographic, substance use, and treatment characteristics, we compared the probability of planned OAT use in states with Medicaid coverage of methadone maintenance versus states without coverage. A total of 71% of pregnant women admitted to OUD treatment were 18-29 years old, 85% were white non-Hispanic, and 56% used heroin. Overall, 74% of admissions occurred in the 18 states with Medicaid coverage of methadone maintenance and 53% of admissions involved planned use of OAT. Compared with states without Medicaid coverage of methadone maintenance, admissions in states with coverage were significantly more likely to involve planned OAT use (adjusted difference: 32.9 percentage points, 95% confidence interval, 19.2-46.7). Including methadone maintenance in the Medicaid benefit is essential to increasing OAT among pregnant women with OUD and should be considered a key policy strategy to enhance outcomes for mothers and newborns.

  7. What are the Most Widely used and Effective Attack Coverage Systems in Men’s Volleyball?

    PubMed Central

    Hileno, Raúl; García-de-Alcaraz, Antonio; Buscà, Bernat; Salas, Cristòfol; Camerino, Oleguer

    2018-01-01

    Abstract In volleyball, attack coverage is one of the play actions most neglected in coaching and research. The purpose of this study was to find out which attack coverage systems are used by high-level men’s teams in different game situations and the characteristics of the most effective systems. We analysed 15 matches from the 2010 Men’s Pan-American Volleyball Cup, with a total of 1,415 coverage actions. Chi-square tests for independence, adjusted residuals analysis and calculations of standardised mean difference were performed. The results show that high-level men’s volleyball uses many coverage systems other than the traditional 3-2-0 and 2-3-0. At this level of play, the most frequent systems were 1-3-1 and 1-2-2, which occurred significantly often at the culmination of a third-tempo attack at the wing. The most effective systems consisted of three coverage lines, with fewer than five players covering the spiker and at least one player in the first coverage line, in both the attack and counterattack phases. Given the large number of coverage systems identified in different game situations, we recommend flexible, loosely structured training in these systems, based on a set of guiding principles that all players on a team must internalise for the specific position they are playing. Regarding the systems’ efficacy, the main watchword is that on each coverage line there should always be at least one player, but the first line should not be exposed. PMID:29922383

  8. Disaster media coverage and psychological outcomes: descriptive findings in the extant research.

    PubMed

    Pfefferbaum, Betty; Newman, Elana; Nelson, Summer D; Nitiéma, Pascal; Pfefferbaum, Rose L; Rahman, Ambreen

    2014-09-01

    This review of the literature on disaster media coverage describes the events, samples, and forms of media coverage (television, newspapers, radio, internet) studied and examines the association between media consumption and psychological outcomes. A total of 36 studies representing both man-made and natural events met criteria for review in this analysis. Most studies examined disaster television viewing in the context of terrorism and explored a range of outcomes including posttraumatic stress disorder (PTSD) caseness and posttraumatic stress (PTS), depression, anxiety, stress reactions, and substance use. There is good evidence establishing a relationship between disaster television viewing and various psychological outcomes, especially PTSD caseness and PTS, but studies are too few to draw definitive conclusions about the other forms of media coverage that have been examined. As media technology continues to advance, future research is needed to investigate these additional media forms especially newer forms such as social media.

  9. Comparison of claw health and milk yield in dairy cows on elastic or concrete flooring.

    PubMed

    Kremer, P V; Nueske, S; Scholz, A M; Foerster, M

    2007-10-01

    This article reports on the effects of elastic (rubber) flooring compared with concrete flooring on claw health and milk yield in dairy cows. Milk yield and activity data of 53 complete lactations from 49 cows were recorded by an automatic milking system in the University of Munich Livestock Center dairy herd. Cows were kept in a loose housing system on concrete-slatted or rubber-matted slatted flooring. Claws were trimmed and measured linearly in combination with claw lesion diagnosis 3 times during one lactation period (including the transition phase). An automatic milking system recorded milk yield and activity. The net horn growth of the claws increased on elastic flooring. Therefore, correct and frequent claw trimming is at least as important for claw health in dairy herds kept on rubber flooring as for those on concrete-slatted flooring. Cows housed on rubber had an increased incidence of sole ulcers. Sole hemorrhages (except for hemorrhages associated with sole ulcers) occurred less frequently on rubber than on concrete. Results concerning digital dermatitis were difficult to assess, because manual manure scraping on rubber required sprinkling the flooring twice daily, which additionally moistened the digital skin of the cows. This might explain the greater incidence of digital dermatitis on elastic flooring. The incidence of clinically lame cows did not differ between flooring types. Cows showed greater activity on rubber, most likely caused by the more comfortable walking surface compared with the concrete-slatted flooring. The greater activity may indicate better overall health of high-yielding dairy cows on rubber flooring. Milk yield, however, did not differ between flooring types.

  10. The influence of novel compliant floors on balance control in elderly women--A biomechanical study.

    PubMed

    Wright, Alexander D; Laing, Andrew C

    2011-07-01

    Novel compliant floors aim to decrease the risk for fall-related injury by providing substantial force attenuation during the impact phase of falls. Certain models of compliant flooring have been shown to have limited influence on postural sway and successful completion of dynamic balance tasks. However, the effects of these products on balance recovery mechanisms following an externally induced perturbation have yet to be quantified. We used a floor translation paradigm to induce a balance perturbation to thirteen elderly community-dwelling women. Outcome measures included the displacement rates and margins of safety for both the underfoot centre-of-pressure and whole-body centre-of-mass across two novel compliant floors (SmartCell, SofTile), two basic foam surfaces (Firm-Foam, Soft-Foam) and a standard 'Rigid' floor as a control condition. The centre-of-mass and centre-of-pressure margins of safety, and all centre-of-mass displacement rates, were not significantly lower for the two novel compliant flooring systems compared to the control floor. The centre-of-pressure displacement rates were similar to the control floor for the SmartCell floor condition. The majority of the margin of safety and displacement rate variables for the foam floors were significantly lower than the control condition. This study illustrates that the SmartCell and SofTile novel compliant floors have minimal influences on balance and balance control responses following externally induced perturbations in older community-dwelling women, and supports pilot installations of these floors to inform decisions regarding the development of clinical trials. Crown Copyright © 2011. Published by Elsevier Ltd. All rights reserved.

  11. The influence of novel compliant floors on balance control in elderly women—A biomechanical study

    PubMed Central

    Wright, Alexander D.; Laing, Andrew C.

    2012-01-01

    Novel compliant floors aim to decrease the risk for fall-related injury by providing substantial force attenuation during the impact phase of falls. Certain models of compliant flooring have been shown to have limited influence on postural sway and successful completion of dynamic balance tasks. However, the effects of these products on balance recovery mechanisms following an externally induced perturbation have yet to be quantified. We used a floor translation paradigm to induce a balance perturbation to thirteen elderly community-dwelling women. Outcome measures included the displacement rates and margins of safety for both the underfoot centre-of-pressure and whole-body centre-of-mass across two novel compliant floors (Smart-Cell, SofTile), two basic foam surfaces (Firm-Foam, Soft-Foam) and a standard ‘Rigid’ floor as a control condition. The centre-of-mass and centre-of-pressure margins of safety, and all centre-of-mass displacement rates, were not significantly lower for the two novel compliant flooring systems compared to the control floor. The centre-of-pressure displacement rates were similar to the control floor for the SmartCell floor condition. The majority of the margin of safety and displacement rate variables for the foam floors were significantly lower than the control condition. This study illustrates that the SmartCell and SofTile novel compliant floors have minimal influences on balance and balance control responses following externally induced perturbations in older community-dwelling women, and supports pilot installations of these floors to inform decisions regarding the development of clinical trials. PMID:21545881

  12. Cost--utility analysis of a shock-absorbing floor intervention to prevent injuries from falls in hospital wards for older people.

    PubMed

    Latimer, Nicholas; Dixon, Simon; Drahota, Amy Kim; Severs, Martin

    2013-09-01

    hospital falls place a substantial burden on healthcare systems. There has been limited research into the use of hospital flooring as an intervention against fall-related injuries. to assess the cost-effectiveness of shock-absorbing flooring compared with standard hospital flooring in hospital wards for older people. a cost-utility analysis was undertaken drawing upon data collected in a pilot cluster randomised controlled trial and the wider literature. the trial included eight hospital sites across England. Four sites installed shock-absorbing flooring in one bay, and four maintained their standard flooring. falls and resulting injuries and treatment were reported by hospital staff. Data on destination of discharge were collected. Patients were followed up at 3 months and further resource use data were collected. Health-related quality of life was assessed, allowing quality-adjusted life years (QALYs) to be estimated. The incremental cost-effectiveness ratio of the shock-absorbing flooring was assessed compared with the standard hospital flooring. in the base case, the shock-absorbing flooring was cost saving, but generated QALY losses due to an increase in the faller rate reported in the intervention arm. Scenario analysis showed that if the shock-absorbing flooring does not increase the faller rate it is likely to represent a dominant economic strategy-generating cost savings and QALY gains. the shock-absorbing flooring intervention has the potential to be cost-effective but further research is required on whether the intervention flooring results in a higher faller rate than standard flooring.

  13. Dance floor mechanical properties and dancer injuries in a touring professional ballet company.

    PubMed

    Hopper, Luke S; Allen, Nick; Wyon, Matthew; Alderson, Jacqueline A; Elliott, Bruce C; Ackland, Timothy R

    2014-01-01

    The mechanical properties of the floors used by dancers have often been suggested to be associated with injury, yet limited etiological evidence is available to support this hypothesis. The dance floors at three theatres regularly used by a touring professional ballet company were mechanically quantified with the aim of comparing floor properties with injury incidence in dancers. Cross sectional. Test points on the floors were quantified in accordance with European Sports Surface Standard protocols for force reduction. Injuries and associated variables occurring within the ballet company dancers during activity on the three floors were recorded by the company's medical staff. An injury was recorded if a dancer experienced an incident that restricted the dancer from performing all normal training or performance activities for a 24 h period. Injuries were delimited to those occurring in the lower limbs or lumbar region during non-lifting tasks. Floor construction varied between venues and a range of floor mechanical properties were observed. None of the floors complied with the range of force reduction values required by the European Sport Surface Standards. The highest injury rate was observed on the floor with the greatest variability of force reduction magnitudes. No difference in injury frequency was observed between the venues with the highest and lowest mean force reduction magnitudes. Professional dancers can be required to perform on floors that may be inadequate for safe dance practice. Intra-floor force reduction variability may have a stronger association with injury risk than mean floor force reduction magnitude. Copyright © 2013 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

  14. [Pelvic floor muscle training and pelvic floor disorders in women].

    PubMed

    Thubert, T; Bakker, E; Fritel, X

    2015-05-01

    Our goal is to provide an update on the results of pelvic floor rehabilitation in the treatment of urinary incontinence and genital prolapse symptoms. Pelvic floor muscle training allows a reduction of urinary incontinence symptoms. Pelvic floor muscle contractions supervised by a healthcare professional allow cure in half cases of stress urinary incontinence. Viewing this contraction through biofeedback improves outcomes, but this effect could also be due by a more intensive and prolonged program with the physiotherapist. The place of electrostimulation remains unclear. The results obtained with vaginal cones are similar to pelvic floor muscle training with or without biofeedback or electrostimulation. It is not known whether pelvic floor muscle training has an effect after one year. In case of stress urinary incontinence, supervised pelvic floor muscle training avoids surgery in half of the cases at 1-year follow-up. Pelvic floor muscle training is the first-line treatment of post-partum urinary incontinence. Its preventive effect is uncertain. Pelvic floor muscle training may reduce the symptoms associated with genital prolapse. In conclusion, pelvic floor rehabilitation supervised by a physiotherapist is an effective short-term treatment to reduce the symptoms of urinary incontinence or pelvic organ prolapse. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  15. Quantification of the trade-off between force attenuation and balance impairment in the design of compliant safety floors.

    PubMed

    Glinka, Michal N; Cheema, Kim P; Robinovitch, Stephen N; Laing, Andrew C

    2013-10-01

    Safety floors (also known as compliant floors) may reduce the risk of fall-related injuries by attenuating impact force during falls, but are only practical if they do not negatively affect balance and mobility. In this study, we evaluated seven safety surfaces based on their ability to attenuate peak femoral neck force during simulated hip impacts, and their influence on center of pressure (COP) sway during quiet and tandem stance. Overall, we found that some safety floors can attenuate up to 33.7% of the peak femoral impact force without influencing balance. More specifically, during simulated hip impacts, force attenuation for the safety floors ranged from 18.4 (SD 4.3)% to 47.2 (3.1)%, with each floor significantly reducing peak force compared with a rigid surface. For quiet stance, only COP root mean square was affected by flooring (and increased for only two safety floors). During tandem stance, COP root mean square and mean velocity increased in the medial-lateral direction for three of the seven floors. Based on the substantial force attenuation with no concomitant effects on balance for some floors, these results support the development of clinical trials to assess the effectiveness of safety floors at reducing fall-related injuries in high-risk settings.

  16. [Functional aspects of pelvic floor surgery].

    PubMed

    Wagenlehner, F M E; Gunnemann, A; Liedl, B; Weidner, W

    2009-11-01

    Pelvic floor dysfunctions are frequently seen in females. The human pelvic floor is a complex structure and heavily stressed throughout female life. Recent findings in the functional anatomy of the pelvic floor have led to a much better understand-ing, on the basis of which enormous improvements in the therapeutic options have arisen. The pelvic floor activity is regulated by three main muscular forces that are responsible for vaginal tension and suspension of the pelvic floor -organs, bladder and rectum. For different reasons laxity in the vagina or its supporting ligaments as a result of altered connective tissue can distort this functional anatomy. A variety of symptoms can derive from these pelvic floor dysfunctions, such as urinary urge and stress incontinence, abnormal bladder emptying, faecal incontinence, obstructive bowel disease syndrome and pelvic pain. Pelvic floor reconstruction is nowadays driven by the concept that in the case of pelvic floor symptoms restoration of the anatomy will translate into restoration of the physiology and ultimately improve the patients' symptoms. The exact surgical reconstruction of the anatomy is there-fore almost exclusively focused on the restoration of the lax pelvic floor ligaments. An exact identification of the anatomic lesions preoperatively is eminently necessary, to allow for an exact anatomic reconstruction with respect to the muscular forces of the pelvic floor. Georg Thieme Verlag Stuttgart * New York.

  17. 17 CFR 240.11a-1 - Regulation of floor trading.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 17 Commodity and Securities Exchanges 3 2011-04-01 2011-04-01 false Regulation of floor trading... Securities Exchange Act of 1934 Adoption of Floor Trading Regulation (rule 11a-1) § 240.11a-1 Regulation of floor trading. (a) No member of a national securities exchange, while on the floor of such exchange...

  18. 17 CFR 240.11a-1 - Regulation of floor trading.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 17 Commodity and Securities Exchanges 3 2013-04-01 2013-04-01 false Regulation of floor trading... Securities Exchange Act of 1934 Adoption of Floor Trading Regulation (rule 11a-1) § 240.11a-1 Regulation of floor trading. (a) No member of a national securities exchange, while on the floor of such exchange...

  19. 17 CFR 240.11a-1 - Regulation of floor trading.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 17 Commodity and Securities Exchanges 3 2012-04-01 2012-04-01 false Regulation of floor trading... Securities Exchange Act of 1934 Adoption of Floor Trading Regulation (rule 11a-1) § 240.11a-1 Regulation of floor trading. (a) No member of a national securities exchange, while on the floor of such exchange...

  20. 17 CFR 240.11a-1 - Regulation of floor trading.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 17 Commodity and Securities Exchanges 4 2014-04-01 2014-04-01 false Regulation of floor trading... Securities Exchange Act of 1934 Adoption of Floor Trading Regulation (rule 11a-1) § 240.11a-1 Regulation of floor trading. (a) No member of a national securities exchange, while on the floor of such exchange...

  1. 17 CFR 240.11a-1 - Regulation of floor trading.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Regulation of floor trading... Securities Exchange Act of 1934 Adoption of Floor Trading Regulation (rule 11a-1) § 240.11a-1 Regulation of floor trading. (a) No member of a national securities exchange, while on the floor of such exchange...

  2. Social costs of illicit financial flows in low- and middle-income countries: the case of infant vaccination coverage.

    PubMed

    Ortega, Bienvenido; Sanjuán, Jesús; Casquero, Antonio

    2018-03-01

    The liberalization of capital flows is generally associated with prospects of higher growth. However, in developing countries, opening the capital account may also facilitate the flow of capital out of the country through illicit financial flows (IFFs). Given that IFFs drain the scarce public resources available to finance the provision of public goods and services, the extent of illicit capital flows from developing countries is serious cause for concern. In this context, as a first step in analysing the social costs of IFFs in developing countries, this article studied the relationship between IFFs and infant immunization coverage rates. Data for 56 low- and middle-income countries for the period 2002-13 were used in the empirical analysis. The main result was that the relative level of IFFs to total trade negatively impacted vaccination coverage but only in the case of countries with very high levels of perceived corruption. In this case, the total effect of an annual 1 p.p. increase in the ratio of IFFs to total trade was to reduce the level of vaccination coverage rates over the coming years by 0.19 p.p. Given that there was an annual average of 18 million infants in this cluster of 25 countries, this result suggests that at least 34 000 children may not receive this basic health care intervention in the future as a consequence of this increase in IFFs in any particular year. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  3. Trends in breast reconstruction: Implications for the National Health Insurance Service.

    PubMed

    Hong, Ki Yong; Son, Yoosung; Chang, Hak; Jin, Ung Sik

    2018-05-01

    Breast reconstruction has become more common as mastectomy has become more frequent. In Korea, the National Health Insurance Service (NHIS) began covering breast reconstruction in April 2015. This study aimed to investigate trends in mastectomy and breast reconstruction over the past 10 years and to evaluate the impact of NHIS coverage on breast reconstruction. Nationwide data regarding mastectomy and breast reconstruction were collected from the Korean Breast Cancer Society registry database. Multiple variables were analyzed in the records of patients who underwent breast reconstruction from January 2005 to March 2017 at a single institution. At Seoul National University Hospital, the total number of reconstruction cases increased 13-fold from 2005 to 2016. The proportion of immediate breast reconstruction (IBR) cases out of all cases of total mastectomy increased from 4% in 2005 to 52.0% in 2016. The proportion of delayed breast reconstruction (DBR) cases out of all cases of breast reconstruction and the overall number of DBR cases increased from 8.8% (20 cases) in 2012 to 18.3% (76 cases) in 2016. After NHIS coverage was initiated, the proportions of IBR and DBR showed statistically significant increases (P<0.05). Among the IBR cases, the percentage of prosthesis-based reconstructions increased significantly (P<0.05), but this trend was not found with DBR. Total mastectomy became significantly more common after the expansion of NHIS coverage (P<0.05). Over the last decade, there has been an increase in mastectomy and breast reconstruction, and the pace of increase accelerated after the expansion of NHIS coverage. It is expected that breast reconstruction will be a routine option for patients with breast cancer under the NHIS.

  4. Effects of pelvic floor muscle training during pregnancy.

    PubMed

    de Oliveira, Claudia; Lopes, Marco Antonio Borges; Carla Longo e Pereira, Luciana; Zugaib, Marcelo

    2007-08-01

    The objective of the present study was to evaluate the effect of pelvic floor muscle training in 46 nulliparous pregnant women. The women were divided into 2 groups: an exercise group and a control group. Functional evaluation of the pelvic floor muscle was performed by digital vaginal palpation using the strength scale described by Ortiz and by a perineometer (with and without biofeedback). The functional evaluation of the pelvic floor muscles showed a significant increase in pelvic floor muscle strength during pregnancy in both groups (P < .001). However, the magnitude of the change was greater in the exercise group than in the control group (47.4% vs. 17.3%, P < .001). The study also showed a significant positive correlation (Spearman's test, r = 0.643; P < .001) between perineometry and digital assessment in the strength of pelvic floor muscles. Pelvic floor muscle training resulted in a significant increase in pelvic floor muscle pressure and strength during pregnancy. A significant positive correlation between functional evaluation of the pelvic floor muscle and perineometry was observed during pregnancy.

  5. Gait of dairy cows on floors with different slipperiness.

    PubMed

    Telezhenko, E; Magnusson, M; Bergsten, C

    2017-08-01

    This study assessed the slip resistance of different types of solid flooring in cattle housing using a range of technical tests and gait analysis. Dynamic and static coefficient of friction, skid resistance, and abrasiveness were tested on concrete flooring with a smooth finish, a grooved pattern, or a tamped pattern, acid-resistant mastic asphalt, soft rubber mats, and a worn slatted concrete floor. Coefficients of friction and skid resistance were tested under clean and slurry-soiled conditions. Linear kinematic variables were assessed in 40 cows with trackway measurements after the cows passed over the floors in a straight walk. All gait variables were assessed as deviations from those obtained on the slatted concrete floor, which was used as a baseline. The coefficient of friction tests divided the floors into 3 categories: concrete flooring, which had a low coefficient of friction (0.29-0.41); mastic asphalt flooring, which had medium values (0.38-0.45); and rubber mats, which had high values (0.49-0.57). The highest abrasion (g/10 m) was on the asphalt flooring (4.48), and the concrete flooring with a tamped pattern had significantly higher abrasiveness (2.77) than the other concrete floors (1.26-1.60). Lowest values on the skid-resistance tests (dry/wet) were for smooth concrete (79/35) and mastic asphalt (65/47), especially with a slurry layer on the surface. Gait analysis mainly differentiated floors with higher friction and abrasion by longer strides and better tracking. Step asymmetry was lower on floors with high skid-resistance values. The most secure cow gait, in almost every aspect, was observed on soft rubber mats. Relationships between gait variables and physical floor characteristics ranged from average to weak (partial correlations 0.54-0.16). Thus, none of the physical characteristics alone was informative enough to characterize slip resistance. With reference to gait analysis, the abrasiveness of the hard surfaces was more informative than the coefficient of friction, but the effect of pattern was better detected by skid-resistance measurements. Consequently, several physical characteristics are needed to objectively describe the slip resistance of cattle floors. Soft rubber mats gave better tracking than hard, solid floors, even with a grooved surface or a tamped pattern. Copyright © 2017 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  6. The effect of pelvic floor muscle training alone or in combination with electrostimulation in the treatment of sexual dysfunction in women with multiple sclerosis.

    PubMed

    Lúcio, A C; D'Ancona, C A L; Lopes, M H B M; Perissinotto, M C; Damasceno, B P

    2014-11-01

    Sexual dysfunction (SD) affects up to 80% of multiple sclerosis (MS) patients and pelvic floor muscles (PFMs) play an important role in the sexual function of these patients. The objective of this paper is to evaluate the impact of a rehabilitation program to treat lower urinary tract symptoms on SD of women with MS. Thirty MS women were randomly allocated to one of three groups: pelvic floor muscle training (PFMT) with electromyographic (EMG) biofeedback and sham neuromuscular electrostimulation (NMES) (Group I), PFMT with EMG biofeedback and intravaginal NMES (Group II), and PFMT with EMG biofeedback and transcutaneous tibial nerve stimulation (TTNS) (Group III). Assessments, before and after the treatment, included: PFM function, PFM tone, flexibility of the vaginal opening and ability to relax the PFMs, and the Female Sexual Function Index (FSFI) questionnaire. After treatment, all groups showed improvements in all domains of the PERFECT scheme. PFM tone and flexibility of the vaginal opening was lower after the intervention only for Group II. All groups improved in arousal, lubrication, satisfaction and total score domains of the FSFI questionnaire. This study indicates that PFMT alone or in combination with intravaginal NMES or TTNS contributes to the improvement of SD. © The Author(s), 2014.

  7. Biofeedback-guided pelvic floor exercise therapy for obstructive defecation: An effective alternative

    PubMed Central

    ba-bai-ke-re, Ma-Mu-Ti-Jiang A; Wen, Ni-Re; Hu, Yun-Long; Zhao, Liang; Tuxun, Tuerhongjiang; Husaiyin, Aierhati; Sailai, Yalikun; Abulimiti, Alimujiang; Wang, Yun-Hai; Yang, Peng

    2014-01-01

    AIM: To compare biofeedback-guided pelvic floor exercise therapy (BFT) with the use of oral polyethylene glycol (PEG) for the treatment of obstructive defecation. METHODS: A total of 88 subjects were assigned to treatment with either BFT (n = 44) or oral PEG (n = 44). Constipation symptoms (including difficult evacuation, hard stool, digitation necessity, incomplete emptying sensation, laxative dependence, perianal pain at defecation, and constipation satisfaction), Wexner Scores, and quality of life scores were assessed after 1, 3, and 6 mo. RESULTS: At the 6 mo follow-up, the symptoms of the BFT group patients showed significantly greater improvements compared with the PEG group regarding difficult evacuation, hard stools, digitation necessity, laxative dependence, perianal pain at defecation, constipation satisfaction, Wexner Constipation Score, and quality of life score (P < 0.05). The quality of life score of the BFT group at the final follow-up time (6 mo) was 80 ± 2.2. After a complete course of training, improvements in the clinical symptoms of the BFT group were markedly improved (P < 0.05), and the Wexner Constipation Scores were greatly decreased compared with the oral PEG group (P < 0.05). CONCLUSION: We concluded that manometric biofeedback-guided pelvic floor exercise training is superior to oral polyethylene glycol therapy for obstructive defecation. PMID:25083090

  8. Biofeedback-guided pelvic floor exercise therapy for obstructive defecation: an effective alternative.

    PubMed

    Ba-Bai-Ke-Re, Ma-Mu-Ti-Jiang A; Wen, Ni-Re; Hu, Yun-Long; Zhao, Liang; Tuxun, Tuerhongjiang; Husaiyin, Aierhati; Sailai, Yalikun; Abulimiti, Alimujiang; Wang, Yun-Hai; Yang, Peng

    2014-07-21

    To compare biofeedback-guided pelvic floor exercise therapy (BFT) with the use of oral polyethylene glycol (PEG) for the treatment of obstructive defecation. A total of 88 subjects were assigned to treatment with either BFT (n = 44) or oral PEG (n = 44). Constipation symptoms (including difficult evacuation, hard stool, digitation necessity, incomplete emptying sensation, laxative dependence, perianal pain at defecation, and constipation satisfaction), Wexner Scores, and quality of life scores were assessed after 1, 3, and 6 mo. At the 6 mo follow-up, the symptoms of the BFT group patients showed significantly greater improvements compared with the PEG group regarding difficult evacuation, hard stools, digitation necessity, laxative dependence, perianal pain at defecation, constipation satisfaction, Wexner Constipation Score, and quality of life score (P < 0.05). The quality of life score of the BFT group at the final follow-up time (6 mo) was 80 ± 2.2. After a complete course of training, improvements in the clinical symptoms of the BFT group were markedly improved (P < 0.05), and the Wexner Constipation Scores were greatly decreased compared with the oral PEG group (P < 0.05). We concluded that manometric biofeedback-guided pelvic floor exercise training is superior to oral polyethylene glycol therapy for obstructive defecation.

  9. 19. First floor, room south of second floor landing, looking ...

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

    19. First floor, room south of second floor landing, looking east - Veterans Administration Center, Officers Duplex Quarters, 5302 East Kellogg (Legal Address); 5500 East Kellogg (Common Address), Wichita, Sedgwick County, KS

  10. 31. Stair Plans / First Floor, Second Floor, Section Stair ...

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

    31. Stair Plans / First Floor, Second Floor, Section Stair Bulkhead, F.S. Tread & Riser (drawing 8) - Whittier State School, Hospital & Receiving Building, 11850 East Whittier Boulevard, Whittier, Los Angeles County, CA

  11. Pelvic Floor Physical Therapy and Women's Health Promotion.

    PubMed

    Lawson, Samantha; Sacks, Ashley

    2018-05-19

    Pelvic floor dysfunction is defined as abnormal function of the pelvic floor and includes conditions that can have significant adverse impacts on a woman's quality of life, including urinary incontinence (stress, urge, and mixed), fecal incontinence, pelvic organ prolapse, sexual dysfunction, diastasis recti abdominis, pelvic girdle pain, and chronic pain syndromes. Women's health care providers can screen for, identify, and treat pelvic floor dysfunction. This article examines the case of a woman with multiple pelvic-floor-related problems and presents the evidence for the use of pelvic floor physical therapy (PFPT) for pregnancy-related pelvic floor dysfunction. PFPT is an evidence-based, low-risk, and minimally invasive intervention, and women's health care providers can counsel women about the role that PFPT may play in the prevention, treatment, and/or management of pelvic floor dysfunction. © 2018 by the American College of Nurse-Midwives.

  12. Coastal bacterioplankton community diversity along a latitudinal gradient in Latin America by means of V6 tag pyrosequencing.

    PubMed

    Thompson, Fabiano L; Bruce, Thiago; Gonzalez, Alessandra; Cardoso, Alexander; Clementino, Maysa; Costagliola, Marcela; Hozbor, Constanza; Otero, Ernesto; Piccini, Claudia; Peressutti, Silvia; Schmieder, Robert; Edwards, Robert; Smith, Mathew; Takiyama, Luis Roberto; Vieira, Ricardo; Paranhos, Rodolfo; Artigas, Luis Felipe

    2011-02-01

    The bacterioplankton diversity of coastal waters along a latitudinal gradient between Puerto Rico and Argentina was analyzed using a total of 134,197 high-quality sequences from the V6 hypervariable region of the small-subunit ribosomal RNA gene (16S rRNA) (mean length of 60 nt). Most of the OTUs were identified into Proteobacteria, Bacteriodetes, Cyanobacteria, and Actinobacteria, corresponding to approx. 80% of the total number of sequences. The number of OTUs corresponding to species varied between 937 and 1946 in the seven locations. Proteobacteria appeared at high frequency in the seven locations. An enrichment of Cyanobacteria was observed in Puerto Rico, whereas an enrichment of Bacteroidetes was detected in the Argentinian shelf and Uruguayan coastal lagoons. The highest number of sequences of Actinobacteria and Acidobacteria were obtained in the Amazon estuary mouth. The rarefaction curves and Good coverage estimator for species diversity suggested a significant coverage, with values ranging between 92 and 97% for Good coverage. Conserved taxa corresponded to aprox. 52% of all sequences. This study suggests that human-contaminated environments may influence bacterioplankton diversity.

  13. Spatiotemporal Modeling of Community Risk

    DTIC Science & Technology

    2016-03-01

    HOUR OF THE DAY .................................... 35 1. Hourly Distribution Summary Analysis .......................... 40 2. Blackstone Corner...Figure 15. Total EMS Calls Compared to Station 5 EMS Calls ...................... 42 Figure 16. Blackstone Corner...Total EMS Calls for the Fresno City Fire Department 2. Blackstone Corner Not all of the coverage area requests for service follow a daytime

  14. 20 CFR 404.1910 - Person qualifies under more than one totalization agreement.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... combining periods of coverage under more than two social security systems. (b) If a person qualifies under... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Person qualifies under more than one totalization agreement. 404.1910 Section 404.1910 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL...

  15. Editorial Selection in Newspaper TMC Publications.

    ERIC Educational Resources Information Center

    Adams, Paul D.

    A study investigated the kinds of content total market coverage (TMC) publications carry, the role of the newsroom in publishing them, and how closely identified they are with the parent newspaper. These TMC publications, begun only a few years ago, are designed to cover the total market with selected, preprinted advertisements inserted into…

  16. One-dimensional representation of Earth to show SRTM coverage

    NASA Image and Video Library

    2000-02-04

    JSC2000E01555 (January 2000) --- A one-dimensional representation of Earth indicates only a portion of the total anticipated coverage area for the Shuttle Radar Topography Mission (SRTM). The primary objective of SRTM is to acquire a high-resolution topographic map of the Earth's land mass (between 60 degrees north and 56 degrees south latitude) and to test new technologies for deployment of large rigid structures and measurement of their distortions to extremely high precision.

  17. Assessment of Child Immunization Coverage and Associated Factors with Full Vaccination among Children Aged 12–23 Months at Mizan Aman Town, Bench Maji Zone, Southwest Ethiopia

    PubMed Central

    Geremew, Mesfin; Birhanu, Frehiwot

    2017-01-01

    Immunization remains one of the most important and cost-effective public health interventions to reduce child mortality and morbidity. Globally, it is estimated to avert between 2 and 3 million deaths each year. In Ethiopia, immunization coverage rates stagnated and remained very low for many years. Thus, this study was aimed to assess child immunization coverage and factors associated with full vaccination among children aged 12–23 months in Mizan Aman town. The study design was community-based cross-sectional survey. Data was collected by using pretested structured questionnaire. A total of 322 mothers/caretakers were interviewed. Based on vaccination card and mothers/caretakers' recall, 295 (91.6%) of the children took at least a single dose of vaccine. From total children, 27 (8.4%) were not immunized at all, 159 (49.4%) were partially immunized, and 136 (42.2%) were fully immunized. Mothers/caretakers educational level, fathers' educational level, place of delivery, maternal health care utilization, and mothers/caretakers knowledge about vaccine and vaccine-preventable disease showed significant association with full child immunization. The finding from this study revealed that child immunization coverage in the studied area was low. Thus the town health office and concerned stakeholders need to work more to improve performance of the expanded program on immunization in this area. PMID:29434643

  18. Comparison of fasciocutaneous V-Y and rotational flaps for defect coverage of sacral pressure sores: a critical single-centre appraisal.

    PubMed

    Djedovic, Gabriel; Metzler, Julia; Morandi, Evi M; Wachter, Tanja; Kühn, Shafreena; Pierer, Gerhard; Rieger, Ulrich M

    2017-12-01

    Pressure sore rates remain high in both nursing homes as well as in hospitals. Numerous surgical options are available for defect coverage in the sacral region. However, objective data is scarce as to whether a specific flap design is superior to another. Here, we aim to compare two fasciocutaneous flap designs for sacral defect coverage: the gluteal rotation flap and the gluteal V-Y flap. All primary sacral pressure sores of grades III-IV that were being covered with gluteal fasciocutaneous rotational or V-Y flaps between January 2008 and December 2014 at our institution were analysed. A total of 41 patients received a total of 52 flaps. Of these, 18 patients received 20 gluteal rotational flaps, and 23 patients received 32 V-Y flaps. Both groups were comparable with regards to demographics, comorbidities and complications. Significantly more V-Y flaps were needed to cover smaller defects. Mean length of hospital stay was significantly prolonged when surgical revision had to be carried out. Both flap designs have proven safe and reliable for defect coverage after sacral pressure sores. Gluteal rotational flaps appear to be more useful for larger defects. Both flap designs facilitate their reuse in case of pressure sore recurrence. Complication rates appear to be comparable in both designs and to the current literature. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

  19. Crashworthy airframe design concepts: Fabrication and testing

    NASA Technical Reports Server (NTRS)

    Cronkhite, J. D.; Berry, V. L.

    1982-01-01

    Crashworthy floor concepts applicable to general aviation aircraft metal airframe structures were investigated. Initially several energy absorbing lower fuselage structure concepts were evaluated. Full scale floor sections representative of a twin engine, general aviation airplane lower fuselage structure were designed and fabricated. The floors featured an upper high strength platform with an energy absorbing, crushable structure underneath. Eighteen floors were fabricated that incorporated five different crushable subfloor concepts. The floors were then evaluated through static and dynamic testing. Computer programs NASTRAN and KRASH were used for the static and dynamic analysis of the floor section designs. Two twin engine airplane fuselages were modified to incorporate the most promising crashworthy floor sections for test evaluation.

  20. A Converse of a Result about the Floor Function by Hermite

    ERIC Educational Resources Information Center

    Mortici, Cristinel

    2012-01-01

    The floor function maps a real number to the largest previous integer. More precisely, floor(x)=[x] is the largest integer not greater than x. The square bracket notation [x] for the floor function was introduced by Gauss in his third proof of quadratic reciprocity in 1808. The floor function is also called the greatest integer or entier (French…

  1. Bioelectrical activity of the pelvic floor muscles after 6-week biofeedback training in nulliparous continent women.

    PubMed

    Chmielewska, Daria; Stania, Magdalena; Smykla, Agnieszka; Kwaśna, Krystyna; Błaszczak, Edward; Sobota, Grzegorz; Skrzypulec-Plinta, Violetta

    2016-01-01

    The aim of the study was to evaluate the effects of a 6-week sEMG-biofeedback-assisted pelvic floor muscle training program on pelvic floor muscle activity in young continent women. Pelvic floor muscle activity was recorded using a vaginal probe during five experimental trials. Biofeedback training was continued for 6 weeks, 3 times a week. Muscle strenghtening and endurance exercises were performed alternately. SEMG (surface electromyography) measurements were recorded on four different occasions: before training started, after the third week of training, after the sixth week of training, and one month after training ended. A 6-week sEMG-biofeedback-assisted pelvic floor muscle training program significantly decreased the resting activity of the pelvic floor muscles in supine lying and standing. The ability to relax the pelvic floor muscles after a sustained 60-second contraction improved significantly after the 6-week training in both positions. SEMG-biofeedback training program did not seem to affect the activity of the pelvic floor muscles or muscle fatigue during voluntary pelvic floor muscle contractions. SEMG-biofeedback-assisted pelvic floor muscle training might be recommended for physiotherapists to improve the effectiveness of their relaxation techniques.

  2. Analysing and recommending options for maintaining universal coverage with long-lasting insecticidal nets: the case of Tanzania in 2011

    PubMed Central

    2013-01-01

    Background Tanzania achieved universal coverage with long-lasting insecticidal nets (LLINs) in October 2011, after three years of free mass net distribution campaigns and is now faced with the challenge of maintaining high coverage as nets wear out and the population grows. A process of exploring options for a continuous or “Keep-Up” distribution system was initiated in early 2011. This paper presents for the first time a comprehensive national process to review the major considerations, findings and recommendations for the implementation of a new strategy. Methods Stakeholder meetings and site visits were conducted in five locations in Tanzania to garner stakeholder input on the proposed distribution systems. Coverage levels for LLINs and their decline over time were modelled using NetCALC software, taking realistic net decay rates, current demographic profiles and other relevant parameters into consideration. Costs of the different distribution systems were estimated using local data. Results LLIN delivery was considered via mass campaigns, Antenatal Care-Expanded Programme on Immunization (ANC/EPI), community-based distribution, schools, the commercial sector and different combinations of the above. Most approaches appeared unlikely to maintain universal coverage when used alone. Mass campaigns, even when combined with a continuation of the Tanzania National Voucher Scheme (TNVS), would produce large temporal fluctuations in coverage levels; over 10 years this strategy would require 63.3 million LLINs and a total cost of $444 million USD. Community mechanisms, while able to deliver the required numbers of LLINs, would require a massive scale-up in monitoring, evaluation and supervision systems to ensure accurate application of identification criteria at the community level. School-based approaches combined with the existing TNVS would reach most Tanzanian households and deliver 65.4 million LLINs over 10 years at a total cost of $449 million USD and ensure continuous coverage. The cost of each strategy was largely driven by the number of LLINs delivered. Conclusions The most cost-efficient strategy to maintain universal coverage is one that best optimizes the numbers of LLINs needed over time. A school-based approach using vouchers targeting all students in Standards 1, 3, 5, 7 and Forms 1 and 2 in combination with the TNVS appears to meet best the criteria of effectiveness, equity and efficiency. PMID:23641705

  3. Exploring the relationship between population density and maternal health coverage.

    PubMed

    Hanlon, Michael; Burstein, Roy; Masters, Samuel H; Zhang, Raymond

    2012-11-21

    Delivering health services to dense populations is more practical than to dispersed populations, other factors constant. This engenders the hypothesis that population density positively affects coverage rates of health services. This hypothesis has been tested indirectly for some services at a local level, but not at a national level. We use cross-sectional data to conduct cross-country, OLS regressions at the national level to estimate the relationship between population density and maternal health coverage. We separately estimate the effect of two measures of density on three population-level coverage rates (6 tests in total). Our coverage indicators are the fraction of the maternal population completing four antenatal care visits and the utilization rates of both skilled birth attendants and in-facility delivery. The first density metric we use is the percentage of a population living in an urban area. The second metric, which we denote as a density score, is a relative ranking of countries by population density. The score's calculation discounts a nation's uninhabited territory under the assumption those areas are irrelevant to service delivery. We find significantly positive relationships between our maternal health indicators and density measures. On average, a one-unit increase in our density score is equivalent to a 0.2% increase in coverage rates. Countries with dispersed populations face higher burdens to achieve multinational coverage targets such as the United Nations' Millennial Development Goals.

  4. Within-Subject Comparison of Maxillary Implant-Supported Overdentures with and without Palatal Coverage.

    PubMed

    Zembic, Anja; Tahmaseb, Ali; Wismeijer, Daniel

    2015-06-01

    The purpose of this study was to compare patient-reported outcomes for maxillary implant-supported overdentures with and without palatal coverage. Twenty-one maxillary edentulous patients (six women, 15 men) were included. In total, 42 implants were inserted in the anterior maxilla. All patients received implant-supported overdentures on two retentive anchors with palatal coverage for 2 months. Thereafter, patient satisfaction was assessed by means of questionnaires capturing the oral health impact profile (OHIP) on functional limitation, physical pain, psychological discomfort, physical, psychological and social disability, and handicap. Additionally, cleaning ability, general satisfaction, speech, comfort, esthetics, stability, and chewing ability were rated. Subsequently, palatal coverage was reduced, and the patients wore the overdentures for another 2 months. Patient satisfaction was obtained in the same way as above, and the evaluated parameters were compared for the two overdenture designs. There were no significant differences between implant-supported overdentures with and without palatal coverage for any of the OHIP domains. The evaluation of additional parameters revealed significantly higher patient satisfaction for esthetics (mean difference 8.8 mm ± 24.6) and taste (mean difference 28.4 mm ± 29.9) without palatal coverage, p < .01. Within the limits of this study, maxillary overdentures supported by two implants were equally satisfactory with and without palatal coverage. © 2013 Wiley Periodicals, Inc.

  5. Investigating the fall-injury reducing effect of impact absorbing flooring among female nursing home residents: initial results.

    PubMed

    Gustavsson, Johanna; Bonander, Carl; Andersson, Ragnar; Nilson, Finn

    2015-10-01

    Fall-related injuries affect the lives of elderly to a substantial degree. This quasi-experimental study investigates the fall-injury reducing effect of impact absorbing flooring among female nursing home residents. The intervention site is a nursing home in Sweden where impact absorbing flooring was installed in parts of one of six wards (six out of 10 apartments (excluding bathrooms), the communal dining-room and parts of the corridor). The impact absorbing flooring is a 12 mm thick closed cell flexible polyurethane/polyurea composite tile (500×500 mm) with an exterior surface of polyurethane/polyurea. A generalised linear model (log-binomial) was used to calculate the RR of injury from falls on impact absorbing flooring compared to falls on regular flooring, adjusted for age, body mass index, visual and cognitive impairments. During the study period (1 October 2011 to 31 March 2014), 254 falls occurred on regular flooring and 77 falls on impact absorbing flooring. The injury/fall rate was 30.3% for falls on regular flooring and 16.9% for falls on impact absorbing flooring. Adjusted for covariates, the impact absorbing flooring significantly reduced the RR of injury in the event of a fall by 59% (RR 0.41 (95% Cl 0.20 to 0.80)). This is, to our knowledge, the first study evaluating the injury-reducing effect of impact absorbing flooring in a nursing home showing statistically significant effect. The results from this study are promising, indicating the considerable potential of impact absorbing flooring as a fall-related injury intervention among frail elderly. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  6. Solid Footing.

    ERIC Educational Resources Information Center

    Franzen, Mark; Gorrell, Kyle

    2002-01-01

    Based on one school district's experience, discusses raised access flooring systems for schools. Addresses the nuts and bolts of such flooring systems, integrating an air delivery system below the flooring, advantages of floor-level air supply, and design issues. (EV)

  7. Oribatid mites and nutrient cycling. [Nutrient release by decomposition of leaf litter

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

    Crossley, D.A. Jr.

    1976-08-01

    Communities of oribatid mites (Cryptostigmata) in leaf litter and forest soils consist of an impressive number of individuals. Total populations of the order of 10/sup 5/ oribatids per square meter are commonly reported from forest floors. Because of their numbers, oribatids have been believed to be important contributors to the breakdown of organic detritus. Results are reported from studies of mineral or nutrient element cycling in forest floor ecosystems using radioisotopes as tracers. The phenomenon of cycling allows for the study of feedback loops among ecosystem processes, whereas energy flow is unidirectional. Evaluation of feedback loops can be a meansmore » of quantifying indirect effects of consumers. The availability of radioactive isotopes or radioactive analogs of mineral elements allows for the direct measurement of transfer rates. In decomposition studies applications of radioactive tracers have helped to identify pathways of transfer from microflora to oribatids.« less

  8. Comparative Cooling Season Performance of Air Distribution Systems in Multistory Townhomes

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

    A. Poerschke; Beach, R.; Beggs, T.

    2016-08-26

    IBACOS investigated the performance of a small-diameter high velocity heat pump system compared to a conventional system in a new construction triplex townhouse. A ductless heat pump system also was installed for comparison, but the homebuyer backed out because of aesthetic concerns about that system. In total, two buildings, having identical solar orientation and comprised of six townhomes, were monitored for comfort and energy performance. Results show that the small-diameter system provides more uniform temperatures from floor to floor in the three-story townhome. No clear energy consumption benefit was observed from either system. The builder is continuing to explore themore » small-diameter system as its new standard system to provide better comfort and indoor air quality. The homebuilder also explored the possibility of shifting its townhome product to meet the U.S. Department of Energy Challenge Home National Program Requirements.« less

  9. [Ecological distribution and antimicrobial effects of soil actinomycetes in artificial vegetation systems in Shazhuyu of Qinghai, China].

    PubMed

    Yang, Bin; Xue, Quan-hong; Chen, Zhan-quan; Guo, Zhi-ying; Zhang, Xiao-lu; Zhou, Yong-qiang; Xu, Ying-jun; Sun, De-fu

    2008-08-01

    In order to probe into the effects of artificial vegetation rehabilitation on soil actinomycetes, dilution plate and agar block methods were used to investigate the ecological distribution and antimicrobial effects of actinomycetes in sandy soil in Shazhuyu area of Qinghai after artificial vegetation restoration. The results showed that with the vegetation rehabilitation and the improvement of vegetation coverage on alpine sandy dry land, the quantity of soil actinomycetes increased significantly, being 145.4% higher in the grassland transferred from farmland than in sandy land. The quantity of soil Micromonospora in grassland transferred from farmland was about six times as much as that in sandy land. The average selection rate of antimicrobial actinomycetes was increased greatly, with the antimicrobial actinomycetes in the soil of grassland transferred from farmland, the antibacterial actinomycetes in the soil of natural grassland, and the pathogenic fungus resistant aetinomycetes in the soil of forestland being approximately 2, 3.2 and 1.5 times as much as those in the soil of sandy land, respectively. Vegetation coverage and soil nutrients had great influences on the quantities of actinomycetes and antimicrobial actinomycetes. The contents of soil organic matter and alkali-hydrolyzable nitrogen and the yield of fresh grasses had significant correlations with the quantities of actinomycetes (P < 0.01), and the content of soil organic matter and the yield of fresh grasses significantly correlated with the strain numbers of antimicrobial actinomycetes (P < 0.01). Furthermore, vegetation coverage and the contents of soil total nitrogen, total phosphorous, total potassium, total salt, and available potassium had significant correlations with the total quantities of actinomycetes, Streptomycetes, and Micromonospora (P < 0.05).

  10. Increasing Cervical Cancer Screening Coverage: A Randomised, Community-Based Clinical Trial.

    PubMed

    Acera, Amelia; Manresa, Josep Maria; Rodriguez, Diego; Rodriguez, Ana; Bonet, Josep Maria; Trapero-Bertran, Marta; Hidalgo, Pablo; Sànchez, Norman; de Sanjosé, Silvia

    2017-01-01

    Opportunistic cervical cancer screening can lead to suboptimal screening coverage. Coverage could be increased after a personalised invitation to the target population. We present a community randomized intervention study with three strategies aiming to increase screening coverage. The CRICERVA study is a community-based clinical trial to improve coverage of population-based screening in the Cerdanyola SAP area in Barcelona.A total of 32,858 women residing in the study area, aged 30 to 70 years were evaluated. A total of 15,965 women were identified as having no registration of a cervical cytology in the last 3.5 years within the Public Health data base system. Eligible women were assigned to one of four community randomized intervention groups (IGs): (1) (IG1 N = 4197) personalised invitation letter, (2) (IG2 N = 3601) personalised invitation letter + informative leaflet, (3) (IG3 N = 6088) personalised invitation letter + informative leaflet + personalised phone call and (4) (Control N = 2079) based on spontaneous demand of cervical cancer screening as officially recommended. To evaluate screening coverage, we used heterogeneity tests to compare impact of the interventions and mixed logistic regression models to assess the age effect. We refer a "rescue" visit as the screening visit resulting from the study invitation. Among the 13,886 women in the IGs, 2,862 were evaluated as having an adequate screening history after the initial contact; 4,263 were lost to follow-up and 5,341 were identified as having insufficient screening and thus being eligible for a rescue visit. All intervention strategies significantly increased participation to screening compared to the control group. Coverage after the intervention reached 84.1% while the control group reached 64.8%. The final impact of our study was an increase of 20% in the three IGs and of 9% in the control group (p<0.001). Within the intervention arms, age was an important determinant of rescue visits showing a statistical interaction with the coverage attained in the IGs. Within the intervention groups, final screening coverage was significantly higher in IG3 (84.4%) (p<0.001). However, the differences were more substantial in the age groups 50-59 and those 60+. The highest impact of the IG3 intervention was observed among women 60+ y.o with 32.0% of them being rescued for screening. The lowest impact of the interventions was in younger women. The study confirms that using individual contact methods and assigning a fixed screening date notably increases participation in screening. The response to the invitation is strongly dependent on age. ClinicalTrials.gov NCT01373723.

  11. Smart Floor with Integrated Triboelectric Nanogenerator As Energy Harvester and Motion Sensor.

    PubMed

    He, Chuan; Zhu, Weijun; Chen, Baodong; Xu, Liang; Jiang, Tao; Han, Chang Bao; Gu, Guang Qin; Li, Dichen; Wang, Zhong Lin

    2017-08-09

    A smart floor is demonstrated by integrating a square-frame triboelectric nanogenerator (SF-TENG) into a standard wood floor. The smart floor has two working modes based on two pairs of triboelectric materials: one is purposely chosen polytetrafluoroethylene films and aluminum (Al) balls, and the other is the floor itself and the objects that can be triboelectrically charged, such as basketball, shoe soles, and Scotch tape, etc. Utilizing the Al balls enclosed inside shallow boxes, the smart floor is capable of harvesting vibrational energy and, hence, provides a nonintrusive way to detect sudden falls in elderly people. In addition, when the basketball is bounced repeatedly on the floor, the average output voltage and current are 364 ± 43 V and 9 ± 1 μA, respectively, and 87 serially connected light-emitting diodes can be lit up simultaneously. Furthermore, the friction between the triboelectrically chargeable objects and the floor can also induce an alternating current output in the external circuit without the vibration of the Al balls. Normal human footsteps on the floor produce a voltage of 238 ± 17 V and a current of 2.4 ± 0.3 μA. Therefore, this work presents a smart floor with built-in SF-TENG without compromising the flexibility and stability of the standard wood floor and also demonstrates a way to harvest ambient energy solely by using conventional triboelectric materials in our daily life.

  12. Floors and Toilets: Association of Floors and Sanitation Practices with Fecal Contamination in Peruvian Amazon Peri-Urban Households.

    PubMed

    Exum, Natalie G; Olórtegui, Maribel Paredes; Yori, Pablo Peñataro; Davis, Meghan F; Heaney, Christopher D; Kosek, Margaret; Schwab, Kellogg J

    2016-07-19

    Over two billion people worldwide lack access to an improved sanitation facility that adequately retains or treats feces. This results in the potential for fecal material containing enteric pathogens to contaminate the environment, including household floors. This study aimed to assess how floor type and sanitation practices impacted the concentration of fecal contamination on household floors. We sampled 189 floor surfaces within 63 households in a peri-urban community in Iquitos, Peru. All samples were analyzed for colony forming units (CFUs) of E. coli, and households were evaluated for their water, sanitation, and hygiene characteristics. Results of multivariate linear regression indicated that households with improved sanitation and cement floors in the kitchen area had reduced fecal contamination to those with unimproved sanitation and dirt floors (Beta: -1.18 log10 E. coli CFU/900 cm(2); 95% confidence interval [CI]: -1.77, -0.60). Households that did not versus did share their sanitation facility also had less contaminated kitchen floors (Beta: -0.65 log10 E. coli CFU/900 cm(2); 95% CI: -1.15, -0.16). These findings suggest that the sanitation facilities of a home may impact the microbial load found on floors, contributing to the potential for household floors to serve as an indirect route of fecal pathogen transmission to children.

  13. Overstory vegetation influence nitrogen and dissolved organic carbon flux from the atmosphere to the forest floor: Boreal Plain, Canada

    Treesearch

    David E. Pelster; Randall K. Kolka; Ellie E. Prepas

    2009-01-01

    Nitrate, ammonium, total dissolved nitrogen (TDN), dissolved organic nitrogen (DON) and dissolved organic carbon (DOC) concentrations and flux were measured for one year in bulk deposition and throughfall from three stand types (upland deciduous, upland conifer and wetland conifer) on the Boreal Plain, Canada. Annual (November 2006 to October 2007 water year) flux...

  14. Effect of particle aging on chemical characteristics, smoldering, and fire behavior in mixed-conifer masticated fuel

    Treesearch

    Pamela G. Sikkink; Theresa B. Jain; James Reardon; Faith Ann Heinsch; Robert E. Keane; Bret Butler; L. Scott Baggett

    2017-01-01

    Mastication is a silvicultural technique that grinds, shreds, or chops trees or shrubs into pieces and redistributes the biomass onto the forest floor to form a layer of woody debris. Unlike other fuel treatments that remove this biomass, masticated biomass often remains on site, which increases total fuel loading and causes concern over how the masticated particles...

  15. Estimation of Moisture Content of Forest Canopy and Floor from SAR Data Part II: Trunk-Ground Double-Bounce Case

    NASA Technical Reports Server (NTRS)

    Moghaddam, M.; Saatchi, S.

    1996-01-01

    Several scattering mechanisms contribute to the total radar backscatter cross section measured by the synthetic aperture radar. These are volume scattering, trunk-ground double-bounce scattering, branch-ground double-bounce scattering, and surface scattering. All of these mechanisms are directly related to the dielectric constant of forest components responsible for that mechanism and their moisture.

  16. Development of floristic diversity in 10-year-old restoration forests on a bauxite mined site in Amazonia.

    Treesearch

    J. A. Parrotta; O. H. Knowles; J.M. Wunderle Jr.

    1997-01-01

    Patterns of plant and animal diversity were studied in a 10-year-old native species reforestation area at a bauxite-mined site at porto Trombetas in western Para State, Brazil. Understorey and overstorey floristic composition and structure, understorey light conditions, forest floor development and soil properties were evaluated in a total of 38 78.5-m2

  17. 78 FR 7466 - Notice of Applications for Deregistration Under Section 8(f) of the Investment Company Act of 1940

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-01

    ... declaring that it has ceased to be an investment company. The applicant has transferred its assets to Daily... Date: The application was filed on January 9, 2013. Applicant's Address: 7 Times Sq., 21st Floor, New.... The applicant has transferred its assets to Helios Total Return Fund Inc. and, on April 2, 2012, made...

  18. Precipitation nutrients in the open and under two forests in Minnesota

    Treesearch

    Elon S. Verry; D.R. Timmons

    1977-01-01

    Concentrations of N, P, K, Ca, Mg, and Na were measured in rain and snow in the open, and in throughfall and stemflow under black spruce and aspen forests in north-central Minnesota. Concentrations of total P in rain and black spruce throughfall were inversely related to storm size. Annual precipitation nutrient inputs to the forest floor were calculated for each site...

  19. Prevention of childbirth injuries to the pelvic floor.

    PubMed

    Heit, M; Mudd, K; Culligan, P

    2001-08-01

    The majority of childbirth injuries to the pelvic floor occur after the first vaginal delivery. Cesarean sections performed after the onset of labor may not protect the pelvic floor. Elective cesarean section is the only true primary prevention strategy for childbirth injuries to the pelvic floor. Alternative primary prevention strategies include elective cesarean section for women with nonmodifiable risks for childbirth injuries to the pelvic floor, antepartum pelvic floor exercises, or intrapartum pudendal nerve monitoring. Secondary prevention strategies must focus on modifying obstetric practices that predispose women to pelvic floor injury. These factors are best delineated for anal incontinence and include restrictive use of episiotomy, mediolateral episiotomy when necessary, spontaneous over forceps-assisted vaginal delivery, vacuum extraction over forceps delivery, and antepartum perineal massage. Finally, tertiary prevention strategies should address the mode of delivery made for women with childbirth injuries to the pelvic floor who desire future fertility.

  20. Comparison of biocontaminant levels associated with hard vs. carpet floors in nonproblem schools: results of a year long study.

    PubMed

    Foarde, Karin; Berry, Michael

    2004-01-01

    Choosing the appropriate floor surface for a school environment is a complex issue. To assist school personnel in determining which flooring is best for their school, we studied the biocontaminant levels associated with carpeted and hard surface flooring. Two schools were selected, one predominantly tiled and one predominantly carpeted, as similar as possible with the exception of their floor coverings. Neither school was a "problem" building. Multiple biocontaminants were measured. For flooring, there were statistically significant differences for all the tested biocontaminants except fungi. The carpeted surfaces, being strong sinks, generally had higher surface loadings of the biocontaminants, while the airborne levels were significantly higher over tiled floors. Significant differences in airborne levels were found for dust mass, spores, fungi, beta-1,3 glucans, and endotoxins. The results suggest that carpet flooring was not the major contributor to airborne levels of biocontaminants in these two nonproblem schools.

  1. Life cycle inventory of manufacturing prefinished engineered wood flooring in eastern U.S. with comparison to solid strip wood flooring

    Treesearch

    Richard D. Bergman; Scott A. Bowe

    2011-01-01

    Building products have come under increased scrutiny because of environmental impacts from their manufacture. Our study followed the life cycle inventory approach for prefinished engineered wood flooring in the eastern US and compared the results with those of solid strip wood flooring. Our study surveyed five engineered wood flooring manufacturers in the eastern US....

  2. Overcoming Spatial and Temporal Barriers to Public Access Defibrillators Via Optimization

    PubMed Central

    Sun, Christopher L. F.; Demirtas, Derya; Brooks, Steven C.; Morrison, Laurie J.; Chan, Timothy C.Y.

    2016-01-01

    BACKGROUND Immediate access to an automated external defibrillator (AED) increases the chance of survival from out-of-hospital cardiac arrest (OHCA). Current deployment usually considers spatial AED access, assuming AEDs are available 24 h a day. OBJECTIVES We sought to develop an optimization model for AED deployment, accounting for spatial and temporal accessibility, to evaluate if OHCA coverage would improve compared to deployment based on spatial accessibility alone. METHODS This was a retrospective population-based cohort study using data from the Toronto Regional RescuNET cardiac arrest database. We identified all nontraumatic public-location OHCAs in Toronto, Canada (January 2006 through August 2014) and obtained a list of registered AEDs (March 2015) from Toronto emergency medical services. We quantified coverage loss due to limited temporal access by comparing the number of OHCAs that occurred within 100 meters of a registered AED (assumed 24/7 coverage) with the number that occurred both within 100 meters of a registered AED and when the AED was available (actual coverage). We then developed a spatiotemporal optimization model that determined AED locations to maximize OHCA actual coverage and overcome the reported coverage loss. We computed the coverage gain between the spatiotemporal model and a spatial-only model using 10-fold cross-validation. RESULTS We identified 2,440 atraumatic public OHCAs and 737 registered AED locations. A total of 451 OHCAs were covered by registered AEDs under assumed 24/7 coverage, and 354 OHCAs under actual coverage, representing a coverage loss of 21.5% (p < 0.001). Using the spatiotemporal model to optimize AED deployment, a 25.3% relative increase in actual coverage was achieved over the spatial-only approach (p < 0.001). CONCLUSIONS One in 5 OHCAs occurred near an inaccessible AED at the time of the OHCA. Potential AED use was significantly improved with a spatiotemporal optimization model guiding deployment. PMID:27539176

  3. A marine dynamic penetrometer for the determination of sea floor geotechnical properties

    NASA Astrophysics Data System (ADS)

    Stephan, S.; Kaul, N. E.; Villinger, H. W.

    2013-12-01

    We present a seafloor lance penetration monitoring system: the Lance Insertion Retardation Meter (LIRmeter). The device can be used to infer geotechnical seafloor properties, such as bearing capacity by monitoring the deceleration of a free-fall penetrating lance. The deceleration record can be furthermore used to estimate mean grain size and mud content of the sea floor as well as total penetration depth. The LIRmeter is contained in a pressure vessel (440 x 110 mm) and equipped with accelerometers of different sensitivities to (i) determine sea floor resistance during penetration and (ii) to generate a depth axis. Typically, measurements are carried out in a pogo style fashion to allow a rapid measurement progress during field campaigns. The LIRmeter is intended to determine sea floor properties on the sole basis of deceleration measurements in order to achieve a mechanically and electronically robust system. Data is sampled at a resolution of 16 bit and at a rate of typically 500 Hz for each channel. The device can either be installed in any type of lance i.e. marine heat flow probes, gravity corers, piston corers or can be used in combination with a purpose built lance as a standalone instrument. It has a usable length of four meters, a total weight of 280 kg in air and can be operated up to full ocean depth (6000m). The bearing capacity of the sea floor is a critical factor for marine engineering projects such as burial of marine cables, pipeline laying and foundations. Knowledge of the mud content can provide constraints for the estimation of hydraulic conductivity. The identification of weak zones along a slope can moreover provide vital information for risk assessment studies. Traditionally, frame based, quasi static Cone Penetration Tests (CPT) or sampling methods like gravity coring are used to conduct these types of investigation. In comparison to established but time consuming and rather costly methods, the LIRmeter is intended (i) for near surface investigations and/or (ii) to complement and connect conventional but isolated CPT measurements in a very efficient and rapid way. We show results from measurements in the North Sea, as well as results of laboratory experiments. During sea trials, the LIRmeter was equipped with an additional CPT sensor, which delivered data for cone (tip) resistance, sleeve friction and pore pressure, thus allowing a direct comparison between results of the acceleration measurements and results from conventional CPT sensors. The laboratory measurements were also carried out using both acceleration and tip resistance sensors. Resulting values show a very good agreement between tip resistance calculated from deceleration data and tip resistance from direct laboratory and field measurements. The influence of sediment type (mainly mud content) will be discussed within the context of laboratory measurements.

  4. Efficacy of hypopressive abdominal gymnastics in rehabilitating the pelvic floor of women: A systematic review.

    PubMed

    Ruiz de Viñaspre Hernández, R

    2017-12-13

    Hypopressive abdominal gymnastics has been proposed as a new paradigm in rehabilitating the pelvic floor. Its claims contraindicate the recommendation for pelvic floor muscle training during the postpartum period. To determine whether hypopressive abdominal gymnastics is more effective than pelvic floor muscle training or other alternative conservative treatments for rehabilitating the pelvic floor. We consulted the databases of the Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Cochrane Library, Latin American and Caribbean Health Sciences Literature (LILACS), Physiotherapy Evidence Database (PEDro), PubMed, Scopus, Trip Database and Web of Science. We selected systematic reviews, clinical trials and analytical studies that assessed the efficacy of hypopressive abdominal gymnastics in women. The measured outcomes were the strengthening of the pelvic floor muscles, the incidence of urine incontinence or prolapse and symptom remission. We included 4 clinical trials, whose quality was measured with the PEDro scale. Hypopressive gymnastics is less effective than pelvic floor muscle training for activating pelvic floor muscles, achieving closure of the levator hiatus of the anus and increasing pelvic floor muscle thickness, strength and resistance. The evidence reviewed does not support the recommendation for hypopressive abdominal gymnastics for strengthening the pelvic floor either during the postpartum period or outside that period. Pelvic floor muscle training remains the first-line treatment for pelvic floor dysfunction. There is a lack of quality clinical trials that have evaluated the efficacy of hypopressive abdominal gymnastics. Copyright © 2017 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  5. Temperature and body weight affect fouling of pig pens.

    PubMed

    Aarnink, A J A; Schrama, J W; Heetkamp, M J W; Stefanowska, J; Huynh, T T T

    2006-08-01

    Fouling of the solid lying area in pig housing is undesirable for reasons of animal welfare, animal health, environmental pollution, and labor costs. In this study the influence of temperature on the excreting and lying behavior of growing-finishing pigs of different BW (25, 45, 65, 85, or 105 kg) was studied. Ten groups of 5 pigs were placed in partially slatted pens (60% solid concrete, 40% metal-slatted) in climate respiration chambers. After an adaptation period, temperatures were raised daily for 9 d. Results showed that above certain inflection temperatures (IT; mean 22.6 degrees C, SE = 0.78) the number of excretions (relative to the total number of excretions) on the solid floor increased with temperature (mean increase 9.7%/ degrees C, SE = 1.41). Below the IT, the number of excretions on the solid floor was low and not influenced by temperature (mean 13.2%, SE = 3.5). On average, the IT for excretion on the solid floor decreased with increasing BW, from approximately 25 degrees C at 25 kg to 20 degrees C at 100 kg of BW (P < 0.05). Increasing temperature also affected the pattern and postural lying. The temperature at which a maximum number of pigs lay on the slatted floor (i.e., the IT for lying) decreased from approximately 27 degrees C at 25 kg to 23 degrees C at 100 kg of BW (P < 0.001). At increasing temperatures, pigs lay more on their sides and less against other pigs (P < 0.001). Temperature affects lying and excreting behavior of growing-finishing pigs in partially slatted pens. Above certain IT, pen fouling increases linearly with temperature. Inflection temperatures decrease at increasing BW.

  6. Do women with pelvic floor dysfunction referred by gynaecologists and urologists at hospitals complete a pelvic floor muscle training programme? A retrospective study, 1992-2008.

    PubMed

    Tibaek, Sigrid; Dehlendorff, Christian

    2013-08-01

    For decades women with pelvic floor dysfunction (PFD) have been referred to pelvic floor muscle training (PFMT), but there is only little information on whether the women complete the programmes and why. The objectives of this study were to investigate to which extent women completed a PFMT programme to which they were referred by gynaecologists and urologists and to identify associated factors for completion. In a hospital-based, retrospective clinical design women with PFD referred to a free PFMT programme as outpatients were included. The PFMT programme consisted of: (a) vaginal digital palpation test of PFM, (b) individual instructions, (c) introduction (theory), (d) weekly supervised PFMT in groups for 3 months (12 sessions) and (e) progressive home exercises (10 sets). Data were analysed in 1,544 women, mean age 54 (SD 13) years, with PFD (urinary incontinence, n = 1,214; anal incontinence, n = 41; pelvic organ prolapse, n = 162; other PFD, n = 127). In total 747 (48 %) subjects completed (attended ≥8 sessions) the PFMT programme, 466 (30 %) dropped out and 331 (22 %) cancelled or stayed away. Age, year of referral and nationality were significantly different (p < 0.01) between completers and non-completers. Likewise, year of referral, distance from home to hospital, waiting list times and diagnosis were significantly different (p < 0.01) between dropouts and subjects who cancelled or stayed away. The results showed that less than half of the women with PFD completed a PFMT programme to which they were referred by gynaecologists and urologists. The most important associated factors for completion were age, year of referral and nationality.

  7. Occurrence of polybrominated diphenyl ethers in floor and elevated surface house dust from Shanghai, China.

    PubMed

    Niu, Dong; Qiu, Yanling; Li, Li; Zhou, Yihui; Du, Xinyu; Zhu, Zhiliang; Chen, Ling; Lin, Zhifen

    2018-04-24

    House dust is the main source of human exposure to flame retardants by ingestion. This study investigated the occurrence of polybrominated diphenyl ethers (PBDEs) in indoor dust from 22 houses in Shanghai, China. House dust was separately collected from the floor and elevated furnishings surface (mostly between 0.5 and 2 m height) for comparison. The concentrations of ∑ 22 PBDEs ranged from 19.4 to 3280 ng/g (with a geometric mean of 203 ng/g) and from 55.1 to 792 ng/g (with a geometric mean of 166 ng/g) in floor dust (FD) and elevated surface dust (ESD), respectively. BDE-209 was the predominant congener, accounting for about 73.1% of total PBDE burdens. In terms of congener profiles, the comparison of FD and ESD revealed no significant differences except for the ratio of BDE-47/BDE-99. ESD samples displayed a ratio of BDE-47/BDE-99 very similar to commercial penta-BDE products DE-71 while the ratio in FD was exceptionally higher. Significant correlation was found between concentrations of commercial penta-BDE compositions in FD and ESD (p < 0.05). Except for some occasional values, PBDE levels in house dust exhibited temporal stability. Human exposure to PBDEs via dust ingestion was estimated. The highest daily intake of PBDEs was for toddlers by using 95th percentile concentrations of PBDEs via high dust ingestion in FD (23.07 ng/kg bw/day). About 20-fold difference in exposure estimates between toddlers and adults supports that toddlers are facing greater risk from indoor floor dust. Expectedly, this study highlighted the point that residents in Shanghai were exposed to low doses of PBDEs in house dust.

  8. Effects of a collagen membrane positioned between augmentation material and the sinus mucosa in the elevation of the maxillary sinus floor. An experimental study in sheep.

    PubMed

    Scala, Alessandro; Lang, Niklaus P; Velez, Joaquin Urbizo; Favero, Riccardo; Bengazi, Franco; Botticelli, Daniele

    2016-11-01

    To assess the influence of a collagen membrane placed subjacent to a pristine sinus mucosa on the healing outcome of a sinus floor elevation procedure. Eight Pelibuey sheep (Cubano rojo) underwent sinus floor elevation on both sides of the maxilla. At a randomly selected side (test), a collagen membrane was placed subjacent to the sinus mucosa, while the contralateral side (control) was left without the placement of a membrane. Deproteinized bovine bone mineral (DBBM) was used to fill the space created. A collagen membrane was placed bilaterally to cover the access osteotomy. After 4 months, biopsies were harvested and ground sections prepared. Morphometric analysis was performed in four different regions, three within the elevated area and one at the site of the osteotomy. The total percentages of mineralized new bone within the elevated area were 29.4 ± 16.2% and 30.9 ± 9.2% and of marrow spaces 44.0 ± 23.0% and 45.6 ± 14.1%, at the Non-membrane and at the Membrane sites, respectively. A low content of connective tissue within the elevated area was noticed. A higher content of connective tissue was found in the osteotomy region, however. Remnants of DBBM granules were found at a percentage of 17-19%. No statistically significant differences were observed between test and control sites. The application of a collagen membrane subjacent to the Schneiderian mucosa in a sinus floor elevation procedure did not influence the healing outcomes at all. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  9. The impact of genital self-image on sexual function in women with pelvic floor disorders.

    PubMed

    Handelzalts, Jonathan E; Yaakobi, Tal; Levy, Sigal; Peled, Yoav; Wiznitzer, Arnon; Krissi, Haim

    2017-04-01

    There is conflicting evidence regarding the impact of urinary incontinence and pelvic organ prolapse on overall sexual function. However, psychological variables thought to be associated with sexual function, have not been fully explored. We assessed the sexual functioning of women with pelvic floor disorders while measuring for psychological factors such as distress and genital self-image. In a cross-sectional study, 155 women in an urogynecology outpatient clinic of a tertiary health center completed a demographic questionnaire, the Brief Symptom Index-18 (BSI-18), Pelvic Floor Distress Inventory-20 (PFDI-20), Genital Self-Image Scale-20 (GSIS-20) and the Female Sexual Function Index (FSFI). Linear regression showed that when controlling for age and depression, GSIS significantly predicted FSFI total score (Beta=0.38, p<0.001) and the Desire subscale (Beta=0.55, p<0.001). Due to the low response rate in the GSIS and FSFI questionnaires, a preliminary analysis was conducted to characterize the responders. On univariate logistic regression, response to the GSIS was negatively correlated with age (OR=0.94, p=0.02) and being in a relationship (OR=2.3, p=0.016), yet the effect of being in a relationship was diminished in a multivariate model that included age. The main variable associated with overall sexual function in women with pelvic floor disorders was low genital self-image. This variable is more important than self-reported symptoms, type of specific disorder or other demographic variables. Older women tended not to complete the scales concerning more intimate matters. We suggest that urogynecologists should inquire about genital self-image as well as sexual function in this population. Copyright © 2017 Elsevier B.V. All rights reserved.

  10. Validation of a single summary score for the Prolapse/Incontinence Sexual Questionnaire-IUGA revised (PISQ-IR).

    PubMed

    Constantine, Melissa L; Pauls, Rachel N; Rogers, Rebecca R; Rockwood, Todd H

    2017-12-01

    The Prolapse/Incontinence Sexual Questionnaire-International Urogynecology Association (IUGA) Revised (PISQ-IR) measures sexual function in women with pelvic floor disorders (PFDs) yet is unwieldy, with six individual subscale scores for sexually active women and four for women who are not. We hypothesized that a valid and responsive summary score could be created for the PISQ-IR. Item response data from participating women who completed a revised version of the PISQ-IR at three clinical sites were used to generate item weights using a magnitude estimation (ME) and Q-sort (Q) approaches. Item weights were applied to data from the original PISQ-IR validation to generate summary scores. Correlation and factor analysis methods were used to evaluate validity and responsiveness of summary scores. Weighted and nonweighted summary scores for the sexually active PISQ-IR demonstrated good criterion validity with condition-specific measures: Incontinence Severity Index = 0.12, 0.11, 0.11; Pelvic Floor Distress Inventory-20 = 0.39, 0.39, 0.12; Epidemiology of Prolapse and Incontinence Questionnaire-Q35 = 0.26 0,.25, 0.40); Female Sexual Functioning Index subscale total score = 0.72, 0.75, 0.72 for nonweighted, ME, and Q summary scores, respectively. Responsiveness evaluation showed weighted and nonweighted summary scores detected moderate effect sizes (Cohen's d > 0.5). Weighted items for those NSA demonstrated significant floor effects and did not meet criterion validity. A PISQ-IR summary score for use with sexually active women, nonweighted or calculated with ME or Q item weights, is a valid and reliable measure for clinical use. The summary scores provide value for assesing clinical treatment of pelvic floor disorders.

  11. Impact of Distance to Treatment Center on Care Seeking for Pelvic Floor Disorders.

    PubMed

    English, Emily; Rogo-Gupta, Lisa

    The aim of this study was to evaluate the impact of distance from residence to treatment center on access to care for female pelvic floor disorders at an academic institution. A retrospective cross-sectional study was conducted of women seen for pelvic floor disorders at an academic institution from 2008 to 2014. Patient characteristics were extracted from charts. Geographical and US census data was obtained from public records and used to calculate distance from patient residence to physician office. Statistical analysis was performed using R Software (Version 0.98.1102) and Microsoft Excel (Version 14.4.7). Statistical significance was defined as a 2-sided P value of less than 0.05, and the χ test was used to determine associations of categorical variables. A total of 3015 patients were included in the analysis. The mean distance traveled was 93 miles. Thirty percent of patients traveled more than 50 miles. Many patients (43%) reported having the symptoms for more than 2 years. Patients who traveled farther were significantly more likely to be white, English-speaking, and with pelvic organ prolapse as primary complaint. These patients were more likely to plan surgery at the first visit than patients who traveled less far (29% vs 14%). Patients who traveled farther were also more likely to live in counties with a low percentage of persons older than 65 years and low percentage of female inhabitants. Women who travel the farthest for treatment of pelvic floor disorders have experienced the symptoms for longer duration and are more willing to plan surgery at presentation. These women also come from counties with fewer elderly women, suggesting future outreach care should focus on similar geographic areas.

  12. 41. Ground level photograph of two floors of skeleton complete ...

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

    41. Ground level photograph of two floors of skeleton complete with 3rd and 4th floors being started,upper floors of county bldg visible - Chicago City Hall, 121 North LaSalle Street, Chicago, Cook County, IL

  13. Experimental Verification of an Instrument to Test Flooring Materials

    NASA Astrophysics Data System (ADS)

    Philip, Rony; Löfgren, Hans, Dr

    2018-02-01

    The focus of this work is to validate the fluid model with different flooring materials and the measurements of an instrument to test flooring materials and its force attenuating capabilities using mathematical models to describe the signature and coefficients of the floor. The main contribution of the present work focus on the development of a mathematical fluid model for floors. The aim of the thesis was to analyze, compare different floor materials and to study the linear dynamics of falling impacts on floors. The impact of the hammer during a fall is captured by an accelerometer and response is collected using a picoscope. The collected data was analyzed using matlab least square method which is coded as per the fluid model. The finding from this thesis showed that the fluid model works with more elastic model but it doesn’t work for rigid materials like wood. The importance of parameters like velocity, mass, energy loss and other coefficients of floor which influences the model during the impact of falling on floors were identified and a standardized testing method was set.

  14. Effect of flooring on standing comfort and fatigue.

    PubMed

    Cham, R; Redfern, M S

    2001-01-01

    This study investigated the influence of flooring on subjective discomfort and fatigue during standing and on potentially related objective measures. Participants stood for 4 h on each of 7 flooring conditions while performing computer tasks. During the 3rd and 4th h, floor type had a significant effect on a number of subjective ratings, including lower-leg and lower-back discomfort/fatigue and 2 of 4 objective variables (center of pressure weight shift and lower-extremity skin temperature). In addition, lower-leg volumetric measurements showed tendencies toward greater lower-extremity swelling on uncomfortable floors. The hard floor and 1 floor mat condition consistently had the worst discomfort/fatigue and objective ratings. Significant relationships were noted between the affected subjective ratings and objective variables. In general, floor mats characterized by increased elasticity, decreased energy absorption, and increased stiffness resulted in less discomfort and fatigue. Thus flooring properties do affect low-back and lower-leg discomfort/fatigue, but the result may be detectable only after 3 h of standing. Potential applications of this research include the reduction of work-related health problems associated with long-term standing.

  15. Clinical evaluation of alloderm for root coverage and colour match

    PubMed Central

    Shanmugam, M.; Sivakumar, V.; Anitha, V.; Sivakumar, B.

    2012-01-01

    Background: Predictable root coverage and good colour match are the major therapeutic end points in the treatment of gingival recession. Alloderm has been used as a substitute to connective tissue graft, but its colour match in populations with a high degree of melanin pigmentation has not been extensively studied. The aim of this study was to evaluate the effectiveness of an Acellular dermal matrix graft for root coverage procedures and to objectively analyze the post-operative esthetics using a Visual Analog Scale (VAS). Materials and Methods: Both male and female patients were selected, aged 20-50 years presenting with aesthetic problems due to the exposure of recession defects when smiling. A total of 14 patients contributed to 15 sites, each site falling into Miller's class I or class II gingival recession. Results: A total of 15 sites were treated and a mean coverage of (85.56±21.70 and 83.33±21.82%) was obtained at the end of 3rd and 12th month respectively. A mean VAS score of 7.93±1.03 and 8.13±0.99 (3rd and 12th month) and 5.73±0.70 and 6.87±0.83 (3rd and 12th month) was obtained when the colour match recorded by the patients and an independent observer, respectively. Conclusion: The study showed that acellular dermal matrix graft (alloderm) may be successfully used to treat gingival recession, as adequate root coverage may be predictably obtained. The grafted areas underwent melanization from the 6th month onwards and complete blending with the adjacent sites was obtained at 1 year. PMID:23055588

  16. Improved coverage of cDNA-AFLP by sequential digestion of immobilized cDNA.

    PubMed

    Weiberg, Arne; Pöhler, Dirk; Morgenstern, Burkhard; Karlovsky, Petr

    2008-10-13

    cDNA-AFLP is a transcriptomics technique which does not require prior sequence information and can therefore be used as a gene discovery tool. The method is based on selective amplification of cDNA fragments generated by restriction endonucleases, electrophoretic separation of the products and comparison of the band patterns between treated samples and controls. Unequal distribution of restriction sites used to generate cDNA fragments negatively affects the performance of cDNA-AFLP. Some transcripts are represented by more than one fragment while other escape detection, causing redundancy and reducing the coverage of the analysis, respectively. With the goal of improving the coverage of cDNA-AFLP without increasing its redundancy, we designed a modified cDNA-AFLP protocol. Immobilized cDNA is sequentially digested with several restriction endonucleases and the released DNA fragments are collected in mutually exclusive pools. To investigate the performance of the protocol, software tool MECS (Multiple Enzyme cDNA-AFLP Simulation) was written in Perl. cDNA-AFLP protocols described in the literature and the new sequential digestion protocol were simulated on sets of cDNA sequences from mouse, human and Arabidopsis thaliana. The redundancy and coverage, the total number of PCR reactions, and the average fragment length were calculated for each protocol and cDNA set. Simulation revealed that sequential digestion of immobilized cDNA followed by the partitioning of released fragments into mutually exclusive pools outperformed other cDNA-AFLP protocols in terms of coverage, redundancy, fragment length, and the total number of PCRs. Primers generating 30 to 70 amplicons per PCR provided the highest fraction of electrophoretically distinguishable fragments suitable for normalization. For A. thaliana, human and mice transcriptome, the use of two marking enzymes and three sequentially applied releasing enzymes for each of the marking enzymes is recommended.

  17. Vaccination coverage among children in kindergarten - United States, 2012-13 school year.

    PubMed

    2013-08-02

    State and local school vaccination requirements are implemented to maintain high vaccination coverage and minimize the risk from vaccine preventable diseases. To assess school vaccination coverage and exemptions, CDC annually analyzes school vaccination coverage data from federally funded immunization programs. These awardees include 50 states and the District of Columbia (DC), five cities, and eight U.S.-affiliated jurisdictions. This report summarizes vaccination coverage from 48 states and DC and exemption rates from 49 states and DC for children entering kindergarten for the 2012-13 school year. Forty-eight states and DC reported vaccination coverage, with medians of 94.5% for 2 doses of measles, mumps, and rubella (MMR) vaccine; 95.1% for local requirements for diphtheria, tetanus toxoid, and acellular pertussis (DTaP) vaccination; and 93.8% for 2 doses of varicella vaccine among awardees with a 2-dose requirement. Forty-nine states and DC reported exemption rates, with the median total of 1.8%. Although school entry coverage for most awardees was at or near national Healthy People 2020 targets of maintaining 95% vaccination coverage levels for 2 doses of MMR vaccine, 4 doses of DTaP† vaccine, and 2 doses of varicella vaccine, low vaccination and high exemption levels can cluster within communities, increasing the risk for disease. Reports to CDC are aggregated at the state level; however, local reporting of school vaccination coverage might be accessible by awardees. These local-level data can be used to create evidence-based health communication strategies to help parents understand the risks for vaccine-preventable diseases and the benefits of vaccinations to the health of their children and other kindergarteners.

  18. Discontinuity of Medicaid Coverage: Impact on Cost and Utilization Among Adult Medicaid Beneficiaries With Major Depression.

    PubMed

    Ji, Xu; Wilk, Adam S; Druss, Benjamin G; Lally, Cathy; Cummings, Janet R

    2017-08-01

    Gaps in Medicaid coverage may disrupt access to and continuity of care. This can be detrimental for beneficiaries with chronic conditions, such as major depression, for whom disruptions in access to outpatient care may lead to increased use of acute care. However, little is known about how Medicaid coverage discontinuities impact acute care utilization among adults with depression. Examine the relationship between Medicaid discontinuities and service utilization among adults with major depression. A total of 139,164 adults (18-64) with major depression was identified using the 2003-2004 Medicaid Analytic eXtract Files. We used generalized linear and two-part models to examine the effect of Medicaid discontinuity on service utilization. To establish causality in this relationship, we used instrumental variables analysis, relying on exogenous variation in a state-level policy for identification. Emergency department (ED) visits, inpatient episodes, inpatient days, and Medicaid-reimbursed costs. Approximately 29.4% of beneficiaries experienced coverage disruptions. In instrumental variables models, those with coverage disruptions incurred an increase of $650 in acute care costs per-person per Medicaid-covered month compared with those with continuous coverage, evidenced by an increase in ED use (0.1 more ED visits per-person-month) and inpatient days (0.6 more days per-person-month). The increase in acute costs contributed to an overall increase in all-cause costs by $310 per-person-month (all P-values<0.001). Among depressed adults, those experiencing coverage disruptions have, on average, significantly greater use of costly ED/inpatient services than those with continuous coverage. Maintenance of continuous Medicaid coverage may help prevent acute episodes requiring high-cost interventions.

  19. Vaccination coverage among children in kindergarten - United States, 2013-14 school year.

    PubMed

    Seither, Ranee; Masalovich, Svetlana; Knighton, Cynthia L; Mellerson, Jenelle; Singleton, James A; Greby, Stacie M

    2014-10-17

    State and local vaccination requirements for school entry are implemented to maintain high vaccination coverage and protect schoolchildren from vaccine-preventable diseases. Each year, to assess state and national vaccination coverage and exemption levels among kindergartners, CDC analyzes school vaccination data collected by federally funded state, local, and territorial immunization programs. This report describes vaccination coverage in 49 states and the District of Columbia (DC) and vaccination exemption rates in 46 states and DC for children enrolled in kindergarten during the 2013-14 school year. Median vaccination coverage was 94.7% for 2 doses of measles, mumps, and rubella (MMR) vaccine; 95.0% for varying local requirements for diphtheria, tetanus toxoid, and acellular pertussis (DTaP) vaccine; and 93.3% for 2 doses of varicella vaccine among those states with a 2-dose requirement. The median total exemption rate was 1.8%. High exemption levels and suboptimal vaccination coverage leave children vulnerable to vaccine-preventable diseases. Although vaccination coverage among kindergartners for the majority of reporting states was at or near the 95% national Healthy People 2020 targets for 4 doses of DTaP, 2 doses of MMR, and 2 doses of varicella vaccine, low vaccination coverage and high exemption levels can cluster within communities. Immunization programs might have access to school vaccination coverage and exemption rates at a local level for counties, school districts, or schools that can identify areas where children are more vulnerable to vaccine-preventable diseases. Health promotion efforts in these local areas can be used to help parents understand the risks for vaccine-preventable diseases and the protection that vaccinations provide to their children.

  20. Novel Visual Sensor Coverage and Deployment in Time Aware PTZ Wireless Visual Sensor Networks.

    PubMed

    Yap, Florence G H; Yen, Hong-Hsu

    2016-12-30

    In this paper, we consider the visual sensor deployment algorithm in Pan-Tilt-Zoom (PTZ) Wireless Visual Sensor Networks (WVSNs). With PTZ capability, a sensor's visual coverage can be extended to reduce the number of visual sensors that need to be deployed. The coverage zone of a visual sensor in PTZ WVSN is composed of two regions, a Direct Coverage Region (DCR) and a PTZ Coverage Region (PTZCR). In the PTZCR, a visual sensor needs a mechanical pan-tilt-zoom operation to cover an object. This mechanical operation can take seconds, so the sensor might not be able to adjust the camera in time to capture the visual data. In this paper, for the first time, we study this PTZ time-aware PTZ WVSN deployment problem. We formulate this PTZ time-aware PTZ WVSN deployment problem as an optimization problem where the objective is to minimize the total visual sensor deployment cost so that each area is either covered in the DCR or in the PTZCR while considering the PTZ time constraint. The proposed Time Aware Coverage Zone (TACZ) model successfully captures the PTZ visual sensor coverage in terms of camera focal range, angle span zone coverage and camera PTZ time. Then a novel heuristic, called Time Aware Deployment with PTZ camera (TADPTZ) algorithm, is proposed to solve the problem. From our computational experiments, we found out that TACZ model outperforms the existing M coverage model under all network scenarios. In addition, as compared to the optimal solutions, the TACZ model is scalable and adaptable to the different PTZ time requirements when deploying large PTZ WVSNs.

  1. Novel Visual Sensor Coverage and Deployment in Time Aware PTZ Wireless Visual Sensor Networks

    PubMed Central

    Yap, Florence G. H.; Yen, Hong-Hsu

    2016-01-01

    In this paper, we consider the visual sensor deployment algorithm in Pan-Tilt-Zoom (PTZ) Wireless Visual Sensor Networks (WVSNs). With PTZ capability, a sensor’s visual coverage can be extended to reduce the number of visual sensors that need to be deployed. The coverage zone of a visual sensor in PTZ WVSN is composed of two regions, a Direct Coverage Region (DCR) and a PTZ Coverage Region (PTZCR). In the PTZCR, a visual sensor needs a mechanical pan-tilt-zoom operation to cover an object. This mechanical operation can take seconds, so the sensor might not be able to adjust the camera in time to capture the visual data. In this paper, for the first time, we study this PTZ time-aware PTZ WVSN deployment problem. We formulate this PTZ time-aware PTZ WVSN deployment problem as an optimization problem where the objective is to minimize the total visual sensor deployment cost so that each area is either covered in the DCR or in the PTZCR while considering the PTZ time constraint. The proposed Time Aware Coverage Zone (TACZ) model successfully captures the PTZ visual sensor coverage in terms of camera focal range, angle span zone coverage and camera PTZ time. Then a novel heuristic, called Time Aware Deployment with PTZ camera (TADPTZ) algorithm, is proposed to solve the problem. From our computational experiments, we found out that TACZ model outperforms the existing M coverage model under all network scenarios. In addition, as compared to the optimal solutions, the TACZ model is scalable and adaptable to the different PTZ time requirements when deploying large PTZ WVSNs. PMID:28042829

  2. Employer-sponsored health insurance coverage continues to decline in a new decade.

    PubMed

    Gould, Elise

    2013-01-01

    Most Americans, particularly those under age 65, rely on health insurance offered through the workplace. Given continuing high unemployment, it comes as no surprise that the share of Americans under age 65 covered by employer-sponsored health insurance (ESI) eroded for the 11th year in a row in 2011, falling from 58.6 percent in 2010 to 58.3 percent. The situation started deteriorating long before the Great Recession: the share of Americans under age 65 covered by ESI eroded every year from 2000 to 2011, decreasing by a total of 10.9 percentage points. As many as 29 million more people under age 65 would have had ESI in 2011 if the coverage rate had remained at the 2000 level. The decline in ESI coverage has been accompanied by an overall decline in health insurance coverage. The number of uninsured non-elderly Americans was 47.9 million in 2011--11.7 million higher than in 2000. Increasing public insurance coverage, particularly among children, is the only reason the uninsured rate did not rise one-for-one with losses in ESI. In addition, key components in the Patient Protection and Affordable Care Act took effect in 2010, shielding young adults from further coverage losses.

  3. Analysis of cloud top height and cloud coverage from satellites using the O2 A and B bands

    NASA Technical Reports Server (NTRS)

    Kuze, Akihiko; Chance, Kelly V.

    1994-01-01

    Cloud height and cloud coverage detection are important for total ozone retrieval using ultraviolet and visible scattered light. Use of the O2 A and B bands, around 761 and 687 nm, by a satellite-borne instrument of moderately high spectral resolution viewing in the nadir makes it possible to detect cloud top height and related parameters, including fractional coverage. The measured values of a satellite-borne spectrometer are convolutions of the instrument slit function and the atmospheric transmittance between cloud top and satellite. Studies here determine the optical depth between a satellite orbit and the Earth or cloud top height to high accuracy using FASCODE 3. Cloud top height and a cloud coverage parameter are determined by least squares fitting to calculated radiance ratios in the oxygen bands. A grid search method is used to search the parameter space of cloud top height and the coverage parameter to minimize an appropriate sum of squares of deviations. For this search, nonlinearity of the atmospheric transmittance (i.e., leverage based on varying amounts of saturation in the absorption spectrum) is important for distinguishing between cloud top height and fractional coverage. Using the above-mentioned method, an operational cloud detection algorithm which uses minimal computation time can be implemented.

  4. The Secrets of Effective Floor Care.

    ERIC Educational Resources Information Center

    Michels, Ed

    2002-01-01

    Discusses the importance of staff training and a maintenance program to the care of hard floors. Describes four key features to look for in a computer-based training program and types of floor pads and matting used to keep flooring clean. (EV)

  5. A Comparative Analysis of Mandated Benefit Laws, 1949–2002

    PubMed Central

    Laugesen, Miriam J; Paul, Rebecca R; Luft, Harold S; Aubry, Wade; Ganiats, Theodore G

    2006-01-01

    Objective To understand and compare the trends in mandated benefits laws in the United States. Data Sources/Study Setting Mandated benefit laws enacted in 50 states and the District of Columbia for the period 1949–2002 were compiled from multiple published compendia. Study Design Laws that require private insurers and health plans to cover particular services, types of diseases, or care by specific providers in 50 states and the District of Columbia are compared for the period 1949–2002. Legislation is compared by year, by average and total frequency, by state, by type (provider, health care service, or preventive), and according to whether it requires coverage or an offer of coverage. Data Collection/Extraction Method Data from published tables were entered into a spreadsheet and analyzed using statistical software. Principal Findings A total of 1,471 laws mandated coverage for 76 types of providers and services. The most common type of mandated coverage is for specific health care services (670 laws for 34 different services), followed by laws for services offered by specific professionals and other providers (507 mandated benefits laws for 25 types of providers), and coverage for specific preventive services (295 laws for 17 benefits). On average, a mandated benefit law has been adopted or significantly revised by 19 states, and each state has approximately 29 mandates. Only two benefits (minimum maternity stay and breast reconstruction) are mandated in all 51 jurisdictions and these were also federally mandated benefits. The mean number of total mandated benefit laws adopted or significantly revised per year was 17 per year in the 1970s, 36 per year in the 1980s, 59 per year in the 1990s, and 76 per year between 2000 and 2002. Since 1990, mandate adoption increased substantially, with around 55 percent of all mandated benefit laws enacted between 1990 and 2002. Conclusions There was a large increase in the number of mandated benefits laws during the managed care “backlash” of the 1990s. Many states now use mandated benefits to prescribe not only what services and benefits would be provided but how, where, and when services will be provided. PMID:16704673

  6. FloCon 2008 Proceedings

    DTIC Science & Technology

    2008-01-01

    anomalous traffic of the node ÷ total anomalous traffic – Make parent nodes by merging child node information. prefix/length coverage/collateral...A T A U P L O A D F L O W S E N S O R 5. DATA DOWNLOAD FLOW SENSOR 1. RECON SNORT: KICKASS_PORN DRAGON: PORN HARDCORE SOURCEDEST SOURCE SOURCE...traffic • Make parent nodes by merging child node information. prefix/length coverage/collateral 0.0.0.0/0 100/100 depth=0 non divided 0.0.0.0/1 50/30

  7. Distribution of black carbon in ponderosa pine forest floor and soils following the High Park wildfire

    NASA Astrophysics Data System (ADS)

    Boot, C. M.; Haddix, M.; Paustian, K.; Cotrufo, M. F.

    2015-05-01

    Biomass burning produces black carbon (BC), effectively transferring a fraction of the biomass C from an actively cycling pool to a passive C pool, which may be stored in the soil. Yet the timescales and mechanisms for incorporation of BC into the soil profile are not well understood. The High Park fire (HPF), which occurred in northwestern Colorado in the summer of 2012, provided an opportunity to study the effects of both fire severity and geomorphology on properties of carbon (C), nitrogen (N) and BC in the Cache La Poudre River drainage. We sampled montane ponderosa pine forest floor (litter plus O-horizon) and soils at 0-5 and 5-15 cm depth 4 months post-fire in order to examine the effects of slope and burn severity on %C, C stocks, %N and BC. We used the benzene polycarboxylic acid (BPCA) method for quantifying BC. With regard to slope, we found that steeper slopes had higher C : N than shallow slopes but that there was no difference in BPCA-C content or stocks. BC content was greatest in the forest floor at burned sites (19 g BPCA-C kg-1 C), while BC stocks were greatest in the 5-15 cm subsurface soils (23 g BPCA-C m-2). At the time of sampling, unburned and burned soils had equivalent BC content, indicating none of the BC deposited on the land surface post-fire had been incorporated into either the 0-5 or 5-15 cm soil layers. The ratio of B6CA : total BPCAs, an index of the degree of aromatic C condensation, suggested that BC in the 5-15 cm soil layer may have been formed at higher temperatures or experienced selective degradation relative to the forest floor and 0-5 cm soils. Total BC soil stocks were relatively low compared to other fire-prone grassland and boreal forest systems, indicating most of the BC produced in this system is likely lost, either through erosion events, degradation or translocation to deeper soils. Future work examining mechanisms for BC losses from forest soils will be required for understanding the role BC plays in the global carbon cycle.

  8. Polybrominated dibenzo-p-dioxins/ dibenzofurans and polybrominated diphenyl ethers in soil, vegetation, workshop-floor dust, and electronic shredder residue from an electronic waste recycling facility and in soils from a chemical industrial complex in eastern China.

    PubMed

    Ma, Jing; Addink, Rudolf; Yun, Sehun; Cheng, Jinping; Wang, Wenhua; Kannan, Kurunthachalam

    2009-10-01

    The formation and release of polybrominated dibenzo-p-dioxins and dibenzofurans (PBDD/Fs) from the incineration of electronic wastes (e-waste) that contain brominated flame retardants (BFRs) are a concern. However, studies on the determination of PBDD/Fs in environmental samples collected from e-waste recycling facilities are scarce. In this study, 11 2,3,7,8-substituted PBDD/Fs and 10 polybrominated diphenyl ether (PBDE) congeners were determined in electronic shredder waste, workshop-floor dust soil, and leaves (of plants on the grounds of the facility) from a large-scale e-waste recycling facility and in surface soil from a chemical-industrial complex (comprising a coke-oven plant, a coal-fired power plant, and a chlor-alkali plant) as well as agricultural areas in eastern China. Total PBDD/F concentrations in environmental samples were in the range of 113-818 pg/g dry wt (dw) for leaves, 392-18500 pg/g dw for electronic shredder residues, 716-800000 pg/g dw for soil samples, and 89600-pg/g dw for workshop-floor dust from the e-waste recycling facility and in a range from nondetect (ND) to 427 pg/g dw in soil from the chemical-industrial complex. The highest mean concentrations of total PBDD/Fs were found in soil samples and workshop-floor dust from the e-waste recycling facility. The dioxin-like toxic equivalent (measured as TEQ) concentrations of PBDD/Fs were greater than the TEQs of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) reported in our previous study for the same set of samples. The concentrations of PBDFs were several orders of magnitude higher than the concentrations of PBDDs in samples from the e-waste facility or from soil from the chemical-industrial complex. A significant correlation was found between the concentrations of sigmaPBDD/Fs and sigmaPBDEs (r = 0.769, p < 0.01) and between sigmaPBDD/Fs and the previously reported sigmaPCDD/F concentrations (r = 0.805, p < 0.01). The estimated daily human intakes of TEQs contributed by PBDD/Fs via soil/dust ingestion and dermal exposures in e-waste recycling facilities were higher than the intakes of TEQs contributed by PCDD/ Fs, calculated in our previous study.

  9. Vegetation dynamics in Bishrampur collieries of northern Chhattisgarh, India: eco-restoration and management perspectives.

    PubMed

    Kumar, A; Jhariya, M K; Yadav, D K; Banerjee, A

    2017-08-01

    Phytosociological study in and around reclaimed coal mine site is an essential requirement for judging restoration impact on a disturbed site. Various studies have been aimed towards assessing the impact of different restoration practices on coal mine wastelands. Plantation scheme in a scientific way is the most suitable approach in this context. During the present investigation, an effort have been made to assess the vegetation dynamics through structure, composition, diversity, and forest floor biomass analysis in and around Bishrampur collieries, Sarguja division, northern Chhattisgarh, India. We have tried to develop strategies for eco-restoration and habitat management of the concerned study sites. Four sites were randomly selected in different directions of the study area. We classified the vegetation community of the study sites into various strata on the basis of height. Two hundred forty quadrats were laid down in various directions of the study area to quantify vegetation under different strata. During our investigation, we found eight different tree species representing four families in the different study sites. The density of the various tree species ranged between 40 and 160 individuals ha -1 . The density of sapling, seedling, shrub, and herb ranged between 740 and 1620; 2000 and 6000; 1200 and 2000; and 484,000 and 612,000 individuals ha -1 , respectively, in different directions. The diversity indices of the tree reflected highest Shannon index value of 1.91. Simpsons index ranged between 0.28 and 0.50, species richness ranged between 0.27 and 0.61, equitability up to 1.44, and Beta diversity ranged between 2.00 and 4.00. Total forest floor biomass ranged between 4.20 and 5.65 t/ha among the study sites. Highest forest floor biomass occurred in the south direction and lowest at east direction. Total forest floor biomass declined by 6.19% in west, 13.10% in north, and 25.66% in east direction, respectively. The mining activities resulted significant damage to natural vegetation and its dynamics. The study indicated that Acacia mangium, Cassia siamea, and Dalbergia sissoo can be recommended for effective eco-restoration of the concerned sites due to cosmopolitan distribution, high regeneration potential, as well as existence in the form of various girth classes with stable population structure.

  10. Strain Partitioning and Localization within Dobe Graben Using Differential Interferometric Synthetic Aperture Radar (D-INSAR) and Shuttle Radar Terrain Model

    NASA Astrophysics Data System (ADS)

    Demissie, Z. S.; Abdelsalam, M. G.; Byrnes, J. M.; Bridges, D.

    2014-12-01

    The Dobe graben is a northwestern trending, Quaternary continental rift found within the east-central block of the Afar Depression (AD), Ethiopia. The AD is one of only few places where three active tectonic rift arms meet on land. Extensional rifting is ongoing in the Dobe graben as evident by the 1989 swarm of intermediate magnitude (5.7 < Ms < 6.3) earthquakes. Dobe graben extension occurs on steeply dipping faults, where the maximum displacement, fault length, heave and spacing spans in three orders of magnitude. Crustal deformation within the graben was measured through ascending and descending interferograms using the Advanced Synthetic Aperture Radar (ASAR), C- Band (l = 5.6 cm) of the ENVISAT satellite. Results from the Differential Interferometric Synthetic Aperture Radar (D-INSAR) over a period of four years (05/20/2005 to 03/05/2010) suggests that the vertical component of deformation is distributed along a 50 km long NW trending zone in the Dobe graben. The vertical component of deformation is -0.5 to -0.3 cm along the graben axial rift floor likely representing subsidence due to riftingand +0.6 cm to 0.9 cm at the middle of the Dobe relay zone due to uplifting along the border escarpment faults. An estimate for the extension rate has been calculated from twelve traverses across the Dobe graben using Shuttle Rader Terrain Model (SRTM). Results show a deformation elongation (e) value ranging from 0.225 to 0.348. A fractal dimension of 0.03 from the graben floor was obtained for the measured population of fault throws (n= 162) in 12 traverses totaling 172 km. This value is interpreted to represent the dominant contribution to extension from faults with large throw. Moreover, frequency distribution of a natural fault population along the graben floor revealed a negative exponential law distribution indicating a strong strain partitioning within the active axial graben floor. A fractal dimension of 0.01 from the graben shoulder escarpment was obtained for the measured population of fault throws (n= 30) in 12 traverses totaling 48 km revealed a negative power fit distribution indicated a strong strain localization by the graben boarder faults.

  11. Assessment of the effect of pelvic floor exercises on pelvic floor muscle strength using ultrasonography in patients with urinary incontinence: a prospective randomized controlled trial

    PubMed Central

    Tosun, Ozge Celiker; Solmaz, Ulas; Ekin, Atalay; Tosun, Gokhan; Gezer, Cenk; Ergenoglu, Ahmet Mete; Yeniel, Ahmet Ozgur; Mat, Emre; Malkoc, Mehtap; Askar, Niyazi

    2016-01-01

    [Purpose] The aim of this study was to evaluate whether the effect of pelvic floor exercises on pelvic floor muscle strength could be detected via ultrasonography in patients with urinary incontinence. [Subjects and Methods] Of 282 incontinent patients, 116 participated in the study and were randomly divided into a pelvic floor muscle training (n=65) group or control group (n=51). The pelvic floor muscle training group was given pelvic floor exercise training for 12 weeks. Both groups were evaluated at the beginning of the study and after 12 weeks. Abdominal ultrasonography measurements in transverse and longitudinal planes, the PERFECT scheme, perineometric evaluation, the stop test, the stress test, and the pad test were used to assess pelvic floor muscle strength in all cases. [Results] After training, the PERFECT, perineometry and transabdominal ultrasonography measurements were found to be significantly improved, and the stop test and pad test results were significantly decreased in the pelvic floor muscle training group, whereas no difference was observed in the control group. There was a positive correlation between the PERFECT force measurement scale and ultrasonography force measurement scale before and after the intervention in the control and pelvic floor muscle training groups (r=0.632 and r=0.642, respectively). [Conclusion] Ultrasonography can be used as a noninvasive method to identify the change in pelvic floor muscle strength with exercise training. PMID:27065519

  12. What Do You Really Know About Floor Finishes & Strippers?

    ERIC Educational Resources Information Center

    Wirth, T. J.

    1972-01-01

    An independent testing laboratory reveals the results of comparative studies done on vinyl flooring and the question of to wax or not to wax'' and which waxes work best with what flooring; and provides six evaluation tips on floor strippers. (EA)

  13. 21. NONSLOW BURN CONSTRUCTION DETAIL, SECOND FLOOR OF 1816 MILL ...

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

    21. NON-SLOW BURN CONSTRUCTION DETAIL, SECOND FLOOR OF 1816 MILL LOOKING WEST-SOUTHWEST; MOST FLOORS IN THE 1814 AND 1816 MILLS HAD ORIGINAL FLOORING REPLACED WITH SLOW BURN CONSTRUCTION. - Boston Manufacturing Company, 144-190 Moody Street, Waltham, Middlesex County, MA

  14. 17. 4th floor roof, view south, 4th and 5th floor ...

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

    17. 4th floor roof, view south, 4th and 5th floor setback to left and atrium structure to right - Sheffield Farms Milk Plant, 1075 Webster Avenue (southwest corner of 166th Street), Bronx, Bronx County, NY

  15. 75 FR 66126 - Multilayered Wood Flooring From China

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-27

    ...)] Multilayered Wood Flooring From China AGENCY: United States International Trade Commission. ACTION: Institution... the United States is materially retarded, by reason of imports from China of multilayered wood... multilayered wood flooring. The following companies are members of the CAHP: Anderson Hardwood Floors, LLC...

  16. Carbon stocks across a chronosequence of thinned and unmanaged red pine (Pinus resinosa) stands

    USGS Publications Warehouse

    Powers, Matthew D.; Kolka, Randall K.; Bradford, John B.; Palik, Brian J.; Fraver, Shawn; Jurgensen, Martin F.

    2012-01-01

    Forests function as a major global C sink, and forest management strategies that maximize C stocks offer one possible means of mitigating the impacts of increasing anthropogenic CO2 emissions. We studied the effects of thinning, a common management technique in many forest types, on age-related trends in C stocks using a chronosequence of thinned and unmanaged red pine (Pinus resinosa) stands ranging from 9 to 306 years old. Live tree C stocks increased with age to a maximum near the middle of the chronosequence in unmanaged stands, and increased across the entire chronosequence in thinned stands. C in live understory vegetation and C in the mineral soil each declined rapidly with age in young stands but changed relatively little in middle-aged to older stands regardless of management. Forest floor C stocks increased with age in unmanaged stands, but forest floor C decreased with age after the onset of thinning around age 40 in thinned stands. Deadwood C was highly variable, but decreased with age in thinned stands. Total ecosystem C increased with stand age until approaching an asymptote around age 150. The increase in total ecosystem C was paralleled by an age-related increase in total aboveground C, but relatively little change in total belowground C. Thinning had surprisingly little impact on total ecosystem C stocks, but it did modestly alter age-related trends in total ecosystem C allocation between aboveground and belowground pools. In addition to characterizing the subtle differences in C dynamics between thinned and unmanaged stands, these results suggest that C accrual in red pine stands continues well beyond the 60–100 year management rotations typical for this system. Management plans that incorporate longer rotations and thinning in some stands could play an important role in maximizing C stocks in red pine forests while meeting other objectives including timber extraction, biodiversity conservation, restoration, and fuel reduction goals.

  17. Use of fly ash in diets of cage and floor broilers

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

    Pharr, C.L.; Andrews, L.D.

    1980-09-01

    Three experiments were conducted to compare limestone to fly ash from a coal-fired generator station as a calcium source for broilers. In experiment 1, 5 male and 5 female broiler chicks were placed in each of 32 cages. Sixteen cages of birds were fed a ration with limestone supplying 30% of the total calcium and 16 cages were fed a ration with 30% of the total calcium supplied by fly ash. The total calcium and phosphorus levels of the rations were 1.0% and .5%, respectively. In this experiment no significant difference was found for 8-week body weight between diets wheremore » the added calcium was from limestone or fly ash. In experiment 2 a group of 40 male and 40 female cage reared broilers and 40 male and 40 female floor reared broilers were fed a basal diet of limestone providing 33% of the total calcium. Three diets with increasing fly ash levels were fed to three cage groups of 40 male and 40 female broilers providing 33, 46, and 45% of the total calcium of .9, 1.1, and 1.8%, respectively. Broilers fed the highest fly ash level weighed significantly less at 8 weeks than the caged controls but did not differ from the other treatments. Bone breaking strength as measured by the Allo Kramer Shear Press was similar between the basal and low level fly ash group and increased with higher fly ash levels. In experiment 3 four groups of 40 male broilers in cages were fed limestone diets with graded levels of limestone for the calcium source. Another four groups of 40 caged male broilers were fed fly ash diets with equivalent graded levels of fly ash for the calcium source. Both limestone and fly ash diets provided .17, .34, .51, and .68% calcium of a total calcium content of .28, .45, .62, and .79%, respectively.« less

  18. Timeliness and completeness of measles vaccination among children in rural areas of Guangxi, China: A stratified three-stage cluster survey.

    PubMed

    Tang, Xianyan; Geater, Alan; McNeil, Edward; Zhou, Hongxia; Deng, Qiuyun; Dong, Aihu

    2017-07-01

    Large-scale outbreaks of measles occurred in 2013 and 2014 in rural Guangxi, a region in Southwest China with high coverage for measles-containing vaccine (MCV). This study aimed to estimate the timely vaccination coverage, the timely-and-complete vaccination coverage, and the median delay period for MCV among children aged 18-54 months in rural Guangxi. Based on quartiles of measles incidence during 2011-2013, a stratified three-stage cluster survey was conducted from June through August 2015. Using weighted estimation and finite population correction, vaccination coverage and 95% confidence intervals (CIs) were calculated. Weighted Kaplan-Meier analyses were used to estimate the median delay periods for the first (MCV1) and second (MCV2) doses of the vaccine. A total of 1216 children were surveyed. The timely vaccination coverage rate was 58.4% (95% CI, 54.9%-62.0%) for MCV1, and 76.9% (95% CI, 73.6%-80.0%) for MCV2. The timely-and-complete vaccination coverage rate was 47.4% (95% CI, 44.0%-51.0%). The median delay period was 32 (95% CI, 27-38) days for MCV1, and 159 (95% CI, 118-195) days for MCV2. The timeliness and completeness of measles vaccination was low, and the median delay period was long among children in rural Guangxi. Incorporating the timeliness and completeness into official routine vaccination coverage statistics may help appraise the coverage of vaccination in China. Copyright © 2017 The Authors. Production and hosting by Elsevier B.V. All rights reserved.

  19. Media Coverage, Journal Press Releases and Editorials Associated with Randomized and Observational Studies in High-Impact Medical Journals: A Cohort Study.

    PubMed

    Wang, Michael T M; Bolland, Mark J; Gamble, Greg; Grey, Andrew

    2015-01-01

    Publication of clinical research findings in prominent journals influences health beliefs and medical practice, in part by engendering news coverage. Randomized controlled trials (RCTs) should be most influential in guiding clinical practice. We determined whether study design of clinical research published in high-impact journals influences media coverage. We compared the incidence and amount of media coverage of RCTs with that of observational studies published in the top 7 medical journals between 1 January 2013 and 31 March 2013. We specifically assessed media coverage of the most rigorous RCTs, those with >1000 participants that reported 'hard' outcomes. There was no difference between RCTs and observational studies in coverage by major newspapers or news agencies, or in total number of news stories generated (all P>0.63). Large RCTs reporting 'hard' outcomes did not generate more news coverage than small RCTs that reported surrogate outcomes and observational studies (all P>0.32). RCTs were more likely than observational studies to attract a journal editorial (70% vs 46%, P = 0.003), but less likely to be the subject of a journal press release (17% vs 50%, P<0.001). Large RCTs that reported 'hard' outcomes did not attract an editorial more frequently than other studies (61% vs 58%, P>0.99), nor were they more likely to be the subject of a journal press release (14% vs 38%, P = 0.14). The design of clinical studies whose results are published in high-impact medical journals is not associated with the likelihood or amount of ensuing news coverage.

  20. Locations of Sampling Stations for Water Quality Monitoring in Water Distribution Networks.

    PubMed

    Rathi, Shweta; Gupta, Rajesh

    2014-04-01

    Water quality is required to be monitored in the water distribution networks (WDNs) at salient locations to assure the safe quality of water supplied to the consumers. Such monitoring stations (MSs) provide warning against any accidental contaminations. Various objectives like demand coverage, time for detection, volume of water contaminated before detection, extent of contamination, expected population affected prior to detection, detection likelihood and others, have been independently or jointly considered in determining optimal number and location of MSs in WDNs. "Demand coverage" defined as the percentage of network demand monitored by a particular monitoring station is a simple measure to locate MSs. Several methods based on formulation of coverage matrix using pre-specified coverage criteria and optimization have been suggested. Coverage criteria is defined as some minimum percentage of total flow received at the monitoring stations that passed through any upstream node included then as covered node of the monitoring station. Number of monitoring stations increases with the increase in the value of coverage criteria. Thus, the design of monitoring station becomes subjective. A simple methodology is proposed herein which priority wise iteratively selects MSs to achieve targeted demand coverage. The proposed methodology provided the same number and location of MSs for illustrative network as an optimization method did. Further, the proposed method is simple and avoids subjectivity that could arise from the consideration of coverage criteria. The application of methodology is also shown on a WDN of Dharampeth zone (Nagpur city WDN in Maharashtra, India) having 285 nodes and 367 pipes.

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