A characterisation of sea-breeze events in the eastern Cantabrian coast (Spain) from observational data and WRF simulations

NASA Astrophysics Data System (ADS)

Arrillaga, Jon A.; Yagüe, Carlos; Sastre, Mariano; Román-Cascón, Carlos

2016-11-01

The behaviour of the sea breeze along the north coast of Spain is investigated using observations of two topographically contrasting sites together with simulations from the Weather Research and Forecasting (WRF) model. An objective and systematic selection method is used to detect sea-breeze days from a database of two summer months. The direction and intensity of the sea breeze are significantly affected by the topography of the area; indeed, the estimated sea-breeze intensity shows an opposite relationship with the cross-shore temperature gradient for both sites. WRF simulations reproduce the onset of the sea breeze, but some characteristics are not adequately simulated: they generally overestimate the wind speed, smooth the temperature evolution and they do not represent the correct interaction with the terrain-induced flows. Additionally, four sensitivity experiments are performed with the WRF model varying the Planetary Boundary Layer (PBL) scheme, as well as the grid analysis nudging for an anomalous case study which is incorrectly filtered. As the two simulations considering nudging reproduce an unreal (not observed) sea breeze, this day turns out to be of great interest: it allows to evaluate the influence of the passage of the sea-breeze front (SBF) in other variables mainly related to turbulence. Furthermore, the best model scores are obtained for the PBL scheme that does not use a TKE closure.

Investigation of local meteorological events and their relationship with ozone and aerosols during an ESCOMPTE photochemical episode

NASA Astrophysics Data System (ADS)

Augustin, P.; Delbarre, H.; Lohou, F.; Campistron, B.; Puygrenier, V.; Cachier, H.; Lombardo, T.

2006-11-01

The international ESCOMPTE campaign, which took place in summer 2001 in the most highly polluted French region, was devoted to validate air pollution prediction models. Surface and remote sensing instruments (Lidar, Radar and Sodar) were deployed over the Marseille area, along the Mediterranean coast, in order to investigate the fine structure of the sea-breeze circulation and its relationship with the pollutant concentrations. The geographical situation of the Marseille region combines a complex coastline and relief which both lead to a peculiar behaviour of the sea-breeze circulation. Several local sea breezes, perpendicular to the nearest coastline, settled in during the morning. In the afternoons, when the thermal gradient between the continental and marine surface grows up, a southerly or a westerly sea breeze may dominate. Their respective importance is then a function of time, space and altitude. Furthermore, an oscillation of the westerly sea breeze with a period of about 3 h is also highlighted. We show that these dynamical characteristics have profound influences on the atmospheric boundary-layer (ABL) development and on pollutant concentrations. In fact, the direction and intensity of the sea-breeze determine the route and the transit time of the stable marine air flow over the continental surface. Thus, the ABL depth may exhibit several collapses correlated with the westerly sea-breeze pulsation. The ozone and aerosol concentrations are also related to the dynamical features. In the suburbs and parts of the city under pulsed sea breezes, a higher ABL depth and higher ozone concentrations are observed. In the city centre, this relationship between pulsed sea-breeze intensity and ozone concentration is different, emphasising the importance of the transit time and also the build-up of pollutants in the marine air mass along the route. Finally, the variations of aerosol concentration are also described according to the breeze direction.

Idealized WRF model sensitivity simulations of sea breeze types and their effects on offshore windfields

NASA Astrophysics Data System (ADS)

Steele, C. J.; Dorling, S. R.; von Glasow, R.; Bacon, J.

2013-01-01

The behaviour and characteristics of the marine component of sea breeze cells have received little attention relative to their onshore counterparts. Yet there is a growing interest and dependence on the offshore wind climate from, for example, a wind energy perspective. Using idealized model experiments, we investigate the sea breeze circulation at scales which approximate to those of the southern North Sea, a region of major ongoing offshore wind farm development. We also contrast the scales and characteristics of the pure and the little known corkscrew and backdoor sea breeze types, where the type is pre-defined by the orientation of the synoptic scale flow relative to the shoreline. We find, crucially, that pure sea breezes, in contrast to corkscrew and backdoor types, can lead to substantial wind speed reductions offshore and that the addition of a second eastern coastline emphasises this effect through generation of offshore "calm zones". The offshore extent of all sea breeze types is found to be sensitive to both the influence of Coriolis acceleration and to the boundary layer scheme selected. These extents range, for example for a pure sea breeze produced in a 2 m s-1 offshore gradient wind, from 0 km to 21 km between the Mellor-Yamada-Nakanishi-Niino and the Yonsei State University schemes respectively. The corkscrew type restricts the development of a backdoor sea breeze on the opposite coast and is also capable of traversing a 100 km offshore domain even under high along-shore gradient wind speed (>15 m s-1) conditions. Realistic variations in sea surface skin temperature and initializing vertical thermodynamic profile do not significantly alter the resulting circulation, though the strengths of the simulated sea breezes are modulated if the effective land-sea thermal contrast is altered. We highlight how sea breeze impacts on circulation need to be considered in order to improve the accuracy of both assessments of the offshore wind energy climate and forecasts of wind energy output.

Field Observations of Swash-Zone Dynamics on a Sea-Breeze Dominated Beach at the Yucatán Peninsula, México

NASA Astrophysics Data System (ADS)

Chardon-Maldonado, P.; Puleo, J. A.; Torres-Freyermuth, A.

2016-02-01

Sea breezes can modify the nearshore processes and alter beach morphology depending on the geographical location. Prior studies have shown that surf zone wave energy intensifies during strong sea-breeze conditions (wind speeds > 10 ms-1) and the impact on the coast can be similar to a small storm. However, few research efforts have investigated the coastal dynamics on sea-breeze dominated beaches (e.g., Masselink and Pattiaratchi, 1998, Mar. Geol.; Pattiaratchi et al., 1997, Cont. Shelf Res.) and, to the authors' knowledge, only one study has focused on swash-zone processes (Sonu et al., 1973, EOS). A field study was performed on a microtidal, low wave energy, sea-breeze dominated sandy beach in order to investigate the effects of local (sea breeze) and synoptic (storm) scale meteorological events on swash-zone dynamics. In-situ measurements of swash-zone hydrodynamics and sediment transport processes were collected from March 31st to April 12th, 2014 in Sisal, Yucatán located on the northern coast of the Yucatán Peninsula. Flow velocities and suspended sediment concentrations were measured concurrently, at multiple cross-shore and alongshore locations, using Vectrino-II profiling velocimeters and optical backscatter sensors, respectively. The high resolution data allowed the quantification of bed shear stress, turbulent dissipation rate, sediment loads and sediment flux during a mesoscale frontal system (cold-front passage referred to as an El Norte) and local sea-breeze cycles. Field observations showed that strong swash-zone bed shear stresses, turbulence intensity and sediment suspension occur during energetic conditions (i.e., El Norte event). On the other hand, despite milder energy conditions during the sea-breeze events, the alongshore component of bed-shear stresses and velocities can be significant owing to the high incidence wave angle associated with the sea-breeze system in the study area. The increased forcing in the swash zone induced sediment suspension, eroding the foreshore and causing accretion in the surf zone. The preliminary analysis demonstrates that strong sea-breeze events induce a significant alongshore swash-zone sediment transport that may be more important than that observed during an El Norte event.

The Influence of Soil Moisture, Coastline Curvature, and Land-Breeze Circulations on Sea-Breeze Initiated Precipitation

NASA Technical Reports Server (NTRS)

Baker, David R.; Lynn, Barry H.; Boone, Aaron; Tao, Wei-Kuo; Simpson, Joanne

2000-01-01

Idealized numerical simulations are performed with a coupled atmosphere/land-surface model to identify the roles of initial soil moisture, coastline curvature, and land breeze circulations on sea breeze initiated precipitation. Data collected on 27 July 1991 during the Convection and Precipitation Electrification Experiment (CAPE) in central Florida are used. The 3D Goddard Cumulus Ensemble (GCE) cloud resolving model is coupled with the Goddard Parameterization for Land-Atmosphere-Cloud Exchange (PLACE) land surface model, thus providing a tool to simulate more realistically land-surface/atmosphere interaction and convective initiation. Eight simulations are conducted with either straight or curved coast-lines, initially homogeneous soil moisture or initially variable soil moisture, and initially homogeneous horizontal winds or initially variable horizontal winds (land breezes). All model simulations capture the diurnal evolution and general distribution of sea-breeze initiated precipitation over central Florida. The distribution of initial soil moisture influences the timing, intensity and location of subsequent precipitation. Soil moisture acts as a moisture source for the atmosphere, increases the connectively available potential energy, and thus preferentially focuses heavy precipitation over existing wet soil. Strong soil moisture-induced mesoscale circulations are not evident in these simulations. Coastline curvature has a major impact on the timing and location of precipitation. Earlier low-level convergence occurs inland of convex coastlines, and subsequent precipitation occurs earlier in simulations with curved coastlines. The presence of initial land breezes alone has little impact on subsequent precipitation. however, simulations with both coastline curvature and initial land breezes produce significantly larger peak rain rates due to nonlinear interactions.

A Coastal Bay Summer Breeze Study, Part 2: High-resolution Numerical Simulation of Sea-breeze Local Influences

NASA Astrophysics Data System (ADS)

Calmet, Isabelle; Mestayer, Patrice G.; van Eijk, Alexander M. J.; Herlédant, Olivier

2018-04-01

We complete the analysis of the data obtained during the experimental campaign around the semi circular bay of Quiberon, France, during two weeks in June 2006 (see Part 1). A reanalysis of numerical simulations performed with the Advanced Regional Prediction System model is presented. Three nested computational domains with increasing horizontal resolution down to 100 m, and a vertical resolution of 10 m at the lowest level, are used to reproduce the local-scale variations of the breeze close to the water surface of the bay. The Weather Research and Forecasting mesoscale model is used to assimilate the meteorological data. Comparisons of the simulations with the experimental data obtained at three sites reveal a good agreement of the flow over the bay and around the Quiberon peninsula during the daytime periods of sea-breeze development and weakening. In conditions of offshore synoptic flow, the simulations demonstrate that the semi-circular shape of the bay induces a corresponding circular shape in the offshore zones of stagnant flow preceding the sea-breeze onset, which move further offshore thereafter. The higher-resolution simulations are successful in reproducing the small-scale impacts of the peninsula and local coasts (breeze deviations, wakes, flow divergences), and in demonstrating the complexity of the breeze fields close to the surface over the bay. Our reanalysis also provides guidance for numerical simulation strategies for analyzing the structure and evolution of the near-surface breeze over a semi-circular bay, and for forecasting important flow details for use in upcoming sailing competitions.

78 FR 62300 - Prairie Breeze Wind Energy LLC; Supplemental Notice That Initial Market-Based Rate Filing...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-15

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. ER14-25-000] Prairie Breeze Wind Energy LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes Request for Blanket... Breeze Wind Energy LLC's application for market-based rate authority, with an accompanying rate schedule...

A case study of sea breeze blocking regulated by sea surface temperature along the English south coast

NASA Astrophysics Data System (ADS)

Sweeney, J. K.; Chagnon, J. M.; Gray, S. L.

2013-09-01

The sensitivity of sea breeze structure to sea surface temperature (SST) and coastal orography is investigated in convection-permitting Met Office Unified Model simulations of a case study along the south coast of England. Changes in SST of 1 K are shown to significantly modify the structure of the sea breeze. On the day of the case study the sea breeze was partially blocked by coastal orography, particularly within Lyme Bay. The extent to which the flow is blocked depends strongly on the static stability of the marine boundary layer. In experiments with colder SST, the marine boundary layer is more stable, and the degree of blocking is more pronounced. The implications of prescribing fixed SST from climatology in numerical weather prediction model forecasts of the sea breeze are discussed.

33 CFR 334.775 - Naval Air Station Pensacola, Pensacola Bay, Pensacola and Gulf Breeze, Fla.; naval restricted area.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 3 2011-07-01 2011-07-01 false Naval Air Station Pensacola, Pensacola Bay, Pensacola and Gulf Breeze, Fla.; naval restricted area. 334.775 Section 334.775 Navigation... RESTRICTED AREA REGULATIONS § 334.775 Naval Air Station Pensacola, Pensacola Bay, Pensacola and Gulf Breeze...

33 CFR 334.775 - Naval Air Station Pensacola, Pensacola Bay, Pensacola and Gulf Breeze, Fla.; naval restricted area.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Naval Air Station Pensacola, Pensacola Bay, Pensacola and Gulf Breeze, Fla.; naval restricted area. 334.775 Section 334.775 Navigation... RESTRICTED AREA REGULATIONS § 334.775 Naval Air Station Pensacola, Pensacola Bay, Pensacola and Gulf Breeze...

North-western Mediterranean sea-breeze circulation in a regional climate system model

NASA Astrophysics Data System (ADS)

Drobinski, Philippe; Bastin, Sophie; Arsouze, Thomas; Béranger, Karine; Flaounas, Emmanouil; Stéfanon, Marc

2017-04-01

In the Mediterranean basin, moisture transport can occur over large distance from remote regions by the synoptic circulation or more locally by sea breezes, driven by land-sea thermal contrast. Sea breezes play an important role in inland transport of moisture especially between late spring and early fall. In order to explicitly represent the two-way interactions at the atmosphere-ocean interface in the Mediterranean region and quantify the role of air-sea feedbacks on regional meteorology and climate, simulations at 20 km resolution performed with WRF regional climate model (RCM) and MORCE atmosphere-ocean regional climate model (AORCM) coupling WRF and NEMO-MED12 in the frame of HyMeX/MED-CORDEX are compared. One result of this study is that these simulations reproduce remarkably well the intensity, direction and inland penetration of the sea breeze and even the existence of the shallow sea breeze despite the overestimate of temperature over land in both simulations. The coupled simulation provides a more realistic representation of the evolution of the SST field at fine scale than the atmosphere-only one. Temperature and moisture anomalies are created in direct response to the SST anomaly and are advected by the sea breeze over land. However, the SST anomalies are not of sufficient magnitude to affect the large-scale sea-breeze circulation. The temperature anomalies are quickly damped by strong surface heating over land, whereas the water vapor mixing ratio anomalies are transported further inland. The inland limit of significance is imposed by the vertical dilution in a deeper continental boundary-layer.

Diagnosis of sea breeze cases over the Metropolitan Area of São Paulo with the WRF model

NASA Astrophysics Data System (ADS)

Homann, C.; Freitas, E. D.

2013-05-01

The sea breeze is a great responsible for the organization of severe weather events, climate patterns and air pollution dispersion over the Metropolitan Area of São Paulo (MASP), being the knowledge about its correct predictability very important in the region. The Weather Research and Forecasting (WRF) mesoscale model was used to simulate some events of sea breeze propagation over the MASP during the winter season of 2009 (18th and 20th june, 29th august, 02nd September) with the objective to analyze the skill of the model on the predictability of this events using the default parameterizations available in the model and identify some flaws and possible adjustments to be made in the model. For this purpose, the simulation results were compared with the observed velocity and wind direction collected in the "Campo de Marte" Airport - SP. The model had a good response for all simulated days, where the horizontal wind and the vapor mixing ratio indicating correctly the sea breeze arrival over the region. Another important feature observed in the wind moisture fields was the moments that the sea breeze reaches different parts of MASP in response to the Urban Heat Island effect, which can accelerate or prevent the sea breeze propagation depending on location, as observed in other studies, and the relative position of the metropolitan area with respect to the sea-shore and the topography of the region. It was observed that the sea-breeze front reaches the southwest portion of MASP approximately two hours before it reaches the northwest portion.

Bay Breeze Influence on Surface Ozone at Edgewood, MD During July 2011

NASA Technical Reports Server (NTRS)

Stauffer, Ryan M.; Thompson, Anne M.; Martins, Douglas K.; Clark, Richard D.; Goldberg, Daniel L.; Loughner, Christopher P.; Delgado, Ruben; Dickerson, Russell R.; Stehr, Jeffrey W.; Tzortziou, Maria A.

2012-01-01

Surface ozone (O3) was analyzed to investigate the role of the bay breeze on air quality at two locations in Edgewood, Maryland (lat: 39.4deg, lon: -76.3deg) for the month of July 2011. Measurements were taken as part of the first year of NASA's "Deriving Information on Surface Conditions from Column and Vertically Resolved Observations Relevant to Air Quality" (DISCOVER-AQ) Earth Venture campaign and as part of NASA's Geostationary for Coastal and Air Pollution Events Chesapeake Bay Oceanographic campaign with DISCOVER-AQ (Geo-CAPE CBODAQ). Geo-CAPE CBODAQ complements DISCOVER-AQ by providing ship-based observations over the Chesapeake Bay. A major goal of DISCOVER-AQ is determining the relative roles of sources, photochemistry and local meteorology during air quality events in the Mid-Atlantic region of the U.S. Surface characteristics, transport and vertical structures of O3 during bay breezes were identified using in-situ surface, balloon and aircraft data, along with remote sensing equipment. Localized late day peaks in O3 were observed during bay breeze days, maximizing an average of 3 h later compared to days without bay breezes. Of the 10 days of July 2011 that violated the U.S. Environmental Protection Agency (EPA) 8 h O3 standard of 75 parts per billion by volume (ppbv) at Edgewood, eight exhibited evidence of a bay breeze circulation. The results indicate that while bay breezes and the processes associated with them are not necessary to cause exceedances in this area, bay breezes exacerbate poor air quality that sustains into the late evening hours at Edgewood. The vertical and horizontal distributions of O3 from the coastal Edgewood area to the bay also show large gradients that are often determined by boundary layer stability. Thus, developing air quality models that can sufficiently resolve these dynamics and associated chemistry, along with more consistent monitoring of O3 and meteorology on and along the complex coastline of Chesapeake Bay must be a high priority.

Sea breeze: Induced mesoscale systems and severe weather

NASA Technical Reports Server (NTRS)

Nicholls, M. E.; Pielke, R. A.; Cotton, W. R.

1990-01-01

Sea-breeze-deep convective interactions over the Florida peninsula were investigated using a cloud/mesoscale numerical model. The objective was to gain a better understanding of sea-breeze and deep convective interactions over the Florida peninsula using a high resolution convectively explicit model and to use these results to evaluate convective parameterization schemes. A 3-D numerical investigation of Florida convection was completed. The Kuo and Fritsch-Chappell parameterization schemes are summarized and evaluated.

Investigation on the fine structure of sea-breeze during ESCOMPTE experiment

NASA Astrophysics Data System (ADS)

Puygrenier, V.; Lohou, F.; Campistron, B.; Saïd, F.; Pigeon, G.; Bénech, B.; Serça, D.

2005-03-01

Surface and remote-sensing instruments deployed during ESCOMPTE experiment over the Marseille area, along the Mediterranean coast, were used to investigate the fine structure of the atmospheric boundary layer (ABL) during sea-breeze circulation in relation to pollutant transport and diffusion. Six sea-breeze events are analyzed with a particular focus on 25 June 2001. Advection of cool and humid marine air over land has a profound influence on the daytime ABL characteristics. This impact decreases rapidly with the inland distance from the sea. Nearby the coast (3 km inland), the mixing height Zi rises up to 750 m and falls down after 15:00 (UT) when the breeze flow reaches its maximum intensity. A more classical evolution of the ABL is observed at only 11-km inland where Zi culminates in the morning and stabilizes in the afternoon at about 1000 m height. Fine inspection of the data revealed an oscillation of the sea-breeze with a period about 2 h 47 min. This feature, clearly discernable for 3 days at least, is present in several atmospheric variables such as wind, temperature, not only at the ground but also aloft in the ABL as observed by sodar/RASS and UHF wind profilers. In particular, the mixing height Zi deduced from UHF profilers observations is affected also by the same periodicity. This pulsated sea-breeze is observed principally above Marseille and, at the northern and eastern shores of the Berre pond. In summary, the periodic intrusion over land of cool marine air modifies the structure of the ABL in the vicinity of the coast from the point of view of stability, turbulent motions and pollutants concentration. An explanation of the source of this pulsated sea-breeze is suggested.

Examining the eastern Amazon Basin breeze circulations, channeling and boundary layer properties using altitude controlled meteorological balloons

NASA Astrophysics Data System (ADS)

Fitzjarrald, D. R.; Voss, P. B.; Silva, R. D.; Callahan, S.; Dewald, A.; do Vale, R. S.

2017-12-01

During the period August 24-28, 2016, in a delayed component the GO-Amazon Project, we launched nine altitude-controlled free balloons (CMET). Smaller than typical rawinsondes, CMET are equipped with altitude control, global communication via Iridium satellite, and aspirated sensors. The aims of our effort were to examine the interactions among convective boundary layer and dual river breeze circulations near the confluence of the Tapajos and Amazon Rivers in the eastern Basin. The week-long field campaign was timed to examine the reestablishment of the breeze circulations shortly after the passage of a strong instability line on August 22. Nine CMET were launched at the Curua-Una hydroelectric dam (2.8S; 54.3W), timed to encounter the Tapajos river breeze front by late afternoon. Soundings were made to establish the thickness of interface between the easterly trade and westerly Tapajos breeze circulation. Careful use of sounding strategies allowed these free balloons to track along the northerly channeled flow in the lowest 300 m above the River. Following the river encounter, balloons tracked to the west, sounding to describe the diurnal course of boundary layer in the forest west of the Tapajos River. The longest flight traveled more than 770 km over three days and twice rested overnight in the rain forest canopy. Ancillary data from surface climate and flux stations as well as the Santarem radiosonde, satellite images will be used to illustrate how the breeze circulations are seen near the surface and how they were disrupted by larger-scale events. Comparisons with HYSPLIT trajectories will illustrate how sensitive real trajectories are to the refraction that the encounter with the breeze effects.

Mesoscale Simulations of Coastal Circulations Evaluated Using Measurements from a Dense MESO Network

DTIC Science & Technology

2013-03-01

latent heat fluxes at the coast (left) and inland (right) color coded by each day (legend in MFL) in case #1 and #2 to show temporal error variances...the coast . This gradient is the main mechanism which drives sea breeze circulations. Numerous studies correlating SHF to sea breeze (Miao et al 2003...calculate. Abbs (1986) argues that water body dimensions play an important factor for sea breezes associated with semi-enclosed bays and lagoons

A study of the Merritt Island, Florida sea breeze flow regimes and their effect on surface heat and moisture fluxes

NASA Technical Reports Server (NTRS)

Rubes, M. T.; Cooper, H. J.; Smith, E. A.

1993-01-01

Data collected during the Convective and Precipitation/Electrification Experiment were analyzed as part of an investigation of the sea breeze in the vicinity of Merritt Island, Florida. Analysis of near-surface divergence fields shows that the classical 24-hour oscillation in divergence over the island due to the direct sea breeze circulation is frequently disrupted and exhibits two distinct modes: the classical sea breeze pattern and deviations from that pattern. A comparison of clear day surface energy fluxes with fluxes on other days indicates that changes in magnitudes were dominated by the presence or absence of clouds. Non-classical sea breeze days tended to lose more available energy in the morning than classical sea breeze days due to earlier development of small cumulus over the island. A composite storm of surface winds, surface energy fluxes, rainfall, and satellite visible data was constructed. A spectral transmittance over the visible wavelengths for the cloud cover resulting from the composite storm was calculated. It is shown that pre-storm transmittances of 0.8 fall to values near 0.1 as the downdraft moves directly over the site. It is also found that under post-composite storm conditions of continuous clear sky days, 3.5 days are required to evaporate back into the atmosphere the latent heat energy lost to the surface by rainfall.

A case study of sea breeze blocking regulated by sea surface temperature along the English south coast

NASA Astrophysics Data System (ADS)

Sweeney, J. K.; Chagnon, J. M.; Gray, S. L.

2014-05-01

The sensitivity of sea breeze structure to sea surface temperature (SST) and coastal orography is investigated in convection-permitting Met Office Unified Model simulations of a case study along the south coast of England. Changes in SST of 1 K are shown to significantly modify the structure of the sea breeze immediately offshore. On the day of the case study, the sea breeze was partially blocked by coastal orography, particularly within Lyme Bay. The extent to which the flow is blocked depends strongly on the static stability of the marine boundary layer. In experiments with colder SST, the marine boundary layer is more stable, and the degree of blocking is more pronounced. Although a colder SST would also imply a larger land-sea temperature contrast and hence a stronger onshore wind - an effect which alone would discourage blocking - the increased static stability exerts a dominant control over whether blocking takes place. The implications of prescribing fixed SST from climatology in numerical weather prediction model forecasts of the sea breeze are discussed.

The Sea Breeze in South-Iceland: Observations with an unmanned aircraft and numerical simulations

NASA Astrophysics Data System (ADS)

Opsanger Jonassen, Marius; Ólafsson, Haraldur; Rasol, Dubravka; Reuder, Joachim

2010-05-01

Sea breeze events, 19-20 July 2009, observed during the international field campaign MOSO, at the southcoast of Iceland, have been investigated using high resolution numerical simulations. Thanks to the use of a small unmanned aircraft system (UAS), SUMO, the wind and temperature aloft could be observed at a high resolution in both space and time. Simultaneously with the UAS operations, conventional platforms were used to obtain surface measurements. The observations show a distinct sea breeze circulation with an onset at around noon and a final decay around 19:00 UTC. At the maximum, the sea breeze layer reached a height of appr. 400 m, marked by a capping wind minimum. When compared to the flow aloft, the sea breeze layer was found to exhibit relatively low temperatures and an expected turn from an off-shore to an on-shore flow. Overall, the agreement between the observations and simulations are relatively good. The simulations suggest a horizontal extent of the circulation some 20-30 km off-shore, but only around 5 km on-shore.

Local and Regional Winds: Their Names and Attributes,

DTIC Science & Technology

1982-03-30

bryza morska ("sea breeze"), but it is weaker than it, blowing across the surface of a large lake toward the shore during the daylight hours, mainly...city toward its center, with a simultaneous increase in convection movements above it. Bryza morska ("sea breeze") -- a wind blowing from off the sea...during the summer season for several days during the month; the bryza morska ("sea breeze") may be felt, depending on its intensity, up to distances of

Possible impacts of the pre-monsoon dry line and sea breeze front on nocturnal rainfall over northeast Bangladesh

NASA Astrophysics Data System (ADS)

Stiller-Reeve, Mathew; Toniazzo, Thomas; Kolstad, Erik; Spengler, Thomas

2017-04-01

The northeast region of Bangladesh receives a large amount of rainfall before the large-scale monsoon circulation begins. For example, in April (a "pre-monsoon" month) 2010, 804 mm of rain fell in the regional capital Sylhet. It was the second wettest month of the entire year. From our conversations with the local people, we know that this pre-monsoon rainfall is extremely important to their livelihoods. We therefore need to understand it's triggering mechanisms. Several theories have been published, all of which are likely to be at play. However, in this work we look more closely at how the sea breeze front and prominent pre-monsoonal dry line in this region may play a role. If these mechanisms play a role in the convection, then it is likely that they trigger convection further afield, and then the resulting systems then propagate towards northeast Bangladesh. We believe this because rainfall associated with dry line/sea-breeze front convection often occurs during the late afternoon, but the rainfall over northeast Bangladesh shows a clear late-night/early-morning maxima. At present, the temporal and spatial resolution of the regional observations is inappropriate for examining these possible mechanisms. We therefore use a numerical model (WRF) to investigate the possible links between the convection and the sea breeze front and dry line. We use April 2010 as a case study since it was such a wet pre-monsoon month. The simulation shows that a sea breeze circulation often develops during the day in the coastal zone of Bangladesh and northeast India. After sunset the sea breeze front propagates inland pushing back the hot, dry air over India. On several days during the simulation, convection is triggered along the sea breeze front, which then propagates towards northeast Bangladesh and intensifies across the topography surrounding the Sylhet region. From our simulations, it appears that nocturnal convection over northeast Bangladesh is triggered by several mechanisms, but that the dry line and sea breeze front could also be an active contributor.

Fog water collection under sea breeze conditions in the Western Mediterranean basin (Valencia region, Spain)

NASA Astrophysics Data System (ADS)

Azorin-Molina, C.; Corell, D.; Estrela, M. J.; Valiente, J. A.

2010-07-01

Orographic fog occurrences associated with sea breezes determine water collection potential over the mountain ranges near the Mediterranean coast of the Iberian Peninsula. Previous works have confirmed that the effect of sea breezes on cloud genera is to increase the frequency of low (Stratus) and convective (Cumulus) clouds. The primary impact of sea breeze flows corresponds to low stratiform clouds (Stratus, St, and Stratocumulus, Sc) formed in the convective internal boundary layer due to the inflow of moist sea air at lower levels. The formation of Sc clouds is caused by the rising and cooling of turbulent moist sea air over the highest slopes of the mountains at the end of the day. In the most Sc formation, we also observed dense fog banks of Stratus nebulosus (St neb) and dew during the early next morning, covering the inland topographical depressions. The aim of this study is to statistically analyze the impact of sea breezes on fog water collection in the convective internal boundary layer. The study area is located in the eastern of the Iberian Peninsula (Valencia region, Spain) and the survey corresponds to a 7-yr study period (2003-2009). This research is based upon a small network of eight passive fog water collectors distributed over 6 coastal- and 2 inland-mountain areas. A cylindrical fog water instrument (i.e. omnidirectional collection efficiency) based on the ASRC (Atmospheric Science Research Centre, State University of New York) string collector is used to sample fog water volumes on a daily basis. These stations also sampled temperature, humidity, wind speed and direction and precipitation measurements. The current study used these meteorological measurements to apply an automated and manual selection methodologies for identifying past sea breeze episodes. The dataset created by means of these selection techniques allows for the study of fog water volumes associated with sea breeze situations. A detailed statistical characterization of the orographic clouds episodes associated with sea breezes and other interesting aspects of this fog water collection study are presented here.

Bay breeze influence on surface ozone at Edgewood, MD during July 2011.

PubMed

Stauffer, Ryan M; Thompson, Anne M; Martins, Douglas K; Clark, Richard D; Goldberg, Daniel L; Loughner, Christopher P; Delgado, Ruben; Dickerson, Russell R; Stehr, Jeffrey W; Tzortziou, Maria A

Surface ozone (O 3 ) was analyzed to investigate the role of the bay breeze on air quality at two locations in Edgewood, Maryland (lat: 39.4°, lon: -76.3°) for the month of July 2011. Measurements were taken as part of the first year of NASA's "Deriving Information on Surface Conditions from Column and Vertically Resolved Observations Relevant to Air Quality" (DISCOVER-AQ) Earth Venture campaign and as part of NASA's Geostationary for Coastal and Air Pollution Events Chesapeake Bay Oceanographic campaign with DISCOVER-AQ (Geo-CAPE CBODAQ). Geo-CAPE CBODAQ complements DISCOVER-AQ by providing ship-based observations over the Chesapeake Bay. A major goal of DISCOVER-AQ is determining the relative roles of sources, photochemistry and local meteorology during air quality events in the Mid-Atlantic region of the U.S. Surface characteristics, transport and vertical structures of O 3 during bay breezes were identified using in-situ surface, balloon and aircraft data, along with remote sensing equipment. Localized late day peaks in O 3 were observed during bay breeze days, maximizing an average of 3 h later compared to days without bay breezes. Of the 10 days of July 2011 that violated the U.S. Environmental Protection Agency (EPA) 8 h O 3 standard of 75 parts per billion by volume (ppbv) at Edgewood, eight exhibited evidence of a bay breeze circulation. The results indicate that while bay breezes and the processes associated with them are not necessary to cause exceedances in this area, bay breezes exacerbate poor air quality that sustains into the late evening hours at Edgewood. The vertical and horizontal distributions of O 3 from the coastal Edgewood area to the bay also show large gradients that are often determined by boundary layer stability. Thus, developing air quality models that can sufficiently resolve these dynamics and associated chemistry, along with more consistent monitoring of O 3 and meteorology on and along the complex coastline of Chesapeake Bay must be a high priority.

The impact of land and sea surface variations on the Delaware sea breeze at local scales

NASA Astrophysics Data System (ADS)

Hughes, Christopher P.

The summertime climate of coastal Delaware is greatly influenced by the intensity, frequency, and location of the local sea breeze circulation. Sea breeze induced changes in temperature, humidity, wind speed, and precipitation influence many aspects of Delaware's economy by affecting tourism, farming, air pollution density, energy usage, and the strength, and persistence of Delaware's wind resource. The sea breeze front can develop offshore or along the coastline and often creates a near surface thermal gradient in excess of 5°C. The purpose of this dissertation is to investigate the dynamics of the Delaware sea breeze with a focus on the immediate coastline using observed and modeled components, both at high resolutions (~200m). The Weather Research and Forecasting model (version 3.5) was employed over southern Delaware with 5 domains (4 levels of nesting), with resolutions ranging from 18km to 222m, for June 2013 to investigate the sensitivity of the sea breeze to land and sea surface variations. The land surface was modified in the model to improve the resolution, which led to the addition of land surface along the coastline and accounted for recent urban development. Nine-day composites of satellite sea surface temperatures were ingested into the model and an in-house SST forcing dataset was developed to account for spatial SST variation within the inland bays. Simulations, which include the modified land surface, introduce a distinct secondary atmospheric circulation across the coastline of Rehoboth Bay when synoptic offshore wind flow is weak. Model runs using high spatial- and temporal-resolution satellite sea surface temperatures over the ocean indicate that the sea breeze landfall time is sensitive to the SST when the circulation develops offshore. During the summer of 2013 a field campaign was conducted in the coastal locations of Rehoboth Beach, DE and Cape Henlopen, DE. At each location, a series of eleven small, autonomous thermo-sensors (i-buttons) were placed along 1-km transects oriented perpendicular to the coastline where each sensor recorded temperatures at five-minute intervals. This novel approach allows for detailed characterization of the sea breeze front development over the immediate coastline not seen in previous studies. These observations provide evidence of significant variability in frontal propagation (advancing, stalling, and retrograding) within the first kilometer of the coast. Results from this observational study indicate that the land surface has the largest effect on the frontal location when the synoptic winds have a strong offshore component, which forces the sea breeze front to move slowly through the region. When this happens, the frequency of occurrence and sea breeze frontal speed decreases consistently across the first 500 m of Rehoboth Beach, after which, the differences become insignificant. At Cape Henlopen the decrease in intensity across the transect is much less evident and the reduction in frequency does not occur until after the front is 500 m from the coast. Under these conditions at Rehoboth Beach, the near surface air behind the front warms due to the land surface which, along with the large surface friction component of the urbanized land surface, causes the front to slow as it traverses the region. Observation and modeling results suggest that the influence of variations in the land and sea surface on the sea breeze circulation is complex and highly dependent on the regional synoptic wind regime. This result inspired the development of a sea breeze prediction algorithm using a generalized linear regression model which, incorporated real-time synoptic conditions to forecast the likelihood of a sea breeze front passing through a coastal station. The forecast skill increases through the morning hours after sunrise. The inland synoptic wind direction is the most influential variable utilized by the algorithm. Such a model could be enhanced to forecast local temperature with coonfidence, which could be useful in an economic or energy usage model.

Sea breezes and advective effects in southwest James Bay

NASA Technical Reports Server (NTRS)

Mckendry, Ian; Roulet, Nigel

1994-01-01

Observations from a transect extending 100 km inland during the Northern Wetlands Study (NOWES) in 1990 show that the sea breeze develops on approximately 25% of days during summer and may penetrate up to 100 km inland on occasions. The sea breeze exhibits a marked diurnal clockwise rotation as a result of the Coriolis effect along the unobstructed coastline. The marine advective effect is shown to depend on gradient wind direction. With northwesterly upper level flow the sea breeze tends to be northeasterly in direction and is associated with decreased temperatures and vapor pressure deficits (VPD). With southwesterly upper level flow the sea breeze tends to have a southeasterly direction and less effect on temperatures and VPD. This is attributed to shorter residence times of air parcels over water. For two cases, Colorado State University mesoscale model simulations show good agreement with surface wind observations and suggest that under northwesterly gradient flow, Bowen ratios are increased in the onshore flow along western James Bay, while during southwesterly gradient flow these effects are negligible. These results have implications for the interpretation of local climate, ecology, and hydrology as well as land-based and airborne turbulent flux measurements made during NOWES.

The inland boundary layer at low latitudes: II Sea-breeze influences

NASA Astrophysics Data System (ADS)

Garratt, J. R.; Physick, W. L.

1985-11-01

Two-dimensional mesoscale model results support the claim of evening sea-breeze activity at Daly Waters, 280 km inland from the coast in northern Australia, the site of the Koorin boundary-layer experiment. The sea breeze occurs in conditions of strong onshore and alongshore geostrophic winds, not normally associated with such activity. It manifests itself at Daly Waters and in the model as a cooling in a layer 500 1000 m deep, as an associated surface pressure jump, as strong backing of the wind and, when an offshore low-level wind is present, as a collapse in the inland nocturnal jet. Both observational analysis and model results illustrate the rotational aspects of the deeply penetrating sea breeze; in our analysis this is represented in terms of a surge vector — the vector difference between the post- and pre-frontal low-level winds. There is further evidence to support earlier work that the sea breeze during the afternoon and well into the night — at least for these low-latitude experiments — behaves in many ways as an atmospheric gravity current, and that inland penetrations up to 500 km occur.

PUBLICATIONS; GULF BREEZE LABORATORY

EPA Science Inventory

The bibliography, inclusive from 1967 through 1978, lists all publications authored by researchers employed by the Environmental Research Laboratory, Gulf Breeze, and its field station on St. Johns Island, SC, or by researchers conducting studies under funding or direction of the...

A numerical study of the effects of a large sandbar upon sea breeze development

NASA Technical Reports Server (NTRS)

Kessler, R. C.; Pielke, R. A.; Mcqueen, J.; Eppel, D.

1985-01-01

Two-dimensional numerical simulations of sea breeze development over a large sandbar on the North Sea coast of Germany are reported. The numerical model used in these experiments contains a detailed treatment of soil moisture, which allows evaluation of the effects of differential surface characteristics on the airflow pattern. Results of the simulations indicate that the contrast between the moist sandbar and adjacent dry land, the tidal inundation of the sandbar, and the westward penetration of the Baltic sea breeze play important roles in the development of mesoscale airflow patterns in the sandbar region.

Land- and sea-surface impacts on local coastal breezes

NASA Astrophysics Data System (ADS)

Veron, D. E.; Hughes, C.; Gilchrist, J.; Lodise, J.; Goldman, W.

2014-12-01

The state of Delaware has seen significant increases in population along the coastline in the past three decades. With this increase in population have come changes to the land surface, as forest and farmland has been converted to residential and commercial purposes, causing changes in the surface roughness, temperature, and land-atmosphere fluxes. There is also a semi-permanent upwelling center in the spring and summer outside the Delaware Bay mouth that significantly changes the structure of the sea surface temperature both inside and outside the Bay. Through a series of high resolution modeling and observational studies, we have determined that in cases of strong synoptic forcing, the impact of the land-surface on the boundary layer properties can be advected offshore, creating a false coastline and modifying the location and timing of the sea breeze circulation. In cases of weak synoptic forcing, the influence of the upwelling and the tidal circulation of the Delaware Bay waters can greatly change the location, strength, and penetration of the sea breeze. Understanding the importance of local variability in the surface-atmosphere interactions on the sea breeze can lead to improved prediction of sea breeze onset, penetration, and duration which is important for monitoring air quality and developing offshore wind power production.

[Recurrent urinary tract infection].

PubMed

Ali, Adel Ben; Bagnis, Corinne Isnard

2014-09-01

Recurrent urinary tract infection involves mainly women and exhibits an ecological as well as economical risk. 4% of all urinary tract infection are recurrent and usually secondary to general or local abnormalities. A multidisciplinary medical and surgical team (urology, nephrology, bacteriology, infectious disease) best performs diagnosis and treatment as well as rules out reversible etiology. Treatment relies on behavioral changes before offering cranberry products and/or antibioprophylaxis if necessary.

Modeling the feedback between aerosol and boundary layer processes: a case study in Beijing, China.

PubMed

Miao, Yucong; Liu, Shuhua; Zheng, Yijia; Wang, Shu

2016-02-01

Rapid development has led to frequent haze in Beijing. With mountains and sea surrounding Beijing, the pollution is found to be influenced by the mountain-plain breeze and sea-land breeze in complex ways. Meanwhile, the presence of aerosols may affect the surface energy balance and impact these boundary layer (BL) processes. The effects of BL processes on aerosol pollution and the feedback between aerosol and BL processes are not yet clearly understood. Thus, the Weather Research and Forecasting model coupled with Chemistry (WRF-Chem) is used to investigate the possible effects and feedbacks during a haze episode on 23 September 2011. Influenced by the onshore prevailing wind, sea-breeze, and upslope breeze, about 45% of surface particulate matter (PM)2.5 in Beijing are found to be contributed by its neighbor cities through regional transport. In the afternoon, the development of upslope breeze suppresses the growth of BL in Beijing by imposing a relatively low thermal stable layer above the BL, which exacerbates the pollution. Two kinds of feedback during the daytime are revealed as follows: (1) as the aerosols absorb and scatter the solar radiation, the surface net radiation and sensible heat flux are decreased, while BL temperature is increased, resulting in a more stable and shallower BL, which leads to a higher surface PM2.5 concentration in the morning and (2) in the afternoon, as the presence of aerosols increases the BL temperature over plains, the upslope breeze is weakened, and the boundary layer height (BLH) over Beijing is heightened, resulting in the decrease of the surface PM2.5 concentration there.

78 FR 14530 - Combined Notice of Filings #2

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-06

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Combined Notice of Filings 2 Take notice...-000. Applicants: Prairie Breeze Wind Energy LLC. Description: Notice of Self-Certification of Exempt Wholesale Generator Status of Prairie Breeze Wind Energy LLC. Filed Date: 2/27/13. Accession Number...

Gulf Breeze, FL Lab--Office of Research and Development

EPA Pesticide Factsheets

The Gulf Breeze lab is recognized as a leader in advancing scientific knowledge concerning the effects of human-made stressors on the ecosystems of the Gulf Coast, and the impacts of those effects on the health and well-being of people and communities.

Effect of sea breeze circulation on aerosol mixing state and radiative properties in a desert setting

NASA Astrophysics Data System (ADS)

Derimian, Yevgeny; Choël, Marie; Rudich, Yinon; Deboudt, Karine; Dubovik, Oleg; Laskin, Alexander; Legrand, Michel; Damiri, Bahaiddin; Koren, Ilan; Unga, Florin; Moreau, Myriam; Andreae, Meinrat O.; Karnieli, Arnon

2017-09-01

Chemical composition, microphysical, and optical properties of atmospheric aerosol deep inland in the Negev Desert of Israel are found to be influenced by daily occurrences of sea breeze flow from the Mediterranean Sea. Abrupt increases in aerosol volume concentration and shifts of size distributions towards larger sizes, which are associated with increase in wind speed and atmospheric water content, were systematically recorded during the summertime at a distance of at least 80 km from the coast. Chemical imaging of aerosol samples showed an increased contribution of highly hygroscopic particles during the intrusion of the sea breeze. Besides a significant fraction of marine aerosols, the amount of internally mixed marine and mineral dust particles was also increased during the sea breeze period. The number fraction of marine and internally mixed particles during the sea breeze reached up to 88 % in the PM1-2. 5 and up to 62 % in the PM2. 5-10 size range. Additionally, numerous particles with residuals of liquid coating were observed by SEM/EDX analysis. Ca-rich dust particles that had reacted with anthropogenic nitrates were evidenced by Raman microspectroscopy. The resulting hygroscopic particles can deliquesce at very low relative humidity. Our observations suggest that aerosol hygroscopic growth in the Negev Desert is induced by the daily sea breeze arrival. The varying aerosol microphysical and optical characteristics perturb the solar and thermal infrared radiations. The changes in aerosol properties induced by the sea breeze, relative to the background situation, doubled the shortwave radiative cooling at the surface (from -10 to -20.5 W m-2) and increased by almost 3 times the warming of the atmosphere (from 5 to 14 W m-2), as evaluated for a case study. Given the important value of observed liquid coating of particles, we also examined the possible influence of the particle homogeneity assumption on the retrieval of aerosol microphysical characteristics. The tests suggest that sensitivity to the coating appears if backward scattering and polarimetric measurements are available for the inversion algorithm. This may have an important implication for retrievals of aerosol microphysical properties in remote sensing applications.

On the use of GPS tomography to investigate water vapor variability during a Mistral/sea breeze event in southeastern France

NASA Astrophysics Data System (ADS)

Bastin, Sophie; Champollion, Cédric; Bock, Olivier; Drobinski, Philippe; Masson, Frédéric

2005-03-01

Global Positioning System (GPS) tomography analyses of water vapor, complemented by high-resolution numerical simulations are used to investigate a Mistral/sea breeze event in the region of Marseille, France, during the ESCOMPTE experiment. This is the first time GPS tomography has been used to validate the three-dimensional water vapor concentration from numerical simulation, and to analyze a small-scale meteorological event. The high spatial and temporal resolution of GPS analyses provides a unique insight into the evolution of the vertical and horizontal distribution of water vapor during the Mistral/sea-breeze transition.

Identification of the Sea-Land Breeze Event and Influence to the Convective Activities on the Coast of Deli Serdang

NASA Astrophysics Data System (ADS)

Saragih, I. J. A.; Putra, A. W.; Nugraheni, I. R.; Rinaldy, N.; Yonas, B. W.

2017-12-01

Located close to the sea indicates that there are influences of the sea-land breeze circulation on the weather condition in Deli Serdang. The purpose of this study is to simulate sea-land breeze occurrence and its influence on the convective activities in Deli Serdang. The research area covers the area of Deli Serdang Regency and the surrounding ocean region in the coordinates 02°57‧-03°16‧N & 98°33‧-99°27‧E where Kualanamu Meteorological Station is the centre of the research area at coordinate 03°34‧N & 98°44‧E and the elevation about 27MAMSL. The research time is a day with the highest rainfall in the highest peak rainy month. The raw data consist of the Himawari-8 satellite image from BMKG, FNL (Final Analysis) data from http://rda.ucar.edu, and meteorological observation data from Kualanamu Meteorology Station. This study indicates that WRF-ARW can simulate the sea-land breeze occurrence on the coast of Deli Serdang well. The existence of the convective index cover in the convergence area proves the sea-land breeze occurred in the coast of Deli Serdang can form the convergence area as the interacted result with the wind from other directions that support convective activities.

Impacts of the land-lake breeze of the Volta reservoir on the diurnal cycle of cloudiness and precipitation

NASA Astrophysics Data System (ADS)

Buchholz, Marcel; Fink, Andreas H.; Knippertz, Peter; Yorke, Charles

2017-04-01

Lake Volta in Ghana is the artificial lake on Earth with the largest surface area (8502 km2). It has been constructed in the early 1960s, with the lake being filled around 1966. Land-lake breezes and their effects on the diurnal cycle of local wind systems, cloudiness, and precipitation have been studied for several tropical lakes, among which studies on the effects of Lake Victoria in East Africa are one of the most perceived ones. To date, no studies on the strengths and effects of the land-lake breeze of the Volta reservoir are known to the authors. Using surface station data, a variety of satellite data on clouds and precipitation, and a convection-resolving regional model, the land-lake breeze and its impacts were studied for Lake Volta between 1998 and 2015. The observational data sets confirm a significant land-lake circulation. The only manned weather station operated by the Ghana Meteorological Service that is situated at the lake is Kete Krachi. Hourly observations for 2006 and 2014 show on several days a clearing of skies in the afternoon associated with a shift in the surface winds from southwest to southeast, the latter potentially indicating a lake breeze effect. Cloud occurrence frequency derived from the CLARA-A2, MODIS, and CLAAS2 cloud masks and the cloud physical properties from CLAAS2 clearly show the development of clouds at the lake breeze front in the course of the morning and around mid-day. This effect is most pronounced in March when also the difference between the surface temperatures of the lake and the desiccated land surface is strongest. During the peak of the wet season in July, the lake breeze cloudiness is masked by a high background cloudiness and likely also weaker due to the strong southwesterly monsoon flow that tends to weaken the land-lake circulation. However, the precipitation signal was found to be strongest in July, most probably due to the fact that in boreal fall, winter and spring, the lake breeze cloudiness often fails to develop into afternoon showers or thunderstorms, or if, they are short-lived with substantial below-cloud evaporation. Two cases in 2007 and 2014 were synoptically analyzed with weather charts and modeled using the COSMO model, the current regional operational weather forecasting model of the German Weather Service (DWD). The COSMO experiments with and without the lake were integrated for 48 hours at convection-resolving resolution of 2.8 km. Initial and boundary conditions were taken from ECWMF operational analysis. Model results confirm the development of the daytime lake breeze and suggest that the existence of the lake has substantially changed the local circulation, cloudiness and precipitation regime. Our results imply a significant impact of the artificial lake on the local climate and ecosystems that warrants further study.

78 FR 39062 - Requested Administrative Waiver of the Coastwise Trade Laws: Vessel SEA BREEZE 27; Invitation for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-28

... DEPARTMENT OF TRANSPORTATION Maritime Administration [Docket No. MARAD-2013 0079] Requested Administrative Waiver of the Coastwise Trade Laws: Vessel SEA BREEZE 27; Invitation for Public Comments AGENCY....gov . SUPPLEMENTARY INFORMATION: As described by the applicant the intended service of the vessel SEA...

Soil Moisture, Coastline Curvature, and Sea Breeze Initiated Precipitation Over Florida

NASA Technical Reports Server (NTRS)

Baker, R. David; Lynn, Barry H.; Boone, Aaron; Tao, Wei-Kuo

1999-01-01

Land surface-atmosphere interaction plays a key role in the development of summertime convection and precipitation over the Florida peninsula. Land-ocean temperature contrasts induce sea-breeze circulations along both coasts. Clouds develop along sea-breeze fronts, and significant precipitation can occur during the summer months. However, other factors such as soil moisture distribution and coastline curvature may modulate the timing, location, and intensity of sea breeze initiated precipitation. Here, we investigate the role of soil moisture and coastline curvature on Florida precipitation using the 3-D Goddard Cumulus Ensemble (GCE) cloud model coupled with the Parameterization for Land-Atmosphere-Cloud Exchange (PLACE) land surface model. This study utilizes data from the Convection and Precipitation Electrification Experiment (CaPE) collected on 27 July 1991. Our numerical simulations suggest that a realistic distribution of soil moisture influences the location and intensity of precipitation but not the timing of precipitation. In contrast, coastline curvature affects the timing and location of precipitation but has little influence on peak rainfall rates. However, both factors (soil moisture and coastline curvature) are required to fully account for observed rainfall amounts.

A morning transition case between the land and the sea breeze regimes

NASA Astrophysics Data System (ADS)

Jiménez, Maria A.; Simó, Gemma; Wrenger, Burkhard; Telisman-Prtenjak, Maja; Guijarro, Jose A.; Cuxart, Joan

2015-04-01

To better understand the diurnal cycle of the Sea-Breeze (SB) in the island of Mallorca, during September 2013 the Mallorca Sea Breeze experimental field campaign (MSB13) took place in the Campos basin (located in the south side of the island). Measurements in the lower boundary layer (captive balloon and multicopter) and close to the surface were taken in a site close to the coast (500m inland). In this work an observed morning transition of the SB is further analysed through the observations and a high-resolution mesoscale simulation of this selected case. With the combined inspection of model results and observations, it is found that during the night-time the air flows out of the island: a land-breeze is found near the coast and downslope winds at the mountain slopes. After sunrise and during the previous phase (0600-0800 UTC) the temperature difference between land and sea is reduced meanwhile the wind has the land-breeze direction. During the preparatory phase (0800-1000 UTC) the land surface temperature is warmer than the sea and the wind weakens and veers towards the SB direction. Finally, during the development phase (1000-1200 UTC) the SB front propagates through the center of the Campos basin to the end of the basin, enhanced by the mountain upslope winds. Therefore, the radiative warming stops. The temperature, momentum and TKE budgets are used to understand the most relevant physical processes involved in each of the phases.

Impact of Bay-Breeze Circulations on Surface Air Quality and Boundary Layer Export

NASA Technical Reports Server (NTRS)

Loughner, Christopher P.; Tzortziou, Maria; Follette-Cook, Melanie; Pickering, Kenneth E.; Goldberg, Daniel; Satam, Chinmay; Weinheimer, Andrew; Crawford, James H.; Knapp, David J.; Montzka, Denise D.;

Nearshore Coastal Dynamics on a Sea-Breeze Dominated Micro-Tidal Beach (NCSAL)

NASA Astrophysics Data System (ADS)

Torres-Freyermuth, A.; Puleo, J. A.; Ruiz de Alegría-Arzaburu, A.; Figlus, J.; Mendoza, T.; Pintado-Patino, J. C.; Pieterse, A.; Chardon-Maldonado, P.; DiCosmo, N. R.; Wellman, N.; Garcia-Nava, H.; Palemón-Arcos, L.; Roberts, T.; López-González, J.; Bravo, M.; Ojeda, E.; Medellín, G.; Appendini, C. M.; Figueroa, B.; González-Leija, M.; Enriquez, C.; Pedrozo-Acuña, A.; Salles, P.

2014-12-01

A comprehensive field experiment devoted to the study of coastal processes on a micro-tidal beach was conducted from March 30th to April 12th 2014 in Sisal, Yucatán México. Wave conditions in the study area are controlled by local (i.e., sea-breezes) and meso-scale (i.e., Nortes) meteorological events. Simultaneous measurements of waves, tides, winds, currents, sediment transport, runup, and beach morphology were obtained in this experiment. Very dense nearshore instrumentation arrays allow us the study of the cross-/along- shore variability of surf/swash zone dynamics during different forcing conditions. Strong sea-breeze wind events produced a diurnal cycle with a maximum wind speed of 14 m/s. The persistent sea-breeze system forces small-amplitude (Hs<1 m) short-period (Tp<4 s) NE waves approaching with a high incidence wave angle. These wave conditions drive westward alongshore currents of up to 0.6 m/s in the inner surf zone and hence produce an active sediment transport in the swash zone. On the other hand, the more energetic (Hs>1 m) Norte event, lasting 48 hours, reached the coast on April 8th generating a long-period swell (Tp>10 s) arriving from the NNW. This event induced an eastward net sediment transport across a wide surf zone. However, long-term observations of sand impoundment at a groin located near the study area suggests that the net sediment transport in the northern Yucatan peninsula is controlled by sea-breeze events and hence swash zone dynamics play an important role in the net sediment budget of this region. A comparative study of surf and swash zone dynamics during both sea-breeze and Norte events will be presented. The Institute of Engineering of UNAM, throughout an International Collaborative Project with the University of Delaware, and CONACYT (CB-167692) provided financial support. The first author acknowledges ONR Global for providing financial support throughout the Visiting Scientist Program.

Land Breeze and Thermals: A Scale Threshold to Distinguish Their Effects

Treesearch

Yongqiang Liu

2005-01-01

Land breeze is a type of mesoscale circulation developed due to thermal forcing over a heterogeneous landscape. It can contribute to atmospheric dynamic and hydrologic processes through affecting heat and water fluxes on the land-atmosphere interface and generating shallow convective precipitation. If the scale of the landscape heterogeneity is smaller than a certain...

Diurnal Course of Evaporation From the Dead Sea in Summer: A Distinct Double Peak Induced by Solar Radiation and Night Sea Breeze

NASA Astrophysics Data System (ADS)

Lensky, N. G.; Lensky, I. M.; Peretz, A.; Gertman, I.; Tanny, J.; Assouline, S.

2018-01-01

Partitioning between the relative effects of the radiative and aerodynamic components of the atmospheric forcing on evaporation is challenging since diurnal distributions of wind speed and solar radiation typically overlap. The Dead Sea is located about a 100 km off the Eastern Mediterranean coast, where and the Mediterranean Sea breeze front reaches it after sunset. Therefore, in the Dead Sea the peaks of solar radiation and wind speed diurnal cycles in the Dead Sea are distinctly separated in time, offering a unique opportunity to distinguish between their relative impacts on evaporation. We present mid-summer eddy covariance and meteorological measurements of evaporation rate and surface energy fluxes over the Dead Sea. The evaporation rate is characterized by a clear diurnal cycle with a daytime peak, few hours after solar radiation peak, and a nighttime peak coincident with wind speed peak. Evaporation rate is minimum during sunrise and sunset. Measurements of evaporation rate from two other water bodies that are closer to the Mediterranean coast, Eshkol Reservoir, and Lake Kinneret, present a single afternoon peak, synchronous with the sea breeze. The inland diurnal evaporation rate cycle varies with the distance from the Mediterranean coast, following the propagation of sea breeze front: near the coast, wind speed, and radiation peaks are close and consequently a single daily evaporation peak appears in the afternoon; at the Dead Sea, about a 100 km inland, the sea breeze front arrives at sunset, resulting in a diurnal evaporation cycle characterized by a distinct double peak.

Utilizing TRMM to Analyze Sea Breeze Thunderstorm Patterns During El Nino Southern Oscillations and Their Effects upon Available Fresh Water for South Florida Agricultural Planning and Management

NASA Technical Reports Server (NTRS)

Cooley, Clayton; Billiot, Amanda; Lee, Lucas; McKee, Jake

2010-01-01

Water is in high demand for farmers regardless of where you go. Unfortunately, farmers in southern Florida have fewer options for water supplies than public users and are often limited to using available supplies from surface and ground water sources which depend in part upon variable weather patterns. There is an interest by the agricultural community about the effect weather has on usable surface water, however, research into viable weather patterns during La Nina and El Nino has yet to be researched. Using rainfall accumulation data from NASA Tropical Rainfall Measurement Mission (TRMM) satellite, this project s purpose was to assess the influence of El Nino and La Nina Oscillations on sea breeze thunderstorm patterns, as well as general rainfall patterns during the summer season in South Florida. Through this research we were able to illustrate the spatial and temporal variations in rainfall accumulation for each oscillation in relation to major agricultural areas. The study period for this project is from 1998, when TRMM was first launched, to 2009. Since sea breezes in Florida typically occur in the months of May through October, these months were chosen to be the months of the study. During this time, there were five periods of El Nino and two periods of La Nina, with a neutral period separating each oscillation. In order to eliminate rainfall from systems other than sea breeze thunderstorms, only days that were conducive to the development of a sea breeze front were selected.

Remote sensing of PBL meteorology and air quality: the outcome of the ESCOMPTE experiment

NASA Astrophysics Data System (ADS)

Drobinski, P.

2008-05-01

In the French Mediterranean basin, the large city of Marseille and its industrialized suburbs (oil plants in the Fos-Berre area) are major pollutant sources which cause frequent and hazardous pollution episodes especially in summer when intense solar heating enhances the photochemical activity and when sea-breeze circulation redistributes pollutants further north in the countryside. This paper summarizes the findings of five years of research on the sea-breeze in southeastern France and related mesoscale transport and dilution of pollutants within the ESCOMPTE program held in June and July 2001 (field experiment to constraint models of atmospheric pollution and emissions transport), obtained thanks to a composite observing system and a combination of remote sensing and in situ systems which produced a wealth of data. Indeed, the combination of established and novel and highly sophisticated remote sensing instruments with conventional in situ measurements (dense surface network and radiosondes) allowed to capture previously unseen details of the fine structure of the sea breeze, allowed unprecedented insight into the structure of the sea breeze flow and its contribution to ozone redistribution and allowed the validation of ultrahigh-resolution numerical research and weather prediction models as well as chemistry transport models.

Solar breeze power package and saucer ship

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

Veazey, S. E.

1985-11-12

A solar breeze power package having versatile sail and windmast options useful both on land and sea and especially useful in the saucer ship type design. The Vertical Axis Wind Turbine (VAWT) of the several Darrieus designs in conjunction with roll-up or permanently mounted solar cells combine in a hybrid or are used separately to provide power to a battery bank or other storage device.

The effect of multiple primary rules on cancer incidence rates and trends

PubMed Central

Weir, Hannah K.; Johnson, Christopher J.; Ward, Kevin C.; Coleman, Michel P.

2018-01-01

Purpose An examination of multiple primary cancers can provide insight into the etiologic role of genes, the environment, and prior cancer treatment on a cancer patient’s risk of developing a subsequent cancer. Different rules for registering multiple primary cancers (MP) are used by cancer registries throughout the world making data comparisons difficult. Methods We evaluated the effect of SEER and IARC/IACR rules on cancer incidence rates and trends using data from the SEER Program. We estimated age-standardized incidence rate (ASIR) and trends (1975–2011) for the top 26 cancer categories using joinpoint regression analysis. Results ASIRs were higher using SEER compared to IARC/IACR rules for all cancers combined (3 %) and, in rank order, melanoma (9 %), female breast (7 %), urinary bladder (6 %), colon (4 %), kidney and renal pelvis (4 %), oral cavity and pharynx (3 %), lung and bronchus (2 %), and non-Hodgkin lymphoma (2 %). ASIR differences were largest for patients aged 65+ years. Trends were similar using both MP rules with the exception of cancers of the urinary bladder, and kidney and renal pelvis. Conclusions The choice of multiple primary coding rules effects incidence rates and trends. Compared to SEER MP coding rules, IARC/IACR rules are less complex, have not changed over time, and report fewer multiple primary cancers, particularly cancers that occur in paired organs, at the same anatomic site and with the same or related histologic type. Cancer registries collecting incidence data using SEER rules may want to consider including incidence rates and trends using IARC/IACR rules to facilitate international data comparisons. PMID:26809509

Mesoscale model response to random, surface-based perturbations — A sea-breeze experiment

NASA Astrophysics Data System (ADS)

Garratt, J. R.; Pielke, R. A.; Miller, W. F.; Lee, T. J.

1990-09-01

The introduction into a mesoscale model of random (in space) variations in roughness length, or random (in space and time) surface perturbations of temperature and friction velocity, produces a measurable, but barely significant, response in the simulated flow dynamics of the lower atmosphere. The perturbations are an attempt to include the effects of sub-grid variability into the ensemble-mean parameterization schemes used in many numerical models. Their magnitude is set in our experiments by appeal to real-world observations of the spatial variations in roughness length and daytime surface temperature over the land on horizontal scales of one to several tens of kilometers. With sea-breeze simulations, comparisons of a number of realizations forced by roughness-length and surface-temperature perturbations with the standard simulation reveal no significant change in ensemble mean statistics, and only small changes in the sea-breeze vertical velocity. Changes in the updraft velocity for individual runs, of up to several cms-1 (compared to a mean of 14 cms-1), are directly the result of prefrontal temperature changes of 0.1 to 0.2K, produced by the random surface forcing. The correlation and magnitude of the changes are entirely consistent with a gravity-current interpretation of the sea breeze.

The role of refinery flaring events and bay breezes on a high surface ozone episode during the Houston, Texas DISCOVER-AQ field campaign

NASA Astrophysics Data System (ADS)

Loughner, C.; Follette-Cook, M. B.; Fried, A.; Pickering, K. E.

2015-12-01

The highest observed surface ozone concentrations in the Houston metropolitan area in 2013 occurred on September 25, which coincided with the Texas DISCOVER-AQ (Deriving Information on Surface Conditions from Column and Vertically Resolved Observations Relevant to Air Quality) field campaign. Surface ozone was elevated throughout the Houston metropolitan area with maximum 8-hour average ozone peaking along the western shore of Galveston Bay, reaching 124 ppbv, almost 50 ppbv above the current EPA standard of 75 ppbv. The NASA P-3B aircraft observed plumes from refinery flares west and northwest of Galveston Bay that were transported over the water. Continental air pollution from the north was transported into the Houston metropolitan area where it mixed with locally generated emissions. A bay breeze circulation formed causing pollutants that were transported out over the water in the morning to recirculate back inland where they mixed with freshly emitted pollution near the bay breeze convergence zone. The highest surface ozone concentrations were reported near the bay breeze front. This ozone episode will be presented using measurements made during the DISCOVER-AQ field campaign and a CMAQ model simulation with integrated source apportionment, which tracks the contribution of emissions source groups and regions on ozone concentrations.

The influence of the Atlantic Warm Pool on the Florida panhandle sea breeze

USGS Publications Warehouse

Misra, Vasubandhu; Moeller, Lauren; Stefanova, Lydia; Chan, Steven; O'Brien, James J.; Smith, Thomas J.; Plant, Nathaniel

2011-01-01

In this paper we examine the variations of the boreal summer season sea breeze circulation along the Florida panhandle coast from relatively high resolution (10 km) regional climate model integrations. The 23 year climatology (1979–2001) of the multidecadal dynamically downscaled simulations forced by the National Centers for Environmental Prediction–Department of Energy (NCEP-DOE) Reanalysis II at the lateral boundaries verify quite well with the observed climatology. The variations at diurnal and interannual time scales are also well simulated with respect to the observations. We show from composite analyses made from these downscaled simulations that sea breezes in northwestern Florida are associated with changes in the size of the Atlantic Warm Pool (AWP) on interannual time scales. In large AWP years when the North Atlantic Subtropical High becomes weaker and moves further eastward relative to the small AWP years, a large part of the southeast U.S. including Florida comes under the influence of relatively strong anomalous low-level northerly flow and large-scale subsidence consistent with the theory of the Sverdrup balance. This tends to suppress the diurnal convection over the Florida panhandle coast in large AWP years. This study is also an illustration of the benefit of dynamic downscaling in understanding the low-frequency variations of the sea breeze.

Analysis of Delayed Sea Breeze Onset for Fort Ord Prescribed Burning Operations

DTIC Science & Technology

2015-12-01

Gahmberg et al. (2009) provided additional detail to the synoptic flow through the Coriolis effect . All directions are as seen from the sea with...ambient flows left of the offshore direction providing the strongest opposing winds as Coriolis effects provide additional support in the offshore...support the development of the sea breeze due to Coriolis effects , the mesoscale flow at the surface is quite different. The 1600 UTC through 1900

The properties of coke breeze briquettes produced by ram briquetting

NASA Astrophysics Data System (ADS)

Loginov, Yu. N.; Babailov, N. A.; Polyansky, L. I.

2017-12-01

The paper reports on the results of briquetting coke breeze with a binder in a closed cylindrical press-die. Liquid glass is used as a binder. Approximating curves for the "compaction ratio vs. compaction pressure" dependences are plotted from experimental data. The mechanical properties of the briquettes are determined, namely, drop damage resistance and breaking stress. The results are presented as approximating dependences in the form of a power function.

A breeze-driven current on sloped littoral waters

NASA Astrophysics Data System (ADS)

Tohidi, A.; Jamali, M.

2017-12-01

Various natural phenomena, e. g. uniform/non-uniform solar radiation and diurnal cycles, affect water circulation patterns through aquatic canopies, that is (usually shallow) shorelines of the rivers, lakes, and lagoons. Amongst these factors is vegetation that, plays a crucial role in conserving and dispersing the nutrients, oxygen, temperature, and generally regulating the life and interactions of organisms with each other (ecology) in aquatic canopies. So far, however, very little attention has been paid to the effects of very low, breeze-like, winds over the water surface in these vegetated regions. In this exploratory study, the evolution of a breeze-driven gravity current traveling up the slope towards the shorelines is shown, experimentally. The flow is characterized using Particle Image Velocimetry (PIV) technique. In addition, a detailed dimensional analysis of the parameter space of the phenomenon is conducted. The results strongly corroborate the experimental observations.

Evaluation of the atmospheric model WRF on the Qatar peninsula for a converging sea-breeze event

NASA Astrophysics Data System (ADS)

Balan Sobhana, Sandeepan; Nayak, Sashikant; Panchang, Vijay

2016-04-01

Qatar, a narrow peninsula covering an area of 11437 sq km, extends northwards into the Arabian Gulf for about 160km and has a maximum width of 88km. The convex shape of the coast-line and narrowness of the peninsula results in the Qatar region experiencing complex wind patterns. The geometry is favorable for formation of the land-sea breeze from both coastal sides of the peninsula. This can lead to the development of sea breeze convergence zones in the middle of the country. Although circulations arising from diurnal thermal contrast of land and water are amongst most intensively studied meteorological phenomena, there is no reported study for the Qatar peninsula and very few studies are reported for the Arabian Gulf region as whole. It is necessary to characterize the wind field for applications such as assessing air pollution, renewable energy etc. A non-hydrostatic mesoscale model, Weather Research and Forecast (WRF) with a nested high resolution grid permits the investigation of such fine scale phenomena. Data from eighteen land based Automated Weather Stations (AWS) and two offshore buoys deployed and maintained by the Qatar Meteorological Department were analyzed. Based on the analysis a clear case of sea breeze convergence were seen on 18 September 2015. Model simulations were used to investigate the synoptic conditions associated with the formation of this event. The season is characterized by week ambient north westerly wind over the Arabian Gulf. The WRF model performance is validated using observed in-situ data. Model simulations show that vertical extent of sea breeze cell was up to 1 km and the converging sea breeze regions were characterized with high vertical velocities. The WRF simulation also revealed that with high resolution, the model is capable of reproducing the fine scale patterns accurately. The error of predictions in the inner domain (highest resolution) are found to be relatively lower than coarse resolution domain. The maximum wind speed were of the order of 9 m/s. The period of convergence lasted approximately for about 8 hours (with maximum intensity about 2 PM local time).The model winds compared favorably for all the 18 AWS stations, with better match seen for the offshore locations.

Investigation of the Mesoscale Interaction between the Sea Breeze Circulation and the Sandhills Convection

NASA Astrophysics Data System (ADS)

Sims, Aaron P.

In the Carolinas of the United States, there are two key land-surface features over which convective precipitation often forms during the summer months. These geomorphic features are the Sandhills and coastline. Along the coastline, sea-breeze circulations regularly form and are known to initiate convection. The Sandhills is a transitional zone of sandy soil surrounded by mixture of soils that include clay and loam. It extends through the central part of the Carolinas and into Georgia and is also the origin of convective storms. The two geographical features, the coastline and the Sandhills, are in regional proximity of each other and the resultant sea-breeze front and the Sandhills convection interact during summer. During this research, the investigation of the mechanism of interaction between these two features has led to the discovery of the Sandhills front, a shallow outflow density current that develops from deep convection over the Sandhills and propagates eastward toward the coast. The convergence of the Sandhills front and the sea-breeze front initiates and enhances convection between the Sandhills and the coastline. Observations during the month of June for the period 2004 to 2015 are used to evaluate the interaction between these two phenomena. On average, these interactions occur on approximately 24% of all days in June and on 36% of all days in June when synoptic scale systems are absent. Thus, the interactions between the sea-breeze and the Sandhills circulations do contribute to the precipitation in this region. Background wind speeds and directions influence the location and the strength of convection associated with this interaction. Onshore, offshore, and southwesterly flow classifications each present different strengths and locations of the interactions. Light winds ( 3 m s-1 to 6 m s-1 ) also influence the interactions differently. Observations indicate that moderate southwesterly flow has the highest total average and total maximum precipitation amounts over the region due to the advection of warm, moist air. Light offshore flow produces the highest totals of average precipitation due to opposing background winds that helps in the development of a robust sea-breeze circulation. Onshore flow produces the least amount of precipitation. The sea breeze circulation is weak in such cases, if it exists. Vertical characteristics and the variations of different defining parameters during the interactions were evaluated using numerical simulations. To improve the representation of convection in the numerical model, modifications were made to the convective parameterization scheme and the interactions were simulated using this improved version. These modifications include the addition of subgrid scale clouds in the radiation scheme, adjustments to the convective timescale, modifications to the entrainment rates, and linking of the subcloud velocity scale to the turbulent kinetic energy from the boundary layer parameterization. Modifications improved the numerical simulations of the mesoscale convection and precipitation predictions. Numerical simulations of the wind regime classifications reveal that the strength of the interaction, intensity of convection, and the location and depth of the convection and interaction are influenced by the background winds and moisture availability. Southwesterly flow regimes have the highest levels of atmospheric instability and produce widespread regional precipitation. Light offshore winds produce the strongest interactions between the sea-breeze front and the Sandhills front. Onshore flow produces the least amount of convective precipitation. In summary, mesoscale driven interaction events occur regularly during summer months in the coastal Carolinas. The principal driving mechanisms are surface-based differential heating over the Sandhills region caused by changes in soil heat capacity and the coastal sea breeze circulation. The location and intensity of these interactions are dictated by different wind regimes that regulate the strength of the interactions and moisture availability.

Urinary retention and syndrome of inappropriate antidiuretic hormone secretion (SIADH) secondary to impacted gravid uterus.

PubMed

Irani, M; Fisher, N; Mor, A; Bensinger, G

2016-06-01

Urinary retention is an emergency that rarely occurs during pregnancy. Previous case reports have suggested multiple risk factors that can cause the gravid uterus to become impacted in the pelvis leading to lower bladder or urethral compression with subsequent urinary retention. However, no cases of urinary obstruction in a pregnancy that was complicated with severe electrolyte imbalance have been reported. To our knowledge, we report the first case of a 31-year-old woman presenting at 8 weeks' gestation with acute urinary retention caused by a retroflexed, retroverted uterus with a 6-cm posterior uterine fibroid leading to syndrome of inappropriate antidiuretic hormone secretion and severe hyponatremia requiring intensive care unit admission. The cornerstones of effective management of urinary retention should include: (i) urgent bladder catheterization; (ii) assessment of sodium levels to rule out syndrome of inappropriate antidiuretic hormone secretion, and prompt treatment before neurological damage occurs; (iii) reduction of the impacted uterus; and (iv) monitoring for post-obstructive diuresis. © 2016 Japan Society of Obstetrics and Gynecology.

Impact of Biomass Burning Aerosols on Cloud Formation in Coastal Regions

NASA Astrophysics Data System (ADS)

Nair, U. S.; Wu, Y.; Reid, J. S.

2017-12-01

In the tropics, shallow and deep convective cloud structures organize in hierarchy of spatial scales ranging from meso-gamma (2-20 km) to planetary scales (40,000km). At the lower end of the spectrum is shallow convection over the open ocean, whose upscale growth is dependent upon mesoscale convergence triggers. In this context, cloud systems associated with land breezes that propagate long distances into open ocean areas are important. We utilized numerical model simulations to examine the impact of biomass burning on such cloud systems in the maritime continent, specifically along the coastal regions of Sarawak. Numerical model simulations conducted using the Weather Research and Forecasting Chemistry (WRF-Chem) model show spatial patterns of smoke that show good agreement to satellite observations. Analysis of model simulations show that, during daytime the horizontal convective rolls (HCRs) that form over land play an important role in organizing transport of smoke in the coastal regions. Alternating patterns of low and high smoke concentrations that are well correlated to the wavelengths of HCRs are found in both the simulations and satellite observations. During night time, smoke transport is modulated by the land breeze circulation and a band of enhanced smoke concentration is found along the land breeze front. Biomass burning aerosols are ingested by the convective clouds that form along the land breeze and leads to changes in total water path, cloud structure and precipitation formation.

The influence of the Atlantic Warm Pool on the Florida panhandle sea breeze

USGS Publications Warehouse

Misra, V.; Moeller, L.; Stefanova, L.; Chan, S.; O'Brien, J. J.; Smith, T.J.; Plant, N.

2011-01-01

In this paper we examine the variations of the boreal summer season sea breeze circulation along the Florida panhandle coast from relatively high resolution (10 km) regional climate model integrations. The 23 year climatology (1979-2001) of the multidecadal dynamically downscaled simulations forced by the National Centers for Environmental Prediction-Department of Energy (NCEP-DOE) Reanalysis II at the lateral boundaries verify quite well with the observed climatology. The variations at diurnal and interannual time scales are also well simulated with respect to the observations. We show from composite analyses made from these downscaled simulations that sea breezes in northwestern Florida are associated with changes in the size of the Atlantic Warm Pool (AWP) on interannual time scales. In large AWP years when the North Atlantic Subtropical High becomes weaker and moves further eastward relative to the small AWP years, a large part of the southeast U.S. including Florida comes under the influence of relatively strong anomalous low-level northerly flow and large-scale subsidence consistent with the theory of the Sverdrup balance. This tends to suppress the diurnal convection over the Florida panhandle coast in large AWP years. This study is also an illustration of the benefit of dynamic downscaling in understanding the low-frequency variations of the sea breeze. Copyright 2011 by the American Geophysical Union.

Recurrent urinary tract infections in young children: role of DMSA scintigraphy in detecting vesicoureteric reflux.

PubMed

Awais, Muhammad; Rehman, Abdul; Zaman, Maseeh Uz; Nadeem, Naila

2015-01-01

Performing micturiting cystourethrography (MCUG) in young children with recurrent urinary tract infections is controversial with discrepancy among the major guidelines. Previous studies have shown that a normal dimercaptosuccinic acid (DMSA) scintigraphy may avoid the need of performing MCUG for detecting vesicoureteric reflux in children with first febrile urinary tract infection. However, the role of DMSA for ruling out vesicoureteric reflux in children with recurrent urinary tract infections has not been studied. Approval from institutional ethical review committee was sought and the requirement of informed consent was waived. A total of 50 children under the age of 10 years with recurrent urinary tract infections underwent MCUG scan within 3 months of DMSA scan from January 2011 to September 2012 at our institution. Diagnosis of recurrent urinary tract infections and grading of vesicoureteric reflux was according to previously established standards. Abnormalities on DMSA scan - scarring, hydronephrosis and reduced differential renal function - were compared with presence of vesicoureteric reflux on MCUG. High-grade vesicoureteric reflux was noted on MCUG in 22 (44%) cases. The findings on DMSA included hydronephrosis and scarring in 25 (50%) and 25 (50%) cases, respectively. Abnormalities on DMSA scan for detecting the presence of high-grade vesicoureteric reflux on MCUG examination had sensitivity, specificity, positive and negative predictive values of 95.45%, 35.71%, 53.85% and 90.91%, respectively. The positive and negative likelihood ratios were 1.48 and 0.13 respectively. DMSA scan had high overall sensitivity and negative predictive value with a low negative likelihood ratio for ruling out high-grade vesicoureteric reflux on MCUG, which may obviate the need of invasive MCUG along with its associated drawbacks.

Land Surface Data Assimilation and the Northern Gulf Coast Land/Sea Breeze

NASA Technical Reports Server (NTRS)

Lapenta, William M.; Blackwell, Keith; Suggs, Ron; McNider, Richard T.; Jedlovec, Gary; Kimball, Sytske; Arnold, James E. (Technical Monitor)

2002-01-01

A technique has been developed for assimilating GOES-derived skin temperature tendencies and insolation into the surface energy budget equation of a mesoscale model so that the simulated rate of temperature change closely agrees with the satellite observations. A critical assumption of the technique is that the availability of moisture (either from the soil or vegetation) is the least known term in the model's surface energy budget. Therefore, the simulated latent heat flux, which is a function of surface moisture availability, is adjusted based upon differences between the modeled and satellite observed skin temperature tendencies. An advantage of this technique is that satellite temperature tendencies are assimilated in an energetically consistent manner that avoids energy imbalances and surface stability problems that arise from direct assimilation of surface shelter temperatures. The fact that the rate of change of the satellite skin temperature is used rather than the absolute temperature means that sensor calibration is not as critical. The sea/land breeze is a well-documented mesoscale circulation that affects many coastal areas of the world including the northern Gulf Coast of the United States. The focus of this paper is to examine how the satellite assimilation technique impacts the simulation of a sea breeze circulation observed along the Mississippi/Alabama coast in the spring of 2001. The technique is implemented within the PSU/NCAR MM5 V3-4 and applied on a 4-km domain for this particular application. It is recognized that a 4-km grid spacing is too coarse to explicitly resolve the detailed, mesoscale structure of sea breezes. Nevertheless, the model can forecast certain characteristics of the observed sea breeze including a thermally direct circulation that results from differential low-level heating across the land-sea interface. Our intent is to determine the sensitivity of the circulation to the differential land surface forcing produced via the assimilation of GOES skin temperature tendencies. Results will be quantified through statistical verification techniques.

Application of Land Surface Data Assimilation to Simulations of Sea Breeze Circulations

NASA Technical Reports Server (NTRS)

Mackaro, Scott; Lapenta, William M.; Blackwell, Keith; Suggs, Ron; McNider, Richard T.; Jedlovec, Gary; Kimball, Sytske

2003-01-01

A technique has been developed for assimilating GOES-derived skin temperature tendencies and insolation into the surface energy budget equation of a mesoscale model so that the simulated rate of temperature change closely agrees with the satellite observations. A critical assumption of the technique is that the availability of moisture (either from the soil or vegetation) is the least known term in the model's surface energy budget. Therefore, the simulated latent heat flux, which is a function of surface moisture availability, is adjusted based upon differences between the modeled and satellite- observed skin temperature tendencies. An advantage of this technique is that satellite temperature tendencies are assimilated in an energetically consistent manner that avoids energy imbalances and surface stability problems that arise from direct assimilation of surface shelter temperatures. The fact that the rate of change of the satellite skin temperature is used rather than the absolute temperature means that sensor calibration is not as critical. The sea/land breeze is a well-documented mesoscale circulation that affects many coastal areas of the world including the northern Gulf Coast of the United States. The focus of this paper is to examine how the satellite assimilation technique impacts the simulation of a sea breeze circulation observed along the Mississippi/Alabama coast in the spring of 2001. The technique is implemented within the PSUNCAR MM5 V3-5 and applied at spatial resolutions of 12- and 4-km. It is recognized that even 4-km grid spacing is too coarse to explicitly resolve the detailed, mesoscale structure of sea breezes. Nevertheless, the model can forecast certain characteristics of the observed sea breeze including a thermally direct circulation that results from differential low-level heating across the land-sea interface. Our intent is to determine the sensitivity of the circulation to the differential land surface forcing produced via the assimilation of GOES skin temperature tendencies. Results will be quantified through statistical verification techniques.

Nearshore circulation on a sea breeze dominated beach during intense wind events

NASA Astrophysics Data System (ADS)

Torres-Freyermuth, Alec; Puleo, Jack A.; DiCosmo, Nick; Allende-Arandía, Ma. Eugenia; Chardón-Maldonado, Patricia; López, José; Figueroa-Espinoza, Bernardo; de Alegria-Arzaburu, Amaia Ruiz; Figlus, Jens; Roberts Briggs, Tiffany M.; de la Roza, Jacobo; Candela, Julio

2017-12-01

A field experiment was conducted on the northern Yucatan coast from April 1 to April 12, 2014 to investigate the role of intense wind events on coastal circulation from the inner shelf to the swash zone. The study area is characterized by a micro-tidal environment, low-energy wave conditions, and a wide and shallow continental shelf. Furthermore, easterly trade winds, local breezes, and synoptic-scale events, associated with the passage of cold-fronts known as Nortes, are ubiquitous in this region. Currents were measured concurrently at different cross-shore locations during both local and synoptic-scale intense wind events to investigate the influence of different forcing mechanisms (i.e., large-scale currents, winds, tides, and waves) on the nearshore circulation. Field observations revealed that nearshore circulation across the shelf is predominantly alongshore-directed (westward) during intense winds. However, the mechanisms responsible for driving instantaneous spatial and temporal current variability depend on the weather conditions and the across-shelf location. During local strong sea breeze events (W > 10 m s-1 from the NE) occurring during spring tide, westward circulation is controlled by the tides, wind, and waves at the inner-shelf, shallow waters, and inside the surf/swash zone, respectively. The nearshore circulation is relaxed during intense land breeze events (W ≈ 9 m s-1 from the SE) associated with the low atmospheric pressure system that preceded a Norte event. During the Norte event (Wmax≈ 15 m s-1 from the NNW), westward circulation dominated outside the surf zone and was correlated to the Yucatan Current, whereas wave breaking forces eastward currents inside the surf/swash zone. The latter finding implies the existence of large alongshore velocity shear at the offshore edge of the surf zone during the Norte event, which enhances mixing between the surf zone and the inner shelf. These findings suggest that both sea breezes and Nortes play an important role in sediment and pollutant transport along/across the nearshore of the Yucatan shelf.

Florida Agriculture - Utilizing TRMM to Analyze Sea Breeze Thunderstorm Patterns During El Nino Southern Oscillations and Their Effects Upon Available Fresh Water for South Florida Agricultural Planning and Management

NASA Technical Reports Server (NTRS)

Billiot, Amanda; Lee, Lucas; McKee, Jake; Cooley, Zachary Clayton; Mitchell, Brandie

2010-01-01

This project utilizes Tropical Rainfall Measuring Mission (TRMM) and Landsat satellite data to assess the impact of sea breeze precipitation upon areas of agricultural land use in southern Florida. Water is a critical resource to agriculture, and the availability of water for agricultural use in Florida continues to remain a key issue. Recent projections of statewide water use by 2020 estimate that 9.3 billion gallons of water per day will be demanded, and agriculture represents 47% of this demand (Bronson 2003). Farmers have fewer options for water supplies than public users and are often limited to using available supplies from surface and ground water sources which depend in part upon variable weather patterns. Sea breeze thunderstorms are responsible for much of the rainfall delivered to Florida during the wet season (May-October) and have been recognized as an important overall contributor of rainfall in southern Florida (Almeida 2003). TRMM satellite data was used to analyze how sea breeze-induced thunderstorms during El Nino and La Nina affected interannual patterns of precipitation in southern Florida from 1998-2009. TRMM's Precipitation Radar and Microwave Imager provide data to quantify water vapor in the atmosphere, precipitation rates and intensity, and the distribution of precipitation. Rainfall accumulation data derived from TRMM and other microwave sensors were used to analyze the temporal and spatial variations of rainfall during each phase of the El Nino Southern Oscillation (ENSO). Through the use of TRMM and Landsat, slight variations were observed, but it was determined that neither sea breeze nor total rainfall patterns in South Florida were strongly affected by ENSO during the study period. However, more research is needed to characterize the influence of ENSO on summer weather patterns in South Florida. This research will provide the basis for continued observations and study with the Global Precipitation Measurement Mission.

Evaluation of weather research and forecasting model parameterizations under sea-breeze conditions in a North Sea coastal environment

NASA Astrophysics Data System (ADS)

Salvador, Nadir; Reis, Neyval Costa; Santos, Jane Meri; Albuquerque, Taciana Toledo de Almeida; Loriato, Ayres Geraldo; Delbarre, Hervé; Augustin, Patrick; Sokolov, Anton; Moreira, Davidson Martins

2016-12-01

Three atmospheric boundary layer (ABL) schemes and two land surface models that are used in the Weather Research and Forecasting (WRF) model, version 3.4.1, were evaluated with numerical simulations by using data from the north coast of France (Dunkerque). The ABL schemes YSU (Yonsei University), ACM2 (Asymmetric Convective Model version 2), and MYJ (Mellor-Yamada-Janjic) were combined with two land surface models, Noah and RUC (Rapid Update Cycle), in order to determine the performances under sea-breeze conditions. Particular attention is given in the determination of the thermal internal boundary layer (TIBL), which is very important in air pollution scenarios. The other physics parameterizations used in the model were consistent for all simulations. The predictions of the sea-breeze dynamics output from the WRF model were compared with observations taken from sonic detection and ranging, light detection and ranging systems and a meteorological surface station to verify that the model had reasonable accuracy in predicting the behavior of local circulations. The temporal comparisons of the vertical and horizontal wind speeds and wind directions predicted by the WRF model showed that all runs detected the passage of the sea-breeze front. However, except for the combination of MYJ and Noah, all runs had a time delay compared with the frontal passage measured by the instruments. The proposed study shows that the synoptic wind attenuated the intensity and penetration of the sea breeze. This provided changes in the vertical mixing in a short period of time and on soil temperature that could not be detected by the WRF model simulations with the computational grid used. Additionally, among the tested schemes, the combination of the localclosure MYJ scheme with the land surface Noah scheme was able to produce the most accurate ABL height compared with observations, and it was also able to capture the TIBL.

Hospitalization for community-acquired febrile urinary tract infection: validation and impact assessment of a clinical prediction rule.

PubMed

Stalenhoef, Janneke E; van der Starre, Willize E; Vollaard, Albert M; Steyerberg, Ewout W; Delfos, Nathalie M; Leyten, Eliane M S; Koster, Ted; Ablij, Hans C; Van't Wout, Jan W; van Dissel, Jaap T; van Nieuwkoop, Cees

2017-06-06

There is a lack of severity assessment tools to identify adults presenting with febrile urinary tract infection (FUTI) at risk for complicated outcome and guide admission policy. We aimed to validate the Prediction Rule for Admission policy in Complicated urinary Tract InfeCtion LEiden (PRACTICE), a modified form of the pneumonia severity index, and to subsequentially assess its use in clinical practice. A prospective observational multicenter study for model validation (2004-2009), followed by a multicenter controlled clinical trial with stepped wedge cluster-randomization for impact assessment (2010-2014), with a follow up of 3 months. Paricipants were 1157 consecutive patients with a presumptive diagnosis of acute febrile UTI (787 in validation cohort and 370 in the randomized trial), enrolled at emergency departments of 7 hospitals and 35 primary care centers in the Netherlands. The clinical prediction rule contained 12 predictors of complicated course. In the randomized trial the PRACTICE included guidance on hospitalization for high risk (>100 points) and home discharge for low risk patients (<75 points), in the control period the standard policy regarding hospital admission was applied. Main outcomes were effectiveness of the clinical prediction rule, as measured by primary hospital admission rate, and its safety, as measured by the rate of low-risk patients who needed to be hospitalized for FUTI after initial home-based treatment, and 30-day mortality. A total of 370 patients were included in the randomized trial, 237 in the control period and 133 in the intervention period. Use of PRACTICE significantly reduced the primary hospitalization rate (from 219/237, 92%, in the control group to 96/133, 72%, in the intervention group, p < 0.01). The secondary hospital admission rate after initial outpatient treatment was 6% in control patients and 27% in intervention patients (1/17 and 10/37; p < 0.001). Although the proposed PRACTICE prediction rule is associated with a lower number of hospital admissions of patients presenting to the ED with presumptive febrile urinary tract infection, futher improvement is necessary to reduce the occurrence of secondary hospital admissions. NTR4480 http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4480 , registered retrospectively 25 mrt 2014 (during enrollment of subjects).

Rule-Mining for the Early Prediction of Chronic Kidney Disease Based on Metabolomics and Multi-Source Data

PubMed Central

Luck, Margaux; Bertho, Gildas; Bateson, Mathilde; Karras, Alexandre; Yartseva, Anastasia; Thervet, Eric

2016-01-01

1H Nuclear Magnetic Resonance (NMR)-based metabolic profiling is very promising for the diagnostic of the stages of chronic kidney disease (CKD). Because of the high dimension of NMR spectra datasets and the complex mixture of metabolites in biological samples, the identification of discriminant biomarkers of a disease is challenging. None of the widely used chemometric methods in NMR metabolomics performs a local exhaustive exploration of the data. We developed a descriptive and easily understandable approach that searches for discriminant local phenomena using an original exhaustive rule-mining algorithm in order to predict two groups of patients: 1) patients having low to mild CKD stages with no renal failure and 2) patients having moderate to established CKD stages with renal failure. Our predictive algorithm explores the m-dimensional variable space to capture the local overdensities of the two groups of patients under the form of easily interpretable rules. Afterwards, a L2-penalized logistic regression on the discriminant rules was used to build predictive models of the CKD stages. We explored a complex multi-source dataset that included the clinical, demographic, clinical chemistry, renal pathology and urine metabolomic data of a cohort of 110 patients. Given this multi-source dataset and the complex nature of metabolomic data, we analyzed 1- and 2-dimensional rules in order to integrate the information carried by the interactions between the variables. The results indicated that our local algorithm is a valuable analytical method for the precise characterization of multivariate CKD stage profiles and as efficient as the classical global model using chi2 variable section with an approximately 70% of good classification level. The resulting predictive models predominantly identify urinary metabolites (such as 3-hydroxyisovalerate, carnitine, citrate, dimethylsulfone, creatinine and N-methylnicotinamide) as relevant variables indicating that CKD significantly affects the urinary metabolome. In addition, the simple knowledge of the concentration of urinary metabolites classifies the CKD stage of the patients correctly. PMID:27861591

Regional transport and dilution during high-pollution episodes in southern France: Summary of findings from the Field Experiment to Constraint Models of Atmospheric Pollution and Emissions Transport (ESCOMPTE)

NASA Astrophysics Data System (ADS)

Drobinski, P.; SaïD, F.; Ancellet, G.; Arteta, J.; Augustin, P.; Bastin, S.; Brut, A.; Caccia, J. L.; Campistron, B.; Cautenet, S.; Colette, A.; Coll, I.; Corsmeier, U.; Cros, B.; Dabas, A.; Delbarre, H.; Dufour, A.; Durand, P.; GuéNard, V.; Hasel, M.; Kalthoff, N.; Kottmeier, C.; Lasry, F.; Lemonsu, A.; Lohou, F.; Masson, V.; Menut, L.; Moppert, C.; Peuch, V. H.; Puygrenier, V.; Reitebuch, O.; Vautard, R.

2007-07-01

In the French Mediterranean basin the large city of Marseille and its industrialized suburbs (oil plants in the Fos-Berre area) are major pollutant sources that cause frequent and hazardous pollution episodes, especially in summer when intense solar heating enhances the photochemical activity and when the sea breeze circulation redistributes pollutants farther north in the countryside. This paper summarizes the findings of 5 years of research on the sea breeze in southern France and related mesoscale transport and dilution of pollutants within the Field Experiment to Constraint Models of Atmospheric Pollution and Emissions Transport (ESCOMPTE) program held in June and July 2001. This paper provides an overview of the experimental and numerical challenges identified before the ESCOMPTE field experiment and summarizes the key findings made in observation, simulation, and theory. We specifically address the role of large-scale atmospheric circulation to local ozone vertical distribution and the mesoscale processes driving horizontal advection of pollutants and vertical transport and mixing via entrainment at the top of the sea breeze or at the front and venting along the sloped terrain. The crucial importance of the interactions between processes of various spatial and temporal scales is thus highlighted. The advances in numerical modeling and forecasting of sea breeze events and ozone pollution episodes in southern France are also underlined. Finally, we conclude and point out some open research questions needing further investigation.

Bladder rupture caused by postpartum urinary retention.

PubMed

Dueñas-García, Omar Felipe; Rico, Hugo; Gorbea-Sanchez, Viridiana; Herrerias-Canedo, Tomas

2008-08-01

Postpartum bladder rupture is an uncommon surgical emergency and a diagnostic challenge. A primigravida delivered a healthy newborn without complications at 39.4 weeks of gestation. The patient was admitted 80 hours postpartum with abdominal pain, oliguria, hematuria, and pain that worsened during the previous 4 hours. An inserted Foley catheter drained only a small amount of urine, and serum creatinine was elevated (3.5 mg/dL). A laparotomy was performed and revealed a 10-cm hole in the urinary bladder. The bladder was repaired and the patient was discharged 15 days after surgery. The follow-up cystoscopy revealed adequate healing of the bladder. Urinary retention can lead to serious complications, including bladder rupture. Postpartum bladder rupture due to urinary retention should be ruled out if there is a history of abdominal pain, oliguria, and elevated of serum creatinine.

Urinary metabolic profiling of asymptomatic acute intermittent porphyria using a rule-mining-based algorithm.

PubMed

Luck, Margaux; Schmitt, Caroline; Talbi, Neila; Gouya, Laurent; Caradeuc, Cédric; Puy, Hervé; Bertho, Gildas; Pallet, Nicolas

2018-01-01

Metabolomic profiling combines Nuclear Magnetic Resonance spectroscopy with supervised statistical analysis that might allow to better understanding the mechanisms of a disease. In this study, the urinary metabolic profiling of individuals with porphyrias was performed to predict different types of disease, and to propose new pathophysiological hypotheses. Urine 1 H-NMR spectra of 73 patients with asymptomatic acute intermittent porphyria (aAIP) and familial or sporadic porphyria cutanea tarda (f/sPCT) were compared using a supervised rule-mining algorithm. NMR spectrum buckets bins, corresponding to rules, were extracted and a logistic regression was trained. Our rule-mining algorithm generated results were consistent with those obtained using partial least square discriminant analysis (PLS-DA) and the predictive performance of the model was significant. Buckets that were identified by the algorithm corresponded to metabolites involved in glycolysis and energy-conversion pathways, notably acetate, citrate, and pyruvate, which were found in higher concentrations in the urines of aAIP compared with PCT patients. Metabolic profiling did not discriminate sPCT from fPCT patients. These results suggest that metabolic reprogramming occurs in aAIP individuals, even in the absence of overt symptoms, and supports the relationship that occur between heme synthesis and mitochondrial energetic metabolism.

Investigation of mesoscale precipitation processes in the Carolinas using a radar-based climatology

NASA Astrophysics Data System (ADS)

Boyles, Ryan Patrick

The complex topography, shoreline, soils, and land use patterns makes the Carolinas a unique location to study mesoscale processes. Using gage-calibrated radar estimates and a series of numerical model simulations, warm season mesoscale precipitation patterns are analyzed over the Carolinas. Gage-calibrated radar precipitation estimates are compared with surface gage observations. Stage IV estimates generally compared better than Stage II estimates, but some Stage II and Stage IV estimates have gross errors during autumn, winter, and spring seasons. Analysis of days when sea breeze is observed suggests that sea breeze induced precipitation occurs on nearly 40% of days in June, July, and August, but only 18% in May and 6% of days in April. Precipitation on days with sea breeze convection can contribute to over 50% of seasonal precipitation. Rainfall associated with sea breeze is generally maximized along east-facing shores 10-20 km inland, and minimized along south-facing shores in North Carolina. The shape of the shoreline along Cape Fear is associated with a local precipitation maximum that may be caused by the convergence of two sea breeze fronts from the south and east shores. Differential heating associated with contrasting soils along the Carolina Sandhills is suggested as a mechanism for enhancement in local precipitation. A high-resolution summer precipitation climatology suggests that precipitation is enhanced along the Sandhills region in both wet and dry years. Analysis of four numerical simulations suggests that contrasts in soils over the Carolinas Sandhills dominates over vegetation contrasts to produce heat flux gradients and a convergence zone along the sand-to-clay transition. Orographically induced precipitation is consistently observed in the summer, and appears to be isolated along windward slopes at 20km--40km from the ridge line. Amounts over external ridges are generally 50-100% higher than amounts observed over the foothills. Precipitation amounts over interior ridges and valleys are lower than observed on exterior ridges and are similar to values observed over the foothills. When compared with Stage IV estimates, the PRISM (Precipitation-elevation Regressions on Independent Slopes Model) method for estimating precipitation in complex terrain appears to largely over-estimate precipitation amounts over the interior ridges.

Prediction of High-Grade Vesicoureteral Reflux after Pediatric Urinary Tract Infection: External Validation Study of Procalcitonin-Based Decision Rule

PubMed Central

Leroy, Sandrine; Bouissou, François; Fernandez-Lopez, Anna; Gurgoze, Metin K.; Karavanaki, Kyriaki; Ulinski, Tim; Bressan, Silvia; Vaos, Geogios; Leblond, Pierre; Coulais, Yvon; Cubells, Carlos Luaces; Aygun, A. Denizmen; Stefanidis, Constantinos J.; Bensman, Albert; DaDalt, Liviana; Gardikis, Stefanos; Bigot, Sandra; Gendrel, Dominique; Bréart, Gérard; Chalumeau, Martin

2011-01-01

Background Predicting vesico-ureteral reflux (VUR) ≥3 at the time of the first urinary tract infection (UTI) would make it possible to restrict cystography to high-risk children. We previously derived the following clinical decision rule for that purpose: cystography should be performed in cases with ureteral dilation and a serum procalcitonin level ≥0.17 ng/mL, or without ureteral dilatation when the serum procalcitonin level ≥0.63 ng/mL. The rule yielded a 86% sensitivity with a 46% specificity. We aimed to test its reproducibility. Study Design A secondary analysis of prospective series of children with a first UTI. The rule was applied, and predictive ability was calculated. Results The study included 413 patients (157 boys, VUR ≥3 in 11%) from eight centers in five countries. The rule offered a 46% specificity (95% CI, 41–52), not different from the one in the derivation study. However, the sensitivity significantly decreased to 64% (95%CI, 50–76), leading to a difference of 20% (95%CI, 17–36). In all, 16 (34%) patients among the 47 with VUR ≥3 were misdiagnosed by the rule. This lack of reproducibility might result primarily from a difference between derivation and validation populations regarding inflammatory parameters (CRP, PCT); the validation set samples may have been collected earlier than for the derivation one. Conclusions The rule built to predict VUR ≥3 had a stable specificity (ie. 46%), but a decreased sensitivity (ie. 64%) because of the time variability of PCT measurement. Some refinement may be warranted. PMID:22216314

A study of atmospheric dispersion of radionuclides at a coastal site using a modified Gaussian model and a mesoscale sea breeze model

NASA Astrophysics Data System (ADS)

Venkatesan, R.; Mathiyarasu, R.; Somayaji, K. M.

Ground level concentration and sky-shine dose due to radioactive emissions from a nuclear power plant at a coastal site have been estimated using the standard Gaussian Plume Model (GPM) and the modified GPM suggested by Misra (Atmospheric Environment 14 (1980) 397), which incorporates fumigation effect under sea breeze condition. The difference in results between these two models is analysed in order to understand their significance and errors that would occur if proper choice were not made. Radioactive sky-shine dose from 41Ar, emitted from a 100 m stack of the nuclear plant is continuously recorded by environmental gamma dose monitors and the data is used to validate the modified GPM. It is observed that the dose values increase by a factor of about 2 times than those of the standard GPM estimates, up to a downwind distance of 6 km during sea breeze hours. In order to examine the dispersion of radioactive effluents in the mesoscale range, a sea breeze model coupled with a particle dispersion model is used. The deposited activity, thyroid dose and sky-shine radioactive dose are simulated for a range of 30 km. In this range, the plume is found to deviate from its straight-line trajectory, as otherwise assumed in GPM. A secondary maximum in the concentration and the sky-shine dose is also observed in the model results. These results are quite significant in realistically estimating the area affected under any unlikely event of an accidental release of radioactivity.

The role of mesoscale meteorology in modulating the (222)Rn concentrations in Huelva (Spain)--impact of phosphogypsum piles.

PubMed

Hernández-Ceballos, M A; Vargas, A; Arnold, D; Bolívar, J P

2015-07-01

The combined analysis of (222)Rn activity concentrations and mesoscale meteorological conditions at Huelva city (Spain) was addressed in this study to understand the potential impact of phosphogypsum piles on the (222)Rn activity concentrations registered at this area. Hourly mean data from April 2012 to February 2013 registered at two sampling sites (Huelva city and in the background station of El Arenosillo, located 27 km to the south-east) have been used in the study. The results of the present study showed a large difference in mean radon concentrations between the two stations during the sampling period, 6.3 ± 0.4 Bq m(-3) at Huelva and 3.0 ± 0.2 Bq m(-3) at El Arenosillo. The analysis has demonstrated that hourly (222)Rn concentrations at Huelva city above 22 Bq m(-3), with nocturnal peaks up to 50 Bq/m(3), mainly coincided with the occurrence of a pure sea-land breeze cycle. Mesoscale circulations in this region are mainly characterized by two patterns of sea-land breeze, pure and non-pure, with the phosphosypsum piles directly upstream (south) of the city during the afternoon on pure sea-breeze days. The difference between mean (222)Rn activity concentrations at Huelva city were 9.9 ± 1.5 Bq m(-3) for the pure pattern and 3.3 ± 0.5 Bq m(-3) for the non-pure pattern, while in the background station concentrations were 3.9 ± 0.4 Bq m(-3) and 2.8 ± 0.4 Bq m(-3) respectively. Considering these large differences, a detailed analysis of composites and case studies of representative sea-land breeze cycles of both types and their impact on (222)Rn activity concentration was performed. The results suggested that the presence of the phosphogypsum piles was necessary in order to justify the high (222)Rn activity concentrations observed at Huelva compared with the background station in the afternoons on pure sea breeze days (1.5-2.0 Bq m(-3)). On the other hand, large night time differences between the two sites on these days were likely to be associated with a combination of shallow density currents travelling down the Guadalquivir valley and, again, the presence of phosphogypsum piles. The results have demonstrated a significant impact of the phosphogypsum piles on (222)Rn activity concentrations in Huelva city during the occurrence of pure sea breeze days. Copyright © 2015 Elsevier Ltd. All rights reserved.

PM2.5 and volatile organic compounds (VOCs) in ambient air: a focus on the effect of meteorology.

PubMed

Giakoumi, A; Maggos, Th; Michopoulos, J; Helmis, C; Vasilakos, Ch

2009-05-01

PM(2.5) and VOCs (benzene, toluene, m-p-o-xylenes) concentrations were measured in an urban and a suburban site in Athens, Greece, during the period between April and November 2004. This period, which is considered to be the warmer period in Greece, is characterized by the development of sea-breeze over the Attica Basin. Additionally strong Northern, North-eastern winds called "The Etesians", predominate during the summer months (July-August), acting positively to the dispersion of pollutants. In this campaign, 24 days with sea-breeze development were observed, 15 days with northern winds, 6 days with southern winds while the rest of the days presented no specific wind profile. Maximum concentrations of PM(2.5), VOCs and nitrogen oxides, were detected during the days with sea-breeze, while minimum concentrations during the days with northern winds. Ozone was the only pollutant that appeared to have higher concentrations in the background site and not in the city centre, where benzene presented strong negative correlation with ozone, indicating the photochemical reaction of hydrocarbons that lead to the ozone formation. The BTX ratios were similar for both sites and wind profiles, indicating common sources for those pollutants. T/B ratio ranged in low levels, between 3-5 for site A and 2-5 for site B, suggesting vehicles emissions as the main sources of volatile compounds. Finally, the strong correlations of PM(2.5) and benzene concentrations, between the two sampling sites, indicate that both the city centre and the background site, are affected by the same sources, under common meteorological conditions (sea-breeze, northern winds).

Mesoscale Simulations of a Florida Sea Breeze Using the PLACE Land Surface Model Coupled to a 1.5-Order Turbulence Parameterization

NASA Technical Reports Server (NTRS)

Lynn, Barry H.; Stauffer, David R.; Wetzel, Peter J.; Tao, Wei-Kuo; Perlin, Natal; Baker, R. David; Munoz, Ricardo; Boone, Aaron; Jia, Yiqin

1999-01-01

A sophisticated land-surface model, PLACE, the Parameterization for Land Atmospheric Convective Exchange, has been coupled to a 1.5-order turbulent kinetic energy (TKE) turbulence sub-model. Both have been incorporated into the Penn State/National Center for Atmospheric Research (PSU/NCAR) mesoscale model MM5. Such model improvements should have their greatest effect in conditions where surface contrasts dominate over dynamic processes, such as the simulation of warm-season, convective events. A validation study used the newly coupled model, MM5 TKE-PLACE, to simulate the evolution of Florida sea-breeze moist convection during the Convection and Precipitation Electrification Experiment (CaPE). Overall, eight simulations tested the sensitivity of the MM5 model to combinations of the new and default model physics, and initialization of soil moisture and temperature. The TKE-PLACE model produced more realistic surface sensible heat flux, lower biases for surface variables, more realistic rainfall, and cloud cover than the default model. Of the 8 simulations with different factors (i.e., model physics or initialization), TKE-PLACE compared very well when each simulation was ranked in terms of biases of the surface variables and rainfall, and percent and root mean square of cloud cover. A factor separation analysis showed that a successful simulation required the inclusion of a multi-layered, land surface soil vegetation model, realistic initial soil moisture, and higher order closure of the planetary boundary layer (PBL). These were needed to realistically model the effect of individual, joint, and synergistic contributions from the land surface and PBL on the CAPE sea-breeze, Lake Okeechobee lake breeze, and moist convection.

Artificial neural network, genetic algorithm, and logistic regression applications for predicting renal colic in emergency settings.

PubMed

Eken, Cenker; Bilge, Ugur; Kartal, Mutlu; Eray, Oktay

2009-06-03

Logistic regression is the most common statistical model for processing multivariate data in the medical literature. Artificial intelligence models like an artificial neural network (ANN) and genetic algorithm (GA) may also be useful to interpret medical data. The purpose of this study was to perform artificial intelligence models on a medical data sheet and compare to logistic regression. ANN, GA, and logistic regression analysis were carried out on a data sheet of a previously published article regarding patients presenting to an emergency department with flank pain suspicious for renal colic. The study population was composed of 227 patients: 176 patients had a diagnosis of urinary stone, while 51 ultimately had no calculus. The GA found two decision rules in predicting urinary stones. Rule 1 consisted of being male, pain not spreading to back, and no fever. In rule 2, pelvicaliceal dilatation on bedside ultrasonography replaced no fever. ANN, GA rule 1, GA rule 2, and logistic regression had a sensitivity of 94.9, 67.6, 56.8, and 95.5%, a specificity of 78.4, 76.47, 86.3, and 47.1%, a positive likelihood ratio of 4.4, 2.9, 4.1, and 1.8, and a negative likelihood ratio of 0.06, 0.42, 0.5, and 0.09, respectively. The area under the curve was found to be 0.867, 0.720, 0.715, and 0.713 for all applications, respectively. Data mining techniques such as ANN and GA can be used for predicting renal colic in emergency settings and to constitute clinical decision rules. They may be an alternative to conventional multivariate analysis applications used in biostatistics.

Urinary excretion of 5-hydroxyindoleacetic acid, serotonin and 6-sulphatoxymelatonin in normoserotonemic and hyperserotonemic autistic individuals.

PubMed

Mulder, Erik J; Anderson, George M; Kemperman, Ramses F J; Oosterloo-Duinkerken, Alida; Minderaa, Ruud B; Kema, Ido P

2010-01-01

A substantial proportion of individuals with autism have elevated levels of platelet serotonin (5-HT). We examined whether platelet hyperserotonemia is associated with increased gut 5-HT synthesis, altered 5-HT catabolism or altered melatonin production. Urinary excretion of 5-hydroxyindoleacetic acid (5-HIAA) and 5-HT was compared in 10 normoserotonemic and 10 hyperserotonemic age-matched autistic individuals. The relationship of urinary 6-sulfatoxymelatonin (6-SM) excretion to platelet 5-HT, and to urinary 5-HT and 5-HIAA excretion, was also examined. In the hyperserotonemic group, significant increases at trend level in urinary excretion of 5-HIAA (p = 0.061) and 5-HT (p = 0.071) and a significant decrease for 6-SM were found (p = 0.027). The urinary 5-HIAA:5-HT ratio was similar in the normo- versus the hyperserotonemic groups. The catabolism of 5-HT does not differ in the groups, but greater exposure of the platelet to 5-HT cannot be ruled out as a cause of the platelet hyperserotonemia of autism. Although only trend level significant, the data point to a need for larger studies to examine more thoroughly the relationships between platelet hyperserotonemia, gut 5-HT synthesis and melatonin production. (c) 2009 S. Karger AG, Basel.

Injuries to the urethra and urinary bladder associated with fractures of the pelvis.

PubMed

Morehouse, D D

1988-03-01

The posterior urethra or urinary bladder may be injured in patients who sustain fractures of the bony pelvis. It is important to assess the urethra radiologically by retrograde urethrography before introducing a urethral catheter to avoid missing a urethral injury or causing further damage. The author's approach to the immediate management of urethral injury is suprapubic cystostomy. The urethra may be repaired later after other injuries have healed. With this approach the incidence of permanent impotence and incontinence will be low and the stricture cure rate high. If the urethra has not been injured, a catheter is introduced and cystography performed to rule out bladder injuries. If the bladder is ruptured, the area is explored, the perivesical space drained and urinary drainage is provided by either a suprapubic cystostomy or a urethral catheter.

Diagnosis and treatment of urinary tract infections across age groups.

PubMed

Chu, Christine M; Lowder, Jerry L

2018-01-02

Urinary tract infections are the most common outpatient infections, but predicting the probability of urinary tract infections through symptoms and test results can be complex. The most diagnostic symptoms of urinary tract infections include change in frequency, dysuria, urgency, and presence or absence of vaginal discharge, but urinary tract infections may present differently in older women. Dipstick urinalysis is popular for its availability and usefulness, but results must be interpreted in context of the patient's pretest probability based on symptoms and characteristics. In patients with a high probability of urinary tract infection based on symptoms, negative dipstick urinalysis does not rule out urinary tract infection. Nitrites are likely more sensitive and specific than other dipstick components for urinary tract infection, particularly in the elderly. Positive dipstick testing is likely specific for asymptomatic bacteriuria in pregnancy, but urine culture is still the test of choice. Microscopic urinalysis is likely comparable to dipstick urinalysis as a screening test. Bacteriuria is more specific and sensitive than pyuria for detecting urinary tract infection, even in older women and during pregnancy. Pyuria is commonly found in the absence of infection, particularly in older adults with lower urinary tract symptoms such as incontinence. Positive testing may increase the probability of urinary tract infection, but initiation of treatment should take into account risk of urinary tract infection based on symptoms as well. In cases in which the probability of urinary tract infection is moderate or unclear, urine culture should be performed. Urine culture is the gold standard for detection of urinary tract infection. However, asymptomatic bacteriuria is common, particularly in older women, and should not be treated with antibiotics. Conversely, in symptomatic women, even growth as low as 10 2 colony-forming unit/mL could reflect infection. Resistance is increasing to fluoroquinolones, beta-lactams, and trimethoprim-sulfamethoxazole. Most uropathogens still display good sensitivity to nitrofurantoin. First-line treatments for urinary tract infection include nitrofurantoin, fosfomycin, and trimethoprim-sulfamethoxazole (when resistance levels are <20%). These antibiotics have minimal collateral damage and resistance. In pregnancy, beta-lactams, nitrofurantoin, fosfomycin, and trimethoprim-sulfamethoxazole can be appropriate treatments. Interpreting the probability of urinary tract infection based on symptoms and testing allows for greater accuracy in diagnosis of urinary tract infection, decreasing overtreatment and encouraging antimicrobial stewardship. Copyright © 2018 Elsevier Inc. All rights reserved.

The role of urinary fractionated metanephrines in the diagnosis of phaeochromocytoma

PubMed Central

Jeyaraman, Kanakamani; Natarajan, Vasanthi; Thomas, Nihal; Jacob, Paul Mazhuvanchary; Nair, Aravindan; Shanthly, Nylla; Oommen, Regi; Varghese, Gracy; Joseph, Fleming Jude; Seshadri, Mandalam Subramaniam; Rajaratnam, Simon

2013-01-01

Background & objectives: Plasma and urinary metanephrines are used as screening tests for the diagnosis of phaeochromocytoma. The recommended cut-off levels are not standardized. This study was conducted to identify a cut-off level for 24 h urinary fractionated metanephrines viz. metanephrine (uMN) and normetanephrine (uNMN) using enzyme immunoassay for the diagnosis of phaeochromocytoma. Methods: Consecutive patients suspected to have phaeochromocytoma were included in the study. uMN and uNMN in 24 h urinary sample were measured using a commercial ELISA kit. Results: Overall, 72 patients were included over a period of 18 months. Twenty patients had histopathologically confirmed phaeochromocytoma and in 52 patients phaeochromocytoma was ruled out. Using the upper limit of normal stated by the assay manufacturer as the cut-off, uMN >350 μg/day had a low sensitivity and uNMN >600 μg/day had a poor specificity. By increasing the cut-off value of uNMN to twice the upper limit, specificity increased significantly without much loss in sensitivity. Combining uMN and uNMN using a cut-off twice the upper limit improved the diagnostic performance - sensitivity (95%); specificity (92.3%); positive predictive value (PPV - 82.6%); negative predictive value (NPV - 98%). In subsets of patients with a variable pretest probability for phaeochromocytoma, the PPV correlates well with the occurred of these tumors decreased, while the NPV remained at 100 per cent. Interpretation & conclusions: ELISA is a simple and reliable method for measuring uMN and uNMN. The test has a good NPV and can be used as an initial screening test for ruling out phaeochromocytoma. Each hospital will have to define the cut-off value for the assay being used, choosing a proper control population. PMID:23563375

The role of urinary fractionated metanephrines in the diagnosis of phaeochromocytoma.

PubMed

Jeyaraman, Kanakamani; Natarajan, Vasanthi; Thomas, Nihal; Jacob, Paul Mazhuvanchary; Nair, Aravindan; Shanthly, Nylla; Oommen, Regi; Varghese, Gracy; Joseph, Fleming Jude; Seshadri, Mandalam Subramaniam; Rajaratnam, Simon

2013-02-01

Plasma and urinary metanephrines are used as screening tests for the diagnosis of phaeochromocytoma. The recommended cut-off levels are not standardized. This study was conducted to identify a cut-off level for 24 h urinary fractionated metanephrines viz. metanephrine (uMN) and normetanephrine (uNMN) using enzyme immunoassay for the diagnosis of phaeochromocytoma. Consecutive patients suspected to have phaeochromocytoma were included in the study. uMN and uNMN in 24 h urinary sample were measured using a commercial ELISA kit. Overall, 72 patients were included over a period of 18 months. Twenty patients had histopathologically confirmed phaeochromocytoma and in 52 patients phaeochromocytoma was ruled out. Using the upper limit of normal stated by the assay manufacturer as the cut-off, uMN >350 μg/day had a low sensitivity and uNMN >600 μg/day had a poor specificity. By increasing the cut-off value of uNMN to twice the upper limit, specificity increased significantly without much loss in sensitivity. Combining uMN and uNMN using a cut-off twice the upper limit improved the diagnostic performance - sensitivity (95%); specificity (92.3%); positive predictive value (PPV - 82.6%); negative predictive value (NPV - 98%). In subsets of patients with a variable pretest probability for phaeochromocytoma, the PPV correlates well with the occurred of these tumors decreased, while the NPV remained at 100 per cent. ELISA is a simple and reliable method for measuring uMN and uNMN. The test has a good NPV and can be used as an initial screening test for ruling out phaeochromocytoma. Each hospital will have to define the cut-off value for the assay being used, choosing a proper control population.

Scaling and Numerical Model Evaluation of Snow-Cover Effects on the Generation and Modification of Daytime Mesoscale Circulations.

NASA Astrophysics Data System (ADS)

Segal, M.; Garratt, J. R.; Pielke, R. A.; Ye, Z.

1991-04-01

Consideration of the sensible heat flux characteristics over a snow surface suggests a significant diminution in the magnitude of the flux, compared to that over a snow-free surface under the same environmental conditions. Consequently, the existence of snow-covered mesoscale areas adjacent to snow-free areas produces horizontal thermal gradients in the lower atmosphere during the daytime, possibly resulting in a `snow breeze.' In addition, suppression of the daytime thermally induced upslope flow over snow-covered slopes is likely to occur. The present paper provides scaling and modeling evaluations of these situations, with quantification of the generated and modified circulations. These evaluations suggest that under ideal situations involved with uniform snow cover over large areas, particularly in late winter and early spring, a noticeable `snow breeze' is likely to develop. Additionally: suppression of the daytime thermally induced upslope flow is significant and may even result in a daytime drainage flow. The effects of bare ground patchiness in the snow cover on these circulations are also explored, both for flat terrain and slope-flow situations. A patchiness fraction greater than 0.5 is found to result in a noticeably reduced snow-breeze circulation, while a patchiness fraction of only 0.1 caused the simulated daytime drainage flow over slopes to he reversed.

Contour Error Map Algorithm

NASA Technical Reports Server (NTRS)

Merceret, Francis; Lane, John; Immer, Christopher; Case, Jonathan; Manobianco, John

2005-01-01

The contour error map (CEM) algorithm and the software that implements the algorithm are means of quantifying correlations between sets of time-varying data that are binarized and registered on spatial grids. The present version of the software is intended for use in evaluating numerical weather forecasts against observational sea-breeze data. In cases in which observational data come from off-grid stations, it is necessary to preprocess the observational data to transform them into gridded data. First, the wind direction is gridded and binarized so that D(i,j;n) is the input to CEM based on forecast data and d(i,j;n) is the input to CEM based on gridded observational data. Here, i and j are spatial indices representing 1.25-km intervals along the west-to-east and south-to-north directions, respectively; and n is a time index representing 5-minute intervals. A binary value of D or d = 0 corresponds to an offshore wind, whereas a value of D or d = 1 corresponds to an onshore wind. CEM includes two notable subalgorithms: One identifies and verifies sea-breeze boundaries; the other, which can be invoked optionally, performs an image-erosion function for the purpose of attempting to eliminate river-breeze contributions in the wind fields.

Vertical Structure of the Urban Boundary Layer over Marseille Under Sea-Breeze Conditions

NASA Astrophysics Data System (ADS)

Lemonsu, Aude; Bastin, Sophie; Masson, Valéry; Drobinski, Philippe

2006-03-01

During the UBL-ESCOMPTE program (June July 2001), intensive observations were performed in Marseille (France). In particular, a Doppler lidar, located in the north of the city, provided radial velocity measurements on a 6-km radius area in the lowest 3 km of the troposphere. Thus, it is well adapted to document the vertical structure of the atmosphere above complex terrain, notably in Marseille, which is bordered by the Mediterranean sea and framed by numerous massifs. The present study focuses on the last day of the intensive observation period 2 (26 June 2001), which is characterized by a weak synoptic pressure gradient favouring the development of thermal circulations. Under such conditions, a complex stratification of the atmosphere is observed. Three-dimensional numerical simulations, with the Méso-NH atmospheric model including the town energy balance (TEB) urban parameterization, are conducted over south-eastern France. A complete evaluation of the model outputs was already performed at both regional and city scales. Here, the 250-m resolution outputs describing the vertical structure of the atmosphere above the Marseille area are compared to the Doppler lidar data, for which the spatial resolution is comparable. This joint analysis underscores the consistency between the atmospheric boundary layer (ABL) observed by the Doppler lidar and that modelled by Méso-NH. The observations and simulations reveal the presence of a shallow sea breeze (SSB) superimposed on a deep sea breeze (DSB) above Marseille during daytime. Because of the step-like shape of the Marseille coastline, the SSB is organized in two branches of different directions, which converge above the city centre. The analysis of the 250-m wind fields shows evidence of the role of the local topography on the local dynamics. Indeed, the topography tends to reinforce the SSB while it weakens the DSB. The ABL is directly affected by the different sea-breeze circulations, while the urban effects appear to be negligible.

Effects of Explicit Urban-Canopy Representation on Local Circulations Above a Tropical Mega-City

NASA Astrophysics Data System (ADS)

Flores Rojas, José L.; Pereira Filho, Augusto J.; Karam, Hugo A.; Vemado, Felipe; Masson, Valéry

2018-01-01

The Advanced Regional Prediction System (ARPS) is coupled with the tropical town energy budget (tTEB) scheme to analyze the effects of the urban canopy circulation over the metropolitan area of São Paulo and its interactions with the sea breeze and mountain-valley circulation in the eastern state of São Paulo, Brazil. Two experiments are carried out for the typical sea-breeze event occurring on 22 August 2014 under weak synoptic forcing and clear-sky conditions: (a) a control run with the default semi-desert surface parametrization and; (b) a tTEB run for the urban canopy of São Paulo. A realistic land-use database over the south-eastern domain of Brazil is used in the downscaling simulation to a horizontal grid resolution of 3 km. Our results indicate that ARPS effectively simulates features of the nighttime and early morning land-breeze circulation, which is affected by the surrounding hills and the nocturnal heat island of São Paulo. By early afternoon, the south-eastern sea-breeze circulation moves inland perpendicular to the upslope of the Serra do Mar scarp, which generates a line of moisture convergence and updrafts further inland. Later, the convergence line reaches São Paulo and interacts with the circulation arising from the urban heat island (UHI), which increases the moisture convergence and strength of updrafts. The surface energy balance indicates that the UHI is caused by large sensible heat storage within the urban canopy during the day, which is later released in the afternoon and at night. The simulations are verified with available radiosonde and surface weather station data, land-surface-temperature estimates from the moderate resolution imaging spectroradiometer, as well as the National Center for Atmospheric Research reanalysis databases. The three-dimensional geometry of the urban canyons within the tTEB scheme consistently improves the thermodynamically-induced circulation over São Paulo.

Some Observational and Modeling Studies of the Atmospheric Boundary Layer at Mississippi Gulf Coast for Air Pollution Dispersion Assessment

PubMed Central

Yerramilli, Anjaneyulu; Challa, Venkata Srinivas; Indracanti, Jayakumar; Dasari, Hariprasad; Baham, Julius; Patrick, Chuck; Young, John; Hughes, Robert; White, Lorren D.; Hardy, Mark G.; Swanier, Shelton

2008-01-01

Coastal atmospheric conditions widely vary from those over inland due to the land-sea interface, temperature contrast and the consequent development of local circulations. In this study a field meteorological experiment was conducted to measure vertical structure of boundary layer during the period 25–29 June, 2007 at three locations Seabee base, Harrison and Wiggins sites in the Mississippi coast. A GPS Sonde along with slow ascent helium balloon and automated weather stations equipped with slow and fast response sensors were used in the experiment. GPS sonde were launched at three specific times (0700 LT, 1300 LT and 1800 LT) during the experiment days. The observations indicate shallow boundary layer near the coast which gradually develops inland. The weather research and forecasting (WRF) meso-scale atmospheric model and a Lagrangian particle dispersion model (HYSPLIT) are used to simulate the lower atmospheric flow and dispersion in a range of 100 km from the coast for 28–30 June, 2007. The simulated meteorological parameters were compared with the experimental observations. The meso-scale model results show significant temporal and spatial variations in the meteorological fields as a result of development of sea breeze flow, its coupling with the large scale flow field and the ensuing alteration in the mixing depth across the coast. Simulated ground-level concentrations of SO2 from four elevated point sources located along the coast indicate diurnal variation and impact of the local sea-land breeze on the direction of the plume. Model concentration levels were highest during the stable morning condition and during the sea-breeze time in the afternoon. The highest concentrations were found up to 40 km inland during sea breeze time. The study illustrates the application of field meteorological observations for the validation of WRF which is coupled to HYSPLIT for dispersion assessment in the coastal region. PMID:19151446

Comparison of the safety-related physical and combustion properties of liquid hydrogen and liquid natural gas in the context of the SF-BREEZE high-speed fuel-cell ferry

DOE PAGES

Klebanoff, L. E.; Pratt, J. W.; LaFleur, C. B.

2016-11-25

Here, we review liquid hydrogen (LH 2) as a maritime vessel fuel, from descriptions of its fundamental properties to its practical application and safety aspects, in the context of the San Francisco Bay Renewable Energy Electric Vessel with Zero Emissions (SF-BREEZE) high-speed fuel-cell ferry. Since marine regulations have been formulated to cover liquid natural gas (LNG) as a primary propulsion fuel, we frame our examination of LH 2 as a comparison to LNG, for both maritime use in general, and the SF-BREEZE in particular. Due to weaker attractions between molecules, LH 2 is colder than LNG, and evaporates more easily.more » We describe the consequences of these physical differences for the size and duration of spills of the two cryogenic fuels. The classical flammability ranges are reviewed, with a focus on how fuel buoyancy modifies these combustion limits. We examine the conditions for direct fuel explosion (detonation) and contrast them with initiation of normal (laminar) combustion. Direct fuel detonation is not a credible accident scenario for the SF-BREEZE. For both fuels, we review experiments and theory elucidating the deflagration to detonation transition (DDT). LH 2 fires have a shorter duration than energy-equivalent LNG fires, and produce significantly less thermal radiation. The thermal (infrared) radiation from hydrogen fires is also strongly absorbed by humidity in the air. Hydrogen permeability is not a leak issue for practical hydrogen plumbing. We describe the chemistry of hydrogen and methane at iron surfaces, clarifying their impact on steel-based hydrogen storage and transport materials. These physical, chemical and combustion properties are pulled together in a comparison of how a LH 2 or LNG pool fire on the Top Deck of the SF-BREEZE might influence the structural integrity of the aluminum deck. Neither pool fire scenario leads to net heating of the aluminum decking. Overall, LH 2 and LNG are very similar in their physical and combustion properties, thereby posing similar safety risks. For ships utilizing LH 2 or LNG, precautions are needed to avoid fuel leaks, minimize ignition sources, minimize confined spaces, provide ample ventilation for required confined spaces, and to monitor the enclosed spaces to ensure any fuel accumulation is detected far below the fuel/air mix threshold for any type of combustion.« less

Comparison of the safety-related physical and combustion properties of liquid hydrogen and liquid natural gas in the context of the SF-BREEZE high-speed fuel-cell ferry

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

Klebanoff, L. E.; Pratt, J. W.; LaFleur, C. B.

Here, we review liquid hydrogen (LH 2) as a maritime vessel fuel, from descriptions of its fundamental properties to its practical application and safety aspects, in the context of the San Francisco Bay Renewable Energy Electric Vessel with Zero Emissions (SF-BREEZE) high-speed fuel-cell ferry. Since marine regulations have been formulated to cover liquid natural gas (LNG) as a primary propulsion fuel, we frame our examination of LH 2 as a comparison to LNG, for both maritime use in general, and the SF-BREEZE in particular. Due to weaker attractions between molecules, LH 2 is colder than LNG, and evaporates more easily.more » We describe the consequences of these physical differences for the size and duration of spills of the two cryogenic fuels. The classical flammability ranges are reviewed, with a focus on how fuel buoyancy modifies these combustion limits. We examine the conditions for direct fuel explosion (detonation) and contrast them with initiation of normal (laminar) combustion. Direct fuel detonation is not a credible accident scenario for the SF-BREEZE. For both fuels, we review experiments and theory elucidating the deflagration to detonation transition (DDT). LH 2 fires have a shorter duration than energy-equivalent LNG fires, and produce significantly less thermal radiation. The thermal (infrared) radiation from hydrogen fires is also strongly absorbed by humidity in the air. Hydrogen permeability is not a leak issue for practical hydrogen plumbing. We describe the chemistry of hydrogen and methane at iron surfaces, clarifying their impact on steel-based hydrogen storage and transport materials. These physical, chemical and combustion properties are pulled together in a comparison of how a LH 2 or LNG pool fire on the Top Deck of the SF-BREEZE might influence the structural integrity of the aluminum deck. Neither pool fire scenario leads to net heating of the aluminum decking. Overall, LH 2 and LNG are very similar in their physical and combustion properties, thereby posing similar safety risks. For ships utilizing LH 2 or LNG, precautions are needed to avoid fuel leaks, minimize ignition sources, minimize confined spaces, provide ample ventilation for required confined spaces, and to monitor the enclosed spaces to ensure any fuel accumulation is detected far below the fuel/air mix threshold for any type of combustion.« less

The effect of multiple primary rules on population-based cancer survival

PubMed Central

Weir, Hannah K.; Johnson, Christopher J.; Thompson, Trevor D.

2015-01-01

Purpose Different rules for registering multiple primary (MP) cancers are used by cancer registries throughout the world, making international data comparisons difficult. This study evaluates the effect of Surveillance, Epidemiology, and End Results (SEER) and International Association of Cancer Registries (IACR) MP rules on population-based cancer survival estimates. Methods Data from five US states and six metropolitan area cancer registries participating in the SEER Program were used to estimate age-standardized relative survival (RS%) for first cancers-only and all first cancers matching the selection criteria according to SEER and IACR MP rules for all cancer sites combined and for the top 25 cancer site groups among men and women. Results During 1995–2008, the percentage of MP cancers (all sites, both sexes) increased 25.4 % by using SEER rules (from 14.6 to 18.4 %) and 20.1 % by using IACR rules (from 13.2 to 15.8 %). More MP cancers were registered among females than among males, and SEER rules registered more MP cancers than IACR rules (15.8 vs. 14.4 % among males; 17.2 vs. 14.5 % among females). The top 3 cancer sites with the largest differences were melanoma (5.8 %), urinary bladder (3.5 %), and kidney and renal pelvis (2.9 %) among males, and breast (5.9 %), melanoma (3.9 %), and urinary bladder (3.4 %) among females. Five-year survival estimates (all sites combined) restricted to first primary cancers-only were higher than estimates by using first site-specific primaries (SEER or IACR rules), and for 11 of 21 sites among males and 11 of 23 sites among females. SEER estimates are comparable to IACR estimates for all site-specific cancers and marginally higher for all sites combined among females (RS 62.28 vs. 61.96 %). Conclusion Survival after diagnosis has improved for many leading cancers. However, cancer patients remain at risk of subsequent cancers. Survival estimates based on first cancers-only exclude a large and increasing number of MP cancers. To produce clinically and epidemiologically relevant and less biased cancer survival estimates, data on all cancers should be included in the analysis. The multiple primary rules (SEER or IACR) used to identify primary cancers do not affect survival estimates if all first cancers matching the selection criteria are used to produce site-specific survival estimates. PMID:23558444

A scale model wind tunnel study of dispersion in the Cleveland area. Laboratory simulation of lake breeze effects on diffusion from ground level emissions

NASA Technical Reports Server (NTRS)

Hoydysh, W. G.

1974-01-01

A wind tunnel simulation of the diffusion patterns in a sea breeze was attempted. The results indicate that the low level onshore flow was well simulated for neutral, stable, unstable, and elevated inversion conditions. Velocity, turbulence, shear stress, and temperature data were taken, and the spread of emissions from ground level sources was investigated. Comparison is made with theoretical predictions by E. Inoue and with the open, homogeneous plane field results of Pasquill. Agreement with the predictions by Inoue is good, and the comparison with Pasquill's results shows that the wind tunnel flows are shifted two categories towards more stable. The discrepancy may be explained as a matter of averaging time.

Evaluation of the Emergency Response Dose Assessment System(ERDAS)

NASA Technical Reports Server (NTRS)

Evans, Randolph J.; Lambert, Winifred C.; Manobianco, John T.; Taylor, Gregory E.; Wheeler, Mark M.; Yersavich, Ann M.

1996-01-01

The emergency response dose assessment system (ERDAS) is a protype software and hardware system configured to produce routine mesoscale meteorological forecasts and enhanced dispersion estimates on an operational basis for the Kennedy Space Center (KSC)/Cape Canaveral Air Station (CCAS) region. ERDAS provides emergency response guidance to operations at KSC/CCAS in the case of an accidental hazardous material release or an aborted vehicle launch. This report describes the evaluation of ERDAS including: evaluation of sea breeze predictions, comparison of launch plume location and concentration predictions, case study of a toxic release, evaluation of model sensitivity to varying input parameters, evaluation of the user interface, assessment of ERDA's operational capabilities, and a comparison of ERDAS models to the ocean breeze dry gultch diffusion model.

The effect of water temperature and synoptic winds on the development of surface flows over narrow, elongated water bodies

NASA Technical Reports Server (NTRS)

Segal, M.; Pielke, R. A.

1985-01-01

Simulations of the thermally induced breeze involved with a relatively narrow, elongated water body is presented in conjunction with evaluations of sensible heat fluxes in a stable marine atmospheric surface layer. The effect of the water surface temperature and of the large-scale synoptic winds on the development of surface flows over the water is examined. As implied by the sensible heat flux patterns, the simulation results reveal the following trends: (1) when the synoptic flow is absent or light, the induced surface breeze is not affected noticeably by a reduction of the water surface temperature; and (2) for stronger synoptic flow, the resultant surface flow may be significantly affected by the water surface temperature.

A numerical model simulation of the regional air pollution meteorology of the greater Chesapeake Bay area - Summer day case study

NASA Technical Reports Server (NTRS)

Segal, M.; Pielke, R. A.; Mcnider, R. T.; Mcdougal, D. S.

1982-01-01

The mesoscale numerical model of the University of Virginia (UVMM), has been applied to the greater Chesapeake Bay area in order to provide a detailed description of the air pollution meteorology during a typical summer day. This model provides state of the art simulations for land-sea thermally induced circulations. The model-predicted results agree favorably with available observed data. The effects of synoptic flow and sea breeze coupling on air pollution meteorological characteristics in this region, are demonstrated by a spatial and temporal presentation of various model predicted fields. A transport analysis based on predicted wind velocities indicated possible recirculation of pollutants back onto the Atlantic coast due to the sea breeze circulation.

Rapid tests and urine sampling techniques for the diagnosis of urinary tract infection (UTI) in children under five years: a systematic review.

PubMed

Whiting, Penny; Westwood, Marie; Watt, Ian; Cooper, Julie; Kleijnen, Jos

2005-04-05

Urinary tract infection (UTI) is one of the most common sources of infection in children under five. Prompt diagnosis and treatment is important to reduce the risk of renal scarring. Rapid, cost-effective, methods of UTI diagnosis are required as an alternative to culture. We conducted a systematic review to determine the diagnostic accuracy of rapid tests for detecting UTI in children under five years of age. The evidence supports the use of dipstick positive for both leukocyte esterase and nitrite (pooled LR+ = 28.2, 95% CI: 17.3, 46.0) or microscopy positive for both pyuria and bacteriuria (pooled LR+ = 37.0, 95% CI: 11.0, 125.9) to rule in UTI. Similarly dipstick negative for both LE and nitrite (Pooled LR- = 0.20, 95% CI: 0.16, 0.26) or microscopy negative for both pyuria and bacteriuria (Pooled LR- = 0.11, 95% CI: 0.05, 0.23) can be used to rule out UTI. A test for glucose showed promise in potty-trained children. However, all studies were over 30 years old. Further evaluation of this test may be useful. Dipstick negative for both LE and nitrite or microscopic analysis negative for both pyuria and bacteriuria of a clean voided urine, bag, or nappy/pad specimen may reasonably be used to rule out UTI. These patients can then reasonably be excluded from further investigation, without the need for confirmatory culture. Similarly, combinations of positive tests could be used to rule in UTI, and trigger further investigation.

Rapid tests and urine sampling techniques for the diagnosis of urinary tract infection (UTI) in children under five years: a systematic review

PubMed Central

Whiting, Penny; Westwood, Marie; Watt, Ian; Cooper, Julie; Kleijnen, Jos

2005-01-01

Background Urinary tract infection (UTI) is one of the most common sources of infection in children under five. Prompt diagnosis and treatment is important to reduce the risk of renal scarring. Rapid, cost-effective, methods of UTI diagnosis are required as an alternative to culture. Methods We conducted a systematic review to determine the diagnostic accuracy of rapid tests for detecting UTI in children under five years of age. Results The evidence supports the use of dipstick positive for both leukocyte esterase and nitrite (pooled LR+ = 28.2, 95% CI: 17.3, 46.0) or microscopy positive for both pyuria and bacteriuria (pooled LR+ = 37.0, 95% CI: 11.0, 125.9) to rule in UTI. Similarly dipstick negative for both LE and nitrite (Pooled LR- = 0.20, 95% CI: 0.16, 0.26) or microscopy negative for both pyuria and bacteriuria (Pooled LR- = 0.11, 95% CI: 0.05, 0.23) can be used to rule out UTI. A test for glucose showed promise in potty-trained children. However, all studies were over 30 years old. Further evaluation of this test may be useful. Conclusion Dipstick negative for both LE and nitrite or microscopic analysis negative for both pyuria and bacteriuria of a clean voided urine, bag, or nappy/pad specimen may reasonably be used to rule out UTI. These patients can then reasonably be excluded from further investigation, without the need for confirmatory culture. Similarly, combinations of positive tests could be used to rule in UTI, and trigger further investigation. PMID:15811182

Interaction between turbulent flow and sea breeze front over urban-like coast in large-eddy simulation

NASA Astrophysics Data System (ADS)

Jiang, Ping; Wen, Zhiping; Sha, Weiming; Chen, Guixing

2017-05-01

Turbulent flow and its interaction with a sea breeze front (SBF) over an urban-like coast with a regular block array were investigated using a building-resolving computational fluid dynamics model. It was found that during daytime with an offshore ambient flow, streaky turbulent structures tended to grow within the convective boundary layer (CBL) over a warm urban surface ahead of the SBF. The structures were organized as streamwise streaks at an interval of a few hundred meters, which initiated at the rooftop level with strong wind shear and strengthens in the CBL with moderate buoyancy. The streaks then interacted with the onshore-propagating SBF as it made landfall. The SBF, which was initially characterized as a shallow and quasi-linear feature over the sea, developed three-dimensional structures with intensified updrafts at an elevated frontal head after landfall. Frontal updrafts were locally enhanced at intersections where the streaks merged with the SBF, which greatly increased turbulent fluxes at the front. The frontal line was irregular because of merging, tilting, and transformation effects of vorticity associated with streaky structures. Inland penetration of the SBF was slowed by the frictional effect of urban-like surfaces and turbulent flow on land. The overall SBF intensity weakened after the interaction with turbulent flow. These findings aid understanding of local weather over coastal cities during typical sea breeze conditions.

Objective and subjective cure rates after trans-obturator tape (OBTAPE) treatment of female urinary incontinence.

PubMed

Deval, Bruno; Ferchaux, Jérome; Berry, Richard; Gambino, Sandro; Ciofu, Calin; Rafii, Arash; Haab, François

2006-02-01

To evaluate the safety and efficacy of a thermally bonded nonwoven polypropylene mesh in a transobturator suburethral tape procedure (OBTAPE), Mentor-Porges, Le Plessis Robinson, France) for women with stress urinary incontinence. Between January 2003 and January 2005, 129 consecutive women (mean age 57.2 years) underwent OBTAPE) in two academic centers. All the patients had stress urinary incontinence preoperatively. Detrusor instability was ruled out by cystometry. The women were evaluated 1, 6 and 12 months postoperatively. The objective cure rate was evaluated by clinical examination and the subjective cure rate was assessed using the KHQ and BFLUTS questionnaire. Mean follow-up was 17.2+/-4.7 months (range 4 to 28 months). The objective and subjective cure rates were respectively 89.9% and 77.5%. Most of the patients received general anesthesia (85.3%). Urinary retention was observed in two women (1.5%), necessitating tape adjustment. Voiding difficulties were observed in 7 cases (5.4%) necessitating intermittent self-catheterization for 4.2+/-2.4 days (range 1 to 7 days). Seven patients developed vaginal erosion (one with vaginal extrusion, and two with an obturator abscess). Complete mesh removal was necessary in 6 patients, four of whom had recurrent stress urinary incontinence. Our results suggest that the OBTAPE) is an effective treatment for women with stress urinary incontinence. However, vaginal mesh erosion occurred in 6.2% of women, and this implies the need for careful follow-up.

[Urinary tract infections in pregnancy: when to treat, how to treat, and what to treat with].

PubMed

Kladenský, J

2012-04-01

Urinary tract infections (UTI) in pregnant women are a relatively frequent occurrence and the spectrum of these infections ranges from lower urinary tract disease (asymptomatic bacteriuria, acute cystitis) to upper urinary tract disease (acute pyelonephritis). Anatomical and functional changes in the urinary tract in pregnancy result in significantly higher susceptibility to progression of the infection from asymptomatic bacteriuria to the stage of acute pyelonephritis. Untreated asymptomatic bacteriuria in pregnancy leads, in as much as 40%, to the development of acute pyelonephritis with all the subsequent negative effects not only for the woman herself, but particularly for the fetus. Bacteriuria in pregnancy accounts for a significantly higher number of newborns with a low birth weight, low gestational age and higher neonatal mortality rate. Therefore, it is necessary to perform screening for bacteriuria in pregnant women and, when the finding is positive, to treat this bacteriuria. The selection of an appropriate antimicrobial agent to treat urinary tract infection in pregnancy is limited by the safety of a given drug not only for the woman, but particularly for the fetus. The article provides an overview of medications that can be safely used throughout the pregnancy or only in certain stages of pregnancy. The selection of an appropriate antibiotic should always be preceded by the result of urine culture. The article presents the principles and rules for treating asymptomatic bacteriuria, acute cystitis and acute pyelonephritis in pregnant women.

Numerical simulation of local atmospheric circulations in the pre-Alpine area between Lake Garda and Verona

NASA Astrophysics Data System (ADS)

Laiti, L.; Serafin, S.; Zardi, D.

2010-09-01

The pre-Alpine area between Lake Garda and Verona displays a very complex and heterogeneous territory, allowing the development of several interacting systems of thermally driven local winds, the major being the lake/land breeze system on the coasts of Lake Garda and the up/down-valley wind system between the plain and the river Adige Valley. In order to investigate the local wind patterns, a series of nested numerical simulations with a horizontal resolution of 500 m were carried out using the ARPS 5.2.9 model (Xue et al. 2000, 2001), considering a fair weather day suitable for a clear development of the expected circulations (15th July 2003). The simulated wind speed and direction, pressure, temperature and water vapour mixing ratio were compared to synoptic scale meteorological charts, to vertical profiles from radiosoundings taken at the major sounding stations of the alpine region and to local scale measurements performed at the surface station of Dolcè (at the inlet of the Adige Valley). Numerical results at all scales were found to be in very good agreement with the available sets of meteorological observations. The analysis of the diurnal evolution of the 3D fields of temperature, moisture content, wind and turbulent kinetic energy allowed the identification of a very shallow and clearly defined breeze front of cold and humid air moving from off-shore towards the Lake Garda coast, from the late morning (10:00 LST) until the evening (20:00 LST). The diurnal up-valley breeze was also well reproduced: the valley atmosphere displays a thick mixed layer dominated by shallow turbulent convection between 11:00 LST and 21:00 LST. Lateral slope winds were also recognized, as they created cross-valley convective cells. While no clear evidence of a nocturnal land breeze was found in the simulations, the nocturnal down-valley wind in the Adige Valley was clearly reproduced. Finally, a scalar transport equation was added to the ARPS model in order to simulate transport and diffusion processes for a passive tracer (ideally, a non-reactive pollutant). The cold and stable lake and down-valley breeze corps were found to act like pollutant concentrators at ground level, while the diurnal up-valley wind favours an almost homogenous dispersion of the tracer through the entire Convective Boundary Layer (CBL) thickness. The upper entrainment layer is found to effectively confine the ground-emitted pollutant inside the CBL, except for some occasional plumes that are first conveyed up-slope and then to the centre of the valley above the CBL by cross-valley circulation cells.

Wheezing or Breezing through Exercise-Induced Asthma.

ERIC Educational Resources Information Center

McCarthy, Paul

1989-01-01

Several physicians discuss the tests they use to diagnose exercise-induced asthma (EIA), the medications they typically prescribe and why, and the importance of properly educating athletes about EIA. (JD)

Influence of sea-land breezes on the tempospatial distribution of atmospheric aerosols over coastal region.

PubMed

Tsai, Hsieh-Hung; Yuan, Chung-Shin; Hung, Chung-Hsuang; Lin, Chitsan; Lin, Yuan-Chung

2011-04-01

The influence of sea-land breezes (SLBs) on the spatial distribution and temporal variation of particulate matter (PM) in the atmosphere was investigated over coastal Taiwan. PM was simultaneously sampled at inland and offshore locations during three intensive sampling periods. The intensive PM sampling protocol was continuously conducted over a 48-hr period. During this time, PM2.5 and PM(2.5-10) (PM with aerodynamic diameters < 2.5 microm and between 2.5 and 10 microm, respectively) were simultaneously measured with dichotomous samplers at four sites (two inland and two offshore sites) and PM10 (PM with aerodynamic diameters < or =10 microm) was measured with beta-ray monitors at these same 4 sites and at 10 sites of the Taiwan Air Quality Monitoring Network. PM sampling on a mobile air quality monitoring boat was further conducted along the coastline to collect offshore PM using a beta-ray monitor and a dichotomous sampler. Data obtained from the inland sites (n=12) and offshore sites (n=2) were applied to plot the PM10 concentration contour using Surfer software. This study also used a three-dimensional meteorological model (Pennsylvania State University/National Center for Atmospheric Research Meteorological Model 5) and the Comprehensive Air Quality Model with Extensions to simulate surface wind fields and spatial distribution of PM10 over the coastal region during the intensive sampling periods. Spatial distribution of PM10 concentration was further used in investigating the influence of SLBs on the transport of PM10 over the coastal region. Field measurement and model simulation results showed that PM10 was transported back and forth across the coastline. In particular, a high PM10 concentration was observed at the inland sites during the day because of sea breezes, whereas a high PM10 concentration was detected offshore at night because of land breezes. This study revealed that the accumulation of PM in the near-ocean region because of SLBs influenced the tempospatial distribution of PM10 over the coastal region.

[Phytotherapy in urology. Current scientific evidence of its application in urolithiasis, chronic pelvic pain, erectile dysfunction and urinary tract infections].

PubMed

Morán, E; Budía, A; Broseta, E; Boronat, F

2013-03-01

To assess the usefulness of phytotherapy in urolitiasis, urinary tract infections, erectile dysfunction (ED) and chronic prostatitis/chronic pelvic pain (CP/CPP). Systematic review of the evidence published until January 2011 using the following scientific terms:phytotherapy, urinary lithiasis, Chronic prostatitis, chronic pelvic pain, erectile dysfunction, urinary tract infection, cystitis and the scientific names of compounds following the rules of the International Code of Botanical Nomenclature. The databases used were Medline and The Cochrane Library.We included articles published until January 2011 written in English and Spanish. We included studies in Vitro/in vivo on animal models or human beings. Exclusion criteria were literature not in English and Spanish or articles with serious methodological flaws. We included 86 articles selecting 40 that met the inclusion criteria. In Urolitiasis there are few works in humans. The phytate has its main use as prevention and in reducing the growth of residual fragments after extracorporeal shock wave lithotripsy (ESWL). In CP/CPP the only compound that has shown effectiveness was the extract of pollen in a field of multimodal treatment. In DE ther is no evidence for the use of herbal medicine.Most of the works have limitations in the design or low sample size. In urinary tract infections most of the products are diuretics .There is only evidence for the cranberry as prevention in young or pregnant women. It must not be used as a treatment for urinary tract infections. Phytotherapy is usefull in repeat urinary tract infections and the CP/CPP. It has some role in the urolitiasis and lacks useful in the DE. Copyright © 2012 AEU. Published by Elsevier Espana. All rights reserved.

Accuracy of Automated Flow Cytometry-Based Leukocyte Counts To Rule Out Urinary Tract Infection in Febrile Children: a Prospective Cross-Sectional Study

PubMed Central

Duong, Hong Phuoc; Wissing, Karl Martin; Tram, Nathalie; Mascart, Georges; Lepage, Philippe

2016-01-01

Automated flow cytometry of urine remains an incompletely validated method to rule out urinary tract infection (UTI) in children. This cross-sectional analytical study was performed to compare the predictive values of flow cytometry and a dipstick test as initial diagnostic tests for UTI in febrile children and prospectively included 1,106 children (1,247 episodes). Urine culture was used as the gold standard test for diagnosing UTI. The performance of screening tests to diagnose UTI were established using receiver operating characteristic (ROC) analysis. Among these 1,247 febrile episodes, 221 UTIs were diagnosed (17.7% [95% confidence interval {CI}, 15.6 to 19.8%]). The area under the ROC curve for flow cytometry white blood cell (WBC) counts (0.99 [95% CI, 0.98 to 0.99]) was significantly superior to that for red blood cell (0.74 [95% CI, 0.70 to 0.78]) and bacterial counts (0.89 [95% CI, 0.87 to 0.92]) (P < 0.001). Urinary WBC counts also had a significantly higher area under the ROC curve than that of the leukocyte esterase (LE) dipstick (0.92 [95% CI, 0.90 to 0.94]), nitrite dipstick (0.83 [95% CI, 0.80 to 0.87]), or the combination of positive LE and/or nitrite dipstick (0.91 [95% CI, 0.89 to 0.93]) test (P < 0.001). The presence of ≥35 WBC/μl of urine was the best cutoff point, yielding both a high sensitivity (99.5% [95% CI, 99 to 100%]) and an acceptable specificity (80.6% [95% CI, 78 to 83%]). Using this cutoff point would have reduced the number of samples sent to the laboratory for culture by 67%. In conclusion, the determination of urinary WBC counts by flow cytometry provides optimal performance as an initial diagnostic test for UTI in febrile children. PMID:27682127

[Recurrent and catheter-associated urinary tract infections : Prophylaxis and prevention].

PubMed

Piechota, H

2017-06-01

Urinay tract infection (UTI) as one of the most frequent bacterial infections in humans is of utmost relevance. Because of the rising prevalence of antimicrobial resistance, urinalysis should always include urine culture and a resistogram in order to avoid an unspecific selection and overuse of antibiotics. Prevention of recurrent UTI must first of all rule out predisposing uropathogenic conditions. Nowadays, a great variety of drugs, behavioral, and supportive treatment options can effectively minimize UTI recurrence. The growing importance of vaccines (immunotherapy), probiotics (lactobacilli), and standardized herbal preparations meets the need of reducing antibiotic use and the development of antimicrobial resistance. Around 80% of all nosocomial UTIs (nUTIs) are associated with indwelling urinary catheters. It is estimated that up to 70% of all nUTIs occurring in Germany may be avoided by using appropriate preventative measures. Therefore, profound knowledge about the basics of catheter-associated nUTIs and the correct management of urinary catheters are of utmost individual and socioeconomic importance.

No. 127-The Evaluation of Stress Incontinence Prior to Primary Surgery.

PubMed

Farrell, Scott A

2018-02-01

To provide clinical guidelines for the evaluation of women with stress urinary incontinence prior to primary anti-incontinence surgery. The modalities of evaluation range from basic pelvic examination through to the use of adjuncts including ultrasound and urodynamic testing. These guidelines provide a comprehensive approach to the preoperative evaluation of urinary incontinence to ensure that excessive evaluation is avoided without sacrificing diagnostic accuracy. Published opinions of experts, supplemented by evidence from clinical trials, where appropriate. The quality of the evidence is rated using the criteria described by the Canadian Task Force on the Periodic Health Examination. Comprehensive evaluation of women considering surgery to treat urinary incontinence is essential to rule out causes of incontinence that may not be amenable to surgical treatment. Simplifying the evaluation minimizes the discomfort and embarrassment potentially experienced by women. VALIDATION: These guidelines have been approved by the Urogynaecology Committee and the Executive and Council of The Society of Obstetricians and Gynaecologists of Canada. Copyright © 2018. Published by Elsevier Inc.

Lower Urinary Tract Dysfunction in Elementary School Children: Results of a Cross-Sectional Teacher Survey.

PubMed

Ko, Lauren N; Chuang, Kai-wen; Champeau, Angelique; Allen, I Elaine; Copp, Hillary L

2016-04-01

Lower urinary tract dysfunction in school-aged children is common and yet data are lacking on current teacher practice regarding bathroom use and daytime incontinence during classroom hours. We determined the prevalence of elementary school teachers who promote lower urinary tract health and identified predictors for and against such behavioral promotion. We performed an electronic cross-sectional survey among self-identified teachers using targeted social media advertisement during a 1-week period in July 2014. The empirical survey tool consisted of 27 questions and collected data on 5 principal domains, including 1) teacher demographics, 2) rules and regulations on water intake and bathroom use during classroom hours, 3) characteristics of school bathrooms in terms of safety, supervision and suitability for use, 4) experience with and management of students with daytime incontinence and 5) training on the topic of lower urinary tract health. Predictors for promoting lower urinary tract health were identified by multivariable logistic regression. Of the 4,166 teachers who completed the survey 88% indicated that they encourage students to hold urine. Despite strict bathroom protocols 81% of teachers allowed children unlimited access to water. Of the teachers 82% reported never having undergone any professional development on bathroom regulations for children. Overall only 24% of surveyed teachers met criteria for promoting lower urinary tract health. The odds of promoting lower urinary tract health decreased with ascending grade level (OR 0.80, 95% CI 0.76-0.84). Conversely it increased if teaching experience was greater than 5 years (OR 1.66, 95% CI 1.39-1.98) or professional development on the subject had been received (OR 1.42, 95% CI 1.18-1.70). Of elementary school teachers 76% are not promoting lower urinary tract health in school-aged children. Professional development training on the topics of lower urinary tract dysfunction and/or lower urinary tract health may be beneficial, particularly for educators who teach higher grades and those with less teaching experience. Copyright © 2016 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

GENETIC INDICATORS IN ENVIRONMENTAL PROTECTION

EPA Science Inventory

University of California, Davis, Bodega Bay Marine Laboratory; US EPA National Exposure Research Laboratory, Molecular Ecology Research Division, Cincinnati, OH; US EPA National Health and Environmental Effects Research Laboratory (NHEERL), Gulf Ecology Division, Gulf Breeze, FL;...

NASA Applied Sciences' DEVELOP National Program: Summer 2010 Florida Agriculture

NASA Technical Reports Server (NTRS)

Cooley, Zachary C.; Billiot, Amanda; Lee, Lucas; McKee, Jake

2010-01-01

The main agricultural areas in South Florida are located within the fertile land surrounding Lake Okeechobee. The Atlantic Watershed monthly rainfall anomalies showed a weak but statistically significant correlation to the Oceanic Nino Index (ONI). No other watershed s anomalies showed significant correlations with ONI or the Southern Oscillation Index (SOI). During La Nina months, less sea breeze days and more disturbed days were found to occur compared to El Nino and neutral months. The increase in disturbed days can likely by attributed to the synoptic pattern during La Nina, which is known to be favorable for tropical systems to follow paths that affect South Florida. Overall, neither sea breeze rainfall patterns nor total rainfall patterns in South Florida s main agricultural areas were found to be strongly influenced by the El Nino Southern Oscillation during our study time.

Seasonal budgets of ozone and oxidant precursors in an industrial coastal area of northern Italy

NASA Technical Reports Server (NTRS)

Georgiadis, T.; Alberti, L.; Bonasoni, P.; Fortezza, F.; Giovanelli, G.; Strocchi, V.

1994-01-01

The seasonal budgets and evolution of photochemical oxidants reported for greater Ravenna's urban-industrial area in the present study were calculated using the combined data from on-site systematic surveys (1978-1989) and from the monitoring network of the local environmental authorities. The notable differences in the concentrations of ozone and nitrogen oxides depended on season, and meteorological variables showed a marked correlation to the seasonal budget of trace constituents. The weak local circulation, the land-sea breeze system, and high solar radiation in summer, which may persist at length because of the anticyclonic conditions, can produce episodes of intense photochemical reactions. In winter, by contrast, low solar radiation and the absence of the breeze system results in very different evolutions of both pollutant concentrations and their seasonal budget.

Adhesion of lactobacilli to urinary catheters and diapers: effect of surface properties.

PubMed

Reid, G; Lam, D; Bruce, A W; van der Mei, H C; Busscher, H J

1994-06-01

Thirteen strains of lactobacilli were tested for their ability to adhere to commercial devices used in the urinary tract. Although it appeared that the most hydrophilic organisms adhered in highest numbers, there was no significant correlation between water contact angle and adhesiveness to catheters. Five organisms tested were found to be highly adherent to Huggies commercial diapers. Loss in hydrophobicity upon serial culture of Lactobacillus fermentum B-54 was not due to a proteinaceous S layer, although protein involvement per se cannot be ruled out. It was evident that, not only can members of the normal female urogenital flora adhere to commonly used commercial prostheses, but their ability to attach is related to hydrophilic as well as hydrophobic surface components.

NASA Newest SeaWinds Instrument Breezes Into Operation

NASA Image and Video Library

2003-02-24

One of NASA newest Earth-observing instruments, the SeaWinds scatterometer aboard Japan Advanced Earth Observing Satellite Adeos 2--now renamed Midori 2--has successfully transmitted its first radar data to our home planet.

Range-Specific High-Resolution Mesoscale Model Setup: Data Assimilation

NASA Technical Reports Server (NTRS)

Watson, Leela R.

2014-01-01

Mesoscale weather conditions can have an adverse effect on space launch, landing, and ground processing at the Eastern Range (ER) in Florida and Wallops Flight Facility (WFF) in Virginia. During summer, land-sea interactions across Kennedy Space Center (KSC) and Cape Canaveral Air Force Station (CCAFS) lead to sea breeze front formation, which can spawn deep convection that can hinder operations and endanger personnel and resources. Many other weak locally driven low-level boundaries and their interactions with the sea breeze front and each other can also initiate deep convection in the KSC/CCAFS area. Some of these other boundaries include the Indian River breeze front, Banana River breeze front, outflows from previous convection, horizontal convective rolls, convergence lines from other inland bodies of water such as Lake Okeechobee, the trailing convergence line from convergence of sea breeze fronts due to the shape of Cape Canaveral, frictional convergence lines from the islands in the Bahamas, convergence lines from soil moisture differences, convergence lines from cloud shading, and others. All these subtle weak boundary interactions often make forecasting of operationally important weather very difficult at KSC/CCAFS during the convective season (May-Oct). These convective processes often build quickly, last a short time (60 minutes or less), and occur over small distances, all of which also poses a significant challenge to the local forecasters who are responsible for issuing weather advisories, watches, and warnings. Surface winds during the transition seasons of spring and fall pose the most difficulties for the forecasters at WFF. They also encounter problems forecasting convective activity and temperature during those seasons. Therefore, accurate mesoscale model forecasts are needed to aid in their decision making. Both the ER and WFF would benefit greatly from high-resolution mesoscale model output to better forecast a variety of unique weather phenomena. Global and national scale models cannot properly resolve important local-scale weather features at each location due to their horizontal resolutions being much too coarse. Therefore, a properly tuned model at a high resolution is needed to provide improved capability. This task is a multi-year effort in which the Applied Meteorology Unit (AMU) will tune the Weather Research and Forecasting (WRF) model individually for each range. The goal of the first year, the results of which are in this report, was to tune the WRF model based on the best model resolution and run time while using reasonable computing capabilities. To accomplish this, the ER and WFF supported the tasking of the AMU to perform a number of sensitivity tests in order to determine the best model configuration for operational use at each of the ranges to best predict winds, precipitation, and temperature (Watson 2013). This task is a continuation of that work and will provide a recommended local data assimilation (DA) and numerical forecast model design optimized for the ER and WFF to support space launch activities. The model will be optimized for local weather challenges at both ranges.

Evidence-based rules from family practice to inform family practice; the learning healthcare system case study on urinary tract infections.

PubMed

Soler, Jean K; Corrigan, Derek; Kazienko, Przemyslaw; Kajdanowicz, Tomasz; Danger, Roxana; Kulisiewicz, Marcin; Delaney, Brendan

2015-05-16

Analysis of encounter data relevant to the diagnostic process sourced from routine electronic medical record (EMR) databases represents a classic example of the concept of a learning healthcare system (LHS). By collecting International Classification of Primary Care (ICPC) coded EMR data as part of the Transition Project from Dutch and Maltese databases (using the EMR TransHIS), data mining algorithms can empirically quantify the relationships of all presenting reasons for encounter (RfEs) and recorded diagnostic outcomes. We have specifically looked at new episodes of care (EoC) for two urinary system infections: simple urinary tract infection (UTI, ICPC code: U71) and pyelonephritis (ICPC code: U70). Participating family doctors (FDs) recorded details of all their patient contacts in an EoC structure using the ICPC, including RfEs presented by the patient, and the FDs' diagnostic labels. The relationships between RfEs and episode titles were studied using probabilistic and data mining methods as part of the TRANSFoRm project. The Dutch data indicated that the presence of RfE's "Cystitis/Urinary Tract Infection", "Dysuria", "Fear of UTI", "Urinary frequency/urgency", "Haematuria", "Urine symptom/complaint, other" are all strong, reliable, predictors for the diagnosis "Cystitis/Urinary Tract Infection" . The Maltese data indicated that the presence of RfE's "Dysuria", "Urinary frequency/urgency", "Haematuria" are all strong, reliable, predictors for the diagnosis "Cystitis/Urinary Tract Infection". The Dutch data indicated that the presence of RfE's "Flank/axilla symptom/complaint", "Dysuria", "Fever", "Cystitis/Urinary Tract Infection", "Abdominal pain/cramps general" are all strong, reliable, predictors for the diagnosis "Pyelonephritis" . The Maltese data set did not present any clinically and statistically significant predictors for pyelonephritis. We describe clinically and statistically significant diagnostic associations observed between UTIs and pyelonephritis presenting as a new problem in family practice, and all associated RfEs, and demonstrate that the significant diagnostic cues obtained are consistent with the literature. We conclude that it is possible to generate clinically meaningful diagnostic evidence from electronic sources of patient data.

The monsoon system: Land-sea breeze or the ITCZ?

NASA Astrophysics Data System (ADS)

Gadgil, Sulochana

2018-02-01

For well over 300 years, the monsoon has been considered to be a gigantic land-sea breeze driven by the land-ocean contrast in surface temperature. In this paper, this hypothesis and its implications for the variability of the monsoon are discussed and it is shown that the observations of monsoon variability do not support this popular theory of the monsoon. An alternative hypothesis (whose origins can be traced to Blanford's (1886) remarkably perceptive analysis) in which the basic system responsible for the Indian summer monsoon is considered to be the Intertropical Convergence Zone (ITCZ) or the equatorial trough, is then examined and shown to be consistent with the observations. The implications of considering the monsoon as a manifestation of the seasonal migration of the ITCZ for the variability of the Indian summer monsoon and for identification of the monsoonal regions of the world are briefly discussed.

The MOSO field experiment - Overview of findings

NASA Astrophysics Data System (ADS)

Ólafsson, Haraldur; Jonassen, Marius O.; Ágústsson, Hálfdán; Rögnvaldsson, Ólafur; Hjarðar, Bjarni G. Þ.; Rasol, Dubravka; Reuder, Joachim; Jónsson, Sigurður; Líf Kristinsdóttir, Birta

2013-04-01

In 2009 and 2011, the MOSO I and MOSO II meteorological field experiments took place in SW-Iceland. The main objectives were to describe the low level atmospheric coastal flows in the vicinity of mountains. The observations for the MOSO dataset were made using a large number of automatic weather stations, microbarographs, radiosoundings and a remotely piloted aircraft. The highlights of the findings include a four-dimensional description of the sea-breeze in Iceland, weak downslope acceleration, summer- and winter-time mountain wake flow, transition between wake flow and sea-breeze. The orographic drag force is explored and shown to be not so high most of the time in the predicted high-drag state. The observations from the remotely piloted aircraft have been used successfully to nudge simulations of the flow and are shown to be promising for operational use in numerical prediction of mesoscale coastal and orographic flows.

The inland boundary layer at low latitudes

NASA Astrophysics Data System (ADS)

Garratt, J. R.

1985-08-01

Observations from the Koorin boundary-layer experiment in Australia (latitude 16 °S) were analysed in a study of the nocturnal jet development. For geostrophic winds in the range 10 20 m s-1, ageostrophic wind magnitudes of 5 10m s-1 were common above the surface layer near sunset, with cross-isobar flow angles of about 40 °. The jet that then developed by midnight was probably the result of these large ageostrophic winds, strong surface cooling and favourable baroclinity and sloping terrain. The analysis is supported by numerical model calculations with special emphasis on the role of long-wave radiative cooling on turbulent decay. Decay is rapid in the presence of radiation, although there is little influence on stress divergence levels. Evidence of sea-breeze influences on the jet evolution, and on features of deeply penetrating sea breezes in general, will be presented and discussed in part 2 of this study (submitted to Boundary-Layer Meteorol.).

[Clinical, ureteroscopic and photodynamic diagnosis of urothelial carcinomas of the upper tract: state-of-the art review for the yearly scientific report of the French National Association of Urology].

PubMed

Nison, L; Bozzini, G; Rouprêt, M; Traxer, O; Colin, P

2014-11-01

To propose a state-of-the art of current knowledge about clinical, ureteroscopic and photodynamic for the diagnosis of the upper urinary tract cancer (UTUC). A systematic review of the literature search was performed from the database Medline (NLM, Pubmed), focused on the following keywords: urothelial carcinomas; upper urinary tract; ureter; renal pelvis; diagnosis; fluorescence; ureteroscopy; photodynamic technique; biopsy; cytology. Gross hematuria and flank pain are the two main clinical symptoms revealing a UTUC in daily clinical practice. Urinary cystoscopy and cystoscopy are mandatory to rule out a concomittant synchronous bladder tumour. Flexible ureteroscopy has revolutionized the management of UTUC by allowing a full exploration of upper urinary tract, an endoscopi vizualization of the tumour and assessment of grade with biopsies. A flexible ureteroscopy is mandatory in diagnostic evaluation of UTUC as soon as a conservative management is being considered. New investigation technologies such as fluorescence, narrow band imaging and optical coherence tomography (± combined with ultra sound), are promising for a near future. It has to be understood that the diagnostic work-up of a UTUC has to be exhaustive and particularly the search of another urothelial carcinoma within the urinary tract. Flexible ureterosocopy has revolutionized the diagnosis and management of UTUC and belongs fully to its initial evaluation. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

Association Between Early Idiopathic Neonatal Jaundice and Urinary Tract Infections

PubMed Central

Özcan, Murat; Sarici, S Ümit; Yurdugül, Yüksel; Akpinar, Melis; Altun, Demet; Özcan, Begüm; Serdar, Muhittin A; Sarici, Dilek

2017-01-01

Background and purpose: Etiologic role, incidence, demographic, and response-to-treatment characteristics of urinary tract infection (UTI) among neonates, its relationship with significant neonatal hyperbilirubinemia, and abnormalities of the urinary system were studied in a prospective investigation in early (≤10 days) idiopathic neonatal jaundice in which all other etiologic factors of neonatal hyperbilirubinemia were ruled out. Patients and methods: Urine samples for microscopic and bacteriologic examination were obtained with bladder catheterization from 155 newborns with early neonatal jaundice. Newborns with a negative urine culture and with a positive urine culture were defined as group I and group II, respectively, and the 2 groups were compared with each other. Results: The incidence of UTI in whole of the study group was 16.7%. Serum total and direct bilirubin levels were statistically significantly higher in group II when compared with group I (P = .005 and P = .001, respectively). Decrease in serum total bilirubin level at the 24th hour of phototherapy was statistically significantly higher in group I compared with group II (P = .022). Conclusions: Urinary tract infection should be investigated in the etiologic evaluation of newborns with significant hyperbilirubinemia. The possibility of UTI should be considered in jaundiced newborns who do not respond to phototherapy well or have a prolonged duration of phototherapy treatment. PMID:28469520

Validating and updating a prediction rule for serious bacterial infection in patients with fever without source.

PubMed

Bleeker, S E; Derksen-Lubsen, G; Grobbee, D E; Donders, A R T; Moons, K G M; Moll, H A

2007-01-01

To externally validate and update a previously developed rule for predicting the presence of serious bacterial infections in children with fever without apparent source. Patients, 1-36 mo, presenting with fever without source, were prospectively enrolled. Serious bacterial infection included bacterial meningitis, sepsis, bacteraemia, pneumonia, urinary tract infection, bacterial gastroenteritis, osteomyelitis/ethmoiditis. The generalizability of the original rule was determined. Subsequently, the prediction rule was updated using all available data of the patients with fever without source (1996-1998 and 2000-2001, n = 381) using multivariable logistic regression. the generalizability of the rule appeared insufficient in the new patients (n = 150). In the updated rule, independent predictors from history and examination were duration of fever, vomiting, ill clinical appearance, chest-wall retractions and poor peripheral circulation (ROC area (95%CI): 0.69 (0.63-0.75)). Additional independent predictors from laboratory were serum white blood cell count and C-reactive protein, and in urinalysis > or = 70 white bloods (ROC area (95%CI): 0.83 (0.78-0.88). A previously developed prediction rule for predicting the presence of serious bacterial infection in children with fever without apparent source was updated. Its clinical score can be used as a first screening tool. Additional laboratory testing may specify the individual risk estimate (range: 4-54%) further.

Evaluation of the radiopacity of luting cements by digital radiography.

PubMed

Altintas, Subutay Han; Yildirim, Tahsin; Kayipmaz, Saadettin; Usumez, Aslihan

2013-06-01

The aim of this study was to evaluate the radiopacity of eight contemporary luting cements using direct digital radiography. Ten specimens, (5 mm diameter, 1 mm high) were prepared for each material tested (RelyX ARC, RelyX U100, RelyX Unicem, Nexus 2, Nexus 3, Metacem, Breeze, Adhesor zinc phosphate). The specimens were stored in a moist chamber at 37°C until completely set, then radiographed using a Kodak digital sensor and an aluminum step wedge with variable thicknesses (1 to 13 mm in 1-mm increments) used for reference. A Kodak 2100 intraoral X-ray unit was operated at 60 kV, 7 mA, and 0.20 seconds. According to international standards, the radiopacity of the specimens was compared with that of the aluminum step wedge using the equal-density area tool of the Kodak Dental Imaging software (ver. 6.7). Data were analyzed by ANOVA and Tukey's test. Adhesor zinc phosphate cement showed the highest radiopacity of all materials and dentin. Breeze showed the lowest radiopacity (p < 0.05). No significant difference in radiopacity was observed between dentin and RelyX ARC, Nexus 2, or Metacem (p > 0.05). The radiopacities of Nexus 3 and RelyX Unicem were significantly higher than those of other resin cements and dentin (p < 0.05). All materials showed radiopacity above the minimum recommended by the International Organization for Standardization and the American National Standards/American Dental Association. Breeze had less radiopacity than dentin. © 2012 by the American College of Prosthodontists.

The influence of terrain forcing on the initiation of deep convection over Mediterranean islands

NASA Astrophysics Data System (ADS)

Barthlott, Christian; Kirshbaum, Daniel

2013-04-01

The influence of mountainous islands on the initiation of deep convection is investigated using the Consortium for Small-scale Modeling (COSMO) model. The study day is 26 August 2009 on which moist convection occurred over both the Corsica and Sardinia island in the Mediterranean Sea. Sensitivity runs with systematically modified topography are explored to evaluate the relative importance of the land-sea contrast and the terrain height for convection initiation. Whereas no island precipitation is simulated when the islands are completely removed, all simulations that represent these land surfaces develop convective precipitation. Although convection initiates progressively earlier in the day over taller islands, the precipitation rates and accumulations do not show a fixed relationship with terrain height. This is due to the competing effects of different physical processes. First, whereas the forcing for low-level ascent increases over taller islands, the boundary-layer moisture supply decreases, which diminishes the conditional instability and precipitable water. Second, whereas taller islands enhance the inland propagation speeds of sea-breeze fronts, they also mechanically block these fronts and prevent them from reaching the island interior. As a result, the island precipitation is rather insensitive to island terrain height except for one particular case in which the island precipitation increases considerably due to an optimal superposition of the sea breeze and upslope flow. These results demonstrate the complexity of interactions between sea breezes and orography and reinforce that an adequate representation of detailed topographic features is necessary to account for thermally induced wind systems that initiate deep convection.

An Israeli haboob: Sea breeze activating local anthropogenic dust sources in the Negev loess

NASA Astrophysics Data System (ADS)

Crouvi, Onn; Dayan, Uri; Amit, Rivka; Enzel, Yehouda

2017-02-01

Meso-scale weather systems, such as convective haboobs, are considered to be an important dust generation mechanism. In Israel, however, rather than of meso-scale weather systems, most dust storms are generated by synoptic-scale systems, originating from Sahara and Arabia. Consequently, only distal sources of suspended and deposited dust in Israel are currently reported. Here we report the first detailed study on the merging of synoptic- and meso-scale weather systems leading to a prominent dust outbreak over the Negev, Israel. During the afternoon of May 2nd, 2007, a massive dust storm covered the northern Negev, forming a one kilometer high wall of dust. The haboob was associated with PM10 concentrations of 1000-1500 μg m-3 that advanced at a speed of 10-15 m s-1 and caused temporary closure of local airports. In contrast to most reported haboobs, this one was generated by a sea breeze front acting as a weak cold front enhanced by a cold core cyclone positioned over Libya and Egypt. The sea breeze that brought cold and moist marine air acted as a gravity current with strong surface winds. The sources for the haboob were the loessial soils of the northwestern Negev, especially agricultural fields that were highly disturbed in late spring to early summer. Such surface disturbance is caused by agricultural and/or intensive grazing practices. Our study emphasizes the importance of local dust sources in the Negev and stresses loess recycling as an important process in contemporary dust storms over Israel.

The Implementation and Evaluation of the Emergency Response Dose Assessment System (ERDAS) at Cape Canaveral Air Station/Kennedy Space Center

NASA Technical Reports Server (NTRS)

Evans, Randolph J.; Tremback, Craig J.; Lyons, Walter A.

1996-01-01

The Emergency Response Dose Assessment System (ERDAS) is a system which combines the mesoscale meteorological prediction model RAMS with the diffusion models REEDM and HYPACT. Operators use a graphical user interface to run the models for emergency response and toxic hazard planning at CCAS/KCS. The Applied Meteorology Unit has been evaluating the ERDAS meteorological and diffusion models and obtained the following results: (1) RAMS adequately predicts the occurrence of the daily sea breeze during non-cloudy conditions for several cases. (2) RAMS shows a tendency to predict the sea breeze to occur slightly earlier and to move it further inland than observed. The sea breeze predictions could most likely be improved by better parameterizing the soil moisture and/or sea surface temperatures. (3) The HYPACT/REEDM/RAMS models accurately predict launch plume locations when RAMS winds are accurate and when the correct plume layer is modeled. (4) HYPACT does not adequately handle plume buoyancy for heated plumes since all plumes are presently treated as passive tracers. Enhancements should be incorporated into the ERDAS as it moves toward being a fully operational system and as computer workstations continue to increase in power and decrease in cost. These enhancements include the following: activate RAMS moisture physics; use finer RAMS grid resolution; add RAMS input parameters (e.g. soil moisture, radar, and/or satellite data); automate data quality control; implement four-dimensional data assimilation; modify HYPACT plume rise and deposition physics; and add cumulative dosage calculations in HYPACT.

10. INTERIOR NORTHERN VIEW OF STOCKHOUSE No. 1 WITH COKE ...

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

10. INTERIOR NORTHERN VIEW OF STOCKHOUSE No. 1 WITH COKE BIN IN CENTER AND COKE BREEZE REMOVAL CONVEYOR ON RIGHT. (Jet Lowe) - U.S. Steel Duquesne Works, Blast Furnace Plant, Along Monongahela River, Duquesne, Allegheny County, PA

Field testing of two electronic mobility aid devices for persons who are deaf-blind.

PubMed

Vincent, Claude; Routhier, François; Martel, Valérie; Mottard, Marie-Ève; Dumont, Frédéric; Côté, Lise; Cloutier, Danielle

2014-09-01

To test a methodology for assessing the effects of electronic mobility aid devices (EMAD) on the mobility of persons who are deaf-blind in real-life situations. A single-subject desing was done with four users followed in a program for persons who are deaf-blind. Participants were trained to use two commercial EMADs: the Miniguide and the Breeze. The Canadian Measure of Occupational Performance (CMOP) was administered before training (T1), after training (T2) and three months later (T3). The Quebec User Evaluation of Satisfaction with assistive Technology (QUEST) was administered at T2 and T3. A follow-up interview was conducted with the participants and clinicians at T3 to evaluate the benefits of the EMAD and any problems. CMOP suggests that both performance and satisfaction improved following the use of both EMADs in four occupations (functional mobility, active leisure, community life and socialization). QUEST indicates high satisfaction with eight items except for one participant. Follow-up interviews revealed a wide variety of perceptions regarding EMAD use and seven problems although CMOP and QUEST indicated good satisfaction. A high satisfaction score on QUEST does not necessarily imply that an assistive device is efficient in all circumstances; follow-up interviews provided important complementary information. For people who are deaf-blind The Miniguide is reliable for detecting obstacles (vibrations are sent as a warning when approaching an obstacle). It is often used to know if taking the right route. It identifies entrances or openings (indicated by the vibrations stopping when pointing at a wall), which can replace the echo-location for blind persons with hearing impairments. The Miniguide helped to locate overhanging objects which are not detectable with a long cane. The Breeze can record landmarks for orientation and it possible to use those landmarks to go back alone later after taking a certain route for the first time with someone else. It helps to familiarize the person with new places. It can tell you where you are at any time. It helps with orientation and the participant also liked this feature because it helped with learning street names. The Miniguide and the Breeze were not efficient in all circumstances; there were some problems with the ergonomic (both), detecting snow banks (Miniguide), sensitiveness to the surroundings in crowded places (Miniguide) and exactitude for geo-localization (Breeze).

Prospective assessment of early fetal loss using an immunoenzymometric screening assay for detection of urinary human chorionic gonadotropin.

PubMed

Taylor, C A; Overstreet, J W; Samuels, S J; Boyers, S P; Canfield, R E; O'Connor, J F; Hanson, F W; Lasley, B L

1992-06-01

To develop an economical, nonradiometric immunoenzymometric assay (IEMA) for the detection of urinary human chorionic gonadotropin (hCG) in studies of early fetal loss. To be effective, the IEMA must have a sensitivity equal to the standard immunoradiometric assay (IRMA) and sufficient specificity to eliminate the need for screening most nonconceptive cycles with the expensive and labor-intensive IRMA. Two different assays were used to measure hCG in daily early morning urine samples from potential conceptive cycles. Women undergoing donor artificial insemination (AI) were evaluated in a prospective study. Ninety-two women volunteers were selected on the basis of apparent normal reproductive health. Artificial insemination with nonfrozen donor semen was performed by cervical cup twice each menstrual cycle at 48-hour intervals, and daily urine samples were self-collected throughout the menstrual cycle. An IEMA was developed to detect urinary hCG using the same antibodies as in the standard IRMA; a study was designed to determine whether this nonradiometric assay could successfully detect the early fetal loss that was detected by the IRMA. Of 224 menstrual cycles analyzed by both assays, a total of six early fetal losses were detected by the IRMA. When the tentative screening rule was set to allow all six of these losses and 95% of future losses to be detected by the IEMA, an additional 34 false-positive results were detected by the IEMA. The specificity of the IEMA with this rule was calculated to be 84%. An IEMA based on the same antibodies used for the standard IRMA can serve as an efficient screening assay for the detection of early fetal loss. When the IEMA is used in this manner, nearly 80% of screened menstrual cycles can be eliminated without further testing by the IRMA.

Urinary concentrations of dichlorophenol pesticides and obesity among adult participants in the U.S. National Health and Nutrition Examination Survey (NHANES) 2005-2008.

PubMed

Wei, Yudan; Zhu, Jianmin; Nguyen, An

2014-03-01

Accumulating evidence from recent studies has suggested a possible link between exposure to environmental pesticides and obesity. In this study, we assessed the potential associations between exposure to dichlorophenol pesticides and obesity in adults. Study participants aged 20-85 years were selected from the 2005 to 2006 and 2007 to 2008 U.S. National Health and Nutrition Examination Survey, and were categorized as obese and non-obese based on body mass index. Creatinine-corrected urinary concentrations of dichlorophenols were determined to assess level of exposure to environmental pesticides. Multivariate logistic regression was performed using SAS 9.3 to assess the association between 2,4-dichlorophenol (2,4-DCP) and 2,5-dichlorophenol (2,5-DCP) levels in urine and obesity with adjustment for potential confounders. Significantly higher geometric means of urinary concentrations of both 2,5-DCP (p<0.0001) and 2,4-DCP (p=0.0170) were seen in obese adults, compared to that in non-obese adults. A dose-dependent increase in the prevalence of obesity was observed in the study participants across increasing levels of urinary 2,5-DCP (p-trend<0.0001). Urinary concentrations of 2,5-DCP were significantly associated with obesity among the second (AOR: 1.47, 95% CI: 1.12, 1.93), third (AOR: 1.41, 95% CI: 1.07, 1.87), and fourth (AOR: 1.62, 95% CI: 1.21, 2.17) inter-quartiles after adjustment for age, gender, race, education, total fat intake, and physical activity. A statistically significant association was not seen between urinary 2,4-DCP and obesity. Our findings suggest a potential relationship between exposure to the fumigant insecticide paradichlorobenzene, measured as urinary concentrations of 2,5-DCP, and obesity in adults. Because we cannot rule out the possibility of reverse causality in our study, prospective studies measuring exposure during etiologically relevant periods are warranted. Copyright © 2013 Elsevier GmbH. All rights reserved.

Implementation of the updated 2015 Commission for Hospital Hygiene and Infection Prevention (KRINKO) recommendations "Prevention and control of catheter-associated urinary tract infections" in the hospitals in Frankfurt/Main, Germany.

PubMed

Heudorf, Ursel; Grünewald, Miriam; Otto, Ulla

2016-01-01

The Commission for Hospital Hygiene and Infection Prevention (KRINKO) updated the recommendations for the prevention of catheter-associated urinary tract infections in 2015. This article will describe the implementation of these recommendations in Frankfurt's hospitals in autumn, 2015. In two non-ICU wards of each of Frankfurt's 17 hospitals, inspections were performed using a checklist based on the new KRINKO recommendations. In one large hospital, a total of 5 wards were inspected. The inspections covered the structure and process quality (operating instructions, training, indication, the placement and maintenance of catheters) and the demonstration of the preparation for insertion of a catheter using an empty bed and an imaginary patient, or insertion in a model. Operating instructions were available in all hospital wards; approximately half of the wards regularly performed training sessions. The indications were largely in line with the recommendations of the KRINKO. Alternatives to urinary tract catheters were available and were used more often than the urinary tract catheters themselves (15.9% vs. 13.5%). In accordance with the recommendations, catheters were placed without antibiotic prophylaxis or the instillation of antiseptic or antimicrobial substances or catheter flushing solutions. The demonstration of catheter placement was conscientiously performed. Need for improvement was seen in the daily documentation and the regular verification of continuing indication for a urinary catheter, as well as the omission of regular catheter change. Overall, the recommendations of the KRINKO on the prevention of catheter-associated urinary tract infections were adequately implemented. However, it cannot be ruled out that in situations with time pressure and staff shortage, the handling of urinary tract catheters may be of lower quality than that observed during the inspections, when catheter insertion was done by two nurses. Against this background, a sufficient number of qualified staff and regular ward rounds by the hygiene staff appear recommendable.

History and physical examination plus laboratory testing for the diagnosis of adult female urinary tract infection.

PubMed

Meister, Lisa; Morley, Eric J; Scheer, Diane; Sinert, Richard

2013-07-01

Emergency physicians often encounter females presenting with symptoms suggestive of urinary tract infections (UTIs). The diagnostic accuracy of history, physical examination, and bedside laboratory tests for female UTIs in emergency departments (EDs) have not been quantitatively described. This was a systematic review to determine the utility of history and physical examination (H&P) and urinalysis in diagnosing uncomplicated female UTI in the ED. The medical literature was searched from January 1965 through October 2012 in PUBMED and EMBASE using the following criteria: Patients were females greater than 18 years of age in the ED suspected of having UTIs. Interventions were H&P and urinalysis used to diagnose a UTI. The comparator was UTI confirmed by a positive urine culture. The outcome was operating characteristics of the interventions in diagnosing a UTI. Study quality was assessed using Quality Assessment Tool for Diagnostic Accuracy Studies (QUADAS-2). Sensitivity, specificity, and likelihood ratios (LRs) were calculated using Meta-DiSc. Four studies (pooled n = 948) were included with UTI prevalence ranging from 40% to 60%. H&P variables all had positive LRs (+LR, range = 0.8 to 2.2) and negative LRs (-LR, range = 0.7 to 1.0) that are insufficient to significantly alter pretest probability of UTI. Only a positive nitrite reaction (+LR = 7.5 to 24.5) was useful to rule in a UTI. To rule out UTI, only a negative leukocyte esterase (LE; -LR = 0.2) or blood reaction on urine dipstick (-LR = 0.2) were significantly accurate. Increasing pyuria directly correlated with +LR, and moderate pyuria (urine white blood cells [uWBC] > 50 colony-forming units [CFUs]/ml) and moderate bacteruria were good predictors of UTI (+LR = 6.4 and 15.0, respectively). No single H&P finding can accurately rule in or rule out UTI in symptomatic women. Urinalysis with a positive nitrite or moderate pyuria and/or bacteruria are accurate predictors of a UTI. If the pretest probability of UTI is sufficiently low, a negative urinalysis can accurately rule out the diagnosis. © 2013 by the Society for Academic Emergency Medicine.

76 FR 16029 - CALIFORNIA Disaster #CA-00165

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-22

... SMALL BUSINESS ADMINISTRATION [Disaster Declaration 12490 and 12491] CALIFORNIA Disaster CA-00165 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the State of CALIFORNIA dated 03/16/2011. Incident: Garden Breeze...

Urinary tract infections in infants and children: Diagnosis and management

PubMed Central

Robinson, Joan L; Finlay, Jane C; Lang, Mia Eileen; Bortolussi, Robert

2014-01-01

Recent studies have resulted in major changes in the management of urinary tract infections (UTIs) in children. The present statement focuses on the diagnosis and management of infants and children >2 months of age with an acute UTI and no known underlying urinary tract pathology or risk factors for a neurogenic bladder. UTI should be ruled out in preverbal children with unexplained fever and in older children with symptoms suggestive of UTI (dysuria, urinary frequency, hematuria, abdominal pain, back pain or new daytime incontinence). A midstream urine sample should be collected for urinalysis and culture in toilet-trained children; others should have urine collected by catheter or by suprapubic aspirate. UTI is unlikely if the urinalysis is completely normal. A bagged urine sample may be used for urinalysis but should not be used for urine culture. Antibiotic treatment for seven to 10 days is recommended for febrile UTI. Oral antibiotics may be offered as initial treatment when the child is not seriously ill and is likely to receive and tolerate every dose. Children <2 years of age should be investigated after their first febrile UTI with a renal/bladder ultrasound to identify any significant renal abnormalities. A voiding cystourethrogram is not required for children with a first UTI unless the renal/bladder ultrasound reveals findings suggestive of vesicoureteral reflux, selected renal anomalies or obstructive uropathy. PMID:25332662

Urinary tract infections in infants and children: Diagnosis and management.

PubMed

Robinson, Joan L; Finlay, Jane C; Lang, Mia Eileen; Bortolussi, Robert

2014-06-01

Recent studies have resulted in major changes in the management of urinary tract infections (UTIs) in children. The present statement focuses on the diagnosis and management of infants and children >2 months of age with an acute UTI and no known underlying urinary tract pathology or risk factors for a neurogenic bladder. UTI should be ruled out in preverbal children with unexplained fever and in older children with symptoms suggestive of UTI (dysuria, urinary frequency, hematuria, abdominal pain, back pain or new daytime incontinence). A midstream urine sample should be collected for urinalysis and culture in toilet-trained children; others should have urine collected by catheter or by suprapubic aspirate. UTI is unlikely if the urinalysis is completely normal. A bagged urine sample may be used for urinalysis but should not be used for urine culture. Antibiotic treatment for seven to 10 days is recommended for febrile UTI. Oral antibiotics may be offered as initial treatment when the child is not seriously ill and is likely to receive and tolerate every dose. Children <2 years of age should be investigated after their first febrile UTI with a renal/bladder ultrasound to identify any significant renal abnormalities. A voiding cystourethrogram is not required for children with a first UTI unless the renal/bladder ultrasound reveals findings suggestive of vesicoureteral reflux, selected renal anomalies or obstructive uropathy.

Predicting who will undergo surgery after physiotherapy for female stress urinary incontinence.

PubMed

Labrie, J; Lagro-Janssen, A L M; Fischer, K; Berghmans, L C M; van der Vaart, C H

2015-03-01

To predict who will undergo midurethral sling surgery (surgery) after initial pelvic floor muscle training (physiotherapy) for stress urinary incontinence in women. This was a cohort study including women with moderate to severe stress incontinence who were allocated to the physiotherapy arm from a previously reported multicentre trial comparing initial surgery or initial physiotherapy in treating stress urinary incontinence. Crossover to surgery was allowed. Data from 198/230 women who were randomized to physiotherapy was available for analysis, of whom 97/198 (49 %) crossed over to surgery. Prognostic factors for undergoing surgery after physiotherapy were age <55 years at baseline (OR 2.87; 95 % CI 1.30-6.32), higher educational level (OR 3.28; 95 % CI 0.80-13.47), severe incontinence at baseline according to the Sandvik index (OR 1.77; 95 % CI 0.95-3.29) and Urogenital Distress Inventory; incontinence domain score (OR 1.03; per point; 95 % CI 1.01-1.65). Furthermore, there was interaction between age <55 years and higher educational level (OR 0.09; 95 % CI 0.02-0.46). Using these variables we constructed a prediction rule to estimate the risk of surgery after initial physiotherapy. In women with moderate to severe stress incontinence, individual prediction for surgery after initial physiotherapy is possible, thus enabling shared decision making for the choice between initial conservative or invasive management of stress urinary incontinence.

Temperature And Wind Velocity Oscillations Along a Gentle Slope During Sea-Breeze Events

NASA Astrophysics Data System (ADS)

Bastin, Sophie; Drobinski, Philippe

2005-03-01

The flow structure on a gentle slope at Vallon d’Ol in the northern suburbs of Marseille in southern France has been documented by means of surface wind and temperature measurements collected from 7 June to 14 July 2001 during the ESCOMPTE experiment. The analysis of the time series reveals temperature and wind speed oscillations during several nights (about 60--90 min oscillation period) and several days (about 120-180 min oscillation period) during the whole observing period. Oscillating katabatic winds have been reported in the literature from theoretical, experimental and numerical studies. In the present study, the dynamics of the observed oscillating katabatic winds are in good agreement with the theory.In contrast to katabatic winds, no daytime observations of oscillating anabatic upslope flows have ever been published to our knowledge, probably because of temperature inversion break-up that inhibits upslope winds. The present paper shows that cold air advection by a sea breeze generates a mesoscale horizontal temperature gradient, and hence baroclinicity in the atmosphere, which then allows low-frequency oscillations, similar to a katabatic flow. An expression for the oscillation period is derived that accounts for the contribution of the sea-breeze induced mesoscale horizontal temperature gradient. The theoretical prediction of the oscillation period is compared to the measurements, and good agreement is found. The statistical analysis of the wind flow at Vallon d’Ol shows a dominant north-easterly to easterly flow pattern for nighttime oscillations and a dominant south-westerly flow pattern for daytime oscillations. These results are consistent with published numerical simulation results that show that the air drains off the mountain along the maximum slope direction, which in the studied case is oriented south-west to north-east.

Investigation of the atmospheric boundary layer dynamics during the ESCOMPTE campaign

NASA Astrophysics Data System (ADS)

Saïd, F.; Brut, A.; Campistron, B.; Cousin, F.

2007-03-01

This paper presents some results about the behavior of the atmospheric boundary layer observed during the ESCOMPTE experiment. This campaign, which took place in south-eastern France during summer 2001, was aimed at improving our understanding of pollution episodes in relation to the dynamics of the lower troposphere. Using a large data set, as well as a simulation from the mesoscale non-hydrostatic model Meso-NH, we describe and analyze the atmospheric boundary layer (ABL) development during two specific meteorological conditions of the second Intensive Observation Period (IOP). The first situation (IOP2a, from 22 June to 23 June) corresponds to moderate, dry and cold northerly winds (end of Mistral event), coupled with a sea-breeze in the lower layer, whereas sea-breeze events with weak southerly winds occurred during the second part of the period (IOP2b, from 24 June to 26 June). In this study, we first focus on the validation of the model outputs with a thorough comparison of the Meso-NH simulations with fields measurements on three days of the IOP: 22 June, 23 June and 25 June. We also investigate the structure of the boundary layer on IOP2a when the Mistral is superimposed on a sea breeze. Then, we describe the spatial and diurnal variability of the ABL depths over the ESCOMPTE domain during the whole IOP. This step is essential if one wants to know the depth of the layer where the pollutants can be diluted or accumulated. Eventually, this study intends to describe the ABL variability in relation to local or mesoscale dynamics and/or induced topographic effects, in order to explain pollution transport processes in the low troposphere.

Thermal Influence of a Large Green Space on a Hot Urban Environment.

PubMed

Sugawara, Hirofumi; Shimizu, Shogo; Takahashi, Hideo; Hagiwara, Shinsuke; Narita, Ken-Ichi; Mikami, Takehiko; Hirano, Tatsuki

2016-01-01

City-scale warming is becoming a serious problem in terms of human health. Urban green spaces are expected to act as a countermeasure for urban warming, and therefore better understanding of the micro-climate benefits of urban green is needed. This study quantified the thermal influence of a large green park in Tokyo, Japan on the surrounding urban area by collecting long-term measurements. Apparent variations in the temperature difference between the park and surrounding town were found at both the diurnal and seasonal scales. Advection by regional-scale wind and turbulent mixing transfers colder air from the park to urban areas in its vicinity. The extent of the park's thermal influence on the town was greater on the downwind side of the park (450 m) than on the upwind side (65 m). The extent was also greater in an area where the terrain slopes down toward the town. Even on calm nights, the extent of the thermal influence extended by the park breeze to an average of 200 m from the park boundary. The park breeze was characterized by its divergent flow in a horizontal plane, which was found to develop well in calm conditions late at night (regional scale wind <1.5 m s and after 02:00 LST). The average magnitude of the cooling effect of the park breeze was estimated at 39 Wm. This green space tempered the hot summer nights on a city block scale. These findings can help urban planners in designing a heat-adapted city. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

Diurnal Cycle of Surface Flows During NAME and Comparison to Model Reanalysis

NASA Astrophysics Data System (ADS)

Ciesielski, P. E.; Johnson, R. H.

2007-05-01

During the North American Monsoon Experiment (NAME) an unprecedented surface data set of winds and thermodynamic variables was collected over the core monsoon region. The surface network included 63 automated sites with 1-30 min resolution data, 27 SMN operational sites (1-3 hourly data), and 56 US operational sites (1-3 hourly data) along the northern fringe of the monsoon region. These data, along with twice daily QuikSCAT oceanic surface winds, were quality controlled and objectively analyzed on to a uniform grid with quarter-degree, 1-h resolution for the period from 1 July - 15 August. An important application of the gridded winds is their use in diagnosing surface vertical motion due to slope flows over the Sierra Madre Occidental (SMO) terrain. With this dataset we examine the diurnal characteristics of surface fields as the monsoon evolves and compare these analyses to similar surface products from the special North American Regional Reanalysis (NARR) for NAME. Observed surface fields indicate that a robust land-sea breeze circulation is present over most of Gulf of California (GOC) region in response to the strong diurnal heating of land masses on both sides of the gulf. For reasons unclear at this time, many features of this land-sea breeze circulation are missing in the NARR. Evolution of the diurnal cycle of temperature and the land- sea breeze circulation as the monsoon progresses through the season shows a strong sensitivity to rainfall over the SMO and the coastal plains. Such a relationship likely reflects changes in land surface characteristics, such as evapotranspiration and albedo, as the forests of the SMO respond to monsoonal rains.

Collaborative and Cooperative Learning in Malaysian Mathematics Education

ERIC Educational Resources Information Center

Hossain, Md. Anowar; Tarmizi, Rohani Ahmad; Ayud, Ahmad Fauzi Mohd

2012-01-01

Collaborative and cooperative learning studies are well recognized in Malaysian mathematics education research. Cooperative learning is used to serve various ability students taking into consideration of their level of understanding, learning styles, sociological backgrounds that develop students' academic achievement and skills, and breeze the…

Observations of the trade wind wakes of Kauai and Oahu

NASA Astrophysics Data System (ADS)

Yang, Yang; Ma, Jian; Xie, Shang-Ping

2008-02-01

The Hawaiian islands of Kauai and Oahu stand in the path of the east-northeasterly trade winds, creating wakes in the lee. For the first time, the structure of the wakes and their diurnal cycle were observed on a cruise during 18-20 December 2006. The dynamic wakes, characterized by reduced trades, extend about 1 km in height with strong wind shear at the top. Thermal forcing of these small islands also affects the wake circulations. Sea breezes develop in the afternoon turning the winds into westerly near the shore in the wakes. At night, land breezes advect cool air from the islands, creating a shallow cool layer between the sea surface and a capping inversion. The warming in the wake in the afternoon extends much deeper (1.4 km) than the cool layer (0.5 km) at night. The effect of diurnal changes on cloud formation in the wakes is discussed, and the sharp variations in wind velocity lee of the islands may affect ocean currents, waves and mixing.

Divergence of turbulent fluxes in the surface layer: case of a coastal city

NASA Astrophysics Data System (ADS)

Pigeon, G.; Lemonsu, A.; Grimmond, C. S. B.; Durand, P.; Thouron, O.; Masson, V.

2007-08-01

This study quantifies the processes that take place in the layer between the mean building height and the measurement level of an energy balance micrometeorological tower located in the dense old core of a coastal European city. The contributions of storage, vertical advection, horizontal advection and radiative divergence for heat are evaluated with the available measurements and with a three-dimensional, high-resolution meteorological simulation that had been evaluated against observations. The study focused on a summer period characterized by sea-breeze flows that affect the city. In this specific configuration, it appears that the horizontal advection is the dominant term. During the afternoon when the sea breeze is well established, correction of the sensible heat flux with horizontal heat advection increases the measured sensible heat flux up to 100 W m-2. For latent heat flux, the horizontal moisture advection converted to equivalent latent heat flux suggests a decrease of 50 W m-2. The simulation reproduces well the temporal evolution and magnitude of these terms.

Using a Network of Boundary Layer Profilers to Characterize the Atmosphere at a Major Spaceport

NASA Technical Reports Server (NTRS)

Case, Jonathan L.; Lambert, Winifred; Merceret, Francis; Ward, Jennifer

2006-01-01

Space launch, landing, and ground operations at the Kennedy Space Center (KSC) and Cape Canaveral Air Force Station (CCAFS) in east-central Florida are highly sensitive to mesoscale weather conditions throughout the year. Due to the complex land-water interfaces and the important role of mesoscale circulations, a high-resolution network of five 915-MHz Doppler Radar Wind Profilers (DRWP) and 44 wind towers was installed over the KSC/CCAFS area. By using quality-controlled 915-MHz DRAT data along with the near-surface tower observations, the Applied Meteorology Unit and KSC Weather Office have studied the development and evolution of various mesoscale phenomena across KSC/CCAFS such as sea and land breezes, low-level jets, and frontal passages. This paper will present some examples of mesoscale phenomena that can impact space operations at KSC/CCAFS, focusing on the utility of the 915-MHz DRWP network in identifying important characteristics of sea/land breezes and low-level jets.

A Study Of The Atmospheric Boundary Layer Using Radon And Air Pollutants As Tracers

NASA Astrophysics Data System (ADS)

Kataoka, Toshio; Yunoki, Eiji; Shimizu, Mitsuo; Mori, Tadashige; Tsukamoto, Osamu; Ohashi, Yukitaka, Sahashi, Ken; Maitani, Toshihiko; Miyashita, Koh'ichi; Iwata, Toru; Fujikawa, Yoko; Kudo, Akira; Shaw, Roger H.

Concentrations of radon 222Rn andair pollutants, meteorological parametersnear the surface and vertical profiles of meteorological elements were measured atUchio (Okayama City, Okayama Prefecture, Japan) 12 km north from the coast ofthe Inland Sea of Japan. In the nighttime, the 222Rn concentration increased in the case of weak winds, but did not increase as much in the case of moderate or strong winds, as had been expected. In the daytime, the 222Rn concentrationheld at a slightly higher than average level for the period from sunrise to about 1100 JST. It is considered that this phenomenon is due to a period of morning calm, that is, a transition period from land breeze to sea breeze.NO, which is sensitive to traffic volume,brought information concerning advection.Oxidant concentrations,which reflect the availability of sunlight,acted in the reverse manner to 222Rnconcentrations. Thus, a set of 222Rn and air pollutants could provide useful information regarding the local conditions of the atmospheric boundary layer.

The Diagnosis of Urinary Tract Infection in Young Children (DUTY) Study Clinical Rule: Economic Evaluation.

PubMed

Hollingworth, William; Busby, John; Butler, Christopher C; O'Brien, Kathryn; Sterne, Jonathan A C; Hood, Kerenza; Little, Paul; Lawton, Michael; Birnie, Kate; Thomas-Jones, Emma; Harman, Kim; Hay, Alastair D

2017-04-01

To estimate the cost-effectiveness of a two-step clinical rule using symptoms, signs and dipstick testing to guide the diagnosis and antibiotic treatment of urinary tract infection (UTI) in acutely unwell young children presenting to primary care. Decision analytic model synthesising data from a multicentre, prospective cohort study (DUTY) and the wider literature to estimate the short-term and lifetime costs and healthcare outcomes (symptomatic days, recurrent UTI, quality adjusted life years) of eight diagnostic strategies. We compared GP clinical judgement with three strategies based on a 'coefficient score' combining seven symptoms and signs independently associated with UTI and four strategies based on weighted scores according to the presence/absence of five symptoms and signs. We compared dipstick testing versus laboratory culture in children at intermediate risk of UTI. Sampling, culture and antibiotic costs were lowest in high-specificity DUTY strategies (£1.22 and £1.08) compared to clinical judgement (£1.99). These strategies also approximately halved urine sampling (4.8% versus 9.1% in clinical judgement) without reducing sensitivity (58.2% versus 56.4%). Outcomes were very similar across all diagnostic strategies. High-specificity DUTY strategies were more cost-effective than clinical judgement in the short- (iNMB = £0.78 and £0.84) and long-term (iNMB =£2.31 and £2.50). Dipstick tests had poorer cost-effectiveness than laboratory culture in children at intermediate risk of UTI (iNMB = £-1.41). Compared to GPs' clinical judgement, high specificity clinical rules from the DUTY study could substantially reduce urine sampling, achieving lower costs and equivalent patient outcomes. Dipstick testing children for UTI is not cost-effective. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

HABSOS INTEGRATED CASE STUDY FOR THE GULF OF MEXICO

EPA Science Inventory

This project is part of a Harmful Algal Bloom Observing System Pilot Project for which the Gulf of Mexico Program is the coordinator. The Program office along with the EPA Gulf Breeze Laboratory will be working with the NOAA National Coastal Data Development Center, the National...

Career Directions--Renewable Energy Systems Integrator

ERIC Educational Resources Information Center

Fleeman, Stephen R.

2012-01-01

Renewable energy systems are beginning to appear everywhere. Solar modules are creating "blue roofs" that convert the energy from the sun into household electricity. Solar thermal systems on roofs can generate hot water. Wind turbines catch breezes to provide even more electricity. Recommendations for saving energy, specifying systems for…

78 FR 70547 - Combined Notice of Filings #2

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-26

..., LLC. Description: Filing of CIAC Agreement with Wolverine Power Supply Cooperative, Inc. to be... the Federal Power Act and Request for Waivers and Expedited Action of Prairie Breeze Wind Energy LLC...: ER14-418-000. Applicants: Southwest Power Pool, Inc. Description: City of Coffeyville Revised Stated...

14. Photocopy of engineering drawing, Buildings 28 and 28A: Steam ...

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

14. Photocopy of engineering drawing, Buildings 28 and 28A: Steam Heating System, 1918 (original on file with the Norfolk Naval Shipyard, Portsmouth, Virginia) - Norfolk Naval Shipyard, Building No. 28A, Adjoining Buildings No. 28 & 29 on Shubrick & Breeze Streets, Portsmouth, Portsmouth, VA

A Simple Technique for Creating Regional Composites of Sea Surface Temperature from MODIS for Use in Operational Mesoscale NWP

NASA Technical Reports Server (NTRS)

Knievel, Jason C.; Rife, Daran L.; Grim, Joseph A.; Hahmann, Andrea N.; Hacker, Joshua P.; Ge, Ming; Fisher, Henry H.

2010-01-01

This paper describes a simple technique for creating regional, high-resolution, daytime and nighttime composites of sea surface temperature (SST) for use in operational numerical weather prediction (NWP). The composites are based on observations from NASA s Moderate Resolution Imaging Spectroradiometer (MODIS) aboard Aqua and Terra. The data used typically are available nearly in real time, are applicable anywhere on the globe, and are capable of roughly representing the diurnal cycle in SST. The composites resolution is much higher than that of many other standard SST products used for operational NWP, including the low- and high-resolution Real-Time Global (RTG) analyses. The difference in resolution is key because several studies have shown that highly resolved SSTs are important for driving the air sea interactions that shape patterns of static stability, vertical and horizontal wind shear, and divergence in the planetary boundary layer. The MODIS-based composites are compared to in situ observations from buoys and other platforms operated by the National Data Buoy Center (NDBC) off the coasts of New England, the mid-Atlantic, and Florida. Mean differences, mean absolute differences, and root-mean-square differences between the composites and the NDBC observations are all within tenths of a degree of those calculated between RTG analyses and the NDBC observations. This is true whether or not one accounts for the mean offset between the skin temperatures of the MODIS dataset and the bulk temperatures of the NDBC observations and RTG analyses. Near the coast, the MODIS-based composites tend to agree more with NDBC observations than do the RTG analyses. The opposite is true away from the coast. All of these differences in point-wise comparisons among the SST datasets are small compared to the 61.08C accuracy of the NDBC SST sensors. Because skin-temperature variations from land to water so strongly affect the development and life cycle of the sea breeze, this phenomenon was chosen for demonstrating the use of the MODIS-based composite in an NWP model. A simulated sea breeze in the vicinity of New York City and Long Island shows a small, net, but far from universal improvement when MODIS-based composites are used in place of RTG analyses. The timing of the sea breeze s arrival is more accurate at some stations, and the near-surface temperature, wind, and humidity within the breeze are more realistic.

Urinary biomarkers in hexachloro-1:3-butadiene-induced acute kidney injury in the female Hanover Wistar rat; correlation of α-glutathione S-transferase, albumin and kidney injury molecule-1 with histopathology and gene expression.

PubMed

Swain, Aubrey; Turton, John; Scudamore, Cheryl L; Pereira, Ines; Viswanathan, Neeti; Smyth, Rosemary; Munday, Michael; McClure, Fiona; Gandhi, Mitul; Sondh, Surjit; York, Malcolm

2011-05-01

Hexachloro-1:3-butadiene (HCBD) causes kidney injury specific to the pars recta of the proximal tubule. In the present studies, injury to the nephron was characterized at 24 h following a single dose of HCBD, using a range of quantitative urinary measurements, renal histopathology and gene expression. Multiplexed renal biomarker measurements were performed using both the Meso Scale Discovery (MSD) and Rules Based Medicine platforms. In a second study, rats were treated with a single nephrotoxic dose of HCBD and the time course release of a range of traditional and newer urinary biomarkers was followed over a 25 day period. Urinary albumin (a marker of both proximal tubular function and glomerular integrity) and α-glutathione S-transferase (α-GST, a proximal tubular cell marker of cytoplasmic leakage) showed the largest fold change at 24 h (day 1) after dosing. Most other markers measured on either the MSD or RBM platforms peaked on day 1 or 2 post-dosing, whereas levels of kidney injury molecule-1 (KIM-1), a marker of tubular regeneration, peaked on day 3/4. Therefore, in rat proximal tubular nephrotoxicity, the measurement of urinary albumin, α-GST and KIM-1 is recommended as they potentially provide useful information about the function, degree of damage and repair of the proximal tubule. Gene expression data provided useful confirmatory information regarding exposure of the kidney and liver to HCBD, and the response of these tissues to HCBD in terms of metabolism, oxidative stress, inflammation, and regeneration and repair. Copyright © 2011 John Wiley & Sons, Ltd.

Impact of prenatal exposure to cadmium on cognitive development at preschool age and the importance of selenium and iodine.

PubMed

Kippler, Maria; Bottai, Matteo; Georgiou, Vaggelis; Koutra, Katerina; Chalkiadaki, Georgia; Kampouri, Mariza; Kyriklaki, Andriani; Vafeiadi, Marina; Fthenou, Eleni; Vassilaki, Maria; Kogevinas, Manolis; Vahter, Marie; Chatzi, Leda

2016-11-01

The evidence regarding a potential link of low-to-moderate iodine deficiency, selenium status, and cadmium exposure during pregnancy with neurodevelopment is either contradicting or limited. We aimed to assess the prenatal impact of cadmium, selenium, and iodine on children's neurodevelopment at 4 years of age. The study included 575 mother-child pairs from the prospective "Rhea" cohort on Crete, Greece. Exposure to cadmium, selenium and iodine was assessed by concentrations in the mother's urine during pregnancy (median 13 weeks), measured by ICPMS. The McCarthy Scales of Children's Abilities was used to assess children's general cognitive score and seven different sub-scales. In multivariable-adjusted regression analysis, elevated urinary cadmium concentrations (≥0.8 µg/L) were inversely associated with children's general cognitive score [mean change: -6.1 points (95 % CI -12; -0.33) per doubling of urinary cadmium; corresponding to ~0.4 SD]. Stratifying by smoking status (p for interaction 0.014), the association was restricted to smokers. Urinary selenium was positively associated with children's general cognitive score [mean change: 2.2 points (95 % CI -0.38; 4.8) per doubling of urinary selenium; ~0.1 SD], although the association was not statistically significant. Urinary iodine (median 172 µg/L) was not associated with children's general cognitive score. In conclusion, elevated cadmium exposure in pregnancy of smoking women was inversely associated with the children's cognitive function at pre-school age. The results indicate that cadmium may adversely affect neurodevelopment at doses commonly found in smokers, or that there is an interaction with other toxicants in tobacco smoke. Additionally, possible residual confounding cannot be ruled out.

Creating a Garden for the Senses

ERIC Educational Resources Information Center

Potter, Cindy

2010-01-01

Almost everyone enjoys a walk through a garden, bending to sniff a flower, enjoying a fresh air breeze, listening to water bubbling from a fountain, and watching sunlight dapple through trees and plants. At Allegheny Valley School (AVS), the emphasis on multisensory environments (MSE) for individuals with intellectual and developmental…

When Board Relations Are Smooth, Success Is a Breeze.

ERIC Educational Resources Information Center

Griffith, Robert

1990-01-01

The key to succeeding in superintendent-board relationships is fitting the school board into a three-part framework of policies, meetings, and goals. Advice is also provided concerning budgeting, becoming acquainted with board members, and handling disagreements. A sidebar classifies board members as builders, shopkeepers, mechanics, cheerleaders,…

76 FR 45845 - Notice of Issuance of Final Determination Concerning a Certain Patient Transport Chair

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-01

... determination. FACTS: Electro Kinetic, headquartered in Germantown, Wisconsin, designs and manufactures... finished patient transport chair. You state that the production of the BREEZ patient transport chair in the U.S. begins with the production of 17 cable subassemblies which include: positive and negative...

40 CFR 420.11 - Specialized definitions.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Specialized definitions. (a) For the cokemaking subcategory, the term product means the production of coke plus coke breeze. (b) The term by-product cokemaking means operations in which coal is heated in the absence of air to produce metallurgical coke (furnace coke and foundry coke), and the recovery of by...

Sensitivities of Summertime Mesoscale Circulations in the Coastal Carolinas to Modifications of the Kain–Fritsch Cumulus Parameterization

EPA Science Inventory

Two mesoscale circulations, the Sandhills circulation and the sea breeze, influence the initiation of deep convection over the Sandhills and the coast in the Carolinas during the summer months. The interaction of these two circulations causes additional convection in this coastal...

40 CFR 420.11 - Specialized definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... breeze. (b) The term by-product cokemaking means operations in which coal is heated in the absence of air to produce metallurgical coke (furnace coke and foundry coke), and the recovery of by-products... foundry coke) without recovery of by-products. Does not include co-generation facilities located at non...

Can routine automated urinalysis reduce culture requests?

PubMed

Kayalp, Damla; Dogan, Kubra; Ceylan, Gozde; Senes, Mehmet; Yucel, Dogan

2013-09-01

There are a substantial number of unnecessary urine culture requests. We aimed to investigate whether urine dipstick and microscopy results could accurately rule out urinary tract infection (UTI) without urine culture. The study included a total of 32,998 patients (11,928 men and 21,070 women, mean age: 39 ± 32 years) with a preliminary diagnosis of UTI and both urinalysis and urinary culture were requested. All urine cultures were retrospectively reviewed; association of culture positivity with a positive urinalysis result for leukocyte esterase (LE) and nitrite in chemical analysis and pyuria (WBC) and bacteriuria in microscopy was determined. Diagnostic performance of urinalysis parameters for detection of UTI was evaluated. In total, 758 (2.3%) patients were positive by urine culture. Out of these culture positive samples, ratios of positive dipstick results for LE and nitrite were 71.0% (n=538) and 17.7% (n=134), respectively. The positive microscopy results for WBC and bacteria were 68.2% (n=517) and 78.8% (n=597), respectively. Negative predictive values for LE, nitrite, bacteriuria and WBC were very close to 100%. Most of the samples have no or insignificant bacterial growth. Urine dipstick and microscopy can accurately rule out UTI. Automated urinalysis is a practicable and faster screening test which may prevent unnecessary culture requests for majority of patients. © 2013. Published by Elsevier Inc. All rights reserved.

Prediction of vesico-ureteric reflux in childhood urinary tract infection: a multivariate approach.

PubMed

Oostenbrink, R; van der Heijden, A J; Moons, K G; Moll, H A

2000-07-01

In this study, independent predictors obtained from patient history, physical examination and laboratory results for vesico-ureteric reflux (VUR) in children of 0-5 y with a first urinary tract infection (UTI) were assessed and the added value of renal ultrasound (US) investigated. Information was collected from children visiting the paediatric outpatient department with a first proven UTI, defined as a urine monoculture with > or = 10(5) organism/ml, with clinical symptoms and possible white cell count > or = 20 per high-power field of spun fresh urine. Children with neurologic bladder dysfunction were excluded. VUR was determined by voiding cystourethrography (VCUG) and graded from I to V. The diagnostic value of predictors was judged using multivariate logistic modelling with the area under the receiver operating characteristic (ROC area). A risk score was derived based on the regression coefficients of the independent predictors in the logistic model. In 140 children (51 boys and 89 girls) VUR was diagnosed in 37. Independent predictors for VUR were male gender, age, family history for uropathology, serum C-reactive protein level (CRP) and dilatation of the urinary tract on US. The ROC area of this model was 0.78 (95% CI: 0.69-0.87). This prediction model identified 12% (95% CI: 7-18) of the patients without VUR without missing one case of VUR. If we used VUR > or = grade 3 as a threshold, the model assessed VUR to be absent in 34% (95% CI: 26-42). A prediction rule based on age, gender, family history, CRP and US results is useful in assessing the probability of VUR in the individual child with a first UTI and may help the physician to make decisions about performing additional imaging techniques. Prospective validation of the model in future patients, however, will be necessary before applying the rule in practice.

POLYCLONAL ANTISERA AGAINST ESTUARINE CRUSTACEAN VITELLIN AND VITELLOGENIN: DEVELOPMENT OF AN OOGENESIS DISFUNCTION ASSAY AS AN INDICATOR OF ENDOCRINE DISRUPTION FROM JUVENILE HORMONE AGONIST INSECTICIDES

EPA Science Inventory

Adult female Lepidophthalmus louisianensis, Palaemonetes pugio, Rhithropanopeus harrisii, Mysidopsis bahia, and Uca panacea were collected from estuarine localities in Santa Rosa Sound, Gulf Breeze, FL during late spring and summer of 1999. Mature ovaries were dissected and homog...

Detecting Corrosion Under Paint and Insulation

NASA Technical Reports Server (NTRS)

Bastin, Gary L.

2011-01-01

Corrosion is a major concern at the Kennedy Space Center in Florida due to the proximity of the center to the Atlantic Ocean and to salt water lagoons. High humidity, salt fogs, and ocean breezes, provide an ideal environment in which painted steel structures become corroded. Maintenance of painted steel structures is a never-ending process.

Numerical Studies of the Georgia Coast Sea Breeze

DTIC Science & Technology

1996-12-09

the 1991 Pan American Games. Bull. Amer. Meteor. Soc., 74, 5-16. ____, S. Rinard, C. Garza, and G. Hoogenboom , 1996: Wind forecasting for the sailing...events of the Summer Olympic Games. Conf on Coastal Oceanic and Atmos. Pred., Atlanta, GA, pp 336-343. Rinard, S., M. Powell, C. Garza and G. Hoogenboom

Speleothems and Sand Castles

ERIC Educational Resources Information Center

Hance, Trevor; Befus, Kevin

2015-01-01

The idea of building sand castles evokes images of lazy summer days at the beach, listening to waves crash, enjoying salty breezes, and just unplugging for a while to let our inner child explore the wonderful natural toys beneath our feet. The idea of exploring caves might evoke feelings and images of claustrophobia or pioneers and Native…

Bridging the Hemispheres through the Use of Technology: International Collaboration in Social Work Training

ERIC Educational Resources Information Center

Rautenbach, John Victor; Black-Hughes, Christine

2012-01-01

The social work programs of the University of Fort Hare, East London, South Africa, and Minnesota State University, Mankato, United States, began using various technologies in 2007 to facilitate interaction. This project included conducting practicum supervision and seminars via videoconferencing (using Breeze, Adobe Connect, and Skype) and…

Hanging an Airplane: A Case Study in Static Equilibrium

ERIC Educational Resources Information Center

Katz, Debora M.

2009-01-01

Our classrooms are filled with engineering majors who take a semester-long course in static equilibrium. Many students find this class too challenging and drop their engineering major. In our introductory physics class, we often breeze through static equilibrium; to physicists equilibrium is just a special case of Newton's second law. While it is…

Diagnostic tests and algorithms used in the investigation of haematuria: systematic reviews and economic evaluation.

PubMed

Rodgers, M; Nixon, J; Hempel, S; Aho, T; Kelly, J; Neal, D; Duffy, S; Ritchie, G; Kleijnen, J; Westwood, M

2006-06-01

To determine the most effective diagnostic strategy for the investigation of microscopic and macroscopic haematuria in adults. Electronic databases from inception to October 2003, updated in August 2004. A systematic review was undertaken according to published guidelines. Decision analytic modelling was undertaken, based on the findings of the review, expert opinion and additional information from the literature, to assess the relative cost-effectiveness of plausible alternative tests that are part of diagnostic algorithms for haematuria. A total of 118 studies met the inclusion criteria. No studies that evaluated the effectiveness of diagnostic algorithms for haematuria or the effectiveness of screening for haematuria or investigating its underlying cause were identified. Eighteen out of 19 identified studies evaluated dipstick tests and data from these suggested that these are moderately useful in establishing the presence of, but cannot be used to rule out, haematuria. Six studies using haematuria as a test for the presence of a disease indicated that the detection of microhaematuria cannot alone be considered a useful test either to rule in or rule out the presence of a significant underlying pathology (urinary calculi or bladder cancer). Forty-eight of 80 studies addressed methods to localise the source of bleeding (renal or lower urinary tract). The methods and thresholds described in these studies varied greatly, precluding any estimate of a 'best performance' threshold that could be applied across patient groups. However, studies of red blood cell morphology that used a cut-off value of 80% dysmorphic cells for glomerular disease reported consistently high specificities (potentially useful in ruling in a renal cause for haematuria). The reported sensitivities were generally low. Twenty-eight studies included data on the accuracy of laboratory tests (tumour markers, cytology) for the diagnosis of bladder cancer. The majority of tumour marker studies evaluated nuclear matrix protein 22 or bladder tumour antigen. The sensitivity and specificity ranges suggested that neither of these would be useful either for diagnosing bladder cancer or for ruling out patients for further investigation (cystoscopy). However, the evidence remains sparse and the diagnostic accuracy estimates varied widely between studies. Fifteen studies evaluating urine cytology as a test for urinary tract malignancies were heterogeneous and poorly reported. The calculated specificity values were generally high, suggesting some possible utility in confirming malignancy. However, the evidence suggests that urine cytology has no application in ruling out malignancy or excluding patients from further investigation. Fifteen studies evaluated imaging techniques [computed tomography (CT), intravenous urography (IVU) or ultrasound scanning (US)] to detect the underlying cause of haematuria. The target condition and the reference standard varied greatly between these studies. The diagnostic accuracy data for several individual studies appeared promising but meaningful comparison of the available imaging technologies was impossible. Eight studies met the inclusion criteria but addressed different parts of the diagnostic chain (e.g. screening programmes, laboratory investigations, full urological work-up). No single study addressed the complete diagnostic process. The review also highlighted a number of methodological limitations of these studies, including their lack of generalisability to the UK context. Separate decision analytic models were therefore developed to progress estimation of the optimal strategy for the diagnostic management of haematuria. The economic model for the detection of microhaematuria found that immediate microscopy following a positive dipstick test would improve diagnostic efficiency as it eliminates the high number of false positives produced by dipstick testing. Strategies that use routine microscopy may be associated with high numbers of false results, but evidence was lacking regarding the accuracy of routine microscopy and estimates were adopted for the model. The model for imaging the upper urinary tract showed that US detects more tumours than IVU at one-third of the cost, and is also associated with fewer false results. For any cause of haematuria, CT was shown to have a mean incremental cost-effectiveness ratio of pounds sterling 9939 in comparison with the next best option, US. When US is followed up with CT for negative results with persistent haematuria, it dominates the initial use of CT alone, with a saving of pounds sterling 235,000 for the evaluation of 1000 patients. The model for investigation of the lower urinary tract showed that for low-risk patients the use of immediate cystoscopy could be avoided if cystoscopy were used for follow-up patients with a negative initial test using tumour markers and/or cytology, resulting in a saving of pounds sterling 483,000 for the evaluation of 1000 patients. The clinical and economic impact on delayed detection of both upper and lower urinary tract tumours through the use of follow-up testing should be evaluated in future studies. There are insufficient data currently available to derive an evidence-based algorithm of the diagnostic pathway for haematuria. A hypothetical algorithm based on the opinion and practice of clinical experts in the review team, other published algorithms and the results of economic modelling is presented in this report. This algorithm is presented, for comparative purposes, alongside current US and UK guidelines. The ideas contained in these algorithms and the specific questions outlined should form the basis of future research. Quality assessment of the diagnostic accuracy studies included in this review highlighted several areas of deficiency.

Numerical Modeling of the Propagation Environment in the Atmospheric Boundary Layer over the Persian Gulf.

NASA Astrophysics Data System (ADS)

Atkinson, B. W.; Li, J.-G.; Plant, R. S.

2001-03-01

Strong vertical gradients at the top of the atmospheric boundary layer affect the propagation of electromagnetic waves and can produce radar ducts. A three-dimensional, time-dependent, nonhydrostatic numerical model was used to simulate the propagation environment in the atmosphere over the Persian Gulf when aircraft observations of ducting had been made. A division of the observations into high- and low-wind cases was used as a framework for the simulations. Three sets of simulations were conducted with initial conditions of varying degrees of idealization and were compared with the observations taken in the Ship Antisubmarine Warfare Readiness/Effectiveness Measuring (SHAREM-115) program. The best results occurred with the initialization based on a sounding taken over the coast modified by the inclusion of data on low-level atmospheric conditions over the Gulf waters. The development of moist, cool, stable marine internal boundary layers (MIBL) in air flowing from land over the waters of the Gulf was simulated. The MIBLs were capped by temperature inversions and associated lapses of humidity and refractivity. The low-wind MIBL was shallower and the gradients at its top were sharper than in the high-wind case, in agreement with the observations. Because it is also forced by land-sea contrasts, a sea-breeze circulation frequently occurs in association with the MIBL. The size, location, and internal structure of the sea-breeze circulation were realistically simulated. The gradients of temperature and humidity that bound the MIBL cause perturbations in the refractivity distribution that, in turn, lead to trapping layers and ducts. The existence, location, and surface character of the ducts were well captured. Horizontal variations in duct characteristics due to the sea-breeze circulation were also evident. The simulations successfully distinguished between high- and low-wind occasions, a notable feature of the SHAREM-115 observations. The modeled magnitudes of duct depth and strength, although leaving scope for improvement, were most encouraging.

Observed and simulated sea breeze characteristics over Rayong coastal area, Thailand

NASA Astrophysics Data System (ADS)

Phan, Tung Thanh; Manomaiphiboon, Kasemsan

2012-05-01

This work presents the detailed characterization of sea breeze (SB) over the Rayong coastal area, one of the most rapidly developed and highly industrialized areas during the last decade in Thailand, using observation data analysis and fine-resolution (2 km) mesoscale meteorological modeling with incorporation of new land cover and satellite-derived vegetation fraction data sets. The key characteristics considered include frequency of SB occurrence, sea-breeze day (SBD) identification, degree of inland penetration, and boundary layer development. It was found that SBs occur frequently in the winter due mainly to relatively large land-sea temperature contrasts and minimally in the wet season. Monthly mean SB onset and cessation times are at around 12-15 local time (LT) and 18-21 LT, respectively, and its strength peaks during the early- to mid-afternoon. Monthly SB hodographs generally exhibit clockwise rotations, and SB inland penetration (at PCD-T tower) ranges widely with the monthly means of 25-55 km from the coast. Mesoscale MM5 modeling was performed on two selected SBDs (13 January and 16 March 2006), on which the SBs are under weak and onshore strong influences from background winds, respectively. Simulated near-surface winds and temperature were found to be in fair-to-acceptable agreement with the observations. The SB circulation along the Rayong coast is clearly defined with a return flow aloft and a front on 13 January, while it is enhanced by the onshore background winds on 16 March. Another SB along the Chonburi coast also develops separately, but their fronts merge into one in the mid-afternoon, resulting in large area coverage by the SB. Simulated planetary boundary layer height over the land area is significantly affected by a thermal internal boundary layer (TIBL) induced by an SB, which is found to be low near the coast and increases toward the front (up to 800-1,000 m along the Rayong coast).

Two years observations on the diurnal evolution of coastal atmospheric boundary layer features over Thiruvananthapuram (8.5∘ N, 76.9∘ E), India

NASA Astrophysics Data System (ADS)

Anurose, T. J.; Subrahamanyam, D. Bala; Sunilkumar, S. V.

2018-01-01

The atmospheric boundary layer (ABL) over a given coastal station is influenced by the presence of mesoscale sea breeze circulation, together with the local and synoptic weather, which directly or indirectly modulate the vertical thickness of ABL ( z ABL). Despite its importance in the characterization of lower tropospheric processes and atmospheric modeling studies, a reliable climatology on the temporal evolution of z ABL is not available over the tropics. Here, we investigate the challenges involved in determination of the ABL heights, and discuss an objective method to define the vertical structure of coastal ABL. The study presents a two year morphology on the diurnal evolution of the vertical thickness of sea breeze flow ( z SBF) and z ABL in association with the altitudes of lifting condensation level ( z LCL) over Thiruvananthapuram (8.5∘ N, 76.9∘ E), a representative coastal station on the western coastline of the Indian sub-continent. We make use of about 516 balloon-borne GPS sonde measurements in the present study, which were carried out as part of the tropical tropopause dynamics field experiment under the climate and weather of the sun-earth system (CAWSES)-India program. Results obtained from the present study reveal major differences in the temporal evolution of the ABL features in relation to the strength of sea breeze circulation and monsoonal wind flow during the winter and summer monsoon respectively. The diurnal evolution in z ABL is very prominent in the winter monsoon as against the summer monsoon, which is attributed to the impact of large-scale monsoonal flow over the surface layer meteorology. For a majority of the database, the z LCL altitudes are found to be higher than that of the z ABL, indicating a possible decoupling of the ABL with the low-level clouds.

Meteorological impact assessment of possible large scale irrigation in Southwest Saudi Arabia

NASA Astrophysics Data System (ADS)

Ter Maat, H. W.; Hutjes, R. W. A.; Ohba, R.; Ueda, H.; Bisselink, B.; Bauer, T.

2006-11-01

On continental to regional scales feedbacks between landuse and landcover change and climate have been widely documented over the past 10-15 years. In the present study we explore the possibility that also vegetation changes over much smaller areas may affect local precipitation regimes. Large scale (˜ 10 5 ha) irrigated plantations in semi-arid environments under particular conditions may affect local circulations and induce additional rainfall. Capturing this rainfall 'surplus' could then reduce the need for external irrigation sources and eventually lead to self-sustained water cycling. This concept is studied in the coastal plains in South West Saudi Arabia where the mountains of the Asir region exhibit the highest rainfall of the peninsula due to orographic lifting and condensation of moisture imported with the Indian Ocean monsoon and with disturbances from the Mediterranean Sea. We use a regional atmospheric modeling system (RAMS) forced by ECMWF analysis data to resolve the effect of complex surface conditions in high resolution (Δ x = 4 km). After validation, these simulations are analysed with a focus on the role of local processes (sea breezes, orographic lifting and the formation of fog in the coastal mountains) in generating rainfall, and on how these will be affected by large scale irrigated plantations in the coastal desert. The validation showed that the model simulates the regional and local weather reasonably well. The simulations exhibit a slightly larger diurnal temperature range than those captured by the observations, but seem to capture daily sea-breeze phenomena well. Monthly rainfall is well reproduced at coarse resolutions, but appears more localized at high resolutions. The hypothetical irrigated plantation (3.25 10 5 ha) has significant effects on atmospheric moisture, but due to weakened sea breezes this leads to limited increases of rainfall. In terms of recycling of irrigation gifts the rainfall enhancement in this particular setting is rather insignificant.

Urinary biomarkers for the non-invasive diagnosis of endometriosis.

PubMed

Liu, Emily; Nisenblat, Vicki; Farquhar, Cindy; Fraser, Ian; Bossuyt, Patrick M M; Johnson, Neil; Hull, M Louise

2015-12-23

About 10% of reproductive-aged women suffer from endometriosis which is a costly chronic disease that causes pelvic pain and subfertility. Laparoscopy is the 'gold standard' diagnostic test for endometriosis, but it is expensive and carries surgical risks. Currently, there are no simple non-invasive or minimally-invasive tests available in clinical practice that accurately diagnoses endometriosis. 1. To provide summary estimates of the diagnostic accuracy of urinary biomarkers for the diagnosis of pelvic endometriosis compared to surgical diagnosis as a reference standard.2. To assess the diagnostic utility of biomarkers that could differentiate ovarian endometrioma from other ovarian masses.Urinary biomarkers were evaluated as replacement tests for surgical diagnosis and as triage tests to inform decisions to undertake surgery for endometriosis. The searches were not restricted to particular study design, language or publication dates. We searched the following databases to 20 April - 31 July 2015: CENTRAL, MEDLINE, EMBASE, CINAHL, PsycINFO, Web of Science, LILACS, OAIster, TRIP and ClinicalTrials.gov (trial register). MEDION, DARE, and PubMed were also searched to identify reviews and guidelines as reference sources of potentially relevant studies. Recently published papers not yet indexed in the major databases were also sought. The search strategy incorporated words in the title, abstract, text words across the record and the medical subject headings (MeSH) and was modified for each database. Published peer-reviewed, randomised controlled or cross-sectional studies of any size were considered, which included prospectively collected samples from any population of reproductive-aged women suspected of having one or more of the following target conditions: ovarian, peritoneal or deep infiltrating endometriosis (DIE). We included studies comparing the diagnostic test accuracy of one or more urinary biomarkers with surgical visualisation of endometriotic lesions. Two authors independently collected and performed a quality assessment of the data from each study. For each diagnostic test, the data were classified as positive or negative for the surgical detection of endometriosis and sensitivity and specificity estimates were calculated. If two or more tests were evaluated in the same cohort, each was considered as a separate data set. The bivariate model was used to obtain pooled estimates of sensitivity and specificity whenever sufficient data sets were available. The predetermined criteria for a clinically useful urine test to replace diagnostic surgery was one with a sensitivity of 94% and a specificity of 79% to detect endometriosis. The criteria for triage tests were set at sensitivity of equal or greater than 95% and specificity of equal or greater than 50%, which in case of negative result rules out the diagnosis (SnOUT test) or sensitivity of equal or greater than 50% with specificity of equal or greater than 95%, which in case of positive result rules the diagnosis in (SpIN test). We included eight studies involving 646 participants, most of which were of poor methodological quality. The urinary biomarkers were evaluated either in a specific phase of menstrual cycle or irrespective of the cycle phase. Five studies evaluated the diagnostic performance of four urinary biomarkers for endometriosis, including three biomarkers distinguishing women with and without endometriosis (enolase 1 (NNE); vitamin D binding protein (VDBP); and urinary peptide profiling); and one biomarker (cytokeratin 19 (CK 19)) showing no significant difference between the two groups. All of these biomarkers were assessed in small individual studies and could not be statistically evaluated in a meaningful way. None of the biomarkers met the criteria for a replacement test or a triage test. Three studies evaluated three biomarkers that did not differentiate women with endometriosis from disease-free controls. There was insufficient evidence to recommend any urinary biomarker for use as a replacement or triage test in clinical practice for the diagnosis of endometriosis. Several urinary biomarkers may have diagnostic potential, but require further evaluation before being introduced into routine clinical practice. Laparoscopy remains the gold standard for the diagnosis of endometriosis, and diagnosis of endometriosis using urinary biomarkers should only be undertaken in a research setting.

[Imaging and follow-up of children with first febrile Urinary Tract Infection (UTI)].

PubMed

Grossman, Zachi; Miron, Dan

2009-10-01

Urinary tract infection (UTI) in children might, in a minority of cases, cause renal scarring and permanent damage. Known risk factors for renal damage are: obstruction to urinary flow, vesicoureteric reflux and recurrent infections. The current recommendations for imaging and follow-up of children with first febrile UTI include renal ultrasound to rule out anatomic abnormalities, particularly obstruction, cystography for possible diagnosis of vesicoureteric reflux, and prophylactic antibiotic therapy to prevent recurrent infections in children with detected reflux. DMSA renal scanning for the detection of renal scars is recommended as part of the imaging protocol by some institutions. Recently, published data doubts the importance of the various imaging techniques, as well as the effectiveness of prophylactic antibiotic therapy. In the current review, the role of renal ultrasound is examined, especially with regards to familiar data from fetal ultrasound. The complex relationship between vesicoureteric reflux and renal scarring is presented, with the possible implications on the importance of performing routine cystography and DMSA scanning after UTI. Studies questioning the effectiveness of prophylactic antibiotic therapy emphasize the importance of rapid diagnosis and therapy of suspected recurrent UTI as the preferred approach to prevent renal damage. Imaging studies are only recommended for high risk groups and not as a routine following UTI.

Sulfadiazine-Induced Obstructive Nephropathy Presenting with Upper Urinary Tract Extravasation.

PubMed

Kabha, Maharan; Dekalo, Snir; Barnes, Sophie; Mintz, Ishay; Matzkin, Haim; Sofer, Mario

2016-01-01

Background: Obstructive nephropathy is an uncommon side effect of sulfadiazine, which is used for the treatment of toxoplasmosis. We present a case of acute renal colic and urine extravasation of a patient shortly after she was started on this medication. Case Presentation: A 31-year-old female presented with acute renal colic 2 weeks after starting treatment with sulfadiazine and pyrimethamine for ocular toxoplasmosis. Results: A noncontrast computed tomography revealed left hydronephrosis and fluid located around the kidney and in the left gutter. There were no urinary stones. Administration of intravenous contrast revealed significant urine extravasation at the level of the ureteropelvic junction. Intravenous contrast injection confirmed that the extravasation consisted of urine leakage at the ureteropelvic junction. Her clinical condition improved with the insertion of an internal stent, which was left in place for 4 weeks. A retrograde pyelography performed at the time of the internal stent removal ruled out persistent extravasation and filling defects in the left upper urinary tract. Considering the clinical circumstances and the imaging results, it appears that this is a first reported case of sulfadiazine-induced obstructive uropathy associated with urine extravasation. Conclusion: Although rare, obstructive uropathy related to sulfadiazine medication should be promptly suspected, diagnosed, and treated. Patients should be instructed to substantially increase their liquid intake while on that medication.

Handbook for Evaluating Ecological Effects of Pollution at DARCOM Installations. Volume 6. Unexpected Declines in Animal Populations,

DTIC Science & Technology

1979-12-01

Ecological Research Laboratory U.S. Environmental Protection Agency Sabine Island Gulf Breeze, FL 32561 Phone: 904 932-5311 This laboratory will assist in...diseases of domestic animals and wildlife in the area? c. Do domestic animal owners vaccinate for any disease? d. What is the prevalent habitat? e

Paediatric Urinary Tract Infection: A Hospital Based Experience

PubMed Central

Wani, Khursheed Ahmed; Bhat, Javaid Ahmed; Parry, Nazir Ahmed; Shaheen, Lubna; Bhat, Sartaj Ali

2016-01-01

Introduction Paediatric Urinary Tract Infection (UTI) is one of the commonly encountered entities by paediatricians. Studies have shown easy vulnerability of paediatric urinary tract in any acute febrile illness and a miss in diagnosis could have long term consequences like renal scaring with its adverse effects. Bearing these evidence based preludes in view we designed our study to know the prevalence of UTI in Kashmir province. Aim Aim of the present study was to know the prevalence of UTI in febrile children and to know the sensitivity of different imaging modalities like Renal and Urinary Bladder Ultrasonography (RUS), Voiding Cystourethrography (VCUG) and Dimercaptosuccinic Acid (DMSA) scan in diagnosing UTI. Materials and Methods A total of 304 patients, between 2 months to 10 years, with axillary temperature of ≥ 100.4oF (38oC), who did not have a definite source for their fever and who were not on antibiotics were included in the study. Detailed history and through clinical examination was done to rule out any potential or definite focus of infection as per the predesigned proforma. Routine urine examination with culture and sensitivity, followed by RUS and VCUG was done in all patients where routine urine examination was suggestive of UTI. DMSA was done in only culture proven cases after 6 months to document the renal scarring. Results Out of 304 children, 140 were males and 164 were females, UTI was present in 40 patients who had fever without any apparent cause giving a prevalence of 13.2%. Escherichia coli (E. coli) were the commonest isolated organism, followed by Klebsiella and Citrobacter species. Renal and Urinary Bladder Ultrasonography (RUS) detected Vesicoureteral Reflux (VUR) in 25% (10/40) while VCUG showed VUR in 55% (22/40) giving a RUS sensitivity of 45% for detecting VUR. DMSA done only after 6 months in UTI diagnosed patients showed a renal scarring in 25% (10/40) patients. Conclusion Missing a febrile paediatric UTI, can prove a future catastrophe if not timely diagnosed and treated. PMID:27891414

SIU/ICUD Consultation on Urethral Strictures: Posterior urethral stenosis after treatment of prostate cancer.

PubMed

Herschorn, Sender; Elliott, Sean; Coburn, Michael; Wessells, Hunter; Zinman, Leonard

2014-03-01

Posterior urethral stenosis can result from radical prostatectomy in approximately 5%-10% of patients (range 1.4%-29%). Similarly, 4%-9% of men after brachytherapy and 1%-13% after external beam radiotherapy will develop stenosis. The rate will be greater after combination therapy and can exceed 40% after salvage radical prostatectomy. Although postradical prostatectomy stenoses mostly develop within 2 years, postradiotherapy stenoses take longer to appear. Many result in storage and voiding symptoms and can be associated with incontinence. The evaluation consists of a workup similar to that for lower urinary tract symptoms, with additional testing to rule out recurrent or persistent prostate cancer. Treatment is usually initiated with an endoscopic approach commonly involving dilation, visual urethrotomy with or without laser treatment, and, possibly, UroLume stent placement. Open surgical urethroplasty has been reported, as well as urinary diversion for recalcitrant stenosis. A proposed algorithm illustrating a graded approach has been provided. Copyright © 2014 Elsevier Inc. All rights reserved.

Common questions about the diagnosis and management of benign prostatic hyperplasia.

PubMed

Pearson, Ryan; Williams, Pamela M

2014-12-01

Benign prostatic hyperplasia (BPH) is a common condition that increases in prevalence with age. A history should include onset, duration, and severity of lower urinary tract symptoms and medication use to rule out other causes of symptoms. Physical examination includes a digital rectal examination and assessment for bladder distention or neurologic impairment. Recommended tests include serum prostate-specific antigen measurement and urinalysis to help identify infection, genitourinary cancer, or calculi as an alternative cause of lower urinary tract symptoms. BPH severity is assessed using validated, self-administered symptom questionnaires such as the American Urological Association Symptom Index or International Prostate Symptom Score. Mild or nonbothersome symptoms do not require treatment. Bothersome symptoms are managed with lifestyle modifications, medications, and surgery. Alpha blockers are first-line medications for BPH. Surgical referral is indicated if BPH-related complications develop, medical therapy fails, or the patient chooses it. Dietary supplements, such as saw palmetto, pygeum, cernilton, and beta sitosterols, and acupuncture are not recommended for the management of BPH.

Ascending uretero-pyelography in renal failure.

PubMed

Kingston, R D; Shah, K J; Dawson-Edwards, P

1977-09-01

Ascending uretero-pyelography has been carried out over a period of 13 years in 97 consecutive patients with undiagnosed renal failure. Sixty-nine were in a non-obstructive uropathy group while 26 had ureteric obstructions. There were two failures. Over 60% of examinations were performed under local anaesthesia, each examination taking an average of 20 min. There has been no mortality and two anaesthetic complications have been the only significant morbidity. Ureteric injury, urinary infection and renal function have all been investigated and recorded. Five per cent of patients developed urinary infection following AUP but without any major consequences. No significant ureteric injury occurred and no late sequelae were noted. Neither any reaction to contrast medium nor any further deterioration in renal function was observed; AUP was diagnostic in 46% of patients. In the remainder it ruled out obstructive uropathy and gave useful information about the kidneys, ureters and bladder. In experienced hands and with proper facilities AUP is safe and can be helpful in the diagnosis and management of patients in renal failure.

Post-traumatic female urethral reconstruction.

PubMed

Blaivas, Jerry G; Purohit, Rajveer S

2008-09-01

Post-traumatic urethral damage resulting in urethrovaginal fistulas or strictures, though rare, should be suspected in patients who have unexpected urinary incontinence or lower urinary tract symptoms after pelvic surgery, pelvic fracture, a long-term indwelling urethral catheter, or pelvic radiation. Careful physical examination and cystourethroscopy are critical to diagnose and assess the extent of the fistula. A concomitant vesicovaginal or ureterovaginal fistula should also be ruled out. The two main indications for reconstruction are sphincteric incontinence and urethral obstruction. Surgical correction intends to create a continent urethra that permits volitional, painless, and unobstructed passage of urine. An autologous pubovaginal sling, with or without a Martius flap at time of reconstruction, should be considered. The three approaches to urethral reconstruction are anterior bladder flaps, posterior bladder flaps, and vaginal wall flaps. We believe vaginal flaps are usually the best option. Options for vaginal repair of fistula include primary closure, peninsula flaps, bilateral labial pedicle flaps, and labial island flaps. Outcomes are optimized by using exacting surgical principles during repair and careful postoperative management by an experienced reconstructive surgeon.

NEIGHBORHOOD SCALE AIR QUALITY MODELING IN HOUSTON USING URBAN CANOPY PARAMETERS IN MM5 AND CMAQ WITH IMPROVED CHARACTERIZATION OF MESOSCALE LAKE-LAND BREEZE CIRCULATION

EPA Science Inventory

Advanced capability of air quality simulation models towards accurate performance at finer scales will be needed for such models to serve as tools for performing exposure and risk assessments in urban areas. It is recognized that the impact of urban features such as street and t...

DEVELOPMENT OF DATA QUALITY OBJECTIVES AND USE OF TWO VARIATIONS OF GENETICALLY-MODIFIED STREPTOCOCCUS GORDONIL AS LYSIS CONTROLS IN A QPCR ASSAY FOR ASSESSING SANITARY QUALITY OF WATER

EPA Science Inventory

Joseph B. James and Fred J. Genthner

United States Environmental Protection Agency, Gulf Breeze, FL

Background: Methods using rapid cycle, real-time, quantitative (QPCR) are being developed for detecting and quantifying Enterococcus spp. as well as other aquatic b...

Meteorological determinants of air quality

NASA Astrophysics Data System (ADS)

Turoldo, F.; Del Frate, S.; Gallai, I.; Giaiotti, D. B.; Montanari, F.; Stel, F.; Goi, D.

2010-09-01

Air quality is the result of complex phenomena, among which the major role is played by human emissions of pollutants. Atmospheric processes act as determinants, e.g., modulating, dumping or amplifying the effects of emissions as an orchestra's director does with musical instruments. In this work, a series of small-scale and meso-scale meteorological determinants of air-quality are presented as they are observed in an area characterized by complex orography (Friuli Venezia Giulia, in the north-eastern side of Italy). In particular, attention is devoted to: i) meso-scale flows favouring the persistence of high concentrations of particulate matter; ii) meso-scale periodic flows (breezes) favouring high values of particulate matter; iii) local-scale thermodynamic behaviour favouring high atmospheric values of nitrogen oxides. The effects of these different classes of determinants are shown through comparisons between anthropic emissions (mainly traffic) and ground-based measurements. The relevance of complex orography (relatively steep relieves near to the sea) is shown for the meso-scale flows and, in particular, for local-scale periodic flows, which favour the increase of high pollutants concentrations mainly in summer, when the breezes regime is particularly relevant. Part of these results have been achieved through the ETS - Alpine Space EU project iMONITRAF!

Wind power: The new energy policy 1

NASA Astrophysics Data System (ADS)

1991-10-01

Increasing use of renewable energy sources is an important aspect of the new energy policy of the State government of Schleswig-Holstein. Technical and industrial innovation are involved. By expanding and developing these regionally available inexhaustible energy sources to generate electricity and heat, we are contributing to environmental protection and helping to reduce adverse affects on the climate. We are also taking our limited resources into account and expanding energy generation in a logical manner. Wind energy is the most attractive renewable energy source for Schleswig-Holstein because our State is well known for its strong winds and constant fresh breeze. For this reason the State government has made expansion of wind energy one of its primary areas of emphasis. The goals of our promotion measures includes ongoing technical and engineering development of wind energy facilities, increasing the level of use of the wind, and increasing the percentage of wind energy used for power generation. This brochure is intended to demonstrate the significance and possibilities of wind energy for our State, to outline the legal requirements for erecting wind energy facilities, and to explain the many promotion measures. It represents a favorable breeze for wind.

A multi-resolution ensemble study of a tropical urban environment and its interactions with the background regional atmosphere

NASA Astrophysics Data System (ADS)

Li, Xian-Xiang; Koh, Tieh-Yong; Entekhabi, Dara; Roth, Matthias; Panda, Jagabandhu; Norford, Leslie K.

2013-09-01

This study employed the Weather Research and Forecasting model with a single-layer urban canopy model to investigate the urban environment of a tropical city, Singapore. The coupled model was evaluated against available observational data from a sensor network and flux tower. The effects of land use type and anthropogenic heat (AH) on the thermal and wind environment were investigated with a series of sensitivity tests using an ensemble approach for low advection, high convective available potential energy, intermonsoon season cases. The diurnal cycle and spatial pattern of urban heat island (UHI) intensity and planetary boundary layer height were investigated. The mean UHI intensity peaked in the early morning at 2.2°C, reaching 2.4°C in industrial areas. Sea and land breezes developed during daytime and nighttime, respectively, with the former much stronger than the latter. The model predicted that sea breezes from different coastlines of the Malay Peninsula meet and converge, inducing strong updrafts. AH was found to play roles in all the processes studied, while the effect of different land use types was most pronounced during nighttime, and least visible near noon.

Bisphenol A and reproductive hormones and cortisol in peripubertal boys: The INMA-Granada cohort.

PubMed

Mustieles, Vicente; Ocón-Hernandez, Olga; Mínguez-Alarcón, Lidia; Dávila-Arias, Cristina; Pérez-Lobato, Rocío; Calvente, Irene; Arrebola, Juan P; Vela-Soria, Fernando; Rubio, Soledad; Hauser, Russ; Olea, Nicolás; Fernández, Mariana F

2018-03-15

Bisphenol A (BPA) is a well-known endocrine disrupting compound. Although several studies have investigated the effect of BPA exposure and reproductive hormones in humans, results have been inconsistent. To explore the cross-sectional relationship between bisphenol A (BPA) exposure and reproductive hormones/cortisol among peripubertal boys. Urinary BPA and serum hormones were assessed in 172 boys belonging to the INMA "Environment and Childhood" Granada birth cohort in their follow-up at 9-11years of age. BPA concentrations were quantified by liquid chromatography-mass spectrometry, and levels of serum total testosterone (TT), luteinizing hormone (LH), follicle-stimulating hormone (FSH) and cortisol were measured by electrochemiluminescence immunoassay. After adjustment for confounders, linear regression models showed that each natural-log unit increase in urinary BPA concentrations was associated with a 19% increase in geometric mean (GM) serum TT levels, and a 16% decrease in GM serum cortisol levels. When urinary BPA concentrations were categorized in tertiles, boys in the 3rd tertile showed 49% higher TT levels and 23% lower cortisol concentrations compared to boys in the 1st tertile. Additionally, urinary BPA concentrations were also significantly associated with higher TT:LH and TT:cortisol ratios, but not with serum LH or FSH levels. Our results suggest the possible endocrine disrupting potential of BPA during this important period of development. Although action at the testis or pituitary cannot be ruled out, our findings are compatible with a possible involvement of BPA at the adrenal gland, resulting in a differential production of androgens/cortisol. However, given the cross-sectional design of our study, the heterogeneous results reported in the literature, and the scant experimental research on BPA effects at the adrenal gland, the present findings should be interpreted with caution. Copyright © 2017 Elsevier B.V. All rights reserved.

Nickel and blood counts in workers exposed to urban stressors.

PubMed

Rosati, Maria Valeria; Casale, Teodorico; Ciarrocca, Manuela; Weiderpass, Elisabete; Capozzella, Assunta; Schifano, Maria Pia; Tomei, Francesco; Nieto, Hector Alberto; Marrocco, Mariasilvia; Tomei, Gianfranco; Caciari, Tiziana; Sancini, Angela

2016-06-01

Nickel (Ni) and Ni compounds are widely present in the urban air. The purpose of this study is to estimate exposure of individuals to Ni and the correlation between this exposure and the values of blood counts in outdoor workers. This study focused on a sample of 101 outdoor workers (55 male and 46 female; 65 nonsmokers and 36 smokers), all employed in the municipal police in a large Italian city. The personal levels of exposure to Ni were assessed through (a) environmental monitoring of Ni present in the urban air obtained from individual samples and (b) biological monitoring of urinary and blood Ni. The blood count parameters were obtained from the hemochromocytometric tests. Pearson correlation coefficients (r) were calculated to assess the association between the blood and urinary Ni and the complete blood count. Multiple linear regression models were used to examine the associations between the complete blood count and the independent variables (age, gender, years of work for current tasks, cigarette smoking habit (current and never smoker), values of airborne Ni, and blood and urinary Ni). Multiple linear regression analysis performed on the total group of 101 subjects confirms the association among the red blood cells count, the hematocrit, and the urinary Ni (R(2) = 0.520, p = 0.025 and R(2) = 0.530, p = 0.030). These results should lead to further studies on the effects of Ni in working populations exposed to urban pollutants. The possibility that the associations found in our study may be partially explained by other urban pollutants (such as benzene, toluene, and other heavy metals) not taken into consideration in this study cannot be ruled out. © The Author(s) 2014.

Detection of low level benzene exposure in supermarket wrappers by urinary muconic acid.

PubMed

E S Johnson S Halabi G Netto G Lucier W Bechtold R Henderson

1999-01-01

Women who use the 'hot wire' and 'cool rod' machines to wrap meat in supermarkets are potentially exposed to low levels of benzene and polycyclic aromatic hydrocarbons present in fumes emitted during the thermal decomposition of the plastic used to wrap meat. In order to evaluate whether the benzene metabolite trans, trans-muconic acid (MA) can be used to monitor these low levels, we collected urine samples from supermarket workers, and assayed the urine for MA. Geometric mean after-shift MA levels were highest for subjects who used the 'hot wire' machine, i.e. > 300 ng mg-1 creatinine (Cr). The corresponding levels for subjects who used the 'cool rod' machine were similar to those for subjects who did not use either type of machine, and were much lower. These results indicate that urinary muconic acid has some potential for use in monitoring benzene exposures of less than 1 part per million (ppm). The study detected very high background MA levels (exceeding 2000 ng mg-1 Cr) in some subjects, suggesting that individuals in the general population without occupational exposure to benzene may have urinary MA levels equivalent to exposure to up to 2 ppm benzene in ambient air. However, since non-benzene sources of the metabolite cannot be completely ruled out as partially responsible for these high levels, the public health significance of this finding is not known at the moment.

Biomonitoring of styrene occupational exposures: Biomarkers and determinants.

PubMed

Persoons, Renaud; Richard, Justine; Herve, Claire; Montlevier, Sarah; Marques, Marie; Maitre, Anne

2018-06-22

High styrene exposures are still experienced in various occupational settings, requesting regular exposure assessments. The aims of this study were to study occupational exposures in various industrial sectors and to determine factors influencing styrene urinary metabolites levels. Biomonitoring was conducted in 141 workers from fiberglass-reinforced plastic (FRP) manufacture, thermoplastic polymers production, vehicle repair shops and cured-in-place pipe lining (CIPP). Urinary styrene (StyU) as well as Mandelic (MA) / Phenyglyoxylic Acids (PGA) were quantified at the beginning and at the end of week, and multivariate linear regression models were used. StyU levels revealed very low, rarely exceeding 3 µg.L -1 . Highest concentrations of MA + PGA were observed in FRP sector, with levels reaching up to 1100 mg.g -1 of creatinine. Factors influencing end-of-week MA + PGA concentrations were levels at the beginning of week, open molding processes, proximity to the emission source, respiratory protection, styrene content in raw materials. Elevated levels were also observed during CIPP process, whereas thermoplastic injection and vehicle repair shop workers exhibited much lower exposures. Intervention on process (decreasing styrene proportion, using closed molding), protective equipment (local exhaust ventilation, respiratory protection) and individual practices (stringent safety rules) are expected to decrease occupational exposures. Urinary MA + PGA remain the most appropriate biomarkers for occupational biomonitoring. Copyright © 2018. Published by Elsevier B.V.

Nonclassic presentation of pheochromocytoma: difficulties in diagnosis and management of the normotensive patient.

PubMed

Gonzalez-Pantaleon, Adalberto D; Simon, Barbara

2008-01-01

To report an unusual presentation of pheochromocytoma along with challenges in diagnosis and management. We report a clinical case history and describe diagnostic methods and pitfalls. The preoperative medical preparation in a normotensive patient is described. A 33-year-old man fell off a ladder, resulting in C6 paraplegia. After C7-T1 laminectomy, he was transferred to a rehabilitation center where he reported lightheadedness, shortness of breath, and chest pain during therapy sessions. A left adrenal mass was incidentally discovered during the workup to rule out a pulmonary embolism. He reported no history of hypertension, and no elevated blood pressure readings had been documented. Magnetic resonance imaging of the adrenal glands showed a well-defined left adrenal mass measuring 3.9 x 3.2 x 3.3 cm, which was hyperintense on T2-weighted images. Twenty-four hour urinary catecholamine concentrations were unremarkable; urinary metanephrines were markedly elevated. During hospital admission, blood pressure was in the low to normotensive range, requiring a cautious approach to alpha-adrenergic blockade and surgical preparation. He under-went uneventful laparoscopic left adrenalectomy; surgical pathology was consistent with pheochromocytoma. This case illustrates a nonclassic presentation of pheochromocytoma and demonstrates that urinary catecholamines alone are not sufficient for a biochemical diagnosis of large pheochromocytomas. Preoperative preparation in normotensive patients can be achieved with alpha-adrenergic blockade, hydration, and liberal salt intake.

Children's UTIs in the new millennium. Diagnosis, investigation, and treatment of childhood urinary tract infections in the year 2001.

PubMed Central

White, C. T.; Matsell, D. G.

2001-01-01

OBJECTIVE: To provide an effective approach for family physicians treating children presenting with urinary tract infections (UTIs). QUALITY OF EVIDENCE: The information presented, and articles quoted, are drawn from both review of the literature and recent consensus guidelines. Data and recommendations come from prospective multicentre trials; retrospective reviews; expert consensus statements; and some smaller trials, commentaries, and editorials. MAIN MESSAGE: Urinary tract infections are often seen in family practice. Diagnosis requires suspicion and a realization that children, especially those younger than 2 years, often have very few, nonspecific signs of infection. Obtaining a proper urine sample is vital, because true infections require radiographic studies. Antibiotic prophylaxis is promoted because of the link between vesicoureteral reflux, recurrent UTIs, and renal scarring and hypertension. We generally provide prophylaxis until children are 3 or 4 years, when risk of damage from reflux is lessened and timely urine samples are easier to obtain for prompt therapy. Surgical opinion is sought only when medical management has failed. Failure is defined as either recurrent infections and pyelonephritis or poor renal growth. CONCLUSION: To diagnose UTIs in children, physicians must suspect them, obtain proper urine samples, order appropriate investigations to rule out underlying anatomic abnormalities, and treat with appropriate antibiotics considering both organism sensitivities and length of therapy. PMID:11561337

Pitfalls of diagnosing urinary tract infection in infants and young children.

PubMed

Yamasaki, Yasuhito; Uemura, Osamu; Nagai, Takuhito; Yamakawa, Satoshi; Hibi, Yoshiko; Yamamoto, Masaki; Nakano, Masaru; Kasahara, Katsuaki; Bo, Zhang

2017-07-01

The aim of this study was to examine the sensitivity and specificity of pyuria-based diagnosis of urinary tract infection (UTI) in urine collected by transurethral catheterization, and the reliability of diagnosis of pyuria in urine collected in a perineal bag. The gold standard for UTI diagnosis is significant colony counts of a single organism in urine obtained in a sterile manner. We enrolled 301 patients who underwent medical examination at the present hospital for possible UTI between January 2005 and December 2009. We collected 438 urine samples by transurethral catheterization. We investigated the accuracy of pyuria-based diagnosis of UTI using transurethral catheterization urine specimens, and the reliability of diagnosis of pyuria using bag-collected urine specimens. The false-negative rate of UTI diagnosis based on pyuria in transurethral catheterization urine sediments was 9.0%; there was no significant difference in the false-negative rate of UTI diagnosis between boys and girls. Approximately 28% of pyuria-positive bag-collected urine specimens were pyuria negative on transurethral catheterization; this rate was significantly higher in girls than in boys (56.7% vs. 8.9%, P < 0.0001). The absence of pyuria in transurethral catheterization urine sediments does not rule out UTI. Pyuria in bag-collected urine specimens frequently consists of urine leukocytes from external genitalia as well as from the urinary tract. © 2017 Japan Pediatric Society.

Urogenital tract disorders in children suspected of being sexually abused

PubMed Central

Wojciechowska, Joanna; Krefft, Maja; Hirnle, Lidia; Kołodziej, Anna

2016-01-01

Introduction Child sexual abuse (CSA) is generally defined as child exploitation that leads to achievement of sexual satisfaction. According to data from European countries, sexual abuse of children affects 10–40% of girls and 5–20% of boys. Material and methods The Medline, and Web of Science databases were searched with no date limitation on May 2015 using the terms ‘child abuse’ in conjunction with ‘urinary tract’, ‘urologist’, ‘urological dysfunction’, ‘urologic symptoms’, ‘LUTS’ or ‘urinary infection’. Results Awareness of the CSA problem among paediatricians and urologists is very important, because they are often the only physicians who are able to recognize the problem. CSA diagnosis is possible only through the proper collection of a medical history and a thorough physical examination. Urologists have to remember that children exposed to sexual abuse rarely exhibit abnormal genital findings. In fact, absence of genital findings is the rule rather than the exception. In most cases, the final diagnosis of sexual abuse is based on the child's history and behavior, along with the onset and exacerbation of urologic symptoms. Conclusions In this article, we present a review of studies and literature concerning urinary symptoms in sexually abused children to clarify the problem for a broad group of urologists. We present common symptoms and premises that can point to the right diagnosis and basic guidelines of proceeding after suspicion of abuse. PMID:27123337

Weather Research and Forecasting Model Sensitivity Comparisons for Warm Season Convective Initiation

NASA Technical Reports Server (NTRS)

Watson, Leela R.; Hoeth, Brian; Blottman, Peter F.

2007-01-01

Mesoscale weather conditions can significantly affect the space launch and landing operations at Kennedy Space Center (KSC) and Cape Canaveral Air Force Station (CCAFS). During the summer months, land-sea interactions that occur across KSC and CCAFS lead to the formation of a sea breeze, which can then spawn deep convection. These convective processes often last 60 minutes or less and pose a significant challenge to the forecasters at the National Weather Service (NWS) Spaceflight Meteorology Group (SMG). The main challenge is that a "GO" forecast for thunderstorms and precipitation at the Shuttle Landing Facility is required at the 90 minute deorbit decision for End Of Mission (EOM) and at the 30 minute Return To Launch Site (RTLS) decision. Convective initiation, timing, and mode also present a forecast challenge for the NWS in Melbourne, FL (MLB). The NWS MLB issues such tactical forecast information as Terminal Aerodrome Forecasts (TAF5), Spot Forecasts for fire weather and hazardous materials incident support, and severe/hazardous weather Watches, Warnings, and Advisories. Lastly, these forecasting challenges can also affect the 45th Weather Squadron (45 WS), which provides comprehensive weather forecasts for shuttle launch, as well as ground operations, at KSC and CCAFS. The need for accurate mesoscale model forecasts to aid in their decision making is crucial. This study specifically addresses the skill of different model configurations in forecasting warm season convective initiation. Numerous factors influence the development of convection over the Florida peninsula. These factors include sea breezes, river and lake breezes, the prevailing low-level flow, and convergent flow due to convex coastlines that enhance the sea breeze. The interaction of these processes produces the warm season convective patterns seen over the Florida peninsula. However, warm season convection remains one of the most poorly forecast meteorological parameters. To determine which configuration options are best to address this specific forecast concern, the Weather Research and Forecasting (WRF) model, which has two dynamical cores - the Advanced Research WRF (ARW) and the Non-hydrostatic Mesoscale Model (NMM) was employed. In addition to the two dynamical cores, there are also two options for a "hot-start" initialization of the WRF model - the Local Analysis and Prediction System (LAPS; McGinley 1995) and the Advanced Regional Prediction System (ARPS) Data Analysis System (ADAS; Brewster 1996). Both LAPS and ADAS are 3- dimensional weather analysis systems that integrate multiple meteorological data sources into one consistent analysis over the user's domain of interest. This allows mesoscale models to benefit from the addition of highresolution data sources. Having a series of initialization options and WRF cores, as well as many options within each core, provides SMG and MLB with considerable flexibility as well as challenges. It is the goal of this study to assess the different configurations available and to determine which configuration will best predict warm season convective initiation.

Induced Air Movement for Wide-Span Schools in Humid Asia. Educational Building Digest 9.

ERIC Educational Resources Information Center

United Nations Educational, Scientific, and Cultural Organization, Bangkok (Thailand). Regional Office for Education in Asia and Oceania.

Schools in the hot and humid zones of the Asian region are narrow to ensure good ventilation. The purpose of this report is to show that it is possible, through appropriate design, to obtain sufficient breeze for thermal comfort in buildings as wide as 15 meters. Some of the conclusions of a study of the subject are summarized. The summary is…

Wind Forecasting for Yacht Racing at the 1991 Pan American Games.

NASA Astrophysics Data System (ADS)

Powell, Mark D.

1993-01-01

The U.S. Sailing Team competed successfully at the 1991 Pan American Games despite having no previous experience with the sailing conditions off Havana, Cuba. One of the key factors in the team's success was meteorological support in the form of wind climate analysis; application of sea breeze forecasting typical of the south Florida area, modified by tropical weather systems; and effective preregatta briefing.

Coastal Storm Model.

DTIC Science & Technology

1976-04-30

hindcasting, whereas a con- stant azimuth and storm velocity are used in forecasting. Tte results of hindcast analysis at several sites are included in... undersea breeze conditions and wave- current interactions in the surf zone; Tech. Report TC-149-4, ONR Contract N00014-69-C-0107, Tetra Tech, Inc., Pasadena...MARYLAND 21043 DEPARTMENT UF GEOSCIENrES PURI)IUL UNIVERSITY -DR. RURERT L. MILLER ___ LAFAYE- TTE , INDIANA 47901 DEPARTMENT OF GEOPHYSICAL SCIENCES

Surf Zone Sediment Size Variation, Morphodynamics, and Hydrodynamics During Sea/Land Breeze and El-Norte Storm in Sisal, Yucatan, Mexico

NASA Astrophysics Data System (ADS)

Alrushaid, T.; Figlus, J.; Torres-Freyermuth, A.; Puleo, J. A.; Dellapenna, T. M.

2016-02-01

Coastlines around the world are under ever-increasing pressure due to population trends, commerce, and geophysical processes like tropical storms and erosion. This multi-institutional field campaign was conducted to improve our understanding of complex nearshore processes under varying forcing conditions on a microtidal, sandy beach located in Sisal, Yucatan from 3/27 to 4/12/2014. Hydrodynamics, morphodynamics, and textural variability were investigated during: (1) a cold front event (referred to as El-Norte); (2) land breeze (LB); and (3) sea breeze (SB). The instrumentation layout included three surf/swash zone cross-shore transects where water elevation, suspended sediment concentration, bed load, and current velocities were measured, as well as several offshore ADCP for hydrodynamic measurements. TKE, τb, ɛ and were estimated using the data obtained from surf zone ADV. In addition, Hs and Tsin the surf zone were computed using measurements from ADV pressure sensors, while a separate pressure transducer was used to obtain water free-surface elevation within the swash zone. During SB cycles the study area experienced wind velocities reaching up to 12ms-1, and 15ms-1 during El-Norte. Elevated wind stress during El-Norte resulted in Hs of 1.5m and 0.6m in water depths of 10m and 0.4m, respectively. Surface sediment grab samples during SB/LB cycles showed that the swash zone had a moderately well sorted distribution with a mean grain size of 0.5mm, while poor sorting and a mean grain size of 0.7mm were found during El-Norte. Additionally, measured bathymetry data showed evidence for offshore sandbar migration during strong offshore currents (0.4ms-1) during El-Norte, while onshore sandbar migration was evident during SB/LB periods (0.3ms-1 and 0.1ms-1, respectively). This study highlights how different weather forcing conditions affect hydrodynamics, morphodynamics, and textural variability on a sandy beach. Aside from furthering our knowledge on these complex processes, the findings may lead to improved coastal management strategies for sandy coastlines.

Observational Evidence For The Comet-Like Heliosphere

NASA Astrophysics Data System (ADS)

Bzowski, M.; Czechowski, A.; Funsten, H. O.; Grygorczuk, J.; Heerikhuisen, J.; Kubiak, M. A.; Moebius, E.; McComas, D. J.; Schwadron, N.; Sokol, J. M.; Swaczyna, P.; Zirnstein, E.

2017-12-01

The shape of the heliosphere is a subject of ongoing debate. The traditional comet-like image has recently been challenged by ideas of croissant- or bubble-like forms. Here we seek to resolve this debate by confronting available observational evidence with global modeling. Several MHD models of a comet-like heliosphere were used to simulate the radius and center of the IBEX Ribbon to fit the direction and intensity of the interstellar magnetic field (ISMF). These models assumed the secondary ENA emission mechanism, which was recently strengthened due to direct measurement of the distance to the Ribbon source most likely just beyond the heliopause. The same mechanism explains the dependence of the Ribbon center position on energy due to the latitudinal structure of solar wind. The obtained ISMF vector agrees among these models and is consistent with the draped IMF measured by Voyager. Independently, we have shown by modeling that the Warm Breeze discovered by IBEX is naturally created in the outer heliosheath due to charge-exchange between interstellar He+ ions and He atoms. Now we simulate the Warm Breeze for various directions and intensities of the local IMF and we find that the simulation results are in best agreement with IBEX observations for the IMF vector obtained from the above-mentioned Ribbon analyses and Voyager measurements. These arguments, along with the co-planarity of the inflow directions of interstellar neutral H, He, O, and the Warm Breeze, directions of the Ribbon center and ISMF, as well as measurements of the plasma flow directions in the IHS by Voyager 2 indicate the existence of a common plane of approximate mirror symmetry of the heliosphere, defined by the directions of ISMF and the Sun's motion through the local interstellar medium. This suggests that the global structure of the outer heliosphere mostly results from the conditions in the local interstellar medium and the Sun's velocity. This evidence, obtained from very different spacecraft and measurement techniques, supports a homogeneous and consistent picture of the heliosphere with a comet-like shape and organized by the plane of approximate mirror symmetry.

In situ airborne measurements of aerosol optical properties during photochemical pollution events

NASA Astrophysics Data System (ADS)

Mallet, M.; van Dingenen, R.; Roger, J. C.; Despiau, S.; Cachier, H.

2005-02-01

Dry aerosol optical properties (scattering, absorbing coefficients, and single scattering albedo) were derived from in situ airborne measurements during two photochemical pollution events (25 and 26 June) observed during the Experience sur Site pour Contraindre les Modeles de Pollution atmospherique et de Transport d'Emissions (ESCOMPTE) experiment. Two flights were carried out during daytime (one during the morning and one at noon) over a domain, allowing the investigation of how an air pollution event affects the particle optical properties. Both horizontal distribution and vertical profiles are presented. Results from the horizontal mapping show that plumes of enhanced scattering and absorption are formed in the planetary boundary layer (PBL) during the day in the sea breeze-driven outflow of the coastal urban-industrial area of Marseille-Fos de Berre. The domain-averaged scattering coefficient (at 550 nm) over land σs changes from 35 (28) Mm-1 during land breeze to 63 (43) Mm-1 during sea breeze on 25 June (26 June), with local maxima reaching > 100 Mm-1. The increase in the scattering coefficient is associated with new particle formation, indicative of secondary aerosol formation. Simultaneously, the domain-averaged absorption coefficient increases from 5.6 (3.4) Mm-1 to 9.3 (8.0) Mm-1. The pollution plume leads to strong gradients in the single scattering albedo ωo over the domain studied, with local values as low as 0.73 observed inside the pollution plume. The role of photochemistry and secondary aerosol formation during the 25 June case is shown to increase ωo and to make the aerosol more `reflecting' while the plume moves away from the sources. The lower photochemical activity, observed in the 26 June case, induces a relatively higher contribution of black carbon, making the aerosol more absorbing. Results from vertical profiles at a single near-urban location in the domain indicate that the changes in optical properties happen almost entirely within the PBL. No significant variation of σs, σa, and ωo is observed in the upper layer (1-3 km), where the aerosol optical properties are considered to be well mixed.

The use of fractionated fly ash of thermal power plants as binder for production of briquettes of coke breeze and dust

NASA Astrophysics Data System (ADS)

Temnikova, E. Yu; Bogomolov, A. R.; Lapin, A. A.

2017-11-01

In this paper, we propose to use the slag and ash material of thermal power plants (TPP) operating on pulverized coal fuel. The elemental and chemical composition of fly ash of five Kuzbass thermal power plants differs insignificantly from the composition of the mineral part of coking coal because coke production uses a charge, whose composition defines the main task: obtaining coke with the required parameters for production of iron and steel. These indicators are as follows: CRI reactivity and strength of the coke residue after reaction with CO2 - CSR. The chemical composition of fly ash of thermal power plants and microsilica with bulk density of 0.3-0.6 t/m3 generated at production of ferroalloys was compared. Fly ash and microsilica are the valuable raw material for production of mineral binder in manufacturing coke breeze briquettes (fraction of 2-10 mm) and dust (0-200 μm), generated in large quantities during coking (up to 40wt%). It is shown that this binder is necessary for production of smokeless briquettes with low reactivity, high strength and cost, demanded for production of cupola iron and melting the silicate materials, basaltic rocks in low-shaft furnaces. It is determined that microsilica contains up to 90% of silicon oxide, and fly ash contains up to 60% of silicon oxide and aluminum oxide of up to 20%. On average, the rest of fly ash composition consists of basic oxides. According to calculation by the VUKHIN formula, the basicity index of briquette changes significantly, when fly ash is introduced into briquette raw material component as a binder. The technology of coke briquette production on the basis of the non-magnetic fraction of TPP fly ash in the ratio from 3.5:1 to 4.5:1 (coke breeze : coke dust) with the addition of the binder component to 10% is proposed. The produced briquettes meet the requirements by CRI and require further study on CSR requirements.

3D Structures of the Sea-Breeze Front in Dual-Doppler Lidar Analysis and a State-of-the-Art Modeling System

NASA Astrophysics Data System (ADS)

Chen, G.; Iwai, H.; Seko, H.; Saito, K. K.; Sha, W.; Iwasaki, T.

2017-12-01

Sea breeze occurs at coastal regions around the world, with great impacts on the weather and air quality. Observations and forecasts of the fine-scale structures and local impacts of sea-breeze front (SBF) are a challenge. Three-dimensional structures of a quasi-stationary SBF were observed by dual-Doppler lidar over Sendai Airport in June 2007. Using a state-of-the-art local prediction system in which a computational fluid dynamics model is nested to a mesoscale model with data assimilation, we perform a realistic simulation of the observed SBF structures at 10-m resolution. Numerical simulations reproduce the detailed features of the SBF, such as frontal lobes/clefts, intense updrafts, rear downdrafts, and Kelvin-Helmholtz billows, consistent with lidar observations. Several localized maxima of updrafts occur at the active SBF lobes with ascending marine air mass and adjacent windward sides, where the ambient warm flows encounter a steep front face and penetrate SBF aloft. Strong downdrafts of marine cool air dominate at the SBF rear where they trap a high concentration of air pollutants. These features are regularly activated by the arc-shaped gravity currents at a horizontal scale of several kilometers and a period of 30 minutes. They are also influenced by the coastal buildings and strongly regulate the spatio-temporal variations of local winds near surface. The findings suggest that a novel full-scale nested prediction system has potential for forecasting coastal weather and environment at high precision, which are valuable for aviation safety, marine activities, and air quality monitoring. AcknowledgmentsThis study was supported by the Strategic Programs for Innovative Research (SPIRE) funded by the Japan Ministry of Education, Culture, Sports, Science and Technology (MEXT). The numerical calculations were performed using the K computer at RIKEN Advanced Institute for Computational Science (Proposal numbers hp130012 and hp140220). The observational data were collected in a field experiment funded by the MEXT (PI: Prof. T. Iwasaki, 19204046) through the collaboration of NICT, ENRI, JAXA, and Tohoku University.

Warm Breeze due to Charge Exchange Collisions Between Neutral He Atoms and He+ Ions in the Outer Heliosheath.

NASA Astrophysics Data System (ADS)

Kubiak, M. A.; Bzowski, M.; Czechowski, A.; Grygorczuk, J.

2017-12-01

We simulated the signal due to neutral He atoms, observed by Interstellar Boundary Explorer (IBEX), assuming that charge exchange collisions between neutral He atoms and He+ ions operate everywhere between the heliopause and a distant source region in the local interstellar cloud (LIC). We chose the limiting distance of calculations at 5000 AU, where the neutral and charged components are in thermal equilibrium. From that distance we integrated the signal for test particles that we know they reach the IBEX detector, calculating for each particle the balance of losses and gains in the LIC, the ionization losses inside the HP, and the distribution function at 5000 AU. The resulting statistical weights were integrated over speed, inflow direction, collimator transmission, observation times, and IBEX spin angle bins to simulate the count rate actually observed by IBEX. We simulated several test cases of the plasma flow within the outer heliosheath and investigated the signal generation for plasma flows both in the presence and in the absence of the interstellar magnetic field. We found that a signal in the portion of IBEX data identified as due to the Warm Breeze does not arise when a homogeneous plasma flow in front of the heliopause is assumed. However, it appears immediately when any reasonable disturbance in the plasma flow due to the presence of the heliosphere is assumed. We obtained a good qualitative agreement between the data and the simulations for a model flow with the velocity vector of the unperturbed gas and the direction and intensity of magnetic field adopted from recent determinations. We conclude that direct-sampling observations of neutral He atoms at 1 AU from the Sun are a sensitive tool for investigating the flow of interstellar matter in the outer heliosheath; the Warm Breeze is indeed the secondary population of interstellar helium, as it was hypothesized earlier; the WB signal is consistent with that predicted by comet-like models of the heliosphere with a distortion from axial symmetry by the interstellar magnetic field of 3 microgauss, directed close to the Ribbon direction.

From Cues to Nudge: A Knowledge-Based Framework for Surveillance of Healthcare-Associated Infections.

PubMed

Shaban-Nejad, Arash; Mamiya, Hiroshi; Riazanov, Alexandre; Forster, Alan J; Baker, Christopher J O; Tamblyn, Robyn; Buckeridge, David L

2016-01-01

We propose an integrated semantic web framework consisting of formal ontologies, web services, a reasoner and a rule engine that together recommend appropriate level of patient-care based on the defined semantic rules and guidelines. The classification of healthcare-associated infections within the HAIKU (Hospital Acquired Infections - Knowledge in Use) framework enables hospitals to consistently follow the standards along with their routine clinical practice and diagnosis coding to improve quality of care and patient safety. The HAI ontology (HAIO) groups over thousands of codes into a consistent hierarchy of concepts, along with relationships and axioms to capture knowledge on hospital-associated infections and complications with focus on the big four types, surgical site infections (SSIs), catheter-associated urinary tract infection (CAUTI); hospital-acquired pneumonia, and blood stream infection. By employing statistical inferencing in our study we use a set of heuristics to define the rule axioms to improve the SSI case detection. We also demonstrate how the occurrence of an SSI is identified using semantic e-triggers. The e-triggers will be used to improve our risk assessment of post-operative surgical site infections (SSIs) for patients undergoing certain type of surgeries (e.g., coronary artery bypass graft surgery (CABG)).

Long-term results of treatment of urethral strictures by transpubic urethroplasty.

PubMed

Zvara, V; Hornák, M

1986-01-01

Intrapelvic ruptures of membraneous urethra connected with pelvis fractures lead, as a rule, to strictures. Relative inaccessibility of these strictures above diaphragma urogenitale and behind symphysis makes their surgical treatment difficult. Transpubic approach with removal of wedge of pubic bones enables a direct approach to stricture and its modification under sight control. Technique of transpubic approach is described and long-term results obtained in 10 patients being 29-54 months after operation are evaluated. In one patient urinary continence in a sense of stress incontinence was disturbed, in one patient impotence occurred and one patient had disturbed gait.

Phaeochromocytoma.

PubMed

Cryer, P E

1985-02-01

Phaeochromocytomas are uncommon among patients with hypertension, and sometimes occur in persons without known hypertension, but are important to detect because they are often lethal but commonly curable, and because they are a clue to the presence of associated conditions. Paroxysmal symptoms (especially headache, palpitations, diaphoresis and anxiety), hypertension that is intermittent, unusually labile or resistant to conventional therapy, and conditions known to be associated raise the clinical suspicion of phaeochromocytoma. Biochemical confirmation is commonly achieved by measurement of urinary catecholamines, metanephrines or VMA. Plasma noradrenaline and adrenaline measurements may be superior to measurements of urinary catecholamine metabolites, but strict attention to the details of sample collection, handling and storage, the many sources of possible biological variation and the effects of drugs is critical if diagnostic error is to be avoided. Patients should be evaluated in the drug-free state if at all possible. Anatomical localization, in the abdomen in the vast majority of cases and usually in the adrenal medullae, can generally be accomplished with computed tomographic scans. Bilateral adrenomedullary tumours are the rule in familial phaeochromocytoma. Most phaeochromocytomas are benign and can be excised totally after medical preparation with an alpha-adrenergic antagonist.

Different HER2 protein expression profiles aid in the histologic differential diagnosis between urothelial carcinoma in situ (CIS) and non-CIS conditions (dysplasia and reactive atypia) of the urinary bladder mucosa.

PubMed

Gunia, Sven; Koch, Stefan; Hakenberg, Oliver W; May, Matthias; Kakies, Christoph; Erbersdobler, Andreas

2011-12-01

We evaluated HER2 expression profiles in 32 carcinoma in situ (CIS) and 31 non-CIS conditions (5 dysplasia and 26 reactive atypia) of the urinary bladder mucosa by applying breast cancer scoring rules. In situ hybridization was performed on tissue microarrays to assess HER2 gene amplification status. Our immunoprofiling data disclosed moderate to strong HER2 expression in CIS, including the basal layer of the urothelium, and absent to weak HER2 expression in non-CIS conditions. From the histologic differential diagnostic standpoint, immunostaining for HER2 protein represents a useful adjunct to aid in the delineation between CIS and non-CIS conditions of the bladder mucosa. Pathogenically, aberrant HER2 protein expression in CIS seems to be more commonly associated with polysomy than with gene amplification. From a therapeutic viewpoint, prospective clinical studies should investigate the potential benefit of HER2-targeted therapies in CIS, particularly in cases unresponsive to conventional therapeutic regimens.

Urinary incontinence in very young and mostly nulliparous women with a history of regular organised high-impact trampoline training: occurrence and risk factors.

PubMed

Eliasson, Kerstin; Edner, Ann; Mattsson, Eva

2008-05-01

The aim of this study was to examine the occurrence of urinary incontinence (UI) in mostly nulliparous women with a history of regular organised trampoline training as adolescents and to identify possible predictors. Female trampolinists in Sweden with licence for trampolining between 1995--1999 (n = 305), with a median age of 21 (range 18-44) years answered retrospectively a validated questionnaire. Competition with double somersaults had been performed by 85 women, the "competition group" (CG), while 220 women comprised the "recreational group" (RG). Of the trampolinists with UI during trampolining, 76% continued to leak. In CG, 57% and, in RG, 48% reported current UI. Strong predictors for UI were inability to interrupt micturition (p < 0.001) and constipation (p = 0.007). Training factors such as frequency/week x years of trampolining (p < 0.001) and years of trampolining after menarche increased the risk of UI (p < 0.001). The prevalence of current UI was higher in ex-trampolinists than in normals (p < 0.001), and hence the negative effects of trampolining cannot be ruled out.

Where the Sun Breezes Don't Stop Shining. Teachers' Journals and Students' Writings on First-Time Homebuying from the New American Homeowners Project, February-June 1997.

ERIC Educational Resources Information Center

Anderson, Catherine, Ed.

The writings of both teachers and students participating in the New Americans Homeowners Project, a project combining English-as-a-Second-Language (ESL) instruction and information on first-time home-buying for immigrants in language minority groups are presented. The project provided training and technical assistance to ESL teachers, and reached…

16. Coke 'fines' bin at Furnace D. After delivery to ...

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

16. Coke 'fines' bin at Furnace D. After delivery to the trestle bins, the coke was screened and the coke 'fines' or breeze, were transported by conveyor to the coke fines bins where it was collected and leaded into dump trucks. The coke fines were then sold for fuel to a sinter plant in Lorain, Ohio. - Central Furnaces, 2650 Broadway, east bank of Cuyahoga River, Cleveland, Cuyahoga County, OH

Science 101: What Causes Major Wind Patterns, Such as Trade Winds?

ERIC Educational Resources Information Center

Robertson, Bill

2014-01-01

A convenient place to begin discussing overall wind patterns on Earth is to explain coastal winds. If you live near the coast (that would be near an ocean) or even near a large lake, you probably know the general pattern of winds there. During the day, breezes tend to blow from the water in toward the land, and at night, this tends to reverse,…

Severe Weather Guide - Mediterranean Ports. 4. Augusta Bay

DTIC Science & Technology

1988-03-01

the year. The track o-f strong extratropical storms has moved northward and poses little tiireat to Augusta Bay. Sea breezes are daily occurrences...as temperatures, begin to moderate. Extratropi cal systems begin to transit Europe as the storm track moves southward in advance of the winter...SUB-GROUP 18. SUBJECT TERMS {Continue on reverse if necessary and identify by block number) Storm haven Mediterranean meteorology Augusta Bay

Mobile Launch Platform (MLP) Environmental Assessment

DTIC Science & Technology

2004-06-28

Sometimes these winds are interrupted by cool seasonal storms with southerly winds; dry offshore storms with southeasterly winds, called Santa Ana...winds; coastal eddies during the warm season with southeasterly winds over the inner waters; and alternating land and sea breezes that occur closer to...mean temperature of 14 oC (58 oF). Total annual precipitation averages 21.3 centimeters (8.4 inches). The dry season ranges from May to September and

Thunderstorm clouds over Western Africa

NASA Technical Reports Server (NTRS)

1989-01-01

The overshooting tops of a series of strong thunderstorms are seen in this late afternoon scene over the African Ivory Coast, exact location unknown. The low sun angle of the setting sun casts long shadows, accentuating the shapes and heights of the clouds. This seasonal thunderstorm is an African Intertropical Front located along the land/sea breeze interface over the West African coastline and is a normal occurance for this time of year.

Study of the thermal internal boundary layer during sea-breeze events in the complex coastal area of Marseille

NASA Astrophysics Data System (ADS)

Calmet, Isabelle; Mestayer, Patrice

2016-02-01

A revisit of two sea-breeze episodes is presented, based on higher spatial resolution large eddy simulations (LES) of the lower atmosphere over the coastal area of Marseille and measurements obtained during the June 2001 experimental campaign UBL-ESCOMPTE. The focus is on the development of thermal internal boundary layers (TIBL) over a complex topography: the dynamic and thermal mechanisms that contribute to the TIBL growth and its further degeneration into a convective mixed layer, the respective influences of the coast shape, the large-scale flow above and the local low-level slope flows. The high-resolution LES permits exploring the potential temperature and turbulent kinetic energy fields in relation with the evolution of TIBL depth and heat fluxes along representative streamlines. Several theoretical TIBL depth models are further compared to the LES-deduced inversion height and other parameters, leading to a discussion of the relationships between the values of these parameters, the respective influences of the governing physical phenomena, and the TIBL behaviour. A threshold value of 0.35 is proposed for the friction velocity to convective velocity scale ratio u */ w * between the two regimes where the TIBL is either dominated by dynamical kinetic energy production or controlled by buoyancy.

Season-dependent size distribution of aerosols over the tropical coastal environment of south-west India

NASA Astrophysics Data System (ADS)

Aryasree, S.; Nair, Prabha R.

2018-01-01

This paper presents the results of a detailed study on the size characteristics of aerosols at the tropical coastal site Thiruvananthapuram based on the in-situ measurements of size resolved aerosol number density using an aerosol spectrometer, covering a period of 28 months from September 2011 to December 2013. The diurnal pattern of aerosol number density is characterized by day time low and a two-fold increase during nighttime and these changes are closely associated with the strong mesoscale features namely the sea breeze and land breeze prevailing at the site. Aerosol Number Size Distribution (NSD) depicts a multi-modal nature with two prominent modes, one ≤0.1 μm and other ∼1 μm. Two other less pronounced modes are also observed in the NSD, one ∼0.3-0.5 μm and other ∼5-8 μm. The NSDs also exhibited strong seasonal changes linked with the synoptic meteorological feature of this region namely the South Asian monsoon. The seasonal NSDs were parameterized and analyzed. In addition to this, the effects of meteorological parameters temperature, relative humidity, and wind speed and airflow patterns on aerosol number density as revealed by partial correlation analysis were found to be aerosol size dependent.

A Case Study On the Relative Influence of Free Tropospheric Subsidence, Long Range Transport and Local Production in Modulating Ozone Concentrations over Qatar

NASA Astrophysics Data System (ADS)

Ayoub, Mohammed; Ackermann, Luis; Fountoukis, Christos; Gladich, Ivan

2016-04-01

The Qatar Environment and Energy Research Institute (QEERI) operates a network of air quality monitoring stations (AQMS) around the Doha metropolitan area and an ozonesonde station with regular weekly launches and occasional higher frequency launch experiments (HFLE). Six ozonesondes were launched at 0700 LT/0400 UTC and 1300 LT/1000 UTC over a three day period between 10-12 September, 2013. We present the analysis of the ozonesonde data coupled with regional chemical transport modeling over the same time period using WRF-Chem validated against both the ozonesonde and surface AQMS measurements. The HFLE and modeling show evidence of both subsidence and transboundary transport of ozone during the study period, coupled with a strong sea breeze circulation on the 11th of September resulting in elevated ozone concentrations throughout the boundary layer. The development of the sea breeze during the course of the day and influence of the early morning residual layer versus daytime production is quantified. The almost complete titration of ozone in the morning hours of 11 September, 2013 is attributed to local vehicular emissions of NOx and stable atmospheric conditions prevailing over the Doha area. The relative contribution of long range transport of ozone along the Arabian Gulf coast and local urban emissions are discussed.

Response of the Atmospheric Boundary Layer and Soil Layer to a High Altitude, Dense Aerosol Cover.

NASA Astrophysics Data System (ADS)

Garratt, J. R.; Pittock, A. B.; Walsh, K.

1990-01-01

The response of the atmospheric boundary layer to the appearance of a high-altitude smoke layer has been investigated in a mesoscale numerical model of the atmosphere. Emphasis is placed on the changes in mean boundary-layer structure and near-surface temperatures when smoke of absorption optical depth (AOD) in the, range 0 to 1 is introduced. Calculations have been made at 30°S, for different soil thermal properties and degrees of surface wetness, over a time period of several days during which major smoke-induced cooling occurs. The presence of smoke reduces the daytime mixed-layer depth and, for large enough values of AOD, results in a daytime surface inversion with large cooling confined to heights of less than a few hundred meters. Smoke-induced reductions in daytime soil and air temperatures of several degrees are typical, dependent critically upon soil wetness and smoke AOD. Locations near the coast experience reduced cooling whenever there is a significant onshore flow related to a sea breeze (this would also be the case with a large-scale onshore flow). The sea breeze itself disappears for large enough smoke AOD and, over sloping coastal terrain, a smoke-induced, offshore drainage flow may exist throughout the diurnal cycle.

Clean recycle and utilization of hazardous iron-bearing waste in iron ore sintering process.

PubMed

Gan, Min; Ji, Zhiyun; Fan, Xiaohui; Chen, Xuling; Zhou, Yang; Wang, Guojing; Tian, Ye; Jiang, Tao

2018-04-18

Applying recycled iron-bearing waste materials (RIM) into iron ore sintering process is the general disposal approach worldwide, while its use is still a thorny problem. Results showed that adding RIM increased contents of hazardous elements (K, Na, Pb, Zn, and Cl) in sinter product, and also enhanced emission concentration of PM 2.5 in flue gas; increasing reaction temperature, and contents of CaO & coke breeze in raw mixtures improved hazardous elements removal. Based on these features, a novel method through granulating natural iron ores and RIM separately and distributing granulated RIM in bottom sintering layers was proposed for clean RIM cycle. When recycling 5% RIM, granulating RIM separately with higher contents of CaO and coke breeze removed hazardous elements effectively, the contents of which in sinter were reduced to comparable level of the case without RIM. Moreover, distributing RIM in bottom sintering layer reached intensive release of hazardous elements and PM 2.5 during sintering, which reduced the flue gas volume needing purification by about 2/3. Through activated carbon purification, about 60% of PM 2.5 comprised high contents of hazardous elements was removed. Novel technique eliminated the negative impact of RIM and has the prospect to reach clean recycle in sinter-making plants. Copyright © 2018. Published by Elsevier B.V.

Evaluation of the 29-km Eta Model for Weather Support to the United States Space Program

NASA Technical Reports Server (NTRS)

Manobianco, John; Nutter, Paul

1997-01-01

The Applied Meteorology Unit (AMU) conducted a year-long evaluation of NCEP's 29-km mesoscale Eta (meso-eta) weather prediction model in order to identify added value to forecast operations in support of the United States space program. The evaluation was stratified over warm and cool seasons and considered both objective and subjective verification methodologies. Objective verification results generally indicate that meso-eta model point forecasts at selected stations exhibit minimal error growth in terms of RMS errors and are reasonably unbiased. Conversely, results from the subjective verification demonstrate that model forecasts of developing weather events such as thunderstorms, sea breezes, and cold fronts, are not always as accurate as implied by the seasonal error statistics. Sea-breeze case studies reveal that the model generates a dynamically-consistent thermally direct circulation over the Florida peninsula, although at a larger scale than observed. Thunderstorm verification reveals that the meso-eta model is capable of predicting areas of organized convection, particularly during the late afternoon hours but is not capable of forecasting individual thunderstorms. Verification of cold fronts during the cool season reveals that the model is capable of forecasting a majority of cold frontal passages through east central Florida to within +1-h of observed frontal passage.

Two Simple Rules for Improving the Accuracy of Empiric Treatment of Multidrug-Resistant Urinary Tract Infections.

PubMed

Linsenmeyer, Katherine; Strymish, Judith; Gupta, Kalpana

2015-12-01

The emergence of multidrug-resistant (MDR) uropathogens is making the treatment of urinary tract infections (UTIs) more challenging. We sought to evaluate the accuracy of empiric therapy for MDR UTIs and the utility of prior culture data in improving the accuracy of the therapy chosen. The electronic health records from three U.S. Department of Veterans Affairs facilities were retrospectively reviewed for the treatments used for MDR UTIs over 4 years. An MDR UTI was defined as an infection caused by a uropathogen resistant to three or more classes of drugs and identified by a clinician to require therapy. Previous data on culture results, antimicrobial use, and outcomes were captured from records from inpatient and outpatient settings. Among 126 patient episodes of MDR UTIs, the choices of empiric therapy against the index pathogen were accurate in 66 (52%) episodes. For the 95 patient episodes for which prior microbiologic data were available, when empiric therapy was concordant with the prior microbiologic data, the rate of accuracy of the treatment against the uropathogen improved from 32% to 76% (odds ratio, 6.9; 95% confidence interval, 2.7 to 17.1; P < 0.001). Genitourinary tract (GU)-directed agents (nitrofurantoin or sulfa agents) were equally as likely as broad-spectrum agents to be accurate (P = 0.3). Choosing an agent concordant with previous microbiologic data significantly increased the chance of accuracy of therapy for MDR UTIs, even if the previous uropathogen was a different species. Also, GU-directed or broad-spectrum therapy choices were equally likely to be accurate. The accuracy of empiric therapy could be improved by the use of these simple rules. Copyright © 2015, American Society for Microbiology. All Rights Reserved.

Evaluation of the Sysmex UF1000i flow cytometer for ruling out bacterial urinary tract infection.

PubMed

De Rosa, Rita; Grosso, Shamanta; Bruschetta, Graziano; Avolio, Manuela; Stano, Paola; Modolo, Maria Luisa; Camporese, Alessandro

2010-08-05

Urine culture is one of the most frequently requested tests in microbiology, and it represents the gold standard for the diagnosis of UTIs. Considering the high prevalence of negative results and the long TAT of the culture test, the use of a rapid and reliable screening method is becoming more and more important, as it reduces the workload, the TAT of negative results, and above all, unnecessary antibiotic prescription. The Sysmex UF1000i is a new urine flow cytometry analyzer capable of quantifying urinary particles, including BACT, WBCs, and YLCs. To evaluate the analytical performance of the UF1000i as a method for ruling out UTIs, we examined 1349 urine samples and compared the UF1000i results with standard urine culture results. With instrument cut-off values of 170BACTx10(6)/L and 150WBCsx10(6)/L, we obtained a sensitivity of 98.8%, a specificity of 76.5%, a NPV of 99.5%, and four false negative results (1.2%), avoiding the culture of 57.1% of samples. The Sysmex UF1000i was capable of improving the efficiency of a routine microbiology laboratory by processing 100samples/h and providing negative results in a few minutes, thus reducing unnecessary testing with an acceptable number of false negative results. In addition, the preliminary evaluation of B_FSC and B_FLH parameters from bacteria histograms seems to be useful for the distinction of bacterial strains detected (Gram-negatives versus Gram-positives). In fact when B_FSC was less than 30 ch, it allowed the distinction of Gram-negative bacteria in 97% of the samples. Copyright 2010 Elsevier B.V. All rights reserved.

Electrically conductive polymer concrete coatings

DOEpatents

Fontana, J.J.; Elling, D.; Reams, W.

1990-03-13

A sprayable electrically conductive polymer concrete coating for vertical d overhead applications is described. The coating is permeable yet has low electrical resistivity (<10 ohm-cm), good bond strength to concrete substrates, and good weatherability. A preferred formulation contains about 60 wt % calcined coke breeze, 40 wt % vinyl ester with 3.5 wt % modified bentonite clay. Such formulations apply evenly and provide enough rigidity for vertical or overhead structures so there is no drip or sag.

Electrically conductive polymer concrete coatings

DOEpatents

Fontana, Jack J.; Elling, David; Reams, Walter

1990-01-01

A sprayable electrically conductive polymer concrete coating for vertical d overhead applications is described. The coating is permeable yet has low electrical resistivity (<10 ohm-cm), good bond strength to concrete substrates, and good weatherability. A preferred formulation contains about 60 wt % calcined coke breeze, 40 wt % vinyl ester with 3.5 wt % modified bentonite clay. Such formulations apply evenly and provide enough rigidity for vertical or overhead structures so there is no drip or sag.

Environmental Assessment Addressing the Emerald Breeze Resort, Santa Rosa Island, Fort Walton Beach, Florida

DTIC Science & Technology

2009-09-11

conditions in their upper part. Anaerobic soil conditions are conducive to the establishment of vegetation that is adapted for growth under oxygen...sufficient to support, and that under normal circumstances do support, a prevalence of vegetation typically adapted to life in saturated soil...species adapted to dense commercial development and heavy vehicular traffic would be expected to move back into the area after development of the

The Nature of The Propagation of Sea Breeze Fronts in Central California

DTIC Science & Technology

1990-09-01

propagation vector % ith stations in the southern portion of Monterey Bay shows that the front is curved on the mesoscale. 20 Distribution Availabilit of...solar radiation warms the land more than the adjacent water . The resulting temperature contrast produces a slight variation in pressure. The isobaric...surfaces bend upward over the land, producing an upper-level high. The upper-level air flows seaward increasing the surface pressure over the water . The

Aeronautical Knowledge (Selected Articles),

DTIC Science & Technology

1983-04-11

distribution unlimited. THIS TRANSLATION IS A RENDITION OF THE ORIGI. NAL FOREIGN TEXT WITH4OUT ANY ANALYTICAL ORt EDITORIAL COMMENT. STATEMENTS ORt THEORIES...An operator busily touched a row of milky white switches on a computer . Groups of vermilion number codes incessantly flickered on a light blue display...On a Surface Observation Ship in the Launch Sea Area Blue sky and azure sea with light breeze and small waves were scenes of the launch sea area. In

The diagnosis of urinary tract infections in young children (DUTY): protocol for a diagnostic and prospective observational study to derive and validate a clinical algorithm for the diagnosis of UTI in children presenting to primary care with an acute illness.

PubMed

Downing, Harriet; Thomas-Jones, Emma; Gal, Micaela; Waldron, Cherry-Ann; Sterne, Jonathan; Hollingworth, William; Hood, Kerenza; Delaney, Brendan; Little, Paul; Howe, Robin; Wootton, Mandy; Macgowan, Alastair; Butler, Christopher C; Hay, Alastair D

2012-07-19

Urinary tract infection (UTI) is common in children, and may cause serious illness and recurrent symptoms. However, obtaining a urine sample from young children in primary care is challenging and not feasible for large numbers. Evidence regarding the predictive value of symptoms, signs and urinalysis for UTI in young children is urgently needed to help primary care clinicians better identify children who should be investigated for UTI. This paper describes the protocol for the Diagnosis of Urinary Tract infection in Young children (DUTY) study. The overall study aim is to derive and validate a cost-effective clinical algorithm for the diagnosis of UTI in children presenting to primary care acutely unwell. DUTY is a multicentre, diagnostic and prospective observational study aiming to recruit at least 7,000 children aged before their fifth birthday, being assessed in primary care for any acute, non-traumatic, illness of ≤ 28 days duration. Urine samples will be obtained from eligible consented children, and data collected on medical history and presenting symptoms and signs. Urine samples will be dipstick tested in general practice and sent for microbiological analysis. All children with culture positive urines and a random sample of children with urine culture results in other, non-positive categories will be followed up to record symptom duration and healthcare resource use. A diagnostic algorithm will be constructed and validated and an economic evaluation conducted.The primary outcome will be a validated diagnostic algorithm using a reference standard of a pure/predominant growth of at least >103, but usually >105 CFU/mL of one, but no more than two uropathogens.We will use logistic regression to identify the clinical predictors (i.e. demographic, medical history, presenting signs and symptoms and urine dipstick analysis results) most strongly associated with a positive urine culture result. We will then use economic evaluation to compare the cost effectiveness of the candidate prediction rules. This study will provide novel, clinically important information on the diagnostic features of childhood UTI and the cost effectiveness of a validated prediction rule, to help primary care clinicians improve the efficiency of their diagnostic strategy for UTI in young children.

The diagnosis of urinary tract infections in young children (DUTY): protocol for a diagnostic and prospective observational study to derive and validate a clinical algorithm for the diagnosis of UTI in children presenting to primary care with an acute illness

PubMed Central

2012-01-01

Background Urinary tract infection (UTI) is common in children, and may cause serious illness and recurrent symptoms. However, obtaining a urine sample from young children in primary care is challenging and not feasible for large numbers. Evidence regarding the predictive value of symptoms, signs and urinalysis for UTI in young children is urgently needed to help primary care clinicians better identify children who should be investigated for UTI. This paper describes the protocol for the Diagnosis of Urinary Tract infection in Young children (DUTY) study. The overall study aim is to derive and validate a cost-effective clinical algorithm for the diagnosis of UTI in children presenting to primary care acutely unwell. Methods/design DUTY is a multicentre, diagnostic and prospective observational study aiming to recruit at least 7,000 children aged before their fifth birthday, being assessed in primary care for any acute, non-traumatic, illness of ≤ 28 days duration. Urine samples will be obtained from eligible consented children, and data collected on medical history and presenting symptoms and signs. Urine samples will be dipstick tested in general practice and sent for microbiological analysis. All children with culture positive urines and a random sample of children with urine culture results in other, non-positive categories will be followed up to record symptom duration and healthcare resource use. A diagnostic algorithm will be constructed and validated and an economic evaluation conducted. The primary outcome will be a validated diagnostic algorithm using a reference standard of a pure/predominant growth of at least >103, but usually >105 CFU/mL of one, but no more than two uropathogens. We will use logistic regression to identify the clinical predictors (i.e. demographic, medical history, presenting signs and symptoms and urine dipstick analysis results) most strongly associated with a positive urine culture result. We will then use economic evaluation to compare the cost effectiveness of the candidate prediction rules. Discussion This study will provide novel, clinically important information on the diagnostic features of childhood UTI and the cost effectiveness of a validated prediction rule, to help primary care clinicians improve the efficiency of their diagnostic strategy for UTI in young children. PMID:22812651

Shallow to Deep Convection Transition over a Heterogeneous Land Surface Using the Land Model Coupled Large-Eddy Simulation

NASA Astrophysics Data System (ADS)

Lee, J.; Zhang, Y.; Klein, S. A.

2017-12-01

The triggering of the land breeze, and hence the development of deep convection over heterogeneous land should be understood as a consequence of the complex processes involving various factors from land surface and atmosphere simultaneously. That is a sub-grid scale process that many large-scale models have difficulty incorporating it into the parameterization scheme partly due to lack of our understanding. Thus, it is imperative that we approach the problem using a high-resolution modeling framework. In this study, we use SAM-SLM (Lee and Khairoutdinov, 2015), a large-eddy simulation model coupled to a land model, to explore the cloud effect such as cold pool, the cloud shading and the soil moisture memory on the land breeze structure and the further development of cloud and precipitation over a heterogeneous land surface. The atmospheric large scale forcing and the initial sounding are taken from the new composite case study of the fair-weather, non-precipitating shallow cumuli at ARM SGP (Zhang et al., 2017). We model the land surface as a chess board pattern with alternating leaf area index (LAI). The patch contrast of the LAI is adjusted to encompass the weak to strong heterogeneity amplitude. The surface sensible- and latent heat fluxes are computed according to the given LAI representing the differential surface heating over a heterogeneous land surface. Separate from the surface forcing imposed from the originally modeled surface, the cases that transition into the moist convection can induce another layer of the surface heterogeneity from the 1) radiation shading by clouds, 2) adjusted soil moisture pattern by the rain, 3) spreading cold pool. First, we assess and quantifies the individual cloud effect on the land breeze and the moist convection under the weak wind to simplify the feedback processes. And then, the same set of experiments is repeated under sheared background wind with low level jet, a typical summer time wind pattern at ARM SGP site, to account for more realistic situations. Our goal is to assist answering the question: "Do the sub-grid scale land surface heterogeneity matter for the weather and climate modeling?" This work performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under Contract DE-AC52-07NA27344. LLNL-ABS- 736011.

Observed and simulated features of the phases of the sea-breeze in the island of Mallorca

NASA Astrophysics Data System (ADS)

Jimenez, Maria A.; Cuxart, Joan; Simó, Gemma; Wrenger, Burkhard; Martinez-Villagrasa, Daniel; Guijarro, Jose A.; Telisman-Prtenjak, Maja; Lopez, Alvaro; Picos, Rodrigo

2016-04-01

In order to better understand the diurnal cycle of the Sea-Breeze (SB) in the island of Mallorca, during September 2013 and June 2014 two experimental field campaigns have been conducted in the Campos basin (at the south side). A total of 6 IOPs (clear skies and weak pressure gradient conditions) are analysed using observations taken close to the coastline (about 900 m inland) that consist on a surface portable station (equipped with a temperature and humidity probe, and one 2-D and 3-D sonic anemometers), a captive balloon (temperature and humidity) and a multicopter (temperature and humidity). Besides, observations from automatic weather stations of the AEMET network are taken as well as satellite-derived surface temperatures that together with the model outputs from high-resolution mesoscale simulations are used to better understand the organization of the flow at lower levels. With the combined inspection of observations and model results it is found that during the previous phase (after sunrise) land-breeze conditions were present and the sensible heat flux turned to positive meanwhile the turbulence started. In the preparatory phase (about 3 hours after sunrise) the wind close to the coast started to veer progressively towards the SB direction. As soon as the SB was initiated (about 5 hours after sunrise), the SB front progressed to the inland direction reaching a mature phase starting at noon. Afterwards, the SB decaying starts and close to sunset the wind speed was close to zero and veered towards the land to sea direction. During the campaign all phases were measured with special emphasis to the morning transition (from LB to SB) and the evening transition (from SB to LB) because of the strong wind shear (turbulence) reported during the mature phase. It is found that for all the different phases the model is able to capture the organization of the flow at lower levels although it experiences some difficulties in reproducing the thermal profile during the preparatory phase, when the model energy budget usually differs a lot from the observed one. Nevertheless, at the end of this phase the model agrees with the observations, showing that the general energetics of the morning transition are well captured.

Rainfall Morphology in Semi-Tropical Convergence Zones

NASA Technical Reports Server (NTRS)

Shepherd, J. Marshall; Ferrier, Brad S.; Ray, Peter S.

2000-01-01

Central Florida is the ideal test laboratory for studying convergence zone-induced convection. The region regularly experiences sea breeze fronts and rainfall-induced outflow boundaries. The focus of this study is the common yet poorly-studied convergence zone established by the interaction of the sea breeze front and an outflow boundary. Previous studies have investigated mechanisms primarily affecting storm initiation by such convergence zones. Few have focused on rainfall morphology yet these storms contribute a significant amount precipitation to the annual rainfall budget. Low-level convergence and mid-tropospheric moisture have both been shown to correlate with rainfall amounts in Florida. Using 2D and 3D numerical simulations, the roles of low-level convergence and mid-tropospheric moisture in rainfall evolution are examined. The results indicate that time-averaged, vertical moisture flux (VMF) at the sea breeze front/outflow convergence zone is directly and linearly proportional to initial condensation rates. This proportionality establishes a similar relationship between VMF and initial rainfall. Vertical moisture flux, which encompasses depth and magnitude of convergence, is better correlated to initial rainfall production than surface moisture convergence. This extends early observational studies which linked rainfall in Florida to surface moisture convergence. The amount and distribution of mid-tropospheric moisture determines how rainfall associated with secondary cells develop. Rainfall amount and efficiency varied significantly over an observable range of relative humidities in the 850- 500 mb layer even though rainfall evolution was similar during the initial or "first-cell" period. Rainfall variability was attributed to drier mid-tropospheric environments inhibiting secondary cell development through entrainment effects. Observationally, 850-500 mb moisture structure exhibits wider variability than lower level moisture, which is virtually always present in Florida. A likely consequence of the variability in 850-500 moisture is a stronger statistical correlation to rainfall, which observational studies have noted. The study indicates that vertical moisture flux forcing at convergence zones is critical in determining rainfall in the initial stage of development but plays a decreasing role in rainfall evolution as the system matures. The mid-tropospheric moisture (e.g. environment) plays an increasing role in rainfall evolution as the system matures. This suggests the need to improve measurements of magnitude/depth of convergence and mid-tropospheric moisture distribution. It also highlights the need for better parameterization of entrainment and vertical moisture distribution in larger-scale models.

Aerosol-cloud interactions in mixed-phase convective clouds - Part 1: Aerosol perturbations

NASA Astrophysics Data System (ADS)

Miltenberger, Annette K.; Field, Paul R.; Hill, Adrian A.; Rosenberg, Phil; Shipway, Ben J.; Wilkinson, Jonathan M.; Scovell, Robert; Blyth, Alan M.

2018-03-01

Changes induced by perturbed aerosol conditions in moderately deep mixed-phase convective clouds (cloud top height ˜ 5 km) developing along sea-breeze convergence lines are investigated with high-resolution numerical model simulations. The simulations utilise the newly developed Cloud-AeroSol Interacting Microphysics (CASIM) module for the Unified Model (UM), which allows for the representation of the two-way interaction between cloud and aerosol fields. Simulations are evaluated against observations collected during the COnvective Precipitation Experiment (COPE) field campaign over the southwestern peninsula of the UK in 2013. The simulations compare favourably with observed thermodynamic profiles, cloud base cloud droplet number concentrations (CDNC), cloud depth, and radar reflectivity statistics. Including the modification of aerosol fields by cloud microphysical processes improves the correspondence with observed CDNC values and spatial variability, but reduces the agreement with observations for average cloud size and cloud top height. Accumulated precipitation is suppressed for higher-aerosol conditions before clouds become organised along the sea-breeze convergence lines. Changes in precipitation are smaller in simulations with aerosol processing. The precipitation suppression is due to less efficient precipitation production by warm-phase microphysics, consistent with parcel model predictions. In contrast, after convective cells organise along the sea-breeze convergence zone, accumulated precipitation increases with aerosol concentrations. Condensate production increases with the aerosol concentrations due to higher vertical velocities in the convective cores and higher cloud top heights. However, for the highest-aerosol scenarios, no further increase in the condensate production occurs, as clouds grow into an upper-level stable layer. In these cases, the reduced precipitation efficiency (PE) dominates the precipitation response and no further precipitation enhancement occurs. Previous studies of deep convective clouds have related larger vertical velocities under high-aerosol conditions to enhanced latent heating from freezing. In the presented simulations changes in latent heating above the 0°C are negligible, but latent heating from condensation increases with aerosol concentrations. It is hypothesised that this increase is related to changes in the cloud field structure reducing the mixing of environmental air into the convective core. The precipitation response of the deeper mixed-phase clouds along well-established convergence lines can be the opposite of predictions from parcel models. This occurs when clouds interact with a pre-existing thermodynamic environment and cloud field structural changes occur that are not captured by simple parcel model approaches.

Exposure to organophosphate flame retardants in spray polyurethane foam applicators: Role of dermal exposure.

PubMed

Bello, Anila; Carignan, Courtney C; Xue, Yalong; Stapleton, Heather M; Bello, Dhimiter

2018-04-01

Spray polyurethane foam (SPF) is a highly effective thermal insulation material that has seen considerable market growth in the past decade. Organophosphate flame retardants (PFRs) are added to SPF formulations to meet fire code requirements. A common flame retardant used in SPF formulations is tris 1-chloro 2-propyl phosphate (TCIPP), a suspected endocrine disruptor. Exposure monitoring efforts during SPF applications have focused primarily on the isocyanate component, a potent respiratory and dermal sensitizer. However, to our knowledge, there is no monitoring data for TCIPP. To characterize occupational exposures to TCIPP and other flame retardants during SPF insulation. Workers at four SPF insulation sites and one foam removal site (total n = 14) were recruited as part of this pilot study. Personal inhalation exposure to TCIPP was monitored with a CIP-10MI inhalable sampler and potential dermal exposure was assessed through the use of a glove dosimeter. Biomarkers of TCIPP and three other PFRs were measured in urine collected from workers pre-and post-shift. Linear mixed effect models were used to analyze associations of urinary biomarkers with inhalation and dermal exposures and paired t-tests were used to examine the difference on the means of urinary biomarkers pre-and post-shift. Chemical analysis of all species was performed with liquid chromatography-electrospray ionization tandem mass spectrometry. Geometric mean (GM) concentrations of TCIPP in personal air monitors and glove dosimeters collected from SPF applicators, 294.7 μg/m 3 and 18.8 mg/pair respectively. Overall, GM concentrations of the two TCIPP urinary biomarkers BCIPP and BCIPHIPP and (6.2 and 88.8 μg/mL) were 26-35 times higher than reported in the general population. Post-shift levels of TCIPP biomarkers were higher than pre-shift even though workers at insulation sites wore supplied air respirators, gloves and coveralls. The urinary biomarkers for the other PFRs were not elevated post shift. Concentrations of TCIPP on glove dosimeters were positively associated with post-shift urinary TCIPP biomarkers (p < 0.05) whereas concentrations in personal air samples were not. High levels of urinary biomarkers for TCIPP among SPF applicators, including post-shift, points to absorption of TCIPP during the work shift, in spite of the use of best industry exposure control practices. Dermal exposure appears to be an important, if not the primary exposure pathway for TCIPP, although inhalation or incidental ingestion of foam particles post-SPF application cannot be ruled out in this pilot study. Copyright © 2018 Elsevier Ltd. All rights reserved.

Electrically conductive polymer concrete coatings

DOEpatents

Fontana, J.J.; Elling, D.; Reams, W.

1988-05-26

A sprayable electrically conductive polymer concrete coating for vertical and overhead applications is described. The coating is permeable yet has low electrical resistivity (<10 ohm-cm), good bond strength to concrete substrates, and good weatherability. A preferred formulation contains about 60 wt% calcined coke breeze, 40 wt% vinyl ester resin with 3.5 wt% modified bentonite clay. Such formulations apply evenly and provide enough rigidity for vertical or overhead structures so there is no drip or sag. 4 tabs.

Florida, Bahamas, Cuba and Gulf Stream, USA

NASA Image and Video Library

1992-08-08

This unique photo offers a view of the Florida peninsula, western Bahamas, north central Cuba and the deep blue waters of the Gulf Stream, that hugs the east coast of Florida (27.0N, 82.0W). In addition to being an excellent photograph for showing the geographical relationships between the variety of landforms in this scene, the typical effect of the land-sea breeze is very much in evidence as few clouds over water, cumulus build up over landmass.

Internet-Based Cognitive Behavioral Therapy Effects on Depressive Cognitions and Brain Function

DTIC Science & Technology

2014-03-01

differentiates deficit and nondeficit schizophrenia. Arch Gen Psychiatry 1999;56:1117-1123. 58. Dougherty DD, Bonab AA, Spencer TJ, Rauch SL, Madras...Koneru VK, Garroway J, Stein N, Rauch SL, Herbert MR, Dietrich ME, Melrose R, Grant PE, Sohma M, Klaviness S, Cohen BM, Seidman LJ, Caviness V, Biederman...2005;57(9):1011-9. 116. Frazier JA, Breeze JL, Makris N, Giuliano AS, Herbert MR, Seidman L, Biederman J, Hodge SM, Dieterich ME, Gerstein E

Diurnal Sea Breeze Effects on Nearshore Temperature Variability in Southern Monterey Bay

DTIC Science & Technology

2017-12-01

from multi-year, single-location measurements of the velocity profiles (Fewings et al. 2008; Lentz et al. 2008; Hendrickson and MacMahan 2009) to...shorter O(0-2 months) experiments with multi-location moorings (Hally- Rosendahl et al. 2015; Reniers et al. 2009). Direct approaches for accounting for...zone (~5m). Two cross-shore arrays were deployed to account for the spatial heterogeneity of cross- shore flows associated with rip currents on the

The Relationship Between Sea Breeze Forcing and HF Radar-Derived Surface Currents in Monterey Bay

DTIC Science & Technology

2014-06-01

the ocean wave backscattering the radar signal is one half the radar’s wavelength (Neal 1992). This process is called Bragg scattering (Barrick 1977...transmit frequency of radar is important because it helps us to figure out the length of the ocean waves and backscattered radar wavelength (Harlan et al...Representation of some remote sensing methods exploiting signals backscattered from the sea surface (from Shearman 1981). 7 HF radars have many advantages

Optical and Radio Frequency Refractivity Fluctuations from High Resolution Point Sensors: Sea Breezes and Other Observations

DTIC Science & Technology

2007-03-01

velocity and direction along with vertical velocities are derived from the measured time of flight for the ultrasonic signals (manufacture’s...data set. To prevent aliasing a wave must be sample at least twice per period so the Nyquist frequency is sn ff 2 = . 3. Sampling Requirements...an order of magnitude or more. To refine models or conduct climatologically studies for Cn2 requires direct measurements to identify the underlying

Model study of meteorology and photochemical air pollution over un urban area in south-eastern France (ESCOMPTE campaign).

NASA Astrophysics Data System (ADS)

Taghavi, M.; Cautenet, S.

2003-04-01

The ESCOMPTE Campaign has been conducted over Southern France (Provence region including the Marseille, Aix and Toulon cities and the Fos-Berre industrial center) in June and July of 2001. In order to study the redistribution of the pollutants emitted by anthropic and biogenic emissions and their impact on the atmospheric chemistry, we used meso-scale modeling (RAMS model, paralleled version 4.3, coupled on line with chemical modules : MOCA2.2 (Poulet et al, 2002) including 29 gaseous species). The hourly high resolution emissions were obtained from ESCOMPTE database (Ponche et al, 2002). The model was coupled with the dry deposition scheme (Walmsley and Weseley,1996). In this particular case of complex circulation (sea breeze associated with topography), the processes involving peaks of pollution were strongly non linear, and the meso scale modeling coupled on line with chemistry module was an essential step for a realistic redistribution of chemical species. Two nested grids satisfactorily describe the synoptic dynamics and the sea breeze circulations. The ECMWF meteorological fields provide the initial and boundary conditions. Different events characterized by various meteorological situations were simulated. Meteorological fields retrieved by modeling, also Modeled ozone, NOx, CO and SO2 concentrations, were compared with balloons, lidars, aircrafts and surface stations measurements. The chemistry regimes were explained according to the distribution of plumes. The stratified layers were examined.

Spatial and temporal variability of PM levels and composition in a complex summer atmospheric scenario in Barcelona (NE Spain)

NASA Astrophysics Data System (ADS)

Viana, M.; Pérez, C.; Querol, X.; Alastuey, A.; Nickovic, S.; Baldasano, J. M.

Summer atmospheric coastal dynamics exert a significant influence on the levels and composition of atmospheric particulate matter (PM) in the North-Eastern Iberian Peninsula. Summer atmospheric scenarios in this region present a high degree of complexity as they are characterised by the absence of synoptic-scale air mass advections, the development of breeze circulations, enhanced photochemistry, local mineral dust re-suspension and the occurrence of African dust outbreaks. Three sampling sites were selected in Barcelona (NE Spain), an urban coastal site surrounded by complex topography. Regional dust modelling (DREAM) and high resolution meteorological modelling (MM5) were used to interpret PM levels and composition at the three sites. The results outline the effect of breeze dynamics and thermal internal boundary layer formation as the main meteorological drivers of the hourly evolution of PM levels. Levels of crustal components, secondary inorganic and carbon species are higher during the night, and only the marine aerosol content is higher during the day. Nitrate levels are higher during the night due to the thermal stability on NH 4NO 3. Sulphate levels are higher during the night as a consequence of the drainage flows. Lidar measurements and model results signalled the occurrence of two African dust episodes during the study period which mainly affected the free troposphere over Barcelona.

Relation between aerosol sources and meteorological parameters for inhalable atmospheric particles in Sao Paulo City, Brazil

NASA Astrophysics Data System (ADS)

Andrade, Fatima; Orsini, Celso; Maenhaut, Willy

Stacked filter units were used to collect atmospheric particles in separate coarse and fine fractions at the Sao Paulo University Campus during the winter of 1989. The samples were analysed by particle-induced X-ray emission (PIXE) and the data were subjected to an absolute principal component analysis (APCA). Five sources were identified for the fine particles: industrial emissions, which accounted for 13% of the fine mass; emissions from residual oil and diesel, explaining 41%; resuspended soil dust, with 28%; and emissions of Cu and of Mg, together with 18%. For the coarse particles, four sources were identified: soil dust, accounting for 59% of the coarse mass; industrial emissions, with 19%; oil burning, with 8%; and sea salt aerosol, with 14% of the coarse mass. A data set with various meteorological parameters was also subjected to APCA, and a correlation analysis was performed between the meteorological "absolute principal component scores" (APCS) and the APCS from the fine and coarse particle data sets. The soil dust sources for the fine and coarse aerosol were highly correlated with each other and were anticorrelated with the sea breeze component. The industrial components in the fine and coarse size fractions were also highly positively correlated. Furthermore, the industrial component was related with the northeasterly wind direction and, to a lesser extent, with the sea breeze component.

Modelling study of sea breezes in a complex coastal environment

NASA Astrophysics Data System (ADS)

Cai, X.-M.; Steyn, D. G.

This study investigates a mesoscale modelling of sea breezes blowing from a narrow strait into the lower Fraser valley (LFV), British Columbia, Canada, during the period of 17-20 July, 1985. Without a nudging scheme in the inner grid, the CSU-RAMS model produces satisfactory wind and temperature fields during the daytime. In comparison with observation, the agreement indices for surface wind and temperature during daytime reach about 0.6 and 0.95, respectively, while the agreement indices drop to 0.4 at night. In the vertical, profiles of modelled wind and temperature generally agree with tethersonde data collected on 17 and 19 July. The study demonstrates that in late afternoon, the model does not capture the advection of an elevated warm layer which originated from land surfaces outside of the inner grid. Mixed layer depth (MLD) is calculated from model output of turbulent kinetic energy field. Comparison of MLD results with observation shows that the method generates a reliable MLD during the daytime, and that accurate estimates of MLD near the coast require the correct simulation of wind conditions over the sea. The study has shown that for a complex coast environment like the LFV, a reliable modelling study depends not only on local surface fluxes but also on elevated layers transported from remote land surfaces. This dependence is especially important when local forcings are weak, for example, during late afternoon and at night.

Rockot-an available launch system for affordable access to space

NASA Astrophysics Data System (ADS)

de Vries, U.; Kinnersley, M.; Freeborn, P.

2000-01-01

The Rockot launcher will perform its fifth launch, the first commercial launch, in Spring 2000 from the Plesetsk Cosmodrome in Northern Russia carrying two American satellites into a LEO orbit. In preparation for that a launch pad verification flight will be carried out in November this year to prove the functionality of the adapted facilities at the Plesetsk launch site and by placing a Russian satellite into a highly inclined orbit. The results of the launches will be described in detail in the paper as well as the installations at the launch site. Eurockot, the German-Russian joint-venture company marketing and managing the Rockot launch vehicle is meanwhile an integral part of the space launch community. Eurockot was formed by DaimlerChrysler Aerospace and Khrunichev State Research and Production Space Center. A brief overview of its activities, the commercial program and the performance/services offered by Eurockot is presented. Rockot can launch satellites weighing up to 1850 kg into polar or other low earth orbits (LEO). The Rockot launch vehicle is based on the former Russian SS-19 strategic missile. The first and second stages are inherited from the SS-19, the third stage Breeze which has already been developed has multiple ignition capability. The Breeze upper stage is under production at Khrunichev in Moscow. The Rockot launch system is flight proven and is operated from the Plesetsk as well as from the Baikonur launch site. .

Strategies to assist uptake of pelvic floor muscle training for people with urinary incontinence: A clinician viewpoint.

PubMed

Slade, Susan C; Hay-Smith, Jean; Mastwyk, Sally; Morris, Meg E; Frawley, Helena

2018-05-24

The experiences and information needs of clinicians who use pelvic floor muscle training to manage urinary incontinence were explored. Qualitative methods were used to conduct thematic analysis of data collected from clinician focus groups and interviews. Participants were registered physiotherapists and continence nurses in Melbourne, Australia. Recruitment was through a combination of purposive and "snowball" sampling and continued until data adequacy was reached. Twenty-eight physiotherapists and one continence nurse participated in seven focus groups and one interview. The main finding communicated by the participants was that pelvic floor muscle training requires comprehensive descriptions of program details in order for clinicians to implement evidence-based interventions. The following themes were identified: (1) pelvic floor muscle training tailored to the needs of each individual is essential; (2) training-specific cues and verbal prompts assist patients to learn and engage with exercises; and (3) clinicians can benefit from research summaries and reports that provide explicit and comprehensive descriptions and decision rules about intervention content and progression. The data indicated that some clinicians can have difficulty interpreting and applying research findings because it is not always well reported. Clinicians who use pelvic floor muscle training to treat urinary incontinence advised can benefit from accessing explicit details of interventions tested in research and reported as effective. They viewed tailoring therapy to individual goals and the use of verbal prompts and visualization cues as important engagement strategies for effective exercise performance. Explicit reporting could be facilitated by using an exercise guideline template, such as the Consensus on Exercise Reporting Template (CERT). © 2018 Wiley Periodicals, Inc.

The use of Mechanical Diagnosis and Therapy (MDT) in patients with lower urinary tract symptoms (LUTS): case series.

PubMed

Wu, Di; Rosedale, Richard

2018-02-26

Lower urinary tract symptoms (LUTS) are highly prevalent among men over the age of 40. Even though associations between lumbar spine conditions and LUTS have been documented in the literature, no studies have detailed a specific lumbar assessment and classification process, and the related treatment effects in patients with LUTS. In this case series, we present three male patients with LUTS as primary complaints, who were evaluated and treated with Mechanical Diagnosis and Therapy (MDT) for the lumbar spine. The duration of their symptoms was between 4 months and 7 years. Urogenital pathologies were ruled out for all patients. The Chronic Prostatitis Symptom Index was used as a functional outcome measure. All patients were classified as having lumbar derangements. Treatment of derangements with directional preference exercises resulted in the improvement of their LUTS, with clinically significant improvements (56.0%-77.4%) in functional outcome measures over an average of six sessions. Preliminary indications suggest that these LUTS cases may possibly have had a lumbar spine origin and "mechanical" nature. Therefore, they may be within the scope of MDT assessments and interventions. With careful monitoring of symptoms, MDT may serve as a screening tool and conservative treatment option.

A Comparison of Modeled and Observed Ocean Mixed Layer Behavior in a Sea Breeze Influenced Coastal Region

DTIC Science & Technology

1993-12-21

Latent(Lower Solid), Net Infrared (Dashed), and Net viii Heat Loss (Upper Solid - the Other 3 Surmmed) are Plotted, with Positive Values :ndicating...gained from solar insolation, Qs, and the heat lost from the surface due to latent, Qe, sensible, Qh, and net infrared radiation, Qb is positive...five empirically derived dimensionless constants in the model. With the introduction of two new unknowns, <E> and < ww2 >, the prediction of the upper

A Model for Predicting Cognitive and Emotional Health from Structural and Functional Neurocircuitry Following Traumatic Brain Injury

DTIC Science & Technology

2015-10-01

of flowers or the smell of a fresh sea breeze or freshly baked bread. ................................ Strongly Disagree Disagree Agree Strongly...Score I. Four-Wheeled Ship BUS Bike Train 2. Dining Items SPOON Pan Bowl Can Opener 3. Clothing Jump Rope Ball SHOES Crayons 4. Fruits BANANA Bean...Love-Hate 14. TV-Newspaper 15. Smooth-Rough 16. Shoulder-Ankle 17. Sit-Run 18. Child-Adult 19. Steam-Cloud • 20 . .’, Bird~ Flower 21. 1 22 .. J

A Regional Real-time Forecast of Marine Boundary Layers During VOCALS-REx

DTIC Science & Technology

2011-01-01

Condensation Nuclei) concentration pro- motes more precipitation, leading to the destruction and structural change of the clouds (e.g., Stevens et al...and Muñoz, 2004), investigations of cloud and dynamic pro- cesses in case studies (Mocko and Cotton , 1995; Mechem and Kogan, 2003; Thompson et al...land breeze, Geophys. Res. Lett., 32, L05605, doi:10.1029/2004GL022139, 2005. Golaz, J.-C., Larson, V. E., and Cotton ,W. R: A PDF-based model for

Bridging the Gap.

PubMed

Webb, Michele

2016-01-01

The view from the top of Hoover Dam looking south over the Colorado River was breathtaking! My friend and I stood there in silence, taking it all in. I had visited Hoover Dam on many occasions, but this visit was the first time I had seen the arch bridge that carries US Route 93 over the river and joins Nevada and Arizona states. It was a beautiful day, the temperature was perfect, and there was a slight breeze coming from Lake Mead behind us as we took in the view.

Determination of Spin Axis Orientation of Geosynchronous Objects Using Space-Based Sensors: An Initial Feasibility Investigation

DTIC Science & Technology

2010-09-01

increased rate of satellite launches over time , and on-orbit incidents such as the Breeze-M explosion in 2007 and the Iridium 33-Cosmos 2251...respect to the observer. The reason that the synodic and sidereal periods differ is that during the time it takes for the satellite to complete one...take ~2 hours to traverse the region, allowing time to collect an uninterrupted sequence of photometry on the objects despite the need for NEOSSat to

The C-reactive protein.

PubMed

Clyne, B; Olshaker, J S

1999-01-01

C-reactive protein (CRP) was identified in 1930 and was subsequently considered to be an "acute phase protein," an early indicator of infectious or inflammatory conditions. Since its discovery, CRP has been studied as a screening device for inflammation, a marker for disease activity, and as a diagnostic adjunct. Improved methods of quantifying CRP have led to increased application to clinical medicine. In the emergency department (ED), CRP must be interpreted in the clinical context; no single value can be used to rule in or rule out a specific diagnosis. We conclude that CRP has limited utility in the ED. It may be a useful adjunct to serial examinations in equivocal presentations of appendicitis in those centers without ready access to computed tomography (CT) scan. It may be elevated with complications or treatment failures in patients with pneumonia, pancreatitis, pelvic inflammatory disease (PID), and urinary tract infections. In patients with meningitis, neonatal sepsis, and occult bacteremia, CRP is usually elevated. However, CRP has no role in diagnosing these clinical entities, and a normal CRP level should never delay antibiotic coverage.

A decision-support system for the analysis of clinical practice patterns.

PubMed

Balas, E A; Li, Z R; Mitchell, J A; Spencer, D C; Brent, E; Ewigman, B G

1994-01-01

Several studies documented substantial variation in medical practice patterns, but physicians often do not have adequate information on the cumulative clinical and financial effects of their decisions. The purpose of developing an expert system for the analysis of clinical practice patterns was to assist providers in analyzing and improving the process and outcome of patient care. The developed QFES (Quality Feedback Expert System) helps users in the definition and evaluation of measurable quality improvement objectives. Based on objectives and actual clinical data, several measures can be calculated (utilization of procedures, annualized cost effect of using a particular procedure, and expected utilization based on peer-comparison and case-mix adjustment). The quality management rules help to detect important discrepancies among members of the selected provider group and compare performance with objectives. The system incorporates a variety of data and knowledge bases: (i) clinical data on actual practice patterns, (ii) frames of quality parameters derived from clinical practice guidelines, and (iii) rules of quality management for data analysis. An analysis of practice patterns of 12 family physicians in the management of urinary tract infections illustrates the use of the system.

Sea-town interactions over Marseille: 3D urban boundary layer and thermodynamic fields near the surface

NASA Astrophysics Data System (ADS)

Lemonsu, A.; Pigeon, G.; Masson, V.; Moppert, C.

2006-02-01

3D numerical simulations with the Meso-NH atmospheric model including the Town Energy Balance urban parameterization, are conducted over the south-east of France and the one million inhabitants city of Marseille in the frameworks of the ESCOMPTE-UBL program. The geographic situation of the area is relatively complex, because of the proximity of the Mediterranean Sea and the presence of numerous massifs, inducing complex meteorological flows. The present work is focused on six days of the campaign, characterized by the development of strong summer sea-breeze circulations. A complete evaluation of the model is initially realized at both regional- and city-scales, by using the large available database. The regional evaluation shows a good behavior of the model, during the six days of simulation, either for the parameters near the surface or for the vertical profiles describing the structure of the atmosphere. The urban-scale evaluation indicates that the fine structure of the horizontal fields of air temperature above the city is correctly simulated by the model. A specific attention is then pointed to the 250-m horizontal resolution outputs, focused on the Marseille area, for two days of the campaign. From the study of the vertical structure of the Urban Boundary Layer and the thermodynamic fields near the surface, one underscores the important differences due to the regional and local flows, and the complex interactions that occur between the urban effects and the effects of sea breezes.

Helicity in the atmospheric boundary layer

NASA Astrophysics Data System (ADS)

Kurgansky, Michael; Koprov, Boris; Koprov, Victor; Chkhetiani, Otto

2017-04-01

An overview is presented of recent direct field measurements at the Tsimlyansk Scientific Station of A.M. Obukhov Institute of Atmospheric Physics in Moscow of turbulent helicity (and potential vorticity) using four acoustic anemometers positioned, within the atmospheric surface-adjacent boundary layer, in the vertices of a rectangular tetrahedron, with an approximate 5 m distance between the anemometers and a 5.5 m elevation of the tetrahedron base above the ground surface (Koprov, Koprov, Kurgansky and Chkhetiani. Izvestiya, Atmospheric and Oceanic Physics, 2015, Vol.51, 565-575). The same ideology was applied in a later field experiment in Tsimlyansk with the tetrahedron's size of 0.7 m and variable elevation over the ground from 3.5 to 25 m. It is illustrated with examples of the statistical distribution of instantaneous (both positive and negative) turbulent helicity values. A theory is proposed that explains the measured mean turbulent helicity sign, including the sign of contribution to helicity from the horizontal and vertical velocity & vorticity components, respectively, and the sign of helicity buoyant production term. By considering a superposition of the classic Ekman spiral solution and a jet-like wind profile that mimics a shallow breeze circulation over a non-uniformly heated Earth surface, a possible explanation is provided, why the measured mean turbulent helicity sign is negative. The pronounced breeze circulation over the Tsimlyansk polygon which is located nearby the Tsimlyansk Reservoir was, indeed, observed during the measurements period. Whereas, essentially positive helicity is injected into the boundary layer from the free atmosphere in the Northern Hemisphere.

The effect of local circulations on the variation of atmospheric pollutants in the northwestern Taiwan

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

Pay-Liam Lin; Hsin-Chih Lai

1996-12-31

A field experiment was held in the northwestern Taiwan as a part of a long-term research program for studying Taiwan`s local circulation. The program has been named as Taiwan Regional-circulation Experiment (TREX). The particular goal of this research is to investigate characteristics of boundary layer and local Circulation and their impact on the distribution and Variation of pollutants in the northwestern Taiwan during Mei-Yu season. It has been known for quite sometime that land-sea breeze is very pronounced under hot and humid conditions. Extensive network includes 11 pilot ballon stations, 3 acoustic sounding sites, and 14 surface stations in aboutmore » 20 km by 20 km area centered at National Central University, Chung-Li. In addition, there are ground temperature measurements at 3 sites, Integrated Sounding System (ISS) at NCU, air plane observation, tracer experiment with 10 collecting stations, 3 background upper-air sounding stations, 2 towers etc. NOAA and GMS satellite data, sea surface temperature radar, and precipitation data are collected. The local circulations such as land/sea breezes and mountain/valley winds, induced by thermal and topographical effects often play an important role in transporting, redistributing and transforming atmospheric pollutants. This study documents the effects of the development of local circulations and the accompanying evolution of boundary layer on the distribution and the variation of the atmospheric pollutants in the north western Taiwan during Mei-Yu season.« less

High-resolution modeling of local air-sea interaction within the Marine Continent using COAMPS

NASA Astrophysics Data System (ADS)

Jensen, T. G.; Chen, S.; Flatau, M. K.; Smith, T.; Rydbeck, A.

2016-12-01

The Maritime Continent (MC) is a region of intense deep atmospheric convection that serves as an important source of forcing for the Hadley and Walker circulations. The convective activity in the MC region spans multiple scales from local mesoscales to regional scales, and impacts equatorial wave propagation, coupled air-sea interaction and intra seasonal oscillations. The complex distribution of islands, shallow seas with fairly small heat storage and deep seas with large heat capacity is challenging to model. Diurnal convection over land-sea is part of a land-sea breeze system on a small scale, and is highly influenced by large variations in orography over land and marginal seas. Daytime solar insolation, run-off from the Archipelago and nighttime rainfall tends to stabilize the water column, while mixing by tidal currents and locally forced winds promote vertical mixing. The runoff from land and rivers and high net precipitation result in fresh water lenses that enhance vertical stability in the water column and help maintain high SST. We use the fully coupled atmosphere-ocean-wave version of the Coupled Ocean-Atmosphere Mesoscale Prediction System (COAMPS) developed at NRL with resolution of a few kilometers to investigate the air-sea interaction associated with the land-sea breeze system in the MC under active and inactive phases of the Madden-Julian Oscillation. The high resolution enables simulation of strong SST gradients associated with local upwelling in deeper waters and strong salinity gradients near rivers and from heavy precipitation.

Observational study of atmospheric surface layer and coastal weather in northern Qatar

NASA Astrophysics Data System (ADS)

Samanta, Dhrubajyoti; Sadr, Reza

2016-04-01

Atmospheric surface layer is the interaction medium between atmosphere and Earth's surface. Better understanding of its turbulence nature is essential in characterizing the local weather, climate variability and modeling of turbulent exchange processes. The importance of Middle East region, with its unique geographical, economical and weather condition is well recognized. However, high quality micrometeorological observational studies are rare in this region. Here we show experimental results from micrometeorological observations from an experimental site in the coastal region of Qatar during August-December 2015. Measurements of winds are obtained from three sonic anemometers installed on a 9 m tower placed at Al Ghariyah beach in northern Qatar (26.08 °N, 51.36 °E). Different surface layer characteristics is analyzed and compared with earlier studies in equivalent weather conditions. Monthly statistics of wind speed, wind direction, temperature, humidity and heat index are made from concurrent observations from sonic anemometer and weather station to explore variations with surface layer characteristics. The results also highlights potential impact of sea breeze circulation on local weather and atmospheric turbulence. The observed daily maximum temperature and heat index during morning period may be related to sea breeze circulations. Along with the operational micrometeorological observation system, a camera system and ultrasonic wave measurement system are installed recently in the site to study coastline development and nearshore wave dynamics. Overall, the complete observational set up is going to provide new insights about nearshore wind dynamics and wind-wave interaction in Qatar.

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

Yang, Yan; Fan, Jiwen; Leung, L. Ruby

Significant reduction in precipitation in the past decades has been documented over many mountain ranges such as those in central and eastern China. Consistent with the increase of air pollution in these regions, it has been argued that the precipitation trend is linked to aerosol microphysical effect on suppressing warm rain. Rigorous quantitative investigations on the reasons responsible for the precipitation reduction are lacking. Here in this study, we employed an improved Weather Research and Forecasting (WRF) model with online coupled chemistry (WRF-Chem) and conducted simulations at the convection-permitting scale to explore the major mechanisms governing changes in precipitation frommore » orographic clouds in the Mountain (Mt.) Hua area in Central China. We find that anthropogenic pollution contributes to a ~ 40% reduction of precipitation over Mt. Hua during the one-month summer time period. The reduction is mainly associated with precipitation events associated with valleymountain circulation and a mesoscale cold front event. In this Part I paper, we scrutinize the mechanism leading to significant reduction for the cases associated with valley-mountain circulation. We find that the valley breeze is weakened by aerosols due to absorbing aerosol induced warming aloft and cooling near the surface as a result of aerosol-radiation interaction (ARI). The weakened valley breeze along with reduced water vapor in the valley due to reduced evapotranspiration as a result of surface cooling significantly reduce the transport of water vapor from the valley to mountain and the relative humidity over the mountain, thus suppressing convection and precipitation in the mountain.« less

A TRMM-Calibrated Infrared Technique for Convective and Stratiform Rainfall: Analysis and Validation

NASA Technical Reports Server (NTRS)

Negri, Andrew; Starr, David OC. (Technical Monitor)

2001-01-01

A satellite infrared technique with passive microwave calibration has been developed for estimating convective and stratiform rainfall. The Convective-Stratiform Technique, calibrated by coincident, physically retrieved rain rates from the TRMM Microwave Imager (TMI), has been applied to 30 min interval GOES infrared data and aggregated over seasonal and yearly periods over northern South America. The diurnal cycle of rainfall, as well as the division between convective and stratiform rainfall is presented. For the period Jan-April 1999, analysis revealed significant effects of local circulations (river breeze, land/sea breeze, mountain/valley) on both the total rainfall and it's diurnal cycle. Results compared well (a one-hour lag) with the diurnal cycle derived from TOGA radar-estimated rainfall in Rondonia. The satellite estimates revealed that the convective rain constituted 24% of the rain area while accounting for 67% of the rain volume. Estimates of the diurnal cycle (both total rainfall and convective/stratiform) for an area encompassing the Amazon Basin (3 x 10(exp 6) sq km) were in phase with those from the TRMM Precipitation Radar, despite the latter's limited sampling. Results will be presented comparing the yearly (2000) diurnal cycle for large regions (including the Amazon Basin), and an intercomparison of January-March estimates for three years, (1999-2001). We hope to demonstrate the utility of using the TRMM PR observations as verification for infrared estimates of the diurnal cycle, and as verification of the apportionment of rainfall into convective and stratiform components.

A TRMM-Calibrated Infrared Technique for Convective and Stratiform Rainfall: Analysis and Validation

NASA Technical Reports Server (NTRS)

Negri, Andrew; Starr, David OC. (Technical Monitor)

2001-01-01

A satellite infrared technique with passive microwave calibration has been developed for estimating convective and stratiform. rainfall. The Convective-Stratiform Technique, calibrated by coincident, physically retrieved rain rates from the TRMM Microwave Imager (TMI), has been applied to 30 min interval GOES infrared data and aggregated over seasonal and yearly periods over northern South America. The diurnal cycle of rainfall, as well as the division between convective and stratiform rainfall is presented. For the period Jan-April 1999, analysis revealed significant effects of local circulations (river breeze, land/sea breeze, mountain/valley) on both the total rainfall and it's diurnal cycle. Results compared well (a one-hour lag) with the diurnal cycle derived from TOGA radar-estimated rainfall in Rondonia. The satellite estimates revealed that the convective rain constituted 24% of the rain area while accounting for 67% of the rain volume. Estimates of the diurnal cycle (both total rainfall and convective/stratiform) for an area encompassing the Amazon Basin (3 x 10(exp 6) square km) were in phase with those from the TRMM Precipitation Radar, despite the latter's limited sampling. Results will be presented comparing the yearly (2000) diurnal cycle for large regions (including the Amazon Basin), and an intercomparison of January-March estimates for three years, 1999-2001. We hope to demonstrate the utility of using the TRMM PR observations as verification for infrared estimates of the diurnal cycle, and as verification of the apportionment of rainfall into convective and stratiform components.

Convection anomalies associated with warm eddy at the coastal area

NASA Astrophysics Data System (ADS)

Shi, R.; Wang, D.

2017-12-01

A possible correlation between a warm eddy and thunderstorms and convective precipitations are investigated at the coastal area in the northwestern South China Sea. Compared to the climatological mean in August from 2006 to 2013, an extreme enhancement of thunderstorm activities and precipitation rate are identified at the southern offshore area of Hainan island in August 2010 when a strong and long-live warm eddy was observed near the coastline at the same time. The 3 hourly satellite data (TRMM) indicate that the nocturnal convections is strong offshore and that could be responsible for the extreme positive anomalies of thunderstorms and rainfall in August 2010. The TRMM data also show a small reduction of thunderstorm activities and rainfall on the island in the afternoon. Meanwhile, the Weather Research and Forecasting (WRF) model was applied to simulate the change of rainfall in August 2010. The WRF simulation of rainfall rate is comparable with the observation results while there is some difference in the spatial distribution. The WRF simulation successfully captured the strong offshore rainfall and the diurnal variation of rainfall in August 2010. The WRF simulation indicated that the different convergence induced by sea/land breeze could be one essential reason for the adjustment of thunderstorms and rainfall in 2010. The substantial connection between sea/land breeze and upper layer heat content modified by the warm eddy is still on ongoing and will be reported in the future work.

Influence of technique and manipulation on self-adhesive resin cements used to cement intraradicular posts.

PubMed

Shiratori, Fábio Kenji; Valle, Accácio Lins do; Pegoraro, Thiago Amadei; Carvalho, Ricardo Marins; Pereira, Jefferson Ricardo

2013-07-01

Resin cements are widely used to cement intraradicular posts, but bond strength is significantly influenced by the technique and material used for cementation. The purpose of this study was to evaluate the bond strength of 3 self-adhesive cements used to cement intraradicular glass fiber posts. The cements all required different application and handling techniques. Forty-five human maxillary canines were selected and randomly divided into 3 groups n= 15 by drawing lots: Group BIS - Biscem, Group BRE - Breeze, and Group MAX - Maxcem. Each group was divided into 3 subgroups according to application and handling techniques: Sub-group A - Automix/Point tip applicator, Sub-group L - Handmix/Lentulo, and Sub-group C - Handmix/Centrix. Cementation of the posts was performed according to the manufacturers' instructions. The push-out test was performed with a crosshead speed of 0.5 mm/min, and bond strength was expressed in megapascals. The results were evaluated by 2-way ANOVA and the all pairwise multiple comparison procedures (Tukey test) (α=.05). Breeze cement showed the highest average for the subgroups A, L, and C when compared to the Biscem cement and Maxcem Elite (P<.05). Statistically significant differences among the subgroups were only observed for Biscem. This study shows that application and handling techniques may influence the bond strength of different self-adhesive cements when used for intraradicular post cementation. Copyright © 2013 The Editorial Council of the Journal of Prosthetic Dentistry. Published by Mosby, Inc. All rights reserved.

Near-inertial motions in the Brazil Current at 24°S-36°S: Observations by satellite tracked drifters

NASA Astrophysics Data System (ADS)

Assireu, Arcilan T.; Dauhut, Thibaut; dos Santos, Francisco A.; Lorenzzetti, João A.

2017-08-01

Increased spatial and temporal resolution of recent observations and modeling have pointed out the importance of small scale structures (in the range of 1-50 km) for the mixing processes in the ocean. Based on high-frequency drifter measurements, we show here that the near-inertial currents (NICs) can contribute significantly to the surface kinetic energy in the Brazil Current (BC) region and, therefore, should be properly taken into account in the studies of transport and mixing processes. To characterize these submesoscale features, we examine the current response to the wind forcing in the Brazilian ocean margin between 24°S and 36°S using 3-hourly sampled trajectories of satellite-tracked drifters. Our results indicate a preference for anti-cyclonic circular motions, with a rotating period close to the local inertial period, consistent with near-inertial motions in the Southern Hemisphere (SH). Wind stress time series, from three months of wind measurements, along with synoptic weather charts, are used to relate the observed NICs to the atmospheric forcing. During SH spring, NICs occur in 4.7-15 day bursts and account for 15-45% of the total surface current variance. This intermittency is related to atmospheric cold frontal passages, low pressure systems, and sea breeze/land breeze circulations. The predominance of NICs south of 28°S appears to be related to the increased Effective Inertial Frequency (EIF), which is the inertial frequency changed by the sub-inertial background flow.

Is biochemical screening for pheochromocytoma in adrenal incidentalomas expressing low unenhanced attenuation on computed tomography necessary?

PubMed

Sane, T; Schalin-Jäntti, C; Raade, M

2012-06-01

Pheochromocytomas are characterized by a high attenuation value on unenhanced computed tomography (CT). It is not known whether pheochromocytoma could be ruled out as a cause of adrenal incidentalomas on the basis of unenhanced attenuation values only. We retrospectively evaluated the outcome of routine biochemical screening for pheochromocytoma in a series of adrenal incidentalomas in relationship to the unenhanced attenuation values on CT. An unenhanced CT was available in 174 of 184 patients with 214 adrenal incidentalomas. All patients were screened for pheochromocytoma with 24-h urinary metanephrines and normetanephrines and for hypercortisolism (1 mg dexamethasone test and ACTH). Hypertensive patients were screened for aldosterone overproduction (aldosterone to renin ratio and 24 h urinary aldosterone). The results were compared between incidentalomas with high [≥10 Hounsfield units (HU)] and low (<10 HU) unenhanced attenuation values. One hundred forty-six incidentalomas in 115 patients had an unenhanced HU less than 10. None of these patients had elevated 24-h fractionated urinary metanephrines or normetanephrines suggesting pheochromocytoma. Sixty-eight incidentalomas in 59 patients had an unenhanced HU of 10 or greater, and nine (15.2%) of these patients had surgically and histologically verified pheochromocytoma. Incidentalomas with a HU of 10 or greater were significantly larger (2.6 ± 1.5 vs. 2.3 ± 1.2 cm; P < 0.001), more often functional (27.9 vs. 8.9%, P < 0.001), and more often operated (44.1 vs. 10.2%; P < 0.001) than those with a Hounsfield unit less than 10. The results of this study indicate that routine biochemical screening of pheochromocytoma in small homogenous adrenal incidentalomas characterized by an unenhanced Hounsfield unit value less than 10 HU may not be necessary.

Combined use of late phase dimercapto-succinic acid renal scintigraphy and ultrasound as first line screening after urinary tract infection in children.

PubMed

Quirino, Isabel G; Silva, Jose Maria P; Diniz, Jose S; Lima, Eleonora M; Rocha, Ana Cristina S; Simões e Silva, Ana Cristina; Oliveira, Eduardo A

2011-01-01

The aim of this study was to evaluate the diagnostic accuracy of dimercapto-succinic acid renal scintigraphy and renal ultrasound in identifying high grade vesicoureteral reflux in children after a first episode of urinary tract infection. A total of 533 children following a first urinary tract infection were included in the analysis. Patients were assessed by 3 diagnostic imaging studies, renal ultrasound, dimercapto-succinic acid scan and voiding cystourethrography. The main event of interest was the presence of high grade (III to V) vesicoureteral reflux. The combined and separate diagnostic accuracy of screening methods was assessed by calculation of diagnostic OR, sensitivity, specificity, positive predictive value, negative predictive value and likelihood ratio. A total of 246 patients had reflux, of whom 144 (27%) had high grade (III to V) disease. Sensitivity, negative predictive value and diagnostic OR of ultrasound for high grade reflux were 83.3%, 90.8% and 7.9, respectively. Dimercapto-succinic acid scan had the same sensitivity as ultrasound but a higher negative predictive value (91.7%) and diagnostic OR (10.9). If both tests were analyzed in parallel by using the OR rule, ie a negative diagnosis was established only when both test results were normal, sensitivity increased to 97%, negative predictive value to 97% and diagnostic OR to 25.3. Only 9 children (6.3%) with dilating reflux had an absence of alterations in both tests. Our findings support the idea that ultrasound and dimercapto-succinic acid scan used in combination are reliable predictors of dilating vesicoureteral reflux. Copyright © 2011 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Diagnostic yield of lumbosacral magnetic resonance imaging requested by paediatric urology consultations.

PubMed

Fernández-Ibieta, M; Rojas Ticona, J; Villamil, V; Guirao Piñera, M J; López García, A; Zambudio Carmona, G

2017-11-01

In the historical series, the diagnostic yield of lumbosacral magnetic resonance imaging to rule out occult spinal dysraphism (or occult myelodysplasia), requested by paediatric urology, ranged from 2% to 15%. The aim of this study was to define our cost-effectiveness in children with urinary symptoms and to define endpoints that increase the possibility of finding occult spinal dysraphism. A screening was conducted on patients with urinary dysfunction for whom an magnetic resonance imaging was requested by the paediatric urology clinic, for persistent symptoms after treatment, voiding dysfunction or other clinical or urodynamic findings. We analysed clinical (UTI, daytime leaks, enuresis, voiding dysfunction, urgency, renal ultrasonography, lumbosacral radiography, history of acute urine retention, skin stigma and myalgia) and urodynamic endpoints (hyperactivity or areflexia, voiding dysfunction, interrupted pattern, accommodation value and maximum flow). A univariate analysis was conducted with SPSS 20.0. We analysed 21 patients during the period 2011-2015. The median age was 6 years (3-10). Three patients (14.3%) had occult spinal dysraphism: one spinal lipoma, one filum lipomatosus and one caudal regression syndrome with channel stenosis. The endpoints with statistically significant differences were the myalgias and the history of acute urine retention (66.7% vs. 5.6%, P=.04; OR= 34; 95%CI: 1.5-781 for both endpoints). The diagnostic yield of magnetic resonance imaging requested for children with urinary dysfunctions without skin stigma or neuro-orthopaedic abnormalities is low, although nonnegligible. In this group, the patients with a history of acute urine retention and muscle pain (pain, «cramps») can experience a greater diagnostic yield or positive predictive value. Copyright © 2017 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

Prevalence of urinary tract infection in acutely unwell children in general practice: a prospective study with systematic urine sampling.

PubMed

O'Brien, Kathryn; Edwards, Adrian; Hood, Kerenza; Butler, Christopher C

2013-02-01

Urinary tract infection (UTI) in children may be associated with long-term complications that could be prevented by prompt treatment. To determine the prevalence of UTI in acutely ill children ≤ 5 years presenting in general practice and to explore patterns of presenting symptoms and urine sampling strategies. Prospective observational study with systematic urine sampling, in general practices in Wales, UK. In total, 1003 children were recruited from 13 general practices between March 2008 and July 2010. The prevalence of UTI was determined and multivariable analysis performed to determine the probability of UTI. Out of 597 (60.0%) children who provided urine samples within 2 days, the prevalence of UTI was 5.9% (95% confidence interval [CI] = 4.3% to 8.0%) overall, 7.3% in those < 3 years and 3.2% in 3-5 year olds. Neither a history of fever nor the absence of an alternative source of infection was associated with UTI (P = 0.64; P = 0.69, respectively). The probability of UTI in children aged ≥3 years without increased urinary frequency or dysuria was 2%. The probability of UTI was ≥5% in all other groups. Urine sampling based purely on GP suspicion would have missed 80% of UTIs, while a sampling strategy based on current guidelines would have missed 50%. Approximately 6% of acutely unwell children presenting to UK general practice met the criteria for a laboratory diagnosis of UTI. This higher than previously recognised prior probability of UTI warrants raised awareness of the condition and suggests clinicians should lower their threshold for urine sampling in young children. The absence of fever or presence of an alternative source of infection, as emphasised in current guidelines, may not rule out UTI in young children with adequate certainty.

Nursing process decision support system for urology ward.

PubMed

Hao, Angelica Te-Hui; Wu, Lee-Pin; Kumar, Ajit; Jian, Wen-Shan; Huang, Li-Fang; Kao, Ching-Chiu; Hsu, Chien-Yeh

2013-07-01

We developed a nursing process decision support system (NPDSS) based on three clinical pathways, including benign prostatic hypertrophy, inguinal hernia, and urinary tract stone. NPDSS included six major nursing diagnoses - acute pain, impaired urinary elimination, impaired skin integrity, anxiety, infection risk, and risk of falling. This paper aims to describe the design, development and validation process of the NPDSS. We deployed the Delphi method to reach consensus for decision support rules of NPDSS. A team of nine-member expert nurses from a medical center in Taiwan was involved in Delphi method. The Cronbach's α method was used for examining the reliability of the questionnaire used in the Delphi method. The Visual Basic 6.0 as front-end and Microsoft Access 2003 as back-end was used to develop the system. A team of six nursing experts was asked to evaluate the usability of the developed systems. A 5-point Likert scale questionnaire was used for the evaluation. The sensitivity and specificity of NPDSS were validated using 150 nursing chart. The study showed a consistency between the diagnoses of the developed system (NPDSS) and the nursing charts. The sensitivities of the nursing diagnoses including acute pain, impaired urinary elimination, risk of infection, and risk of falling were 96.9%, 98.1%, 94.9%, and 89.9% respectively; and the specificities were 88%, 49.5%, 62%, and 88% respectively. We did not calculate the sensitivity and specificity of impaired skin integrity and anxiety due to non-availability of enough sample size. NPDSS can help nurses in decision making of nursing diagnoses. Besides, it can help them to generate nursing diagnoses based on patient-specific data, individualized care plans, and implementation within their usual nursing workflow. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Improving the Diagnosis and Treatment of Urinary Tract Infection in Young Children in Primary Care: Results from the DUTY Prospective Diagnostic Cohort Study

PubMed Central

Hay, Alastair D.; Sterne, Jonathan A. C.; Hood, Kerenza; Little, Paul; Delaney, Brendan; Hollingworth, William; Wootton, Mandy; Howe, Robin; MacGowan, Alasdair; Lawton, Michael; Busby, John; Pickles, Timothy; Birnie, Kate; O’Brien, Kathryn; Waldron, Cherry-Ann; Dudley, Jan; Van Der Voort, Judith; Downing, Harriet; Thomas-Jones, Emma; Harman, Kim; Lisles, Catherine; Rumsby, Kate; Durbaba, Stevo; Whiting, Penny; Butler, Christopher C.

2016-01-01

PURPOSE Up to 50% of urinary tract infections (UTIs) in young children are missed in primary care. Urine culture is essential for diagnosis, but urine collection is often difficult. Our aim was to derive and internally validate a 2-step clinical rule using (1) symptoms and signs to select children for urine collection; and (2) symptoms, signs, and dipstick testing to guide antibiotic treatment. METHODS We recruited acutely unwell children aged under 5 years from 233 primary care sites across England and Wales. Index tests were parent-reported symptoms, clinician-reported signs, urine dipstick results, and clinician opinion of UTI likelihood (clinical diagnosis before dipstick and culture). The reference standard was microbiologically confirmed UTI cultured from a clean-catch urine sample. We calculated sensitivity, specificity, and area under the receiver operator characteristic (AUROC) curve of coefficient-based (graded severity) and points-based (dichotomized) symptom/sign logistic regression models, and we then internally validated the AUROC using bootstrapping. RESULTS Three thousand thirty-six children provided urine samples, and culture results were available for 2,740 (90%). Of these results, 60 (2.2%) were positive: the clinical diagnosis was 46.6% sensitive, with an AUROC of 0.77. Previous UTI, increasing pain/crying on passing urine, increasingly smelly urine, absence of severe cough, increasing clinician impression of severe illness, abdominal tenderness on examination, and normal findings on ear examination were associated with UTI. The validated coefficient- and points-based model AUROCs were 0.87 and 0.86, respectively, increasing to 0.90 and 0.90, respectively, by adding dipstick nitrites, leukocytes, and blood. CONCLUSIONS A clinical rule based on symptoms and signs is superior to clinician diagnosis and performs well for identifying young children for noninvasive urine sampling. Dipstick results add further diagnostic value for empiric antibiotic treatment. PMID:27401420

Improving the Diagnosis and Treatment of Urinary Tract Infection in Young Children in Primary Care: Results from the DUTY Prospective Diagnostic Cohort Study.

PubMed

Hay, Alastair D; Sterne, Jonathan A C; Hood, Kerenza; Little, Paul; Delaney, Brendan; Hollingworth, William; Wootton, Mandy; Howe, Robin; MacGowan, Alasdair; Lawton, Michael; Busby, John; Pickles, Timothy; Birnie, Kate; O'Brien, Kathryn; Waldron, Cherry-Ann; Dudley, Jan; Van Der Voort, Judith; Downing, Harriet; Thomas-Jones, Emma; Harman, Kim; Lisles, Catherine; Rumsby, Kate; Durbaba, Stevo; Whiting, Penny; Butler, Christopher C

2016-07-01

Up to 50% of urinary tract infections (UTIs) in young children are missed in primary care. Urine culture is essential for diagnosis, but urine collection is often difficult. Our aim was to derive and internally validate a 2-step clinical rule using (1) symptoms and signs to select children for urine collection; and (2) symptoms, signs, and dipstick testing to guide antibiotic treatment. We recruited acutely unwell children aged under 5 years from 233 primary care sites across England and Wales. Index tests were parent-reported symptoms, clinician-reported signs, urine dipstick results, and clinician opinion of UTI likelihood (clinical diagnosis before dipstick and culture). The reference standard was microbiologically confirmed UTI cultured from a clean-catch urine sample. We calculated sensitivity, specificity, and area under the receiver operator characteristic (AUROC) curve of coefficient-based (graded severity) and points-based (dichotomized) symptom/sign logistic regression models, and we then internally validated the AUROC using bootstrapping. Three thousand thirty-six children provided urine samples, and culture results were available for 2,740 (90%). Of these results, 60 (2.2%) were positive: the clinical diagnosis was 46.6% sensitive, with an AUROC of 0.77. Previous UTI, increasing pain/crying on passing urine, increasingly smelly urine, absence of severe cough, increasing clinician impression of severe illness, abdominal tenderness on examination, and normal findings on ear examination were associated with UTI. The validated coefficient- and points-based model AUROCs were 0.87 and 0.86, respectively, increasing to 0.90 and 0.90, respectively, by adding dipstick nitrites, leukocytes, and blood. A clinical rule based on symptoms and signs is superior to clinician diagnosis and performs well for identifying young children for noninvasive urine sampling. Dipstick results add further diagnostic value for empiric antibiotic treatment. © 2016 Annals of Family Medicine, Inc.

Observations of Urban Heat Island Mitigation in California Coastal Cities due to a Sea Breeze Induced Coastal-Cooling ``REVERSE-REACTION'' to Global Warming

NASA Astrophysics Data System (ADS)

Bornstein, R. D.; Lebassi, B.; Gonzalez, J.

2010-12-01

The study evaluated long-term (1948-2005) air temperatures at over 300 urban and rural sites in California (CA) during summer (June-August, JJA). The aggregate CA results showed asymmetric warming, as daily min temperatures increased faster than daily max temperatures. The spatial distributions of daily max temperatures in the heavily urbanized South Coast and San Francisco Bay Area air basins, however, exhibited a complex pattern, with cooling at low-elevation (mainly urban) coastal-areas and warming at (mainly rural) inland areas. Previous studies have suggested that cooling summer max temperatures in CA were due to increased irrigation, coastal upwelling, or cloud cover. The current hypothesis, however, is that this temperature pattern arises from a “reverse-reaction” to greenhouse gas (GHG) induced global-warming. In this hypothesis, the global warming of inland areas resulted in an increased (cooling) sea breeze activity in coastal areas. That daytime summer coastal cooling was seen in coastal urban areas implies that urban heat island (UHI) warming was weaker than the reverse-reaction sea breeze cooling; if there was no UHI effect, then the cooling would have been even stronger. Analysis of daytime summer max temperatures at four adjacent pairs of urban and rural sites near the inland cooling-warming boundary, however, showed that the rural sites experienced cooling, while the urban sites showed warming due to UHI development. The rate of heat island growth was estimated as the sum of each urban warming rate and the absolute magnitude of the concurrent adjacent rural cooling rate. Values ranged from 0.12 to 0.55 K decade-1, and were proportional to changes in urban population and urban extent. As Sacramento, Modesto, Stockton, and San José have grown in aerial extent (21 to 59%) and population (40 to 118%), part of the observed increased JJA max values could be due to increased daytime UHI-intensity. Without UHI effects, the currently observed JJA SFBA coastal-cooling area might have expanded to include these sites, as the first three are adjacent to rural airport sites that showed cooling max-values due to increased marine influences. In addition, all urbanized sites with decreasing max-values would probably show even larger cooling rates if UHI effects could be removed. Significant societal impacts may result from this observed reverse-reaction to GHG-warming. Possible beneficial effects (especially during periods of UHI growth) include decreased maximum: O3 levels, per-capita energy requirements for cooling, and human thermal-stress levels.

Effect of oral contraceptive agents on nutrients: II. Vitamins.

PubMed

Prasad, A S; Oberleas, D; Moghissi, K S; Stryker, J C; Lei, K Y

1975-04-01

Clinical, biochemical and nutritional data were collected from a large population of women using oral contraceptive agents. Higher incidence of abnormal clinical signs related to malnutrition were observed in the lower (B) as compared to the higher (A) socioeconomic groups, and also in the nonsupplemented groups as compared to the supplemented groups in the B subjects. As a rule the intake of oral contraceptive agent subjects of vitamin A, C, B6 and folic acid did not differ from that of the controls As expected, subjects from the supplemented groups had higher intake of vitamin A, C, B6, thiamin, riboflavin and folic acid, and A groups had higher intake of vitamin C, B6, riboflavin and folic acid. Increased plasma vitamin A and decreased carotene levels were observed in oral contraceptive agent users. In general oral contraceptive agents had little or no effect on plasma ascorbic acid. Urinary excretion of both thiamin and riboflavin in subjects using oral contraceptive agents were lower in A groups. Erythrocyte folate and plasma pyridoxal phosphate was decreased in A groups due to oral contraceptive agents. Subjects who took supplements had higher levels of plasma vitamin A, ascorbic acid and folate. But urinary thiamin and riboflavin were higher only in group A subjects who took supplements.

Challenges at the Intersection of Energy, Economy, Environment, & Security and the Role of the Defense Sector in Addressing Them

DTIC Science & Technology

2011-11-29

economies need in ways that are imperiling  the  climate  its environment needs. 2 The climate - change dimension • Global climate is changing rapidly compared...cloudy & clear • humid & dry • drizzles & downpours • snowfall, snowpack, & snowmelt • breezes, blizzards, tornadoes, & typhoons Climate change means...droughts • heat waves • pest outbreaks • coastal erosion • coral bleaching events • power of typhoons & hurricanes • geographic range of tropical pathogens

Air Quality Procedures for Civilian Airports and Air Force Bases

DTIC Science & Technology

1982-12-01

s) - phase j (s) 6. aact approach INO a. P Propotion of Vehicles thate ftop. 6. i, rwlash of veh..iclaes -ha -w -per 7 Ni ~Averiq. ow-o o.vecls funn...light winlolowing from land to a large body of water at night due to temperature differences between land and water. I--. Lead This is a heavy metal...8217 . . ... ’•’. , ’ ’. -. . . . .i. .i .i -’’ Sea Breeze A light wind blowing from a large body of water to surrounding land areas during the day due to temperature differences

Lessons Learned from the Use of the Machine Gun during the Russo-Japanese War and the Application of Those Lessons by the Protagonists of World War I

DTIC Science & Technology

2005-06-17

defense, where they threw themselves panting into pits that their own artillery had torn .”20 Another said of these same guns, “Nothing can stand...Nineteenth Century, trans. Gordon E. Smith (Gulf Breeze, FL: Academic International Press, 1996 ), 185. 10Ibid., 109. 11Menning, Bayonets Before...the man most directly responsible for creating these expert shooters , Major N. R. McMahon, chief instructor at the Hythe School of Musketry, did not

33 CFR 334.775 - Naval Air Station Pensacola, Pensacola Bay, Pensacola and Gulf Breeze, Fla.; naval restricted area.

Code of Federal Regulations, 2013 CFR

2013-07-01

... from the position latitude 30°20′44″ N., longitude 87°17′18″ W. (near the Naval Air Station, due south of the Officer′s Club) to position latitude 30°20′09″ N., longitude 87°17′18″ W. thence 94° T to position latitude 30°20′07″ N., longitude 87°16′41″ W., thence 49° T to position latitude 30°20′37″ N...

33 CFR 334.775 - Naval Air Station Pensacola, Pensacola Bay, Pensacola and Gulf Breeze, Fla.; naval restricted area.

Code of Federal Regulations, 2014 CFR

2014-07-01

... from the position latitude 30°20′44″ N., longitude 87°17′18″ W. (near the Naval Air Station, due south of the Officer′s Club) to position latitude 30°20′09″ N., longitude 87°17′18″ W. thence 94° T to position latitude 30°20′07″ N., longitude 87°16′41″ W., thence 49° T to position latitude 30°20′37″ N...

33 CFR 334.775 - Naval Air Station Pensacola, Pensacola Bay, Pensacola and Gulf Breeze, Fla.; naval restricted area.

Code of Federal Regulations, 2012 CFR

2012-07-01

... from the position latitude 30°20′44″ N., longitude 87°17′18″ W. (near the Naval Air Station, due south of the Officer′s Club) to position latitude 30°20′09″ N., longitude 87°17′18″ W. thence 94° T to position latitude 30°20′07″ N., longitude 87°16′41″ W., thence 49° T to position latitude 30°20′37″ N...

Crawler Transporter 2 Trek

NASA Image and Video Library

2016-03-23

An American flag flutters in the breeze as NASA’s upgraded crawler-transporter 2 (CT-2) travels along the crawlerway during its trek to Launch Pad 39B at the agency’s Kennedy Space Center in Florida, to test recently completed upgrades and modifications for NASA’s journey to Mars. The Ground Systems Development and Operations Program at Kennedy oversaw upgrades to the crawler in the Vehicle Assembly Building. The crawler will carry the mobile launcher with Orion atop the Space Launch System rocket to Pad 39B for Exploration Mission-1, scheduled for 2018.

On the sensitivity of mesoscale models to surface-layer parameterization constants

NASA Astrophysics Data System (ADS)

Garratt, J. R.; Pielke, R. A.

1989-09-01

The Colorado State University standard mesoscale model is used to evaluate the sensitivity of one-dimensional (1D) and two-dimensional (2D) fields to differences in surface-layer parameterization “constants”. Such differences reflect the range in the published values of the von Karman constant, Monin-Obukhov stability functions and the temperature roughness length at the surface. The sensitivity of 1D boundary-layer structure, and 2D sea-breeze intensity, is generally less than that found in published comparisons related to turbulence closure schemes generally.

The diagnostic accuracy of the rapid dipstick test to predict asymptomatic urinary tract infection of pregnancy.

PubMed

Eigbefoh, J O; Isabu, P; Okpere, E; Abebe, J

2008-07-01

Untreated urinary tract infection can have devastating maternal and neonatal effects. Thus, routine screening for bacteriuria is advocated. This study was designed to evaluate the diagnostic accuracy of the rapid dipstick test to predict urinary tract infection in pregnancy with the gold standard of urine microscopy, culture and sensitivity acting as the control. The urine dipstick test uses the leucocyte esterase, nitrite and test for protein singly and in combination. The result of the dipstick was compared with the gold standard, urine microscopy, culture and sensitivity using confidence interval for proportions. The reliability and validity of the urine dipstick was also evaluated. Overall, the urine dipstick test has a poor correlation with urine culture (p = 0.125, CI 95%). The same holds true for individual components of the dipstick test. The overall sensitivity of the urine dipstick test was poor at 2.3%. Individual sensitivity of the various components varied between 9.1% for leucocyte esterase and the nitrite test to 56.8% for leucocyte esterase alone. The other components of the dipstick test, the test of nitrite, test for protein and combination of the test (leucocyte esterase, nitrite and proteinuria) appear to decrease the sensitivity of the leucocyte esterase test alone. The ability of the urine dipstick test to correctly rule out urinary tract infection (specificity) was high. The positive predictive value for the dipstick test was high, with the leucocyte esterase test having the highest positive predictive value compared with the other components of the dipstick test. The negative predictive value (NPV) was expectedly highest for the leucocyte esterase test alone with values higher than the other components of the urine dipstick test singly and in various combinations. Compared with the other parameters of the urine dipstick test, singly and in combination, leucocyte esterase appears to be the most accurate (90.25%). The dipstick test has a limited use in screening for asymptomatic bacteriuria. The leucocyte esterase test component of the dipstick test appears to have the highest reliability and validity. The other parameters of the dipstick test decreases the reliability and validity of the leucocyte esterase test. A positive test merits empirical antibiotics, while a negative test is an indication for urine culture. The urine dipstick test if positive will also be useful in follow-up of patient after treatment of urinary tract infection. This is useful in poor resource setting especially in the third world where there is a dearth of trained personnel and equipment for urine culture.

Urinary angiotensinogen as a potential biomarker of intrarenal renin-angiotensin system activity in Chinese chronic kidney disease patients.

PubMed

Xu, Z; Xu, B; Xu, C

2015-06-01

Urinary angiotensinogen (AGT) mainly derives from the AGT produced in proximal tubular cells. Evidence exists that supports the correlation between urinary AGT and circulating AGT. To investigate the role of urinary AGT as a potential biomarker of intrarenal renin-angiotensin system activity in Chinese chronic kidney disease (CKD) patients. ELISA-based method used to quantify urinary AGT. Analyzed the relationship between urinary AGT and intrarenal angiotensin II (Ang II) activity in 128 CKD patients. ELISA was applied to measure the urinary and plasma renin activity, AGT, Ang II and aldosterone. Furthermore expression levels of intrarenal renin, AGT, Ang II and Ang II receptor were examined by immunohistochemistry staining (IHCS) in 72 CKD patients undergoing renal biopsy. The logarithmic transformation Log(urinary AGT/UCre) levels showed a normal distribution. Therefore, Log(urinary AGT/UCre) levels were used for the analyses. Average urinary AGT was 2.02 ± 0.55 ng/(mg Cr). Hypertension, urinary protein, urinary Ang II and urinary type IV collagen (Col IV) positively correlated with urinary AGT. Estimated glomerular filtration rate (eGFR), urinary sodium and serum AGT negatively correlated with urinary AGT. Multiple regression analysis indicated that low serum AGT, high urinary protein, urinary Ang II and urinary Col IV correlated significantly with high urinary AGT. We observed positive correlation between urinary AGT and positive IHCS area of AGT, Ang II and Ang II type 1 receptor in renal tissue. These data suggest that urinary AGT might be a potential biomarker of intrarenal Ang II activity in CKD patients.

An association between urinary cadmium and urinary stone disease in persons living in cadmium-contaminated villages in northwestern Thailand: A population study

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

Swaddiwudhipong, Witaya, E-mail: swaddi@hotmail.com; Mahasakpan, Pranee; Limpatanachote, Pisit

Excessive urinary calcium excretion is the major risk of urinary stone formation. Very few population studies have been performed to determine the relationship between environmental cadmium exposure and urinary stone disease. This population-based study examined an association between urinary cadmium excretion, a good biomarker of long-term cadmium exposure, and prevalence of urinary stones in persons aged 15 years and older, who lived in the 12 cadmium-contaminated villages in the Mae Sot District, Tak Province, northwestern Thailand. A total of 6748 persons were interviewed and screened for urinary cadmium and urinary stone disease in 2009. To test a correlation between urinarymore » excretion of cadmium and calcium, we measured urinary calcium content in 1492 persons, who lived in 3 villages randomly selected from the 12 contaminated villages. The rate of urinary stones significantly increased from 4.3% among persons in the lowest quartile of urinary cadmium to 11.3% in the highest quartile. An increase in stone prevalence with increasing urinary cadmium levels was similarly observed in both genders. Multiple logistic regression analysis revealed a positive association between urinary cadmium levels and stone prevalence, after adjusting for other co-variables. The urinary calcium excretion significantly increased with increasing urinary cadmium levels in both genders, after adjusting for other co-variables. Elevated calciuria induced by cadmium might increase the risk of urinary stone formation in this environmentally exposed population. - Research highlights: {yields} Excessive calciuria is the major risk of urinary stone formation. {yields} We examine cadmium-exposed persons for urinary cadmium, calcium, and stones. {yields} The rate of urinary stones increases with increasing urinary cadmium. {yields} Urinary calcium excretion increases with increasing urinary cadmium. {yields} Elevated calciuria induced by cadmium may increase the risk of urinary stones.« less

Roles of Urban Tree Canopy and Buildings in Urban Heat Island Effects: Parameterization and Preliminary Results

NASA Technical Reports Server (NTRS)

Loughner, Christopher P.; Allen, Dale J.; Zhang, Da-Lin; Pickering, Kenneth E.; Dickerson, Russell R.; Landry, Laura

2012-01-01

Urban heat island (UHI) effects can strengthen heat waves and air pollution episodes. In this study, the dampening impact of urban trees on the UHI during an extreme heat wave in the Washington, D.C., and Baltimore, Maryland, metropolitan area is examined by incorporating trees, soil, and grass into the coupled Weather Research and Forecasting model and an urban canopy model (WRF-UCM). By parameterizing the effects of these natural surfaces alongside roadways and buildings, the modified WRF-UCM is used to investigate how urban trees, soil, and grass dampen the UHI. The modified model was run with 50% tree cover over urban roads and a 10% decrease in the width of urban streets to make space for soil and grass alongside the roads and buildings. Results show that, averaged over all urban areas, the added vegetation decreases surface air temperature in urban street canyons by 4.1 K and road-surface and building-wall temperatures by 15.4 and 8.9 K, respectively, as a result of tree shading and evapotranspiration. These temperature changes propagate downwind and alter the temperature gradient associated with the Chesapeake Bay breeze and, therefore, alter the strength of the bay breeze. The impact of building height on the UHI shows that decreasing commercial building heights by 8 m and residential building heights by 2.5 m results in up to 0.4-K higher daytime surface and near-surface air temperatures because of less building shading and up to 1.2-K lower nighttime temperatures because of less longwave radiative trapping in urban street canyons.

The Helium Warm Breeze in IBEX Observations As a Result of Charge-exchange Collisions in the Outer Heliosheath

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

Bzowski, Maciej; Kubiak, Marzena A.; Czechowski, Andrzej

2017-08-10

We simulated the signal due to neutral He atoms, observed by the Interstellar Boundary Explorer ( IBEX ), assuming that charge-exchange collisions between neutral He atoms and He{sup +} ions operate everywhere between the heliopause and a distant source region in the local interstellar cloud, where the neutral and charged components are in thermal equilibrium. We simulated several test cases of the plasma flow within the outer heliosheath (OHS) and investigated the signal generation for plasma flows both in the absence and in the presence of the interstellar magnetic field (ISMF). We found that a signal in the portion ofmore » IBEX data identified as being due to the Warm Breeze (WB) does not arise when a homogeneous plasma flow in front of the heliopause is assumed, but it appears immediately when any reasonable disturbance in its flow due to the presence of the heliosphere is assumed. We obtained a good qualitative agreement between the data selected for comparison and the simulations for a model flow with the velocity vector of the unperturbed gas and the direction and intensity of magnetic field adopted from recent determinations. We conclude that direct-sampling observations of neutral He atoms at 1 au from the Sun are a sensitive tool for investigating the flow of interstellar matter in the OHS, that the WB is indeed the secondary population of interstellar helium, which was hypothesized earlier, and that the WB signal is consistent with the heliosphere distorted from axial symmetry by the ISMF.« less

Numerical study of the effects of local atmospheric circulations on a pollution event over Beijing-Tianjin-Hebei, China.

PubMed

Miao, Yucong; Liu, Shuhua; Zheng, Yijia; Wang, Shu; Chen, Bicheng; Zheng, Hui; Zhao, Jingchuan

2015-04-01

Currently, the Chinese central government is considering plans to build a trilateral economic sphere in the Bohai Bay area, including Beijing, Tianjin and Hebei (BTH), where haze pollution frequently occurs. To achieve sustainable development, it is necessary to understand the physical mechanism of the haze pollution there. Therefore, the pollutant transport mechanisms of a haze event over the BTH region from 23 to 24 September 2011 were studied using the Weather Research and Forecasting model and the FLEXible-PARTicle dispersion model to understand the effects of the local atmospheric circulations and atmospheric boundary layer structure. Results suggested that the penetration by sea-breeze could strengthen the vertical dispersion by lifting up the planetary boundary layer height (PBLH) and carry the local pollutants to the downstream areas; in the early night, two elevated pollution layers (EPLs) may be generated over the mountain areas: the pollutants in the upper EPL at the altitude of 2-2.5 km were favored to disperse by long-range transport, while the lower EPL at the altitude of 1 km may serve as a reservoir, and the pollutants there could be transported downward and contribute to the surface air pollution. The intensity of the sea-land and mountain-valley breeze circulations played an important role in the vertical transport and distribution of pollutants. It was also found that the diurnal evolution of the PBLH is important for the vertical dispersion of the pollutants, which is strongly affected by the local atmospheric circulations and the distribution of urban areas. Copyright © 2015. Published by Elsevier B.V.

The influence of urban design on outdoor thermal comfort in the hot, humid city of Colombo, Sri Lanka

NASA Astrophysics Data System (ADS)

Johansson, Erik; Emmanuel, Rohinton

2006-11-01

The outdoor environment is deteriorating in many tropical cities due to rapid urbanization. This leads to a number of problems related to health and well-being of humans and also negatively affects social and commercial outdoor activities. The creation of thermally comfortable microclimates in urban environments is therefore very important. This paper discusses the influence of street-canyon geometry on outdoor thermal comfort in Colombo, Sri Lanka. Five sites with different urban geometry, ground cover, and distance from the sea were studied during the warmest season. The environmental parameters affecting thermal comfort, viz. air temperature, humidity, wind speed, and solar radiation, were measured, and the thermal comfort was estimated by calculating the physiologically equivalent temperature (PET). The thermal comfort is far above the assumed comfort zone due to the combination of intense solar radiation, high temperatures, and low wind speeds, especially on clear days. The worst conditions were found in wide streets with low-rise buildings and no shade trees. The most comfortable conditions were found in narrow streets with tall buildings, especially if shade trees were present, as well as in areas near the coast where the sea breeze had a positive effect. In order to improve the outdoor comfort in Colombo, it is suggested to allow a more compact urban form with deeper street canyons and to provide additional shade through the use of trees, covered walkways, pedestrian arcades, etc. The opening up of the city’s coastal strip would allow the sea breeze to penetrate further into the city.

Turbulent Helicity in the Atmospheric Boundary Layer

NASA Astrophysics Data System (ADS)

Chkhetiani, Otto G.; Kurgansky, Michael V.; Vazaeva, Natalia V.

2018-05-01

We consider the assumption postulated by Deusebio and Lindborg (J Fluid Mech 755:654-671, 2014) that the helicity injected into the Ekman boundary layer undergoes a cascade, with preservation of its sign (right- or alternatively left-handedness), which is a signature of the system rotation, from large to small scales, down to the Kolmogorov microscale of turbulence. At the same time, recent direct field measurements of turbulent helicity in the steppe region of southern Russia near Tsimlyansk Reservoir show the opposite sign of helicity from that expected. A possible explanation for this phenomenon may be the joint action of different scales of atmospheric flows within the boundary layer, including the sea-breeze circulation over the test site. In this regard, we consider a superposition of the classic Ekman spiral solution and Prandtl's jet-like slope-wind profile to describe the planetary boundary-layer wind structure. The latter solution mimics a hydrostatic shallow breeze circulation over a non-uniformly heated surface. A 180°-wide sector on the hodograph plane exists, within which the relative orientation of the Ekman and Prandtl velocity profiles favours the left rotation with height of the resulting wind velocity vector in the lowermost part of the boundary layer. This explains the negative (left-handed) helicity cascade toward small-scale turbulent motions, which agrees with the direct field measurements of turbulent helicity in Tsimlyansk. A simple turbulent relaxation model is proposed that explains the measured positive values of the relatively minor contribution to turbulent helicity from the vertical components of velocity and vorticity.

Differences of atmospheric boundary layer characteristics between pre-monsoon and monsoon period over the Erhai Lake

NASA Astrophysics Data System (ADS)

Xu, Lujun; Liu, Huizhi; Du, Qun; Wang, Lei; Yang, Liu; Sun, Jihua

2018-01-01

The differences in planetary boundary layer characteristics, in particular atmospheric boundary layer height (ABLH), humidity, and local circulations in pre-monsoon and monsoon period over the Erhai Lake, were simulated by the lake-atmosphere coupled model WRF v3.7.1. No lake simulations were also conducted to investigate lake effects over complex topography. During pre-monsoon period, local circulation was fully developed under weak synoptic system. The ABLH ran up to 2300 m or so. During monsoon period, temperature difference between land and lake became smaller, resulting in weaker local circulations. The height of circulation reduced by 500 m, and ABLH ran up to 1100 m during the day. Enhanced soil moisture and low surface temperature due to monsoon rainfalls in July could be the main reason for the slightly lower ABLH over the Erhai Lake area. Specific humidity of the boundary layer increased 8.8 g kg-1 or so during monsoon period. The Erhai Lake enlarged thermal contrast between valley and mountain slope in the Dali Basin. The lake reduced air temperature by 2 3 °C during daytime and increased air temperature by nearly 2 °C in the evening. Due to its small roughness length and large thermal capacity, the Erhai Lake enlarged lake-land temperature difference and local wind speed. A cyclonic circulation was maintained by the combination of mountain breeze and land breeze in the south of the lake. The lake decreased air temperature, increased specific humidity, and reduced ABLH during daytime, whereas the opposite effect is presented at night.

Dental Resin Cements-The Influence of Water Sorption on Contraction Stress Changes and Hydroscopic Expansion.

PubMed

Sokolowski, Grzegorz; Szczesio, Agata; Bociong, Kinga; Kaluzinska, Karolina; Lapinska, Barbara; Sokolowski, Jerzy; Domarecka, Monika; Lukomska-Szymanska, Monika

2018-06-08

Resin matrix dental materials undergo contraction and expansion changes due to polymerization and water absorption. Both phenomena deform resin-dentin bonding and influence the stress state in restored tooth structure in two opposite directions. The study tested three composite resin cements (Cement-It, NX3, Variolink Esthetic DC), three adhesive resin cements (Estecem, Multilink Automix, Panavia 2.0), and seven self-adhesive resin cements (Breeze, Calibra Universal, MaxCem Elite Chroma, Panavia SA Cement Plus, RelyX U200, SmartCem 2, and SpeedCEM Plus). The stress generated at the restoration-tooth interface during water immersion was evaluated. The shrinkage stress was measured immediately after curing and after 0.5 h, 24 h, 72 h, 96 h, 168 h, 240 h, 336 h, 504 h, 672 h, and 1344 h by means of photoelastic study. Water sorption and solubility were also studied. All tested materials during polymerization generated shrinkage stress ranging from 4.8 MPa up to 15.1 MPa. The decrease in shrinkage strain (not less than 57%) was observed after water storage (56 days). Self-adhesive cements, i.e., MaxCem Elite Chroma, SpeedCem Plus, Panavia SA Plus, and Breeze exhibited high values of water expansion stress (from 0 up to almost 7 MPa). Among other tested materials only composite resin cement Cement It and adhesive resin cement Panavia 2.0 showed water expansion stress (1.6 and 4.8, respectively). The changes in stress value (decrease in contraction stress or built up of hydroscopic expansion) in time were material-dependent.

Where is the ideal location for a US East Coast offshore grid?

NASA Astrophysics Data System (ADS)

Dvorak, Michael J.; Stoutenburg, Eric D.; Archer, Cristina L.; Kempton, Willett; Jacobson, Mark Z.

2012-03-01

This paper identifies the location of an “ideal” offshore wind energy (OWE) grid on the U.S. East Coast that would (1) provide the highest overall and peak-time summer capacity factor, (2) use bottom-mounted turbine foundations (depth ≤50 m), (3) connect regional transmissions grids from New England to the Mid-Atlantic, and (4) have a smoothed power output, reduced hourly ramp rates and hours of zero power. Hourly, high-resolution mesoscale weather model data from 2006-2010 were used to approximate wind farm output. The offshore grid was located in the waters from Long Island, New York to the Georges Bank, ≈450 km east. Twelve candidate 500 MW wind farms were located randomly throughout that region. Four wind farms (2000 MW total capacity) were selected for their synergistic meteorological characteristics that reduced offshore grid variability. Sites likely to have sea breezes helped increase the grid capacity factor during peak time in the spring and summer months. Sites far offshore, dominated by powerful synoptic-scale storms, were included for their generally higher but more variable power output. By interconnecting all 4 farms via an offshore grid versus 4 individual interconnections, power was smoothed, the no-power events were reduced from 9% to 4%, and the combined capacity factor was 48% (gross). By interconnecting offshore wind energy farms ≈450 km apart, in regions with offshore wind energy resources driven by both synoptic-scale storms and mesoscale sea breezes, substantial reductions in low/no-power hours and hourly ramp rates can be made.

Impact of four-dimensional data assimilation (FDDA) on urban climate analysis

NASA Astrophysics Data System (ADS)

Pan, Linlin; Liu, Yubao; Liu, Yuewei; Li, Lei; Jiang, Yin; Cheng, Will; Roux, Gregory

2015-12-01

This study investigates the impact of four-dimensional data assimilation (FDDA) on urban climate analysis, which employs the NCAR (National Center for Atmospheric Research) WRF (the weather research and forecasting model) based on climate FDDA (CFDDA) technology to develop an urban-scale microclimatology database for the Shenzhen area, a rapidly developing metropolitan located along the southern coast of China, where uniquely high-density observations, including ultrahigh-resolution surface AWS (automatic weather station) network, radio sounding, wind profilers, radiometers, and other weather observation platforms, have been installed. CFDDA is an innovative dynamical downscaling regional climate analysis system that assimilates diverse regional observations; and has been employed to produce a 5 year multiscale high-resolution microclimate analysis by assimilating high-density observations at Shenzhen area. The CFDDA system was configured with four nested-grid domains at grid sizes of 27, 9, 3, and 1 km, respectively. This research evaluates the impact of assimilating high-resolution observation data on reproducing the refining features of urban-scale circulations. Two experiments were conducted with a 5 year run using CFSR (climate forecast system reanalysis) as boundary and initial conditions: one with CFDDA and the other without. The comparisons of these two experiments with observations indicate that CFDDA greatly reduces the model analysis error and is able to realistically analyze the microscale features such as urban-rural-coastal circulation, land/sea breezes, and local-hilly terrain thermal circulations. It is demonstrated that the urbanization can produce 2.5 k differences in 2 m temperatures, delays/speeds up the land/sea breeze development, and interacts with local mountain-valley circulations.

The influence of urban design on outdoor thermal comfort in the hot, humid city of Colombo, Sri Lanka.

PubMed

Johansson, Erik; Emmanuel, Rohinton

2006-11-01

The outdoor environment is deteriorating in many tropical cities due to rapid urbanization. This leads to a number of problems related to health and well-being of humans and also negatively affects social and commercial outdoor activities. The creation of thermally comfortable microclimates in urban environments is therefore very important. This paper discusses the influence of street-canyon geometry on outdoor thermal comfort in Colombo, Sri Lanka. Five sites with different urban geometry, ground cover, and distance from the sea were studied during the warmest season. The environmental parameters affecting thermal comfort, viz. air temperature, humidity, wind speed, and solar radiation, were measured, and the thermal comfort was estimated by calculating the physiologically equivalent temperature (PET). The thermal comfort is far above the assumed comfort zone due to the combination of intense solar radiation, high temperatures, and low wind speeds, especially on clear days. The worst conditions were found in wide streets with low-rise buildings and no shade trees. The most comfortable conditions were found in narrow streets with tall buildings, especially if shade trees were present, as well as in areas near the coast where the sea breeze had a positive effect. In order to improve the outdoor comfort in Colombo, it is suggested to allow a more compact urban form with deeper street canyons and to provide additional shade through the use of trees, covered walkways, pedestrian arcades, etc. The opening up of the city's coastal strip would allow the sea breeze to penetrate further into the city.

[CHALLENGES IN THE DIAGNOSIS OF CUSHING'S SYNDROME IN THE MODERN ERA].

PubMed

Saiegh, Leonard; Sheikh-Ahmad, Mohammad; Reut, Maria; Jubran, Yousef; Shechner, Carmela

2015-12-01

Cushing's syndrome results from prolonged and excessive exposure to medically prescribed corticosteroids, or from excess endogenous cortisol secretion. When endogenous cortisol secretion is suspected, several screening tests are conducted in order to confirm or to rule out the diagnosis. In recent years, as the cut-off point of cortisol concentration on the 1 mg overnight dexamethasone suppression test was lowered, the prevalence of Cushing's syndrome has increased, and more cases of mild syndromes, with negative results on one or more screening tests, have increasingly been reported. In this paper, we will describe the various screening tests used for Cushing's syndrome, and will discuss their degree of sensitivity in the diagnosis of mild cases. We conclude that, in cases of mild syndromes, the sensitivity of some tests appears to be notably lower than has been reported. Until recently, the major challenge has been to distinguish between pseudo-Cushing's states and Cushing's syndrome. Today, however, the challenge has become to avoid misdiagnosis of mild cases, presenting with normal results on some screening tests. The sensitivity of urinary free cortisol seems to be lower than previously reported. Therefore, we recommend not to rely solely on this test in ruling out Cushing's syndrome.

A new questionnaire for urinary incontinence diagnosis in women: development and testing.

PubMed

Bradley, Catherine S; Rovner, Eric S; Morgan, Mark A; Berlin, Michelle; Novi, Joseph M; Shea, Judy A; Arya, Lily A

2005-01-01

The purpose of this study was to develop a questionnaire for urinary incontinence diagnosis in women and to test its reliability and validity, with incontinence specialists' clinical evaluations as the gold standard. One hundred seventeen urogynecology outpatients with urinary incontinence symptoms completed the Questionnaire for Urinary Incontinence Diagnosis at enrollment and 1 week and 9 months later. Baseline clinical diagnoses were compared with Questionnaire for Urinary Incontinence Diagnosis diagnoses (criterion validity). Nine-month Questionnaire for Urinary Incontinence Diagnosis change scores were compared across treatment groups (responsiveness). Clinical diagnoses included stress (n = 15), urge (n = 26), and mixed urinary incontinence (n = 72). Internal consistency and test-retest reliability estimates were good. Sensitivity and specificity were 85% (95% CI, 75%, 91%) and 71% (95% CI, 51%, 87%), respectively, for stress urinary incontinence and 79% (95% CI, 69%, 86%) and 79% (95% CI, 54%, 94%), respectively, for urge urinary incontinence. The Questionnaire for Urinary Incontinence Diagnosis correctly diagnosed urinary incontinence type in 80% of subjects. Questionnaire for Urinary Incontinence Diagnosis Stress and Urge scores decreased significantly in treated subjects. The Questionnaire for Urinary Incontinence Diagnosis, a new 6-item questionnaire for female urinary incontinence type diagnosis, is reliable and able to diagnose stress urinary incontinence and urge urinary incontinence in a referral urogynecology patient population with accuracy.

Dietary protein-induced increases in urinary calcium are accompanied by similar increases in urinary nitrogen and urinary urea: a controlled clinical trial.

PubMed

Bihuniak, Jessica D; Simpson, Christine A; Sullivan, Rebecca R; Caseria, Donna M; Kerstetter, Jane E; Insogna, Karl L

2013-03-01

To determine the usefulness of urinary urea as an index of dietary protein intake, 10 postmenopausal women were enrolled in and completed a randomized, double-blind, cross-over feeding trial from September 2008 to May 2010 that compared 10 days of a 45-g whey supplement with 10 days of a 45-g maltodextrin control. Urinary nitrogen, urinary calcium, urinary urea, and bone turnover markers were measured at days 0, 7, and 10. Paired sample t tests, Pearson's correlation statistic, and simple linear regression were used to assess differences between treatments and associations among urinary metabolites. Urinary nitrogen/urinary creatinine rose from 12.3±1.7 g/g (99.6±13.8 mmol/mmol) to 16.8±2.2 g/g (135.5±17.8 mmol/mmol) with whey supplementation, but did not change with maltodextrin. Whey supplementation caused urinary calcium to rise by 4.76±1.84 mg (1.19±0.46 mmol) without a change in bone turnover markers. Because our goal was to estimate protein intake from urinary nitrogen/urinary creatinine, we used our data to develop the following equation: protein intake (g/day)=71.221+1.719×(urinary nitrogen, g)/creatinine, g) (R=0.46, R(2)=0.21). As a more rapid and less costly alternative to urinary nitrogen/urinary creatinine, we next determined whether urinary urea could predict protein intake and found that protein intake (g/day)=63.844+1.11×(urinary urea, g/creatinine, g) (R=0.58, R(2)=0.34). These data indicate that urinary urea/urinary creatinine is at least as good a marker of dietary protein intake as urinary nitrogen and is easier to quantitate in nutrition intervention trials. Copyright © 2013 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

Artificial urinary sphincter implantation: an important component of complex surgery for urinary tract reconstruction in patients with refractory urinary incontinence.

PubMed

Zhang, Fan; Liao, Limin

2018-01-08

We review our outcomes and experience of artificial urinary sphincter implantation for patients with refractory urinary incontinence from different causes. Between April 2002 and May 2017, a total of 32 patients (median age, 40.8 years) with urinary incontinence had undergone artificial urinary sphincter placement during urinary tract reconstruction. Eighteen patients (56.3%) were urethral injuries associated urinary incontinence, 9 (28.1%) had neurogenic urinary incontinence and 5 (15.6%) were post-prostatectomy incontinence. Necessary surgeries were conducted before artificial urinary sphincter placement as staged procedures, including urethral strictures incision, sphincterotomy, and augmentation cystoplasty. The mean follow-up time was 39 months. At the latest visit, 25 patients (78.1%) maintained the original artificial urinary sphincter. Four patients (12.5%) had artificial urinary sphincter revisions. Explantations were performed in three patients. Twenty-four patients were socially continent, leading to the overall success rate as 75%. The complication rate was 28.1%; including infections (n = 4), erosions (n = 4), and mechanical failure (n = 1). The impact of urinary incontinence on the quality of life measured by the visual analogue scale dropped from 7.0 ± 1.2 to 2.2 ± 1.5 (P <0.001). The primary sources for artificial urinary sphincter implantation in our center are unique, and the procedure is an effective treatment as a part of urinary tract reconstruction in complicated urinary incontinence cases with complex etiology.

Tracking near-surface atmospheric conditions using an infrasound network.

PubMed

Marcillo, O; Johnson, J B

2010-07-01

Continuous volcanic infrasound signal was recorded on a three-microphone network at Kilauea in July 2008 and inverted for near-surface horizontal winds. Inter-station phase delays, determined by signal cross-correlation, vary by up to 4% and are attributable to variable atmospheric conditions. The results suggest two predominant weather regimes during the study period: (1) 6-9 m/s easterly trade winds and (2) lower-intensity 2-5 m/s mountain breezes from Mauna Loa. The results demonstrate the potential of using infrasound for tracking local averaged meteorological conditions, which has implications for modeling plume dispersal and quantifying gas flux.

Downwind hazard calculations for space shuttle launches at Kennedy Space Center and Vandenberg Air Force Base

NASA Technical Reports Server (NTRS)

Susko, M.; Hill, C. K.; Kaufman, J. W.

1974-01-01

The quantitative estimates are presented of pollutant concentrations associated with the emission of the major combustion products (HCl, CO, and Al2O3) to the lower atmosphere during normal launches of the space shuttle. The NASA/MSFC Multilayer Diffusion Model was used to obtain these calculations. Results are presented for nine sets of typical meteorological conditions at Kennedy Space Center, including fall, spring, and a sea-breeze condition, and six sets at Vandenberg AFB. In none of the selected typical meteorological regimes studied was a 10-min limit of 4 ppm exceeded.

[Studies of urinary proteins, FDP (fibrinogen degradation products), and NAG (N-acetyl-beta-D-glucosaminidase) in renal transplanted patients].

PubMed

Kunikata, S; Ikegami, M; Imanishi, M; Nishioka, T; Ishii, T; Uemura, T; Kanda, H; Matsuura, T; Akiyama, T; Kurita, T

1989-08-01

The urinary proteins, FDP (fibrinogen degradation products), and NAG (N-acetyl-beta-D-glucosaminidase) in renal transplanted patients were studied. SDS (sodium dodecyl sulphate) electrophoresis was used for the differentiation of urinary proteins according to their molecular size. In the azathioprine-treated patients with stable renal function, most of the urinary proteins were albumin. However, the low molecular weight (LMW) proteins, which were suggestive of tubular proteins, appeared in the urine of the ciclosporin-treated patients with stable renal function. During the rejection episodes of the ciclosporin-treated patients, the fraction of LMW proteins increased. The elevation of urinary FDP and NAG index (urinary NAG/urinary Cr) were detected in association with rejection episodes. Urinary NAG index increased in proportion to the elevation of serum Cr. However, the elevation of urinary NAG index was found in some ciclosporin-treated patients with normal serum Cr. The elevation of NAG index without the elevation of urinary FDP occurred in ciclosporin nephrotoxicity. The SDS electrophoresis of urinary proteins, urinary FDP, and urinary NAG index can be useful parameters for monitoring ciclosporin nephrotoxicity.

Development and Structure of Winter Monsoon Cloud Clusters On 10 December 1978.

NASA Astrophysics Data System (ADS)

Churchill, Dean D.; Houze, Robert A., Jr.

1984-03-01

Data from the Winter Monsoon Experiment (WMONEX) are used to study cloud clusters that occurred over the South China Sea on 10 December 1978. These clusters underwent life cycles in which they began as groups of intense convective cells and then developed into mesoscale systems consisting partly of convective cells and partly of stratiform precipitation. In the cellular regions of clusters, ice particle concentrations (at the 8 km, or 17°C, level) were found to be of the order of hundreds per liter, local convective updrafts of 4-17 m s1 were observed, and the dominant ice-particle growth mechanism appeared to be riming. In the stratiform regions of clusters, the ice particles appeared to grow by vapor deposition and aggregation and weaker but more widespread mesoscale updraft motion was indicated at mid to upper levels by the observed ice-crystal structures, while unsaturated mesoscale downdraft motion was indicated at mid to lower levels by sounding data. The ice-particle concentrations at 8 km in stratiform regions were one to two orders of magnitude lower than in the convective regions; in areas of weaker stratiform precipitation the concentrations were 1-10 per liter, while in areas of stronger stratiform precipitation they were 20-70 per liter. Substructure within the stratiform regions was indicated by variations in observed ice-crystal habits over horizontal distances of 10-100 km.The dominant cluster observed on this day was initiated when a group of convective cells formed just off the Borneo coast, apparently in response to land-breeze convergence. During the mature stage of this cluster, the stratiform rain area became nearly surrounded by a broken line of convective cells of various intensity. The greatest concentration of intense cores was maintained in a generally stationary region on the southeast side of the cluster where the land-breeze convergence was located, while convection on the northwest side of the cluster propagated out to sea. The stratiform precipitation area of this cluster appeared to be formed and maintained by a combination of three processes: dying convective cells being transformed into stratiform structures, hydrometeors being advected from the tops of active cells into the stratiform precipitation region and condensation in the mesoscale updraft contributing to the growth of hydrometeors falling as stratiform rain. About 46% of the total precipitation from this cluster fell as stratiform rain.Other cloud clusters that occurred on this day generally formed around the periphery of the large land-breeze generated cluster and were of a smaller size. Convective downdraft outflows found in the regions between the old and new clusters may have been involved in triggering the new clusters.

Patients with Urinary Incontinence Appear More Likely to Develop Upper Urinary Tract Stones: A Nationwide, Population-Based Study with 8-Year Follow-Up

PubMed Central

Chung, Hsiao-Jen; Lin, Alex Tong-Long; Lin, Chih-Chieh; Chen, Tzeng-Ji; Chen, Kuang-Kuo

2016-01-01

This study aimed to investigate associations between primary urinary incontinence and development of upper urinary tract stones in a nationwide population in Taiwan. Data of 1,777 adults with primary urinary incontinence and 26,655 controls (groups A, B, and C) without urinary incontinence at study inception were retrieved from the National Health Insurance System database in Taiwan and were analyzed retrospectively. No enrolled subjects had previous diagnosis of upper urinary tract stones or spinal cord injury. All subjects were followed through end of 2009, with a minimum follow-up of 8 years. A greater percentage of study subjects (334/1777, 18.8%) developed upper urinary tract stones than that of control groups A (865/8885, 9.7%) and B (888/8885, 10%), and C (930/8885, 10.5%) (all p-values < 0.0001). Urinary incontinence was associated with significantly increased risk of developing urinary tract stones (HR 1.99, 95% CI, 1.70–2.34, p < 0.001). Age and metabolic syndrome status were both associated with developing upper urinary tract stones (both p-values < 0.0001). After adjusting for metabolic syndrome, regression analysis showed that urinary incontinence was still associated with a significantly increased risk of developing upper urinary tract stones (HR 1.99, 95% CI = 1.76–2.26, p < 0.0001). Long-term follow-up of Taiwanese patients with primary urinary incontinence suggests that urinary incontinence is associated with a significantly increased risk of developing upper urinary tract stones. Study findings suggest that physicians treating patients with urinary incontinence should give attention to early detection of upper urinary tract stones. PMID:27536881

Patients with Urinary Incontinence Appear More Likely to Develop Upper Urinary Tract Stones: A Nationwide, Population-Based Study with 8-Year Follow-Up.

PubMed

Chung, Hsiao-Jen; Lin, Alex Tong-Long; Lin, Chih-Chieh; Chen, Tzeng-Ji; Chen, Kuang-Kuo

2016-01-01

This study aimed to investigate associations between primary urinary incontinence and development of upper urinary tract stones in a nationwide population in Taiwan. Data of 1,777 adults with primary urinary incontinence and 26,655 controls (groups A, B, and C) without urinary incontinence at study inception were retrieved from the National Health Insurance System database in Taiwan and were analyzed retrospectively. No enrolled subjects had previous diagnosis of upper urinary tract stones or spinal cord injury. All subjects were followed through end of 2009, with a minimum follow-up of 8 years. A greater percentage of study subjects (334/1777, 18.8%) developed upper urinary tract stones than that of control groups A (865/8885, 9.7%) and B (888/8885, 10%), and C (930/8885, 10.5%) (all p-values < 0.0001). Urinary incontinence was associated with significantly increased risk of developing urinary tract stones (HR 1.99, 95% CI, 1.70-2.34, p < 0.001). Age and metabolic syndrome status were both associated with developing upper urinary tract stones (both p-values < 0.0001). After adjusting for metabolic syndrome, regression analysis showed that urinary incontinence was still associated with a significantly increased risk of developing upper urinary tract stones (HR 1.99, 95% CI = 1.76-2.26, p < 0.0001). Long-term follow-up of Taiwanese patients with primary urinary incontinence suggests that urinary incontinence is associated with a significantly increased risk of developing upper urinary tract stones. Study findings suggest that physicians treating patients with urinary incontinence should give attention to early detection of upper urinary tract stones.

Medullary Sponge Kidney and Urinary Calculi Aeromedical Concerns

NASA Technical Reports Server (NTRS)

Jones, Jeffrey A.; Cherian, Sebastian F.; Barr, Yael R.; Stocco, Amber

2008-01-01

Medullary Sponge Kidney (MSK) is a benign disorder associated with renal stones in 60% of patients. Patients frequently have episodic painless hematuria but are otherwise asymptomatic unless renal calculi or infections complicate the disease. Nephrolithiasis is a relative, but frequently enforced, contraindication to space or other high performance flight. Two case reports of asymptomatic NASA flight crew with MSK and three cases of military aviators diagnosed with MSK are reviewed, all cases resulted in waiver and return to flight status after treatment and a vigorous follow up and prophylaxis protocol. MSK in aviation and space flight necessitates a highly case-by-case dependent evaluation and treatment process to rule out other potential confounding factors that might also contribute to stone formation and in order to re-qualify the aviator for flight duties.

Urine flow cytometry can rule out urinary tract infection, but cannot identify bacterial morphologies correctly.

PubMed

Geerts, N; Jansz, A R; Boonen, K J M; Wijn, R P W F; Koldewijn, E L; Boer, A K; Scharnhorst, V

2015-08-25

The diagnosis of urinary tract infection (UTI) by urine culture is a time-consuming and costly procedure. Usage of a screening method, to identify negative samples, would therefore affect time-to-diagnosis and laboratory cost positively. Urine flow cytometers are able to identify particles in urine. Together with the introduction of a cut-off value, which determines if a urine sample is subsequently cultured or not, the number of cultures can be reduced, while maintaining a low level of false negatives and a high negative predictive value. Recently, Sysmex developed additional software for their urine flow cytometers. Besides measuring the number of bacteria present in urine, information is given on bacterial morphology, which may guide the physician in the choice of antibiotic. In this study, we evaluated this software update. The UF1000i classifies bacteria into two categories: 'rods' and 'cocci/mixed'. Compared to the actual morphology of the bacterial pathogen found, the 'rods' category scores reasonably well with 91% chance of classifying rod-shaped bacteria correctly. The 'cocci/mixed' category underperforms, with only 29% of spherical-shaped bacteria (cocci) classified as such. In its current version, the bacterial morphology software does not classify bacteria, according to their morphology, well enough to be of clinical use in this study population. Copyright © 2015 Elsevier B.V. All rights reserved.

Work up of Pediatric Urinary Tract Infection

PubMed Central

Copp, Hillary L.; Schmidt, Bogdana

2016-01-01

Pediatric UTI costs the healthcare system upwards of 180 million dollars annually, and accounts for over 1.5 million clinician visits per year. Accurate and timely diagnosis of these infections is important for determining appropriate treatment and preventing long-term complications such as renal scarring, hypertension, and end-stage renal disease. Outside of the first 12 months, girls are more likely to be diagnosed with a UTI. About half of boys with UTI will be diagnosed within the first 12 months of life. The prevalence and incidence of pediatric UTI varies by age, race/ethnicity, sex and circumcision status. Diagnosis of UTI is made based on history and exam findings and confirmed with appropriately collected urine. If a bag specimen is negative, this can be used to rule out UTI without the need for confirmatory culture; however positive urinalysis tests from bag specimen warrant further investigation with a catheterized specimen or suprapubic aspiration. Urine culture is the gold standard for diagnosing UTI: Greater than 50,000 CFU on a catheterized specimen or suprapubic aspiration indicate presence of a UTI. Greater than 100,000 CFU on a voided specimen is considered a positive culture. There is no consensus on the need and optimal strategy for imaging in the setting of urinary tract infection in the pediatric population. Prompt recognition of UTI and antibiogram-based, empiric treatment or culture-based, targeted treatment should be initiated within 72 of presentation. PMID:26475948

Clinical implications of the microbiome in urinary tract diseases.

PubMed

Hiergeist, Andreas; Gessner, André

2017-03-01

The purpose of this review is to outline and evaluate the most recent literature on the role of the microbiome in urinary tract diseases. High throughput molecular DNA sequencing of bacterial 16S rRNA genes enabled the analysis of complex microbial communities inhabiting the human urinary tract. Several recent studies have identified bacterial taxa of the urinary microbiome to impact urinary tract diseases including interstitial cystitis, urgency urinary incontinence or calcium oxalate stone formation. Furthermore, treatment of urinary tract infections by antibiotics globally impacts community profiles of the intestinal microbiota and might indirectly influence human health. Alternative treatment options like application of probiotics for the treatment of urinary tract infections are currently under investigation. The urinary microbiome and its relationship to urinary tract diseases is currently under comprehensive investigation. Further studies are needed to shed light on the role of commensal microbiota for urinary tract infections.

Female urinary incontinence and sexuality

PubMed Central

Mota, Renato Lains

2017-01-01

ABSTRACT Urinary incontinence is a common problem among women and it is estimated that between 15 and 55% of them complain of lower urinary symptoms. The most prevalent form of urinary incontinence is associated with stress, followed by mixed urinary incontinence and urge urinary incontinence. It is a symptom with several effects on quality of life of women mainly in their social, familiar and sexual domains. Female reproductive and urinary systems share anatomical structures, which promotes that urinary problems interfere with sexual function in females. This article is a review of both the concepts of female urinary incontinence and its impact on global and sexual quality of life. Nowadays, it is assumed that urinary incontinence, especially urge urinary incontinence, promotes anxiety and several self-esteem damages in women. The odour and the fear of incontinence during sexual intercourse affect female sexual function and this is related with the unpredictability and the chronicity of incontinence, namely urge urinary incontinence. Female urinary incontinence management involves conservative (pelvic floor muscle training), surgical and pharmacological treatment. Both conservative and surgical treatments have been studied about its benefit in urinary incontinence and also the impact among female sexual function. Unfortunately, there are sparse articles that evaluate the benefits of female sexual function with drug management of incontinence. PMID:28124522

Urinary renin, but not angiotensinogen or aldosterone, reflects the renal renin-angiotensin-aldosterone system activity and the efficacy of renin-angiotensin-aldosterone system blockade in the kidney.

PubMed

van den Heuvel, Mieke; Batenburg, Wendy W; Jainandunsing, Sjaam; Garrelds, Ingrid M; van Gool, Jeanette M G; Feelders, Richard A; van den Meiracker, Anton H; Danser, A H Jan

2011-11-01

To study which renin-angiotensin-aldosterone system (RAAS) component best reflects renal RAAS activity. We measured urinary and plasma renin, prorenin, angiotensinogen, aldosterone, albumin and creatinine in 101 diabetic and nondiabetic patients with or without hypertension. Plasma prorenin was elevated in diabetic patients. Urinary prorenin was undetectable. Urinary albumin and renin were higher in diabetic patients. Men had higher plasma renin/prorenin levels, and lower plasma angiotensinogen levels than women. Plasma creatinine and albumin were also higher in men. Urinary RAAS components showed no sexual dimorphism, whereas urinary creatinine and albumin were higher in men. Angiotensin-converting enzyme inhibitors and angiotensin II type 1 receptor blockers increased plasma renin and decreased plasma angiotensinogen, without altering plasma aldosterone. In contrast, in urine, these drugs decreased renin and aldosterone without affecting angiotensinogen. When analyzing all patients together, urinary angiotensinogen excretion closely mimicked that of albumin, whereas urinary angiotensinogen and albumin levels both were 0.05% or less of their concomitant plasma levels. This may reflect the identical glomerular filtration and tubular handling of both proteins, which have a comparable molecular weight. In contrast, urinary renin excretion did not correlate with urinary albumin excretion, and the urinary/plasma concentration ratio of renin was more than 200 times the ratio of albumin, despite its comparable molecular weight. Urinary aldosterone excretion closely followed urinary creatinine excretion. The increased urinary renin levels in diabetes and the decreased urinary renin levels following RAAS blockade, occurring independently of changes in plasma renin, reflect the activated renal RAAS in diabetes and the success of RAAS blockade in the kidney, respectively. Urinary renin, therefore, more closely reflects renal RAAS activity than urinary angiotensinogen or aldosterone.

Effect of Age, Educational Status, Parity and BMI on Development of Urinary Incontinence - a Cross Sectional Study in Saudi Population.

PubMed

Saadia, Zaheera

2015-08-01

The research article looks at the background of women with urinary incontinence and exposed to different demographic factors. Women who had urinary incontinence and women without urinary incontinence were compared with regards to their demographic features and risk of development of urinary problems. These risk factors can either cause short term or temporary urinary incontinence or they can cause long term or permanent urinary incontinence. This article explores the association of age, educational status, body mass index (BMI) and parity on the development of urinary incontinence. This study aimed at conducting an analysis into the risk factors that are related to urinary incontinence. Z-tests were conducted for every demographic factor and the results are then discussed comprehensively citing various studies that have been conducted before. Analysis shows that age and BMI increase chances of urinary infection and consequently urinary incontinence. Women of lower educational levels record more cases of urinary incontinence due to lack of general information about the condition. Women with higher parity levels also record more cases of urinary infections and subsequently urinary incontinence. From the analysis above, it can be seen that these factors usually play great roles in the existence and absence of urinary incontinence especially in women in Saudi Arabia. Most important is that, its prevention is mostly by use of the risk factors mentioned here in the research. This will usually involve observing a given risk factor to a state that makes it unfavorable for urinary incontinence to occur.

Evaluation of the urinary microbiota of women with uncomplicated stress urinary incontinence.

PubMed

Thomas-White, Krystal J; Kliethermes, Stephanie; Rickey, Leslie; Lukacz, Emily S; Richter, Holly E; Moalli, Pamela; Zimmern, Philippe; Norton, Peggy; Kusek, John W; Wolfe, Alan J; Brubaker, Linda

2017-01-01

Female urinary microbiota are associated with urgency urinary incontinence and response to medication. The urinary microbiota of women with stress urinary incontinence has not been described. We sought to study the cross-sectional relationships between urinary microbiota features and demographic and clinical characteristics of women undergoing stress urinary incontinence surgery. Preoperative urine specimens were collected from women without urinary tract infection and were available from 197 women (174 voided, 23 catheterized) enrolled in a multicenter prospective randomized trial, the Value of Urodynamic Evaluation study. Demographic and clinical variables were obtained including stress and urgency urinary incontinence symptoms, menopausal status, and hormone use. The bacterial composition of the urine was qualitatively assessed by sequencing the bacterial 16S ribosomal RNA gene. Phylogenetic relatedness and microbial alpha diversity were compared to demographics and symptoms using generalized estimating equation models. The majority of 197 urine samples (86%) had detectable bacterial DNA. Bacterial diversity was significantly associated with higher body mass index (P = .02); increased Medical, Epidemiologic, and Social Aspects of Aging urge index score (P = .04); and hormonal status (P < .001). No associations were detected with stress urinary incontinence symptoms. Increased diversity was also associated with a concomitant lower frequency of Lactobacillus in hormone-negative women. Women undergoing stress urinary incontinence surgery have detectable urinary microbiota. This cross-sectional analysis revealed that increased diversity of the microbiota was associated with urgency urinary incontinence symptoms, hormonal status, and body mass index. In contrast, the female urinary microbiota were not associated with stress urinary incontinence symptoms. Published by Elsevier Inc.

Prevalence of urinary tract infection in acutely unwell children in general practice: a prospective study with systematic urine sampling

PubMed Central

O’Brien, Kathryn; Edwards, Adrian; Hood, Kerenza; Butler, Christopher C

2013-01-01

Background Urinary tract infection (UTI) in children may be associated with long-term complications that could be prevented by prompt treatment. Aim To determine the prevalence of UTI in acutely ill children ≤ 5 years presenting in general practice and to explore patterns of presenting symptoms and urine sampling strategies. Design and setting Prospective observational study with systematic urine sampling, in general practices in Wales, UK. Method In total, 1003 children were recruited from 13 general practices between March 2008 and July 2010. The prevalence of UTI was determined and multivariable analysis performed to determine the probability of UTI. Result Out of 597 (60.0%) children who provided urine samples within 2 days, the prevalence of UTI was 5.9% (95% confidence interval [CI] = 4.3% to 8.0%) overall, 7.3% in those < 3 years and 3.2% in 3–5 year olds. Neither a history of fever nor the absence of an alternative source of infection was associated with UTI (P = 0.64; P = 0.69, respectively). The probability of UTI in children aged ≥3 years without increased urinary frequency or dysuria was 2%. The probability of UTI was ≥5% in all other groups. Urine sampling based purely on GP suspicion would have missed 80% of UTIs, while a sampling strategy based on current guidelines would have missed 50%. Conclusion Approximately 6% of acutely unwell children presenting to UK general practice met the criteria for a laboratory diagnosis of UTI. This higher than previously recognised prior probability of UTI warrants raised awareness of the condition and suggests clinicians should lower their threshold for urine sampling in young children. The absence of fever or presence of an alternative source of infection, as emphasised in current guidelines, may not rule out UTI in young children with adequate certainty. PMID:23561695

Prevalence and Characteristics of Urinary Incontinence in a Treatment Seeking Male Prospective Cohort: Results from the LURN Study.

PubMed

Helfand, Brian T; Smith, Abigail R; Lai, H Henry; Yang, Claire C; Gore, John L; Erickson, Brad A; Kreder, Karl J; Cameron, Anne P; Weinfurt, Kevin P; Griffith, James W; Lentz, Aaron; Talaty, Pooja; Andreev, Victor P; Kirkali, Ziya

2018-03-01

Male urinary incontinence is thought to be infrequent. We sought to describe the prevalence of urinary incontinence in a male treatment seeking cohort enrolled in the LURN (Symptoms of Lower Urinary Tract Dysfunction Research Network). Study inclusion and exclusion criteria, including men with prostate cancer or neurogenic bladder, were previously reported. LURN participants prospectively completed questionnaires regarding lower urinary tract symptoms and other clinical variables. Men were grouped based on incontinence type, including 1) no urinary incontinence, 2) post-void dribbling only and 3) urinary incontinence. Comparisons were made using ANOVA and multivariable regression. Of the 477 men 24% reported no urinary incontinence, 44% reported post-void dribbling only and 32% reported urinary incontinence. African American men and those with sleep apnea were more likely to be in the urinary incontinence group than in the no urinary incontinence group (OR 3.2, p = 0.02 and OR 2.73, p = 0.003, respectively). Urinary incontinence was associated with significantly higher bother compared to men without leakage (p <0.001). Compared to men without urinary incontinence and men with only post-void dribbling those with urinary incontinence were significantly more likely to report higher scores (more severe symptoms) on the PROMIS (Patient-Reported Outcomes Measurement Information System) questionnaire regarding bowel issues, depression and anxiety than men without urinary incontinence (p <0.01). Urinary incontinence is common among treatment seeking men. This is concerning because the guideline recommended questionnaires to assess male lower urinary tract symptoms do not query for urinary incontinence. Thus, clinicians may be missing an opportunity to intervene and improve patient care. This provides a substantial rationale for a new or updated symptom questionnaire which provides a more comprehensive symptom assessment. Copyright © 2018 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Trends in urinary arsenic among the U.S. population by drinking water source: Results from the National Health and Nutritional Examinations Survey 2003-2014.

PubMed

Welch, Barrett; Smit, Ellen; Cardenas, Andres; Hystad, Perry; Kile, Molly L

2018-04-01

In 2001, the United States revised the arsenic maximum contaminant level for public drinking water systems from 50µg/L to 10µg/L. This study aimed to examine temporal trends in urinary arsenic concentrations in the U.S. population from 2003 to 2014 by drinking water source among individuals aged 12 years and older who had no detectable arsenobetaine - a biomarker of arsenic exposure from seafood intake. We examined data from 6 consecutive cycles of the National Health and Nutrition Examination Survey (2003-2014; N=5848). Total urinary arsenic (TUA) was calculated by subtracting arsenobetaine's limit of detection and detectable arsenocholine from total arsenic. Additional sensitivity analyses were conducted using a second total urinary arsenic index (TUA2, calculated by adding arsenite, arsenate, monomethylarsonic acid, dimethylarsinic acid). We classified drinking water source using 24-h dietary questionnaire data as community supply (n=3427), well or rain cistern (n=506), and did not drink tap water (n=1060). Geometric means (GM) of survey cycles were calculated from multivariate regression models adjusting for age, gender, race/ethnicity, BMI, income, creatinine, water source, type of water consumed, recent smoking, and consumption of seafood, rice, poultry, and juice. Compared to 2003-2004, adjusted TUA was 35.5% lower in 2013-2014 among the general U.S. Stratified analysis by smoking status indicated that the trend in lower TUA was only consistent among non-smokers. Compared to 2003-2004, lower adjusted TUA was observed in 2013-2014 among non-smoking participants who used community water supplies (1.98 vs 1.16µg/L, p<0.001), well or rain cistern users (1.54 vs 1.28µg/L, p<0.001) and who did not drink tap water (2.24 vs 1.53µg/L, p<0.001). Sensitivity analyses showed consistent results for participants who used a community water supplier and to a lesser extent those who did not drink tap water. However, the sensitivity analysis showed overall exposure stayed the same or was higher among well or rain cistern users. Finally, the greatest decrease in TUA was among participants within the highest exposure percentiles (e.g. 95th percentile had 34% lower TUA in 2013/2014 vs 2003/2004, p<0.001). Overall, urinary arsenic levels in the U.S. population declined over a 12-year period that encompassed the adoption of the revised Arsenic Rule. The most consistent trends in declining exposure were observed among non-smoking individuals using public community water systems. These results suggest regulation and prevention strategies to reduce arsenic exposures in the U.S. may be succeeding. Copyright © 2017 Elsevier Inc. All rights reserved.

Neonatal Staphylococcus lugdunensis urinary tract infection.

PubMed

Hayakawa, Itaru; Hataya, Hiroshi; Yamanouchi, Hanako; Sakakibara, Hiroshi; Terakawa, Toshiro

2015-08-01

Staphylococcus lugdunensis is a known pathogen of infective endocarditis, but not of urinary tract infection. We report a previously healthy neonate without congenital anomalies of the kidney and urinary tract who developed urinary tract infection due to Staphylococcus lugdunensis, illustrating that Staphylococcus lugdunensis can cause urinary tract infection even in those with no urinary tract complications. © 2015 Japan Pediatric Society.

An Observational Study of the Mesoscale Mistral Dynamics

NASA Astrophysics Data System (ADS)

Guenard, Vincent; Drobinski, Philippe; Caccia, Jean-Luc; Campistron, Bernard; Bench, Bruno

2005-05-01

We investigate the mesoscale dynamics of the mistral through the wind profiler observations of the MAP (autumn 1999) and ESCOMPTE (summer 2001) field campaigns. We show that the mistral wind field can dramatically change on a time scale less than 3 hours. Transitions from a deep to a shallow mistral are often observed at any season when the lower layers are stable. The variability, mainly attributed in summer to the mistral/land-sea breeze interactions on a 10-km scale, is highlighted by observations from the wind profiler network set up during ESCOMPTE. The interpretations of the dynamical mistral structure are performed through comparisons with existing basic theories. The linear theory of R. B. Smith [ Advances in Geophysics, Vol. 31, 1989, Academic Press, 1-41] and the shallow water theory [Schär, C. and Smith, R. B.: 1993a, J. Atmos. Sci. 50, 1373-1400] give some complementary explanations for the deep-to-shallow transition especially for the MAP mistral event. The wave breaking process induces a low-level jet (LLJ) downstream of the Alps that degenerates into a mountain wake, which in turn provokes the cessation of the mistral downstream of the Alps. Both theories indicate that the flow splits around the Alps and results in a persistent LLJ at the exit of the Rhône valley. The LLJ is strengthened by the channelling effect of the Rhône valley that is more efficient for north-easterly than northerly upstream winds despite the north-south valley axis. Summer moderate and weak mistral episodes are influenced by land-sea breezes and convection over land that induce a very complex interaction that cannot be accurately described by the previous theories.

Mesoscale circulation systems and ozone concentrations during ESCOMPTE: a case study from IOP 2b

NASA Astrophysics Data System (ADS)

Kalthoff, N.; Kottmeier, C.; Thürauf, J.; Corsmeier, U.; Saїd, F.; Fréjafon, E.; Perros, P. E.

2005-03-01

The main objective of 'Expérience sur Site pour COntraindre les Modèles de Pollution atmosphérique et de Transport d'Emissions' (ESCOMPTE) is to generate a relevant data set for testing and evaluating mesoscale chemistry-transport models (CTMs). During ESCOMPTE, measurements have been performed at numerous surface stations, by radars and lidars, and several aircraft in the planetary boundary layer. The data from these different sources have been merged to obtain a consistent description of the spatial distribution of wind, temperature, humidity, and ozone for the photosmog episode on June 25, 2001 (IOP 2b). On this day, moderate synoptic winds favour the evolution of different mesoscale circulation systems. During daytime, the sea breeze penetrates towards the north in the Rhône valley. As the winds above the sea breeze layer come from the east, polluted air from the metropolitan area of Marseille leads to an increase of ozone at elevated layers above the convective boundary layer (CBL). At the mountainous station of Luberon about 55 km north of Marseille around noon, when the CBL top surpasses the height of the mountain summit, polluted air with ozone concentrations of about 120 ppbv arrived from southerly directions, thus indicating the passage of the city plume of Marseille. At Cadarache and Vinon in the Durance valley, about 60 km inland, the ozone maximum at the surface and at flight level 920 m MSL appears between 14 and 15 UTC. At this time, southwesterly valley winds prevail in the valley, while southerly winds occur above. This finding highlights the height-dependent advection of ozone due to interacting mesoscale circulation systems. These dynamical processes need to be represented adequately in CTMs to deliver a realistic description of the ozone concentration fields.

Diurnal and seasonal variations in surface methane at a tropical coastal station: Role of mesoscale meteorology.

PubMed

Kavitha, M; Nair, Prabha R; Girach, I A; Aneesh, S; Sijikumar, S; Renju, R

2018-08-01

In view of the large uncertainties in the methane (CH 4 ) emission estimates and the large spatial gaps in its measurements, studies on near-surface CH 4 on regional basis become highly relevant. This paper presents the first time observational results of a study on the impacts of mesoscale meteorology on the temporal variations of near-surface CH 4 at a tropical coastal station, in India. It is based on the in-situ measurements conducted during January 2014 to August 2016, using an on-line CH 4 analyzer working on the principle of gas chromatography. The diurnal variation shows a daytime low (1898-1925ppbv) and nighttime high (1936-2022ppbv) extending till early morning hours. These changes are closely associated with the mesoscale circulations, namely Sea Breeze (SB) and Land Breeze (LB), as obtained through the meteorological observations, WRF simulations of the circulations and the diurnal variation of boundary layer height as observed by the Microwave Radiometer Profiler. The diurnal enhancement always coincides with the onset of LB. Several cases of different onset timings of LB were examined and results presented. The CH 4 mixing ratio also exhibits significant seasonal patterns being maximum in winter and minimum in pre-monsoon/monsoon with significant inter-annual variations, which is also reflected in diurnal patterns, and are associated with changing synoptic meteorology. This paper also presents an analysis of in-situ measured near-surface CH 4 , column averaged and upper tropospheric CH 4 retrieved by Atmospheric Infrared Sounder (AIRS) onboard Earth Observing System (EOS)/Aqua which gives insight into the vertical distribution of the CH 4 over the location. An attempt is also made to estimate the instantaneous radiative forcing for the measured CH 4 mixing ratio. Copyright © 2018 Elsevier B.V. All rights reserved.

A proxy for high-resolution regional reanalysis for the Southeast United States: assessment of precipitation variability in dynamically downscaled reanalyses

USGS Publications Warehouse

Stefanova, Lydia; Misra, Vasubandhu; Chan, Steven; Griffin, Melissa; O'Brien, James J.; Smith, Thomas J.

2012-01-01

We present an analysis of the seasonal, subseasonal, and diurnal variability of rainfall from COAPS Land- Atmosphere Regional Reanalysis for the Southeast at 10-km resolution (CLARReS10). Most of our assessment focuses on the representation of summertime subseasonal and diurnal variability.Summer precipitation in the Southeast United States is a particularly challenging modeling problem because of the variety of regional-scale phenomena, such as sea breeze, thunderstorms and squall lines, which are not adequately resolved in coarse atmospheric reanalyses but contribute significantly to the hydrological budget over the region. We find that the dynamically downscaled reanalyses are in good agreement with station and gridded observations in terms of both the relative seasonal distribution and the diurnal structure of precipitation, although total precipitation amounts tend to be systematically overestimated. The diurnal cycle of summer precipitation in the downscaled reanalyses is in very good agreement with station observations and a clear improvement both over their "parent" reanalyses and over newer-generation reanalyses. The seasonal cycle of precipitation is particularly well simulated in the Florida; this we attribute to the ability of the regional model to provide a more accurate representation of the spatial and temporal structure of finer-scale phenomena such as fronts and sea breezes. Over the northern portion of the domain summer precipitation in the downscaled reanalyses remains, as in the "parent" reanalyses, overestimated. Given the degree of success that dynamical downscaling of reanalyses demonstrates in the simulation of the characteristics of regional precipitation, its favorable comparison to conventional newer-generation reanalyses and its cost-effectiveness, we conclude that for the Southeast United states such downscaling is a viable proxy for high-resolution conventional reanalysis.

Seasonal and diurnal patterns in the dispersion of SO2 from Mt. Nyiragongo

NASA Astrophysics Data System (ADS)

Dingwell, Adam; Rutgersson, Anna; Claremar, Björn; Arellano, Santiago; Yalire, Mathieu M.; Galle, Bo

2016-05-01

Mt. Nyiragongo is an active volcano located in the Democratic Republic of Congo, close to the border of Rwanda and about 15 km north of the city of Goma (∼ 1,000,000 inhabitants). Gases emitted from Nyiragongo might pose a persistent hazard to local inhabitants and the environment. While both ground- and satellite-based observations of the emissions exist, prior to this study, no detailed analysis of the dispersion of the emissions have been made. We have conducted a dispersion study, using a modelling system to determine the geographical distribution of SO2. A combination of a meteorological model (WRF), a Lagrangian particle dispersion model (FLEXPART-WRF) and flux data based on DOAS measurements from the NOVAC-network is used. Since observations can only be made during the day, we use random sampling of fluxes and ensemble modelling to estimate night-time emissions. Seasonal variations in the dispersion follows the migration of the Inter Tropical Convergence Zone. In June-August, the area with the highest surface concentrations is located to the northwest, and in December-February, to the southwest of the source. Diurnal variations in surface concentrations were determined by the development of the planetary boundary layer and the lake-/land breeze cycle around lake Kivu. Both processes contribute to low surface concentrations during the day and high concentrations during the night. However, the strong northerly trade winds in November-March weakened the lake breeze, contributing to higher daytime surface concentrations along the northern shore of Lake Kivu, including the city of Goma. For further analysis and measurements, it is important to include both seasonal and diurnal cycles in order to safely cover periods of high and potentially hazardous concentrations.

Ozone pollution around a coastal region of South China Sea: interaction between marine and continental air

NASA Astrophysics Data System (ADS)

Wang, Hao; Lyu, Xiaopu; Guo, Hai; Wang, Yu; Zou, Shichun; Ling, Zhenhao; Wang, Xinming; Jiang, Fei; Zeren, Yangzong; Pan, Wenzhuo; Huang, Xiaobo; Shen, Jin

2018-03-01

Marine atmosphere is usually considered to be a clean environment, but this study indicates that the near-coast waters of the South China Sea (SCS) suffer from even worse air quality than coastal cities. The analyses were based on concurrent field measurements of target air pollutants and meteorological parameters conducted at a suburban site (Tung Chung, TC) and a nearby marine site (Wan Shan, WS) from August to November 2013. The observations showed that the levels of primary air pollutants were significantly lower at WS than those at TC, while the ozone (O3) value was greater at WS. Higher O3 levels at WS were attributed to the weaker NO titration and higher O3 production rate because of stronger oxidative capacity of the atmosphere. However, O3 episodes were concurrently observed at both sites under certain meteorological conditions, such as tropical cyclones, continental anticyclones and sea-land breezes (SLBs). Driven by these synoptic systems and mesoscale recirculations, the interaction between continental and marine air masses profoundly changed the atmospheric composition and subsequently influenced the formation and redistribution of O3 in the coastal areas. When continental air intruded into marine atmosphere, the O3 pollution was magnified over the SCS, and the elevated O3 ( > 100 ppbv) could overspread the sea boundary layer ˜ 8 times the area of Hong Kong. In some cases, the exaggerated O3 pollution over the SCS was recirculated to the coastal inshore by sea breeze, leading to aggravated O3 pollution in coastal cities. The findings are applicable to similar mesoscale environments around the world where the maritime atmosphere is potentially influenced by severe continental air pollution.

Characteristics of Deep Tropical and Subtropical Convection from Nadir-Viewing High-Altitude Airborne Doppler Radar

NASA Technical Reports Server (NTRS)

Heymsfield, Gerald M.; Tian, Lin; Heymsfield, Andrew J.; Li, Lihua; Guimond, Stephen

2010-01-01

This paper presents observations of deep convection characteristics in the tropics and subtropics that have been classified into four categories: tropical cyclone, oceanic, land, and sea breeze. Vertical velocities in the convection were derived from Doppler radar measurements collected during several NASA field experiments from the nadir-viewing high-altitude ER-2 Doppler radar (EDOP). Emphasis is placed on the vertical structure of the convection from the surface to cloud top (sometimes reaching 18-km altitude). This unique look at convection is not possible from other approaches such as ground-based or lower-altitude airborne scanning radars. The vertical motions from the radar measurements are derived using new relationships between radar reflectivity and hydrometeor fall speed. Various convective properties, such as the peak updraft and downdraft velocities and their corresponding altitude, heights of reflectivity levels, and widths of reflectivity cores, are estimated. The most significant findings are the following: 1) strong updrafts that mostly exceed 15 m/s, with a few exceeding 30 m/s, are found in all the deep convection cases, whether over land or ocean; 2) peak updrafts were almost always above the 10-km level and, in the case of tropical cyclones, were closer to the 12-km level; and 3) land-based and sea-breeze convection had higher reflectivities and wider convective cores than oceanic and tropical cyclone convection. In addition, the high-resolution EDOP data were used to examine the connection between reflectivity and vertical velocity, for which only weak linear relationships were found. The results are discussed in terms of dynamical and microphysical implications for numerical models and future remote sensors.

Surface current dynamics under sea breeze conditions observed by simultaneous HF radar, ADCP and drifter measurements

NASA Astrophysics Data System (ADS)

Sentchev, Alexei; Forget, Philippe; Fraunié, Philippe

2017-04-01

Ocean surface boundary layer dynamics off the southern coast of France in the NW Mediterranean is investigated by using velocity observations by high-frequency (HF) radars, surface drifting buoys and a downward-looking drifting acoustic Doppler current profiler (ADCP). The analysis confirms that velocities measured by HF radars correspond to those observed by an ADCP at the effective depth z f = k -1, where k is wavenumber of the radio wave emitted by the radar. The radials provided by the radars were in a very good agreement with in situ measurements, with the relative errors of 1 and 9 % and root mean square (RMS) differences of 0.02 and 0.04 m/s for monostatic and bistatic radar, respectively. The total radar-based velocities appeared to be slightly underestimated in magnitude and somewhat biased in direction. At the end of the survey period, the difference in the surface current direction, based on HF radar and ADCP data, attained 10°. It was demonstrated that the surface boundary layer dynamics cannot be reconstructed successfully without taking into the account velocity variation with depth. A significant misalignment of ˜30° caused by the sea breeze was documented between the HF radar (HFR-derived) surface current and the background current. It was also found that the ocean response to a moderate wind forcing was confined to the 4-m-thick upper layer. The respective Ekman current attained the maximum value of 0.15 m/s, and the current rotation was found to be lagging the wind by approximately 40 min, with the current vector direction being 15-20° to the left of the wind. The range of velocity variability due to wind forcing was found comparable with the magnitude of the background current variability.

Spatial Variability of the Background Diurnal Cycle of Deep Convection around the GoAmazon2014/5 Field Campaign Sites

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

Burleyson, Casey D.; Feng, Zhe; Hagos, Samson M.

The Amazon rainforest is one of a few regions of the world where continental tropical deep convection occurs. The Amazon’s isolation makes it challenging to observe, but also creates a unique natural laboratory to study anthropogenic impacts on clouds and precipitation in an otherwise pristine environment. Extensive measurements were made upwind and downwind of the large city of Manaus, Brazil during the Observations and Modeling of the Green Ocean Amazon 2014-2015 (GoAmazon2014/5) field campaign. In this study, 15 years of high-resolution satellite data are analyzed to examine the spatial and diurnal variability of convection occurring around the GoAmazon2014/5 sites. Interpretationmore » of anthropogenic differences between the upwind (T0) and downwind (T1-T3) sites is complicated by naturally-occurring spatial variability between the sites. During the rainy season, the inland propagation of the previous day’s sea-breeze front happens to be in phase with the background diurnal cycle near Manaus, but is out of phase elsewhere. Enhanced convergence between the river-breezes and the easterly trade winds generates up to 10% more frequent deep convection at the GoAmazon2014/5 sites east of the river (T0a, T0t/k, and T1) compared to the T3 site which was located near the western bank. In general, the annual and diurnal cycles during 2014 were representative of the 2000-2013 distributions. The only exceptions were in March when the monthly mean rainrate was above the 95th percentile and September when both rain frequency and intensity were suppressed. The natural spatial variability must be accounted for before interpreting anthropogenically-induced differences among the GoAmazon2014/5 sites.« less

Time-resolved distributions of bulk parameters, diacids, ketoacids and α-dicarbonyls and stable carbon and nitrogen isotope ratios of TC and TN in tropical Indian aerosols: Influence of land/sea breeze and secondary processes

NASA Astrophysics Data System (ADS)

Pavuluri, Chandra Mouli; Kawamura, Kimitaka; Swaminathan, T.

2015-02-01

To better understand the photochemical production and diurnal distributions of organic and inorganic aerosols in the tropical coastal Indian atmosphere, the aerosol (TSP) samples were collected every 3 h during 30-31 January, 14-15 February and 28-29 May 2007 from Chennai and studied for total carbon (TC) and nitrogen (TN) and their stable isotope ratios (δ13CTC and δ15NTN), carbonaceous components, inorganic ions, diacids, ketoacids and α-dicarbonyls. Time-resolved distributions of bulk parameters, inorganic ions, and diacids and related compounds, except for few species, did not show any clear diurnal trend but showed peaks at 6-9 h during all the study periods, except for the peak at 15-18 h on 28 May. SO42-, C2 - C6 diacids, ketoacids and α-dicarbonyls in February and on 29 May showed a diurnal trend. δ13CTC and δ15NTN stayed relatively constant during the study periods but showed 13C depletion (in January) and 15 N enrichment when TC and TN peaked. Based on these results together with air mass trajectories, we found that the diurnal distributions of Chennai aerosols are mainly influenced by land/sea breeze and the aged (photochemically processed) air masses, although in situ photochemical production and nighttime chemistry of secondary aerosol species, particularly C2-C4 diacids and SO42-, are significant. The characteristics of seasonal variations of carbonaceous components, and diacids and related compounds and comparisons of δ13CTC and δ15NTN of Chennai aerosols with the isotopic signatures of the point sources inferred that biofuel/biomass burning in South and Southeast Asia are the major sources of aerosols (TSP).

Nursing students' knowledge and attitudes toward urinary incontinence: A cross-sectional survey.

PubMed

Luo, Yan; Parry, Monica; Huang, Yan-Jin; Wang, Xiu-Hua; He, Guo-Ping

2016-05-01

Nurses must have adequate knowledge to manage the complexities of urinary incontinence. Nursing students are the nurses of the future, yet little is known about urinary incontinence education in undergraduate nursing programs. The aim of this study was (a) to assess the knowledge and attitudes of urinary incontinence held by undergraduate nursing students in China and (b) to explore the relationship between knowledge, attitudes and socio-demographic characteristics. A cross-sectional survey using cluster random sampling. Undergraduate departments of Nursing within the Faculty of Health Sciences at six Universities, located in different areas of China. A random selection of 6 faculties with a total of 1313 full time undergraduate nursing students completed the survey. Self-reported data were collected using two validated questionnaires, the Urinary Incontinence Knowledge Scale and the Urinary Incontinence Attitude Scale, to access students' knowledge and attitudes toward urinary incontinence. Overall urinary incontinence knowledge was poor (49.9%, 15.0/30) and attitudes about urinary incontinence were generally positive (71.7%, 43.0/60). A high level of interest in learning more about urinary incontinence was found. There was a weak correlation between urinary incontinence knowledge and attitudes (r=0.135, p<0.01). There was also a significant positive correlation between urinary incontinence knowledge and attitudes and nursing students' year of study, urinary incontinence education and training, and formal clinical practicum experience in urology (p<0.05). Chinese nursing students showed poor urinary incontinence knowledge but generally positive attitudes toward urinary incontinence. This study suggests there is a need to examine urinary incontinence content throughout undergraduate nursing curricula in China. Copyright © 2016 Elsevier Ltd. All rights reserved.

The female urinary microbiome in urgency urinary incontinence.

PubMed

Pearce, Meghan M; Zilliox, Michael J; Rosenfeld, Amy B; Thomas-White, Krystal J; Richter, Holly E; Nager, Charles W; Visco, Anthony G; Nygaard, Ingrid E; Barber, Matthew D; Schaffer, Joseph; Moalli, Pamela; Sung, Vivian W; Smith, Ariana L; Rogers, Rebecca; Nolen, Tracy L; Wallace, Dennis; Meikle, Susan F; Gai, Xiaowu; Wolfe, Alan J; Brubaker, Linda

2015-09-01

The purpose of this study was to characterize the urinary microbiota in women who are planning treatment for urgency urinary incontinence and to describe clinical associations with urinary symptoms, urinary tract infection, and treatment outcomes. Catheterized urine samples were collected from multisite randomized trial participants who had no clinical evidence of urinary tract infection; 16S ribosomal RNA gene sequencing was used to dichotomize participants as either DNA sequence-positive or sequence-negative. Associations with demographics, urinary symptoms, urinary tract infection risk, and treatment outcomes were determined. In sequence-positive samples, microbiotas were characterized on the basis of their dominant microorganisms. More than one-half (51.1%; 93/182) of the participants' urine samples were sequence-positive. Sequence-positive participants were younger (55.8 vs 61.3 years old; P = .0007), had a higher body mass index (33.7 vs 30.1 kg/m(2); P = .0009), had a higher mean baseline daily urgency urinary incontinence episodes (5.7 vs 4.2 episodes; P < .0001), responded better to treatment (decrease in urgency urinary incontinence episodes, -4.4 vs -3.3; P = .0013), and were less likely to experience urinary tract infection (9% vs 27%; P = .0011). In sequence-positive samples, 8 major bacterial clusters were identified; 7 clusters were dominated not only by a single genus, most commonly Lactobacillus (45%) or Gardnerella (17%), but also by other taxa (25%). The remaining cluster had no dominant genus (13%). DNA sequencing confirmed urinary bacterial DNA in many women with urgency urinary incontinence who had no signs of infection. Sequence status was associated with baseline urgency urinary incontinence episodes, treatment response, and posttreatment urinary tract infection risk. Copyright © 2015 Elsevier Inc. All rights reserved.

Clinical significance of serum and urinary HER2/neu protein levels in primary non-muscle invasive bladder cancer.

PubMed

Arikan, Ozgur; Yýldýrým, Asýf; Ýsbilen, Banu; Canakci, Cengiz; Atýs, Gokhan; Gurbuz, Cenk; Erol, Bulent; Ýsman, Ferruh Kemal; Ozkanli, Seyma; Caskurlu, Turhan

2015-01-01

We aimed to compare serum and urinary HER2/neu levels between healthy control group and patients with non-muscle invasive bladder cancer. Additionally, we evaluated relationship of HER2/neu levels with tumor stage, grade, recurrence and progression. Fourty-four patients with primary non-muscle invasive bladder tumors (Group 2) and 40 healthy control group (Group 1) were included the study. Blood and urinary samples were collected from all patients and HER2/neu levels were measured by ELISA method. Blood and urinary HER2/neu levels and additionally, ratio of urinary HER2/neu levels to urinary creatinine levels were recorded. Demographic data and tumor characteristics were recorded. Mean serum HER2/neu levels were similar between two groups and statistically significant difference wasn't observed. Urinary HER2/neu levels were significantly higher in group 2 than group 1. Ratio of urinary HER2/neu to urinary creatinine was significantly higher in group 2 than group 1, (p=0,021). Serum and urinary HER2/ neu levels were not associated with tumor stage, grade, recurrence and progression while ratio of urinary HER2/neu to urinary creatinin levels were significantly higher in high-grade tumors. HER2/neu, the sensitivity of the test was found to be 20.5%, and the specificity was 97.5%, also for the urinary HER2/neu/urinary creatinine ratio, the sensitivity and specificity of the test were found to be 31.8% and 87.5%, respectively. Urinary HER2/neu and ratio of urinary creatinine urine were significantly higher in patients with bladder cancer compared to healthy subjects. Large series and controlled studies are needed for use as a tumor marker.

Clinical prediction model to aid emergency doctors managing febrile children at risk of serious bacterial infections: diagnostic study

PubMed Central

Nijman, Ruud G; Vergouwe, Yvonne; Thompson, Matthew; van Veen, Mirjam; van Meurs, Alfred H J; van der Lei, Johan; Steyerberg, Ewout W; Moll, Henriette A

2013-01-01

Objective To derive, cross validate, and externally validate a clinical prediction model that assesses the risks of different serious bacterial infections in children with fever at the emergency department. Design Prospective observational diagnostic study. Setting Three paediatric emergency care units: two in the Netherlands and one in the United Kingdom. Participants Children with fever, aged 1 month to 15 years, at three paediatric emergency care units: Rotterdam (n=1750) and the Hague (n=967), the Netherlands, and Coventry (n=487), United Kingdom. A prediction model was constructed using multivariable polytomous logistic regression analysis and included the predefined predictor variables age, duration of fever, tachycardia, temperature, tachypnoea, ill appearance, chest wall retractions, prolonged capillary refill time (>3 seconds), oxygen saturation <94%, and C reactive protein. Main outcome measures Pneumonia, other serious bacterial infections (SBIs, including septicaemia/meningitis, urinary tract infections, and others), and no SBIs. Results Oxygen saturation <94% and presence of tachypnoea were important predictors of pneumonia. A raised C reactive protein level predicted the presence of both pneumonia and other SBIs, whereas chest wall retractions and oxygen saturation <94% were useful to rule out the presence of other SBIs. Discriminative ability (C statistic) to predict pneumonia was 0.81 (95% confidence interval 0.73 to 0.88); for other SBIs this was even better: 0.86 (0.79 to 0.92). Risk thresholds of 10% or more were useful to identify children with serious bacterial infections; risk thresholds less than 2.5% were useful to rule out the presence of serious bacterial infections. External validation showed good discrimination for the prediction of pneumonia (0.81, 0.69 to 0.93); discriminative ability for the prediction of other SBIs was lower (0.69, 0.53 to 0.86). Conclusion A validated prediction model, including clinical signs, symptoms, and C reactive protein level, was useful for estimating the likelihood of pneumonia and other SBIs in children with fever, such as septicaemia/meningitis and urinary tract infections. PMID:23550046

The urine dipstick test useful to rule out infections. A meta-analysis of the accuracy

PubMed Central

Devillé, Walter LJM; Yzermans, Joris C; van Duijn, Nico P; Bezemer, P Dick; van der Windt, Daniëlle AWM; Bouter, Lex M

2004-01-01

Background Many studies have evaluated the accuracy of dipstick tests as rapid detectors of bacteriuria and urinary tract infections (UTI). The lack of an adequate explanation for the heterogeneity of the dipstick accuracy stimulates an ongoing debate. The objective of the present meta-analysis was to summarise the available evidence on the diagnostic accuracy of the urine dipstick test, taking into account various pre-defined potential sources of heterogeneity. Methods Literature from 1990 through 1999 was searched in Medline and Embase, and by reference tracking. Selected publications should be concerned with the diagnosis of bacteriuria or urinary tract infections, investigate the use of dipstick tests for nitrites and/or leukocyte esterase, and present empirical data. A checklist was used to assess methodological quality. Results 70 publications were included. Accuracy of nitrites was high in pregnant women (Diagnostic Odds Ratio = 165) and elderly people (DOR = 108). Positive predictive values were ≥80% in elderly and in family medicine. Accuracy of leukocyte-esterase was high in studies in urology patients (DOR = 276). Sensitivities were highest in family medicine (86%). Negative predictive values were high in both tests in all patient groups and settings, except for in family medicine. The combination of both test results showed an important increase in sensitivity. Accuracy was high in studies in urology patients (DOR = 52), in children (DOR = 46), and if clinical information was present (DOR = 28). Sensitivity was highest in studies carried out in family medicine (90%). Predictive values of combinations of positive test results were low in all other situations. Conclusions Overall, this review demonstrates that the urine dipstick test alone seems to be useful in all populations to exclude the presence of infection if the results of both nitrites and leukocyte-esterase are negative. Sensitivities of the combination of both tests vary between 68 and 88% in different patient groups, but positive test results have to be confirmed. Although the combination of positive test results is very sensitive in family practice, the usefulness of the dipstick test alone to rule in infection remains doubtful, even with high pre-test probabilities. PMID:15175113

Experiences Related to Urinary Incontinence of Stroke Patients: A Qualitative Descriptive Study.

PubMed

Arkan, Gulcihan; Beser, Ayse; Ozturk, Vesile

2018-02-01

Poststroke urinary incontinence is a common problem, with a prevalence ranging from 32% to 79%. Urinary incontinence after stroke has negative physiological, psychological, and economic effects, which lead to lifestyle changes for both patients and caregivers. Nurses play an important role in preventing and improving incontinence, understanding the experiences of individuals experiencing incontinence, providing healthcare for them, and implementing behavioral therapy methods. The aim of this study was to determine the experience related to urinary incontinence of stroke patients. In this qualitative descriptive study, using semistructured interviews, 15 participants with urinary incontinence after stroke selected through purposeful sampling were interviewed. Data were collected with a semistructured interview form prepared within the framework of the Health Belief Model. All data were analyzed using content analysis. Three main themes were identified: "perception of urinary incontinence," "effects of urinary incontinence," and "management of urinary incontinence." The respondents explained that urinary incontinence also adversely affected their caregivers. They experienced many daily life and psychological problems because of urinary incontinence. In addition, they made several changes to management urinary incontinence such as limiting fluid intake, changing underwear frequently, using waterproof mattress protectors, applying traditional practice, and taking medicine. This study revealed that stroke patients needed help and support for urinary incontinence management. Nurses should provide information about management and urinary incontinence after stroke.

Urinary Tract Infections (For Teens)

MedlinePlus

... Staying Safe Videos for Educators Search English Español Urinary Tract Infections KidsHealth / For Teens / Urinary Tract Infections What's in ... especially girls — visit a doctor. What Is a Urinary Tract Infection? A bacterial urinary tract infection (UTI) is the ...

Roles of polyuria and hyperglycemia in bladder dysfunction in diabetes.

PubMed

Xiao, Nan; Wang, Zhiping; Huang, Yexiang; Daneshgari, Firouz; Liu, Guiming

2013-03-01

Diabetes mellitus causes diabetic bladder dysfunction. We identified the pathogenic roles of polyuria and hyperglycemia in diabetic bladder dysfunction in rats. A total of 72 female Sprague-Dawley® rats were divided into 6 groups, including age matched controls, and rats with sham urinary diversion, urinary diversion, streptozotocin induced diabetes mellitus after sham urinary diversion, streptozotocin induced diabetes mellitus after urinary diversion and 5% sucrose induced diuresis after sham urinary diversion. Urinary diversion was performed by ureterovaginostomy 10 days before diabetes mellitus induction. Animals were evaluated 20 weeks after diabetes mellitus or diuresis induction. We measured 24-hour drinking and voiding volumes, and cystometry. Bladders were harvested to quantify smooth muscle, urothelium and collagen. We measured nitrotyrosine and Mn superoxide dismutase in the bladder. Diabetes and diuresis caused increases in drinking and voiding volume, and bladder weight. Bladder weight decreased in the urinary diversion group and the urinary diversion plus diabetes group. The intercontractile interval, voided volume and compliance increased in the diuresis and diabetes groups, decreased in the urinary diversion group and further decreased in the urinary diversion plus diabetes group. Total cross-sectional tissue, smooth muscle and urothelium areas increased in the diuresis and diabetes groups, and decreased in the urinary diversion and urinary diversion plus diabetes groups. As a percent of total tissue area, collagen decreased in the diuresis and diabetes groups, and increased in the urinary diversion and urinary diversion plus diabetes groups. Smooth muscle and urothelium decreased in the urinary diversion and urinary diversion plus diabetes groups. Nitrotyrosine and Mn superoxide dismutase increased in rats with diabetes and urinary diversion plus diabetes. Polyuria induced bladder hypertrophy, while hyperglycemia induced substantial oxidative stress in the bladder, which may have a pathogenic role in late stage diabetic bladder dysfunction. Copyright © 2013 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Clinical utility of urinary soluble Fas in screening for bladder cancer.

PubMed

Srivastava, Anupam Kumar; Singh, Pankaj Kumar; Singh, Dhramveer; Dalela, Divakar; Rath, Srikanta Kumar; Bhatt, Madan Lal Brahma

2016-06-01

Early diagnosis of carcinoma of urinary bladder remains a challenge. Urine cytology, as an adjunct to cystoscopy, is less sensitive for low-grade tumors. Soluble Fas (sFas), a cell-surface receptor and member of the tumor necrosis factor superfamily, is frequently expressed in urinary bladder carcinoma. The objective of this study was to investigate the urinary sFas for diagnosis of transitional cell carcinoma (TCC) of urinary bladder. We examined urinary sFas concentration in 74 controls and 117 cases of TCC, both primary and recurrent disease, by using enzyme-linked immunosorbent assay and compared it with urinary cytology. Urinary sFas concentration was found to be significantly higher in the patient as compared to control group (P < 0.05). An optimal cutoff value of 174.0 pg/mL was proposed. The urinary sFas level was found to have an approximate sensitivity and specificity of 88.03% and 89.19% (P < 0.001), whereas urine cytology had sensitivity of 66.67% and specificity of 95.95%. sFas had better sensitivity in higher grade and both primary and recurrent cases of urinary bladder cancer in comparison with cytology. Out of 15 node positive bladder cancer cases, 13 had high urinary sFas levels, whereas 12 were urinary cytology positive for malignancy. Urinary sFas can be used as a non-invasive diagnostic biomarker for TCC of urinary bladder, both for primary and recurrent disease. © 2014 Wiley Publishing Asia Pty Ltd.

Urinary infection and malformations of urinary tract in infancy.

PubMed Central

Ring, E; Zobel, G

1988-01-01

One hundred and forty infants with their first urinary tract infections were studied and pronounced differences in age and sex were found. Two thirds of the patients had their first urinary tract infection during the first three months of life, and boys were significantly younger. There was a predominance of boys from 1-3 months old, but of girls thereafter. Obstructive uropathies occurred more often in boys, and during the first two months of life. The incidence of vesicoureteric reflux was similar for both sexes. Malformations recognised after urinary tract infections were compared with urinary tract malformations recognised prenatally. Fetal urinary tracts were evaluated in just over half of all pregnancies during the study period. Obstructive uropathies and multicystic dysplastic kidneys were more often diagnosed prenatally, and most refluxes were diagnosed after the urinary tract infection. In conclusion age and sex differences are common in urinary tract infection, and even though many urinary tract malformations were diagnosed prenatally this did not influence the high incidence of malformations recognised after urinary tract infection in infancy. PMID:3415299

Original Research: Potential of urinary nephrin as a biomarker reflecting podocyte dysfunction in various kidney disease models

PubMed Central

Wada, Yusuke; Moritani, Hiroshi; Mitori, Hikaru; Kondo, Mitsuhiro; Tanaka-Amino, Keiko; Eguchi, Megumi; Imasato, Akira; Inoki, Yutaka; Kajiyama, Hiroshi; Mimura, Toshihide; Tomura, Yuichi

2016-01-01

Urinary nephrin is a potential non-invasive biomarker of disease. To date, however, most studies of urinary nephrin have been conducted in animal models of diabetic nephropathy, and correlations between urinary nephrin-to-creatinine ratio and other parameters have yet to be evaluated in animal models or patients of kidney disease with podocyte dysfunction. We hypothesized that urinary nephrin-to-creatinine ratio can be up-regulated and is negatively correlated with renal nephrin mRNA levels in animal models of kidney disease, and that increased urinary nephrin-to-creatinine ratio levels are attenuated following administration of glucocorticoids. In the present study, renal nephrin mRNA, urinary nephrin-to-creatinine ratio, urinary protein-to-creatinine ratio, and creatinine clearance ratio were measured in animal models of adriamycin nephropathy, puromycin aminonucleoside nephropathy, anti-glomerular basement membrane glomerulonephritis, and 5/6 nephrectomy. The effects of prednisolone on urinary nephrin-to-creatinine ratio and other parameters in puromycin aminonucleoside (single injection) nephropathy rats were also investigated. In all models tested, urinary nephrin-to-creatinine ratio and urinary protein-to-creatinine ratio increased, while renal nephrin mRNA and creatinine clearance ratio decreased. Urinary nephrin-to-creatinine ratio exhibited a significant negative correlation with renal nephrin mRNA in almost all models, as well as a significant positive correlation with urinary protein-to-creatinine ratio and a significant negative correlation with creatinine clearance ratio. Urinary protein-to-creatinine ratio exhibited a significant negative correlation with renal nephrin mRNA. Following the administration of prednisolone to puromycin aminonucleoside (single injection) nephropathy rats, urinary nephrin-to-creatinine ratio was significantly suppressed and exhibited a significant positive correlation with urinary protein-to-creatinine ratio. In addition, the decrease in number of glomerular Wilms tumor antigen-1-positive cells was attenuated, and urinary nephrin-to-creatinine ratio exhibited a significant negative correlation in these cells. In conclusion, these results suggest that urinary nephrin-to-creatinine ratio level is a useful and reliable biomarker for predicting the amelioration of podocyte dysfunction by candidate drugs in various kidney disease models with podocyte dysfunction. This suggestion will also be validated in a clinical setting in future studies. PMID:27216597

Future Directions of Research and Care for Urinary Incontinence: Findings from the National Institute of Diabetes and Digestive and Kidney Diseases Summit on Urinary Incontinence Clinical Research in Women.

PubMed

Chai, Toby C; Asfaw, Tirsit S; Baker, Jan E; Clarkson, Becky; Coleman, Pamela; Hoffstetter, Susan; Konkel, Kimberly; Lavender, Missy; Nair, Shailaja; Norton, Jenna; Subak, Leslee; Visco, Anthony; Star, Robert A; Bavendam, Tamara

2017-07-01

Female urinary incontinence is prevalent, costly and morbid. Participants in a NIDDK (National Institute of Diabetes and Digestive and Kidney Diseases) sponsored summit reviewed findings from NIH (National Institutes of Health) funded clinical research on urinary incontinence in women and discussed the future of urinary incontinence research. The NIDDK convened the Summit on Urinary Incontinence Clinical Research in Women on March 14, 2014. Participants representing a broad range of clinical expertise reviewed completed NIH sponsored urinary incontinence related studies, including results from community based epidemiological studies such as the BACH (Boston Area Community Health) Survey and from randomized clinical trials such as PRIDE (Program to Reduce Incontinence by Diet and Exercise), and studies conducted by the Pelvic Floor Disorders Network and the Urinary Incontinence Treatment Network. BACH Survey results improved our understanding of precursors, incidence, prevalence and natural history of urinary incontinence in a diverse group of women. The Pelvic Floor Disorders Network study found that anticholinergic medications and onabotulinumtoxinA are efficacious for treating urge urinary incontinence, and Burch colposuspension and retropubic mid urethral polypropylene slings are efficacious for decreasing stress urinary incontinence following pelvic organ prolapse surgery in women with potential stress urinary incontinence. The Urinary Incontinence Treatment Network study found that fascial slings were better than colposuspension, and that retropubic and transobturator mid urethral polypropylene slings were equivalent for stress urinary incontinence. In patients with stress urinary incontinence a preoperative urodynamic study was noninferior to basic office examinations for surgical outcome. The addition of behavioral intervention did not allow female patients to discontinue antimuscarinics for urge urinary incontinence. PRIDE showed that modest weight reductions significantly decreased urinary incontinence. Strategies for future research on urinary incontinence should include a focus on early disease, risk factor identification, better phenotyping, incorporation of new technologies, patient centered research and prevention. Copyright © 2017 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

21 CFR 876.5280 - Implanted mechanical/hydraulic urinary continence device.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Implanted mechanical/hydraulic urinary continence....5280 Implanted mechanical/hydraulic urinary continence device. (a) Identification. An implanted mechanical/hydraulic urinary continence device is a device used to treat urinary incontinence by the...

21 CFR 876.5280 - Implanted mechanical/hydraulic urinary continence device.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Implanted mechanical/hydraulic urinary continence....5280 Implanted mechanical/hydraulic urinary continence device. (a) Identification. An implanted mechanical/hydraulic urinary continence device is a device used to treat urinary incontinence by the...

21 CFR 876.5280 - Implanted mechanical/hydraulic urinary continence device.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Implanted mechanical/hydraulic urinary continence....5280 Implanted mechanical/hydraulic urinary continence device. (a) Identification. An implanted mechanical/hydraulic urinary continence device is a device used to treat urinary incontinence by the...

21 CFR 876.5280 - Implanted mechanical/hydraulic urinary continence device.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Implanted mechanical/hydraulic urinary continence....5280 Implanted mechanical/hydraulic urinary continence device. (a) Identification. An implanted mechanical/hydraulic urinary continence device is a device used to treat urinary incontinence by the...

21 CFR 876.5280 - Implanted mechanical/hydraulic urinary continence device.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Implanted mechanical/hydraulic urinary continence....5280 Implanted mechanical/hydraulic urinary continence device. (a) Identification. An implanted mechanical/hydraulic urinary continence device is a device used to treat urinary incontinence by the...

Uncovering Hospitalists' Information Needs from Outside Healthcare Facilities in the Context of Health Information Exchange Using Association Rule Learning.

PubMed

Martinez, D A; Mora, E; Gemmani, M; Zayas-Castro, J

2015-01-01

Important barriers to health information exchange (HIE) adoption are clinical workflow disruptions and troubles with the system interface. Prior research suggests that HIE interfaces providing faster access to useful information may stimulate use and reduce barriers for adoption; however, little is known about informational needs of hospitalists. To study the association between patient health problems and the type of information requested from outside healthcare providers by hospitalists of a tertiary care hospital. We searched operational data associated with fax-based exchange of patient information (previous HIE implementation) between hospitalists of an internal medicine department in a large urban tertiary care hospital in Florida, and any other affiliated and unaffiliated healthcare provider. All hospitalizations from October 2011 to March 2014 were included in the search. Strong association rules between health problems and types of information requested during each hospitalization were discovered using Apriori algorithm, which were then validated by a team of hospitalists of the same department. Only 13.7% (2 089 out of 15 230) of the hospitalizations generated at least one request of patient information to other providers. The transactional data showed 20 strong association rules between specific health problems and types of information exist. Among the 20 rules, for example, abdominal pain, chest pain, and anaemia patients are highly likely to have medical records and outside imaging results requested. Other health conditions, prone to have records requested, were lower urinary tract infection and back pain patients. The presented list of strong co-occurrence of health problems and types of information requested by hospitalists from outside healthcare providers not only informs the implementation and design of HIE, but also helps to target future research on the impact of having access to outside information for specific patient cohorts. Our data-driven approach helps to reduce the typical biases of qualitative research.

Effect of weight loss on urinary incontinence in women

PubMed Central

Whitcomb, Emily L; Subak, Leslee L

2011-01-01

Background The purpose of this research was review the epidemiology of the association of obesity and urinary incontinence, and to summarize the published data on the effect of weight loss on urinary incontinence. Methods A literature review of the association between urinary incontinence and overweight/obesity in women was performed. Case series and clinical trials reporting the effect of surgical, behavioral, and/or pharmacological weight loss on urinary incontinence are summarized. Results Epidemiological studies demonstrate that obesity is a strong and independent risk factor for prevalent and incident urinary incontinence. There is a clear dose-response effect of weight on urinary incontinence, with each 5-unit increase in body mass index associated with a 20%–70% increase in risk of urinary incontinence. The maximum effect of weight on urinary incontinence has an odds ratio of 4–5. The odds of incident urinary incontinence over 5–10 years increase by approximately 30%–60% for each 5-unit increase in body mass index. There appears to be a stronger association between increasing weight and prevalent and incident stress incontinence (including mixed incontinence) than for urge incontinence. Weight loss studies indicate that both surgical and nonsurgical weight loss leads to significant improvements in prevalence, frequency, and/or symptoms of urinary incontinence. Conclusion Epidemiological studies document overweight and obesity as important risk factors for urinary incontinence. Weight loss by both surgical and more conservative approaches is effective in reducing urinary incontinence symptoms and should be strongly considered as a first line treatment for overweight and obese women with urinary incontinence. PMID:24198645

Evaluation of urinary catheters coated with sustained-release varnish of chlorhexidine in mitigating biofilm formation on urinary catheters in dogs.

PubMed

Segev, G; Bankirer, T; Steinberg, D; Duvdevani, M; Shapur, N K; Friedman, M; Lavy, E

2013-01-01

Biofilm formation occurs commonly on urinary catheters. To assess the efficacy of urinary catheters coated with sustained-release varnish of chlorhexidine in decreasing catheter-associated biofilm formation in dogs. Thirty client-owned dogs. Prospective study. Thirteen dogs were catheterized with urinary catheters coated with sustained-release varnish of chlorhexidine (study group), and 13 dogs were catheterized with an untreated urinary catheter (control group). Presence and intensity of biofilm formation on the urinary catheters were assessed and compared between the groups by evaluating colony-forming units (CFU) of biofilm bacteria, and semiquantitatively, using confocal laser scanning microscopy and electron microscopy. None of the dogs experienced adverse effects associated with the presence of the urinary catheters. Median CFU count of biofilm bacteria at all portions of the urinary catheter was significantly (P < .001) lower in the study compared with the control group. The degree of biofilm formation on the urinary catheters, as evaluated by confocal laser scanning microscopy and electron microscopy, was significantly lower in the study compared with the control group. Electron microscopy examination identified crystals on some of the urinary catheters. The proportion of catheters on which crystals were observed was significantly lower on the distal part of the urinary catheter in the study group compared with the control group (16.7% versus 66.7%, respectively; P = .04). Chlorhexidine sustained-release varnish-coated urinary catheters effectively decrease urinary catheter-associated biofilm formation in dogs. Copyright © 2012 by the American College of Veterinary Internal Medicine.

Demographic, dietary, and urinary factors and 24-h urinary calcium excretion.

PubMed

Taylor, Eric N; Curhan, Gary C

2009-12-01

Higher urinary calcium is a risk factor for nephrolithiasis. This study delineated associations between demographic, dietary, and urinary factors and 24-h urinary calcium. Cross-sectional studies were conducted of 2201 stone formers (SF) and 1167 nonstone formers (NSF) in the Health Professionals Follow-up Study (men) and Nurses' Health Studies I and II (older and younger women). Median urinary calcium was 182 mg/d in men, 182 mg/d in older women, and 192 mg/d in younger women. Compared with NSF, urinary calcium as a fraction of calcium intake was 33 to 38% higher in SF (P values < or =0.01). In regression analyses, participants were combined because associations with urinary calcium were similar in each cohort and in SF and NSF. After multivariate adjustment, participants in the highest quartile of calcium intake excreted 18 mg/d more urinary calcium than those in the lowest (P trend =0.01). Caffeine and family history of nephrolithiasis were positively associated, whereas urinary potassium, thiazides, gout, and age were inversely associated, with urinary calcium. After multivariate adjustment, participants in the highest quartiles of urinary magnesium, sodium, sulfate, citrate, phosphorus, and volume excreted 71 mg/d, 37 mg/d, 44 mg/d, 61 mg/d, 37 mg/d, and 24 mg/d more urinary calcium, respectively, than participants in the lowest (P values trend < or =0.01). Intestinal calcium absorption and/or negative calcium balance is greater in SF than NSF. Higher calcium intakes at levels typically observed in free-living individuals are associated with only small increases in urinary calcium.

Dissociation between urinary pyrraline and pentosidine concentrations in diabetic patients with advanced nephropathy.

PubMed

Aso, Yoshimasa; Takanashi, Keishi; Sekine, Kyouichi; Yoshida, Noboru; Takebayashi, Kohzo; Yoshihara, Kazuhiro; Inukai, Toshihiko

2004-08-01

It has been reported that the concentrations of both pyrraline and pentosidine, well-characterized advanced glycation end products, are increased in the urine of diabetic patients. To determine factors that influence the urinary excretion of pyrraline or pentosidine, we compared pyrraline or pentosidine concentrations with glycemic-control indexes, urinary albumin excretion, and urinary beta2-microglobulin in patients with type 2 diabetes. The study was conducted in 39 age-matched healthy control subjects and 50 diabetic patients, including 22 patients with normoalbuminuria, 15 with microalbuminuria, and 13 with macroalbuminuria. Both urinary pyrraline and pentosidine were measured in early-morning urine specimens with the use of high-pressure liquid chromatography. The urinary pentosidine concentration was significantly higher in diabetic patients than in control subjects (P <.01). In contrast, the urinary pyrraline concentration was significantly lower in diabetic patients than in control subjects (P <.001). Urinary pentosidine concentrations were greater in diabetic patients with macroalbuminuria and microalbuminuria than in those with normoalbuminuria. However, urinary pyrraline concentrations were significantly lower in diabetic patients with advanced nephropathy. Both the hemoglobin A(1c) (HbA(1c)) and the preceding year's mean HbA(1c) were lower in patients with macroalbuminuria than in those with normoalbuminuria or microalbuminuria. Urinary pyrraline, but not pentosidine, showed a significantly positive correlation with the preceding year's mean HbA(1c) (P<0.01). Multivariate analysis disclosed that urinary beta-2-microglobulin was independently correlated with the urinary concentrations of pentosidine and pyrraline (P <.05 for both). We conclude that the urinary concentration of pentosidine is greater in diabetic patients with overt nephropathy, whereas the urinary pyrraline concentration is significantly lower in diabetic patients with overt nephropathy. Because urinary pyrraline is more directly influenced by glycemia than by pentosidine, the difference in glycemic control among diabetic patients with various grades of nephropathy may be responsible for a dissociation between urinary pyrraline and pentosidine concentrations in patients with overt diabetic nephropathy.

Prevalence of urinary tract infection and vesicoureteral reflux in children with lower urinary tract dysfunction.

PubMed

Van Batavia, Jason P; Ahn, Jennifer J; Fast, Angela M; Combs, Andrew J; Glassberg, Kenneth I

2013-10-01

Lower urinary tract dysfunction is a common pediatric urological problem that is often associated with urinary tract infection. We determined the prevalence of a urinary tract infection history in children with lower urinary tract dysfunction and its association, if any, with gender, bowel dysfunction, vesicoureteral reflux and specific lower urinary tract conditions. We retrospectively reviewed the charts of children diagnosed with and treated for lower urinary tract dysfunction, noting a history of urinary tract infection with or without fever, gender, bowel dysfunction and vesicoureteral reflux in association with specific lower urinary tract conditions. Of the 257 boys and 366 girls with a mean age of 9.1 years 207 (33%) had a urinary tract infection history, including 88 with at least 1 febrile infection. A total of 64 patients underwent voiding cystourethrogram/videourodynamics, which revealed reflux in 44 (69%). In 119 of the 207 patients all infections were afebrile and 18 underwent voiding cystourethrogram/videourodynamics, which revealed reflux in 5 (28%). A urinary tract infection history was noted in 53% of girls but only 5% of boys (p <0.001). Patients with detrusor underutilization disorder were statistically more likely to present with an infection history than patients with idiopathic detrusor overactivity disorder or primary bladder neck dysfunction (each p <0.01). Females with lower urinary tract dysfunction have a much higher urinary tract infection incidence than males. This association was most often noted for lower urinary tract conditions in which urinary stasis occurs, including detrusor underutilization disorder and dysfunctional voiding. Reflux was found in most girls with a history of febrile infections. Since reflux was identified in more than a quarter of girls with only afebrile infections who were evaluated for reflux, it may be reasonable to perform voiding cystourethrogram or videourodynamics in some of them to identify reflux. Copyright © 2013 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

21 CFR 876.5270 - Implanted electrical urinary continence device.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Implanted electrical urinary continence device... Implanted electrical urinary continence device. (a) Identification. An implanted electrical urinary device is a device intended for treatment of urinary incontinence that consists of a receiver implanted in...

21 CFR 876.5270 - Implanted electrical urinary continence device.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Implanted electrical urinary continence device... Implanted electrical urinary continence device. (a) Identification. An implanted electrical urinary device is a device intended for treatment of urinary incontinence that consists of a receiver implanted in...

21 CFR 876.5270 - Implanted electrical urinary continence device.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Implanted electrical urinary continence device... Implanted electrical urinary continence device. (a) Identification. An implanted electrical urinary device is a device intended for treatment of urinary incontinence that consists of a receiver implanted in...

21 CFR 876.5270 - Implanted electrical urinary continence device.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Implanted electrical urinary continence device... Implanted electrical urinary continence device. (a) Identification. An implanted electrical urinary device is a device intended for treatment of urinary incontinence that consists of a receiver implanted in...

21 CFR 876.5270 - Implanted electrical urinary continence device.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Implanted electrical urinary continence device. (a) Identification. An implanted electrical urinary device is a device intended for treatment of urinary incontinence that consists of a receiver implanted in... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Implanted electrical urinary continence device...

Boundary Layer Depth In Coastal Regions

NASA Astrophysics Data System (ADS)

Porson, A.; Schayes, G.

The results of earlier studies performed about sea breezes simulations have shown that this is a relevant feature of the Planetary Boundary Layer that still requires effort to be diagnosed properly by atmospheric models. Based on the observations made during the ESCOMPTE campaign, over the Mediterranean Sea, different CBL and SBL height estimation processes have been tested with a meso-scale model, TVM. The aim was to compare the critical points of the BL height determination computed using turbulent kinetic energy profile with some other standard evaluations. Moreover, these results have been analysed with different mixing length formulation. The sensitivity of formulation is also analysed with a simple coastal configuration.

Earth observations taken during STS-81 mission

NASA Image and Video Library

1997-01-21

STS081-711-009 (12-22 Jan. 1997) --- As photographed with a 70mm handheld camera from the Earth-orbiting Space Shuttle Atlantis, this image provides a northeastward panorama of the Florida peninsula, the northern Bahamas and Cuba as well as a synoptic view of the northern Caribbean region. Lake Okeechobee and the urban region around Miami are the two key visual points in Florida. The turquoise shallow water platforms around the Florida Keys, the Bahamas, and south of Cuba contrast with the deep blue color of the deeper channels which separate Florida from Cuba and the Bahamas. Offshore breezes keep the coastal areas clear of clouds.

OPERATION GREENHOUSE. Scientific Director’s Report of Atomic Weapon Tests at Eniwetok, 1951. Annex 6.7. Contamination-Decontamination Studies

DTIC Science & Technology

1951-08-01

and Seques- trene AA at a pH of 5 (with sodium hydroxide). Breeze, one of the agents used, is a commer- cial synthetic detergent com^Pte with addi...9,299] D E I ll s w 1 Ü Mert 12 50 134 47 229 657 68 322 1,110 34 138 335 87 415 1,720 92 442 1,700 69 278 1,180 399...Continued BRA88 (1025) STAINLESS STEEL (38) STAINLESS STEEL (45) .1 IS 5 II .1 OH II IS a 8 S Si Si r it IS a m 8 2 .1 a o

The nature of immune responses to urinary tract infections

PubMed Central

Abraham, Soman N.; Miao, Yuxuan

2016-01-01

The urinary tract is constantly exposed to microorganisms that inhabit the gastrointestinal tract, but generally the urinary tract resists infection by gut microorganisms. This resistance to infection is mainly ascribed to the versatility of the innate immune defences in the urinary tract as the adaptive immune responses are limited, particularly when only the lower urinary tract is infected. In recent years, as the strengths and weaknesses of the immune system of the urinary tract have emerged and as the virulence attributes of uropathogens are recognized, several potentially effective and unconventional strategies to contain or prevent urinary tract infections have emerged. PMID:26388331

Urinary tract infection in older adults

PubMed Central

Rowe, Theresa A; Juthani-Mehta, Manisha

2013-01-01

Urinary tract infection and asymptomatic bacteriuria are common in older adults. Unlike in younger adults, distinguishing symptomatic urinary tract infection from asymptomatic bacteriuria is problematic, as older adults, particularly those living in long-term care facilities, are less likely to present with localized genitourinary symptoms. Consensus guidelines have been published to assist clinicians with diagnosis and treatment of urinary tract infection; however, a single evidence-based approach to diagnosis of urinary tract infection does not exist. In the absence of a gold standard definition of urinary tract infection that clinicians agree upon, overtreatment with antibiotics for suspected urinary tract infection remains a significant problem, and leads to a variety of negative consequences including the development of multidrug-resistant organisms. Future studies improving the diagnostic accuracy of urinary tract infections are needed. This review will cover the prevalence, diagnosis and diagnostic challenges, management, and prevention of urinary tract infection and asymptomatic bacteriuria in older adults. PMID:24391677

Different values of urinary fractionated metanephrines after unilateral adrenalectomy for pheochromocytoma according to time intervals after surgery.

PubMed

Cho, Yoon Y; Kim, Young N; Kim, Jung-Han; Jeong, Byong C; Lee, Soo-Youn; Kim, Jae H

2017-01-01

Background After adrenalectomy, urinary fractionated metanephrine concentrations are expected to be reduced. However, there are few studies suggesting cut-offs for adrenalectomy patients. Methods Urinary metanephrine and normetanephrine concentrations in adrenalectomy patients and two controls were compared and hormonal concentrations were evaluated via time intervals after surgery. Results The median urinary metanephrine level after unilateral adrenalectomy was lower than that of the non-pheochromocytoma controls but comparable to healthy controls. Urinary normetanephrine concentrations did not differ between adrenalectomy patients and non-pheochromocytoma controls, although both group had levels higher than those of healthy controls. The median urinary normetanephrine level in the immediate postoperative period was higher than in the later period. Conclusions Urinary metanephrine concentrations were lower after adrenalectomy, but urinary normetanephrine concentrations were not changed compared with the non-pheochromocytoma controls. However, urinary normetanephrine concentrations in the patient group were higher than levels in the heathy controls.

Diagnostic value of 64-slice spiral computed tomography imaging of the urinary tract during the excretory phase for urinary tract obstruction.

PubMed

Zhao, De-Li; Jia, Guang-Sheng; Chen, Peng; Liu, Xin-Ding; Shu, Sheng-Jie; Ling, Zai-Sheng; Fan, Ting-Ting; Shen, Xiu-Fen; Zhang, Jin-Ling

2017-11-01

The present study aimed to assess the diagnostic value of 64-slice spiral computed tomography (CT) imaging of the urinary tract during the excretory phase for urinary tract obstruction. CT imaging of the urinary tract during the excretory phase was performed in 46 patients that had been diagnosed with urinary tract obstruction by B-mode ultrasound imaging or clinical manifestations. It was demonstrated that out of the 46 patients, 18 had pelvic and ureteral calculi, 12 cases had congenital malformations, 3 had ureteral stricture caused by urinary tract infection and 13 cases had malignant tumors of the urinary tract. The average X-ray dose planned for the standard CT scan of the urinary tract group 1 was 14.11±5.45 mSv, while the actual X-ray dose administered for the CT scan during the excretory phase group 2 was 9.01±4.56 mSv. The difference between the two groups was statistically significant (t=15.36; P<0.01). The results of the present study indicate that CT scanning of the urinary tract during the excretory phase has a high diagnostic value for urinary tract obstruction.

Dose-response relationship between urinary polycyclic aromatic hydrocarbons metabolites and urinary 8-hydroxy-2'-deoxyguanosine in a Chinese general population.

PubMed

Sun, Huizhen; Hou, Jian; Zhou, Yun; Yang, Yuqing; Cheng, Juan; Xu, Tian; Xiao, Lili; Chen, Weihong; Yuan, Jing

2017-05-01

Association of exposure to polycyclic aromatic hydrocarbons (PAHs) with increased urinary 8-hydroxy-2'-deoxyguanosine (8-OHdG) formation has been reported in occupational population and children. However, studies on the association between them in general population are limited. A total of 1864 eligible subjects from the baseline Wuhan participants of the Wuhan-Zhuhai Cohort Study (n = 3053) were included in this study, after excluding individuals with certain disease and missing data on urinary monohydroxy PAHs (OH-PAHs) and 8-OHdG levels. Urinary monohydroxy PAHs and 8-OHdG levels were measured by gas chromatography-mass spectrometry and high performance liquid chromatography-electrochemical detection, respectively. Association of urinary OH-PAHs with urinary 8-OHdG was analyzed by multiple linear regression analysis. We found a dose-dependent relationship between urinary PAHs metabolites and urinary 8-OHdG (p < 0.05 for all). Furthermore, more evidence for the association of total concentrations of urinary OH-PAHs with 8-OHdG levels were observed in individuals with normal body mass index or central obesity (p < 0.01 for all). There was a dose-dependent relationship between urinary OH-PAHs levels and urinary 8-OHdG levels among a general Chinese population. Exposure to background PAHs may have a greater influence on urinary 8-OHdG levels in individuals with central obesity. Copyright © 2017 Elsevier Ltd. All rights reserved.

Prevalence of Urinary Incontinence During Pregnancy and Associated Risk Factors.

PubMed

Dinç, Ayten

2017-07-04

To investigate the prevalence of urinary incontinence during pregnancy and associated risk factors. The study is a cross-sectional and descriptive study. A questionnaire was conducted with a total of 750 pregnant women about their urinary incontinence complaints between April and December 2013. The prevalence of urinary incontinence during pregnancy was 300 in 750 (40%). Stress urinary incontinence was the most common type of incontinence during pregnancy. 41.7% of nulliparous women, 38% of primipara women, and 20.3% of multipara women experienced urinary incontinence. Among women reporting UI, 29.3% experienced leakage a few times a day and the amount of leakage was generally (59.7%) moderate. Factors significantly associated with urinary incontinence included age group, gestational age, parity, previous urinary incontinence, constipation, mode of delivery at last childbirth, previous urinary tract infection, body mass index during pregnancy. But on multivariable analysis, the risk factors for urinary incontinence during pregnancy were previous urinary tract infection (OR = 3.8, 95%CI 1.5-9.3), constipation (OR 3.1, 95%CI 1.7-5.6) and gestational age (OR 0.5, 95%CI 0.3-0.9). As a result of this study, urinary incontinence is a common condition during pregnancy. Results would help the design of more intensive training programs to prevent incontinence during pregnancy by increasing the awareness about urinary incontinence of healthcare staff engaging in the care of pregnant women. © 2017 John Wiley & Sons Australia, Ltd.

Toileting behaviours and lower urinary tract symptoms among female nurses: A cross-sectional questionnaire survey.

PubMed

Wan, Xiaojuan; Wu, Chen; Xu, Dongjuan; Huang, Liqun; Wang, Kefang

2016-10-21

Unhealthy toileting behaviours exist among women, and lower urinary tract symptoms have a high prevalence and significant effects on quality of life. However, the relationship between toileting behaviours and lower urinary tract symptoms is unclear. This study aimed to investigate the prevalence of lower urinary tract symptoms among female nurses, and the association between toileting behaviours and lower urinary tract symptoms. A cross-sectional stratified cluster sampling study. A total of 636 female clinical nurses from tertiary hospitals in Jinan (the capital city of Shandong Province, China). The Toileting Behaviour-Women's Elimination Behaviours and the International Consultation on Incontinence Questionnaire-Female Lower Urinary Tract Symptoms scales were used to assess the participants' toileting behaviours and lower urinary tract symptoms, respectively. Multiple linear regression analysis was used to evaluate the association between toileting behaviours and lower urinary tract symptoms. Unhealthy toileting behaviours were common among the female nurses, with delayed voiding being the unhealthiest toileting behaviour, which was followed by place and position preference for voiding. Nearly 68% of the female nurses had at least one lower urinary tract symptom, nearly 50% had incontinence symptoms, 40% had filling symptoms, and 18% had voiding symptoms. Unhealthy toileting behaviours (premature voiding, delayed voiding, and straining to void) were positively associated with lower urinary tract symptoms. However, lower urinary tract symptoms were not significantly associated with voiding place or position preference. Among the control variables, being married or having a history of a urinary tract infection was associated with lower urinary tract symptoms. Having a higher income and regular menstrual period were negatively associated with lower urinary tract symptoms. Compared with vaginal delivery, caesarean delivery had a protective association with lower urinary tract symptoms. Lower urinary tract symptoms among female nurses should not be overlooked, because their prevalence among female clinical nurses exceeded that among the general population of women. These findings highlight the importance of avoiding unhealthy toileting behaviours (especially premature voiding, delayed voiding, and straining to void), as these unhealthy toileting behaviours were significantly associated with susceptibility to lower urinary tract symptoms. Copyright © 2016. Published by Elsevier Ltd.

Original Research: Potential of urinary nephrin as a biomarker reflecting podocyte dysfunction in various kidney disease models.

PubMed

Wada, Yusuke; Abe, Masaki; Moritani, Hiroshi; Mitori, Hikaru; Kondo, Mitsuhiro; Tanaka-Amino, Keiko; Eguchi, Megumi; Imasato, Akira; Inoki, Yutaka; Kajiyama, Hiroshi; Mimura, Toshihide; Tomura, Yuichi

2016-10-01

Urinary nephrin is a potential non-invasive biomarker of disease. To date, however, most studies of urinary nephrin have been conducted in animal models of diabetic nephropathy, and correlations between urinary nephrin-to-creatinine ratio and other parameters have yet to be evaluated in animal models or patients of kidney disease with podocyte dysfunction. We hypothesized that urinary nephrin-to-creatinine ratio can be up-regulated and is negatively correlated with renal nephrin mRNA levels in animal models of kidney disease, and that increased urinary nephrin-to-creatinine ratio levels are attenuated following administration of glucocorticoids. In the present study, renal nephrin mRNA, urinary nephrin-to-creatinine ratio, urinary protein-to-creatinine ratio, and creatinine clearance ratio were measured in animal models of adriamycin nephropathy, puromycin aminonucleoside nephropathy, anti-glomerular basement membrane glomerulonephritis, and 5/6 nephrectomy. The effects of prednisolone on urinary nephrin-to-creatinine ratio and other parameters in puromycin aminonucleoside (single injection) nephropathy rats were also investigated. In all models tested, urinary nephrin-to-creatinine ratio and urinary protein-to-creatinine ratio increased, while renal nephrin mRNA and creatinine clearance ratio decreased. Urinary nephrin-to-creatinine ratio exhibited a significant negative correlation with renal nephrin mRNA in almost all models, as well as a significant positive correlation with urinary protein-to-creatinine ratio and a significant negative correlation with creatinine clearance ratio. Urinary protein-to-creatinine ratio exhibited a significant negative correlation with renal nephrin mRNA. Following the administration of prednisolone to puromycin aminonucleoside (single injection) nephropathy rats, urinary nephrin-to-creatinine ratio was significantly suppressed and exhibited a significant positive correlation with urinary protein-to-creatinine ratio. In addition, the decrease in number of glomerular Wilms tumor antigen-1-positive cells was attenuated, and urinary nephrin-to-creatinine ratio exhibited a significant negative correlation in these cells. In conclusion, these results suggest that urinary nephrin-to-creatinine ratio level is a useful and reliable biomarker for predicting the amelioration of podocyte dysfunction by candidate drugs in various kidney disease models with podocyte dysfunction. This suggestion will also be validated in a clinical setting in future studies. © 2016 by the Society for Experimental Biology and Medicine.

Urinary podocyte-associated mRNA levels correlate with proximal tubule dysfunction in early diabetic nephropathy of type 2 diabetes mellitus.

PubMed

Petrica, Ligia; Ursoniu, Sorin; Gadalean, Florica; Vlad, Adrian; Gluhovschi, Gheorghe; Dumitrascu, Victor; Vlad, Daliborca; Gluhovschi, Cristina; Velciov, Silvia; Bob, Flaviu; Matusz, Petru; Milas, Oana; Secara, Alina; Simulescu, Anca; Popescu, Roxana

2017-01-01

The study assessed mRNA expression of podocyte-associated molecules in urinary sediments of patients with type 2 diabetes mellitus (DM) in relation to urinary podocytes, biomarkers of podocyte injury and of proximal tubule (PT) dysfunction. A total of 76 patients with type 2 DM and 20 healthy subjects were enrolled in a cross-sectional study, and assessed concerning urinary podocytes, urinary mRNA of podocyte-associated genes, urinary biomarkers of podocyte damage and of PT dysfunction. We found significant differences between urinary mRNA of podocyte-associated molecules in relation with albuminuria stage. In multivariable regression analysis, urinary mRNA of nephrin, podocin, alpha-actinin-4, CD2-associated protein, glomerular epithelial protein 1 (GLEPP1), ADAM 10, and NFκB correlated directly with urinary podocytes, albuminuria, urinary alpha 1 -microglobulin, urinary kidney-injury molecule-1, nephrinuria, urinary vascular endothelial growth factor, urinary advanced glycation end-products (AGE), and indirectly with eGFR (p < 0.0001, R 2  = 0.808; p < 0.0001, R 2  = 0.825; p < 0.0001, R 2  = 0.805; p < 0.0001, R 2  = 0.663; p < 0.0001, R 2  = 0.726; p < 0.0001, R 2  = 0.720; p < 0.0001, R 2  = 0.724). In patients with type 2 DM there is an association between urinary mRNA of podocyte-associated molecules, biomarkers of podocyte damage, and of PT dysfunction. GLEPP1, ADAM10, and NFκB may be considered additional candidate molecules indicative of early diabetic nephropathy. AGE could be involved in this association.

The association between changes in urinary albumin-to-creatinine ratio and risk of abnormal ankle-brachial index in a community-based Chinese population.

PubMed

Niu, Fukun; Zhang, Luxia; Wang, Xingyu; Liu, Lisheng; Wang, Haiyan

2012-01-01

To investigate the prospective association between changes in the urinary albumin-creatinine ratio (ACR) and abnormal ankle-brachial index (ABI) in a community-based Chinese population. This prospective cohort study included 799 residents aged 58.3±9.2 years and without a history of cardiovascular disease from an urban district of Beijing, China. Urinary ACR was measured at baseline, and at 4 and 6 years of follow-up. The 75th percentile of the baseline urinary ACR (5.82 mg/g) was used to define "high" ACR. The changes in urinary ACR were categorized as consistently low urinary ACR, intermittent high urinary ACR, and consistently high urinary ACR. ABI was measured at 6 years of follow-up. Multinomial logistic regression was used to evaluate the associations of changes in urinary ACR categories with the ABI categories. During 6 years of follow-up, 16.1% of participants (n= 128) had low ABI and 13.9% of participants (n= 111) had high ABI. After adjusting for potential confounders including baseline albuminuria, individuals who had consistently high urinary ACR or intermittent high urinary ACR had a significantly higher risk for low ABI than individuals who had consistently low urinary ACR, with odds ratios (OR) of 2.75 (95%CI, 1.37-5.52) and 2.06 (95%CI, 1.18-3.57), respectively. No independent association was observed between changes in urinary ACR and high ABI among participants. Changes in urinary ACR below the definition for albuminuria predict low ABI among this community-based population without a history of cardiovascular disease.

Renal and blood pressure effects from environmental cadmium exposure in Thai children

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

Swaddiwudhipong, Witaya, E-mail: swaddi@hotmail.com; Mahasakpan, Pranee; Jeekeeree, Wanpen

Very few studies have shown renal and blood pressure effects from environmental cadmium exposure in children. This population study examined associations between urinary cadmium excretion, a good biomarker of long-term cadmium exposure, and renal dysfunctions and blood pressure in environmentally exposed Thai children. Renal functions including urinary excretion of β{sub 2}-microglobulin, calcium (early renal effects), and total protein (late renal effect), and blood pressure were measured in 594 primary school children. Of the children studied, 19.0% had urinary cadmium ≥1 μg/g creatinine. The prevalence of urinary cadmium ≥1 μg/g creatinine was significantly higher in girls and in those consuming ricemore » grown in cadmium-contaminated areas. The geometric mean levels of urinary β{sub 2}-microglobulin, calcium, and total protein significantly increased with increasing tertiles of urinary cadmium. The analysis did not show increased blood pressure with increasing tertiles of urinary cadmium. After adjusting for age, sex, and blood lead levels, the analysis showed significant positive associations between urinary cadmium and urinary β{sub 2}-microglobulin and urinary calcium, but not urinary total protein nor blood pressure. Our findings provide evidence that environmental cadmium exposure can affect renal functions in children. A follow-up study is essential to assess the clinical significance and progress of renal effects in these children. - Highlights: • Few studies show renal effects from environmental cadmium exposure in children. • We report renal and blood pressure effects from cadmium exposure in Thai children. • Urinary β{sub 2}-microglobulin and calcium increased with increasing urinary cadmium. • The study found no association between urinary cadmium levels and blood pressure. • Environmental cadmium exposure can affect renal functions in children.« less

Demographic, Dietary, and Urinary Factors and 24-h Urinary Calcium Excretion

PubMed Central

Curhan, Gary C.

2009-01-01

Background and objectives: Higher urinary calcium is a risk factor for nephrolithiasis. This study delineated associations between demographic, dietary, and urinary factors and 24-h urinary calcium. Design, setting, participants, & measurements: Cross-sectional studies were conducted of 2201 stone formers (SF) and 1167 nonstone formers (NSF) in the Health Professionals Follow-up Study (men) and Nurses' Health Studies I and II (older and younger women). Results: Median urinary calcium was 182 mg/d in men, 182 mg/d in older women, and 192 mg/d in younger women. Compared with NSF, urinary calcium as a fraction of calcium intake was 33 to 38% higher in SF (P values ≤0.01). In regression analyses, participants were combined because associations with urinary calcium were similar in each cohort and in SF and NSF. After multivariate adjustment, participants in the highest quartile of calcium intake excreted 18 mg/d more urinary calcium than those in the lowest (P trend =0.01). Caffeine and family history of nephrolithiasis were positively associated, whereas urinary potassium, thiazides, gout, and age were inversely associated, with urinary calcium. After multivariate adjustment, participants in the highest quartiles of urinary magnesium, sodium, sulfate, citrate, phosphorus, and volume excreted 71 mg/d, 37 mg/d, 44 mg/d, 61 mg/d, 37 mg/d, and 24 mg/d more urinary calcium, respectively, than participants in the lowest (P values trend ≤0.01). Conclusions: Intestinal calcium absorption and/or negative calcium balance is greater in SF than NSF. Higher calcium intakes at levels typically observed in free-living individuals are associated with only small increases in urinary calcium. PMID:19820135

Urinary Concentrations of Triclosan, Benzophenone-3, and Bisphenol A in Taiwanese Children and Adolescents

PubMed Central

Chang, Fu-Kuei; Shiea, Jentaie; Tsai, Hsin-Jen

2017-01-01

The purpose of this study was to determine the levels of urinary triclosan (TCS), benzophenone-3 (BP-3), and bisphenol A (BPA) in 52 children and 71 adolescents. The effects of age and sex on the levels of urinary TCS, BP-3, and BPA were explored, respectively. Results demonstrated the overall detection rates of urinary TCS, BP-3, and BPA were 18.7%, 8.1%, and 49.6%, respectively. The females had higher TCS concentrations than males (p = 0.051). The detection rate of urinary BP-3 in females (12.3%) was higher than that in males (0%) (p = 0.015). Moreover, the detection rate of urinary BP-3 in adolescents (14.1%) was higher than that in children (0%) (p = 0.005). For children, no urinary BP-3 was found. There were no differences in detection rates and concentrations of urinary TCS, BP-3, and BPA between males and females, respectively. For adolescents, urinary BP-3 was only found in the females. Urinary TCS levels in females were higher than those in males (p = 0.047). The present study showed that urinary TCS concentrations in females were significantly higher than those in males, respectively. In addition, BP-3 was only detected in urine samples of female adolescents. Sex and age were the important factors influencing urinary TCS and BP-3 concentrations. PMID:29232866

Detecting the presence of an indwelling urinary catheter and urinary symptoms in hospitalized patients using natural language processing.

PubMed

Gundlapalli, Adi V; Divita, Guy; Redd, Andrew; Carter, Marjorie E; Ko, Danette; Rubin, Michael; Samore, Matthew; Strymish, Judith; Krein, Sarah; Gupta, Kalpana; Sales, Anne; Trautner, Barbara W

2017-07-01

To develop a natural language processing pipeline to extract positively asserted concepts related to the presence of an indwelling urinary catheter in hospitalized patients from the free text of the electronic medical note. The goal is to assist infection preventionists and other healthcare professionals in determining whether a patient has an indwelling urinary catheter when a catheter-associated urinary tract infection is suspected. Currently, data on indwelling urinary catheters is not consistently captured in the electronic medical record in structured format and thus cannot be reliably extracted for clinical and research purposes. We developed a lexicon of terms related to indwelling urinary catheters and urinary symptoms based on domain knowledge, prior experience in the field, and review of medical notes. A reference standard of 1595 randomly selected documents from inpatient admissions was annotated by human reviewers to identify all positively and negatively asserted concepts related to indwelling urinary catheters. We trained a natural language processing pipeline based on the V3NLP framework using 1050 documents and tested on 545 documents to determine agreement with the human reference standard. Metrics reported are positive predictive value and recall. The lexicon contained 590 terms related to the presence of an indwelling urinary catheter in various categories including insertion, care, change, and removal of urinary catheters and 67 terms for urinary symptoms. Nursing notes were the most frequent inpatient note titles in the reference standard document corpus; these also yielded the highest number of positively asserted concepts with respect to urinary catheters. Comparing the performance of the natural language processing pipeline against the human reference standard, the overall recall was 75% and positive predictive value was 99% on the training set; on the testing set, the recall was 72% and positive predictive value was 98%. The performance on extracting urinary symptoms (including fever) was high with recall and precision greater than 90%. We have shown that it is possible to identify the presence of an indwelling urinary catheter and urinary symptoms from the free text of electronic medical notes from inpatients using natural language processing. These are two key steps in developing automated protocols to assist humans in large-scale review of patient charts for catheter-associated urinary tract infection. The challenges associated with extracting indwelling urinary catheter-related concepts also inform the design of electronic medical record templates to reliably and consistently capture data on indwelling urinary catheters. Published by Elsevier Inc.

Urinary total arsenic and 8-hydroxydeoxyguanosine are associated with renal cell carcinoma in an area without obvious arsenic exposure

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

Huang, Chao-Yuan; Department of Urology, National Taiwan University Hospital, College of Medicine National Taiwan University, Taipei, Taiwan; Su, Chien-Tien

2012-08-01

8-Hydroxydeoxyguanosine (8-OHdG) is one of the most reliable and abundant markers of DNA damage. The study was designed to explore the relationship between urinary 8-OHdG and renal cell carcinoma (RCC) and to investigate whether individuals with a high level of 8-OHdG would have a modified odds ratio (OR) of arsenic-related RCC. This case–control study was conducted with 132 RCC patients and 245 age- and sex-matched controls from a hospital-based pool between November 2006 and May 2009. Pathological verification of RCC was completed by image-guided biopsy or surgical resection of renal tumors. Urinary 8-OHdG levels were determined using liquid chromatography withmore » tandem mass spectrometry (LC–MS/MS). Concentrations of urinary arsenic species, including inorganic arsenic, monomethylarsonic acid (MMA) and dimethylarsinic acid (DMA), were determined by a high performance liquid chromatography-linked hydride generator and atomic absorption spectrometry. Level of urinary 8-OHdG was significantly associated with the OR of RCC in a dose–response relationship after multivariate adjustment. Urinary 8-OHdG was significantly related to urinary total arsenic. The greatest OR (3.50) was seen in the individuals with high urinary 8-OHdG and high urinary total arsenic. A trend test indicated that the OR of RCC was increased with one of these factors and was further increased with both (p = 0.002). In conclusion, higher urinary 8-OHdG was a strong predictor of the RCC. High levels of 8-OHdG combined with urinary total arsenic might be indicative of arsenic-induced RCC. -- Highlights: ► Urinary 8-OHdG was significantly related to urinary total arsenic. ► Higher urinary 8-OHdG was a strong predictor of RCC risk. ► Urinary 8-OHdG may modify arsenic related RCC risk.« less

[Extracorporeal shock wave therapy in chronic prostatitis].

PubMed

Kul'chavenya, E V; Shevchenko, S Yu; Brizhatyuk, E V

2016-04-01

Chronic prostatitis is a prevalent urologic disease, but treatment outcomes are not always satisfactory. As a rule, chronic prostatitis results in chronic pelvic pain syndrome, significantly reducing the patient's quality of life. Open pilot prospective non-comparative study was conducted to test the effectiveness of extracorporeal shock wave therapy (ESWT) using Aries (Dornier) machine in patients with chronic prostatitis (CP) of IIIb category. A total of 27 patients underwent ESWL as monotherapy, 2 times a week for a course of 6 sessions. Exposure settings: 5-6 energy level (by sensation), the frequency of 5 Hz, 2000 pulses per session; each patient received a total energy up to 12000 mJ. per procedure. Treatment results were evaluated using NIH-CPSI (National Institute of Health Chronic Prostatitis Symptom Index) upon completing the 3 week course of 6 treatments and at 1 month after ESWT. Immediately after the ESWT course positive trend was not significant: pain index decreased from 9.1 to 7.9, urinary symptom score remained almost unchanged (4.2 at baseline, 4.1 after treatment), quality of life index also showed a slight improvement, dropping from 7.2 points to 6.0. Total NIH-CPSI score decreased from 20.5 to 18.0. One month post-treatment pain significantly decreased to 3.2 points, the urinary symptom score fell to 2.7 points, the average quality of life score was 3.9 points. ESWT, performed on Aries (Dornier) machine, is highly effective as monotherapy in patients with category IIIb chronic prostatitis.

Bladder Control Problems in Women

MedlinePlus

... Prostate Enlargement (Benign Prostatic Hyperplasia) Urinary Diversion Urinary Retention Urine Blockage in Newborns Vesicoureteral Reflux (VUR) The ... Conditions & Diseases Bladder Control Problems & Nerve Disease Urinary Retention Bladder Infection (Urinary Tract Infection—UTI) in Adults ...

Urethral toxicity after LDR brachytherapy: experience in Japan.

PubMed

Tanaka, Nobumichi; Asakawa, Isao; Hasegawa, Masatoshi; Fujimoto, Kiyohide

2015-01-01

Urinary toxicity is common after low-dose-rate (LDR) brachytherapy, and the resolution of urinary toxicity is a concern. In particular, urinary frequency is the most common adverse event among the urinary toxicities. We have previously reported that approximately 70% of patients experience urinary frequency during the first 6 months after seed implantation. Most urinary adverse events were classified as Grade 1, and Grade 2 or higher adverse events were rare. The incidence of urinary retention was approximately 2-4%. A high International Prostate Symptom Score before seed implantation was an independent predictor of acute urinary toxicity of Grade 2 or higher. Several previous reports from the United States also supported this trend. In Japan, LDR brachytherapy was legally approved in 2003. A nationwide prospective cohort study entitled Japanese Prostate Cancer Outcome Study of Permanent Iodine-125 Seed Implantation was initiated in July 2005. It is an important issue to limit urinary toxicities in patients who undergo LDR brachytherapy. Copyright © 2015 American Brachytherapy Society. Published by Elsevier Inc. All rights reserved.

Urination Pain

MedlinePlus

... small masses of minerals) in the urinary tract. Urinary tract infections (UTIs) are the most common cause of painful ... More on this topic for: Parents Kids Teens Urinary Tract Infections Recurrent Urinary Tract Infections and Related Conditions Kidneys ...

Surgery for Stress Urinary Incontinence

MedlinePlus

... Events Advocacy For Patients About ACOG Surgery for Stress Urinary Incontinence Home For Patients Search FAQs Surgery ... Incontinence FAQ166, July 2017 PDF Format Surgery for Stress Urinary Incontinence Special Procedures What is stress urinary ...

Assessing Urinary Tract Junction Obstruction Defects by Methylene Blue Dye Injection.

PubMed

Yun, Kangsun

2017-10-12

Urinary tract junction obstruction defects are congenital anomalies inducing hydronephrosis and hydroureter. Murine urinary tract junction obstruction defects can be assessed by tracking methylene blue dye flow within the urinary system. Methylene blue dye is injected into the renal pelvis of perinatal embryonic kidneys and dye flow is monitored from the renal pelvis of the kidney through the ureter and into the bladder lumen after applying hydrostatic pressure. Dye accumulation will be evident in the bladder lumen of the normal perinatal urinary tract, but will be constrained between the renal pelvis and the end point of an abnormal ureter, if urinary tract obstructions occur. This method facilitates the confirmation of urinary tract junction obstructions and visualization of hydronephrosis and hydroureter. This manuscript describes a protocol for methylene blue dye injection into the renal pelvis to confirm urinary tract junction obstructions.

The mediating effect of 'bothersome' urinary incontinence on help-seeking intentions among community-dwelling women.

PubMed

Xu, Dongjuan; Wang, Xiaojuan; Li, Jingjing; Wang, Kefang

2015-02-01

To explore the mediating effect of bother of urinary incontinence between urinary incontinence severity and help-seeking intentions and detect whether the International Consultation on Incontinence Questionnaire-UI Short Form could be a valid measure to delineate bothersome urinary incontinence. Urinary incontinence is a common condition among women, which has a profound adverse effect on quality of life. However, many of them experiencing significant clinical symptoms do not seek medical help. A cross-sectional survey design. Women with urinary incontinence (N = 620) from three randomized selected community health service centres from May-October 2011 participated in the study. Data were collected using a pencil-and-paper questionnaire. Multivariate regression models were used to test the role of bother as a mediator in the relation between urinary incontinence severity and help-seeking intentions. Receiver operating characteristic analysis was used to find the best cut-off International Consultation on Incontinence Questionnaire-UI Short Form score (range: 0-21) to delineate the bother of urinary incontinence. Bothersome urinary incontinence mediated the relationship between urinary incontinence severity and help-seeking intentions. Age and duration of urine leakage had a negative association on help-seeking intentions, while educational level and previous help-seeking behaviours had a positive association. Bother was a mediator in the relation between urinary incontinence severity and help-seeking intentions. The International Consultation on Incontinence Questionnaire-UI Short Form was a discriminative measure to delineate the bothersome urinary incontinence. © 2014 John Wiley & Sons Ltd.

Urinary Tract Stones and Osteoporosis: Findings From the Women’s Health Initiative

PubMed Central

Carbone, Laura D; Hovey, Kathleen M; Andrews, Christopher A; Thomas, Fridtjof; Sorensen, Mathew D; Crandall, Carolyn J; Watts, Nelson B; Bethel, Monique; Johnson, Karen C

2017-01-01

Kidney and bladder stones (urinary tract stones) and osteoporosis are prevalent, serious conditions for postmenopausal women. Men with kidney stones are at increased risk of osteoporosis; however, the relationship of urinary tract stones to osteoporosis in postmenopausal women has not been established. The purpose of this study was to determine whether urinary tract stones are an independent risk factor for changes in bone mineral density (BMD) and incident fractures in women in the Women’s Health Initiative (WHI). Data were obtained from 150,689 women in the Observational Study and Clinical Trials of the WHI with information on urinary tract stones status: 9856 of these women reported urinary tract stones at baseline and/or incident urinary tract stones during follow-up. Cox regression models were used to determine the association of urinary tract stones with incident fractures and linear mixed models were used to investigate the relationship of urinary tract stones with changes in BMD that occurred during WHI. Follow-up was over an average of 8 years. Models were adjusted for demographic and clinical factors, medication use, and dietary histories. In unadjusted models there was a significant association of urinary tract stones with incident total fractures (HR 1.10; 95% CI, 1.04 to 1.17). However, in covariate adjusted analyses, urinary tract stones were not significantly related to changes in BMD at any skeletal site or to incident fractures. In conclusion, urinary tract stones in postmenopausal women are not an independent risk factor for osteoporosis. PMID:25990099

[Male Urinary Incontinence--a Taboo Issue].

PubMed

Kozomara-Hocke, Marko; Hermanns, Thomas; Poyet, Cédric

2016-03-02

Male urinary incontinence is an underestimated and frequently not broached issue. The urinary incontinence is divided into stress-, urge incontinence and hybrid forms as well as overflow incontinence. The fact that there are increasingly more men over 60 means that the prevalence of the urinary incontinence is up to 40%, and urinary incontinence will increasingly gain importance in daily routine practice. Many investigations and therapies can be realized by the general practitioner. Already simple therapy approaches can lead to a considerable clinical improvement of male urinary incontinence. If the initial therapy fails or pathological results (i. e. microhaematuria, recurrent urinary tract infections, raised residual urine and so on) are found, the patient should be referred to a urologist.

The Pediatric Urinary Tract and Medical Imaging.

PubMed

Penny, Steven M

2016-01-01

The pediatric urinary tract often is assessed with medical imaging. Consequently, it is essential for medical imaging professionals to have a fundamental understanding of pediatric anatomy, physiology, and common pathology of the urinary tract to provide optimal patient care. This article provides an overview of fetal development, pediatric urinary anatomy and physiology, and common diseases and conditions of the pediatric urinary tract.

Changes in cat urinary glycosaminoglycans with age and in feline urologic syndrome.

PubMed

Pereira, Daionety A; Aguiar, Jair A K; Hagiwara, Mitika K; Michelacci, Yara M

2004-04-07

The aim of the present study was to characterize the urinary excretion of glycosaminoglycans in kittens and adult healthy cats, as well as in cats with a low urinary tract disease, the feline urologic syndrome (FUS). The main urinary glycosaminoglycan in cats was found to be chondroitin sulfate, with smaller amounts of dermatan sulfate and heparan sulfate. There was no difference in the urinary glycosaminoglycan concentration with sex, but a marked decrease occurred with age, due to chondroitin sulfate. Trace amounts of keratan sulfate were also detected in the urine of kittens, but not of healthy adult cats. Dermatan sulfate and heparan sulfate were the only glycosaminoglycans found in the urinary tract and kidney, and chondroitin sulfate was the only glycosaminoglycan found in the plasma. These data suggest that the main urinary glycosaminoglycan chondroitin sulfate is of systemic origin and filtered in the kidney, while the minor components dermatan sulfate and heparan sulfate may come from the urinary tract. The urinary glycosaminoglycan concentration was greatly decreased in animals with FUS, as compared to normal adults. We hypothesize that these low glycosaminoglycan levels reflect a damage to the bladder surface, resulting in absorption and/or degradation of the endogenous urinary glycosaminoglycans.

Management of postoperative urinary retention: a randomized trial of in-out versus overnight catheterization.

PubMed

Lau, Hung; Lam, Becky

2004-08-01

There has been no consensus on the best catheterization strategy for the management of postoperative urinary retention. A prospective randomized trial was undertaken to establish the best practice guidelines for the management of postoperative urinary retention. The authors also evaluated the contemporary incidence of urinary retention following different categories of general surgery and examined risk factors associated with its occurrence. All patients who underwent elective inpatient surgery between January 2002 and June 2003 were recruited into the study. Patients who developed postoperative urinary retention were randomized to either having in-out catheterization or placement of an indwelling catheter for 24 h after surgery. A total of 1448 patients was recruited. The overall incidence of urinary retention was 4.1% (n = 60). Significant risk factors associated with postoperative urinary retention included old age, anorectal procedures and use of spinal anaesthesia. Comparison of re-catheterization and urinary tract infection rates between patients who were treated with in-out versus overnight catheterization found no significant differences. Postoperative urinary retention should be managed by in-out catheterization. Indwelling catheterization for 24 h appeared to bestow no additional benefits. The incidence of urinary retention increases with age, anorectal procedures and the use of spinal anaesthesia.

Evaluation of urinary incontinence and quality of life in married women aged between 20 and 49 years (Sakarya, Turkey)

PubMed

Özdemir, Kevser; Şahin, Sevil; Özerdoğan, Nebahat; Ünsal, Alaattin

2018-02-23

Background/aim: This study aimed to determine the prevalence of urinary incontinence and to evaluate the relationship between urinary incontinence and quality of life in married women. Materials and methods: This is a cross-sectional study conducted among married women aged 20-49 years living in the vicinity of the Çökekler Community Clinic (Family Health Center) in Sakarya, Turkey, from 1 November 2011 to 15 April 2012. The study group consisted of 1161 women. Results: The frequency of urinary incontinence was 71.5% (n = 830). Out of a total of 830 patients with symptoms of urinary incontinence, mixed was the most frequently determined type (60.4%), followed by urge (33.9%) and then stress urinary incontinence (5.8%). The mean scores obtained by women with urinary incontinence from the general health perceptions and social functioning domains of the SF-36 survey were lower (P < 0.05 for each domain). Conclusion: Urinary incontinence was found to be a common problem among women, and it affects quality of life adversely. Recurrent urinary tract infection and advancing age were the key risk factors in the development of urinary incontinence.

Risk factors for urinary tract infection after renal transplantation and its impact on graft function in children and young adults.

PubMed

Silva, Andres; Rodig, Nancy; Passerotti, Carlo P; Recabal, Pedro; Borer, Joseph G; Retik, Alan B; Nguyen, Hiep T

2010-10-01

Urinary tract infection will develop in 40% of children who undergo renal transplantation. Post-transplant urinary tract infection is associated with earlier graft loss in adults. However, the impact on graft function in the pediatric population is less well-known. Additionally the risk factors for post-transplant urinary tract infection in children have not been well elucidated. The purpose of this study was to assess the relationship between pre-transplant and post-transplant urinary tract infections on graft outcome, and the risk factors for post-transplant urinary tract infection. A total of 87 patients underwent renal transplantation between July 2001 and July 2006. Patient demographics, cause of renal failure, graft outcome, and presence of pre-transplant and post-transplant urinary tract infections were recorded. Graft outcome was based on last creatinine and nephrological assessment. Median followup was 3.12 years. Of the patients 15% had pre-transplant and 32% had post-transplant urinary tract infections. Good graft function was seen in 60% of the patients and 21% had failed function. Graft function did not correlate with a history of pre-transplant or post-transplant urinary tract infection (p >0.2). Of transplanted patients with urological causes of renal failure 57% had post-transplant urinary tract infection, compared to only 20% of those with a medical etiology of renal failure (p <0.001). In this study there was no correlation between a history of urinary tract infection (either before or after transplant) and decreased graft function. History of pre-transplant urinary tract infection was suggestive of urinary tract infection after transplant. Patients with urological causes of renal failure may be at increased risk for post-transplant urinary tract infection. Copyright © 2010 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Triggered Urine Interleukin-6 Correlates to Severity of Symptoms in Nonfebrile Lower Urinary Tract Infections.

PubMed

Sundén, Fredrik; Butler, Daniel; Wullt, Björn

2017-07-01

Objective diagnosis of symptomatic urinary tract infections in patients prone to asymptomatic bacteriuria is compromised by local host responses that are already present and the positive urine culture. We investigated interleukin-6 as a biomarker for nonfebrile urinary tract infection severity and diagnostic thresholds for interleukin-6 and 8, and neutrophils to differentiate between asymptomatic bacteriuria and urinary tract infection. Patients with residual urine and neurogenic bladders due to spinal lesions included in a long-term Escherichia coli 83972 asymptomatic bacteriuria inoculation trial were monitored for 2 years. Symptom scoring and urine sampling to estimate interleukin-6 and 8, and neutrophils were performed regularly monthly and at urinary tract infection episodes. Patients were followed in the complete study for a mean of 19 months (range 10 to 27) and those with asymptomatic bacteriuria with E. coli 83972 were followed a mean of 11 months (range 4 to 19). A total of 37 nonfebrile urinary tract infection episodes with complete data on interleukin-6 and 8, neutrophils and symptom scoring were documented. Interleukin-6 was the only marker that persistently increased during urinary tract infection compared to asymptomatic bacteriuria in pooled and paired intra-individual comparisons (p <0.05). Interleukin-6 above the threshold (greater than 25 ng/l) correlated to more severe urinary tract infection symptoms (p <0.05). The sensitivity and specificity of all biomarkers were poor/moderate when differentiating asymptomatic bacteriuria vs all urinary tract infection episodes. However, in urinary tract infections with worse symptoms interleukin-6 and neutrophils demonstrated equal good/excellent outcomes. Triggered interleukin-6 correlated to urinary tract infection symptom severity and demonstrated a promising differential diagnostic capacity to discriminate urinary tract infection from asymptomatic bacteriuria. Future studies should explore interleukin-6 as a biomarker of urinary tract infection severity and assess the treatment indication in nonfebrile urinary tract infections. Copyright © 2017 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Pathophysiology of nocturnal lower urinary tract symptoms in older patients with urinary incontinence.

PubMed

Denys, Marie-Astrid; Decalf, Veerle; Kumps, Candy; Petrovic, Mirko; Goessaert, An-Sofie; Everaert, Karel

2017-11-01

To explore the mismatch between functional bladder capacity and nocturnal urine production, and to study the pathophysiology of an increased nocturnal urine production in older patients with urinary incontinence. The present prospective observational study included adults aged ≥65 years with urinary incontinence. Participants completed questionnaires, frequency volume charts and renal function profiles. The nocturnal lower urinary tract symptom index was defined as nocturnal urine output/maximum voided volume; the nocturnal polyuria index as nocturnal/24 h urine output. The median age (n = 95) was 74 years (69-79), 87% were women and 73% had nocturnal lower urinary tract symptoms (nocturnal urinary incontinence or nocturia ≥2). Participants with nocturnal lower urinary tract symptoms had a significantly higher nocturnal urine output (809 mL vs 650 mL; P = 0.001) and no significant difference in maximum voided volume (350 mL vs 437 mL; P = 0.079) compared with participants without nocturnal lower urinary tract symptoms. Participants (nocturnal polyuria index >33% [n = 56], nocturnal polyuria index >40% [n = 42], nocturnal lower urinary tract symptom index >1.87 [n = 51]) showed higher night-time diuresis rates, free water and sodium clearance compared with during the daytime. Controls (nocturnal polyuria index ≤33% [n = 26], nocturnal polyuria index ≤40% [n = 40], nocturnal lower urinary tract symptom index ≤1.87 [n = 44]) had no circadian rhythm in their diuresis rate or sodium clearance, but more nocturnal free water clearance compared with during the daytime. The majority of older adults with urinary incontinence present nocturnal lower urinary tract symptoms. An increased nocturnal sodium diuresis seems to be the only mechanism differentiating patients with nocturnal lower urinary tract symptoms from controls. © 2017 The Japanese Urological Association.

Urinary tract infections and Candida albicans.

PubMed

Behzadi, Payam; Behzadi, Elham; Ranjbar, Reza

2015-01-01

Urinary tract candidiasis is known as the most frequent nosocomial fungal infection worldwide. Candida albicans is the most common cause of nosocomial fungal urinary tract infections; however, a rapid change in the distribution of Candida species is undergoing. Simultaneously, the increase of urinary tract candidiasis has led to the appearance of antifungal resistant Candida species. In this review, we have an in depth look into Candida albicans uropathogenesis and distribution of the three most frequent Candida species contributing to urinary tract candidiasis in different countries around the world. For writing this review, Google Scholar -a scholarly search engine- (http://scholar.google.com/) and PubMed database (http://www.ncbi.nlm.nih.gov/pubmed/) were used. The most recently published original articles and reviews of literature relating to the first three Candida species causing urinary tract infections in different countries and the pathogenicity of Candida albicans were selected and studied. Although some studies show rapid changes in the uropathogenesis of Candida species causing urinary tract infections in some countries, Candida albicans is still the most important cause of candidal urinary tract infections. Despite the ranking of Candida albicans as the dominant species for urinary tract candidiasis, specific changes have occurred in some countries. At this time, it is important to continue the surveillance related to Candida species causing urinary tract infections to prevent, control and treat urinary tract candidiasis in future.

Short communication: Relationship between urinary neutrophil gelatinase-associated lipocalin and noninfectious pyuria in dogs.

PubMed

Proverbio, D; Spada, E; Baggiani, L; Bagnagatti De Giorgi, G; Ferro, E; Martino, P A; Perego, R

2015-01-01

Neutrophil gelatinase-associated lipocalin (NGAL) is a neutrophil-derived protein whose concentration increases in plasma and urine with ongoing renal damage. Urinary leucocytes can be a potential source of urinary NGAL. The aim of this study is to investigate the effects of urinary neutrophil count and other urinary parameters on urinary NGAL values in urine with negative culture. Urinalysis, urine culture, and determination of urinary NGAL were performed on 33 clinically healthy nonproteinuric dogs with negative urinoculture. The median uNGAL concentration in dogs in this study population was 9.74 ng/mL (IQR 1.93-25.43 ng/mL). In samples with WBCs > 5 hpf (mean 15.9, 6-50 leucocytes/hpf), median uNGAL value was significantly higher than that in samples with WBCs < 5 hpf (mean 0.9, 0-3 leucocytes/hpf), (4.96 pg/mL (0.29-11.34) and 23.65 pg/mL (20.04-29.80), resp.; P = 0.0053). The severity of urinary pyuria and the UPC value were correlated with uNGAL concentration. The results of our study show that urinary NGAL concentration is correlated with WBCs number in urinary sediment of dogs with negative urinoculture. The present study suggests that noninfectious pyuria is significantly correlated with urinary NGAL values and might influence uNGAL values.

Urine Test: Dipstick (For Parents)

MedlinePlus

... dipstick test may point to a diagnosis of urinary tract infection (UTI), kidney disease, diabetes, or a urinary tract injury. ... Complications of Diabetes Kidney Diseases in Childhood Recurrent Urinary Tract Infections and Related Conditions Urinary Tract Infections Kidneys and ...

Urinary cell-free DNA is a versatile analyte for monitoring infections of the urinary tract.

PubMed

Burnham, Philip; Dadhania, Darshana; Heyang, Michael; Chen, Fanny; Westblade, Lars F; Suthanthiran, Manikkam; Lee, John Richard; De Vlaminck, Iwijn

2018-06-20

Urinary tract infections are one of the most common infections in humans. Here we tested the utility of urinary cell-free DNA (cfDNA) to comprehensively monitor host and pathogen dynamics in bacterial and viral urinary tract infections. We isolated cfDNA from 141 urine samples from a cohort of 82 kidney transplant recipients and performed next-generation sequencing. We found that urinary cfDNA is highly informative about bacterial and viral composition of the microbiome, antimicrobial susceptibility, bacterial growth dynamics, kidney allograft injury, and host response to infection. These different layers of information are accessible from a single assay and individually agree with corresponding clinical tests based on quantitative PCR, conventional bacterial culture, and urinalysis. In addition, cfDNA reveals the frequent occurrence of pathologies that remain undiagnosed with conventional diagnostic protocols. Our work identifies urinary cfDNA as a highly versatile analyte to monitor infections of the urinary tract.

Urinary retention and post-void residual urine in men: separating truth from tradition.

PubMed

Kaplan, Steven A; Wein, Alan J; Staskin, David R; Roehrborn, Claus G; Steers, William D

2008-07-01

The definitions of acute and chronic urinary retention remain empirical and subject to wide interpretation. Standardized criteria have not been established and many questions remain unanswered. Moreover, the definition of significant post-void residual urine is unclear. We reviewed several aspects of urinary retention that require clarification with the objective of stimulating discussion among urologists to establish an accurate and coherent definition of urinary retention and significant post-void residual urine, and clarify risk factors. A MEDLINE search for articles written in English and published before April 2007 was done using a list of terms related to urinary retention. Articles not directly relevant to urinary retention or post-void residual urine were excluded. The term urinary retention lacks precise clinical or urodynamic meaning. Use of this term to describe a symptom, a sign, and a condition further complicates the issue. Many factors can contribute to the development of retention, including bladder outlet obstruction, detrusor underactivity, and neurogenic bladder conditions. Community based studies and clinical trials in patients with benign prostatic enlargement and/or lower urinary tract symptoms yield different estimates of the incidence of retention and only provide information on the epidemiology of acute urinary retention. However, age, previous retention episodes, lower urinary tract symptoms, chronic inflammation, serum prostate specific antigen level, prostate size, and urodynamic variables appear to be predictors of acute urinary retention. Alpha-receptor antagonists and 5alpha-reductase inhibitors may be useful in preventing urinary retention episodes and progressive benign prostatic enlargement. Clinical trials on the short-term use of antimuscarinics have not provided evidence that these agents increase the risk of retention; data on longer term administration are needed. Clinicians are adopting less invasive approaches (eg pharmacology or catheterization) to treating patients who present with the symptoms, sign, and condition of urinary retention. Faced with an abundance of new data on acute urinary retention, urologists need to reach a consensus about the risks of urinary retention; this may promote movement toward patient centered prevention strategies with tailored treatment options.

Degraded protein adducts of cis-2-butene-1,4-dial are urinary and hepatocyte metabolites of furan.

PubMed

Lu, Ding; Sullivan, Mathilde M; Phillips, Martin B; Peterson, Lisa A

2009-06-01

Furan is a liver toxicant and carcinogen in rodents. On the basis of these observations and the large potential for human exposure, furan has been classified as a possible human carcinogen. The mechanism of tumor induction by furan is unknown. However, the toxicity requires cytochrome P450-catalyzed oxidation of furan. The product of this oxidation, cis-2-butene-1,4-dial (BDA), reacts readily with glutathione, amino acids, and DNA and is a bacterial mutagen in Ames assay strain TA104. Characterization of the urinary metabolites of furan is expected to provide information regarding the structure(s) of the reactive metabolite(s). Recently, several urinary metabolites have been identified. We reported the presence of a monoglutathione-BDA reaction product, N-[4-carboxy-4-(3-mercapto-1H-pyrrol-1-yl)-1-oxobutyl]-l-cysteinylglycine cyclic sulfide. Three additional urinary metabolites of furan were also characterized as follows: R-2-acetylamino-6-(2,5-dihydro-2-oxo-1H-pyrrol-1-yl)-1-hexanoic acid, N-acetyl-S-[1-(5-acetylamino-5-carboxypentyl)-1H-pyrrol-3-yl]-l-cysteine, and its sulfoxide. It was postulated that these three metabolites are derived from degraded protein adducts. However, the possibility that these metabolites result from the reaction of BDA with free lysine and/or cysteine was not ruled out. In this latter case, one might predict that the reaction of thiol-BDA with free lysine would not occur exclusively on the epsilon-amino group. Reaction of BDA with N-acetylcysteine or GSH in the presence of lysine indicated that both the alpha- and the epsilon-amino groups of lysine can be modified by thiol-BDA. The N-acetylcysteine-BDA-N-acetyllysine urinary metabolites were solely linked through the epsilon-amino group of lysine. A GSH-BDA-lysine cross-link was a significant hepatocyte metabolite of furan. In this case, the major product resulted from reaction with the epsilon-amino group of lysine; however, small amounts of the alpha-amino reaction product were also observed. Western analysis of liver and hepatocyte protein extracts using anti-GSH antibody indicated that GSH was covalently linked to proteins in tissues or cells exposed to furan. Our data support the hypothesis that GSH-BDA can react with either free lysine or protein lysine groups. These data suggest that there are multiple pathways by which furan can modify cellular nucleophiles. In one pathway, BDA reacts directly with proteins to form cysteine-lysine reaction products. In another, BDA reacts with GSH to form GSH-BDA conjugates, which then react with cellular nucleophiles like free lysine or lysine moieties in proteins. Both pathways will give rise to N-acetyl-S-[1-(5-acetylamino-5-carboxypentyl)-1H-pyrrol-3-yl]-l-cysteine. Given the abundance of these metabolites in urine of furan-treated rats, these pathways appear to be major pathways of furan biotransformation in vivo.

Degraded protein adducts of cis-2-butene-1,4-dial are urinary and hepatocyte metabolites of furan

PubMed Central

Lu, Ding; Sullivan, Mathilde M.; Phillips, Martin B.; Peterson, Lisa A.

2009-01-01

Furan is a liver toxicant and carcinogen in rodents. Based on these observations and the large potential for human exposure, furan has been classified as a possible human carcinogen. The mechanism of tumor induction by furan is unknown. However, the toxicity requires cytochrome P450 catalyzed oxidation of furan. The product of this oxidation, cis-2-butene-1,4-dial (BDA), reacts readily with glutathione, amino acids and DNA and is a bacterial mutagen in Ames assay strain TA104. Characterization of the urinary metabolites of furan is expected to provide information regarding the structure(s) of the reactive metabolite(s). Recently, several urinary metabolites have been identified. We reported the presence of a mono-glutathione-BDA reaction product, N-[4-carboxy-4-(3-mercapto-1H-pyrrol-1-yl)-1-oxobutyl]-L-cysteinylglycine cyclic sulfide. Three additional urinary metabolites of furan were also characterized: R-2-acetylamino-6-(2,5-dihydro-2-oxo-1H-pyrrol-1-yl)-1-hexanoic acid, N-acetyl-S-[1-(5-acetylamino-5-carboxypentyl)-1H-pyrrol-3-yl]-L-cysteine and its sulfoxide. It was postulated that these three metabolites are derived from degraded protein adducts. However, the possibility that these metabolites result from reaction of BDA with free lysine and/or cysteine was not ruled out. In this latter case, one might predict that the reaction of thiol-BDA with free lysine would not occur exclusively on the ε-amino group. Reaction of BDA with N-acetylcysteine or GSH in the presence of lysine indicated that both the α- and ε-amino groups of lysine can be modified by thiol-BDA. The N-acetylcysteine-BDA-N-acetyllysine urinary metabolites were solely linked through the ε-amino group of lysine. A GSH-BDA-lysine crosslink was a significant hepatocyte metabolite of furan. In this case, the major product resulted from reaction with the ε-amino group of lysine, however, small amounts of the α-amino reaction product were also observed. Western analysis of liver and hepatocyte protein extracts using anti-GSH antibody indicated that GSH was covalently linked to proteins in tissues or cells exposed to furan. Our data support the hypothesis that GSH-BDA can react with either free lysine or protein lysine groups. These data suggest that there are multiple pathways by which furan can modify cellular nucleophiles. In one pathway, BDA reacts directly with proteins to form cysteine-lysine reaction products. In another, BDA reacts with GSH to form GSH-BDA conjugates which then reacts with cellular nucleophiles like free lysine or lysine moieties in proteins. Both pathways will give rise to N-acetyl-S-[1-(5-acetylamino-5-carboxypentyl)-1H-pyrrol-3-yl]-L-cysteine. Given the abundance of these metabolites in urine of furan-treated rats, these pathways appear to be major pathways of furan biotransformation in vivo. PMID:19441776

Variability of urinary salt excretion estimated by spot urine in treated hypertensive patients.

PubMed

Arakawa, Kimika; Sakaki, Minako; Sakata, Satoko; Oniki, Hideyuki; Tominaga, Mitsuhiro; Tsuchihashi, Takuya

2015-01-01

Among the several methods used to assess salt intake, estimating 24 h urinary salt excretion by spot urine seems appropriate for clinical practice. In this study, we investigated variability in urinary salt excretion using spot urine in hypertensive outpatients. Participants included 200 hypertensive patients who underwent spot urinary salt excretion at least three times during the observation period. Mean urinary salt excretion and the coefficient of the variation were 8.62 ± 1.96 g/day and 19.0 ± 10.2%, respectively. In the analysis of participants who underwent assessment of urinary salt excretion at least eight times (n = 54), a significant reduction in mean urinary salt excretion was found at the 5th measurement. On the contrary, the coefficient of the variation of urinary salt excretion continued to increase until the 5th measurement, and became stable thereafter. Mean urinary salt excretion was positively correlated with mean clinic diastolic blood pressure (r = 0.27, p < 0.05). Clinic diastolic blood pressure in the high urinary salt excretion group (≥ 10 g/day) was significantly higher than that of the low group (76.2 ± 7.5 vs 73.4 ± 8.3 mmHg, p < 0.05). Mean urinary salt excretion in summer was significantly lower than that of the other seasons (7.75 ± 1.94 vs 9.09 ± 2.68 (spring), 8.72 ± 2.12 (autumn), 8.92 ± 2.17 (winter) g/day, p < 0.01). In conclusion, repeated measurements of urinary salt excretion using spot urine are required to assess daily salt intake of hypertensive patients.

Incidence of urinary extravasation and rate of ureteral stenting after high-grade renal trauma in adults: a meta-analysis

PubMed Central

Anderson, Ross E.; Fiander, Michelle; McFarland, Mary M.; Stoddard, Gregory J.; Hotaling, James M.; Myers, Jeremy B.

2018-01-01

Background Collecting system injury and urinary extravasation is an important yet understudied aspect of renal trauma. We aimed to examine the incidence of urinary extravasation and also the rates of ureteral stenting after high-grade renal trauma (HGRT) in adults. Methods A search strategy was developed to search Ovid Medline, Embase, CINAHL, and Cochrane Library. Two reviewers screened titles and abstracts, followed by full-text review of the relevant publications. Studies were included if they indicated the number of patients with HGRT [the American Association for the Surgery of Trauma (AAST) grades III–IV or equivalents] and number of patients with urinary extravasation. A descriptive meta-analysis of binary proportions was performed with random-effects model to calculate the incidence of urinary extravasation and rates of ureteral stenting. Results After screening, 24 and 20 studies were included for calculating urinary extravasation and stenting rates, respectively. Most studies involved blunt injury and were retrospective single-center case series. Incidence of urinary extravasation was 29% (95% CI: 17–42%) after HGRT (grade III–V), and 51% (95% CI: 38–64%) when only grade IV–V injuries were combined. Overall, 29% (95% CI: 22–36%) of patients with urinary extravasation underwent ureteral stenting. Conclusions Approximately 30% of patients with HGRT are diagnosed with urinary extravasation and 29% of those with urinary extravasation undergo ureteral stenting. Understanding the rate of urinary extravasation and interventions is the first step in creating a prospective trial designed to demonstrate when ureteral stenting and aggressive management of urinary extravasation is needed. PMID:29928614

Incidence of urinary extravasation and rate of ureteral stenting after high-grade renal trauma in adults: a meta-analysis.

PubMed

Keihani, Sorena; Anderson, Ross E; Fiander, Michelle; McFarland, Mary M; Stoddard, Gregory J; Hotaling, James M; Myers, Jeremy B

2018-05-01

Collecting system injury and urinary extravasation is an important yet understudied aspect of renal trauma. We aimed to examine the incidence of urinary extravasation and also the rates of ureteral stenting after high-grade renal trauma (HGRT) in adults. A search strategy was developed to search Ovid Medline, Embase, CINAHL, and Cochrane Library. Two reviewers screened titles and abstracts, followed by full-text review of the relevant publications. Studies were included if they indicated the number of patients with HGRT [the American Association for the Surgery of Trauma (AAST) grades III-IV or equivalents] and number of patients with urinary extravasation. A descriptive meta-analysis of binary proportions was performed with random-effects model to calculate the incidence of urinary extravasation and rates of ureteral stenting. After screening, 24 and 20 studies were included for calculating urinary extravasation and stenting rates, respectively. Most studies involved blunt injury and were retrospective single-center case series. Incidence of urinary extravasation was 29% (95% CI: 17-42%) after HGRT (grade III-V), and 51% (95% CI: 38-64%) when only grade IV-V injuries were combined. Overall, 29% (95% CI: 22-36%) of patients with urinary extravasation underwent ureteral stenting. Approximately 30% of patients with HGRT are diagnosed with urinary extravasation and 29% of those with urinary extravasation undergo ureteral stenting. Understanding the rate of urinary extravasation and interventions is the first step in creating a prospective trial designed to demonstrate when ureteral stenting and aggressive management of urinary extravasation is needed.

[Urinary tract infections in a cohort of kidney transplant recipients].

PubMed

Bispo, Ana; Fernandes, Milene; Toscano, Cristina; Marques, Teresa; Machado, Domingos; Weigert, André

2014-01-01

Urinary tract infection is the most common infectious complication following renal transplantation and its frequency is insufficiently studied in Portugal. The aim of this study was to characterize the incidence of urinary tract infections and recurrent urinary tract infections in renal transplant recipients. This was a retrospective cohort observational study, obtained from clinical files of all patients who received a renal transplant at the Hospital of Santa Cruz, from January 2004 to December 2005, with a mean follow-up period of five years or until date of graft loss, death or loss of follow-up. After a descriptive analysis of the population, we used bivariate tests to identify risk factors for urinary tract infections. A total of 127 patients were included, with a 593 patients.year follow-up. We detected 53 patients (41.7%) presenting with at least one episode of urinary tract infection; 21 patients (16.5%) had recurrent urinary tract infection. Female gender was the only risk factor associated with the occurrence of urinary tract infections (p < 0.001, OR = 7.08, RR = 2.95) and recurrent urinary tract infections (p < 0.001, OR = 4.66, RR = 2.83). Escherichia coli (51.6%), Klebsiella pneumoniae (15.5%) and Enterobacter spp (9.9%) were the most frequently identified pathogens. Patients did not reveal an increased mortality or allograft loss. However, urinary tract infections were the most important cause of hospital admissions. Female gender was the only risk factor for urinary tract infections in this population. Escherichia coli was the most frequent agent isolated. Despite preventive measures, urinary tract infections remain an important cause of morbidity and hospital admissions.

Urinary Tract Stones and Osteoporosis: Findings From the Women's Health Initiative.

PubMed

Carbone, Laura D; Hovey, Kathleen M; Andrews, Christopher A; Thomas, Fridtjof; Sorensen, Mathew D; Crandall, Carolyn J; Watts, Nelson B; Bethel, Monique; Johnson, Karen C

2015-11-01

Kidney and bladder stones (urinary tract stones) and osteoporosis are prevalent, serious conditions for postmenopausal women. Men with kidney stones are at increased risk of osteoporosis; however, the relationship of urinary tract stones to osteoporosis in postmenopausal women has not been established. The purpose of this study was to determine whether urinary tract stones are an independent risk factor for changes in bone mineral density (BMD) and incident fractures in women in the Women's Health Initiative (WHI). Data were obtained from 150,689 women in the Observational Study and Clinical Trials of the WHI with information on urinary tract stones status: 9856 of these women reported urinary tract stones at baseline and/or incident urinary tract stones during follow-up. Cox regression models were used to determine the association of urinary tract stones with incident fractures and linear mixed models were used to investigate the relationship of urinary tract stones with changes in BMD that occurred during WHI. Follow-up was over an average of 8 years. Models were adjusted for demographic and clinical factors, medication use, and dietary histories. In unadjusted models there was a significant association of urinary tract stones with incident total fractures (HR 1.10; 95% CI, 1.04 to 1.17). However, in covariate adjusted analyses, urinary tract stones were not significantly related to changes in BMD at any skeletal site or to incident fractures. In conclusion, urinary tract stones in postmenopausal women are not an independent risk factor for osteoporosis. © 2015 American Society for Bone and Mineral Research.

Urinary and plasma oxalate during ingestion of pure ascorbic acid: a re-evaluation.

PubMed

Fituri, N; Allawi, N; Bentley, M; Costello, J

1983-01-01

Daily ingestion of 8 g of pure ascorbic acid by 8 normal subjects for 7 days did not, in contrast to previous reports in the literature, significantly alter urinary or plasma oxalate during or after ingestion. When urine with raised ascorbate values was heated at 100 degrees C for 30 min, a significant increase in urinary oxalate concentration was observed. Plasma ascorbate reached a mean value during ingestion of 3.3 mg/100 ml. Urinary citrate excretion significantly decreased during the first 4 days of ascorbic acid ingestion; however, the urinary inhibitory activity of calcium oxalate crystal growth was not significantly altered. Urinary and serum urate as well as urinary calcium and magnesium were unaltered by ingestion of the vitamin supplement.

Cranberry for Urinary Tract Infection: From Bench to Bedside.

PubMed

Nabavi, Seyed Fazel; Sureda, Antoni; Daglia, Maria; Izadi, Morteza; Nabavi, Seyed Mohammad

2017-01-01

Urinary tract infections are common infectious diseases which can occur in any part of the urinary tract such as bladder, kidney, ureters, and urethra. They are commonly caused by bacteria that enter through the urethra. Urinary tract infections commonly develop in the bladder and spread to renal tissues. Up to now, there are different antimicrobial agents which have beneficial role on urinary tract infections. However, most of them cause different adverse effects and therefore, much attention has been paid to the search for effective therapeutic agents with negligible adverse effects. Cranberry is known as one of the most important edible plants, which possesses potent antimicrobial effects against the bacteria responsible for urinary tract infections. Growing evidence has shown that cranberry suppresses urinary tract infections and eradicates the bacteria. Therefore, the aim of this study is to critically review the available literature regarding the antimicrobial activities of cranberry against urinary tract infection microorganisms. In addition, we discuss etiology, epidemiology, risk factors, and current drugs of urinary tract infections to provide a more complete picture of this disease.

NASA Astronaut Urinary Conditions Associated with Spaceflight

NASA Technical Reports Server (NTRS)

Law, Jennifer; Cole, Richard; Young, Millennia H.; Mason, Sara

2016-01-01

INTRODUCTION: Spaceflight is associated with many factors which may promote kidney stone formation, urinary retention, and/or Urinary Tract Infection (UTI). According to ISS mission predictions supplied by NASA's Integrated Medical Model, kidney stone is the second and sepsis (urosepsis as primary driver) the third most likely reason for emergent medical evacuation from the International Space Station (ISS). METHODS: Inflight and postflight medical records of NASA astronauts were reviewed for urinary retention, UTI and kidney stones during Mercury, Gemini, Apollo, Mir, Shuttle, and ISS expeditions 1-38. RESULTS: NASA astronauts have had 7 cases of kidney stones in the 12 months after flight. Three of these cases occurred within 90 to 180 days after landing and one of the seven cases occurred in the first 90 days after flight. There have been a total of 16 cases (0.018 events per person-flights) of urinary retention during flight. The event rates per mission are nearly identical between Shuttle and ISS flights (0.019 vs 0.021 events per person-flights). In 12 of the 16 cases, astronauts had taken at least one space motion sickness medication. Upon further analysis, it was determined that the odds of developing urinary retention in spaceflight is 3 times higher among astronauts who took promethazine. The female to male odds ratio for inflight urinary retention is 11:14. An astronaut with urinary retention is 25 times more likely to have a UTI with a 17% infection rate per mission. There have been 9 reported UTIs during spaceflight. DISCUSSION: It is unclear if spaceflight carries an increased post-flight risk of kidney stones. Regarding urinary retention, the female to male odds ratio is higher during flight compared to the general population where older males comprise almost all cases due to prostatic hypertrophy. This female prevalence in spaceflight is even more concerning given the fact that there have been many more males in space than females. Terrestrial medications with a known side effect of urinary retention are also associated with urinary retention during flight. However, not all cases of urinary retention surrounded medication use inflight. It is also known that UTI is a terrestrial cause of urinary retention. Furthermore, the treatment of urinary retention with a urinary catheter may be more likely to initiate a UTI in space than on the ground, as aseptic techniques can be particularly challenging with an inexperienced provider in a free-floating environment. Inflight urinary retention and UTI have proven to be highly associated and urinary risks should be considered collectively when planning for space flight.

Developing an Instrument to Measure Socioeconomic Disparities in Quality of Care for Men with Early-Stage Prostate Cancer

DTIC Science & Technology

2011-09-01

Cystorrhaphy, suture of bladder wound), 52332 (Insertion of ureteral stent ) Diagnosis of urinary incontinence: ICD-9: 599.82 (Intrinsic...first outcome measure we will investigate will be urinary side effects of prostate cancer treatment. Because urinary continence and urinary side...initial findings have been quite striking. Most patients who undergo treatment for prostate cancer are diagnosed with some type of urinary

Diagnosis and management of fungal urinary tract infection.

PubMed

Kauffman, Carol A

2014-03-01

When the terms funguria or fungal urinary tract infection are used, most physicians are referring to candiduria and urinary tract infections due to Candida species. Other fungi, including yeasts and molds can involve the kidney during the course of disseminated infection, but rarely cause symptoms referable to the urinary tract. Candida species appear to be unique in their ability to both colonize and cause invasive disease in the urinary tract. This overview focuses only on candiduria and Candida urinary tract infection because they are common and many times present perplexing management issues. Published by Elsevier Inc.

Chromium (VI) induced oxidative damage to DNA: increase of urinary 8-hydroxydeoxyguanosine concentrations (8-OHdG) among electroplating workers

PubMed Central

Kuo, H; Chang, S; Wu, K; Wu, F

2003-01-01

Aims: To investigate the concentration of urinary 8-hydroxydeoxyguanosine (8-OHdG) among electroplating workers in Taiwan. Methods: Fifty workers were selected from five chromium (Cr) electroplating plants in central Taiwan. The 20 control subjects were office workers with no previous exposure to Cr. Urinary 8-OHdG concentrations were determined using high performance liquid chromatography with electrochemical detection. Results: Urinary 8-OHdG concentrations among Cr workers (1149.5 pmol/kg/day) were higher than those in the control group (730.2 pmol/kg/day). There was a positive correlation between urinary 8-OHdG concentrations and urinary Cr concentration (r = 0.447, p < 0.01), and urinary 8-OHdG correlated positively with airborne Cr concentration (r = 0.285). Using multiple regression analysis, the factors that affected urinary 8-OHdG concentrations were alcohol, the common cold, and high urinary Cr concentration. There was a high correlation of urinary 8-OHdG with both smoking and drinking, but multiple regression analysis showed that smoking was not a significant factor. Age and gender were also non-significant factors. Conclusion: 8-OHdG, which is an indicator of oxidative DNA damage, was a sensitive biomarker for Cr exposure. PMID:12883020

Obesity-Induced Diabetes and Lower Urinary Tract Fibrosis Promote Urinary Voiding Dysfunction in a Mouse Model

PubMed Central

Gharaee-Kermani, Mehrnaz; Rodriguez-Nieves, Jose A.; Mehra, Rohit; Vezina, Chad A.; Sarma, Aruna V.; Macoska, Jill A.

2017-01-01

BACKGROUND Progressive aging- and inflammation-associated fibrosis effectively remodels the extracellular matrix (ECM) to increase prostate tissue stiffness and reduce urethral flexibility, resulting in urinary flow obstruction and lower urinary tract symptoms (LUTS). In the current study, we sought to test whether senescence-accelerated mouse prone (SAMP)6 mice, which were reported to develop prostatic fibrosis, would also develop LUTS, and whether these symptoms would be exacerbated by diet-induced obesity and concurrent Type 2 Diabetes Mellitus (T2DM). METHODS To accomplish this, SAMP6 and AKR/J background strain mice were fed regular mouse chow, low fat diet chow, or high fat diet chow for 8 months, then subjected to glucose tolerance tests, assessed for plasma insulin levels, evaluated for urinary voiding function, and assessed for lower urinary tract fibrosis. RESULTS The results of these studies show that SAMP6 mice and AKR/J background strain mice develop diet-induced obesity and T2DM concurrent with urinary voiding dysfunction. Moreover, urinary voiding dysfunction was more severe in SAMP6 than AKR/J mice and was associated with pronounced prostatic and urethral tissue fibrosis. CONCLUSIONS Taken together, these studies suggest that obesity, T2DM, lower urinary tract fibrosis, and urinary voiding dysfunction are inextricably and biologically linked. Prostate. PMID:23532836

Urinary Mineral Concentrations in European Pre-Adolescent Children and Their Association with Calcaneal Bone Quantitative Ultrasound Measurements †

PubMed Central

Van den Bussche, Karen; Herrmann, Diana; De Henauw, Stefaan; Kourides, Yiannis A.; Lauria, Fabio; Marild, Staffan; Molnár, Dénes; Moreno, Luis A.; Veidebaum, Toomas; Ahrens, Wolfgang; Sioen, Isabelle

2016-01-01

This study investigates differences and associations between urinary mineral concentrations and calcaneal bone measures assessed by quantitative ultrasonography (QUS) in 4322 children (3.1–11.9 years, 50.6% boys) from seven European countries. Urinary mineral concentrations and calcaneal QUS parameters differed significantly across countries. Clustering revealed a lower stiffness index (SI) in children with low and medium urinary mineral concentrations, and a higher SI in children with high urinary mineral concentrations. Urinary sodium (uNa) was positively correlated with urinary calcium (uCa), and was positively associated with broadband ultrasound attenuation and SI after adjustment for age, sex and fat-free mass. Urinary potassium (uK) was negatively correlated with uCa but positively associated with speed of sound after adjustment. No association was found between uCa and QUS parameters after adjustment, but when additionally adjusting for uNa, uCa was negatively associated with SI. Our findings suggest that urinary mineral concentrations are associated with calcaneal QUS parameters and may therefore implicate bone properties. These findings should be confirmed in longitudinal studies that include the food intake and repeated measurement of urinary mineral concentrations to better estimate usual intake and minimize bias. PMID:27164120

[The diagnostic value of chosen questionnaires (UDI 6SF, Gaudenz, MESA, ICIQ-SF and King's Health Questionnaire) in diagnosis of different types of women's urinary incontinence].

PubMed

Kieres, Paweł; Rokita, Wojciech; Stanisławska, Marta; Rechberger, Tomasz; Gałezia, Mieczysław

2008-05-01

The assessment of the usefulness of the following questionnaires: UDI 6SF, King's Health Questionnaire, Gaudenz, MESA, ICIQ-SF in diagnosis of different types of women's urinary incontinence. The study included 100 women who were hospitalized in the Department of Urology of St. Rafael Hospital in Czerwona Góra due to urinary incontinence. On the basis of the received data we have compared the data from questionnairies to the results of the urodynamic study. The mean age of women was 55.6 years. The stress urinary incontinence (SUI) was diagnosed in 32%, urgent urinary incontinence (UUI) in 10% and mixed urinary incontinence (MUI) in 55% of women, and neurogenic bladder in 3%. The data obtained from the study showed that questionnaires had 98% sensitivity and 50% specificity in diagnosing the type of urinary incontinence in women. 1. Data obtained from the questionnaires fails to offer enough information to make a certain diagnosis of urinary incontinence. 2. The questionnaires: ICIQ-SF, Gaudenz and MESA are effective in the diagnosis of mixed urinary incontinence. 3. In spite of their high sensitivity, the specificity of questionnaires in the diagnosis of urinary incontinence is rather low.

Lavandula angustifolia Mill. Oil and Its Active Constituent Linalyl Acetate Alleviate Pain and Urinary Residual Sense after Colorectal Cancer Surgery: A Randomised Controlled Trial

PubMed Central

Yu, So Hyun

2017-01-01

Pain and urinary symptoms following colorectal cancer (CRC) surgery are frequent and carry a poor recovery. This study tested the effects of inhalation of Lavandula angustifolia Mill. (lavender) oil or linalyl acetate on pain relief and lower urinary tract symptoms (LUTS) following the removal of indwelling urinary catheters from patients after CRC surgery. This randomised control study recruited 66 subjects with indwelling urinary catheters after undergoing CRC surgery who later underwent catheter removal. Patients inhaled 1% lavender, 1% linalyl acetate, or vehicle (control group) for 20 minutes. Systolic and diastolic blood pressure (BP), heart rate, LUTS, and visual analog scales of pain magnitude and quality of life (QoL) regarding urinary symptoms were measured before and after inhalation. Systolic BP, diastolic BP, heart rate, LUTS, and QoL satisfaction with urinary symptoms were similar in the three groups. Significant differences in pain magnitude and urinary residual sense of indwelling catheters were observed among the three groups, with inhalation of linalyl acetate being significantly more effective than inhalation of lavender or vehicle. Inhalation of linalyl acetate is an effective nursing intervention to relieve pain and urinary residual sense of indwelling urinary catheters following their removal from patients who underwent CRC surgery. PMID:28154606

Managing therapeutic competition in patients with heart failure, lower urinary tract symptoms and incontinence.

PubMed

Tannenbaum, Cara; Johnell, Kristina

2014-02-01

Up to 50% of heart failure patients suffer from lower urinary tract symptoms. Urinary incontinence has been associated with worse functional status in patients with heart failure, occurring three times more frequently in patients with New York Heart Association Class III and IV symptoms compared with those with milder disease. The association between heart failure and urinary symptoms may be directly attributable to worsening heart failure pathophysiology; however, medications used to treat heart failure may also indirectly provoke or exacerbate urinary symptoms. This type of drug-disease interaction, in which the treatment for heart failure precipitates incontinence, and removal of medications to relieve incontinence worsens heart failure, can be termed therapeutic competition. The mechanisms by which heart failure medication such as diuretics, angiotensin-converting enzyme (ACE) inhibitors and β-blockers aggravate lower urinary tract symptoms are discussed. Initiation of a prescribing cascade, whereby antimuscarinic agents or β3-agonists are added to treat symptoms of urinary urgency and incontinence, is best avoided. Recommendations and practical tips are provided that outline more judicious management of heart failure patients with lower urinary tract symptoms. Compelling strategies to improve urinary outcomes include titrating diuretics, switching ACE inhibitors, treating lower urinary tract infections, appropriate fluid management, daily weighing, and uptake of pelvic floor muscle exercises.

[Bacterial toxic shock as a complication of calculous pyelonephritis].

PubMed

Lopatkin, N A; Rumiantsev, V B; Ianenko, E K

1994-01-01

The causes of bacteriotoxic shock were examined in 33 patients (11 lethal outcomes). It has arisen as a complication of treatment given to 7830 patients for urolithiasis. Aggravation of chronic pyelonephritis, occlusion of the urinary tracts, urogenital mucosal and parenchymal injuries, low resistance to infection contribute to microbacteria and their toxins entering blood with resultant bacteriotoxic shock. Transcutaneous operative interventions, therapeutic and diagnostic procedures also produce high risk of blood infection with gram-negative microflora, especially in violation of asepsis and antisepsis rules. As shown by microflora tests, the dominating bacteria consisted of opportunistic agents which had acquired the resistance to antibacterial drugs. In view of rapid progression of bacteriotoxic shock therapeutic efforts should be concentrated on fast normalization of hemodynamics, recovery of urine passage, introduction of sorption detoxication, prevention of DIC syndrome. The schemes of combined antibiotic treatment adjusted to the kind of infectious agent are suggested.

Transient Fanconi syndrome with severe polyuria and polydipsia in a 4-year old Shih Tzu fed chicken jerky treats.

PubMed

Major, A; Schweighauser, A; Hinden, S E; Francey, T

2014-12-01

Acquired Fanconi syndrome is characterized by inappropriate urinary loss of amino acids, bicarbonate, electrolytes, and water. It has recently been described in dogs fed chicken jerky treats from China, a new differential diagnosis to the classical inciting infectious diseases (e.g. leptospirosis, pyelonephritis) and toxins. A dog fed exclusively chicken jerky treats purchased in Switzerland was presented to our clinic with severe polyuria, polydipsia and profound electrolyte and acid base disturbances. Other inciting causes of Fanconi syndrome were ruled out. The requirement of a very intensive supportive treatment in this dog stands in contrast to treatment of chronic forms of Fanconi syndrome as described in the Basenji. This intensive therapy and the associated monitoring can be a real challenge and a limiting factor for the prognosis of acquired Fanconi syndrome. Veterinarians should be aware of the risk of excessive feeding of chicken jerky treats.

Pulmonary complications of endocrine and metabolic disorders.

PubMed

Milla, Carlos E; Zirbes, Jacquelyn

2012-03-01

There are many important respiratory manifestations of endocrine and metabolic diseases in children. Acute and chronic pulmonary infections are the most common respiratory abnormalities in patients with diabetes mellitus, although cardiogenic and non-cardiogenic pulmonary oedema are also possible. Pseudohypoaldosteronism type 1 may be indistinguishable from cystic fibrosis (CF) unless serum aldosterone, plasma renin activity, and urinary electrolytes are measured and mutation analysis rules out CF. Hypo- and hyperthyroidism may alter lung function and affect the central respiratory drive. The thyroid hormone plays an essential role in lung development, surfactant synthesis, and lung defence. Complications of hypoparathyroidism are largely due to hypocalcaemia. Laryngospasm can lead to stridor and airway obstruction. Ovarian tumours, benign or malignant, may present with unilateral or bilateral pleural effusions. Metabolic storage disorders, primarily as a consequence of lysosomal dysfunction from enzymatic deficiencies, constitute a diverse group of rare conditions that can have profound effects on the respiratory system. Copyright © 2011 Elsevier Ltd. All rights reserved.

The human urinary microbiome and how it relates to urogynecology.

PubMed

Schneeweiss, Jenifer; Koch, Marianne; Umek, Wolfgang

2016-09-01

Recent studies applying molecular techniques have demonstrated the presence of a urinary microbiota not detected by standard microbiological techniques. These have been found in the urine of healthy individuals and in those suffering from clinical symptoms. The present article reviews the findings of these studies to date, describing the molecular techniques, and specifically outlining any differences in microbiomes in relation to urogynecological disease. Further, the role of commensal bacteria in the lower urinary tract is considered. An extensive literature search was conducted to identify articles on the microbiome of the female urinary tract in health and disease. We searched the electronic meta-databases Ovid MEDLINE® 1946-2015 and Embase 1974-2015. The keywords "microbiome, microbiota, bacterial colonization, microbiology, commensal bacteria, and bacteriuria" were searched in combination with "lower urinary tract symptoms, urogenital symptoms, urinary tract infection, overactive bladder and urinary incontinence." A total of 426 papers were retrieved; 33 were included in this paper. The microbiome of the female lower urinary tract shows variance between individuals and between age groups. There are significant differences between the microbiota in the lower urinary tract of individuals with urological symptoms and those without, relating to type and proportion of commensal Lactobacillus spp. There is only weak evidence to suggest that Lactobacillus might be applied as a therapeutic measure. It is still unclear what role microbiota plays in female urinary tract health. The discovery of bacteria in the urine of healthy individuals may have implications for future therapies for lower urinary tract symptoms.

Diagnostic and prognostic stratification in the emergency department using urinary biomarkers of nephron damage: a multicenter prospective cohort study.

PubMed

Nickolas, Thomas L; Schmidt-Ott, Kai M; Canetta, Pietro; Forster, Catherine; Singer, Eugenia; Sise, Meghan; Elger, Antje; Maarouf, Omar; Sola-Del Valle, David Antonio; O'Rourke, Matthew; Sherman, Evan; Lee, Peter; Geara, Abdallah; Imus, Philip; Guddati, Achuta; Polland, Allison; Rahman, Wasiq; Elitok, Saban; Malik, Nasir; Giglio, James; El-Sayegh, Suzanne; Devarajan, Prasad; Hebbar, Sudarshan; Saggi, Subodh J; Hahn, Barry; Kettritz, Ralph; Luft, Friedrich C; Barasch, Jonathan

2012-01-17

This study aimed to determine the diagnostic and prognostic value of urinary biomarkers of intrinsic acute kidney injury (AKI) when patients were triaged in the emergency department. Intrinsic AKI is associated with nephron injury and results in poor clinical outcomes. Several urinary biomarkers have been proposed to detect and measure intrinsic AKI. In a multicenter prospective cohort study, 5 urinary biomarkers (urinary neutrophil gelatinase-associated lipocalin, kidney injury molecule-1, urinary liver-type fatty acid binding protein, urinary interleukin-18, and cystatin C) were measured in 1,635 unselected emergency department patients at the time of hospital admission. We determined whether the biomarkers diagnosed intrinsic AKI and predicted adverse outcomes during hospitalization. All biomarkers were elevated in intrinsic AKI, but urinary neutrophil gelatinase-associated lipocalin was most useful (81% specificity, 68% sensitivity at a 104-ng/ml cutoff) and predictive of the severity and duration of AKI. Intrinsic AKI was strongly associated with adverse in-hospital outcomes. Urinary neutrophil gelatinase-associated lipocalin and urinary kidney injury molecule 1 predicted a composite outcome of dialysis initiation or death during hospitalization, and both improved the net risk classification compared with conventional assessments. These biomarkers also identified a substantial subpopulation with low serum creatinine at hospital admission, but who were at risk of adverse events. Urinary biomarkers of nephron damage enable prospective diagnostic and prognostic stratification in the emergency department. Copyright © 2012 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Diagnostic and Prognostic Stratification in the Emergency Department Using Urinary Biomarkers of Nephron Damage

PubMed Central

Nickolas, Thomas L.; Schmidt-Ott, Kai M.; Canetta, Pietro; Forster, Catherine; Singer, Eugenia; Sise, Meghan; Elger, Antje; Maarouf, Omar; Sola-Del Valle, David Antonio; O'Rourke, Matthew; Sherman, Evan; Lee, Peter; Geara, Abdallah; Imus, Philip; Guddati, Achuta; Polland, Allison; Rahman, Wasiq; Elitok, Saban; Malik, Nasir; Giglio, James; El-Sayegh, Suzanne; Devarajan, Prasad; Hebbar, Sudarshan; Saggi, Subodh J.; Hahn, Barry; Kettritz, Ralph; Luft, Friedrich C.; Barasch, Jonathan

2012-01-01

Objectives This study aimed to determine the diagnostic and prognostic value of urinary biomarkers of intrinsic acute kidney injury (AKI) when patients were triaged in the emergency department. Background Intrinsic AKI is associated with nephron injury and results in poor clinical outcomes. Several urinary biomarkers have been proposed to detect and measure intrinsic AKI. Methods In a multicenter prospective cohort study, 5 urinary biomarkers (urinary neutrophil gelatinase–associated lipocalin, kidney injury molecule-1, urinary liver-type fatty acid binding protein, urinary interleukin-18, and cystatin C) were measured in 1,635 unselected emergency department patients at the time of hospital admission. We determined whether the biomarkers diagnosed intrinsic AKI and predicted adverse outcomes during hospitalization. Results All biomarkers were elevated in intrinsic AKI, but urinary neutrophil gelatinase-associated lipocalin was most useful (81% specificity, 68% sensitivity at a 104-ng/ml cutoff) and predictive of the severity and duration of AKI. Intrinsic AKI was strongly associated with adverse in-hospital outcomes. Urinary neutrophil gelatinase-associated lipocalin and urinary kidney injury molecule 1 predicted a composite outcome of dialysis initiation or death during hospitalization, and both improved the net risk classification compared with conventional assessments. These biomarkers also identified a substantial subpopulation with low serum creatinine at hospital admission, but who were at risk of adverse events. Conclusion Urinary biomarkers of nephron damage enable prospective diagnostic and prognostic stratification in the emergency department. PMID:22240130

Urinary 8-hydroxy-2'-deoxyguanosine (8-oxodG) level can predict acute renal damage in young children with urinary tract infection.

PubMed

Chien, Jien-Wen; Wang, Lien-Yen; Cheng, Yu-Shan; Tsai, Yi-Giien; Liu, Chin-San

2014-06-01

There are no good biomarkers to predict renal parenchymal involvement in children with urinary tract infection (UTI). Children (N = 73) younger than 5 years with UTI were enrolled. Urinary levels of 8-hydroxy-2'-deoxyguanosine (8-oxodG) and total antioxidant capacity (TAC) were checked as markers of oxidative stress and antioxidant capacity, respectively. Tc99m-dimercaptosuccinic acid (DMSA) renal scintigraphy was used to find evidence of renal involvement. Patients with positive DMSA findings had higher levels of urinary 8-oxodG (p = 0.003) and higher urinary TAC (p = 0.001) than patients with normal DMSA findings. High level of urinary 8-oxodG may be a risk factor of severe renal damage.

The management of urinary tract infections in octogenarian women.

PubMed

Robinson, Dudley; Giarenis, Ilias; Cardozo, Linda

2015-07-01

Urinary Tract Infections are common in women of all ages and the incidence increases with age. Whilst they are a common cause of lower urinary tract symptoms in all women they may be associated with increased morbidity in the elderly. Appropriate investigation and treatment in primary and secondary care are essential to effectively manage urinary tract infection and decrease morbidity and hospitalisation rates. Loss of endogenous oestrogen at the time of the menopause is associated with the urogenital atrophy and an increased incidence of urinary tract infection. Consequently vaginal oestrogen therapy may offer a rationale for treatment and prevent of urinary tract infection. The aim of this paper is to review the clinical management of elderly women presenting with primary and recurrent urinary tract infection. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Prevalence of symptomatic urinary calculi in Kerman, Iran.

PubMed

Ketabchi, Ali Asghar; Aziziolahi, Gholam Abbas

2008-01-01

In a cross-sectional study, we evaluated the prevalence of symptomatic urinary calculi in Kerman, Iran. A total of 2431 citizens of Kerman were surveyed from September of 2005 to April 2006. The study population was selected by cluster method from 5 different areas, and 100 houses in each area were randomly approached. Questions on the urinary symptoms consisted of flank pain, urogenital pain, dysuria or any difficulty in urination, and alterations in urine color. Individuals with a suspicion of urinary calculi based on their symptoms were evaluated by physical examination, laboratory investigations, and plain abdominal radiography. Ultrasonography and intravenous urography were done if required to confirm the diagnoses. Of 2431 individuals, 196 (8.1%) had symptoms in favor of urinary calculus diagnosis, of whom 47 (24.0%) had urinary calculi (prevalence of symptomatic urolithiasis was 1.9%). Of the patients, 35 (74.5%) were underweight. Compared to the other participants, the patients with urinary calculus were younger (P = .001) and a larger proportion of them had a positive family history of urinary calculi (14.9% versus 6.5%; P = .02) and were rug weavers and office employees. Dependency on opium and its derivative was significantly more frequent in patients with urinary calculi (25.5% versus 0.2%; P = .001). This study showed that the prevalence of symptomatic urinary calculi in this hot and dry area is relatively high. According to our findings, the other factors including specific occupations, malnutrition, and substance use may also have influence on the rate of urinary calculus formation. Therefore, to prevention and early treatment of urinary calculi, evaluation of potential predisposing conditions should be considered with special attention to regional factors.

Metabolomics Approach to Male Lower Urinary Tract Symptoms: Identification of Possible Biomarkers and Potential Targets for New Treatments.

PubMed

Mitsui, Takahiko; Kira, Satoru; Ihara, Tatsuya; Sawada, Norifumi; Nakagomi, Hiroshi; Miyamoto, Tatsuya; Shimura, Hiroshi; Yokomichi, Hiroshi; Takeda, Masayuki

2018-05-01

We identified metabolites using a metabolomics approach and investigated the association between these metabolites and lower urinary tract symptoms. We used a 24-hour bladder diary and I-PSS (International Prostate Symptom Score) to assess micturition behavior and lower urinary tract symptoms in 58 male patients without apparent neurological disease. Lower urinary tract symptoms were defined as a total I-PSS score of 8 or greater. Patients with a score of 7 or less were placed in the control group. A comprehensive study of plasma metabolites was also performed by capillary electrophoresis time-of-flight mass spectrometry. Metabolites were compared between the lower urinary tract symptoms and control groups using the Mann-Whitney U test. Biomarkers of male lower urinary tract symptoms from the metabolites were analyzed using multivariable logistic regression analysis to determine the OR. Of the 58 men 32 were in the lower urinary tract symptoms group and the remaining 26 were in the control group. The 24-hour bladder diary showed that nocturnal urine volume, 24-hour micturition frequency, nocturnal micturition frequency and the nocturia index were significantly higher in the lower urinary tract symptoms group. Metabolomics analysis identified 60 metabolites from patient plasma. Multivariate analysis revealed that increased glutamate and decreased arginine, asparagine and inosine monophosphate were significantly associated with lower urinary tract symptoms in males. Decreases in citrulline and glutamine could also be associated with male lower urinary tract symptoms. Male lower urinary tract symptoms may develop due to abnormal metabolic processes in some pathways. Potential new treatments for lower urinary tract symptoms can be developed by identifying changes in the amino acid profiles. Copyright © 2018 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Urinary cadmium and mortality among inhabitants of a cadmium-polluted area in Japan

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

Nakagawa, Hideaki; Nishijo, Muneko; Morikawa, Yuko

The influence of cadmium (Cd) body burden on mortality remains controversial. Excess mortality and the dose-response relationship between mortality and urinary cadmium excretion were investigated in this study among environmentally exposed subjects. A 15-year follow-up study was carried out on 3119 inhabitants (1403 men and 1716 women) of the Cd-polluted Kakehashi River basin, whose urinary Cd concentration was examined in a 1981-1982 health impact survey. The mortality risk of high urinary Cd ({>=}10 {mu}g/g Cr) subjects after adjustment for age using Cox's proportional hazard model was higher than that of moderate urinary Cd (<10 {mu}g/g Cr) subjects in both sexes.more » When the subjects were divided into five groups according to the amount of urinary Cd (<3, 3-5, 5-10, 10-20, {>=}20 {mu}g/g Cr), the mortality risk was significantly increased among the subjects with urinary Cd{>=}3 {mu}g/g Cr in proportion to the increases in the amount of urinary Cd concentration after adjustment for age, especially in women. Furthermore, special causes of death among high and moderate urinary Cd were investigated, and mortality risk ratio for heart failure, which is a cause of death often diagnosed in cases with a gradual deterioration culminating in death, was significantly increased in both sexes, compared with the moderate urinary Cd subjects. Also, in women the mortality risk for renal diseases in the high urinary Cd subjects was significantly higher than that in the moderate urinary Cd subjects. These results suggest that a causal association between Cd body burden and mortality exists among inhabitants environmentally exposed to Cd but that no special disease may be induced except renal diseases.« less

Urinary Bother as a Predictor of Postsurgical Changes in Urinary Function After Robotic Radical Prostatectomy.

PubMed

Murphy, Gregory; Haddock, Peter; Doak, Hoyt; Jackson, Max; Dorin, Ryan; Meraney, Anoop; Kesler, Stuart; Staff, Ilene; Wagner, Joseph R

2015-10-01

To characterize changes in indices of urinary function in prostatectomy patients with presurgical voiding symptoms. A retrospective analysis of our prostate cancer database identified robot-assisted radical prostatectomy patients between April 2007 and December 2011 who completed pre- and postsurgical (24 months) Expanded Prostate Cancer Index Composite-26 surveys. Gleason score, margins, D'Amico risk, prostate-specific antigen, radiotherapy, and nerve-sparing status were tabulated. Survey questions addressed urinary irritation/obstruction, incontinence, and overall bother. Responses were averaged to calculate a urinary sum (US) score. Patients were stratified according to the severity of their baseline urinary bother (UB), and changes in urinary indices determined at 24 months. A total of 737 patients were included. Postsurgical improvement in urinary obstruction, bother, and sum score was related to baseline UB (P <.001). Men with severe baseline bother had the greatest improvement in US (+9.3), whereas those with asymptomatic baseline UB experienced a decline in US (-2.8). All patients experienced a decline in urinary incontinence of 6.3-8.3 that was independent of baseline bother (P = .507). Patients with severe UB experienced positive outcomes, whereas those at asymptomatic baseline experienced negative US outcomes. Negative urinary incontinence outcomes were unrelated to baseline UB. Age, radiotherapy, and nerve-sparing status were not associated with improved UB (P = .029). However, baseline UB was significantly associated with improvement in postsurgical UB (P = .001). Baseline UB is a predictor of postsurgical improvement in urinary function. These data are helpful when counseling a subset of robot-assisted laparoscopic radical prostatectomy patients with severe preoperative urinary symptoms. Copyright © 2015 Elsevier Inc. All rights reserved.

Nocturnal Urinary Excretion of FSH and LH in Children and Adolescents With Normal and Early Puberty.

PubMed

Kolby, Nanna; Busch, Alexander S; Aksglaede, Lise; Sørensen, Kaspar; Petersen, Jorgen Holm; Andersson, Anna-Maria; Juul, Anders

2017-10-01

Clinical use of single serum gonadotropin measurements in children is limited by the pulsatile secretion of follicle-stimulating hormone (FSH) and luteinizing hormone (LH). However, first morning voided (FMV) urine may integrate the fluctuating gonadotropin serum levels. We aimed to evaluate urinary and serum gonadotropin levels according to age, sex, and pubertal stage in healthy children and to assess the clinical use of FMV urinary gonadotropins in children with disordered puberty. Cross-sectional part of the COPENHAGEN Puberty Study and longitudinal study of patients. Population-based and outpatient clinic. Eight hundred forty-three healthy children from the COPENHAGEN Puberty Study and 25 girls evaluated for central precocious puberty (CPP). Clinical pubertal staging, including serum and urinary gonadotropin levels. Urinary gonadotropins increased with advancing age and pubertal development and were detectable in FMV urine before physical signs of puberty. FMV urinary LH correlated strongly with basal (r = 0.871, P < 0.001) and gonadotropin-releasing hormone (GnRH)-stimulated serum LH (r = 0.82, P < 0.001). Urinary LH was superior to urinary FSH in differentiating the pubertal stage. Receiver operating curve analysis revealed that a cut-off standard deviation (SD) score of 2 for urinary LH (IU/L) gave a sensitivity of 75% and a specificity of 92% in predicting a positive GnRH stimulation test (LHmax > 5 IU/L). Urinary concentrations of LH decreased after 3 months of GnRH treatment to levels below +2 SDs. Urinary gonadotropin levels increased before the onset of puberty and were elevated in girls with CPP. We suggest urinary LH as an alternative noninvasive method to improve diagnosing and therapeutic management of children with disordered puberty. Copyright © 2017 Endocrine Society

Clinical value of rapid urine trypsinogen-2 test strip, urinary trypsinogen activation peptide, and serum and urinary activation peptide of carboxypeptidase B in acute pancreatitis

PubMed Central

Sáez, Jesús; Martínez, Juan; Trigo, Celia; Sánchez-Payá, José; Compañy, Luis; Laveda, Raquel; Griñó, Pilar; García, Cristina; Pérez-Mateo, Miguel

2005-01-01

AIM: To assess the usefulness of urinary trypsinogen-2 test strip, urinary trypsinogen activation peptide (TAP), and serum and urine concentrations of the activation peptide of carboxypeptidase B (CAPAP) in the diagnosis of acute pancreatitis. METHODS: Patients with acute abdominal pain and hospitalized within 24 h after the onset of symptoms were prospectively studied. Urinary trypsinogen-2 was considered positive when a clear blue line was observed (detection limit 50 μg/L). Urinary TAP was measured using a quantitative solid-phase ELISA, and serum and urinary CAPAP by a radioimmunoassay method. RESULTS: Acute abdominal pain was due to acute pancreatitis in 50 patients and turned out to be extrapancreatic in origin in 22 patients. Patients with acute pancreatitis showed significantly higher median levels of serum and urinary CAPAP levels, as well as amylase and lipase than extrapancreatic controls. Median TAP levels were similar in both groups. The urinary trypsinogen-2 test strip was positive in 68% of patients with acute pancreatitis and 13.6% in extrapancreatic controls (P<0.01). Urinary CAPAP was the most reliable test for the diagnosis of acute pancreatitis (sensitivity 66.7%, specificity 95.5%, positive and negative predictive values 96.6% and 56.7%, respectively), with a 14.6 positive likelihood ratio for a cut-off value of 2.32 nmol/L. CONCLUSION: In patients with acute abdominal pain, hospitalized within 24 h of symptom onset, CAPAP in serum and urine was a reliable diagnostic marker of acute pancreatitis. Urinary trypsinogen-2 test strip showed a clinical value similar to amylase and lipase. Urinary TAP was not a useful screening test for the diagnosis of acute pancreatitis. PMID:16437625

Modelling of surface fluxes and Urban Boundary Layer over an old mediterannean city core

NASA Astrophysics Data System (ADS)

Lemonsu, A.; Masson, V.; Grimmond, Cs. B.

2003-04-01

In the frameworks of the UBL(Urban Boundary Layer)-ESCOMPTE campaign, the Town Energy Balance (TEB) model was run in off-line mode for Marseille. TEB's performance is evaluated with observations of surface temperatures and surface energy balance fluxes collected during the campaign. Parameterization improvements allow to better represent the energy exchanges between the air inside the canyon and the atmosphere above the roof level. Then, high resolution Méso-NH simulations are done to study the 3-D structure and the evolution of the Urban Boundary Layer (UBL) over Marseille. Will will give a special attention to the impact of the seabord effects (sea-breeze circulation) on the UBL.

ERTS-1 views the Great Lakes

NASA Technical Reports Server (NTRS)

Lyons, W. A.; Pease, S. R.

1973-01-01

The meteorological content of ERTS images, particularly mesoscale effects of the Great Lakes and air pollution dispersion is summarized. Summertime lake breeze frontal clouds and various winter lake-effect convection patterns and snow squalls are revealed in great detail. A clear-cut spiral vortex over southern Lake Michigan is related to a record early snow storm in the Chicago area. Marked cloud changes induced by orographic and frictional effects on Lake Michigan's lee shore snow squalls are seen. The most important finding, however, is a clear-cut example of alterations in cumulus convection by anthropogenic condensation and/or ice nuclei from northern Indiana steel mills during a snow squall situation. Jet aircraft condensation trails are also found with surprising frequency.

Characteristics of Abductive Inquiry in Earth and Space Science: An Undergraduate Teacher Prospective Case Study

NASA Astrophysics Data System (ADS)

Ramalis, T. R.; Liliasari; Herdiwidjaya, D.

2016-08-01

The purpose this case study was to describe characteristic features learning activities in the domain of earth and space science. Context of this study is earth and space learning activities on three groups of student teachers prospective, respectively on the subject of the shape and size of Earth, land and sea breeze, and moon's orbit. The analysis is conducted qualitatively from activity data and analyze students doing project work, student worksheets, group project report documents, note and audio recordings of discussion. Research findings identified the type of abduction: theoretical models abduction, factual abduction, and law abduction during the learning process. Implications for science inquiry learning as well as relevant research were suggested.

Design and initial testing of a piezoelectric sensor to quantify aeolian sand transport

NASA Astrophysics Data System (ADS)

Raygosa-Barahona, Ruben; Ruiz-Martinez, Gabriel; Mariño-Tapia, Ismael; Heyser-Ojeda, Emilio

2016-09-01

This paper describes a sensor for measuring the mass flux of aeolian sand transport based on a low-cost piezo-electric transducer. The device is able to measure time series of aeolian sand transport. Maximum fluxes of 27 mg per second can be achieved. The design includes a sand trap, an electronic amplifier circuit and an embedded system for data collection. A field test was performed, where the basis for signal interpretation and the corresponding measurements of aeolian sand transport are presented. The sensor successfully measures fluxes driven by sea breezes of 10 ms-1, showing the importance of this process for dune-building in the region.

First Scientific Working Group Meeting of Airborne Doppler Lidar Wind Velocity Measurement Program

NASA Technical Reports Server (NTRS)

Kaufman, J. W. (Editor)

1980-01-01

The purpose of the first scientific working group meeting was fourfold: (1) to identify flight test options for engineering verification of the MSFC Doppler Lidar; (2) to identify flight test options for gathering data for scientific/technology applications; (3) to identify additional support equipment needed on the CV 990 aircraft for the flight tests; and (4) to identify postflight data processing and data sets requirements. The working group identified approximately ten flight options for gathering data on atmospheric dynamics processes, including turbulence, valley breezes, and thunderstorm cloud anvil and cold air outflow dynamics. These test options will be used as a basis for planning the fiscal year 1981 tests of the Doppler Lidar system.

Photochemical oxidant transport - Mesoscale lake breeze and synoptic-scale aspects

NASA Technical Reports Server (NTRS)

Lyons, W. A.; Cole, H. S.

1976-01-01

Data from routine ozone monitoring in southeastern Wisconsin and limited monitoring of the Milwaukee area by the Environmental Protection Agency are examined. Hourly averages as high as 30 pphm have been recorded in southeastern Wisconsin, and high readings have been reported in rural regions throughout the state. The observations indicate that photochemical oxidants and their nitrogen oxide and reactive hydrocarbon precursers advect from Chicago and northern Indiana into southeastern Wisconsin. There is evidence that synoptic-scale transport of photochemical oxidants occurs, allowing the pollution of entire anticyclones. These results cast doubt on the validity of the Air Quality Control Regions established by amendment to the Clean Air Act of 1970.

Early effects of synthetic bovine parathyroid hormone and synthetic salmon calcitonin on urinary excretion of cyclic AMP, phosphate and calcium in man.

PubMed

Caniggia, A; Gennari, C; Vattimo, A; Nardi, P; Nuti, R; Galli, M

1976-04-20

Bovine synthetic parathyroid hormone infused intravenously in man increased both the urinary excretion of cyclic AMP and the urinary excretion of phosphate whereas a Salmon synthetic calcitonin infusion increased the urinary excretion of phosphate without change in urinary excretion of cyclic AMP. These data are consistent with the hypothesis that different renal mechanisms are involved in the response to each hormone.

Evolution of urinary iodine excretion over eleven years in an adult population.

PubMed

Gutiérrez-Repiso, Carolina; Colomo, Natalia; Rojo-Martinez, Gemma; Valdés, Sergio; Tapia, Maria J; Esteva, Isabel; Ruiz de Adana, Maria S; Rubio-Martin, Elehazara; Lago-Sampedro, Ana; Santiago, Piedad; Velasco, Ines; Garcia-Fuentes, Eduardo; Moreno, Jose C; Soriguer, Federico

2015-08-01

Few prospective cohort studies have evaluated dietary iodine intake and urinary iodine concentrations in the general adult population. We assess the evolution of urinary iodine excretion and factors that may influence it in an adult population followed for 11 years. A population-based cohort study was undertaken in Pizarra (Spain). In the three study phases (baseline (n = 886), and 6 (n = 788) and 11 years later (n = 501)), participants underwent an interview and a standardized clinical examination that included a food questionnaire, and thyroid hormone and urinary iodine determinations. Subjects with thyroid dysfunction, palpable goiter or urinary iodine excretion >400 μg/L were excluded. Urinary iodine increased over the years (100.6 ± 70.0 μg/L at baseline vs. 125.4 ± 95.2 μg/L at 6 years and 141.6 ± 81.4 μg/L at 11 years; p < 0.0001). Urinary iodine was significantly higher in subjects who reported iodized salt consumption and in subjects with a higher intake of dairy products (p < 0.05). Consumption of iodized salt (Risk ratio (RR) = 1.23, 95% CI [1.01-2.05]) and dairy products (RR = 2.07, 95% CI [1.01-4.23]), and a baseline urinary iodine concentration ≥100 μg/L (RR = 1.26, 95% CI [1.04-1.53]) were significantly associated with urinary iodine concentrations ≥100 μg/L at 11 years. There is no correlation between thyroid function (TSH, free triiodothyronine or free thyroxine levels) and urinary iodine concentrations in conditions of iodine sufficiency. The increase in urinary iodine concentrations over eleven years is associated with an increase in iodized salt intake and with the dairy products intake, and possibly with a higher iodine content of dairy products. However, individual variability in urinary iodine excretion was not fully explained by dietary iodine intake alone; previous urinary iodine concentrations were also important. Copyright © 2014 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

Effects of stigma on Chinese women's attitudes towards seeking treatment for urinary incontinence.

PubMed

Wang, Cuili; Li, Jingjing; Wan, Xiaojuan; Wang, Xiaojuan; Kane, Robert L; Wang, Kefang

2015-04-01

To examine whether and how stigma influences attitudes towards seeking treatment for urinary incontinence, and whether its effect varies by symptom severity. Urinary incontinence is prevalent among women, but few seek treatment. Negative attitudes towards urinary incontinence treatment inhibit from seeking care. Urinary incontinence is a stigmatised attribute. However, the relationship between stigma and attitudes towards seeking treatment for urinary incontinence has not been well understood. This was a cross-sectional community-based study. We enrolled a sample of 305 women aged 40-65 years with stress urinary incontinence from three communities in a Chinese city between May-October in 2011. Data were collected on socio-demographic characteristics, urinary incontinence symptoms, stigma and attitudes towards seeking treatment for urinary incontinence using a self-reported questionnaire. Effects of stigma were analysed using path analysis. Attitudes towards seeking treatment for urinary incontinence were generally negative. For the total sample, all the stigma domains of social rejection, social isolation and internalised shame had direct negative effects on treatment-seeking attitudes. The public stigma domain of social rejection also indirectly affected treatment-seeking attitudes through increasing social isolation, as well as through increasing social isolation and then internalised shame. The final model accounted for 28% of the variance of treatment-seeking attitudes. Symptom severity influenced the strength of paths: the effect of internalised shame was higher in women with more severe urinary incontinence. Stigma enhances the formation of negative attitudes towards seeking treatment for urinary incontinence; public stigma affects treatment-seeking attitudes through internalisation of social messages. Stigma reduction may help incontinent women to form positive treatment-seeking attitudes and engage them in treatment. Interventions should specifically target the self-stigma domains of social isolation and internalised shame in women with urinary incontinence to most efficiently increase their use of health care. © 2014 John Wiley & Sons Ltd.

Evidence of the Impact of Diet, Fluid Intake, Caffeine, Alcohol and Tobacco on Lower Urinary Tract Symptoms: A Systematic Review.

PubMed

Bradley, Catherine S; Erickson, Bradley A; Messersmith, Emily E; Pelletier-Cameron, Anne; Lai, H Henry; Kreder, Karl J; Yang, Claire C; Merion, Robert M; Bavendam, Tamara G; Kirkali, Ziya

2017-11-01

Diet, fluid intake and caffeine, alcohol and tobacco use may have effects on lower urinary tract symptoms. Constructive changes in these modifiable nonurological factors are suggested to improve lower urinary tract symptoms. To better understand the relationship between nonurological factors and lower urinary tract symptoms, we performed a systematic literature review to examine, grade and summarize reported associations between lower urinary tract symptoms and diet, fluid intake and caffeine, tobacco and alcohol use. We performed PubMed® searches for eligible articles providing evidence on associations between 1 or more nonurological factors and lower urinary tract symptoms. A modified Oxford scale was used to grade the evidence. We reviewed 111 articles addressing diet (28 studies), fluid intake (21) and caffeine (21), alcohol (26) and tobacco use (44). The evidence grade was generally low (6% level 1, 24% level 2, 11% level 3 and 59% level 4). Fluid intake and caffeine use were associated with urinary frequency and urgency in men and women. Modest alcohol use was associated with decreased likelihood of benign prostatic hyperplasia diagnosis and reduced lower urinary tract symptoms in men. Associations between lower urinary tract symptoms and ingestion of certain foods and tobacco were inconsistent. Evidence of associations between lower urinary tract symptoms and diet, fluid intake and caffeine, alcohol and tobacco use is sparse and mostly observational. However, there is evidence of associations between increased fluid and caffeine intake and urinary frequency/urgency, and between modest alcohol intake and decreased benign prostatic hyperplasia diagnosis and lower urinary tract symptoms. Given the importance of these nonurological factors in daily life, and their perceived impact on lower urinary tract symptoms, higher quality evidence is needed. Copyright © 2017 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Predictors of Urinary Morbidity in Cs-131 Prostate Brachytherapy Implants

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

Smith, Ryan P., E-mail: smithrp@upmc.edu; Jones, Heather A.; Beriwal, Sushil

2011-11-01

Purpose: Cesium-131 is a newer radioisotope being used in prostate brachytherapy (PB). This study was conducted to determine the predictors of urinary morbidity with Cs-131 PB. Methods and Materials: A cohort of 159 patients underwent PB with Cs-131 at our institution and were followed by using Expanded Prostate Cancer Index Composite (EPIC) surveys to determine urinary morbidity over time. EPIC scores were obtained preoperatively and postoperatively at 2 and 4 weeks, and 3 and 6 months. Different factors were evaluated to determine their individual effect on urinary morbidity, including patient characteristics, disease characteristics, treatment, and dosimetry. Multivariate analysis of covariancemore » was carried out to identify baseline determinants affecting urinary morbidity. Factors contributing to the need for postoperative catheterization were also studied and reported. Results: At 2 weeks, patient age, dose to 90% of the organ (D90), bladder neck maximum dose (D{sub max}), and external beam radiation therapy (EBRT) predicted for worse function. At 4 weeks, age and EBRT continued to predict for worse function. At the 3-month mark, better preoperative urinary function, preoperative alpha blockers, bladder neck D{sub max}, and EBRT predicted for worse urinary morbidity. At 6 months, better preoperative urinary function, preoperative alpha blockers, bladder neck D{sub max}, and EBRT were predictive of increased urinary problems. High bladder neck D{sub max} and poor preoperative urinary function predicted for the need for catheterization. Conclusions: The use of EBRT plus Cs-131 PB predicts for worse urinary toxicity at all time points studied. Patients should be cautioned about this. Age was a consistent predictor of worsened morbidity immediately following Cs-131 PB, while bladder D{sub max} was the only consistent dosimetric predictor. Paradoxically, patients with better preoperative urinary function had worse urinary morbidity at 3 and 6 months, consistent with recently published literature.« less

Increased risk of bone fracture among patients with urinary calculi: a nationwide longitudinal population-based study.

PubMed

Ou, S-M; Chen, Y-T; Shih, C-J; Tarng, D-C

2015-04-01

Urinary calculi were associated with higher risk of vertebral and upper limb fracture. Therefore, patients with urinary calculi should be evaluated carefully because they may have a higher risk of subsequent fracture later in life. The contribution of urinary calculi to reduced bone mineral density has been recognized. However, the association of urinary calculi with the risk of fracture remains inconclusive. The aim of the study was to determine the risk of overall fracture and fractures at different anatomic sites in patients with urinary calculi. The records of inpatients and outpatients with urinary calculi were retrieved from the Taiwan National Health Insurance Database from 2000 to 2010. Among patients with urinary calculi at the cohort entry, controls were matched using propensity scores on a 1:1 ratio. All subjects were followed up from the date of enrollment until fracture occurrence, death, or December 31, 2010. There were 46,243 Medicare beneficiaries with a diagnosis of urinary calculi and 46,243 controls without calculi enrolled. Among these patients, 6005 patients with a diagnosis of urinary calculi and 5339 controls developed fractures during a median follow-up period of 5.3 years. Patients with urinary calculi had a higher incidence of fracture compared with controls (23.9 versus 22.1 per 1000 person-years) and a greater risk of overall fractures (adjusted hazard ratio [aHR] 1.08, 95 % confidence interval [CI], 1.04-1.12), mainly located at the vertebrae (aHR 1.15, 95 % CI, 1.06-1.25) and upper limb (aHR 1.07, 95 % CI, 1.01-1.14), but the risk for hip fracture was not increased (aHR 1.09, 95 % CI, 0.96-1.22). Urinary calculus is independently associated with higher risk of subsequent fracture. Patients with urinary calculi should pay attention to the future vertebral and upper limb fractures.

Population-based survey of the prevalence of lower urinary tract symptoms in adolescents with and without psychotropic substance abuse.

PubMed

Tam, Y H; Ng, C F; Wong, Y S; Pang, K Ky; Hong, Y L; Lee, W M; Lai, P T

2016-10-01

To investigate the prevalence of lower urinary tract symptoms in adolescents and the effects of psychotropic substance use. This was a population-based cross-sectional survey using a validated questionnaire in students from 45 secondary schools in Hong Kong randomly selected over the period of January 2012 to January 2014. A total of 11 938 secondary school students (response rate, 74.6%) completed and returned a questionnaire that was eligible for analysis. Individual lower urinary tract symptoms and history of psychotropic substance abuse were documented. In this study, 11 617 non-substance abusers were regarded as control subjects and 321 (2.7%) were psychotropic substance users. Among the control subjects, 2106 (18.5%) had experienced at least one lower urinary tract symptom with urinary frequency being the most prevalent symptom (10.2%). Females had more daytime urinary incontinence (P<0.001) and males had more voiding symptoms (P=0.01). Prevalence of lower urinary tract symptoms increased with age from 13.9% to 25.8% towards young adulthood and age of ≥18 years (P<0.001). Among the substance users, ketamine was most commonly abused. Substance users had significantly more lower urinary tract symptoms than control subjects (P<0.001). In multivariate analysis, increasing age and psychotropic substance abuse increased the odds for lower urinary tract symptoms. Non-ketamine substance users and ketamine users were respectively 2.8-fold (95% confidence interval, 2.0-3.9) and 6.2-fold (4.1-9.1) more likely than control subjects to develop lower urinary tract symptoms. Females (odds ratio=9.9; 95% confidence interval, 5.4-18.2) were more likely to develop lower urinary tract symptoms than males (4.2; 2.5-7.1) when ketamine was abused. Lower urinary tract symptoms are prevalent in the general adolescent population. It is important to obtain an accurate history regarding psychotropic substance use when treating teenagers with lower urinary tract symptoms.

Urinary Angiotensinogen and Renin Excretion are Associated with Chronic Kidney Disease.

PubMed

Juretzko, Annett; Steinbach, Antje; Hannemann, Anke; Endlich, Karlhans; Endlich, Nicole; Friedrich, Nele; Lendeckel, Uwe; Stracke, Sylvia; Rettig, Rainer

2017-01-01

Several studies sought to identify new biomarkers for chronic kidney disease (CKD). As the renal renin-angiotensin system is activated in CKD, urinary angiotensinogen or renin excretion may be suitable candidates. We tested whether urinary angiotensinogen or renin excretion is elevated in CKD and whether these parameters are associated with estimated glomerular filtration rate (eGFR). We further tested whether urinary angiotensinogen or renin excretion may convey additional information beyond that provided by albuminuria. We measured urinary and plasma angiotensinogen, renin, albumin and creatinine in 177 CKD patients from the Greifswald Approach to Individualized Medicine project and in 283 healthy controls from the Study of Health in Pomerania. The urinary excretion of specific proteins is given as protein-to-creatinine ratio. Receiver operating characteristic (ROC) curves, spearman correlation coefficients and linear regression models were calculated. Urinary angiotensinogen [2,511 (196-31,909) vs. 18.6 (8.3-44.0) pmol/g, *P<0.01] and renin excretion [0.311 (0.135-1.155) vs. 0.069 (0.045-0.148) pmol/g, *P<0.01] were significantly higher in CKD patients than in healthy controls. The area under the ROC curve was significantly larger when urinary angiotensinogen, renin and albumin excretion were combined than with urinary albumin excretion alone. Urinary angiotensinogen (ß-coefficient -2.405, standard error 0.117, P<0.01) and renin excretion (ß-coefficient -0.793, standard error 0.061, P<0.01) were inversely associated with eGFR. Adjustment for albuminuria, age, sex, systolic blood pressure and body mass index did not significantly affect the results. Urinary angiotensinogen and renin excretion are elevated in CKD patients. Both parameters are negatively associated with eGFR and these associations are independent of urinary albumin excretion. In CKD patients urinary angiotensinogen and renin excretion may convey additional information beyond that provided by albuminuria. © 2017 The Author(s)Published by S. Karger AG, Basel.

Increased urinary levels of tissue polypeptide specific antigen (TPS) in alcoholics.

PubMed

Barros, Paula; Gonzalez-Quintela, Arturo; Mella, Carmen; Perez, Luis-Fernando

2006-01-01

Urinary levels of tissue polypeptide specific antigen (TPS, cytokeratin-18) have been proposed as a marker of urothelial malignancies. Previous studies have shown that serum TPS levels are elevated in alcoholics. This study was designed to determine whether alcoholics had elevated urinary TPS levels as well. Serum and urinary TPS levels were determined in 24 alcoholics and 15 healthy controls by means of a commercial chemiluminiscent immunoassay. Serum TPS levels were higher in alcoholics than in controls (median 332 U/L, range 51-21241 U/L versus median 17 U/L, range 15-65 U/L, respectively, p<0.001). Urinary TPS levels were also higher in alcoholics than in controls (median 244 U/L, range 22-1267 U/L versus median 66.5 U/L, range 15-600 U/L, respectively, p=0.001). Urinary TPS levels were correlated with serum TPS levels in alcoholics. Urinary TPS levels are elevated in alcoholics. Consequently, the specificity of urinary TPS as a tumor marker may be limited in alcoholics.

Effect of coffee drinking on cell proliferation in rat urinary bladder epithelium.

PubMed

Lina, B A; Rutten, A A; Woutersen, R A

1993-12-01

A possible effect of freshly brewed drip coffee on urinary bladder carcinogenesis was investigated in male Wistar rats using cell proliferation in urinary bladder epithelium as the indicator of tumour promotion. Male rats were given either undiluted coffee brew (100% coffee), coffee diluted 10 times (10% coffee) or tap water (controls), as their only source of drinking fluid for 2 or 6 wk. Uracil, known to induce cell proliferation in urinary bladder epithelium, was included in the study as a positive control. In rats receiving 100% coffee, body weights, liquid intake and urinary volume were decreased. Neither histopathological examination of urinary bladder tissue nor the bromodeoxyuridine labelling index revealed biologically significant differences between rats receiving coffee and the tap water controls. Uracil increased the labelling index and induced hyperplasia of the urinary bladder epithelium, as expected. It was concluded that these results produced no evidence that drinking coffee predisposes to tumour development in the urinary bladder.

Triiodothyronine and thyroxine in urine. II. Renal handling, and effect of urinary protein.

PubMed

Burke, C W; Shakespear, R A

1976-03-01

Mean urinary clearances of T3 were 164 ml/min in normal subjects, 177 in pregnancy, 221 in thyrotoxicosis, 174 in hypothyroidism, and 194 in 3 persons with undetectable T4 but normal T3 levels. T4 clearances were 38 ml/min in normal subjects, 48 in thyrotoxicosis, and 138 in hypothyroidism. Low creatinine clearance was associated with low clearances of T4 and T3. The data suggest urinary excretion of T3 by glomerular filtration of serum unbound T3 with added tubular excretion; and T4 excretion by glomerular filtration of unbound T4 and tubular reabsorption. However, 3-9% of urinary T3 and 5-12% of urinary T4 were bound to urinary proteins, and increased protein excretion caused markedly increased T4 excretion. In addition, 52% of urinary T3 and 68% of urinary T4 were bound to other substances of approximate mol wt 500-2,000, which may influence tubular handling of T3 or T4.

Anatomy and Physiology of the Urinary Tract: Relation to Host Defense and Microbial Infection

PubMed Central

HICKLING, DUANE R.; SUN, TUNG-TIEN; WU, XUE-RU

2015-01-01

The urinary tract exits to a body surface area that is densely populated by a wide range of microbes. Yet, under most normal circumstances, it is typically considered sterile, i.e., devoid of microbes, a stark contrast to the gastrointestinal and upper respiratory tracts where many commensal and pathogenic microbes call home. Not surprisingly, infection of the urinary tract over a healthy person’s lifetime is relatively infrequent, occurring once or twice or not at all for most people. For those who do experience an initial infection, the great majority (70% to 80%) thankfully do not go on to suffer from multiple episodes. This is a far cry from the upper respiratory tract infections, which can afflict an otherwise healthy individual countless times. The fact that urinary tract infections are hard to elicit in experimental animals except with inoculum 3–5 orders of magnitude greater than the colony counts that define an acute urinary infection in humans (105 cfu/ml), also speaks to the robustness of the urinary tract defense. How can the urinary tract be so effective in fending off harmful microbes despite its orifice in a close vicinity to that of the microbe-laden gastrointestinal tract? While a complete picture is still evolving, the general consensus is that the anatomical and physiological integrity of the urinary tract is of paramount importance in maintaining a healthy urinary tract. When this integrity is breached, however, the urinary tract can be at a heightened risk or even recurrent episodes of microbial infections. In fact, recurrent urinary tract infections are a significant cause of morbidity and time lost from work and a major challenge to manage clinically. Additionally, infections of the upper urinary tract often require hospitalization and prolonged antibiotic therapy. In this chapter, we provide an overview of the basic anatomy and physiology of the urinary tract with an emphasis on their specific roles in host defense. We also highlight the important structural and functional abnormalities that predispose the urinary tract to microbial infections. PMID:26350322

Anatomy and Physiology of the Urinary Tract: Relation to Host Defense and Microbial Infection.

PubMed

Hickling, Duane R; Sun, Tung-Tien; Wu, Xue-Ru

2015-08-01

The urinary tract exits to a body surface area that is densely populated by a wide range of microbes. Yet, under most normal circumstances, it is typically considered sterile, i.e., devoid of microbes, a stark contrast to the gastrointestinal and upper respiratory tracts where many commensal and pathogenic microbes call home. Not surprisingly, infection of the urinary tract over a healthy person's lifetime is relatively infrequent, occurring once or twice or not at all for most people. For those who do experience an initial infection, the great majority (70% to 80%) thankfully do not go on to suffer from multiple episodes. This is a far cry from the upper respiratory tract infections, which can afflict an otherwise healthy individual countless times. The fact that urinary tract infections are hard to elicit in experimental animals except with inoculum 3-5 orders of magnitude greater than the colony counts that define an acute urinary infection in humans (105 cfu/ml), also speaks to the robustness of the urinary tract defense. How can the urinary tract be so effective in fending off harmful microbes despite its orifice in a close vicinity to that of the microbe-laden gastrointestinal tract? While a complete picture is still evolving, the general consensus is that the anatomical and physiological integrity of the urinary tract is of paramount importance in maintaining a healthy urinary tract. When this integrity is breached, however, the urinary tract can be at a heightened risk or even recurrent episodes of microbial infections. In fact, recurrent urinary tract infections are a significant cause of morbidity and time lost from work and a major challenge to manage clinically. Additionally, infections of the upper urinary tract often require hospitalization and prolonged antibiotic therapy. In this chapter, we provide an overview of the basic anatomy and physiology of the urinary tract with an emphasis on their specific roles in host defense. We also highlight the important structural and functional abnormalities that predispose the urinary tract to microbial infections.

Urinary tract infection after acute stroke: Impact of indwelling urinary catheterization and assessment of catheter-use practices in French stroke centers.

PubMed

Net, P; Karnycheff, F; Vasse, M; Bourdain, F; Bonan, B; Lapergue, B

2018-03-01

Urinary catheterization and acute urinary retention increase the risk of urinary tract infection (UTI). Our study aimed to investigate the incidence of UTI following acute stroke at our stroke center (SC) and to assess urinary catheter-care practices among French SCs. Stroke patients hospitalized within 24h of stroke onset were prospectively enrolled between May and September 2013. Neurological deficit level was assessed on admission using the US National Institutes of Health Stroke Scale (NIHSS). Patients were followed-up until discharge. Indwelling urinary catheterization (IUC) was the only technique authorized during the study. An electronic survey was also conducted among French SCs to assess their practices regarding urinary catheterization in acute stroke patients. A total of 212 patients were included, with 45 (21.2%) receiving indwelling urinary catheters. The overall estimated incidence of UTI was 14.2%, and 18% among patients receiving IUC. On univariate analysis, IUC was significantly associated with older age, longer hospital stays and higher NIHSS scores. Of the 30 SCs that responded to our survey, 19 (63.3%) declared using IUC when urinary catheterization was needed. The main argument given to justify its use was that it was departmental policy to adopt this technique. Also, 27 participants (90%) stated that conducting a study to assess the impact of urinary catheterization techniques on UTI rates in acute stroke patients would be relevant. Our results are in accord with previously reported data and confirm the high burden of UTI among acute stroke subjects. However, no association was found between IUC and UTI on univariate analysis due to a lack of statistical power. Also, our survey showed high heterogeneity in catheter-use practices among French SCs, but offered no data to help determine the best urinary catheterization technique. Urinary catheterization is common after acute stroke and a well-known risk factor of UTI. However, as high heterogeneity in catheter-use practices is found among French SCs, randomized studies comparing the efficacy of urinary catheterization techniques in terms of UTI prevention in acute stroke patients are now warranted. Copyright © 2018 Elsevier Masson SAS. All rights reserved.

Does the Urinary Microbiome Play a Role in Urgency Urinary Incontinence and Its Severity?

PubMed Central

Karstens, Lisa; Asquith, Mark; Davin, Sean; Stauffer, Patrick; Fair, Damien; Gregory, W. Thomas; Rosenbaum, James T.; McWeeney, Shannon K.; Nardos, Rahel

2016-01-01

Objectives: Traditionally, the urinary tract has been thought to be sterile in the absence of a clinically identifiable infection. However, recent evidence suggests that the urinary tract harbors a variety of bacterial species, known collectively as the urinary microbiome, even when clinical cultures are negative. Whether these bacteria promote urinary health or contribute to urinary tract disease remains unknown. Emerging evidence indicates that a shift in the urinary microbiome may play an important role in urgency urinary incontinence (UUI). The goal of this prospective pilot study was to determine how the urinary microbiome is different between women with and without UUI. We also sought to identify if characteristics of the urinary microbiome are associated with UUI severity. Methods: We collected urine from clinically well-characterized women with UUI (n = 10) and normal bladder function (n = 10) using a transurethral catheter to avoid bacterial contamination from external tissue. To characterize the resident microbial community, we amplified the bacterial 16S rRNA gene by PCR and performed sequencing using Illumina MiSeq. Sequences were processed using the workflow package QIIME. We identified bacteria that had differential relative abundance between UUI and controls using DESeq2 to fit generalized linear models based on the negative binomial distribution. We also identified relationships between the diversity of the urinary microbiome and severity of UUI symptoms with Pearson's correlation coefficient. Results: We successfully extracted and sequenced bacterial DNA from 95% of the urine samples and identified that there is a polymicrobial community in the female bladder in both healthy controls and women with UUI. We found the relative abundance of 14 bacteria significantly differed between control and UUI samples. Furthermore, we established that an increase in UUI symptom severity is associated with a decrease in microbial diversity in women with UUI. Conclusions: Our study provides further characterization of the urinary microbiome in both healthy controls and extensively phenotyped women with UUI. Our results also suggest that the urinary microbiome may play an important role in the pathophysiology of UUI and that the loss of microbial diversity may be associated with clinical severity. PMID:27512653

Does the Urinary Microbiome Play a Role in Urgency Urinary Incontinence and Its Severity?

PubMed

Karstens, Lisa; Asquith, Mark; Davin, Sean; Stauffer, Patrick; Fair, Damien; Gregory, W Thomas; Rosenbaum, James T; McWeeney, Shannon K; Nardos, Rahel

2016-01-01

Traditionally, the urinary tract has been thought to be sterile in the absence of a clinically identifiable infection. However, recent evidence suggests that the urinary tract harbors a variety of bacterial species, known collectively as the urinary microbiome, even when clinical cultures are negative. Whether these bacteria promote urinary health or contribute to urinary tract disease remains unknown. Emerging evidence indicates that a shift in the urinary microbiome may play an important role in urgency urinary incontinence (UUI). The goal of this prospective pilot study was to determine how the urinary microbiome is different between women with and without UUI. We also sought to identify if characteristics of the urinary microbiome are associated with UUI severity. We collected urine from clinically well-characterized women with UUI (n = 10) and normal bladder function (n = 10) using a transurethral catheter to avoid bacterial contamination from external tissue. To characterize the resident microbial community, we amplified the bacterial 16S rRNA gene by PCR and performed sequencing using Illumina MiSeq. Sequences were processed using the workflow package QIIME. We identified bacteria that had differential relative abundance between UUI and controls using DESeq2 to fit generalized linear models based on the negative binomial distribution. We also identified relationships between the diversity of the urinary microbiome and severity of UUI symptoms with Pearson's correlation coefficient. We successfully extracted and sequenced bacterial DNA from 95% of the urine samples and identified that there is a polymicrobial community in the female bladder in both healthy controls and women with UUI. We found the relative abundance of 14 bacteria significantly differed between control and UUI samples. Furthermore, we established that an increase in UUI symptom severity is associated with a decrease in microbial diversity in women with UUI. Our study provides further characterization of the urinary microbiome in both healthy controls and extensively phenotyped women with UUI. Our results also suggest that the urinary microbiome may play an important role in the pathophysiology of UUI and that the loss of microbial diversity may be associated with clinical severity.

Are urinary PAHs biomarkers of controlled exposure to diesel exhaust?

PubMed Central

Lu, Sixin S.; Sobus, Jon R.; Sallsten, Gerd; Albin, Maria; Pleil, Joachim D.; Gudmundsson, Anders; Madden, Michael C.; Strandberg, Bo; Wierzbicka, Aneta; Rappaport, Stephen M.

2016-01-01

Urinary polycyclic aromatic hydrocarbons (PAHs) were evaluated as possible biomarkers of exposure to diesel exhaust (DE) in two controlled-chamber studies. We report levels of 14 PAHs from 28 subjects in urine that were collected before, immediately after and the morning after exposure. Using linear mixed-effects models, we tested for effects of DE exposure and several covariates (time, age, gender and urinary creatinine) on urinary PAH levels. DE exposures did not significantly alter urinary PAH levels. We conclude that urinary PAHs are not promising biomarkers of short-term exposures to DE in the range of 106–276 μg/m3. PMID:24754404

[S1 Herpes zoster localization: acute urinary retention in woman].

PubMed

Vella, Marco; Mastrocinque, Giuseppe; Romeo, Salvatore; Giammanco, Giovanni; Melloni, Darwin

2011-01-01

Acute urinary retention in women is rare. The varicella-zoster virus causes inflammatory lesions of the sensory-root ganglions, meninges and, less frequently, spinal cord. Herpes zoster has been reported to affect, although rarely, lower urinary tract innervations, and acute urinary retention can be thought to occur in the presence of sacral dermatome involvement. Usually it is located in S2-4 dermatome and the prognosis for acute urinary retention is benign resolving in about 20 days. We present a case in which the S1 dermatome was involved and acute urinary retention developed. After 10 days of specific therapy and self-catheterization the problem resolved.

[Urinary tract dysfunction in older patients].

PubMed

Verdejo, Carlos; Méndez, Santiago; Salinas, Jesús

2016-11-18

Urinary tract dysfunction in older patients has a multifactorial aetiology and is not a uniform clinical condition. Changes due to physiological ageing as well as comorbidity and polypharmacy, can produce several dynamic conditions such as urinary incontinence and urinary retention. Lower urinary tract symptoms increase with age in both sexes and are a major problem in older patients due to their medical and psychosocial consequences. For these reasons, in assessing urinary dysfunction in older patients, we should consider external circumstances such as polypharmacy, poor mobility, affective and cognitive disorders and also accessibility to housing. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

Chronic Infections of the Urinary Tract and Bladder Cancer Risk: a Systematic Review.

PubMed

Anderson-Otunu, Oghenetejiri; Akhtar, Saeed

2016-01-01

Literature on the relationship between recurrent urinary tract infections and urinary bladder carcinoma risk has been inconsistent. Therefore, we carried out this systematic review of observational studies to ascertain if there is any association between chronic urinary tract infection and urinary bladder carcinoma. A total of 10 databases were searched using Boolean: CINAHL, PUBMED, Google Scholar, Medline, Science Direct, SCIRUS, Cochrane, UK PubMed central, NHS evidence and WHO-website. The search yielded an initial hit of 3,518 articles and after screening and critical appraisal, seven studies were included for this review. Four articles reported an association between chronic urinary tract infections and bladder cancer while three concluded a weak or no association at least in one gender. Main findings in this review were that most of the studies reported an association between chronic urinary tract infections and bladder cancer risk. However, inferences about the causal association between chronic urinary tract infections and bladder cancer risk should be drawn cautiously considering the methodological limitations of case-control studies included in this review. Therefore, more empirical evidence is needed to determine the causal nature of relationships between chronic urinary tract infections and bladder cancer risk.

Recurrent urinary tract infections in women: diagnosis and management.

PubMed

Kodner, Charles M; Thomas Gupton, Emily K

2010-09-15

Recurrent urinary tract infections, presenting as dysuria or irritative voiding symptoms, are most commonly caused by reinfection with the original bacterial isolate in young, otherwise healthy women with no anatomic or functional abnormalities of the urinary tract. Frequency of sexual intercourse is the strongest predictor of recurrent urinary tract infections in patients presenting with recurrent dysuria. In those who have comorbid conditions or other predisposing factors, recurrent complicated urinary tract infections represent a risk for ascending infection or urosepsis. Escherichia coli is the most common organism in all patient groups, but Klebsiella, Pseudomonas, Proteus, and other organisms are more common in patients with certain risk factors for complicated urinary tract infections. A positive urine culture with greater than 102 colony-forming units per mL is the standard for diagnosing urinary tract infections in symptomatic patients, although culture is often unnecessary for diagnosing typical symptomatic infection. Women with recurrent symptomatic urinary tract infections can be treated with continuous or postcoital prophylactic antibiotics; other treatment options include self-started antibiotics, cranberry products, and behavioral modification. Patients at risk of complicated urinary tract infections are best managed with broad-spectrum antibiotics initially, urine culture to guide subsequent therapy, and renal imaging studies if structural abnormalities are suspected.

Effect of Hygrophila spinosa in ethylene glycol induced nephrolithiasis in rats.

PubMed

Ingale, Kundan G; Thakurdesai, Prasad A; Vyawahare, Neeraj S

2012-01-01

Hygrophila spinosa (Acanthaceae) is traditionally used to treat urinary calculi. The present study aimed to evaluate the antiurolithiatic activity of methanolic extract of Hygrophila spinosa (Acanthaceae) in ethylene glycol induced nephrolithiasic rats. Methanolic extract of Hygrophila spinosa (HSME) (250 and 500 mg/ kg body weight) was administered orally to male Wistar albino rats. Ethylene glycol (EG) was used to induce nephrolithiasis. The parameters studied included water intake, urinary volume, urinary pH, urinary and kidney oxalate and calcium, urinary magnesium and serum uric acid. Ethylene glycol feeding resulted in hyperoxaluria as well as increased renal excretion of calcium and serum uric acid along with decreased excretion of urinary magnesium. Treatment with HSME significantly reduced the elevated urinary oxalate, urinary calcium and serum uric acid with increase in reduced urinary magnesium. Ethylene glycol feeding also resulted in increased levels of calcium and oxalate in kidney which was decreased after the treatment with HSME. The increased deposition of stone forming constituents in the kidneys of ethylene glycol treated rats was significantly lowered by treatment with HSME. The results indicate that the aerial parts of Hygrophila spinosa are endowed with antiurolithiatic activity, thereby justifying its traditional claim.

[Urinary incontinence as a risk factor for pressure sores does not withstand a critical examination].

PubMed

Krause, Tom; Anders, Jennifer; von Renteln-Kruse, Wolfgang

2005-10-01

The association between urinary incontinence and pressure sores is put down to various causes. Most frequently urinary wet and following maceration of the skin are mentioned. However, it is possible that urinary incontinence is only an indicator for other risk factors or a measure of the need for care without any causal relation to pressure sores. There are hardly any controlled or randomised studies; this lack of scientific evidence is problematic. Based on a case-control-study including data of 200 patients as well as on the existing models of explanation, the following study tries to examine critically the connections between pressure sores and urinary incontinence. Out of the patients in our study population 97.5 percent were incontinent. Different categories of the risk factor urinary incontinence and different dichotomisations have led to different statistical results. Statements concerning the connection between urinary incontinence and pressure sores have to be interpreted critically. The dependence of urinary incontinence on other risk factors such as patients' need for care or compliance suggests that the causal connection to pressure sores be not reduced to the influence of wetness. We advise to research connections between urinary incontinence and pressure sores in a methodologically appropriate setting.

Follow-up after infants younger than 2 months of age with urinary tract infection in Southern Israel: epidemiologic, microbiologic and disease recurrence characteristics.

PubMed

Gurevich, Evgenia; Tchernin, Dov; Schreyber, Ruth; Muller, Robert; Leibovitz, Eugene

2016-01-01

The timing of most recurrences after neonatal urinary tract infection is during the first year of life, with peak incidence 2-6 months after the initial infection. Information on the microbiologic characteristics of recurrent urinary tract infection episodes in relation to the microbiology of the initial episodes is limited. To analyze the epidemiologic/microbiological characteristics of 1st and recurrent urinary tract infection in infants <2 months of age. A retrospective study including all infants <2 months of age with urinary tract infection admitted during 2005-2009 and followed till the age of 1 year. 151 neonates were enrolled (2.7% of all 5617 febrile infants <2 months of age admitted). The overall incidence of urinary tract infection occurring during the first 2 months of life was 151/73,480 (0.2%) live births during 2005-2009 in southern Israel (2.1 cases/1000 live births). One pathogen was isolated in 133 (88.1%); Escherichia coli, Klebsiella spp., Enterococcus spp., Morganella morganii, Proteus spp., and Enterobacter spp. represented the most common pathogens (57.9%, 12.2%, 7.9%, 6.7%, 6.1%, and 5%, respectively). Trimethoprim/sulfamethoxazole, ampicillin, and cefuroxime-axetil were the most commonly recommended prophylactic antibiotics (45%, 13.2%, and 8%, respectively). Twenty-three recurrent urinary tract infection episodes were recorded in 20 (13.2%) patients; 6/23 (26%) were diagnosed within one month following 1st episode. E. coli was the most frequent recurrent urinary tract infection pathogen (12/23, 52.2%). No differences were recorded in E. coli distribution between first urinary tract infection vs. recurrent urinary tract infection. Seventeen (74%) recurrent urinary tract infection episodes were caused by pathogens different (phenotypically) from those isolated in 1st episode. Recurrent urinary tract infection occurred in 25.0%, 8.3%, and 0 patients recommended trimethoprim/sulfamethoxazole, cefuroxime-axetil, or amoxicillin prophylaxis, respectively. (1) The study determined the incidence of urinary tract infection in febrile infants <2 months of age in Southern Israel; (2) E. coli was responsible for the majority of first and recurrent urinary tract infection; (3) recurrent urinary tract infection was caused mostly by pathogens different than the pathogens isolated at initial episode. Copyright © 2015 Elsevier Editora Ltda. All rights reserved.

21 CFR 862.1340 - Urinary glucose (nonquantitative) test system.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Urinary glucose (nonquantitative) test system. 862... Test Systems § 862.1340 Urinary glucose (nonquantitative) test system. (a) Identification. A urinary glucose (nonquantitative) test system is a device intended to measure glucosuria (glucose in urine...

21 CFR 862.1340 - Urinary glucose (nonquantitative) test system.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Urinary glucose (nonquantitative) test system. 862... Test Systems § 862.1340 Urinary glucose (nonquantitative) test system. (a) Identification. A urinary glucose (nonquantitative) test system is a device intended to measure glucosuria (glucose in urine...

The Diagnosis, Evaluation and Treatment of Acute and Recurrent Pediatric Urinary Tract Infections

PubMed Central

Becknell, Brian; Schober, Megan; Korbel, Lindsey; Spencer, John David

2015-01-01

Urinary tract infection is one of the most common bacterial infections encountered by pediatricians. Currently, the diagnosis and management of acute urinary tract infection and recurrent urinary tract infection in children remains controversial. Recently published guidelines and large clinical trials have attempted to clarify UTI diagnostic and management strategies. In this manuscript, we review the diagnosis and management of acute and recurrent urinary tract infection in the pediatric population. PMID:25421102

Predisposing factors for infantile urinary calculus in south-west of Iran.

PubMed

Alemzadeh-Ansari, Mohammad Hasan; Valavi, Ehsan; Ahmadzadeh, Ali

2014-01-01

Urinary calculi in infants are relatively infrequent, but their incidence has increased in the recent decades. The aim of this study was to investigate the clinical presentation, metabolic risk factors, and urinary tract abnormalities in infants suffering from kidney calculus. A total of 152 infants were admitted between 2009 and 2012 with ultrasonography-proven urolithiasis. A Foley catheter was fixed and 24-hour urine samples were analyzed for calcium, citrate, oxalate, uric acid, and magnesium. For detecting cystinuria, qualitative measurement of urinary cystine was done by nitroprusside test. Urinary tract structural abnormalities were also evaluated. The mean age at the diagnosis of kidney calculus was 5.46 months (range, 15 days to 12 months). The most common clinical findings were restlessness and urinary tract infection. A family history of calculi was found in 67.1% of the patients and 68.4% were born to consanguineous marriages. Metabolic abnormalities and urinary tract abnormalities were found in 96.1% and 15.1% of children, respectively. Urinary tract abnormalities were more common in girls. The most common metabolic risk factors were hypercalciuria (79.6%) and hypocitraturia (40.9%). Hyperoxaluria and hypomagnesuria were found in about 28% of patients, both of which were associated with bilateral urolithiasis. These findings show that urinary metabolic abnormalities are very common in infants with urolithiasis. Appropriate evaluation of urinary metabolic parameters can lead us to proper diagnosis and treatment.

[Evaluation of upper urinary tract function in patients undergoing autoplastic surgery for hydronphrosis of the intrarenal pelvis].

PubMed

Kurbanaliev, R M; Usupbaev, A Ch; Kolesnichenko, I V; Sadyrbekov, N Zh; Sultanov, B M

2018-05-01

To investigate the functional state of the upper urinary tract in patients undergoing autoplastic surgery for a hydronophrosis of the intrarenal pelvis. The study comprised 78 patients with the intrarenal pelvis and impaired urinary outflow due to stricture of the ureteropelvic junction and vascular conflict (interatrial and arteriovenous narrowing), who underwent pyeloplasty using autologous tunica vaginalis. All patients underwent an incision of ureteropelvic stricture and resection of the parietal layer of the tunica vaginalis which was used to repair the obstruction site and internal stenting of the upper urinary tract. The patients were examined at baseline and during follow-up ranging from 3 months to 3 years. At three months after surgery, there was a decrease in the size of the renal pelvis and calyces with an improvement of all parameters of uro- and hemodynamics. At three years after surgery, the structural and functional parameters of the upper urinary tract were completely restored. Obstructive uropathy, resulting from the intrarenal pelvis, leads to persistently impaired urinary outflow from the upper urinary tract. Surgical intervention is the only curative treatment able to restore the urinary flow. In men with the intrarenal pelvis, the autoplastic surgery of the ureteropelvic junction obstruction using a parietal layer of the tunica vaginalis is an effective surgical modality improving renal pelvis capacity and contributing to the recovery of urinary outflow from the upper urinary tract.

Detection of PCT and urinary β2 -MG enhances the accuracy for localization diagnosing pediatric urinary tract infection.

PubMed

Fang, Jian; Luan, Jiangwei; Zhu, Gaohong; Qi, Chang; Wang, Dandan

2017-09-01

The purpose of this article was to investigate whether the combination of urinary beta 2 microglobulin (urinary β 2 -MG) and procalcitonin (PCT) diagnosis could enhance the localization diagnostic precision of pediatric urinary tract infection comparing with single diagnosis. A study was conducted in the Nephrology Department of Wuhan women and children's health care centre. This study incorporated 85 participants, including 35 children who were diagnosed as upper urinary tract infection (UUTI) with the symptom of fever and 50 children who conducted lower urinary tract infection (LUTI). Levels of PCT and urinary β 2 -MG in both UUTI and LUTI patients were measured and compared. The level of PCT and β 2 -MG were both significantly higher in UUTI group compared with in LUTI group. AUC of urinary β 2 -MG ROC (sensitivity of 71.4%, specificity of 90.0%) was significantly smaller than that of PCT ROC (sensitivity of 77.1%, specificity of 96.0%) in the single diagnosis. Although in the combined diagnosis, the sensitivity and specificity increased to 88.6% and 98%, respectively. Both PCT and β 2 -MG could be used to localize the UTI. Introducing urinary β 2 -MG into PCT diagnosis could increase the sensitivity and specificity of UTI lesion diagnosis in clinical practice. © 2016 The Authors Journal of Clinical Laboratory Analysis Published by Wiley Periodicals, Inc.

The Urinary Bladder Transcriptome and Proteome Defined by Transcriptomics and Antibody-Based Profiling

PubMed Central

Habuka, Masato; Fagerberg, Linn; Hallström, Björn M.; Pontén, Fredrik; Yamamoto, Tadashi; Uhlen, Mathias

2015-01-01

To understand functions and diseases of urinary bladder, it is important to define its molecular constituents and their roles in urinary bladder biology. Here, we performed genome-wide deep RNA sequencing analysis of human urinary bladder samples and identified genes up-regulated in the urinary bladder by comparing the transcriptome data to those of all other major human tissue types. 90 protein-coding genes were elevated in the urinary bladder, either with enhanced expression uniquely in the urinary bladder or elevated expression together with at least one other tissue (group enriched). We further examined the localization of these proteins by immunohistochemistry and tissue microarrays and 20 of these 90 proteins were localized to the whole urothelium with a majority not yet described in the context of the urinary bladder. Four additional proteins were found specifically in the umbrella cells (Uroplakin 1a, 2, 3a, and 3b), and three in the intermediate/basal cells (KRT17, PCP4L1 and ATP1A4). 61 of the 90 elevated genes have not been previously described in the context of urinary bladder and the corresponding proteins are interesting targets for more in-depth studies. In summary, an integrated omics approach using transcriptomics and antibody-based profiling has been used to define a comprehensive list of proteins elevated in the urinary bladder. PMID:26694548

Concave Urinary Crystallines: Direct Evidence of Calcium Oxalate Crystals Dissolution by Citrate In Vivo

PubMed Central

Shang, Yun-Feng; Xu, Meng; Zhang, Guang-Na; Ouyang, Jian-Ming

2013-01-01

The changes in urinary crystal properties in patients with calcium oxalate (CaOx) calculi after oral administration of potassium citrate (K3cit) were investigated via atomic force microscopy (AFM), scanning electron microscopy (SEM), X-ray powder diffractometry (XRD), and zeta potential analyzer. The AFM and SEM results showed that the surface of urinary crystals became concave, the edges and corners of crystals became blunt, the average size of urinary crystallines decreased significantly, and aggregation of urinary crystals was reduced. These changes were attributed to the significant increase in concentration of excreted citrate to 492 ± 118 mg/L after K3cit intake from 289 ± 83 mg/L before K3cit intake. After the amount of urinary citrate was increased, it complexed with Ca2+ ions on urinary crystals, which dissolved these crystals. Thus, the appearance of concave urinary crystals was a direct evidence of CaOx dissolution by citrate in vivo. The XRD results showed that the quantities and species of urinary crystals decreased after K3cit intake. The mechanism of inhibition of formation of CaOx stones by K3cit was possibly due to the complexation of Ca2+ with citrate, increase in urine pH, concentration of urinary inhibitor glycosaminoglycans (GAGs), and the absolute value of zeta potential after K3cit intake. PMID:24363634

Frontal white matter hyperintensity predicts lower urinary tract dysfunction in older adults with amnestic mild cognitive impairment and Alzheimer's disease.

PubMed

Ogama, Noriko; Yoshida, Masaki; Nakai, Toshiharu; Niida, Shumpei; Toba, Kenji; Sakurai, Takashi

2016-02-01

Lower urinary tract symptoms often limit activities of daily life and impair quality of life in the elderly. The purpose of the present study was to determine whether regional white matter hyperintensity (WMH) can predict lower urinary tract symptoms in elderly with amnestic mild cognitive impairment or Alzheimer's disease. The participants were 461 patients aged 65-85 years diagnosed with amnestic mild cognitive impairment or Alzheimer's disease. Patients and their caregivers were asked about symptoms of lower urinary tract symptoms (urinary difficulty, frequency and incontinence). Cognition, behavior and psychological symptoms of dementia and medication were evaluated. WMH and brain atrophy were analyzed using an automatic segmentation program. Regional WMH was evaluated in the frontal, parietal, temporal and occipital lobes. Patients with urinary incontinence showed significantly greater volume of WMH. WMH increased with age, especially in the frontal lobe. WMH in the frontal lobe was closely associated with urinary incontinence after adjustment for brain atrophy and classical confounding factors. Frontal WMH was a predictive factor for urinary incontinence in older adults with amnestic mild cognitive impairment or Alzheimer's disease. Urinary incontinence in demented older adults is not an incidental event, and careful insight into regional WMH on brain magnetic resonance imaging might greatly help in diagnosing individuals with a higher risk of urinary incontinence. © 2015 Japan Geriatrics Society.

Infection Control and Prevention: A Review of Hospital-Acquired Infections and the Economic Implications

PubMed Central

Reed, Deoine; Kemmerly, Sandra A.

2009-01-01

The Centers for Disease Control and Prevention estimates that 2 million patients suffer from hospital-acquired infections every year and nearly 100,000 of them die. Most of these medical errors are preventable. Hospital-acquired infections result in up to $4.5 billion in additional healthcare expenses annually. The U.S. government has responded to this financial loss by focusing on healthcare quality report cards and by taking strong action to curb healthcare spending. The Medicare Program has proposed changes to the Hospital Inpatient Prospective Payment System and Fiscal Year Rates: Proposed Rule CMS 1488-P-Healthcare-associated infection. Payment will be linked to performance. Under the new rule, payment will be withheld from hospitals for care associated with treating certain catheter-associated urinary tract infections, vascular catheter-associated infections, and mediastinitis after coronary artery bypass graft surgery. Infection-prevention strategies are essential. In the healthcare setting, the infection control department is categorized as non-revenue-producing. Funds dedicated to resources such as staff, educational programs, and prevention measures are vastly limited. Hospital leaders will need to balance the upfront cost needed to prevent hospital-related infections with the non-reimbursed expense accrued secondary to potentially preventable infections. The purpose of this paper is to present case studies and cost analysis of hospital-acquired infections and present strategies that reduce infections and cost. PMID:21603406

Fetal Urinary Tract Anomalies: Review of Pathophysiology, Imaging, and Management.

PubMed

Mileto, Achille; Itani, Malak; Katz, Douglas S; Siebert, Joseph R; Dighe, Manjiri K; Dubinsky, Theodore J; Moshiri, Mariam

2018-05-01

Common fetal anomalies of the kidneys and urinary tract encompass a complex spectrum of abnormalities that can be detected prenatally by ultrasound. Common fetal anomalies of the kidneys and urinary tract can affect amniotic fluid volume production with the development of oligohydramnios or anhydramnios, resulting in fetal pulmonary hypoplasia and, potentially, abnormal development of other fetal structures. We provide an overview of common fetal anomalies of the kidneys and urinary tract with an emphasis on sonographic patterns as well as pathologic and postnatal correlation, along with brief recommendations for postnatal management. Of note, we render an updated classification of fetal abnormalities of the kidneys and urinary tract based on the presence or absence of associated urinary tract dilation. In addition, we review the 2014 classification of urinary tract dilation based on the Linthicum multidisciplinary consensus panel.

Human Urinary Composition Controls Antibacterial Activity of Siderocalin* ♦

PubMed Central

Shields-Cutler, Robin R.; Crowley, Jan R.; Hung, Chia S.; Stapleton, Ann E.; Aldrich, Courtney C.; Marschall, Jonas; Henderson, Jeffrey P.

2015-01-01

During Escherichia coli urinary tract infections, cells in the human urinary tract release the antimicrobial protein siderocalin (SCN; also known as lipocalin 2, neutrophil gelatinase-associated lipocalin/NGAL, or 24p3). SCN can interfere with E. coli iron acquisition by sequestering ferric iron complexes with enterobactin, the conserved E. coli siderophore. Here, we find that human urinary constituents can reverse this relationship, instead making enterobactin critical for overcoming SCN-mediated growth restriction. Urinary control of SCN activity exhibits wide ranging individual differences. We used these differences to identify elevated urinary pH and aryl metabolites as key biochemical host factors controlling urinary SCN activity. These aryl metabolites are well known products of intestinal microbial metabolism. Together, these results identify an innate antibacterial immune interaction that is critically dependent upon individualistic chemical features of human urine. PMID:25861985

Catheterization and urinary tract infections: microbiology.

PubMed

Godfrey, H; Evans, A

Patients with urinary catheters are a substantial proportion of the total patient population and catheter care is an important area of nursing practice. Urinary tract infection associated with catheterization is known to be the most common nosocomial (hospital-acquired) infection. Urinary tract infections can be caused by exogenous microorganisms or endogenous faecal or urethral microorganisms. The different microorganisms which are responsible for causing urinary tract infections have particular characteristics. Many microorganisms form a biofilm, a living layer of cells which stick to the surfaces of the catheter and the catheter bag. Biofilms not only lead to urinary tract infections, but also they are associated with encrustation and catheter blockage. The article considers the microorganisms implicated in catheter-associated urinary tract infections and aims to develop an increased awareness of the characteristics of different pathogens which could lead to enhanced nursing practice and improved patient care.

[Correlation between urinary stones and urinary tract infections].

PubMed

Chen, Peilin; Zhang, Liguo; Meng, Bin

2014-05-01

To explore the correlation of urinary stones and urinary tract infections. 300 cases with urinary tract stones received in our hospital from Feb. 2010 to Oct. 2013 were chosen as study samples. Urine routine index, situation of urine positivity and urinary tract infection after surgery were analyzed while, intraoperative cotton swabs were tested after being dipped in liquid near stones. Main components of stones in non-infected and infected stone group were analyzed and compared. Data on urolithiasis was collected. 96 infected stones were found in 300 patients, accounting for 32%, which including 35 cases of E. coli (36.5%), 28 cases of Staphylococcus epidermidis (29.2%), and 15 cases of Proteus mirabilis (15.6%). Numbers of urine abnormalities, urine positivities, positive intraoperative cotton swabs and urinary tract infections in patients in the group with infected stones, were significantly higher than in the group without infected stones and the differences were statistically significant (χ² = 8.203, 73.99, 178.9, 24.26, P < 0.05). The incidence rates of hexahydrate magnesium ammonium phosphate, carbonate apatite and hydroxyapatite stones in the group with infected stones were significantly higher than those in the non-infected-rock group while the incidence rates of calcium oxalate and uric acid stones were found significantly lower than those in the non-infected-stone group, with differences statistically significant (χ² = 167.6, 21.00, 8.586, 73.17, 48.79, P < 0.05). Bacteria could cause urinary tract stones, and infected stones were always associated with urinary tract infections. Bacteria detection in patients with urinary calculi was particularly important to avoid the urinary tract infections.

Inconsistency in the definition of urinary tract infection after intravesical botulinum toxin A injection: a systematic review.

PubMed

Stamm, Andrew W; Adelstein, Sarah A; Chen, Andrew; Lucioni, Alvaro; Kobashi, Kathleen C; Lee, Una J

2018-04-10

In order to more accurately examine the rate of urinary tract infection following onabotulinumtoxinA injection of the bladder, we systematically reviewed the literature for definitions of urinary tract infection utilized in series that reported on onabotulinumtoxinA injections and assessed them for consistency with guideline statements defining urinary tract infections. A systematic review of the literature was performed via query using MEDLINE and EMBASE. We included original studies that reported on adult idiopathic overactive bladder and/or neurogenic detrusor overactivity patients who underwent cystoscopy with injection of onabotulinumtoxinA and had urinary tract infection as a reported outcome. 299 publications were identified, of which 50 met the inclusion criteria. 27 studies (54%) defined their urinary tract infection diagnostic criteria, and 10 different definitions were noted amongst these studies. None of the OAB studies used a definition which met the European Association of Urology criteria for urinary tract infection. Only 2 of the 10 studies on neurogenic bladder patients used a urinary tract infection definition consistent with National Institute on Disability and Rehabilitation Research standards. Definitions for urinary tract infections are heterogeneous and frequently absent in the literature reporting on onabotulinumtoxinA for the treatment of overactive bladder and/or neurogenic bladder. Given the potential for post procedure urinary symptoms in this setting, explicit criteria are imperative to establish the true urinary tract infection rate following treatment with onabotulinumtoxinA. Copyright © 2018 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Timing of urinary catheter removal after uncomplicated total abdominal hysterectomy: a prospective randomized trial.

PubMed

Ahmed, Magdy R; Sayed Ahmed, Waleed A; Atwa, Khaled A; Metwally, Lobna

2014-05-01

To assess whether immediate (0h), intermediate (after 6h) or delayed (after 24h) removal of an indwelling urinary catheter after uncomplicated abdominal hysterectomy can affect the rate of re-catheterization due to urinary retention, rate of urinary tract infection, ambulation time and length of hospital stay. Prospective randomized controlled trial conducted at Suez Canal University Hospital, Egypt. Two hundred and twenty-one women underwent total abdominal hysterectomy for benign gynecological diseases and were randomly allocated into three groups. Women in group A (73 patients) had their urinary catheter removed immediately after surgery. Group B (81 patients) had the catheter removed 6h post-operatively while in group C (67 patients) the catheter was removed after 24h. The main outcome measures were the frequency of urinary retention, urinary tract infections, ambulation time and length of hospital stay. There was a significantly higher number of urinary retention episodes requiring re-catheterization in the immediate removal group compared to the intermediate and delayed removal groups (16.4% versus 2.5% and 0% respectively). Delayed urinary catheter removal was associated with a higher incidence of urinary tract infections (15%), delayed ambulation time (10.3h) and longer hospital stay (5.6 days) compared to the early (1.4%, 4.1h and 3.2 days respectively) and intermediate (3.7%, 6.8h and 3.4 days respectively) removal groups. Removal of the urinary catheter 6h postoperatively appears to be more advantageous than early or late removal in cases of uncomplicated total abdominal hysterectomy. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Platelet-derived growth factor receptor beta: a novel urinary biomarker for recurrence of non-muscle-invasive bladder cancer.

PubMed

Feng, Jiayu; He, Weifeng; Song, Yajun; Wang, Ying; Simpson, Richard J; Zhang, Xiaorong; Luo, Gaoxing; Wu, Jun; Huang, Chibing

2014-01-01

Non-muscle-invasive bladder cancer (NMIBC) is one of the most common malignant tumors in the urological system with a high risk of recurrence, and effective non-invasive biomarkers for NMIBC relapse are still needed. The human urinary proteome can reflect the status of the microenvironment of the urinary system and is an ideal source for clinical diagnosis of urinary system diseases. Our previous work used proteomics to identify 1643 high-confidence urinary proteins in the urine from a healthy population. Here, we used bioinformatics to construct a cancer-associated protein-protein interaction (PPI) network comprising 16 high-abundance urinary proteins based on the urinary proteome database. As a result, platelet-derived growth factor receptor beta (PDGFRB) was selected for further validation as a candidate biomarker for NMIBC diagnosis and prognosis. Although the levels of urinary PDGFRB showed no significant difference between patients pre- and post-surgery (n = 185, P>0.05), over 3 years of follow-up, urinary PDGFRB was shown to be significantly higher in relapsed patients (n = 68) than in relapse-free patients (n = 117, P<0.001). The levels of urinary PDGFRB were significantly correlated with the risk of 3-year recurrence of NMIBC, and these levels improved the accuracy of a NMIBC recurrence risk prediction model that included age, tumor size, and tumor number (area under the curve, 0.862; 95% CI, 0.809 to 0.914) compared to PDGFR alone. Therefore, we surmise that urinary PDGFRB could serve as a non-invasive biomarker for predicting NMIBC recurrence.

[Prevalence and associated factors of female urinary incontinence in Hebei province].

PubMed

Jiang, Y; Yan, L; Du, F D; Zheng, P T; Zhang, L; Jiang, L; Huang, X H

2016-12-25

Objective: To estimate the prevalence and associated factors of adult female urinary incontinence in Hebei province. Methods: Stratified and multistage sampling method was used, between January 2016 to May 2016, to investigate the target population in Hebei province. While, logistic regression was used to analyse datas. Results: A population-based survey was conducted in 2 450 women in Hebei province, there were 2 408 effective questionnaires after deleting 48 invalid questionnaires. According to the results, the average age of subjects was (56±15) years old, and the urinary incontinence prevalence of adult female in Hebei province was 27.70% (667/2 408). Stress urinary incontinence, urge urinary incontinence and mixed urinary incontinence were diagnosed as 23.13% (557/2 408), 1.58% (38/2 408) and 2.99% (72/2 408), respectively. There were only 2.85% (19/667) urinary incontinence patients seeking medical help. The results of logistic regression analysis showed that age, daily water intake, pulmonary diseases, urinary tract infection, hypertension, chronic low back pain, dysmenorrhea, vaginitis, abortion, mode of delivery, postpartum infection were statistically significant (all P ≤0.05). Among these factors, cesarean section was the protective factor for urinary incontinence ( OR= 0.365, 95 % CI: 0.195-0.685, P <0.01). Conclusions: The prevalence of urinary incontinence in adult female in Hebei province is high, and there are few patients seeking medical help. It is a common disorder in women and is associated with many factors; among these factors, cesarean section is the protective factor for urinary incontinence.

21 CFR 862.1645 - Urinary protein or albumin (nonquantitative) test system.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Urinary protein or albumin (nonquantitative) test... Chemistry Test Systems § 862.1645 Urinary protein or albumin (nonquantitative) test system. (a) Identification. A urinary protein or albumin (nonquantitative) test system is a device intended to identify...

21 CFR 862.1645 - Urinary protein or albumin (nonquantitative) test system.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Urinary protein or albumin (nonquantitative) test... Chemistry Test Systems § 862.1645 Urinary protein or albumin (nonquantitative) test system. (a) Identification. A urinary protein or albumin (nonquantitative) test system is a device intended to identify...

21 CFR 862.1645 - Urinary protein or albumin (nonquantitative) test system.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Urinary protein or albumin (nonquantitative) test... Chemistry Test Systems § 862.1645 Urinary protein or albumin (nonquantitative) test system. (a) Identification. A urinary protein or albumin (nonquantitative) test system is a device intended to identify...

21 CFR 862.1645 - Urinary protein or albumin (nonquantitative) test system.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Urinary protein or albumin (nonquantitative) test... Chemistry Test Systems § 862.1645 Urinary protein or albumin (nonquantitative) test system. (a) Identification. A urinary protein or albumin (nonquantitative) test system is a device intended to identify...

Frailty and Lower Urinary Tract Symptoms.

PubMed

Suskind, Anne M

2017-09-01

The incidence of both frailty and lower urinary tract symptoms, including urinary incontinence, overactive bladder, underactive bladder, and benign prostatic hyperplasia, increases with age. However, our understanding of the relationship between frailty and lower urinary tract symptoms, both in terms of pathophysiology and in terms of the evaluation and management of such symptoms, is greatly lacking. This brief review will summarize definitions and measurement tools associated with frailty and will also review the existing state of the literature on frailty and lower urinary tract symptoms in older individuals.

Primary Bladder Neurofibroma: A Rare Case with Clinical Implications and Diagnostic Challenges.

PubMed

Umakanthan, Srikanth; Naik, Ramadas; Bukelo, Maryann Margaret; Rai, Sharada; Prabhu, Laxman

2015-09-01

Neurofibroma of the genito-urinary tract is rare. Urinary bladder is the commonest organ involved in cases of urinary tract involvement. Patients present early in life and there is male preponderance. We discuss here a case of primary neurofibroma of the urinary bladder in a 52-year-male presenting with haematuria, irritative bladder symptoms and pelvic mass. Cystoscopy showed a swelling in the left lateral wall. A transurethral biopsy revealed neurofibroma of the urinary bladder. Immunohistochemical studies confirmed the diagnosis.