Sonographic demonstration of stomach pathology: Reviewing the cases

PubMed Central

2015-01-01

Abstract Introduction: The stomach can be the source of complaints for many patients attending for upper abdominal ultrasound. It is not routinely imaged as part of most upper abdominal ultrasound protocols, with sonographers and sonologists alike commonly muttering the line; “I can't see the stomach on ultrasound”. However, this is incorrect, as the gastric antrum can almost always be visualised sonographically. Discussion: It is possible to detect a range of pathologies affecting the stomach sonographically, from common, largely tolerable conditions such as hiatus hernias through to life‐threatening neoplasms. Conclusion: The stomach can easily be assessed during routine abdominal ultrasound providing the sonographer has knowledge of stomach anatomy, normal ultrasound appearances and limitations to its visualisation. While endoscopy is the gold standard for investigation of the stomach and upper gastrointestinal tract, many patients will initially present for abdominal ultrasound due to its easy, non‐invasive nature, ready availability and low cost. For patients with mild abdominal symptoms, a normal abdominal ultrasound may be the extent of their imaging investigations meaning stomach pathologies may go undiagnosed. PMID:28191199

Clinical Applications of Wavefront Refraction

PubMed Central

Bruce, Adrian S.; Catania, Louis J.

2014-01-01

ABSTRACT Purpose To determine normative reference ranges for higher-order wavefront error (HO-WFE), compare these values with those in common ocular pathologies, and evaluate treatments. Methods A review of 17 major studies on HO-WFE was made, involving data for a total of 31,605 subjects. The upper limit of the 95% confidence interval (CI) for HO-WFE was calculated from the most comprehensive of these studies using normal healthy patients aged 20 to 80 years. There were no studies identified using the natural pupil size for subjects, and for this reason, the HO-WFE was tabulated for pupil diameters of 3 to 7 mm. Effects of keratoconus, pterygium, cataract, and dry eye on HO-WFE were reviewed and treatment efficacy was considered. Results The calculated upper limit of the 95% CI for HO-WFE in a healthy normal 35-year-old patient with a mesopic pupil diameter of 6 mm would be 0.471 μm (471 nm) root-mean-square or less. Although the normal HO-WFE increases with age for a given pupil size, it is not yet completely clear how the concurrent influence of age-related pupillary miosis affects these findings. Abnormal ocular conditions such as keratoconus can induce a large HO-WFE, often in excess of 3.0 μm, particularly attributed to coma. For pterygium or cortical cataract, a combination of coma and trefoil was more commonly induced. Nuclear cataract can induce a negative spherical HO-WFE, usually in excess of 1.0 μm. Conclusions The upper limit of the 95% CI for HO-WFE root-mean-square is about 0.5 μm with normal physiological pupil sizes. With ocular pathologies, HO-WFE can be in excess of 1.0 μm, although many devices and therapeutic and surgical treatments are reported to be highly effective at minimizing HO-WFE. More accurate normative reference ranges for HO-WFE will require future studies using the subjects’ natural pupil size. PMID:25216319

Estimation of the Blood Pressure Response With Exercise Stress Testing.

PubMed

Fitzgerald, Benjamin T; Ballard, Emma L; Scalia, Gregory M

2018-04-20

The blood pressure response to exercise has been described as a significant increase in systolic BP (sBP) with a smaller change in diastolic BP (dBP). This has been documented in small numbers, in healthy young men or in ethnic populations. This study examines these changes in low to intermediate risk of myocardial ischaemia in men and women over a wide age range. Consecutive patients having stress echocardiography were analysed. Ischaemic tests were excluded. Manual BP was estimated before and during standard Bruce protocol treadmill testing. Patient age, sex, body mass index (BMI), and resting and peak exercise BP were recorded. 3200 patients (mean age 58±12years) were included with 1123 (35%) females, and 2077 males, age range 18 to 93 years. Systolic BP increased from 125±17mmHg to 176±23mmHg. The change in sBP (ΔsBP) was 51mmHg (95% CI 51,52). The ΔdBP was 1mmHg (95% CI 1, 1), from 77 to 78mmHg, p<0.001). The upper limit of normal peak exercise sBP (determined by the 90th percentile) was 210mmHg in males and 200mmHg in females. The upper limit of normal ΔsBP was 80mmHg in males and 70mmHg in females. The lower limit of normal ΔsBP was 30mmHg in males and 20mmHg in females. In this large cohort, sBP increased significantly with exercise. Males had on average higher values than females. Similar changes were seen with the ΔsBP. The upper limit of normal for peak exercise sBP and ΔsBP are reported by age and gender. Copyright © 2018 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). All rights reserved.

Autoimmune thyroid disease in pregnancy: a review.

PubMed

Galofre, Juan C; Davies, Terry F

2009-11-01

The maternal physiological changes that occur in normal pregnancy induce complex endocrine and immune responses. During a normal pregnancy, thyroid gland volume may enlarge, and thyroid hormone production increases. Hence, the interpretation of thyroid function during gestation needs to be adjusted according to pregnancy-specific ranges. The elevated prevalence of gestation-related thyroid disorders (10%-15%) and the important repercussions for both mother and fetus reported in multiple studies throughout the world denote, in our opinion, the necessity for routine thyroid function screening both before and during pregnancy. Once thyroid dysfunction is suspected or confirmed, management of the thyroid disorder necessitates regular monitoring in order to ensure a successful outcome. The aim of treating hyperthyroidism in pregnancy with antithyroid drugs is to maintain serum thyroxine (T(4)) in the upper normal range of the assay used with the lowest possible dose of drug, whereas in hypothyroidism, the goal is to return serum thyroid-stimulating hormone (TSH) to the range between 0.5 and 2.5 mU/L.

Autoimmune Thyroid Disease in Pregnancy: A Review

PubMed Central

Galofre, Juan C.

2009-01-01

Abstract The maternal physiological changes that occur in normal pregnancy induce complex endocrine and immune responses. During a normal pregnancy, thyroid gland volume may enlarge, and thyroid hormone production increases. Hence, the interpretation of thyroid function during gestation needs to be adjusted according to pregnancy-specific ranges. The elevated prevalence of gestation-related thyroid disorders (10%–15%) and the important repercussions for both mother and fetus reported in multiple studies throughout the world denote, in our opinion, the necessity for routine thyroid function screening both before and during pregnancy. Once thyroid dysfunction is suspected or confirmed, management of the thyroid disorder necessitates regular monitoring in order to ensure a successful outcome. The aim of treating hyperthyroidism in pregnancy with antithyroid drugs is to maintain serum thyroxine (T4) in the upper normal range of the assay used with the lowest possible dose of drug, whereas in hypothyroidism, the goal is to return serum thyroid-stimulating hormone (TSH) to the range between 0.5 and 2.5 mU/L. PMID:19951221

Satisfaction with facial profile aesthetics: are norms overrated?

PubMed

Manevska, I; Pavlic, A; Katic, V; Trinajstic Zrinski, M; Drevensek, M; Spalj, S

2018-01-01

This study aimed to explore to what extent adults perceive deviations from the norm of a balanced profile with normal occlusion as reducing satisfaction with facial appearance and having a psychosocial impact. This cross-sectional study included 225 Caucasian subjects (64% women) aged 18-42 years. Their facial profiles were analyzed photogrammetrically and they were classified into three categories: within, below, or above the standard range for the Croatian population with a normal occlusion. Psychosocial issues were assessed by self-reported satisfaction with facial appearance and domains from the Orthognathic Quality of Life Questionnaire: social aspects of dentofacial aesthetics (SA), facial aesthetics concern (FA), and awareness of dentofacial aesthetics (AW). Men with a concave profile were less satisfied with their faces than those with a flat or convex profile (P<0.05). A reduced upper lip height in men resulted in a lower level of satisfaction and increased FA score, when compared to men with a normal or increased upper lip height (P<0.05). In women, a reduced middle third of the face increased AW (P=0.045). Deviations from a well-balanced facial profile, as well as the morphology of the nose and lip, do not increase psychosocial issues to a great extent. The range of acceptable facial characteristics is evidently much broader than the norms. Copyright © 2017 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Effect of Full-Chord Porosity on Aerodynamic Characteristics of the NACA 0012 Airfoil

NASA Technical Reports Server (NTRS)

Mineck, Raymond E.; Hartwich, Peter M.

1996-01-01

A test was conducted on a model of the NACA 0012 airfoil section with a solid upper surface or a porous upper surface with a cavity beneath for passive venting. The purposes of the test were to investigate the aerodynamic characteristics of an airfoil with full-chord porosity and to assess the ability of porosity to provide a multipoint or self-adaptive design. The tests were conducted in the Langley 8-Foot Transonic Pressure Tunnel over a Mach number range from 0.50 to 0.82 at chord Reynolds numbers of 2 x 10(exp 6), 4 x 10(exp 6), and 6 x 10(exp 6). The angle of attack was varied from -1 deg to 6 deg. At the lower Mach numbers, porosity leads to a dependence of the drag on the normal force. At subcritical conditions, porosity tends to flatten the pressure distribution, which reduces the suction peak near the leading edge and increases the suction over the middle of the chord. At supercritical conditions, the compression region on the porous upper surface is spread over a longer portion of the chord. In all cases, the pressure coefficient in the cavity beneath the porous surface is fairly constant with a very small increase over the rear portion. For the porous upper surface, the trailing edge pressure coefficients exhibit a creep at the lower section normal force coefficients, which suggests that the boundary layer on the rear portion of the airfoil is significantly thickening with increasing normal force coefficient.

Changing the "Normal Range" for Blood Pressure from 140/90 to 130/Any Improves Risk Assessment.

PubMed

Fulks, Michael; Stout, Robert L; Dolan, Vera F

2015-01-01

Objective .- Redefine the "normal" reference range for blood pressure from <140/90 to one that more effectively identifies individuals with increased mortality risk. Method .- Data from the recently published 2014 CRL blood pressure study was used. It includes 2,472,706 life insurance applicants tested by Clinical Reference Laboratory from 1993 to 2007 with follow-up for vital status using the September 2011 Social Security Death Master File. Various upper limits of blood pressure (BP in mm Hg) were evaluated to determine if any was superior to the current, commonly used limit of 140/90 in identifying individuals with increased mortality risk. Results .- An alternative reference range using a systolic BP (SBP) <130 with any diastolic BP (DBP) included 84% of life insurance applicants. It had a lower mortality rate and narrower range of relative risk than <140/90, including 89% as many applicants but only 68% as many deaths. This pattern of lives and deaths was consistent across age and sex. Conclusion .- Switching to a "normal" reference range of SBP <130 offers superior risk assessment relative to using BP <140/90 while still including a sufficient percentage of the population.

Comparison of range of motion and function of subjects with reverse anatomy Bayley-Walker shoulder replacement with those of normal subjects.

PubMed

Masjedi, Milad; Lovell, Cara; Johnson, Garth R

2011-12-01

Patients with rotator cuff tear and degenerative shoulder joint disease commonly experience severe pain and reduced performance during activities of daily living. A popular way to treat these patients is by means of reverse anatomy shoulder prosthesis. Studying the kinematics of subjects with reverse anatomy implant would be useful in order to gain knowledge about functionality of different designs. It is hypothesized that the kinematics of these subjects, in the absence of rotator cuff muscles, differs from that of normal subjects. In this study the upper limb kinematics of 12 subjects with a Bayley-Walker reverse anatomy shoulder prosthesis while performing tasks common in everyday activities and those that represent the range of motion was analyzed and compared to that of 12 normal subjects. Each patient also completed an Oxford Shoulder Score. Substantial reduction in the Bayley-Walker subjects' ranges of motion was observed compared to normal subjects. The mean abduction angle decreased from 109° (±20) for normal subjects to 64° (±25). A similar trend was observed during flexion and axial rotation tasks. Furthermore, the normal group showed less variable ranges of motion performing the standard tasks, whereas for the prosthetic group this varied greatly, which is likely to be dependent on muscle strength. Although the decreased range of motion was prominent, subjects were able to complete most of the tasks by compensating with their elbow and trunk. The most challenging task for Bayley-Walker subjects was lifting an object to head height. Copyright © 2010 Elsevier B.V. All rights reserved.

Generation of Highly Oblique Lower Band Chorus Via Nonlinear Three-Wave Resonance

DOE PAGES

Fu, Xiangrong; Gary, Stephen Peter; Reeves, Geoffrey D.; ...

2017-09-05

Chorus in the inner magnetosphere has been observed frequently at geomagnetically active times, typically exhibiting a two-band structure with a quasi-parallel lower band and an upper band with a broad range of wave normal angles. But recent observations by Van Allen Probes confirm another type of lower band chorus, which has a large wave normal angle close to the resonance cone angle. It has been proposed that these waves could be generated by a low-energy beam-like electron component or by temperature anisotropy of keV electrons in the presence of a low-energy plateau-like electron component. This paper, however, presents an alternativemore » mechanism for generation of this highly oblique lower band chorus. Through a nonlinear three-wave resonance, a quasi-parallel lower band chorus wave can interact with a mildly oblique upper band chorus wave, producing a highly oblique quasi-electrostatic lower band chorus wave. This theoretical analysis is confirmed by 2-D electromagnetic particle-in-cell simulations. Furthermore, as the newly generated waves propagate away from the equator, their wave normal angle can further increase and they are able to scatter low-energy electrons to form a plateau-like structure in the parallel velocity distribution. As a result, the three-wave resonance mechanism may also explain the generation of quasi-parallel upper band chorus which has also been observed in the magnetosphere.« less

Hydrogeology and the distribution of salinity in the Floridan aquifer system, Palm Beach County, Florida

USGS Publications Warehouse

Reese, R.S.; Memberg, S.J.

2000-01-01

The virtually untapped Floridan aquifer system is considered to be a supplemental source of water for public use in the highly populated coastal area of Palm Beach County. A recent study was conducted to delineate the distribution of salinity in relation to the local hydrogeology and assess the potential processes that might control (or have affected) the distribution of salinity in the Floridan aquifer system. The Floridan aquifer system in the study area consists of the Upper Floridan aquifer, middle confining unit, and Lower Floridan aquifer and ranges in age from Paleocene to Oligocene. Included at its top is part of a lowermost Hawthorn Group unit referred to as the basal Hawthorn unit. The thickness of this basal unit is variable, ranging from about 30 to 355 feet; areas where this unit is thick were paleotopographic lows during deposition of the unit. The uppermost permeable zones in the Upper Floridan aquifer occur in close association with an unconformity at the base of the Hawthorn Group; however, the highest of these zones can be up in the basal unit. A dolomite unit of Eocene age generally marks the top of the Lower Floridan aquifer, but the top of this dolomite unit has a considerable altitude range: from about 1,200 to 2,300 feet below sea level. Additionally, where the dolomite unit is thick, its top is high and the middle confining unit of the Floridan aquifer system, as normally defined, probably is not present. An upper zone of brackish water and a lower zone of water with salinity similar to that of seawater (saline-water zone) are present in the Floridan aquifer system. The brackish-water and saline-water zones are separated by a transition zone (typically 100 to 200 feet thick) in which salinity rapidly increases with depth. The transition zone was defined by using a salinity of 10,000 mg/L (milligrams per liter) of dissolved-solids concentration (about 5,240 mg/L of chloride concentration) at its top and 35,000 mg/L of dissolved-solids concentration (about 18,900 mg/L of chloride concentration) at its base. The base of the brackish-water zone and the top of the saline-water zone were approximately determined mostly by means of resistivity geophysical logs. The base of the brackish-water zone in the study area ranges from about 1,600 feet below sea level near the coast to almost 2,200 feet below sea level in extreme southwestern Palm Beach County. In an area that is peripheral to Lake Okeechobee, the boundary unexpectedly rises to perhaps as shallow as 1,800 feet below sea level. In an upper interval of the brackish-water zone within the Upper Floridan aquifer, chloride concentration of water ranges from 490 to 8,000 mg/L. Chloride concentration correlates with the altitude of the basal contact of the Hawthorn Group, with concentration increasing as the altitude of this contact decreases. Several areas of anomalous salinity where chloride concentration in this upper interval is greater than 3,000 mg/L occur near the coast. In most of these areas, salinity was found to decrease with depth from the upper interval to a lower interval within the brackish-water zone: a reversal of the normal salinity trend within the zone. These areas are also characterized by an anomalously low altitude of the base of the brackish-water zone, and a much greater thickness of the transition zone than normal. These anomalies could be the result of seawater preferentially invading zones of higher permeability in the Upper Floridan aquifer during Pleistocene high stands of sea level and incomplete flushing of this high salinity water by the present-day flow system.

Upper-Tropospheric Synoptic-Scale Waves. Part II: Maintenance and Excitation of Quasi Modes.

NASA Astrophysics Data System (ADS)

Rivest, Chantal; Farrell, Brian F.

1992-11-01

In a preceding paper a simple dynamical model for the maintenance of upper-tropospheric waves was proposed: the upper-level Eady normal modes. In this paper it is shown that these modes have counterparts in basic states with positive tropospheric gradients of potential vorticity, and that these counterparts can be maintained and excited on time scales consistent with observations.In the presence of infinitesimal positive tropospheric gradients of potential vorticity, the upper-level normal-mode solutions no longer exist. That the normal-mode solution disappears when gradients are infinitesimal represents an apparent singularity and challenges the interpretation of upper-level synoptic-scale waves as related to the upper-level Eady normal modes. What happens to the upper-level modal solution in the presence of tropospheric gradients of potential vorticity is examined in a series of initial-value experiments. Our results show that they become slowly decaying quasi modes. Mathematically the quasi modes consist of a superposition of singular modes sharply peaked in the phase speed domain, and their decay proceeds as the modes interfere with one another. We repeat these experiments in basic states with a smooth tropopause in the presence of tropospheric and stratospheric gradients, and similar results are obtained.Following a previous study by Farrell, a class of near-optimal initial conditions for the excitation of upper-level waves is identified. The initial conditions consist of upper-tropospheric disturbances that lean against the shear. They strongly excite upper-level waves not only in the absence of tropospheric potential vorticity gradients, but also in their presence. This result is important mathematically since it suggests that quasi modes are as likely to emerge from favorably configured initial disturbances as true normal modes, although the excitation is followed by a slow decay.

SENSITIVITY OF NORMAL THEORY METHODS TO MODEL MISSPECIFICATION IN THE CALCULATION OF UPPER CONFIDENCE LIMITS ON THE RISK FUNCTION FOR CONTINUOUS RESPONSES. (R825385)

EPA Science Inventory

Normal theory procedures for calculating upper confidence limits (UCL) on the risk function for continuous responses work well when the data come from a normal distribution. However, if the data come from an alternative distribution, the application of the normal theory procedure...

Geographic variation in left ventricular mass and mass index: a systematic review.

PubMed

Poppe, K K; Bachmann, M Edgerton; Triggs, C M; Doughty, R N; Whalley, G A

2012-07-01

Left ventricular (LV) hypertrophy, defined as an abnormal increase in LV mass (LVM), is an important prognostic indicator and therapeutic target. LVM is often divided by body surface area to derive indexed mass; however, this does not correctly identify pathological LV hypertrophy in all people, especially when body composition is altered, or in different ethnic groups. We evaluated published ranges of echocardiographic LVM in healthy adult populations from different countries, excluding control groups, and compared them with the American Society of Echocardiography reference ranges. A total of 33 studies met the inclusion criteria. In men and women, there was wide variation in the ranges of LVM with a tendency for the upper limit to increase geographically westward; this variation remained for indexed mass. Several ranges fell outside the upper reference limits: in men, 13 of the mass ranges and 16 of indexed mass; and in women, 8 mass and 16 indexed mass. This review has shown that current guidelines may need revision as some published series suggest that greater LV mass should be considered normal. This may be explained by ethnic differences and supports the need for widely applicable and ethnically diverse reference ranges to be established.

Low levels of nasal nitric oxide (NO) correlate to impaired mucociliary function in the upper airways.

PubMed

Lindberg, S; Cervin, A; Runer, T

1997-09-01

Findings in previous studies have suggested nitric oxide (NO) to be a regulator of mucociliary activity in the upper airways. The aim of the present investigation was to study whether a correlation exists between the nasal NO concentration and mucociliary function in patients suffering from respiratory tract diseases such as chronic sinusitis or recurrent pneumonia. Nasal NO was measured with a chemiluminescence analyser, 100 ppb (parts per billion) being adopted as the lower limit of the normal range on the basis of findings in an earlier study of healthy subjects. Mucociliary function was evaluated by measurements of ciliary beat frequency (CBF) in nasal brush samples, and the saccharin transport test. A subnormal level of nasal NO was found in 50% (9/18) of the patients. This correlated with a significantly impaired mucociliary function, regarding both CBF and the saccharin transport time. The median CBF was 10.6 Hz in the group with normal levels of nasal NO, as compared to 8.4 Hz in the subnormal NO group. All patients with a normal nasal NO concentration had a mean CBF of > or = 9.0 Hz in their nasal brush samples, but in the subnormal group the same measurements yielded a CBF of > or = 9.0 Hz in only 22% (2/9) of the cases. As measured with the saccharin test, mucociliary transport was normal in 78% (7/9) in the normal nasal NO group, but the saccharin test was normal only in 11% (1/9) of the subnormal nasal NO group. Nasal NO levels were found to correlate with both CBF measurements (Spearman's rho, 0.80) and the saccharin transport test results (Spearman's rho, -0.61). The results of the present study provide further support for the view that NO is an important regulator of mucociliary function in the upper airways, and that measurements of the nasal NO concentration should be included in investigations of the mucociliary system.

South Fork Shenandoah River habitat-flow modeling to determine ecological and recreational characteristics during low-flow periods

USGS Publications Warehouse

Krstolic, Jennifer L.; Ramey, R. Clay

2012-01-01

The ecological habitat requirements of aquatic organisms and recreational streamflow requirements of the South Fork Shenandoah River were investigated by the U.S. Geological Survey in cooperation with the Central Shenandoah Valley Planning District Commission, the Northern Shenandoah Valley Regional Commission, and Virginia Commonwealth University. Physical habitat simulation modeling was conducted to examine flow as a major determinant of physical habitat availability and recreation suitability using field-collected hydraulic habitat variables such as water depth, water velocity, and substrate characteristics. Fish habitat-suitability criteria specific to the South Fork Shenandoah River were developed for sub-adult and adult smallmouth bass (Micropterus dolomieu), juvenile and sub-adult redbreast sunfish (Lepomis auritus), spotfin or satinfin shiner (Cyprinella spp), margined madtom (Noturus insignis),and river chub (Nocomis micropogon). Historic streamflow statistics for the summer low-flow period during July, August, and September were used as benchmark low-flow conditions and compared to habitat simulation results and water-withdrawal scenarios based on 2005 withdrawal data. To examine habitat and recreation characteristics during droughts, daily fish habitat or recreation suitability values were simulated for 2002 and other selected drought years. Recreation suitability during droughts was extremely low, because the modeling demonstrated that suitable conditions occur when the streamflows are greater than the 50th percentile flow for July, August, and September. Habitat availability for fish is generally at a maximum when streamflows are between the 75th and 25th percentile flows for July, August, and September. Time-series results for drought years, such as 2002, showed that extreme low-flow conditions less than the 5th percentile of flow for July, August, and September corresponded to below-normal habitat availability for both game and nongame fish in the upper section of the river. For the middle section near Luray, margined madtom and river chub habitat area were below normal, whereas adult and sub-adult smallmouth bass habitat area remained near the median expected available habitat. In the lower section near Front Royal, time-series results for adult smallmouth bass, sub-adult smallmouth bass, and margined madtom habitat were below normal when streamflows were below the 10th percentile flow for July, August, and September. All other species of fish had habitat availability within the normal range for July, August, and September. Water-conservation scenarios representing a 50 percent water-withdrawal reduction resulted in game fish habitat availability within the normal range for habitat in upper and middle river sections, instead of below normal conditions which were observed during the 2002 drought. The 50 percent water-withdrawal reduction had no measurable effect on recreation. For nongame fish such as river chub, a 20 percent withdrawal reduction resulted in habitat availability within the normal range for habitat in the upper and middle river sections. Increased water-use scenarios representing a 5 percent increase in water withdrawals resulted in a slight reduction in habitat availability; however, increased withdrawals of 20 and 50 percent resulted in habitat availability substantially less than the 25th habitat percentile, or below normal. Habitat reductions were more pronounced when flows were lower than the 10th percentile flow for July, August, and September. The results show that for normal or wet years, increased water withdrawals are not likely to correspond with extensive habitat loss for game fish or nongame fish. During drought years, however, a 20 to 50 percent increase in water withdrawals may result in below normal habitat availability for game fish throughout the river and nongame fish in the upper and middle sections of the river. These simulations of rare historic drought conditions, such as those observed in 2002, serve as a baseline for development of ecological flow thresholds for drought planning.

Results of coalbed-methane drilling, Mylan Park, Monongalia County, West Virginia: Chapter G.3 in Coal and petroleum resources in the Appalachian basin: distribution, geologic framework, and geochemical character

USGS Publications Warehouse

Ruppert, Leslie F.; Fedorko, Nick; Warwick, Peter D.; Grady, William C.; Britton, James Q.; Schuller, William A.; Crangle, Robert D.; Ruppert, Leslie F.; Ryder, Robert T.

2014-01-01

High-pressure carbon-dioxide adsorption isotherms were measured on composite coal samples of the Upper Kittanning coal bed and the Middle Kittanning and Clarion coal zones. Assuming that the reservoir pressure in the Mylan Park coals is equivalent to the normal hydrostatic pressure, the estimated maximum carbon-dioxide adsorption pressures range from a low of about 300 pounds per square inch (lb/in2 ) in coals from the Clarion coal zone to 500 lb/in2 for coals from the Upper Kittanning coal bed. The estimated maximum methane adsorption isotherms show that the coals from the Upper Kittanning coal bed and the Middle Kittanning coal zone are undersaturated in methane, but coals from the Clarion coal zone are close to saturation.

Acute olanzapine overdose in a toddler: a case report.

PubMed

Tanoshima, Reo; Chandranipapongse, Weerawadee; Colantonio, David; Stefan, Cristiana; Nulman, Irena

2013-10-01

We describe a 17-month-old female presented with an acute overdose of olanzapine, an atypical antipsychotic. She displayed prolonged extrapyramidal symptoms as compared with that in previous reports and prolactin levels above the upper limits of normal ranges. This is the first report to measure serum prolactin levels in an olanzapine-overdosed toddler and the second to calculate olanzapine's elimination half-life.

Specific Immunoglobulin (Ig) G Reference Intervals for Common Food, Insect, and Mold Allergens.

PubMed

Martins, Thomas B; Bandhauer, Michael E; Wilcock, Diane M; Hill, Harry R; Slev, Patricia R

2016-12-01

The clinical utility of serum IgG measurement in the diagnosis of allergy and food-induced hypersensitivity has been largely discredited. Recent studies, however, have shown that specific IgG can inhibit IgE mediated allergies, and may play a role in allergen specific desensitization. Accurate reference intervals for IgG specific allergens have not been widely established and are needed for better interpretation of serum antibody concentrations. In this study we established 64 IgG reference intervals for 48 common food allergens, 5 venoms, and 11 molds. Specific IgG concentrations were determined employing an automated fluorescent enzyme immunoassay on serum samples from 130 normal adults (65 males and 65 females), age range 18-69 y, mean 37.3 y. The lower reference interval limit for all allergens tested (n=64) was <2 mcg/mL. The median upper reference interval value for all 64 allergens was 12.9 mcg/mL, with Tuna (f40) having the lowest upper interval limit at 3.8 mcg/mL, and the mold Setomelanomma rostrate (m8) demonstrating the highest upper interval limit at 131 mcg/L. The considerable variation observed among the upper reference interval limits emphasizes the need for the establishment of allergen specific ranges for IgG. These newly established ranges should be a useful aid for clinicians in the interpretation of laboratory serum IgG results. © 2016 by the Association of Clinical Scientists, Inc.

[Clinical application of modified upper gluteal rhomboid fasciocutaneous flap in repairing sacrococcygeal pressure sores].

PubMed

Jiang, Maohua; Yang, Xiaoliang; Wei, Bangmin; Li, Yinghao

2012-03-01

To investigate the method and effectiveness of repairing sacrococcygeal pressure sores with modified upper gluteal rhomboid fasciocutaneous flap. Between January 2004 and March 2011, 43 patients with sacrococcygeal pressure sores were treated. There were 25 males and 18 females with an average age of 63 years (range, 38-95 years). The disease duration was 3 months to 2 years and 6 months (mean, 8.5 months). The size of pressure sores ranged from 6 cm x 5 cm to 18 cm x 13 cm. According to the extent and lesion degree of pressure scores, 23 pressure sores were rated as degree III and 20 pressure sores as degree IV. The modified upper gluteal rhomboid flap was designed, one-side upper gluteal fasciocutaneous flaps were transplanted to repair sacrococcygeal pressure sores in 19 cases and two-side flaps in 24 cases. The size of one side flap ranged from 6.5 cm x 4.5 cm to 18.0 cm x 11.5 cm. Fluid under flap occurred in 1 case and edge necrosis of the flaps in 3 cases at 7 days after operation, which were cured after drainage and dressing change; the other flaps survived, and incisions healed by first intention. All patients were followed up 6 months to 3 years with an average of 11 months. Two patients relapsed at 5 months and 8 months, respectively; the other patients had no recurrence. The color of the flaps was normal, and the appearance and elasticity of the flaps were good. The modified upper gluteal rhomboid fasciocutaneous flap has the advantages of simple design and operation, less injury, and reliable effect in repairing sacrococcygeal pressure sores.

Phrenic Nerve Palsy Secondary to Parsonage-Turner Syndrome: A Diagnosis Commonly Overlooked.

PubMed

McEnery, Tom; Walsh, Ronan; Burke, Conor; McGowan, Aisling; Faul, John; Cormican, Liam

2017-04-01

Neuralgic Amyotrophy (NA) or Parsonage-Turner syndrome is an idiopathic neuropathy commonly affecting the brachial plexus. Associated phrenic nerve involvement, though recognised, is thought to be very rare. We present a case series of four patients (all male, mean age 53) presenting with dyspnoea preceded by severe self-limiting upper limb and shoulder pain, with an elevated hemi-diaphragm on clinical examination and chest X-ray. Neurological examination of the upper limb at the time of presentation was normal. Diaphragmatic fluoroscopy confirmed unilateral diaphragmatic paralysis. Pulmonary function testing demonstrated characteristic reduction in forced vital capacity between supine and sitting position (mean 50%, range 42-65% predicted, mean change 23%, range 22-46%), reduced maximal inspiratory pressures (mean 61%, range 43-86% predicted), reduced sniff nasal inspiratory pressure (mean 88.25, range 66-109 cm H 2 O) and preserved maximal expiratory pressure (mean 107%, range 83-130% predicted). Phrenic nerve conduction studies confirmed phrenic nerve palsy. All patients were managed conservatively. Follow-up ranged from 6 months to 3 years. Symptoms and lung function variables normalised in three patients and improved significantly in the fourth. The classic history of severe ipsilateral shoulder and upper limb neuromuscular pain should be elicited and thus NA considered in the differential for a unilateral diaphragmatic paralysis, even in the absence of neurological signs. Parsonage-Turner syndrome is likely to represent a significantly under-diagnosed aetiology of phrenic nerve palsy. Conservative management as opposed to surgical intervention is advocated as most patients demonstrate gradual resolution over time in this case series.

Assessment of dual-point drag reduction for an executive-jet modified airfoil section

NASA Technical Reports Server (NTRS)

Allison, Dennis O.; Mineck, Raymond E.

1996-01-01

This paper presents aerodynamic characteristics and pressure distributions for an executive-jet modified airfoil and discusses drag reduction relative to a baseline airfoil for two cruise design points. A modified airfoil was tested in the adaptive-wall test section of the NASA Langley 0.3-Meter Transonic Cryogenic Tunnel (0.3-m TCT) for Mach numbers ranging from 0.250 to 0.780 and chord Reynolds numbers ranging from 3.0 x 10(exp 6) to 18.0 x 10(exp 6). The angle of attack was varied from minus 2 degrees to almost 10 degrees. Boundary-layer transition was fixed at 5 percent of chord on both the upper and lower surfaces of the model for most of the test. The two design Mach numbers were 0.654 and 0.735, chord Reynolds numbers were 4.5 x 10(exp 6) and 8.9 x 10(exp 6), and normal-force coefficients were 0.98 and 0.51. Test data are presented graphically as integrated force and moment coefficients and chordwise pressure distributions. The maximum normal-force coefficient decreases with increasing Mach number. At a constant normal-force coefficient in the linear region, as Mach number increases an increase occurs in the slope of normal-force coefficient versus angle of attack, negative pitching-moment coefficient, and drag coefficient. With increasing Reynolds number at a constant normal-force coefficient, the pitching-moment coefficient becomes more negative and the drag coefficient decreases. The pressure distributions reveal that when present, separation begins at the trailing edge as angle of attack is increased. The modified airfoil, which is designed with pitching moment and geometric constraints relative to the baseline airfoil, achieved drag reductions for both design points (12 and 22 counts). The drag reductions are associated with stronger suction pressures in the first 10 percent of the upper surface and weakened shock waves.

Hydrologic and water-quality conditions in the lower Apalachicola-Chattahoochee-Flint and parts of the Aucilla-Suwannee-Ochlockonee River basins in Georgia and adjacent parts of Florida and Alabama during drought conditions, July 2011

USGS Publications Warehouse

Gordon, Debbie W.; Peck, Michael F.; Painter, Jaime A.

2012-01-01

As part of the U.S. Department of the Interior sustainable water strategy, WaterSMART, the U.S. Geological Survey documented hydrologic and water-quality conditions in the lower Apalachicola-Chattahoochee-Flint and western and central Aucilla-Suwannee-Ochlockonee River basins in Alabama, Florida, and Georgia during low-flow conditions in July 2011. Moderate-drought conditions prevailed in this area during early 2011 and worsened to exceptional by June, with cumulative rainfall departures from the 1981-2010 climate normals registering deficits ranging from 17 to 27 inches. As a result, groundwater levels and stream discharges measured below median daily levels throughout most of 2011. Water-quality field properties including temperature, dissolved oxygen, specific conductance, and pH were measured at selected surface-water sites. Record-low groundwater levels measured in 12 of 43 surficial aquifer wells and 128 of 312 Upper Floridan aquifer wells during July 2011 underscored the severity of drought conditions in the study area. Most wells recorded groundwater levels below the median daily statistic, and 7 surficial aquifer wells were dry. Groundwater-level measurements taken in July 2011 were used to determine the potentiometric surface of the Upper Floridan aquifer. Groundwater generally flows to the south and toward streams except in reaches where streams discharge to the aquifer. The degree of connection between the Upper Floridan aquifer and streams decreases east of the Flint River where thick overburden hydraulically separates the aquifer from stream interaction. Hydraulic separation of the Upper Floridan aquifer from streams located east of the Flint River is shown by stream-stage altitudes that differ from groundwater levels measured in close proximity to streams. Most streams located in the study area during 2011 exhibited below normal flows (streamflows less than the 25th percentile), substantiating the severity of drought conditions that year. Streamflow and springflow measured at 202 sites along 2,122 stream miles during July 20-24, 2011, identified about 286 miles of losing streams, about 1,230 miles of gaining streams, and about 606 miles of streams with no flow. Water-quality field properties measured at 123 stream and 5 spring sites during July 2011 yielded water temperatures ranging from 20.6 to 31.6 degrees Celsius, dissolved oxygen ranging from 0.47 to 9.98 milligrams per liter, specific conductance ranging from 13 to 834 microsiemens per centimeter at 25 degrees Celsius, and pH ranging from 3.6 to 8.03.

Developing Normal Turns-Amplitude Clouds for Upper and Lower Limbs.

PubMed

Jabre, Joe F; Nikolayev, Sergey G; Babayev, Michael B; Chindilov, Denis V; Muravyov, Anatoly Y

2016-10-01

Turns and amplitude analysis (T&A) is a frequently used method for automatic EMG interference pattern analysis. The T&A normal values have only been developed for a limited number of muscles. Our objective was to obtain normal T&A clouds for upper and lower extremity muscles for which no normal values exist in the literature. The T&A normative data using concentric needle electrodes were obtained from 68 men and 56 women aged 20 to 60 years. Normal upper and lower extremity T&A clouds were obtained and presented in this article. The T&A normal values collected in this study maybe used to detect neurogenic and myopathic abnormalities in men and women at low-to-moderate muscle contractions. The effect of turns-amplitude data obtained at high force level of muscle contraction and its potential to falsely show neurogenic abnormalities are discussed.

X-ray emission from an Ap star /Phi Herculis/ and a late B star /Pi Ceti/

NASA Technical Reports Server (NTRS)

Cash, W.; Snow, T. P., Jr.; Charles, P.

1979-01-01

Using the HEAO 1 soft X-ray sky survey, a search was conducted for X-ray emission from 18 stars in the spectral range B5-A7. The detection of 0.25 keV X-ray sources consistent with the positions of Pi Ceti, a normal B7 V star, and Phi Herculis, a classic Ap star was reported. The detection of these stars argues for large mass motions in the upper layers of stars in this spectral range, and argues against radiative diffusion as the source of abundance anomalies in Ap stars.

Shoulder range of motion measures as risk factors for shoulder and elbow injuries in high school softball and baseball players.

PubMed

Shanley, Ellen; Rauh, Mitchell J; Michener, Lori A; Ellenbecker, Todd S; Garrison, J Craig; Thigpen, Charles A

2011-09-01

Range of motion deficits in shoulder external rotation (ER), internal rotation (IR), total rotation range of motion (ER + IR), and horizontal adduction (HA) have been retrospectively associated with overhand athletes' arm injuries. The authors expected the incidence of upper extremity injury in high school softball and baseball players with side-to-side shoulder range of motion deficits to be greater than the incidence of upper extremity injury in players with normal shoulder range of motion. Cohort study (prognosis); Level of evidence, 2. High school softball and baseball players (N = 246) participated. Before the start of the season, passive shoulder ER, IR, and HA were assessed at 90° of abduction with the scapula stabilized. Relative risk (RR) was calculated to examine range of motion measure, by categorical criteria, and risk of upper extremity injury. Twenty-seven shoulder and elbow injuries (9 softball, 18 baseball) were observed during the season. The dominant shoulder of all injured players and baseball players displayed a significant decrease in HA (P = .05) and IR (P = .04). The dominant shoulder total rotation of injured baseball players displayed a significant decrease (mean difference = 8.0° ± 0.1°; P = .05) as compared with the dominant shoulder of uninjured baseball players. Players who displayed a decrease of ≥25° of IR in the dominant shoulder were at 4 times greater risk of upper extremity injury compared with players with a <25° decrease in IR, especially for baseball players. While we observed a 1.5 to 2 times increased risk of injury for the 10° to 20° loss in rotational range of motion for the overall sample and baseball, the risk estimates were not statistically significant (P > .05). There are large mean deficits in shoulder IR and HA between injured and noninjured players, but not in ER or total rotation. Passive shoulder IR loss ≥25° as compared bilaterally was predictive of arm injury. Shoulder range of motion deficits differed between sports and appeared more predictive of injury for baseball players.

Using Hashimoto thyroiditis as gold standard to determine the upper limit value of thyroid stimulating hormone in a Chinese cohort.

PubMed

Li, Yu; Chen, Dong-Ning; Cui, Jing; Xin, Zhong; Yang, Guang-Ran; Niu, Ming-Jia; Yang, Jin-Kui

2016-11-06

Subclinical hypothyroidism, commonly caused by Hashimoto thyroiditis (HT), is a risk factor for cardiovascular diseases. This disorder is defined as merely having elevated serum thyroid stimulating hormone (TSH) levels. However, the upper limit of reference range for TSH is debated recently. This study was to determine the cutoff value for the upper normal limit of TSH in a cohort using the prevalence of Hashimoto thyroiditis as "gold" calibration standard. The research population was medical staff of 2856 individuals who took part in health examination annually. Serum free triiodothyronine (FT3), free thyroxine (FT4), TSH, thyroid peroxidase antibody (TPAb), thyroglobulin antibody (TGAb) and other biochemistry parameters were tested. Meanwhile, thyroid ultrasound examination was performed. The diagnosis of HT was based on presence of thyroid antibodies (TPAb and TGAb) and abnormalities of thyroid ultrasound examination. We used two different methods to estimate the cutoff point of TSH based on the prevalence of HT. Joinpoint regression showed the prevalence of HT increased significantly at the ninth decile of TSH value corresponding to 2.9 mU/L. ROC curve showed a TSH cutoff value of 2.6 mU/L with the maximized sensitivity and specificity in identifying HT. Using the newly defined cutoff value of TSH can detect patients with hyperlipidemia more efficiently, which may indicate our approach to define the upper limit of TSH can make more sense from the clinical point of view. A significant increase in the prevalence of HT occurred among individuals with a TSH of 2.6-2.9 mU/L made it possible to determine the cutoff value of normal upper limit of TSH.

Upper-Level Waves of Synoptic Scale at Midlatitudes

NASA Astrophysics Data System (ADS)

Rivest, Chantal

1990-01-01

Upper-level waves of synoptic scale are important dynamical entities at midlatitudes. They often induce surface cyclogenesis (cf. Peterssen and Smebye, 1971), and their life duration is typically longer than time scales for disruption by the ambient shear (Sanders, 1988). The objectives of the present thesis are to explain the maintenance and genesis of upper-level synoptic-scale waves in the midlatitude flow. We develop an analytical model of waves on generalized Eady basic states that have uniform tropospheric and stratospheric potential vorticity, but allow for the decay of density with height. The Eady basic state represents the limiting case of infinite stratospheric stability and constant density. We find that the Eady normal mode characteristics hold in the presence of realistic tropopause and stratosphere. In particular, the basic states studied support at the synoptic scale upper-level normal modes. These modes provide simple models for the dynamics of upper-level synoptic-scale waves, as waves supported by the large latitudinal gradients of potential vorticity at the tropopause. In the presence of infinitesimal positive tropospheric gradients of potential vorticity, the upper-level normal mode solutions no longer exist, as was demonstrated in Green (1960). Disappearance of the normal mode solution when a parameter changes slightly represents a dilemma that we seek to understand. We examine what happens to the upper-level normal modes in the presence of tropospheric gradients of potential vorticity in a series of initial -value experiments. Our results show that the normal modes become slowly decaying quasi-modes. Mathematically the quasi-modes consist of a superposition of singular modes sharply peaked in the phase speed domain, and their decay proceeds as the modes interfere with one another. We repeat these experiments in basic states with a smooth tropopause in the presence of tropospheric and stratospheric gradients, and similar results are obtained. Basic states with positive tropospheric and stratospheric gradients of potential vorticity are found to support upper-level synoptic-scale waves for time scales consistent with observations. Following Farrell (1989), we then identify a class of near optimal initial conditions for the excitation of upper-level waves. The initial conditions consist of upper -tropospheric disturbances that lean against the shear. They strongly excite upper-level waves not only in the absence of tropospheric potential vorticity gradients, but also in their presence. This result demonstrates that quasi -modes are as likely to emerge from favorably configured initial conditions as real normal modes, although their excitation is followed by a slow decay. (Copies available exclusively from MIT Libraries, Rm. 14-0551, Cambridge, MA 02139-4307. Ph. 617-253-5668; Fax 617-253-1690.).

Gene expression profiling in the Cynomolgus macaque Macaca fascicularis shows variation within the normal birth range

PubMed Central

2011-01-01

Background Although an adverse early-life environment has been linked to an increased risk of developing the metabolic syndrome, the molecular mechanisms underlying altered disease susceptibility as well as their relevance to humans are largely unknown. Importantly, emerging evidence suggests that these effects operate within the normal range of birth weights and involve mechanisms of developmental palsticity rather than pathology. Method To explore this further, we utilised a non-human primate model Macaca fascicularis (Cynomolgus macaque) which shares with humans the same progressive history of the metabolic syndrome. Using microarray we compared tissues from neonates in the average birth weight (50-75th centile) to those of lower birth weight (5-25th centile) and studied the effect of different growth trajectories within the normal range on gene expression levels in the umbilical cord, neonatal liver and skeletal muscle. Results We identified 1973 genes which were differentially expressed in the three tissue types between average and low birth weight animals (P < 0.05). Gene ontology analysis identified that these genes were involved in metabolic processes including cellular lipid metabolism, cellular biosynthesis, cellular macromolecule synthesis, cellular nitrogen metabolism, cellular carbohydrate metabolism, cellular catabolism, nucleotide and nucleic acid metabolism, regulation of molecular functions, biological adhesion and development. Conclusion These differences in gene expression levels between animals in the upper and lower percentiles of the normal birth weight range may point towards early life metabolic adaptations that in later life result in differences in disease risk. PMID:21999700

New Data Pre-processing on Assessing of Obstructive Sleep Apnea Syndrome: Line Based Normalization Method (LBNM)

NASA Astrophysics Data System (ADS)

Akdemir, Bayram; Güneş, Salih; Yosunkaya, Şebnem

Sleep disorders are a very common unawareness illness among public. Obstructive Sleep Apnea Syndrome (OSAS) is characterized with decreased oxygen saturation level and repetitive upper respiratory tract obstruction episodes during full night sleep. In the present study, we have proposed a novel data normalization method called Line Based Normalization Method (LBNM) to evaluate OSAS using real data set obtained from Polysomnography device as a diagnostic tool in patients and clinically suspected of suffering OSAS. Here, we have combined the LBNM and classification methods comprising C4.5 decision tree classifier and Artificial Neural Network (ANN) to diagnose the OSAS. Firstly, each clinical feature in OSAS dataset is scaled by LBNM method in the range of [0,1]. Secondly, normalized OSAS dataset is classified using different classifier algorithms including C4.5 decision tree classifier and ANN, respectively. The proposed normalization method was compared with min-max normalization, z-score normalization, and decimal scaling methods existing in literature on the diagnosis of OSAS. LBNM has produced very promising results on the assessing of OSAS. Also, this method could be applied to other biomedical datasets.

Prevalence and causes of abnormal liver function in patients with coeliac disease.

PubMed

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.

Beach Cusps: Spatial distribution and time evolution at Massaguaçú beach (SP), Brazil

NASA Astrophysics Data System (ADS)

dos Santos, H. H.; Siegle, E.; Sousa, P. H.

2013-05-01

Beach cusps are crescentic morphological structures observed on the foreshore of beaches characterized by steep seaward protruding extensions, called cusp horns, and gently sloped landward extensions, called cusp embayments. Their formation depends on the grain size, beach slope, tidal range and incoming waves. Cusps are best developed on gravel or shingle beaches, small tidal range with a large slope for incoming waves generate a well-developed swash excursion. These structures are quickly responding to wave climate and tidal range, changing the position of the rhythmic features on the beach face. Beach cusps are favored by normal incoming waves, while oblique waves tend to wash these features out. This study aims to analyze the spatial distribution and temporal evolution of rhythmic features such as beach cusps in Massaguaçú embayment (Caraguatatuba, northern coast of São Paulo, Brazil). This embayment has an extension of 7.5 km with reflective beaches cusped mainly in its more exposed central portion. The data set for this study consists of a series of video images (Argus system), covering a stretch of the beach. Visible beach cusps were digitalized from these rectified images. Results obtained from the images were related to the wave climate, water level and the storm surges. Results show that the cusps on the upper portion of the foreshore were more regular and present than the cusps on the lower portion of the foreshore due to the tidal modulation of wave action. The cusp spacing on the upper portion of the foreshore is of about 38 m and the lower portion of the foreshore is of about 28 m and their presence was correlated with the wave direction and water elevation. As expected, waves approaching with shore-normal angles (southeast direction) were favorable to the formation of beach cusps while the waves from the southwest, south, east and northeast generated a longshore current that reduced or destroyed any rhythmic feature. Other important forcing was the influence of the water level. Waves acting at higher water levels are able to produce the less dynamic upper layer of cusps. During 31 consecutive days from 8 July 2011 to 8 August of the same year these features show four periods with the presence of cusps on the upper and lower portion of the foreshore with three periods with cups only on the upper portion of the foreshore. The analyzed dataset shows the highly dynamic behavior of cusps, with rapid generation and destruction, related directly to its forcing hydrodynamic conditions.

Hypertensive emergency masquerading as phaeochromocytoma: a report of two cases.

PubMed

Hulkower, Raphael; Gubbi, Sriram; Meholli, Mimoza; Schubart, Ulrich

2017-08-07

We report two cases of patients who were hospitalised for hypertensive emergency. In both cases, laboratory testing during admission revealed elevated normetanephrines in the range of 4-5 times the upper limit of normal using liquid chromatography with mass spectrometry. Imaging studies did not localise any phaeochromocytoma or paraganglioma (PPGL). Repeat biochemical testing after discharge was within normal limits in both cases. These observations suggest that hypertensive emergency should be recognised as a potential cause of 'false-positive' laboratory findings in the diagnostic assessment for PPGL. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Selected Design Parameters for Reclining Seats Based on Engineering Anthropometry

DTIC Science & Technology

1977-09-01

mounted on these arm rests and immediately adjacent surfaces -provide upper extremity configuratinns conducive to maximum biomechanical advantage -meet...operation at the rudder pedals under normal or under high G environments. (2) Size: The foot rest must be large enough to cover the range of heel positions...See Figure 9.) Foot Control Adjustment Two horizontal cylinders 2" in diameter x 6" long represented rudder pedals to be operated by feet. They were

Normal values of urine total protein- and albumin-to-creatinine ratios in term newborns.

PubMed

El Hamel, Chahrazed; Chianea, Thierry; Thon, Séverine; Lepichoux, Anne; Yardin, Catherine; Guigonis, Vincent

2017-01-01

It is important to have an accurate assessment of urinary protein when glomerulopathy or kidney injury is suspected. Currently available normal values for the neonate population have limited value, in part because they are based on small populations and obsolete creatinine assays. We have performed a prospective study with the aim to update the normal upper values of the urinary total protein-to-creatinine and albumin-to-creatinine ratios in term newborns. Urine samples were collected from 277 healthy, full-term newborns within the first 48 hours (D0-1) and between 72 and 120 h of life (D3-4). Total protein, albumin, creatinine and osmolality were measured and the upper limit of normal (upper-limit) values determined. At D0-1 and D3-4, the upper-limit values for the total protein-to-creatinine ratio were 1431 and 1205 mg/g (162 and 136 g/mol) and those for the albumin-to-creatinine ratio were 746 and 301 mg/g (84 and 34 g/mol), respectively. The upper-limit values were significantly higher at D0-1 than at D3-4 only for the albumin-to-creatinine ratio. This study determined the upper limit of normal values for urinary total protein-to-creatinine and albumin-to-creatinine ratios in the largest population of newborns studied to date. These values can therefore be considered as the most clinically relevant data currently available for the detection and diagnosis of glomerular injury in daily clinical practice in this population.

High-resolution Manometry and Globus: Comparison of Globus, Gastroesophageal Reflux Disease and Normal Controls Using High-resolution Manometry.

PubMed

Choi, Won Seok; Kim, Tae Wan; Kim, Ja Hyun; Lee, Sang Hyuk; Hur, Woon Je; Choe, Young Gil; Lee, Sang Hyuk; Park, Jung Ho; Sohn, Chong Il

2013-10-01

Globus is a foreign body sense in the throat without dysphagia, odynophagia, esophageal motility disorders, or gastroesophageal reflux. The etiology is unclear. Previous studies suggested that increased upper esophageal sphincter pressure, gastroesophageal reflux and hypertonicity of esophageal body were possible etiologies. This study was to quantify the upper esophageal sphincter (UES) pressure, contractile front velocity (CFV), proximal contractile integral (PCI), distal contractile integral (DCI) and transition zone (TZ) in patient with globus gastroesophageal reflux disease (GERD) without globus, and normal controls to suggest the correlation of specific high-resolution manometry (HRM) findings and globus. Fifty-seven globus patients, 24 GERD patients and 7 normal controls were studied with HRM since 2009. We reviewed the reports, and selected 5 swallowing plots suitable for analysis in each report, analyzed each individual plot with ManoView. The 5 parameters from each plot in 57 globus patients were compared with that of 24 GERD patients and 7 normal controls. There was no significant difference in the UES pressure, CFV, PCI and DCI. TZ (using 30 mmHg isobaric contour) in globus showed significant difference compared with normal controls and GERD patients. The median values of TZ were 4.26 cm (interquartile range [IQR], 2.30-5.85) in globus patients, 5.91 cm (IQR, 3.97-7.62) in GERD patients and 2.26 cm (IQR, 1.22-2.92) in normal controls (P = 0.001). HRM analysis suggested that UES pressure, CFV, PCI and DCI were not associated with globus. Instead increased length of TZ may be correlated with globus. Further study comparing HRM results in globus patients within larger population needs to confirm their correlation.

High-resolution Manometry and Globus: Comparison of Globus, Gastroesophageal Reflux Disease and Normal Controls Using High-resolution Manometry

PubMed Central

Choi, Won Seok; Kim, Tae Wan; Kim, Ja Hyun; Lee, Sang Hyuk; Hur, Woon Je; Choe, Young Gil; Lee, Sang Hyuk; Park, Jung Ho

2013-01-01

Background/Aims Globus is a foreign body sense in the throat without dysphagia, odynophagia, esophageal motility disorders, or gastroesophageal reflux. The etiology is unclear. Previous studies suggested that increased upper esophageal sphincter pressure, gastroesophageal reflux and hypertonicity of esophageal body were possible etiologies. This study was to quantify the upper esophageal sphincter (UES) pressure, contractile front velocity (CFV), proximal contractile integral (PCI), distal contractile integral (DCI) and transition zone (TZ) in patient with globus gastroesophageal reflux disease (GERD) without globus, and normal controls to suggest the correlation of specific high-resolution manometry (HRM) findings and globus. Methods Fifty-seven globus patients, 24 GERD patients and 7 normal controls were studied with HRM since 2009. We reviewed the reports, and selected 5 swallowing plots suitable for analysis in each report, analyzed each individual plot with ManoView. The 5 parameters from each plot in 57 globus patients were compared with that of 24 GERD patients and 7 normal controls. Results There was no significant difference in the UES pressure, CFV, PCI and DCI. TZ (using 30 mmHg isobaric contour) in globus showed significant difference compared with normal controls and GERD patients. The median values of TZ were 4.26 cm (interquartile range [IQR], 2.30-5.85) in globus patients, 5.91 cm (IQR, 3.97-7.62) in GERD patients and 2.26 cm (IQR, 1.22-2.92) in normal controls (P = 0.001). Conclusions HRM analysis suggested that UES pressure, CFV, PCI and DCI were not associated with globus. Instead increased length of TZ may be correlated with globus. Further study comparing HRM results in globus patients within larger population needs to confirm their correlation. PMID:24199007

Cumulative lactate and hospital mortality in ICU patients

PubMed Central

2013-01-01

Background Both hyperlactatemia and persistence of hyperlactatemia have been associated with bad outcome. We compared lactate and lactate-derived variables in outcome prediction. Methods Retrospective observational study. Case records from 2,251 consecutive intensive care unit (ICU) patients admitted between 2001 and 2007 were analyzed. Baseline characteristics, all lactate measurements, and in-hospital mortality were recorded. The time integral of arterial blood lactate levels above the upper normal threshold of 2.2 mmol/L (lactate-time-integral), maximum lactate (max-lactate), and time-to-first-normalization were calculated. Survivors and nonsurvivors were compared and receiver operating characteristic (ROC) analysis were applied. Results A total of 20,755 lactate measurements were analyzed. Data are srpehown as median [interquartile range]. In nonsurvivors (n = 405) lactate-time-integral (192 [0–1881] min·mmol/L) and time-to-first normalization (44.0 [0–427] min) were higher than in hospital survivors (n = 1846; 0 [0–134] min·mmol/L and 0 [0–75] min, respectively; all p < 0.001). Normalization of lactate <6 hours after ICU admission revealed better survival compared with normalization of lactate >6 hours (mortality 16.6% vs. 24.4%; p < 0.001). AUC of ROC curves to predict in-hospital mortality was the largest for max-lactate, whereas it was not different among all other lactate derived variables (all p > 0.05). The area under the ROC curves for admission lactate and lactate-time-integral was not different (p = 0.36). Conclusions Hyperlactatemia is associated with in-hospital mortality in a heterogeneous ICU population. In our patients, lactate peak values predicted in-hospital mortality equally well as lactate-time-integral of arterial blood lactate levels above the upper normal threshold. PMID:23446002

Feasibility of novel four degrees of freedom capacitive force sensor for skin interface force

PubMed Central

2012-01-01

Background The objective of our study was to develop a novel capacitive force sensor that enables simultaneous measurements of yaw torque around the pressure axis and normal force and shear forces at a single point for the purpose of elucidating pressure ulcer pathogenesis and establishing criteria for selection of cushions and mattresses. Methods Two newly developed sensors (approximately 10 mm×10 mm×5 mm (10) and 20 mm×20 mm×5 mm (20)) were constructed from silicone gel and four upper and lower electrodes. The upper and lower electrodes had sixteen combinations that had the function as capacitors of parallel plate type. The full scale (FS) ranges of force/torque were defined as 0–1.5 N, –0.5-0.5 N and −1.5-1.5 N mm (10) and 0–8.7 N, –2.9-2.9 N and −16.8-16.8 N mm (20) in normal force, shear forces and yaw torque, respectively. The capacitances of sixteen capacitors were measured by an LCR meter (AC1V, 100 kHz) when displacements corresponding to four degrees of freedom (DOF) forces within FS ranges were applied to the sensor. The measurement was repeated three times in each displacement condition (10 only). Force/torque were calculated by corrected capacitance and were evaluated by comparison to theoretical values and standard normal force measured by an universal tester. Results In measurements of capacitance, the coefficient of variation was 3.23% (10). The Maximum FS errors of estimated force/torque were less than or equal to 10.1 (10) and 16.4% (20), respectively. The standard normal forces were approximately 1.5 (10) and 9.4 N (20) when pressure displacements were 3 (10) and 2 mm (20), respectively. The estimated normal forces were approximately 1.5 (10) and 8.6 N (10) in the same condition. Conclusions In this study, we developed a new four DOF force sensor for measurement of force/torque that occur between the skin and a mattress. In measurement of capacitance, the repeatability was good and it was confirmed that the sensor had characteristics that enabled the correction by linear approximation for adjustment of gain and offset. In estimation of forces/torque, we considered accuracy to be within an acceptable range. PMID:23186069

Mast cell distribution in normal adult skin.

PubMed

Janssens, A S; Heide, R; den Hollander, J C; Mulder, P G M; Tank, B; Oranje, A P

2005-03-01

To investigate mast cell distribution in normal adult skin to provide a reference range for comparison with mastocytosis. Mast cells (MCs) were counted in uninvolved skin adjacent to basal cell carcinomas and other dermatological disorders in adults. There was an uneven distribution of MCs in different body sites using the anti-tryptase monoclonal antibody technique. Numbers of MCs on the trunk, upper arm, and upper leg were similar, but were significantly different from those found on the lower leg and forearm. Two distinct groups were formed--proximal and distal. There were 77.0 MCs/mm2 at proximal body sites and 108.2 MCs/mm2 at distal sites. Adjusted for the adjacent diagnosis and age, this difference was consistent. The numbers of MCs in uninvolved skin adjacent to basal cell carcinomas and other dermatological disorders were not different from those in the control group. Differences in the numbers of MCs between the distal and the proximal body sites must be considered when MCs are counted for a reliable diagnosis of mastocytosis. A pilot study in patients with mastocytosis underlined the variation in the numbers of MCs in mastocytosis and normal skin, but showed a considerable overlap. The observed numbers of MCs in adults cannot be extrapolated to children. MC numbers varied significantly between proximal and distal body sites and these differences must be considered when MCs are counted for a reliable diagnosis of mastocytosis. There was a considerable overlap between the numbers of MCs in mastocytosis and normal skin.

Clinical Parameters following Multiple Oral Dose Administration of a Standardized Andrographis paniculata Capsule in Healthy Thai Subjects.

PubMed

Suriyo, Tawit; Pholphana, Nanthanit; Ungtrakul, Teerapat; Rangkadilok, Nuchanart; Panomvana, Duangchit; Thiantanawat, Apinya; Pongpun, Wanwisa; Satayavivad, Jutamaad

2017-06-01

Andrographis paniculata has been widely used in Scandinavian and Asian counties for the treatment of the common cold, fever, and noninfectious diarrhea. The present study was carried out to investigate the physiological effects of short-term multiple dose administration of a standardized A. paniculata capsule used for treatment of the common cold and uncomplicated upper respiratory tract infections, including blood pressure, electrocardiogram, blood chemistry, hematological profiles, urinalysis, and blood coagulation in healthy Thai subjects. Twenty healthy subjects (10 males and 10 females) received 12 capsules per day orally of 4.2 g of a standardized A. paniculata crude powder (4 capsules of 1.4 g of A. paniculata , 3 times per day, 8 h intervals) for 3 consecutive days. The results showed that all of the measured clinical parameters were found to be within normal ranges for a healthy person. However, modulation of some parameters was observed after the third day of treatment, for example, inductions of white blood cells and absolute neutrophil count in the blood, a reduction of plasma alkaline phosphatase, and an induction of urine pH. A rapid and transient reduction in blood pressure was observed at 30 min after capsule administration, resulting in a significant reduction of mean systolic blood pressure. There were no serious adverse events observed in the subjects during the treatment period. In conclusion, this study suggests that multiple oral dosing of A. paniculata at the normal therapeutic dose for the common cold and uncomplicated upper respiratory tract infections modulates various clinical parameters within normal ranges for a healthy person. Georg Thieme Verlag KG Stuttgart · New York.

Gastric emptying of solids in children: reference values for the (13) C-octanoic acid breath test.

PubMed

Hauser, B; Roelants, M; De Schepper, J; Veereman, G; Caveliers, V; Devreker, T; De Greef, E; Vandenplas, Y

2016-10-01

(99m) Technetium scintigraphy ((99m) TS) is the 'gold standard' for measuring gastric emptying (GE), but it is associated with a radiation exposure. For this reason, the (13) C-octanoic acid breath test ((13) C-OBT) was developed for measuring GE of solids. The objective of this study was to determine normal values for gastric half-emptying time (t1/2 GE) of solids in healthy children. Gastric emptying of a standardized solid test meal consisting of a pancake evaluated with (99m) TS and (13) C-OBT was compared in 22 children aged between 1 and 15 years with upper gastrointestinal symptoms. Subsequently, the (13) C-OBT was used to determine normal values for GE of the same solid test meal in 120 healthy children aged between 1 and 17 years. The results showed a significant correlation (r = 0.748, p = 0.0001) between t1/2 GE measured with both techniques in the group of children with upper gastrointestinal symptoms. In the group of healthy children, mean t1/2 GE was 157.7 ± 54.0 min (range 71-415 min), but t1/2 GE decreased with age between 1 and 10 years and remained stable afterward. There was no influence of gender, weight, height, body mass index, and body surface area on t1/2 GE. Normal values for GE of solids measured with the (13) C-OBT using a standardized methodology were determined in healthy children. We propose to use this method and corresponding reference ranges to study GE of solids in children with gastrointestinal problems. © 2016 John Wiley & Sons Ltd.

Dome of magnetic order inside the nematic phase of sulfur-substituted FeSe under pressure

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

Xiang, Li; Kaluarachchi, Udhara; Bohmer, Anna

2017-07-18

The pressure dependence of the structural, magnetic, and superconducting transitions and of the superconducting upper critical field were studied in sulfur-substituted Fe ( Se 1 - x S x ) . We performed resistance measurements on single crystals with three substitution levels ( x = 0.043 , 0.096, 0.12) under hydrostatic pressures up to 1.8 GPa and in magnetic fields up to 9 T and were compared to data on pure FeSe. Our results illustrate the effects of chemical and physical pressure on Fe ( Se 1 - x S x ). Furthermore, on increasing sulfur content, magnetic order inmore » the low-pressure range is strongly suppressed to a small domelike region in the phase diagrams. But, T s is much less suppressed by sulfur substitution, and T c of Fe ( Se 1 - x S x ) exhibits similar nonmonotonic pressure dependence with a local maximum and a local minimum present in the low-pressure range for all x . The local maximum in T c coincides with the emergence of the magnetic order above T c . At this pressure the slope of the upper critical field decreases abruptly, which may indicate a Fermi-surface reconstruction. The minimum of T c correlates with a broad maximum of the upper critical field slope normalized by T c .« less

MRI-based assessment of the pineal gland in a large population of children aged 0-5 years and comparison with pineoblastoma: part I, the solid gland.

PubMed

Galluzzi, Paolo; de Jong, Marcus C; Sirin, Selma; Maeder, Philippe; Piu, Pietro; Cerase, Alfonso; Monti, Lucia; Brisse, Hervé J; Castelijns, Jonas A; de Graaf, Pim; Goericke, Sophia L

2016-07-01

Differentiation between normal solid (non-cystic) pineal glands and pineal pathologies on brain MRI is difficult. The aim of this study was to assess the size of the solid pineal gland in children (0-5 years) and compare the findings with published pineoblastoma cases. We retrospectively analyzed the size (width, height, planimetric area) of solid pineal glands in 184 non-retinoblastoma patients (73 female, 111 male) aged 0-5 years on MRI. The effect of age and gender on gland size was evaluated. Linear regression analysis was performed to analyze the relation between size and age. Ninety-nine percent prediction intervals around the mean were added to construct a normal size range per age, with the upper bound of the predictive interval as the parameter of interest as a cutoff for normalcy. There was no significant interaction of gender and age for all the three pineal gland parameters (width, height, and area). Linear regression analysis gave 99 % upper prediction bounds of 7.9, 4.8, and 25.4 mm(2), respectively, for width, height, and area. The slopes (size increase per month) of each parameter were 0.046, 0.023, and 0.202, respectively. Ninety-three percent (95 % CI 66-100 %) of asymptomatic solid pineoblastomas were larger in size than the 99 % upper bound. This study establishes norms for solid pineal gland size in non-retinoblastoma children aged 0-5 years. Knowledge of the size of the normal pineal gland is helpful for detection of pineal gland abnormalities, particularly pineoblastoma.

Design and Development of a Novel Upper-Limb Cycling Prosthesis

PubMed Central

Soni-Sadar, Shivam; Rowbottom, Jack; Patel, Shilen; Mathewson, Edward; Pearson, Samuel; Hutchins, David; Head, John; Hutchins, Stephen

2017-01-01

The rise in popularity of the Paralympics in recent years has created a need for effective, low-cost sports-prosthetic devices for upper-limb amputees. There are various opportunities for lower-limb amputees to participate in cycling; however, there are only few options for those with upper-limb amputations. If the individual previously participated in cycling, a cycling-specific prosthesis could allow these activities to be integrated into rehabilitation methods. This article describes the processes involved with designing, developing and manufacturing such a prosthesis. The fundamental needs of people with upper-limb amputation were assessed and realised in the prototype of a transradial terminal device with two release mechanisms, including a sliding mechanism (for falls and minor collisions) and clamping mechanism (for head-on collisions). The sliding mechanism requires the rider to exert approximately 200 N, while the clamping mechanism requires about 700 N. The force ranges can be customised to match rider requirements. Experiments were conducted in a controlled environment to demonstrate stability of the device during normal cycling. Moreover, a volunteer test-rider was able to successfully activate the release mechanism during a simulated emergency scenario. The development of this prosthesis has the potential to enable traumatic upper-limb amputees to participate in cycling for rehabilitation or recreation. PMID:29144392

Design and Development of a Novel Upper-Limb Cycling Prosthesis.

PubMed

Tiele, Akira; Soni-Sadar, Shivam; Rowbottom, Jack; Patel, Shilen; Mathewson, Edward; Pearson, Samuel; Hutchins, David; Head, John; Hutchins, Stephen

2017-11-16

The rise in popularity of the Paralympics in recent years has created a need for effective, low-cost sports-prosthetic devices for upper-limb amputees. There are various opportunities for lower-limb amputees to participate in cycling; however, there are only few options for those with upper-limb amputations. If the individual previously participated in cycling, a cycling-specific prosthesis could allow these activities to be integrated into rehabilitation methods. This article describes the processes involved with designing, developing and manufacturing such a prosthesis. The fundamental needs of people with upper-limb amputation were assessed and realised in the prototype of a transradial terminal device with two release mechanisms, including a sliding mechanism (for falls and minor collisions) and clamping mechanism (for head-on collisions). The sliding mechanism requires the rider to exert approximately 200 N, while the clamping mechanism requires about 700 N. The force ranges can be customised to match rider requirements. Experiments were conducted in a controlled environment to demonstrate stability of the device during normal cycling. Moreover, a volunteer test-rider was able to successfully activate the release mechanism during a simulated emergency scenario. The development of this prosthesis has the potential to enable traumatic upper-limb amputees to participate in cycling for rehabilitation or recreation.

GREAT II (Upper Mississippi River. Guttenberg, Iowa to Saverton, Missouri). Side Channel Work Group Appendix

DTIC Science & Technology

1980-12-01

is current during normal river stage. The graduations in this category are wide- spread, ranging frcm fast flowing watercourses with high banks to...channel category on the other. They may be former side channels that have been cut off, or that have only intermittent flows in them. They may be...navigation project certainly is a contributor by providing a deep channel and an abundance of beaches. Karaki and Van Hoften noted that small, fast

Facts about Upper and Lower Limb Reduction Defects

MedlinePlus

... its normal size or is missing. What We Know About Upper and Lower Limb Reduction Defects How ... and productive lives. What We Still Do Not Know About Upper and Lower Limb Reduction Defects What ...

Frequency response of portable PEF meters.

PubMed

Hankinson, J L; Das, M K

1995-08-01

Peak expiratory flow (PEF) is a dynamic parameter and therefore requires a measuring device with a high-frequency response. This study evaluated the frequency-response characteristics of eight commercially available PEF meters, using simulated forced-expiratory maneuvers with a computer-controlled mechanical pump. Three different PEF levels were used (200, 400, and 600 L/min) at six levels of harmonic-frequency content similar to those observed in human subjects. For waveforms with higher frequency content (at the high end or above the physiologic range), the Assess, Vitalograph, Pocket Peak, and Spir-O-Flow PEF meters all overread PEF (greater than 15% difference from target values) at all three PEF levels. These results suggest that the frequency response of PEF meters is an important consideration in the selection of such meters and should be included in device requirements. The current practice of using various levels of American Thoracic Society (ATS) waveform 24 with its low-frequency content may not adequately evaluate the frequency characteristics of PEF meters. An upper range (5% of the fundamental frequency) of 12 Hz, within the range observed in normal subjects, appears to be more practical than an upper limit of 20 Hz.

Hereditary deficiency of the sixth component of complement in man. II. Studies of hemostasis.

PubMed Central

Heusinkveld, R S; Leddy, J P; Klemperer, M R; Breckenridge, R T

1974-01-01

Prompted by previous observations of defective blood clotting in rabbits deficient in the sixth component of complement (C6), an evaluation was made of the hemostatic functions of the homozygous proband of a newly recognized human kindred with hereditary C6 deficiency. This human subject, who had no clinical evidence of a bleeding disorder, exhibited a total lack of C6 by functional and immunoprecipitin assays of serum or plasma. Standard tests of hemostatic function were normal; however, when the whole blood clotting time was measured at 25 degrees C in plastic tubes, it was at the upper range of our normal values. In confirmation of this observation, prothrombin consumption, when performed at 37 degrees C in plastic tubes, was at the lower range of normal. Inulin and endotoxin, in concentrations shown to cause activation of human complement, had little or no effect on clotting times or prothrombin consumption of normal or C6-deficient human blood. These observations indicate that absence of C6 does not have a significant effect on hemostatic function in man. In the light of other investigations, the observed differences in clotting function between C6-deficient human blood and C6-deficient rabbit blood could be due to species differences governing the susceptibility of platelets to complement activation. PMID:11344569

Added sugars and risk factors for obesity, diabetes and heart disease.

PubMed

Rippe, J M; Angelopoulos, T J

2016-03-01

The effects of added sugars on various chronic conditions are highly controversial. Some investigators have argued that added sugars increase the risk of obesity, diabetes and cardiovascular disease. However, few randomized controlled trials are available to support these assertions. The literature is further complicated by animal studies, as well as studies which compare pure fructose to pure glucose (neither of which is consumed to any appreciable degree in the human diet) and studies where large doses of added sugars beyond normal levels of human consumption have been administered. Various scientific and public health organizations have offered disparate recommendations for upper limits of added sugar. In this article, we will review recent randomized controlled trials and prospective cohort studies. We conclude that the normal added sugars in the human diet (for example, sucrose, high-fructose corn syrup and isoglucose) when consumed within the normal range of normal human consumption or substituted isoenergetically for other carbohydrates, do not appear to cause a unique risk of obesity, diabetes or cardiovascular disease.

Measuring upper limb function in children with hemiparesis with 3D inertial sensors.

PubMed

Newman, Christopher J; Bruchez, Roselyn; Roches, Sylvie; Jequier Gygax, Marine; Duc, Cyntia; Dadashi, Farzin; Massé, Fabien; Aminian, Kamiar

2017-12-01

Upper limb assessments in children with hemiparesis rely on clinical measurements, which despite standardization are prone to error. Recently, 3D movement analysis using optoelectronic setups has been used to measure upper limb movement, but generalization is hindered by time and cost. Body worn inertial sensors may provide a simple, cost-effective alternative. We instrumented a subset of 30 participants in a mirror therapy clinical trial at baseline, post-treatment, and follow-up clinical assessments, with wireless inertial sensors positioned on the arms and trunk to monitor motion during reaching tasks. Inertial sensor measurements distinguished paretic and non-paretic limbs with significant differences (P < 0.01) in movement duration, power, range of angular velocity, elevation, and smoothness (normalized jerk index and spectral arc length). Inertial sensor measurements correlated with functional clinical tests (Melbourne Assessment 2); movement duration and complexity (Higuchi fractal dimension) showed moderate to strong negative correlations with clinical measures of amplitude, accuracy, and fluency. Inertial sensor measurements reliably identify paresis and correlate with clinical measurements; they can therefore provide a complementary dimension of assessment in clinical practice and during clinical trials aimed at improving upper limb function.

Upper gastrointestinal symptoms in patients with advanced cancer: relationship to nutritional and performance status.

PubMed

Bovio, G; Montagna, G; Bariani, C; Baiardi, P

2009-10-01

The goals of the study were to determine the relationship of upper gastrointestinal symptoms with nutritional status and to assess their association with performance status in patients with advanced cancer. We studied 143 patients (50 F, 93 M, mean age 68 +/- 11 years, mean body mass index 22.39 +/- 4.3 kg/m(2)). Assessed symptoms were the following: anorexia, nausea, vomiting, dysphagia for solids, dysphagia for liquids, xerostomia, hypogeusia, dysgeusia, hiccup and chewing disturbances. We determined anthropometric parameters, daily energy intake and serum albumin, prealbumin and transferrin. The most common upper gastrointestinal symptoms were xerostomia (73%), anorexia (49%) and chewing disturbances (40%). Fifty-four percent of patients had weight loss greater than 10%. Seventy-three patients (51%) had daily energy intake lower than their resting energy expenditure. Mean serum prealbumin, albumin and transferrin were below normal range. Mean Eastern Cooperative Oncology Group performance status scale was 3.1 +/- 0.49. Symptoms were often strongly correlated, and usually, patients experienced at least three upper gastrointestinal symptoms at the same time. Anorexia, nausea and vomiting were the symptoms mostly correlated with other symptoms. A correlation was found between vomiting and hiccup. Energy intake (EI) was the nutritional parameter mostly affected by upper gastrointestinal symptoms; moreover, EI is the most predictive factor of upper gastrointestinal symptoms, particularly xerostomia, anorexia and dysphagia for solids. Upper gastrointestinal symptoms are linked to nutritional parameters: In particular, energy intake represents the most predictive variable of symptom occurrence. The performance status is not affected by upper gastrointestinal symptoms. A rigorous nutritional assessment and the managing of upper gastrointestinal symptoms are crucial in patients with advanced cancer.

Endoscopic Skipping of the Terminal Ileum in Pediatric Crohn Disease.

PubMed

Mansuri, Ishrat; Fletcher, Joel G; Bruining, David H; Kolbe, Amy B; Fidler, Jeff L; Samuel, Sunil; Tung, Jeanne

2017-06-01

Pediatric small-bowel (SB) Crohn disease (CD) may be missed if the terminal ileum (TI) appears normal at endoscopy and SB imaging is not performed. We sought to estimate the prevalence and clinical characteristics of pediatric patients with CD and endoscopic skipping of the TI-that is, pediatric patients with active SB or upper gut inflammation and an endoscopically normal TI. This retrospective study included pediatric patients with CD who underwent both CT enterography (CTE) or MR enterography (MRE) and ileocolonoscopy within a 30-day period between July 2004 and April 2014. The physician global assessment was used as the reference standard for SB CD activity. Radiologists reviewed the CTE and MRE studies for inflammatory parameters; severity, length, and multifocality of SB inflammation; and the presence of penetrating complications. Of 170 patients who underwent ileal intubation, the TI was macroscopically normal or showed nonspecific inflammation in 73 patients (43%). Nearly half (36/73, 49%) of the patients with normal or nonspecific findings at ileocolonoscopy had radiologically active disease with a median length of SB involvement of 20 cm (range, 1 to > 100 cm). Seventeen (47%) of these patients had multifocal SB involvement and five (14%) had penetrating complications. Overall, endoscopic TI skipping was present in 43 (59%) patients with normal or nonspecific ileocolonoscopic findings: 20 with histologic inflammation (17 with positive imaging findings), 14 with inflammation at imaging only, and nine with proximal disease (upper gut, jejunum, or proximal ileum). There were no significant differences in the clinical parameters of the patients with and those without endoscopic TI skipping. Ileocolonoscopy may miss SB CD in pediatric patients that is due to isolated histologic, intramural, or proximal inflammation. Enterography is complementary to ileocolonoscopy in the evaluation of pediatric CD.

[CORRELATION OF LUMBAR FACET JOINT DEGENERATION AND SPINE-PELVIC SAGITTAL BALANCE].

PubMed

Lo, Xin; Zhang, Bin; Liu, Yuan; Dai, Min

2015-08-01

To investigate the relationship between lumbar facet joint degeneration of each segment and spine-pelvic sagittal balance parameters. A retrospective analysis was made the clinical data of 120 patients with lumbar degenerative disease, who accorded with the inclusion criteria between June and November 2014. There were 58 males and 62 females with an average age of 53 years (range, 24-77 years). The disease duration ranged from 3 to 96 months (mean, 6.6 months). Affected segments included L3,4 in 32 cases, L4,5 in 47 cases, and L5, S1 in 52 cases. The CT and X-ray films of the lumbar vertebrae were taken. The facet joint degeneration was graded based on the grading system of Pathria. The spine-pelvic sagittal balance parameters were measured, including lumbar lordosis (LL), upper lumbar lordosis (ULL), lower lumbar lordosis (LLL), pelvic incidence (PI), pelvic tilt (PT), and sacral slope (SS). According to normal range of PI, the patients were divided into 3 groups: group A (PI was less than normal range), group B (PI was within normal range), and group C (PI was more than normal range). The facet joint degeneration was compared; according to the facet joint degeneration degree, the patients were divided into group N (mild degeneration group) and group M (serious degeneration group) to observe the relationship of lumbar facet joint degeneration of each segment and spine-pelvic sagittal balance parameters. At L4,5 and L5, S1, facet joint degeneration showed significant difference among groups A, B, and C (P < 0.05), more serious facet joint degeneration was observed in group C; no significant difference was found in facet joint degeneration at L3,4 (P > 0.05). There was no significant difference in the other spine-pelvic sagittal balance parameters between groups N and M at each segment (P > 0.05) except for PT (P < 0.05). PI of more than normal range may lead to or aggravate lumbar facet joint degeneration at L4,5 and L5, Si; PT and PI are significantly associated with facet joint degeneration at the lower lumbar spine.

Searching the optimal PTH target range in children undergoing peritoneal dialysis: new insights from international cohort studies.

PubMed

Haffner, Dieter; Schaefer, Franz

2013-04-01

The treatment of the mineral and bone disorder associated with chronic kidney disease (CKD-MBD) remains a major challenge in pediatric patients. The principal aims of therapeutic measures are not only to prevent the debilitating skeletal complications and to achieve normal growth but also to preserve long-term cardiovascular health. Serum parathyroid hormone (PTH) levels are used as a surrogate parameter of bone turnover. Whereas it is generally accepted that serum calcium and phosphate levels should be kept within the range for age, current pediatric consensus guidelines differ markedly with respect to the optimal PTH target range and operate on a limited evidence base. Recently, the International Pediatric Dialysis Network (IPPN) established a global registry collecting detailed clinical and biochemical information, including data relevant to CKD-MBD in children on chronic peritoneal dialysis (PD). This review highlights the current evidence basis regarding the optimal PTH target range in pediatric CKD patients, and re-assesses the current guidelines in view of the outcome data collected by the IPPN registry. Based on a comprehensive evaluation of CKD-MBD outcome measures in this global patient cohort, a PTH target range of 1.7-3 times the upper limit of normal (i.e. 100-200 pg/ml) appears reasonable in children undergoing chronic PD.

Evolution of Slow to Intermediate-Spreading Oceanic Crust in the South Atlantic: The Effects of Age, Sediment Thickness, and Spreading Rate on the Heterogeneity of Upper Crustal Velocities

NASA Astrophysics Data System (ADS)

Kardell, D. A.; Christeson, G. L.; Reece, R.; Carlson, R. L.

2017-12-01

The upper section of oceanic crust (layer 2A) commonly exhibits relatively low seismic velocities due to abundant pore and crack space created by the extrusive emplacement of magma and extensional faulting at the spreading ridge. While this is generally true for all spreading rates, previous studies have shown that slow seafloor spreading can yield much higher levels of upper crustal heterogeneity than observed for faster spreading rates. We use a recent multichannel seismic dataset collected with a 12.5 km streamer during the CREST cruise (Crustal Reflectivity Experiment Southern Transect) to build eleven 60-80 km-long tomographic velocity models. These two-dimensional models include both ridge-normal and ridge-parallel orientations and cover oceanic crust produced at slow to intermediate spreading rates. Crustal ages range between 0 and 70 m.y., spreading rates range between slow-spreading and intermediate-spreading, and sedimentary cover thickness ranges from 0 m close to the spreading center to 500 m proximal to the Rio Grande Rise. Our results show a trend of increasing layer 2A velocities with age out to the midpoint of the seismic transect. There is a rapid increase in velocities from 2.8 km/s near the ridge to 4.3 km/s around 10 Ma, and a slower increase to velocities around 5 km/s in 37 m.y. old crust. While this indicates an ongoing evolution in oceanic crust older than expected, the velocities do level off in the older half of the transect, averaging 5 km/s. Crust covered by a thicker sedimentary section can exhibit velocities up to 1 km/s faster than adjacent non-sedimented crust, accounting for much of the local variations. This is possibly due to the effects of a sealed hydrothermal system. We also observe a more heterogeneous velocity structure parallel to the ridge than in the ridge-normal orientation, and more velocity heterogeneity for slow-spreading crust compared to intermediate-spreading crust.

Occupational lead exposure aboard a tall ship.

PubMed

Landrigan, P J; Straub, W E

1985-01-01

To evaluate occupational exposures to lead in shipfitters cutting and riveting lead-painted iron plates aboard an iron-hulled sailing vessel, we conducted an environmental and medical survey. Lead exposures in seven personal (breathing zone) air samples ranged from 108 to 500 micrograms/m3 (mean 257 micrograms/m3); all were above the Occupational Safety and Health Administration (OSHA) standard of 50 micrograms/m3. In two short-term air samples obtained while exhaust ventilation was temporarily disconnected, mean lead exposure rose to 547 micrograms/m3. Blood lead levels in ten shipfitters ranged from 25 to 53 micrograms/dl (mean, 37.8 micrograms/dl); levels in three of these workers exceeded the upper normal limit of 40 micrograms/dl. Blood lead levels in shipfitters were significantly higher than in other shipyard workers (mean 10.0 micrograms/dl; p less than 0.001). Smoking shipfitters (mean, 47 micrograms/dl) had significantly higher lead levels than nonsmokers (mean, 32 micrograms/dl; p = 0.03). Lead levels in shipfitters who wore respirators were not lower than in those who wore no protective gear (p = 0.68). Four shipfitters had erythrocyte protoporphyrin (EP) concentrations above the adult upper normal limit of 50 micrograms/dl. A close correlation was found between blood lead and EP levels (r = 0.70). Prevalence of lead-related symptoms was no higher in shipfitters than in other workers. No cases of symptomatic lead poisoning were noted. These data indicate that serious occupational exposure to lead can occur in a relatively small boatyard.

Muscular Activation During Plyometric Exercises in 90° of Glenohumeral Joint Abduction

PubMed Central

Ellenbecker, Todd S.; Sueyoshi, Tetsuro; Bailie, David S.

2015-01-01

Background: Plyometric exercises are frequently used to increase posterior rotator cuff and periscapular muscle strength and simulate demands and positional stresses in overhead athletes. The purpose of this study was to provide descriptive data on posterior rotator cuff and scapular muscle activation during upper extremity plyometric exercises in 90° of glenohumeral joint abduction. Hypothesis: Levels of muscular activity in the posterior rotator cuff and scapular stabilizers will be high during plyometric shoulder exercises similar to previously reported electromyographic (EMG) levels of shoulder rehabilitation exercises. Study Design: Descriptive laboratory study. Methods: Twenty healthy subjects were tested using surface EMG during the performance of 2 plyometric shoulder exercises: prone external rotation (PERP) and reverse catch external rotation (RCP) using a handheld medicine ball. Electrode application included the upper and lower trapezius (UT and LT, respectively), serratus anterior (SA), infraspinatus (IN), and the middle and posterior deltoid (MD and PD, respectively) muscles. A 10-second interval of repetitive plyometric exercise (PERP) and 3 repetitions of RCP were sampled. Peak and average normalized EMG data were generated. Results: Normalized peak and average IN activity ranged between 73% and 102% and between 28% and 52% during the plyometric exercises, respectively, with peak and average LT activity measured between 79% and 131% and between 31% and 61%. SA activity ranged between 76% and 86% for peak and between 35% and 37% for average activity. Muscular activity levels in the MD and PD ranged between 49% and 72% and between 12% and 33% for peak and average, respectively. Conclusion: Moderate to high levels of muscular activity were measured in the rotator cuff and scapular stabilizers during these plyometric exercises with the glenohumeral joint abducted 90°. PMID:25553216

Muscular activation during plyometric exercises in 90° of glenohumeral joint abduction.

PubMed

Ellenbecker, Todd S; Sueyoshi, Tetsuro; Bailie, David S

2015-01-01

Plyometric exercises are frequently used to increase posterior rotator cuff and periscapular muscle strength and simulate demands and positional stresses in overhead athletes. The purpose of this study was to provide descriptive data on posterior rotator cuff and scapular muscle activation during upper extremity plyometric exercises in 90° of glenohumeral joint abduction. Levels of muscular activity in the posterior rotator cuff and scapular stabilizers will be high during plyometric shoulder exercises similar to previously reported electromyographic (EMG) levels of shoulder rehabilitation exercises. Descriptive laboratory study. Twenty healthy subjects were tested using surface EMG during the performance of 2 plyometric shoulder exercises: prone external rotation (PERP) and reverse catch external rotation (RCP) using a handheld medicine ball. Electrode application included the upper and lower trapezius (UT and LT, respectively), serratus anterior (SA), infraspinatus (IN), and the middle and posterior deltoid (MD and PD, respectively) muscles. A 10-second interval of repetitive plyometric exercise (PERP) and 3 repetitions of RCP were sampled. Peak and average normalized EMG data were generated. Normalized peak and average IN activity ranged between 73% and 102% and between 28% and 52% during the plyometric exercises, respectively, with peak and average LT activity measured between 79% and 131% and between 31% and 61%. SA activity ranged between 76% and 86% for peak and between 35% and 37% for average activity. Muscular activity levels in the MD and PD ranged between 49% and 72% and between 12% and 33% for peak and average, respectively. Moderate to high levels of muscular activity were measured in the rotator cuff and scapular stabilizers during these plyometric exercises with the glenohumeral joint abducted 90°.

A Review of Brachial Plexus Birth Palsy: Injury and Rehabilitation.

PubMed

Raducha, Jeremy E; Cohen, Brian; Blood, Travis; Katarincic, Julia

2017-11-01

Brachial plexus injuries during the birthing process can leave infants with upper extremity deficits corresponding to the location of the lesion within the complex plexus anatomy. Manifestations can range from mild injuries with complete resolution to severe and permanent disability. Overall, patients have a high rate of spontaneous recovery (66-92%).1,2 Initially, all lesions are managed with passive range motion and observation. Prevention and/or correction of contractures with occupational therapy and serial splinting/casting along with encouraging normal development are the main goals of non-operative treatment. Surgical intervention may be war- ranted, depending on functional recovery. [Full article available at http://rimed.org/rimedicaljournal-2017-11.asp].

Diffusion-weighted MR imaging of upper abdominal organs at different time points: Apparent diffusion coefficient normalization using a reference organ.

PubMed

Song, Ji Soo; Kwak, Hyo Sung; Byon, Jung Hee; Jin, Gong Yong

2017-05-01

To compare the apparent diffusion coefficient (ADC) of upper abdominal organs acquired at different time points, and to investigate the usefulness of normalization. We retrospectively evaluated 58 patients who underwent three rounds of magnetic resonance (MR) imaging including diffusion-weighted imaging of the upper abdomen. MR examinations were performed using three different 3.0 Tesla (T) and one 1.5T systems, with variable b value combinations and respiratory motion compensation techniques. The ADC values of the upper abdominal organs from three different time points were analyzed, using the ADC values of the paraspinal muscle (ADC psm ) and spleen (ADC spleen ) for normalization. Intraclass correlation coefficients (ICC) and comparison of dependent ICCs were used for statistical analysis. The ICCs of the original ADC and ADC psm showed fair to substantial agreement, while ADC spleen showed substantial to almost perfect agreement. The ICC of ADC spleen of all anatomical regions showed less variability compared with that of the original ADC (P < 0.005). Normalized ADC using the spleen as a reference organ significantly decreased variability in measurement of the upper abdominal organs in different MR systems at different time points and could be regarded as an imaging biomarker for future multicenter, longitudinal studies. 5 J. MAGN. RESON. IMAGING 2017;45:1494-1501. © 2016 International Society for Magnetic Resonance in Medicine.

An upper limb robot model of children limb for cerebral palsy neurorehabilitation.

PubMed

Pathak, Yagna; Johnson, Michelle

2012-01-01

Robot therapy has emerged in the last few decades as a tool to help patients with neurological injuries relearn motor tasks and improve their quality of life. The main goal of this study was to develop a simple model of the human arm for children affected with cerebral palsy (CP). The Simulink based model presented here shows a comparison for children with and without disabilities (ages 6-15) with normal and reduced range of motion in the upper limb. The model incorporates kinematic and dynamic considerations required for activities of daily living. The simulation was conducted using Matlab/Simulink and will eventually be integrated with a robotic counterpart to develop a physical robot that will provide assistance in activities of daily life (ADLs) to children with CP while also aiming to improve motor recovery.

Pulmonary function and dysfunction in multiple sclerosis.

PubMed

Smeltzer, S C; Utell, M J; Rudick, R A; Herndon, R M

1988-11-01

Pulmonary function was studied in 25 patients with clinically definite multiple sclerosis with a range of motor impairment. Forced vital capacity (FVC), maximal voluntary ventilation (MVV), and maximal expiratory pressure (MEP) were normal in the ambulatory patients (mean greater than or equal to 80% predicted) but reduced in bedridden patients (mean, 38.5%, 31.6%, and 36.3% predicted; FCV, MVV, and MEP, respectively) and wheelchair-bound patients with upper extremity involvement (mean, 69.4%, 50.4%, and 62.6% predicted; FVC, MVV, and MEP, respectively). Forced vital capacity, MVV, and MEP correlated with Kurtzke Expanded Disability Status scores (tau = -0.72, -0.70, and -0.65) and expiratory muscle weakness occurred most frequently. These findings demonstrate that marked expiratory weakness develops in severely paraparetic patients with multiple sclerosis and the weakness increases as the upper extremities become increasingly involved.

75 FR 78985 - County of DuPage; Notice of Preliminary Permit Application Accepted for Filing and Soliciting...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-17

... (upper reservoir) having a total storage capacity of 8,145 acre- feet at a normal maximum operating... reservoir) 250 feet below the bottom of the upper reservoir having a total/usable storage capacity of 7,465 acre-feet at normal maximum operation elevation of 210 feet msl; (5) a powerhouse with approximate...

Upper airway obstruction in Norwich Terriers: 16 cases.

PubMed

Johnson, L R; Mayhew, P D; Steffey, M A; Hunt, G B; Carr, A H; McKiernan, B C

2013-01-01

Norwich Terriers have grown increasingly popular as show animals and pets, and awareness of respiratory problems within the breed is growing. To describe components of obstructive upper airway syndrome in a nonbrachycephalic terrier breed. Sixteen Norwich Terriers; 12 with and 4 without clinical signs of respiratory disease. Prospective case series. Physical and laryngoscopic examinations were performed by 1 investigator in all dogs. Medical and surgical interventions were summarized and results of follow-up examination or owner reports were recorded. The study population was comprised of 9 females (6 intact) and 7 males (5 intact). Median age was 3.0 years (range, 0.5-11 years). Of 12 dogs presented for a respiratory complaint, physical examination was normal in 4 dogs. Laryngoscopic examination was abnormal in 11/12 dogs with redundant supra-arytenoid folds, laryngeal collapse, everted laryngeal saccules, and a narrowed laryngeal opening in most. Of 4 dogs lacking clinical signs, all had normal physical examination; however, 3/4 dogs had similar appearance of the larynx to dogs with clinical signs. Response to surgical intervention was minimal to moderate in all dogs. Norwich Terriers suffer from an upper airway obstructive syndrome that differs from that encountered in brachycephalic breeds. Affected dogs are difficult to identify without laryngoscopic examination because of the lack of clinical signs and abnormalities in physical examination findings, despite severe airway obstruction. Care is warranted when anesthetizing Norwich Terriers because of the small size of the laryngeal opening. Copyright © 2013 by the American College of Veterinary Internal Medicine.

[The French clinician's guide to the Kidney disease: Improving global outcomes (KDIGO) for chronic kidney disease-mineral and bone disorders (CKD-MBD)].

PubMed

Jean, G; Chazot, C

2010-06-01

The new recommendations of "Kidney disease: improving global outcomes" for the definition and classification of chronic kidney disease and mineral and bone disorders were released in August 2009. We report the most important of these recommendations and a brief comment from a clinician's point of view. The main points to be noted with regard to the new recommendations are as follows: serum calcium should be in the normal range; phosphorus concentration should be lowered toward the normal range and serum parathyroid hormone (PTH) levels should be two to nine times the upper limit of the normal range; bone remodelling can be assessed using alkaline phosphatase; the use of calcium-phosphorus (Ca x P) product as an index is not recommended anymore; at any stage of CKD, vitamin D deficiency and insufficiency must be corrected; vascular calcification should be detected in a simple way using lateral abdominal radiography and echocardiography; a bone biopsy should be performed before therapy with bisphosphonates; the prescription of dialysate calcium should be individualized within the range of 1.25-1.5 mmol/l; the phosphate binder (calcium- or non-calcium-based) and the other treatments for secondary hyperparathyroidism should be individualized based on a global strategy. A majority of these recommendations are not based on evidence and their feasibility and relevance need to be assessed. Copyright 2010 Association Société de néphrologie. Published by Elsevier SAS. All rights reserved.

[The clinic skill in fixed appliance based on characteristics of Chinese normal occlusion].

PubMed

Bai, Ding; Luo, Song-jiao; Chen, Yang-xi; Xiao, Li-wei

2005-02-01

To study the bracket placement and arch wire bending based on ethnic differences and individual differences of normal occlusion. The prominence, tip, torque, upper first molar offset of crown and arch form between Chinese and Caucasian normal occlusion were compared. The results showed the ethnic differences of prominence, tip, torque, upper first molar offset of crown and arch form between Chinese and Caucasian normal occlusion. The placement of bracket was influenced by the crown morphology. The adjustments of the bracket placement and arch wire bending with Edgewise and pre-adjusted appliance are necessary to adapt to ethnic difference and individual difference.

THE RESPONSE OF X-IRRADIATED LIMBS OF ADULT URODELES TO NORMAL TISSUE GRAFTS. I. EFFECTS OF AUTOGRAFTS OF SIXTY-DAY FOREARM REGENERATES

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

Stinson, B.D.

1963-06-01

Results are reported of autoplastic transplantation of parts of nonirradiated, regenerated forelimb to the contralateral x-irradiated forelimb in adult Triturus viridescens. The right forelimbs were exposed to various doses of localized irradiation (1000 to 5000 r) followed by amputation of both left and right forelimbs through the mid forearm. Left limbs regenerated normally, but irradiated right limbs failed to exhibit any significant degree of regenerative activity over a 3-month period. Both forelimbs were reamputated through the distal humerus and observed for an additional two months. Left limbs produced normal regenerates, but irradiated right limbs gave no gross evidence of regenerationmore » at any of the radiation dose levels. Normal left regenerates were reamputated immediately distal to the elbow on the 60th day after the second amputation; the severed forearm was trimmed with scissors along anterior and posterior borders and denuded of skin over its proximal half, leaving an essentially complete forearm region as a normal autograft. This was implanted into the irradiated right upper arm stump, after ablation of the distal half of its humerus, with normal proximodistal polarity in all cases. The irradiated stump was reamputated through the distal portion of the implanted normal autograft two weeks after implantation, and was observed for four months. Periodic gross observations showed that over 90% of irradiated upper arms formed regenerates at a rate which paralleled that of nonirradiated controls. However, regenerates formed on irradiated upper arms exhibited a restriction of morphogenetic capacity, only 60% attaining 3- and 4-digit stages. Most of the morphologically more complex regenerates which developed on the irradiated upper arm stumps manifested left limb asymmetry despite their formation on right irradiated stumps, suggesting a relation between the asymmetry of the normal graft and that of the resulting regenerate. All regenerates which developed on irradiated upper arms showed marked deficiencies in the restoration of a complete proximodistal structural pattern appropriate to the level of amputation through the irradiated stump. However, the actual pattern produced was appropriate to the level of amputation through the implanted normal autograft. These findings support the hypothesis that normal grafts promote the formation of regenerates on irradiated limbs through the autonomous developmental activity of the transected graft. (BBB)« less

Torque Control During Intrusion on Upper Central Incisor in Labial and Lingual bracket System - A 3D Finite Element Study.

PubMed

Pol, Tejas R; Vandekar, Meghna; Patil, Anuradha; Desai, Sanjana; Shetty, Vikram; Hazarika, Saptarshi

2018-01-01

The aim of present study was to investigate the difference of torque control during intrusive force on upper central incisors with normal, under and high torque in lingual and labial orthodontic systems through 3D finite element analysis. Six 3D models of an upper right central incisor with different torque were designed in Solid Works 2006. Software ANSYS Version 16.0 was used to evaluate intrusive force on upper central incisor model . An intrusive force of 0.15 N was applied to the bracket slot in different torque models and the displacements along a path of nodes in the upper central incisor was assessed. On application of Intrusive force on under torqued upper central incisor in Labial system produce labial crown movement but in Lingual system caused lingual movement in the apical and incisal parts. The same intrusive force in normal-torqued central incisor led to a palatal movement in apical and labial displacement of incisal edge in Lingual system and a palatal displacement in apical area and a labial movement in the incisal edge in Labial systemin. In overtorqued upper central incisor, the labial crown displacement in Labial system is more than Lingual system. In labial and lingual system on application of the same forces in upper central incisor with different inclinations showed different responses. The magnitudes of torque Loss during intrusive loads in incisors with normal, under and over-torque were higher in Labial system than Lingual orthodontic appliances. Key words: FEM, lingual orthodontics, intrusion, torque control, labial bracket systems.

Probability of Future Observations Exceeding One-Sided, Normal, Upper Tolerance Limits

DOE PAGES

Edwards, Timothy S.

2014-10-29

Normal tolerance limits are frequently used in dynamic environments specifications of aerospace systems as a method to account for aleatory variability in the environments. Upper tolerance limits, when used in this way, are computed from records of the environment and used to enforce conservatism in the specification by describing upper extreme values the environment may take in the future. Components and systems are designed to withstand these extreme loads to ensure they do not fail under normal use conditions. The degree of conservatism in the upper tolerance limits is controlled by specifying the coverage and confidence level (usually written inmore » “coverage/confidence” form). Moreover, in high-consequence systems it is common to specify tolerance limits at 95% or 99% coverage and confidence at the 50% or 90% level. Despite the ubiquity of upper tolerance limits in the aerospace community, analysts and decision-makers frequently misinterpret their meaning. The misinterpretation extends into the standards that govern much of the acceptance and qualification of commercial and government aerospace systems. As a result, the risk of a future observation of the environment exceeding the upper tolerance limit is sometimes significantly underestimated by decision makers. This note explains the meaning of upper tolerance limits and a related measure, the upper prediction limit. So, the objective of this work is to clarify the probability of exceeding these limits in flight so that decision-makers can better understand the risk associated with exceeding design and test levels during flight and balance the cost of design and development with that of mission failure.« less

Insulin production rate in normal man as an estimate for calibration of continuous intravenous insulin infusion in insulin-dependent diabetic patients.

PubMed

Waldhäusl, W K; Bratusch-Marrain, P R; Francesconi, M; Nowotny, P; Kiss, A

1982-01-01

This study examines the feasibility of deriving the 24-h insulin requirement of insulin-dependent diabetic patients who were devoid of any endogenous insulin release (IDD) from the insulin-production rate (IPR) of healthy man (basal, 17 mU/min; stimulated 1.35 U/12.5 g glucose). To this end, continuous intravenous insulin infusion (CIVII) was initiated at a precalculated rate of 41.2 +/- 4.6 (SD) U/24 h in IDD (N - 12). Blood glucose profiles were compared with those obtained during intermittent subcutaneous (s.c.) insulin therapy (IIT) and those of healthy controls (N = 7). Regular insulin (Hoechst CS) was infused with an adapted Mill Hill Infuser at a basal infusion rate of 1.6 U/h (6:00 a.m. to 8:00 p.m.), and of 0.8 U/h from 8:00 p.m. to 6:00 a.m. Preprandial insulin (3.2-6.4 U) was added for breakfast, lunch, and dinner. Daily individual food intake totaled 7688 +/- 784 kJ (1836 +/- 187 kcal)/24 h including 184 +/- 37 g of glucose. Proper control of blood glucose (BG) (mean BG 105 +/- 10 mg/dl; mean amplitude of glycemic excursions 54 +/- 18 mg/dl; and 1 h postprandial BG levels not exceeding 160 mg/dl) and of plasma concentrations of beta-hydroxybutyrate and lactate was maintained by 41.4 +/- 4.4 U insulin/24 h. Although BG values only approximated the upper normal range as seen in healthy controls, they were well within the range reported by others during CIVII. Therefore, we conclude that in adult IDD completely devoid of endogenous insulin (1) the IPR of normal man can be used during CIVII as an estimate for the patient's minimal insulin requirement per 24 h, and (2) this approach allows for a blood glucose profile close to the upper range of a normal control group. Thus, deriving a patient's daily insulin dose from the insulin production rate of healthy man may add an additional experimental protocol which aids in making general calculations of a necessary insulin dose instead of using trial and error or a closed-loop insulin infusion system.

Cyanide poisoning of a Cooper’s hawk (Accipiter cooperii)

USGS Publications Warehouse

Franson, J. Christian

2017-01-01

A Cooper’s hawk (Accipiter cooperii) was found dead in a ditch leading from a heap leach pad at a gold mine in Nevada. Observations at autopsy included an absence of external lesions, traces of subcutaneous and coronary fat, no food in the upper gastrointestinal tract, and no lesions in the viscera. Cyanide concentrations (µg/g ww) were 5.04 in blood, 3.88 in liver, and 1.79 in brain. No bacteria or viruses were isolated from tissues, and brain cholinesterase activity was within the normal range for a Cooper’s hawk.

Mitotane treatment in patients with adrenocortical cancer causes central hypothyroidism.

PubMed

Russo, Marco; Scollo, Claudia; Pellegriti, Gabriella; Cotta, Oana Ruxandra; Squatrito, Sebastiano; Frasca, Francesco; Cannavò, Salvatore; Gullo, Damiano

2016-04-01

Mitotane, a steroidogenesis inhibitor with adrenolytic properties used to treat adrenocortical cancer (ACC), can affect thyroid function. A reduction of FT4 levels with normal FT3 and TSH has been described in these patients. Using an in vitro murine model, the secretory capacity of thyrotrophic cells has been shown to be inhibited by mitotane. To investigate the pathogenesis of thyroid abnormalities in mitotane-treated patients with ACC. In five female patients with ACC (median age 47; range 31-65) treated with mitotane (dosage 1·5 g/day; 1·0-3·0), we analysed the pattern of TSH and thyroid function index (FT4, FT3 and FT3/FT4 ratio) compared to an age- and gender-matched control group. The in vivo secretory activity of the thyrotrophic cells was evaluated using a standard TRH test (200 μg), and the response was compared to both a group of age-matched female controls (n = 10) and central hypothyroid patients (n = 10). Basal TSH (median 1·54 mU/l; range 1·20-2·17) was normal and scattered around our median reference value, FT3 levels (median 3·80 pmol/l; 3·30-4·29) were normal but below the median reference value of 4·37 pmol/l and FT4 levels were below the normal range in all patients (median 8·40 pmol/l; 7·6-9·9). FT3/FT4 ratio was in the upper range in 4 patients and higher than normal in one patient. A blunted TSH response to TRH was observed in mitotane-treated patients. ΔTSH (absolute TSH response, peak TSH minus basal TSH) was 3·65 (range 3·53-5·26), 12·37 (range 7·55-19·97) and 1·32 mU/l (range 0·52-4·66) in mitotane-treated patients, controls and central hypothyroid patients, respectively. PRL secretion was normal. Mitotane-treated patients with ACC showed low FT4, normal FT3 and TSH and impaired TSH response to TRH, characteristic of central hypothyroidism. Furthermore, the elevated FT3/FT4 ratio of these subjects reflects an enhanced T4 to T3 conversion rate, a compensatory mechanism characteristic of thyroid function changes observed in hypothyroid conditions. This finding thus confirms in vitro studies and may have a therapeutic implication for treatment with thyroid hormones, as suggested by current guidelines for this specific condition. © 2015 John Wiley & Sons Ltd.

Chronic inflammatory pure sensory polyradiculoneuropathy: a rare CIDP variant with unusual electrophysiology.

PubMed

Rajabally, Yusuf A; Wong, Siew L

2012-03-01

We describe a patient presenting with progressive upper limb numbness and sensory ataxia of the 4 limbs. Motor nerve conduction studies were completely normal. Sensory electrophysiology showed reduced/absent upper limb sensory action potentials (SAPs). In the lower limbs, SAPs were mostly normal. Sensory conduction velocities were normal. Forearm sensory conduction blocks were present for both median nerves on antidromic testing. The maximal recordable sural SAP was preserved in comparison to maximal recordable radial SAP, consistent with an "abnormal radial normal sural" pattern. Somatosensory evoked potentials were unrecordable for tibial and median nerves. Cerebrospinal fluid protein was raised (0.99 g/L). The patient worsened on oral corticosteroids but subsequently made substantial functional recovery on intravenous immunoglobulins. This case is different to those previously reported of sensory chronic inflammatory demyelinating polyradiculoneuropathy, given its exclusive sensory electrophysiologic presentation, presence of predominant upper limb reduced sensory amplitudes, and detection of sensory conduction blocks. These electrophysiologic features were of paramount importance in establishing diagnosis and effective therapy.

Variability of Late-Night Salivary Cortisol in Cushing Disease: A Prospective Study.

PubMed

Sandouk, Zahrae; Johnston, Philip; Bunch, Dustin; Wang, Sihe; Bena, James; Hamrahian, Amir; Kennedy, Laurence

2018-03-01

The frequency of variable hormonogenesis in patients with Cushing disease (CD) but without cyclical symptoms is unclear. To assess the frequency of variable hormonogenesis in patients presenting with CD. Over a 6-month period, patients with confirmed or suspected CD provided late-night salivary samples for up to 42 consecutive nights. Of 19 patients confirmed to have CD, 16 provided at least 7 consecutive salivary samples, and 13 provided at least 21; these 16 patients are the subjects of this report. Twelve patients had at least three peak and two trough levels of late-night salivary cortisol (LNSC) but in only two patients were strict criteria for cyclical hormonogenesis fulfilled; variation was assessed as random in the others. Eight patients had de novo CD, and eight had recurrent/persistent disease. All patients with recurrent/persistent CD had two or more normal results, and in four of these patients, >50% of LNSC were normal. In six patients with de novo disease with at least one normal LNSC level, the maximum levels ranged from 1.55 to 15.5 times the upper limit of normal. Extreme fluctuations of cortisol production, measured by sequential LNSC, are common in CD. In newly diagnosed disease, this may only occasionally impair diagnostic ability, whereas in most patients with recurrent/persistent disease after pituitary surgery, LNSC is frequently within the reference range, with potential to cause diagnostic problems.

Normal weight adiposity in a Swedish population: how well is cardiovascular risk associated with excess body fat captured by BMI?

PubMed

Berg, Christina; Strandhagen, Elisabeth; Mehlig, Kirsten; Subramoney, Sreevidya; Lissner, Lauren; Björck, Lena

2015-10-01

The aim of this study was to examine how well body mass index (BMI) reflects cardiovascular risk associated with excess adiposity in a Swedish population by examining the association between body fat, BMI and cardiovascular risk factors. A total of 3,010 adults participated. Normal weight adiposity was defined as the combination of BMI < 25 kg/m 2 and percentage body fat ≥35% for women and ≥25% for men. Associations with blood pressure, blood lipids, apolipoproteins and C-reactive protein were analysed in age-adjusted regression models. The majority of the individuals with overweight and obesity were correctly classified to adiposity, while a wide range of body fat was observed among the normal weight subjects. In total, 9% of the participants were categorised as normal weight with adiposity. Compared with the normal weight leanness group, participants with normal weight adiposity had higher levels of serum triglycerides, low-density lipoprotein cholesterol, C-reactive protein, apolipoptotein B and the apolipoprotein B/A-I ratio. In normal weight men, adiposity was also associated with higher blood pressure and lower high-density lipoprotein cholesterol. Higher percentage of body fat was associated with less favourable risk factor profile even in subjects who were normal weight. Thus, it might be relevant to screen for metabolic risk factors in the upper end of the normal weight category.

Quantitative assessment of drawing tests in children with dyslexia and dysgraphia.

PubMed

Galli, Manuela; Cimolin, Veronica; Stella, Giacomo; De Pandis, Maria Francesca; Ancillao, Andrea; Condoluci, Claudia

2018-05-07

Drawing tests in children diagnosed with dyslexia and dysgraphia were quantitatively compared. Fourteen children with dysgraphia, 19 with dyslexia and 13 normally developing were asked to copy 3 figures: a circle, a square and a cross. An optoelectronic system allowed the acquisition of the drawing track in three-dimensions. The participants' head position and upper limb movements were measured as well. A set of parameters including movement duration, velocity, length of the trace, Range of Motion of the upper limb, was computed and compared among the 3 groups. Children with dyslexia traced the circle faster than the other groups. In the cross test, dyslexic participants showed a reduced execution time and increased velocity while drawing the horizontal line. Children with dyslexia were also faster in drawing certain sides of square with respect to the other groups. Copyright © 2018 Elsevier B.V. All rights reserved.

Marine forearc extension in the Hikurangi Margin: New insights from high-resolution 3D seismic data

NASA Astrophysics Data System (ADS)

Böttner, Christoph; Gross, Felix; Geersen, Jacob; Mountjoy, Joshu; Crutchley, Gareth; Krastel, Sebastian

2017-04-01

In subduction zones upper-plate normal faults have long been considered a tectonic feature primarily associated with erosive margins. However, increasing data coverage has proven that similar features also occur in accretionary margins, such as Cascadia, Makran, Nankai or Central Chile, where kinematics are dominated by compression. Considering their wide distribution there is, without doubt, a significant lack of qualitative and quantitative knowledge regarding the role and importance of normal faults and zones of extension for the seismotectonic evolution of accretionary margins. We use a high-resolution 3D P-Cable seismic volume from the Hikurangi Margin acquired in 2014 to analyze the spatial distribution and mechanisms of upper-plate normal faulting. The study area is located at the upper continental slope in the area of the Tuaheni landslide complex. In detail we aim to (1) map the spatial distribution of normal faults and characterize their vertical throws, strike directions, and dip angles; (2) investigate their possible influence on fluid migration in an area, where gas hydrates are present; (3) discuss the mechanisms that may cause extension of the upper-slope in the study area. Beneath the Tuaheni Landslide Complex we mapped about 200 normal faults. All faults have low displacements (<15 m) and dip at high (> 65°) angles. About 71% of the faults dip landward. We found two main strike directions, with the majority of faults striking 350-10°, parallel to the deformation front. A second group of faults strikes 40-60°. The faults crosscut the BSR, which indicates the base of the gas hydrate zone. In combination with seismically imaged bright-spots and pull-up structures, this indicates that the normal faults effectively transport fluids vertically across the base of the gas hydrate zone. Localized uplift, as indicated by the presence of the Tuaheni Ridge, might support normal faulting in the study area. In addition, different subduction rates across the margin may also favor extension between the segments. Future work will help to further untangle the mechanisms that cause extension of the upper continental slope.

Activity of upper limb muscles during human walking.

PubMed

Kuhtz-Buschbeck, Johann P; Jing, Bo

2012-04-01

The EMG activity of upper limb muscles during human gait has rarely been studied previously. It was examined in 20 normal volunteers in four conditions: walking on a treadmill (1) with unrestrained natural arm swing (Normal), (2) while volitionally holding the arms still (Held), (3) with the arms immobilized (Bound), and (4) with the arms swinging in phase with the ipsilateral legs, i.e. opposite-to-normal phasing (Anti-Normal). Normal arm swing involved weak rhythmical lengthening and shortening contractions of arm and shoulder muscles. Phasic muscle activity was needed to keep the unrestricted arms still during walking (Held), indicating a passive component of arm swing. An active component, possibly programmed centrally, existed as well, because some EMG signals persisted when the arms were immobilized during walking (Bound). Anti-Normal gait involved stronger EMG activity than Normal walking and was uneconomical. The present results indicate that normal arm swing has both passive and active components. Copyright © 2011 Elsevier Ltd. All rights reserved.

Documentation of normal stratum corneum scaling in an average population: features of differences among age, ethnicity and body site.

PubMed

Chu, M; Kollias, N

2011-03-01

Scaling skin involves an imbalance between cell proliferation and desquamation, resulting in partially detached corneocytes at the stratum corneum (SC) surface that become visible as they scatter light. The purpose of this study was to document scaling skin with no associated pathology, to estimate the range of normal corneocyte detachment in the average population, and to determine if age, pigmentation and/or body sites of different exposures contribute to differences observed in the SC. Healthy African-American and Caucasian female subjects (n = 151) from a typical central New Jersey population, aged between 14 and 75 years, were evaluated on the dorsal forearm and upper inner arm. Dermatoscopy and adhesive tape were used to evaluate the appearance and adhesion of surface corneocytes. Transepidermal water loss and conductivity were measured to assess water-handling properties of the SC. Measurements were conducted during the winter. Corneocyte detachment observed with dermatoscopy became more prevalent with age and was more severe on the dorsal forearm and in Caucasian subjects. The distribution of the amount of corneocyte removal with adhesive tape increased with age. The range of values was larger in the dorsal forearm than the upper inner arm and was greater in Caucasian subjects than African-American subjects. Minimal changes were observed for water-handling properties. The architecture of the outer SC appears different between ages, body sites of different exposures, and individuals of different pigmentation groups, but minimal differences in water-handling properties are observed. © 2011 The Authors. BJD © 2011 British Association of Dermatologists.

Zn concentration in plasma and gastric fluid in patients with upper gastrointestinal disease

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

Kadakia, S.C.; Wong, R.H.K.; Maydonovitch, C.

1986-03-05

Very few data are available about Zn in gastrointestinal fluids in humans. To obtain data in one such fluid Zn was measured in plasma and gastric fluid, obtained by direct visual aspiration through an endoscope placed into the gastric fundus, in 36 subjects with normal gastrointestinal mucosa (N) and in 36 patients with the following upper gastrointestinal pathology confirmed by endoscopy: 13 with esophagitis (E), 9 with gastritis (G) and 14 with duodenal ulcer disease (DU). Plasma and gastric fluid Zn were estimated by flame atomic absorption spectrophotometry. Mean plasma Zn was significantly lower than normal in patients with Emore » (N, 87 +/- 2 ..mu..g/dl, M +/- SEM; E, 75 +/- 4, p < 0.01) but plasma values were similar to normal in the other patient groups (G, 89 +/- 4; DU, 87 +/- 2). Mean gastric fluid zinc in G was significantly higher than in normal subjects (G, 664 +/- 159 ..mu..g/L; N, 360 +/- 43, p < 0.02) but not significantly different from normal in patients with DU or E (DU, 402 +/- 76; E, 307 +/- 55). Mean gastric fluid Zn in women with DU was approximately 45% higher than in men with DU, although it was 17% lower in normal women than in normal men. Compared to other normal tissues gastric fluid Zn is about 1/3 that in serum and about 3 times that in saliva. These results indicate that Zn in plasma and gastric fluid is altered in some upper gastrointestinal diseases.« less

Emergency extracorporeal shockwave lithotripsy for acute renal colic caused by upper urinary-tract stones.

PubMed

Kravchick, Sergey; Bunkin, Igor; Stepnov, Eugeny; Peled, Ronit; Agulansky, Leonid; Cytron, Shmuel

2005-01-01

To evaluate emergency SWL for the treatment of upper urinary-tract stones causing renal colic. Between January 1999 and June 2003, 53 patients with a mean age of 46.6 years (range 22-65 years) were enrolled. The inclusion criteria were acute renal colic, radiopaque 5-mm to 1.5-cm calculi in the ureteropelvic junction (N=10) or upper ureter (N=43), and no evidence of urinary-tract infection or acute renal failure. The mean stone size was 7.14 mm (range 5-13 mm). Patients were randomly assigned to the control (N=28) and study (N=25) groups using previously prepared cards in envelopes. Patients in the study group underwent emergency SWL, while patients in the control group underwent scheduled SWL within 30 days. Stone status was evaluated 4 weeks after lithotripsy. There was no significant difference between the control and study groups with respect to age, sex, stone location or volume, renal obstruction, or days spent in the hospital for pain control. Available fragments of stones were sent for infrared spectroscopy. Preoperative and postoperative data were compared in the two groups using SPSS 10.0 statistical software. The SWL treatment lasted 50+/-11 minutes. The stone-free rates were 72% and 64% and the efficiency quotients were 53% and 44% in study and control groups, respectively. Patients in the control group spent more time in the hospital (P=0.014) and in recovery at home (P=0.011). Emergency SWL for acute renal colic caused by upper-ureteral stones is a safe procedure and offers effective release from pain and obstruction. It also decreases hospitalization days and hastens return to normal activity.

Biomechanics of normal and pathological gait: implications for understanding human locomotor control.

PubMed

Winter, D A

1989-12-01

The biomechanical (kinetic) analysis of human gait reveals the integrated and detailed motor patterns that are essential in pinpointing the abnormal patterns in pathological gait. In a similar manner, these motor patterns (moments, powers, and EMGs) can be used to identify synergies and to validate theories of CNS control. Based on kinetic and EMG patterns for a wide range of normal subjects and cadences, evidence is presented that both supports and negates the central pattern generator theory of locomotion. Adaptive motor patterns that are evident in peripheral gait pathologies reinforce a strong peripheral rather than a central control. Finally, a three-component subtask theory of human gait is presented and is supported by reference to the motor patterns seen in a normal gait. The identified subtasks are (a) support (against collapse during stance); (b) dynamic balance of the upper body, also during stance; and (c) feedforward control of the foot trajectory to achieve safe ground clearance and a gentle heel contact.

Wenckebach upper rate response in single chamber pacemaker.

PubMed

Barold, S S

2000-07-01

The Medtronic Minix pacemaker during normal function in the VVT mode was found to exhibit a Wenckenbach upper rate response similar to that of dual chamber devices. This behavior occurred only when the upper rate interval was longer than the pacemaker refractory period. In a single chamber device this response may simulate pacemaker malfunction.

Three-dimensional facial analysis of Chinese children with repaired unilateral cleft lip and palate

NASA Astrophysics Data System (ADS)

Othman, Siti Adibah; Aidil Koay, Noor Airin

2016-08-01

We analyzed the facial features of Chinese children with repaired unilateral cleft lip and palate (UCLP) and compared them with a normal control group using a three-dimensional (3D) stereophotogrammetry camera. This cross-sectional study examined 3D measurements of the facial surfaces of 20 Chinese children with repaired UCLP and 40 unaffected Chinese children aged 7 to 12 years old, which were captured using the VECTRA 3D five-pod photosystem and analyzed using Mirror software. Twenty-five variables and two ratios were compared between both groups using independent t-test. Intra- and inter-observer reliability was determined using ten randomly selected images and analyzed using intra-class correlation coefficient test (ICC). The level of significance was set at p < 0.0018. Intra- and inter-observers’ reliability was considered fair to excellent with an ICC value ranging from 0.54 to 0.99. Statistically significant differences (p < 0.0018) were found mainly in the nasolabial region. The cleft group exhibited wider alar base root width, flattened nose and broader nostril floor width on the cleft side. They tended to have shorter upper lip length and thinner upper vermillion thickness. Faces of Chinese children with repaired UCLP displayed meaningful differences when compared to the normal group especially in the nasolabial regions.

Magnetic Resonance Imaging of the anal canal using high resolution sequences and phased array coil: visualization of anal sphincter complex.

PubMed

Laghi, A; Iafrate, F; Paolantonio, P; Iannaccone, R; Baeli, I; Ferrari, R; Catalano, C; Passariello, R

2002-04-01

To assess the normal anatomy of the anal sphincter complex using high-resolution MR imaging with phased -array coil. Twenty patients, 13 males and 7 females, ranging in age between 27 and 56 years underwent MRI evaluation of the pelvic region, using a superconductive 1.5 T magnet (maximum gradient strength, 25 mT/m; minimum rise time 600 microseconds, equipped with phased-array coil. High-resolution T2-weighted Turbo Spin Echo sequences (TR, 4055 ms; TE, 132 ms; matrix 390x512; in-plane resolution, 0.67x0.57 mm) were acquired on multiple axial, sagittal and coronal planes. Images were reviewed by two experienced gastrointestinal radiologists in order to evaluate the normal anal sphincter complex. Optimal image quality of the anal sphincter complex was obtained in all cases. Different muscular layers were observed between the upper and lower aspects of the anal canal. In the lower part of the anal canal, internal and external sphincter muscles could be observed; in the upper part, puborectal and internal sphincter muscles were depicted. Good visualization of intersphincteric space, levator ani muscle and ischioanal space was also obtained in all cases. High-resolution MR images with phased-array coil provide optimal depiction of the anal canal and the anal sphincter complex.

The skeletal consequences of thyrotoxicosis.

PubMed

Nicholls, Jonathan J; Brassill, Mary Jane; Williams, Graham R; Bassett, J H Duncan

2012-06-01

Euthyroid status is essential for normal skeletal development and the maintenance of adult bone structure and strength. Established thyrotoxicosis has long been recognised as a cause of high bone turnover osteoporosis and fracture but more recent studies have suggested that subclinical hyperthyroidism and long-term suppressive doses of thyroxine (T4) may also result in decreased bone mineral density (BMD) and an increased risk of fragility fracture, particularly in postmenopausal women. Furthermore, large population studies of euthyroid individuals have demonstrated that a hypothalamic-pituitary-thyroid axis set point at the upper end of the normal reference range is associated with reduced BMD and increased fracture susceptibility. Despite these findings, the cellular and molecular mechanisms of thyroid hormone action in bone remain controversial and incompletely understood. In this review, we discuss the role of thyroid hormones in bone and the skeletal consequences of hyperthyroidism.

Normal mode Rossby waves observed in the upper stratosphere

NASA Technical Reports Server (NTRS)

Hirooka, T.; Hirota, I.

1985-01-01

In recent years, observational evidence has been obtained for westward traveling planetary waves in the middle atmosphere with the aid of global data from satellites. There is no doubt that the fair portion of the observed traveling waves can be understood as the manifestation of the normal mode Rossby waves which are theoretically derived from the tidal theory. Some observational aspects of the structure and behavior of the normal model Rossby waves in the upper stratosphere are reported. The data used are the global stratospheric geopotential thickness and height analyses which are derived mainly from the Stratospheric Sounding Units (SSUs) on board TIROS-N and NOAA satellites. A clear example of the influence of the normal mode Rossby wave on the mean flow is reported. The mechanism considered is interference between the normal mode Rossby wave and the quasi-stationary wave.

Cenozoic structural inversion from transtension to transpression in Yingxiong Range, western Qaidam Basin: New insights into strike-slip superimposition controlled by Altyn Tagh and Eastern Kunlun Faults

NASA Astrophysics Data System (ADS)

Cheng, Xiang; Zhang, Daowei; Jolivet, Marc; Yu, Xiangjiang; Du, Wei; Liu, Runchao; Guo, Zhaojie

2018-01-01

A Cenozoic structural inversion event from transtension to transpression involving salt tectonics has been uncovered in the Yingxiong Range, the western Qaidam Basin. Seismic reflection data show that there are two common structural styles in the Yingxiong Range: (1) the positive flower structure; (2) the thrust-controlled fold at shallow depth and the positive inverted flower structure at deep levels, which are separated by a salt layer in the upper Xiaganchaigou Formation. The Yingxiong Range experienced a first stage of transtension in the Eocene, induced by the Altyn Tagh Fault, and a second stage of transpression from the early Miocene to present, jointly controlled by the Altyn Tagh and Eastern Kunlun Faults. The Eocene transtension produced numerous NW-striking right-stepping en-échelon transtensional normal faults or fractures in the Yingxiong Range. At the same time, evaporites and mudstone were deposited in the vicinity of these faults. In the early Miocene, the Eocene transtensional normal faults were reactivated in a reverse sense, and the thrust-controlled folds at shallow depth started to form simultaneously. With transpression enhanced in the late Cenozoic, positive flower structures directly formed in places without evaporites. The Cenozoic transtension to transpression inversion of the Yingxiong Range is the result of strike-slip superimposition controlled by the Altyn Tagh and Eastern Kunlun Faults in time and space.

Analysis of exceptionally large tremors in two gold mining districts of South Africa

USGS Publications Warehouse

McGarr, A.; Bicknell, J.; Sembera, E.; Green, R.W.E.

1989-01-01

An investigation of ground motion, recorded using broad-band, wide dynamic-range digital seismographs, of large mine tremors from two South African mining districts with different geologic settings, reveals some essential differences in both seismic source and ground motion parameters. In the Klerksdorp district where the strata are offset by major throughgoing normal faults, the largest tremors, with magnitudes ranging as high as 5.2, tend to be associated with slip on these pre-existing faults. Moreover, the seismic source and ground motion parameters are quite similar to those of natural crustal earthquakes. In the Carletonville district, by contrast, where substantial faults do not exist, the large-magnitude tremors appear to result from the failure of relatively intact rock and cause seismic stress drops and ground motion parameters higher than normally observed for natural shocks. Additionally, there appears to be an upper magnitude limit of about 4 in the Carletonville district. Detailed analyses of an exceptionally large event recorded locally from each of these districts serve to highlight these contrasts. ?? 1989 Birkha??user Verlag.

Serum creatine kinase after exercise: drawing the line between physiological response and exertional rhabdomyolysis.

PubMed

Kenney, Kimbra; Landau, Mark E; Gonzalez, Rodney S; Hundertmark, Julie; O'Brien, Karen; Campbell, William W

2012-03-01

In this investigation we assessed the spectrum of creatine kinase (CK) responses in military recruits undergoing basic training. Musculoskeletal examination data, questionnaire findings, and CK levels were obtained from 499 recruits at days 0, 3, 7, and 14 of training. Correlations of CK with ethnicity, age, body mass index, exercise, muscle pain, and climate were obtained. None of the subjects developed clinical exertional rhabdomyolysis (ER). The mean/median serum CK values were 223/157, 734/478, 1226/567, and 667/486 IU/L at days 0, 3, 7, and 14, respectively, with a wide overall range (34-35,056 IU/L). African-American subjects had higher mean CK levels. CK elevations and muscle pain are common during basic training. Widely accepted laboratory diagnostic values for ER are routinely exceeded in this military recruits, suggesting that CK levels >50 times the upper limit of normal are more specific. The findings support using CK as a marker for ER. Normal laboratory reference ranges for CK should be published by ethnicity. Copyright © 2011 Wiley Periodicals, Inc.

Block coals from Indiana: Inferences on changing depositional environment

USGS Publications Warehouse

Mastalerz, Maria; Padgett, P.L.; Eble, C.F.

2000-01-01

Significant differences in coal petrography, palynology and coal quality were found between the Lower Block and Upper Block Coal Members (Brazil Formation, Pennsylvanian) in Daviess County, Indiana. The Lower Block Coal Member ranges in thickness from 51 to 74 cm and the Upper Block Coal Member ranges from 20 to 65 cm. Average sulfur content and ash yield of the Lower Block coal (0.98%, 7.65%) are lower than in the Upper Block coal. Megascopically, the coals show distinct differences. The Lower Block is a banded coal with numerous thin fusain horizons and a thin clay parting in the lower third of the seam. The Upper Block coal has a dulling-upward trend, with a bright clarain found at the base that grades into a clarain and then into a durain in the upper portion of the seam. Vitrinite content of the Lower Block coal ranges from 63% to 78%, with the highest vitrinite content found in the middle portion of the seam. In the Upper Block coal, vitrinite content ranges from 40% to 83%, with the highest values found in the lower part of the seam. Ash yield is higher in the upper part of the Upper Block coal, reaching up to 40%. The Lower Block coal is dominated by lycopod trees and tree ferns. The Upper Block coal shows marked differences in spore assemblages between lower and upper parts of the seam. The lower half is dominated by large lycopod trees and tree ferns, similar to the Lower Block coal. The upper half is dominated by small lycopods, mainly Densosporites and Radiizonates. These differences between the Lower Block and Upper Block Coal Members are significant correlation tools applicable to mining exploration and chronostratigraphy. (C) 2000 Elsevier Science B.V. All rights reserved.Significant differences in coal petrography, palynology and coal quality were found between the Lower Block and Upper Block Coal Members (Brazil Formation, Pennsylvanian) in Daviess County, Indiana. The Lower Block Coal Member ranges in thickness from 51 to 74 cm and the Upper Block Coal Member ranges from 20 to 65 cm. Average sulfur content and ash yield of the Lower Block coal (0.98%, 7.65%) are lower than in the Upper Block coal. Megascopically, the coals show distinct differences. The Lower Block is a banded coal with numerous thin fusain horizons and a thin clay parting in the lower third of the seam. The Upper Block coal has a dulling-upward trend, with a bright clarain found at the base that grades into a clarain and then into a durain in the upper portion of the seam. Vitrinite content of the Lower Block coal ranges from 63% to 78%, with the highest vitrinite content found in the middle portion of the seam. In the Upper Block coal, vitrinite content ranges from 40% to 83%, with the highest values found in the lower part of the seam. Ash yield is higher in the upper part of the Upper Block coal, reaching up to 40%. The Lower Block coal is dominated by lycopod trees and tree ferns. The Upper Block coal shows marked differences in spore assemblages between lower and upper parts of the seam. The lower half is dominated by large lycopod trees and tree ferns, similar to the Lower Block coal. The upper half is dominated by small lycopods, mainly Densosporites and Radiizonates. These differences between the Lower Block and Upper Block Coal members are significant correlation tools applicable to mining exploration and chronostratigraphy.

[Upper airway morphology in Down Syndrome patients under dexmedetomidine sedation].

PubMed

Subramanyam, Rajeev; Fleck, Robert; McAuliffe, John; Radhakrishnan, Rupa; Jung, Dorothy; Patino, Mario; Mahmoud, Mohamed

2016-01-01

Children with Down Syndrome are vulnerable to significant upper airway obstruction due to relative macroglossia and dynamic airway collapse. The objective of this study was to compare the upper airway dimensions of children with Down Syndrome and obstructive sleep apnea with normal airway under dexmedetomidine sedation. IRB approval was obtained. In this retrospective study, clinically indicated dynamic sagittal midline magnetic resonance images of the upper airway were obtained under low (1mcg/kg/h) and high (3mcg/kg/h) dose dexmedetomidine. Airway anteroposterior diameters and sectional areas were measured as minimum and maximum dimensions by two independent observers at soft palate (nasopharyngeal airway) and at base of the tongue (retroglossal airway). Minimum anteroposterior diameter and minimum sectional area at nasopharynx and retroglossal airway were significantly reduced in Down Syndrome compared to normal airway at both low and high dose dexmedetomidine. However, there were no significant differences between low and high dose dexmedetomidine in both Down Syndrome and normal airway. The mean apnea hypopnea index in Down Syndrome was 16±11. Under dexmedetomidine sedation, children with Down Syndrome and obstructive sleep apnea when compared to normal airway children show significant reductions in airway dimensions most pronounced at the narrowest points in the nasopharyngeal and retroglossal airways. Copyright © 2015 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

Upper airway morphology in Down Syndrome patients under dexmedetomidine sedation.

PubMed

Subramanyam, Rajeev; Fleck, Robert; McAuliffe, John; Radhakrishnan, Rupa; Jung, Dorothy; Patino, Mario; Mahmoud, Mohamed

2016-01-01

Children with Down Syndrome are vulnerable to significant upper airway obstruction due to relative macroglossia and dynamic airway collapse. The objective of this study was to compare the upper airway dimensions of children with Down Syndrome and obstructive sleep apnea with normal airway under dexmedetomidine sedation. IRB approval was obtained. In this retrospective study, clinically indicated dynamic sagittal midline magnetic resonance images of the upper airway were obtained under low (1mcg/kg/h) and high (3mcg/kg/h) dose dexmedetomidine. Airway anteroposterior diameters and sectional areas were measured as minimum and maximum dimensions by two independent observers at soft palate (nasopharyngeal airway) and at base of the tongue (retroglossal airway). Minimum anteroposterior diameter and minimum sectional area at nasopharynx and retroglossal airway were significantly reduced in Down Syndrome compared to normal airway at both low and high dose dexmedetomidine. However, there were no significant differences between low and high dose dexmedetomidine in both Down Syndrome and normal airway. The mean apnea hypopnea index in Down Syndrome was 16±11. Under dexmedetomidine sedation, children with Down Syndrome and obstructive sleep apnea when compared to normal airway children show significant reductions in airway dimensions most pronounced at the narrowest points in the nasopharyngeal and retroglossal airways. Copyright © 2015 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.

Overpressure Prediction From Seismic Data: Implications on Drilling Safety

NASA Astrophysics Data System (ADS)

Osinowo, O. O.; Oladunjoye, M. A.; Olayinka, A. I.

2007-12-01

High rate of sediment influx into the Niger Delta via river Niger coupled with high rate of basin subsidence, very thick clayey members of Agbada and Akata Formations as well as prevailing presence of growth faults had been identified as the main factors responsible for overpressure generation and preservation in the Niger Delta basin. Analysis of porosity dependent parameters such as interval transit times and interval velocities derived from the seismic records of a field in the Western Niger Delta revealed the presence of overpressured formation at depth of 8670 feet, which is the top of the overpressured zone. The plot of interval transit times against depth gave a positive deflection from normal at the region of overpressure while interval velocity plot gave negative deflection; the ratio of this deviation in both cases is as high as 1.52. Pressure gradient in the upper, normally pressured part of the field was determined to be 0.465 psi/ft., which is within the established normal pressure gradient range in Niger Delta, while the abnormal formation pressure gradient in the overpressured region was determined to be 0.96 psi/ft., and this is also within the published abnormal pressure gradient range of 0.71 to 1.1 psi/ft. in Niger Delta. Formation fracture pressure gradients were determined from the formation pressure information to be 0.66psi/ft. in the upper part of the field and 1.2psi/ft. in the overpressured horizon. Mud weight window (MWW); mud density range necessary to prevent formation kick without initiating hydraulic fracturing was determined to be 10.2 to 12.5lbm/gal in the upper part of the field and 22.1 to 22.63lbm/gal in the overpressured horizon. MWW is indispensable for the selection of the mud pump type, capacity, pumping rate and mud densities at different formation pressure regimes. Overpressure prediction is also requisite for drilling program design, casing design as well as rig capacity choice before spudding. It is necessary to reduce well construction risk, save drilling hour as well as cut down drilling cost. If adequate predictions are not taken however, drilling hazards known as blowout may occur. Blowout, an uncontrollable flow of formation fluid into the well has made oil exploration and exploitation activities in Niger Delta, Southern Nigeria, a curse for the people rather than a blessing because considerable numbers of wells blew out during well construction activities, hence the characteristic oil spill which had degraded the environment, making fishing operation, a source of livelihood of the people difficult. Therefore the need for overpressure prediction as a guide for safe drilling, especially in unfamiliar exploration environments.

SU-G-BRC-08: Evaluation of Dose Mass Histogram as a More Representative Dose Description Method Than Dose Volume Histogram in Lung Cancer Patients

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

Liu, J; Eldib, A; Ma, C

2016-06-15

Purpose: Dose-volume-histogram (DVH) is widely used for plan evaluation in radiation treatment. The concept of dose-mass-histogram (DMH) is expected to provide a more representative description as it accounts for heterogeneity in tissue density. This study is intended to assess the difference between DVH and DMH for evaluating treatment planning quality. Methods: 12 lung cancer treatment plans were exported from the treatment planning system. DVHs for the planning target volume (PTV), the normal lung and other structures of interest were calculated. DMHs were calculated in a similar way as DVHs expect that the voxel density converted from the CT number wasmore » used in tallying the dose histogram bins. The equivalent uniform dose (EUD) was calculated based on voxel volume and mass, respectively. The normal tissue complication probability (NTCP) in relation to the EUD was calculated for the normal lung to provide quantitative comparison of DVHs and DMHs for evaluating the radiobiological effect. Results: Large differences were observed between DVHs and DMHs for lungs and PTVs. For PTVs with dense tumor cores, DMHs are higher than DVHs due to larger mass weighing in the high dose conformal core regions. For the normal lungs, DMHs can either be higher or lower than DVHs depending on the target location within the lung. When the target is close to the lower lung, DMHs show higher values than DVHs because the lower lung has higher density than the central portion or the upper lung. DMHs are lower than DVHs for targets in the upper lung. The calculated NTCPs showed a large range of difference between DVHs and DMHs. Conclusion: The heterogeneity of lung can be well considered using DMH for evaluating target coverage and normal lung pneumonitis. Further studies are warranted to quantify the benefits of DMH over DVH for plan quality evaluation.« less

Rapid pupil-based assessment of glaucomatous damage.

PubMed

Chen, Yanjun; Wyatt, Harry J; Swanson, William H; Dul, Mitchell W

2008-06-01

To investigate the ability of a technique employing pupillometry and functionally-shaped stimuli to assess loss of visual function due to glaucomatous optic neuropathy. Pairs of large stimuli, mirror images about the horizontal meridian, were displayed alternately in the upper and lower visual field. Pupil diameter was recorded and analyzed in terms of the "contrast balance" (relative sensitivity to the upper and lower stimuli), and the pupil constriction amplitude to upper and lower stimuli separately. A group of 40 patients with glaucoma was tested twice in a first session, and twice more in a second session, 1 to 3 weeks later. A group of 40 normal subjects was tested with the same protocol. Results for the normal subjects indicated functional symmetry in upper/lower retina, on average. Contrast balance results for the patients with glaucoma differed from normal: half the normal subjects had contrast balance within 0.06 log unit of equality and 80% had contrast balance within 0.1 log unit. Half the patients had contrast balances more than 0.1 log unit from equality. Patient contrast balances were moderately correlated with predictions from perimetric data (r = 0.37, p < 0.00001). Contrast balances correctly classified visual field damage in 28 patients (70%), and response amplitudes correctly classified 24 patients (60%). When contrast balance and response amplitude were combined, receiver operating characteristic area for discriminating glaucoma from normal was 0.83. Pupillary evaluation of retinal asymmetry provides a rapid method for detecting and classifying visual field defects. In this patient population, classification agreed with perimetry in 70% of eyes.

Rapid Pupil-Based Assessment of Glaucomatous Damage

PubMed Central

Chen, Yanjun; Wyatt, Harry J.; Swanson, William H.; Dul, Mitchell W.

2010-01-01

Purpose To investigate the ability of a technique employing pupillometry and functionally-shaped stimuli to assess loss of visual function due to glaucomatous optic neuropathy. Methods Pairs of large stimuli, mirror images about the horizontal meridian, were displayed alternately in the upper and lower visual field. Pupil diameter was recorded and analyzed in terms of the “contrast balance” (relative sensitivity to the upper and lower stimuli), and the pupil constriction amplitude to upper and lower stimuli separately. A group of 40 patients with glaucoma was tested twice in a first session, and twice more in a second session, 1 to 3 weeks later. A group of 40 normal subjects was tested with the same protocol. Results Results for the normal subjects indicated functional symmetry in upper/lower retina, on average. Contrast balance results for the patients with glaucoma differed from normal: half the normal subjects had contrast balance within 0.06 log unit of equality and 80% had contrast balance within 0.1 log unit. Half the patients had contrast balances more than 0.1 log unit from equality. Patient contrast balances were moderately correlated with predictions from perimetric data (r = 0.37, p < 0.00001). Contrast balances correctly classified visual field damage in 28 patients (70%), and response amplitudes correctly classified 24 patients (60%). When contrast balance and response amplitude were combined, receiver operating characteristic area for discriminating glaucoma from normal was 0.83. Conclusions Pupillary evaluation of retinal asymmetry provides a rapid method for detecting and classifying visual field defects. In this patient population, classification agreed with perimetry in 70% of eyes. PMID:18521026

BMI and risk of serious upper body injury following motor vehicle crashes: concordance of real-world and computer-simulated observations.

PubMed

Zhu, Shankuan; Kim, Jong-Eun; Ma, Xiaoguang; Shih, Alan; Laud, Purushottam W; Pintar, Frank; Shen, Wei; Heymsfield, Steven B; Allison, David B

2010-03-30

Men tend to have more upper body mass and fat than women, a physical characteristic that may predispose them to severe motor vehicle crash (MVC) injuries, particularly in certain body regions. This study examined MVC-related regional body injury and its association with the presence of driver obesity using both real-world data and computer crash simulation. Real-world data were from the 2001 to 2005 National Automotive Sampling System Crashworthiness Data System. A total of 10,941 drivers who were aged 18 years or older involved in frontal collision crashes were eligible for the study. Sex-specific logistic regression models were developed to analyze the associations between MVC injury and the presence of driver obesity. In order to confirm the findings from real-world data, computer models of obese subjects were constructed and crash simulations were performed. According to real-world data, obese men had a substantially higher risk of injury, especially serious injury, to the upper body regions including head, face, thorax, and spine than normal weight men (all p<0.05). A U-shaped relation was found between body mass index (BMI) and serious injury in the abdominal region for both men and women (p<0.05 for both BMI and BMI(2)). In the high-BMI range, men were more likely to be seriously injured than were women for all body regions except the extremities and abdominal region (all p<0.05 for interaction between BMI and sex). The findings from the computer simulation were generally consistent with the real-world results in the present study. Obese men endured a much higher risk of injury to upper body regions during MVCs. This higher risk may be attributed to differences in body shape, fat distribution, and center of gravity between obese and normal-weight subjects, and between men and women. Please see later in the article for the Editors' Summary.

BMI and Risk of Serious Upper Body Injury Following Motor Vehicle Crashes: Concordance of Real-World and Computer-Simulated Observations

PubMed Central

Zhu, Shankuan; Kim, Jong-Eun; Ma, Xiaoguang; Shih, Alan; Laud, Purushottam W.; Pintar, Frank; Shen, Wei; Heymsfield, Steven B.; Allison, David B.

2010-01-01

Background Men tend to have more upper body mass and fat than women, a physical characteristic that may predispose them to severe motor vehicle crash (MVC) injuries, particularly in certain body regions. This study examined MVC-related regional body injury and its association with the presence of driver obesity using both real-world data and computer crash simulation. Methods and Findings Real-world data were from the 2001 to 2005 National Automotive Sampling System Crashworthiness Data System. A total of 10,941 drivers who were aged 18 years or older involved in frontal collision crashes were eligible for the study. Sex-specific logistic regression models were developed to analyze the associations between MVC injury and the presence of driver obesity. In order to confirm the findings from real-world data, computer models of obese subjects were constructed and crash simulations were performed. According to real-world data, obese men had a substantially higher risk of injury, especially serious injury, to the upper body regions including head, face, thorax, and spine than normal weight men (all p<0.05). A U-shaped relation was found between body mass index (BMI) and serious injury in the abdominal region for both men and women (p<0.05 for both BMI and BMI2). In the high-BMI range, men were more likely to be seriously injured than were women for all body regions except the extremities and abdominal region (all p<0.05 for interaction between BMI and sex). The findings from the computer simulation were generally consistent with the real-world results in the present study. Conclusions Obese men endured a much higher risk of injury to upper body regions during MVCs. This higher risk may be attributed to differences in body shape, fat distribution, and center of gravity between obese and normal-weight subjects, and between men and women. Please see later in the article for the Editors' Summary PMID:20361024

[Effect of soft tissue thickness of upper lip on lip retraction in orthodontical-treated Class II, Division 1 females].

PubMed

Zou, Lanyi; Chen, Yunjia; Liu, Henglang; Na, Bi; He, Jinlong; Fan, Xiaoping

2016-04-01

To establish the Chinese Han national criteria for the thickness of upper lip in Chongqing and to investigate the effect of lip thickness on lip retraction in orthodontic treatment.
 A total of 240 adult patients (male=120, female=120) of Chinese Han nationality aged 18-35 years in Chongqing were treated with cephalograms and measured the thickness of upper lip. We established the Chinese Han national criteria for the thickness of upper lip in Chongqing according to the results. Sixty-eight female patients with Angle II 1 from Department of Orthodontics Stomatological Hospital of Chongqing Medical University were treated with maxillary premolars extraction, and pre- and post-treated with lateral cephalograms, then divided into 3 groups according to our criteria: a thin lips group, a normal lips group and a thick lips group. The ratio of the incisors retraction and the upper lip retraction were measured and calculated. The correlation between incisors retraction and the upper lip retraction was analyzed by the Pearson correlation method.
 There was statistical significance in the thickness of upper lip between males and females (P<0.01). The ratio of maxillary inscior retraction to the upper lip soft tissue retraction was 1.6:1, 2.2:1 and 2.9:1 in the thin lips group, the normal lips group and the thick lips group, respectively.
 Gender differences exist in the thickness of upper lip. Upper lip retraction with the incisors was negatively correlated with the soft tissue thickness of the upper lip in females with Angle II 1.

Commonly Asked Questions about Children and Heart Disease

MedlinePlus

... heart is a pump with a built-in electrical system. Normally, electricity starts in the upper chamber and spreads to ... function. Heart block occurs when the spread of electricity from the upper chambers (atria) to the lower ...

Azimuthally Anisotropic Global Adjoint Tomography

NASA Astrophysics Data System (ADS)

Bozdag, E.; Orsvuran, R.; Lefebvre, M. P.; Lei, W.; Peter, D. B.; Ruan, Y.; Smith, J. A.; Komatitsch, D.; Tromp, J.

2017-12-01

Earth's upper mantle shows significant evidence of anisotropy as a result of its composition and deformation. After the first-generation global adjoint tomography model, GLAD-M15 (Bozdag et al. 2016), which has transverse isotropy confined to upper mantle, we continue our iterations including surface-wave azimuthal anisotropy with an emphasis on the upper mantle. We are focusing on four elastic parameters that surface waves are known to be most sensitive to, namely, vertically and horizontally polarized shear waves and the density-normalised anisotropic parameters Gc' & Gs'. As part of the current anisotropic inversions, which will lead to our "second-generation" global adjoint tomography model, we have started exploring new misfits based on a double-difference approach (Yuan et al. 2016). We define our misfit function in terms of double-difference multitaper measurements, where each waveform is normalized by its number of pairs in the period ranges 45-100 s & 90-250 s. New measurements result in better balanced gradients while extracting more information underneath clusters of stations, such as USArray. Our initial results reveals multi-scale anisotorpic signals depending on ray (kernel) coverage close to continental-scale resolution in areas with dense coverage, consistent with previous studies.

Selectively Lockable Knee Brace

NASA Technical Reports Server (NTRS)

Myers, W. Neill (Inventor); Shadoan, Michael D. (Inventor); Forbes, John C. (Inventor); Baker, Kevin J. (Inventor); Rice, Darron C. (Inventor)

1996-01-01

A knee brace for aiding in rehabilitation of damaged leg muscles includes upper and lower housings normally pivotable one relative to the other about the knee joint axis of a patient. The upper housing is attachable to the thigh of the patient above the knee joint while the lower housing is secured to a stirrup which extends downwardly along the patient's leg and is attached to the patient's shoe. An actuation rod is carried within the lower housing and is coupled to a cable. The upper and lower housings carry cooperative clutch/brake elements which normally are disengaged to permit relative movement between the upper and lower housings. When the cable is extended the clutch/brake elements engage and lock the housings together. A heel strike mechanism fastened to the stirrup and the heel of the shoe is connected to the cable to selectively extend the cable and lock the brace in substantially any position when the patient places weight on the heel.

Selectively lockable knee brace

NASA Technical Reports Server (NTRS)

Myers, Neill (Inventor); Shadoan, Mike (Inventor); Forbes, John (Inventor); Baker, Kevin (Inventor)

1994-01-01

A knee brace for aiding in rehabilitation of damaged leg muscles includes upper and lower housings, normally pivotable, one relative to the other about the knee joint axis of a patient. The upper housing is attachable to the thigh of the patient above the knee joint, while the lower housing is secured to a stirrup which extends downwardly along the patient's leg and is attached to the patient's shoe. An actuation rod is carried within the lower housing and is coupled to a cable. The upper and lower housings carry cooperative clutch/brake elements which normally are disengaged to permit relative movement between the upper and lower housings. When the cable is extended, the clutch/brake elements engage and lock the housings together. A heel strike mechanism fastened to the stirrup and the heel of the shoe is connected to the cable to selectively extend the cable and lock the brace in substantially any position when the patient places weight on the heel.

Normal weight adiposity in a Swedish population: how well is cardiovascular risk associated with excess body fat captured by BMI?

PubMed Central

Strandhagen, Elisabeth; Mehlig, Kirsten; Subramoney, Sreevidya; Lissner, Lauren; Björck, Lena

2015-01-01

Summary Objective The aim of this study was to examine how well body mass index (BMI) reflects cardiovascular risk associated with excess adiposity in a Swedish population by examining the association between body fat, BMI and cardiovascular risk factors. Methods A total of 3,010 adults participated. Normal weight adiposity was defined as the combination of BMI < 25 kg/m2 and percentage body fat ≥35% for women and ≥25% for men. Associations with blood pressure, blood lipids, apolipoproteins and C‐reactive protein were analysed in age‐adjusted regression models. Results The majority of the individuals with overweight and obesity were correctly classified to adiposity, while a wide range of body fat was observed among the normal weight subjects. In total, 9% of the participants were categorised as normal weight with adiposity. Compared with the normal weight leanness group, participants with normal weight adiposity had higher levels of serum triglycerides, low‐density lipoprotein cholesterol, C‐reactive protein, apolipoptotein B and the apolipoprotein B/A‐I ratio. In normal weight men, adiposity was also associated with higher blood pressure and lower high‐density lipoprotein cholesterol. Conclusions Higher percentage of body fat was associated with less favourable risk factor profile even in subjects who were normal weight. Thus, it might be relevant to screen for metabolic risk factors in the upper end of the normal weight category. PMID:27721982

Measurement of glutathione S-transferase and its class-pi in plasma and tissue biopsies obtained after laparoscopy and endoscopy from subjects with esophagus and gastric cancer.

PubMed

Mohammadzadeh, G S; Nasseri Moghadam, S; Rasaee, M J; Zaree, A B; Mahmoodzadeh, H; Allameh, A

2003-06-01

To develop an indirect enzyme-linked immunosorbent assay (ELISA) for measuring class-pi glutathione S-transferase (GST) in plasma, and tissue biopsies obtained from upper gastrointestinal cancer (UGI Ca) patients. GST activity and GST-pi concentration were detected in normal human squamous esophageal epithelium, normal gastric cardia and their corresponding malignant tumor biopsies. Plasma GST was significantly higher (p < 0.05) in UGI Ca patients as compared to those obtained from normal individuals. Plasma GST-pi concentration in normal subjects was 6.6 +/- 1.9 ng/mg protein, whereas it was higher in UGI Ca patients (esophageal, 10.0 +/- 1.8; gastric, 10.7 +/- 1.7 ng/mL, p

Establishment of reference values in a healthy population and interpretation of serum PTH concentrations in hemodialyzed patients according to the KDIGO Guidelines using the Lumipulse® G whole PTH (3rd generation) assay.

PubMed

Cavalier, Etienne; Salsé, Margot; Dupuy, Anne-Marie; Bargnoux, Anne-Sophie; Watar, Florence; Souberbielle, Jean-Claude; Delanaye, Pierre; Cristol, Jean-Paul

2018-04-01

3rd generation PTH assays only detect the bioactive 1-84 fragment. Since standardization is still lacking, each new PTH assay requires to establish reference values and to assess the impact in the medical care of the mineral and bone disorders in hemodialyzed patients. Using Fujirebio Lumipulse G wPTH assay, serum PTH levels were measured in a population of 439 healthy subjects from France and Belgium PTH levels were also determined in 119 hemodialyzed patients. These patients were classified according to the KDIGO recommendation. Reference range was found to be 6.5 (90%CI: 6.0-7.0) - 41.8 (90% CI: 38.1-43.7). In hemodialysis patients, Passing-Bablock regression between 3rd generation PTH from Fujirebio and DiaSorin was DiaSorin = 1.01 xFujirebio-2.4 with a slope not different from 1.0(95%CI: 0.96-1.04) and a non-significant intercept, ranging from -6.0 to 0.1. Hemodialysis patients with a PTH concentration below 2-fold the Upper Limit of Normality (ULN), within the KDIGO range and upper 9-fold upper limit were respectively 33.6%, 54.6%, 11.8% (Fujirebio Lumipulse) and 36.1%, 51.3% and 12.6% (Diasorin Liaison). We determined a reference range with the 3rd generation PTH assay from Fujirebio. In a hemodialysis population, 3rd generation assays from Fujirebio and DiaSorin provide similar results. To the best of our knowledge, this is the first time that we can show similar PTH results obtained by 2 different 3rd generation PTH assays in healthy subjects and hemodialyzed patients without mathematically processing them. Copyright © 2018 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

Effects of increased G-force on the nutations of sunflower seedlings

NASA Technical Reports Server (NTRS)

Brown, A. H.; Chapman, D. K.; Dahl, A. O.

1975-01-01

A centrifuge was used to provide chronic acceleration in order to study the nutation of six-day old sunflower hypocotyls at 1 to 20 times normal gravity (g). At the upper end of the g-range nutational movement was impeded and at times erratic evidently because the weight of the cotyledons exceeded the supportive abilities of the hypocotyls. Over the range from 1 to 9 g the period of nutation was independent of the resultant g-force. That finding is interpreted as evidence that the geotropic response time -- i.e., the time needed for growth hormone transport from the region of g-sensing to the region of bending response --was not influenced significantly by substantial increments of the g-level, since geotropic response time is related to the period of nutation.

Quantification and visualization of coordination during non-cyclic upper extremity motion.

PubMed

Fineman, Richard A; Stirling, Leia A

2017-10-03

There are many design challenges in creating at-home tele-monitoring systems that enable quantification and visualization of complex biomechanical behavior. One such challenge is robustly quantifying joint coordination in a way that is intuitive and supports clinical decision-making. This work defines a new measure of coordination called the relative coordination metric (RCM) and its accompanying normalization schemes. RCM enables quantification of coordination during non-constrained discrete motions. Here RCM is applied to a grasping task. Fifteen healthy participants performed a reach, grasp, transport, and release task with a cup and a pen. The measured joint angles were then time-normalized and the RCM time-series were calculated between the shoulder-elbow, shoulder-wrist, and elbow-wrist. RCM was normalized using four differing criteria: the selected joint degree of freedom, angular velocity, angular magnitude, and range of motion. Percent time spent in specified RCM ranges was used asa composite metric and was evaluated for each trial. RCM was found to vary based on: (1) chosen normalization scheme, (2) the stage within the task, (3) the object grasped, and (4) the trajectory of the motion. The RCM addresses some of the limitations of current measures of coordination because it is applicable to discrete motions, does not rely on cyclic repetition, and uses velocity-based measures. Future work will explore clinically relevant differences in the RCM as it is expanded to evaluate different tasks and patient populations. Copyright © 2017. Published by Elsevier Ltd.

An elevated serum beta-2-microglobulin level is an adverse prognostic factor for overall survival in patients with early-stage Hodgkin disease.

PubMed

Chronowski, Gregory M; Wilder, Richard B; Tucker, Susan L; Ha, Chul S; Sarris, Andreas H; Hagemeister, Fredrick B; Barista, Ibrahim; Hess, Mark A; Cabanillas, Fernando; Cox, James D

2002-12-15

The relative importance of prognostic factors in patients with early-stage Hodgkin disease remains controversial. The purpose of this study was to evaluate prognostic factors among patients who received chemotherapy before radiotherapy. From 1987 to 1995, 217 consecutive patients ranging in age from 16 to 88 years (median, 28 years) with Ann Arbor Stage I (n = 55) or II (n = 162) Hodgkin disease underwent chemotherapy before radiotherapy at a single center. Most were treated on prospective studies. Patients received a median of three cycles of induction chemotherapy. Mitoxantrone, vincristine, vinblastine, and prednisone (NOVP), doxorubicin, bleomycin, vinblastine, and dacarbazine (ABVD), mechlorethamine, vincristine, procarbazine, and prednisone (MOPP), cyclophosphamide, vinblastine, procarbazine, prednisone, doxorubicin, bleomycin, dacarbazine, and CCNU (CVPP/ABDIC), or other chemotherapeutic regimens were given to 160, 18, 15, 10, and 14 patients, respectively. The median radiotherapy dose was 40 Gy. Serum beta-2-microglobulin (beta-2M) levels ranged from 1.0 to 4.1 mg/L (median, 1.7 mg/L; upper limit of normal, 2.0 mg/L). We studied univariate and multivariate associations between survival and the following clinical features: serum beta-2M level above 1.25 times the upper limit of normal (n = 12), male gender (n = 113), hypoalbuminemia (n = 11), and bulky mediastinal disease (n = 94). Follow-up of surviving patients ranged from 0.9 to 13.4 years (median, 6.6 years) and 92% were observed for 3.0 or more years. Nineteen patients have died. Only elevation of the serum beta-2M level was an independent adverse prognostic factor for overall survival (P = 0.0009). The prognostic significance of a simple, widely available, and inexpensive blood test, beta-2M, has not been studied routinely in patients with Hodgkin disease and should be tested prospectively in large, cooperative group trials. Copyright 2002 American Cancer Society.DOI 10.1002/cncr.10998

Exercise Blood Pressure Guidelines: Time to Re-evaluate What is Normal and Exaggerated?

PubMed

Currie, Katharine D; Floras, John S; La Gerche, Andre; Goodman, Jack M

2018-03-24

Blood pressure responses to graded exercise testing can provide important diagnostic and prognostic information. While published guidelines outline what constitutes a "normal" and "abnormal" (i.e., exaggerated) blood pressure response to exercise testing, the widespread use of exaggerated blood pressure responses as a clinical tool is limited due to sparse and inconsistent data. A review of the original sources from these guidelines reveals an overall lack of empirical evidence to support both the normal blood pressure responses and their upper limits. In this current opinion, we critically evaluate the current exercise blood pressure guidelines including (1) the normal blood pressure responses to graded exercise testing; (2) the upper limits of this normal response; (3) the blood pressure criteria for test termination; and (4) the thresholds for exaggerated blood pressure responses. We provide evidence that exercise blood pressure responses vary according to subject characteristics, and subsequently a re-evaluation of what constitutes normal and abnormal responses is necessary to strengthen the clinical utility of this assessment.

High serum bicarbonate level within the normal range prevents the progression of chronic kidney disease in elderly chronic kidney disease patients

PubMed Central

2013-01-01

Background Metabolic acidosis leads to chronic kidney disease (CKD) progression. The guidelines recommend a lower limit of serum bicarbonate level, but no upper limit. For serum bicarbonate level to be clinically useful as a therapeutic target marker, it is necessary to investigate the target serum bicarbonate level within the normal range to prevent CKD progression. Methods One hundred and thirteen elderly CKD patients, whose serum bicarbonate level was controlled within the normal range, were enrolled in this retrospective cohort study in Ibaraki, Japan. Outcome was defined as a decrease of 25% or more in estimated glomerular filtration rate (eGFR) or starting dialysis. We used Cox proportional hazard models adjusted for patients’ characteristics to examine the association between serum bicarbonate level and the outcome. Results Female patients were 36.3%: average age (SD), 70.4 (6.6) years; eGFR, 25.7 (13.6) ml/min/1.73 m2; serum bicarbonate level, 27.4 (3.2) mEq/l. Patients with the lowest quartile of serum bicarbonate levels [23.4 (1.8) mEq/l] showed a high risk of CKD progression compared with patients with high serum bicarbonate levels [28.8 (2.3) mEq/l]: adjusted hazard ratio (HR), 3.511 (95% CI, 1.342-9.186). A 1 mEq/l increase in serum bicarbonate level was associated with a low risk of CKD progression: adjusted HR, 0.791 [95% confidence interval (CI), 0.684-0.914]. Conclusions In elderly CKD patients, our findings suggest that serum bicarbonate level is independently associated with CKD progression, and that a high serum bicarbonate level is associated with a low risk of CKD progression. A high target serum bicarbonate level within the normal range may be effective for preventing CKD progression. PMID:23298330

Credibility of the measurement of serum ferritin and transferrin receptor as indicators of iron deficiency anemia in hemodialysis patients.

PubMed

Mahdavi, M R; Makhlough, A; Kosaryan, M; Roshan, P

2011-10-01

Anemia is a common complication in uremic patients. Erythropoietin therapy is prescribed in these cases; however, this treatment is not successful in iron deficient patients. Ferritin-based diagnosis of iron deficiency in these patients is a challenging task, as serum ferritin level may be high due to chronic inflammation and mask iron deficiency. In the current study we evaluated the credibility of another indicator of body iron supply, serum transferrin receptor, in hemodialysis patients in two University-based Hospitals in North of Iran. In a cross-sectional study, 53 hemodialysis patients with a mean age of 56 +/- 18.7 years and 30 persons with iron deficiency and normal renal function with a mean age of 20.1 +/- 14.4 years were examined. All hemodialysis patients were on hemodialysis 2-3 times per week for 3-4 hours. All cases were examined for blood hemoglobin content, serum iron, CRP, serum ferritin and serum transferrin receptor levels. The reference ranges introduced by manufacturers were considered as standard ranges for analysis of the results. Using one sample T-test and Fisher's exact test, data were analyzed. p<0.05 was considered as significant. Hemodialysis patients had blood hemoglobin content below normal range (p<0.05 for men, p<0.001 for women) and CRP levels above normal range (p<0.001). In hemodialysis patients, serum ferritin level was significantly higher than control group (p<0.001), whilst serum transferrin receptor levels in the two groups were not significantly different (p=0.69), and both were above defined normal upper limit (p<0.001 for iron deficient patients; p<0.05 for hemodialysis patients). This study showed measurement of serum ferritin in the presence of chronic inflammation induced by renal failure cannot be a credible indicator of body iron supply, while under this certain condition serum transferrin receptor can more appropriately reflect the amount of body iron supply.

Evaluation of MEGAN predicted biogenic isoprene emissions at urban locations in Southeast Texas

NASA Astrophysics Data System (ADS)

Kota, Sri Harsha; Schade, Gunnar; Estes, Mark; Boyer, Doug; Ying, Qi

2015-06-01

Summertime isoprene emissions in the Houston area predicted by the Model of Emissions of Gases and Aerosol from Nature (MEGAN) version 2.1 during the 2006 TexAQS study were evaluated using a source-oriented Community Multiscale Air Quality (CMAQ) Model. Predicted daytime isoprene concentrations at nine surface sites operated by the Texas Commission of Environmental Quality (TCEQ) were significantly higher than local observations when biogenic emissions dominate the total isoprene concentrations, with mean normalized bias (MNB) ranges from 2.0 to 7.7 and mean normalized error (MNE) ranges from 2.2 to 7.7. Predicted upper air isoprene and its first generation oxidation products of methacrolein (MACR) and methyl vinyl ketone (MVK) were also significantly higher (MNB = 8.6, MNE = 9.1) than observations made onboard of NOAA's WP-3 airplane, which flew over the urban area. Over-prediction of isoprene and its oxidation products both at the surface and the upper air strongly suggests that biogenic isoprene emissions in the Houston area are significantly overestimated. Reducing the emission rates by approximately 3/4 was necessary to reduce the error between predictions and observations. Comparison of gridded leaf area index (LAI), plant functional type (PFT) and gridded isoprene emission factor (EF) used in MEGAN modeling with estimates of the same factors from a field survey north of downtown Houston showed that the isoprene over-prediction is likely caused by the combined effects of a large overestimation of the gridded EF in urban Houston and an underestimation of urban LAI. Nevertheless, predicted ozone concentrations in this region were not significantly affected by the isoprene over-predictions, while predicted isoprene SOA and total SOA concentrations can be higher by as much as 50% and 13% using the higher isoprene emission rates, respectively.

Kinematic Patterns Associated with the Vertical Force Produced during the Eggbeater Kick.

PubMed

Oliveira, Nuno; Chiu, Chuang-Yuan; Sanders, Ross H

2015-01-01

The purpose of this study was to determine the kinematic patterns that maximized the vertical force produced during the water polo eggbeater kick. Twelve water polo players were tested executing the eggbeater kick with the trunk aligned vertically and with the upper limbs above water while trying to maintain as high a position as possible out of the water for nine eggbeater kick cycles. Lower limb joint angular kinematics, pitch angles and speed of the feet were calculated. The vertical force produced during the eggbeater kick cycle was calculated using inverse dynamics for the independent lower body segments and combined upper body segments, and a participant-specific second-degree regression equation for the weight and buoyancy contributions. Vertical force normalized to body weight was associated with hip flexion (average, r = 0.691; maximum, r = 0.791; range of motion, r = 0.710), hip abduction (maximum, r = 0.654), knee flexion (average, r = 0.716; minimum, r = 0.653) and knee flexion-extension angular velocity (r = 0.758). Effective orientation of the hips resulted in fast horizontal motion of the feet with positive pitch angles. Vertical motion of the feet was negatively associated with vertical force. A multiple regression model comprising the non-collinear variables of maximum hip abduction, hip flexion range of motion and knee flexion angular velocity accounted for 81% of the variance in normalized vertical force. For high performance in the water polo, eggbeater kick players should execute fast horizontal motion with the feet by having large abduction and flexion of the hips, and fast extension and flexion of the knees.

Pheochromocytoma Screening Initiation and Frequency in von Hippel-Lindau Syndrome

PubMed Central

Aufforth, Rachel D.; Ramakant, Pooja; Sadowski, Samira M.; Mehta, Amit; Trebska-McGowan, Katarzyna; Nilubol, Naris; Pacak, Karel

2015-01-01

Context: Patients with von Hippel-Lindau (VHL) syndrome have a 25–30% chance of developing pheochromocytoma. Although practice guidelines recommend biochemical and radiological screening every 1–2 years for pheochromocytoma in patients with VHL, there are limited data on the optimal age and frequency for screening. Objective: Our objective was to determine the earliest age of onset and frequency of contralateral and recurrent pheochromocytomas in patients with VHL syndrome. Methods: This is a retrospective analysis of a prospective cohort of patients with VHL enrolled in a natural history study. Results: A total of 273 patients diagnosed with VHL were enrolled in a natural history clinical study. Thirty-one percent (84) were diagnosed with pheochromocytoma. The mean age of diagnosis was 28.8 ± 13.9 years. The earliest age at diagnosis was 5.5 years. Median follow-up for the cohort was 116.6 months (range, 0.1–613.2). Ninety-nine percent (83) of patients underwent adrenalectomy. Fifty-eight and 32% of patients had metanephrines and/or catecholamines elevated more than two times and more than four times the upper limit of normal, respectively. Twenty-five percent (21) of pheochromocytomas were diagnosed in pediatric patients younger than 19 years of age, and 86% and 57% of pediatric patients had an elevation more than two times and more than four times upper limit of normal, respectively. Eight patients had a total of nine recurrences. The median age at recurrence was 33.5 years (range, 8.8–51.9). Recurrences occurred as short as 0.5 years and as long as 39.7 years after the initial operation. Conclusions: Our findings among VHL pediatric patients supports the need for biochemical screening starting at age 5 with annual lifelong screening. PMID:26451910

Upper and Middle Crustal Velocity Structure of the Colombian Andes From Ambient Noise Tomography: Investigating Subduction-Related Magmatism in the Overriding Plate

NASA Astrophysics Data System (ADS)

Poveda, Esteban; Julià, Jordi; Schimmel, Martin; Perez-Garcia, Nelson

2018-02-01

New maps of S velocity variation for the upper and middle crust making up the northwestern most corner of South America have been developed from cross correlation of ambient seismic noise at 52 broadband stations in the region. Over 1,300 empirical Green's functions, reconstructing the Rayleigh wave portion of the seismic wavefield, were obtained after time and frequency-domain normalization of the ambient noise recordings and stacking of 48 months of normalized data. Interstation phase and group velocity curves were then measured in the 6-38 s period range and tomographically inverted to produce maps of phase and group velocity variation in a 0.5° × 0.5° grid. Velocity-depth profiles were developed for each node after simultaneously inverting phase and group velocity curves and combined to produce 3-D maps of S velocity variation for the region. The S velocity models reveal a 7 km thick sedimentary cover in the Caribbean region, the Magdalena Valley, and the Cordillera Oriental, as well as crustal thicknesses in the Pacific and Caribbean region under 35 km, consistent with previous studies. They also display zones of slow velocity at 25-35 km depth under regions of both active and inactive volcanism, suggesting the presence of melts that carry the signature of segmented subduction into the overriding plate. A low-velocity zone in the same depth range is imaged under the Lower Magdalena Basin in the Caribbean region, which may represent either sublithospheric melts ponding at midcrustal levels after breaching through a fractured Caribbean flat slab or fluid migration through major faults within the Caribbean crust.

Shear-wave elastography of the testis in the healthy man - determination of standard values.

PubMed

Trottmann, M; Marcon, J; D'Anastasi, M; Bruce, M F; Stief, C G; Reiser, M F; Buchner, A; Clevert, D A

2016-01-01

Real-time shear-wave elastography (SWE) is a newly developed technique for the sonographic quantification of tissue elasticity, which already is used in the assessment of breast and thyroid lesions. Due to limited overlying tissue, the testes are ideally suited for assessment using shear wave elastography. To our knowledge, no published data exist on real-time SWE of the testes. Sixty six male volunteers (mean age 51.86±18.82, range 20-86) with no known testicular pathology underwent normal B-mode sonography and multi-frame shear-wave elastography of both testes using the Aixplorer ® ultrasound system (SuperSonic Imagine, Aix en Provence, France). Three measurements were performed for each testis; one in the upper pole, in the middle portion and in the lower pole respectively. The results were statistically evaluated using multivariate analysis. Mean shear-wave velocity values were similar in the inferior and superior part of the testicle (1.15 m/s) and were significantly lower in the centre (0.90 m/s). These values were age-independent. Testicular stiffness was significantly lower in the upper pole than in the rest of the testis with increasing volume (p = 0.007). Real-time shear-wave elastography proved to be feasible in the assessment of testicular stiffness. It is important to consider the measurement region as standard values differ between the centre and the testicular periphery. Further studies with more subjects may be required to define the normal range of values for each age group. Useful clinical applications could include the diagnostic work-up of patients with scrotal masses or male infertility.

Evidence for Radial Anisotropy in Earth's Upper Inner Core from Normal Modes

NASA Astrophysics Data System (ADS)

Lythgoe, K.; Deuss, A. F.

2017-12-01

The structure of the uppermost inner core is related to solidification of outer core material at the inner core boundary. Previous seismic studies using body waves indicate an isotropic upper inner core, although radial anisotropy has not been considered since it cannot be uniquely determined by body waves. Normal modes, however, do constrain radial anisotropy in the inner core. Centre frequency measurements indicate 2-5 % radial anisotropy in the upper 100 km of the inner core, with a fast direction radially outwards and a slow direction along the inner core boundary. This seismic structure provides constraints on solidification processes at the inner core boundary and appears consistent with texture predicted due to anisotropic inner core growth.

Suggested nomenclature change and new reference locality for Dequeen Formation, Pike County, Arkansas

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

Ham, T.L.; Landry, R.J.

1983-09-01

The DeQueen Formation of the Trinity Group, Comanchean Cretaceous, crops out in southwestern Arkansas and southeastern Oklahoma. The outcrop, located in the Highland gypsum quarry of Pike County, southwestern Arkansas, is described in detail in this paper and presented as a reference locality. Data from the locality provide the basis for a nomenclature change from the DeQueen Limestone Member to the DeQueen Formation. The formation consists of 64.23% clastic sediments, 24.72% gypsum, and 11.05% limestone. Hopper salt casts, ripple marks, scattered pyrite and marcasite nodules, celestite, and chickenwire gypsum can also be found. The DeQueen Formation is underlain by claysmore » and the Ultima Thule Gravel lentil, while the top is unconformably overlain by Upper Cretaceous Tokio gravels. The general paleoenvironment represents a normally low-energy subtidal environment ranging from brackish to normal to hypersaline waters in a lagoonal setting that shallows upward.« less

Upper Neogene stratigraphy and tectonics of Death Valley - A review

USGS Publications Warehouse

Knott, J.R.; Sarna-Wojcicki, A. M.; Machette, M.N.; Klinger, R.E.

2005-01-01

New tephrochronologic, soil-stratigraphic and radiometric-dating studies over the last 10 years have generated a robust numerical stratigraphy for Upper Neogene sedimentary deposits throughout Death Valley. Critical to this improved stratigraphy are correlated or radiometrically-dated tephra beds and tuffs that range in age from > 3.58 Ma to < 1.1 ka. These tephra beds and tuffs establish relations among the Upper Pliocene to Middle Pleistocene sedimentary deposits at Furnace Creek basin, Nova basin, Ubehebe-Lake Rogers basin, Copper Canyon, Artists Drive, Kit Fox Hills, and Confidence Hills. New geologic formations have been described in the Confidence Hills and at Mormon Point. This new geochronology also establishes maximum and minimum ages for Quaternary alluvial fans and Lake Manly deposits. Facies associated with the tephra beds show that ???3.3 Ma the Furnace Creek basin was a northwest-southeast-trending lake flanked by alluvial fans. This paleolake extended from the Furnace Creek to Ubehebe. Based on the new stratigraphy, the Death Valley fault system can be divided into four main fault zones: the dextral, Quaternary-age Northern Death Valley fault zone; the dextral, pre-Quaternary Furnace Creek fault zone; the oblique-normal Black Mountains fault zone; and the dextral Southern Death Valley fault zone. Post -3.3 Ma geometric, structural, and kinematic changes in the Black Mountains and Towne Pass fault zones led to the break up of Furnace Creek basin and uplift of the Copper Canyon and Nova basins. Internal kinematics of northern Death Valley are interpreted as either rotation of blocks or normal slip along the northeast-southwest-trending Towne Pass and Tin Mountain fault zones within the Eastern California shear zone. ?? 2005 Elsevier B.V. All rights reserved.

Relative Intake of Macronutrients Impacts Risk of Mild Cognitive Impairment or dementia

PubMed Central

Roberts, Rosebud O.; Roberts, Lewis A.; Geda, Yonas E.; Cha, Ruth H.; Pankratz, V. Shane; O’Connor, Helen M.; Knopman, David S.; Petersen, Ronald C.

2012-01-01

High caloric intake has been associated with an increased risk of cognitive impairment. Total caloric intake is determined by the calories derived from macronutrients. The objective of the study was to investigate the association between percent of daily energy (calories) from macronutrients and incident mild cognitive impairment (MCI) or dementia. Participants were a population-based prospective cohort of elderly persons who were followed over a median 3.7 years (interquartile range, 2.5–3.9) of follow-up. At baseline and every 15 months, participants (median age, 79.5 years) were evaluated using the Clinical Dementia Rating scale, a neurological evaluation, and neuropsychological testing for a diagnosis of MCI, normal cognition, or dementia. Participants also completed a 128-item food-frequency questionnaire at baseline; total daily caloric and macronutrient intakes were calculated using an established database. The percent of total daily energy from protein (% protein), carbohydrate (% carbohydrate), and total fat (% fat) was computed. Among 937 subjects who were cognitively normal at baseline, 200 developed incident MCI or dementia. The risk of MCI or dementia (hazard ratio [HR], [95% confidence interval]) was elevated in subjects with high % carbohydrate (upper quartile: 1.89 [1.17–3.06]; P for trend=0.004), but was reduced in subjects with high % fat (upper quartile: 0.56 [0.34–0.91]; P for trend=0.03), and high % protein (upper quartile 0.79 [0.52 – 1.20]; P for trend=0.03) in the fully adjusted models. A dietary pattern with relatively high caloric intake from carbohydrates and low caloric intake from fat and proteins may increase the risk of MCI or dementia in elderly persons. PMID:22810099

Erythropoiesis and erythropoietin in hypo- and hyperthyroidism.

PubMed

Das, K C; Mukherjee, M; Sarkar, T K; Dash, R J; Rastogi, G K

1975-02-01

Qualitative and quantitative studies of erythropoiesis in 23 patients with hypothyroidism and 21 patients with hyperthryoidism included routine hematologic evaluation, bone marrow morphology, status of serum iron, B12 and folate red blood cell mass and plasma volume by radioisotope methods, erythrokinetics and radiobioassay of plasma erythropoietin. A majority of patients with the hypothyroid state had significant reduction in red blood cell mas per kg of body weight. The presence of anemia in many of these patients was not evident from hemoglobin and hematocrit values due to concomitant reduction of plasma volume. The erythrokinetic data in hypothyroid patients provided evidence of significant decline of the erythropoietic activity of the bone marrow. Erythroid cells in the marrow were depleted and also showed reduced proliferative activity as indicated by lower 3H-thymidine labeling index. Plasma erythropoietin levels were reduced, often being immeasurable by the polycythemic mouse bioassay technique. These changes in erythropoiesis in the hypothyroid state appear to be a part of physiological adjustment to the reduced oxygen requirement of the tissues due to diminished basal metabolic rate. Similar investigations revealed mild erythrocytosis in a significant proportion of patients with hyperthyroidism. Failure of erythrocytosis to occur in other patients of this group was associated with impaired erythropoiesis due to a deficiency of hemopoietic nutrients such as iron, vitamin B12 and folate. The mean plasma erythropoietin level of these patients was significantly elevated; in 4 patients the levels were in the upper normal range whereas in the rest, the values were above the normal range. The bone marrow showed erythyroid hyperplasia in all patients with hyperthyroidism. The mean 3H-thymidine labeling index of the erythroblasts was also significantly higher than normal in hyperthyroidism; in 8 patients the index was within the normal range whereas in the remaining 13 it was above the normal range. Erythrokinetic studies also provided evidences of increased erythropoietic activity in the bone marrow. It is postulated that thyroid hormones stimulate erythropoiesis, sometimes leading to erythrocytosis provided there is no deficiency of hemopoietic nutrients. Stimulation of erythropoiesis by thryoid hormones appears to be mediated through erythropoietin.

Ground-Water Conditions and Studies in Georgia, 2006-2007

USGS Publications Warehouse

Peck, Michael F.; Painter, Jaime A.; Leeth, David C.

2009-01-01

The U.S. Geological Survey collects ground-water data and conducts studies to monitor hydrologic conditions, better define ground-water resources, and address problems related to water supply, water use, and water quality. Water levels were monitored continuously, in Georgia, in a network of 184 wells during 2006 and 182 wells during 2007. Because of missing data or the short period of record (less than 3 years) for several of these wells, a total of 166 wells from the network are discussed in this report. These wells include 18 in the surficial aquifer system, 21 in the Brunswick aquifer system and equivalent sediments, 67 in the Upper Floridan aquifer, 15 in the Lower Floridan aquifer and underlying units, 10 in the Claiborne aquifer, 1 in the Gordon aquifer, 11 in the Clayton aquifer, 12 in the Cretaceous aquifer system, 2 in Paleozoic-rock aquifers, and 9 in crystalline-rock aquifers. Data from the network indicate that water levels generally declined from 2005 levels, with water levels in 99 wells below normal, 52 wells in the normal range, 12 wells above normal, and 3 wells with insufficient data for comparison of 5-year trends and period of record statistics. In addition to continuous water-level data, periodic synoptic water-level measurements were collected and used to construct potentiometric-surface maps for the Upper Floridan aquifer in Camden, Charlton, and Ware Counties, Georgia, and adjacent counties in Florida during September 2006 and 2007, in the Brunswick area during July 2006 and August 2007, and in the City of Albany-Dougherty County area during October 2006 and October 2007. In general, the configuration of the potentiometric surfaces showed little change during 2006-2007 in each of the areas. Ground-water quality in the Upper Floridan aquifer is monitored in the Albany, Savannah, and Brunswick areas and in Camden County; and water quality in the Lower Floridan aquifer is monitored in the Savannah and Brunswick areas and in Camden County. In the Albany area, nitrate concentrations generally have increased since the end of the drought during 2002. During 2006, water from two wells had nitrate as N concentrations above the U.S. Environmental Protection Agency's (USEPA) 10-milligram-per-liter (mg/L) drinking-water standard. During 2007, only one well had concentrations above the drinking-water standard. In the Savannah area, measurement of fluid conductivity and chloride concentration in water samples from discrete depths in three wells completed in the Upper Floridan aquifer and one well in the Lower Floridan aquifer were used to assess changes in water quality in the Savannah area. At Tybee Island, chloride concentrations in samples from the Lower Floridan aquifer decreased during 2006-2007 but were still above the 250-mg/L USEPA drinking-water standard. At Skidaway Island, water in the Upper Floridan aquifer is fresh, and chloride concentrations did not appreciably change during 2006-2007. However, chloride concentrations in samples collected from the Lower Floridan aquifer during 2006-2007 showed disparate changes; whereby, chloride concentration increased in the shallowest sampled interval (900 feet) and decreased slightly in a deeper sampled interval (1,070 feet). At Fort Pulaski, water samples collected from the Upper Floridan aquifer were fresh and did not appreciably changeduring 2006-2007. In the Brunswick area, maps showing the chloride concentration of water in the Upper Floridan aquifer were constructed by using data collected from 29 wells during July 2006 and from 26 wells during August 2007. Analyses indicate that concentrations remained above the USEPA drinking-water standard in an approximate 2-square-mile area. During 2006-2007, chloride concentrations increased in only three of the wells sampled and ranged from 4.0 to 20 mg/L chloride. In the Camden County area, chloride concentration during 2006-2007 was analyzed in water samples collected from eight wells, six completed i

Effects of Lightning in the Upper Atmosphere

NASA Astrophysics Data System (ADS)

Sentman, Davis D.; Pasko, Victor P.; Morrill, Jeff S.

2010-02-01

AGU Chapman Conference on Effects of Thunderstorms and Lightning in the Upper Atmosphere; University Park, Pennsylvania, 10-14 May 2009; The serendipitous observation in 1989 of electrical discharge in the high atmosphere induced by thundercloud lightning launched a new field of geophysical investigation. From this single unexpected observation sprang a vigorous and fertile new research field that simultaneously encompasses geophysical disciplines that are normally pursued independently, such as meteorology and lightning, plasma and gas discharge physics, atmospheric chemistry, ionospheric physics, and energetic particle physics. Transient electrical discharge in the upper atmosphere spans the full range of altitudes between the tropopause and the ionosphere and takes a variety of forms that carry the whimsical names red sprites, blue jets, gigantic jets, elves (emissions of light and very low frequency perturbations from electromagnetic pulse sources), and sprite halos, collectively known as transient luminous events (TLEs). To date, TLEs have been observed from ground and airborne or spaceborne platforms above thunderstorm systems worldwide, and radio observations made concomitantly with optical observations have shown that they are produced by the transient far fields of thundercloud lightning. TLEs appear to be large-scale (tens of kilometers in dimension), upper atmospheric versions of conventional gas discharge akin to weakly ionized, collision-dominated systems found in laboratory discharge devices (millimeter-centimeter dimensions), with characteristic energies of a few electron volts. The dominant physical processes have been identified as described by the familiar kinetic theory of the photochemistry of the upper atmosphere, but with electric field-driven electron impact ionization playing the role of photolysis or energetic precipitating particle-induced ionization.

Social inclusion and career development--transition from upper secondary school to work or post-secondary education among hard of hearing students.

PubMed

Danermark, B; Antonson, S; Lundström, I

2001-01-01

The aim of this study was to investigate the decision process and to analyse the mechanisms involved in the transition from upper secondary education to post-secondary education or the labour market. Sixteen students with sensorioneural hearing loss were selected. Among these eight of the students continued to university and eight did not. Twenty-five per cent of the students were women and the average age was 28 years. The investigation was conducted about 5 years after graduation from the upper secondary school. Both quantitative and qualitative methods were used. The results showed that none of the students came from a family where any or both of the parents had a university or comparable education. The differences in choice between the two groups cannot be explained in terms of social inheritance. Our study indicates that given normal intellectual capacity the level of the hearing loss seems to have no predictive value regarding future educational performance and academic career. The conclusion is that it is of great importance that a hearing impaired pupil with normal intellectual capacity is encouraged and guided to choose an upper secondary educational programme which is orientated towards post-secondary education (instead of a narrow vocational programme). Additional to their hearing impairment and related educational problems, hard of hearing students have much more difficulty than normal hearing peers in coping with changes in intentions and goals regarding their educational career during their upper secondary education.

78 FR 66914 - Notice of Preliminary Permit Application Accepted for Filing and Soliciting Comments, Motions To...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-07

... upper reservoir having a total/usable storage capacity of 5,399 acre-feet at normal maximum operation... penstocks connecting the upper reservoir to the Pacific Ocean; (4) a 500-foot-long, 250-foot-diameter...

Pressure Distribution Tests on PW-9 Wing Models from -18 Degree Through 90 Degree Angle of Attack

NASA Technical Reports Server (NTRS)

Loeser, Oscar E , Jr

1929-01-01

At the request of the Army Air Corps, an investigation of the pressure distribution over PW-9 wing models was conducted in the atmospheric wind tunnel of the National Advisory Committee for Aeronautics. The primary purpose of these tests was to obtain wind-tunnel data on the load distribution on the cellule to be correlated with similar information obtained in flight tests, both to be used for design purposes. Because of the importance of the conditions beyond the stall as affecting the control and stability, this investigation was extended through 90 degree angle of attack. The results for the range of normal flight have been given in NACA Technical Report No. 271. The present paper presents the same results in a different form and includes, in addition, those over the greater range of angle of attack, -18 degrees through 90 degrees. The results show that: (1) at angles of attack above maximum lift, the biplane upper wing pressures are decreased by the shielding action of the lower wing. (2) the burble of the biplane lower wing, with respect to the angle of attack, is delayed, due to the shielding action of the lower wing. (3) the center of pressure of the biplane upper wing (semispan) is, in general, displaced forward and outward with reference to that of the wing as a monoplane, while for the lower wing there is but slight difference for both conditions. (4) the overhanging portion of the upper wing is little affected by the presence of the lower wing.

Crustal modeling of the central part of the Northern Western Desert, Egypt using gravity data

NASA Astrophysics Data System (ADS)

Alrefaee, H. A.

2017-05-01

The Bouguer anomaly map of the central part of the Northern Western Desert, Egypt was used to construct six 2D gravity models to investigate the nature, physical properties and structures of the crust and upper mantle. The crustal models were constrained and constructed by integrating results from different geophysical techniques and available geological information. The depth to the basement surface, from eight wells existed across the study area, and the depth to the Conrad and Moho interfaces as well as physical properties of sediments, basement, crust and upper mantle from previous petrophysical and crustal studies were used to establish the gravity models. Euler deconvolution technique was carried on the Bouguer anomaly map to detect the subsurface fault trends. Edge detection techniques were calculated to outlines the boundaries of subsurface structural features. Basement structural map was interpreted to reveal the subsurface structural setting of the area. The crustal models reveals increasing of gravity field from the south to the north due to northward thinning of the crust. The models reveals also deformed and rugged basement surface with northward depth increasing from 1.6 km to 6 km. In contrast to the basement, the Conrad and Moho interfaces are nearly flat and get shallower northward where the depth to the Conrad or the thickness of the upper crust ranges from 18 km to 21 km while the depth to the Moho (crustal thickness) ranges from 31.5 km to 34 km. The crust beneath the study area is normal continental crust with obvious thinning toward the continental margin at the Mediterranean coast.

Spinal fusion limits upper body range of motion during gait without inducing compensatory mechanisms in adolescent idiopathic scoliosis patients.

PubMed

Holewijn, R M; Kingma, I; de Kleuver, M; Schimmel, J J P; Keijsers, N L W

2017-09-01

Previous studies show a limited alteration of gait at normal walking speed after spinal fusion surgery for adolescent idiopathic scoliosis (AIS), despite the presumed essential role of spinal mobility during gait. This study analyses how spinal fusion affects gait at more challenging walking speeds. More specifically, we investigated whether thoracic-pelvic rotations are reduced to a larger extent at higher gait speeds and whether compensatory mechanisms above and below the stiffened spine are present. 18 AIS patients underwent gait analysis at increasing walking speeds (0.45 to 2.22m/s) before and after spinal fusion. The range of motion (ROM) of the upper (thorax, thoracic-pelvic and pelvis) and lower body (hip, knee and ankle) was determined in all three planes. Spatiotemporal parameters of interest were stride length and cadence. Spinal fusion diminished transverse plane thoracic-pelvic ROM and this difference was more explicit at higher walking speeds. Transversal pelvis ROM was also decreased but this effect was not affected by speed. Lower body ROM, step length and cadence remained unaffected. Despite the reduction of upper body ROM after spine surgery during high speed gait, no altered spatiotemporal parameters or increased compensatory ROM above or below the fusion (i.e. in the shoulder girdle or lower extremities) was identified. Thus, it remains unclear how patients can cope so well with such major surgery. Future studies should focus on analyzing the kinematics of individual spinal levels above and below the fusion during gait to investigate possible compensatory mechanisms within the spine. Copyright © 2017 Elsevier B.V. All rights reserved.

Frequency of EEG arousals from nocturnal sleep in normal subjects.

PubMed

Mathur, R; Douglas, N J

1995-06-01

Brief arousals are clinically important and increasingly scored during polysomnography. However, the frequency of arousals during routine polysomnography in the normal population is unknown. We performed overnight polysomnography in the 55 of 59 control subjects from a family practice list who were approached and agreed to undergo polysomnography. Awakenings were scored according to the criteria of Rechtschaffen and Kales and briefer arousals according to three different criteria, including the American Sleep Disorders Association (ASDA) definition. There was a mean of 4 [95% confidence interval (CI), 1-15) Rechtschaffen and Kales awakenings per hour, whereas the ASDA definition gave 21 (95% CI, 7-56) per hour slept. Arousal frequencies increased significantly (p < 0.001) with age in our subjects, who ranged from the late teens to early 70s. The high upper limit of the frequency of brief arousals was not altered by exclusion of patients who snored or had witnessed apneas or daytime sleepiness. It is important that those scoring arousals on routine polysomnography recognize that high arousal frequencies occur in the normal population on 1-night polysomnography.

The crustal structure of the Cocos ridge off Costa Rica

NASA Astrophysics Data System (ADS)

Walther, Christian H. E.

2003-03-01

The submarine Cocos ridge in the northwestern Panamá basin, a bathymetric feature more than 1000-km long and 250-500 km broad, is about 2 km shallower than the adjacent basin. It is generally interpreted as the trace of the Galápagos hot spot. Two 127- and 260-km long seismic wide-angle sections were recorded along and across this ridge, offshore the Osa peninsula, Costa Rica. Crustal thickening is seen everywhere along the sections. On the northwestern outer ridge flank, increased thickness is exclusively attributed to the upper crust and expressed by 2-km thick flow basalts. The Quepos plateau caps the upper crust in this area. Toward the center of the Cocos ridge, the Moho deepens from 11-12 to 21 km depth and crustal thickening is almost entirely attributed to the lower crust which makes up 80% of the crust and is three times the thickness of normal oceanic lower crust. It is homogeneously structured and the velocities which range from 6.5 km/s at the top to 7.35 km/s at the base are comparable to normal lower crust under these depth conditions and suggest no differences to a gabbroic rock composition. Similarities to the crustal velocity structure of Iceland, central Kerguelen plateau, and Broken ridge are consistent with a formation of this 13-15 Ma old Cocos ridge segment by excessive magmatism in a near-plate boundary setting.

The Influence of Tip Shape on the Wing Load Distribution as Determined by Flight Tests

NASA Technical Reports Server (NTRS)

Rhode, Richard V

1935-01-01

Pressure measurements were made in flight on the right upper wing of an M-3 airplane. The effects of tip plan form, washout, and transverse camber were investigated with eight tip forms in unyawed conditions through the range of positive lift coefficients from zero lift to the stall. The conclusion is that the tip plan form does not influence the span distribution of the coefficients of normal force and moment. It is shown inferentially that temperature, humidity, and the aging of the wood and fabric wing structure used on the M-3 airplane have an appreciable influence on the load distribution.

Temporal Variability of Upper-level Winds at the Eastern Range, Western Range and Wallops Flight Facility

NASA Technical Reports Server (NTRS)

Decker, Ryan K.; Barbre, Robert E., Jr.

2014-01-01

Space launch vehicles incorporate upper-level wind profiles to determine wind effects on the vehicle and for a commit to launch decision. These assessments incorporate wind profiles measured hours prior to launch and may not represent the actual wind the vehicle will fly through. Uncertainty in the upper-level winds over the time period between the assessment and launch can be mitigated by a statistical analysis of wind change over time periods of interest using historical data from the launch range. Five sets of temporal wind pairs at various times (.75, 1.5, 2, 3 and 4-hrs) at the Eastern Range, Western Range and Wallops Flight Facility were developed for use in upper-level wind assessments. Database development procedures as well as statistical analysis of temporal wind variability at each launch range will be presented.

Fasting hypochlorhydria with gram positive gastric flora is highly prevalent in healthy old people.

PubMed Central

Husebye, E; Skar, V; Høverstad, T; Melby, K

1992-01-01

Fifteen healthy old people mean age 84 years (range 80-91 years), were examined to assess the effect of advanced age on the microecology of the upper gastrointestinal tract. Twelve of 15 (80%) were hypochlorhydric with pH 6.6 (0.3) (mean (SEM) and a mean bacterial count of 10(8) colony forming units (CFU) per ml (range 10(5)-10(10)) in fasting gastric aspirate. Normochlorhydric subjects had low counts (< or = 10(1) CFU/ml). The microbial flora was dominated by viridans streptococci, coagulase negative staphylococci, and Haemophilus sp. Only one subject harboured significant concentrations of Gram negative bacilli with Escherichia coli (10(4-5) CFU/ml) and Klebsiella (10(4-5)). Strict anaerobes were not found. The total concentration of short chain fatty acids in gastric aspirate was 10.6 (2.9) mmol/l (mean (SEM). Absence of significant, intraluminal fermentation of xylose to CO2 was shown by the 14C-d Xylose breath test, and ambulatory manometry showed preserved fasting motility pattern of the small intestine. Serum immunoglobulins were normal. Advanced age is accompanied by fasting hypochlorhydria and colonisation with mainly Gram positive flora in the upper gut. Other factors than old age and fasting hypochlorhydria are required for colonisation with Gram negative bacilli. PMID:1446855

Evaluation of the 3D Finite Element Method Using a Tantalum Rod for Osteonecrosis of the Femoral Head

PubMed Central

Shi, Jingsheng; Chen, Jie; Wu, Jianguo; Chen, Feiyan; Huang, Gangyong; Wang, Zhan; Zhao, Guanglei; Wei, Yibing; Wang, Siqun

2014-01-01

Background The aim of this study was to contrast the collapse values of the postoperative weight-bearing areas of different tantalum rod implant positions, fibula implantation, and core decompression model and to investigate the advantages and disadvantages of tantalum rod implantation in different ranges of osteonecrosis in comparison with other methods. Material/Methods The 3D finite element method was used to establish the 3D finite element model of normal upper femur, 3D finite element model after tantalum rod implantation into different positions of the upper femur in different osteonecrosis ranges, and other 3D finite element models for simulating fibula implant and core decompression. Results The collapse values in the weight-bearing area of the femoral head of the tantalum rod implant model inside the osteonecrosis area, implant model in the middle of the osteonecrosis area, fibula implant model, and shortening implant model exhibited no statistically significant differences (p>0.05) when the osteonecrosis range was small (60°). The stress values on the artificial bone surface for the tantalum rod implant model inside the osteonecrosis area and the shortening implant model exhibited statistical significance (p<0.01). Conclusions Tantalum rod implantation into the osteonecrosis area can reduce the collapse values in the weight-bearing area when osteonecrosis of the femoral head (ONFH) was in a certain range, thereby obtaining better clinical effects. When ONFH was in a large range (120°), the tantalum rod implantation inside the osteonecrosis area, shortening implant or fibula implant can reduce the collapse values of the femoral head, as assessed by other methods. PMID:25479830

A multistratigraphic approach to pinpoint the Permian-Triassic boundary in continental deposits: The Zechstein-Lower Buntsandstein transition in Germany

NASA Astrophysics Data System (ADS)

Scholze, Frank; Wang, Xu; Kirscher, Uwe; Kraft, Johannes; Schneider, Jörg W.; Götz, Annette E.; Joachimski, Michael M.; Bachtadse, Valerian

2017-05-01

The Central European Basin is very suitable for high-resolution multistratigraphy of Late Permian to Early Triassic continental deposits. Here the well exposed continuous transition of the lithostratigraphic Zechstein and Buntsandstein Groups of Central Germany was studied for isotope-chemostratigraphy (δ13Corg, δ13Ccarb, δ18Ocarb), major and trace element geochemistry, magnetostratigraphy, palynology, and conchostracan biostratigraphy. The analysed material was obtained from both classical key sections (abandoned Nelben clay pit, Caaschwitz quarries, Thale railway cut, abandoned Heinebach clay pit) and a recent drill core section (Caaschwitz 6/2012) spanning the Permian-Triassic boundary. The Zechstein-Buntsandstein transition of Central Germany consists of a complex sedimentary facies comprising sabkha, playa lake, aeolian, and fluvial deposits of predominantly red-coloured siliciclastics and intercalations of lacustrine oolitic limestones. The new data on δ13Corg range from - 28.7 to - 21.7 ‰ showing multiple excursions. Most prominent negative shifts correlate with intercalations of oolites and grey-coloured clayey siltstones, while higher δ13Corg values correspond to an onset of palaeosol overprint. The δ13Ccarb values range from - 9.7 to - 1.3 ‰ with largest variations recorded in dolomitic nodules from the Zechstein Group. In contrast to sedimentary facies shifts across the Zechstein-Buntsandstein boundary, major element values used as a proxy (CIA, CIA*, CIA-K) for weathering conditions indicate climatic stability. Trace element data used for a geochemical characterization of the Late Permian to Early Triassic transition in Central Germany indicate a decrease in Rb contents at the Zechstein-Buntsandstein boundary. New palynological data obtained from the Caaschwitz quarry section reveal occurrences of Late Permian palynomorphs in the Lower Fulda Formation, while Early Triassic elements were recorded in the upper part of the Upper Fulda Formation. The present study confirms an onset of a normal-polarized magnetozone in the Upper Fulda Formation of the Caaschwitz quarry section supporting an interregional correlation of this crucial stratigraphic interval with the normal magnetic polarity of the basal Early Triassic known from marine sections in other regions. Based on a synthesis of the multistratigraphic data, the Permian-Triassic boundary is proposed to be placed in the lower part of the Upper Fulda Formation, which is biostratigraphically confirmed by the first occurrence date of the Early Triassic Euestheria gutta-Palaeolimnadiopsis vilujensis conchostracan fauna. Rare records of conchostracans reported from the siliciclastic deposits of the lower to middle Zechstein Group may point to its potential for further biostratigraphic subdivision of the Late Permian continental deposits.

[Dropped head syndrome as first manifestation of primary hyperparathyroid myopathy].

PubMed

Ota, Kiyobumi; Koseki, Sayo; Ikegami, Kenji; Onishi, Iichiroh; Tomimitsu, Hiyoryuki; Shintani, Shuzo

2018-03-28

75 years old woman presented with 6-month history of progressive dropped head syndrome. Neurological examination revealed moderate weakness of flexor and extensor of neck and mild weakness of proximal appendicular muscles with normal deep tendon reflexes. The needle electromyography showed short duration and low amplitude motor unit potential. No fibrillation potentials or positive sharp waves were seen. Biopsy of deltoid muscle was normal. Laboratory studies showed elevated levels of serum calcium (11.8 mg/dl, upper limit of normal 10.1) and intact parathyroid hormone (104 pg/ml, upper limit of normal 65), and decreased level of serum phosphorus (2.3 mg/dl, lower limit of normal 2.7). Ultrasonography and enhanced computed tomography revealed a parathyroid tumor. The tumor was removed surgically. Pathological examination proved tumor to be parathyroid adenoma. Dropped head and weakness of muscles were dramatically improved within a week after the operation. Although hyperparathyroidism is a rare cause of dropped head syndrome, neurologists must recognize hyperparathyroidism as a treatable cause of dropped head syndrome.

Computed tomography of partial anomalous pulmonary venous connection in adults.

PubMed

Haramati, Linda B; Moche, Ilana E; Rivera, Vivian T; Patel, Pavni V; Heyneman, Laura; McAdams, H Page; Issenberg, Henry J; White, Charles S

2003-01-01

To systematically describe the imaging features and clinical correlates of a partial anomalous pulmonary venous connection diagnosed on computed tomography (CT) in adults. Twenty-nine adults with a partial anomalous pulmonary venous connection on CT were retrospectively identified. There were 19 women and 10 men, with a mean age of 53 (range: 19-83) years. Four cases were identified by review of 1825 consecutive chest CT reports from July 2000-July 2001, and 25 cases were culled from chest radiology teaching files at 3 institutions. Inclusion criteria were availability of CT images and medical charts. Chest radiographs (25 of 29 cases) were reviewed for mediastinal contour abnormalities, heart size, and pulmonary vascular pattern. Chest CT scans were reviewed for location, size, and drainage site of the anomalous vein; presence or absence of a pulmonary vein in the normal location; cardiac size and configuration; and pulmonary vasculature. Charts were reviewed for evidence of pulmonary and cardiovascular disease, history of congenital heart disease, and results of other cardiac imaging. The prevalence of a partial anomalous pulmonary venous connection was 0.2% (4 of 1825 chest CT reports). Seventy-nine percent (23 of 29 patients) had an anomalous left upper lobe vein connecting to a persistent left vertical vein, only 5% (1 of 23 patients) of whom had a left upper lobe vein in the normal location. Seventeen percent (5 of 29 patients) had an anomalous right upper lobe vein draining into the superior vena cava, 60% (3 of 5 patients) of whom also had a right upper lobe pulmonary vein in the normal location. One patient (3%) had an anomalous right lower lobe vein draining into the suprahepatic inferior vena cava. Chest radiographic findings were abnormal left mediastinal contour in 64% (15 of 25 patients), abnormal right mediastinal contour in 8% (2 of 25 patients), and cardiomegaly in 24% (6 of 25 patients). Computed tomography findings were cardiomegaly in 48% (14 of 29 patients), right atrial enlargement in 31% (9 of 29 patients), right ventricular enlargement in 31% (9 of 29 patients), and pulmonary artery enlargement in 14% (4 of 29 patients). Pulmonary or cardiovascular symptoms were present in 69% (20 of 29 patients), 55% (11 of 20 patients) of whom had specific alternative diagnoses (excluding congestive heart failure and pulmonary hypertension) to explain the symptoms. Only 1 patient (3%) was diagnosed with a secundum atrial septal defect. A partial anomalous pulmonary venous connection was seen in 0.2% of adults on CT. In contrast to previous series focusing on children, the anomalous vein in adults was most commonly from the left upper lobe, in women, and infrequently associated with atrial septal defects.

Paleomagnetism of Cretaceous Oceanic Red Beds (CORBs) from Gyangze, northern Tethys Himalaya: Evidence for Intra-oceanic Subduction System and Southern Paleolatitute Limit for the Lhasa Block

NASA Astrophysics Data System (ADS)

Tan, Xiaodong

2016-04-01

In the northern Tethys Himalaya, sporadically distributed Cretaceous oceanic red beds (CORBs, the Chuangde Formation) have been described. The sequence was interpreted to be firstly deposited in the outer continental shelf and upper slope, and later slumped into deep basin. Based on this model, and paleomagnetic data of shallow water deposits from the southern Tethys Himalaya, the CORBs were derived from the northern tip of the passive margin of the greater India. If so, the CORBs would provide more accurate record of the northern extent of the greater India, which is an important parameter for estimating the initial time of India-Asia continental collision and the amount of crustal shortening. The well studied and most accessible section is located in the Chuangde village, about 40km east from the Gyangze city. The formation is about 25m thick, ranging from 84 to 75Ma in age according to fossil records of planktonic foraminiferal species. The lower and upper parts are 2 and 5 meter thick marlstones, respectively, and the middle section is dominated by shale with a few layers of centimeter scale marlstones. Fifty cores were collected from the marlstones of the section, and for the purpose of fold test, 30 more cores were collected from the upper part of the formation from a second section located in the Pulong village, ~3km to the northeast of the Chuangde village. All samples were subject to stepwise thermal demagnetization. About 60% of the samples yielded interpretable demagnetization results. The bottom of the upper part of the formation show reversed high temperature component, and the rest of the upper part and the lower part show normal polarity. The Chuangde section data failed reversal test, because the normal polarity direction is likely not fully resolved from overprint component. However, the well resolved reversal direction from the Chuangde village and the normal direction from Pulong pass both reversal and fold tests. The mean paleomagnetic data indicate a paleolatitude of 10±2 degree north, ~2000 km distance from the southern Tethys Himalaya. Therefore, the formation is not deposited near the greater Indian continental margins. Based on recent plate tectonic reconstruction, the CORBs are very likely formed within a back-arc basin between the equatorial intra-oceanic subduction system and the Asian continental margin. Due to coeval development of abundant red beds in the Lhasa block, the characteristic pigments of hematite born in the CORBs are likely of terrestrial origin. In addition, the new data indicate that the Lhasa block is unlikely to be at low paleolatitude in the Late Cretaceous and Tertiary as some of the paleomagnetic results show.

Upper extremities flexibility comparisons of collegiate "soft" martial art practitioners with other athletes.

PubMed

Huang, C-C; Yang, Y-H; Chen, C-H; Chen, T-W; Lee, C-L; Wu, C-L; Chuang, S-H; Huang, M-H

2008-03-01

The aim of this study was to compare the flexibility of the upper extremities in collegiate students involved in Aikido (a kind of soft martial art attracting youth) training with those involved in other sports. Fifty freshmen with a similar frequency of exercise were divided into the Aikido group (n = 18), the upper-body sports group (n = 17), and the lower-body sports group (n = 15) according to the sports that they participated in. Eight classes of range of motion in upper extremities were taken for all subjects by the same clinicians. The Aikido group had significantly better flexibility than the upper-body sports group except for range of motion in shoulder flexion (p = 0.22), shoulder lateral rotation (p > 0.99), and wrist extension (p > 0.99). The Aikido group also had significantly better flexibility than the lower-body sports group (p < 0.01) and the sedentary group (p < 0.01) in all classes of range of motion. The upper-body sports group was significantly more flexible in five classes of range of motion and significantly tighter in range of motion of wrist flexion (p < 0.01) compared to the lower-body sports group. It was concluded that the youths participating in soft martial arts had good upper extremities flexibility that might not result from regular exercise alone.

Modifying a shrug exercise can facilitate the upward rotator muscles of the scapula.

PubMed

Pizzari, Tania; Wickham, James; Balster, Simon; Ganderton, Charlotte; Watson, Lyn

2014-02-01

Scapular dyskinesis, characterised by drooping scapulae and reduced upward rotation, has been implicated in the presentation of a number of shoulder disorders. Traditionally, in shoulder rehabilitation programmes, the shrug exercise has been prescribed to facilitate upward rotation of the scapula by strengthening the upper trapezius muscle. The aim of this research was to compare muscle activation levels during the standard shrug and the upward rotation shrug in a normal and pathological population. Surface electrodes recorded electromyographical activity from upper trapezius, middle trapezius, lower trapezius and serratus anterior muscles in 23 normal participants and 14 participants with multi-directional shoulder instability. Participants completed 10 trials of the standard shrug exercise at 0° of shoulder abduction and the upward rotation shrug exercise at 30° of shoulder abduction in the coronal plane. Muscle activity was expressed as a percentage of maximum voluntary isometric contraction. The four muscles tested performed at a higher intensity during the modified shrug than the standard shrug. Upper trapezius and lower trapezius activity was significantly greater (P < 0.05) in both populations. Though for middle trapezius and serratus anterior muscles, the modified shrug was statistically significant only in the normal population, P = 0.031 and P = <0.001 respectively. The upward rotation shrug is a more effective exercise for eliciting muscle activity of the upper and lower trapezius than the standard shrug in a normal and multi-directional instability population. Clinically, the upward rotation shrug might be useful to address scapular dyskinesis involving drooping shoulders and reduced scapula upward rotation. Copyright © 2013 Elsevier Ltd. All rights reserved.

Tissue Transglutaminase Levels Are Not Sufficient to Diagnose Celiac Disease in North American Practices Without Intestinal Biopsies.

PubMed

Elitsur, Yoram; Sigman, Terry; Watkins, Runa; Porto, Anthony F; Leonard Puppa, Elaine L; Foglio, Elsie J; Preston, Deborah L

2017-01-01

Celiac serology is crucial for the diagnosis of celiac disease in children. The American guideline for celiac disease in children suggested that positive serology should be followed by confirmatory intestinal histology. The relationship between high tissue transglutaminase titers and celiac disease in children has not been well investigated in children from North America. In the present study, we investigated whether different tissue transglutaminase titers in symptomatic children could predict celiac disease without the confirmation of intestinal histology. Data from biopsy confirmed celiac children were collected from four different clinics in North America. Clinical, serological, histological, and follow-up data were collected. The accuracy rates of various tissue transglutaminase titers to predict celiac disease in children were calculated. The data from 240 children were calculated. The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy rate of tissue transglutaminase titers at ≥10× upper limit of normal were 75.4, 48.8, 87.7, 29.0, and 70.8 %, respectively. Similar data were noted in the other tissue transglutaminase titers (≥3× upper limit of normal, >100 U/ml, or >100 U/ml and >10× upper limit of normal). The positive predictive value of tissue transglutaminase titers at ≥3× upper limit of normal or higher was too low to predict celiac disease in children. Our data suggested that in routine clinical practice, high titers of tissue transglutaminase are not sufficient to diagnose celiac disease in North American children without intestinal biopsies.

Longitudinal plasma metanephrines preceding pheochromocytoma diagnosis: a retrospective case-control serum repository study.

PubMed

Olson, S W; Yoon, S; Baker, T; Prince, L K; Oliver, D; Abbott, K C

2016-03-01

Plasma metanephrines (PMN) are highly sensitive for diagnosis of pheochromocytoma, but the natural history of PMN before pheochromocytoma diagnosis has not been previously described. The aim of the study was to compare the progression of PMN before pheochromocytoma diagnosis to matched healthy and essential hypertension disease controls. A retrospective case-control Department of Defense Serum Repository (DoDSR) study. We performed a DoDSR study that compared three longitudinal pre-diagnostic PMN for 30 biopsy-proven pheochromocytoma cases to three longitudinal PMN for age, sex, race, and age of serum sample matched healthy and essential hypertension disease controls. Predominant metanephrine (MN) or normetanephrine (NMN) production was identified for each case and converted to a percentage of the upper limit of normal to allow analysis of all cases together. PMN were measured by Quest Diagnostics. The predominant plasma metanephrine (PPM) was >100 and 300% of the upper limit of normal a median of 6.6 and 4.1 years before diagnosis respectively. A greater percentage of pheochromocytoma patients had a PPM >100 and >300% of the upper limit of normal compared with combined healthy and essential hypertension disease controls <2, 2-8, and >8 years prior to diagnosis. For patients with a baseline PPM 90-300% of the upper limit of normal, a 25% rate of rise per year was 100% specific for pheochromocytoma. PPMs elevate years before diagnosis which suggests that delayed diagnoses are common. For mild PMN elevations, follow-up longitudinal PMN trends may provide a highly specific and economical diagnostic tool. © 2016 European Society of Endocrinology.

Stratigraphy of the Oliocene Sullivan Buttes Latite constrains transition zone development in Chino Valley, Arizona

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

Ward, S.A.; Riggs, N.R.

The 26.7--23.4 Ma Sullivan Buttes Latite of Chino Valley, Yavapai County, Arizona, erupted during the development of the Transition Zone between the Basin and Range and Colorado Plateau provinces. Detailed mapping and stratigraphic analysis of a portion of the volcanic field indicate volcanism began with the eruption of a shoshonite lava flow and associated cinder cone. Amphibole latite domes then erupted fallouts, surges, and mass flow breccias and culminated activity with a lava flow. Extrusive units from a biotite oxidized latite center to the east interfinger with the older amphibole lattice volcaniclastics. Sullivan Buttes Latite units erupted onto Precambrian andmore » lower Paleozoic strata and Tertiary gravels; the scarp of upper Paleozoic strata equivalent to the paleo' Mogollon Rim had retreated from the area by the time of emplacement of the oldest Sullivan Buttes Latite unit. Subsequent 15--10 Ma Hickey Formation basalts flowed onto an erosion surface cut into Sullivan Buttes deposits, and the nearby Verde River downcut through younger 4.62 Ma Perkinsville Formation basalt. Both situations demonstrate erosion and degradation post Sullivan Buttes activity. Normal faults offsetting Hickey Formation basalts and all older units constrain Basin and Range structural activity to 15 Ma or younger. These stratigraphic relationships of the Sullivan Buttes Latite in the context of Transition Zone development concur with 65--18 Ma retreat of the upper Paleozoic scarp and below-scarp aggradation, 18--12 Ma Basin and Range faulting, and subsequent degradation.« less

Contributions of muscle imbalance and impaired growth to postural and osseous shoulder deformity following brachial plexus birth palsy: a computational simulation analysis.

PubMed

Cheng, Wei; Cornwall, Roger; Crouch, Dustin L; Li, Zhongyu; Saul, Katherine R

2015-06-01

Two potential mechanisms leading to postural and osseous shoulder deformity after brachial plexus birth palsy are muscle imbalance between functioning internal rotators and paralyzed external rotators and impaired longitudinal growth of paralyzed muscles. Our goal was to evaluate the combined and isolated effects of these 2 mechanisms on transverse plane shoulder forces using a computational model of C5-6 brachial plexus injury. We modeled a C5-6 injury using a computational musculoskeletal upper limb model. Muscles expected to be denervated by C5-6 injury were classified as affected, with the remaining shoulder muscles classified as unaffected. To model muscle imbalance, affected muscles were given no resting tone whereas unaffected muscles were given resting tone at 30% of maximal activation. To model impaired growth, affected muscles were reduced in length by 30% compared with normal whereas unaffected muscles remained normal in length. Four scenarios were simulated: normal, muscle imbalance only, impaired growth only, and both muscle imbalance and impaired growth. Passive shoulder rotation range of motion and glenohumeral joint reaction forces were evaluated to assess postural and osseous deformity. All impaired scenarios exhibited restricted range of motion and increased and posteriorly directed compressive glenohumeral joint forces. Individually, impaired muscle growth caused worse restriction in range of motion and higher and more posteriorly directed glenohumeral forces than did muscle imbalance. Combined muscle imbalance and impaired growth caused the most restricted joint range of motion and the highest joint reaction force of all scenarios. Both muscle imbalance and impaired longitudinal growth contributed to range of motion and force changes consistent with clinically observed deformity, although the most substantial effects resulted from impaired muscle growth. Simulations suggest that treatment strategies emphasizing treatment of impaired longitudinal growth are warranted for reducing deformity after brachial plexus birth palsy. Copyright © 2015 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

Continental Extensional Tectonics in the Basins and Ranges and Aegean Regions: A Review

NASA Astrophysics Data System (ADS)

Cemen, I.

2017-12-01

The Basins and Ranges of North America and the Aegean Region of Eastern Europe and Asia Minor have been long considered as the two best developed examples of continental extension. The two regions contain well-developed normal faults which were considered almost vertical in the 1950s and 1960s. By the mid 1980s, however, overwhelming field evidence emerged to conclude that the dip angle normal faults in the two regions may range from almost vertical to almost horizontal. This led to the discovery that high-grade metamorphic rocks could be brought to surface by the exhumation of mid-crustal rocks along major low-angle normal faults (detachment faults) which were previously either mapped as thrust faults or unconformity. Within the last three decades, our understanding of continental extensional tectonics in the Basins and Ranges and the Aegean Region have improved substantially based on fieldwork, geochemical analysis, analog and computer modeling, detailed radiometric age determinations and thermokinematic modelling. It is now widely accepted that a) Basin and Range extension is controlled by the movement along the San Andreas fault zone as the North American plate moved southeastward with respect to the northwestward movement of the Pacific plate; b) Aegean extension is controlled by subduction roll-back associated with the Hellenic subduction zone; and c) the two regions contain best examples of detachment faulting, extensional folding, and extensional basins. However, there are still many important questions of continental extensional tectonics in the two regions that remain poorly understood. These include determining a) precise amount and percentage of cumulative extension; b) role of strike-slip faulting in the extensional processes; c) exhumation history along detachment surfaces using multimethod geochronology; d) geometry and nature of extensional features in the middle and lower crust; e) the nature of upper mantle and asthenospheric flow; f) evolutions of sedimentary basins associated with dip-slip and strike-slip faults; g) seismic hazards; and i) economic significance of extensional basins.

[Congenital ectropion of the upper eyelids due to an anomaly of the eyelids in down's syndrome (author's transl)].

PubMed

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.

A transitional volume beneath the Sannio-Irpinia border region (southern Apennines): Different tectonic styles at different depths

NASA Astrophysics Data System (ADS)

De Matteo, Ada; Massa, Bruno; Milano, Girolamo; D'Auria, Luca

2018-01-01

In this paper we investigate the border between the Sannio and Irpinia seismogenic regions, a sector of the southern Apennine chain considered among the most active seismic areas of the Italian peninsula, to shed further light on its complex seismotectonic setting. We integrated recent seismicity with literature data. A detailed analysis of the seismicity that occurred in the 2013-2016 time interval was performed. The events were relocated, after manual re-picking, using different approaches. To retrieve information about the stress field active in the area, inversion of Fault Plane Solutions was also carried out. Hypocentral distribution of the relocated events (ML ≤ 3.5), whose depth is included between 5 and 25 km with the deepest ones located in the NW sector of the study area, shows a different pattern between the northern sector and the southern one. The computed Fault Plane Solutions can be grouped in three depth ranges: < 12 km, dominated by normal dip-slip kinematics; 12-18 km, characterized by normal dip-slip and strike-slip kinematics; > 18 km, dominated by strike-slip kinematics. Stress field inversion across the whole area shows that we are dealing with an heterogeneous set of data, apparently governed by distinct stress fields. We built an upper crustal model profile through integration of geological data, well logs and seismic tomographic profiles. Our results suggest the co-existence of different tectonic styles at distinct crustal depths: the upper crust seems to be affected mostly by normal faulting, whereas strike-slip faulting prevails in the intermediate and lower crust. We infer about the existence of a transitional volume, located between 12 and 18 km depth, between the Sannio and Irpinia regions, acting as a vertical transfer zone.

Metabolism of dietary sulphate: absorption and excretion in humans.

PubMed Central

Florin, T; Neale, G; Gibson, G R; Christl, S U; Cummings, J H

1991-01-01

Dietary sulphate may affect colonic pathophysiology because sulphate availability determines in part the activity of sulphate reducing bacteria in the bowel. The main product of sulphate reducing bacterial oxidative metabolism, hydrogen sulphide, is potentially toxic. Although it is generally believed that the sulphate ion is poorly absorbed, there are no available data on how much sulphate reaches the colon nor on the relative contributions from diet and endogenous sources. To resolve these questions, balance studies were performed on six healthy ileostomists and three normal subjects chosen because they did not have detectable sulphate reducing bacteria in their faeces. The subjects were fed diets which varied in sulphate content from 1.6-16.6 mmol/day. Sulphate was measured in diets, faeces (ileal effluent in ileostomists), and urine by anion exchange chromatography with conductivity detection. Overall there was net absorption of dietary sulphate, with the absorptive capacity of the gastrointestinal tract plateauing at 5 mmol/day in the ileostomists and exceeding 16 mmol/day in the normal subjects. Endogenous secretion of sulphate in the upper gastrointestinal tract was from 0.96-2.6 mmol/day. The dietary contribution to the colonic sulphate pool ranged up to 9 mmol/day, there being linear identity between diet and upper gastrointestinal losses for intakes above 7 mmol/day. Faecal losses of sulphate were trivial (less than 0.5 mmol/day) in the normal subjects at all doses. It is concluded that diet and intestinal absorption are the principal factors affecting the amounts of sulphate reaching the colon. Endogenous secretion of sulphate by colonic mucosa may also be important in determining amounts of sulphate in the colon. PMID:1855683

[Microcirculatory blood and lymph flow examination in eyelid skin by laser Doppler flowmetry].

PubMed

Safonova, T N; Kintyukhina, N P; Sidorov, V V; Gladkova, O V; Reyn, E S

to study normal blood and lymph microcirculation of the upper and lower eyelids in different age groups. The study included 108 volunteers (216 eyes) aged from 20 to 80 years with no signs of changes in anterior segment structures, who were grouped by age ranges (20-30 years, 31-40 years, 41-50 years, 51-60 years, 61-70 years, and 71-80 years) into 6 groups equal in gender and quantitative composition. In all volunteers, microcirculation of the upper and lower eyelids was examined by laser Doppler flowmetry (LDF) ('LASMA MC-1' peripheral blood and lymph flow analyzer and 'LASMA MC' laser diagnostic complex, LASMA LLC). The average perfusion changes in blood and lymph flow as well as blood and lymph flow oscillations were analyzed. Blood and lymph flow in the microvasculature of the upper and lower eyelids is variable and depends on neither the age, nor gender of the test subject. On LDF-gram, every increase in amplitude of blood flow corresponds to a decrease in that of lymph flow. The non-invasive method of LDF expands our diagnostic capabilities as it enables assessment of not only blood, but also lymph flow. The data obtained can serve as a starting point for exploring microcirculation in different age groups in the presence of different pathological processes.

Site, gender and age variation in normal skin colour on the back and the forearm: tristimulus colorimeter measurements.

PubMed

Fullerton, A; Serup, J

1997-02-01

To study whether anatomical location and age and gender of subjects had any influence on the objective skin colour measurements. Baseline colour in prone position was measured with the Minolta ChromaMeter® in the upper, middle and lower level of the upper back and on the forearm of 168 volunteers. These two sites are commonly used in skin testing. Higher basal a* and lower basal L* levels were found on the upper scapular region compared to the lower scapular region and the subscapular region. The basal b* level showed no variation relative to site. The basal a* and the basal b* levels were lower on the forearm compared to the upper back while the basal L* level was higher. Females above 65 years showed a less coloured skin with lower values as compared to those of younger age. Females were found to have a generally lower basal a* level than males both on the upper back and forearm skin. These relatively major differences and sources of variation have to be considered when planning irritancy studies where colour differences between erythema and normal skin is used.

The adenoid as a key factor in upper airway infections.

PubMed

van Cauwenberge, P B; Bellussi, L; Maw, A R; Paradise, J L; Solow, B

1995-06-01

The adenoids (and the nasopharynx) play a key role in the normal functioning and in various pathologies of the upper respiratory tract. In this paper the role of adenoidal pathology and the beneficial effect of adenoidectomy in some upper respiratory tract and facial anomalies and diseases are discussed; otitis media with effusion, recurrent acute otitis media, sinusitis, snoring and sleep apnea and abnormal patterns in the midface growth and development.

Influence of Gender and Age on Upper-Airway Length During Development

PubMed Central

Ronen, Ohad; Malhotra, Atul; Pillar, Giora

2008-01-01

OBJECTIVE Obstructive sleep apnea has a strong male predominance in adults but not in children. The collapsible portion of the upper airway is longer in adult men than in women (a property that may increase vulnerability to collapse during sleep). We sought to test the hypothesis that in prepubertal children, pharyngeal airway length is equal between genders, but after puberty boys have a longer upper airway than girls, thus potentially contributing to this change in apnea propensity. METHODS Sixty-nine healthy boys and girls who had undergone computed tomography scans of their neck for other reasons were selected from the computed tomography archives of Rambam and Carmel hospitals. The airway length was measured in the midsagittal plane and defined as the length between the lower part of the posterior hard palate and the upper limit of the hyoid bone. Airway length and normalized airway length/body height were compared between the genders in prepubertal (4- to 10-year-old) and postpubertal (14- to 19-year-old) children. RESULTS In prepubertal children, airway length was similar between boys and girls (43.2 ± 5.9 vs 46.8 ± 7.7 mm, respectively). When normalized to body height, airway length/body height was significantly shorter in prepubertal boys than in girls (0.35 ± 0.03 vs 0.38 ± 0.04 mm/cm). In contrast, postpubertal boys had longer upper airways (66.5 ± 9.2 vs 52.2 ± 7.0 mm) and normalized airway length/body height (0.38 ± 0.05 vs 0.33 ± 0.05 mm/cm) than girls. CONCLUSIONS Although boys have equal or shorter airway length compared with girls among prepubertal children, after puberty, airway length and airway length normalized for body height are significantly greater in boys than in girls. These data suggest that important anatomic changes at puberty occur in a gender-specific manner, which may be important in explaining the male predisposition to pharyngeal collapse in adults. PMID:17908723

PWR upper/lower internals shield

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

Homyk, W.A.

1995-03-01

During refueling of a nuclear power plant, the reactor upper internals must be removed from the reactor vessel to permit transfer of the fuel. The upper internals are stored in the flooded reactor cavity. Refueling personnel working in containment at a number of nuclear stations typically receive radiation exposure from a portion of the highly contaminated upper intervals package which extends above the normal water level of the refueling pool. This same issue exists with reactor lower internals withdrawn for inservice inspection activities. One solution to this problem is to provide adequate shielding of the unimmersed portion. The use ofmore » lead sheets or blankets for shielding of the protruding components would be time consuming and require more effort for installation since the shielding mass would need to be transported to a support structure over the refueling pool. A preferable approach is to use the existing shielding mass of the refueling pool water. A method of shielding was devised which would use a vacuum pump to draw refueling pool water into an inverted canister suspended over the upper internals to provide shielding from the normally exposed components. During the Spring 1993 refueling of Indian Point 2 (IP2), a prototype shield device was demonstrated. This shield consists of a cylindrical tank open at the bottom that is suspended over the refueling pool with I-beams. The lower lip of the tank is two feet below normal pool level. After installation, the air width of the natural shielding provided by the existing pool water. This paper describes the design, development, testing and demonstration of the prototype device.« less

Functional activation of PPARγ in human upper aerodigestive cancer cell lines.

PubMed

Wright, Simon K; Wuertz, Beverly R; Harris, George; Abu Ghazallah, Raed; Miller, Wendy A; Gaffney, Patrick M; Ondrey, Frank G

2017-01-01

Upper aerodigestive cancer is an aggressive malignancy with relatively stagnant long-term survival rates over 20 yr. Recent studies have demonstrated that exploitation of PPARγ pathways may be a novel therapy for cancer and its prevention. We tested whether PPARγ is expressed and inducible in aerodigestive carcinoma cells and whether it is present in human upper aerodigestive tumors. Human oral cancer CA-9-22 and NA cell lines were treated with the PPAR activators eicosatetraynoic acid (ETYA), 15-deoxy-δ- 12,14-prostaglandin J2 (PG-J2), and the thiazolidinedione, ciglitazone, and evaluated for their ability to functionally activate PPARγ luciferase reporter gene constructs. Cellular proliferation and clonogenic potential after PPARγ ligand treatment were also evaluated. Aerodigestive cancer specimens and normal tissues were evaluated for PPARγ expression on gene expression profiling and immunoblotting. Functional activation of PPARγ reporter gene constructs and increases in PPARγ protein were confirmed in the nuclear compartment after PPARγ ligand treatment. Significant decreases in cell proliferation and clonogenic potential resulted from treatment. Lipid accumulation was induced by PPARγ activator treatment. 75% of tumor specimens and 100% of normal control tissues expressed PPARγ RNA, and PPARγ protein was confirmed in 66% of tumor specimens analyzed by immunoblotting. We conclude PPARγ can be functionally activated in upper aerodigestive cancer and that its activation downregulates several features of the neoplastic phenotype. PPARγ expression in human upper aerodigestive tract tumors and normal cells potentially legitimizes it as a novel intervention target in this disease. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

Thick deltaic sedimentation and detachment faulting delay the onset of continental rupture in the Northern Gulf of California: Analysis of seismic reflection profiles

NASA Astrophysics Data System (ADS)

Martín-Barajas, Arturo; González-Escobar, Mario; Fletcher, John M.; Pacheco, Martín.; Oskin, Michael; Dorsey, Rebecca

2013-09-01

transition from distributed continental extension to the rupture of continental lithosphere is imaged in the northern Gulf of California across the obliquely conjugate Tiburón-Upper Delfin basin segment. Structural mapping on a 5-20 km grid of seismic reflection lines of Petroleos Mexicanos demonstrates that ~1000% extension is accommodated on a series of NNE striking listric-normal faults that merge at depth into a detachment fault. The detachment juxtaposes a late-Neogene marine sequence over thinned continental crust and contains an intrabasinal divide due to footwall uplift. Two northwest striking, dextral-oblique faults bound both ends of the detachment and shear the continental crust parallel to the tectonic transport. A regional unconformity in the upper 0.5 s (two-way travel time) and crest erosion of rollover anticlines above the detachment indicates inversion and footwall uplift during the lithospheric rupture in the Upper Delfin and Lower Delfin basins. The maximum length of new crust in both Delfin basins is less than 40 km based on the lack of an acoustic basement and the absence of a lower sedimentary sequence beneath a wedge-shaped upper sequence that reaches >5 km in thickness. A fundamental difference exists between the Tiburón-Delfin segment and the Guaymas segment to the south in terms of presence of low-angle normal faults and amount of new oceanic lithosphere, which we attribute to thermal insulation, diffuse upper-plate extension, and slip on low-angle normal faults engendered by a thick sedimentary lid.

Thick deltaic sedimentation and detachment faulting delay the onset of continental rupture in the Northern Gulf of California: Analysis of seismic reflection profiles

NASA Astrophysics Data System (ADS)

Martin, A.; González-Escobar, M.; Fletcher, J. M.; Pacheco, M.; Oskin, M. E.; Dorsey, R. J.

2013-12-01

The transition from distributed continental extension to the rupture of continental lithosphere is imaged in the northern Gulf of California across the obliquely conjugate Tiburón-Upper Delfín basin segment. Structural mapping on a 5-20 km grid of seismic reflection lines of Petroleos Mexicanos (PEMEX) demonstrates that ~1000% extension is accommodated on a series of NNE-striking listric-normal faults that merge at depth into a detachment fault. The detachment juxtaposes a late-Neogene marine sequence over thinned continental crust and contains an intrabasinal divide due to footwall uplift. Two northwest striking, dextral-oblique faults bound both ends of the detachment and shear the continental crust parallel to the tectonic transport. A regional unconformity in the upper 0.5 seconds (TWTT) and crest erosion of rollover anticlines above the detachment indicates inversion and footwall uplift during the lithospheric rupture in the Upper Delfin and Lower Delfin basins. The maximum length of new crust in both Delfin basins is less than 40 km based on the lack of an acoustic basement and the absence of a lower sedimentary sequence beneath a wedge shaped upper sequence that reaches >5 km in thickness. A fundamental difference exists between the Tiburón-Delfin segment and the Guaymas segment to the south in terms of presence of low angle normal faults and amount of new oceanic lithosphere, which we attribute to thermal insulation, diffuse upper-plate extension, and slip on low angle normal faults engendered by a thick sedimentary lid.

Frictional properties of low-angle normal fault gouges and implications for low-angle normal fault slip

NASA Astrophysics Data System (ADS)

Haines, Samuel; Marone, Chris; Saffer, Demian

2014-12-01

The mechanics of slip on low-angle normal faults (LANFs) remain an enduring problem in structural geology and fault mechanics. In most cases, new faults should form rather than having slip occur on LANFs, assuming values of fault friction consistent with Byerlee's Law. We present results of laboratory measurements on the frictional properties of natural clay-rich gouges from low-angle normal faults (LANF) in the American Cordillera, from the Whipple Mts. Detachment, the Panamint range-front detachment, and the Waterman Hills detachment. These clay-rich gouges are dominated by neoformed clay minerals and are an integral part of fault zones in many LANFs, yet their frictional properties under in situ conditions remain relatively unknown. We conducted measurements under saturated and controlled pore pressure conditions at effective normal stresses ranging from 20 to 60 MPa (corresponding to depths of 0.9-2.9 km), on both powdered and intact wafers of fault rock. For the Whipple Mountains detachment, friction coefficient (μ) varies depending on clast content, with values ranging from 0.40 to 0.58 for clast-rich material, and 0.29-0.30 for clay-rich gouge. Samples from the Panamint range-front detachment were clay-rich, and exhibit friction values of 0.28 to 0.38, significantly lower than reported from previous studies on fault gouges tested under room humidity (nominally dry) conditions, including samples from the same exposure. Samples from the Waterman Hills detachment are slightly stronger, with μ ranging from 0.38 to 0.43. The neoformed gouge materials from all three localities exhibits velocity-strengthening frictional behavior under almost all of the experimental conditions we explored, with values of the friction rate parameter (a - b) ranging from -0.001 to +0.025. Clast-rich samples exhibited frictional healing (strength increases with hold time), whereas clay-rich samples do not. Our results indicate that where clay-rich neoformed gouges are present along LANFs, they provide a mechanically viable explanation for slip on faults with dips <20°, requiring only moderate (Pf <σ3) overpressures and/or correcting for ∼5° of footwall tilting. Furthermore, the low rates of frictional strength recovery and velocity-strengthening frictional behavior we observe provide an explanation for the lack of observed seismicity on these structures. We suggest that LANFs in the upper crust (depth <8 km) slip via a combination of a) reaction-weakening of initially high-angle fault zones by the formation of neoformed clay-rich gouges, and b) regional tectonic accommodation of rotating fault blocks.

Reference values for clinical laboratory parameters in young adults in Maputo, Mozambique.

PubMed

Tembe, Nelson; Joaquim, Orvalho; Alfai, Eunice; Sitoe, Nádia; Viegas, Edna; Macovela, Eulalia; Gonçalves, Emilia; Osman, Nafissa; Andersson, Sören; Jani, Ilesh; Nilsson, Charlotta

2014-01-01

Clinical laboratory reference values from North American and European populations are currently used in most Africans countries due to the absence of locally derived reference ranges, despite previous studies reporting significant differences between populations. Our aim was to define reference ranges for both genders in 18 to 24 year-old Mozambicans in preparation for clinical vaccine trials. A cross-sectional study including 257 volunteers (102 males and 155 females) between 18 and 24 years was performedat a youth clinic in Maputo, Mozambique. All volunteers were clinically healthy and human immunodeficiency virus, Hepatitis B virus and syphilis negative.Median and 95% reference ranges were calculated for immunological, hematological and chemistry parameters. Ranges were compared with those reported based on populations in other African countries and the US. The impact of applying US NIH Division of AIDS (DAIDS) toxicity tables was assessed. The immunology ranges were comparable to those reported for the US and western Kenya.There were significant gender differences in CD4+ T cell values 713 cells/µL in males versus 824 cells/µL in females (p<0.0001). Hematologic values differed from the US values but were similar to reports of populations in western Kenya and Uganda. The lower and upper limits of the ranges for hemoglobin, hematocrit, red blood cells, white blood cells and lymphocytes were somewhat lower than those from these African countries. The chemistry values were comparable to US values, with few exceptions. The upper limits for ALT, AST, bilirubin, cholesterol and triglycerides were higher than those from the US. DAIDStables for adverse events predicted 297 adverse events and 159 (62%) of the volunteers would have been excluded. This study is the first to determine normal laboratory parameters in Mozambique. Our results underscore the necessity of establishing region-specific clinical reference ranges for proper patient management and safe conduct of clinical trials.

Feasibility of confocal endomicroscopy in the diagnosis of pediatric gastrointestinal disorders

PubMed Central

Venkatesh, Krishnappa; Cohen, Marta; Evans, Clair; Delaney, Peter; Thomas, Steven; Taylor, Christopher; Abou-Taleb, Ashraf; Kiesslich, Ralf; Thomson, Mike

2009-01-01

AIM: To evaluate the feasibility and utility of confocal laser endomicroscopy (CLE) in the description of normal gastrointestinal (GI) mucosa and in the diagnosis of GI disorders in children, in comparison to histology. METHODS: Forty-four patients (19 female) median age 10.9 years (range 0.7-16.6 years) with suspected or known GI pathology underwent esophago-gastro-duodenoscopy (OGD) (n = 36) and/or ileocolonoscopy (IC) (n = 31) with CLE using sodium fluorescein and acriflavine as contrast agents. Histological sections were compared with same site confocal images by two experienced pediatric and GI histopathologists and endoscopists, respectively. RESULTS: Duodenum and ileum were intubated in all but one patient undergoing OGD and IC. The median procedure time was 16.4 min (range 7-25 min) for OGD and 27.9 min (range 15-45 min) for IC. A total of 4798 confocal images were compared with 153 biopsies from the upper GI tract from 36 procedures, and 4661 confocal images were compared with 188 biopsies from the ileocolon from 31 procedures. Confocal images were comparable to conventional histology both in normal and in pathological conditions such as esophagitis, Helicobacter pylori gastritis, celiac disease, inflammatory bowel disease, colonic heterotopia, and graft versus host disease. CONCLUSION: CLE offers the prospect of targeting biopsies to abnormal mucosa, thereby increasing diagnostic yield, reducing the number of biopsies, decreasing the burden on the histopathological services, and reducing costs. PMID:19437560

Evaluation of Hip Internal and External Rotation Range of Motion as an Injury Risk Factor for Hip, Abdominal and Groin Injuries in Professional Baseball Players

PubMed Central

Ma, Richard; Zhou, Hanbing; Thompson, Matthew; Dawson, Courtney; Nguyen, Joseph; Coleman, Struan

2015-01-01

Normal hip range of motion (ROM) is essential in running and transfer of energy from lower to upper extremities during overhead throwing. Dysfunctional hip ROM may alter lower extremity kinematics and predispose athletes to hip and groin injuries. The purpose of this study is characterize hip internal/external ROM (Arc) and its effect on the risk of hip, hamstring, and groin injuries in professional baseball players. Bilateral hip internal and external ROM was measured on all baseball players (N=201) in one professional organization (major and minor league) during spring training. Players were organized according to their respective positions. All injuries were documented prospectively for an entire MLB season (2010 to 2011). Data was analyzed according to position and injuries during the season. Total number of players (N=201) with an average age of 24±3.6 (range=17-37). Both pitchers (N=93) and catchers (N=22) had significantly decreased mean hip internal rotation and overall hip arc of motion compared to the positional players (N=86). Players with hip, groin, and hamstring injury also had decreased hip rotation arc when compared to the normal group. Overall, there is a correlation between decreased hip internal rotation and total arc of motion with hip, hamstring, and groin injuries. PMID:26793294

Content Range and Precision of a Computer Adaptive Test of Upper Extremity Function for Children with Cerebral Palsy

ERIC Educational Resources Information Center

Montpetit, Kathleen; Haley, Stephen; Bilodeau, Nathalie; Ni, Pengsheng; Tian, Feng; Gorton, George, III; Mulcahey, M. J.

2011-01-01

This article reports on the content range and measurement precision of an upper extremity (UE) computer adaptive testing (CAT) platform of physical function in children with cerebral palsy. Upper extremity items representing skills of all abilities were administered to 305 parents. These responses were compared with two traditional standardized…

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

Edwards, Timothy S.

Normal tolerance limits are frequently used in dynamic environments specifications of aerospace systems as a method to account for aleatory variability in the environments. Upper tolerance limits, when used in this way, are computed from records of the environment and used to enforce conservatism in the specification by describing upper extreme values the environment may take in the future. Components and systems are designed to withstand these extreme loads to ensure they do not fail under normal use conditions. The degree of conservatism in the upper tolerance limits is controlled by specifying the coverage and confidence level (usually written inmore » “coverage/confidence” form). Moreover, in high-consequence systems it is common to specify tolerance limits at 95% or 99% coverage and confidence at the 50% or 90% level. Despite the ubiquity of upper tolerance limits in the aerospace community, analysts and decision-makers frequently misinterpret their meaning. The misinterpretation extends into the standards that govern much of the acceptance and qualification of commercial and government aerospace systems. As a result, the risk of a future observation of the environment exceeding the upper tolerance limit is sometimes significantly underestimated by decision makers. This note explains the meaning of upper tolerance limits and a related measure, the upper prediction limit. So, the objective of this work is to clarify the probability of exceeding these limits in flight so that decision-makers can better understand the risk associated with exceeding design and test levels during flight and balance the cost of design and development with that of mission failure.« less

Active simultaneous uplift and margin-normal extension in a forearc high, Crete, Greece

NASA Astrophysics Data System (ADS)

Gallen, S. F.; Wegmann, K. W.; Bohnenstiehl, D. R.; Pazzaglia, F. J.; Brandon, M. T.; Fassoulas, C.

2014-07-01

The island of Crete occupies a forearc high in the central Hellenic subduction zone and is characterized by sustained exhumation, surface uplift and extension. The processes governing orogenesis and topographic development here remain poorly understood. Dramatic topographic relief (2-6 km) astride the southern coastline of Crete is associated with large margin-parallel faults responsible for deep bathymetric depressions known as the Hellenic troughs. These structures have been interpreted as both active and inactive with either contractional, strike-slip, or extensional movement histories. Distinguishing between these different structural styles and kinematic histories here allows us to explore more general models for improving our global understanding of the tectonic and geodynamic processes of syn-convergent extension. We present new observations from the south-central coastline of Crete that clarifies the role of these faults in the late Cenozoic evolution of the central Hellenic margin and the processes controlling Quaternary surface uplift. Pleistocene marine terraces are used in conjunction with optically stimulated luminesce dating and correlation to the Quaternary eustatic curve to document coastal uplift and identify active faults. Two south-dipping normal faults are observed, which extend offshore, offset these marine terrace deposits and indicate active N-S (margin-normal) extension. Further, marine terraces preserved in the footwall and hanging wall of both faults demonstrate that regional net uplift of Crete is occurring despite active extension. Field mapping and geometric reconstructions of an active onshore normal fault reveal that the subaqueous range-front fault of south-central Crete is synthetic to the south-dipping normal faults on shore. These findings are inconsistent with models of active horizontal shortening in the upper crust of the Hellenic forearc. Rather, they are consistent with topographic growth of the forearc in a viscous orogenic wedge, where crustal thickening and uplift are a result of basal underplating of material that is accompanied by extension in the upper portions of the wedge. Within this framework a new conceptual model is presented for the late Cenozoic vertical tectonics of the Hellenic forearc.

Wiedemann-Rautenstrauch syndrome. A case report and review of the literature.

PubMed

Stoll, C; Labay, F; Geisert, J; Alembik, Y

1998-01-01

In 1977 Rautenstrauch and Snigula reported on two sisters with a previously undescribed, progeria-like syndrome. Two years later Wiedemann described two unrelated males with the same condition. Since than only a few published cases appeared in the literature. We had the opportunity to study a boy affected by this extremely rare condition. This boy was born after intrauterine growth retardation. At birth two natal teeth were present. OFC was normal despite apparent macrocephaly. During infancy a progeroid appearance was noted with sparse hair, prominent scalp veins, greatly widened anterior fontanelles, malar hypoplasia, and generalized lipoatrophy. The face was triangular with a small maxilla and a protuding chin, the eyes were low-set, the eyebrows and eyelashes were scanty. At the age of 3.5 years there was striking general deficiency of subcutaneous fatty tissue apart from accumulation of adipose tissue on the buttocks and flanks, growth was retarded, mental development was at the low borderline of normal. Cholesterolemia was at the upper range of normal, there was an increase of triglycerides: 3.31 mmol/L (Normal < 1 mmol/L). Other progeroid syndromes such as Hutchinson-Guilford, Berardinelli-Seip, De Barsy, leprechaunism, Cockayne and Hallerman-Streiff could be excluded as well as the CDG syndrome. This condition is most probably inherited as an autosomal recessive trait.

Congenital bilateral upper eyelid eversion: report of a case.

PubMed

Cingü, Abdullah Kürşat; Sahin, Alparslan; Yüksel, Harun; Ozkök, Ahmet; Arı, Seyhmus; Caça, Ihsan

2014-01-01

Congenital bilateral upper eyelid eversion is a rare condition and the definite cause is not known. It is often seen in Black babies or babies with Down's syndrome. With early diagnosis and appropriate treatment, the condition can be managed without surgery. We report a case of congenital upper eyelid eversion in an otherwise healthy Caucasian neonate, born by normal vaginal delivery. The case responded well to conservative treatment, including eyelid repositioning, lubricants, antibiotic ointment, and eyelid patching.

Posterior interosseous nerve localization within the proximal forearm - a patient normalized parameter.

PubMed

Kamineni, Srinath; Norgren, Crystal R; Davidson, Evan M; Kamineni, Ellora P; Deane, Andrew S

2017-04-18

To provide a "patient-normalized" parameter in the proximal forearm. Sixty-three cadaveric upper extremities from thirty-five cadavers were studied. A muscle splitting approach was utilized to locate the posterior interosseous nerve (PIN) at the point where it emerges from beneath the supinator. The supinator was carefully incised to expose the midpoint length of the nerve as it passes into the forearm while preserving the associated fascial connections, thereby preserving the relationship of the nerve with the muscle. We measured the transepicondylar distance (TED), PIN distance in the forearm's neutral rotation position, pronation position, supination position, and the nerve width. Two individuals performed measurements using a digital caliper with inter-observer and intra-observer blinding. The results were analyzed with the Wilcoxon-Mann-Whitney test for paired samples. In pronation, the PIN was within two confidence intervals of 1.0 TED in 95% of cases (range 0.7-1.3 TED); in neutral, within two confidence intervals of 0.84 TED in 95% of cases (range 0.5-1.1 TED); in supination, within two confidence intervals of 0.72 TED in 95% of cases (range 0.5-0.9 TED). The mean PIN distance from the lateral epicondyle was 100% of TED in a pronated forearm, 84% in neutral, and 72% in supination. Predictive accuracy was highest in supination; in all cases the majority of specimens (90.47%-95.23%) are within 2 cm of the forearm position-specific percentage of TED. When comparing right to left sides for TEDs with the signed Wilcoxon-Mann-Whitney test for paired samples as well as a significance test (with normal distribution), the P -value was 0.0357 (significance - 0.05) indicating a significant difference between the two sides. This "patient normalized" parameter localizes the PIN crossing a line drawn between the lateral epicondyle and the radial styloid. Accurate PIN localization will aid in diagnosis, injections, and surgical approaches.

Meteoric water circulation and rolling-hinge detachment faulting: Example of the Northern Snake Range core complex, Nevada

NASA Astrophysics Data System (ADS)

Gébelin, Aude; Teyssier, Christian; Heizler, Matthew T.; Andreas, Mulch

2014-05-01

The Northern Snake Range metamorphic core complex developed as a consequence of Oligo-Miocene extension of the Basin and Range Province and is bounded by an arched detachment that separates the cold, brittle upper crust from the ductile middle crust. On the western and eastern limbs of the arch, the detachment footwall displays continuous sections of muscovite-bearing quartzite and schist from which we report new microfabrics, δD values, and 40Ar/39Ar ages. Results indicate that the two limbs record distinct stages of the metamorphic and kinematic Cenozoic events, including Eocene collapse of previously overthickned crust in the west, and one main Oligo-Miocene extensional event in the east. Quartzite from the western part of the range preserves Eocene fabrics (~49-45 Ma) that developed during coaxial deformation in the presence of metamorphic fluids. In contrast, those from the east reveal a large component of non coaxial strain, Oligo-Miocene ages (27-21 Ma) and contain recrystallized muscovite grains indicating that meteoric fluids sourced at high elevation (low-δD) infiltrated the brittle-ductile transition zone during deformation. Percolation of meteoric fluids down to the mylonitic detachment footwall was made possible by the development of an east-dipping rolling-hinge detachment system that controlled the timing and location of active faulting in the brittle upper crust and therefore the pathway of fluids from the surface to the brittle-ductile transition. Oligo-Miocene upper crustal extension was accommodated by a fan-shaped fault pattern that generated shear and tension fractures and channelized surface fluids, while top-to-the-east ductile shearing and advection of hot material in the lower plate allowed the system to be progressively exhumed. As extension proceeded, brittle normal faults active in the wedge of the hanging wall gradually rotated and translated above the detachment fault where, became inactive and precluded the circulation of fluids from the surface to the lower plate. The Eocene section observed on the western limb represents an example of such a tilted block that was rotated and exhumed in the first stages of the rolling-hinge detachment activity.

Wind-tunnel studies of advanced cargo aircraft concepts. [leading edge vortex flaps for drag reduction

NASA Technical Reports Server (NTRS)

Rao, D. M.; Goglia, G. L.

1981-01-01

Accomplishments in vortex flap research are summarized. A singular feature of the vortex flap is that, throughout the range of angle of attack range, the flow type remains qualitatively unchanged. Accordingly, no large or sudden change in the aerodynamic characteristics, as happens when forcibly maintained attached flow suddenly reverts to separation, will occur with the vortex flap. Typical wind tunnel test data are presented which show the drag reduction potential of the vortex flap concept applied to a supersonic cruise airplane configuration. The new technology offers a means of aerodynamically augmenting roll-control effectiveness on slender wings at higher angles of attack by manipulating the vortex flow generated from leading edge separation. The proposed manipulator takes the form of a flap hinged at or close to the leading edge, normally retracted flush with the wing upper surface to conform to the airfoil shape.

Syn-extensional lithogenetic sequences of the Soledad basin, central Transverse Ranges: Implications for detachment-fault models

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

Hendrix, E.D.

1993-04-01

The Soledad Basin (central Transverse Ranges, CA) contains the first recognized example of mid-Tertiary detachment-faulting west of the San Andreas fault. Displacements along the Pelona detachment fault and syn-extensional upper-plate sedimentation occurred between [approximately] 26--18 Ma, resulting in deposition of at least 4 separate lithogenetic sequences (LS) which record distinct phases of crustal response to extension. The 1st LS (lower Vasquez Fm.) predates syn-extensional volcanism and records initial basin subsidence along small, discontinuous faults. The 2nd LS (middle Vasquez Fm.) consists of both volcanic and sedimentary strata and signals simultaneous onset of magmatism and initial development of a well-defined networkmore » of high-angle, upper-plate normal faults, creating 2 separate sub-basins. Resulting alluvial fans were non-entrenched, implying that subsidence rates, and thus vertical displacement rates on high-angle faults, equaled or exceeded an estimated average sedimentation rate of 1.4 mm/yr. The 3rd LS (upper Vasquez Fm.) reflects transition to a single, well-integrated depositional basin characterized by streamflood sedimentation. This suggests an enlarged drainage basin and a decrease in subsidence rate relative to sedimentation rate, triggered possibly by uplift of the detachment lower-plate. The 4th LS (Tick Canyon Fm.) lies with angular unconformity above the 3rd LS and contains the 1st clasts eroded from the detachment lower plate. Detachment faulting in the Soledad basin appears to involve, in part, reactivation of structural zones of weakness along the Vincent thrust. Preliminary reconstructions of Soledad extension imply 25--30 km of displacement along the Pelona detachment fault system at an averaged slip rate of 3.6--4.3 mm/yr.« less

Discovery of Very-high-energy Emission from RGB J2243+203 and Derivation of Its Redshift Upper Limit

NASA Astrophysics Data System (ADS)

Abeysekara, A. U.; Archambault, S.; Archer, A.; Benbow, W.; Bird, R.; Brose, R.; Buchovecky, M.; Buckley, J. H.; Bugaev, V.; Cerruti, M.; Connolly, M. P.; Cui, W.; Falcone, A.; Feng, Q.; Finley, J. P.; Fleischhack, H.; Fortson, L.; Furniss, A.; Gillanders, G. H.; Griffin, S.; Grube, J.; Hütten, M.; Hanna, D.; Hervet, O.; Holder, J.; Humensky, T. B.; Johnson, C. A.; Kaaret, P.; Kar, P.; Kelley-Hoskins, N.; Kertzman, M.; Kieda, D.; Krause, M.; Krennrich, F.; Kumar, S.; Lang, M. J.; Maier, G.; McArthur, S.; Moriarty, P.; Mukherjee, R.; Nieto, D.; O'Brien, S.; Ong, R. A.; Otte, A. N.; Park, N.; Petrashyk, A.; Pohl, M.; Popkow, A.; Pueschel, E.; Quinn, J.; Ragan, K.; Reynolds, P. T.; Richards, G. T.; Roache, E.; Rulten, C.; Sadeh, I.; Santander, M.; Sembroski, G. H.; Shahinyan, K.; Staszak, D.; Telezhinsky, I.; Tyler, J.; Vassiliev, V. V.; Wakely, S. P.; Weiner, O. M.; Weinstein, A.; Wilcox, P.; Wilhelm, A.; Williams, D. A.; Zitzer, B.

2017-11-01

Very-high-energy (VHE; > 100 GeV) gamma-ray emission from the blazar RGB J2243+203 was discovered with the VERITAS Cherenkov telescope array, during the period between 2014 December 21 and 24. The VERITAS energy spectrum from this source can be fitted by a power law with a photon index of 4.6 ± 0.5, and a flux normalization at 0.15 TeV of (6.3+/- 1.1)× {10}-10 {{cm}}-2 {{{s}}}-1 {{TeV}}-1. The integrated Fermi-LAT flux from 1 to 100 GeV during the VERITAS detection is (4.1+/- 0.8)× {10}-8 {{cm}}-2 {{{s}}}-1, which is an order of magnitude larger than the four-year-averaged flux in the same energy range reported in the 3FGL catalog, (4.0+/- 0.1× {10}-9 {{cm}}-2 {{{s}}}-1). The detection with VERITAS triggered observations in the X-ray band with the Swift-XRT. However, due to scheduling constraints Swift-XRT observations were performed 67 hr after the VERITAS detection, rather than simultaneously with the VERITAS observations. The observed X-ray energy spectrum between 2 and 10 keV can be fitted with a power law with a spectral index of 2.7 ± 0.2, and the integrated photon flux in the same energy band is (3.6+/- 0.6)× {10}-13 {{cm}}-2 {{{s}}}-1. EBL-model-dependent upper limits of the blazar redshift have been derived. Depending on the EBL model used, the upper limit varies in the range from z < 0.9 to z < 1.1.

Time-resolved laser-induced fluorescence spectroscopy as a diagnostic instrument in head and neck carcinoma.

PubMed

Meier, Jeremy D; Xie, Hongtao; Sun, Yang; Sun, Yinghua; Hatami, Nisa; Poirier, Brian; Marcu, Laura; Farwell, D Gregory

2010-06-01

The objectives of this study were to 1) determine differences in lifetime fluorescence between normal and malignant tissue of the upper aerodigestive tract, and 2) evaluate the potential of time-resolved laser-induced fluorescence spectroscopy (TR-LIFS) as a diagnostic instrument for head and neck squamous cell carcinoma (HNSCC). Cross-sectional study. University-based medical center. Nine patients with suspected HNSCC were included. In the operating room, a nitrogen pulse laser (337 nm, 700-picosecond pulse width) was used to induce tissue autofluorescence of normal tissue and suspected malignant lesions. Spectral intensities and time-domain measurements were obtained and compared with the histopathology at each site. A total of 53 sites were measured. The fluorescence parameters that provided the most discrimination were determined. Differences in spectral intensities allowed for discrimination between malignant and normal tissue. The spectral intensity of malignant tissue was lower than that of normal tissue, and a shift of peak intensity to a longer wavelength was observed in the normalized spectrum of malignant tissue in the range of 360 to approximately 660 nm. Multiple time-resolved fluorescence parameters provided the best diagnostic discrimination between normal tissue and carcinoma, including average lifetimes (i.e., at 390 nm: 1.7 +/- 0.06 ns [not significant] for normal and 1.3 +/- 0.06 ns for tumor, P = 0.0025) and the second-order Laguerre expansion coefficient (LEC-2) (i.e., at 460 nm: 0.135 +/- 0.001 for normal and 0.155 +/- 0.007 for tumor, P < 0.05). These findings highlight some of the differences in lifetime fluorescence between normal and malignant tissue. TR-LIFS has potential as a noninvasive diagnostic technique for HNSCC. Copyright 2010 American Academy of Otolaryngology-Head and Neck Surgery Foundation. Published by Mosby, Inc. All rights reserved.

Time-resolved laser-induced fluorescence spectroscopy as a diagnostic instrument in head and neck carcinoma

PubMed Central

Meier, Jeremy D.; Xie, Hongtao; Sun, Yang; Sun, Yinghua; Hatami, Nisa; Poirier, Brian; Marcu, Laura; Farwell, D. Gregory

2011-01-01

OBJECTIVE 1) Determine differences in lifetime fluorescence between normal and malignant tissue of the upper aerodigestive tract. 2) Evaluate the potential of time-resolved laser-induced fluorescence spectroscopy (TR-LIFS) as a diagnostic instrument for head and neck squamous cell carcinoma (HNSCC). STUDY DESIGN Cross-sectional study. SETTING University-based medical center. SUBJECTS AND METHODS Nine patients with suspected HNSCC were included. In the operating room, a nitrogen pulse laser (337 nm, 700 ps pulse width) was used to induce tissue autofluorescence of normal tissue and suspected malignant lesions. Spectral intensities and time-domain measurements were obtained and compared to the histopathology at each site. A total of 53 sites were measured. The fluorescence parameters that provided the most discrimination were determined. RESULTS Differences in spectral intensities allowed for discrimination between malignant and normal tissue. The spectral intensity of malignant tissue was lower than the normal tissue, and a shift of peak intensity to a longer wavelength was observed in the normalized spectrum of malignant tissue in the range of 360~660 nm. Multiple time-resolved fluorescence parameters provided the best diagnostic discrimination between normal tissue and carcinoma, including average lifetimes (i.e., at 390 nm: 1.7±0.06 ns for normal and 1.3±0.06 ns for tumor, P=0.0025), and the Laguerre coefficients, LEC-2 (i.e., at 460 nm: 0.135±0.001 for normal and 0.155±0.007 for tumor, P<0.05). CONCLUSION These findings highlight some of the differences in lifetime fluorescence between normal and malignant tissue. TR-LIFS has potential as a non-invasive diagnostic technique for HNSCC. PMID:20493355

New age- and sex-specific criteria for QT prolongation based on rate correction formulas that minimize bias at the upper normal limits.

PubMed

Rautaharju, Pentti M; Mason, Jay W; Akiyama, Toshio

2014-07-01

Existing formulas for rate-corrected QT (QTc) commonly fail to properly adjust the upper normal limits which are more critical than the mean QTc for evaluation of prolonged QT. Age- and sex-related differences in QTc are also often overlooked. Our goal was to establish criteria for prolonged QTc using formulas that minimize QTc bias at the upper normal limits. Strict criteria were used in selecting a study group of 57,595 persons aged 5 to 89 years (54% women) and to exclude electrocardiograms (ECG) with possible disease-associated changes. Two QT rate adjustment formulas were identified which both minimized rate-dependency in the 98 th percentile limits: QTcmod, based on an electrophysiological model (QTcMod = QTx(120 + HR)/180)), and QTcLogLin, a power function of the RR interval with exponents 0.37 for men and 0.38 for women. QTc shortened in men during adolescence and QTcMod became 13 ms shorter than in women at age 20-29 years. The sex difference was maintained through adulthood although decreasing with age. The criteria established for prolonged QTc were: Age < 40 years, men 430 ms, women 440 ms; Age 40 to 69, men 440 ms, women 450 ms; Age ≥ 70 years, men 455 ms, and women 460 ms. Sex difference in QTc originates from shortened QT in adolescent males. Upper normal limits for QTc vary substantially by age and sex, and it is essential to use age- and sex-specific criteria for evaluation of QT prolongation. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Geochemical and Isotopic Features of Çaykara (Trabzon, NE Turkey) Intrusive Complex

NASA Astrophysics Data System (ADS)

Sen, Cuneyt; Aydınçakır, Emre; Aydin, Faruk; Dokuz, Abdurrahman; Karslı, Orhan; Yılmazer, Sinan; Dündar, Buket

2017-04-01

Çaykara (Trabzon) Intrusive Complex is located at the eastern part of the Kaçkar Batholith. In the complex, Gündoǧdu-Boǧalı Plutons is Upper Cretaceous in aged, and Uzundere and Eǧerler Plutons are Eocene in aged. Gündoǧdu-Boǧa Plutons crop out around Araklı-Bahçecik villages, and are represented by the granitic to granodioritic rocks in composition showing porphyritic-granular texture. These rocks contain dark coloured, semi-rounded to rounded, wedged, fine-grained diorite and monzodiorite anclaves. Uzuntarla Pluton extends at E-W from Köknar-Karaçam-Uzuntarla sub-districs to south of Çaykara towards Bahçecik sub-district of Araklı. The rocks of the Uzuntarla Pluton are generally diorite to granodiorite in composition with porphyritic in texture. Eǧerler Pluton exposes at southern of the Çaykara Intrusive Complex. It's mineralogical composition is changing from diorite to granite with medium-coarse grain granular texture. The Upper Cretaceous plutonic rocks are characterized by ɛNd(i) values range from -1.5 to -9.7, whereas 87Sr/86Sr(i) values range from 0.7052 to 0.7119. Nd model ages are between 0.94 and 1.52 Ga. 206Pb/204Pb(i), 207Pb/204Pb(i) and 208Pb/204Pb(i) contents of samples change from 18.24 to 18.72, 15.59 to 15.66 and 37.93-38.64, respectively. The δ18O values in the investigated samples range from 4.0 ‰ to 6.7 ‰ and have similar ratios to I-type granitoides.The Eocene plutonic rocks are characterized by ɛNd(i) values range from -0.4 to -6.0, whereas 87Sr/86Sr(i) values range from 0.7050 to 0.7143. Nd model ages are between 0.81 and 1.32 Ga. 206Pb/204Pb(i), 207Pb/204Pb(i) and 208Pb/204Pb(i) contents of samples change from 18.241to 18.57, 15.58 to 15.63 and 38.22-38.92, respectively. The δ18O values in the investigated samples range from 5.8 ‰ to 7.1 ‰ and have similar ratios to I-type granitoides. Upper Cretaceous and Eocene aged Plutons in the study area are high-K calc-alkaline in composition and display metaluminous to peraluminous characteristics. The primitive mantle normalized multi-element variation diagrams of the studied samples show enrichment in LILE relative to HFSE and also negative Nb, Ta, P, Ti and positive Pb anomalies. Chondrite-normalized rare earth element (REE) patterns are [(La/Lu)N=8-10] and display negative Eu anomalies. When obtained initial data is plotted on tectonic discrimination diagram, as expected the tectonic setting of the plutons in subject was observed representing island arc environment. This work was supported by the Scientific and Technological Research Council of Turkey (TUBITAK, grant 114Y219).

The influence of aminotransferase levels on liver stiffness assessed by Acoustic Radiation Force Impulse Elastography: a retrospective multicentre study.

PubMed

Bota, Simona; Sporea, Ioan; Peck-Radosavljevic, Markus; Sirli, Roxana; Tanaka, Hironori; Iijima, Hiroko; Saito, Hidetsugu; Ebinuma, Hirotoshi; Lupsor, Monica; Badea, Radu; Fierbinteanu-Braticevici, Carmen; Petrisor, Ana; Friedrich-Rust, Mireen; Sarrazin, Christoph; Takahashi, Hirokazu; Ono, Naofumi; Piscaglia, Fabio; Marinelli, Sara; D'Onofrio, Mirko; Gallotti, Anna; Salzl, Petra; Popescu, Alina; Danila, Mirela

2013-09-01

Acoustic Radiation Force Impulse Elastography is a new method for non-invasive evaluation of liver fibrosis. To evaluate the impact of elevated alanine aminotransferase levels on liver stiffness assessment by Acoustic Radiation Force Impulse Elastography. A multicentre retrospective study including 1242 patients with chronic liver disease, who underwent liver biopsy and Acoustic Radiation Force Impulse. Transient Elastography was also performed in 512 patients. The best Acoustic Radiation Force Impulse cut-off for predicting significant fibrosis was 1.29 m/s in cases with normal alanine aminotransferase levels and 1.44 m/s in patients with alanine aminotransferase levels>5 × the upper limit of normal. The best cut-off for predicting liver cirrhosis were 1.59 and 1.75 m/s, respectively. Acoustic Radiation Force Impulse cut-off for predicting significant fibrosis and cirrhosis were relatively similar in patients with normal alanine aminotransferase and in those with alanine aminotransferase levels between 1.1 and 5 × the upper limit of normal: 1.29 m/s vs. 1.36 m/s and 1.59 m/s vs. 1.57 m/s, respectively. For predicting cirrhosis, the Transient Elastography cut-offs were significantly higher in patients with alanine aminotransferase levels between 1.1 and 5 × the upper limit of normal compared to those with normal alanine aminotransferase: 12.3 kPa vs. 9.1 kPa. Liver stiffness values assessed by Acoustic Radiation Force Impulse and Transient Elastography are influenced by high aminotransferase levels. Transient Elastography was also influenced by moderately elevated aminotransferase levels. Copyright © 2013 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

Right ventricular volumes and function in thalassemia major patients in the absence of myocardial iron overload

PubMed Central

2010-01-01

Aim We aimed to define reference ranges for right ventricular (RV) volumes, ejection fraction (EF) in thalassemia major patients (TM) without myocardial iron overload. Methods and results RV volumes, EF and mass were measured in 80 TM patients who had no myocardial iron overload (myocardial T2* > 20 ms by cardiovascular magnetic resonance). All patients were receiving deferoxamine chelation and none had evidence of pulmonary hypertension or other cardiovascular comorbidity. Forty age and sex matched healthy non-anemic volunteers acted as controls. The mean RV EF was higher in TM patients than controls (males 66.2 ± 4.1% vs 61.6 ± 6%, p = 0.0009; females 66.3 ± 5.1% vs 62.6 ± 6.4%, p = 0.017), which yielded a raised lower threshold of normality for RV EF in TM patients (males 58.0% vs 50.0% and females 56.4% vs 50.1%). RV end-diastolic volume index was higher in male TM patients (mean 98.1 ± 17.3 mL vs 88.4 ± 11.2 mL/m2, p = 0.027), with a higher upper limit (132 vs 110 mL/m2) but this difference was of borderline significance for females (mean 86.5 ± 13.6 mL vs 80.3 ± 12.8 mL/m2, p = 0.09, with upper limit of 113 vs 105 mL/m2). The cardiac index was raised in TM patients (males 4.8 ± 1.0 L/min vs 3.4 ± 0.7 L/min, p < 0.0001; females 4.5 ± 0.8 L/min vs 3.2 ± 0.8 L/min, p < 0.0001). No differences in RV mass index were identified. Conclusion The normal ranges for functional RV parameters in TM patients with no evidence of myocardial iron overload differ from healthy non-anemic controls. The new reference RV ranges are important for determining the functional effects of myocardial iron overload in TM patients. PMID:20416084

Generalised joint hypermobility and shoulder joint hypermobility, - risk of upper body musculoskeletal symptoms and reduced quality of life in the general population.

PubMed

Juul-Kristensen, Birgit; Østengaard, Lasse; Hansen, Sebrina; Boyle, Eleanor; Junge, Tina; Hestbaek, Lise

2017-05-30

Generalised Joint Hypermobility (GJH) is a hereditary condition with an ability to exceed the joints beyond the normal range. The prevalence of GJH in the adult population and its impact on upper body musculoskeletal health and quality of life has mostly been studied in selected populations. The aims of this study were therefore, firstly to study the prevalence of GJH and GJH including shoulder hypermobility (GJHS), in the general Danish adult population; secondly to test the associations between GJH or GJHS and upper body musculoskeletal symptoms and health-related quality of life (HRQoL). The study was cross-sectional where 2072 participants, aged 25-65, randomly extracted from the Danish Civil Registration System), were invited to answer a questionnaire battery (Five-Part Questionnaire for classification of GJH, Standardised Nordic Questionnaire for musculoskeletal symptoms, EuroQoL-5D for HRQoL). Totally 1006 (49%) participants responded. The prevalence of GJH and GJHS were 30% (n = 300) and 5% (n = 51), respectively. Compared with Non GJH (NGJH), participants with GJH and GJHS had Odds Ratio (OR) of 1.5-3.5 for upper body musculoskeletal symptoms within the last 12 months (mostly shoulders and hands/wrists). GJH and GJHS also had OR 1.6-4.4 for being prevented from usual activities, mostly due to shoulder and neck symptoms. Furthermore, GJH and GJHS had OR 2.2-3.1 for upper body musculoskeletal symptoms lasting for more than 90 days (neck, shoulders, hand/wrists), and 1.5-3.5 for reduced HRQoL (all dimensions, but anxiety/depression) compared with NGJH. Generally, most OR for GJHS were about twice as high as for those having GJH alone. GJH and GJHS are frequently self-reported musculoskeletal conditions in the Danish adult population. Compared with NGJH, GJH and especially GJHS, present with higher OR for upper body musculoskeletal symptoms, more severe symptoms and decreased HRQoL.

Oxfordian magnetostratigraphy of the Aguilón and Tosos sections (Iberian Range, Spain) and evidence of a pre-Oligocene overprint

NASA Astrophysics Data System (ADS)

Juárez, M. T.; Osete, M. L.; Meléndez, G.; Langereis, C. G.; Zijderveld, J. D. A.

1994-08-01

A composite magnetic polarity sequence has been constructed for the middle and late Oxfordian (late Jurassic) from four overlapping sections situated in both limbs of an anticline. Two stable magnetisation components could be isolated in every sample analyzed. Both components pass the fold test: a low-temperature secondary component, with Dec. = 340.9° and Inc. = 44.9° ( α95 = 1.7°), of pre-Oligocene age, showing always normal polarity, and a high-temperature primary component, with Dec. = 324.1° and Inc. = 40.6° (α 95 = 2.9°). The latter shows both normal and reversed polarities and provides the geomagnetic record for the late Jurassic. The magnetostratigraphy of the four overlapping sections has given consistent results and indicates that a high frequency of reversals characterises the pattern of the geomagnetic field during the middle to upper Oxfordian. The corresponding Oxfordian paleopole is Plat = 251.2°, Plong = 55.9° ( α95 = 3.1).

GINGA observations of Cygnus X-2.

NASA Astrophysics Data System (ADS)

Wijnands, R. A. D.; van der Klis, M.; Kuulkers, E.; Asai, K.; Hasinger, G.

1997-07-01

We have analysed all available X-ray data on the low-mass X-ray binary Cygnus X-2 obtained with the Ginga satellite. A detailed analysis of the spectral and fast timing behaviour of these 4 years of data provides new insights in the behaviour of this Z source. We confirm the previously observed recurrent patterns of behaviour in the X-ray colour-colour and hardness-intensity diagrams consisting of shifts and shape changes in the Z track. However, we find a continuous range of patterns rather than a discrete set. The source behaviour in the diagrams is correlated with overall intensity, which varied by a factor of 1.34 in the Ginga data. We find that when the overall intensity increases, the mean velocity and acceleration of the motion along the normal branch of the Z track increase, as well as the width of the normal branch in the hardness-intensity diagram. Contrary to previous results we find that, during different observations, when the source is at the same position in the normal branch of the Z track the rapid X-ray variability differs significantly. During the Kuulkers et al. (1996A&A...311..197K) ``medium'' level, a normal branch quasi-periodic oscillation is detected, which is not seen during the ``high'' overall intensity level. Also, during the high overall intensity level episodes the very-low frequency noise on the lower normal branch is very strong and steep, whereas during the medium overall intensity level episodes this noise component at the same position in the Z track is weak and less steep. The explanation of the different overall intensity levels with a precessing accretion disk is difficult to reconcile with our data. Furthermore, we found that the frequency of the horizontal branch quasi-periodic oscillation decreases when Cygnus X-2 enters the upper normal branch, giving a model dependent upper limit on the magnetic field strength at the magnetic equator of ~8.5x10^9^G. We also report five bursts, with durations between two and eight seconds, whose occurrence seems to be uncorrelated with location in the Z track, overall intensity level or orbital phase. The burst properties indicate that they are not regular type I bursts.

Seismic stratigraphy, tectonics and depositional history in the Halk el Menzel region, NE Tunisia

NASA Astrophysics Data System (ADS)

Sebei, Kawthar; Inoubli, Mohamed Hédi; Boussiga, Haïfa; Tlig, Said; Alouani, Rabah; Boujamaoui, Mustapha

2007-01-01

In the Halk el Menzel area, the proximal- to pelagic platform transition and related tectonic events during the Upper Cretaceous-Lower Miocene have not been taken into adequate consideration. The integrated interpretation of outcrop and subsurface data help define a seismic stratigraphic model and clarify the geodynamic evolution of the Halk el Menzel block. The sedimentary column comprises marls and limestones of the Campanian to Upper Eocene, overlain by Oligocene to Lower Miocene aged siliciclastics and carbonates. Well to well correlations show sedimentary sequences vary considerably in lithofacies and thicknesses over short distances with remarkable gaps. The comparison of sedimentary sequences cut by borehole and seismic stratigraphic modelling as well help define ten third order depositional sequences (S1-S10). Sequences S1 through S6 (Campanian-Paleocene) are mainly characterized by oblique to sigmoid configurations with prograding sedimentary structures, whereas, sequences S7-S10 (Ypresian to Middle Miocene) are organized in shallow water deposits with marked clinoform ramp geometry. Sedimentary discontinuities developed at sequence boundaries are thought to indicate widespread fall in relative sea level. Angular unconformities record a transpressive tectonic regime that operated from the Campanian to Upper Eocene. The geometry of sequences with reduced thicknesses, differential dipping of internal seismic reflections and associated normal faulting located westerly in the area, draw attention to a depositional sedimentary system developed on a gentle slope evolving from a tectonically driven steepening towards the Northwest. The seismic profiles help delimit normal faulting control environments of deposition. In contrast, reef build-ups in the Eastern parts occupy paleohighs NE-SW in strike with bordering Upper Maastrichtian-Ypresian seismic facies onlapping Upper Cretaceous counterparts. During the Middle-Upper Eocene, transpressive stress caused reactivation of faults from normal to reverse play. This has culminated in propagation folds located to the west; whereas, the eastern part of the block has suffered progressive subsidence. Transgressive carbonate depositional sequences have predominated during the Middle Miocene and have sealed pre-existing tectonic structures.

Multiple extraction patterns in severe discrepancy cases.

PubMed

Anderson, B D

1975-10-01

Thirty-five cases have been collected from colleagues which illustrate that removal of additional maxillary teeth, following first bicuspid extractions, can allow the successful resolution of difficult discrepancy and anchorage cases. Charts 1 and 2 describe the amounts of space that might be expected by removal of additional upper bicuspids, upper first molars, and upper second molars. The findings on upper second molars are admittedly limited. Anchorage values as expressed by an efficiency percentage were approximately what would be expected from a study of anchorage values of the roots of teeth. The removal of upper second bicuspids has a better anchorage efficiency potential than the upper first molar, but this may be overcome somewhat by the greater size of the molar. Clear guidance cannot be given as to which teeth to remove in a specific case, but it is the observation of the author that for cases that are still in full Class II following four bicuspid space closure, upper second bicuspid removal would be more helpful from an anchorage perspective, whereas for cases that are in end-to-end molar relationship or require only a few millimeters to move into Class I, the upper first molar might be the tooth of choice. Also, the supper first molar removal allows for a more "normal" appearing arch assuming normal alignment and size of the upper second and third molars. The comparison with the nonextraction control group showed an enormous difference in the amount of incisor retraction that extractions provide when related to the maxilla. The nonextraction control group, though experiencing dramatic correction of Class II relationships, showed no incisor movement within the maxilla. Some problems which appeared in the sample were described. Removal of upper teeth in addition to the four first bicuspids can be a solution to an occasional anchorage, skeletal, growth or cooperation problem.

Increased BMI in children-an indicator for less compliance during orthodontic treatment with removable appliances.

PubMed

von Bremen, Julia; Lorenz, Nathalie; Ludwig, Björn; Ruf, Sabine

2018-02-19

To assess whether or not childhood overweight is associated with lower levels of compliance during orthodontic therapy with removable appliances. Starting in 2011, all upper expansion plates and Sander II appliances were equipped with a Theramon® microsensor chip to assess appliance wear time objectively. According to their pre-treatment, BMI normal weight patients were matched to consecutively treated overweight or obese patients by gender, age, and appliance type. Cooperation was assessed with microelectronic wear time documentation over a period of at least 6 months. A total of 50 patients (25 overweight, 25 normal weight) with upper expansion plates and 64 patients (32 overweight, 32 normal weight) with Sander II appliances were analysed. Spearman Rho coefficients showed an indirect association between BMI and appliance wear time, indicating that the higher the BMI, the less the patients wore their appliances (P < 0.05). Furthermore, both normal- and overweight children wore upper expansion plates significantly more than Sander II appliances (P < 0.05). Although no gender-specific difference was found (P = 0.723), an age-related correlation could be verified, indicating a decrease in wear time with increasing age (P < 0.05). An increased BMI appears to be a risk factor for less appliance wear during orthodontic treatment with removable appliances. Additional factors which influenced cooperation during treatment with removable appliances were patient age and appliance type.

Upper And Lower Limbs Disability And Personality Traits.

PubMed

Jabeen, Tahira; Kazmi, Syeda Farhana; Rehman, Atiq Ur; Ahmed, Sajjad

2016-01-01

It is believed that the study of personality has the potentials to enhance our prognostic abilities and can better to expose the etiology of mental illness through the relationship of revealed mechanisms. The focus of this study was to investigate and compare the habitual patterns of behavior, thought and emotions of upper and lower limb physically disabled students in terms of personality traits. This cross sectional study consisted of 100 upper limbs and lower limbs disabled students taken from Kingston school Inclusive Education System Abottabad, Mashal special education system Haripur, Syed Ahmed Shaheed special education center Abottabad, Al-Munir Foundation Mansehra and Hera Special Education System Haripur and 100 normal students taken from Islamic International School Abottabad, Falcon Public School Haripur, Iqra Academy Mansehra and Alhamd International School Haripur of Hazara Division by purposive sampling technique. This study was conducted during the month of June 2013 to May 2014. Goldberg five big personality scale was used for measuring personality traits of physically disabled and normal students. The significant difference of personality traits scores between physically disabled students (M = 139.2, SD=12.0) and normal students (M=184.5, SD=13.2), t (198) =25.3, p<.05 was observed. Normal students have high scores as compared to physically disabled students on big five traits, i.e., Extraversion, Agreeableness, Conscientiousness, Emotional Stability and Openness to Experience.

The grand tour of the Ruby-East Humboldt metamorphic core complex, northeastern Nevada: Part 1 - Introduction & road log

USGS Publications Warehouse

Snoke, A.W.; Howard, K.A.; McGrew, A.J.; Burton, B.R.; Barnes, C.G.; Peters, M.T.; Wright, J.E.

1997-01-01

The purpose of this geological excursion is to provide an overview of the multiphase developmental history of the Ruby Mountains and East Humboldt Range, northeastern Nevada. Although these mountain ranges are commonly cited as a classic example of a Cordilleran metamorphic core complex developed through large-magnitude, mid-Tertiary crustal extension, a preceding polyphase Mesozoic contractional history is also well preserved in the ranges. An early phase of this history involved Late Jurassic two-mica granitic magmatism, high-temperature but relatively low-pressure metamorphism, and polyphase deformation in the central Ruby Mountains. In the northern Ruby Mountains and East Humboldt Range, a Late Cretaceous history of crustal shortening, metamorphism, and magmatism is manifested by fold-nappes (involving Archean basement rocks in the northern East Humboldt Range), widespread migmatization, injection of monzogranitic and leucogranitic magmas, all coupled with sillimanite-grade metamorphism. Following Late Cretaceous contraction, a protracted extensional deformation partially overprinted these areas during the Cenozoic. This extensional history may have begun as early as the Late Cretaceous or as late as the mid-Eocene. Late Eocene and Oligocene magmatism occurred at various levels in the crust yielding mafic to felsic orthogneisses in the deep crust, a composite granitic pluton in the upper crust, and volcanic rocks at the surface. Movement along a west-rooted, extensional shear zone in the Oligocene and early Miocene led to core-complex exhumation. The shear zone produced mylonitic rocks about 1 km thick at deep crustal levels, and an overprint of brittle detachment faulting at shallower levels as unroofing proceeded. Megabreccias and other synextensional sedimentary deposits are locally preserved in a tilted, upper Eocene through Miocene stratigraphic sequence. Neogene magmatism included the emplacement of basalt dikes and eruption of rhyolitic rocks. Subsequent Basin and Range normal faulting, as young as Holocene, records continued tectonic extension.

Proof of concept of the ability of the kinect to quantify upper extremity function in dystrophinopathy.

PubMed

Lowes, Linda P; Alfano, Lindsay N; Yetter, Brent A; Worthen-Chaudhari, Lise; Hinchman, William; Savage, Jordan; Samona, Patrick; Flanigan, Kevin M; Mendell, Jerry R

2013-03-14

Individuals with dystrophinopathy lose upper extremity strength in proximal muscles followed by those more distal. Current upper extremity evaluation tools fail to fully capture changes in upper extremity strength and function across the disease spectrum as they tend to focus solely on distal ability. The Kinect by Microsoft is a gaming interface that can gather positional information about an individual's upper extremity movement which can be used to determine functional reaching volume, velocity of movement, and rate of fatigue while playing an engaging video game. The purpose of this study was to determine the feasibility of using the Kinect platform to assess upper extremity function in individuals with dystrophinopathy across the spectrum of abilities. Investigators developed a proof-of-concept device, ACTIVE (Abilities Captured Through Interactive Video Evaluation), to measure functional reaching volume, movement velocity, and rate of fatigue. Five subjects with dystrophinopathy and 5 normal controls were tested using ACTIVE during one testing session. A single subject with dystrophinopathy was simultaneously tested with ACTIVE and a marker-based motion analysis system to establish preliminary validity of measurements. ACTIVE proof-of-concept ranked the upper extremity abilities of subjects with dystrophinopathy by Brooke score, and also differentiated them from performance of normal controls for the functional reaching volume and velocity tests. Preliminary test-retest reliability of the ACTIVE for 2 sequential trials was excellent for functional reaching volume (ICC=0.986, p<0.001) and velocity trials (ICC=0.963, p<0.001). The data from our pilot study with ACTIVE proof-of-concept demonstrates that newly available gaming technology has potential to be used to create a low-cost, widely-accessible and functional upper extremity outcome measure for use with children and adults with dystrophinopathy.

Predictors and outcomes of increases in creatine phosphokinase concentrations or rhabdomyolysis risk during statin treatment

PubMed Central

van Staa, Tjeerd P; Carr, Daniel F; O’Meara, Helen; McCann, Gerry; Pirmohamed, Munir

2014-01-01

Aim The aim was to evaluate clinical risk factors associated with myotoxicity in statin users. Methods This was a cohort study of patients prescribed a statin in UK primary care practices contributing to the Clinical Practice Research Datalink. Outcomes of interest were creatine phosphokinase (CPK) concentrations and clinical records of rhabdomyolysis. Results The cohort comprised 641 703 statin users. Simvastatin was most frequently prescribed (66.3%), followed by atorvastatin (24.4%). CPK was measured in 127 209 patients: 81.4% within normal range and 0.7% above four times ULN CPK compared with normal CPK (OR 1.28, 95% CI 1.01, 1.60). Rosuvastatin users had higher risk of >four times ULN CPK (OR 1.62, 95% CI 1.22, 2.15) as did patients with larger daily doses of other statin types. A recent clinical record of myalgia was associated with an increased OR of >four times ULN CPK (OR 1.73, 95% CI 1.37, 2.18). In patients who were rechallenged to statins and had repeat CPK measurements after >four times ULN CPK abnormalities, 54.8% of the repeat CPK values were within normal range, 32.1% between one to three times and 13.0% >four times ULN. Conclusions The frequencies of substantive CPK increases and rhabdomyolysis during statin treatment were low, with highest risks seen in those on large daily doses or interacting drugs and on rosuvastatin. CPK measurements appeared to have been done in a haphazard manner and better guidance is needed. PMID:24602118

Fundamental aerodynamic characteristics of delta wings with leading-edge vortex flows

NASA Technical Reports Server (NTRS)

Wood, R. M.; Miller, D. S.

1985-01-01

An investigation of the aerodynamics of sharp leading-edge delta wings at supersonic speeds has been conducted. The supporting experimental data for this investigation were taken from published force, pressure, and flow-visualization data in which the Mach number normal to the wing leading edge is always less than 1.0. The individual upper- and lower-surface nonlinear characteristics for uncambered delta wings are determined and presented in three charts. The upper-surface data show that both the normal-force coefficient and minimum pressure coefficient increase nonlinearly with a decreasing slope with increasing angle of attack. The lower-surface normal-force coefficient was shown to be independent of Mach number and to increase nonlinearly, with an increasing slope, with increasing angle of attack. These charts are then used to define a wing-design space for sharp leading-edge delta wings.

[A case of multiple sclerosis with hypothalamic amenorrhea].

PubMed

Miyamoto, T; Miyamoto, M; Yokota, N; Kubo, J; Hirata, K

2000-03-01

We present a 31-year-old woman of multiple sclerosis. At age 28, she was admitted with complaints of echolalia and a gradual onset of weakness affecting the right upper and bilateral lower limbs. Brain MRI showed high intensity areas in the bilateral frontal gyri, lobuli paracentralis, and left anterior thalamus. Although she had been in remission for 3 years, she developed dysesthesia of left upper and lower limbs. Cervical T2 weighted MRI showed a new high signal intensity lesion in the spinal cord from the C2 to C3 level. The combination of the cerebral, thalamic and spinal cord lesions with remission and excerbations allowed the diagnosis of clinically MS to be made. She suffered amenorrhea from the onset of her illness. Serum prolactin was within the normal range. The LH and FSH basal secretions were decreased and there were low delayed secretions of LH and FSH after intravenous injection of 100 micrograms LHRH. We consider that her amenorrhea was caused by the hypothalamic lesion, supported by MR findings of dilatation of the third ventricle.

Analysis of occupational stress in a high fashion clothing factory with upper limb biomechanical overload.

PubMed

Forcella, Laura; Bonfiglioli, Roberta; Cutilli, Piero; Siciliano, Eugenio; Di Donato, Angela; Di Nicola, Marta; Antonucci, Andrea; Di Giampaolo, Luca; Boscolo, Paolo; Violante, Francesco Saverio

2012-07-01

To study job stress and upper limb biomechanical overload due to repetitive and forceful manual activities in a factory producing high fashion clothing. A total of 518 workers (433 women and 85 men) were investigated to determine anxiety, occupational stress (using the Italian version of the Karasek Job Content Questionnaire) and perception of symptoms (using the Italian version of the Somatization scale of Symptom Checklist SCL-90). Biomechanical overload was analyzed using the OCRA Check list. Biomechanical assessment did not reveal high-risk jobs, except for cutting. Although the perception of anxiety and job insecurity was within the normal range, all the workers showed a high level of job strain (correlated with the perception of symptoms) due to very low decision latitude. Occupational stress resulted partially in line with biomechanical risk factors; however, the perception of low decision latitude seems to play a major role in determining job strain. Interactions between physical and psychological factors cannot be demonstrated. Anyway, simultaneous long-term monitoring of occupational stress features and biomechanical overload could guide workplace interventions aimed at reducing the risk of adverse health effects.

Hepatoid adenocarcinoma of the lung without production of α-fetoprotein: A case report and review of the literature

PubMed Central

SUN, JI NING; ZHANG, BAO LONG; LI, LIN KUN; YU, HAI YAN; WANG, BIN

2016-01-01

Hepatoid adenocarcinoma of the lung (HAL) is a rare type of extrahepatic hepatoid adenocarcinoma. The majority of such cases that have been reported in the English literature have demonstrated elevated serum α-fetoprotein (AFP) and/or positive AFP expression on histopathological analysis, and have had poor prognoses. The current study reports an extremely rare case of HAL in the right upper lung without AFP production in a 59-year-old male patient. The patient underwent radical right upper lobectomy via video assisted thoracoscopic surgery. No signs of local recurrence or distant metastasis have been observed for 23 months after the surgery. The serum AFP level following surgery remained within the normal range. Although the diagnosis of HAL predominantly depends on pathological examination, a review of the literature demonstrates that HAL has certain characteristic features with regard to its clinical and computed tomography findings and prognoses, and clinicians should be aware that clinicians should be aware that monitoring serum AFP levels, as well as CT findings, remains important. PMID:27347123

Hepatoid adenocarcinoma of the lung without production of α-fetoprotein: A case report and review of the literature.

PubMed

Sun, Ji Ning; Zhang, Bao Long; Li, Lin Kun; Yu, Hai Yan; Wang, Bin

2016-07-01

Hepatoid adenocarcinoma of the lung (HAL) is a rare type of extrahepatic hepatoid adenocarcinoma. The majority of such cases that have been reported in the English literature have demonstrated elevated serum α-fetoprotein (AFP) and/or positive AFP expression on histopathological analysis, and have had poor prognoses. The current study reports an extremely rare case of HAL in the right upper lung without AFP production in a 59-year-old male patient. The patient underwent radical right upper lobectomy via video assisted thoracoscopic surgery. No signs of local recurrence or distant metastasis have been observed for 23 months after the surgery. The serum AFP level following surgery remained within the normal range. Although the diagnosis of HAL predominantly depends on pathological examination, a review of the literature demonstrates that HAL has certain characteristic features with regard to its clinical and computed tomography findings and prognoses, and clinicians should be aware that clinicians should be aware that monitoring serum AFP levels, as well as CT findings, remains important.

A limit to the X-ray luminosity of nearby normal galaxies

NASA Technical Reports Server (NTRS)

Worrall, D. M.; Marshall, F. E.; Boldt, E. A.

1979-01-01

Emission is studied at luminosities lower than those for which individual discrete sources can be studied. It is shown that normal galaxies do not appear to provide the numerous low luminosity X-ray sources which could make up the 2-60 keV diffuse background. Indeed, upper limits suggest luminosities comparable with, or a little less than, that of the galaxy. This is consistent with the fact that the average optical luminosity of the sample galaxies within approximately 20 Mpc is slightly lower than that of the galaxy. An upper limit of approximately 1% of the diffuse background from such sources is derived.

Alanine transaminase level in a healthy population in Morocco.

PubMed

Laouina, A; Abouyoub, A; Soulaymani, A; Alami, R

2012-03-01

A little is known about the prevalence of elevated alanine transaminase in a Moroccan healthy population. Our aim was to search for the upper limit of normal alanine transaminase in the blood donors and then to apply the upper limit of normal alanine found in the population so as to assess the prevalence of subjects with abnormal transaminase level. We then, investigated for factors associated with increased level of transaminase in our population. This study was carried out on 14071 blood donors, (74.1% of men and 25.9% female) aged between 18 to 60 years, randomly chosen. Serum transaminase activity was measured using on IEMS Reader, Labsystems. Hepatitis B and C were performed by ELISA. The upper limit of normal transaminase found were 64 for men and 52 for women. Consequently, 2.08% blood donors had an abnormal level of transaminase. Follow up results revealed that drug was the first cause of elevated transaminase in our cohort followed by diet and alcohol consumption. One seroconversion for hepatitis C was identified. In conclusion, this study showed that even though there is an evident lack of efficiency in using alanine aminotransferase testing qualifying blood donors in our country, preventing viral potential transmission through transfusions was possible.

U.S. Geological Survey Georgia Water Science Center and Albany Water, Gas, and Light Commission Cooperative Water Program-Summary of Activities, July 2005 through June 2006

USGS Publications Warehouse

Gordon, Debbie W.

2006-01-01

The U.S. Geological Survey (USGS) has been working with the Albany Water, Gas, and Light Commission to monitor ground-water quality and availability since 1977. This report presents the findings for July 2005 through June 2006 and summarizes the ground-water and surface-water conditions for 2005. Water levels in 14 wells were continuously monitored in Dougherty County, Georgia. Water levels in 12 of those wells were above normal, one was normal, and one was below normal. Ground-water samples collected from the Upper Floridan aquifer indicate that nitrate levels have increased in 13 wells and decreased in two wells from a year earlier. A sample also was collected from the Flint River. A trilinear diagram showing the percent composition of selected major cations and anions indicates that the ground-water quality of the Upper Floridan aquifer at the Albany wellfield is distinctly different from the water quality of the Flint River. To improve the understanding of the ground-water flow system and nitrate movement in the Upper Floridan aquifer, the USGS is developing a ground-water flow model in the southwest Albany area, Georgia.

Quantitative evaluation of the orofacial morphology: anthropometric measurements in healthy and mouth-breathing children.

PubMed

Cattoni, Débora Martins; Fernandes, Fernanda Dreux Miranda; Di Francesco, Renata Cantisani; De Latorre, Maria Do Rosário Dias Oliveira

2009-11-01

The anthropometric orofacial measurements of mouth-breathing children were compared to those of children with no history of speech-language disorders, according to age. 100 children participated, both males and females, with ages ranging from 7 to 11 years and 11 months, leukoderm, in mixed dentition period, with a mouth-breathing diagnosis. The control group was comprised of 254 children, of both sexes, with ages ranging from 7 to 11 years and 11 months, leukoderm, in mixed dentition period, with no history of speech-language disorders. The control group did not demonstrate any mouth-breathing. The children were submitted to anthropometric assessment and the orofacial measurements obtained were upper lip, lower lip, philtrum, upper face, middle face, lower face, and sides of the face. The instrument used was the electronic digital sliding caliper Starrett Series 727. There was statistically significant difference between the majority of the orofacial measurements of mouth-breathing children and the measurements of children with no history of speech-language disorders. Some orofacial measurements were different in the studied populations. The possibility of comparing orofacial measurements of children with and without mouth-breathing behavior allows the clinician to determine normal and altered structures of the orofacial morphology. The main advantages of the anthropometry are its noninvasive nature, its technological simplicity, low cost and objective analysis. The anthropometric procedures also have clinical applications in myofunctional assessment and therapy.

Detection and Isolation of Digital Dermatitis Treponemes from Bovine Pressure Sores.

PubMed

Clegg, S R; Crosby-Durrani, H E; Bell, J; Blundell, R; Blowey, R W; Carter, S D; Evans, N J

2016-05-01

Pressure sores cause severe pain and discomfort in hospitalized people and in farmed cattle and are often infected with unknown bacteria. Pressure sores occur on the upper legs of 6-10% of recumbent cattle and are generally considered to be caused by constant pressure, commonly on bony areas of the limbs. This study analyzed pressure sores taken from the upper limbs of 14 cattle using isolation in culture and nested polymerase chain reaction (PCR) to detect treponemes associated with digital dermatitis (DD). A 100% association of DD treponemes with the pressure sores was demonstrated, but treponemes were shown not to be part of the normal skin microbiota. Immunohistochemistry showed an association of DD treponemes with lesions and particularly with the hair follicles in lesions, identifying the bacteria deep within wounds, thereby suggesting that they could contribute to lesion pathogenesis. The bacteria isolated from the pressure sore lesions were similar or identical on analysis of the 16S rRNA gene to those found in DD foot lesions in cattle, suggesting the same bacteria can infect multiple lesions. Indeed, the results of this study suggest that these spirochaetal bacteria may be expanding in host range and in their ability to colonize different tissues and contribute to a range of disease manifestations in farm animals. Copyright © 2016 Elsevier Ltd. All rights reserved.

Upper Cretaceous and lower Eocene conglomerates of Western Transverse Ranges: evidence for tectonic rotation

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

Reed, W.E.; Krause, R.G.F.

1989-04-01

Stratigraphic and paleomagnetic studies have suggested that the western Transverse Ranges (WTR) microplate is allochthonous, and may have experienced translational and rotational motions. Present paleocurrent directions from the Upper Cretaceous Jalama Formation of the Santa Ynez Mountains are north-directed; these forearc sediments (Great Valley sequence) contain magmatic arc-derived conglomerate clasts from the Peninsular Ranges in southern California. Paleocurrents in the lower Eocene Juncal and Cozy Dell Formations are south-directed. This juxtaposition is best explained by 90/degrees/ or more of clockwise rotation of the WTR microplate, so that Upper Cretaceous forearc sediments sourced from the Peninsular Ranges magmatic arc were depositedmore » by west-directed currents. Eocene sediments were derived from an uplifted portion of the western basin margin and deposited by east-directed currents. Franciscan olistoliths in the Upper Cretaceous sediments indicate deposition adjacent to an accretionary wedge; conglomeratic clasts recycled from the Upper Cretaceous sequence, and radiolarian cherts and ophiolitic boulders in the Eocene strata indicate derivation from an outer accretionary ridge.« less

Restoration of shoulder motion using single- versus dual-nerve repair in obstetrical brachial plexus injury.

PubMed

Azzi, Alain Joe; AlNaeem, Hassan; Aubin-Lemay, Camille; Kvann, Julie Chakriya; Alam, Peter; Retrouvey, Helene; Aldekhayel, Salah; Zadeh, Teanoosh

2018-05-01

OBJECTIVE The purpose of this study was to compare shoulder abduction and external rotation (ER) after single-nerve repair of the upper trunk alone versus dual-nerve repair of both the upper trunk and the suprascapular nerve. METHODS A retrospective chart review of a single surgeon's experience repairing obstetrical brachial plexus injuries between June 1995 and June 2015 was performed. Eight patients underwent repair of the upper trunk alone, and 10 patients underwent repair of the upper trunk and the suprascapular nerve. Shoulder abduction and ER ranges of motion (ROMs) (in degrees) were recorded preoperatively and postoperatively. Postoperative ROM and the difference in ROM gained after surgery were compared by independent t-test analysis. RESULTS The mean follow-up time was 161.4 weeks (range 62-514 weeks, SD 124.0 weeks). The mean patient age at the time of surgery was 31.3 weeks (range 19.9-47.0 weeks, SD 6.9 weeks). The mean postoperative shoulder abduction ROMs were 145.0° (range 85°-180°, SD 39.4°) after single-nerve repair and 134.0° (range 90°-180°, SD 30.3°) after dual-nerve repair (p = 0.51). The mean postoperative shoulder ER ROMs were 67.5° (range 10°-95°, SD 28.8°) after single-nerve repair and 72.0° (range 10°-95°, SD 31.3°) after dual-nerve repair (p = 0.76). CONCLUSIONS The authors found no difference in shoulder abduction and ER between patients who underwent single-nerve repair of the upper trunk alone and those who underwent dual-nerve repair of both the upper trunk and the suprascapular nerve.

Retrieval of ozone profiles from OMPS limb scattering observations

NASA Astrophysics Data System (ADS)

Arosio, Carlo; Rozanov, Alexei; Malinina, Elizaveta; Eichmann, Kai-Uwe; von Clarmann, Thomas; Burrows, John P.

2018-04-01

This study describes a retrieval algorithm developed at the University of Bremen to obtain vertical profiles of ozone from limb observations performed by the Ozone Mapper and Profiler Suite (OMPS). This algorithm is based on the technique originally developed for use with data from the SCanning Imaging Absorption spectroMeter for Atmospheric CHartographY (SCIAMACHY) instrument. As both instruments make limb measurements of the scattered solar radiation in the ultraviolet (UV) and visible (Vis) spectral ranges, an underlying objective of the study is to obtain consolidated and consistent ozone profiles from the two satellites and to produce a combined data set. The retrieval algorithm uses radiances in the UV and Vis wavelength ranges normalized to the radiance at an upper tangent height to obtain ozone concentrations in the altitude range of 12-60 km. Measurements at altitudes contaminated by clouds in the instrument field of view are identified and filtered out. An independent aerosol retrieval is performed beforehand and its results are used to account for the stratospheric aerosol load in the ozone inversion. The typical vertical resolution of the retrieved profiles varies from ˜ 2.5 km at lower altitudes ( < 30 km) to ˜ 1.5 km (about 45 km) and becomes coarser at upper altitudes. The retrieval errors resulting from the measurement noise are estimated to be 1-4 % above 25 km, increasing to 10-30 % in the upper troposphere. OMPS data are processed for the whole of 2016. The results are compared with the NASA product and validated against profiles derived from passive satellite observations or measured in situ by balloon-borne sondes. Between 20 and 60 km, OMPS ozone profiles typically agree with data from the Microwave Limb Sounder (MLS) v4.2 within 5-10 %, whereas in the lower altitude range the bias becomes larger, especially in the tropics. The comparison of OMPS profiles with ozonesonde measurements shows differences within ±5 % between 13 and 30 km at northern middle and high latitudes. At southern middle and high latitudes, an agreement within 5-7 % is also achieved in the same altitude range. An unexpected bias of approximately 10-20 % is detected in the lower tropical stratosphere. The processing of the 2013 data set using the same retrieval settings and its validation against ozonesondes reveals a much smaller bias; a possible reason for this behaviour is discussed.

World and Olympic mountain bike champions' anthropometry, body composition and somatotype.

PubMed

Sánchez-Muñoz, Cristóbal; Muros, José J; Zabala, Mikel

2018-06-01

The aim of the study was to describe the anthropometric profile of male Olympic cross country (XCO) mountain bikers. Fifty one XCO bikers participated in this study, divided into an elite group who competed in top level international competitions, and a non-elite group who competed at a national level. The elite group was further classified according to whether they had been world or Olympic champion mountain bikers (WOC) or not (NWOC). The anthropometric profiles included the measurements of height, weight, arm span, skinfolds, girths, and breadths. Body Mass Index (BMI), body composition and somatotype were also calculated. Variables was described as mean, standard deviation and range. The standardizing of the variables was carried out using the Shapiro-Wilk with Lillieforts correction and homoscedasticity was analyzed using the Levene Test. After verifying that the variables were normal, the data were analyzed using non-paired t-tests (elite vs. non-elite and WOC vs. NWOC). Elite riders had significantly lower BMI, lower percentage of fat, total thigh area and larger thigh muscle area than the sub-elite riders, and presented significantly lower values for the endomorphic component and higher values for the ectomorphic component. The mean somatotype of the elite riders could be defined as ecto-mesomorphic (1.7-4.6-3.1). Comparisons between of WOC riders and NWOC, showed that the WOC bikers had a significantly higher value for weight, arm span, upper arm girth relaxed and upper arm girth flexed and tensed, calf girth, total upper arm area, and upper arm muscle area than the NWOC riders group.

Somatosensory temporal discrimination in essential tremor and isolated head and voice tremors.

PubMed

Conte, Antonella; Ferrazzano, Gina; Manzo, Nicoletta; Leodori, Giorgio; Fabbrini, Giovanni; Fasano, Alfonso; Tinazzi, Michele; Berardelli, Alfredo

2015-05-01

The aim of this study was to investigate the somatosensory temporal discrimination threshold in patients with essential tremor (sporadic and familial) and to evaluate whether somatosensory temporal discrimination threshold values differ depending on the body parts involved by tremor. We also investigated the somatosensory temporal discrimination in patients with isolated voice tremor. We enrolled 61 patients with tremor: 48 patients with essential tremor (31 patients with upper limb tremor alone, nine patients with head tremor alone, and eight patients with upper limb plus head tremor; 22 patients with familial vs. 26 sporadic essential tremor), 13 patients with isolated voice tremor, and 45 healthy subjects. Somatosensory temporal discrimination threshold values were normal in patients with familial essential tremor, whereas they were higher in patients with sporadic essential tremor. When we classified patients according to tremor distribution, somatosensory temporal discrimination threshold values were normal in patients with upper limb tremor and abnormal only in patients with isolated head tremor. Temporal discrimination threshold values were also abnormal in patients with isolated voice tremor. Somatosensory temporal discrimination processing is normal in patients with familial as well as in patients with sporadic essential tremor involving the upper limbs. By contrast, somatosensory temporal discrimination is altered in patients with isolated head tremor and voice tremor. This study with somatosensory temporal discrimination suggests that isolated head and voice tremors might possibly be considered as separate clinical entities from essential tremor. © 2015 International Parkinson and Movement Disorder Society.

78 FR 76604 - Grand River Dam Authority; Notice of Application Tendered for Filing With the Commission and...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-18

... reservoir for the Grand River Dam Authority's Markham Ferry Project No. 2183, for pumped storage operations.... Holway Reservoir (the upper reservoir), with a normal pool elevation between 850 feet and 865 feet National Geodetic Vertical Datum; (2) three rim dikes around the upper reservoir; (3) an 1,800-foot-long...

78 FR 7768 - Public Service Company of Colorado; Notice of Application Accepted for Filing, Soliciting Motions...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-04

... project. The normal daily operation cycle involves pumping water from the lower reservoir to the upper... acre upper reservoir with 1,087 acre-feet of usable storage between the maximum operating elevation of... lower reservoir with 1,221 acre-feet of usable storage between the maximum operating elevation of 10,002...

The Performance of Methods to Test Upper-Level Mediation in the Presence of Nonnormal Data

ERIC Educational Resources Information Center

Pituch, Keenan A.; Stapleton, Laura M.

2008-01-01

A Monte Carlo study compared the statistical performance of standard and robust multilevel mediation analysis methods to test indirect effects for a cluster randomized experimental design under various departures from normality. The performance of these methods was examined for an upper-level mediation process, where the indirect effect is a fixed…

Saline-water intrusion related to well construction in Lee County, Florida

USGS Publications Warehouse

Boggess, Durward Hoye; Missimer, T.M.; O'Donnell, T. H.

1977-01-01

Ground water is the principle source of water supply in Lee County, Florida where an estimated 30,000 wells have been drilled since 1990. These wells ranges in depth from about 10 to 1,240 feet and tap the water table aquifer or one or more of the artesian water-bearing units or zones in the Tamiami Formation, the upper part of the Hawthorn Formation, the lower part of the Hawthorn Formation and the Tampa Limestone and the Suwannee Limestone. Before 1968, nearly all wells were constructed with galvanized or black iron pipe. Many of these wells are sources of saline-water intrusion into freshwater-bearing zones. The water-bearing zones in the lower part of the Hawthorn Formation, Tampa Limestone, and Suwannee Limestone are artesian-they have higher water levels and usually contain water with a higher concentration of dissolved solids than do the aquifers occurring at shallower depths. The water from these deeper aquifers generally range in dissolved solids concentration from about 1,500 to 2,400 mg/L, and in chloride from about 500 to 1,00 mg/L. A maximum chloride concentration of 15,200 mg/L has been determined. Few of the 3,00 wells estimated to have been drilled to these zones contain sufficient casing to prevent upward flow into overlaying water-bearing zones. Because of water-level differentials, upward movement and lateral intrusion of saline water occurs principally into the upper part of the Hawthorn Formation where the chloride concentrations in water unaffected by saline-water intrusion ranges from about 80 to 150 mg/L. Where intrusion from deep artesian zones has occurred, the chloride concentration in water from the upper part of the Hawthorn Formation ranges from about 300 to more than 2,100 mg/L Surface discharges of the saline water from wells tapping the lower part of the Hawthorn Formation and the Suwannee Limestone also had affected the water-table aquifer which normally contains water with 10 to 50 mg/L of chloride. In one area, the chloride concentration in water from the water table aquifer ranged from 200 to 590 mg/L as a result of intrusion. In areas adjacent to tidal-water bodies, the water table aquifer contains water that is very saline, Where the wells in such areas have been constructed with metal casings, the metal corrodes when exposed to the saline water, and many ultimately develop holes. This permits saline water to leak into the well where the water level in the well is lower than the water table. The intrusion of saline water from the water-table aquifer into the upper part of the Hawthorn Formation is a major problem in parts of Cape Coral. Withdrawal of water from the upper part of the Hawthorn Formation has caused water levels to decline below the lowest annual position of the water table, so that downward leakage is perennial. In some coastal areas, wells that tap the upper part of the Hawthorn Formation contain water whose chloride concentration is as much as 9,500 mg/L. Upward leakage of saline water from the deep artesian aquifers and downward leakage of saline water from the water-table aquifer can be prevented by proper well construction.

Diagnosis and management of subclinical hypothyroidism in pregnancy.

PubMed

Negro, Roberto; Stagnaro-Green, Alex

2014-10-06

In prospective studies, the prevalence of undiagnosed subclinical hypothyroidism in pregnant women ranges from 3% to 15%. Subclinical hypothyroidism is associated with multiple adverse outcomes in the mother and fetus, including spontaneous abortion, pre-eclampsia, gestational hypertension, gestational diabetes, preterm delivery, and decreased IQ in the offspring. Only two prospective studies have evaluated the impact of levothyroxine therapy in pregnant women with subclinical hypothyroidism, and the results were mixed. Subclinical hypothyroidism is defined as raised thyrotropin combined with a normal serum free thyroxine level. The normal range of thyrotropin varies according to geographic region and ethnic background. In the absence of local normative data, the recommended upper limit of thyrotropin in the first trimester of pregnancy is 2.5 mIU/L, and 3.0 mIU/L in the second and third trimester. The thyroid gland needs to produce 50% more thyroid hormone during pregnancy to maintain a euthyroid state. Consequently, most women on levothyroxine therapy before pregnancy require an increase in dose when pregnant to maintain euthyroidism. Ongoing prospective trials that are evaluating the impact of levothyroxine therapy on adverse outcomes in the mother and fetus in women with subclinical hypothyroidism will provide crucial data on the role of thyroid hormone replacement in pregnancy. © BMJ Publishing Group Ltd 2014.

The Impact of Mass Movement and Fluid Flow during Ridge Subduction inferred from Physical Properties and Zeolite Assemblage in the Upper Plate Slope of the Costa Rica Subduction Zone

NASA Astrophysics Data System (ADS)

Hamahashi, M.; Screaton, E.; Tanikawa, W.; Hashimoto, Y.; Martin, K. M.; Saito, S.; Kimura, G.

2015-12-01

The Costa Rica subduction zone offshore Osa Peninsula is known as an erosive margin with active seismicity and the subduction of the Cocos Ridge. One of the major unknowns in this margin is the nature of the unconformity at the base of the slope sediments in the upper plate and the high velocity materials below. To investigate the geologic processes across the unconformity, we examined the consolidation state and mineral assemblages of the sediments at the mid-slope Site 1380 drilled during IODP Expedition 344 by conducting microstructural observation, particle size analysis, X-ray fluorescence/diffraction analysis and resistivity measurement. The general compaction trend is controlled primarily by grain-size sorting and the physical property transition is likely caused by massive sediment removal under normal fault regime, thickness of which range between ~600-850 m determined from the composite porosity-depth curve. Across the unconformity between the late Pliocene~late Pleistocene silty clay (Unit 1) and late Pliocene~early Pleistocene clayey siltstone (Unit 2), the mineral/element components of the sediments is marked by the transitions in zeolite compositions; Unit 1 consists of laumontite and heulandite, whereas below the unconformity, Unit 2 sediments contain analcime, laumontite, and heulandite, but laumontite become less abundant at lower depth. The experienced temperature of the sediments in Unit 2 is estimated to have reached between ~86 and 122℃ as inferred from analcime burial diagenesis. This may correspond with the greater depth range prior to mass movement and normal faulting. The initial analcime burial diagenetic zone was likely cut off by the sediment removal across the unconformity, and later overprinted by high temperature fluid along the boundary forming laumontite and heulandite in the vicinity. These results illustrate that ridge subduction has substantial potential to cause mass movement, an extensional stress regime, and fluid flow from depth.

Potential for change in US diagnosis of hip dysplasia solely caused by changes in probe orientation: patterns of alpha-angle variation revealed by using three-dimensional US.

PubMed

Jaremko, Jacob L; Mabee, Myles; Swami, Vimarsha G; Jamieson, Lucy; Chow, Kelvin; Thompson, Richard B

2014-12-01

To use three-dimensional ( 3D three-dimensional ) ultrasonography (US) to quantify the alpha-angle variability due to changing probe orientation during two-dimensional ( 2D two-dimensional ) US of the infant hip and its effect on the diagnostic classification of developmental dysplasia of the hip ( DDH developmental dysplasia of the hip ). In this institutional research ethics board-approved prospective study, with parental written informed consent, 13-MHz 3D three-dimensional US was added to initial 2D two-dimensional US for 56 hips in 35 infants (mean age, 41.7 days; range, 4-112 days), 26 of whom were female (mean age, 38.7 days; range, 6-112 days) and nine of whom were male (mean age, 50.2 days; range, 4-111 days). Findings in 20 hips were normal at the initial visit and were initially inconclusive but normalized spontaneously at follow-up in 23 hips; 13 hips were treated for dysplasia. With the computer algorithm, 3D three-dimensional US data were resectioned in planes tilted in 5° increments away from a central plane, as if slowly rotating a 2D two-dimensional US probe, until resulting images no longer met Graf quality criteria. On each acceptable 2D two-dimensional image, two observers measured alpha angles, and descriptive statistics, including mean, standard deviation, and limits of agreement, were computed. Acceptable 2D two-dimensional images were produced over a range of probe orientations averaging 24° (maximum, 45°) from the central plane. Over this range, alpha-angle variation was 19° (upper limit of agreement), leading to alteration of the diagnostic category of hip dysplasia in 54% of hips scanned. Use of 3D three-dimensional US showed that alpha angles measured at routine 2D two-dimensional US of the hip can vary substantially between 2D two-dimensional scans solely because of changes in probe positioning. Not only could normal hips appear dysplastic, but dysplastic hips also could have normal alpha angles. Three-dimensional US can display the full acetabular shape, which might improve DDH developmental dysplasia of the hip assessment accuracy. © RSNA, 2014.

Oceanographer transform fault structure compared to that of surrounding oceanic crust: Results from seismic refraction data analysis

NASA Astrophysics Data System (ADS)

Ambos, E. L.; Hussong, D. M.

1986-02-01

A high quality seismic refraction data set was collected near the intersection of the tranform portion of the Oceanographer Fracture Zone (OFZ) with the adjacent northern limb of the Mid-Atlantic Ridge spreading center (MAR). One seismic line was shot down the axis of the transform valley. Another was shot parallel to the spreading center, crossing from normal oceanic crust into the transform valley, and out again. This latter line was recorded by four Ocean Bottom Seismometers (OBSs) spaced along its length, providing complete reversed coverage over the crucial transform valley zone. Findings indicate that whereas the crust of the transform valley is only slightly thinner (4.5 km) compared to normal oceanic crust (5-8 km), the structure is different. Velocities in the range of 6.9 to 7.7. km/sec, which are characteristics of seismic layer 3B, are absent, although a substantial thickness (approximately 3 km) of 6.1-6.8 km/sec material does appear to be present. The upper crust, some 2 km in thickness, is characterized by a high velocity gradient (1.5 sec -1) in which veloxity increases from 2.7 km/sec at the seafloor to 5.8 km/sec at the base of the section. A centrally-located deep of the transform valley has thinner crust (1-2 km), whereas the crust gradually thickens past the transform valley-spreading center intersection. Analysis of the seismic line crossing sub-perpendicular to the transform valley demonstrates abrupt thinning of the upper crustal section, and thickening of the lower crust outside of the trasform valley. In addition, high-velocity material seems to occur under the valley flanks, particularly the southern flanking ridge. This ridge, which is on the side of the transform opposite to the intersection of spreading ridge and transform, may be an expression of uplifted, partially serpentinized upper mantle rocks.

Lack of Mucosal Healing From Modified Specific Carbohydrate Diet in Pediatric Patients With Crohn Disease.

PubMed

Wahbeh, Ghassan T; Ward, Brian T; Lee, Dale Y; Giefer, Matthew J; Suskind, David L

2017-09-01

Exclusive enteral nutrition is effective in pediatric Crohn disease but challenging as maintenance therapy. There is interest in food-based therapies such as the specific carbohydrate diet (SCD) but paucity of data on efficacy and effect on mucosal healing, an evolving target of IBD therapy. We conducted a retrospective review of the mucosal healing effect of the SCD in pediatric Crohn disease (CD). The endoscopic findings for children younger than 18 years with CD treated exclusively with the SCD or modified SCD (mSCD; SCD + addition of "illegal foods") were reviewed before and after the diet. Ileocolonoscopic examinations were scored according to the Simple Endoscopic Score for CD and findings on upper endoscopy were described. Seven subjects were identified, all on mSCD. The average age at starting the SCD was 11 ± 3.4 years and median duration of SCD/mSCD therapy was 26 months. All subjects reported no active symptoms before repeat endoscopic evaluation on mSCD, the majority had consistently normal C-reactive protein, albumin and hematocrit assessments, and mildly elevated fecal calprotectin (>50 μg/g, median 201, range 65-312) at any point within 3 months before the repeat endoscopy. One patient showed complete ileocolonic healing but persistent upper gastrointestinal tract ulceration. Complete macroscopic mucosal healing of both the ileocolon and upper gastrointestinal tract was not seen in any patient.

Middle Triassic molluscan fossils of biostratigraphic significance from the Humboldt Range, northwestern Nevada

USGS Publications Warehouse

Silberling, Norman J.; Nichols, K.M.

1982-01-01

Cephalopods and bivalves of the genus Daonella occur at certain levels throughout the Middle Triassic section in the Humboldt Range, northwestern Nevada. These fossiliferous strata are assigned to the Fossil Hill Member and upper member of the Prida Formation, which here forms the oldest part of the Star Peak Group. The distribution and abundance of fossils within the section is uneven, partly because of original depositional patterns within the dominantly calcareous succession and partly because of diagenetic secondary dolomitization and hydrothermal metamorphism in parts of the range.Lower and middle Anisian fossil localities are restricted to the northern part of the range and are scattered, so that only three demonstrably distinct stratigraphic levels are represented. Cephalopods from these localities are characteristic of the Caurus Zone and typify the lower and upper parts of the Hyatti Zone, a new zonal unit whose faunas have affinity with those from the older parts of the Varium Zone in Canada.The upper Anisian and lowermost Ladinian, as exposed in the vicinity of Fossil Hill in the southern part of the range, are extremely fossiliferous. Cephalopod and Daonella shells form a major component of many of the limestone interbeds in the calcareous fine-grained clastic section here. Stratigraphically controlled bedrock collections representing at least 20 successive levels have been made from the Fossil Hill area, which is the type locality for the Rotelliformis, Meeki, and Occidentalis Zones of the upper Anisian and the Subasperum Zone of the lower Ladinian. Above the Subasperum Zone fossils are again scarce; upper Ladinian faunas representing the Daonella lommeli beds occur at only a few places in the upper member of the Prida Formation.Although unevenly fossiliferous, the succession of Middle Triassic cephalopod and Daonella faunas in the Humboldt Range is one of the most complete of any known in the world. Newly collected faunas from this succession provide the basis for revising the classic monograph on Middle Triassic marine invertebrates of North America published in 1914 by J. P. Smith and based largely on stratigraphically uncontrolled collections from the Humboldt Range. Taxonomic treatment of these collections, old and new, from the Humboldt Range provides the documentation necessary to establish this Middle Triassic succession as a biostratigraphic standard of reference.Of the 68 species of ammonites described or discussed, 4 are from the lower Anisian, 20 from the middle Anisian, 39 from the upper Anisian, 4 from the lower Ladinian, and 1 from the upper Ladinian. A few additional ammonite species from other localities in Nevada are also treated in order to clarify their morphologic characteristics and stratigraphic occurrence. Other elements in the Middle Triassic molluscan faunas of the Humboldt Range comprise five species of nautiloids and three of coleoids from the middle and upper Anisian parts of the section. Eight more or less stratigraphically restricted species of Daonella occur in the upper Anisian and Ladinian.

Pycnodysostosis at otorhinolaryngology.

PubMed

Baglam, Tekin; Binnetoglu, Adem; Fatih Topuz, Muhammet; Baş Ikizoglu, Nilay; Ersu, Refika; Turan, Serap; Sarı, Murat

2017-04-01

Pycnodysostosis is a rare autosomal, recessive, skeletal dysplasia caused by a mutation in the cathepsin k gene. Pycnodysostosis is characterized by short stature, characteristic facial appearance (delayed closure of fontanelles and cranial sutures, mandibular hypoplasia and angle disorder, blue sclera), and acroosteolysis of the distal phalanges. Our aim was to describe the otorhinolaryngologic findings, differential diagnoses, various treatment options, and followup in eight cases of pycnodysostosis. This retrospective clinical study used data from eight patients diagnosed with pycnodysostosis by a single pediatric endocrinologist primarily based on clinical and radiographic findings. All patients were referred to the otorhinolaryngology outpatient clinic by the pediatric endocrinology unit of the Marmara University between February 2013 and March 2015. Detailed medical histories were obtained in all cases and otorhinolaryngologic physical examination, blood assays, electrocardiogram, lateral skull X-rays, chest radiograph, cephalometric investigations, tympanograms, and audiograms were also carried out. Sleep videos of patients were recorded and those with upper airway problems were evaluated for sleep apnea by polysomnography. Informed consent form was obtained from the parents of all patients. Eight patients (7 females and 1 male) displaying proportionate dwarfism were included in the study. They had a mean age of 14.7 years (range: 13-16 y), the mean height of 141.3 cm (range 132-155 cm), and mean weight of 44.4 kg (range: 39.6-49.3 kg). All patients had facial dysmorphism with frontal bossing and the hands and feet had short digits with overlying cutaneous wrinkles that tapered off with large overriding nails. Midfacial hypoplasia and malocclusion were observed in seven of the eight patients (87.5%), four (50%) had micrognathia, and five (62.5%) had proptosis. Tympanograms and audiograms of all patients were type A and normal, and the mean of the pure tone audiogram was 13.3 dB (range: 10-16 dB). All patients had a narrow and grooved palate with disturbed dentition; two of them (25%) had mild markedness of the tongue base, five (62.5%) had grade 3 and three (37.5%) had grade 2 tonsillar hypertrophy, and five (62.5%) had adenoid hypertrophy. One patient (12.5%) had grade 3 Mallampati, four (50%) showed grade 2 Mallampati while three (37.5%) patients displayed grade 1 Mallampati score. Further, while six (75%) patients had no uvular pathology, one (12.5%) patient presented with uvular elongation and another patient had a bifid uvula. Cephalometric measurements such as PAS-UP (mean 5.67 mm; range: 5.0-7.6 mm) and PAS-TP (mean 9.61 mm; range: 8.5-12.2 mm) were lower than that of normal subjects. Video recordings showed that six of the eight patients (75%) had respiratory distress and four (50%) had sleep apnea. Polysomnography in these patients with sleep apnea showed that two had mild OSA (AHI: 18.2 and 20.1 events/hour) and two had severe OSA (AHI: 53.4 and 62.8 events/hour). For upper airway problems, an adenotonsillectomy was performed in two (25%) patients while two others required an adenoidectomy. Positive pressure ventilation was recommended in two patients with persistent sleep apnea after adeno/adenotonsillectomy. However, because of the parental objections, the follow-up polysomnographs could not be obtained. Pycnodysostosis is a very rare form of bone dysplasia. Otorhinolaryngologically, proper follow-up of these patients and appropriate treatment of upper airway problems are important to achieve an acceptable quality of life. Adeno/adenotonsillectomy and positive pressure ventilation, used as conservative approaches in treating upper airway problems, are effective and could be used instead of an aggressive surgery such as tracheotomy or maxillomandibular advancement. This study, to the best of our knowledge, is the largest ENT case series on pycnodysostosis. Copyright © 2017 Elsevier B.V. All rights reserved.

In vivo size and shape measurement of the human upper airway using endoscopic longrange optical coherence tomography

NASA Astrophysics Data System (ADS)

Armstrong, Julian J.; Leigh, Matthew S.; Walton, Ian D.; Zvyagin, Andrei V.; Alexandrov, Sergey A.; Schwer, Stefan; Sampson, David D.; Hillman, David R.; Eastwood, Peter R.

2003-07-01

We describe a long-range optical coherence tomography system for size and shape measurement of large hollow organs in the human body. The system employs a frequency-domain optical delay line of a configuration that enables the combination of high-speed operation with long scan range. We compare the achievable maximum delay of several delay line configurations, and identify the configurations with the greatest delay range. We demonstrate the use of one such long-range delay line in a catheter-based optical coherence tomography system and present profiles of the human upper airway and esophagus in vivo with a radial scan range of 26 millimeters. Such quantitative upper airway profiling should prove valuable in investigating the pathophysiology of airway collapse during sleep (obstructive sleep apnea).

Observations of a large Dent disease cohort.

PubMed

Blanchard, Anne; Curis, Emmanuel; Guyon-Roger, Tiphaine; Kahila, Diana; Treard, Cyrielle; Baudouin, Véronique; Bérard, Etienne; Champion, Gérard; Cochat, Pierre; Dubourg, Julie; de la Faille, Renaud; Devuyst, Olivier; Deschenes, Georges; Fischbach, Michel; Harambat, Jérôme; Houillier, Pascal; Karras, Alexandre; Knebelmann, Bertrand; Lavocat, Marie-Pierre; Loirat, Chantal; Merieau, Elodie; Niaudet, Patrick; Nobili, François; Novo, Robert; Salomon, Rémi; Ulinski, Tim; Jeunemaître, Xavier; Vargas-Poussou, Rosa

2016-08-01

Dent disease classically combines low-molecular-weight proteinuria, hypercalciuria with nephrocalcinosis, and renal failure. Nephrotic range proteinuria, normal calciuria, and hypokalemia have been rarely reported. It is unknown whether the changes in phenotype observed over time are explained by a decrease in glomerular filtration rate (GFR) or whether there is any phenotype-genotype relationship. To answer this we retrospectively analyzed data from 109 male patients with CLCN5 mutations (Dent-1) and 9 patients with mutation of the OCRL gene (Dent-2). In Dent-1 disease, the estimated GFR decreased with age, by 1.0 to 1.6 ml/min per 1.73 m(2)/yr in the absence and presence of nephrocalcinosis, respectively, with no significant difference. Median values of low-molecular-weight proteinuria were in the nephrotic range and remained at the same level even in late renal disease. End-stage renal disease occurred in 12 patients, at a median age of 40 years. Hypercalciuria decreased with glomerular filtration and was absent in 40% of the patients under 30 and 85% of those over the age of 30. Hypophosphatemia did not resolve with age and calcitriol concentrations were in the upper normal range. Kalemia decreased with age, with half of the patients over the age of 18 presenting with hypokalemia. Thus, no phenotype/genotype correlation was observed in this cohort of patients with Dent disease. Copyright © 2016 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.

Upper-Extremity Dual-Task Function: An Innovative Method to Assess Cognitive Impairment in Older Adults.

PubMed

Toosizadeh, Nima; Najafi, Bijan; Reiman, Eric M; Mager, Reine M; Veldhuizen, Jaimeson K; O'Connor, Kathy; Zamrini, Edward; Mohler, Jane

2016-01-01

Difficulties in orchestrating simultaneous tasks (i.e., dual-tasking) have been associated with cognitive impairments in older adults. Gait tests have been commonly used as the motor task component for dual-task assessments; however, many older adults have mobility impairments or there is a lack of space in busy clinical settings. We assessed an upper-extremity function (UEF) test as an alternative motor task to study the dual-task motor performance in older adults. Older adults (≥65 years) were recruited, and cognitive ability was measured using the Montreal cognitive assessment (MoCA). Participants performed repetitive elbow flexion with their maximum pace, once single-task, and once while counting backward by one (dual-task). Single- and dual-task gait tests were also performed with normal speed. Three-dimensional kinematics was measured both from upper-extremity and lower-extremity using wearable sensors to determine UEF and gait parameters. Parameters were compared between the cognitively impaired and healthy groups using analysis of variance tests, while controlling for age, gender, and body mass index (BMI). Correlations between UEF and gait parameters for dual-task and dual-task cost were assessed using linear regression models. Sixty-seven older adults were recruited (age = 83 ± 10 years). Based on MoCA, 10 (15%) were cognitively impaired. While no significant differences were observed in the single-task condition, within the dual-task condition, the cognitively impaired group showed significantly less arm flexion speed (62%, d = 1.51, p = 0.02) and range of motion (27%, d = 0.93, p = 0.04), and higher speed variability (88%, d = 1.82, p < 0.0001) compared to the cognitively intact group, when adjusted with age, gender, and BMI. Significant correlations were observed between UEF speed parameters and gait stride velocity for dual-task condition (r = 0.55, p < 0.0001) and dual-task cost (r = 0.28, p = 0.03). We introduced a novel test for assessing dual-task performance in older adults that lasts 20 s and is based on upper-extremity function. Our results confirm significant associations between upper-extremity speed, range of motion, and speed variability with both the MoCA score and the gait performance within the dual-task condition.

Upper-Extremity Dual-Task Function: An Innovative Method to Assess Cognitive Impairment in Older Adults

PubMed Central

Toosizadeh, Nima; Najafi, Bijan; Reiman, Eric M.; Mager, Reine M.; Veldhuizen, Jaimeson K.; O’Connor, Kathy; Zamrini, Edward; Mohler, Jane

2016-01-01

Background: Difficulties in orchestrating simultaneous tasks (i.e., dual-tasking) have been associated with cognitive impairments in older adults. Gait tests have been commonly used as the motor task component for dual-task assessments; however, many older adults have mobility impairments or there is a lack of space in busy clinical settings. We assessed an upper-extremity function (UEF) test as an alternative motor task to study the dual-task motor performance in older adults. Methods: Older adults (≥65 years) were recruited, and cognitive ability was measured using the Montreal cognitive assessment (MoCA). Participants performed repetitive elbow flexion with their maximum pace, once single-task, and once while counting backward by one (dual-task). Single- and dual-task gait tests were also performed with normal speed. Three-dimensional kinematics was measured both from upper-extremity and lower-extremity using wearable sensors to determine UEF and gait parameters. Parameters were compared between the cognitively impaired and healthy groups using analysis of variance tests, while controlling for age, gender, and body mass index (BMI). Correlations between UEF and gait parameters for dual-task and dual-task cost were assessed using linear regression models. Results: Sixty-seven older adults were recruited (age = 83 ± 10 years). Based on MoCA, 10 (15%) were cognitively impaired. While no significant differences were observed in the single-task condition, within the dual-task condition, the cognitively impaired group showed significantly less arm flexion speed (62%, d = 1.51, p = 0.02) and range of motion (27%, d = 0.93, p = 0.04), and higher speed variability (88%, d = 1.82, p < 0.0001) compared to the cognitively intact group, when adjusted with age, gender, and BMI. Significant correlations were observed between UEF speed parameters and gait stride velocity for dual-task condition (r = 0.55, p < 0.0001) and dual-task cost (r = 0.28, p = 0.03). Conclusion: We introduced a novel test for assessing dual-task performance in older adults that lasts 20 s and is based on upper-extremity function. Our results confirm significant associations between upper-extremity speed, range of motion, and speed variability with both the MoCA score and the gait performance within the dual-task condition. PMID:27458374

Geology of the north end of the Ruby Range, southwestern Montana

USGS Publications Warehouse

Tysdal, Russell G.

1970-01-01

This study consists of two parts: stratigraphy and sedimentation, and structure of rocks in the northern one-third of the Ruby Range of southwestern Montana. Detailed studies of Cambrian marine dolomite rocks in the Red Lion Formation and in the upper part of the Pilgrim Limestone resulted in their division into distinct rock units, termed lithofacies. These lithofacies contain features suggestive of subtidal, intertidal, and supratidal environments similar to those presently forming in the Persian Gulf. Stromatolltic structures occurring in the uppermost part of the Red Lion Formation are similar to those presently forming in Shark Bay, Australia. The Ruby Range within the map area is broken into a series of northwest-plunging basement (Precambrian metamorphic rock) blocks, differentially uplifted during the Cretaceous-Tertiary orogenic period. These blocks are bordered by upthrust faults, which are nearly vertical in their lower segments and are .low-angle in their uppermost parts. Asymmetrical folds in Paleozoic sedimentary rocks formed in response to the differential uplift of the blocks; thus they too plunge to the northwest. Displaced masses of rock border the range on the three sides within the map area and are interpreted as gravity-slide features resulting from uplift of the range. Normal faulting began blocking out the present range margins by Oligocene time.

Pilot study on quantitative assessment of muscle imbalance: differences of muscle synergies, equilibrium-point trajectories, and endpoint stiffness in normal and pathological upper-limb movements.

PubMed

Oku, Takanori; Uno, Kanna; Nishi, Tomoki; Kageyama, Masayuki; Phatiwuttipat, Pipatthana; Koba, Keitaro; Yamashita, Yuto; Murakami, Kenta; Uemura, Mitsunori; Hirai, Hiroaki; Miyazaki, Fumio; Naritomi, Hiroaki

2014-01-01

This paper proposes a novel method for assessment of muscle imbalance based on muscle synergy hypothesis and equilibrium point (EP) hypothesis of motor control. We explain in detail the method for extracting muscle synergies under the concept of agonist-antagonist (AA) muscle pairs and for estimating EP trajectories and endpoint stiffness of human upper limbs in a horizontal plane using an electromyogram. The results of applying this method to the reaching movement of one normal subject and one hemiplegic subject suggest that (1) muscle synergies (the balance among coactivation of AA muscle pairs), particularly the synergies that contributes to the angular directional kinematics of EP and the limb stiffness, are quite different between the normal subject and the hemiplegic subject; (2) the concomitant EP trajectory is also different between the normal and hemiplegic subjects, corresponding to the difference of muscle synergies; and (3) the endpoint (hand) stiffness ellipse of the hemiplegic subject becomes more elongated and orientation of the major axis rotates clockwise more than that of the normal subject. The level of motor impairment would be expected to be assessed from a comparison of these differences of muscle synergies, EP trajectories, and endpoint stiffness among normal and pathological subjects using the method.

A comparison of vestibular evoked myogenic potential (VEMP) between definite Meniere's disease patients and normal healthy adults.

PubMed

Jariengprasert, Chanchai; Tiensuwan, Montip; Euasirirattanapaisan, Khongpol

2013-12-01

To compare the results of VEMP between unilateral definite Meniere's disease patients and normal healthy adults. Thirty-two patients with unilateral definite Meniere's disease patients and 32 age-matched normal healthy adults (control) underwent VEMP tests with short tone burst of 500 Hz at 90 dBnHL. Student-t test was used for comparison of means of all parameters between two groups. Absent VEMP response was found in 14 MD patients and abnormal asymmetry ratio (AR) was found in five MD patients. Normal responses were found in all subjects of the control group. The mean P1 and N1 latencies, VEMP amplitude between unilateral MD, and control were not significantly different between two groups. However the difference between the mean AR of both groups showed statistically significant (p-value < 0.05). The upper limit of normal AR was calculated to be of 35.15%. The absence of VEMP response and AR of VEMP were more dominant than other parameters such as P1 and N1 latencies or VEMP amplitude in the detection of saccular dysfunction in MD. The results suggested that AR should be used as a tool in interpretation of VEMP response for the diagnostic batteries in MD. The upper limit of normal AR of < or = 35% should be recommended.

MUC4 (sialomucin complex) expression in salivary gland tumors and squamous cell carcinoma of the upper aerodigestive tract.

PubMed

Weed, D T; Gomez-Fernandez, C; Bonfante, E; Lee, T D; Pacheco, J; Carvajal, M E; Goodwin, W J; Carraway, K L

2001-02-01

This study investigates MUC4 expression in normal squamous epithelia and squamous cell carcinoma (SCC) of the upper aerodigestive tract (UADT), and in salivary gland neoplasms. MUC4 antigens in tumor and adjacent normal tissue are localized by immunocytochemical studies. Fresh frozen tissues from surgical resection specimens are further analyzed by Western blot. MUC4 is identified by immunocytochemical staining throughout the normal UADT mucosa, in 34 of 40 primary UADT SCC, and in 11 of 12 metastatic cervical lymph nodes. A trend toward decreased MUC4 staining in moderately and poorly differentiated tumors is noted. Immunoblots show MUC4 in 4 of 5 SCC analyzed. Immunocytochemical staining of MUC4 in 13 major and minor salivary gland neoplasms reveal variable staining of normal and neoplastic tissue. MUC4 is demonstrated in immunoblots of normal parotid tissue and in the single parotid malignancy analyzed, but is not demonstrated in one minor salivary gland malignancy. These findings characterize normal UADT mucosal and salivary MUC4 expression, and MUC4 expression in SCC of the UADT and in salivary gland tumors. Correlation of MUC4 expression with clinical outcomes may establish MUC4 as a potential molecular prognostic marker for these tumors.

The functional anatomy of suggested limb paralysis.

PubMed

Deeley, Quinton; Oakley, David A; Toone, Brian; Bell, Vaughan; Walsh, Eamonn; Marquand, Andre F; Giampietro, Vincent; Brammer, Michael J; Williams, Steven C R; Mehta, Mitul A; Halligan, Peter W

2013-02-01

Suggestions of limb paralysis in highly hypnotically suggestible subjects have been employed to successfully model conversion disorders, revealing similar patterns of brain activation associated with attempted movement of the affected limb. However, previous studies differ with regard to the executive regions involved during involuntary inhibition of the affected limb. This difference may have arisen as previous studies did not control for differences in hypnosis depth between conditions and/or include subjective measures to explore the experience of suggested paralysis. In the current study we employed functional magnetic resonance imaging (fMRI) to examine the functional anatomy of left and right upper limb movements in eight healthy subjects selected for high hypnotic suggestibility during (i) hypnosis (NORMAL) and (ii) attempted movement following additional left upper limb paralysis suggestions (PARALYSIS). Contrast of left upper limb motor function during NORMAL relative to PARALYSIS conditions revealed greater activation of contralateral M1/S1 and ipsilateral cerebellum, consistent with the engagement of these regions in the completion of movements. By contrast, two significant observations were noted in PARALYSIS relative to NORMAL conditions. In conjunction with reports of attempts to move the paralysed limb, greater supplementary motor area (SMA) activation was observed, a finding consistent with the role of SMA in motor intention and planning. The anterior cingulate cortex (ACC, BA 24) was also significantly more active in PARALYSIS relative to NORMAL conditions - suggesting that ACC (BA 24) may be implicated in involuntary, as well as voluntary inhibition of prepotent motor responses. Copyright © 2012 Elsevier Ltd. All rights reserved.

The Effect of Geographic Location on Circannual Adrenocorticotropic Hormone Plasma Concentrations in Horses in Australia.

PubMed

Secombe, C J; Tan, R H H; Perara, D I; Byrne, D P; Watts, S P; Wearn, J G

2017-09-01

Longitudinal evaluation of plasma endogenous ACTH concentration in clinically normal horses has not been investigated in the Southern Hemisphere. To longitudinally determine monthly upper reference limits for plasma ACTH in 2 disparate Australian geographic locations and to examine whether location affected the circannual rhythm of endogenous ACTH in the 2 groups of horses over a 12-month period. Clinically normal horses <20 years of age from 4 properties (institutional herd and client owned animals) in Perth (n = 40) and Townsville (n = 41) were included in the study. A prospective longitudinal descriptive study to determine the upper reference limit and confidence intervals for plasma ACTH in each geographic location using the ASVCP reference interval (RI) guidelines, for individual months and monthly groupings for 12 consecutive months. Plasma endogenous ACTH concentrations demonstrated a circannual rhythm. The increase in endogenous ACTH was not confined to the autumnal months but was associated with changes in photoperiod. During the quiescent period, plasma ACTH concentrations were lower, ≤43 pg/mL (upper limit of the 90% confidence interval (CI)) in horses from Perth and ≤67 pg/mL (upper limit of the 90% CI) in horses from Townsville, than at the acrophase, ≤94 pg/mL (upper limit of the 90% CI) in horses from Perth, ≤101 pg/mL (upper limit of the 90% CI) in horses from Townsville. Circannual rhythms of endogenous ACTH concentrations vary between geographic locations, this could be due to changes in photoperiod or other unknown factors, and upper reference limits should be determined for specific locations. Copyright © 2017 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.

A Carbamazepine-induced Brugada-type Electrocardiographic Pattern in a Patient with Schizophrenia

PubMed Central

Ota, Hisanobu; Kawamura, Yuichiro; Sato, Nobuyuki; Hasebe, Naoyuki

2017-01-01

We report the case of a 61-year-old man with schizophrenia who was treated with carbamazepine, in whom electrocardiography showed transient Brugada-type ST elevation. He had been hospitalized our hospital's Department of Psychiatry and had been diagnosed with pneumonia. On the following day, electrocardiography showed coved-type ST elevation in the right precordial leads and a blood examination revealed that the patient's carbamazepine concentration was at the upper limit of the standard range, as well as hypothyroidism. The patient's electrocardiogram normalized after the withdrawal of carbamazepine. We demonstrated that the patient's carbamazepine concentration-and not hypothyroidism-was associated with the serial electrocardiographic changes by monitoring the patient's blood concentration of carbamazepine and his thyroid function. PMID:29142189

Trunk Acceleration for Neuroprosthetic Control of Standing – a Pilot Study

PubMed Central

Audu, Musa L.; Kirsch, Robert F.; Triolo, Ronald J.

2013-01-01

This pilot study investigated the potential of using trunk acceleration feedback control of center of pressure (COP) against postural disturbances with a standing neuroprosthesis following paralysis. Artificial neural networks (ANNs) were trained to use three-dimensional trunk acceleration as input to predict changes in COP for able-bodied subjects undergoing perturbations during bipedal stance. Correlation coefficients between ANN predictions and actual COP ranged from 0.67 to 0.77. An ANN trained across all subject-normalized data was used to drive feedback control of ankle muscle excitation levels for a computer model representing a standing neuroprosthesis user. Feedback control reduced average upper-body loading during perturbation onset and recovery by 42% and peak loading by 29% compared to optimal, constant excitation. PMID:21975251

Trunk acceleration for neuroprosthetic control of standing: a pilot study.

PubMed

Nataraj, Raviraj; Audu, Musa L; Kirsch, Robert F; Triolo, Ronald J

2012-02-01

This pilot study investigated the potential of using trunk acceleration feedback control of center of pressure (COP) against postural disturbances with a standing neuroprosthesis following paralysis. Artificial neural networks (ANNs) were trained to use three-dimensional trunk acceleration as input to predict changes in COP for able-bodied subjects undergoing perturbations during bipedal stance. Correlation coefficients between ANN predictions and actual COP ranged from 0.67 to 0.77. An ANN trained across all subject-normalized data was used to drive feedback control of ankle muscle excitation levels for a computer model representing a standing neuroprosthesis user. Feedback control reduced average upper-body loading during perturbation onset and recovery by 42% and peak loading by 29% compared with optimal, constant excitation.

Limits on plasma anisotropy in a tail-like magnetic field

NASA Technical Reports Server (NTRS)

Hill, T. W.; Voigt, G.-H.

1992-01-01

The condition of magnetohydrostatic equilibrium implies tight constraints on the degree of anisotropy that is supportable in a magnetotail field geometry. If the plasma pressure tensor is assumed to be gyrotropic at the tail midplane (z = 0), then equilibrium requires that it also be nearly isotropic there, with P-perpendicular sub 0/P-parallel sub 0 in the range 1 +/- delta square, where delta of about 0.1 is the ratio of the normal field component at the symmetry plane to the field strength in the tail lobe. The upper and the lower limits are essentially equivalent, respectively, to the marginal mirror and firehose stability conditions evaluated at z = 0, which have been invoked previously to limit the degree of anisotropy in the plasma sheet.

Ocean plateau-seamount origin of basaltic rocks, Angayucham terrane, central Alaska

USGS Publications Warehouse

Barker, F.; Jones, D.L.; Budahn, J.R.; Coney, P.J.

1988-01-01

The Angayucham terrane of north-central Alaska (immediately S of the Brooks Range) is a large (ca. 500 km E-W), allochthonous complex of Devonian to Lower Jurassic pillow basalt, diabase sills, gabbro plutons, and chert. The mafic rocks are transitional normal-to-enriched, mid-ocean-ridge (MORB) type tholeiites (TiO2 1.2-3.4%, Nb 7-23 ppm, Ta 0.24-1.08 ppm, Zr 69-214 ppm, and light REE's slightly depleted to moderately enriched). Geologic and geochemical constraints indicate that Angayucham terrane is the upper "skin' (ca. 3-4 km thick) of a long-lived (ca. 170-200 ma) oceanic plateau whose basaltic-gabbroic rocks are like those of seamounts of the East Pacific Rise. -Authors

Two-dimensional color tissue Doppler imaging detects myocardial dysfunction before occurrence of hypertrophy in a young Maine Coon cat.

PubMed

Chetboul, Valerie; Sampedrano, Carolina Carlos; Gouni, Vassiliki; Nicolle, Audrey P; Pouchelon, Jean-Louis

2006-01-01

A 20-month-old healthy male Maine Coon cat was referred for a cardiovascular evaluation. Physical examination and electrocardiogram were normal. The end-diastolic subaortic interventricular septal thickness (6 mm; reference range: < or = 6mm) and the mitral flow late diastolic velocity (0.89 m/s; reference range: 0.2-0.8m/s) were within the upper ranges. However, M-mode echocardiography did not reveal any sign of hypertrophic cardiomyopathy (HCM). Tissue Doppler imaging (TDI) identified a marked left ventricular free wall dysfunction characterized by decreased myocardial velocities in early diastole, increased myocardial velocities in late diastole and the presence of postsystolic contractions both at the base and the apex for the longitudinal motion. One year later, the diagnosis of HCM was confirmed by conventional echocardiography and the cat died suddenly 2 months later. This report demonstrates for the first time in spontaneous HCM the sensitivity of TDI for early diagnosis of myocardial dysfunction and suggests that TDI should form part of the screening techniques for early diagnosis of feline HCM.

Contribution of the upper river, the estuarine region, and the adjacent sea to the heavy metal pollution in the Yangtze Estuary.

PubMed

Yin, Su; Wu, Yuehan; Xu, Wei; Li, Yangyang; Shen, Zhenyao; Feng, Chenghong

2016-07-01

To determine whether the discharge control of heavy metals in the Yangtze River basin can significantly change the pollution level in the estuary, this study analyzed the sources (upper river, the estuarine region, and the adjacent sea) of ten heavy metals (As, Cd, Co, Cr, Cu, Hg, Ni, Pb, Sb, and Zn) in dissolved and particulate phases in the surface water of the estuary during wet, normal, and dry seasons. Metal sources inferred from section fluxes agree with those in statistical analysis methods. Heavy metal pollution in the surface water of Yangtze Estuary primarily depends on the sediment suspension and the wastewater discharge from estuary cities. Upper river only constitutes the main source of dissolved heavy metals during the wet season, while the estuarine region and the adjacent sea (especially the former) dominate the dissolved metal pollution in the normal and dry seasons. Particulate metals are mainly derived from sediment suspension in the estuary and the adjacent sea, and the contribution of the upper river can be neglected. Compared with the hydrologic seasons, flood-ebb tides exert a more obvious effect on the water flow directions in the estuary. Sediment suspension, not the upper river, significantly affects the suspended particulate matter concentration in the estuary. Copyright © 2016 Elsevier Ltd. All rights reserved.

A normative study of cervical range of motion measures including the flexion-rotation test in asymptomatic children: side-to-side variability and pain provocation.

PubMed

Budelmann, Kim; von Piekartz, Harry; Hall, Toby

2016-09-01

Cervical movement impairment has been identified as a core component of cervicogenic headache evaluation. However, normal range of motion values in children has been investigated rarely and no study has reported such values for the flexion-rotation test (FRT). The purpose of this study was to identify normal values and side-to-side variation for cervical spine range of motion (ROM) and the FRT, in asymptomatic children aged 6-12 years. Another important purpose was to identify the presence of pain during the FRT. Thirty-four asymptomatic children without history of neck pain or headache (26 females and 8 males, mean age 125.38 months [SD 13.14]) were evaluated. Cervical spine cardinal plane ROM and the FRT were evaluated by a single examiner using a cervical ROM device. Values for cardinal plane ROM measures are presented. No significant gender difference was found for any ROM measure. Mean difference in ROM for rotation, side flexion, and the FRT were less than one degree. However, intra-individual variation was greater, with lower bound scores of 9.32° for rotation, 5.30° for side flexion, and 10.89° for the FRT. Multiple linear regression analysis indicates that movement in the cardinal planes only explains 19% of the variance in the FRT. Pain scores reported following the FRT were less than 2/10. Children have consistently greater cervical spine ROM than adults. In children, side-to-side variation in rotation and side flexion ROM and range recorded during the FRT indicates that the clinician should be cautious when using range in one direction to determine impairment in another. Range recorded during the FRT is independent of cardinal movement variables, which further adds to the importance of the FRT, as a test that mainly evaluates range of movement of the upper cervical spine.

Studies on the psychosomatic functioning of ill-health according to Eastern and Western medicine. 1. Visual observation of the sublingual vein for early detection of vital energy stagnation and blood stasis.

PubMed

Takeichi, M; Sato, T

1999-01-01

Computer-assisted image analyses were performed on the tongue color of 95 medical students without previous history of blood stasis-related condition to clarify the mutual relationship of the color of the tongue proper, the coating, and sublingual vein. The location of the measurement for the tongue proper was the underside of the tongue, and location of the measurement for the tongue coating was the upper surface of the tongue. A linear correlation analysis showed a correlation for each of the different positions for the non-normalized red value and normalized blue value. This analysis also demonstrated a statistically-significant relationship between the tongue proper and the sublingual vein using Red-Green-Blue components and normalized Red-Green-Blue components (r = +0.670 - 0.817, p < 0.0001). The most significant correlation between the tongue proper and the sublingual vein was the normalized red value and the normalized Red-Green-Blue values for minimizing the range of the standard error of the mean (r = +0.745, p < 0.0001), although non-normalized blue had the highest correlation coefficient. Therefore, it seems reasonable to select those normalized red values for the comparison in the tongue color analysis. Correlation of the color between the sublingual vein and the tongue proper strongly suggests that inspection with the naked eye of the sublingual vein is useful for the early detection of vital energy stagnation and blood stasis. Also, because of its close relation to sustained chronic stress, changes in the sublingual vein might be available as one physiological parameter of a stress reaction.

SU-E-T-587: Optimal Volumetric Modulated Arc Radiotherapy Treatment Planning Technique for Multiple Brain Metastases with Increasing Number of Arcs

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

Keeling, V; Hossain, S; Hildebrand, K

Purpose: To show improvements in dose conformity and normal brain tissue sparing using an optimal planning technique (OPT) against clinically acceptable planning technique (CAP) in the treatment of multiple brain metastases. Methods: A standardized international benchmark case with12 intracranial tumors was planned using two different VMAT optimization methods. Plans were split into four groups with 3, 6, 9, and 12 targets each planned with 3, 5, and 7 arcs using Eclipse TPS. The beam geometries were 1 full coplanar and half non-coplanar arcs. A prescription dose of 20Gy was used for all targets. The following optimization criteria was used (OPTmore » vs. CAP): (No upper limit vs.108% upper limit for target volume), (priority 140–150 vs. 75–85 for normal-brain-tissue), and (selection of automatic sparing Normal-Tissue-Objective (NTO) vs. Manual NTO). Both had priority 50 to critical structures such as brainstem and optic-chiasm, and both had an NTO priority 150. Normal-brain-tissue doses along with Paddick Conformity Index (PCI) were evaluated. Results: In all cases PCI was higher for OPT plans. The average PCI (OPT,CAP) for all targets was (0.81,0.64), (0.81,0.63), (0.79,0.57), and (0.72,0.55) for 3, 6, 9, and 12 target plans respectively. The percent decrease in normal brain tissue volume (OPT/CAP*100) achieved by OPT plans was (reported as follows: V4, V8, V12, V16, V20) (184, 343, 350, 294, 371%), (192, 417, 380, 299, 360%), and (235, 390, 299, 281, 502%) for the 3, 5, 7 arc 12 target plans, respectively. The maximum brainstem dose decreased for the OPT plan by 4.93, 4.89, and 5.30 Gy for 3, 5, 7 arc 12 target plans, respectively. Conclusion: Substantial increases in PCI, critical structure sparing, and decreases in normal brain tissue dose were achieved by eliminating upper limits from optimization, using automatic sparing of normal tissue function with high priority, and a high priority to normal brain tissue.« less

Use of HOMA-IR to diagnose non-alcoholic fatty liver disease: a population-based and inter-laboratory study.

PubMed

Isokuortti, Elina; Zhou, You; Peltonen, Markku; Bugianesi, Elisabetta; Clement, Karine; Bonnefont-Rousselot, Dominique; Lacorte, Jean-Marc; Gastaldelli, Amalia; Schuppan, Detlef; Schattenberg, Jörn M; Hakkarainen, Antti; Lundbom, Nina; Jousilahti, Pekka; Männistö, Satu; Keinänen-Kiukaanniemi, Sirkka; Saltevo, Juha; Anstee, Quentin M; Yki-Järvinen, Hannele

2017-10-01

Recent European guidelines for non-alcoholic fatty liver disease (NAFLD) call for reference values for HOMA-IR. In this study, we aimed to determine: (1) the upper limit of normal HOMA-IR in two population-based cohorts; (2) the HOMA-IR corresponding to NAFLD; (3) the effect of sex and PNPLA3 genotype at rs738409 on HOMA-IR; and (4) inter-laboratory variations in HOMA-IR. We identified healthy individuals in two population-based cohorts (FINRISK 2007 [n = 5024] and the Programme for Prevention of Type 2 Diabetes in Finland [FIN-D2D; n = 2849]) to define the upper 95th percentile of HOMA-IR. Non-obese individuals with normal fasting glucose levels, no excessive alcohol use, no known diseases and no use of any drugs were considered healthy. The optimal HOMA-IR cut-off for NAFLD (liver fat ≥5.56%, based on the Dallas Heart Study) was determined in 368 non-diabetic individuals (35% with NAFLD), whose liver fat was measured using proton magnetic resonance spectroscopy ( 1 H-MRS). Samples from ten individuals were simultaneously analysed for HOMA-IR in seven European laboratories. The upper 95th percentiles of HOMA-IR were 1.9 and 2.0 in healthy individuals in the FINRISK (n = 1167) and FIN-D2D (n = 459) cohorts. Sex or PNPLA3 genotype did not influence these values. The optimal HOMA-IR cut-off for NAFLD was 1.9 (sensitivity 87%, specificity 79%). A HOMA-IR of 2.0 corresponded to normal liver fat (<5.56% on 1 H-MRS) in linear regression analysis. The 2.0 HOMA-IR measured in Helsinki corresponded to 1.3, 1.6, 1.8, 1.8, 2.0 and 2.1 in six other laboratories. The inter-laboratory CV% of HOMA-IR was 25% due to inter-assay variation in insulin (25%) rather than glucose (5%) measurements. The upper limit of HOMA-IR in population-based cohorts closely corresponds to that of normal liver fat. Standardisation of insulin assays would be the first step towards definition of normal values for HOMA-IR.

Qualitative and quantitative radiological analysis of non-contrast CT is a strong indicator in patients with acute pyelonephritis.

PubMed

El-Merhi, Fadi; Mohamad, May; Haydar, Ali; Naffaa, Lena; Nasr, Rami; Deeb, Ibrahim Al-Sheikh; Hamieh, Nadine; Tayara, Ziad; Saade, Charbel

2018-04-01

To evaluate the performance of non-contrast computed tomography (CT) by reporting the difference in attenuation between normal and inflamed renal parenchyma in patients clinically diagnosed with acute pyelonephritis (APN). This is a retrospective study concerned with non-contrast CT evaluation of 74 patients, admitted with a clinical diagnosis of APN and failed to respond to 48h antibiotics treatment. Mean attenuation values in Hounsfield units (HU) were measured in the upper, middle and lower segments of the inflamed and the normal kidney of the same patient. Independent t-test was performed for statistical analysis. Image evaluation included receiver operating characteristic (ROC), visual grading characteristic (VGC) and kappa analyses. The mean attenuation in the upper, middle and lower segments of the inflamed renal cortex was 32%, 25%, and 29% lower than the mean attenuation of the corresponding cortical segments of the contralateral normal kidney, respectively (p<0.01). The mean attenuation in the upper, middle, and lower segments of the inflamed renal medulla was 48%, 21%, and 30%, lower than the mean attenuation of the corresponding medullary segments of the contralateral normal kidney (p<0.02). The mean attenuation between the inflamed and non-inflamed renal cortex and medulla was 29% and 30% lower respectively (p<0.001). The AUCROC (p<0.001) analysis demonstrated significantly higher scores for pathology detection, irrespective of image quality, compared to clinical and laboratory results with an increased inter-reader agreement from poor to substantial. Non-contrast CT showed a significant decrease in the parenchymal density of the kidney affected with APN in comparison to the contralateral normal kidney of the same patient. This can be incorporated in the diagnostic criteria of APN in NCCT in the emergency setting. Copyright © 2017 Elsevier Inc. All rights reserved.

Active and long-lived permanent forearc deformation driven by the subduction seismic cycle

NASA Astrophysics Data System (ADS)

Aron Melo, Felipe Alejandro

I have used geological, geophysical and engineering methods to explore mechanisms of upper plate, brittle deformation at active forearc regions. My dissertation particularly addresses the permanent deformation style experienced by the forearc following great subduction ruptures, such as the 2010 M w8.8 Maule, Chile and 2011 Mw9.0 Tohoku, Japan earthquakes. These events triggered large, shallow seismicity on upper plate normal faults above the rupture reaching Mw7.0. First I present new structural data from the Chilean Coastal Cordillera over the rupture zone of the Maule earthquake. The study area contains the Pichilemu normal fault, which produced the large crustal aftershocks of the megathrust event. Normal faults are the major neotectonic structural elements but reverse faults also exist. Crustal seismicity and GPS surface displacements show that the forearc experiences pulses of rapid coseismic extension, parallel to the heave of the megathrust, and slow interseismic, convergence-parallel shortening. These cycles, over geologic time, build the forearc structural grain, reactivating structures properly-oriented respect to the deformation field of each stage of the interplate cycle. Great subduction events may play a fundamental role in constructing the crustal architecture of extensional forearc regions. Static mechanical models of coseismic and interseismic upper plate deformation are used to explore for distinct features that could result from brittle fracturing over the two stages of the interplate cycle. I show that the semi-elliptical outline of the first-order normal faults along the Coastal Cordillera may define the location of a characteristic, long-lived megathrust segment. Finally, using data from the Global CMT catalog I analyzed the seismic behavior through time of forearc regions that have experienced great subduction ruptures >Mw7.7 worldwide. Between 61% and 83% of the cases where upper plate earthquakes exhibited periods of increased seismicity above background levels occurred contemporaneous to megathrust ruptures. That correlation is stronger for normal fault events than reverse or strike-slip crustal earthquakes. More importantly, for any given megathrust the summation of the Mw accounted by the forearc normal fault aftershocks appears to have a positive linear correlation with the Mw of the subduction earthquake -- the larger the megathrust the larger the energy released by forearc events.

Evaluation of the pair-culture effect in Ophyryotrocha puerilis (Polychaeta: Dorvilleidae). II. Conditions for the moult of the upper jaw

NASA Astrophysics Data System (ADS)

Kegel, B.; Pfannenstiel, H.-D.

1983-06-01

The conditions for moult of the upper jaw of Ophryotrocha puerilis were determined in isolated individuals and in groups of various sizes. The frequency of formation of the complicated upper jaw in both isolated individuals and in groups varies to a considerable extent. Although formation of the upper jaw and sex reversal normally are associated processes, the relationship of these two processes is not very well understood. Histological investigations at the light microscopic level demonstrate that the dental apparatus is an elaboration of the ectodermal stomodaeum which is considered to be a highly specialized part of the cuticle in the pharyngeal region of the gut.

INTERSESSION RELIABILITY OF UPPER EXTREMITY ISOKINETIC PUSH-PULL TESTING.

PubMed

Riemann, Bryan L; Davis, Sarah E; Huet, Kevin; Davies, George J

2016-02-01

Based on the frequency pushing and pulling patterns are used in functional activities, there is a need to establish an objective method of quantifying the muscle performance characteristics associated with these motions, particularly during the later stages of rehabilitation as criteria for discharge. While isokinetic assessment offers an approach to quantifying muscle performance, little is known about closed kinetic chain (CKC) isokinetic testing of the upper extremity (UE). To determine the intersession reliability of isokinetic upper extremity measurement of pushing and pulling peak force and average power at slow (0.24 m/s), medium (0.43 m/s) and fast (0.61 m/s) velocities in healthy young adults. The secondary purpose was to compare pushing and pulling peak force (PF) and average power (AP) between the upper extremity limbs (dominant, non-dominant) across the three velocities. Twenty-four physically active men and women completed a test-retest (>96 hours) protocol in order to establish isokinetic UE CKC reliability of PF and AP during five maximal push and pull repetitions at three velocities. Both limb and speed orders were randomized between subjects. High test-retest relative reliability using intraclass correlation coefficients (ICC2, 1) were revealed for PF (.91-.97) and AP (.85-.95) across velocities, limbs and directions. PF typical error (% coefficient of variation) ranged from 6.1% to 11.3% while AP ranged from 9.9% to 26.7%. PF decreased significantly (p < .05) as velocity increased whereas AP increased as velocity increased. PF and AP during pushing were significantly greater than pulling at all velocities, however the push-pull differences in PF became less as velocity increased. There were no significant differences identified between the dominant and nondominant limbs. Isokinetically derived UE CKC push-pull PF and AP are reliable measures. The lack of limb differences in healthy normal participants suggests that clinicians can consider bilateral comparisons when interpreting test performance. The increase in pushing PF and AP compared to pulling can be attributed to the muscles involved and the frequency that pushing patterns are used during functional activities. 3.

Effects of Increased Gravity Force on Nutations of Sunflower Hypocotyls 1

PubMed Central

Brown, Allan H.; Chapman, David K.

1977-01-01

A centrifuge was used to provide sustained acceleration in order to study the hypocotyl nutation of 6-day-old Helianthus annuus L. over a range of g-forces, up to 20 times normal g. At the upper end of this g-range, nutation was impeded and at times was erratic evidently because the weight of the cotyledons exceeded the supportive abilities of the hypocotyls. Over the range 1 to 9 g, the period of nutation was independent of the resultant force vector. Over the same g-range, the amplitude of nutation was nearly independent of the chronic g-force. If nutation in sunflower seedlings is an oscillation caused by a succession of geotropic responses which continue to overshoot the equilibrium position (plumb line), we might expect its amplitude to be more sensitive to changes in magnitude of the sustained g-force. In order to preserve the geotropic model of nutation-viz. that it is a sustained oscillation driven by geotropic reactions, it is necessary to assume that geotropic response must increase with increasing g most rapidly in the region of the g-parameter below the terrestrial value of 1 g. PMID:16659909

Effects of increased gravity force on nutations of sunflower hypocotyls

NASA Technical Reports Server (NTRS)

Brown, A. H.; Chapman, D. K.

1977-01-01

A centrifuge was used to provide sustained acceleration in order to study the hypocotyl nutation of 6-day-old Helianthus annuus L. over a range of g-forces, up to 20 times normal g. At the upper end of this g-range, nutation was impeded and at times was erratic evidently because the weight of the cotyledons exceeded the supportive abilities of the hypocotyls. Over the range 1 to 9 g, the period of nutation was independent of the resultant force vector. Over the same g-range, the amplitude of nutation was nearly independent of the chronic g-force. If nutation in sunflower seedlings is an oscillation caused by a succession of geotropic responses which continue to overshoot the equilibrium position (plumb line), its amplitude might be expected to be more sensitive to changes in magnitude of the sustained g-force. In order to preserve the geotropic model, in which nutation is considered to be a sustained oscillation driven by geotropic reactions, it is necessary to assume that geotropic response must increase with increasing g most rapidly in the region of the g-parameter below the terrestrial value of 1 g.

The Spectrum of Surgical Remediation of Transoral Incisionless Fundoplication-Related Failures.

PubMed

Puri, Ruchir; Smith, C Daniel; Bowers, Steven P

2018-05-16

To evaluate outcomes of surgical remediation for symptomatic or anatomic failure after a transoral incisionless fundoplication (TIF). This retrospective study was performed on 11 patients who underwent a remedial operation following TIF failure between June 2011 and September 2016 at the Mayo Clinic in Florida for persistent foregut symptoms. Upper gastrointestinal workup characterized 1 patient as having normal post-TIF anatomy and 10 as having anatomic failure. Ambulatory pH testing was performed in 7 patients and was abnormal in all. All patients underwent a laparoscopic takedown of the prior endoscopic fundoplication and removal of all accessible polypropylene T-fasteners. All patients had esophageal salvage and have not required a reoperation. Anatomical findings included hiatal hernia (7), esophageal diverticulum (2), hiatal mesh erosion of esophagus (1), long-segment esophageal stricture (1), and normal anatomy (1). Remedial operations included laparoscopic explant of fasteners in all patients with conversion to fundoplication (7), resection/imbrication of esophageal diverticulum (2), Heller myotomy (1), and mesh explant and complex esophageal repair (1). Mean operative time was 177 minutes and median length of stay 3 days (range 2-13 days). At mean follow-up of 10.7 months (range 1-42 months), 7 patients had persistent complaints. Esophagogastroduodenoscopy was repeated in these 7 patients and was normal (n = 3), mild stenosis requiring dilation (n = 2), Los Angeles grade B esophagitis (n = 1), and Barrett's esophagus (n = 1). Anatomic distortion of the distal esophagus after TIF can be significant, making subsequent operations complex. After remedial surgery, few patients will continue to have troublesome symptoms such as dysphagia.

Preoperative normal level of parathyroid hormone signifies an early and mild form of primary hyperparathyroidism.

PubMed

Bergenfelz, Anders; Lindblom, Pia; Lindergård, Birger; Valdemarsson, Stig; Westerdahl, Johan

2003-04-01

Contemporary patients are often diagnosed with mild or intermittent hypercalcemia. In addition, most studies demonstrate patients with parathyroid (PTH) levels in the upper normal range. The aim of the present investigation was to define subgroups of patients with mild primary hyperparathyroidism (pHPT), which could be of importance in the decision for or against surgical treatment. Two-hundred and eleven patients, operated for pHPT were investigated with biochemical variables known to reflect PTH activity, renal function, and bone mineral content. The preoperative diagnosis of pHPT was based on the presence of hypercalcemia combined with an inappropriate serum concentration of PTH. The mean age of the patients was 64 +/- 14 years and the mean serum level of calcium was 2.78 +/- 0.19 mmol/L. One hundred and sixty-two patients (77%) had raised levels of calcium and PTH the day before surgery (overt pHPT), 25 patients (12%) had a normal level of calcium and a raised PTH level (normal calcium group), and 20 patients (9%) had a raised level of calcium and a normal level of PTH (normal PTH group). In four patients the level of calcium and PTH was normal. Between-group analysis demonstrated no major difference in symptom and signs of pHPT. Except for lower adenoma weight, patients in the normal calcium group did not essentially differ from the patients in the overt pHPT group. However, patients in the normal PTH group were a decade younger, and had better renal function, lower bone turnover, and a preserved bone density compared with patients in the overt pHPT group. In conclusion, the data from the present investigation show that pHPT patients with a preoperative normal PTH level have an early and mild form of the disease. Furthermore, the serum calcium concentration does not reflect disease severity in pHPT.

Teleseismic array analysis of upper mantle compressional velocity structure. Ph.D. Thesis

NASA Technical Reports Server (NTRS)

Walck, M. C.

1984-01-01

Relative array analysis of upper mantle lateral velocity variations in southern California, analysis techniques for dense data profiles, the P-wave upper mantle structure beneath an active spreading center: the Gulf of California, and the upper mantle under the Cascade ranges: a comparison with the Gulf of California are presented.

Discovering the Complexity of Capable Faults in Northern Chile

NASA Astrophysics Data System (ADS)

Gonzalez, G.; del Río, I. A.; Rojas Orrego, C., Sr.; Astudillo, L. A., Sr.

2017-12-01

Great crustal earthquakes (Mw >7.0) in the upper plate of subduction zones are relatively uncommon and less well documented. We hypothesize that crustal earthquakes are poorly represented in the instrumental record because they have long recurrence intervals. In northern Chile, the extreme long-term aridity permits extraordinary preservation of landforms related to fault activity, making this region a primary target to understand how upper plate faults work at subduction zones. To understand how these faults relate to crustal seismicity in the long-term, we have conducted a detailed palaeoseismological study. We performed a palaeoseismological survey integrating trench logging and photogrammetry based on UAVs. Optically stimulated luminescence (OSL) age determinations were practiced for dating deposits linked to faulting. In this contribution we present the study case of two primary faults located in the Coastal Cordillera of northern Chile between Iquique (21ºS) and Antofagasta (24ºS). We estimate the maximum moment magnitude of earthquakes generated in these upper plate faults, their recurrence interval and the fault-slip rate. We conclude that the studied upper plate faults show a complex kinematics on geological timescales. Faults seem to change their kinematics from normal (extension) to reverse (compression) or from normal to transcurrent (compression) according to the stage of subduction earthquake cycle. Normal displacement is related to coseismic stages and compression is linked to interseismic period. As result this complex interaction these faults are capable of generating Mw 7.0 earthquakes, with recurrence times on the order of thousands of years during every stage of the subduction earthquake cycle.

Changes in Body Temperature in Incomplete Spinal Cord Injury by Digital Infrared Thermographic Imaging

PubMed Central

Song, Yun-Gyu; Won, Yu Hui; Park, Sung-Hee; Ko, Myoung-Hwan

2015-01-01

Objective To investigate changes in the core temperature and body surface temperature in patients with incomplete spinal cord injuries (SCI). In incomplete SCI, the temperature change is difficult to see compared with complete spinal cord injuries. The goal of this study was to better understand thermal regulation in patients with incomplete SCI. Methods Fifty-six SCI patients were enrolled, and the control group consisted of 20 healthy persons. The spinal cord injuries were classified according to International Standards for Neurological Classification of Spinal Cord Injury. The patients were classified into two groups: upper (neurological injury level T6 or above) and lower (neurological injury level T7 or below) SCIs. Body core temperature was measured using an oral thermometer, and body surface temperature was measured using digital infrared thermographic imaging. Results Twenty-nine patients had upper spinal cord injuries, 27 patients had lower SCIs, and 20 persons served as the normal healthy persons. Comparing the skin temperatures of the three groups, the temperatures at the lower abdomen, anterior thigh and anterior tibia in the patients with upper SCIs were lower than those of the normal healthy persons and the patients with lower SCIs. No significant temperature differences were observed between the normal healthy persons and the patients with lower SCIs. Conclusion In our study, we found thermal dysregulation in patients with incomplete SCI. In particular, body surface temperature regulation was worse in upper SCIs than in lower injuries. Moreover, cord injury severity affected body surface temperature regulation in SCI patients. PMID:26605167

Influence of weight and body fat distribution on bone density in postmenopausal women.

PubMed

Murillo-Uribe, A; Carranza-Lira, S; Martínez-Trejo, N; Santos-González, J

2000-01-01

To determine whether obesity or body fat distribution induces a greater modification on bone remodeling biochemistry (BRB) and bone density in postmenopausal women. One hundred and thirteen postmenopausal patients were studied. They were initially divided according to body mass index (BMI), and afterwards by waist-hip ratio (WHR) as well as combinations of the two factors. Hormone measurements and assessments of BRB were also done. Dual-emission X-ray absorptiometry from the lumbar column and hip was performed with Lunar DPXL equipment, and the standard deviation in relation to young adult (T) and age-matched subjects (Z) was calculated. Statistical analysis was done by the Mann-Whitney U test. The relation of BMI and WHR with the variables was calculated by simple regression analysis. When divided according to BMI, there was greater bone density in the femoral neck in those with normal weight. After dividing according to WHR, the Z scores had a trend to a lesser decrease in those with upper level body fat distribution. Divided according to BMI and WHR, obese patients with upper-level body fat distribution had greater bone density in the lumbar column than those with normal weight and lower-level body fat distribution. With the same WHR, those with normal weight had greater bone density than those who were obese. A beneficial effect of upper-level body fat distribution on bone density was found. It is greater than that from obesity alone, and obesity and upper-level body fat distribution have an additive effect on bone density.

Lower-upper-threshold correlation for underwater range-gated imaging self-adaptive enhancement.

PubMed

Sun, Liang; Wang, Xinwei; Liu, Xiaoquan; Ren, Pengdao; Lei, Pingshun; He, Jun; Fan, Songtao; Zhou, Yan; Liu, Yuliang

2016-10-10

In underwater range-gated imaging (URGI), enhancement of low-brightness and low-contrast images is critical for human observation. Traditional histogram equalizations over-enhance images, with the result of details being lost. To compress over-enhancement, a lower-upper-threshold correlation method is proposed for underwater range-gated imaging self-adaptive enhancement based on double-plateau histogram equalization. The lower threshold determines image details and compresses over-enhancement. It is correlated with the upper threshold. First, the upper threshold is updated by searching for the local maximum in real time, and then the lower threshold is calculated by the upper threshold and the number of nonzero units selected from a filtered histogram. With this method, the backgrounds of underwater images are constrained with enhanced details. Finally, the proof experiments are performed. Peak signal-to-noise-ratio, variance, contrast, and human visual properties are used to evaluate the objective quality of the global and regions of interest images. The evaluation results demonstrate that the proposed method adaptively selects the proper upper and lower thresholds under different conditions. The proposed method contributes to URGI with effective image enhancement for human eyes.

Body fat distribution of overweight females with a history of weight cycling.

PubMed

Wallner, S J; Luschnigg, N; Schnedl, W J; Lahousen, T; Sudi, K; Crailsheim, K; Möller, R; Tafeit, E; Horejsi, R

2004-09-01

Weight cycling may cause a redistribution of body fat to the upper body fat compartments. We investigated the distribution of subcutaneous adipose tissue (SAT) in 30 overweight women with a history of weight-cycling and age-matched controls (167 normal weight and 97 overweight subjects). Measurements of SAT were performed using an optical device, the Lipometer. The SAT topography describes the thicknesses of SAT layers at 15 anatomically well-defined body sites from neck to calf. The overweight women with a history of weight cycling had significantly thicker SAT layers on the upper body compared to the overweight controls, but even thinner SAT layers on their legs than the normal weight women. An android fat pattern was attributed to overweight females and, even more pronounced, to the weight cyclers. The majority of normal weight women showed a gynoid fat pattern. Using stepwise discriminant analysis, 89.0% of all weight cyclers and overweight controls could be classified correctly into the two groups. These findings show the importance of normal weight maintenance as a health-promoting factor.

Linkages Between the Megathrust and Upper-plate Deformation: Lessons From the Deformational Dichotomy of the 2016 Kaikoura New Zealand Earthquake

NASA Astrophysics Data System (ADS)

Furlong, K. P.; Herman, M. W.

2017-12-01

Following the 2016 Mw 7.8 Kaikoura earthquake, the nature of the coseismic rupture was unclear. Seismological and tsunami evidence pointed to significant involvement of the subduction megathrust, while geodetic and field observations pointed to a shallow set of intra-crustal faults as the main participants during the earthquake. It now appears that the Kaikoura earthquake produced synchronous faulting on the plate boundary subduction interface - the megathrust - and on a suite of crustal faults above the rupture zone in the overlying plate. This Kaikoura-style earthquake, involving synchronous ruptures on multiple components of the plate boundary, may be an important mode of plate boundary deformation affecting seismic hazard along subduction zones. Here we propose a model to explain how these upper-plate faults are loaded during the periods between megathrust earthquakes and subsequently can rupture synchronously with the megathrust. Between megathrust earthquakes, horizontal compression, driven by plate convergence, locks the upper-plate faults, particularly those at higher angles to the convergence direction and the oblique plate motion of the subducting Pacific plate deforms the upper-plate in bulk shear. During the time interval of megathrust rupture, two things happen which directly affect the stress conditions acting on these upper-plate faults: (1) slip on the megathrust and the associated `rebound' of the upper plate reduces the compressive or normal stress acting on the upper plate faults, and (2) the base of the upper plate faults (and the upper plate itself) is decoupled from the slab in the region above rupture area. The reduction in normal stress acting on these faults increases their Coulomb Stress state to strongly favor strike-slip fault slip, and the basal decoupling of the upper plate allows it to undergo nearly complete stress recovery in that region; enabling the occurrence of very large offsets on these faults - offsets that exceed the slip on the plate interface. With these results it is clear that the 2016 Kaikoura NZ earthquake represents a mode of subduction zone rupture that must be considered in other regions.

Hand grips strength effect on motor function in human brain using fMRI: a pilot study

NASA Astrophysics Data System (ADS)

Ismail, S. S.; Mohamad, M.; Syazarina, S. O.; Nafisah, W. Y.

2014-11-01

Several methods of motor tasks for fMRI scanning have been evolving from simple to more complex tasks. Motor tasks on upper extremity were applied in order to excite the increscent of motor activation on contralesional and ipsilateral hemispheres in brain. The main objective of this study is to study the different conditions for motor tasks on upper extremity that affected the brain activation. Ten healthy right handed with normal vision (3 male and 7 female, age range=20-30 years, mean=24.6 years, SD=2.21) participated in this study. Prior to the scanning, participants were trained on hand grip tasks using rubber ball and pressure gauge tool outside the scanner. During fMRI session, a block design with 30-s task blocks and alternating 30-s rest periods was employed while participants viewed a computer screen via a back projection-mirror system and instructed to follow the instruction by gripping their hand with normal and strong grips using a rubber ball. Statistical Parametric mapping (SPM8) software was used to determine the brain activation. Both tasks activated the primary motor (M1), supplementary motor area (SMA), dorsal and ventral of premotor cortex area (PMA) in left hemisphere while in right hemisphere the area of primary motor (M1) somatosensory was activated. However, the comparison between both tasks revealed that the strong hand grip showed the higher activation at M1, PMA and SMA on left hemisphere and also the area of SMA on right hemisphere. Both conditions of motor tasks could provide insights the functional organization on human brain.

75 FR 27548 - White Pine Waterpower, LLC; Notice of Preliminary Permit Application Accepted For Filing and...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-17

..., Nevada, near the town of Ely. The sole purpose of a preliminary permit, if issued, is to grant the permit... consist of the following: (1) A 210-foot-high upper, rockfill dam; (2) an upper artificial, lined reservoir with a surface area of about 74 acres and volume of approximately 4,938 acre-feet at normal water...

Anatomical Network Comparison of Human Upper and Lower, Newborn and Adult, and Normal and Abnormal Limbs, with Notes on Development, Pathology and Limb Serial Homology vs. Homoplasy

PubMed Central

Diogo, Rui; Esteve-Altava, Borja; Smith, Christopher; Boughner, Julia C.; Rasskin-Gutman, Diego

2015-01-01

How do the various anatomical parts (modules) of the animal body evolve into very different integrated forms (integration) yet still function properly without decreasing the individual’s survival? This long-standing question remains unanswered for multiple reasons, including lack of consensus about conceptual definitions and approaches, as well as a reasonable bias toward the study of hard tissues over soft tissues. A major difficulty concerns the non-trivial technical hurdles of addressing this problem, specifically the lack of quantitative tools to quantify and compare variation across multiple disparate anatomical parts and tissue types. In this paper we apply for the first time a powerful new quantitative tool, Anatomical Network Analysis (AnNA), to examine and compare in detail the musculoskeletal modularity and integration of normal and abnormal human upper and lower limbs. In contrast to other morphological methods, the strength of AnNA is that it allows efficient and direct empirical comparisons among body parts with even vastly different architectures (e.g. upper and lower limbs) and diverse or complex tissue composition (e.g. bones, cartilages and muscles), by quantifying the spatial organization of these parts—their topological patterns relative to each other—using tools borrowed from network theory. Our results reveal similarities between the skeletal networks of the normal newborn/adult upper limb vs. lower limb, with exception to the shoulder vs. pelvis. However, when muscles are included, the overall musculoskeletal network organization of the upper limb is strikingly different from that of the lower limb, particularly that of the more proximal structures of each limb. Importantly, the obtained data provide further evidence to be added to the vast amount of paleontological, gross anatomical, developmental, molecular and embryological data recently obtained that contradicts the long-standing dogma that the upper and lower limbs are serial homologues. In addition, the AnNA of the limbs of a trisomy 18 human fetus strongly supports Pere Alberch's ill-named "logic of monsters" hypothesis, and contradicts the commonly accepted idea that birth defects often lead to lower integration (i.e. more parcellation) of anatomical structures. PMID:26452269

Anatomical Network Comparison of Human Upper and Lower, Newborn and Adult, and Normal and Abnormal Limbs, with Notes on Development, Pathology and Limb Serial Homology vs. Homoplasy.

PubMed

Diogo, Rui; Esteve-Altava, Borja; Smith, Christopher; Boughner, Julia C; Rasskin-Gutman, Diego

2015-01-01

How do the various anatomical parts (modules) of the animal body evolve into very different integrated forms (integration) yet still function properly without decreasing the individual's survival? This long-standing question remains unanswered for multiple reasons, including lack of consensus about conceptual definitions and approaches, as well as a reasonable bias toward the study of hard tissues over soft tissues. A major difficulty concerns the non-trivial technical hurdles of addressing this problem, specifically the lack of quantitative tools to quantify and compare variation across multiple disparate anatomical parts and tissue types. In this paper we apply for the first time a powerful new quantitative tool, Anatomical Network Analysis (AnNA), to examine and compare in detail the musculoskeletal modularity and integration of normal and abnormal human upper and lower limbs. In contrast to other morphological methods, the strength of AnNA is that it allows efficient and direct empirical comparisons among body parts with even vastly different architectures (e.g. upper and lower limbs) and diverse or complex tissue composition (e.g. bones, cartilages and muscles), by quantifying the spatial organization of these parts-their topological patterns relative to each other-using tools borrowed from network theory. Our results reveal similarities between the skeletal networks of the normal newborn/adult upper limb vs. lower limb, with exception to the shoulder vs. pelvis. However, when muscles are included, the overall musculoskeletal network organization of the upper limb is strikingly different from that of the lower limb, particularly that of the more proximal structures of each limb. Importantly, the obtained data provide further evidence to be added to the vast amount of paleontological, gross anatomical, developmental, molecular and embryological data recently obtained that contradicts the long-standing dogma that the upper and lower limbs are serial homologues. In addition, the AnNA of the limbs of a trisomy 18 human fetus strongly supports Pere Alberch's ill-named "logic of monsters" hypothesis, and contradicts the commonly accepted idea that birth defects often lead to lower integration (i.e. more parcellation) of anatomical structures.

Study on 3-D velocity structure of crust and upper mantle in Sichuan-yunnan region, China

USGS Publications Warehouse

Wang, C.; Mooney, W.D.; Wang, X.; Wu, J.; Lou, H.; Wang, F.

2002-01-01

Based on the first arrival P and S data of 4 625 regional earthquakes recorded at 174 stations dispersed in the Yunnan and Sichuan Provinces, the 3-D velocity structure of crust and upper mantle in the region is determined, incorporating with previous deep geophysical data. In the upper crust, a positive anomaly velocity zone exists in the Sichuan basin, whereas a negative anomaly velocity zone exists in the western Sichuan plateau. The boundary between the positive and negative anomaly zones is the Longmenshan fault zone. The images of lower crust and upper mantle in the Longmenshan fault, Xianshuihe fault, Honghe fault and others appear the characteristic of tectonic boundary, indicating that the faults litely penetrate the Moho discontinuity. The negative velocity anomalies at the depth of 50 km in the Tengchong volcanic area and the Panxi tectonic zone appear to be associated with the temperature and composition variations in the upper mantle. The overall features of the crustal and the upper mantle structures in the Sichuan-Yunnan region are the lower average velocity in both crust and uppermost mantle, the large crustal thickness variations, and the existence of high conductivity layer in the crust or/and upper mantle, and higher geothermal value. All these features are closely related to the collision between the Indian and the Asian plates. The crustal velocity in the Sichuan-Yunnan rhombic block generally shows normal.value or positive anomaly, while the negative anomaly exists in the area along the large strike-slip faults as the block boundary. It is conducive to the crustal block side-pressing out along the faults. In the major seismic zones, the seismicity is relative to the negative anomaly velocity. Most strong earthquakes occurred in the upper-mid crust with positive anomaly or normal velocity, where the negative anomaly zone generally exists below.

Stratigraphy and structure of the Miners Mountain area, Wayne County, Utah

USGS Publications Warehouse

Luedke, Robert G.

1953-01-01

The Miners Mountain area includes about 85 square miles in Wayne County, south-central Utah. The area is semiarid and characterized by cliffs and deep canyons. Formations range in age from Permian to Upper Jurassic and have an aggregate thickness of about 3,500 feet. Permian formations are the buff Coconino sandstone and the overlying white, limy, shert-containing Kaibab limestone. Unconformably overlying the Kaihab is the lower Triassic Moenkopi formation of reddish-brown and yellow mudstone, siltstone, and sandstone; it contains the Sinbad limestone member (?) in the lower part. Thin, lenticular Shinarump conglomerate unconformably overlies the Moenkopi, but grades upward into the Upper Triassic Chinle formation of variegated mudstone with some interbedded sandstone and limestone lenses. Uncomformably overlying the Chinle are the Wingate sandstone, Kayenta formation, and Navajo sandstone of the Jurassic (?) Glen Canyon group, which consist of red to white sandstone. Only the lower part of the Carmel formation of the Upper Jurassic San Rafael group is exposed in the area; it consists of variegated siltstone, sandstone, limestone, and gypsum. The conspicuous structural feature in the area is the Teasdale anticline which trends northwest, is about 14 miles long, and is asymmetric with a steeper west flank. Bounding the anticline on the northeast and east is the Capitol Reef monocline, the northern part of the Waterpocket Fold. Strata in the area are broken by steeply-dipping normal faults with small displacements, except for the Teasdale fault which has a maximum displacement of over 1,000 feet. Jointing is prominent in some formations. The major orogenic movement in the area is believed to be late Upper Cretaceous to early Tertiary. Epeirogenic uplift occurred intermittently throughout Tertiary and perhaps Quaternary time.

Impact of slab pull and incipient mantle delamination on active tectonics and crustal thickening in the Betic-Alboran-Rif system

NASA Astrophysics Data System (ADS)

Mazzotti, Stephane; Baratin, Laura-May; Chéry, Jean; Vernant, Philippe; Gueydan, Frédéric; Tahayt, Abdelilah; Mourabit, Taoufik

2017-04-01

In Western Mediterranean, the Betic-Alboran-Rif orocline accommodates the WNW-ESE convergence between the Nubia and Eurasia plates. Recent geodetic data show that present-day tectonics in northern Morocco and southernmost Spain are not compatible with this simple two-plate-convergence model: GPS observations indicate significant (2-4 mm/a) deviations from the expected plate motion, and gravity data define two major negative Bouguer anomalies beneath the Betic and south of the Rif, interpreted as a thickened crust in a state of non-isostatic equilibrium. These anomalous geodetic patterns are likely related to the recent impact of the sub-vertical Alboran slab on crustal tectonics. Using 2-D finite-element models, we study the first-order behavior of a lithosphere affected by a downward normal traction, representing the pull of a high-density body in the upper mantle (slab pull or mantle delamination). We show that a specific range of lower crust and upper mantle viscosities allow a strong coupling between the mantle and the base of the brittle crust, thus enabling (1) the efficient conversion of vertical movement (resulting from the downward traction) to horizontal movement and (2) shortening and thickening on the brittle upper crust. Our results show that incipient delamination of the Nubian continental lithosphere, linked to the Alboran slab pull, can explain the present-day abnormal tectonics and non-isostatic equilibrium in northern Morocco. Similar processes may be at play in the whole Betic-Alboran-Rif region, although the fast temporal evolution of the slab - upper plate interactions needs to be taken into account to better understand this complex system.

Normative Values for Near and Distance Clinical Tests of Stereoacuity.

PubMed

Piano, Marianne E F; Tidbury, Laurence P; O'Connor, Anna R

2016-12-01

Extensive literature exists on normative stereoacuity values for younger children, but there is less information about normative stereoacuity in older children/adults. Individual stereotests cannot be used interchangeably-knowing the upper limit of normality for each test is important. This report details normative stereoacuity values for 5 near/distance stereotests drawn from a large sample of participants aged 16-40 years, across 3 studies. Participants (n=206, mean age 22.18±5.31 years) were administered the following stereotests: TNO, Preschool Randot, Frisby, Distance Randot, and Frisby-Davis 2. Medians and upper limits were calculated for each test. Upper limits for each stereotest were as follows: TNO (n=127, upper limit=120" arc), Preschool Randot (PSR, n=206, upper limit=70" arc), Frisby (n=206, upper limit=40" arc), Distance Randot (n=127, upper limit=160" arc), and Frisby-Davis 2 (n=109, upper limit=25" arc). Normative values for each stereotest are identified and discussed with respect to other studies. Potential sources of variation between tests, within testing distances, are also discussed.

MHz gravitational wave constraints with decameter Michelson interferometers

NASA Astrophysics Data System (ADS)

Chou, Aaron S.; Gustafson, Richard; Hogan, Craig; Kamai, Brittany; Kwon, Ohkyung; Lanza, Robert; Larson, Shane L.; McCuller, Lee; Meyer, Stephan S.; Richardson, Jonathan; Stoughton, Chris; Tomlin, Raymond; Weiss, Rainer; Holometer Collaboration

2017-03-01

A new detector, the Fermilab Holometer, consists of separate yet identical 39-meter Michelson interferometers. Strain sensitivity achieved is better than 10-21/√{Hz } between 1 to 13 MHz from a 130-h data set. This measurement exceeds the sensitivity and frequency range made from previous high frequency gravitational wave experiments by many orders of magnitude. Constraints are placed on a stochastic background at 382 Hz resolution. The 3 σ upper limit on ΩGW, the gravitational wave energy density normalized to the closure density, ranges from 5.6 ×1 012 at 1 MHz to 8.4 ×1 015 at 13 MHz. Another result from the same data set is a search for nearby primordial black hole binaries (PBHB). There are no detectable monochromatic PBHBs in the mass range 0.83 - 3.5 ×1 021 g between the Earth and the Moon. Projections for a chirp search with the same data set increase the mass range to 0.59 -2.5 ×1 025 g and distances out to Jupiter. This result presents a new method for placing limits on a poorly constrained mass range of primordial black holes. Additionally, solar system searches for PBHBs place limits on their contribution to the total dark matter fraction.

MHz gravitational wave constraints with decameter Michelson interferometers

DOE PAGES

Chou, Aaron S.; Gustafson, Richard; Hogan, Craig; ...

2017-03-03

A new detector, the Fermilab Holometer, consists of separate yet identical 39-meter Michelson interferometers. Strain sensitivity achieved is better than 10 –21/√Hz between 1 to 13 MHz from a 130-h data set. This measurement exceeds the sensitivity and frequency range made from previous high frequency gravitational wave experiments by many orders of magnitude. Constraints are placed on a stochastic background at 382 Hz resolution. The 3σ upper limit on Ω GW, the gravitational wave energy density normalized to the closure density, ranges from 5.6 × 10 12 at 1 MHz to 8.4 × 10 15 at 13 MHz. Another resultmore » from the same data set is a search for nearby primordial black hole binaries (PBHB). There are no detectable monochromatic PBHBs in the mass range 0.83–3.5 × 10 21 g between the Earth and the Moon. Projections for a chirp search with the same data set increase the mass range to 0.59–2.5 × 10 25 g and distances out to Jupiter. Furthermore, this result presents a new method for placing limits on a poorly constrained mass range of primordial black holes. Additionally, solar system searches for PBHBs place limits on their contribution to the total dark matter fraction.« less

Dental Age Estimation (DAE): Data management for tooth development stages including the third molar. Appropriate censoring of Stage H, the final stage of tooth development.

PubMed

Roberts, Graham J; McDonald, Fraser; Andiappan, Manoharan; Lucas, Victoria S

2015-11-01

The final stage of dental development of third molars is usually helpful to indicate whether or not a subject is aged over 18 years. A complexity is that the final stage of development is unlimited in its upper border. Investigators usually select an inappropriate upper age limit or censor point for this tooth development stage. The literature was searched for appropriate data sets for dental age estimation and those that provided the count (n), the mean (x¯), and the standard deviation (sd) for each of the tooth development stages. The Demirjian G and Demirjian H were used for this study. Upper and lower limits of the Stage G and Stage H data were calculated limiting the data to plus or minus three standard deviations from the mean. The upper border of Stage H was limited by appropriate censoring at the maximum value for Stage G. The maximum age at attainment from published data, for Stage H, ranged from 22.60 years to 34.50 years. These data were explored to demonstrate how censoring provides an estimate for the correct maximum age for the final stage of Stage H as 21.64 years for UK Caucasians. This study shows that confining the data array of individual tooth developments stages to ± 3sd provides a reliable and logical way of censoring the data for tooth development stages with a Normal distribution of data. For Stage H this is inappropriate as it is unbounded in its upper limit. The use of a censored data array for Stage H using Percentile values is appropriate. This increases the reliability of using third molar Stage H alone to determine whether or not an individual is over 18 years old. For Stage H, individual ancestral groups should be censored using the same technique. Copyright © 2015 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

A haptic-robotic platform for upper-limb reaching stroke therapy: Preliminary design and evaluation results

PubMed Central

Lam, Paul; Hebert, Debbie; Boger, Jennifer; Lacheray, Hervé; Gardner, Don; Apkarian, Jacob; Mihailidis, Alex

2008-01-01

Background It has been shown that intense training can significantly improve post-stroke upper-limb functionality. However, opportunities for stroke survivors to practice rehabilitation exercises can be limited because of the finite availability of therapists and equipment. This paper presents a haptic-enabled exercise platform intended to assist therapists and moderate-level stroke survivors perform upper-limb reaching motion therapy. This work extends on existing knowledge by presenting: 1) an anthropometrically-inspired design that maximizes elbow and shoulder range of motions during exercise; 2) an unobtrusive upper body postural sensing system; and 3) a vibratory elbow stimulation device to encourage muscle movement. Methods A multi-disciplinary team of professionals were involved in identifying the rehabilitation needs of stroke survivors incorporating these into a prototype device. The prototype system consisted of an exercise device, postural sensors, and a elbow stimulation to encourage the reaching movement. Eight experienced physical and occupational therapists participated in a pilot study exploring the usability of the prototype. Each therapist attended two sessions of one hour each to test and evaluate the proposed system. Feedback about the device was obtained through an administered questionnaire and combined with quantitative data. Results Seven of the nine questions regarding the haptic exercise device scored higher than 3.0 (somewhat good) out of 4.0 (good). The postural sensors detected 93 of 96 (97%) therapist-simulated abnormal postures and correctly ignored 90 of 96 (94%) of normal postures. The elbow stimulation device had a score lower than 2.5 (neutral) for all aspects that were surveyed, however the therapists felt the rehabilitation system was sufficient for use without the elbow stimulation device. Conclusion All eight therapists felt the exercise platform could be a good tool to use in upper-limb rehabilitation as the prototype was considered to be generally well designed and capable of delivering reaching task therapy. The next stage of this project is to proceed to clinical trials with stroke patients. PMID:18498641

Risk factors of the upper limb disorders among cashiers in grocery retail industries: A review

NASA Astrophysics Data System (ADS)

Zuhaidi, Muhammad Fareez Ahmad; Nasrull Abdol Rahman, Mohd

2017-08-01

Cashiers have been appointed as one of top ten occupations in developing musculoskeletal disorders (MSDs) particularly on the upper limb. Many of the workers are still in high risk injury due to incorrect workstations and lack of employee education in basic biomechanical principles. Normally, cashiers are exposed in several risk factors such as awkward and static postures, repetition motion and forceful exertions. Thus, cashiers in supermarket are considered at risk from developing upper limb disorders (ULDs). This review evaluates selected papers that have studied risk factors of the upper limb disorders among cashiers in grocery retail industries. In addition, other studies from related industry were reviewed as applicable. In order to understand risk factors of the upper limb disorders among cashiers, it is recommended that future studies are needed in evaluating these risk factors among cashiers.

Evidence of Non-Linear Associations between Frustration-Related Prefrontal Cortex Activation and the Normal:Abnormal Spectrum of Irritability in Young Children.

PubMed

Grabell, Adam S; Li, Yanwei; Barker, Jeff W; Wakschlag, Lauren S; Huppert, Theodore J; Perlman, Susan B

2018-01-01

Burgeoning interest in early childhood irritability has recently turned toward neuroimaging techniques to better understand normal versus abnormal irritability using dimensional methods. Current accounts largely assume a linear relationship between poor frustration management, an expression of irritability, and its underlying neural circuitry. However, the relationship between these constructs may not be linear (i.e., operate differently at varying points across the irritability spectrum), with implications for how early atypical irritability is identified and treated. Our goal was to examine how the association between frustration-related lateral prefrontal cortex (LPFC) activation and irritability differs across the dimensional spectrum of irritability by testing for non-linear associations. Children (N = 92; ages 3-7) ranging from virtually no irritability to the upper end of the clinical range completed a frustration induction task while we recorded LPFC hemoglobin levels using fNIRS. Children self-rated their emotions during the task and parents rated their child's level of irritability. Whereas a linear model showed no relationship between frustration-related LPFC activation and irritability, a quadratic model revealed frustration-related LPFC activation increased as parent-reported irritability scores increased within the normative range of irritability but decreased with increasing irritability in the severe range, with an apex at the 91st percentile. Complementarily, we found children's self-ratings of emotion during frustration related to concurrent LPFC activation as an inverted U function, such that children who reported mild distress had greater activation than peers reporting no or high distress. Results suggest children with relatively higher irritability who are unimpaired may possess well-developed LPFC support, a mechanism that drops out in the severe end of the irritability dimension. Findings suggest novel avenues for understanding the heterogeneity of early irritability and its clinical sequelae.

Finite-size scaling above the upper critical dimension in Ising models with long-range interactions

NASA Astrophysics Data System (ADS)

Flores-Sola, Emilio J.; Berche, Bertrand; Kenna, Ralph; Weigel, Martin

2015-01-01

The correlation length plays a pivotal role in finite-size scaling and hyperscaling at continuous phase transitions. Below the upper critical dimension, where the correlation length is proportional to the system length, both finite-size scaling and hyperscaling take conventional forms. Above the upper critical dimension these forms break down and a new scaling scenario appears. Here we investigate this scaling behaviour by simulating one-dimensional Ising ferromagnets with long-range interactions. We show that the correlation length scales as a non-trivial power of the linear system size and investigate the scaling forms. For interactions of sufficiently long range, the disparity between the correlation length and the system length can be made arbitrarily large, while maintaining the new scaling scenarios. We also investigate the behavior of the correlation function above the upper critical dimension and the modifications imposed by the new scaling scenario onto the associated Fisher relation.

Content range and precision of a computer adaptive test of upper extremity function for children with cerebral palsy.

PubMed

Montpetit, Kathleen; Haley, Stephen; Bilodeau, Nathalie; Ni, Pengsheng; Tian, Feng; Gorton, George; Mulcahey, M J

2011-02-01

This article reports on the content range and measurement precision of an upper extremity (UE) computer adaptive testing (CAT) platform of physical function in children with cerebral palsy. Upper extremity items representing skills of all abilities were administered to 305 parents. These responses were compared with two traditional standardized measures: Pediatric Outcomes Data Collection Instrument and Functional Independence Measure for Children. The UE CAT correlated strongly with the upper extremity component of these measures and had greater precision when describing individual functional ability. The UE item bank has wider range with items populating the lower end of the ability spectrum. This new UE item bank and CAT have the capability to quickly assess children of all ages and abilities with good precision and, most importantly, with items that are meaningful and appropriate for their age and level of physical function.

Correlation, sedimentology, structural setting, chemical composition, and provenance of selected formations in Mesoproterozoic Lemhi Group, central Idaho

USGS Publications Warehouse

Tysdal, Russell G.; Lindsey, David A.; Taggart, Joseph E.

2003-01-01

A unit of the Mesoproterozoic Apple Creek Formation of the Lemhi Range previously was correlated with part of the lower subunit of the Mesoproterozoic Yellowjacket Formation in the Salmon River Mountains. Strata currently assigned to the middle subunit of the Yellowjacket Formation lie conformably above the Apple Creek unit in the Salmon River Mountains, and are here renamed the banded siltite unit and reassigned to the Apple Creek Formation. Almost all of the banded siltite unit is preserved within the Salmon River Mountains, where it grades upward into clastic rocks that currently are assigned to the upper subunit of the Yellowjacket Formation and that here are reassigned to the Gunsight Formation. The banded siltite unit of the Apple Creek Formation is composed of a turbidite sequence, as recognized by previous workers. Uppermost strata of the unit were reworked by currents, possibly storm generated, and adjusted to a high water content by developing abundant soft-sediment deformation features. Basal strata of the overlying Gunsight Formation in the Salmon River Mountains display abundant hummocky crossbeds, storm-generated features deposited below fair-weather wave base, that are conformable above the storm-reworked deposits. The hummocky crossbedded strata grade upward into marine shoreface strata deposited above fair-weather wave base, which in turn are succeeded by fluvial strata. Hummocky and shoreface strata are absent from the Gunsight Formation in the Lemhi Range. The major thickness of the Gunsight Formation in both the Salmon River Mountains and the Lemhi Range is composed of fluvial rocks, transitional in the upper part into marine rocks of the Swauger Formation. The fluvial strata are mainly characterized by stacked sheets of metasandstone and coarse siltite; they are interpreted as deposits of braided rivers. The Poison Creek thrust fault of the Lemhi Range extends northwestward through the study area in the east-central part of the Salmon River Mountains. The Apple Creek and Gunsight Formations on the southwest side of the thrust fault were transported to the northeast as part of the Poison Creek thrust sheet. A segment of the thrust fault within the Gunsight Formation in the Salmon River Mountains subsequently underwent normal displacement. Along this segment, lower Gunsight strata on the southwest were juxtaposed against upper Gunsight and Swauger strata on the northeast.

Vertical Stratification of Soil Phosphorus as a Concern for Dissolved Phosphorus Runoff in the Lake Erie Basin.

PubMed

Baker, David B; Johnson, Laura T; Confesor, Remegio B; Crumrine, John P

2017-11-01

During the re-eutrophication of Lake Erie, dissolved reactive phosphorus (DRP) loading and concentrations to the lake have nearly doubled, while particulate phosphorus (PP) has remained relatively constant. One potential cause of increased DRP concentrations is P stratification, or the buildup of soil-test P (STP) in the upper soil layer (<5 cm). Stratification often accompanies no-till and mulch-till practices that reduce erosion and PP loading, practices that have been widely implemented throughout the Lake Erie Basin. To evaluate the extent of P stratification in the Sandusky Watershed, certified crop advisors were enlisted to collect stratified soil samples (0-5 or 0-2.5 cm) alongside their normal agronomic samples (0-20 cm) ( = 1758 fields). The mean STP level in the upper 2.5 cm was 55% higher than the mean of agronomic samples used for fertilizer recommendations. The amounts of stratification were highly variable and did not correlate with agronomic STPs (Spearman's = 0.039, = 0.178). Agronomic STP in 70% of the fields was within the buildup or maintenance ranges for corn ( L.) and soybeans [ (L.) Merr.] (0-46 mg kg Mehlich-3 P). The cumulative risks for DRP runoff from the large number of fields in the buildup and maintenance ranges exceeded the risks from fields above those ranges. Reducing stratification by a one-time soil inversion has the potential for larger and quicker reductions in DRP runoff risk than practices related to drawing down agronomic STP levels. Periodic soil inversion and mixing, targeted by stratified STP data, should be considered a viable practice to reduce DRP loading to Lake Erie. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

Transforce lingual appliances pre-adjusted invisible appliances simplify treatment.

PubMed

Clark, William John

2011-01-01

Transforce lingual appliances are designed to be used in conjunction with conventional fixed appliances. Lingual arch development is normally followed by bonded fixed appliances to detail the occlusion. Alternatively Transforce appliance treatment is an efficient method of preparing complex malocclusions prior to a finishing stage with invisible appliances. This approach is ideal for adult treatment, using light continuous forces for arch development with appliances that are comfortable to wear. Sagittal and Transverse appliances are designed for arch development in a range of sizes for contracted arches. They can be used to treat all classes of malocclusion and are pre-adjusted fixed/removable devices for non-compliance treatment. Force modules with nickel titanium coil springs enclosed in a tube deliver a gentle, biocompatible continuous force with a long range of action. They are excellent for mixed dentition and ideal for adult arch development. There are multiple sizes for upper and lower arch development and a sizing chart may be placed over a study model for correct selection, eliminating the need for laboratory work.

An improved contrast enhancement algorithm for infrared images based on adaptive double plateaus histogram equalization

NASA Astrophysics Data System (ADS)

Li, Shuo; Jin, Weiqi; Li, Li; Li, Yiyang

2018-05-01

Infrared thermal images can reflect the thermal-radiation distribution of a particular scene. However, the contrast of the infrared images is usually low. Hence, it is generally necessary to enhance the contrast of infrared images in advance to facilitate subsequent recognition and analysis. Based on the adaptive double plateaus histogram equalization, this paper presents an improved contrast enhancement algorithm for infrared thermal images. In the proposed algorithm, the normalized coefficient of variation of the histogram, which characterizes the level of contrast enhancement, is introduced as feedback information to adjust the upper and lower plateau thresholds. The experiments on actual infrared images show that compared to the three typical contrast-enhancement algorithms, the proposed algorithm has better scene adaptability and yields better contrast-enhancement results for infrared images with more dark areas or a higher dynamic range. Hence, it has high application value in contrast enhancement, dynamic range compression, and digital detail enhancement for infrared thermal images.

Radionuclide gastric emptying studies in patients with anorexia nervosa

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

Domstad, P.A.; Shih, W.J.; Humphries, L.

1987-05-01

To evaluate gastric emptying in anorexia nervosa patients, 26 patients (17 females, two males, ranging in age from 13 to 40 yr) with upper GI symptoms ingested 150-200 microCi (/sup 99m/Tc)triethelenetetraamine polysterene resin in cereal and were imaged in the supine position. Data were accumulated at 5 min intervals to obtain the gastric emptying time (GET). The results of the studies were divided into three categories: prolonged, 13 patients; rapid, 11; and normal 3. Twelve of 13 patients with prolonged GET were given 10 mg metoclopramide i.v. injections; nine of the 12 patients had a good response and three hadmore » no response. Five of the nine patients underwent metoclopramide therapy and four of the patients showed benefit from the therapy. One patient discontinued metoclopramide therapy because of somnolence. Although all patients had subjective symptoms of gastric dysfunction, our results indicated only 50% had objectively prolonged GET, and another 50% showed normal or even rapid GET. Therefore, this radionuclide study enables quantitatively objective documentation of gastric emptying, separation of those patients with rapid or normal GET from those with prolonged GET, thereby avoiding the possible side effects from metoclopramide medication, and prediction of effectiveness of metoclopramide therapy in patients with prolonged GET.« less

Extracts of chronic lymphocytic leukemia lymphocytes have a high level of DNA repair activity for O/sup 6/-methylguanine

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

Waldstein, E.A.; Cao, E.H.; Miller, M.E.

Extracts of peripheral lymphocytes from six individuals with chronic lymphocytic leukemia (CLL) were assayed for the ability to remove O/sup 6/-methylguanine (O/sup 6/MeGua) from exogenous DNA. The O/sup 6/MeGua-removing activity in CLL lymphocytes, predominantly B cells, was approximately 7-fold higher than in B lymphocytes of normal individuals and about 2-fold higher than in the unstimulated T type cells of normal persons. The activity measured in extracts of lymphocytes from three blood relatives was in the upper range of the normal distribution. Over 80% of the removal of O/sup 6/MeGua was accomplished by the transfer of the methyl group to cysteinemore » moieties of acceptor proteins in a stoichiometric reaction. If one assumes one acceptor group per acceptor protein, the calculated number of acceptor molecules per CLL lymphocyte falls between 91,000 and 220,000. Thus CLL lymphocytes do not show lower O/sup 6/MeGua-removing activity, in contrast to many tumor cell strains or transformed cell lines, which are reported to have a deficient methyl excision repair phenotype (Mer/sup -/). Instead, the CLL lymphocytes act as if they have a super-Mer/sup +/ phenotype.« less

The serum anion gap in the evaluation of acid-base disorders: what are its limitations and can its effectiveness be improved?

PubMed

Kraut, Jeffrey A; Nagami, Glenn T

2013-11-01

The serum anion gap has been utilized to identify errors in the measurement of electrolytes, to detect paraproteins, and, most relevant to the nephrologist, to evaluate patients with suspected acid-base disorders. In regard to the latter purpose, traditionally an increased anion gap is identified when it exceeds the upper limit of normal for a particular clinical laboratory measurement. However, because there is a wide range of normal values (often 8-10 mEq/L), an increase in anion concentration can be present in the absence of an increased anion gap. In addition, the type of retained anion can affect the magnitude of the increase in anion gap relative to change in serum [HCO3(-)] being greater with lactic acidosis compared with ketoacidosis. This review examines the methods of calculation of the serum anion gap in textbooks and published literature, the effect of perturbations other than changes in acid-base balance, and its effectiveness in identifying mild and more severe disturbances in acid-base balance. Limitations of the present methods of determining the normal anion gap and change in the anion gap are highlighted. The possibility of identifying the baseline value for individuals to optimize the use of the calculation in the detection of metabolic acidosis is suggested.

Operations analysis (study 2.1). Contingency analysis. [of failure modes anticipated during space shuttle upper stage planning

NASA Technical Reports Server (NTRS)

1974-01-01

Future operational concepts for the space transportation system were studied in terms of space shuttle upper stage failure contingencies possible during deployment, retrieval, or space servicing of automated satellite programs. Problems anticipated during mission planning were isolated using a modified 'fault tree' technique, normally used in safety analyses. A comprehensive space servicing hazard analysis is presented which classifies possible failure modes under the catagories of catastrophic collision, failure to rendezvous and dock, servicing failure, and failure to undock. The failure contingencies defined are to be taken into account during design of the upper stage.

The path integral on the Poincaré upper half plane and for Liouville quantum mechanics

NASA Astrophysics Data System (ADS)

Grosche, C.; Steiner, F.

1987-08-01

We present a rigorous path integral treatment of free motion on the Poincaré upper half plane. The Poincaré upper half plane, as a riemannian manifold, has recently become important in string theory and in the theory of quantum chaos. The calculation is done by a time-transformation and the use of the canonical method for determining quantum corrections to the classical lagrangian. Furthermore, we shall show that the same method also works for Liouville quantum mechanics. In both cases, the energy spectrum and the normalized wavefunctions are determined.

Upper triassic continental margin strata of the central alaska range: Implications for paleogeographic reconstruction

USGS Publications Warehouse

Till, A.B.; Harris, A.G.; Wardlaw, B.R.; Mullen, M.

2007-01-01

Reexamination of existing conodont collections from the central Alaska Range indicates that Upper Triassic marine slope and basin rocks range in age from at least as old as the late Carnian to the early middle Norian. The conodont assemblages typical of these rocks are generally cosmopolitan and do not define a distinct paleogeographic faunal realm. One collection, however, containsEpigondolella multidentata sensu Orchard 1991c, which appears to be restricted to western North American autochthonous rocks. Although paleogeographic relations cannot be determined with specificity, the present distribution of biofaces within the Upper Triassic sequence could not have been the result of simple accordion-style collapse of the Late Triassic margin.

[The significance of the interaural latency difference of VEMP].

PubMed

Wu, Ziming; Zhang, Suzhen; Ji, Fei; Zhou, Na; Guo, Weiwei; Yang, Weiyan; Han, Dongyi

2005-05-01

To investigate the significance of the interaural latency (IAL) difference of the latency of VEMP and to raise the sensitivity of the test. Vestibular evoked myogenic potentials (VEMP) were tested in 20 healthy subjects; 13 patients with acoustic neuromaor cerebellopontile angle occupying lesions and 1 patient with multiple sclerosis. IAL differences of the wave p13,n23 and p13-n23 (abbreviatd as /delta p13/, /delta n23/ and /delta p13-n23/, respectively) were analysed to determine the normal range and the upper limit of the norm data. Four illustrative cases with the abnormality of the IAL difference were given as examples. The upper limit of the IAL of /delta p13/ was 1.13 ms; that of the /delta n23/ was 1.38 ms and that of /delta p13-n23/ was 1.54 ms. The /p13-n23/ latency between the right and left side had no significant difference (P > 0.05). /delta p13/, /delta n23/ and /delta p13-n23/, especially /delta p13/ of VEMP can suggest abnormality in the neural pathway and it may be applicable in practice.

Polymer thick-film conductors and dielectrics for membrane switches and flexible circuitry

NASA Technical Reports Server (NTRS)

Nazarenko, N.

1983-01-01

The fabrication and operation of membrane switches are discussed. The membrane switch functions as a normally open, momentary contact, low-voltage pressure-sensitive device. Its design is a three-layer sandwich usually constructed of polyester film. Conductive patterns are deposited onto the inner side of top and bottom sheets by silk screening. The center spacer is then placed between the two circuit layers to form a sandwich, generally held together by an adhesive. When pressure is applied to the top layer, it flexes through the punched openings of the spacer to establish electrical contact between conductive pads of the upper and lower sheets, momentarily closing the circuit. Upon release of force the top sheet springs back to its normal open position. The membrane touch switch is being used in a rapidly expanding range of applications, including instrumentation, appliances, electronic games and keyboards. Its board acceptance results from its low cost, durability, ease of manufacture, cosmetic appeal and design flexibility. The principal electronic components in the membrane switch are the conductor and dielectric.

[A case of chronic multifocal myositis].

PubMed

Maruyama, T; Kondo, K; Tabata, K; Yanagisawa, N

1992-11-01

A 61-year-old civil engineer began to have slowly progressive muscle atrophy in the right shoulder and the left arm at 56 years of age. Muscle wasting became manifest in the left thigh at 59 years and in the right thigh at 60 years. He had mild difficulty in climbing and descending stairs. On examination, although he had notable muscle atrophy in the right trapezius and proximal muscles in the upper and lower extremities, his muscle strength was relatively well preserved. The muscle atrophy was asymmetrical; the right periscapular region and the left upper and lower extremities were more markedly atrophic. In addition, multiple foci of the striking muscle atrophy were noted in the upper trunk and the proximal limb muscles. Fasciculation was not present. Deep tendon reflexes were normal with no pathologic reflexes. Except for a moderately elevated serum creatine kinase level of 709 Ul/l (normal 40-170) and mildly elevated serum myoglobin level of 100 ng/ml (normal < 60), no laboratory tests showed abnormal values suggesting an inflammatory process. Motor and sensory nerve conduction velocities were within normal limits. Electromyography disclosed myopathic and neuropathic changes. Computed tomography (CT) of skeletal muscles showed asymmetrical muscle atrophy and patchy low-density foci. In biopsied left quadriceps and right gastrocnemius muscles which showed partially low density on CT, there was marked variation in muscle fiber size, with necrotic and regenerating fibers, an increased number of centrally placed nuclei, and interstitial fibrosis. There were numerous foci of mononuclear inflammatory cellular infiltration, especially around the blood vessels.(ABSTRACT TRUNCATED AT 250 WORDS)

Tessier No. 3 and No. 4 clefts: Sequential treatment in infancy by pre-surgical orthopedic skeletal contraction, comprehensive reconstruction, and novel surgical lengthening of the ala base-canthal distance.

PubMed

Spolyar, John L; Hnatiuk, Mark; Shaheen, Kenneth W; Mertz, Jennifer K; Handler, Lawrence F; Jarial, Ravinder; Roldán, J Camilo

2015-09-01

Repair of facial clefts implies wide tissue mobilization with multi-stage surgical treatment. Authors propose pre-surgical orthopedic correction for naso-oro-ocular clefts and a novel surgical option for Tessier No. 3 cleft. Two male infants, a Tessier No. 3 cleft (age 7 months) and another Tessier No. 4 (age 3 months), were treated with a modified orthopedic Latham device with additional septo-premaxillary molding and observed to age four years. Tessier No. 3 orthopedic measurements were obtained by image corrected cephalometric analysis. Subsequent repair included tissue expansion on Tessier No. 4 and naso-frontal Rieger flap combined with myocutaneous upper lid flap on Tessier No. 3. Orthopedic movements ranged from 18.5 mm in bi-planar to 33 mm in oblique analyses. Tissue margins became aligned with platform normalization. Tissue expansion on Tessier No. 4 improved distances from ala base-lower lid and subalar base-lip. The naso-frontal flap combined with myocutaneous upper lid flap on Tessier No. 3 had similar achievement, but also sufficiently lengthened ala base-canthal distance. Repairs were facilitated by pre-surgical orthopedic correction. The naso-frontal flap combined with an upper lid myocutaneous flap seems viable as a single-stage option to lengthen ala base-canthal distance to advance repair achievement in unilateral Tessier No. 3. Copyright © 2015 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Climate Control on Tree Growth at the Upper and Lower Treelines: A Case Study in the Qilian Mountains, Tibetan Plateau

PubMed Central

Yang, Bao; He, Minhui; Melvin, Thomas M.; Zhao, Yan; Briffa, Keith R.

2013-01-01

It is generally hypothesized that tree growth at the upper treeline is normally controlled by temperature while that at the lower treeline is precipitation limited. However, uniform patterns of inter-annual ring-width variations along altitudinal gradients are also observed in some situations. How changing elevation influences tree growth in the cold and arid Qilian Mountains, on the northeastern Tibetan Plateau, is of considerable interest because of the sensitivity of the region’s local climate to different atmospheric circulation patterns. Here, a network of four Qilian juniper (Sabina przewalskii Kom.) ring-width chronologies was developed from trees distributed on a typical mountain slope at elevations ranging from 3000 to 3520 m above sea level (a.s.l.). The statistical characteristics of the four tree-ring chronologies show no significant correlation with increasing elevation. All the sampled tree growth was controlled by a common climatic signal (local precipitation) across the investigated altitudinal gradient (520 m). During the common reliable period, covering the past 450 years, the four chronologies have exhibited coherent growth patterns in both the high- and low-frequency domains. These results contradict the notion of contrasting climate growth controls at higher and lower elevations, and specifically the assumption that inter-annual tree-growth variability is controlled by temperature at the upper treeline. It should be stressed that these results relate to the relatively arid conditions at the sampling sites in the Qilian Mountains. PMID:23874871

Saltwater-freshwater mixing fluctuation in shallow beach aquifers

NASA Astrophysics Data System (ADS)

Han, Qiang; Chen, Daoyi; Guo, Yakun; Hu, Wulong

2018-07-01

Field measurements and numerical simulations demonstrate the existence of an upper saline plume in tidally dominated beaches. The effect of tides on the saltwater-freshwater mixing occurring at both the upper saline plume and lower salt wedge is well understood. However, it is poorly understood whether the tidal driven force acts equally on the mixing behaviours of above two regions and what factors control the mixing fluctuation features. In this study, variable-density, saturated-unsaturated, transient groundwater flow and solute transport numerical models are proposed and performed for saltwater-freshwater mixing subject to tidal forcing on a sloping beach. A range of tidal amplitude, fresh groundwater flux, hydraulic conductivity, beach slope and dispersivity anisotropy are simulated. Based on the time sequential salinity data, the gross mixing features are quantified by computing the spatial moments in three different aspects, namely, the centre point, length and width, and the volume (or area in a two-dimensional case). Simulated salinity distribution varies significantly at saltwater-freshwater interfaces. Mixing characteristics of the upper saline plume greatly differ from those in the salt wedge for both the transient and quasi-steady state. The mixing of the upper saline plume largely inherits the fluctuation characteristics of the sea tide in both the transverse and longitudinal directions when the quasi-steady state is reached. On the other hand, the mixing in the salt wedge is relatively steady and shows little fluctuation. The normalized mixing width and length, mixing volume and the fluctuation amplitude of the mass centre in the upper saline plume are, in general, one-magnitude-order larger than those in the salt wedge region. In the longitudinal direction, tidal amplitude, fresh groundwater flux, hydraulic conductivity and beach slope are significant control factors of fluctuation amplitude. In the transverse direction, tidal amplitude and beach slope are the main control parameters. Very small dispersivity anisotropy (e.g., αL /αT < 5) could greatly suppress mixing fluctuation in the longitudinal direction. This work underlines the close connection between the sea tides and the upper saline plume in the aspect of mixing, thereby enhancing understanding of the interplay between tidal oscillations and mixing mechanisms in tidally dominated sloping beach systems.

Superconducting properties of NbN film, bridge and meanders

NASA Astrophysics Data System (ADS)

Joshi, Lalit M.; Verma, Apoorva; Gupta, Anurag; Rout, P. K.; Husale, Sudhir; Budhani, R. C.

2018-05-01

The transport properties of superconducting NbN nanostructures in the form of thin film, bridge of width (w) = 50 μm and three meanders of w = 500, 250 and 100 nm have been investigated by resistance (R) measurements in temperature (T) range = 2 -300 K and magnetic field (B) range = 0 - 7 Tesla. The nanostructuring was carried out using Focused Ion Beam (FIB) milling. Reduction of sample width results in significant changes in the normal and superconducting state properties. For instance, the observed metallic behavior in the thin film sample is lost and the normal state resistance increases drastically from 2.4 Ω to 418 kΩ for the 100 nm meander. In the superconducting state, the value of critical temperature Tc (upper critical field Bc2 at T = 0 K) reduces gradually with width reduction, it changes from 13.15 K (42.8 Tesla) in the case of thin film sample to 5.7 K (12.7 Tesla) for the 100 nm meander sample. The superconducting transitions are found to get broader for the bridge sample and the meanders additionally show low-temperature resistive tails. In case of all the samples with reduced width, the transition onsets are found to be rounded at surprisingly high values of T ˜ 25 K >> Tc. These results are discussed in terms of the possible effects of FIB processing and weak localization in our samples.

CT measurement of glenoid erosion in arthritis.

PubMed

Mullaji, A B; Beddow, F H; Lamb, G H

1994-05-01

We studied serial CT scans of 45 arthritic shoulders (34 rheumatoid, 11 osteoarthritic) and 19 normal shoulders, making measurements at three levels on axial images. The maximum anteroposterior diameter of the glenoid was increased in rheumatoid glenoids at the upper and middle levels by 6 mm and in osteoarthritic glenoids at all levels by 5 to 8 mm as compared with normal. In rheumatoid cases, nearly half the available surface of the glenoid was of unsupported bone, mainly posteriorly at the upper and middle levels. In osteoarthritic glenoids, the best supported bone was anterior at the upper level and central at the middle and lower levels. The depth of the rheumatoid glenoid was reduced by a mean of 6 mm at the upper and middle levels and by 3 mm at the lower level. This inclined the surface of the glenoid superiorly. The depth at the middle level in osteoarthritis was reduced by a mean of 5 mm, suggesting central protrusion. Osteoarthritic glenoids were retroverted by a mean of 12.5 degrees, but of rheumatoid glenoids two-thirds were retroverted (mean 15.1 degrees) and one-third anteverted (mean 8.2 degrees). Our findings have important implications for the planning and placement of the glenoid component of total shoulder replacements; CT can provide useful information.

Transient ventricular dysfunction after an asphyxiation event: stress or hypoxia?

PubMed

Valletta, Mary E; Haque, Ikram; Al-Mousily, Faris; Udassi, Jai; Saidi, Arwa

2008-11-01

This report of a pediatric patient with acute upper airway obstruction causing asphyxiation emphasizes the need to maintain clinical suspicion for acquired myocardial dysfunction, despite the presumed role of noncardiogenic causes for pulmonary edema after an acute upper airway obstruction. Case report. A tertiary pediatric intensive care unit. A 10-year-old girl with no significant medical history who developed flash pulmonary edema and acute myocardial dysfunction after an acute upper airway obstruction. Serial echocardiograms, exercise stress test, and coronary angiography were performed. Serial pro-brain natriuretic peptide, troponins, and CK-MB levels were also followed. Troponin level normalized approximately 7 days after the acute event. CK-MB and pro-brain natriuretic peptide levels decreased but had not completely normalized by time of discharge. The patient was discharged home 10 days after the event on an anticipated 6-month course of metoprolol without any signs or symptoms of cardiac dysfunction. Myocardial dysfunction is rarely documented in children after an acute upper airway obstruction or an asphyxiation event. Pediatric intensivists and hospitalists should maintain a high degree of clinical suspicion and screen for possible myocardial dysfunction in the pediatric patient with an acute severe hypoxic event especially when accompanied by pulmonary edema. Prompt evaluation ensures appropriate support. Additionally, some role may exist for early adrenergic receptor blockade.

Results of coalbed-methane drilling, Meadowfill Landfill, Harrison County, West Virginia: Chapter G.4 in Coal and petroleum resources in the Appalachian basin: distribution, geologic framework, and geochemical character

USGS Publications Warehouse

Ruppert, Leslie F.; Trippi, Michael H.; Fedorko, Nick; Grady, William C.; Eble, Cortland F.; Schuller, William A.; Ruppert, Leslie F.; Ryder, Robert T.

2014-01-01

Methane contents of desorbed gas from coal samples in the Meadowfill Landfill study area ranged from 14.87 to 98.73 percent (corrected for air contamination) for the Harlem coal bed and Clarion coal zone, respectively. Proportions of methane to the sum of the higher molecular weight hydrocarbons ranged from about 40 to 340 as the desorbed gas contained only a small percentage of higher weight hydrocarbons. Coalbed methane from the Upper Kittanning upper split and the Upper Kittanning coal beds is thermogenic in origin with isotopic composition of carbon (carbon 13, 13C) in methane (expressed as δ13C in units of parts per thousand (per mil) relative to the Vienna Peedee belemnite (VPDB) standard) ranging from -46.6 to -48.7 per mil. Coalbed methane from the Brush Creek and Upper Freeport coal beds and the Clarion coal zone contains some biogenic methane with δ13C values ranging from -51.05 to -51.56 per mil.

Comparison the Serum STREM1 Levels Between Children with Upper and Lower UTI.

PubMed

Ehsanipour, Fahime; Noorbakhsh, Samileh; Zarabi, Vida; Movahedi, Zahra; Rahimzadeh, Nahid

2017-01-01

Pyelonephritis is the most common and important infection among Iranian pediatric population. Differentiation between upper and lower Urinary Tract Infection (UTI) is often difficult based on clinical data. Therefore, definite diagnosis is helpful for choosing appropriate antibiotic and decision for hospital admission. The main purpose of this study was todetermine the diagnostic value of serum STREM-1 level in children suspicious to UTI and differentiation of upper UTI and lower UTI. This prospective cross sectional study (2010-2011) was performed to evaluate and compare the serum level of STREM- 1 (pg. /ml) in 36 diagnosed UTI patients (24 upper and 12 lower UTI) with 25 normal children (without UTI) in Rasoul Akram hospital, Tehran, Iran. The mean age of studied children was 3.64 years; 24 male and 37 female. Urinary analysis and urine culture were performed for all UTI cases and only the positive cultured cases with the same microorganism were enrolled in the study. Distinguishing the upper from lower UTI was done on the basis of clinical manifestation and laboratory tests and confirmed by Imaging studies (ultra sonography /or DMSA scan). Blood sampling was taken from all children and centrifuged .The level of STREM-1 (pg /ml) in all sera was determined by Enzyme immunoassay technique (Human TREM-1 immunoassay Sandwich test, Quantikine, R&D systems, Minneapolis; USA). Cut-off levels for STREM-1 were illustrated by ROC curve. The p<0.05 was considered as significant for differences between groups. The mean of STREM -1level had significant difference between overall cases of UTI (427.72pg/ml) and controls (124.24 pg. /ml; P =0.000) ; with cutoff point 111.5 pg./ml ; it had 83.3% sensitivity; and 60 % specificity to distinguish UTI from control. Serum STREM -1 level had no significantly difference between the upper and lower UTI (500pg/ml vs. 283 pg. /ml, P value=0.1) with cutoff point 132 pg./ml it had 83.3% sensitivity ; and 60 % specificity to distinguish upper UTI from lower UTI. Our study demonstrates that even low amount of serum STREM-1 (111.5 pg./ml) has 83.3% sensitivity ; and 60 % specificity to distinguish the UTI from normal cases (P value =0.000) but higher level (132 pg./ml) was needed for definite diagnosis (83.3% sensitivity; 60 % specificity) of upper and lower UTI. It is concluded that serum STREM-1 level test is a valuable tool for early diagnosis of the normal cases with false positive urine culture, or in highly suspicious upper UTI cases with false negative urine culture. Indeed higher titer of this biomarker could be helpful for discriminating the upper from lower UTI. Therefore adding this new biologic marker (STREM-1) to previous ones (CRP, PCT) is suggested to prevent the unnecessary hospital admission and empiric antibiotic therapy. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

Assessment of the maximum voluntary arm muscle contraction in sign language for the deaf.

PubMed

Regalo, S C H; Teixeira, V R; Vitti, M; Chaves, T C; Hallak, J E C; Bevilaqua-Grossi, D; Siriani de Oliveira, A

2006-01-01

The purpose of this study was to investigate the levels of upper member muscles' activation of deaf individuals, who use the Brazilian sign language - LIBRAS, comparing these findings to volunteers with no postural deviations and normal hearing Forty eight volunteers divided into two groups comprising healthy and deaf subjects (24 volunteers for each group). The signs of rest were obtained with the volunteer maintaining the upper member in an anatomical position, but with the forearm flexed and sustained by the lower member. Maximum voluntary isometric contractions (MVIC) of the biceps, triceps, deltoid, and trapezius muscles were performed in the position of muscular function testing. Statistical analysis was performed using the SPSS-10.0. Continuous data with normal distribution were analyzed by ANOVA with the significance level of p < 0.01. The normalized electromyographic muscle data obtained in muscular rest do not show statistically significant differences among the studies muscles, in both groups. In the comparison of normalized RMS values obtained in MVIC, the mean values for the trapezius muscle of deaf group were statistically lower than control group. This study's results indicate there are no differences between the levels of muscular activation for arm biceps, arm triceps, and the anterior portion of the deltoid muscle between the mean normalized RMS values of deaf and healthy individuals.

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

Altazi, B; Fernandez, D; Zhang, G

Purpose: Site-specific investigations of the role of Radiomics in cancer diagnosis and therapy are needed. We report of the reproducibility of quantitative image features over different discrete voxel levels in PET/CT images of cervical cancer. Methods: Our dataset consisted of the pretreatment PET/CT scans from a cohort of 76 patients diagnosed with cervical cancer, FIGO stage IB-IVA, age range 31–76 years, treated with external beam radiation therapy to a dose range between 45–50.4 Gy (median dose: 45 Gy), concurrent cisplatin chemotherapy and MRI-based Brachytherapy to a dose of 20–30 Gy (median total dose: 28 Gy). Two board certified radiation oncologistsmore » delineated Metabolic Tumor volume (MTV) for each patient. Radiomics features were extracted based on 32, 64, 128 and 256 discretization levels (DL). The 64 level was chosen to be the reference DL. Features were calculated based on Co-occurrence (COM), Gray Level Size Zone (GLSZM) and Run-Length (RLM) matrices. Mean Percentage Differences (Δ) of features for discrete levels were determined. Normality distribution of Δ was tested using Kolomogorov - Smirnov test. Bland-Altman test was used to investigate differences between feature values measured on different DL. The mean, standard deviation and upper/lower value limits for each pair of DL were calculated. Interclass Correlation Coefficient (ICC) analysis was performed to examine the reliability of repeated measures within the context of the test re-test format. Results: 3 global and 5 regional features out of 48 features showed distribution not significantly different from a normal one. The reproducible features passed the normality test. Only 5 reproducible results were reliable, ICC range 0.7 – 0.99. Conclusion: Most of the radiomics features tested showed sensitivity to voxel level discretization between (32 – 256). Only 4 GLSZM, 3 COM and 1 RLM showed insensitivity towards mentioned discrete levels.« less

Achondroplasia: Really rhizomelic?

PubMed

Shelmerdine, Susan Cheng; Brittain, Helen; Arthurs, Owen J; Calder, Alistair D

2016-08-01

Achondroplasia is the most common form of short limb dwarfism in humans. The shortening of the limb lengths in achondroplasia is widely described as "rhizomelic." While this appearance may be convincing clinically, the description is not necessarily true or helpful radiologically. The aims of this study, were therefore, to determine whether rhizomelic shortening is a true feature of achondroplasia at diagnosis in infancy. Humeral, radial, femoral, and tibial diaphyseal lengths were recorded by two independent observers from 22 skeletal surveys of infants with achondroplasia and compared with 150 normal age-matched control subjects. Upper and lower limb bone length ratios (radial/humeral and tibial/femoral lengths, respectively) in both groups were compared using an unpaired t-test. Mean upper limb length ratios were statistically higher within the achondroplasia group at 0.87 ± 0.04 (n = 22, mean age 70 ± 94 days) compared to normal controls at 0.79 ± 0.02 (n = 150, mean age 113 days ± 88 days; P < 0.0001). Lower limb length ratios were not significantly different between groups (0.84 ± 0.04 vs. 0.83 ± 0.02, P = 0.46). There was good inter-observer agreement of limb length measurements, with an average measurement difference of 0.1 ± 1.4 mm. In conclusion, infants with achondroplasia demonstrate statistically significant rhizomelic shortening within the upper limbs, but not lower limbs at diagnosis, compared to normal controls. The term "rhizomelic shortening" in relation to achondroplasia should be reserved when describing upper limb proportions. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

Gibberellins and gravitropism in maize shoots: endogenous gibberellin-like substances and movement and metabolism of (/sup 3/)gibberellin A

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

Rood, S.B.; Kaufman, P.B.; Abe, H.

1987-03-01

(/sup 3/H)Gibberellin A/sub 20/(GA/sub 20/) of high specific radioactivity was applied equilaterally in a ring of microdrops to the internodal pulvinus of shoots of 3-week-old vertical normal maize (Zea mays L.), and to a pleiogravitropic (prostrate) maize mutant, lazy (la). All plants converted the (/sup 3/H)GA/sub 1//sup -/ and (/sup 3/H)GA/sub 29/-like metabolites as well as to several metabolites with the partitioning and chromatographic behavior of glucosyl conjugates of (/sup 3/H)GA/sub 1/(/sup 3/H)GA/sub 29/, and (/sup 3/H)GA/sub 8/. The tentative identification of these putative (/sup 3/H)GA glucosyl conjugates was further supported by the release of the free (/sup 3/H)GA moietymore » after cleavage with cellulase. Within 12 hours of the (/sup 3/H)GA/sub 20/ feed, there was a significantly higher proportion of total radioactivity in lower than in upper halves of internode and leaf sheaf pulvini in gravistimulated normal maize. Further, there was a significantly higher proportion of putative free GA metabolites of (/sup 3/H)GA/sub 20/, especially (/sup 3/H) GA/sub 1/, in the lower halves of normal maize relative to upper halves. The differential localization of the metabolites between upper and lower halves was not apparent in the pleiogravitropic mutant, la. Endogenous GA-like substances were also examined in gravistimulated maize shoots. Forty-eight hours after gravistimulation of 3-week-old maize seedlings, endogenous free GA-like substances in upper and lower leaf sheath and internode pulvini halves were extracted, chromatographed, and bioassayed using the Tanginbozu dwarf rice microdroassay. Lower halves contained higher total levels of GA-like activity.« less

Effects of Ginger Supplementation on Cell Cycle Biomarkers in the Normal-Appearing Colonic Mucosa of Patients at Increased Risk for Colorectal Cancer: Results from a Pilot, Randomized, Controlled Trial

PubMed Central

Citronberg, Jessica; Bostick, Roberd; Ahearn, Thomas; Turgeon, D. Kim; Ruffin, Mack T.; Djuric, Zora; Sen, Ananda; Brenner, Dean E.; Zick, Suzanna M.

2013-01-01

To estimate the effects of ginger on apoptosis, proliferation, and differentiation in the normal-appearing colonic mucosa, we randomized 20 people at increased risk for colorectal cancer to 2.0 g of ginger or placebo daily for 28 days in a pilot trial. Overall expression and distributions of Bax, Bcl-2, p21, hTERT and MIB-1 (Ki-67) in colorectal crypts in rectal mucosa biopsies were measured using automated immunohistochemistry and quantitative image analysis. Relative to placebo, Bax expression in the ginger group decreased 15.6% (p = 0.78) in the whole crypts, 6.6% (p = 0.95) in the upper 40% (differentiation zone) of crypts, and 21.7% (p = 0.67) in the lower 60% (proliferative zone) of crypts; however, there was a 19% increase (p = 0.14) in Bax expression in the upper 40% relative to the whole crypt. While p21 and Bcl-2 expression remained relatively unchanged, hTERT expression in the whole crypts decreased by 41.2% (p = 0.05); the estimated treatment effect on hTERT expression was larger in the upper 40% of crypts (−47.9%; p = 0.04). In the ginger group, MIB-1 expression decreased in the whole crypts, upper 40% of crypts, and lower 60% of crypts by 16.9% (p = 0.39), 46.8% (p = 0.39), and 15.3% (p = 0.41), respectively. These pilot study results suggest that ginger may reduce proliferation in the normal-appearing colorectal epithelium and increase apoptosis and differentiation relative to proliferation—especially in the differentiation zone of the crypts, and support a larger study to further investigate these results. PMID:23303903

[Effect of dental arch length decrease during orthodontic treatment in the upper airway development. A review].

PubMed

Haddad, Stéphanie; Kerbrat, Jean-Baptiste; Schouman, Thomas; Goudot, Patrick

2017-03-01

A possible relation between an upper airway space decrease and the development of obstructive sleep apnea syndrom explains the importance to know the effect of the modification of dental arch length on the upper airway during orthodontic treatment. The aim of this article is to expose recent knowledge about upper airway development and dental arch length decrease factors, to determine the influence of this decrease on upper airway development. A review was done to determine the upper airway normal development, to define dental arch to specify if an ideal position of dental arch on apical base exists. All of the length dental arch decrease factors during orthodontic treatment (dental extraction, dental agenesis and dental malpositions) and their upper airway resounding were searched. Some authors found a diminution of upper airway space after premolars extractions while others didn't found this diminution after extractions premolars when incisor retraction is finished. A decrease of transversal maxillary diameter and nasal cavity may be due to absence of permanent teeth. The effect of dental arch length decrease during orthodontic treatment in the upper airway development was not scientifically proved. However we had to be vigilant and adapt our orthodontic treatment case by case to avoid an upper airway modification. © EDP Sciences, SFODF, 2017.

Evaluation of the hydrologic system and potential effects of mining in the Dickinson lignite area, eastern slope and western Stark and Hettinger counties, North Dakota

USGS Publications Warehouse

Armstrong, C.A.

1984-01-01

The investigation of the water resources of the Dickinson lignite area, an area of about 500 square miles, was undertaken to define the hydrologic system of the area and to project probable effects of coal mining on the system.Aquifers occur in sandstone beds in: the Fox Hills Sandstone and the lower Hell Creek Formation of Cretaceous age, the upper Hell Creek Formation of Cretaceous age and the lower Ludlow Member of the Fort Union Formation of Tertiary age, and the upper Ludlow and lower Tongue River Members of the Fort Union Formation of Tertiary age. Aquifers also occur in the sandstone and lignite lenses in the upper Tongue River Member and the Sentinel Butte Member of the Fort Union Formation. Depths to the Fox Hills-lower Hell Creek aquifer system range from about 1,300 to 1,710 feet. Well yields range from 18 to 100 gallons per minute. The water is soft and is a sodium bicarbonate type. Dissolvedsolids concentrations in samples collected from the aquifer system ranged from 1,230 to 1,690 milligrams per liter.Depths to the upper Hell Creek-lower Ludlow aquifer system range from about 720 to 1,040 feet. Well yields generally are less than 30 gallons per minute but may be as much as 150 gallons per minute. The water is soft and a sodium bicarbonate type. Dissolved-solids concentrations in samples collected from the aquifer system ranged from 1,010 to 1,450 milligrams per liter.Depths to the upper Ludlow-lower Tongue River aquifer system range from about 440 to 713 feet. Well yields may range from about 1 to 100 gallons per minute. The water generally is soft and a sodium bicarbonate type but may be moderately hard and a sulfate type in the southwestern part of the area. Dissolved-solids concentrations in samples collected from the aquifer system ranged from 995 to 1,990 milligrams per liter. Depths to the upper Tongue River-Sentinel Butte aquifer system range from near land surface to about 530 feet below land surface. Well yields generally range from about 1 to 185 gallons per minute. Yields from the lignite parts of the system range from about 2 to 60 gallons per minute. The water generally is a sodium bicarbonate type, but locally sulfate is the dominant anion. Dissolved-solids concentrations in samples collected from the aquifer system generally ranged from 574 to 2,720 milligrams per liter.

Crustal structure of Yunnan province, People's Republic of China, from seismic refraction profiles

USGS Publications Warehouse

Kan, R.-J.; Hu, H.-X.; Zeng, R.-S.; Mooney, W.D.; McEvilly, T.V.

1986-01-01

Seismic refraction, profiles in Yunnan Province, southwestern China, define the crustal structure in an area of active tectonics, on the southern end of the Himalaya-Burma arc. The crustal thickness ranges from 38 to 46 kilometers, and the relatively low mean crustal velocity indicates a crustal composition compatible with normal continental crust and consisting mainly of meta-sedimentary and silicic intrusive rocks, with little mafic or ultramafic component. This composition suggests a crustal evolution involving sedimentary processes on the flank of the Yangtze platform rather than the accretion of oceanic island arcs, as has been proposed. An anomalously low upper-mantle velocity observed on one profile, but not on another at right angles to it may indicate active tectonic processes in the mantle or seismic anisotropy.

Plasma biochemical and PCV ranges for healthy, wild, immature hawksbill (Eretmochelys imbricata) sea turtles.

PubMed

Whiting, S D; Guinea, M L; Fomiatti, K; Flint, M; Limpus, C J

2014-06-14

In recent years, the use of blood chemistry as a diagnostic tool for sea turtles has been demonstrated, but much of its effectiveness relies on reference intervals. The first comprehensive blood chemistry values for healthy wild hawksbill (Eretmochelys imbricata) sea turtles are presented. Nineteen blood chemistry analytes and packed cell volume were analysed for 40 clinically healthy juvenile hawksbill sea turtles captured from a rocky reef habitat in northern Australia. We used four statistical approaches to calculate reference intervals and to investigate their use with non-normal distributions and small sample sizes, and to compare upper and lower limits between methods. Eleven analytes were correlated with curved carapace length indicating that body size should be considered when designing future studies and interpreting analyte values. British Veterinary Association.

Crustal Structure of Yunnan Province, People's Republic of China, from Seismic Refraction Profiles.

PubMed

Kan, R J; Hu, H X; Zeng, R S; Mooney, W D; McEvilly, T V

1986-10-24

Seismic refraction, profiles in Yunnan Province, southwestern China, define the crustal structure in an area of active tectonics on the southern end of the Himalaya-Burma arc. The crustal thickness ranges from 38 to 46 kilometers, and the relatively low mean crustal velocity indicates a crustal composition compatible with normal continental crust and consisting mainly of meta-sedimentary and silicic intrusive rocks, with little mafic or ultramafic component. This composition suggests a crustal evolution involving sedimentary processes on the flank of the Yangtze platform rather than the accretion of oceanic island arcs, as has been proposed. An anomalously low upper-mantle velocity observed on one profile but not on another at right angles to it may indicate active tectonic processes in the mantle or seismic anisotropy.

Tungsten-182 heterogeneity in modern ocean island basalts

NASA Astrophysics Data System (ADS)

Mundl, Andrea; Touboul, Mathieu; Jackson, Matthew G.; Day, James M. D.; Kurz, Mark D.; Lekic, Vedran; Helz, Rosalind T.; Walker, Richard J.

2017-04-01

New tungsten isotope data for modern ocean island basalts (OIB) from Hawaii, Samoa, and Iceland reveal variable 182W/184W, ranging from that of the ambient upper mantle to ratios as much as 18 parts per million lower. The tungsten isotopic data negatively correlate with 3He/4He. These data indicate that each OIB system accesses domains within Earth that formed within the first 60 million years of solar system history. Combined isotopic and chemical characteristics projected for these ancient domains indicate that they contain metal and are repositories of noble gases. We suggest that the most likely source candidates are mega-ultralow-velocity zones, which lie beneath Hawaii, Samoa, and Iceland but not beneath hot spots whose OIB yield normal 182W and homogeneously low 3He/4He.

Aerodynamic characteristics of the upper stages of a launch vehicle in low-density regime

NASA Astrophysics Data System (ADS)

Oh, Bum Seok; Lee, Joon Ho

2016-11-01

Aerodynamic characteristics of the orbital block (remaining configuration after separation of nose fairing and 1st and 2nd stages of the launch vehicle) and the upper 2-3stage (configuration after separation of 1st stage) of the 3 stages launch vehicle (KSLV-II, Korea Space Launch Vehicle) at high altitude of low-density regime are analyzed by SMILE code which is based on DSMC (Direct Simulation Monte-Carlo) method. To validating of the SMILE code, coefficients of axial force and normal forces of Apollo capsule are also calculated and the results agree very well with the data predicted by others. For the additional validations and applications of the DSMC code, aerodynamic calculation results of simple shapes of plate and wedge in low-density regime are also introduced. Generally, aerodynamic characteristics in low-density regime differ from those of continuum regime. To understand those kinds of differences, aerodynamic coefficients of the upper stages (including upper 2-3 stage and the orbital block) of the launch vehicle in low-density regime are analyzed as a function of Mach numbers and altitudes. The predicted axial force coefficients of the upper stages of the launch vehicle are very high compared to those in continuum regime. In case of the orbital block which flies at very high altitude (higher than 250km), all aerodynamic coefficients are more dependent on velocity variations than altitude variations. In case of the upper 2-3 stage which flies at high altitude (80km-150km), while the axial force coefficients and the locations of center of pressure are less changed with the variations of Knudsen numbers (altitudes), the normal force coefficients and pitching moment coefficients are more affected by variations of Knudsen numbers (altitude).

SEARCHES FOR POINT-LIKE AND EXTENDED NEUTRINO SOURCES CLOSE TO THE GALACTIC CENTER USING THE ANTARES NEUTRINO TELESCOPE

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

Adrián-Martínez, S.; Ardid, M.; Bou-Cabo, M.

2014-05-01

A search for cosmic neutrino sources using six years of data collected by the ANTARES neutrino telescope has been performed. Clusters of muon neutrinos over the expected atmospheric background have been looked for. No clear signal has been found. The most signal-like accumulation of events is located at equatorial coordinates R.A. = –46.°8 and decl. = –64.°9 and corresponds to a 2.2σ background fluctuation. In addition, upper limits on the flux normalization of an E {sup –2} muon neutrino energy spectrum have been set for 50 pre-selected astrophysical objects. Finally, motivated by an accumulation of seven events relatively close tomore » the Galactic Center in the recently reported neutrino sample of the IceCube telescope, a search for point sources in a broad region around this accumulation has been carried out. No indication of a neutrino signal has been found in the ANTARES data and upper limits on the flux normalization of an E {sup –2} energy spectrum of neutrinos from point sources in that region have been set. The 90% confidence level upper limits on the muon neutrino flux normalization vary between 3.5 and 5.1 × 10{sup –8} GeV cm{sup –2} s{sup –1}, depending on the exact location of the source.« less

Zn concentration in esophageal tissue in patients with and without upper gastrointestinal disease

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

Wong, R.K.H.; Kadakia, S.C.; Maydonovitch, C.

1986-03-05

Measurements of tissue Zn in humans with upper gastrointestinal disease could provide information about underlying pathophysiology but these data have never been obtained. With recent endoscopic methods they obtained 2-6 mg pinch mucosal biopsies of epithelium and lamina propria from proximal (P), middle (M) and distal (D) areas of esophagus under direct vision through a flexible 1 cm endoscope in 35 subjects without gastrointestinal disease (N) and in 35 patients with the following endoscopically proven gastrointestinal pathology: 12 with esophagitis (E), 14 with duodenal ulcer disease (DU) and 9 with gastritis (G). Samples were dried, weighed, digested with HNO/sub 3/,more » dried, resuspended in 3% HNO/sub 3/ and Zn estimated by flame atomic absorption spectrophotometry. Esophageal Zn in N decreased progressively as biopsies extended from P to D (P, 108 +/- 29 ..mu..g/g dry weight, Mean +/- SEM; M, 158 +/- 23; D, 134 +/- 16) but this pattern was generally reversed in patients, with D consistently demonstrating Zn elevated 50-120% above normal. The greatest increase was in G in whom Zn in D was more than twice normal (DU, 290 +/- 76, p < 0.01). These are the first Zn levels obtained from esophagus in living human subjects and indicate (1) a specific pattern of Zn distribution in normal esophagus and (2) a significantly altered pattern in D in several diseases of the upper gastrointestinal tract.« less

Late pleistocene aggradation and degradation of the lower colorado river: Perspectives from the Cottonwood area and other reconnaissance below Boulder Canyon

USGS Publications Warehouse

Lundstrom, S.C.; Mahan, S.A.; Paces, J.B.; Hudson, M.R.; House, P.K.; Malmon, D.V.; Blair, J.L.; Howard, K.A.

2008-01-01

Where the lower Colorado River traverses the Basin and Range Province below the Grand Canyon, significant late Pleistocene aggradation and subsequent degrada tion of the river are indicated by luminescence, paleomagnetic, and U-series data and stratigraphy. Aggradational, finely bedded reddish mud, clay, and silt are underlain and overlain by cross-bedded to plane-bedded fine sand and silt. That sequence is commonly disconformably overlain by up to 15 m of coarse sand, rounded exotic gravel, and angular, locally derived gravel. Luminescence dates on the fine sediments range from ca. 40 ka to 70 ka, considering collective uncertainties. A section of fine grained sediments over a vertical range of 15 m shows normal polarity magnetization and little apparent secular variation beyond dispersion that can be explained by com paction. Aggradation on large local tributaries such as Las Vegas Wash appears to have been coeval with that of the Colorado River. The upper limits of erosional rem nants of the sequence define a steeper grade above the historical river, and these late Pleistocene deposits are greater than 100 m above the modern river north of 35??N. Ter race gravels inset below the upper limit of the aggradational sequence yield 230Th dates that range from ca. 32 ka to 60 ka and indicate that degradation of the river system in this area closely followed aggradation. The thick sequence of rhythmically bedded mud and silt possibly indicates set tings that were ponded laterally between valley slopes and levees of the aggrading river. Potential driving mechanisms for such aggradation and degradation include sediment-yield response to climate change, drought, fire, vegetation-ecosystem dynam ics, glaciation, paleofloods, groundwater discharge, and building and destruction of natural dams produced by volcanism and landslides. ?? 2008 The Geological Society of America.

Flecainide

MedlinePlus

... of medications called antiarrhythmics. It works by slowing electrical signals in the heart to stabilize the heart ... if you have heart block (condition in which electrical signals are not passed normally from the upper ...

The chronology and sequence of eruption of human permanent teeth in Northern Ireland.

PubMed

Kochhar, R; Richardson, A

1998-12-01

To ascertain the average and range of ages and sequence of eruption of human permanent teeth, taking into account the effect of premature loss of primary antecedents. Longitudinal study. Caucasian subjects in Northern Ireland. Study casts at 6-monthly intervals from age 5 to 15 years of 276 children (146 males and 130 females) enrolled in the Belfast Growth Study. The mean and range of ages of eruption of each individual tooth were computed. Comparisons were made between the mean ages of eruption with and without premature loss of primary antecedents, between upper and lower arches, between right and left sides and between males and females. The sequence of eruption was also investigated. The means and ranges of eruption ages are reported. Premature loss of primary antecedents delayed eruption of permanent successors except for the upper premolars which were accelerated. The differences relating to the upper first premolar and lower canine were not statistically significant. Each lower tooth erupted before its upper counterpart except for the premolars. There was no significant difference in age of eruption between right and left sides. Females tended to erupt teeth before males with the exception of the second molars in both arches; however, the only differences to reach statistical significance related to upper and lower canines and upper lateral incisors. The most frequent orders of eruption were unique to the subject. These occurred in 22% of upper and 33% of lower arches. The classic sequences: first molar-central incisor-lateral incisor-first premolar-canine-second premolar-second molar (M1-I1-I2-PM1-C-PM2-M2) in the upper arch and I1-M1-I2-C-PM1-PM2-M2 in the lower arch occurred in only 16% of upper arches and 13% of lower arches. Males adhered to the textbook sequence (20% upper, 17% lower) more than females (12% upper, 8% lower). In the upper arch of females, the order M1-I1-I2-PM1-PM2-C-M2 in 10% of subjects was almost as frequent as the classic sequence. The ages, ranges and orders of eruption found in this study are more reliable than many which are frequently quoted on account of its longitudinal nature and the fact that the effect of premature loss of primary antecedents is taken into account. The exclusively Caucasian sample makes the data quite precise but limits applicability to patients of this ethnic origin.

Ground-Water Conditions and Studies in Georgia, 2004-2005

USGS Publications Warehouse

Leeth, David C.; Peck, Michael F.; Painter, Jaime A.

2007-01-01

The U.S. Geological Survey (USGS) collects ground-water data and conducts studies to monitor hydrologic conditions, better define ground-water resources, and address problems related to water supply, water use, and water quality. During 2004-2005, ground-water levels were monitored continuously in a network of 183 wells completed in major aquifers throughout the State. Because of missing data or the short period of record for a number of these wells (less than 3 years), a total of 171 wells from the network are discussed in this report. These wells include 19 in the surficial aquifer system, 20 in the Brunswick aquifer system and equivalent sediments, 69 in the Upper Floridan aquifer, 17 in the Lower Floridan aquifer and underlying units, 10 in the Claiborne aquifer, 1 in the Gordon aquifer, 10 in the Clayton aquifer, 12 in the Cretaceous aquifer system, 2 in Paleozoic-rock aquifers, and 11 in crystalline-rock aquifers. Data from the network indicate that generally water levels rose after the end of a drought (fall 2002), with water levels in 152 of the wells in the normal or above-normal range by 2005. An exception to this pattern of water-level recovery is in the Cretaceous aquifer system where water levels in 7 of the 12 wells monitored were below normal during 2005. In addition to continuous water-level data, periodic synoptic water-level measurements were collected and used to construct potentiometric-surface maps for the Upper Floridan aquifer in the Camden County-Charlton County area during September 2004 and May 2005, in the Brunswick area during June 2004 and June 2005, and in the City of Albany-Dougherty County area during October 2004 and during October 2005. In general, the configuration of the potentiometric surfaces showed little change during 2004-2005 in each of the areas. Ground-water quality in the Upper Floridan aquifer is monitored in the Albany, Savannah, and Brunswick areas, and in Camden County; and the Lower Floridan aquifer, monitored in the Savannah and Brunswick areas and in Camden County. In the Albany area, nitrate concentrations generally increased since the end of the drought during 2002. Concentrations increased in water collected from 13 of the 16 wells sampled during 2004-2005 and by November 2005, water from 2 wells had nitrate as N concentrations that were above the U.S. Environmental Protection Agency's (USEPA) 10-milligram-per-liter (mg/L) drinking-water standard. In the Savannah area, measurement of fluid conductivity and chloride concentration in water samples from discrete depths in three wells completed in the Upper Floridan aquifer and one well in the Lower Floridan aquifer were used to assess changes in water quality in the Savannah area. At Tybee Island, chloride concentrations in samples from the Lower Floridan aquifer increased during 2004-2005 and were above the 250-mg/L USEPA drinking-water standard. At Skidaway Island, water in the Upper Floridan aquifer is fresh, and chloride concentrations did not appreciably change during 2004-2005. However, chloride concentrations in samples collected from the Lower Floridan aquifer during 2004-2005 showed disparate changes; whereby, chloride concentration increased in the deepest sampled interval (1,070 feet) and decreased in a shallower sampled interval (900 feet). At Fort Pulaski, water samples collected from the Upper Floridan aquifer are fresh and did not appreciably change during 2004-2005. In the Brunswick area, maps showing the chloride concentration of water in the Upper Floridan aquifer were constructed using data collected from 41 wells during June 2004 and from 39 wells during June 2005. Analyses indicate that concentrations remained above the USEPA drinking-water standard in an approximate 2-square-mile area. During 2004-2005, chloride concentrations increased in samples from 18 wells and decreased in samples from 11 wells. In the Camden County area, chloride concentrations during 2004-2005 were analyzed in water

Late Quaternary Normal Faulting and Hanging Wall Basin Evolution of the Southwestern Rift Margin from Gravity and Geology, B.C.S., MX and Exploring the Influence of Text-Figure Format on Introductory Geology Learning

ERIC Educational Resources Information Center

Busch, Melanie M. D.

2011-01-01

An array of north-striking, left-stepping, active normal faults is situated along the southwestern margin of the Gulf of California. This normal fault system is the marginal fault system of the oblique-divergent plate boundary within the Gulf of California. To better understand the role of upper-crustal processes during development of an obliquely…

Structure of the crust and upper mantle in the western United States

USGS Publications Warehouse

Pakiser, L.C.

1963-01-01

Seismic waves generated by underground nuclear and chemical explosions have been recorded in a network of nearly 2,000 stations in the western conterminous United States as a part of the VELA UNIFORM program. The network extends from eastern Colorado to the California coastline and from central Idaho to the border of the United States and Mexico. The speed of compressional waves in the upper-mantle rocks ranges from 7.7 km/sec in the southern part of the Basin and Range province to 8.2 km/sec in the Great Plains province. In general, the speed of compressional waves in the upper-mantle rocks tends to be nearly the same over large areas within individual geologic provinces. Measured crustal thickness ranges from less than 20 km in the Central Valley of California to 50 km in the Great Plains province. Changes in crustal thickness across provincial boundaries are not controlled by regional altitude above sea level unless the properties of the upper mantle are the same across those boundaries. The crust tends to be thick in regions where the speed of compressional waves in the upper-mantle rocks (and presumably the density) is high, and tends to be relatively thin where the speed of compressional waves in the upper-mantle rocks (and density) is lower. With in the Basin and Range province, crustal thickness seems to vary directly with regional altitude above sea level. Evidence that a layer of intermediate compressional-wave speed exists in the lower part of the crust has been accumulated from seismic waves that have traveled least-time paths, as well as secondary arrivals (particularly reflections). On a scale that includes many geologic provinces, isostatic compensation is related largely to variations in the density of the upper- mantle rocks. Within geologic provinces or adjacent provinces, isostatic compensation may be related to variations in the thickness of crustal layers. Regions of thick crust and dense upper mantle have been relatively stable in Cenozoic time. Regions of thinner crust and low-density upper mantle have had a Cenozoic history of intense diastrophism and silicic volcanism.

Imaging the complexity of an active normal fault system: The 1997 Colfiorito (central Italy) case study

USGS Publications Warehouse

Chiaraluce, L.; Ellsworth, W.L.; Chiarabba, C.; Cocco, M.

2003-01-01

Six moderate magnitude earthquakes (5 < Mw < 6) ruptured normal fault segments of the southern sector of the North Apennine belt (central Italy) in the 1997 Colfiorito earthquake sequence. We study the progressive activation of adjacent and nearby parallel faults of this complex normal fault system using ???1650 earthquake locations obtained by applying a double-difference location method, using travel time picks and waveform cross-correlation measurements. The lateral extent of the fault segments range from 5 to 10 km and make up a broad, ???45 km long, NW trending fault system. The geometry of each segment is quite simple and consists of planar faults gently dipping toward SW with an average dip of 40??-45??. The fault planes are not listric but maintain a constant dip through the entire seismogenic volume, down to 8 km depth. We observe the activation of faults on the hanging wall and the absence of seismicity in the footwall of the structure. The observed fault segmentation appears to be due to the lateral heterogeneity of the upper crust: preexisting thrusts inherited from Neogene's compressional tectonic intersect the active normal faults and control their maximum length. The stress tensor obtained by inverting the six main shock focal mechanisms of the sequence is in agreement with the tectonic stress active in the inner chain of the Apennine, revealing a clear NE trending extension direction. Aftershock focal mechanisms show a consistent extensional kinematics, 70% of which are mechanically consistent with the main shock stress field.

Using the manual ability classification system in young adults with cerebral palsy and normal intelligence.

PubMed

van Meeteren, Jetty; Nieuwenhuijsen, Channah; de Grund, Arthur; Stam, Henk J; Roebroeck, Marij E

2010-01-01

The study aimed to establish whether the manual ability classification system (MACS), a valid classification system for manual ability in children with cerebral palsy (CP), is applicable in young adults with CP and normal intelligence. The participants (n = 83) were young adults with CP and normal intelligence and had a mean age of 19.9 years. In this study, inter observer reliability of the MACS was determined. We investigated relationships between the MACS level and patient characteristics (such as the gross motor function classification system (GMFCS) level, limb distribution of the spastic paresis and educational level) and with functional activities of the upper extremity (assessed with the Melbourne assessment, the Abilhand questionnaire and the domain self-care of the functional independence measure (FIM)). Furthermore, with a linear regression analysis it was determined whether the MACS is a significant determinant of activity limitations and participation restrictions. The reliability was good (intraclass correlation coefficient 0.83). The Spearman correlation coefficients with GMFCS level, limb distribution of the spastic paresis and educational level were 0.53, 0.46, and 0.26, respectively. MACS level correlated moderately with outcome measures of functional activities (correlations ranging from -0.38 to -0.55). MACS level is, in addition to the GMFCS level, an important determinant for limitations in activities and restrictions in participation. We conclude that the MACS is a feasible method to classify manual ability in young adults with CP and normal intelligence with a good manual ability.

Geomagnetic reversal in brunhes normal polarity epoch.

PubMed

Smith, J D; Foster, J H

1969-02-07

The magnetic stratigraphly of seven cores of deep-sea sediment established the existence of a short interval of reversed polarity in the upper part of the Brunches epoch of normal polarity. The reversed zone in the cores correlates well with paleontological boundaries and is named the Blake event. Its boundaries are estimated to be 108,000 and 114,000 years ago +/- 10 percent.

Hyperscaling breakdown and Ising spin glasses: The Binder cumulant

NASA Astrophysics Data System (ADS)

Lundow, P. H.; Campbell, I. A.

2018-02-01

Among the Renormalization Group Theory scaling rules relating critical exponents, there are hyperscaling rules involving the dimension of the system. It is well known that in Ising models hyperscaling breaks down above the upper critical dimension. It was shown by Schwartz (1991) that the standard Josephson hyperscaling rule can also break down in Ising systems with quenched random interactions. A related Renormalization Group Theory hyperscaling rule links the critical exponents for the normalized Binder cumulant and the correlation length in the thermodynamic limit. An appropriate scaling approach for analyzing measurements from criticality to infinite temperature is first outlined. Numerical data on the scaling of the normalized correlation length and the normalized Binder cumulant are shown for the canonical Ising ferromagnet model in dimension three where hyperscaling holds, for the Ising ferromagnet in dimension five (so above the upper critical dimension) where hyperscaling breaks down, and then for Ising spin glass models in dimension three where the quenched interactions are random. For the Ising spin glasses there is a breakdown of the normalized Binder cumulant hyperscaling relation in the thermodynamic limit regime, with a return to size independent Binder cumulant values in the finite-size scaling regime around the critical region.

[Swallowing sound signal: description in normal and laryngectomized subjects].

PubMed

Morinière, S; Boiron, M; Beutter, P

2008-02-01

Recently, we described three sound components in the pharyngeal swallowing sound. The aim of the present study was to identify the origin of these components using modern techniques providing numeric, synchronized acoustic-radiological data in a normal population and in a partial supracricoid laryngectomized population (SCL group) and a total laryngectomized (TL group) population in pre- and postoperative situations. We enrolled 15 normal subjects (10 men and five women; mean age, 29.5+/-8 years), 11 patients in the SCL group (11 men; mean age, 62; range, 45-75 years), and nine patients in the TL group (three women, six men; mean age, 56; range, 39-73). An X-ray camera was connected to a video acquisition card to obtain acoustic-radiological data (2 images/s). The microphone was attached to each subject's skin overlying the lateral border of the cricoid. The subjects were asked to swallow 10 ml of a barium suspension. We performed the acoustic-radiological analysis using Visualisation and Cool Edit Pro software. Each sound component was associated with a specific position of the bolus and the moving anatomic structure. Three sound components were identified: the laryngeal ascension sound (LAS), the upper sphincter opening sound (USOS), and the laryngeal release sound (LRS). We quantified the total duration of the pharyngeal sound and its components, as well as the duration of the interval. The average duration of the normal pharyngeal sound was 690+/-162 ms and was significantly decreased in the TL group (296+/-105 ms) and increased in the SCL group (701+/-186 ms). The USOS was present in 100% of the recordings. A typical profile of the swallowing sound for each group was obtained. This study allowed us to determine the origin of the three main sound components of the pharyngeal swallowing sound with respect to movements in anatomic structures and the different positions of the bolus, and to describe the main variations induced by a partial and a total laryngectomy.

The complex architecture of the 2009 MW 6.1 L'Aquila normal fault system (Central Italy) as imaged by 64,000 high-resolution aftershock locations

NASA Astrophysics Data System (ADS)

Valoroso, L.; Chiaraluce, L.; Di Stefano, R.; Piccinini, D.; Schaff, D. P.; Waldhauser, F.

2011-12-01

On April 6th 2009, a MW 6.1 normal faulting earthquake struck the axial area of the Abruzzo region in Central Italy. We present high-precision hypocenter locations of an extraordinary dataset composed by 64,000 earthquakes recorded at a very dense seismic network of 60 stations operating for 9 months after the main event. Events span in magnitude (ML) between -0.9 to 5.9, reaching a completeness magnitude of 0.7. The dataset has been processed by integrating an accurate automatic picking procedure together with cross-correlation and double-difference relative location methods. The combined use of these procedures results in earthquake relative location uncertainties in the range of a few meters to tens of meters, comparable/lower than the spatial dimension of the earthquakes themselves). This data set allows us to image the complex inner geometry of individual faults from the kilometre to meter scale. The aftershock distribution illuminates the anatomy of the en-echelon fault system composed of two major faults. The mainshock breaks the entire upper crust from 10 km depth to the surface along a 14-km long normal fault. A second segment, located north of the normal fault and activated by two Mw>5 events, shows a striking listric geometry completely blind. We focus on the analysis of about 300 clusters of co-located events to characterize the mechanical behavior of the different portions of the fault system. The number of events in each cluster ranges from 4 to 24 events and they exhibit strongly correlated seismograms at common stations. They mostly occur where secondary structures join the main fault planes and along unfavorably oriented segments. Moreover, larger clusters nucleate on secondary faults located in the overlapping area between the two main segments, where the rate of earthquake production is very high with a long-lasting seismic decay.

Effect of assist negative pressure ventilation by microprocessor based iron lung on breathing effort

PubMed Central

Gorini, M; Villella, G; Ginanni, R; Augustynen, A; Tozzi, D; Corrado, A

2002-01-01

Background: The lack of patient triggering capability during negative pressure ventilation (NPV) may contribute to poor patient synchrony and induction of upper airway collapse. This study was undertaken to evaluate the performance of a microprocessor based iron lung capable of thermistor triggering. Methods: The effects of NPV with thermistor triggering were studied in four normal subjects and six patients with an acute exacerbation of chronic obstructive pulmonary disease (COPD) by measuring: (1) the time delay (TDtr) between the onset of inspiratory airflow and the start of assisted breathing; (2) the pressure-time product of the diaphragm (PTPdi); and (3) non-triggering inspiratory efforts (NonTrEf). In patients the effects of negative extrathoracic end expiratory pressure (NEEP) added to NPV were also evaluated. Results: With increasing trigger sensitivity the mean (SE) TDtr ranged from 0.29 (0.02) s to 0.21 (0.01) s (mean difference 0.08 s, 95% CI 0.05 to 0.12) in normal subjects and from 0.30 (0.02) s to 0.21 (0.01) s (mean difference 0.09 s, 95% CI 0.06 to 0.12) in patients with COPD; NonTrEf ranged from 8.2 (1.8)% to 1.2 (0.1)% of the total breaths in normal subjects and from 11.8 (2.2)% to 2.5 (0.4)% in patients with COPD. Compared with spontaneous breathing, PTPdi decreased significantly with NPV both in normal subjects and in patients with COPD. NEEP added to NPV resulted in a significant decrease in dynamic intrinsic PEEP, diaphragm effort exerted in the pre-trigger phase, and NonTrEf. Conclusions: Microprocessor based iron lung capable of thermistor triggering was able to perform assist NPV with acceptable TDtr, significant unloading of the diaphragm, and a low rate of NonTrEf. NEEP added to NPV improved the synchrony between the patient and the ventilator. PMID:11867832

Microscale patterns of tree establishment near upper treeline, Snowy Range, Wyoming, USA

Treesearch

W. H. Moir; Shannon G. Rochelle; A. W. Schoettle

1999-01-01

We report tree seedling (mostly Picea engelmannii, some Abies lasiocarpa, very infrequent Pinus contorta) invasion into meadows at upper timberline in the Snowy Range, Wyoming, from 1994 to 1996. We used gradient analysis to relate this to environmental patterns, particularly plant community structure (as aggregates of plant life-forms) and persistence of snowpack in...

Navier-Stokes Computations of a Wing-Flap Model With Blowing Normal to the Flap Surface

NASA Technical Reports Server (NTRS)

Boyd, D. Douglas, Jr.

2005-01-01

A computational study of a generic wing with a half span flap shows the mean flow effects of several blown flap configurations. The effort compares and contrasts the thin-layer, Reynolds averaged, Navier-Stokes solutions of a baseline wing-flap configuration with configurations that have blowing normal to the flap surface through small slits near the flap side edge. Vorticity contours reveal a dual vortex structure at the flap side edge for all cases. The dual vortex merges into a single vortex at approximately the mid-flap chord location. Upper surface blowing reduces the strength of the merged vortex and moves the vortex away from the upper edge. Lower surface blowing thickens the lower shear layer and weakens the merged vortex, but not as much as upper surface blowing. Side surface blowing forces the lower surface vortex farther outboard of the flap edge by effectively increasing the aerodynamic span of the flap. It is seen that there is no global aerodynamic penalty or benefit from the particular blowing configurations examined.

Hematemesis: Unusual presentation of isolated gastric tuberculosis.

PubMed

Nasa, Mukesh; Kumar, Arvind; Phadke, Aniruddha; Sawant, Prabha

2016-01-01

A 25-year-old male presented with hematemesis, epigastric pain, and melena. He had dyspepsia with significant weight loss for 3 months period. On clinical examination, he was pale with no organomegaly or lymphadenopathy. The X-ray chest was normal, and ultrasound abdomen was normal. Upper GI endoscopy revealed nodularity and ulceration along proximal part of lesser curvature of the stomach. CT scan abdomen showed thickening of lesser curvature just below gastro-esophageal junction. The biopsies were negative for malignancy. Repeat upper GI endoscopy showed a nonhealing ulcer, on repeat well biopsies taken from the base of ulcer primary gastric tuberculosis was diagnosed. It showed many epithelioid cell granulomas and multinucleated giant cells with caseous necrosis on histology. Acid-fast bacilli on Zeil Neelsen staining and TB PCR were positive for Mycobacterium tuberculosis. He was put on four-drug anti-tuberculous treatment. On follow-up, the patient gradually improved and regained weight. Repeat upper GI endoscopy done after 8 weeks showed healing of the ulcer with decrease in nodularity. Copyright © 2015 Tuberculosis Association of India. Published by Elsevier B.V. All rights reserved.

Quantitative Ultrasound Assessment of Duchenne Muscular Dystrophy Using Edge Detection Analysis.

PubMed

Koppaka, Sisir; Shklyar, Irina; Rutkove, Seward B; Darras, Basil T; Anthony, Brian W; Zaidman, Craig M; Wu, Jim S

2016-09-01

The purpose of this study was to investigate the ability of quantitative ultrasound (US) using edge detection analysis to assess patients with Duchenne muscular dystrophy (DMD). After Institutional Review Board approval, US examinations with fixed technical parameters were performed unilaterally in 6 muscles (biceps, deltoid, wrist flexors, quadriceps, medial gastrocnemius, and tibialis anterior) in 19 boys with DMD and 21 age-matched control participants. The muscles of interest were outlined by a tracing tool, and the upper third of the muscle was used for analysis. Edge detection values for each muscle were quantified by the Canny edge detection algorithm and then normalized to the number of edge pixels in the muscle region. The edge detection values were extracted at multiple sensitivity thresholds (0.01-0.99) to determine the optimal threshold for distinguishing DMD from normal. Area under the receiver operating curve values were generated for each muscle and averaged across the 6 muscles. The average age in the DMD group was 8.8 years (range, 3.0-14.3 years), and the average age in the control group was 8.7 years (range, 3.4-13.5 years). For edge detection, a Canny threshold of 0.05 provided the best discrimination between DMD and normal (area under the curve, 0.96; 95% confidence interval, 0.84-1.00). According to a Mann-Whitney test, edge detection values were significantly different between DMD and controls (P < .0001). Quantitative US imaging using edge detection can distinguish patients with DMD from healthy controls at low Canny thresholds, at which discrimination of small structures is best. Edge detection by itself or in combination with other tests can potentially serve as a useful biomarker of disease progression and effectiveness of therapy in muscle disorders.

Clinical Features of Lysosomal Acid Lipase Deficiency.

PubMed

Burton, Barbara K; Deegan, Patrick B; Enns, Gregory M; Guardamagna, Ornella; Horslen, Simon; Hovingh, Gerard K; Lobritto, Steve J; Malinova, Vera; McLin, Valerie A; Raiman, Julian; Di Rocco, Maja; Santra, Saikat; Sharma, Reena; Sykut-Cegielska, Jolanta; Whitley, Chester B; Eckert, Stephen; Valayannopoulos, Vassili; Quinn, Anthony G

2015-12-01

The aim of this study was to characterize key clinical manifestations of lysosomal acid lipase deficiency (LAL D) in children and adults. Investigators reviewed medical records of LAL D patients ages ≥5 years, extracted historical data, and obtained prospective laboratory and imaging data on living patients to develop a longitudinal dataset. A total of 49 patients were enrolled; 48 had confirmed LAL D. Mean age at first disease-related abnormality was 9.0 years (range 0-42); mean age at diagnosis was 15.2 years (range 1-46). Twenty-nine (60%) were male patients, and 27 (56%) were <20 years of age at the time of consent/assent. Serum transaminases were elevated in most patients with 458 of 499 (92%) of alanine aminotransferase values and 265 of 448 (59%) of aspartate aminotransferase values above the upper limit of normal. Most patients had elevated low-density lipoprotein (64% patients) and total cholesterol (63%) at baseline despite most being on lipid-lowering therapies, and 44% had high-density lipoprotein levels below the lower limit of normal. More than half of the patients with liver biopsies (n = 31, mean age 13 years) had documented evidence of steatosis (87%) and/or fibrosis (52%). Imaging assessments revealed that the median liver volume was ∼1.15 multiples of normal (MN) and median spleen volume was ∼2.2 MN. Six (13%) patients had undergone a liver transplant (ages 9-43.5 years). This study provides the largest longitudinal case review of patients with LAL D and confirms that LAL D is predominantly a pediatric disease causing early and progressive hepatic dysfunction associated with dyslipidemia that often leads to liver failure and transplantation.

Evaluation of maximal mouth opening for healthy Indian children: Percentiles and impact of age, gender, and height.

PubMed

Patel, Shital M; Patel, Nehal H; Khaitan, Geet Gunjana A; Thanvi, Rashmi S; Patel, Parth; Joshi, Rajesh N

2016-01-01

Maximal mouth opening (MMO) is used as a marker of masticatory pathology. However, MMO among children varies considerably with their age, height, sex, and race. While accurate percentile of normal mouth opening and relationship with anthropometric measurement are not precisely defined for the Indian population, we designed prospective, observational study to define the percentiles for normal MMO in our children. A total of 985 children, 560 males and 425 females, in the age range of 5-18 years attending the pediatric clinic in a tertiary care center in Western India were studied. In addition to the basic demographic data, MMO was measured in these children. The children were asked to open their mouth maximally until no further opening was possible. The distance from the incisal edge of the upper incisor teeth to the incisal edge of the lower incisor teeth was measured using a calibrated fiber ruler. Statistical analysis was performed to assess the impact of other anthropometric measures such as age, gender, and height on MMO. The mean MMO for males was 44.24 (±5.84) mm and for females was 43.5 (±5.19) mm. Age- and height-related percentiles were created for girls and boys separately, showing the 5 th , 10 th , 25 th , 50 th , 75 th , 90 th , and 95 th percentiles from 5 through 18 years of age with 86-185 cm height. The MMO percentile range for different age and height groups is established for the normal children. The mouth opening seems to increase with the age and especially with the height as per the skeletal growth. Height affects mouth opening more than the age.

Syntactic and Story Structure Complexity in the Narratives of High- and Low-Language Ability Children with Autism Spectrum Disorder

PubMed Central

Peristeri, Eleni; Andreou, Maria; Tsimpli, Ianthi M.

2017-01-01

Although language impairment is commonly associated with the autism spectrum disorder (ASD), the Diagnostic Statistical Manual no longer includes language impairment as a necessary component of an ASD diagnosis (American Psychiatric Association, 2013). However, children with ASD and no comorbid intellectual disability struggle with some aspects of language whose precise nature is still outstanding. Narratives have been extensively used as a tool to examine lexical and syntactic abilities, as well as pragmatic skills in children with ASD. This study contributes to this literature by investigating the narrative skills of 30 Greek-speaking children with ASD and normal non-verbal IQ, 16 with language skills in the upper end of the normal range (ASD-HL), and 14 in the lower end of the normal range (ASD-LL). The control group consisted of 15 age-matched typically-developing (TD) children. Narrative performance was measured in terms of both microstructural and macrostructural properties. Microstructural properties included lexical and syntactic measures of complexity such as subordinate vs. coordinate clauses and types of subordinate clauses. Macrostructure was measured in terms of the diversity in the use of internal state terms (ISTs) and story structure complexity, i.e., children's ability to produce important units of information that involve the setting, characters, events, and outcomes of the story, as well as the characters' thoughts and feelings. The findings demonstrate that high language ability and syntactic complexity pattern together in ASD children's narrative performance and that language ability compensates for autistic children's pragmatic deficit associated with the production of Theory of Mind-related ISTs. Nevertheless, both groups of children with ASD (high and low language ability) scored lower than the TD controls in the production of Theory of Mind-unrelated ISTs, modifier clauses and story structure complexity. PMID:29209258

Nutrient Status of Adults with Cystic Fibrosis

PubMed Central

GORDON, CATHERINE M.; ANDERSON, ELLEN J.; HERLYN, KAREN; HUBBARD, JANE L.; PIZZO, ANGELA; GELBARD, RONDI; LAPEY, ALLEN; MERKEL, PETER A.

2011-01-01

Nutrition is thought to influence disease status in patients with cystic fibrosis (CF). This cross-sectional study sought to evaluate nutrient intake and anthropometric data from 64 adult outpatients with cystic fibrosis. Nutrient intake from food and supplements was compared with the Dietary Reference Intakes for 16 nutrients and outcomes influenced by nutritional status. Attention was given to vitamin D and calcium given potential skeletal implications due to cystic fibrosis. Measurements included weight, height, body composition, pulmonary function, and serum metabolic parameters. Participants were interviewed about dietary intake, supplement use, pulmonary function, sunlight exposure, and pain. The participants’ mean body mass index (±standard deviation) was 21.8±4.9 and pulmonary function tests were normal. Seventy-eight percent used pancreatic enzyme replacement for malabsorption. Vitamin D deficiency [25-hydroxyvitamin D (25OHD)<37.5 nmol/L] was common: 25 (39%) were deficient despite adequate vitamin D intake. Lipid profiles were normal in the majority, even though total and saturated fat consumption represented 33.0% and 16.8% of energy intake, respectively. Reported protein intake represented 16.9% of total energy intake (range 10%–25%). For several nutrients, including vitamin D and calcium, intake from food and supplements in many participants exceeded recommended Tolerable Upper Intake Levels. Among adults with cystic fibrosis, vitamin D deficiency was common despite reported adequate intake, and lipid profiles were normal despite a relatively high fat intake. Mean protein consumption was adequate, but the range of intake was concerning, as both inadequate or excessive intake may have deleterious skeletal effects. These findings call into question the applicability of established nutrient thresholds for patients with cystic fibrosis. PMID:18060897

Syntactic and Story Structure Complexity in the Narratives of High- and Low-Language Ability Children with Autism Spectrum Disorder.

PubMed

Peristeri, Eleni; Andreou, Maria; Tsimpli, Ianthi M

2017-01-01

Although language impairment is commonly associated with the autism spectrum disorder (ASD), the Diagnostic Statistical Manual no longer includes language impairment as a necessary component of an ASD diagnosis (American Psychiatric Association, 2013). However, children with ASD and no comorbid intellectual disability struggle with some aspects of language whose precise nature is still outstanding. Narratives have been extensively used as a tool to examine lexical and syntactic abilities, as well as pragmatic skills in children with ASD. This study contributes to this literature by investigating the narrative skills of 30 Greek-speaking children with ASD and normal non-verbal IQ, 16 with language skills in the upper end of the normal range (ASD-HL), and 14 in the lower end of the normal range (ASD-LL). The control group consisted of 15 age-matched typically-developing (TD) children. Narrative performance was measured in terms of both microstructural and macrostructural properties. Microstructural properties included lexical and syntactic measures of complexity such as subordinate vs. coordinate clauses and types of subordinate clauses. Macrostructure was measured in terms of the diversity in the use of internal state terms (ISTs) and story structure complexity, i.e., children's ability to produce important units of information that involve the setting, characters, events, and outcomes of the story, as well as the characters' thoughts and feelings. The findings demonstrate that high language ability and syntactic complexity pattern together in ASD children's narrative performance and that language ability compensates for autistic children's pragmatic deficit associated with the production of Theory of Mind-related ISTs. Nevertheless, both groups of children with ASD (high and low language ability) scored lower than the TD controls in the production of Theory of Mind-unrelated ISTs, modifier clauses and story structure complexity.

Cortical Thinning in Network-Associated Regions in Cognitively Normal and Below-Normal Range Schizophrenia

PubMed Central

Pinnock, Farena; Parlar, Melissa; Hawco, Colin; Hanford, Lindsay; Hall, Geoffrey B.

2017-01-01

This study assessed whether cortical thickness across the brain and regionally in terms of the default mode, salience, and central executive networks differentiates schizophrenia patients and healthy controls with normal range or below-normal range cognitive performance. Cognitive normality was defined using the MATRICS Consensus Cognitive Battery (MCCB) composite score (T = 50 ± 10) and structural magnetic resonance imaging was used to generate cortical thickness data. Whole brain analysis revealed that cognitively normal range controls (n = 39) had greater cortical thickness than both cognitively normal (n = 17) and below-normal range (n = 49) patients. Cognitively normal controls also demonstrated greater thickness than patients in regions associated with the default mode and salience, but not central executive networks. No differences on any thickness measure were found between cognitively normal range and below-normal range controls (n = 24) or between cognitively normal and below-normal range patients. In addition, structural covariance between network regions was high and similar across subgroups. Positive and negative symptom severity did not correlate with thickness values. Cortical thinning across the brain and regionally in relation to the default and salience networks may index shared aspects of the psychotic psychopathology that defines schizophrenia with no relation to cognitive impairment. PMID:28348889

Upper cervical and upper thoracic thrust manipulation versus nonthrust mobilization in patients with mechanical neck pain: a multicenter randomized clinical trial.

PubMed

Dunning, James R; Cleland, Joshua A; Waldrop, Mark A; Arnot, Cathy F; Young, Ian A; Turner, Michael; Sigurdsson, Gisli

2012-01-01

Randomized clinical trial. To compare the short-term effects of upper cervical and upper thoracic high-velocity low-amplitude (HVLA) thrust manipulation to nonthrust mobilization in patients with neck pain. Although upper cervical and upper thoracic HVLA thrust manipulation and nonthrust mobilization are common interventions for the management of neck pain, no studies have directly compared the effects of both upper cervical and upper thoracic HVLA thrust manipulation to nonthrust mobilization in patients with neck pain. Patients completed the Neck Disability Index, the numeric pain rating scale, the flexion-rotation test for measurement of C1-2 passive rotation range of motion, and the craniocervical flexion test for measurement of deep cervical flexor motor performance. Following the baseline evaluation, patients were randomized to receive either HVLA thrust manipulation or nonthrust mobilization to the upper cervical (C1-2) and upper thoracic (T1-2) spines. Patients were reexamined 48-hours after the initial examination and again completed the outcome measures. The effects of treatment on disability, pain, C1-2 passive rotation range of motion, and motor performance of the deep cervical flexors were examined with a 2-by-2 mixed-model analysis of variance (ANOVA). One hundred seven patients satisfied the eligibility criteria, agreed to participate, and were randomized into the HVLA thrust manipulation (n = 56) and nonthrust mobilization (n = 51) groups. The 2-by-2 ANOVA demonstrated that patients with mechanical neck pain who received the combination of upper cervical and upper thoracic HVLA thrust manipulation experienced significantly (P<.001) greater reductions in disability (50.5%) and pain (58.5%) than those of the nonthrust mobilization group (12.8% and 12.6%, respectively) following treatment. In addition, the HVLA thrust manipulation group had significantly (P<.001) greater improvement in both passive C1-2 rotation range of motion and motor performance of the deep cervical flexor muscles as compared to the group that received nonthrust mobilization. The number needed to treat to avoid an unsuccessful outcome was 1.8 and 2.3 at 48-hour follow-up, using the global rating of change and Neck Disability Index cut scores, respectively. The combination of upper cervical and upper thoracic HVLA thrust manipulation is appreciably more effective in the short term than nonthrust mobilization in patients with mechanical neck pain. Therapy, level 1b.

Hanging-wall deformation above a normal fault: sequential limit analyses

NASA Astrophysics Data System (ADS)

Yuan, Xiaoping; Leroy, Yves M.; Maillot, Bertrand

2015-04-01

The deformation in the hanging wall above a segmented normal fault is analysed with the sequential limit analysis (SLA). The method combines some predictions on the dip and position of the active fault and axial surface, with geometrical evolution à la Suppe (Groshong, 1989). Two problems are considered. The first followed the prototype proposed by Patton (2005) with a pre-defined convex, segmented fault. The orientation of the upper segment of the normal fault is an unknown in the second problem. The loading in both problems consists of the retreat of the back wall and the sedimentation. This sedimentation starts from the lowest point of the topography and acts at the rate rs relative to the wall retreat rate. For the first problem, the normal fault either has a zero friction or a friction value set to 25o or 30o to fit the experimental results (Patton, 2005). In the zero friction case, a hanging wall anticline develops much like in the experiments. In the 25o friction case, slip on the upper segment is accompanied by rotation of the axial plane producing a broad shear zone rooted at the fault bend. The same observation is made in the 30o case, but without slip on the upper segment. Experimental outcomes show a behaviour in between these two latter cases. For the second problem, mechanics predicts a concave fault bend with an upper segment dip decreasing during extension. The axial surface rooting at the normal fault bend sees its dips increasing during extension resulting in a curved roll-over. Softening on the normal fault leads to a stepwise rotation responsible for strain partitioning into small blocks in the hanging wall. The rotation is due to the subsidence of the topography above the hanging wall. Sedimentation in the lowest region thus reduces the rotations. Note that these rotations predicted by mechanics are not accounted for in most geometrical approaches (Xiao and Suppe, 1992) and are observed in sand box experiments (Egholm et al., 2007, referring to Dahl, 1987). References: Egholm, D. L., M. Sandiford, O. R. Clausen, and S. B. Nielsen (2007), A new strategy for discrete element numerical models: 2. sandbox applications, Journal of Geophysical Research, 112 (B05204), doi:10.1029/2006JB004558. Groshong, R. H. (1989), Half-graben structures: Balanced models of extensional fault-bend folds, Geological Society of America Bulletin, 101 (1), 96-105. Patton, T. L. (2005), Sandbox models of downward-steepening normal faults, AAPG Bulletin, 89 (6), 781-797. Xiao, H.-B., and J. Suppe (1992), Orgin of rollover, AAPG Bulletin, 76 (4), 509-529.

Effects of upper-body sprint-interval training on strength and endurance capacities in female cross-country skiers

PubMed Central

Vandbakk, Kristine; Welde, Boye; Kruken, Andrea Hovstein; Baumgart, Julia; Ettema, Gertjan; Karlsen, Trine; Sandbakk, Øyvind

2017-01-01

This study compared the effects of adding upper-body sprint-intervals or continuous double poling endurance training to the normal training on maximal upper-body strength and endurance capacity in female cross-country skiers. In total, 17 female skiers (age: 18.1±0.8yr, body mass: 60±7 kg, maximal oxygen uptake (VO2max): 3.30±0.37 L.min-1) performed an 8-week training intervention. Here, either two weekly sessions of six to eight 30-s maximal upper-body double poling sprint-intervals (SIG, n = 8) or 45–75 min of continuous low-to-moderate intensity double poling on roller skis (CG, n = 9) were added to their training. Before and after the intervention, the participants were tested for physiological and kinematical responses during submaximal and maximal diagonal and double poling treadmill roller skiing. Additionally, we measured maximal upper-body strength (1RM) and average power at 40% 1RM in a poling-specific strength exercise. SIG improved absolute VO2max in diagonal skiing more than CG (8% vs 2%, p<0.05), and showed a tendency towards higher body-mass normalized VO2max (7% vs 2%, p = 0.07). Both groups had an overall improvement in double poling peak oxygen uptake (10% vs 6% for SIG and CG) (both p<0.01), but no group-difference was observed. SIG improved 1RM strength more than CG (18% vs 10%, p<0.05), while there was a tendency for difference in average power at 40% 1RM (20% vs 14%, p = 0.06). Oxygen cost and kinematics (cycle length and rate) in double poling and diagonal remained unchanged in both groups. In conclusion, our study demonstrates that adding upper-body sprint-interval training is more effective than continuous endurance training in improving upper-body maximal strength and VO2max. PMID:28241030

Ultrasound investigation of fetal human upper respiratory anatomy.

PubMed

Wolfson, V P; Laitman, J T

1990-07-01

Although the human upper respiratory-upper digestive tract is an area of vital importance, relatively little is known about either the structural or functional changes that occur in the region during the fetal period. While investigations in our laboratory have begun to chart these changes through the use of postmortem materials, in vivo studies have been rarely attempted. This study combines ultrasonography with new applications of video editing to examine aspects of prenatal upper respiratory development. Structures of the fetal upper respiratory-digestive tract and their movements were studied through the use of ultrasonography and detailed frame-by-frame analysis. Twenty-five living fetuses, aged 18-36 weeks gestation, were studied in utero during routine diagnostic ultrasound examination. These real-time linear array sonograms were videotaped during each study. Videotapes were next analyzed for anatomical structures and movement patterns, played back through the ultrasound machine in normal speed, and then examined with a frame-by-frame video editor (FFVE) to identify structures and movements. Still images were photographed directly from the video monitor using a 35 mm camera. Results show that upper respiratory and digestive structures, as well as their movements, could be seen clearly during normal speed and repeat frame-by-frame analysis. Major structures that could be identified in the majority of subjects included trachea in 20 of 25 fetuses (80%); larynx, 76%; pharynx, 76%. Smaller structures were more variable, but were nevertheless observed on both sagittal and coronal section: piriform sinuses, 76%; thyroid cartilage, 36%; cricoid cartilage, 32%; and epiglottis, 16%. Movements of structures could also be seen and were those typically observed in connection with swallowing: fluttering tongue movements, changes in pharyngeal shape, and passage of a bolus via the piriform sinuses to esophagus. Fetal swallows had minimal laryngeal motion. This study represents the first time that the appearance of upper airway and digestive tract structures have been quantified in conjunction with their movements in the living fetus.

On dynamic tumor eradication conditions under combined chemical/anti-angiogenic therapies

NASA Astrophysics Data System (ADS)

Starkov, Konstantin E.

2018-02-01

In this paper ultimate dynamics of the five-dimensional cancer tumor growth model at the angiogenesis phase is studied. This model elaborated by Pinho et al. in 2014 describes interactions between normal/cancer/endothelial cells under chemotherapy/anti-angiogenic agents in tumor growth process. The author derives ultimate upper bounds for normal/tumor/endothelial cells concentrations and ultimate upper and lower bounds for chemical/anti-angiogenic concentrations. Global asymptotic tumor clearance conditions are obtained for two versions: the use of only chemotherapy and the combined application of chemotherapy and anti-angiogenic therapy. These conditions are established as the attraction conditions to the maximum invariant set in the tumor free plane, and furthermore, the case is examined when this set consists only of tumor free equilibrium points.

Forearm versus upper arm grafts for vascular access.

PubMed

Gage, Shawn M; Lawson, Jeffrey H

2017-03-06

Forearm and upper arm arteriovenous grafts perform similarly in terms of patency and complications. Primary patency at 1 year for forearm arteriovenous grafts versus upper arm grafts ranges from 22%-50% versus 22%-42%, and secondary patency at 1 year ranges from 78%-89% versus 52%-67%), respectively. Secondary patency at 2 years, ranges from 30%-64% versus 35%-60% for forearm and upper arteriovenous graft, respectively. Ample pre-operative planning is essential to improved clinical success and the decision to place a graft at one location versus the other should be based solely on previous access history, physical exam, appropriate venous imaging, and other factors that make up the clinical picture. Operative implant strategies and risk of complications are very similar between the two configurations. Postoperative ischemia due to steal syndrome is a potential complication that requires immediate attention. Utilization of the proximal radial or ulnar artery for inflow for the graft can minimize risk of clinically relevant steal syndrome.

Evidence for an upper mantle low velocity zone beneath the southern Basin and Range-Colorado Plateau transition zone

USGS Publications Warehouse

Benz, H.M.; McCarthy, J.

1994-01-01

A 370-km-long seismic refraction/wide-angle reflection profile recorded during the Pacific to Arizona Crustal Experiment (PACE) detected an upper mantle P-wave low-velocity zone (LVZ) in the depth range 40 to 55 km beneath the Basin and Range in southern Arizona. Interpretation of seismic data places constraints on the sub-crustal lithosphere of the southern Basin and Range Province, which is important in light of the active tectonics of the region and the unknown role of the sub-crustal lithosphere in the development of the western United States. Forward travel time and synthetic seismogram techniques are used to model this shallow upper mantle LVZ. Modeling results show that the LVZ is defined by a 5% velocity decrease relative to a Pn velocity of 7.95 km s−1, suggesting either a ∼3–5% mafic partial melt or high-temperature, sub-solidus peridotite.

Reference values for CSF outflow resistance and intracranial pressure in healthy elderly.

PubMed

Malm, Jan; Jacobsson, Johan; Birgander, Richard; Eklund, Anders

2011-03-08

The intracranial pressure (ICP) and CSF outflow resistance (R(out)) are essential to describe the dynamics of the CSF system. R(out) affects ICP, pulse amplitudes, CSF absorption, and the compliance of the system. The objective of this study was to determine the reference values in healthy elderly subjects. Elderly people (60-82 years), who considered themselves healthy, were recruited through an advertisement in the local newspaper. All were evaluated with a 3-T MRI. Subjects were eligible if they did not have any psychiatric or neurologic disorder or signs of advanced atherosclerotic disease. CSF resting pressure (ICP) and R(out) were determined by a constant pressure infusion method with the patient in the supine position. The study population consisted of 40 subjects (mean age 70 years; 23 women). The median ICP was 11.6 mm Hg (15.8 cmH(2)O) and the reference interval was ICP 7.8-14.3 mm Hg (10.6-19.4 cmH(2)O) (defined as 5th to 95th percentiles). The median R(out) was 8.6 mm Hg/mL/min. The variation in R(out) was large and not normally distributed. The 90th percentile of R(out) was 17.4 mm Hg/mL/min. This study reports reference values for ICP and R(out) and should be used for comparison when investigating disorders with suspected CSF dynamic disturbances in the elderly. ICP was in the same range as that reported in the young and middle-aged. The upper limit of R(out) was higher than previously believed to be the upper limit of normal for this age group.

F wave index: A diagnostic tool for peripheral neuropathy.

PubMed

Sathya, G R; Krishnamurthy, N; Veliath, Susheela; Arulneyam, Jayanthi; Venkatachalam, J

2017-03-01

Each skeletal muscle is usually supplied by two or more nerve roots and if one nerve root is affected and the other is spared, the clinically used F wave minimum latency can still be normal. An F wave index was constructed taking into consideration the other parameters of the F wave such as persistence, chronodispersion, latency, arm-length to determine its usefulness in the diagnosis of peripheral neuropathy. This study was undertaken to construct the F wave index in the upper limb for the median nerve in normal healthy adult males and in patients with peripheral neuropathy and to compare the values obtained in both groups. This hospital-based study was carried out on 40 males who were diagnosed to have peripheral neuropathy and on 40 age matched healthy males who served as the control group. The F wave recording was done using a digitalized nerve conduction/electromyography/EP machine in a quiet and dimly lit room. All recordings were done between 0900 and 1100 h at an ambient temperature of 22°C. The F wave recording was obtained from a fully relaxed muscle by stimulating the median nerve. The median value for F wave index obtained from median nerve (abductor pollicis brevis) in patients with peripheral neuropathy [right arm - 35.85, interquartile range (IQR) - 35.26; left arm - 39.49, IQR - 39.49] was significantly lower (P=0.001) as compared to the control group (right arm - 102.62, IQR - 83.76; left arm - 77.43, IQR - 58.02). Our results showed that F wave index in upper limb was significantly lower in patients with peripheral neuropathy than the healthy controls, and could be used for early detection of peripheral neuropathy.

Sinus venosus syndrome: atrial septal defect or anomalous venous connection? A multiplane transoesophageal approach.

PubMed

Oliver, J M; Gallego, P; Gonzalez, A; Dominguez, F J; Aroca, A; Mesa, J M

2002-12-01

To discuss the anatomical features of sinus venosus atrial defect on the basis of a comprehensive transoesophageal echocardiography (TOE) examination and its relation to surgical data. 24 patients (13 men, 11 women, mean (SD) age 37 (17) years, range 17-73 years) with a posterior interatrial communication closely related to the entrance of the superior (SVC) or inferior vena cava (IVC) who underwent TOE before surgical repair. Records of these patients were retrospectively reviewed and compared with surgical assessments. In 13 patients, TOE showed a deficiency in the extraseptal wall that normally separates the left atrium and right upper pulmonary vein from the SVC and right atrium. This deficiency unroofed the right upper pulmonary vein, compelling it to drain into the SVC, which overrode the intact atrial septum. In three patients, TOE examination showed a defect in the wall of the IVC, which continued directly into the posterior border of the left atrium. Thus, the intact muscular border of the atrial septum was overridden by the mouth of the IVC, which presented a biatrial connection. In the remaining eight patients, the defect was located in the muscular posterior border of the fossa ovalis. A residuum of atrial septum was visualised in the superior margin of the defect. Neither caval vein overriding nor anomalous pulmonary vein drainage was present. Sinus venosus syndrome should be regarded as an anomalous venous connection with an interatrial communication outside the confines of the atrial septum, in the unfolding wall that normally separates the left atrium from either caval vein. It results in overriding of the caval veins across the intact atrial septum and partial pulmonary vein anomalous drainage. It should be differentiated from posterior atrial septal defect without overriding or anomalous venous connections.

Sinus venosus syndrome: atrial septal defect or anomalous venous connection? A multiplane transoesophageal approach

PubMed Central

Oliver, J M; Gallego, P; Gonzalez, A; Dominguez, F J; Aroca, A; Mesa, J M

2002-01-01

Objective: To discuss the anatomical features of sinus venosus atrial defect on the basis of a comprehensive transoesophageal echocardiography (TOE) examination and its relation to surgical data. Methods: 24 patients (13 men, 11 women, mean (SD) age 37 (17) years, range 17–73 years) with a posterior interatrial communication closely related to the entrance of the superior (SVC) or inferior vena cava (IVC) who underwent TOE before surgical repair. Records of these patients were retrospectively reviewed and compared with surgical assessments. Results: In 13 patients, TOE showed a deficiency in the extraseptal wall that normally separates the left atrium and right upper pulmonary vein from the SVC and right atrium. This deficiency unroofed the right upper pulmonary vein, compelling it to drain into the SVC, which overrode the intact atrial septum. In three patients, TOE examination showed a defect in the wall of the IVC, which continued directly into the posterior border of the left atrium. Thus, the intact muscular border of the atrial septum was overridden by the mouth of the IVC, which presented a biatrial connection. In the remaining eight patients, the defect was located in the muscular posterior border of the fossa ovalis. A residuum of atrial septum was visualised in the superior margin of the defect. Neither caval vein overriding nor anomalous pulmonary vein drainage was present. Conclusions: Sinus venosus syndrome should be regarded as an anomalous venous connection with an interatrial communication outside the confines of the atrial septum, in the unfolding wall that normally separates the left atrium from either caval vein. It results in overriding of the caval veins across the intact atrial septum and partial pulmonary vein anomalous drainage. It should be differentiated from posterior atrial septal defect without overriding or anomalous venous connections. PMID:12433899

Is Endoscopic Therapy Safe for Upper Gastrointestinal Bleeding in Anticoagulated Patients With Supratherapeutic International Normalized Ratios?

PubMed

Shim, Choong Nam; Chung, Hyun Soo; Park, Jun Chul; Shin, Sung Kwan; Lee, Sang Kil; Lee, Yong Chan; Kim, Ha Yan; Kim, Dong Wook; Lee, Hyuk

2016-01-01

The management of upper gastrointestinal bleeding (UGIB) in anticoagulated patients with supratherapeutic international normalized ratios (INRs) presents a challenge. The purpose of the study was to evaluate the safety of endoscopic therapy for UGIB in anticoagulated patients with supratherapeutic INR in terms of rebleeding and therapeutic outcomes. One hundred ninety-two anticoagulated patients who underwent endoscopic treatment for UGIB were enrolled in the study. Patients were divided into 2 groups based on the occurrence of rebleeding within 30 days of the initial therapeutic endoscopy: no-rebleeding group (n = 168) and rebleeding group (n = 24). The overall rebleeding rate was 12.5%. Bleeding from gastric cancer and bleeding at the duodenum were significantly related to rebleeding in a univariate analysis. Multivariate analysis determined that presenting symptoms other than melena (hematemesis, hematochezia, or others) (odds ratio, 3.93; 95% confidence interval, 1.44-10.76) and bleeding from gastric cancer (odds ratio, 6.10; 95% confidence interval, 1.27-29.25) were significant factors predictive of rebleeding. Supratherapeutic INR at the time of endoscopic therapy was not significantly associated with rebleeding in either univariate or multivariate analysis. Significant differences in bleeding-related mortality, additional intervention to control bleeding, length of hospital stay, and transfusion requirements were revealed between the rebleeding and no-rebleeding groups. There were no significant differences in therapeutic outcomes between patients with INR within the therapeutic range and those with supratherapeutic INR. Supratherapeutic INR at the time of endoscopic therapy did not change rebleeding and therapeutic outcomes. Thus, we should consider endoscopic therapy for UGIB in anticoagulated patients, irrespective of INR at the time of endoscopic therapy.

First response, rehabilitation, and outcomes of hand and upper limb function: survivors of the bali bombing disaster. A case series report.

PubMed

Edgar, Dale Wesley; Wood, F; Goodwin-Walters, A

2006-01-01

In October 2002, two bombs exploded in Bali injuring hundreds, and killing 202 people. The purpose of this paper is to report the organization of the first response, rehabilitation strategies, and outcome of a series of patients evacuated to the Royal Perth Hospital (RPH), a civilian hospital in Australia. The initial medical response in Bali was primarily conducted by holidaying health professionals supporting the hospital on the island. The Australian Defence Force was primarily responsible for the ongoing acute clinical management during the evacuation and repatriation of survivors to all major burn units in Australia. At the RPH, hospital adaptations included novel staffing and treatment strategies to sustain a team effort beyond the acute phase of the disaster to manage the surge of 28 patients (15% of yearly admissions) in 7 days. Data collected were related to service delivery and patient outcomes (shoulder active range of motion, grip strength, and the Burns Specific Health Scale). Data were compared to baseline, similar data collected during normal practice and population norms. Bali patients received 3.2% more therapy treatment sessions and 6.8% less contact hours than usual protocols. Shoulder AROM recovered to normal limits by 3 months postdischarge. Grip strength for women was shown to reach population norms by 1 month after discharge and by 6 months for males. Self-rated physical recovery exceeded major burn population norms at 6 months postdischarge. Physical therapy outcome measures demonstrated upper limb recovery as usual in the Bali group, despite a mass casualty situation. To achieve this required support from the multidisciplinary team, in combination with community, government, and hospital administrative assistance.

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

Zamfir, Michael; Cumming, Andrew; Galloway, Duncan K., E-mail: mzamfir@physics.mcgill.ca, E-mail: cumming@physics.mcgill.ca, E-mail: Duncan.Galloway@monash.edu

We investigate the constraints on neutron star mass and radius in GS 1826-24 from models of light curves and spectral evolution of type I X-ray bursts. This source shows remarkable agreement with theoretical calculations of burst energies, recurrence times, and light curves. We first exploit this agreement to set the overall luminosity scale of the observed bursts. When combined with a measured blackbody normalization, this leads to a distance- and anisotropy-independent measurement of the ratio between the redshift 1 + z and color-correction factor f{sub c}. We find 1 + z = 1.19-1.28 for f{sub c} = 1.4-1.5. We thenmore » compare the evolution of the blackbody normalization with flux in the cooling tail of bursts with predictions from spectral models of Suleimanov et al. The observations are well described by the models at luminosities greater than about one-third of the peak luminosity, with deviations emerging at luminosities below that. We show that this comparison leads to distance-independent upper limits on R{sub {infinity}} and neutron star mass of R{sub {infinity}} {approx}< 9.0-13.2 km and M < 1.2-1.7 M{sub Sun }, respectively, for solar abundance of hydrogen at the photosphere and a range of metallicity and surface gravity. The radius limits are low in comparison to previous measurements. This may be indicative of a subsolar hydrogen fraction in the GS 1826-24 photosphere, or of larger color corrections than that predicted by spectral models. Our analysis also gives an upper limit on the distance to GS 1826-24 of d < 4.0-5.5 kpc {xi}{sup -1/2}{sub b}, where {xi}{sub b} is the degree of anisotropy of the burst emission.« less

Ground-water conditions and studies in Georgia, 2001

USGS Publications Warehouse

Leeth, David C.; Clarke, John S.; Craigg, Steven D.; Wipperfurth, Caryl J.

2003-01-01

The U.S. Geological Survey (USGS) collects ground-water data and conducts studies to monitor hydrologic conditions, to better define ground-water resources, and address problems related to water supply and water quality. Data collected as part of ground-water studies include geologic, geophysical, hydraulic property, water level, and water quality. A ground-water-level network has been established throughout most of the State of Georgia, and ground-water-quality networks have been established in the cities of Albany, Savannah, and Brunswick and in Camden County, Georgia. Ground-water levels are monitored continuously in a network of wells completed in major aquifers of the State. This network includes 17 wells in the surficial aquifer, 12 wells in the upper and lower Brunswick aquifers, 73 wells in the Upper Floridan aquifer, 10 wells in the Lower Floridan aquifer and underlying units, 12 wells in the Claiborne aquifer, 1 well in the Gordon aquifer, 11 wells in the Clayton aquifer, 11 wells in the Cretaceous aquifer system, 2 wells in Paleozoic-rock aquifers, and 7 wells in crystalline-rock aquifers. In this report, data from these 156 wells were evaluated to determine whether mean-annual ground-water levels were within, below, or above the normal range during 2001, based on summary statistics for the period of record. Information from these summaries indicates that water levels during 2001 were below normal in almost all aquifers monitored, largely reflecting climatic effects from drought and pumping. In addition, water-level hydrographs for selected wells indicate that water levels have declined during the past 5 years (since 1997) in almost all aquifers monitored, with water levels in some wells falling below historical lows. In addition to continuous water-level data, periodic measurements taken in 52 wells in the Camden County-Charlton County area, and 65 wells in the city of Albany-Dougherty County area were used to construct potentiometric-surface maps for the Upper Floridan aquifer. Ground-water quality in the Upper Floridan aquifer is monitored in the cities of Albany, Savannah, and Brunswick and in Camden County; and monitored in the Lower Floridan aquifer in the Savannah and Brunswick areas. In the Albany area since 1998, nitrate concentrations in the Upper Floridan aquifer have increased in 4 of the 11 wells monitored, and in 1 well, concentrations were above the U.S. Environmental Protection Agency's (USEPA) 10 milligrams per liter (mg/L) drinking-water standard. In the Savannah area, chloride concentration in water from four wells in the Upper Floridan aquifer showed no appreciable change during 2001, remaining within the USEPA 250 mg/L drinking-water standard; in seven wells completed in the Lower Floridan aquifer and in underlying zones, the chloride concentration remained above the drinking-water standard, with one well showing an increase over previous years. In the Brunswick area, water samples from 66 wells completed in the Upper or Lower Floridan aquifers were collected during June 2001 and analyzed for chloride. A map showing chloride concentrations in the Upper Floridan aquifer during June 2001 indicates that concentrations remained above USEPA drinking-water standards across a 2-square-mile area. In the north Brunswick area, chloride concentrations in the Upper Floridan aquifer continued to increase, whereas in the south Brunswick area, concentrations continued to decrease. In the Camden County area, chloride concentrations in six wells completed in the Upper Floridan aquifer remained within drinking-water standards. With the exception of one well, concentrations remained the same and were below 40 mg/L. In one well, concentrations showed a sharp decline during 2001, but remained above 130 mg/L. Ongoing studies during 2001 include evaluation of agricultural chemicals in shallow ground water in southwestern Georgia; evaluation of saltwater intrusion and water-level and water-quality m

Do Pregnancy and Parenthood Affect the Course of PCO Syndrome? Initial Results from the LIPCOS Study (Lifestyle Intervention for Patients with Polycystic Ovary Syndrome [PCOS]).

PubMed

Stassek, J; Ohnolz, F; Hanusch, Y; Schmidmayr, M; Berg, D; Kiechle, M; Seifert-Klauss, V R

2015-11-01

Introduction: The impact of pregnancy and parenthood on the long-term course of PCOS (polycystic ovary syndrome is still not known. The LIPCOS study (Lifestyle Intervention for Patients with Polycystic Ovary Syndrome [PCOS] - using the example of pregnancy and parenthood) systematically investigates long-term changes in PCOS symptoms. Method and Patients: The LIPCOS pilot study sent out a questionnaire to 403 patients who had presented with oligomenorrhea between 1991 and 2002. The prospective LIPCOS main study systematically investigated 64 women using structured interviews about lifestyle changes in the last 10 years, created a detailed hormone profile of these women and carried out vaginal ultrasound to calculate ovarian score. Results: Ovarian volume and ovarian score were not significantly lower for women with children (n = 25) compared to women with PCOS who had not had children (n = 39; p = 0.226). More women with children than women who did not have children currently reported a regular daily lifestyle, and the difference was statistically significant (92 % [n = 23/25] vs. 61.5 % [n = 24/39]; p = 0.009). Ten years ago or before the birth of their first child, respectively, no such difference was found between both groups (52 vs. 51.3 %). Over the last 10 years, women with children were more likely to have shorter cycles compared to women without children (p = 0.441). 88 % of women with children compared to 69.2 % of women without children reported that currently they had a "healthy diet" (p = 0.130). Serum testosterone levels were slightly lower for women with children (67.6 % of the upper limits of normal ranges) compared to women without children (80 % of the upper limits of normal ranges), but because of the small subgroup sizes the difference was not statistically significant (p = 0.106). Conclusion: The LIPCOS study shows for the first time that pregnancy and parenthood may have an impact on the long-term course of PCOS. Women with children reported shorter cycles and had lower testosterone levels compared to women without children.

Geologic map of the northern White Hills, Mohave County, Arizona

USGS Publications Warehouse

Howard, Keith A.; Priest, Susan S.; Lundstrom, Scott C.; Block, Debra L.

2017-07-10

IntroductionThe northern White Hills map area lies within the Kingman Uplift, a regional structural high in which Tertiary rocks lie directly on Proterozoic rocks as a result of Cretaceous orogenic uplift and erosional stripping of Paleozoic and Mesozoic strata. The Miocene Salt Spring Fault forms the major structural boundary in the map area. This low-angle normal fault separates a footwall (lower plate) of Proterozoic gneisses on the east and south from a hanging wall (upper plate) of faulted middle Miocene volcanic and sedimentary rocks and their Proterozoic substrate. The fault is part of the South Virgin–White Hills Detachment Fault, which records significant tectonic extension that decreases from north to south. Along most of its trace, the Salt Spring Fault dips gently westward, but it also has north-dipping segments along salients. A dissected, domelike landscape on the eroded footwall, which contains antiformal salients and synformal reentrants, extends through the map area from Salt Spring Bay southward to the Golden Rule Peak area. The “Lost Basin Range” represents an upthrown block of the footwall, raised on the steeper Lost Basin Range Fault.The Salt Spring Fault, as well as the normal faults that segment its hanging wall, deform rocks that are about 16 to 10 Ma, and younger deposits overlie the faults. Rhyodacitic welded tuff about 15 Ma underlies a succession of geochemically intermediate to progressively more mafic lavas (including alkali basalt) that range from about 14.7 to 8 Ma, interfingered with sedimentary rocks and breccias in the western part of the map area. Upper Miocene strata record further filling of the extension-formed continental basins. Basins that are still present in the modern landscape reflect the youngest stages of extensional-basin formation, expressed as the downfaulted Detrital Valley and Hualapai Wash basins in the western and eastern parts of the map area, respectively, as well as the north-centrally located, northward-sagged Temple Basin. Pliocene fluvial and piedmont alluvial fan deposits record postextensional basin incision, refilling, and reincision driven by the inception and evolution of the westward-flowing Colorado River, centered north of the map area.

Lithology, Geochemistry and Paleomagnetism of the Table Mountain Formation at the Little Walker Caldera

NASA Astrophysics Data System (ADS)

Schubert, R.; Pluhar, C. J.; Carlson, C. W.; Jones, S. A.

2015-12-01

West of Bridgeport Valley near the Central Sierra Nevada crest, the Little Walker Caldera (LWC) erupted Stanislaus Group lavas and tuffs during the Late Miocene. Remnants of these rocks are now distributed from the western Sierra Nevada foothills across the range and into the Walker Lane. This wide distribution is attributed to the lavas flowing down paleochannels, which provide an excellent marker for deformation over the last 10 Ma. Priest (1978) identified a thick section of these lavas along Flatiron Ridge, the southeast margin of the LWC, which our preliminary data suggests may correlate with lavas in the Sweetwater Mountains to the northeast and at Rancheria Mtn near Hetch Hetchy to the southwest. The oldest unit in the Stanislaus group is the Table Mountain Formation, a trachyandesite. At Priest's measured section it is divided into three members. By our measurements, the Lower Member (Tmtl) is 256 meters thick, has a fine-grained groundmass with plagioclase and augite phenocrysts (<0.5 cm), and the presence of augite phenocrysts distinguishes it from the other members. Some Tmtl flows have chalcedony amigdules. Overlying this, the Large Plagioclase member (Tmtp) is 43.5 meters thick. Distinguished by (~1 cm) plagioclase and occasional small olivine phenocrysts. The Upper Member (Tmtu) is 116 meters thick, very fine-grained and often platy. Tmtl has a distinctive northwest-oriented normal polarity and geochemistry, similar to several localities at Rancheria Mtn. Tmtu has a reversed polarity similar to the polarity of Table Mountain Formation in the Sweetwater Mountains and lavas that directly underlie the ~9.5 Ma Tollhouse Flat member of the Eureka Valley Tuff at Rancheria Mtn. Thus, our preliminary data suggest that the lower member at Priest's Measured Section could correlate to the normal polarity samples at Rancheria Mtn. Also, that the upper Member reversed-polarity samples may correlate with lavas both at the Sweetwater Mountains and Rancheria Mtn. This correlation across about 60 km allows us to assess rotation between sites as well as estimate throw across some faults of the Eastern Sierra range front.

SU-E-I-71: KVp Dependence of Transmitted Exposure for a Radiography Unit

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

Liang, Y; Lynch, D; So, J

2014-06-01

Purpose: To investigate the kVp dependence of the transmitted exposure for a radiography x-ray unit. Methods: The study used a GE DiscoveryTM XR656 DR unit, a 30 (L) × 30 (W) × 25 cm thick Lucite phantom, two anthropomorphic phantoms (an Alderson RS-310 chest phantom and a 3M skull phantom), an Unfors detector, and a Radcal 10x9-6 ion chamber. We measured the entrance exposure and transmitted exposure of each phantom at 60, 70, 80, 90, 100, 110, 120 kVp for mAs range from 2.5 to 200 mAs, without any additional filter. The FOV is 30×30 cm for the Lucite andmore » chest phantom (AP view), and 20×20 cm for skull phantom (Lateral view). The transmitted exposure was measured at the phantom center of the x-ray exit side. For chest phantom, the transmitted exposures at 3 inch upper right and upper left from the center were also measured. We also checked the reproducibility and accuracy of the DR unit. Results: For each phantom, at every kVp and mAs setting, the transmitted exposure per mAs was calculated and normalized by the relative entrance exposure; the averaged transmitted exposure per mAs at each specific kVp was then determined. For chest phantom, the mean transmitted exposure per mAs was the average of three exit locations. The averaged transmitted exposure per mAs was fit as a power function of kVp. The result showed the transmitted exposure per mAs was approximately proportional to third power of the kVp for two anthropomorphic phantoms and forth power of the kVp for the Lucite phantom. Conclusion: The traditional assumption of fifth power kVp dependence to the transmitted exposure is inaccurate. At the normal radiography kVp range, the transmitted exposure is approximately proportional to third power of the kVp for a typical patient and up to forth power of the kVp for a large patient.« less

Follow-Up Care for Older Women With Breast Cancer

DTIC Science & Technology

2000-05-01

better predictor of upper body mor therapy, all cause mortality, self -reported function and overall physical function than upper body function, and...outcomes, including primary tu- Major Analytic Variables mor therapy and all cause mortality, as well as self -reported upper body and overall physical ...comorbidity and their relation to a range of patient outcomes, including primary tumor therapy and mortality, self -reported upper body function, and overall

The crust and uppermost mantle structure in Southern Peru from ambient noise and earthquake surface wave analysis

NASA Astrophysics Data System (ADS)

Ma, Y.; Clayton, R. W.

2012-12-01

We determine the Vs structure to a depth of 140 km of Southern Peru, where the subducted Nazca slab changes from normal to flat subduction. The data are from a box-like array that is approximately 300 km on a side, and with 150 stations in total. The structure is inverted from surface wave dispersion curves measured between 5 s to 23 s period from ambient noise cross-correlations, and between 25 s to 69 s from earthquake two-plane-wave analysis. From the map views of different depths, we observe that: (1) The forearc region is characterized by shallow crustal thickness and higher crustal velocity compared with the backarc. (2) The upper-crust velocity in the backarc above normal subduction (3.0-3.2 km/s) is lower compared with that above flat subduction region (3.2-3.4 km/s). The low velocity coincides with the deep sediments above the Altiplano plateau. (3) The transition from the normal to flat subduction is characterized by a comparatively lower upper-mid crust velocity (3.2-3.4 km/s). The lower velocity zone also coincides with the highest topography (>4700 m) in the study area. (4) The mantle wedge velocity above the flat subduction (4.6-4.9 km/s) is higher than the surrounding mantle and the mantle above the normal subduction region (4.3-4.5 km/s). We deduce that the upper-mid crust above the transition of the slab geometry is probably more felsic, which can be due to the old volcanic activity during the normal-flat transition, and thus can more easily accommodate the crustal shortening. The lack of present volcanism above the flat subduction, however, could be explained by the high velocity anomaly related to the flat slab. It may indicate a cold environment, and thus the lack of mantle melting.

Systematic changes in position sense accompany normal aging across adulthood.

PubMed

Herter, Troy M; Scott, Stephen H; Dukelow, Sean P

2014-03-25

Development of clinical neurological assessments aimed at separating normal from abnormal capabilities requires a comprehensive understanding of how basic neurological functions change (or do not change) with increasing age across adulthood. In the case of proprioception, the research literature has failed to conclusively determine whether or not position sense in the upper limb deteriorates in elderly individuals. The present study was conducted a) to quantify whether upper limb position sense deteriorates with increasing age, and b) to generate a set of normative data that can be used for future comparisons with clinical populations. We examined position sense in 209 healthy males and females between the ages of 18 and 90 using a robotic arm position-matching task that is both objective and reliable. In this task, the robot moved an arm to one of nine positions and subjects attempted to mirror-match that position with the opposite limb. Measures of position sense were recorded by the robotic apparatus in hand-and joint-based coordinates, and linear regressions were used to quantify age-related changes and percentile boundaries of normal behaviour. For clinical comparisons, we also examined influences of sex (male versus female) and test-hand (dominant versus non-dominant) on all measures of position sense. Analyses of hand-based parameters identified several measures of position sense (Variability, Shift, Spatial Contraction, Absolute Error) with significant effects of age, sex, and test-hand. Joint-based parameters at the shoulder (Absolute Error) and elbow (Variability, Shift, Absolute Error) also exhibited significant effects of age and test-hand. The present study provides strong evidence that several measures of upper extremity position sense exhibit declines with age. Furthermore, this data provides a basis for quantifying when changes in position sense are related to normal aging or alternatively, pathology.

Investigating the Seismicity and Stress Field of the Truckee -- Lake Tahoe Region, California -- Nevada

NASA Astrophysics Data System (ADS)

Seaman, Tyler

The Lake Tahoe basin is located in a transtensional environment defined by east-dipping range--bounding normal faults, northeast--trending sinistral, and northwest-trending dextral strike-slip faults in the northern Walker Lane deformation belt. This region accommodates as much as 10 mm/yr of dextral shear between the Sierra Nevada and Basin and Range proper, or about 20% of Pacific-North American plate motion. There is abundant seismicity north of Lake Tahoe through the Truckee, California region as opposed to a lack of seismicity associated with the primary normal faults in the Tahoe basin (i.e., West Tahoe fault). This seismicity study is focused on the structural transition zone from north-striking east-dipping Sierran Range bounding normal faults into the northern Walker Lane right-lateral strike-slip domain. Relocations of earthquakes between 2000-2013 are performed by initially applying HYPOINVERSE mean sea level datum and station corrections to produce higher confidence absolute locations as input to HYPODD. HYPODD applies both phase and cross-correlation times for a final set of 'best' event relocations. Relocations of events in the upper brittle crust clearly align along well-imaged, often intersecting, high-angle structures of limited lateral extent. In addition, the local stress field is modeled from 679 manually determined short-period focal mechanism solutions, between 2000 and 2013, located within a fairly dense local seismic network. Short-period focal mechanisms were developed with the HASH algorithm and moment tensor solutions using long-period surface waves and the MTINV code. Resulting solutions show a 9:1 ratio of strike-slip to normal mechanisms in the transition zone study area. Stress inversions using the application SATSI (USGS Spatial And Temporal Stress Inversion) generally show a T-axis oriented primarily E-W that also rotates about 30 degrees counterclockwise, from a WNW-ESE trend to ENE-WSW, moving west to east across the California--Nevada border just north of Lake Tahoe. Focal mechanism and stress inversion results, based on the variance of the P-axis orientation, reveal a strike-slip dominated region directly north of Lake Tahoe that abruptly transitions northeastward to a transtentional regime along the Sierra front (i.e., in the hanging wall regime of the Sierran block). The majority of earthquakes used in the relocation and stress analysis occurs within a time period that includes unusual upper mantle/lower-crustal (˜30 km depth) dike injection events: 1) 2003 North Lake Tahoe and 2) 2011-2012 Sierra Valley, CA, that we interpret to be rift-related processes along the eastern Sierra Nevada microplate. Earthquake relocations for events shallower than about 18 km depth (the seismogenic depth determined in this study in the north Lake Tahoe area) cluster along high-angle fault structures, primarily in the footwall of the Sierra Nevada block. This new analysis isolates areas of distinctly strike-slip versus transtensional stress regimes, based on the variability of the P-axis plunge, that straddle the Sierra Nevada--Great Basin transition zone at the latitude of Lake Tahoe.

Looking beneath Snake River Plain using gravity and magnetic methods Murari Khatiwada and G. Randy Keller, ConocoPhillips School of Geology and Geophysics, University of Oklahoma, Norman, OK 73069

NASA Astrophysics Data System (ADS)

Khatiwada, M.; Keller, G.

2010-12-01

Tectonic evolution and structural complexities of the Snake River Plain (SRP), the role of extension in its formation, and the effects of the YellowStone (YS) hotspot track have been a topic of scientific discussion for decades. In this research, we are addressing some of these issues by focusing on the Western Snake River Plain (WRSP) using a pre-existing gravity and magnetic database compiled through a community effort. These data are available at the Pan American Center for Environmental studies (http://research.utep.edu/paces). In the regional context of the SRP, the Complete Bouguer Anomaly (CBA) ranges by about 210 mGal with the highest value in the vicinity of the WRSP. We used upward continuation filters, bandpass filters, and directional derivative filters to delineate features by wavelength and trend. Total Magnetic Intensity (TMI) was also analyzed. The magnetic intensity ranges over 600 nT with much more complex and erratic magnetic signatures that arise from the shallow basalt and rhyolite deposits within the region. We used pseudogravity and tilt derivative filters for further processing of the magnetic data. We are able to identify the major structural components in the area using gravity and magnetic data and their processing. The bounding normal faults of the WSRP are well observed. We constructed an axial gravity profile along the SRP starting at Walla Walla, Washington and extending through Yellowstone to Reygate, Montana. CBA values along this profile show that the western and central sections of the SPR have higher gravity anomaly values than the eastern sections and the YS area. We used forward gravity modeling of the subsurface structures across the WSRP starting from the Basin and Range province on the southwest to the Atlanta Lobe of the Idaho Batholith on the northeast. From the model, we observed that the Moho depth increases northeastward and varies between 30 and 46 km along the profile. These results match with receiver function Moho depth estimates from the EARTHSCOPE US Array. We used borehole data and shallow seismic survey results to constrain the upper 5 km of the model along the profile. A number of normal faults that form a series of grabens and half grabens were also modeled beneath the SRP. The gravity profile suggests that a higher density mafic intrusive body of about 8-10 km thickness lies directly beneath the WSRP. This body is possibly a mafic intrusion into the upper crust or could be a region of the middle and upper crust that was extensively intruded by sills and dikes during the time of extension in the area. This result agrees with other scientific results in the eastern SRP based on seismic data. On the southwest part of the WSRP profile, the Idaho-Oregon graben that separates the WSRP from the High Lava Plains was also modeled.

Segmentation of Slow Slip Events in South Central Alaska Possibly Controlled by a Subducted Oceanic Plateau

NASA Astrophysics Data System (ADS)

Li, Haotian; Wei, Meng; Li, Duo; Liu, Yajing; Kim, YoungHee; Zhou, Shiyong

2018-01-01

Recent GPS observations show that slow slip events in south central Alaska are segmented along strike. Here we review several mechanisms that might contribute to this segmentation and focus on two: along-strike variation of slab geometry and effective normal stress. We then test them by running numerical simulations in the framework of rate-and-state friction with a nonplanar fault geometry. Results show that the segmentation is most likely related to the along-strike variation of the effective normal stress on the fault plane caused by the Yakutat Plateau. The Yakutat Plateau could affect the effective normal stress by either lowering the pore pressure in Upper Cook Inlet due to less fluids release or increasing the normal stress due to the extra buoyancy caused by the subducted Yakutat Plateau. We prefer the latter explanation because it is consistent with the relative amplitudes of the effective normal stress in Upper and Lower Cook Inlet and there is very little along-strike variation in Vp/Vs ratio in the fault zone from receiver function analysis. However, we cannot exclude the possibility that the difference in effective normal stress results from along-strike variation of pore pressure due to the uncertainties in the Vp/Vs estimates. Our work implies that a structural anomaly can have a long-lived effect on the subduction zone slip behavior and might be a driving factor on along-strike segmentation of slow slip events.

[EMG activities of the head, neck and upper trunk muscles with mandibular movements in healthy adults and mandibular asymmetry patients].

PubMed

Jiang, Ting; Zhang, Zhenkang; Yang, Zhaohui; Yi, Biao; Feng, Hailan; Wang, Xing

2002-03-25

To study the activities of head, neck and upper trunk muscles during mandibular movements in healthy adults and mandibular asymmetry patients. Electromyographic integrogram was used to record and analyze the electromyographic activities of the anterior temporal (Ta), posterior temporal (Tp), sternocleidomastoid (SCM), and trapezius (TRAP) muscles in rest position and during mandibular movement among 10 normal adults and 10 mandibular asymmetry patients. All the four muscles showed constant electromyographic activities when the mandible was in the rest position. The activities of Ta, Tp, and SCM muscles increased with protrusion of mandible, mouth opening, tapping, maximum clenching, and chewing. The activities of Ta and Tp muscles of the patients were 1.7 times greater than that of the normal adults during mandibular movement without occlusion, and were weaker by 50% during mandibular movement with occlusion. The difference between electromyographic activities during mandibular movement and in rest position was less among patients than among normal adults. The TRAP muscle of the patients showed constant electromyographic activities with the activity volume nearly 1.8 times that of the normal adults. The difference between the muscle and its namesake at the opposite side was greater among the patients (21%) than among the normal adults (8%). All the four muscles participate in the maintenance of rest position of mandible and the realization of mandibular movements. The coordination of muscular activities among mandibular asymmetry patients is poorer than that among normal adults.

Sedimentology and stratigraphy of the Kanayut Conglomerate, central and western Brooks Range, Alaska; report of 1981 field season

USGS Publications Warehouse

Nilsen, T.H.; Moore, T.E.

1982-01-01

The Upper Devonian and Lower Mississippian(?) Kanayut Conglomerate forms a major stratigraphic unit along the crest of the Brooks Range of northern Alaska. It crops out for an east-west distance of about 900 km and a north-south distance of about 65 km. The Kanayut is wholly allochthonous and has probably been transported northward on a series of thrust plates. The Kanayut is as thick as 2,600 m in the east-central Brooks Range. It thins and fines to the south and west. The Kanayut forms the middle part of the allochthonous sequence of the Endicott Group, an Upper Devonian and Mississippian clastic sequence underlain by platform limestones of the Baird Group and overlain by platform limestone, carbonaceous shale, and black chert of the Lisburne Group. The Kanayut overlies the marine Upper Devonian Noatak Sandstone or, where it is missing, the marine Upper Devonian Hunt Fork Shale. It is overlain by the marine Mississippian Kayak Shale. The Kanayut Conglomerate forms the fluvial part of a large, coarse-grained delta that prograded to the southwest in Late Devonian time and retreated in Early Mississippian time. Four sections of the Kanayut Conglomerate in the central Brooks Range and five in the western Brooks Range were measured in 1981. The sections from the western Brooks Range document the presence of fluvial cycles in the Kanayut as far west as the shores of the Chukchi Sea. The Kanayut in this area is generally finer grained than it is in the central and eastern Brooks Range, having a maximum clast size of 3 cm. It is probably about 300 m thick. The upper and lower contacts of the Kanayut are gradational. The lower Kanayut contains calcareous, marine-influenced sandstone within channel deposits, and the upper Kanayut contains probable marine interdistributary-bay shale sequences. The members of the Kanayut Conglomerate cannot be differentiated in this region. In the central Brooks Range, sections of the Kanayut Conglomerate at Siavlat Mountain and Kakivilak Creek are typically organized into fining-upward fluvial cycles. The maximum clast size is about 3 cm in this area. The Kanayut in this region is 200-500 m thick and can be divided into the Ear Peak, Shainin Lake, and Stuver Members. The upper contact of the Kanayut with the Kayak Shale is very gradational at Kakivilak Creek and very abrupt at Siavlat Mountain. Paleocurrents from fluvial strata of the Kanayut indicate sediment transport toward the west and south in both the western and central Brooks Range. The maximum clast size distribution generally indicates westward fining from the Shainin Lake region.

Exploratory studies of the cruise performance of upper surface blown configuration: Experimental program, high-speed force tests

NASA Technical Reports Server (NTRS)

Braden, J. A.; Hancock, J. P.; Burdges, K. P.; Hackett, J. E.

1979-01-01

The work to develop a wing-nacelle arrangement to accommodate a wide range of upper surface blown configuration is reported. Pertinent model and installation details are described. Data of the effects of a wide range of nozzle geometric variations are presented. Nozzle aspect ratio, boattail angle, and chordwise position are among the parameters investigated. Straight and swept wing configurations were tested across a range of nozzle pressure ratios, lift coefficients, and Mach numbers.

Summary of hydraulic properties of the Floridan Aquifer system in coastal Georgia and adjacent parts of South Carolina and Florida

USGS Publications Warehouse

Clarke, John S.; Leeth, David C.; Taylor-Harris, DaVette; Painter, Jaime A.; Labowski, James L.

2005-01-01

Hydraulic-property data for the Floridan aquifer system and equivalent clastic sediments in a 67-county area of coastal Georgia and adjacent parts of South Carolina and Florida were evaluated to provide data necessary for development of ground-water flow and solute-transport models. Data include transmissivity at 324 wells, storage coefficient at 115 wells, and vertical hydraulic conductivity of 72 core samples from 27 sites. Hydraulic properties of the Upper Floridan aquifer vary greatly in the study area due to the heterogeneity (and locally to anisotropy) of the aquifer and to variations in the degree of confinement provided by confining units. Prominent structural features in the areathe Southeast Georgia Embayment, the Beaufort Arch, and the Gulf Troughinfluence the thickness and hydraulic properties of the sediments comprising the Floridan aquifer system. Transmissivity of the Upper Floridan aquifer and equivalent updip units was compiled for 239 wells and ranges from 530 feet squared per day (ft2/d) at Beaufort County, South Carolina, to 600,000 ft2/d in Coffee County, Georgia. In carbonate rock settings of the lower Coastal Plain, transmissivity of the Upper Floridan aquifer generally is greater than 20,000 ft2/d, with values exceeding 100,000 ft2/d in the southeastern and southwestern parts of the study area (generally coinciding with the area of greatest aquifer thickness). Transmissivity of the Upper Floridan aquifer generally is less than 10,000 ft2/d in and near the upper Coastal Plain, where the aquifer is thin and consists largely of clastic sediments, and in the vicinity of the Gulf Trough, where the aquifer consists of low permeability rocks and sediments. Large variability in the range of transmissivity in Camden and Glynn Counties, Georgia, and Nassau County, Florida, demonstrates the anisotropic distribution of hydraulic properties that may result from fractures or solution openings in the carbonate rocks. Storage coefficient of the Upper Floridan aquifer was compiled for 106 wells and ranges from about 0.00004 at Beaufort County, South Carolina, to 0.04 in Baker County, Florida. Transmissivity of the Lower Floridan aquifer and equivalent updip clastic units was compiled for 53 wells and ranges from about 170 ft2/d in Barnwell County, South Carolina, to about 43,000 ft2/d in Camden County, Georgia. Transmissivity of the Lower Floridan aquifer is greatest where the aquifer is thickest in southeastern Georgia and northeastern Floridawhere estimates are greater than 10,000 ft2/d; at one well in southeastern Georgia transmissivity was estimated to be as high as 200,000 ft2/d. Storage-coefficient data for the Lower Floridan aquifer are limited to three estimates in Barnwell and Allendale Counties, South Carolina, and to estimates determined from six multi-aquifer tests in Duval County, Florida. In the South Carolina tests, storage coefficient ranges from 0.0003 to 0.0004; this range is indicative of a confined aquifer. The storage coefficient for the combined Upper and Lower Floridan wells in Duval County, Florida, ranges from 0.00002 to 0.02. Vertical hydraulic conductivity was compiled from core samples collected at 27 sites. For the Upper Floridan confining unit, values from 39 core samples at 17 sites range from 0.0002 to 3 feet per day (ft/d). For the Lower Floridan confining unit, values from 10 core samples at 9 sites range from about 0.000004 to 0.16 ft/d. Vertical hydraulic conductivity of the Upper Floridan aquifer was compiled from 16 core samples at five sites, mostly in the Brunswick, Georgia, area and values range from 0.00134 to 160.4 ft/d. Vertical hydraulic conductivity for the semiconfining unit separating the upper and lower water-bearing zones of the Upper Floridan at Brunswick, Georgia, compiled from 6 core samples at three sites ranges from 0.000008 to 0.000134 ft/d. The vertical hydraulic conductivity of the Lower Floridan aquifer in a core sample from a well at Brunswick, G

Effect of Absence of Developing Grain on Carbohydrate Content and Senescence of Maize Leaves

PubMed Central

Allison, J. C. S.; Weinmann, H.

1970-01-01

In maize (Zea mays L.) grown under normal conditions in Rhodesia, prevention of pollination or removal of the ears after flowering caused premature senescence of the leaves above the ear, preceded by the appearance of a purplish red color. In plants from which the ears had been removed the concentration of sugars and starch increased markedly in both upper and lower leaves, the increase being greater in the upper leaves. PMID:16657481

Dynamic Changes in the Myometrium during the Third Stage of Labor, Evaluated Using Two-Dimensional Ultrasound, in Women with Normal and Abnormal Third Stage of Labor and in Women with Obstetric Complications.

PubMed

Patwardhan, Manasi; Hernandez-Andrade, Edgar; Ahn, Hyunyoung; Korzeniewski, Steven J; Schwartz, Alyse; Hassan, Sonia S; Romero, Roberto

2015-01-01

To investigate dynamic changes in myometrial thickness during the third stage of labor. Myometrial thickness was measured using ultrasound at one-minute time intervals during the third stage of labor in the mid-region of the upper and lower uterine segments in 151 patients including: women with a long third stage of labor (n = 30), postpartum hemorrhage (n = 4), preterm delivery (n = 7) and clinical chorioamnionitis (n = 4). Differences between myometrial thickness of the uterine segments and as a function of time were evaluated. There was a significant linear increase in the mean myometrial thickness of the upper uterine segments, as well as a significant linear decrease in the mean myometrial thickness of the lower uterine segments until the expulsion of the placenta (p < 0.001). The ratio of the measurements of the upper to the lower uterine segments increased significantly as a function of time (p < 0.0001). In women with postpartum hemorrhage, preterm delivery, and clinical chorioamnionitis, an uncoordinated pattern among the uterine segments was observed. A well-coordinated activity between the upper and lower uterine segments is demonstrated in normal placental delivery. In some clinical conditions this pattern is not observed, increasing the time for placental delivery and the risk of postpartum hemorrhage. © 2015 S. Karger AG, Basel.

Dynamic changes in the myometrium during the third stage of labor, evaluated using two-dimensional ultrasound, in women with normal and abnormal third stage of labor and in women with obstetric complications

PubMed Central

Patwardhan, Manasi; Hernandez-Andrade, Edgar; Ahn, Hyunyoung; Korzeniewski, Steven J; Schwartz, Alyse; Hassan, Sonia S; Romero, Roberto

2015-01-01

Objective To investigate dynamic changes in myometrial thickness during the third stage of labor. Methods Myometrial thickness was measured using ultrasound at one-minute time intervals during the third stage of labor in the mid-region of the upper and lower uterine segments in 151 patients including: women with a long third stage of labor (n=30), post-partum hemorrhage (n=4), preterm delivery (n=7) or clinical chorioamnionitis (n=4). Differences between uterine segments and as a function of time were evaluated. Results There was a significant linear increase in the mean myometrial thickness of the upper uterine segments, as well as a significant linear decrease in the mean myometrial thickness of the lower uterine segments until the expulsion of the placenta (p<0.001). The ratio of the measurements of the upper to the lower uterine segments increased significantly as a function of time (p<0.0001). In women with postpartum hemorrhage, preterm delivery and clinical chorioamnionitis, an uncoordinated pattern between the uterine segments was observed. Conclusion A well-coordinated activity between the upper and lower uterine segments is demonstrated in normal placental delivery. In some clinical conditions this pattern is not observed, increasing the time for placental delivery and the risk for post-partum hemorrhage. PMID:25634647

Benign symmetric lipomatosis (Launois-Bensaude syndrome).

PubMed

Fernández-Vozmediano, José; Armario-Hita, José

2005-03-01

A 37-year-old woman with a personal history of appendicectomy, cholecystectomy, left oophorectomy secondary to an ovarian cyst complication, nephritic colic with repeated episodes of pyelonephritis, alcoholic hepatopathy, Raynaud's phenomenon and bilateral exophthalmos showed an increase in volume in the root of the upper limbs and in the base of the neck over a period of 4 years, painful to the touch and of a soft consistency. She presented with a pseudo-athletic appearance (Fig. 1) produced by an increase in the volume at the root of the upper limbs, upper back and the back of the neck (Fig. 2). The lesions produced a pulling sensation and were associated with paresthesia, hyperesthesia, and a moderate loss of strength in both arms. A biopsy taken from the upper third of the right arm showed a diffuse proliferation of the subcutaneous adipose tissue, which appeared normal, and extended between the collagen fibers, reaching in some cases into the most superficial zones of the reticular dermis (Fig. 3). Laboratory evaluation revealed a chronic anemia, leukopenia with moderate lymphopenia, increased erythrocyte sedimentation rate, elevation of enzymes of hepatic function, decrease in total proteins, and increase in ferritin, all in the context of hepatopathy. Antinuclear antibodies and the hormonal profile were normal. Abdominal and gynecologic echography revealed a right ovarian cyst of no clinical relevance. Cranial nuclear magnetic resonance (NMR) revealed an increase in the periorbital fat responsible for bilateral exophthalmos.

Continentward-Dipping Normal Faults, Boudinage and Ductile Shear at Rifted Passive Margins

NASA Astrophysics Data System (ADS)

Clerc, C. N.; Ringenbach, J. C.; Jolivet, L.; Ballard, J. F.

2017-12-01

Deep structures resulting from the rifting of the continental crust are now well imaged by seismic profiles. We present a series of recent industrial profiles that allow the identification of various rift-related geological processes such as crustal boudinage, ductile shear of the base of the crust and low-angle detachment faulting. Along both magma-rich and magma-poor rifted margins, we observe clear indications of ductile deformation of the deep continental crust. Large-scale shallow dipping shear zones are identified with a top-to-the-continent sense of shear. This sense of shear is consistent with the activity of the Continentward-Dipping Normal Faults (CDNF) that accommodate the extension in the upper crust. This pattern is responsible for an oceanward migration of the deformation and of the associated syn-tectonic deposits (sediments and/or volcanics). We discuss the origin of the Continentward-Dipping Normal Faults (CDNF) and investigate their implications and the effect of sediment thermal blanketing on crustal rheology. In some cases, low-angle shear zones define an anastomosed pattern that delineates boudin-like structures that seem to control the position and dip of upper crustal normal faults. We present some of the most striking examples from several locations (Uruguay, West Africa, South China Sea…), and discuss their rifting histories that differ from the classical models of oceanward-dipping normal faults.

Hydrothermal barite mineralization at Chenarvardeh deposit, Markazi Province, Iran: Evidences from REE geochemistry and fluid inclusions

NASA Astrophysics Data System (ADS)

Ehya, Farhad; Mazraei, Shaghayegh Moalaye

2017-10-01

Barite mineralization occurs at Chenarvardeh deposit as layers and lenses in Upper Eocene volcanic and pyroclastic rocks. The host rocks are intensely saussuritized in most places. Barite is accompanied by calcite, Mn-oxides, galena and malachite as subordinate minerals. The amount of Sr in barites is low and varies between 0.11 and 0.30 wt%. The concentration of Rb, Zr, Y, Ta and Hf is also low (<5 ppm) in barite samples. The amount of total REEs (∑REE) is low in barites, ranging from 7.51 to 30.50 ppm. Chondrite-normalized REE patterns reveal LREE enrichment with respect to HREE, and positive Ce anomalies. Fluid inclusions are common in barite samples, being dominantly from liquid-rich two phase (L + V) type. Salinity values in fluid inclusions range from 9.41 to 18.69 wt% NaCl equivalent with most frequent salinities falling in the range of 10-15 wt% NaCl equivalent. Homogenization temperatures (Th) range between 160 and 220 °C, being the 180-200 °C range as the most common Th interval. A combination of factors, including geologic setting, host rock, mineral assemblages, REE geochemistry and fluid inclusion data are consistent with a submarine volcanic hydrothermal model for barite formation at the Chenarvardeh deposit. Mineral-forming fluids originated from solutions related to submarine hydrothermal activities deposited barite on seafloor as they encountered sulfate-bearing seawater.

Altitudinal gradients, midwinter melt, and wind effects on snow accumulation in semiarid midlatitude Andes under La Niña conditions

NASA Astrophysics Data System (ADS)

Ayala, A.; McPhee, J.; Vargas, X.

2014-04-01

The Andes Cordillera remains a sparsely monitored and studied snow hydrology environment in comparison to similar mountain ranges in the Northern Hemisphere. In order to uncover some of the key processes driving snow water equivalent (SWE) spatial variability, we present and analyze a distributed SWE data set, sampled at the end of accumulation season 2011. Three representative catchments across the region were monitored, obtaining measurements in an elevation range spanning 2000 to 3900 m asl and from 32.4° to 34.0°S in latitude. Climatic conditions during this season corresponded to a moderate La Niña phenomenon, which is generally correlated with lower-than normal accumulation. Collected measurements can be described at the regional and watershed extents by altitudinal gradients that imply an increase by a factor of two in snow depth between 2200 and 3000 m asl, though with significant variability at the upper sites. In these upper sites, we found north-facing, wind-sheltered slopes showing 25% less average SWE values than south-facing, wind-exposed ones. This suggests that under these conditions, solar radiation dominated wind transport effects in controlling end-of-winter variability. Nevertheless, we found clusters of snow depth measurements above 3000 m asl that can be explained by wind exposure differences. This is the first documented snow depth data set of this spatial extent for this region, and it is framed within an ongoing research effort aimed at improving understanding and modeling of snow hydrology in the extratropical Andes Cordillera.

Relationship between diffusion tensor fractional anisotropy and motor outcome in patients with hemiparesis after corona radiata infarct.

PubMed

Koyama, Tetsuo; Marumoto, Kohei; Miyake, Hiroji; Domen, Kazuhisa

2013-11-01

This study examined the relationship between fractional anisotropy (FA) values of magnetic resonance-diffusion tensor imaging (DTI) and motor outcome (1 month after onset) in 15 patients with hemiparesis after ischemic stroke of corona radiata lesions. DTI data were obtained on days 14-18. FA values within the cerebral peduncle were analyzed using a computer-automated method. Motor outcome of hemiparesis was evaluated according to Brunnstrom stage (BRS; 6-point scale: severe to normal) for separate shoulder/elbow/forearm, wrist/hand, and lower extremity functions. The ratio of FA values in the affected hemisphere to those in the unaffected hemisphere (rFA) was assessed in relation to the BRS data (Spearman rank correlation test, P<.05). rFA values ranged from .715 to 1.002 (median=.924). BRS ranged from 1 to 6 (median=4) for shoulder/elbow/forearm, from 1 to 6 (median=5) for wrist/hand, and from 2 to 6 (median=4) for the lower extremities. Analysis revealed statistically significant relationships between rFA and upper extremity functions (correlation coefficient=.679 for shoulder/elbow/forearm and .706 for wrist/hand). Although slightly less evident, the relationship between rFA and lower extremity function was also statistically significant (correlation coefficient=.641). FA values within the cerebral peduncle are moderately associated with the outcome of both upper and lower extremity functions, suggesting that DTI may be applicable for outcome prediction in stroke patients with corona radiata infarct. Copyright © 2013 National Stroke Association. Published by Elsevier Inc. All rights reserved.

The effect of manipulation plus massage therapy versus massage therapy alone in people with tension-type headache. A randomized controlled clinical trial.

PubMed

Espí-López, Gemma V; Zurriaga-Llorens, Rosario; Monzani, Lucas; Falla, Deborah

2016-10-01

Manipulative techniques have shown promising results for relief of tension-type headache (TTH), however prior studies either lacked a control group, or suffered from poor methodological quality. The aim of this study was to compare the effect of spinal manipulation combined with massage versus massage alone on range of motion of the cervical spine, headache frequency, intensity and disability in patients with TTH. Randomized, single-blinded, controlled clinical trial. University clinic. We enrolled 105 subjects with TTH. Participants were divided into two groups: 1) manipulation and massage; 2) massage only (control). Four treatment sessions were applied over four weeks. The Headache Disability Inventory (HDI) and range of upper cervical and cervical motion were evaluated at baseline, immediately after the intervention and at a follow-up, 8 weeks after completing the intervention. Both groups demonstrated a large (ƒ=1.22) improvement on their HDI scores. Those that received manipulation reported a medium-sized reduction (ƒ=0.33) in headache frequency across all data points (P<0.05) compared to the control group. Both groups showed a large within-subject effect for upper cervical extension (ƒ=0.62), a medium-sized effect for cervical extension (ƒ=0.39), and large effects for upper cervical (ƒ=1.00) and cervical (ƒ=0.27) flexion. The addition of manipulation resulted in larger gains of upper cervical flexion range of motion, and this difference remained stable at the follow-up. These findings support the benefit of treating TTH with either massage or massage combined with a manipulative technique. However, the addition of manipulative technique was more effective for increasing range of motion of the upper cervical spine and for reducing the impact of headache. Although massage provided relief of headache in TTH sufferers, when combined with cervical manipulation, there was a stronger effect on range of upper cervical spine motion.

Peculiar Active-Tectonic Landscape Within the Sanctuary of Zeus at Mt. Lykaion (Peloponnese, Greece)

NASA Astrophysics Data System (ADS)

Davis, G. H.

2008-12-01

The Sanctuary of Zeus (Mt. Lykaion) lies in the Peloponnese within the Pindos fold and thrust belt. It is the object of investigation of the Mt. Lykaion Excavation and Survey (http://lykaionexcavation.org/). Mt. Lykaion is a thrust klippe, on the summit of which is an upper sanctuary marked by an ash altar, temenos, and column bases. Earliest objects recovered from the ash altar go back to 3000 BCE, leading Dr. David Romano (University of Pennsylvania), a principal leader of the project, to conclude that worship of divinities on the summit is ancient. Detailed structural geological mapping reveals one dimension of the "power" of the site. Crisscrossing the upper sanctuary are scree bands that mark the traces of active normal faults, which are expressions of tectonic stretching of the Aegean region. The scree bands, composed of cinder-block-sized limestone blocks, range up to 10 m in outcrop breadth, 100 m in length, and 5 m in thickness. Though discontinuous, most of the scree bands lie precisely on the traces of through-going faults, which cut and displace the sedimentary formations of the Pindos group. Some cut the thrust fault, whose elliptical trace defines the Lykaion klippe. What makes the scree bands of this active-tectonic landscape "peculiar" is that there are no cliffs from which the scree descends. Rather, the bands of scree occur along flanks of smooth, rounded hillslopes and ridges. The scree bands coincide with modest steps in the topography, ranging from tens of centimeters to several tens of meters. The specific bedrock formation where the bands are best developed is an Upper Cretaceous limestone whose average platy-bedding thickness (approximately 20 cm) matches closely the average joint spacing. The limestone has little mechanical integrity. It cannot support itself as a scarp footwall and instead collapses into a pile of scree, whose upper-surface inclination conforms to a stable angle of repose. Evidence of the contemporary nature of this faulting includes a scree band that nearly completely covers stone structures built by shepherds. Though the scree bands conceal surface ruptures, it is expected that trenching will determine that the scree cover may have preserved beneath it some expressions of surface rupture, and perhaps fault surfaces themselves.

Is Middle-Upper Arm Circumference "normally" distributed? Secondary data analysis of 852 nutrition surveys.

PubMed

Frison, Severine; Checchi, Francesco; Kerac, Marko; Nicholas, Jennifer

2016-01-01

Wasting is a major public health issue throughout the developing world. Out of the 6.9 million estimated deaths among children under five annually, over 800,000 deaths (11.6 %) are attributed to wasting. Wasting is quantified as low Weight-For-Height (WFH) and/or low Mid-Upper Arm Circumference (MUAC) (since 2005). Many statistical procedures are based on the assumption that the data used are normally distributed. Analyses have been conducted on the distribution of WFH but there are no equivalent studies on the distribution of MUAC. This secondary data analysis assesses the normality of the MUAC distributions of 852 nutrition cross-sectional survey datasets of children from 6 to 59 months old and examines different approaches to normalise "non-normal" distributions. The distribution of MUAC showed no departure from a normal distribution in 319 (37.7 %) distributions using the Shapiro-Wilk test. Out of the 533 surveys showing departure from a normal distribution, 183 (34.3 %) were skewed (D'Agostino test) and 196 (36.8 %) had a kurtosis different to the one observed in the normal distribution (Anscombe-Glynn test). Testing for normality can be sensitive to data quality, design effect and sample size. Out of the 533 surveys showing departure from a normal distribution, 294 (55.2 %) showed high digit preference, 164 (30.8 %) had a large design effect, and 204 (38.3 %) a large sample size. Spline and LOESS smoothing techniques were explored and both techniques work well. After Spline smoothing, 56.7 % of the MUAC distributions showing departure from normality were "normalised" and 59.7 % after LOESS. Box-Cox power transformation had similar results on distributions showing departure from normality with 57 % of distributions approximating "normal" after transformation. Applying Box-Cox transformation after Spline or Loess smoothing techniques increased that proportion to 82.4 and 82.7 % respectively. This suggests that statistical approaches relying on the normal distribution assumption can be successfully applied to MUAC. In light of this promising finding, further research is ongoing to evaluate the performance of a normal distribution based approach to estimating the prevalence of wasting using MUAC.

Primary conjunctival amyloidosis.

PubMed

Chakraborti, Chandana; Chaudhury, Krittika P; Biswas, Ranu Roy

2014-01-01

A 19-year-old previously healthy male presented with a 4 year history of painless drooping of right upper eyelid. On eversion of the right upper eyelid, a yellowish pink mass was seen in the tarsal region. Rest of the ocular examination was normal in both the eyes. Initial biopsy showed chronic inflammation. Subsequently, the entire mass was excised and histopathological examination showed the presence of amyloid in the subconjunctival stroma. At 3 months follow-up, similar lesion was detected in the right lower, left upper, and lower lid, which were treated with cryotherapy, with partial resolution. Patient has been followed up for more than 2 years without any complaints. To our knowledge, this is the first case report of an isolated primary conjunctival amyloidosis with involvement of both the upper and lower palpebral conjunctiva of either eye. It was treated successfully by excision and cryotherapy.

Differential effects of power training versus functional task practice on compensation and restoration of arm function after stroke.

PubMed

Corti, Manuela; McGuirk, Theresa E; Wu, Samuel S; Patten, Carolynn

2012-09-01

Improved upper-extremity (UE) movement with stroke rehabilitation may involve restoration of more normal or development of compensatory movement patterns. The authors investigated the differential effects of functional task practice (FTP) and dynamic resistance training (POWER) on clinical function and reaching kinematics in an effort to distinguish between mechanisms of gains. A total of 14 hemiparetic individuals were randomly assigned to 10 weeks of either FTP or POWER and then crossed over to 10 weeks of the alternate treatment. Treatment order A was FTP followed by POWER, whereas treatment order B was POWER followed by FTP. Evaluation before and after each treatment block included a battery of clinical evaluations and kinematics of paretic UE functional reach to grasp. Both FTP and POWER improved movement accuracy, as revealed by a shift toward normal, including fewer submovements and reduced reach-path ratio. However, active range of motion revealed differential treatment effects. Shoulder flexion and elbow extension decreased with FTP and were associated with increased trunk displacement. In contrast, shoulder flexion and elbow extension excursion increased with POWER and were associated with significantly reduced trunk displacement. Treatment order B (POWER followed by FTP) revealed greater overall improvements. FTP increases compensatory movement patterns to improve UE function. POWER leads to more normal movement patterns. POWER prior to FTP may enhance the benefits of repetitive task practice.

An elevated serum alkaline phosphatase level in hepatic metastases of grade 1 and 2 gastrointestinal neuroendocrine tumors is unusual and of prognostic value

PubMed Central

Andriantsoa, Maeva; Hoibian, Solene; Autret, Aurelie; Gilabert, Marine; Sarran, Anthony; Niccoli, Patricia

2017-01-01

Background In our clinical practice we have observed that despite a high hepatic metastatic tumor burden, serum alkaline phosphatase (AP) levels are frequently normal in cases of metastatic neuroendocrine tumor (NET). Patients and methods We retrospectively reviewed the records of patients with grade 1 and 2 NETs with liver metastases but without bone metastases seen at our institution in 2013. In total, 49 patients were included (22 female), with a median age of 60 years (range: 28 to 84 years). The primary tumors were located in the duodenum/pancreas (n = 29), small bowel (n = 17) or colon/rectum (n = 3); 10 cases were grade 1 and 39 grade 2. Hepatic involvement was bulky, with more than 10 lesions in 23 patients and a tumor burden above 10% of the liver volume in 26 patients. Results Serum AP levels were elevated (≥ upper limit of normal (ULN)) in 16 patients. In multiparametric analysis, elevated serum AP levels were not associated with the primary site, grade, or number or volume of metastases. In multiparametric analysis, progression-free survival was only correlated with grade (p = 0.010) and AP level (p = 0.017). Conclusions Serum AP levels are frequently normal in liver metastases from NET, even in the event of a major tumor burden, and the serum AP level can be of prognostic value. PMID:28562682

An elevated serum alkaline phosphatase level in hepatic metastases of grade 1 and 2 gastrointestinal neuroendocrine tumors is unusual and of prognostic value.

PubMed

Andriantsoa, Maeva; Hoibian, Solene; Autret, Aurelie; Gilabert, Marine; Sarran, Anthony; Niccoli, Patricia; Raoul, Jean-Luc

2017-01-01

In our clinical practice we have observed that despite a high hepatic metastatic tumor burden, serum alkaline phosphatase (AP) levels are frequently normal in cases of metastatic neuroendocrine tumor (NET). We retrospectively reviewed the records of patients with grade 1 and 2 NETs with liver metastases but without bone metastases seen at our institution in 2013. In total, 49 patients were included (22 female), with a median age of 60 years (range: 28 to 84 years). The primary tumors were located in the duodenum/pancreas (n = 29), small bowel (n = 17) or colon/rectum (n = 3); 10 cases were grade 1 and 39 grade 2. Hepatic involvement was bulky, with more than 10 lesions in 23 patients and a tumor burden above 10% of the liver volume in 26 patients. Serum AP levels were elevated (≥ upper limit of normal (ULN)) in 16 patients. In multiparametric analysis, elevated serum AP levels were not associated with the primary site, grade, or number or volume of metastases. In multiparametric analysis, progression-free survival was only correlated with grade (p = 0.010) and AP level (p = 0.017). Serum AP levels are frequently normal in liver metastases from NET, even in the event of a major tumor burden, and the serum AP level can be of prognostic value.

Variation in Methane Emission Rates from Well Pads in Four Oil and Gas Basins with Contrasting Production Volumes and Compositions.

PubMed

Robertson, Anna M; Edie, Rachel; Snare, Dustin; Soltis, Jeffrey; Field, Robert A; Burkhart, Matthew D; Bell, Clay S; Zimmerle, Daniel; Murphy, Shane M

2017-08-01

Atmospheric methane emissions from active natural gas production sites in normal operation were quantified using an inverse Gaussian method (EPA's OTM 33a) in four major U.S. basins/plays: Upper Green River (UGR, Wyoming), Denver-Julesburg (DJ, Colorado), Uintah (Utah), and Fayetteville (FV, Arkansas). In DJ, Uintah, and FV, 72-83% of total measured emissions were from 20% of the well pads, while in UGR the highest 20% of emitting well pads only contributed 54% of total emissions. The total mass of methane emitted as a percent of gross methane produced, termed throughput-normalized methane average (TNMA) and determined by bootstrapping measurements from each basin, varied widely between basins and was (95% CI): 0.09% (0.05-0.15%) in FV, 0.18% (0.12-0.29%) in UGR, 2.1% (1.1-3.9%) in DJ, and 2.8% (1.0-8.6%) in Uintah. Overall, wet-gas basins (UGR, DJ, Uintah) had higher TNMA emissions than the dry-gas FV at all ranges of production per well pad. Among wet basins, TNMA emissions had a strong negative correlation with average gas production per well pad, suggesting that consolidation of operations onto single pads may reduce normalized emissions (average number of wells per pad is 5.3 in UGR versus 1.3 in Uintah and 2.8 in DJ).

The Serum Anion Gap in the Evaluation of Acid-Base Disorders: What Are Its Limitations and Can Its Effectiveness Be Improved?

PubMed Central

Nagami, Glenn T.

2013-01-01

Summary The serum anion gap has been utilized to identify errors in the measurement of electrolytes, to detect paraproteins, and, most relevant to the nephrologist, to evaluate patients with suspected acid-base disorders. In regard to the latter purpose, traditionally an increased anion gap is identified when it exceeds the upper limit of normal for a particular clinical laboratory measurement. However, because there is a wide range of normal values (often 8–10 mEq/L), an increase in anion concentration can be present in the absence of an increased anion gap. In addition, the type of retained anion can affect the magnitude of the increase in anion gap relative to change in serum [HCO3−] being greater with lactic acidosis compared with ketoacidosis. This review examines the methods of calculation of the serum anion gap in textbooks and published literature, the effect of perturbations other than changes in acid-base balance, and its effectiveness in identifying mild and more severe disturbances in acid-base balance. Limitations of the present methods of determining the normal anion gap and change in the anion gap are highlighted. The possibility of identifying the baseline value for individuals to optimize the use of the calculation in the detection of metabolic acidosis is suggested. PMID:23833313

15 CFR 922.182 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-01-01

... space for individual and population growth and normal behavior of humpback whales, and include sites... vegetation growth, or the upper limit of debris left by the wash of the waves. Take or taking a humpback...

15 CFR 922.182 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-01-01

... space for individual and population growth and normal behavior of humpback whales, and include sites... vegetation growth, or the upper limit of debris left by the wash of the waves. Take or taking a humpback...

15 CFR 922.182 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-01-01

... space for individual and population growth and normal behavior of humpback whales, and include sites... vegetation growth, or the upper limit of debris left by the wash of the waves. Take or taking a humpback...

Total anomalous pulmonary venous return

MedlinePlus

... the heart do not attach normally to the left atrium (left upper chamber of the heart). Instead, they attach ... returns through the pulmonary (lung) veins to the left side of the heart, which sends blood out ...

15 CFR 922.182 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... space for individual and population growth and normal behavior of humpback whales, and include sites... vegetation growth, or the upper limit of debris left by the wash of the waves. Take or taking a humpback...

15 CFR 922.182 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-01-01

... space for individual and population growth and normal behavior of humpback whales, and include sites... vegetation growth, or the upper limit of debris left by the wash of the waves. Take or taking a humpback...

IGF-1 levels may increase paradoxically with dopamine agonist treatment for prolactinomas.

PubMed

Akirov, Amit; Greenman, Yona; Glaser, Benjamin; S'chigol, Irena; Mansiterski, Yossi; Eizenberg, Yoav; Shraga-Slutzky, Ilana; Shimon, Ilan

2018-05-04

Hyperprolactinemia is common in acromegaly and in these patients, insulin-like growth factor (IGF)-1 level may decrease with dopamine agonist. We report a series of patients with prolactinoma and a paradoxical increase of IGF-1 levels during cabergoline treatment. Clinical characteristics and response to treatment of patients with prolactinomas, in whom normal or slightly elevated baseline IGF-1 levels increased with cabergoline. The cohort consisted of ten prolactinoma patients (nine males, mean age 48 ± 14 years). Mean adenoma size was 23.8 ± 16.2 mm, with cavernous sinus invasion in eight. In five patients baseline IGF-1 levels were normal and in four levels were 1.2-1.5-fold the upper limit of the normal (ULN). One patient had IGF-1 measured shortly after initiating cabergoline and it was 1.4 × ULN. During cabergoline treatment (dose range 0.5-2 mg/week) PRL normalization was achieved in all and tumor shrinkage occurred in seven patients. The mean IGF-1 increase on cabergoline was 1.7 ± 0.4 × ULN. Cabergoline dose reduction or interruption was attempted in five patients and resulted in decreased IGF-1 levels in all, including normalization in two patients. Three patients were eventually diagnosed with acromegaly, one was referred for pituitary surgery followed by complete remission, another patient was switched to somatostatin analogue, and the third was treated by combination of somatostatin analogues with pegvisomant, with reduction of IGF-1 in all these patients. IGF-1 levels may increase to clinically significant levels during cabergoline treatment for PRL-adenoma. We suggest IGF-1 monitoring in all patients treated with dopamine agonists and not only in those presenting symptoms of acromegaly.

[Body proportions of healthy and short stature adolescent girls].

PubMed

Milde, Katarzyna; Tomaszewski, Paweł; Majcher, Anna; Pyrżak, Beata; Stupnicki, Romuald

2011-01-01

Regularly conducted assessment of body proportions is of importance as early detection of possible growth disorders and immediate prevention may allow gathering an optimum of child's genetically conditioned level of development. To assess body proportions of adolescent girls, healthy or with growth deficiency. Three groups were studied: 104 healthy, short-statured girls (body height below the 10th percentile), 84 girls with Turner's syndrome (ZT) and 263 healthy girls of normal stature (between percentiles 25 and 75), all aged 11-15 years. The following measurements were conducted according to common anthropometric standards: body height, sitting body height, shoulder width, upper extremity length and lower extremity length - the last one was computed as the difference between standing and sitting body heights. All measurements were converted to logarithms and allometric linear regressions vs log body height were computed. The Turner girls proved to have allometrically shorter legs (p<0.001) and wider shoulders (p<0.001) compared with both groups of healthy girls, and longer upper extremities (p<0.001) compared with the girls of normal stature. Healthy, short-statured girls had longer lower extremities (p<0.001) as compared to other groups; they also had wider shoulders (p<0.001) and longer upper extremities (p<0.001) compared to healthy girls of normal height. Allometric relations of anthropometric measurements enable a deeper insight into the body proportions, especially in the growth period. The presented discrimination of Turner girls may serve as a screening test, and recommendation for further clinical treatment.

Sex Differences in World-Record Performance: The Influence of Sport Discipline and Competition Duration.

PubMed

Sandbakk, Øyvind; Solli, Guro Strøm; Holmberg, Hans-Christer

2018-01-01

The current review summarizes scientific knowledge concerning sex differences in world-record performance and the influence of sport discipline and competition duration. In addition, the way that physiological factors relate to sex dimorphism is discussed. While cultural factors played a major role in the rapid improvement of performance of women relative to men up until the 1990s, sex differences between the world's best athletes in most events have remained relatively stable at approximately 8-12%. The exceptions are events in which upper-body power is a major contributor, where this difference is more than 12%, and ultraendurance swimming, where the gap is now less than 5%. The physiological advantages in men include a larger body size with more skeletal-muscle mass, a lower percentage of body fat, and greater maximal delivery of anaerobic and aerobic energy. The greater strength and anaerobic capacity in men normally disappear when normalized for fat-free body mass, whereas the higher hemoglobin concentrations lead to 5-10% greater maximal oxygen uptake in men with such normalization. The higher percentage of muscle mass in the upper body of men results in a particularly large sex difference in power production during upper-body exercise. While the exercise efficiency of men and women is usually similar, women have a better capacity to metabolize fat and demonstrate better hydrodynamics and more even pacing, which may be advantageous, in particular during long-lasting swimming competitions.

Perforated peptic ulcer in southeastern Taiwan.

PubMed

Li, Chin-Hsien; Chang, Wen-Hsiung; Shih, Shou-Chuan; Lin, Shee-Chan; Bair, Ming-Jong

2010-09-01

No studies focus on the population with perforated peptic ulcer in southeastern Taiwan. The present study aimed to assess the differences between the different races and the risk factors related to mortality and morbidity in postoperative patients in southeastern Taiwan. The medical records of 237 patients were reviewed retrospectively. The following factors were analyzed: patient profiles, coexisting illnesses, diagnostic method, fever, preoperative shock, clinical data at emergency room, delay operation, site of perforation, operative method, positive ascites culture, species of microbes in ascites culture, postoperative complications, death and the length of hospital stay. Aborigines were significantly different from non-aborigines in the ratio of female cases and in the habits of alcohol drinking and betel nut chewing. There were also four significantly different variables between them: fever, hemoglobin value, site of perforation and operative method. Total postoperative complication rate was 41.3% and 39 patients (16.6%) died. In multivariate analysis, age > or = 65 years, lipase > upper normal limit and preoperative shock were independent predictors of mortality. Significant risk factors associated with morbidity were NSAIDs use, creatinine > 1.5 mg/dL and preoperative shock. Aborigines were different from non-aborigines in several categories. In southeastern Taiwan, NSAIDs use, creatinine > 1.5 mg/dL and preoperative shock were independent risk factors of morbidity, and age > or = 65 years, lipase > upper normal limit and preoperative shock were independent risk factors of mortality in postoperative perforated peptic ulcer. Lipase > upper normal limit is needed for further research on the influence on mortality.

Intensity-modulated radiation therapy with concurrent chemotherapy for locally advanced cervical and upper thoracic esophageal cancer.

PubMed

Wang, Shu-Lian; Liao, Zhongxing; Liu, Helen; Ajani, Jaffer; Swisher, Stephen; Cox, James D; Komaki, Ritsuko

2006-09-14

To evaluate the dosimetry, efficacy and toxicity of intensity-modulated radiation therapy (IMRT) and concurrent chemotherapy for patients with locally advanced cervical and upper thoracic esophageal cancer. A retrospective study was performed on 7 patients who were definitively treated with IMRT and concurrent chemotherapy. Patients who did not receive IMRT radiation and concurrent chemotherapy were not included in this analysis. IMRT plans were evaluated to assess the tumor coverage and normal tissue avoidance. Treatment response was evaluated and toxicities were assessed. Five- to nine-beam IMRT were used to deliver a total dose of 59.4-66 Gy (median: 64.8 Gy) to the primary tumor with 6-MV photons. The minimum dose received by the planning tumor volume (PTV) of the gross tumor volume boost was 91.2%-98.2% of the prescription dose (standard deviation [SD]: 3.7%-5.7%). The minimum dose received by the PTV of the clinical tumor volume was 93.8%-104.8% (SD: 4.3%-11.1%) of the prescribed dose. With a median follow-up of 15 mo (range: 3-21 mo), all 6 evaluable patients achieved complete response. Of them, 2 developed local recurrences and 2 had distant metastases, 3 survived with no evidence of disease. After treatment, 2 patients developed esophageal stricture requiring frequent dilation and 1 patient developed tracheal-esophageal fistula. Concurrent IMRT and chemotherapy resulted in an excellent early response in patients with locally advanced cervical and upper thoracic esophageal cancer. However, local and distant recurrence and toxicity remain to be a problem. Innovative approaches are needed to improve the outcome.

Correlation of Tc and coefficient of T 2 resistivity term of Fe-based pnictide & chalcogenide superconductors

NASA Astrophysics Data System (ADS)

Castro, P. B.; Ferreira, J. L.; Silva Neto, M. B.; ElMassalami, M.

2018-03-01

Normal-state of many Fe-based pnictides and chalcogenides superconductors exhibit a quadratic-in-temperature, ρtot – ρo – ρ ph = AT 2, over wide ranges of temperature and pressure. Moreover, these systems exhibit a correlation between their T c and A, namely ln(Tc /θ)∝ A ‑1/2(θ is an energy scale parameter), even when a control parameter such as pressure is widely varied. This manifestation, as well as that of \\frac{1}{{T}c}{≤ft(-\\frac{d{H}c2}{dT}\\right)}{Tc}\\propto \\frac{A}{n} [Phys. Rev. B 89, 220509 (2014), n is charge density, H c2 is the upper critical field] suggests a common Landau Fermi Liquid scenario for both superconductivity and quadratic-in-T contribution.

Applying Incremental Sampling Methodology to Soils Containing Heterogeneously Distributed Metallic Residues to Improve Risk Analysis.

PubMed

Clausen, J L; Georgian, T; Gardner, K H; Douglas, T A

2018-01-01

This study compares conventional grab sampling to incremental sampling methodology (ISM) to characterize metal contamination at a military small-arms-range. Grab sample results had large variances, positively skewed non-normal distributions, extreme outliers, and poor agreement between duplicate samples even when samples were co-located within tens of centimeters of each other. The extreme outliers strongly influenced the grab sample means for the primary contaminants lead (Pb) and antinomy (Sb). In contrast, median and mean metal concentrations were similar for the ISM samples. ISM significantly reduced measurement uncertainty of estimates of the mean, increasing data quality (e.g., for environmental risk assessments) with fewer samples (e.g., decreasing total project costs). Based on Monte Carlo resampling simulations, grab sampling resulted in highly variable means and upper confidence limits of the mean relative to ISM.

A study of microseismicity in northern Baja California, Mexico

NASA Technical Reports Server (NTRS)

Johnson, T. L.; Koczynski, T.; Madrid, J.

1976-01-01

Five microearthquake instruments were operated for 2 months in 1974 in a small mobile array deployed at various sites near the Agua Blanca and San Miguel faults. An 80-km-long section of the San Miguel fault zone is presently active seismically, producing the vast majority of recorded earthquakes. Very low activity was recorded on the Agua Blanca fault. Events were also located near normal faults forming the eastern edge of the Sierra Juarez suggesting that these faults are active. Hypocenters on the San Miguel fault range in depth from 0 to 20 km although two-thirds are in the upper 10 km. A composite focal mechanism showing a mixture of right-lateral and dip slip, east side up, is similar to a solution obtained for the 1956 San Miguel earthquake which proved consistent with observed surface deformation.

(Hyper)thermophilic enzymes: production and purification.

PubMed

Falcicchio, Pierpaolo; Levisson, Mark; Kengen, Servé W M; Koutsopoulos, Sotirios

2014-01-01

The discovery of thermophilic and hyperthermophilic microorganisms, thriving at environmental temperatures near or above 100 °C, has revolutionized our ideas about the upper temperature limit at which life can exist. The characterization of (hyper)thermostable proteins has broadened our understanding and presented new opportunities for solving one of the most challenging problems in biophysics: how is structural stability and biological function maintained at high temperatures where "normal" proteins undergo dramatic structural changes? In our laboratory we have purified and studied many thermostable and hyperthermostable proteins in an attempt to determine the molecular basis of heat stability. Here, we present methods to express such proteins and enzymes in E. coli and provide a general protocol for overproduction and purification. The ability to produce enzymes that retain their stability and activity at elevated temperatures creates exciting opportunities for a wide range of biocatalytic applications.

Thermodynamic models for bounding pressurant mass requirements of cryogenic tanks

NASA Technical Reports Server (NTRS)

Vandresar, Neil T.; Haberbusch, Mark S.

1994-01-01

Thermodynamic models have been formulated to predict lower and upper bounds for the mass of pressurant gas required to pressurize a cryogenic tank and then expel liquid from the tank. Limiting conditions are based on either thermal equilibrium or zero energy exchange between the pressurant gas and initial tank contents. The models are independent of gravity level and allow specification of autogenous or non-condensible pressurants. Partial liquid fill levels may be specified for initial and final conditions. Model predictions are shown to successfully bound results from limited normal-gravity tests with condensable and non-condensable pressurant gases. Representative maximum collapse factor maps are presented for liquid hydrogen to show the effects of initial and final fill level on the range of pressurant gas requirements. Maximum collapse factors occur for partial expulsions with large final liquid fill fractions.

Frictional properties of the Nankai frontal thrust explain recurring shallow slow slip events

NASA Astrophysics Data System (ADS)

Saffer, D. M.; Ikari, M.; Kopf, A.; Roesner, A.

2017-12-01

Recent observations provide evidence for shallow slip reaching to the trench on subduction megathrusts, both in earthquakes and slow slip events (SSE). This is at odds with existing friction studies, which report primarily velocity-strengthening behavior (friction increases with slip velocity) for subduction fault material and synthetic analogs, which leads only to stable sliding. We report on direct shearing experiments on fault rocks from IODP Site C0007, which sampled the frontal thrust of the Nankai accretionary prism. This fault has been implicated in both coseimic slip and recurring SSE. We focus on material from 437.2 meters below seafloor, immediately above a localized shear zone near the base of the fault. In our experiments, a 25 mm diameter cylindrical specimen is loaded in an assembly of two steel plates. After application of normal stress (3, 10, or 17 MPa) and subsequent equilibration, the lower plate is driven at a constant velocity while the upper plate remains stationary; this configuration forces shear to localize between the two plates. After reaching a steady state residual friction coefficient (µss), we conducted velocity-stepping tests to measure the friction rate parameter (a-b), defined as the change in friction for a change in velocity: (a-b) = Δuss/ln(V/Vo), over a range of velocities from 0.1-100 µm s-1. We find that µss ranges from 0.26 to 0.32 and exhibits a slight decrease with normal stress. We observe velocity-weakening behavior at low normal stresses (3-10 MPa) and for low sliding velocities (< 3-10 µm s-1). Values of (a-b)_increase systematically from -0.007 to -0.005 at velocities of 0.3-1 µm s-1, to 0.001-0.045 at velocities >30 µm s-1. At higher normal stress (17 MPa), we observe dominantly velocity-strengthening, consistent with previously reported measurements for 25 MPa normal stress. Our observation of rate weakening at slip rates matching those of SSE in the outer Nankai forearc provide a potential explanation for periodic strain accumulation and subsequent release during SSE near the trench. The observation of rate weakening behavior only at low normal stresses also suggests that nucleation of these SSE should be restricted to shallow depths (< 2-5 km) or zones of elevated pore fluid pressure.

Frictional properties of the Nankai frontal thrust explain recurring shallow slow slip events

NASA Astrophysics Data System (ADS)

Scholz, J. R.; Davy, C.; Barruol, G.; Fontaine, F. R.; Cordier, E.

2016-12-01

Recent observations provide evidence for shallow slip reaching to the trench on subduction megathrusts, both in earthquakes and slow slip events (SSE). This is at odds with existing friction studies, which report primarily velocity-strengthening behavior (friction increases with slip velocity) for subduction fault material and synthetic analogs, which leads only to stable sliding. We report on direct shearing experiments on fault rocks from IODP Site C0007, which sampled the frontal thrust of the Nankai accretionary prism. This fault has been implicated in both coseimic slip and recurring SSE. We focus on material from 437.2 meters below seafloor, immediately above a localized shear zone near the base of the fault. In our experiments, a 25 mm diameter cylindrical specimen is loaded in an assembly of two steel plates. After application of normal stress (3, 10, or 17 MPa) and subsequent equilibration, the lower plate is driven at a constant velocity while the upper plate remains stationary; this configuration forces shear to localize between the two plates. After reaching a steady state residual friction coefficient (µss), we conducted velocity-stepping tests to measure the friction rate parameter (a-b), defined as the change in friction for a change in velocity: (a-b) = Δuss/ln(V/Vo), over a range of velocities from 0.1-100 µm s-1. We find that µss ranges from 0.26 to 0.32 and exhibits a slight decrease with normal stress. We observe velocity-weakening behavior at low normal stresses (3-10 MPa) and for low sliding velocities (< 3-10 µm s-1). Values of (a-b)_increase systematically from -0.007 to -0.005 at velocities of 0.3-1 µm s-1, to 0.001-0.045 at velocities >30 µm s-1. At higher normal stress (17 MPa), we observe dominantly velocity-strengthening, consistent with previously reported measurements for 25 MPa normal stress. Our observation of rate weakening at slip rates matching those of SSE in the outer Nankai forearc provide a potential explanation for periodic strain accumulation and subsequent release during SSE near the trench. The observation of rate weakening behavior only at low normal stresses also suggests that nucleation of these SSE should be restricted to shallow depths (< 2-5 km) or zones of elevated pore fluid pressure.

All-sky search for periodic gravitational waves in the O1 LIGO data

NASA Astrophysics Data System (ADS)

Abbott, B. P.; Abbott, R.; Abbott, T. D.; Acernese, F.; Ackley, K.; Adams, C.; Adams, T.; Addesso, P.; Adhikari, R. X.; Adya, V. B.; Affeldt, C.; Afrough, M.; Agarwal, B.; Agatsuma, K.; Aggarwal, N.; Aguiar, O. D.; Aiello, L.; Ain, A.; Ajith, P.; Allen, B.; Allen, G.; Allocca, A.; Altin, P. A.; Amato, A.; Ananyeva, A.; Anderson, S. B.; Anderson, W. G.; Antier, S.; Appert, S.; Arai, K.; Araya, M. C.; Areeda, J. S.; Arnaud, N.; Ascenzi, S.; Ashton, G.; Ast, M.; Aston, S. M.; Astone, P.; Aufmuth, P.; Aulbert, C.; AultONeal, K.; Avila-Alvarez, A.; Babak, S.; Bacon, P.; Bader, M. K. M.; Bae, S.; Baker, P. T.; Baldaccini, F.; Ballardin, G.; Ballmer, S. W.; Banagiri, S.; Barayoga, J. C.; Barclay, S. E.; Barish, B. C.; Barker, D.; Barone, F.; Barr, B.; Barsotti, L.; Barsuglia, M.; Barta, D.; Bartlett, J.; Bartos, I.; Bassiri, R.; Basti, A.; Batch, J. C.; Baune, C.; Bawaj, M.; Bazzan, M.; Bécsy, B.; Beer, C.; Bejger, M.; Belahcene, I.; Bell, A. S.; Berger, B. K.; Bergmann, G.; Berry, C. P. L.; Bersanetti, D.; Bertolini, A.; Betzwieser, J.; Bhagwat, S.; Bhandare, R.; Bilenko, I. A.; Billingsley, G.; Billman, C. R.; Birch, J.; Birney, R.; Birnholtz, O.; Biscans, S.; Bisht, A.; Bitossi, M.; Biwer, C.; Bizouard, M. A.; Blackburn, J. K.; Blackman, J.; Blair, C. D.; Blair, D. G.; Blair, R. M.; Bloemen, S.; Bock, O.; Bode, N.; Boer, M.; Bogaert, G.; Bohe, A.; Bondu, F.; Bonnand, R.; Boom, B. A.; Bork, R.; Boschi, V.; Bose, S.; Bouffanais, Y.; Bozzi, A.; Bradaschia, C.; Brady, P. R.; Braginsky, V. B.; Branchesi, M.; Brau, J. E.; Briant, T.; Brillet, A.; Brinkmann, M.; Brisson, V.; Brockill, P.; Broida, J. E.; Brooks, A. F.; Brown, D. A.; Brown, D. D.; Brown, N. M.; Brunett, S.; Buchanan, C. C.; Buikema, A.; Bulik, T.; Bulten, H. J.; Buonanno, A.; Buskulic, D.; Buy, C.; Byer, R. L.; Cabero, M.; Cadonati, L.; Cagnoli, G.; Cahillane, C.; Calderón Bustillo, J.; Callister, T. A.; Calloni, E.; Camp, J. B.; Canizares, P.; Cannon, K. C.; Cao, H.; Cao, J.; Capano, C. D.; Capocasa, E.; Carbognani, F.; Caride, S.; Carney, M. F.; Casanueva Diaz, J.; Casentini, C.; Caudill, S.; Cavaglià, M.; Cavalier, F.; Cavalieri, R.; Cella, G.; Cepeda, C. B.; Cerboni Baiardi, L.; Cerretani, G.; Cesarini, E.; Chamberlin, S. J.; Chan, M.; Chao, S.; Charlton, P.; Chassande-Mottin, E.; Chatterjee, D.; Cheeseboro, B. D.; Chen, H. Y.; Chen, Y.; Cheng, H.-P.; Chincarini, A.; Chiummo, A.; Chmiel, T.; Cho, H. S.; Cho, M.; Chow, J. H.; Christensen, N.; Chu, Q.; Chua, A. J. K.; Chua, S.; Chung, A. K. W.; Chung, S.; Ciani, G.; Ciecielag, P.; Ciolfi, R.; Cirelli, C. E.; Cirone, A.; Clara, F.; Clark, J. A.; Cleva, F.; Cocchieri, C.; Coccia, E.; Cohadon, P.-F.; Colla, A.; Collette, C. G.; Cominsky, L. R.; Constancio, M.; Conti, L.; Cooper, S. J.; Corban, P.; Corbitt, T. R.; Corley, K. R.; Cornish, N.; Corsi, A.; Cortese, S.; Costa, C. A.; Coughlin, E.; Coughlin, M. W.; Coughlin, S. B.; Coulon, J.-P.; Countryman, S. T.; Couvares, P.; Covas, P. B.; Cowan, E. E.; Coward, D. M.; Cowart, M. J.; Coyne, D. C.; Coyne, R.; Creighton, J. D. E.; Creighton, T. D.; Cripe, J.; Crowder, S. G.; Cullen, T. J.; Cumming, A.; Cunningham, L.; Cuoco, E.; Canton, T. Dal; Danilishin, S. L.; D'Antonio, S.; Danzmann, K.; Dasgupta, A.; Da Silva Costa, C. F.; Dattilo, V.; Dave, I.; Davier, M.; Davis, D.; Daw, E. J.; Day, B.; De, S.; DeBra, D.; Deelman, E.; Degallaix, J.; De Laurentis, M.; Deléglise, S.; Del Pozzo, W.; Denker, T.; Dent, T.; Dergachev, V.; De Rosa, R.; DeRosa, R. T.; DeSalvo, R.; Devenson, J.; Devine, R. C.; Dhurandhar, S.; Díaz, M. C.; Di Fiore, L.; Di Giovanni, M.; Di Girolamo, T.; Di Lieto, A.; Di Pace, S.; Di Palma, I.; Di Renzo, F.; Doctor, Z.; Dolique, V.; Donovan, F.; Dooley, K. L.; Doravari, S.; Dorosh, O.; Dorrington, I.; Douglas, R.; Dovale Álvarez, M.; Downes, T. P.; Drago, M.; Drever, R. W. P.; Driggers, J. C.; Du, Z.; Ducrot, M.; Duncan, J.; Dwyer, S. E.; Edo, T. B.; Edwards, M. C.; Effler, A.; Eggenstein, H.-B.; Ehrens, P.; Eichholz, J.; Eikenberry, S. S.; Eisenstein, R. A.; Essick, R. C.; Etienne, Z. B.; Etzel, T.; Evans, M.; Evans, T. M.; Factourovich, M.; Fafone, V.; Fair, H.; Fairhurst, S.; Fan, X.; Farinon, S.; Farr, B.; Farr, W. M.; Fauchon-Jones, E. J.; Favata, M.; Fays, M.; Fehrmann, H.; Feicht, J.; Fejer, M. M.; Fernandez-Galiana, A.; Ferrante, I.; Ferreira, E. C.; Ferrini, F.; Fidecaro, F.; Fiori, I.; Fiorucci, D.; Fisher, R. P.; Flaminio, R.; Fletcher, M.; Fong, H.; Forsyth, P. W. F.; Forsyth, S. S.; Fournier, J.-D.; Frasca, S.; Frasconi, F.; Frei, Z.; Freise, A.; Frey, R.; Frey, V.; Fries, E. M.; Fritschel, P.; Frolov, V. V.; Fulda, P.; Fyffe, M.; Gabbard, H.; Gabel, M.; Gadre, B. U.; Gaebel, S. M.; Gair, J. R.; Gammaitoni, L.; Ganija, M. R.; Gaonkar, S. G.; Garufi, F.; Gaudio, S.; Gaur, G.; Gayathri, V.; Gehrels, N.; Gemme, G.; Genin, E.; Gennai, A.; George, D.; George, J.; Gergely, L.; Germain, V.; Ghonge, S.; Ghosh, Abhirup; Ghosh, Archisman; Ghosh, S.; Giaime, J. A.; Giardina, K. D.; Giazotto, A.; Gill, K.; Glover, L.; Goetz, E.; Goetz, R.; Gomes, S.; González, G.; Gonzalez Castro, J. M.; Gopakumar, A.; Gorodetsky, M. L.; Gossan, S. E.; Gosselin, M.; Gouaty, R.; Grado, A.; Graef, C.; Granata, M.; Grant, A.; Gras, S.; Gray, C.; Greco, G.; Green, A. C.; Groot, P.; Grote, H.; Grunewald, S.; Gruning, P.; Guidi, G. M.; Guo, X.; Gupta, A.; Gupta, M. K.; Gushwa, K. E.; Gustafson, E. K.; Gustafson, R.; Hall, B. R.; Hall, E. D.; Hammond, G.; Haney, M.; Hanke, M. M.; Hanks, J.; Hanna, C.; Hannuksela, O. A.; Hanson, J.; Hardwick, T.; Harms, J.; Harry, G. M.; Harry, I. W.; Hart, M. J.; Haster, C.-J.; Haughian, K.; Healy, J.; Heidmann, A.; Heintze, M. C.; Heitmann, H.; Hello, P.; Hemming, G.; Hendry, M.; Heng, I. S.; Hennig, J.; Henry, J.; Heptonstall, A. W.; Heurs, M.; Hild, S.; Hoak, D.; Hofman, D.; Holt, K.; Holz, D. E.; Hopkins, P.; Horst, C.; Hough, J.; Houston, E. A.; Howell, E. J.; Hu, Y. M.; Huerta, E. A.; Huet, D.; Hughey, B.; Husa, S.; Huttner, S. H.; Huynh-Dinh, T.; Indik, N.; Ingram, D. R.; Inta, R.; Intini, G.; Isa, H. N.; Isac, J.-M.; Isi, M.; Iyer, B. R.; Izumi, K.; Jacqmin, T.; Jani, K.; Jaranowski, P.; Jawahar, S.; Jiménez-Forteza, F.; Johnson, W. W.; Jones, D. I.; Jones, R.; Jonker, R. J. G.; Ju, L.; Junker, J.; Kalaghatgi, C. V.; Kalogera, V.; Kandhasamy, S.; Kang, G.; Kanner, J. B.; Karki, S.; Karvinen, K. S.; Kasprzack, M.; Katolik, M.; Katsavounidis, E.; Katzman, W.; Kaufer, S.; Kawabe, K.; Kéfélian, F.; Keitel, D.; Kemball, A. J.; Kennedy, R.; Kent, C.; Key, J. S.; Khalili, F. Y.; Khan, I.; Khan, S.; Khan, Z.; Khazanov, E. A.; Kijbunchoo, N.; Kim, Chunglee; Kim, J. C.; Kim, W.; Kim, W. S.; Kim, Y.-M.; Kimbrell, S. J.; King, E. J.; King, P. J.; Kirchhoff, R.; Kissel, J. S.; Kleybolte, L.; Klimenko, S.; Koch, P.; Koehlenbeck, S. M.; Koley, S.; Kondrashov, V.; Kontos, A.; Korobko, M.; Korth, W. Z.; Kowalska, I.; Kozak, D. B.; Krämer, C.; Kringel, V.; Krishnan, B.; Królak, A.; Kuehn, G.; Kumar, P.; Kumar, R.; Kumar, S.; Kuo, L.; Kutynia, A.; Kwang, S.; Lackey, B. D.; Lai, K. H.; Landry, M.; Lang, R. N.; Lange, J.; Lantz, B.; Lanza, R. K.; Lartaux-Vollard, A.; Lasky, P. D.; Laxen, M.; Lazzarini, A.; Lazzaro, C.; Leaci, P.; Leavey, S.; Lee, C. H.; Lee, H. K.; Lee, H. M.; Lee, H. W.; Lee, K.; Lehmann, J.; Lenon, A.; Leonardi, M.; Leroy, N.; Letendre, N.; Levin, Y.; Li, T. G. F.; Libson, A.; Littenberg, T. B.; Liu, J.; Liu, W.; Lo, R. K. L.; Lockerbie, N. A.; London, L. T.; Lord, J. E.; Lorenzini, M.; Loriette, V.; Lormand, M.; Losurdo, G.; Lough, J. D.; Lovelace, G.; Lück, H.; Lumaca, D.; Lundgren, A. P.; Lynch, R.; Ma, Y.; Macfoy, S.; Machenschalk, B.; MacInnis, M.; Macleod, D. M.; Magaña Hernandez, I.; Magaña-Sandoval, F.; Magaña Zertuche, L.; Magee, R. M.; Majorana, E.; Maksimovic, I.; Man, N.; Mandic, V.; Mangano, V.; Mansell, G. L.; Manske, M.; Mantovani, M.; Marchesoni, F.; Marion, F.; Márka, S.; Márka, Z.; Markakis, C.; Markosyan, A. S.; Maros, E.; Martelli, F.; Martellini, L.; Martin, I. W.; Martynov, D. V.; Marx, J. N.; Mason, K.; Masserot, A.; Massinger, T. J.; Masso-Reid, M.; Mastrogiovanni, S.; Matas, A.; Matichard, F.; Matone, L.; Mavalvala, N.; Mayani, R.; Mazumder, N.; McCarthy, R.; McClelland, D. E.; McCormick, S.; McCuller, L.; McGuire, S. C.; McIntyre, G.; McIver, J.; McManus, D. J.; McRae, T.; McWilliams, S. T.; Meacher, D.; Meadors, G. D.; Meidam, J.; Mejuto-Villa, E.; Melatos, A.; Mendell, G.; Mercer, R. A.; Merilh, E. L.; Merzougui, M.; Meshkov, S.; Messenger, C.; Messick, C.; Metzdorff, R.; Meyers, P. M.; Mezzani, F.; Miao, H.; Michel, C.; Middleton, H.; Mikhailov, E. E.; Milano, L.; Miller, A. L.; Miller, A.; Miller, B. B.; Miller, J.; Millhouse, M.; Minazzoli, O.; Minenkov, Y.; Ming, J.; Mishra, C.; Mitra, S.; Mitrofanov, V. P.; Mitselmakher, G.; Mittleman, R.; Moggi, A.; Mohan, M.; Mohapatra, S. R. P.; Montani, M.; Moore, B. C.; Moore, C. J.; Moraru, D.; Moreno, G.; Morriss, S. R.; Mours, B.; Mow-Lowry, C. M.; Mueller, G.; Muir, A. W.; Mukherjee, Arunava; Mukherjee, D.; Mukherjee, S.; Mukund, N.; Mullavey, A.; Munch, J.; Muniz, E. A. M.; Murray, P. G.; Napier, K.; Nardecchia, I.; Naticchioni, L.; Nayak, R. K.; Nelemans, G.; Nelson, T. J. N.; Neri, M.; Nery, M.; Neunzert, A.; Newport, J. M.; Newton, G.; Ng, K. K. Y.; Nguyen, T. T.; Nichols, D.; Nielsen, A. B.; Nissanke, S.; Nitz, A.; Noack, A.; Nocera, F.; Nolting, D.; Normandin, M. E. N.; Nuttall, L. K.; Oberling, J.; Ochsner, E.; Oelker, E.; Ogin, G. H.; Oh, J. J.; Oh, S. H.; Ohme, F.; Oliver, M.; Oppermann, P.; Oram, Richard J.; O'Reilly, B.; Ormiston, R.; Ortega, L. F.; O'Shaughnessy, R.; Ottaway, D. J.; Overmier, H.; Owen, B. J.; Pace, A. E.; Page, J.; Page, M. A.; Pai, A.; Pai, S. A.; Palamos, J. R.; Palashov, O.; Palomba, C.; Pal-Singh, A.; Pan, H.; Pang, B.; Pang, P. T. H.; Pankow, C.; Pannarale, F.; Pant, B. C.; Paoletti, F.; Paoli, A.; Papa, M. A.; Paris, H. R.; Parker, W.; Pascucci, D.; Pasqualetti, A.; Passaquieti, R.; Passuello, D.; Patricelli, B.; Pearlstone, B. L.; Pedraza, M.; Pedurand, R.; Pekowsky, L.; Pele, A.; Penn, S.; Perez, C. J.; Perreca, A.; Perri, L. M.; Pfeiffer, H. P.; Phelps, M.; Piccinni, O. J.; Pichot, M.; Piergiovanni, F.; Pierro, V.; Pillant, G.; Pinard, L.; Pinto, I. M.; Pisarski, A.; Pitkin, M.; Poggiani, R.; Popolizio, P.; Porter, E. K.; Post, A.; Powell, J.; Prasad, J.; Pratt, J. W. W.; Predoi, V.; Prestegard, T.; Prijatelj, M.; Principe, M.; Privitera, S.; Prix, R.; Prodi, G. A.; Prokhorov, L. G.; Puncken, O.; Punturo, M.; Puppo, P.; Pürrer, M.; Qi, H.; Qin, J.; Qiu, S.; Quetschke, V.; Quintero, E. A.; Quitzow-James, R.; Raab, F. J.; Rabeling, D. S.; Radkins, H.; Raffai, P.; Raja, S.; Rajan, C.; Rakhmanov, M.; Ramirez, K. E.; Rapagnani, P.; Raymond, V.; Razzano, M.; Read, J.; Regimbau, T.; Rei, L.; Reid, S.; Reitze, D. H.; Rew, H.; Reyes, S. D.; Ricci, F.; Ricker, P. M.; Rieger, S.; Riles, K.; Rizzo, M.; Robertson, N. A.; Robie, R.; Robinet, F.; Rocchi, A.; Rolland, L.; Rollins, J. G.; Roma, V. J.; Romano, R.; Romel, C. L.; Romie, J. H.; Rosińska, D.; Ross, M. P.; Rowan, S.; Rüdiger, A.; Ruggi, P.; Ryan, K.; Rynge, M.; Sachdev, S.; Sadecki, T.; Sadeghian, L.; Sakellariadou, M.; Salconi, L.; Saleem, M.; Salemi, F.; Samajdar, A.; Sammut, L.; Sampson, L. M.; Sanchez, E. J.; Sandberg, V.; Sandeen, B.; Sanders, J. R.; Sassolas, B.; Saulson, P. R.; Sauter, O.; Savage, R. L.; Sawadsky, A.; Schale, P.; Scheuer, J.; Schmidt, E.; Schmidt, J.; Schmidt, P.; Schnabel, R.; Schofield, R. M. S.; Schönbeck, A.; Schreiber, E.; Schuette, D.; Schulte, B. W.; Schutz, B. F.; Schwalbe, S. G.; Scott, J.; Scott, S. M.; Seidel, E.; Sellers, D.; Sengupta, A. S.; Sentenac, D.; Sequino, V.; Sergeev, A.; Shaddock, D. A.; Shaffer, T. J.; Shah, A. A.; Shahriar, M. S.; Shao, L.; Shapiro, B.; Shawhan, P.; Sheperd, A.; Shoemaker, D. H.; Shoemaker, D. M.; Siellez, K.; Siemens, X.; Sieniawska, M.; Sigg, D.; Silva, A. D.; Singer, A.; Singer, L. P.; Singh, A.; Singh, R.; Singhal, A.; Sintes, A. M.; Slagmolen, B. J. J.; Smith, B.; Smith, J. R.; Smith, R. J. E.; Son, E. J.; Sonnenberg, J. A.; Sorazu, B.; Sorrentino, F.; Souradeep, T.; Spencer, A. P.; Srivastava, A. K.; Staley, A.; Steinke, M.; Steinlechner, J.; Steinlechner, S.; Steinmeyer, D.; Stephens, B. C.; Stone, R.; Strain, K. A.; Stratta, G.; Strigin, S. E.; Sturani, R.; Stuver, A. L.; Summerscales, T. Z.; Sun, L.; Sunil, S.; Sutton, P. J.; Swinkels, B. L.; Szczepańczyk, M. J.; Tacca, M.; Talukder, D.; Tanner, D. B.; Tao, D.; Tápai, M.; Taracchini, A.; Taylor, J. A.; Taylor, R.; Theeg, T.; Thomas, E. G.; Thomas, M.; Thomas, P.; Thorne, K. A.; Thorne, K. S.; Thrane, E.; Tiwari, S.; Tiwari, V.; Tokmakov, K. V.; Toland, K.; Tonelli, M.; Tornasi, Z.; Torrie, C. I.; Töyrä, D.; Travasso, F.; Traylor, G.; Trembath-Reichert, S.; Trifirò, D.; Trinastic, J.; Tringali, M. C.; Trozzo, L.; Tsang, K. W.; Tse, M.; Tso, R.; Tuyenbayev, D.; Ueno, K.; Ugolini, D.; Unnikrishnan, C. S.; Urban, A. L.; Usman, S. A.; Vahi, K.; Vahlbruch, H.; Vajente, G.; Valdes, G.; Vallisneri, M.; van Bakel, N.; van Beuzekom, M.; van den Brand, J. F. J.; Van Den Broeck, C.; Vander-Hyde, D. C.; van der Schaaf, L.; van Heijningen, J. V.; van Veggel, A. A.; Vardaro, M.; Varma, V.; Vass, S.; Vasúth, M.; Vecchio, A.; Vedovato, G.; Veitch, J.; Veitch, P. J.; Venkateswara, K.; Venugopalan, G.; Verkindt, D.; Vetrano, F.; Viceré, A.; Viets, A. D.; Vinciguerra, S.; Vine, D. J.; Vinet, J.-Y.; Vitale, S.; Vo, T.; Vocca, H.; Vorvick, C.; Voss, D. V.; Vousden, W. D.; Vyatchanin, S. P.; Wade, A. R.; Wade, L. E.; Wade, M.; Walet, R.; Walker, M.; Wallace, L.; Walsh, S.; Wang, G.; Wang, H.; Wang, J. Z.; Wang, M.; Wang, Y.-F.; Wang, Y.; Ward, R. L.; Warner, J.; Was, M.; Watchi, J.; Weaver, B.; Wei, L.-W.; Weinert, M.; Weinstein, A. J.; Weiss, R.; Wen, L.; Wessel, E. K.; Weßels, P.; Westphal, T.; Wette, K.; Whelan, J. T.; Whiting, B. F.; Whittle, C.; Williams, D.; Williams, R. D.; Williamson, A. R.; Willis, J. L.; Willke, B.; Wimmer, M. H.; Winkler, W.; Wipf, C. C.; Wittel, H.; Woan, G.; Woehler, J.; Wofford, J.; Wong, K. W. K.; Worden, J.; Wright, J. L.; Wu, D. S.; Wu, G.; Yam, W.; Yamamoto, H.; Yancey, C. C.; Yap, M. J.; Yu, Hang; Yu, Haocun; Yvert, M.; ZadroŻny, A.; Zanolin, M.; Zelenova, T.; Zendri, J.-P.; Zevin, M.; Zhang, L.; Zhang, M.; Zhang, T.; Zhang, Y.-H.; Zhao, C.; Zhou, M.; Zhou, Z.; Zhu, S.; Zhu, X. J.; Zucker, M. E.; Zweizig, J.; LIGO Scientific Collaboration; Virgo Collaboration

2017-09-01

We report on an all-sky search for periodic gravitational waves in the frequency band 20-475 Hz and with a frequency time derivative in the range of [-1.0 ,+0.1 ] ×10-8 Hz /s . Such a signal could be produced by a nearby spinning and slightly nonaxisymmetric isolated neutron star in our galaxy. This search uses the data from Advanced LIGO's first observational run, O1. No periodic gravitational wave signals were observed, and upper limits were placed on their strengths. The lowest upper limits on worst-case (linearly polarized) strain amplitude h0 are ˜4 ×10-25 near 170 Hz. For a circularly polarized source (most favorable orientation), the smallest upper limits obtained are ˜1.5 ×10-25. These upper limits refer to all sky locations and the entire range of frequency derivative values. For a population-averaged ensemble of sky locations and stellar orientations, the lowest upper limits obtained for the strain amplitude are ˜2.5 ×10-25.

Comparison of upper arm and forearm blood pressure.

PubMed

Domiano, Kathy L; Hinck, Susan M; Savinske, Debra L; Hope, Kathryn L

2008-11-01

The upper arm is the primary site used to obtain a blood pressure measurement (BPM); however, when it is not possible to use the upper arm, the forearm is a commonly used alternate site. This study determines if there is a significant difference between upper arm and forearm BPMs among adults and examines the relationship of participant characteristics to the BPM difference. A convenience sample was recruited from a low-income, independent-living, 104-apartment complex in the Midwest. Of the 106 participants, 64% were female and 89% were White. Ages ranged from 20 to 85 years (M = 50.7). The investigators calculated the BMIs (range = 18 to 42, M = 29.3, SD = 5.4) for the 89% (n = 94) of participants who reported their weight. The forearm tended to have higher BPMs than the upper arm (M difference = 4.0 mm Hg systolic, 2.3 mm Hg diastolic). However, site differences were greatest for men, obese adults, and middle aged (36 to 65) adults.

Using digital photo technology to improve visualization of gastric lumen CT images

NASA Astrophysics Data System (ADS)

Pyrgioti, M.; Kyriakidis, A.; Chrysostomou, S.; Panaritis, V.

2006-12-01

In order to evaluate the gastric lumen CT images better, a new method is being applied to images using an Image Processing software. During a 12-month period, 69 patients with various gastric symptoms and 20 normal (as far as it concerns the upper gastrointestinal system) volunteers underwent computed tomography of the upper gastrointestinal system. Just before the examination the patients and the normal volunteers underwent preparation with 40 ml soda water and 10 ml gastrografin. All the CT images were digitized with an Olympus 3.2 Mpixel digital camera and further processed with an Image Processing software. The administration per os of gastrografin and soda water resulted in the distension of the stomach and consequently better visualization of all the anatomic parts. By using an Image Processing software in a PC, all the pathological and normal images of the stomach were better diagnostically estimated. We believe that the photo digital technology improves the diagnostic capacity not only of the CT image but also in MRI and probably many other imaging methods.

Land degradation trends in upper catchments and morphological developments of braided rivers in drylands: the case of a marginal graben of the Ethiopian Rift Valley

NASA Astrophysics Data System (ADS)

Demissie, Biadgilgn; Frankl, Amaury; Haile, Mitiku; Nyssen, Jan

2014-05-01

Braided rivers have received relatively little attention in research and development activities in drylands. However, they strongly impact agroecology and agricultural activities and thereby local livelihoods. The Raya Graben (3750 km² including the escarpment) is a marginal graben of the Ethiopian Rift Valley located in North Ethiopia. In order to study the dynamics of braided rivers and the relationship with biophysical controls, 20 representative catchments were selected, ranging between 15 and 311 km². First, the 2005 morphology (length, area) of the braided rivers was related to biophysical controls (vegetation cover, catchment area and slope gradient in the steep upper catchments and gradient in the graben bottom). Second, the changes in length of the braided rivers were related to vegetation cover changes in the upper catchments since 1972. Landsat imagery was used to calculate the Normalized Difference Vegetation Index (NDVI), and to map vegetation cover and the total length of the braided rivers. Spot CNES imagery available from Google Earth was used to identify the total area of the braided rivers in 2005. A linear regression analysis revealed that the length of braided rivers was positively related to the catchment area (R²=0.32, p<0.01), but insignificantly related to vegetation cover in the upper catchments. However, there is an indication that it is an important factor in the relationship calculated for 2005 (R²=0.2, p=0.064). Similarly, the area occupied by the braided rivers was related to NDVI (R²=0.24, p<0.05) and upper catchment area (R²=0.447, p<0.01). Slope gradient is not an important explanatory factor. This is related to the fact that slope gradients are steep (average of 38.1%) in all upper and gentle (average of 3.4%) in graben bottom catchments. The vegetation cover in the upper catchments shows a statistically insignificant increasing trend (R²=0.73, p=0.067) over the last 40 years, whereas length of rivers in the graben bottom did not change significantly. This is due primarily to the stable vegetation cover conditions between the mid of 1980s and 2000 (average NDVI of 0.34 with std. deviation of 0.07). Vegetation cover and area of upper catchments are important controlling factors of the morphologic characteristics of braided rivers in drylands. Thus, measures geared towards reducing the impacts of braided rivers on agricultural systems and there by the livelihood of the society in plains need to focus on rehabilitation activities (soil and water conservation) in upper catchments.

Intra and inter-rater reliability of infrared image analysis of masticatory and upper trapezius muscles in women with and without temporomandibular disorder.

PubMed

Costa, Ana C S; Dibai Filho, Almir V; Packer, Amanda C; Rodrigues-Bigaton, Delaine

2013-01-01

Infrared thermography is an aid tool that can be used to evaluate several pathologies given its efficiency in analyzing the distribution of skin surface temperature. To propose two forms of infrared image analysis of the masticatory and upper trapezius muscles, and to determine the intra and inter-rater reliability of both forms of analysis. Infrared images of masticatory and upper trapezius muscles of 64 female volunteers with and without temporomandibular disorder (TMD) were collected. Two raters performed the infrared image analysis, which occurred in two ways: temperature measurement of the muscle length and in central portion of the muscle. The Intraclass Correlation Coefficient (ICC) was used to determine the intra and inter-rater reliability. The ICC showed excellent intra and inter-rater values for both measurements: temperature measurement of the muscle length (TMD group, intra-rater, ICC ranged from 0.996 to 0.999, inter-rater, ICC ranged from 0.992 to 0.999; control group, intra-rater, ICC ranged from 0.993 to 0.998, inter-rater, ICC ranged from 0.990 to 0.998), and temperature measurement of the central portion of the muscle (TMD group, intra-rater, ICC ranged from 0.981 to 0.998, inter-rater, ICC ranged from 0.971 to 0.998; control group, intra-rater, ICC ranged from 0.887 to 0.996, inter-rater, ICC ranged from 0.852 to 0.996). The results indicated that temperature measurements of the masticatory and upper trapezius muscles carried out by the analysis of the muscle length and central portion yielded excellent intra and inter-rater reliability.

Status and risk of extinction for westslope cutthroat trout in the Upper River Basin, Montana

Treesearch

Bradley B. Shepard; Brian Sanborn; Linda Ulmer; Danny C. Lee

1997-01-01

Westslope cutthroat trout Oncorhynchus clarki lewisi now occupy less than 5% of the subspecies' historical range within the upper Missouri River drainage in Montana. We assessed the risk of extinction for 144 known populations inhabiting streams within federally managed lands in the upper Missouri River basin using a Bayesian...

Upper lobe fibrosis: a novel manifestation of chronic allograft dysfunction in lung transplantation.

PubMed

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.

Cardiothoracic ratio within the “normal” range independently predicts mortality in patients undergoing coronary angiography

PubMed Central

Zaman, M Justin S; Sanders, Julie; Crook, Angela M; Feder, Gene; Shipley, Martin; Timmis, Adam; Hemingway, Harry

2007-01-01

Objective To determine whether cardiothoracic ratio (CTR), within the range conventionally considered normal, predicted prognosis in patients undergoing coronary angiography. Design Cohort study with a median of 7‐years follow‐up. Setting Consecutive patients undergoing coronary angiography at Barts and The London National Health Service (NHS) Trust. Subjects 1005 patients with CTRs measured by chest radiography, and who subsequently underwent coronary angiography. Of these patients, 7.3% had a CTR ⩾0.5 and were excluded from the analyses. Outcomes All‐cause mortality and coronary event (non‐fatal myocardial infarction or coronary death). Adjustments were made for age, left ventricular dysfunction, ACE inhibitor treatment, body mass index, number of diseased coronary vessels and past coronary artery bypass graft. Results The risk of death was increased among patients with a CTR in the upper part of the normal range. In total, 94 (18.9%) of those with a CTR below the median of 0.42 died compared with 120 (27.8%) of those with a CTR between 0.42 and 0.49 (log rank test p<0.001). After adjusting for potential confounders, this increased risk remained (adjusted HR 1.45, 95% CI 1.03 to 2.05). CTR, at values below 0.5, was linearly related to the risk of coronary event (test for trend p = 0.024). Conclusion : In patients undergoing coronary angiography, CTR between 0.42 and 0.49 was associated with higher mortality than in patients with smaller hearts. There was evidence of a continuous increase in risk with higher CTR. These findings, along with those in healthy populations, question the conventional textbook cut‐off point of ⩾0.5 being an abnormal CTR. PMID:17164481

Impact of hyperkalaemia definition on incidence assessment: implications for epidemiological research based on a large cohort study in newly diagnosed heart failure patients in primary care.

PubMed

Martín-Pérez, Mar; Ruigómez, Ana; Michel, Alexander; García Rodríguez, Luis A

2016-05-04

Various definitions of hyperkalaemia have been used in clinical research, and data from routine clinical practice on its incidence are sparse. We aimed to establish the incidence of hyperkalaemia in patients with newly diagnosed heart failure in the UK general population using different definitions for the condition. We conducted a large retrospective cohort study using data from The Health Improvement Network primary care database. Patients with newly diagnosed heart failure (N = 19,194) were identified and followed until the first occurrence of hyperkalaemia. Different serum potassium (K(+)) thresholds were evaluated as possible definitions for hyperkalaemia, and incidence rates (IRs) calculated using a final operational definition both overall and among patient sub-groups. IRs of hyperkalaemia ranged from 0.92-7.93 per 100 person-years according to the definition. Based on considerable differences in the serum K(+) normal range used between practices, 2176 (11.3 %) individuals were identified with a record of hyperkalaemia using our operational definition of a proportional increase of ≥10 % above the upper bound of the normal range: IR 2.90 per 100 person-years (95 % CI 2.78-3.02) over a mean follow-up of 3.91 years. Incidence rates were higher in older patients, and in those with diabetes or renal impairment. Hyperkalaemia is a common finding in heart failure patients in primary care, but its incidence can vary nearly ten-fold depending on its definition. Since assessment of hyperkalaemia risk is essential for therapeutic decision making in heart failure patients, this finding warrants consideration in future epidemiological studies.

X-cephalometric study of different parts of the upper airway space and changes in hyoid position following mandibular fractures.

PubMed

Chen, L-J; Zhao, M-C; Pan, X-F; Wei, Y-Q; Wang, D-Y

2013-09-01

This study analyses the different parts of the upper airway space and the changes in hyoid position. The results provide a clinical reference for developing timely and effective treatment programmes for patients with mandibular fractures caused by maxillofacial trauma. Standard X-cephalometric measurements of the lateral skull of 210 subjects were taken. The subjects were divided into four fracture groups: condylar, mandibular angle, mandibular body, and parasymphyseal. The radiographs of the mandibular fracture groups were compared with the normal occlusion group to analyse the upper airway space and the changes in hyoid position. Different types of fractures have different effects on the upper airway space. Bilateral mandibular body fracture and the parasymphyseal fracture have a significant influence on the lower oropharyngeal and laryngopharyngeal airway spaces, with serious obstructions severely restricting the ventilatory function of patients. Fractures at different parts of the mandibular structure are closely related to the upper airway and hyoid position.

Gemtuzumab ozogamicin-induced sinusoidal obstructive syndrome treated with defibrotide: a case report.

PubMed

Lannoy, D; Decaudin, B; Grozieux de Laguérenne, A; Barrier, F; Pignon, J M; Wetterwald, M; Odou, P

2006-08-01

New treatments for relapse of acute myeloid leukaemia (AML), include gemtuzumab ozogamicin (GO), an anti-CD33 monoclonal antibody. We describe a second case of GO-induced sinusoidal obstructive syndrome (SOS) effectively treated with defibrotide (DF). No stem-cell transplantation was involved. On day 23 after the first GO dose, a patient presented with ascites, weight gain, liver enlargement and pain in the right upper quadrant. Sudden hepatic cytolysis (transaminases at six times the normal range: grade 3) and cholestasis [alkaline phosphatase ALP and gamma-glutamyltransferase (GGT) respectively at four and eight times the normal range: grade 2] were observed but there was no evidence of increase serum bilirubin. Treatment with DF (Prociclide), Crinos; 10 mg/kg/day, or 200 mg, q.i.d.) improved the hepatic abnormality within a few days (serum transaminases decreased from 312 to 103 IU/L for aspartate aminotransferase (AST) and from 141 to 80 IU/L for alanine aminotransferase (ALT) within 3 days ALP increased from 253 to 383 IU/L and gamma-GT from 238 to 417 IU/L 4 days after administration of DF. The clinical and biological features of our case suggest a direct involvement of GO in causing SOS, even when used as monotherapy, without allogenic stem-cell transplantation. Low dose DF (10 mg/kg/day) given early during the development of SOS associated with GO was effective. Unfortunately, in our case the patient eventually died of multi-organ failure probably because of failure of GO.

Ultimate energy density of observable cold baryonic matter.

PubMed

Lattimer, James M; Prakash, Madappa

2005-03-25

We demonstrate that the largest measured mass of a neutron star establishes an upper bound to the energy density of observable cold baryonic matter. An equation of state-independent expression satisfied by both normal neutron stars and self-bound quark matter stars is derived for the largest energy density of matter inside stars as a function of their masses. The largest observed mass sets the lowest upper limit to the density. Implications from existing and future neutron star mass measurements are discussed.

Stratospheric nitrogen dioxide in the vicinity of soufriere, st. Vincent.

PubMed

Romick, G J; Murcray, D G; Williams, W J

1982-06-04

In April 1979, measurements of nitrogen dioxide in the upper atmosphere were made near Soufriere Volcano by twilight optical-absorption techniques. The derived value of 5 x 10(15) molecules per square centimeter column implies an enhancement of 25 percent over earlier abundances measured in the same latitudinal regions. This enhancement may represent the normal stratospheric variability of nitrogen dioxide in the equatorial region but in any case may be considered an upper limit to the volcano's effect on the total nitrogen dioxide abundance.

Expendable solid rocket motor upper stages for the Space Shuttle

NASA Technical Reports Server (NTRS)

Davis, H. P.; Jones, C. M.

1974-01-01

A family of expendable solid rocket motor upper stages has been conceptually defined to provide the payloads for the Space Shuttle with performance capability beyond the low earth operational range of the Shuttle Orbiter. In this concept-feasibility assessment, three new solid rocket motors of fixed impulse are defined for use with payloads requiring levels of higher energy. The conceptual design of these motors is constrained to limit thrusting loads into the payloads and to conserve payload bay length. These motors are combined in various vehicle configurations with stage components derived from other programs for the performance of a broad range of upper-stage missions from spin-stabilized, single-stage transfers to three-axis stabilized, multistage insertions. Estimated payload delivery performance and combined payload mission loading configurations are provided for the upper-stage configurations.

The Search for Muon Neutrinos from Northern Hemisphere Gamma-Ray Bursts with AMANDA

NASA Astrophysics Data System (ADS)

Achterberg, A.; Ackermann, M.; Adams, J.; Ahrens, J.; Andeen, K.; Auffenberg, J.; Bahcall, J. N.; Bai, X.; Baret, B.; Barwick, S. W.; Bay, R.; Beattie, K.; Becka, T.; Becker, J. K.; Becker, K.-H.; Berghaus, P.; Berley, D.; Bernardini, E.; Bertrand, D.; Besson, D. Z.; Blaufuss, E.; Boersma, D. J.; Bohm, C.; Bolmont, J.; Böser, S.; Botner, O.; Bouchta, A.; Braun, J.; Burgess, C.; Burgess, T.; Castermans, T.; Chirkin, D.; Christy, B.; Clem, J.; Cowen, D. F.; D'Agostino, M. V.; Davour, A.; Day, C. T.; De Clercq, C.; Demirörs, L.; Descamps, F.; Desiati, P.; DeYoung, T.; Diaz-Velez, J. C.; Dreyer, J.; Dumm, J. P.; Duvoort, M. R.; Edwards, W. R.; Ehrlich, R.; Eisch, J.; Ellsworth, R. W.; Evenson, P. A.; Fadiran, O.; Fazely, A. R.; Filimonov, K.; Foerster, M. M.; Fox, B. D.; Franckowiak, A.; Gaisser, T. K.; Gallagher, J.; Ganugapati, R.; Geenen, H.; Gerhardt, L.; Goldschmidt, A.; Goodman, J. A.; Gozzini, R.; Griesel, T.; Gross, A.; Grullon, S.; Gunasingha, R. M.; Gurtner, M.; Hallgren, A.; Halzen, F.; Han, K.; Hanson, K.; Hardtke, D.; Hardtke, R.; Hart, J. E.; Hasegawa, Y.; Hauschildt, T.; Hays, D.; Heise, J.; Helbing, K.; Hellwig, M.; Herquet, P.; Hill, G. C.; Hodges, J.; Hoffman, K. D.; Hommez, B.; Hoshina, K.; Hubert, D.; Hughey, B.; Hulth, P. O.; Hülss, J.-P.; Hultqvist, K.; Hundertmark, S.; Inaba, M.; Ishihara, A.; Jacobsen, J.; Japaridze, G. S.; Johansson, H.; Jones, A.; Joseph, J. M.; Kampert, K.-H.; Kappes, A.; Karg, T.; Karle, A.; Kawai, H.; Kelley, J. L.; Kitamura, N.; Klein, S. R.; Klepser, S.; Kohnen, G.; Kolanoski, H.; Köpke, L.; Kowalski, M.; Kowarik, T.; Krasberg, M.; Kuehn, K.; Labare, M.; Landsman, H.; Leich, H.; Leier, D.; Liubarsky, I.; Lundberg, J.; Lünemann, J.; Madsen, J.; Mase, K.; Matis, H. S.; McCauley, T.; McParland, C. P.; Meli, A.; Messarius, T.; Mészáros, P.; Miyamoto, H.; Mokhtarani, A.; Montaruli, T.; Morey, A.; Morse, R.; Movit, S. M.; Münich, K.; Nahnhauer, R.; Nam, J. W.; Niessen, P.; Nygren, D. R.; Ögelman, H.; Olivas, A.; Patton, S.; Peña-Garay, C.; Pérez de los Heros, C.; Piegsa, A.; Pieloth, D.; Pohl, A. C.; Porrata, R.; Pretz, J.; Price, P. B.; Przybylski, G. T.; Rawlins, K.; Razzaque, S.; Resconi, E.; Rhode, W.; Ribordy, M.; Rizzo, A.; Robbins, S.; Roth, P.; Rott, C.; Rutledge, D.; Ryckbosch, D.; Sander, H.-G.; Sarkar, S.; Schlenstedt, S.; Schmidt, T.; Schneider, D.; Seckel, D.; Semburg, B.; Seo, S. H.; Seunarine, S.; Silvestri, A.; Smith, A. J.; Solarz, M.; Song, C.; Sopher, J. E.; Spiczak, G. M.; Spiering, C.; Stamatikos, M.; Stanev, T.; Steffen, P.; Stezelberger, T.; Stokstad, R. G.; Stoufer, M. C.; Stoyanov, S.; Strahler, E. A.; Straszheim, T.; Sulanke, K.-H.; Sullivan, G. W.; Sumner, T. J.; Taboada, I.; Tarasova, O.; Tepe, A.; Thollander, L.; Tilav, S.; Tluczykont, M.; Toale, P. A.; Turčan, D.; van Eijndhoven, N.; Vandenbroucke, J.; Van Overloop, A.; Viscomi, V.; Voigt, B.; Wagner, W.; Walck, C.; Waldmann, H.; Walter, M.; Wang, Y.-R.; Wendt, C.; Wiebusch, C. H.; Wikström, G.; Williams, D. R.; Wischnewski, R.; Wissing, H.; Woschnagg, K.; Xu, X. W.; Yodh, G.; Yoshida, S.; Zornoza, J. D.; Interplanetary Network, The

2008-02-01

We present the results of the analysis of neutrino observations by the Antarctic Muon and Neutrino Detector Array (AMANDA) correlated with photon observations of more than 400 gamma-ray bursts (GRBs) in the northern hemisphere from 1997 to 2003. During this time period, AMANDA's effective collection area for muon neutrinos was larger than that of any other existing detector. After the application of various selection criteria to our data, we expect ~1 neutrino event and <2 background events. Based on our observations of zero events during and immediately prior to the GRBs in the data set, we set the most stringent upper limit on muon neutrino emission correlated with GRBs. Assuming a Waxman-Bahcall spectrum and incorporating all systematic uncertainties, our flux upper limit has a normalization at 1 PeV of E2Φν <= 6.3 × 10-9 GeV cm-2 s-1 sr-1, with 90% of the events expected within the energy range of ~10 TeV to ~3 PeV. The impact of this limit on several theoretical models of GRBs is discussed, as well as the future potential for detection of GRBs by next-generation neutrino telescopes. Finally, we briefly describe several modifications to this analysis in order to apply it to other types of transient point sources.

Strength training improves the tri-digit finger-pinch force control of older adults.

PubMed

Keogh, Justin W; Morrison, Steve; Barrett, Rod

2007-08-01

To investigate the effect of unilateral upper-limb strength training on the finger-pinch force control of older men. Pretest and post-test 6-week intervention study. Exercise science research laboratory. Eleven neurologically fit older men (age range, 70-80y). The strength training group (n=7) trained twice a week for 6 weeks, performing dumbbell bicep curls, wrist flexions, and wrists extensions, while the control group subjects (n=4) maintained their normal activities. Changes in force variability, targeting error, peak power frequency, proportional power, sample entropy, digit force sharing, and coupling relations were assessed during a series of finger-pinch tasks. These tasks involved maintaining a constant or sinusoidal force output at 20% and 40% of each subject's maximum voluntary contraction. All participants performed the finger-pinch tasks with both the preferred and nonpreferred limbs. Analysis of covariance for between-group change scores indicated that the strength training group (trained limb) experienced significantly greater reductions in finger-pinch force variability and targeting error, as well as significantly greater increases in finger-pinch force, sample entropy, bicep curl, and wrist flexion strength than did the control group. A nonspecific upper-limb strength-training program may improve the finger-pinch force control of older men.

The Search for Muon Neutrinos from Northern HemisphereGamma-Ray Bursts with AMANDA

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

IceCube Collaboration; Klein, Spencer; Achterberg, A.

2007-05-08

We present the results of the analysis of neutrino observations by the Antarctic Muon and Neutrino Detector Array (AMANDA) correlated with photon observations of more than 400 gamma-ray bursts (GRBs) in the Northern Hemisphere from 1997 to 2003. During this time period, AMANDA's effective collection area for muon neutrinos was larger than that of any other existing detector. Based on our observations of zero neutrinos during and immediately prior to the GRBs in the dataset, we set the most stringent upper limit on muon neutrino emission correlated with gamma-ray bursts. Assuming a Waxman-Bahcall spectrum and incorporating all systematic uncertainties, ourmore » flux upper limit has a normalization at 1 PeV of E{sup 2}{Phi}{sub {nu}} {le} 6.0 x 10{sup -9} GeV cm{sup -2}s{sup -1}sr{sup -1}, with 90% of the events expected within the energy range of {approx}10 TeV to {approx}3 PeV. The impact of this limit on several theoretical models of GRBs is discussed, as well as the future potential for detection of GRBs by next generation neutrino telescopes. Finally, we briefly describe several modifications to this analysis in order to apply it to other types of transient point sources.« less

Liquid uranium alloy-helium fission reactor

DOEpatents

Minkov, Vladimir

1986-01-01

This invention teaches a nuclear fission reactor having a core vessel and at least one tandem heat exchanger vessel coupled therewith across upper and lower passages to define a closed flow loop. Nuclear fuel such as a uranium alloy in its liquid phase fills these vessels and flow passages. Solid control elements in the reactor core vessel are adapted to be adjusted relative to one another to control fission reaction of the liquid fuel therein. Moderator elements in the other vessel and flow passages preclude fission reaction therein. An inert gas such as helium is bubbled upwardly through the heat exchanger vessel operable to move the liquid fuel upwardly therein and unidirectionally around the closed loop and downwardly through the core vessel. This helium gas is further directed to heat conversion means outside of the reactor vessels to utilize the heat from the fission reaction to generate useful output. The nuclear fuel operates in the 1200.degree.-1800.degree. C. range, and even higher to 2500.degree. C., limited only by the thermal effectiveness of the structural materials, increasing the efficiency of power generation from the normal 30-35% with 300.degree.-500.degree. C. upper limit temperature to 50-65%. Irradiation of the circulating liquid fuel, as contrasted to only localized irradiation of a solid fuel, provides improved fuel utilization.

Normal state above the upper critical field in Fe 1 + y Te 1 - x ( Se , S ) x

DOE PAGES

Wang, Aifeng; Kampert, Erik; Saadaoui, H.; ...

2017-05-03

Here, we have investigated the magnetotransport above the upper critical field ( H c 2 ) in Fe 1.14 Te 0.7 Se 0.3 , Fe 1.02 Te 0.61 Se 0.39 , Fe 1.05 Te 0.89 Se 0.11 , and Fe 1.06 Te 0.86 S 0.14 . The μ SR measurements confirm electronic phase separation in Fe 1.06 Te 0.86 S 0.14 , similar to Fe 1 + y Te 1 - x Se x . We found that superconductivity is suppressed in high magnetic fields above 60 T, allowing us to gain insight into the normal-state properties below the zero-fieldmore » superconducting transition temperature ( T c ). We also show that the resistivity of Fe 1.14 Te 0.7 Se 0.3 and Fe 1.02 Te 0.61 Se 0.39 above H c 2 is metallic as T → 0 , just like the normal-state resistivity above T c . On the other hand, the normal-state resistivity in Fe 1.05 Te 0.89 Se 0.11 and Fe 1.06 Te 0.86 S 0.14 is nonmetallic down to lowest temperatures, reflecting the superconductor-insulator transition due to electronic phase separation.« less

Supination and Pronation Strength Deficits Persist at 2-4 Years after Treatment of Distal Radius Fractures.

PubMed

Ploegmakers, Joris; The, Bertram; Wang, Allan; Brutty, Mike; Ackland, Tim

2015-10-01

Forearm rotation is a key function in the upper extremity. Following distal radius fracture, residual disability may occur in tasks requiring forearm rotation. The objectives of this study are to define pronation and supination strength profiles tested through the range of forearm rotation in normal individuals, and to evaluate the rotational strength profiles and rotational strength deficits across the testing range in a cohort of patients treated for distal radius fracture associated with an ulnar styloid base fracture. In a normative cohort of 29 subjects the supination strength profile showed an increasing linear relationship from supination to pronation. Twelve subjects were evaluated 2-4 years after anatomical open reduction and volar plate fixation of a distal radius fracture. The injured wrist was consistently weaker (corrected for hand dominance) in both supination and pronation strength in all testing positions, with the greatest loss in 60 degrees supination. Mean supination strength loss across all testing positions was significantly correlated with worse PRWE scores, highlighting the importance of supination in wrist function.

Growth curves for Laron syndrome.

PubMed Central

Laron, Z; Lilos, P; Klinger, B

1993-01-01

Growth curves for children with Laron syndrome were constructed on the basis of repeated measurements made throughout infancy, childhood, and puberty in 24 (10 boys, 14 girls) of the 41 patients with this syndrome investigated in our clinic. Growth retardation was already noted at birth, the birth length ranging from 42 to 46 cm in the 12/20 available measurements. The postnatal growth curves deviated sharply from the normal from infancy on. Both sexes showed no clear pubertal spurt. Girls completed their growth between the age of 16-19 years to a final mean (SD) height of 119 (8.5) cm whereas the boys continued growing beyond the age of 20 years, achieving a final height of 124 (8.5) cm. At all ages the upper to lower body segment ratio was more than 2 SD above the normal mean. These growth curves constitute a model not only for primary, hereditary insulin-like growth factor-I (IGF-I) deficiency (Laron syndrome) but also for untreated secondary IGF-I deficiencies such as growth hormone gene deletion and idiopathic congenital isolated growth hormone deficiency. They should also be useful in the follow up of children with Laron syndrome treated with biosynthetic recombinant IGF-I. PMID:8333769

Postrenal acute kidney injury in a patient with unilateral ureteral obstruction caused by urolithiasis: A case report.

PubMed

Kazama, Itsuro; Nakajima, Toshiyuki

2017-10-01

In patients with bilateral ureteral obstruction, the serum creatinine levels are often elevated, sometimes causing postrenal acute kidney injury (AKI). In contrast, those with unilateral ureteral obstruction present normal serum creatinine levels, as long as their contralateral kidneys are preserved intact. However, the unilateral obstruction of the ureter could affect the renal function, as it humorally influences the renal hemodynamics. A 66-year-old man with a past medical history of hypertension and diabetes mellitus came to our outpatient clinic because of right abdominal dullness. Unilateral ureteral obstruction caused by a radio-opaque calculus in the right upper ureter and a secondary renal dysfunction. As oral hydration and the use of calcium antagonists failed to allow the spontaneous stone passage, extracorporeal shock wave lithotripsy (ESWL) was performed. Immediately after the passage of the stone, the number of red blood cells in the urine was dramatically decreased and the serum creatinine level almost returned to the normal range with the significant increase in glomerular filtration rate. Unilateral ureteral obstruction by the calculus, which caused reflex vascular constriction and ureteral spasm in the contralateral kidney, was thought to be responsible for the deteriorating renal function.

Age Related Changes in Metabolite Concentrations in the Normal Spinal Cord

PubMed Central

Abdel-Aziz, Khaled; Solanky, Bhavana S.; Yiannakas, Marios C.; Altmann, Daniel R.; Wheeler-Kingshott, Claudia A. M.; Thompson, Alan J.; Ciccarelli, Olga

2014-01-01

Magnetic resonance spectroscopy (MRS) studies have previously described metabolite changes associated with aging of the healthy brain and provided insights into normal brain aging that can assist us in differentiating age-related changes from those associated with neurological disease. The present study investigates whether age-related changes in metabolite concentrations occur in the healthy cervical spinal cord. 25 healthy volunteers, aged 23–65 years, underwent conventional imaging and single-voxel MRS of the upper cervical cord using an optimised point resolved spectroscopy sequence on a 3T Achieva system. Metabolite concentrations normalised to unsuppressed water were quantified using LCModel and associations between age and spinal cord metabolite concentrations were examined using multiple regressions. A linear decline in total N-Acetyl-aspartate concentration (0.049 mmol/L lower per additional year of age, p = 0.010) and Glutamate-Glutamine concentration (0.054 mmol/L lower per additional year of age, p = 0.002) was seen within our sample age range, starting in the early twenties. The findings suggest that neuroaxonal loss and/or metabolic neuronal dysfunction, and decline in glutamate-glutamine neurotransmitter pool progress with aging. PMID:25310093

Association of carotene rich diet with hypogonadism in a male athlete.

PubMed

Adamopoulos, Dimitrios; Venaki, Evangelia; Koukkou, Eftychia; Billa, Evangelia; Kapolla, Niki; Nicopoulou, Stamatina

2006-07-01

To report on a unique case of hypogonadism associated with excessive carotene intake in a young male athlete. A 20-year-old patient presented with a gradual decline in muscular and physical activity, sexual interest and erectile ability associated with a high in carotene and low in animal fat diet of his own design a year prior to the clinical manifestations. Clinically, he presented with very overt signs of carotene excess: his palms and soles were yellow. Moreover, 2 weeks after normalization of his diet, carotene B levels were at the upper end of the normal range. Repeated stimulation tests of hypothalamic, pituitary and testicular function were performed before and at 3, 6 and 12 months after the introduction of a balanced diet. Very low basal and stimulated values for gonadotropins and gonadal steroids were found at the initial evaluation with a progressive recovery shown after months of a balanced diet and carotene B restoration. Complete androgen secretion and sexual response recovery were observed only after 9-12 months from diagnosis. This is the first report associating excessive carotene intake with a hypothalamic form of hypogonadism in a young man.

Non-functioning parathyroid cystic tumour: malignant or not? Report of a case

PubMed Central

COCORULLO, G.; SCERRINO, G.; MELFA, G.; RASPANTI, C.; ROTOLO, G.; MANNINO, V.; RICHIUSA, P.; CABIBI, D.; GIANNONE, A.G.; PORRELLO, C.; GULOTTA, G.

2017-01-01

Parathyroid carcinoma (PC) is a very rare endocrine tumour, usually characterized by symptoms such as a neck mass, dysphonia, severe hypercalcemia exceeding 140 mg/L and elevated serum parathyroid hormone levels, even more than 5 times the upper limit of normal. Non-functioning parathyroid cancer is extremely rare and, in this case, its pre-operative diagnosis is often difficult. A 54-year old female patient, referring dysphagia and dysphonia, underwent neck ultrasound and neck CT. A left thyroid nodule, probably cystic, was found. It presented caudal extent on anterior mediastinum causing compression of the left lateral wall of the trachea. The preoperative calcemia was into the normal range. The patient underwent left thyroid lobectomy. Histological exam showed a cystic lesion, immunohistochemically originating from parathyroid that oriented for carcinoma. The 18 months follow-up did not show a residual-recurrent disease. The parathyroid origin of a neck lesion could not be suspected before surgery when specific laboratory tests are not available and clinical effects of hyperparathyroidism syndrome are not present. Histological features are not always sufficient for the differential diagnosis between the parathyroid adenoma and carcinoma. The immunohistochemistry is an useful tool that can aid to reach the definite diagnosis. PMID:29280705

Non-functioning parathyroid cystic tumour: malignant or not? Report of a case.

PubMed

Cocorullo, G; Scerrino, G; Melfa, G; Raspanti, C; Rotolo, G; Mannino, V; Richiusa, P; Cabibi, D; Giannone, A G; Porrello, C; Gulotta, G

2017-01-01

Parathyroid carcinoma (PC) is a very rare endocrine tumour, usually characterized by symptoms such as a neck mass, dysphonia, severe hypercalcemia exceeding 140 mg/L and elevated serum parathyroid hormone levels, even more than 5 times the upper limit of normal. Non-functioning parathyroid cancer is extremely rare and, in this case, its pre-operative diagnosis is often difficult. A 54-year old female patient, referring dysphagia and dysphonia, underwent neck ultrasound and neck CT. A left thyroid nodule, probably cystic, was found. It presented caudal extent on anterior mediastinum causing compression of the left lateral wall of the trachea. The preoperative calcemia was into the normal range. The patient underwent left thyroid lobectomy. Histological exam showed a cystic lesion, immunohistochemically originating from parathyroid that oriented for carcinoma. The 18 months follow-up did not show a residual-recurrent disease. The parathyroid origin of a neck lesion could not be suspected before surgery when specific laboratory tests are not available and clinical effects of hyperparathyroidism syndrome are not present. Histological features are not always sufficient for the differential diagnosis between the parathyroid adenoma and carcinoma. The immunohistochemistry is an useful tool that can aid to reach the definite diagnosis.

Study of the trapezius muscle region pressure pain threshold and latency time in young people with and without depressed scapula.

PubMed

Lee, Kuan-Ting; Chuang, Chiung-Cheng; Lai, Chien-Hung; Ye, Jing-Jhao; Wu, Chien-Lung

2015-02-01

The scapula is stabilized in or moved to a certain position to coordinate shoulder function and achieve shoulder and arm movement during the athletic and daily activities. An alteration in the scapular position both at rest and during arm movements is commonly associated with shoulder injury or dysfunction. The purpose of this study was to assess the influence of the depressed scapular position using pressure pain threshold (PPT) and delayed muscle activation of the upper and middle trapezius muscles. The study included 20 subjects who were divided into normal shoulder (n = 12) and depressed shoulder (n = 8) group. PPT was measured in a relaxed position. Muscle activity was recorded using surface electromyography and by calculating each shrug's muscle latency time (MLT). The results revealed that the healthy young subjects with depressed scapular position had significantly lower PPT levels than those with normal scapular position both in the upper and middle trapezius muscle (P < 0.05). MLT of the upper trapezius was significantly delayed in both sides during the shoulder shrugs (P < 0.05). Copyright © 2014 Elsevier Ltd. All rights reserved.

Belt conveyor apparatus

DOEpatents

Oakley, David J.; Bogart, Rex L.

1987-01-01

A belt conveyor apparatus according to this invention defines a conveyance path including a first pulley and at least a second pulley. An endless belt member is adapted for continuous travel about the pulleys and comprises a lower portion which engages the pulleys and an integral upper portion adapted to receive objects therein at a first location on said conveyance path and transport the objects to a second location for discharge. The upper belt portion includes an opposed pair of longitudinally disposed crest-like members, biased towards each other in a substantially abutting relationship. The crest-like members define therebetween a continuous, normally biased closed, channel along the upper belt portion. Means are disposed at the first and second locations and operatively associated with the belt member for urging the normally biased together crest-like members apart in order to provide access to the continuous channel whereby objects can be received into, or discharged from the channel. Motors are in communication with the conveyance path for effecting the travel of the endless belt member about the conveyance path. The conveyance path can be configured to include travel through two or more elevations and one or more directional changes in order to convey objects above, below and/or around existing structures.

Correlation and prediction of dynamic human isolated joint strength from lean body mass

NASA Technical Reports Server (NTRS)

Pandya, Abhilash K.; Hasson, Scott M.; Aldridge, Ann M.; Maida, James C.; Woolford, Barbara J.

1992-01-01

A relationship between a person's lean body mass and the amount of maximum torque that can be produced with each isolated joint of the upper extremity was investigated. The maximum dynamic isolated joint torque (upper extremity) on 14 subjects was collected using a dynamometer multi-joint testing unit. These data were reduced to a table of coefficients of second degree polynomials, computed using a least squares regression method. All the coefficients were then organized into look-up tables, a compact and convenient storage/retrieval mechanism for the data set. Data from each joint, direction and velocity, were normalized with respect to that joint's average and merged into files (one for each curve for a particular joint). Regression was performed on each one of these files to derive a table of normalized population curve coefficients for each joint axis, direction, and velocity. In addition, a regression table which included all upper extremity joints was built which related average torque to lean body mass for an individual. These two tables are the basis of the regression model which allows the prediction of dynamic isolated joint torques from an individual's lean body mass.

Monitoring elbow isometric contraction by novel wearable fabric sensing device

NASA Astrophysics Data System (ADS)

Wang, Xi; Tao, Xiaoming; So, Raymond C. H.; Shu, Lin; Yang, Bao; Li, Ying

2016-12-01

Fabric-based wearable technology is highly desirable in sports, as it is light, flexible, soft, and comfortable with little interference to normal sport activities. It can provide accurate information on the in situ deformation of muscles in a continuous and wireless manner. During elbow flexion in isometric contraction, upper arm circumference increases with the contraction of elbow flexors, and it is possible to monitor the muscles’ contraction by limb circumferential strains. This paper presents a new wireless wearable anthropometric monitoring device made from fabric strain sensors for the human upper arm. The materials, structural design and calibration of the device are presented. Using an isokinetic testing system (Biodex3®) and the fabric monitoring device simultaneously, in situ measurements were carried out on elbow flexors in isometric contraction mode with ten subjects for a set of positions. Correlations between the measured values of limb circumferential strain and normalized torque were examined, and a linear relationship was found during isometric contraction. The average correlation coefficient between them is 0.938 ± 0.050. This wearable anthropometric device thus provides a useful index, the limb circumferential strain, for upper arm muscle contraction in isometric mode.

Regional Vp, Vs, Vp/Vs, and Poisson's ratios across earthquake source zones from Memphis, Tennessee, to St. Louis, Missouri

USGS Publications Warehouse

Catchings, R.D.

1999-01-01

Models of P- and S-wave velocity, Vp/Vs ratios, Poisson's ratios, and density for the crust and upper mantle are presented along a 400-km-long profile trending from Memphis, Tennessee, to St. Louis, Missouri. The profile crosses the New Madrid seismic zone and reveals distinct regional variations in the crustal velocity structure north and south of the latitude of New Madrid. In the south near Memphis, the upper few kilometers of the crust are dominated by upper crustal sedimentary basins or graben with P-wave velocities less than 5 km/sec and S-wave velocities of about 2 km/sec. P-wave velocities of the upper and middle crust range from 6.0 to 6.5 km/sec at depths above 25 km, and corresponding S-wave velocities range from 3.5 to 3.7 km/sec. The lower crust consists of a high-velocity layer (Vp = 7.4 km/sec; Vs ~4.2 km/sec) that is up to 20-km thick at the latitude of New Madrid but thins to about 15 km near Memphis. To the north, beneath the western-most Illinois basin, low-velocity (Vp < 5 km/sec; Vs < 2.3 km/sec) sedimentary basins are less than 1-km deep. The average velocities (Vp = 6.0 km/sec; Vs = 3.5 km/sec) of the underlying, near-surface rocks argue against large thickness of unconsolidated noncarbonate sediments within 50 km of the western edge of the Illinois basin. Most of the crust beneath the Illinois basin is modeled as one layer, with velocities up to 6.8 km/sec (Vs = 3.7 km/sec) at 37-km depth. The thick, high-velocity (Vp = 7.4 km/sec; Vs ~4.2 km/sec) lower crustal layer thins from about 20 km near New Madrid to about 6 km beneath the western Illinois basin. Refractions from the Moho and upper mantle occur as first arrivals over distances as a great as 160 km and reveal upper mantle layering to 60 km depth. Upper mantle layers with P-wave velocities of 8.2 km/sec (Vs = 4.5 km/sec) and 8.4 km/sec (Vs = 4.7 km/sec) are modeled at 43 and 60 km depth, respectively. Crustal Vp/Vs ratios range between 1.74 and 1.83, and upper mantle Vp/V s ratios range from 1.78 to 1.84. Poisson's ratios range from about 0.26 to 0.33 in the crust and from about 0.27 to 0.29 in the upper mantle. Modeled average densities range from about 2.55 in the sedimentary basins to 3.43 in the upper mantle. Geophysical characteristics of the crust and upper mantle within the New Madrid seismic zone are consistent with other continental rifts, but the crustal structure of the Illinois basin is not characteristics of most continental rift settings. Seismic and gravity data suggest a buried horst near the middle of Reelfoot rift, beneath which is a vertical zone of seismicity and velocity anomalies. The relative depth of the Reelfoot rift north and south of the Reelfoot graben suggests that the rift and its bounding faults may extend eastward beneath the city of Memphis.

Profiles of musculoskeletal development in limbs of college Olympic weightlifters and wrestlers.

PubMed

Kanehisa, H; Fukunaga, T

1999-04-01

To investigate the event-related profiles of musculoskeletal development in weight-categorized athletes, we measured the cross-sectional areas (CSA) of bone and muscle in the forearm, upper arm, lower leg and thigh, using a B-mode ultrasound apparatus, in college Olympic weightlifters (OWL, n = 19) and wrestlers (WR, n = 17) and untrained men (UM, n = 24), whose body masses were within the range from 55 kg to 78 kg. Both bone and muscle CSA at all sites were significantly correlated to the two-thirds power of fat-free mass (FFM(2/3)) with correlation coefficients of 0.430-40.741 (P < 0.05) and 0.608-0.718 (P < 0.05), respectively. Moreover, there were significant correlations between bone and muscle CSA at all sites (r = 0.664-0.829, P < 0.05). Even when bone and muscle CSA were expressed relative value to FFM(2/3), both OWL and WR showed significantly greater values than UM at all sites except for the lower leg. Furthermore, the comparison of the lean (bone + muscle) CSA ratio from site to site indicated a higher distribution of lean tissues in the upper extremities in OWL and WR compared to UM. While there was no significant difference between the two athlete groups in FFM(2/3), OWL showed significantly larger values than WR in the bone CSA of the upper arm and thigh and in the muscle CSA of the lower leg and thigh. However, lean CSA ratios of the upper extremities to the lower ones were significantly higher in WR than in OWL. Thus, the present results indicated that, compared to UM, OWL and WR had a greater lean tissue CSA in limbs, especially in the upper extremities, even when the difference in FFM was normalized. Moreover, the relative distribution of lean tissues in limbs differed between the two weight-categorized athletes in spite of there being no difference in FFM, which may be attributable to their own training regimens and/or competition style.

Paleomagnetic Determination of Vertical-Axis Block Rotation and Magnetostratigraphy in the Coachella Valley, California

NASA Astrophysics Data System (ADS)

Dimitroff, C.; Housen, B. A.; McNabb, J. C.; Dorsey, R. J.; Burmester, R. F.; Messe, G. T.

2015-12-01

Here, we report new paleomagnetism and magnetostratigraphy data from the Palm Spring Fm of the Mecca Hills, the Pleistocene conglomeratic sandstone in Desert Hot Springs and the Plio-Pleistocene San Timoteo beds from Live Oak Canyon. From the Mecca Hills, new data are from 29 sites and 112 samples. The paleomagnetic results yielded well-defined components of magnetization- defining seven polarity zones within the Ocotillo and upper Palm Spring Fm. Correlation to the geomagnetic polarity timescale, using the Bishop Ash near the top of the section as a tie point, places the Brunhes-Matuyama boundary near the base of the Ocotillo Fm, and the Jaramillo, Olduvai, and Reunion normal polarity sub-chrons in the upper Palm Spring Fm. This indicates the upper Palm Spring Fm in the Mecca Hills was deposited between 2.3 and 0.9 Ma. Sites from the Mecca Hills section have mean directions of D = 343, I = 53, α95 =11.3 N = 5 for normal sites, D = 175, I = -50, α95 = 4.9 N = 24 for reverse sites, and normal and reverse sites combined have a mean direction of D = 353, I = 51 α95 = 4.4. This indicates modest (7 degrees) CCW rotation of the section. Results from 19 sites (53 samples) of the Pleistocene conglomeritic sandstone from Desert Hot Springs have very well-defined paleomagnetic components. Six of the sites have normal polarity- 13 sites have reverse polarity. Sites with normal polarity have a mean direction of D = 358, I = 45, α95 = 13 and reverse sites have a mean of D = 182, I = -50, α95 = 6.6.The combined mean direction (in tilt-corrected coordinates) is D = 0.7, I = 49, α95 = 5.6 and indicates that 3.1° ± 2.3° of CW rotation has occurred at this location since ~1 to 1.5 Ma. Results from 8 sites (35 samples) of the upper-most San Timoteo beds from Live Oak Canyon also have well-defined paleomagnetic components for 6 sites. All of the results have normal polarity, and one site has a direction that is >40 degree from the other sites- the mean of the remaining 5 sites is D = 11, I = 49, k=51, a95=11. The paleomagnetic results from the Coachella Valley collectively indicate that this area has experienced modest (in most cases less than 10 degrees) CW or CCW rotation during the past 1-2 Ma. The lack of variation in amount or sense of rotation as a function of age suggest that rotation has been relatively recent (during the past ~ 1 Ma).

The General Movement Optimality Score – a detailed assessment of general movements during preterm and term age

PubMed Central

Einspieler, Christa; Marschik, Peter B.; Urlesberger, Berndt; Pansy, Jasmin; Scheuchenegger, Anna; Krieber, Magdalena; Yang, Hong; Kornacka, Maria K.; Rowinska, Edyta; Soloveichick, Marina; Ferrari, Fabrizio; Guzzetta, Andrea; Cioni, Giovanni; Bos, Arend F.

2018-01-01

Aim To explore the appropriateness of applying a detailed assessment of general movements (GMs) and characterise the relationship between global and detailed assessment. Method The analysis was based on 783 video-recordings of 233 infants (79 females) who had been videoed from 27 to 45 weeks postmenstrual age. Apart from assessing the global GM categories (normal, poor repertoire [PR], cramped-synchronised [CS] or chaotic GMs), we scored the amplitude, speed, spatial range, proximal and distal rotations, onset and offset, tremulous and cramped components of the upper and lower extremities. Applying the optimality concept, the maximum GM optimality score of 42 indicates the optimal performance. Results GM optimality scores differentiated between normal GMs (Median=39; P75=41, P25=37); PR GMs (Median=25; P75=29, P25=22), and CS GMs (Median=12; P75=14, P25=10; p<0.01). The optimality score for chaotic GMs (mainly occurring at late preterm age) was similar to those for CS GMs (Median=14; P75=17, P25=12). Short-lasting tremulous movements occurred from very preterm age to postterm age across all GM categories, including normal GMs. The detailed score at postterm age was slightly lower compared to the scores at preterm and term age for both normal (p=0.02) and PR GMs (p<0.01). Interpretation Further research might demonstrate that the GM optimality score provides a solid base for the prediction of improvement vs. deterioration within an individual GM trajectory. PMID:26365130

Summary and evaluation of hydraulic property data available for the Hanford Site upper basalt confined aquifer system

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

Spane, F.A. Jr.; Vermeul, V.R.

Pacific Northwest Laboratory, as part of the Hanford Site Ground-Water Surveillance Project, examines the potential for offsite migration of contamination within the upper basalt confined aquifer system. For the past 40 years, hydrologic testing of the upper basalt confined aquifer has been conducted by a number of Hanford Site programs. Hydraulic property estimates are important for evaluating aquifer flow characteristics (i.e., ground-water flow patterns, flow velocity, transport travel time). Presented are the first comprehensive Hanford Site-wide summary of hydraulic properties for the upper basalt confined aquifer system (i.e., the upper Saddle Mountains Basalt). Available hydrologic test data were reevaluated usingmore » recently developed diagnostic test analysis methods. A comparison of calculated transmissivity estimates indicates that, for most test results, a general correspondence within a factor of two between reanalysis and previously reported test values was obtained. For a majority of the tests, previously reported values are greater than reanalysis estimates. This overestimation is attributed to a number of factors, including, in many cases, a misapplication of nonleaky confined aquifer analysis methods in previous analysis reports to tests that exhibit leaky confined aquifer response behavior. Results of the test analyses indicate a similar range for transmissivity values for the various hydro-geologic units making up the upper basalt confined aquifer. Approximately 90% of the calculated transmissivity values for upper basalt confined aquifer hydrogeologic units occur within the range of 10{sup 0} to 10{sup 2} m{sup 2}/d, with 65% of the calculated estimate values occurring between 10{sup 1} to 10{sup 2} m{sup 2}d. These summary findings are consistent with the general range of values previously reported for basalt interflow contact zones and sedimentary interbeds within the Saddle Mountains Basalt.« less

Hip and upper extremity kinematics in youth baseball pitchers.

PubMed

Holt, Taylor; Oliver, Gretchen D

2016-01-01

The purpose of this study was to examine the relationship between dynamic hip rotational range of motion and upper extremity kinematics during baseball pitching. Thirty-one youth baseball pitchers (10.87 ± 0.92 years; 150.03 ± 5.48 cm; 44.83 ± 8.04 kg) participated. A strong correlation was found between stance hip rotation and scapular upward rotation at maximum shoulder external rotation (r = 0.531, P = 0.002) and at ball release (r = 0.536, P = 0.002). No statistically significant correlations were found between dynamic hip rotational range of motion and passive hip range of motion. Hip range of motion deficits can constrain pelvis rotation and limit energy generation in the lower extremities. Shoulder pathomechanics can then develop as greater responsibility is placed on the shoulder to generate the energy lost from the proximal segments, increasing risk of upper extremity injury. Additionally, it appears that passive seated measurements of hip range of motion may not accurately reflect the dynamic range of motion of the hips through the progression of the pitch cycle.

Right Ventricular Thrombosis Combined With Fetal Death and Acrocyanosis in Pregnancy.

PubMed

Sabzi, Feridoun; Heidari, Aghigh

2017-07-01

Prepartum or postpartum right ventricular thrombosis (RVT) is an exceedingly rare and potentially lethal phenomenon in pregnancy. We here report a case of a pregnant patient with near term pregnancy admitted for dyspnea, amniotic fluids discharge and labor pain in a gynecology center that an eight-month dead fetus was diagnosed and delivered vaginally by induction. A post delivery period was complicated by aggravation of her dyspnea and pleuritic chest pain that she referred for further evaluation in our cardiac center. Physical exam revealed normal head and neck exam, and history taking revealed that her fetus had intra-uterine growth failure as reported by her gynecologist. Chest exam except to left lung crackle was normal. Lower and upper left extremities were normal. However, acrocyanosis was found in tips of 4 and 5th right-hand digits. Chest x-ray revealed some linear consolidation in left lower lung lobes, and the precordial exam was normal. ECG was normal. Post delivery transthoracic echocardiography (TEE) showed a 1.5×1.5 cm mobile right ventricular clot. C-T angiography revealed obstruction of left upper lung pulmonary artery branches. Complete thrombophilia assay showed the presence of high titer of antiphospholipid, anticardiolipin antibody, and β1 glycoprotein antibody. However, others test were normal. The patient was scheduled for cardiac surgery, and her hemodynamic was monitored by left radial artery line and central pressure venous line, and thrombus was removed from the right ventricle (RV), and subsequent anticoagulation therapy constituted. Six-month follow-up revealed no recurrence of thrombus and recovery of patient's symptoms.

Ground-Water Hydrology of the Upper Klamath Basin, Oregon and California

USGS Publications Warehouse

Gannett, Marshall W.; Lite, Kenneth E.; La Marche, Jonathan L.; Fisher, Bruce J.; Polette, Danial J.

2007-01-01

The upper Klamath Basin spans the California-Oregon border from the flank of the Cascade Range eastward to the Basin and Range Province, and encompasses the Klamath River drainage basin above Iron Gate Dam. Most of the basin is semiarid, but the Cascade Range and uplands in the interior and eastern parts of the basin receive on average more than 30 inches of precipitation per year. The basin has several perennial streams with mean annual discharges of hundreds of cubic feet per second, and the Klamath River at Iron Gate Dam, which represents drainage from the entire upper basin, has a mean annual discharge of about 2,100 cubic feet per second. The basin once contained three large lakes: Upper and Lower Klamath Lakes and Tule Lake, each of which covered areas of 100 to 150 square miles, including extensive marginal wetlands. Lower Klamath Lake and Tule Lake have been mostly drained, and the former lake beds are now cultivated. Upper Klamath Lake remains, and is an important source of irrigation water. Much of the wetland surrounding Upper Klamath Lake has been diked and drained, although efforts are underway to restore large areas. Upper Klamath Lake and the remaining parts of Lower Klamath and Tule Lakes provide important wildlife habitat, and parts of each are included in the Klamath Basin National Wildlife Refuges Complex. The upper Klamath Basin has a substantial regional ground-water flow system. The late Tertiary to Quaternary volcanic rocks that underlie the region are generally permeable, with transmissivity estimates ranging from 1,000 to 100,000 feet squared per day, and compose a system of variously interconnected aquifers. Interbedded with the volcanic rocks are late Tertiary sedimentary rocks composed primarily of fine-grained lake sediments and basin-filling deposits. These sedimentary deposits have generally low permeability, are not good aquifers, and probably restrict ground-water movement in some areas. The regional ground-water system is underlain and bounded on the east and west by older Tertiary volcanic and sedimentary rocks that have generally low permeability. Eight regional-scale hydrogeologic units are defined in the upper Klamath Basin on the basis of surficial geology and subsurface data. Ground water flows from recharge areas in the Cascade Range and upland areas in the basin interior and eastern margins toward stream valleys and interior subbasins. Ground water discharge to streams throughout the basin, and most streams have some component of ground water (baseflow). Some streams, however, are predominantly ground-water fed and have relatively constant flows throughout the year. Large amounts of ground water discharges in the Wood River subbasin, the lower Williamson River area, and along the margin of the Cascade Range. Much of the inflow to Upper Klamath Lake can be attributed to ground-water discharge to streams and major spring complexes within a dozen or so miles from the lake. This large component of ground water buffers the lake somewhat from climate cycles. There are also ground-water discharge areas in the eastern parts of the basin, for example in the upper Williamson and Sprague River subbasins and in the Lost River subbasin at Bonanza Springs. Irrigated agriculture is an integral part of the economy of the upper Klamath Basin. Although estimates vary somewhat, roughly 500,000 acres are irrigated in the upper Klamath Basin, about 190,000 acres of which are part of the Bureau of Reclamation Klamath Project. Most of this land is irrigated with surface water. Ground water has been used for many decades to irrigate areas where surface water is not available, for example outside of irrigation districts and stream valleys. Ground water has also been used as a supplemental source of water in areas where surface water supplies are limited and during droughts. Ground water use for irrigation has increased in recent years due to drought and shifts in surface-water allocation from irrigati

Evaluation of the immediate effect of acupuncture on pain, cervical range of motion and electromyographic activity of the upper trapezius muscle in patients with nonspecific neck pain: study protocol for a randomized controlled trial.

PubMed

Calamita, Simone Aparecida Penimpedo; Biasotto-Gonzalez, Daniela Aparecida; De Melo, Nivea Cristina; dos Santos, Douglas Meira; de Lassa, Roberta; de Mendonça, Fabiana Sarilho; Oliveira, Claudia Santos; Amorim, César Ferreira; Gonzalez, Tabajara Oliveira; Fumagalli, Marco Antônio; de Gomes, Cid André Fidelis Paula; Politti, Fabiano

2015-03-19

Nonspecific neck pain can cause considerable suffering, possible disability and reductions in quality of life and productivity. The aim of the proposed study is to evaluate the immediate effect of acupuncture on pain, cervical range of motion and electromyographic activity of the upper trapezius muscle in patients with nonspecific neck pain. A total of 12 patients with nonspecific neck pain and 12 healthy subjects will be enrolled in a randomized, single-blind crossover study. Each subject will receive two forms of treatment in random order: a single session of traditional acupuncture (acupoints: triple energizer 5, 'Wai-guan' and large intestine 11, 'Qu-chi') and sham acupuncture. To eliminate carry-over treatment effects, a one-week wash-out period will be respected between sessions. Surface electromyography will be used to determine motor control in the upper trapezius muscle before and after treatment. The outcome measures in the group with neck pain will be a numerical pain rating scale (range: 0 (no pain) to 10 (maximum pain)), documentation of the pain area on a body chart and cervical range of motion. Comparisons before and after acupuncture treatment will demonstrate whether acupoints affect the activity of the upper trapezius muscle, pain and cervical range of motion. The purpose of this randomized clinical trial is to evaluate the immediate effect of acupuncture on pain, cervical range of motion and electromyographic activity of the upper trapezius muscle in patients with nonspecific neck pain. Data will be published after the study is completed. The study will support the practice of evidence-based physical therapy for individuals with nonspecific neck pain. This trial was registered with Clinicaltrials.gov (identifier: NCT0984021 ) on 7 November 2013 ( https://clinicaltrials.gov/ct2/show/NCT01984021 ).

Life threatening angioedema in a patient on ACE inhibitor (ACEI) confined to the upper airway

PubMed Central

Tharayil, Abdulgafoor Muslim; Chanda, Arshad Hussain; Shiekh, Hakim Ahmad; Elkhatib, Mohamed Saad; Nayeemuddin, Mohammed; Alshamandy, Abdelhafiz Ali Ahmed

2014-01-01

Introduction: ACE inhibitors accounts for 8% of all cases of angioneurotic edema and the overall incidence is 0.1 to 0.7% of patients on ACE inhibitors. It is a leading cause (20-40%) of emergency room visits in the US with angioedema. We report a case of angioedema caused by ACE inhibitors confined to the upper airway after four years on treatment with Lisinopril which persisted for three weeks and required endotracheal intubation and subsequent tracheostomy due to delayed resolution. This case is one of the rare cases presented as upper airway edema which persisted for a long time. Presentation: A 60-year-old Sudanese male patient with osteoarthritis in both knees underwent bilateral total knee replacement under single-shot epidural anesthesia. He had significant past medical history of type II diabetes, bipolar affective disorder and hypertension managed with Lisinopril for the past four years. Postoperatively after 10 hours the patient desaturated and developed airway obstruction requiring intubation. Laryngoscopy revealed an edematous tongue and upper airway and vocal cords were not visualized. In view of this clinical picture a provisional diagnosis of angioedema secondary to Lisinopril was made and it was discontinued. CT scan of the neck and soft tissues revealed severe airway edema with snugly fitting endotracheal tube with no peritubal air. A repeat CT neck on the tenth postoperative day showed no signs of resolution and an elective tracheostomy was performed on the eleventh postoperative day. C1 inhibitor protein and C4 levels were assayed to exclude hereditary angioedema and were found to be within normal range. Decannulation of tracheostomy was done after airway edema resolved on the twenty-fourth postoperative day as confirmed by CT scan. Subsequently he was transferred to the ward and discharged home. Conclusion: ACEI induced angioedema is a well-recognized condition. Early diagnosis based on a high index of suspicion, immediate withdrawal of the offending drug followed by supportive therapy is the cornerstone of management. PMID:25745598

Bacterial Composition of the Human Upper Gastrointestinal Tract Microbiome Is Dynamic and Associated with Genomic Instability in a Barrett’s Esophagus Cohort

PubMed Central

Gall, Alevtina; Fero, Jutta; McCoy, Connor; Claywell, Brian C.; Sanchez, Carissa A.; Blount, Patricia L.; Li, Xiaohong; Vaughan, Thomas L.; Matsen, Frederick A.; Reid, Brian J.; Salama, Nina R.

2015-01-01

Background The incidence of esophageal adenocarcinoma (EAC) has increased nearly five-fold over the last four decades in the United States. Barrett’s esophagus, the replacement of the normal squamous epithelial lining with a mucus-secreting columnar epithelium, is the only known precursor to EAC. Like other parts of the gastrointestinal (GI) tract, the esophagus hosts a variety of bacteria and comparisons among published studies suggest bacterial communities in the stomach and esophagus differ. Chronic infection with Helicobacter pylori in the stomach has been inversely associated with development of EAC, but the mechanisms underlying this association remain unclear. Methodology The bacterial composition in the upper GI tract was characterized in a subset of participants (n=12) of the Seattle Barrett’s Esophagus Research cohort using broad-range 16S PCR and pyrosequencing of biopsy and brush samples collected from squamous esophagus, Barrett’s esophagus, stomach corpus and stomach antrum. Three of the individuals were sampled at two separate time points. Prevalence of H. pylori infection and subsequent development of aneuploidy (n=339) and EAC (n=433) was examined in a larger subset of this cohort. Results/Significance Within individuals, bacterial communities of the stomach and esophagus showed overlapping community membership. Despite closer proximity, the stomach antrum and corpus communities were less similar than the antrum and esophageal samples. Re-sampling of study participants revealed similar upper GI community membership in two of three cases. In this Barrett’s esophagus cohort, Streptococcus and Prevotella species dominate the upper GI and the ratio of these two species is associated with waist-to-hip ratio and hiatal hernia length, two known EAC risk factors in Barrett’s esophagus. H. pylori-positive individuals had a significantly decreased incidence of aneuploidy and a non-significant trend toward lower incidence of EAC. PMID:26076489

Haemosuccus pancreaticus, an uncommon cause of upper gastro intestinal bleeding: Case report and review of the literature.

PubMed

Shah, Amir Ali; Charon, Jean Pierre

2015-06-01

Haemosuccus Pancreaticus is defined as upper gastro intestinal (GI) bleeding from the ampula of vater via the pancreatic duct. It is most commonly associated with pancreatic inflammation, erosion of the pancrease by aneurysm or pseudo-aneurysm of the splenic artery. We report a 69 year old man with previous history of acute pancreatitis who was admitted with recurrent haematemesis. Initial upper GI endocopy was normal, while admitted, he collapse with abdominal pain and hypotension. He was resuscitated with blood and intravenous fluid. Repeat upper GI endocopy showed fresh blood in the duodenum, but no active bleeding site was demonstrated. An urgent coeliac axis CT angiogram was done which showed an splenic artery pseudo-aneurysm, which was successfully embolized. Patient is well 9 months after the procedure. This case highlights the importance of considering coeliac axis CT angiogram as part of investigation for obscure GI bleeding.

Finite-frequency wave propagation through outer rise fault zones and seismic measurements of upper mantle hydration

USGS Publications Warehouse

Miller, Nathaniel; Lizarralde, Daniel

2016-01-01

Effects of serpentine-filled fault zones on seismic wave propagation in the upper mantle at the outer rise of subduction zones are evaluated using acoustic wave propagation models. Modeled wave speeds depend on azimuth, with slowest speeds in the fault-normal direction. Propagation is fastest along faults, but, for fault widths on the order of the seismic wavelength, apparent wave speeds in this direction depend on frequency. For the 5–12 Hz Pn arrivals used in tomographic studies, joint-parallel wavefronts are slowed by joints. This delay can account for the slowing seen in tomographic images of the outer rise upper mantle. At the Middle America Trench, confining serpentine to fault zones, as opposed to a uniform distribution, reduces estimates of bulk upper mantle hydration from ~3.5 wt % to as low as 0.33 wt % H2O.

Accessory superficial ulnar artery: a case report.

PubMed

Solan, Shweta

2013-12-01

Variations in the arterial system of the upper limb have been well documented. A thorough knowledge on variations of arteries of upper extremity is necessary during performance of vascular and reconstructive surgeries and also, during evaluation of angiographic images. A case of accessory superficial ulnar artery was reported. The ulnar artery had a high origin from the brachial artery, in the upper third of the arm and it proceeded superficially and lateral to ulnar nerve in forearm, but it had a normal termination in the hand. The brachial artery had a usual course in the arm, but in the cubital fossa, it divided into the radial and deep ulnar arteries. This deep ulnar artery ended by dividing into ulnar recurrent and common interosseous arteries. Knowledge on this variation is important for the radiologists, orthopaedic and plastic surgeons, for appropriate planning of operative procedures involving the arteries of the upper limb.

Accessory Superficial Ulnar Artery: A Case Report

PubMed Central

Solan, Shweta

2013-01-01

Variations in the arterial system of the upper limb have been well documented. A thorough knowledge on variations of arteries of upper extremity is necessary during performance of vascular and reconstructive surgeries and also, during evaluation of angiographic images. A case of accessory superficial ulnar artery was reported. The ulnar artery had a high origin from the brachial artery, in the upper third of the arm and it proceeded superficially and lateral to ulnar nerve in forearm, but it had a normal termination in the hand. The brachial artery had a usual course in the arm, but in the cubital fossa, it divided into the radial and deep ulnar arteries. This deep ulnar artery ended by dividing into ulnar recurrent and common interosseous arteries. Knowledge on this variation is important for the radiologists, orthopaedic and plastic surgeons, for appropriate planning of operative procedures involving the arteries of the upper limb. PMID:24551682

Mixing and mingling in Iceland: The origin of a diverse suite of Tertiary lavas

NASA Astrophysics Data System (ADS)

Jordan, B. T.

2006-12-01

A sequence of intermediate and silicic volcanic units occurs within a stratigraphic package dominated by moderately evolved tholeiitic basalts in the mountains Laxardalsfjoll and Langadalsfjall in the southern Skagi Peninsula of north-central Iceland. This sequence consists of several minor rhyolite and dacite lavas directly overlain by a voluminous (>3 km3) litholigically diverse andesite to rhyolite lava flow Above this flow is a basaltic andesite to dacite lava, or lavas (mapping not complete), and the sequence is capped by an extensive rhyolite lava. Pyroclastic deposits, including one welded tuff, occur within the sequence. The sequence was erupted at 7.8 Ma, not long before the abandonment of the Skagi-Snaefellsnes rift zone in which it was erupted. The rhyolite lavas are generally aphyric. The lower rhyolites are of variable composition (71-75% SiO2) and the upper is a high-silica rhyolite (75-76% SiO2). The lower dacite and upper basaltic andesite to dacite lava(s) are aphyric and plot on a linear mixing trend between well defined end-members, a moderately evolved basalt and a high-silica rhyolite. The most anomalous unit is the andesite-rhyolite lava. It is lithologically heterogeneous with <<1% to 20% coarse (up to 3 cm) nearly equant plagioclase phenocrysts. Lithologies commonly vary across sharp borders within the flow, with domains of different lithologies being up to 10s of m in extent. The coarse plagioclase phenocrysts are calcic, up to An87 indicating an origin in basaltic magma. The whole rock composition varies from andesite (58% SiO2) to rhyolite (70% SiO2). Silica content is inversely correlated with phenocryst abundance, but can not be explained by phenocrysts alone. A wide range of mixing and mingling textures are observed at mesoscopic and microscopic scales. Major and trace element variations are quite distinct from the other mixed unit and indicate that the end members of mixing are a plagioclase-rich basalt and a range of silicic compositions from dacite to low-silica rhyolite. A candidate for the mafic end member of mixing is a plagioclase-ultraphyric basalt mapped in Vatnsdalsfjall (~10 km away). It has similar coarse equant plagioclase phenocrysts (up to 35%), with identical An-contents and distinctive patterns of inclusions. I propose that a dike that fed this lava also propagated at depth into a zoned dacite-rhyolite magma chamber, similar to the AD 1480 propagation of the Veidivotn fissure into the Torfajokull caldera. This triggered a large eruption from the zone of mingling/mixing, followed by a significant eruption from the evolved upper portion of the magma chamber. The diverse underlying small-volume rhyolites had been the normal products erupted from the zoned silicic magma chamber. The origin of the second, basaltic andesite to dacite, mixing trend is equivocal. The lavas constituting this trend occur immediately below and above the porphyritic lava suggesting that mixing between normal tholeiite and high-silica rhyolite magmas was ongoing in the upper part of the magma chamber at the time of the main eruption.

40Ar 39Ar age constraints on neogene sedimentary beds, Upper Ramparts, half-way Pillar and Canyon village sites, Porcupine river, east-central Alaska

USGS Publications Warehouse

Kunk, Michael J.; Rieck, H.; Fouch, T.D.; Carter, L.D.

1994-01-01

40Ar 39Ar ages of volcanic rocks are used to provide numerical constraints on the age of middle and upper Miocene sedimentary strata collected along the Porcupine River. Intercalated sedimentary rocks north of latitude 67??10???N in the Porcupine terrane of east-central Alaska contain a rich record of plant fossils. The fossils are valuable indicators of this interior region's paleoclimate during the time of their deposition. Integration of the 40Ar 39Ar results with paleomagnetic and sedimentological data allows for refinements in estimating the timing of deposition and duration of selected sedimentary intervals. 40Ar 39Ar plateau age spectra, from whole rock basalt samples, collected along the Upper Ramparts and near Half-way Pillar on the Porcupine River, range from 15.7 ?? 0.1 Ma at site 90-6 to 14.4 ?? 0.1 Ma at site 90-2. With exception of the youngest basalt flow at site 90-2, all of the samples are of reversed magnetic polarity, and all 40Ar 39Ar age spectrum results are consistent with the deposition of the entire stratigraphic section during a single interval of reversed magnetic polarity. The youngest flow at site 90-2 was emplaced during an interval of normal polarity. With age, paleomagnetic and sedimentological data, the ages of the Middle Miocene sedimentary rocks between the basalt flows at sites 90-1 and 90-2 can be assigned to an interval within the limits of analytical precision of 15.2 ?? 0.1 Ma; thus, the sediments were deposited during the peak of the Middle Miocene thermal maximum. Sediments in the upper parts of sites 90-1 and 90-2 were probably deposited during cooling from the Middle Miocene thermal maximum. 40Ar 39Ar results of plagioclase and biotite from a single tephra, collected at sites 90-7 and 90-8 along the Canyon Village section of the Porcupine River, indicate an age of 6.57 ?? 0.02 Ma for its time of eruption and deposition. These results, together with sedimentological and paleomagnetic data, suggest that all of the Upper Miocene lacustrine sedimentary rocks at these sites were deposited during a single interval of reversed magnetic polarity and may represent a duration of only about 40,000 years. The age of this tephra corresponds with a late late Miocene warm climatic interval. The results from the Upper Ramparts and Half-way Pillar sites are used to estimate a minimum interval of continental flood basalt activity of 1.1-1.5 million years, and to set limits for the timing and duration of Tertiary extensional tectonic activity in the Porcupine terrane. Our data indicate that the oroclinal flexure that formed before the deposition of the basalts at the eastern end of the Brooks Range was created prior to 15.7 ?? 0.1 Ma. ?? 1994.

Surface- and ground-water characteristics in the Upper Truckee River and Trout Creek watersheds, South Lake Tahoe, California and Nevada, July-December 1996

USGS Publications Warehouse

Rowe, T.G.; Allander, Kip K.

2000-01-01

The Upper Truckee River and Trout Creek watersheds, South Lake Tahoe, California and Nevada, were studied from July to December 1996 to develop a better understanding of the relation between surface water and ground water. Base flows at 63 streamflow sites were measured in late September 1996 in the Upper Truckee River and Trout Creek watersheds. Most reaches of the main stem of the Upper Truckee River and Trout Creek had gaining or steady flows, with one losing reach in the mid-section of each stream. Twenty-seven of the streamflow sites measured in the Upper Truckee River watershed were on 14 tributaries to the main stem of the Upper Truckee River. Sixteen of the 40 streamflow sites measured in the Upper Truckee River watershed had no measurable flow. Streamflow in Upper Truckee River watershed ranged from 0 to 11.6 cubic feet per second (ft3/s). The discharge into Lake Tahoe from the Upper Truckee River was 11.6 ft3/s, of which, 40 percent of the flow was from ground-water discharge into the main stem, 40 percent was from tributary inflows, and the remaining 20 percent was the beginning flow. Gains from or losses to ground water along streams ranged from a 1.4 cubic feet per second per mile (ft3/s/mi) gain to a 0.5 ft3/s/mi loss along the main stem. Fourteen of the streamflow sites measured in the Trout Creek watershed were on eight tributaries to the main stem of Trout Creek. Of the 23 streamflow sites measured in the Trout Creek watershed, only one site had no flow. Flows in the Trout Creek watershed ranged from zero to 23.0 ft3/s. Discharge into Lake Tahoe from Trout Creek was 23.0 ft3/s, of which, about 5 percent of the flow was from ground-water discharge into the main stem, 75 percent was from tributary inflows, and the remaining 20 percent was the beginning flow. Ground-water seepage rates ranged from a 1.4 ft3/s/mi gain to a 0.9 ft3/s/mi loss along the main stem. Specific conductances measured during the seepage run in September 1996 increased in a downstream direction in the main stem of the Upper Truckee River and remained relatively constant in the main stem of Trout Creek. Water temperatures measured during the seepage run also increased in a downstream direction in both watersheds. Depths to ground water measured at 62 wells in the study area were used with the results of the seepage run to produce a water-level map in the Upper Truckee River and Trout Creek watersheds. Ground-water levels ranged from 1.3 to 69.8 feet below land surface. In the upper sections of the watersheds ground-water flow is generally toward the main stems of Upper Truckee River and Trout Creek, whereas in the lower sections, ground-water flow generally parallels the two streams and flows toward Lake Tahoe. The altitude of ground water between Lake Tahoe and Highway 50 was nearly the same as the lake-surface altitude from July to November 1996. This suggests ground-water discharge beneath the Upper Truckee River and Trout Creek drainages directly to Lake Tahoe was minimal and that much of the ground-water discharge was to the channels of the Upper Truckee River and Trout Creek upstream from Highway 50. Hydraulic gradients ranged from near zero to 1,400 feet per mile. Samples were collected at six surface-water-quality and eight ground-water-quality sites from July through mid-December 1996. Specific conductance of the ground-water-quality sites was higher than that of the surface-water-quality sites. Water temperature and pH median values were similar between ground-water-quality and surface-water-quality sites but ground water had greater variation in pH and surface water had greater variation in water temperature. Ground-water nutrient concentrations were generally higher than those in streams except for bioreactive iron.

The relationship of gross upper and lower limb motor competence to measures of health and fitness in adolescents aged 13-14 years.

PubMed

Weedon, Benjamin David; Liu, Francesca; Mahmoud, Wala; Metz, Renske; Beunder, Kyle; Delextrat, Anne; Morris, Martyn G; Esser, Patrick; Collett, Johnny; Meaney, Andy; Howells, Ken; Dawes, Helen

2018-01-01

Motor competence (MC) is an important factor in the development of health and fitness in adolescence. This cross-sectional study aims to explore the distribution of MC across school students aged 13-14 years old and the extent of the relationship of MC to measures of health and fitness across genders. A total of 718 participants were tested from three different schools in the UK, 311 girls and 407 boys (aged 13-14 years), pairwise deletion for correlation variables reduced this to 555 (245 girls, 310 boys). Assessments consisted of body mass index, aerobic capacity, anaerobic power, and upper limb and lower limb MC. The distribution of MC and the strength of the relationships between MC and health/fitness measures were explored. Girls performed lower for MC and health/fitness measures compared with boys. Both measures of MC showed a normal distribution and a significant linear relationship of MC to all health and fitness measures for boys, girls and combined genders. A stronger relationship was reported for upper limb MC and aerobic capacity when compared with lower limb MC and aerobic capacity in boys (t=-2.21, degrees of freedom=307, P=0.03, 95% CI -0.253 to -0.011). Normally distributed measures of upper and lower limb MC are linearly related to health and fitness measures in adolescents in a UK sample. NCT02517333.

Crustal structure in the Elko-Carlin Region, Nevada, during Eocene gold mineralization: Ruby-East Humboldt metamorphic core complex as a guide to the deep crust

USGS Publications Warehouse

Howard, K.A.

2003-01-01

The deep crustal rocks exposed in the Ruby-East Humboldt metamorphic core complex, northeastern Nevada, provide a guide for reconstructing Eocene crustal structure ~50 km to the west near the Carlin trend of gold deposits. The deep crustal rocks, in the footwall of a west-dipping normal-sense shear system, may have underlain the Pinon and Adobe Ranges about 50 km to the west before Tertiary extension, close to or under part of the Carlin trend. Eocene lakes formed on the hanging wall of the fault system during an early phase of extension and may have been linked to a fluid reservoir for hydrothermal circulation. The magnitude and timing of Paleogene extension remain indistinct, but dikes and tilt axes in the upper crust indicate that spreading was east-west to northwest-southeast, perpendicular to a Paleozoic and Mesozoic orogen that the spreading overprinted. High geothermal gradients associated with Eocene or older crustal thinning may have contributed to hydrothermal circulation in the upper crust. Late Eocene eruptions, upper crustal dike intrusion, and gold mineralization approximately coincided temporally with deep intrusion of Eocene sills of granite and quartz diorite and shallower intrusion of the Harrison Pass pluton into the core-complex rocks. Stacked Mesozoic nappes of metamorphosed Paleozoic and Precambrian rocks in the core complex lay at least 13 to 20 km deep in Eocene time, on the basis of geobarometry studies. In the northern part of the complex, the presently exposed rocks had been even deeper in the late Mesozoic, to >30 km depths, before losing part of their cover by Eocene time. Nappes in the core plunge northward beneath the originally thicker Mesozoic tectonic cover in the north part of the core complex. Mesozoic nappes and tectonic wedging likely occupied the thickened midlevel crustal section between the deep crustal core-complex intrusions and nappes and the overlying upper crust. These structures, as well as the subsequent large-displacement Cenozoic extensional faulting and flow in the deep crust, would be expected to blur the expression of any regional structural roots that could correlate with mineral belts. Structural mismatch of the mineralized upper crust and the tectonically complex middle crust suggests that the Carlin trend relates not to subjacent deeply penetrating rooted structures but to favorable upper crustal host rocks aligned within a relatively coherent regional block of upper crust.

Reliability of the mangled extremity severity score in combat-related upper and lower extremity injuries.

PubMed

Ege, Tolga; Unlu, Aytekin; Tas, Huseyin; Bek, Dogan; Turkan, Selim; Cetinkaya, Aytac

2015-01-01

Decision of limb salvage or amputation is generally aided with several trauma scoring systems such as the mangled extremity severity score (MESS). However, the reliability of the injury scores in the settling of open fractures due to explosives and missiles is challenging. Mortality and morbidity of the extremity trauma due to firearms are generally associated with time delay in revascularization, injury mechanism, anatomy of the injured site, associated injuries, age and the environmental circumstance. The purpose of the retrospective study was to evaluate the extent of extremity injuries due to ballistic missiles and to detect the reliability of mangled extremity severity score (MESS) in both upper and lower extremities. Between 2004 and 2014, 139 Gustillo Anderson Type III open fractures of both the upper and lower extremities were enrolled in the study. Data for patient age, fire arm type, transporting time from the field to the hospital (and the method), injury severity scores, MESS scores, fracture types, amputation levels, bone fixation methods and postoperative infections and complications retrieved from the two level-2 trauma center's data base. Sensitivity, specificity, positive and negative predictive values of the MESS were calculated to detect the ability in deciding amputation in the mangled limb. Amputation was performed in 39 extremities and limb salvage attempted in 100 extremities. The mean followup time was 14.6 months (range 6-32 months). In the amputated group, the mean MESS scores for upper and lower extremity were 8.8 (range 6-11) and 9.24 (range 6-11), respectively. In the limb salvage group, the mean MESS scores for upper and lower extremities were 5.29 (range 4-7) and 5.19 (range 3-8), respectively. Sensitivity of MESS in upper and lower extremities were calculated as 80% and 79.4% and positive predictive values detected as 55.55% and 83.3%, respectively. Specificity of MESS score for upper and lower extremities was 84% and 86.6%; negative predictive values were calculated as 95.45% and 90.2%, respectively. MESS is not predictive in combat related extremity injuries especially if between a score of 6-8. Limb ischemia and presence or absence of shock can be used in initial decision-making for amputation.

Reliability of the mangled extremity severity score in combat-related upper and lower extremity injuries

PubMed Central

Ege, Tolga; Unlu, Aytekin; Tas, Huseyin; Bek, Dogan; Turkan, Selim; Cetinkaya, Aytac

2015-01-01

Background: Decision of limb salvage or amputation is generally aided with several trauma scoring systems such as the mangled extremity severity score (MESS). However, the reliability of the injury scores in the settling of open fractures due to explosives and missiles is challenging. Mortality and morbidity of the extremity trauma due to firearms are generally associated with time delay in revascularization, injury mechanism, anatomy of the injured site, associated injuries, age and the environmental circumstance. The purpose of the retrospective study was to evaluate the extent of extremity injuries due to ballistic missiles and to detect the reliability of mangled extremity severity score (MESS) in both upper and lower extremities. Materials and Methods: Between 2004 and 2014, 139 Gustillo Anderson Type III open fractures of both the upper and lower extremities were enrolled in the study. Data for patient age, fire arm type, transporting time from the field to the hospital (and the method), injury severity scores, MESS scores, fracture types, amputation levels, bone fixation methods and postoperative infections and complications retrieved from the two level-2 trauma center's data base. Sensitivity, specificity, positive and negative predictive values of the MESS were calculated to detect the ability in deciding amputation in the mangled limb. Results: Amputation was performed in 39 extremities and limb salvage attempted in 100 extremities. The mean followup time was 14.6 months (range 6–32 months). In the amputated group, the mean MESS scores for upper and lower extremity were 8.8 (range 6–11) and 9.24 (range 6–11), respectively. In the limb salvage group, the mean MESS scores for upper and lower extremities were 5.29 (range 4–7) and 5.19 (range 3–8), respectively. Sensitivity of MESS in upper and lower extremities were calculated as 80% and 79.4% and positive predictive values detected as 55.55% and 83.3%, respectively. Specificity of MESS score for upper and lower extremities was 84% and 86.6%; negative predictive values were calculated as 95.45% and 90.2%, respectively. Conclusion: MESS is not predictive in combat related extremity injuries especially if between a score of 6–8. Limb ischemia and presence or absence of shock can be used in initial decision-making for amputation. PMID:26806974

Strike-slip earthquakes in the oceanic lithosphere: Observations of exceptionally high apparent stress

USGS Publications Warehouse

Choy, George; McGarr, A.

2002-01-01

The radiated energies, ES, and seismic moments, M0, for 942 globally distributed earthquakes that occurred between 1987 to 1998 are examined to find the earthquakes with the highest apparent stresses (τa=μES/M0, where μ is the modulus of rigidity). The globally averaged τa for shallow earthquakes in all tectonic environments and seismic regions is 0.3 MPa. However, the subset of 49 earthquakes with the highest apparent stresses (τa greater than about 5.0 MPa) is dominated almost exclusively by strike-slip earthquakes that occur in oceanic environments. These earthquakes are all located in the depth range 7–29 km in the upper mantle of the young oceanic lithosphere. Many of these events occur near plate-boundary triple junctions where there appear to be high rates of intraplate deformation. Indeed, the small rapidly deforming Gorda Plate accounts for 10 of the 49 high-τa events. The depth distribution of τa, which shows peak values somewhat greater than 25 MPa in the depth range 20–25 km, suggests that upper bounds on this parameter are a result of the strength of the oceanic lithosphere. A recently proposed envelope for apparent stress, derived by taking 6 per cent of the strength inferred from laboratory experiments for young (less than 30 Ma) deforming oceanic lithosphere, agrees well with the upper-bound envelope of apparent stresses over the depth range 5–30 km. The corresponding depth-dependent shear strength for young oceanic lithosphere attains a peak value of about 575 MPa at a depth of 21 km and then diminishes rapidly as the depth increases. In addition to their high apparent stresses, which suggest that the strength of the young oceanic lithosphere is highest in the depth range 10–30 km, our set of high-τa earthquakes show other features that constrain the nature of the forces that cause interplate motion. First, our set of events is divided roughly equally between intraplate and transform faulting with similar depth distributions of τa for the two types. Secondly, many of the intraplate events have focal mechanisms with the T-axes that are normal to the nearest ridge crest or subduction zone and P-axes that are normal to the proximate transform fault. These observations suggest that forces associated with the reorganization of plate boundaries play an important role in causing high-τa earthquakes inside oceanic plates. Extant transform boundaries may be misaligned with current plate motion. To accommodate current plate motion, the pre-existing plate boundaries would have to be subjected to large horizontal transform push forces. A notable example of this is the triple junction near which the second large aftershock of the 1992 April Cape Mendocino, California, sequence occurred. Alternatively, subduction zone resistance may be enhanced by the collision of a buoyant lithosphere, a process that also markedly increases the horizontal stress. A notable example of this is the Aleutian Trench near which large events occurred in the Gulf of Alaska in late 1987 and the 1998 March Balleny Sea M= 8.2 earthquake within the Antarctic Plate.

Southern Africa as seen from STS-61 Shuttle Endeavour

NASA Image and Video Library

1993-12-09

STS061-106-091 (December 1993) --- The entire southern tip of Africa is shown in this high altitude 50mm photograph. The center of the photograph is at approximately 28.0 degrees south and 24.0 degrees east Cape Columbine is at the upper right with Durban at the lower center. The Orange River is at the upper center of the frame. Cape Agulas is the southernmost part of the African continent and is visible toward the upper right corner with the great bays of South Africa trending toward the bottom right. Continuing clockwise along the coast, Durban projects out into the Indian Ocean. The oceanic clouds on the right side of the photograph probably depict a current boundary. The Drakensberg Range on the east, the great Karoo Range to the south and the Karas Mountains on the west surround the drier central plateau. The southern Kalahari Desert is at the upper left of the photograph.

Borehole Shear Device Phase II Development.

DTIC Science & Technology

1982-02-01

FIGURE 8 ITEM QUANTITY DESCRIPTION B1 1 Torque/Normal Load Transducer - First Extension Coupling. B2 1 Torque/Normal Load Transducer - Gauge Tube. B3 I...235, type RFN 7012. Supplier - Ringfeder Limited, Forum Drive, Midland Indus- trial Estate, Rugby , Warwickshire CV21 iNT, UK. FB 1 Expanding Friction...Midland Industrial Estate, Rugby , Warwickshire CV21 INT, UK. GF 2 Deep Groove Ball Bearing (upper support bearing), 80 x 100 x 10. Supplier - SKF ref

Serum concentrations of symmetric dimethylarginine and creatinine in cats with kidney stones.

PubMed

Hall, Jean A; Yerramilli, Maha; Obare, Edward; Li, Jun; Yerramilli, Murthy; Jewell, Dennis E

2017-01-01

Serum concentrations of symmetric dimethylarginine (SDMA) correlate with renal function in cats and SDMA has been shown to be a more reliable and earlier marker for chronic kidney disease (CKD) compared with serum creatinine (Cr). Calcium oxalate uroliths tend to develop in mid-to-older aged cats and kidney stones may cause a reduction in renal function with increased SDMA, but normal serum Cr. The purpose of this retrospective study was to determine if cats with kidney stones had increased serum SDMA concentrations, and whether SDMA increased earlier than serum creatinine concentrations. Cats in the colony with kidney stones diagnosed between August 2010 and December 2015 (n = 43) were compared with healthy geriatric cats (n = 21) without kidney stones. Serum SDMA concentrations were determined by liquid chromatography-mass spectrometry and serum Cr concentrations were determined by enzymatic colorimetry. Cats with kidney stones were diagnosed antemortem by radiographic imaging (n = 12) or by postmortem necropsy (n = 31). Retrospectively, serum SDMA was found to be increased above the upper reference limit in 39 of 43 cats with kidney stones. Serum Cr was increased above the upper reference limit in 18 of 43 cats; 6 of these 18 cats had terminal azotemia only. The mean time that serum SDMA was increased before serum Cr was increased was 26.9 months (range 0 to 60 months). Kidney stones were composed of calcium oxalate in 30 of 34 cats. The lifespan for cats with kidney stones (mean, 12.5 years; range, 6.1 to 18.1 years) was shorter (P < 0.001) than for control cats (mean, 15.2 years; range, 13.0 to 17.2 years), suggesting that non-obstructive kidney stones have an effect on mortality rate or rate of CKD progression. In conclusion, if SDMA concentrations are elevated in mid-to-older aged cats, further imaging studies are warranted to check for the presence of kidney stones.

Markov Dynamics as a Zooming Lens for Multiscale Community Detection: Non Clique-Like Communities and the Field-of-View Limit

PubMed Central

Schaub, Michael T.; Delvenne, Jean-Charles; Yaliraki, Sophia N.; Barahona, Mauricio

2012-01-01

In recent years, there has been a surge of interest in community detection algorithms for complex networks. A variety of computational heuristics, some with a long history, have been proposed for the identification of communities or, alternatively, of good graph partitions. In most cases, the algorithms maximize a particular objective function, thereby finding the ‘right’ split into communities. Although a thorough comparison of algorithms is still lacking, there has been an effort to design benchmarks, i.e., random graph models with known community structure against which algorithms can be evaluated. However, popular community detection methods and benchmarks normally assume an implicit notion of community based on clique-like subgraphs, a form of community structure that is not always characteristic of real networks. Specifically, networks that emerge from geometric constraints can have natural non clique-like substructures with large effective diameters, which can be interpreted as long-range communities. In this work, we show that long-range communities escape detection by popular methods, which are blinded by a restricted ‘field-of-view’ limit, an intrinsic upper scale on the communities they can detect. The field-of-view limit means that long-range communities tend to be overpartitioned. We show how by adopting a dynamical perspective towards community detection [1], [2], in which the evolution of a Markov process on the graph is used as a zooming lens over the structure of the network at all scales, one can detect both clique- or non clique-like communities without imposing an upper scale to the detection. Consequently, the performance of algorithms on inherently low-diameter, clique-like benchmarks may not always be indicative of equally good results in real networks with local, sparser connectivity. We illustrate our ideas with constructive examples and through the analysis of real-world networks from imaging, protein structures and the power grid, where a multiscale structure of non clique-like communities is revealed. PMID:22384178

Serum concentrations of symmetric dimethylarginine and creatinine in cats with kidney stones

PubMed Central

Hall, Jean A.; Yerramilli, Maha; Obare, Edward; Li, Jun; Yerramilli, Murthy; Jewell, Dennis E.

2017-01-01

Serum concentrations of symmetric dimethylarginine (SDMA) correlate with renal function in cats and SDMA has been shown to be a more reliable and earlier marker for chronic kidney disease (CKD) compared with serum creatinine (Cr). Calcium oxalate uroliths tend to develop in mid-to-older aged cats and kidney stones may cause a reduction in renal function with increased SDMA, but normal serum Cr. The purpose of this retrospective study was to determine if cats with kidney stones had increased serum SDMA concentrations, and whether SDMA increased earlier than serum creatinine concentrations. Cats in the colony with kidney stones diagnosed between August 2010 and December 2015 (n = 43) were compared with healthy geriatric cats (n = 21) without kidney stones. Serum SDMA concentrations were determined by liquid chromatography-mass spectrometry and serum Cr concentrations were determined by enzymatic colorimetry. Cats with kidney stones were diagnosed antemortem by radiographic imaging (n = 12) or by postmortem necropsy (n = 31). Retrospectively, serum SDMA was found to be increased above the upper reference limit in 39 of 43 cats with kidney stones. Serum Cr was increased above the upper reference limit in 18 of 43 cats; 6 of these 18 cats had terminal azotemia only. The mean time that serum SDMA was increased before serum Cr was increased was 26.9 months (range 0 to 60 months). Kidney stones were composed of calcium oxalate in 30 of 34 cats. The lifespan for cats with kidney stones (mean, 12.5 years; range, 6.1 to 18.1 years) was shorter (P < 0.001) than for control cats (mean, 15.2 years; range, 13.0 to 17.2 years), suggesting that non-obstructive kidney stones have an effect on mortality rate or rate of CKD progression. In conclusion, if SDMA concentrations are elevated in mid-to-older aged cats, further imaging studies are warranted to check for the presence of kidney stones. PMID:28384169

Upper tract urothelial recurrence following radical cystectomy for transitional cell carcinoma of the bladder: an analysis of 1,069 patients with 10-year followup.

PubMed

Sanderson, Kristin M; Cai, Jie; Miranda, Gustavo; Skinner, Donald G; Stein, John P

2007-06-01

Risk factors for upper tract recurrence following radical cystectomy for transitional cell carcinoma of the bladder are not yet well-defined. We reviewed our population of patients who underwent radical cystectomy to identify prognostic factors and clinical outcomes associated with upper tract recurrence. From our prospective database of 1,359 patients who underwent radical cystectomy we identified 1,069 patients treated for transitional cell carcinoma of the bladder between January 1985 and December 2001. Univariate analysis was completed to determine factors predictive of upper tract recurrence. A total of 853 men and 216 women were followed for a median of 10.3 years (maximum 18.5). There were 27 (2.5%) upper tract recurrences diagnosed at a median of 3.3 years (range 0.4 to 9.3). Only urethral tumor involvement was predictive of upper tract recurrence. In men superficial transitional cell carcinoma of the prostatic urethra was associated with an increased risk of upper tract recurrence compared with prostatic stromal invasion or absence of prostatic transitional cell carcinoma (p <0.01). In women urethral transitional cell carcinoma was associated with an increased risk of upper tract recurrence (p = 0.01). Despite routine surveillance 78% of upper tract recurrence was detected after development of symptoms. Median survival following upper tract recurrence was 1.7 years (range 0.2 to 8.8). Detection of asymptomatic upper tract recurrence via surveillance did not predict lower nephroureterectomy tumor stage, absence of lymph node metastases or improved survival. Patients with bladder cancer are at lifelong risk for late oncological recurrence in the upper tract urothelium. Patients with evidence of tumor involvement within the urethra are at highest risk. Surveillance regimens frequently fail to detect tumors before symptoms develop. However, radical nephroureterectomy can provide prolonged survival.

Inspiratory and expiratory aerosol deposition in the upper airway.

PubMed

Verbanck, S; Kalsi, H S; Biddiscombe, M F; Agnihotri, V; Belkassem, B; Lacor, C; Usmani, O S

2011-02-01

Aerosol deposition efficiency (DE) in the extrathoracic airways during mouth breathing is currently documented only for the inspiratory phase of respiration, and there is a need for quantification of expiratory DE. Our aim was to study both inspiratory and expiratory DE in a realistic upper airway geometry. This was done experimentally on a physical upper airway cast by scintigraphy, and numerically by computational fluid dynamic simulations using a Reynolds Averaged Navier?Stokes (RANS) method with a k-? SST turbulence model coupled with a stochastic Lagrangian approach. Experiments and simulations were carried out for particle sizes (3 and 6 μm) and flow rates (30 and 60 L/min) spanning the ranges of Stokes (Stk) and Reynolds (Re) number pertinent to therapeutic and environmental aerosols. We showed that inspiratory total deposition data obtained by scintigraphy fell onto a previously published deposition curve representative of a range of upper airway geometries. We also found that expiratory and inspiratory DE curves were almost identical. Finally, DE in different compartments of the upper airway model showed a very different distribution pattern of aerosol deposition during inspiration and expiration, with preferential deposition in oral and pharyngeal compartments, respectively. These compartmental deposition patterns were very consistent and only slightly dependent on particle size or flow rate. Total deposition for inspiration and expiration was reasonably well-mimicked by the RANS simulation method we employed, and more convincingly so in the upper range of the Stk and Re number. However, compartmental deposition patterns showed discrepancies between experiments and RANS simulations, particularly during expiration.

Upper limb module in non-ambulant patients with spinal muscular atrophy: 12 month changes.

PubMed

Sivo, Serena; Mazzone, Elena; Antonaci, Laura; De Sanctis, Roberto; Fanelli, Lavinia; Palermo, Concetta; Montes, Jacqueline; Pane, Marika; Mercuri, Eugenio

2015-03-01

Recent studies have suggested that in non-ambulant patients affected by spinal muscular atrophy the Upper Limb Module can increase the range of activities assessed by the Hammersmith Functional Motor Scale Expanded. The aim of this study was to establish 12-month changes in the Upper Limb Module in a cohort of non-ambulant spinal muscular atrophy patients and their correlation with changes on the Hammersmith Functional Motor Scale Expanded. The Upper Limb Module scores ranged between 0 and 17 (mean 10.23, SD 4.81) at baseline and between 1 and 17 at 12 months (mean 10.27, SD 4.74). The Hammersmith Functional Motor Scale Expanded scores ranged between 0 and 34 (mean 12.43, SD 9.13) at baseline and between 0 and 34 at 12 months (mean 12.08, SD 9.21). The correlation betweeen the two scales was 0.65 at baseline and 0.72 on the 12 month changes. Our results confirm that the Upper Limb Module can capture functional changes in non-ambulant spinal muscular atrophy patients not otherwise captured by the other scale and that the combination of the two measures allows to capture changes in different subgroups of patients in whom baseline scores and functional changes may be influenced by several variables such as age. Copyright © 2014 Elsevier B.V. All rights reserved.

Apparatus for testing high pressure injector elements

NASA Technical Reports Server (NTRS)

Myers, William Neill (Inventor); Scott, Ewell M. (Inventor); Forbes, John C. (Inventor); Shadoan, Michael D. (Inventor)

1995-01-01

An apparatus for testing and evaluating the spray pattern of high pressure fuel injector elements for use in supplying fuel to combustion engines is presented. Prior art fuel injector elements were normally tested by use of low pressure apparatuses which did not provide a purge to prevent mist from obscuring the injector element or to prevent frosting of the view windows; could utilize only one fluid during each test; and had their viewing ports positioned one hundred eighty (180 deg) apart, thus preventing optimum use of laser diagnostics. The high pressure fluid injector test apparatus includes an upper hub, an upper weldment or housing, a first clamp and stud/nut assembly for securing the upper hub to the upper weldment, a standoff assembly within the upper weldment, a pair of window housings having view glasses within the upper weldment, an injector block assembly and purge plate within the upper weldment for holding an injector element to be tested and evaluated, a lower weldment or housing, a second clamp and stud/nut assembly for securing the lower weldment to the upper hub, a third clamp and stud/nut assembly for securing the lower hub to the lower weldment, mechanisms for introducing fluid under high pressure for testing an injector element, and mechanisms for purging the apparatus to prevent frosting of view glasses within the window housings and to permit unobstructed viewing of the injector element.

Apparatus for testing high pressure injector elements

NASA Technical Reports Server (NTRS)

Myers, William Neill (Inventor); Scott, Ewell M. (Inventor); Forbes, John C. (Inventor); Shadoan, Michael D. (Inventor)

1993-01-01

An apparatus for testing and evaluating the spray pattern of high pressure fuel injector elements for use in supplying fuel to combustion engines is presented. Prior art fuel injector elements were normally tested by use of low pressure apparatuses which did not provide a purge to prevent mist from obscuring the injector element or to prevent frosting of the view windows; could utilize only one fluid during each test; and had their viewing ports positioned one hundred eighty (180 deg) apart, thus preventing optimum use of laser diagnostics. The high pressure fluid injector test apparatus includes an upper hub, an upper weldment or housing, a first clamp and stud/nut assembly for securing the upper hub to the upper weldment, a standoff assembly within the upper weldment, a pair of window housings having view glasses within the upper weldment, an injector block assembly and purge plate within the upper weldment for holding an injector element to be tested and evaluated, a lower weldment or housing, a second clamp and stud/nut assembly for securing the lower weldment to the upper weldment, a lower hub, a third clamp and stud/nut assembly for securing the lower hub to the lower weldment, mechanisms for introducing fluid under high pressure for testing an injector element, and mechanisms for purging the apparatus to prevent frosting of view glasses within the window housings and to permit unobstructed viewing of the injector element.

Social Inequalities in the Allocation of Learning Support in a Swedish Upper Secondary School

ERIC Educational Resources Information Center

Johansson, Monica

2017-01-01

The upper secondary school is in Sweden practically mandatory even though attendance is voluntary and today almost all students in Sweden continue their studies at upper secondary school. But not all of them leave this school with a complete certificate of schooling as a result of experiencing a range of difficulties which may be due to cognitive,…

Follow-Up Care for Older Women With Breast Cancer

DTIC Science & Technology

1999-08-01

range of patient outcomes, including primary tumor therapy and mortality, self -reported upper body function, and overall physical function. Methods...mor therapy, all cause mortality, self -reported function and overall physical function than upper body function, and overall physical was the interview...Major Analytic Variables mor therapy and all cause mortality, as well as self -reported upper body and overall physical Dependent Variables. Our first

Distribution of normal superficial ocular vessels in digital images.

PubMed

Banaee, Touka; Ehsaei, Asieh; Pourreza, Hamidreza; Khajedaluee, Mohammad; Abrishami, Mojtaba; Basiri, Mohsen; Daneshvar Kakhki, Ramin; Pourreza, Reza

2014-02-01

To investigate the distribution of different-sized vessels in the digital images of the ocular surface, an endeavor which may provide useful information for future studies. This study included 295 healthy individuals. From each participant, four digital photographs of the superior and inferior conjunctivae of both eyes, with a fixed succession of photography (right upper, right lower, left upper, left lower), were taken with a slit lamp mounted camera. Photographs were then analyzed by a previously described algorithm for vessel detection in the digital images. The area (of the image) occupied by vessels (AOV) of different sizes was measured. Height, weight, fasting blood sugar (FBS) and hemoglobin levels were also measured and the relationship between these parameters and the AOV was investigated. These findings indicated a statistically significant difference in the distribution of the AOV among the four conjunctival areas. No significant correlations were noted between the AOV of each conjunctival area and the different demographic and biometric factors. Medium-sized vessels were the most abundant vessels in the photographs of the four investigated conjunctival areas. The AOV of the different sizes of vessels follows a normal distribution curve in the four areas of the conjunctiva. The distribution of the vessels in successive photographs changes in a specific manner, with the mean AOV becoming larger as the photos were taken from the right upper to the left lower area. The AOV of vessel sizes has a normal distribution curve and medium-sized vessels occupy the largest area of the photograph. Copyright © 2013 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.

Upper limb function in Duchenne muscular dystrophy: 24 month longitudinal data.

PubMed

Pane, Marika; Coratti, Giorgia; Brogna, Claudia; Mazzone, Elena Stacy; Mayhew, Anna; Fanelli, Lavinia; Messina, Sonia; D'Amico, Adele; Catteruccia, Michela; Scutifero, Marianna; Frosini, Silvia; Lanzillotta, Valentina; Colia, Giulia; Cavallaro, Filippo; Rolle, Enrica; De Sanctis, Roberto; Forcina, Nicola; Petillo, Roberta; Barp, Andrea; Gardani, Alice; Pini, Antonella; Monaco, Giulia; D'Angelo, Maria Grazia; Zanin, Riccardo; Vita, Gian Luca; Bruno, Claudio; Mongini, Tiziana; Ricci, Federica; Pegoraro, Elena; Bello, Luca; Berardinelli, Angela; Battini, Roberta; Sansone, Valeria; Albamonte, Emilio; Baranello, Giovanni; Bertini, Enrico; Politano, Luisa; Sormani, Maria Pia; Mercuri, Eugenio

2018-01-01

The aim of the study was to establish 24 month changes in upper limb function using a revised version of the performance of upper limb test (PUL 2.0) in a large cohort of ambulant and non-ambulant boys with Duchenne muscular dystrophy and to identify possible trajectories of progression. Of the 187 patients studied, 87 were ambulant (age range: 7-15.8 years), and 90 non-ambulant (age range: 9.08-24.78). The total scores changed significantly over time (p<0.001). Non-ambulant patients had lower total scores at baseline (mean 19.7) when compared to the ambulant ones (mean 38.4). They also had also a bigger decrease in total scores over 24 months compared to the ambulant boys (4.36 vs 2.07 points). Multivariate model analysis showed that the Performance of Upper Limb changes reflected the entry level and ambulation status, that were independently associated to the slope of Performance of Upper Limb changes. This information will be of help both in clinical practice and at the time of designing clinical trials.

An evaluation of risk estimation procedures for mixtures of carcinogens

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

Hwang, J.S.; Chen, J.J.

1999-12-01

The estimation of health risks from exposure to a mixture of chemical carcinogens is generally based on the combination of information from several available single compound studies. The current practice of directly summing the upper bound risk estimates of individual carcinogenic components as an upper bound on the total risk of a mixture is known to be generally too conservative. Gaylor and Chen (1996, Risk Analysis) proposed a simple procedure to compute an upper bound on the total risk using only the upper confidence limits and central risk estimates of individual carcinogens. The Gaylor-Chen procedure was derived based on anmore » underlying assumption of the normality for the distributions of individual risk estimates. IN this paper the authors evaluated the Gaylor-Chen approach in terms the coverages of the upper confidence limits on the true risks of individual carcinogens. In general, if the coverage probabilities for the individual carcinogens are all approximately equal to the nominal level, then the Gaylor-Chen approach should perform well. However, the Gaylor-Chen approach can be conservative or anti-conservative if some of all individual upper confidence limit estimates are conservative or anti-conservative.« less

Measurement of maximal isometric torque and muscle quality of the knee extensors and flexors in healthy 50- to 70-year-old women.

PubMed

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.

Temporal and spatial behavior of pharmaceuticals in ...

EPA Pesticide Factsheets

The behavior of active pharmaceutical ingredients (APIs) in urban estuaries is not well understood. In this study, 15 high volume usage APIs were measured over a one year period throughout Narragansett Bay, RI, USA to determine factors controlling their concentration and distribution. Dissolved APIs ranged in concentration from not detected to 310 ng/L, with numerous APIs present at all sites and sampling periods. Eight APIs were present in suspended particulate material, ranging in concentration from <1 ng/g to 44 ng/g. Partitioning coefficients (Kds) were determined for APIs present in both the dissolved and particulate phases, with their range and variability remaining relatively constant during the study. Organic carbon normalization reduced the observed variability of several APIs to a small extent; however, other factors appear to play a role in controlling partitioning behavior. The continuous discharge of wastewater treatment plant effluents into upper Narragansett Bay resulted in sustained levels of APIs, resulting in a zone of “pseudo-persistence.” For most of the APIs, there was a strong relationship with salinity, indicating conservative behavior within the estuary. Short flushing times in Narragansett Bay coupled with APIs present primarily in the dissolved phase suggests that most APIs will be diluted and transported out of the estuary, with only small amounts of several compounds removed to and sequestered in sediments. This study ide

A Theoretical Study of Cold Air Damming.

NASA Astrophysics Data System (ADS)

Xu, Qin

1990-12-01

The dynamics of cold air damming are examined analytically with a two-layer steady state model. The upper layer is a warm and saturated cross-mountain (easterly or southeasterly onshore) flow. The lower layer is a cold mountain-parallel (northerly) jet trapped on the windward (eastern) side of the mountain. The interface between the two layers represents a coastal front-a sloping inversion layer coupling the trapped cold dome with the warm onshore flow above through pressure continuity.An analytical expression is obtained for the inviscid upper-layer flow with hydrostatic and moist adiabatic approximations. Blackadar's PBL parameterization of eddy viscosity is used in the lower-layer equations. Solutions for the mountain-parallel jet and its associated secondary transverse circulation are obtained by expanding asymptotically upon a small parameter proportional to the square root of the inertial aspect ratio-the ratio between the mountain height and the radius of inertial oscillation. The geometric shape of the sloping interface is solved numerically from a differential-integral equation derived from the pressure continuity condition imposed at the interface.The observed flow structures and force balances of cold air damming events are produced qualitatively by the model. In the cold dome the mountain-parallel jet is controlled by the competition between the mountain-parallel pressure gradient and friction: the jet is stronger with smoother surfaces, higher mountains, and faster mountain-normal geostrophic winds. In the mountain-normal direction the vertically averaged force balance in the cold dome is nearly geostrophic and controls the geometric shape of the cold dome. The basic mountain-normal pressure gradient generated in the cold dome by the negative buoyancy distribution tends to flatten the sloping interface and expand the cold dome upstream against the mountain-normal pressure gradient (produced by the upper-layer onshore wind) and Coriolis force (induced by the lower-layer mountain-parallel jet). It is found that the interface slope increases and the cold dome shrinks as the Froude number and/or upstream mountain-parallel geostrophic wind increase, or as the Rossby number, upper-layer depth, and/or surface roughness length decrease, and vice versa. The cold dome will either vanish or not be in a steady state if the Froude number is large enough or the roughness length gets too small. The theoretical findings are explained physically based on detailed analyses of the force balance along the inversion interface.

Paleomagnetic and Seismologic Evidence for Oblique-Slip Partitioning to the Coalinga Anticline From the San Andreas Fault

NASA Astrophysics Data System (ADS)

Tetreault, J. L.; Jones, C. H.

2007-12-01

The Coalinga Anticline is a one of a series of fault-related folds in the central Coast Ranges, California, oriented subparallel to the San Andreas Fault (SAF). The development of the Central Coast Range anticlines can be related to the relative strength of the SAF. If positing a weak SAF, fault-normal slip is partitioned to these subparallel compressional folds. If the SAF is strong, these folds rotated to their current orientation during wrenching. Another possibility is that the Coast Range anticlines are accommodating oblique-slip partitioned from the SAF. The 1983 Coalinga earthquake does not have a purely thrusting focal mechanism (rake =100°), reflecting the likelihood that oblique slip is being partitioned to this anticline, even though surface expression of fold-axis-parallel slip has not been identified. Paleomagnetic vertical-axis rotations and focal mechanism strain inversions were used to quantify oblique-slip deformation within the Coalinga Anticline. Clockwise rotations of 10° to 16° are inferred from paleomagnetic sites located in late Miocene to Pliocene beds on the steeply dipping forelimb and backlimb of the fold. Significant vertical-axis rotations are not identified in the paleomagnetic sites within the nose of the anticline. The varying vertical axis rotations conflict with wrench tectonics (strong SAF) as the mechanism of fold development. We use focal mechanisms inversions of earthquakes that occurred between 1983 to 2006 to constrain the seismogenic strain within the fold that presumably help to build it over time. In the upper 7 km, the principal shortening axis is oriented N37E to N40E, statistically indistinguishable from normal to the fold (N45E). The right-lateral shear in the folded strata above the fault tip, evident from the paleomagnetically determined clockwise vertical-axis rotations, is being accommodated aseismically or interseismically. In the region between 7 and 11 km, where the mainshock occurred, the shortening direction ranges from oblique to normal to the fold trend. Our results show that right-lateral slip is resolved along the main fault plane and not distributed to the smaller aftershocks at depths of 7-11 km. The principal strain axes and clockwise paleomagnetic rotations indicate that the Coalinga Anticline is accommodating minor right-lateral shearing and thus shares some of the strike-slip motion of the San Andreas system.

Influence of obesity on accurate and rapid arm movement performed from a standing posture.

PubMed

Berrigan, F; Simoneau, M; Tremblay, A; Hue, O; Teasdale, N

2006-12-01

Obesity yields a decreased postural stability. The potentially negative impact of obesity on the control of upper limb movements, however, has not been documented. This study sought to examine if obesity imposes an additional balance control constraint limiting the speed and accuracy with which an upper limb goal-directed movement performed from an upright standing position can be executed. Eight healthy lean subjects (body mass index (BMI) between 20.9 and 25.0 kg/m(2)) and nine healthy obese subjects (BMI between 30.5 and 48.6 kg/m(2)) pointed to a target located in front of them from an upright standing posture. The task was to aim at the target as fast and as precisely as possible after an auditory signal. The difficulty of the task was varied by using different target sizes (0.5, 1.0, 2.5 and 5.0 cm width). Hand movement time (MT) and velocity profiles were measured to quantify the aiming. Centre of pressure and segmental kinematics were analysed to document postural stability. When aiming, the forward centre of pressure (CP) displacement was greater for the obese group than for the normal BMI group (4.6 and 1.9 cm, respectively). For the obese group, a decrease in the target size was associated with an increase in backward CP displacement and CP peak speed whereas for the normal BMI group backward CP displacements and CP peak speed were about the same across all target sizes. Obese participants aimed at the target moving their whole body forward whereas the normal BMI subjects predominantly made an elbow extension and shoulder flexion. For both groups, MT increased with a decreasing target size. Compare to the normal BMI group, this effect was exacerbated for the obese group. For the two smallest targets, movements were on average 115 and 145 ms slower for the obese than for the normal BMI group suggesting that obesity added a balance constraint and limited the speed with which an accurate movement could be done. Obesity, because of its effects on the control of balance, also imposes constraints on goal-directed movements. From a clinical perspective, obese individuals might be less efficient and more at risk of injuries than normal weight individuals in a large number of work tasks and daily activities requiring upper limb movements performed from an upright standing position.

Peak velocity of elbow joint during hair combing activity for normal subject

NASA Astrophysics Data System (ADS)

Che-Nan, Hasyatun; Rambely, Azmin Sham

2018-04-01

Study of upper limb movements is very important for clinical assessment and diagnosis purposes. Thus it requires the analysis of motion. Therefore this study intend to investigate peak velocity of elbow joint during hair-combing activity. Twenty healthy subjects with three trials and age range 20 - 59 years old (n = 60) performed a complete cycle of hand reaching, forward transport, combing, back transport and returning the hand to its initial position. This activity was analyzed using Vicon motion-analysis system, which consisted of three infra-red and high speed cameras. Mean total movement times was recorded at 5.2s for the whole phases. Peak velocities during reaching and forward transport were found to be decreasing in value for the healthy subject. This obtained results provide information on kinematic analysis especially on movement times and peak velocities for clinical, assessment and diagnosis purposes.

Eosinophilic/T-cell Chorionic Vasculitis: Histological and Clinical Correlations.

PubMed

Cheek, Bradley; Heinrich, Stephen; Ward, Kenneth; Craver, Randall

2015-04-01

Eosinophilic T-cell chorionic vasculitis (E/TCV) is composed of eosinophils and T-lymphocytes originating within chorionic vessels, radiating toward the intervillous space and away from the amnion in a fashion different from the fetal vascular response seen in amnionitis. Clinical significance and risk factors are not well established. We report four pregnancies (five infants, one triplet was spared) with E/TCV, gestational ranging from 23 weeks to term. All had concurrent acute chorioamnionitis, three had the typical acute fetal inflammatory response. One had placental fetal obstructive vasculopathy and an upper extremity reduction defect (radio-ulnar synostosis), the mother had pre-eclampsia. A second case involved 2 of 3 23 week previable triplets. Our third case had a metatarsus varus resistant to casting, the mother had gestational diabetes. The last case was a normal infant. We review the literature, discuss the clinical findings and present the histologic characteristics of this infrequently recognized lesion.

Laboratory test for ice adhesion strength using commercial instrumentation.

PubMed

Wang, Chenyu; Zhang, Wei; Siva, Adarsh; Tiea, Daniel; Wynne, Kenneth J

2014-01-21

A laboratory test method for evaluating ice adhesion has been developed employing a commercially available instrument normally used for dynamic mechanical analysis (TA RSA-III). This is the first laboratory ice adhesion test that does not require a custom-built apparatus. The upper grip range of ∼10 mm is an enabling feature that is essential for the test. The method involves removal of an ice cylinder from a polymer coating with a probe and the determination of peak removal force (Ps). To validate the test method, the strength of ice adhesion was determined for a prototypical glassy polymer, poly(methyl methacrylate). The distance of the probe from the PMMA surface has been identified as a critical variable for Ps. The new test provides a readily available platform for investigating fundamental surface characteristics affecting ice adhesion. In addition to the ice release test, PMMA coatings were characterized using DSC, DCA, and TM-AFM.

40Ar/36Ar analyses of historic lava flows

USGS Publications Warehouse

Dalrymple, G.B.

1969-01-01

The ratio 40Ar/36Ar was measured for 26 subaerial historic lava flows. Approximately one-third of the samples had 40Ar/36Ar ratios either higher or lower than the atmospheric value of 295.5 at the 95% confidence level. Excess radiogenic 40Ar in five flows ranged from about 1 ?? 10-13 to 1.5 ?? 10-12 mol/g. Possible excess 36Ar in three flows was on the order of 10-16 to 10-15 mol/g. Upper 95% confidence limits for excess 40Ar in samples with normal 40Ar/36Ar ratios are generally less than 3 ?? 10-13 mol/g. The origin of the excess 36Ar is unknown but it may be due either to the incorporation of primitive argon that has been stored in the mantle in very low potassium environments or to enrichment in 36Ar as atmospheric argon diffuses into the rocks after they cool. ?? 1969.

Keeping up with video game technology: objective analysis of Xbox Kinect™ and PlayStation 3 Move™ for use in burn rehabilitation.

PubMed

Parry, Ingrid; Carbullido, Clarissa; Kawada, Jason; Bagley, Anita; Sen, Soman; Greenhalgh, David; Palmieri, Tina

2014-08-01

Commercially available interactive video games are commonly used in rehabilitation to aide in physical recovery from a variety of conditions and injuries, including burns. Most video games were not originally designed for rehabilitation purposes and although some games have shown therapeutic potential in burn rehabilitation, the physical demands of more recently released video games, such as Microsoft Xbox Kinect™ (Kinect) and Sony PlayStation 3 Move™ (PS Move), have not been objectively evaluated. Video game technology is constantly evolving and demonstrating different immersive qualities and interactive demands that may or may not have therapeutic potential for patients recovering from burns. This study analyzed the upper extremity motion demands of Kinect and PS Move using three-dimensional motion analysis to determine their applicability in burn rehabilitation. Thirty normal children played each video game while real-time movement of their upper extremities was measured to determine maximal excursion and amount of elevation time. Maximal shoulder flexion, shoulder abduction and elbow flexion range of motion were significantly greater while playing Kinect than the PS Move (p≤0.01). Elevation time of the arms above 120° was also significantly longer with Kinect (p<0.05). The physical demands for shoulder and elbow range of motion while playing the Kinect, and to a lesser extent PS Move, are comparable to functional motion needed for daily tasks such as eating with a utensil and hair combing. Therefore, these more recently released commercially available video games show therapeutic potential in burn rehabilitation. Objectively quantifying the physical demands of video games commonly used in rehabilitation aides clinicians in the integration of them into practice and lays the framework for further research on their efficacy. Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.

The sup 40 Ar/ sup 39 Ar geochronology of the Pelona schist and related rocks, southern California

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

Jacobson, C.E.

1990-01-10

Seventeen {sup 40}Ar/{sup 39}Ar ages for hornblende, celadonitic muscovite, and biotite from the Pelona, Orocopia, Rand, and Portal Ridge (POR) schists range from 39 to 85 Ma. Two muscovites and one hornblende from the Rand Schist have ages of 72 to 74 Ma, indistinguishable from the K-Ar age of 74 Ma for hornblende from a posttectonic granodiorite that intrudes the schist, but younger than the 70 Ma U-Pb age of the intrusion. Four muscovite and two hornblende ages for schist and mylonite from the East Fork area of the San Gabriel Mountains range from 55 to 61 Ma. Concordance ofmore » schist and upper plate ages confirms structural and metamorphic evidence that the Vincent thrust in the San Gabriel Mountains has not undergone significant postmetamorphic disruption. Ages from the Orocopia Mountains are 75 Ma for hornblende from nonmylonitic upper plate, 52 Ma for muscovite from structurally high Orocopia Schist that is mylonitic, and 41 Ma for muscovite from nonmylonitic Orocopia Schist. These are consistent with field evidence that the Orocopia thrust is a postmetamorphic normal fault. Muscovite and hornblende from the Gavilan Hills have ages of 48 to 50 Ma, younger than ages from the San Gabriel Mountains but similar to schist ages from the Orocopia Mountains. The geochronologic and structural complexities of the Vincent, Chocolate Mountains, Orocopia, and Rand thrusts imply that previously cited northeastward vergence may not relate to prograde metamorphism (subduction) of the POR schists. The data indicate substantial uplift of the POR schists prior to middle Tertiary detachment faulting, which confirms other geochronologic evidence of uplift in southern California and southern Arizona during the Late Cretaceous-early Tertiary.« less

Monitoring dehydroepiandrosterone (DHEA) in the urine of Thoroughbred geldings for doping control purposes.

PubMed

Viljanto, Marjaana; Hincks, Pamela; Hillyer, Lynn; Cawley, Adam; Suann, Craig; Noble, Glenys; Walker, Christopher J; Parkin, Mark C; Kicman, Andrew T; Scarth, James

2018-05-24

The use of testosterone and its pro-drugs, such as DHEA, is currently regulated in horseracing by the application of international testosterone thresholds. However, additional steroidomic approaches, such as steroid ratios, to distinguish overall adrenal stimulation from drug administrations and an equine biological passport for longitudinal steroid profiling of individual animals could be advantageous in equine doping testing. Thus, DHEA concentrations and related ratios (testosterone (T) to DHEA and DHEA to epitestosterone (E)) were assessed in the reference population by quantitative analysis of 200 post-race gelding urine samples using liquid chromatography tandem mass spectrometry. DHEA concentrations ranged between 0.9 and 136.6 ng/mL (mean 12.8 ng/mL), T:DHEA ratios between 0.06 and 1.85 (mean 0.43) and DHEA:E ratios between 0.21 and 13.56 (mean 2.20). Based on the reference population statistical upper limits of 5.4 for T:DHEA ratio and 48.1 for DHEA:E ratio are proposed with a risk of 1 in 10,000 for a normal outlier exceeding the value. Analysis of post-administration urine samples collected following administrations of DHEA, EquiBolic&® (a mix of DHEA and pregnenolone) and testosterone propionate to geldings showed that the upper limit for T:DHEA ratio was exceeded following testosterone propionate administration and DHEA:E ratio following DHEA administrations and thus these ratios could be used as additional biomarkers when determining the cause of an atypical testosterone concentration. Additionally, DHEA concentrations and ratios can be used as a starting point to establish reference ranges for an equine biological passport. This article is protected by copyright. All rights reserved.

A Retrospective Evaluation of Anatomical Reinsertion of the Distal Biceps Brachii Tendon Using an ACL TightRope® RT with a Titanium Cortical Button and Ultra High Molecular Weight Polyethylene Suture: A Preliminary Report.

PubMed

Witkowski, Jarosław; Kentel, Maciej; Królikowska, Aleksandra; Reichert, Paweł

2016-01-01

Various surgical techniques for treating distal biceps brachii tendon injury have been described, and to date there is no consensus regarding the preferred fixation method for the anatomic reinsertion of the ruptured tendon. The aim of the study was to clinically and functionally evaluate the upper limb after surgical anatomic reinsertion of the distal biceps brachii tendon using an ACL TightRope® RT with a titanium cortical button and ultra high molecular weight polyethylene (UHMWPE) suture, and to assess postoperative complications. The sample comprised 3 patients. Clinical examination (history, measurements of the active range of forearm motion, arm circumference, the maximum isometric forearm supination and flexion muscle torque), pain evaluation (on a visual analogue scale [VAS]) and functional assessment (the Mayo Elbow Performance Index [MEPI] and Quick Disabilities of the Arm, Shoulder and Hand [DASH]) were carried out. Complications were documented. The results of the range of motion measurements, arm circumferences and normalized isometric torque values of the muscle groups being studied were comparable in the involved and uninvolved limbs. The MEPI (x = 95.00 ± 10.42) and Quick DASH (x = 8.66 ± 18.04) scores revealed very good results. The VAS results were close to no pain (x = 3.33 ± 5.77 mm). No complications were noted. The preliminary comprehensive clinical and functional assessment of the upper limb justify the clinical use of the ACL TightRope® RT with a titanium cortical button and UHMWPE suture in surgical anatomic reinsertion of the distal biceps brachii tendon. The early results with a small sample were encouraging, but studies with a larger number of cases and longer follow-up are needed.

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

Terespolsky, D.; Siegel-Bartelt, J.; Weksberg, R.

Simpson-Golabi Behmel syndrome (SGBS) is an X-linked disorder characterized by pre- and postnatal macrosomia, minor facial anomalies, and variable visceral, skeletal, and neurological abnormalities. Since its first description by Simpson et al., a wide clinical range of cases has been reported. There is great variability in severity, ranging from a mild form associated with long-term survival to an early lethal form with multiple congenital anomalies and severe mental retardation. In 8 reported families, affected individuals died in infancy. Here we present 4 maternally related, male cousins with a severe variant of SGBS. One of these males was aborted therapeutically atmore » 19 weeks of gestation following the detection of multicystic kidneys on ultrasound. The 3 liveborn males were hydropic at birth with a combination of craniofacial anomalies including macrocephaly; apparently low-set, posteriorly angulated ears; hypertelorism; short, broad nose with anteverted nares; large mouth with thin upper vermilion border; prominent philtrum; high-arched or cleft palate; short neck; redundant skin; hypoplastic nails; skeletal defects involving upper and lower limbs; gastrointestinal and genitourinary anomalies. All 3 patients were hypotonic and neurologically impaired from birth. With the exception of a trilobate left lung in one patient, the cardiorespiratory system was structurally normal. All patients died within the first 8 weeks of life of multiple complications including pneumonia and sepsis. Two SGBS kindreds, with moderate expression of the condition, have been mapped to Xq27. It is not known whether severe, familiar cases, such as ours, are genetically distinct from and map to another locus. Final resolution of the genetic basis of the phenotypic variability in SGBS must await cloning and mutation analysis of the SGBS gene(s). 21 refs., 4 figs., 1 tab.« less

Deep artesian aquifers of Sanibel and Captiva Islands, Lee County, Florida

USGS Publications Warehouse

Boggess, D.H.; O'Donnell, T. H.

1982-01-01

The principal sources of water on Sanibel and Captiva Islands, Lee County, Florida, are two deep artesian aquifers within the upper and lower parts of the Hawthorn Formation. Both aquifers are under artesian pressure and wells flow at the land surface. Water from the upper aquifer is of better quality than that from the lower aquifer and can be used in some areas without desalination. Dissolved solids concentrations in the upper aquifer average 1,540 milligrams per liter. Water levels in wells in the upper aquifer range from 8 to 15 feet above sea level; most wells flow as much as 15 gallons per minute at land surface. The lower aquifer is the source of the public supply for the islands. Dissolved solids concentrations in the lower aquifer range from 1,700 to 4,130 milligrams per liter and average 2,571 milligrams per liter. From July to November 1977, water levels in the aquifer ranged from 7 to 32 feet above sea level throughout Sanibel-Captiva Islands. In 1977 the average pumpage from public supply wells was 1.4 million gallons per day. Pumpage from the artesian aquifers during 1977 was about 690 million gallons. The water is desalinated before distribution. (USGS)

Diprosopia in a cat.

PubMed

Camón, J; Ruberte, J; Ordóñez, G

1990-05-01

A diprosopic cat is described. In the head, two snouts, three eyes and two pinnae were present. The mandible was single and immobile because labial skin of both upper lips and single lower lip was partly fused. Superimposition of upper and lower dental arches was impossible and the mouths remained permanently open. Two incomplete oral cavities were present and the two tongues were joined at their base. The brain was duplicated in part. In the cranium only occipital and temporal bones were normal, the basisphenoid was bifurcated and the remaining bones were duplicated. Embryological mechanisms are discussed.

Stratospheric nitrogen dioxide in the vicinity of Soufriere, St. Vincent

NASA Technical Reports Server (NTRS)

Romick, G. J.; Murcray, D. G.; Williams, W. J.

1982-01-01

In April 1979, measurements of nitrogen dioxide in the upper atmosphere were made near Soufriere Volcano by twilight optical-absorption techniques. The derived value of 5 x 10 to the 15th molecules per square centimeter column implies an enhancement of 25 percent over earlier abundances measured in the same latitudinal regions. This enhancement may represent the normal stratospheric variability of nitrogen dioxide in the equatorial region, but in any case may be considered an upper limit to the volcano's effect on the total nitrogen dioxide abundance.

Neural Control of the Upper Airway: Respiratory and State-Dependent Mechanisms

PubMed Central

Kubin, Leszek

2017-01-01

Upper airway muscles subserve many essential for survival orofacial behaviors, including their important role as accessory respiratory muscles. In the face of certain predisposition of craniofacial anatomy, both tonic and phasic inspiratory activation of upper airway muscles is necessary to protect the upper airway against collapse. This protective action is adequate during wakefulness, but fails during sleep which results in recurrent episodes of hypopneas and apneas, a condition known as the obstructive sleep apnea syndrome (OSA). Although OSA is almost exclusively a human disorder, animal models help unveil the basic principles governing the impact of sleep on breathing and upper airway muscle activity. This article discusses the neuroanatomy, neurochemistry, and neurophysiology of the different neuronal systems whose activity changes with sleep-wake states, such as the noradrenergic, serotonergic, cholinergic, orexinergic, histaminergic, GABAergic and glycinergic, and their impact on central respiratory neurons and upper airway motoneurons. Observations of the interactions between sleep-wake states and upper airway muscles in healthy humans and OSA patients are related to findings from animal models with normal upper airway, and various animal models of OSA, including the chronic-intermittent hypoxia model. Using a framework of upper airway motoneurons being under concurrent influence of central respiratory, reflex and state-dependent inputs, different neurotransmitters, and neuropeptides are considered as either causing a sleep-dependent withdrawal of excitation from motoneurons or mediating an active, sleep-related inhibition of motoneurons. Information about the neurochemistry of state-dependent control of upper airway muscles accumulated to date reveals fundamental principles and may help understand and treat OSA. PMID:27783860

First all-sky search for continuous gravitational waves from unknown sources in binary systems

NASA Astrophysics Data System (ADS)

Aasi, J.; Abbott, B. P.; Abbott, R.; Abbott, T.; Abernathy, M. R.; Accadia, T.; Acernese, F.; Ackley, K.; Adams, C.; Adams, T.; Addesso, P.; Adhikari, R. X.; Affeldt, C.; Agathos, M.; Aggarwal, N.; Aguiar, O. D.; Ain, A.; Ajith, P.; Alemic, A.; Allen, B.; Allocca, A.; Amariutei, D.; Andersen, M.; Anderson, R.; Anderson, S. B.; Anderson, W. G.; Arai, K.; Araya, M. C.; Arceneaux, C.; Areeda, J.; Aston, S. M.; Astone, P.; Aufmuth, P.; Aulbert, C.; Austin, L.; Aylott, B. E.; Babak, S.; Baker, P. T.; Ballardin, G.; Ballmer, S. W.; Barayoga, J. C.; Barbet, M.; Barish, B. C.; Barker, D.; Barone, F.; Barr, B.; Barsotti, L.; Barsuglia, M.; Barton, M. A.; Bartos, I.; Bassiri, R.; Basti, A.; Batch, J. C.; Bauchrowitz, J.; Bauer, Th. S.; Behnke, B.; Bejger, M.; Beker, M. G.; Belczynski, C.; Bell, A. S.; Bell, C.; Bergmann, G.; Bersanetti, D.; Bertolini, A.; Betzwieser, J.; Beyersdorf, P. T.; Bilenko, I. A.; Billingsley, G.; Birch, J.; Biscans, S.; Bitossi, M.; Bizouard, M. A.; Black, E.; Blackburn, J. K.; Blackburn, L.; Blair, D.; Bloemen, S.; Blom, M.; Bock, O.; Bodiya, T. P.; Boer, M.; Bogaert, G.; Bogan, C.; Bond, C.; Bondu, F.; Bonelli, L.; Bonnand, R.; Bork, R.; Born, M.; Boschi, V.; Bose, Sukanta; Bosi, L.; Bradaschia, C.; Brady, P. R.; Braginsky, V. B.; Branchesi, M.; Brau, J. E.; Briant, T.; Bridges, D. O.; Brillet, A.; Brinkmann, M.; Brisson, V.; Brooks, A. F.; Brown, D. A.; Brown, D. D.; Brückner, F.; Buchman, S.; Bulik, T.; Bulten, H. J.; Buonanno, A.; Burman, R.; Buskulic, D.; Buy, C.; Cadonati, L.; Cagnoli, G.; Calderón Bustillo, J.; Calloni, E.; Camp, J. B.; Campsie, P.; Cannon, K. C.; Canuel, B.; Cao, J.; Capano, C. D.; Carbognani, F.; Carbone, L.; Caride, S.; Castiglia, A.; Caudill, S.; Cavaglià, M.; Cavalier, F.; Cavalieri, R.; Celerier, C.; Cella, G.; Cepeda, C.; Cesarini, E.; Chakraborty, R.; Chalermsongsak, T.; Chamberlin, S. J.; Chao, S.; Charlton, P.; Chassande-Mottin, E.; Chen, X.; Chen, Y.; Chincarini, A.; Chiummo, A.; Cho, H. S.; Chow, J.; Christensen, N.; Chu, Q.; Chua, S. S. Y.; Chung, S.; Ciani, G.; Clara, F.; Clark, J. A.; Cleva, F.; Coccia, E.; Cohadon, P.-F.; Colla, A.; Collette, C.; Colombini, M.; Cominsky, L.; Constancio, M.; Conte, A.; Cook, D.; Corbitt, T. R.; Cordier, M.; Cornish, N.; Corpuz, A.; Corsi, A.; Costa, C. A.; Coughlin, M. W.; Coughlin, S.; Coulon, J.-P.; Countryman, S.; Couvares, P.; Coward, D. M.; Cowart, M.; Coyne, D. C.; Coyne, R.; Craig, K.; Creighton, J. D. E.; Creighton, T. D.; Crowder, S. G.; Cumming, A.; Cunningham, L.; Cuoco, E.; Dahl, K.; Dal Canton, T.; Damjanic, M.; Danilishin, S. L.; D'Antonio, S.; Danzmann, K.; Dattilo, V.; Daveloza, H.; Davier, M.; Davies, G. S.; Daw, E. J.; Day, R.; Dayanga, T.; Debreczeni, G.; Degallaix, J.; Deléglise, S.; Del Pozzo, W.; Denker, T.; Dent, T.; Dereli, H.; Dergachev, V.; De Rosa, R.; DeRosa, R. T.; DeSalvo, R.; Dhurandhar, S.; Díaz, M.; Di Fiore, L.; Di Lieto, A.; Di Palma, I.; Di Virgilio, A.; Donath, A.; Donovan, F.; Dooley, K. L.; Doravari, S.; Dossa, S.; Douglas, R.; Downes, T. P.; Drago, M.; Drever, R. W. P.; Driggers, J. C.; Du, Z.; Dwyer, S.; Eberle, T.; Edo, T.; Edwards, M.; Effler, A.; Eggenstein, H.; Ehrens, P.; Eichholz, J.; Eikenberry, S. S.; Endrőczi, G.; Essick, R.; Etzel, T.; Evans, M.; Evans, T.; Factourovich, M.; Fafone, V.; Fairhurst, S.; Fang, Q.; Farinon, S.; Farr, B.; Farr, W. M.; Favata, M.; Fehrmann, H.; Fejer, M. M.; Feldbaum, D.; Feroz, F.; Ferrante, I.; Ferrini, F.; Fidecaro, F.; Finn, L. S.; Fiori, I.; Fisher, R. P.; Flaminio, R.; Fournier, J.-D.; Franco, S.; Frasca, S.; Frasconi, F.; Frede, M.; Frei, Z.; Freise, A.; Frey, R.; Fricke, T. T.; Fritschel, P.; Frolov, V. V.; Fulda, P.; Fyffe, M.; Gair, J.; Gammaitoni, L.; Gaonkar, S.; Garufi, F.; Gehrels, N.; Gemme, G.; Genin, E.; Gennai, A.; Ghosh, S.; Giaime, J. A.; Giardina, K. D.; Giazotto, A.; Gill, C.; Gleason, J.; Goetz, E.; Goetz, R.; Gondan, L.; González, G.; Gordon, N.; Gorodetsky, M. L.; Gossan, S.; Goßler, S.; Gouaty, R.; Gräf, C.; Graff, P. B.; Granata, M.; Grant, A.; Gras, S.; Gray, C.; Greenhalgh, R. J. S.; Gretarsson, A. M.; Groot, P.; Grote, H.; Grover, K.; Grunewald, S.; Guidi, G. M.; Guido, C.; Gushwa, K.; Gustafson, E. K.; Gustafson, R.; Hammer, D.; Hammond, G.; Hanke, M.; Hanks, J.; Hanna, C.; Hanson, J.; Harms, J.; Harry, G. M.; Harry, I. W.; Harstad, E. D.; Hart, M.; Hartman, M. T.; Haster, C.-J.; Haughian, K.; Heidmann, A.; Heintze, M.; Heitmann, H.; Hello, P.; Hemming, G.; Hendry, M.; Heng, I. S.; Heptonstall, A. W.; Heurs, M.; Hewitson, M.; Hild, S.; Hoak, D.; Hodge, K. A.; Holt, K.; Hooper, S.; Hopkins, P.; Hosken, D. J.; Hough, J.; Howell, E. J.; Hu, Y.; Huerta, E.; Hughey, B.; Husa, S.; Huttner, S. H.; Huynh, M.; Huynh-Dinh, T.; Ingram, D. R.; Inta, R.; Isogai, T.; Ivanov, A.; Iyer, B. R.; Izumi, K.; Jacobson, M.; James, E.; Jang, H.; Jaranowski, P.; Ji, Y.; Jiménez-Forteza, F.; Johnson, W. W.; Jones, D. I.; Jones, R.; Jonker, R. J. G.; Ju, L.; K, Haris; Kalmus, P.; Kalogera, V.; Kandhasamy, S.; Kang, G.; Kanner, J. B.; Karlen, J.; Kasprzack, M.; Katsavounidis, E.; Katzman, W.; Kaufer, H.; Kawabe, K.; Kawazoe, F.; Kéfélian, F.; Keiser, G. M.; Keitel, D.; Kelley, D. B.; Kells, W.; Khalaidovski, A.; Khalili, F. Y.; Khazanov, E. A.; Kim, C.; Kim, K.; Kim, N.; Kim, N. G.; Kim, Y.-M.; King, E. J.; King, P. J.; Kinzel, D. L.; Kissel, J. S.; Klimenko, S.; Kline, J.; Koehlenbeck, S.; Kokeyama, K.; Kondrashov, V.; Koranda, S.; Korth, W. Z.; Kowalska, I.; Kozak, D. B.; Kremin, A.; Kringel, V.; Krishnan, B.; Królak, A.; Kuehn, G.; Kumar, A.; Kumar, P.; Kumar, R.; Kuo, L.; Kutynia, A.; Kwee, P.; Landry, M.; Lantz, B.; Larson, S.; Lasky, P. D.; Lawrie, C.; Lazzarini, A.; Lazzaro, C.; Leaci, P.; Leavey, S.; Lebigot, E. O.; Lee, C.-H.; Lee, H. K.; Lee, H. M.; Lee, J.; Leonardi, M.; Leong, J. R.; Le Roux, A.; Leroy, N.; Letendre, N.; Levin, Y.; Levine, B.; Lewis, J.; Li, T. G. F.; Libbrecht, K.; Libson, A.; Lin, A. C.; Littenberg, T. B.; Litvine, V.; Lockerbie, N. A.; Lockett, V.; Lodhia, D.; Loew, K.; Logue, J.; Lombardi, A. L.; Lorenzini, M.; Loriette, V.; Lormand, M.; Losurdo, G.; Lough, J.; Lubinski, M. J.; Lück, H.; Luijten, E.; Lundgren, A. P.; Lynch, R.; Ma, Y.; Macarthur, J.; Macdonald, E. P.; MacDonald, T.; Machenschalk, B.; MacInnis, M.; Macleod, D. M.; Magana-Sandoval, F.; Mageswaran, M.; Maglione, C.; Mailand, K.; Majorana, E.; Maksimovic, I.; Malvezzi, V.; Man, N.; Manca, G. M.; Mandel, I.; Mandic, V.; Mangano, V.; Mangini, N.; Mantovani, M.; Marchesoni, F.; Marion, F.; Márka, S.; Márka, Z.; Markosyan, A.; Maros, E.; Marque, J.; Martelli, F.; Martin, I. W.; Martin, R. M.; Martinelli, L.; Martynov, D.; Marx, J. N.; Mason, K.; Masserot, A.; Massinger, T. J.; Matichard, F.; Matone, L.; Matzner, R. A.; Mavalvala, N.; Mazumder, N.; Mazzolo, G.; McCarthy, R.; McClelland, D. E.; McGuire, S. C.; McIntyre, G.; McIver, J.; McLin, K.; Meacher, D.; Meadors, G. D.; Mehmet, M.; Meidam, J.; Meinders, M.; Melatos, A.; Mendell, G.; Mercer, R. A.; Meshkov, S.; Messenger, C.; Meyers, P.; Miao, H.; Michel, C.; Mikhailov, E. E.; Milano, L.; Milde, S.; Miller, J.; Minenkov, Y.; Mingarelli, C. M. F.; Mishra, C.; Mitra, S.; Mitrofanov, V. P.; Mitselmakher, G.; Mittleman, R.; Moe, B.; Moesta, P.; Mohan, M.; Mohapatra, S. R. P.; Moraru, D.; Moreno, G.; Morgado, N.; Morriss, S. R.; Mossavi, K.; Mours, B.; Mow-Lowry, C. M.; Mueller, C. L.; Mueller, G.; Mukherjee, S.; Mullavey, A.; Munch, J.; Murphy, D.; Murray, P. G.; Mytidis, A.; Nagy, M. F.; Nanda Kumar, D.; Nardecchia, I.; Naticchioni, L.; Nayak, R. K.; Necula, V.; Nelemans, G.; Neri, I.; Neri, M.; Newton, G.; Nguyen, T.; Nitz, A.; Nocera, F.; Nolting, D.; Normandin, M. E. N.; Nuttall, L. K.; Ochsner, E.; O'Dell, J.; Oelker, E.; Oh, J. J.; Oh, S. H.; Ohme, F.; Oppermann, P.; O'Reilly, B.; O'Shaughnessy, R.; Osthelder, C.; Ottaway, D. J.; Ottens, R. S.; Overmier, H.; Owen, B. J.; Padilla, C.; Pai, A.; Palashov, O.; Palomba, C.; Pan, H.; Pan, Y.; Pankow, C.; Paoletti, F.; Paoletti, R.; Papa, M. A.; Paris, H.; Pasqualetti, A.; Passaquieti, R.; Passuello, D.; Pedraza, M.; Penn, S.; Perreca, A.; Phelps, M.; Pichot, M.; Pickenpack, M.; Piergiovanni, F.; Pierro, V.; Pinard, L.; Pinto, I. M.; Pitkin, M.; Poeld, J.; Poggiani, R.; Poteomkin, A.; Powell, J.; Prasad, J.; Premachandra, S.; Prestegard, T.; Price, L. R.; Prijatelj, M.; Privitera, S.; Prix, R.; Prodi, G. A.; Prokhorov, L.; Puncken, O.; Punturo, M.; Puppo, P.; Qin, J.; Quetschke, V.; Quintero, E.; Quiroga, G.; Quitzow-James, R.; Raab, F. J.; Rabeling, D. S.; Rácz, I.; Radkins, H.; Raffai, P.; Raja, S.; Rajalakshmi, G.; Rakhmanov, M.; Ramet, C.; Ramirez, K.; Rapagnani, P.; Raymond, V.; Re, V.; Read, J.; Reed, C. M.; Regimbau, T.; Reid, S.; Reitze, D. H.; Rhoades, E.; Ricci, F.; Riles, K.; Robertson, N. A.; Robinet, F.; Rocchi, A.; Rodruck, M.; Rolland, L.; Rollins, J. G.; Romano, R.; Romanov, G.; Romie, J. H.; Rosińska, D.; Rowan, S.; Rüdiger, A.; Ruggi, P.; Ryan, K.; Salemi, F.; Sammut, L.; Sandberg, V.; Sanders, J. R.; Sannibale, V.; Santiago-Prieto, I.; Saracco, E.; Sassolas, B.; Sathyaprakash, B. S.; Saulson, P. R.; Savage, R.; Scheuer, J.; Schilling, R.; Schnabel, R.; Schofield, R. M. S.; Schreiber, E.; Schuette, D.; Schutz, B. F.; Scott, J.; Scott, S. M.; Sellers, D.; Sengupta, A. S.; Sentenac, D.; Sequino, V.; Sergeev, A.; Shaddock, D.; Shah, S.; Shahriar, M. S.; Shaltev, M.; Shapiro, B.; Shawhan, P.; Shoemaker, D. H.; Sidery, T. L.; Siellez, K.; Siemens, X.; Sigg, D.; Simakov, D.; Singer, A.; Singer, L.; Singh, R.; Sintes, A. M.; Slagmolen, B. J. J.; Slutsky, J.; Smith, J. R.; Smith, M.; Smith, R. J. E.; Smith-Lefebvre, N. D.; Son, E. J.; Sorazu, B.; Souradeep, T.; Sperandio, L.; Staley, A.; Stebbins, J.; Steinlechner, J.; Steinlechner, S.; Stephens, B. C.; Steplewski, S.; Stevenson, S.; Stone, R.; Stops, D.; Strain, K. A.; Straniero, N.; Strigin, S.; Sturani, R.; Stuver, A. L.; Summerscales, T. Z.; Susmithan, S.; Sutton, P. J.; Swinkels, B.; Tacca, M.; Talukder, D.; Tanner, D. B.; Tarabrin, S. P.; Taylor, R.; ter Braack, A. P. M.; Thirugnanasambandam, M. P.; Thomas, M.; Thomas, P.; Thorne, K. A.; Thorne, K. S.; Thrane, E.; Tiwari, V.; Tokmakov, K. V.; Tomlinson, C.; Toncelli, A.; Tonelli, M.; Torre, O.; Torres, C. V.; Torrie, C. I.; Travasso, F.; Traylor, G.; Tse, M.; Ugolini, D.; Unnikrishnan, C. S.; Urban, A. L.; Urbanek, K.; Vahlbruch, H.; Vajente, G.; Valdes, G.; Vallisneri, M.; van den Brand, J. F. J.; Van Den Broeck, C.; van der Putten, S.; van der Sluys, M. V.; van Heijningen, J.; van Veggel, A. A.; Vass, S.; Vasúth, M.; Vaulin, R.; Vecchio, A.; Vedovato, G.; Veitch, J.; Veitch, P. J.; Venkateswara, K.; Verkindt, D.; Verma, S. S.; Vetrano, F.; Viceré, A.; Vincent-Finley, R.; Vinet, J.-Y.; Vitale, S.; Vo, T.; Vocca, H.; Vorvick, C.; Vousden, W. D.; Vyachanin, S. P.; Wade, A.; Wade, L.; Wade, M.; Walker, M.; Wallace, L.; Wang, M.; Wang, X.; Ward, R. L.; Was, M.; Weaver, B.; Wei, L.-W.; Weinert, M.; Weinstein, A. J.; Weiss, R.; Welborn, T.; Wen, L.; Wessels, P.; West, M.; Westphal, T.; Wette, K.; Whelan, J. T.; White, D. J.; Whiting, B. F.; Wiesner, K.; Wilkinson, C.; Williams, K.; Williams, L.; Williams, R.; Williams, T.; Williamson, A. R.; Willis, J. L.; Willke, B.; Wimmer, M.; Winkler, W.; Wipf, C. C.; Wiseman, A. G.; Wittel, H.; Woan, G.; Worden, J.; Yablon, J.; Yakushin, I.; Yamamoto, H.; Yancey, C. C.; Yang, H.; Yang, Z.; Yoshida, S.; Yvert, M.; ZadroŻny, A.; Zanolin, M.; Zendri, J.-P.; Zhang, Fan; Zhang, L.; Zhao, C.; Zhu, X. J.; Zucker, M. E.; Zuraw, S.; Zweizig, J.; LIGO Scientific Collaboration; Virgo Collaboration

2014-09-01

We present the first results of an all-sky search for continuous gravitational waves from unknown spinning neutron stars in binary systems using LIGO and Virgo data. Using a specially developed analysis program, the TwoSpect algorithm, the search was carried out on data from the sixth LIGO science run and the second and third Virgo science runs. The search covers a range of frequencies from 20 Hz to 520 Hz, a range of orbital periods from 2 to ˜2,254 h and a frequency- and period-dependent range of frequency modulation depths from 0.277 to 100 mHz. This corresponds to a range of projected semimajor axes of the orbit from ˜0.6×10-3 ls to ˜6,500 ls assuming the orbit of the binary is circular. While no plausible candidate gravitational wave events survive the pipeline, upper limits are set on the analyzed data. The most sensitive 95% confidence upper limit obtained on gravitational wave strain is 2.3×10-24 at 217 Hz, assuming the source waves are circularly polarized. Although this search has been optimized for circular binary orbits, the upper limits obtained remain valid for orbital eccentricities as large as 0.9. In addition, upper limits are placed on continuous gravitational wave emission from the low-mass x-ray binary Scorpius X-1 between 20 Hz and 57.25 Hz.

Wavefront Intensity Statistics for 284-Hz Broadband Transmissions to 107-km Range in the Philippine Sea: Observations and Modeling

DTIC Science & Technology

2013-10-01

structure reveals four distinct purely refracted acoustic paths: One with a single upper turning point near 80 m depth, two with a pair of upper turning... points at a depth of roughly 300 m, and one with three upper turning points at 420 m. Individual path intensity, defined as the absolute square of...contribu- tion to acoustic scattering is thought to occur at upper turning points (UTP) (Flatte et al., 1979). Here, the acoustic path is horizontal

Analysis of reaching movements of upper arm in robot assisted exercises. Kinematic assessment of robot assisted upper arm reaching single-joint movements.

PubMed

Iuppariello, Luigi; D'Addio, Giovanni; Romano, Maria; Bifulco, Paolo; Lanzillo, Bernardo; Pappone, Nicola; Cesarelli, Mario

2016-01-01

Robot-mediated therapy (RMT) has been a very dynamic area of research in recent years. Robotics devices are in fact capable to quantify the performances of a rehabilitation task in treatments of several disorders of the arm and the shoulder of various central and peripheral etiology. Different systems for robot-aided neuro-rehabilitation are available for upper limb rehabilitation but the biomechanical parameters proposed until today, to evaluate the quality of the movement, are related to the specific robot used and to the type of exercise performed. Besides, none study indicated a standardized quantitative evaluation of robot assisted upper arm reaching movements, so the RMT is still far to be considered a standardised tool. In this paper a quantitative kinematic assessment of robot assisted upper arm reaching movements, considering also the effect of gravity on the quality of the movements, is proposed. We studied a group of 10 healthy subjects and results indicate that our advised protocol can be useful for characterising normal pattern in reaching movements.

Revisiting Huey: on the importance of the upper part of words during reading.

PubMed

Perea, Manuel

2012-12-01

Recent research has shown that that the upper part of words enjoys an advantage over the lower part of words in the recognition of isolated words. The goal of the present article was to examine how removing the upper/lower part of the words influences eye movement control during silent normal reading. The participants' eye movements were monitored when reading intact sentences and when reading sentences in which the upper or the lower portion of the text was deleted. Results showed a greater reading cost (longer fixations) when the upper part of the text was removed than when the lower part of the text was removed (i.e., it influenced when to move the eyes). However, there was little influence on the initial landing position on a target word (i.e., on the decision as to where to move the eyes). In addition, lexical-processing difficulty (as inferred from the magnitude of the word frequency effect on a target word) was affected by text degradation. The implications of these findings for models of visual-word recognition and reading are discussed.