Evaluation of electrical properties of Cr/CrN nano-multilayers for electronic applications.

PubMed

Marulanda, D M; Olaya, J J; Patiño, E J

2011-06-01

The electrical properties of Cr/CrN nano-multilayers produced by Unbalanced Magnetron Sputtering have been studied as a function of bilayer period and total thickness. Two groups of multilayers were produced: in the first group the bilayer period varied between 20 nm, 100 nm and 200 nm with total thickness of 1 microm, and in the second group the bilayer period varied between 25 nm, 50 nm and 100 nm and a total thickness of 100 nm. X-ray Diffraction (XRD), Scanning Electron Microscopy (SEM) and Transmission Electron Microscopy (TEM) were used in order to investigate the microstructure characteristics of the multilayers, and the Four Point Probe (FPP) method was used to evaluate in-plane and transverse electrical resistivity. XRD results show (111) and (200) orientations for all the CrN coatings and the presence of a multilayer structure was confirmed through SEM studies. Transverse electrical resistivity results show that this property is strongly dependent on the bilayer period.

A Study of Periodical Literature Searching at an Urban Research Library: Problems and Patterns.

ERIC Educational Resources Information Center

Carey, Kevin

Patron use of periodical indexes at an urban academic research library was studied over a 7-week period in the summer of 1982. A total of 98 patrons were interviewed on a random basis as they used various periodical and newspaper indexes. The questionnaire was designed to gather information on citation elements, the methods patrons use to locate…

Costs of rheumatoid arthritis during the period 1990-2010: a register-based cost-of-illness study in Sweden.

PubMed

Kalkan, Almina; Hallert, Eva; Bernfort, Lars; Husberg, Magnus; Carlsson, Per

2014-01-01

The objectives of this study were to analyse the total socio-economic impact of RA in Sweden during the period 1990-2010 and to analyse possible changes in costs during this period. The period was deliberately chosen to cover 10 years before and 10 years after the introduction of biologic drugs. A prevalence-based cost-of-illness study was conducted based on data from national and regional registries. There was a decrease in the utilization of RA-related inpatient care as well as sick leave and disability pension during 1990-2010 in Sweden. Total costs for RA are presented in current prices as well as inflation-adjusted with the consumer price index (CPI) and a healthcare price index. The total fixed cost of RA was €454 million in 1990, adjusted to the price level of 2010 with the CPI. This cost increased to €600 million in 2010 and the increase was mainly due to the substantially increasing costs for pharmaceuticals. Of the total costs, drug costs increased from 3% to 33% between 1990 and 2010. Consequently the portion of total costs accounting for indirect costs for RA is lowered from 75% in 1990 to 58% in 2010. By inflation adjusting with the CPI, which is reasonable from a societal perspective, there was a 32% increase in the total fixed cost of RA between 1990 and 2010. This suggests that decreased hospitalization and indirect costs have not fallen enough to offset the increasing cost of drug treatment.

Impact of sleep duration on seizure frequency in adults with epilepsy: a sleep diary study.

PubMed

Cobabe, Maurine M; Sessler, Daniel I; Nowacki, Amy S; O'Rourke, Colin; Andrews, Noah; Foldvary-Schaefer, Nancy

2015-02-01

Prolonged sleep deprivation activates epileptiform EEG abnormalities and seizures in people with epilepsy. Few studies have addressed the effect of chronic partial sleep deprivation on seizure occurrence in populations with epilepsy. We tested the primary hypothesis that partial sleep deprivation over 24- and 72-hour periods increases seizure occurrence in adults with epilepsy. Forty-four subjects completed a series of self-reported instruments, as well as 1-month sleep and seizure diaries, to characterize their sleep and quality of life. Diaries were used to determine the relationship between seizure occurrence and total sleep time 24 and 72h before seizure occurrence using random effects models and a logistic regression model fit by generalized estimating equations. A total of 237 seizures were recorded during 1295 diary days, representing 5.5±7.0 (mean±SD) seizures per month. Random effects models for 24- and 72-hour total sleep times showed no clinically or statistically significant differences in the total sleep time between preseizure periods and seizure-free periods. The average 24-hour total sleep time during preseizure 24-hour periods was 8min shorter than that during seizure-free periods (p=0.51). The average 72-hour total sleep time during preseizure periods was 20min longer than that during seizure-free periods (p=0.86). The presence of triggers was a significant predictor of seizure occurrence, with stress/anxiety noted most often as a trigger. Mean total sleep time was 9h, and subjects took an average of 12±10 naps per month, having a mean duration of 1.9±1.2h. Daytime sleepiness, fatigue, and insomnia symptoms were commonly reported. Small degrees of sleep loss were not associated with seizure occurrence in our sample of adults with epilepsy. Our results also include valuable observations of the altered sleep times and frequent napping habits of adults with refractory epilepsy and the potential contribution of these habits to quality of life and seizure control. Copyright © 2014 Elsevier Inc. All rights reserved.

Comment on ``Steady-state properties of a totally asymmetric exclusion process with periodic structure''

NASA Astrophysics Data System (ADS)

Jiang, Rui; Hu, Mao-Bin; Wu, Qing-Song

2008-07-01

Lakatos [Phys. Rev. E 71, 011103 (2005)] have studied a totally asymmetric exclusion process that contains periodically varying movement rates. They have presented a cluster mean-field theory for the problem. We show that their cluster mean-field theory leads to redundant equations. We present a mean-field analysis in which there is no redundant equation.

Physical Activity in High School during "Free-Time" Periods

ERIC Educational Resources Information Center

Silva, Pedro; Sousa, Michael; Sá, Carla; Ribeiro, José; Mota, Jorge

2015-01-01

The purpose of this study was to examine youth physical activity (PA) in free-time periods during high school days and their contribution to total PA. Differences in terms of sex, age, body mass index and school level were assessed in a sample of Portuguese adolescents. Participants totalled 213 (135 girls), aged 14.6 ± 1.7, from two different…

Estimation of DMFT, Salivary Streptococcus Mutans Count, Flow Rate, Ph, and Salivary Total Calcium Content in Pregnant and Non-Pregnant Women: A Prospective Study

PubMed Central

Vibhute, Nupura Aniket; Baad, Rajendra Krishna

2017-01-01

Introduction Pregnancy, a period from conception till birth, causes changes in the functioning of the human body as a whole and specifically in the oral cavity that may favour the emergence of dental caries. Many studies have shown pregnant women at increased risk for dental caries, however, specific salivary caries risk factors and the particular period of pregnancy at heightened risk for dental caries are yet to be explored and give a scope of further research in this area. Aim The aim of the present study was to assess the severity of dental caries in pregnant women compared to non-pregnant women by evaluating parameters like Decayed, Missing, Filled Teeth (DMFT) index, salivary Streptococcus mutans count, flow rate, pH and total calcium content. Materials and Methods A total of 50 first time pregnant women in the first trimester were followed during their second trimester, third trimester and postpartum period for the evaluation of DMFT by World Health Organization (WHO) scoring criteria, salivary flow rate by drooling method, salivary pH by pH meter, salivary total calcium content by bioassay test kit and salivary Streptococcus mutans count by semiautomatic counting of colonies grown on Mitis Salivarius (MS) agar supplemented by 0.2U/ml of bacitracin and 10% sucrose. The observations of pregnant women were then compared with same parameters evaluated in the 50 non-pregnant women. Paired t-test and Wilcoxon sign rank test were performed to assess the association between the study parameters. Results Evaluation of different caries risk factors between pregnant and non-pregnant women clearly showed that pregnant women were at a higher risk for dental caries. Comparison of caries risk parameters during the three trimesters and postpartum period showed that the salivary Streptococcus mutans count had significantly increased in the second trimester, third trimester and postpartum period while the mean pH and mean salivary total calcium content decreased in the third trimester and postpartum period. These changes reflected on the DMFT score which increased in the third trimester and postpartum period. Conclusion The results of this study suggest that there is a definite correlation between pregnancy and dental caries. We conclude that the third trimester and postpartum period of pregnancy are the periods during which the pregnant women are at a higher risk for development of dental caries. PMID:28571283

Multi-disciplinary team for early gastric cancer diagnosis improves the detection rate of early gastric cancer.

PubMed

Di, Lianjun; Wu, Huichao; Zhu, Rong; Li, Youfeng; Wu, Xinglong; Xie, Rui; Li, Hongping; Wang, Haibo; Zhang, Hua; Xiao, Hong; Chen, Hui; Zhen, Hong; Zhao, Kui; Yang, Xuefeng; Xie, Ming; Tuo, Bigung

2017-12-06

Gastric cancer is a frequent malignant tumor worldwide and its early detection is crucial for curing the disease and enhancing patients' survival rate. This study aimed to assess whether the multi-disciplinary team (MDT) can improve the detection rate of early gastric cancer (EGC). The detection rate of EGC at the Digestive Endoscopy Center, Affiliated Hospital, Zunyi Medical College, China between September 2013 and September 2015 was analyzed. MDT for the diagnosis of EGC in the hospital was established in September 2014. The study was divided into 2 time periods: September 1, 2013 to August 31, 2014 (period 1) and September 1, 2014 to September 1, 2015 (period 2). A total of 60,800 patients' gastroscopies were performed during the two years. 61 of these patients (0.1%) were diagnosed as EGC, accounting for 16.44% (61/371) of total patients with gastric cancer. The EGC detection rate before MDT (period 1) was 0.05% (16/29403), accounting for 9.09% (16/176) of total patients with gastric cancer during this period. In comparison, the EGC detection rate during MDT (period 2) was 0.15% (45/31397), accounting for 23% (45/195) of total patients with gastric cancer during this period (P < 0.05). Univariate and multivariate logistic analyses showed that intensive gastroscopy for high risk patients of gastric cancer enhanced the detection rate of EGC in cooperation with Department of Pathology (OR = 10.1, 95% CI 2.39-43.3, P < 0.05). MDT could improve the endoscopic detection rate of EGC.

Optimal periodic proof test based on cost-effective and reliability criteria

NASA Technical Reports Server (NTRS)

Yang, J.-N.

1976-01-01

An exploratory study for the optimization of periodic proof tests for fatigue-critical structures is presented. The optimal proof load level and the optimal number of periodic proof tests are determined by minimizing the total expected (statistical average) cost, while the constraint on the allowable level of structural reliability is satisfied. The total expected cost consists of the expected cost of proof tests, the expected cost of structures destroyed by proof tests, and the expected cost of structural failure in service. It is demonstrated by numerical examples that significant cost saving and reliability improvement for fatigue-critical structures can be achieved by the application of the optimal periodic proof test. The present study is relevant to the establishment of optimal maintenance procedures for fatigue-critical structures.

Assessment of metal transport into and out of Terrace Reservoir, Conejos County, Colorado, April 1994 through March 1995; interim report

USGS Publications Warehouse

Ferguson, Sheryl; Edelmann, Patrick

1996-01-01

Terrace Reservoir is the primary source of water for crops and livestock in the southwestern part of the San Luis Valley in southern Colorado. Mining activities have occurred in the basin for more than 100 years, and substantial mining of gold has occurred intermittently at the Summitville Mine.Historically, the Summitville Mine site has produced highly acidic, metal-enriched water that drained from the mine site into Wightman Fork and flowed to the Alamosa River and Terrace Reservoir. In 1994, a study was begun as part of risk-assessment and remediation efforts and to evaluate metal transport into and out of Terrace Reservoir. During the study period, the pH immediately upstream from Terrace Reservoir ranged from 4.3 to 7.8. The highest pH occurred during the pre-peak snowmelt period; the lowest pH occurred during storm runoff during summer. Downstream from Terrace Reservoir, the pH ranged from 4.6 to 7.6. The highest pH occurred during the pre-peak snowmelt period, and the lowest pH occurred during summer in mid-July. A comparison of the streamflow hydrographs upstream and downstream from Terrace Reservoir indicated that there was only a small difference between the annual volume of water that entered the reservoir and the annual volume of water that was released from the reservoir. Large spatial and temporal variations in concentrations of the metals of concern occurred during the study.The median and maximum concentrations of dissolved and total aluminum, iron, copper, cadmium, manganese, and zinc were larger upstream from the reservoir than downstream from the reservoir. The largest concentrations of dissolved aluminum, iron, copper, cadmium, manganese, and zinc generally occurred between mid-June and November. Throughout the study, aluminum was transported into the reservoir predominantly in the particulate or suspended form. Downstream from the reservoir, the suspended-aluminum fraction was predominant only during the pre-peak snowmelt and peak snowmelt periods. The temporal variations in the percentage of dissolved and suspended fraction of iron and copper downstream from Terrace Reservoir were similar to the temporal variations that occurred upstream from the reservoir. During the study period, cadmium, manganese, and zinc generally were transported into and out of the reservoir predominantly in the dissolved form. Metal loads varied considerably as a result of changes in streamflow or changes in metal concentrations, or both. The largest daily loads of aluminum, iron, and manganese were transported into and out of Terrace Reservoir during the peak snowmelt period.The reservoir was a sink for an estimated 294 tons of aluminum and 596 tons of iron. However, about 68.5 tons of total aluminum and about 194 tons of total iron were transported out of the reservoir during the study period. During the study period, about 22\\x11tons of total copper remained in the reservoir, and 39 tons was transported downstream from the reservoir. About 47 tons of total manganese and 18 tons of total-zinc loads were transported out of the reservoir; the reservoir was a sink for only a small fraction of total-manganese and -zinc.

Quantity and quality of runoff from selected guttered and unguttered roadways in northeastern Ramsey County, Minnesota

USGS Publications Warehouse

Mitton, G.B.; Payne, G.A.

1997-01-01

Length of latent period was statistically compared to constituent concentration levels of total phosphorus, dissolved sulfate, and total zinc and there was a correlation. Constituent loads were not associated with latent period. No correlation was found between traffic volumes which ranged from 1,888 to 7,172 vehicles per day and constituent concentrations or loads for this study.

Butter increased total and LDL cholesterol compared with olive oil but resulted in higher HDL cholesterol compared with a habitual diet.

PubMed

Engel, Sara; Tholstrup, Tine

2015-08-01

Butter is known to have a cholesterol-raising effect and, therefore, has often been included as a negative control in dietary studies, whereas the effect of moderate butter intake has not been elucidated to our knowledge. We compared the effects of moderate butter intake, moderate olive oil intake, and a habitual diet on blood lipids, high-sensitivity C-reactive protein (hsCRP), glucose, and insulin. The study was a controlled, double-blinded, randomized 2 × 5-wk crossover dietary intervention study with a 14-d run-in period during which subjects consumed their habitual diets. The study included 47 healthy men and women (mean ± SD total cholesterol: 5.22 ± 0.90 mmol/L) who substituted a part of their habitual diets with 4.5% of energy from butter or refined olive oil. Study subjects were 70% women with a mean age and body mass index (in kg/m²) of 40.4 y and 23.5, respectively. Butter intake increased total cholesterol and LDL cholesterol more than did olive oil intake (P < 0.05) and the run-in period (P < 0.005 and P < 0.05, respectively) and increased HDL cholesterol compared with the run-in period (P < 0.05). No difference in effects was observed for triacylglycerol, hsCRP, insulin, and glucose concentrations. The intake of saturated fatty acids was significantly higher in the butter period than in the olive oil and run-in periods (P < 0.0001). Moderate intake of butter resulted in increases in total cholesterol and LDL cholesterol compared with the effects of olive oil intake and a habitual diet (run-in period). Furthermore, moderate butter intake was also followed by an increase in HDL cholesterol compared with the habitual diet. We conclude that hypercholesterolemic people should keep their consumption of butter to a minimum, whereas moderate butter intake may be considered part of the diet in the normocholesterolemic population. © 2015 American Society for Nutrition.

[Animal experiment studies on the changes in lipid and protein metabolism in L-carnitine-supplemented total parenteral nutrition].

PubMed

Böhles, H; Segerer, H; Fekl, W; Stehr, K

1983-02-01

The influence of i.v. L-carnitine on parameters of lipid- and nitrogen metabolism was studied during total parenteral nutrition of mini pigs (x: 4077; n = 9). The infusion protocol was divided into isocaloric and isonitrogenous 48-hour-periods. Amino acids (3 g/kg/day) were administered throughout all three periods. 140 Cal/kg/day were given as non-protein calories, consisting only of glucose during period 1. During periods 2 and 3 an amount of glucose calorically equivalent to 4 g fat/kg/day was substituted with a lipid emulsion. In period 3, L-carnitine (1,5 mg/kg/day) was added. During the entire regime key parameters of fat and nitrogen metabolism were determined. During all three periods indirect calorimetry was performed and the respiratory quotient calculated. The results demonstrate a more effective lipolysis and oxydation of fatty acids during L-carnitine supplementation. This results in an increased energy gain from exogenously administered fat and a distinct improvement of nitrogen balance.

Trends In Nutrient and Sediment Concentrations and Loads In Major River Basins of the South-Central United States, 1993-2004

USGS Publications Warehouse

Rebich, Richard A.; Demcheck, Dennis K.

2008-01-01

Nutrient and sediment data collected at 115 sites by Federal and State agencies from 1993 to 2004 were analyzed by the U.S. Geological Survey to determine trends in concentrations and loads for selected rivers and streams that drain into the northwestern Gulf of Mexico from the south-central United States, specifically from the Lower Mississippi, Arkansas-White-Red, and Texas-Gulf Basins. Trends observed in the study area were compared to determine potential regional patterns and to determine cause-effect relations with trends in hydrologic and human-induced factors such as nutrient sources, streamflow, and implementation of best management practices. Secondary objectives included calculation of loads and yields for the study period as a basis for comparing the delivery of nutrients and sediment to the northwestern Gulf of Mexico from the various rivers within the study area. In addition, loads were assessed at seven selected sites for the period 1980-2004 to give hydrologic perspective to trends in loads observed during 1993-2004. Most study sites (about 64 percent) either had no trends or decreasing trends in streamflow during the study period. The regional pattern of decreasing trends in streamflow during the study period appeared to correspond to moist conditions at the beginning of the study period and the influence of three drought periods during the study period, of which the most extreme was in 2000. Trend tests were completed for ammonia at 49 sites, for nitrite plus nitrate at 69 sites, and for total nitrogen at 41 sites. For all nitrogen constituents analyzed, no trends were observed at half or more of the sites. No regional trend patterns could be confirmed because there was poor spatial representation of the trend sites. Decreasing trends in flow-adjusted concentrations of ammonia were observed at 25 sites. No increasing trends in concentrations of ammonia were noted at any sites. Flow-adjusted concentrations of nitrite plus nitrate decreased at 7 sites and increased at14 sites. Flow-adjusted concentrations of total nitrogen decreased at 2 sites and increased at 12 sites. Improvements to municipal wastewater treatment facilities contributed to the decline of ammonia concentrations at selected sites. Notable increasing trends in nitrite plus nitrate and total nitrogen at selected study sites were attributed to both point and nonpointsources. Trend patterns in total nitrogen generally followed trend patterns in nitrite plus nitrate, which was understandable given that nitrite plus nitrate loads generally were 70-90 percent of the total nitrogen loads at most sites. Population data were used as a surrogate to understand the relation between changes in point sources and nutrient trends because data from wastewater treatment plants were inconsistent for this study area. Although population increased throughout the study area during the study period, there was no observed relation between increasing trends in nitrogen in study area streams and increasing trends in population. With respect to other nitrogen sources, statistical results did suggest that increasing trends in nitrogen could be related to increasing trends in nitrogen from either commercial fertilizer use and/or land application of manure. Loads of ammonia, nitrite plus nitrate, and total nitrogen decreased during the study period, but some trends in nitrogen loads were part of long-term decreases since 1980. For example, ammonia loads were shown to decrease at nearly all sites over the past decade, but at selected sites, these decreasing trends were part of much longer trends since 1980. The Mississippi and Atchafalaya Rivers contributed the highest nitrogen loads to the northwestern Gulf of Mexico as expected; however, nitrogen yields from smaller rivers had similar or higher yields than yields from the Mississippi River. Trend tests were completed for orthophosphorus at 34 sites and for total phosphorus at 52 sites. No trends were observed in abo

Wide-aperture total absorption of a terahertz wave in a nanoperiodic graphene-based plasmon structure

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

Polischuk, O. V., E-mail: polischuk.sfire@mail.ru; Melnikova, V. S.; Popov, V. V., E-mail: popov-slava@yahoo.co.uk

2016-11-15

The terahertz absorption spectrum in a periodic array of graphene nanoribbons located on the surface of a dielectric substrate with a high refractive index (terahertz prism) is studied theoretically. The total absorption of terahertz radiation is shown to occur in the regime of total internal reflection of the terahertz wave from the periodic array of graphene nanoribbons, at the frequencies of plasma oscillations in graphene, in a wide range of incidence angles of the external terahertz wave even at room temperature.

The role of imported grain on the selenium intake of Finnish population in 1941-1981.

PubMed

Mutanen, M; Koivistoinen, P

1983-01-01

When the average intake of selenium among the Finnish population during the period 1941 to 1981 was estimated, the proportion of imported grain used for human consumption, as well as its country of origin, was taken into account as a factor increasing the total intake. The figures indicting the intake of selenium during the study period range from 21 to 56 micrograms/day, clearly exceeding the values obtained when the intake is assessed on the basis of the selenium content of Finnish grain only. The proportion of selenium derived from grain out of the total intake of selenium ranged from 10 to 67% during the study period.

Blood Management Strategies to Reduce Transfusions After Elective Lower-Extremity Joint Arthroplasty Surgeries: One Tertiary Care Hospital's Early Experience With an Alternative Payment Model-a Total Joint "Bundle".

PubMed

Kansagra, Ankit; Andrzejewski, Chester; Krushell, Robert; Lehman, Andrew; Greenbaum, Jordan; Visintainer, Paul; McGirr, Joan; Mahoney, Kathleen; Cloutier, Darlene; Ehresman, Alice; Stefan, Mihaela S

Blood loss associated with lower-extremity total joint arthroplasty (TJA) often results in anemia and the need for red blood cell transfusions (RBCTs). This article reports on a quality improvement initiative aimed at improving blood management strategies in patients undergoing TJA. A multifaceted intervention (preoperative anemia assessment, use of tranexamic acid, discouragement of autologous preoperative blood collection, restrictive RBCT protocols) was implemented. The results were stratified into 3 intervention periods: 1, pre; 2, peri; and 3, post. Fractional logistic regression was used to describe differences between various intervention periods. During the study period, 2511 patients underwent TJA. Compared with the preintervention period, there was 81.8% decrease in total units of RBCT during the postintervention period. Using activity-based costing (~$1000/unit), the annualized saving in RBC expenditure was $480 000. A multidisciplinary approach can be successful and sustainable in reducing RBCT and its associated costs for patients undergoing TJA.

Condition of The Stratospheric and Mesospheric Ozone Layer Over Bulgaria for the Period 1996-2012

NASA Astrophysics Data System (ADS)

Kaleyna, Petya; Mukhtarov, Plamen; Miloshev, Nikolay

2014-05-01

A detailed analysis of the variations of the stratospheric and mesospheric ozone over Bulgaria, in the period 1996-2012, is presented in the article on the basis of ground and satellite measurements of the Total Ozone Content (TOC). The move of the most important components: yearly running mean values, amplitudes and phases of the first four harmonics of the seasonal cycle. Their mean values for the period and the existing long term trends have been found. An evaluation of the general characteristics of the short term variability of the Total Ozone Content (TOC) over Bulgaria also has been made in the article. The impact of the planetary wave activity of the stratosphere on the total ozone has been studied and the climatology of the oscillation amplitudes with periods of 4, 7, 11 and 25 days has been defined.

Ionospheric responses during equinox and solstice periods over Turkey

NASA Astrophysics Data System (ADS)

Karatay, Secil; Cinar, Ali; Arikan, Feza

2017-11-01

Ionospheric electron density is the determining variable for investigation of the spatial and temporal variations in the ionosphere. Total Electron Content (TEC) is the integral of the electron density along a ray path that indicates the total variability through the ionosphere. Global Positioning System (GPS) recordings can be utilized to estimate the TEC, thus GPS proves itself as a useful tool in monitoring the total variability of electron distribution within the ionosphere. This study focuses on the analysis of the variations of ionosphere over Turkey that can be grouped into anomalies during equinox and solstice periods using TEC estimates obtained by a regional GPS network. It is observed that noon time depletions in TEC distributions predominantly occur in winter for minimum Sun Spots Numbers (SSN) in the central regions of Turkey which also exhibit high variability due to midlatitude winter anomaly. TEC values and ionospheric variations at solstice periods demonstrate significant enhancements compared to those at equinox periods.

Indications of a Scarring Effect of Sickness Absence Periods in a Cohort of Higher Educated Self-Employed.

PubMed

Wijnvoord, Liesbeth E C; Brouwer, Sandra; Buitenhuis, Jan; van der Klink, Jac J L; de Boer, Michiel R

2016-01-01

Little is known regarding incidence and recurrence of sickness absence in self-employed. The primary aim of this study was to evaluate the influence of the number of prior episodes of sickness absence on the risk of subsequent periods of sickness absence in higher educated self-employed. In a historic register study based on the files of a Dutch private disability insurance company all sickness absence periods of 30 days or more were analysed. A total of 15,868 insured persons contributed 141,188 person years to the study. In total, 5608 periods of sickness absence occurred during follow-up. The hazard of experiencing a new period of sickness absence increased with every previous period, ranging from a hazard ratio of 2.83 in case of one previous period of sickness absence to a hazard ratio of 6.72 in case of four previous periods. This effect was found for both men and women and for all diagnostic categories of the first period of sickness absence. Our study shows that for all diagnostic categories the hazard of experiencing a recurrence of sickness absence is appreciably higher than for experiencing a first episode. This suggests that this increased hazard may be related to the occurrence of sickness absence itself rather than related to characteristics of the insured person or of the medical condition. These findings could indicate that sickness absence periods may have a scarring effect on the self-employed person experiencing the sickness absence.

Hydrologic characteristics of lagoons at San Juan, Puerto Rico, during an October 1974 tidal cycle

USGS Publications Warehouse

Gómez-Gómez, Fernando; Ellis, S.R.

1983-01-01

Flow and water-quality changes were studied during a period of intense rainfall in the San Juan Lagoon system. The study covered a 25-hour period beginning 0900 hours 22 October, 1974. Precipitation during the study period averaged 70 millimeters. Sampling stations were located at Boca de Cangrejos, the main ocean outlet; Canal Pinones between Laguna de Pinones and Laguna La Torrecilla; Canal Suarez between Laguna San Jose, connects to Laguna La Torrecilla; and Cano de Martin Pena between Laguna San Jose and Bahia de San Juan. In addition water-elevation recording gages were installed at each lagoon. Water samples from the canal stations were analyzed for organic carbon, nitrogen and phosphorus species, and suspended sediment. Specific-conductance measurements were used with the chemical data to estimate the runoff contributions of nutrients. Runoff into the lagoon, system during the study period was about 2.8 million cubic meters, or about 70 percent of the average precipitation. The runoff contributed chemical loadings to the lagoons of 95,000 kilograms total-organic carbon; 2,700 kilograms of total phosphorus; and 10,000 kilograms of total Khjeldhal nitrogen. A comparison with a prior study during which there was no significant rain, show that dry-period loadings are less than 10 percent of the wet-period loadings. At the end of the study period the system had not reached equilibrium, and the lagoons retained 80 percent of the water inflows from 50 to 90 percent of the chemical loads. Nearly 95 percent of the water outflows occurred at the Boca de Cangrejos sea outlet. The three lagoons and interconnecting canals form a very complex hydraulic system that is difficult to study using traditional techniques. A model of the system will facilitate management to improve the quality of water in the lagoons.

Direct Telephonic Communication in a Heart Failure Transitional Care Program: An observational study.

PubMed

Ota, Ken S; Beutler, David S; Sheikh, Hassam; Weiss, Jessica L; Parkinson, Dallin; Nguyen, Peter; Gerkin, Richard D; Loli, Akil I

2013-10-01

This study investigated the trend of phone calls in the Banner Good Samaritan Medical Center (BGSMC) Heart Failure Transitional Care Program (HFTCP). The primary goal of the HFTCP is to reduce 30-Day readmissions for heart failure patients by using a multi-pronged approach. This study included 104 patients in the HFTCP discharged over a 51-week period who had around-the-clock telephone access to the Transitionalist. Cellular phone records were reviewed. This study evaluated the length and timing of calls. A total of 4398 telephone calls were recorded of which 39% were inbound and 61% were outbound. This averaged to 86 calls per week. During the "Weekday Daytime" period, Eighty-five percent of the totals calls were made. There were 229 calls during the "Weekday Nights" period with 1.5 inbound calls per week. The "Total Weekend" calls were 10.2% of the total calls which equated to a weekly average of 8.8. Our experience is that direct, physician-patient telephone contact is feasible with a panel of around 100 HF patients for one provider. If the proper financial reimbursements are provided, physicians may be apt to participate in similar transitional care programs. Likewise, third party payers will benefit from the reduction in unnecessary emergency room visits and hospitalizations.

The productivity and its barriers in public hospitals: case study of Iran

PubMed Central

Nabilou, Bahram; Yusefzadeh, Hassan; Rezapour, Aziz; Ebadi Fard Azar, Farbod; Salem Safi, Parviz; Sarabi Asiabar, Ali; Ahmadzadeh, Nahal

2016-01-01

Background: Due to the increasing health care costs, the issue of productivity in hospitals must be taken into great consideration in order to provide, preserve and promote public health services. Thus, increasing the level of productivity must become the main aim of any hospital. Objective of this study is to determine the total factor productivity and its components over the period under the study. Methods: In this cross sectional study, total factor productivity changes of hospitals affiliated to Tehran University of Medical Sciences were measured according to Malmquist index over the period 2009-2014. To estimate total productivity changes using Data Envelopment Analysis method, inputoriented and variable return to scale assumptions were applied and Deap2.1 software was used. Results: The mean value of total productivity changes was 1.013. It means that during the study period the productivity experienced a 1.3% decrease. Technological efficiency changes have the greatest influence on productivity decrease than the other factors. Scale efficiency, managerial efficiency and technical efficiency changes were ranked. Conclusion: Lack of knowledge of hospital personnel on proper application of technology in patient treatment is the main factor leading to productivity decrease resulting from technological changes in the studied hospitals. Therefore, holding courses for personnel in order to teach them the proper use of technology in diagnosis and patient care can be helpful. PMID:27390686

Graphene-based magnetless converter of terahertz wave polarization

NASA Astrophysics Data System (ADS)

Melnikova, Veronica S.; Polischuk, Olga V.; Popov, Vyacheslav V.

2016-04-01

The polarization conversion of terahertz radiation by the periodic array of graphene nanoribbons located at the surface of a high-refractive-index dielectric substrate (terahertz prism) is studied theoretically. Giant polarization conversion at the plasmon resonance frequencies takes place without applying external DC magnetic field. It is shown that the total polarization conversion can be reached at the total internal reflection of THz wave from the periodic array of graphene nanoribbons even at room temperature.

On the Total Energy Deposition Between Periodically Occurring Activations of the Aurora

NASA Technical Reports Server (NTRS)

Spann, James F., Jr.; Germany, G. A.; Parks, G. K.; Brittnacher, M. J.; Winglee, R. W.

1998-01-01

Total energy deposition in the northern latitudes is used in models to determine the state of the magnetosphere. It is known that on occasion, a series of intensifications of the aurora occur that are regularly spaced. The energy profile of the total energy deposited reflects this occurance. What can be said of the state of the magnetosphere based on these profiles. We present the result of a study which looks at several of these periods when a series of intensifications occur. Conclusions as to what the magnetosphere may be doing are presented.

Nitrogen loads from selected rivers in the Long Island Sound Basin, 2005–13, Connecticut and Massachusetts

USGS Publications Warehouse

Mullaney, John R.

2016-03-29

Total nitrogen loads at 14 water-quality monitoring stations were calculated by using discrete measurements of total nitrogen and continuous streamflow data for the period 2005–13 (water years 2006–13). Total nitrogen loads were calculated by using the LOADEST computer program.Overall, for water years 2006–13, streamflow in Connecticut was generally above normal. Total nitrogen yields ranged from 1,160 to 23,330 pounds per square mile per year. Total nitrogen loads from the French River at North Grosvenordale and the Still River at Brookfield Center, Connecticut, declined noticeably during the study period. An analysis of the bias in estimated loads indicated unbiased results at all but one station, indicating generally good fit for the LOADEST models.

Post-natal growth in the rat pineal gland: a stereological study.

PubMed

Erbagci, H; Kizilkan, N; Ozbag, D; Erkilic, S; Kervancioglu, P; Canan, S; Gumusburun, E

2012-10-01

The purpose was to observe the changes in a rat pineal gland using stereological techniques during lactation and post-weaning periods. Thirty Wistar albino rats were studied during different post-natal periods using light microscopy. Pineal gland volume was estimated using the Cavalieri Method. Additionally, the total number of pinealocytes was estimated using the optical fractionator technique. Pineal gland volume displayed statistically significant changes between lactation and after weaning periods. A significant increase in pineal gland volume was observed from post-natal day 10 to post-natal day 90. The numerical density of pinealocytes became stabilized during lactation and decreased rapidly after weaning. However, the total number of pinealocytes continuously increased during post-natal life of all rats in the study. However, this increment was not statistically significant when comparing the lactation and after weaning periods. The increase in post-natal pineal gland volume may depend on increment of immunoreactive fibres, capsule thickness or new synaptic bodies. © 2012 Blackwell Verlag GmbH.

Business Education Index 1987. Volume 48. Index of Business Education Articles, Research Studies, and Textbooks Compiled from a Selected List of Periodicals, Publishers, and Yearbooks Published during the Year 1987.

ERIC Educational Resources Information Center

McCauley, Rosemarie, Ed.

1988-01-01

This index lists business education articles, research studies, and textbooks that were compiled from a selected list of periodicals, publishers, and yearbooks published during 1987. A total of 19 general publications and 48 periodicals were indexed. The materials are indexed under 94 subject headings, including the following: accounting,…

Performance factors of mobile rich media job aids for community health workers

PubMed Central

Florez-Arango, Jose F; Dunn, Kim; Zhang, Jiajie

2011-01-01

Objective To study and analyze the possible benefits on performance of community health workers using point-of-care clinical guidelines implemented as interactive rich media job aids on small-format mobile platforms. Design A crossover study with one intervention (rich media job aids) and one control (traditional job aids), two periods, with 50 community health workers, each subject solving a total 15 standardized cases per period per period (30 cases in total per subject). Measurements Error rate per case and task, protocol compliance. Results A total of 1394 cases were evaluated. Intervention reduces errors by an average of 33.15% (p=0.001) and increases protocol compliance 30.18% (p<0.001). Limitations Medical cases were presented on human patient simulators in a laboratory setting, not on real patients. Conclusion These results indicate encouraging prospects for mHealth technologies in general, and the use of rich media clinical guidelines on cell phones in particular, for the improvement of community health worker performance in developing countries. PMID:21292702

Performance factors of mobile rich media job aids for community health workers.

PubMed

Florez-Arango, Jose F; Iyengar, M Sriram; Dunn, Kim; Zhang, Jiajie

2011-01-01

To study and analyze the possible benefits on performance of community health workers using point-of-care clinical guidelines implemented as interactive rich media job aids on small-format mobile platforms. A crossover study with one intervention (rich media job aids) and one control (traditional job aids), two periods, with 50 community health workers, each subject solving a total 15 standardized cases per period per period (30 cases in total per subject). Error rate per case and task, protocol compliance. A total of 1394 cases were evaluated. Intervention reduces errors by an average of 33.15% (p = 0.001) and increases protocol compliance 30.18% (p < 0.001). Limitations Medical cases were presented on human patient simulators in a laboratory setting, not on real patients. These results indicate encouraging prospects for mHealth technologies in general, and the use of rich media clinical guidelines on cell phones in particular, for the improvement of community health worker performance in developing countries.

Precipitation-runoff relations and water-quality characteristics at edge-of-field stations, Discovery Farms and Pioneer Farm, Wisconsin, 2003-8

USGS Publications Warehouse

Stuntebeck, Todd D.; Komiskey, Matthew J.; Peppler, Marie C.; Owens, David W.; Frame, Dennis R.

2011-01-01

A cooperative study between the U.S. Geological Survey, the University of Wisconsin (UW)-Madison Discovery Farms program (Discovery Farms), and the UW-Platteville Pioneer Farm program (Pioneer Farm) was developed to identify typical ranges and magnitudes, temporal distributions, and principal factors affecting concentrations and yields of sediment, nutrients, and other selected constituents in runoff from agricultural fields. Hydrologic and water-quality data were collected year-round at 23 edge-of-field monitoring stations on 5 privately owned Discovery Farms and on Pioneer Farm during water years 2003-8. The studied farms represented landscapes, soils, and farming systems typical of livestock farms throughout southern Wisconsin. Each farm employed a variety of soil, nutrient, and water-conservation practices to help minimize sediment and nutrient losses from fields and to improve crop productivity. This report summarizes the precipitation-runoff relations and water-quality characteristics measured in edge-of-field runoff for 26 "farm years" (aggregate years of averaged station data from all 6 farms for varying monitoring periods). A relatively wide range of constituents typically found in agricultural runoff were measured: suspended sediment, phosphorus (total, particulate, dissolved reactive, and total dissolved), and nitrogen (total, nitrate plus nitrite, organic, ammonium, total Kjeldahl and total Kjeldahl-dissolved), chloride, total solids, total suspended solids, total volatile suspended solids, and total dissolved solids. Mean annual precipitation was 32.8 inches for the study period, about 3 percent less than the 30-year mean. Overall mean annual runoff was 2.55 inches per year (about 8 percent of precipitation) and the distribution was nearly equal between periods of frozen ground (54 percent) and unfrozen ground (46 percent). Mean monthly runoff was highest during two periods: February to March and May to June. Ninety percent of annual runoff occurred between January and the end of June. Event mean concentrations of suspended sediment in runoff during unfrozen-ground periods were significantly higher (p2= 0.92), indicating that the sources of nitrogen and phosphorus in runoff were likely similar. Analysis of runoff, concentration, and yield data on annual, monthly, and seasonal time scales, when combined with precipitation, soil moisture, soil temperature, and on-farm field-activity information, revealed conditions in which runoff was most likely. The analysis also revealed the effects that field conditions and the timing of field-management activities-most notably, manure applications and tillage-had on the quantity and quality of surface runoff from agricultural fields.

Indoor air quality in a bar/restaurant before and after the smoking ban in Athens, Greece.

PubMed

Konstantopoulou, Sophia S; Behrakis, Panagiotis K; Lazaris, Andreas C; Nicolopoulou-Stamati, Polyxeni

2014-04-01

In this study we compared indoor air pollutant concentrations in a bar/restaurant in Greece before and after the enactment of a smoking ban legislation of 2008. This was done to investigate whether the separation of the venue into smoking and non-smoking areas will have an impact on workers and customers from secondhand smoke (SHS) exposure (null hypothesis). The study was completed within an 8-month period beginning in March 2010 and ending on November 2010. We compared the average of the measured PM0.1 concentrations in the smoking zones between the pre-ban and post-ban periods. Overall reduction in the number of particles was 18% between pre-ban and post-ban periods. The mean of the 36 total CO2 measurements for the pre- and the post-ban period was 611ppm. We calculated the ventilation rates per occupant (Vo in l/s/occ) and found it to be higher in the post-ban period (19.4l/s/occ), thus complying with the ASHARAE standard for Vo of 15l/s/occ at maximum occupancy, than in the pre-ban period (10.7l/s/occ). The mean of the 36 total CO measurements for the pre-ban period was 2 ppm. CO measurements in the post-ban period were less than the detection limit of 1 ppm. Emissions of nitrogen dioxide and formaldehyde weren't detected in any of the zones. It was observed there was about 50% distribution of pollutants from the smoking zones to the smoke-free zones. The smoking ban effect on the occupancy levels was initially reduced by 16%, but based on other similar studies this transition period will be followed by an increase in the occupancy. Passive smoking and associated risks were significantly reduced but not totally eliminated, indicating the need for stronger enforcement or complete partition between smoking and non-smoking areas. Copyright © 2013 Elsevier B.V. All rights reserved.

Current Proportion of Women Receiving Perinatal Psychosocial or Psychological Intervention in Japan

PubMed Central

Suzuki, Shunji; Kuribayashi, Yasushi; Matsuda, Hideo; Asakawa, Yasuyuki; Sekizawa, Akihiko; Tanaka, Masanobu; Okai, Takashi; Kinoshita, Katsuyuki

2016-01-01

Background In this study, we examined the current status of psychosocial or psychological intervention for women during pregnancy and the postpartum period in Japan. Methods We estimated the number of women receiving perinatal psychosocial or psychological intervention in Japan. On December 2015, we requested 2,462 obstetrical facilities that are members of the Japan Association of Obstetricians and Gynecologists (JAOG) to provide information on women who received psychosocial or psychological intervention during pregnancy, the hospitalization period for childbirth and the puerperal 1 month in 2014. A total of 1,305 (53.0%) of the 2,462 obstetrical facilities responded with valid information on a total of 515,373 women, accounting for approximately 52% of all deliveries that occurred in Japan during the study period. Results The number of women who received psychosocial or psychological intervention during pregnancy, the hospitalization period for childbirth and the puerperal 1 month were 4,843 (0.94%), 4,791 (0.93%) and 3,015 (0.59%), respectively. In total, 8,743 women (1.70%) received psychosocial or psychological intervention in 2014. Conclusion Considering the response rate, the number of women requiring perinatal psychosocial or psychological intervention was estimated to be 16,000 per year in Japan. PMID:27222675

Direct Telephonic Communication in a Heart Failure Transitional Care Program: An observational study

PubMed Central

Ota, Ken S.; Beutler, David S.; Sheikh, Hassam; Weiss, Jessica L.; Parkinson, Dallin; Nguyen, Peter; Gerkin, Richard D.; Loli, Akil I.

2013-01-01

Background This study investigated the trend of phone calls in the Banner Good Samaritan Medical Center (BGSMC) Heart Failure Transitional Care Program (HFTCP). The primary goal of the HFTCP is to reduce 30-Day readmissions for heart failure patients by using a multi-pronged approach. Methods This study included 104 patients in the HFTCP discharged over a 51-week period who had around-the-clock telephone access to the Transitionalist. Cellular phone records were reviewed. This study evaluated the length and timing of calls. Results A total of 4398 telephone calls were recorded of which 39% were inbound and 61% were outbound. This averaged to 86 calls per week. During the “Weekday Daytime” period, Eighty-five percent of the totals calls were made. There were 229 calls during the “Weekday Nights” period with 1.5 inbound calls per week. The “Total Weekend” calls were 10.2% of the total calls which equated to a weekly average of 8.8. Conclusions Our experience is that direct, physician-patient telephone contact is feasible with a panel of around 100 HF patients for one provider. If the proper financial reimbursements are provided, physicians may be apt to participate in similar transitional care programs. Likewise, third party payers will benefit from the reduction in unnecessary emergency room visits and hospitalizations. PMID:28352437

Genetic parameters and principal component analysis for egg production from White Leghorn hens.

PubMed

Venturini, G C; Savegnago, R P; Nunes, B N; Ledur, M C; Schmidt, G S; El Faro, L; Munari, D P

2013-09-01

The objectives of this study were to estimate genetic parameters for accumulated egg production over 3-wk periods and for total egg production over 54 wk of egg-laying, and using principal component analysis (PCA), to explore the relationships among the breeding values of these traits to identify the possible genetic relationships present among them and hence to observe which of them could be used as selection criteria for improving egg production. Egg production was measured among 1,512 females of a line of White Leghorn laying hens. The traits analyzed were the number of eggs produced over partial periods of 3 wk, thus totaling 18 partial periods (P1 to P18), and the total number of eggs produced over the period between the 17 and 70 wk of age (PTOT), thus totaling 54 wk of egg production. Estimates of genetic parameters were obtained by means of the restricted maximum likelihood method, using 2-trait animal models. The PCA was done using the breeding values of partial and total egg production. The heritability estimates ranged from 0.05 ± 0.03 (P1 and P8) to 0.27 ± 0.06 (P4) in the 2-trait analysis. The genetic correlations between PTOT and partial periods ranged from 0.19 ± 0.31 (P1) to 1.00 ± 0.05 (P10, P11, and P12). Despite the high genetic correlation, selection of birds based on P10, P11, and P12 did not result in an increase in PTOT because of the low heritability estimates for these periods (0.06 ± 0.03, 0.12 ± 0.04, and 0.10 ± 0.04, respectively). The PCA showed that egg production can be divided genetically into 4 periods, and that P1 and P2 are independent and have little genetic association with the other periods.

Suicide in Greece 1992-2012: A time-series analysis.

PubMed

Papaslanis, Theodoros; Kontaxakis, Vassilis; Christodoulou, Christos; Konstantakopoulos, George; Kontaxaki, Maria-Irini; Papadimitriou, George N

2016-08-01

Since 2008, Greece has entered a long period of economic crisis with adverse effects on various aspects of daily life. In this frame, it is quite important to examine the suicide trends in Greece. Our analysis covered the period 1992-2012. 2012 was the last year for which official suicide data were available. The inclusion of data for pre-crisis period enabled us to assess trends in suicide preceding the economic crisis, starting in 2008. Trends in sex- and age-adjusted standardized suicide rates (SSR) were analyzed using joinpoint regression. Total SSR presented statistically significant annual decrease of 0.89% (95% confidence interval (CI): -1.7, -0.1) during the period 1992-2008. After 2009, the trend in total SSR increased statistically significant annual increase (12.48%; 95% CI: 0.3%, 26.1%). SSR in males presented an initial period of modest annual decrease (-0.84%; 95% CI: -1.6%, -0.1%), during the period 1992-2008. After 2009, an annual increase by 9.25% (95% CI: 2.7%, 16.3%) was revealed. No change in female SSR trend was observed during the studied period. According to the results of this study, there is clear evidence of an increase in the overall SSR and male SSR in Greece during the period of the current financial crisis. © The Author(s) 2016.

Role of surgery in delayed local treatment for INSS 4 neuroblastoma.

PubMed

Uehara, Shuichiro; Yoneda, Akihiro; Oue, Takaharu; Nakahata, Kengo; Zenitani, Masahiro; Miyamura, Takako; Hashii, Yoshiko; Fukuzawa, Masahiro; Okuyama, Hiroomi

2017-09-01

The aim of the present study was to compare the efficacy, complications and outcomes of the following two surgical strategies for delayed local treatment for International Neuroblastoma Staging System (INSS) 4 neuroblastoma (NB): complete resection (CR; period A); and gross total resection/subtotal resection (GTR/STR) with local irradiation (period B). We retrospectively analyzed 17 patients with INSS 4 NB who received delayed local treatment (period A, n = 11; period B, n = 6). Eleven patients in period A received CR. Two patients underwent GTR and four patients underwent STR in period B. The amount of blood loss in period A was significantly greater than that in period B. Postoperative complications were observed in eight patients in period A (73%), but in only one patient in period B (17%; P < 0.01). Recurrence was observed in five patients in period A and in one patient in period B (45.4% vs 16.6%; P = n.s.). Distant metastasis at recurrence was observed in four patients in period A and in one patient in period B. Gross total resection/subtotal resection with local irradiation may be a safe and effective delayed local treatment for INSS 4 NB. © 2017 Japan Pediatric Society.

Impact of autofluorescence-based identification of parathyroids during total thyroidectomy on postoperative hypocalcemia: a before and after controlled study.

PubMed

Benmiloud, Fares; Rebaudet, Stanislas; Varoquaux, Arthur; Penaranda, Guillaume; Bannier, Marie; Denizot, Anne

2018-01-01

The clinical impact of intraoperative autofluorescence-based identification of parathyroids using a near-infrared camera remains unknown. In a before and after controlled study, we compared all patients who underwent total thyroidectomy by the same surgeon during Period 1 (January 2015 to January 2016) without near-infrared (near-infrared- group) and those operated on during Period 2 (February 2016 to September 2016) using a near-infrared camera (near-infrared+ group). In parallel, we also compared all patients who underwent surgery without near-infrared during those same periods by another surgeon in the same unit (control groups). Main outcomes included postoperative hypocalcemia, parathyroid identification, autotransplantation, and inadvertent resection. The near-infrared+ group displayed significantly lower postoperative hypocalcemia rates (5.2%) than the near-infrared- group (20.9%; P < .001). Compared with the near-infrared- patients, the near-infrared+ group exhibited an increased mean number of identified parathyroids and reduced parathyroid autotransplantation rates, although no difference was observed in inadvertent resection rates. Parathyroids were identified via near-infrared before they were visualized by the surgeon in 68% patients. In the control groups, parathyroid identification improved significantly from Period 1 to Period 2, although autotransplantation, inadvertent resection and postoperative hypocalcemia rates did not differ. Near-infrared use during total thyroidectomy significantly reduced postoperative hypocalcemia, improved parathyroid identification and reduced their autotransplantation rate. Copyright © 2017 Elsevier Inc. All rights reserved.

Effect of biomass open burning on particulate matter and polycyclic aromatic hydrocarbon concentration levels and PAH dry deposition in ambient air.

PubMed

Chiu, Jui C; Shen, Yun H; Li, Hsing W; Chang, Shun S; Wang, Lin C; Chang-Chien, Guo P

2011-01-01

The objectives of the present study were to investigate particulate matter (PM) and polycyclic aromatic hydrocarbon (PAH) concentrations in ambient air during rice straw open burning and non-open burning periods. In the ambient air of a rice field, the mean PM concentration during and after an open burning event were 1828 and 102 μg m⁻³, respectively, which demonstrates that during a rice field open burning event, the PM concentration in the ambient air of rice field is over 17 times higher than that of the non-open burning period. During an open burning event, the mean total PAH and total toxic equivalence (BaP(eq)) concentrations in the ambient air of a rice field were 7206 ng m⁻³ and 10.3 ng m⁻³, respectively, whereas after the open burning event, they were 376 ng m⁻³ and 1.50 ng m⁻³, respectively. Open burning thus increases total PAH and total BaP(eq) concentrations by 19-fold and 6.8-fold, respectively. During a rice straw open burning event, in the ambient air of a rice field, the mean dry deposition fluxes of total PAHs and total BaP(eq) were 1222 μg m⁻² day⁻¹ and 4.80 μg m⁻² day⁻¹, respectively, which are approximately 60- and 3-fold higher than those during the non-open burning period, respectively. During the non-open burning period, particle-bound PAHs contributed 79.2-84.2% of total dry deposition fluxes (gas + particle) of total PAHs. However, an open burning event increases the contribution to total PAH dry deposition by particle-bound PAHs by up to 85.9-95.5%. The results show that due to the increased amount of PM in the ambient air resulting from rice straw open burning, particle-bound PAHs contributed more to dry deposition fluxes of total PAHs than they do during non-open burning periods. The results show that biomass (rice straw) open burning is an important PAH emission source that significantly increases both PM and PAH concentration levels and PAH dry deposition in ambient air.

Water-quality assessment of Steiner Branch basin, Lafayette County, Wisconsin

USGS Publications Warehouse

Field, Stephen J.; Lidwin, R.A.

1982-01-01

Most of the nutrient load of the stream was transported during runoff: total organic nitrogen, 80 percent; ammonia nitrogen, 80 percent; total phosphorus, 84 percent; and total orthophosphorus, 77 percent. Transport of nitrite plus nitrate nitrogen and total nitrogen occurred primarily during baseflow conditions, with 75 and 56 percent, respectively, of the total load for the study period being transported during these conditions. The time distribution of total phosphorus, total orthophosphorus, ammonia nitrogen, and total organic nitrogen transport was very similar to suspended-sediment transport in Steiner Branch.

Development of a mass balance model for estimating PCB export from the lower Fox River to Green Bay

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

Velleux, M.; Endicott, D.

A mass balance approach was used to model contaminant cycling in the lower Fox River from the DePere Dam to Green Bay. The objectives of this research were (1) to estimate present contaminant export from the Fox River to Green Bay, and (2) to quantify contaminant transport and fate pathways in the lower river for the study period. Specifically, a model describing the transport, fate, and export of chlorides, total suspended solids, total PCBs, and six PCB congeners for the lower Fox River was developed. Field data collected as part of the U.S. Environmental Protection Agency's Green Bay Mass Balancemore » Study were used to calibrate the model. Model results suggest that the transport of inplace pollutants significantly contributed to the cumulative export of total PCBs over this period. Estimated total PCB transport in the Fox River during 1989 increased 60% between the dam and river mouth due to the resuspension of lower river sediments. Total suspended solids and PCB predictions are most sensitive to particle transport parameters, particularly the settling and resuspension velocities. The significant components of the total PCB mass balance are import (loading over the DePere Dam), settling, resuspension, and export to Green Bay. Volatilization, porewater transport, and point source input were not significant to the mass balance. Present point source discharges to the river are not significant total PCB sources, collectively contributing less than 6 kg of PCB to the river during the mass balance period.« less

29 CFR 516.23 - Employees of hospitals and residential care facilities compensated for overtime work on the basis...

Code of Federal Regulations, 2010 CFR

2010-07-01

... employee's 14-day work period begins, (2) Hours worked each workday and total hours worked each 14-day work period, (3) Total straight-time wages paid for hours worked during the 14-day period, (4) Total overtime excess compensation paid for hours worked in excess of 8 in a workday and 80 in the work period. (b) A...

Lignin phenols in sediments of Lake Baikal, Siberia: Application to paleoenvironmental studies

USGS Publications Warehouse

Orem, W.H.; Colman, Steven M.; Lerch, H.E.

1997-01-01

Sediments from three cores obtained from distinct depositional environments in Lake Baikal, Siberia were analyzed for organic carbon, total nitrogen and lignin phenol concentration and composition. Results were used to examine changes in paleoenvironmental conditions during climatic cycles of the late Quaternary (< 125 ka). Average organic carbon, and total nitrogen concentrations, atomic C/N ratios and organic carbon accumulation rates were significantly higher in the Holocene compared with the late Pleistocene, reflecting overall warmer temperatures and increased runoff during the Holocene. A Holocene maximum in organic carbon was observed at about 6 ka, and may represent the warmest wettest period of the Holocene. At one site (Academician Ridge) pronounced late Pleistocene maxima in organic carbon and biogenic silica were observed at about 80-85 ka, probably indicative of an interstadial period with enhanced aquatic productivity. Total sedimentary lignin phenol contents were generally lower in the late Pleistocene compared to the Holocene, but with several peaks in concentration during the late Pleistocene. These late Pleistocene peaks in total sedimentary lignin content (dated at about 80, 50 and 30 ka) directly precede or occur during peaks in sedimentary biogenic silica contents. These periods likely represent relatively warm interstadial times, with increased precipitation producing the observed increase in terrestrial runoff and aquatic productivity. Lignin phenol ratios (S/V, C/V and P/V) were used to examine changes in terrestrial vegetation type resulting from changes in paleoenvironmental conditions during the late Pleistocene. A degree of caution must be used in the interpretation of these ratios with regard to vegetation sources and paleoenvironmental conditions, because of potential compositional changes in lignin resulting from biodegradation. Nevertheless, results show that long glacial periods were characterized by terrestrial vegetation composed of a mix of non-woody angiosperm vegetation and minor gymnosperm forest. Shorter interstadial periods are defined by a change to dominant gymnosperm forest and were observed at about 80, 75, 63, 50 and 30 ka, ranging from about 2-6 kyr in duration. These interstadial periods of the late Pleistocene defined by lignin phenol ratios generally occur during longer periods of enhanced sedimentary biogenic silica content (about 10-15 ka in duration), providing corroborative evidence of these warm interstadial periods.Sediments obtained in Lake Baikal were analyzed for organic carbon, total nitrogen and lignin phenol composition and used to study changes in paleoenvironmental conditions during climatic cycles of the late Quaternary. The organic carbon, total nitrogen concentrations, atomic C/N ratios and organic carbon accumulation rates were higher in the Holocene showing overall warmer temperatures and increased runoff. Total lignin phenol contents were lower in the Pleistocene representing relatively warm interstadial times with increased precipitation, runoff and aquatic productivity. Lignin phenol was used to examine vegetation changes due to paleoenvironmental conditions and showed that long glacial periods were characterized by terrestrial vegetation.

Decentralization of Sports Services Opinions of Youth Services and Provincial Directors of Sports

ERIC Educational Resources Information Center

Aydogan, Hayri

2016-01-01

The purpose of this paper is to make a study on opinions of Youth Services and Provincial Directors of Sports related to decentralization of sports services according to demographical variables like educational background, age, total professional working period, and working period as a director. While the population of the study consists of 81…

Comparison of Motor Development in Preschool Children.

ERIC Educational Resources Information Center

Bohren, Judy M.; Vlahov, Eric

This study investigated the gross motor development of children at two day care centers, one with a movement-oriented physical education program and the other with an unstructured free play period. Also studied were the biological factors of age and sex. A total of 146 children were tested during a 3-year period. During the last two years,…

Cyanobacterial blooms in stratified and destratified eutrophic reservoirs in semi-arid region of Brazil.

PubMed

Dantas, Enio W; Moura, Ariadne N; Bittencourt-Oliveira, Maria do Carmo

2011-12-01

This study investigated the dynamics of cyanobacteria in two deep, eutrophic reservoirs in a semi-arid region of Brazil during periods of stratification and destratification. Four collections were carried out at each reservoir at two depths at three-month intervals. The following abiotic variables were analyzed: water temperature, dissolved oxygen, pH, turbidity, water transparency, total phosphorus, total dissolved phosphorus, orthophosphate and total nitrogen. Phytoplankton density was quantified for the determination of the biomass of cyanobacteria. The data were analyzed using CCA. Higher mean phytoplankton biomass values (29.8 mm(3).L(-1)) occurred in the period of thermal stratification. A greater similarity in the phytoplankton communities also occurred in this period and was related to the development of cyanobacteria, mainly Cylindrospermopsis raciborskii (>3.9 mm(3).L(-1)). During the period of thermal destratification, this species co-dominated the environment with Planktothrix agardhii, Geitlerinema amphibium, Microcystis aeruginosa and Merismopedia tenuissima, as well as with diatoms and phytoflagellates. Environmental instability and competition among algae hindered the establishment of blooms more during the mixture period than during the stratification period. Thermal changes in the water column caused by climatologic events altered other physiochemical conditions of the water, leading to changes in the composition and biomass of the cyanobacterial community in tropical reservoirs.

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

PubMed

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

2011-09-01

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

Long-Term Outcomes of an Antimicrobial Stewardship Program Implemented in a Hospital with Low Baseline Antibiotic Use

PubMed Central

Jenkins, Timothy C.; Knepper, Bryan C.; Shihadeh, Katherine; Haas, Michelle K.; Sabel, Allison L.; Steele, Andrew W.; Wilson, Michael L.; Price, Connie S.; Burman, William J.; Mehler, Philip S.

2016-01-01

Objective To evaluate the long-term outcomes of an antimicrobial stewardship program (ASP) implemented in a hospital with low baseline antibiotic use Design Quasi-experimental, interrupted-time series study Setting 525-bed public safety-net hospital Intervention Implementation of a formal ASP in July 2008 Methods We conducted a time-series analysis to evaluate the impact of the ASP over a 6.25-year period (July 1, 2008 – September 30, 2014) while controlling for trends during a 3-year preintervention period (July 1, 2005 – June 30, 2008). The primary outcome measures were total antibacterial and antipseudomonal use in days of therapy (DOT) per 1000 patient-days (PD). Secondary outcomes included antimicrobial costs and resistance, hospital-onset C. difficile infection, and other patient-centered measures. Results During the preintervention period, total antibacterial and antipseudomonal use were declining (−9.2 and −5.5 DOT/1000 PD per quarter, respectively). During the stewardship period, both continued to decline, although at lower rates (−3.7 and −2.2 DOT/1000 PD, respectively), resulting in a slope change of 5.5 DOT/1000 PD per quarter for total antibacterial use (P = .10) and 3.3 DOT/100 PD per quarter for antipseudomonal use (P = .01). Antibiotic expenditures declined markedly during the stewardship period (−$295.42/1000PD per quarter, p=.002). There were variable changes in antimicrobial resistance and few apparent changes in C. difficile infection and other patient-centered outcomes. Conclusion In a hospital with low baseline antibiotic use, implementation of an ASP was associated with sustained reductions in total antibacterial and antipseudomonal use and declining antibiotic expenditures; however, this study highlights limitations of commonly used stewardship outcome measures. PMID:25740560

Incidence of skin cancers during 5-year follow-up after stopping antioxidant vitamins and mineral supplementation.

PubMed

Ezzedine, Khaled; Latreille, Julie; Kesse-Guyot, Emmanuelle; Galan, Pilar; Hercberg, Serge; Guinot, Christiane; Malvy, Denis

2010-12-01

In the SU.VI.MAX study, antioxidant supplementation for 7.5 years was found to increase skin cancer risk in women but not in men. To investigate the potential residual or delayed effect of antioxidant supplementation on skin cancer incidence after a 5-year post-intervention follow-up. Assessment of skin cancer including melanoma and non-melanoma during the post-intervention follow-up (September 2002-August 2007). The SU.VI.MAX study was a double-blind, placebo-controlled, randomised trial, in which 12,741 French adults (7713 women aged 35-60 years and 5028 men aged 45-60 years) received daily a placebo or a combination of ascorbic acid (120 mg), vitamin E (30 mg), β-carotene (6 mg), selenium (100 μg) and zinc (20mg), from inclusion in 1994 to September 2002. Total skin cancer incidence, including melanoma, squamous cell carcinoma and basal cell carcinoma. During the post-intervention period, 10 melanomas appeared in women and 9 in men (26 and 18, respectively, for the total period of supplementation+post-supplementation). Six squamous cell carcinomas were found in women and 15 in men (10 and 25, respectively, for the total period). Finally, 40 basal cell carcinomas appeared in women and 36 in men (98 and 94, respectively, for the total period). Regarding potential residual or delayed effects of supplementation in women, no increased risk of melanoma was observed during the post-intervention follow-up period. No delayed effects, either on melanoma or non-melanoma skin cancers, were observed for either gender. The risk of skin cancers associated with antioxidant intake declines following interruption of supplementation. This supports a causative role for antioxidants in the evolution of skin cancers. Copyright © 2010 Elsevier Ltd. All rights reserved.

The risk of venous thromboembolism, myocardial infarction, stroke, major bleeding and death in patients undergoing total hip and knee replacement: a 15-year retrospective cohort study of routine clinical practice.

PubMed

Pedersen, A B; Mehnert, F; Sorensen, H T; Emmeluth, C; Overgaard, S; Johnsen, S P

2014-04-01

We examined the risk of thrombotic and major bleeding events in patients undergoing total hip and knee replacement (THR and TKR) treated with thromboprophylaxis, using nationwide population-based databases. We identified 83 756 primary procedures performed between 1997 and 2011. The outcomes were symptomatic venous thromboembolism (VTE), myocardial infarction (MI), stroke, death and major bleeding requiring hospitalisation within 90 days of surgery. A total of 1114 (1.3%) and 483 (0.6%) patients experienced VTE and bleeding, respectively. The annual risk of VTE varied between 0.9% and 1.6%, and of bleeding between 0.4% and 0.8%. The risk of VTE and bleeding was unchanged over a 15-year period. A total of 0.7% of patients died within 90 days, with a decrease from 1% in 1997 to 0.6% in 2011 (p < 0.001). A high level of comorbidity and general anaesthesia were strong risk factors for both VTE and bleeding, with no difference between THR and TKR patients. The risk of both MI and stroke was 0.5%, which remained unchanged during the study period. In this cohort study of patients undergoing THR and TKR patients in routine clinical practice, approximately 3% experienced VTE, MI, stroke or bleeding. These risks did not decline during the 15-year study period, but the risk of dying fell substantially.

Assessing Correlation of Residency Applicants' Interview Dates With Likelihood of Matching.

PubMed

Avasarala, Sameer; Thompson, Elizabeth; Whitehouse, Sarah; Drake, Sean

2018-02-01

This study aimed to determine whether the timing of an interview relative to the recruitment season was associated with being ranked or matched at an academic medical center. Eleven specialties (anesthesiology, diagnostic radiology, emergency medicine, family medicine, general surgery, internal medicine, neurology, neurosurgery, obstetrics-gynecology, orthopedic surgery, and psychiatry) that participated in the National Resident Matching Program were included in the study. Each program's total number of interview days during the October 2014-January 2015 interview season were divided equally into three interview time periods. The Cochran-Armitage trend test was used to evaluate associations among the three interview time periods (early, middle, and late) and interviewee outcomes (ranked or matched at our institution) for all subjects combined for each of the 11 programs and for specialty groups (medical, surgical, and hospital). Of 1034 applicants included in the analyses, 60% were men. Most were graduated from US medical schools (59.8%; a total of 103 applicants obtained first-year training positions through the Match [95.4% combined fill rate]). Twenty-nine interviewed early, 38 in the middle, and 36 in the late period ( P = 0.3877). A total of 864 applicants were ranked by 1 of the 11 residency programs at the study site: 267 in the early period, 319 in the middle, and 278 in the late period ( P = 0.4184). Being ranked in association with specialty classification also showed no significant differences. Interview timing had no relation to the likelihood of a match or being ranked by 1 of the 11 programs studied at our institution. These findings help dispel misconceptions about the importance of the interview date for a successful match.

The stability and fate of synthesized zero-valent iron nanoparticles in freshwater microcosm system.

PubMed

Kumar, Deepak; Parashar, Abhinav; Chandrasekaran, Natarajan; Mukherjee, Amitava

2017-07-01

Zero-valent iron nanoparticles are used for the degradation of organic compounds and the immobilization of metals and metalloids. The lack of information on the effect of nZVI in freshwater system necessitated the risk assessment of zero-valent iron nanoparticles in lake water environment. The present study deals with the stability and fate of synthesized zero-valent iron nanoparticles in the upper and lower layers of freshwater microcosm system at a concentration of 1000 mg L -1 . The study was divided into two different exposure periods: short-term exposure, up to 24 h after the introduction of nanoparticles, and long-term exposure period up to 180 days (4416 h). Aggregation kinetics of nZVI in freshwater microcosm was studied by measuring the mean hydrodynamic size of the nanoparticles with respect to time. A gradual increase in the particle size with time was observed up to 14 h. The algal population and total chlorophyll content declined for the short exposure period, i.e., 2-24 h, while in the case of longer exposure period, i.e., 24 h to 180 days (4416 h), a gradual increase of both the algal population and total chlorophyll was noted. Five different physico-chemical parameters such as pH, temperature, conductivity, salinity, and total dissolved solids were recorded for 180 days (6 calendar months). The study suggested that the nanoscale zero-valent iron did not exhibit significant toxicity at an exposure concentration of 1000 mg L -1 on the resident algal population in the microcosm system over the longer exposure period tested.

Recovery after shift work: Relation to coronary risk factors in women.

PubMed

Axelsson, John; Lowden, Arne; Kecklund, Göran

2006-01-01

Shift work increases the risk for developing cardiovascular disease. There is, however, little knowledge of what aspects of shift scheduling that are detrimental and what characteristics promote good health. The aim of the present study was to evaluate whether coronary risk factors deteriorate after a hard work period and whether recovery, in the form of a week off, was sufficient to improve them. A total of 19 women worked an extremely rapidly rotating and clockwise shift schedule at a paper and pulp factory. They underwent two health examinations, one at the end of the work period and one after the week off. In addition, the women were divided into a tolerant and a vulnerable group, depending on their satisfaction with their work hours. Most risk factors did not change, but total cholesterol and low-density lipoprotein (LDL)-cholesterol were lower after the working period than after the week-off. In addition, vulnerable women had higher levels of total cholesterol and a higher ratio of total cholesterol/high-density lipoprotein (HDL) than tolerant ones. In conclusion, the finding that a week-off worsens cholesterol levels was against our hypothesis and suggests further studies on how activities/responsibilities outside the workplace affect shift-working women. It was also shown that susceptible shift workers had worse lipid profiles.

Physical studies of asteroids. XXXII. Rotation periods and UBVRI-colours for selected asteroids

NASA Astrophysics Data System (ADS)

Piironen, J.; Lagerkvist, C.-I.; Erikson, A.; Oja, T.; Magnusson, P.; Festin, L.; Nathues, A.; Gaul, M.; Velichko, F.

1998-03-01

We present lightcurves of selected asteroids. Most of the asteroids were included to obtain refined spin periods. Enhanced periods were determined for 11 Parthenope, 306 Unitas and 372 Palma. We confirmed the spin periods of 8 Flora, 13 Egeria, 71 Niobe, 233 Asterope, 291 Alice, 409 Aspasia, 435 Ella and 512 Taurinensis. We determined also BV-colours for most of the included asteroids and UBVRI-colours for a total of 22 asteroids.

Ionospheric response to the total solar eclipse in India on 22 July, 2009

NASA Astrophysics Data System (ADS)

Chauhan, Vishal; Agrawal, Shikah; Singh, O. P.; Singh, Birbal

2010-05-01

The variations in total electron content (TEC) and amplitude of the fixed frequency VLF transmitter signals (f =19.8 kHz, NWC, Australia) are studied at Agra (Geographic lat. 27.20N, long. 780E), India during the total solar eclipse of 22 July, 2009 which was longest seen in India ever since 18 August, 1968. The equipments used for the study are a dual frequency GPS receiver (GSV 4004V). The data for a period of fifteen days (±7 days from the date of the event) are analysed and it is found that the TEC decreased by about 30% from normal days during the total solar eclipse. The period of the data analysis is characterised by a low level of geomagnetic activity, hence the decrease in TEC s is unlikely to be influenced by geomagnetic disturbances. The results are interpreted in terms of depression in electron densities at all ionospheric heights and are consistent with those obtained by earlier workers during similar eclipse events.

Respiratory dysfunction in swine production facility workers: dose-response relationships of environmental exposures and pulmonary function.

PubMed

Donham, K J; Reynolds, S J; Whitten, P; Merchant, J A; Burmeister, L; Popendorf, W J

1995-03-01

Human respiratory health hazards for people working in livestock confinement buildings have been recognized since 1974. However, before comprehensive control programs can be implemented, more knowledge is needed of specific hazardous substances present in the air of these buildings, and at what concentrations they are harmful. Therefore, a medical epidemiological and exposure-response study was conducted on 207 swine producers using intensive housing systems (108 farms). Dose-response relationships between pulmonary function and exposures are reported here. Positive correlations were seen between change in pulmonary function over a work period and exposure to total dust, respirable dust, ammonia, respirable endotoxin, and the interactions of age-of-producer and dust exposure and years-of-working-in-the-facility and dust exposure. Relationships between baseline pulmonary function and exposures were not strong and therefore, not pursued in this study. The correlations between exposure and response were stronger after 6 years of exposure. Multiple regression models were used to identify total dust and ammonia as the two primary environmental predictors of pulmonary function decrements over a work period. The regression models were then used to determine exposure concentrations related to pulmonary function decrements suggestive of a health hazard. Total dust concentrations > or = 2.8 mg/m3 were predictive of a work period decrement of > or = 10% in FEV1. Ammonia concentrations of > or = 7.5 ppm were predictive of a > or = 3% work period decrement in FEV1. These predictive concentrations were similar to a previous dose-response study, which suggested 2.5 mg/m3 of total dust and 7 ppm of NH3 were associated with significant work period decrements. Therefore, dust > or = 2.8 mg/m3 and ammonia > or = 7.5 ppm should be considered reasonable evidence for guidelines regarding hazardous exposure concentrations in this work environment.

Incidence and Residual Risk of HIV, HBV and HCV Infections Among Blood Donors in Tehran.

PubMed

Saber, Hamid Reza; Tabatabaee, Seyed Morteza; Abasian, Ali; Jamali, Mostafa; SalekMoghadam, Ebadollah; Hajibeigi, Bashir; Alavian, Seyed Moayed; Mirrezaie, Seyed Mohammad

2017-09-01

Estimation of residual risk is essential to monitor and improve blood safety. Our epidemiologic knowledge in the Iranian donor population regarding transfusion transmitted viral infections (TTIs), is confined to a few studies based on prevalence rate. There are no reports on residual risk of TTIs in Iran. In present survey, a software database of donor records of Tehran Blood Transfusion Center (TBTC) was used to estimate the incidence and residual risk of hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV) infections, by applying the incidence rate/window period (IR-WP) model. A total of 1,207,155 repeat donations was included in the analysis and represented a mean of 8.4 donations per donor over 6 years. The incidence amongst repeat donors was estimated by dividing the number of confirmed seroconverting donors by the total number of person-years at risk. The residual risk was calculated using the incidence/window period model. Incidence rate and residual risk for HBV, HCV and HIV infections were calculated for total (2005-2010) and two consecutive periods (2005-2007 and 2008-2010) of the study. According to the IR-WP model, overall residual risk for HIV and HCV in the total study period was 0.4 and 12.5 per million units, respectively and for HBV 4.57/100,000 donations. The incidence and residual risk of TTIs, calculated on TBTC's blood supply was low and comparable with developed countries for HIV infection but high for HCV and HBV infections. Blood safety may therefore be better managed by applying other techniques like nucleic acid amplification tests.

Contacts between health care workers and patients in a short-stay geriatric unit during the peak of a seasonal influenza epidemic compared with a nonepidemic period.

PubMed

Oussaid, Nadia; Voirin, Nicolas; Régis, Corinne; Khanafer, Nagham; Martin-Gaujard, Géraldine; Vincent, Adélaïde; Comte, Brigitte; Bénet, Thomas; Vanhems, Philippe

2016-08-01

Patterns of contacts between health care workers and patients during seasonal epidemics are unknown. Our study objective was to compare the number and duration of contacts between health care workers and patients during a nonepidemic period versus a community influenza epidemic, and to identify supercontactors. Our observational study was conducted in a short-stay geriatric unit of a university hospital. Contacts between individuals were recorded by active radio frequency identification devices. Contact patterns were compared between 2 periods according to contact number and duration. Each care period lasted 5 days in the nonepidemic and influenza epidemic periods. The study included 21 medical doctors, 43 nurses, and 56 patients. In total, 3,200 contacts (61.4%; 152,700 seconds) were recorded during the nonepidemic period, with 2,013 contacts (38.6%; 92,740 seconds) in the epidemic period (P = .007). More cumulative contacts occurred during the nonepidemic period between nurses and patients (n = 2,638 [82%] vs n = 1,599 [79%]), but not between patients (n = 56 [18%] vs n = 414 [21%]). Contact duration between nurses and patients lasted longer during the nonepidemic period (P = .04). During the epidemic period, 6 nurses (15%) considered to be supercontactors accounted for 44.3% of the total number of contacts with patients. The pattern of contacts between individuals differed according to the presence or not of the community influenza peak that might have influenced the risk of nosocomial influenza. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

[Use of intraosseus infusion in the German air rescue service : nationwide analysis in the time period 2005 to 2009].

PubMed

Helm, M; Hossfeld, B; Schlechtriemen, T; Braun, J; Lampl, L; Bernhard, M

2011-12-01

Intraosseous infusion has become established as a fast and safe alternative to conventional vascular access in emergency situations. Originally the use of intraosseous access was limited to children up to 6 years of age and to adults for cardiopulmonary resuscitation but this limitation has now been removed. The aim of this study was to obtain data on mission reality regarding the use of intraosseous access in the prehospital setting against the background of the expanded recommendations on the use of the intraosseous infusion. An analysis of rescue missions by all rescue helicopters of the ADAC (German Automobile Club) Air Rescue as well as the German Air Rescue Service (58 helicopter emergency medical service bases) over a 4 year period from January 2005 to December 2008 was carried out. A total of 247,454 rescue missions were carried out during the study period and in 525 patients (0.2% of the total study collective) an intraosseous access was established. There was a significant increase in the intraosseous infusion rate from 0.1% to 0.4% (p<0.05). Furthermore, there was a significant increase in its use in elderly patients and in patients with lower National Advisory Committee for Aeronautics (NACA) scores (2005 vs. 2008): 92.4% vs. 42.9% of all intraosseous infusions in patients  ≤ 6 years of age (p<0.05) and 74.4% vs. 42.9% of all intraosseous infusions in patients with NACA score VI/VII (p<0.05). The proportion of trauma patients in the total study collective was 33% and there was no significant change in the frequency of trauma cases over the study period but there was a remarkable increase of intraosseous infusions in trauma patients in the last year of the study period compared to the previous years (38% in 2008 vs. 27-30% in 2005-2007). Furthermore, there was an increase in the number of different drug groups used for intraosseous infusion over the study period. The expanded indication recommendations for the use of intraosseous infusion in the prehospital setting enter more and more mission reality in air rescue services in Germany.

Temporal trends of latency period and perinatal survival after very early preterm premature rupture of fetal membranes.

PubMed

González-Mesa, Ernesto; Herrera, José A; Urgal, Amaya; Lazarraga, Cristina; Benítez, María J; Gómez, Cristina

2012-08-01

This paper shows temporal trends of latency period and perinatal survival after preterm premature rupture of membranes at or before 28 weeks (very early PPROM). We have studied retrospectively medical records of all cases of very early PPROM attended in our Obstetric Department from January 1, 2000 to December 31, 2010. A total of 327 cases of very early PPROM were attended, representing 0.4 % of all deliveries, 3.68 % of all preterm births and 15 % of cases all of PPROM. The mean gestational age at delivery was 27 weeks (range 20-34). The mean duration of latency period for the total of 327 cases was 12.1 days (range 0-83, SD 13.3), with a clear trend to its increase from 2005 (p < 0.05). The mean duration of latency period was largest in 2010 (p < 0.05). For the whole period 2000-2010, perinatal deaths reached 30.6 % of all cases, with a clear trend to decrease as gestational age at diagnosis increased, and over the years of study. We have also found a high rate of obstetric complications and a high rate of cesarean deliveries. The upward trend in the duration of latency period in all groups over the years of study and the encouraging perinatal survival observed, even in previable PPROM, are incentives to follow expectant/conservative management in these cases.

Cost drivers in total hip arthroplasty: effects of procedure volume and implant selling price.

PubMed

Kelly, Michael P; Bozic, Kevin J

2009-01-01

Total hip arthroplasty (THA), though a highly effective procedure for patients with end-stage hip disease, has become increasingly costly, both because of increasing procedure volume and because of the introduction and widespread use of new technologies. Data regarding procedure volume and procedure costs for THA were obtained from the National Inpatient Sample and other published sources for the years 1995 through 2005. Procedure volume increased 61% over the period studied. When adjusted for inflation, using the medical consumer price index, the average selling price of THA implants increased 24%. The selling price of THA implants as a percentage of total procedure costs increased from 29% to 60% during the period under study. The increasing cost of THA in the United States is a result of both increased procedure volume and increased cost of THA implants. No long-term outcome studies related to use of new implant technologies are available, and short-term results have been similar to those obtained with previous generations of THA implants. This study reinforces the need for a US total joint arthroplasty registry and for careful clinical and economic analyses of new technologies in orthopedics.

Impact of clinical pharmacist on cost of drug therapy in the ICU

PubMed Central

Aljbouri, Tareq M.; Alkhawaldeh, Mohammed S.; Abu-Rumman, Ala’a eddeen K.; Hasan, Thamer A.; Khattar, Hakeem M.; Abu-Oliem, Atallah S.

2013-01-01

Objective To determine whether the presence of Clinical Pharmacist affects the cost of drug therapy for patients admitted to the Intensive Care Unit (ICU) at Al-Hussein hospital at Royal Medical Services in Amman, Jordan. Method This study compares the consumed quantities of drugs over two periods of time. Each period was ten months long. In the second period there was a Clinical Pharmacist. The decrease in consumption rate of drugs is considered to be an indicator of the success of Clinical Pharmacist in the ICU, as any decrease in consumption rate reflects the correct application of Clinical Pharmacy practices. The cost of this decrease in consumption rate represents the total reduction of drug therapy cost. Results The total reduction of drug therapy cost after applying Clinical Pharmacy practices in the ICU over a period of ten months was 149946.80 JD (211574.90 USD), which represents an average saving of 35.8% when compared to the first period in this study. Conclusion The results of this study showed a significant reduction in the consumed quantities of drugs and therefore a reduction in cost of drug therapy. Such findings highlight the importance of the presence of Clinical Pharmacist in all Jordanian hospitals wards and units. PMID:24227956

Research progress and prospects of Saudi Arabia in global medical sciences.

PubMed

Meo, S A; Hassan, A; Usmani, A M

2013-12-01

Since last decade, Saudi Arabia has been swiftly moving ahead to promote an education and research in the country. This study aimed to investigate the research outcome of Saudi Arabia in medical sciences during the period 1996-2012. In this study, the research papers published in various global science journals during the period 1996-2012 were accessed. We recorded the total number of research documents having an affiliation with Saudi Arabia. The main source for information was Institute of Scientific Information (ISI) Web of Science, Thomson Reuters and SCI-mago/Scopus. In global science data base, Saudi Arabia contributed 103804 documents in all science and social sciences. In medicine the total number of research papers from Saudi Arabia are 16196, citable documents 14732, total citations 102827, citations per documents 6.36 and Hirsch index (h-index) is 92. However, in combined medical and allied health sciences the total number of research papers are 27246, citable documents 25416, total citations 181999, mean citations per documents 7.07 and mean h-index is 41.44. Furthermore, Saudi Arabia contributed 40797 research documents in ISI indexed journals only and also 151 research documents in highly reputable and towering science journals. Saudi Arabia's research performance in global medical sciences has markedly increased during the period 2006-2012. The research publications are continuously on mounting path; however, the number of citations has decreased. The country improved its regional as well as international research rankings and graded 45 in the world in year 2012.

Incidence of genital warts among the Hong Kong general adult population

PubMed Central

2010-01-01

Background The objective of this study is to estimate the incidence of genital warts in Hong Kong and explore a way to establish a surveillance system for genital warts among the Hong Kong general population. Methods A total of 170 private doctors and all doctors working in the 5 local Social Hygiene Clinics (SHC) participated in this study. During the 14-day data collection period (January 5 through18, 2009), the participating doctors filled out a log-form on a daily basis to record the number of patients with genital warts. The total number of new cases of genital warts presented to private and public doctors in Hong Kong was projected using the stratification sampling method. Results A total of 721 (0.94%) adults presented with genital warts to the participating doctors during the two-week study period, amongst them 73 (10.1%) were new cases. The projected number of new cases of genital warts among Hong Kong adults was 442 (297 male and 144 female) during the study period. The incidence of genital warts in Hong Kong was estimated to be 203.7 per 100,000 person-years (respectively 292.2 and 124.9 per 100,000 person-years for males and females). Conclusions The incidence of genital warts is high among adults in Hong Kong. The study demonstrates the importance of collecting surveillance data from both private and public sectors. PMID:20849578

Incidence of genital warts among the Hong Kong general adult population.

PubMed

Lin, Chunqing; Lau, Joseph T F; Ho, King-Man; Lau, Man-Chun; Tsui, Hi-Yi; Lo, Kuen-Kong

2010-09-17

The objective of this study is to estimate the incidence of genital warts in Hong Kong and explore a way to establish a surveillance system for genital warts among the Hong Kong general population. A total of 170 private doctors and all doctors working in the 5 local Social Hygiene Clinics (SHC) participated in this study. During the 14-day data collection period (January 5 through 18, 2009), the participating doctors filled out a log-form on a daily basis to record the number of patients with genital warts. The total number of new cases of genital warts presented to private and public doctors in Hong Kong was projected using the stratification sampling method. A total of 721 (0.94%) adults presented with genital warts to the participating doctors during the two-week study period, amongst them 73 (10.1%) were new cases. The projected number of new cases of genital warts among Hong Kong adults was 442 (297 male and 144 female) during the study period. The incidence of genital warts in Hong Kong was estimated to be 203.7 per 100,000 person-years (respectively 292.2 and 124.9 per 100,000 person-years for males and females). The incidence of genital warts is high among adults in Hong Kong. The study demonstrates the importance of collecting surveillance data from both private and public sectors.

22 July 2009 total solar eclipse induced gravity waves in ionosphere as inferred from GPS observations over EIA

NASA Astrophysics Data System (ADS)

Kumar, K. Vijay; Maurya, Ajeet K.; Kumar, Sanjay; Singh, Rajesh

2016-11-01

In the present contribution we investigate the variation in the Global Positioning System (GPS) derived ionospheric Total Electron Content (TEC) over Equatorial Ionization Anomaly (EIA) region on the rare occasional astronomical phenomenon of total solar eclipse of 22 July 2009. The aim is to study and identify the wave like structure enumerated due to solar eclipse induced gravity waves in the F-region ionosphere altitude. The work is aimed to understand features of horizontal and vertical variation of atmospheric gravity waves (AGWs) properties over the Equatorial Ionization Anomaly (EIA) region in Indian low latitude region. The ionospheric observations is from the site of Allahabad (lat 25.4° N; lon. 81.9° E; dip 38.6° N) located at the fringe of eclipse totality path. The estimated vertical electron density profile from FORMOSAT-3/COSMIC GPS-RO satellite, considering all the satellite line of sight around the time of eclipse totality shows maximum depletion of 43%. The fast fourier transform and wavelet transform of GPS DTEC data from Allahabad station (Allahabad: lat 25.4 N; lon. 81.9 E) shows the presence of periodic waves of ∼20 to 45 min and ∼70 to 90 min period at F-region altitude. The shorter period correspond to the sunrise time morning terminator and longer period can be associated with solar eclipse generated AGWs. The most important result obtained is that our results along with previous result for wave like signatures in D-region ionosphere from Allahabad station show that AGWs generated by sunrise time terminator have similarity in the D and F region of the ionosphere but solar eclipse induced AGWs show higher period in the F-region compared to D-region ionosphere.

Phytoplankton Functional Groups Variation and Influencing Factors in a Shallow Temperate Lake.

PubMed

Tian, Chang; Hao, Daping; Pei, Haiyan; Doblin, Martina A; Ren, Ying; Wei, Jielin; Feng, Yawei

2018-06-01

  The present study was carried out in Luoma Lake, a shallow lake in temperate eastern China. Based on a two-year study, the dynamics of phytoplankton functional groups and influencing factors were analyzed. A total of 178 taxa were identified and sorted into 20 codons, according to the phytoplankton functional group classification. In order to find the environmental factors driving phytoplankton variations, fifteen groups were analyzed in detail using redundancy analysis. Groups P (Fragilaria crotonensis), X2 (Chlamydomonas globosa, C. microsphaera and Chroomonas acuta), and MP (Navicula rotaeana) were dominant during low temperature periods, whereas groups X2, S1 (Pseudanabaena limnetica), and W1 (Euglena sp.) were dominant during high temperature periods. Water temperature, total phosphorus, and ammonium were the significant driving factors explaining phytoplankton succession. Furthermore, total phosphorus and ammonium could be broadly used in risk management for potential algal blooms in Luoma Lake.

Cheese intake in large amounts lowers LDL-cholesterol concentrations compared with butter intake of equal fat content.

PubMed

Hjerpsted, Julie; Leedo, Eva; Tholstrup, Tine

2011-12-01

Despite its high content of saturated fatty acids, cheese does not seem to increase plasma total and LDL-cholesterol concentrations when compared with an equivalent intake of fat from butter. This effect may be due to the high calcium content of cheese, which results in a higher excretion of fecal fat. The objective was to compare the effects of diets of equal fat content rich in either hard cheese or butter or a habitual diet on blood pressure and fasting serum blood lipids, C-reactive protein, glucose, and insulin. We also examined whether fecal fat excretion differs with the consumption of cheese or butter. The study was a randomized dietary intervention consisting of two 6-wk crossover periods and a 14-d run-in period during which the subjects consumed their habitual diet. The study included 49 men and women who replaced part of their habitual dietary fat intake with 13% of energy from cheese or butter. After 6 wk, the cheese intervention resulted in lower serum total, LDL-, and HDL-cholesterol concentrations and higher glucose concentrations than did the butter intervention. Cheese intake did not increase serum total or LDL-cholesterol concentrations compared with the run-in period, during which total fat and saturated fat intakes were lower. Fecal fat excretion did not differ between the cheese and butter periods. Cheese lowers LDL cholesterol when compared with butter intake of equal fat content and does not increase LDL cholesterol compared with a habitual diet. This trial is registered at clinicaltrials.gov as NCT01140165.

40 CFR 80.305 - How are credits generated during the time period 2000 through 2003?

Code of Federal Regulations, 2011 CFR

2011-07-01

... AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) REGULATION OF FUELS AND FUEL ADDITIVES Gasoline Sulfur Abt... averaging period. Va = Total volume of gasoline produced during the averaging period at the refinery (or for a foreign refinery, the total volume of gasoline produced during the averaging period at the...

40 CFR 80.305 - How are credits generated during the time period 2000 through 2003?

Code of Federal Regulations, 2010 CFR

2010-07-01

... AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) REGULATION OF FUELS AND FUEL ADDITIVES Gasoline Sulfur Abt... averaging period. Va = Total volume of gasoline produced during the averaging period at the refinery (or for a foreign refinery, the total volume of gasoline produced during the averaging period at the...

42 CFR 403.254 - Calculation of premiums.

Code of Federal Regulations, 2010 CFR

2010-10-01

... rate credits. (4) Unearned premium reserve means the portion of gross premiums due that provide for...) Written premiums for the period; plus— (ii) The total premium reserve at the beginning of the period; less— (iii) The total premium reserve at the end of the period. (2) Written premiums in a period means— (i...

The effects of boric acid on sister chromatid exchanges and chromosome aberrations in cultured human lymphocytes.

PubMed

Arslan, Mehmet; Topaktas, Mehmet; Rencuzogullari, Eyyüp

2008-02-01

The aim of this study was to determine the possible genotoxic effects of boric acid (BA) (E284), which is used as an antimicrobial agent in food, by using sister chromatid exchange (SCEs) and chromosome aberration (CAs) tests in human peripheral lymphocytes. The human lymphocytes were treated with 400, 600, 800, and 1000 mug/mL concentrations of BA dissolved in dimethyl sulfoxide (DMSO), for 24 h and 48 h treatment periods. BA did not increase the SCEs for all the concentrations and treatment periods when compared to control and solvent control (DMSO). BA induced structural and total CAs at all the tested concentrations for 24 and 48 h treatment periods. The induction of the total CAs was dose dependent for the 24 h treatment period. However, BA did not cause numerical CAs. BA showed a cytotoxic effect by decreasing the replication index (RI) and mitotic index (MI). BA decreased the MI in a dose-dependent manner for the 24 h treatment period.

Variability of lightning activity over India on ENSO time scales

NASA Astrophysics Data System (ADS)

Ahmad, Adnan; Ghosh, Mili

2017-12-01

ENSO, the reliable indicator of inter-annual climate variation of the ocean-atmosphere system in the tropical Pacific region, can affect the overall lightning activity which is another atmospheric phenomenon. In the present study, the impact of the ENSO on the total lightning activity over India has been studied for the period 2004-2014. During the El-Nino period (July 2004-April 2005 and July 2009-April 2010), total number of lightning flashes increased by 10% and 18% respectively and during La-Nina period (July 2010-April 2011 and August 2011 to March 2012), the total number of lightning flashes decreased approximately by 19% and 28% respectively as compared to the mean of corresponding period (2004-14) of the Non-ENSO. Seasonal variation of flash density is also examined for the El-Nino and La-Nina period. The result shows that in the El-Nino period of the pre-monsoon and monsoon seasons, there is an increment in the flash density approximately by 48% and 9% respectively than the Non-ENSO and the spatial variation also having high flash density along the foot of Himalayas region. In the post-monsoon season, there is a marginal change in the flash density between El-Nino and the Non-ENSO. In the winter season, there is an increment in flash density in the El-Nino period approximately by 45% than the Non-ENSO. In the La-Nina period of the pre-monsoon and monsoon seasons, there is the decrement in the flash density approximately by the 44% and 24% respectively than the Non-ENSO. In the Post-monsoon season and winter season of La-Nina, the flash density is increased by about 24% and 33% over India. These findings can be applied to do proper planning of lightning induced hazard mitigation as lightning is of one of the major natural disasters of India.

[Effect of antecedent dry weather period on urban storm runoff pollution load].

PubMed

Li, Li-qing; Yin, Cheng-qing; Kong, Ling-li; He, Qing-ci

2007-10-01

Twelve storm events were surveyed at Shilipu catchment in Wuhan City through three-year monitoring regime. The flow discharges, total suspended solids (TSS), chemical oxygen demand (COD), total nitrogen (TN), and total phosphorus (TP) in runoff were measured to study the mechanism of urban stormwater runoff pollution. The relationship between the event pollution load and the antecedent dry weather period was identified to discuss the influence of the urban surface sanitation management, operation of sewer pipe maintenance and rainfall characteristics on the urban stormwater runoff pollution. It was found that the antecedent dry weather period and runoff amount were the important determining factors in the generation of urban stormwater runoff pollution. The event pollution load was positively correlated to the antecedent dry weather period between two rainfall events (R2 = 0.95, p < 0.01). It was the most important hydrological factor influencing the events pollution loads. The best regression equation to estimate pollution load for storm events was developed based on the antecedent dry weather period and runoff depth. Source control including improving urban street sweeping activities and operation of sewer pipe maintenance should be made to reduce the amount of available pollutant over the dry days. It is important alternative to control urban stormwater runoff pollution for Hanyang District.

Monitoring and evaluation of the water quality of Budeasa Reservoir-Arges River, Romania.

PubMed

Ion, Antoanela; Vladescu, Luminita; Badea, Irinel Adriana; Comanescu, Laura

2016-09-01

The purpose of this study was to monitor and record the specific characteristics and properties of the Arges River water in the Budeasa Reservoir (the principal water resources of municipal tap water of the big Romanian city Pitesti and surrounding area) for a period of 5 years (2005-2009). The monitored physical and chemical parameters were turbidity, pH, electrical conductivity, chemical oxygen demand, 5 days biochemical oxygen demand, free dissolved oxygen, nitrite, nitrate, ammonia nitrogen, chloride, total dissolved iron ions, sulfate, manganese, phosphate, total alkalinity, and total hardness. The results were discussed in correlation with the precipitation values during the study. Monthly and annual values of each parameter determined in the period January 2005-December 2009 were used as a basis for the classification of Budeasa Reservoir water, according to the European legislation, as well as for assessing its quality as a drinking water supply. Principal component analysis and Pearson correlation coefficients were used as statistical procedures in order to evaluate the data obtained during this study.

Long-term Effect of Home Nursing Intervention on Cost and Healthcare Utilization for Patients with Chronic Obstructive Pulmonary Disease: A Retrospective Observational Study.

PubMed

Matsumura, Takuro; Takarada, Kana; Oki, Yutaro; Fujimoto, Yukari; Kaneko, Hiromi; Ohira, Mineko; Ishikawa, Akira

2015-01-01

The present study aimed to examine the long-term effects of a home nursing intervention on healthcare utilization and costs among patients with chronic obstructive pulmonary disease (COPD). A 3-year retrospective study. Eleven COPD patients who had received home nursing intervention after hospital discharge were enrolled. We retrospectively investigated their healthcare utilization and costs for 1 year before the intervention and during 2 years of the intervention. The number and length of hospitalizations decreased gradually from the pre-intervention period through the second year. The number of hospital and home nursing visits increased from the pre-intervention period through the first and second years. The hospitalization costs were decreased by approximately half from the pre-intervention period through the first year and from the first year through the second year. The total medical cost did not change significantly. Our home nursing intervention decreased the number and length of hospitalizations and the hospitalization costs; however, it did not affect the total medical cost. It is possible that the continuation of home nursing interventions may decrease the number of hospitalizations, number of home nursing visits, and the total medical cost by maintaining the health condition of patients. © 2014 Association of Rehabilitation Nurses.

Assessment of snow-glacier melt and rainfall contribution to stream runoff in Baspa Basin, Indian Himalaya.

PubMed

Gaddam, Vinay Kumar; Kulkarni, Anil V; Gupta, Anil Kumar

2018-02-20

Hydrological regimes of most of the Himalayan river catchments are poorly studied due to sparse hydro-meteorological data. Hence, stream runoff assessment becomes difficult for various socio-industrial activities in the Himalaya. Therefore, an attempt is made in this study to assess the stream runoff of Baspa River in Himachal Pradesh, India, by evaluating the contribution from snow-ice melt and rainfall runoff. The total volume of flow was computed for a period of 15 years, from 2000 to 2014, and validated with the long-term field discharge measurements, obtained from Jaipee Hydropower station (31° 32' 35.53″ N, 78° 00' 54.80″ E), at Kuppa barrage in the basin. The observations suggest (1) a good correlation (r 2  > 0.80) between the modeled runoff and field discharge measurements, and (2) out of the total runoff, 81.2% are produced by snowmelt, 11.4% by rainfall, and 7.4% from ice melt. The catchment receives ~75% of its total runoff in the ablation period (i.e., from May to September). In addition, an early snowmelt is observed in accumulation season during study period, indicating the significant influence of natural and anthropogenic factors on high-altitude areas.

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.

Chronologically scheduled snacking with high-protein products within the habitual diet in type-2 diabetes patients leads to a fat mass loss: a longitudinal study.

PubMed

Navas-Carretero, Santiago; Abete, Itziar; Zulet, M Angeles; Martínez, J Alfredo

2011-07-14

Obesity is the most relevant overnutrition disease worldwide and is associated to different metabolic disorders such as insulin resistance and type-2 diabetes. Low glycemic load foods and diets and moderately high protein intake have been shown to reduce body weight and fat mass, exerting also beneficial effects on LDL-cholesterol, triglyceride concentrations, postprandial glucose curve and HDL-cholesterol levels. The present study aimed at studying the potential functionality of a series of low glycemic index products with moderately high protein content, as possible coadjuvants in the control of type-2 diabetes and weight management following a chronologically planned snacking offer (morning and afternoon). The current trial followed a single group, sequential, longitudinal design, with two consecutive periods of 4 weeks each. A total of 17 volunteers participated in the study. The first period was a free living period, with volunteers' habitual ad libitum dietary pattern, while the second period was a free-living period with structured meal replacements at breakfast, morning snack and afternoon snack, which were exchanged by specific products with moderately high protein content and controlled low glycemic index, following a scheduled temporal consumption. Blood extractions were performed at the beginning and at the end of each period (free-living and intervention). Parameters analysed were: fasting glucose, insulin, glycosylated hemoglobin, total-, HDL- and LDL-cholesterol, triglyceride, C - reactive protein and Homocysteine concentrations. Postprandial glucose and insulin were also measured. Anthropometrical parameters were monitored each 2 weeks during the whole study. A modest but significant (p = 0.002) reduction on body weight (1 kg) was observed during the intervention period, mainly due to the fat mass loss (0.8 kg, p = 0.02). This weight reduction was observed without apparently associated changes in total energy intake. None of the biochemical biomarkers measured was altered throughout the whole study. Small changes in the habitual dietary recommendations in type-2 diabetes patients by the inclusion of specific low-glycemic, moderately high-protein products in breakfast, morning and afternoon snacks may promote body weight and fat-mass loss, without apparently altering biochemical parameters and cardiovascular risk-related factors. Trial registered at clinicaltrials.gov NCT01264523.

Chronologically scheduled snacking with high-protein products within the habitual diet in type-2 diabetes patients leads to a fat mass loss: a longitudinal study

PubMed Central

2011-01-01

Background Obesity is the most relevant overnutrition disease worldwide and is associated to different metabolic disorders such as insulin resistance and type-2 diabetes. Low glycemic load foods and diets and moderately high protein intake have been shown to reduce body weight and fat mass, exerting also beneficial effects on LDL-cholesterol, triglyceride concentrations, postprandial glucose curve and HDL-cholesterol levels. The present study aimed at studying the potential functionality of a series of low glycemic index products with moderately high protein content, as possible coadjuvants in the control of type-2 diabetes and weight management following a chronologically planned snacking offer (morning and afternoon). Methods The current trial followed a single group, sequential, longitudinal design, with two consecutive periods of 4 weeks each. A total of 17 volunteers participated in the study. The first period was a free living period, with volunteers' habitual ad libitum dietary pattern, while the second period was a free-living period with structured meal replacements at breakfast, morning snack and afternoon snack, which were exchanged by specific products with moderately high protein content and controlled low glycemic index, following a scheduled temporal consumption. Blood extractions were performed at the beginning and at the end of each period (free-living and intervention). Parameters analysed were: fasting glucose, insulin, glycosylated hemoglobin, total-, HDL- and LDL-cholesterol, triglyceride, C - reactive protein and Homocysteine concentrations. Postprandial glucose and insulin were also measured. Anthropometrical parameters were monitored each 2 weeks during the whole study. Results A modest but significant (p = 0.002) reduction on body weight (1 kg) was observed during the intervention period, mainly due to the fat mass loss (0.8 kg, p = 0.02). This weight reduction was observed without apparently associated changes in total energy intake. None of the biochemical biomarkers measured was altered throughout the whole study. Conclusions Small changes in the habitual dietary recommendations in type-2 diabetes patients by the inclusion of specific low-glycemic, moderately high-protein products in breakfast, morning and afternoon snacks may promote body weight and fat-mass loss, without apparently altering biochemical parameters and cardiovascular risk-related factors. Trial Registration Trial registered at clinicaltrials.gov NCT01264523. PMID:21756320

Global health-related publications in otolaryngology are increasing.

PubMed

Chambers, Kyle J; Creighton, Francis; Abdul-Aziz, Dunia; Cheney, Mack; Randolph, Gregory W

2015-04-01

Determine trends in global health-related publication in otolaryngology. A review of research databases. A search of publications available on PubMed and nine additional databases was undertaken reviewing two time periods 10 years apart for the timeframes 1998 to 2002 (early time period) and 2008 to 2012 (recent time period) using specific search terms to identify global health-related publications in otolaryngology. Publications were examined for region of origin, subspecialty, type of publication, and evidence of international collaboration. χ and t test analyses were used to identify trends. In the 1998 to 2002 time period, a total of 26 publications met inclusion criteria for the study, with a mean of 5.2 ± 2.8 publications per year. In the 2008 to 2012 time period, a total of 61 publications met inclusion criteria, with a mean of 12.3 ± 5.6 publications per year. The 235% increase in global health-related publications identified between the two study periods was statistically significant (P = .02). The absolute number of publications in which collaboration occurred between countries increased from three in the early time period to nine the recent time period. There has been a significant increase in the volume of global health-related publications in English language otolaryngology journals over the past decade, providing strong evidence of the increasing trend of global health as an academic pursuit within the field of otolaryngology. © 2014 The American Laryngological, Rhinological and Otological Society, Inc.

Hydrologic conditions and water quality in an agricultural area in Kleberg and Nueces Counties, Texas, 1996-98

USGS Publications Warehouse

Ockerman, Darwin J.; Petri, Brian L.

2001-01-01

During 1996?98, rainfall and runoff were monitored on a 49,680-acre agricultural watershed in Kleberg and Nueces Counties in South Texas. Nineteen rainfall samples were analyzed for selected nutrients, and runoff samples from 29 storms were analyzed for major ions, nutrients, and pesticides. Loads of nutrients in rainfall and loads of nutrients and pesticides in runoff were computed. For a 40,540-acre part of the watershed (lower study area), constituent loads entering the watershed in rainfall, in runoff from the upper study area, and from agricultural chemical applications to the lower study area were compared with runoff loads exiting the lower study area. Total rainfall for 1996?98 averaged 25.86 inches per year, which is less than the long-term annual average rainfall of 29.80 inches for the area. Rainfall and runoff during 1996?98 were typical of historical patterns, with periods of below average rainfall and runoff interspersed with extreme events. Five individual storms accounted for about 38 percent of the total rainfall and 94 percent of the total runoff. During the 3-year study, the total nitrogen runoff yield from the lower study area was 1.3 pounds per acre per year, compared with 49 pounds per acre per year applied as fertilizer and 3.1 pounds per acre per year from rainfall. While almost all of the fertilizer and rainfall nitrogen was ammonia and nitrate, most of the nitrogen in runoff was particulate organic nitrogen, associated with crop residue. Total nitrogen exiting the lower study area in surface-water runoff was about 2.5 percent of the nitrogen inputs (fertilizer and rainfall nitrogen). Annual deposition of total nitrogen entering the lower study area in rainfall exceeded net yields of total nitrogen exiting the watershed in runoff because most of the rainfall does not contribute to runoff. During the study, the total phosphorus runoff yield from the lower study area was 0.48 pound per acre per year compared with 4.2 pounds per acre per year applied as fertilizer and 0.03 pound per acre per year from rainfall. Twenty-one pesticides were detected in runoff with varying degrees of frequency during the study. The herbicide atrazine was detected in all runoff samples. All of the most frequently detected pesticides (atrazine, trifluralin, simazine, pendimethalin, and diuron) exhibited higher concentrations during the pre-harvest period (March? May) than during the post-harvest period (August? October). During 1996?98, an average of 0.37 pound per acre per year of atrazine was applied to the lower study area. During the same period, 0.0027 pound per acre per year of atrazine and its breakdown product deethylatrazine exited the lower study area in runoff (about 0.7 percent of the total atrazine applied to the cropland). During 1997, when heavy rainfall occurred during the months of April and May, the atrazine plus deethylatrazine exiting the lower study area was 1.8 percent of the applied atrazine. The 1996?98 average sediment yield was 610 pounds per acre per year. Sediment loads from the study area are associated with large storm events. Of the 45,300 tons of sediment transported from the study area during 1996?98 about 87 percent was transported during the three largest runoff events (April 1997, October 1997, and October 1998). Runoff-weighted average concentrations were computed for selected nutrients and pesticides. The 1996?98 runoff-weighted concentrations for total nitrogen and total phosphorus were 1.3 and 0.50 milligrams per liter, respectively. The 1996?98 runoff-weighted concentration for atrazine plus deethylatrazine was 2.7 micrograms per liter.

Predicting temporal trends in total absenteeism rates for civil service employees of a federal public health agency.

PubMed

Spears, D Ross; McNeil, Carrie; Warnock, Eli; Trapp, Jonathan; Oyinloye, Oluremi; Whitehurst, Vanessa; Decker, K C; Chapman, Sandy; Campbell, Morris; Meechan, Paul

2014-06-01

This study evaluates the predictability in temporal absences trends due to all causes (total absenteeism) among employees at a federal agency. The objective is to determine how leave trends vary within the year, and determine whether trends are predictable. Ten years of absenteeism data from an attendance system were analyzed for rates of total absence. Trends over a 10-year period followed predictable and regular patterns during a given year that correspond to major holiday periods. Temporal trends in leave among small, medium, and large facilities compared favorably with the agency as a whole. Temporal trends in total absenteeism rates for an organization can be determined using its attendance system. The ability to predict employee absenteeism rates can be extremely helpful for management in optimizing business performance and ensuring that an organization meets its mission.

Vocal fold hypomobility secondary to elective endotracheal intubation: a general surgeon's perspective.

PubMed

Sariego, Jack

2010-01-01

This study was performed retrospectively to evaluate the incidence of documented vocal fold injury as a result of elective endotracheal intubation during general surgical procedures. Medical record review was performed at a single institution and all surgical cases reviewed which required endotracheal intubation in the nonemergent setting between April 1, 2003 and August, 31, 2007. Cases with unexpected and documented vocal fold immobility postoperatively formed the study cohort, and data were gathered regarding diagnosis and procedures performed. Of 23,010 general surgery cases performed during the study period, only seven documented cases of vocal fold paralysis were discovered (0.03%). There were five women and two men in the group; all were adults. Only one patient had a primary diagnosis related to the head and neck. Comorbidities were recorded as well, but there were no statistically significant patterns discerned. Furthermore, during the study period, a total of 31 patients overall (both surgical and nonsurgical) were admitted who carried a primary diagnosis of vocal fold paralysis. Therefore, the study cohort therefore constituted 22.6% of this total. Finally, cohort patients spent a total of 150 days in hospital during the study period; this length of stay (an average of 16.7 hospital days per patient) was significantly longer than the average of 5.1 days, presumably at least in part related to the vocal paralysis. Copyright 2010 The Voice Foundation. Published by Mosby, Inc. All rights reserved.

Impact of add-on laboratory testing at an academic medical center: a five year retrospective study.

PubMed

Nelson, Louis S; Davis, Scott R; Humble, Robert M; Kulhavy, Jeff; Aman, Dean R; Krasowski, Matthew D

2015-01-01

Clinical laboratories frequently receive orders to perform additional tests on existing specimens ('add-ons'). Previous studies have examined add-on ordering patterns over short periods of time. The objective of this study was to analyze add-on ordering patterns over an extended time period. We also analyzed the impact of a robotic specimen archival/retrieval system on add-on testing procedure and manual effort. In this retrospective study at an academic medical center, electronic health records from were searched to obtain all add-on orders that were placed in the time period of May 2, 2009 to December 31, 2014. During the time period of retrospective study, 880,359 add-on tests were ordered on 96,244 different patients. Add-on testing comprised 3.3 % of total test volumes. There were 443,411 unique ordering instances, leading to an average of 1.99 add-on tests per instance. Some patients had multiple episodes of add-on test orders at different points in time, leading to an average of 9.15 add-on tests per patient. The majority of add-on orders were for chemistry tests (78.8 % of total add-ons) with the next most frequent being hematology and coagulation tests (11.2 % of total add-ons). Inpatient orders accounted for 66.8 % of total add-on orders, while the emergency department and outpatient clinics had 14.8 % and 18.4 % of total add-on orders, respectively. The majority of add-ons were placed within 8 hours (87.3 %) and nearly all by 24 hours (96.8 %). Nearly 100 % of add-on orders within the emergency department were placed within 8 hours. The introduction of a robotic specimen archival/retrieval unit saved an average of 2.75 minutes of laboratory staff manual time per unique add-on order. This translates to 24.1 hours/day less manual effort in dealing with add-on orders. Our study reflects the previous literature in showing that add-on orders significantly impact the workload of the clinical laboratory. The majority of add-on orders are clinical chemistry tests, and most add-on orders occur within 24 hours of original specimen collection. Robotic specimen archival/retrieval units can reduce manual effort in the clinical laboratory associated with add-on orders.

Factors affecting bone mineral mass loss after lower-limb fractures in a pediatric population.

PubMed

Ceroni, Dimitri; Martin, Xavier; Kherad, Omar; Salvo, Davide; Dubois-Ferrière, Victor

2015-06-01

The purpose of this study was to assess the effects of the durations of cast immobilization and non-weight-bearing periods, and decreases in vigorous physical activity (VPA) on bone mineral parameters in a pediatric population treated for a lower-limb fracture. Fifty children and teenagers who had undergone a cast-mediated immobilization for a leg or ankle fracture were prospectively recruited. The durations of cast immobilization and non-weight-bearing periods were recorded for each participant. Dual-energy x-ray absorptiometry scans were performed at the time of fracture treatment (baseline) and at cast removal. Physical activity during cast immobilization was assessed using accelerometers. A strong negative correlation was found between the total duration of cast immobilization and decreases in both calcaneal bone mineral density (BMD) (r=-0.497) and total lower-limb bone mineral content (BMC) (r=-0.405). A strong negative correlation was also noted between the durations of the non-weight-bearing periods and alterations in calcaneal BMD (r=-0.420). No apparent correlations were found between lower BMD and BMC and decreased VPA. Bone mineral loss was correlated to the total duration of cast immobilization for all measurement sites on the affected leg, whereas it was only correlated to the durations of non-weight-bearing periods for calcaneal BMD and total lower-limb BMC. However, no correlations were noted between bone mineral loss and decreased VPA.

Totally tubeless percutaneous nephrolithotomy: is it safe and effective in preschool children?

PubMed

Ozturk, Ahmet; Guven, Selcuk; Kilinc, Mehmet; Topbaş, Emrah; Piskin, Mesut; Arslan, Mehmet

2010-12-01

After the introduction of tubeless percutaneous nephrolithotomy (PNL), many studies conducted in adult patients have confirmed its efficacy and safety. There are limited studies reporting that tubeless PNL can be safely applied in children, however. Furthermore, there are no reports that evaluate the use of totally tubeless PNL in children. The present study evaluates the results of totally tubeless PNL in preschool children. The data of children seen in our clinic who were considered suitable for totally tubeless PNL were analyzed. Of 16 children, 8 patients underwent totally tubeless PNL (group 1) and 8 standard PNL (group 2). The two groups of patients were compared with regard to length of hospitalization, analgesic requirements, transfusion rates, hemoglobin (Hb) decrease, and immediate, early, and late complications. The mean ages of the patients were 56.6 months (9-84 mos) and 56.0 months (5-84 mos), and the mean follow-up was 21.5 months (3-44 mos) and 43.4 months (36-54 mos) in groups 1 and 2, respectively. Both groups were similar with regard to age, stone size, Hb change, and complications. Although operation duration, hospitalization period, and analgesic requirement were less in the totally tubeless PNL group, these differences were not statistically significant. The latest application of PNL, totally tubeless PNL, is also a safe and effective procedure in very small children if they are selected properly and if the surgeon has sufficient experience with the procedure. More studies with a higher number of participants are needed, however, to confirm that totally tubeless PNL increases the comfort of pediatric patients, decreases their hospitalization period, and is more economical.

Effect of calcium and cholecalciferol supplementation on several parameters of calcium status in plasma and urine of captive Asian (Elephas maximus) and African elephants (Loxodonta africana).

PubMed

van Sonsbeek, Gerda R; van der Kolk, Johannes H; van Leeuwen, Johannes P T M; Everts, Hendrik; Marais, Johan; Schaftenaar, Willem

2013-09-01

The aim of the current study was to assess the effect of oral calcium and cholecalciferol supplementation on several parameters of calcium status in plasma and urine of captive Asian (Elephas maximus; n=10) and African elephants (Loxodonta africana; n=6) and to detect potential species differences. Calcium and cholecalciferol supplementation were investigated in a feeding trial using a crossover design consisting of five periods of 28 days each in summer. From days 28-56 (period 2), elephants were fed the Ca-supplemented diet and from days 84-112, elephants were fed the cholecalciferol-supplemented diet (period 4). The control diet was fed during the other periods and was based on their regular ration, and the study was repeated similarly during winter. Periods 1, 3, and 5 were regarded as washout periods. This study revealed species-specific differences with reference to calcium and cholecalciferol supplementation. Asian elephants showed a significant increase in mean plasma total calcium concentration following calcium supplementation during summer, suggesting summer-associated subclinical hypocalcemia in Western Europe. During winter, no effect was seen after oral calcium supplementation, but a significant increase was seen both in mean plasma, total, and ionized calcium concentrations after cholecalciferol supplementation in Asian elephants. In contrast, evidence of subclinical hypocalcemia could be demonstrated neither in summer nor in winter in African elephants, although 28 days of cholecalciferol supplementation during winter reversed the decrease in plasma 1,25(OH)2-cholecalciferol and was followed by a significant increase in mean plasma total calcium concentration. Preliminary findings indicate that the advisable permanent daily intake for calcium in Asian elephants and cholecalciferol in both elephant species at least during winter might be higher than current guidelines. It is strongly recommended to monitor blood calcium concentrations and, if available, blood parathyroid hormone levels to adjust the nutritional supplementation for each individual elephant.

The effectiveness of healthy meals at work on reaction time, mood and dietary intake: a randomised cross-over study in daytime and shift workers at an university hospital.

PubMed

Leedo, Eva; Beck, Anne Marie; Astrup, Arne; Lassen, Anne D

2017-07-01

Our dietary habits affect both cognitive performance and mood. The aim of the study was to examine the effect of increased availability of healthy meals and water at work on healthcare staff. The study used an 8-week randomised cross-over design. A total of sixty physicians, nurses and nursing assistants, including sixteen working on shifts, were recruited. The participants received a self-selected keyhole-labelled (Nordic nutrition label) lunch, snack and bottled water during each shift throughout the intervention period. Reaction time (Go/No-Go test), mood-related scores (POMS) and dietary intake were assessed at run-in, and at the end of the intervention and the control periods. The intake of fat (P=0·030) and PUFA (P=0·003) was lower, and the intake of carbohydrate (P=0·008), dietary fibre (P=0·031) and water (P<0·001) was greater in the intervention period than in the control period. The intervention had no effect on reaction time or any of the mood-related scores in the group as a whole. In shift-working participants, the intervention period resulted in a 31·1 % lower Fatigue-Inertia Score (P=0·003), a 15·3 % higher Vigour-Activity Score (P=0·041) and a 42·7 % lower Total Mood Disturbance Score (P=0·017), whereas the only dietary component that significantly improved was water intake (P=0·034), when compared with the control period. Providing healthy meals, snacks and water during working hours seems to be an effective way of improving employees' dietary intake. Moreover, increased intake of water may be associated with beneficial effects on fatigue, vigour and total mood in shift-working healthcare staff.

17 CFR 210.12-24 - Real estate owned and rental income. 1

Code of Federal Regulations, 2011 CFR

2011-04-01

..., repairs and expenses Column J—Net income applicable to period Farms Residential Apartments and business Unimproved Total 8 Rent from properties sold during period Total 1 All money columns shall be totaled. 2 Each... amount of all intercompany profits included in the total of column E shall be stated if material. 8...

17 CFR 210.12-24 - Real estate owned and rental income. 1

Code of Federal Regulations, 2013 CFR

2013-04-01

... applicable to period Farms Residential Apartments and business Unimproved Total 8 Rent from properties sold during period Total 1 All money columns shall be totaled. 2 Each item of property included in column E in... profits included in the total of column E shall be stated if material. 8 Summarize the aggregate amounts...

17 CFR 210.12-24 - Real estate owned and rental income. 1

Code of Federal Regulations, 2010 CFR

2010-04-01

..., repairs and expenses Column J—Net income applicable to period Farms Residential Apartments and business Unimproved Total 8 Rent from properties sold during period Total 1 All money columns shall be totaled. 2 Each... amount of all intercompany profits included in the total of column E shall be stated if material. 8...

17 CFR 210.12-24 - Real estate owned and rental income. 1

Code of Federal Regulations, 2012 CFR

2012-04-01

... applicable to period Farms Residential Apartments and business Unimproved Total 8 Rent from properties sold during period Total 1 All money columns shall be totaled. 2 Each item of property included in column E in... profits included in the total of column E shall be stated if material. 8 Summarize the aggregate amounts...

Association of insurance status and spinal fusion usage in the United States during two decades.

PubMed

John, Jason; Mirahmadizadeh, Alireza; Seifi, Ali

2018-05-01

This study examined the distribution of spinal fusion usage among payer groups in the United States. Using the National Inpatient Sample (NIS) database, total discharges, length of stay, and mean hospital charges of patients who underwent spinal fusion from 1997 to 2014 in the United States were determined and analyzed. 5,715,625 total discharges with spinal fusion were reported. Among them, 2,875,188 (50.3%) were covered by private insurance, 1,710,182 by Medicare (29.9%), 342,638 (6.0%) by Medicaid, and 91,990 (1.6%) were uninsured. A statistically significant increase in spinal fusion usage occurred within each payer group over the study period (P < 0.001). For every year of the study period, private insurance patients had the most number and uninsured patients had the least number of total discharges with spinal fusion. Furthermore, annual growth in spinal fusion usage was greatest among private insurance patients, and smallest among uninsured patients. Total discharges with spinal fusion increased significantly across all payer groups between 1997 and 2014, but not equally. Further inquiry is indicated to determine the etiology of spinal fusion usage discrepancies between payer groups. Copyright © 2018 Elsevier Ltd. All rights reserved.

Changes in Rumen Microbial Community Composition during Adaption to an In Vitro System and the Impact of Different Forages

PubMed Central

Lengowski, Melanie B.; Zuber, Karin H. R.; Witzig, Maren; Möhring, Jens; Boguhn, Jeannette; Rodehutscord, Markus

2016-01-01

This study examined ruminal microbial community composition alterations during initial adaption to and following incubation in a rumen simulation system (Rusitec) using grass or corn silage as substrates. Samples were collected from fermenter liquids at 0, 2, 4, 12, 24, and 48 h and from feed residues at 0, 24, and 48 h after initiation of incubation (period 1) and on day 13 (period 2). Microbial DNA was extracted and real-time qPCR was used to quantify differences in the abundance of protozoa, methanogens, total bacteria, Fibrobacter succinogenes, Ruminococcus albus, Ruminobacter amylophilus, Prevotella bryantii, Selenomonas ruminantium, and Clostridium aminophilum. We found that forage source and sampling time significantly influenced the ruminal microbial community. The gene copy numbers of most microbial species (except C. aminophilum) decreased in period 1; however, adaption continued through period 2 for several species. The addition of fresh substrate in period 2 led to increasing copy numbers of all microbial species during the first 2–4 h in the fermenter liquid except protozoa, which showed a postprandial decrease. Corn silage enhanced the growth of R. amylophilus and F. succinogenes, and grass silage enhanced R. albus, P. bryantii, and C. aminophilum. No effect of forage source was detected on total bacteria, protozoa, S. ruminantium, or methanogens or on total gas production, although grass silage enhanced methane production. This study showed that the Rusitec provides a stable system after an adaption phase that should last longer than 48 h, and that the forage source influenced several microbial species. PMID:26928330

Demonstration of transoral robotic supraglottic laryngectomy and total laryngectomy in cadaveric specimens using the Medrobotics Flex System.

PubMed

Funk, Emily; Goldenberg, David; Goyal, Neerav

2017-06-01

Current management of laryngeal malignancies is associated with significant morbidity. Application of minimally invasive transoral techniques may reduce the morbidity associated with traditional procedures. The purpose of this study was to present our investigation of the utility of a novel flexible robotic system for transoral supraglottic laryngectomy and total laryngectomy. Transoral total laryngectomy and transoral supraglottic laryngectomy were performed in cadaveric specimens using the Flex Robotic System (Medrobotics, Raynham, MA). All procedures were completed successfully in the cadaveric models. The articulated endoscope allowed for access to the desired surgical site. Flexible instruments enabled an atraumatic approach and allowed for precise surgical technique. Access to deep anatomic structures remains problematic using current minimally invasive robotic approaches. Improvements in visualization and access to the laryngopharyngeal complex offered by this system may improve surgical applications to the larynx. This study demonstrates the technical feasibility using the Flex Robotic System for transoral robotic supraglottic laryngectomy and total laryngectomy. © 2017 Wiley Periodicals, Inc. Head Neck 39: 1218-1225, 2017. © 2017 Wiley Periodicals, Inc.

High serum total cholesterol is a long-term cause of osteoporotic fracture.

PubMed

Trimpou, P; Odén, A; Simonsson, T; Wilhelmsen, L; Landin-Wilhelmsen, K

2011-05-01

Risk factors for osteoporotic fractures were evaluated in 1,396 men and women for a period of 20 years. Serum total cholesterol was found to be an independent osteoporotic fracture risk factor whose predictive power improves with time. The purpose of this study was to evaluate long-term risk factors for osteoporotic fracture. A population random sample of men and women aged 25-64 years (the Gothenburg WHO MONICA project, N = 1,396, 53% women) was studied prospectively. The 1985 baseline examination recorded physical activity at work and during leisure time, psychological stress, smoking habits, coffee consumption, BMI, waist/hip ratio, blood pressure, total, HDL and LDL cholesterol, triglycerides, and fibrinogen. Osteoporotic fractures over a period of 20 years were retrieved from the Gothenburg hospital registers. Poisson regression was used to analyze the predictive power for osteoporotic fracture of each risk factor. A total number of 258 osteoporotic fractures occurred in 143 participants (10.2%). As expected, we found that previous fracture, smoking, coffee consumption, and lower BMI each increase the risk for osteoporotic fracture independently of age and sex. More unexpectedly, we found that the gradient of risk of serum total cholesterol to predict osteoporotic fracture significantly increases over time (p = 0.0377). Serum total cholesterol is an independent osteoporotic fracture risk factor whose predictive power improves with time. High serum total cholesterol is a long-term cause of osteoporotic fracture.

Workers' compensation filings of temporary workers compared to direct hire workers in Illinois, 2007-2012.

PubMed

Madigan, Dana; Forst, Linda; Friedman, Lee S

2017-01-01

The physical and psychological risks of temporary employment are well documented but there are still many questions regarding the consequences of injuries among these workers. This analysis examines Illinois Workers' Compensation Commission filings from 2007 through 2012 to compare total cost of the decision, days of work missed, and percent disability of employees of temporary agencies with direct hire claims. Total award median was $5,813.66 for direct hire employees and $2,625.00 for temporary workers. Of those employees claiming time off from work, median total time off was 1.3 weeks for direct hire employees compared to 1.2 weeks for temporary workers. Median total percent disability was 16.0% for direct hire and 10.0% for temporary employees. There are differences between temporary workers and direct hire employees in terms of total workers' compensation awards, total time off, and percent disability. Additional studies are needed to validate these findings. Am. J. Ind. Med. 60:11-19, 2017. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

Rotary Ni-Ti profile systems for preparing curved canals in resin blocks: influence of operator on instrument breakage.

PubMed

Mandel, E; Adib-Yazdi, M; Benhamou, L M; Lachkar, T; Mesgouez, C; Sobel, M

1999-11-01

The aim of this study was to determine the incidence of fracture of ProFile 0.4 and 0.6 taper Series 29 nickel-titanium instruments with respect to operator experience. A total of 125 simulated root canals in resin blocks with the same geometrical shape in terms of angle and radius of curvature and coronal and apical orifice diameter were used. Five operators prepared all the specimens using an identical step-down instrument sequence, each one preparing 25 canals. The operators included two endodontists and three general practitioners. Statistical data concerning the incidence of instrument failure was compiled using Statlab and Fisher's partial least square difference analysis of variance. A total of 21 (16.8%) instruments fractured, all had 0.04 tapers. Nine size 25 instruments failed, 9 size 20 instruments failed and 3 size 15. During the study, the Binary Tree analysis of instrument failure revealed two operator populations belonging to two different study periods. The first period, which represented the first 13 root canal preparations, was called the 'learning period', and the second period, which represented the next 12 sample preparations, was called the 'application period'. A greater number of instruments failed during the first period than during the second. In the 'learning period', both groups of operators learned the same way. In the 'application period', two groups could be distinguished; the first group consisted of a general practitioner who produced worse results, and the second group consisted of the other four operators. The results indicate the necessity of mastering this rotary canal preparation technique, and the importance of improving competence through learning and experience.

Statistical characteristics of polar lows over the Nordic Seas based on satellite passive microwave data

NASA Astrophysics Data System (ADS)

Smirnova, J. E.; Zabolotskikh, E. V.; Bobylev, L. P.; Chapron, B.

2016-12-01

In this study polar lows over the Nordic Seas for the period of 1995-2008 have been detected and studied using the Special Sensor Microwave Imager (SSM/I) data. A new methodology for polar low detection and monitoring based on the analysis of the total atmospheric water vapor content (WVC) fields retrieved from SSM/I was used. Lifetimes, diameters, translation speeds, distances traveled, and intensities were estimated for the detected polar lows using SSM/I WVC, sea surface wind speed fields and infrared imagery. Over the Norwegian and Barents Seas, the polar low activity was found to be almost equal. A positive tendency in the total number of polar lows for the time period of 1995-2008 was detected.

Community structure of the metabolically active rumen bacterial and archaeal communities of dairy cows over the transition period

PubMed Central

Zhu, Zhigang; Noel, Samantha Joan; Difford, Gareth Frank; Al-Soud, Waleed Abu; Brejnrod, Asker; Sørensen, Søren Johannes; Lassen, Jan; Løvendahl, Peter; Højberg, Ole

2017-01-01

Dairy cows experience dramatic changes in host physiology from gestation to lactation period and dietary switch from high-forage prepartum diet to high-concentrate postpartum diet over the transition period (parturition +/- three weeks). Understanding the community structure and activity of the rumen microbiota and its associative patterns over the transition period may provide insight for e.g. improving animal health and production. In the present study, rumen samples from ten primiparous Holstein dairy cows were collected over seven weeks spanning the transition period. Total RNA was extracted from the rumen samples and cDNA thereof was subsequently used for characterizing the metabolically active bacterial (16S rRNA transcript amplicon sequencing) and archaeal (qPCR, T-RFLP and mcrA and 16S rRNA transcript amplicon sequencing) communities. The metabolically active bacterial community was dominated by three phyla, showing significant changes in relative abundance range over the transition period: Firmicutes (from prepartum 57% to postpartum 35%), Bacteroidetes (from prepartum 22% to postpartum 18%) and Proteobacteria (from prepartum 7% to postpartum 32%). For the archaea, qPCR analysis of 16S rRNA transcript number, revealed a significant prepartum to postpartum increase in Methanobacteriales, in accordance with an observed increase (from prepartum 80% to postpartum 89%) in relative abundance of 16S rRNA transcript amplicons allocated to this order. On the other hand, a significant prepartum to postpartum decrease (from 15% to 2%) was observed in relative abundance of Methanomassiliicoccales 16S rRNA transcripts. In contrast to qPCR analysis of the 16S rRNA transcripts, quantification of mcrA transcripts revealed no change in total abundance of metabolically active methanogens over the transition period. According to T-RFLP analysis of the mcrA transcripts, two Methanobacteriales genera, Methanobrevibacter and Methanosphaera (represented by the T-RFs 39 and 267 bp), represented more than 70% of the metabolically active methanogens, showing no significant changes over the transition period; minor T-RFs, likely to represent members of the order Methanomassiliicoccales and with a relative abundance below 5% in total, decreased significantly over the transition period. In accordance with the T-RFLP analysis, the mcrA transcript amplicon sequencing revealed Methanobacteriales to cover 99% of the total reads, dominated by the genera Methanobrevibacter (75%) and Methanosphaera (24%), whereas the Methanomassiliicoccales order covered only 0.2% of the total reads. In conclusion, the present study showed that the structure of the metabolically active bacterial and archaeal rumen communities changed over the transition period, likely in response to the dramatic changes in physiology and nutritional factors like dry matter intake and feed composition. It should be noted however that for the methanogens, the observed community changes were influenced by the analyzed gene (mcrA or 16S rRNA). PMID:29117259

The effects of UV radiation during the vegetative period on antioxidant compounds and postharvest quality of broccoli (Brassica oleracea L.).

PubMed

Topcu, Yasin; Dogan, Adem; Kasimoglu, Zehra; Sahin-Nadeem, Hilal; Polat, Ersin; Erkan, Mustafa

2015-08-01

In this study, the effects of supplementary UV radiation during the vegetative period on antioxidant compounds, antioxidant activity and postharvest quality of broccoli heads during long term storage was studied. The broccolis were grown under three different doses of supplementary UV radiation (2.2, 8.8 and 16.4 kJ/m(2)/day) in a soilless system in a glasshouse. Harvested broccoli heads were stored at 0 °C in modified atmosphere packaging for 60 days. The supplementary UV radiation (280-315 nm) during the vegetative period significantly decreased total carotenoid, the chlorophyll a and chlorophyll b content but increased the ascorbic acid, total phenolic and flavonoid contents of broccolis. All supplementary UV treatments slightly reduced the antioxidant activity of the broccolis, however, no remarkable change was observed between 2.2 and 8.8 kJ/m(2) radiation levels. The sinigrin and glucotropaeolin contents of the broccolis were substantially increased by UV treatments. The prolonged storage period resulted in decreased ascorbic acid, total phenolic and flavonoid contents, as well as antioxidant activity. Discoloration of the heads, due to decreased chlorophyll and carotenoid contents, was also observed with prolonged storage duration. Glucosinolates levels showed an increasing tendency till the 45th day of storage, and then their levels started to decline. The weight loss of broccoli heads during storage progressively increased with storage time in all treatments. Total soluble solids, solids content and titratable acidity decreased continuously during storage. Titratable acidity was not affected by UV radiation doses during the storage time whereas soluble solids and solids content (dry matter) were significantly affected by UV doses. Supplementary UV radiation increased the lightness (L*) and chroma (C*) values of the broccoli heads. Pre-harvest UV radiation during vegetative period seems to be a promising tool for increasing the beneficial health components of broccolis. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

A Randomized Placebo-Controlled Double-Blind Study Evaluating the Time Course of Response to Methylphenidate Hydrochloride Extended-Release Capsules in Children with Attention-Deficit/Hyperactivity Disorder

PubMed Central

Greenhill, Laurence L.; Nordbrock, Earl; Connor, Daniel F.; Kollins, Scott H.; Adjei, Akwete; Childress, Ann; Stehli, Annamarie; Kupper, Robert J.

2014-01-01

Abstract Objective: The purpose of this study was to assess the time of onset and time course of efficacy over 12.0 hours of extended-release multilayer bead formulation of methylphenidate (MPH-MLR) compared with placebo in children 6–12 years of age with attention-deficit/hyperactivity disorder (ADHD) in a laboratory school setting. Methods: This randomized double-blind placebo-controlled study included children 6–12 years of age with ADHD. Enrolled children went through four study phases: 1) Screening period (≤4 weeks) and a 2 day medication washout period; 2) open-label period with dose initiation of MPH-MLR 15 mg daily and individual dose optimization treatment period (2–4 weeks); 3) double-blind crossover period in which participants were randomized to sequences (1 week each) of placebo and the optimized MPH-MLR dose given daily; and 4) follow-up safety call. Analog classroom time course evaluations were performed at the end of each double-blind week. The primary efficacy end-point was the mean of the on-treatment/postdose Swanson, Kotkin, Agler, M-Flynn, and Pelham (SKAMP)-Total scores over time points collected 1.0–12.0 hours after dosing. End-points were evaluated using a mixed-effects analysis of covariance. Results: The evaluable population included 20 participants. The least-squares mean postdose SKAMP-Total score was higher for placebo than for MPH-MLR (2.18 vs. 1.32, respectively; p=0.0001), indicating fewer symptoms with MPH-MLR therapy than with placebo. No difference in SKAMP-Total score between participants who received sequence 1 or sequence 2 was noted. From each of hours 1.0–12.0, least-squares mean SKAMP-Total score was significantly lower for those receiving MPH-MLR than for those receiving placebo (p≤0.0261). Neither serious adverse events nor new or unexpected safety findings were noted during the study. Conclusions: MPH-MLR showed a significant decrease in SKAMP scores compared with placebo in children with ADHD 6–12 years of age, indicating a decrease in ADHD symptoms. The estimated onset was observed within 1.0 hour, and duration was measured to 12.0 hours postdose. Trial registration: ClinicalTrials.gov Identifier: NCT01269463 PMID:25470572

Reducing Operating Room Costs Through Real-Time Cost Information Feedback: A Pilot Study.

PubMed

Tabib, Christian H; Bahler, Clinton D; Hardacker, Thomas J; Ball, Kevin M; Sundaram, Chandru P

2015-08-01

To create a protocol for providing real-time operating room (OR) cost feedback to surgeons. We hypothesize that this protocol will reduce costs in a responsible way without sacrificing quality of care. All OR costs were obtained and recorded for robot-assisted partial nephrectomy and laparoscopic donor nephrectomy. Before the beginning of this project, costs pertaining to the 20 most recent cases were analyzed. Items were identified from previous cases as modifiable for replacement or omission. Timely feedback of total OR costs and cost of each item used was provided to the surgeon after each case, and costs were analyzed. A cost analysis of the robot-assisted partial nephrectomy before the washout period indicates expenditures of $5243.04 per case. Ten recommended modifiable items were found to have an average per case cost of $1229.33 representing 23.4% of the total cost. A postwashout period cost analysis found the total OR cost decreased by $899.67 (17.2%) because of changes directly related to the modifiable items. Therefore, 73.2% of the possible identified savings was realized. The same stepwise approach was applied to laparoscopic donor nephrectomies. The average total cost per case before the washout period was $3530.05 with $457.54 attributed to modifiable items. After the washout period, modifiable items costs were reduced by $289.73 (8.0%). No complications occurred in the donor nephrectomy cases while one postoperative complication occurred in the partial nephrectomy group. Providing surgeons with feedback related to OR costs may lead to a change in surgeon behavior and decreased overall costs. Further studies are needed to show equivalence in patient outcomes.

Effects of varied energy density of complementary foods on breast-milk intakes and total energy consumption by healthy, breastfed Bangladeshi children.

PubMed

Islam, M Munirul; Peerson, Janet M; Ahmed, Tahmeed; Dewey, Kathryn G; Brown, Kenneth H

2006-04-01

Information is needed to design studies of the effects of complementary feeding regimens on children's intakes of complementary foods (CFs) and breast milk. We evaluated the effects of varied energy density of CFs on the time until stabilization of dietary intakes and on total daily energy intakes (EIs) and breast-milk intakes. CFs with low [0.4 kcal/g (LD)] and high [1.5 kcal/g (HD)] energy density were fed 3 times/d to 10 children (aged 9-18 mo) during 2 randomly assigned sequences of three 8-d diet periods (HD-LD-HD or LD-HD-LD) along with ad libitum breastfeeding. CF and breast-milk intakes were measured. Intakes of the HD diet and breast milk did not vary by day of period, but intake of the LD diet increased progressively. During days 5-7 of the last 2 diet periods in each sequence, more of the LD than of the HD diet was consumed (752 +/- 252 and 439 +/- 111 g/d, respectively; P < 0.001), but EIs from CFs were greater with the HD diet. Breast-milk consumption was slightly less (192 +/- 115 and 234 +/- 121 g/d, respectively; P = 0.03) but total daily EI was greater (774 +/- 175 and 441 +/- 85 kcal/d, respectively; P < 0.001) during the HD than during the LD diet period. New information on the effects of newly introduced diets on daily intakes of these diets and of breast milk can be used to design future studies. Total daily EIs were greater with the HD diet despite its negative effects on breast-milk intakes.

Comparison of dietary conjugated linoleic acid with safflower oil on body composition in obese postmenopausal women with type 2 diabetes mellitus1234

PubMed Central

Norris, Leigh E; Collene, Angela L; Asp, Michelle L; Hsu, Jason C; Liu, Li-Fen; Richardson, Julia R; Li, Dongmei; Bell, Doris; Osei, Kwame; Jackson, Rebecca D

2009-01-01

Background: Weight loss may improve glucose control in persons with type 2 diabetes. The effects of fat quality, as opposed to quantity, on weight loss are not well understood. Objective: We compared the effects of 2 dietary oils, conjugated linoleic acid (CLA) and safflower oil (SAF), on body weight and composition in obese postmenopausal women with type 2 diabetes. Design: This was a 36-wk randomized, double-masked, crossover study. Fifty-five obese postmenopausal women with type 2 diabetes received SAF or CLA (8 g oil/d) during two 16-wk diet periods separated by a 4-wk washout period. Subjects met monthly with the study coordinator to receive new supplements and for assessment of energy balance, biochemical endpoints, or anthropometric variables. Results: Thirty-five women completed the 36-wk intervention. Supplementation with CLA reduced body mass index (BMI) (P = 0.0022) and total adipose mass (P = 0.0187) without altering lean mass. The effect of CLA in lowering BMI was detected during the last 8 wk of each 16-wk diet period. In contrast, SAF had no effect on BMI or total adipose mass but reduced trunk adipose mass (P = 0.0422) and increased lean mass (P = 0.0432). SAF also significantly lowered fasting glucose (P = 0.0343) and increased adiponectin (P = 0.0051). No differences were observed in dietary energy intake, total fat intake, and fat quality in either diet period for either intervention. Conclusions: Supplementation with CLA and SAF exerted different effects on BMI, total and trunk adipose mass, and lean tissue mass in obese postmenopausal women with type 2 diabetes. Supplementation with these dietary oils may be beneficial for weight loss, glycemic control, or both. PMID:19535429

Comparison of dietary conjugated linoleic acid with safflower oil on body composition in obese postmenopausal women with type 2 diabetes mellitus.

PubMed

Norris, Leigh E; Collene, Angela L; Asp, Michelle L; Hsu, Jason C; Liu, Li-Fen; Richardson, Julia R; Li, Dongmei; Bell, Doris; Osei, Kwame; Jackson, Rebecca D; Belury, Martha A

2009-09-01

Weight loss may improve glucose control in persons with type 2 diabetes. The effects of fat quality, as opposed to quantity, on weight loss are not well understood. We compared the effects of 2 dietary oils, conjugated linoleic acid (CLA) and safflower oil (SAF), on body weight and composition in obese postmenopausal women with type 2 diabetes. This was a 36-wk randomized, double-masked, crossover study. Fifty-five obese postmenopausal women with type 2 diabetes received SAF or CLA (8 g oil/d) during two 16-wk diet periods separated by a 4-wk washout period. Subjects met monthly with the study coordinator to receive new supplements and for assessment of energy balance, biochemical endpoints, or anthropometric variables. Thirty-five women completed the 36-wk intervention. Supplementation with CLA reduced body mass index (BMI) (P = 0.0022) and total adipose mass (P = 0.0187) without altering lean mass. The effect of CLA in lowering BMI was detected during the last 8 wk of each 16-wk diet period. In contrast, SAF had no effect on BMI or total adipose mass but reduced trunk adipose mass (P = 0.0422) and increased lean mass (P = 0.0432). SAF also significantly lowered fasting glucose (P = 0.0343) and increased adiponectin (P = 0.0051). No differences were observed in dietary energy intake, total fat intake, and fat quality in either diet period for either intervention. Supplementation with CLA and SAF exerted different effects on BMI, total and trunk adipose mass, and lean tissue mass in obese postmenopausal women with type 2 diabetes. Supplementation with these dietary oils may be beneficial for weight loss, glycemic control, or both.

Longitudinal Study of Human Hearings: Its Relationship to Noise and Other Factors. 1. Design of Five Year Study; Data from First Year

DTIC Science & Technology

1977-03-01

I i ,-, r .Lt-hc,uqh thei-e was little evidence of a . - - 4 n the frequency of interruptions ’p -f . articular ear (scores 2 and 3). ::Itr t r .he...boy’s increments are artifactual due to inattention, distraction , etc., during the second visit. His total noise scores (total period and interval) at

Continuous Quality Improvement: A Roadmap for Rural School Improvement.

ERIC Educational Resources Information Center

Kilmer, Lloyd C.

A case study documented a continuous quality improvement approach to school improvement in a rural Nebraska high school over a 2-year period. Data gathered from surveys, portfolios, pilot results, and test scores indicated that the changes during the 2-year period were not dramatic, but significant and consistent with the Total Quality literature.…

Mental Health Status: A Study among Higher Secondary Students

ERIC Educational Resources Information Center

Kumar, V. Jurist Lionial

2013-01-01

Education is the totality of the process within which the students experiences are structured in order to promote desired learning. Education is a plan and procedure for the development of an individual. Education helps to attain the goal of life of an individual. Student period is one of the important periods in life to plan their future. To…

Patterns of objectively measured sedentary time in 10- to 12-year-old Belgian children: an observational study within the ENERGY-project.

PubMed

Verloigne, Maïté; Ridgers, Nicola D; Chinapaw, Mai; Altenburg, Teatske M; Bere, Elling; Van Lippevelde, Wendy; Cardon, Greet; Brug, Johannes; De Bourdeaudhuij, Ilse

2017-06-14

This study examined the frequency of and differences in sedentary bouts of different durations and the total time spent in sedentary bouts on a weekday, a weekend day, during school hours, during after-school hours and in the evening period in a sample of 10- to 12-year-old Belgian children. Accelerometer data were collected as part of the ENERGY-project in Belgium (n = 577, 10.9 ± 0.7 years, 53% girls) in 2011. Differences in total sedentary time, sedentary bouts of 2-5, 5-10, 10-20, 20-30 and ≥30 min and total time accumulated in those bouts were examined on a weekday, a weekend day, during school hours, during after-school hours and in the evening period, using multilevel analyses in MLwiN 2.22. More than 60% of the participants' waking time was spent sedentary. Children typically engaged in short sedentary bouts of 2-5 and 5-10 min, which contributed almost 50% towards their total daily sedentary time. Although the differences were very small, children engaged in significantly fewer sedentary bouts of nearly all durations during after-school hours compared to during school hours and in the evening period. Children also engaged in significantly fewer sedentary bouts of 5-10, 10-20, and 20-30 min per hour on a weekend day than on a weekday. Although primary school children spend more than 60% of their waking time sedentary, they generally engaged in short sedentary bouts. Children's sedentary bouts were slightly longer on weekdays, particularly during school hours and in the evening period, although the differences were very small. These results suggest that in this age group, interventions focusing on reducing total sedentary time rather than interrupting prolonged sedentary time are needed.

Oligofructose promotes satiety in healthy human: a pilot study.

PubMed

Cani, P D; Joly, E; Horsmans, Y; Delzenne, N M

2006-05-01

The administration of a fermentable dietary fibre (oligofructose) in rats increases satietogenic gut peptides and lowered spontaneous energy intake. The aim of the study was to assess the relevance of those effects of oligofructose on satiety and energy intake in humans. Single-blinded, crossover, placebo-controlled design, pilot study. Volunteers included five men and five women aged 21-39 years, BMI ranging from 18.5 to 27.4 kg/m(2), were randomly assigned as described below. Subjects were included in two 2-week experimental phases during which they received either fibre (oligofructose (OFS)) or placebo (dextrine maltose (DM)); a 2-week washout period was included between crossover phases. In total, 8 g OFS or 8 g DM were ingested twice daily (16 g/day in total). Energy intake, hunger, satiety, fullness and prospective food consumption were assessed with analogue scales at the end of each experimental phase. During breakfast, OFS significantly increases the satiety (P=0.04) without any difference on other sensations as compared to DM treatment periods. After lunch, no significant differences are observed between treatment period. At dinner, OFS significantly increases satiety (P=0.04), reduces hunger (P=0.04) and prospective food consumption (P=0.05). The energy intake at breakfast and lunch are significantly lower (P=0.01, 0.03, respectively) after OFS treatment than after DM treatment. Total energy intake per day is 5% lower during OFS than in DM period. Oligofructose treatment increases satiety following breakfast and dinner, reduces hunger and prospective food consumption following dinner. This pilot study presents a rationale to propose oligofructose supplements in the management of food intake in overweight and obese patients.

Epidemiological and clinical analysis of a consecutive series of conjoined twins in Spain.

PubMed

Martínez-Frías, María Luisa; Bermejo, Eva; Mendioroz, Jacobo; Rodríguez-Pinilla, Elvira; Blanco, Manuel; Egüés, Javier; Félix, Valentín; García, Angel; Huertas, Héctor; Nieto, Carmen; López, José Antonio; López, Santiago; Paisán, Luis; Rosa, Alejandro; Vázquez, María Socorro

2009-04-01

The aim of the study was to analyze the frequency and certain epidemiological characteristics of a consecutive series of conjoined twins born in Spain. We used data from the Spanish Collaborative Study of Congenital Malformations for the period April 1976 to 2006. Because the Spanish law permitting voluntary termination of pregnancies (TOP) when the fetus presented malformations was effective by the end of 1985, we analyzed the data in 4 periods, 2 before 1986 and 2 after. During the first period (1976-1979) only live births were recorded, whereas both still and live births were included in the other three (1980-1985, 1986-1995, and 1996-2006). In the present study, the cases were classified as symmetrical (16 pairs) and asymmetrical (1 pair) conjoined twins. Each pair of conjoined twins was considered as only one case for calculations, regardless of the type of union. Among a total of 2,281,604 consecutive births between 1980 and 2006, there were a total of 15 cases of symmetrical conjoined twins giving a frequency of 0.70 per 100,000 (1/152,107), whereas there was only 1 stillborn asymmetrical conjoined twin pair (0.04/100,000). Among the 13,418 consecutive stillborns surveyed, 6 cases of conjoined twins were identified (either symmetrical or asymmetrical) giving a frequency of 44.72 per 100,000, and 11 pairs were identified among the 2,425,583 total live births surveyed during the first period 1976 to 1979, a frequency of 0.45 per 100,000. Thus, the frequency among stillborn infants is 99.34 times higher than that observed among live births. However, the frequency for the total births (3 last periods) showed a decreasing trend from 1.47 per 100,000 birth in the first period (1980-1985) when TOP was illegal, to a value of 0.09 per 100,000 in the last period, more than 16-fold lower, probably because of the TOP of affected fetuses. Therefore, we consider that the frequencies observed in the period 1980 to 1985 are the basal values in our population. The most frequent type observed was thoracopagus, with an overall prevalence at birth of 0.44 per 100,000 (1/228,160) from 1980 to 2006, representing 58.82% of the total population of symmetric conjoined twin pairs. Diprosopus pairs were the next most common group (11.76%). Most of the cases were females (4 males/11 females), and although this appeared to be mainly because of the thoracopagus pairs (males-females, 2:8), in such a small number of cases, it is not possible to determine the ratios for the other groups. Gestational age was significantly shorter than in control twins for each type studied. We conclude that it is incorrect to consider that all types of conjoined twins have the same epidemiological characteristics, such as the frequency at birth. The differences observed may be related with the distinct embryo-fetal mortality of each type of conjoined twins in different populations, and the sex ratio, among others.

Suspended sediment and bedload in the First Broad River Basin in Cleveland County, North Carolina, 2008-2009

USGS Publications Warehouse

Hazell, William F.; Huffman, Brad A.

2011-01-01

A study was conducted to characterize sediment transport upstream and downstream from a proposed dam on the First Broad River near the town of Lawndale in Cleveland County, North Carolina. Streamflow was measured continuously, and 381 suspended-sediment samples were collected between late March 2008 and September 2009 at two monitoring stations on the First Broad River to determine the suspended-sediment load at each site for the period April 2008-September 2009. In addition, 22 bedload samples were collected at the two sites to describe the relative contribution of bedload to total sediment load during selected events. Instantaneous streamflow, suspended-sediment, and bedload samples were collected at Knob Creek near Lawndale, North Carolina, to describe general suspended-sediment and bedload characteristics at this tributary to the First Broad River. Suspended- and bedload-sediment samples were collected at all three sites during a variety of flow conditions. Streamflow and suspended-sediment measurements were compared with historical data from a long-term (1959-2009) streamflow station located upstream from Lawndale. The mean streamflow at the long-term streamflow station was approximately 60 percent less during the study period than the long-term annual mean streamflow for the site. Suspended-sediment concentrations and continuous records of streamflow were used to estimate suspended-sediment loads and yields at the two monitoring stations on the First Broad River for the period April 2008-September 2009 and for a complete annual cycle (October 2008-September 2009), also known as a water year. Total suspended-sediment loads during water year 2009 were 18,700 and 36,500 tons at the two sites. High-flow events accounted for a large percentage of the total load, suggesting that the bulk of the total suspended-sediment load was transported during these events. Suspended-sediment yields during water year 2009 were 145 and 192 tons per square mile at the two monitoring stations. Historically, the estimated mean annual suspended-sediment yield at the long-term streamflow station during the period 1970-1979 was 250 tons per square mile, with an estimated mean annual suspended-sediment load of 15,000 tons. Drought conditions throughout most of the study period were a potential factor in the smaller yields at the monitoring stations compared to the yields estimated at the long-term streamflow station in the 1970s. During an extreme runoff event on January 7, 2009, bedload was 0.4 percent, 0.8 percent, and 0.1 percent of the total load at the three study sites, which indicates that during extreme runoff conditions the percentage of the total load that is bedload is not significant. The percentages of the total load that is bedload during low-flow conditions ranged from 0.1 to 90.8, which indicate that the bedload is variable both spatially and temporally.

Financial Effect of a Drug Distribution Model Change on a Health System.

PubMed

Turingan, Erin M; Mekoba, Bijan C; Eberwein, Samuel M; Roberts, Patricia A; Pappas, Ashley L; Cruz, Jennifer L; Amerine, Lindsey B

2017-06-01

Background: Drug manufacturers change distribution models based on patient safety and product integrity needs. These model changes can limit health-system access to medications, and the financial impact on health systems can be significant. Objective: The primary aim of this study was to determine the health-system financial impact of a manufacturer's change from open to limited distribution for bevacizumab (Avastin), rituximab (Rituxan), and trastuzumab (Herceptin). The secondary aim was to identify opportunities to shift administration to outpatient settings to support formulary change. Methods: To assess the financial impact on the health system, the cost minus discount was applied to total drug expenditure during a 1-year period after the distribution model change. The opportunity analysis was conducted for three institutions within the health system through chart review of each inpatient administration. Opportunity cost was the sum of the inpatient administration cost and outpatient administration margin. Results: The total drug expenditure for the study period was $26 427 263. By applying the cost minus discount, the financial effect of the distribution model change was $1 393 606. A total of 387 administrations were determined to be opportunities to be shifted to the outpatient setting. During the study period, the total opportunity cost was $1 766 049. Conclusion: Drug expenditure increased for the health system due to the drug distribution model change and loss of cost minus discount. The opportunity cost of shifting inpatient administrations could offset the increase in expenditure. It is recommended to restrict bevacizumab, rituximab, and trastuzumab through Pharmacy & Therapeutics Committees to outpatient use where clinically appropriate.

Residential exposure to extremely low-frequency magnetic fields and risk of childhood leukaemia, CNS tumour and lymphoma in Denmark.

PubMed

Pedersen, Camilla; Johansen, Christoffer; Schüz, Joachim; Olsen, Jørgen H; Raaschou-Nielsen, Ole

2015-11-03

We previously reported that children exposed to elevated extremely low-frequency magnetic fields (ELF-MF) had a five to six times higher risk of leukaemia, central nervous system (CNS) tumour and malignant lymphoma. Here we extend the study from 1968 to 1986 through 2003. We included 3277 children with leukaemia, CNS tumour or malignant lymphoma during 1968-2003 recorded in the Danish Cancer Registry and 9129 controls randomly selected from the Danish childhood population. ELF-MF from 50 to 400 kV facilities were calculated at the residences. For recently diagnosed cases (1987-2003), the relative risk (RR) was 0.88 (95% confidence interval (CI): 0.32-2.42), while for the total period (1968-2003) it was 1.63 (95% CI: 0.77-3.46) for leukaemia, CNS tumour and malignant lymphoma combined for exposures ⩾0.4 μT compared with <0.1 μT. These results were based on five cases (recent period) and 11 cases (total period) in the highest exposure group. We did not confirm the previous finding of a five- to six-fold higher risk for leukaemia, CNS tumour and malignant lymphoma when including data from the more recent time period. For the total time period, the results for childhood leukaemia were in line with large pooled analyses showing RRs between 1.5 and 2.

Trends in infective endocarditis hospitalisations at United States children's hospitals from 2003 to 2014: impact of the 2007 American Heart Association antibiotic prophylaxis guidelines.

PubMed

Bates, Katherine E; Hall, Matthew; Shah, Samir S; Hill, Kevin D; Pasquali, Sara K

2017-05-01

National organisations in several countries have recently released more restrictive guidelines for infective endocarditis prophylaxis, including the American Heart Association 2007 guidelines. Initial studies demonstrated no change in infective endocarditis rates over time; however, a recent United Kingdom study suggested an increase; current paediatric trends are unknown. Children (5 years of age. Interrupted time series analysis was used to evaluate rates over time indexed to total hospitalisations. A total of 841 cases were identified. The median age was 13 years (interquartile range 9-15 years). In the pre-guideline period, there was a slight increase in the rate of infective endocarditis by 0.13 cases/10,000 hospitalisations per semi-annual period. In the post-guideline period, the rate of infective endocarditis increased by 0.12 cases/10,000 hospitalisations per semi-annual period. There was no significant difference in the rate of change in the pre- versus post-guidelines period (p=0.895). Secondary analyses in children >5 years of age with CHD and in children hospitalised with any type of infective endocarditis at any age revealed similar results. We found no significant change in infective endocarditis hospitalisation rates associated with revised prophylaxis guidelines over 11 years across 29 United States children's hospitals.

[Relationship between disease burden and research funding through the Health Research Foundation in Spain].

PubMed

Gómez-García, Teresa; Moreno-Casbas, Teresa; González-María, Esther; Fuentelsaz-Gallego, Carmen

2014-01-01

To analyze the relationship between burden of disease during 2007-2009 and public funding of research in health in Spain during 2008-2010. Descriptive cross-sectional study of burden of disease and funding allocated for research in diseases in the Spanish National Health System. A review was made of a total of 6,573 project titles funded for the years 2008, 2009 and 2010. During this period, a total of 472.7 million Euros were assigned as grants for research projects. Malignant tumors and neuropsychiatric diseases were the illnesses with greatest funding support. During the study period, it was estimated that there was a total of 15,253,331.3 disability-adjusted life years (DALYs) in Spain, with neuropsychiatric diseases being the category representing most DALYs with 4,396,900 (28.8%). The relationship between funding and DALYs was obtained with a Pearson r equal to 0.759 (p<0.001). The study of congenital diseases had higher funding per DALY than any other disease with an investment of 290.4€/DALY. Among these, the study of cleft palate and esophageal atresia, with ratios of 3,432.7€/DALY and 3,387.6€/DALY respectively, obtained the greatest funding. The study shows that the relative distribution of economic resources in the study period is consistent with the burden suffered by the Spanish population. This relationship is altered by the funding of the study of congenital anomalies, because of the low number of projects in this area. Copyright © 2013 Elsevier España, S.L. All rights reserved.

Reliability and Validity Study for the Coloured Progressive Matrices Test between the Ages of 3-9 for Determining Gifted Children in the Pre-School Period

ERIC Educational Resources Information Center

Bildiren, Ahmet

2017-01-01

The objective of the study was to test the Coloured Progressive Matrices Test with regard to reliability and validity for the 3-9 age sample group because of the lack of diagnostic tools for the pre-school period. The sample group of the study was comprised of a total of 925 children with 433 girls (46.8%) and 492 boys (53.2%). Coloured…

Antireflection effect of femtosecond laser-induced periodic surface structures on silicon.

PubMed

Vorobyev, A Y; Guo, Chunlei

2011-09-12

Following direct femtosecond laser pulse irradiation, we produce a unique grating structure over a large area superimposed by finer nanostructures on a silicon wafer. We study, for the first time, the antireflection effect of this femtosecond laser-induced periodic surface structures (FLIPSSs) in the wavelength range of 250 - 2500 nm. Our study shows that the FLIPSSs suppress both the total hemispherical and specular polarized reflectance of silicon surface significantly over the entire studied wavelength range. The total polarized reflectance of the processed surface is reduced by a factor of about 3.5 in the visible and 7 in the UV compared to an untreated sample. The antireflection effect of the FLIPSS surface is broadband and the suppression stays to the longest wavelength (2500 nm) studied here although the antireflection effect in the infrared is weaker than in the visible. Our FLIPSS structures are free of chemical contamination, highly durable, and easily controllable in size.

Changes in Attenuated Total Reflection Fourier Transform Infrared Spectra as Blood Dries Out.

PubMed

Zhang, Yinming; Wang, Qi; Li, Bing; Wang, Zhijun; Li, Chengzhi; Yao, Yao; Huang, Ping; Wang, Zhenyuan

2017-05-01

The time since deposition (TSD) of a bloodstain is a valuable piece of evidence for forensic scientists to determine the time at which a crime took place. The objective of this study was to determine whether attenuated total reflection (ATR) Fourier transform infrared (FTIR) spectroscopy could be used to estimate the TSD of a bloodstain in a relatively early period (from 0 min to the time required for the bloodstain to dry out). For this purpose, we used ATR-FTIR to study the variation in absorbance at certain wavelengths as rat and human blood sample dried out. The absorbance at 3308/cm (A3308) was found to have a close correlation with the TSD during this time period, and the changes in A3308 during the drying of rat and human blood drops under the same controlled conditions showed similar results. The current study indicates that ATR-FTIR spectroscopy has potential as a tool for estimating TSD at early time periods of blood deposition. © 2016 American Academy of Forensic Sciences.

Assessment of targeted automated messages on herpes zoster immunization numbers in an independent community pharmacy.

PubMed

Bedwick, Brian W; Garofoli, Gretchen K; Elswick, Betsy M

To evaluate the impact of an automated phone call by a pharmacy owner on the number of herpes zoster vaccinations given in the independent community pharmacy setting, compare herpes zoster immunization numbers in the 3 months during the previous year to the 3 months during the intervention, and assess patient satisfaction with the automated phone call service. This prospective study took place in an independent community pharmacy. A message was recorded by the pharmacy owner using a telephone-message program that notified patients aged 60 and older that the herpes zoster vaccine is recommended for them. This message was sent out monthly for a total of 3 months. Patients who received this vaccine in the 3 months following the initial phone call were surveyed to determine their reason for receiving the vaccine, and to assess satisfaction with the phone call. The total number of herpes zoster immunizations given at the pharmacy during the study period was compared to the total given at the pharmacy during the same period of the previous year. A total of 25 participants received the herpes zoster vaccine at the pharmacy during the study period, compared to 16 during the control period. Receiving the phone call was the most commonly cited reason for receiving the vaccine, followed by doctor recommendation. Of the 18 participants who received the call, 12 stated that they would be very likely to respond to similar phone calls in the future. These results demonstrate that using a targeted, automated phone call directed at eligible patients appears to have a positive effect on their willingness to receive the herpes zoster vaccine and may lead to an increase in vaccination numbers among eligible patients. Various factors must be considered before implementation of this service, including cost and added call volume. Copyright © 2017 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

Impact of Atraumatic Restorative Treatment (ART) on the treatment profile in pilot government dental clinics in Tanzania.

PubMed

Kikwilu, Emil Namakuka; Frencken, Jo; Mulder, Jan

2009-06-08

The predominant mode of treatment in government dental clinics in Tanzania has been tooth extraction because the economy could not support the conventional restorative care which depends on expensive equipment, electricity and piped water systems. Atraumatic Restorative Treatment (ART) was perceived as a suitable alternative. A 3.5-year study was designed to document the changes in the treatment profiles ascribed to the systematic introduction of ART in pilot government dental clinics. Dental practitioners who were working in 13 government dental clinics underwent a 7-day ART training. Treatment record data on teeth extracted and teeth restored by the conventional and ART approaches were collected from these clinics for the three study periods. The mean percentage of ART restorations to total treatment, ART restorations to total restorations, and total restorations to total treatments rendered were computed. Differences between variables were determined by ANOVA, t-test and Chi-square. The mean percentage of ART restorations to total treatment rendered was 0.4 (SE = 0.5) and 11.9 (SE = 1.1) during the baseline and second follow-up period respectively (ANOVA mixed model; P < 0.0001). The mean percentage of ART restorations to total restorations rendered at baseline and 2nd follow-up period was 8.4% and 88.9% respectively (ANOVA mixed model; P < 0.0001). The mean percentage of restorations to total treatment rendered at baseline and 2nd follow-up was 3.9% and 13.0%, respectively (ANOVA mixed model; P < 0.0001). Ninety-nine percent of patients were satisfied with ART restorations, 96.6% willing to receive ART restoration again in future, and 94.9% willing to recommend ART treatment to their close relatives. ART introduction in pilot government dental clinics raised the number of teeth saved by restorative care. Countrywide introduction of the ART approach in Tanzania is recommended.

Long-term safety and efficacy of bilastine following up to 12 weeks or 52 weeks of treatment in Japanese patients with allergic rhinitis: Results of an open-label trial.

PubMed

Okubo, Kimihiro; Gotoh, Minoru; Togawa, Michinori; Saito, Akihiro; Ohashi, Yoshihiro

2017-06-01

Bilastine is a novel second-generation antihistamine. This open-label, single-arm, phase III study evaluated the safety and efficacy of long-term treatment with bilastine in Japanese patients with seasonal (SAR) or perennial allergic rhinitis (PAR). Patients with SAR or PAR who met the registration criteria and did not violate the exclusion criteria received bilastine (20mg, once daily) for 12 weeks (treatment period). Patients with PAR who met the transition criteria could elect to continue the bilastine treatment for an additional 40 weeks (continuous treatment period: a total of 52 weeks). Safety and tolerability were the primary outcomes, and the main secondary endpoint was to evaluate changes in efficacy variables from baseline measurements. Fifty-eight patients with SAR and 64 patients with PAR received bilastine (20mg/day) for 12 weeks. Fifty-five patients with PAR transitioned to the continuous treatment period. Adverse events (AEs) were reported by 17.2% of patients with SAR and by 31.3% of patients with PAR, and adverse drug reactions (ADRs) were reported by 6.3% of patients with PAR but by no patients with SAR during the 12-week treatment period. All of the ADRs were mild in severity. During the 52-week treatment period, AEs and ADRs were reported by 73.4% and 6.3% of patients with PAR, respectively. All of the ADRs occurred during the 12-week treatment period, and none during the continuous treatment period. The AEs were categorized using the System Organ Class of nervous system disorders; 4.7% of patients reported headache, but none reported somnolence. One serious AE was reported, but it was considered to be unrelated to the bilastine treatment. There were no deaths, and no patients withdrew from the study because of AEs. In patients with SAR, bilastine significantly decreased the total nasal symptom score (TNSS), total ocular symptom score (TOSS), and total symptom score (TSS) relative to baseline. Prolonged treatment with bilastine resulted in the maintenance of a significant reduction in TNSS, TOSS, and TSS from the baseline in patients with PAR. Improvement of quality of life was also observed in patients with SAR and PAR. Bilastine was safe, well tolerated, and effective for patients with SAR and PAR. The observed improvement was maintained for the duration of the study, with no loss of drug efficacy (registration number JapicCTI-142622). Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

The effect of melatonin and vitamin C treatment on the experimentally induced tympanosclerosis: study in rats.

PubMed

Koc, Sema; Kıyıcı, Halil; Toker, Aysun; Soyalıç, Harun; Aslan, Huseyin; Kesici, Hakan; Karaca, Zafer I

The ethiopathogenesis of tympanosclerosis has not been completely under- stood yet. Recent studies have shown that free oxygen radicals are important in the formation of tympanosclerosis. Melatonin and Vitamin C are known to be a powerful antioxidant, interacts directly with Reactive Oxygen Species and controls free radical-mediated tissue damage. To demonstrate the possible preventative effects of melatonin and Vitamin C on tympanosclerosis in rats by using histopathology and determination of total antioxidant status total antioxidant status. Standard myringotomy and standard injury were performed in the middle ear of 24 rats. The animals were divided into three groups: Group 1 received melatonin, Group 2 received vitamin C, and Group 3 received saline solution. The mean values of total antioxidant status were similar in the all study groups before the treatment period. The mean values of total antioxidant status were significantly higher in the melatonin and vitamin C groups compared to control group but vitamin C with melatonin groups were similar after the treatment period (p<0.001). Minimum and maximum wall thicknesses were lower in the melatonin and vitamin C groups compared to the control group but the differences were insignificant. Melatonin increases total antioxidant status level and might have some effect on tympanosclerosis that develops after myringotomy. Copyright © 2016 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

Structure-Activity Relations In Enzymes: An Application Of IR-ATR Modulation Spectroscopy

NASA Astrophysics Data System (ADS)

Fringeli, Urs P.; Ahlstrom, Peter; Vincenz, Claudius; Fringeli, Marianna

1985-12-01

Relations between structure and specific activity in immobilized acetylcholinesterase (ACNE) have been studied by means of pH- and Ca++-modulation technique combined with attenuated total reflection (ATR) infrared (IR) spectroscopy and enzyme activity measurement. Periodic modulation of pH and Ca++-concentration enabled a periodic on-off switching of about 40% of the total enzyme activity. It was found that about 0.5 to 1% of the amino acids were involved in this process. These 15 to 30 amino acids assumed antiparallel pleated sheet structure in the inhibited state and random and/or helical structure in the activated state.

Effect of COD/SO4(2-) ratio on anaerobic treatment of landfill leachate during the start-up period.

PubMed

Yilmaz, Tuba; Erdirencelebi, Dilek; Berktay, Ali

2012-01-01

This study investigates the performance of an anaerobic baffled reactor (ABR) during the start-up period of raw young landfill leachate treatment at two chemical oxygen demand (COD) to SO4(2-) ratios of 20 and 4. The reactor was operated at ambient temperature and low organic loading rates (0.52, 0.76 and 1.05 kg COD/m3 per day). During the study, sulfate-reducing bacteria (SRB) activity increased at the lower ratio of COD/SO4(2-) producing higher levels of sulfide and alkalinity. The dissolved sulfide concentration reached an inhibitory level above 250 mg/L, which caused a sharp reduction in the total COD removal efficiency from 77-80% to 32%. Total volatile fatty acid (TVFA) production proceeded at a constant level despite increased organic loading. As the effluent total and organic COD concentrations increased, the inhibitory effect of the inborn sulfide was correlated to the limitation experienced in the hydrolysis/acidogenesis stages, and thus VFA production and organic matter removal.

Homologous and Homologous like Microwave Solar Radio Bursts

NASA Astrophysics Data System (ADS)

Trevisan, R. H.; Sawant, H. S.; Kalman, B.; Gesztelyi, L.

1990-11-01

ABSTRACT. Solar radio observations at 1.6 GHz were carried out in the month of July, 1985 by using 13.7 m diameter Itapetinga antenna with time resolution of 3 ms. Homologous Bursts, with total duration of about couple of seconds and repeated by some seconds were observed associated with Homologous H- flares. These H- flares were having periodicities of about 40 min. Observed long periodicities were attributed to oscillation of prominences, and small periods were attributed to removal of plasma from the field interaction zone. Also observed are "Homologous-Like" bursts. These bursts are double peak bursts with same time profile repeating in time. In addition to this, the ratio of the total duration of the bursts to time difference in the peaks of bursts remain constant. Morphological studies of these bursts have been presented. Keq tuoit : SUN-BURSTS - SUN-FLARE

Analysis of capital spending and capital financing among large US nonprofit health systems.

PubMed

Stewart, Louis J

2012-01-01

This article examines the recent trends (2006 to 2009) in capital spending among 25 of the largest nonprofit health systems in the United States and analyzes the financing sources that these large nonprofit health care systems used to fund their capital spending. Total capital spending for these 25 nonprofit health entities exceeded $41 billion for the four-year period of this study. Less than 3 percent of total capital spending resulted in mergers and acquisition activities. Total annual capital spending grew at an average annual rate of 17.6 percent during the first three year of this study's period of analysis. Annual capital spending for 2009 fell by more than 22 percent over prior year's level due to the impact of widespread disruption in US tax-exempt variable rate debt markets. While cash inflow from long-term debt issues was a significant source of capital financing, this study's primary finding was that operating cash flow was the predominant source of capital spending funding. Key words: nonprofit, mergers and acquisitions (M&A), capital spending, capital financing.

Studies on transformations of plutonium-239 and americium-241 in three major Indian soils.

PubMed

Vyas, B N; Mistry, K B

1984-01-13

These studies were carried out to elucidate the behaviour of 239Pu and and 241Am in three major soil groups of India, namely oxisol, vertisol-pellustert and entisol-haplaquent, over extended periods up to 400 days. The influences of soil characteristics, addition of organic matter and the chemical form of the radionuclides added to soils were investigated. A large fraction, ranging from 60 to 90% of the soluble radionuclides added as nitrates, underwent rapid conversion to precipitated hydrous oxides and hydroxides (0.3 M sodium citrate-dithionite extracts). At 3 h after contamination, ion-exchangeable forms (0.1 M MgCl2 extracts) contained low levels of total added Pu (0.7 to 19.1%) and from 0.1 to 2.8% of total Am. These levels decreased further with increasing periods of incubation of up to 400 days. In contrast, on addition of chelated forms of radionuclides (as DTPA and EDTA complexes) up to 85% of total Pu, and about 50% of total Am were associated with 0.1 M MgCl2 extracts 3 h post-contamination and significant amounts were extractable when maintained over extended periods of incubation of up to 400 days. The levels of Pu and Am associated with organic-bound forms (0.1 M NaOH extracts) did not show consistent trends, although in all three soil types the contents of these radionuclides in the insoluble residue fraction (including refractory compounds) generally increased with time of incubation.

Features of selenium metabolism in humans living under the conditions of North European Russia.

PubMed

Parshukova, Olga; Potolitsyna, Natalya; Shadrina, Vera; Chernykh, Aleksei; Bojko, Evgeny

2014-08-01

Selenium supplementation and its effects on Northerners have been little studied. The aim of our study was to assess the selenium levels of the inhabitants of North European Russia, the seasonal aspects of selenium supplementation, and the interrelationships between selenium levels and the levels of thyroid gland hormones. To study the particular features of selenium metabolism in Northerners over the course of 1 year, 19 healthy male Caucasian volunteers (18-21 years old) were recruited for the present study. The subjects were military guards in a Northern European region of Russia (Syktyvkar, Russia, 62°N latitude) who spent 6-10-h outdoors daily. The study was conducted over a 12-month period. Selenium levels, glutathione peroxidase (GP) activity, as well as total triiodothyronine (T3), total thyroxin (T4), free thyroxin, free triiodothyronine, and thyrotropin (TSH) levels, were determined in the blood serum. The study subjects showed low levels of plasma selenium throughout the year. We observed a noticeable decrease in plasma selenium levels during the period from May to August, with the lowest levels in July. Selenium levels in the military guards correlated with the levels of selenium-dependent GP enzyme activity throughout the year. Additionally, we demonstrated a significant correlation between selenium and pituitary-thyroid axis hormones (total T3, free T4, and TSH) in periods in which plasma selenium levels were lower than the established normal ranges. Over the course of 1 year, low levels of plasma selenium affect GP activity and thyroid hormone levels in humans living in North European Russia.

Have Tropical Cyclones Been Feeding More Extreme Rainfall?

NASA Technical Reports Server (NTRS)

Lau, K.-M.; Zhou, Y. P.; Wu, H.-T.

2008-01-01

We have conducted a study of the relationship between tropical cyclone (TC) and extreme rain events using GPCP and TRMM rainfall data, and storm track data for July through November (JASON) in the North Atlantic (NAT) and the western North Pacific (WNP). Extreme rain events are defined in terms of percentile rainrate, and TC-rain by rainfall associated with a named TC. Results show that climatologically, 8% of rain events and 17% of the total rain amount in NAT are accounted by TCs, compared to 9% of rain events and 21% of rain amount in WNP. The fractional contribution of accumulated TC-rain to total rain, Omega, increases nearly linearly as a function of rainrate. Extending the analyses using GPCP pentad data for 1979-2005, and for the post-SSM/I period (1988-2005), we find that while there is no significant trend in the total JASON rainfall over NAT or WNP, there is a positive significant trend in heavy rain over both basins for the 1979-2005 period, but not for the post-SSM/I period. Trend analyses of Omega for both periods indicate that TCs have been feeding increasingly more to rainfall extremes in NAT, where the expansion of the warm pool area can explain slight more than 50% of the change in observed trend in total TC rainfall. In WNP, trend signals for Omega are mixed, and the long-term relationship between TC rain and warm pool areas are strongly influenced by interannual and interdecadal variability.

Mathematics of Periodic Tables for Benzenoid Hydrocarbons.

PubMed

Dias, Jerry Ray

2007-01-01

The upper and lower bounds for invariants of polyhex systems based on the Harary and Harborth inequalities are studied. It is shown that these invariants are uniquely correlated by the Periodic Table for Benzenoid Hydrocarbons. A modified periodic table for total resonant sextet (TRS) benzenoids based on the invariants of Ds and r(empty) is presented; Ds is the number of disconnections among the empty rings for fused TRS benzenoid hydrocarbons. This work represents a contribution toward deciphering the topological information content of benzenoid formulas.

A total pleural covering of absorbable cellulose mesh prevents pneumothorax recurrence in patients with Birt-Hogg-Dubé syndrome.

PubMed

Mizobuchi, Teruaki; Kurihara, Masatoshi; Ebana, Hiroki; Yamanaka, Sumitaka; Kataoka, Hideyuki; Okamoto, Shouichi; Kobayashi, Etsuko; Kumasaka, Toshio; Seyama, Kuniaki

2018-05-15

Birt-Hogg-Dubé syndrome (BHDS) is a recently recognized inherited multiple cystic lung disease causing recurrent pneumothoraces. Similarly to the lesions in patients with lymphangioleiomyomatosis (LAM), the pulmonary cysts are innumerable and widely dispersed and cannot all be removed. We recently described a total pleural covering (TPC) that covers the entire visceral pleura with oxidized regenerated cellulose (ORC) mesh. TPC successfully prevented the recurrence of pneumothorax in LAM patients. The purpose of this study was to evaluate the effect of an ORC pleural covering on pneumothorax recurrence in BHDS patients. This retrospective study enrolled a total of 81 pneumothorax patients with the diagnosis of BHDS who underwent 90 covering surgeries from January 2010 to August 2017 at Tamagawa Hospital. During the first half of the study period, a lower pleural covering (LPC) which covered the affected area with ORC mesh was mainly used to treat 38 pneumothoraces. During the second half of the study period, TPC was primarily performed for 52 pneumothoraces. All the thoracoscopic surgeries were successfully performed without serious complications (≥ Clavien-Dindo grade III). The median follow-up periods after LPC/TPC were 66/34 months, respectively. Pneumothorax recurrence rates after LPC at 2.5/5/7.5 years postoperatively were 5.4/12/42%, respectively; none of the patients who had underwent TPC developed postoperative pneumothorax recurrence (P = 0.032). TPC might be an effective option for surgical treatment of intractable pneumothorax in patients with BHDS.

Effects of antioxidant vitamins (A, D, E) and trace elements (Cu, Mn, Se, Zn) on some metabolic and reproductive profiles in dairy cows during transition period.

PubMed

Omur, A; Kirbas, A; Aksu, E; Kandemir, F; Dorman, E; Kaynar, O; Ucar, O

2016-12-01

The objective of this study was to determine the effects of some antioxidant vitamins and trace elements on some metabolic and postpartum reproductive profiles in dairy cows during transition period. In the study, altogether 20 clinically healthy Brown Swiss dairy cows (aged 4-5 years-old) under the same management and feeding conditions in periparturient period were used. The animals were divided into two equal groups: control (C) and treatment (T) group (n=10 for each group). Vitamins (A, D, E) and trace elements (Cu, Mn, Se, Zn) were administered intramuscularly into the cows of the T group, while isotonic saline, as placebo, was injected subcutaneously into those in the C group. Blood samples were collected by venipuncture of the jugular vein at the beginning of transition period, parturition and 3-weeks after the parturition. The metabolic and reproductive parameters were determined. In the C group, statistically significant changes were observed in the levels of non-esterified fatty acids (NEFA), high density lipoprotein (HDL), low density lipoprotein (LDL), total protein (TP) (p<0.05), glucose (GLU), progesterone (P4) (p<0.01), total cholesterol (T.CHOL), triglycerides (TG), UREA, creatinine (CRSC) and total bilirubin (TBIL) (p<0.001). In the T group, significant changes in the levels of NEFA, TBIL (p<0.05), T.CHOL, HDL, LDL (p<0.01), TG, GLU, P4, TAC and TOC (p<0.001) were observed. It was concluded that the administration of various vitamins and trace elements could be effective to improve some metabolic and reproductive profiles in dairy cows during the transition period.

Folic acid supplement decreases the homocysteine increasing effect of filtered coffee. A randomised placebo-controlled study.

PubMed

Strandhagen, E; Landaas, S; Thelle, D S

2003-11-01

Elevated levels of plasma total homocysteine (tHcy) are identified as independent risk factors for coronary heart disease and for fetal neural tube defects. tHcy levels are negatively associated with folic acid, pyridoxine and cobalamine, and positively associated with coffee consumption and smoking. A total of 600 ml of filtered coffee results in a tHcy increase that 200 mug of folic acid or 40 mg of pyridoxine supplementation might eliminate. Randomised, blinded study with two consecutive trial periods. Free living population. Volunteers. A total of 121 healthy, nonsmoking men and women (78%) aged 29-65 y. (1) A coffee-free period of 3 weeks, (2) 600 ml coffee/day and a supplement of 200 mug folic acid/day or placebo for 4 weeks, (3) 3-week coffee-free period, (4) 600 ml coffee/day and 40 mg pyridoxine/day or placebo for 4 weeks. The difference between the change in tHcy in the supplement group and the change in tHcy in the placebo group during the 4-week trial period. Coffee abstention resulted in a tHcy decrease of 1.04 mumol/l for the whole group. In the subsequent coffee period, a further decrease of 0.17 mumol/l was observed in the folic acid group whereas an increase of 1.26 mumol/l was observed in the placebo group, the difference was 1.43 mumol/l (95% CI: 0.80, 2.07). Pyridoxine supplement had no impact on tHcy levels. Supplementation of 200 mug folic acid/day eliminates the tHcy increasing effect of 600 ml filtered coffee in subjects not already on folic acid supplements. A supplement of 40 mg pyridoxine/day does not have the same effect.

Effects of Greek orthodox christian church fasting on serum lipids and obesity

PubMed Central

Sarri, Katerina O; Tzanakis, Nikolaos E; Linardakis, Manolis K; Mamalakis, George D; Kafatos, Anthony G

2003-01-01

Background No study to date has focused on the impact of Greek Orthodox Christian fasting on serum lipoproteins and obesity yet. Methods 120 Greek adults were followed longitudinally for one year. Sixty fasted regularly in all fasting periods (fasters) and 60 did not fast at all (controls). The three major fasting periods under study were: Christmas (40 days), Lent (48 days) and Assumption (August, 15 days). A total of 6 measurements were made during one year including pre- and end-fasting blood collection, serum lipoprotein analyses and anthropometric measurements. Results Statistically significant end-fasting total and LDL cholesterol differences were found in fasters. Fasters compared to controls presented 12.5% lower end-total cholesterol (p < 0.001), 15.9% lower end-LDL cholesterol (p < 0.001) and 1.5% lower end-BMI (p < 0.001). The end- LDL/HDL ratio was lower in fasters (6.5%, p < 0.05) while the change in end- HDL cholesterol in fasters (4.6% decline) was not significant. Similar results were found when the pre- and end-fasting values of fasters were compared. No change was found in control subjects. Conclusions Adherence to Greek Orthodox fasting periods contributes to a reduction in the blood lipid profile including a non-significant reduction in HDL cholesterol and possible impact on obesity. PMID:12753698

The dynamics of total outputs of Indonesian industrial sectors: A further study

NASA Astrophysics Data System (ADS)

Zuhdi, Ubaidillah

2017-03-01

The purpose of the current study is to extend the previous studies which analyze the impacts of final demands modifications on the total outputs of industrial sectors of a particular country. More specifically, the study conducts the analysis regarding the impacts on the total outputs of Indonesian industrial sectors. The study employs a demand-pull Input-Output (IO) quantity model, one of the calculation instruments in the IO analysis. The study focuses on seventeen industries. There are two scenarios used in this study, namely other final demands and import modifications. The “whole sector change” condition is implemented in the calculations. An initial period in this study is 2010. The results show that the positive impacts on the total outputs of focused sectors are distributed by scenario 1, the change of other final demands. On the contrary, the negative impacts are delivered by scenario 2, the modification of imports. The suggestions for improving the total outputs of discussed industries are based on the results.

Sulphur cycling between terrestrial agroecosystem and atmosphere.

PubMed

Zgorelec, Zeljka; Pehnec, Gordana; Bašić, Ferdo; Kisić, Ivica; Mesić, Milan; Zužul, Silva; Jurišić, Aleksandra; Sestak, Ivana; Vađić, Vladimira; Cačković, Mirjana

2012-09-01

Central gas station of the natural gas borehole system Podravina is located near the village Molve. It delivers more than a quarter of total energy used in Croatia to its consumers. Over the years, adapting technology to increasingly demanding and rigorous standards in environmental protection has become paramount. Yet, despite all the industry has undertaken to address the risk of harmful substances entering the food chain, a multidisciplinary research team of independent scientists monitors the content of specific substances in all components of the ecosystem. This paper presents measurements of total sulphur contents in soil surface [(0 to 3) cm] and subsurface [(3 to 8) cm] layers (study period: autumn 2006 - spring 2010) and in plants (study period: spring 2000 - spring 2010), and the concentration of gaseous sulphur compounds in the air. Concentrations of hydrogen sulphide (H2S) and mercaptans (RSH) were measured from the summer of 2002 until the autumn of 2010, while concentrations of sulphur dioxide (SO2) were measured from the spring of 2008 until the autumn of 2010. The paper also shows total annual atmospheric sulphur (S-SO4) deposition at Bilogora measuring station (study period: 2001 - 2010). Average monthly concentrations of H2S in air varied between 0.2 μg m-3 and 2.0 μg m-3, RSH between 0.1 μg m-3 and 24.5 μg m-3, and SO2 between 0.4 μg m-3 and 2.8 μg m-3 depending on the location and the season of sampling. Mean values of total sulphur in soil and in Plantago lanceolata plant ranged between 610 mg kg-1 and 1,599 mg kg-1 and between 3,614 mg kg-1 and 4,342 mg kg-1, respectively, depending on the soil type, location, and sampling depth. Average values of total sulphur mass ratio for all examined single soil samples (n=80) were 1,080 mg kg-1 for both studied layers, and 4,108 mg kg-1 for all analysed plant samples (n=85). Average total annual atmospheric sulphur deposition at Bilogora measuring station was 6.3 kg of S-SO4 per hectare.

Elevated Serum Hepcidin Levels during an Intensified Training Period in Well-Trained Female Long-Distance Runners

PubMed Central

Ishibashi, Aya; Maeda, Naho; Sumi, Daichi; Goto, Kazushige

2017-01-01

Iron is essential for providing oxygen to working muscles during exercise, and iron deficiency leads to decreased exercise capacity during endurance events. However, the mechanism of iron deficiency among endurance athletes remains unclear. In this study, we compared iron status between two periods involving different training regimens. Sixteen female long-distance runners participated. Over a seven-month period, fasting blood samples were collected during their regular training period (LOW; middle of February) and during an intensified training period (INT; late of August) to determine blood hematological, iron, and inflammatory parameters. Three-day food diaries were also assessed. Body weight and lean body mass did not differ significantly between LOW and INT, while body fat and body fat percentage were significantly lower in INT (p < 0.05). Blood hemoglobin, serum ferritin, total protein, and iron levels, total iron-binding capacity, and transferrin saturation did not differ significantly between the two periods. Serum hepcidin levels were significantly higher during INT than LOW (p < 0.05). Carbohydrate and iron intakes from the daily diet were significantly higher during INT than LOW (p < 0.05). In conclusion, an elevated hepcidin level was observed during an intensified training period in long-distance runners, despite an apparently adequate daily intake of iron. PMID:28335426

Elevated Serum Hepcidin Levels during an Intensified Training Period in Well-Trained Female Long-Distance Runners.

PubMed

Ishibashi, Aya; Maeda, Naho; Sumi, Daichi; Goto, Kazushige

2017-03-14

Iron is essential for providing oxygen to working muscles during exercise, and iron deficiency leads to decreased exercise capacity during endurance events. However, the mechanism of iron deficiency among endurance athletes remains unclear. In this study, we compared iron status between two periods involving different training regimens. Sixteen female long-distance runners participated. Over a seven-month period, fasting blood samples were collected during their regular training period (LOW; middle of February) and during an intensified training period (INT; late of August) to determine blood hematological, iron, and inflammatory parameters. Three-day food diaries were also assessed. Body weight and lean body mass did not differ significantly between LOW and INT, while body fat and body fat percentage were significantly lower in INT ( p < 0.05). Blood hemoglobin, serum ferritin, total protein, and iron levels, total iron-binding capacity, and transferrin saturation did not differ significantly between the two periods. Serum hepcidin levels were significantly higher during INT than LOW ( p < 0.05). Carbohydrate and iron intakes from the daily diet were significantly higher during INT than LOW ( p < 0.05). In conclusion, an elevated hepcidin level was observed during an intensified training period in long-distance runners, despite an apparently adequate daily intake of iron.

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

Baxter, Van D.; Munk, Jeffrey D.; Gehl, Anthony C.

The field study is planned to continue through the 2016 cooling season with the draft final project report due by September 30, 2016. This report provides a description of both installations and preliminary 2015 cooling and fall season performance results for the Knoxville site. For the August 18 through December 14 period, the Knoxville site GS-IHP provided 53.6% total source energy savings compared to a baseline electric RTU/heat pump and electric WH. Peak demand savings ranged from 33% to 59% per month. Energy cost savings of 53.1% have been achieved to date with more than half of that coming frommore » reduced demand charges. Data on installation and maintenance costs are being collected and will be combined with total test period energy savings data for a payback analysis to be included in the project final report. The GS-IHP also saved a significant amount of carbon emissions. The total emission savings for the Knoxville site for the August-December 2015 period were ~0.8 metric tons. If trading for carbon credits ever becomes a reality, additional cost savings would be realized.« less

CONSUMPTION TRENDS OF RESCUE ANTI-PSYCHOTICS FOR DELIRIUM IN INTENSIVE CARE UNITS (ICU DELIRIUM) SHOW INFLUENCE OF CORRESPONDING LUNAR PHASE CYCLES: A RETROSPECTIVE AUDIT STUDY FROM ACADEMIC UNIVERSITY HOSPITAL IN THE UNITED STATES.

PubMed

Gupta, Deepak; Pallekonda, Vinay; Thomas, Ronald; Mckelvey, George; Ghoddoussi, Farhad

2015-02-01

The etiology of delirium in intensive care units (ICU) is usually multi-factorial. There is common "myth" that lunar phases affect human body especially human brains (and minds). In the absence of any pre-existing studies in ICU patients, the current retrospective study was planned to investigate whether lunar phases play any role in ICU delirium by assessing if lunar phases correlate with prevalence of ICU delirium as judged by the corresponding consumptions of rescue anti-psychotics used for delirium in ICU. After institutional review board approval with waived consent, the daily census of ICU patients from the administrative records was accessed at an academic university's Non-Cancer Hospital in a Metropolitan City of United States. Thereafter, the ICU pharmacy's electronic database was accessed to obtain data on the use of haloperidol and quetiapine over the two time periods for patients aged 18 years or above. Subsequently the data was analyzed for whether the consumption of haloperidol or quetiapine followed any trends corresponding to the lunar phase cycles. A total of 5382 pharmacy records of haloperidol equivalent administrations were analyzed for this study. The cumulative prevalence of incidents of haloperidol equivalent administrations peaked around the full moon period and troughed around the new moon period. As compared to male patients, female patients followed much more uniform trends of haloperidol equivalent administrations' incidents which peaked around the full moon period and troughed around the new moon period. Further sub-analysis of 70-lunar cycles across the various solar months of the total 68-month study period revealed that haloperidol equivalent administrations' incidents peaked around the full moon periods during the months of November-December and around the new moon periods during the month of July which all are interestingly the major holiday months (a potential confounding factor) in the United States. Consumption trends of rescue anti-psychotics for ICU delirium revealed an influence by lunar phase cycles particularly that of full moon periods on female patients in the ICU.

Long-term outcomes of an antimicrobial stewardship program implemented in a hospital with low baseline antibiotic use.

PubMed

Jenkins, Timothy C; Knepper, Bryan C; Shihadeh, Katherine; Haas, Michelle K; Sabel, Allison L; Steele, Andrew W; Wilson, Michael L; Price, Connie S; Burman, William J; Mehler, Philip S

2015-06-01

To evaluate the long-term outcomes of an antimicrobial stewardship program (ASP) implemented in a hospital with low baseline antibiotic use. Quasi-experimental, interrupted time-series study. Public safety net hospital with 525 beds. Implementation of a formal ASP in July 2008. We conducted a time-series analysis to evaluate the impact of the ASP over a 6.25-year period (July 1, 2008-September 30, 2014) while controlling for trends during a 3-year preintervention period (July 1, 2005-June 30, 2008). The primary outcome measures were total antibacterial and antipseudomonal use in days of therapy (DOT) per 1,000 patient-days (PD). Secondary outcomes included antimicrobial costs and resistance, hospital-onset Clostridium difficile infection, and other patient-centered measures. During the preintervention period, total antibacterial and antipseudomonal use were declining (-9.2 and -5.5 DOT/1,000 PD per quarter, respectively). During the stewardship period, both continued to decline, although at lower rates (-3.7 and -2.2 DOT/1,000 PD, respectively), resulting in a slope change of 5.5 DOT/1,000 PD per quarter for total antibacterial use (P=.10) and 3.3 DOT/1,000 PD per quarter for antipseudomonal use (P=.01). Antibiotic expenditures declined markedly during the stewardship period (-$295.42/1,000 PD per quarter, P=.002). There were variable changes in antimicrobial resistance and few apparent changes in C. difficile infection and other patient-centered outcomes. In a hospital with low baseline antibiotic use, implementation of an ASP was associated with sustained reductions in total antibacterial and antipseudomonal use and declining antibiotic expenditures. Common ASP outcome measures have limitations.

Beta-glucan- or rice bran-enriched foods: a comparative crossover clinical trial on lipidic pattern in mildly hypercholesterolemic men.

PubMed

Rondanelli, M; Opizzi, A; Monteferrario, F; Klersy, C; Cazzola, R; Cestaro, B

2011-07-01

There has been growing interest in using dietary intervention to improve the lipid profile. This work aims at analyzing the effects and the comparison of the enrichment of a diet with beta-glucans or rice bran in mildly hypercholesterolemic men. The subjects initially consumed a 3-week Step 1 American Heart Association diet with rice bran-enriched foods. After this adaptation period, volunteers were randomly assigned to follow a crossover, controlled trial that consisted of two treatment with beta-glucan- or rice bran-enriched foods, each of 4 weeks, with a 3-week wash-out, like the adaptation period, between periods. Fasted blood samples were collected on days 0, 21, 49, 70 and 98 in both study arms for measuring low-density lipoprotein (LDL)-cholesterol (primary outcome), total cholesterol, high-density lipoprotein (HDL)-cholesterol, triglycerides, apolipoprotein (apo) A-I, apo B and glucose levels. Twenty-four men (mean age: 50.3±5.3, mean body mass index: 24.9±1.9) completed the 14-week trial. Subjects in the 3-week adaptation period experienced significant reductions in the mean level of LDL cholesterol, total cholesterol, total cholesterol/HDL cholesterol, LDL cholesterol/HDL cholesterol, apo A-I, apo A-I/apo B and glucose. During the intervention diet periods, a difference was found between treatment groups for the mean change in LDL (0.21 (95% confidence interval (CI): 0.02-0.40), P=0.033) and total cholesterol (0.34 (95% CI: 0.20-0.47), P<0.001). Other parameters evaluated were not significantly affected by the diet consumed. The results of the present crossover clinical trial showed that beta-glucan-enriched foods are more effective in lowering serum LDL levels, compared with rice bran-enriched foods.

Effects of studded tires on roadside airborne dust pollution in Niigata, Japan

NASA Astrophysics Data System (ADS)

Fukuzaki, Norio; Yanaka, Takaaki; Urushiyama, Yoshio

Two series of dust samples, collected by Andersen impactors (denoted by AN) and low-volume air samplers (denoted by LV), were investigated with respect to roadside airborne dusts collected in two different periods in 1983. These were the periods (i) with studded tires (February and March) and (ii) without studded tires (October). Multi-element determinations of these samples were made by neutron activation analysis and atomic absorption spectrometry. The total concentration of AN in roadside air for period (i) was about three times higher than for the period without studded tires. The lithophilic elements such as Na, Al, K, Ca, Ti, Fe and Th, and component-metal elements of stud tip, W and Ta, produced a significant increase in atmospheric concentration in winter. The contribution of pavement material, one of the most interesting components of airborne particles in this study, was related to total AN and LV by the chemical element balance method. It made up only 16 percent (9.1 μgm -3) of AN in October, compared with 46 percent (70.2 μgm -3) in February. It was also observed that the atmospheric concentrations of pavement debris to total LV decreased with the distance from the road to each sampling site.

Quiet Eye and Performance in Sport: A Meta-Analysis.

PubMed

Lebeau, Jean-Charles; Liu, Sicong; Sáenz-Moncaleano, Camilo; Sanduvete-Chaves, Susana; Chacón-Moscoso, Salvador; Becker, Betsy Jane; Tenenbaum, Gershon

2016-10-01

Research linking the "quiet eye" (QE) period to subsequent performance has not been systematically synthesized. In this paper we review the literature on the link between the two through nonintervention (Synthesis 1) and intervention (Synthesis 2) studies. In the first synthesis, 27 studies with 38 effect sizes resulted in a large mean effect (d = 1.04) reflecting differences between experts' and novices' QE periods, and a moderate effect size (d = 0.58) comparing QE periods for successful and unsuccessful performances within individuals. Studies reporting QE duration as a percentage of the total time revealed a larger mean effect size than studies reporting an absolute duration (in milliseconds). The second synthesis of 9 articles revealed very large effect sizes for both the quiet-eye period (d = 1.53) and performance (d = 0.84). QE also showed some ability to predict performance effects across studies.

Failure of BACTEC™ MGIT 960™ to detect Mycobacterium tuberculosis complex within a 42-day incubation period.

PubMed

Mahomed, Sharana; Dlamini-Mvelase, Nomonde R; Dlamini, Moses; Mlisana, Koleka

2017-01-01

For the optimal recovery of Mycobacterium tuberculosis from the BACTEC™ Mycobacterium Growth Indicator Tube 960™ system, an incubation period of 42-56 days is recommended by the manufacturer. Due to logistical reasons, it is common practice to follow an incubation period of 42 days. We undertook a retrospective study to document positive Mycobacterium Growth Indicator Tube cultures beyond the 42-day incubation period. In total, 98/110 (89%) were positive for M. tuberculosis complex. This alerted us to M. tuberculosis growth detection failure at 42 days.

EFFECTS OF TOTAL SOLAR ECLIPSE ON MENTAL PATIENTS—A CLINICOBIOCHEMICAL CORRELATION

PubMed Central

Boral, G. C.; Mishra, D. C.; Pal, S. K.; Ghosh, K. K.

1981-01-01

SUMMARY Thirteen treated psychotic cases comprising of eight schizophrenic, four M.D.P. (manic type) and one M. D. P. (depressive type), who were clinically symptom free, were studied in respect of their hormones and behavioural abnormalities under effect of total solar eclipse. Of the hormones studied viz., T2, T4, TSH, Cortisol and prolactin, it is prolactin which showed an increase in titre associated with behavioural abnormalities in concerned patients during and immediately after the total solar eclipse. Deflection in both prolactin and behaviour gradually seemed to normalise over the post eclipse period. PMID:22064835

Reexamination of Total Fluid Intake and Bladder Cancer in the Health Professionals Follow-Up Study Cohort

PubMed Central

Zhou, Jiachen; Smith, Scott; Giovannucci, Edward; Michaud, Dominique S.

2012-01-01

It has been hypothesized that high fluid intake may reduce contact time between carcinogens and bladder epithelium and consequently reduce carcinogenesis. Epidemiologic studies examining fluid intake and bladder cancer have been extremely inconsistent, ranging from strong inverse to strong positive associations. The authors reevaluated the association between fluid intake and bladder cancer among 47,909 participants in the prospective Health Professionals Follow-up Study over a period of 22 years. During follow-up (1986–2008), 823 incident bladder cancer cases were diagnosed. Information on fluid intake was collected by using the food frequency questionnaire at baseline and every 4 years thereafter. Cox proportional hazard regression analysis was used to adjust for risk factors for bladder cancer. Total fluid intake was inversely associated with bladder cancer when the analysis was based on the baseline diet (relative risk = 0.76, 95% confidence interval: 0.60, 0.97), comparing the highest total daily fluid intake quintile (>2,531 mL/day) with the lowest quintile (<1,290 mL/day) (Ptrend = 0.01). However, no association was detected when the analysis was based on recent diet or cumulative updated diet. The updated analysis for total fluid intake and bladder cancer was attenuated compared with the original findings from the first 10-year follow-up period. PMID:22355034

Characterization of phenolic compounds in Pinus laricio needles and their responses to prescribed burnings.

PubMed

Cannac, Magali; Pasqualini, Vanina; Greff, Stéphane; Fernandez, Catherine; Ferrat, Lila

2007-07-30

Fire is a dominant ecological factor in Mediterranean-type ecosystems. Management strategies include prescribed (controlled) burning, which has been used in the management of several species, such as Pinus nigra ssp laricio var. Corsicana, a pine endemic to Corsica of great ecological and economic importance. The effects of prescribed burning on Pinus laricio have been little studied. The first aim of this study was to characterize total and simple phenolic compounds in Pinus laricio. The second aim was to understand: i) the short term (one to three months) and medium term (three years) effects of prescribed burning, and ii) the effects of periodic prescribed burning on the production of phenolic compounds in Pinus laricio. The first result of this study is the presence of total and simple phenolic compounds in the needles of Pinus laricio. 3-Vanillyl propanol is the major compound. After a prescribed burning, the synthesis of total phenolic compounds increases in Pinus laricio for a period of three months. Total phenolic compounds could be used as bioindicators for the short-term response of Pinus laricio needles to prescribed burning. Simple phenolic compounds do not seem to be good indicators of the impact of prescribed burning because prescribed burnings are low in intensity.

Emission and transport of 1,3-dichloropropene and chloropicrin in a large field tarped with VaporSafe TIF.

PubMed

Gao, Suduan; Ajwa, Husein; Qin, Ruijun; Stanghellini, Michael; Sullivan, David

2013-01-02

Tarping fumigated fields with low permeability films such as commercial Totally Impermeable Film (TIF) can significantly reduce emissions, but it can also increase fumigant residence time in the soil such that extended tarp-covering durations may be required to address potential exposure risks during tarp-cutting and removal. In an effort to develop safe practices for using TIF, a large field study was conducted in the San Joaquin Valley of California. Comprehensive data on emissions (measured with dynamic flux chambers), fate, and transport of 1,3-dichloropropene and chloropicrin were collected in a 3.3 ha field fumigated with Pic-Clor 60 via broadcast shank application. Low emission flux (below 15 μg m(-2) s(-1)) was observed from the tarped field throughout the tarp-covering period of 16 days with total emission loss of <8% of total applied for both chemicals. Although substantially higher flux was measured at tarp edges (up to 440 μg m(-2) s(-1)), the flux was reduced to below 0.5 μg m(-2) s(-1) beyond 2 m of tarp edge where total mass loss was estimated to be ≤ 1% of total applied to the field. Emission flux increased following tarp-cutting, but was much lower compared to 5 or 6 d tarp-covering periods determined in other fields. This study demonstrated the ability of TIF to significantly reduce fumigant emissions with supporting data on fumigant movement in soil. Proper management on use of the tarp, such as extending tarp-covering period, can reduce negative impact on the environment and help maintain the beneficial use of soil fumigants for agricultural productions.

Hospital costs fell as numbers of LVADs were increasing: experiences from Oslo University Hospital

PubMed Central

2012-01-01

Background The current study was undertaken to examine total hospital costs per patient of a consecutive implantation series of two 3rd generation Left Ventricle Assist Devices (LVAD). Further we analyzed if increased clinical experience would reduce total hospital costs and the gap between costs and the diagnosis related grouped (DRG)-reimbursement. Method Cost data of 20 LVAD implantations (VentrAssist™) from 2005-2009 (period 1) were analyzed together with costs from nine patients using another LVAD (HeartWare™) from 2009-June 2011 (period 2). For each patient, total costs were calculated for three phases - the pre-LVAD implantation phase, the LVAD implantation phase and the post LVAD implant phase. Patient specific costs were obtained prospectively from patient records and included personnel resources, medication, blood products, blood chemistry and microbiology, imaging and procedure costs including operating room costs. Overhead costs were registered retrospectively and allocated to the specific patient by predefined allocation keys. Finally, patient specific costs and overhead costs were aggregated into total hospital costs for each patient. All costs were calculated in 2011-prices. We used regression analyses to analyze cost variations over time and between the different devices. Results The average total hospital cost per patient for the pre-LVAD, LVAD and post-LVAD for period 1 was $ 585, 513 (range 132, 640- 1 247, 299), and the corresponding DRG- reimbursement (2009) was $ 143, 192 . The mean LOS was 54 days (range 12- 127). For period 2 the total hospital cost per patient was $ 413, 185 (range 314, 540- 622, 664) and the corresponding DRG- reimbursement (2010) was $ 136, 963. The mean LOS was 49 days (range 31- 93). The estimates from the regression analysis showed that the total hospital costs, excluding device costs, per patient were falling as the number of treated patients increased. The estimate from the trend variable was -14, 096 US$ (CI -3, 842 to -24, 349, p < 0.01). Conclusion There were significant reductions in total hospital costs per patient as the numbers of patients were increasing. This can possibly be explained by a learning effect including better logistics, selection and management of patients. PMID:22925716

Epidemiological and clinical characteristics of inflammatory bowel diseases in Cairo, Egypt.

PubMed

Esmat, Serag; El Nady, Mohamed; Elfekki, Mohamed; Elsherif, Yehia; Naga, Mazen

2014-01-21

To study the natural history, patterns and clinical characteristics of inflammatory bowel diseases (IBD) in Egypt. We designed a case-series study in the gastroenterology centre of the Internal Medicine department of Cairo University, which is a tertiary care referral centre in Egypt. We included all patients in whom the diagnosis of ulcerative colitis (UC) or Crohn's disease (CD) was confirmed by clinical, laboratory, endoscopic, histological and/or radiological criteria over the 15 year period from 1995 to 2009, and we studied their sociodemographic and clinical characteristics. Endoscopic examinations were performed by 2 senior experts. This hospital centre serves patients from Cairo, as well as patients referred from all other parts of Egypt. Our centre received 24156 patients over the described time period for gastro-intestinal consultations and/or interventions. A total of 157 patients with established IBD were included in this study. Of these, 135 patients were diagnosed with UC (86% of the total), and 22 patients, with CD (14% of the total). The mean ages at diagnosis were 27.3 and 29.7, respectively. Strikingly, we noticed a marked increase in the frequency of both UC and CD diagnoses during the most recent 10 years of the 15 year period studied. Regarding the gender distribution, the male:female ratio was 1:1.15 for UC and 2.6:1 for CD. The mean duration of follow up for patients with UC was 6.2 ± 5.18 years, while the mean duration of follow up for patients with CD was 5.52 ± 2.83 years. For patients with UC we found no correlation between the severity of the disease and the presence of extraintestinal manifestations. Eleven patients had surgical interventions during the studied years: 4 cases of total colectomy and 7 cases of anal surgery. We observed a ratio of 6:1 for UC to CD in our series. The incidence of IBD seems to be rising in Egypt.

Epidemiological and clinical characteristics of inflammatory bowel diseases in Cairo, Egypt

PubMed Central

Esmat, Serag; El Nady, Mohamed; Elfekki, Mohamed; Elsherif, Yehia; Naga, Mazen

2014-01-01

AIM: To study the natural history, patterns and clinical characteristics of inflammatory bowel diseases (IBD) in Egypt. METHODS: We designed a case-series study in the gastroenterology centre of the Internal Medicine department of Cairo University, which is a tertiary care referral centre in Egypt. We included all patients in whom the diagnosis of ulcerative colitis (UC) or Crohn’s disease (CD) was confirmed by clinical, laboratory, endoscopic, histological and/or radiological criteria over the 15 year period from 1995 to 2009, and we studied their sociodemographic and clinical characteristics. Endoscopic examinations were performed by 2 senior experts. This hospital centre serves patients from Cairo, as well as patients referred from all other parts of Egypt. Our centre received 24156 patients over the described time period for gastro-intestinal consultations and/or interventions. RESULTS: A total of 157 patients with established IBD were included in this study. Of these, 135 patients were diagnosed with UC (86% of the total), and 22 patients, with CD (14% of the total). The mean ages at diagnosis were 27.3 and 29.7, respectively. Strikingly, we noticed a marked increase in the frequency of both UC and CD diagnoses during the most recent 10 years of the 15 year period studied. Regarding the gender distribution, the male:female ratio was 1:1.15 for UC and 2.6:1 for CD. The mean duration of follow up for patients with UC was 6.2 ± 5.18 years, while the mean duration of follow up for patients with CD was 5.52 ± 2.83 years. For patients with UC we found no correlation between the severity of the disease and the presence of extraintestinal manifestations. Eleven patients had surgical interventions during the studied years: 4 cases of total colectomy and 7 cases of anal surgery. CONCLUSION: We observed a ratio of 6:1 for UC to CD in our series. The incidence of IBD seems to be rising in Egypt. PMID:24574754

Acute Perioperative Comparison of Patient-Specific Instrumentation versus Conventional Instrumentation Utilization during Bilateral Total Knee Arthroplasty.

PubMed

Steimle, Jerrod A; Groover, Michael T; Webb, Brad A; Ceccarelli, Brian J

2018-01-01

Utilizing patient-specific instrumentation during total knee arthroplasty has gained popularity in recent years with theoretical advantages in blood loss, intraoperative time, length of stay, postoperative alignment, and functional outcome, amongst others. No study has compared acute perioperative measures between patient-specific instrumentation and conventional instrumentation in the bilateral total knee arthroplasty setting. We compared patient-specific instrumentation versus conventional instrumentation in the setting of bilateral total knee arthroplasty to determine any benefits in the immediate perioperative period including surgical time, blood loss, pain medication use, length of stay, and discharge disposition. A total of 49 patients with standard instrumentation and 31 patients with patient-specific instrumentation were retrospectively reviewed in a two-year period at one facility. At baseline, the groups were comparable with respect to age, ASA, BMI, and comorbid conditions. We analyzed data on operative time, blood loss, hemoglobin change, need for transfusion, pain medication use, length of stay, and discharge disposition. There was no statistically significant difference between groups in regards to these parameters. Patient-specific instrumentation in the setting of bilateral total knee arthroplasty did not provide any immediate perioperative benefit compared to conventional instrumentation.

Ionospheric response to the total solar eclipse in India on 22 July, 2009

NASA Astrophysics Data System (ADS)

Chauhan, Vishal; Agrawal, Shikha; Singh, O. P.; Singh, Birbal

2010-10-01

Since The variations of Total Electron Content (TEC) and amplitude of the fixed frequency VLF transmitter signal (f = 19.8 kHz, NWC, Australia) are studied at Agra (Geographic Lat. 27.2°N, Long. 78°E), India during the total solar eclipse of 22 July, 2009 which was longest seen in India ever since 18 August, 1968. The equipment used for the study are a dual frequency GPS receiver (GSV 4004V) and a Soft PAL (Software based phase and amplitude logger) receiver. The data for a period of fifteen days (+/-7 days from the date of the event) are analysed and it is found that the TEC decreased by about 30% from normal days during the total solar eclipse, and the amplitude of the VLF signal also decreased likewise. The period of the data analysis is characterised by a low level of geomagnetic activity, hence the decrease in TEC and amplitude of the VLF signal is unlikely to be influenced by geomagnetic disturbances. The results are interpreted in terms of depression in electron densities at all ionospheric heights and are consistent with those obtained by earlier workers during similar eclipse events.

Efficacy, safety, and tolerance of the non-ergoline dopamine agonist pramipexole in the treatment of advanced Parkinson's disease: a double blind, placebo controlled, randomised, multicentre study.

PubMed

Pinter, M M; Pogarell, O; Oertel, W H

1999-04-01

Pramipexole, a non-ergot dopamine D2/D3 receptor agonist, was investigated as an add on drug in advanced parkinsonian patients with motor fluctuations to assess efficacy, safety, and tolerance. Seventy eight patients of either sex with advanced Parkinson's disease and treatment complications such as motor fluctuations were enrolled into a double blind, placebo controlled, randomised, multicentre study (phase II) and assigned to add on treatment with pramipexole (n=34) versus placebo (n=44) to a previously stabilised antiparkinsonian medication (7 week dose titration interval, 4 week maintenance period). The primary end point of efficacy was the change from baseline in the total score of the unified Parkinson's disease rating scale (UPDRS) in the on "period" (2 hours after intake of study medication). Safety and tolerability were assessed on the basis of adverse events, vital signs, laboratory measurements, and ECG recordings. There was a significant improvement of the pramipexole group in UPDRS total scores, subscores part II, III (activities of daily living and motor examination), and IV (complications of therapy). Mean UPDRS total score decreased by 37.3% under pramipexole compared with 12.2% under placebo (p<0.001). Patients under pramipexole reported an overall reduction in "off" periods of 12%--resulting in 1.7 more hours "on" time a day--compared with an increase in "off" periods of 2% under placebo. There were no unexpected safety results. The adverse event profile disclosed a high tolerability. The most important adverse events under pramipexole were fatigue, dyskinesia, and vivid dreams. Pramipexole administration is an efficacious and well tolerated add on therapy in patients with advanced Parkinson's disease with an improvement in activities of daily living, motor function, and treatment associated complications.

Additive Effects of Former Methylenedioxymethamphetamine and Cannabis Use on Subclinical Psychotic Symptoms.

PubMed

Duman, Berker; Sedes, Nilay; Baskak, Bora

2017-03-01

Methylenedioxymethamphetamine (MDMA) is an amphetamine-derived psychostimulant, usually known as "ecstasy." The long-term neuropsychological effects of MDMA are examined in several studies with conflicting results. The most common findings reported are depression, anxiety, and memory and attention deficits. In addition to acute psychotic reactions observed after MDMA use, serotonergic and dopaminergic toxicities may increase the psychosis risk in the long-term. Cannabis usage among MDMA users is very high. The aim of this study was, therefore, to examine the additive effects of cannabis and MDMA on subclinical psychotic symptoms (SPS). Here, 131 healthy controls (hC), 54 former cannabis and MDMA users (C&M), and 46 former cannabis users (C) were evaluated for SPS. The definition of former user was based on the Munich Composite International Diagnostic Interview. The SPS scores were assessed by using the Schizotypal Personality Questionnaire (SPQ). The relationship between substance-free periods and total MDMA exposure with SPS was also examined. The C&M group had higher levels of SPS than both C and hC groups. This is true not only for the total SPQ scores but both positive and negative schizotypy scores as well as cognitive-perceptual, disorganized, and interpersonal schizotypy scores aligned hierarchically in the 3 study groups (C&M>C>hC). The total MDMA exposure was positively correlated and MDMA-free period was negatively correlated with the SPS score. We found that the former use of cannabis and MDMA is associated with marked elevation in SPS. Moreover, the exposure amount of MDMA and MDMA-free periods are important determinants of SPS. The longer the cannabis and ecstasy free periods, the larger is the waning of SPS.

Impact of medication adherence to disease-modifying drugs on severe relapse, and direct and indirect costs among employees with multiple sclerosis in the US.

PubMed

Ivanova, J I; Bergman, R E; Birnbaum, H G; Phillips, A L; Stewart, M; Meletiche, D M

2012-01-01

To compare rates of severe relapse and total direct and indirect costs over a 2-year period between US-based employees with multiple sclerosis (MS) who were adherent and non-adherent to disease-modifying drugs (DMDs). Employees with ≥1 MS diagnosis (ICD-9-CM: 340.x) and ≥1 DMD pharmacy claim between 1/1/2002-12/31/2007 were identified from a large US administrative claims database. Patients had continuous coverage ≥6 months before (baseline) and ≥24 months after (study period) their index date (first DMD claim). Adherence was measured using medication possession ratio (MPR) over the study period. Patients with MPR ≥80% were considered adherent (n = 448) and those with MPR <80% as non-adherent (n = 200). Multivariate analyses were used to compare rates of severe relapse (inpatient or Emergency Department visit with MS diagnosis) and costs in 2007 dollars between DMD adherent and non-adherent patients. Direct costs were calculated as reimbursements to providers for medical services and prescription drugs excluding DMDs. Indirect costs included disability and medically-related absenteeism costs. DMD adherent patients were on average older (43.5 vs 41.8 years, p = 0.015) and more likely to be male (38.6% vs 26.0%, p = 0.002) compared with non-adherent patients. Adherent patients had lower rates of depression, higher rates of previous DMD use, and higher baseline MS-related costs. After adjusting for differences in baseline characteristics, DMD adherent patients had a lower rate of severe relapse (12.4% vs 19.9%, p = 0.013) and lower total (direct and indirect) costs ($14,095 vs $16,638, p = 0.048) over the 2-year study period. In this study, DMD adherence was associated with a significantly lower rate of severe relapse and lower total costs over 2 years. Causality cannot be inferred because adherence and outcomes were measured over the same period. The study was subject to limitations associated with use of claims data and the absence of clinical measures.

Mechanical, Hormonal and Psychological Effects of a Non-Failure Short-Term Strength Training Program in Young Tennis Players

PubMed Central

Sarabia, Jose Manuel; Fernandez-Fernandez, Jaime; Juan-Recio, Casto; Hernández-Davó, Hector; Urbán, Tomás; Moya, Manuel

2015-01-01

This study examined the effects of a 6-week non-failure strength training program in youth tennis players. Twenty tennis players (age: 15.0 ± 1 years, body height: 170.9 ± 5.1 cm, body mass: 63.3 ± 9.1 kg) were divided into experimental and control groups. Pre and post-tests included half squats, bench press, squat jumps, countermovement-jumps and side-ball throws. Salivary cortisol samples were collected, and the Profile of Mood States questionnaire was used weekly during an anatomical adaptation period, a main training period and after a tapering week. The results showed that, after the main training period, the experimental group significantly improved (p<0.05) in mean and peak power output and in the total number of repetitions during the half-squat endurance test; mean force, power and velocity in the half-squat power output test; Profile of Mood States (in total mood disturbance between the last week of the mean training period and the tapering week); and in squat-jump and countermovement-jump height. Moreover, significant differences were found between the groups at the post-tests in the total number of repetitions, mean and peak power during the half-squat endurance test, mean velocity in the half-squat power output test, salivary cortisol concentration (baselines, first and third week of the mean training period) and in the Profile of Mood States (in fatigue subscale: first and third week of the mean training period). In conclusion, a non-failure strength training protocol improved lower-limb performance levels and produced a moderate psychophysiological impact in youth elite tennis players, suggesting that it is a suitable program to improve strength. Such training protocols do not increase the total training load of tennis players and may be recommended to improve strength. PMID:25964812

Terrestrial Waters and Sea Level Variations on Interannual Time Scale

NASA Technical Reports Server (NTRS)

Llovel, W.; Becker, M.; Cazenave, A.; Jevrejeva, S.; Alkama, R.; Decharme, B.; Douville, H.; Ablain, M.; Beckley, B.

2011-01-01

On decadal to multi-decadal time scales, thermal expansion of sea waters and land ice loss are the main contributors to sea level variations. However, modification of the terrestrial water cycle due to climate variability and direct anthropogenic forcing may also affect sea level. For the past decades, variations in land water storage and corresponding effects on sea level cannot be directly estimated from observations because these are almost non-existent at global continental scale. However, global hydrological models developed for atmospheric and climatic studies can be used for estimating total water storage. For the recent years (since mid-2002), terrestrial water storage change can be directly estimated from observations of the GRACE space gravimetry mission. In this study, we analyse the interannual variability of total land water storage, and investigate its contribution to mean sea level variability at interannual time scale. We consider three different periods that, each, depend on data availability: (1) GRACE era (2003-2009), (2) 1993-2003 and (3) 1955-1995. For the GRACE era (period 1), change in land water storage is estimated using different GRACE products over the 33 largest river basins worldwide. For periods 2 and 3, we use outputs from the ISBA-TRIP (Interactions between Soil, Biosphere, and Atmosphere-Total Runoff Integrating Pathways) global hydrological model. For each time span, we compare change in land water storage (expressed in sea level equivalent) to observed mean sea level, either from satellite altimetry (periods 1 and 2) or tide gauge records (period 3). For each data set and each time span, a trend has been removed as we focus on the interannual variability. We show that whatever the period considered, interannual variability of the mean sea level is essentially explained by interannual fluctuations in land water storage, with the largest contributions arising from tropical river basins.

Percutaneous Coronary Revascularization for Chronic Total Occlusions: A Novel Predictive Score of Technical Failure Using Advanced Technologies.

PubMed

Galassi, Alfredo R; Boukhris, Marouane; Azzarelli, Salvatore; Castaing, Marine; Marzà, Francesco; Tomasello, Salvatore D

2016-05-09

The aims of this study were to describe the 10-year experience of a single operator dedicated to chronic total occlusion (CTO) and to establish a model for predicting technical failure. During the last decade, the interest in percutaneous coronary interventions (PCIs) of chronic total occlusions (CTOs) has increased, allowing the improvement of success rate. One thousand nineteen patients with CTO underwent 1,073 CTO procedures performed by a single CTO-dedicated operator. The study population was subdivided into 2 groups by time period: period 1 (January 2005 to December 2009, n = 378) and period 2 (January 2010 to December 2014, n = 641). Observations were randomly assigned to a derivation set and a validation set (in a 2:1 ratio). A prediction score was established by assigning points for each independent predictor of technical failure in the derivation set according to the beta coefficient and summing all points accrued. Lesions attempted in period 2 were more complex in comparison with those in period 1. Compared with period 1, both technical and clinical success rates significantly improved (from 87.8% to 94.4% [p = 0.001] and from 77.6% to 89.9% [p < 0.001], respectively). A prediction score for technical failure including age ≥75 years (1 point), ostial location (1 point), and collateral filling Rentrop grade <2 (2 points) was established, stratifying procedures into 4 difficulty groups: easy (0), intermediate (1), difficult (2), and very difficult (3 or 4), with decreasing technical success rates. In derivation and validation sets, areas under the curve were comparable (0.728 and 0.772, respectively). With growing expertise, the success rate has increased despite increasing complexity of attempted lesions. The established model predicted the probability of technical failure and thus might be applied to grading the difficulty of CTO procedures. Copyright © 2016 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Incidence of Narcolepsy in Germany.

PubMed

Oberle, Doris; Drechsel-Bäuerle, Ursula; Schmidtmann, Irene; Mayer, Geert; Keller-Stanislawski, Brigitte

2015-10-01

Following the 2009 pandemic, reports of an association between an AS03 adjuvanted H1N1 pandemic influenza vaccine and narcolepsy were published. Besides determining background incidence rates for narcolepsy in Germany this study aimed at investigating whether there was a change in incidence rates of narcolepsy between the pre-pandemic, pandemic, and the post-pandemic period on the population level. Retrospective epidemiological study on the incidence of narcolepsy with additional capture-recapture analysis. German sleep centers. Eligible were patients with an initial diagnosis of narcolepsy (ICD10 Code G47.4) within the period from January 1, 2007 to December 31, 2011. None; observational study. A total of 342 sleep centers were invited to participate in the study. Adequate and suitable data were provided by 233 sleep centers (68.1%). A total of 1,198 patients with an initial diagnosis of narcolepsy within the observed period were included, of whom 106 (8.8%) were children and adolescents under the age of 18 years and 1,092 (91.2%) were adults. In children and adolescents, the age-standardized adjusted incidence rate significantly increased from 0.14/100,000 person-years in the pre-pandemic period to 0.50/100,000 person-years in the post-pandemic period (incidence density ratio, IDR 3.57; 95% CI 1.94-7.00). In adults, no significant change was detectable. This increase started in spring 2009. For the years 2007-2011, valid estimates for the incidence of narcolepsy in Germany were provided. In individuals under 18, the incidence rates continuously increased from spring 2009. © 2015 Associated Professional Sleep Societies, LLC.

Hydroacoustic Evaluation of Overwintering Summer Steelhead Fallback and Kelt Passage at The Dalles Dam, 2009-2010

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

Khan, Fenton; Johnson, Gary E.; Weiland, Mark A.

2010-07-31

This report presents the results of an evaluation of overwintering summer steelhead (Oncorhynchus mykiss) fallback and early out-migrating steelhead kelts downstream passage at The Dalles Dam (TDA) sluiceway and turbines during fall/winter 2009 through early spring 2010. The study was conducted by the Pacific Northwest National Laboratory (PNNL) for the U.S. Army Corps of Engineers, Portland District (USACE). The goal of this study was to characterize adult steelhead spatial and temporal distributions and passage rates at the sluiceway and turbines for fisheries managers and engineers to use in decision-making relative to sluiceway operations. The study was from November 1, 2009more » to April 10, 2010. The study was divided into three study periods: Period 1, November 1 - December 15, 2009 for a fall/winter sluiceway and turbine study; Period 2, December 16, 2009 - February 28, 2010 for a turbine only study; Period 3, March 1 - April 10, 2010 for a spring sluiceway and turbine study. Sluiceway operations were scheduled to begin on March 1 for this study; however, because of an oil spill cleanup near the sluice outfall, sluiceway operations were delayed until March 8, 2010, therefore the spring study period did not commence until March 8. The study objectives were to (1) estimate the number and distribution of overwintering summer steelhead fallbacks and kelt-sized acoustic targets passing into the sluiceway and turbines at TDA between November 1 and December 15, 2009 and March 1 and April 10, 2010, and (2) estimate the numbers and distribution of adult steelhead and kelt-sized targets passing into turbine units between December 16, 2009 and February 28, 2010. We obtained fish passage data using fixed-location hydroacoustics. For Period 1, overwintering summer steelhead fallback occurred throughout the 45-day study period. A total of 879 {+-} 165 (95% CI) steelhead targets passed through the powerhouse and sluiceway during November 1 to December 15, 2009. Ninety two percent of these fish passed through the sluiceway. Run timing peaked in early December, but fish continued to pass the dam until the end of the study. Horizontal distribution data indicated that Sluice 1 is the preferred route for these fish during fallback through the dam. Diel distribution for steelhead was variable with no apparent distinct patterns. For Period 2, adult steelhead passage occurred on January 14 and 31 and February 2, 22, and 24. A total of 62 {+-} 40 (95% CI) steelhead targets passed through the powerhouse intakes during December 16, 2009 to March 7, 2010. Horizontal distribution data indicated turbine unit 18 passed the majority of fish. Fish passage occurred during morning periods. Passage did not occur during afternoon or nighttime. For Period 3, the early spring study period, overwintering summer steelhead and early out-migrating steelhead kelt downstream passage occurred throughout the 34-day study period. A total of 1,985 {+-} 234 (95% CI) kelt-size targets were estimated to have passed through the powerhouse sluiceway. Ninety-nine percent of these fish passed through the sluiceway. Run timing peaked in late March and again in early April. Horizontal distribution indicated that Sluice 1 is the preferred route for these adult salmonids as they migrate downstream through the dam. Diel distribution for steelhead was variable with no apparent distinct patterns. The results of this study strongly suggest that operating the TDA sluiceway for steelhead passage (fallbacks and kelts) during the late fall, winter, and early spring months will provide an optimal, non-turbine route for these fishes to pass the dam.« less

A precipitation-runoff model for simulating natural streamflow conditions in the Smith River watershed, Montana, water years 1996-2008

USGS Publications Warehouse

Chase, Katherine J.; Caldwell, Rodney R.; Stanley, Andrea K.

2014-01-01

This report documents the construction of a precipitation-runoff model for simulating natural streamflow in the Smith River watershed, Montana. This Precipitation-Runoff Modeling System model, constructed in cooperation with the Meagher County Conservation District, can be used to examine the general hydrologic framework of the Smith River watershed, including quantification of precipitation, evapotranspiration, and streamflow; partitioning of streamflow between surface runoff and subsurface flow; and quantifying contributions to streamflow from several parts of the watershed. The model was constructed by using spatial datasets describing watershed topography, the streams, and the hydrologic characteristics of the basin soils and vegetation. Time-series data (daily total precipitation, and daily minimum and maximum temperature) were input to the model to simulate daily streamflow. The model was calibrated for water years 2002–2007 and evaluated for water years 1996–2001. Though water year 2008 was included in the study period to evaluate water-budget components, calibration and evaluation data were unavailable for that year. During the calibration and evaluation periods, simulated-natural flow values were compared to reconstructed-natural streamflow data. These reconstructed-natural streamflow data were calculated by adding Bureau of Reclamation’s depletions data to the observed streamflows. Reconstructed-natural streamflows represent estimates of streamflows for water years 1996–2007 assuming there was no agricultural water-resources development in the watershed. Additional calibration targets were basin mean monthly solar radiation and potential evapotranspiration. The model estimated the hydrologic processes in the Smith River watershed during the calibration and evaluation periods. Simulated-natural mean annual and mean monthly flows generally were the same or higher than the reconstructed-natural streamflow values during the calibration period, whereas they were lower during the evaluation period. The shape of the annual hydrographs for the simulated-natural daily streamflow values matched the shape of the hydrographs for the reconstructed-natural values for most of the calibration period, but daily streamflow values were underestimated during the evaluation period for water years 1996–1998. The model enabled a detailed evaluation of the components of the water budget within the Smith River watershed during the water year 1996–2008 study period. During this study period, simulated mean annual precipitation across the Smith River watershed was 16 inches, out of which 14 inches evaporated or transpired and 2 inches left the basin as streamflow. Per the precipitation-runoff model simulations, during most of the year, surface runoff rarely (less than 2 percent of the time during water years 2002–2008) makes up more than 10 percent of the total streamflow. Subsurface flow (the combination of interflow and groundwater flow) makes up most of the total streamflow (99 or more percent of total streamflow for 71 percent of the time during water years 2002–2008).

Bioaerosols study in central Taiwan during summer season.

PubMed

Wang, Chun-Chin; Fang, Guor-Cheng; Lee, LienYao

2007-04-01

Suspended particles, of which bioaerosols are one type, constitute one of the main reasons to cause severe air quality in Taiwan. Bioaerosols include allergens such as fungi, bacteria, actinomycetes, arthropods and protozoa, as well as microbial products such as mycotoxins, endotoxins and glucans. When allergens and microbial products are suspended in the air, local air quality will be influenced severely. In addition, when the particle size is small enough to pass through the respiratory tract entering the human body, the health of the local population is also threatened. Therefore, the purpose of this study attempted to understand the concentration and types of bacteria during summer period at four sampling sites in Taichung city, central Taiwan. The results indicated that total average bacterial concentration by using R2A medium incubated for 48 h were 7.3 x 10(2) and 1.2 x 10(3) cfu/m3 for Chung-Ming elementary sampling site during daytime and night-time period of summer season. In addition, total average bacterial concentration by using R2A medium incubated for 48 h were 2.2 x 10(3) and 2.5 x 10(3) cfu/m3 for Taichung refuse incineration plant sampling site during daytime and night-time period of summer season. As for Rice Field sampling site during daytime and night-time period of summer season, the results also reflected that the total average bacterial concentration by using R2A medium incubated for 48 h were 3.4 x 10(3) and 3.5 x 10(3) cfu/m3. Finally, total average bacterial concentration by using R2A medium incubated for 48 h were 1.6 x 10(3) and 1.9 x 10(3) cfu/m3 for Central Taiwan Science Park sampling site during daytime and night-time period of summer season. Moreover, the average bacterial concentration increased as the incubated time in a growth medium increased for particle sizes of 0.65-1.1, 1.1-2.1, 2.1-3.3, 3.3-4.7 and 4.7-7.0 microm. The total average bacterial concentration has no significant difference for day and night sampling period at any sampling site for the expression of bacterial concentration in term of order. The high average bacterial concentration was found in the particle size of 0.53-0.71 mm (average bioaerosol size was in the range of 2.1-4.7 microm) for each sampling site. Besides, there were exceeded 20 kinds of bacteria for each sampling site and the bacterial shape were rod, coccus and filamentous.

Patterns of pharmacotherapy and health care utilization and costs prior to total hip or total knee replacement in patients with osteoarthritis.

PubMed

Berger, Ariel; Bozic, Kevin; Stacey, Brett; Edelsberg, John; Sadosky, Alesia; Oster, Gerry

2011-08-01

To examine patterns of pharmacotherapy and health care utilization and costs prior to total knee replacement (TKR) or total hip replacement (THR) in patients with osteoarthritis (OA). Using a large US health insurance claims database, we identified all patients with OA who were ages ≥40 years and had undergone TKR or THR between January 1, 2006 and December 31, 2007. Patients with <2 years of complete data prior to TKR or THR were excluded, as were those with evidence of other conditions for which TKR or THR may be performed (e.g., rheumatoid arthritis). We then examined patterns of health care utilization and costs over the 2-year period preceding surgery. A total of 16,527 patients met all study entry criteria. Their mean ± SD age was 56.6 ± 6.1 years, and 56% of them were women. In the 2 years preceding surgery, 55% of patients received prescription nonsteroidal antiinflammatory drugs, 58% received opioids, and 50% received injections of corticosteroids. The numbers of patients receiving these drugs increased steadily during the presurgery period. The mean ± SD total health care costs in the 2 years preceding surgery were $19,466 ± 29,869, of which outpatient care, inpatient care, and pharmacotherapy represented 45%, 20%, and 20%, respectively. Costs increased from $2,094 in the eighth calendar quarter prior to surgery to $3,100 in the final quarter. Patients with OA who undergo THR or TKR have relatively high levels of use of pain-related pharmacotherapy and high total health care costs in the 2-year period preceding surgery. Levels of utilization and cost increase as the date of surgery approaches. Copyright © 2011 by the American College of Rheumatology.

Macronutrient intake associated with weight gain in adolescent girls with anorexia nervosa.

PubMed

Baskaran, Charumathi; Carson, Traci L; Campoverde Reyes, Karen J; Becker, Kendra R; Slattery, Meghan J; Tulsiani, Shreya; Eddy, Kamryn T; Anderson, Ellen J; Hubbard, Jane L; Misra, Madhusmita; Klibanski, Anne

2017-09-01

Adolescents and women with anorexia nervosa (AN) are known to severely restrict total calorie and fat intake. However, data are limited regarding specific macronutrient intake associated with weight gain in AN. To prospectively investigate dietary macronutrient composition associated with weight gain in adolescent girls with AN. A prospective naturalistic study of 90 girls 12-18 years old; 45 with AN and 45 healthy normal-weight-controls over a 6-12-month period. Participants completed four-day food diaries and underwent body composition assessment using dual energy X-ray absorptiometry. Weight gain was defined as a ≥10% increase in body mass index (BMI) from baseline. Baseline clinical characteristics did not differ between girls with AN who did not gain weight (AN-0) versus those who did (AN-1) over the following 6-12 month period except for percentage of calories from proteins (p = 0.046). At 6-12 month follow-up, AN-1 consumed a lower percentage of total calories from protein (p = .001), and a higher percentage of total calories from fat (p = .02) compared to AN-0. AN-1 had a significant increase in the percentage of total calories obtained from and poly-unsaturated-fatty acids (PUFA) (p = 0.006) compared to AN-0, between baseline and follow-up. Within the AN group, BMI at follow-up was associated positively with percentage of total calories obtained from fat, MUFA, and PUFA (p < .05) at 6/12 months, and inversely with the percentage of total calories obtained from carbohydrates and proteins (p = .03). Consuming a greater proportion of total calories from fat is associated with weight gain in adolescent girls with AN. © 2017 Wiley Periodicals, Inc.

Hydrologic modeling of two glaciated watersheds in Northeast Pennsylvania

USGS Publications Warehouse

Srinivasan, M.S.; Hamlett, J.M.; Day, R.L.; Sams, J.I.; Petersen, G.W.

1998-01-01

A hydrologic modeling study, using the Hydrologic Simulation Program - FORTRAN (HSPF), was conducted in two glaciated watersheds, Purdy Creek and Ariel Creek in northeastern Pennsylvania. Both watersheds have wetlands and poorly drained soils due to low hydraulic conductivity and presence of fragipans. The HSPF model was calibrated in the Purdy Creek watershed and verified in the Ariel Creek watershed for June 1992 to December 1993 period. In Purdy Creek, the total volume of observed streamflow during the entire simulation period was 13.36 x 106 m3 and the simulated streamflow volume was 13.82 x 106 m3 (5 percent difference). For the verification simulation in Ariel Creek, the difference between the total observed and simulated flow volumes was 17 percent. Simulated peak flow discharges were within two hours of the observed for 30 of 46 peak flow events (discharge greater than 0.1 m3/sec) in Purdy Creek and 27 of 53 events in Ariel Creek. For 22 of the 46 events in Purdy Creek and 24 of 53 in Ariel Creek, the differences between the observed and simulated peak discharge rates were less than 30 percent. These 22 events accounted for 63 percent of total volume of streamflow observed during the selected 46 peak flow events in Purdy Creek. In Ariel Creek, these 24 peak flow events accounted for 62 percent of the total flow observed during all peak flow events. Differences in observed and simulated peak flow rates and volumes (on a percent basis) were greater during the snowmelt runoff events and summer periods than for other times.A hydrologic modeling study, using the Hydrologic Simulation Program - FORTRAN (HSPF), was conducted in two glaciated watersheds, Purdy Creek and Ariel Creek in northeastern Pennsylvania. Both watersheds have wetlands and poorly drained soils due to low hydraulic conductivity and presence of fragipans. The HSPF model was calibrated in the Purdy Creek watershed and verified in the Ariel Creek watershed for June 1992 to December 1993 period. In Purdy Creek, the total volume of observed streamflow during the entire simulation period was 13.36??106 m3 and the simulated streamflow volume was 13.82??106 m3 (5 percent difference). For the verification simulation in Ariel Creek, the difference between the total observed and simulated flow volumes was 17 percent. Simulated peak flow discharges were within two hours of the observed for 30 of 46 peak flow events (discharge greater than 0.1 m3/sec) in Purdy Creek and 27 of 53 events in Ariel Creek. For 22 of the 46 events in Purdy Creek and 24 of 53 in Ariel Creek, the differences between the observed and simulated peak discharge rates were less than 30 percent. These 22 events accounted for 63 percent of total volume of streamflow observed during the selected 46 peak flow events in Purdy Creek. In Ariel Creek, these 24 peak flow events accounted for 62 percent of the total flow observed during all peak flow events. Differences in observed and simulated peak flow rates and volumes (on a percent basis) were greater during the snowmelt runoff events and summer periods than for other times.

[Potential of antiinflammatory therapy in patients with chronic obstructive lung disease].

PubMed

Fedorova, T A; Ekkert, N V; Chernekhovskaia, N E; Roĭtman, A P; Makarova, O V; Zhidkova, N V

2005-01-01

The aim of the study was to investigate the effects of erespal (fenspirid) on the clinical manifestations and parameters of inflammation in patients with chronic obstructive lung disease (COLD). The two stages of the study included 3-weak treatment during exacerbation periods and a 3-month outpatient follow-up during clinical remission periods. Erespal was administered twice a day in a total dose of 160 mg/day. The study included evaluation of clinical symptoms, respiratory function, bronchoscopic data, laboratory indices of inflammation, antioxydative status, life quality (LQ), as well as cytological and cytochemical analysis of induced sputum (IS). During exacerbation periods of COLD the researchers observed early and noticeable antitussive and mucolytic action of erespal, which were associated with lessening of bronchial obstruction and inflammation, significant fall of C-reactive protein level, cytosis in IS, proportion of neutrophiles (p < 0.01), elevation of lysosomal cation proteins in neutrophiles (p < 0.01), increase of total oxidant serum level (in 46.2% of the patients vs. 26.3% of the patients in the conventional therapy group). Long term (3 months) treatment with erespal led to further positive dynamics of clinical and laboratory indices of inflammation, and improved the results of cytological and cytochemical study of IS. The results of the study demonstrate that inclusion of erespal in complex therapy of COLD increases efficacy of treatment, due to its anti-inflammatory action during the periods of exacerbation and relative remission, prevents augmenting of bronchial obstruction, and improves patients' LQ.

Pharmacokinetics of fexofenadine: evaluation of a microdose and assessment of absolute oral bioavailability.

PubMed

Lappin, Graham; Shishikura, Yoko; Jochemsen, Roeline; Weaver, Richard John; Gesson, Charlotte; Houston, Brian; Oosterhuis, Berend; Bjerrum, Ole J; Rowland, Malcolm; Garner, Colin

2010-05-12

A human pharmacokinetic study was performed to assess the ability of a microdose to predict the pharmacokinetics of a therapeutic dose of fexofenadine and to determine its absolute oral bioavailability. Fexofenadine was chosen to represent an unmetabolized transporter substrate (P-gP and OATP). Fexofenadine was administered to 6 healthy male volunteers in a three way cross-over design. A microdose (100microg) of (14)C-drug was administered orally (period 1) and intravenously by 30min infusion (period 2). In period 3 an intravenous tracer dose (100microg) of (14)C-drug was administered simultaneously with an oral unlabelled therapeutic dose (120mg). Plasma was collected from all 3 periods and analysed for both total (14)C content and parent drug by accelerator mass spectrometry (AMS). For period 3, plasma samples were also analysed using HPLC-fluorescence to determine total drug concentration. Urine was collected and analysed for total (14)C. Good concordance between the microdose and therapeutic dose pharmacokinetics was observed. Microdose: CL 13L/h, CL(R) 4.1L/h, V(ss) 54L, t(1/2) 16h; therapeutic dose: CL 16L/h, CL(R) 6.2L/h, V(ss) 64L, t(1/2) 12h. The absolute oral bioavailability of fexofenadine was 0.35 (microdose 0.41, therapeutic dose 0.30). Despite a 1200-fold difference in dose of fexofenadine, the microdose predicted well the pharmacokinetic parameters following a therapeutic dose for this transporter dependent compound.

Effect of transcutaneous electrical nerve stimulation for pain control after total knee arthroplasty: A systematic review and meta-analysis.

PubMed

Zhu, Yongjun; Feng, Yuxing; Peng, Lihua

2017-11-21

Transcutaneous electrical nerve stimulation is a possible adjunctive therapy to pharmacological treatment for controlling pain after total knee arthroplasty. However, the results are controversial. A systematic review and meta-analysis was conducted to explore the effect of transcutaneous electrical nerve stimulation on patients with total knee arthroplasty. PubMed, Embase, Web of Science, EBSCO, and Cochrane Library databases were searched systematically. Randomized controlled trials assessing the effect of transcutaneous electrical nerve stimulation on patients with total knee arthroplasty were included. Two investigators independently searched articles, extracted data, and assessed the quality of included studies. Primary outcome was visual analogue scale (VAS) score over a period of 24 h. Meta-analysis was performed using a random-effect model. Six randomized controlled trials involving 529 patients were included in the meta-analysis. Overall, compared with control intervention, transcutaneous electrical nerve stimulation supplementation intervention was found to significantly reduce VAS scores and total postoperative morphine dose over a period of 24 h, and to improve active range of knee motion (standard mean difference (SMD) = 0.37; 95% confidence interval (95% CI) = 0.06-0.68; p = 0.02), but had no effect on VAS scores at 2 weeks (SMD = 0.20; 95% CI = -0.07 to 0.48; p = 0.15). Compared with control intervention, transcutaneous electrical nerve stimulation supplementation intervention was found to significantly reduce pain and morphine requirement over a period of 24 h and to promote functional recovery in patients who have undergone total knee arthroplasty.

Comparing Domain-Specific Physical Activity Efficacy Level between Turkish Adolescent Girls and Boys

ERIC Educational Resources Information Center

Çatikkas, Fatih

2017-01-01

The adolescence period is a very critical developmental period for personality, socializing and promotion of physical activity. In this regard, the aim of this study was to compare domain-specific physical activity efficacy level between adolescent boys and girls. A total of 219 girls (body weight: 57.50 ± 10.44 kg, height: 160.30 ± 7.40 cm, age…

Retention and readability of radio frequency identification transponders in beef cows over a five-year period

USDA-ARS?s Scientific Manuscript database

Objective of this study was to evaluate failure (loss or inability to read) of radio frequency identification (RFID) ear tags in beef cows over a 2 to 5 year period under ranching conditions. One of 5 types of RFID tags was applied in the ear of a total of 4316 cows on 4 separate ranches. Tags wer...

Reaching multi-nanosecond timescales in combined QM/MM molecular dynamics simulations through parallel horsetail sampling.

PubMed

Martins-Costa, Marilia T C; Ruiz-López, Manuel F

2017-04-15

We report an enhanced sampling technique that allows to reach the multi-nanosecond timescale in quantum mechanics/molecular mechanics molecular dynamics simulations. The proposed technique, called horsetail sampling, is a specific type of multiple molecular dynamics approach exhibiting high parallel efficiency. It couples a main simulation with a large number of shorter trajectories launched on independent processors at periodic time intervals. The technique is applied to study hydrogen peroxide at the water liquid-vapor interface, a system of considerable atmospheric relevance. A total simulation time of a little more than 6 ns has been attained for a total CPU time of 5.1 years representing only about 20 days of wall-clock time. The discussion of the results highlights the strong influence of the solvation effects at the interface on the structure and the electronic properties of the solute. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

Current state of the Altai glaciers (Russia) and trends over the period of instrumental observations 1952-2008.

PubMed

Narozhniy, Yuriy; Zemtsov, Valeriy

2011-09-01

Results of research into climate and glacier dynamics in the Altai Mountains (Russia) over the period of instrumental observations (1952-2008) are presented in this article. About 1030 glaciers with a total area of 805 km2 and volume of 42.5 km3 have been recorded in the Altai Region. The average summer air temperature in different regions of the Altai has increased during the study period from about 0.2 degrees C (Aktru) to 1.1 degrees C (Akkem). The annual atmospheric precipitation rate has also increased, by 8-10%. Since 1952, the glacier area in different regions of the Altai has decreased by 9-27%, and volume by 12-24%. By 2008, as a result of degradation, the total number of glaciers was 953 with an area of 724 km2 and volume of 38 km3.

Water quality of an urban wet detention pond in Madison, Wisconsin, 1987-88

USGS Publications Warehouse

House, L.B.; Waschbusch, R.J.; Hughes, P.E.

1993-01-01

A 5,670-sq m wet detention pond was monitored by the U.S. Geological Survey to determine its effect on the water quality of urban runoff. The pond has a drainage area of 0.96-sq km, composed primarily of single-family residential land use. Event-mean concentrations (EMC) were determined from samples collected for sediment, nutrients, and selected metals at the pond's inflow and outflow sites. EMC samples were collected for 64 runoff events during the study period from February 1987 to April 1988. Storm precipitation ranged from 1 to 51 mm during these events. Inflow and outflow EMC and constituent loads were compared to determine the trap efficiency of the pond. Trap efficiency varied considerably among water-quality constituents. In general, the detention pond decreased the EMC of sampled constituents at the outlet compared to the inlet. The median decrease in EMC for suspended solids was 88 percent, 60 percent for total chemical oxygen demand (COD), 43 percent for total phosphorus, 38 percent for total Kjeldahl nitrogen, 65 percent for total nitrite plus nitrate, and 71 percent for total lead. A notable exception to the general decrease in EMC is for chloride. The EMC for chloride was generally higher in outflow from the pond than in the inflow. This is attributed to an unmonitored influx of chloride to the pond during the winter that subsequently was flushed out during monitored runoff events. The total study-period loads of most constituents were less leaving the pond than the loads entering it. This decrease is attributed to the constituents transported on suspended sediment being deposited in the pond. The decrease in total load of suspended solids was 88 percent, 62 percent for total COD, 58 percent for total phosphorus, 46 percent for total Kjeldahl nitrogen, 62 percent for total nitrite plus nitrate, 97 percent for total copper, and 93 percent for total lead. (USGS)

Research productivity of Pakistan in medical sciences during the period 1996-2012.

PubMed

Meo, S A; Almasri, A A; Usmani, A M

2013-11-01

This study aimed to investigate the degree of research outcome in medical science subjects in Pakistan during the period 1996-2012. In this study, the research papers published in various global science journals during the period 1996-2012 were accessed. We recorded the total number of research documents having an affiliation with a Pakistan. The main source for information was Institute of Scientific Information (ISI) Web of Science, Thomson Reuters and SCI-mago/Scopus. In global science, Pakistan contributed 58133 research papers in all science and social sciences both in ISI and non ISI indexed journals. However, in medical sciences the total number of research papers from Pakistan are 25604, citable documents 23874, citations 128061, mean citations per documents 6.45 and mean Hirsch index is 35.33. In Pakistan, the upward trend of articles published in global medical science was from the period 1996-2008. However, from 2008 the trend is markedly declined. Pakistan significantly improved its international ranking positions in research during the period 2000-2008. However, the upward trend of research papers published in global medical science could not be retained and from the year 2008 the trend started declining. This trend of research papers further declined in year 2012 compared to year 2011. It is suggested that, Pakistan must take strategic steps to enhance the research culture and increase the research and development expenditure in the country.

Total Ore Processing Integration and Management

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

Leslie Gertsch; Richard Gertsch

2006-01-30

This report outlines the technical progress achieved for project DE-FC26-03NT41785 (Total Ore Processing Integration and Management) during the period 01 July through 30 September of 2005. This ninth quarterly report discusses the activities of the project team during the period 1 July through 30 September 2005. Richard Gertsch's unexpected death due to natural causes while in Minnesota to work on this project has temporarily slowed progress. Statistical analysis of the Minntac Mine data set for late 2004 is continuing. Preliminary results raised several questions that could be amenable to further study. Detailed geotechnical characterization is being applied to improve themore » predictability of mill and agglomerator performance at Hibtac Mine.« less

Homicide in Greenland 1985-2010.

PubMed

Christensen, Martin R; Thomsen, Asser H; Høyer, Christian B; Gregersen, Markil; Banner, Jytte

2016-03-01

Homicide in Greenland has not often been investigated. The latest published study documented a dramatic rise in the homicide rate from around 1/100,000 inhabitants to more than 23/100,000 inhabitants from 1946 to 1984. The aim of our study was to characterize homicides in Greenland from 1985 to 2010 and to compare trends during this period with those in previous studies and with homicide characteristics in Denmark, northern Europe, and other Arctic regions. We identified a total of 281 homicides by legal definition and 194 by medical definition, the latter from the years 1990 to 2010. We procured case files for a total of 129 victims (71 male, 58 female) and 117 perpetrators (85 male, 32 female). We identified an overall decrease in the homicide rate during our study period. The decrease in the medical homicide rate was significant (p = 0.007). The homicide rate ranged from 25/100,000 inhabitants to 13/100,000 inhabitants when results were grouped within 5-year periods. There were significantly more male perpetrators (p < 0.001) and among female perpetrators there were significantly more male victims (p < 0.001). Sharp force and gunshot-related killings dominated homicide methods (41 and 29% respectively), with sharp force deaths increasing throughout the investigation period. Altercations were the main motive (49%). Alcohol-related homicides decreased in our study period. While the Greenlandic homicide rate has decreased, it is markedly higher compared to that seen in Denmark and northern Europe. However, it resembles the rate seen in the rest of the Arctic. Liberal gun laws do not affect the proportion of gun-related killings. Despite the high homicide rate, women account for almost half the victims.

Additional Cost Because of Pneumonia in Nursing Home Residents: Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Resident Study.

PubMed

Costa, Nadège; Hoogendijk, Emiel O; Mounié, Michael; Bourrel, Robert; Rolland, Yves; Vellas, Bruno; Molinier, Laurent; Cesari, Matteo

2017-05-01

Pneumonia is a frequent condition in older people. Our aim was to examine the total healthcare cost related to pneumonia in nursing home (NH) residents over a 1-year follow-up period. This was a prospective, longitudinal, observational, and multicenter study that was a part of the Incidence of Pneumonia and related Consequences in Nursing Home Resident study. Thirteen NHs located in Languedoc Roussillon and Midi-Pyrénées regions in France were included. Resident in NH, older than 60 years and had a group iso-resource score ranging from 2 to 5. Pneumonia events were characterized according to the Observatoire du Risque Infectieux en Geriatrie criteria. Direct medical and nonmedical costs were assessed from the French health insurance perspective. Healthcare resources was retrospectively gathered from the French Social Health Insurance database and valued using the tariffs reimbursed by the French health insurance. Sociodemographic variables, clinical factors, vaccinations, cognition, depression, functional status, frailty index, as well as group iso-resource score were also recorded. Among the 800 patients initially included in the Incidence of Pneumonia and Related Consequences in Nursing Home Resident study, 345 which were listed in the database of the French Social Health Insurance were included in this economic study. Among them, 64 (18%) experienced at least 1 episode of pneumonia during the 1-year follow-up period. Mean annual total additional cost for a patient who experienced at least 1 episode of pneumonia during the 1 year follow-up period is 2813€. On average, total annual costs increased by 60% to 93% when a patient experienced at least 1 episode of pneumonia. NH-acquired pneumonia has a great impact on total cost of care for NH residents. Our results suggest the potential economic savings that could be achieved if pneumonia could be prevented in NHs. Copyright © 2017. Published by Elsevier Inc.

Assessing multiple dimensions of urgency sensation: The University of South Australia Urinary Sensation Assessment (USA2 ).

PubMed

Das, Rebekah; Buckley, Jonathan; Williams, Marie

2017-03-01

To develop and assess structure, test-retest reliability, and discriminative validity of a self-report questionnaire (University of South Australia Urinary Sensation Assessment: USA 2 ) to assess multiple dimensions of urgency sensation. The USA 2 was designed and tested over two prospective, observational studies (2013-2014). Participants were English speaking Australians aged 50 or more with and without overactive bladder (OAB; determined by OAB awareness tool), recruited via health and recreation centers. In Study 1, exploratory factor analysis determined USA 2 structure and subscales. In Study 2, confirmatory factor analysis reassessed structure; Mann-Whitney U-tests determined discriminative validity (OAB vs. non-OAB for subscale and total scores) with Cohen's d effect sizes. Thirty-three individuals completed the USA 2 twice; intraclass correlation coefficients (ICCs) and Wilcoxon signed rank tests assessed test-retest reliability. Questionnaires were returned by 189 eligible participants in Study 1 and 211 in Study 2. Exploratory factor analysis revealed three subscales: "urgency," "affective," "fullness." Confirmatory factor analysis supported these subscales. Subscale and total scores were significantly different between groups with and without OAB (P < 0.001). Cohen's d effect sizes (95%CI) were total score 1.8 (0.5-3.1), "urgency" subscale 1.8 (1.3-2.3), "affective" 1.7 (0.95-2.4), and "fullness" 0.75 (0.42-1.09). Total and subscales scores demonstrated test-retest reliability; ICCs (95%CIs) of 0.95 (0.9-0.98), 0.96 (0.92-0.98), 0.94 (0.88-0.97), and 0.78 (0.56-0.89). The USA 2 assesses multiple dimensions of urgency sensation, is reliable over a 2-week period, and discriminates between older adults with and without OAB. Further validation is required in conditions other than overactive bladder. Neurourol. Urodynam. 36:667-672, 2017. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

Evaluation of pre-hospital transport time of stroke patients to thrombolytic treatment.

PubMed

Simonsen, Sofie Amalie; Andresen, Morten; Michelsen, Lene; Viereck, Søren; Lippert, Freddy K; Iversen, Helle Klingenberg

2014-11-13

Effective treatment of stroke is time dependent. Pre-hospital management is an important link in reducing the time from occurrence of stroke symptoms to effective treatment. The aim of this study was to evaluate time used by emergency medical services (EMS) for stroke patients during a five-year period in order to identify potential delays and evaluate the reorganization of EMS in Copenhagen in 2009. We performed a retrospective analysis of ambulance records from stroke patients suitable for thrombolysis from 1 January 2006 to 7 July 2011. We noted response time from dispatch of the ambulance to arrival at the scene, on-scene time and transport time to the hospital-in total, alarm-to-door time. In addition, we noted baseline characteristics. We reviewed 481 records (58% male, median age 66 years). The median (IQR) alarm-to-door time in minutes was 41 (33-52), of which 18 (12-24) minutes were spent on scene. Response time was reduced from the period before to the period after reorganization (7 vs. 5 minutes, p <0.001). In a linear multiple regression model, higher patient age and longer distance to the hospital correlated with significantly longer transportation time (p <0.001). This study shows an unchanged alarm-to-door time of 41 minutes over a five-year period. Response time, but not total alarm-to-door time, was reduced during the five years. On-scene time constituted nearly half of the total alarm-to-door time and is thus a point of focus for improvement.

Optimal recall period in assessing the adherence to antihypertensive therapy: a pilot study.

PubMed

Doró, Péter; Benko, Ria; Czakó, Anikó; Matuz, Mária; Thurzó, Ferenc; Soós, Gyöngyvér

2011-08-01

To evaluate the validity of patient self-reported adherence, and to find the optimal length of recall period which best reflects the long-term adherence pattern of the patient. Patients were recruited from a general practitioner's practice in a Hungarian town. In this prospective study 30 patients, who had already been on antihypertensive treatment, were involved. The study was designed to monitor one antihypertensive medication per patient for 3 months. Patients received a 3-month supply of one antihypertensive medication in an electronic Medication Event Monitoring System (MEMS). At the end of the study period patients completed a structured questionnaire regarding their medication taking behavior during the last 7, 14 and 30 days. The results measured with MEMS were considered as the reference value, and other measures were compared using the Bland-Altman method. Self-reported adherence, length of recall period, taking adherence and timing adherence measured by MEMS. Of the 30 patients included, 29 patients (13 males and 16 females) completed the study. The mean age of the patients was 60.6 years, ranging between 36 and 86 years. Patients were monitored for an average of 89 days (ranging between 49 and 106 days). Fifteen patients were on once daily, 9 patients were on twice daily, and 5 patients were on 3 times daily dosing schedule. The total expected number of medication taking events was 4,281. The MEMS caps recorded a total of 4,071 openings, which showed only a 3.56% deviation from the pill counts of the remaining tablets. The overall taking adherence was 95.1%, timing adherence was 75.2%. Patients' adherence report using a visual analog scale and reporting the number of missed doses became more accurate as the length of the recall period increased. Increased number of chronically taken medications was associated with better adherence. Increased dosing frequency of the observed antihypertensive medication resulted in decreased adherence. The results showed that the length of the recall period influences the accuracy of self-reported adherence. Patients seem to be able to report more precisely their medication taking behavior regarding a 30 day period than a 7 day period.

Medium scale traveling ionospheric disturbances observed by detrended total electron content maps over South-Southeast of Brazil

NASA Astrophysics Data System (ADS)

Takahashi, H.; Figueiredo, C. A. O. B.; Wrasse, C. M.; Otsuka, Y.; Shiokawa, K.; Barros, D.

2017-12-01

Medium Scale Traveling Ionospheric Disturbances (MSTIDs) were studied using detrended Total Electron Content (dTEC) maps and keograms over South-Southeast of Brazil during the period from December 2012 to February 2016. In total 826 MSTIDs were observed and they present average values of horizontal wavelength, period, and horizontal phase velocity of 445.19 ± 106.70 km, 23.58 ± 3.65 min e 322.68 ± 80.95 m/s, respectively. The direction of propagation presented anisotropy depending on the season. In addition, the occurrences of MSTIDs were during the daytime between 11-15 LT in winter and other seasons near to solar terminator (17-19 LT). Furthermore, the seasonality of MSTIDs has a higher occurrence rate in winter. The MSTIDs characteristics also suggest that gravity wave activities in the thermosphere, mesosphere and troposphere could play an important role in generating the MSTIDs.

Convective rain rates and their evolution during storms in a semiarid climate

NASA Technical Reports Server (NTRS)

Doneaud, A. A.; Miller, J. R., Jr.; Ionescu-Niscov, S.

1984-01-01

The semiarid climate of the U.S. northern High Plains region has been studied with respect to rain rates and their evolution during summertime convective storms, using radar data from a total of 750 radar echo clusters. Analysis of this data suggests that the average rain rate R among storms is in a first approximation independent of the total rain volume, if the entire storm duration is considered in the averaging process. R primarily depends on the reflectivity threshold considered in calculating the area coverage integrated over the lifetime of the storm. R evolution during storms is analyzed by dividing each storm lifetime into 10 min, 1, 2, and 4 hours, as well as growing and decaying periods. The value of R remained independent of the total rain volume when the growing or decaying periods of storms were considered separately.

The Type of Fat Ingested at Breakfast Influences the Plasma Lipid Profile of Postmenopausal Women

PubMed Central

Morillas-Ruiz, J. M.; Delgado-Alarcon, J. M.; Rubio-Perez, J. M.; Albaladejo Oton, M. D.

2014-01-01

To assess whether the type of fat ingested at breakfast can modify the plasma lipid profile and other cardiovascular risk variables in postmenopausal women at risk of cardiovascular disease, a longitudinal, randomized, and crossover study was carried out with postmenopausal women at risk of CVD. They were randomly assigned to eat each type of breakfast during one month: 6 study periods (breakfast with the same composition plus butter/margarine/virgin olive oil) separated by two washout periods. On the first and last days of each study period, weight, arterial blood pressure, heart rate, and body mass index were recorded in fasting conditions and a blood sample was collected to measure plasma lipid profile. When comparing final values to baseline values, we only found out statistically significant differences on plasma lipid profiles. Butter-based breakfast increased total cholesterol and HDL, while margarine-based breakfast decreased total cholesterol and LDL and increased HDL. After the olive oil-based breakfast intake, a tendency towards a decrease of total cholesterol and LDL levels and an increase of HDL levels was observed. No statistically significant differences were observed in triglycerides levels, BMI, and arterial pressure in any breakfast type. The margarine-based breakfast was the only one which significantly increased the percentage of volunteers with optimal lipid profiles. The polyunsaturated fat at breakfast has improved the plasma lipid profile in the analyzed sample population, suggesting that PUFA-based breakfast can be advisable in women at risk of CVD. PMID:25136625

Energy Conservation Study on Darigold Fluid Milk Plant, Issaquah, Washington.

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

Seton, Johnson & Odell, Inc.

This report presents the findings of an energy study done at Darigold dairy products plant in Issaquah, Washington. The study includes all electrical energy using systems at the plant, but does not address specific modifications to process equipment or the gas boilers. The Issaquah Darigold plant receives milk and cream, which are stored in large, insulated silos. These raw products are then processed into butter, cottage cheese, buttermilk, yogurt, sour cream, and powdered milk. This plant produces the majority of the butter used in the state of Washington. The Issaquah plant purchases electricity from Puget Sound Power and Light Company.more » The plant is on Schedule 31, primary metering. The plant provides transformers to step down the voltage to 480, 240, and 120 volts as needed. Based on utility bills for the period from July 1983 through July 1984, the Issaquah Darigold plant consumed 7,134,300 kWh at a total cost of $218,703.78 and 1,600,633 therms at a total cost of $889,687.48. Energy use for this period is shown in Figures 1.1 to 1.5. Demand charges account for approximately 23% of the total electrical bill for this period, while reactive charges account for less than 0.5%. The electrical usage for the plant was divided into process energy uses, as summarized in Figure 1.2. This breakdown is based on a 311-day processing schedule, with Sunday clean-up and holidays composing the 54 days of downtime.« less

Evidence that Sensitivity to Growth Hormone (GH) Is Growth Period and Tissue Type Dependent: Studies in GH-Deficient lit/lit Mice

PubMed Central

Kasukawa, Yuji; Baylink, David J.; Guo, Rongqing; Mohan, Subburaman

2010-01-01

We previously found that the magnitude of skeletal deficits caused by GH deficiency varied during different growth periods. To test the hypothesis that the sensitivity to GH is growth period dependent, we treated GH-deficient lit/lit mice with GH (4 mg/kg body weight·d) or vehicle during the prepubertal and pubertal (d 7–34), pubertal (d 23–34), postpubertal (d 42–55), and adult (d 204–217) periods and evaluated GH effects on the musculoskeletal system by dual energy x-ray absorptiometry (DEXA) and peripheral quantitative computed tomography. GH treatment during different periods significantly increased total body bone mineral content, bone mineral density (BMD), bone area, and lean body mass and decreased percentage of fat compared with vehicle; however, the magnitude of change varied markedly depending on the treatment period. For example, the increase in total body BMD was significantly (P < 0.01) greater when GH was administered between d 42–55 (15%) compared with pubertal (8%) or adult (7.7%) periods, whereas the net loss in percentage of body fat was greatest (−56%) when GH was administered between d 204 and 216 and least (−27%) when GH was administered between d 7 and 35. To determine whether GH-induced anabolic effects on the musculoskeletal system are maintained after GH withdrawal, we performed DEXA measurements 3–7 wk after stopping GH treatment. The increases in total body bone mineral content, BMD, and lean body mass, but not the decrease in body fat, were sustained after GH withdrawal. Our findings demonstrate that the sensitivity to GH in target tissues is growth period and tissue type dependent and that continuous GH treatment is necessary to maintain body fat loss but not BMD gain during a 3–7 wk follow-up. PMID:12933669

Health care expenditures and gross domestic product: the Turkish case.

PubMed

Sülkü, Seher Nur; Caner, Asena

2011-02-01

Our study examines the long-term relationship among per capita gross domestic product (GDP), per capita health expenditures and population growth rate in Turkey during the period 1984-2006, employing the Johansen multivariate co-integration technique. Related previous studies on OECD countries have mostly excluded Turkey-itself an OECD country. The only study on Turkey examines the period 1984-1998. However, after 1998, major events and policy changes that had a substantial impact on income and health expenditures took place in Turkey, including a series of reforms to restructure the health and social security system. In contrast to earlier findings in the literature, we find that the income elasticity of total health expenditures is less than one, which indicates that health care is a necessity in Turkey during the period of analysis. According to our results, a 10% increase in per capita GDP is associated with an 8.7% increase in total per capita health expenditures, controlling for population growth. We find that the income elasticity of public health expenditures is less than one. But, in the case of private health care expenditures, the elasticity is greater than one, meaning that private health care is a luxury good in Turkey.

Analyzing Red and Gray Stages of Bark Beetle Attack in the San Bernardino National Forest Using Remote Sensing

NASA Astrophysics Data System (ADS)

Morgan, Andy J.

The San Bernardino National Forest (SBNF) has experienced periods of high, concentrated bark beetle epidemics in the late 1990's and into the 2000's. This increased activity has caused huge amounts of forest loss, resulting from disease introduced by bark beetles. Using remote sensing techniques and Landsat Thematic Mapper 5 (TM5) imagery, the spread of bark beetle diseased trees is mapped over a period from 1998 to 2008. Acreage of two attack stages (red and gray) were calculated from a level sliced classification method developed on data training sites. In each image using Normalized Difference Vegetation Index (NDVI) is the driver of forest health classifications. The results of the analysis are classification maps for each year, red acreage estimated for each study year, and gray attack acreage estimated for each study year. Additionally, for the period of 2001-2004, acreage was compared to those reported by the USDA with a thirteen percent lower mortality total in comparison to USDA federal land and a thirty-two percent lower total mortality (federal and non-federal) land in the SBNF.

Instrumentation, methods, and preliminary evaluation of evapotranspiration for a grassland in the Arid Lands Ecology Reserve, Benton County, Washington, May-October 1990

USGS Publications Warehouse

Tomlinson, S.A.

1994-01-01

The report describes instrumentation, methods, and preliminary results for a study on evapo- transpiration at a grassland in Snively Basin of the Arid Lands Ecology Reserve. Instrumentation was used to collect data from May 30 to October 15, 1990. A combination of the Bowen-ratio and Penman-Monteith methods was used to calculate estimates of evapotranspiration. The Bowen-ratio method could be used to calculate estimates of latent-heat flux and evapotranspiration during only parts of the study period. Latent-heat flux values obtained during these periods were used in the Penman-Monteith method to estimate the canopy resistance. These canopy resistances were averaged for each day and the average values were used to recalculate the laten-heat flux for all periods using the Penman-Monteith method. The canopy resistance ranged from near zero during periods of rainfall to more than 40,000 seconds per meter during periods of extreme dryness. Evapotranspiration estimates varied during the study period. Daily evapotranspiration ranged from less than 0.1 millimeter on some days in August, September, and October to about 2 milli- meters on June 3 and August 22. Monthly totals of evapotranspiration were as follows: June, 28.2 millimeters; July, 10.5 millimeters; August, 15.0 millimeters; September, 5.3 millimeters; and October 1-15, 1.8 millimeters. Evapotranspiration values given in the report are estimates. Some error, perhaps as low as 25 percent on a daily basis and 4 percent on a monthly total basis, is probably introduced into these estimates through complexities of data collection, data analysis, and canopy-resistance estimation, particularly when evapotranspiration was near zero.

Effects of Bifidobacterium animalis subsp. lactis BB-12® on the lipid/lipoprotein profile and short chain fatty acids in healthy young adults: a randomized controlled trial.

PubMed

Lee, Yujin; Ba, Zhaoyong; Roberts, Robert F; Rogers, Connie J; Fleming, Jennifer A; Meng, Huicui; Furumoto, Emily J; Kris-Etherton, Penny M

2017-06-29

Some probiotics have hypocholesterolemic effects in animal studies, which are mediated, in part, by increases in fecal short chain fatty acids (SCFAs). Clinical trials of probiotics on lipids/lipoproteins are inconsistent. We examined the effects of Bifidobacterium animalis subsp. lactis BB-12 ® (BB-12 ® ) (3.16 × 10 9  CFUs/day) on lipids and lipoproteins and fecal excretion of SCFAs in healthy adults. In a randomized, partially blinded, 4-period, crossover study, 30 adults (11 men, 19 women) aged 18-40 years were randomly assigned to: 1) yogurt smoothie with no BB-12 ® (YS), 2) yogurt smoothie with BB-12 ® added pre-fermentation (PRE), 3) yogurt smoothie with BB-12 ® added post-fermentation (POST), 4) BB-12 ® containing capsule (CAP). We measured serum lipids/lipoproteins, glucose, insulin, C-reactive protein (CRP), and fecal SCFAs at baseline and after each treatment period. Total cholesterol (TC), LDL cholesterol (LDL-C), HDL cholesterol (HDL-C), and triglycerides (TGs) did not differ after the PRE, POST, and CAP periods versus the YS or between treatments. Compared to baseline, fecal acetate was significantly increased after the YS (Δ = 211.89 ± 75.87 μg/g, P = 0.007) and PRE (Δ = 204.98 ± 75.70 μg/g, P = 0.009) periods. The percent increase in fecal acetate was significantly greater after the YS versus the POST period (52.2 ± 13.2% vs. 24.5 ± 13.2%, P = 0.023). Fecal total SCFAs, propionate and butyrate did not differ between treatment periods. Fecal total SCFAs were negatively associated with TC (r = -0.22, P = 0.01), LDL-C (r = -0.24, P = 0.004), age (r = -0.33, P < 0.001), and waist circumference (r = -0.25, P = 0.003). BB-12 ® supplementation did not improve lipids, lipoproteins and total and individual fecal SCFAs. Fecal SCFAs were negatively associated with TC, LDL-C, age, and waist circumference. This trial was registered at clinicaltrials.gov as NCT01399996 .

Cancer morbidity among workers in the telecommunications industry.

PubMed Central

Vågerö, D; Ahlbom, A; Olin, R; Sahlsten, S

1985-01-01

A retrospective cohort study of 2918 workers in the telecommunications industry in Sweden recorded the cancer morbidity for the period 1958-79. Cases of cancer were collected from the Swedish Cancer Registry for this period and information on work characteristics was collected for the entire period of employment. The total cancer morbidity was as expected. There was no excess risk of lung cancer but an excess risk of malignant melanoma of the skin was detected (SMR = 2.6, 12 cases). This excess risk was particularly associated with work environments where soldering was practised. Estimates of the SMR became larger with the assumption of a longer induction/latency period. PMID:3970885

Plasma/muscle ratios of sulfadimethoxine residues in channel catfish (Ictalurus punctatus).

PubMed

Walker, C C; Thune, R L; Barker, S A

1995-08-01

Channel catfish (n = 84) maintained at a water temperature of 27 degrees C were used in a feeding study to determine the plasma to muscle concentration ratios of sulfadimethoxine (SDM) and 4-N-acetylsulfadimethoxine residues. Sulfadimethoxine medicated feed was provided free choice at 42 mg SDM/kg body weight once daily for 5 days and the plasma and muscle concentrations of SDM were determined at selected withdrawal times (6, 12, 24, 48, 72, and 96 hours) following the last dose. Considerable variation in total SDM tissue concentration among fish within a sampling period was observed. For fish (n = 12) at six hours post-dose, total SDM concentrations ranged from 1.4-24.8 micrograms/mL and 0.6-12.6 micrograms/g, with mean total SDM concentrations of 9.1 micrograms/mL and 5.3 micrograms/g for plasma and muscle, respectively. However, a mean plasma:muscle concentration ratio of 1.8:1 +/- 0.3:1 was obtained over all concentrations and sampling periods. The plasma:muscle 95% t distribution interval for individual fish was 1.2:1 to 2.4:1. A correlation coefficient of 0.967 was obtained for the relationship between plasma and muscle total SDM concentration among individual fish (n = 25). Results of this study indicate that plasma total SDM concentration may be used to identify samples containing violative SDM muscle residue. No fish contained total SDM muscle residues greater than the FDA tolerance (0.1 microgram/g) by 48 hours following the final dose.

A non-stationary cost-benefit analysis approach for extreme flood estimation to explore the nexus of 'Risk, Cost and Non-stationarity'

NASA Astrophysics Data System (ADS)

Qi, Wei

2017-11-01

Cost-benefit analysis is commonly used for engineering planning and design problems in practice. However, previous cost-benefit based design flood estimation is based on stationary assumption. This study develops a non-stationary cost-benefit based design flood estimation approach. This approach integrates a non-stationary probability distribution function into cost-benefit analysis, and influence of non-stationarity on expected total cost (including flood damage and construction costs) and design flood estimation can be quantified. To facilitate design flood selections, a 'Risk-Cost' analysis approach is developed, which reveals the nexus of extreme flood risk, expected total cost and design life periods. Two basins, with 54-year and 104-year flood data respectively, are utilized to illustrate the application. It is found that the developed approach can effectively reveal changes of expected total cost and extreme floods in different design life periods. In addition, trade-offs are found between extreme flood risk and expected total cost, which reflect increases in cost to mitigate risk. Comparing with stationary approaches which generate only one expected total cost curve and therefore only one design flood estimation, the proposed new approach generate design flood estimation intervals and the 'Risk-Cost' approach selects a design flood value from the intervals based on the trade-offs between extreme flood risk and expected total cost. This study provides a new approach towards a better understanding of the influence of non-stationarity on expected total cost and design floods, and could be beneficial to cost-benefit based non-stationary design flood estimation across the world.

Changes in Manipulative Peak Force Modulation and Time to Peak Thrust among First-Year Chiropractic Students Following a 12-Week Detraining Period.

PubMed

Starmer, David J; Guist, Brett P; Tuff, Taylor R; Warren, Sarah C; Williams, Matthew G R

2016-05-01

The purpose of this study was to analyze differences in peak force modulation and time-to-peak thrust in posterior-to-anterior (PA) high-velocity-low-amplitude (HVLA) manipulations in first-year chiropractic students prior to and following a 12-week detraining period. Chiropractic students (n=125) performed 2 thrusts prior to and following a 12-week detraining period: total peak force targets were 400 and 600 N, on a force-sensing table using a PA hand contact of the participant's choice (bilateral hypothenar, bilateral thenar, or cross bilateral). Force modulation was compared to defined target total peak force values of 600 and 400 N, and time-to-peak thrust was compared between data sets using 2-tailed paired t-tests. Total peak force for the 600 N intensity varied by 124.11 + 65.77 N during the pre-test and 123.29 + 61.43 N during the post-test compared to the defined target of 600 N (P = .90); total peak force for the 400 N intensity varied by 44.91 + 34.67 N during the pre-test and 44.60 + 32.63 N during the post-test compared to the defined target of 400 N (P = .57). Time-to-peak thrust for the 400 N total peak force was 137.094 + 42.47 milliseconds during the pre-test and 125.385 + 37.46 milliseconds during the post-test (P = .0004); time-to-peak thrust for the 600 N total peak force was 136.835 + 40.48 milliseconds during the pre-test and 125.385 + 33.78 milliseconds during the post-test (P = .03). The results indicate no drop-off in the ability to modulate force for either thrust intensity, but did indicate a statistically significant change in time-to-peak thrust for the 400 N total peak force thrust intensity in first-year chiropractic students following a 12-week detraining period. Copyright © 2016 National University of Health Sciences. Published by Elsevier Inc. All rights reserved.

CTEPP: RECRUITING AND FIELD SAMPLING IN NORTH CAROLINA AND OHIO

EPA Science Inventory

The research field study (CTEPP) of approximately 260 preschool children's exposures to persistent organic pollutants in their everyday environments began in early 2000. CTEPP is a multimedia study of the children's aggregate (total) exposures over a 48-hr period, both at thei...

Interacting vegetative and thermal contributions to water movement in desert soil

USGS Publications Warehouse

Garcia, C.A.; Andraski, Brian J.; Stonestrom, David A.; Cooper, C.A.; Šimůnek, J.; Wheatcraft, S.W.

2011-01-01

Thermally driven water-vapor flow can be an important component of total water movement in bare soil and in deep unsaturated zones, but this process is often neglected when considering the effects of soil–plant–atmosphere interactions on shallow water movement. The objectives of this study were to evaluate the coupled and separate effects of vegetative and thermal-gradient contributions to soil water movement in desert environments. The evaluation was done by comparing a series of simulations with and without vegetation and thermal forcing during a 4.7-yr period (May 2001–December 2005). For vegetated soil, evapotranspiration alone reduced root-zone (upper 1 m) moisture to a minimum value (25 mm) each year under both isothermal and nonisothermal conditions. Variations in the leaf area index altered the minimum storage values by up to 10 mm. For unvegetated isothermal and nonisothermal simulations, root-zone water storage nearly doubled during the simulation period and created a persistent driving force for downward liquid fluxes below the root zone (total net flux ~1 mm). Total soil water movement during the study period was dominated by thermally driven vapor fluxes. Thermally driven vapor flow and condensation supplemented moisture supplies to plant roots during the driest times of each year. The results show how nonisothermal flow is coupled with plant water uptake, potentially influencing ecohydrologic relations in desert environments.

[Evaluation of selected parameters of blood coagulation and fibrinolysis system in patients undergoing total hip replacement surgery with normovolemic hemodilution procedure and standard enoxaparine prophylaxis].

PubMed

Piecuch, Wiesław; Sokołowska, Bozena; Dmoszyńska, Anna; Furmanik, Franciszek

2003-01-01

The aim of the study was to evaluate selected blood coagulation and fibrinolysis parameters in patients undergoing total hip replacement surgery with normovolemic hemodilution and standard enoksaparine profilaxis. The study included 66 patients undergoing hip replacement surgery. The group consisted of 51 women and 15 men, within the age range of 47-78, the mean age was 64. In 32 (subgroup II) patients the surgery was performed with the use of normovolemic hemodilution, in 34 (subgroup I) the hemodilution procedure was not applied. The enoksaparine as prophylaxis started 12 hours prior to surgery and continued during hospitalisation. The examination of the coagulation system was performed: on the day of the operation in the morning, on the day of the operation in the evening and on the first day after operation. We determined the concentrations of TAT and PAP complexes, prothrombin fragments 1 + 2 (F1 + 2) and d-dimers (DD). 1) during total hip replacement surgery and particularly in the period of the first 12 hours after the procedure marked activation of coagulation and fibrinolysis occurRed; 2) the application of the hemodilution procedure does not influence significantly the degree of coagulation and fibrinolysis disorders in the perioperative period, but could reduced incidence of thromboembolic complications in the postoperative period.

Microscopic and submicron components of atmospheric particulate matter during high asthma periods in Brisbane, Queensland, Australia

NASA Astrophysics Data System (ADS)

Glikson, M.; Rutherford, S.; Simpson, R. W.; Mitchell, C. A.; Yago, A.

The study identifies the various components contributing to atmospheric particulate matter in Brisbane, Queensland, Australia, during the period from the end of April and the months of July-August in 1992, covering the autumn period which is typically the period of high asthma incidence in Brisbane. Most particulate matter is < 2 μm and submicronic. Electron microscopy revealed that the submicron material is composed mainly of combusted ("soot") and incompletely burned hydrocarbons arising from motor vehicle exhaust emissions, crustal matter in the form of quartz microconcretions and other silicates, quiescent spores of Mucorales, and soil bacteria. The contribution from pollen and fungal spores has been evaluated and quantified. Fungal spores counts dominate the bioaerosol counts in the 2-10 μm range and are very high in Brisbane from the end of April through May to mid-June. However even at peak periods the total bioaerosol count only contributes of the order of 5-10% of the total particulate mass. The results show that Pm 10 (particulate matter less than 10 μm in diameter) and nephelometer readings do not indicate peak periods of allergenic bioaerosol readings (in fact there is a negative correlation) due to the low contribution of the bioaerosol count to the total and the different influences of wind speed. However the electron microscopy results show that this does not mean there are no synergies between aerosols from anthropogenic sources and bioaerosols. The cytoplasmic content of spores and pollen was often found to be adhered to motor vehicle emission material and crustal matter. The latter may therefore act as carriers for dispersed cytoplasmic allergenic material released from pollen and fungal spores.

Lifetime moderate-to-vigorous physical activity and ER/PR/HER-defined post-menopausal breast cancer risk.

PubMed

Shi, Joy; Kobayashi, Lindsay C; Grundy, Anne; Richardson, Harriet; SenGupta, Sandip K; Lohrisch, Caroline A; Spinelli, John J; Aronson, Kristan J

2017-08-01

To assess the relationship of moderate-to-vigorous physical activity (MVPA) in leisure-time, household, and occupational domains across the total lifetime and in four age periods with breast cancer risk, as defined by estrogen receptor (ER)/progesterone receptor (PR) status and ER/PR/human epidermal growth factor-2 (HER2) status, among post-menopausal women. Data were from 692 women with incident breast cancer and 644 controls in the Canadian Breast Cancer Study, a case-control study of women aged 40-80 years in British Columbia and Ontario. Mean metabolic equivalent (MET)-hours/week for questionnaire-assessed leisure-time, household, and occupational MVPA were calculated for the total lifetime and four age periods (12-17, 18-34, 45-49, and ≥50 years). Odds ratios (ORs) for the relationships between domain-specific MVPA at each lifetime period and risks of ER/PR-defined and ER/PR/HER2-defined breast cancers were estimated using polytomous logistic regression. Trend tests for dose-response relationships were calculated for the ORs across increasing tertiles of mean MET-hours/week of MVPA. Total lifetime leisure-time MVPA was associated with reduced risk of ER-/PR- breast cancer in a dose-response fashion (p trend  = 0.014). In contrast, total lifetime household MVPA was associated with reduced risk of ER+ and/or PR+ breast cancer (p trend  < 0.001). When further stratified by HER2 status, the effect of leisure-time MVPA appeared confined to HER2- breast cancers, and the effect of household MVPA did not differ according to HER2 status. Similar trends were observed when stratified by age period. Lifetime leisure-time MVPA appeared to be associated with reduced risk of ER-/PR-/HER2- breast cancers and lifetime household MVPA was associated with reduced risk of ER+ and/or PR+ breast cancer, regardless of HER2 status.

Understanding exercise self-efficacy and barriers to leisure-time physical activity among postnatal women.

PubMed

Cramp, Anita G; Bray, Steven R

2011-07-01

Studies have demonstrated that postnatal women are at high risk for physical inactivity and generally show lower levels of leisure-time physical activity (LTPA) compared to prepregnancy. The overall purpose of the current study was to investigate social cognitive correlates of LTPA among postnatal women during a 6-month period following childbirth. A total of 230 women (mean age = 30.9) provided descriptive data regarding barriers to LTPA and completed measures of LTPA and self-efficacy (exercise and barrier) for at least one of the study data collection periods. A total of 1,520 barriers were content analyzed. Both exercise and barrier self-efficacy were positively associated with subsequent LTPA. Exercise self-efficacy at postnatal week 12 predicted LTPA from postnatal weeks 12 to 18 (β = .40, R (2) = .18) and exercise self-efficacy at postnatal week 24 predicted LTPA during weeks 24-30 (β = .49, R (2) = .30). Barrier self-efficacy at week 18 predicted LTPA from weeks 18 to 24 (β = .33, R (2) = .13). The results of the study identify a number of barriers to LTPA at multiple time points closely following childbirth which may hinder initiation, resumption or maintenance of LTPA. The results also suggest that higher levels of exercise and barrier self-efficacy are prospectively associated with higher levels of LTPA in the early postnatal period. Future interventions should be designed to investigate causal effects of developing participants' exercise and barrier self-efficacy for promoting and maintaining LTPA during the postnatal period.

Sexual differentiation of the adolescent rat brain: A longitudinal voxel-based morphometry study.

PubMed

Sumiyoshi, Akira; Nonaka, Hiroi; Kawashima, Ryuta

2017-03-06

The sexual differentiation of the rat brain during the adolescent period has been well documented in post-mortem histological studies. However, to further understand the morphological changes occurring in the entire brain, a noninvasive neuroimaging method allowing an unbiased, comprehensive, and longitudinal investigation of brain morphology should be used. In this study, we investigated the sexual differentiation of the rat brain during the adolescent period using longitudinal voxel-based morphometry (VBM) analysis. Male and female Wistar rats (n=12 of each) were scanned in a 7.0-T MRI scanner at five time points from 6 to 10 weeks of age. The T2-weighted MRI images were segmented using the rat brain tissue priors that have been published by our laboratory. At the global level, the results of the VBM analysis showed greater increases in total gray matter volume in the males during the adolescent period, although we did not find significant differences in total white matter volume. At the voxel level, we found significant increases in the regional gray matter volume of the occipital cortex, amygdala, hippocampal formation, and cerebellum. At the regional level, only the occipital cortex in the females exhibited decreases during the adolescent period. These results were, at least in part, consistent with those of previous longitudinal VBM studies in humans, thus providing translational evidence of the sexual differentiation of the developing brain between rodents and humans. Copyright © 2017 Elsevier B.V. All rights reserved.

Effect of Head Insulation on the Total Time Required to Rewarm Postoperative Cardiac Surgery Patients.

DTIC Science & Technology

1992-05-01

two-hour period in the recovery room. Individuals were excluded from the study if they had cardiac surgery, craniotomies , surgeries precluding the use...years). Patients were excluded if they had: craniotomies , cardiac surgery, coagulation defects, 34 preoperative hyperthermia, or previous tympanoplasty...intraoperatively. 3. Postoperative mediastinal/chest tube drainage > 100 ml/hour for four hours. 4. Postoperative cardiac arrest during data collection period

The Road to the Doctorate for California's Chicanas and Chicanos: A Study of Ford Foundation Minority Fellows. CPS Report.

ERIC Educational Resources Information Center

Solorzano, Daniel G.

This report addresses the underrepresentation of Mexican-Americans in the faculties of U.S. universities. During the 11-year period from 1980 to 1990, a total of 91,837 women received doctorates from U.S. universities, and of these, 751 (0.7 percent) were Mexican-Americans. Of the 148,352 men who received doctorates during this period, 1,189 (also…

Epidemic waves of the Black Death in the Byzantine Empire (1347-1453 AD).

PubMed

Tsiamis, Costas; Poulakou-Rebelakou, Effie; Tsakris, Athanassios; Petridou, Eleni

2011-09-01

The lack of valid demographic data and the literary ambiguities of the Byzantine chroniclers raise questions about the actual size and mortality rate of the Black Death in the Byzantine Empire. This study presents for the first time a quantitative overview of the Black Death in Byzantium for the period 1347-1453. Our data were obtained from descriptions of the plague, by prominent Byzantine historians and scholars, grouped by time of appearance and geographical spread. During the period 1347-1453, a total of 61 plague reports were noted, which can be distinguished in nine major epidemic waves, 11 local outbreaks and 16 disease-free periods. The capital Constantinople and the Venetian colonies of the Ionian and Aegean Sea were the areas most affected by the plague. The epidemic waves of the Black Death in Byzantium had a total average duration of 3.2 years. Scientific ignorance of the nature of the disease, a turbulent period of warfare and an organized maritime network seem to have contributed to the spread of the disease. Employing quantitative analysis, our multidisciplinary study sheds light from various standpoints on the evolution and dynamic of the plague in the South-eastern Mediterranean during the 14th and 15th centuries, despite the lack of sound morbidity and mortality data.

[Alcoholism prevention and alcohol advertising investment in Spain: David versus Goliath].

PubMed

Montes-Santiago, Julio; Lado Castro-Rial, Marta

2009-01-01

Alcohol advertising correlates with consumption, particularly in young people. We studied the evolution of the amounts spent on alcoholic beverages advertising and on advertising as a whole in conventional media in Spain during the period 1995-2005. We analyzed the amounts spent on advertising in total and on alcoholic beverages advertising by studying the annual INFOADEX Survey on Advertising Investment in Spain in conventional media (TV, radio, the press, billboards and Internet). The results were subdivided into the periods 1995-2000 and 2001-2005. In the period 1995-2000 there was an increase (Delta) in alcoholic beverages advertising expenditure, from 268 to 347 million euro (Delta=29.5%), but a decrease in its percentage of advertising as a whole (from 7.6% to 6.1%). In the period 2001-2005 there was a rise in alcohol advertising expenditure from 145 to 186 million euro(Delta=28.0%), and also in its percentage of total advertising (from 2.7% to 2.8%). In 2001-2005, spending by Regional governments on preventive advertising increased from 22 to 52 million euro (Delta=136%). Alcohol advertising expenditure remains high in Spain, with young people as a primary target. In contrast, there is only modest investment in preventive advertising. Regulatory measures are necessary with a view to protecting populations especially susceptible to uncontrolled consumption.

A bibliometric analysis of scientific production on atypical antipsychotic drugs from Italy

PubMed

López-Muñoz, Francisco; De Berardis, Domenico; Fornaro, Michele; Vellante, Federica; di Giannantonio, Massimo; Povedano-Montero, Francisco J; Póveda Fernández-Martín, Maria; Rubio, Gabriel; Álamo, Cecilio

2017-01-01

A bibliometric study of peer-reviewed scientific publications on atypical antipsychotic drugs (AADs) from Italy is herein presented. We selected the documents from Scopus database. We applied several bibliometric indicators of production and dispersion, including Price’s Law about the increase of scientific literature, and Bradford’s Law. We also calculated the participation index across different countries. The bibliometric data have also been correlated with some social and health data sourcing in Italy, such as total per capita expenditure on health and gross domestic expenditure. A total of 2949 original documents were published within the period 1972-2015. Our results state fulfilment of Price’s Law, with scientific production showing exponential growth (r=0.901, as against an r=0.838 after linear adjustment). The drugs most widely studied were clozapine (257 documents), risperidone (179), and olanzapine (172). Stratification into Bradford zones yielded a nucleus represented by the Journal of Clinical Psychopharmacology and Rivista di Psichiatria (58 articles, each one). A total of 1091 different journals were evaluated. The publications on AADs in Italy have undergone exponential growth over the studied period, which is in line with the progressively burgeoning on novel AAD releases. No evidence of saturation point was observed.

Health information technology vendor selection strategies and total factor productivity.

PubMed

Ford, Eric W; Huerta, Timothy R; Menachemi, Nir; Thompson, Mark A; Yu, Feliciano

2013-01-01

The aim of this study was to compare health information technology (HIT) adoption strategies' relative performance on hospital-level productivity measures. The American Hospital Association's Annual Survey and Healthcare Information and Management Systems Society Analytics for fiscal years 2002 through 2007 were used for this study. A two-stage approach is employed. First, a Malmquist model is specified to calculate hospital-level productivity measures. A logistic regression model is then estimated to compare the three HIT adoption strategies' relative performance on the newly constructed productivity measures. The HIT vendor selection strategy impacts the amount of technological change required of an organization but does not appear to have either a positive or adverse impact on technical efficiency or total factor productivity. The higher levels in technological change experienced by hospitals using the best of breed and best of suite HIT vendor selection strategies may have a more direct impact on the organization early on in the process. However, these gains did not appear to translate into either increased technical efficiency or total factor productivity during the period studied. Over a longer period, one HIT vendor selection strategy may yet prove to be more effective at improving efficiency and productivity.

Effects of different mechanized soil fertilization methods on corn soil fertility under continuous cropping

NASA Astrophysics Data System (ADS)

Shi, Qingwen; Wang, Huixin; Bai, Chunming; Wu, Di; Song, Qiaobo; Gao, Depeng; Dong, Zengqi; Cheng, Xin; Dong, Qiping; Zhang, Yahao; Mu, Jiahui; Chen, Qinghong; Liao, Wenqing; Qu, Tianru; Zhang, Chunling; Zhang, Xinyu; Liu, Yifei; Han, Xiaori

2017-05-01

Experiments for mechanized soil fertilization for corns were conducted in Faku demonstration zone. On this basis, we studied effects on corn soil fertility under continuous cropping due to different mechanized soil fertilization methods. Our study would serve as a theoretical basis further for mechanized soil fertilization improvement and soil quality improvement in brown soil area. Based on the survey of soil physical characteristics during different corn growth periods, we collected soil samples from different corn growth periods to determine and make statistical analysis accordingly. Stalk returning to field with deep tillage proved to be the most effective on available nutrient improvement for arable soil in the demonstration zone. Different mechanized soil fertilization methods were remarkably effective on total phosphorus improvement for arable soil in the demonstration zone, while less effective on total nitrogen or total potassium, and not so effective on C/N ratio in soil. Stalk returning with deep tillage was more favorable to improve content of organic matter in soil, when compared with surface application, and organic granular fertilizer more favorable when compared with decomposed cow dung for such a purpose, too.

Status and changes of mangrove forest in Mekong Delta: Case study in Tra Vinh, Vietnam

NASA Astrophysics Data System (ADS)

Thu, Phan Minh; Populus, Jacques

2007-01-01

Because shrimp culture in the Mekong Delta develops rapidly, it has negatively impacted the environment, socio-economics and natural resources. In particular, mangrove forests have been altered by the shrimp culture. The area of mangrove forests in the region has been reduced and this is seen especially in Tra Vinh province. The results obtained from GIS (Geography Information System) and RS (Remote Sensing) show the status of mangrove forests in Tra Vinh province in 1965, 1995 (Northeastern part of Tra Vinh Province) and 2001. In 1965, the area of mangrove forests was 21,221 ha making up 56% of total land-use, while in 2001 it was 12,797 ha making up 37% of total land-use. Also based on GIS analysis, over the 36 years (1965-2001), the total coverage of mangrove forests have decreased by 50% since 1965. However, the speed of mangrove forest destruction in the period from 1965 to 1995 was much less than that in the period from 1995 to 2001. The average annual reduction in mangrove forest coverage in the first period (1965-1995) was 0.2% whereas it was 13.1% in the later period (1995-2001). For the long time, mangrove deforestation has been caused by war, collection of firewood and clearing for agriculture, and recently, shrimp farming has significantly contributed rate of mangrove destruction.

Age-related differences of semen quality, seminal plasma, and spermatozoa antioxidative and oxidative stress variables in bulls during cold and warm periods of the year.

PubMed

Vince, S; Žura Žaja, I; Samardžija, M; Majić Balić, I; Vilić, M; Đuričić, D; Valpotić, H; Marković, F; Milinković-Tur, S

2018-03-01

The aims of this study were to determine the presence and quantities of antioxidative status and oxidative stress (OS) variables in the seminal plasma and spermatozoa of bulls of varying age during cold and warm periods of the year, and to establish the correlation of these variables with semen quality parameters. The study was conducted on two groups each comprising nine Simmental bulls: one group contained younger animals (aged 2 to 4 years) and the second older animals (aged 5 to 10 years). Semen samples were collected using an artificial vagina for biochemical analysis. Seminal plasma and spermatozoa activities of total superoxide dismutase (TSOD), manganese superoxide dismutase (MnSOD), copper-zinc superoxide dismutase (CuZnSOD), catalase (CAT), selenium-dependent glutathione peroxidase, reduced glutathione and concentrations of total protein (TP), thiobarbituric acid reactive substances (TBARS) and protein carbonyl content (PCC) were determined. Several antioxidants in seminal plasma were also determined: total glutathione peroxidase (TGSH-Px), selenium-independent glutathione peroxidase (Non-SeGSH-Px), uric acid, albumins (ALB) and alkaline phosphatase (ALP). Significantly higher spermatozoa motility was observed during the cold v. warm period, and a significantly higher volume and total number of spermatozoa per ejaculate was observed in older than in younger bulls. Significantly higher values of ALP, TP and ALB were found in seminal plasma of older bulls than in younger bulls during the warm period. The seminal plasma of younger bulls showed significantly higher activities of TSOD, MnSOD, CuZnSOD, TGSH-Px and Non-SeGSH-Px. Younger bulls had significantly higher PCC concentration and activity of CAT in seminal plasma than older bulls during the cold period. Significantly higher concentrations of PCC and TBARS, and activities of TSOD, MnSOD and CuZnSOD were established in spermatozoa of the younger than in older bulls during the warm period. It could be concluded that antioxidative and OS variables differ significantly depending on bull age and time of year. Younger bulls were more sensitive to elevated ambient temperatures during the warm period, when the higher enzymatic antioxidative protection in seminal plasma and spermatozoa were insufficient to counteract the intensive oxidative processes in spermatozoa, which eventually resulted in decreased spermatozoa motility. The estimation of antioxidative and OS variables in seminal plasma and spermatozoa may have practical value for the assessment of bull semen quality.

Effects of intermittent aeration periods on a structured-bed reactor continuously fed on the post-treatment of sewage anaerobic effluent.

PubMed

Silva, Bruno Garcia; Damianovic, Márcia Helena Rissato Zamariolli; Foresti, Eugenio

2018-04-20

This study assessed the simultaneous nitrification and denitrification processes and remaining organic matter removal from anaerobic reactor effluent treating wastewater in a single reactor. A structured-bed reactor, with polyurethane foam as support media, was subjected to intermittent aeration and effluent recirculation. Aerated/non-aerated periods varied in the range of 2/1-1/3 h. The chemical oxygen demand (COD) in the effluent remained between 26 and 42 mg L -1 throughout all the aeration conditions. Aeration periods of 1/2 h removed 80 and 26% of Total Kjeldahl Nitrogen and Total Nitrogen, respectively. A low solid production was observed during the 300 days of operation, resulting in a solid retention time of 139 days. The results indicate that the non-aerated periods generated alkalinity that favored nitrification, maintaining low COD concentrations in the effluent. The structured bed reactor presented a low solid production and effluent loss below 20 mgSSV L -1 , similar to concentrations obtained in secondary decanters.

Are sex differences in fundamental motor skills uniform throughout the entire preschool period?

PubMed

Kokštejn, Jakub; Musálek, Martin; Tufano, James J

2017-01-01

The aim of this study was to assess differences in fundamental motor skills (FMS) proficiency between boys and girls of each age group, independently, across the entire preschool period. Using the Movement Assessment Battery for Children-second edition, FMS proficiency was tested in 325 preschoolers (4.9 ± 1.1 y, range 3-6) using a cross-sectional design. Compared to boys of the same age, 3- and 4-year-old girls had greater total (p < .01), fine motor skill (p < .01), and balance scores (p < .05). There were no sex differences for total test or balance scores in 5- and 6-year-olds, but 6-year-old boys outperformed girls in aiming and catching (p < .001). These data not only agree with previous research in that sex differences in FMS proficiency exist in preschool children, but the data also show that differences may not be uniform throughout the whole preschool period when analyzing by age. To avoid under- or overestimating FMS proficiency and subsequently prescribing inaccurate motor intervention programs, FMS proficiency normative values should be age- and sex-specific throughout the entire preschool period.

Summary and analysis of water-quality data for the Arrowwood National Wildlife Refuge, east-central North Dakota, 1987-2004

USGS Publications Warehouse

Ryberg, Karen R.; Hiemenz, Gregory

2009-01-01

The Bureau of Reclamation collected water-quality samples at 16 sites on the James River and the Arrowwood National Wildlife Refuge, N. Dak., as part of its refuge-monitoring program from 1987-93 and as part of an environmental impact statement commitment from 1999-2004. Climatic and hydrologic conditions varied greatly during both sampling periods. The first period was dominated by drought conditions, which abruptly changed to cooler and wetter conditions in 1992-93. During the second period, conditions were near normal to very wet and included higher inflow from the James River into the refuge. The two periods also differed in the sites sampled, seasons sampled, and properties and constituent concentrations measured. Summary statistics were reported separately for the two sampling periods for all physical properties and constituents. Nonparametric statistical tests were used to further analyze some of the water-quality data. During the first sampling period, 1987-93, specific conductance, turbidity, hardness, alkalinity, total dissolved solids, total suspended solids, nonvolatile suspended solids, calcium, magnesium, sodium, potassium, sulfate, chloride, phosphate, total phosphorus, total organic carbon, chlorophyll a, and arsenic were determined to have significantly different medians among the sites tested. During the second sampling period, 1999-2004, the medians of pH, sodium, chloride, barium, and boron varied significantly among sites. Sites sampled and period of record varied between the two sampling periods and the period of record varied among the sites. Also, some constituents analyzed during the first period (1987-93) were not analyzed during the second period (1999-2004), and winter sampling was done during the second sampling period only. This variability reduces the number of direct comparisons that can be made between the two periods. Three sites had complete periods of record for both sampling periods and were compared. Differences in variability and median concentration were identified between the two time periods. Sites representing inflow to the refuge and outflow were compared statistically for the period when data were available for both sites, 1999-2004. Of the nutrients tested - ammonia plus organic nitrogen, phosphate, and total phosphorus - no significant statistical differences were found between the inflow samples and the outflow samples. Statistically significant differences were found for pH, sulfate, chloride, barium, and manganese. Nutrients are of particular interest in the refuge because of the aquatic plant and animal life and the use of the wetland resources by waterfowl. However, the nutrient data were highly censored and there were differences in the seasonal timing of sample collection between the two sampling periods. Therefore, the nutrient data were examined graphically with stripplots that highlighted differences in the seasonal timing of sample collection and concentration differences likely related to the differences in climatic and hydrologic conditions between the two periods.

Systematic Review of the Long-term Surgical Outcomes of Discoid Lateral Meniscus.

PubMed

Lee, Yong Seuk; Teo, Seow Hui; Ahn, Jin Hwan; Lee, O-Sung; Lee, Seung Hoon; Lee, Je Ho

2017-10-01

To evaluate the surgical treatment of the discoid lateral meniscus (DLM) with long-term follow-up and to search which factors are related to good clinical or radiological outcomes. Search was performed using a MEDLINE, EMBASE, and Cochrane database, and each of the selected studies was evaluated for methodological quality using a risk of bias (ROB) covering 7 criteria. Clinical and radiological outcomes with more than 5 years of follow-up were evaluated after surgical treatment of DLM. They were analyzed according to the age, follow-up period, kind of surgery, DLM type, and alignment. Eleven articles (422 DLM cases) were included in the final analysis. Among 7 criteria, 3 criteria showed little ROB in all studies. However, 4 criteria showed some ROB ("Yes" in 63.6% to 81.8%). The minimal follow-up period was 5.5 years (weighted mean follow-up: 9.1 years). Surgical procedures were performed with open or arthroscopic partial central meniscectomy, subtotal meniscectomy, total meniscectomy, or partial meniscectomy with repair. The majority of the studies showed good clinical results. Mild joint space narrowing was reported in the lateral compartment, but none of the knees demonstrated moderate or advanced degenerative changes. Increased age at surgery, longer follow-up period, and subtotal or total meniscectomy could be related to degenerative change. The majority of the complications was osteochondritis dissecans at the lateral femoral condyle (13 cases) and reoperation was performed by osteochondritis dissecans (4 cases), recurrent swelling (2 cases), residual symptom (1 case), stiffness (1 case), and popliteal stenosis (1 case). Good clinical results were obtained with surgical treatment of symptomatic DLM. The progression of degenerative change was minimal and none of the knees demonstrated moderate or advanced degenerative changes. Increased age at surgery, longer follow-up period, and subtotal or total meniscectomy were possible risk factors for degenerative changes. Level IV, systematic review of Level IV studies. Copyright © 2017 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

Impact of orphan drugs on Latvian budget.

PubMed

Logviss, Konstantins; Krievins, Dainis; Purvina, Santa

2016-05-11

Number of orphan medicinal products on the market and number of rare disease patients, taking these usually expensive products, are increasing. As a result, budget impact of orphan drugs is growing. This factor, along with the cost-effectiveness of orphan drugs, is often considered in the reimbursement decisions, directly affecting accessibility of rare disease therapies. The current study aims to assess the budget impact of orphan drugs in Latvia. Our study covered a 5-year period, from 2010 to 2014. Impact of orphan drugs on Latvian budget was estimated from the National Health Service's perspective. It was calculated in absolute values and relative to total pharmaceutical market and total drug reimbursement budget. A literature review was performed for comparison with other European countries. Orphan drug annual expenditure ranged between EUR 2.065 and 3.065 million, with total 5-year expenditure EUR 12.467 million. It constituted, on average, 0.84 % of total pharmaceutical market and 2.14 % of total drug reimbursement budget, respectively. Average annual per patient expenditures varied widely, from EUR 1 534 to EUR 580 952. The most costly treatment was enzyme replacement therapy (Elaprase) for MPS II. Glivec had the highest share (34 %) of the total orphan drug expenditure. Oncological drugs represented more than a half of the total orphan drug expenditure, followed by drugs for metabolic and endocrine conditions and medicines for cardiopulmonary diseases. Three indications: Ph+ CML, MPS II, and PAH accounted for nearly 90 % of the total orphan drug expenditure. Budget impact of orphan drugs in Latvia is very small. It increased slightly over a period of five years, due to the slight increase in the number of patients and the number of orphan drugs reimbursed. Current Latvian drug reimbursement system is not sufficient for most orphan drugs.

Intrarenal hemodynamic changes following acute partial renal arterial occlusion.

DOT National Transportation Integrated Search

1965-10-01

Both an increase and a decrease in total renal vascular resistance, following a period of total renal artery occlusion, have been reported from this laboratory. The duration of the occlusive period and height of the perfusion pressure were found to p...

Patterns of Orofacial Clefting in New York City From 1983 to 2010: Trends by Racial Background, Birthplace, and Public Health Strategies.

PubMed

Butts, Sydney C; Reynolds, Simone; Gitman, Lyuba; Patel, Prayag; Joseph, Michael

2018-01-01

To determine the role of racial background, public health initiatives, and residence on the prevalence of orofacial clefts (OFCs) in New York City (NYC). Retrospective review of OFC cases from the New York State Congenital Malformations Registry. Patients born with an OFC and all live births to mothers residing in NYC between 1983 and 2010. Orofacial cleft birth prevalence by cleft type, race, and borough of maternal residence for each year and by time period around the implementation of public health interventions including folate supplementation. A total of 3557 cases were reviewed. The prevalence remained stable for cleft palate and cleft lip with or without cleft palate (CL ± P) in sequential time periods of the study. Among CL ± P cases, cleft lip prevalence decreased early in the study compared to increases in cleft lip and palate prevalence. For most years, the prevalence of OFCs was lower among African Americans than whites. A total of 12% to 26% of mothers in 4 of the NYC boroughs deliver outside of their borough of residence, choosing to give birth in Manhattan most often. No difference in OFC prevalence was shown in any of the 5 NYC boroughs. The period prevalence remained relatively stable during the time periods before and after the implementation of folate supplementation for OFCs in NYC. Prevalence of OFC subtypes was lower for most time periods during this study among African Americans compared to whites. Several factors may explain the choice of birthplace outside of the mother's borough of residence.

Inhaled corticosteroids and asthma control in adult-onset asthma: 12-year follow-up study.

PubMed

Vähätalo, Iida; Ilmarinen, Pinja; Tuomisto, Leena E; Niemelä, Onni; Kankaanranta, Hannu

2018-04-01

Prescribed inhaled corticosteroid (ICS) doses in asthma have been studied in cross-sectional settings whereas long-term follow-up studies have not been carried out. To evaluate prescribed medication longitudinally by calculating cumulative ICS doses and dose changes in a cohort of new-onset adult asthma during 12 years and in different groups of asthma control. A total of 203 patients were followed for 12 years as part of Seinäjoki Adult Asthma Study (SAAS). All asthma-related visits and prescribed medication over the study period were collected from medical records. Total cumulative ICS dose for the 12-year follow-up period was 3.4g (±SEM 0.1) per patient. Both respiratory specialists and GPs prescribed step-ups and step-downs in ICS treatment and in total 649 dose changes were noted during the follow-up (median 3(1-5) per patient). Patients with uncontrolled asthma received higher ICS doses throughout the follow-up period, and therefore, cumulative 12-year ICS dose (3.8g ± SEM 0.2) in this group was higher than that in those with partially controlled (3.4g ± SEM 0.2) or controlled disease (2.9g ± SEM 0.2) (p = 0.0001). Patients with uncontrolled asthma were also prescribed a higher number of ICS dose changes than patients with controlled disease. Despite frequent dose changes and high ICS doses during the 12-year follow-up, the level of asthma control remained poor in patients with uncontrolled asthma. This suggests that high ICS doses may not be effective enough for management of disease in patients with uncontrolled adult-onset asthma and novel targeted treatments are required. Copyright © 2018 Elsevier Ltd. All rights reserved.

Impact of the lay-off length on +Gz tolerance.

PubMed

Mikuliszyn, Romuald; Kowalski, Wieslaw; Kowalczuk, Krzysztof

2002-07-01

There are many factors affecting pilots' +Gz-tolerance. Recently, attention of the aviation community has been focused on lay-off and it's impact on +Gz-tolerance. Pilots of the Polish Air Force (PAF) have dealt with that problem for several years now. The aim of the study was to provide insight on how lay-off periods with different duration impact +Gz-tolerance. 95 male jet pilots from the PAF participated in the study. Every one had at least two weeks lay-off period (non-medical reasons). Subjects were divided into four groups according to the length of lay-off period (2-4 weeks; 5-13 weeks; 14-26 weeks; 27-154 weeks), All pilots were subjected to a centrifuge exposure in GOR (0.1 G/s) or ROR (1.0 G/s) profiles, depending on the pre-lay-off exposure. Post-lay-off exposures were carried out directly after lay-off. 18 jet pilots without any lay-off constituted the control group. The difference between pre- and post-lay-off G-tolerance limit (-0,93 +/- 0,53) was statistically significant (p<0.01) only for one group, where lay-off period ranged between two and four weeks. No statistically significant differences were found where influence of other factors like total and yearly flight hours, heart rate gain (AHR) or physical activity measured as maximal oxygen intake were considered. 2-4 weeks of lay-off period decreases +Gz tolerance is statistically significant manner. Subsequent increase of lay-off period does not result in mean tolerance changes for group, however in certain individuals critical decrement of +Gz tolerance occurs. Total and last year flying hours, physical fitness does not modify impact of lay-off period on +Gz tolerance.

Moderate glycemic control safe in critically ill adult burn patients: A 15 year cohort study.

PubMed

Stoecklin, Patricia; Delodder, Frederik; Pantet, Olivier; Berger, Mette M

2016-02-01

Hyperglycemia is a metabolic alteration in major burn patients associated with complications. The study aimed at evaluating the safety of general ICU glucose control protocols applied in major burns receiving prolonged ICU treatment. 15 year retrospective analysis of consecutive, adult burn patients admitted to a single specialized centre. death or length of stay <10 days, age <16 years. demographic variables, burned surface (TBSA), severity scores, infections, ICU stay, outcome. Metabolic variables: total energy, carbohydrate and insulin delivery/24h, arterial blood glucose and CRP values. Analysis of 4 periods: 1, before protocol; 2, tight doctor driven; 3, tight nurse driven; 4, moderate nurse driven. 229 patients, aged 45 ± 20 years (mean ± SD), burned 32 ± 20% TBSA were analyzed. SAPSII was 35 ± 13. TBSA, Ryan and ABSI remained stable. Inhalation injury increased. A total of 28,690 blood glucose samples were analyzed: the median value remained unchanged with a narrower distribution over time. After the protocol initiation, the normoglycemic values increased from 34.7% to 65.9%, with a reduction of hypoglycaemic events (no extreme hypoglycemia in period 4). Severe hyperglycemia persisted throughout with a decrease in period 4 (9.25% in period 4). Energy and glucose deliveries decreased in periods 3 and 4 (p<0.0001). Infectious complications increased during the last 2 periods (p=0.01). A standardized ICU glucose control protocol improved the glycemic control in adult burn patients, reducing glucose variability. Moderate glycemic control in burns was safe specifically related to hypoglycemia, reducing the incidence of hypoglycaemic events compared to the period before. Hyperglycemia persisted at a lower level. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved.

Hospital union election activity, 1974-85

PubMed Central

Becker, Edmund R.; Rakich, Jonathon S.

1988-01-01

This study, using National Labor Relations Board data and American Hospital Association data, reports on the status of union election activity in the hospital industry for a 65-month period, January 1980-May 1985, and contrasts it with earlier data for a similar 65-month time period (1974-79). Together these data provide a comprehensive overview of union election activity in non-Federal, nongovernment hospitals since the passage of the 1974 Nonprofit Hospital Amendments to the Taft-Hartley Act. The study analyzes union, election, hospital, and environmental characteristics. Comparisons over the two time periods show that, while union victory rates in hospital elections have remained constant, the total number of elections has declined dramatically in the hospital industry. PMID:10312518

Predictors of breast feeding self-efficacy in the immediate postpartum period: A cross-sectional study.

PubMed

Yang, Xiao; Gao, Ling-Ling; Ip, Wan-Yim; Sally Chan, Wai Chi

2016-10-01

to examine breast feeding self-efficacy and identify its predictors among mainland Chinese mothers in the early postpartum period. a cross-sectional descriptive questionnaire survey was conducted in a regional teaching hospital with childbirth rate over 3000 per year at Guangzhou, China from April 1 to July 14, 2014. a total of 571 Chinese mothers who were within 72-96hours post partum were recruited consecutively to the study. data were collected by the Chinese version of the Breastfeeding Self-efficacy Scale-Short Form (BSES-SF), the Network Support for Breastfeeding Scale (NSBS) and a socio-demographic data sheet. a total of 640 eligible women was approached and 571 mothers completed the study with the response rate of 89%. Mothers reported moderate level of breast feeding self-efficacy in the immediate postpartum period. The best-fit regression analysis revealed six variables that explained 43.9% of the variance in breast feeding self-efficacy in the immediate postpartum period. They were intention of breast feeding, support from husband, support from nurses/midwives, attending antenatal breast feeding classes, time from childbirth to initiate breast feeding and previous breast feeding experience. this study found six predictors of breast feeding self-efficacy in the immediate postpartum period. In order to increase maternal breast feeding self-efficacy level, a more women-centred approach is recommended. Mothers and fathers should be facilitated to attend antenatal classes on breast feeding. New mother' husband could be encouraged in supporting breast feeding. Nurses and midwives could encourage new mothers to initiate breast feeding as soon as possible. Further work to promote early mother-infant contact post birth, such as via skin to skin contact should also be facilitated where possible. Copyright © 2016 Elsevier Ltd. All rights reserved.

Evaluation of the incremental cost to the National Health Service of prescribing analogue insulin

PubMed Central

Holden, Sarah E; Poole, Chris D; Morgan, Christopher Ll

2011-01-01

Introduction Insulin analogues have become increasingly popular despite their greater cost compared with human insulin. The aim of this study was to calculate the incremental cost to the National Health Service (NHS) of prescribing analogue insulin preparations instead of their human insulin alternatives. Methods Open-source data from the four UK prescription pricing agencies from 2000 to 2009 were analysed. Cost was adjusted for inflation and reported in UK pounds at 2010 prices. Results Over the 10-year period, the NHS spent a total of £2732 million on insulin. The total annual cost increased from £156 million to £359 million, an increase of 130%. The annual cost of analogue insulin increased from £18.2 million (12% of total insulin cost) to £305 million (85% of total insulin cost), whereas the cost of human insulin decreased from £131 million (84% of total insulin cost) to £51 million (14% of total insulin cost). If it is assumed that all patients using insulin analogues could have received human insulin instead, the overall incremental cost of analogue insulin was £625 million. Conclusion Given the high marginal cost of analogue insulin, adherence to prescribing guidelines recommending the preferential use of human insulin would have resulted in considerable financial savings over the period. PMID:22021891

Pharmacist review and its impact on Singapore nursing homes

PubMed Central

Chia, Hui Shan; Ho, John Aik Hui; Lim, Bernadette Daolin

2015-01-01

INTRODUCTION There is a high prevalence of polypharmacy and inappropriate medication use in Singapore nursing homes. This study primarily explored the benefits of pharmacist reviews in local nursing homes. The secondary aims were to review the potential cost savings gained from following the pharmacists’ recommendations and to identify the possible risks associated with polypharmacy and inappropriate medication use. METHODS A retrospective period prevalence study was performed. We analysed the pharmacotherapy problems highlighted by pharmacists in three nursing homes and the rate of acceptance of pharmacists’ recommendations. Data was collected in two phases: (a) a one-month pre-setup period, during which 480 patients were reviewed (i.e. one-time review before weekly pharmacist visits); and (b) a six-month post-setup period, during which the 480 patients were reviewed again. Pharmacotherapy problems were classified according to a clinical pharmacist recommendation taxonomy and potential risks were identified. Monthly cost savings were calculated and compared with the monthly costs of pharmacist reviews. RESULTS A total of 392 pharmacotherapy problems were identified, with pharmacist recommendations noted for each problem. Among the 392 recommendations, 236 (60.2%) were accepted. The pharmacotherapy problems were analysed for potential risks, including falls (16.0%) and constipation (13.1%). The acceptance rates were higher during the post-setup period compared to the pre-setup period (p < 0.0001). Total direct acquisition cost savings during the pre- and post-setup periods were SGD 388.30 and SGD 876.69, respectively. CONCLUSION The provision of pharmaceutical care to nursing home residents resulted in improved medication safety and quality of care. PMID:26451051

Variability of total step activity in children with cerebral palsy: influence of definition of a day on participant retention within the study.

PubMed

Wilson, Nichola C; Mudge, Suzie; Stott, N Susan

2016-08-20

Activity monitoring is important to establish accurate daily physical activity levels in children with cerebral palsy (CP). However, few studies address issues around inclusion or exclusion of step count data; in particular, how a valid day should be defined and what impact different lengths of monitoring have on retention of participant data within a study. This study assessed how different 'valid day' definitions influenced inclusion of participant data in final analyses and the subsequent variability of the data. Sixty-nine children with CP were fitted with a StepWatch™ Activity Monitor and instructed to wear it for a week. Data analysis used two broad definitions of a day, based on either number of steps in a 24 h monitoring period or the number of hours of recorded activity in a 24 h monitoring period. Eight children either did not use the monitor, or used it for only 1 day. The remaining 61 children provided 2 valid days of monitoring defined as >100 recorded steps per 24 h period and 55 (90 %) completed 2 valid days of monitoring with ≥10 h recorded activity per 24 h period. Performance variability in daily step count was lower across 2 days of monitoring when a valid day was defined as ≥10 h recorded activity per 24 h period (ICC = 0.765) and, higher when the definition >100 recorded steps per 24 h period (ICC = 0.62). Only 46 participants (75 %) completed 5 days of monitoring with >100 recorded steps per 24 h period and only 23 (38 %) achieved 5 days of monitoring with ≥10 h recorded activity per 24 h period. Datasets of participants who functioned at GMFCS level II were differentially excluded when the criteria for inclusion in final analysis was 5 valid days of ≥10 h recorded activity per 24 h period, leaving datasets available for only 8 of 32 participant datasets retained in the study. We conclude that changes in definition of a valid day have significant impacts on both inclusion of participant data in final analysis and measured variability of total step count.

Tinea capitis: a retrospective epidemiological comparative study.

PubMed

Chokoeva, A A; Zisova, L; Sotiriou, E; Miteva-Katrandzhieva, T

2017-03-01

Currently, a wide spectrum of retrospective studies regarding the incidence of TC among children and adults are available in the world literature, but none of them are comparative, aiming to distinguish etiological diversity depending on the different geographic areas. This study aimed to investigate the epidemiology of TC in Plovdiv, Bulgaria and Thessaloniki, and Greece, and to compare the results and predominant etiological agents using retrospective comparative analysis for an 11-year time period. The subjects included were selected from archives of the Mycological Laboratory of the University Dermatologic Clinic, University Hospital "St. George" Plovdiv, Bulgaria, and the Mycological Laboratory of the First Dermatology Department of Aristotle University Thessaloniki, Greece, by retrospective analysis of data from an 11-year time period (2004-2014). A total count of 374 children aged 0-18, with confirmed diagnosis of TC via direct mycological examination and culture were included (128 children from Plovdiv, Bulgaria, and 246 children from Thessaloniki, Greece). Samples were plated on Sabouraud agar, followed by species identification of the isolated colonies. Our results demonstrate that the incidence of TC in the region of Bulgaria and Thessaloniki for the investigated period was lower than for the previously reported period. In Plovdiv, Bulgaria, it was 1.20 ± 0.09 % (n = 172 from a total count of 14,278 cases of mycoses), as the disease accounts for 23.10 ± 1.79 % of all mycological infections among the pediatric population and 0.36 ± 0.05 % (n = 49 from a total count of 13,724) among the adults patients in Plovdiv, Bulgaria. The incidence of the disease during the period 2004-2014 in Thessaloniki was 2.49 ± 0.15 % (n = 253 cases of TC from a total count of 10,168 mycoses), as it accounts for approximately 27.06 ± 1.47 % of mycological infections among the pediatric population in Thessaloniki, Greece, and 0.08 ± 0.03 % (n = 7 from a total count of 9259) of the population of adult patients with mycoses. Our study confirmed the presumption that M. canis is the leader among the causative agents in TC in children in both of the included countries, but its presence in the etiology of disease in adult patients was very low and nonsignificant. We categorically identified dominance of the female gender among the children with TC in Plovdiv, Bulgaria; while in Thessaloniki, Greece, the gender distribution had an almost equal ratio of males to females. Our results suggest that the gender predisposition depends also on the investigated geographic region and the time of the study, rather than only on the causative pathogen and age.

The contribution of volume, technique, and load to single-repetition and total-repetition kinematics and kinetics in response to three loading schemes.

PubMed

Crewther, Blair T; Cronin, John; Keogh, Justin W L

2008-11-01

This study examined the effect of volume, technique, and load upon single-repetition and total-repetition kinematics and kinetics during three loading schemes. Eleven recreationally trained males each performed a power (8 sets of 6 repetitions at 45% of one-repetition maximum [1RM], 3-minute rest periods, explosive and ballistic movements), hypertrophy (10 sets of 10 repetitions at 75% 1RM, 2-minute rest periods, controlled movements), and maximal strength (6 sets of 4 repetitions at 88% 1RM, 4-minute rest periods, explosive intent) scheme involving squats. Examination of repetition data showed that load intensity (% 1RM) generally had a direct effect on forces, contraction times, impulses, and work (i.e., increasing with load), whereas power varied across loads (p < 0.001). However, total-repetition forces, contraction times, impulses, work, and power were all greater in the hypertrophy scheme (p < 0.001), because of the greater number of repetitions performed (volume) as well as lifting technique. No differences in total forces were found between the equal-volume power and maximal strength schemes, but the former did produce greater total contraction times, work, and power (p < 0.001), which may also be attributed to repetition and technique differences. Total impulses were the only variable greater in the maximal strength scheme (p < 0.001). Thus, the interaction of load, volume, and technique plays an important role in determining the mechanical responses (stimuli) afforded by these workouts. These findings may explain disparities cited within research, regarding the effectiveness of different loading strategies for hypertrophy, maximal strength, and power adaptation.

Effect of 2011 Accreditation Council for Graduate Medical Education Duty-Hour Regulations on Objective Measures of Surgical Training.

PubMed

Condren, Audree B; Divino, Celia M

2015-01-01

In July 2011, new Accreditation Council for Graduate Medical Education duty-hour regulations were implemented in surgical residency programs. We examined whether differences in objective measures of surgical training exist at our institution since implementation. Retrospective reviews of the American Board of Surgery In-Training Examination performance and surgical case volume were collected for 5 academic years. Data were separated into 2 groups, Period 1: July 2008 through June 2011 and Period 2: July 2011 through June 2013. Single-institution study conducted at the Mount Sinai Hospital, New York, NY, a tertiary-care academic center. All general surgery residents, levels postgraduate year 1 through 5, from July 2008 through June 2013. No significant differences in the American Board of Surgery In-Training Examination total correct score or overall test percentile were noted between periods for any levels. Intern case volume increased significantly in Period 2 (90 vs 77, p = 0.036). For chief residents graduating in Period 2, there was a significant increase in total major cases (1062 vs 945, p = 0.002) and total chief cases (305 vs 267, p = 0.02). The duty-hour regulations did not negatively affect objective measures of surgical training in our program. Compliance with the Accreditation Council for Graduate Medical Education duty-hour regulations correlated with an increase in case volume. Adaptations made by our institution, such as maximizing daytime duty hours and increasing physician extenders, likely contributed to our findings. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Reproducibility of the serum lipid response to coffee oil in healthy volunteers

PubMed Central

Boekschoten, Mark V; Engberink, Mariëlle F; Katan, Martijn B; Schouten, Evert G

2003-01-01

Background Humans and animals show a certain consistency in the response of their serum lipids to fat-modified diets. This may indicate a genetic basis underlying this response. Coffee oil might be used as a model substance to investigate which genes determine differences in the serum lipid response. Before carrying out such studies our objective was to investigate to what extent the effect of coffee oil on serum lipid concentrations is reproducible within subjects. Methods The serum lipid response of 32 healthy volunteers was measured twice in separate five-week periods in which coffee oil was administered (69 mg cafestol / day). Results Total cholesterol levels increased by 24% in period 1 (range:0;52%) and 18% in period 2 (1;48%), LDL cholesterol by 29 % (-9;71%) and 20% (-12;57%), triglycerides by 66% (16;175%) and 58% (-13;202%), and HDL cholesterol did not change significantly: The range of the HDL response was -19;25% in period 1 and -20;33% in period 2. The correlation between the two responses was 0.20 (95%CI -0.16, 0.51) for total cholesterol, 0.16 (95%CI -0.20, 0.48) for LDL, 0.67 (95%CI 0.42, 0.83) for HDL, and 0.77 (95%CI 0.56, 0.88) for triglycerides. Conclusions The responses of total and LDL cholesterol to coffee oil were poorly reproducible within subjects. The responses of HDL and triglycerides, however, appeared to be highly reproducible. Therefore, investigating the genetic sources of the variation in the serum-lipid response to coffee oil is more promising for HDL and triglycerides. PMID:14613505

School-based study found that physical activity and aerobic fitness predicted increases in total body fat and abdominal fat at a mean age of 9.8 years.

PubMed

Danielson, Anton; Thorsson, Ola; Karlsson, Magnus K; Wollmer, Per; Andersen, Lars B; Dencker, Magnus

2018-02-22

We assessed whether baseline measurements of physical activity, aerobic fitness, body fat and abdominal fat were predictors of changes in body fat measurements over a two-year period. The study comprised of 204 children aged 9.8 ± 0.6 years with a normal body mass distribution, who recruited from four schools in middle-class areas of Malmö, Sweden, from 2001 to 2004. Peak oxygen uptake and physical activity were measured at baseline. Body fat was measured by dual-energy X-ray absorptiometry at baseline and two years later. Physical activity, aerobic fitness and total body fat or abdominal fat were predictors of change in total body fat or abdominal fat over a period of two years. Changes in the percentage of body fat were not related to any of the baseline measurements. Our two-year follow-up of children with a mean age of 9.8 years at baseline showed that physical activity, aerobic fitness and body fat or abdominal fat predicted changes in total body fat or abdominal fat, but not the percentage of body fat. ©2018 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

Causes and characteristics of medical student referrals to a professional behaviour board.

PubMed

Barnhoorn, Pieter C; Bolk, Jan H; Ottenhoff-de Jonge, Marleen W; van Mook, Walther N K A; de Beaufort, Arnout Jan

2017-01-15

To describe the nature of unprofessional behaviour displayed by medical students, as well as the characteristics of students referred to the professional behaviour board. A descriptive mixed methods approach was taken, in which qualitative data on unprofessional behaviour, as well as quantitative data on the demographics of referred students were collected during the study period between June 1, 2009 and January 1, 2014. In order to compare the referred students with the total student population, data on gender, nationality and phase in the curriculum of the total student population, collected from the student administration desk, were also used. In the study period, a total of 107 referrals were reported, concerning 93 different students (3% of the total student population). Sixty-five of the 107 referrals (61%) concerned male students. Thirty referrals (28%) concerned non-Dutch students. Most referrals (71%) occurred during clinical rotations. The referrals were equally distributed over three professional behaviour domains: dealing with oneself, dealing with others, and dealing with tasks/work. 'Withdrawn behaviour' was reported 17 times, 'insufficient Dutch language proficiency' 14 times, 'impertinent emails' 9 times and 'placing privacy-sensitive photos on the internet' 3 times. Although only a minority of students are referred to a professional behaviour board, this study shows that student characteristics such as gender and nationality may correlate to a higher incidence of unprofessional behaviour. Further explanatory and exploratory research is needed to unravel this relationship, and to study the influence of curriculum reforms on these relationships, respectively.

Public offerings of securities by petroleum industry: methods and costs of raising capital

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

Siemon, D.

1978-01-01

This study examines public securities offerings by the petroleum industry and the flotation costs associated with raising capital through offerings to the public. Descriptive material is presented on an aggregate basis for the industry and also by selected company characteristics. Data were obtained from the Securities and Exchange Commission's records of registration statements for public offerings and include all public offerings registered with the SEC during the period January 1970 through October 1975. The petroleum industry issued 101 debt offerings and 1058 equity offerings during the time period. The total number of offerings for all industries was estimated to bemore » 20,000, so the petroleum industry accounted for roughly 5% of the total volume.« less

Menu-engineering in restaurants - adapting portion sizes on plates to enhance vegetable consumption: a real-life experiment.

PubMed

Reinders, Machiel J; Huitink, Marlijn; Dijkstra, S Coosje; Maaskant, Anna J; Heijnen, Joris

2017-12-25

The aim of this research was to investigate whether increased portion sizes of vegetables and decreased portion sizes of meat on main dishes increased the amount of vegetables consumed in a real-life restaurant setting without affecting customer satisfaction. The participants were unaware of the experiment. A cross-over design was used in which three restaurants were randomly assigned to a sequence of an intervention and control condition. In the intervention period, the vegetable portion sizes on the plates of main dishes were doubled (150 g of vegetables instead of 75 g) and the portion sizes of meat on the plates were reduced by an average of 12.5%. In the control period, the portion sizes of the main dishes were maintained as usual. In total, 1006 observations and questionnaires were included. Vegetable consumption from plates was significantly higher during the intervention period (M = 115.5 g) than during the control period (M = 61.7 g). Similarly, total vegetable consumption (including side dishes) was significantly higher during the intervention period (M = 178.0 g) than during the control period (M = 137.0 g). Conversely, meat consumption was significantly lower during the intervention period (M = 183.1 g) than during the control period (M = 211.1 g). Satisfaction with the restaurant visit did not differ between the intervention period (M = 1.27) and control period (M = 1.35). Satisfaction with the main dish was significantly lower during the intervention period (M = 1.25) than during the control period (M = 1.38), although in both cases, the scores indicated that participants remained (very) satisfied with their main dish. This study showed that increasing vegetable portions in combination with decreasing meat portions (unknowingly to the consumer) increased the amount of vegetables consumed and decreased the amount of meat consumed. Furthermore, despite the changes in portion sizes, participants remained satisfied with their restaurant visit and main dish. The findings of this study suggest that modifying portion size in restaurants is an effective tool for stimulating vegetable consumption and consequently healthy and sustainable diets.

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

Vlies, C. H. van der, E-mail: c.h.vandervlies@amc.uva.nl; Hoekstra, J.; Ponsen, K. J.

Introduction: Nonoperative management (NOM) has become the treatment of choice for hemodynamically stable patients with blunt splenic injury. Results of outcome after NOM are predominantly based on large-volume studies from level 1 trauma centers in the United States. This study was designed to assess the results of NOM in a relatively low-volume Dutch level 1 trauma center. Methods: An analysis of a prospective trauma registry was performed for a 6-year period before (period 1) and after the introduction and implementation of splenic artery embolization (SAE) (period 2). Primary outcome was the failure rate of initial treatment. Results: A total ofmore » 151 patients were reviewed. An increased use of SAE and a reduction of splenic operations during the second period was observed. Compared with period 1, the failure rate after observation in period 2 decreased from 25% to 10%. The failure rate after SAE in period 2 was 18%. The splenic salvage rate (SSR) after observation increased from 79% in the first period to 100% in the second period. During the second period, all patients with failure after observation were successfully treated with SAE. The SSR after SAE in periods 1 and 2 was respectively 100% and 86%. Conclusions: SAE of patients with blunt splenic injuries is associated with a reduction in splenic operations. The failure and splenic salvage rates in this current study were comparable with the results from large-volume studies of level 1 trauma centers. Nonoperative management also is feasible in a relatively low-volume level 1 trauma center outside the United States.« less

Effect of the first night shift period on sleep in young nurse students.

PubMed

Fietze, Ingo; Knoop, Karsten; Glos, Martin; Holzhausen, Martin; Peter, Jan Giso; Penzel, Thomas

2009-12-01

In young hospital nurses being exposed to a night shift work schedule for the first time in their occupational life, sleep quality is investigated quantitatively. A main sleep period and supplementary sleep periods were defined and analyzed to investigate sleep behavior and quality. A total of 30 young nurses (26 women, 4 men), mean age 20.2 +/- 2.1 years participated. A 3 week nursing school period was followed by a 3 week work period with a 3-5 night shift sub-period and recovery days. Sleep-wake behavior was assessed with an actigraph, sleep diaries, Epworth sleepiness scale (ESS), and quality of life was assessed with a standard questionnaire (SF-36). Comparing the school period with the work shift period when excluding recovery days after night shift period significant increase of total sleep time within 24 h was found during the work days (ANOVA P < 0.05). During the night shift sub-period, there was just a small decline of the main sleep period at day (n.s.) which was not compensated by supplementary sleep episodes. The supplementary sleep during work day varied between 11 min (school period) and 18 min after recovery days from night shift (n.s.). Young healthy nurses tolerate the first night shift exposure very well, according to objective and subjective parameters related to quality of sleep. An increased sleep need during work days lead to longer total sleep time, but do not lead to longer supplementary sleep episodes. Young nurses tolerate the first rotating shift period and the first night shift period very well.

Recent trends in rainfall and temperature over North West India during 1871-2016

NASA Astrophysics Data System (ADS)

Saxena, Rani; Mathur, Prasoon

2018-03-01

Rainfall and temperature are the most important environmental factors influencing crop growth, development, and yield. The northwestern (NW) part of India is one of the main regions of food grain production of the country. It comprises of six meteorological subdivisions (Haryana, Punjab, West Rajasthan, East Rajasthan, Gujarat and Saurashtra, Kutch and Diu). In this study, attempts were made to study variability and trends in rainfall and temperature during 30-year climate normal periods (CN) and 10-year decadal excess or deficit rainfall frequency during the historical period from 1871 to 2016. The Mann-Kendall and Spearman's rank correlation (Spearman's rho) tests were used to determine significance of trends. Least square linear fitting method was adopted to find out the slopes of the trend lines. The long-term mean annual rainfall over North West India is 587.7 mm (standard deviation of 153.0 mm and coefficient of variation 26.0). There was increasing trend in minimum and maximum temperatures during post monsoon season in entire study period and current climate normal period (1991-2016) due to which the sowing of rabi season crops may be delayed and there may be germination problem too. There was a non-significant decreasing trend in rainfall during monsoon season and an increasing trend in rainfall during post monsoon over North West India during entire study period. During current CN5 (1991-2016), all the subdivision (except the Saurashtra region) showed a decreasing trend in rainfall during monsoon season which is a matter of concern for kharif crops and those rabi crops which are grown as rainfed on conserved soil moisture. The decadal annual and seasonal frequencies of excess and deficit years results revealed that the annual total deficit rainfall years (24) exceeded total excess rainfall years (22) in North West India during the entire study period. While during the current decadal period (2011 to 2016), single year was the excess year and 2 years were deficit rainfall years in all subdivisions (except East Rajasthan) on annual basis.

Tennessee Valley Total and Cloud-to-Ground Lightning Climatology Comparison

NASA Technical Reports Server (NTRS)

Buechler, Dennis; Blakeslee, R. J.; Hall, J. M.; McCaul, E. W.

2008-01-01

The North Alabama Lightning Mapping Array (NALMA) has been in operation since 2001 and consists often VHF receivers deployed across northern Alabama. The NALMA locates sources of impulsive VHF radio signals from total lightning by accurately measuring the time that the signals arrive at the different receiving stations. The sources detected are then clustered into flashes by applying spatially and temporally constraints. This study examines the total lightning climatology of the region derived from NALMA and compares it to the cloud-to-ground (CG) climatology derived from the National Lightning Detection Network (NLDN) The presentation compares the total and CG lightning trends for monthly, daily, and hourly periods.

Infectious Complications during Tandem High-Dose Chemotherapy and Autologous Stem Cell Transplantation for Children with High-Risk or Recurrent Solid Tumors

PubMed Central

Kang, Ji-Man; Lee, Ji Won; Yoo, Keon Hee; Kim, Yae-Jean; Sung, Ki Woong; Koo, Hong Hoe

2016-01-01

We retrospectively analyzed infectious complications during tandem high-dose chemotherapy and autologous stem cell transplantation (HDCT/auto-SCT) in children and adolescents with high-risk or recurrent solid tumors. A total of 324 patients underwent their first HDCT/auto-SCT between October 2004 and September 2014, and 283 of them proceeded to their second HDCT/auto-SCT (a total of 607 HDCT/auto-SCTs). During the early transplant period of 607 HDCT/auto-SCTs (from the beginning of HDCT to day 30 post-transplant), bacteremia, urinary tract infection (UTI), respiratory virus infection, and varicella zoster virus (VZV) reactivation occurred in 7.1%, 2.3%, 13.0%, and 2.5% of HDCT/auto-SCTs, respectively. The early transplant period of the second HDCT/auto-SCT had infectious complications similar to the first HDCT/auto-SCT. During the late transplant period of HDCT/auto-SCT (from day 31 to 1 year post-transplant), bacteremia, UTI, and VZV reactivation occurred in 7.5%, 2.5%, and 3.9% of patients, respectively. Most infectious complications in the late transplant period occurred during the first 6 months post-transplant. There were no invasive fungal infections during the study period. Six patients died from infectious complications (4 from bacterial sepsis and 2 from respiratory virus infection). Our study suggests that infectious complications are similar following second and first HDCT/auto-SCT in children. PMID:27627440

Islet product characteristics and factors related to successful human islet transplantation from the Collaborative Islet Transplant Registry (CITR) 1999-2010.

PubMed

Balamurugan, A N; Naziruddin, B; Lockridge, A; Tiwari, M; Loganathan, G; Takita, M; Matsumoto, S; Papas, K; Trieger, M; Rainis, H; Kin, T; Kay, T W; Wease, S; Messinger, S; Ricordi, C; Alejandro, R; Markmann, J; Kerr-Conti, J; Rickels, M R; Liu, C; Zhang, X; Witkowski, P; Posselt, A; Maffi, P; Secchi, A; Berney, T; O'Connell, P J; Hering, B J; Barton, F B

2014-11-01

The Collaborative Islet Transplant Registry (CITR) collects data on clinical islet isolations and transplants. This retrospective report analyzed 1017 islet isolation procedures performed for 537 recipients of allogeneic clinical islet transplantation in 1999-2010. This study describes changes in donor and islet isolation variables by era and factors associated with quantity and quality of final islet products. Donor body weight and BMI increased significantly over the period (p<0.001). Islet yield measures have improved with time including islet equivalent (IEQ)/particle ratio and IEQs infused. The average dose of islets infused significantly increased in the era of 2007-2010 when compared to 1999-2002 (445.4±156.8 vs. 421.3±155.4×0(3) IEQ; p<0.05). Islet purity and total number of β cells significantly improved over the study period (p<0.01 and <0.05, respectively). Otherwise, the quality of clinical islets has remained consistently very high through this period, and differs substantially from nonclinical islets. In multivariate analysis of all recipient, donor and islet factors, and medical management factors, the only islet product characteristic that correlated with clinical outcomes was total IEQs infused. This analysis shows improvements in both quantity and some quality criteria of clinical islets produced over 1999-2010, and these parallel improvements in clinical outcomes over the same period. © 2014 The Authors. American Journal of Transplantation Published by Wiley Periodicals, Inc. on behalf of American Society of Transplant Surgeons.

Depletions in winter total ozone values over southern England

NASA Technical Reports Server (NTRS)

Lapworth, A.

1994-01-01

A study has been made of the recently re-evaluated time series of daily total ozone values for the period 1979 to 1992 for southern England. The series consists of measurements made at two stations, Bracknell and Camborne. The series shows a steady decline in ozone values in the spring months over the period, and this is consistent with data from an earlier decade that has been published but not re-evaluated. Of exceptional note is the monthly mean for January 1992 which was very significantly reduced from the normal value, and was the lowest so far measured for this month. This winter was also noteworthy for a prolonged period during which a blocking anticyclone dominated the region, and the possibility existed that this was related to the ozone anomaly. It was possible to determine whether the origin of the low ozone value lay in ascending stratospheric motions. A linear regression analysis of ozone value deviation against 100hPa temperature deviations was used to reduce ozone values to those expected in the absence of high pressure. The assumption was made that the normal regression relation was not affected by atmospheric anomalies during the winter. This showed that vertical motions in the stratosphere only accounted for part of the ozone anomaly and that the main cause of the ozone deficit lay either in a reduced stratospheric circulation to which the anticyclone may be related or in chemical effects in the reduced stratospheric temperatures above the high pressure area. A study of the ozone time series adjusted to remove variations correlated with meteorological quantities, showed that during the period since 1979, one other winter, that of 1982/3, showed a similar although less well defined deficit in total ozone values.

Wildlife strikes to civil aircraft in the United States, 1990-2007

DOT National Transportation Integrated Search

2008-06-01

This report presents a summary analysis of data from the FAAs National Wildlife Strike : Database for the 18-year period 1990 through 2007. Unless noted, all totals are for the : 17-year period, and percentages are of the total known. Because of t...

Chronic Hepatitis C-Related Cirrhosis Hospitalization Cost Analysis in Bulgaria.

PubMed

Dimitrova, Maria; Pavlov, Kaloyan; Mitov, Konstantin; Genov, Jordan; Petrova, Guenka Ivanova

2017-01-01

HCV infection is a leading cause of chronic liver disease with long-term complications-extensive fibrosis, cirrhosis, and hepatocellular carcinoma. The objective of this study is to perform cost analysis of therapy of patients with chronic HCV-related cirrhosis hospitalized in the University Hospital "Queen Joanna-ISUL" for 3-year period (2012-2014). It is a prospective, real life observational study of 297 patients with chronic HCV infection and cirrhosis monitored in the University Hospital "Queen Joanna-ISUL" for 3-year period. Data on demographic, clinical characteristics, and health-care resources utilization (hospitalizations, highly specialized interventions, and pharmacotherapy) were collected. Micro-costing approach was applied to evaluate the total direct medical costs. The points of view are that of the National Health Insurance Fund (NHIF), hospital and the patients. Collected cost data are from the NHIF and hospitals tariffs, patients, and from the positive dug list for medicines prices. Descriptive statistics, chi-squared test, Kruskal-Wallis, and Friedman tests were used for statistical processing. 76% of patients were male. 93% were diagnosed in grade Child-Pugh A and B. 97% reported complications, and almost all developed esophageal varices. During the 3 years observational period, patients did not change the critical clinical values for Child-Pugh status and therefore the group was considered as homogenous. 847 hospitalizations were recorded for 3 years period with average length of stay 17 days. The mortality rate of 6.90% was extremely high. The total direct medical costs for the observed cohort of patients for 3-year period accounted for 1,290,533 BGN (€659,839) with an average cost per patient 4,577 BGN (€2,340). Statistically significant correlation was observed between the total cost per patient from the different payers' perspective and the Child-Pugh cirrhosis score. HCV-related cirrhosis is resource demanding and sets high direct medical costs as it is related with increased hospitalizations and complications acquiring additional treatment.

Implementation and Analysis of a Lean Six Sigma Program in Microsurgery to Improve Operative Throughput in Perforator Flap Breast Reconstruction.

PubMed

Hultman, Charles Scott; Kim, Sendia; Lee, Clara N; Wu, Cindy; Dodge, Becky; Hultman, Chloe Elizabeth; Roach, S Tanner; Halvorson, Eric G

2016-06-01

Perforator flaps have become a preferred method of breast reconstruction but can consume considerable resources. We examined the impact of a Six Sigma program on microsurgical breast reconstruction at an academic medical center. Using methods developed by Motorola and General Electric, we applied critical pathway planning, workflow analysis, lean manufacturing, continuous quality improvement, and defect reduction to microsurgical breast reconstruction. Primary goals were to decrease preoperative-to-cut time and total operative time, through reduced variability and improved efficiency. Secondary goals were to reduce length of stay, complications, and reoperation. The project was divided into 3 phases: (1) Pre-Six Sigma (24 months), (2) Six Sigma (10 months), (3) and Post-Six Sigma (24 months). These periods (baseline, intervention, control) were compared by Student t test and χ analysis. Over a 5-year period, 112 patients underwent 168 perforator flaps for breast reconstructions, by experienced microsurgeons. Total operative time decreased from 714 to 607 minutes (P < 0.01), across the study period, with the greatest drop occurring in unilateral cases, from 672 to 498 minutes (P < 0.01). Length of stay decreased from 6.3 to 5.2 days (P = 0.01). Overall complication rates (35.9% vs 30%, not significant) and take-back rates (20.5% vs 23.9%, not significant) remained similar over the 5-year period. Physician revenue/minute increased from US $6.28 to US $7.59, whereas hospital revenue/minute increased from US $21.84 to US $25.11. A Six Sigma program in microsurgical breast reconstruction was associated with better operational and financial outcomes. These incremental gains were maintained over the course of the study, suggesting that these benefits were due, in part, to process improvements. However, continued reductions in total operative time and length of stay, well after the intervention period, support the possibility that "learning curve" phenomenon may have contributed to the improvement in these outcomes.

Grande Ronde Endemic Spring Chinook Salmon Supplementation Program : Facility Operations and Maintenance, 2004 Annual Report.

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

McLean, Michael L.; Seeger, Ryan; Hewitt, Laurie

2005-02-01

There were 2 acclimation periods at the Catherine Creek Acclimation Facility (CCAF) in 2004. During the early acclimation period, 92,475 smolts were delivered from Lookingglass Hatchery (LGH) on 8 March. This group was comprised entirely of progeny from the captive broodstock program. The size of the fish at delivery was 23.1 fish/lb. Volitional releases began 15 March 2004 and ended 22 March with an estimated total (based on PIT tag detections of 1,475) of 8,785 fish leaving the raceways. This was 9.5% of the total fish delivered. Fish remaining in the raceways after volitional release were forced out. Hourly detectionsmore » of PIT-tagged fish showed that most of the fish left between 1200 and 2000 hours which was similar to the hourly temperature profile. The size of the fish just before the volitional release was 23.1 and the size of the fish remaining just before the forced release was 23.5 fish/lb. The total mortality for the acclimation period was 62 (0.07 %). The total number of fish released from the acclimation facility during the early period was 92,413. During the second acclimation period 70,977 smolts were delivered from LGH on 24 March. This group was comprised entirely of progeny from the conventional broodstock program. The size of the fish at delivery was 23.4 fish/lb. Volitional releases began 30 March 2004 and ended 12 April with an estimated total (based on PIT tag detections of 3,632) of 49,147 fish leaving the raceways. This was 69.2% of the total fish delivered. Fish remaining in the raceways after volitional release were forced out. Hourly detections of PIT-tagged fish showed that most of the fish left between 1200 and 2000 hours which was similar to the hourly temperature profile. The size of the fish just before the volitional release was 23.4 and the size of the fish remaining just before the forced release was 23.9 fish/lb. The total mortality for the acclimation period was 18 (0.03 %). The total number of fish released from the acclimation facility during the late period was 70,959.« less

29 CFR 516.23 - Employees of hospitals and residential care facilities compensated for overtime work on the basis...

Code of Federal Regulations, 2011 CFR

2011-07-01

... paragraphs (a) (5) and (7) through (9), and in addition: (1) Time of day and day of week on which the... period, (3) Total straight-time wages paid for hours worked during the 14-day period, (4) Total overtime... compensated for overtime work on the basis of a 14-day work period pursuant to section 7(j) of the Act. 516.23...

The Excited Spin State of 1I/2017 U1 ‘Oumuamua

NASA Astrophysics Data System (ADS)

Belton, Michael J. S.; Hainaut, Olivier R.; Meech, Karen J.; Mueller, Beatrice E. A.; Kleyna, Jan T.; Weaver, Harold A.; Buie, Marc W.; Drahus, Michał; Guzik, Piotr; Wainscoat, Richard J.; Waniak, Wacław; Handzlik, Barbara; Kurowski, Sebastian; Xu, Siyi; Sheppard, Scott S.; Micheli, Marco; Ebeling, Harald; Keane, Jacqueline V.

2018-04-01

We show that ‘Oumuamua’s excited spin could be in a high-energy long axis mode (LAM) state, which implies that its shape could be far from the highly elongated shape found in previous studies. CLEAN and ANOVA algorithms are used to analyze ‘Oumuamua’s lightcurve using 818 observations over 29.3 days. Two fundamental periodicities are found at frequencies (2.77 ± 0.11) and (6.42 ± 0.18) cycles/day, corresponding to (8.67 ± 0.34) hr and (3.74 ± 0.11) hr, respectively. The phased data show that the lightcurve does not repeat in a simple manner, but approximately shows a double minimum at 2.77 cycles/day and a single minimum at 6.42 cycles/day. ‘Oumuamua could be spinning in either the LAM or short axis mode (SAM). For both, the long axis precesses around the total angular momentum vector with an average period of (8.67 ± 0.34) hr. For the three LAMs we have found, the possible rotation periods around the long axis are 6.58, 13.15, or 54.48 hr, with 54.48 hr being the most likely. ‘Oumuamua may also be nutating with respective periods of half of these values. We have also found two possible SAM states where ‘Oumuamua oscillates around the long axis with possible periods at 13.15 and 54.48 hr. In this case any nutation occurs with the same periods. Determination of the spin state, the amplitude of the nutation, the direction of the total angular momentum vector (TAMV), and the average total spin period may be possible with a direct model fit to the lightcurve. We find that ‘Oumuamua is “cigar-shaped,” if close to its lowest rotational energy, and an extremely oblate spheroid if close to its highest energy state.

[Fast determination of induction period of motor gasoline using Fourier transform attenuated total reflection infrared spectroscopy].

PubMed

Liu, Ya-Fei; Yuan, Hong-Fu; Song, Chun-Feng; Xie, Jin-Chun; Li, Xiao-Yu; Yan, De-Lin

2014-11-01

A new method is proposed for the fast determination of the induction period of gasoline using Fourier transform attenuated total reflection infrared spectroscopy (ATR-FTIR). A dedicated analysis system with the function of spectral measurement, data processing, display and storage was designed and integrated using a Fourier transform infrared spectrometer module and chemometric software. The sample presentation accessory designed which has advantages of constant optical path, convenient sample injection and cleaning is composed of a nine times reflection attenuated total reflectance (ATR) crystal of zinc selenide (ZnSe) coated with a diamond film and a stainless steel lid with sealing device. The influence of spectral scanning number and repeated sample loading times on the spectral signal-to-noise ratio was studied. The optimum spectral scanning number is 15 times and the optimum sample loading number is 4 times. Sixty four different gasoline samples were collected from the Beijing-Tianjin area and the induction period values were determined as reference data by standard method GB/T 8018-87. The infrared spectra of these samples were collected in the operating condition mentioned above using the dedicated fast analysis system. Spectra were pretreated using mean centering and 1st derivative to reduce the influence of spectral noise and baseline shift A PLS calibration model for the induction period was established by correlating the known induction period values of the samples with their spectra. The correlation coefficient (R2), standard error of calibration (SEC) and standard error of prediction (SEP) of the model are 0.897, 68.3 and 91.9 minutes, respectively. The relative deviation of the model for gasoline induction period prediction is less than 5%, which meets the requirements of repeatability tolerance in GB method. The new method is simple and fast. It takes no more than 3 minutes to detect one sample. Therefore, the method is feasible for implementing fast determination of gasoline induction period, and of a positive meaning in the evaluation of fuel quality.

The effect of inter-annual variability of consumption, production, trade and climate on crop-related green and blue water footprints and inter-regional virtual water trade: A study for China (1978-2008).

PubMed

Zhuo, La; Mekonnen, Mesfin M; Hoekstra, Arjen Y

2016-05-01

Previous studies into the relation between human consumption and indirect water resources use have unveiled the remote connections in virtual water (VW) trade networks, which show how communities externalize their water footprint (WF) to places far beyond their own region, but little has been done to understand variability in time. This study quantifies the effect of inter-annual variability of consumption, production, trade and climate on WF and VW trade, using China over the period 1978-2008 as a case study. Evapotranspiration, crop yields and green and blue WFs of crops are estimated at a 5 × 5 arc-minute resolution for 22 crops, for each year in the study period, thus accounting for climate variability. The results show that crop yield improvements during the study period helped to reduce the national average WF of crop consumption per capita by 23%, with a decreasing contribution to the total from cereals and increasing contribution from oil crops. The total consumptive WFs of national crop consumption and crop production, however, grew by 6% and 7%, respectively. By 2008, 28% of total water consumption in crop fields in China served the production of crops for export to other regions and, on average, 35% of the crop-related WF of a Chinese consumer was outside its own province. Historically, the net VW within China was from the water-rich South to the water-scarce North, but intensifying North-to-South crop trade reversed the net VW flow since 2000, which amounted 6% of North's WF of crop production in 2008. South China thus gradually became dependent on food supply from the water-scarce North. Besides, during the whole study period, China's domestic inter-regional VW flows went dominantly from areas with a relatively large to areas with a relatively small blue WF per unit of crop, which in 2008 resulted in a trade-related blue water loss of 7% of the national total blue WF of crop production. The case of China shows that domestic trade, as governed by economics and governmental policies rather than by regional differences in water endowments, determines inter-regional water dependencies and may worsen rather than relieve the water scarcity in a country. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

Social Media and Total Joint Arthroplasty: An Analysis of Patient Utilization on Instagram.

PubMed

Ramkumar, Prem N; Navarro, Sergio M; Haeberle, Heather S; Chughtai, Morad; Flynn, Megan E; Mont, Michael A

2017-09-01

The purpose of this study was to analyze the nature of shared content of total joint arthroplasty patients on Instagram. Specifically, we evaluated social media posts for: (1) perspective and timing; (2) tone; (3) focus (activities of daily living [ADLs], rehabilitation, return-to-work); and (4) the comparison between hip and knee arthroplasties. A search of the public Instagram domain was performed over a 6-month period. Total hip and knee arthroplasties (THA and TKA) were selected for the analysis using the following terms: "#totalhipreplacement," "#totalkneereplacement," and associated terms. 1287 individual public posts of human subjects were shared during the period. A categorical scoring system was utilized for media format (photo or video), time (preoperative, perioperative, or postoperative) period, tone (positive or negative), return-to-work, ADLs, rehabilitation, surgical site, radiograph image, satisfaction, and dissatisfaction. Ninety-one percent of the posts were shared during the postoperative period. Ninety-three percent of posts had a positive tone. Thirty-four percent of posts focused on both ADLs and 33.8% on rehabilitation. TKA patients shared more about their surgical site (14.5% vs 3.3%, P < .001) and rehabilitation (58.9% vs 8.8%, P < .001) than THA patients, whereas THA patients shared more about ADLs than TKA patients (60.5% vs 7.6%, P < .001). When sharing their experience on Instagram, arthroplasty patients did so with a positive tone, starting a week after surgery. TKA posts focused more on rehabilitation and wound healing than THA patients, whereas THA patients shared more posts on ADLs. The analysis of social media posts provides insight into what matters to patients after total joint arthroplasty. Copyright © 2017 Elsevier Inc. All rights reserved.

Hydroacoustic Evaluation of Juvenile Salmonid Passage and Distribution at Detroit Dam, 2011

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

Khan, Fenton; Royer, Ida M.; Johnson, Gary E.

Pacific Northwest National Laboratory evaluated juvenile salmonid passage and distribution at Detroit Dam (DET) on the North Santiam River, Oregon for the U.S. Army Corps of Engineers (USACE) to provide data to support decisions on long-term measures to enhance downstream passage at DET and others dams in USACE’s Willamette Valley Project. This study was conducted in response to regulatory requirements necessitated by the listing of Upper Willamette River Spring Chinook salmon (Oncorhynchus tshawytscha) and Upper Willamette River steelhead (O. mykiss) as threatened under the Endangered Species Act. The goal of the study was to provide information of juvenile salmonid passagemore » and distribution at DET from February 2011 through February 2012. The results of the hydroacoustic study provide new and, in some cases, first-ever data on passage estimates, run timing, distributions, and relationships between fish passage and environmental variables at the dam. This information will inform management decisions on the design and development of surface passage and collection devices to help restore Chinook salmon populations in the North Santiam River watershed above DET. During the entire study period, an estimated total of 182,526 smolt-size fish (±4,660 fish, 95% CI) passed through turbine penstock intakes. Run timing peaked in winter and early spring months. Passage rates were highest during late fall, winter and early spring months and low during summer. Horizontal distribution for hours when both turbine units were operated simultaneously indicated Unit 2 passed almost twice as much fish as Unit 1. Diel distribution for smolt-size fish during the study period was fairly uniform, indicating fish were passing the turbines at all times of the day. A total of 5,083 smolt-size fish (± 312 fish, 95% CI) were estimated passed via the spillway when it was open between June 23 and September 27, 2011. Daily passage was low at the spillway during the June-August period, and increased somewhat in September 2011. When the spillway was operated simultaneously with the turbines, spillway efficiency (efficiency is estimated as spillway passage divided by total project passage) was 0.72 and effectiveness (fish:flow ratio—proportion fish passage at a route (e.g., spillway) divided by proportion water through that route out of the total project) was 2.69. That is, when the spillway was open, 72% of the fish passing the dam used the spillway and 28% passed into the turbine penstocks. Diel distribution for smolt-size fish at the spillway shows a distinct peak in passage between mid-morning and mid-afternoon and low passage at night. We estimated that 23,339 smolt-size fish (± 572 fish, 95% CI) passed via the Regulating Outlet (RO) when it was open from October 29 through November 12, 2011, January 2-6, and January 20 through February 3, 2012. During the October–November period, RO passage peaked at 1,086 fish on November 5, with a second peak on November 7 (1,075 fish). When the RO was operated simultaneously with the turbines, RO efficiency was 0.33 and effectiveness was 0.89. In multiple regression analyses, a relatively parsimonious model was selected that predicted the observed fish passage data well. The best model included forebay temperature at depth, forebay elevation, total discharge, hours of daylight, and the operation period. The vertical distribution of fish in the forebay near the face of the dam where the transducers sampled showed fish were generally distributed throughout the water column during all four operational periods. During the refill and full pool periods, vertical distribution was bi-modal with surface-layer and mid-water modes. Patterns for day and night distributions were variable. Fish were distributed above and below the thermocline when it was present (full pool and drawdown periods).« less

Psychological factors affect the frequency of belching in patients with aerophagia.

PubMed

Bredenoord, Albert J; Weusten, Bas L A M; Timmer, Robin; Smout, André J P M

2006-12-01

In patients with aerophagia and excessive belching an organic cause is seldom found and a psychogenic cause is often suspected. To investigate the effects of attention and distraction on the frequency of belching in patients with aerophagia. In 10 patients with aerophagia, combined esophageal manometry and impedance monitoring was performed for 2 h, consisting of four 30-minute recording periods. Period I: patient unaware that recording had commenced. Period II: patient informed of recording in progress. Period III: distraction by filling in questionnaires. Period IV: no distraction. A total of 1,258 belches was measured, 51 of which were the result of air that escaped from the stomach (gastric belches). A total of 1,207 belches (96%) were events during which air was expelled in the oral direction almost immediately after entering the esophagus from there (supragastric belches). Gastric belches were distributed equally over the first (1.5 [0.5-2.0]), second (1.5 [0.5-2.0]), third (1.0 [0-2.0]), and fourth (1.0 [0-2.0]) recording periods. In contrast, the incidence of supragastric belches increased significantly from 0 (0-32) in period I to 30 (18-60) in period II, after patients were told that recording was started. During period III (questionnaires) the incidence of supragastric belches decreased to 14 (4-30). In period IV the incidence of supragastric belches increased to 21 (10-49). When patients with excessive belching are unaware that they are being studied or when they are distracted, the incidence of belching is significantly reduced. These findings underline the importance of psychological factors and provide rationale for behavioral therapy.

Impact of an emergency department pain management protocol on the pattern of visits by patients with sickle cell disease.

PubMed

Givens, Melissa; Rutherford, Cynthia; Joshi, Girish; Delaney, Kathleen

2007-04-01

This study explores how implementation of pain management guidelines in concert with clinic case management affected emergency department (ED) utilization, clinic visits, and hospital admissions for patients with sickle cell disease. A pain management guideline that eliminated meperidine and encouraged timely use of morphine or hydromorphone for pain control in sickle cell crisis was introduced as a quality improvement project. This study is a retrospective review of ED visits, clinic visits, and admissions from 1 year before and 3 years after the guideline implementation. Working with the ED, the Hematology Clinic began to proactively seek the return of their patients for clinic follow-up. A formal case management program for sickle cell patients was initiated in June 2003. A total of 1584 visits by 223 patients were collected, 1097 to the ED and 487 to the Hematology Clinic. Total hospital visits did not change significantly in any of the 4 years, p > 0.10 for each comparison. Total ED visits decreased significantly over the 4-year study period (p < 0.001), whereas clinic visits steadily increased (p < 0.001). Return visits to the ED within 30 days also declined significantly, p < 0.001. Both the absolute number of admissions per year and the total admissions per hospital visit per year declined significantly over the study period, p = 0.001. Although total admissions per hospital visit did not change, the proportion of ED visits that resulted in admission in year 1 (29%) was significantly lower than the proportion admitted in year 2 (43%), p = 0.04. A pain protocol using morphine or hydromorphone coupled with increased access to outpatient clinics decreased ED visits, hospitalizations, and increased utilization of a more stable primary care clinic setting by patients with sickle cell disease.

Cancer incidence among copper smelting and nickel refining workers in Finland.

PubMed

Pavela, Markku; Uitti, Jukka; Pukkala, Eero

2017-01-01

Among workers employed at a nickel refinery in Harjavalta, Finland an increased risk of lung and sinus cancer has been demonstrated in two previous studies. The current study adds 16 more years of follow-up to these studies. A total of 1,115 persons exposed to nickel and 194 non-exposed workers in the Harjavalta nickel smelter and refinery were followed up for cancer from 1967 to 2011 through the Finnish Cancer Registry. The total number of cancer cases in men was 251 (Standardized incidence ratio (SIR) 1.05) and in women 12 (SIR 1.22). In the most nickel-exposed work site (refinery), there were 14 lung cancers (SIR 2.01) and 3 sinonasal cancers (SIR 26.7, 95%). It is likely that exposure to nickel compounds is the main reason for elevated nasal cancer risk among the nickel refinery employees and may also contribute to the excess risk of lung cancer. Am. J. Ind. Med. 60:87-95, 2017. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

The Efficiency of Reproduction Health Education Given to Adolescents during the Postpartum Period.

PubMed

Topatan, Serap; Demirci, Nurdan

2015-10-01

Our research, partly experimental and partly prospective, was conducted for the purpose of evaluating the efficiency of reproductive health education given to adolescents during the postpartum period. The study comprised with 120 adolescents aged 15 to 19 (60 experimental group, 60 control group). Follow-up was conducted every 3 months for a total of 12 months, and the study concluded with 55 individuals from the experimental group and 46 individuals from the control group having participated fully, for the full 12 months. At the end of the research, it was found that the reproductive health knowledge of the experimental (103.10 ± 11.43) and control (99.15 ± 9.53) groups were similar before education. A statistically significant difference was also found between the total points for the scale determining the reproductive health of the experimental and control groups before and after education (P < .001). The socio-demographic variables affecting the total points for the scale determining the reproductive health-protective behavior of women were evaluated by multiple regression analysis; the most effective variables were found to be age and educational status. A statistically significant difference was also found between the total points for the family planning behavior scale of the experimental and control groups before and after education (P < .001). From this, it was understood that reproductive health education given during the postpartum and follow-up periods has a positive effect on adolescents' developing reproductive health behaviors and on creating knowledge and awareness related to family planning behavior. But there needs to be follow-up and supporting specific for adolescents in the current health system. Copyright © 2015 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

Trends and topics in eye disease research in PubMed from 2010 to 2014.

PubMed

Boudry, Christophe; Denion, Eric; Mortemousque, Bruno; Mouriaux, Fréderic

2016-01-01

The purpose of this study is to provide a report on scientific production during the period 2010-2014 in order to identify the major topics as well as the predominant actors (journals, countries, continents) involved in the field of eye disease. A PubMed search was carried out to extract articles related to eye diseases during the period 2010-2014. Data were downloaded and processed through developed PHP scripts for further analysis. A total of 62,123 articles were retrieved. A total of 3,368 different journals were found, and 19 journals were identified as "core journals" according to Braford's law. English was by far the predominant language. A total of 853,182 MeSH terms were found, representing an average of 13.73 (SD = 4.98) MeSH terms per article. Among these 853,182 MeSH terms, 14,689 different MeSH terms were identified. Vision Disorders, Glaucoma, Diabetic Retinopathy, Macular Degeneration, and Cataract were the most frequent five MeSH terms related to eye diseases. The analysis of the total number of publications showed that Europe and Asia were the most productive continents, and the USA and China the most productive countries. Interestingly, using the mean Five-Year Impact Factor, the two most productive continents were North America and Oceania. After adjustment for population, the overall ranking positions changed in favor of smaller countries (i.e. Iceland, Switzerland, Denmark, and New Zealand), while after adjustment for Gross Domestic Product (GDP), the overall ranking positions changed in favor of some developing countries (Malawi, Guatemala, Singapore). Due to the large number of articles included and the numerous parameters analyzed, this study provides a wide view of scientific productivity related to eye diseases during the period 2010-2014 and allows us to better understand this field.

Changes in duration of dry and wet spells associated with air temperatures in Russia

NASA Astrophysics Data System (ADS)

Ye, Hengchun

2018-03-01

This study uses daily precipitation records from 517 Russian stations (1966-2010) to examine the relationships between continuous dry and wet day duration and surface air temperature for all four seasons. The study found that both mean and extreme durations of dry periods increase with air temperature at about 7.0% (0.24 day/°C) and 7.7% (0.86 day/°C) respectively, while those of wet periods decrease at about 1.3% (-0.02 day/°C) and 2.2% (-0.10 day/°C) respectively averaged over the entire study region during summer. An increase in the duration of dry periods with higher air temperature is also found in other seasons at locations with a mean seasonal air temperature of about -5 °C or higher. Opposite relationships of shorter durations of dry periods and longer wet periods associated with higher air temperature are observed over the northern part of the study region in winter. The changes in durations of both dry and wet periods have significant correlations with the changes in total dry and wet days but are about 2.5 times higher for dry periods and 0.5 times lower for wet periods. The study also found that locations with longer durations of dry periods experience faster rates of increase in air temperature, suggesting the likelihood of exacerbating drought severity in drier and/or warmer locations for all seasons.

Monitoring to assess progress toward meeting the total maximum daily load for phosphorus in the Assabet River, Massachusetts: phosphorus loads, 2008 through 2010

USGS Publications Warehouse

Zimmerman, Marc J.; Savoie, Jennifer G.

2013-01-01

Wastewater discharges to the Assabet River contribute substantial amounts of phosphorus, which support accumulations of nuisance aquatic plants that are most evident in the river’s impounded reaches during the growing season. To restore the Assabet River’s water quality and aesthetics, the U.S. Environmental Protection Agency required the major wastewater-treatment plants in the drainage basin to reduce the amount of phosphorus discharged to the river by 2012. From October 2008 to December 2010, the U.S. Geological Survey, in cooperation with the Massachusetts Department of Environmental Protection and in support of the requirements of the Total Maximum Daily Load for Phosphorus, collected weekly flow-proportional, composite samples for analysis of concentrations of total phosphorus and orthophosphorus upstream and downstream from each of the Assabet River’s two largest impoundments: Hudson and Ben Smith. The purpose of this monitoring effort was to evaluate conditions in the river before enhanced treatment-plant technologies had effected reductions in phosphorus loads, thereby defining baseline conditions for comparison with conditions following the mandated load reductions. The locations of sampling sites with respect to the impoundments enabled examination of the impoundments’ effects on phosphorus sequestration and on the transformation of phosphorus between particulate and dissolved forms. The study evaluated the differences between loads upstream and downstream from the impoundments throughout the sampling period and compared differences during two seasonal periods of relevance to aquatic plants: April 1 through October 31, the growing season, and November 1 through March 31, the nongrowing season, when existing permit limits allowed average monthly wastewater-treatment-plant-effluent concentrations of 0.75 milligram per liter (growing season) or 1.0 milligram per liter (nongrowing season) for total phosphorus. At the four sampling sites during the growing season, median weekly total phosphorus loads ranged from 110 to 190 kilograms (kg) and median weekly orthophosphorus loads ranged from 17 to 41 kg. During the nongrowing season, median weekly total phosphorus loads ranged from 240 to 280 kg and median weekly orthophosphorus loads ranged from 56 to 66 kg. During periods of low and moderate streamflow, estimated loads of total phosphorus upstream from the Hudson impoundment generally exceeded those downstream during the same sampling periods throughout the study; orthophosphorus loads downstream from the impoundment were typically larger than those upstream. When storm runoff substantially increased the streamflow, loads of total phosphorus and orthophosphorus both tended to be larger downstream than upstream. At the Ben Smith impoundment, both total phosphorus and orthophosphorus loads were generally larger downstream than upstream during low and moderate streamflow, but the differences were not as pronounced as they were at the Hudson impoundment. High flows were also associated with substantially larger total phosphorus and orthophosphorus loads downstream than those entering the impoundment from upstream. In comparing periods of growing- and nongrowing-season loads, the same patterns of loads entering and leaving were observed at both impoundments. That is, at the Hudson impoundment, total phosphorus loads entering the impoundment were greater than those leaving it, and orthophosphorus loads leaving the impoundment were greater than those entering it. At the Ben Smith impoundment, both total phosphorus and orthophosphorus loads leaving the impoundment were greater than those entering it. However, the loads were greater during the nongrowing seasons than during the growing seasons, and the net differences between upstream and downstream loads were about the same. The results indicate that some of the particulate fraction of the total phosphorus loads is sequestered in the Hudson impoundment, where particulate phosphorus probably undergoes some physical and biogeochemical transformations to the dissolved form orthophosphorus. The orthophosphorus may be taken up by aquatic plants or transported out of the impoundments. The results for the Ben Smith impoundment are less clear and suggest net export of total phosphorus and orthophosphorus. Differences between results from the two impoundments may be attributable in part to differences in their sizes, morphology, unmonitored tributaries, riparian land use, and processes within the impoundments that have not been quantified for this study.

Effects of best-management practices in Eagle and Joos Valley Creeks in the Waumandee Creek Priority Watershed, Wisconsin, 1990-2007

USGS Publications Warehouse

Graczyk, David J.; Walker, John F.; Bannerman, Roger T.; Rutter, Troy D.

2012-01-01

In many watersheds, nonpoint-source contamination is a major contributor to water-quality problems. In response to the recognition of the importance of nonpoint sources, the Wisconsin Nonpoint Source Water Pollution Abatement Program (Nonpoint Program) was enacted in 1978. This report summarizes the results of a study to assess the effectiveness of watershed-management practices for controlling nonpoint-source contamination for the Eagle Creek and Joos Valley Creek Watersheds. Streamflow-gaging stations equipped for automated sample collection and continuous recording of stream stage were installed in July 1990 at Eagle and Joos Valley Creeks and were operated through September 2007. In October 1990, three rain gages were installed in each watershed and were operated through September 2007. Best-Management Practices (BMPs) were installed during 1993 to 2000 in Eagle and Joos Valley Creeks and were tracked throughout the study period. By the year 2000, a majority of the BMPs were implemented in the two watersheds and goals set by the Wisconsin Department of Natural Resources and the local Land Conservation Department had been achieved for the two study watersheds (Wisconsin Department of Natural Resources, 1990). The distributions of the rainstorms that produced surface runoff and storm loads were similar in the pre-BMP (1990-93) and post-BMP implementation (2000-07) periods for both Eagle and Joos Valley Creeks. The highest annual streamflow occurred at both sites in water year 1993, which corresponded to the greatest above normal nonfrozen precipitation measured at two nearby NOAA weather stations. The minimum streamflow occurred in water year 2007 at both sites. Base-flow and stormwater samples were collected and analyzed for suspended solids, total phosphorus, and ammonia nitrogen. For both Eagle and Joos Valley Creeks the median concentrations of suspended solids and total phosphorus in base flow were lower during the post-BMP period compared to the pre-BMP period and were statistically significant at the 0.05 significance level. The decrease in median concentrations of ammonia nitrogen at both sites was not statistically significant at the 0.05 significance level. Multiple linear regression analyses were used to remove the effects of climatologic conditions and seasonality from computed storm loads. For both Eagle and Joos Valley Creeks, the median storm loads for suspended solids, total phosphorus, and ammonia nitrogen were lower during the post-BMP period compared to the pre-BMP period and were statistically significant at the 0.05 significance level. The decreases in storm-load regression residuals from the pre- to the post-BMP periods for both Eagle and Joos Valley Creeks were statistically significant for all three constituents at the 0.05 significance level and indicated an apparent improvement in water-quality in the post-BMP period. Because the rainfall characteristics for individual storms in the pre- and post-BMP periods are likely to be different, separate pre- and post-BMP regressions were used to estimate the theoretical pre- and post-BMP storm loads to allow estimates of precent reductions between the pre- and post-BMP periods. The estimated percent reductions in storm loads for suspended solids, total phosphorus, and ammonia nitrogen were 89, 77, and 66 respectively for Eagle Creek and 84, 67, and 60 respectively for Joos Valley Creek. The apparent improvement in water quality is attributed to the implemented BMPs and to a reduction in the number of cattle in the watersheds.

Preliminary Observations of Noise Spectra at the SRO and ASRO Stations

USGS Publications Warehouse

Peterson, Jon

1980-01-01

Introduction The seismic noise spectra presented in this report were derived from SRO and ASRO station data for the purpose of evaluating the performance of the seismic instruments. They are also useful for constructing a spectral estimate of earth noise at a quiet site based on noise samples obtained from a network of globally distributed sites. It is hoped that the spectra will be usefull for other purposes as well. The term 'noise' is used here to describe the ambient signals recorded during a quiet period when earthquake signals have not been detected by visual inspectino of the analog seismogram. The total recorded noise is the sum of instrumental noise, environmental noise (such as effects of temperature, pressure, wind), earth background noise from both natural and cultural sources, and very possibly low-level signals from earthquakes that cannot be visually identified. It is not possible to separate and quantify the signals generated by these independent noise sources using a single sample of station data, although instrumental problems may be indicated by gross changes of noise levels, if the changes are not in the microseismic bands. Since seismic data at the SRO and ASRO stations are recorded in a digital format, spectral computations can be automated so that station noise levels can be monitored as part of data-review procedures. The noise spectra presented in this study are intended to serve as an initial baseline against which relative changes in noise levels can be measured. Total noise power was computed separately for the short- and long-period bands, which are recorded separately at the stations. Power spectral densities were derived by averaging the spectral estimates of a number of contiguous dat segments. The mean value and slope were removed from each segment, cosine-tapered windows were applied, and the estimates were obtained using a fast Fourier transform. In the short-period analyses 16 segments were used, each segment being 1024 samples in length. Because the sampling interval is .05 seconds, the total record length is nearly 13.7 minutes. Normally, the short-period SRO and ASRO data are recorded in an event-only mode. However, several days of continuous short-period data were acquired from most stations for the purpose of this study. Where there was appreciable diurnal variation in short-period noise, spectral data were computed for both day and night intervals. In most cases the long-period spectral densities were obtained by averagin the estimates from 16 data segments, each segment having a length of 2048 samples. Since the long-period sampling interval in 1 second, the total record length used was nearly 9.1 hours. In a few instances, a smaller number of segments was averaged. Spectral data were computed from the vertical-component short-period signals and all three components of long-period signals. All of the spectral plots have been corrected for known instrument response and presented in units of earth displacement. With a few exceptions, the samples of noise data used were acquired during the early months of 1980, winter at some of the stations and summer at others. The starting times for the intervals analyzed are listed in Table 1. A seasonal variation of noise levels in microseismic bands is to be expected. However, none of the stations were experiencing a noticeably high level of microseisms during the intervals analyzed. Weltman and others (1979) have studied and reported daily and seasonal RMS (root-mean-square) noise trends at the SRO and ASRO stations.

Role Of Social Networks In Resilience Of Naval Recruits: A Quantitative Analysis

DTIC Science & Technology

2016-06-01

comprises 1,297 total surveys from a total of eight divisions of recruits at two different time periods. Quantitative analyses using surveys and network... surveys from a total of eight divisions of recruits at two different time periods. Quantitative analyses using surveys and network data examine the effects...NETWORKS IN RESILIENCE OF NAVAL RECRUITS: A QUANTITATIVE ANALYSIS by Andrea M. Watling June 2016 Thesis Advisor: Edward H. Powley Co

[Ocular manifestations in patients with human immunodeficiency virus infection before and after the introduction of highly active antiretroviral therapy].

PubMed

Mesarić, Branko; Lisić, Miroslav; Kniewald, Tihana; Ugrinović, Nikola; Begovac, Josip

2005-01-01

The aim of this study was to determine and compare the incidence of various ophthalmlogic changes before anfd after the initiation of highly active antiretroviral therapy (HAART) in HIV-infected patients treated at the University Hospital for Infectious Diseases "Dr. Fran Mihaljević" in Zagreb. This retrospective longitudinal analysis included all adult patients with confirmed HIV-1 infection divided into two groups: period before HAART (1995-1997) and period after HAART (1998-2000). Only those patients who underwent at least two ophthalmologic examinations in any of the two or in both periods were considered eligible. In total, 85 patients were enrolled in the study, 50 during the 1995-1997 period and 47 in the period 1998-2000 (12 patients were monitored in both periods). The mortality rate was significantly lower in patients treated during the HAART era, with an average decrease in mortality rates of 59.3%. During the period of ophthalmologic monitoing from 1995 to 1997, only 9 (18%) patients received HAART, and 33 (70.2%) in the period 1998-2000. In total, 208 ophthalmic abnormalities were recorded, 132 (63.5%) in the first and 76 (36.5%) in the second period. Vascular changes were most frequently diagnosed (113/208 or 54.3% cases) of which cotton-wool exudates in 55 and microaneurysms in 54 cases. Cytomegalovirus (CMV) retinitis was most commonly diagnosed among infectious ocular complications (altogether 39 episodes). Changes in the anterior segment were observed in only 11/208 (5.3%) cases, while neuro-ophthalmic manifestations were sees in 39/208 patients (18.7%). The incidence of CMV-retinitis episodes in the first monitored period was 57.2 (95% CI, 38.5-86.6) per 100 years of follow-up and in the HAART era 7.6 (95% CI, 1.6-22.4; p<0.0001) per 100 years of follow-up. The visual acuity in patients from the HAART era was significantly more frequently preserved than in patients from the pre HAART era on follow-up examinations (p<0.001). Our study showed that the incidence of CMV-retinitis declined significantly in the period 1998-2000, while the decrease in the incidence rates of other ocular manifestations was less profound. In contrast to the pre HAART era, there was no worsening of visual acuity in the HAART era.

Sublingual immunotherapy in patients with house dust mite allergic rhinitis: prospective study of clinical outcomes over a two-year period.

PubMed

Soh, J Y; Thalayasingam, M; Ong, S; Loo, E X L; Shek, L P; Chao, S S

2016-03-01

Sublingual immunotherapy in patients with allergic rhinitis sensitised to house dust mites is safe, but its efficacy is controversial and sublingual immunotherapy with Blomia tropicalis has not yet been studied. This study sought to evaluate the efficacy of sublingual immunotherapy with house dust mite extract in children and adults with house dust mite allergic rhinitis over a period of two years. A prospective observational study was conducted of children and adults diagnosed with house dust mite allergic rhinitis who were treated with sublingual immunotherapy from 2008 to 2012. Total Nasal Symptom Scores, Mini Rhinoconjunctivitis Quality of Life scores and medication usage scores were assessed prospectively. Thirty-nine patients, comprising 24 children and 15 adults, were studied. Total Nasal Symptom Scores and Mini Rhinoconjunctivitis Quality of Life scores dropped significantly at three months into therapy, and continued to improve. Medication usage scores improved at one year into immunotherapy. Sublingual immunotherapy with house dust mite extracts, including B tropicalis, is efficacious as a treatment for patients with house dust mite allergic rhinitis.

Psychosocial identification of drivers responsible for fatal vehicular accidents in Boston

DOT National Transportation Integrated Search

1976-05-01

This Final Report includes a total human factor data presentation, analysis, evaluation and interpretation of selected variables collected by the Boston University Traffic Accident Research Special Study team during the 30-month period of the experim...

Biological treatment process for removing petroleum hydrocarbons from oil field produced waters

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

Tellez, G.; Khandan, N.

1995-12-31

The feasibility of removing petroleum hydrocarbons from oil fields produced waters using biological treatment was evaluated under laboratory and field conditions. Based on previous laboratory studies, a field-scale prototype system was designed and operated over a period of four months. Two different sources of produced waters were tested in this field study under various continuous flow rates ranging from 375 1/D to 1,800 1/D. One source of produced water was an open storage pit; the other, a closed storage tank. The TDS concentrations of these sources exceeded 50,000 mg/l; total n-alkanes exceeded 100 mg/l; total petroleum hydrocarbons exceeded 125 mg/l;more » and total BTEX exceeded 3 mg/l. Removals of total n-alkanes, total petroleum hydrocarbons, and BTEX remained consistently high over 99%. During these tests, the energy costs averaged $0.20/bbl at 12 bbl/D.« less

Integrating rapid diagnostics and antimicrobial stewardship improves outcomes in patients with antibiotic-resistant Gram-negative bacteremia.

PubMed

Perez, Katherine K; Olsen, Randall J; Musick, William L; Cernoch, Patricia L; Davis, James R; Peterson, Leif E; Musser, James M

2014-09-01

An intervention for Gram-negative bloodstream infections that integrated mass spectrometry technology for rapid diagnosis with antimicrobial stewardship oversight significantly improved patient outcomes and reduced hospital costs. As antibiotic resistance rates continue to grow at an alarming speed, the current study was undertaken to assess the impact of this intervention in a challenging patient population with bloodstream infections caused by antibiotic-resistant Gram-negative bacteria. A total of 153 patients with antibiotic-resistant Gram-negative bacteremia hospitalized prior to the study intervention were compared to 112 patients treated post-implementation. Outcomes assessed included time to optimal antibiotic therapy, time to active treatment when inactive, hospital and intensive care unit length of stay, all-cause 30-day mortality, and total hospital expenditures. Integrating rapid diagnostics with antimicrobial stewardship improved time to optimal antibiotic therapy (80.9 h in the pre-intervention period versus 23.2 h in the intervention period, P < 0.001) and effective antibiotic therapy (89.7 h versus 32 h, P < 0.001). Patients in the pre-intervention period had increased duration of hospitalization compared to those in the intervention period (23.3 days versus 15.3 days, P = 0.0001) and longer intensive care unit length of stay (16 days versus 10.7 days, P = 0.008). Mortality among patients during the intervention period was lower (21% versus 8.9%, P = 0.01) and our study intervention remained a significant predictor of survival (OR, 0.3; 95% confidence interval [CI], 0.12-0.79) after multivariate logistic regression. Mean hospital costs for each inpatient survivor were reduced $26,298 in the intervention cohort resulting in an estimated annual cost savings of $2.4 million (P = 0.002). Integration of rapid identification and susceptibility techniques with antimicrobial stewardship resulted in significant improvements in clinical and financial outcomes for patients with bloodstream infections caused by antibiotic-resistant Gram-negatives. The intervention decreased hospital and intensive care unit length of stay, total hospital costs, and reduced all-cause 30-day mortality. Copyright © 2014. Published by Elsevier Ltd.

Concentrations of organic contaminants detected during managed flow conditions, San Joaquin River and Old River, California, 2001

USGS Publications Warehouse

Orlando, James L.; Kuivila, Kathryn

2005-01-01

Concentrations of organic contaminants were determined in water samples collected at six surface-water sites located along the San Joaquin and Old Rivers during April through June 2001. Water samples were collected, coincident with salmon smolt caging studies conducted by researchers from the Bodega Marine Laboratory at the University of California at Davis to characterize exposure of the salmon smolt to organic contaminants. Sampling occurred prior to, during, and following the implementation of managed streamflow conditions on the San Joaquin and Old Rivers as part of the Vernalis Adaptive Management Plan. Thirteen pesticides were detected in water samples collected during this study, and at least five pesticides were detected in each sample. The total number of pesticide detections varied little between river systems and between sites, but the maximum concentrations of most pesticides occurred in San Joaquin River samples. The total number of pesticides detected varied little over the three time periods. However, during the period of managed streamflow, the fewest number of pesticides were detected at their absolute maximum concentration. Nine wastewater compounds were detected during this study. Suspended-sediment concentrations were similar for the San Joaquin and Old Rivers except during the period of managed streamflow conditions, when suspended-sediment concentration was higher at sites on the San Joaquin River than at sites on the Old River. Values for water parameters (pH, specific conductance, and hardness) were lowest during the period of managed flows.

The impact of the 2008 cold spell on mortality in Shanghai, China

NASA Astrophysics Data System (ADS)

Ma, Wenjuan; Yang, Chunxue; Chu, Chen; Li, Tiantian; Tan, Jianguo; Kan, Haidong

2013-01-01

No prior studies in China have investigated the health impact of cold spell. In Shanghai, we defined the cold spell as a period of at least seven consecutive days with daily temperature below the third percentile during the study period (2001-2009). Between January 2001 and December 2009, we identified a cold spell between January 27 and February 3, 2008 in Shanghai. We investigated the impact of cold spell on mortality of the residents living in the nine urban districts of Shanghai. We calculated the excess deaths and rate ratios (RRs) during the cold spell and compared these data with a winter reference period (January 6-9, and February 28 to March 2). The number of excess deaths during the cold spell period was 153 in our study population. The cold spell caused a short-term increase in total mortality of 13 % (95 % CI: 7-19 %). The impact was statistically significant for cardiovascular mortality (RR = 1.21, 95 % CI: 1.12-1.31), but not for respiratory mortality (RR = 1.14, 95 % CI: 0.98-1.32). For total mortality, gender did not make a statistically significant difference for the cold spell impact. Cold spell had a significant impact on mortality in elderly people (over 65 years), but not in other age groups. Conclusively, our analysis showed that the 2008 cold spell had a substantial effect on mortality in Shanghai. Public health programs should be tailored to prevent cold-spell-related health problems in the city.

The Training Characteristics of the World's Most Successful Female Cross-Country Skier

PubMed Central

Solli, Guro S.; Tønnessen, Espen; Sandbakk, Øyvind

2017-01-01

The main aim of this study was to investigate the training characteristics of the most successful female cross-country skier ever during the best period of her career. The participant won six gold medals at the Olympic Games, 18 gold medals at the World Championship, and 110 World Cup victories. Day-to-day training diary data, interviews, and physiological tests were analyzed. Training data was systemized by training form (endurance, strength, and speed), intensity [low- (LIT), moderate- (MIT), and high-intensity training (HIT)], and mode (running, cycling, and skiing/roller skiing), followed by a division into different periodization phases. Specific sessions utilized in the various periodization periods and the day-to-day periodization of training, in connection with altitude camps and tapering toward major championships, were also analyzed. Following a 12-year nonlinear increase in training load, the annual training volume during the five consecutive successful years stabilized at 937 ± 25 h, distributed across 543 ± 9 sessions. During these 5 years, total training time was distributed as 90.6% endurance-, 8.0% strength-, and 1.4% speed-training, with endurance-training time consisting of 92.3 ± 0.3% LIT, 2.9 ± 0.5% MIT, and 4.8 ± 0.5% HIT. Total LIT-time consisted of 21% warm-up, 14% sessions <90 min, and 65% long-duration sessions >90 min. While the total number of LIT sessions remained stable across phases (32 sessions), total LIT-time was reduced from GP (76 h/month) to SP (68 h/month) and CP (55 h/month). MIT-time decreased from GP (2.8 h/month) to SP (2.2 h/month) and CP (1 h/month). HIT-time increased from GP (2.8 h/month) to SP (3.2 h/month) and CP (4.7 h/month). Altitude training accounted for 18–25% of annual training volume and performed across relatively short training camps (≤16 days) with a clear reduction of HIT training, but increased total and LIT volume compared to sea-level training. Training before international championships included a 2-week increase in LIT and strength volume followed by a gradual reduction of training volume and increased HIT during the last week. This study provides unique data on the world's most successful female cross-country skier's long-term training process, including novel information about the distribution of and interplay between sessions of different forms, intensities, and exercise modes throughout the annual season. PMID:29326603

The Training Characteristics of the World's Most Successful Female Cross-Country Skier.

PubMed

Solli, Guro S; Tønnessen, Espen; Sandbakk, Øyvind

2017-01-01

The main aim of this study was to investigate the training characteristics of the most successful female cross-country skier ever during the best period of her career. The participant won six gold medals at the Olympic Games, 18 gold medals at the World Championship, and 110 World Cup victories. Day-to-day training diary data, interviews, and physiological tests were analyzed. Training data was systemized by training form (endurance, strength, and speed), intensity [low- (LIT), moderate- (MIT), and high-intensity training (HIT)], and mode (running, cycling, and skiing/roller skiing), followed by a division into different periodization phases. Specific sessions utilized in the various periodization periods and the day-to-day periodization of training, in connection with altitude camps and tapering toward major championships, were also analyzed. Following a 12-year nonlinear increase in training load, the annual training volume during the five consecutive successful years stabilized at 937 ± 25 h, distributed across 543 ± 9 sessions. During these 5 years, total training time was distributed as 90.6% endurance-, 8.0% strength-, and 1.4% speed-training, with endurance-training time consisting of 92.3 ± 0.3% LIT, 2.9 ± 0.5% MIT, and 4.8 ± 0.5% HIT. Total LIT-time consisted of 21% warm-up, 14% sessions <90 min, and 65% long-duration sessions >90 min. While the total number of LIT sessions remained stable across phases (32 sessions), total LIT-time was reduced from GP (76 h/month) to SP (68 h/month) and CP (55 h/month). MIT-time decreased from GP (2.8 h/month) to SP (2.2 h/month) and CP (1 h/month). HIT-time increased from GP (2.8 h/month) to SP (3.2 h/month) and CP (4.7 h/month). Altitude training accounted for 18-25% of annual training volume and performed across relatively short training camps (≤16 days) with a clear reduction of HIT training, but increased total and LIT volume compared to sea-level training. Training before international championships included a 2-week increase in LIT and strength volume followed by a gradual reduction of training volume and increased HIT during the last week. This study provides unique data on the world's most successful female cross-country skier's long-term training process, including novel information about the distribution of and interplay between sessions of different forms, intensities, and exercise modes throughout the annual season.

Energy-efficient pulse-coupled synchronization strategy design for wireless sensor networks through reduced idle listening

PubMed Central

Wang, Yongqiang; Núñez, Felipe; Doyle, Francis J.

2013-01-01

Synchronization is crucial to wireless sensor networks due to their decentralized structure. We propose an energy-efficient pulse-coupled synchronization strategy to achieve this goal. The basic idea is to reduce idle listening by intentionally introducing a large refractory period in the sensors’ cooperation. The large refractory period greatly reduces idle listening in each oscillation period, and is analytically proven to have no influence on the time to synchronization. Hence, it significantly reduces the total energy consumption in a synchronization process. A topology control approach tailored for pulse-coupled synchronization is given to guarantee a k-edge strongly connected interaction topology, which is tolerant to communication-link failures. The topology control approach is totally decentralized and needs no information exchange among sensors, and it is applicable to dynamic network topologies as well. This facilitates a completely decentralized implementation of the synchronization strategy. The strategy is applicable to mobile sensor networks, too. QualNet case studies confirm the effectiveness of the synchronization strategy. PMID:24307831

Discharge, suspended sediment, bedload, and water quality in Clear Creek, western Nevada, water years 2010-12

USGS Publications Warehouse

Huntington, Jena M.; Savard, Charles S.

2015-09-30

During this study, total annual sediment loads ranged from 355 tons per year in 2010 to 1,768 tons per year in 2011 and were significantly lower than the previous study (water years 2004–07). Bedload represented between 29 and 38 percent of total sediment load in water years 2010–12, and between 72 and 90 percent of the total sediment load in water years 2004–07, which indicates a decrease in bedload between study periods. Annual suspended-sediment loads in water years 2010–12 indicated no significant change from water years 2004–07. Mean daily discharge was significantly lower in water years 2010–12 than in waters years 2004–07 and may be the reason for the decrease in bedload that resulted in a lower total sediment load.

History of pneumonia is a strong risk factor for chronic obstructive pulmonary disease (COPD) exacerbation in South Korea: the Epidemiologic review and Prospective Observation of COPD and Health in Korea (EPOCH) study.

PubMed

Hwang, Yong Il; Lee, Sang Haak; Yoo, Jee Hong; Jung, Bock Hyun; Yoo, Kwang Ha; Na, Moon Jun; Lee, Jong Deog; Park, Myung Jae; Jung, Chi Young; Shim, Jae Jeong; Kim, Kyung Chan; Kim, Yeon Jae; Choi, Hye Sook; Choi, Ik Su; Lee, Choon-Taek; Lee, Sang Do; Kim, Do Jin; Uh, Soo-Taek; Lee, Ho Sung; Kim, Young Sam; Lee, Kwan Ho; Ra, Seung Won; Kim, Hak Ryul; Choi, Soo Jeon; Park, In Won; Park, Yong Bum; Park, So Young; Lee, Jaehee; Jung, Ki-Suck

2015-12-01

In South Korea, chronic obstructive pulmonary disease (COPD) is one of the ten leading causes of death. COPD exacerbations are significantly associated with mortality in COPD patients. This study was conducted to investigate the epidemiology of COPD in South Korea, specifically the clinical characteristics of South Korean COPD patients, the COPD exacerbation rate and the risk factors associated with COPD exacerbations. This study covers a 2-year interval. One year was data collected retrospectively and the second year was prospectively obtained data. A total of 1,114 subjects were enrolled in the study. These subjects were observed for a period of 1 year from the enrollment, and a total of 920 subjects completed the study. A total of 1,357 COPD exacerbations occurred in 711 subjects (63.8%) out of the total of 1,114 subjects during the study period of 2 years. Multivariate logistic regression results showed that if patients had had a pneumonia before the retrospective year of analysis, they had a 18 times greater chance of having an exacerbation during the prospective year when other variables were controlled. Also, the subjects who had a history of two or more exacerbations during the retrospective year were approximately 6 times more likely to experience the COPD exacerbation compared to those who did not. This study examined the demographic and clinical characteristics of South Korean COPD patients and found that a history of pneumonia and two or more occurrences of exacerbation within 1 year was significantly associated with a higher rate of COPD exacerbation.

Prediction possibilities of Arosa total ozone

NASA Astrophysics Data System (ADS)

Kane, R. P.

1987-01-01

Using the periodicities obtained by a Maximum Entropy Spectral Analysis (MESA) of the Arosa total ozone data ( CC') series for 1932 1971, the values predicted for 1972 onwards were compared with the observed values of the ( AD) series. A change of level was noticed, with the observed ( AD) values lower by about 7 D.U. Also, the matching was poor in 1980, 1981, 1982. In the monthly values, the most prominent periodicity was the annual wave, comprising some 80% variance. In the 12 month running averages, the annual wave was eliminated and the most prominent periodicity was T=3.7 years, encompassing roundly 20% variance. This and other periodicities at T=4.7, 5.4, 6.2, 10 and 16 years were all statistically significant at a 3.5δ a priori i.e., 2δ a posteriori level. However, the predictions from these were unsatisfactory, probably because some of these periodicities may be transient i.e., changing amplitudes and/or phases with time. Thus, no meaningful prediction seem possible for Arosa total ozone.

For Third Enrollment Period, Marketplaces Expand Decision Support Tools To Assist Consumers.

PubMed

Wong, Charlene A; Polsky, Daniel E; Jones, Arthur T; Weiner, Janet; Town, Robert J; Baker, Tom

2016-04-01

The design of the Affordable Care Act's online health insurance Marketplaces can improve how consumers make complex health plan choices. We examined the choice environment on the state-based Marketplaces and HealthCare.gov in the third open enrollment period. Compared to previous enrollment periods, we found greater adoption of some decision support tools, such as total cost estimators and integrated provider lookups. Total cost estimators differed in how they generated estimates: In some Marketplaces, consumers categorized their own utilization, while in others, consumers answered detailed questions and were assigned a utilization profile. The tools available before creating an account (in the window-shopping period) and afterward (in the real-shopping period) differed in several Marketplaces. For example, five Marketplaces provided total cost estimators to window shoppers, but only two provided them to real shoppers. Further research is needed on the impact of different choice environments and on which tools are most effective in helping consumers pick optimal plans. Project HOPE—The People-to-People Health Foundation, Inc.

The impact of tobacco taxes on mortality in the USA, 1970-2005.

PubMed

Bowser, Diana; Canning, David; Okunogbe, Adeyemi

2016-01-01

This paper aimed to estimate the effect of tobacco taxes on total mortality and cause-specific mortality in the 50 States plus the District of Columbia, USA, over the period 1970-2005 as well as the net effect on deaths averted in 2010. We used a fixed effects panel regression to measure the impact of changes in total tobacco taxes on total and cause-specific mortality rates over the period 1970-2005, using a 5-year lag structure between changes in tobacco taxes and mortality rates. The estimates were used to determine the number of deaths averted in the year 2010 by tobacco tax increases over the period 1970-2005. Descriptive results showed that nominal total tobacco tax increased from US$0.18 in 1970 to US$1.24 in 2005, which after adjusting to 2005 US$, corresponds to an increase in real total tobacco tax from US$ 0.89 in 1970 to US$ 1.24 in 2005. We found that increases in total tobacco tax were beneficial, with a $1 increase in total tobacco tax decreasing overall mortality rate by 8.0%. Based on these results, we estimated a net saving of 53 300 lives in 2010 due to the tobacco tax changes over the period 1970-2005. Our results demonstrate that higher tobacco taxes lead to lower total mortality rates and avoided deaths. Strong tobacco tax policies are essential to improving overall population health. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

29 CFR Appendix A to Subpart S of... - Decompression Tables

Code of Federal Regulations, 2010 CFR

2010-07-01

... working period at 20 pounds gauge. Decompression Table No. 1: 20 pounds for 4 hours, total decompression... minutes per pound. Stage 2 (final) elapsed time 40 Total time 43 Example No. 2: 5-hour working period at... pressure p.s.i.g. Working period hours 1/2 1 11/2 2 3 4 5 6 7 8 Over 8 9 to 12 3 3 3 3 3 3 3 3 3 3 3 14 6 6...

Effects of River Discharge and Land Use and Land Cover (LULC) on Water Quality Dynamics in Migina Catchment, Rwanda

NASA Astrophysics Data System (ADS)

Uwimana, Abias; van Dam, Anne; Gettel, Gretchen; Bigirimana, Bonfils; Irvine, Kenneth

2017-09-01

Agricultural intensification may accelerate the loss of wetlands, increasing the concentrations of nutrients and sediments in downstream water bodies. The objective of this study was to assess the effects of land use and land cover and river discharge on water quality in the Migina catchment, southern Rwanda. Rainfall, discharge and water quality (total nitrogen, total phosphorus, total suspended solids, dissolved oxygen, conductivity, pH, and temperature) were measured in different periods from May 2009 to June 2013. In 2011, measurements were done at the outlets of 3 sub-catchments (Munyazi, Mukura and Akagera). Between May 2012 and May 2013 the measurements were done in 16 reaches of Munyazi dominated by rice, vegetables, grass/forest or ponds/reservoirs. Water quality was also measured during two rainfall events. Results showed seasonal trends in water quality associated with high water flows and farming activities. Across all sites, the total suspended solids related positively to discharge, increasing 2-8 times during high flow periods. Conductivity, temperature, dissolved oxygen, and pH decreased with increasing discharge, while total nitrogen and total phosphorus did not show a clear pattern. The total suspended solids concentrations were consistently higher downstream of reaches dominated by rice and vegetable farming. For total nitrogen and total phosphorus results were mixed, but suggesting higher concentration of total nitrogen and total phosphorus during the dry and early rainy (and farming) season, and then wash out during the rainy season, with subsequent dilution at the end of the rains. Rice and vegetable farming generate the transport of sediment as opposed to ponds/reservoir and grass/forest.

Deaths from pesticide poisoning in South Korea: trends over 10 years.

PubMed

Lee, Won Jin; Cha, Eun Shil; Park, Eun Sook; Kong, Kyoung Ae; Yi, Jun Hyeok; Son, Mia

2009-02-01

Pesticide poisoning is a major cause of death in the world. The objective of this study was to examine the trends of pesticide poisoning deaths and their epidemiologic characteristics in South Korea. We evaluated the age-standardized mortality rates from pesticide-related deaths (intentional self-poisoning, accidental poisoning, assault, undetermined intent poisoning) in South Korea from 1996 through 2005, using registered death data obtained from the Korea National Statistical Office. The regional rurality index was calculated and correlation analyses were used to estimate the association with pesticide poisoning mortality. The number of pesticide poisoning deaths from 1996 through 2005 was 25,360, which accounted for 58.3% of the total poisoning fatalities. The age-standardized mortality rates by pesticide poisoning significantly increased from 4.42 to 6.42 per 100,000 population, whereas the total death rate was decreased in the same period. Intentional self-poisoning was the majority cause of death from pesticides (84.8% of total pesticide poisoning deaths). The majority of the pesticide poisoning deaths were men, over 50 years old, with education less than middle school, and residing in rural areas. The rate of pesticide poisoning deaths was the highest in the farming period and was significantly correlated with the rurality index of each region. Pesticide poisoning deaths substantially increased during the 10-year study period, and showed demographic, seasonal and regional variations. More intensive intervention efforts to reduce pesticide mortality should become a public health priority in South Korea.

Different incidences of knee arthroplasty in the Nordic countries.

PubMed

NiemeläInen, Mika J; MäKelä, Keijo T; Robertsson, Otto; W-Dahl, Annette; Furnes, Ove; Fenstad, Anne M; Pedersen, Alma B; Schrøder, Henrik M; Huhtala, Heini; Eskelinen, Antti

2017-04-01

Background and purpose - The annual number of total knee arthroplasties (TKAs) has increased worldwide in recent years. To make projections regarding future needs for primaries and revisions, additional knowledge is important. We analyzed and compared the incidences among 4 Nordic countries Patients and methods - Using Nordic Arthroplasty Register Association (NARA) data from 4 countries, we analyzed differences between age and sex groups. We included patients over 30 years of age who were operated with TKA or unicompartmental knee arthroplasty (UKA) during the period 1997-2012. The negative binomial regression model was used to analyze changes in general trends and in sex and age groups. Results - The average annual increase in the incidence of TKA was statistically significant in all countries. The incidence of TKA was higher in women than in men in all 4 countries. It was highest in Finland in patients aged 65 years or more. At the end of the study period in 2012, Finland's total incidence was double that of Norway, 1.3 times that of Sweden and 1.4 times that of Denmark. The incidence was lowest in the youngest age groups (< 65 years) in all 4 countries. The proportional increase in incidence was highest in patients who were younger than 65 years. Interpretation - The incidence of knee arthroplasty steadily increased in the 4 countries over the study period. The differences between the countries were considerable, with the highest incidence in Finland. Patients aged 65 years or more contributed to most of the total incidence of knee arthroplasty.

The contribution of diet to total Bisphenol A body burden in humans: results of a 48 hour fasting study

EPA Science Inventory

Human biomonitoring studies measuring BPA in urine have shown widespread exposure in the general population. Diet is thought to be a major route of exposure. We studied urinary BPA patterns in five individuals over a 48-hr period of fasting (bottled water only). Personal acti...

Studying Meaning in Children' Drawings

ERIC Educational Resources Information Center

Hopperstad, Marit Holm

2010-01-01

This paper reports on an ethnographic study conducted with two Year 1 classes in two different Norwegian schools. In total, 35 five- and six-year-old children were involved in the study and were observed over a two-month period as they engaged in learning activities that involved drawing. Building on Kress and Van Leeuwen's (1996) theory of a…

Utilisation of podiatry services in Australia under the Medicare Enhanced Primary Care program, 2004-2008.

PubMed

Menz, Hylton B

2009-10-30

In 2004, as an extension of the Enhanced Primary Care (EPC) program, the Australian Government introduced a policy of providing Medicare rebates for allied health services provided to patients with chronic or complex health conditions. The objective of this study was to evaluate the utilisation of podiatry services provided under this scheme between 2004 and 2008. Data pertaining to the Medicare item 10962 for the calendar years 2004-2008 were extracted from the Australian Medicare Benefits Schedule (MBS) database and cross-tabulated by sex and age. Descriptive analyses were undertaken to assess sex and age differences in the number of consultations provided and to assess for temporal trends over the five-year assessment period. The total cost to Medicare over this period was also determined. During the 2004-2008 period, a total of 1,338,044 EPC consultations were provided by podiatrists in Australia. Females exhibited higher utilisation than males (63 versus 37%), and those aged over 65 years accounted for 75% of consultations. There was a marked increase in the number of consultations provided from 2004 to 2008, and the total cost of providing EPC podiatry services during this period was $62.9 M. Podiatry services have been extensively utilised under the EPC program by primary care patients, particularly older women, and the number of services provided has increased dramatically between 2004 and 2008. Further research is required to determine whether the EPC program enhances clinical outcomes compared to standard practice.

Effects of ceiling-mounted HEPA-UV air filters on airborne bacteria concentrations in an indoor therapy pool building.

PubMed

Kujundzic, Elmira; Zander, David A; Hernandez, Mark; Angenent, Largus T; Henderson, David E; Miller, Shelly L

2005-02-01

The purpose of this study was to assess the effectiveness of a new generation of high-volume, ceiling-mounted high-efficiency particulate air (HEPA)-ultraviolet (UV) air filters (HUVAFs) for their ability to remove or inactivate bacterial aerosol. In an environmentally controlled full-scale laboratory chamber (87 m3), and an indoor therapy pool building, the mitigation ability of air filters was assessed by comparing concentrations of total bacteria, culturable bacteria, and airborne endotoxin with and without the air filters operating under otherwise similar conditions. Controlled chamber tests with pure cultures of aerosolized Mycobacterium parafortuitum cells showed that the HUVAF unit tested provided an equivalent air-exchange rate of 11 hr(-1). Using this equivalent air-exchange rate as a design basis, three HUVAFs were installed in an indoor therapy pool building for bioaerosol mitigation, and their effectiveness was studied over a 2-year period. The HUVAFs reduced concentrations of culturable bacteria by 69 and 80% during monitoring periods executed in respective years. The HUVAFs reduced concentrations of total bacteria by 12 and 76% during the same monitoring period, respectively. Airborne endotoxin concentrations were not affected by the HUVAF operation.

Attributable inpatient costs of recurrent Clostridium difficile infections.

PubMed

Dubberke, Erik R; Schaefer, Eric; Reske, Kimberly A; Zilberberg, Marya; Hollenbeak, Christopher S; Olsen, Margaret A

2014-11-01

To determine the attributable inpatient costs of recurrent Clostridium difficile infections (CDIs). Retrospective cohort study. Academic, urban, tertiary care hospital. A total of 3,958 patients aged 18 years or more who developed an initial CDI episode from 2003 through 2009. Data were collected electronically from hospital administrative databases and were supplemented with chart review. Patients with an index CDI episode during the study period were followed up for 180 days from the end of their index hospitalization or the end of their index CDI antibiotic treatment (whichever occurred later). Total hospital costs during the outcome period for patients with recurrent versus a single episode of CDI were analyzed using zero-inflated lognormal models. There were 421 persons with recurrent CDI (recurrence rate, 10.6%). Recurrent CDI case patients were significantly more likely than persons without recurrence to have any hospital costs during the outcome period (P < .001). The estimated attributable cost of recurrent CDI was $11,631 (95% confidence interval, $8,937-$14,588). The attributable costs of recurrent CDI are considerable. Patients with recurrent CDI are significantly more likely to have inpatient hospital costs than patients who do not develop recurrences. Better strategies to predict and prevent CDI recurrences are needed.

Estimating nearshore coral reef-associated fisheries production from the main Hawaiian Islands.

PubMed

McCoy, Kaylyn S; Williams, Ivor D; Friedlander, Alan M; Ma, Hongguang; Teneva, Lida; Kittinger, John N

2018-01-01

Currently, information on nearshore reef-associated fisheries is frequently disparate or incomplete, creating a challenge for effective management. This study utilized an existing non-commercial fishery dataset from Hawai'i, covering the period 2004-13, to estimate a variety of fundamental fishery parameters, including participation, effort, gear use, and catch per unit effort. We then used those data to reconstruct total catches per island. Non-commercial fisheries in this case comprise recreational, subsistence, and cultural harvest, which may be exchanged, but are not sold. By combining those data with reported commercial catch data, we estimated annual catch of nearshore reef-associated fisheries in the main Hawaiian Islands over the study period to be 1,167,758 ± 43,059 kg year-1 (mean ± standard error). Average annual commercial reef fish catch over the same time period-184,911 kg year-1-was 16% of the total catch, but that proportion varied greatly among islands, ranging from 23% on O'ahu to 5% on Moloka'i. These results emphasize the importance of reef fishing in Hawai'i for reasons beyond commerce, such as food security and cultural practice, and highlight the large differences in fishing practices across the Hawaiian Islands.

Short-term dynamic changes in hematologic and biochemical tests during follow-up of definite heart failure patients.

PubMed

Kataoka, Hajime

2010-10-29

There are few studies on the short-term changes in routine peripheral blood data in definite heart failure (HF) patients. This study examined whether or not such changes existed and evaluated the feasibility of monitoring changes in common blood tests to estimate body fluid status in HF patients. The blood test data both at worsening and recovery of HF status were obtained from 27 definite HF patients. Hemoglobin, hematocrit, total protein, albumin, and creatinine values were significantly lower during the period of worsening HF status than those obtained during a period of recent clinical stability. At recovery, the values of all measured blood markers had significantly increased compared to those obtained during the period of worsening HF status. At recovery, changes in body weight were negatively correlated with hemoglobin (r=-0.475, p=0.012), hematocrit (r=-0.429, p=0.026), and total protein (r=-0.442, p=0.021). Careful attention should be paid to short-term changes in routine blood tests to correctly interpret test results and to aid in monitoring body fluid status in HF patients. Copyright © 2009 Elsevier Ireland Ltd. All rights reserved.

Ultrasound therapy transducers with space-filling non-periodic arrays.

PubMed

Raju, Balasundar I; Hall, Christopher S; Seip, Ralf

2011-05-01

Ultrasound transducers designed for therapeutic purposes such as tissue ablation, histotripsy, or drug delivery require large apertures for adequate spatial localization while providing sufficient power and steerability without the presence of secondary grating lobes. In addition, it is highly preferred to minimize the total number of channels and to maintain simplicity in electrical matching network design. To this end, we propose array designs that are both space-filling and non-periodic in the placement of the elements. Such array designs can be generated using the mathematical concept of non-periodic or aperiodic tiling (tessellation) and can lead to reduced grating lobes while maintaining full surface area coverage to deliver maximum power. For illustration, we designed two 2-D space-filling therapeutic arrays with 128 elements arranged on a spherical shell. One was based on the two-shape Penrose rhombus tiling, and the other was based on a single rectangular shape arranged non-periodically. The steerability performance of these arrays was studied using acoustic field simulations. For comparison, we also studied two other arrays, one with circular elements distributed randomly, and the other a periodic array with square elements. Results showed that the two space-filling non-periodic arrays were able to steer to treat a volume of 16 x 16 x 20 mm while ensuring that the grating lobes were under -10 dB compared with the main lobe. The rectangular non-periodic array was able to generate two and half times higher power than the random circles array. The rectangular array was then fabricated by patterning the array using laser scribing methods and its steerability performance was validated using hydrophone measurements. This work demonstrates that the concept of space-filling aperiodic/non-periodic tiling can be used to generate therapy arrays that are able to provide higher power for the same total transducer area compared with random arrays while maintaining acceptable grating lobe levels.

The dynamics of fauna and population of birds in agricultural landscapes on the border of Kazan International Airport

NASA Astrophysics Data System (ADS)

Bespalov, A. F.; Belyaev, A. N.

2018-01-01

The dynamics of fauna and population of birds from agricultural lands near Kazan International Airport has been studied for one year. A total of 60 bird species have been registered, of which 26 species must be considered as highly dangerous to flying aircraft. With regard to seasonal activity, the nesting period (April - June) is the most hazardous, since it is characterized by maximum species richness and total population density of birds, as well as their high species diversity. Furthermore, a serious danger is posed by the period of postnesting nomadic movements and the onset of migrations (July - September) when the species diversity turns out to be the highest and the total population density begins to decrease. It has been recommended based on the obtained results that the current crops should be replaced by cultivars that will be less attractive to birds. In spring and autumn, certain bird hazing and frightening measures must be taken on a more regular basis.

Seven-days-ahead forecasting of childhood asthma admissions using artificial neural networks in Athens, Greece.

PubMed

Moustris, Kostas P; Douros, Konstantinos; Nastos, Panagiotis T; Larissi, Ioanna K; Anthracopoulos, Michael B; Paliatsos, Athanasios G; Priftis, Kostas N

2012-01-01

Artificial Neural Network (ANN) models were developed and applied in order to predict the total weekly number of Childhood Asthma Admission (CAA) at the greater Athens area (GAA) in Greece. Hourly meteorological data from the National Observatory of Athens and ambient air pollution data from seven different areas within the GAA for the period 2001-2004 were used. Asthma admissions for the same period were obtained from hospital registries of the three main Children's Hospitals of Athens. Three different ANN models were developed and trained in order to forecast the CAA for the subgroups of 0-4, 5-14-year olds, and for the whole study population. The results of this work have shown that ANNs could give an adequate forecast of the total weekly number of CAA in relation to the bioclimatic and air pollution conditions. The forecasted numbers are in very good agreement with the observed real total weekly numbers of CAA.

Prognostic value of lymphovascular invasion of the primary tumor in hypopharyngeal carcinoma after total laryngopharyngectomy.

PubMed

Saito, Yuki; Omura, Go; Yasuhara, Kazuo; Rikitake, Ryoko; Akashi, Ken; Fukuoka, Osamu; Yoshida, Masafumi; Ando, Mizuo; Asakage, Takahiro; Yamasoba, Tatsuya

2017-08-01

We aimed to determinate the prognostic value of lymphovascular invasion in the specimens resected during total laryngopharyngectomy for hypopharyngeal carcinoma. Patients who underwent total laryngopharyngectomy at our institution between 2004 and 2014 were included in this study and retrospectively analyzed. We then discriminated for vascular invasion and lymphatic invasion of the primary tumor in all cases. We reviewed 135 records (120 men and 15 women; age range, 36-84 years). Tumors with lymphatic invasion tended to be associated with more metastatic lymph nodes and extracapsular spread (ECS) of metastatic lymph nodes. Tumors with vascular invasion tended to be associated with nonpyriform sinus locations. In a multivariate analysis, nonpyriform sinus locations, >3 metastatic lymph nodes, and vascular invasion remained significant prognostic factors for overall survival (OS); in recursive partitioning analysis, ECS and vascular invasion remained important categorical variables for OS. Vascular invasion is a strong prognostic biomarker for advanced hypopharyngeal carcinoma. © 2017 Wiley Periodicals, Inc. Head Neck 39: 1535-1543, 2017. © 2017 Wiley Periodicals, Inc.

[Asbestos: fifty years of work exposure in Campania and other Italian regions through INAIL experience].

PubMed

Balletta, A; Bonifaci, G; Citro, Al; Continisio, R; Di Palma, P; D'Angelo, R; Iacoviello, P

2012-01-01

The aim of the work is to proceed to the recognition of asbestos phenomenon in Campania and in the other regions with emphasis on the incidence and development of several related diseases. Using data from first INAIL Annual Report on the progress of occupational diseases until 1999, and the data provided by the INAIL CSA regarding the last 12 years (2000 to 2011), the incidence is illustrated for two-year periods, from 2000 to 2011, for the total of diseases and separately for: asbestosis, mesotheliomas, lung cancer and non-cancerous pleural lesions. The total of diseases by region for the period 2000-2011 has been reported. The survey results show a gradual increase in the total asbestos related diseases (15,998) due to the mesotheliomas portion (5739) while the trend of lung cancer is stationary (2,287). Pleural plaques have a variable growth in the various regions during recent years. Some significant case studies from Campania are reported.

The Effect of Age in the Alteration in Fluid Balance of Rats in Response to Centrifugation

NASA Technical Reports Server (NTRS)

Fuller, Charles A.

2000-01-01

With an increase in gravity load induced by centrifugation or upon return to Earth following spaceflight, there is a period of adjustment in fluid balance in rats. With centrifugation there is a reduced fluid intake with maintenance of the rate of urine excretion. Following spaceflight there is an increase in urine output and maintenance of fluid intake. The initial period of acclimation to hypergravity is associated with a net loss of fluids. In the present study in response to centrifugation at 2.0 G this period of acclimation is present in mature rats for a longer period of time, about 24 hours. Following this initial response a period of over compensation has previously been reported. In the present study this was not observed. The net effect of these alterations in water intake and output in response to centrifugation for 14 days was slight increase in the percent total body water, with effective compensation seen in both young and mature rats. Older rats have been shown to have a reduced relative thirst and compensatory renal function in response to hypohydration, hyperosmolality and pharmacological stimuli. Responsiveness to these stimuli are delayed and/or attenuated in older animals. Similar findings were noted in the present study in the initial response to centrifugation. The older animal had a delayed return of fluid intake to control levels. The delay of one day did not appear to effect long-term fluid homeostasis, as there was difference in the response of percent total body water at the end of 14 days of centrifugation with both age groups having a slight but significant increase. This increase has been attributed to the increase in lean body mass induced by centrifugation.

Pleural cancer mortality in Spain: time-trends and updating of predictions up to 2020.

PubMed

López-Abente, Gonzalo; García-Gómez, Montserrat; Menéndez-Navarro, Alfredo; Fernández-Navarro, Pablo; Ramis, Rebeca; García-Pérez, Javier; Cervantes, Marta; Ferreras, Eva; Jiménez-Muñoz, María; Pastor-Barriuso, Roberto

2013-11-06

A total of 2,514,346 metric tons (Mt) of asbestos were imported into Spain from 1906 until the ban on asbestos in 2002. Our objective was to study pleural cancer mortality trends as an indicator of mesothelioma mortality and update mortality predictions for the periods 2011-2015 and 2016-2020 in Spain. Log-linear Poisson models were fitted to study the effect of age, period of death and birth cohort (APC) on mortality trends. Change points in cohort- and period-effect curvatures were assessed using segmented regression. Fractional power-link APC models were used to predict mortality until 2020. In addition, an alternative model based on national asbestos consumption figures was also used to perform long-term predictions. Pleural cancer deaths increased across the study period, rising from 491 in 1976-1980 to 1,249 in 2006-2010. Predictions for the five-year period 2016-2020 indicated a total of 1,319 pleural cancer deaths (264 deaths/year). Forecasts up to 2020 indicated that this increase would continue, though the age-adjusted rates showed a levelling-off in male mortality from 2001 to 2005, corresponding to the lower risk in post-1960 generations. Among women, rates were lower and the mortality trend was also different, indicating that occupational exposure was possibly the single factor having most influence on pleural cancer mortality. The cancer mortality-related consequences of human exposure to asbestos are set to persist and remain in evidence until the last surviving members of the exposed cohorts have disappeared. It can thus be assumed that occupationally-related deaths due to pleural mesothelioma will continue to occur in Spain until at least 2040.

Does feather corticosterone reflect individual quality or external stress in arctic-nesting migratory birds?

PubMed

Legagneux, Pierre; Harms, N Jane; Gauthier, Gilles; Chastel, Olivier; Gilchrist, H Grant; Bortolotti, Gary; Bêty, Joël; Soos, Catherine

2013-01-01

The effects of environmental perturbations or stressors on individual states can be carried over to subsequent life stages and ultimately affect survival and reproduction. The concentration of corticosterone (CORT) in feathers is an integrated measure of hypothalamic-pituitary-adrenal activity during the molting period, providing information on the total baseline and stress-induced CORT secreted during the period of feather growth. Common eiders and greater snow geese replace all flight feathers once a year during the pre-basic molt, which occurs following breeding. Thus, CORT contained in feathers of pre-breeding individuals sampled in spring reflects the total CORT secreted during the previous molting event, which may provide insight into the magnitude or extent of stress experienced during this time period. We used data from multiple recaptures to disentangle the contribution of individual quality vs. external factors (i.e., breeding investment or environmental conditions) on feather CORT in arctic-nesting waterfowl. Our results revealed no repeatability of feather CORT within individuals of either species. In common eiders, feather CORT was not affected by prior reproductive investment, nor by pre-breeding (spring) body condition prior to the molting period. Individual feather CORT greatly varied according to the year, and August-September temperatures explained most of the annual variation in feather CORT. Understanding mechanisms that affect energetic costs and stress responses during molting will require further studies either using long-term data or experiments. Although our study period encompassed only five years, it nonetheless provides evidence that CORT measured in feathers likely reflects responses to environmental conditions experienced by birds during molt, and could be used as a metric to study carry-over effects.

Estimated water use and availability in the East Narragansett Bay study area, Rhode Island, 1995-99

USGS Publications Warehouse

Wild, Emily C.

2007-01-01

Water availability became a concern in Rhode Island during a drought in 1999, and further investigation was needed to assess the current demands on the hydrologic system from withdrawals during periods of little to no precipitation. The low ground-water levels and streamflows measured in Rhode Island prompted initiation of a series of studies on water use and availability in each major drainage area in Rhode Island for the period 1995–99. The investigation of the East Narragansett Bay area is the last of these studies. The East Narragansett Bay study area (130.9 square miles) includes small sections of the Ten Mile and Westport River Basins in Rhode Island. The area was divided into three regions (islands and contiguous land areas separated by the bay) within each of which the freshwater water use and availability were assessed. During the study period from 1995 through 1999, three major public water suppliers in the study area withdrew 7.601 million gallons per day (Mgal/d) from ground-water and surface-water reservoirs. The estimated water withdrawals by minor public water suppliers during the study period were 0.063 Mgal/d. Total self-supply domestic, industrial, commercial, and agricultural withdrawals from the study area averaged 1.891 Mgal/d. Total water use in the study area averaged 16.48 Mgal/d, of which about 8.750 Mgal/d was imported from other basins. The average return flow to freshwater within the basin was 2.591 Mgal/d, which included effluent from permitted facilities and septic systems. The average return flow to saltwater (Narragansett Bay) outside of the basin was about 45.21 Mgal/d and included discharges by permitted facilities (wastewater-treatment plants and Rhode Island Pollutant Discharge Elimination Systems). The PART program, a computerized hydrographseparation application, was used for the data collected at two selected index stream-gaging stations in the East Narragansett Bay study area to determine water availability on the basis of the 75th, 50th, and 25th percentiles of the total base flow; the base flow for the 7-day, 10-year low-flow scenario; and the base flow for the Aquatic Base Flow scenario for both stations. Base flows in the study area were lowest in September for the 75th, 50th, and 25th percentiles. The safe yields determined for the surface-water reservoirs (14.10 Mgal/d) were added to the estimated available ground water (gross yield) in the Southeastern Narragansett and East Narragansett Islands regions to give the total available water. The water availability in the study area at the 50th percentile ranged from 33.18 Mgal/d in September to 94.62 Mgal/d in June, water availability for the 7-day, 10-year low-flow scenario at the 50th percentile ranged from 21.87 Mgal/d in September to 83.03 Mgal/d in June, and water availability for the Aquatic Base Flow scenario at the 50th percentile ranged from 14.10 Mgal/d in August and September to 65.48 Mgal/d in June. Because water withdrawals and use are greater during the summer than at other times of the year, water availability in June, July, August, and September was compared to water withdrawals in the three regions. For the study period, the withdrawals in July were higher than in the other summer months. For the 50th percentile, the ratios of water withdrawn to water available were close to one in August for the estimated basic and Aquatic Base Flow scenarios and in September for the estimated 7-day, 10-year low-flow scenario. For the 25th percentile, the ratios were close to one in August for the estimated basic and for the 7-day, 10-year low-flow scenario, and were close to one in July for the estimated Aquatic Base Flow scenario. A long-term water budget was calculated for the East Narragansett Bay study area to identify and assess inflows and outflows by region. The water withdrawals and return flows used in the budget were from 1995 through 1999. Total inflow and outflow were calculated separately for each region. Inflow was assumed to equal outflow; the total water budget was 292.1 Mgal/d for the study area. Precipitation and return flow were 99 and less than 1 percent of the total estimated inflow to the study area, respectively. Evapotranspiration, streamflow, and water withdrawals were 47, 49, and 3 percent of the total outflow from the study area, respectively.

A Study of Learners' Usage of a Mobile Learning Application for Learning Idioms and Collocations

ERIC Educational Resources Information Center

Amer, Mahmoud

2014-01-01

This study explored how four groups of language learners used a mobile software application developed by the researcher for learning idiomatic expressions and collocations. A total of 45 participants in the study used the application for a period of one week. Data for this study was collected from the application, a questionnaire, and follow-up…

Decrease in the traumatic symptoms observed in child survivors within three years of the 2011 Japan earthquake and tsunami.

PubMed

Usami, Masahide; Iwadare, Yoshitaka; Watanabe, Kyota; Kodaira, Masaki; Ushijima, Hirokage; Tanaka, Tetsuya; Harada, Maiko; Tanaka, Hiromi; Sasaki, Yoshinori; Saito, Kazuhiko

2014-01-01

On March 11, 2011, Japan was struck by a massive earthquake and tsunami. The tsunami caused tremendous damage and traumatized several people, including children. The aim of this study was to assess changes in traumatic symptoms 8, 20, and 30 months of the 2011 tsunami. The study comprised three groups. Copies of the Post-Traumatic Stress Symptoms for Children 15 items (PTSSC-15), a self-rating questionnaire on traumatic symptoms, were distributed to 12,524 children (8-month period), 12,193 children (20-month period), and 11,819 children (30-month period). An effective response of children 8 months, 20 months, and 30 month after the disaster was obtained in 11,639 (92.9%), 10,597 (86.9%), and 10,812 children (91.4%), respectively. We calculated the total score, PTSD subscale, and Depression subscale of PTSSC-15. We calculated the total score, PTSD subscale, and Depression subscale of PTSSC-15. The PTSSC-15 total score and PTSD subscale of children belonging to 1st-9th grade groups who were tested 30 and 20 months after the tsunami significantly decreased compared with those of children tested 8 months after the tsunami. The PTSSC-15 total score and PTSD subscale of children in 1st-9th grade groups tested after 30 months did not decrease significantly compared with those of children tested after 20 months. The PTSSC-15 Depression subscale and PTSD subscale of children in 1st-9th grade groups tested after 30 months significantly decreased compared with those of children tested 8 months after the tsunami. The PTSSC-15 Depression subscale of children in 1st-9th grade groups evaluated after 30 months significantly decreased compared with those of children evaluated after 20 months. This study demonstrates that the traumatic symptoms of children who survived the massive tsunami improved with time. Nonetheless, the traumatic symptoms, which in some cases did not improve with time.

Donor funding health policy and systems research in low- and middle-income countries: how much, from where and to whom.

PubMed

Grépin, Karen Ann; Pinkstaff, Crossley Beth; Shroff, Zubin Cyrus; Ghaffar, Abdul

2017-08-31

The need for sufficient and reliable funding to support health policy and systems research (HPSR) in low- and middle-income countries (LMICs) has been widely recognised. Currently, most resources to support such activities come from traditional development assistance for health (DAH) donors; however, few studies have examined the levels, trends, sources and national recipients of such support - a gap this research seeks to address. Using OECD's Creditor Reporting System database, we classified donor funding commitments using a keyword analysis of the project-level descriptions of donor supported projects to estimate total funding available for HPSR-related activities annually from bilateral and multilateral donors, as well as the Bill and Melinda Gates Foundation, to LMICs over the period 2000-2014. Total commitments to HPSR-related activities have greatly increased since 2000, peaked in 2010, and have held steady since 2011. Over the entire study period (2000-2014), donors committed a total of $4 billion in funding for HPSR-related activities or an average of $266 million a year. Over the last 5 years (2010-2014), donors committed an average of $434 million a year to HPSR-related activities. Funding for HPSR is heavily concentrated, with more than 93% coming from just 10 donors and only represents approximately 2% of all donor funding for health and population projects. Countries in the sub-Saharan African region are the major recipients of HPSR funding. Funding for HPSR-related activities has generally increased over the study period; however, donor support to such activities represents only a small proportion of total DAH and has not grown in recent years. Donors should consider increasing the proportion of funds they allocate to support HPSR activities in order to further build the evidence base on how to build stronger health systems.

Effect of Treatment Modality on Long-Term Outcomes in Attention-Deficit/Hyperactivity Disorder: A Systematic Review

PubMed Central

Arnold, L. Eugene; Hodgkins, Paul; Caci, Hervé; Kahle, Jennifer; Young, Susan

2015-01-01

Background Evaluation of treatments for attention-deficit/hyperactivity disorder (ADHD) previously focused on symptom control, but attention has shifted to functional outcomes. The effect of different ADHD treatment periods and modalities (pharmacological, non-pharmacological, and combination) on long-term outcomes needs to be more comprehensively understood. Methods A systematic search of 12 literature databases using Cochrane’s guidelines yielded 403 English-language peer-reviewed, primary studies reporting long-term outcomes (≥2 years). We evaluated relative effects of treatment modalities and durations and effect sizes of outcomes reported as statistically significantly improved with treatment. Results The highest proportion of improved outcomes was reported with combination treatment (83% of outcomes). Among significantly improved outcomes, the largest effect sizes were found for combination treatment. The greatest improvements were associated with academic, self-esteem, or social function outcomes. A majority of outcomes improved regardless of age of treatment initiation (60%–75%) or treatment duration (62%–72%). Studies with short treatment duration had shorter follow-up times (mean 3.2 years total study length) than those with longer treatment durations (mean 7.1 years total study length). Studies with follow-up times <3 years reported benefit with treatment for 93% of outcomes, whereas those with follow-up times ≥3 years reported treatment benefit for 57% of outcomes. Post-hoc analysis indicated that this result was related to the measurement of outcomes at longer periods (3.2 versus 0.4 years) after treatment cessation in studies with longer total study length. Conclusions While the majority of long-term outcomes of ADHD improve with all treatment modalities, the combination of pharmacological and non-pharmacological treatment was most consistently associated with improved long-term outcomes and large effect sizes. Older treatment initiation age or longer durations did not markedly affect proportion of improved outcomes reported, but measurement of outcomes long periods after treatment cessation may attenuate results. PMID:25714373

Performance and carcass characteristics of commercial feedlot cattle from a study of vaccine and direct-fed microbial effects on Escherichia col O157:H7 fecal shedding.

PubMed

Cull, C A; Renter, D G; Bello, N M; Ives, S E; Babcock, A H

2015-06-01

The objective of this study was to quantify cattle performance and carcass characteristics associated with administration of a siderophore receptor and porin proteins-based vaccine (VAC) and a direct-fed microbial (DFM), which were originally evaluated for their impact on O157:H7 fecal shedding in a commercial feedlot population. Cattle (P = 17,148) were randomly allocated into 40 pens grouped by allocation dates into 10 complete blocks; pens within block were randomly allocated to control, VAC, DFM, or VAC + DFM treatment groups in a 2 × 2 factorial design. The DFM (Bovamine) was fed daily at the labeled dose of 10 cfu/animal of Lactobacillus acidophilus for the duration of the intervention period (mean = 86.6 d). The VAC cattle were vaccinated on Days 0 and 21 whereas unvaccinated cattle were not given a placebo or rehandled on Day 21. Data were analyzed using general and generalized linear mixed models that accounted for the study design. Main effects of DFM and VAC are reported as there were no significant treatment interactions for any of the outcomes evaluated. Vaccinated cattle had lower total weight gain (P < 0.01), ADG (P = 0.03), and cumulative DMI during the intervention period (P < 0.01) compared with unvaccinated cattle, whereas the DFM increased total weight gain (P = 0.03) and G:F (P = 0.05) during the intervention period. Daily DMI was decreased (P < 0.01) in vaccinated pens compared with unvaccinated pens during a 5-d period immediately following revaccination. After the intervention period was completed, cattle were sorted following the standard operating procedure for the feedlot and all cattle were fed the DFM from that point until harvest. Each steer was individually identified through harvest. At harvest, vaccinated cattle had more total days on feed (P < 0.01) with a larger HCW (P = 0.01) than nonvaccinated cattle, whereas cattle not fed the DFM during the intervention period had a significantly larger HCW (P < 0.01) than those fed the DFM during the intervention period. We conclude that the use of these DFM and vaccine products have differential and independent effects on cattle performance and carcass characteristics in a commercial feedlot setting. Although the magnitude of these effects may vary among production systems, a more comprehensive understanding of the potential production costs of preharvest food safety pathogen control programs is essential if such programs are to be fully adopted in the industry.

The effects of session length on demand functions generated using FR schedules.

PubMed

Foster, T Mary; Kinloch, Jennifer; Poling, Alan

2011-05-01

In comparing open and closed economies, researchers often arrange shorter sessions under the former condition than under the latter. Several studies indicate that session length per se can affect performance and there are some data that indicate that this variable can influence demand functions. To provide further data, the present study exposed domestic hens to series of increasing fixed-ratio schedules with the length of the open-economy sessions varied over 10, 40, 60, and 120 min. Session time affected the total-session response rates and pause lengths. The shortest session gave the greatest response rates and shortest pauses and the longest gave the lowest response rates and longest pauses. The total-session demand functions also changed with session length: The shortest session gave steeper initial slopes (i.e., the functions were more elastic at small ratios) and smaller rates of change of elasticity than the longest session. Response rates, pauses, and demand functions were, however, similar for equivalent periods of responding taken from within sessions of different overall lengths (e.g., total-session data for 10-min sessions and the data for the first 10 min of 120-min sessions). These findings suggest that differences in session length can confound the results of studies comparing open and closed economies when those economies are arranged in sessions that differ substantially in length, hence data for equivalent-length periods of responding, rather than total-session data, should be of primary interest under these conditions.

Trends and patterns of antibiotic consumption in China's tertiary hospitals: Based on a 5 year surveillance with sales records, 2011-2015.

PubMed

Wushouer, Haishaerjiang; Tian, Ye; Guan, Xiao-Dong; Han, Sheng; Shi, Lu-Wen

2017-01-01

The consumption of antibiotics is a major driver in the development of antimicrobial resistance. This study aims to identify the trends and patterns of the total antibiotic consumption in China's tertiary hospitals from 2011 to 2015 by retrospectively analyzing aggregated monthly surveillance data on antibiotic sales made to 468 hospitals from 28 provinces. Antibiotic consumption was expressed in DDD per 1,000 inhabitants per day (DID). We compared population weighted antibiotic consumption patterns in China with European countries using indicators from the European Surveillance of Antimicrobial Consumption (ESAC). Total antibiotic consumption, including all the specific antibiotic class except for aminoglycoside antibacterials, were significantly increased during the study period from an average of 7.97 DID in 2011 to 10.08 DID in 2015. In 2015, the eastern regions of China consumed the most antibiotics using population denominator while the western regions consumed the most using inpatient denominator. Cephalosporins accounted for 28.6% of total DID, followed by beta-lactam-beta-lactamase inhibitor combinations (20.0%), macrolides (17.4%), and fluoroquinolones (10.5%). Antibiotic in parenteral form accounted for nearly half of all antibiotics. Although over the past few years major efforts had been made to reduce the risks of excessive antibiotic use through antibiotic stewardship, total antibiotic consumption showed a significant upward trend during the study period. A consistent preference for cephalosporins, macrolides, beta-lactam-beta-lactamase inhibitor combinations, as well as parenteral preparations was observed.

Assessment of drought during corn growing season in Northeast China

NASA Astrophysics Data System (ADS)

Zhang, Qi; Hu, Zhenghua

2018-04-01

Northeast China has experienced extensive climate change during the past decades. Corn is the primary production crop in China and is sensitive to meteorological disasters, especially drought. Drought has thus greatly endangered crop production and the country's food security. The majority of previous studies has not highlighted farming adaptation activities undertaken within the changed climate, which should not be neglected. In this study, we assessed drought hazard in the corn vegetation growing period, the reproductive growing period, and the whole growing period based on data for yearly corn phenology, daily precipitation, and temperature gathered at 26 agro-meteorological stations across Northeast China from 1981 to 2009. The M-K trend test was used to detect trends in sowing date and drought. The standardized precipitation evapotranspiration index (SPEI) was used to describe drought. Drought frequency and intensity were used to assess the drought hazard in the region. We found that the sowing date was delayed in the southern part of the study area, coupled with a trend towards a shorter and more humid vegetation growing period. In the northern part of the study area, an earlier sowing date increased the length of the vegetation growing period and the reproductive growing period, while drying trends occurred within the two corn growing periods. We assessed the drought hazard during each growing period: the reproductive growing period faced a more severe drought hazard and was also the period where corn was most sensitive to water stress. Drought hazard during the total growing period was closely related to corn yield.

Recent development of transcatheter closure of atrial septal defect and patent foramen ovale with occluders.

PubMed

Tang, Baiyu; Su, Feng; Sun, Xiangke; Wu, Qin; Xing, Quansheng; Li, Suming

2018-01-01

Atrial septal defect (ASD) and patent foramen ovale (PFO) are common clinical congenital heart defects. As an effective method for the treatment of ASD and PFO, transcatheter closure with occluders presents many advantages, including safety, ease of operation, minimal invasiveness, and reduced complications. This contribution reviews the various types of occluders currently used in clinical applications and under development, including non degradable occluders, partially degradable occluders, and totally degradable occluders. A number of case studies are described in detail. Comparison is made on the treatment outcomes using different occulders. Future development of transcatheter closure is discussed, in particular the use of totally degradable occluders. © 2016 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 106B: 433-443, 2018. © 2016 Wiley Periodicals, Inc.

Methods to determine metabolizable energy and digestibility of feed ingredients in the domestic pigeon (Columba livia domestica).

PubMed

Sales, J; Janssens, G P J

2003-09-01

The influence of length of excreta collection period (1, 3, 6, 10, 14 d) and prefeeding protocol (7 d either individual feeding in collection cages or group feeding in housing cages) on AMEn, nitrogen retention (NR), and apparent DM, organic matter and ether extract digestibility of corn and peas were evaluated in domestic pigeons (Columba livia domestica). In addition, the use of internal markers [acid-insoluble ash (AIA) and acid detergent lignin (ADL)] to determine AMEn, NR, and apparent digestibility was compared with the method of measuring total feed input and excreta output. A quadratic (y = a + bx + cx2) trend in the CV for AMEn, NR, and apparent digestibility coefficients found over collection periods with corn presented evidence that excreta collection for a period of 3 d will produce a CV of 5% less than the minimum CV. Although no trend could be detected in CV for peas, a 3-d excreta collection period resulted in relatively low variation. Both AIA and ADL, when used as internal markers, resulted in AMEn, NR, and digestibility values below (P < 0.05) those obtained with total collection with corn. However, values between markers were comparable (P > 0.05) for all components evaluated. The ADL was unsuccessful as marker with peas. Group prefeeding of pigeons in housing cages resulted in lower feed intake, excreta output, NR, and apparent digestibility than when birds were adapted individually to collection cages. This study presents evidence that the method of measuring total feed intake and excreta output for a period of 3 d, with individual adaptation of birds to collection cages, resulted in the most reliable values for AMEn, NR, and apparent digestibility of DM, organic matter and ether extract of feed ingredients in pigeons.

Preoperative Interventions and Charges Before Total Knee Arthroplasty.

PubMed

Cohen, Jeremiah R; Bradley, Alexander T; Lieberman, Jay R

2016-12-01

The cost effectiveness of total knee arthroplasty (TKA) has been well established, but little data exist regarding preoperative interventions and their costs. The purpose of this study was to examine preoperative interventions and their associated charges within the 2-year period before TKA. A retrospective cohort analysis of patients undergoing TKA between 2007 and 2011 was conducted using the PearlDiver Patient Record Database. Patients' inpatient and outpatient billing records were tracked over the 2-year period before receiving a TKA. A total of 35,596 patients from Medicare and 47,064 from United Healthcare underwent TKA from 2009 to 2011. In the 2-year period before TKA, the per patient average charge was $3545.82 for Medicare and $3281.57 for United Healthcare. In the 2-year period before TKA, 21.4% (Medicare) and 23.3% (United Healthcare) of all patients received a magnetic resonance imaging, with between 31.9% (Medicare) and 45.6% (United Healthcare) of these occurring within 3 months of surgery (P < .05). During this same period, 49.4% (Medicare) and 63.2% (United Healthcare) of all patients received an intra-articular injection, with between 29.4% (Medicare) and 44.8% (United Healthcare) of these occurring within 3 months of surgery (P < .05). Interventions and costs before TKA occur largely within 6 months preoperatively, with a substantial portion occurring within 3 months. These interventions may not be clinically or cost effective for certain patients, such as those with moderate-to-severe osteoarthritis. Foregoing these interventions and opting to perform TKA earlier may reduce costs and prevent unnecessary tests and procedures. Copyright © 2016 Elsevier Inc. All rights reserved.

Sequential population study of the impact of earthquakes on the emotional and behavioural well-being of 4-year-olds in Canterbury, New Zealand.

PubMed

Thomson, Janine; Seers, Kara; Frampton, Chris; Hider, Phil; Moor, Stephanie

2016-01-01

Exposure to a large natural disaster can lead to behavioural disturbances, developmental delay and anxiety among young children. Although most children are resilient, some will develop mental health problems. Major earthquakes occurred in Canterbury, New Zealand, in September 2010 and February 2011. A community screening tool assessing behavioural and emotional problems in children, the Strengths and Difficulties Questionnaire, has been reported by parents (SDQ-P) and teachers (SDQ-T) of all 4-year-olds in the region since 2008. Mean total and subtest scores for the SDQ-P and SDQ-T were compared across periods before, during and after the earthquakes in sequential population cohorts of children. Comparisons across the periods were made in relation to the proportions of children defined by New Zealand norms as 'abnormal'. Results were also compared between zones considered to have been exposed to higher or lower impact from the earthquakes. Parent mean total SDQ scores did not change between periods before, during and after the earthquakes. Teacher mean SDQ total scores significantly reduced (improved) when compared between baseline and post-earthquake periods. Mean SDQ pro-social scores from both teachers and parents increased (strengthened) when compared between baseline and post-earthquake periods. Results did not significantly vary according to a measure of impact from the earthquakes. The main finding that a population-based measure of behavioural and emotional problems among children was not deleteriously impacted by the earthquakes is surprising and is not consistent with other research findings. Further work is needed to explore the health needs of children in Canterbury based on methodological improvements. © 2015 The Authors. Journal of Paediatrics and Child Health © 2015 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

Productivity of public hospitals in Nepal: a data envelopment analysis

PubMed Central

Ashton, Toni

2017-01-01

Objectives Public hospitals in Nepal account for a major share of the total health budget. Therefore, questions are often asked about the performance of these hospitals. Existing measures of performance are limited to historical ratio analyses without any benchmarks. The objective of this study is to explore the trends in inputs, outputs and productivity changes in Nepalese public hospitals from 2011–2012 to 2013–2014. Setting and participants The study was conducted among 32 Nepalese public hospitals (23 district level and 9 higher level) for the three fiscal years from 2011–2012 to 2013–2014. Outcome measures First, basic ratio analyses were conducted for the input and output measures over the study years. Then, Malmquist productivity change scores were obtained using data envelopment analysis. Aggregated as well as separate analyses were conducted for district level and higher level hospitals. Results Real expenditures of the sampled hospitals declined over the 3-year period from an average of US$ 371 000 in year 1 to US$ 368 730 in year 2 and US$ 328680 in year 3. The average aggregated hospital outputs increased marginally from 8276 in 2011–2012 to 8613 in 2013–2014. The total factor productivity of the study hospitals declined by 6.9% annually from 2011–2012 to 2013–2014. Of the total 32 hospitals, productivity increased in only 12 (37.5%) hospitals and declined in the remaining 20 hospitals. The total factor productivity loss was influenced by a decline in technology change, despite an increase in efficiency. Conclusions In general, productivity of the study hospitals declined over the study period. Availability and accessibility of accurate, detailed and consistent measures of hospital inputs and outputs is a major challenge for this type of analysis. PMID:28729314

Multi-scale analysis of relationship between landscape pattern and urban river water quality in different seasons

NASA Astrophysics Data System (ADS)

Xiao, Rui; Wang, Guofeng; Zhang, Qianwen; Zhang, Zhonghao

2016-05-01

Water quality is highly dependent on the landscape characteristics. In this study, we investigated the relationships between water quality and landscape pattern (composition and configuration) in Huzhou City, China. The water quality variables, including pH, dissolved oxygen (DO), chemical oxygen demand (CODMn), Biochemical Oxygen Demand (BOD), NH3-N, petroleum, dissolved total phosphorus (DTP), and total nitrogen (TN) in low water, normal water and flood periods were identified by investigating 34 sampling sites in Huzhou City during the period from 2001 to 2007. Landscape composition and landscape configuration metrics were calculated for different scales. It was found that scales and seasons both play important role when analyzing the relationships between landscape characteristics of different land use types. The results implied that some water quality parameters such as CODMn, petroleum are more polluted in flood period than the other two seasons at different scales, while DTP and TN are more polluted in low water period. Influences of different landscape metrics on water quality should operate at different spatial scales. The results shown in this paper will effectively provide scientific basis for the policy making in sustainable development of water environment.

Multi-scale analysis of relationship between landscape pattern and urban river water quality in different seasons.

PubMed

Xiao, Rui; Wang, Guofeng; Zhang, Qianwen; Zhang, Zhonghao

2016-05-05

Water quality is highly dependent on the landscape characteristics. In this study, we investigated the relationships between water quality and landscape pattern (composition and configuration) in Huzhou City, China. The water quality variables, including pH, dissolved oxygen (DO), chemical oxygen demand (CODMn), Biochemical Oxygen Demand (BOD), NH3-N, petroleum, dissolved total phosphorus (DTP), and total nitrogen (TN) in low water, normal water and flood periods were identified by investigating 34 sampling sites in Huzhou City during the period from 2001 to 2007. Landscape composition and landscape configuration metrics were calculated for different scales. It was found that scales and seasons both play important role when analyzing the relationships between landscape characteristics of different land use types. The results implied that some water quality parameters such as CODMn, petroleum are more polluted in flood period than the other two seasons at different scales, while DTP and TN are more polluted in low water period. Influences of different landscape metrics on water quality should operate at different spatial scales. The results shown in this paper will effectively provide scientific basis for the policy making in sustainable development of water environment.

Measure of energy related biochemical metabolites changes during peri-partum period in Makouei breed sheep

PubMed Central

Mohammadi, Vahid; Anassori, Ehsan; Jafari, Shoja

2016-01-01

Makouei sheep is one of the famous breeds in Iran which is reared in Azerbaijan province for their meat, milk and wool. Fifty clinically healthy Makouei ewes were selected to study the variations in energy-related blood metabolites during peri-partum period. Blood was collected from Jugular vein from each sheep on day 7 before the expected lambing time, day of parturition and also day 7 postpartum to determine total protein, albumin, urea, cholesterol, glucose, triglyceride, β-hydroxybutyrate (BHB) and non- esterified fatty acid (NEFA) levels. Serum total protein and albumin concentrations were gradually decreased during pre-partum period and reached the lowest level after parturition (p > 0.05). Blood urea concentration was significantly decreased to the lowest level at parturition (p < 0.05). Serum cholesterol and triglycerides were gradually decreased and reached low levels after lambing (p < 0.05). Serum glucose concentrations were significantly lower at pre-partum period than post-partum (p < 0.05). The serum NEFA and BHB concentrations were higher before lambing and thereafter decreased (p < 0.05). Current findings regarding the blood parameters may expand our knowledge for the diagnosis and prognosis of reproductive and metabolic diseases in Makouei sheep during these phases. PMID:27226885

Are sex differences in fundamental motor skills uniform throughout the entire preschool period?

PubMed Central

2017-01-01

The aim of this study was to assess differences in fundamental motor skills (FMS) proficiency between boys and girls of each age group, independently, across the entire preschool period. Using the Movement Assessment Battery for Children–second edition, FMS proficiency was tested in 325 preschoolers (4.9 ± 1.1 y, range 3–6) using a cross-sectional design. Compared to boys of the same age, 3- and 4-year-old girls had greater total (p < .01), fine motor skill (p < .01), and balance scores (p < .05). There were no sex differences for total test or balance scores in 5- and 6-year-olds, but 6-year-old boys outperformed girls in aiming and catching (p < .001). These data not only agree with previous research in that sex differences in FMS proficiency exist in preschool children, but the data also show that differences may not be uniform throughout the whole preschool period when analyzing by age. To avoid under- or overestimating FMS proficiency and subsequently prescribing inaccurate motor intervention programs, FMS proficiency normative values should be age- and sex-specific throughout the entire preschool period. PMID:28448557

Comparison of Total Solar Irradiance with NASA/NSO Spectromagnetograph Data in Solar Cycles 22 and 23

NASA Technical Reports Server (NTRS)

Jones, Harrison P.; Branston, Detrick D.; Jones, Patricia B.; Popescu, Miruna D.

2002-01-01

An earlier study compared NASA/NSO Spectromagnetograph (SPM) data with spacecraft measurements of total solar irradiance (TSI) variations over a 1.5 year period in the declining phase of solar cycle 22. This paper extends the analysis to an eight-year period which also spans the rising and early maximum phases of cycle 23. The conclusions of the earlier work appear to be robust: three factors (sunspots, strong unipolar regions, and strong mixed polarity regions) describe most of the variation in the SPM record, but only the first two are associated with TSI. Additionally, the residuals of a linear multiple regression of TSI against SPM observations over the entire eight-year period show an unexplained, increasing, linear time variation with a rate of about 0.05 W m(exp -2) per year. Separate regressions for the periods before and after 1996 January 01 show no unexplained trends but differ substantially in regression parameters. This behavior may reflect a solar source of TSI variations beyond sunspots and faculae but more plausibly results from uncompensated non-solar effects in one or both of the TSI and SPM data sets.

Multi-scale analysis of relationship between landscape pattern and urban river water quality in different seasons

PubMed Central

Xiao, Rui; Wang, Guofeng; Zhang, Qianwen; Zhang, Zhonghao

2016-01-01

Water quality is highly dependent on the landscape characteristics. In this study, we investigated the relationships between water quality and landscape pattern (composition and configuration) in Huzhou City, China. The water quality variables, including pH, dissolved oxygen (DO), chemical oxygen demand (CODMn), Biochemical Oxygen Demand (BOD), NH3-N, petroleum, dissolved total phosphorus (DTP), and total nitrogen (TN) in low water, normal water and flood periods were identified by investigating 34 sampling sites in Huzhou City during the period from 2001 to 2007. Landscape composition and landscape configuration metrics were calculated for different scales. It was found that scales and seasons both play important role when analyzing the relationships between landscape characteristics of different land use types. The results implied that some water quality parameters such as CODMn, petroleum are more polluted in flood period than the other two seasons at different scales, while DTP and TN are more polluted in low water period. Influences of different landscape metrics on water quality should operate at different spatial scales. The results shown in this paper will effectively provide scientific basis for the policy making in sustainable development of water environment. PMID:27147104

Evaluation of microbiological accumulation capability of the commercial sponge Spongia officinalis var. adriatica (Schmidt) (Porifera, Demospongiae).

PubMed

Stabili, Loredana; Licciano, Margherita; Longo, Caterina; Corriero, Giuseppe; Mercurio, Maria

2008-05-01

This study was carried out to evaluate the microbiological accumulation capability of the demosponge Spongia officinalis var. adriatica. Six microbiological parameters were researched in two sampling periods in the water and in reared sponge samples coming from sites with different degrees of microbial contamination: an off-shore fish farm displaced off the Apulian coast (Southern Adriatic Sea) and a no-impacted area displaced into the Marine Protected Area of Porto Cesareo (Apulian coast-Ionian Sea). We detected the density of culturable heterotrophic bacteria by spread plate on marine agar, total culturable bacteria at 37 degrees C on Plate Count Agar and vibrios on thiosulphate-citrate-bile-sucrose-salt (TCBS) agar. Total and fecal coliforms as well as fecal streptococci concentrations were detected by the MPN method. Bacterial densities were always higher in the sponge homogenates compared with the corresponding seawater in the sampling points and in both sampling periods. As regard vibrios, total culturable bacteria at 37 degrees C and fecal streptococci concentrations, the highest values were observed in the sponge samples coming from the off-shore fish farm during the summer period. The ability of Spongia officinalis var. adriatica to accumulate the microbial pollution indicators suggests that this species can be employed as a bioindicator for monitoring water quality.

The Role of Virtual Rehabilitation in Total Knee and Hip Arthroplasty.

PubMed

Chughtai, Morad; Newman, Jared M; Sultan, Assem A; Khlopas, Anton; Navarro, Sergio M; Bhave, Anil; Mont, Michael A

2018-06-01

Virtual rehabilitation therapies have been developed to focus on improving care for those suffering from various musculoskeletal disorders. There has been evidence suggesting that real-time virtual rehabilitation may be equivalent to conventional methods for adherence, improvement of function, and relief of pain seen in these conditions. This study specifically evaluated the use of a virtual physical therapy/rehabilitation platform for use during the postoperative period after total hip arthroplasty (THA) and total knee arthroplasty (TKA). The use of this technology has the potential benefits that allow for patient adherence, cost reductions, and coordination of care.

Soft tissue and intra-articular injection of bupivacaine, epinephrine, and morphine has a beneficial effect after total knee arthroplasty.

PubMed

Lombardi, Adolph V; Berend, Keith R; Mallory, Thomas H; Dodds, Kathleen L; Adams, Joanne B

2004-11-01

The purpose of this study was to determine if an intraoperative intraarticular and soft-tissue injection of local anaesthetic, epinephrine, and morphine has a beneficial effect for total knee arthroplasty. A control group of 138 patients (181 knees) received no intraoperative injection. The study group of 171 patients (197 knees) received intraoperative injection of 0.25% bupivacaine with epinephrine and morphine with 2/3 injected into the soft tissues and 1/3 injected into the joint. Patients having bilateral simultaneous procedures received a divided dose. The pain treatment protocol otherwise was identical. Pain, sedation, rescue narcotic usage, narcotic reversal and blood loss were examined. Pain levels during the immediate postoperative period, blood loss, and bleeding indices were reduced with injection. Considerably more control patients required rescue doses of narcotics. Preemptive analgesia with soft tissue and intra-articular injection of long-acting local anesthetic with epinephrine and morphine provides better pain control in the immediate postoperative period, decreases blood loss, and decreases the need for rescue narcotics and reversal agents. This simple, inexpensive method provides an effective adjunct to a multimodal approach in improving the postoperative course of primary total knee arthroplasty.

Increased Leg Bone Mineral Density and Content During the Initial Years of College Sport.

PubMed

Scerpella, John J; Buehring, Bjoern; Hetzel, Scott J; Heiderscheit, Bryan C

2018-04-01

Scerpella, JJ, Buehring, B, Hetzel, SJ, and Heiderscheit, BC. Increased leg bone mineral density and content during the initial years of college sport. J Strength Cond Res 32(4): 1123-1130, 2018-Bone mineral density (BMD) and bone mineral content (BMC) data are useful parameters for evaluating how training practices promote bone health. We used dual-energy X-ray absorptiometry (DXA) to longitudinally assess sport-specific growth in leg and total body BMD/BMC over the initial 2 years of collegiate training. Eighty-five Division 1 collegiate basketball, hockey, and soccer athletes (50 males and 35 females; age 19.0 [0.8] years) underwent annual DXA scans. Leg and total body BMD/BMC were compared within and across two 1-year intervals (periods 1 and 2) using repeated-measures analysis of variance, adjusting for age, sex, race, and sport. Leg BMD, leg BMC, and total body BMC all increased over period 1 (0.05 g·cm [p = 0.001], 0.07 kg [p = 0.002], and 0.19 kg [p < 0.001] respectively). Changes in period 2 compared with period 1 were smaller for leg BMD (p = 0.001), leg BMC (p < 0.001), leg fat mass (p = 0.028), and total BMC (p = 0.005). Leg lean mass increased more during period 2 than period 1 (p = 0.018). Sports participation was the only significant predictor of change in leg BMD. Significant increases in both leg BMD and BMC were demonstrated over both 2-year periods, with greater gains during period 1. These gains highlight the importance of attentive training procedures, capitalizing on attendant physical benefits of increased BMD/BMC. Additional research in young adults, evaluating bone mass acquisition, will optimize performance and decrease risk of bone stress injury among collegiate athletes.

Mid-term Results of Total Knee Arthroplasty Using PFC Sigma RP-F.

PubMed

Kim, Jun-Young; Cheon, Sang-Ho; Kyung, Hee-Soo

2012-12-01

We compared the mid-term results after total knee arthroplasty (TKA) using PFC Sigma RP-F mobile model with PFC Sigma PS fixed model. We analyzed 45 knees that underwent TKA with PFC Sigma RP-Fn (study group) and 45 knees with PFC Sigma PS (control group). The mean follow-up period was 65 months (range, 60-69 months). The evaluation system of the American knee society was used for clinical and radiological assessment. Also, the maximal knee flexion angle was assessed. The mean maximum flexion angle in the study group (135°) was greater than that in the control group (125°) at the early post-operation & final follow-up period (p=0.033). The range of motion (ROM) in the study group was recovered earlier at the postoperative 6 months, and ROM gain was improved to a greater extent at the final follow-up period (p=0.039). The knee score and function score and radiographic evaluation were no difference between the two groups (p>0.05) at the final follow-up. The two cases of radiolucency in posterior condyle and medial tibial plateau and one case of patellar elongation were seen in the study group. The PFC Sigma RP-F mobile system appears to facilitate greater maximum flexion angle and ROM gain with two cases of radiolucent line.

Impact of study design on recruitment of patients to a primary care trial: an observational time series analysis of the Birmingham Atrial Fibrillation Treatment of the Aged (BAFTA) study.

PubMed

Fletcher, K; Mant, J; Roalfe, A; Hobbs, F D R

2010-12-01

recruitment targets to randomized controlled trials (RCTs) are often not met. Many interventions are used to improve recruitment but there is little empirical evidence on whether these approaches work. to examine whether changes to the design and conduct of a primary care-based RCT were associated with changes in patient recruitment. an observational time series analysis of recruitment to a primary care-based multi-centre RCT of aspirin versus warfarin for stroke prevention, which involved 330 practices. Several changes to the trial protocol and procedures were made over the 4 years of patient recruitment. For each quarter throughout the recruitment period, the recruitment rate per 1000 total population in active practices was calculated. the recruitment target of 930 patients was exceeded. Fluctuations in recruitment rate occurred during the recruitment period. Following protocol changes aimed to reduce clinical workload, there was a significant increase in recruitment during the final 6 months of the study, during a period when there was not a similarly large increase in the total population available. these findings suggest that the conduct of a trial is an important consideration if studies are to recruit successfully. Expanding the number of centres may not be the most effective way to improve recruitment.

What Happens at the Lesson Start?

ERIC Educational Resources Information Center

Saloviita, Timo

2016-01-01

Transitional periods, such as lesson starts, are necessary steps from one activity to another, but they also compete with time for actual learning. The aim of the present study was to replicate a previous pilot study on lesson starts and explore possible disturbances. In total, 130 lesson starts in Finnish basic education in grades 1-9 were…

The Effect of Recreational Activities on Self-Esteem Development of Girls in Adolescence

ERIC Educational Resources Information Center

Bayazit, Betül

2014-01-01

This study aimed to investigate the effect of recreational activities on self-esteem development of girls in adolescence. For this purpose, a total of 20 girls in adolescence period took part in the present study. Recreational activities program included bowling, patenga, orienteering, basketball, volleyball, badminton, ping-pong, dance, fun…

34 CFR 650.33 - What is the duration of a fellowship?

Code of Federal Regulations, 2011 CFR

2011-07-01

... for a doctoral degree program of study for a total of 48 months or the time required for receiving the... application and that the fellow has attained satisfactory progress in the fellow's academic studies; and (iii) A recommendation from the institution that the additional period of fellowship support for...

34 CFR 650.33 - What is the duration of a fellowship?

Code of Federal Regulations, 2010 CFR

2010-07-01

... for a doctoral degree program of study for a total of 48 months or the time required for receiving the... application and that the fellow has attained satisfactory progress in the fellow's academic studies; and (iii) A recommendation from the institution that the additional period of fellowship support for...

Social Studies: Introduction to Psychology.

ERIC Educational Resources Information Center

Ladwig, Richard; McConnell, Spero

This course of study was written as a part of a total effort to revise curriculum to fit the quinmester (5, 9-week periods) administrative organization of Dade County Schools. The major intent of this publication is to provide a broad framework of goals and objectives, content, teaching strategies, class activities, and materials all related to…

Study of polycyclic aromatic hydrocarbons in atmospheric particulate matter of an urban area with iron and steel mills.

PubMed

Menezes, Helvécio C; Cardeal, Zenilda L

2012-07-01

Polycyclic aromatic hydrocarbons (PAHs) were analyzed from ambient air particulate matter <10 µm (PM(10) ) and the total suspended particulate (TSP) phase continuously for a period of six months (May-October 2010) at five sampling sites located in the urban area of Divinópolis (Minas Gerais), southeastern Brazil, near iron and steel mills. The carcinogenic potency of priority PAHs relative to benzo[a]pyrene was estimated for a period of six months. Benzo[a]pyrene equivalents were 7.52 ng/m(3) for the study period. The estimated risk of lifetime lung cancer was 6.5 × 10(-4) . A model based on the diagnostic ratio and principal component analysis was applied for source apportionment. Considering the entire study period, the burning of biomass and fuel oil accounted for about 70% of the PAH profile. An inventory was performed during the monitoring period, with 37 companies representing major industries located in the urban area. The observations were consistent with the distribution of sources and indicated that the iron and steel sector was the largest contributor. Copyright © 2012 SETAC.

Efficacy of stapler pharyngeal closure after total laryngectomy: A systematic review.

PubMed

Aires, Felipe T; Dedivitis, Rogério A; Castro, Mario Augusto F; Bernardo, Wanderley Marques; Cernea, Claudio Roberto; Brandão, Lenine Garcia

2014-05-01

Some primary studies compare manual and mechanical pharyngeal closures after total laryngectomy. The purpose of this study was to evaluate the advantages of the mechanical suture in pharyngeal closure. The literature survey included research in MEDLINE, EMBASE, and LILACS. The intervention analyzed was stapler-assisted pharyngeal closure, whereas the control group was manual suture pharyngeal closure. The survey resulted in 319 studies. However, 4 studies were selected (417 patients). In the group of patients in whom the stapler was used, the incidence of pharyngocutaneous fistula was 8.7%, whereas in the other, it was 22.9%, with an absolute risk reduction of 15% (95% confidence interval [CI], 0.02-0.28; p = .02; I(2) = 66%). Regarding the surgical time, the average difference was 80 minutes in favor of the stapler group (95% CI, 23.16-136.58 minutes; p < .006). The difference for starting oral feeding was 8 days in favor of the mechanical suture (95% CI, 4.01-11.73 days; p < .001). Patients who underwent mechanical suture had a shorter hospitalization period. Copyright © 2013 Wiley Periodicals, Inc.

Genetic variation in efficiency to deposit fat and lean meat in Norwegian Landrace and Duroc pigs.

PubMed

Martinsen, K H; Ødegård, J; Olsen, D; Meuwissen, T H E

2015-08-01

Feed costs amount to approximately 70% of the total costs in pork production, and feed efficiency is, therefore, an important trait for improving pork production efficiency. Production efficiency is generally improved by selection for high lean growth rate, reduced backfat, and low feed intake. These traits have given an effective slaughter pig but may cause problems in piglet production due to sows with limited body reserves. The aim of the present study was to develop a measure for feed efficiency that expressed the feed requirements per 1 kg deposited lean meat and fat, which is not improved by depositing less fat. Norwegian Landrace ( = 8,161) and Duroc ( = 7,202) boars from Topigs Norsvin's testing station were computed tomography scanned to determine their deposition of lean meat and fat. The trait was analyzed in a univariate animal model, where total feed intake in the test period was the dependent variable and fat and lean meat were included as random regression cofactors. These cofactors were measures for fat and lean meat efficiencies of individual boars. Estimation of fraction of total genetic variance due to lean meat or fat efficiency was calculated by the ratio between the genetic variance of the random regression cofactor and the total genetic variance in total feed intake during the test period. Genetic variance components suggested there was significant genetic variance among Norwegian Landrace and Duroc boars in efficiency for deposition of lean meat (0.23 ± 0.04 and 0.38 ± 0.06) and fat (0.26 ± 0.03 and 0.17 ± 0.03) during the test period. The fraction of the total genetic variance in feed intake explained by lean meat deposition was 12% for Norwegian Landrace and 15% for Duroc. Genetic fractions explained by fat deposition were 20% for Norwegian Landrace and 10% for Duroc. The results suggested a significant part of the total genetic variance in feed intake in the test period was explained by fat and lean meat efficiency. These new efficiency measures may give the breeders opportunities to select for animals with a genetic potential to deposit lean meat efficiently and at low feed costs in slaughter pigs rather than selecting for reduced the feed intake and backfat.

Investigation of Mechanisms Underlying Odor Recognition.

DTIC Science & Technology

1984-02-01

have obtained recordings of the EOG from the cribriform plate (through which the olfactory receptor nerves pass from the epithelium to the bulb...preinjection period, postinjection period) by 5 (2 day trial blocks during both periods = 10 total days). The results of this statistical analysis are... Total ,11.296 119 Between Ss 6.230 11 ---- Groups 0.928 1 0.928 1.750 ns Error 5.302 10 .0,530 Within Ss 5.066 108 Injection 0.213 1 0.213 1.507 ns

[Congenital heart disease mortality in Spain during a 10 year period (2003-2012)].

PubMed

Pérez-Lescure Picarzo, Javier; Mosquera González, Margarita; Latasa Zamalloa, Pello; Crespo Marcos, David

2018-05-01

Congenital heart disease is a major cause of infant mortality in developed countries. In Spain, there are no publications at national level on mortality due to congenital heart disease. The aim of this study is to analyse mortality in infants with congenital heart disease, lethality of different types of congenital heart disease, and their variation over a ten-year period. A retrospective observational study was performed to evaluate mortality rate of children under one year old with congenital heart disease, using the minimum basic data set, from 2003 to 2012. Mortality rate and relative risk of mortality were estimated by Poisson regression. There were 2,970 (4.58%) infant deaths in a population of 64,831 patients with congenital heart disease, with 73.8% of deaths occurring during first week of life. Infant mortality rate in patients with congenital heart disease was 6.23 per 10,000 live births, and remained constant during the ten-year period of the study, representing 18% of total infant mortality rate in Spain. The congenital heart diseases with highest mortality rates were hypoplastic left heart syndrome (41.4%), interruption of aortic arch (20%), and total anomalous pulmonary drainage (16.8%). Atrial septal defect (1%) and pulmonary stenosis (1.1%) showed the lowest mortality rate. Congenital heart disease was a major cause of infant mortality with no variations during the study period. The proportion of infants who died in our study was similar to other similar countries. In spite of current medical advances, some forms of congenital heart disease show very high mortality rates. Copyright © 2017 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

[Accidents with exposure to biological material contaminated with HIV in workers at a third level hospital in Madrid].

PubMed

García de Codes Ilario, Aurelia; de Juanes Pardo, José Ramón; Arrazola Martínez, M del Pilar; Jaén Herreros, Felisa; Sanz Gallardo, M Inmaculada; Lago López, Emilia

2004-01-01

Human Immunodeficiency Virus (HIV) is an occupational hazard among healthcare professionals accidentally contaminated with HIV-positive blood. This study is aimed at describing the characteristics of the accidents involving blood of HIV-positive patients recorded over a sixteen-year period at a general hospital. Epidemiological study of the accidents reported in 2001 involving biological material from an HIV-positive source by the healthcare personnel of a general hospital throughout the 1986-2001 period entailing the presence of biological material from HIV-positive serology individuals. Individual, time and place-related variables, in addition to the initial serologies and those throughout the protocolized follow-up were studied for those individuals involved in these accidents. A total 550 accidents entailing an HIV-positive source were reported. The average number of accidents was 34.4/year. The accidental exposure rate for the period under study was 7.5/1000 workers/year. The professional group showing the highest accident rate was the nursing staff (54.4%). Percutaneous injuries were the most frequent (80.2%). The mean exposure rate was 2.6/100 beds/year. The anatomical areas involved to the greatest degree were the fingers (75.6%). A total 53.4% of those injured completed the serological follow-up without having shown any seroconversion. Throughout the sixteen-year period under study, the annual incidence of accidents involving an HIV-positive source increased from the 27 accidents reported in 1986 to the 60 accidents reported in 1990, there having been a downward trend as of that point in time, to the point of 12 accidents having been recorded in 2001.

Certain Results of Measurements of Characteristics of Stratospheric Aerosol Layer and Total Ozone Content at Siberian Lidar Station in Tomsk

NASA Astrophysics Data System (ADS)

Nevzorov, Aleksey; Bazhenov, Oleg; Burlakov, Vladimir; Dolgii, Sergey

2016-06-01

We consider the results of long-term remote optical monitoring, obtained at the Siberian Lidar Station of Institute of Atmospheric Optics, Siberian Branch, Russian Academy of Sciences in Tomsk (56.5°N, 85.0°E). The scattering characteristics of stratospheric aerosol layer, obtained according to data of lidar measurements since 1986, are presented. We analyze the trends of changes in the total ozone (TO) content over Tomsk for the period 1996-2013 according to data of spectrophotometric measurements with employment of Total Ozone Mapping Spectrometer (TOMS) data for the period 1979-1994. We determined the periods of elevated content of stratospheric aerosol over Tomsk aftera series of explosive eruptions of volcanoes of Pacific Ring of Fire and Iceland in 2006-2011. Since the second half of 1990s, we record an increasing TO trend, equaling 0.65 DU/yr for the period 1996-2013.

Floods of April-June 1957 in Oklahoma and western Arkansas

USGS Publications Warehouse

Weiss, D.L.; Sullivan, C.W.

1957-01-01

Floods of unusual magnitude in volume for the three-month period in Oklahoma and western Arkansas resulted from several heavy rains. In one storm period 20 inches of precipitation fell within 24 hours, on May 15, 16, near Hennessey, Okla., according to information obtained by a 'bucket survey.' Total precipitation for the three-month period at many points of observation equaled the normal yearly totals. Ten lives are known to have been lost. Hundreds of families were evacuated from lowlands where homes were inundated for many days. The Arkansas River at Van Buren, Ark., was above flood stage for 74 days. This report contains tabulation of peak stages and discharges for 96 gaging stations, 9 sites other than gaging stations, maximum contents of 11 reservoirs, isohyetal maps showing total precipitation by months and for the three-month period, and other data related to the floods. (available as photostat copy only)

Variations in statewide water quality of New Jersey streams, water years 1998-2009

USGS Publications Warehouse

Heckathorn, Heather A.; Deetz, Anna C.

2012-01-01

Statistical analyses were conducted for six water-quality constituents measured at 371 surface-water-quality stations during water years 1998-2009 to determine changes in concentrations over time. This study examined year-round concentrations of total dissolved solids, dissolved nitrite plus nitrate, dissolved phosphorus, total phosphorus, and total nitrogen; concentrations of dissolved chloride were measured only from January to March. All the water-quality data analyzed were collected by the New Jersey Department of Environmental Protection and the U.S. Geological Survey as part of the cooperative Ambient Surface-Water-Quality Monitoring Network. Stations were divided into groups according to the 1-year or 2-year period that the stations were part of the Ambient Surface-Water-Quality Monitoring Network. Data were obtained from the eight groups of Statewide Status stations for water years 1998, 1999, 2000, 2001-02, 2003-04, 2005-06, 2007-08, and 2009. The data from each group were compared to the data from each of the other groups and to baseline data obtained from Background stations unaffected by human activity that were sampled during the same time periods. The Kruskal-Wallis test was used to determine whether median concentrations of a selected water-quality constituent measured in a particular 1-year or 2-year group were different from those measured in other 1-year or 2-year groups. If the median concentrations were found to differ among years or groups of years, then Tukey's multiple comparison test on ranks was used to identify those years with different or equal concentrations of water-quality constituents. A significance level of 0.05 was selected to indicate significant changes in median concentrations of water-quality constituents. More variations in the median concentrations of water-quality constituents were observed at Statewide Status stations (randomly chosen stations scattered throughout the State of New Jersey) than at Background stations (control stations that are located on reaches of streams relatively unaffected by human activity) during water years 1998-2009. Results of tests on concentrations of total dissolved solids, dissolved chloride, dissolved nitrite plus nitrate, total phosphorus, and total nitrogen indicate a significant difference in water quality at Statewide Status stations but not at Background stations during the study period. Excluding water year 2009, all significant changes that were observed in the median concentrations were ultimately increases, except for total phosphorus, which varied significantly but in an inconsistent pattern during water years 1998-2009. Streamflow data aided in the interpretation of the results for this study. Extreme values of water-quality constituents generally followed inverse patterns of streamflow. Low streamflow conditions helped explain elevated concentrations of several constituents during water years 2001-02. During extreme drought conditions in 2002, maximum concentrations occurred for four of the six water-quality constituents examined in this study at Statewide Status stations (maximum concentration of 4,190 milligrams per liter of total dissolved solids) and three of six constituents at Background stations (maximum concentration of 179 milligrams per liter of total dissolved solids). The changes in water quality observed in this study parallel many of the findings from previous studies of trends in New Jersey.

Ping-pong modes and higher-periodicity multipactor

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

Kishek, R. A.

Multipactor is a vacuum discharge driven by secondary electron emission. Multiple period multipactors have long been known to exist but have been studied less extensively. In a period-n multipactor, electrons undergo multiple impacts in one rf period, with the synchronous phase alternating periodically between multiple values. A novel resonant form is proposed that combines one- and two-surface impacts within a single period, provided the total transit time is an odd number of rf half-periods and the product of secondary yields exceeds unity. For low fD products, the simplest such mode is shown to significantly increase the upper electric field boundarymore » of the multipacting region and lead to overlap of higher-order bands. The results agree nicely with 3-D particle-in-cell code simulations. An alternative, map-based method is introduced for analyzing higher-periodicity multipactor. Practical implications of the findings are discussed, including consequences for multipactor suppression strategies using a dc magnetic field.« less

Asbestos related diseases among workers of asbestos processing plants in relation to type of production and asbestos use.

PubMed

Szeszenia-Dąbrowska, Neonila; Świątkowska, Beata; Sobala, Wojciech; Szubert, Zuzanna; Wilczyńska, Urszula

2015-01-01

Asbestos dust is one of the most dangerous pneumoconiotic and carcinogenic agents. The aim of this study was to assess the occurrence of asbestosis and pleural mesothelioma, depending on asbestos consumption and the type of manufactured products, among former asbestos workers in Poland. The study subjects included employees of 18 large state-owned asbestos processing enterprises operating in the Polish market in 1945-1998. The study is based on data obtained from asbestos company records and the Central Register of Occupational Diseases data on the cases of asbestosis and mesothelioma for the period from 1970 till 2012 as well as data from Amiantus Programme. The analysis was performed for 5 sectors comprising plants classified according to the products manufactured and applied production technology. In the study period, 2160 cases of asbestosis and 138 cases of mesothelioma were reported. The plants processed a total of about 2 million tons of asbestos, including about 7.5% of crocidolite. Total asbestosis consumption was a strong predictor of the rate of asbestosis incidence (R2 = 0.68, p = 0.055). The highest risk occurrence of asbestosis was observed in the production of textiles and sealing products. Mesothelioma occurred only in plants where crocidolite had been ever processed. Total asbestos consumption was a strong predictor of the rate of asbestosis incidence. The observation confirms the relationship between exposure to crocidolite and the occurrence of mesothelioma, regardless of the manufactured products, and suggests the absence of such a link for the total volume of asbestos consumption.

An aircraft noise study in Norway

NASA Technical Reports Server (NTRS)

Gjestland, Truls T.; Liasjo, Kare H.; Bohn, Hans Einar

1990-01-01

An extensive study of aircraft noise is currently being conducted in Oslo, Norway. The traffic at Oslo Airport Fornebu that includes both national and international flights, totals approximately 350 movements per day: 250 of these are regular scheduled flights with intermediate and large size aircraft, the bulk being DC9 and Boeing 737. The total traffic during the summer of 1989 was expected to resemble the maximum level to which the regular traffic will increase before the new airport can be put into operation. The situation therefore represented a possibility to study the noise impact on the communities around Fornebu. A comprehensive social survey was designed, including questions on both aircraft and road traffic noise. A random sample of 1650 respondents in 15 study areas were contacted for an interview. These areas represent different noise levels and different locations relative to the flight paths. The interviews were conducted in a 2 week period just prior to the transfer of charter traffic from Gardemoen to Fornebu. In the same period the aircraft noise was monitored in all 15 areas. In addition the airport is equipped with a permanent flight track and noise monitoring system. The noise situation both in the study period and on an average basis can therefore be accurately described. In August a group of 1800 new respondents were subjected to identical interviews in the same 15 areas, and the noise measurement program was repeated. Results of the study are discussed.

Grande Ronde Endemic Spring Chinook Salmon Supplementation Program: Facility Operations and Maintenance, 2002 Annual Report.

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

McLean, Michael L.; Seeger, Ryan; Hewitt, Laurie

2003-03-01

The Catherine Creek Acclimation Facility (CCAF) received 180,912 smolts from LFH. The size of the fish at delivery was 18.4 fish/lb. Volitional releases started 1 April 2002 with a total of 7,998 PIT-tagged fish (68,948 estimated total fish) migrating from the raceways during the volitional release period. Hourly detections of PIT-tagged fish showed that most of the fish left between 1400 and 2200 hours. The size of the fish remaining just before the forced release was 16.4 fish/lb. The total mortality for the acclimation period was 569 (0.3 %). No significant mortality related to disease was observed. The fish weremore » fed a total of 1,968 lbs of food for the acclimation period. The total number of fish released from the acclimation facility in 2002 was 180,343. The Upper Grande Ronde Acclimation Facility (UGRAF) received 201,958 smolts from LFH. The size of the fish at delivery was 17.4 fish/lb. On 3 March 2002 the water inflow to raceway 4 froze in the early morning hours and the entire raceway was lost. Volitional releases started 1 April 2002 with a total of 682 PIT-tagged fish (68,200 estimated total fish) migrating from the raceways during the volitional release period. Hourly detections of PIT-tagged fish showed that most of the fish left between 1500 and 2200 hours. The size of the fish left in the raceways just before the forced release was 18.3 fish/lb. The total mortality for the acclimation period not including raceway 4 was 402 (0.3 %). No significant mortality related to disease was observed. The fish were fed a total of 568 lbs of food for the acclimation period. The total number of fish released from the acclimation facility in 2002 was 151,444. Maintenance and repair activities were conducted at the acclimation facilities in 2002. Facility maintenance work consisted of snow removal, painting of building, installation of backup water supply system, construction of steps to intake area, improvements to raceway standpipes, removal of gravel from intake area, and complete overhaul of 2 travel trailers. Montgomery-Watson-Harza (MWH) completed construction activities to both acclimation facilities and the Catherine Creek Adult Collection Facility (CCACF) in 2002. Their work included installation of larger intake manifold, new inflow valves on each raceway, new manifold blowout valve, and handrails and grating around raceways and the weir.« less

Sleep, daily activity rhythms and postpartum mood: A longitudinal study across the perinatal period.

PubMed

Krawczak, Elizabeth M; Minuzzi, Luciano; Simpson, William; Hidalgo, Maria Paz; Frey, Benicio N

2016-01-01

Women with a diagnosis of bipolar and major depressive disorders are at higher risk to develop postpartum depression. The primary objective of this longitudinal study was to determine whether daily activity rhythms and sleep parameters differ between women with and without a history of a mood disorder across the perinatal period. A secondary objective was to determine whether changes in these parameters were associated with postpartum mood. In total, 33 women were included in this study, 15 of which had a history of a mood disorder (high-risk group) and 18 who did not (low-risk group). Sleep and daily rhythms were assessed subjectively and objectively during the third trimester (≥26 weeks gestation) and again at 6-12 weeks postpartum. Mood was also assessed at both time points. Women in the high-risk group showed greater subjective daily rhythms and sleep disturbances across the perinatal period. Objective sleep efficiency was worse in the high-risk group in the postpartum period. Changes in both subjective daily rhythms and objective sleep efficiency were predictive of changes in depressive symptoms across the perinatal period. These findings encourage the development of preventative therapeutics to ensure circadian rhythm and sleep stability throughout the perinatal period.

Use of Retrievable Compared to Permanent Inferior Vena Cava Filters: A Single-Institution Experience

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

Ha, Thuong G. Van; Chien, Andy S.; Funaki, Brian S.

The purpose of this study was to review the use, safety, and efficacy of retrievable inferior vena cava (IVC) filters in their first 5 years of availability at our institution. Comparison was made with permanent filters placed in the same period. A retrospective review of IVC filter implantations was performed from September, 1999, to September, 2004, in our department. These included both retrievable and permanent filters. The Recovery nitinol and Guenther tulip filters were used as retrievable filters. The frequency of retrievable filter used was calculated. Clinical data and technical data related to filter placement were reviewed. Outcomes, including pulmonarymore » embolism, complications associated with placement, retrieval, or indwelling, were calculated. During the study period, 604 IVC filters were placed. Of these, 97 retrievable filters (16%) were placed in 96 patients. There were 53 Recovery filter and 44 Tulip filter insertions. Subjects were 59 women and 37 men; the mean age was 52 years, with a range of from 18 to 97 years. The placement of retrievable filters increased from 2% in year 1 to 32% in year 5 of the study period. The total implantation time for the permanent group was 145,450 days, with an average of 288 days (range, 33-1811 days). For the retrievable group, the total implantation time was 21,671 days, with an average of 226 days (range, 2-1217 days). Of 29 patients who returned for filter retrieval, the filter was successfully removed in 28. There were 14 of 14 successful Tulip filter retrievals and 14 of 15 successful Recovery filter retrievals. In one patient, after an indwelling period of 39 days, a Recovery nitinol filter could not be removed secondary to a large clot burden within the filter. For the filters that were removed, the mean dwell time was 50 days for the Tulip type and 20 days for the Recovery type. Over the follow-up period there was an overall PE incidence of 1.4% for the permanent group and 1% for the retrieval group. In conclusion, there was an increase in the use of retrievable filters over the study period and an overall increase in the total number of filters implanted. The increased use of these filters appeared to be due to expanded indications predicated by their retrievability. Placement and retrieval of these filters have a low risk of complications, and retrievable filters appeared effective, as there was low rate of clinically significant pulmonary embolism associated with these filters during their indwelling time.« less

Emission of greenhouse gases from geographically isolated wetlands of Western Siberia

NASA Astrophysics Data System (ADS)

Golovatskaya, E.; Dyukarev, E.; Veretennikova, E.

2014-12-01

Wetlands are integral components of landscapes with specific nutrient dynamics and carbon sequestration potentials, which frequently differ, based on hydroperiod and seasonal hydropattern, as well as the constituent concentration of inputs, site-specific storages and vegetation structures. Human modifications have the potential to significantly alter controls on carbon dynamics. This study focused on determining carbon emissions (CO2 and CH4) from geographically isolated peatlands within the Ob-Tom River Interfluve area of Western Siberia affected by water diversion for municipal use by the city of Tomsk, Russia. Two oligotrophic wetlands within the study area were selected for site-specific CO2 studies, the Timiryazevskoe (16 ha) and Kirsanovskoe wetlands (29 ha), both affected by the Tomsk water intake (177 water wells 250 000 m3 water daily). Measurements of СО2 and CH4 emissions from peat surfaces were carried out bi-monthly in growing periods from 2008-2013 in two dominate vegetation zones, pine- shrub-sphagnum phytocenosis (ryam) and sedge-sphagnum fens. СО2 emissions were measured using OPTOGAS-500.4 infrared gas analyzer and dark chamber. Methane emissions were measured using static chamber method. Air samples were collected by syringes and analyzed at gas chromatograph Shimadzu-GC14B. Observations were accompanied by measurement of air temperature and humidity, surface temperature, peat temperature at various depths and the water table level. CО2 emission over the vegetative growing period had clearly pronounced seasonal dynamics with maximum values in the middle of the growing season (mid-July) and minimum values in spring and autumn. The average total flux over the studied period is 123±55 gС/m2 at sedge-sphagnum fen of Kirsanovskoe wetland and 323±66 gС/m2 at fen of Timiryazevskoe wetland. Total СО2 flux for the snow-free period at ryam sites of Timiryazevskoe and Kirsanovskoe wetlands is 238±84 and 260±47 gС/m2 accordingly. Methane emission from the surface of isolated wetlands for the snow-free period varies from 0.3±1.1 to 2.9±2.3 gC/m2 on ryam sites of Kirsanovskoe and Timiryazevskoe wetlands respectively. The total CH4 flux on sedge-sphagnum fen varies from 2.5±3.0 at Kirsanovskoe wetlands to 31.6±26.3 gC/m2 at Timiryazevskoe wetland.

The invisible trauma patient: emergency department discharges.

PubMed

Reilly, Patrick M; Schwab, C William; Kauder, Donald R; Dabrowski, G Paul; Gracias, Vicente; Gupta, Rajan; Pryor, John P; Braslow, Benjamin M; Kim, Patrick; Wiebe, Douglas J

2005-04-01

As the malpractice and financial environment has changed, injured patients evaluated by the trauma team and discharged from the emergency department (ED) are now commonplace. The evaluation, care, and disposition of this population has become a significant workload component but is not reported to accrediting organizations and is relatively invisible to hospital administrators. Our objective was to quantify and begin to qualify the evolving picture of the trauma ED discharge population as a work component of trauma service function in an urban, Level I trauma center with an aeromedical program. Trauma registry (contacts, mechanism, transport, injuries, and disposition) and hospital databases (ED closure, occupancy rates) were queried for a 5-year period (1999-2003). Trend analysis provided statistical comparisons for questions of interest. During the 5-year study period, the total number of trauma contacts rose by 18.1% (2,220 in 1999 vs. 2,622 in 2003; trend p < 0.05). This increase in total contacts was not a manifestation of an increase in admissions (1,672 in 1999 vs. 1,544 in 2003) but rather a reflection of a marked increase in patients seen primarily by the trauma team and discharged from the ED (473 in 1999 vs. 1,000 in 2003; trend p < 0.05). These ED discharge patients were increasingly transported by helicopter (12.3% in 1999 vs. 29.2% in 2003; trend p < 0.05) and less frequently from urban areas (57.1% in 1999 vs. 48.1% in 2003; trend p < 0.05) over the course of the study period. Average injury severity of this group increased over the study period (Injury Severity Score of 2.7 +/- 0.1 in 1999 vs. 3.3 +/- 0.1 in 2003; trend p < 0.05). ED length of stay for this group increased 19.8% over the study period (trend p < 0.05), averaging nearly 5 hours in 2003. The total number, relative percentage, and injury severity of patients evaluated by the trauma team and discharged from the ED has significantly increased over the last 5 years, representing nearly 5,000 patient care hours in 2003. Systems to care for these patients in a cost- and resource-efficient fashion should be put in place. The impact of this growing population of patients on the workload of the trauma center should be recognized by accrediting agencies, hospital administration, and Emergency Medical Services.

40 CFR 712.25 - Exempt manufacturers and importers.

Code of Federal Regulations, 2010 CFR

2010-07-01

... substance during the reporting period, solely for purposes of scientific experimentation, analysis, or... period; (2) Total production of the listed substance for the reporting period was below 45,400 kilograms...

Assemblage organization in stream fishes: effects of environmental variation and interspecific interactions

USGS Publications Warehouse

Grossman, G.D.; Ratajczak, R.E.; Crawford, M. M.; Freeman, Mary C.

1998-01-01

We assessed the relative importance of environmental variation, interspecific competition for space, and predator abundance on assemblage structure and microhabitat use in a stream fish assemblage inhabiting Coweeta Creek, North Carolina, USA. Our study encompassed a ten year time span (1983-1992) and included some of the highest and lowest flows in the last 58 years. We collected 16 seasonal samples which included data on: 1) habitat availability (total and microhabitat) and microhabitat diversity, 2) assemblage structure (i.e., the number and abundances of species comprising a subset of the community), and 3) microhabitat use and overlap. We classified habitat availability data on the basis of year, season, and hydrologic period. Hydrologic period (i.e., pre-drought [PR], drought [D], and post-drought [PO]) represented the temporal location of a sample with respect to a four-year drought that occurred during the study. Hydrologic period explained a greater amount of variance in habitat availability data than either season or year. Total habitat availability was significantly greater during PO than in PR or D, although microhabitat diversity did not differ among either seasons or hydrologic periods. There were significantly fewer high-flow events (i.e., > 2.1 m3/s) during D than in either PR or PO periods. We observed a total of 16 species during our investigation, and the total number of species was significantly higher in D than in PR samples. Correlation analyses between the number of species present (total and abundant species) and environmental data yielded limited results, although the total number of species was inversely correlated with total habitat availability. A cluster analysis grouped assemblage structure samples by hydrologic period rather than season or year, supporting the contention that variation in annual flow had a strong impact on this assemblage. The drought had little effect on the numerical abundance of benthic species in this assemblage; however, a majority of water-column species increased in abundance. The increased abundances or water-column species may have been related to the decrease in high flow events observed during the D. Such high flow events are known to cause mortality in stream fishes. Microhabitat use data showed that species belonged to one of three microhabitat guilds: benthic, lower water-column, and mid-water-column. In general, species within the same guild did not exhibit statistically distinguishable patterns of microhabitat use, and most significant differences occurred between members of different guilds. However, lower water-column guild species frequently were not separable from all members of either benthic or mid-water-column guilds. Variations in the abundance of potential competitors or predators did not produce strong shifts in microhabitat use by assemblage members. Predators were present in the site in only 9 of 16 seasonal samples and never were abundant (maximum number observed per day was 2). In conclusion, our results demonstrate that variability in both mean and peak flows had a much stronger effect on the structure and use of spatial resources within this assemblage than either interspecific competition for space or predation. Consequently, we suspect that the patterns in both assemblage structure and resource use displayed by fishes in Coweeta Creek arose from the interaction between environmental variation and species-specific evolutionary constraints on behavior, morphology and physiology.

Effects of total fat intake on bodyweight in children.

PubMed

Naude, Celeste E; Visser, Marianne E; Nguyen, Kim A; Durao, Solange; Schoonees, Anel

2018-02-15

As part of efforts to prevent childhood overweight and obesity, we need to understand the relationship between total fat intake and body fatness in generally healthy children. To assess the effects of total fat intake on measures of weight and body fatness in children and young people not aiming to lose weight. For this update we revised the previous search strategy and ran it over all years in the Cochrane Library, MEDLINE (Ovid), MEDLINE (PubMed), and Embase (Ovid) (current to 23 May 2017). No language and publication status limits were applied. We searched the World Health Organization International Clinical Trials Registry Platform and ClinicalTrials.gov for ongoing and unpublished studies (5 June 2017). We included randomised controlled trials (RCTs) in children aged 24 months to 18 years, with or without risk factors for cardiovascular disease, randomised to a lower fat (30% or less of total energy (TE)) versus usual or moderate-fat diet (greater than 30%TE), without the intention to reduce weight, and assessed a measure of weight or body fatness after at least six months. We included prospective analytical cohort studies in these children if they related baseline total fat intake to weight or body fatness at least 12 months later. We duplicated inclusion decisions and resolved disagreement by discussion with other authors. We extracted data on participants, interventions or exposures, controls and outcomes, and trial or cohort quality characteristics, as well as data on potential effect modifiers, and assessed risk of bias for all included studies. We extracted outcome data using the following time point ranges, when available: RCTs: baseline to six months, six to 12 months, one to two years, two to five years and more than five years; cohort studies: baseline to one year, one to two years, two to five years, five to 10 years and more than 10 years. We planned to perform random-effects meta-analyses with relevant subgrouping, and sensitivity and funnel plot analyses where data allowed. We included 24 studies comprising three parallel-group RCTs (n = 1054 randomised) and 21 prospective analytical cohort studies (about 25,059 children completed). Twenty-three were conducted in high-income countries. No meta-analyses were possible, since only one RCT reported the same outcome at each time point range for all outcomes, and cohort studies were too heterogeneous.For the RCTs, concerns about imprecision and poor reporting limited our confidence in our findings. In addition, the inclusion of hypercholesteraemic children in two trials raised concerns about applicability. Lower versus usual or modified total fat intake may have made little or no difference to weight over a six- to twelve month period (mean difference (MD) -0.50 kg, 95% confidence interval (CI) -1.78 to 0.78; 1 RCT; n = 620; low-quality evidence), nor a two- to five-year period (MD -0.60 kg, 95% CI -2.39 to 1.19; 1 RCT; n = 612; low-quality evidence). Compared to controls, lower total fat intake (30% or less TE) probably decreased BMI in children over a one- to two-year period (MD -1.5 kg/m 2 , 95% CI -2.45 to -0.55; 1 RCT; n = 191; moderate-quality evidence), with no other differences evident across the other time points (two to five years: MD 0.00 kg/m 2 , 95% CI -0.63 to 0.63; 1 RCT; n = 541; greater than five years; MD -0.10 kg/m 2 , 95% CI -0.75 to 0.55; 1 RCT; n = 576; low-quality evidence). Lower fat intake probably slightly reduced total cholesterol over six to 12 months compared to controls (MD -0.15 mmol/L, 95% CI -0.24 to -0.06; 1 RCT; n = 618; moderate-quality evidence), but may make little or no difference over longer time periods. Lower fat intake probably slightly decreased low-density lipoprotein (LDL) cholesterol over six to 12 months (MD -0.12 mmol/L, 95% CI -0.20 to -0.04; 1 RCT; n = 618, moderate-quality evidence) and over two to five years (MD -0.09, 95% CI -0.17 to -0.01; 1 RCT; n = 623; moderate-quality evidence), compared to controls. However, lower total fat intake probably made little or no difference to HDL-C over a six- to 12-month period (MD -0.03 mmol/L, 95% CI -0.08 to 0.02; 1 RCT; n = 618; moderate-quality evidence), nor a two- to five-year period (MD -0.01 mmol/L, 95% CI -0.06 to 0.04; 1 RCT; n = 522; moderate-quality evidence). Likewise, lower total fat intake probably made little or no difference to triglycerides in children over a six- to 12-month period (MD -0.01 mmol/L, 95% CI -0.08 to 0.06; 1 RCT; n = 618; moderate-quality evidence). Lower versus usual or modified fat intake may make little or no difference to height over more than five years (MD -0.60 cm, 95% CI -2.06 to 0.86; 1 RCT; n = 577; low-quality evidence).Over half the cohort analyses that reported on primary outcomes suggested that as total fat intake increases, body fatness measures may move in the same direction. However, heterogeneous methods and reporting across cohort studies, and predominantly very low-quality evidence, made it difficult to draw firm conclusions and true relationships may be substantially different. We were unable to reach firm conclusions. Limited evidence from three trials that randomised children to a lower total fat intake (30% or less TE) versus usual or modified fat intake, but with no intention to reduce weight, showed small reductions in body mass index, total- and LDL-cholesterol at some time points with lower fat intake compared to controls, and no consistent differences in effects on weight, high-density lipoprotein (HDL) cholesterol or height. Associations in cohort studies that related total fat intake to later measures of body fatness in children were inconsistent and the quality of this evidence was mostly very low. Twenty-three out of 24 included studies were conducted in high-income countries, and may not be applicable in low- and middle-income settings. High-quality, longer-term studies are needed, that include low- and middle-income settings and look at both possible benefits and risks.

The general surgery chief resident operative experience: 23 years of national ACGME case logs.

PubMed

Drake, Frederick Thurston; Horvath, Karen D; Goldin, Adam B; Gow, Kenneth W

2013-09-01

The chief resident (CR) year is a pivotal experience in surgical training. Changes in case volume and diversity may impact the educational quality of this important year. To evaluate changes in operative experience for general surgery CRs. Review of Accreditation Council for Graduate Medical Education case logs from 1989-1990 through 2011-2012 divided into 5 periods. Graduates in period 3 were the last to train with unrestricted work hours; those in period 4 were part of a transition period and trained under both systems; and those in period 5 trained fully under the 80-hour work week. Diversity of cases was assessed based on Accreditation Council for Graduate Medical Education defined categories. Total cases and defined categories were evaluated for changes over time. The average total CR case numbers have fallen (271 in period 1 vs 242 in period 5, P < .001). Total CR cases dropped to their lowest following implementation of the 80-hour work week (236 cases), but rebounded in period 5. The percentage of residents' 5-year operative experience performed as CRs has decreased (30% in period 1 vs 25.6% in period 5, P < .001). Regarding case mix: thoracic, trauma, and vascular cases declined steadily, while alimentary and intra-abdominal operations increased. Recent graduates averaged 80 alimentary and 78 intra-abdominal procedures during their CR years. Compared with period 1, in which these 2 categories represented 47.1% of CR experience, in period 5, they represented 65.2% (P < .001). Endocrine experience has been relatively unchanged. Total CR cases declined especially acutely following implementation of the 80-hour work week but have since rebounded. Chief resident cases contribute less to overall experience, although this proportion stabilized before the 80-hour work week. Case mix has narrowed, with significant increases in alimentary and intra-abdominal cases. Broad-based general surgery training may be jeopardized by reduced case diversity. Chief resident cases are crucial in surgical training and educators should consider these findings as surgical training evolves.

The General Surgery Chief Resident Operative Experience

PubMed Central

Drake, Frederick Thurston; Horvath, Karen D.; Goldin, Adam B.; Gow, Kenneth W.

2014-01-01

IMPORTANCE The chief resident (CR) year is a pivotal experience in surgical training. Changes in case volume and diversity may impact the educational quality of this important year. OBJECTIVE To evaluate changes in operative experience for general surgery CRs. DESIGN, SETTING, AND PARTICIPANTS Review of Accreditation Council for Graduate Medical Education case logs from 1989–1990 through 2011–2012 divided into 5 periods. Graduates in period 3 were the last to train with unrestricted work hours; those in period 4 were part of a transition period and trained under both systems; and those in period 5 trained fully under the 80-hour work week. Diversity of cases was assessed based on Accreditation Council for Graduate Medical Education defined categories. MAIN OUTCOMES AND MEASURES Total cases and defined categories were evaluated for changes over time. RESULTS The average total CR case numbers have fallen (271 in period 1 vs 242 in period 5, P < .001). Total CR cases dropped to their lowest following implementation of the 80-hour work week (236 cases), but rebounded in period 5. The percentage of residents’ 5-year operative experience performed as CRs has decreased (30% in period 1 vs 25.6% in period 5, P < .001). Regarding case mix: thoracic, trauma, and vascular cases declined steadily, while alimentary and intra-abdominal operations increased. Recent graduates averaged 80 alimentary and 78 intra-abdominal procedures during their CR years. Compared with period 1, in which these 2 categories represented 47.1% of CR experience, in period 5, they represented 65.2% (P < .001). Endocrine experience has been relatively unchanged. CONCLUSIONS AND RELEVANCE Total CR cases declined especially acutely following implementation of the 80-hour work week but have since rebounded. Chief resident cases contribute less to overall experience, although this proportion stabilized before the 80-hour work week. Case mix has narrowed, with significant increases in alimentary and intra-abdominal cases. Broad-based general surgery training may be jeopardized by reduced case diversity. Chief resident cases are crucial in surgical training and educators should consider these findings as surgical training evolves. PMID:23864049

Water, gravity and trees: Relationship of tree-ring widths and total water storage dynamics

NASA Astrophysics Data System (ADS)

Creutzfeldt, B.; Heinrich, I.; Merz, B.; Blume, T.; Güntner, A.

2012-04-01

Water stored in the subsurface as groundwater or soil moisture is the main fresh water source not only for drinking water and food production but also for the natural vegetation. In a changing environment water availability becomes a critical issue in many different regions. Long-term observations of the past are needed to improve the understanding of the hydrological system and the prediction of future developments. Tree ring data have repeatedly proved to be valuable sources for reconstructing long-term climate dynamics, e.g. temperature, precipitation and different hydrological variables. In water-limited environments, tree growth is primarily influenced by total water stored in the subsurface and hence, tree-ring records usually contain information about subsurface water storage. The challenge is to retrieve the information on total water storage from tree rings, because a training dataset of water stored in the sub-surface is required for calibration against the tree-ring series. However, measuring water stored in the subsurface is notoriously difficult. We here present high-precision temporal gravimeter measurements which allow for the depth-integrated quantification of total water storage dynamics at the field scale. In this study, we evaluate the relationship of total water storage change and tree ring growth also in the context of the complex interactions of other meteorological forcing factors. A tree-ring chronology was derived from a Norway spruce stand in the Bavarian Forest, Germany. Total water storage dynamics were measured directly by the superconducting gravimeter of the Geodetic Observatory Wettzell for a 9-years period. Time series were extended to 63-years period by a hydrological model using gravity data as the only calibration constrain. Finally, water storage changes were reconstructed based on the relationship between the hydrological model and the tree-ring chronology. Measurement results indicate that tree-ring growth is primarily controlled by total water storage in the subsurface. But high uncertainties intervals of the correlation coefficient urges for the extension of the measurement period. This multi-disciplinary study, combining hydrology, dendrochronology and geodesy shows that temporal gravimeter measurements may give us the unique opportunity to retrieve the information of total water storage contained in tree-ring records to reconstruct total water storage dynamics. Knowing the relationship of water storage and tree-ring growth can also support the reconstruction of other climate records based on tree-ring series, help with hydrological model testing and can improve our knowledge of long-term variations of water storage in the past.

Frequency selective reflection and transmission at a layer composed of a periodic dielectric

NASA Technical Reports Server (NTRS)

Bertoni, Henry L.; Cheo, Li-Hsiang S.; Tamir, Theodor

1987-01-01

The feasibility of using a periodic dielectric layer, composed of alternating bars having dielectric constants epsilon sub 1 and epsilon sub 2, as a frequency selective subreflector in order to permit feed separation in large aperture reflecting antenna systems was examined. For oblique incidence, it is found that total transmission and total reflection can be obtained at different frequencies for proper choices of epsilon sub 1, epsilon 2, and the geometric parameters. The frequencies of total reflection and transmission can be estimated from wave phenomena occurring in a layer of uniform dielectric constant equal to the average for the periodic layers. About some of the frequencies of total transmission, the bandwidth for 90% transmission is found to be 40%. However, the bandwidth for 90% reflection is always found to be much narrower; the greatest value found being 2.5%.

Reducing health care-associated infections by implementing separated environmental cleaning management measures by using disposable wipes of four colors.

PubMed

Wong, Swee Siang; Huang, Cheng Hua; Yang, Chiu Chu; Hsieh, Yi Pei; Kuo, Chen Ni; Chen, Yi Ru; Chen, Li Ching

2018-01-01

Environmental cleaning is a fundamental principle of infection control in health care settings. We determined whether implementing separated environmental cleaning management measures in MICU reduced the density of HAI. We performed a 4-month prospective cohort intervention study between August and December 2013, at the MICU of Cathay General hospital. We arranged a training program for all the cleaning staff regarding separated environmental cleaning management measures by using disposable wipes of four colors to clean the patients' bedside areas, areas at a high risk of contamination, paperwork areas, and public areas. Fifteen high-touch surfaces were selected for cleanliness evaluation by using the adenosine triphosphate (ATP) bioluminescence test. Then data regarding HAI densities in the MICU were collected during the baseline, intervention, and late periods. A total of 120 ATP readings were obtained. The total number of clean high-touch surfaces increased from 13% to 53%, whereas that of unclean high-touch surface decreased from 47% to 20%. The densities of HAI were 14.32‰ and 14.90‰ during the baseline and intervention periods, respectively. The HAI density did not decrease after the intervention period, but it decreased to 9.07‰ during the late period. Implementing separated environmental cleaning management measures by using disposable wipes of four colors effectively improves cleanliness in MICU environments. However, no decrease in HAI density was observed within the study period. Considering that achieving high levels of hand-hygiene adherence is difficult, improving environmental cleaning is a crucial adjunctive measure for reducing the incidence of HAIs.

The Christmas season as a risk factor for chronic obstructive pulmonary disease exacerbations

PubMed Central

Johnston, Neil W; McIvor, Andrew; N, Kim Lambert Reg; Greene, Justina M; Hussac, Pat; de Verdier, Maria Gerhardsson; Higenbottam, Tim; Lewis, Jonathan; Newbold, Paul; Herath, Athula; Jenkins, Martin

2010-01-01

BACKGROUND Epidemics of hospitalization for chronic obstructive pulmonary disease (COPD) occur annually during the Christmas holidays, and COPD exacerbations commonly coincide with respiratory viral infections. OBJECTIVE To compare the incidence and determinants of COPD exacerbations occurring between the Christmas holiday period and the remainder of the winter season. METHODS Seventy-one subjects with COPD of mixed severity faxed daily symptom diaries to a computer monitoring system from December 1, 2006, to April 30, 2007. Possible exacerbations prompted a home visit for assessment, spirometry and specimen collection for virological testing. RESULTS Study subjects submitted a total of 95.4% of possible daily symptom diary sheets by fax. Of 114 possible COPD exacerbations detected using the faxed diaries, 110 met the Anthonisen criteria for true exacerbations. A total of 47 exacerbations (mean 6.7/week) occurred during the Christmas holiday period, while 63 exacerbations (mean 4.3/week) occurred during the remainder of winter. Of the Christmas period exacerbations and of those in the balance of winter, 21 (44%) and 20 (32%), respectively, coincided with respiratory viral infections. CONCLUSIONS The incidence of COPD exacerbations during the Christmas period was greater than during the rest of winter in 2006/2007 and peaked immediately before Christmas – in contrast to hospital presentation for COPD, which peaked during the Christmas week. No clear role of respiratory viral infections in the increased rate of exacerbations during the Christmas period was established in the present study. COPD patients were highly compliant with daily symptom reporting using faxed daily diaries, which permitted nearly complete detection of all exacerbations that occurred at incidence. PMID:21165349

Endoscopic ultrasound guided brush/fine-needle aspiration cytology: A 15-month study.

PubMed

Tummidi, Santosh; Kothari, Kanchan; Sathe, Pragati; Agnihotri, Mona; Fernandes, Gwendolyn; Naik, Leena; Jain, Aleena; Chaturvedi, Rachana

2018-06-01

Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) has become increasingly popular for the diagnosis and staging of gastrointestinal diseases and peri-gastrointestinal lesions. The application of FNA/Brush has dramatically expanded the clinical utility of EUS. To evaluate the diagnostic accuracy, study the spectrum of lesions encountered in EUS-FNAC/brush cytology of gastrointestinal and peri-gastrointestinal lesions. Total of 124 patients during the period from August 2015 to November 2016 was included in the study. Routine staining was done. A total of 124 cases were studied with 86% (107 cases) being satisfactory for evaluation. M:F ratio was 1:1.03, mean age of 50.5 years. The most common site was common bile duct (CBD) (37%) followed by lymph node (21%), pancreas (17.7%), esophagus (17%), stomach (3.5%), liver (1.8%), gallbladder (1%), and spleen (1%). In total, 53.4% lesions were benign, in 6.5% atypical cells were seen, 12.1% were suspicious for malignancy, and 28% cases were positive for malignancy. Follow-up was available in 102 cases with cyto-histopathological concordance rate of 90%. EUS-FNA/Brush is a reliable, sensitive, specific and minimally invasive way to establish a diagnosis. It can be utilized as a pre-operative procedure for the management of many intra-abdominal lesions and prevent unnecessary invasive procedures. © 2018 Wiley Periodicals, Inc.

Comparative assessment of runoff characteristics under different land use patterns within a Himalayan watershed

NASA Astrophysics Data System (ADS)

Rai, S. C.; Sharma, E.

1998-10-01

Large quantities of sediments leave the Himalaya through its rivers. These rivers are charged with sediments depending on the types of land use in the watersheds. Land use/cover change and hydrology was studied in a watershed in the Sikkim Himalaya. The land use change from forest and agroforestry to open agriculture has increased by 11% from 1988 to 1992. During the same period substantial areas of dense mixed forests have been converted to open mixed and degraded forests as a result of high pressure on natural resources. Stream flow was highest in the rainy season and lowest in summer season in all the streams and all the three years (1994-1997) of the study. The water quality of streams from different microwatersheds varied significantly between seasons and streams. Sediment and nutrient loss was estimated in microwatersheds and soil loss from the total watershed ranged from 4·18 to 8·82 t ha-1 yr-1 during the three-year period of study. The annual total nitrogen loss estimated at the watershed outlet was at a rate of 33 kg ha-1, organic carbon 267 kg ha-1 and total phosphorus 5 kg ha-1. This study suggests that the upland microwatersheds can be hydroecologically sustainable only if good forest cover and dense forests with large cardamom-based agroforestry are maintained.

Key factors affecting urban runoff pollution under cold climatic conditions

NASA Astrophysics Data System (ADS)

Valtanen, Marjo; Sillanpää, Nora; Setälä, Heikki

2015-10-01

Urban runoff contains various pollutants and has the potential of deteriorating the quality of aquatic ecosystems. In this study our objective is to shed light on the factors that control the runoff water quality in urbanized catchments. The effects of runoff event characteristics, land use type and catchment imperviousness on event mass loads (EML) and event mean concentrations (EMC) were studied during warm and cold periods in three study catchments (6.1, 6.5 and 12.6 ha in size) in the city of Lahti, Finland. Runoff and rainfall were measured continuously for two years at each catchment. Runoff samples were taken for total nutrients (tot-P and tot-N), total suspended solids (TSS), heavy metals (Zn, Cr, Al, Co, Ni, Cu, Pb, Mn) and total organic carbon (TOC). Stepwise multiple linear regression analysis (SMLR) was used to identify general relationships between the following variables: event water quality, runoff event characteristics and catchment characteristics. In general, the studied variables explained 50-90% of the EMLs but only 30-60% of the EMCs, with runoff duration having an important role in most of the SMLR models. Mean runoff intensity or peak flow was also often included in the runoff quality models. Yet, the importance (being the first, second or third best) and role (negative or positive impact) of the explanatory variables varied between the cold and warm period. Land use type often explained cold period concentrations, but imperviousness alone explained EMCs weakly. As for EMLs, the influence of imperviousness and/or land use was season and pollutant dependent. The study suggests that pollutant loads can be - throughout the year - adequately predicted by runoff characteristics given that seasonal differences are taken into account. Although pollutant concentrations were sensitive to variation in seasonal and catchment conditions as well, the accurate estimation of EMCs would require a more complete set of explanatory factors than used in this study.

Intra-annual variability of cloud cover over the Mediterranean region based on NCEP/NCAR, MODIS and ECAD data sets

NASA Astrophysics Data System (ADS)

Ioannidis, Eleftherios; Lolis, Christos J.; Papadimas, Christos D.; Hatzianastassiou, Nikolaos; Bartzokas, Aristides

2017-04-01

The seasonal variability of total cloud cover in the Mediterranean region is examined for the period 1948-2014 using a multivariate statistical methodology. The data used consist of: i) daily gridded (1.875°x1.905°) values of total cloud cover over the broader Mediterranean region for the 66-year period 1948-2014, obtained from NCEP/NCAR Reanalysis data set, ii) daily gridded (1°x1°) values of total cloud cover for the period 2003-2014 obtained from the Moderate resolution Imaging Spectroradiometer (MODIS) satellite data set and iii) daily station cloud cover data for the period 2003-2014 obtained from the European Climate Assessment & Dataset (ECA&D). At first, the multivariate statistical method of Factor Analysis (S-mode) with varimax rotation is applied as a dimensionality reduction tool on the mean day to day intra-annual variation of NCEP/NCAR cloud cover for the period 1948-2014. According to the results, three main modes of intra-annual variation of cloud cover are found. The first mode is characterized by a winter maximum and a summer minimum and prevails mainly over the sea; a weak see-saw teleconnection over the Alps represents the opposite intra-annual marching. The second mode presents maxima in early autumn and late spring, and minima in late summer and winter, and prevails over the SW Europe and NW Africa inland regions. The third mode shows a maximum in June and a minimum in October and prevails over the eastern part of central Europe. Next, the mean day to day intra-annual variation of NCEP/NCAR cloud cover over the core regions of the above factors is calculated for the entire period 1948-2014 and the three 22-year sub-periods 1948-70, 1970-92 and 1992-2014. A comparison is carried out between each of the three sub-periods and the total period in order to reveal possible long-term changes in seasonal march of total cloud cover. The results show that cloud cover was reduced above all regions during the last 22-year sub-period 1992-2014 throughout the year, but especially in winter. Finally, given the different nature of the utilized NCEP/NCAR (Reanalysis), MODIS (satellite) and ECAD (stations) cloud cover data sets, an inter-comparison is made among them as it concerns the intra-annual variation of cloud cover for the common period 2003-2014. The results show a nice similarity among the three datasets, with some differences in magnitude during the cold period of the year.

EVALUATION OF THE CHANGES IN THE NASAL CAVITY DURING THE MIGRAINE ATTACK

PubMed Central

Arslan, H. Hüseyin; Tokgöz, Erkan; Yıldızoğlu, Üzeyir; Durmaz, Abdullah; Bek, Semai; Gerek, Mustafa

2012-01-01

Objectives There are some subjective symptoms involving the nasal cavity such as nasal congestion during a migraine attack. In this study, we aimed to evaluate the possible changes occuring in the nasal cavity, during headache in migraine patients. Material and Methods Subjects with migraine were studied. The control group was consisted with tension-type headache patients. The severity of the headache and accompanying complaints were assessed by visual analog scale, and nasal mucosa was assessed by anterior rhinoscopy and endoscopy. Resistance of the nasal cavity was evaluated with anterior rhinomanometry. The data obtained during the attack periods and attack free periods were compared. Results 25 migraine patients and 15 tension-type headache patients were enrolled. It was found that 19 subjects (%76) of migraine group and 5 of tension-type headache group were suffering from nasal congestion during the attack, and that the differences between the groups were statistically significant (p<0.05). The average of total nasal resistance in migraine patients was 0,57±0,60 kPa/L/sn during migraine attacks and 0,28±0,14 kPa/L/sn during attack free periods. The average of total nasal resistance in tension-type headache patients was 0,32±0,14 kPa/L/sn during attack periods and 0,31±0,20 kPa/L/sn during attack free periods. In the migraine group, the change of nasal resistance between during the attack and attack free periods was found statistically significant, while there was no statistically significant difference in the tension-type headache group. Conclusion According to the results of this study, complaining of nasal obstruction and nasal airway resistance increases during migraine attacks. Cause and effect relationship between nasal obstruction and pain is not clear and clinical trials are needed to determine the effect of nasal obstruction treatment (mucosal decongestion etc.) on the complaint of pain. PMID:25072974

Variations of physicochemical properties in Kalpakkam coastal waters, east coast of India, during southwest to northeast monsoon transition period.

PubMed

Satpathy, Kamala Kanta; Mohanty, Ajit K; Sahu, Gouri; Sarkar, Santosh K; Natesan, Usha; Venkatesan, R; Prasad, M V R

2010-12-01

A significant variation in physicochemical properties of the Kalpakkam coastal waters, eastern part of India, was observed during the event of southwest to northeast monsoon transition. Increase in nitrate, total nitrogen, and silicate concentrations were noticed during post-transition period. Ammonia concentration was at peak during transition period as compared to pre- and post-transition periods. Hypo-saline condition (~23 psu) was observed during post-transition as the surface water salinity decreased by ~10 psu from the pre-transitional values. Turbidity, suspended particulate matter, phosphate and total phosphorous values decreased marginally, coinciding with northward to southward current reversal. A drastic decrease (eightfold) in chlorophyll-a concentration was observed in the coastal water during post-transition period.

An improved bridge safety index for narrow bridges.

DOT National Transportation Integrated Search

1983-08-01

In this report, a new bridge safety index is developed based upon an extensive : statistical study of accident data on 78 bridges. A total of 655 accidents : were recorded at these bridges over the six-year period between 1974 and 1979. : Cluster ana...

High risk of neonatal complications in children of mothers with gestational diabetes mellitus in their first pregnancy.

PubMed

Wielandt, Hanne Benedicte; Schønemann-Rigel, Helena; Holst, Charlotte Blunck; Fenger-Grøn, Jesper

2015-06-01

THE study presents the neonatal outcome from a cohort of women with gestational diabetes mellitus (GDM) in their first pregnancy. During a five-year period (2009-2013), a prospective follow-up study was performed at the Department of Gynaecology and Obstetrics, Lillebaelt Hospital - Kolding. The study included 535 pregnant women diagnosed with GDM. A study population of nulliparous GDM patients was sampled, and during the period from 1 January 2010 to 1 March 2013, a total of 137 women delivered for the first time. The present study population considers the 131 offspring, excluding six pairs of twins. The overwhelming majority of the offspring had a birth weight within the normal range and only six (4.6%) were large for gestational age. There were 95 (72.5%) vaginal deliveries, whereas 36 (27.5%) were born by caesarean section (CS). Nearly half of the 25 nulliparous GDM patients with a body mass index ≥ 35 kg/m² delivered by CS - six by emergency CS and three by planned CS. A total of 20 neonates (15.3%) developed neonatal hypoglycaemia and four (3.1%) had an Apgar score < 7 after 5 min. A total of 25 (19.1%) among the offspring were admitted to the neonatal intensive care unit. The present study supports the notion of high-risk pregnancy among GDM patients. Compared with nulliparous in general, the offspring were more likely to be delivered by emergency CS. Despite the prophylactic procedures, one in six had neonatal hypoglycaemia.

Comparison of surgical time and IOP spikes with two ophthalmic viscosurgical devices following Visian STAAR (ICL, V4c model) insertion in the immediate postoperative period.

PubMed

Ganesh, Sri; Brar, Sheetal

2016-01-01

To compare the effect of two ocular viscosurgical devices (OVDs) on intraocular pressure (IOP) and surgical time in immediate postoperative period after bilateral implantable collamer lens (using the V4c model) implantation. A total of 20 eligible patients were randomized to receive 2% hydroxypropylmethylcellulose (HPMC) in one eye and 1% hyaluronic acid in fellow eye. Time taken for complete removal of OVD and total surgical time were recorded. At the end of surgery, IOP was adjusted between 15 and 20 mmHg in both the eyes. Mean time for complete OVD evacuation and total surgical time were significantly higher in the HPMC group (P=0.00). Four eyes in the HPMC group had IOP spike, requiring treatment. IOP values with noncontact tonometry at 1, 2, 4, 24, and 48 hours were not statistically significant (P>0.05) for both the groups. The study concluded that 1% hyaluronic acid significantly reduces total surgical time, and incidence of acute spikes may be lower compared to 2% HPMC when used for implantable collamer lens (V4c model).

Comparison of surgical time and IOP spikes with two ophthalmic viscosurgical devices following Visian STAAR (ICL, V4c model) insertion in the immediate postoperative period

PubMed Central

Ganesh, Sri; Brar, Sheetal

2016-01-01

Purpose To compare the effect of two ocular viscosurgical devices (OVDs) on intraocular pressure (IOP) and surgical time in immediate postoperative period after bilateral implantable collamer lens (using the V4c model) implantation. Methods A total of 20 eligible patients were randomized to receive 2% hydroxypropylmethylcellulose (HPMC) in one eye and 1% hyaluronic acid in fellow eye. Time taken for complete removal of OVD and total surgical time were recorded. At the end of surgery, IOP was adjusted between 15 and 20 mmHg in both the eyes. Results Mean time for complete OVD evacuation and total surgical time were significantly higher in the HPMC group (P=0.00). Four eyes in the HPMC group had IOP spike, requiring treatment. IOP values with noncontact tonometry at 1, 2, 4, 24, and 48 hours were not statistically significant (P>0.05) for both the groups. Conclusion The study concluded that 1% hyaluronic acid significantly reduces total surgical time, and incidence of acute spikes may be lower compared to 2% HPMC when used for implantable collamer lens (V4c model). PMID:26869754

Kootenai River Fisheries Investigations : Rainbow Trout Recruitment : Period Covered: 1997.

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

Downs, Chris

1999-02-02

The objective of this study was to determine if juvenile production is limiting the population of rainbow trout Oncorbynchus mykiss in the Idaho reach of the Kootenai River. We used snorkeling and electrofishing techniques to estimate juvenile rainbow trout abundance in, and outmigration from, the Deep, Boulder, and Myrtle creek drainages in Idaho. The total population estimates for the three drainages estimated in 1997 were 30,023; 763; and 235; respectively. A rotary-screw trap was utilized to capture juvenile outmigrants for quantification of age at outmigration and total outmigration from the Deep Creek drainage to the Kootenai River. The total outmigrantmore » estimate for 1997 from the Deep Creek drainage was 38,206 juvenile rainbow trout. Age determination based largely on scales suggests that most juvenile rainbow trout outmigration from the Deep Creek drainage occurs at age-l, during the spring runoff period. Forty-three adult rainbow trout captured in the Deep Creek drainage were tagged with $10.00 reward T-bar anchor tags in 1997. A total of three of these fish were harvested, all in Kootenay Lake, British Columbia. This suggests the possibility of an adfluvial component in the spawning population of the Deep Creek drainage.« less

Concentration characteristics, source apportionment, and oxidative damage of PM2.5-bound PAHs in petrochemical region in Xinjiang, NW China.

PubMed

Turap, Yusan; Talifu, Dilinuer; Wang, Xinming; Aierken, Tuergong; Rekefu, Suwubinuer; Shen, Hao; Ding, Xiang; Maihemuti, Mailikezhati; Tursun, Yalkunjan; Liu, Wei

2018-05-30

Polycyclic aromatic hydrocarbons (PAHs) are of considerable concern due to their potential as human carcinogens. Thus, determining the characteristics, potential source, and examining the oxidative capacity of PAHs to protect human health is essential. This study investigated the PM 2.5 -bound PAHs at Dushanzi, a large petrochemical region in Xinjiang as well as northwest China. A total of 33 PM 2.5 samples with 13 PAHs, together with molecular tracers (levoglucosan, and element carbon), were analyzed during the non-heating and heating periods. The results showed that the PM 2.5 concentrations were 70.22 ± 22.30 and 95.47 ± 61.73 μg/m 3 , while that of total PAHs were 4.07 ± 2.03 and 60.33 ± 30.80 ng/m 3 in sampling period, respectively. The fluoranthene, pyrene, chrysene, benzo[b]fluoranthene, and benzo[k]fluoranthene were the most abundant (top five) PAHs, accounting for 71.74 and 72.80% of total PAH mass during non-heating and heating periods. The BaP equivalent (BaPeq) concentration exceeded 1 ng/m 3 as recommended by National Ambient Air Quality Standards during heating period. The diagnostic ratios and positive matrix factorization indicated that oil industry, biomass burning, coal combustion, and vehicle emissions are the primary sources. The coal combustion remarkably increased during heating period. The plasmid scission assay (PSA) results showed that higher DNA damage rate was observed during heating period. PAHs in PM 2.5 such as Chr, BaP, and IcdP were found to have significantly positive correlations with the plasmid DNA damage rates. Additionally, the relationship among BaPeq and DNA damage rate suggested that synergistic reaction may modify the toxicity of PAHs.

Does Involuntary Mental Time Travel Make Sense in Prospective Teachers' Feelings and Behaviors during Lessons?

ERIC Educational Resources Information Center

Eren, Altay; Yesilbursa, Amanda

2013-01-01

This study examined the effects of involuntary mental time travel into the past and into the future on prospective teachers' feelings and behaviors during the period of a class hour. A total of 110 prospective teachers participated voluntarily in the study. The results of the present study showed that (a) the involuntary mental time travel into…

Analysis of the Influence of Adolescence Period Sport Activities on Emphatic Tendency

ERIC Educational Resources Information Center

Acet, Mehmet; Karademir, Tamer; Gökçiçek, Sercan

2017-01-01

This study was conducted to find out how the empathic tendency levels of adolescent high school students were shaped in terms of sport activities and some variables. The study group includes a total of 1868 students, 866 females and 1002 males, between the ages 14 and 18 who were studying in different high schools (science high school, vocational…

14 CFR 331.7 - What losses will be reimbursed?

Code of Federal Regulations, 2010 CFR

2010-01-01

... the lost time value of money (i.e. interest on lost profits for the period of time the funds were not... income is calculated on a pretax basis. It is the total of Operating Profit or Loss (i.e., Total... in the ordinary course of business that were prepared for the eligible reimbursement period, such as...

40 CFR 63.4161 - How do I demonstrate initial compliance?

Code of Federal Regulations, 2014 CFR

2014-07-01

... compliance period, kg. AI = total mass of organic HAP in the coatings used in the controlled coating... this section: ER23JY02.007 Where: AI = mass of organic HAP in the coatings used in the controlled... recovery system using a liquid-liquid material balance during the compliance period, kg. AI = total mass of...

40 CFR 63.4161 - How do I demonstrate initial compliance?

Code of Federal Regulations, 2012 CFR

2012-07-01

... compliance period, kg. AI = total mass of organic HAP in the coatings used in the controlled coating... this section: ER23JY02.007 Where: AI = mass of organic HAP in the coatings used in the controlled... recovery system using a liquid-liquid material balance during the compliance period, kg. AI = total mass of...

40 CFR 63.4161 - How do I demonstrate initial compliance?

Code of Federal Regulations, 2010 CFR

2010-07-01

... compliance period, kg. AI = total mass of organic HAP in the coatings used in the controlled coating... this section: ER23JY02.007 Where: AI = mass of organic HAP in the coatings used in the controlled... recovery system using a liquid-liquid material balance during the compliance period, kg. AI = total mass of...

Severe postpartum hemorrhage from uterine atony: a multicentric study.

PubMed

Montufar-Rueda, Carlos; Rodriguez, Laritza; Jarquin, José Douglas; Barboza, Alejandra; Bustillo, Maura Carolina; Marin, Flor; Ortiz, Guillermo; Estrada, Francisco

2013-01-01

Postpartum hemorrhage (PPH) is an important cause of maternal mortality (MM) around the world. Seventy percent of the PPH corresponds to uterine atony. The objective of our study was to evaluate multicenter PPH cases during a 10-month period, and evaluate severe postpartum hemorrhage management. The study population is a cohort of vaginal delivery and cesarean section patients with severe postpartum hemorrhage secondary to uterine atony. The study was designed as a descriptive, prospective, longitudinal, and multicenter study, during 10 months in 13 teaching hospitals. Total live births during the study period were 124,019 with 218 patients (0.17%) with severe postpartum hemorrhage (SPHH). Total maternal deaths were 8, for mortality rate of 3.6% and a MM rate of 6.45/100,000 live births (LB). Maternal deaths were associated with inadequate transfusion therapy. In all patients with severe hemorrhage and subsequent hypovolemic shock, the most important therapy is intravascular volume resuscitation, to reduce the possibility of target organ damage and death. Similarly, the current proposals of transfusion therapy in severe or massive hemorrhage point to early transfusion of blood products and use of fresh frozen plasma, in addition to packed red blood cells, to prevent maternal deaths.

Tsallis non-extensive statistical mechanics in the ionospheric detrended total electron content during quiet and storm periods

NASA Astrophysics Data System (ADS)

Ogunsua, B. O.; Laoye, J. A.

2018-05-01

In this paper, the Tsallis non-extensive q-statistics in ionospheric dynamics was investigated using the total electron content (TEC) obtained from two Global Positioning System (GPS) receiver stations. This investigation was carried out considering the geomagnetically quiet and storm periods. The micro density variation of the ionospheric total electron content was extracted from the TEC data by method of detrending. The detrended total electron content, which represent the variation in the internal dynamics of the system was further analyzed using for non-extensive statistical mechanics using the q-Gaussian methods. Our results reveals that for all the analyzed data sets the Tsallis Gaussian probability distribution (q-Gaussian) with value q > 1 were obtained. It was observed that there is no distinct difference in pattern between the values of qquiet and qstorm. However the values of q varies with geophysical conditions and possibly with local dynamics for the two stations. Also observed are the asymmetric pattern of the q-Gaussian and a highly significant level of correlation for the q-index values obtained for the storm periods compared to the quiet periods between the two GPS receiver stations where the TEC was measured. The factors responsible for this variation can be mostly attributed to the varying mechanisms resulting in the self-reorganization of the system dynamics during the storm periods. The result shows the existence of long range correlation for both quiet and storm periods for the two stations.

Beneficial effects of losartan for prevention of paroxysmal atrial fibrillation in patients with sick sinus syndrome: analysis with memory function of pacemaker.

PubMed

Takii, Eiichi; Inage, Tomohito; Yoshida, Teruhisa; Ohe, Masatsugu; Gondo, Takeki; Haraguchi, Go; Ito, Shogo; Kumanomido, Jun; Imaizumi, Tsutomu; Fukuomoto, Yoshihiro

2016-03-01

Renin-angiotensin system (RAS) inhibitors may be useful in preventing the occurrence of paroxysmal atrial fibrillation (PAF). However, evaluation of such effect is difficult because many PAF episodes are asymptomatic and not all episodes are detected by intermittent electrocardiographic monitoring. A pacemaker has been developed with dedicated functions for AF detection and electrocardiogram storage. Accordingly, we examined the effect of losartan, an angiotensin receptor blocker on PAF occurrence using this new modality. We enrolled 70 consecutive patients who had undergone dual-chamber pacemaker implantation for sick sinus syndrome. Finally, 62 patients participated in the study. Thirty patients were randomized to the losartan group (mean 43 ± 12 mg/day) and 32 patients to the control group. They were followed up for 3 months. The frequency, the maximum duration and the total duration of PAF recorded by the stored electrocardiograms for the last 1 month during the observation period and study period were compared between the two groups. The change in the frequency of PAF from the observation period in the losartan and control groups was similar (-35 ± 25 vs. -67 ± 62 times; NS). However, the change in the maximum duration and the total duration of PAF was significantly shorter in the losartan group than in the control group (-493 ± 158 vs. -10 ± 69 min; p < 0.05, and -4007 ± 2334 vs. 1119 ± 714 min; p < 0.05, respectively). Losartan suppressed the maximum duration and the total duration of PAF in patients with sick sinus syndrome without hemodynamic changes. This is the first study to show the effect of a renin-angiotensin system inhibitor on the secondary prevention of PAF using the dedicated functions of a pacemaker for PAF detection and electrocardiogram storage.

Effects of draught load exercise and training on calcium homeostasis in horses.

PubMed

Vervuert, I; Coenen, M; Zamhöfer, J

2005-01-01

This study was conducted to investigate the effects of draught load exercise on calcium (Ca) homeostasis in young horses. Five 2-year-old untrained Standardbred horses were studied in a 4-month training programme. All exercise workouts were performed on a treadmill at a 6% incline and with a constant draught load of 40 kg (0.44 kN). The training programme started with a standardized exercise test (SET 1; six incremental steps of 5 min duration each, first step 1.38 m/s, stepwise increase by 0.56 m/s). A training programme was then initiated which consisted of low-speed exercise sessions (LSE; constant velocity at 1.67 m/s for 60 min, 48 training sessions in total). After the 16th and 48th LSE sessions, SETs (SET 2: middle of training period, SET 3: finishing training period) were performed again under the identical test protocol of SET 1. Blood samples for blood lactate, plasma total Ca, blood ionized calcium (Ca(2+)), blood pH, plasma inorganic phosphorus (P(i)) and plasma intact parathyroid hormone (PTH) were collected before, during and after SETs, and before and after the first, 16th, 32nd and 48th LSE sessions. During SETs there was a decrease in ionized Ca(2+) and a rise in lactate, P(i) and intact PTH. The LSEs resulted in an increase in pH and P(i), whereas lactate, ionized Ca(2+), total Ca and intact PTH were not affected. No changes in Ca metabolism were detected in the course of training. Results of this study suggest that the type of exercise influences Ca homeostasis and intact PTH response, but that these effects are not influenced in the course of the training period.

Diel feeding periodicity of Ephemera simulans nymphs in summer and winter

USGS Publications Warehouse

Johnson, James H.; Ruggirello, Jack E.; Nack, Christopher C.

2012-01-01

We examined diel feeding periodicity of Ephemera simulans nymphs during summer and winter in a third-order stream in central New York. A total of 245 nymphs were collected at 4-h intervals over two 24 h periods and were immediately preserved in 80% ethanol. In the laboratory, we weighed each nymph and its digestive tract. The ratio of wet weight of the digestive tract to the total body weight at each 4-h interval was used to determine feeding periodicity. Diel feeding periodicity followed a similar pattern in summer and winter and was significantly higher at 08:00 hours. Feeding periodicity of E. simulans in Labrador Creek is asynchronous with the two most abundant fish species in the stream and may reflect predator avoidance behavior that has been shown for other mayfly species.

17 CFR 210.12-23 - Mortgage loans on real estate and interest earned on mortgages. 1

Code of Federal Regulations, 2012 CFR

2012-04-01

... period 5 Liens on: Farms (total) Residential (total) Apartments and business (total) Unimproved (total) Total 12 1 All money columns shall be totaled. 2 If mortgages represent other than first liens, list... the total of column G with the amount shown in the profit and loss or income statement, interest...

17 CFR 210.12-23 - Mortgage loans on real estate and interest earned on mortgages. 1

Code of Federal Regulations, 2013 CFR

2013-04-01

... period 5 Liens on: Farms (total) Residential (total) Apartments and business (total) Unimproved (total) Total 12 1 All money columns shall be totaled. 2 If mortgages represent other than first liens, list... the total of column G with the amount shown in the profit and loss or income statement, interest...

[Bibliometric analysis of doctorate thesis on the health sciences area: first part, odontology].

PubMed

Camps, Diego; Recuero, Yanina; Samar, María Elena; Avila, Rodolfo E

2005-01-01

The purpose of the following study was to describe trends in the use of information by dentistry thesists and their research topics in Medical Education, Ethics and History. Of a total of 290 doctorate thesis of the Dentistry Faculty made from 1965 to 2002, were identified: 3 theses on Medical Education and 1 on Ethics. On these, bibliographic quotations from periodic and non periodic publications, as well as quotations from doctorate thesis and congress acts were analyzed. In addition the antiquity of these was analyzed considering a period of five years between the date of accomplishment of the thesis and the one of the used bibliographical quotation. The total of analyzed quotations was of 492, presenting an average of 123 quotations per thesis. 62 per cent of the quotations corresponded to non periodic publications, 37 per cent to periodic publications and 2 per cent to quotations from doctorate thesis and congress acts. In regard of the antiquity of the quotations, 42 per cent was smaller to 5 years and 58 per cent was greater than that period of time. We concluded the doctorate thesis represent the highest degree of scientific and academic expression, and constitute a rich and valuable source of data. The analysis of these theses is very important because it provides information about the trends and innovations on the on the areas of Medical Education, Ethics and History. It would be (very) useful to extend the bibliometric analysis towards other thematic areas, generating a reference for future research.

[Analysis of the academic level and impact of ophthalmological periodicals in China].

PubMed

Xu, Xiao-quan; Mao, Wen-ming; Zheng, Jun-hai; Qu, Jia

2009-04-01

To analyse the whole level and impact of ophthalmological periodicals in China. It was studied by using bibliometrics analysis method. According to the data of CAJCCR in 2002 to 2007 and Chinese Citation Database in 2001 to 2007. The impact factor (IF), non-self-citing impact factor, total cited frequency, cited articles, immediacy index, rate of fund papers, web immediacy download rate, average value of h index were analysed and the non-self-citing rate, h(2)/n, high cited articles were calculated. In addition, the results of cited by cole databases at home and abroad. The average value of IF and cited frequency of 13 kinds of ophthalmological periodicals were 0.3940 and 657 respectively in 2001 to 2006, which were higher than that of D part of CAJCCR. The periodicals which the five indexes of IF, non-self-citing impact factor, total cited frequency, the non-self-citing rate, immediacy index, rate of fund papers, web immediacy download rate, average value of h index and h(2)/n, high cited articles were Top 5 and cited by five or more than five kinds of the cole databases at home and abroad were Chinese Journal of Ophthalmology, Chinese Journal of Ocular Fundus Diseases, Practical Chinese Journal of Ophthalmology and Chinese Journal of Optometry & Ophthalmology. Most of indexes of Chinese Journal of Ophthalmology were the first. There are big difference between the 13 kinds of ophthalmological periodicals. The qualities of some ophthalmological periodicals should be improved.

Environmental correlates of upstream migration of yellow-phase American eels in the Potomac River drainage

USGS Publications Warehouse

Welsh, Stuart A.; Heather L. Liller,

2013-01-01

Assessing the relationships between upstream migration and environmental variables is important to understanding the ecology of yellow-phase American Eels Anguilla rostrata. During an American Eel migration study within the lower Shenandoah River (Potomac River drainage), we counted and measured American Eels at the Millville Dam eel ladder for three periods: 14 May–23 July 2004, 7–30 September 2004, and 1 June–31 July 2005. Using generalized estimating equations, we modeled each time series of daily American Eel counts by fitting time-varying environmental covariates of lunar illumination (LI), river discharge (RD), and water temperature (WT), including 1-d and 2-d lags of each covariate. Information-theoretic approaches were used for model selection and inference. A total of 4,847 American Eels (19–74 cm total length) used the ladder during the three periods, including 2,622 individuals during a 2-d span following a hurricane-induced peak in river discharge. Additive-effects models of RD + WT, a 2-d lag of LI + RD, and LI + RD were supported for the three periods, respectively. Parameter estimates were positive for river discharge for each time period, negative for lunar illumination for two periods and positive for water temperature during one period. Additive-effects models supported synergistic influences of environmental variables on the upstream migration of yellow-phase American Eels, although river discharge was consistently supported as an influential correlate of upstream migration.

Impact of the timing and duration of weed control on the establishment of a rubber tree plantation.

PubMed

Guzzo, Caio D; Carvalho, Leonardo B de; Giancotti, Paulo R F; Alves, Pedro L C A; Gonçalves, Elaine C P; Martins, José V F

2014-03-01

Rubber tree production is reduced by weeds that compete for environmental resources; therefore, the timing and duration of weed control influences weed interference. The objectives of this study were to evaluate the growth of rubber tree (Hevea brasiliensis) plants, to determine the critical period for weed control, and to evaluate the growth recovery of rubber trees that coexisted with weeds for different periods of time after planting. Two groups of treatments were established under field conditions in the first year of the investigation: one group contained crescent periods of weed infestation, while the other contained crescent periods of weed control, also including a weed-free check and a total weedy check. In the second year of the investigation, the weeds were totally controlled. Urochloa decumbens was the dominant weed (over 90% groundcover). Crop growth was greatly reduced due to the weed interference. Plant height decreased more rapidly than did any other characteristic. Plant height, leaf dry mass, and leaf area decreased by 99%, 97% and 96%, respectively, and were the most reduced characteristics. Plant height also recovered more rapidly than did any characteristic when the period of weed control was lengthened. However, stem dry mass increased by 750%, making it the most recovered characteristic. The critical period for weed control was between 4 and 9½ months after planting in the first year; however, the rubber trees showed an expressive growth recovery when the weeds were controlled throughout the second year.

First Multi-Year Retrospective Study on Vibrio Parhaemolyticus and Vibrio Vulnificus Prevalence in Ruditapes Philippinarum Harvested in Sacca Di Goro, Italy.

PubMed

Serratore, Patrizia; Ostanello, Fabio; Passalacqua, Pier Luca; Zavatta, Emanuele; Bignami, Giorgia; Serraino, Andrea; Giacometti, Federica

2016-09-20

The present work describes a retrospective study aiming to verify a possible correlation between the environmental conditions (temperature, salinity and dissolved oxygen), the abundance of Vibrio spp., and the prevalence of V. parahaemolyticus and V. vulnificus in the Manila clam R. philippinarum harvested in Sacca di Goro, Emilia-Romagna Region, Northern Italy. On the whole, 104 samples, collected in the period 2007-2015 and submitted to microbiological analyses (isolation and genotyping), have been reconsidered for Vibrio spp. load, V. parahaemolyticus prevalence (total, gene marker toxRP; potentially pathogenic, gene markers tdh and/or trh) and V. vulnificus prevalence (total, gene markers vvh A and hsp) together with environmental data obtained from the monitoring activity of the Emilia-Romagna Regional Agency for the Prevention, the Environment and the Energy. Environmental data have been processed to calculate the median of each, assessing the seasonal range of seawater temperature (warmer months: April-October, T°C >16.45°C; cooler months November-March, T°C <16.45°C), salinity (27 psu), and dissolved oxygen (< or >8.2 mg/L). Total V. vulnificus , total and potentially pathogenic V. parahaemolyticus were present respectively in the 11.5, 29.8 and 6.7% of the samples. The Vibrio spp. load (mean value of 4.69±0.65 log 10 colony forming unit g -1 ) and the prevalence of potentially pathogenic V. parahaemolyticus , were not significantly correlated to the environmental conditions (P>0.05), whereas the prevalence of both total V. vulnificus and total V. parahaemolyticus was significantly higher in the warmer period (P<0.05), without correlation with salinity and dissolved oxygen values (P>0.05).

The cholesterol-lowering effect of coconut flakes in humans with moderately raised serum cholesterol.

PubMed

Trinidad, Trinidad P; Loyola, Anacleta S; Mallillin, Aida C; Valdez, Divinagracia H; Askali, Faridah C; Castillo, Joan C; Resaba, Rosario L; Masa, Dina B

2004-01-01

This study investigated the effect of coconut flakes on serum cholesterol levels of humans with moderately raised serum cholesterol in 21 subjects. The serum total cholesterol of subjects differed and ranged from 259 to 283 mg/dL. The study was conducted in a double-blind randomized crossover design on a 14-week period, consisting of four 2-week experimental periods, with each experimental period separated by a 2-week washout period. The test foods were as follows: corn flakes as the control food, oat bran flakes as the reference food, and corn flakes with 15% and 25% dietary fiber from coconut flakes (made from coconut flour production). Results showed a significant percent reduction in serum total and low-density lipoprotein (LDL) cholesterol (in mg/dL) for all test foods, except for corn flakes, as follows: oat bran flakes, 8.4 +/- 1.4 and 8.8 +/- 6.0, respectively; 15% coconut flakes, 6.9 +/- 1.1 and 11.0 +/- 4.0, respectively; and 25% coconut flakes, 10.8 +/- 1.3 and 9.2 +/- 5.4, respectively. Serum triglycerides were significantly reduced for all test foods: corn flakes, 14.5 +/- 6.3%; oat bran flakes, 22.7 +/- 2.9%; 15% coconut flakes, 19.3 +/- 5.7%; and 25% coconut flakes, 21.8 +/- 6.0%. Only 60% of the subjects were considered for serum triglycerides reduction (serum triglycerides >170 mg/dL). In conclusion, both 15% and 25% coconut flakes reduced serum total and LDL cholesterol and serum triglycerides of humans with moderately raised serum cholesterol levels. Coconut flour is a good source of both soluble and insoluble dietary fiber, and both types of fiber may have significant role in the reduction of the above lipid biomarker. To our knowledge, this is the first study conducted to show a relationship between dietary fiber from a coconut by-product and a lipid biomarker. Results from this study serves as a good basis in the development of coconut flakes/flour as a functional food, justifying the increased production of coconut and coconut by-products.

Long-term variations of the UV-B radiation over Central Europe since early 1960s, as revealed from the UV observations and reconstructed data

NASA Astrophysics Data System (ADS)

Krzyscin, J. W.

2003-04-01

A method of reconstruction of the UV variations for periods when UV-B measurements were not carried out is proposed. The reconstruction is based on observations of total (Sun+sky) radiation by a pyranometer, Dobson total ozone, sunshine duriation from the Campbel Stokes heliograph, and atmospheric column water content taken from NCEP/NOAA reanalysis. Modeled all-sky erythemaly weighted daily dose is calculated as a product of the cloud reduction factor (CRF) over UV range and clear-sky dose from a radiative transfer model. CRF over UV range is estimated from measured CRF for total solar radiation and the statistical dependence relating CRF over UV with that over whole solar spectrum. The measured daily UV doses and daily sum of total radiation taken at Belsk, Poland (52N, 21E) for the period 1976-2001 have been used to construct the regressions for various solar zenith angles. The time series of monthly means from the modeled daily UV doses follows the observed monthly means supporting the possibility of reconstruction of the UV time series for other periods. An inspection of the long-term stability of total radiation measurements is necessary to discuss trends in the reconstructed time series. We examine the data homogeneity analyzing the ratio of the observed to modeled total radiation for fully clear sky days that are selected from the daily values of sunshine duration measured by the Campbel-Stokes heliograph. Combining reconstructed and observed monthly means of the UV doses we found a positive trend in the UV radiation in the period 1980-1995 and almost constant UV level for other periods (early 60s up to 1980, and 1995-2001). The trend pattern suggests dominating role of the long-term total ozone forcing on the UV level with a small impact of the long-term changes in the cloud/aerosol properties.

Obstetric hysterectomy: a 14-year experience of Rajavithi Hospital 1989-2002.

PubMed

Kovavisarach, Ekachai

2006-11-01

To review and compare the incidence rate of obstetric hysterectomised patients between two seven-year periods. Theperiods were from October 1, 1988 to September 30, 1995 andfrom October P', 1995 to September 30th, 2002. The data included demographic characteristics, indications, possible risk factors, complications, and operative managements. Retrospective analysis of the data that was collected from medical and labor records of the obstetric hysterectomised patientsfrom October 1, 1995 to September 30, 2002, the second seven-year period, compared with those in Pratumthong and Wattanaruangkowit's study from October 1, 1988 to September 30, 1995, the first seven-year period. Between 1998 and 2002, there were 201, 696 total deliveries with 111 obstetric hysterectomies. A significant increase in the average incidence rate of hysterectomy from 0.42 to 0.76/1000 deliveries and maternal age, placenta previa and blood transfusion in the second period compared with the first period (p < 0.05). Postoperative complications and the other risk factors of obstetric hysterectomy were not significant difference. The present study of obstetric hysterectomy demonstrates a significant increase in the incidence of hysterectomised rate, maternal age, blood transfusion, and placenta previa in the second period compared with the first period.

Do patients with neurogenic bladder treated with clean intermittentcatheterization need antibacterial prophylaxis?

PubMed

Akil, İpek; Özen, Çınar; Cengiz, Beyhan

2016-06-23

In this study, we investigated the effectiveness of antibiotic prophylaxis (ABP) with respect to the incidence of symptomatic urinary tract infections (UTIs) and evaluated the development of renal scarring in patients treated with clean intermittent catheterization (CIC). A total of 22 patients were included in the study. The patients were administered ABP in the first year (the ABP-received period) but not in the second year (the ABP-discontinued period). Twenty-eight of all cultures taken in the ABP-received period (18.2%) and 25 (16.2%) of the ABP-discontinued cultures were considered to be indicative of symptomatic UTIs (P = 0.65). The multiple antibiotic resistance rate of microorganisms in cultures taken during the ABP-discontinued period (47; 30.5%) was lower than that in those taken in the ABP-received period (62; 40.3%), (P = 0.07). There was no difference between the ABP-received and ABP-discontinued periods with respect to the development of new lesions according to dimercaptosuccinic acid results (P = 0.14). Routine ABP usage is not protective against the development of symptomatic UTIs and new lesions in neurogenic bladder patients receiving CIC. Furthermore, the growth of resistant microorganisms increased in the ABP-received period.

Impact of a Physician-Led Social Media Sharing Program on a Medical Journal's Web Traffic.

PubMed

Trueger, N Seth; Bokarius, Andrew V; Carroll, Stephen; April, Michael D; Thoma, Brent

2018-01-01

The use of social media by health professionals and medical journals is increasing. The aim of this study was to compare online views of articles in press (AIPs) released by Annals of Emergency Medicine before and after a nine-person social media team started actively posting links to AIPs using their personal Twitter accounts. An observational before-and-after study was conducted. Web traffic data for Annals were obtained from the publisher (Elsevier), detailing the number of page views to annemergmed.com by referring websites during the study period. The preintervention time period was defined as January 1, 2013, to June 30, 2014, and the postintervention period as July 1, 2014, to July 31, 2015. The primary outcome was page views from Twitter per AIP released each month to account for the number of articles published each month. Secondary outcomes included page views from Facebook (on which there was no article-sharing intervention) and total article views per month. The median page views from Twitter per individual AIP released each month increased from 33 in the preintervention period to 130, for an effect size of 97 (95% confidence interval, 56-111; P < .001). There was a smaller increase in median page views from Facebook per individual AIP of 21 (95% confidence interval, 10-32). There was no significant increase in these median values for total page views per AIP. Twitter sharing of AIPs increased the number of page views that came from Twitter but did not increase the overall number of page views. Copyright © 2017 American College of Radiology. All rights reserved.

Disposition kinetics of selenium in healthy volunteers following therapeutic shampoo treatment.

PubMed

Noisel, Nolwenn; Bouchard, Michèle; Carrier, Gaétan

2010-05-01

This study was aimed at documenting the kinetic time courses of selenium (Se) in accessible biological matrices of volunteers following controlled applications of therapeutic shampoo containing Se, to better elucidate the mechanisms by which shampoo-Se accumulates in hair and hence estimate the contribution of this source to total Se body burden. Ten healthy volunteers were exposed to Se-shampoo three times a week over a month. Blood, hair and toenail concentrations along with daily urinary excretions were repeatedly measured over an 18-month period following the onset of application. Over the entire study period, blood concentrations of Se (range: 127-233μg/l) and daily urinary excretions (range: 11.9-150μg/d) remained within baseline range of the general population. Conversely, during shampoo application, mean Se concentrations in hair reached transitional levels of 89μg/g while, following cessation of treatment, a mono-exponential decrease was observed with a mean half-life of 4.5 weeks. Two of the volunteers also exhibited an increase in toenail concentrations of Se during the study period. Results show that Se-shampoo does not contribute significantly to total Se body burden, as assessed from blood and urine levels. Differences observed between blood and urine time courses as compared to hair profiles and the presence of Se on hair grown before treatment indicates an adsorption on hair; however, the gradual decrease in Se concentrations in successive centimeters of hair grown following the application period suggests a concomitant absorption from the scalp during treatment with subsequent excretion in hair. Copyright © 2010 Elsevier B.V. All rights reserved.

Determinants of incubation period: do reptilian embryos hatch after a fixed total number of heart beats?

PubMed

Du, Wei-Guo; Radder, Rajkumar S; Sun, Bo; Shine, Richard

2009-05-01

The eggs of birds typically hatch after a fixed (but lineage-specific) cumulative number of heart beats since the initiation of incubation. Is the same true for non-avian reptiles, despite wide intraspecific variation in incubation period generated by variable nest temperatures? Non-invasive monitoring of embryo heart beat rates in one turtle species (Pelodiscus sinensis) and two lizards (Bassiana duperreyi and Takydromus septentrionalis) show that the total number of heart beats during embryogenesis is relatively constant over a wide range of warm incubation conditions. However, incubation at low temperatures increases the total number of heart beats required to complete embryogenesis, because the embryo spends much of its time at temperatures that require maintenance functions but that do not allow embryonic growth or differentiation. Thus, cool-incubated embryos allocate additional metabolic effort to maintenance costs. Under warm conditions, total number of heart beats thus predicts incubation period in non-avian reptiles as well as in birds (the total number of heart beats are also similar); however, under the colder nest conditions often experienced by non-avian reptiles, maintenance costs add significantly to total embryonic metabolic expenditure.

Intraoperative serum parathyroid hormone level is an indicator of hypocalcaemia in total thyroidectomy patients.

PubMed

Islam, M S; Sultana, T; Paul, D; Huq, A H M Z; Chowdhury, A A; Ferdous, C; Ahmed, A N N

2012-12-01

Postoperative hypocalcaemia is the most frequent and common complication after total thyroidectomy. It is necessary to diagnose or to predict hypocalcaemia immediately after total thyroidectomy for minimizing complications. A prospective observational study was carried out in the Department of Clinical Pathology in collaboration with Department of Microbiology & Immunology, Department of Surgery, Department of Otolaryngology, Bangabandhu Sheikh Mujib Medical University (BSMMU) and Department of Otolaryngology, Dhaka Medical College & Hospital (DMC&H), Dhaka, during the period of September 2010 to August 2011 to evaluate intraoperative (20 minutes after total thyroidectomy) parathyroid hormone (PTH) measurement as a predictor of post thyroidectomy hypocalcaemia. Total 65 patients were enrolled in this study those came for total thyroidectomy. Postoperative hypocalcaemia developed in 25 cases. Intraoperative PTH was assessed and significant correlation was found between intraoperative PTH level and development of hypocalcaemia. The sensitivity, specificity, accuracy, positive predictive value, negative predictive value of intraoperative serum PTH for prediction of post total thyroidectomy hypocalcaemia were 84.0%, 85.0%, 84.6%, 77.8%, and 89.5% respectively. Because of the high sensitivity, specificity and accuracy of intraoperative serum PTH of this study, the early prediction of hypocalcaemia could be made by single assay of intraoperative serum PTH level at 20 minutes after total thyroidectomy.

Bibliometric analysis of worldwide publications on multi-, extensively, and totally drug - resistant tuberculosis (2006-2015).

PubMed

Sweileh, Waleed M; AbuTaha, Adham S; Sawalha, Ansam F; Al-Khalil, Suleiman; Al-Jabi, Samah W; Zyoud, Sa'ed H

2016-01-01

The year 2015 marked the end of United Nations Millennium Development Goals which was aimed at halting and reversing worldwide tuberculosis (TB). The emergence of drug resistance is a major challenge for worldwide TB control. The aim of this study was to give a bibliometric overview of publications on multi-, extensively, and totally drug-resistant TB. Scopus database was used to retrieve articles on multidrug resistant (MDR), extensively drug-resistant (XDR), and totally drug-resistant (TDR) tuberculosis for the study period (2006-2015). The number of publications, top productive countries and institutions, citation analysis, co-authorships, international collaboration, active authors, and active journals were retrieved and analyzed. A total of 2260 journal articles were retrieved. The mean ± SD citations per article was 7.04 ± 16.0. The h -index of retrieved data was 76. The number of publications showed a three - fold increase over the study period compared with less than two - fold increase in tuberculosis research during the same study period. Stratified by number of publications, the United States of America ranked first while Switzerland ranked first in productivity per 100 million people, and South Africa ranked first in productivity stratified per one trillion Gross Domestic Product. Three of the High Burden Countries (HBC) MDR-TB (India, China, and South Africa) were present in top productive countries. High percentage of international collaboration was seen among most HBC MDR-TB. Except for Plos One journal, most active journals in publishing articles on MDR, XDR, TDR-TB were in infection - related fields and in general medicine. Top 20 cited articles were published in prestigious journal such as Lancet and New England Journal of Medicine . The themes in top 20 cited articles were diverse, ranging from molecular biology, diagnostic tools, co-infection with HIV, and results of new anti-TB drugs. Publications on MDR, XDR and TDR - TB are increasing in the past decade. International collaboration was common. Many low resourced African and Asian countries will benefit from research leading to new diagnostic and screening technology of TB. The exchange of expertise, ideas and technology is of paramount importance in this field.

Pilot Study of Droxidopa With Carbidopa in Adults With ADHD.

PubMed

Adler, Lenard A; Gorny, Stephen W

2015-04-23

We conducted a two-period (open-label and double-blind) pilot investigation of droxidopa, with and without carbidopa, for ADHD. Twenty adult ADHD patients received open-label droxidopa titrated from 200 to 600 mg 3 times per day (TID; Weeks 1-3), then open-label droxidopa plus carbidopa titrated from 25 or 50 mg TID (Weeks 4-6). In Weeks 7 to 8, patients were randomized to continued co-treatment or matching placebo substitution. Improvements in mean total Adult ADHD Investigator Symptom Report Scale (AISRS) scores were seen at Week 1 (p < .0001) and Week 3 (p < .0001). Improvements were maintained but not increased with carbidopa. Thirteen of 20 patients completed open-label treatment. In the double-blind period, mean total AISRS scores were similar between the co-treatment (n = 6) and placebo (n = 5) groups. No serious adverse events were reported. These preliminary findings indicate that droxidopa can improve adult ADHD symptoms. Further studies are warranted to examine the efficacy and safety of droxidopa in ADHD. © 2015 SAGE Publications.

Reducing costs while maintaining quality in endovascular neurosurgical procedures.

PubMed

Kashlan, Osama N; Wilson, Thomas J; Chaudhary, Neeraj; Gemmete, Joseph J; Stetler, William R; Dunnick, N Reed; Thompson, B Gregory; Pandey, Aditya S

2014-11-01

As medical costs continue to rise during a time of increasing medical resource utilization, both hospitals and physicians must attempt to limit superfluous health care expenses. Neurointerventional treatment has been shown to be costly, but it is often the best treatment available for certain neuropathologies. The authors studied the effects of 3 policy changes designed to limit the costs of performing neurointerventional procedures at the University of Michigan. The authors retrospectively analyzed the costs of performing neurointerventional procedures during the 6-month periods before and after the implementation of 3 cost-saving policies: 1) the use of an alternative, more economical contrast agent, 2) standardization of coil prices through negotiation with industry representatives to receive economies of scale, and 3) institution of a feedback method to show practitioners the costs of unused products per patient procedure. The costs during the 6-month time intervals before and after implementation were also compared with costs during the most recent 6-month time period. The policy requiring use of a more economical contrast agent led to a decrease in the cost of contrast usage of $42.79 per procedure for the first 6 months after implementation, and $137.09 per procedure for the most current 6-month period, resulting in an estimated total savings of $62,924.31 for the most recent 6-month period. The standardized coil pricing system led to savings of $159.21 per coil after the policy change, and $188.07 per coil in the most recent 6-month period. This yielded total estimated savings of $76,732.56 during the most recent 6-month period. The feedback system for unused items decreased the cost of wasted products by approximately $44.36 per procedure in the 6 months directly after the policy change and by $48.20 per procedure in the most recent 6-month period, leading to total estimated savings of $22,123.80 during the most recent 6-month period. According to extrapolation over a 1-year period, the 3 policy changes decreased costs by an estimated $323,561.34. Simple cost-saving policies can lead to substantial reductions in costs of neurointerventional procedures while maintaining high levels of quality and growth of services.

Study of short lactation in Sahiwal cattle at organized farm

PubMed Central

Narwaria, U. S.; Mehla, R. K.; Verma, K. K.; Lathwal, S. S.; Yadav, Rajnarayan; Verma, A. K.

2015-01-01

Aim: The aim was to study the associated factors and extent of short lactations in Sahiwal cattle maintained under organized herd. Materials and Methods: The present study was conducted on Sahiwal cattle (n=530), utilizing 1724 lactation records with respect to lactation length (LL), spread over a period of 15 years (1997-2011), maintained at Livestock Research Center, National Dairy Research Institute, Karnal. Observations of LL were analyzed by descriptive statistical analysis in order to know the extent of short lactation of animals in the herd. Paternal Half sib method was used to estimate the genetic parameters, i.e., heritability, genetic, and phenotypic correlation. The influence of various non-genetic factors (season of calving, the period of calving, parity, type of calving, and season of drying) on LL was studied by least squares analysis of variance technique. Results: The least squares means for LL was found to be 215.83±3.08 days. Only 32.48% of total lactation records were fell in the range of 251-350 days of LL, while more than three-fourth (76%) of total observations were failed to reach the standard level of 305 milking days. LL class ranges from 251 to 300 days accommodated maximum number of observations (19.2%). The heritability estimate of LL was 0.22±0.07. Positive correlations were found between LL and service period, LL and 305 or less days milk yield, LL and calving interval; whereas dry period was negatively correlated with the LL. The least squares analysis had shown that LL was significantly (p<0.01) influenced by the period of calving, type of calving, and season of drying. Significantly higher LL (276.50±7.21 days) was found in animals calved in the first period than those calved in other periods. The cows dried during summer season had the shortest LL (188.48±7.68 days) as compared to other seasons. Conclusion: Present findings regarding short lactations occurrence may be alarming for the indigenous herd, demanding comprehensive study with the larger data set. Since LL was influenced by various environmental factors suggesting better managerial tools, besides special attention on the milch animals going to dry during the summer season. PMID:27047157

Seasonal characteristics of water-soluble inorganic ions and carbonaceous aerosols in total suspended particulate matter at a rural semi-arid site, Kadapa (India).

PubMed

Begam, G Reshma; Vachaspati, C Viswanatha; Ahammed, Y Nazeer; Kumar, K Raghavendra; Reddy, R R; Sharma, S K; Saxena, Mohit; Mandal, T K

2017-01-01

To better understand the sources as well as characterization of regional aerosols at a rural semi-arid region Kadapa (India), size-resolved composition of atmospheric particulate matter (PM) mass concentrations was sampled and analysed. This was carried out by using the Anderson low-pressure impactor for a period of 2 years during March 2013-February 2015. Also, the variations of organic carbon (OC), elemental carbon (EC) and water-soluble inorganic ion components (WSICs) present in total suspended particulate matter (TSPM) were studied over the measurement site. From the statistical analysis, the PM mass concentration showed a higher abundance of coarse mode particles than the fine mode during pre-monsoon season. In contrast, fine mode particles in the PM concentration showed dominance over coarse mode particle contribution during the winter. During the post-monsoon season, the percentage contributions of coarse and fine fractions were equal, whereas during the monsoon, coarse mode fraction was approximately 26 % higher than the fine mode. This distinct feature in the case of fine mode particles during the studied period is mainly attributed to large-scale anthropogenic activities and regional prevailing meteorological conditions. Further, the potential sources of PM have been identified qualitatively by using the ratios of certain ions. A high sulphate (SO 4 ) concentration at the measurement site was observed during the studied period which is caused by the nearby/surrounding mining activity. Carbon fractions (OC and EC) were also analysed from the TSPM, and the results indicated (OC/EC ratio of ~4.2) the formation of a secondary organic aerosol. At last, the cluster backward trajectory analyses were also performed at Kadapa for different seasons to reveal the origin of sources from long-range transport during the study period.

Cost assessment of a new oral care program in the intensive care unit to prevent ventilator-associated pneumonia.

PubMed

Ory, Jérôme; Mourgues, Charline; Raybaud, Evelyne; Chabanne, Russell; Jourdy, Jean Christophe; Belard, Fabien; Guérin, Renaud; Cosserant, Bernard; Faure, Jean Sébastien; Calvet, Laure; Pereira, Bruno; Guelon, Dominique; Traore, Ousmane; Gerbaud, Laurent

2018-06-01

Ventilator-associated pneumonia (VAP) is the most frequent hospital-acquired infections in intensive care units (ICU). In the bundle of care to prevent the VAP, the oral care is very important strategies, to decrease the oropharyngeal bacterial colonization and presence of causative bacteria of VAP. In view of the paucity of medical economics studies, our objective was to determine the cost of implementing this oral care program for preventing VAP. In five ICUs, during period 1, caregivers used a foam stick for oral care and, during period 2, a stick and tooth brushing with aspiration. Budgetary effect of the new program from the hospital's point of view was analyzed for both periods. The costs avoided were calculated from the incidence density of VAP (cases per 1000 days of intubation). The cost study included device cost, benefit lost, and ICU cost (medication, employer and employee contributions, blood sample analysis…). A total of 2030 intubated patients admitted to the ICUs benefited from oral care. The cost of implementing the study protocol was estimated to be €11,500 per year. VAP rates decreased significantly between the two periods (p1 = 12.8% and p2 = 8.5%, p = 0.002). The VAP revenue was ranged from €28,000 to €45,000 and the average cost from €39,906 to €42,332. The total cost assessment calculated was thus around €1.9 million in favor of the new oral care program. Our study showed that the implementation of a simple strategy improved the quality of patient care is economically viable. NCT02400294.

Synchronization of tunable asymmetric square-wave pulses in delay-coupled optoelectronic oscillators.

PubMed

Martínez-Llinàs, Jade; Colet, Pere; Erneux, Thomas

2015-03-01

We consider a model for two delay-coupled optoelectronic oscillators under positive delayed feedback as prototypical to study the conditions for synchronization of asymmetric square-wave oscillations, for which the duty cycle is not half of the period. We show that the scenario arising for positive feedback is much richer than with negative feedback. First, it allows for the coexistence of multiple in- and out-of-phase asymmetric periodic square waves for the same parameter values. Second, it is tunable: The period of all the square-wave periodic pulses can be tuned with the ratio of the delays, and the duty cycle of the asymmetric square waves can be changed with the offset phase while the total period remains constant. Finally, in addition to the multiple in- and out-of-phase periodic square waves, low-frequency periodic asymmetric solutions oscillating in phase may coexist for the same values of the parameters. Our analytical results are in agreement with numerical simulations and bifurcation diagrams obtained by using continuation techniques.

Sediment transport by streams in the Palouse River basin, Washington and Idaho, July 1961-June 1965

USGS Publications Warehouse

Boucher, P.R.

1970-01-01

The Palouse River basin covers about 3,300 square miles in southeastern Washington and northwestern Idaho. The eastern part of the basin is composed of steptoes and foothills which are generally above an altitude of 2,600 feet; the central part is of moderate local relief and is mantled chiefly by thick loess deposits; and the western part is characterized by low relief and scabland topography and is underlain mostly by basalt. Precipitation increases eastward across the study area. It ranges annually from 12 to 18 inches in the western part and from 14 to 23 inches in the central part, and it exceeds 40 inches in the eastern part. Surface runoff from the basin for the 4-year period of study (July 1961-June 1965) averaged 408,000 acre-feet per year, compared with 445,200 acre-feet per year for the 27-year period of record. The eastern part of the basin contributed about 55 percent of the total, whereas the central and western parts contributed 37 percent and 8 percent, respectively. Most sediment transport from the Palouse River basin and the highest sediment concentrations in streams occurred in the winter. Of the several storms during the study period, those of February 3-9, 1963, December 22-27, 1964, and January 27-February 4, 1965, accounted for 81 percent of the total 4-year suspended-sediment load; the storm of February 3-9, 1963, accounted for nearly one-half the total load. The discharge-weighted mean concentration of suspended sediment carried in the Palouse River past Hooper during the study period was 2,970 milligrams per liter. The average annual sediment discharge of the Palouse River at its mouth was about 1,580,000 tons per year, and the estimated average annual sediment yield was 480 tons per square mile. The yield ranged from 5 tons per square mile from the western part of the basin to 2,100 tons per square mile from the central part. The high yield from the central part is attributed to a scarcity of vegetal cover, to the fine-grained loess soils, and to rapid runoff during winter storms. Sediment yield from the eastern part of the basin ranged from 460 to more than 1,000 tons per square mile. During high flow, silt particles make up the largest part of the suspended-sediment load, whereas during low flow, clay particles represent the greatest part. On the average, the suspended sediment transported by the Palouse River past Hooper contained 3 percent sand, 68 percent silt, and 29 percent clay. Unmeasured sediment discharge was estimated to have been 5 percent of the total sediment discharge. Data collected during the 4-year period of study show that sediment loads were higher than those recorded by V. G. Kaiser during the longer period 1939-65. Whereas Kaiser's study showed an average annual soil loss of 9.6 million tons, the average annual loss during the recent study was 14.2 million tons. The factor that has had the greatest effect on the increase of sediment yields is land use. Lands once covered and protected by natural vegetation have been extensively, cultivated, and much of the soil has become susceptible to erosion, particularly in areas mantled by loessal soils.

Students' Perceptions of Learning Geography through Group Investigation in Singapore

ERIC Educational Resources Information Center

Tan, Ivy Geok-Chin; Sharan, Shlomo; Lee, Christine Kim-Eng

2005-01-01

This study examines students' perceptions of the Group Investigation method of cooperative learning. A total of 142 students (62 low-achievers and 80 high-achievers) from two schools worked in cooperative learning groups during a period of over six weeks using the Group Investigation method. At the end of the study, they were asked to write their…

The Relationship of Life Events to Academic Performance in College Students.

ERIC Educational Resources Information Center

Knapp, Samuel

Numerous studies have shown a correlation between life events and physical health, mental health, and behavioral measures such as impaired grade point average. Most of these studies have measured stressfulness by summing the total number of events experienced in a given time period. However, Vinokur and Selzer have shown that the amount of…

Cumulative Total U.S. Freshwater Losses as Seen by NASA GRACE, 2002-15

NASA Image and Video Library

2015-12-08

Cumulative total freshwater losses in the United States from 2002 to 2015 (in inches) observed by NASA's Gravity Recovery and Climate Experiment (GRACE) mission. Total water refers to all of the snow, surface water, soil water and groundwater combined. Much of the northern half of the country experienced increasing total water storage during this time period, while total water storage in the southern half decline. Areas where groundwater depletion strongly impacted total water losses include California's Central Valley, and the southern High Plains aquifer beneath the Texas and Oklahoma panhandles. Total water storage in the Upper Missouri River basin increased signficantly and contributed to considerable flooding during the 2002-15 time period. Image updated from Famiglietti and Rodell, 2013. Citation of Record: Famiglietti, J. S., and M. Rodell, Water in the Balance, Science, 340, 1300-1301. http://photojournal.jpl.nasa.gov/catalog/PIA20204

Encouragement of Early Academic Skills at Home during Early Childhood Period: Validity and Reliability Study of the EASYC Scale

ERIC Educational Resources Information Center

Kara, H. Gözde Ertürk; Çoksoyluer, Seyda Kiliç

2017-01-01

The current study aims to perform the adaptation of the Encouragement of Academic Skills of Young Children (EASYC) Scale into Turkish. The study group was determined by means of the convenience sampling technique. A total of 124 students aged at 48-84 months were included in the sampling of the study. The data collection tools of the study are the…

The Total Ozone Series of Arosa: History, Homogenization and new results using statistical extreme value theory

NASA Astrophysics Data System (ADS)

Staehelin, J.; Rieder, H. E.; Maeder, J. A.; Ribatet, M.; Davison, A. C.; Stübi, R.

2009-04-01

Atmospheric ozone protects the biota living at the Earth's surface from harmful solar UV-B and UV-C radiation. The global ozone shield is expected to gradually recover from the anthropogenic disturbance of ozone depleting substances (ODS) in the coming decades. The stratospheric ozone layer at extratropics might significantly increase above the thickness of the chemically undisturbed atmosphere which might enhance ozone concentrations at the tropopause altitude where ozone is an important greenhouse gas. At Arosa, a resort village in the Swiss Alps, total ozone measurements started in 1926 leading to the longest total ozone series of the world. One Fery spectrograph and seven Dobson spectrophotometers were operated at Arosa and the method used to homogenize the series will be presented. Due to its unique length the series allows studying total ozone in the chemically undisturbed as well as in the ODS loaded stratosphere. The series is particularly valuable to study natural variability in the period prior to 1970, when ODS started to affect stratospheric ozone. Concepts developed by extreme value statistics allow objective definitions of "ozone extreme high" and "ozone extreme low" values by fitting the (daily mean) time series using the Generalized Pareto Distribution (GPD). Extreme high ozone events can be attributed to effects of ElNino and/or NAO, whereas in the chemically disturbed stratosphere high frequencies of extreme low total ozone values simultaneously occur with periods of strong polar ozone depletion (identified by statistical modeling with Equivalent Stratospheric Chlorine times Volume of Stratospheric Polar Clouds) and volcanic eruptions (such as El Chichon and Pinatubo).

Evaluation of wound healing activity of root of Mimosa pudica.

PubMed

Kokane, Dnyaneshwar D; More, Rahul Y; Kale, Mandar B; Nehete, Minakshi N; Mehendale, Prachi C; Gadgoli, Chhaya H

2009-07-15

Mimosa pudica, commonly known as touch-me-not, is used in folklore medicine in arresting bleeding and in skin diseases. There was no scientific evidence justifying the use of Mimosa pudica, therefore the present study was aimed at evaluation of wound healing activity of the plant. In the present study the roots of Mimosa pudica were studied for wound healing activity by incorporating the methanolic and the total aqueous extract in simple ointment base B.P. in concentration of 0.5% (w/w), 1% (w/w) and 2% (w/w). Wound healing activity was studied in three types of model in rats viz. excision, incision and estimation of biochemical parameter. In case of the excision wound model wound contraction and period of epithelization was studied while in incision wound model was evaluated by determining tensile strength and hydroxyproline content in the scab. Treatment of wound with ointment containing 2% (w/w) the methanolic and 2% (w/w) the total aqueous extract exhibited significant (P<0.001) wound healing activity. The methanolic and total aqueous extracts were analyzed for total phenols content equivalent to Gallic acid. The content of total phenols was 11% (w/w) and 17% (w/w) in methanolic and total aqueous extract respectively. The methanolic extract exhibited good wound healing activity probably due to phenols constituents.

Host Defense against Opportunist Microorganisms Following Trauma.

DTIC Science & Technology

1979-06-01

patients were total hemolytic complement (CH5 0 ), C3 conversion by inulin and cobra venom factor (CoVF), and itmunochemical concentrations of Clq, C4, C2...were normal or elevated for the entire study period. C3 conversion by inulin and CoVF and the concentration of properdin were reduced in the sera of the...measured in all patients were total hemolytic complement (CH5 0), C3 conversion by inulin and cobra venom factor (CoVF), and inunochemical

Insidious Harm of Medication Diluents as a Contributor to Cumulative Volume and Hyperchloremia: A Prospective, Open-Label, Sequential Period Pilot Study.

PubMed

Magee, Carolyn A; Bastin, Melissa L Thompson; Laine, Melanie E; Bissell, Brittany D; Howington, Gavin T; Moran, Peter R; McCleary, Emily J; Owen, Gary D; Kane, Lauren E; Higdon, Emily A; Pierce, Cathy A; Morris, Peter E; Flannery, Alexander H

2018-05-04

Although the potential dangers of hyperchloremia from resuscitation fluids continue to emerge, no study to date has considered the contribution of medication diluents to cumulative volume and hyperchloremia. This study compares saline versus dextrose 5% in water as the primary medication diluent and the occurrence of hyperchloremia in critically ill patients. Prospective, open-label, sequential period pilot study. Medical ICU of a large academic medical center. Adult patients admitted to the medical ICU were eligible for inclusion. Patients who were admitted for less than 48 hours, less than 18 years old, pregnant, incarcerated, or who had brain injury were excluded. Saline as the primary medication diluent for 2 months followed by dextrose 5% in water as the primary medication diluent for 2 months. A total of 426 patients were included, 216 in the saline group and 210 in the dextrose 5% in water group. Medication diluents accounted for 63% of the total IV volume over the observation period. In the saline group, 17.9% developed hyperchloremia compared with 10.5% in the dextrose 5% in water group (p = 0.037), which was statistically significant in multivariable analysis (odds ratio, 0.50; 95% CI, 0.26-0.94; p = 0.031). In the saline group, 34.2% developed acute kidney injury versus 24.5% in the dextrose 5% in water group (p = 0.035); however, this was not statistically significant when adjusting for baseline covariates. No other significant differences in dysnatremias, insulin requirements, glucose control, ICU length of stay, or ICU mortality were observed. This study identified that medication diluents contribute substantially to the total IV volume received by critically ill patients. Saline as the primary medication diluent compared with dextrose 5% in water is associated with hyperchloremia, a possible risk factor for acute kidney injury.

On the ecology of the cursorial spider Odo bruchi (Araneae: Zoridae) in a grassland natural reserve from central Argentina.

PubMed

Pompozzi, Gabriel; Copperi, Sofía; Schwerdt, Leonela; Ferretti, Nelson

2014-03-01

The "Ernesto Tornquist" Provincial Park (ETPP) is located inside the Ventania system (Argentina) and was created to protect one of the last relicts of pampean grasslands. Even though many studies have looked at the vertebrate faunal diversity, biology, and conservation in this Park, few studies have been dedicated to arthropods. Among these, spiders have been used as ecological indicators to evaluate nature conservation status, nevertheless, basic information on their distribution and ecology is necessary for their use as indicator taxa in this region. Thus the goal of this study was to present the phenology and demography of the spider Odo bruchi, a cursorial spider present in the ETPP. For this, spiders were sampled bimonthly using pitfall traps between September 2009-2010 (first year), and March 2011-2012 (second year). A total of 10 traps were placed every 10m along a transect of 100m parallel to the longest axis ofa grassland slope with native vegetation. Traps were filled with 1 500mL of ethylene glycol, that were examined and refilled every 60 day period. We collected a total of 799 specimens in two years. Juveniles were the most abundant reaching 47.8% of the total, while males corresponded to 27.8% and females 24.4%. We found significant differences in the mean abundance of O. bruchi: the abundance during spring-summer (Nov-Dec-Jan-Feb) was significantly higher than the other periods of the two years period. Moreover, we found an even abundance distribution throughout the year in the entire study. This work represents one of the first contributions to the ecology of this spider family in the area. Also, our results comprise relevant information to encourage future studies on this spider species as a bio-indicator of the conservation status of pampean grasslands.

Diets high in total antioxidant capacity improve risk biomarkers of cardiovascular disease: a 9-month observational study among overweight/obese postmenopausal women.

PubMed

Wang, Ying; Yang, Meng; Lee, Sang-Gil; Davis, Catherine G; Koo, Sung I; Fernandez, Maria Luz; Volek, Jeff S; Chun, Ock K

2014-09-01

Previous studies have shown that total antioxidant capacity (TAC) of typical diets is associated with higher plasma TAC and antioxidant enzyme activities. At present, however, little is known for the association between dietary TAC and inflammatory biomarkers. The present study was designed to examine the association between dietary TAC and inflammatory biomarkers in a group of overweight/obese postmenopausal women, a population with high cardiovascular disease (CVD) risk, during a 9-month period. Thirty-five postmenopausal, overweight or obese, but apparently healthy women aged 40-70 years were recruited for a 9-month observational study. Seven-day food records and 12-h fasting blood samples were collected at baseline and at the end of the study for dietary and plasma biomarker assessments. Dietary TAC was calculated theoretically for taking account of both diet and dietary supplements, and energy-adjusted values were obtained using residual method. At baseline, subjects consuming diets with high dietary TAC had lower levels of plasma C-reactive protein (CRP) and monocyte chemoattractant protein-1 (p < 0.05) compared with those with low dietary TAC. Over the 9-month period, change in dietary TAC had a negative partial correlation with plasma CRP levels (p < 0.01) when age, ethnicity, and changes in BMI, blood total cholesterol and triglyceride were adjusted. Findings suggest that consumption of diets high in TAC are inversely associated with plasma CRP levels cross-sectionally and dynamically and may contribute to CVD protection.

Diversity and activity pattern of wildlife inhabiting catchment of Hulu Terengganu Hydroelectric Dam, Terengganu, Peninsular Malaysia

NASA Astrophysics Data System (ADS)

Adyla, M. N. Nurul; Ikhwan, Z.; Zuhairi, M.; Ngah, Shukor, M. N.

2016-11-01

A series of camera trapping surveys were conducted to study the diversity and distribution of wildlife within the catchment of Hulu Terengganu Hydroelectric Dam. A total of 124 camera traps were deployed at nine study sites, continuously from June 2014 until December 2015. The total effort of camera trap surveys from all the study sites during the 18-month sampling period was 29,128 night traps, from which a total of 32 species of wildlife representing nine Orders were recorded. The most common species were Eurasian Wild Pig (Sus scrofa), Barking Deer (Munticus muntjak), and Malayan Tapir (Tapirus indicus). Camera trap data on activity patterns show that Gallus gallus, Muntiacus muntjak and Sus scrofa are diurnal animals, whereas Tapirus indicus, Elephas maximus and Helarctos malayanus are nocturnal animals.

Different incidences of knee arthroplasty in the Nordic countries

PubMed Central

NiemeläInen, Mika J; MäKelä, Keijo T; Robertsson, Otto; W-Dahl, Annette; Furnes, Ove; Fenstad, Anne M; Pedersen, Alma B; Schrøder, Henrik M; Huhtala, Heini; Eskelinen, Antti

2017-01-01

Background and purpose The annual number of total knee arthroplasties (TKAs) has increased worldwide in recent years. To make projections regarding future needs for primaries and revisions, additional knowledge is important. We analyzed and compared the incidences among 4 Nordic countries Patients and methods Using Nordic Arthroplasty Register Association (NARA) data from 4 countries, we analyzed differences between age and sex groups. We included patients over 30 years of age who were operated with TKA or unicompartmental knee arthroplasty (UKA) during the period 1997–2012. The negative binomial regression model was used to analyze changes in general trends and in sex and age groups. Results The average annual increase in the incidence of TKA was statistically significant in all countries. The incidence of TKA was higher in women than in men in all 4 countries. It was highest in Finland in patients aged 65 years or more. At the end of the study period in 2012, Finland’s total incidence was double that of Norway, 1.3 times that of Sweden and 1.4 times that of Denmark. The incidence was lowest in the youngest age groups (< 65 years) in all 4 countries. The proportional increase in incidence was highest in patients who were younger than 65 years. Interpretation The incidence of knee arthroplasty steadily increased in the 4 countries over the study period. The differences between the countries were considerable, with the highest incidence in Finland. Patients aged 65 years or more contributed to most of the total incidence of knee arthroplasty. PMID:28056570

Chromospheric activity of periodic variable stars (including eclipsing binaries) observed in DR2 LAMOST stellar spectral survey

NASA Astrophysics Data System (ADS)

Zhang, Liyun; Lu, Hongpeng; Han, Xianming L.; Jiang, Linyan; Li, Zhongmu; Zhang, Yong; Hou, Yonghui; Wang, Yuefei; Cao, Zihuang

2018-05-01

The LAMOST spectral survey provides a rich databases for studying stellar spectroscopic properties and chromospheric activity. We cross-matched a total of 105,287 periodic variable stars from several photometric surveys and databases (CSS, LINEAR, Kepler, a recently updated eclipsing star catalogue, ASAS, NSVS, some part of SuperWASP survey, variable stars from the Tsinghua University-NAOC Transient Survey, and other objects from some new references) with four million stellar spectra published in the LAMOST data release 2 (DR2). We found 15,955 spectra for 11,469 stars (including 5398 eclipsing binaries). We calculated their equivalent widths (EWs) of their Hα, Hβ, Hγ, Hδ and Caii H lines. Using the Hα line EW, we found 447 spectra with emission above continuum for a total of 316 stars (178 eclipsing binaries). We identified 86 active stars (including 44 eclipsing binaries) with repeated LAMOST spectra. A total of 68 stars (including 34 eclipsing binaries) show chromospheric activity variability. We also found LAMOST spectra of 12 cataclysmic variables, five of which show chromospheric activity variability. We also made photometric follow-up studies of three short period targets (DY CVn, HAT-192-0001481, and LAMOST J164933.24+141255.0) using the Xinglong 60-cm telescope and the SARA 90-cm and 1-m telescopes, and obtained new BVRI CCD light curves. We analyzed these light curves and obtained orbital and starspot parameters. We detected the first flare event with a huge brightness increase of more than about 1.5 magnitudes in R filter in LAMOST J164933.24+141255.0.

Trend in dental research output in Iran over a period of 20 years (1990-2009).

PubMed

Sadeghi, Masoumeh; Shahravan, Arash; Haghdoost, Ali Akbar; Asgary, Saeed; Rad, Maryam

2012-04-01

The number of scientific papers is a conventional metric for the measurement of a country's research performance in a particular area. To evaluate the trend in Iranian publications of dental research results in peer-reviewed international scientific journals over the period 1999-2009, using national and international databases, and to compare the results with other countries. The search process was performed by two independent persons in PubMed and Iranian Medline (IranMedex). Data extraction included the year of publication, total number of dental papers in each year, total number of Iranian dental papers in each year and number of papers with a high level of evidence; these were compared with those in other Asian countries. The total number of dental articles indexed in PubMed during the studied period was 207,689, with 671 being written by researchers who stated their affiliation as Iran. Although the proportion of Iranian dental articles to all published dental articles was 0.01% in 1990, this increased to 1.4% in 2009. Of all clinical trials indexed in PubMed from 1990 to 2009, only 0.62% had an author from Iran. The collaboration rate of authors ranged between 1 and 10. Turkey and Iran had a larger number of dental research publications compared with other Asian countries assessed in this study. During the last two decades, there has been a considerable increase in the number of dental papers by Iranian researchers indexed in the PubMed database. © 2012 FDI World Dental Federation.

Future satellite systems - Market demand assessment

NASA Technical Reports Server (NTRS)

Reiner, P. S.

1981-01-01

During 1979-80, a market study was performed regarding the future total demand for communications services, and satellite transmission service at the 4/6 GHz, 12/14 GHz, and 20/30 GHz frequencies. Included in the study were a variety of communications traffic characteristics as well as projections of the cost of C and Ku band satellite systems through the year 2000. In connection with the considered study, a total of 15 major study tasks and subtasks were undertaken and were all interrelated in various ways. The telecommunications service forecasts were concerned with a total of 21 data services, 5 voice services, and 5 video services. The traffic volumes within the U.S. for the three basic services were projected for three time periods. It is found that the fixed frequency allocation for domestic satellites combined with potential interference from adjacent satellites means a near term lack of orbital positions above the U.S.

Alpine skiing injuries. A nine-year study.

PubMed Central

Davidson, T M; Laliotis, A T

1996-01-01

Injury patterns in alpine skiing have changed over time as ski, boot, binding, and slope-grooming technologies have evolved. We retrospectively examined injury patterns in alpine skiers over a 9-year period at the Mammoth and June mountains (California) ski area. A total of 24,340 injuries were reported for the 9 seasons studied, and total lift tickets sold numbered 9,201,486. The overall injury rate was 2.6 injuries per 1,000 skier days and increased slowly over the period studied. The knee was the most frequently injured area at 35% of all injuries. Increasing trends (P < .05) were noted for the rates of lower extremity injuries (37%) and knee injuries (45%). A decreasing trend was noted for the rate of lacerations (31% decrease). Slight increases were noted in upper extremity and axial injury rates. Skiing injuries continue to be a worrisome recreational problem despite improvements in ski equipment and slope-grooming techniques. The increasing trend in lower extremity, particularly knee, injury rates highlights the need for continued skier education and equipment innovation. PMID:8732730

Is breast cancer awareness campaign effective in Pakistan?

PubMed

Soomro, Rufina

2017-07-01

To assess the effectiveness of existing breast cancer awareness strategies in terms of early breast cancer detection.. This descriptive, retrospective study was conducted at the Breast Surgery department of the Liaquat National Hospital, Karachi, and comprised records of all biopsy-proven stage 1 breast cancer patients from 1994 to 2014.All relevant records were retrieved year-wise from computerised database and age and stage of each case at presentation were noted. Data of stage 1 breast cancer patients was calculated in all age groups in absolute numbers and in percentage. The total number of women aged below 40 years and stage 1 patients in each year were counted and percentages were calculated and year-wise plotted and compared with whole group. A total of 8,291 patients were registered during the study period. Their number increased from 53(0.64%) in 1994 to 847(10.21%) in 2014. Over the study period, there was a slow trend towards improvement in early diagnosis of breast cancer. With existing breast cancer awareness strategies, the rate of change for early diagnosis of this deadly disease was very slow.

12 CFR Appendix L to Part 226 - Assumed Loan Periods for Computations of Total Annual Loan Cost Rates

Code of Federal Regulations, 2010 CFR

2010-01-01

... Annual Loan Cost Rates L Appendix L to Part 226 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM TRUTH IN LENDING (REGULATION Z) Pt. 226, App. L Appendix L to Part 226—Assumed Loan Periods for Computations of Total Annual Loan Cost Rates (a) Required...

[Preliminary observation on survival and reproduction of imported Oncomelania snails in water network regions: a simulated experiment].

PubMed

Tian, Jian-Guo; Zhong, Wen-Jiang; Li, Gui-Fu; Peng, Li-Xia; Xiang, Xiao-Ping

2011-04-01

To observe the survival and reproduction of exotic imported Oncomelania snails in water network regions. During a period between May 22, 2008 and August 7, 2009, a study pilot was established in a historical snail habitat in Qingpu District of Shanghai City. A total of 12 soil samples were collected from Qingpu, Jinshan and Songjiang districts and placed in the study area. Active marked adults snails without infections (with a female/male ratio of 1) were placed on soil surface, and the activity, survival and reproduction of snails on soil surface were observed. The temperature during the period of the study was recorded. During the experiment period, the highest temperature was 39 degrees C, the lowest was -3 degrees C, and the average was 20 degrees C. The activity of snails reduced significantly on the soil surface at high temperature in summer and low temperature in winter. There were 91 old snails (5.2%) that moved on soil surface in March and 73 (12.2% ) in June, 2009. A total of 26 and 59 offspring snails were found respectively in April and June, 2009, with average density of 2.17 snails/m2 (26/12) and 4.92 snails/m2 (59/12) respectively. The exotic imported snails can survive and reproduce in water network regions. Further monitoring should be strengthened on the imported snails in these regions.

Environmental Control on Fish and Macrocrustacean Spring Community-Structure, on an Intertidal Sandy Beach

PubMed Central

Benazza, Achwak; Selleslagh, Jonathan; Breton, Elsa; Rabhi, Khalef; Cornille, Vincent; Bacha, Mahmoud; Lecuyer, Eric; Amara, Rachid

2015-01-01

The inter-annual variability of the fish and macrocrustacean spring community on an intertidal sandy beach near the Canche estuary (North of France) was studied from 2000 to 2013 based on weekly spring sampling over an 11-year period. Twenty-eight species representing 21 families were collected during the course of the study. The community was dominated by a few abundant species accounting for > 99% of the total species densities. Most individuals caught were young-of-the-year indicating the importance of this ecosystem for juvenile fishes and macrocrustaceans. Although standard qualitative community ecology metrics (species composition, richness, diversity, evenness and similarity) indicated notable stability over the study period, community structure showed a clear change since 2009. Densities of P. platessa, P. microps and A. tobianus decreased significantly since 2009, whereas over the period 2010-2013, the contribution of S. sprattus to total species density increased 4-fold. Co-inertia and generalised linear model analyses identified winter NAO index, water temperature, salinity and suspended particular matter as the major environmental factors explaining these changes. Although the recurrent and dense spring blooms of the Prymnesiophyte Phaeocystis globosa is one of the main potential threats in shallow waters of the eastern English Channel, no negative impact of its temporal change was detected on the fish and macrocrustacean spring community structure. PMID:25617852

[Analysis on relationship between regional economic development and sewage disposal].

PubMed

Wang, La-Chun; Huo, Yu; Zhu, Ji-Ye; Li, Sheng-Feng; Gao, Chao

2008-03-01

Based on the relationship between district GDP and sewage disposal, the water environment protection effect in 3 cities, Suzhou, Nanjing and Xuzhou, with different economic development degrees in Jiangsu Province was dynamically analyzed. The economy in Suzhou was well developed, where the foreign capital proportion was in a high level. Its GDP per capita was 53,800 yuan in 2005 and the sewage disposal grew linearly when its GDP increased in the study time period. Nanjing was less developed than Suzhou, and the state-owned enterprises in large and medium sizes were in a high percentage. Its GDP per capita was 37,100 yuan in 2005, while the sewage disposal reduced linearly when its GDP increased in the study time period. The economy in Xuzhou is under-developed, where coal-based heavy industry was the most important one. The GDP per capita in this city was 13,200 yuan in 2005 and the sewage disposal fluctuated when its GDP increased in the study time period. According to the relationship between economic development and sewage disposal in different cities, we suggested that the water environment protection in Suzhou should focus on the control of both water pollutant total emission and emission concentration, the major work in Nanjing should focus on adjusting the industrial structure and meanwhile controlling the total emission of water pollutants, while in Xuzhou the water pollutant emission concentration should be firstly controlled.

Effect of condensed tannins in rations of lactating dairy cows on production variables and nitrogen use efficiency.

PubMed

Gerlach, K; Pries, M; Tholen, E; Schmithausen, A J; Büscher, W; Südekum, K-H

2018-01-08

The objective of this study was to evaluate the effect of supplemented condensed tannins (CT) from the bark of the Black Wattle tree (Acacia mearnsii) on production variables and N use efficiency in high yielding dairy cows. A feeding trial with 96 lactating German Holstein cows was conducted for a total of 169 days, divided into four periods. The animals were allotted to two groups (control (CON) and experimental (EXP) group) according to milk yield in previous lactation, days in milk (98), number of lactations and BW. The trial started and finished with a period (period 1 and 4) where both groups received the same ration (total-mixed ration based on grass and maize silage, ensiled sugar beet pulp, lucerne hay, mineral premix and concentrate, calculated for 37 kg energy-corrected milk). In between, the ration of EXP cows was supplemented with 1% (CT1, period 2) and 3% of dry matter (DM) (CT3, period 3) of a commercial A. mearnsii extract (containing 0.203 g CT/g DM) which was mixed into the concentrate. In period 3, samples of urine and faeces were collected from 10 cows of each group and analyzed to estimate N excretion. Except for a tendency for a reduced milk urea concentration with CT1, there was no difference between groups in period 2 (CON v. CT1; P>0.05). The CT3 significantly reduced (P<0.05) milk protein yield, the apparent N efficiency (kg milk N/k feed N) and milk urea concentration; but total milk yield and energy-corrected milk yield were not affected by treatment. Furthermore, as estimated from 10 cows per group and using urinary K as a marker to estimate the daily amount of urine voided, CT3 caused a minor shift of N compounds from urine to faeces, as urea-N in urine was reduced, whereas the N concentration in faeces increased. As an improvement in productivity was not achieved and N use efficiency was decreased by adding the CT product it can be concluded that under current circumstances the use in high yielding dairy cows is not advantageous.

Total free radical species and oxidation equivalent in polluted air.

PubMed

Wang, Guoying; Jia, Shiming; Niu, Xiuli; Tian, Haoqi; Liu, Yanrong; Chen, Xuefu; Li, Lan; Zhang, Yuanhang; Shi, Gaofeng

2017-12-31

Free radicals are the most important chemical intermediate or agent of the atmosphere and influenced by thousands of reactants. The free radicals determine the oxidizing power of the polluted air. Various gases present in smog or haze are oxidants and induce organ and cellular damage via generation of free radical species. At present, however, the high variability of total free radicals in polluted air has prevented the detection of possible trends or distributions in the concentration of those species. The total free radicals are a kind of contaminants with colorless, tasteless characteristics, and almost imperceptible by human body. Here we present total free radical detection and distribution characteristics, and analyze the effects of total free radicals in polluted air on human health. We find that the total free radical values can be described by not only a linear dependence on ozone at higher temperature period, but also a linear delay dependence on particulate matter at lower temperature period throughout the measurement period. The total free radical species distribution is decrease from west to east in Lanzhou, which closely related to the distribution of the air pollutants. The total free radical oxidation capacity in polluted air roughly matches the effects of tobacco smoke produced by the incomplete combustion of a controlled amount of tobacco in a smoke chamber. A relatively unsophisticated chromatographic fingerprint similarity is used for indicating preliminarily the effect of total free radicals in polluted air on human health. Copyright © 2017 Elsevier B.V. All rights reserved.

Higher Antioxidant Activity, Total Flavonols, and Specific Quercetin Glucosides in Two Different Onion (Allium cepa L.) Varieties Grown under Organic Production: Results from a 6-Year Field Study.

PubMed

Ren, Feiyue; Reilly, Kim; Kerry, Joseph P; Gaffney, Michael; Hossain, Mohammad; Rai, Dilip K

2017-06-28

We carried out a 6-year study to assess the effect of conventional, organic, and mixed cultivation practices on bioactive compounds (flavonoids, anthocyanins) and antioxidant capacity in onion. Total flavonoids, total anthocyanins, individual flavonols, individual anthocyanins, and antioxidant activity were measured in two varieties ('Hyskin' and 'Red Baron') grown in a long-term split-plot factorial systems comparison trial. This is the first report of repeated measurements of bioactive content over an extensive time period in a single crop type within the same trial. Antioxidant activity (DPPH and FRAP), total flavonol content, and levels of Q 3,4' D and Q 3 G were higher in both varieties under fully organic compared to fully conventional management. Total flavonoids were higher in 'Red Baron' and when onions were grown under organic soil treatment. Differences were primarily due to different soil management practices used in organic agriculture rather than pesticide/ herbicide application.

The Impact of Funding through the RF President’s Grants for Young Scientists (the field – Medicine) on Research Productivity: A Quasi-Experimental Study and a Brief Systematic Review

PubMed Central

Saygitov, Ruslan T.

2014-01-01

The impact of grants on research productivity has been investigated by a number of retrospective studies. The results of these studies vary considerably. The objective of my study was to investigate the impact of funding through the RF President’s grants for young scientists on the research productivity of awarded applicants. The study compared the number of total articles and citations for awarded and rejected applicants who in 2007 took part in competitions for young candidates of science (CoS’s) and doctors of science (DoS’s) in the scientific field of medicine. The bibliometric analysis was conducted for the period from 2003 to 2012 (five years before and after the competition). The source of bibliometric data is the eLIBRARY.RU database. The impact of grants on the research productivity of Russian young scientists was assessed using the meta-analytical approach based on data from quasi-experimental studies conducted in other countries. The competition featured 149 CoS’s and 41 DoS’s, out of which 24 (16%) and 22 (54%) applicants, respectively, obtained funding. No difference in the number of total articles and citations at baseline, as well as in 2008–2012, for awarded and rejected applicants was found. The combination of data from the Russian study and other quasi-experimental studies (6 studies, 10 competitions) revealed a small treatment effect – an increase in the total number of publications over a 4–5-year period after the competition by 1.23 (95% CI 0.48–1.97). However, the relationship between the number of total publications published by applicants before and after the competition revealed that this treatment effect is an effect of the “maturation” of scientists with a high baseline publication activity – not of grant funding. PMID:24475203

The impact of funding through the RF President's grants for young scientists (the field--medicine) on research productivity: a quasi-experimental study and a brief systematic review.

PubMed

Saygitov, Ruslan T

2014-01-01

The impact of grants on research productivity has been investigated by a number of retrospective studies. The results of these studies vary considerably. The objective of my study was to investigate the impact of funding through the RF President's grants for young scientists on the research productivity of awarded applicants. The study compared the number of total articles and citations for awarded and rejected applicants who in 2007 took part in competitions for young candidates of science (CoS's) and doctors of science (DoS's) in the scientific field of medicine. The bibliometric analysis was conducted for the period from 2003 to 2012 (five years before and after the competition). The source of bibliometric data is the eLIBRARY.RU database. The impact of grants on the research productivity of Russian young scientists was assessed using the meta-analytical approach based on data from quasi-experimental studies conducted in other countries. The competition featured 149 CoS's and 41 DoS's, out of which 24 (16%) and 22 (54%) applicants, respectively, obtained funding. No difference in the number of total articles and citations at baseline, as well as in 2008-2012, for awarded and rejected applicants was found. The combination of data from the Russian study and other quasi-experimental studies (6 studies, 10 competitions) revealed a small treatment effect--an increase in the total number of publications over a 4-5-year period after the competition by 1.23 (95% CI 0.48-1.97). However, the relationship between the number of total publications published by applicants before and after the competition revealed that this treatment effect is an effect of the "maturation" of scientists with a high baseline publication activity--not of grant funding.

A statistical probe into variability within total ozone time series over Arosa, Switzerland (9.68°E, 46.78°N)

NASA Astrophysics Data System (ADS)

Chakraborthy, Parthasarathi; Chattopadhyay, Surajit

2013-02-01

Endeavor of the present paper is to investigate the statistical properties of the total ozone concentration time series over Arosa, Switzerland (9.68°E, 46.78°N). For this purpose, different statistical data analysis procedures have been employed for analyzing the mean monthly total ozone concentration data, collected over a period of 40 years (1932-1971), at the above location. Based on the computations on the available data set, the study reports different degrees of variations in different months. The month of July is reported as the month of lowest variability. April and May are found to be the most correlated months with respect to total ozone concentration.

Nitrogen oxides and ozone fluxes from an oilseed-rape management cycle: the influence of cattle slurry application

NASA Astrophysics Data System (ADS)

Vuolo, Raffaella M.; Loubet, Benjamin; Mascher, Nicolas; Gueudet, Jean-Christophe; Durand, Brigitte; Laville, Patricia; Zurfluh, Olivier; Ciuraru, Raluca; Stella, Patrick; Trebs, Ivonne

2017-05-01

This study reports NO, NO2 and O3 mixing ratios and flux measurements using the eddy covariance method during a 7-month period over an oilseed-rape field, spanning an organic and a mineral fertilisation event. Cumulated NO emissions during the whole period were in agreement with previous studies and showed quite low emissions of 0.26 kg N ha-1 with an emission factor of 0.27 %, estimated as the ratio between total N emitted in the form of NO and total N input. The NO emissions were higher following organic fertilisation in August due to conditions favouring nitrification (soil water content around 20 % and high temperatures), while mineral fertilisation in February did not result in high emissions. The ozone deposition velocity increased significantly after organic fertilisation. The analysis of the chemical and turbulent transport times showed that reactions between NO, NO2 and O3 below the measurement height occurred constantly throughout the 7-month period. Following organic fertilisation, the NO ground fluxes were 30 % larger than the NO fluxes at the measurement height (3.2 m), while the NO2 fluxes switched from deposition to emission during certain periods, being negative at the surface and positive at the measurement height. This phenomenon of apparent NO2 emissions appears to be significant during strong NO emissions and high O3 ambient mixing ratios, even on a bare soil during August.

Islet Product Characteristics and Factors Related to Successful Human Islet Transplantation From the Collaborative Islet Transplant Registry (CITR) 1999–2010

PubMed Central

Balamurugan, A N; Naziruddin, B; Lockridge, A; Tiwari, M; Loganathan, G; Takita, M; Matsumoto, S; Papas, K; Trieger, M; Rainis, H; Kin, T; Kay, T W; Wease, S; Messinger, S; Ricordi, C; Alejandro, R; Markmann, J; Kerr-Conti, J; Rickels, M R; Liu, C; Zhang, X; Witkowski, P; Posselt, A; Maffi, P; Secchi, A; Berney, T; O’Connell, P J; Hering, B J; Barton, F B

2014-01-01

The Collaborative Islet Transplant Registry (CITR) collects data on clinical islet isolations and transplants. This retrospective report analyzed 1017 islet isolation procedures performed for 537 recipients of allogeneic clinical islet transplantation in 1999–2010. This study describes changes in donor and islet isolation variables by era and factors associated with quantity and quality of final islet products. Donor body weight and BMI increased significantly over the period (p < 0.001). Islet yield measures have improved with time including islet equivalent (IEQ)/particle ratio and IEQs infused. The average dose of islets infused significantly increased in the era of 2007–2010 when compared to 1999–2002 (445.4 ± 156.8 vs. 421.3 ± 155.4 ×103 IEQ; p < 0.05). Islet purity and total number of β cells significantly improved over the study period (p < 0.01 and <0.05, respectively). Otherwise, the quality of clinical islets has remained consistently very high through this period, and differs substantially from nonclinical islets. In multivariate analysis of all recipient, donor and islet factors, and medical management factors, the only islet product characteristic that correlated with clinical outcomes was total IEQs infused. This analysis shows improvements in both quantity and some quality criteria of clinical islets produced over 1999–2010, and these parallel improvements in clinical outcomes over the same period. PMID:25278159

Spatial and temporal changes of water quality, and SWAT modeling of Vosvozis river basin, North Greece.

PubMed

Boskidis, Ioannis; Gikas, Georgios D; Pisinaras, Vassilios; Tsihrintzis, Vassilios A

2010-09-01

The results of an investigation of the quantitative and qualitative characteristics of Vosvozis river in Northern Greece is presented. For the purposes of this study, three gaging stations were installed along Vosvozis river, where water quantity and quality measurements were conducted for the period August 2005 to November 2006. Water discharge, temperature, pH, dissolved oxygen (DO) and electrical conductivity (EC) were measured in situ using appropriate equipment. The collected water samples were analyzed in the laboratory for the determination of nitrate, nitrite and ammonium nitrogen, total Kjeldalh nitrogen (TKN), orthophosphate (OP), total phosphorus (TP), COD, and BOD. Agricultural diffuse sources provided the major source of nitrate nitrogen loads during the wet period. During the dry period (from June to October), the major nutrient (N, P) and COD, BOD sources were point sources. The trophic status of Vosvozis river during the monitoring period was determined as eutrophic, based on Dodds classification scheme. Moreover, the SWAT model was used to simulate hydrographs and nutrient loads. SWAT was validated with the measured data. Predicted hydrographs and pollutographs were plotted against observed values and showed good agreement. The validated model was used to test eight alternative scenarios concerning different cropping management approaches. The results of these scenarios indicate that nonpoint source pollution is the prevailing type of pollution in the study area. The SWAT model was found to satisfactorily simulate processes in ephemeral river basins and is an effective tool in water resources management.

Prolonged breast-feeding is an independent risk factor for postmenopausal osteoporosis.

PubMed

Okyay, Duygu Ozkale; Okyay, Emre; Dogan, Erbil; Kurtulmus, Secil; Acet, Ferruh; Taner, Cuneyt Eftal

2013-03-01

This study investigated the effects of parity and age at first pregnancy and breast-feeding, as well as duration of BF for total and per child on postmenopausal osteoporosis. The study was conducted among 542 cases who were divided based on the presence or absence of osteoporosis. Patients were separated according to their first pregnancy and breast-feeding age as before or after 27 years. Osteoporosis was defined as a T score of -2.5 or lower. Parity, age at first pregnancy and breast-feeding, breast-feeding period for total and average duration per child according to a questionnaire were assessed. Osteoporosis group had significantly lower parity compared to non-osteoporosis group. The age at first pregnancy and breast-feeding<27 age were significantly more frequent in osteoporosis group. They also had prolonged breast-feeding period. Women who had a breast-feeding period per child>1 year under age 27 was higher in osteoporosis group. In multivariate analysis, women who breast-fed>1 year per child had the highest risk for osteoporosis (odds ratio: 12.92; 95% confidence interval, 3.1-52.6) and osteoporosis risk for women who breast-fed>1 year per child under age 27 was 7.1. Increased parity was associated with a significant protective effect for osteoporosis. Extended breast-feeding period per child>1 year is the highest risk factor for osteoporosis independent of first breast-feeding age. However, high parity has a protective effect. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Physical activity, sleep pattern and energy expenditure in double-handed offshore sailing.

PubMed

Galvani, C; Ardigò, L P; Alberti, M; Daniele, F; Capelli, C

2015-12-01

The aim of the present study was to quantify total energy expenditure, activity energy expenditure and time spent at three levels of physical activity (low, moderate, high intensity) in four two-person crews during a 500-mile double-handed sailing regatta. Physical activity intensity and energy expenditure were assessed during a 500-nautical-mile double-handed offshore competition in eight male sailors (46.3±3.4 years; 180±13 cm; 85.4±12.5 kg). During the whole regatta, they wore an activity monitor that estimated energy expenditure and minutes spent at each level of intensity (sedentary, <1.5 METs; light physical activity, 1.5-2.9 METs; moderate physical activity, 3.0-6.0 METs; vigorous physical activity, >6.0 METs). The sailors spent longer periods (P<0.0001) of time in sedentary (823±193 min/day) and light physical activities (516±177 min/day) than in moderate (95±34 min/day) or vigorous (6±4 min/day) physical activities. They slept 5 times per day (±1.4) for 36 min (±9) in each sleeping period. The total energy expenditure was 14.26±1.89 MJ/day and the activity energy expenditure was 5.06±1.42 MJ/day. Activity energy expenditure was significantly correlated with total sleep time, boat speed, and distance covered each day (P<0.05). CONCLUSION;:The high total energy expenditure was more likely a consequence of the short and rare periods of sleep during the competition rather than of the bouts of moderate and vigorous physical activities.

Gender Inequalities in Remote Settings: Analysis of 105,025 Medical Records of a Rural Hospital in Ethiopia (2005-2015).

PubMed

Accorsi, Sandro; Somigliana, Edgardo; Farese, Pasquale; Ademe, Tsegaye; Desta, Yonas; Putoto, Giovanni; Manenti, Fabio

2017-08-01

Gender inequalities in Sub-Saharan Africa are deemed relevant but data to support this view are scanty. Retrospective analysis of a large dataset of 105,025 patients admitted to an Ethiopian rural private, non-for-profit hospital over a 11 years period (2005-2015). Since 2001, the hospital and the local community are involved in a long-term, comprehensive and externally-supported health care intervention. The total number of admissions was higher for females (61.9% of the total) mainly because of the high frequency of admissions for obstetrics conditions. The total male-to-female ratio (M:F) was 0.6. Except for malaria, men had more admissions for the other leading causes, with the highest M:F being found for injuries (2.7) and musculoskeletal diseases (1.7). Overall, excluding admissions for pregnancy-related issues, the M:F was 1.4. The frequency of admissions changed with age and gender. Female admissions prevailed in the reproductive age period (from 15 to 44 years of age) while males admissions prevailed in the younger and older age groups. The case fatality rate was higher for men (M:F = 2.0). The total M:F and the M:F excluding pregnancy-related admissions did not change during the study period. Gender inequalities do exist in rural remote setting but tend to affect women differently during their lifespan. Even if gender inequalities generally favor males, the substantial proportion of admissions for pregnancy-related situations is encouraging.

Age and seasonal-dependent variations in the biochemical composition of boar semen.

PubMed

Fraser, L; Strzeżek, J; Filipowicz, K; Mogielnicka-Brzozowska, M; Zasiadczyk, L

2016-08-01

This study investigated the effect of age- and seasonal-related variations in the composition of boar semen over a 3-year period. At the onset of 8 months of age, ejaculates were collected from four boars and allocated into three groups: 8 to 18, 19 to 30, and 31 to 42 months and were divided into two seasonal periods: autumn-winter and spring-summer. Boar variability had a significant effect on most of the analyzed semen parameters. Significantly, higher ejaculate volumes were observed in the boars older than 18 months of age during the autumn-winter period. Sperm concentration was higher in boars less than the age of 18 months of age, whereas the total sperm numbers were significantly higher during the autumn-winter period, regardless of the age group. Seasonal effects in sperm motility were more marked in boars at the age of 19 to 30 months, being significantly higher during the autumn-winter period. The proportions of spermatozoa with intact, normal apical ridge acrosome, and osmotically tolerant acrosomal membranes were markedly higher in boars at the age of 19 to 30 months during the autumn-winter period. Spermatozoa harvested during the spring-summer period were more susceptible to lipid peroxidation, irrespective of the age group. Significantly, higher levels of protein content and concentrations of nonthiol-containing antioxidant components of the seminal plasma (SP) were detected in boars less than 18 months of age during the autumn-winter period. Seasonal effects on the pH and proteinase inhibitory activity in the SP were more marked in boars less than 18 months of age, whereas alkaline phosphatase activity was greater in boars at the age of 19 to 30 months during the autumn-winter period. Substantial amounts of the thiol-containing antioxidants of the SP were detected in boars older than 18 months of age during the spring-summer period. Neither osmolality nor total antioxidant status was affected by differences in the seasonal periods or age groups. The findings of this study indicate that age- and seasonal-related variations affect the reproductive tract functions in the boar, resulting in marked changes in the biochemical composition of the semen. Copyright © 2016 Elsevier Inc. All rights reserved.

Mechanisms affecting water quality in an intermittent piped water supply.

PubMed

Kumpel, Emily; Nelson, Kara L

2014-01-01

Drinking water distribution systems throughout the world supply water intermittently, leaving pipes without pressure between supply cycles. Understanding the multiple mechanisms that affect contamination in these intermittent water supplies (IWS) can be used to develop strategies to improve water quality. To study these effects, we tested water quality in an IWS system with infrequent and short water delivery periods in Hubli-Dharwad, India. We continuously measured pressure and physicochemical parameters and periodically collected grab samples to test for total coliform and E. coli throughout supply cycles at 11 sites. When the supply was first turned on, water with elevated turbidity and high concentrations of indicator bacteria was flushed out of pipes. At low pressures (<10 psi), elevated indicator bacteria were frequently detected even when there was a chlorine residual, suggesting persistent contamination had occurred through intrusion or backflow. At pressures between 10 and 17 psi, evidence of periodic contamination suggested that transient intrusion, backflow, release of particulates, or sloughing of biofilms from pipe walls had occurred. Few total coliform and no E. coli were detected when water was delivered with a chlorine residual and at pressures >17 psi.

Healthcare resource utilization and costs of outpatient follow-up after liver transplantation in a university hospital in São Paulo, Brazil: cost description study.

PubMed

Soárez, Patricia Coelho de; Lara, Amanda Nazareth; Sartori, Ana Marli Christovam; Abdala, Edson; Haddad, Luciana Bertocco de Paiva; D'Albuquerque, Luiz Augusto Carneiro; Novaes, Hillegonda Maria Dutilh

2015-01-01

Data on the costs of outpatient follow-up after liver transplantation are scarce in Brazil. The purpose of the present study was to estimate the direct medical costs of the outpatient follow-up after liver transplantation, from the first outpatient visit after transplantation to five years after transplantation. Cost description study conducted in a university hospital in São Paulo, Brazil. Cost data were available for 20 adults who underwent liver transplantation due to acute liver failure (ALF) from 2005 to 2009. The data were retrospectively retrieved from medical records and the hospital accounting information system from December 2010 to January 2011. Mean cost per patient/year was R$ 13,569 (US$ 5,824). The first year of follow-up was the most expensive (R$ 32,546 or US$ 13,968), and medication was the main driver of total costs, accounting for 85% of the total costs over the five-year period and 71.9% of the first-year total costs. In the second year after transplantation, the mean total costs were about half of the amount of the first-year costs (R$ 15,165 or US$ 6,509). Medication was the largest contributor to the costs followed by hospitalization, over the five-year period. In the fourth year, the costs of diagnostic tests exceeded the hospitalization costs. This analysis provides significant insight into the costs of outpatient follow-up after liver transplantation due to ALF and the participation of each cost component in the Brazilian setting.

Evaluating the primary-to-specialist referral system for elective hip and knee arthroplasty.

PubMed

Fyie, Ken; Frank, Cy; Noseworthy, Tom; Christiansen, Tanya; Marshall, Deborah A

2014-02-01

Persistently long waiting times for hip and knee total joint arthroplasty (TJA) specialist consultations have been identified as a problem. This study described referral processes and practices, and their impact on the waiting time from referral to consultation for TJA. A mixed-methods retrospective study incorporating semi-structured interviews, patient chart reviews and observational studies was conducted at three clinic sites in Alberta, Canada. A total of 218 charts were selected for analysis. Standardized definitions were applied to key event dates. Performance measures included waiting times percentage of referrals initially accepted. Voluntary (patient-related) and involuntary (health system-related) waiting times were quantified. All three clinics had defined, but differing, referral processing rules. The mean time from referral to consultation ranged from 51 to 139 business days. Choosing a specific surgeon for consultation rather than a next available surgeon lengthened waits by 10-47 business days. Involuntary waiting times accounted for at least 11% of total waiting time. Approximately 40-80% of the time patients with TJA wait for surgery was in the consultation period. Fifty-four per cent of new referrals were initially rejected, prolonging patient waits by 8-46 business days. Our results suggest that variation in referral processing led to increased waiting times for patients. The large proportion of total wait attributable to waiting for a surgical consultation makes failure to measure and evaluate this period a significant omission. Improving referral processes and decreasing variation between clinics would improve patient access to these specialist referrals in Alberta. © 2013 John Wiley & Sons, Ltd.

Sediment and nutrient budgets are inherently dynamic: evidence from a long-term study of two subtropical reservoirs

NASA Astrophysics Data System (ADS)

O'Brien, Katherine R.; Weber, Tony R.; Leigh, Catherine; Burford, Michele A.

2016-12-01

Accurate reservoir budgets are important for understanding regional fluxes of sediment and nutrients. Here we present a comprehensive budget of sediment (based on total suspended solids, TSS), total nitrogen (TN) and total phosphorus (TP) for two subtropical reservoirs on rivers with highly intermittent flow regimes. The budget is completed from July 1997 to June 2011 on the Somerset and Wivenhoe reservoirs in southeast Queensland, Australia, using a combination of monitoring data and catchment model predictions. A major flood in January 2011 accounted for more than half of the water entering and leaving both reservoirs in that year, and approximately 30 % of water delivered to and released from Wivenhoe over the 14-year study period. The flood accounted for an even larger proportion of total TSS and nutrient loads: in Wivenhoe more than one-third of TSS inputs and two-thirds of TSS outputs between 1997 and 2011 occurred during January 2011. During non-flood years, mean historical concentrations provided reasonable estimates of TSS and nutrient loads leaving the reservoirs. Calculating loads from historical mean TSS and TP concentrations during January 2011, however, would have substantially underestimated outputs over the entire study period, by up to a factor of 10. The results have important implications for sediment and nutrient budgets in catchments with highly episodic flow. First, quantifying inputs and outputs during major floods is essential for producing reliable long-term budgets. Second, sediment and nutrient budgets are dynamic, not static. Characterizing uncertainty and variability is therefore just as important for meaningful reservoir budgets as accurate quantification of loads.

Partitioning the impacts of spatial and climatological rainfall variability in urban drainage modeling

NASA Astrophysics Data System (ADS)

Peleg, Nadav; Blumensaat, Frank; Molnar, Peter; Fatichi, Simone; Burlando, Paolo

2017-03-01

The performance of urban drainage systems is typically examined using hydrological and hydrodynamic models where rainfall input is uniformly distributed, i.e., derived from a single or very few rain gauges. When models are fed with a single uniformly distributed rainfall realization, the response of the urban drainage system to the rainfall variability remains unexplored. The goal of this study was to understand how climate variability and spatial rainfall variability, jointly or individually considered, affect the response of a calibrated hydrodynamic urban drainage model. A stochastic spatially distributed rainfall generator (STREAP - Space-Time Realizations of Areal Precipitation) was used to simulate many realizations of rainfall for a 30-year period, accounting for both climate variability and spatial rainfall variability. The generated rainfall ensemble was used as input into a calibrated hydrodynamic model (EPA SWMM - the US EPA's Storm Water Management Model) to simulate surface runoff and channel flow in a small urban catchment in the city of Lucerne, Switzerland. The variability of peak flows in response to rainfall of different return periods was evaluated at three different locations in the urban drainage network and partitioned among its sources. The main contribution to the total flow variability was found to originate from the natural climate variability (on average over 74 %). In addition, the relative contribution of the spatial rainfall variability to the total flow variability was found to increase with longer return periods. This suggests that while the use of spatially distributed rainfall data can supply valuable information for sewer network design (typically based on rainfall with return periods from 5 to 15 years), there is a more pronounced relevance when conducting flood risk assessments for larger return periods. The results show the importance of using multiple distributed rainfall realizations in urban hydrology studies to capture the total flow variability in the response of the urban drainage systems to heavy rainfall events.

Effect of daily environmental temperature on farrowing rate and total born in dam line sows.

PubMed

Bloemhof, S; Mathur, P K; Knol, E F; van der Waaij, E H

2013-06-01

Heat stress is known to adversely affect reproductive performance of sows. However, it is important to know on which days or periods during the reproduction cycle heat stress has the greatest effects for designing appropriate genetic or management strategies. Therefore, this study was conducted to identify days and periods that have greatest effects on farrowing rate and total born of sows using 5 different measures of heat stress. The data consisted of 22,750 records on 5024 Dutch Yorkshire dam line sows from 16 farms in Spain and Portugal. Heat stress on a given day was measured in terms of maximum temperature, diurnal temperature range and heat load. The heat load was estimated using 3 definitions considering different upper critical temperatures. Identification of days during the reproduction cycle that had maximum effect was based on the Pearson correlation between the heat stress variable and the reproduction trait, estimated for each day during the reproduction cycle. Polynomial functions were fitted to describe the trends of these correlations and the days with greatest negative correlation were considered as days with maximum effect. Correlations were greatest for maximum temperature, followed by those for heat load and diurnal temperature range. Correlations for both farrowing rate and total born were stronger in gilts than in sows. This implies that heat stress has a stronger effect on reproductive performance of gilts than of sows. Heat stress during the third week (21 to 14 d) before first insemination had largest effect on farrowing rate. Heat stress during the period between 7 d before successful insemination until 12 d after that had largest effect on total born. Correlations between temperatures on consecutive days during these periods were extremely high ( > 0.9). Therefore, for farrowing rate the maximum temperature on 21 d before first insemination and for total born the maximum temperature at day of successful insemination can be used as predictive measures of heat stress in commercial sow farms. Additionally, differences between daughter groups of sires were identified in response to high temperatures. This might indicate possibilities for genetic selection on heat tolerance.

Evaluation of the SafeLane overlay system for crash reduction on bridge deck surfaces.

DOT National Transportation Integrated Search

2010-03-01

The winter performance of the SafeLane commercial overlay system has been evaluated at four installations on : bridge decks in the state of Minnesota. The study was conducted over a period of a total of three years. Analyses : included mechanical ...

Effect of the Probiotic Saccharomyces boulardii on Cholesterol and Lipoprotein Particles in Hypercholesterolemic Adults: A Single-Arm, Open-Label Pilot Study.

PubMed

Ryan, Jennifer Joan; Hanes, Douglas Allen; Schafer, Morgan Beth; Mikolai, Jeremy; Zwickey, Heather

2015-05-01

Elevated blood cholesterol levels are a major risk factor for coronary artery disease, the leading cause of death worldwide. Probiotics have been investigated as potential cholesterol-lowering therapies, but no previous studies have assessed the effect of the probiotic yeast Saccharomyces boulardii on cholesterol levels in human volunteers. The objective of this study was to examine the effect of S. boulardii on serum cholesterol and lipoprotein particles in hypercholesterolemic adults. This study was a single-arm, open-label pilot study. Twelve hypercholesterolemic participants were recruited into the study; one dropped out. Participants took 5.6×10(10) colony forming unit (CFU) encapsulated S. boulardii (Saccharomyces cerevisiae var. boulardii CNCM I-1079) twice daily for an 8-week period. Fasting concentrations of cholesterol (total cholesterol, low-density lipoprotein-cholesterol [LDL-C], high-density lipoprotein-cholesterol [HDL-C], and triglycerides), lipoprotein particles (very-low-density lipoprotein-particle [VLDL-P], remnant lipoprotein particle [RLP-P], total LDL-P, LDL III-P, LDL IV-P, total HDL-P, and HDL 2b-P), and additional cardiovascular biomarkers (apo B-100, lipoprotein [a], high-sensitivity C-reactive protein, homocysteine, fibrinogen, and insulin) were measured at baseline, after 4 weeks, and after 8 weeks. Remnant lipoprotein particles decreased by 15.5% (p=0.03) over the 8-week period. The remaining outcome measures were not significantly altered. In this pilot study, 8 weeks of daily supplementation with S. boulardii lowered remnant lipoprotein, a predictive biomarker and potential therapeutic target in the treatment and prevention of coronary artery disease.

Forecasting on the total volumes of Malaysia's imports and exports by multiple linear regression

NASA Astrophysics Data System (ADS)

Beh, W. L.; Yong, M. K. Au

2017-04-01

This study is to give an insight on the doubt of the important of macroeconomic variables that affecting the total volumes of Malaysia's imports and exports by using multiple linear regression (MLR) analysis. The time frame for this study will be determined by using quarterly data of the total volumes of Malaysia's imports and exports covering the period between 2000-2015. The macroeconomic variables will be limited to eleven variables which are the exchange rate of US Dollar with Malaysia Ringgit (USD-MYR), exchange rate of China Yuan with Malaysia Ringgit (RMB-MYR), exchange rate of European Euro with Malaysia Ringgit (EUR-MYR), exchange rate of Singapore Dollar with Malaysia Ringgit (SGD-MYR), crude oil prices, gold prices, producer price index (PPI), interest rate, consumer price index (CPI), industrial production index (IPI) and gross domestic product (GDP). This study has applied the Johansen Co-integration test to investigate the relationship among the total volumes to Malaysia's imports and exports. The result shows that crude oil prices, RMB-MYR, EUR-MYR and IPI play important roles in the total volumes of Malaysia's imports. Meanwhile crude oil price, USD-MYR and GDP play important roles in the total volumes of Malaysia's exports.

Quality comparison of elephant apple juices after high-pressure processing and thermal treatment.

PubMed

Nayak, Prakash Kumar; Rayaguru, Kalpana; Radha Krishnan, Kesavan

2017-03-01

In the present work, the effect of high pressure processing (HPP) on the quality parameters (pH, °Brix, total acidity, viscosity, colour, antioxidant activity, total phenols, total flavonoids, microbial flora, and sensory analysis) of elephant apple (Dillenia indica) juice was investigated. The juice samples were analysed periodically (0, 1, 2, 5, 10, 20, 30, 40, 50 and 60 days) during 60 days of storage period and results were compared with thermally processed as well as with untreated (fresh juice) samples. Slight variations had been observed in the quality parameters like pH, °Brix and total acidity. Other parameters like colour values, antioxidant activity, total phenols and total flavonoids were varied significantly (P < 0.05) in between the treated (HPP and thermal) and untreated juice samples. The microbial counts of the HPP treated samples were lower than the other samples. Sensory results also showed similar results to those of the other analyses that the treated samples were better for consumption rather than the untreated samples. The shelf-life of the HPP processed elephant apple juice was established as 60 days at 4 °C. This study showed that application of HPP effectively maintained quality attributes and extended shelf life of the elephant apple juice. It may be suggested that application of HPP could be considered for commercial application during storage and marketing. © 2016 Society of Chemical Industry. © 2016 Society of Chemical Industry.

Increase of transient lower esophageal sphincter relaxation associated with cascade stomach

PubMed Central

Kawada, Akiyo; Kusano, Motoyasu; Hosaka, Hiroko; Kuribayashi, Shiko; Shimoyama, Yasuyuki; Kawamura, Osamu; Akiyama, Junichi; Yamada, Masanobu; Akuzawa, Masako

2017-01-01

We previously reported that cascade stomach was associated with reflux symptoms and esophagitis. Delayed gastric emptying has been believed to initiate transient lower esophageal sphincter relaxation (TLESR). We hypothesized that cascade stomach may be associated with frequent TLESR with delayed gastric emptying. Eleven subjects with cascade stomach and 11 subjects without cascade stomach were enrolled. Postprandial gastroesophageal manometry and gastric emptying using a continuous 13C breath system were measured simultaneously after a liquid test meal. TLESR events were counted in early period (0–60 min), late period (60–120 min), and total monitoring period. Three parameters of gastric emptying were calculated: the half emptying time, lag time, and gastric emptying coefficient. The median frequency of TLESR events in the cascade stomach and non-cascade stomach groups was 6.0 (median), 4.6 (interquartile range) vs 5.0, 3.0 in the early period, 5.0, 3.2 vs 3.0, 1.8 in the late period, and 10.0, 6.2 vs 8.0, 5.0 in the total monitoring period. TLESR events were significantly more frequent in the cascade stomach group during the late and total monitoring periods. In contrast, gastric emptying parameters showed no significant differences between the two groups. We concluded that TLESR events were significantly more frequent in persons with cascade stomach without delayed gastric emptying. PMID:28584403

Applying linear programming model to aggregate production planning of coated peanut products

NASA Astrophysics Data System (ADS)

Rohmah, W. G.; Purwaningsih, I.; Santoso, EF S. M.

2018-03-01

The aim of this study was to set the overall production level for each grade of coated peanut product to meet market demands with a minimum production cost. The linear programming model was applied in this study. The proposed model was used to minimize the total production cost based on the limited demand of coated peanuts. The demand values applied to the method was previously forecasted using time series method and production capacity aimed to plan the aggregate production for the next 6 month period. The results indicated that the production planning using the proposed model has resulted a better fitted pattern to the customer demands compared to that of the company policy. The production capacity of product family A, B, and C was relatively stable for the first 3 months of the planning periods, then began to fluctuate over the next 3 months. While, the production capacity of product family D and E was fluctuated over the 6-month planning periods, with the values in the range of 10,864 - 32,580 kg and 255 – 5,069 kg, respectively. The total production cost for all products was 27.06% lower than the production cost calculated using the company’s policy-based method.

Spatiotemporal Trends Analysis of Pyrethroid Sediment Concentrations Spanning 10 Years in a Residential Creek in California.

PubMed

Hall, Lenwood W; Anderson, Ronald D; Killen, William D

2016-02-01

The objective of this study was to assess temporal and spatial trends for eight pyrethroids monitored in sediment spanning 10 years from 2006 to 2015 in a residential stream in California (Pleasant Grove Creek). The timeframe for this study included sampling 3 years during a somewhat normal non-drought period (2006-2008) and 3 years during a severe drought period (2013-2015). Regression analysis of pyrethroid concentrations in Pleasant Grove Creek for 2006, 2007, 2008, 2012, 2013, 2014, and 2015 using ½ the detection limit for nondetected concentrations showed statistically significant declining trends for cyfluthrin, cypermethrin, deltamethrin, permethrin, and total pyrethoids. Additional trends analysis of the Pleasant Grove Creek pyrethroid data using only measured concentrations, without nondetected values, showed similar statistically significant declining trends for cyfluthrin, cypermethrin, deltamethrin, esfenvalerate, fenpropathrin, permethrin, and total pyrethroids. Spatial trends analysis for the specific creek sites showed that six of the eight pyrethroids had a greater number of sites with statistically significant declining concentrations. Possible reasons for reduced pyrethroid concentrations in the stream bed in Pleasant Grove Creek during this 10-year period are label changes in 2012 that reduced residential use and lack of precipitation during the later severe drought years of 2013-2015.

Significant reduction in red blood cell transfusions in a general hospital after successful implementation of a restrictive transfusion policy supported by prospective computerized order auditing.

PubMed

Yerrabothala, Swaroopa; Desrosiers, Kevin P; Szczepiorkowski, Zbigniew M; Dunbar, Nancy M

2014-10-01

Our hospital transfusion policy was recently revised to recommend single-unit red blood cell transfusion (RBC TXN) for nonbleeding inpatients when the hemoglobin (Hb) level is not more than 7 g/dL. Our computerized provider order entry system was reconfigured to provide real-time decision support using prospective computerized order auditing based on the most recent Hb level and to remove the single-click ordering option for 2-unit RBC TXNs to enhance compliance. This study was undertaken to assess the impact of these changes on hospital transfusion practice. This study analyzed the total number of transfusion events, proportion of single and 2-unit transfusions and the Hb transfusion trigger in the preimplementation period (October 2011-March 2012) compared to the postimplementation period (October 2012-March 2013). In the postimplementation period the total number of RBC units transfused/1000 patient-days decreased from 60.8 to 44.2 (p < 0.0001). The proportion of 2-unit TXNs decreased from 47% to 15% (p < 0.0001). We also observed significant decreases in pretransfusion Hb triggers. Implementation of restrictive transfusion policy supported by prospective computerized order auditing has resulted in significantly decreased RBC utilization at our institution. © 2014 AABB.

Using Global Total Electron Content to Understand Interminimum Changes in Solar EUV Irradiance and Thermospheric Composition

NASA Astrophysics Data System (ADS)

McDonald, S. E.; Emmert, J. T.; Krall, J.; Mannucci, A. J.; Vergados, P.

2017-12-01

To understand how and why the distribution of geospace plasma in the ionosphere/plasmasphere is evolving over multi-decadal time scales in response to solar, heliospheric and atmospheric forcing, it is critically important to have long-term, stable datasets. In this study, we use a newly constructed dataset of GPS-based total electron content (TEC) developed by JPL. The JPL Global Ionosphere Mapping (GIM) algorithm was used to generate a 35-station dataset spanning two solar minimum periods (1993-2014). We also use altimeter-derived TEC measurements from TOPEX-Poseidon and Jason-1 to construct a continuous dataset for the 1995-2014 time period. Both longterm datasets are compared to each other to study interminimum changes in the global TEC (during 1995-1995 and 2008-2009). We use the SAMI3 physics-based model of the ionosphere to compare the simulations of 1995-2014 with the JPL TEC and TOPEX/Jason-1 datasets. To drive SAMI3, we use the Naval Research Laboratory Solar Spectral Irradiance (NRLSSI) model to specify the EUV irradiances, and NRLMSIS to specify the thermosphere. We adjust the EUV irradiances and thermospheric constituents to match the TEC datasets and draw conclusions regarding sources of the differences between the two solar minimum periods.

A new three-dimensional, print-on-demand temporomandibular prosthetic total joint replacement system: Preliminary outcomes.

PubMed

Dimitroulis, George; Austin, Stephen; Sin Lee, Peter Vee; Ackland, David

2018-05-16

The aim of this study is to present the preliminary clinical data on the OMX Temporomandibular Joint (TMJ) Prosthetic total joint replacement system. A prospective, cohort, clinical study was undertaken of consecutive adult patients with Category 5 end-stage joint disease who were implanted with the OMX TMJ prosthesis between May 2015 and April 2017. A total of 50 devices were implanted in 38 patients, with 12 patients receiving bilateral prosthetic joints. There were 31 females and 7 males in this cohort, who ranged in age from 20 to 66 years, with a mean of 43.8 years (±14.0 years). Ten of the 50 prosthetic joints (20%) were fully customized, while the remaining were patient matched using virtual planning software. Based on a mean follow-up period of 15.3 months (range 12-24 months) following the TMJ total joint replacement, preliminary results suggest the OMX TMJ prosthesis has made a positive impact on clinical outcomes, with a mean 74.4% reduction in joint pain levels and significant improvements (p < 0.05) in jaw function as measured by the visual analogue scales for mouth opening (30.8%), diet (77.1%), and function (59.2%). No device failures were reported during the study period. This study suggests that the print-on-demand OMX TMJ prosthesis, designed for rapid delivery of both patient-matched and fully customize devices, represents a safe, reliable and versatile implantable joint replacement system for the treatment of category 5 end-stage TMJ disease. Copyright © 2018 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Influence of rice straw burning on the levels of polycyclic aromatic hydrocarbons in agricultural county of Taiwan.

PubMed

Lai, Chia-Hsiang; Chen, Kang-Shin; Wang, Hsin-Kai

2009-01-01

Atmospheric particulate and polycyclic aromatic hydrocarbons (PAHs) size distribution were measured at Jhu-Shan (a rural site) and Sin-Gang (a town site) in central Taiwan during the rice straw burning and non-burning periods. The concentrations of total PAHs accounting for a roughly 58% (34%) increment in the concentrations of total PAHs due to rice-straw burning. Combustion-related PAHs during burning periods were 1.54-2.57 times higher than those during non-burning periods. The mass median diameter (MMD) of 0.88-1.21 microm in the particulate phase suggested that rice-straw burning generated the increase in coarse particle number. Chemical mass balance (CMB) receptor model analyses showed that the primary pollution sources at the two sites were similar. However, rice-straw burning emission was specifically identified as a significant source of PAH during burning periods at the two sites. Open burning of rice straws was estimated to contribute approximately 6.3%-24.6% to total atmospheric PAHs at the two sites.

2-Methacryloyloxyethyl phosphorylcholine (MPC)-polymer suppresses an increase of oral bacteria: a single-blind, crossover clinical trial.

PubMed

Fujiwara, Natsumi; Yumoto, Hiromichi; Miyamoto, Koji; Hirota, Katsuhiko; Nakae, Hiromi; Tanaka, Saya; Murakami, Keiji; Kudo, Yasusei; Ozaki, Kazumi; Miyake, Yoichiro

2018-05-16

The biocompatible 2-methacryloyloxyethyl phosphorylcholine (MPC)-polymers, which mimic a biomembrane, reduce protein adsorption and bacterial adhesion and inhibit cell attachment. The aim of this study is to clarify whether MPC-polymer can suppress the bacterial adherence in oral cavity by a crossover design. We also investigated the number of Fusobacterium nucleatum, which is the key bacterium forming dental plaque, in clinical samples. This study was a randomized, placebo-controlled, single-blind, crossover study, with two treatment periods separated by a 2-week washout period. We conducted clinical trial with 20 healthy subjects to evaluate the effect of 5% MPC-polymer mouthwash after 5 h on oral microflora. PBS was used as a control. The bacterial number in the gargling sample before and after intervention was counted by an electronic bacterial counter and a culture method. DNA amounts of total bacteria and F. nucleatum were examined by q-PCR. The numbers of total bacteria and oral streptcocci after 5 h of 5% MPC-polymer treatment significantly decreased, compared to the control group. Moreover, the DNA amounts of total bacteria and F. nucleatum significantly decreased by 5% MPC-polymer mouthwash. We suggest that MPC-polymer coating in the oral cavity may suppress the oral bacterial adherence. MPC-polymer can be a potent compound for the control of oral microflora to prevent oral infection.

Effect of reforestation on streamflow in central New York

USGS Publications Warehouse

Schneider, William Joseph; Ayer, Gordon Roundy

1961-01-01

Hydrologic data have been collected since 1932 in central New York State to determine the effect of reforestation on streamflow. Data are available for three small partly reforested areas and for one nonreforested control area. From 35 to 58 percent of the 3 areas were reforested, mostly with species of pine and spruce. The trees were allowed to grow without thinning or cutting, and by 1958 these reforested areas had developed into dense coniferous woodlots. Intensive statistical analyses of the data from the four study areas were made in 1958. Analyses were made for three hydrologic periods: the dormant season represented by the 6-month period ending April 30, the growing season represented by the 6-month period ending October 31, and the year represented by the 12-month period ending April 30. Analyses of the hydrologic data using multiple correlation with time as a variable and analyses of covariance between early and late periods of record indicated that several significant changes had occurred in the streamflow from the partly reforested study areas. Based on correlation with precipitation, total runoff for the dormant season from the 3 study areas was reduced by annual rates of 0.17 to 0.29 inches per year. Based on correlations with streamflow from a control area, total runoff from the partly reforested Shackham Brook area was reduced by average rates of 0.14 inches per growing season, 0.23 inches per dormant season, and 0.36 inches per hydrologic year. Peak discharges on Shackham Brook during the dormant season were reduced by 1958 by an average of 41 percent for the season, with reductions ranging from an average of 66 percent for November to an average of 16 percent for April. No significant changes were found in the peak discharges for the growing season, rates of base-flow recession, volumes of direct runoff, or annual low flows of streams in the three partly reforested areas. The significant reductions in total runoff are attributed to increases in interception and transpiration in the reforested areas. The reductions in peak discharges during the dormant period are attributed largely to increased interception and sublimation of snowfall, and a gradual desynchronization of snowmelt runoff from the wooded and open areas of partly reforested watersheds. The changes in streamflow occurred gradually over the years; it could not be determined from the data whether changes in streamflow were still occurring in 1958, or whether they had reached a maximum.

Nutritional ecology of wild Bornean orangutans (Pongo pygmaeus wurmbii) in a peat swamp habitat: Effects of age, sex, and season.

PubMed

Vogel, Erin R; Alavi, Shauhin E; Utami-Atmoko, Sri Suci; van Noordwijk, Maria A; Bransford, Timothy D; Erb, Wendy M; Zulfa, Astri; Sulistyo, Fransiska; Farida, Wartika Rosa; Rothman, Jessica M

2017-04-01

The spatial and temporal variation in food abundance has strong effects on wildlife feeding and nutrition. This variation is exemplified by the peatland forests of Central Kalimantan, which are characterized by unpredictable fruiting fluctuations, relatively low levels of fruit availability, and low fruit periods (<3% of trees fruiting) that can last nearly a year. Challenged by these environments, large, arboreal frugivores like orangutans must periodically rely on non-preferred, lower-quality foods to meet their nutritional needs. We examined variation in nutrient intake among age-sex classes and seasons over a 7-year period at the Tuanan Orangutan Research Station in Central Kalimantan. We conducted 2,316 full-day focal follows on 62 habituated orangutans (Pongo pygmaeus wurmbii). We found differences in total energy and macronutrient intake across age-sex classes, controlling for metabolic body mass. Intake of both total energy and macronutrients varied with fruit availability, and preference of dietary items increased with their nutritional quality. Foraging-related variables, such as day journey length, travel time, and feeding time, also varied among age-sex classes and with fruit availability. Our results add to the growing body of literature suggesting that great variation in foraging strategies exists among species, populations, and age-sex classes and in response to periods of resource scarcity. The spatial and temporal variation in food abundance has strong effects on wildlife feeding and nutrition. Here we present the first long term study of the effects of variation in fruit availability and age/sex class on nutritional ecology of wild Bornean orangutans. We examined variation in nutrient intake of wild orangutans in living in a peat swamp habitat over a 7-year period at the Tuanan Orangutan Research Station in Central Kalimantan. We conducted 2,316 full-day focal follows on 62 habituated orangutans (Pongo pygmaeus wurmbii). We found differences in total energy and macronutrient intake across age-sex classes, controlling for metabolic body mass. Intake of both total energy and macronutrients varied with fruit availability, and preference of dietary items increased with their nutritional quality. Foraging-related variables, such as day journey length, travel time, and feeding time, also varied among age-sex classes and with fruit availability. Our results add to the growing body of literature suggesting that great variation in foraging strategies exists among species, populations, and age-sex classes and in response to periods of resource scarcity. © 2016 Wiley Periodicals, Inc.

Long term effect of Ovum Pick-up in buffalo species.

PubMed

Neglia, Gianluca; Gasparrini, Bianca; Vecchio, Domenico; Boccia, Lucia; Varricchio, Ettore; Di Palo, Rossella; Zicarelli, Luigi; Campanile, Giuseppe

2011-02-01

The aim of this study was to evaluate the effect of an Ovum Pick-up (OPU) treatment carried out for 9 months in buffalo (Bubalus bubalis) species. Eight pluriparous non-lactating buffalo cows underwent OPU for 9 months. Recovered cumulus enclosed oocytes (COCs) were classified and COCs suitable for in vitro embryo production (IVEP) were in vitro matured (IVM), fertilized (IVF) and cultured (IVC) to the blastocyst (Bl) stage. Animals were monitored for a total period of 270 days, but at the summer solstice, follicular turnover decreased and at the 68-day of the trial, we decided to increase the OPU sampling interval from 3-4 to 7 days. It was therefore possible to distinguish two phases: a first phase (18 sessions), during which OPU was carried out twice weekly and a second phase (16 sessions) during which OPU sessions were performed weekly. This reduction did not modify the percentage of good quality COCs, while the incidence of grade D COCs decreased (P<0.01). Furthermore, embryo production was higher in the second phase, either if embryos were calculated on the total recovered COCs (8.3% vs. 21.4%; P<0.01) and on grade A+B COCs (13.0% vs. 32.1%; P<0.01), that supposedly should have given similar blastocyst yield. During the total period of the trial it was possible to distinguish a first period of 6 months (34 sessions) characterized by blastocyst production (0.36 blastocyst/buffalo/session), followed by an unproductive period of 3 months (12 sessions), during which embryos were not produced. During the first 6 months a higher (P<0.01) number of follicles (5.06 vs. 3.71), small follicles (3.38 vs. 2.07), total COCs (2.58 vs. 1.56) and good quality (A+B) COCs (1.51 vs. 0.94) per subject/session were recorded compared to the last 3 months. No Blastocyst were produced during the second period, even if the percentage of grade A+B COCs was similar to that recorded during the first period. In conclusion, buffalo cows submitted to repeated OPU sampling for a 9-month period, showed a decline of follicle recruitment and oocyte collection after the first two months of samplings. After 6-month of samplings, in spite of the quality grade of the collected oocytes, we found a drop in their developmental competence. Copyright © 2011 Elsevier B.V. All rights reserved.

Ancient Chinese people's knowledge of macrofungi as medicinal material during the period from 581 to 979 AD.

PubMed

Lu, Di

2014-01-01

Ancient Chinese knowledge of macrofungi during the period from 581 to 979 ad is carefully examined and discussed on the basis of previous studies and a mass of relevant texts from the period. The knowledge of macrofungi during this period was broadened by critically inheriting past literature and adding new findings and knowledge, which could be primarily reflected by the knowledge of the medicinal properties of macrofungi. The exploration of the reliable ways to distinguish edible macrofungi from poisonous ones received special attention from the physicians of this period, despite the fact that none of them were totally reliable. Still, in the field of agriculture, an important achievement was that of new macrofungi cultivation techniques. The notes on macrofungi in literary pieces as well as Taoist works provided many vivid accounts of the uses and nomenclature of macrofungi in Chinese culture.

Nutrients and sediment in frozen-ground runoff from no-till fields receiving liquid-dairy and solid-beef manures

USGS Publications Warehouse

Komiskey, Matthew J.; Stuntebeck, Todd D.; Frame, Dennis R.; Madison, Fred W.

2011-01-01

Nutrients and sediment in surface runoff from frozen agricultural fields were monitored within three small (16.0 ha [39.5 ac] or less), adjacent basins at a no-till farm in southwest Wisconsin during four winters from 2003 to 2004 through 2006 to 2007. Runoff depths and flow-weighted constituent concentrations were compared to determine the impacts of surface-applied liquid-dairy or solid-beef manure to frozen and/or snow-covered ground. Despite varying the manure type and the rate and timing of applications, runoff depths were not significantly different among basins within each winter period. Sediment losses were low (generally less than 22 kg ha−1 [20 lb ac−1] in any year) and any statistical differences in sediment concentrations among basins were not related to the presence or absence of manure or the amount of runoff. Concentrations and losses of total nitrogen and total phosphorus were significantly increased in basins that had either manure type applied less than one week preceding runoff. These increases occurred despite relatively low application rates. Lower concentrations and losses were measured in basins that had manure applied in fall and early winter and an extended period of time (months) had elapsed before the first runoff event. The highest mean, flow-weighted concentrations of total nitrogen (31.8 mg L−1) and total phosphorus (10.9 mg L−1) occurred in winter 2003 to 2004, when liquid-dairy manure was applied less than one week before runoff. On average, dissolved phosphorus accounted for over 80% of all phosphorus measured in runoff during frozen-ground periods. The data collected as part of this study add to the limited information on the quantity and quality of frozen-ground runoff at field edges, and the results highlight the importance of manure management decisions during frozen-ground periods to minimize nutrients lost in surface runoff.

Physical development and swimming performance during biological maturation in young female swimmers.

PubMed

Lätt, Evelin; Jürimäe, Jaak; Haljaste, Kaja; Cicchella, Antonio; Purge, Priit; Jürimäe, Toivo

2009-03-01

The present study analyzed the development of physiological, biomechanical and anthropometrical parameters in young female swimmers and assessed the effect of these parameters on swimming performance during biological maturation. In total, 26 female swimmers participated in the study in which data were annually collected for two consecutive years. Body composition, basic anthropometrical parameters and biological age were measured. During the 400-m front-crawl swimming, the energy cost of swimming and stroking parameters were assessed. Peak oxygen consumption (VO2(peak)) was assessed by means of the backward-extrapolation technique recording VO2 during the first 20 sec of the recovery period after a maximal trial of 400-m distance. During the 2-year follow-up study period, age, height, body mass, body fat %, fat free mass, bone mineral mass, total bone mineral density, arm span and biological maturation values significantly increased during each year (p < 0.05). The tracking of the physical characteristics measured over the 2-year study period was relatively high (r > 0.694), except for the body fat% (r > 0.554). The tracking of the Tanner stages was also high (r = 0.759-0.780). Stepwise regression analyses showed that biomechanical factors (R2 > 0.322; p < 0.05) best characterized the 400-metre swimming performance in young female swimmers, followed by bioenergetical (R2 > 0.311; p < 0.05) and physical (R2 > 0.203; p < 0.05) factors during all three measurement times.

Effects of shade on physiological changes, oxidative stress, and total antioxidant power in Thai Brahman cattle.

PubMed

Aengwanich, Worapol; Kongbuntad, Watee; Boonsorn, Thongchai

2011-09-01

The purpose of this study was to assess the effects of artificial shade, tree shade, and no shade on physiological changes, oxidative stress, and total antioxidant power in Thai Brahman cattle. Twenty-one cattle were divided into three groups: cattle maintained under artificial shade, under tree shade, and without shade. On days 1, 7, 14, 21, and 28 of the experimental period, after the cattle were set in individual stalls for 2 h, physiological changes, thiobarbituric acid reactive substances (TBARS), and total antioxidant power were investigated. The results revealed that the respiratory rate, heart rate, sweat rate and the neutrophil/lymphocyte ratio of the no-shade cattle were significantly higher than those of cattle maintained under artificial shade and tree shade (P < 0.05). During the early period of heat exposure, the total antioxidant power of the no-shade cattle was lower than those of cattle maintained under artificial shade and tree shade, but the total antioxidant power of cattle maintained under artificial shade and tree shade were not different (P > 0.05). However, rectal temperature and packed cell volume of the cattle in all groups did not differ (P > 0.05). These results showed that artificial shade and tree shade can protect cattle from sunlight compared to no shade, and that the effectiveness of tree shade for sunlight protection is at an intermediate level.

Methionine and Choline Supply during the Periparturient Period Alter Plasma Amino Acid and One-Carbon Metabolism Profiles to Various Extents: Potential Role in Hepatic Metabolism and Antioxidant Status.

PubMed

Zhou, Zheng; Vailati-Riboni, Mario; Luchini, Daniel N; Loor, Juan J

2016-12-29

The objective of this study was to profile plasma amino acids (AA) and derivatives of their metabolism during the periparturient period in response to supplemental rumen-protected methionine (MET) or rumen-protected choline (CHOL). Forty cows were fed from -21 through 30 days around parturition in a 2 × 2 factorial design a diet containing MET or CHOL. MET supply led to greater circulating methionine and proportion of methionine in the essential AA pool, total AA, and total sulfur-containing compounds. Lysine in total AA also was greater in these cows, indicating a better overall AA profile. Sulfur-containing compounds (cystathionine, cystine, homocystine, and taurine) were greater in MET-fed cows, indicating an enriched sulfur-containing compound pool due to enhanced transsulfuration activity. Circulating essential AA and total AA concentrations were greater in cows supplied MET due to greater lysine, arginine, tryptophan, threonine, proline, asparagine, alanine, and citrulline. In contrast, CHOL supply had no effect on essential AA or total AA, and only tryptophan and cystine were greater. Plasma 3-methylhistidine concentration was lower in response to CHOL supply, suggesting less tissue protein mobilization in these cows. Overall, the data revealed that enhanced periparturient supply of MET has positive effects on plasma AA profiles and overall antioxidant status.

Methionine and Choline Supply during the Periparturient Period Alter Plasma Amino Acid and One-Carbon Metabolism Profiles to Various Extents: Potential Role in Hepatic Metabolism and Antioxidant Status

PubMed Central

Zhou, Zheng; Vailati-Riboni, Mario; Luchini, Daniel N.; Loor, Juan J.

2016-01-01

The objective of this study was to profile plasma amino acids (AA) and derivatives of their metabolism during the periparturient period in response to supplemental rumen-protected methionine (MET) or rumen-protected choline (CHOL). Forty cows were fed from −21 through 30 days around parturition in a 2 × 2 factorial design a diet containing MET or CHOL. MET supply led to greater circulating methionine and proportion of methionine in the essential AA pool, total AA, and total sulfur-containing compounds. Lysine in total AA also was greater in these cows, indicating a better overall AA profile. Sulfur-containing compounds (cystathionine, cystine, homocystine, and taurine) were greater in MET-fed cows, indicating an enriched sulfur-containing compound pool due to enhanced transsulfuration activity. Circulating essential AA and total AA concentrations were greater in cows supplied MET due to greater lysine, arginine, tryptophan, threonine, proline, asparagine, alanine, and citrulline. In contrast, CHOL supply had no effect on essential AA or total AA, and only tryptophan and cystine were greater. Plasma 3-methylhistidine concentration was lower in response to CHOL supply, suggesting less tissue protein mobilization in these cows. Overall, the data revealed that enhanced periparturient supply of MET has positive effects on plasma AA profiles and overall antioxidant status. PMID:28036059

Increasing biomass carbon stocks in trees outside forests in China over the last three decades

NASA Astrophysics Data System (ADS)

Guo, Z. D.; Hu, H. F.; Pan, Y. D.; Birdsey, R. A.; Fang, J. Y.

2014-08-01

Trees outside forests (TOF) play important roles in national economies, ecosystem services, and international efforts for mitigating climate warming. Detailed assessment of the dynamics of carbon (C) stocks in China's TOF is necessary for fully evaluating the role of the country's trees in the national C cycle. This study is the first to explore the changes in biomass C stocks of China's TOF over the last three decades, using the national forest inventory data in six periods from 1977 to 2008. According to the definition of the forest inventory, China's TOF could be categorized into three groups: woodlands, shrubberies, and trees on non-forest land (including four-side greening trees, defined in the article, and scattered trees). We estimated biomass C stocks of woodlands and trees on non-forest land by using the provincial biomass-volume conversion equations derived from the data of low-canopy forests, and estimated the biomass C stocks of shrubberies using the provincial mean biomass density. Total TOF biomass C stock increased by 62.7% from 823 Tg C (1 Tg = 1012 g) in the initial period of 1977-1981 to 1339 Tg C in the last period of 2004-2008. As a result, China's TOF have accumulated biomass C of 516 Tg during the study period, with 12, 270, and 234 Tg in woodlands, shrubberies, and trees on non-forest land, respectively. The annual biomass C sink of China's TOF averaged 19.1 Tg C yr-1, offsetting 2.1% of the contemporary fossil-fuel CO2 emissions in the country. These estimates are equal to 16.5-20.7% of the contemporary total forest biomass C stock and 27.2% of the total forest biomass C sink in the country, suggesting that TOF are substantial components in China's tree C budget.

[Spatio-temporal characteristics and source identification of water pollutants in Wenruitang River watershed].

PubMed

Ma, Xiao-xue; Wang, La-chun; Liao, Ling-ling

2015-01-01

Identifying the temp-spatial distribution and sources of water pollutants is of great significance for efficient water quality management pollution control in Wenruitang River watershed, China. A total of twelve water quality parameters, including temperature, pH, dissolved oxygen (DO), total nitrogen (TN), ammonia nitrogen (NH4+ -N), electrical conductivity (EC), turbidity (Turb), nitrite-N (NO2-), nitrate-N(NO3-), phosphate-P(PO4(3-), total organic carbon (TOC) and silicate (SiO3(2-)), were analyzed from September, 2008 to October, 2009. Geographic information system(GIS) and principal component analysis(PCA) were used to determine the spatial distribution and to apportion the sources of pollutants. The results demonstrated that TN, NH4+ -N, PO4(3-) were the main pollutants during flow period, wet period, dry period, respectively, which was mainly caused by urban point sources and agricultural and rural non-point sources. In spatial terms, the order of pollution was tertiary river > secondary river > primary river, while the water quality was worse in city zones than in the suburb and wetland zone regardless of the river classification. In temporal terms, the order of pollution was dry period > wet period > flow period. Population density, land use type and water transfer affected the water quality in Wenruitang River.

[Alcohol advertising in written mass media in Spain].

PubMed

Montes-Santiago, J; Alvarez Muñiz, M L; Baz Lomba, A

2007-03-01

Alcohol advertising is a powerful factor of incitation to consumption. We analyzed the alcohol advertising, especially that youth-focused, in written mass media in Spain during the period 2002-2006. Annual cross-sectional study of advertisements in 41 widely difused written mass media (average readers: 10,1 millions). Media admitting alcohol publicity were 29% in the whole. (2,9 millions of readers on average, 29% of total readers). Alcohol advertising constituted the 3,8% of global publicity and the 8,6% of the publicity in media admitting alcohol publicity. In this period only 4% of the media (2,4% of total readers) inserted antidrug campaigns. In brief, three out of 10 total readers and one out of 12 people older than 15 years suffered the impact of tobacco advertising. Young people were included in 33% of alcohol advertisements and 3 out of 6 of youth-oriented magazines permitted a such publicity. Alcohol publicity remains high in written mass media in Spain. By contrast few people received informative antidrug campaigns. Advertising was preferentially directed to young people.

Unexpectedly high mercury level in pelleted commercial fish feed

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

Choi, M.H.; Cech, J.J. Jr.

1998-10-01

An unexpectedly high mercury (Hg) level was found in a pelleted commercial fish feed used to feed fish in laboratory and fish farm settings. Mean total Hg (T-Hg) concentration in the commercial fish pellets was 66 ppb. Mean total selenium (T-Se) concentration in the pellets was 1,120 ppb (ranging from 790 to 1,360 ppb). Total Hg and Se in the whole blood of Sacramento blackfish and in the fish feed were determined by inductively coupled plasma-mass spectrometry (ICP-MS). During a 10-week sampling period T-Hg in blood fluctuated between 35 and 56 ppb. A highly significant, positive correlation was found betweenmore » T-Hg in the fish blood and in the fish feed through the sampling period. On the other hand, no correlation was found between T-Se in the fish feed and T-Hg or T-Se blood level. Researchers working with fish in Hg studies need to know that fish pellets may contain Hg and to consider the influence of these pellets in their results.« less

[Trends concerning medical articles 1989-1998. A study of Danish articles compared to other members of the European Union].

PubMed

Jørgensen, H L; Praetorius, L; Ingwersen, P

1999-11-15

The paper analyses the development of the total number of journal articles indexed in the Medline database published by authors affiliated to Denmark 1989-1998 in medicine compared to the development in the European Union during the same period. The publication analysis is then compared to the citation impact of articles published in the central journals indexed in Science Citation Index (ISI) 1987-1996 through use of the National Science Indicators (NIS, ISI) database. The total number of Danish journal articles has remained relatively constant compared to a 50% increase in the EU as a whole. The number of Danish articles published in central journals, however, has increased by 20% (compared to 27% for the EU) and the number of citations obtained by these articles by 58% (compared to 66% for the EU) in the 1987-1996 period. By population, Denmark ranked third in total number of articles in 1998. In conclusion, Denmark is very active in medical research but neither the quantity nor the quality of Danish medical research has increased at the same rate as the EU average.

Oral Administration of β-1,3/1,6-Glucan to Dogs Temporally Changes Total and Antigen-Specific IgA and IgM▿

PubMed Central

Stuyven, E.; Verdonck, F.; Van Hoek, I.; Daminet, S.; Duchateau, L.; Remon, J. P.; Goddeeris, B. M.; Cox, E.

2010-01-01

The effect of oral administration of β-1,3/1,6-glucans from Saccharomyces cerevisiae on humoral immunity in domestic dogs is not known. In this study, 15 beagle dogs were orally given MacroGard tablets, which contain 150 mg of this β-glucan, daily for 4 weeks. At the end of this period, the total serum immunoglobulin A (IgA) level decreased significantly in the group treated with the glucan compared to that in the control group as well as compared to the concentrations before supplementation. In contrast, the total serum IgM level rose significantly, whereas no effect on the IgG level occurred. Similar changes were seen in Bordetella-specific IgA and IgM titers following vaccination during the supplementation period. The IgA concentration also became significantly lower in the saliva and tears of the glucan group than in the placebo group. The effects disappeared 1 week after the cessation of the supplementation. In conclusion, the results showed a temporary change in the isotype profile during glucan supplementation. PMID:20032218

BOVINE LYOPHILIZED GRAFT (BLG): HISTOLOGICAL ANALYSIS ON BEHAVIOR IN HUMANS AFTER 49 MONTHS

PubMed Central

Galia, Carlos Roberto; De Luca, Giuseppe; Ávila, Luiz Müller; Rosito, Ricardo; Macedo, Carlos Alberto Souza

2015-01-01

Objective: To analyze the histological behavior of bovine lyophilized grafts (BLG) produced according to a protocol developed by the first author, in humans over a 49-month period by measuring the graft/bone neoformation ratio in relation to the total mineralized area. Methods: This was a case series involving 12 patients: eight females (66%) and four males (34%), totaling 13 biopsies. BLG was used, and surgical reintervention was subsequently required during the period 2000 to 2011. The slides produced were stained with hematoxylin-eosin (HE), were analyzed by a pathologist and were digitized for the proposed evaluation. Results: The mean age was 57 years and the mean follow-up was 49 months (range: 6-115). The average proportion of BLG was 42% (range: 13-85) and neoformed bone, 58% (range: 15-87) in relation to the total area mineralized. Conclusions: This study demonstrated that the BLG used presented osteoconductive characteristics and biocompatibility. BLG is a therapeutic option that can be used in orthopedic surgery in which bone defects need to be filled. PMID:27047899

Gas composition of sludge residue profiles in a sludge treatment reed bed between loadings.

PubMed

Larsen, Julie D; Nielsen, Steen M; Scheutz, Charlotte

2017-11-01

Treatment of sludge in sludge treatment reed bed systems includes dewatering and mineralization. The mineralization process, which is driven by microorganisms, produces different gas species as by-products. The pore space composition of the gas species provides useful information on the biological processes occurring in the sludge residue. In this study, we measured the change in composition of gas species in the pore space at different depth levels in vertical sludge residue profiles during a resting period of 32 days. The gas composition of the pore space in the sludge residue changed during the resting period. As the resting period proceeded, atmospheric air re-entered the pore space at all depth levels. The methane (CH 4 ) concentration was at its highest during the first part of the resting period, and then declined as the sludge residue became more dewatered and thereby aerated. In the pore space, the concentration of CH 4 often exceeded the concentration of carbon dioxide (CO 2 ). However, the total emission of CO 2 from the surface of the sludge residue exceeded the total emission of CH 4 , suggesting that CO 2 was mainly produced in the layer of newly applied sludge and/or that CO 2 was emitted from the sludge residue more readily compared to CH 4 .

Relationship between phases of quasi-decadal oscillations of total ozone and the 11-year solar cycle

NASA Astrophysics Data System (ADS)

Visheratin, K. N.

2012-02-01

Temporal variability of the relationship between the phases of quasi-decadal oscillations (QDOs) of total ozone (TO), measured at the Arosa station, and the Ri international sunspot number have been analyzed for the period of 1932-2009. Before the 1970s, the maximum phase of ozone QDOs lagged behind solar activity variations by about 2.5-2.8 years and later outstripped by about 1.5 years. We assumed that the TO QDOs in midlatitudes of the Northern Hemisphere were close to being in resonance with solar activity oscillations in the period from the mid-1960s to the mid-1970s and assessed the characteristic delay period of TO QDOs. The global distribution of phases and amplitudes of TO QDOs have been studied for the period from 1979 to 2008 based on satellite data. The maximum phase of TO QDOs first onsets in northern middle and high latitudes and coincides with the end of the growth phase of the 11-year solar cycle. In the tropics, the maximum oscillation phase lags behind by 0.5-1 year. The maximum phase lag near 40-50° S is about two years. The latitudinal variations of the phase of TO QDOs have been approximated.

Joint Effects of Age, Period, and Cohort on Conduct Problems Among American Adolescents From 1991 Through 2015.

PubMed

Keyes, Katherine M; Gary, Dahsan S; Beardslee, Jordan; Prins, Seth J; O'Malley, Patrick M; Rutherford, Caroline; Schulenberg, John

2018-03-01

Although arrest rates among juveniles have substantially decreased since the 1990s, US national trends in conduct problems are unknown. Population variation in conduct problems would imply changes in the social environment, which would include emergent or receding risk factors. In the present study, we separated age, period, and cohort effects on conduct problems using nationally representative surveys of 375,879 US students conducted annually (1991-2015). The summed score of 7 items measuring the frequency of conduct problems was the outcome. Conduct problems have decreased during the past 25 years among boys; the total amount of the decrease was approximately 0.4 standard deviations (P < 0.01), and by item prevalence, the total amount of the decrease was 8%-11%. Declines are best explained by period effects beginning approximately in 2008, and a declining cohort effect beginning among those born after 1992, which suggests not only declines in population levels, but more rapid declines among younger cohorts of boys. Trends were also consistent with age-period-cohort effects on evenings spent out, which suggest a possible mechanism. Conduct problems among girls were lower than boys and did not demonstrate trends across time. These changes may reflect the changing nature of adolescence toward less unsupervised interaction.

The effect of water restriction on physiological and blood parameters on lactating dairy cows reared under Mediterranean climate.

PubMed

Benatallah, Amel; Ghozlane, Faissal; Marie, Michel

2018-05-31

This study was conducted to evaluate the effect of water restriction (WR) on physiological and blood parameters on lactating dairy cows reared under Mediterranean climate. The trial lasted 16 days preceded by two weeks of adaptation to the experimental condition in spring 2014 on 6 dairy cows in mid-lactation. These cows were watered at will for 4 days (W100) (hydration period), then split into 2 groups, one group has received 25% and the other 50% of water compared to their mean water consumption during the hydration period; then rehydrated for 4 days. Feed intake and physiological parameters: respiratory rate (RR), heart rate (HR) and rectal temperature (RT) were recorded twice a day. Par cons, the blood was collected once a day and analyzed for serum concentration of glucose (Glc), triglycerides (TG), cholesterol (Chol), urea (Ur), creatinine (Crea) and total protein (TP) by enzymatic colorimetric method and cortisol (Cort) by radioimmunoassay (RIA). Total dry matter intake (TDMI) was affected by WR. In fact, a decrease in TDMI was observed in WR groups compared to W100 group (effect, group, period, day, group x day, period x day: p<0.001). Also, WR resulted in a significant increase in RR, HR, RT in WR groups than in W100 group (effect, group: p<0.001). In addition, an increase in the serum concentration of Glc, TG, Chol, Ur, Crea, TP and Cort was noted in WR groups (effect, group, period, day: p<0.001) . This study has shown the ability of cows raised in a Mediterranean climate to cope with different levels of water restriction and thus reach a new equilibrium. As result, the important role of water as a limiting factor for livestock in environments with low water availability.

Simultaneous teleseismic and geodetic observations of the stick-slip motion of an Antarctic ice stream.

PubMed

Wiens, Douglas A; Anandakrishnan, Sridhar; Winberry, J Paul; King, Matt A

2008-06-05

Long-period seismic sources associated with glacier motion have been recently discovered, and an increase in ice flow over the past decade has been suggested on the basis of secular changes in such measurements. Their significance, however, remains uncertain, as a relationship to ice flow has not been confirmed by direct observation. Here we combine long-period surface-wave observations with simultaneous Global Positioning System measurements of ice displacement to study the tidally modulated stick-slip motion of the Whillans Ice Stream in West Antarctica. The seismic origin time corresponds to slip nucleation at a region of the bed of the Whillans Ice Stream that is likely stronger than in surrounding regions and, thus, acts like an 'asperity' in traditional fault models. In addition to the initial pulse, two seismic arrivals occurring 10-23 minutes later represent stopping phases as the slip terminates at the ice stream edge and the grounding line. Seismic amplitude and average rupture velocity are correlated with tidal amplitude for the different slip events during the spring-to-neap tidal cycle. Although the total seismic moment calculated from ice rigidity, slip displacement, and rupture area is equivalent to an earthquake of moment magnitude seven (M(w) 7), seismic amplitudes are modest (M(s) 3.6-4.2), owing to the source duration of 20-30 minutes. Seismic radiation from ice movement is proportional to the derivative of the moment rate function at periods of 25-100 seconds and very long-period radiation is not detected, owing to the source geometry. Long-period seismic waves are thus useful for detecting and studying sudden ice movements but are insensitive to the total amount of slip.

Infliximab "Top-Down" Strategy is Superior to "Step-Up" in Maintaining Long-Term Remission in the Treatment of Pediatric Crohn Disease.

PubMed

Lee, Yoo Min; Kang, Ben; Lee, Yoon; Kim, Mi Jin; Choe, Yon Ho

2015-06-01

We aimed to compare the efficacy of remission maintenance between infliximab "top-down" and "step-up" strategies in moderate to severe pediatric Crohn disease during 3 years. We also aimed to determine prognostic factors that may influence the relapse-free rate in these patients. The present study was a retrospective review of a prospective cohort, based on an infliximab treatment protocol for pediatric Crohn disease used at Samsung Medical Center. A total of 31 patients (group A) were treated with early infliximab induction ("top-down" strategy) and 20 patients (group B) refractory to conventional therapy underwent infliximab treatment ("step-up" strategy). The efficacy of infliximab treatment was assessed by relapse-free rate and remission period rate for 3 years. A total of 11 prognostic factors that may influence the relapse-free rate were further analyzed. The relapse-free rates at 3 years were 35.5% (95% confidence interval [CI] 0.194-0.519) in group A and 15.0% (95% CI 0.037-0.335) in group B (P = 0.0094). Overall remission period rate for 3 years also showed a significant difference between the 2 groups (92.1%  ± 7.2% vs 78.3%  ± 16.6%; P = 0.005). Multivariable analysis revealed that the duration from the initial diagnosis to infliximab infusion was the only factor associated with relapse-free remission for 3 years (hazard ratio = 1.077; 95% CI 1.025-1.131). "Top-down" strategy had a longer remission period compared with the "step-up" strategy in pediatric Crohn disease during a study period of 3 years, based on relapse-free rate and remission period rate. Earlier introduction of infliximab is recommended in pediatric patients with moderate to severe Crohn disease.

[Incidence of tuberculosis at the local level: Marianao Municipality, Havana City, Cuba (1990-2000)].

PubMed

D'fana Valdés, Jorgelina; Cambell, Shirley; Armas Pérez, Luisa; Fraginal, Bárbaro; González Ochoa, Edilberto

2003-01-01

For the elimination of tuberculosis (TB) is necessary the surveillance of the incidence rate at the local level, as this is the first level of access to the health service. This study is aimed at providing a description of the spread and trend of the tuberculosis incidence rates in Marianao Municipality, Habana City by healthcare areas and age groups throughout the 1990-2000 period. The time series for the 1990-1994 and 1995-2000 incidence rates were analyzed employing a two parameter exponential smoothing method. The total percentage and annual average of variation was estimated. The healthcare areas were stratified. In 1990-1994, the rate rose from 11.1 to 25.8 per 105 inhabitants (33% of increase by year), having been most noticeable in Carlos J. Finlay and Portuondo health areas (respectively annual average 112.7% y 36.2% increases). Taking into account that the control program was strengthened in 1995, the rates dropped by 47.6% in this municipality during the 1995-2000 period. The Finlay and Portuondo areas respectively lowered their rates by 79.9% y 39.7% while the Gonzalez Coro area showed a 58.3% rise and 27 de Noviembre area had no major change. The age and above 60 group had the higher percentage of cases, recording 49.8% of the total and only one case among children under age 15 for the period. During this same period, only six cases of tuberculosis/human inmunodeficiency virus were diagnosed. The 27 de Noviembre area was the only one found to be at the unsatisfactory level according to the stratification. An initially upward trend, followed by a downward trend in tuberculosis was found to exist in the Marianao Municipality throughout the period studied. This disease was predominant among older adults.

Analysis of ionospheric irregularities during total solar eclipse 2016 based on GNSS observation

NASA Astrophysics Data System (ADS)

Husin, A.; Jiyo; Anggarani, S.; Ekawati, S.; Dear, V.

2016-11-01

A total solar eclipse occurred over Indonesia in the morning hours on 9 March 2016. Ionisations in the ionosphere which is associated with the solar radiation during the total eclipse provided a good opportunity to study the ionospheric irregularities. Using global navigation satellite system (GNSS) data taken from dual-frequency receivers in Manado, we investigated and analysed the total electron content (TEC) perturbations with a time resolution of 60 s to reveal ionospheric irregularities during total eclipse. Result showed that TEC conditions based on IPP were decreased during solar eclipse on March 9, comparing with the neighbour day. The maximum percentage deviation (DTEC) from the average value during eclipse period, 00:00 - 02:40 UT reach -41.5%. The duration of maximum decrement in TEC occurs were around 2-30 minutes after the maximum obscuration.

#Frailty: A snapshot Twitter report on frailty knowledge translation.

PubMed

Jha, Sunita R; McDonagh, Julee; Prichard, Ros; Newton, Phillip J; Hickman, Louise D; Fung, Erik; Macdonald, Peter S; Ferguson, Caleb

2018-05-07

The objectives of this short report are to: (i) explore #Frailty Twitter activity over a six-month period; and (ii) provide a snapshot Twitter content analysis of #Frailty usage. A mixed-method study was conducted to explore Twitter data related to frailty. The primary search term was #Frailty. Objective 1: data were collected using Symplur analytics, including variables for total number of tweets, unique tweeters (users) and total number of impressions. Objective 2: a retrospectively conducted snapshot content analysis of 1500 #Frailty tweets was performed using TweetReach ™ . Over a six-month period (1 January 2017-31 June 2017), there was a total of 6545 #Frailty tweets, generating 14.8 million impressions across 3986 participants. Of the 1500 tweets (814 retweets; 202 replies; 484 original tweets), 56% were relevant to clinical frailty. The main contributors ('who') were as follows: the public (29%), researchers (25%), doctors (21%), organisations (18%) and other allied health professionals (7%). Tweet main message intention ('what') was public health/advocacy (41%), social communication (28%), research-based evidence/professional education (24%), professional opinion/case studies (15%) and general news/events (7%). Twitter is increasingly being used to communicate about frailty. It is important that thought leaders contribute to the conversation. There is potential to leverage Twitter to promote and disseminate frailty-related knowledge and research. © 2018 AJA Inc.

Relevance of infiltration analgesia in pain relief after total knee arthroplasty

PubMed Central

Znojek-Tymborowska, Justyna; Kęska, Rafał; Paradowski, Przemysław T.; Witoński, Dariusz

2013-01-01

OBJECTIVE: The aim of the study was to assess the effect of different types of anesthesia on pain intensity in early postoperative period. PATIENTS AND METHODS: A total of 87 patients (77 women, 10 men) scheduled for total knee arthroplasty (TKA) were assigned to receive either subarachnoid anesthesia alone or in combination with local soft tissue anesthesia, local soft tissue anesthesia and femoral nerve block and pre-emptive infiltration together with local soft tissue anesthesia. We assessed the pain intensity, opioid consumption, knee joint mobility, and complications of surgery. RESULTS: Subjects with pre-emptive infiltration and local soft tissue anesthesia had lower pain intensity on the first postoperative day compared to those with soft tissue anesthesia and femoral nerve block (P=0.012, effect size 0.68). Subjects who received pre-emptive infiltration and local soft-tissue anesthesia had the greatest range of motion in the operated knee at discharge (mean 90 grades [SD 7], P=0.01 compared to those who received subarachnoid anesthesia alone, and P=0.001 compared to those with subarachnoid together with soft tissue anesthesia). CONCLUSION: Despite the differences in postoperative pain and knee mobility, the results obtained throughout the postoperative period do not enable us to favour neither local nor regional infiltration anesthesia in TKA. Level of Evidence II, Prospective Comparative Study. PMID:24453679

Breast cancer: surgery at the South egypt cancer institute.

PubMed

Salem, Ahmed A S; Salem, Mohamed Abou Elmagd; Abbass, Hamza

2010-09-30

Breast cancer is the most frequent malignant tumor in women worldwide. In Egypt, it is the most common cancer among women, representing 18.9% of total cancer cases (35.1% in women and 2.2% in men) among the Egypt National Cancer Institute's (NCI) series of 10,556 patients during the year 2001, with an age-adjusted rate of 49.6 per 100,000 people. In this study, the data of all breast cancer patients presented to the surgical department of the South Egypt cancer Institute (SECI) hospital during the period from Janurary 2001 to December 2008 were reviewed .We report the progress of the availability of breast cancer management and evaluation of the quality of care delivered to breast cancer patients. The total number of patients with a breast lump presented to the SECI during the study period was 1,463 patients (32 males and 1431 females); 616 patients from the total number were admitted at the surgical department .There was a decline in advanced cases. Since 2001, facilities for all lines of comprehensive management have been made accessible for all patients. We found that better management could lead to earlier presentation, and better overall outcome in breast cancer patients.The incidence is steadily increasing with a tendency for breast cancer to occur in younger age groups and with advanced stages.