Lee, Suhyun; Kim, Yumi; Lee, Byoung-Hee
2016-12-01
In the present study, we aimed to investigate the effect of virtual reality-based bilateral upper extremity training (VRBT) on paretic upper limb function and muscle strength in patients with stroke. Eighteen stroke survivors were assigned to either the VRBT group (n = 10) or the bilateral upper limb training group (BT, n = 8). Patients in the VRBT group performed bilateral upper extremity exercises in a virtual reality environment, whereas those in the BT group performed conventional bilateral upper extremity exercises. All training was conducted for 30 minutes day -1 , 3 days a week, for a period of 6 weeks. Patients were assessed for upper extremity function and hand strength. Compared with the BT group, the VRBT group exhibited significant improvements in upper extremity function and muscle strength (p < 0.05) after the 6-week training programme. The Box and Block test results revealed that upper extremity function and elbow flexion in hand strength were significantly improved in terms of group, time and interaction effect of group by time. Furthermore, the VRBT group demonstrated significant improvements in upper extremity function, as measured by the Jebsen Hand Function Test and Grooved Pegboard test, and in the hand strength test, as measured by elbow extension, grip, palmar pinch, lateral pinch and tip pinch, in both time and the interaction effect of group by time. These results suggest that VRBT is a feasible and beneficial means of improving upper extremity function and muscle strength in individuals following stroke. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.
Satellite Observations of Glacier Surface Velocities in Southeast Alaska
NASA Astrophysics Data System (ADS)
Elliott, J.; Melkonian, A. K.; Pritchard, M. E.
2012-12-01
Glaciers in southeast Alaska are undergoing rapid changes and are significant contributors to sea level rise. A key to understanding the ice dynamics is knowledge of the surface velocities, which can be used with ice thickness measurements to derive mass flux rates. For many glaciers in Alaska, surface velocity estimates either do not exist or are based on data that are at least a decade old. Here we present updated maps of glacier surface velocities in southeast Alaska produced through a pixel tracking technique using synthetic aperture radar data and high-resolution optical imagery. For glaciers with previous velocity estimates, we will compare the results and discuss possible implications for ice dynamics. We focus on Glacier Bay and the Stikine Icefield, which contain a number of fast-flowing tidewater glaciers including LeConte, Johns Hopkins, and La Perouse. For the Johns Hopkins, we will also examine the influence a massive landslide in June 2012 had on flow dynamics. Our velocity maps show that within Glacier Bay, the highest surface velocities occur on the tidewater glaciers. La Perouse, the only Glacier Bay glacier to calve directly into the Pacific Ocean, has maximum velocities of 3.5 - 4 m/day. Johns Hopkins Glacier shows 4 m/day velocities at both its terminus and in its upper reaches, with lower velocities of ~1-3 m/day in between those two regions. Further north, the Margerie Glacier has a maximum velocity of ~ 4.5 m/day in its upper reaches and a velocity of ~ 2 m/day at its terminus. Along the Grand Pacific terminus, the western terminus fed by the Ferris Glacier displays velocities of about 1 m/day while the eastern terminus has lower velocities of < 0.5 m/day. The lake terminating glaciers along the Pacific coast have overall lower surface velocities, but they display complex flow patterns. The Alsek Glacier displays maximum velocities of 2.5 m/day above where it divides into two branches. Velocities at the terminus of the northern branch reach 1 m/day while the terminus of the southern branch moves about 2 m/day. Grand Plateau Glacier also divides into two main branches, with a northern branch displaying peak velocities of 1.5 m/day and a southern branch flowing at a rate of 1 m/day. The Stikine Icefield contains a number of large tidewater glaciers showing maximum velocities near their termini. At the terminus of the South Sawyer Glacier, velocities reach a peak of about 2 m/day. Along the terminus of the Dawes Glacier, velocities reach 3.5 m/day. The Baird Glacier displays lower velocities of 1-1.5 m/day. LeConte Glacier has 2-3 m/day velocities in its upper regions with higher velocities near its terminus. In contrast to the pattern shown by the surrounding glaciers, the Great Glacier has a peak velocity of 2 m/day in the upper portion of the glacier and a velocity of only 0.5 m/day near its terminus.
Davis, J.H.
1998-01-01
The Naval Air Station, Jacksonville (herein referred to as the Station), occupies 3,800 acres adjacent to the St. Johns River in Duval County, Florida. Operable Unit 3 (OU3) occupies 134 acres on the eastern side of the Station and has been used for industrial and commercial purposes since World War II. Ground water contaminated by chlorinated organic compounds has been detected in the surficial aquifer at OU3. The U.S. Navy and U.S. Geological Survey (USGS) conducted a cooperative hydrologic study to evaluate the potential for ground water discharge to the neighboring St. Johns River. A ground-water flow model, previously developed for the area, was recalibrated for use in this study. At the Station, the surficial aquifer is exposed at land surface and forms the uppermost permeable unit. The aquifer ranges in thickness from 30 to 100 feet and consists of unconsolidated silty sands interbedded with local beds of clay. The low-permeability clays of the Hawthorn Group form the base of the aquifer. The USGS previously conducted a ground-water investigation at the Station that included the development and calibration of a 1-layer regional ground-water flow model. For this investigation, the regional model was recalibrated using additional data collected after the original calibration. The recalibrated model was then used to establish the boundaries for a smaller subregional model roughly centered on OU3. Within the subregional model, the surficial aquifer is composed of distinct upper and intermediate layers. The upper layer extends from land surface to a depth of approximately 15 feet below sea level; the intermediate layer extends from the upper layer down to the top of the Hawthorn Group. In the northern and central parts of OU3, the upper and intermediate layers are separated by a low-permeability clay layer. Horizontal hydraulic conductivities in the upper layer, determined from aquifer tests, range from 0.19 to 3.8 feet per day. The horizontal hydraulic conductivity in the intermediate layer, determined from one aquifer test, is 20 feet per day. An extensive stormwater drainage system is present at OU3 and the surrounding area. Some of the stormwater drains have been documented to be draining ground water from the upper layer of the surficial aquifer, whereas other drains are only suspected to be draining ground water. The subregional model contained 78 rows and 148 columns of square model cells that were 100 feet on each side. Vertically, the surficial aquifer was divided into two layers; layer 1 represented the upper layer and layer 2 represented the intermediate layer. Steady-state ground-water flow conditions were assumed. The model was calibrated to head data collected on October 29 and 30, 1996. After calibration, the model matched all 67 measured heads to within the calibration criterion of 1 foot; and 48 of 67 simulated heads (72 percent) were within 0.5 foot. Model simulated recharge rates ranged from 0.4 inch per year in areas that were largely paved to 13.0 inches per year in irrigated areas. Simulated hydraulic conductivities in the upper layer at OU3 ranged from 0.5 foot per day in the north to 1.0 foot per day in the south. Simulated vertical leakance between the upper and intermediate layers ranged from 1.0x10-6 per day in an area with low-permeability clays to 4.3x10-2 per day in an area that had been dredged. Simulated transmissivities in the intermediate layer ranged from 25 feet squared per day in an area of low-permeability channel-fill deposits to a high of 1,200 feet squared per day in areas covering most of OU3. Simulated riverbed conductances ranged from 4 to 60 feet squared per day and simulated bottom conductances of leaking stormwater drains ranged from 5 to 20 feet squared per day. The direction and velocity of ground-water flow was determined using particle-tracking techniques. Ground-water flow in the upper layer was generally eastward toward the St. Johns River. However, leaking stormwat
Effects of near-infrared LED therapy on experimental tooth replantation in rats.
Pigatto Mitihiro, Débora; de Paula Ramos, Solange; Corazza Montero, Janaína; Alves Campos, Aline; de Oliveira Toginho Filho, Dari; Dezan Garbelini, Cassia Cilene
2017-02-01
Dental avulsion damages periodontal tissues and may induce dentoalveolar ankylosis and root resorption after replantation. The aim of this work was to evaluate the effects of light-emitting diode (LED) therapy after tooth replantation. The upper right incisors of 36 male Wistar rats were extracted and replanted after 15 min. The control group (Co, n = 18) was submitted to replantation and the LED group (n = 18) was submitted to replantation and LED therapy (940 nm, 4 J cm -2 ) for three consecutive days (0, 24, and 48 h). Six animals from each group were euthanized at 7, 14, and 21 days for histological analysis. The upper left incisors were used as a negative control. Data were compared using the Fisher exact test, considering P < 0.05. After 7 days, the Co (73.3%) and LED (72.2%) groups presented areas of periodontal ligament necrosis. However, periodontal ligament necrosis was more frequent in the LED group at 14 (70%, P < 0.05) and 21 days (43.2%, P < 0.05) in relation to the Co group (33 and 21.6%). Inflammatory cell infiltration was more frequent in the Co group at 7 days (100%) than the LED group (24.4%, P < 0.05), but increased in the LED group after 21 days (83.3%, P < 0.05). Bone necrosis was more frequent in the LED group after 14 (79%, P < 0.05) and 21 days (60%, P < 0.005) than in the Co group (45% and 20%). Bone repair was evident in the Co group at 14 days. All of the replanted teeth had pulp necrosis. The results suggest that the application of LED therapy up to 48 h after tooth replantation may delay periodontal ligament repair. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Enhanced immunity in intradermal vaccination by novel hollow microneedles.
Ogai, N; Nonaka, I; Toda, Y; Ono, T; Minegishi, S; Inou, A; Hachiya, M; Fukamizu, H
2018-04-29
The intradermal (ID) route for vaccination represents an effective alternative to subcutaneous (SC)/intramuscular administration to induce protective immunity. However, a critical issue associated with ID vaccination is the precise delivery of solution in the upper dermis, which ensures enhanced immunity. We fabricated a hollow microneedle unit made of poly-glycolic acid by injection molding and bonding, and created a dedicated prototype injector. To ensure ID delivery of solution, the injected site was macroscopically and microscopically examined. Serum immunoglobulin G antibody production was measured by enzyme immunoassay and compared in groups of rats following either ID delivery with microneedles or SC administration with a 27-G stainless needle of graded vaccine doses. The unit used a tandem array of six microneedles, each with a side delivery hole, and a conduit inside for solution. Microneedles installed in the injector punctured the skin with the aid of a spring. Injection of solution formed a wheal due to ID distribution. Histologically, a wedge-shaped skin defect in the upper skin corresponded to each puncture site. Antibody titers following vaccinations on days 1 and 8 were significantly higher with ID injection than with SC delivery on day 15 and every 7 days thereafter until day 36 with mumps vaccination, and until day 36 with varicella vaccination. The microneedle unit presented here delivered solution intradermally without any difficulty and evoked antibody responses against viruses even with the reduced vaccine volume. Our findings confirm promising results of ID delivery as an immunogenic option to enhance vaccination efficacy. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Effects of residence time on summer nitrate uptake in Mississippi River flow-regulated backwaters
James, W.F.; Richardson, W.B.; Soballe, D.M.
2008-01-01
Nitrate uptake may be improved in regulated floodplain rivers by increasing hydrological connectivity to backwaters. We examined summer nitrate uptake in a series of morphologically similar backwaters on the Upper Mississippi River receiving flow-regulated nitrate loads via gated culverts. Flows into individual backwaters were held constant over a summer period but varied in the summers of 2003 and 2004 to provide a range of hydraulic loads and residence times (??). The objectives were to determine optimum loading and ?? for maximum summer uptake. Higher flow adjustment led to increased loading but lower ?? and contact time for uptake. For highest flows, ?? was less than 1 day resulting in lower uptake rates (Unet, 4000 m). For low flows, ?? was greater than 5 days and U% approached 100%, but Unet was 200 mg m-2 day-1. Snet was < half the length of the backwaters under these conditions indicating that most of the load was assimilated in the upper reaches, leading to limited delivery to lower portions. Unet was maximal (384-629 mg m-2 day-1) for intermediate flows and ?? ranging between 1 and 1.5 days. Longer Snet (2000-4000 m) and lower U% (20-40%) reflected limitation of uptake in upper reaches by contact time, leading to transport to lower reaches for additional uptake. Uptake by ???10 000 ha of reconnected backwaters along the Upper Mississippi River (13% of the total backwater surface area) at a Unet of ???630 mg m-2 day-1 would be the equivalent of ???40% of the summer nitrate load (155 mg day-1) discharged from Lock and Dam 4. These results indicate that backwater nitrate uptake can play an important role in reducing nitrate loading to the Gulf of Mexico. Copyright ?? 2008 John Wiley & Sons, Ltd.
13. John and James Dobson Carpet Mill, East and West ...
13. John and James Dobson Carpet Mill, East and West parcels, site plan-upper left, elevation-upper right, and survey-below, 1885. Hexamer, Ernest and Son. Hexamer General Surveys, 1867-1895, Philadelphia, Pennsylvania: E. Hexamer and Son, 1885, pp. 1890-1891. - John & James Dobson Carpet Mill (West Parcel), 4041-4055 Ridge Avenue, Philadelphia, Philadelphia County, PA
STS-48 Discovery, OV-103, soars into the evening sky after KSC liftoff
1991-09-12
STS048-S-170 (12 Sept 1991) ---- With five astronauts and the Upper Atmosphere Research Satellite (UARS) onboard, the Space Shuttle Discovery heads toward a six day mission in Earth orbit. Onboard are astronauts John O. Creighton, Kenneth S. Reightler, Charles D. (Sam) Gemar, James F. Buchli and Mark N. Brown. Liftoff occurred at 7:11:04 p.m. (EDT), September 12, 1991.
STS-48 Discovery, Orbiter Vehicle (OV) 103, lifts off from KSC LC Pad 39A
1991-09-12
STS048-S-171 (12 Sept 1991) --- With five astronauts and the Upper Atmosphere Research Satellite (UARS) onboard, the Space Shuttle Discovery heads toward a six day mission in Earth orbit. Onboard are astronauts John O. Creighton, Kenneth S. Reightler, Charles D. (Sam) Gemar, James F. Buchli and Mark N. Brown. Liftoff occurred at 7:11:04 p.m. (EDT), September 12, 1991.
Risk factors associated with PICC-related upper extremity venous thrombosis in cancer patients.
Yi, Xiao-lei; Chen, Jie; Li, Jia; Feng, Liang; Wang, Yan; Zhu, Jia-An; Shen, E; Hu, Bing
2014-03-01
To investigate the incidence and risk factors for peripherally inserted central venous catheters-related upper extremity venous thrombosis in patients with cancer. With the widespread use of peripherally inserted central venous catheters, peripherally inserted central venous catheters-related upper extremity venous thrombosis in patients with cancer leads to increasing morbidity and mortality. It is very important to further explore the incidence and risk factors for peripherally inserted central venous catheters-related venous thrombosis. Consecutive patients with cancer who were scheduled to receive peripherally inserted central venous catheters, between September 2009 and May 2012, were prospectively studied in our centre. They were investigated for venous thrombosis by Doppler sonography three times a day within 30 days after catheter insertion. Univariable and multivariable logistic regressions' analyses were performed to identify the risk factors for peripherally inserted central venous catheters-related thrombosis. A total of 89 patients with cancer were studied in our research. Of these, 81 patients were followed up within one month. The mean interval between catheter insertion and the onset of thrombosis was 12.45 ± 6.17 days. The multivariable analyses showed that chemotherapy history, less activities and diabetes were the key risk factors for thrombosis. Peripherally inserted central venous catheters-related upper extremity venous thrombosis had high incidence rate, and most cases had no significant symptoms. The history of chemotherapy, less activities and diabetes were found to be the key risk factors. It should be routinely scanned in high-risk patients every 3-5 days after catheter insertion, which would then find blood clots in time and reduce the incidence of pulmonary embolism. Risk factors associated with peripherally inserted central venous catheters-related upper extremity venous thrombosis are of critical importance in improving the quality of patients' life. It is very important to grasp the indications to reduce the incidence rate of peripherally inserted central venous catheters-related upper extremity venous thrombosis. © 2013 John Wiley & Sons Ltd.
Spechler, R.M.
1995-01-01
The lower St. Johns River, a 101-mile long segment of the St. Johns River, begins at the confluence of the Ocklawaha River and ends where the river discharges into the Atlantic Ocean at Mayport. The St. Johns River is affected by tides as far upstream as Lake George, 106 miles from the mouth. Saltwater from the ocean advances inland during each incoming tide and recedes during each outgoing tide. The chemical quality of the lower St. Johns River is highly variable primarily because of the inflow of saltwater from the ocean, and in some areas, from the discharge of mineralized ground water. Three hydrogeologic units are present in the study area: the surficial aquifer system, the intermediate confining unit, and the Floridan aquifer system. The surficial aquifer system overlies the intermediate confining unit and consists of deposits containing sand, clay, shell, and some limestone and dolomite. The intermediate confining unit underlies all of the study area and retards the vertical movement of water between the surficial aquifer system and the Floridan aquifer system. The intermediate confining unit consists of beds of relatively low permeability sediments that vary in thickness and areal extent and can be breached by sinkholes, fractures, and other openings. The Floridan aquifer system primarily consists of limestone and dolomite. The quality of water in the Upper Floridan aquifer varies throughout the study area. Dissolved solids in water range from about 100 to more than 5,000 milligrams per liter. Chloride and sulfate concentrations in water from the Upper Floridan aquifer range from about 4 to 3,700 milligrams per liter and from 1 to 1,300 milligrams per liter, respectively. The rate of leakage through the intermediate confining unit is controlled by the leakance coefficient of the intermediate confining unit and by the head difference between the Upper Floridan aquifer and the surficial aquifer system. The total ground-water discharge from the Upper Floridan aquifer to the St. Johns River within the lower St. Johns River drainage basin, based on the potentiometric surface of the Upper Floridan aquifer in September 1990, was estimated to be 86 cubic feet per second. Total estimated ground-water discharge to the lower St. Johns River in September 1991, when heads in the Upper Floridan aquifer averaged about 4 feet higher than in 1990, was 133 cubic feet per second. The load of dissolved-solids that discharged from the Upper Floridan aquifer into the lower St. Johns River on the basis of September 1990 heads is estimated to be 47,000 tons per year. Estimated chloride and sulfate loads are 18,000 and 9,500 tons per year, respectively. Dissolved-solids, chloride, and sulfate loads discharging into the lower St. Johns River are estimated to be 81,000, 39,000, and 15,000 tons per year, respectively, on the basis of September 1991 heads.
Laursen, Rikke Pilmann; Larnkjaer, Anni; Ritz, Christian; Hojsak, Iva; Michaelsen, Kim; Mølgaard, Christian
2018-03-14
We examined the frequency and potential risk factors for respiratory infections, diarrhoea and absences in infants during their first months in day care. This prospective cohort study comprised 269 Danish infants aged eight months to 14 months and was part of a study that examined how probiotics affected absences from day care due to respiratory and gastrointestinal infections. The risk factors examined were the household, child characteristics and type of day care facility. Parents registered upper respiratory tract infections (URTIs), lower respiratory tract infections (LRTIs), diarrhoea and day care absences on web-based questionnaires. Over a mean of 5.6 months in day care, 36% and 20% of the infants had at least one URTI or LRTI, and 60% had diarrhoeal episodes. The risk of at least one URTI was increased by previous respiratory infections, with an odds ratio (OR) of 2.65, but was inversely associated with having a pet (OR: 0.43), being cared for by registered child minders compared to day care centres (OR: 0.36), birthweight (OR 0.40) and age at day care enrolment (OR: 0.64). No significant risk factors for LRTIs and diarrhoea were found. Infection risks were associated with environmental factors and factors related to the child. ©2018 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
Charleer, Sara; Mathieu, Chantal; Nobels, Frank; Gillard, Pieter
2018-06-01
Nowadays, most Belgian patients with type 1 diabetes use flash glucose monitoring (FreeStyle Libre [FSL]; Abbott Diabetes Care, Alameda, California) to check their glucose values, but some patients find the sensor on the upper arm too visible. The aim of the present study was to compare the accuracy and precision of FSL sensors when placed on different sites. A total of 23 adults with type 1 diabetes used three FSL sensors simultaneously for 14 days on the upper arm, abdomen and upper thigh. FSL measurements were compared with capillary blood glucose (BG) measurements obtained with a built-in FSL BG meter. The aggregated mean absolute relative difference was 11.8 ± 12.0%, 18.5 ± 18.4% and 12.3 ± 13.8% for the arm, abdomen (P = .002 vs arm) and thigh (P = .5 vs arm), respectively. Results of Clarke error grid analysis for the arm and thigh were similar (zone A: 84.9% vs 84.5%; P = .6), while less accuracy was seen for the abdomen (zone A: 69.4%; P = .01). Apart from the first day, the accuracy of FSL sensors on the arm and thigh was more stable across the 14-day wear duration than accuracy of sensors on the abdomen, which deteriorated mainly during week 2 (P < .0005). The aggregated precision absolute relative difference was markedly lower for the arm/thigh (10.9 ± 11.9%) compared with the arm/abdomen (20.9 ± 22.8%; P = .002). Our results indicate that the accuracy and precision of FSL sensors placed on the upper thigh are similar to the upper arm, whereas the abdomen performed unacceptably poorly. © 2018 John Wiley & Sons Ltd.
Santangelo, Barbara; Lapolla, Rosa; Rutigliano, Irene; Pettoello Mantovani, Massimo; Campanozzi, Angelo
2018-06-01
No data are available on caffeine consumption among Italian adolescents. We investigated caffeine intake from coffee, soft drinks and energy drinks in a sample of Italian adolescents and determined if they exceeded the recommended limits. The study comprised 1213 adolescents with a mean age of 15.1 years (range 12-19) from four schools in Foggia, southern Italy. Caffeine intake was assessed using an anonymous self-reported questionnaire during the 2013/2014 school year. We calculated the percentage of daily caffeine consumers, their mean intake of caffeine from beverages and the contribution of each beverage category to the total caffeine intake. Approximately 76% of the sample consumed caffeine every day, amounting to 125.5 ± 69.2 mg/day and 2.1 ± 1.2 mg/kg/day. When we applied the reference values from the Academy of Pediatrics, we found that 46% of the adolescents exceeded the recommended upper limits. Coffee was the most frequently consumed caffeinated drink and the main contributor to daily caffeine intake. More than three quarters (76%) of the Italian adolescents in our study drank coffee on a daily basis and nearly half (46%) exceeded the recommended upper limits. Strategies are needed to reduce caffeine consumption by adolescents. ©2018 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
Kinnaman, Sandra L.
2006-01-01
INTRODUCTION This map depicts the potentiometric surface of the upper Floridan aquifer in the St. Johns River Water Management District and vicinity for May 2005. Potentiometric contours are based on water level measurements collected at 598 wens during the period May 5 - 31, near the end of the dry season. Some contours are inferred from previous potentiometric-surface maps with larger well networks. The potentiometric surface of the carbonate upper Floridan aquifer responds mainly to rainfall, and more locally, to ground water withdrawals. Potentiometric-surface highs generally correspond to topographic highs where the aquifer is recharged. Springs and areas of diffuse upward leakage naturally discharge water from the aquifer and are most prevalent along the St. Johns River. Areas of discharge are reflected by depressions in the potentiometric surface. Ground water withdrawals locally have lowered the potentiometric surface. Ground water in the upper Floridan aquifer generally flows from potentiometric highs to potentiometric lows in a direction perpendicular to the contours.
Kinnaman, Sandra L.; Dixon, Joann F.
2009-01-01
This map depicts the potentiometric surface of the Upper Floridan aquifer in the St. Johns River Water Management District and vicinity for May 2009. Potentiometric contours are based on water-level measurements collected at 625 wells during the period May 14 - May 29, near the end of the dry season. Some contours are inferred from previous potentiometric-surface maps with larger well networks. The potentiometric surface of the carbonate Upper Floridan aquifer responds mainly to rainfall, and more locally, to groundwater withdrawals and spring flow. Potentiometric-surface highs generally correspond to topographic highs where the aquifer is recharged. Springs and areas of diffuse upward leakage naturally discharge water from the aquifer and are most prevalent along the St. Johns River. Areas of discharge are reflected by depressions in the potentiometric surface. Groundwater withdrawals locally have lowered the potentiometric surface. Groundwater in the Upper Floridan aquifer generally flows from potentiometric highs to potentiometric lows in a direction perpendicular to the contours.
Kinnaman, Sandra L.
2006-01-01
Introduction: This map depicts the potentiometric surface of the Upper Floridan aquifer in the St. Johns River Water Management District and vicinity for May 2006. Potentiometric contours are based on water-level measurements collected at 599 wells during the period May 14-31, near the end of the dry season. Some contours are inferred from previous potentiometric-surface maps with larger well networks. The potentiometric surface of the carbonate Upper Floridan aquifer responds mainly to rainfall, and more locally, to ground-water withdrawals and springflow. Potentiometric-surface highs generally correspond to topographic highs where the aquifer is recharged. Springs and areas of diffuse upward leakage naturally discharge water from the aquifer and are most prevalent along the St. Johns River. Areas of discharge are reflected by depressions in the potentiometric surface. Ground-water withdrawals locally have lowered the potentiometric surface. Ground water in the Upper Floridan aquifer generally flows from potentiometric highs to potentiometric lows in a direction perpendicular to the contours.
Kinnaman, Sandra L.
2006-01-01
This map depicts the potentiometric surface of the Upper Floridan aquifer in the St. Johns River Water Management District and vicinity for September 2005. Potentiometric contours are based on water-level measurements collected at 643 wells during the period September 12-28, near the end of the wet season. Some contours are inferred from previous potentiometric-surface maps with larger well networks. The potentiometric surface of the carbonate Upper Floridan aquifer responds mainly to rainfall, and more locally, to ground-water withdrawals and springflow. Potentiometric-surface highs generally correspond to topographic highs where the aquifer is recharged. Springs and areas of diffuse upward leakage naturally discharge water from the aquifer and are most prevalent along the St. Johns River. Areas of discharge are reflected by depressions in the potentiometric surface. Ground-water withdrawals locally have lowered the potentiometric surface. Ground water in the Upper Floridan aquifer generally flows from potentiometric highs to potentiometric lows in a direction perpendicular to the contours.
Kinnaman, Sandra L.; Dixon, Joann F.
2007-01-01
Introduction This map depicts the potentiometric surface of the Upper Floridan aquifer in the St. Johns River Water Management District and vicinity for September 2006. Potentiometric contours are based on water-level measurements collected at 571 wells during the period September 11-29, near the end of the wet season. Some contours are inferred from previouspotentiometric-surface maps with larger well networks. The potentiometric surface of the carbonate Upper Floridan aquifer responds mainly to rainfall, and more locally, to ground-water withdrawals and spring flow. Potentiometric-surface highs generally correspond to topographic highs where the aquifer is recharged. Springs and areas of diffuse upward leakage naturally discharge water from the aquifer and are most prevalent along the St. Johns River. Areas of discharge are reflected by depressions in the potentiometric surface. Ground-water withdrawals locally have lowered the potentiometric surface. Ground water in the Upper Floridan aquifer generally flows from potentiometric highs to potentiometric lows in a direction perpendicular to the contours.
Kinnaman, Sandra L.; Dixon, Joann F.
2009-01-01
This map depicts the potentiometric surface of the Upper Floridan aquifer in the St. Johns River Water Management District and vicinity for September 2008. Potentiometric contours are based on water-level measurements collected at 589 wells during the period September 15-25, near the end of the wet season. Some contours are inferred from previous potentiometric-surface maps with larger well networks. The potentiometric surface of the carbonate Upper Floridan aquifer responds mainly to rainfall, and more locally, to ground-water withdrawals and spring flow. Potentiometric-surface highs generally correspond to topographic highs where the aquifer is recharged. Springs and areas of diffuse upward leakage naturally discharge water from the aquifer and are most prevalent along the St. Johns River. Areas of discharge are reflected by depressions in the potentiometric surface. Ground-water withdrawals locally have lowered the potentiometric surface. Ground water in the Upper Floridan aquifer generally flows from potentiometric highs to potentiometric lows in a direction perpendicular to the contours.
Kinnaman, Sandra L.; Dixon, Joann F.
2008-01-01
This map depicts the potentiometric surface of the Upper Floridan aquifer in the St. Johns River Water Management District and vicinity for September 2007. Potentiometric contours are based on water-level measurements collected at 554 wells during the period September 15-27, near the end of the wet season. Some contours are inferred from previous potentiometric-surface maps with larger well networks. The potentiometric surface of the carbonate Upper Floridan aquifer responds mainly to rainfall, and more locally, to ground-water withdrawals and spring flow. Potentiometric-surface highs generally correspond to topographic highs where the aquifer is recharged. Springs and areas of diffuse upward leakage naturally discharge water from the aquifer and are most prevalent along the St. Johns River. Areas of discharge are reflected by depressions in the potentiometric surface. Ground-water withdrawals locally have lowered the potentiometric surface. Ground water in the Upper Floridan aquifer generally flows from potentiometric highs to potentiometric lows in a direction perpendicular to the contours.
Association between intramuscular fat in the arm following arm training and INSIG2.
Popadic Gacesa, J Z; Secher, N H; Momcilovic, M; Grujic, N G
2014-12-01
Insulin-induced gene 2 (INSIG2) single-nucleotide polymorphism (SNP rs7566605) is linked to lipid metabolism, and this study assessed its potential influence on fat in the upper arm following arm training. Twenty healthy sedentary volunteers (22.0 ± 1.1 years, body mass index 25.4 ± 4.0 kg/m(2) ; mean ± standard deviation) carried out a 12-week two-arm elbow extensor training (10 maximal extensions with 1 min recovery between bouts) five times per day, five times per week. For 17 volunteers, upper arm muscle and adipose tissue [subcutaneous (SCAT) and intramuscular (IMAT)] volumes were evaluated by magnetic resonance imaging before, immediately after, and 12 months after training and variables were related to the subjects' INSIG2 SNP rs7566605 genotype. Muscle volume and SCAT for the upper arm, as the decrease in IMAT during training were not related to INSIG2 SNP rs7566605: GG: %IMAT 1.0 ± 0.9%; GC/CC: %IMAT 0.6 ± 0.5% (P > 0.05). However, in the year following the training, accumulation of upper arm IMAT was twice as large in participants homozygous for the G allele (GG: Δ%IMAT +2.5 ± 0.8%; GC/CC: Δ%IMAT +1.1 ± 0.7%; P < 0.01). This study suggests that the G allele in the INSIG2 SNP rs7566605 is more relevant for changes in IMAT following training than for the amount of subcutaneous fat. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Dello Iacono, A; Eliakim, A; Padulo, J; Laver, L; Ben-Zaken, S; Meckel, Y
2017-10-01
The aim of this study was to investigate the influence of physical contact on neuromuscular impairments and inflammatory response during handball small-sided games. Using a counterbalanced design, 12 elite male junior handball players were divided into two groups: contact (C-SSG) and no-contact (NC-SSG), performing both contact and no-contact small-sided games, in reverse order on two training sessions separated by 5 days. The methodology and rules were identical for the two SSG regimens, with the only difference being the inclusion or prohibition of upper body use for physical contacts. Upper and lower body neuromuscular performances and blood concentrations of inflammatory cytokine IL-6 were assessed before and immediately after the games. During small-sided games, video analysis was used to establish the physical contact counts. Significant differences were found in most upper and lower limbs muscles kinetic variables and in the physical contact events (all P < 0.001) following the two training regimens. There was an increase in IL-6 after C-SSG and no changes following NC-SSG (P < 0.05 and P = 0.12, respectively). Moreover, a strong correlation was found between the number of physical contacts and IL-6 responses (r = 0.971, P < 0.001) in C-SSG. This study indicates that an inflammatory response and large upper and lower body neuromuscular impairments result from physical contact in elite handball players. These outcomes outline the specific physiological profile of C-SSG that, in turn, might be used by practitioners and coaches as a practical approach to strategically select exercises in athlete's overall training program. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
75 FR 5803 - John Day/Snake Resource Advisory Council; Meetings
Federal Register 2010, 2011, 2012, 2013, 2014
2010-02-04
...] John Day/Snake Resource Advisory Council; Meetings AGENCY: Bureau of Land Management, Interior. ACTION: Meeting Notice for the John Day/Snake Resource Advisory Council. SUMMARY: Pursuant to the Federal Land..., Bureau of Land Management (BLM) John Day/Snake Resource Advisory Council (JDSRAC) will meet as indicated...
Effects of the bisphosphonate alendronate on molars of young rats after lateral luxation.
Rothbarth, Cláudia Pires; Bradaschia-Correa, Vivian; Ferreira, Lorraine Braga; Arana-Chavez, Victor Elias
2014-12-01
The bisphosphonate alendronate (ALN) was employed with the aim of investigating its effects on dental and periodontal tissues after lateral luxation of developing molars. Twenty-one-day-old Wistar rats had their second upper molars laterally luxated. Daily 2.5 mg kg(-1) ALN injections started at the day of the luxation; controls received sterile saline solution. The teeth were analyzed 7, 14, and 21 days after the procedure. On the days cited, the maxillae were fixed, decalcified, and embedded in paraffin or Spurr resin. The paraffin sections were stained with H&E, incubated for TRAP histochemistry or immunolabeled for osteopontin (OPN). Spurr ultrathin sections were examined in a transmission electron microscope. After 21 days, the root apex of luxated molars without ALN was wide open and disorganized and also covered by an irregular layer of cellular cementum, which was not observed in ALN-treated animals. Ankylosis sites were observed in ALN rats in both luxated and non-luxated teeth. The TRAP-positive osteoclasts were more numerous in ALN group, despite their latent ultrastructural appearance without the presence of resorption apparatus compared to controls. OPN immunolabeling revealed a thick immunopositive line in the dentin that must be resultant from the moment of the luxation, while ALN-treated specimens did not present alterations in dentin. The present findings indicate that alendronate inhibits some alterations in dentin and cementum formation induced by dental trauma. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
75 FR 27359 - Meeting Notice for the John Day/Snake Resource Advisory Council
Federal Register 2010, 2011, 2012, 2013, 2014
2010-05-14
...] Meeting Notice for the John Day/Snake Resource Advisory Council AGENCY: Bureau of Land Management, Interior. ACTION: Meeting Notice for the John Day/Snake Resource Advisory Council. SUMMARY: Pursuant to the... Interior, Bureau of Land Management (BLM) John Day-Snake Resource Advisory Council (JDSRAC) will meet as...
75 FR 37461 - Notice of Public Meeting, John Day/Snake Resource Advisory Council
Federal Register 2010, 2011, 2012, 2013, 2014
2010-06-29
...] Notice of Public Meeting, John Day/Snake Resource Advisory Council AGENCY: Bureau of Land Management, Interior. ACTION: Meeting notice for the John Day/Snake Resource Advisory Council. SUMMARY: Pursuant to the... Interior, Bureau of Land Management (BLM) John Day-Snake Resource Advisory Council (JDSRAC) will meet as...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-04-20
... on public lands, and expanded scientific knowledge and information pertaining to the conservation of... John Day/Snake Resource Advisory Council and with representatives of local, State, and other Federal... received from the public, John Day/Snake Resource Advisory Council, John Day Basin RMP Cooperating Agencies...
Kinnaman, Sandra L.
2005-01-01
Introduction: This map depicts the potentiometric surface of the Upper Floridan aquifer in the St. Johns River Water Management District and vicinity in September 2004. Potentiometric contours are based on water-level measurements collected at 608 wells during the period September 14-October 1, near the end of the wet season. The shapes of some contours have been inferred from previous potentiometric-surface maps with larger well networks. The potentiometric surface of the carbonate Upper Floridan aquifer responds mainly to rainfall, and more locally, to ground-water withdrawals. Potentiometric-surface highs generally correspond to topographic highs where the aquifer is recharged. Springs and areas of diffuse upward leakage naturally discharge water from the aquifer and are most prevalent along the St. Johns River. Areas of discharge are reflected by depressions in the potentiometric surface. Ground-water withdrawals locally have lowered the potentiometric surface. Ground water in the Upper Floridan aquifer generally flows from potentiometric highs to potentiometric lows in a direction perpendicular to the contours.
Kinnaman, Sandra L.; Knowles, Leel
2004-01-01
INTRODUCTION This map depicts the potentiometric surface of the Upper Floridan aquifer in the St. Johns River Water Management District and vicinity in May 2001. Potentiometric contours are based on water-level measurements collected at 684 wells during the period May 2 - 30, near the end of the dry season. The shapes of some contours have been inferred from previous potentiometric-surface maps with larger well networks. The potentiometric surface of the carbonate Upper Floridan aquifer responds mainly to rainfall, and more locally, to ground-water withdrawals. Potentiometric-surface highs generally correspond to topographic highs where the aquifer is recharged. Springs and areas of diffuse upward leakage naturally discharge water from the aquifer and are most prevalent along the St. Johns River. Areas of discharge are reflected by depressions in the potentiometric surface. Ground-water withdrawals locally have lowered the potentiometric surface. Ground water in the Upper Floridan aquifer generally flows from potentiometric highs to potentiometric lows in a direction perpendicular to the contours.
78 FR 42972 - Notice of Intent To Collect Fees on the John Day River, Oregon
Federal Register 2010, 2011, 2012, 2013, 2014
2013-07-18
...) to Tumwater Falls (River Mile 10) stretch of the John Day River, between Service Creek, Oregon, and... business hours. SUPPLEMENTARY INFORMATION: The Service Creek to Tumwater Falls stretch of the John Day... float within the Service Creek to Tumwater Falls stretch of the John Day River. All fees collected would...
78 FR 64236 - Notice of Public Meeting for the John Day; Snake Resource Advisory Council
Federal Register 2010, 2011, 2012, 2013, 2014
2013-10-28
...] Notice of Public Meeting for the John Day; Snake Resource Advisory Council AGENCY: Bureau of Land... Interior, Bureau of Land Management (BLM), the John Day--Snake Resource Advisory Council (RAC) will meet as indicated below: DATES: The John Day--Snake RAC will hold a public meeting Thursday and Friday, November 14...
78 FR 76175 - Notice of Public Meeting for the John Day-Snake Resource Advisory Council
Federal Register 2010, 2011, 2012, 2013, 2014
2013-12-16
...] Notice of Public Meeting for the John Day-Snake Resource Advisory Council AGENCY: Bureau of Land... Interior, Bureau of Land Management (BLM), the John Day-Snake Resource Advisory Council (RAC) will meet as indicated below: DATES: The John Day-Snake RAC will hold a public meeting Thursday and Friday, January 9 and...
The John Kay Williams Gold Medal of the Royal College of Surgeons of England and Glasgow 2015.
Ahmed, Farooq
2017-03-01
This paper describes the clinical treatment of two cases presented by the recipient of the 2015 Bi-collegiate Membership in Orthodontics John Kay Williams Gold Medal of the Royal College of Surgeons of England and Glasgow. The first case describes the management of an 11-year-old male with a class II Division 1 malocclusion with a 9 mm overjet complicated by an upper anterior odontome and moderate upper arch crowding. The second case describes a 14-year-old female with a class III malocclusion with a reverse overjet complicated by moderate lower arch crowding and previously removed upper permanent canines.
Yamada, Rie; Kitajima, Kayoko; Arai, Kyoko; Igarashi, Masaru
2014-09-01
This study investigated the differentiation and proliferation of epithelial cells derived from periodontal ligaments after three-dimensional culture using collagen gel with fibroblasts in vitro and in vivo. Epithelial cells and fibroblasts were derived from porcine periodontal ligaments. Epithelial cells were labeled using a fluorescent red membrane marker (PKH-26GL) and were seeded onto collagen gel with fibroblasts, followed by incubation in an air-liquid interface for 7 days. Three-dimensional cultures were grafted onto the backs of nude mice and removed at 1, 7, and 14 days after surgery (in vivo model). Unfixed sections (5 μm) were used to detect the presence of red fluorescent cells. Paraffin sections were analyzed histologically and immunohistochemically. Specimens were compared with three-dimensional culture tissues at 8, 14 and 21 days (in vitro model). Grafted three-dimensional cultures formed a stratified epithelial structure similar to skin in vivo. Epithelial cells were sequenced in basal-layer-like structures at 14 days in vivo. Immunohistochemical findings showed that the expression of cytokeratin was detected in the epithelial layer in in vitro and in vivo models. Ck8 + 18 + 19 was expressed in the upper epithelial layer in the in vitro model at 14 and 21 days, but not in vivo. Involucrin was expressed in the certified layers in vitro at 14 days, but not in vivo. Laminin was detected at the dermo-epidermal junction in vivo at 7 and 14 days, but not in vitro. These results suggest that differentiation of three-dimensional culture tissues differs in vivo and in vitro. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Griswold, Jim; Townsend, Richard L.; Skalski, John R.
Program RealTime provided monitoring and forecasting of the 2007 inseason outmigrations via the internet for 26 PIT-tagged stocks of wild ESU Chinook salmon and steelhead to Lower Granite and/or McNary dams, one PIT-tagged hatchery-reared ESU of sockeye salmon to Lower Granite Dam, one PIT-tagged wild stock of sockeye salmon to McNary Dam, and 20 passage-indexed runs-at-large, five each to Rock Island, McNary, John Day, and Bonneville dams. Nineteen stocks are of wild yearling Chinook salmon which were captured, PIT-tagged, and released at sites above Lower Granite Dam in 2007 and have at least one year's historical migration data previous tomore » the 2007 migration. These stocks originate in 19 tributaries of the Salmon, Grande Ronde and Clearwater Rivers, all tributaries to the Snake River, and are subsequently detected through tag identification and monitored at Lower Granite Dam. Seven wild PIT-tagged runs-at-large of Snake or Upper Columbia River ESU salmon and steelhead were monitored at McNary Dam. Three wild PIT-tagged runs-at-large were monitored at Lower Granite Dam, consisting of the yearling and subyearling Chinook salmon and the steelhead runs. The hatchery-reared PIT-tagged sockeye salmon stock from Redfish Lake was monitored outmigrating through Lower Granite Dam. Passage-indexed stocks (stocks monitored by FPC passage indices) included combined wild and hatchery runs-at-large of subyearling and yearling Chinook, coho, and sockeye salmon, and steelhead forecasted to Rock Island, McNary, John Day, and Bonneville dams.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Griswold, Jim
Program RealTime provided monitoring and forecasting of the 2006 inseason outmigrations via the internet for 32 PIT-tagged stocks of wild ESU chinook salmon and steelhead to Lower Granite and/or McNary dams, one PIT-tagged hatchery-reared ESU of sockeye salmon to Lower Granite Dam, and 20 passage-indexed runs-at-large, five each to Rock Island, McNary, John Day, and Bonneville Dams. Twenty-four stocks are of wild yearling chinook salmon which were captured, PIT-tagged, and released at sites above Lower Granite Dam in 2006, and have at least one year's historical migration data previous to the 2006 migration. These stocks originate in drainages of themore » Salmon, Grande Ronde and Clearwater Rivers, all tributaries to the Snake River, and are subsequently detected through the tag identification and monitored at Lower Granite Dam. In addition, seven wild PIT-tagged runs-at-large of Snake or Upper Columbia River ESU salmon and steelhead were monitored at McNary Dam. Three wild PIT-tagged runs-at-large were monitored at Lower Granite Dam, consisting of the yearling and subyearling chinook salmon and the steelhead trout runs. The hatchery-reared PIT-tagged sockeye salmon stock from Redfish Lake was monitored outmigrating through Lower Granite Dam. Passage-indexed stocks (stocks monitored by FPC passage indices) included combined wild and hatchery runs-at-large of subyearling and yearling chinook, coho, and sockeye salmon, and steelhead trout forecasted to Rock Island, McNary, John Day, and Bonneville Dams.« less
Lacosamide cardiac safety: a thorough QT/QTc trial in healthy volunteers.
Kropeit, D; Johnson, M; Cawello, W; Rudd, G D; Horstmann, R
2015-11-01
To determine whether lacosamide prolongs the corrected QT interval (QTc). In this randomized, double-blind, positive- and placebo-controlled, parallel-design trial, healthy volunteers were randomized to lacosamide 400 mg/day (maximum-recommended daily dose, 6 days), lacosamide 800 mg/day (supratherapeutic dose, 6 days), placebo (6 days), or moxifloxacin 400 mg/day (3 days). Variables included maximum time-matched change from baseline in QT interval individually corrected for heart rate ([HR] QTcI), other ECG parameters, pharmacokinetics (PK), and safety/tolerability. The QTcI mean maximum difference from placebo was -4.3 ms and -6.3 ms for lacosamide 400 and 800 mg/day; upper limits of the 2-sided 90% confidence interval were below the 10 ms non-inferiority margin (-0.5 and -2.5 ms, respectively). Placebo-corrected QTcI for moxifloxacin was +10.4 ms (lower 90% confidence bound >0 [6.6 ms]), which established assay sensitivity for this trial. As lacosamide did not increase QTcI, the trial is considered a negative QTc trial. There was no dose-related or clinically relevant effect on QRS duration. HR increased from baseline by ~5 bpm with lacosamide 800 mg/day versus placebo. Placebo-subtracted mean increases in PR interval at tmax were 7.3 ms (400 mg/day) and 11.9 ms (800 mg/day). There were no findings of second-degree or higher atrioventricular block. Adverse events (AEs) were dose related and most commonly involved the nervous and gastrointestinal systems. Lacosamide (≤ 800 mg/day) did not prolong the QTc interval. Lacosamide caused a small, dose-related increase in mean PR interval that was not associated with AEs. Cardiac, overall safety, and PK profiles for lacosamide in healthy volunteers were consistent with those observed in patients with partial-onset seizures. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Analyses of changes on skin by aging.
Kazanci, A; Kurus, M; Atasever, A
2017-02-01
This study aimed to evaluate the histological changes occurring in rat skin with increasing age, starting from the intrauterine period. Thirty-two healthy female Sprague-Dawley rats were evaluated in four groups: group 1 - intrauterine day 19, group 2 - postpartum day 21, group 3 - postpartum day 60, and group 4 - postpartum month 19. Skin samples from the back, abdomen, head, and upper and lower limbs were obtained from each subject under anesthesia. Tissue specimens were evaluated statistically and morphologically for the thicknesses of the epidermis, dermis, and basement membrane; the number, height, and width of dermal papillae; and the mast cell and pilosebaceous counts per group. The changes in collagen/elastic fibers and glycosaminoglycans were also assessed. Epidermal thickness was the highest in the intrauterine group; it decreased in the postpartum period and increased again in the aged group. Basal membrane thickness increased steadily with age. The number, height, and width of dermal papillae and dermal thickness increased up to day 60 after birth although these decreased in the aged group. Mast cell count also reached the maximum in the intrauterine group and gradually decreased with age. Pilosebaceous units of the dermis were fewer in intrauterine specimens; they showed an increase during the postpartum period and a decrease in the aged group. Skin specimens obtained from rats showed striking differences between the intrauterine and postpartum groups. Moreover, the postpartum group showed considerable intra-group differences. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
11. John and James Dobson Carpet Mill, East and West ...
11. John and James Dobson Carpet Mill, East and West parcels, site plan-upper left, elevation-lower left, and survey-right, 1877. Hexamer, Ernest and Son. Hexamer General Surveys, 1867-1895, Philadelphia, Pennsylvania: E. Hexamer and Son, 1877, pp. 1095-1096. - John & James Dobson Carpet Mill (West Parcel), 4041-4055 Ridge Avenue, Philadelphia, Philadelphia County, PA
9. John and James Dobson Carpet Mill, portion of West ...
9. John and James Dobson Carpet Mill, portion of West parcel, site plan-left, elevation-upper right, and survey-lower right, 1873. Hexamer, Ernest and Son. Hexamer General Surveys 1867-1895, Philadelphia, Pennsylvania: E. Hexamer and Son, 1873, pp. 670-671. - John & James Dobson Carpet Mill (West Parcel), 4041-4055 Ridge Avenue, Philadelphia, Philadelphia County, PA
Qi, Fei; Tian, Qing; Chen, Liang'an; Li, Chunyan; Zhang, Shu; Liu, Xingchen; Xiao, Binbin
2017-07-01
Backgorund and Aims: Unidirectional endobronchial valves have recently been shown to be beneficial as treatment for persistent air leaks. This report presents a first case of endobronchial valve implantation to treat relapsing pneumothorax in a Chinese patient, and also presents a review of the literature on the use of one-way valve insertion for the treatment of persistent air leaks. The patient did undergo a recent but failed chest tube intervention. By bronchoscopy and using Chartis® system measurements, the upper left lobe (including the left apical bronchus) was closed using a catheter. After the expected decrease in airflow following bronchial occlusion, increased air pressure and decreased spilled air were noted; it was concluded that the pneumothorax was located in the left upper lobe. A Zephyr ® endobronchial valve was placed in the left upper apical bronchus. The health benefits of the procedure were noticed in the following days. Our review suggests that the use of endobronchial valves could be used as an effective, minimally invasive, low-risk intervention for patients with pneumothorax that cannot be treated surgically. © 2015 John Wiley & Sons Ltd.
Kinnaman, Sandra L.; Dixon, Joann F.
2007-01-01
Introduction This map depicts the potentiometric surface of the Upper Floridan aquifer in the St. Johns River Water Management District and vicinity for May 2007. Potentiometric contours are based on water-level measurements collected at 566 wells during the period May 4-June 11 near the end of the dry season, however most of the water level data for this map were collected by the U.S. Geological Survey during the period May 21-25, 2007. Some contours are inferred from previous potentiometric-surface maps with larger well networks. The potentiometric surface of the carbonate Upper Floridan aquifer responds mainly to rainfall, and more locally, to ground-water withdrawals and spring flow. Potentiometric-surface highs generally correspond to topographic highs where the aquifer is recharged. Springs and areas of diffuse upward leakage naturally discharge water from the aquifer and are most prevalent along the St. Johns River. Areas of discharge are reflected by depressions in the potentiometric surface. Ground-water withdrawals locally have lowered the potentiometric surface. Ground water in the Upper Floridan aquifer generally flows from potentiometric highs to potentiometric lows in a direction perpendicular to the contours.
Zhu, Shuang; Liu, Jianghui; Zheng, Canbin; Gu, Liqiang; Zhu, Qingtang; Xiang, Jianping; He, Bo; Zhou, Xiang; Liu, Xiaolin
2017-08-01
Human acellular nerve allografts have been increasingly applied in clinical practice. This study was undertaken to investigate the functional outcomes of nerve allograft reconstruction for nerve defects in the upper extremity. A total of 64 patients from 13 hospitals were available for this follow-up study after nerve repair using human acellular nerve allografts. Sensory and motor recovery was examined according to the international standards for motor and sensory nerve recovery. Subgroup analysis and logistic regression analysis were conducted to identify the relationship between the known factors and the outcomes of nerve repair. Mean follow-up time was 355 ± 158 (35-819) days; mean age was 35 ± 11 (14-68) years; average nerve gap length was 27 ± 13 (10-60) mm; no signs of infection, tissue rejection or extrusion were observed among the patients; 48/64 (75%) repaired nerves experienced meaningful recovery. Univariate analysis showed that site and gap length significantly influenced prognosis after nerve repair using nerve grafts. Delay had a marginally significant relationship with the outcome. A multivariate logistic regression model revealed that gap length was an independent predictor of nerve repair using human acellular nerve allografts. The results indicated that the human acellular nerve allograft facilitated safe and effective nerve reconstruction for nerve gaps 10-60 mm in length in the hand and upper extremity. Factors such as site and gap length had a statistically significant influence on the outcomes of nerve allograft reconstruction. Gap length was an independent predictor of nerve repair using human acellular nerve allografts. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.
Aspirin 300 mg/day is effective for treating aspirin-exacerbated respiratory disease.
Comert, S; Celebioglu, E; Yucel, T; Erdogan, T; Karakaya, G; Onerci, M; Kalyoncu, A F
2013-11-01
Aspirin desensitization (AD) treatment at doses of up to 1300 mg/day improves outcomes in aspirin-exacerbated respiratory disease (AERD). The aim of this study was to investigate the efficacy of aspirin 300 mg/day in the treatment of patients with AERD. The study included 40 patients diagnosed in our clinic as AERD that were desensitized and treated with aspirin 300 mg/day between December 2005 and December 2012. Changes from the baseline status were analyzed at 1 year and at 3 years of follow-up. Of the 40 patients included, 24 (60%) were female and median (interquartile range [IQR]) age was 45 (40-51) years. Median (IQR) duration of AD was 31.5 (10.5-48.5) months. In total, 29 patients continued treatment for at least 1 year and 18 patients for at least 3 years. The annual rate of use of systemic corticosteroid regimens, episodes of sinusitis, and surgery was significantly lower both at 1 year (P = 0.002, P = 0.01, and P < 0.001, respectively) and at 3 years (P = 0.001, P = 0.03, and P = 0.002, respectively). Significant improvement was observed in the nasal congestion score (P = 0.01) and sense of smell score (P = 0.05) at 1 year and in the postnasal drainage score (P = 0.01) at 3 years. Daily treatment with aspirin 300 mg had beneficial effects in patients with AERD, especially for the control of upper airway disease. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
76 FR 67206 - Notice of Public Meeting, John Day-Snake Resource Advisory Council
Federal Register 2010, 2011, 2012, 2013, 2014
2011-10-31
... DEPARTMENT OF THE INTERIOR Bureau of Land Management [LLORV00000.L10200000.DD0000; HAG 12-0022] Notice of Public Meeting, John Day-Snake Resource Advisory Council AGENCY: Bureau of Land Management... (BLM) John Day-Snake Resource Advisory Council (RAC) will meet as indicated below: DATES: The meeting...
76 FR 78691 - Notice of Public Meeting, John Day-Snake Resource Advisory Council
Federal Register 2010, 2011, 2012, 2013, 2014
2011-12-19
... DEPARTMENT OF THE INTERIOR Bureau of Land Management [LLORV00000.L10200000.DD0000; HAG 12-0056] Notice of Public Meeting, John Day-Snake Resource Advisory Council AGENCY: Bureau of Land Management... (BLM) John Day-Snake Resource Advisory Council (RAC) will meet as indicated below: DATES: The meeting...
DOT National Transportation Integrated Search
1995-06-01
The John Day River Bridge, near Astoria, Oregon was built with a continuous deck length of 1,105 ft. (340 m). The rationale for designing the John Day River Bridge with an unusually long continuous deck is in part based on the site's very mild climat...
Strategic PSYOP Management: A Marketing Management Approach
2005-03-01
Armstrong, Gary & Kotler , Philip , (2005). Marketing: An Introduction. Upper Saddle River, New Jersey: Prentice Hall. Daft, Richard L., (2001). Essentials of...Briefing presented at the John F. Kennedy Special Warfare Center, Fort Bragg, North Carolina. Kotler , Philip , (2003). A Framework for Marketing...Management. Upper Saddle River, New Jersey: Prentice Hall. Kotler , Philip , & Armstrong, Gary, (2004). Principles of marketing. Upper Saddle River, New
DOE Office of Scientific and Technical Information (OSTI.GOV)
Confederated Tribes of the Warm Springs Reservation of Oregon. John Day Basin Office.
The John Day River is the nation's second longest free-flowing river in the contiguous United States, which is entirely unsupplemented for it's runs of anadromous fish. Located in eastern Oregon, the John Day Basin drains over 8,000 square miles, is Oregon's fourth largest drainage basin, and the basin incorporates portions of eleven counties. Originating in the Strawberry Mountains near Prairie City, the mainstem John Day River flows 284 miles in a northwesterly direction entering the Columbia River approximately four miles upstream of the John Day dam. With wild runs of spring Chinook salmon, summer steelhead, westslope cutthroat, and redband andmore » bull trout, the John Day system is truly a basin with national significance. The Majority of the John Day Basin was ceded to the Federal government in 1855 by the Confederated Tribes of the Warm Springs Reservation of Oregon (Tribes). In 1997, the Tribes established an office in John Day to coordinate basin restoration projects, monitoring, planning, and other watershed restoration activities on private and public lands. Once established, the John Day Basin Office (JDBO) formed a partnership with the Grant Soil and Water Conservation District (GSWCD), also located in John Day, who subcontracts the majority of the construction implementation activities for these restoration projects from the JDBO. The GSWCD completes the landowner contact, preliminary planning, engineering design, permitting, construction contracting, and construction implementation phases of most projects. The JDBO completes the planning, grant solicitation/defense, environmental compliance, administrative contracting, monitoring, and reporting portion of the program. Most phases of project planning, implementation, and monitoring are coordinated with the private landowners and basin agencies, such as the Oregon Department of Fish and Wildlife and Oregon Water Resources Department. In 2001, the JDBO and GSWCD continued their successful partnership between the two agencies and basin landowners to implement an additional ten (10) watershed conservation projects. The project types include permanent lay flat diversions, pump stations, and return-flow cooling systems. Project costs in 2001 totaled $572,766.00 with $361,966.00 (67%) provided by the Bonneville Power Administration (BPA) and the remainder coming from other sources, such as the Bureau of Reclamation (BOR), Oregon Watershed Enhancement Board (OWEB), and individual landowners.« less
Geochemical map of the North Fork John Day River Roadless Area, Grant County, Oregon
Evans, James G.
1986-01-01
The North Fork John Day River Roadless Area comprised 21,210 acres in the Umatilla and Wallowa-Whitman National Forests, Grant County, Oregon, about 30 miles northwest of Baker, Oregon. The irregularly shaped area extends for about 1 mile on both sides of a 25-mile segment of the North Fork John Day River from Big Creek on the west to North Fork John Day Campground on the east. Most of the roadless area is in the northern half of the Desolation Butte 15-minute quadrangle. The eastern end of the area is in parts of the Granite and Trout Meadows 7½-minute quadrangles.
Multiscale thermal refugia and stream habitat associations of chinook salmon in northwestern Oregon
Torgersen, Christian E.; Price, David M.; Li, Hiram W.; McIntosh, B.A.
1999-01-01
We quantified distribution and behavior of adult spring chinook salmon (Oncorhynchus tshawytscha) related to patterns of stream temperature and physical habitat at channel-unit, reach-, and section-level spatial scales in a wilderness stream and a disturbed stream in the John Day River basin in northeastern Oregon. We investigated the effectiveness of thermal remote sensing for analyzing spatial patterns of stream temperature and assessed habitat selection by spring chinook salmon, evaluating whether thermal refugia might be responsible for the persistence of these stocks in rivers where water temperatures frequently exceed their upper tolerance levels (25A?C) during spawning migration. By presenting stream temperature and the ecology of chinook salmon in a historical context, we could evaluate how changes in riverine habitat and thermal spatial structure, which can be caused by land-use practices, may influence distributional patterns of chinook salmon. Thermal remote sensing provided spatially continuous maps of stream temperature for reaches used by chinook salmon in the upper subbasins of the Middle Fork and North Fork John Day River. Electivity analysis and logistic regression were used to test for associations between the longitudinal distribution of salmon and cool-water areas and stream habitat characteristics. Chinook salmon were distributed nonuniformly in reaches throughout each stream. Salmon distribution and cool water temperature patterns were most strongly related at reach-level spatial scales in the warm stream, the Middle Fork (maximum likelihood ratio: P 0.30). Pools were preferred by adult chinook salmon in both subbasins (Bonferroni confidence interval: P a?? 0.05); however, riffles were used proportionately more frequently in the North Fork than in the Middle Fork. Our observations of thermal refugia and their use by chinook salmon at multiple spatial scales reveal that, although heterogeneity in the longitudinal stream temperature profile may be viewed as an ecological warning sign, thermal patchiness in streams also should be recognized for its biological potential to provide habitat for species existing at the margin of their environmental tolerances.
Kirkpatrick, Emma; Pearse, Janice; James, Peter; Basu, Anna
2016-10-01
To determine whether home-based, parent-delivered therapy comprising action observation (AO) and repeated practice (RP) improves upper limb function more than RP alone in children with unilateral cerebral palsy (UCP). single-blinded parallel-group randomized controlled trial with 1:1 allocation comparing AO+RP (intervention) with RP alone (control). computer-generated, with allocation concealment by opaque sequentially-numbered envelopes. northern England, August 2011 to September 2013. 70 children with UCP; mean age 5.6 years (SD 2.1), 31 female. home-based activities were provided, tailored to interests and abilities. 15 minutes/day, 5 days/week for 3 months. Assisting Hand Assessment (AHA; primary outcome measure), Melbourne Assessment 2 (MA2), and ABILHAND-Kids at baseline, 3 months, and 6 months. Outcome data was available at 3 months for 28 children in the AO+RP group and 31 controls, and at 6 months for 26 and 28 children respectively. There were no between-group differences in AHA, MA2, or ABILHAND-Kids at 3 or 6 months versus baseline (all p>0.05). Combined-group improvements (p<0.001), observed in AHA and MA2 at 3 months, were maintained at 6 months. ABILHAND-Kids also showed improvement at 3 months (p=0.003), maintained at 6 months. Parent-delivered RP (with or without AO) improves upper limb function and could supplement therapist input. © 2016 The Authors. Developmental Medicine & Child Neurology published by John Wiley & Sons Ltd on behalf of Mac Keith Press.
Mori, Kazuhiko; Yoshimura, Shuntaro; Yamagata, Yukinori; Aikou, Susumu; Seto, Yasuyuki
2017-06-01
Robotic surgical systems are potentially applicable to transcervical mediastinal lymph dissection for esophageal malignancy. Robot-assisted surgery was performed on a male fresh-frozen human cadaver. Devices for single-port laparoscopic surgery were deployed via one small incision in the left clavicular area. The task for the robot-assisted surgery was the upper mediastinal dissection to the level of the left main bronchus and en bloc harvest of the lymph nodes adherent to the left recurrent laryngeal nerve. An up-angled 30° scope in the 6 o'clock port and two robotic arms from the 3 and 9 o'clock ports worked effectively together. No collisions of the devices inside the cadaveric body or unexpected traumatic events occurred. The robotic surgical system can be used safely for the upper mediastinal dissection. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.
Schiner, George R.; Hayes, Eugene C.
1984-01-01
This map shows the potentiometric surface of the Upper Floridan aquifer in the St. Johns River Water Management District and vicinity for May 1984. The Upper Floridan aquifer is the principal source of potable water in the area. Water-level measurements were made on approximately 1,000 wells and on several springs. The potentiometric surface is shown mostly by 5-foot contour intervals. In the Fernandina Beach area a 40-foot interval is used to show a deep cone of depression. The potentiometric surface ranged from 126 feet above sea level in Polk County to 84 feet below sea level in Nassau County. Water levels in key wells were mostly above, or less frequently, slightly below averages for May in response to diverse area rainfall patterns. Most levels in the district were about the same, or more commonly, 1 to 2 feet lower than May 1983 levels. (USGS)
Murray, L.C.; Halford, K.J.
1996-01-01
A finite-difference ground-water flow model was used to simulate the effects of both modern-day (1988) and projected 2010 ground-water withdrawals on the Floridan aquifer system in the greater Orlando metropolitan area. This area covers about 2,500 square miles and includes all of Orange and Seminole Counties and parts of Lake, Volusia, Brevard, Osceola, and Polk Counties. The hydrogeology of the area is characterized by a thin surficial aquifer underlain by the thick, highly productive rocks of the Floridan aquifer system. Water in the Upper Floridan aquifer is brackish (chloride concentrations greater than 1,000 milligrams per liter) in discharge areas beneath and near the St. Johns and Wekiva Rivers and is freshest (chloride concentrations less than 100 milligrams per liter) inrecharge areas. A slight trend toward increasing concentrations of dissolved solids, chloride, and sulfate has been observed at Upper Floridan aquifer springs. Chloride concentrations in the Upper Floridan aquifer measured between 1966 and 1993 at the Cocoa well field have increased from 50 milligrams per liter to 120 milligrams per liter; concentrations measured in the Lower Floridan aquifer between 1966 and 1993 have increasedfrom 600 milligrams per liter to 3,000 milligrams per liter. The flow model was calibrated by comparing (a) simulated and estimated Upper Floridan aquifer predevelopment (unstressed) potentiometric surfaces, (b) simulated and measured heads at 142 Upper Floridan aquifer monitoring wells in 1988 (averageabsolute error of 1.8 feet), (c) simulated and measured discharge rates at 15 Upper Floridan aquifer springs in 1988 (306 cubic feet per second), and (d) simulated and measured drawdowns at 134 Upper Floridan aquifer monitoring wells between 1988 and May 1990 (58 and 95 percent of simulated drawdowns were within plus or minus 25and 50 percent of measured drawdowns, respectively). Relative to predevelopment conditions, model simulations indicate that about half of the 305 million gallons per day of water pumped from the Floridan aquifer system in 1988 was accounted for by increased recharge from the surficial aquifer system. About 23 cubic feet persecond was derived from increased lateral inflow. A storage coefficient of 1x10-3 provided the best comparisons of measured-to-simulated data during the transient simulation from January to May 1990. This storativity probably is greater than the true storativity of the Upper Floridan aquifer because storage contributions from the intermediateconfining unit were not accounted for during model design and development. Calibrated transmissivity ranged from 10,000 to greater than 400,000 feet squared per day in the Upper Floridan aquifer, and from 5,000 to 600,000 feet squared per day in the Lower Floridan aquifer. Calibrated intermediate confining unit leakance ranged from 1x10-5 to 4x10-3 per day and was highest in areas where the unit is thin or has been breached by numerous sinkholes. In general,calibrated transmissivity and leakance values were higher than associated aquifer-test values. Simulated recharge rates to the Upper Floridan aquifer from the surficial aquifer system ranged from less than 3 to 21 inches per year. Recharge rates of greater than 10 inches per year were simulated in areas of west Seminole, west Orange, east Lake, and southwest Volusia Counties. Recharge rates of less than 3 inches per year were simulated in east Orange and northeast Osceola Counties. The calibrated model was used to simulate the effects of increased Floridan aquifer withdrawals in the year 2010 (542 million gallons per day) on water levels and spring flow. Projected effects were simulated for both "wet" conditions (using 1988 fixed-head arrays) and for "dry" conditions (using May 1990 fixed-head arrays), thus bracketing a potential range of effects. Relative to simulated 1988 conditions, simulated 2010 spring flow decreased by 43 cubic f
Zoledronic acid and alendronate sodium and the implications in orthodontic movement.
Franzoni, J S; Soares, F M P; Zaniboni, E; Vedovello Filho, M; Santamaria, M P; Dos Santos, G M T; Esquisatto, M A M; Felonato, M; Mendonca, F A S; Franzini, C M; Santamaria, M
2017-08-01
To evaluate orthodontic tooth movement (OTM) in rats treated with two types of bisphosphonates (BPs), alendronate sodium (A) and zoledronic acid (Z). In all, 15 male Wistar rats were randomly divided into three groups. Group OTM+A: orthodontic tooth movement and subcutaneous administration of alendronate sodium (2.5 mg/kg); Group OTM+Z: orthodontic tooth movement and subcutaneous administration of zoledronic acid (0.02 mg/kg), and Group OTM: orthodontic tooth movement and subcutaneous injection of saline. The BPs were administered once a day during 25 days before OTM started and during 10 days of OTM. The left upper first molar was moved with a stainless-steel closed coil spring which delivered an initial force of 0.4N. OTM was measured with a digital caliper comparing the moved and the contralateral side. The histomorphometric analysis counted the number of osteoclasts, inflammatory cells, blood vessels and fibroblasts (n/10 4 m 2 ) in periodontal ligament (PDL) of the distobuccal root. A reduction of 58.3% of OTM was found in Group OTM+A and 99.6% in Group OTM+Z, when compared with Group OTM. There was a significant decrease of osteoclasts and inflammatory cells in BP-treated groups. Blood vessels and fibroblastic cells decreased mainly in Group OTM+Z. Alendronate sodium and zoledronic acid have similar effects on the periodontal tissue during orthodontic treatment in rats. Especially, zoledronic acid can affect orthodontic tooth movement. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
The John Kay Williams Gold Medal of the Royal College of Surgeons of England and Glasgow 2013.
Clayton, Christopher Jonathan
2015-06-01
This paper describes the clinical treatment of two cases treated by the recipient of the 2013 Membership in Orthodontics John Kay Williams Gold Medal of the Royal College of Surgeons of England and Glasgow. The first case describes the management of a 12-year-old male with a class II division 1 malocclusion complicated by Molar Incisal Hypominaralization, an increased overjet and severe upper arch crowding using fixed appliances with anchorage support from temporary anchorage devices. The second case involves the management of a class II division 2 malocclusion complicated by crowding of the upper and lower arches treated on an extraction basis using fixed appliances.
Chanwimalueang, Narumon; Ekataksin, Wichai; Piyaman, Parkpoom; Pattanapen, Gedsuda; Hanboon, Borimas K
2015-10-01
Twisting Tourniquet(©) or in Thai "Schnogh" is a new invention for compression therapy of lymphedema. Twisting Tourniquet(©) Technique (TTT) is totally noninvasive for lymphedema management. After the amazing successful evidence in the first series of 28 patients, we have conducted preliminary studies in lymphedema clinics. It was found that the combination of gradually increasing constriction force by Schnogh until desired pressure was reached and maintained for 15 min, followed by a 5-min release, doing repeatedly this compression-decompression for at least 10 sessions a day, can generate acceptable results. The aim of the study was to evaluate the scientific effectiveness and establish a treatment protocol of TTT proposed as a therapeutic approach for clinical management of lymphedema. During 2006-2013, from over 3500 patients, 647 with primary/secondary lymphedema passed inclusion criteria, 307 for upper, and 340 for lower extremity. In the 5-day course of TTT, each day patients underwent 10 sessions of a 15-min compression followed by a 5-min decompression. Vegan diet was encouraged as an adjuvant therapy. Among lymphedema patients whose spectrum of edema severity ranged from mild to gigantic, TTT yielded an average volume reduction rate (VR) at 50.2% and 55.6%, making the average edema reduction volume attained at 463 and 1856 mL for upper and lower limb, respectively. The uniformed practice by Schnogh which supports a continual compression-decompression maneuver over 3.5 h daily for five consecutive days could induce an average VR at above half of the swelling in extremities of 647 patients. Schnogh is therefore effective in clinical management of lymphedema under TTT treatment of fibroblastic interstitium. © 2015 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.
Survival estimates for Florida manatees from the photo-identification of individuals
Langtimm, C.A.; Beck, C.A.; Edwards, H.H.; Fick-Child, K. J.; Ackerman, B.B.; Barton, S.L.; Hartley, W.C.
2004-01-01
We estimated adult survival probabilities for the endangered Florida manatee (Trichechus manatus latirostris) in four regional populations using photo-identification data and open-population capture-recapture statistical models. The mean annual adult survival probability over the most recent 10-yr period of available estimates was as follows: Northwest - 0.956 (SE 0.007), Upper St. Johns River - 0.960 (0.011), Atlantic Coast - 0.937 (0.008), and Southwest - 0.908 (0.019). Estimates of temporal variance independent of sampling error, calculated from the survival estimates, indicated constant survival in the Upper St. Johns River, true temporal variability in the Northwest and Atlantic Coast, and large sampling variability obscuring estimates for the Southwest. Calf and subadult survival probabilities were estimated for the Upper St. Johns River from the only available data for known-aged individuals: 0.810 (95% CI 0.727-0.873) for 1st year calves, 0.915 (0.827-0.960) for 2nd year calves, and 0.969 (0.946-0.982) for manatee 3 yr or older. These estimates of survival probabilities and temporal variance, in conjunction with estimates of reproduction probabilities from photoidentification data can be used to model manatee population dynamics, estimate population growth rates, and provide an integrated measure of regional status.
My Voice Heard: The Journey of a Young Man with a Cerebral Visual Impairment
ERIC Educational Resources Information Center
Macintyre-Beon, Catriona; Mitchell, Kate; Gallagher, Ian; Cockburn, Debbie; Dutton, Gordon N.; Bowman, Richard
2012-01-01
This longitudinal case study presents John's journey through childhood and adolescence, living with visual difficulties associated with a cerebral visual impairment. It highlights the day-to-day problems that John encountered, giving practical solutions and strategies that have enabled his dream of going to a university to be realized. John and…
33 CFR 117.881 - John Day River.
Code of Federal Regulations, 2013 CFR
2013-07-01
... DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Oregon § 117.881 John Day River. The draw of the... (Washington State Department of Fisheries and the Fish Commission of Oregon) for the Columbia River Fishery...
33 CFR 117.881 - John Day River.
Code of Federal Regulations, 2014 CFR
2014-07-01
... DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Oregon § 117.881 John Day River. The draw of the... (Washington State Department of Fisheries and the Fish Commission of Oregon) for the Columbia River Fishery...
33 CFR 117.881 - John Day River.
Code of Federal Regulations, 2012 CFR
2012-07-01
... DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Oregon § 117.881 John Day River. The draw of the... (Washington State Department of Fisheries and the Fish Commission of Oregon) for the Columbia River Fishery...
Park, Jun Chul; Kim, Yeong Jin; Kim, Eun Hye; Lee, Jinae; Yang, Hyun Su; Kim, Eun Hwa; Hahn, Kyu Yeon; Shin, Sung Kwan; Lee, Sang Kil; Lee, Yong Chan
2018-02-07
Recently, the application of hemostatic powder to the bleeding site has been used to treat active upper gastrointestinal bleeding (UGIB). We aimed to assess the effectiveness of the polysaccharide hemostatic powder (PHP) in patients with non-variceal UGIB. We reviewed prospectively collected 40 patients with UGIB treated with PHP therapy between April 2016 and January 2017 (PHP group) and 303 patients with UGIB treated with conventional therapy between April 2012 and October 2014 (conventional therapy group). We compared the rate of successful hemostasis and the rebleeding between the two groups after as well as before propensity score matching using the Glasgow-Blatchford score and Forrest classification. Thirty patients treated with the PHP and 60 patients treated with conventional therapy were included in the matched groups. Baseline patient characteristics including comorbidities, vital signs, and bleeding scores were similar in the matched groups. The rate of immediate hemostasis and 7-day and 30-day rebleeding were also similar in the two groups before and after matching. In the subgroup analysis, no significant differences in immediate hemostasis or rebleeding rate were noted between PHP in monotherapy and PHP combined with a conventional hemostatic method. At 30 days after the therapy, there were no significant PHP-related complications or mortality. Given its safety, the PHP proved feasible for endoscopic treatment of UGIB, having similar effectiveness as that of conventional therapy. The PHP may become a promising hemostatic method for non-variceal UGIB. © 2018 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.
Geologic setting of the John Day Country, Grant County, Oregon
Thayer, Thomas P.
1977-01-01
One of the Pacific Northwest's most notable outdoor recreation areas, the "John Day Country" in northeastern Oregon, is named after a native Virginian who was a member of the Astor expedition to the mouth of the Columbia River in 1812. There is little factual information about John Day except that he was born in Culpeper County, Virginia, about 1770. It is known also that in 1810 this tall pioneer "with an elastic step as if he trod on springs" joined John Jacob Astor's overland expedition under Wilson Price Hunt to establish a vast fur-gathering network in the Western States based on a major trading post at the mouth of the Columbia River.
School attendance and daily respiratory symptoms in children: influence of moisture damage.
Casas, L; Espinosa, A; Pekkanen, J; Asikainen, A; Borràs-Santos, A; Jacobs, J; Krop, E J M; Täubel, M; Hyvärinen, A; Heederik, D; Zock, J-P
2017-03-01
We investigated the effect of weekends and school holidays on the daily frequency and severity of respiratory and other symptoms among children attending schools with (index) or without (reference) moisture damage in Spain, the Netherlands, and Finland. Throughout 1 year, parents of 419 children with a respiratory condition attending index (n=15) or reference (n=10) primary schools completed three symptom diaries. We assessed associations between lower respiratory tract, upper respiratory tract or allergy, and other symptom scores and school day, weekend, or summer holiday using mixed regression models stratified by country and moisture damage. We evaluated interactions between moisture damage and type of day. We combined country-specific estimates (incidence rate ratios [IRRs] and 95% confidence interval [CI]) in meta-analyses. Symptom scores were lower during weekends and holiday. Lower respiratory tract symptoms were statistically significantly less common during holiday with strongest effect in index schools (IRR=0.7; CI=0.6-0.8). Reporting of other symptoms was more reduced during holiday in index (IRR=0.6; CI=0.4-0.9) than in reference (IRR=0.95; CI=0.8-1.2) schools (interaction P<.01). In conclusion, symptoms were less frequent and/or severe during summer holiday and weekends. This pattern was stronger among children attending moisture-damaged schools, suggesting potential improvement in moisture damage-related symptoms during school breaks. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Poe, Thomas P.; Hansel, Hal C.; Vigg, S.; Palmer, D.E.; Prendergast, L.A.
1991-01-01
Diets of northern squawfish Ptychocheilus oregonensis, smallmouth bass Micropterus dolomieu, walleye Stizostedion vitreum, and channel catfish Ictalurus punctatus from John Day Reservoir were examined to determine the extent of predation on juvenile salmonids during seaward migrations of the salmonids during April–August 1983–1986. Juvenile Pacific salmon Oncorhynchus spp. and steelhead O. mykiss were the most important food group (by weight) of northern squawfish – about 67% – but made up smaller proportions of the food of the other predators: channel catfish, 33%; walleyes, 14%; smallmouth bass, 4%. Seasonal changes in diets indicated that northern squawfish preferred juvenile salmonids in May and August (generally the peak period of salmonid out-migration), and switched to prickly sculpin Cottus asper when numbers of juvenile salmonids declined; walleyes and smallmouth bass showed a preference only for prickly sculpin among the prey fishes analyzed. As judged by dietary composition and prey selectivity, the northern squawfish was the major fish predator on juvenile salmonids in the reservoir; channel catfish also were important predators in the upper reservoir in spring. Walleyes and smallmouth bass were much less important predators on salmonids, and appeared to select subyearling chinook salmon only in August when the distribution of this prey overlapped with that of the predators. Size-selective predation by northern squawfish may also play an important role in reducing survival of the smaller individuals within each run of out-migrating juvenile salmonids.
Technical Review of the CENWP Computational Fluid Dynamics Model of the John Day Dam Forebay
DOE Office of Scientific and Technical Information (OSTI.GOV)
Rakowski, Cynthia L.; Serkowski, John A.; Richmond, Marshall C.
The US Army Corps of Engineers Portland District (CENWP) has developed a computational fluid dynamics (CFD) model of the John Day forebay on the Columbia River to aid in the development and design of alternatives to improve juvenile salmon passage at the John Day Project. At the request of CENWP, Pacific Northwest National Laboratory (PNNL) Hydrology Group has conducted a technical review of CENWP's CFD model run in CFD solver software, STAR-CD. PNNL has extensive experience developing and applying 3D CFD models run in STAR-CD for Columbia River hydroelectric projects. The John Day forebay model developed by CENWP is adequatelymore » configured and validated. The model is ready for use simulating forebay hydraulics for structural and operational alternatives. The approach and method are sound, however CENWP has identified some improvements that need to be made for future models and for modifications to this existing model.« less
Schiffer, D.M.; O'Reilly, A. M.; Phelps, G.G.; Bradner, L.A.; Halford, K.J.; Spechler, R.M.
1994-01-01
This map depicts the potentiometric surface of the Upper Floridan aquifer in the St. Johns River Water Management District and vicinity for May 1994. The map is based on water-level measurements made at approximately 1,000 wells and several springs. Data on the map were contoured using 5-foot contour intervals in most areas. The potentiometric surface of this karstic aquifer generally reflects land surface topography. Potentiometric surface highs often correspond to topographic highs, which are areas of surficial recharge to the Upper Floridan aquifer. Springs within topographic lows along with areas of more diffuse upward leakage are natural zones of discharge. Municipal, agricultural, and industrial withdrawals have lowered the potentiometric surface in some areas. The potentiometric surface ranged from 125 feet above sea level in Polk County to 32 feet below sea level in Nassau County. Water levels in May 1994 generally were 0 to 3 feet lower than those measured in May 1993. Water levels in May 1994 in northeast Florida generally were 0 to 3 feet higher than in September 1993, except in the lower St. Johns River basin, where water levels were 0 to 4 feet lower than in September 1993. In the rest of the mapped area, water levels in May 1994 generally were 0 to 4 feet lower than those measured in September 1993.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Confederated Tribes of the Warm Springs Reservation of Oregon. John Day Basin Office.
2001-03-01
The John Day is the second longest free-flowing river in the contiguous United States and the longest containing entirely unsupplemented runs of anadromous fish. Located in eastern Oregon, the basin drains over 8,000 square miles--Oregon's third largest drainage basin--and incorporates portions of eleven counties. Originating in the Strawberry Mountains near Prairie City, the John Day River flows 284 miles in a northwesterly direction, entering the Columbia River approximately four miles upstream of the John Day dam. With wild runs of spring Chinook salmon and summer steelhead, red band, westslope cutthroat, and redband trout, the John Day system is truly amore » basin with national significance. Most all of the entire John Day basin was ceded to the Federal government in 1855 by the Confederated Tribes of the Warm Springs Reservation of Oregon (Tribes). In 1997, the Tribes established an office in the Basin to coordinate restoration projects, monitoring, planning and other watershed activities on private and public lands. Using funding from the Bonneville Power Administration, Bureau of Reclamation, and others, the John Day Basin Office (JDBO) subcontracts the majority of its construction implementation activities with the Grant Soil and Water Conservation District (GSWCD), also located in the town of John Day. The GSWCD completes the landowner contact, preliminary planning, engineering design, permitting, construction contracting, and construction implementation phases of most projects. The JDBO completes the planning, grant solicitation/review, environmental compliance, administrative contracting, monitoring, and reporting portion of the program. Most phases of project planning, implementation, and monitoring are coordinated with the private landowners and basin agencies, such as the Oregon Department of Fish and Wildlife and Oregon Water Resources Department. In 2000, the JDBO and GSWCD proposed continuation of a successful partnership between the two agencies and basin landowners to implement an additional six watershed conservation projects funded by the BPA. The types of projects include permanent diversions, pump stations, and return-flow cooling systems. Project costs in 2000 totaled $533,196.00 with a total amount of $354,932.00 (67%) provided by the Bonneville Power Administration and the remainder coming from other sources such as the BOR, Oregon Watershed Enhancement Board, and individual landowners.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Robertson, Shawn W.
2001-03-01
The John Day River is the second longest free-flowing river in the contiguous United States and one of the few major subbasins in the Columbia River basin containing entirely unsupplemented runs of anadromous fish. Located in eastern Oregon, the basin drains over 8,000 square miles, the fourth largest drainage area in Oregon. With its beginning in the Strawberry Mountains near the town of Prairie City, the John Day flows 284 miles in a northwesterly direction, entering the Columbia River approximately four miles upstream of the John Day dam. With wild runs of spring chinook salmon and summer steelhead, red band,more » westslope cutthroat, and redband trout, the John Day system is truly one of national significance. The entire John Day basin was granted to the Federal government in 1855 by the Confederated Tribes of the Warm Springs Reservation of Oregon (Tribes). In 1997, the Tribes established an office in the basin to coordinate restoration projects, monitoring, planning and other watershed activities on private and public lands. Once established, the John Day Basin Office (JDBO) initiated contracting the majority of its construction implementation actions with the Grant Soil and Water Conservation District (GSWCD), also located in the town of John Day. The GSWCD completes the landowner contact, preliminary planning, engineering design, permitting, construction contracting, and construction implementation phases of the projects. The JDBO completes the planning, grant solicitation/defense, environmental compliance, administrative contracting, monitoring, and reporting portion of the program. Most phases of project planning, implementation, and monitoring are coordinated with the private landowners and basin agencies, such as the Oregon Department of Fish and Wildlife and Oregon Water Resources Department. In 1999, the JDBO and GSWCD proposed continuation of a successful partnership between the two agencies and basin landowners to implement an additional eleven (11) watershed conservation projects. The types of projects implemented included installation of infiltration galleries, permanent diversions, pumping stations, and irrigation efficiency upgrades. Project costs in 1999 totaled $284,514.00 with a total amount of $141,628.00 (50%) provided by the Bonneville Power Administration (BPA) and the remainder coming from other sources such as the Bureau of Reclamation (BOR), Confederated Tribes of Warm Springs, Oregon Watershed Enhancement Board, and individual landowners.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Confederated Tribes of the Warm Springs Reservation of Oregon. John Day Basin Office.
The John Day is the nation's second longest free-flowing river in the contiguous United States and the longest containing entirely unsupplemented runs of anadromous fish. Located in eastern Oregon, the basin drains over 8,000 square miles, Oregon's fourth largest drainage basin, and incorporates portions of eleven counties. Originating in the Strawberry Mountains near Prairie City, the John Day River flows 284 miles in a northwesterly direction, entering the Columbia River approximately four miles upstream of the John Day dam. With wild runs of spring Chinook salmon and summer steelhead, westslope cutthroat, and redband and bull trout, the John Day systemmore » is truly a basin with national significance. The majority of the John Day basin was ceded to the Federal government in 1855 by the Confederated Tribes of the Warm Springs Reservation of Oregon (Tribes). In 1997, the Tribes established an office in the basin to coordinate restoration projects, monitoring, planning and other watershed activities on private and public lands. Once established, the John Day Basin Office (JDBO) formed a partnership with the Grant Soil and Water Conservation District (GSWCD), also located in the town of John Day, who contracts the majority of the construction implementation activities for these projects from the JDBO. The GSWCD completes the landowner contact, preliminary planning, engineering design, permitting, construction contracting, and construction implementation phases of most projects. The JDBO completes the planning, grant solicitation/defense, environmental compliance, administrative contracting, monitoring, and reporting portion of the program. Most phases of project planning, implementation, and monitoring are coordinated with the private landowners and basin agencies, such as the Oregon Department of Fish and Wildlife and Oregon Water Resources Department. In 2002, the JDBO and GSWCD proposed continuation of their successful partnership between the two agencies and basin landowners to implement an additional twelve (12) watershed conservation projects. The types of projects include off channel water developments, riparian fencing, juniper control, permanent diversions, pump stations, infiltration galleries and return-flow cooling systems. Project costs in 2002 totaled $423,198.00 with a total amount of $345,752.00 (81%) provided by the Bonneville Power Administration (BPA) and the remainder coming from other sources such as the Bureau of Reclamation (BOR), Oregon Watershed Enhancement Board, the U.S. Fish & Wildlife Service Partners in Wildlife Program and individual landowners.« less
Thorborg, K; Bandholm, T; Schick, M; Jensen, J; Hölmich, P
2013-08-01
Handheld dynamometry (HHD) is a promising tool for obtaining reliable hip strength measurements in the clinical setting, but intertester reliability has been questioned, especially in situations where testers exhibit differences in upper-extremity muscle strength (male vs female). The purpose of this study was to examine the intertester reliability concerning strength assessments of hip abduction, adduction, external and internal rotation, flexion and extension using HHD, and to test whether systematic differences in test values exist between testers of different upper-extremity strength. Fifty healthy individuals (29 women), aged 25 ± 5 years were included. Two physiotherapist students (one female, one male) of different upper-extremity strength performed the measurements. The tester order and strength test order were randomized. Intraclass correlation coefficients were used to quantify reliability, and ranged from 0.82 to 0.91 for the six strength test. The female tester systematically measured lower strength values for all isometric strength tests (P < 0.05). In hip strength assessments using HHD, systematic bias exists between testers of different sex, which is likely explained by differences in upper-extremity strength. Hence, to improve intertester reliability, the dynamometer likely needs external fixation, as this will eliminate the influence of differences in upper-extremity strength between testers. © 2011 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Keukenmeester, R S; Slot, D E; Rosema, N A M; Van Loveren, C; Van der Weijden, G A
2014-11-01
The objective of this study was to test the effect of sugar-free chewing gum sweetened with xylitol or maltitol compared to the use of a gum base or no gum on gingivitis and plaque scores under both brushing and non-brushing circumstances. The design of the study was a four-group, double-blinded, randomized controlled study with a 3-week duration. In each group, the participants did not brush the teeth in the lower jaw designated to develop experimental gingivitis, while maintaining normal oral hygiene procedures in the upper jaw. After professional dental prophylaxis, the participants were allocated into one of four groups (xylitol, maltitol, gum base or no gum). Chewing gum was used five times a day for 10 min. 220 participants completed the study and provided evaluable data. The increase in bleeding on marginal probing (BOMP) and plaque scores (PS) in the non-brushed (lower) jaw with experimental gingivitis was significant in all groups (P < 0.001). As compared to the gum base, the increase in BOMP in the xylitol and maltitol group was significantly lower. In the brushed upper jaw, no significant changes for BOMP were observed from the baseline to the end point of the study, and there were no significant differences in BOMP and PS between the groups. In circumstances where regular brushing is performed, no effect of chewing gum was observed on bleeding and plaque scores. In the absence of brushing, chewing xylitol or maltitol gum provided a significant inhibitory effect on gingivitis scores compared to chewing gum base. The difference when compared to the group not using gum was not significant. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Astronaut John Young collecting samples at North Ray crater during EVA
1972-04-23
AS16-117-18825 (23 April 1972) --- Astronaut John W. Young, Apollo 16 commander, with a sample bag in his left hand, moves toward the bottom part of the gnomon (center) while collecting samples at the North Ray Crater geological site. Note how soiled Young's Extravehicular Mobility Unit (EMU) is during this the third and final Apollo 16 extravehicular activity (EVA). The Lunar Roving Vehicle (LRV) is parked at upper left.
Pomeroy, Valerie M; Ward, Nick S; Johansen-Berg, Heidi; van Vliet, Paulette; Burridge, Jane; Hunter, Susan M; Lemon, Roger N; Rothwell, John; Weir, Christopher J; Wing, Alan; Walker, Andrew A; Kennedy, Niamh; Barton, Garry; Greenwood, Richard J; McConnachie, Alex
2014-02-01
Functional strength training in addition to conventional physical therapy could enhance upper limb recovery early after stroke more than movement performance therapy plus conventional physical therapy. To determine (a) the relative clinical efficacy of conventional physical therapy combined with functional strength training and conventional physical therapy combined with movement performance therapy for upper limb recovery; (b) the neural correlates of response to conventional physical therapy combined with functional strength training and conventional physical therapy combined with movement performance therapy; (c) whether any one or combination of baseline measures predict motor improvement in response to conventional physical therapy combined with functional strength training or conventional physical therapy combined with movement performance therapy. Randomized, controlled, observer-blind trial. The sample will consist of 288 participants with upper limb paresis resulting from a stroke that occurred within the previous 60 days. All will be allocated to conventional physical therapy combined with functional strength training or conventional physical therapy combined with movement performance therapy. Functional strength training and movement performance therapy will be undertaken for up to 1·5 h/day, five-days/week for six-weeks. Measurements will be undertaken before randomization, six-weeks thereafter, and six-months after stroke. Primary efficacy outcome will be the Action Research Arm Test. Explanatory measurements will include voxel-wise estimates of brain activity during hand movement, brain white matter integrity (fractional anisotropy), and brain-muscle connectivity (e.g. latency of motor evoked potentials). The primary clinical efficacy analysis will compare treatment groups using a multilevel normal linear model adjusting for stratification variables and for which therapist administered the treatment. Effect of conventional physical therapy combined with functional strength training versus conventional physical therapy combined with movement performance therapy will be summarized using the adjusted mean difference and 95% confidence interval. To identify the neural correlates of improvement in both groups, we will investigate associations between change from baseline in clinical outcomes and each explanatory measure. To identify baseline measurements that independently predict motor improvement, we will develop a multiple regression model. © 2013 The Authors. International Journal of Stroke published by John Wiley & Sons Ltd on behalf of World Stroke Organization.
Gil, Ana L S; Neto, Gabriel R; Sousa, Maria S C; Dias, Ingrid; Vianna, Jeferson; Nunes, Rodolfo A M; Novaes, Jefferson S
2017-03-01
Blood flow restriction (BFR) training stimulates muscle size and strength by increasing muscle activation, accumulation of metabolites and muscle swelling. This method has been used in different populations, but no studies have evaluated the effects of training on muscle power and submaximal strength (SS) in accounted for the menstrual cycle. The aim of this study was to analyse the effect of strength training (ST) with BFR on the muscle power and SS of upper and lower limbs in eumenorrheic women. Forty untrained women (18-40 years) were divided randomly and proportionally into four groups: (i) high-intensity ST at 80% of 1RM (HI), (ii) low-intensity ST at 20% of 1RM combined with partial blood flow restriction (LI + BFR), (iii) low-intensity ST at 20% of 1RM (LI) and d) control group (CG). Each training group performed eight training sessions. Tests with a medicine ball (MB), horizontal jump (HJ), vertical jump (VJ), biceps curls (BC) and knee extension (KE) were performed during the 1st day follicular phase (FP), 14th day (ovulatory phase) and 26-28th days (luteal phase) of the menstrual cycle. There was no significant difference among groups in terms of the MB, HJ, VJ or BC results at any time point (P>0·05). SS in the KE exercise was significantly greater in the LI + BFR group compared to the CG group (P = 0·014) during the LP. Therefore, ST with BFR does not appear to improve the power of upper and lower limbs and may be an alternative to improve the SS of lower limbs of eumenorrheic women. © 2015 Scandinavian Society of Clinical Physiology and Nuclear Medicine. Published by John Wiley & Sons Ltd.
John Day River Sub-Basin Fish Habitat Enhancement Project; 2008 Annual Report
DOE Office of Scientific and Technical Information (OSTI.GOV)
Powell, Russ M.; Alley, Pamela D.; Goin Jr, Lonnie
Work undertaken in 2008 included: (1) Seven new fence projects were completed thereby protecting approximately 10.97 miles of streams with 16.34 miles of riparian fence; (2) Renewal of one expired lease was completed thereby continuing to protect 0.75 miles of stream with 1.0 mile of riparian fence. (3) Maintenance of all active project fences (106.54 miles), watergaps (78), spring developments (33) were checked and repairs performed; (3) Planted 1000 willow/red osier on Fox Creek/Henslee property; (4) Planted 2000 willows/red osier on Middle Fork John Day River/Coleman property; (5) Planted 1000 willow/red osier cuttings on Fox Creek/Johns property; (6) Since themore » initiation of the Fish Habitat Project in 1984 we have 126.86 miles of stream protected using 211.72 miles of fence protecting 5658 acres. The purpose of the John Day Fish Habitat Enhancement Program is to enhance production of indigenous wild stocks of spring Chinook and summer steelhead within the sub basin through habitat protection, enhancement and fish passage improvement. The John Day River system supports the largest remaining wild runs of spring chinook salmon and summer steelhead in Northeast Oregon.« less
Ecology of an estuarine mysid shrimp in the Columbia River (USA)
Haskell, C.A.; Stanford, J.A.
2006-01-01
The estuarine mysid, Neomysis mercedis, has colonized John Day and other run-of-the-river Reservoirs of the Columbia River, over 400 km from the estuary. In John Day Reservoir N. mercedis numbers peaked (2 m-3) in August in areas near the dam in association with lower water velocity and softer bottom than at the upstream sampling sites. Neomysis broods were primarily released in late spring and early fall. Gut content analysis showed that Neomysis feeds mostly on cladoceran zooplankton and rotifers in John Day Reservoir. Diel vertical migration was documented, with daytime distribution restricted to the bottom and preferentially to the soft-textured sediments in the deepest areas. Common pelagic fishes in the reservoir, especially juvenile American shad (Alosa sapidissima) and chinook salmon (Oncorhynchus tshawytscha), are daytime zooplankton feeders that cannot prey on Neomysis owing to mysid diel vertical migration. Thus, Neomysis has become an important food web component in John Day Reservoir. We also collected N. mercedis further upstream in Lower Granite Reservoir, where another estuarine crustacean, Corophium salmonis, also is reported, underscoring the need to better understand the role of these estuarine invertebrates in the trophic ecology of the Columbia River. Copyright ?? 2006 John Wiley & Sons, Ltd.
Björk, Ann-Kristin; Bruze, Magnus; Engfeldt, Malin; Nielsen, Christel; Svedman, Cecilia
2017-01-01
In the contact dermatitis literature, it is regularly stated that the patch test reactivity on various areas of the back differs, which might have a large impact on the reproducibility of patch testing. To investigate the reproducibility of patch testing on the upper back with regard to the left as opposed to the right side, and the medial as opposed to the lateral part of the upper back. The reproducibility over time and with regard to the reactivity pattern was also investigated. Thirty-one subjects with contact allergy to the metals gold (n = 19) or nickel (n = 12) were patch tested with serial dilutions, in triplicate applications, on different locations on the upper back. The Friedman test was used for statistical calculations. No significant differences in the reactivity of the back were found. In all gold-allergic patients and 11 of 12 nickel-allergic patients, the allergy could be reproduced with regard to previous patch testing, but the degree of reactivity differed. When a high level of standardization of the patch test technique with the same test system was used, there were no differences in patch test reactions and sites of application on the upper back. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Sato, Makoto; Iida, Takafumi; Kikuchi, Chika; Sasakawa, Tomoki; Kunisawa, Takayuki
2017-05-01
The caudal epidural block is one of the most commonly used regional anesthetic techniques in children. Administration of morphine via caudal injection enables analgesia, even for upper abdominal surgery. The thoracic paravertebral block has also been successfully used to treat perioperative pain during upper abdominal procedures in pediatric patients. In the current study, we compared the two regional techniques for upper abdominal surgery in infants to determine whether one of them was preferable to the other. Consecutive patients under 12 months of age who underwent upper abdominal surgery were retrospectively divided according to the chosen postoperative analgesia: Group C, caudal ropivacaine-morphine; Group P, paravertebral catheter. We analyzed the following outcomes: requirement for additional analgesics, pain scores, need for mechanical ventilation and oxygen dosage, postoperative blood pressure and heart rate, time to pass first stool, time until first full meal, and complications. Twenty-one consecutive patients were included: 10 in Group C and 11 in Group P. Median age at surgery was 80 (47.5-270.0) and 84.5 (34.3-287.5) days, respectively. No difference was found between the two groups in requirement for additional analgesics at 24 h after surgery (median 1 in Group C vs 1 in Group P, P = 0.288, 95% CI: -2 to 1). BOPS pain scores were only lower in Group P when compared to Group C at 24 h after surgery (median 1 vs 2, P = 0.041, 95% CI: -2 to 0). None of the patients had perioperative complications. In this small series, there was no significant difference between caudal ropivacaine-morphine and paravertebral catheter for postoperative care in infants undergoing upper abdominal surgery. Further prospective studies are needed to compare the efficacy and incidence of complications of caudal block and paravertebral catheter for postoperative analgesia. © 2017 John Wiley & Sons Ltd.
Short-term use of serotonin reuptake inhibitors and risk of upper gastrointestinal bleeding.
Wang, Yen-Po; Chen, Yung-Tai; Tsai, Chia-Fen; Li, Szu-Yuan; Luo, Jiing-Chyuan; Wang, Shuu-Jiun; Tang, Chao-Hsiun; Liu, Chia-Jen; Lin, Han-Chieh; Lee, Fa-Yauh; Chang, Full-Young; Lu, Ching-Liang
2014-01-01
The association between selective serotonin receptor inhibitors (SSRIs) and risk of upper gastrointestinal bleeding remains controversial. Previous studies have generally evaluated the issue for approximately 3 months, even though the SSRI-mediated inhibition of platelet serotonin concentrations occurs within 7-14 days. The authors explored the risk of upper gastrointestinal bleeding after short-term SSRI exposure by a case-crossover design. The records of psychiatric inpatients with upper gastrointestinal bleeding were retrieved from the Taiwan National Health Insurance Database (1998-2009). Rates of antidepressant use were compared for case and control periods with time windows of 7, 14, and 28 days. The adjusted self-matched odds ratios from a conditional logistic regression model were used to determine the association between SSRI use and upper gastrointestinal bleeding. A total of 5,377 patients with upper gastrointestinal bleeding were enrolled. The adjusted odds ratio for the risk of upper gastrointestinal bleeding after SSRI exposure was 1.67 (95% CI=1.23-2.26) for the 7-day window, 1.84 (95% CI=1.42-2.40) for the 14-day window, and 1.67 (95% CI=1.34-2.08) for the 28-day window. SSRIs with high and intermediate, but not low, affinity for serotonin transporter were associated with upper gastrointestinal bleeding. An elevated risk of upper gastrointestinal bleeding after SSRI exposure was seen in male but not female patients. Short-term SSRI use (7-28 days) is significantly associated with upper gastrointestinal bleeding. Gender differences may exist in the relationship between SSRI use and upper gastrointestinal bleeding. Physicians should carefully monitor signs of upper gastrointestinal bleeding even after short-term exposure to SSRIs, as is done with nonsteroidal anti-inflammatory drugs and aspirin.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Wilson, Wayne
The objectives are: (1) Estimate number and distribution of spring Chinook salmon Oncorhynchus tshawytscha redds and spawners in the John Day River subbasin; and (2) Estimate smolt-to-adult survival rates (SAR) and out-migrant abundance for spring Chinook and summer steelhead O. mykiss and life history characteristics of summer steelhead. Spawning ground surveys for spring (stream-type) Chinook salmon were conducted in four main spawning areas (Mainstem, Middle Fork, North Fork, and Granite Creek System) and seven minor spawning areas (South Fork, Camas Creek, Desolation Creek, Trail Creek, Deardorff Creek, Clear Creek, and Big Creek) in the John Day River basin during Augustmore » and September of 2005. Census surveys included 298.2 river kilometers (88.2 rkm within index, 192.4 rkm additional within census, and 17.6 rkm within random survey areas) of spawning habitat. We observed 902 redds and 701 carcasses including 227 redds in the Mainstem, 178 redds in the Middle Fork, 420 redds in the North Fork, 62 redds in the Granite Creek System, and 15 redds in Desolation Creek. Age composition of carcasses sampled for the entire basin was 1.6% age 3, 91.2% age 4, and 7.1% age 5. The sex ratio was 57.4% female and 42.6% male. Significantly more females than males were observed in the Granite Creek System. During 2005, 82.3% of female carcasses sampled had released all of their eggs. Significantly more pre-spawn mortalities were observed in Granite Creek. Nine (1.3%) of 701 carcasses were of hatchery origin. Of 298 carcasses examined, 4.0% were positive for the presence of lesions. A significantly higher incidence of gill lesions was found in the Granite Creek System when compared to the rest of the basin. Of 114 kidney samples tested, two (1.8%) had clinical BKD levels. Both infected fish were age-4 females in the Middle Fork. All samples tested for IHNV were negative. To estimate spring Chinook and summer steelhead smolt-to-adult survival (SAR) we PIT tagged 5,138 juvenile Chinook and 4,913 steelhead during the spring of 2005. We estimated that 130,144 (95% CL's 97,133-168,409) Chinook emigrated from the upper John Day subbasin past our seining area in the Mainstem John Day River (river kilometers 274-296) between February 4 and June 16, 2005. We also estimated that 32,601 (95% CL's 29,651 and 36,264) Chinook and 47,921 (95% CL's 35,025 and 67,366) steelhead migrated past our Mainstem rotary screw trap at river kilometer (rkm) 326 between October 4, 2004 and July 6, 2005. We estimated that 20,193 (95% CL's 17,699 and 22,983) Chinook and 28,980 (95% CL's 19,914 and 43,705) steelhead migrated past our Middle Fork trap (rkm 24) between October 6, 2004 and June 17, 2005. Seventy three percent of PIT tagged steelhead migrants were age-2 fish, 13.8% were age-3, 12.7% were age-2, and 0.3% were age 4. Spring Chinook SAR for the 2002 brood year was estimated at 2.5% (100 returns of 4,000 PIT tagged smolts). Preliminary steelhead SAR (excluding 2-ocean fish) for the 2004 tagging year was estimated at 1.61% (60 returns of 3,732 PIT-tagged migrants).« less
GEMINI-TITAN (GT)-3 - EARTH-SKY VIEWS - CA
1965-03-23
S65-18741 (23 March 1965) --- Astronaut John W. Young took this picture during the Gemini-Titan 3 three-orbit mission as the spacecraft "Molly Brown" passed over Northern Mexico. The large light-brown area is the Sonoran Desert. The Colorado River runs from upper right to lower left. The lower portion of the picture is Mexico, the upper left is California, and the upper right is Arizona. The altitude of the spacecraft was 90 miles. Young used a hand-held modified 70mm Hasselblad camera with color film. The lens setting was 250th of a second at f/11.
Bogg, Tina Fung Ting; Broderick, Carolyn; Shaw, Peter; Cohn, Richard; Naumann, Fiona Leigh
2015-12-01
With improving survival rates following HSCT in children, QOL and management of short- and long-term effects need to be considered. Exercise may help mitigate fatigue and declines in fitness and strength. The aims of this study were to assess the feasibility of an inpatient exercise intervention for children undergoing HSCT and observe the changes in physical and psychological health. Fourteen patients were recruited, mean age 10 yr. A 6MWT, isometric upper and lower body strength, balance, fatigue, and QOL were assessed prior to Tx and six wk post-Tx. A supervised exercise program was offered five days per week during the inpatient period and feasibility assessed through uptake rate. The study had 100% program completion and 60% uptake rate of exercise sessions. The mean (± s.d.) weekly activity was 117.5 (± 79.3) minutes. Younger children performed significantly more minutes of exercise than adolescents. At reassessment, strength and fatigue were stabilized while aerobic fitness and balance decreased. QOL revealed a non-statistical trend towards improvement. No exercise-related adverse events were reported. A supervised inpatient exercise program is safe and feasible, with potential physiological and psychosocial benefits. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Federal Register 2010, 2011, 2012, 2013, 2014
2013-12-16
.... The meeting was cancelled. FOR FURTHER INFORMATION CONTACT: Lisa Clark, Public Affairs Specialist, BLM...] Notice of Public Meeting for the John Day--Snake Resource Advisory Council: Cancellation AGENCY: Bureau..., Oregon/Washington, published a document in the Federal Register on October 28, 2013, regarding a public...
76 FR 18777 - Notice of Public Meeting, John Day-Snake Resource Advisory Council
Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-05
... Service Blue Mountain Plan revision; John Day Environmental Assessment (EA) and Permit System; Status..., 112 West 2nd Street, The Dalles, Oregon 97058. FOR FURTHER INFORMATION CONTACT: Mark Wilkening, Public Affairs Specialist, BLM Vale District Office, 100 Oregon Street, Vale, Oregon 97918, (541) 473-6218 or e...
77 FR 16257 - Notice of Public Meeting, John Day-Snake Resource Advisory Council
Federal Register 2010, 2011, 2012, 2013, 2014
2012-03-20
... include: Blue Mountain Forest Plan, John Day Basin Final, Step-down BLM Vegetation Environmental Impact..., Oregon, on May 17, 2012. FOR FURTHER INFORMATION CONTACT: Mark Wilkening, Public Affairs Specialist, 100 Oregon Street, Vale, Oregon 97918, (541) 473-6218 or email [email protected] . Persons who use a...
11. Historic American Buildings Survey Photocopy c. 1923 from J. ...
11. Historic American Buildings Survey Photocopy c. 1923 from J. J. Glessner The Story of a House UPPER HALL - NORTH AND WEST SIDES - John J. Glessner House, 1800 South Prairie Avenue, Chicago, Cook County, IL
DOE Office of Scientific and Technical Information (OSTI.GOV)
Skalski, J. R.; Townsend, Richard L.; Seaburg, Adam
2012-02-01
The study was designed to estimate dam passage survival at John Day Dam as stipulated by the 2008 Federal Columbia River Power System (FCRPS) Biological Opinion (BiOp) and to provide additional fish passage performance measures at that site as stipulated in the Columbia Basin Fish Accords.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Skalski, J. R.; Townsend, Richard L.; Seaburg, Adam
The study was designed to estimate dam passage survival at John Day Dam as stipulated by the 2008 Federal Columbia River Power System (FCRPS) Biological Opinion (BiOp) and to provide additional fish passage performance measures at that site as stipulated in the Columbia Basin Fish Accords.
Federal Register 2010, 2011, 2012, 2013, 2014
2013-07-17
...; 30-Day Comment Request: Evaluation of the Brain Disorders in the Developing World Program of the John... Collection: Evaluation of the Brain Disorders in the Developing World Program of the John E. Fogarty... outcomes of the Brain Disorders in the Developing World extramural research program administered by the...
NASA Technical Reports Server (NTRS)
1997-01-01
On this eighth day of the STS-81 mission, the flight crew, Cmdr. Michael A. Baker, Pilot Brent W. Jett, Mission Specialists, John M. Grunsfeld, Marsha S. Ivins, Peter J.K. Wisoff, and John Blaha, bid farewell to Jerry Linenger and cosmonauts of Mir. Prior to hatch closure, the astronauts and cosmonauts conduct a formal farewell ceremony in the Mir Core Module. They then field questions from Russian and U.S. reporters in a joint news conference. Commander Mike Baker, Pilot Brent Jett and Mission Specialists Jeff Wisoff, John Grunsfeld, Marsha Ivins and John Blaha say goodbye to Mir 22 Commander Valery Korzun, Flight Engineer Alexander Kaleri and the newest Mir crewmember, astronaut Jerry Linenger. The hatches on the two spacecraft are closed.
Oliveira, L F; de Salles Painelli, V; Nemezio, K; Gonçalves, L S; Yamaguchi, G; Saunders, B; Gualano, B; Artioli, G G
2017-11-01
Since there is conflicting data on the buffering and ergogenic properties of calcium lactate (CL), we investigated the effect of chronic CL supplementation on blood pH, bicarbonate, and high-intensity intermittent exercise performance. Sodium bicarbonate (SB) was used as a positive control. Eighteen athletes participated in this double-blind, placebo-controlled, crossover, fully counterbalanced study. All participants underwent three different treatments: placebo (PL), CL, and SB. The dose was identical in all conditions: 500 mg/kg BM divided into four daily individual doses of 125 mg/kg BM, for five consecutive days, followed by a 2-7-day washout period. On the fifth day of supplementation, individuals undertook four 30-s Wingate bouts for upper body with 3-min recovery between bouts. Total mechanical work (TMW) for the overall protocol and for the initial (1st+2nd) and final (3rd+4th) bouts was determined at each session. Blood pH, bicarbonate, and lactate levels were determined at rest, immediately and 5 min after exercise. CL supplementation did not affect performance (P > 0.05 for the overall TMW as well for initial and final bouts), nor did it affect blood bicarbonate and pH prior to exercise. SB supplementation improved performance by 2.9% for overall TMW (P = 0.02) and 5.9% in the 3rd+4th bouts (P = 0001). Compared to the control session, SB also promoted higher increases in blood bicarbonate than CL and PL (+0.03 ± 0.04 vs +0.009 ± 0.02 and +0.01 ± 0.03, respectively). CL supplementation was not capable of enhancing high-intensity intermittent performance or changing extracellular buffering capacity challenging the notion that this dietary supplement is an effective buffering agent. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
The effects of smoothies on enamel erosion: an in situ study.
Ali, Hanein; Tahmassebi, Jinous F
2014-05-01
To measure, in vitro, the pH and titratable acidity (TA) of various soft drinks and to assess the erosive effect of smoothies using an in situ model. The in vitro phase of this study included measuring the inherent pH of six different commercially available smoothies, diet coke, and citric acid 0.3% (positive control) using a pH meter. The TA was determined by titration with NaOH. In the second part of the study, an in situ model was used. An upper removable appliance capable of retaining two enamel slabs was constructed and worn by 14 volunteers. The drinks under test were Innocent(®) strawberries and banana smoothie and citric acid. Volunteers were instructed to dip the appliance in the test solutions extra-orally five times daily for 2 min each time for 21 days. Measurements of enamel loss were made by surface profilometry and microhardness. Diet Coke was found to be the most acidic drink (pH 2.61), whereas Innocent(®) mangoes and passion fruit smoothie showed to be the least (pH 3.9). With regard to TA, Innocent(®) blackberries, strawberries, and blackcurrant smoothie had the highest TA requiring 10.8 mol of NaOH to reach pH 7.0, whereas citric acid required only 3.1 mol of NaOH to reach the same pH value. Surface profilometry and microhardness testing revealed that citric acid caused a statistically significantly greater tooth surface loss compared with smoothie after 21-day pH cycling protocol. Smoothies are acidic and have high TA levels. Innocent(®) strawberries and banana smoothie had an erosive potential to the teeth. However, its erosive effect was significantly less compared with citric acid after 21-day pH cycling protocol using an in situ model. © 2013 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Vigg, Steven; Poe, Thomas P.; Prendergast , Linda A.; Hansel, Hal C.
1991-01-01
Adult northern squawfish Ptychocheilus oregonensis, walleyes Stizostedion vitreum, smallmouth bass Micropterus dolomieu, and channel catfish Ictalurus punctatus were sampled from four regions of John Day Reservoir from April to August 1983–1986 to quantify their consumption of 13 species of prey fish, particularly seaward-migrating juvenile Pacific salmon and steelhead (Oncorhynchus spp.). Consumption rates were estimated from field data on stomach contents and digestion rate relations determined in previous investigations. For each predator, consumption rates varied by reservoir area, month, time of day, and predator size or age. The greatest daily consumption of salmonids by northern squawfish and channel catfish (0.7 and 0.5 prey/predator) occurred in the upper end of the reservoir below McNary Dam. Greatest daily predation by walleyes (0.2 prey/predator) and smallmouth bass (0.04) occurred in the middle and lower reservoir. Consumption rates of all predators were highest in July, concurrent with maximum temperature and abundance of juvenile salmonids. Feeding by the predators tended to peak after dawn (0600–1200 hours) and near midnight (2000–2400). Northern squawfish below McNary Dam exhibited this pattern, but fed mainly in the morning hours down-reservoir. The daily ration of total prey fish was highest for northern squawfish over 451 mm fork length (> 13.2 mg/g predator), for walleyes 201–250 mm (42.5 mg/g), for smallmouth bass 176–200 mm (30.4 mg/g), and for channel catfish 401–450 mm (17.1 mg/g). Averaged over all predator sizes and sampling months (April–August), the total daily ration (fish plus other prey) of smallmouth bass (28.7 mg/ g) was about twice that of channel catfish (12.6), northern squawfish (14.1), and walleyes (14.2). However, northern squawfish was clearly the major predator on juvenile salmonids.
Ponsonby, Anne-Louise; Pezic, Angela; Cochrane, Jennifer; Cameron, Fergus J; Pascoe, Mark; Kemp, Andrew; Dwyer, Terence
2011-06-01
Higher birthweight is associated with increased type 1 diabetes mellitus (T1DM) risk, but the contribution of higher adiposity or lean mass is unclear. In this Tasmanian infant cohort, early upper respiratory infection has been associated with higher asthma risk. Eligible infants represented one-fifth of live births in Tasmania, 1988-1995. Hospital interview data (day 6) were obtained on 96.3% (10 628/11 040), home (5 wk) visit data (38 d) on 92.9% (9876/10 628) of those, then a phone (12 wk) interview (87 d). Tricep and subscapular skinfold measures and upper arm circumference were recorded at the first two interviews. T1DM cases (n = 26) arising from the age of 16 or under in Tasmania from 1988 to 2006 were ascertained. Higher birthweight [adjusted odds ratio (AOR) 2.82 (95% CI 1.31-6.09)], lean mid-upper arm circumference [AOR 1.76 (95% CI 1.16-2.66)], not skinfold measures, were associated with T1DM risk. Children with an early upper respiratory tract infection by 5-wk visit [AOR 2.74 (95% CI 1.19-6.32)] or ear infection by 12-wk interview [AOR 3.44 (95% CI 1.00-11.79)] were also at higher risk. Putative markers of altered microbial exposure such as resident density were not associated with T1DM risk but the effect of increasing birth order on T1DM risk differed for older (AOR 0.41, p = 0.02) than young mother (AOR 2.45, p = 0.01); difference in effect, p = 0.001. In this cohort, early upper respiratory tract infection was associated with T1DM risk, as had been previously found for asthma, consistent with immunoinflammatory upregulation. Using the detailed anthropometric measures available, the link between higher birthweight and T1DM did not appear to reflect increased adiposity. © 2011 John Wiley & Sons A/S.
55. Interior view, porch chamber from the south (Note the ...
55. Interior view, porch chamber from the south (Note the ionic capital volute visible through the plaster to the upper right of the bed). - John Bartram House & Garden, House, 54th Street & Lindbergh Boulevard, Philadelphia, Philadelphia County, PA
An ex vivo human skin model for studying skin barrier repair.
Danso, Mogbekeloluwa O; Berkers, Tineke; Mieremet, Arnout; Hausil, Farzia; Bouwstra, Joke A
2015-01-01
In the studies described in this study, we introduce a novel ex vivo human skin barrier repair model. To develop this, we removed the upper layer of the skin, the stratum corneum (SC) by a reproducible cyanoacrylate stripping technique. After stripping the explants, they were cultured in vitro to allow the regeneration of the SC. We selected two culture temperatures 32 °C and 37 °C and a period of either 4 or 8 days. After 8 days of culture, the explant generated SC at a similar thickness compared to native human SC. At 37 °C, the early and late epidermal differentiation programmes were executed comparably to native human skin with the exception of the barrier protein involucrin. At 32 °C, early differentiation was delayed, but the terminal differentiation proteins were expressed as in stripped explants cultured at 37 °C. Regarding the barrier properties, the SC lateral lipid organization was mainly hexagonal in the regenerated SC, whereas the lipids in native human SC adopt a more dense orthorhombic organization. In addition, the ceramide levels were higher in the cultured explants at 32 °C and 37 °C than in native human SC. In conclusion, we selected the stripped ex vivo skin model cultured at 37 °C as a candidate model to study skin barrier repair because epidermal and SC characteristics mimic more closely the native human skin than the ex vivo skin model cultured at 32 °C. Potentially, this model can be used for testing formulations for skin barrier repair. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Skalski, John R.; Perez-Comas, Jose A.
2000-05-01
PIT-tags recovered from tern and cormorant breeding colonies at Rice Island and observations from the interrogation systems at John Day and Bonneville Dams were incorporated into survival analyses. Whether the estimates for the upper reaches of the system, between Lower Granite and McNary Dams were as expected (with weighted averages S{sub LGR-LGS} = 0.996, S{sub LGS-LMN} = 0.837, and S{sub LMN-McN} = 0.941), those for the lower reaches, between John Day and Bonneville Dams, appeared positively biased with survival estimates typically greater than 1. Their weighted averages were S{sub McN-JDA} = 0.707 and S{sub JDA-BON} = 1.792 for 1997 releases.more » For the 1998 releases, they were S{sub McN-JDA} = 0.795 and S{sub JDA-BON} = 1.312. If the estimates for the lower reaches were biased, the estimates for the whole project would also be biased (S{sub LGR-BON} = 0.819). We determined that bias could have arisen if the terns and cormorants of Rice Island fished for salmon yearlings in waters of the BON-Rice reach at low rates (M{sub BON-Rice} {le} 0.2), and the rates of tag-deposition and tag-detection were low (R{sub D} x R{sub R} {le} 0.4). Moreover, unknown levels of uncensored post-detection mortality and scavenging of previously dead salmon yearlings may have also added to the bias.« less
Wright, C Y; Wilkes, M; du Plessis, J L; Reeder, A I; Albers, P N
2016-08-01
Finding inexpensive and reliable techniques for assessing skin colour is important, given that it is related to several adverse human health outcomes. Visual observation is considered a subjective approach assessment and, even when made by trained assessor, concern has been raised about the need for controlled lighting in the study venue. The aim of this study is to determine whether visual skin colour assessments correlate with objective skin colour measurements in study venues with different lighting types and configurations. Two trained investigators, with confirmed visual acuity, visually classified the inner, upper arm skin colour of 556 adults using Munsell(®) colour classifications converted to Individual Typology Angle (°ITA) values based on published data. Skin colour at the same anatomic site was also measured using a colorimeter. Each participant was assessed in one of 10 different buildings, each with a different study day. Munsell(®) -derived °ITA values were compared to colorimeter °ITA values for the full sample and by building/day. We found a strong positive, monotonic correlation between Munsell(®) derived °ITA values and colorimeter °ITA values for all participants (Spearman ρ = 0.8585, P < 0.001). Similar relationships were found when Munsell(®) and colorimeter °ITA values were compared for participants assessed in the same building for all 10 buildings (Spearman ρ values ranged from 0.797 to 0.934, all correlations were statistically significant at P < 0.001). It is possible to visually assess individual skin colour in multiple situational lighting settings and retrieve results that are comparable with objective measurements of skin colour. This was true for individuals of varying population groups and skin pigmentation. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Kumar, Sunil; Minz, Mukut; Sinha, Saroj K; Vaiphei, Kim; Sharma, Ashish; Singh, Sarbpreet; Kenwar, Deepesh B
2017-02-01
We report a renal allograft transplant recipient with esophageal tuberculosis (TB) coinfected with herpes simplex virus (HSV) and Candida. The patient presented with oropharyngeal candidiasis and was started on fluconazole. Upper gastrointestinal endoscopy showed whitish patches with mucosal ulcers in the esophagus. Histopathological examination confirmed TB and HSV infection. The patient recovered after antiviral, antifungal, and anti-tubercular therapy with reduction in immunosuppression. In a TB-endemic zone, TB can coexist with opportunistic infections in an immunocompromised host. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Confederated Tribes of the Warm Springs Reservation of Oregon. John Day Basin Office.
The John Day is the nation's second longest free-flowing river in the contiguous United States and the longest containing entirely unsupplemented runs of anadromous fish. Located in eastern Oregon, the basin drains over 8,000 square miles, Oregon's fourth largest drainage basin, and incorporates portions of eleven counties. Originating in the Strawberry Mountains near Prairie City, the John Day River flows 284 miles in a northwesterly direction, entering the Columbia River approximately four miles upstream of the John Day dam. With wild runs of spring Chinook salmon and summer steelhead, westslope cutthroat, and redband and bull trout, the John Day systemmore » is truly a basin with national significance. The majority of the John Day basin was ceded to the Federal government in 1855 by the Confederated Tribes of the Warm Springs Reservation of Oregon (Tribes). In 1997, the Tribes established an office in the basin to coordinate restoration projects, monitoring, planning and other watershed activities on private and public lands. Once established, the John Day Basin Office (JDBO) formed a partnership with the Grant Soil and Water Conservation District (GSWCD), which contracts the majority of the construction implementation activities for these projects from the JDBO. The GSWCD completes the landowner contact, preliminary planning, engineering design, permitting, construction contracting, and construction implementation phases of most projects. The JDBO completes the planning, grant solicitation/defense, environmental compliance, administrative contracting, monitoring, and reporting portion of the program. Most phases of project planning, implementation, and monitoring are coordinated with the private landowners and basin agencies, such as the Oregon Department of Fish and Wildlife and Oregon Water Resources Department. In 2003, the JDBO and GSWCD proposed continuation of their successful partnership between the two agencies and basin landowners to implement an additional twelve (12) watershed conservation projects. The types of projects include off channel water developments, juniper control, permanent diversions, pump stations, and return-flow cooling systems. Due to funding issues and delays, permitting delays, fire closures and landowner contracting problems, 2 projects were canceled and 7 projects were rescheduled to the 2004 construction season. Project costs in 2003 totaled $115,554.00 with a total amount of $64,981.00 (56%) provided by the Bonneville Power Administration (BPA) and the remainder coming from other sources such as the Bureau of Reclamation (BOR), Oregon Watershed Enhancement Board, the U.S. Fish & Wildlife Service Partners in Wildlife Program and individual landowners.« less
John Day Watershed Restoration Projects, annual report 2003.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Brown, Linda
The John Day is the nation's second longest free-flowing river in the contiguous United States and the longest containing entirely unsupplemented runs of anadromous fish. Located in eastern Oregon, the basin drains over 8,000 square miles, Oregon's fourth largest drainage basin, and incorporates portions of eleven counties. Originating in the Strawberry Mountains near Prairie City, the John Day River flows 284 miles in a northwesterly direction, entering the Columbia River approximately four miles upstream of the John Day dam. With wild runs of spring Chinook salmon and summer steelhead, westslope cutthroat, and redband and bull trout, the John Day systemmore » is truly a basin with national significance. The majority of the John Day basin was ceded to the Federal government in 1855 by the Confederated Tribes of the Warm Springs Reservation of Oregon (Tribes). In 1997, the Tribes established an office in the basin to coordinate restoration projects, monitoring, planning and other watershed activities on private and public lands. Once established, the John Day Basin Office (JDBO) formed a partnership with the Grant Soil and Water Conservation District (GSWCD), which contracts the majority of the construction implementation activities for these projects from the JDBO. The GSWCD completes the landowner contact, preliminary planning, engineering design, permitting, construction contracting, and construction implementation phases of most projects. The JDBO completes the planning, grant solicitation/defense, environmental compliance, administrative contracting, monitoring, and reporting portion of the program. Most phases of project planning, implementation, and monitoring are coordinated with the private landowners and basin agencies, such as the Oregon Department of Fish and Wildlife and Oregon Water Resources Department. In 2003, the JDBO and GSWCD proposed continuation of their successful partnership between the two agencies and basin landowners to implement an additional twelve (12) watershed conservation projects. The types of projects include off channel water developments, juniper control, permanent diversions, pump stations, and return-flow cooling systems. Due to funding issues and delays, permitting delays, fire closures and landowner contracting problems, 2 projects were canceled and 7 projects were rescheduled to the 2004 construction season. Project costs in 2003 totaled $115,554.00 with a total amount of $64,981.00 (56%) provided by the Bonneville Power Administration (BPA) and the remainder coming from other sources such as the Bureau of Reclamation (BOR), Oregon Watershed Enhancement Board, the U.S. Fish & Wildlife Service Partners in Wildlife Program and individual landowners.« less
Markar, S R; Mackenzie, H; Wiggins, T; Askari, A; Karthikesalingam, A; Faiz, O; Griffin, S M; Birkmeyer, J D; Hanna, G B
2018-01-01
In England in 2001 oesophagogastric cancer surgery was centralized. The aim of this study was to evaluate whether centralization of oesophagogastric cancer to high-volume centres has had an effect on mortality from different emergency upper gastrointestinal conditions. The Hospital Episode Statistics database was used to identify patients admitted to hospitals in England (1997-2012). The influence of oesophagogastric high-volume cancer centre status (20 or more resections per year) on 30- and 90-day mortality from oesophageal perforation, paraoesophageal hernia and perforated peptic ulcer was analysed. Over the study interval, 3707, 12 441 and 56 822 patients with oesophageal perforation, paraoesophageal hernia and perforated peptic ulcer respectively were included. There was a passive centralization to high-volume cancer centres for oesophageal perforation (26·9 per cent increase), paraoesophageal hernia (19·5 per cent increase) and perforated peptic ulcer (23·0 per cent increase). Management of oesophageal perforation in high-volume centres was associated with a reduction in 30-day (HR 0·58, 95 per cent c.i. 0·45 to 0·74) and 90-day (HR 0·62, 0·49 to 0·77) mortality. High-volume cancer centre status did not affect mortality from paraoesophageal hernia or perforated peptic ulcer. Annual emergency admission volume thresholds at which mortality improved were observed for oesophageal perforation (5 patients) and paraoesophageal hernia (11). Following centralization, the proportion of patients managed in high-volume cancer centres that reached this volume threshold was 88·0 per cent for oesophageal perforation, but only 30·3 per cent for paraoesophageal hernia. Centralization of low incidence conditions such as oesophageal perforation to high-volume cancer centres provides a greater level of expertise and ultimately reduces mortality. © 2017 BJS Society Ltd Published by John Wiley & Sons Ltd.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Skalski, J. R.; Townsend, Richard L.; Seaburg, Adam
The purpose of this compliance study was to estimate dam passage survival of yearling and subyearling Chinook salmon and steelhead smolts at John Day Dam during the spring and summer outmigrations in 2012. Under the 2008 Federal Columbia River Power System (FCRPS) Biological Opinion (BiOp), dam passage survival should be greater than or equal to 0.96 for spring migrants and greater than or equal to 0.93 for summer migrants, estimated with a standard error (SE) less than or equal to 0.015. The study also estimated smolt passage survival from the forebay 2 km upstream of the dam to the tailracemore » 3 km downstream of the dam, as well as the forebay residence time, tailrace egress time, spill passage efficiency (SPE), and fish passage efficiency (FPE), as required in the Columbia Basin Fish Accords (Fish Accords). A virtual/paired-release design was used to estimate dam passage survival at John Day Dam. The approach included releases of smolts, tagged with acoustic micro-transmitters, above John Day Dam that contributed to the formation of a virtual release at the face of John Day Dam. A survival estimate from this release was adjusted by a paired release below John Day Dam. A total of 3376 yearling Chinook salmon, 5726 subyearling Chinook salmon, and 3239 steelhead smolts were used in the virtual releases. Sample sizes for the below-dam paired releases (R2 and R3, respectively) were 997 and 995 for yearling Chinook salmon smolts, 986 and 983 for subyearling Chinook salmon smolts, and 1000 and 1000 for steelhead smolts. The Juvenile Salmon Acoustic Telemetry System (JSATS) tags were manufactured by Advanced Telemetry Systems. Model SS300 tags, weighing 0.304 g in air, were surgically implanted in yearling and subyearling Chinook salmon, and Model SS130 tag, weighing 0.438 g in air, were surgically implanted in juvenile steelhead for this investigation. The intent of the spring study was to estimate dam passage survival during both 30% and 40% spill conditions. The two spill conditions were to be systematically performed in alternating 2-day test intervals over the course of the spring outmigration. High flow conditions in 2012 interrupted the spill study. Dam passage survival was therefore estimated season-wide regardless of spill conditions.« less
John Henry--The Steel Driving Man
ERIC Educational Resources Information Center
Murphy, David E.; Gulley, Laura L.
2005-01-01
The story of John Henry provided the setting for sixth-grade class to participate in a John Henry Day of mathematics experiments. The students collected data from experiments where students competed against machines and technology. The student analyzed the data by comparing two box plots, a box plot of human data, and a box plot of machine or…
Astronaut John Glenn dons space suit during preflight operations
NASA Technical Reports Server (NTRS)
1964-01-01
Astronaut John Glenn dons space suit during preflight operations at Cape Canaveral, February 20, 1962, the day he flew his Mercury-Atlas 6 spacecraft, Friendship 7, into orbital flight around the Earth.
2014-10-01
group, Pig 22227, was due to a gastrointestinal bleed , related to either infectious gastroenteritis/colitis or stress ulcer formation. The third... upper extremity transplantation. Delays in progress and incomplete groups will be discussed in detail in Section 5 – Changes/Problems. Table 1...Implemented successfully first clinical protocol for upper extremity transplantation using donor bone marrow cell therapies and tacrolimus
Duplex sonography for detection of deep vein thrombosis of upper extremities: a 13-year experience.
Chung, Amy S Y; Luk, W H; Lo, Adrian X N; Lo, C F
2015-04-01
To determine the prevalence and characteristics of sonographically evident upper-extremity deep vein thrombosis in symptomatic Chinese patients and identify its associated risk factors. Regional hospital, Hong Kong. Data on patients undergoing upper-extremity venous sonography examinations during a 13-year period from November 1999 to October 2012 were retrieved. Variables including age, sex, history of smoking, history of lower-extremity deep vein thrombosis, major surgery within 30 days, immobilisation within 30 days, cancer (history of malignancy), associated central venous or indwelling catheter, hypertension, diabetes mellitus, sepsis within 30 days, and stroke within 30 days were tested using binary logistic regression to understand the risk factors for upper-extremity deep vein thrombosis. The presence of upper-extremity deep vein thrombosis identified. Overall, 213 patients with upper-extremity sonography were identified. Of these patients, 29 (13.6%) had upper-extremity deep vein thrombosis. The proportion of upper-extremity deep vein thrombosis using initial ultrasound was 0.26% of all deep vein thrombosis ultrasound requests. Upper limb swelling was the most common presentation seen in a total of 206 (96.7%) patients. Smoking (37.9%), history of cancer (65.5%), and hypertension (27.6%) were the more prevalent conditions among patients in the upper-extremity deep vein thrombosis-positive group. No statistically significant predictor of upper-extremity deep vein thrombosis was noted if all variables were included. After backward stepwise logistic regression, the final model was left with only age (P=0.119), female gender (P=0.114), and history of malignancy (P=0.024) as independent variables. History of malignancy remained predictive of upper-extremity deep vein thrombosis. Upper-extremity deep vein thrombosis is uncommon among symptomatic Chinese population. The most common sign is swelling and the major risk factor for upper-extremity deep vein thrombosis identified in this study is malignancy.
2012-10-31
John C. Stennis Space Center employees enjoyed 2012 Diversity Day activities Oct. 31. During the day, Stennis employees were able to visit exhibits highlighting different cultures and participate in a range of activities.
Sahara, Noriyuki; Moriyama, Keita; Iida, Midori; Watanabe, Shun
2016-06-01
The present study was aimed at elucidating the time and order of eruption of first functional teeth in the upper jaw of post-larval life of Sicyopterus japonicus (S. japonicus) during cranial metamorphosis at the time of river recruitment. Fishes were caught at the post-larval stage at a river mouth and maintained for 7 days in a water tank. Each of 10 specimens was evaluated every day for 7 days by using microcomputed tomography, scanning electron microscopy, and light microscopy with peculiar attention to the development of the upper jaw teeth. Fishes caught at the river mouth were mostly transparent, with a rostral terminal mouth, and no teeth could be found in either the upper or lower jaw. At 2 days after collection, the mouth position changed from terminal to subterminal, resulting from a change in head shape. The initial eruption of first functional teeth was detected at the anterior two-thirds region of each upper jaw. These teeth erupted in adjacent positions, most had a tricuspid crown, and they represented miniature versions of adult teeth. At 5 days, the position of the mouth became further relocated from terminal rostral to ventral. The number of erupted teeth increased, followed by spreading of them anteriorly and posteriorly. At 7 days, they formed a single row of close-set tricuspid teeth along the entire length of each upper jaw. The present study demonstrated that even under laboratory conditions a rapid and drastic cranial metamorphosis took place within a week after the time of collection of post-larval S. japonicus from a river. The eruption of first functional teeth in the upper jaw of S. japonicus, which teeth are adapted to scraping algae off the substrate, was initially detected at 2 days after collection, and first functional dentition of the upper jaw was set up within 7 days after it. Copyright © 2016 Elsevier Ltd. All rights reserved.
Ground zero: not asthma at all.
de Benedictis, Fernando Maria; de Benedictis, Diletta; Mirabile, Lorenzo; Pozzi, Marco; Guerrieri, Arcangela; Di Pillo, Sabrina
2015-09-01
Upper airway obstruction is commonly misdiagnosed as asthma. We report on four children with recurrent respiratory symptoms who had been erroneously diagnosed as having asthma and who received anti-asthma medication for several years. The evaluation of spirometry tracing was neglected in all cases. Subglottic stenosis, tracheomalacia secondary to tracheo-esophageal fistula, double aortic arch, and vocal cord dysfunction were suspected by direct inspection of the flow-volume curves and eventually diagnosed. The value of clinical history and careful evaluation of spirometry tracing in children with persistent respiratory symptoms is critically discussed. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Kinnaman, Sandra L.; Dixon, Joann F.
2008-01-01
This map depicts the potentiometric surface of the Upper Floridan aquifer in the St. Johns River Water Management District and vicinity for May 2008. Potentiometric contours are based on water-level measurements collected at 567 wells during the period May 6-May 27, near the end of the dry season. Some contours are inferred from previous potentiometric-surface maps with larger well networks. The potentiometric surface of the carbonate Upper Floridan aquifer responds mainly to rainfall, and more locally, to ground-water withdrawals and spring flow. Potentiometric-surface highs generally correspond to topographic highs where the aquifer is recharged. Springs and areas of diffuse upward leakage naturally discharge water from the aquifer and are most prevalent along the St. Johns River. Areas of discharge are reflected by depressions in the potentiometric surface. Ground-water withdrawals locally have lowered the potentiometric surface. Ground water in the Upper Floridan aquifer generally flows from potentiometric highs to potentiometric lows in a direction perpendicular to the contours. Measured values of the potentiometric surface ranged from 7 feet below NGVD29 near Fernandina Beach, Florida, to 124 feet above NGVD29 in Polk County, Florida. The average water level of the network in May 2008 was about 1 foot lower than the average in September 2007 following below-average rainfall during the dry season of 2007-08. Seasonal differences in network average water levels generally range from 4 to 6 feet. For 457 wells with previous measurements, May 2008 levels ranged from about 19 feet below to about 11 feet above September 2007 water levels. The average water level of the network in May 2008 was about 1 foot higher than the average in May 2007. For 544 wells with previous measurements, May 2008 levels ranged from about 8 feet below to about 13 feet above May 2007 water levels. Long-term hydrographs of ground-water levels for continuous and periodic wells are available at internet site: http://waterdata.usgs.gov/fl/nwis/gw
DOE Office of Scientific and Technical Information (OSTI.GOV)
Weiland, Mark A.; Ploskey, Gene R.; Hughes, James S.
The purpose of this study was to compare dam passage survival, at two spill treatment levels, of yearling Chinook salmon and steelhead smolts at John Day Dam during spring 2010. The two treatments were 30% and 40% spill out of total project discharge. Under the 2008 Federal Columbia River Power System (FCRPS) Biological Opinion (BiOp), dam passage survival should be greater than or equal to 0.96 and estimated with a standard error (SE) less than or equal 0.015. The study also estimated forebay residence time, tailrace egress time, and spill passage efficiency (SPE), as required in the Columbia Basin Fishmore » Accords. However, by agreement among the stakeholders, this study was not an official BiOp compliance test because the long-term passage measures at John Day Dam have yet to be finalized and another year of spill-treatment testing was desired.« less
Spechler, R.M.
1996-01-01
Potentiometric surface maps of the Upper Floridan aquifer show two depressions around the St. Johns River frm the city of Jacksonville south toward Green Cove Springs. These depressions, depending on their locations, are the result of withdrawals from agricultural, industrial, domestic and public-supply wells, diffuse upward leakage, and discharge from springs. Submerged springs that discharge into the St. Johns River between Jacksonville and Green Cove Springs have been thought to exist, but locating and evaluating these springs had not been attempted before this investigation. Thermal infrared imagery, seismic reflection, and numerous interviews with local residents were used to locate springs. An airborne thermal infrared survey was conducted along a section of the St. Johns River in northeastern Florida during February 1992 to detect possible sources of ground-water discharge to the river. An infrared image displayed one thermal anomaly in the St. Johns River which is associated with a previously unknown spring discharge from the Floridan aquifer system. Thermal anomalies also were observed at six locations where municipal facilities discharge treated wastewater to the river. Results of seismic reflection surveys indicate the presence of collapse and other karst features underlying the St. Johns River. These features indicate that the surficial deposits and the Hawthorn Formation that underlie the river probably do not consist of continuous beds. The collapse or deformation of the Hawthorn Formation or the presence of permeable sediment of localized extent could create zones of relatively high vertical leakance. This could provide a more direct hydraulic connection between the Upper Floridan aquifer and the river. Water samples collected from the only submerged spring in the St. Johns River within the Jacksonville-Green Cove Springs reach indicate that the source of the water is the Floridan aquifer system. Chloride and sulfate concentrations were 12 and 340 milligrams per liter, respectively. Specific conductance was 826 microsiemens per centimeter and the temperature of the water discharging from the spring was 25.1 degrees Celsius. The ratio of 87 Strontium/86 Strontium also indicates that the springwater has been in contact with rock materials of Eocene age, providing additional evidence that the springwater is derived from the Floridan aquifer system.
Bioactive xanthones from the roots of Hypericum perforatum (common St John's Wort)
USDA-ARS?s Scientific Manuscript database
In contemporary western alternative medicine, extracts of the inflorescences and upper stem leaves of Hypericum perforatum L. (common St. John’s Wort; Clusiaceae) are taken orally for the treatment of mild to moderate depression and applied topically to promote wound-healing. Numerous researchers h...
Liu, Y; Yao, Y; Wang, Z-C; Ning, Q; Liu, Z
2018-06-01
Host immunity (innate and adaptive immunity) plays essential roles in the pathogenesis of inflammatory upper airway diseases, including allergic rhinitis and chronic rhinosinusitis. Recently, the discovery of novel innate immune cells, particularly innate lymphoid cells, has renewed our view on the role of innate immunity in inflammatory upper airway diseases. Meanwhile, the identification of new subsets of T helper (Th) cells, including Th22, Th9 and follicular Th cells, and regulatory B cells in the adaptive immunity, has broadened our knowledge on the complex immune networks in inflammatory upper airway diseases. In this review, we focus on these newly identified innate and adaptive lymphocytes with their contributions to the immunological disturbance in allergic rhinitis and chronic rhinosinusitis. We further discuss the perspective for future research and potential clinical utility of regulating these novel lymphocytes for the treatment of allergic rhinitis and chronic rhinosinusitis. © 2018 John Wiley & Sons Ltd.
Matiasek, Johannes; Kienzl, Philip; Otti, Gerlinde R; Turk, Bela R; Djedovic, Gabriel; Rieger, Ulrich M
2018-02-01
Blepharoplasty is the third most common plastic surgical procedure in the USA. Due to the emergence of multiresistant bacteria, optimising the antiseptic procedure is crucial. Choice of antiseptics plays an important role as they may cause skin irritation and colouring of disinfected areas. In this study, the use of the aqueous antiseptic octenisept ® (octenidine) was evaluated in the outcome of blepharoplasties: incidence of wound dehiscence; haematoma; and infection in correlation with gender, medication, smoking habits and time of year. This retrospective surveillance study included 352 patients (median age 58·3 years). Skin disinfection was performed thrice prior to blepharoplasty. Sutures were removed on day 6. None of the patients suffered from wound infection. The total rate of wound dehiscence was 6·3%, with a higher ratio among male patients. Smokers and patients on anticoagulant medication showed a significantly higher incidence of wound dehiscence. Throughout the year, rates of wound dehiscence were highest in summer. Aseptic surgical preparation for blepharoplasty via full-face scrub with octenisept ® without oral antibiotic prophylaxis is well tolerated, with no report of wound infection, which may improve antibiotic stewardship as well as patient comfort. Elective upper eyelid blepharoplasty may ideally be performed in winter. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
Francis, Peter; Toomey, Clodagh; Mc Cormack, William; Lyons, Mark; Jakeman, Philip
2017-07-01
Muscle quality is defined as strength per unit muscle mass. The aim of this study was to measure the maximal voluntary isometric torque of the knee extensor and flexor muscle groups in healthy older women and to develop an index of muscle quality based on the combined knee extensor and flexor torque per unit lean tissue mass (LTM) of the upper leg. One hundred and thirty-six healthy 50- to 70-year-old women completed an initial measurement of isometric peak torque of the knee extensors and flexors (Con-Trex MJ; CMV AG, Dubendorf, Switzerland) that was repeated 7 days later. Subsequently, 131 women returned for whole- and regional-body composition analysis (iDXA ™ ; GE Healthcare, Chalfont St Giles, Buckinghamshire, UK). Isometric peak torque demonstrated excellent within-assessment reliability for both the knee extensors and flexors (ICC range: 0·991-1·000). Test-retest reliability was lower (ICC range: 0·777-0·828) with an observed mean increase of 5% in peak torque [6·2 (17·2) N m] on the second day of assessment (P<0·001). The relative mean decrease in combined isometric peak torque (-12·2%; P = 0·001) was double that of the relative, non-significant, median difference in upper leg LTM (-5·3%; P = 0·102) between those in the 5th and 6th decade. The majority of difference in peak isometric torque came from the knee extensors (15·1 N m, P<0·001 versus 2·4 N m, P = 0·234). Isometric peak torque normalized for upper leg LTM (muscle quality) was 8% lower between decades (P = 0·029). These findings suggest strength per unit tissue may provide a better indication of age-related differences in muscle quality prior to change in LTM. © 2016 Scandinavian Society of Clinical Physiology and Nuclear Medicine. Published by John Wiley & Sons Ltd.
2013-11-17
CAPE CANAVERAL, Fla. – During a news conference at NASA's Kennedy Space Center in Florida, officials outlined the agency’s plans for future human spaceflight, including and expedition to Mars. Participating in the briefing was John Grunsfeld, NASA associate administrator for the Science Mission Directorate. The briefing took place the day prior to launch of the Mars Atmosphere and Volatile EvolutioN, or MAVEN, mission. MAVEN is being prepared for its scheduled launch on Nov 18, 2013 from Cape Canaveral Air Force Station, Fla. atop a United Launch Alliance Atlas V rocket. Positioned in an orbit above the Red Planet, MAVEN will study the upper atmosphere of Mars in unprecedented detail. For information on the MAVEN mission, visit: http://www.nasa.gov/mission_pages/maven/main/index.html. For more on NASA Human Spaceflight, visit: http://www.spaceflight.nasa.gov/home/index.html. For information on the international Space Station, visit: http://www.nasa.gov/mission_pages/station/main/index.html Photo credit: NASA/Kim Shiflett
Collery, Philippe; Santoni, François; Ciccolini, Joseph; Tran, Thi Ngoc Nga; Mohsen, Ahmed; Desmaele, Didier
2016-11-01
Rhenium (I)-diselenoether has shown promising antiproliferative efficacy in both in vitro and in vivo models. However, the maximal tolerated dose and dose-effect relationships have not been fully addressed for this compound. Here, we evaluated the tolerance and efficacy of three dose-levels (namely 10, 40 and 100 mg/kg) intraperitoneally administered daily over 28 days in mice bearing the resistant MDA-MB231 breast cancer cell line. The upper dose was found to be toxic and was reduced to 60 mg/kg. The 10 mg/kg dose well tolerated, whereas 40 mg/kg was associated with 10% mortality (LD 10 ). Both 10 and 40 mg/kg dosing achieved a significantly similar regression of tumor growth compared with untreated animals. This study suggests that 10 mg/kg daily is the recommended dose for rhenium (I) diselenoether. Copyright© 2016 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved.
Adamski, J.C.; Knowles, Leel
2001-01-01
Data from 217 ground-water samples were statistically analyzed to assess the water quality of the surficial aquifer system and Upper Floridan aquifer in the Ocala National Forest and Lake County, Florida. Samples were collected from 49 wells tapping the surficial aquifer system, 141 wells tapping the Upper Floridan aquifer, and from 27 springs that discharge water from the Upper Floridan aquifer. A total of 136 samples was collected by the U.S. Geological Survey from 1995 through 1999. These data were supplemented with 81 samples collected by the St. Johns River Water Management District and Lake County Water Resources Management from 1990 through 1998. In general, the surficial aquifer system has low concentrations of total dissolved solids (median was 41 milligrams per liter) and major ions. Water quality of the surficial aquifer system, however, is not homogeneous throughout the study area. Concentrations of total dissolved solids, many major ions, and nutrients are greater in samples from Lake County outside the Ocala National Forest than in samples from within the Forest. These results indicate that the surficial aquifer system in Lake County outside the Ocala National Forest probably is being affected by agricultural and (or) urban land-use practices. High concentrations of dissolved oxygen (less than 0.1 to 8.2 milligrams per liter) in the surficial aquifer system underlying the Ocala National Forest indicate that the aquifer is readily recharged by precipitation and is susceptible to surface contamination. Concentrations of total dissolved solids were significantly greater in the Upper Floridan aquifer (median was 182 milligrams per liter) than in the surficial aquifer system. In general, water quality of the Upper Floridan aquifer was homogeneous, primarily being a calcium or calciummagnesium- bicarbonate water type. Near the St. Johns River, the water type of the Upper Floridan aquifer is sodium-chloride, corresponding to an increase in total dissolved solids. Dissolvedoxygen concentrations in the Upper Floridan aquifer ranged from less than 0.1 to 7.3 milligrams per liter, indicating that, in parts of the aquifer, ground water is rapidly recharged by rainfall and is susceptible to surface contamination. Median concentrations of nutrients in the Upper Floridan aquifer were not significantly different between the Ocala National Forest and the area of Lake County outside the Forest. The maximum nitrate concentration in the Upper Floridan aquifer in Ocala National Forest was only 0.20 milligram per liter, whereas, 9 of 39 samples from the Upper Floridan aquifer in Lake County had elevated nitrate concentrations (greater than 1.0 milligram per liter). Hence, nitrate concentrations of the Upper Floridan aquifer appear to be affected by land use in Lake County.
Children's Rights, "die Antipadagogen," and the Paternalism of John Stuart Mill.
ERIC Educational Resources Information Center
Nordenbo, Sven Erik
1989-01-01
Examines how John Stuart Mill would have viewed present-day educational liberalists' claims that children should be included in Mill's principle of individual liberty. Concludes that educational liberalists cannot rightly claim Mill as spokesman for their views. (KO)
Validation of image analysis techniques to measure skin aging features from facial photographs.
Hamer, M A; Jacobs, L C; Lall, J S; Wollstein, A; Hollestein, L M; Rae, A R; Gossage, K W; Hofman, A; Liu, F; Kayser, M; Nijsten, T; Gunn, D A
2015-11-01
Accurate measurement of the extent skin has aged is crucial for skin aging research. Image analysis offers a quick and consistent approach for quantifying skin aging features from photographs, but is prone to technical bias and requires proper validation. Facial photographs of 75 male and 75 female North-European participants, randomly selected from the Rotterdam Study, were graded by two physicians using photonumeric scales for wrinkles (full face, forehead, crow's feet, nasolabial fold and upper lip), pigmented spots and telangiectasia. Image analysis measurements of the same features were optimized using photonumeric grades from 50 participants, then compared to photonumeric grading in the 100 remaining participants stratified by sex. The inter-rater reliability of the photonumeric grades was good to excellent (intraclass correlation coefficients 0.65-0.93). Correlations between the digital measures and the photonumeric grading were moderate to excellent for all the wrinkle comparisons (Spearman's rho ρ = 0.52-0.89) bar the upper lip wrinkles in the men (fair, ρ = 0.30). Correlations were moderate to good for pigmented spots and telangiectasia (ρ = 0.60-0.75). These comparisons demonstrate that all the image analysis measures, bar the upper lip measure in the men, are suitable for use in skin aging research and highlight areas of improvement for future refinements of the techniques. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons.
Andrade, R J; Freitas, S R; Vaz, J R; Bruno, P M; Pezarat-Correia, P
2015-06-01
This study aimed to determine the influence of the head, upper trunk, and foot position on the passive knee extension (PKE) torque-angle response. PKE tests were performed in 10 healthy subjects using an isokinetic dynamometer at 2°/s. Subjects lay in the supine position with their hips flexed to 90°. The knee angle, passive torque, surface electromyography (EMG) of the semitendinosus and quadriceps vastus medialis, and stretch discomfort were recorded in six body positions during PKE. The different maximal active positions of the cervical spine (neutral; flexion; extension), thoracic spine (neutral; flexion), and ankle (neutral; dorsiflexion) were passively combined for the tests. Visual analog scale scores and EMG were unaffected by body segment positioning. An effect of the ankle joint was verified on the peak torque and knee maximum angle when the ankle was in the dorsiflexion position (P < 0.05). Upper trunk positioning had an effect on the knee submaximal torque (P < 0.05), observed as an increase in the knee passive submaximal torque when the cervical and thoracic spines were flexed (P < 0.05). In conclusion, other apparently mechanical unrelated body segments influence torque-angle response since different positions of head, upper trunk, and foot induce dissimilar knee mechanical responses during passive extension. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Petersen, James H.; Poe, Thomas P.
1993-12-01
Northern squawfish (Ptychocheilus oregonensis) predation on juvenile salmonids was characterized during 1992 at ten locations in the Columbia River below Bonneville Dam and at three locations in John Day Reservoir. During the spring and summer, 1,487 northern squawfish were collected in the lower Columbia River and 202 squawfish were sampled in John Day Reservoir. Gut content data, predator weight, and water temperature were used to compute a consumption index (CI) for northern squawfish, and overall diet was also described. In the Columbia River below Bonneville Dam, northern squawfish diet was primarily fish (spring 69%; summer 53%), most of which weremore » salmonids. Salmonids were also the primary diet component in the Bonneville Dam tailrace, John Day Dam forebay, and the McNary Dam tailrace. Crustaceans were the dominant diet item at the John Day mid-reservoir location, although sample sizes were small. About half of the non-salmonid preyfish were sculpins. The consumption index (CI) of northern squawfish was generally higher during summer than during spring. The highest CI`s were observed during summer in the tailrace boat restricted zones of Bonneville Dam (CI = 7.8) and McNary Dam (CI = 4.6). At locations below Bonneville Dam, CI`s were relatively low near Covert`s Landing and Rooster Rock, higher at four locations between Blue Lake and St. Helens, and low again at three downriver sites (Kalama, Ranier, and Jones Beach). Northern squawfish catches and CI`s were noticeably higher throughout the lower Columbia compared to mid-reservoir sites further upriver sampled during 1990--92. Predation may be especially intense in the free-flowing section of the Columbia River below Bonneville Dam. Smallmouth bass (Micropterus dolomieui; N = 198) ate mostly fish -- 25% salmonids, 29% sculpins, and 46% other fish. Highest catches of smallmouth bass were in the John Day Dam forebay.« less
Darrow, Lyndsey A; Klein, Mitchel; Flanders, W Dana; Mulholland, James A; Tolbert, Paige E; Strickland, Matthew J
2014-11-15
Upper and lower respiratory infections are common in early childhood and may be exacerbated by air pollution. We investigated short-term changes in ambient air pollutant concentrations, including speciated particulate matter less than 2.5 μm in diameter (PM2.5), in relation to emergency department (ED) visits for respiratory infections in young children. Daily counts of ED visits for bronchitis and bronchiolitis (n = 80,399), pneumonia (n = 63,359), and upper respiratory infection (URI) (n = 359,246) among children 0-4 years of age were collected from hospitals in the Atlanta, Georgia, area for the period 1993-2010. Daily pollutant measurements were combined across monitoring stations using population weighting. In Poisson generalized linear models, 3-day moving average concentrations of ozone, nitrogen dioxide, and the organic carbon fraction of particulate matter less than 2.5 μm in diameter (PM2.5) were associated with ED visits for pneumonia and URI. Ozone associations were strongest and were observed at low (cold-season) concentrations; a 1-interquartile range increase predicted a 4% increase (95% confidence interval: 2%, 6%) in visits for URI and an 8% increase (95% confidence interval: 4%, 13%) in visits for pneumonia. Rate ratios tended to be higher in the 1- to 4-year age group compared with infants. Results suggest that primary traffic pollutants, ozone, and the organic carbon fraction of PM2.5 exacerbate upper and lower respiratory infections in early life, and that the carbon fraction of PM2.5 is a particularly harmful component of the ambient particulate matter mixture. © The Author 2014. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
Country People in the New South: Tennessee's Upper Cumberland. Studies in Rural Culture.
ERIC Educational Resources Information Center
Keith, Jeanette
In the summer of 1925, national attention focused on Dayton, Tennessee, where John T. Scopes was on trial for teaching evolution in violation of state law. The Tennessee "monkey trial" symbolized the confrontation of modern, secular, urban America with conservative, religious, rural America. Although urban journalists and social critics…
Demoly, P; Kleine-Tebbe, J; Rehm, D
2017-10-01
Treatment with SQ (standardised quality) house dust mite sublingual tablet for 1 year resulted in a decreased probability of having an allergic rhinitis (AR) exacerbation day (from 11% [placebo] to 5% [SQ house dust mite sublingual tablet]) and an increased probability of having a mild AR day (from 16% [placebo] to 34% [SQ house dust mite sublingual tablet]). © 2017 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.
Goolsby, D.A.; McPherson, Benjamin F.
1978-01-01
Taylor Creek Impoundment, on the western part of the upper St. Johns basin, Fla., provides flood control and flow regulation. The 4,000-acre impoundment was first filled in 1969. The water was of relatively poor quality during the first three years of its existence, 1970-72. The impoundment is deep enough for thermal stratification, and a thermocline usually develops at 8 to 10 feet. During 1970-72 the hypolimnion remained anaerobic for more than six months. The poor water quality is attributed to the decomposition of flooded vegetation, of soil organic matter, and to heavy growths of phytoplankton and duckweed stimulated by an abundant supply of nutrients. Since 1972, the quality of the water has improved because of flushing of the impoundment and depletion of leachable nutrients and soil organic matter. The water is now similar in quality to that of nearby Wolf and Jane Green Creeks. Large releases of water may produce velocities great enough to resuspend bottom sediments several miles downstream where Taylor Creek flows into Lake Poinsett. (Woodard-USGS)
2012-10-31
John C. Stennis Space Center employees enjoyed 2012 Diversity Day activities Oct. 31. The day's color-filled schedule included an employee talent showcase, a car/motorcycle show, Stennis 'Family Feud' contests, a cultural dress parade, food vendors and various cultural exhibits.
Federal Register 2010, 2011, 2012, 2013, 2014
2013-01-31
... advice and recommendations to the BLM on land use planning and management of the National System of... System sites like the Spring Basin and Badlands Wilderness Areas as well as the Lower Deschutes and John...
Asano, M; Yamaguchi, M; Nakajima, R; Fujita, S; Utsunomiya, T; Yamamoto, H; Kasai, K
2011-07-01
The aim of this study was to investigate how interleukin (IL)-8 (cytokine-induced neutrophil chemoattractant; CINC-1) and monocyte chemotactic protein (MCP)-1/CCL2 contribute to root resorption during orthodontic tooth movement. Forty 6-week-old male Wistar rats were subjected to orthodontic force of 10 or 50 g to induce a mesially tipping movement of the upper first molars for 7 days. We determined the expressions of CINC-1, CXCR2, and MCP-1 proteins in root resorption area using immunohistochemistry. Furthermore, we investigated the effects of compression forces (CF) on IL-8 and MCP-1 production by human periodontal ligament (hPDL) cells. We observed an effect of chemokine treatment on rat odonto/osteoclasts in dentin slices that recapitulated root resorption. The immunoreactivity for CINC-1/CXCR2 and MCP-1 was detected in odontoclasts and PDL fibroblasts by the orthodontic force of 50 g on day 7. CF increased the secretion and the expression of mRNA of IL-8 and MCP-1 from PDL cells in a magnitude-dependent manner. Moreover, CINC-1 and MCP-1 stimulated osteoclastogenesis from rat osteoclast precursor cells. IL-8 (CINC-1) and MCP-1 may therefore facilitate the process of root resorption because of excessive orthodontic force. © 2010 John Wiley & Sons A/S.
Standardized UXO Technology Demonstration Site Moguls Scoring Record Number 907 (Sky Research, Inc.)
2008-08-01
day timeframe. 3.6 DEMONSTRATOR’S FIELD PERSONNEL Geophysicist: Craig Hyslop Geophysicist: John Jacobsen Geophysicist: Rob Mehl...Conover, John Wiley & Sons, 1980 , pages 144 through 151. APPENDIX F. ABBREVIATIONS F-1 (Page F-2 Blank) ADST = Aberdeen Data Services Team
Astronaut John Casper checks equipment to support medical testing
1994-03-05
STS062-10-010 (4-18 March 1994) --- Astronaut John H. Casper, mission commander, takes stock of paraphenalia used to support medical testing onboard Columbia's middeck. Casper was poind by four other veteran astronauts for 14 days of variegated research in earth orbit.
Ericsson, I; Karlsson, M K
2014-04-01
The aim was to study long-term effects on motor skills and school performance of increased physical education (PE). All pupils born 1990-1992 from one school were included in a longitudinal study over nine years. An intervention group (n = 129) achieved daily PE (5 × 45 min/week) and if needed one extra lesson of adapted motor training. The control group (n = 91) had PE two lessons/week. Motor skills were evaluated by the Motor Skills Development as Ground for Learning observation checklist and school achievements by marks in Swedish, English, Mathematics, and PE and proportion of pupils who qualified for upper secondary school. In school year 9 there were motor skills deficits in 7% of pupils in the intervention group compared to 47% in the control group (P < 0.001), 96% of the pupils in the intervention group compared to 89% in the control group (P < 0.05) qualified for upper secondary school. The sum of evaluated marks was higher among boys in the intervention group than in the control group (P < 0.05). The sum of marks was also higher in pupils with no motor skills deficit than among pupils with motor skills deficits (P < 0.01), as was the proportion of pupils who qualified for upper secondary school (97% vs 81%, P < 0.001). Daily PE and adapted motor skills training during the compulsory school years is a feasible way to improve not only motor skills but also school performance and the proportion of pupils who qualify for upper secondary school. © 2012 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Mapping the Riverscape of the Middle Fork John Day River with Structure-from-Motion
NASA Astrophysics Data System (ADS)
Dietrich, J. T.
2014-12-01
Aerial photography has proven an efficient method to collect a wide range of continuous variables for large sections of rivers. These data include variables such as the planimetric shape, low-flow and bank-full widths, bathymetry, and sediment sizes. Mapping these variables in a continuous manner allows us to explore the heterogeneity of the river and build a more complete picture of the holistic riverscape. To explore a low-cost option for aerial photography and riverscape mapping, I used the combination of a piloted helicopter and an off-the-shelf digital SLR camera to collect aerial imagery for a 32 km segment of the Middle Fork John Day River in eastern Oregon. This imagery was processed with Structure-from-Motion (SfM) photogrammetry to produce high-resolution 10 cm orthophotos and digital surface models that were used to extract riverscape variables. The Middle Fork John Day River is an important spawning river for anadromous Chinnook and Steelhead and has been the focus of widespread restoration and conservation activities in response to the legacies of extensive grazing and mining activity. By mapping the riverscape of the Middle Fork John Day, I explored downstream relationships between several geomorphic variables with hyperscale analysis. These riverscape data also provided an opportunity to make a continuous map of habitat suitability for migrating adult Chinook. Both the geomorphic and habitat suitability analysis provide an important assessment of the natural variation in the river and the impact of human modification, both positive and negative.
2012-10-31
John C. Stennis Space Center employees enjoyed 2012 Diversity Day activities Oct. 31. During the day, Stennis employees were able to visit cultural exhibits and participate such events as an employee talent showcase, a car/motorcycle show, Stennis 'Family Feud' contests and a cultural dress parade.
1991-09-12
The STS-48 mission launched aboard the Space Shuttle Discovery on September 12, 1991 at 7:11:04 pm. Five astronauts composed the crew including: John O. Creighton, commander; Kenneth S. Reightler, pilot; and Mark N. Brown, Charles D. (Sam) Gemar, and James F. Buchli, all mission specialists. The primary payload of the mission was the Upper Atmosphere Research Satellite (UARS).
2013-01-01
within the fuel injectors regardless of viscosity or lubricity levels. 15. SUBJECT TERMS Fuel Lubricity, Viscosity, HPCR, Synthetic Jet Fuel, Denso... injectors regardless of viscosity or lubricity levels. UNCLASSIFIED v UNCLASSIFIED FOREWORD/ACKNOWLEDGMENTS The U.S. Army TARDEC...40 3.10 UPPER INJECTOR CONNECTING PIN
2014-04-22
Students listen intently while Astronaut John Mace Grunsfeld speaks at NASA's Earth Day event. The event took place at Union Station in Washington, DC on April 22, 2014. Photo Credit: (NASA/Aubrey Gemignani)
Eklöf, Motzi
2008-01-01
The international non-conformist denomination, Seventh-day Adventists, have since their foundation in 1863, had a distinctive health care model for their members. The life-style has included vegetarian diet, abstinence from alcohol, tobacco and other drugs and the observance of a day of rest once a week. The health policy has striven to care for God's creation in the hope of resurrection at the Day of Judgment and to reform the conventional medical practice. The Adventists have pursued an extensive international health care system--from the start based on dietary and physical treatment methods, such as hydrotherapy, massage and physiotherapy--in line with the Christian mission. Health care establishments have been inaugurated around the world as a vehicle for enabling the Christian health care message to reach the upper classes. With Adventist and Doctor, John Harvey Kellogg's Battle Creek Sanatorium in Michigan as both inspirational source and educational institution, the health care mission--including a vegetarian health food industry, following in the footsteps of cornflakes--spread to the Nordic countries by the turn of the century, 1900. Skodsborgs Badesanatorium near Copenhagen became the model institution for several health care establishments in Sweden during the 1900's, such as Hultafors Sanatorium. The American-Nordic link has manifested itself through co-publication of papers, exchange of health care personnel and reporting to the central Adventist church. The American non-conformist domain as well as a private sphere of activity, aiming mainly from the outset at society's upper classes, has encountered certain difficulties in maintaining this distinction in Sweden's officially increasing secularised society, and in relation to a state health insurance and a publicly financed health care system. With the passing of time, the socioeconomic composition of patients at Hultafors became more heterogeneous, and conventional medical procedures were increasingly incorporated into the array of treatment resources. The successful enterprises--as they had been for a considerable time--could not, at the end of the 20th century, continue to be self financing or fulfil the missionary objectives among the upper classes. The institutionalised health care apparatus came to an end around the turn of the century, which also included the sale of health associated food product companies. The Seventh-day Adventist's combination of medicine and religion with Christian missionary aims have indeed, not only steered health care models and institutions worldwide, but also which target groups to mainly turn to, the specific treatment philosophy, desirable working environment and which medical technologies to use. Furthermore, the Adventist's health reform and care of the sick provide an example for how different medical cultures influence each other and develop in relation to one another in a pluralistic medical market. The developments are not merely a reflection of the medical, scientific and technical advancements, but also of the medical market's structure, financing and (inter)national connections, of religion, culture and not least of all, patients' options and their choices.
Electromyography-based analysis of human upper limbs during 45-day head-down bed-rest
NASA Astrophysics Data System (ADS)
Fu, Anshuang; Wang, Chunhui; Qi, Hongzhi; Li, Fan; Wang, Zheng; He, Feng; Zhou, Peng; Chen, Shanguang; Ming, Dong
2016-03-01
Muscle deconditioning occurs in response to simulated or actual microgravity. In spaceflight, astronauts become monkey-like for mainly using their upper limbs to control the operating system and to complete corresponding tasks. The changes of upper limbs' athletic ability will directly affect astronauts' working performance. This study investigated the variation trend of surface electromyography (sEMG) during prolonged simulated microgravity. Eight healthy males participating in this study performed strict 45-day head-down bed-rest (HDBR). On the 5th day of pre-HDBR, and the 15th, the 30th and the 45th days of HDBR, the subjects performed maximum pushing task and maximum pulling task, and sEMG was collected from upper limbs synchronously. Each subject's maximum volunteer contractions of both the tasks during these days were compared, showing no significant change. However, changes were detected by sEMG-based analysis. It was found that integrated EMG, root mean square, mean frequency, fuzzy entropy of deltoid, and fuzzy entropy of triceps brachii changed significantly when comparing pre-HDBR with HDBR. The variation trend showed a recovery tendency after significant decline, which is inconsistent with the monotonic variation of lower limbs that was proved by previous research. These findings suggest that EMG changes in upper limbs during prolonged simulated microgravity, but has different variation trend from lower limbs.
Abaïdia, Abd-Elbasset; Delecroix, Barthélémy; Leduc, Cédric; Lamblin, Julien; McCall, Alan; Baquet, Georges; Dupont, Grégory
2017-01-01
Abaïdia, A-E, Delecroix, B, Leduc, C, Lamblin, J, McCall, A, Baquet, G, and Dupont, G. Effects of a strength training session after an exercise inducing muscle damage on recovery kinetics. J Strength Cond Res 31(1): 115-125, 2017-The purpose of this study was to investigate the effects of an upper-limb strength training session the day after an exercise inducing muscle damage on recovery of performance. In a randomized crossover design, subjects performed the day after the exercise, on 2 separate occasions (passive vs. active recovery conditions) a single-leg exercise (dominant in one condition and nondominant in the other condition) consisting of 5 sets of 15 eccentric contractions of the knee flexors. Active recovery consisted of performing an upper-body strength training session the day after the exercise. Creatine kinase, hamstring strength, and muscle soreness were assessed immediately and 20, 24, and 48 hours after exercise-induced muscle damage. The upper-body strength session, after muscle-damaging exercise accelerated the recovery of slow concentric force (effect size = 0.65; 90% confidence interval = -0.06 to 1.32), but did not affect the recovery kinetics for the other outcomes. The addition of an upper-body strength training session the day after muscle-damaging activity does not negatively affect the recovery kinetics. Upper-body strength training may be programmed the day after a competition.
Acoustic Telemetry Evaluation of Juvenile Salmonid Passage and Survival at John Day Dam, 2011
DOE Office of Scientific and Technical Information (OSTI.GOV)
Weiland, Mark A.; Woodley, Christa M.; Ploskey, Gene R.
This report presents survival, behavioral, and fish passage results for tagged yearling Chinook salmon and juvenile steelhead as part of a survival study conducted at John Day Dam during spring 2011. This study was designed to evaluate the passage and survival of yearling Chinook salmon and juvenile steelhead to assist managers in identifying dam operations for compliance testing as stipulated by the 2008 Federal Columbia River Power System Biological Opinion and the 2008 Columbia Basin Fish Accords. Survival estimates were based on a paired-release survival model.
The geomorphic response of rivers to dams: a short course.
M.J. Furniss; J. Guntle
2004-01-01
CD-ROMCourse AgendaDay 1: Tuesday, March 11, 20031:15 Forest Service line officer perspective: John Berry, Forest Supervisor, El Dorado National Forest, CA2:00 Power company perspective: John Esler, Portland General Electric, OR3:30 The spatial and geographical context of nonfederal hydropower dams on Forest...
Code of Federal Regulations, 2014 CFR
2014-01-01
... celebrate his enduring imprint on American history. In his 3 years as President of the United States, John F... recognizing women's basic right to earn a living equal to their efforts, he signed the Equal Pay Act into law...
Obituary: John W. Firor (1927-2007)
NASA Astrophysics Data System (ADS)
Gilman, Peter A.
2009-12-01
John W. Firor, a former Director of the High Altitude Observatory and the National Center for Atmospheric Research, and a founder of the Solar Physics Division of the American Astronomical Society, died of Alzheimer's disease in Pullman, Washington on November 5, 2007, he was 80. He was born in Athens Georgia on October 18, 1927, where his father was a professor of agricultural economics. John had an unusually diverse scientific career. His interest in physics and astrophysics began while serving in the army, during which time he was assigned to the Los Alamos National Laboratory, where he guarded highly radioactive materials (many have heard him describe how informal the protections were compared to later times). After his service he returned to college and graduated in physics from Georgia Tech in 1949. He received his Ph.D. from the University of Chicago in 1954, writing his thesis on cosmic rays under John Simpson. John Firor would later remark that: "If you needed cosmic rays to actually do anything, you are sunk." That thought, partly in jest, may help explain his motivation for moving to so many new scientific and management pursuits. John moved from cosmic ray physics to radio astronomy (particularly of the Sun) when he began work at the Carnegie Institution of Washington's Department of Terrestrial Magnetism, where he remained until 1961. During this time, he met Walter Orr Roberts, then the Director of the High Altitude Observatory (HAO) in Boulder, Colorado. HAO was then affiliated with the University of Colorado. In 1959, a movement began to upgrade the atmospheric sciences in the United States by establishing a National Center, where the largest, most important atmospheric research problems could be addressed. Roberts became the first Director of NCAR, as well as the first president of the University Corporation for Atmospheric Research (UCAR), the consortium of universities that was commissioned to manage and staff the new Center. HAO became a scientific division of NCAR (Roberts made it a requirement if he was to be NCAR Director). He chose John to be the new HAO Director. John was 33 then; his leadership potential was recognized very early. While Director of HAO, John presided over a very active scientific program that focused on non-equilibrium thermodynamics, radiative transfer, plasma physics, coronal spectroscopy, geomagnetism, physics of the Earth's upper atmosphere, and solar activity. Prominent scientists such as Jack Evans, Sydney Chapman, Gene Parker, Leo Goldberg and Donald Menzel visited to share their insights and enthusiasm with the HAO staff. John was also an active participant in HAO's well-known solar eclipse expeditions, traveling to New Guinea and to Lake Chad in Africa. Late in his tenure as HAO Director, he took the lead in helping to improve the involvement of the AAS in solar physics, and solar physicists in the AAS. Having led the AAS committee that planned its birth, he was the founding chair of the new Solar Physics Division. Much less importantly, he gave me a summer position in 1966 when I was joining the faculty at CU--that is when I first met John. In 1968, John became the Director of NCAR when Walter Roberts decided to split the directorship from the Presidency of UCAR. As NCAR Director, John had responsibility for a vastly broadened program compared to his HAO days. NCAR, the largest NSF supported research center, conducted research covering all of atmospheric sciences, as well as oceanography and solar-terrestrial physics. It also provided major observational and computational facilities to the atmospheric sciences community. John showed very quickly he understood and could guide all of it. I came to know John best during this period, because in 1971 he chose me to head the Advanced Study Program, which supported (and still supports) postdoctoral and graduate education. In that time, budgets were good, and NCAR was a relatively collegial, informal place. But in December 1973, that all changed suddenly. NCAR management was reviewed by an NSF-appointed Joint Evaluation Committee (JEC), whose report raised many questions. Walter Roberts resigned as UCAR President, and John had the task of working with the UCAR Board to make major changes. During this time, John asked me to put aside my ASP duties to assist him. Over the next 18 months, NCAR was restructured, several Division Directors replaced, a new, more rigorous scientific appointment system was developed, and a major budget cut was absorbed. John did all of this; in my view, it was heroic. Then the UCAR Board appointed a new UCAR President and NCAR Director, Francis Bretherton, and John became the NCAR Executive Director. John used to say that many people asked him how he felt about being 'demoted'--always gracious, he said he never saw it that way. In fact, he was mentoring Bretherton, who was very junior to John in experience, never having held a major management position. The Bretherton-Firor 'team' managed UCAR until 1980. Then a new UCAR and NCAR management was chosen, and John had to decide what to do next. He took a sabbatical and became more deeply involved in environmental issues. But this interest had been kindled much before. As early as 1970, he was writing and speaking about environmental questions while NCAR Director. When he returned to NCAR, he became the Director of the Advanced Study Program (ASP), what I had been a decade before. He served NCAR in that role until 1996. When he stepped down, he remarked that he had been a member of the NCAR Directors Committee for 34 years; a record that he judged should never be broken. While John was attentive to the needs of the post-docs and graduate students his program supported, ASP was a platform for him to pursue his environmental interests. He spoke and wrote clearly and influentially on environmental issues. He served on the Boards of several important environmental organizations and wrote two well received environmental books: "The Changing Atmosphere: A Global Challenge" (1990), and, with his wife Judith Jacobsen "The Crowded Greenhouse: Population, Climate Change and Creating a Sustainable World" (2002). After ASP, he continued his focus on environmental issues as a member of the Environmental and Societal Impacts group at NCAR. John retired from NCAR in 2005. John had many active pursuits beyond his professional work. He was an accomplished pilot, with licenses for flying single and multiengine aircraft, sailplanes, and balloons. He piloted a sailplane in at least one meteorological field program. He also was an avid river rafter. John faced the disease that took his life as he did all events in his life, with grace and dignity. He endured the loss of two spouses to cancer, Merle Jenkins Firor in 1979, and Judith Jacobsen in 2004. John is survived by his four children with his first wife, Daniel Firor of Seattle, Washington; Kay Firor of Cove, Oregon; James Firor of Hotchkiss, Colorado, and Susan Firor of Moscow, Idaho; a sister; a brother; and three grandchildren. His children and his many friends in Boulder and elsewhere gave him loving support during his days battling Alzheimer's. John used to define a 'southern gentleman' as a man dressed in white linen suit on a hot dusty summer day in a small Georgia town who could cross the street without breaking a sweat. John and his intellect and his management ability were like that; he could deal gracefully and successfully with almost anything that came his way. A man of great accomplishment, he rarely showed an ego to match. In the darkest days following the JEC Report, he almost single-handedly invented a new NCAR scientific appointment system. He chose the first cadre of 'senior scientists' to populate the top rank. There were about eighteen members in this group, but there was one name conspicuously absent - his own. This 'error' was quietly corrected by the UCAR Board.
Effects of glutamine on wound healing.
Kesici, Ugur; Kesici, Sevgi; Ulusoy, Hulya; Yucesan, Fulya; Turkmen, Aygen U; Besir, Ahmet; Tuna, Verda
2015-06-01
Studies reporting the need for replacing amino acids such as glutamine (Gln), hydroxymethyl butyrate (HMB) and arginine (Arg) to accelerate wound healing are available in the literature. The primary objective of this study was to present the effects of Gln on tissue hydroxyproline (OHP) levels in wound healing. This study was conducted on 30 female Sprague Dawley rats with a mean weight of 230 ± 20 g. Secondary wounds were formed by excising 2 × 1 cm skin subcutaneous tissue on the back of the rats. The rats were divided into three equal groups. Group C (Control): the group received 1 ml/day isotonic solution by gastric gavage after secondary wound was formed. Group A (Abound): the group received 0·3 g/kg/day/ml Gln, 0·052 g/kg/day/ml HMB and 0·3 g/kg/day/ml Arg by gastric gavage after secondary wound was formed. Group R (Resource): the group received 0·3 g/kg/day/ml Gln by gastric gavage after secondary wound was formed. The OHP levels of the tissues obtained from the upper half region on the 8th day and the lower half region on the 21st day from the same rats in the groups were examined. Statistical analysis was performed using the statistics program SPSS version 17.0. No statistically significant differences were reported with regard to the OHP measurements on the 8th and 21st days (8th day: F = 0·068, P = 0·935 > 0·05; 21st day: F = 0·018, P = 0·983 > 0·05). The increase in mean OHP levels on the 8th and 21st days within each group was found to be statistically significant (F = 1146·34, P = 0·000 < 0·001). We conclude that in adults who eat healthy food, who do not have any factor that can affect wound healing negatively and who do not have large tissue loss at critical level, Gln, Arg and HMB support would not be required to accelerate secondary wound healing. © 2013 The Authors. International Wound Journal © 2013 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
Wåhlén, K; Fornander, L; Olausson, P; Ydreborg, K; Flodin, U; Graff, P; Lindahl, M; Ghafouri, B
2016-10-01
Upper airway irritation is common among individuals working in moldy and damp buildings. The aim of this study was to investigate effects on the protein composition of the nasal lining fluid. The prevalence of symptoms in relation to work environment was examined in 37 individuals working in two damp buildings. Microbial growth was confirmed in one of the buildings. Nasal lavage fluid was collected from 29 of the exposed subjects and 13 controls, not working in a damp building. Protein profiles were investigated with a proteomic approach and evaluated by multivariate statistical models. Subjects from both workplaces reported upper airway and ocular symptoms. Based on protein profiles, symptomatic subjects in the two workplaces were discriminated from each other and separated from healthy controls. The groups differed in proteins involved in inflammation and host defense. Measurements of innate immunity proteins showed a significant increase in protein S100-A8 and decrease in SPLUNC1 in subjects from one workplace, while alpha-1-antitrypsin was elevated in subjects from the other workplace, compared with healthy controls. The results show that protein profiles in nasal lavage fluid can be used to monitor airway mucosal effects in personnel working in damp buildings and indicate that the profile may be separated when the dampness is associated with the presence of molds. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Water Quality Conditions in Upper Klamath and Agency Lakes, Oregon, 2005
Hoilman, Gene R.; Lindenberg, Mary K.; Wood, Tamara M.
2008-01-01
During June-October 2005, water quality data were collected from Upper Klamath and Agency Lakes in Oregon, and meteorological data were collected around and within Upper Klamath Lake. Data recorded at two continuous water quality monitors in Agency Lake showed similar temperature patterns throughout the field season, but data recorded at the northern site showed more day-to-day variability for dissolved oxygen concentration and saturation after late June and more day-to-day variability for pH and specific conductance values after mid-July. Data recorded from the northern and southern parts of Agency Lake showed more comparable day-to-day variability in dissolved oxygen concentrations and pH from September through the end of the monitoring period. For Upper Klamath Lake, seasonal (late July through early August) lows of dissolved oxygen concentrations and saturation were coincident with a seasonal low of pH values and seasonal highs of ammonia and orthophosphate concentrations, specific conductance values, and water temperatures. Patterns in these parameters, excluding water temperature, were associated with bloom dynamics of the cyanobacterium (blue-green alga) Aphanizomenon flos-aquae in Upper Klamath Lake. In Upper Klamath Lake, water temperature in excess of 28 degrees Celsius (a high stress threshold for Upper Klamath Lake suckers) was recorded only once at one site during the field season. Large areas of Upper Klamath Lake had periods of dissolved oxygen concentration of less than 4 milligrams per liter and pH value greater than 9.7, but these conditions were not persistent throughout days at most sites. Dissolved oxygen concentrations in Upper Klamath Lake on time scales of days and months appeared to be influenced, in part, by bathymetry and prevailing current flow patterns. Diel patterns of water column stratification were evident, even at the deepest sites. This diel pattern of stratification was attributable to diel wind speed patterns and the shallow nature of most of Upper Klamath Lake. Timing of the daily extreme values of dissolved oxygen concentration, pH, and water temperature was less distinct with increased water column depth. Chlorophyll a concentrations varied spatially and temporally throughout Upper Klamath Lake. Location greatly affected algal concentrations, in turn affecting nutrient and dissolved oxygen concentrations - some of the highest chlorophyll a concentrations were associated with the lowest dissolved oxygen concentrations and the highest un-ionized ammonia concentrations. The occurrence of the low dissolved oxygen and high un-ionized ammonia concentrations coincided with a decline in algae resulting from cell death, as measured by concentrations of chlorophyll a. Dissolved oxygen production rates in experiments were as high as 1.47 milligrams of oxygen per liter per hour, and consumption rates were as much as -0.73 milligrams of oxygen per liter per hour. Dissolved oxygen consumption rates measured in this study were comparable to those measured in a 2002 Upper Klamath Lake study, and a higher rate of dissolved oxygen consumption was recorded in dark bottles positioned higher in the water column. Data, though inconclusive, indicated that a decreasing trend of dissolved oxygen productivity through July could have contributed to the decreasing dissolved oxygen concentrations and percent saturation recorded in Upper Klamath Lake during this time. Phytoplankton self-shading was evident from a general inverse relation between depth of photic zone and chlorophyll a concentrations. This shading caused net dissolved oxygen consumption during daylight hours in lower parts of the water column that would otherwise have been in the photic zone. Meteorological data collected in and around Upper Klamath Lake showed that winds were likely to come from a broad range of westerly directions in the northern one-third of the lake, but tended to come from a narrow range of northwesterly directions
Investigation of Single versus Dual - Hot and Cold Building Water Systems.
1981-10-15
S. Ramsey 2, Philip B. Shepherd JOHNS - MANVILLE SALES CORPORATION RESEARCH AND DEVELOPMENT CENTER KEN-CARYL RANCH DENVER, COLORADO 80217 15 October...Bruce DAAK 70-78-D-0002 Mark S. Ramsey Philip B. Shepherd 9PERFORMAING ORGANIZATION NAME AND ADDRESS 10. PROGRAM ELEMEN4T. PROJECT, TASK Johns - Manville Sales...0c NUMBER OF PIPE CCOLDOWN CYCLES FER DAY= 1.20 126 12/09/FC PAGE JOhNS - MANVILLE RESEARCH F DEVFLOPPENT CENTER ktlILDINC- HEATED WATER SUPPLY SYSTFM
NASA Technical Reports Server (NTRS)
1997-01-01
On this seventh first day of the STS-81 mission, the flight crew, Cmdr. Michael A. Baker, Pilot Brent W. Jett, Mission Specialists, John M. Grunsfeld, Marsha S. Ivins, Peter J.K. Wisoff, and John Blaha, and the cosmonauts of the Russian Space Station Mir continue to transfer hundreds of pounds of water, supplies, and logistical items to each other's spacecraft. More than 1,300 pounds of water have now been transferred from Atlantis to the Mir to resupply the Russian outpost, along with equipment that will be used by astronaut Jerry M. Linenger during his four-month research mission. A bioprocessing device and an experiment used to grow cartilage cells during astronaut John Blaha's four month stay on the Mir is also transferred to Atlantis for the trip back to Earth. Linenger spends most of the day collecting water samples from the Mir for analysis back on Earth and Blaha continues to exercise on a treadmill on the Mir to stay in shape for his return to Earth and a readaptation to gravity after four months of weightlessness.
2008-09-01
day timeframe. 3.6 DEMONSTRATOR’S FIELD PERSONNEL Geophysicist: Craig Hyslop Geophysicist: John Jacobsen Geophysicist: Rob Mehl 3.7...Practical Nonparametric Statistics, W.J. Conover, John Wiley & Sons, 1980 , pages 144 through 151. F-1 (Page F-2 Blank) APPENDIX F
Astronaut John Grunsfeld uses camera to record ASTRO-2 payload
1995-03-17
STS067-377-008 (2-18 March 1995) --- Astronaut John M. Grunsfeld, mission specialist, uses a handheld Hasselblad camera to record the Astro-2 payload. Orbiting Earth at 190 nautical miles, Grunsfeld joined four other NASA astronauts and two scientists for almost 17 days conducting research in support of the Astro-2 mission.
Training Needs in Gerontology. Hearings, Special Committee on Aging, United States Senate. Part 2.
ERIC Educational Resources Information Center
Congress of the U.S., Washington, DC. Senate Special Committee on Aging.
At the second day of hearings on training needs in gerontology the witnesses were Stephen Kurzman accompanied by Arthur S. Flemming, John Lapp, Gerald D. LaVeck; George Maddox; Elias Cohen; Wilma Donahue; Brin Hawkins with Lettie Graves and Yolanda Owens; and John B. Martin. (MS)
Dr. John Mather and the James Webb Space Telescope
2017-12-08
Nobel Laureate and James Webb Space Telescope project scientist Dr. John Mather takes a selfie with the telescope. May 4, 2016 was a rare day for JWST, as it briefly faced the cleanroom observation window. The telescope was eventually rotated face-down in prep for the installation of the flight instruments. Credit: Meredith Gibb
2013-10-28
John Grunsfeld, associate administrator for the Science Mission Directorate, NASA Headquarters, Washington, discusses the upcoming launch of the Mars Atmosphere and Volatile Evolution (MAVEN) mission, at a press conference at NASA Headquarters in Washington on Monday, Oct. 28th, 2013. MAVEN is the agency's next mission to Mars and the first devoted to understanding the upper atmosphere of the Red Planet. (Photo credit: NASA/Jay Westcott)
Predictive inference for best linear combination of biomarkers subject to limits of detection.
Coolen-Maturi, Tahani
2017-08-15
Measuring the accuracy of diagnostic tests is crucial in many application areas including medicine, machine learning and credit scoring. The receiver operating characteristic (ROC) curve is a useful tool to assess the ability of a diagnostic test to discriminate between two classes or groups. In practice, multiple diagnostic tests or biomarkers are combined to improve diagnostic accuracy. Often, biomarker measurements are undetectable either below or above the so-called limits of detection (LoD). In this paper, nonparametric predictive inference (NPI) for best linear combination of two or more biomarkers subject to limits of detection is presented. NPI is a frequentist statistical method that is explicitly aimed at using few modelling assumptions, enabled through the use of lower and upper probabilities to quantify uncertainty. The NPI lower and upper bounds for the ROC curve subject to limits of detection are derived, where the objective function to maximize is the area under the ROC curve. In addition, the paper discusses the effect of restriction on the linear combination's coefficients on the analysis. Examples are provided to illustrate the proposed method. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.
Pharyngeal airway changes following maxillary expansion or protraction: A meta-analysis.
Lee, W-C; Tu, Y-K; Huang, C-S; Chen, R; Fu, M-W; Fu, E
2018-02-01
The aim of this meta-analysis was to investigate the changes in airway dimensions after rapid maxillary expansion (RME) and facemask (FM) protraction. Using PubMed, Medline, ScienceDirect and Web of Science, only controlled clinical trials, published up to November 2016, with RME and/or FM as keywords that had ≥6 months follow-up period were included in this meta-analysis. The changes in pharyngeal airway dimension in both two-dimensional and three-dimensional images were included in the analysis. Nine studies met the criteria. There are statically significant changes in upper airway and nasal passage airway in the intervention groups as compared to the control groups, assessed in two-dimensional and three-dimensional images. However , in the lower airway and the airway below the palatal plane, no statistically significant changes are seen in 2D and 3D images. RME/FM treatments might increase the upper airway space in children and young adolescents. However, more RCTs and long-term cohort studies are needed to further clarify the effects on pharyngeal airway changes. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Upper-body kinematics in team-handball throw, tennis serve, and volleyball spike.
Wagner, H; Pfusterschmied, J; Tilp, M; Landlinger, J; von Duvillard, S P; Müller, E
2014-04-01
Overarm movements are essential skills in many different sport games; however, the adaptations to different sports are not well understood. The aim of the study was to analyze upper-body kinematics in the team-handball throw, tennis serve, and volleyball spike, and to calculate differences in the proximal-to-distal sequencing and joint movements. Three-dimensional kinematic data were analyzed via the Vicon motion capturing system. The subjects (elite players) were instructed to perform a team-handball jump throw, tennis serve, and volleyball spike with a maximal ball velocity and to hit a specific target. Significant differences (P < 0.05) between the three overarm movements were found in 17 of 24 variables. The order of the proximal-to-distal sequencing was equal in the three analyzed overarm movements. Equal order of the proximal-to-distal sequencing and similar angles in the acceleration phase suggest there is a general motor pattern in overarm movements. However, overarm movements appear to be modifiable in situations such as for throwing or hitting a ball with or without a racket, and due to differences at takeoff (with one or two legs). © 2012 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Siepmann, Martin; Kirch, Wilhelm; Krause, Stephanie; Joraschky, Peter; Mueck-Weymann, Michael
2004-02-01
St. John's wort extract is widely used and advertised as a "natural antidepressant" lacking autonomic side effects. This randomized, double-blind, placebo-controlled study compared the effects of St. John's wort extract on autonomic responses of blood vessels and sweat glands with those of amitriptyline and placebo. A randomized, double-blind, crossover study was performed in healthy male volunteers aged 22 to 31 years (25 +/- 3 years; mean +/- SD) years. Subjects orally received capsules with 255 to 285 mg St. John's wort extract (900 microg hypericin content), 25 mg amitriptyline, and placebo 3 times daily for periods of 14 days each with at least 14 days between. Vasoconstrictory response of cutaneous blood flow (VR) and skin conductance response (SR) following a single deep inspiration were employed as parameters of autonomic function. St. John's wort extract had no effect on VR and SR. In contrast, SR was diminished and the dilation phase of VR was prolonged following multiple dosing with amitriptyline (P < 0.05). Decreased electrodermal reactivity observed with amitriptyline reflects inhibition of acetylcholine at peripheral m3-cholinoreceptors, whereas prolongation of VR induced by the tricyclic drug may be due to sustained activation of central and/or peripheral sympathetic neurons.
Trends in Acute Nonvariceal Upper Gastrointestinal Bleeding in Dialysis Patients
Yang, Ju-Yeh; Lee, Tsung-Chun; Montez-Rath, Maria E.; Paik, Jane; Chertow, Glenn M.; Desai, Manisha
2012-01-01
Impaired kidney function is a risk factor for upper gastrointestinal (GI) bleeding, an event associated with poor outcomes. The burden of upper GI bleeding and its effect on patients with ESRD are not well described. Using data from the US Renal Data System, we quantified the rates of occurrence of and associated 30-day mortality from acute, nonvariceal upper GI bleeding in patients undergoing dialysis; we used medical claims and previously validated algorithms where available. Overall, 948,345 patients contributed 2,296,323 patient-years for study. The occurrence rates for upper GI bleeding were 57 and 328 episodes per 1000 person-years according to stringent and lenient definitions of acute, nonvariceal upper GI bleeding, respectively. Unadjusted occurrence rates remained flat (stringent) or increased (lenient) from 1997 to 2008; after adjustment for sociodemographic characteristics and comorbid conditions, however, we found a significant decline for both definitions (linear approximation, 2.7% and 1.5% per year, respectively; P<0.001). In more recent years, patients had higher hematocrit levels before upper GI bleeding episodes and were more likely to receive blood transfusions during an episode. Overall 30-day mortality was 11.8%, which declined significantly over time (relative declines of 2.3% or 2.8% per year for the stringent and lenient definitions, respectively). In summary, despite declining trends worldwide, crude rates of acute, nonvariceal upper GI bleeding among patients undergoing dialysis have not decreased in the past 10 years. Although 30-day mortality related to upper GI bleeding declined, perhaps reflecting improvements in medical care, the burden on the ESRD population remains substantial. PMID:22266666
C.-E.A. Winslow Day: Proceedings of the June 3, 1977 Centenary Celebration
Viseltear, Arthur J.
1977-01-01
Sponsored by Yale University, the City of New Haven, and the John B. Pierce Foundation, the C.-E.A. Winslow Day program consisted of speeches by Mr. Leonard Woodcock, President Emeritus, U.A.W., the Honorable Kenneth Gibson, Mayor of Newark, and Dr. Hector Acuña, Director, Pan American Health Organization; reminiscences of Ira Hiscock, Anna M.R. Lauder Professor Emeritus of Public Health, Mary Elizabeth Tennant, Associate Professor Emeritus of Nursing (Public Health), A. Pharo Gagge, Emeritus Fellow, John B. Pierce Foundation, and Mrs. Harriet Welch, Former President of the VNA of New Haven. The proceedings also included the presentation of gifts and the official C.-E.A. Winslow Day Proclamation. PMID:345631
Analysis of the association of fluid balance and short-term outcome in traumatic brain injury.
Zhao, Zilong; Wang, Dong; Jia, Ying; Tian, Ye; Wang, Yi; Wei, Yingsheng; Zhang, Jianning; Jiang, Rongcai
2016-05-15
A balance of fluid intake and output (fluid balance) influences outcomes of critical illness, but the level of such influence remains poorly understood for traumatic brain injury (TBI) and was quantitatively examined in this study. We conducted a retrospective cohort study of 351 moderate and severe TBI patients to associate the degree of fluid balance with clinical outcomes of TBI. Fluid balance and intracranial pressure (ICP) were continuously recorded for 7days on patients admitted to neurocritical care unit (NCCU). The short-term outcome was dichotomized into improvement and deterioration groups based on changes in Glasgow Coma Scale (GCS) measured between admission and 30days after admission. Fluid balance was calculated as: Fluid intake (mL) - fluid outputs (mL)/day×5 and used to group patients in tertiles to study its effect on TBI outcome. Patients at the low (<637mL) and upper (>3673mL) tertiles of fluid balance were associated with poor outcomes. Those in the upper tertile also had a higher incidence of acute kidney injury (AKI) and refractory intracranial hypertension (RIH). There was a negative correlation between the cumulative fluid balance and the short-term outcome for patients in the low tertile and a positive correlation between the cumulative fluid balance and the short-term outcome in the upper fluid balance group. Levels of fluid balance were also associated with serum creatinine (Cr, r=0.451, P<0.0001) and days in NCCU (r=0.188, P=0.001). More patients in the upper tertile had ICP higher than 20mmHg (P=0.009). A fluid balance in the upper tertile is an independent predictor of poor 30-day clinical outcomes after the adjustment for confounding variables in a multivariable logistic regression model. We found that fluid balance in low and upper tertiles were associated with poor short-term outcomes and ICP variations. Fluid balance in the upper tertile may be an independent predictor for poor 30-day outcome, primarily due to high AKI and RIH. Copyright © 2016. Published by Elsevier B.V.
History and evolution of Subduction in the Precambrium
NASA Astrophysics Data System (ADS)
Fischer, R.; Gerya, T.
2013-12-01
Plate tectonics is a global self-organising process driven by negative buoyancy at thermal boundary layers. Phanerozoic plate tectonics with its typical subduction and orogeny is relatively well understood and can be traced back in the geological records of the continents. Interpretations of geological, petrological and geochemical observations from Proterozoic and Archean orogenic belts however (e.g. Brown, 2006), suggest a different tectonic regime in the Precambrian. Due to higher radioactive heat production the Precambrian lithosphere shows lower internal strength and is strongly weakened by percolating melts. The fundamental difference between Precambrian and Phanerozoic subduction is therefore the upper-mantle temperature, which determines the strength of the upper mantle (Brun, 2002) and the further subduction history. 3D petrological-thermomechanical numerical modelling experiments of oceanic subduction at an active plate at different upper-mantle temperatures show these different subduction regimes. For upper-mantle temperatures < 175 K above the present day value a subduction style appears which is close to present day subduction but with more frequent slab break-off. At upper-mantle temperatures 175 - 250 K above present day values steep subduction changes to shallow underplating and buckling. For upper-mantle temperatures > 250 K above the present day value no subduction occurs any more. The whole lithosphere starts to delaminate and drip-off. But the subduction style is not only a function of upper-mantle temperature but also strongly depends on the thickness of the subducting plate. If thinner present day oceanic plates are used in the Precambrian models, no shallow underplating is observed but steep subduction can be found up to an upper-mantle temperature of 200 K above present day values. Increasing oceanic plate thickness introduces a transition from steep to flat subduction at lower temperatures of around 150 K. Thicker oceanic plates in the Precambrium also agree with results from earlier studies, e.g. Abbott (1994). References: Abbott, D., Drury, R., Smith, W.H.F., 1994. Flat to steep transition in subduction style. Geology 22, 937-940. Brown, M., 2006. Duality of thermal regimes is the distinctive characteristic of plate tectonics since the neoarchean. Geology 34, 961-964. Brun, J.P., 2002. Deformation of the continental lithosphere: Insights from brittle-ductile models. Geological Society, London, Special Publications 200, 355-370. Subduction depends strongly on upper-mantle temperature. (a) Modern subduction with present day temperature gradients in upper-mantle and lithosphere. (b) Increase of temperature by 100 K at the lithosphere-asthenosphere boundary (LAB) leads to melting and drip-off of the of the slab-tip. (c) A temperature increase of 200 K leads to buckling of the subducting slab and Rayleigh-Taylor instabilities not only at the slab-tip but the whole LAB. At this stage subduction is no longer possible as the slab melts or breaks before it can be subducted into the mantle.
What Constitution Day Means and Why It Matters
ERIC Educational Resources Information Center
Jamieson, Kathleen Hall
2014-01-01
For almost three quarters of a century, advocates have worked to give comparable federal stature to September 17, the day on which we celebrate the anniversary of the 1787 signing of the U.S. Constitution by the nation's founders. As President John F. Kennedy noted in his 1961 Constitution Day proclamation, it is a day for…
DOE Office of Scientific and Technical Information (OSTI.GOV)
Weiland, Mark A.; Ploskey, Gene R.; Hughes, James S.
The main purpose of the study was to evaluate the performance of Top Spill Weirs installed at two spillbays at John Day Dam and evaluate the effectiveness of these surface flow outlets at attracting juvenile salmon away from the powerhouse and reducing turbine passage. The Juvenile Salmonid Acoustic Telemetry System (JSATS) was used to estimate survival of juvenile salmonids passing the dam and also for calculating performance metrics used to evaluate the efficiency and effectiveness of the dam at passing juvenile salmonids.
Acoustic Telemetry Evaluation of Juvenile Salmonid Passage and Survival at John Day Dam, 2010
DOE Office of Scientific and Technical Information (OSTI.GOV)
Weiland, Mark A.; Woodley, Christa M.; Ploskey, Gene R.
This report presents survival, behavioral, and fish passage results for yearling and subyearling Chinook salmon smolts and juvenile steelhead tagged with JSATS acoustic micro-transmitters as part of a survival study conducted at John Day Dam during 2010. This study was designed to evaluate the passage and survival of yearling and subyearling Chinook salmon and juvenile steelhead to assist managers in identifying dam operations for compliance testing as stipulated by the 2008 Federal Columbia River Power System Biological Opinion and the 2008 Columbia Basin Fish Accords. Survival estimates were based on a single-release survival estimate model.
A review of bilateral training for upper extremity hemiparesis.
Stoykov, Mary Ellen; Corcos, Daniel M
2009-01-01
Upper extremity hemiparesis is the most common post-stroke disability. Longitudinal studies have indicated that 30-66% of stroke survivors do not have full arm function 6 months post-stroke. The current gold standard for treatment of mild post-stroke upper limb impairment is constraint-induced therapy but, because of the inclusion criteria, alternative treatments are needed which target more impaired subjects. Bilateral arm training has been investigated as a potential rehabilitation intervention. Bilateral arm training encompasses a number of methods including: (1) bilateral isokinematic training; (2) mirror therapy using bilateral training; (3) device-driven bilateral training; and (4) bilateral motor priming. Neural mechanisms mediating bilateral training are first reviewed. The key bilateral training studies that have demonstrated evidence of efficacy will then be discussed. Finally, conclusions are drawn concerning clinical implications based on the reviewed literature. (c) 2009 John Wiley & Sons, Ltd.
Spechler, Rick M.; Halford, Keith J.
2001-01-01
The hydrogeology and ground-water quality of Seminole County in east-central Florida was evaluated. A ground-water flow model was developed to simulate the effects of both present day (September 1996 through August 1997) and projected 2020 ground-water withdrawals on the water levels in the surficial aquifer system and the potentiometric surface of the Upper and Lower Floridan aquifers in Seminole County and vicinity. The Floridan aquifer system is the major source of ground water in the study area. In 1965, ground-water withdrawals from the Floridan aquifer system in Seminole County were about 11 million gallons per day. In 1995, withdrawals totaled about 69 million gallons per day. Of the total ground water used in 1995, 74 percent was for public supply, 12 percent for domestic self-supplied, 10 percent for agriculture self-supplied, and 4 percent for recreational irrigation. The principal water-bearing units in Seminole County are the surficial aquifer system and the Floridan aquifer system. The two aquifer systems are separated by the intermediate confining unit, which contains beds of lower permeability sediments that confine the water in the Floridan aquifer system. The Floridan aquifer system has two major water-bearing zones (the Upper Floridan aquifer and the Lower Floridan aquifer), which are separated by a less-permeable semiconfining unit. Upper Floridan aquifer water levels and spring flows have been affected by ground-water development. Long-term hydrographs of four wells tapping the Upper Floridan aquifer show a general downward trend from the early 1950's until 1990. The declines in water levels are caused predominantly by increased pumpage and below average annual rainfall. From 1991 to 1998, water levels rose slightly, a trend that can be explained by an increase in average annual rainfall. Long-term declines in the potentiometric surface varied throughout the area, ranging from about 3 to 12 feet. Decreases in spring discharge also have been observed in a few springs with long-term record. Chloride concentrations in water from the Upper Floridan aquifer in Seminole County range areally from 6.2 to 5,300 milligrams per liter. Chloride concentrations are lowest in the recharge areas of the Floridan aquifer system in the western part of Seminole County and near Geneva. The most highly mineralized water occurs adjacent to the Wekiva River in northwestern Seminole County, around the eastern part of Lake Jesup, and along the St. Johns River in eastern Seminole County. Analysis of limited long-term water-quality data indicates that the chloride concentrations in water for most wells in the Floridan aquifer system in Seminole County have not changed significantly in the 20-year period from 1976 to 1996, and probably not since the mid 1950's. Analysis of water samples collected from some Upper Floridan aquifer springs, however, indicates that the water has become more mineralized during recent years. Increases in specific conductance and concentrations of major cations and anions were observed at several of the springs within the study area where long-term water-quality data were available. Associated with these increases in the mineralization of spring water has been an increase in total nitrate-plus- nitrite as nitrogen concentration. A three-dimensional model was developed to simulate ground-water flow in the surficial and Floridan aquifer systems. The steady-state ground-water flow model was calibrated to water-level data that was averaged over a 1-year period from September 1996 through August 1997. The calibrated flow model generally produced simulated water levels in reasonably close agreement with measured water levels. As a result, the calibrated model was used to simulate the effects of expected increases in ground-water withdrawals on the water levels in the surficial aquifer system and on the potentiometric surface of the Upper and Lower Floridan aquifers in Seminole County. The ca
Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-02
... Comment Request; Evaluation of the Brain Disorders in the Developing World Program of the John E. Fogarty...: Evaluation of the Brain Disorders in the Developing World Program of the John E. Fogarty International Center... Information Collection: This study seeks to evaluate the management, effectiveness, and outcomes of the Brain...
Jung, Hyo Won; Kang, Seok Yong; Kang, Jong Seong; Kim, A Ryun; Woo, Eun-Rhan; Park, Yong-Ki
2014-11-01
The root bark of Morus alba L. (Mori Cortex Radicis; MCR) is traditionally used in Korean medicine for upper respiratory diseases. In this study, we investigated the antiasthmatic effect of kuwanon G isolated from MCR on ovalbumin (OVA)-induced allergic asthma in mice. Kuwanon G (1 and 10 mg/kg) was administered orally in mice once a day for 7 days during OVA airway challenge. We measured the levels of OVA-specific IgE and Th2 cytokines (IL-4, IL-5, and IL-13) in the sera or bronchoalveolar lavage (BAL) fluids and also counted the immune cells in BAL fluids. Histopathological changes in the lung tissues were analyzed. Kuwanon G significantly decreased the levels of OVA-specific IgE and IL-4, IL-5, and IL-13 in the sera and BAL fluids of asthma mice. Kuwanon G reduced the numbers of inflammatory cells in the BAL fluids of asthma mice. Furthermore, the pathological feature of lungs including infiltration of inflammatory cells, thickened epithelium of bronchioles, mucus, and collagen accumulation was inhibited by kuwanon G. These results indicate that kuwanon G prevents the pathological progression of allergic asthma through the inhibition of lung destruction by inflammation and immune stimulation. Copyright © 2014 John Wiley & Sons, Ltd.
Fossil Flora of the John Day Basin, Oregon
Knowlton, Frank Hall
1902-01-01
For a number of years I have been gradually accumulating material for a thorough revision of the Tertiary floras of the Pacific slope. Fossil plants are known to occur at numerous points within this area, and their study and identification has already furnished valuable data bearing on the geological history of the region, and when still further exploited it is confidently expected that they will afford more exact data for the use of geologists. This investigation is progressing satisfactorily, and at no distant day it is hoped to have it in form for final publication. From time to time various members of the United States Geological Survey, as well as others not connected with this organization, have sent in small collections of fossil plants for determination. These have been studied and reported upon as fully as the condition of the problem permitted, so that the determinations could be immediately available to geologists, but with the reservation that none of the questions could be fully settled until all known material had been studied and properly correlated. The rich fossil plant deposits in the John Day Basin, as set forth more fully in the historical account which follows, have been known for a period of nearly fifty years, but their study has been carried on in a more or less desultory manner. There has also been considerable confusion as to the horizons whence these plants came. As various species of plants described originally from the John Day region were detected in various other localities in Oregon, and in surrounding areas, as central Washington, western Idaho, and northern California, it became more than ever apparent that a thorough study of all material obtainable from this type area would be necessary before any definite or satisfactory conclusions could be reached. The immediate incentive for this revision was furnished by the receipt of a considerable collection of plants, made by Dr. John C. Merriam in 1900 while he was in charge of an expedition into this region made under the auspices of the University of California. When these plants were submitted to me for study, it was thought possible to present their description, together with a revision of our knowledge of the previously known forms, within a space sufficiently small to permit the publication of the matter as an appendix to a paper on the general geology of the area, then in preparation by Dr. Merriam. But it soon became apparent that this could not be adequately done within the space available, and a short preliminary report was prepared for and published by Dr. Merriam. The results of a complete restudy of all available fossil plant material from the John Day Basin are now presented. I wish to record my great indebtedness to Dr. Merriam, who not only accompanied me at a considerable personal sacrifice on a trip through the region in 1901, but placed unreservedly at my disposal all material bearing in any way on the problem then in the paleontological museum of the University of California. To Dr. Arthur Hollick I am indebted for the loan of all material from the John Day region belonging to Columbia University, and now deposited in the New York Botanical Garden at Bronx Park. This material, together with the rich collections belonging to the United States National Museum, represents practically all now known to have come from the John Day Basin.
Food habits of Juvenile American Shad and dynamics of zooplankton in the lower Columbia River
Haskell, C.A.; Tiffan, K.F.; Rondorf, D.W.
2006-01-01
As many as 2.4 million adult American shad annually pass John Day Dam, Columbia River to spawn upriver, yet food web interactions of juvenile shad rearing in John Day Reservoir are unexplored. We collected zooplankton and conducted mid-water trawls in McNary (June-July) and John Day reservoirs (August-November) from 1994 through 1996 during the outmigration of subyearling American shad and Chinook salmon. Juvenile American shad were abundant and represented over 98% of the trawl catch in late summer. The five major taxa collected in zooplankton tows were Bosmina longirostris, Daphnia, cyclopoid cope-pods, rotifers, and calanoid copepods. We evaluated total crustacean zooplankton abundance and Daphnia biomass in relation to water temperature, flow, depth, diel period, and cross-sectional location using multiple regression. Differences in zooplankton abundance were largely due to differences in water temperature and flow. Spatial variation in total zooplankton abundance was observed in McNary Reservoir, but not in John Day Reservoir. Juvenile American shad generally fed on numerically abundant prey, despite being less preferred than larger bodied zooplankton. A decrease in cladoceran abundance and size in August coupled with large percentages of Daphnia in juvenile American shad stomachs indicated heavy planktivory. Smaller juvenile American shad primarily fed on Daphnia in August, but switched to more evasive copepods as the mean size of fish increased and Daphnia abundance declined. Because Daphnia are particularly important prey items for subyearling Chinook salmon in mainstem reservoirs in mid to late summer, alterations in the cladoceran food base is of concern for the management of outmigrating salmonids and other Columbia River fishes. ?? 2006 by the Northwest Scientific Association. All rights reserved.
Water availability and flood hazards in the John Day Fossil Beds National Monument, Oregon
Frank, Frank J.; Oster, E.A.
1979-01-01
The rock formations of the John Day Fossil Beds National Monument area are aquifers that can be expected to yield less than 10 gallons of water per minute to wells. The most permeable of the geologic units is the alluvium that occurs at low elevations along the John Day River and most of the smaller streams. Wells in the alluvial deposits can be expected to yield adequate water supplies for recreational areas; also, wells completed in the underlying bedrock at depths ranging from 50 to 200 feet could yield as much as 10 gallons per minute. Pumping tests on two unused wells indicated yields of 8 gallons per minute and 2 gallons per minute. Nine of the ten springs measured in and near the monument area in late August of 1978 were flowing 0.2 to 30 gallons per minute. Only the Cant Ranch spring and the Johnny Kirk Spring near the Sheep Rock unit had flows exceeding 6 gallons per minute. Chemical analyses of selected constituents of the ground water indicated generally low concentrations of dissolved minerals. Although cloudbursts in the Painted Hills unit could generate a flood wave on the valley floors, flood danger can be reduced by locating recreational sites on high ground. The campground in Indian Canyon of the Clarno unit is vulnerable to cloudburst flooding. About 80 percent of the proposed campground on the John Day River in the Sheep Rock unit is above the estimated level of 1-percent chance flood (100-year flood) of the river. The 1-percent chance flood would extend about 120 feet from the riverbank into the upstream end of the campground. (USGS).
Code of Federal Regulations, 2014 CFR
2014-07-01
... north by Perimeter Road, and on the east by Mayport Road. (5) Danger zone. The danger zone shall... hours a day, seven days a week. Warning signs notifying individuals of the restricted area boundary and... will be in place 24 hours a day, seven days a week. Warning signs notifying individuals of the...
Unauthorized Appropriations and Expiring Authorizations
2015-01-15
other purposes P.L. 109-338 John H. Chafee Blackstone River Valley National Heritage Corridor Reauthorization Act of 2006 (sec. 702(f), 16 U.S.C. 461...Indefinite Unauthorized FY 2015 Appropriations: 1,120,235,000 Upper Klamath Basin Ecological Restoration projects (sec. 1024)* FY 2002 Appropriation... Ethics Authorization Act of 2001P.L. 107-119 Office of Government Ethics * FY 2006 Appropriation Authorized: Indefinite Unauthorized FY 2015 Appropriations
ERIC Educational Resources Information Center
McNamara, John
2016-01-01
John McNamara shares his wisdom and humbly credits Camillo Grazzini, Jenny Höglund, and David Kahn for his growth in Montessori. Recognizing more than what he has learned from his mentors, he shares the lessons he has learned from his students themselves. Math, science, history, and language are so integrated in the curriculum that students…
Fano Bounds for Compact Antennas. Phase I
2007-10-01
Transimpedance Amplifiers IEEE Journal of Solid-State Circuits, 39(8), pages 1263–1270. [3] Baher, H. [1984] Synthesis of Electrical Networks, John Wiley...band PHEMTMMIC Low Noise Amplifier with Minimum Input Match- ing Network, Electronics Letters, 36, pages 1627–1629. [7] Edminister, Joseph A. [1965...pages 1328–1331. [11] Gonzalez, Guillermo [1997] Microwave Transistor Amplifiers , Second Edition, Prentice Hall, Upper Saddle River, NJ. 68 [12
15. The third floor. A view looking south of a ...
15. The third floor. A view looking south of a typical corridor for these two upper floors. All windows have a single obscure glass light and shoulder high sills which bring sunlight into the corridor. The a/c duct, its laterals and the fluorescent light elements are all retrofit. - John T. Beasley Building, 632 Cherry Street (between Sixth & Seventh Streets), Terre Haute, Vigo County, IN
2013-10-28
John Grunsfeld, associate administrator for the Science Mission Directorate, NASA Headquarters, Washington, introduces a panel to discuss the upcoming launch of the Mars Atmosphere and Volatile Evolution (MAVEN) mission, at a press conference at NASA Headquarters in Washington on Monday, Oct. 28th, 2013. MAVEN is the agency's next mission to Mars and the first devoted to understanding the upper atmosphere of the Red Planet. (Photo credit: NASA/Jay Westcott)
Han, Yong Jae; Cha, Jae Myung; Park, Jae Hyun; Jeon, Jung Won; Shin, Hyun Phil; Joo, Kwang Ro; Lee, Joung Il
2016-07-01
Rebleeding and mortality rates remain high in patients with nonvariceal upper gastrointestinal bleeding. To identify clinical and endoscopic risk factors for rebleeding and mortality in patients with nonvariceal upper gastrointestinal bleeding. This study was performed in patients with nonvariceal upper gastrointestinal bleeding who underwent upper endoscopic procedures between July 2006 and February 2013. Clinical and endoscopic characteristics were compared among patients with and without rebleeding and mortality. Logistic regression analysis was performed to determine independent risk factors for rebleeding and mortality. After excluding 64 patients, data for 689 patients with nonvariceal upper gastrointestinal bleeding were analyzed. Peptic ulcer (62.6 %) was by far the most common source of bleeding. Endoscopic intervention was performed within 24 h in 99.0 % of patients, and successful endoscopic hemostasis was possible in 80.7 % of patients. The 30-day rebleeding rate was 13.1 % (n = 93). Unsuccessful endoscopic hemostasis was found to be the only independent risk factor for rebleeding (odds ratio 79.6; 95 % confidence interval 37.8-167.6; p = 0.000). The overall 30-day mortality rate was 3.2 % (n = 23). Unsuccessful endoscopic hemostasis (odds ratio 4.9; 95 % confidence interval 1.7-13.9; p = 0.003) was also associated with increased 30-day mortality in patients with nonvariceal upper gastrointestinal bleeding. Successful endoscopic hemostasis is an independent protective factor for both rebleeding and mortality in patients with nonvariceal upper gastrointestinal bleeding.
BOREAS AES Five-Day Averaged Surface Meteorological and Upper Air Data
NASA Technical Reports Server (NTRS)
Hall, Forrest G. (Editor); Strub, Richard; Newcomer, Jeffrey A.
2000-01-01
The Canadian Atmospheric Environment Service (AES) provided BOREAS with hourly and daily surface meteorological data from 23 of the AES meteorological stations located across Canada and upper air data from 1 station at The Pas, Manitoba. Due to copyright restrictions on the full resolution surface meteorological data, this data set contains 5-day average values for the surface parameters. The upper air data are provided in their full resolution form. The 5-day averaging was performed in order to create a data set that could be publicly distributed at no cost. Temporally, the surface meteorological data cover the period of January 1975 to December 1996 and the upper air data cover the period of January 1961 to November 1996. The data are provided in tabular ASCII files, and are classified as AFM-staff data. The data files are available on a CD-ROM (see document number 20010000884), or from the Oak Ridge National Laboratory (ORNL) Distributed Active Archive Center (DAAC).
2010-01-12
Employees at NASA's John C. Stennis Space Center visit exhibits of volunteer organizations during their observance of Martin Luther King Jr. Day with a Day of Service on Jan. 12. During the day, Mississippi and Louisiana organizations visited the center to encourage employees to register and serve as volunteers for various community activities. The day's focus was emphasized again and again - great things can happen when individuals work together toward a common goal.
NASA Technical Reports Server (NTRS)
2010-01-01
Employees at NASA's John C. Stennis Space Center visit exhibits of volunteer organizations during their observance of Martin Luther King Jr. Day with a Day of Service on Jan. 12. During the day, Mississippi and Louisiana organizations visited the center to encourage employees to register and serve as volunteers for various community activities. The day's focus was emphasized again and again - great things can happen when individuals work together toward a common goal.
Recreation use of upper Pemigewasset and Swift River Drainages, New Hampshire
Ronald J. Glass; Gerald S. Walton
1995-01-01
In-stream recreation use of the upper Pemigewasset and Swift River Drainages was estimated by a technique based on modified, stratified sampling. Results are reported by category of stream segment, season, day of week, time of day, and activity. "Weekend and holiday" use exceeded weekday use during spring and fall, but weekdays had the heaviest use during the...
Stephen M. Bowes; Chad P. Dawson
1998-01-01
Recreational boaters on the National Park Service managed Upper Delaware Scenic and Recreational River were surveyed about their characteristics, management preferences, and user encounters. Field interviews were conducted from Memorial Day weekend through Labor Day weekend during the summer of 1996. A total of 650 boaters were contacted at public and commercial access...
Quality of life after upper third molar removal: A prospective longitudinal study
Avellaneda-Gimeno, Vanesa; Valmaseda-Castellón, Eduard
2017-01-01
Background Third molar extraction is a very common procedure in Dentistry. The aim of this study was to evaluate the quality of life (QoL) and satisfaction of patients undergoing extraction of an upper third molar under local anesthesia. A second objective was to describe the evolution of self-reported pain measured in a visual analogue scale (VAS) in the 7 days after surgery and its relationship with pre- and intraoperative factors. Material and Methods A prospective longitudinal cohort study was made. Fifty-five patients received a questionnaire assessing social and working isolation, eating and speaking ability, diet modifications, sleep impairment, physical appearance, discomfort at suture removal and overall satisfaction. Pain was registered daily on a VAS scale. A descriptive and bivariate analysis of the data was performed. Results Forty-seven patients were included. Pain decreased lineally across the 7 days, and relief was significant between days 2 and 3. Intraoperative complications were significantly associated with pain. The complication that showed the highest pain score was the tuberosity fracture. Conclusions Upper third molar removal significantly affects the patient’s quality of life, particularly during the first 2 days after extraction. Key words:Quality of life, upper third molar, extraction, complications. PMID:29053650
Moran, Edward H.; Brabets, Timothy P.
2005-01-01
The headwaters of the John River are located near the village ofAnaktuvuk Pass in the central Brooks Range of interior Alaska. With the recent construction of a water-supply system and a wastewater-treatment plant, most homes in Anaktuvuk Pass now have modern water and wastewater systems. The effluent from the treatment plant discharges into a settling pond near a tributary of the John River. The headwaters of the John River are adjacent to Gates of the Arctic National Park and Preserve, and the John River is a designated Wild River. Due to the concern about possible water-quality effects from the wastewater effluent, the hydrology of the John River near Anaktuvuk Pass was studied from 2002 through 2003. Three streams form the John River atAnaktuvuk Pass: Contact Creek, Giant Creek, and the John RiverTributary. These streams drain areas of 90.3 km (super 2) , 120 km (super 2) , and 4.6 km (super 2) , respectively. Water-qualitydata collected from these streams from 2002-03 indicate that the waters are a calcium-bicarbonate type and that Giant Creek adds a sulfate component to the John River. The highest concentrations of bicarbonate, calcium, sodium, sulfate, and nitrate were found at the John River Tributary below the wastewater-treatment lagoon. These concentrations have little effect on the water quality of the John River because the flow of the John River Tributary is only about 2 percent of the John River flow. To better understand the ground-water/surface-water interactions of the upper John River, a numerical groundwater-flow model of the headwater area of the John River was constructed. Processes that occur during spring break-up, such as thawing of the active layer and the frost table and the resulting changes of storage capacity of the aquifer, were difficult to measure and simulate. Application and accuracy of the model is limited by the lack of specific hydrogeologic data both spatially and temporally. However, during the mid-winter and open-water periods, the model provided acceptable results and was coupled with a particle-movement model to simulate the movement and possible extent of conservative particles from the wastewater-treatment-plant lagoon.
Bleeding and starving: fasting and delayed refeeding after upper gastrointestinal bleeding.
Fonseca, Jorge; Meira, Tânia; Nunes, Ana; Santos, Carla Adriana
2014-01-01
Early refeeding after nonvariceal upper gastrointestinal bleeding is safe and reduces hospital stay/costs. The aim of this study was obtaining objective data on refeeding after nonvariceal upper gastrointestinal bleeding. From 1 year span records of nonvariceal upper gastrointestinal bleeding patients that underwent urgent endoscopy: clinical features; rockall score; endoscopic data, including severity of lesions and therapy; feeding related records of seven days: liquid diet prescription, first liquid intake, soft/solid diet prescription, first soft/solid intake. From 133 patients (84 men) Rockall classification was possible in 126: 76 score ≥5, 50 score <5. One persistent bleeding, eight rebled, two underwent surgery, 13 died. Ulcer was the major bleeding cause, 63 patients underwent endoscopic therapy. There was 142/532 possible refeeding records, no record 37% patients. Only 16% were fed during the first day and half were only fed on third day or later. Rockall <5 patients started oral diet sooner than Rockall ≥5. Patients that underwent endoscopic therapy were refed earlier than those without endotherapy. Most feeding records are missing. Data reveals delayed refeeding, especially in patients with low-risk lesions who should have been fed immediately. Nonvariceal upper gastrointestinal bleeding patients must be refed earlier, according to guidelines.
NASA Technical Reports Server (NTRS)
2007-01-01
These two Compact Reconnaissance Imaging Spectrometer for Mars (CRISM) images were acquired over the northern plains of Mars near one of the possible landing sites for NASA's Phoenix mission, set to launch in August 2007. The lower right image was acquired first, on Nov. 29, 2006, at 0720 UTC (2:20 a.m. EST), while the upper left image was acquired about one month later on Dec. 26, 2006, at 0030 UTC (or Dec. 25, 2006, at 7:30 p.m. EST). The CRISM data were taken in 544 colors covering the wavelength range from 0.36-3.92 micrometers, and show features as small as about 20 meters (66 feet) across. The images shown above are red-green-blue color composites using wavelengths 0.71, 0.6, and 0.53 micrometers, respectively (or infrared, red, and green light), and are overlain on a mosaic of Mars Odyssey Thermal Emission Imaging System (THEMIS) visible data. Each image covers a region about 11 kilometers (6.6 miles) wide at its narrowest, and they overlap near 71.0 degrees north latitude, 252.8 degrees east longitude The Earth equivalent to the season and latitude of this site is late summer in northern Canada, above the Arctic Circle. At that season and latitude, Martian weather conditions are transitioning from summer with generally clear skies, occasional weather fronts, and infrequent dust storms, to an autumn with pervasive, thick water-ice clouds. The striking difference in the appearance of the images is caused by the seasonal development of water-ice clouds. The earlier (lower right) image is cloud-free, and surface features can clearly be seen - like the small crater in the upper left. However, the clouds and haze in the later (upper left) image make it hard to see the surface. There are variations in the thickness and spacing of the clouds, just like clouds on Earth. On other days when nearby sites were imaged, the cloud cover varied day-to-day, but as the seasons change the trend is more and thicker clouds. With the onset of autumn the clouds will gradually cover the area and, just as with autumn on Earth, the Martian day is getting shorter at these high northern latitudes. In a few more months this area will settle into winter darkness and be covered in a layer of frost and carbon dioxide snow. CRISM's mission: Find the spectral fingerprints of aqueous and hydrothermal deposits and map the geology, composition and stratigraphy of surface features. The instrument will also watch the seasonal variations in Martian dust and ice aerosols, and water content in surface materials -- leading to new understanding of the climate. The Compact Reconnaissance Imaging Spectrometer for Mars (CRISM) is one of six science instruments on NASA's Mars Reconnaissance Orbiter. Led by The Johns Hopkins University Applied Physics Laboratory, the CRISM team includes expertise from universities, government agencies and small businesses in the United States and abroad.1975-08-11
Desulfurization of flue gases from electric power plants Arthur J. Coyle Walter E. Chapin John B. Day John T. Herridge Victor Levin James...45 High-Temperature Gas -Turbine Engines for Automotive Applications 60 Fuel Cel13 76 Lasers for Communications and Materials Processing 97...Relationship for a Regenerative Gas -Turbine Engine 61 Relative Raw Materials Cost 61 Proposed Milestone Chart ERDA/AAPS Ceramic Mate- rials and
2002-11-10
KENNEDY SPACE CENTER, FLA. -- The Chickasaw Dance Troupe performs an Honor Dance for John Herrington's parents during the Native American Ceremony at the Rocket Garden in the KSC Visitor Complex. The ceremony was part of several days' activities commemorating John B. Herrington as the first tribally enrolled Native American astronaut to fly on a Shuttle mission. Herrington is a Mission Specialist on STS-113.
NASA Technical Reports Server (NTRS)
1998-01-01
On this eighth day of the STS-95 mission, the flight crew, Cmdr. Curtis L. Brown, Pilot Steven W. Lindsey, Mission Specialists Scott E. Parazynski, Stephen K. Robinson, and Pedro Duque, and Payload Specialists Chiaki Mukai and John H. Glenn, continue to perform microgravity experiments. Specialist John Glenn completes a back-pain questionnaire as part of a study of how the muscle, intervertebral discs and bone marrow change due to microgravity. The results will then be compared with data provided by astronauts during previous missions. Glenn continues blood sample analysis and blood processing that are part of the Protein Turnover (PTO) experiment, which is studying the muscle loss that occurs during space flight.
NASA Technical Reports Server (NTRS)
1998-01-01
On this second day of the STS-95 mission, the flight crew, Cmdr. Curtis L. Brown, Pilot Steven W. Lindsey, Mission Specialists Scott E. Parazynski, Stephen K. Robinson, and Pedro Duque, and Payload Specialists Chiaki Mukai and John H. Glenn, are seen preparing a glovebox device in the middeck area of Discovery, an enclosed research facility that will support numerous science investigations throughout the mission. Payload Specialist John Glenn, activates the Microgravity Encapsulation Process experiment (MEPS). This experiment will study the formation of capsules containing two kinds of anti-tumor drugs that could be delivered directly to solid tumors with applications for future chemotherapy treatments and the pharmaceutical industry.
John Bell (1763-1820): brother artist and anatomist.
Gardner-Thorpe, Christopher
2013-01-01
John Bell, brother-surgeon of Charles Bell, was, like Charles, an outstanding surgeon and a good artist. John was one of the few who illustrated his work with their own drawings in the days before audiovisual aids were available and without the benefit of reliable drawing aids, photography and computer-aided design. Charles, on the other hand, was the better artist and illustrated much of the normal anatomy of the nervous system. Each brother undertook extensive surgery of men who had been wounded in war; John Bell left us his engravings from the textbooks, more numerous perhaps than Charles, but Charles left us a series of oil paintings and watercolours in addition to the illustrations in his textbooks. © 2013 Elsevier B.V. All rights reserved.
Peck, Dallas L.
1964-01-01
This report briefly describes the geology of an area of about 750 square miles in Jefferson, Wasco, Crook, and Wheeler Counties, Oregon. About 16,000 feet of strata that range in age from pre-Tertiary to Quaternary are exposed. These include the following units: pre-Tertiary slate, graywacke, conglomerate, and meta-andesite; Clarno Formation of Eocene age - lava flows, volcanic breccia, tuff, and tuffaceous mudstone, chiefly of andesitic composition; John Day Formation of late Oligocene and early Miocene age - pyroclastic rocks, flows, and domes, chiefly of rhyolitic composition; Columbia River Basalt of middle Miocene age - thick, columnar jointed flows of very fine grained dense dark-gray basalt; Dalles Formation of Pliocene age - bedded tuffaceous sandstone, siltstone, and conglomerate; basalt of Pliocene or Pleistocene age - lava flows of porous-textured olivine basalt; and Quaternary loess, landslide debris, and alluvium. Unconformities separate pre-Tertiary rocks and Clarno Formation, Clarno and John Day Formations, John Day Formation and Columbia River Basalt, and Columbia River Basalt and Dalles Formation. The John Day Formation, the only unit studied in detail, consists of about 4,000 feet of tuff, lapilli tuff, strongly to weakly welded rhyolite ash flows, and less abundant trachyandesite flows and rhyolite flows and domes. The formation was divided into nine mappable members in part of the area, primarily on the basis of distinctive ledge-forming welded ash-flow sheets. Most of the sheets are composed of stony rhyolite containing abundant lithophysae and sparse phenocrysts. One sheet contains 10 to 20 percent phenocrysts, mostly cryptoperthitic soda sanidine, but including less abundant quartz, myrmekitic intergrowths of quartz and sanidine, and oligoclase. The rhyolitic ash flows and lava flows were extruded from nearby vents, in contrast to some of the interbedded air-fall tuff and lapilli tuff of dacitic and andesitic composition that may have been derived from vents in an ancestral Cascade Range. The John Day is dated on the basis of a late Oligocene flora near the base of the formation and early Miocene faunas near the top of the formation. The middle Miocene and older rocks in the Antelope-Ashwood area are broadly folded and broken along northeast-trending faults. Over much of the area the rocks dip gently eastward from the crest of a major fold and are broken along a series of steeply dipping antithetic strike faults. Pliocene and Quaternary strata appear to be undeformed. At the Priday agate deposit, chalcedony-filled spherulites (thunder-eggs) occur in the lower part of a weakly welded rhyolitic ash flow. The so-called thunder-eggs are small spheroidal bodies, about 3 inches in average diameter; each consists of a chalcedonic core surrounded by a shell of welded tuff that is altered to radially oriented fibers of cristobalite and alkalic feldspar.
Abougergi, Marwan S; Peluso, Heather; Saltzman, John R
2018-03-28
We aimed to determine the rate of hospital readmission within 30 days of non-variceal upper gastrointestinal hemorrhage and its impact on mortality, morbidity, and health care use in the United States. We performed a retrospective study using the Agency for Healthcare Research and Quality's Healthcare Cost and Utilization Project Nationwide Readmission Database for the year 2014 (data on 14.9 million hospital stays at 2048 hospitals in 22 states). We collected data on hospital readmissions of 203,220 adults who were hospitalized for urgent non-variceal upper gastrointestinal hemorrhage and discharged. The primary outcome was rate of all-cause readmission within 30 days of discharge. Secondary outcomes were reasons for readmission, readmission mortality rate, morbidity (shock and prolonged mechanical ventilation) and resource use (length of stay and total hospitalization costs and charges). Independent risk factors for readmission were identified using Cox regression analysis. The 30-day rate of readmission was 13%. Only 18% of readmissions were due to recurrent non-variceal upper gastrointestinal bleeding. The rate of death among patients readmitted to the hospital (4.7%) was higher than that for index admissions (1.9%) (P < .01). A higher proportion of readmitted patients had morbidities requiring prolonged mechanical ventilation (1.5%) compared with index admissions (0.8%) (P < .01). A total of 133,368 hospital days was associated with readmission, and the total health care in-hospital economic burden was $30.3 million (in costs) and $108 million (in charges). Independent predictors of readmission were Medicaid insurance, higher Charlson comorbidity score, lower income, residence in a metropolitan area, hemorrhagic shock, and longer stays in the hospital. Older age, private or no insurance, upper endoscopy, and prolonged mechanical ventilation were associated with lower odds for readmission. In a retrospective study of patients hospitalized for non-variceal upper gastrointestinal hemorrhage, 13% are readmitted to the hospital within 30 days of discharge. Readmission is associated with higher mortality, morbidity, and resource use. Most readmissions are not for recurrent gastrointestinal bleeding. Copyright © 2018 AGA Institute. Published by Elsevier Inc. All rights reserved.
Fiber Supplements: Are They Safe to Take Every Day?
... be sure to drink plenty of fluids every day. With Michael F. Picco, M.D. Duyff RL. Carbs. In: American Dietetic Association Complete Food and Nutrition Guide. 4th ed. Hoboken, N.J.: John Wiley & Sons; 2012. Slavin JL. Position of ...
Non Destructive Seal Testing Polymeric Tray
2006-10-01
School of Enviromental and Biological Science Rutgers, The State University of New Jersey New Brunswick, New Jersey 08903 Principal Investigator...plate to accept new tray • Insert tray • Push “Continue” button • Lower upper compression plate and hold in position (80 psig) • Raise bottom...John J. Kingman Rd. Fort Belvoir, VA 22060-6221 Contractor: Rutgers, The State University of New Jersey THE CENTER FOR ADVANCED FOOD TECHNOLOGY
Summary Report: U.S.-UK Integration in Helmand
2016-02-01
Select a caveat Unlimited distribution Summary Report: U.S.-UK Integration in Helmand Alexander Powell , Larry Lewis, Catherine...October 1993. 3 Benjamin Russell, “Special relationship is safe... ’US has no better partner than UK’, says John Kerry,” The Express (London), 9...Robinson, Eugene. “Clinton’s Remarks Cause Upper Lips to Twitch," Washington Post, 19 October 1993. Russell, Benjamin . “Special relationship is safe
8. Detail view, greenhouse, south wall (Note the fragments of ...
8. Detail view, greenhouse, south wall (Note the fragments of carved frieze and the construction seam running across the upper-right-hand corner of the photograph. The south wall was extended eastward and upward in the nineteenth century in order to accommodate the a new all-encompassing roof for the four adjacent units). - John Bartram House & Garden, Greenhouse, 54th Street & LIndbergh Boulevard, Philadelphia, Philadelphia County, PA
Gabe, Y; Osanai, O; Takema, Y
2014-08-01
Ultraweak photon emission (UPE) is one potential method to evaluate the oxidative status of the skin in vivo. However, little is known about how the daily oxidative stress of the skin is related to skin aging-related alterations in vivo. We characterized the steady state UPE and performed a skin survey. We evaluated the skin oxidative status by UPE, skin elasticity, epidermal thickness and skin color on the inner upper arm, the outer forearm, and the buttock of 70 Japanese volunteers. The steady state UPE at the three skin sites increased with age. Correlation analysis revealed that the steady state UPE only from the buttock was related to skin elasticity, which showed age-dependent changes. Moreover, analysis by age group indicated that b* values of the inner upper arm of subjects in their 20s were inversely correlated with UPE as occurred in buttock skin. In contrast, photoaged skin did not show a clear relationship with steady state UPE because the accumulation of sun-exposure might influence the sensitivity to oxidative stress. These results suggest that steady state UPE reflects not only intrinsic skin aging and cutaneous color but also the current oxidative status independent of skin aging. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Abbaci, Muriel; Casiraghi, Odile; Temam, Stephane; Ferchiou, Malek; Bosq, Jacques; Dartigues, Peggy; De Leeuw, Frederic; Breuskin, Ingrid; Laplace-Builhé, Corinne
2015-11-01
Primary upper aerodigestive tract malignancy remains a cancer having a poor prognosis, despite current progress in treatment, due to a generally late diagnosis. We conducted a preliminary assessment of five dyes approved for human use for the imaging of head and neck tissues at the cellular level, which could be considered for clinical examination. We investigated fluorescence endomicroscopic images on fresh samples obtained from head and neck surgeries after staining with hypericin, methylene blue, toluidine blue, patent blue or indocyanine green to provide a preliminary consideration as to whether these images contain enough information for identification of non-pathologic and pathologic tissues. The distribution pattern of dye has been examined using probe-based confocal laser endomicroscopy (pCLE) in ex vivo specimens and compared with corresponding histology. In most samples, the image quality provided by pCLE with both dyes allowed pathologists to recognize histological characteristics to identify the tissues. The combination of pCLE imaging with these dyes provides interpretable images close to conventional histology; a promising clinical tool to assist physicians in examination of upper aerodigestive tract, as long as depth imaging issues can be overcome. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Prevalence and causes of abnormal liver function in patients with coeliac disease.
Casella, Giovanni; Antonelli, Elisabetta; Di Bella, Camillo; Villanacci, Vincenzo; Fanini, Lucia; Baldini, Vittorio; Bassotti, Gabrio
2013-08-01
Coeliac disease patients frequently display mild elevation of liver enzymes and this abnormality usually normalizes after gluten-free diet. To investigate the cause and prevalence of altered liver function tests in coeliac patients, basally and after 1 year of gluten-free diet. Data from 245 untreated CD patients (196 women and 49 men, age range 15-80 years) were retrospectively analysed and the liver function tests before and after diet, as well as associated liver pathologies, were assessed. Overall, 43/245 (17.5%) patients had elevated values of one or both aminotransferases; the elevation was mild (<5 times the upper reference limit) in 41 (95%) and marked (>10 times the upper reference limit) in the remaining 2 (5%) patients. After 1 year of gluten-free diet, aminotransferase levels normalized in all but four patients with HCV infection or primary biliary cirrhosis. In coeliac patients, hypertransaminaseaemia at diagnosis and the lack of normalization of liver enzymes after 12 months of diet suggest coexisting liver disease. In such instance, further evaluation is recommended to exclude the liver disease. Early recognition and treatment of coeliac disease in patients affected by liver disease are important to improve the liver function and prevent complications. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Spinal cord atrophy in anterior-posterior direction reflects impairment in multiple sclerosis.
Lundell, H; Svolgaard, O; Dogonowski, A-M; Romme Christensen, J; Selleberg, F; Soelberg Sørensen, P; Blinkenberg, M; Siebner, H R; Garde, E
2017-10-01
To investigate how atrophy is distributed over the cross section of the upper cervical spinal cord and how this relates to functional impairment in multiple sclerosis (MS). We analysed the structural brain MRI scans of 54 patients with relapsing-remitting MS (n=22), primary progressive MS (n=9), secondary progressive MS (n=23) and 23 age- and sex-matched healthy controls. We measured the cross-sectional area (CSA), left-right width (LRW) and anterior-posterior width (APW) of the spinal cord at the segmental level C2. We tested for a nonparametric linear relationship between these atrophy measures and clinical impairments as reflected by the Expanded Disability Status Scale (EDSS) and Multiple Sclerosis Impairment Scale (MSIS). In patients with MS, CSA and APW but not LRW were reduced compared to healthy controls (P<.02) and showed significant correlations with EDSS, MSIS and specific MSIS subscores. In patients with MS, atrophy of the upper cervical cord is most evident in the antero-posterior direction. As APW of the cervical cord can be readily derived from standard structural MRI of the brain, APW constitutes a clinically useful neuroimaging marker of disease-related neurodegeneration in MS. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Kim, HyunJin; Lee, GyuChang; Song, ChangHo
2014-04-01
Motor recovery of the upper extremity in stroke patients is an important goal of rehabilitation. In particular, motor recovery can be accelerated when physical and cognitive interventions are combined. Thus, the aim of this study was to investigate the effects of functional electrical stimulation (FES) with mirror therapy (MT) on motor function of upper extremity in stroke patients. Twenty-seven stroke patients were recruited, and the 23 subjects who met the inclusion criteria were randomly allocated into 2 groups: the experimental group (n = 12) and the control group (n = 11). Both groups received conventional rehabilitation training for 60 minutes/day and 5 days/week for 4 weeks. In addition, members of the experimental group received FES with MT and members of the control group received FES without MT for 30 minutes/day and 5 days/week for 4 weeks. Immediately before and after intervention, motor recovery was measured using the Fugl-Meyer (FM) assessment, Brunnstrom's motor recovery stage (BMRS), the Manual Function Test (MFT), and the Box and Block Test (BBT). Significant upper extremity motor improvements were observed in the experimental and control groups according to the FM, BMRS, MFT, and BBT (P < .05). In particular, FM subscores for wrist, hand, and co-ordination and MFT subscores for hand function were more significantly improved in the experimental group (P < .05). Motor functions of the upper extremity were improved by FES with MT versus controls. The study shows that FES with MT during poststroke rehabilitation may effectively improve motor functions of the upper extremity. Copyright © 2014 National Stroke Association. Published by Elsevier Inc. All rights reserved.
John Lubbock, caves, and the development of Middle and Upper Palaeolithic archaeology
Pettitt, Paul; White, Mark
2014-01-01
John Lubbock's Pre-Historic Times (1865) was the first publication to use the terms ‘Palaeolithic’ and ‘Neolithic’ to define major periods of early prehistory. Because of this he has come to be seen as one of the most influential figures in the history of prehistoric archaeology. We examine this image here, in terms of his influence on contemporaries both in Britain and in France, where early excavations were providing materials that came to form the basic periodization of the Palaeolithic that is still in use today. We show how Lubbock contributed to this emergence of a professional Palaeolithic archaeology, and what he did and did not achieve in the critical decades of the 1850s and 1860s before his interests moved elsewhere.
STS-29 Pilot Blaha with SE83-9 "Chix in Space" incubator on OV-103's middeck
1989-03-16
STS029-01-001 (16 Marach 1989) --- Astronaut John E. Blaha, STS-29 pilot, checks an incubator on the mid deck of Earth-orbiting Discovery during Flight Day 4 activity. The incubator is part of a student involvement program experiment titled, "Chicken Embryo Development in Space." The student experimenter is John C. Vellinger. The experiment's sponsor is Kentucky Fried Chicken. This photographic frame was among NASA's third STS-29 photo release. Monday, March 20, 1989. Crewmembers were Astronauts Michael L. Coats, John E. Blaha, James F. Buchli, Robert C. Springer and James P. Bagian.
van Exsel, Denise C E; Pool, Shariselle M W; van Uchelen, Jeroen H; Edens, Mireille A; van der Lei, Berend; Melenhorst, Wynand B W H
2016-07-01
It has been suggested that arnica can reduce postoperative edema and ecchymosis associated with cosmetic surgical procedures and improve outcome. Despite a high incidence of arnica use among upper blepharoplasty patients, evidence to support its treatment effect is lacking. The authors performed a randomized, double-blind, placebo-controlled trial to investigate the efficacy of arnica ointment after upper blepharoplasty. One hundred thirty-six bilateral upper blepharoplasty patients were randomized between arnica ointment 10% and placebo ointment. In both study arms, one periorbital area was designated as the treatment side (either arnica or placebo ointment), and the contralateral side served as an untreated (no ointment) internal control. As the primary endpoint, the overall periorbital appearance as based on light photography and judged by a medical and nonmedical panel, was assessed after 3 days, 7 days, and 6 weeks. Secondary endpoints were swelling, ecchymosis, erythema, pain, and patient satisfaction with recovery and outcome. There was no significant difference between arnica and placebo in overall judgment of periorbital appearance 3 days, 7 days, and 6 weeks after surgery. Furthermore, swelling, ecchymosis, erythema, pain, and patient satisfaction with recovery and outcome did not differ between arnica and placebo. Postoperative outcome in untreated eyelids was not different from eyelids treated with either arnica or placebo on any of the studied outcome measures. The authors' study demonstrates that topical arnica ointment after upper blepharoplasty does not improve postoperative outcome. Therapeutic, II.
Abdullah, B J J; Mohammad, N; Sangkar, J V; Abd Aziz, Y F; Gan, G G; Goh, K Y; Benedict, I
2005-07-01
The objective of this study was to prospectively determine the incidence of venous thrombosis (VT) in the upper limbs in patients with peripherally inserted central catheters (PICC). We prospectively investigated the incidence of VT in the upper limbs of 26 patients who had PICC inserted. The inclusion criteria were all patients who had a PICC inserted, whilst the exclusion criterion was the inability to perform a venogram (allergies, previous contrast medium reaction and inability of gaining venous access). Both valved and non-valved catheters were evaluated. Prior to removal of the PICC, an upper limb venogram was performed. The number of segments involved with VT were determined. The duration of central venous catheterization was classified as; less than 6 days, between 6 days and 14 days and more than 14 days. VT was confirmed in 38.5% (10/26) of the patients. The majority 85.7% (12/14) were complete occlusive thrombi and the majority of VT only involved one segment. There was no statistical correlation between the site of insertion of the PICC and the location of VT. Neither was there any observed correlation between the occurrence of VT with the patient's history of hypertension, hypercholesterolaemia, coronary artery disease, diabetes mellitus, cardiac insufficiency, smoking or cancer. There was also no statistical correlation with the size of the catheter. In conclusion, PICCs are associated with a significant risk of upper extremity deep vein thrombosis (UEVT).
Lee, Han Hee; Park, Jae Myung; Lee, Soon-Wook; Kang, Seung Hun; Lim, Chul-Hyun; Cho, Yu Kyung; Lee, Bo-In; Lee, In Seok; Kim, Sang Woo; Choi, Myung-Gyu
2015-05-01
In patients with acute nonvariceal upper gastrointestinal bleeding, rebleeding after an initial treatment is observed in 10-20% and is associated with mortality. To investigate whether the initial serum C-reactive protein level could predict the risk of rebleeding in patients with acute nonvariceal upper gastrointestinal bleeding. This was a retrospective study using prospectively collected data for upper gastrointestinal bleeding. Initial clinical characteristics, endoscopic features, and C-reactive protein levels were compared between those with and without 30-day rebleeding. A total of 453 patients were included (mean age, 62 years; male, 70.9%). The incidence of 30-day rebleeding was 15.9%. The mean serum C-reactive protein level was significantly higher in these patients than in those without rebleeding (P<0.001). The area under the receiver operating characteristics curve with a cutoff value of 0.5mg/dL was 0.689 (P<0.001). High serum C-reactive protein level (odds ratio, 2.98; confidence interval, 1.65-5.40) was independently associated with the 30-day rebleeding risk after adjustment for the main confounding risk factors, including age, blood pressure, and initial haemoglobin level. The serum C-reactive protein was an independent risk factor for 30-day rebleeding in patients with acute nonvariceal upper gastrointestinal bleeding, indicating a possible role as a useful screening indicator for predicting the risk of rebleeding. Copyright © 2015 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.
NASA Astrophysics Data System (ADS)
De Raedt, Hans; Michielsen, Kristel; Hess, Karl
2016-12-01
Using Einstein-Podolsky-Rosen-Bohm experiments as an example, we demonstrate that the combination of a digital computer and algorithms, as a metaphor for a perfect laboratory experiment, provides solutions to problems of the foundations of physics. Employing discrete-event simulation, we present a counterexample to John Bell's remarkable "proof" that any theory of physics, which is both Einstein-local and "realistic" (counterfactually definite), results in a strong upper bound to the correlations that are being measured in Einstein-Podolsky-Rosen-Bohm experiments. Our counterexample, which is free of the so-called detection-, coincidence-, memory-, and contextuality loophole, violates this upper bound and fully agrees with the predictions of quantum theory for Einstein-Podolsky-Rosen-Bohm experiments.
Lee, Han Hee; Park, Jae Myung; Chun, Ho Jong; Oh, Jung Suk; Ahn, Hyo Jun; Choi, Myung-Gyu
2015-07-01
Transcatheter arterial embolization (TAE) is a therapeutic option for endoscopically unmanageable upper gastrointestinal (GI) bleeding. We aimed to assess the efficacy and clinical outcomes of TAE for acute non-variceal upper GI bleeding and to identify predictors of recurrent bleeding within 30 days. Visceral angiography was performed in 66 patients (42 men, 24 women; mean age, 60.3 ± 12.7 years) who experienced acute non-variceal upper GI bleeding that failed to be controlled by endoscopy during a 7-year period. Clinical information was reviewed retrospectively. Outcomes included technical success rates, complications, and 30-day rebleeding and mortality rates. TAE was feasible in 59 patients. The technical success rate was 98%. Rebleeding within 30 days was observed in 47% after an initial TAE and was managed with re-embolization in 8, by endoscopic intervention in 5, by surgery in 2, and by conservative care in 12 patients. The 30-day overall mortality rate was 42.4%. In the case of initial endoscopic hemostasis failure (n = 34), 31 patients underwent angiographic embolization, which was successful in 30 patients (96.8%). Rebleeding occurred in 15 patients (50%), mainly because of malignancy. Two factors were independent predictors of rebleeding within 30 days by multivariate analysis: coagulopathy (odds ratio [OR] = 4.37; 95% confidence interval [CI]: 1.25-15.29; p = 0.021) and embolization in ≥2 territories (OR = 4.93; 95% CI: 1.43-17.04; p = 0.012). Catheterization-related complications included hepatic artery dissection and splenic embolization. TAE controlled acute non-variceal upper GI bleeding effectively. TAE may be considered when endoscopic therapy is unavailable or unsuccessful. Correction of coagulopathy before TAE is recommended.
John Moser’s search for small and “mitey” things
James Barnett; Stacy Blomquist
2013-01-01
In the basement of the Alexandria Forestry Center in Pineville works a scientist who many consider eccentric and few understand what he does, but most know that he works every work day and most weekends as a volunteer even though he retired from the Forest Service's Southern Research Station for nearly 25 years. The scientist, John Moser, has taken a path less...
Activities commemorating John B. Herrington as first Native American astronaut
NASA Technical Reports Server (NTRS)
2002-01-01
KENNEDY SPACE CENTER, FLA. -- Chickasaw Indian princesses seen here contributed to a pre-launch Native American ceremony at the Rocket Garden in the KSC Visitor Complex by leading a prayer. The ceremony was part of several days' activities commemorating John B. Herrington as the first tribally enrolled Native American astronaut to fly on a Shuttle mission. Herrington is a Mission Specialist on STS-113.
Reductions in 28-Day Mortality Following Hospital Admission for Upper Gastrointestinal Hemorrhage
Crooks, Colin; Card, Tim; West, Joe
2011-01-01
Background & Aims It is unclear whether mortality from upper gastrointestinal hemorrhage is changing: any differences observed might result from changes in age or comorbidity of patient populations. We estimated trends in 28-day mortality in England following hospital admission for gastrointestinal hemorrhage. Methods We used a case-control study design to analyze data from all adults administered to a National Health Service hospital, for upper gastrointestinal hemorrhage, from 1999 to 2007 (n = 516,153). Cases were deaths within 28 days of admission (n = 74,992), and controls were survivors to 28 days. The 28-day mortality was derived from the linked national death register. A logistic regression model was used to adjust trends in nonvariceal and variceal hemorrhage mortality for age, sex, and comorbidities and to investigate potential interactions. Results During the study period, the unadjusted, overall, 28-day mortality following nonvariceal hemorrhage was reduced from 14.7% to 13.1% (unadjusted odds ratio, 0.87; 95% confidence interval: 0.84–0.90). The mortality following variceal hemorrhage was reduced from 24.6% to 20.9% (unadjusted odds ratio, 0.8; 95% confidence interval: 0.69–0.95). Adjustments for age and comorbidity partly accounted for the observed trends in mortality. Different mortality trends were identified for different age groups following nonvariceal hemorrhage. Conclusions The 28-day mortality in England following both nonvariceal and variceal upper gastrointestinal hemorrhage decreased from 1999 to 2007, and the reduction had been partly obscured by changes in patient age and comorbidities. Our findings indicate that the overall management of bleeding has improved within the first 4 weeks of admission. PMID:21447331
2010-01-12
Rich Delgado, commanding officer of the Fleet Survey Team located at NASA's John C. Stennis Space Center, visits with Kertrina Watson Lewis, executive director of the HandsOn volunteer organization in New Orleans, during Day of Service activities Jan. 12. The Day of Service was part of the annual Martin Luther King Jr. Day observance at Stennis. During the day, Mississippi and Louisiana organizations visited the center to encourage employees to register and serve as volunteers for various community activities.
NASA Technical Reports Server (NTRS)
2010-01-01
Rich Delgado, commanding officer of the Fleet Survey Team located at NASA's John C. Stennis Space Center, visits with Kertrina Watson Lewis, executive director of the HandsOn volunteer organization in New Orleans, during Day of Service activities Jan. 12. The Day of Service was part of the annual Martin Luther King Jr. Day observance at Stennis. During the day, Mississippi and Louisiana organizations visited the center to encourage employees to register and serve as volunteers for various community activities.
ERIC Educational Resources Information Center
Kakuda, Wataru; Abo, Masahiro; Kobayashi, Kazushige; Momosaki, Ryo; Yokoi, Aki; Fukuda, Akiko; Ishikawa, Atsushi; Ito, Hiroshi; Tominaga, Ayumi
2010-01-01
The purpose of the study was to determine the safety and feasibility of a 15-day protocol of low-frequency repetitive transcranial magnetic stimulation (rTMS) combined with intensive occupational therapy (OT) on motor function and spasticity in hemiparetic upper limbs in poststroke patients. Fifteen poststroke patients (age at study entry 55 [plus…
1997-01-12
STS081-E-05094 (12 Jan. 1997) --- Astronauts Peter J. K. (Jeff) Wisoff (left) and John M. Grunsfeld, mission specialists, deploy two Passive Thermal Conditioning Units (PTCU) onboard the SPACEHAB Double Module (DM) late on Day 1 of the mission. The two units had been transported by the pair through the tunnel connecting SPACEHAB and the mid-deck of crew cabin of the Space Shuttle Atlantis. They are joined by four other NASA astronauts for the almost ten-day mission. The crew is scheduled to dock with Russia's Mir Space Station and pick up John E. Blaha, NASA astronaut who has been serving as a cosmonaut guest researcher since September 1996. Jerry M. Linenger (out of frame) will replace Blaha onboard Mir.
Shared and task-specific muscle synergies of Nordic walking and conventional walking.
Boccia, G; Zoppirolli, C; Bortolan, L; Schena, F; Pellegrini, B
2018-03-01
Nordic walking is a form of walking that includes a poling action, and therefore an additional subtask, with respect to conventional walking. The aim of this study was to assess whether Nordic walking required a task-specific muscle coordination with respect to conventional walking. We compared the electromyographic (EMG) activity of 15 upper- and lower-limb muscles of 9 Nordic walking instructors, while executing Nordic walking and conventional walking at 1.3 ms -1 on a treadmill. Non-negative matrix factorization method was applied to identify muscle synergies, representing the spatial and temporal organization of muscle coordination. The number of muscle synergies was not different between Nordic walking (5.2 ± 0.4) and conventional walking (5.0 ± 0.7, P = .423). Five muscle synergies accounted for 91.2 ± 1.1% and 92.9 ± 1.2% of total EMG variance in Nordic walking and conventional walking, respectively. Similarity and cross-reconstruction analyses showed that 4 muscle synergies, mainly involving lower-limb and trunk muscles, are shared between Nordic walking and conventional walking. One synergy acting during upper limb propulsion is specific to Nordic walking, modifying the spatial organization and the magnitude of activation of upper limb muscles compared to conventional walking. The inclusion of the poling action in Nordic walking does not increase the complexity of movement control and does not change the coordination of lower limb muscles. This makes Nordic walking a physical activity suitable also for people with low motor skill. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Rosander, Pia; Bäckström, Martin
2014-12-01
The aim of the present study was to explore the ability of personality to predict academic performance in a longitudinal study of a Swedish upper secondary school sample. Academic performance was assessed throughout a three-year period via final grades from the compulsory school and upper secondary school. The Big Five personality factors (Costa & McCrae, ) - particularly Conscientiousness and Neuroticism - were found to predict overall academic performance, after controlling for general intelligence. Results suggest that Conscientiousness, as measured at the age of 16, can explain change in academic performance at the age of 19. The effect of Neuroticism on Conscientiousness indicates that, as regarding getting good grades, it is better to be a bit neurotic than to be stable. The study extends previous work by assessing the relationship between the Big Five and academic performance over a three-year period. The results offer educators avenues for improving educational achievement. © 2014 Scandinavian Psychological Associations and John Wiley & Sons Ltd.
Silva, Bruna Larissa Lago; Medeiros, Danila Lima; Soares, Ana Prates; Line, Sérgio Roberto Peres; Pinto, Maria das Graças Farias; Soares, Telma de Jesus; do Espírito Santo, Alexandre Ribeiro
2018-03-01
Type 1 diabetes mellitus (T1DM) largely affects children, occurring therefore at the same period of deciduous and permanent teeth development. The aim of this work was to investigate birefringence and morphology of the secretory stage enamel organic extracellular matrix (EOECM), and structural and mechanical features of mature enamel from T1DM rats. Adult Wistar rats were maintained alive for a period of 56 days after the induction of experimental T1DM with a single dose of streptozotocin (60 mg/kg). After proper euthanasia of the animals, fixed upper incisors were accurately processed, and secretory stage EOECM and mature enamel were analyzed by transmitted polarizing and bright field light microscopies (TPLM and BFLM), energy-dispersive x-ray (EDX) analysis, scanning electron microscopy (SEM), and microhardness testing. Bright field light microscopies and transmitted polarizing light microscopies showed slight morphological changes in the secretory stage EOECM from diabetic rats, which also did not exhibit statistically significant alterations in birefringence brightness when compared to control animals (P > .05). EDX analysis showed that T1DM induced statistically significant little increases in the amount of calcium and phosphorus in outer mature enamel (P < .01) with preservation of calcium/phosphorus ratio in that structure (P > .05). T1DM also caused important ultrastructural alterations in mature enamel as revealed by SEM and induced a statistically significant reduction of about 13.67% in its microhardness at 80 μm from dentin-enamel junction (P < .01). This study shows that T1DM may disturb enamel development, leading to alterations in mature enamel ultrastructure and in its mechanical features. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Estimated withdrawals and use of freshwater in Vermont, 1990
Horn, M.A.; Medalie, Laura
1996-01-01
Estimated freshwater withdrawals during 1990 in Vermont totaled about 632 million gallons per day. The largest withdrawals were for thermoelectric- power generation (82 percent), industrial use (7 percent), and public supply (6 percent). Most withdrawals, 587 million gallons per day, were made from surface-water sources as compared to 44.9 million gallons per day from ground-water sources. The largest withdrawals were in the Upper Connecticut-Mascomo River Basin (525 million gallons per day). About 17,700 million gallons per day were used instream for hydroelectric-poser generation, the largest of which were in the Upper Connecticut-Mascoma and Otter River Basins. Other information describing water-use patters is shown in tables, bar graphs, pie charts, maps, and accompanying text. The data are aggregated by river basin (hydrologic cataloging unit), and all amounts are reports in million gallons per day.
A Review of the Usefulness of R & D Management Techniques.
1981-09-01
Logistics Air Force Institute of Technology, WAFB, OH I1. CONTROLLING OFFICE N-34E AND ADDRESS 12. REPORT DATE Department of Communication and Humanities...First, upper level managers sometimes fail to accurately translate their understanding of corporate objectives and goals into the technical envi...could also be classified as a "style" of management. A management technique according to John Argenti is "a recognized method of analyzing or solving a
1991-10-02
The STS-48 crew portrait includes (front row left to right): Mark N. Brown, mission specialist; John O. Creighton, commander; and Kenneth S. Reightler, pilot. Pictured on the back row (left to right) are mission specialists Charles D. (Sam) Gemar, and James F. Buchli. The crew of five launched aboard the Space Shuttle Discovery on September 12, 1991 at 7:11:04 pm (EDT). The primary payload of the mission was the Upper Atmosphere Research Satellite (UARS).
1991-08-02
Launched aboard the Space Shuttle Atlantis on August 2, 1991, the STS-43 mission’s primary payload was the Tracking and Data Relay Satellite 5 (TDRS-5) attached to an Inertial Upper Stage (IUS), which became the 4th member of an orbiting TDRS cluster. The flight crew consisted of 5 astronauts: John E. Blaha, commander; Michael A. Baker, pilot; Shannon W. Lucid, mission specialist 1; James C. Adamson, mission specialist 2; and G. David Low, mission specialist 3.
1991-08-02
Launched aboard the Space Shuttle Atlantis on August 2, 1991, the STS-43 mission’s primary payload was the Tracking and Data Relay Satellite 5 (TDRS-5) attached to an Inertial Upper Stage (IUS), which became the 4th member of an orbiting TDRS cluster. The flight crew consisted of five astronauts: John E. Blaha, commander; Michael A. Baker, pilot; Shannon W. Lucid, mission specialist 1; James C. Adamson, mission specialist 2; and G. David Low, mission specialist 3.
The influence of quarantine on reproductive cycling in wild-caught Baboons (Papio anubis).
Liechty, Emma R; Wang, Diane Y; Chen, Emily; Chai, Daniel; Bell, Jason D; Bergin, Ingrid L
2015-12-01
Stress impacts nonhuman primate menstrual cycle length but the impact of quarantine is unknown. A retrospective analysis was performed on cycle data from 31 wild-caught baboons during and following quarantine. Cycling initiated in 94 days (19-181) and length normalized within 4-6 cycles. Quarantine significantly impacts menstrual cycle length. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Accelerating our Second Transformation. 2010 Annual Report
2010-01-01
Practice,” by Robert Tremaine and Donna Seligman “Adaptation of Porter’s Five Forces Model to Risk Management,” by John Rice Defense AT&L Magazine The...Stan Rosen John Sarakatsannis Donna Seligman Marty Sherman Steve Skotte Woody Spring Robert Tremaine (Team Lead) Denise Wheaton Andy Zaleski Goal 4...DoD Acquisition Insight Days Conference Team Paul Brierley Bernadette Crumb Linda Perry Susan Shirey Matthew Snedeker Jonathan Specht Jeffrey Tkach
Activities commemorating John B. Herrington as first Native American astronaut
NASA Technical Reports Server (NTRS)
2002-01-01
KENNEDY SPACE CENTER, FLA. -- Chickasaw Tribal Elder Lee Frazier leads the dedication to the astronauts of STS-113 during the Native American Ceremony at the Rocket Garden in the KSC Visitor Complex. The ceremony was part of several days' activities commemorating John B. Herrington as the first tribally enrolled Native American astronaut to fly on a Shuttle mission. Herrington is a Mission Specialist on STS-113.
Astronaut John H. Casper, mission commander, has finished the final touches of suit donning and
NASA Technical Reports Server (NTRS)
1996-01-01
STS-77 TRAINING VIEW --- Astronaut John H. Casper, mission commander, has finished the final touches of suit donning and awaits the beginning of a training session for emergency bailout. All six crew members participated in the session, held in the Johnson Space Centers (JSC) Weightless Environment Training Facility (WET-F). The six astronauts will spend nine days aboard the Space Shuttle Endeavour next month.
Activities commemorating John B. Herrington as first Native American astronaut
NASA Technical Reports Server (NTRS)
2002-01-01
KENNEDY SPACE CENTER, FLA. - Chickasaw Indian princesses 'sign' the Lord's Prayer during a Native American Ceremony at the Rocket Garden in the KSC Visitor Complex. The princesses are Crystal Underwood, Julie Underwood and Tamela Alexander. The ceremony was part of several days' activities commemorating John B. Herrington as the first tribally enrolled Native American astronaut to fly on a Shuttle mission. Herrington is a Mission Specialist on STS-113.
Commercial Practices as Applied to Total Asset Visibility
2003-12-01
Defense Technical Information Center 8725 John J. Kingman Road, Suite 0944 Ft. Belvoir, VA 22060-6218 DISCLAIMER This Technical Report is published...visibility," says John Coburn, retired four-star commanding general of the United States Army, materiel command, an operation that supports the Army...would still take an additional three days for maintenance personnel to get their hands on it). This outsourcing phenomenon is common at most Air Force
Hosokawa, K; Yamazaki, H; Nakamura, T; Yoroidaka, T; Imi, T; Shima, Y; Ohata, K; Takamatsu, H; Kotani, T; Kondo, Y; Takami, A; Nakao, S
2014-10-01
BK virus-associated hemorrhagic cystitis (BKV-HC) is a common and major cause of morbidity in recipients of allogeneic hematopoietic stem cell transplantation. A 32-year-old woman developed severe BKV-HC on day 24 after cord blood transplantation (CBT). Despite supportive therapies - such as hyperhydration, forced diuresis, and urinary catheterization - macroscopic hematuria and bladder irritation persisted for over a month. Hyperbaric oxygen (HBO) therapy at 2.1 atmospheres for 90 min per day was started on day 64 after CBT. Macroscopic hematuria resolved within a week, and microscopic hematuria was no longer detectable within 2 weeks. Hematuria did not recur after 11 sessions of HBO therapy, and no significant side effects were observed during or after treatment. HBO therapy could thus be useful in controlling refractory BKV-HC after CBT. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
NASA Technical Reports Server (NTRS)
1996-01-01
On this sixth day of the STS-77 mission, the flight crew, Cmdr. John H. Casper, Pilot Curtis L. Brown, Jr., and Mission Specialists Andrew S.W. Thomas, Ph.D., Daniel W. Bursch, Mario Runco, Jr., and Marc Garneau, Ph.D., spend some time relaxing, then go back to working in the Spacehab module and preparing to revisit a small cylindrical satellite that they deployed on the mission's third day. Commander John Casper and Pilot Curt Brown monitor Endeavour's systems. Mission Specialist Mario Runco tests an attitude determination system using the GPS attitude and navigation experiment called GANE. The remaining crew members, Mission Specialists Andy Thomas, Dan Bursch and Marc Garneau monitor the health of experiments ongoing in the Spacehab and on the middeck of the orbiter. The crew also conduct a health check of the Aquatic Research Facility (ARF) which contains starfish, mussels and sea urchins.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Poe, Thomas P.; Rieman, Bruce E.
1988-07-01
In 1982 the NPPC included in its Fish and Wildlife Program a measure that called for studies ''... to investigate juvenile salmon and steelhead losses to predators while these fish are migrating through Columbia and Snake River reservoirs.'' In the same year the Bonneville Power Administration (BPA) funded ODFW and FWS to conduct collaborative studies to estimate the number of juvenile salmonids lost to predators in John Day Reservoir. Also included as study objectives were: (1) a description of the importance of predation losses relative to mortality at the dam and total reservoir mortality; (2) a description of how predationmore » losses might vary (spatially and temporally); and (3) recommendations of measures to control predation on smolts. We studied four species of predator: northern squawfish, walleye, smallmouth bass, and channel catfish. We selected John Day Reservoir as the study site because the following factors led us to believe if predation was a problem in any reservoir, it would be most obvious there because: (1) the reservoir is an important subyearling chinook rearing area; (2) passage and residualism of juvenile salmonids were considered a problem there; and (3) substantial populations of predators were known to reside in the reservoir. Individual reports were processed separately for the data base.« less
75 FR 81125 - Drawbridge Operation Regulation; Upper Mississippi River, Rock Island, IL
Federal Register 2010, 2011, 2012, 2013, 2014
2010-12-27
... Operation Regulation; Upper Mississippi River, Rock Island, IL AGENCY: Coast Guard, DHS. ACTION: Notice of... the Upper Mississippi River, mile 481.4, at Rock Island, Illinois. The deviation is necessary to allow... Rock Island, Illinois to open on signal if at least 24 hours advance notice is given for 44 days from...
Upper body fat predicts metabolic syndrome similarly in men and women.
Grundy, Scott M; Williams, Corbin; Vega, Gloria L
2018-04-23
The metabolic syndrome is a constellation of risk factors including dyslipidemia, dysglycemia, hypertension, a pro-inflammatory state, and a prothrombotic state. All of these factors are accentuated by obesity. However, obesity can be defined by body mass index (BMI), percent body fat, or by body fat distribution. The latter consists of upper body fat (subcutaneous and visceral fat) and lower body fat (gluteofemoral fat). Waist circumference is a common surrogate marker for upper body fat. Data from the National Health and Nutrition Examination Survey (NHANES) for the years 1999-2006 was examined for associations of metabolic risk factors with percent body fat, waist circumference, and BMI. Associations between absolute measures of waist circumference and risk factors were similiar for men and women. The similarities of associations between waist circumference and risk factors suggests that greater visceral fat in men does not accentuate the influence of upper body fat on risk factors. Different waist concumference values should not be used to define abdominal obesity in men and women. © 2018 The Authors. European Journal of Clinical Investigation published by John Wiley & Sons Ltd on behalf of Stichting European Society for Clinical Investigation Journal Foundation.
Laursen, S B; Leontiadis, G I; Stanley, A J; Hallas, J; Schaffalitzky de Muckadell, O B
2017-08-01
Observational studies have consistently shown an increased risk of upper gastrointestinal bleeding in users of selective serotonin receptor inhibitors (SSRIs), probably explained by their inhibition of platelet aggregation. Therefore, treatment with SSRIs is often temporarily withheld in patients with peptic ulcer bleeding. However, abrupt discontinuation of SSRIs is associated with development of withdrawal symptoms in one-third of patients. Further data are needed to clarify whether treatment with SSRIs is associated with poor outcomes, which would support temporary discontinuation of treatment. To identify if treatment with SSRIs is associated with increased risk of: (1) endoscopy-refractory bleeding, (2) rebleeding or (3) 30-day mortality due to peptic ulcer bleeding. A nationwide cohort study. Analyses were performed on prospectively collected data on consecutive patients admitted to hospital with peptic ulcer bleeding in Denmark in the period 2006-2014. Logistic regression analyses were used to investigate the association between treatment with SSRIs and outcome following adjustment for pre-defined confounders. Sensitivity and subgroup analyses were performed to evaluate the validity of the findings. A total of 14 343 patients were included. Following adjustment, treatment with SSRIs was not associated with increased risk of endoscopy-refractory bleeding (odds ratio [OR] [95% Confidence Interval (CI)]: 1.03 [0.79-1.33]), rebleeding (OR [95% CI]: 0.96 [0.83-1.11]) or 30-day mortality (OR [95% CI]: 1.01 [0.85-1.19]. These findings were supported by sensitivity and subgroup analyses. According to our data, treatment with SSRIs does not influence the risk of endoscopy-refractory bleeding, rebleeding or 30-day mortality in peptic ulcer bleeding. © 2017 John Wiley & Sons Ltd.
Lin, Shu-Fen; Sung, Huei-Chuan; Li, Tzai-Li; Hsieh, Tsung-Cheng; Lan, Hsiao-Chin; Perng, Shoa-Jen; Smith, Graeme D
2015-05-01
The aim of this study was to investigate the effects of Tai-Chi in conjunction with thera-band resistance exercise on functional fitness and muscle strength in community-based older people. Tai-Chi is known to improve functional fitness in older people. Tai-Chi is usually performed with free hands without resistance training and usually focuses on training lower limbs. To date, no study has examined the use of Tai-Chi in conjunction with thera-band resistance exercise in this population. Cluster randomised trial design. Older people at six senior day care centres in Taiwan were assigned to thera-band resistance exercise or control group using a cluster randomisation. The thera-band resistance exercise group (n = 48) received sixty minute thera-band resistance exercise twice weekly for a period of 16 weeks. The control group (n = 47) underwent routine activities in the day care centre, receiving no Tai-Chi or resistance exercise. After receiving the thera-band resistance exercise, intervention participants displayed a significant increase in muscle strength of upper and lower extremities. Significant improvements were recorded on most measures of the Senior Fitness Test, with the exception of the chair-stand and back-scratch test. Thera-band resistance exercise has the potential to improve functional fitness and muscle strength in community-based older people. Thera-band resistance exercise potentially offers a safe and appropriate form of physical activity that nursing staff can easily incorporate into the daily routine of older people in day care centres, potentially improving functional performance and muscle strength. © 2015 John Wiley & Sons Ltd.
Computational Fluid Dynamics Modeling of the John Day Dam Tailrace
DOE Office of Scientific and Technical Information (OSTI.GOV)
Rakowski, Cynthia L.; Perkins, William A.; Richmond, Marshall C.
US Army Corps of Engineers - Portland District required that a two-dimensional (2D) depth-averaged and a three-dimensional (3D) free-surface numerical models to be developed and validated for the John Day tailrace. These models were used to assess potential impact of a select group of structural and operational alternatives to tailrace flows aimed at improving fish survival at John Day Dam. The 2D model was used for the initial assessment of the alternatives in conjunction with a reduced-scale physical model of the John Day Project. A finer resolution 3D model was used to more accurately model the details of flow inmore » the stilling basin and near-project tailrace hydraulics. Three-dimensional model results were used as input to the Pacific Northwest National Laboratory particle tracking software, and particle paths and times to pass a downstream cross section were used to assess the relative differences in travel times resulting from project operations and structural scenarios for multiple total river flows. Streamlines and neutrally-buoyant particles were seeded in all turbine and spill bays with flows. For a Total River of 250 kcfs running with the Fish Passage Plan spill pattern and a spillwall, the mean residence times for all particles were little changed; however the tails of the distribution were truncated for both spillway and powerhouse release points, and, for the powerhouse releases, reduced the residence time for 75% of the particles to pass a downstream cross section from 45.5 minutes to 41.3 minutes. For a total river of 125 kcfs configured with the operations from the Fish Passage Plan for the temporary spillway weirs and for a proposed spillwall, the neutrally-buoyant particle tracking data showed that the river with a spillwall in place had the overall mean residence time increase; however, the residence time for 75% of the powerhouse-released particles to pass a downstream cross section was reduced from 102.4 min to 89 minutes.« less
2017-01-26
Apollo launch team member John Tribe addresses guests at Kennedy Space Center's Day of Remembrance ceremony. Held this year in the Center for Space Education at the Kennedy Space Center Visitor Complex in Florida, the annual event honors the contributions of all astronauts who lost their lives in the quest for space exploration.
76 FR 46321 - Notice of Public Meeting, John Day-Snake Resource Advisory Council
Federal Register 2010, 2011, 2012, 2013, 2014
2011-08-02
..., Blue Mountains Forest Plan revision, BLM District's Vegetation EA stepdown, Wilderness Characteristics... Day-Snake and the Southeast Oregon RACs will be held at 1 Sunridge Lane, Baker City, Oregon, on... Campbell Street, Baker City, Oregon, on September 8, 2011. FOR FURTHER INFORMATION CONTACT: Mark Wilkening...
NASA Technical Reports Server (NTRS)
Hebert, Phillip W., Sr.
2008-01-01
May 2007, NASA's Constellation Program selected John C Stennis Space Center (SSC) near Waveland Mississippi as the site to construct an altitude test facility for the developmental and qualification testing of the Ares1 upper stage (US) engine. Test requirements born out of the Ares1 US propulsion system design necessitate exceptional Data Acquisition System (DAS) design solutions that support facility and propellant systems conditioning, test operations control and test data analysis. This paper reviews the new A3 Altitude Test Facility's DAS design requirements for real-time deterministic digital data, DAS technology enhancements, system trades, technology validation activities, and the current status of this system's new architecture. Also to be discussed will be current network technologies to improve data transfer.
Clinical pattern and prevalence of upper gastrointestinal toxicity in patients abusing ketamine.
Liu, Shirley Yuk Wah; Ng, Stephen Ka Kei; Tam, Yuk Him; Yee, Samuel Chi Hang; Lai, Franco Pui Tak; Hong, Cindy Yuek Lam; Chiu, Philip Wai Yan; Ng, Enders Kwok Wai; Ng, Chi Fai
2017-09-01
Evaluations of upper gastrointestinal toxicity from ketamine abuse are uncommon. This study investigated the clinical pattern of upper gastrointestinal symptoms in patients inhaling ketamine. In a cross-sectional study of 611 consecutive patients who were seeking treatment for ketamine uropathy in a tertiary hospital setting between August 2008 and June 2016, their clinical pattern of upper gastrointestinal symptoms was evaluated and compared with a control population of 804 non-users. A total of 168 (27.5%) patients abusing ketamine (mean age 26.3 years, 58.9% female) reported the presence of upper gastrointestinal symptoms. These symptoms were significantly more prevalent in patients inhaling ketamine than in those who were not (27.5% vs 5.2%, P < 0.001). Their mean duration of ketamine abuse before symptom presentation was 5.0 ± 3.1 years. The presenting symptoms included epigastric pain (n = 155, 25.4%), recurrent vomiting (n = 48, 7.9%), anemia (n = 36, 5.9%) and gastrointestinal bleeding (n = 20, 3.3%). Uropathy symptoms were preceded by upper gastrointestinal symptoms for 4.4 ± 3.0 years in 141 (83.9%) patients. Logistic regression showed that elder age (odds ratio [OR] 1.06, P = 0.04), active abuser status (OR 1.60, P = 0.04) and longer duration of ketamine abuse (OR 1.00, P = 0.04) were independent factors associated with upper gastrointestinal toxicity. Although epigastric symptoms are unusual in the young population, upper gastrointestinal toxicity was highly prevalent in those inhaling ketamine. Enquiries about ketamine abuse are recommended when assessing young patients with epigastric symptoms. © 2017 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd.
Torres, A.E.; Sacks, L.A.; Yobbi, D.K.; Knochenmus, L.A.; Katz, B.G.
2001-01-01
The hydrogeologic framework underlying the 600-square-mile study area in Charlotte, De Soto, and Sarasota Counties, Florida, consists of the surficial aquifer system, the intermediate aquifer system, and the Upper Floridan aquifer. The hydrogeologic framework and the geochemical processes controlling ground-water composition were evaluated for the study area. Particular emphasis was given to the analysis of hydrogeologic and geochemical data for the intermediate aquifer system. Flow regimes are not well understood in the intermediate aquifer system; therefore, hydrogeologic and geochemical information were used to evaluate connections between permeable zones within the intermediate aquifer system and between overlying and underlying aquifer systems. Knowledge of these connections will ultimately help to protect ground-water quality in the intermediate aquifer system. The hydrogeology was interpreted from lithologic and geophysical logs, water levels, hydraulic properties, and water quality from six separate well sites. Water-quality samples were collected from wells located along six ground-water flow paths and finished at different depth intervals. The selection of flow paths was based on current potentiometric-surface maps. Ground-water samples were analyzed for major ions; field parameters (temperature, pH, specific conductance, and alkalinity); stable isotopes (deuterium, oxygen-18, and carbon-13); and radioactive isotopes (tritium and carbon-14). The surficial aquifer system is the uppermost aquifer, is unconfined, relatively thin, and consists of unconsolidated sand, shell, and limestone. The intermediate aquifer system underlies the surficial aquifer system and is composed of clastic sediments interbedded with carbonate rocks. The intermediate aquifer system is divided into three permeable zones, the Tamiami/Peace River zone (PZ1), the Upper Arcadia zone (PZ2), and the Lower Arcadia zone (PZ3). The Tamiami/Peace River zone (PZ1) is the uppermost zone and is the thinnest and generally, the least productive zone in the intermediate aquifer system. The Upper Arcadia zone (PZ2) is the middle zone and productivity is generally higher than the overlying permeable zone. The Lower Arcadia zone (PZ3) is the lowermost permeable zone and is the most productive zone in the intermediate aquifer system. The intermediate aquifer system is underlain by the Upper Floridan aquifer, which consists of a thick, stratified sequence of limestone and dolomite. The Upper Floridan aquifer is the most productive aquifer in the study area; however, its use is generally restricted because of poor water quality. Interbedded clays and fine-grained clastics separate the aquifer systems and permeable zones. The hydraulic properties of the three aquifer systems are spatially variable. Estimated trans-missivity and horizontal hydraulic conductivity varies from 752 to 32,900 feet squared per day and from 33 to 1,490 feet per day, respectively, for the surficial aquifer system; from 47 to 5,420 feet squared per day and from 2 to 102 feet per day, respectively, for the Tamiami/Peace River zone (PZ1); from 258 to 24,633 feet squared per day and from 2 to 14 feet per day, respectively, for the Upper Arcadia zone (PZ2); from 766 to 44,900 feet squared per day and from 10 to 201 feet per day, respectively, for the Lower Arcadia zone (PZ3); and from 2,350 to 7,640 feet squared per day and from 10 to 41 feet per day, respectively, for the Upper Floridan aquifer. Confining units separating the aquifer systems have leakance coefficients estimated to range from 2.3 x 10-5 to 5.6 x 10-3 feet per day per foot. Strata composing the confining unit separating the Upper Floridan aquifer from the intermediate aquifer system are substantially more permeable than confining units separating the permeable zones in the intermediate aquifer system or separating the surficial aquifer and intermediate aquifer systems. In Charlotte, Sarasota, and western De Soto Counties, hydraulic
2013-11-17
CAPE CANAVERAL, Fla. – During a news conference at NASA's Kennedy Space Center in Florida, officials outlined the agency’s plans for future human spaceflight, including an expedition to Mars. Participating in the briefing, from the left are, Dwayne Brown, NASA Public Affairs, John Grunsfeld, NASA associate administrator for the Science Mission Directorate, Michael Gazarik, associate administrator for the Space Technology Mission Directorate and Ellen Stofan, NASA chief scientist. William Gerstenmaier, associate administrator for Human Exploration and Operations participated via television from NASA Headquarters. The briefing took place the day prior to launch of the Mars Atmosphere and Volatile EvolutioN, or MAVEN, mission. MAVEN is being prepared for its scheduled launch on Nov 18, 2013 from Cape Canaveral Air Force Station, Fla. atop a United Launch Alliance Atlas V rocket. Positioned in an orbit above the Red Planet, MAVEN will study the upper atmosphere of Mars in unprecedented detail. For information on the MAVEN mission, visit: http://www.nasa.gov/mission_pages/maven/main/index.html. For more on NASA Human Spaceflight, visit: http://www.spaceflight.nasa.gov/home/index.html. For information on the international Space Station, visit: http://www.nasa.gov/mission_pages/station/main/index.html Photo credit: NASA/Kim Shiflett
Recovery of upper limb muscle function in chronic fatigue syndrome with and without fibromyalgia.
Ickmans, Kelly; Meeus, Mira; De Kooning, Margot; Lambrecht, Luc; Nijs, Jo
2014-02-01
Chronic fatigue syndrome (CFS) patients frequently complain of muscle fatigue and abnormally slow recovery, especially of the upper limb muscles during and after activities of daily living. Furthermore, disease heterogeneity has not yet been studied in relation to recovery of muscle function in CFS. Here, we examine recovery of upper limb muscle function from a fatiguing exercise in CFS patients with (CFS+FM) and without (CFS-only) comorbid fibromyalgia and compare their results with a matched inactive control group. In this case-control study, 18 CFS-only patients, 30 CFS+FM patients and 30 healthy inactive controls performed a fatiguing upper limb exercise test with subsequent recovery measures. There was no significant difference among the three groups for maximal handgrip strength of the non-dominant hand. A significant worse recovery of upper limb muscle function was found in the CFS+FM, but not in de CFS-only group compared with the controls (P < 0·05). This study reveals, for the first time, delayed recovery of upper limb muscle function in CFS+FM, but not in CFS-only patients. The results underline that CFS is a heterogeneous disorder suggesting that reducing the heterogeneity of the disorder in future research is important to make progress towards a better understanding and uncovering of mechanisms regarding the nature of divers impairments in these patients. © 2013 Stichting European Society for Clinical Investigation Journal Foundation. Published by John Wiley & Sons Ltd.
Khungar, Vandana; Jensen, Dennis M.; Ohning, Gordon V.; Kovacs, Thomas O.; Jutabha, Rome; Ghassemi, Kevin A.; Machicado, Gustavo A.; Dulai, Gareth S.
2017-01-01
Background The sites of origin, causes and outcomes of severe hematochezia have not been compared between cirrhotics and non-cirrhotics. In cirrhotics versus non-cirrhotics presenting with severe hematochezia, we aimed at (1) identifying the site and etiology of gastro-intestinal bleeding and independent predictors of bleeding from the upper gastrointestinal tract versus small bowel or the colon, (2) comparing 30-day clinical outcomes, and (3) proposing an algorithm for management of severe hematochezia. Methods In this cohort study from two university-based medical centers, 860 consecutive patients with severe hematochezia admitted from 1995 to 2011 were prospectively enrolled with 160 (18.6 %) cirrhotics. We studied (a) general clinical and laboratory characteristics of cirrhotics versus non-cirrhotics, (b) predictors of bleeding sites in each patient group by multiple variable regression analysis, and compared (c) 30-day outcomes, including rebleeding, surgery and deaths. Results Cirrhosis independently predicted an upper gastrointestinal source of bleeding (OR 3.47; 95 % CI 2.01–5.96) as well as history of hematemesis, melena in the past 30 days, positive nasogastric aspirate, prior upper gastrointestinal bleeding or use of aspirin or non-steroidal anti-inflammatory. The most prevalent diagnoses were esophageal varices (20 %) in cirrhotics and colon diverticular bleeding (27.1 %) in non-cirrhotics. Thirty-day rates of rebleeding, surgical interventions and deaths were 23.1 versus 15 % (P = 0.01), 14.4 versus 6.4 % (P < 0.001), and 17.5 versus 4.1 % (P < 0.001), in cirrhotics versus non-cirrhotics, respectively. Conclusions Cirrhosis predicted an upper gastrointestinal site of bleeding in patients presenting with severe hematochezia. The 30-day rates of rebleeding, surgery, and death were significantly higher in cirrhotics than in non-cirrhotics. PMID:27286877
Watanabe, Masanari; Kurai, Jun; Tomita, Katsuyuki; Sano, Hiroyuki; Abe, Satoshi; Saito, Rumiko; Minato, Sayaka; Igishi, Tadashi; Burioka, Naoto; Sako, Takanori; Yasuda, Kazuhito; Mikami, Masaaki; Kurita, Shinichi; Tokuyasu, Hirokazu; Ueda, Yasuto; Konishi, Tatsuya; Yamasaki, Akira; Aiba, Setsuya; Oshimura, Mitsuo; Shimizu, Eiji
2014-08-01
Asian dust storms (ADS) contain various airborne particles that may augment airway inflammation by increasing the level of interleukin-8. The objective of the study was to investigate the association of exposure to an ADS with worsening of symptoms of adult asthma and the effect of ADS particles on interleukin-8 transcriptional activity. The subjects were 112 patients with mild to moderate asthma who recorded scores for their daily upper and lower respiratory tract symptoms and measured morning peak expiratory flow (PEF) from March to May 2011. Interleukin-8 transcriptional activity was assessed in THP-G8 cells that were exposed to airborne particles collected during days of ADS exposure. Of the 112 patients, 31 had comorbid allergic rhinitis (AR) and/or chronic sinusitis (CS), and had worsened scores for upper respiratory tract symptoms on ADS days compared to non-ADS days. Scores for lower respiratory tract symptoms during ADS days were higher than non-ADS days in all patients. Three patients also had unscheduled hospital visits for exacerbation of asthma on ADS days. However, there was no significant difference in daily morning PEF between ADS and non-ADS days. Airborne particles collected on ADS days induced interleukin-8 transcriptional activity in THP-G8 cells compared to the original soil of the ADS. Exposure to an ADS aggravates upper and lower tract respiratory symptoms in patients with adult asthma. ADS airborne particles may increase airway inflammation through enhancement of interleukin-8 transcriptional activity.
Stennis Space Center celebrates Diversity Day
NASA Technical Reports Server (NTRS)
2009-01-01
Kendall Mitchell of the Naval Oceanographic Office (right) learns about the culture of Bolivia from Narda Inchausty, president of the Foreign Born Wives Association in Slidell, La., during 2009 Diversity Day events at NASA's John Stennis Space Center. Stennis hosted Diversity Day activities for employees on Oct. 7. The day's events included cultural and agency exhibits, diversity-related performances, a trivia contest and a classic car and motorcycle show. It also featured the first-ever sitewide Stennis Employee Showcase.
Estimated withdrawals and use of freshwater in New Hampshire, 1990
Medalie, Laura; Horn, M.A.
1994-01-01
Estimated freshwater withdrawals during 1990 in New Hampshire totaled about 422 million gallons per day from ground-water and surface-water sources. The largest withdrawals were for thermoelectric-power generation (60 percent), public supply (23 percent), and industrial use (9 percent). Most withdrawals, 358 million gallons per day, were made from surface- water sources, as compared to 63.7 million gallons per day from ground-water sources. The largest with- drawals were in the Merrimack river basin (322 million gallons per day). An additional 46,000 million gallons per day was used instream for hydroelectric-power generation, primarily in the Upper Androscoggin and Upper Connecticut River subbasins. Other information describing water-use patterns is shown in tables, bar graphs, pie charts, maps, and accompanying text. The data are aggregated by river basin (hydrologic cataloging unit), and all values are reported in million gallons per day.
Left to right, astronauts John H. Casper, mission commander, and Curtis L. Brown, Jr., pilot, get
NASA Technical Reports Server (NTRS)
1996-01-01
STS-77 TRAINING VIEW --- Left to right, astronauts John H. Casper, mission commander, and Curtis L. Brown, Jr., pilot, get help with the final touches of suit donning during emergency bailout training for STS-77 crew members in the Johnson Space Centers (JSC) Weightless Environment Training Facility (WET-F). Casper and Brown will join four other astronauts for nine days aboard the Space Shuttle Endeavour next month.
Llano Sanchez, Karmele; Handayani, Ayu B; Nelson, Christine L; Eng, Jaclyn W L; Prameswari, Wendi; Hicks, Nigel; Pizzi, Romain
2016-12-01
A laparoscopic appendectomy was performed in a wild orangutan (Pongo pygmaeus) undergoing rehabilitation, for a metal nail found on radiographs, using 3-mm instrumentation. Post-operative healing was rapid and uneventful, with return to the forest within 10 days. This is the first report of minimally invasive surgery in a wild orangutan. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Burden of allergy diets in Finnish day care reduced by change in practices.
Erkkola, M; Saloheimo, T; Hauta-Alus, H; Kukkonen, A K; Virta, S; Kronberg-Kippilä, C; Vaara, E; Pelkonen, A S; Fogelholm, M; Mäkelä, M J
2016-10-01
Nonessential allergy diets in children with mild symptoms may harm the development of immunological tolerance and impose a burden on families and day care. We aimed to reduce the high prevalence of allergy diets in day care by reforming the practices for inquiring about need of special diets from parents. We developed a new special diet form and an information leaflet based on the new allergy guidelines. The new form was implemented into 40 Finnish day care centres in the capital region in 2013-2015. The questionnaires on practices concerning special diets in day care centres and allergy knowledge were collected from the personnel. After 2 years, the new special diet form was used by 64% of families with food-allergic children, and the prevalence of allergy diets in day care centres decreased by 43% to 4.3% (IQ range 3.05-5.96). A significant decrease was found in the prevalence of all basic (milk, grains, egg) and most other allergy diets (P for trend < 0.01). The new practice was well accepted by day care and kitchen personnel. Lack of updated allergy knowledge was noted among day care personnel. The burden of allergy diets in day care settings could be decreased by simple pragmatic changes based on current allergy guidelines. Old allergy attitudes persisted among day care personnel, indicating the need for continuous education. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Kinoshita, Shoji; Kakuda, Wataru; Yamada, Naoki; Momosaki, Ryo; Okuma, Ryo; Watanabe, Shu; Abo, Masahiro
2016-03-01
Atomoxetine, a selective noradrenaline reuptake inhibitor, has been reported to enhance brain plasticity, but has not yet been used in stroke patients. We reported the feasibility and clinical benefits on motor functional recovery of the combination of repetitive transcranial magnetic stimulation (rTMS) and intensive occupational therapy (OT) in stroke patients. This pilot study was designed to evaluate the additive effects of oral atomoxetine to rTMS/OT in post-stroke hemiparetic patients. The study included three post-stroke patients with upper limb hemiparesis. Treatment with 40 mg/day atomoxetine commenced 2 weeks before admission. After confirming tolerance, the dose was increased to 120 mg/day. Low-frequency rTMS/OT was provided daily for 15 days during continued atomoxetine therapy. Motor function of the affected upper limb was evaluated with the Fugl-Meyer Assessment and Wolf Motor Function test. All patients completed the protocol and showed motor improvement up to 4 weeks after the treatment. No atomoxetine-related side effects were noted. Our protocol of triple therapy of atomoxetine, low-frequency rTMS, and OT is safe and feasible intervention for upper limb hemiparesis after stroke.
2016-12-01
2016 Dissertation Supervisors: Wieslaw Maslowski John Colosi THIS PAGE INTENTIONALLY LEFT BLANK i REPORT DOCUMENTATION PAGE Form Approved...level is 4% of the standard GM value. Frequency spectra of spice show a form similar to the internal-wave spectra but with a steeper spectral slope...Standard Form 298 (Rev. 2-89) Prescribed by ANSI Std. 239-18 ii THIS PAGE INTENTIONALLY LEFT BLANK iii Approved for public release
Tomizawa, Minoru; Shinozaki, Fuminobu; Hasegawa, Rumiko; Togawa, Akira; Shirai, Yoshinori; Ichiki, Noboru; Motoyoshi, Yasufumi; Sugiyama, Takao; Yamamoto, Shigenori; Sueishi, Makoto
2014-02-07
To investigate the early upper gastrointestinal endoscopy (endoscopy) significantly reduces mortality resulting from upper gastrointestinal (GI) bleeding. Upper GI bleeding was defined as 1a, 1b, 2a, and 2b according to the Forrest classification. The hemoglobin (Hb), and C-reactive protein (CRP) were examined at around the day of endoscopy and 3 mo prior to endoscopy. The rate of change was calculated as follows: (the result of blood examination on the day of endoscopy - the results of blood examination 3 mo prior to endoscopy)/(results of blood examination 3 mo prior to endoscopy). Receiver operating characteristic curves were created to determine threshold values. Seventy-nine men and 77 women were enrolled. There were 17 patients with upper GI bleeding: 12 with a gastric ulcer, 3 with a duodenal ulcer, 1 with an acute gastric mucosal lesion, and 1 with gastric cancer. The area under the curve (AUC), threshold, sensitivity, and specificity of Hb around the day of endoscopy were 0.902, 11.7 g/dL, 94.1%, and 77.1%, respectively, while those of CRP were 0.722, 0.5 mg/dL, 70.5%, and 73%, respectively. The AUC, threshold, sensitivity, and specificity of the rate of change of Hb were 0.851, -21.3%, 76.4%, and 82.6%, respectively, while those of CRP were 0.901, 100%, 100%, and 82.5%, respectively. Predictors for upper GI bleeding were Hb < 11.7 g/dL, reduction rate in the Hb > 21.3% and an increase in the CRP > 100%, 3 mo before endoscopy.
Motor abilities and anthropometrics in youth cross-country skiing.
Stöggl, R; Müller, E; Stöggl, T
2015-02-01
The purposes were to validate whether general motor abilities and anthropometrics are determinants of youth cross-country (XC) skiing performance; evaluate gender-specific differences; and to establish noninvasive diagnostics. Fifty-one youth XC skiers (34 boys; 13.8 ± 0.6 years and 17 girls; 13.4 ± 0.9 years) performed motor skill and laboratory tests, and anthropometric data were collected and correlated with XC skiing performance. Anthropometrics and maturity status were related to boys but not to girls XC skiing performance. Push-ups and 20-m sprint were correlated to XC skiing performance in both boys and girls. XC skiing performance of boys was predominantly influenced by upper body and trunk strength capacities (medicine ball throw, push-ups, and pull-ups) and jumping power (standing long and triple jump), whereas XC skiing of girls was mainly influenced by aerobic capacities (3000-m run). Laboratory measures did not reveal greater correlations to XC skiing performance compared with simple test concepts of speed, strength, and endurance. Maturity was a major confounding variable in boys but not girls. Use of noninvasive simple test concepts for determination of upper body strength, speed, and endurance represent practicable support for ski clubs, schools, or skiing federations in the guidance and evaluation of young talent, being aware of the effect of maturity especially in boys. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Connick, M J; Beckman, E; Ibusuki, T; Malone, L; Tweedy, S M
2016-11-01
The International Paralympic Committee has a maximum allowable standing height (MASH) rule that limits stature to a pre-trauma estimation. The MASH rule reduces the probability that bilateral lower limb amputees use disproportionately long prostheses in competition. Although there are several methods for estimating stature, the validity of these methods has not been compared. To identify the most appropriate method for the MASH rule, this study aimed to compare the criterion validity of estimations resulting from the current method, the Contini method, and four Canda methods (Canda-1, Canda-2, Canda-3, and Canda-4). Stature, ulna length, demispan, sitting height, thigh length, upper arm length, and forearm length measurements in 31 males and 30 females were used to calculate the respective estimation for each method. Results showed that Canda-1 (based on four anthropometric variables) produced the smallest error and best fitted the data in males and females. The current method was associated with the largest error of those tests because it increasingly overestimated height in people with smaller stature. The results suggest that the set of Canda equations provide a more valid MASH estimation in people with a range of upper limb and bilateral lower limb amputations compared with the current method. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
The learning curves in living donor hemiliver graft procurement using small upper midline incision.
Ikegami, Toru; Harimoto, Norifumi; Shimokawa, Masahiro; Yoshizumi, Tomoharu; Uchiyama, Hideaki; Itoh, Shinji; Okabe, Norihisa; Sakata, Kazuhito; Nagatsu, Akihisa; Soejima, Yuji; Maehara, Yoshihiko
2016-12-01
The learning curve for performing living donor hemiliver procurement (LDHP) via small upper midline incision (UMI) has not been determined. Living donors (n=101) who underwent LDHP via UMI were included to investigate the learning curve using cumulative sum analysis. The cumulative sum analysis showed that nine cases for right lobe (case #23) and 19 cases for left lobe (case #32 in the whole series) are needed for stable and acceptable surgical outcomes in LDHP via UMI. The established phase (n=69, since case #33) had a significantly shorter operative time, a smaller incision size, and less blood loss than the previous learning phase (n=32, serial case number up to the last 19th left lobe case). Multivariate analysis showed that the learning phase, high body mass index ≥25 kg/m 2 , and left lobe graft procurement are the factors associated with surgical events including operative blood loss ≥400 mL, operative time ≥300 minutes, or surgical complications ≥Clavien-Dindo grade II. There is an obvious learning curve in performing LDHP via UMI, and 32 cases including both 19 cases for left lobe and nine cases for right lobe are needed for having stable and acceptable surgical outcomes. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Increase in upper extremity fractures in young male soccer players in the Netherlands, 1998-2009.
de Putter, C E; van Beeck, E F; Burdorf, A; Borsboom, G J J M; Toet, H; Hovius, S E R; Selles, R W
2015-08-01
Young male soccer players have been identified as a target group for injury prevention, but studies addressing trends and determinants of injuries within this group are scarce. The goal of this study was to analyze age-specific trends in hospital-treated upper extremity fractures (UEF) among boys playing soccer in the Netherlands and to explore associated soccer-related factors. Data were obtained from a national database for the period 1998-2009. Rates were expressed as the annual number of UEF per 1000 soccer players. Poisson's regression was used to explore the association of UEF with the number of artificial turf fields and the number of injuries by physical contact. UEF rates increased significantly by 19.4% in boys 5-10 years, 73.2% in boys 11-14 years, and 38.8% in boys 15-18 years old. The number of injuries by physical contact showed a significant univariate association with UEF in boys 15-18 years old. The number of artificial turf fields showed a significant univariate association with UEF in all age groups, and remained significant for boys aged 15-18 years in a multivariate model. This study showed an increase of UEF rates in boys playing soccer, and an independent association between artificial turf fields and UEF in the oldest boys. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Bass, Lee M; Kim, Stanley; Superina, Riccardo; Mohammad, Saeed
2017-02-01
Portal hypertension secondary to portal vein obstruction following liver transplant occurs in 5%-10% of children. Jejunal varices are uncommon in this group. We present a case series of children with significant GI blood loss, negative upper endoscopy, and jejunal varices detected by CE. Case series of patients who had CE for chronic GI blood loss following liver transplantation. Three patients who had their initial transplants at a median age of 7 months were identified at our institution presenting at a median age of 8 years (range 7-16 years) with a median Hgb of 2.8 g/dL (range 1.8-6.8 g/dL). Upper endoscopy was negative for significant esophageal varices, gastric varices, and bleeding portal gastropathy in all three children. All three patients had significant jejunal varices noted on CE in mid-jejunum. Jejunal varices were described as large prominent bluish vessels underneath visualized mucosa, one with evidence of recent bleeding. The results led to venoplasty of the portal vein in two patients and a decompressive shunt in one patient with resolution of GI bleed and anemia. CE is useful to diagnose intestinal varices in children with portal hypertension and GI bleeding following liver transplant. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Cazzola, D; Stone, B; Holsgrove, T P; Trewartha, G; Preatoni, E
2016-04-01
Biomechanical studies of rugby union scrummaging have focused on kinetic and kinematic analyses, while muscle activation strategies employed by front-row players during scrummaging are still unknown. The aim of the current study was to investigate the activity of spinal muscles during machine and live scrums. Nine male front-row forwards scrummaged as individuals against a scrum machine under "crouch-touch-set" and "crouch-bind-set" conditions, and against a two-player opposition in a simulated live condition. Muscle activities of the sternocleidomastoid, upper trapezius, and erector spinae were measured over the pre-engagement, engagement, and sustained-push phases. The "crouch-bind-set" condition increased muscle activity of the upper trapezius and sternocleidomastoid before and during the engagement phase in machine scrummaging. During the sustained-push phase, live scrummaging generated higher activities of the erector spinae than either machine conditions. These results suggest that the pre-bind, prior to engagement, may effectively prepare the cervical spine by stiffening joints before the impact phase. Additionally, machine scrummaging does not replicate the muscular demands of live scrummaging for the erector spinae, and for this reason, we advise rugby union forwards to ensure scrummaging is practiced in live situations to improve the specificity of their neuromuscular activation strategies in relation to resisting external loads. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Injuries and illnesses during the 2011 Paris European Athletics Indoor Championships.
Edouard, P; Depiesse, F; Hertert, P; Branco, P; Alonso, J-M
2013-08-01
This study aimed to record and analyse incidence and characteristics of injuries and illnesses incurred during the Indoor Athletics Championships. During the 2011 European Indoor Athletics Championships in Paris, incidence and characteristics of new injuries and illnesses were recorded prospectively by physicians and physiotherapists from national teams and local organizing committee in 631 registered athletes. Around 70% of athletes were covered by the medical teams (response rate: 84%). Thirty injuries, including eight time-loss injuries, were reported, representing an incidence of 47.5 injuries and 29.4 time-loss injuries per 1000 registered athletes. Injury and time-loss injury risk were highest in heptathlon and hurdles. Three-quarters of injuries affected the lower extremity. Thigh strain was the most common diagnosis (n = 7; 23%). Noncontact trauma (n = 9; 30%) was the predominant cause. A total of 18 illnesses were reported. Incidence of illnesses was 28.5 per 1000 registered athletes, with 17% resulting in time lost from sport. Upper respiratory tract infection was the most common diagnosis (n = 8; 44%) followed by upper respiratory tract allergy (n = 3; 17%) and gastroenteritis (n = 3; 17%). Injury and illness incidence and severity were lower during the 2011 European Indoor Athletics Championships than during outdoor championships, probably due to the shorter duration, the fewer number of events, and shorter sprint distances. © 2012 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Schunck, Rebeca Vargas Antunes; Macedo, Isabel Cristina; Laste, Gabriela; de Souza, Andressa; Valle, Marina Tuerlinckx Costa; Salomón, Janaína L O; Nunes, Ellen Almeida; Campos, Andreia Cristina Wildner; Gnoatto, Simone Cristina Baggio; Bergold, Ana Maria; Konrath, Eduardo L; Dallegrave, Eliane; Arbo, Marcelo Dutra; Torres, Iraci L S; Leal, Mirna Bainy
2017-08-01
Passiflora incarnata L. (Passifloraceae) has been traditionally used for treatment of anxiety, insomnia, drug addiction, mild infections, and pain. The aim of this study was to investigate the effect of a commercial extract of P. incarnata in the analgesia induced by alcohol withdrawal syndrome in rats. In addition, brain-derived neurotrophic factor and interleukin-10 levels were evaluated in prefrontal cortex, brainstem, and hippocampus. Male adult rats received by oral gavage: (1: water group) water for 19 days, 1 day interval and water (8 days); (2: P. incarnata group) water for 19 days, 1 day interval and P. incarnata 200 mg/kg (8 days); (3: alcohol withdrawal group) alcohol for 19 days, 1 day interval and water (8 days); and (4: P. incarnata in alcohol withdrawal) alcohol for 19 days, 1 day interval and P. incarnata 200 mg/kg (8 days). The tail-flick and hot plate tests were used as nociceptive response measures. Confirming previous study of our group, it was showed that alcohol-treated groups presented an increase in the nociceptive thresholds after alcohol withdrawal, which was reverted by P. incarnata, measured by the hot plate test. Besides, alcohol treatment increased brain-derived neurotrophic factor and interleukin-10 levels in prefrontal cortex, which was not reverted by P. incarnata. Considering these results, the P. incarnata treatment might be a potential therapy in the alcohol withdrawal syndrome. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.
Mogendi, Joseph Birundu; De Steur, Hans; Gellynck, Xavier; Saeed, Hibbah Araba; Makokha, Anselimo
2015-06-01
Although it is crucial to identify those children likely to be treated in an appropriate nutrition rehabilitation programme and discharge them at the appropriate time, there is no golden standard for such identification. The current study examined the appropriateness of using Mid-Upper Arm Circumference for the identification, follow-up and discharge of malnourished children. We also assessed its discrepancy with the Weight-for-Height based diagnosis, the rate of recovery, and the discharge criteria of the children during nutrition rehabilitation. The study present findings from 156 children (aged 6-59 months) attending a supplementary feeding programme at Makadara and Jericho Health Centres, Eastern District of Nairobi, Kenya. Records of age, weight, height and mid-upper arm circumference were selected at three stages of nutrition rehabilitation: admission, follow-up and discharge. The values obtained were then used to calculate z-scores as defined by WHO Anthro while estimating different diagnostic indices. Mid-upper arm circumference single cut-off (< 12.5 cm) was found to exhibit high values of sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, negative likelihood ratio at both admission and discharge. Besides, children recorded higher rate of recovery at 86 days, an average increment of 0.98 cm at the rate of 0.14mm/day, and a weight gain of 13.49gm/day, albeit higher in female than their male counterparts. Nevertheless, children admitted on basis of low MUAC had a significantly higher MUAC gain than WH at 0.19mm/day and 0.13mm/day respectively. Mid-upper arm circumference can be an appropriate tool for identifying malnourished children for admission to nutrition rehabilitation programs. Our results confirm the appropriateness of this tool for monitoring recovery trends and discharging the children thereafter. In principle the tool has potential to minimize nutrition rehabilitation costs, particularly in community therapeutic centres in developing countries.
Dragoon or Cavalryman, Major General John Buford in the American Civil War
1994-06-03
the first day of the Battle of Gettysburg...Seminary Ridges on the first day of the Battle of Gettysburg. Several historians have presumed that the dismounted cavalry (or Dragoon) tactics used by...not in pitched battles that Buford excelled. His significant contributions were in the established roles of cavalry; performing reconnaissance
ERIC Educational Resources Information Center
Toro, Leonor; And Others
Brief information is given on four June events celebrated by Puerto Ricans: Father's Day, the Feast of Saint John the Baptist (Puerto Rico's Partron Saint), the birthday of Francisco Oller Cestero (painter), and commemoration (on Father's Day) of Jean Baptiste Pointe Du Sable (first non-native American to settle in what is now known as Chicago).…
2017-10-25
John Sherwin of the Florida Solar Energy Center in Cocoa speaks during the Energy Action Day employee event held in NASA Kennedy Space Center's Space Station Processing Facility. Part of Energy Awareness Month, the event featured subject matter experts in the area of solar energy, its connections to the space program and options for residential solar power.
Yamada, Naoki; Kakuda, Wataru; Kondo, Takahiro; Shimizu, Masato; Sageshima, Masashi; Mitani, Sugao; Abo, Masahiro
2014-12-01
The purpose of this study was to assess the safety, feasibility and efficacy of continuous theta-burst stimulation (cTBS) combined with intensive occupational therapy (OT) for upper limb hemiparesis after stroke. Ten patients with history of stroke and upper limb hemiparesis (age 62.0 ± 11.1 years, time since stroke 95.7 ± 70.2 months, mean ± SD) were studied. Each patient received 13 sessions, each comprising 160 s of cTBS applied to the skull on the area of the non-lesional hemisphere (using a 70-mm figure-8 coil, three pulse bursts at 50 Hz, repeated every 200 ms, i.e., 5 Hz, with total stimulation of 2,400 pulses), followed by intensive OT (comprising 120-min one-to-one training and 120-min self-training) during 15-day hospitalization. The motor function of the affected upper limb was evaluated by Fugl-Meyer Assessment (FMA) and Wolf Motor Function Test (WMFT) on the days of admission and discharge. All patients completed the 15-day protocol without any adverse effects. Treatment significantly increased the FMA score (from 46.6 ± 8.7 to 51.6 ± 8.2 points, p < 0.01) and shortened the log performance time of WMFT (from 2.5 ± 1.1 to 2.2 ± 1.2 s, p < 0.01). The 15-day protocol of cTBS combined with intensive OT is a safe and potentially useful therapeutic modality for upper limb hemiparesis after stroke.
Kotlus, Brett S; Heringer, Dustin M; Dryden, Robert M
2010-01-01
Ecchymosis is commonly encountered after upper eyelid blepharoplasty. The use of homeopathic preparations of Arnica montana, a flowering herb, has been advocated by physicians, patients, and manufacturers for reduction of postsurgical ecchymosis. The authors evaluate its efficacy after upper eyelid blepharoplasty. A prospective, placebo-controlled, double-blind study was performed in which patients were randomly assigned to the administration of homeopathic A. montana or placebo concurrent with unilateral upper eyelid blepharoplasty followed by contralateral treatment at least 1 month later. Ecchymosis was evaluated at days 3 and 7 by rank order of severity and measurement of surface area of observable ecchymosis. There was no statistically significant difference in area of ecchymosis or rank order of ecchymosis severity for days 3 and 7 after treatment with A. montana versus placebo. Additionally, there was no difference in ease of recovery per patient report, and there was no difference in the rate of ecchymosis resolution. The authors find no evidence that homeopathic A. montana, as used in this study, is beneficial in the reduction or the resolution of ecchymosis after upper eyelid blepharoplasty.
NASA Astrophysics Data System (ADS)
Pereira, M. F.; Ribeiro, C.; Gama, C.; Drost, K.; Chichorro, M.; Vilallonga, F.; Hofmann, M.; Linnemann, U.
2017-01-01
Laser ablation ICP-MS U-Pb analyses have been conducted on detrital zircon of Upper Triassic sandstone from the Alentejo and Algarve basins in southwest Iberia. The predominance of Neoproterozoic, Devonian, Paleoproterozoic and Carboniferous detrital zircon ages confirms previous studies that indicate the locus of the sediment source of the late Triassic Alentejo Basin in the pre-Mesozoic basement of the South Portuguese and Ossa-Morena zones. Suitable sources for the Upper Triassic Algarve sandstone are the Upper Devonian-Lower Carboniferous of the South Portuguese Zone (Phyllite-Quartzite and Tercenas formations) and the Meguma Terrane (present-day in Nova Scotia). Spatial variations of the sediment sources of both Upper Triassic basins suggest a more complex history of drainage than previously documented involving other source rocks located outside present-day Iberia. The two Triassic basins were isolated from each other with the detrital transport being controlled by two independent drainage systems. This study is important for the reconstruction of the late Triassic paleogeography in a place where, later, the opening of the Central Atlantic Ocean took place separating Europe from North America.
Chrubasik-Hausmann, Sigrun; Vlachojannis, Julia; McLachlan, Andrew J
2018-02-07
The aim of this study was to review herb-drug interaction studies with St John's wort (Hypericum perforatum L.) with a focus on the hyperforin content of the extracts used in these studies. PUBMED was systematically searched to identify studies describing pharmacokinetic interactions involving St John's wort. Data on study design and the St John's wort extract or product were gathered to extract hyperforin content and daily dose used in interaction studies. This analysis demonstrates that significant herb-drug interactions (resulting in a substantial change in systemic exposure) with St John's wort products were associated with hyperforin daily dosage. Products that had a daily dose of <1 mg hyperforin were less likely to be associated with major interaction for drugs that were CYP3A4 or p-glycoprotein substrates. Although a risk of interactions cannot be excluded even for low-dose hyperforin St. John's wort extracts, the use of products that result in a dose of not more than 1 mg hyperforin per day is recommended to minimise the risk of interactions. This review highlights that the significance of herb-drug interactions with St John's wort is influenced by the nature of the herbal medicines product, particularly the hyperforin content. © 2018 Royal Pharmaceutical Society.
Thomas, E; Wade, A; Crawford, G; Jenner, B; Levinson, N; Wilkinson, J
2014-03-01
The alginate-antacid, Gaviscon Double Action (Gaviscon DA; Reckitt Benckiser, Slough, UK) suppresses reflux after meals by creating a gel-like barrier that caps and displaces the acid pocket distal to the oesophago-gastric junction. The effect of Gaviscon DA on reflux and dyspepsia symptoms has not yet been demonstrated with a modern trial design. A pilot study to assess the efficacy and safety of Gaviscon DA compared with matched placebo for decreasing upper gastrointestinal symptoms in symptomatic gastro-oesophageal reflux disease (GERD) patients. A randomised, double-blind, parallel group study was performed in 110 patients with symptoms of GERD. Patients received Gaviscon DA or placebo tablets for 7 consecutive days. The primary endpoint compared the change in overall Reflux Disease Questionnaire (RDQ) symptom score (combined heartburn/regurgitation/dyspepsia). Secondary endpoints assessed individual dimensions, GERD dimension (heartburn and regurgitation) and overall treatment evaluation (OTE). There was a greater decrease in overall RDQ symptom score in the Gaviscon DA group compared with the placebo group (Least Squares Mean difference -0.55; P = 0.0033), and for each of the dimensions independently. Patients in the Gaviscon DA group evaluated their overall treatment response higher than patients in the placebo group [mean (standard deviation) OTE 4.1 (2.44) vs. 1.9 (3.34); P = 0.0005]. No differences in the incidence of adverse events were observed between treatment groups. Gaviscon DA decreases reflux and dyspeptic symptoms in GERD patients compared with matched placebo and has a favourable benefit-risk balance. Larger scale clinical investigations of medications targeting the acid pocket are warranted. (EudraCT, 2012-002188-84). © 2014 John Wiley & Sons Ltd.
Improving operating room productivity via parallel anesthesia processing.
Brown, Michael J; Subramanian, Arun; Curry, Timothy B; Kor, Daryl J; Moran, Steven L; Rohleder, Thomas R
2014-01-01
Parallel processing of regional anesthesia may improve operating room (OR) efficiency in patients undergoes upper extremity surgical procedures. The purpose of this paper is to evaluate whether performing regional anesthesia outside the OR in parallel increases total cases per day, improve efficiency and productivity. Data from all adult patients who underwent regional anesthesia as their primary anesthetic for upper extremity surgery over a one-year period were used to develop a simulation model. The model evaluated pure operating modes of regional anesthesia performed within and outside the OR in a parallel manner. The scenarios were used to evaluate how many surgeries could be completed in a standard work day (555 minutes) and assuming a standard three cases per day, what was the predicted end-of-day time overtime. Modeling results show that parallel processing of regional anesthesia increases the average cases per day for all surgeons included in the study. The average increase was 0.42 surgeries per day. Where it was assumed that three cases per day would be performed by all surgeons, the days going to overtime was reduced by 43 percent with parallel block. The overtime with parallel anesthesia was also projected to be 40 minutes less per day per surgeon. Key limitations include the assumption that all cases used regional anesthesia in the comparisons. Many days may have both regional and general anesthesia. Also, as a case study, single-center research may limit generalizability. Perioperative care providers should consider parallel administration of regional anesthesia where there is a desire to increase daily upper extremity surgical case capacity. Where there are sufficient resources to do parallel anesthesia processing, efficiency and productivity can be significantly improved. Simulation modeling can be an effective tool to show practice change effects at a system-wide level.
Endoscopic low coherence interferometry in upper airways
NASA Astrophysics Data System (ADS)
Delacrétaz, Yves; Boss, Daniel; Lang, Florian; Depeursinge, Christian
2009-07-01
We introduce Endoscopic Low Coherence Interferometry to obtain topology of upper airways through commonly used rigid endoscopes. Quantitative dimensioning of upper airways pathologies is crucial to provide maximum health recovery chances, for example in order to choose the correct stent to treat endoluminal obstructing pathologies. Our device is fully compatible with procedures used in day-to-day examinations and can potentially be brought to bedside. Besides this, the approach described here can be almost straightforwardly adapted to other endoscopy-related field of interest, such as gastroscopy and arthroscopy. The principle of the method is first exposed, then filtering procedure used to extract the depth information is described. Finally, demonstration of the method ability to operate on biological samples is assessed through measurements on ex-vivo pork bronchi.
Historical Footage of John Glenn Friendship 7
NASA Technical Reports Server (NTRS)
1962-01-01
The Friendship mission launch on the 20th day of February marked the first time that an American attempts to orbit the Earth. Historical footage of John Glenn's suit up, ride out to the launch pad, countdown, liftoff, booster engine cutoff, and separation of the booster engine escape tower is shown. Views of the Earth, Glenn's manual control of the electrical fly-by wire system, and the recovery of the landing vehicle from the ocean are presented.
... UNSAFE when taken in doses higher than 4 grams per day for adults younger than 70 years of age and 3 grams per day for people who are older. Regular ... upper intake level (UL). The ULs are 3 grams per day for children 1-8 years; and ...
Prevalence of upper limb disorders among female librarians.
Pandy, R
2013-09-01
Work as a librarian involves exposure to potential risk factors for developing upper limb disorders. The prevalence of upper limb symptoms has, however, not previously been assessed in this occupational group. To estimate the 7-day and annual prevalence of self-reported neck and upper limb symptoms in librarians and to examine associations with specific tasks and ergonomic risk factors. A cross-sectional study using components of the standardized Nordic questionnaire. The study population consisted of librarians employed by a large local authority, and data collection was by means of a self-administered questionnaire. from studies on keyboard workers and on the general population were used as comparators. The 7-day prevalence of self-reported neck and upper limb pain in female librarians was 42% (95% confidence interval (CI) 33.7-50.5) and the annual prevalence was 65% (95% CI 56.6-72.8). The prevalence of reported wrist and hand pain increased with increased working involving a wide thumb-index span (P < 0.05) with a significant linear trend in prevalence with increasing exposure (P < 0.01). There was a strong association between reporting hand and/or wrist pain and awareness of work-related upper limb disorder (P < 0.05). The annual prevalence of self-reported upper limb symptoms among female librarians was high, but there was insufficient evidence to confirm whether the prevalence was higher than in the general population or among keyboard workers. Working with a wide thumb-index span was associated with reporting upper limb symptoms.
Lipoid proteinosis: A case with distinct histopathological and radiological findings.
Brar, Balvinder Kaur; Jain, Sarina; Brar, Sukhmani Kaur
2017-10-01
Lipoid proteinosis is a rare inherited genodermatosis characterized by hyaline deposits in various tissues. Clinically, it manifests with cutaneous as well as extracutaneous features. Periodic acid-Schiff (PAS)-reactive hyaline deposits in the upper dermis, with localization around blood vessels and eccrine sweat glands, in particular, is the histopathological hallmark finding. On brain imaging, bilateral symmetrical temporal lobe calcifications are considered to be pathognomonic of this disorder. We report a case of lipoid proteinosis in which hyaline deposits were present in the papillary and reticular dermis, without being seen at the periphery of eccrine sweat glands, along with dystrophic calcification. Magnetic resonance imaging (MRI) of brain revealed hydrocephalus, subependymal heterotropia and absent splenium of corpus callosum with no evidence of temporal lobe calcification. Thus, our case highlights the inherent diverse nature of lipoid proteinosis. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Revealing sparks: John Wesley and the religious utility of electrical healing.
Bertucci, Paola
2006-09-01
In the eighteenth century, dramatic electrical performances were favourite entertainments for the upper classes, yet the therapeutic uses of electricity also reached the lower strata of society. This change in the social composition of electrical audiences attracted the attention of John Wesley, who became interested in the subject in the late 1740s. The paper analyses Wesley's involvement in the medical applications of electricity by taking into account his theological views and his proselytizing strategies. It sets his advocacy of medical electricity in the context of his philanthropic endeavours aimed at the sick poor, connecting them to his attempts to spread Methodism especially among the lower classes. It is argued that the healing virtues of electricity entailed a revision of the morality of electrical experiment which made electric sparks powerful resources for the popularization of the Methodist way of life, based on discipline, obedience to established authorities and love and fear of God.
Rahul, P R C; Bhawar, R L; Ayantika, D C; Panicker, A S; Safai, P D; Tharaprabhakaran, V; Padmakumari, B; Raju, M P
2014-01-14
First ever 3-day aircraft observations of vertical profiles of Black Carbon (BC) were obtained during the Cloud Aerosol Interaction and Precipitation Enhancement Experiment (CAIPEEX) conducted on 30(th) August, 4(th) and 6(th) September 2009 over Guwahati (26° 11'N, 91° 44'E), the largest metropolitan city in the Brahmaputra River Valley (BRV) region. The results revealed that apart from the surface/near surface loading of BC due to anthropogenic processes causing a heating of 2 K/day, the large-scale Walker and Hadley atmospheric circulations associated with the Indian summer monsoon help in the formation of a second layer of black carbon in the upper atmosphere, which generates an upper atmospheric heating of ~2 K/day. Lofting of BC aerosols by these large-scale circulating atmospheric cells to the upper atmosphere (4-6 Km) could also be the reason for extreme climate change scenarios that are being witnessed in the BRV region.
[Severe inflammation of the muzzle caused by a nose ring in a breeding bull].
Braun, U; Gautschi, A; Reichle, S; Gerspach, C
2010-09-01
This report describes the findings in a bull with severe inflammation of the muzzle and nose attributable to a nose ring. The most striking finding was that the bull continually licked the right side of the upper lip. The muzzle and right upper lip were swollen, hard, reddened and partially depigmented. Mucopurulent nasal discharge and salivation were also noted, and palpation of the right upper lip was extremely painful. Based on the findings, purulent infection of the right side of the muzzle, right naris and external nasal passage was diagnosed. After removing the nose ring the affected areas were washed daily for four days with a camomile-containing solution after which a chlorhexidine and dexpanthenol salve was applied. The bull also received ceftiofur and ketoprofen. The general condition and appetite of the bull normalised within a few days, and the inflammatory lesions resolved with the exception of the areas of depigmentation. After ten days of treatment, the bull was considered healthy and discharged from the clinic.
Metz, P.A.
1995-01-01
The hydrogeology of Hardee and De Soto Counties in west-central Florida was evaluated, and a ground-water flow model was developed to simulate the effects of expected increases in ground-water withdrawals for citrus irrigation on the potentiometric surfaces of the intermediate aquifer system and the Upper Floridan aquifer. In 1988, total citrus acreage in Hardee and De Soto Counties was 89,041 acres. By the year 2020, citrus acreage is projected to increase to 130,000 acres. Ground water is the major source of water supply in the study area, and 94 percent of the ground-water withdrawn in the area is used for irrigation purposes. The principal sources of ground water in the study area are the surficial aquifer, the intermediate aquifer system, and upper water-yielding units of the Floridan aquifer system, commonly referred to as the Upper Floridan aquifer. The surficial aquifer is a permeable hydrogeo1ogic unit contiguous with land surface that is comprised predominately of surficial quartz sand deposits that generally are less than 100 feet thick. The intermediate aquifer system is a somewhat less permeable hydrogeologic unit that lies between and retards the exchange of water between the overlying surficial aquifer and the underlying Upper Floridan aquifer. Thickness of the intermediate aquifer system ranges from about 200 to 500 feet and transmissivity ranges from 400 to 7,000 feet squared per day. The highly productive Upper Floridan aquifer consists of 1,200 to 1,400 feet of solution-riddled and fractured limestone and dolomite. Transmissivity values for this aquifer range from 71,000 to 850,000 feet squared per day. Wells open to the Upper Floridan aquifer. the major source of water in the area, can yield as much as 2,500 gallons of water per minute. The potential effects of projected increases in water withdrawals for citrus irrigation on groundwater heads were evaluated by the use of a quasi-three-dimensional, finite-difference, ground-water flow model. The model was calibrated under steady-state conditions to simulate September 1988 heads and under transient conditions to simulate head fluctuations between September 1988 and September 1989. The calibrated model was then used to simulate hydraulic heads for the years 2000 and 2020 that might result from projected increases in pumpage for citrus irrigation. The model simulation indicated that increased pumpage might be expected to result in: A maximum decline of more than 10 feet in theintermediate aquifer system at a proposed grove in eastern De Soto County and an average decline of more than 2 feet in much of the study area. An increase in downward leakage to the intermediate aquifer system from the overlying surficial aquifer system from 178 to 183 million gallons per day. A decrease in upward leakage from the intermediate aquifer system to the surficial aquifer from 1.58 to 1.47 million gallons per day. A maximum decline of about 5 feet in the Upper Floridan aquifer at a proposed grove in eastern De Soto County and a decline of more than 2 feet in much of the model area. An increase in downward leakage to the Upper Floridan aquifer from the intermediate aquifer system from 180 to 183 million gallons per day. A decrease in upward leakage from the Upper Floridan aquifer to the intermediate aquifer system from 4.32 million gallons per day in 1989 to 3.89 million gallons per day in the year 2,000. but an increase in upward leakage to 5.10 million gallons per day by the year 2020, reflecting a change in hydraulic gradient.
Hamilton, John B; Rondorf, Dennis W.; Tinniswood, William; Leary, Ryan J; Mayer, Tim; Gavette, Charleen; Casal, Lynne A.
2016-01-01
In this research article, John Hamilton and his co-authors present extensive new research and information gathered since a 2005 publication on the historical evidence of anadromomous fish distribution in the Upper Klamath River watershed. Using historical accounts from early explorers and ethnographers to early-twentieth-century photographs, newspaper accounts, and government reports, the authors provide a more complete record of past salmon migrations. The updated record “substantiate[s] the historical persistence of salmon, their migration characteristics, and the broad population baseline that will be key to future commercial, recreational, and Tribal fisheries in the Klamath River and beyond.” During a time when salmon restoration plans are being considered in the region, the historical record can serve as guidance to once again establish diverse and thriving populations.
2011-10-31
required for space flight. Dr. John Hughes and Dr. Abas Sivjee of Embry-Riddle Aeronautical University in Daytona FL and all the staff at the HAARP ...Laboratory, was conducted at the High Frequency Active Auroral Research Program ( HAARP ) facility in Alaska. ARROW was shipped to Anchorage AK from...the Naval Research Laboratory in Washington DC and was delivered, installed, and run at the HAARP facility by ARTEP Inc. personnel. The field
Prehistory and History of the Upper Gila River, Arizona and New Mexico: An Archaeological Overview.
1984-02-01
Sharon Debowski directed the survey of the north side of the river, again covering the maximum flood pool and a half-mile (0.8 km.) buffer zone. In...resistance. By 1865, placer deposits were being worked along the San Francisco River; in 1869 Lt. John Bourke was one of several persons to note rich...Papers of the Peabody Museum of American Archaeology and Ethnology 44(1). Harvard University, Cambridge, Mass. Debowski, Sharon S., and Gordon Fritz
2010-03-01
28 V. ANALYTIC METHOD AND DATA ANALYSIS ..................................................29 A. DATA PROCESSING ...your help getting ready for the Arctic and with the data processing back at NPS. Thank you to Professor John Colosi and LCDR Ben Jones for your help...light. Acoustic energy, however, can propagate for very long ranges (Kinsler et al. 2000). This energy can be passively received and processed , and
Astronaut Stephen Oswald and fellow crew members on middeck
NASA Technical Reports Server (NTRS)
1995-01-01
Astronaut Stephen S. Oswald (center), STS-67 mission commander, is seen with two of his fellow crew members and an experiment which required a great deal of his time on the middeck of the Earth orbiting Space Shuttle Endeavour. Astronaut John M. Grunsfeld inputs mission data on a computer while listening to a cassette. Astronaut William G. Gregory (right edge of frame), pilot, consults a check list. The Middeck Active Control Experiment (MACE), not in use here, can be seen in upper center.
PBF Reactor Building (PER620). In subpile room, camera faces southeast ...
PBF Reactor Building (PER-620). In sub-pile room, camera faces southeast and looks up toward bottom of reactor vessel. Upper assembly in center of view is in-pile tube as it connects to vessel. Lower lateral constraints and rotating control cable are in position. Other connections have been bolted together. Note light bulbs for scale. Photographer: John Capek. Date: August 21, 1970. INEEL negative no. 70-3494 - Idaho National Engineering Laboratory, SPERT-I & Power Burst Facility Area, Scoville, Butte County, ID
Dual Beam System (SEM/FIB) Equipment for the Kleberg Advanced Microscopy Center
2015-06-05
Journal of Applied Physics (04 2015) John E. Sanchez, Ramón Díaz de León, Fernando Mendoza Santoyo, Gabriel González, Miguel José Yacaman, Arturo Ponce...includes PCs and cameras , will have available support for three years. What is Not Covered: This Warranty does not cover high-wear, consumable...110 x 110 mm eucentric stage - Multi-purpose holder - CCD IR camera - In-lens detectors: Lower (T1) and Upper (T2) - SE detector (ET-SED
NASA Technical Reports Server (NTRS)
1971-01-01
Super Guppy, bigger sister of the aptly named Pregnant Guppy, was the only airplane in the world capable of carrying a complete S-IVB stage. This aircraft was built by John M. Conroy of Aero Spaceliners, Incorporated, who started with the fuselages of a surplus Boeing C-97 Stratocruiser, ballooned out the upper decks enormously, and hinged the front sections so that they could be folded back 110 degrees. The Super Guppy flew smoothly at a 250-mph cruising speed, and its cargo deck provided a 25-foot clear diameter.
Monitoring of Juvenile Subyearling Chinook Salmon Survival and Passage at John Day Dam, Summer 2010
DOE Office of Scientific and Technical Information (OSTI.GOV)
Weiland, Mark A.; Ploskey, Gene R.; Hughes, James S.
The purpose of this study was to evaluate dam passage survival of subyearling Chinook salmon (Oncorhynchus tshawytscha; CH0) at John Day Dam (JDA) during summer 2010. This study was conducted by researchers from the Pacific Northwest National Laboratory (PNNL) in collaboration with the Pacific States Marine Fisheries Commission (PSMFC) and the University of Washington (UW). The study was designed to estimate the effects of 30% and 40% spill treatment levels on single release survival rates of CH0 passing through two reaches: (1) the dam, and 40 km of tailwater, (2) the forebay, dam, and 40 km of tailwater. The studymore » also estimated additional passage performance measures which are stipulated in the Columbia Basin Fish Accords.« less
NASA Technical Reports Server (NTRS)
1998-01-01
On this seventh day of the STS-95 mission, the flight crew, Cmdr. Curtis L. Brown, Pilot Steven W. Lindsey, Mission Specialists Scott E. Parazynski, Stephen K. Robinson, and Pedro Duque, and Payload Specialists Chiaki Mukai and John H. Glenn, again test the Orbiter Space Vision System. OSVS uses special markings on Spartan and the shuttle cargo bay to provide an alignment aid for the arm's operator using shuttle television images. It will be used extensively on the next Space Shuttle flight in December as an aid in using the arm to join together the first two modules of the International Space Station. Specialist John Glenn will complete a daily back-pain questionnaire by as part of a study of how the muscle, intervertebral discs and bone marrow change after exposure to microgravity.
The “Empty Chairs” Approach to Learning: Simulation-Based Train the Trainer Program in Mzuzu, Malawi
Sigalet, Elaine; Wishart, Ian; Lufesi, Norman; Haji, Faizal
2017-01-01
Together, a group of Canadian colleagues from St. John's, Newfoundland, Calgary, Alberta (some via Doha) and London, Ontario introduced the first Train the Trainer in Simulation-Based Learning (TTT-SBL) program in Mzuzu Central Hospital and Mzuzu University in Malawi. The team led by Elaine Sigalet (Doha) and consisting of Ian Wishart (Calgary), Faizal Haji (London) and Adam Dubrowski (St. John's) was invited to Malawi by Norman Lufesi to conduct a two-day TTT-SBL course for facilitators who teach an Emergency Triage, Assessment and Treatment (ETAT) plus Trauma course. The following technical report describes this course. All trainees-facilitators who took part in the first iteration of the TTT-SBL course were asked to participate in teaching an ETAT course and modify it to include elements of simulation. The new format of ETAT resulted in a reduction of time necessary to conduct the course from four days (based on historical data) to 2.5 days. PMID:28580202
Kemp, Matthew W; Ahmed, Shatha; Beeton, Michael L; Payne, Matthew S; Saito, Masatoshi; Miura, Yuichiro; Usuda, Haruo; Kallapur, Suhas G; Kramer, Boris W; Stock, Sarah J; Jobe, Alan H; Newnham, John P; Spiller, Owen B
2017-01-01
Complement is a central defence against sepsis, and increasing complement insufficiency in neonates of greater prematurity may predispose to increased sepsis. Ureaplasma spp. are the most frequently cultured bacteria from preterm blood samples. A sheep model of intrauterine Ureaplasma parvum infection was used to examine in vivo Ureaplasma bacteraemia at early and late gestational ages. Complement function and Ureaplasma killing assays were used to determine the correlation between complement potency and bactericidal activity of sera ex vivo. Ureaplasma was cultured from 50% of 95-day gestation lamb cord blood samples compared to 10% of 125-day gestation lambs. Bactericidal activity increased with increased gestational age, and a direct correlation between functional complement activity and bactericidal activity (R 2 =.86; P<.001) was found for 95-day gestational lambs. Ureaplasma bacteraemia in vivo was confined to early preterm lambs with low complement function, but Ureaplasma infection itself did not diminish complement levels. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Obituary: John Louis Perdrix, 1926-2005
NASA Astrophysics Data System (ADS)
Orchiston, D. Wayne
2006-12-01
John Perdrix, astronomical historian and co-founder of the Journal of Astronomical History and Heritage, died on 27 June 2005. John Louis Perdrix was born in Adelaide, Australia, on 30 June 1926. After studying chemistry at Melbourne Technical College and working in industry, he joined the Commonwealth Scientific and Industrial Research Organisation's Division of Minerals and Geochemistry. In 1974 the Division relocated to the Western Australian capital, Perth, and John spent the rest of his working life there involved in geochemical research. From his teenage years John had a passion for astronomy, which he fine-tuned through the Astronomical Society of Victoria and the Victorian Branch of the British Astronomical Association. He was very active in both groups, serving as President of the former and Secretary/Treasurer of the latter. He was also an FRAS, and a member of the AAS, the BAA parent body, and the IAU (Commission 41)?no mean feat for an Australian amateur astronomer. Throughout his life, he was a strong advocate of close amateur-professional relations. John's main research interest was history of astronomy, and over the years he wrote a succession of research papers, mainly about aspects of Australian astronomy. His well-researched and neatly-illustrated papers on the Melbourne Observatory and the Great Melbourne Telescope are classics, and when the Observatory's future was in the balance they played a key role in the State Government's decision to convert this unique facility into a museum precinct. To support his research activities, John built up an amazing library that developed its own distinctive personality and quickly took over his house and garage before invading commercial storage facilities! Apart from writing papers, John had an even greater passion for editing and publishing. From 1985 to 1997 he produced the Australian Journal of Astronomy, and in 1998 this was replaced by the Journal of Astronomical History and Heritage (JAH2). Both journals appeared under the banner of his own publishing house, Astral Press, until 2005 when JAH2 was transferred to the Centre of Astronomy at James Cook University. When cancer was first diagnosed, this did not deter John, and he continued to pursue his astronomical and editorial interests. Early in 2005 the cancer was in remission and John decided to make one final overseas trip, a long-anticipated visit to St. Petersburg. It was while he was returning to Australia that the illness aggressively reappeared, and he was taken off the airplane at Dubai and died peacefully in Rashid Hospital three days later. He was just three days short of his seventy-ninth birthday. Always the consummate gentleman, John Perdrix had a keen sense of humor and was wonderful company. He will be greatly missed by all who knew him. Our condolences go to his six children, Louise, John, Timothy, Fleur, Lisa and Angella.
Yavuzer, G; Senel, A; Atay, M B; Stam, H J
2008-09-01
To evaluate the effects of ''Playstation EyeToy Games'' on upper extremity motor recovery and upper extremity-related motor functioning of patients with subacute stroke. The authors designed a randomized, controlled, assessor-blinded, 4-week trial, with follow-up at 3 months. A total of 20 hemiparetic inpatients (mean age 61.1 years), all within 12 months post-stroke, received 30 minutes of treatment with ''Playstation EyeToy Games'' per day, consisting of flexion and extension of the paretic shoulder, elbow and wrist as well as abduction of the paretic shoulder or placebo therapy (watching the games for the same duration without physical involvement into the games) in addition to conventional program, 5 days a week, 2-5 hours/day for 4 weeks. Brunnstrom's staging and self-care sub-items of the functional independence measure (FIM) were performed at 0 month (baseline), 4 weeks (post-treatment), and 3 months (follow-up) after the treatment. The mean change score (95% confidence interval) of the FIM self-care score (5.5 [2.9-8.0] vs 1.8 [0.1-3.7], P=0.018) showed significantly more improvement in the EyeToy group compared to the control group. No significant differences were found between the groups for the Brunnstrom stages for hand and upper extremity. ''Playstation EyeToy Games'' combined with a conventional stroke rehabilitation program have a potential to enhance upper extremity-related motor functioning in subacute stroke patients.
Brown, Jennifer A; Derksen, Frederik J; Stick, John A; Hartmann, William M; Robinson, N Edward
2005-01-01
To report the effect of unilateral laser vocal cordectomy on respiratory noise and airway function in horses with experimentally induced laryngeal hemiplegia (LH). Experimental study. Six Standardbred horses without upper airway abnormalities at rest or during high-speed treadmill exercise. Respiratory sounds and inspiratory trans-upper airway pressure (P(Ui)) were measured before (baseline) and 14 days after induction of LH by left recurrent laryngeal neurectomy, and again 30, 60, 90, and 120 days after endoscopically assisted laser cordectomy of the left vocal cord. Data were collected with the horses exercising on a treadmill at a speed producing maximum heart rate (HR(max)). In horses exercising at HR(max), induction of LH caused a significant increase in P(Ui), sound level (SL), and the sound intensity of formant 2 (F(2)) and 3 (F(3)). The sound intensity of formant 1 (F(1)) was unaffected by induction of LH. Laser vocal cordectomy had no effect on SL, or on the sound intensity of F(1) and F(3). At 30, 60, 90, and 120 days after surgery, P(Ui) and the sound intensity of F(2) were significantly reduced, but these variables remained significantly different from baseline values. Unilateral laser vocal cordectomy did not effectively improve upper airway noise in horses with LH. The procedure decreased upper airway obstruction to the same degree as bilateral ventriculocordectomy. Currently, laser vocal cordectomy cannot be recommended for the treatment of upper airway noise in horses with LH.
USDA-ARS?s Scientific Manuscript database
Migrating juvenile wild Chinook salmon (Oncorhynchus tshawytscha), collected and loaded onto transport barges at Lower Granite Dam on the Snake River, were sampled from barges at John Day Dam, 348 km downstream, at five-day intervals beginning late April and ending late May. An increase in lipid per...
MayDay Colloquium 24: The Aims of Music Education
ERIC Educational Resources Information Center
Elliott, David J.
2013-01-01
On June 20, 2012, Professor John Kratus welcomed the MayDay Group to Michigan State University for "Colloquium 24: The Aims of Music Education". On behalf of all members of the Mayday Group, the author wishes to extend his deepest gratitude to Professor Kratus and his colleagues at Michigan State for their extremely gracious and…
77 FR 9250 - Designation of a Class of Employees for Addition to the Special Exposure Cohort
Federal Register 2010, 2011, 2012, 2013, 2014
2012-02-16
... Special Exposure Cohort AGENCY: National Institute for Occupational Safety and Health (NIOSH), Centers for... January 1, 1953, through September 30, 1972, for a number of work days aggregating at least 250 work days... . John Howard, Director, National Institute for Occupational Safety and Health. [FR Doc. 2012-3645 Filed...
Niinemets, Ülo; Bravo, León A; Copolovici, Lucian
2018-07-01
Exposure to recurrent desiccation cycles carries a risk of accumulation of reactive oxygen species that can impair leaf physiological activity upon rehydration, but changes in filmy fern stress status through desiccation and rewatering cycles have been poorly studied. We studied foliage photosynthetic rate and volatile marker compounds characterizing cell wall modifications (methanol) and stress development (lipoxygenase [LOX] pathway volatiles and methanol) through desiccation-rewatering cycles in lower-canopy species Hymenoglossum cruentum and Hymenophyllum caudiculatum, lower- to upper-canopy species Hymenophyllum plicatum and upper-canopy species Hymenophyllum dentatum sampled from a common environment and hypothesized that lower canopy species respond more strongly to desiccation and rewatering. In all species, rates of photosynthesis and LOX volatile emission decreased with progression of desiccation, but LOX emission decreased with a slower rate than photosynthesis. Rewatering first led to an emission burst of LOX volatiles followed by methanol, indicating that the oxidative burst was elicited in the symplast and further propagated to cell walls. Changes in LOX emissions were more pronounced in the upper-canopy species that had a greater photosynthetic activity and likely a greater rate of production of photooxidants. We conclude that rewatering induces the most severe stress in filmy ferns, especially in the upper canopy species. © 2018 John Wiley & Sons Ltd.
Hennighausen, U; Schmidt-Martens, F W; Reim, M
1978-05-01
A 5-months-old female baby with Down's Syndrome developed an intermittent spastic ectropion of the upper eyelids. The reasons for this are thought to be the flaccidity of the connective tissue, which is typical in Down's Syndrome, and a little anomaly of the eyelids, the tarsus was too short horizontally and very weak and the upper eyelids were somewhat larger than normal and elongated. Suturing Bangerter's lid-sheets on the upper eyelids for 15 days resulted in a scarring of the tarsus with the lax connective tissue of the upper eyelids. The ectropion disappeared and did not recur.
Activities commemorating John B. Herrington as first Native American astronaut
NASA Technical Reports Server (NTRS)
2002-01-01
KENNEDY SPACE CENTER, FLA. - An elder of her Navaho tribe, Dorothy Cody shares the stage with her granddaughter Radmilla Cody (not shown), the 2001 Miss Navaho Nation, who is singing the 'Star Spangled Banner' in her native language during a pre-launch Native American ceremony. The ceremony was part of several days' activities commemorating John B. Herrington as the first tribally enrolled Native American astronaut to fly on a Shuttle mission. Herrington is a Mission Specialist on STS-113.
First report of monomicrobial Candida parapsilosis necrotizing fasciitis.
Gassiep, I; Douglas, J; Playford, E G
2016-10-01
Candida parapsilosis is an emerging pathogen worldwide. It commonly causes soft tissue infection; however, to our knowledge there has been no previous report of monomicrobial necrotizing soft tissue infection (NSTI) secondary to C. parapsilosis. We report the first case of NSTI caused by C. parapsilosis in an immunocompromised renal transplant patient, with the diagnosis proven both histologically and microbiologically. Our patient required aggressive surgical intervention and antifungal therapy, with postoperative survival at 90 days. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
John Glenn during preflight training for STS-95
1998-04-14
S98-06940 (28 April 1998) --- U.S. Sen. John H. Glenn Jr. (D.-Ohio) is assisted by Carlous Gillis in suiting up for a training exercise at the Johnson Space Center's systems integration facility. Glenn is scheduled to join a second payload specialist and five NASA astronauts for a mission aboard the Space Shuttle Disovery later this year. This day's training was scheduled for the STS-95 crewmembers to rehearse launch readiness procedures. The photo was taken by Joe McNally, National Geographic, for NASA.
2011-06-10
Thesis Committee Chair John M. Persyn, Ph.D. , Member LTC Eric K. Dunahee, M.S. , Member Robert D. Bloomquist, M.A...Accepted this 10th day of June 2011 by: , Director, Graduate Degree Programs Robert F. Baumann, Ph.D. The opinions and conclusions expressed...have been possible without the support of my committee, Dr. John M. Persyn, LTC Eric K. Dunahee and Mr. Robert D. Bloomquist. Thank you for your
DOE Office of Scientific and Technical Information (OSTI.GOV)
Rocklage, Stephen J.
The Nez Perce Tribe, in cooperation with the U.S. Fish and Wildlife Service and Washington Department of Fish and Wildlife, conducted monitoring and evaluation studies on Lyons Ferry Hatchery reared yearling fall Chinook salmon Oncorhynchus tshawytscha that were acclimated and released at three Fall Chinook Acclimation Project (FCAP) sites upstream of Lower Granite Dam in 2003. This was the eighth year of a long-term project to supplement natural spawning populations of Snake River stock fall Chinook salmon upstream of Lower Granite Dam. The 437,633 yearlings released from the Fall Chinook Acclimation Project facilities were short of the 450,000 fish quota.more » We use Passive Integrated Transponder (PIT) tag technology to monitor the primary performance measures of survival to mainstem dams and migration timing. We also monitor size, condition and tag/mark retention at release. We released 7,492 PIT tagged yearlings from Pittsburg Landing, 7,494 from Big Canyon and 2,497 from Captain John Rapids. Fish health sampling indicated that, overall, bacterial kidney disease levels at the acclimation facilities could be considered medium with 37-83% of the fish sampled rating medium to very high. Mean fork lengths (95% confidence interval) of the PIT tagged groups ranged from 153.7 mm (153.2-154.2 mm) at Captain John Rapids to 164.2 mm (163.9-164.5 mm) at Pittsburg Landing. Mean condition factors ranged from 1.06 at Lyons Ferry Hatchery to 1.22 at Captain John Rapids. Estimated survival (95% confidence interval) of PIT tagged yearlings from release to Lower Granite Dam ranged from 83.1% (80.7-85.5%) for Big Canyon to 91.7% (87.7-95.7%) for Captain John Rapids. Estimated survival from release to McNary Dam ranged from 59.9% (54.6-65.2%) for Big Canyon to 69.4% (60.5-78.4%) for Captain John Rapids. Median migration rates to Lower Granite Dam, based on all observations of PIT tagged yearlings from the FCAP facilities, ranged from 5.8 river kilometers per day (rkm/d) for Captain John Rapids to 16.2 rkm/d for Pittsburg Landing. Median migration rates to McNary Dam ranged from 11.7 rkm/d for Captain John Rapids to 17.6 rkm/d for Pittsburg Landing. Median travel times from the FCAP facilities were about 8-15 days to Lower Granite Dam and 22-27 days to McNary Dam. Median arrival dates at Lower Granite Dam, based on all observations of PIT tagged yearling groups from the FCAP facilities, ranged from April 23-25. Median arrival dates at McNary Dam for Pittsburg Landing, Big Canyon and Captain John Rapids groups ranged from May 4-10.« less
Kids Really "Are" Different These Days
ERIC Educational Resources Information Center
Coyl, Diana D.
2009-01-01
Upper elementary children today, while retaining many of the characteristics ascribed to them generations ago by theorists such as Piaget, Erikson, and Kohlberg, are different. Developmental characteristics across multiple domains remain relatively predictable for the upper elementary years, but they also reflect changes in society and school…
A Case of Fisher-Bickerstaff Syndrome Overlapped by Guillain-Barré Syndrome
Fujii, Daiki; Manabe, Yasuhiro; Takahasi, Yosiaki; Narai, Hisashi; Omori, Nobuhiko; Kusunoki, Susumu; Abe, Koji
2012-01-01
We report a 72-year-old woman with overlapping Miller Fisher syndrome (MFS), Guillain-Barré syndrome (GBS) and Bickerstaff's brainstem encephalitis (BBE). She developed diplopia and unsteady gait a week after an upper respiratory infection on day 1. She had weakness of both upper limbs on day 3 and became drowsy, and her respiratory status worsened on day 5. Neurologic examination revealed ophthalmoplegia, ataxia, symmetrical weakness, areflexia, and consciousness disturbance. We diagnosed her with MFS on day 1, GBS on day 3 and overlapping BBE on day 5. She underwent immunoadsorption therapy and two courses of intravenous immunoglobulin therapy. Ten months after onset, her symptoms had fully recovered. Anti-GM1 IgG, GD1a IgG, GQ1b IgG, and GT1a IgG antibodies were positive. Our case supports the notion that MFS, GBS, and BBE are all part of a continuous clinical spectrum, which is an antibody-mediated process. PMID:23275783
Lee, Yoo Jin; Min, Bo Ram; Kim, Eun Soo; Park, Kyung Sik; Cho, Kwang Bum; Jang, Byoung Kuk; Chung, Woo Jin; Hwang, Jae Seok; Jeon, Seong Woo
2016-01-01
Nonvariceal upper gastrointestinal bleeding (NVUGIB) is a common medical emergency that can be life threatening. This study evaluated predictive factors of 30-day mortality in patients with this condition. A prospective observational study was conducted at a single hospital between April 2010 and November 2012, and 336 patients with symptoms and signs of gastrointestinal bleeding were consecutively enrolled. Clinical characteristics and endoscopic findings were reviewed to identify potential factors associated with 30-day mortality. Overall, 184 patients were included in the study (men, 79.3%; mean age, 59.81 years), and 16 patients died within 30 days (8.7%). Multivariate analyses revealed that comorbidity of diabetes mellitus (DM) or metastatic malignancy, age ≥ 65 years, and hypotension (systolic pressure < 90 mmHg) during hospitalization were significant predictive factors of 30-day mortality. Comorbidity of DM or metastatic malignancy, age ≥ 65 years, and hemodynamic instability during hospitalization were predictors of 30-day mortality in patients with NVUGIB. These results will help guide the management of patients with this condition.
NASA Technical Reports Server (NTRS)
Shafer, Jaclyn A.; Brock, Tyler M.
2013-01-01
The 30th Operational Support Squadron Weather Flight (30 OSSWF) provides comprehensive weather services to the space program at Vandenberg Air Force Base (VAFB) in California. One of their responsibilities is to monitor upper-level winds to ensure safe launch operations of the Minuteman Ill ballistic missile. The 30 OSSWF requested the Applied Meteorology Unit (AMU) analyze VAFB sounding data to determine the probability of violating (PoV) upper-level thresholds for wind speed and shear constraints specific to this launch vehicle, and to develop a graphical user interface (GUI) that will calculate the PoV of each constraint on the day of launch. The AMU suggested also including forecast sounding data from the Rapid Refresh (RAP) model. This would provide further insight for the launch weather officers (LWOs) when determining if a wind constraint violation will occur over the next few hours, and help to improve the overall upper winds forecast on launch day.
Replication and Shedding of MERS-CoV in Upper Respiratory Tract of Inoculated Dromedary Camels
Adney, Danielle R.; van Doremalen, Neeltje; Brown, Vienna R.; Bushmaker, Trenton; Scott, Dana; de Wit, Emmie; Munster, Vincent J.
2014-01-01
In 2012, a novel coronavirus associated with severe respiratory disease in humans emerged in the Middle East. Epidemiologic investigations identified dromedary camels as the likely source of zoonotic transmission of Middle East respiratory syndrome coronavirus (MERS-CoV). Here we provide experimental support for camels as a reservoir for MERS-CoV. We inoculated 3 adult camels with a human isolate of MERS-CoV and a transient, primarily upper respiratory tract infection developed in each of the 3 animals. Clinical signs of the MERS-CoV infection were benign, but each of the camels shed large quantities of virus from the upper respiratory tract. We detected infectious virus in nasal secretions through 7 days postinoculation, and viral RNA up to 35 days postinoculation. The pattern of shedding and propensity for the upper respiratory tract infection in dromedary camels may help explain the lack of systemic illness among naturally infected camels and the means of efficient camel-to-camel and camel-to-human transmission. PMID:25418529
Treatment of gastric phytobezoars with Coca-Cola given via oral route: a case report.
Ertuğrul, Gökhan; Coşkun, Murat; Sevinç, Mahsuni; Ertuğrul, Fisun; Toydemir, Toygar
2012-01-01
A 43-year-old female patient presented with a chief complaint of upper abdominal pain. As her complaints had lasted for 1 month, an upper gastrointestinal system endoscopy was performed and discovered a bezoar in the stomach. The bezoar was quite hard and light green-yellow in color. Pathological examination revealed phytobezoar. The patient was hospitalized and given oral Coca-Cola(®) Zero for seven days at a dose of 500 mL three times daily. The upper gastrointestinal system endoscopy performed at the end of 7 days showed that the phytobezoar had softened and become smaller. The phytobezoar was broken into pieces with biopsy forceps and washing was applied, so the phytobezoar pieces could pass through the pylorus. The patient was discharged after the procedure without problem.
Temperature Regulation in Critical Salmon Habitat of the Middle Fork of the John Day River, Oregon.
NASA Astrophysics Data System (ADS)
Buskirk, B. A.; Selker, J. S.
2016-12-01
Flow and temperature within the Middle Fork of the John Day River, an arid Eastern Oregon river, is dominated primarily by contributions from groundwater fed tributaries. The hydrology of arid streams is an important metric for understanding the critical environment in which salmon spawn and salmonids reside. The regulation of temperature within these streams is considered the primary metric for survival rates of these fish. Since 2007 Oregon State University has conducted stream monitoring efforts on the Middle Fork of the John Day River at the Oxbow and Forrest Conservation Areas. These sites were chosen through collaborative effort with the Confederated Tribes of the Warm Springs Reservation of Oregon, who have been restoring remnant mining canals back to their natural sinuous river pattern. The John Day River is also one of the few undammed reaches in which salmon runs occur. Efforts have focused on fiber optic distributed temperature sensing (DTS), groundwater gradient, stream discharge, bed permeability, GPS location and stream bathymetry across the conservation sites. During the peak of summer, stream temperature exhibits a strong diurnal cycle ranging from 9° C to 23° C depending on the daily maximum observed within the reach. Salmon have been found to be sensitive to stream temperatures above 15° C and are unable to survive temperatures above 24° C (Bell et al, 1991). The synthesis of temperature and stream flow data we collected show that very little groundwater is contributing to flow and temperature in the main channel of our study site while tributaries provide a constant, typically 0.5 to 2° C cooler, input of water to the main river channel and significant source of flow (0.01 - 0.1 m3/s). Due to the minimal rain fall in this arid environment, snow melt infiltration is likely the primary annual source of recharge into the head waters of the tributaries while also providing temperature regulation through input of near 0° C water. This cold water input from tributaries in addition to bank overhanging sedge grass provide cool safe zones for the young and mature fish during peak summer temperatures.
Heparanase level and procoagulant activity are reduced in severe sepsis.
Matan, Moshe; King, Daniel; Peled, Eli; Ackerman, Shanny; Bar-Lavi, Yaron; Brenner, Benjamin; Nadir, Yona
2018-02-01
During severe sepsis, levels and activity of all coagulation proteins are reduced. Heparanase is implicated in angiogenesis and tumor progression. We previously demonstrated that heparanase also affected the hemostatic system. It forms a complex and increases the activity of the blood coagulation initiator tissue factor. To evaluate heparanase levels and procoagulant activity as predictors of sepsis severity. Twenty-one patients with non-trauma, non-surgical sepsis admitted to the intensive care unit and 35 controls were recruited. Plasma samples were drawn from the study participants on days 1 and 7 following admission. Heparanase levels and procoagulant activity on day 1 were significantly reduced in patients compared to controls (P < .0001, P < .0001, respectively). Day 1 heparanase procoagulant activity ≥350 ng/mL yielded a negative predictive value for severe sepsis of 89%. Additionally, heparanase procoagulant activity on day 7 correlated with the change in the APACHE score between days 1 and 7 (r = .66, P = .007). Heparanase procoagulant activity decreases during sepsis and returns to normal levels as soon as the patient recovers. Hence, it can be potentially used to predict the risk of severe sepsis. These findings need to be further explored in large-scale studies. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
A useful method to overcome the difficulties of applying silicone gel sheet on irregular surfaces.
Grella, Roberto; Nicoletti, Gianfranco; D'Ari, Antonio; Romanucci, Vincenza; Santoro, Mariangela; D'Andrea, Francesco
2015-04-01
To date, silicone gel and silicone occlusive plates are the most useful and effective treatment options for hypertrophic scars (surgical and traumatic). Use of silicone sheeting has also been demonstrated to be effective in the treatment of minor keloids in association with corticosteroid intralesional infiltration. In our practice, we encountered four problems: maceration, rashes, pruritus and infection. Not all patients are able to tolerate the cushion, especially children, and certain anatomical regions as the face and the upper chest are not easy to dress for obvious social, psychological and aesthetic reasons. In other anatomical regions, it is also difficult to obtain adequate compression and occlusion of the scar. To overcome such problems of applying silicone gel sheeting, we tested the use of liquid silicone gel (LSG) in the treatment of 18 linear hypertrophic scars (HS group) and 12 minor keloids (KS group) as an alternative to silicone gel sheeting or cushion. Objective parameters (volume, thickness and colour) and subjective symptoms such as pain and pruritus were examined. Evaluations were made when the therapy started and after 30, 90 and 180 days of follow-up. After 90 days of treatment with silicone gel alone (two applications daily), HS group showed a significant improvement in terms of volume decrease, reduced inflammation and redness and improved elasticity. In conclusion, on the basis of our clinical data, we find LSG to be a useful method to overcome the difficulties of applying silicone gel sheeting on irregular surface. © 2013 The Authors. International Wound Journal © 2013 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
Stennis Space Center observes 2009 Safety and Health Day
NASA Technical Reports Server (NTRS)
2009-01-01
Sue Smith, a medical clinic employee at NASA's John C. Stennis Space Center, takes the temperature of colleague Karen Badon during 2009 Safety and Health Day activities Oct. 22. Safety Day activities included speakers, informational sessions and a number of displays on safety and health issues. Astronaut Dominic Gorie also visited the south Mississippi rocket engine testing facility during the day to address employees and present several Silver Snoopy awards for outstanding contributions to flight safety and mission success. The activities were part of an ongoing safety and health emphasis at Stennis.
Elsharydah, Ahmad; Williams, Tiffany M; Rosero, Eric B; Joshi, Girish P
2016-05-01
Postoperative epidural analgesia for major upper abdominal and thoracic surgery can provide significant benefits, including superior analgesia and reduced pulmonary dysfunction. Nevertheless, epidural analgesia may also be associated with decreased muscle strength, sympathetic tone, and proprioception that could possibly contribute to falls. The purpose of this retrospective case-control study was to search a large national database in order to investigate the possible relationship between postoperative epidural analgesia and the rate of inpatient falls. Data from the nationwide inpatient sample for 2007-2011 were queried for adult patients who underwent elective major upper abdominal and thoracic surgery. Multiple International Classification of Diseases, Ninth Revision, Clinical Modification codes for inpatient falls and accidents were combined into one binary variable. Univariate analyses were used for initial statistical analysis. Logistic regression analyses and McNemar's tests were subsequently used to investigate the association of epidural analgesia with inpatient falls in a 1:1 case-control propensity-matched sample after adjustment of patients' demographics, comorbidities, and hospital characteristics. Forty-two thousand six hundred fifty-eight thoracic and 54,974 upper abdominal surgical procedures were identified. The overall incidence of inpatient falls in the thoracic surgery group was 6.54% with an increasing trend over the study period from 4.95% in 2007 to 8.11% in 2011 (P < 0.001). Similarly, the overall incidence of inpatient falls in the upper abdominal surgery group was 5.30% with an increasing trend from 4.55% in 2007 to 6.07% in 2011 (P < 0.001). Postoperative epidural analgesia was not associated with an increased risk for postoperative inpatient falls in the thoracic surgery group (relative risk [RR], 1.18; 95% confidence interval [CI], 0.95 to 1.47; P = 0.144) and in the upper abdominal surgery group (RR, 0.84; 95% CI 0.64 to 1.09; P = 0.220). Inpatient falls compared with non-falls were associated with a longer median (interquartile range) length of hospital stay in both the thoracic surgery group (11 [7-17] days vs 9 [6-16] days, respectively; P < 0.001) and the upper abdominal surgery group (12 [7-20] days vs 10 [6-17] days, respectively; P < 0.001). Our study suggests that postoperative epidural analgesia for patients undergoing major upper abdominal and thoracic surgery is not associated with an increased risk of inpatient falls.
History and Evolution of Precambrian plate tectonics
NASA Astrophysics Data System (ADS)
Fischer, Ria; Gerya, Taras
2014-05-01
Plate tectonics is a global self-organising process driven by negative buoyancy at thermal boundary layers. Phanerozoic plate tectonics with its typical subduction and orogeny is relatively well understood and can be traced back in the geological records of the continents. Interpretations of geological, petrological and geochemical observations from Proterozoic and Archean orogenic belts however (e.g., Brown, 2006), suggest a different tectonic regime in the Precambrian. Due to higher radioactive heat production the Precambrian lithosphere shows lower internal strength and is strongly weakened by percolating melts. The fundamental difference between Precambrian and Phanerozoic tectonics is therefore the upper-mantle temperature, which determines the strength of the upper mantle (Brun, 2002) and the further tectonic history. 3D petrological-thermomechanical numerical modelling experiments of oceanic subduction at an active plate at different upper-mantle temperatures show these different subduction regimes. For upper-mantle temperatures < 175 K above the present day value a subduction style appears which is close to present day subduction but with more frequent slab break-off. At upper-mantle temperatures 175 - 250 K above present day values steep subduction continues but the plates are weakened enough to allow buckling and also lithospheric delamination and drip-offs. For upper-mantle temperatures > 250 K above the present day value no subduction occurs any more. The whole lithosphere is delaminating and due to strong volcanism and formation of a thicker crust subduction is inhibited. This stage of 200-250 K higher upper mantle temperature which corresponds roughly to the early Archean (Abbott, 1994) is marked by strong volcanism due to sublithospheric decompression melting which leads to an equal thickness for both oceanic and continental plates. As a consequence subduction is inhibited, but a compressional setup instead will lead to orogeny between a continental or felsic terrain and an oceanic or mafic terrain as well as internal crustal convection. Small-scale convection with plume shaped cold downwellings also in the upper mantle is of increased importance compared to the large-scale subduction cycle observed for present temperature conditions. It is also observed that lithospheric downwellings may initiate subduction by pulling at and breaking the plate. References: Abbott, D., Drury, R., Smith, W.H.F., 1994. Flat to steep transition in subduction style. Geology 22, 937-940. Brown, M., 2006. Duality of thermal regimes is the distinctive characteristic of plate tectonics since the neoarchean. Geology 34, 961-964. Brun, J.P., 2002. Deformation of the continental lithosphere: Insights from brittle-ductile models. Geological Society, London, Special Publications 200, 355-370.
Intensive educational course in allergy and immunology.
Elizalde, A; Perez, E E; Sriaroon, P; Nguyen, D; Lockey, R F; Dorsey, M J
2012-09-01
A one-day intensive educational course on allergy and immunology theory and diagnostic procedure significantly increased the competency of allergy and immunology fellows-in-training. © 2012 John Wiley & Sons A/S.
Robinson, T. Craig; Bayer, J.M.
2005-01-01
Adult Pacific lamprey migration and habitat preferences for over-winter holding and spawning, and larval rearing in tributaries to the Columbia River are not well understood. The John Day River is one such tributary where larval and adult stages of this species have been documented, and its free-flowing character provided the opportunity to study migration of Pacific lampreys unimpeded by passage constraints. Forty-two adult Pacific lampreys were captured in the John Day River near its mouth during their upstream migration. Pacific lampreys were surgically implanted with radio transmitters and released onsite, and tracked by fixed-site, aerial, and terrestrial telemetry methods for nearly one year. Adults moved upstream exclusively at night, with a mean rate of 11.1 ?? 6.3 km/day. They halted upstream migration by September, and held a single position for approximately six months in the lateral margins of riffles and glides, using boulders for cover. More than half of Pacific lampreys resumed migration in March before ending movement in early May. Pacific lampreys that resumed migration in spring completed a median of 87% of their upstream migration before over-winter holding. Upon completing migration. Pacific lampreys briefly held position before beginning downstream movement at the end of May. Though not directly observed, halting migration and movement downstream were likely the result of spawning and death. Gains in adult Pacific lamprey passage through the Columbia River hydrosystem and tributaries may be made by improvements that would expedite migration during spring and summer and increase the quantity and variety of cover and refuge opportunities. ?? 2005 by the Northwest Scientific Association. All rights reserved.
NASA Technical Reports Server (NTRS)
1995-01-01
The fifth day of the STS-70 Space Shuttle Discovery mission is contained on this video. The crew continues working on experiments, such as the Space Tissue Loss Analysis and the Bioreactor Development System. CNN reporter, John Holliman, interviewed the flight crew and the crew also answered questions posed by Internet users while on NASA's Shuttle Web. There are brief views of Earth's surface included.
2005-04-15
Unidentified family members of NASA astronaut John Phillips waves offers up best wishes for a safe mission and a happy birthday prior to launch, Friday, April 15, 2005, aboard the Soyuz TMA-6 spacecraft from the Baikonur Cosmodrome in Kazakhstan for a two-day trip to the International Space Station where he will spend six months living in space. Photo Credit: (NASA/Bill Ingalls)
Education System of John Amos Comenius and Its Implications in Modern Didactics
ERIC Educational Resources Information Center
Lukaš, Mirko; Munjiza, Emerik
2014-01-01
The authors were particularly interested in scientific conceptions shaped and systematized in subject-teaching school system proposed by J.A. Comenius, which are still actively applied in day-to-day school practice. Within the analysed ideas of J.A. Comenius the goal and the task of this paper is to present to the pedagogic public the originality…
Miyazaki, Jun; Nishiyama, Hiroyuki; Fujimoto, Hiroyuki; Ohyama, Chikara; Koie, Takuya; Hinotsu, Shiro; Kikuchi, Eiji; Sakura, Mizuaki; Inokuchi, Junichi; Hara, Tomohiko
2015-11-01
To examine the influence of smoking history on the diagnosis and other tumor characteristics of upper tract urothelial carcinoma in Japan. A total of 1509 patients with upper tract urothelial carcinoma who were diagnosed in 2005 from 348 Japanese institutions were registered using the multi-institutional national database of the Japanese Urological Association and included in this analysis. Clinical data of the patients were collected in 2011. The associations between the patients' self-reported smoking history and their age at the diagnosis of upper tract urothelial carcinoma, sex, pathological T stage and tumor grade were analyzed. The mean age at the diagnosis of upper tract urothelial carcinoma was approximately 5 years earlier for the 238 current smokers than for the 618 current non-smokers (P < 0.0001). Similar associations between smoking and the early diagnosis of upper tract urothelial carcinoma were shown in the sex subgroups and in subgroups stratified by pathological T stages. Among the current smokers, the age at diagnosis for the smoking ≥ 20 cigarettes per day group was 6.5 years lower than that of the < 20 cigarettes per day group, which was significantly different (P < 0.0001). Current smoking is a significant risk factor for the earlier diagnosis of upper tract urothelial carcinoma. The finding is important from the perspective of both healthcare and medical economies. © 2015 The Japanese Urological Association.
Yang, Li; Luo, Chunling; Liu, Yue; Quan, Lingtong; Chen, Yahua; Shen, Zhenguo
2013-02-01
In this study, a novel experimental setup (one pot placed above another) was used to investigate the residual effects of EDDS application on plant growth and metal uptake. Two plant species, garland chrysanthemum and ryegrass, were grown in the upper pots (mimicking the upper soil layers) and were harvested 7 days after EDDS application. During this period the upper pots were watered twice. The lower pots (mimicking the subsoil under the upper soil layers) served as leachate collectors. Thereafter, the two pots were separated, and the same plants were grown in the upper and lower pots in two continuous croppings. Results showed that EDDS application restrained the growth of the first crop and resulted in a dramatic enhancement of Cu accumulation in plants grown in the upper pots. However, no negative growth effects were identified for the second and third crops, which were harvested 81 and 204 days after the EDDS application, respectively. In the lower pots, the leachate from the upper pots after EDDS application exhibited the increased total and CaCl(2)-extractable Cu concentrations in the soil. However, the growth of garland chrysanthemum and ryegrass, and their shoot Cu concentrations were unaffected. These data suggest that the residual risk associated with EDDS application was limited, and that subsoil to which EDDS leachate was applied may exhibit reduced Cu bioavailability for plants due to the biodegradation of EDDS. Copyright © 2012 Elsevier B.V. All rights reserved.
Boccia, G; Dardanello, D; Zoppirolli, C; Bortolan, L; Cescon, C; Schneebeli, A; Vernillo, G; Schena, F; Rainoldi, A; Pellegrini, B
2017-09-01
Although elbow extensors (EE) have a great role in cross-country skiing (XC) propulsion, previous studies on neuromuscular fatigue in long-distance XC have investigated only knee extensor (KE) muscles. In order to investigate the origin and effects of fatigue induced by long-distance XC race, 16 well-trained XC skiers were tested before and after a 56-km classical technique race. Maximal voluntary isometric contraction (MVC) and rate of force development (RFD) were measured for both KE and EE. Furthermore, electrically evoked double twitch during MVC and at rest were measured. MVC decreased more in KE (-13%) than in EE (-6%, P = 0.016), whereas the peak RFD decreased only in EE (-26%, P = 0.02) but not in KE. The two muscles showed similar decrease in voluntary activation (KE -5.0%, EE -4.8%, P = 0.61) and of double twitch amplitude (KE -5%, EE -6%, P = 0.44). A long-distance XC race differently affected the neuromuscular function of lower and upper limbs muscles. Specifically, although the strength loss was greater for lower limbs, the capacity to produce force in short time was more affected in the upper limbs. Nevertheless, both KE and EE showed central and peripheral fatigue, suggesting that the origins of the strength impairments were multifactorial for the two muscles. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Cavalcanti, I M G; Del Bel Cury, A A; Jenkinson, H F; Nobbs, A H
2017-02-01
The fungus Candida albicans is carried orally and causes a range of superficial infections that may become systemic. Oral bacteria Actinomyces oris and Streptococcus oralis are abundant in early dental plaque and on oral mucosa. The aims of this study were to determine the mechanisms by which S. oralis and A. oris interact with each other and with C. albicans in biofilm development. Spatial distribution of microorganisms was visualized by confocal laser scanning microscopy of biofilms labeled by differential fluorescence or by fluorescence in situ hybridization (FISH). Actinomyces oris and S. oralis formed robust dual-species biofilms, or three-species biofilms with C. albicans. The bacterial components tended to dominate the lower levels of the biofilms while C. albicans occupied the upper levels. Non-fimbriated A. oris was compromised in biofilm formation in the absence or presence of streptococci, but was incorporated into upper biofilm layers through binding to C. albicans. Biofilm growth and hyphal filament production by C. albicans was enhanced by S. oralis. It is suggested that the interkingdom biofilms are metabolically coordinated to house all three components, and this study demonstrates that adhesive interactions between them determine spatial distribution and biofilm architecture. The physical and chemical communication processes occurring in these communities potentially augment C. albicans persistence at multiple oral cavity sites. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Craniofacial structures' development in prenatal period: An MRI study.
Begnoni, G; Serrao, G; Musto, F; Pellegrini, G; Triulzi, F M; Dellavia, C
2018-05-01
The development of skeletal structures (cranial base, upper and lower) and upper airways spaces (oropharyngeal and nasopharyngeal) of the skull has always been an issue of great interest in orthodontics. Foetal MRI images obtained as screening exam during pregnancy can help to understand the development of these structures using a sample cephalometric analysis. A total of 28 MRI images in sagittal section of foetuses from 20th to 32th weeks of gestation were obtained to dispel doubts about the presence of skeletal malformations. Cephalometric measurements were performed on MRI T2-dependent images acquired with a 1.5 T scanner. The Software Osirix 5 permits to study sagittal and vertical dimensions of the skull analysing linear measurements, angles and areas of the skeletal structures. Vertical and sagittal dimension of cranial base, maxilla and mandible grow significantly (P < .01) between the second and third trimester of gestational period as well as nasopharyngeal and oropharyngeal spaces (P < .05). High correlation between the development of anterior cranial base and functional areas devoted to speech and swallow is demonstrated (r: .97). The development of craniofacial structures during foetal period seems to show a close correlation between skeletal features and functional spaces with a peak between the second and third trimester of gestation. MRI images result helpful for the clinician to detect with a sample cephalometric analysis anomalies of skeletal and functional structures during prenatal period. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
The impact of occlusal plane cant along with gingival display on smile attractiveness.
Kaya, B; Uyar, R
2016-05-01
To evaluate the influence of occlusal plane cant in conjunction with maxillary gingival display on perception of smile attractiveness by orthodontists, dentists, and laypersons. Faculty of Dentistry at Baskent University. A total of 204 raters for smile attractiveness. A frontal intra-oral photograph of aligned teeth was modified using image processing software. Six different occlusal lines representing 0° to 5° cants were obtained by tilting the photographs. Each occlusal cant was adjusted in five manners resulting in five different gingival display amounts. Attractiveness of the 30 different smiles was evaluated by 204 raters divided into three groups (n = 68 in each group). Both occlusal cant (p < 0.001) and gingival display amount (p < 0.001) had a statistically significant influence on smile attractiveness. Smile attractiveness scores with reference to amount of gingival display showed a significant difference between rater groups (p < 0.001). Orthodontists preferred 1-mm coverage of upper central incisors by the upper lip, whereas dentists and laypersons preferred 2 mm. Significant (p < 0.001) interaction was observed between occlusal cant and gingival display amount, which influenced smile attractiveness. Increase in both occlusal plane cant and gingival display negatively influences smile attractiveness. The influence of occlusal plane cant becomes less when gingival display increases, whereas the influence of gingival display decreases when occlusal cant increases. Dentists are more generous than orthodontists, while laypersons are the most generous regarding smile attractiveness scores. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
The association between restorative pre-clinical activities and musculoskeletal disorders.
Corrocher, P A; Presoto, C D; Campos, J A D B; Garcia, P P N S
2014-08-01
To evaluate the risk of development of musculoskeletal disorders in the upper limbs of undergraduate dentistry students during the execution of pre-clinical laboratory activities based on gender, type of dental procedure and area of the mouth under treatment. Male and female undergraduate students in the second year of the Araraquara Dental School, UNESP, were enrolled in this study. Digital photographs were obtained whilst the subjects performed laboratory activities. The working postures adopted by each student were evaluated using the Rapid Upper Limb Assessment (RULA). The photos were analysed by a calibrated researcher (k = 0.89), and a final risk score was attributed to each analysed procedure (n = 354). Descriptive statistical analyses were performed, and the associations of interest were analysed by the chi-square test (P = 0.05). During most of the laboratory procedures performed, the risk of developing musculoskeletal disorders was high (64.7%; - IC95% : 59.7-69.7%), with no significant association between the RULA final score and gender (χ(2) = 1.100; P = 0.577), type of dental procedure (χ(2) = 5.447, P = 0.244) and mouth area treated (χ(2) =4.150; P = 0.126). The risk of developing musculoskeletal disorders was high in undergraduate dentistry students; this risk was not related to gender, type of dental procedure and region of the mouth being treated. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Yücel, Ali; Kan, Yüksel; Yesilada, Erdem; Akın, Onat
2017-01-20
Topical formulations such as oily extracts or ointments prepared with the flowering aerial parts of St. John's wort (Hypericum perforatum L., Hypericaceae) have been used in the management of a wide range dermatological problems including superficial wounds and burns, bruises, contusions and many others in the worldwide traditional medicines. This is the first case study reporting the beneficial effects of an oily extract of St. John's wort in the treatment of pressure sores in a intensive care unit (ICU) patient. The oily extract of St. John's wort was applied to a volunteer patient at ICU daily for forty successive days for wound care and treatment. Healing status was monitored macroscopically by measuring the wound size and stages at certain intervals as well as histopathological evaluation of the tissue sections taken at the initial and final dates of treatment. Evaluation of the results obtained from the macroscopical and histopathological experimentation have shown that oily extract of St. John's wort provided significant efficacy for the treatment of pressure sore wounds. St. John's wort oily extract may be suggested as a cost-effective option for the prevention or treatment of pressure sores in ICU patients. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
Phillips with National Lab Pathfinder (NLP) on Middeck (MDDK)
2009-03-16
S119-E-006156 (16 March 2009) --- Astronaut John Phillips, STS-119 mission specialist, works with Group Activation Packs (GAP) on the middeck of Space Shuttle Discovery during flight day two activities.
Phillips with National Lab Pathfinder (NLP) on Middeck (MDDK)
2009-03-16
S119-E-006157 (16 March 2009) --- Astronaut John Phillips, STS-119 mission specialist, works with Group Activation Packs (GAP) on the middeck of Space Shuttle Discovery during flight day two activities.
Novel Modes Workshop Summary Report
DOT National Transportation Integrated Search
2015-12-01
On December 2-3, 2014, the Federal Highway Administration's (FHWA's) Exploratory Advanced Research Program, with support from the John A. Volpe National Transportation Systems Center, convened the 2-day workshop "Novel Modes." It was held concurrentl...
DOE Office of Scientific and Technical Information (OSTI.GOV)
Gray, Gerard A.; United States. Bonneville Power Administration
1984-03-01
This study was initiated to determine the extent of predation by resident populations of native and introduced fish on juvenile salmonids in main stem Columbia River Reservoirs. The John Day Reservoir and tailrace was selected as the study area. First year objectives were: (1) determine whether native and introduced predators preyed on juvenile salmonids; (2) determine which species were major predators; and (3) locate areas where predation was most intense. Results indicated that juvenile salmonids were consumed by all four predatory fish species studied: northern squawfish (Ptychocheilus oregonensis), walleye (Stizostedion vitreum vitreum), smallmouth bass (Micropterus dolomieu), and channel catfish (Ictalurusmore » punctatus). However, degree of predation varied among predators as a function of spatial distribution, apparent abundance, size, and temporal feeding behavior. 15 figs., 16 tabs.« less
NASA Astrophysics Data System (ADS)
Mazzotti, S.; Tarayoun, A.; Marechal, A.; Audet, P.
2017-12-01
The Northern Cordillera of North America is a type example of present-day strain distribution across a wide orogeny. Several geodynamic models are proposed to explain this large-scale tectonic activity, with two main end-members: strain transfer from the Yakutat collision zone (orogenic float) and strain transfer from upper mantle convection (lithosphere basal traction). One of the main differences between these is the lithosphere vertical rheology profile: the former requires significant crust - mantle decoupling to allow far field strain transfer, whereas the latter requires a vertically coupled lithosphere. Here we combine recent data across the eastern region of the Northern Cordillera (eastern Alaska, Yukon, western Northwest Territories) to characterize its states of strain rate, stress, and crustal and lithospheric structure, in order to test the role of the Yakutat collision and upper mantle convection in its present-day tectonics. Recent GPS data confirm the radial, east- to northeastward motion of the central Yukon and foreland belt (Mackenzie and Richardson Mountains), albeit at a much lower velocity than previously proposed. This motion is primarily accommodated by E-W to NE-SW shortening, mainly in the foreland belt, and small to near-zero lateral motion on the major Denali and Tintina strike-slip faults. Seismic anisotropy data further suggest that these two major faults, like most of the Yukon Cordillera, have kept their early Cenozoic crustal and upper mantle structures, as shown by the fault-parallel (NW-SE) fast anisotropy orientation. We use these new data, combined with numerical models of strain distribution under various boundary conditions, to provide constraints on the respective role of the Yakutat collision and upper mantle convection in the present-day tectonics. Preliminary results suggest that, whichever the driving mechanism (or combination thereof), the total strain associated with the present-day tectonics must remain small in order to preserve the inherited crustal and mantle fabrics. Such small cumulative strain appears in contradiction with a thin decoupling layer (such as lower crust decoupling in the orogenic float model) and seems more suggestive of distributed shear across a large part of the lithosphere.
Rieman, Bruce E.; Beamesderfer, Raymond C.; Vigg, Steven; Poe, Thomas P.
1991-01-01
We estimated the loss of juvenile salmonids Oncorhynchus spp. to predation by northern squawfish Ptychocheilus oregonensis, walleyes Stizostedion vitreum, and smallmouth bass Micropterus dolomieu in John Day Reservoir during 1983–1986. Our estimates were based on measures of daily prey consumption, predator numbers, and numbers of juvenile salmonids entering the reservoir during the April–August period of migration. We estimated the mean annual loss was 2.7 million juvenile salmonids (95% confidence interval, 1.9–3.3 million). Northern squawfish were responsible for 78% of the total loss; walleyes accounted for 13% and smallmouth bass for 9%. Twenty-one percent of the loss occurred in a small area immediately below McNary Dam at the head of John Day Reservoir. We estimated that the three predator species consumed 14% (95% confidence interval, 9–19%) of all juvenile salmonids that entered the reservoir. Mortality changed by month and increased late in the migration season. Monthly mortality estimates ranged from 7% in June to 61% in August. Mortality from predation was highest for chinook salmon O. tshawytscha, which migrated in July and August. Despite uncertainties in the estimates, it is clear that predation by resident fish predators can easily account for previously unexplained mortality of out-migrating juvenile salmonids. Alteration of the Columbia River by dams and a decline in the number of salmonids could have increased the fraction of mortality caused by predation over what it was in the past.
Comparison of Systemic and Topical Hypericum Perforatum on Diabetic Surgical Wounds.
Altıparmak, Mehmet; Eskitaşçıoğlu, Teoman
2018-02-01
Surgical wounds in diabetic patients still remain a problem till the present day. As a common plant found around the world, Hypericum perforatum L. (Hypericaceae) is traditionally prepared as an oily extract and used as a folk remedy for various diseases such as wounds, burns, cuts, etc. This study aims to evaluate the effect of St. John's wort (Hypericum perforatum) on problematic wounds while comparing oral and topical applications. Incisional and excisional wound models were made on the dorsal regions of 54 diabetic Spraque-Dawley rats. The rats were divided into the following six groups (n = 9): Group 1: control, Group 2: diabetic, Group 3: diabetic oral Hypericum perforatum, Group 4: diabetic topical Hypericum perforatum, Group 5: diabetic oral olive oil, and Group 6: diabetic topical olive oil. Groups 3 and 4 had significantly higher tensile strength, tissue hydroxyproline concentration, and collagen density compared with Group 2. Inflammatory cell density and collagen density on day 3 were significantly higher in Groups 3 and 6 compared with Group 2. On day 21, Groups 3 and 6 had significantly higher fibroblastic activity compared with Group 2. This study has proved that oral St. John's wort has more positive effects on problematic wounds compared with topical St. John's wort and olive oil, which is a vehicle. Hypericum perforatum results with faster inflammatory response and better healing. These results could be an addition to literature about the clinical usage of Hypericum perforatum on diabetic wounds.
Lee, Su-Hyun; Kim, Yu-Mi; Lee, Byoung-Hee
2015-07-01
[Purpose] This study investigated the therapeutic effects of virtual reality-based bilateral upper-extremity training on brain activity in patients with stroke. [Subjects and Methods] Eighteen chronic stroke patients were divided into two groups: the virtual reality-based bilateral upper-extremity training group (n = 10) and the bilateral upper-limb training group (n = 8). The virtual reality-based bilateral upper-extremity training group performed bilateral upper-extremity exercises in a virtual reality environment, while the bilateral upper-limb training group performed only bilateral upper-extremity exercise. All training was conducted 30 minutes per day, three times per week for six weeks, followed by brain activity evaluation. [Results] Electroencephalography showed significant increases in concentration in the frontopolar 2 and frontal 4 areas, and significant increases in brain activity in the frontopolar 1 and frontal 3 areas in the virtual reality-based bilateral upper-extremity training group. [Conclusion] Virtual reality-based bilateral upper-extremity training can improve the brain activity of stroke patients. Thus, virtual reality-based bilateral upper-extremity training is feasible and beneficial for improving brain activation in stroke patients.
Team Teaching at Upper Arlington School.
ERIC Educational Resources Information Center
Jackson, Annette R.
1968-01-01
Team teaching has been used for 4 years in the 10th-grade English classes at Upper Arlington High School near Columbus, Ohio. Units are prepared, presented, and evaluated by teachers working together voluntarily. A 6-day American literature unit introducing Romanticism has been particularly successful. The contrasts between Neoclassicism and…
NASA Astrophysics Data System (ADS)
Gillis, James R.; Blatherwick, Ronald D.; Bonomo, Francis S.
1985-11-01
The infrared spectrum of ν2 of D 2S was recorded from 740 to 1100 cm -1 on the University of Denver 50-cm FTIR spectrometer system. We have assigned 655 transitions from D 232S and 129 from D 234S, and have analyzed them using Watson's A-reduced Hamiltonian evaluated in the I r representation. We used the recently published D 232S and D 234S ground state Hamiltonian constants [C. Camy-Peyret, J. M. Flaud, L. Lechuga-Fossat and J. W. C. Johns, J. Mol. Spectrosc.109, 300-333 (1985)]. Upper state Hamiltonian constants were obtained from a fit of the ν2 transitions, keeping the ground state constants fixed while varying the upper state constants. The standard deviation of the D 232S ν2 fit is 0.0025 cm -1. The standard deviation of the D 234S ν2 fit is 0.0041 cm -1.
Loculated pneumothorax due to a rare combination resulting in an interesting chest radiograph.
Isaac, Barney Thomas Jesudason; Samuel, Johnson Thamarathu; Mukherjee, Dipak K; Pittman, Marcus
2017-11-01
A 35 years old man presented with acute onset left sided pleuritic chest pain and shortness of breath. On evaluation, he was found to have an interesting chest radiograph which showed a loculated pneumothorax with collapse of the left upper lobe and lingula but fully expanded left lower lobe. He is a known asthmatic who had allergic broncho pulmonary aspergillosis (ABPA) previously with left upper lobe and lingular collapse secondary to mucous plugging. This resolved on treatment with steroids and itraconazole. An interesting combination of events is proposed to explain the current presentation. CT scan chest and blood tests confirmed this sequence of events. He was appropriately treated resulting in complete clinical and radiological recovery. The events leading to the presentation and the likely physiological background for this interesting chest radiograph are discussed. © 2016 John Wiley & Sons Ltd.
Assessing Upper-Level Winds on Day-of-Launch
NASA Technical Reports Server (NTRS)
Bauman, William H., III; Wheeler, Mark M.
2012-01-01
On the day-or-launch. the 45th Weather Squadron Launch Weather Officers (LWOS) monitor the upper-level winds for their launch customers to include NASA's Launch Services Program (LSP). During launch operations, the payload launch team sometimes asks the LWO if they expect the upper level winds to change during the countdown but the LWOs did not have the capability to quickly retrieve or display the upper-level observations and compare them to the numerical weather prediction model point forecasts. The LWOs requested the Applied Meteorology Unit (AMU) develop a capability in the form of a graphical user interface (GUI) that would allow them to plot upper-level wind speed and direction observations from the Kennedy Space Center Doppler Radar Wind Profilers and Cape Canaveral Air Force Station rawinsondes and then overlay model point forecast profiles on the observation profiles to assess the performance of these models and graphically display them to the launch team. The AMU developed an Excel-based capability for the LWOs to assess the model forecast upper-level winds and compare them to observations. They did so by creating a GUI in Excel that allows the LWOs to first initialize the models by comparing the O-hour model forecasts to the observations and then to display model forecasts in 3-hour intervals from the current time through 12 hours.
Mungan, Zeynel
2012-01-01
This observational, retrospective cohort study assessed outcomes of the current management strategies for nonvariceal upper gastrointestinal bleeding in several European countries (Belgium, Greece, Italy, Norway, Portugal, Spain, and Turkey) (NCT00797641; ENERGIB). Turkey contributed 23 sites to this study. Adult patients (≥18 years old) consecutively admitted to hospital and who underwent endoscopy for overt non-variceal upper gastrointestinal bleeding (hematemesis, melena or hematochezia, with other clinical/laboratory evidence of acute upper GI blood loss) were included in the study. Data were collected from patient medical records regarding bleeding continuation, re-bleeding, pharmacological treatment, surgery, and mortality during a 30-day follow-up period. A total of 423 patients (67.4% men; mean age: 57.8 ± 18.9 years) were enrolled in the Turkish study centers, of whom 96.2% were admitted to hospital with acute non-variceal upper gastrointestinal bleeding. At admission, the most common symptom was melena (76.1%); 28.6% of patients were taking aspirin, 19.9% were on non-steroidal anti-inflammatory drugs, and 7.3% were on proton pump inhibitors. The most common diagnoses were duodenal (45.2%) and gastric (27.7%) ulcers and gastritis/gastric erosions (26.2%). Patients were most often managed in general medical wards (45.4%). A gastrointestinal team was in charge of treatment in 64.8% of cases. Therapeutic procedures were performed in 32.4% of patients during endoscopy. After the endoscopy, most patients (94.6%) received proton pump inhibitors. Mean (SD) hospital stay was 5.36 ± 4.91 days. The cumulative proportions of continued bleeding/re-bleeding, complications and mortality within 30 days of the non-variceal upper gastrointestinal bleeding episode were 9.0%, 5.7% and 2.8%, respectively. In the Turkish sub-group of patients, the significant risk factors for bleeding continuation or re-bleeding were age >65 years, presentation with hematemesis or shock/syncope, and the diagnosis of duodenal ulcer. The risk of clinical complications after non-variceal upper gastrointestinal bleeding was higher in female patients older than 65 years, in patients with comorbidities, and in patients presenting with shock/syncope, and also according to time to endoscopy. The use of aspirin, non-steroidal anti-inflammatory drugs or warfarin at baseline was negatively associated with the development of bleeding or clinical complications. The risk of death within 30 days after non-variceal upper gastrointestinal bleeding was significantly higher in patients older than 65 years and in those receiving transfusions other than intravenous fluid or red blood cells within 12 hours of presentation. According to the survey results, non-variceal upper gastrointestinal bleeding in Turkey varies from that in other European countries in a number of aspects. These differences could be associated with a younger population and Helicobacter pylori incidence. Despite the diminishing need for surgical intervention and mortality rates for non-variceal upper gastrointestinal bleeding, as is the case in other European countries, non-variceal upper gastrointestinal bleeding remains a serious problem.
The upper atmosphere of Venus: A tentative explanation of its rotation
NASA Technical Reports Server (NTRS)
Boyer, C.
1986-01-01
The upper atmosphere of Venus seems to revolve every 4 days, while the planet rotates in 243 days. Mariner 10 UV data on the changing positions of dark spots in the upper Venusian clouds have supported estimations of speeds ranging from 120-240 m/s. High rates of acceleration and deceleration occur on the night side, the former between -110 to -90 deg and the latter continuing to -50 deg. Arch and Y formations have been seen repeatedly between -110 to -70 deg. The highest are seen at about -90 deg and the lowest at about -30 deg. The temperature of the cloud layer at 60 km altitude is about 20 C, the pressure is nearly one earth atmosphere, and complex molecules, including O, C, H, N and S and combinations of these are present in abundance.
Treatment of gastric phytobezoars with Coca-Cola® given via oral route: a case report
Ertuğrul, Gökhan; Coşkun, Murat; Sevinç, Mahsuni; Ertuğrul, Fisun; Toydemir, Toygar
2012-01-01
Background A 43-year-old female patient presented with a chief complaint of upper abdominal pain. As her complaints had lasted for 1 month, an upper gastrointestinal system endoscopy was performed and discovered a bezoar in the stomach. Case presentation The bezoar was quite hard and light green-yellow in color. Pathological examination revealed phytobezoar. The patient was hospitalized and given oral Coca-Cola® Zero for seven days at a dose of 500 mL three times daily. Conclusion The upper gastrointestinal system endoscopy performed at the end of 7 days showed that the phytobezoar had softened and become smaller. The phytobezoar was broken into pieces with biopsy forceps and washing was applied, so the phytobezoar pieces could pass through the pylorus. The patient was discharged after the procedure without problem. PMID:22393302
Summary of hydrologic testing of the Floridan aquifer system at Fort Stewart, Georgia
Gonthier, Gerard
2011-01-01
Flowmeter surveys at the study site indicate several permeable zones within the Floridan aquifer system. The Upper Floridan aquifer is composed of two water-bearing zones-the upper zone and the lower zone. The upper zone extends from 520 to 650 feet below land surface, contributes 96 percent of the total flow, and is more permeable than the lower zone, which extends from 650 to 705 feet below land surface and contributes the remaining 4 percent of the flow. The Lower Floridan aquifer consists of three zones at depths of 912-947, 1,090-1,139, and 1,211-1,250 feet below land surface that are inter-layered with three less-permeable zones. The Lower Floridan confining unit includes a permeable zone that extends from 793 to 822 feet below land surface. Horizontal hydraulic conductivity values of the Lower Floridan confining unit derived from slug tests within four packer-isolated intervals were from 2 to 20 feet per day, with a high value of 70 feet per day obtained for one of the intervals. Aquifer testing, using analytical techniques and model simulation, indicated the Upper Floridan aquifer had a transmissivity of about 100,000 feet squared per day, and the Lower Floridan aquifer had a transmissivity of 7,000 feet squared per day. Flowmeter surveys, slug tests within packer-isolated intervals, and parameter-estimation results indicate that the hydraulic properties of the Lower Floridan confining unit are similar to those of the Lower Floridan aquifer. Water-level data, for each aquifer test, were filtered for external influences such as barometric pressure, earth-tide effects, and long-term trends to enable detection of small water-level responses to aquifer-test pumping of less than 1 foot. During a 72-hour aquifer test of the Lower Floridan aquifer, a drawdown response of 0.3 to 0.4 foot was observed in two Upper Floridan aquifer wells, one of which was more than 1 mile away from the pumped well.
Blaymore Bier, Jo-Ann; Oliver, Tanya; Ferguson, Anne; Vohr, Betty R
2002-01-01
To determine if ingestion of human milk after discharge reduces symptoms of infections in premature infants. Follow-up of 39 infants with birth weights <2000 g, 24 of whom received any amount of human milk and 15 of whom received only formula after discharge, was carried out. Mothers were given a calendar on which they recorded any signs of infections and feeding and day-care information. Data were collected at 1 month after discharge and at 3, 7, and 12 months corrected age. Results show no differences between groups in birth weight, gestation, gender, maternal age, parental tobacco use, number of siblings, and day-care attendance. Socioeconomic status score was higher in the human milk group. Infants who received human milk had fewer days of upper respiratory symptoms at 1 month after discharge (p<0.025) and at 7 months corrected age (p<0.025). Ingestion of human milk post discharge is associated with a reduction of upper respiratory symptoms in premature infants during their first year of life.
Using biological-physical modelling for informing sea lice dispersal in Loch Linnhe, Scotland.
Salama, N K G; Dale, A C; Ivanov, V V; Cook, P F; Pert, C C; Collins, C M; Rabe, B
2018-06-01
Sea lice are a constraint on the sustainable growth of Scottish marine salmonid aquaculture. As part of an integrated pest management approach, farms coordinate procedures within spatial units. We present observations of copepodids being at relatively greater density than nauplii in upper waters, which informs the development of surface layer sea lice transmission modelling of Loch Linnhe, Scotland, for informing farm parasite management. A hydrodynamic model is coupled with a biological particle-tracking model, with characteristics of plankton sea lice. Simulations are undertaken for May and October 2011-2013, forced by local wind data collected for those periods. Particles are continually released from positions representing farm locations, weighted by relative farm counts, over a 2-week period and tracked for a further 5 days. A comparison is made between modelled relative concentrations against physical and biological surveys to provide confidence in model outputs. Connectivity between farm locations is determined in order to propose potential coordination areas. Generally, connectivity depends on flow patterns in the loch and decreases with increased farm separation. The connectivity indices are used to estimate the origins of the sea lice population composition at each site, which may influence medicinal regimens to avoid loss of efficacy. © 2017 John Wiley & Sons Ltd.
Calcium Supplements: Do Men Need Them Too?
... a day) Upper limit (milligrams a day) Sources: Dietary Guidelines for Americans, 2010; Institute of Medicine, 2010 19- ... calcium. With Katherine Zeratsky, R.D., L.D. Dietary Guidelines for Americans, 2010. U.S. Department of Health and ...
Antarctic Polar Descent and Planetary Wave Activity Observed in ISAMS CO from April to July 1992
NASA Technical Reports Server (NTRS)
Allen, D. R.; Stanford, J. L.; Nakamura, N.; Lopez-Valverde, M. A.; Lopez-Puertas, M.; Taylor, F. W.; Remedios, J. J.
2000-01-01
Antarctic polar descent and planetary wave activity in the upper stratosphere and lower mesosphere are observed in ISAMS CO data from April to July 1992. CO-derived mean April-to-May upper stratosphere descent rates of 15 K/day (0.25 km/day) at 60 S and 20 K/day (0.33 km/day) at 80 S are compared with descent rates from diabatic trajectory analyses. At 60 S there is excellent agreement, while at 80 S the trajectory-derived descent is significantly larger in early April. Zonal wavenumber 1 enhancement of CO is observed on 9 and 28 May, coincident with enhanced wave 1 in UKMO geopotential height. The 9 May event extends from 40 to 70 km and shows westward phase tilt with height, while the 28 May event extends from 40 to 50 km and shows virtually no phase tilt with height.
75 FR 18235 - Meeting Notice for the John Day/Snake Resource Advisory Council
Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-09
... will meet at the Oxford Suites Pendleton, 2400 SW. Court Place, Pendleton, Oregon 97801. SUPPLEMENTARY INFORMATION: The meeting agenda includes Subcommittee Reports, a Blue Mountain Plan Revision Update, an Energy...
Lord John, 2nd Baron Wrottesley and the Wrottesley Hall Observatory
NASA Astrophysics Data System (ADS)
Armitage, J.
2006-12-01
Lord John Wrottesley (1798-1867) was a man of considerable importance in the field of 19th century science, particularly during the first three decades of the Victorian era. He held a number of important offices during this time, including being President of the Royal Astronomical Society (1841 to 1843), of which he was a founder member in 1820; President of the Royal Society 1854 to 1857; and President of the British Association for the Advancement of Science for 1860. He was always to seek a good understanding between scientists and government, and also to promote the general public understanding of science. Although today the name of Lord John Wrottesley is largely forgotten, he created a legacy that remains with us to the present day.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Rocklage, Stephen J.; Kellar, Dale S.
2005-07-01
The Nez Perce Tribe, in cooperation with the U.S. Fish and Wildlife Service and Washington Department of Fish and Wildlife, conducted monitoring and evaluation studies on Lyons Ferry Hatchery reared yearling fall Chinook salmon Oncorhynchus tshawytscha that were acclimated and released at three Fall Chinook Acclimation Project sites upstream of Lower Granite Dam along with yearlings released on-station from Lyons Ferry Hatchery in 2000. This was the fifth year of a long-term project to supplement natural spawning populations of Snake River stock fall Chinook salmon upstream of Lower Granite Dam. The 397,339 yearlings released from the Fall Chinook Acclimation Projectmore » facilities were short of the 450,000 fish quota. We use Passive Integrated Transponder (PIT) tag technology to monitor the primary performance measures of survival to mainstem dams and migration timing. We also monitor size, condition and tag/mark retention at release. We released 7,477 PIT tagged yearlings from Pittsburg Landing, 7,421 from Big Canyon and 2,488 from Captain John Rapids. The Washington Department of Fish and Wildlife released 980 PIT tagged yearlings from Lyons Ferry Hatchery. Fish health sampling indicated that, overall, bacterial kidney disease levels could be considered relatively low. Compared to prior years, Quantitative Health Assessment Indices were relatively low at Big Canyon and Captain John Rapids and about average at Pittsburg Landing and Lyons Ferry Hatchery. Mean fork lengths (95% confidence interval) of the PIT tagged groups ranged from 157.7 mm (157.3-158.1 mm) at Big Canyon to 172.9 mm (172.2-173.6 mm) at Captain John Rapids. Mean condition factors ranged from 1.06 at Captain John Rapids and Lyons Ferry Hatchery to 1.12 at Big Canyon. Estimated survival (95% confidence interval) of PIT tagged yearlings from release to Lower Granite Dam ranged from 87.0% (84.7-89.4%) for Pittsburg Landing to 95.2% (91.5-98.9%) for Captain John Rapids. Estimated survival from release to McNary Dam ranged from 65.8% (58.5-73.1%) for Lyons Ferry Hatchery to 84.0% (76.2-91.8%) for Captain John Rapids. Median migration rates to Lower Granite Dam, based on all observations of PIT tagged yearlings from the FCAP facilities, ranged from 10.1 river kilometers per day (rkm/d) for Captain John Rapids to 19.1 rkm/d for Pittsburg Landing. Median migration rates to McNary Dam ranged from 6.0 rkm/d for Lyons Ferry Hatchery to 17.3 rkm/d for Pittsburg Landing. Median travel times from the FCAP facilities were about 9-10 days to Lower Granite Dam and 22-25 days to McNary Dam. Median arrival dates at Lower Granite Dam, based on all observations of PIT tagged yearling groups from Pittsburg Landing, Big Canyon and Captain John Rapids, were all from April 21-22. Median arrival dates at McNary Dam for Pittsburg Landing, Big Canyon and Captain John Rapids groups were all from May 5-6. The median arrival date at McNary Dam was April 24 for Lyons Ferry Hatchery yearlings.« less
Sea Ice Observations from the Winter Weddell Gyre Study -
1991-02-01
Winter Weddell Gyre Study- Debra A. Meese. John W. Govoni. Vladimir Churijn. Borns Ivanov, Victor Komarovskiy. Vasily Shilnikov and Andre Zachek P...A MEESE, JOHN W GOVMN, VLADIMIR CHJURUN. BORIS IVANOV, VICrOR KONIAROVSKIY. VASILY SHILNIKOV AND ANDRE ZACHEK INTRODUCTION 18 September 1989 (day 261...station 24, ,0 f 1 2 150 300 5 JIE1IOBAfl OBOTAIIOBKA OoeaIorpadliuecxanI CTaIIW~lf Pit Itjara: ~ 18 ’= 67o, ’fP 67-50 ) :S A = iis 5 ~~v BPe.fn
Cassier, P; Bénet, T; Nicolle, M C; Brunet, M; Buron, F; Morelon, E; Béraud, L; Descours, G; Jarraud, S; Vanhems, P
2015-10-01
Transplant recipients are at risk of developing Legionnaires' disease (LD) because of impaired cellular immunity. Here, we describe a renal transplant recipient who developed LD at least 10 days after hospital admission and transplantation. The hospital water network was initially suspected, but further testing determined that the probable source was the patient's domestic water supply. Our report also suggests that the patient's immunosuppressed state may have switched potential colonization to pneumonia. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Mill and mental phenomena: critical contributions to a science of cognition.
Bistricky, Steven L
2013-06-01
Attempts to define cognition preceded John Stuart Mill's life and continue to this day. John Stuart Mill envisioned a science of mental phenomena informed by associationism, empirical introspection, and neurophysiology, and he advanced specific ideas that still influence modern conceptions of cognition. The present article briefly reviews Mill's personal history and the times in which he lived, and it traces the evolution of ideas that have run through him to contemporary cognitive concepts. The article also highlights contemporary problems in defining cognition and supports specific criteria regarding what constitutes cognition.
Matsumoto, Takuro; Hara, Takeshi; Shibata, Yuhei; Nakamura, Nobuhiko; Nakamura, Hiroshi; Ninomiya, Soranobu; Kitagawa, Junichi; Kanemura, Nobuhiro; Goto, Naoe; Kito, Yusuke; Kasahara, Senji; Yamada, Toshiki; Sawada, Michio; Miyazaki, Tatsuhiko; Takami, Tsuyoshi; Takeuchi, Tamotsu; Moriwaki, Hisataka; Tsurumi, Hisashi
2017-09-01
We have reported the efficacy of the salvage chemotherapy P-IMVP16/CBDCA for patients with diffuse large B cell lymphoma (DLBCL) who had previously received CHOP before the availability of rituximab (R). Here, we confirmed the efficacy of R combined with P-IMVP16/CBDCA as a salvage chemotherapy for patients with DLBCL, who had previously received R-CHOP. We retrospectively analysed 59 patients with relapse or refractory DLBCL (38 male patients and 21 female patients) presenting between June 2004 and June 2013. The patients received R 375 mg/m 2 on day 1, methylprednisolone 1000 mg/body for 3 days (from day 3 to day 5), ifosfamide 1000 mg/m 2 for 5 days (from day 3 to day 7), methotrexate 30 mg/m 2 on day 5 and day 12, etoposide 80 mg/m 2 for 3 days (from day 3 to day 5), and carboplatin 300 mg/m 2 on day 3 every 21 days. Patients aged 70 years or older were given 75% of the standard dose. The overall response rate (complete response + partial response) was 64.4%. The 2-year overall survival rate was 55.3%. The 2-year progression free survival rate was 34.7%. The 2-year overall survival rate was 61.5% for the relapse patients, and 15.6% for the refractory patients (p < 0.0001). One patient died because of sepsis related to the treatment regimen. Non-hematological adverse effects were mild and tolerable. The R-P-IMVP-16/CBDCA regimen displayed a significant activity in relapsed DLBCL, with acceptable toxicity, and should be considered a candidate for salvage chemotherapy. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.
Yukita, Akira; Yoshiba, Kunihiko; Yoshiba, Nagako; Takahashi, Masafumi; Nakamura, Hiroaki
2012-01-01
Dental pulp is involved in the formation of bone-like tissue in response to external stimuli. However, the origin of osteoblast-like cells constructing this tissue and the mechanism of their induction remain unknown. We therefore evaluated pulp mineralization induced by transplantation of a green fluorescent protein (GFP)–labeled tooth into a GFP-negative hypodermis of host rats. Five days after the transplantation, the upper pulp cavity became necrotic; however, cell-rich hard tissue was observed adjacent to dentin at the root apex. At 10 days, woven bone-like tissue was formed apart from the dentin in the upper pulp. After 20 days, these hard tissues expanded and became histologically similar to bone. GFP immunoreactivity was detected in the hard tissue-forming cells within the root apex as well as in the upper pulp. Furthermore, immunohistochemical observation of α–smooth muscle actin, a marker for undifferentiated cells, showed a positive reaction in cells surrounding this bone-like tissue within the upper pulp but not in those within the root apex. Immunoreactivities of Smad4, Runx2, and Osterix were detected in the hard tissue-forming cells within both areas. These results collectively suggest that the dental pulp contains various types of osteoblast progenitors and that these cells might thus induce bone-like tissue in severely injured pulp. PMID:22899860
Nelson, Anita; Parke, Susanne; Makalova, Dagmar; Serrani, Marco; Palacios, Santiago; Mellinger, Uwe
2013-08-01
To summarise all clinical data on the contraceptive efficacy and bleeding profile associated with an oestradiol valerate (E2V) and dienogest (DNG) [E2V/DNG] combined oral contraceptive (COC) derived from Phase III trials. Pooled analysis of three large-scale multicentre trials conducted in healthy women who received oral E2V/DNG for 7 to 28 cycles (28-day cycles). A total of 2266 women were included in this analysis. Overall, 19 pregnancies occurred over 13 cycles during 880,950 days of relevant exposure (Pearl Index [PI] of 0.79; upper limit of the two-sided 95% confidence interval [CI]: 1.23). Ten pregnancies attributed to method failure came about during 871,091 days of relevant exposure (adjusted PI of 0.42; upper limit of the two-sided 95% CI: 0.77). In women aged 18 to 35 years (n = 1687), the corresponding PI and adjusted PI were 1.01 (upper limit of the two-sided 95% CI: 1.59) and 0.51 (upper limit of the two-sided 95% CI: 0.97), respectively. In the first 13 cycles of treatment, 76 to 81% of women experienced scheduled withdrawal bleeding, and 13 to 23% experienced intracyclic bleeding. E2V/DNG provides reliable contraceptive efficacy in women aged 18 to 50 years.
Archaeological Investigations at Tarague Beach, Guam,
1986-06-01
project. Intermittant professional assistance, however, was provided by the following individuals: Charles Streck (5 days), Kanalei Shun (4 days). John...Freshwater is confined to surface discharge, with several perennial rivers and streams, and a large number of intermittent streams carrying most of the...and observed no latte structures. He does say, however, that Any sites there are likely to be disturbed unless Air Force excercises care in road
NASA Technical Reports Server (NTRS)
1998-01-01
On this third day of the STS-95 mission, the flight crew, Cmdr. Curtis L. Brown, Pilot Steven W. Lindsey, Mission Specialists Scott E. Parazynski, Stephen K. Robinson, and Pedro Duque, and Payload Specialists Chiaki Mukai and John H. Glenn, are seen checking out equipment that will be used for the deployment of the Spartan, a small, Shuttle-launched and retrieved satellite, whose mission is to study the Sun.
Szyszkowicz, Mieczysław; Kousha, Termeh; Castner, Jessica; Dales, Robert
2018-05-01
Increasing evidence suggests that ambient air pollution is a major risk factor for both acute and chronic respiratory disease exacerbations and emergencies. The objective of this study was to determine the association between ambient air pollutants and emergency department (ED) visits for respiratory conditions in nine districts across the province of Ontario in Canada. Health, air pollutant (PM 2.5 , NO 2 , O 3 , and SO 2 ), and meteorological data were retrieved from April 2004 to December 2011. Respiratory diseases were categorized as: chronic obstructive pulmonary disease (COPD, including bronchiectasis) and acute upper respiratory diseases. A case-crossover design was used to test the associations between ED visits and ambient air pollutants, stratified by sex and season. For COPD among males, positive results were observed for NO 2 with lags of 3-6 days, for PM 2.5 with lags 1-8, and for SO 2 with lags of 4-8 days. For COPD among females, positive results were observed for O 3 with lags 2-4 days, and for SO 2 among lags of 3-6 days. For upper respiratory disease emergencies among males, positive results were observed for NO 2 (lags 5-8 days), for O 3 , (lags 0-6 days), PM 2.5 (all lags), and SO 2 (lag 8), and among females, positive results were observed for NO 2 for lag 8 days, for O 3 , PM 2.5 among all lags. Our study provides evidence of the associations between short-term exposure to air pollution and increased risk of ED visits for upper and lower respiratory diseases in an environment where air pollutant concentrations are relatively low. Crown Copyright © 2018. Published by Elsevier Inc. All rights reserved.
NASA Astrophysics Data System (ADS)
1999-04-01
The review of Statistical Mechanics for Chemists appearing on page 1217 of the October 1998 issue should have listed the reviewer as: John Gunn Department of Chemistry Université du Montréal Montreal, PQ, Canada The review of Molecular Mechanics across Chemistry appearing on page 31 of the January 1999 issue should have listed the first author as Anthony K. Rappé. The review of The Art of Molecular Dynamics Simulation appearing on page 171 of the February 1999 issue should have listed the reviewer as: Stephen P. Molnar Foundation for Chemistry Upper Arlington, OH 43212-1112
GEMINI-TITAN (GT)-3 - EARTH- SKY VIEW
1965-03-23
S65-18740 (23 March 1965) --- Astronaut John W. Young took this picture during the second orbit of the Gemini-Titan 3 three-orbit mission as the spacecraft "Molly Brown" passed over Northern Mexico at an altitude of 90 miles. The light-brown circular area at the lower right is the Sonoran Desert. The lower portion of the picture is Mexico, and the upper part is California. Young used a hand-held modified 70mm Hasselblad camera with color film. The lens setting was 250th of a second at f/11.
Castellari, Elena; Cotti, Chad; Gordanier, John; Ozturk, Orgul
2017-11-01
In this paper, we examine the relationship between the timing of food stamp receipt and purchasing patterns. We combine data on state distribution dates of food stamps with scanner data on a panel of households purchases tracked between 2004 and 2011. We find that purchases of a variety of goods are meaningfully higher on receipt days, consistent with previous work that suggests that recipients are very impatient. Additionally, and importantly, estimates indicate that when food stamp receipt days fall on weekends, total monthly purchases within the same households are affected. In particular, monthly purchases of beer are higher when food stamps are distributed on a weekend rather than in months where benefits are distributed on weekdays. For these households, total beer purchases are between 4 and 5% higher in those months. Among households ineligible for food stamps, no effect is identified. These results demonstrate that the 'day-of-the-week' of SNAP treatment may have important impacts on household purchase habits. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.
Chai, Guohong; Zhang, Dingguo; Zhu, Xiangyang
2017-05-01
Cutaneous electrical stimulation can provide tactile feedback for upper-limb amputees through somatotopic feedback (SF) or non-somatotopic feedback (NF). The SF delivers electrotactile stimulus to projection finger maps (PFMs) on the stumps of amputees, which outperforms NF that transfers stimulus to other human intact skin areas in general. However, the SF areas on stumps are very limited and often occupied by electromyography (EMG) sensors in application of myoelectric prosthesis. This work aims at improving NF performance on human upper arms through user training with electrotactile stimulation. The experiments were conducted over seven consecutive days on nine able-bodied subjects and two forearm amputees. The performance measures of NF/SF included the correct identification rates (CIR s ), the response time and the NASA-TLX questionnaire. The between-day CIR s on NF sites increased logarithmically with a mean course of 3-day rapid-improving phase and plateaued in the relative-steady phase. The response time and NASA-TLX scores could also rapidly reduce to the comparable levels of the SF areas during the same mean period of 3-day rapid-improving phase, respectively. These results indicated that the performance of NF could be highly improved to the equivalent level as that of SF through 3-day electrotactile training, which we named as "3-day effect". It provides important insights that intact skin areas without phantom sensations can effectively replace SF sites to transfer tactile feedback after continuous user training, which validates effectiveness of non-invasive interfaces of tactile feedback for upper-limb amputees in practice.
Relationship of functional fitness with daily steps in community-dwelling older adults.
de Melo, Lucelia Luna; Menec, Verena H; Ready, A Elizabeth
2014-01-01
Walking is the main type of physical activity among community-dwelling older adults and it is associated with various health benefits. However, there is limited evidence about the relationship between functional fitness and walking performed under independent living conditions among older adults. This study examined the relationship between functional fitness and steps walked per day among older adults, both assessed objectively, with performance-based measures accounting for the effect of age, gender, and chronic conditions. In this cross-sectional study, 60 participants aged 65 years or older (mean = 76.9 ± 7.3 years, range 65-92 years) wore pedometers for 3 consecutive days. Functional fitness was measured using the Functional Fitness Test (lower and upper body strength, endurance, lower and upper body flexibility, agility/balance). The outcome measure was the mean number of steps walked for 3 days with participants classified into tertiles: low walkers (<3000 steps), medium walkers (≥3000 < 6500 steps), and high walkers (≥6500 steps). After controlling for age, gender, and the number of chronic conditions, none of the functional fitness parameters was significantly associated with steps taken per day when comparing medium walkers with low walkers. In contrast, all functional fitness parameters, except upper body flexibility, were significantly associated with steps taken per day when comparing high walkers with low walkers. In this sample of older adults, greater functional fitness was associated only with relatively high levels of walking involving 6500 steps per day or more. It was not related to medium walking levels. The findings point to the importance of interventions to maintain or enhance functional fitness among older adults.
Su, Chunxiao; Lau, Josephine; Yu, Fang
2017-01-08
Recently, the requirement to continuously collect bioaerosol samples using shorter response times has called for the use of real-time detection. The decreased cost of this technology makes it available for a wider application than military use, and makes it accessible to pharmaceutical and academic research. In this case study, real-time bioaerosol monitors (RBMs) were applied in elementary school classrooms-a densely occupied environment-along with upper-room ultraviolet germicidal irradiation (UVGI) devices. The classrooms were separated into a UVGI group and a non-UVGI control group. Fluorescent bioaerosol counts (FBCs) were monitored on 20 visiting days over a four-month period. The classroom with upper-room UVGI showed significantly lower concentrations of fine size (<3 μm) and total FBCs than the control classroom during 13 of the 20 visiting days. The results of the study indicate that the upper-room UVGI could be effective in reducing FBCs in the school environment, and RBMs may be applicable in reflecting the transient conditions of the classrooms due to the dynamic activity levels of the students and teachers.
NASA Astrophysics Data System (ADS)
Guo, W.; Li, W.; Qiu, B.; Xue, Y.
2017-12-01
The Tibetan Plateau (TP) acts as an elevated cooling source in the middle troposphere at wintertime. We here present evidence that the intraseasonal variability of the TP snow cover (TPSC) controls part of the East Asian upper-level jet stream. This study found that there is significant positive lag correlation between the East Asian (EA) upper-level westerly jet and the TPSC in winter. When the TPSC increases/decreases, the EA upper-level westerly jet enhances/weakens in the following 8 days. We performed numerical experiments to prove that the lag correlation is causal relationship by using a regional climate model. Due to the high albedo of the snow cover, the increased/decreased snow cover increases/decreases the albedo and affects the surface energy balance over the TP. The energy absorbed by the surface is reduced/increased due to increased/decreased shortwave reflects to the atmosphere. There is anomalous cooling/heating effect over the TP. Such effect leads to anomalous geopotential height (GHT) field that propagates eastward with the zonal wind to the east. The anomalous GHT reaches key region of EA upper-level westerly jet at about 6 days. The adaptive modulation of GHT gradients affects wind fields (through geostrophic balance). As a result, the EA upper-level westerly jet is enhanced (weakened). Through the above process, the TPSC eventually influences the EA upper-level westerly jet. This report reveals that the intraseasonal variability of TPSC can server as an indicator of East Asia Atmospheric circulation on short-to-medium range.
Toft, Nina; Birgens, Henrik; Abrahamsson, Jonas; Griškevičius, Laimonas; Hallböök, Helene; Heyman, Mats; Klausen, Tobias Wirenfeldt; Jónsson, Ólafur Gísli; Palk, Katrin; Pruunsild, Kaie; Quist-Paulsen, Petter; Vaitkeviciene, Goda; Vettenranta, Kim; Asberg, Ann; Helt, Louise Rold; Frandsen, Thomas; Schmiegelow, Kjeld
2016-02-01
Cure rates improve when adolescents and young adults with acute lymphoblastic leukemia (ALL) are treated according to pediatric protocols. Assumed risks of toxicities and associated delays in treatment have played a role in setting upper age limits. The aim of this study was to examine the toxicity profile and treatment delays in NOPHO ALL2008 comparing children and adults. We collected information on 19 treatment-related toxicities, systematically captured at 3-month intervals throughout therapy, and time intervals between 12 consecutive treatment phases for 1076 patients aged 1-45 yrs treated according to the Nordic/Baltic ALL2008 protocol. No adults died during induction. The duration of induction therapy and postinduction treatment phases did not differ between children and adults, except for patients 18-45 yrs being significantly delayed during two of nine high-risk blocks (median number of days for patients 1-9, 10-17, and 18-45 yrs; the glucocorticosteroid/antimetabolite-based block B1: 24, 26, and 29 d, respectively, P = 0.001, and Block 5 (in most cases also a B block): 29, 29, and 37 d, respectively, P = 0.02). A higher incidence of thrombosis with increasing age was found; highest odds ratio 5.4 (95% CI: (2.6;11.0)) for patients 15-17 yrs compared with children 1-9 yrs (P < 0.0001). Risk of avascular osteonecrosis was related to age with the highest OR for patients 10-14 yrs (OR = 10.4 (95% CI: (4.4;24.9)), P < 0.0001). Adults followed and tolerated the NOPHO ALL2008 protocol virtually as well as children, although thrombosis and avascular osteonecrosis was most common among adolescents. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Haffar, Samir; Shalimar; Kaur, Ravinder J; Wang, Zhen; Prokop, Larry J; Murad, Mohammad H; Bazerbachi, Fateh
2018-04-19
Acute liver failure caused by hepatitis E virus genotype 3 and 4 has been rarely described. Because of the presence of a short golden therapeutic window in patients with viral acute liver failure from other causes, it is possible that early recognition and treatment might reduce the morbidity and mortality. We performed a systematic review and pooled analysis of acute liver failure caused by hepatitis E virus genotype 3 and 4. Two reviewers appraised studies after searching multiple databases on June 12th, 2017. Appropriate tests were used to compare hepatitis E virus genotype 3 vs 4, suspected vs confirmed genotypes, hepatitis E virus-RNA positive vs negative, and to discern important mortality risk factors. We identified 65 patients, with median age 58 years (range: 3-79), and a male to female ratio of 1.2:1. The median bilirubin, ALT, AST and alkaline phosphatase (expressed by multiplication of the upper limit of normal) levels were 14.8, 45.3, 34.8 and 1.63 respectively. Antihepatitis E virus IgG, antihepatitis E virus IgM and hepatitis E virus-RNA were positive in 84%, 91% and 86% of patients respectively. The median interval from symptoms onset to acute liver failure was 23 days, and 16 patients underwent liver transplantation. Final outcome was reported in 58 patients and mortality was 46%. Age was a predictor of poor prognosis in multivariate analysis. No important differences were found between patients infected with genotype 3 vs 4, patients with confirmed vs suspected genotypes, or patients with positive vs negative RNA. Acute liver failure caused by hepatitis E virus genotype 3 and 4 is rare, similar between genotypes, occurs commonly in middle-aged/elderly patients and has a very high mortality. Age is predictive of poor prognosis in multivariate analysis. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Williams, Lester J.
2010-01-01
A 1,168-foot deep test well was completed at Hunter Army Airfield in the summer of 2009 to investigate the potential of using the Lower Floridan aquifer as a source of water supply to satisfy increased needs as a result of base expansion and increased troop levels. The U.S. Geological Survey conducted hydrologic testing at the test site including flowmeter surveys, packer-slug tests, and aquifer tests of the Upper and Lower Floridan aquifers. Flowmeter surveys were completed at different stages of well construction to determine the depth and yield of water-bearing zones and to identify confining beds that separate the main producing aquifers. During a survey when the borehole was open to both the upper and lower aquifers, five water-bearing zones in the Upper Floridan aquifer supplied 83.5 percent of the total pumpage, and five water-bearing zones in the Lower Floridan aquifer supplied the remaining 16.5 percent. An upward gradient was indicated from the ambient flowmeter survey: 7.6 gallons per minute of groundwater was detected entering the borehole between 750 and 1,069 feet below land surface, then moved upward, and exited the borehole into lower-head zones between 333 and 527 feet below land surface. During a survey of the completed Lower Floridan well, six distinct water-producing zones were identified; one 17-foot-thick zone at 768-785 feet below land surface yielded 47.9 percent of the total pumpage while the remaining five zones yielded between 2 and 15 percent each. The thickness and hydrologic properties of the confining unit separating the Upper and Lower Floridan aquifers were determined from packer tests and flowmeter surveys. This confining unit, which is composed of rocks of Middle Eocene age, is approximately 160 feet thick with horizontal hydraulic conductivities determined from four slug tests to range from 0.2 to 3 feet per day. Results of two separate slug tests within the middle confining unit were both 2 feet per day. Aquifer testing indicated the Upper Floridan aquifer had a transmissivity of 40,000 feet squared per day, and the Lower Floridan aquifer had a transmissivity of 10,000 feet squared per day. An aquifer test conducted on the combined aquifer system, when the test well was open from 333 to 1,112 feet, gave a transmissivity of 50,000 feet squared per day. Additionally, during the 72-hour test of the Lower Floridan aquifer, a drawdown response was observed in the Upper Floridan aquifer wells.
Coker-Bolt, Patty; Downey, Ryan J; Connolly, Jacqueline; Hoover, Reagin; Shelton, Daniel; Seo, Na Jin
2017-01-01
The aim of this pilot study was to determine the feasibility and use accelerometers before, during, and after a camp-based constraint-induced movement therapy (CIMT) program for children with hemiplegic cerebral palsy. A pre-test post-test design was used for 12 children with CP (mean = 4.9 yrs) who completed a 30-hour camp-based CIMT program. The accelerometer data were collected using ActiGraph GT9X Link. Children wore accelerometers on both wrists one day before and after the camp and on the affected limb during each camp day. Three developmental assessments were administered pre-post CIMT program. Accelerometers were successfully worn before, during, and directly after the CIMT program to collect upper limb data. Affected upper limb accelerometer activity significantly increased during the CIMT camp compared to baseline (p< 0.05). Significant improvements were seen in all twelve children on all assessments of affected upper limb function (p< 0.05) measuring capacity and quality of affected upper limb functioning. Accelerometers can be worn during high intensity pediatric CIMT programs to collect data about affected upper limb function. Further study is required to determine the relationship between accelerometer data, measure of motor capacity, and real-world performance post-CIMT.
Upper lobe fibrosis: a novel manifestation of chronic allograft dysfunction in lung transplantation.
Pakhale, Smita Sakha; Hadjiliadis, Denis; Howell, David N; Palmer, Scott M; Gutierrez, Carlos; Waddell, Thomas K; Chaparro, Cecilia; Davis, R Duane; Keshavjee, Shaf; Hutcheon, Michael A; Singer, Lianne G
2005-09-01
Lung transplantation is an established treatment modality for a number of chronic lung diseases. Long-term survival after lung transplantation is limited by chronic allograft dysfunction, usually manifested by bronchiolitis obliterans syndrome. We describe a case series with upper lobe fibrosis, a novel presentation of chronic allograft dysfunction. We reviewed lung transplants at the Toronto General Hospital and Duke University Hospital from 1990 to 2002 and identified patients with upper lobe fibrosis. Thirteen of 686 patients (6 women) developed upper lobe fibrosis (Toronto, 9; Duke, 4); 12 of 13 had bilateral transplants. The median age at diagnosis was 42 years (range, 19-70). Primary diagnoses were cystic fibrosis, 6; emphysema, 4; sarcoidosis, 1; and pulmonary fibrosis, 2 patients. Radiographic diagnosis was made at a median of 700 days post-transplant (range, 150-2,920). Pulmonary function tests demonstrated predominantly a progressively worsening restrictive pattern. Open lung biopsy specimens revealed dense interstitial fibrosis, with occasional features of obliterative bronchitis, bronchiolitis obliterans obstructive pneumonia, and aspiration. Nine patients died at a median follow-up of 2,310 days (range, 266-3,740), 8 due to respiratory failure. Upper lobe fibrosis is a novel presentation of chronic allograft dysfunction in lung transplant recipients and is differentiated from bronchiolitis obliterans syndrome on the basis of physiologic and radiologic findings.
STS-125 Crew Members replace LiOH Cannisters on the Shuttle Atlantis Middeck
2009-05-13
S125-E-006611 (13 May 2009) --- Astronaut John Grunsfeld, STS-125 mission specialist, works with lithium hydroxide (LiOH) canisters from beneath Space Shuttle Atlantis' middeck during flight day three activities.
Upper Lower Cambrian depositional sequence in Avalonian New Brunswick
Landing, E.; Westrop, S.R.
1996-01-01
The Hanford Brook Formation (emended) is a thin (up to 42+ m), upper Lower Cambrian depositional sequence that is unconformably bounded by the lower Lower Cambrian (Random Formation) and the middle Middle Cambrian (Fossil Brook Member of the Chamberlain's Brook Formation). These stratigraphic relationships of the trilobite-bearing Hanford Brook Formation indicate deposition on the Avalonian marginal platform in the Saint John, New Brunswick, region and provide more evidence for a uniform, latest Precambrian-Cambrian epeirogenic history and cover sequence in Avalon. The Hanford Brook Formation is a deepening - shoaling sequence with (i) lower, transgressive sandstone deposited in episodically high-energy environments (St. Martins Member, new); (ii) highstand-regressive, dysaerobic mudstone - fine-grained sandstone with volcanic ashes (Somerset Street Member, new); and (iii) upper, regressive, planar and hummocky cross-stratified sandstone (Long Island Member, new). Trilobites are common in the distal Somerset Street Member, and ostracodes and brachiopods dominate the St. Martins and Long Island members. Condensation of the St. Martins Member and absence of the Long Island Member where the Random Formation and Fossil Brook Member are thinnest suggest onlap of the Hanford Brook and pronounced, sub-Middle Cambrian erosion across epeirogenically active blocks in southern New Brunswick.
Endo, Arisa; Suzuki, Makoto; Akagi, Atsumi; Chiba, Naoyuki; Ishizaka, Ikuyo; Matsunaga, Atsuhiko; Fukuda, Michinari
2015-03-01
The purpose of this study was to examine the reliability and validity of the Upper-body Dressing Scale (UBDS) for buttoned shirt dressing, which evaluates the learning process of new component actions of upper-body dressing in patients diagnosed with dementia and hemiparesis. This was a preliminary correlational study of concurrent validity and reliability in which 10 vascular dementia patients with hemiparesis were enrolled and assessed repeatedly by six occupational therapists by means of the UBDS and the dressing item of the Functional Independence Measure (FIM). Intraclass correlation coefficient was 0.97 for intra-rater reliability and 0.99 for inter-rater reliability. The level of correlation between UBDS score and FIM dressing item scores was -0.93. UBDS scores for paralytic hand passed into the sleeve and sleeve pulled up beyond the shoulder joint were worse than the scores for the other components of the task. The UBDS has good reliability and validity for vascular dementia patients with hemiparesis. Further research is needed to investigate the relation between UBDS score and the effect of intervention and to clarify sensitivity or responsiveness of the scale to clinical change. Copyright © 2014 John Wiley & Sons, Ltd.
van Ark, M; Docking, S I; van den Akker-Scheek, I; Rudavsky, A; Rio, E; Zwerver, J; Cook, J L
2016-02-01
Patellar tendinopathy (jumper's knee) has a high prevalence in jumping athletes. Excessive load on the patellar tendon through high volumes of training and competition is an important risk factor. Structural changes in the tendon are related to a higher risk of developing patellar tendinopathy. The critical tendon load that affects tendon structure is unknown. The aim of this study was to investigate patellar tendon structure on each day of a 5-day volleyball tournament in an adolescent population (16-18 years). The right patellar tendon of 41 players in the Australian Volleyball Schools Cup was scanned with ultrasound tissue characterization (UTC) on every day of the tournament (Monday to Friday). UTC can quantify structure of a tendon into four echo types based on the stability of the echo pattern. Generalized estimating equations (GEE) were used to test for change of echo type I and II over the tournament days. Participants played between eight and nine matches during the tournament. GEE analysis showed no significant change of echo type percentages of echo type I (Wald chi-square = 4.603, d.f. = 4, P = 0.331) and echo type II (Wald chi-square = 6.070, d.f. = 4, P = 0.194) over time. This study shows that patellar tendon structure of 16-18-year-old volleyball players is not affected during 5 days of cumulative loading during a volleyball tournament. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Weaver, Patricia G; Williams, Bronwyn W
2017-06-07
Targeted sampling efforts by the authors for the signal crayfish, Pacifastacus leniusculus, from its native range in the John Day River Basin, Oregon, U.S.A. yielded entocytherid ostracods with a male copulatory complex so clearly different from other entocytherines that a new genus, Aurumcythere gen. nov. is proposed to receive them. This newly proposed, apparently nonsclerotized, genus with hook and spur-like prominences of the posteroventral end of the peniferum is the first new genus of the subfamily Entocytherinae named since Hobbs & Peters described Aphelocythere (= Waltoncythere) in 1977. Aurumcythere gen. nov. represents only the second genus of entocytherid known from the Pacific Northwest. Lack of sclerotization in Aurumcythere gen. nov. provides new insight into poorly understood mating behaviors of entocytherid ostracods.
Can Households Cope with Health Shocks in Vietnam?
Mitra, Sophie; Palmer, Michael; Mont, Daniel; Groce, Nora
2016-07-01
This paper investigates the economic impact of health shocks on working-age adults in Vietnam during 2004-2008, using a fixed effects specification. Health shocks cover disability and morbidity and are measured by 'days unable to carry out regular activity', 'days in bed due to illness/injury', and 'hospitalization'. Overall, Vietnamese households are able to smooth total non-health expenditures in the short run in the face of a significant rise in out-of-pocket health expenditures. However, this is accomplished through vulnerability-enhancing mechanisms, especially in rural areas, including increased loans and asset sales and decreased education expenditures. Female-headed and rural households are found to be the least able to protect consumption. Results highlight the need to extend and deepen social protection and universal health coverage. © 2015 The Authors. Health Economics published by John Wiley & Sons Ltd. © 2015 The Authors. Health Economics published by John Wiley & Sons Ltd.
Heterogeneity in Smokers' Responses to Tobacco Control Policies.
Nesson, Erik
2017-02-01
This paper uses unconditional quantile regression to estimate whether smokers' responses to tobacco control policies change across the distribution of smoking levels. I measure smoking behavior with the number of cigarettes smoked per day and also with serum cotinine levels, a continuous biomarker of nicotine exposure, using individual-level repeated cross-section data from the National Health and Nutrition Examination Surveys. I find that the cigarette taxes lead to reductions in both the number of cigarettes smoked per day and in smokers' cotinine levels. These reductions are most pronounced in the middle quantiles of both distributions in terms of marginal effects, but most pronounced in the lower quantiles in terms of tax elasticities. I do not find that higher cigarette taxes lead to statistically significant changes in the amount of nicotine smokers ingest from each cigarette. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.
Progressive Derechos in the Presence of Closed Upper-level Subtropical Anticyclones
NASA Astrophysics Data System (ADS)
Guastini, C.; Bosart, L. F.
2013-12-01
Progressive derechos are a type of long-lived mesoscale convective system that produces large swaths of wind damage. In contrast to their serial derecho counterparts, which form in association with extratropical cyclones, progressive derechos often occur in the presence of benign synoptic conditions on the poleward side of closed upper-level subtropical anticyclones. Forecasters have been known to struggle predicting progressive derechos with any certainty due to the common lack of large-scale support for severe weather in regimes dominated by anticyclonic conditions. This study will classify a group of days on which there was a closed upper-level anticyclone over the United States and a progressive derecho did not occur and a group of days on which there was a closed upper-level anticyclone over the United States and a progressive derecho did occur, examine the synoptic environments of the two groups, and identify derecho null cases. By analyzing the null cases, derecho failure modes will be determined, which will help forecaster situational awareness and reveal the science behind the environmental conditions necessary for, and detrimental to, derecho development. This presentation will include climatologies of both derechos and closed upper-level anticyclones over the United States for June, July, and August of the years 1994-2013 (the modern radar era). The presentation will also include closed anticyclone-relative composites of both derecho cases and derecho null cases. The composites will elucidate which conditions are necessary for, and which are detrimental to, derecho development. The hypothesis is that derecho failure days occur due either to the lack of a triggering mechanism or other phenomena working against convective development such as a strong capping inversion or transverse ageostrophic circulations around an upper-level jet creating subsidence in an otherwise favorable environment. A representative case study will be included to highlight a common derecho failure mode.
Buccola, Norman L.; Stonewall, Adam J.; Rounds, Stewart A.
2015-01-01
Estimated egg-emergence days for endangered Upper Willamette River Chinook salmon (Oncorhynchus tshawytscha) and Upper Willamette River winter steelhead (Oncorhynchus mykiss) were assessed for all scenarios. Estimated spring Chinook fry emergence under SlidingWeir scenarios was 9 days later immediately downstream of Big Cliff Dam, and 4 days later at Greens Bridge compared with existing structural scenarios at Detroit Dam. Despite the inclusion of a hypothetical sliding weir at Detroit Dam, temperatures exceeded without-dams temperatures during November and December. These late-autumn exceedances likely represent the residual thermal effect of Detroit Lake operated to meet minimum dry-season release rates (supporting instream habitat and irrigation requirements) and lake levels specified by the current (2014) operating rules (supporting recreation and flood mitigation).
NASA Astrophysics Data System (ADS)
Cady, E. C.
1997-01-01
The Solar Thermal Upper Stage Technology Demonstrator (STUSTD) Liquid Hydrogen Storage and Feed System (LHSFS) Test Program is described. The test program consists of two principal phases. First, an engineering characterization phase includes tests performed to demonstrate and understand the expected tank performance. This includes fill and drain; baseline heat leak; active Thermodynamic Vent System (TVS); and flow tests. After the LHSFS performance is understood and performance characteristics are determined, a 30 day mission simulation test will be conducted. This test will simulate a 30 day transfer mission from low earth orbit (LEO) to geosynchronous equatorial orbit (GEO). Mission performance predictions, based on the results of the engineering characterization tests, will be used to correlate the results of the 30 day mission simulation.
MAVEN observations of the Mars upper atmosphere, ionosphere, and solar wind interactions
NASA Astrophysics Data System (ADS)
Jakosky, Bruce M.
2017-09-01
The Mars Atmosphere and Volatile Evolution (MAVEN) mission to Mars has been operating in orbit for more than a full Martian year. Observations are dramatically changing our view of the Mars upper atmosphere system, which includes the upper atmosphere, ionosphere, coupling to the lower atmosphere, magnetosphere, and interactions with the Sun and the solar wind. The data are allowing us to understand the processes controlling the present-day structure of the upper atmosphere and the rates of escape of gas to space. These will tell us the role that escape to space has played in the evolution of the Mars atmosphere and climate.
Upper Atmosphere Heating From Ocean-Generated Acoustic Wave Energy
Bowman, D. C.; Lees, J. M.
2018-04-27
We present that colliding sea surface waves generate the ocean microbarom, an acoustic signal that may transmit significant energy to the upper atmosphere. Previous estimates of acoustic energy flux from the ocean microbarom and mountain-wind interactions are on the order of 0.01 to 1 mW/m 2, heating the thermosphere by tens of Kelvins per day. We captured upgoing ocean microbarom waves with a balloon-borne infrasound microphone; the maximum acoustic energy flux was approximately 0.05 mW/m 2. This is about half the average value reported in previous ground-based microbarom observations spanning 8 years. The acoustic flux from the microbarom episode describedmore » here may have heated the thermosphere by several Kelvins per day while the source persisted. Lastly, we suggest that ocean wave models could be used to parameterize acoustically generated heating of the upper atmosphere based on sea state.« less
Upper Atmosphere Heating From Ocean-Generated Acoustic Wave Energy
DOE Office of Scientific and Technical Information (OSTI.GOV)
Bowman, D. C.; Lees, J. M.
We present that colliding sea surface waves generate the ocean microbarom, an acoustic signal that may transmit significant energy to the upper atmosphere. Previous estimates of acoustic energy flux from the ocean microbarom and mountain-wind interactions are on the order of 0.01 to 1 mW/m 2, heating the thermosphere by tens of Kelvins per day. We captured upgoing ocean microbarom waves with a balloon-borne infrasound microphone; the maximum acoustic energy flux was approximately 0.05 mW/m 2. This is about half the average value reported in previous ground-based microbarom observations spanning 8 years. The acoustic flux from the microbarom episode describedmore » here may have heated the thermosphere by several Kelvins per day while the source persisted. Lastly, we suggest that ocean wave models could be used to parameterize acoustically generated heating of the upper atmosphere based on sea state.« less
Bone Lengthening in the Pediatric Upper Extremity.
Farr, Sebastian; Mindler, Gabriel; Ganger, Rudolf; Girsch, Werner
2016-09-07
➤Bone lengthening has been used successfully for several congenital and acquired conditions in the pediatric clavicle, humerus, radius, ulna, and phalanges.➤Common indications for bone lengthening include achondroplasia, radial longitudinal deficiency, multiple hereditary exostosis, brachymetacarpia, symbrachydactyly, and posttraumatic and postinfectious growth arrest.➤Most authors prefer distraction rates of <1 mm/day for each bone in the upper extremity except the humerus, which can safely be lengthened by 1 mm/day.➤Most authors define success by the amount of radiographic bone lengthening, joint motion after lengthening, and subjective patient satisfaction rather than validated patient-related outcome measures.➤Bone lengthening of the upper extremity is associated with a high complication rate, with complications including pin-track infections, fixation device failure, nerve lesions, nonunion, fracture of regenerate bone, and joint dislocations. Copyright © 2016 by The Journal of Bone and Joint Surgery, Incorporated.
Landing, E.
1996-01-01
A west to east, marginal to inner Avalonian platform transition, comparable to that in southeast Newfoundland and southern Britain, is present in the Cambrian of southern New Brunswick. The Saint John - Caton's Island - Hanford Brook area lay on the marginal platform, and its thick, uppermost Precambrian - lower Lower Cambrian is unconformably overlain by trilobite-bearing, upper Lower Cambrian. An inner platform remnant is preserved in the Cradle Brook outlier 60 km northeast of Saint John. In contrast to the marginal platform sequences, the Cradle Brook outlier has a very thin lower Lower Cambrian and has middle Lower Cambrian strata (Bonavista Group) not present on the marginal platform. The Cradle Brook Lower Cambrian closely resembles inner platform successions in eastern Massachusetts and Trinity and Placentia bays, southeast Newfoundland. A limestone with Camenella baltica Zone fossils on Cradle Brook seems to be the peritidal limestone cap of the subtrilobitic Lower Cambrian known in Avalonian North America (Fosters Point Formation) and England (Home Farm Member).
Alu-mediated large deletion of the CDSN gene as a cause of peeling skin disease.
Wada, T; Matsuda, Y; Muraoka, M; Toma, T; Takehara, K; Fujimoto, M; Yachie, A
2014-10-01
Peeling skin disease (PSD) is an autosomal recessive skin disorder caused by mutations in CDSN and is characterized by superficial peeling of the upper epidermis. Corneodesmosin (CDSN) is a major component of corneodesmosomes that plays an important role in maintaining epidermis integrity. Herein, we report a patient with PSD caused by a novel homozygous large deletion in the 6p21.3 region encompassing the CDSN gene, which abrogates CDSN expression. Several genes including C6orf15, PSORS1C1, PSORS1C2, CCHCR1, and TCF19 were also deleted, however, the patient showed only clinical features typical of PSD. The deletion size was 59.1 kb. Analysis of the sequence surrounding the breakpoint showed that both telomeric and centromeric breakpoints existed within Alu-S sequences that were oriented in opposite directions. These results suggest an Alu-mediated recombination event as the mechanism underlying the deletion in our patient. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Bejder, Jacob; Aachmann-Andersen, Niels Jacob; Bonne, Thomas Christian; Olsen, Niels Vidiendal; Nordsborg, Nikolai Baastrup
2016-10-01
The sensitivity of the adaptive model of the Athlete Biological Passport (ABP) and reticulocyte percentage (ret%) in detection of recombinant human erythropoietin (rHuEPO) misuse was evaluated using both a long-term normal dose and a brief high dose treatment regime. Sixteen subjects received either 65 IU rHuEPO × kg -1 every second day for two weeks (normal-dose), 390 IU rHuEPO × kg -1 on three consecutive days (high-dose), or frequent placebo treatment for 13 days in a randomized, placebo-controlled, double-blind crossover design. Blood variables were measured 4, 11, and 25 days following treatment initiation. The ABP based on haemoglobin concentration ([Hb]) and OFF-hr score ([Hb] - 60 × √ret%) yielded atypical profiles following both normal-dose and high-dose treatment (0 %, 31 %, 13 % vs. 21 %, 33 %, 20 % at days 4, 11, and 25 after normal and high dose, respectively). Including ret% as a stand-alone marker for atypical blood profiles increased (P < 0.05) the sensitivity of the adaptive model at day 11 to 63 % and 67 % for normal-dose and high-dose rHuEPO administration, respectively. In conclusion, ~30 % of subjects injecting a normal-dose rHuEPO for two weeks or a high-dose rHuEPO for three days will present an atypical ABP profile. Including ret% as a stand-alone parameter improves the sensitivity two-fold. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.
Rofes, L; Arreola, V; López, I; Martin, A; Sebastián, M; Ciurana, A; Clavé, P
2013-11-01
Chronic poststroke oropharyngeal dysfunction (OD) is a common condition, leading to severe complications, including death. Treatments for chronic poststroke OD are scarce. The aim of our study was to assess and compare the efficacy and safety of treatment with surface electrical stimulation (e-stim) at sensory and motor intensities in patients with chronic poststroke OD. Twenty chronic poststroke patients with OD were randomly assigned to (i) sensory e-stim (treatment intensity: 75% of motor threshold) or (ii) motor e-stim (treatment intensity: motor threshold). Patients were treated during 10 days, 1 h/day. Videofluoroscopy was performed at the beginning and end of the study to assess signs of impaired efficacy and safety of swallow and timing of swallow response. Patients presented advanced age (74.95 ± 2.18), 75% were men. The mean days poststroke was 336.26 ± 89.6. After sensory stimulation, the number of unsafe swallows was reduced by 66.7% (p < 0.001), the laryngeal vestibule closure time by 22.94% (p = 0.027) and maximal vertical hyoid extension time by 18.6% (p = 0.036). After motor stimulation, the number of unsafe swallows was reduced by 62.5% (p = 0.002), the laryngeal vestibule closure time by 38.26% (p = 0.009) and maximal vertical hyoid extension time by 24.8% (p = 0.008). Moreover, the motor stimulus reduced the pharyngeal residue by 66.7% (p = 0.002), the upper esophageal sphincter opening time by 39.39% (p = 0.009), and increased bolus propulsion force by 211.1% (p = 0.008). No serious adverse events were detected during the treatment. Surface e-stim is a safe and effective treatment for chronic poststroke dysphagic patients. © 2013 John Wiley & Sons Ltd.
Kim, TaeHoon; Kim, SeongSik; Lee, ByoungHee
2016-03-01
The purpose of this study was to investigate whether action observational training (AOT) plus brain-computer interface-based functional electrical stimulation (BCI-FES) has a positive influence on motor recovery of paretic upper extremity in patients with stroke. This was a hospital-based, randomized controlled trial with a blinded assessor. Thirty patients with a first-time stroke were randomly allocated to one of two groups: the BCI-FES group (n = 15) and the control group (n = 15). The BCI-FES group administered to AOT plus BCI-FES on the paretic upper extremity five times per week during 4 weeks while both groups received conventional therapy. The primary outcomes were the Fugl-Meyer Assessment of the Upper Extremity, Motor Activity Log (MAL), Modified Barthel Index and range of motion of paretic arm. A blinded assessor evaluated the outcomes at baseline and 4 weeks. All baseline outcomes did not differ significantly between the two groups. After 4 weeks, the Fugl-Meyer Assessment of the Upper Extremity sub-items (total, shoulder and wrist), MAL (MAL-Activity of Use and Quality of Movement), Modified Barthel Index and wrist flexion range of motion were significantly higher in the BCI-FES group (p < 0.05). AOT plus BCI-based FES is effective in paretic arm rehabilitation by improving the upper extremity performance. The motor improvements suggest that AOT plus BCI-based FES can be used as a therapeutic tool for stroke rehabilitation. The limitations of the study are that subjects had a certain limited level of upper arm function, and the sample size was comparatively small; hence, it is recommended that future large-scale trials should consider stratified and lager populations according to upper arm function. Copyright © 2015 John Wiley & Sons, Ltd.
NASA Astrophysics Data System (ADS)
Hancock, L. O.
2003-12-01
As Wunsch has recently noted (2002), use of the term "thermohaline circulation" is muddled. The term is used with at least seven inconsistent meanings, among them abyssal circulation, the circulation driven by density and pressure differences in the deep ocean, the global conveyor, and at least four others. The use of a single term for all these concepts can create an impression that an understanding exists whereby in various combinations the seven meanings have been demonstrated to mean the same thing. But that is not the case. A particularly important consequence of the muddle is the way in which abyssal circulation is sometimes taken to be driven mostly or entirely by temperature and density differences, and equivalent to the global conveyor. But in fact the distinction between abyssal and upper-layer circulation has not been measured. To find out whether available data justifies a distinction between the upper-layer and abyssal circulations, this study surveyed velocity time series obtained by deep current meter moorings. Altogether, 114 moorings were identified, drawn from about three dozen experiments worldwide over the period 1973-1996, each of which deployed current meters in both the upper (200
From salmon to shad: Shifting sources of marine-derived nutrients in the Columbia River Basin
Haskell, Craig A.
2018-01-01
Like Pacific salmon (Oncorhynchus spp.), nonnative American shad (Alosa sapidissima) have the potential to convey large quantities of nutrients between the Pacific Ocean and freshwater spawning areas in the Columbia River Basin (CRB). American shad are now the most numerous anadromous fish in the CRB, yet the magnitude of the resulting nutrient flux owing to the shift from salmon to shad is unknown. Nutrient flux models revealed that American shad conveyed over 15,000 kg of nitrogen (N) and 3,000 kg of phosphorus (P) annually to John Day Reservoir, the largest mainstem reservoir in the lower Columbia River. Shad were net importers of N, with juveniles and postspawners exporting just 31% of the N imported by adults. Shad were usually net importers of P, with juveniles and postspawners exporting 46% of the P imported by adults on average. American shad contributed <0.2% of the total annual P load into John Day Reservoir, but during June when most adult shad are migrating into John Day Reservoir, they contributed as much as 2.0% of the P load. Nutrient inputs by American shad were similar to current but far less than historical inputs of Pacific salmon owing to their smaller size. Given the relatively high background P levels and low retention times in lower Columbia River reservoirs, it is unlikely that shad marine-derived nutrients affect nutrient balances or food web productivity through autotrophic pathways. However, a better understanding of shad spawning aggregations in the CRB is needed.
Zhang, Lijuan; Fan, Aiqun; Yan, Jun; He, Yan; Zhang, Huiting; Zhang, Huizhen; Zhong, Qiaoling; Liu, Feng; Luo, Qinghua; Zhang, Liping; Tang, Hailin; Xin, Mingzhu
2016-06-01
Upper limb lymphedema is a common complication after radical mastectomy in patients with breast cancer. In this study, we examined the efficacy of self-manual lymph drainage (MLD) after modified radical mastectomy for the prevention of upper limb lymphedema, scar formation, or shoulder joint dysfunction in breast cancer patients. Breast cancer patients scheduled for modified radical mastectomy were randomly apportioned to undergo physical exercise only (PE group, the control; n = 500) or self-MLD as well as exercise (MLD group; n = 500) after surgery. In the PE group, patients started to undertake remedial exercises and progressive weight training after recovery from anesthesia. In the MLD group, in addition to receiving the same treatments as in the PE group, the patients were trained to perform self-MLD on the surgical incision for 10 min/session, 3 sessions/day, beginning after suture removal and incision closure (10 to 30 days after the surgery). Scar formation was evaluated at one week, and 1, 3, 6, and 12 months after the surgery, respectively. Upper limb circumference and shoulder abduction were measured 24 h before surgery, and at one week, and 1, 3, 6 and 12 months after the surgery. Compared to those in the PE group, patients in MLD group experienced significant improvements in scar contracture, shoulder abduction, and upper limb circumference. Self-MLD, in combination with physical exercise, is beneficial for breast cancer patients in preventing postmastectomy scar formation, upper limb lymphedema, and shoulder joint dysfunction.
Dabaghi-Richerand, A; Haces-García, F; Capdevila-Leonori, R
2015-01-01
The purpose of this study is to determine the prognostic factors of a satisfactory functional outcome in patients using upper extremity prosthetics with a proximal third forearm stump, and above, level of amputation. All patients with longitudinal deficiencies and traumatic amputations of upper extremity with a level of amputation of proximal third forearm and above were included. A total of 49 patients with unilateral upper extremity amputations that had used the prosthetic for a minimum of 2 years were included in the protocol. The Disability arm shoulder hand (DASH) scale was used to determine a good result with a cut-off of less than 40%. The independent variables were the level of amputation, the etiology for its use, initial age of use and number of hours/day using the prosthesis. It was found that patients with a congenital etiology and those that started using the prosthetic before 6 years of age had better functional results. It was found that when adapting a patient with an upper extremity prosthetic, which has a high rejection rate of up to 49%, better functional outcomes are found in those who started using it before 6 years of age, and preferably because of a congenital etiology. It was also found that the number of hours/day strongly correlates with a favorable functional outcome. Copyright © 2014 SECOT. Published by Elsevier Espana. All rights reserved.
Galloway, David; Danziger-Isakov, Lara; Goldschmidt, Monique; Hemmelgarn, Trina; Courter, Joshua; Nathan, Jaimie D; Alonso, Maria; Tiao, Greg; Fei, Lin; Kocoshis, Samuel
2015-11-01
Pediatric patients undergoing small bowel transplantation are susceptible to postoperative CLABSI. SDD directed against enteric microbes is a strategy for reducing CLABSI. We hypothesized that SDD reduces the frequency of CLABSI, infections outside the bloodstream, and allograft rejection during the first 30 days following transplant. A retrospective chart review of 38 pediatric small bowel transplant recipients at CCHMC from 2003 to 2011 was conducted. SDD antimicrobials were oral colistin, tobramycin, and amphotericin B. The incidence of CLABSI, infections outside the bloodstream, and rejection episodes were compared between study periods. The incidence of CLABSI did not differ between study periods (6.9 CLABSI vs. 4.6 CLABSI per 1000 catheter days; p = 0.727), but gram positives and Candida predominated in the first 30 days. Incidence of bacterial infections outside the bloodstream did not differ (p = 0.227). Rejection occurred more frequently during the first month following transplant (p = 0.302). SDD does not alter the incidence of CLABSI, bacterial infections outside the bloodstream, or allograft rejection in the immediate 30 days post-transplantation. However, SDD does influence CLABSI organism types (favoring gram positives and Candida) and Candidal infections outside the bloodstream. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Willick, S E; Cushman, D M; Blauwet, C A; Emery, C; Webborn, N; Derman, W; Schwellnus, M; Stomphorst, J; Van de Vliet, P
2016-10-01
Sport injury epidemiology has received increased recognition as a field of sport medicine research that can improve the health and safety of athletes. Injuries among Paralympic powerlifters have not previously been systematically studied. The purpose of this prospective cohort study was to characterize injuries among Paralympic powerlifters. Athletes competing in the sport of powerlifting were followed over the 7-day competition period of the 2012 London Paralympic Games. The main outcome measurements were injury incidence rate (IR; number of injuries per 1000 athlete-days) and injury incidence proportion (IP; injuries per 100 athletes). A total of 38 injuries among 163 powerlifters were documented. The overall IR was 33.3 injuries/1000 athlete-days (95% CI 24.0-42.6) and the overall IP was 23.3 injuries per 100 athletes (95% CI 16.8-29.8). The majority of injuries were chronic overuse injuries (61%). The most commonly injured anatomical region was the shoulder/clavicle (32% of all injuries), followed by the chest (13%) and elbow (13%). The information obtained in this study opens the door for future study into the mechanisms and details of injuries into powerlifters with physical impairments. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Hydrogeology and quality of ground water in Orange County, Florida
Adamski, James C.; German, Edward R.
2004-01-01
Ground water is the main source of water supply in central Florida and is critical for aquatic habitats and human consumption. To provide a better understanding for the conservation, development, and management of the water resources of Orange County, Florida, a study of the hydrogeologic framework, water budget, and ground-water quality characteristics was conducted from 1998 through 2002. The study also included extensive analyses of the surface-water resources, published as a separate report. An increase in population from about 264,000 in 1960 to 896,000 in 2000 and subsequent urban growth throughout this region has been accompanied by a substantial increase in water use. Total ground-water use in Orange County increased from about 82 million gallons per day in 1965 to about 287 million gallons per day in 2000. The hydrogeology of Orange County consists of three major hydrogeologic units: the surficial aquifer system, the intermediate confining unit, and the Floridan aquifer system. Data were compiled from 634 sites to construct hydrogeologic maps and sections of Orange County. Water-level elevations measured in 23 wells tapping the surficial aquifer system ranged from about 10.6 feet in eastern Orange County to 123.8 feet above NGVD 29 in northwestern Orange County from March 2000 through September 2001. Water levels also were measured in 14 wells tapping the Upper Floridan aquifer. Water levels fluctuate over time from seasonal and annual variations in rainfall; however, water levels in a number of wells tapping the Upper Floridan aquifer have declined over time. Withdrawal of ground water from the aquifers by pumping probably is causing the declines because the average annual precipitation rate has not changed substantially in central Florida since the 1930s, although yearly rates can vary. A generalized water budget was computed for Orange County from 1991 to 2000. Average rates for the 10-year period for the following budget components were computed based on reported measurements or estimates: precipitation was 53 inches per year (in/yr), runoff was 11 in/yr, spring discharge was 2 in/yr, and net lateral subsurface outflow and exported water was 1 in/yr. Evapotranspiration was 39 in/yr, which was calculated as the residual of the water-budget analysis, assuming changes in storage were negligible. Water-quality samples were collected from April 1999 through May 2001 from a total of 26 wells tapping the surficial aquifer system, 1 well tapping the intermediate confining unit, 24 wells tapping the Upper Floridan aquifer, 2 springs issuing from the Upper Floridan aquifer, and 8 wells tapping the Lower Floridan aquifer. These data were supplemented with existing water-quality data collected by the U.S. Geological Survey and St. Johns River Water Management District. Concentrations of total dissolved solids, sulfate, and chloride in samples from the surficial aquifer system generally were low. Concentrations of nitrate were higher in samples from the surficial aquifer system than in samples from the Upper Floridan or Lower Floridan aquifers, probably as a result of agricultural and residential land use. Water type throughout most of the Upper Floridan and Lower Floridan aquifers was calcium or calcium-magnesium bicarbonate, probably as a result of dissolution of the carbonate rocks. Water type in both the surficial and Floridan aquifer systems in eastern Orange County is sodium chloride. Concentrations of total dissolved solids, sulfate, and chloride in the aquifers increase toward eastern Orange County. Data from 16 of 24 wells in eastern Orange County with long-term water-quality records indicated distinct increases in concentrations of chloride over time. The increases probably are related to withdrawal of ground water at the Cocoa well field, causing an upwelling of deeper, more saline water. The most commonly detected trace elements were aluminum, barium, boron, iron, manganese, and strontium. In addition, arse
75 FR 49944 - Notice of Public Meeting, Idaho Falls District Resource Advisory Council Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2010-08-16
... 21-22, 2010 for a two day meeting at the Upper Snake Field Office located at 1405 Hollipark Drive... throughout the Upper Snake Field Office area to discuss policy issues affecting the region such as the... Water Conservation Fund (LWCF) and the critical role it plays in restoring and retaining critical...
Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-12
... a Petition To List Chinook Salmon AGENCY: National Marine Fisheries Service (NMFS), National Oceanic... salmon (Oncorhynchus tshawytscha) in the Upper Klamath and Trinity Rivers Basin as threatened or... conduct a status review of the Chinook salmon in the Upper Klamath and Trinity Rivers Basin to determine...
Charting a new course in transportation : transportation strategic planning seminars
DOT National Transportation Integrated Search
1993-01-01
In support of the Department's Strategic Planning effort in the Office of the : Secretary, the Transportation Strategic Planning and Analysis staff of the : John A. Volpe National Transportation Systems Center conducted aseries of : eight one-day sem...
Sloto, Ronald A.
1997-01-01
A suite of borehole geophysical logs and heat-pulse-flowmeter measurements run in the former production well at the John Wagner and Sons, Inc. plant indicate two zones of borehole flow. In the upper part of the well, water enters the borehole through a fracture at 90 ft (feet) below floor level, moves upward, and exits the borehole through a fracture at 72 ft below floor level. Water also enters the borehole through fractures at 205-213, 235, and 357 ft below floor level; moves downward; and exits the borehole through fractures at 450-459, 468-470, and 483-490 ft below floor level. Five zones were selected for aquifer-isolation (packer) tests on the basis of borehole geophysical logs. The zones were isolated using a straddle-packer assembly. The lowermost three zones (below 248, 223 to 248, and 198 to 223 ft below floor level) were hydraulically isolated from zones above and below. Specific capacities were 0.12, 0.034, and 0.15 gallons per minute per foot, respectively. The hydrograph from zone 2 (223 to 248 ft below floor level) showed interference from a nearby pumping well. For the upper two zones (81 to 106 and 57 to 81 ft below floor level), similar drawdowns in the isolated zone and the zones above and below the isolated zone indicate that these fractures are hydraulically connected outside the borehole in the unconfined part of the Stockton Formation. The specific capacity of zones 4 and 5 are similar—0.82 and 0.61, respectively.
Azuma, K; Ikeda, K; Kagi, N; Yanagi, U; Osawa, H
2015-10-01
A nationwide cross-sectional study of 3335 employees was conducted in 320 offices in Japan to estimate the prevalence of building-related symptoms (BRSs) and determine the risk factors related to work environment, Indoor Air Quality, and occupational stress. Data were collected through self-administered questionnaires. The prevalences of general symptoms, eye irritation, and upper respiratory symptoms were 14.4%, 12.1%, and 8.9%, respectively. Multiple logistic regression analyses revealed that eye irritation was significantly associated with carpeting [odds ratio (OR), 1.73; 95% confidence interval (CI), 1.24-2.41], coldness perception (OR, 1.28; 95% CI, 1.13-1.45), and air dryness perception (OR, 1.61; 95% CI, 1.42-1.82). General symptoms were significantly associated with unpleasant odors (OR, 1.37; 95% CI, 1.13-1.65), amount of work (OR, 1.24; 95% CI, 1.06-1.45), and interpersonal conflicts (OR, 1.44; 95% CI, 1.23-1.69). Upper respiratory symptoms were significantly associated with crowded workspaces (OR, 1.36; 95% CI, 1.13-1.63), air dryness perception (OR, 2.07; 95% CI, 1.79-2.38), and reported dustiness on the floor (OR, 1.39; 95% CI, 1.16-1.67). Although psychosocial support is important to reduce and control BRSs, maintaining appropriate air-conditioning and a clean and uncrowded workspace is of equal importance. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Epidemiology of gingivitis in schoolchildren in Bucharest, Romania: a cross-sectional study.
Funieru, C; Klinger, A; Băicuș, C; Funieru, E; Dumitriu, H T; Dumitriu, A
2017-04-01
Gingivitis is the most prevalent oral disease in children, being strongly associated to social gradients. Many studies have reported different results concerning the extent and intra-oral distribution of gingivitis in children. The aim of this study was to investigate the epidemiologic parameters and socio-related risk factors of gingivitis in the 10-17-year-old Bucharest schoolchildren population and to analyze its intra-oral distribution. Cross-sectional data were obtained from 1595 schoolchildren, social condition being assigned using a simple questionnaire. Classes of students were used as clusters in a single-stage cluster sampling method. An intra-oral exam was performed for all the children included in this study. Silness and Löe scores, prevalence and the extent of gingivitis were calculated. The gingival scores showed a mild inflammation and the prevalence of gingivitis was 91%. Boys had a higher gingival (0.19 vs. 0.18; p < 0.05) and plaque scores (0.71 vs. 0.59; p < 0.01) than girls. Children who did not live in overcrowded households, whose parents had a better education and those who had direct access to school dental services displayed better gingival conditions (p < 0.05). Gingivitis was more severe on the upper teeth, with the maximum score being reached at the right upper lateral incisor (0.63 on distal surface). Gingival condition in Bucharest schoolchildren population was associated to social gradients. School dental services are also another factor that seems to be related with gingivitis. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
McGinn, R; Carter, M R; Barrera-Ramirez, J; Sigal, R J; Flouris, A D; Kenny, G P
2015-10-01
Recent data demonstrated that individuals with type 1 diabetes mellitus (T1DM) exhibit impaired sweating and increased rectal temperature (i.e., heat storage) during exercise compared with healthy controls. Our purpose in this study was to investigate the consequences of T1DM on post-exercise thermal homeostasis. Sixteen participants (eight controls matched with eight T1DM) performed 90 min of cycling followed by 60 min of seated recovery. Esophageal and rectal temperatures, sweating (forearm, chest, and upper back), skin blood flow [forearm and upper back, presented as cutaneous vascular conductance (CVC)], and blood pressure [mean arterial pressure (MAP)] were measured at baseline and throughout recovery. Esophageal temperature was similar during baseline and recovery between groups (P = 0.88). However, rectal temperature was elevated in our T1DM group throughout recovery (P = 0.05). Sweating and CVC were similar between groups at all sites from 10-min post-exercise until the end of recovery (P ≥ 0.16). While absolute MAP was similar between groups (P = 0.43), the overall decrease in MAP post-exercise was greater in controls from 20 min (T1DM: - 8 ± 5 vs control: - 13 ± 6 mmHg, P = 0.03) until the end of recovery. We conclude that despite increased heat storage during exercise, individuals with T1DM exhibit a suppression in heat loss similar to their healthy counterparts during recovery. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Orlando, Giorgio; Balducci, Stefano; Bazzucchi, Ilenia; Pugliese, Giuseppe; Sacchetti, Massimo
2016-01-01
Diabetic patients are at higher risk of developing physical disabilities than non-diabetic subjects. Physical disability appears to be related, at least in part, to muscle dysfunction. Several studies have reported reduced muscle strength and power under dynamic and static conditions in both the upper and lower limbs of patients with type 2 diabetes. Additional effects of diabetes include a reduction in muscle mass, quality, endurance and an alteration in muscle fibre composition, though the available data on these parameters are conflicting. The impact of diabetes on neuromuscular function has been related to the co-existence of long-term complications. Peripheral neuropathy has been shown to affect muscle by impairing motor nerve conduction. Also, vascular complications may contribute to the decline in muscle strength. However, muscle dysfunction occurs early in the course of diabetes and affects also the upper limbs, thus suggesting that it may develop independently of micro and macrovascular disease. A growing body of evidence indicates that hyperglycaemia may cause an alteration of the intrinsic properties of the muscle to generate force, via several mechanisms. Recently, resistance exercise has been shown to be an effective strategy to counteract the deterioration of muscular performance. High-intensity exercise seems to provide greater benefits than moderate-intensity training, whereas the effect of a power training is yet unknown. This article reviews the available literature on the impairment of muscle function induced by diabetes, the underlying mechanisms, and the effect of resistance training on this defect. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.
Bliekendaal, S; Goossens, L; Stubbe, J H
2017-12-01
Injuries can have a major impact on the physical performance and academic career of physical education teacher education (PETE) students. To investigate the injury problem, risk factors, and the impact of injuries on academic success, 252 PETE students were followed during their first semester. Risk factor analysis was conducted by means of logistic regression analysis with a differentiation for upper body, lower body, acute, overuse, and severe injuries. An incidence of 1.26 injuries/student/semester was found. Most injuries involved the lower body (61%), were new injuries (76%), occurred acutely (66%), and were sustained during curricular gymnastics (25%) or extracurricular soccer (28%). Significant risk factors for lower body acute injuries were age (OR=2.14; P=.01), previous injury (OR=2.23; P=.01), and an injury at the start of the year (OR=2.56; P=.02). For lower body overuse injuries, gender (OR=2.85; P=.02) and the interval shuttle run test score (OR=2.44; P=.04) were significant risk factors. Previous injury (OR=2.59; P=.04) and injury at the start of the year (upper body: OR=4.57; P=.02; lower body: OR=3.75; P<.01) were risk factors for severe injuries. Injury-related time loss was positively related to total academic success (r=.20; P=.02) and success in theoretical courses (r=.24; P=<.01). No association was found between time loss and academic success for sport courses. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
2016-10-01
non-myeloablative conditioning plus bone marrow infusion (BMI) and intermediate dose tacrolimus (10-15 ng/ml) for 30 days only. Group VIII received the...induction regimen, BMI and CTLA4-Ig and a short-term dose of tacrolimus (30 days ). In all groups, graft rejection was monitored by clinical...long-term graft survival (>230 days ). In the current reporting period (Aim 2 and Aim 3), 3/3 animals in group IV and 4/5 animals in Group V achieved
Final Environmental Planning Technical Report
1984-01-01
from natural. For cold waters, the maximum limit is 68°F (20’C) with an allowable change of 5’F (3°C) from natural. For warm waters the maximum limit...upper Cretaceous Fox Hills and Lance formations, Oligocene White River Group, Miocene Arikaree Formation, Miocene-Pliocene Ogallala Formation, and...day) and 1 to 15 feet per day (ft/day), respectively, averaging roughly 200 sq ft/day and 3 ft/day (Rapp et al. 1957). The Oligocene White River
WAMDII: The Wide Angle Michelson Doppler Imaging Interferometer
NASA Technical Reports Server (NTRS)
1992-01-01
As part of an effort to learn more about the upper atmosphere and how it is linked to the weather experienced each day, NASA and NRCC are jointly sponsoring the Wide Angle Michelson Doppler Imaging Interferometer (WAMDII) Mission. WAMDII will measure atmospheric temperature and wind speed in the upper atmosphere. In addition to providing data on the upper atmosphere, the wind speed and temperature readings WAMDII takes will also be highly useful in developing and updating computer simulated models of the upper atmosphere. These models are used in the design and testing of equipment and software for Shuttles, satellites, and reentry vehicles. In making its wind speed and temperature measurements, WAMDII examines the Earth's airglow, a faint photochemical luminescence caused by the influx of solar ultraviolet energy into the upper atmosphere. During periods of high solar flare activity, the amount of this UV energy entering the upper atmosphere increases, and this increase may effect airglow emissions.
Electrical burns of the abdomen.
Srivastava, Rakesh Kumar; Kumar, Ritesh
2013-09-01
A 35-year-old male farmer came in contact with 11,000 volts high tension electric wire and sustained full thickness burn wounds over scapula, upper limb and anterior abdominal wall along with perforation of the intestine. Patient was initially managed conservatively in general surgery ward and was referred to us after 3 days with necrosis of the burned skin and muscles over the shoulder and abdomen. Patient was initially managed conservatively and then thorough debridement of the necrotic skin over the left shoulder and upper arm was done and the area was split skin grafted. Patient developed enterocutaneous fistula, which healed over a period of 8 weeks. The granulating wound over the abdomen was also skin grafted and patient was discharged after 18 days. About 4 months, after the discharge patient presented with ventral hernia. Repair of ventral hernia by synthetic mesh application and reconstruction of the abdominal wall with a free tensor fascia lata flap was done over the mesh, but the flap failed. Then after debridement two random pattern transposition skin flaps, one from the right upper and another from the left lower abdomen were transposed over the abdominal wound and donor area was skin grafted. Patient was discharged after 17 days.
NASA Astrophysics Data System (ADS)
Olivar, M. Pilar; Contreras, Tabit; Hulley, P. Alexander; Emelianov, Mikhail; López-Pérez, Cristina; Tuset, Víctor; Castellón, Arturo
2018-01-01
The vertical distributions of early developmental stages of oceanic fishes were investigated across the tropical and equatorial Atlantic, from oligotrophic waters close to the Brazilian coast to more productive waters close to the Mauritanian Upwelling Region. Stratification of the water column was observed throughout the study region. Fishes were caught with a MOCNESS-1 net with mouth area of 1 m2 at 11 stations. Each station was sampled both during the day and at night within a single 24-h period. The investigation covered both larvae and transforming stages from the surface to 800 m depth. Distribution patterns were analysed, and weighted mean depths for the larvae and transforming stages of each species were calculated for day and night conditions. Forty-seven different species were found. The highest number of species occurred in the three stations south of Cape Verde Islands, characterized by a mixture of South Atlantic Central Water (SACW) and Eastern North Atlantic Central Water (ENACW). There was a marked drop in species richness in the three stations closer to the African upwelling, dominated by ENACW. The highest abundances occurred in the families Myctophidae, Sternoptychidae, Gonostomatidae and Phosichthyidae. Day and night vertical distributions of larvae and transforming stages showed contrasting patterns, both in the depths of the main concentration layers in the water column, and in the diel migration patterns (where these were observed). Larvae generally showed a preference for the upper mixed layer (ca. 0-50 m) and upper thermocline (ca. 50-100 m), except for sternoptychids, which were also abundant in the lower thermocline layer (100-200 m) and even extended into the mesopelagic zone (down to 500 m). Transforming stages showed a more widespread distribution, with main concentrations in the mesopelagic zone (200-800 m). Larvae showed peak concentrations in the more illuminated and zooplankton-rich upper mixed layers during the day and a wider distribution through the upper 100 m during the night. For most species, transforming stages were concentrated in the mesopelagic layers both day and night, although in some species (Diaphus cf. vanhoeffeni and Vinciguerria nimbaria), the transforming stages displayed vertical migration into the upper 100 m at night, in a manner similar to their adult stages.
Liu, Chang; Sun, Xinhua; Chen, Yuanping; Hu, Min; Liang, Tang
2002-07-01
To investigate the effects of local administration of Zoledronate solution on the tooth movement and periodontal ligament. Orthodontic tooth movement of upper first molar was performed in 42 rats with coil spring. Zoledronate solution was injected into the palatal submucosal area adjacent to the left upper first molar in experimental group 3 days prior to the use of the appliance. In control group, same amount of 0.9% NaCl solution was injected into the palatal submucosal area adjacent to the left and right upper first molar. The injection was applied every third day. The application of mesial force lasted 0.3, 7, 14, 21 days respectively. After the rats were sacrificed, the distance of tooth movement was measured. Sections were stained and then observed with microscope. 1. The distance of tooth movement in the experimental group was significantly smaller than that in the control group. 2. The number of osteoclast on the pressure side in the experiment group was significantly smaller than that in the control group through the experimental period, but there was no distinct difference between experimental group and control group (except for 14 days) for the number of odontoclast in interradicular area. 3. The osteoclasts and odontoclasts were the main target cell of Zoledronate in periodontal tissue. Zoledronate may be a useful agent for anchorage control and reducing the number of osteoclast on pressure side of alveolar bone.
APOLLO 16 ASTRONAUTS UNDERGO SIMULATED LUNAR TRAVERSE DURING TRAINING
NASA Technical Reports Server (NTRS)
1972-01-01
The Apollo 16 flight crew, astronauts Charles M. Duke, Jr., and John W. Young, prepare to undergo a simulated lunar traverse in the training area. The National Aeronautics and Space Administration Apollo 16, the eighth Apollo Lunar landing, is scheduled to land in the mountainous highland region near the crater Descartes to explore the area for a three day period collecting surface material. Making geological observations, and deploying the fourth geophysical station on the Moon. The flight crew of the mission are: John W. Young, commander; Charles M. Duke, Jr., lunar module pilot; and Thomas K. Mattingly II, command module pilot.
2016 U.S. Astronaut Hall of Fame Induction
2016-04-14
The U.S. Astronaut Hall of Fame welcomed astronaut inductees Brian Duffy and Scott Parazynski to its ranks during a May 14 ceremony at the Kennedy Space Center Visitor Complex, in Florida. Parazynski, who retired from NASA in 2009, flew on five spaceflights and performed seven spacewalks during his career. Duffy, retired from the Air Force and NASA in 2001. He logged more than forty total days in space during his four spaceflights. The pair join an elite group of well-known space explorers, including Alan Shepard, John Glenn, John Young, Neil Armstrong and Sally Ride.
Mill and Mental Phenomena: Critical Contributions to a Science of Cognition
Bistricky, Steven L.
2013-01-01
Attempts to define cognition preceded John Stuart Mill’s life and continue to this day. John Stuart Mill envisioned a science of mental phenomena informed by associationism, empirical introspection, and neurophysiology, and he advanced specific ideas that still influence modern conceptions of cognition. The present article briefly reviews Mill’s personal history and the times in which he lived, and it traces the evolution of ideas that have run through him to contemporary cognitive concepts. The article also highlights contemporary problems in defining cognition and supports specific criteria regarding what constitutes cognition. PMID:25379235
Various views of STS-95 Senator John Glenn during training
1998-06-18
S98-08731 (9 April 1998) --- Four members of the STS-95 crew participate in a food tasting session at the Johnson Space Center (JSC). From the left are Steven W. Lindsey, pilot; Stephen K. Robinson, mission specialist; with payload specialists Chiaki Mukai of Japan's National Space Development Agency (NASDA) and U.S. Sen. John H. Glenn Jr. They will be joined by three other astronauts when Discovery lifts off in late October of this year for a scheduled nine-day mission. The photo was taken by Joe McNally, National Geographic, for NASA.
Various views of STS-95 Senator John Glenn during training
1998-06-18
S98-08729 (9 April 1998) --- Four members of the STS-95 crew participate in a food tasting session at the Johnson Space Center (JSC). From the left are Stephen K. Robinson, mission specialist; payload specialist Chiaki Mukai of Japan's National Space Development Agency (NASDA); U.S. Sen. John H. Glenn Jr., payload specialist; and Curtis L. Brown Jr., mission commander. They will be joined by three other astronauts when Discovery lifts off in late October of this year for a scheduled nine-day mission. The photo was taken by Joe McNally, National Geographic, for NASA.
Various views of STS-95 Senator John Glenn during training
1998-06-18
S98-08730 (9 April 1998) --- Four members of the STS-95 crew participate in a food tasting session at the Johnson Space Center (JSC). From the left are Stephen K. Robinson, mission specialist; payload specialist Chiaki Mukai of Japan's National Space Development Agency (NASDA); U.S. Sen. John H. Glenn Jr., payload specialist; and Curtis L. Brown Jr., mission commander. They will be joined by three other astronauts when Discovery lifts off in late October of this year for a scheduled nine-day mission. The photo was taken by Joe McNally, National Geographic, for NASA.
NASA Astrophysics Data System (ADS)
Barrett, B.; Davies, A. R.; Steppe, C. N.; Hackbarth, C.
2017-12-01
In the first part of this study, time-lagged composites of upper-ocean currents from February to May of 1993-2016 were binned by active phase of the leading atmospheric mode of intraseasonal variability, the Madden-Julian Oscillation (MJO). Seven days after the convectively active phase of the MJO enters the tropical Indian Ocean, anomalously strong south-southeastward upper-ocean currents are observed along the majority of U.S. west coast. Seven days after the convectively active phase enters the tropical western Pacific Ocean, upper-ocean current anomalies reverse along the U.S. west coast, with weaker southward flow. A physical pathway to the ocean was found for both of these: (a) tropical MJO convection modulates upper-tropospheric heights and circulation over the Pacific Ocean; (b) those anomalous atmospheric heights adjust the strength and position of the Aleutian Low and Hawaiian High; (c) surface winds change in response to the adjusted atmospheric pressure patterns; and (d) those surface winds project onto upper-ocean currents. In the second part of this study, we investigated if the MJO modulated intraseasonal variability of surface wind forcing and upper-ocean currents projected onto phytoplankton abundance along the U.S. west coast. Following a similar methodology, time-lagged, level 3 chlorophyll-a satellite products (a proxy for photosynthetic primary production) were binned by active MJO phase and analyzed for statistical significance using the Student's t test. Results suggest that intraseasonal variability of biological production along the U.S. west coast may be linked to the MJO, particularly since the time scale of the life cycle of phytoplankton is similar to the time scale of the MJO.
Kerfoot, W Charles; Urban, Noel R; McDonald, Cory P; Zhang, Huanxin; Rossmann, Ronald; Perlinger, Judith A; Khan, Tanvir; Hendricks, Ashley; Priyadarshini, Mugdha; Bolstad, Morgan
2018-04-25
A geographic enigma is that present-day atmospheric deposition of mercury in the Upper Peninsula of Michigan is low (48%) and that regional industrial emissions have declined substantially (ca. 81% reduction) relative to downstate. Mercury levels should be declining. However, state (MDEQ) surveys of rivers and lakes revealed elevated total mercury (THg) in Upper Peninsula waters and sediment relative to downstate. Moreover, Western Upper Peninsula (WUP) fish possess higher methyl mercury (MeHg) levels than Northern Lower Peninsula (NLP) fish. A contributing explanation for elevated THg loading is that a century ago the Upper Peninsula was a major industrial region, centered on mining. Many regional ores (silver, copper, zinc, massive sulfides) contain mercury in part per million concentrations. Copper smelters and iron furnace-taconite operations broadcast mercury almost continuously for 140 years, whereas mills discharged tailings and old mine shafts leaked contaminated water. We show that mercury emissions from copper and iron operations were substantial (60-650 kg per year) and dispersed over relatively large areas. Moreover, lake sediments in the vicinity of mining operations have higher THg concentrations. Sediment profiles from the Keweenaw Waterway show that THg accumulation increased 50- to 400-fold above modern-day atmospheric deposition levels during active mining and smelting operations, with lingering MeHg effects. High MeHg concentrations are geographically correlated with low pH and dissolved organic carbon (DOC), a consequence of biogeochemical cycling in wetlands, characteristic of the Upper Peninsula. DOC can mobilize metals and elevate MeHg concentrations. We argue that mercury loading from mining is historically superimposed upon strong regional wetland effects, producing a combined elevation of both THg and MeHg in the Western Upper Peninsula.
The structure of Venus' middle atmosphere and ionosphere.
Pätzold, M; Häusler, B; Bird, M K; Tellmann, S; Mattei, R; Asmar, S W; Dehant, V; Eidel, W; Imamura, T; Simpson, R A; Tyler, G L
2007-11-29
The atmosphere and ionosphere of Venus have been studied in the past by spacecraft with remote sensing or in situ techniques. These early missions, however, have left us with questions about, for example, the atmospheric structure in the transition region from the upper troposphere to the lower mesosphere (50-90 km) and the remarkably variable structure of the ionosphere. Observations become increasingly difficult within and below the global cloud deck (<50 km altitude), where strong absorption greatly limits the available investigative spectrum to a few infrared windows and the radio range. Here we report radio-sounding results from the first Venus Express Radio Science (VeRa) occultation season. We determine the fine structure in temperatures at upper cloud-deck altitudes, detect a distinct day-night temperature difference in the southern middle atmosphere, and track day-to-day changes in Venus' ionosphere.
Arteriovenous Fistula Development in the First 6 Weeks after Creation.
Robbin, Michelle L; Greene, Tom; Cheung, Alfred K; Allon, Michael; Berceli, Scott A; Kaufman, James S; Allen, Matthew; Imrey, Peter B; Radeva, Milena K; Shiu, Yan-Ting; Umphrey, Heidi R; Young, Carlton J
2016-05-01
To assess the anatomic development of native arteriovenous fistula (AVF) during the first 6 weeks after creation by using ultrasonographic (US) measurements in a multicenter hemodialysis fistula maturation study. Each institutional review board approved the prospective study protocol, and written informed consent was obtained. Six hundred and two participants (180 women and 422 men, 459 with upper-arm AVF and 143 with forearm AVF) from seven clinical centers underwent preoperative artery and vein US mapping. AVF draining vein diameter and blood flow rate were assessed postoperatively after 1 day, 2 weeks, and 6 weeks. Relationships among US measurements were summarized after using multiple imputation for missing measurements. In 55% of forearm AVFs (68 of 124) and 83% of upper-arm AVFs (341 of 411) in surviving patients without thrombosis or AVF intervention prior to 6 weeks, at least 50% of their 6-week blood flow rate measurement was achieved at 1 day. Among surviving patients without thrombosis or AVF intervention prior to week 2, 70% with upper-arm AVFs (302 of 433) and 77% with forearm AVFs (99 of 128) maintained at least 85% of their week 2 flow rate at week 6. Mean AVF diameters of at least 0.40 cm were seen in 85% (389 of 459), 91% (419 of 459), and 87% (401 of 459) of upper-arm AVFs and in 40% (58 of 143), 73% (104 of 143), and 77% (110 of 143) of forearm AVFs at 1 day, 2 weeks, and 6 weeks, respectively. One-day and 2-week AVF flow rates and diameters were used to predict 6-week levels, with 2-week prediction of 6-week measures more accurate than those of 1 day (flow rates, R(2) = 0.47 and 0.61, respectively; diameters, R(2) = 0.49 and 0.82, respectively). AVF blood flow rate at 1 day is usually more than 50% of the 6-week blood flow rate. Two-week measurements are more predictive of 6-week diameter and blood flow than those of 1 day. US measurements at 2 weeks may be of value in the early identification of fistulas that are unlikely to develop optimally. (©) RSNA, 2015 Online supplemental material is available for this article.
[Reference values of folic acid for the Venezuelan population].
García-Casal, María Nieves; Carias, Diamela; Soto de Sanabria, Ingrid; Victoria López, Ana
2013-12-01
The review on folic acid requirements for Venezuela comprise the definitions adopted worldwide known as Dietary Reference Intakes (DRIs) that include Recommended Dietary Allowance (RDA), Estimated Average Requirement (EAR), Adequate Intake (AI) and Tolerable Upper Intake Levels (UL). In contrast with the situation in some countries, that required adjustments in fortification policies in order to avoid excessive folic acid consumption, in Venezuela several studies show an elevated prevalence of deficiency. National evidence at this point is insufficient to establish the recommendation, and as in the 2000 review of the Venezuelan RDAs, the actual recommendations are based on the reported for the United States population. The Recommended Dietary Allowances for Venezuela are 65-80 microg/day for infants less than 1 year old, 150-300 microg/day for children and 400 microg/day for adolescents and adults, increasing to 600 microg/day during pregnancy and to 500 microg/day during lactation. The estimated average requirement is 120-250 microg/day for children, 330 microg/day for adolescents, 320 microg/day for adults, 520 microg/day for pregnancy and 450 microg/day during lactation. The tolerable upper intake levels for folic acid are 300-600 microg/day for children, 800 microg/day for adolescents and 1000 microg/day for adults. During pregnancy and lactation the UL is 800 microg/day for pregnant and lactating women between 14 and 18 years of age, and 1000 microg/day for older pregnant and lactating women. The continuous evaluation of folic acid status is important to design adequate and efficient policies to control both, the deficiency and the excess of folic acid consumption.
MERCURY-ATLAS (MA)-6 - SUITING-UP - CAPE
1962-02-20
S64-14848 (20 Feb. 1962) --- Astronaut John H. Glenn Jr. dons spacesuit during preflight operations at Cape Canaveral, Feb. 20, 1962, the day he flew his Mercury-Atlas 6 spacecraft, Friendship 7, into orbital flight around Earth. Photo credit: NASA
2013-05-20
Journalist and former First Lady of California Maria Shriver reads the poem "The Summer Day" by Mary Oliver during the National Tribute to Sally Ride at the John F. Kennedy Center for the Performing Arts, Monday, May 20, 2013 in Washington. Photo Credit: (NASA/Bill Ingalls)
78 FR 70839 - Day of Remembrance for President John F. Kennedy
Federal Register 2010, 2011, 2012, 2013, 2014
2013-11-26
... his memory and celebrate his enduring imprint on American history. In his 3 years as President of the... that would echo through the ages, yet he also knew that we must advance human rights here at home...
Phillips and Acaba work with LiOH cartridges on Middeck (MDDK)
2009-03-25
S119-E-008447 (25 March 2009) --- Astronaut John Phillips (left) and Joseph Acaba, both STS-119 mission specialists, work with the lithium hydroxide (LiOH) canisters beneath Space Shuttle Discovery's middeck during flight day 11 activities.
Transfusion strategy for acute upper gastrointestinal bleeding.
Handel, James; Lang, Eddy
2015-09-01
Clinical question Does a hemoglobin transfusion threshold of 70 g/L yield better patient outcomes than a threshold of 90 g/L in patients with acute upper gastrointestinal bleeding? Article chosen Villanueva C, Colomo A, Bosch A, et al. Transfusion strategies for acute upper gastrointestinal bleeding. N Engl J Med 2013;368(1):11-21. Study objectives The authors of this study measured mortality, from any cause, within the first 45 days, in patients with acute upper gastrointestinal bleeding, who were managed with a hemoglobin threshold for red cell transfusion of either 70 g/L or 90 g/L. The secondary outcome measures included rate of further bleeding and rate of adverse events.
Sawada, Shigeaki; Kusama, Akio; Shimakage, Naohiro; Tanabe, Tadashi; Okamura, Takanao; Uchida, Katsuyuki; Tsukada, Kazuhiro; Tajima, Kenzo
2006-01-01
We report a case of esophageal perforation caused by an explosion, but which was not diagnosed until 3 days after the injury. A 53-year-old worker sustained superficial dermal burns to his trachea, face, neck, and legs during an explosion. The burns were treated conservatively at a local hospital, but he was transferred to our hospital 3 days after the injury, when mediastinal emphysema and bilateral pleural effusion became evident. An esophagogram followed by computed tomography showed an esophageal perforation caused by the blast injury, and we performed an esophagectomy with recontruction of the gastric tube. After the operation, an X-ray showed a foreign body in the lower abdomen, which we found in the upper thoracic esophagus on the day of injury. We surmised that the patient had inadvertently swallowed a foreign body, which had been heated and scattered by the explosion, and it had melted the upper thoracic esophagus.
NASA Technical Reports Server (NTRS)
1998-01-01
On this sixth day of the STS-89 mission, the flight crew, Cmdr. Terrence W. Wilcutt, Pilot Frank Edwards, and Mission Specialists Michael P. Anderson, James F. Reilly, Bonnie J. Dunbar, Salizhan Shakirovich Sharipov, David A. Wolf and Andrew S.W. Thomas, are interviewed by John Holliman of Cable News Network (CNN) and Russian news media. The crew discuss the progress of the mission and activities that lie ahead for Mir crew member Andy Thomas.
An Analysis of Emergency Department Overcrowding at The Johns Hopkins Hospital
2001-06-20
Jefferson 3rd floor (JEF3), Medical Care Progressive Unit ( MPC4 ), Nelson 4th floor (NEL4), Osler 4th floor (OSL4), Osler 5th floor (OSL5), and Osler...ranged from a low of 73.78% for OSL5 to a high of 94.60% for JEF3. The LOS for the DOM units ranged from 2.89 days for HAL5 to 10.39 days for MPC4
DOE Office of Scientific and Technical Information (OSTI.GOV)
Rocklage, Stephen J.; Kellar, Dale S.
2005-07-01
The Nez Perce Tribe, in cooperation with the U.S. Fish and Wildlife Service and Washington Department of Fish and Wildlife, conducted monitoring and evaluation studies on Lyons Ferry Hatchery reared yearling fall Chinook salmon Oncorhynchus tshawytscha that were acclimated and released at three Fall Chinook Acclimation Project (FCAP) sites upstream of Lower Granite Dam along with yearlings released on-station from Lyons Ferry Hatchery in 1999. This was the fourth year of a long-term project to supplement natural spawning populations of Snake River stock fall Chinook salmon upstream of Lower Granite Dam. The 453,117 yearlings released from the Fall Chinook Acclimationmore » Project facilities not only slightly exceeded the 450,000 fish quota, but a second release of 76,386 yearlings (hereafter called Surplus) were acclimated at the Big Canyon facility and released about two weeks after the primary releases. We use Passive Integrated Transponder (PIT) tag technology to monitor the primary performance measures of survival to mainstem dams and migration timing. We also monitor size, condition and tag/mark retention at release. We released 9,941 PIT tagged yearlings from Pittsburg Landing, 9,583 from Big Canyon, 2,511 Big Canyon Surplus and 2,494 from Captain John Rapids. The Washington Department of Fish and Wildlife released 983 PIT tagged yearlings from Lyons Ferry Hatchery. Fish health sampling indicated that, overall, bacterial kidney disease levels could be considered relatively low and did not appear to increase after transport to the acclimation facilities. Compared to prior years, Quantitative Health Assessment Indices were relatively low at Pittsburg Landing and Lyons Ferry Hatchery and relatively high at Big Canyon and Captain John Rapids. Mean fork lengths (95% confidence interval) of the release groups ranged from 147.4 mm (146.7-148.1 mm) at Captain John Rapids to 163.7 mm (163.3-164.1 mm) at Pittsburg Landing. Mean condition factors ranged from 1.04 at Pittsburg Landing to 1.23 at Captain John Rapids. Estimated survival (95% confidence interval) of PIT tagged yearlings from release to Lower Granite Dam ranged from 87.8% (82.1-93.4%) for Big Canyon Surplus to 94.1% (90.1-98.1%) for Captain John Rapids. Estimated survival from release to McNary Dam ranged from 58.7% (49.3-68.1%) for Big Canyon Surplus to 71.3% (60.1-82.5%) for Captain John Rapids. Median migration rates to Lower Granite Dam, based on all observations of PIT tagged yearlings from the FCAP facilities, ranged from 9.3 river kilometers per day (rkm/d) for Captain John Rapids to 18.7 rkm/d for Pittsburg Landing. Median migration rates to McNary Dam ranged from 9.0 rkm/d for Lyons Ferry Hatchery to 17.3 rkm/d for Pittsburg Landing. Median travel times from the FCAP facilities were about 7-10 days to Lower Granite Dam and 21-23 days to McNary Dam. Median arrival dates at Lower Granite Dam, based on all observations of PIT tagged yearling groups from the FCAP facilities, were all from April 23-25. The median arrival date for Big Canyon Surplus was May 4. Median arrival dates at McNary Dam for Pittsburg Landing, Big Canyon and Captain John Rapids groups were all from May 7-8. Median arrival dates at McNary Dam were May 17 for Big Canyon Surplus and April 26 for Lyons Ferry Hatchery.« less
Sasaki, Kana; Matsunaga, Toshiki; Tomite, Takenori; Yoshikawa, Takayuki; Shimada, Yoichi
2012-04-01
Hemiplegia is a common sequel of stroke and assisted living care is needed in many cases. The purpose of this study was to evaluate the effect of using surface electrode stimulation device in rehabilitation, in terms of functional improvement in upper limb and the changes in brain activation related to central nervous system reconstruction. Five patients with chronic hemiplegia received electrical stimulation therapy using the orthosis-type surface electrode stimulation device for 12 weeks. Training time was 30 min/day for the first weeks, and increased 30 min/day in every 4 weeks. Upper limb outcome measures included Brunnstrom stage, range of motion, Fugl-Meyer assessment and manual function test. Brain activation was measured using functional MRI. After therapy with therapeutic electrical stimulation (TES) for 12 weeks upper limb function improved in all cases. The results of brain activation showed two patterns. In the first, the stimulation produced an activity in the bilateral somatosensory cortices (SMC), which was seen to continue over time. The second, activation was bilateral and extensive before stimulation, but localized to the SMC after intervention. Treatment with TES using an orthosis-type electrode stimulation device improves upper limb function in chronic hemiplegia patients. The present findings suggest that there are not only efferent but also afferent effects that may promote central nervous system remodeling.
Financial impact of surgical site infections on hospitals: the hospital management perspective.
Shepard, John; Ward, William; Milstone, Aaron; Carlson, Taylor; Frederick, John; Hadhazy, Eric; Perl, Trish
2013-10-01
Surgical site infections (SSIs) may increase health care costs, but few studies have conducted an analysis from the perspective of hospital administrators. To determine the change in hospital profit due to SSIs. Retrospective study of data from January 1, 2007, to December 31, 2010. The study was performed at 4 of The Johns Hopkins Health System acute care hospitals in Maryland: Johns Hopkins Bayview (560 beds); Howard County General Hospital (238 beds); The Johns Hopkins Hospital (946 beds); and Suburban Hospital (229 beds). Eligible patients for the study included those patients admitted to the 4 hospitals between January 1, 2007, and December 31, 2010, with complete data and the correct International Classification of Diseases, Ninth Revision code, as determined by the infection preventionist. Infection preventionists performed complete medical record review using National Healthcare Safety Network definitions to identify SSIs. Patients were stratified using the All Patient Refined Diagnosis Related Groups to estimate the change in hospital profit due to SSIs. Surgical site infections. The outcomes of the study were the difference in daily total charges, length of stay (LOS), 30-day readmission rate, and profit for patients with an SSI when compared with patients without an SSI. The hypothesis, formulated prior to data collection, that patients with an SSI have higher daily total costs, a longer LOS, and higher 30-day readmission rates than patients without an SSI, was tested using a nonpaired Mann-Whitney U test, an analysis of covariance, and a Pearson χ2 test. Hospital charges were used as a proxy for hospital cost. RESULTS The daily total charges, mean LOS, and 30-day readmission rate for patients with an SSI compared with patients without an SSI were $7493 vs $7924 (P = .99); 10.56 days vs 5.64 days (P < .001); and 51.94 vs 8.19 readmissions per 100 procedures (P < .001). The change in profit due SSIs was $2 268 589. The data suggest that hospitals have a financial incentive to reduce SSIs, but hospitals should expect to see an increase in both cost and revenue when SSIs are reduced.
Penny, Mary E; Meza, Krysty S; Creed-Kanashiro, Hilary M; Marin, R Margot; Donovan, Jason
2017-07-01
Fruits and vegetables are essential for healthy life. We examined the fruits and vegetables consumption by 240 caregivers and their children aged 1-17 years in peri-urban Lima, and the ways that they were incorporated into local cuisine. A randomized cross-sectional household survey collected information on the weight of all foods eaten the previous day (24 h) including fruits and vegetables, their preparation and serving sizes. Fruit and vegetable consumption was low and very variable: fruit intake was mean 185.2 ± 171.5 g day -1 , median 138 g day -1 for caregivers and 203.6 ± 190.6 g day -1 and 159 g day -1 for children, vegetable intake was mean 116.9 ± 94.0 g day -1 median 92 g day -1 for caregivers, mean 89.3 ± 84.7 g day -1 median 60 g day -1 for children. Only 23.8% of children and 26.2% of caregivers met the recommended ≥400 g of fruit or vegetable/day. Vegetables were mainly eaten either as ingredients of the main course recipe, eaten by about 80% of caregivers and children, or as salads eaten by 47% of caregivers and 42% of children. Fruits were most commonly eaten as whole fresh fruits eaten by 68% of caregivers and 75% of children. In multivariate analysis of the extent to which different presentations contributed to daily fruit and vegetable consumption, main courses contributed most to determining vegetable intake for caregivers, and for children, main course and salads had similar contributions. For fruit intake, the amount eaten as whole fruit determined total fruit and total fruit plus vegetable intake for both caregivers and children. Local cuisine should be considered in interventions to promote fruit and vegetable consumption. © 2016 John Wiley & Sons Ltd. © 2016 John Wiley & Sons Ltd.
Food-allergic infants have impaired regulatory T-cell responses following in vivo allergen exposure.
Dang, Thanh D; Allen, Katrina J; J Martino, David; Koplin, Jennifer J; Licciardi, Paul V; Tang, Mimi L K
2016-02-01
Regulatory T cells (Tregs) are critical for development of oral tolerance, and studies suggest that dysfunction of Tregs may lead to food allergy. However, to date, no study has investigated Treg responses following in vivo exposure to peanut or egg allergens in humans. To examine changes in peripheral blood CD4(+) CD25(+) Foxp3(+) Treg populations (total, activated and naive) in food-allergic, food-sensitized but tolerant, and healthy (non-sensitized non-allergic) patients over time following in vivo allergen exposure. A subset of infants from the HealthNuts study with egg or peanut allergy (n = 37), egg or peanut sensitization (n = 35), or who were non-sensitized non-allergic (n = 15) were studied. All subjects underwent oral food challenge (OFC) to egg or peanut. PBMCs were obtained within 1 h of OFC (in vivo allergen exposure), and Treg populations enumerated ex vivo on day 0, and after 2 and 6 days rest in vitro. Non-allergic infants showed stable total Treg frequencies over time; food-sensitized infants had a transient fall in Treg percentage with recovery to baseline by day 6 (6.87% day 0, 5.27% day 2, 6.5% day 6); and food-allergic infants showed persistent reduction in Treg (6.85% day 0, 5.4% day 2, 6.2% day 6) following in vivo allergen exposure. Furthermore, food-allergic infants had a significantly lower ratio of activated Treg:activated T cells (10.5 ± 0.77) at day 0 compared to food-sensitized (14.6 ± 1.24) and non-allergic subjects (16.2 ± 1.23). Our data suggest that the state of allergen sensitization is associated with depletion of Treg following allergen exposure. Impaired capacity to regenerate the Treg pool following allergen exposure may be an important factor that determines clinical allergy vs. sensitization without allergic reaction. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Magozzi, Sarah; Calosi, Piero
2015-01-01
Predicting species vulnerability to global warming requires a comprehensive, mechanistic understanding of sublethal and lethal thermal tolerances. To date, however, most studies investigating species physiological responses to increasing temperature have focused on the underlying physiological traits of either acute or chronic tolerance in isolation. Here we propose an integrative, synthetic approach including the investigation of multiple physiological traits (metabolic performance and thermal tolerance), and their plasticity, to provide more accurate and balanced predictions on species and assemblage vulnerability to both acute and chronic effects of global warming. We applied this approach to more accurately elucidate relative species vulnerability to warming within an assemblage of six caridean prawns occurring in the same geographic, hence macroclimatic, region, but living in different thermal habitats. Prawns were exposed to four incubation temperatures (10, 15, 20 and 25 °C) for 7 days, their metabolic rates and upper thermal limits were measured, and plasticity was calculated according to the concept of Reaction Norms, as well as Q10 for metabolism. Compared to species occupying narrower/more stable thermal niches, species inhabiting broader/more variable thermal environments (including the invasive Palaemon macrodactylus) are likely to be less vulnerable to extreme acute thermal events as a result of their higher upper thermal limits. Nevertheless, they may be at greater risk from chronic exposure to warming due to the greater metabolic costs they incur. Indeed, a trade-off between acute and chronic tolerance was apparent in the assemblage investigated. However, the invasive species P. macrodactylus represents an exception to this pattern, showing elevated thermal limits and plasticity of these limits, as well as a high metabolic control. In general, integrating multiple proxies for species physiological acute and chronic responses to increasing temperature helps providing more accurate predictions on species vulnerability to warming. © 2014 John Wiley & Sons Ltd.
Wolthers, Ole D
2016-02-01
During recent years, extra-fine particle inhaled corticosteroids with a median aerodynamic diameter ≤2 μm have been introduced in the treatment of asthma. The aim of this paper was to review pharmacokinetics and systemic activity of extra-fine particle hydroalkane pressurized metered dose inhaled (pMDI) ciclesonide and beclomethasone dipropionate in children. A literature review was performed. Systemic bioavailability of oral and pulmonary deposition of extra-fine ciclesonide and beclomethasone dipropionate was 52% and 82%, the half-life in serum 3.2 and 1.5 h and first-pass hepatic metabolism >99% and 60%, respectively. Secondary analyses of urine cortisol/creatinine excretion found no effects of ciclesonide pMDI between 40 and 320 μg/day or of beclomethasone dipropionate pMDI between 80 and 400 μg/day. Ciclesonide pMDI 40, 80 and 160 μg/day caused no effects on short-term lower leg growth rate as assessed by knemometry. Ciclesonide 320 μg/day was associated with a numerically short-term growth suppression equivalent to 30% which was similar to 25% and 36% suppression caused by beclomethasone dipropionate HFA and CFC 200 μg/day, respectively. Consistent with the differences in key pharmacokinetic features, beclomethasone dipropionate is associated with a systemic activity detected by knemometry at a lower dose than ciclesonide. Whether that correlates with a clinically important difference remains to be explored. Assessments of systemic activity of beclomethasone dipropionate <200 μg/day and of ciclesonide >180 μg/day as well as head-to-head comparisons are warranted. Preferably, such studies should apply the sensitive method of knemometry. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Borges, Ivan; Faveri, Marcelo; Figueiredo, Luciene Cristina; Duarte, Poliana Mendes; Retamal-Valdes, Belén; Montenegro, Sheyla Christinne Lira; Feres, Magda
2017-08-01
To evaluate the clinical effects of different dosages of metronidazole (MTZ) and durations of MTZ + amoxicillin (AMX) in the treatment of generalized chronic periodontitis (GChP). Subjects with severe GChP were randomly assigned to receive scaling and root planing (SRP)-only, or combined with 250 or 400 mg of MTZ + AMX (500 mg) thrice a day (TID), for 7 or 14 days. Subjects were monitored for 1 year. One hundred and nine subjects were enrolled. At 1 year, 61.9% and 63.6% of the subjects receiving AMX + 250 or 400 mg of MTZ for 14 days, respectively, reached the clinical endpoint for treatment (≤4 sites with probing depth ≥5 mm), against 31.8% of those taking 250 or 400 mg of MTZ for 7 days (p < .05) and 13.6% of those receiving SRP-only (p < .05). Fourteen days of MTZ + AMX was the only significant predictor of subjects reaching the clinical endpoint at 1 year (OR, 5.26; 95% CI, 2.3-12.1, p = .0000). The frequency of adverse events did not differ among treatment groups (p > .05). The adjunctive use of 400 or 250 mg of MTZ plus 500 mg of AMX/TID/14 days offers statistically significant and clinically relevant benefits over those achieved with SRP alone in the treatment of severe GChP. The added benefits of the 7-days regimen in this population were less evident. (ClinicalTrials.gov NCT02735395). © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Schultz, Terra Lang; Wilson, Wayne H.; Ruzycki, James R.
The objectives are: (1) Estimate number and distribution of spring Chinook salmon Oncorhynchus tshawytscha redds and spawners in the John Day River subbasin; and (2) Estimate smolt-to-adult survival rates (SAR) and out-migrant abundance for spring Chinook and summer steelhead O. mykiss and life history characteristics of summer steelhead. The John Day River subbasin supports one of the last remaining intact wild populations of spring Chinook salmon and summer steelhead in the Columbia River Basin. These populations, however, remain depressed relative to historic levels. Between the completion of the life history and natural escapement study in 1984 and the start ofmore » this project in 1998, spring Chinook spawning surveys did not provide adequate information to assess age structure, progeny-to-parent production values, smolt-to-adult survival (SAR), or natural spawning escapement. Further, only very limited information is available for steelhead life history, escapement, and productivity measures in the John Day subbasin. Numerous habitat protection and rehabilitation projects to improve salmonid freshwater production and survival have also been implemented in the basin and are in need of effectiveness monitoring. While our monitoring efforts outlined here will not specifically measure the effectiveness of any particular project, they will provide much needed background information for developing context for project-specific effectiveness monitoring efforts. To meet the data needs as index stocks, to assess the long-term effectiveness of habitat projects, and to differentiate freshwater and ocean survival, sufficient annual estimates of spawner escapement, age structure, SAR, egg-to-smolt survival, smolt-per-redd ratio, and freshwater habitat use are essential. We have begun to meet this need through spawning ground surveys initiated for spring Chinook salmon in 1998 and smolt PIT-tagging efforts initiated in 1999. Additional sampling and analyses to meet these goals include an estimate of smolt abundance and SAR rates, and an updated measure of the freshwater distribution of critical life stages. Because Columbia Basin managers have identified the John Day subbasin spring Chinook population as an index population for assessing the effects of alternative future management actions on salmon stocks in the Columbia Basin (Schaller et al. 1999) we continue our ongoing studies. This project is high priority based on the high level of emphasis the NWPPC Fish and Wildlife Program, Subbasin Summaries, NMFS, and the Oregon Plan for Salmon and Watersheds have placed on monitoring and evaluation to provide the real-time data to guide restoration and adaptive management in the region. By implementing the proposed program we have been able to address many of the goals for population status monitoring, such as defining areas currently used by spring Chinook for holding and spawning habitats and determining range expansion or contraction of summer rearing and spawning populations. The BiOp describes these goals as defining population growth rates (adult monitoring), detecting changes in those growth rates or relative abundance in a reasonable time (adult/juvenile monitoring), estimating juvenile abundance and survival rates (juvenile/smolt monitoring), and identifying stage-specific survival (adult-to-smolt, smolt-to-adult).« less
NASA Astrophysics Data System (ADS)
Pizzo, Nick
2017-11-01
A simple criterion for water particles to surf an underlying surface gravity wave is presented. It is found that particles travelling near the phase speed of the wave, in a geometrically confined region on the forward face of the crest, increase in speed. The criterion is derived using the equation of John (Commun. Pure Appl. Maths, vol. 6, 1953, pp. 497-503) for the motion of a zero-stress free surface under the action of gravity. As an example, a breaking water wave is theoretically and numerically examined. Implications for upper-ocean processes, for both shallow- and deep-water waves, are discussed.
NASA Technical Reports Server (NTRS)
2004-01-01
KENNEDY SPACE CENTER, FLA. On Launch Pad 17-B at Cape Canaveral Air Force Station, Boeing workers complete the installation of the fairing around the MESSENGER (Mercury Surface, Space Environment, Geochemistry and Ranging) spacecraft. The fairing is a molded structure that fits flush with the outside surface of the upper stage booster and forms an aerodynamically smooth joint, protecting the spacecraft during launch. MESSENGER is scheduled to launch Aug. 2 aboard a Boeing Delta II rocket and is expected to enter Mercury orbit in March 2011. MESSENGER was built for NASA by the Johns Hopkins University Applied Physics Laboratory in Laurel, Md.
2004-07-19
KENNEDY SPACE CENTER, FLA. - After bagging the MESSENGER (Mercury Surface, Space Environment, Geochemistry and Ranging) spacecraft, Boeing workers at Astrotech Space Operations in Titusville, Fla., place the first part of a transportation canister around the Delta II upper stage booster. MESSENGER will be transferred to Launch Pad 17-B at Cape Canaveral Air Force Station, Fla. Liftoff of MESSENGER aboard a Boeing Delta II Heavy rocket is scheduled for Aug. 2. The spacecraft is expected to reach orbit around the planet in March 2011. MESSENGER was built for NASA by the Johns Hopkins University Applied Physics Laboratory in Laurel, Md.
Boerhout, Cees; Swart, Marte; Voskamp, Marjon; Troquete, Nadine A C; van Busschbach, Jooske T; Hoek, Hans W
2017-01-01
The objective is to evaluate a body and movement-oriented intervention on aggression regulation, specifically aimed towards reducing anger internalization in patients with an eating disorder. Patients were randomized to treatment-as-usual (TAU) plus the intervention (n = 38) or to TAU only (n = 32). The intervention was delivered by a psychomotor therapist. TAU consisted of multidisciplinary day treatment (3-5 days per week during 3-9 months). Anger coping (Self-Expression and Control Scale) and eating pathology (Eating Disorder Examination-Self-report Questionnaire) were measured at baseline and follow-up. Differences between pre-intervention and post-intervention scores were tested by using repeated measures ANOVA. The intervention group showed a significantly larger decrease of anger internalization than the control group (η 2 = 0.16, p = 0.001). Both groups showed a significant reduction in eating pathology, but differences between groups were not significant. A body and movement-oriented therapy seems a viable add-on for treating anger internalization in patients with an eating disorder. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association. © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.
Ernst, Edzard
2002-01-01
Because use of herbal remedies is increasing, a risk-benefit profile of commonly used herbs is needed. This article provides a clinically oriented overview of the efficacy and safety of ginkgo, St. John's wort, ginseng, echinacea, saw palmetto, and kava. Wherever possible, assessments are based on systematic reviews of randomized clinical trials. Encouraging data support the efficacy of some of these popular herbal medicinal products, and the potential for doing good seems greater than that for doing harm. The published evidence suggests that ginkgo is of questionable use for memory loss and tinnitus but has some effect on dementia and intermittent claudication. St. John's wort is efficacious for mild to moderate depression, but serious concerns exist about its interactions with several conventional drugs. Well-conducted clinical trials do not support the efficacy of ginseng to treat any condition. Echinacea may be helpful in the treatment or prevention of upper respiratory tract infections, but trial data are not fully convincing. Saw palmetto has been shown in short-term trials to be efficacious in reducing the symptoms of benign prostatic hyperplasia. Kava is an efficacious short-term treatment for anxiety. None of these herbal medicines is free of adverse effects. Because the evidence is incomplete, risk-benefit assessments are not completely reliable, and much knowledge is still lacking.
Bai, Yu; Li, Zhao Shen
2016-02-01
Acute non-variceal upper gastrointestinal bleeding (ANVUGIB) is one of the most common medical emergencies in China and worldwide. In 2009, we published the "Guidelines for the diagnosis and treatment of acute non-variceal upper gastrointestinal bleeding" for the patients in China; however, during the past years numerous studies on the diagnosis and treatment of ANVUGIB have been conducted, and the management of ANVUGIB needs to be updated. The guidelines were updated after the databases including PubMed, Embase and CNKI were searched to retrieve the clinical trials on the management of ANVUGIB. The clinical trials were evaluated for high-quality evidence, and the advances in definitions, diagnosis, etiology, severity evaluation, treatment and prognosis of ANVUGIB were carefully reviewed, the recommendations were then proposed. After several rounds of discussions and revisions among the national experts of digestive endoscopy, gastroenterology, radiology and intensive care, the 2015 version of "Guidelines for the diagnosis and treatment of acute non-variceal upper gastrointestinal bleeding" was successfully developed by the Chinese Journal of Internal Medicine, National Medical Journal of China, Chinese Journal of Digestion and Chinese Journal of Digestive Endoscopy. It shall be noted that although much progress has been made, the clinical management of ANVUGIB still needs further improvement and refinement, and high-quality randomized trials are required in the future. © 2016 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd.
Kim, Jung Hee; Lee, Byoung-Hee
2015-06-01
The objective of this study was to evaluate the effects of mirror therapy in combination with biofeedback functional electrical stimulation (BF-FES) on motor recovery of the upper extremities after stroke. Twenty-nine patients who suffered a stroke > 6 months prior participated in this study and were randomly allocated to three groups. The BF-FES + mirror therapy and FES + mirror therapy groups practiced training for 5 × 30 min sessions over a 4-week period. The control group received a conventional physical therapy program. The following clinical tools were used to assess motor recovery of the upper extremities: electrical muscle tester, electrogoniometer, dual-inclinometer, electrodynamometer, the Box and Block Test (BBT) and Jabsen Taylor Hand Function Test (JHFT), the Functional Independence Measure, the Modified Ashworth Scale, and the Stroke Specific Quality of Life (SSQOL) assessment. The BF-FES + mirror therapy group showed significant improvement in wrist extension as revealed by the Manual Muscle Test and Range of Motion (p < 0.05). The BF-FES + mirror therapy group showed significant improvement in the BBT, JTHT, and SSQOL compared with the FES + mirror therapy group and control group (p < 0.05). We found that BF-FES + mirror therapy induced motor recovery and improved quality of life. These results suggest that mirror therapy, in combination with BF-FES, is feasible and effective for motor recovery of the upper extremities after stroke. Copyright © 2014 John Wiley & Sons, Ltd.
33 CFR 117.881 - John Day River.
Code of Federal Regulations, 2010 CFR
2010-07-01
... below Bonneville Dam. [CGD 82-025, 49 FR 17452, Apr. 24, 1984, as amended by CGD13 91-07, 56 FR 67528, Dec. 31, 1991; USCG-2000-7223, 65 FR 40056, June 29, 2000; USCG-2001-10881, 71 FR 70312, Dec. 4, 2006] ...
33 CFR 117.881 - John Day River.
Code of Federal Regulations, 2011 CFR
2011-07-01
... below Bonneville Dam. [CGD 82-025, 49 FR 17452, Apr. 24, 1984, as amended by CGD13 91-07, 56 FR 67528, Dec. 31, 1991; USCG-2000-7223, 65 FR 40056, June 29, 2000; USCG-2001-10881, 71 FR 70312, Dec. 4, 2006] ...
Mission specialist Blaha in Spacehab module
1996-09-18
STS79-E-5027 (18 September 1996) --- Astronaut John E. Blaha, near Spacehab lockers onboard the Space Shuttle Atlantis, stays busy with final preparations for joining cosmonauts for crew mates following tomorrow's docking of the Atlantis and Russia's Mir Space Station, on Flight Day 3.
Hague, Angela; Jones, Gareth E
2008-10-01
This report summarises practical aspects to measuring cell motility in culture. The methods described here were discussed at a 1-day European Tissue Culture Society (ETCS-UK) workshop organised by John Masters and Gareth E Jones that was held at University College London on 19th April 2007.
Tammaro, Leonardo; Buda, Andrea; Di Paolo, Maria Carla; Zullo, Angelo; Hassan, Cesare; Riccio, Elisabetta; Vassallo, Roberto; Caserta, Luigi; Anderloni, Andrea; Natali, Alessandro
2014-09-01
Pre-endoscopic triage of patients who require an early upper endoscopy can improve management of patients with non-variceal upper gastrointestinal bleeding. To validate a new simplified clinical score (T-score) to assess the need of an early upper endoscopy in non variceal bleeding patients. Secondary outcomes were re-bleeding rate, 30-day bleeding-related mortality. In this prospective, multicentre study patients with bleeding who underwent upper endoscopy were enrolled. The accuracy for high risk endoscopic stigmata of the T-score was compared with that of the Glasgow Blatchford risk score. Overall, 602 patients underwent early upper endoscopy, and 472 presented with non-variceal bleeding. High risk endoscopic stigmata were detected in 145 (30.7%) cases. T-score sensitivity and specificity for high risk endoscopic stigmata and bleeding-related mortality was 96% and 30%, and 80% and 71%, respectively. No statistically difference in predicting high risk endoscopic stigmata between T-score and Glasgow Blatchford risk score was observed (ROC curve: 0.72 vs. 0.69, p=0.11). The two scores were also similar in predicting re-bleeding (ROC curve: 0.64 vs. 0.63, p=0.4) and 30-day bleeding-related mortality (ROC curve: 0.78 vs. 0.76, p=0.3). The T-score appeared to predict high risk endoscopic stigmata, re-bleeding and mortality with similar accuracy to Glasgow Blatchford risk score. Such a score may be helpful for the prediction of high-risk patients who need a very early therapeutic endoscopy. Copyright © 2014 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.
2017-07-21
Gary Jordan (Host): Houston, we have a podcast. Welcome to the official podcast of the NASA Johnson Space Center, Episode 3, Landing from Space. I'm Gary Jordan, and I'll be your host today. So on this podcast, we bring in the experts -- NASA scientists, engineers, astronauts, pretty much all the folks that have the coolest information, the stuff you really want to know -- right on the show to tell you about everything NASA, everything from extraterrestrial dirt to the unknown parts of the universe. So today, we're talking landing from space with Dr. John Charles. He's the chief scientist for the NASA Human Research Program here at the NASA Johnson Space Center in Houston, Texas, and we talked about the more human side of space -- specifically, what happens to the human body in the microgravity environment and what that means for adjusting to life back on Earth, even on other planets, like Mars. I also had the chance to catch NASA Astronaut Shane Kimbrough just two days after landing from a 173-day mission aboard the International Space Station, and he gave a firsthand experience of what it feels like to adjust back to Earth's environment after living in space for that long. So with no further delay, let's go light speed and jump right ahead to our talk with Dr. John Charles and then NASA Astronaut Shane Kimbrough. Enjoy. [ Music ] Host: All right. Dr. Charles, welcome. Is it, should I say Dr. Charles or John? John Charles: Call me John. Host: John, okay. [laughs] All right. Well, John, thanks for coming on the show. We always seem to end up in the same circles first with the landing on Mars video and with speaking presentations, and, you know, you were the first person I thought of when we had this topic. But what's cool about this one is for this particular podcast, I actually got a chance to talk to Shane Kimbrough two days after he landed, which was awesome. I mean, he was really tired, but it was pretty cool to talk to him. Not to say that you're not a special guest, but-- John Charles: I'll try not to be as tired as you are. [ Laughs ] Host: Well, we're doing this I guess after lunchtime, so I can understand. John Charles: Yeah, that's possible. Yeah. Host: It is. But what's cool is that he was just getting adjusted to Earth. It was perspective, of such a unique perspective. He just came down, and he was still getting adjusted, and that takes weeks, right? That takes-- John Charles: Yes, it may take -- well, some folks say it takes as long to respond to or adjust back to Earth as it did in flight. So there is going to be ongoing adjustments, especially in the areas of, say, the bone loss, that will take months, and months, and months before they even come back to what they were approximately before flight. Host: Yeah. I mean, even some astronauts say they have, they still have dreams about floating. I mean, even floating and-- John Charles: Yeah. Host: They kind of, I guess their body just doesn't know where they are. John Charles: That, it's certainly, it is certainly a monumental experience, and I cannot imagine ever getting tired of it or used to it. I understand Peggy Whitson was excited to get the mission extension of three more months. Host: Right. John Charles: And she said she was actually interested in going back again. So I think once you've experienced the wonders of weightlessness, and the awesome view out the window, and all the other parts of going on a spaceflight these days, it's not something you ever get used to, and it probably colors your dreams for many, many years to come. Host: That's beautifully put way. John Charles: Thank you. Host: A beautiful way of saying it. But that's what I guess, you know, for, at least for Shane Kimbrough is kind of I guess happy to be home. You know, when we were interviewing him, his wife was not too far away. So he was, you know, I'm sure he's happy to see his family. John Charles: Sure. Host: But I was thinking, you know, why don't we start off with that conversation with Shane Kimbrough? Because he does talk about a lot of the human aspects, and he just says, you know, I'm dizzy and this is how I'm feeling. So I thought it would be cool if we kind of elaborated on that a little bit after. But first, let's start with Shane Kimbrough's interview. We do have to go back in time, so producer Alex, let's cue the wormhole sound effect thingy. [ Music ] Host: So if you need to take a breather, you know, let me know because it's just like talking, and then talking-- Shane Kimbrough: No, no. It's— Host: And then talking, and then talking. Shane Kimbrough: Good. [laughs] Let's knock it out. Host: Oh, man. So, wow. Okay, I know it's been a busy couple of days for you, but, you know, thanks for taking the time to actually set, you know, ten minutes aside to have this conversation. You just landed two days ago. That's pretty crazy. [laughs] But since we only do have, like, a short period of time, I thought we'd start, and if you can just kind of take us through the journey of starting at when you were saying your final goodbyes to Peggy, and to Thomas, and Oleg, and then you just closed the hatch, and then that journey all the way to where you, bam, smacked the ground. Shane Kimbrough: All right. Yeah, we were, you know, it was an anticipated moment when we were going to say goodbyes. We'd kind of been sitting around for about an hour waiting on the time to, when Sergey, the Soyuz commander, came and said, "It's time to go." So we did say our goodbyes. We gave hugs to all the other crew members we were leaving, like you said -- Peggy, and Thomas, and Oleg. We spent about four-and-a-half months together with them, so we spent a lot of time together, so we got to be really good friends and crewmates. So it was great with them, but it was, you know, we were heading home, and so we had to say our goodbyes, quickly shut the hatch right after we say goodbyes, and then we started preparing our vehicle with leak checks and everything, trying to make sure we were leak tight before we departed from the Space Station. Host: So a lot of, like, a lot of right to the procedures, right. Not a lot of reflection time. Shane Kimbrough: Absolutely. Host: Just right into it. Shane Kimbrough: We didn't have any time to mess around [laughs] because you, we do a leak check, then we get in our space suits, and then we get in the descent module, close the hatch to the other module, and then we depart pretty quickly. So all had to happen, you know, by the procedure. If we had any hiccup in that, then we wouldn't have been leaving that day. So it was pretty pressure packed trying to get to the undocking time. And so we undock, and then we actually, after you undock, you have about an hour and a half, which is an entire revolution around the Earth, to really not do much. So we took a little nap [laughs] because we were-- Host: Well deserved. Shane Kimbrough: Really tired. I mean, they had us on a crazy sleep shift on the last day. And so we were pretty worn out. So we took a little nap and then got ready after that for the deorbit burn, which is a pretty big emotional event when the big engine fires off-- Host: Yeah. Shane Kimbrough: And puts you on a trajectory to enter the Earth's atmosphere at the correct angle so that you actually make the landing site and make sure the vehicle's pointed in the right direction so you don't burn up when you're coming through the atmosphere. So that's obviously a plus. Host: So you didn't really feel the deorbit burn, right? You mainly felt the reentry? Is that what-- Shane Kimbrough: You do feel the deorbit burn-- Host: Oh. Shane Kimbrough: Because the engine kicks in and it's, you know, it's kind of like a kick in the pants, and you're thrown back in your seat. Host: Oh, wow. Shane Kimbrough: And it, you know, lasts I think about a couple minutes. So, you know, it's a sustained kind of pulse, and-- Host: You feel it that whole time, right? Shane Kimbrough: Yeah, you're feeling it. I mean, initially, you feel it a little more, and then you get used to it. Host: Right, right. Shane Kimbrough: And so then you're kind of getting ready to come back through the atmosphere, then separation of our descent module in the [inaudible], the habitation compartment happens. That's kind of like just an explosion, right. [laughs] So you feel it. You hear it. You see things flying by the windows from the other module that just came apart. So that's pretty interesting. Host: Yeah, not a boring ride. Shane Kimbrough: No, [laughs] not a boring ride. And then, we're kind of getting ready for the next big event. There's always, I mean, four or five big events along the way. The next one was parachute opening. Of course, after you started pulling, you're feeling the effects of gravity, all right. So we were pulling and we ended up pulling them 4.3 g's I think. So we felt like 4.3 times your body weight. Host: Wow. Shane Kimbrough: Which, after microgravity, felt like about 20 times your body weight. Host: Yeah. Shane Kimbrough: And so that built up, and we kind of just felt it building. We're watching the meter go up, and, man, I was like, wow, that's a lot. And then, right after that, the parachute, you know, started coming out, and that was really an emotional event because it's really dynamic, [laughs] I guess is the best word. And it kind of throws you around really drastically four or five times, and, you know, it's completely normal. But until you go through it the first time, which is my first experience, I was like, there's no way this can be normal. Host: Yeah. [laughs] Shane Kimbrough: But it is, and that's the way they do it, and it's just the parachute coming out and getting set up and the risers getting in the right position. And then, once that's done and then it's kind of a peaceful ride until you crush into the ground. Host: Yeah, yeah. [laughter] Okay, so the swinging back and forth, how would you compare that? Is it -- I'm thinking of an amusement park ride, right. It's got to be more intense than that, right? Shane Kimbrough: It is, but, you know, I don't know if there's one out there that just really slams you to the right [laughs] and slams you to the left, and you do that five or six times, you know, in a -- you know, I can't think of one that does that, but that's what it was like. I couldn't believe it. Shane Kimbrough: Yeah. Host: I guess that's why they, you know, they kind of strap you into that thing real tight, right, because you're-- Shane Kimbrough: Right. Host: Getting bounced and kicked in, like, all-- Shane Kimbrough: Exactly, yeah. Host: Directions. Shane Kimbrough: So as we come in, you start, the advice I got was as soon as you start feeling the g-force, start pulling on your straps as much as you can to really get you down into that seat-- Host: Yeah. Shane Kimbrough: So that you're not just secured but, you know, getting ready for the impact of the landing as well. Host: So is it fair to say that that landing was the hardest impact, probably? Shane Kimbrough: Oh, yeah. [laughs] Yeah. No doubt. Host: How did that feel? Shane Kimbrough: it was, you know, I've heard it called like, it's like a really bad car crash, and now I can confirm that that is accurate. Host: Wow. Shane Kimbrough: So you hit just really hard. And in our case, we hit twice really hard, so. Host: Oh. [laughs] And then, you roll around, right? Shane Kimbrough: And then, we rolled some more too just for added effect, so. Host: And then, you said, I remember you saying, because we did it in like a bunch of other events before this, but you said, like, you were in a position where you were just kind of dangling a little bit, right? Shane Kimbrough: Yeah, so I was kind of on-- Host: You were-- Shane Kimbrough: Top looking down at the ground, but-- Host: Yeah. Shane Kimbrough: In that case, I was hanging from my straps. Host: Wow. Shane Kimbrough: Really uncomfortable feeling for about five minutes, five to ten minutes until they could get there and roll the vehicle kind of to the normal position. Host: Oh, that's it. Just five to ten minutes, and then they were there. Shane Kimbrough: Yeah. It was very likely we had perfect weather that day. The search and rescue forces saw us the whole time. And really, right after the parachute opened, they tracked us all the way to the ground, so they were right there-- Host: Wow. Shane Kimbrough: In about ten minutes and got us out pretty quickly. Host: So when that door opened and they pulled you out, what was that feeling? Was it relief or was it just more of the, you know, just here's the next step kind of thing? Or, like, describe those emotions. Shane Kimbrough: Yeah, so the hatch, they opened the hatch, the search and rescue forces. And they're familiar faces from our training in Star City, Russia. I mean, they're Russian-- Host: Yeah. Shane Kimbrough: Folks. But it was nice to see their smiling faces. And then, I saw my flight sergeant from NASA and the Chief Astronaut Cassidy right there as well. So, you know, we were all smiles and waving. We all felt great at the time. And getting out is very challenging because it is so small, like we were talking about earlier. Host: Right. Shane Kimbrough: But they have to help you out. You can't get out on your own for gravity for one, and then it's just too tight and too small. You can't even really get to unstrap yourself. They have to get in there. It's that tight. Host: Wow. Shane Kimbrough: Like, you can't move your hands enough to unstrap most of your straps, so they get in there and help you out doing that as well as pulling you out of the vehicle. Host: Yeah. So okay, when you first, you know, you're pulled out of the capsule. You have fresh air, familiar faces. Obviously, that's a great moment, but so now you're kind of, you're back on Earth. You can feel it, right? What's, how are you feeling -- do you feel sick? Do you feel, is it mostly happy? Is there overwhelming feelings? What's going on? Shane Kimbrough: I think people have felt all those things you've mentioned. [laughs] I really felt great. I love smelling that fresh desert air. It was kind of like a 60-degree day in Kazakhstan. Feels beautiful. The wind was blowing. It was just awesome to have that sensation of nature again for me. And then, just seeing friendly faces and knowing I was going to get to talk to my family pretty soon after that was pretty special. Host: Yeah, that's amazing. What was the, so what was the main thing you noticed about the way your body was adjusting to life back on Earth? Shane Kimbrough: Well, to not move your head around is great advice, I guess. [laughs] Yeah, because that really provokes some folks to get sick, so-- Host: Okay. Shane Kimbrough: I really try to keep my head focused straight ahead. If anybody was talking to me, I would make them come right in front of me so I didn't have to kind of, because the natural tendency is to just look at them, right, but that really gets your-- Host: Yeah. Shane Kimbrough: Inner ear spinning up pretty well and-- Host: It must've been hard because there's a lot happening, right? People are-- Shane Kimbrough: There is. Host: All over. Yeah. [laughs] Yeah. Shane Kimbrough: So I heard people to my side, and I was, I just told them, "Hey, come right in front of me so I can see you [laughter] because I'm not going to turn my head." Host: Yeah, exactly. So-- Shane Kimbrough: And it seemed to pay off, so. Host: Yeah. Well, okay, so besides feeling sick, were you weak, like are, can you move around, or what was the-- Shane Kimbrough: You can move around a little bit. Host: Okay. Shane Kimbrough: They were carrying us. You know, I wasn't walking anywhere at the time, and they had people that carried us to where we were sitting there for a while. And then, after that, they carried us to the medical tent. But once we got in there, then it was a bunch of testing, and walking, and with your eyes closed and open, and just crazy things. And, [laughs] you know, just trying to-- Host: You just don't get a break. Shane Kimbrough: See where you're at. [laughter] Host: You just don't get a break. And then, they throw you-- Shane Kimbrough: Yeah. Host: On, what is it? To get a helicopter, and then the helicopter-- Shane Kimbrough: Yeah. Host: To a plane. Shane Kimbrough: Right. Host: You're off to Houston. Shane Kimbrough: Exactly. Host: Did you -- I'm guessing you slept on the plane, right? Shane Kimbrough: I did. I slept-- Host: Yeah. Shane Kimbrough: Really well on the plane, so it was good. [laughter] Host: I probably should've start off this -- I just realized -- but how are you feeling now? Shane Kimbrough: I'm feeling, yeah, I'm feeling really well compared to what I thought I'd be feeling at this point. It's only two days after I landed, like you mentioned earlier, and I really feel great. I had a great workout today, which I think really made me feel better. Host: Oh, wow. You're right back into it. Shane Kimbrough: Yeah, so we got about a 45-day program of working out and getting you rehabilitated, back to your full strength. Host: Okay. Shane Kimbrough: But it should only take maybe a week or so to get there, and then from there, we'll just build on whatever strength I have. Host: All right. All right, well, one more question, then I'll let you go. What was the first thing you ate when you got back here? Shane Kimbrough: [laughs] A lot of people are asking me that, and [laughs] it's a really boring answer, but it was a banana-- Host: Oh. Shane Kimbrough: Because that's something [laughs] I hadn't had in-- Host: A banana. Shane Kimbrough: A while. I was really wanting some fruit, and-- Host: That's true. It's not, yeah. Shane Kimbrough: I had a banana and an apple and had a bunch of those on the plane. [laughs] Host: Okay, so once you're -- how about this? -- once you're well enough, what's the first thing you're-- Shane Kimbrough: Yeah. Host: Going to eat? Shane Kimbrough: I think we're going to do some Italian tonight, which I've been thinking about. Host: Oh. Shane Kimbrough: So that's good. And then, Mexican probably here in the next few days as well, so. Host: All right. All right. >> It'll be good. Host: Definitely two good ones. Well, Shane, thank you for spending these couple minutes with me. Shane Kimbrough: My pleasure. Host: Thanks. Shane Kimbrough: Thanks, Gary. Host: Cool. [ Music ] Host: All right. Producer Alex, we're going to have to work on that wormhole sound effect. Come on. That was quite a ride. I mean, I was, [laughs] I honestly felt sick just listening to the way that he was going down. But there was a lot going on for every step of the way, so, I mean, first off, you know, what are those changes that he was talking about that makes him feel so, you know, so off when he lands on the ground? John Charles: The human body goes through many changes in weightlessness and the rest of spaceflight. I'm always interested most in weightlessness. I don't like the term microgravity. I think that's unnecessarily accurate. Host: There's a lot of synonyms, or syllables. John Charles: It's, yeah, a lot of syllables too. [laughs] But the weightlessness has profound effects, and I like to say that it's evolutionarily unanticipated. There's nothing that has ever happened to us in our lives and in all of the lives of everybody that lived before us, all the way back to as far as you want to go, that is weightlessness. Now, even floating in water is not weightlessness because you're still subject to gravity. The parts of your body that are denser go to the bottom and the parts of your body that are lighter float to the top, and that's true even in the vestibular system. The organs of balance he was talking about. Being dizzy. Those are not weightless, even underwater. The only time they're weightless is if you fall off a cliff, and then the effect is very short lived. Host: Right. John Charles: You don't get a chance to enjoy it very much. Host: Right. John Charles: So this is a real opportunity to, for the body to experience something that it's never experienced before ever, and not surprisingly, there are changes that occur in the body, and the changes might be summarized by the concept that the body economizes its metabolic energy. It doesn't waste energy supporting metabolic processes it doesn't think it needs. And nobody, you can't tell your body, hang on to that because you're going to need it eventually. The body doesn't talk to you in that sense. The body responds -- and by this, I mean the autonomic processes, the physiological processes -- respond to the environment that they have seen recently and are seeing at the moment. So as far as the body is concerned, gravity went away and it's never coming back. And so what do I need to do to be more effective metabolically in the environment that I will see forever? Host: It's just the body adapting to a new environment. John Charles: It's to a new environment. And luckily, the body adapts nicely to the weightless environment-- Host: Right. John Charles: Because it really is sort of a step down. It's less hard to do almost everything metabolically in weightlessness, and the body doesn't know that you're going back to Earth with gravity, so you have to fool the body to get back to, to get ready to go back to Earth. So you go through the changes of weightlessness, and these metabolic efficiencies I'm talking about include not maintaining bone strength. You don't need bone strength in weightlessness, and the body says, great, I'm not going to spend metabolic energy on that anymore. I'm going to dedicate it to something else. Host: Right. John Charles: You don't need muscle strength. You don't need cardiovascular strength so much. You don't need all of the intricate understanding of how to respond to gravity. You don't need to keep track of where all your joints are, your limbs, and all that kind of stuff. Host: Because all of that is gone in the weightless environment. John Charles: That's right. Host: It's just, you don't need your bones because you're not pressed up against anything. John Charles: You're not-- Host: You're just floating. John Charles: You're not supporting yourself anymore. Host: Right. John Charles: There is a residual bone strength, a residual bone volume or density that you will probably plateau at. If you stay in space forever, you will never become like the guys were in WALL-E when they had no bones. Host: [laughs] Yeah. John Charles: Just the big blobs of jelly. Host: That's right. John Charles: That would never happen. You probably, based on other studies and clinical experience, you'd probably lose up to 40% of your bone mass eventually. That is after years, and years, and years. Host: Wow. John Charles: So you, I mean, even so-- Host: Is this saying that you're not working out during those years? John Charles: Yeah, assuming you're just weightless. Host: Assuming you're just weightless. John Charles: Assuming you're just weightless and not working out, that's right. Host: Okay. John Charles: Which would be I think my preferred lifestyle. [laughs] I'd like to be weightless and not working out. But that, see, Gary, that's the answer, though, is the way we fool the body or don't fool the body. We just change the conditions is by working out. So the astronauts work out two hours a day every day, including resistive exercise, my favorite. I call that weight lifting in weightlessness. Host: Right. John Charles: And that's all done with hydraulics and computers. And then, or aerobic training -- exercising on treadmills, and bicycles, and maybe a rowing machine someday. And what that does is put a load on the bones, and the muscles, and the cardiovascular system, not the vestibular system, not the organs of balance, but all the other systems mimicking the absence or the effect of gravity, which is then absent in that environment. Host: So that's, so they're doing those you said aerobic and resistive. So that's the, I guess like you said, though, in space, the weight-lifting machine-- John Charles: Right. Host: Sort of with hydraulics-- John Charles: Right. Host: And that simulates weight lifting. And then, you also have aerobic exercise, which is the treadmill and the bicycle. John Charles: The bicycle. Host: So you have to do this I believe two and a half hours every single day-- John Charles: Yeah. Host: In order to maintain everything? John Charles: Right. And that's a total of two plus hours a day. That includes breakdown, and setup, and changing your clothes, and all that stuff. So you do-- Host: Oh, yeah. John Charles: You know, multiple tens of minutes at each. Host: I see. John Charles: And different exercises on different days. And I think one day is actually a free form. You can do whatever you want. But, you know, the other days are fairly prescribed. But what that does is put a load on the bones, and the muscles, and the cardiovascular system, and other organs as if they were doing something against gravity. It's not the same, but it's close. Host: So that's the way that you're saying you're tricking your body-- John Charles: You're tricking your body. Host: Into thinking that, you know, you don't need, you still need to maintain the muscles. Hold on. John Charles: Right. Host: Stop. You know. John Charles: You're maintaining them for something else. You're maintaining them for exercise and not for fighting against gravity. Host: Right. John Charles: But it has the beneficial effect in many cases of being appropriate for gravity. And in fact, the resistive exercises that we're doing now seem to minimize the loss of bone structure that occurs in weightlessness that has been seen on previous missions. So the Advanced Resistive Exercise Device, the ARED, may well be the way that we protect bones and muscles in the future on Mars missions. Host: Oh. John Charles: It may be that we're able to go on really long missions without losing much calcium and without changing the structure very much of the bones. And it's not the loss of calcium per se that's the problem. It's where the calcium comes out of. The bones are developed in everybody whilst you're growing up. Host: Right. John Charles: You're, when you're growing up, you know, you're, first, you're born with a skeleton, and then you spend the first 18 years of your life banging yourself around, and jumping up in trees and off of hillsides, and falling, and jumping, and running, and pulling, and lifting. And all that stuff shapes your body. Host: Yeah, and that's in childhood. John Charles: Right, and that, [laughs] well, I saw people do it. [laughs] Like I said, see previous comment. Host: Right, right. John Charles: But that shapes your body and gives you the structure you need to keep doing that for the rest of your life. And then, at some point, that, those structures, those facets are completed, and you can then go and do useful things with the body that you've built up over the first 18 plus years of your life. Host: Right. John Charles: So when you go into weightlessness, you start eating away at that in the absence of gravity, and if you come back to the Earth, you restore some of that, but you don't restore it the way it was originally. You restore it to the way it needs to be now, which means you don't go back inside the bones and reestablish the framework, the structure. And the bones actually have structure inside of them. The outside is called the cortex, and it's a thick layer. And then, on the inside are the trabeculae, and the trabeculae are like a framework. Think of a lattice work inside of your bones. And those, that lattice work is genetically engineered by you as you grow up to respond to the forces you're putting on bones. So it puts down calcium where the forces are the greatest and it doesn't put down calcium where the forces are not the greatest. But that's the structure you take with you for the remainder of your active life, unless you go into weightlessness. In which case, that obviously gets eroded gradually but persistently over the time in weightlessness. So your bones actually do lose calcium, do lose mass, bone mass, and you lose strength of the bones. Not, so far, not enough to cause you to fracture when you come back to the ground. There have been a couple of astronauts who have fractured bones in the post-flight period, and we have analyzed those, and they would've fractured their bones if they had never flown in space. They just caused an impact that broke bones, and that's just what happens. Host: They were trying to run up and down trees like their childhood days, right? John Charles: Well, they, yeah, nothing quite so [laughs] glamorous. One guy fell off of a stage after a public affairs presentation. He just-- Host: Oh no. John Charles: He didn't fall off. He tripped because there was something on the edge of the stage, so-- Host: Oh. John Charles: It was unavoidable whether he was an astronaut or not and whether he'd flown in space or not. Host: Right. John Charles: So we don't see bone-breaking episodes in astronauts that would not have broken their bones beforehand, but there's the risk that with even longer flights, longer than six months like Shane was on and longer than one year like Scott Kelly and Mikhail Kornienko were on, and perhaps, you know, two-and-a-half year Mars missions might be getting close to the threshold where you might start seeing a slight possibility, increased possibility of breaking bones under normal circumstances. Not during the mission, but after the mission when you're back on the Earth. You know, that's sort of, after 30 months, that's when you start getting close to that threshold. Host: So it has to do with the time that you're in the weightless environment? John Charles: It seems to be an ongoing process. And like I say, though, that process seems to be interrupted by the heavy resistive exercise. Host: Right. John Charles: So that sort of stretches that period out. So you're not at risk if you keep doing your heavy resistive exercise. But that's an interesting question too, and you haven't asked me that one yet, but I'll go ahead and answer it because-- Host: [laughs] You were just reading my mind. John Charles: Yeah. That is, are we going to do resistive exercise on the Mars missions? And the answer is I hope so. Host: Right. John Charles: But we probably will not be using the ARED. The ARED is a very large device that takes up an entire module on the-- Host: Right. John Charles: Space Station. It's a node, which is, that's a module. And we don't have, probably will not have that kind of real estate, that kind of volume available for that kind of device. So right now, what the Human Research Program is doing is trying to understand which of the exercises on the ARED are the most effective in protecting which of the bone facets that are important to protect. And then, building a smaller device that'll just do those. A tailored, specialized device. So this is maybe an important point to make, and that is astronauts will go on missions and will suffer deficits -- deficits that we know how to protect against because we can't afford to protect against them within the limited constraints of a spaceship. So we will give them a device that gives them certain exercise capabilities to protect them against deficits that we think are the most important. But we may be allowing the rest of other aspects of the, say, the other aspects of the skeleton to go ahead and atrophy just because we don't have the flexibility and the resources to protect them against that. We don't think that's going to put them at an increased risk because they're not going to be doing things that will need those aspects on the skeleton, for example. Host: Right, so you've prioritized and you-- John Charles: We had to prioritize lots and lots of things when we start talking about a Mars mission. Host: Right. Yeah. No-- John Charles: I knew we wanted to talk about a Mars mission [laughs] because that's the only thing you talk to me about ever. Host: [laughs] Well, we were getting there. John Charles: Yeah. Host: I was taking baby steps. John Charles: Yeah. Host: And you just jump right there. John Charles: I did. I did. Host: [laughs] I guess, so how would the exercises, since we are on Mars now, how would the exercise work on Mars, you know, if you're talking about landing on -- would you kind of use sort of the same thing, or can you afford a different type of exercise? John Charles: Well, it's going to have to be tailored for the Mars environment, and for the Mars environment means both exercising at one-third of a g, or 38% of Earth's normal gravity -- we call that a third of a g -- on Mars. And also, being appropriate for the spacecraft that will land on Mars. And you raised a very important question. I hope you realized you raised it because it's an important question. Host: [inaudible] intentional. John Charles: And that is, that's, it's a matter of economics to get to Mars. First, you got to build a spaceship, and then you got to send it there with fuel. And fuel is the coin of the realm in space. It takes lots, and lots, and lots, and lots of fuel to get any place. And if you get there, then it takes even more fuel to slow you down and land safely. So everything on the surface of Mars will be mass constrained and volume constrained because mass, volume requires mass. You know, if you build a small room, it's got less mass than a big room. So we are going to be focusing on not only what we can put into the Mars transit vehicle, which will be constrained by the volume of the vehicle, but also what we can land on Mars, which will be constrained by the volume of the lander and the mass capable of landing. So it may well be that we figure out, we hope we figure out a way to use that one-third of a g on Mars as a way to supplement some of the exercise that they would normally be doing in their mini-gym inside the Mars lander or the Mars habitat. Host: Right, so when you're thinking about a Mars mission, it kind of goes back to that idea of prioritizing, right. So just as you're going to prioritize which parts of the body are the most sensitive-- John Charles: Right. Host: The most important for you to maintain, when you're sending stuff to Mars, you got to prioritize which things are the most important things to bring, to send, and make sure they're really small, and light, and don't take up a lot of space. John Charles: Small, and light, and don't take up a lot of space, and don't take a lot of energy, don't take a lot of mass, power, volume, which are the-- Host: Right. John Charles: Important constraints of a spaceship. And just think, we started talking about this because I was trying to make the point that Shane's body is not back to normal yet still. It's, his bones are going to take months to get back to normal. But other organ systems may respond more quickly. Host: But they will get back to normal? His, is the months? John Charles: See, here's a metaphysical question -- what does normal mean in a case like this? Because your bone changes normally over the course of your lifetime, including over every six months. You know, he was gone for six months. His bone was going to be atrophying a little bit anyhow. Host: Right. John Charles: So we're not going to get him back to what he was before flight. And why would we? Because he wouldn't be at that condition now after his landing if he'd just been walking around the Earth for six months. Our goal is to get him back to where they need to be to live a full, happy, functional life here on Earth. But it's, you can't, you know, you can't go home again. You can't go back to your old skeleton again. It just, this is, things are different [laughs] with time in life, and that's doubly true for time spent in space. Host: Yeah. It doesn't matter. You're always going to, just going to get older. Time's-- >> You're going to get older. Host: Just going to go forward. John Charles: That's right. Host: But you, I guess, you know, bones are not the only thing you have to think about, right? You have to-- John Charles: That's correct. Host: Think about a lot of other things. Shane mentioned, you know, when he landed and they pulled him out, he couldn't even turn his head. He was extremely dizzy. John Charles: And see, I think this is the other extreme. The bones are the, some of the slowest to respond in spaceflight and some of the slowest to respond post flight during the recovery back on Earth, but the vestibular system is probably the fastest responder. The vestibular system is the organ system of balance, and it allows us to stay upright. We are constantly making adjustments in our bones and our muscles and the way they're lining our, lining us up. I mean, the old illustration is imagine balancing a broomstick. Remember broomsticks? We used to have brooms and broomsticks. And imagine balancing a broomstick upright on your, on the palm of your hand and all the adjustments you have to make to keep that upright. Host: Right. John Charles: That's how it is when you're walking. When you're walking and standing on one foot or even standing on two feet, your body is constantly adjusting its center of balance and its center of mass to stay over the center of pressure of the feet so you can stay upright. And that all requires sensors in the skin, sensors in the soles of the feet, sensors that detect the angles between the ankle, and the shinbone, and all the other bones, and the organs of balance inside the inner ear. And Gary, even though we're on a podcast, I am automatically pointing at my ears because the organs of balance are behind the inner ears. Host: I can see. John Charles: Yeah. Host: [laughs] But I guess no one else can. John Charles: Nobody else can. [laughs] But this organ system is exquisitely tuned to respond to motion and to respond to gravity. There are parts of it that detect how you move your head, and now I'm twisting my head left and right because that causes a sensation in my inner ear, which then is, at a most simple case, is translated to my eyeballs. So my eyes counteract the motion on my head so I can keep continuing to look at you while we're talking. But there are other organs that detect my tilting my head left and right, and those are the balance. So those are the otoliths. The other ones are the semicircular canals. But the otoliths, the otolith is ear stone, oto-lith. Host: Okay. John Charles: And those are little stones inside little sacs of fluid inside your head which detect which way down is. And those are the ones that are the most immediately affected by spaceflight and weightlessness because if your whole existence is predicated on detecting down and somebody takes away down, then what do you do? And that's sort of how the vestibular system responds to weightlessness is it spends a lot of time the first several hours or several days saying, oh my God. Oh my God. Oh my God. My only job is to detect down and there is no down. What do I do now? Now, I'm built, you know, the organs of balance are built to detect motion and to detect directions of acceleration, so they may get more sensitive. In fact, the little otoliths in your ears might become bigger. They might accrete more of the mineral that they're made of because they, they're sure there's a down there someplace and that if they could only get heavier, they might be able to detect it again. Host: And this is over the first couple days of the spaceflight? John Charles: Over the, it's over the course of the spaceflight. Host: Oh, over the -- wow. John Charles: Over the course of the spaceflight. Over the course of the first few days -- thank you for bringing me back to the point at hand -- [laughs] over the course of the first few days, essentially the brain says, you know what? You guys are just making gibberish. You're not making any sense anymore. I'm going to start ignoring you. Now, the brain doesn't actually use words. It just sort of economizes the metabolic energy. It says, I'm not going to put so much metabolic energy into the nerves that come from the vestibular system because-- Host: Right. John Charles: I'm just getting gibberish from there and it just, it makes my, the stomach part of me sick. Let's just not pay attention so much to that anymore. And in fact, on Skylab, the American space station in the 1970's, when there was a rotating chair onboard specifically to see how often we could make astronauts sick in spaceflight -- rotating chairs are good ways to make people sick. If you rotate them and ask them to move their heads while they're rotating, that's a great way to be sick. Host: Oh, yeah. I remember those chairs. John Charles: Turns out after a few days in weightlessness, astronauts couldn't be made sick anymore by moving their heads while they were rotating because the-- Host: Yeah. John Charles: Organs of balance had adapted and also because the stimuli were different. Host: I've seen that video of Tim Peake, where I think it was Tim Peake and Tim Kopra, when they were both on the International Space Station-- John Charles: Yeah. Host: Kopra took Peake and just spun him around really, really, really fast-- John Charles: Yep. Host: And then stopped him suddenly. And Peake had like one moment where he stopped suddenly where, I mean, the whole time he was spinning, he didn't feel a thing. John Charles: Yeah. Host: And then, he stopped suddenly. He's like, "Okay, I'm dizzy for a second." And now he's good. John Charles: It's gone. Host: Yeah. John Charles: So there are quick responses, but as I say, you know, the organs of balance, vestibular system continue to, like I say, try to find gravity. And so they may actually increase the mass of the little stones inside your inner ears. And that's kind of an interesting novelty that nobody's figured out yet whether, what the functional -- operational, I should say -- significance -- functionally, we know what it means -- but operationally, what does it mean in terms of your ability to stand upright after you land on Mars? Or things like that. So there's lots of more, lots of research on, some topics for research that we can do in that domain. But the point I was trying to make originally is that this is a quick-responding organ system. Then, slightly slower will be the organs of your cardiovascular system. And those are all fluid based in the sense that they, you're a big, pressurized bag of fluid. Nothing personal, but all of us are. [laughs] And our goal is to stay pressurized by the function of our heart so that the blood can then perfuse the brain and also the blood pressure we carry around with us, 120/80, when the doctor does your blood pressure, tells you, yes, 120/80. Host: That's a good one. John Charles: That's the pressure that you need to get through the muscles when you're exercising. The, when your muscles are exercising, they're constricting and contracting. They're squeezing down the blood vessels. It takes a certain amount of blood pressure to push through there to deliver the nutrients that the muscles need to continue exercising. That's where your 120/80 comes from. And you have to continue building that pressure up. But in weightlessness, you're not exercising so much anymore. You're floating freely. You're relaxing, and your blood vessels are dilating, and your pressure, you'd actually lose blood volume in space. You may lose about a liter of blood in space. Host: Wow. John Charles: You may actually lose, that's about a blood donation, about the same amount as they take out of you when you donate blood, half a liter or a liter. Host: Huh. John Charles: Yeah, that's because the body's, the fluid distribution builds into it an assumption that a lot of your fluid is going to be down in your lower limbs because of gravity, and your lower limbs have a lot of veins, which are very floppy and good places to sequester extra fluid that you don't need, extra blood you don't need. And in weightlessness, that fluid is all shifted into the upper direction, and it's-- Host: Oh. John Charles: There's not a lot of extra venous volume in the upper part of the body, and so the body says, aha, I've got a, I've got too much fluid onboard. I know what to do in a case like this. Decrease thirst, increase urination, you know, eliminate fluid elsewhere, shift it into other parts of the body, which has the effect of causing your body to lose blood volume over the course of the first few weeks in spaceflight. Host: That was going to be my question. John Charles: Yeah. Host: Where does that liter go? Okay. John Charles: Liter goes out, becomes tomorrow's coffee. Host: Yeah. [laughs] John Charles: You remember the old analogy about the water recycling system. Host: That's right. John Charles: So that fluid volume is appropriate for your time in weightlessness. And again, one of those tricks that you pull on your body is that you come back to the Earth after your time in weightlessness and suddenly that fluid drains back down to the lower part of the body. And then, suddenly, the upper part of the body is volume deprived, and that's when you may feel a little bit light headed, a little bit weak. Astronauts wear compression garments in the lower body -- in the legs, especially -- to squeeze to make sure the fluid stays up in the upper part of the body and not pooling in the lower part of the body. Shane was wearing those compression garments that are called Cantaver [phonetic] garments. That's the Russian name for Cantaver. [laughs] And it-- Host: Nice translation. John Charles: Yeah. I'm good at that. But that, those are very effective techniques, and we are, we have other capabilities like that as well. But the point is during, while he wasn't being sensitive to emotion by not turning his head very much, he was also, his body was functioning to keep the blood flowing to the upper part of his body through his brain so he could continue to function normally. That's all part of the early re-adaptation process as well. Host: That's right. John Charles: So the vestibular system is quick responding. The cardiovascular system is slightly slower. Along the way, you lose muscle mass because you're not hefting your body mass around, and they have to rebuild that when you come back. And then, out there at the, sort of the tail end is your skeleton. What we haven't talked about before, yet, though, are things like your radiation tolerance, or radiation exposure, I should say. Host: That's right. John Charles: That doesn't plateau. That doesn't decrease. That doesn't accommodate because you keep getting exposed to radiation, and radiation has a cumulative effect. The more you-- Host: As long as you're in space-- John Charles: As long as you're in spaceflight. So that's an ongoing issue, and that's something we will have to deal with going to Mars because you're exposed to even more radiation when you leave Earth's magnetic field and are-- Host: Right. John Charles: Exposed to the deep-space radiation. And then, the other aspects, of course, are the psychological aspects of spaceflight. And if you think what I've described to you before is complicated, you ain't seen nothing yet because the psychology [laughs] is one of the most self-regulating and self-protecting let's call it organ system that we have until it's not anymore. And so you adapt, you accommodate, you adjust. All those A words are the way that your [laughs] psychological aspects function in normal, everyday life and especially in spaceflight. Host: Yeah. John Charles: But you're exposed to stresses that are the most unique that anybody's ever been exposed to in spaceflight. And if we're talking about a Mars mission, we're talking about let's call it two and a half years just you and three other people face to face in the volume of a couple of Space Station modules maybe with the pressure and the eyes of the world on you to make sure you, to wonder if you succeed. So there's no pressure, obviously. And the, nobody can help you when you're on your way to Mars. At least, they can't help you immediately. There's going to be, when you get to Mars, you may be eight minutes away from Earth by radio. Host: Right. John Charles: At the midpoint of your stay on Mars, you might be 40 minutes away, 20 minutes away one way by radio. Host: Yeah. John Charles: So if you have a problem and it takes longer than, it takes less time than 20 minutes to fully express itself, and you don't know what you're doing, then you've got a big problem. Host: That was one thing Shane said. He said, five minute, he landed. Five minutes, and everyone was, you know, taking him out of the capsule. John Charles: That's right. Host: And you're right. You're not going to have any-- John Charles: That's right. Host: Not only no help, but it's going to be a while until actually someone talks to you. John Charles: I like to paint a picture for people, and that is if you're the first person on Mars, you're climbing down the ladder, and you stumble and fall face first into the Mars dust, [laughs] the bad news is that everybody on Earth will see it because they're all going to be watching the live stream. Host: Of course. John Charles: But the good news is it'll be 20 minutes before they see it. [laughs] So you've got a few minutes of relief before you have to explain to the entire universe how you stumbled your, for your first step on Mars. Host: [laughs] That would be pretty cool if that was the actual video of-- John Charles: Yeah. Host: The first person stepping on Mars. [laughs] So obviously, you know, you have to be thinking about, you know, this is, obviously, you are thinking about, you know, this is kind of what that's going to look like if someone's going to land on Mars. You know, what are we doing to sort of get them ready for that? One of the things I think, I'm pretty sure Shane mentioned was they sat him in the seat and, for a while, and then they took him right to a tent and started doing some field tests on him. John Charles: Yes, they're, exactly, and that's exactly what we called it. We call it the field test. It is, it's one of our Human Research Program investigations. It's a joint investigation by the U.S. and the Russians. The U.S. and Russian investigators Millard Reschke and Inessa Kozlovskaya are very longtime investigators, and they both have been anxious to do this kind of research on the adjustments of the sensorimotor system and the neurovestibular system to gravity after a long-duration spaceflight. We started doing this a few years ago. Chris Cassidy I think was the, actually the first guy to do it on his Soyuz landing. Host: Oh. John Charles: And we've been doing it pretty consistently since then to try and build up a database of responses so we know what an average, and, you know, what the statistical mean is, and what the variation is. Host: Nice sample size. John Charles: Nice sample size. Host: Right. John Charles: And it's also very dramatic, and it's also, it's a, an important set of things to do. But what it does briefly is after they're extracted from their Soyuz -- and you heard Shane talk about how they got out of the Soyuz with a lot of assistance. Nobody going to help you on Mars. Your vehicle has to be designed appropriately for you to get out on your own. Then, they set him in a chaise lounge for a little bit and have a brief public affairs event there on the steps of Kazakhstan, and that's a good chance for them to catch their breath. And then, they're carried, not walked, but they're carried into the medical tent. And inside the medical tent, in privacy because of human research concerns-- Host: Right, makes sense. John Charles: They are unsuited -- that is, their space suits are taken off -- and then, then if they volunteered for this investigation, they go through a stylized set of motions. And they start off with being seated in a chair and just being asked to stand upright and stand quietly for 30 seconds or so. Host: And that must be hard, though, right? John Charles: That's a substantial stress, a substantial [inaudible]. Host: Yeah. John Charles: Sonny Carter back on STS-33 I think it was said -- and that was after a five-day flight -- said the hardest thing he had to do on his spaceflight was stand up for the first time after a spaceflight out of the chair in the shuttle. Host: Wow. John Charles: So that was after just a few days. Now, this is after six months or so of weightlessness. Host: Right. John Charles: So that's the stress. We're watching their blood pressure, their heart rate, as well as their balance. And then, sort of to add insult to injury, one of the early things we do then is to lay them on the floor in the face down, in a prone position, and then ask them to stand up again. And it's, to mimic, it's called recovery from a fall. So the idea is that they have stumbled on Mars or they've stumbled on the Earth and they find themselves face down in the red dust on Mars like I've mentioned before. How long does it take to get back up again? And that we can quantify how long it takes them to stand up, to go through all the complicated motions of getting up on your hands, and getting up on your knees, and then finding a way to balance yourself and get back up. That's a very integrated physiological and, or musculoskeletal activity, and it's, it can be quantified. And then, once they've got them standing up again, and I always haste to add that no astronauts are actually pushed over. They're asked to lay down gently and then stand up. Host: [laughs] That's funny because that would be very rude. John Charles: That would be another good video. [laughs] But then, we make them walk an obstacle course to see if they can do it. And the obstacle course is actually, as Shane described, walking in a straight line with your eyes closed, or with your eyes open and then with your eyes closed. And sometimes, you know, eyes closed, you veer because you're using the, your visual system is your dominant way to orient yourself in the absence of a functional vestibular system and in the absence of a fairly relaxed set of somatosensory sensors. Those are the sensors that detect pressure on the bottom of your feet and at the angles of the joints, you know -- your ankle angles, and your elbow angles, and things like that. So walking with eyes open is always a challenge. Walking with eyes closed is almost always impossible because you veer immediately left or right because you just can't orient yourself in the absence of any inputs. And the inputs you're receiving are those that your brain has decided six months ago to ignore, and inputs that it wanted us, wanted to keep you've now deprived yourself of because your eyes are closed. So there's a little bit of a stressor there. And then, there are other things that we ask them to do as they sort of gradually move through this set of activities -- moving heavy masses back and forth as if they were unpacking a Mars lander and getting things set up on the surface of Mars, and, you know, just a bunch of generalized things like that involving motions, bending, twisting, standing still, you know, things like that. So-- Host: So how long does that usually take? John Charles: It's about 45 minutes-- Host: Wow. John Charles: In the tent, and that's only a subset. When they get back to Houston, there's a much longer set of measure, of activities they go through, and that'll be 24 hours after landing. Host: Right. John Charles: But we also test them in the airport in Karaganda, which is where the helicopter takes them after they land. Host: Right. John Charles: Or we test them in the airport either in Norway or in Scotland, depending on where the jet lands to refuel on the way-- Host: Their layover, right. John Charles: On the way back. Their layover. Host: Yeah. John Charles: So that gives us, you know, minutes, and hours, and then a day of adaptation. And then, we watch them for several days post flight up to potentially even several weeks post flight to track their full recovery back to normal. And this is specifically to quantify the responses, the re-accommodation and re-adaptation back to gravity so engineers can design habitats and landers for Mars missions, and they'll know what capabilities astronauts will have to design around. Host: Right. John Charles: Now, smart fellow that you are, you're going to say, but John, you already said that Mars has only one-third of a g, and here we are making them do all this stuff at one g. Host: Again, you're reading my mind. [laughs] John Charles: We've worked together so much, I can anticipate your, almost your next thought. But the deal is, yes, we are making them do it at one g when normally on Mars they'd be at one-third of a g. All we've got is one g, and this is the closest we can get to that situation, so we have to-- Host: Right. John Charles: Make the appropriate adjustments, if we think it's necessary, to compensate for the fractional gravity. But right now, in answer to your next question, we don't have any information on what fractional gravity does. And so we just have to assume that it will be as unpleasant, uncomfortable, difficult as one g is. And then, once we get experience at fractional gravity, like if we go to the Moon and get one-sixth of a g experience or if we land on Mars, and do it a few times, and say, you know what? That was not as hard as we said it was going to be. It's going to be easier here at one-third of a g. We can make the appropriate adjustments. Host: Right. There's a lot deeper of a story here, I can tell. John Charles: Yeah. [laughs] Host: There's a lot of different directions we can go, but I'm going to ask one more question, and then we're going to let you go. So, you know, you have all these field tests, and you're kind of preparing for what, you know, what we have to do in order to make a Mars mission work. So I do have one, like, theoretical question for you: In a perfect world, if you were to land on Mars, what would you want that to look like? I'm guessing, I mean, can it be as simple as they land on Mars and they're good? They get out of the capsule. Or is there, you know, is there other things that we are going to have to sacrifice based on the knowledge we have now to make that as easy as possible? John Charles: I think the answer is going to be yes and yes. Host: Awesome. John Charles: I think astronauts come in varieties just like other people do, and some people will have problems accommodating, adjusting, adapting, and others will not. Some folks are going to be able to land on Mars, and bounce right up, and feel like they want to go to work. We're probably going to insist that the landing vehicle be able to accommodate them for a couple of days. Host: I see. John Charles: Because we don't want to bet that they're all going to be perfect, they're all going to be bulletproof. And by perfect, I mean in this particular regard. Because they're all going to have, they're all going to be perfect in some way. It's not just, you know, the, not just the '70's kids. [laughs] We're all perfect in some way, but they're all not going to be perfect at adjusting to Mars. There's going to be some that are slower, and some that are faster, and some that are sort of run of the mill. We have to accommodate all of them because you can't leave the guy behind that's not feeling the best, then go and start exploring Mars. Host: Right. John Charles: So the goal is to make the landing vehicle as lightweight as possible. Previous discussion about mass, and power, and volume. Host: Right. John Charles: Which means minimize the amount of mass that you dedicate to life support systems. You don't want to build a two-week life support system into the lander if you're only going to use it for a couple of days, then you're going to feel good enough to go out and then traipse across the desert to the habitat that's waiting for you with all the life support you can use inside of it. Host: Right. John Charles: But you don't want to carry excess life support, but you don't want to carry too little life support in case it turns out to be, just by the luck of the draw, you've got four people that are going to have a tough time readjusting, and-- Host: Yeah. John Charles: They don't want to get, put their space suits on and stumble across Mars face down into the dust, you know. Things like that. Host: Yeah [inaudible]. John Charles: So what I would like to see the landing on Mars look like is that the entire crew feels good, and it was the luck of the draw that we got four people that just turned out to feel good this time. They're, they understand the importance of the design of the habitat, of the lander, so they take their time getting suited up and making the excursion out. Maybe they, maybe we're clever on the first landing and we don't make them actually walk very much at all. We make them have a radio-controlled rover that deploys from the habitat, and comes over, and is waiting out their front door on the lander. And they get into that, and they drive off to the habitat, and they get in, and set up housekeeping instead of actually having to stress themselves for the first time in a six- or eight-month period of time after they transited to Mars. Host: That's a cool concept. Nice. John Charles: So, you know-- Host: Valet service. John Charles: Yeah, valet service. [laughs] And it might be even, may be even a self-driving car, so maybe Uber or-- Host: Yeah. [laughs] John Charles: Google's going to have something to say about it. Host: That's right. John Charles: And then, they gradually become accustomed to their environment on Mars so they can go to work on Mars. The habitat will have the gym, whatever it looks like, as well as the food, and the fresh water, and the fresh air. But the point of all this is not to cater to the astronauts. The goal is to make sure that the astronauts are, as I like to say, in the best condition of their lives when they land so they minimize the time they spend readapting-- Host: Right. John Charles: Because the Mars missions will be the most expensive undertakings humanity's ever embarked upon. Host: Sure. John Charles: And if we want to have a second, and a third, and a fourth, and a fifth one, the first one had better be productive. And the way to be productive is to be in good condition so you can get to work as quickly as possible, allowing for the accommodation time of a few days, or a week, or so, and then get to work, and show us why we sent you to Mars, and make those Nobel Prize winning discoveries on Mars so that Congress, and the parliaments of all the partner agencies, and everybody, all the taxpayers, think, yeah, that was a good thing. We want to do that some more. [laughs] We'll have more Mars missions and build up the flow to Mars and the infrastructure for Mars. So it's, it sounds like I'm altruistic, but Gary, you know me well enough to know that [laughs] I'm not altruistic. I want the astronauts to be in great condition when they land on Mars not just for themselves but for us too because if we have hopes of becoming a multi-planet society, our first emissaries to other planets will have to be, will have to demonstrate how productive we can be in other planets, and that's really the goal here. Host: John, I want you to lead the charge and lead us [laughs] all the way to Mars. John Charles: I'm not going to Mars, then. Host: You'll be the guy landing. [laughs] John Charles: I want to stay at home and cheer them on. Host: [laughs] Well, this was awesome. Thanks for coming on the show and talking about, you know, really analyzing what Shane was feeling and what, why we are doing what we're doing, you know, obviously for later missions and landing on Mars. So obviously, you know, there's something that, there's some stuff that Dr. Charles was not able to address today, so for those listening, if you want to know more or you have a suggestion on what we need to talk about, stay tuned until after the music to learn on where and how you can submit some ideas. So John, thank you so much for coming on the podcast. John Charles: Delighted. Thank you [inaudible]. Host: Glad to have you, and we'll probably have to have you again. John Charles: Okay. [ Laughs ] [ Music ] Host: Hey, thanks for sticking around. So I hope you enjoyed our talk with Dr. John Charles and Astronaut Shane Kimbrough. If you want to learn more about kind of all the things that specifically Dr. Charles talked about, there's, we actually have a website for that, per usual -- nasa.gov/hrp. This is the website for the Human Research Program, and you can learn about everything that they're studying there. All of these things that Dr. Charles was talking about -- the human body, bone density, even we have some stuff about the twin study that happened just actually a couple years ago now when Scott Kelly launched in 2015. So you can find all that information there. A lot of the research that's done and especially with Shane Kimbrough on the International Space Station was done up there on that orbiting complex. You can go to nasa.gov/iss to learn about the latest updates on the International Space Station -- all the latest blogs and scientific findings. We also have a lot of cool pictures that we like to put up on that website. On social media, we're very active. Facebook is the International Space Station. That's their Facebook page. On Twitter, we're @space, underscore, station. And on Instagram, it's @iss. If you want to submit an idea or you have a question about something that we talked about on the podcast, just use that hashtag #asknasa on your favorite platform. Doesn't matter. We'll check them all. And we'll make sure that we address it on one of the next podcasts that we do. And maybe we even will make a whole podcast out of, episode out of it. So this podcast was recorded on April 19th thanks to John Stoll and Eric Sparamin [phonetic] for helping to produce the show. Thanks again to Dr. John Charles and Shane Kimbrough for coming on the show. See you in 6.79 sols. Get it because the Mars? Okay. See you next time.
2004-07-27
KENNEDY SPACE CENTER, FLA. - On Launch Pad 17-B at Cape Canaveral Air Force Station, the MESSENGER (Mercury Surface, Space Environment, Geochemistry and Ranging) spacecraft is seen atop the Delta II upper stage booster (middle) and the Delta II launch vehicle below. The spacecraft is ready for installation of the fairing, a molded structure that fits flush with the outside surface of the upper stage booster and forms an aerodynamically smooth joint, protecting the spacecraft during launch. Seen on the right is one of the solar panels on the spacecraft. On the left is the heat-resistant, ceramic-cloth sunshade that will protect the spacecraft’s instruments as MESSENGER orbits the Mercury where the surface reaches a high temperature near 840 degrees Fahrenheit and the solar intensity can be 11 times greater than on Earth. MESSENGER is scheduled to launch Aug. 2 and is expected to enter Mercury orbit in March 2011. MESSENGER was built for NASA by the Johns Hopkins University Applied Physics Laboratory in Laurel, Md.
Goring, Simon J; Williams, John W
2017-04-01
Contemporary forest inventory data are widely used to understand environmental controls on tree species distributions and to construct models to project forest responses to climate change, but the stability and representativeness of contemporary tree-climate relationships are poorly understood. We show that tree-climate relationships for 15 tree genera in the upper Midwestern US have significantly altered over the last two centuries due to historical land-use and climate change. Realised niches have shifted towards higher minimum temperatures and higher rainfall. A new attribution method implicates both historical climate change and land-use in these shifts, with the relative importance varying among genera and climate variables. Most climate/land-use interactions are compounding, in which historical land-use reinforces shifts in species-climate relationships toward wetter distributions, or confounding, in which land-use complicates shifts towards warmer distributions. Compounding interactions imply that contemporary-based models of species distributions may underestimate species resilience to climate change. © 2017 John Wiley & Sons Ltd/CNRS.
Koyuncu, Onur; Turhanoglu, Selim; Tuzcu, Kasım; Karcıoglu, Murat; Davarcı, Isil; Akbay, Ercan; Cevik, Cengiz; Ozer, Cahit; Sessler, Daniel I; Turan, Alparslan
2015-03-01
Carbon monoxide (CO) is a product of burning solid fuel in stoves and smoking. Exposure to CO may provoke postoperative complications. Furthermore, there appears to be an association between COHb concentrations and pain. We thus tested the primary hypothesis that children with high preoperative carboxyhemoglobin (COHb) concentrations have more postoperative complications and pain after tonsillectomies, and secondarily that high-COHb concentrations are associated with more pain and analgesic use. 100 children scheduled for elective tonsillectomy were divided into low and high carbon monoxide (CO) exposure groups: COHb ≤3 or ≥4 g·dl(-1) . We considered a composite of complications during the 7 days after surgery which included bronchospasm, laryngospasm, persistent coughing, desaturation, re-intubation, hypotension, postoperative bleeding, and reoperation. Pain was evaluated with Wong-Baker Faces pain scales, and supplemental tramadol use recorded for four postoperative hours. There were 36 patients in the low-exposure group COHb [1.8 ± 1.2 g·dl(-1) ], and 64 patients were in the high-exposure group [6.4 ± 2.1 g·dl(-1) ]. Indoor coal-burning stoves were reported more often by families of the high- than low-COHb children (89% vs 72%, P < 0.001). Second-hand cigarette smoke exposure was reported by 54% of the families with children with high COHb, but only by 24% of the families of children with low COHb. Composite complications were more common in patients with high COHb [47% vs 14%, P = 0.0001, OR:7.4 (95% Cl, lower = 2.5-upper = 21.7)], with most occurring in the postanesthesia care unit. Pain scores in postanesthesia care unit and one hour after surgery were statistically significantly lower in the low-exposure group [respectively, P = 0.020 (95%CI, lower = -1.21-upper = -0.80), P = 0.026 (95% CI, lower = -0.03-upper = 0.70)], and tramadol use increased at 4 h (3.5 (interquartile range: 0-8) vs 6 (5-9) mg, P = 0.012) and 24 h (3.5 (0-8) vs 6 (5-9) mg, P = 0.008). High preoperative COHb concentrations are associated with increased postoperative complications and pain. © 2014 John Wiley & Sons Ltd.
Validity of administrative coding in identifying patients with upper urinary tract calculi.
Semins, Michelle J; Trock, Bruce J; Matlaga, Brian R
2010-07-01
Administrative databases are increasingly used for epidemiological investigations. We performed a study to assess the validity of ICD-9 codes for upper urinary tract stone disease in an administrative database. We retrieved the records of all inpatients and outpatients at Johns Hopkins Hospital between November 2007 and October 2008 with an ICD-9 code of 592, 592.0, 592.1 or 592.9 as one of the first 3 diagnosis codes. A random number generator selected 100 encounters for further review. We considered a patient to have a true diagnosis of an upper tract stone if the medical records specifically referenced a kidney stone event, or included current or past treatment for a kidney stone. Descriptive and comparative analyses were performed. A total of 8,245 encounters coded as upper tract calculus were identified and 100 were randomly selected for review. Two patients could not be identified within the electronic medical record and were excluded from the study. The positive predictive value of using all ICD-9 codes for an upper tract calculus (592, 592.0, 592.1) to identify subjects with renal or ureteral stones was 95.9%. For 592.0 only the positive predictive value was 85%. However, although the positive predictive value for 592.1 only was 100%, 26 subjects (76%) with a ureteral stone were not appropriately billed with this code. ICD-9 coding for urinary calculi is likely to be sufficiently valid to be useful in studies using administrative data to analyze stone disease. However, ICD-9 coding is not a reliable means to distinguish between subjects with renal and ureteral calculi. Copyright (c) 2010 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
Hussain, Z; Lee, Y J; Yang, H; Jeong, E J; Sim, J Y; Park, H
2017-10-01
Postoperative ileus (POI) is a transient gastrointestinal (GI) dysmotility that commonly develops after abdominal surgery. YH12852, a novel, potent and highly selective 5-hydroxytryptamine 4 (5-HT 4 ) receptor agonist, has been shown to improve both upper and lower GI motility in various animal studies and may have applications for the treatment of POI. Here, we investigated the effects and mechanism of action of YH12852 in a guinea pig model of POI to explore its therapeutic potential. The guinea pig model of POI was created by laparotomy, evisceration, and gentle manipulation of the cecum for 60 seconds, followed by closure with sutures under anesthesia. Group 1 received an oral administration of vehicle or YH12852 (1, 3, 10 or 30 mg/kg) only, while POI Group 2 was intraperitoneally pretreated with vehicle or 5-HT 4 receptor antagonist GR113808 (10 mg/kg) prior to oral dosing of vehicle or YH12852 (3 or 10 mg/kg). Upper GI transit was evaluated by assessing the migration of a charcoal mixture in the small intestine, while lower GI transit was assessed via measurement of fecal pellet output (FPO). YH12852 significantly accelerated upper and lower GI transit at the doses of 3, 10, and 30 mg/kg and reached its maximal effect at 10 mg/kg. These effects were significantly blocked by pretreatment of GR113808 10 mg/kg. Oral administration of YH12852 significantly accelerates and restores delayed upper and lower GI transit in a guinea pig model of POI. This drug may serve as a useful candidate for the treatment of postoperative ileus. © 2017 John Wiley & Sons Ltd.
Falls, W. Fred; Harrelson, Larry G.; Conlon, Kevin J.; Petkewich, Matthew D.
2005-01-01
The hydrogeology and water quality of the upper permeable and Fernandina permeable zones of the Lower Floridan aquifer were studied at seven sites in the 24-county study area encompassed by the Georgia Coastal Sound Science Initiative. Although substantially less than the Upper Floridan aquifer in coastal Georgia, transmissivities for the Lower Floridan aquifer are in the same range as other water-supply aquifers in Georgia and South Carolina and could meet the needs of public drinking-water supply. Water of the upper permeable zone of the Lower Floridan aquifer exceeds the Federal secondary drinking-water standards for sulfate and total dissolved solids at most coastal Georgia sites and the Federal secondary drinking-water standard for chloride at the Shellman Bluff site. The top of the Lower Floridan aquifer correlates within 50 feet of the previously reported top, except at the St Simons Island site where the top is more than 80 feet higher. Based on the hydrogeologic characteristics, the seven sites are divided into the northern sites at Shellman Bluff, Richmond Hill, Pembroke, and Pineora; and southern sites at St Marys, Brunswick, and St Simons Island. At the northern sites, the Lower Floridan aquifer does not include the Fernandina permeable zone, is thinner than the overlying Upper Floridan aquifer, and consists of only strata of the middle Eocene Avon Park Formation. Transmissivities in the Lower Floridan aquifer are 8,300 feet squared per day at Richmond Hill and 6,000 feet squared per day at Shellman Bluff, generally one tenth the transmissivity of the Upper Floridan aquifer at these sites. At the southern sites, the upper permeable zone of the Lower Floridan aquifer is thicker than the Upper Floridan aquifer and consists of porous limestone and dolomite interbedded with nonporous strata of the middle Eocene Avon Park and early Eocene Oldsmar Formations. Transmissivities for the upper permeable zone of the Lower Floridan aquifer are 500 feet squared per day at the St Simons Island site and 13,000 feet squared per day at the St Marys site. The Lower Floridan aquifer at the Brunswick and St Marys sites includes the Fernandina permeable zone, which consists of saltwater-bearing dolomite. Hydrographs of Coastal Sound Science Initiative wells and other nearby wells open to the Upper Floridan aquifer, and the upper permeable and Fernandina permeable zones of the Lower Floridan aquifer have similar trends. Water levels in wells open to the Upper and Lower Floridan aquifers are below land surface at the northern sites and the St Simons Island site, and above land surface at the Brunswick and St Marys sites, as of January 1, 2004. Freshwater is present in the Lower Floridan aquifer at Pineora, Pembroke, and St Marys, and from 1,259 to 1,648 feet below land surface at Brunswick. Slightly saline water is present in the Lower Floridan aquifer at Richmond Hill, Shellman Bluff, St Simons Island, and from 1,679 to 1,970 feet below land surface in well 34H495 at Brunswick. The upper permeable zone of the Lower Floridan aquifer contains bicarbonate water at the Pembroke site, sulfate-bicarbonate water at the Brunswick site, and sulfate water at the St Simons Island, Shellman Bluff, St Marys, and Richmond Hill sites. The bicarbonate, sulfate-bicarbonate, and sulfate waters are saturated relative to calcite and dolomite, and undersaturated with gypsum and anhydrite. The Fernandina permeable zone in well 34H495 includes moderately saline water, very saline water, and brine. The Fernandina permeable zone of the Lower Floridan aquifer beneath downtown Brunswick contains chloride water that is slightly undersaturated to saturated with gypsum and anhydrite. Concentrations of total dissolved solids, sulfate, and chloride exceeded the Federal secondary drinking-water standards. The chloride-contaminated plumes beneath downtown Brunswick would require at least a 12- to 20-percent contribution of very saline water from the Fernandi
Phrenic Nerve Reconstruction and Bilateral Diaphragm Plication After Lobectomy.
Shinohara, Shuichi; Yamada, Tetsu; Ueda, Mitsuhiro; Ishinagi, Hiroyoshi; Matsuoka, Takahisa; Nagai, Shinjiro; Matsuoka, Katsunari; Miyamoto, Yoshihiro
2017-07-01
A 49-year-old man with left phrenic nerve paralysis caused by mediastinal tumor resection 28 years earlier was found to have a nodule in the right upper lobe. The right phrenic nerve was severed during right upper lobectomy but was reconstructed along with bilateral plication of the diaphragm. The patient was weaned from the ventilator during the daytime on postoperative day 13 and was discharged home on postoperative day 48. Three months postoperatively, chest fluoroscopic imaging showed recovery of movement of the right diaphragm. Nerve conduction studies showed improvement of function of the reconstructed right phrenic nerve. Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
[Upper respiratory tract infections and sports].
Boffi El Amari, Emmanuelle
2010-08-11
Upper respiratory tract infections are frequent in athletes. Mainly of viral origin, they are treated symptomatically. Infectious mononucleosis is associated with an estimated 2% per hundred risk of splenic rupture, which occurs between day four and twenty one of the illness. Therefore return to play guidelines recommend avoiding, exercice during the first twenty one days. Physical exercise seems to influence the immune system, depending on the intensity and length of it. But the relationship between physical exercise and risk of infections remains controversial: some articles showing an increase in risk, whereas others suggesting a certain degree of protection, in athletes. The actual generally accepted working theory is the J-curve proposed by Nieman. This model remains to be formally proven.
van Haselen, Robert; Thinesse-Mallwitz, Manuela; Maidannyk, Vitaliy; Buskin, Stephen L.; Weber, Stephan; Keller, Thomas; Burkart, Julia; Klement, Petra
2016-01-01
We investigated the clinical effectiveness of a homeopathic add-on therapy in a pediatric subpopulation with upper respiratory tract infections (URTI) in a randomized, controlled, multinational clinical trial. Patients received either on-demand symptomatic standard treatment (ST-group) or the same ST plus a homeopathic medication (Influcid; IFC-group) for 7 days. Outcome assessment was based on symptom and fever resolution and the Wisconsin Upper Respiratory Symptom Survey–21 (WURSS-21). A total of 261 pediatric (<12 years) patients (130 IFC-group; 131 ST-group) were recruited in Germany and the Ukraine. The IFC-group used less symptomatic medication, symptoms resolved significantly earlier (P = .0001), had higher proportions of fever-free children from day 3 onwards, and the WURSS-assessed global disease severity was significantly less (P < .0001) during the entire URTI episode. One adverse event (vomiting) was possibly related to IFC. IFC as add-on treatment in pediatric URTI reduced global disease severity, shortened symptom resolution, and was safe in use. PMID:27493984
Goto, Masashi; Kawamura, Takashi; Shimbo, Takuro; Takahashi, Osamu; Ando, Masahiko; Miyaki, Koichi; Nohara, Takahiko; Watanabe, Hidetsuna; Suzuki, Isamu; Aono, Mitsuru
2007-01-01
To investigate whether loxoprofen, one of the nonsteroidal anti-inflammatory drugs, prolongs the recovery process of naturally acquired upper respiratory tract infections (URTIs) in the clinical setting. A double-blind, randomized, placebo-controlled trial was conducted in 23 outpatient facilities in Japan. Patients aged 18 through 65 years suffering from URTIs were randomly assigned to receive loxoprofen or its placebo. The primary outcome was duration of illness in days. A total of 174 patients were available for the analyses. Duration of illness was 8.94 +/- 3.20 days in the loxoprofen group compared to 8.39 +/- 3.39 days in the placebo group (P=.19). The number of days with limited daily activities was fewer in the loxoprofen group than in the placebo group (2.12 +/- 2.05 days vs. 2.68 +/- 2.54 days, P=.17). Although severe symptoms were less frequent on days 1, 2, and 3 in the loxoprofen group (27%, 33%, and 29%, respectively) than in the placebo group (32%, 39%, and 37%, respectively), symptoms were more frequent on days 6 through 12 in the loxoprofen group (difference, 5-13%). Adverse events were more common in the loxoprofen group (9.5% vs. 1.1%, P=.051). Loxoprofen did not significantly modify the recovery process of URTIs except for a slight tendency to delay.
Teaching Guidelines for the Observance of World Meteorological Day (23 March).
ERIC Educational Resources Information Center
International Understanding at School, 1986
1986-01-01
Discusses the establishment and goals of the World Meteorological Organization and the World Meteorological Day (WMD). Includes teaching objectives for upper elementary and lower secondary school teachers and provides activities which integrate the study of meteorology with language, history, geography, mathematics, science, physical education,…
Integration of Available and New Technologies to Raise Student Understanding and Engagement
ERIC Educational Resources Information Center
Souza, Joanne; Bingham, Paul M.
2006-01-01
We integrate available and new technologies to strongly enhance student engagement in upper division undergraduate courses on human evolution and history. First, we use peer-mentored discussion groups through the Blackboard system--appropriately scaled, constructed, and incentivized. These allow day-to-day monitoring of student understanding.…
NASA Technical Reports Server (NTRS)
Davis, Daniel J.
2010-01-01
These presentation slides review the progress in the development of the Ares I upper stage. The development includes development of a manufacturing and processing assembly that will reduce the time required over 100 days, development of a weld tool that is a robotic tool that is the largest welder of its kind in the United States, development of avionics and software, and development of logisitics and operations systems.
2012-08-21
Employees at NASA's John C. Stennis Space Center participated in 2012 Safety and Health Day activities Aug. 21. Various organizations provided interactive exhibits and information on a range of safety and health issues. During large group presentations, Brad Gardner also spoke about losing part of his right arm to an industrial accident in 2003 and what it has taught him about preventing accidents. Gardner served 22 years in the U.S. Air Force and has a background in safety management.
STS-109 MS Massimino and Grunsfeld on aft flight deck
2002-03-02
STS109-E-5008 (3 March 2002) --- On the mid deck of the Space Shuttle Columbia, astronauts John M. Grunsfeld (foreground), payload commander, and Michael J. Massimino, mission specialist, go over a checklist concerning the next few days' scheduled space walks. Massimino's extravehicular mobility unit (EMU) space suit, which will be called into duty for the second day of extravehicular activity (EVA), is in the background. The image was recorded with a digital still camera.
2014-04-22
NASA Astronaut John Mace Grunsfeld takes a quick selfie with astronauts at the International Space Station at the NASA sponsored Earth Day event April 22, 2014 at Union Station in Washington, DC. NASA announced the "Global Selfie" event as part of its "Earth Right Now" campaign, celebrating the launch of five Earth-observing missions in 2014. All selfies posted to social media with the hashtag "GlobalSelfie" will be included in a mosaic image of Earth. Photo Credit: (NASA/Aubrey Gemignani)
Conference report: interdisciplinary workshop in the philosophy of medicine: parentalism and trust.
Bullock, Emma; Gergel, Tania; Kingma, Elselijn
2015-06-01
On 13 June 2014, the Centre for the Humanities and Health at King's College London hosted a 1-day workshop on 'parentalism and trust'. This workshop was the sixth in a series of workshops whose aim is to provide a new model for high-quality open interdisciplinary engagement between medical professionals and philosophers. This report briefly describes the workshop methodology and the discussions on the day. © 2015 John Wiley & Sons, Ltd.
Kay, Gary G; Schwartz, Howard I; Wingertzahn, Mark A; Jayawardena, Shyamalie; Rosenberg, Russell P
2016-05-01
Next-day residual effects of a nighttime dose of gabapentin 250 mg were evaluated on simulated driving performance in healthy participants in a randomized, placebo-controlled, double-blind, multicenter, four-period crossover study that included diphenhydramine citrate 76 mg and triazolam 0.5 mg. At treatment visits, participants (n = 59) were dosed at ~23:30, went to bed immediately, and awakened 6.5 h postdose for evaluation. The primary endpoint was the standard deviation of lateral position for the 100-km driving scenario. Additional measures of driving, sleepiness, and cognition were included. Study sensitivity was established with triazolam, which demonstrated significant next-day impairment on all driving endpoints, relative to placebo (p < 0.001). Gabapentin demonstrated noninferiority to placebo on standard deviation of lateral position and speed deviation but not for lane excursions. Diphenhydramine citrate demonstrated significant impairment relative to gabapentin and placebo on speed deviation (p < 0.05). Other comparisons were either nonsignificant or statistically ineligible per planned, sequential comparisons. Secondary endpoints for sleepiness and cognitive performance were supportive of these conclusions. Together, these data suggest that low-dose gabapentin had no appreciable next-day effects on simulated driving performance or cognitive functioning. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.
Indoor noise exposure at home: a field study in the family of urban schoolchildren.
Pujol, S; Berthillier, M; Defrance, J; Lardies, J; Levain, J-P; Petit, R; Houot, H; Mauny, F
2014-10-01
This article aims at evaluating indoor noise levels at home and investigating the factors that may influence their variability. An 8-day noise measurement campaign was conducted in the homes of 44 schoolchildren attending the public primary schools of Besançon (France). The presence of the inhabitants in the dwelling and the noisy events occurring indoors and outdoors was daily collected using a time-location-activity diary (TLAD); 902 time periods were analyzed. The indoor noise level increased significantly with the outdoor noise level, along with the duration of the presence or level of activity of the inhabitants at home. However, this effect may vary according to the period of day and the day of the week. Moreover, a significant part of the day and evening indoor noise level variability was explained when considering the TLAD variables: 46% and 45% in the bedroom, 54% and 39% in the main room, respectively. Our results highlight the complexity of the indoor environment in the dwellings of children living in an urban area. Combining the inhabitant presence and indoor noise source descriptors with outdoor noise levels and other dwelling or inhabitant characteristics could improve large-scale epidemiological studies. However, additional efforts are still needed, particularly during the night period. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Prevention of dental erosion of a sports drink by nano-sized hydroxyapatite in situ study.
Min, Ji Hyun; Kwon, Ho Keun; Kim, Baek Il
2015-01-01
To evaluate the inhibitory effects of the sports drink containing nano-sized hydroxyapatite (nano-HA) on dental erosion in situ. The study had a single-blind, two-treatment crossover design. The two treatment groups were a control group (CG; Powerade only) and an experimental group (EG; 0.25% wt/vol nano-HA was added to Powerade). Ten subjects wore removable palatal appliances containing bovine enamel specimens. The appliances were immersed in each drink for 10 mins, 4 times a day for 10 days. The tooth surface microhardness (SMH) was tested, and the erosion depth and the morphology of the tooth surface were observed. The data were analysed by repeated measures anova and t-test. Between the baseline and the 10th day, SMH was decreased by 80% in the specimens of the CG (P < 0.001), whereas there was only a 6% decrease in the SMH of the specimens in the EG. An erosion depth of 12.70 ± 4.66 μm and an irregular tooth surface were observed on the 10th day in the specimens of the CG. No dental erosions, however, was observed in the specimens of the EG. The sports drink containing 0.25% nano-HA was effective in preventing dental erosion in situ. © 2014 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Morin, Manon; Ropers, Delphine; Letisse, Fabien; Laguerre, Sandrine; Portais, Jean-Charles; Cocaign-Bousquet, Muriel; Enjalbert, Brice
2016-05-01
Metabolic control in Escherichia coli is a complex process involving multilevel regulatory systems but the involvement of post-transcriptional regulation is uncertain. The post-transcriptional factor CsrA is stated as being the only regulator essential for the use of glycolytic substrates. A dozen enzymes in the central carbon metabolism (CCM) have been reported as potentially controlled by CsrA, but its impact on the CCM functioning has not been demonstrated. Here, a multiscale analysis was performed in a wild-type strain and its isogenic mutant attenuated for CsrA (including growth parameters, gene expression levels, metabolite pools, abundance of enzymes and fluxes). Data integration and regulation analysis showed a coordinated control of the expression of glycolytic enzymes. This also revealed the imbalance of metabolite pools in the csrA mutant upper glycolysis, before the phosphofructokinase PfkA step. This imbalance is associated with a glucose-phosphate stress. Restoring PfkA activity in the csrA mutant strain suppressed this stress and increased the mutant growth rate on glucose. Thus, the carbon storage regulator system is essential for the effective functioning of the upper glycolysis mainly through its control of PfkA. This work demonstrates the pivotal role of post-transcriptional regulation to shape the carbon metabolism. © 2016 John Wiley & Sons Ltd.
NASA Technical Reports Server (NTRS)
1998-01-01
On this ninth day of the STS-95 mission, the flight crew, Cmdr. Curtis L. Brown, Pilot Steven W. Lindsey, Mission Specialists Scott E. Parazynski, Stephen K. Robinson, and Pedro Duque, and Payload Specialists Chiaki Mukai and John H. Glenn, spend a good part of their day checking out important spacecraft systems for entry and landing. The commander and pilot begin the flight control system checkout by powering up one auxiliary power unit and evaluating the performance of aerodynamic surfaces and flight controls. The flight crew conducts a reaction control system hot fire, followed by a test of the communications system.
Asteroid Initiative Industry and Partner Day
2013-06-18
NASA Associate Administrator Science John Grunsfeld, Ph.D, displays a fragment of the Pallasite meteorite from Chubut, Argentina found in 1951 and given to him by his daughter on Father's Day during the Asteroid Initiative Industry and Partner Day at NASA Headquarters on Tuesday, June 18, 2013 in Washington. During the event NASA Deputy Administrator Lori Garver and other senior NASA officials discussed the progress being made on NASA's mission to capture, redirect, and explore an asteroid. NASA also announced an Asteroid Grand Challenge focused on finding all asteroid threats to human populations and knowing what to do about them. Photo Credit: (NASA/Bill Ingalls)
Barfoot, C.A.; Gadomski, D.M.; Wertheimer, R.H.
1999-01-01
We investigated growth and mortality of age-0 northern squawfish during early rearing in shallow shoreline habitats. Larvae and juveniles (n=22914) were collected by weekly seining at three sample sites in the upper John Day Reservoir, Columbia River, during June through early September 1994–1996. Using a length-based ageing method, it was estimated that the exponential growth rate (G) for a common growth stanza (10–28 mm standard length SL) was significantly higher in 1994 (G=0.047) than in 1996 (G=0.037). Growth rate in 1995 could not be estimated, but was probably intermediate between 1994 and 1996 based on mean standard lengths of fish collected at the end of each sampling season (46.3, 40.0, and 32.0 mm SL in 1994, 1995, and 1996, respectively). For many fish species, variations in early growth can influence survival through size-selective mortality processes. Consistent with this possibility, our estimates of instantaneous mortality rates (Z) demonstrated that larvae and juveniles had significantly higher mortality in 1996 than in 1994 (Z=0.103 in 1994, versus Z=0.138 in 1996). Enhanced growth and lower mortality in 1994 were associated with a number of interrelated environmental conditions – comparatively low flows and turbidities, abundant instream vegetative cover, and high near-shore water temperatures.
Interaction of drought and ozone exposure on isoprene emission from extensively cultivated poplar.
Yuan, Xiangyang; Calatayud, Vicent; Gao, Feng; Fares, Silvano; Paoletti, Elena; Tian, Yuan; Feng, Zhaozhong
2016-10-01
The combined effects of ozone (O3 ) and drought on isoprene emission were studied for the first time. Young hybrid poplars (clone 546, Populus deltoides cv. 55/56 x P. deltoides cv. Imperial) were exposed to O3 (charcoal-filtered air, CF, and non-filtered air +40 ppb, E-O3 ) and soil water stress (well-watered, WW, and mild drought, MD, one-third irrigation) for 96 days. Consistent with light-saturated photosynthesis (Asat ), intercellular CO2 concentration (Ci ) and chlorophyll content, isoprene emission depended on drought, O3 , leaf position and sampling time. Drought stimulated emission (+38.4%), and O3 decreased it (-40.4%). Ozone increased the carbon cost per unit of isoprene emission. Ozone and drought effects were stronger in middle leaves (13th-15th from the apex) than in upper leaves (6th-8th). Only Asat showed a significant interaction between O3 and drought. When the responses were up-scaled to the entire-plant level, however, drought effects on total leaf area translated into around twice higher emission from WW plants in clean air than in E-O3 . Our results suggest that direct effects on plant emission rates and changes in total leaf area may affect isoprene emission from intensively cultivated hybrid poplar under combined MD and O3 exposure, with important feedbacks for air quality. © 2016 John Wiley & Sons Ltd.
Upper atmospheric gravity wave details revealed in nightglow satellite imagery
Miller, Steven D.; Straka, William C.; Yue, Jia; Smith, Steven M.; Alexander, M. Joan; Hoffmann, Lars; Setvák, Martin; Partain, Philip T.
2015-01-01
Gravity waves (disturbances to the density structure of the atmosphere whose restoring forces are gravity and buoyancy) comprise the principal form of energy exchange between the lower and upper atmosphere. Wave breaking drives the mean upper atmospheric circulation, determining boundary conditions to stratospheric processes, which in turn influence tropospheric weather and climate patterns on various spatial and temporal scales. Despite their recognized importance, very little is known about upper-level gravity wave characteristics. The knowledge gap is mainly due to lack of global, high-resolution observations from currently available satellite observing systems. Consequently, representations of wave-related processes in global models are crude, highly parameterized, and poorly constrained, limiting the description of various processes influenced by them. Here we highlight, through a series of examples, the unanticipated ability of the Day/Night Band (DNB) on the NOAA/NASA Suomi National Polar-orbiting Partnership environmental satellite to resolve gravity structures near the mesopause via nightglow emissions at unprecedented subkilometric detail. On moonless nights, the Day/Night Band observations provide all-weather viewing of waves as they modulate the nightglow layer located near the mesopause (∼90 km above mean sea level). These waves are launched by a variety of physical mechanisms, ranging from orography to convection, intensifying fronts, and even seismic and volcanic events. Cross-referencing the Day/Night Band imagery with conventional thermal infrared imagery also available helps to discern nightglow structures and in some cases to attribute their sources. The capability stands to advance our basic understanding of a critical yet poorly constrained driver of the atmospheric circulation. PMID:26630004
Rand, Debbie; Eng, Janice J.
2011-01-01
Background Although inpatient rehabilitation may enhance an individual’s functional ability after stroke, it is not known whether these improvements are accompanied by an increase in daily use of the arms and legs. Objective To determine the change in daily use of the upper and lower extremities of stroke patients during rehabilitation and to compare these values with that of community-dwelling older adults. Methods A total of 60 stroke patients underwent functional assessments and also wore 3 accelerometers for 3 consecutive weekdays on admission to rehabilitation and 3 weeks later prior to hospital discharge. The number of steps and upper-extremity activity counts were measured over the waking hours and during daily use for occupational therapy and physical therapy (PT) sessions. Healthy older adults (n = 40) also wore 3 accelerometers for 5 consecutive days. Results Stroke patients demonstrated a significant increase in mobility function, and this was accompanied by an increase in daily walking over the entire day as well as in PT. However, increases in daily walking were found predominantly in patients who were wheelchair users (and not walkers) at the time of admission. Control walking values (5202 steps) were more than 17 times that of stroke patients. Despite significant improvements in paretic hand function, no increase in daily use of the paretic or nonparetic hand was found over the entire day or in PT. Conclusions. A disparity between functional recovery and increases in daily use of the upper and lower extremities was found during inpatient stroke rehabilitation. PMID:21693771
Upper atmospheric gravity wave details revealed in nightglow satellite imagery.
Miller, Steven D; Straka, William C; Yue, Jia; Smith, Steven M; Alexander, M Joan; Hoffmann, Lars; Setvák, Martin; Partain, Philip T
2015-12-08
Gravity waves (disturbances to the density structure of the atmosphere whose restoring forces are gravity and buoyancy) comprise the principal form of energy exchange between the lower and upper atmosphere. Wave breaking drives the mean upper atmospheric circulation, determining boundary conditions to stratospheric processes, which in turn influence tropospheric weather and climate patterns on various spatial and temporal scales. Despite their recognized importance, very little is known about upper-level gravity wave characteristics. The knowledge gap is mainly due to lack of global, high-resolution observations from currently available satellite observing systems. Consequently, representations of wave-related processes in global models are crude, highly parameterized, and poorly constrained, limiting the description of various processes influenced by them. Here we highlight, through a series of examples, the unanticipated ability of the Day/Night Band (DNB) on the NOAA/NASA Suomi National Polar-orbiting Partnership environmental satellite to resolve gravity structures near the mesopause via nightglow emissions at unprecedented subkilometric detail. On moonless nights, the Day/Night Band observations provide all-weather viewing of waves as they modulate the nightglow layer located near the mesopause (∼ 90 km above mean sea level). These waves are launched by a variety of physical mechanisms, ranging from orography to convection, intensifying fronts, and even seismic and volcanic events. Cross-referencing the Day/Night Band imagery with conventional thermal infrared imagery also available helps to discern nightglow structures and in some cases to attribute their sources. The capability stands to advance our basic understanding of a critical yet poorly constrained driver of the atmospheric circulation.
SITE CHARACTERIZATION USING BIRD SPECIES COMPOSITION IN EASTERN OREGON, USA
We conducted riparian bird surveys at 25 randomly selected stream reaches in the John Day River Basin of eastern Oregon as part of the U.S. Environmental Protection Agency's Environmental Monitoring and Assessment Program (EMAP). At each reach along a kilometer-length transect, ...
2013-05-20
Journalist and former First Lady of California Maria Shriver talks prior to reading the poem "The Summer Day" by Mary Oliver during the National Tribute to Sally Ride at the John F. Kennedy Center for the Performing Arts, Monday, May 20, 2013 in Washington. Photo Credit: (NASA/Bill Ingalls)
1991-01-01
hours, days, etc. Direction of movement is indicated by what Steven Hawking calls "time arrows." (Steven W. Hawking, A Brief History of Time (New York...John. Military Misfortunes. New York: The Free Press, 1990. Hawking, Stephen W. A Brief History of Time . New York: Bantam Books, Inc., 1988. Headquarters
Green, B; Parry, D; Oeppen, R S; Plint, S; Dale, T; Brennan, P A
2017-09-01
A thorough understanding of the role of human factors in error in health care for improving patient safely is paramount. One area particularly crucial for optimising clinical performance is the recognising the importance of situational awareness. Loss of situation awareness can occur in many different settings, particularly during stressful and unexpected situations. Tunnel vision is a classic example where clinicians focus on one aspect of care, often to the detriment of overall patient management. Loss of situational awareness can result in serious compromise to patient safety if it is not recognised by either the individual or clinical team. We provide an introduction to situational awareness for those not familiar with it, including some important theory which explains how awareness can be lost, and discuss the important approaches we use in our day-to-day practice to safeguard both patients and clinicians in the workplace environment. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Search for Doppler-shifted gamma-ray emission from SS 433 using the SMM spectrometer
NASA Technical Reports Server (NTRS)
Geldzahler, B. J.; Share, G. H.; Kinzer, R. L.; Magura, J.; Chupp, E. L.
1989-01-01
Data accumulated from 1980 to 1983 with the Gamma Ray Spectrometer aboard NASA's Solar Maximum Mission (SMM) satellite were searched for evidence of red and blue Doppler-shifted 1.37 MeV Mg-24 nuclear lines from SS 433. The SMM data base covers 270 days when SS 433 was in the field of view and includes periods of radio flaring and quiescence. No evidence was found for Doppler-shifted line emission in any of the spectra. The range of 3-sigma upper limits for individual 9 day integration periods was 0.0008-0.0023 photons/sq cm per sec for the blue beam, encompassing the reported about 1.5 MeV line, and 0.0008-0.002 photons/sq cm per sec for the red beam, encompassing the reported about 1.2 MeV line; the average 3-sigma upper limit in each beam for shifted about 1.37 MeV lines is 0.0015 photons/sq cm per sec for single 9 day integrations. The 3-sigma upper limit on 1.37 MeV gamma-ray emission over 23 9-day integration intervals for the red beam and 28 intervals for the blue beam is 0.0002 photons/sq cm per sec. These new limits from SMM can be reconciled with the HEAO 3 results only if SS 433 emits gamma radiation at or above the SMM sensitivity limit on rare occasions due to variable physical conditions in the system.
Van Holle, Lionel; Bauchau, Vincent
2014-01-01
Purpose For disproportionality measures based on the Relative Reporting Ratio (RRR) such as the Information Component (IC) and the Empirical Bayesian Geometrical Mean (EBGM), each product and event is assumed to represent a negligible fraction of the spontaneous report database (SRD). Here, we provide the tools for allowing signal detection experts to assess the consequence of the violation of this assumption on their specific SRD. Methods For each product–event pair (P–E), a worst-case scenario associated all the reported events-of-interest with the product of interest. The values of the RRR under this scenario were measured for different sets of stratification factors using the GlaxoSmithKline vaccines SRD. These values represent the RRR upper bound that RRR cannot exceed whatever the true strength of association. Results Depending on the choice of stratification factors, the RRR could not exceed an upper bound of 2 for up to 2.4% of the P–Es. For Engerix™, 23.4% of all reports in the SDR, the RRR could not exceed an upper bound of 2 for up to 13.8% of pairs. For the P–E Rotarix™-Intussusception, the choice of stratification factors impacted the upper bound to RRR: from 52.5 for an unstratified RRR to 2.0 for a fully stratified RRR. Conclusions The quantification of the upper bound can indicate whether measures such as EBGM, IC, or RRR can be used for SRD for which products or events represent a non-negligible fraction of the entire SRD. In addition, at the level of the product or P–E, it can also highlight detrimental impact of overstratification. © 2014 The Authors. Pharmacoepidemiology and Drug Safety published by John Wiley & Sons, Ltd. PMID:24395594