Modelling Waterfall Retreat in Heterogenous Bedrock

NASA Astrophysics Data System (ADS)

Attal, M.; Hodge, R. A.; Williams, R.; Baynes, E.

2016-12-01

Bedrock rivers are the mediators of environmental change through mountainous landscapes. In response to an increase in uplift rate for example, a "knickpoint" (often materialised as a waterfall) will propagate upstream, separating a domain downstream where the river and its adjacent hillslopes have steepened in response to the change from a "relict" domain upstream which is adjusted to the conditions before the change (Crosby and Whipple 2006). Many studies assume that knickpoint propagation rate scales with drainage area, based on the stream power theory. However, recent studies in a range of locations have found no obvious relationship between knickpoint retreat rate and drainage area, potentially resulting from the stream power law neglecting (i) the influence of sediment on the processes associated with waterfall migration and (ii) thresholds for bedrock detachment (Cook et al. 2013; Mackey et al. 2014; DiBiase et al. 2015; Baynes et al. 2015; Brocard et al. 2016). In this study, we develop a 1D model of waterfall retreat in horizontally bedded bedrock with varying joint spacing. In the model, knickpoint migration is based on two rules: a waterfall will start migrating once the threshold flow depth (a function of knickpoint height and joint spacing) has been exceeded (Lamb and Dietrich 2009), and the migration rate will then be a function of the water-depth-to-waterfall-height ratio, based on experimental results by Baynes (2015). Using a hydrograph based on a Poisson rectangular pulse rainfall simulator (Tucker and Bras 2001), we demonstrate the importance of structure in controlling the speed at which waterfalls migrate but also their number and the length over which they are distributed (Fig. 1). The model is applied to the Jökulsá á Fjöllum, NE Iceland, where rapid migration of waterfalls as a result of discrete events has been identified (Baynes et al. 2015), using new constraints on joint spacing derived from high resolution lidar survey of the gorge

2017 Rapid Retreat Of Thwaites Glacier

NASA Astrophysics Data System (ADS)

Milillo, P.; Rignot, E. J.; Mouginot, J.; Scheuchl, B.

2017-12-01

We employ data from the second generation of SAR systems e.g. the Italian COSMO- SkyMed (CSK) constellation and the German TanDEM-X (TDX) formation to monitor grounding line retreat using short repeat-time interferometry and accurate InSAR DEM on Thwaites glacier in the Amundsen Sea Embayment (ASE), West Antarctica. The ASE is a marine-based ice sheet with a retrograde bed containing enough ice to raise global sea level by 120 cm. Several studies have inferred the mechanical properties of portions of ASE using observationally constrained numerical models, but these studies offer only temporal snapshots of basal mechanics owing to a dearth of observational time series. Prior attempts of grounding lines mapping have been limited because few space-borne SAR missions offer the short-term repeat pass capability required to map the differential vertical displacement of floating ice at tidal frequencies with sufficient detail to resolve grounding line boundaries in areas of fast ice deformation. Using 1-day CSK repeat pass data and TDX DEMs, we collected frequent, high-resolution grounding line measurements of Thwaites glaciers spanning 2015-2017. We compare the results with ERS data spanning 1996-2011, and Sentinel-1a 2014-2015 data. Between 2011 and 2017 we observe a maximum retreat of 5-7 km across the main Thwaites glacier tongue and Thwaites Eastern ice shelf (TEIS) corresponding to an increased retreat rate of 0.5 km/yr. Grounding line retreat has been fueled by the enhanced intrusion of warm, salty, subsurface ocean water of circumpolar deep water origin onto the continental shelf, beneath the floating ice shelf, to reach the glacier grounding zone and melt it from below at rates varying from 50 to 150 m/yr. The retreat rate varies depending on the magnitude of ice melt by the ocean, the rate of ice thinning and the shape of the glacier surface and bed topography.

Seabed Gradient Controlling Onshore Transport Rates of Surf Sand during Beach Retreat by Sea Level Rise

NASA Astrophysics Data System (ADS)

Lee, Hee Jun; Yi, Hi-Il

2018-03-01

A simple relationship is proposed for the onshore transport rates of surf-zone sand to evaluate the beach retreat caused by sea level rise. It suggests that the preservation potential of surf sand is proportional inversely to the seabed gradient during beach retreat. According to this relationship, the erosional remnants of surf sand would be more readily developed on a gentler shelf collectively as transgressive sand sheets. This finding may explain the previous studies regarding the Korean shelves that proposed that the Holocene transgressive sand sheets (HTSS) occur not in the steep eastern shelf but in the gentle western shelf. In line with such presence/absence of the HTSS are the results from some coastal seismic profiles obtained in the present study. The profiles indicate that sand deposits are restricted within the nearshore in the eastern coast, whereas they are persistently traceable to the offshore HTSS in the western coast. Tide is proven to have a negligible influence on the total duration of surf-zone processes. This study may be useful in predicting the consequences of the beach retreat that takes place worldwide as sea levels rise as a result of global warming.

Rate of bedrock channel incision by waterfall retreat and landscape response constrained by cosmogenic 3He, Kauai, Hawaii

NASA Astrophysics Data System (ADS)

Mackey, B. H.; Lamb, M. P.; Scheingross, J. S.; Farley, K. A.

2011-12-01

Channel incision and knickpoint retreat are the drivers of landscape evolution, yet we are still challenged to quantify the rate and processes by which rivers cut into rock. The Napali Coast on the northwestern side of Kauai, Hawaii, has multiple linear channels incising >200 m into the shield volcano surface. The channels have well-constrained initial conditions, including original topography, and relatively uniform layered basalt of known age (~4.5 Ma), which have attracted previous studies of channel evolution (e.g., Seidl et al., 1994, 1997). Many channels feature prominent waterfalls, although the mechanism of knickpoint initiation (submarine landslide vs cliff erosion) and subsequent retreat remain ambiguous. Motivated by these knowledge gaps and recent advances in cosmogenic helium geochronology, we revisited the Kaulaula Valley, a 9 km long narrow valley, beheaded on its upslope extent by the Waimea Canyon, and ending near the coast at the northern Mana Plain. Four kilometers up the canyon is a prominent 40 m high vertical knickpoint, dividing the valley into strongly contrasting geomorphic domains. The boulder-lined channel below the knickpoint is linear, steep (15%), and confined to a narrow valley with steep rocky cliffs (average slope 31°). Large, >2 m diameter angular boulders in the lower section of channel show evidence of mobility from debris flows. Above the knickpoint, average channel gradient is reduced (9%), bed load is much finer, and convex, soil-mantled hillslopes have a consistently lower mean slope of 18°. We constrained the exposure age of 18 features (in-channel boulders, stable boulders on terraces, and in-channel bedrock) along the length of the channel, by analysis of cosmogenic 3He in olivine phenocrysts. Cosmogenic exposure ages are oldest near the coast (80 ka) and systematically decrease with upstream distance towards the waterfall (< 5ka). In the upper section of channel, cosmogenic ages are approximately constant (10-20 ka

Net retreat of Antarctic glacier grounding lines

NASA Astrophysics Data System (ADS)

Konrad, Hannes; Shepherd, Andrew; Gilbert, Lin; Hogg, Anna E.; McMillan, Malcolm; Muir, Alan; Slater, Thomas

2018-04-01

Grounding lines are a key indicator of ice-sheet instability, because changes in their position reflect imbalance with the surrounding ocean and affect the flow of inland ice. Although the grounding lines of several Antarctic glaciers have retreated rapidly due to ocean-driven melting, records are too scarce to assess the scale of the imbalance. Here, we combine satellite altimeter observations of ice-elevation change and measurements of ice geometry to track grounding-line movement around the entire continent, tripling the coverage of previous surveys. Between 2010 and 2016, 22%, 3% and 10% of surveyed grounding lines in West Antarctica, East Antarctica and at the Antarctic Peninsula retreated at rates faster than 25 m yr-1 (the typical pace since the Last Glacial Maximum) and the continent has lost 1,463 km2 ± 791 km2 of grounded-ice area. Although by far the fastest rates of retreat occurred in the Amundsen Sea sector, we show that the Pine Island Glacier grounding line has stabilized, probably as a consequence of abated ocean forcing. On average, Antarctica's fast-flowing ice streams retreat by 110 metres per metre of ice thinning.

Incidence, outcomes, and risk factors for retreatment after wavefront-optimized ablations with PRK and LASIK.

PubMed

Randleman, J Bradley; White, Alfred J; Lynn, Michael J; Hu, Michelle H; Stulting, R Doyle

2009-03-01

To analyze and compare retreatment rates after wavefront-optimized photorefractive keratectomy (PRK) and LASIK and determine risk factors for retreatment. A retrospective chart review was performed to identify patients undergoing PRK or LASIK with the wavefront-optimized WaveLight platform from January 2005 through December 2006 targeted for a piano outcome and to determine the rate and risk factors for retreatment surgery in this population. Eight hundred fifty-five eyes were analyzed, including 70 (8.2%) eyes with hyperopic refractions and 785 (91.8%) eyes with myopic refractions. After initial treatment, 72% of eyes were 20/20 or better and 99.5% were 20/40 or better. To improve uncorrected visual acuity, 54 (6.3%) eyes had retreatments performed. No significant differences in retreatment rates were noted based on age (P = .15), sex (P = .8), eye (P = .3), PRK versus LASIK (P = 1.0), room temperature (P = .1) or humidity (P = .9), and no correlation between retreatment rate and month or season of primary surgery (P = .4). There was no correlation between degree of myopia and retreatment rate. Eyes were significantly more likely to undergo retreatment if they were hyperopic (12.8% vs 6.0%, P = .006) or had astigmatism > or = 1.00 diopter (D) (9.1% vs 5.3%, P = .04). Retreatment rate was 6.3% with the WaveLight ALLEGRETTO WAVE excimer laser. This rate was not influenced by age, sex, corneal characteristics, or environmental factors. Eyes with hyperopic refractions or astigmatism > or = 1.00 D were more likely to undergo retreatment.

Projecting 21st century coastal cliff retreat in Southern California

NASA Astrophysics Data System (ADS)

Limber, P. W.; Barnard, P.; Erikson, L. H.; Vitousek, S.

2016-12-01

In California, sea level is expected to rise over 1 m by 2100, with extreme projections approaching 3 m. Sea level rise (SLR) increases the frequency, severity, and duration of wave impacts on coastal cliffs, potentially accelerating cliff retreat rates. To assess the future risk to cliff-top infrastructure, densely populated Southern California cities like Los Angeles and San Diego require estimates of coastal retreat over long time (multi-decadal) and large spatial (>100 km) scales. We developed a suite of eight coastal cliff retreat models, ranging in complexity from empirical 1-D representations of cliff response to wave impacts to more intricate 2-D process-based models integrated with artificial neural networks. The ensemble produces a comprehensive estimate of time-averaged coastal cliff retreat with uncertainty, is applicable to different geological environments, and is flexible in application depending on processing power, available data, and/or available time (e.g. if processing power and time are limited, the fast 1-D models can be used as a `rapid assessment' tool). Global-to-local nested wave models provided the hindcasts (1980-2010) and forecasts (2010-2100) used to force the models, and waves were applied in combination with eight SLR scenarios ranging from 0.25 m to 2 m. In the more detailed models, tides, non-tidal residuals, and storm surge were included for the hindcast and forecast periods. For model calibration, a new automated cliff edge extraction routine was used to estimate historical cliff retreat rates from LiDAR data. Initial model application to Southern California suggests that 1 m of SLR during the 21st century will cause cliff retreat rates to increase on average by over 50% relative to historical rates. Model results also demonstrate how small-scale, episodic cliff failure events can coalesce through time into spatially uniform, long-term cliff retreat signals.

Early retreatment after surgical clipping of ruptured intracranial aneurysms.

PubMed

Ito, Yoshiro; Yamamoto, Tetsuya; Ikeda, Go; Tsuruta, Wataro; Uemura, Kazuya; Komatsu, Yoji; Matsumura, Akira

2017-09-01

Although a rerupture after surgical clipping of ruptured intracranial aneurysms is rare, it is associated with high morbidity and mortality. The causes for retreatment and rupture after surgical clipping are not clearly defined. From a prospectively maintained database of 244 patients who had undergone surgical clipping of ruptured intracranial aneurysms, we selected patients who experienced retreatment or rerupture within 30 days after surgical clipping. Aneurysm occlusions were examined by microvascular Doppler ultrasonography and indocyanine green video-angiography. Indications for retreatment included rerupture and partial occlusion. We analyzed the characteristics and causes of early retreatment. Six patients (2.5%, 95% CI 0.9 to 5.3%) were retreated within 30 days after surgical clipping, including two patients (0.8%, 95% CI 0.1 to 2.9%) who experienced a rerupture. The retreated aneurysms were found in the anterior communicating artery (AcomA) (n = 5) and basilar artery (n = 1). Retreatment of the AcomA (7.5%) was performed significantly more frequently than that of other arteries (0.56%) (p < 0.01). A laterally projected AcomA aneurysm (17.4%) was more frequently retreated than were other aneurysm types (2.3%). Cases of laterally projecting AcomA aneurysms tended to result from an incomplete clip placed using a pterional approach from the opposite side of the aneurysm projection. Despite developments, the rates of retreatment and rerupture after surgical clipping remain similar to those reported previously. Retreatment of the AcomA was significantly more frequent than was retreatment of other arteries. Patients underwent retreatment more frequently when they were originally treated for lateral type aneurysms using a pterional approach from the opposite side of the aneurysm projection. The treatment method and evaluation modalities should be considered carefully for AcomA aneurysms in particular.

Increasing Resident Wellness Through a Novel Retreat Curriculum

PubMed Central

Cornelius, Brian G; Edens, Mary Ann

2017-01-01

Background Because of their arduous schedules, residents are susceptible to burnout, fatigue, and depression. In 2015, the Accreditation Council for Graduate Medical Education (ACGME) launched a campaign to foster physician wellness, in response to the suicides of three residents during the previous year. The campaign calls for strategies to developing resiliency, identify problems, and promote well-being. One of the suggested methods to promote well-being was a residency retreat. Objective To implement a novel retreat curriculum that emphasizes team building between residents and faculty, with which residents expressed high satisfaction. Methods We created an "Amazing Race" style retreat involving five activity stations set up in a neighborhood park in which 25 of our 34 residents participated. These stations implemented team building, faculty-resident bonding and resident-resident bonding. An anonymous survey was administered to the 25 participating emergency medicine (EM) residents after the retreat, of whom 21 returned the survey. The survey consisted of questions to assess the resident’s perception of the team building activities, their satisfaction with each of the five activity stations and overall retreat satisfaction. Results Of the 25 residents who participated in the retreat, 21 (84%) returned the post-retreat survey (one participant returned a survey leaving the ranking questions incomplete). This low-cost event received high satisfaction ratings in regard to team-building, resident bonding, and faculty-resident bonding. Conclusions This novel retreat proved to be a low-cost and easily implemented activity with which the residents expressed high levels of satisfaction. PMID:28966896

Dynamics, rate and nature of retreat of the British Irish Ice-Sheet offshore of NW Ireland following the Last Glacial Maximum

NASA Astrophysics Data System (ADS)

Weilbach, K.; O'Cofaigh, C.; Lloyd, J. M.; Benetti, S.; Dunlop, P.

2016-12-01

Recent studies of the British and Irish Ice Sheet (BIIS) have identified evidence of ice extending to the continental shelf edge along the western margin of the ice sheet off NW Ireland. While this advance is assumed to have occurred during the LGM, exact timing of maximum advance, and the timing and nature of the subsequent retreat is not well constrained. The location of the north-western sector of the BIIS adjacent to the North Atlantic makes this area ideal to study the ice sheet dynamics of a major marine terminating ice sheet, and the rate and nature of its retreat following the LGM. High resolution swath bathymetry and sub-bottom profiler (SBP) data along with sedimentological, micropalaeontological and geochronological investigations of sediment cores, collected across the NW Irish shelf, have been used to establish the extent, timing and nature of retreat of this sector of the BIIS. Swath bathymetry show glacial landforms on the shelf, and SBP-data along with twenty seven vibro-cores were collected in east-west oriented transects across a series of arcuate recessional moraines stretching from the shelf edge to Donegal Bay. These moraines record progressive still stands of a lobate ice margin during its retreat from the shelf edge, and are therefore ideal for the investigation of ice-sheet dynamics and chronology during retreat. Twenty two radiocarbon dates from foraminifera and macrofossils, sampled from the sediment cores, indicate that maximum ice sheet extent occurred around 26200 y cal BP, with an initial rapid retreat across the shelf. Visual logging, X-ray imagery, MSCL data and palaeoenvironmental analyses of the sediment cores, indicate that retreat happened in a glacimarine environment, and was punctuated by multiple stillstands and possible readvances across the mid and inner shelf, forming the arcuate moraines. The radiocarbon dates suggest that final retreat occurred after 17857 y. cal BP, which is consistent with onshore cosmogenic exposure

Microorganism penetration in dentinal tubules of instrumented and retreated root canal walls. In vitro SEM study.

PubMed

Al-Nazhan, Saad; Al-Sulaiman, Alaa; Al-Rasheed, Fellwa; Alnajjar, Fatimah; Al-Abdulwahab, Bander; Al-Badah, Abdulhakeem

2014-11-01

This in vitro study aimed to investigate the ability of Candida albicans (C. albicans) and Enterococcus faecalis (E. faecalis) to penetrate dentinal tubules of instrumented and retreated root canal surface of split human teeth. Sixty intact extracted human single-rooted teeth were divided into 4 groups, negative control, positive control without canal instrumentation, instrumented, and retreated. Root canals in the instrumented group were enlarged with endodontic instruments, while root canals in the retreated group were enlarged, filled, and then removed the canal filling materials. The teeth were split longitudinally after canal preparation in 3 groups except the negative control group. The teeth were inoculated with both microorganisms separately and in combination. Teeth specimens were examined by scanning electron microscopy (SEM), and the depth of penetration into the dentinal tubules was assessed using the SMILE view software (JEOL Ltd). Penetration of C. albicans and E. faecalis into the dentinal tubules was observed in all 3 groups, although penetration was partially restricted by dentin debris of tubules in the instrumented group and remnants of canal filling materials in the retreated group. In all 3 groups, E. faecalis penetrated deeper into the dentinal tubules by way of cell division than C. albicans which built colonies and penetrated by means of hyphae. Microorganisms can easily penetrate dentinal tubules of root canals with different appearance based on the microorganism size and status of dentinal tubules.

Landslides and rock fall processes in the proglacial area of the Gepatsch glacier, Tyrol, Austria - Quantitative assessment of controlling factors and process rates

NASA Astrophysics Data System (ADS)

Vehling, Lucas; Rohn, Joachim; Moser, Michael

2013-04-01

Due to the rapid deglaciation since 1850, lithological structures and topoclimatic factors, mass movements like rock fall, landslides and complex processes are important contributing factors to sediment transport and modification of the earth's surface in the steep, high mountain catchment of the Gepatsch reservoir. Contemporary geotechnical processes, mass movement deposits, their source areas, and controlling factors like material properties and relief parameters are mapped in the field, on Orthofotos and on digital elevation models. The results are presented in an Arc-Gis based geotechnical map. All mapped mass movements are stored in an Arc-Gis geodatabase and can be queried regarding properties, volume and controlling factors, so that statistical analyses can be conducted. The assessment of rock wall retreat rates is carried out by three different methods in multiple locations, which differ in altitude, exposition, lithology and deglaciation time: Firstly, rock fall processes and rates are investigated in detail on five rock fall collector nets with an overall size of 750 m2. Rock fall particles are gathered, weighed and grain size distribution is detected by sieving and measuring the diameter of the particles to distinct between rock fall processes and magnitudes. Rock wall erosion processes like joint formation and expansions are measured with high temporal resolution by electrical crack meters, together with rock- and air temperature. Secondly, in cooperation with the other working groups in the PROSA project, rock fall volumes are determined with multitemporal terrestrial laserscanning from several locations. Lately, already triggered rock falls are accounted by mapping the volume of the deposit and calculating of the bedrock source area. The deposition time span is fixed by consideration of the late Holocene lateral moraines and analysing historical aerial photographs, so that longer term rock wall retreat rates can be calculated. In order to limit

Fracture Resistance of Retreated Roots Using Different Retreatment Systems

PubMed Central

Er, Kursat; Tasdemir, Tamer; Siso, Seyda Herguner; Celik, Davut; Cora, Sabri

2011-01-01

Objectives: This study was designed to evaluate the fracture resistance of retreated roots using different rotary retreatment systems. Methods: Forty eight freshly extracted human canine teeth with single straight root canals were instrumented sequentially increasing from size 30 to a size 55 using K-files whit a stepback technique. The teeth were randomly divided into three experimental and one control groups of 12 specimens each. The root canals were filled using cold lateral compaction of gutta-percha and AH Plus (Dentsply Detrey, Konstanz, Germany) sealer in experimental groups. Removal of gutta-percha was performed with the following devices and techniques: ProTaper Universal (Dentsply Maillefer, Ballaigues, Switzerland), R-Endo (Micro-Mega, Besançon, France), and Mtwo (Sweden & Martina, Padova, Italy) rotary retreatment systems. Control group specimens were only instrumented, not filled or retreated. The specimens were then mounted in copper rings, were filled with a self-curing polymethylmethacrylate resin, and the force required to cause vertical root fracture was measured using a universal testing device. The force of fracture of the roots was recorded and the results in the various groups were compared. Statistical analysis was accomplished by one-way ANOVA and a post hoc Tukey tests. Results: There were statistically significant differences between the control and experimental groups (P<.05). However, there were no significant differences among the experimental groups. Conclusions: Based on the results, all rotary retreatment techniques used in this in vitro study produced similar root weakness. PMID:21912497

Fracture resistance of retreated roots using different retreatment systems.

PubMed

Er, Kursat; Tasdemir, Tamer; Siso, Seyda Herguner; Celik, Davut; Cora, Sabri

2011-08-01

This study was designed to evaluate the fracture resistance of retreated roots using different rotary retreatment systems. Forty eight freshly extracted human canine teeth with single straight root canals were instrumented sequentially increasing from size 30 to a size 55 using K-files whit a stepback technique. The teeth were randomly divided into three experimental and one control groups of 12 specimens each. The root canals were filled using cold lateral compaction of gutta-percha and AH Plus (Dentsply Detrey, Konstanz, Germany) sealer in experimental groups. Removal of gutta-percha was performed with the following devices and techniques: ProTaper Universal (Dentsply Maillefer, Ballaigues, Switzerland), R-Endo (Micro-Mega, Besançon, France), and Mtwo (Sweden & Martina, Padova, Italy) rotary retreatment systems. Control group specimens were only instrumented, not filled or retreated. The specimens were then mounted in copper rings, were filled with a self-curing polymethylmethacrylate resin, and the force required to cause vertical root fracture was measured using a universal testing device. The force of fracture of the roots was recorded and the results in the various groups were compared. Statistical analysis was accomplished by one-way ANOVA and a post hoc Tukey tests. There were statistically significant differences between the control and experimental groups (P<.05). However, there were no significant differences among the experimental groups. Based on the results, all rotary retreatment techniques used in this in vitro study produced similar root weakness.

Endodontic retreatment. Aspects of decision making and clinical outcome.

PubMed

Kvist, T

2001-01-01

regardless of assessment method. Compared with Standard gamble Visual Analogue Scale systematically produced lower ratings. U-values were found to change considerably in both the short and long-term. Any significant correlation between endodontists' U-values and retreatment prescriptions could not be demonstrated. Surgical and nonsurgical retreatment were randomly assigned to 95 "failed" root filled teeth in 92 patients. Cases were followed clinically and radiographically for four years postoperatively. At the 12-month recall a statistically significant higher healing rate was observed for teeth retreated surgically. At the final 48-month recall no systematic difference was detected. Patients were found to be more subject to postoperative discomfort when teeth were retreated surgically compared with nonsurgically. Consequently, surgical retreatment tended to be associated with higher indirect costs than a nonsurgically approach. In the final part of the thesis it is argued that retreatment decision making in everyday clinical practice normally should be based on simple principles. It is suggested that in order to achieve the best overall consequence a periapical lesion in a root filled tooth that is not expected to heal should be retreated. Arguments to withhold retreatment should be based on (i) respect for patient autonomy, (ii) retreatment risks or (iii) retreatment costs.

Microorganism penetration in dentinal tubules of instrumented and retreated root canal walls. In vitro SEM study

PubMed Central

Al-Sulaiman, Alaa; Al-Rasheed, Fellwa; Alnajjar, Fatimah; Al-Abdulwahab, Bander; Al-Badah, Abdulhakeem

2014-01-01

Objectives This in vitro study aimed to investigate the ability of Candida albicans (C. albicans) and Enterococcus faecalis (E. faecalis) to penetrate dentinal tubules of instrumented and retreated root canal surface of split human teeth. Materials and Methods Sixty intact extracted human single-rooted teeth were divided into 4 groups, negative control, positive control without canal instrumentation, instrumented, and retreated. Root canals in the instrumented group were enlarged with endodontic instruments, while root canals in the retreated group were enlarged, filled, and then removed the canal filling materials. The teeth were split longitudinally after canal preparation in 3 groups except the negative control group. The teeth were inoculated with both microorganisms separately and in combination. Teeth specimens were examined by scanning electron microscopy (SEM), and the depth of penetration into the dentinal tubules was assessed using the SMILE view software (JEOL Ltd). Results Penetration of C. albicans and E. faecalis into the dentinal tubules was observed in all 3 groups, although penetration was partially restricted by dentin debris of tubules in the instrumented group and remnants of canal filling materials in the retreated group. In all 3 groups, E. faecalis penetrated deeper into the dentinal tubules by way of cell division than C. albicans which built colonies and penetrated by means of hyphae. Conclusions Microorganisms can easily penetrate dentinal tubules of root canals with different appearance based on the microorganism size and status of dentinal tubules. PMID:25383343

Electrochemical wall shear rate microscopy of collapsing bubbles

NASA Astrophysics Data System (ADS)

Reuter, Fabian; Mettin, Robert

2018-06-01

An electrochemical high-speed wall shear raster microscope is presented. It involves chronoamperometric measurements on a microelectrode that is flush-mounted in a submerged test specimen. Wall shear rates are derived from the measured microelectrode signal by numerically solving a convection-diffusion equation with an optimization approach. This way, the unsteady wall shear rates from the collapse of a laser pulse seeded cavitation bubble close to a substrate are measured. By planar scanning, they are resolved in high spatial resolution. The wall shear rates are related to the bubble dynamics via synchronized high-speed imaging of the bubble shape.

Continuing evidence for poorer treatment outcomes for single male patients: retreatment data from RTOG 97-14.

PubMed

Konski, Andre; Desilvio, Michelle; Hartsell, William; Watkins-Bruner, Deborah; Coyne, James; Scarantino, Charles; Janjan, Nora

2006-09-01

The specific aim of this study was to evaluate outcome differences by gender and partner status for patients treated on Radiation Therapy Oncology Group (RTOG) protocol 97-14. RTOG 97-14 randomized patients with metastatic breast or prostate cancer to bone to receive 8 Gy in 1 fraction or 30 Gy in 10 fractions. Retreatment rates and overall survival were made based upon gender, marital status, and Karnofsky Performance Status (KPS). The cumulative incidence method was used to estimate retreatment time at 36 months from enrollment, and Gray's test was used to test for treatment differences within the same groupings. Marital status, gender, KPS, and treatment were variables tested in a univariate Cox model evaluating the time to retreatment. Married men and women and single women receiving 30 Gy had significantly longer time to retreatment, p = 0.0067, p = 0.0052, and p = 0.0009 respectively. We failed to show a difference in retreatment rates over time in single men receiving either 30 Gy or 8 Gy. Univariate analysis of the entire group determined patients receiving 30 Gy in 10 fractions significantly less likely to receive retreatment, p < 0.0001, with a trend toward single patients less likely to be re-treated, p = 0.07. Non-disease-related variables, such as social support, might influence the results of clinical trials with subjective endpoints such as retreatment rates. The statistically nonsignificant difference in the 36-month retreatment rates observed in single male patients receiving 8 Gy may be a result of inadequate social support systems in place to facilitate additional care. Patients receiving 8 Gy in a single fraction had significantly higher retreatment rates compared with patients receiving 30 Gy in 10 fractions.

National assessment of shoreline change part 4: historical coastal cliff retreat along the California coast

USGS Publications Warehouse

Hapke, Cheryl J.; Reid, David

2007-01-01

Coastal cliff retreat, the landward migration of the cliff face, is a chronic problem along many rocky coastlines in the United States. As coastal populations continue to grow and community infrastructures are threatened by erosion, there is increased demand for accurate information regarding trends and rates of coastal cliff retreat. There is also a need for a comprehensive analysis of cliff retreat that is consistent from one coastal region to another. To meet these national needs, the U.S. Geological Survey is conducting an analysis of historical coastal cliff retreat along open-ocean rocky coastlines of the conterminous United States and parts of Hawaii, Alaska, and the Great Lakes. One purpose of this work is to develop standard repeatable methods for mapping and analyzing coastal cliff retreat so that periodic updates of coastal erosion can be made nationally that are systematic and internally consistent. This report on the California Coast is an accompaniment to a report on long-term sandy shoreline change for California. This report summarizes the methods of analysis, interprets the results, and provides explanations regarding long-term rates of cliff retreat. Neither detailed background information on the National Assessment of Shoreline Change Project nor detailed descriptions of the geology and geomorphology of the California coastline are presented in this report. The reader is referred to the shoreline change report (Hapke et al., 2006) for this type of background information. Cliff retreat evaluations are based on comparing one historical cliff edge digitized from maps, with a recent cliff edge interpreted from lidar (Light Detection and Ranging) topographic surveys. The historical cliff edges are from a period ranging from 1920-1930, whereas the lidar cliff edges are from either 1998 or 2002. Long-term (~70-year) rates of retreat are calculated using the two cliff edges. The rates of retreat presented in this report represent conditions from the 1930

[Effectiveness of short course intermittent regimen on different categories of retreated patients with pulmonary tuberculosis].

PubMed

Wang, X; Dai, Y; Cao, J

2001-08-01

To evaluate the efficacy of short course intermittent regimen in the different categories of retreated patients with tuberculosis. 303 retreated patients with smear-positive pulmonary tuberculosis were recruited for the study. They were divided into three groups based on the history of tuberculosis and anti-tuberculosis treatment. 87 were in relapse group, 21 in failure group (failure after the initial treatment) and 195 in other retreatment group. Sputum Mycobacterium tuberculosis culture and drug susceptibility test were conducted before treatment. The same retreatment regimen (2-3H3R3Z3E3S3/5-6H3R3E3) was employed for all three groups of patients. Drug resistance and the outcomes of three groups of retreatment tuberculosis were analysed. The drug resistance rates and efficacy of retreatment showed no statistical difference among three groups (P > 0.05). In other retreatment group, the drug resistant rate in patients who received anti-TB drugs for more than 12 months (79.5%) was significantly higher than those for less than 12 months (59.8%, 0.01 < P < 0.05). Meanwhile, the successful rates of treatment were 69.4% vs 90.4% between two subgroups, being significantly different (P < 0.001). The successful treatment rate in susceptible patients (93.3%) was significantly higher than that in drug resistant patients (75.3%, P < 0.01). To enhance the efficacy of anti-TB therapy in drug-resistant patients is the key of improving the outcome of retreated patients receiving short course intermittent regimen.

Regional and global forcing of glacier retreat during the last deglaciation.

PubMed

Shakun, Jeremy D; Clark, Peter U; He, Feng; Lifton, Nathaniel A; Liu, Zhengyu; Otto-Bliesner, Bette L

2015-08-21

The ongoing retreat of glaciers globally is one of the clearest manifestations of recent global warming associated with rising greenhouse gas concentrations. By comparison, the importance of greenhouse gases in driving glacier retreat during the most recent deglaciation, the last major interval of global warming, is unclear due to uncertainties in the timing of retreat around the world. Here we use recently improved cosmogenic-nuclide production-rate calibrations to recalculate the ages of 1,116 glacial boulders from 195 moraines that provide broad coverage of retreat in mid-to-low-latitude regions. This revised history, in conjunction with transient climate model simulations, suggests that while several regional-scale forcings, including insolation, ice sheets and ocean circulation, modulated glacier responses regionally, they are unable to account for global-scale retreat, which is most likely related to increasing greenhouse gas concentrations.

Regional and global forcing of glacier retreat during the last deglaciation

PubMed Central

Shakun, Jeremy D.; Clark, Peter U.; He, Feng; Lifton, Nathaniel A.; Liu, Zhengyu; Otto-Bliesner, Bette L.

2015-01-01

The ongoing retreat of glaciers globally is one of the clearest manifestations of recent global warming associated with rising greenhouse gas concentrations. By comparison, the importance of greenhouse gases in driving glacier retreat during the most recent deglaciation, the last major interval of global warming, is unclear due to uncertainties in the timing of retreat around the world. Here we use recently improved cosmogenic-nuclide production-rate calibrations to recalculate the ages of 1,116 glacial boulders from 195 moraines that provide broad coverage of retreat in mid-to-low-latitude regions. This revised history, in conjunction with transient climate model simulations, suggests that while several regional-scale forcings, including insolation, ice sheets and ocean circulation, modulated glacier responses regionally, they are unable to account for global-scale retreat, which is most likely related to increasing greenhouse gas concentrations. PMID:26293133

Utility of bortezomib retreatment in relapsed or refractory multiple myeloma patients: a multicenter case series.

PubMed

Wolf, Jeffrey; Richardson, Paul G; Schuster, Michael; LeBlanc, Annette; Walters, Ian B; Battleman, David S

2008-10-01

Bortezomib therapy has become an important part of the standard of care for patients with relapsed multiple myeloma, and preliminary clinical evidence suggests that bortezomib retreatment in patients previously treated with the drug may prolong disease control. This retrospective study was designed to clarify the utility of bortezomib as a repeat therapy. We reviewed records from 3 major cancer centers that had participated in the phase II (SUMMIT or CREST) or phase III (APEX) registration studies to identify patients who were subsequently retreated off protocol with bortezomib-based therapy. We found 22 patients who received bortezomib retreatment following a 60 or more day gap between bortezomib treatments. Twelve patients had intervening therapy between initial bortezomib treatment and bortezomib retreatment. During retreatment, 14 of 22 patients received bortezomib in combination with another antineoplastic agent. The overall response rate for bortezomib retreatment was 50% (9% complete responses). The median length of retreatment was 5.1 months in responding patients and 2.4 months in nonresponding patients. Therapy was terminated due to unmanageable toxicity in 2 patients during retreatment, compared with 6 patients during initial treatment. During retreatment, no patients required dose reduction due to peripheral neuropathy, compared to 4 patients during their initial treatment. Thus, bortezomib retreatment appears to be safe and effective. Favorable observed response rates with bortezomib retreatment suggest that it may be a viable option for relapsed or refractory multiple myeloma, even in patients previously exposed to bortezomib.

Tips for a Successful Leadership Retreat

ERIC Educational Resources Information Center

Bonstingl, John Jay

2005-01-01

This article focuses on planning a retreat for board, leadership team, or community and business partners. The author provides 10 suggestions for effective retreat planning: (1) Plan one's retreat with a clear purpose in mind; (2) Make retreat more relevant; (3) Build on current and past successes; (4) Make sure the right people are invited and…

Influence of Endodontic Treatment and Retreatment on the Fatigue Failure Load, Numbers of Cycles for Failure, and Survival Rates of Human Canine Teeth.

PubMed

Missau, Taiane; De Carlo Bello, Mariana; Michelon, Carina; Mastella Lang, Pauline; Kalil Pereira, Gabriel; Baldissara, Paolo; Valandro, Luiz Felipe; Souza Bier, Carlos Alexandre; Pivetta Rippe, Marília

2017-12-01

This study evaluated the effects of endodontic treatment and retreatment on the fatigue failure load, numbers of cycles for failure, and survival rates of canine teeth. Sixty extracted canine teeth, each with a single root canal, were selected and randomly divided into 4 groups (n = 15): untreated, teeth without endodontic intervention; prepared, teeth subjected only to rotary instrumentation; filled, teeth receiving complete endodontic treatment; and retreated, teeth retreated endodontically. After the different endodontic interventions, the specimens were subjected to fatigue testing by the stepwise method: 200 N (× 5000 load pulses), 300 N, 400 N, 500 N, 600 N, 800 N, and 900 N at a maximum of 30,000 load pulses each or the occurrence of fracture. Data from load to failure and numbers of cycles for fracture were recorded and subjected to Kaplan-Meier and Log Rank tests (P < .05), in addition to Weibull analysis. The fractures of the specimens were classified as repairable or catastrophic. The retreated, filled, and untreated groups presented statistically significantly higher fatigue failure loads and numbers of cycles for failure than did the prepared group. Weibull analysis showed no statistically significant difference among the treatments for characteristic load to failure and characteristic number of cycles for failure, although, for number of cycles, a higher Weibull modulus was observed in filled and retreated conditions. The predominant mode of failure was catastrophic. Teeth subjected to complete endodontic treatment and retreatment behaved similarly in terms of fatigue failure load and number of cycles to failure when compared with untreated teeth. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Optimal efficacy of interferon-free HCV retreatment after protease inhibitor failure in real life.

PubMed

Cento, V; Barbaliscia, S; Lenci, I; Ruggiero, T; Magni, C F; Paolucci, S; Babudieri, S; Siciliano, M; Pasquazzi, C; Ciancio, A; Perno, C F; Ceccherini-Silberstein, F

2017-10-01

First-generation protease-inhibitors (PIs) have suboptimal efficacy in GT-1 patients with advanced liver disease, and patients experiencing treatment failure may require urgent retreatment. Our objective was to analyse the real-life efficacy of interferon (IFN)-free retreatment after PI-failure, and the role of genotypic-resistance-testing (GRT) in guiding retreatment choice. In this multi-centre observational study, patients retreated with IFN-free regimens after first-generation PI-failure (telaprevir-boceprevir-simeprevir) were included. Sustained-virological-response (SVR) was evaluated at week 12 of follow-up. GRT was performed by population-sequencing. After PI-failure, 121 patients (cirrhotic=86.8%) were retreated following three different strategies: A) with 'GRT-guided' regimens (N=18); B) with 'AASLD/EASL recommended, not GRT-guided' regimens (N=72); C) with 'not recommended, not GRT-guided' regimens (N=31). Overall SVR rate was 91%, but all 18 patients treated with 'GRT-guided' regimens reached SVR (100%), despite heterogeneity in treatment duration, use of PI and ribavirin, versus 68/72 patients (94.4%) receiving 'AASLD/EASL recommended, not GRT-guided' regimens. SVR was strongly reduced (77.4%) among the 31 patients who received a 'not recommended, not GRT-guided regimen' (p <0.01). Among 37 patients retreated with a PI, SVR rate was 89.2% (33/37). Four GT-1a cirrhotic patients failed an option (C) simeprevir-containing treatment; three out of four had a baseline R155K NS3-RAS. All seven patients treated with paritaprevir-containing regimens reached SVR, regardless of treatment duration and performance of a baseline-GRT. Retreatment of PI-experienced patients can induce maximal SVR rates in real life. Baseline-GRT could help to optimize retreatment strategy, allowing PIs to be reconsidered when chosen after a RASs evaluation. Copyright © 2017 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights

In vitro evaluation of efficacy of different rotary instrument systems for gutta percha removal during root canal retreatment

PubMed Central

Joseph, Mercy; Malhotra, Amit; Rao, Murali; Sharma, Abhimanyu; Talwar, Sangeeta

2016-01-01

Background Complete removal of old filling material during root canal retreatment is fundamental for predictable cleaning and shaping of canal anatomy. Most of the retreatment methods tested in earlier studies have shown inability to achieve complete removal of root canal filling. Therefore the aim of this investigation was to assess the efficacy of three different rotary nickel titanium retreatment systems and Hedstrom files in removing filling material from root canals. Material and Methods Sixty extracted mandibular premolars were decoronated to leave 15 mm root. Specimen were hand instrumented and obturated using gutta percha and AH plus root canal sealer. After storage period of two weeks, roots were retreated with three (Protaper retreatment files, Mtwo retreatment files, NRT GPR) rotary retreatment instrument systems and Hedstroem files. Subsequently, samples were sectioned longitudinally and examined under stereomicroscope. Digital images were recorded and evaluated using Digital Image Analysing Software. The retreatment time was recorded for each tooth using a stopwatch. The area of canal and the residual filling material was recorded in mm2 and the percentage of remaining filling material on canal walls was calculated. Data was analysed using ANOVA test. Results Significantly less amount of residual filling material was present in protaper and Mtwo instrumented teeth (p < 0.05) compared to NRT GPR and Hedstrom files group. Protaper instruments also required lesser time during removal of filling material followed by Mtwo instruments, NRT GPR files and Hedstrom files. Conclusions None of the instruments were able to remove the filling material completely from root canal. Protaper universal retreatment system and Mtwo retreatment files were more efficient and faster compared to NRT GPR fles and Hedstrom files. Key words:Gutta-percha removal, nickel titanium, root canal retreatment, rotary instruments. PMID:27703601

Risk Factors for Retreatment Following Myopic LASIK with Femtosecond Laser and Custom Ablation for the Treatment of Myopia.

PubMed

Kruh, Jonathan N; Garrett, Kenneth A; Huntington, Brian; Robinson, Steve; Melki, Samir A

2017-01-01

To identify risks factors for retreatment post-laser in situ keratomeliusis (LASIK). A retrospective chart review from December 2008 to September 2012 identified 1,402 patients (2,581 eyes) that underwent LASIK treatment for myopia with the Intralase™ FS, STAR S4 IR™ Excimer Laser, and WaveScan WaveFront™ technology. In this group, 83 patients were retreated. All charts were reviewed for preoperative age, gender, initial manifest refraction spherical equivalent (MRSE), total astigmatism, and iris registration. Increased incidence rates of retreatment post-LASIK were preoperative age >40 years (p < 0.001), initial MRSE > -3.0 D (p = 0.02), and astigmatism >1D (p = 0.001). Iris registration capture did not significantly reduce the retreatment rate (p = 0.12). Risk factors for retreatment included preoperative age >40 years, initial MRSE > -3.0 D, and astigmatism >1D. There was no difference in retreatment rate for patients based on gender or iris registration capture.

No improvement in serological response among serofast latent patients retreated with benzathine penicillin.

PubMed

Ren, Rong-Xin; Wang, Lin-Na; Zheng, He-Yi; Li, Jun

2016-01-01

Persistent non-treponemal titres after treatment are common among patients with latent syphilis. Although retreatment is often done in clinical practice, optimal management remains uncertain due to the paucity of data regarding serological response to retreatment and long-term outcomes. We compared the serological responses of serofast latent syphilis patients retreated with 7.2 million units of benzathine penicillin with the responses of patients who did not receive retreatment (control group). We retrospectively analysed the serological response to therapy following retreatment of 35 serofast latent syphilis patients at 12 months with benzathine penicillin 2.4 million units weekly for 3 weeks. In all, 74.3% (26/35) of the cases with latent syphilis who failed to achieve serological cure at 12 months after initial therapy achieved serological cure after retreatment and after an additional 12 months of follow-up. However, statistically similar serological cure rate was observed in 80.0% (28/35) of the control group (p > .05). Our findings illustrate no improvement in serological response among serofast latent patients retreated with three doses of benzathine penicillin. © The Author(s) 2015.

Evaluation of a gully headcut retreat model using multitemporal aerial photographs and digital elevation models

NASA Astrophysics Data System (ADS)

Campo-Bescós, M. A.; Flores-Cervantes, J. H.; Bras, R. L.; Casalí, J.; Giráldez, J. V.

2013-12-01

large fraction of soil erosion in temperate climate systems proceeds from gully headcut growth processes. Nevertheless, headcut retreat is not well understood. Few erosion models include gully headcut growth processes, and none of the existing headcut retreat models have been tested against long-term retreat rate estimates. In this work the headcut retreat resulting from plunge pool erosion in the Channel Hillslope Integrated Landscape Development (CHILD) model is calibrated and compared to long-term evolution measurements of six gullies at the Bardenas Reales, northeast Spain. The headcut retreat module of CHILD was calibrated by adjusting the shape factor parameter to fit the observed retreat and volumetric soil loss of one gully during a 36 year period, using reported and collected field data to parameterize the rest of the model. To test the calibrated model, estimates by CHILD were compared to observations of headcut retreat from five other neighboring gullies. The differences in volumetric soil loss rates between the simulations and observations were less than 0.05 m3 yr-1, on average, with standard deviations smaller than 0.35 m3 yr-1. These results are the first evaluation of the headcut retreat module implemented in CHILD with a field data set. These results also show the usefulness of the model as a tool for simulating long-term volumetric gully evolution due to plunge pool erosion.

Increased ocean-induced melting triggers glacier retreat in northwest and southeast Greenland

NASA Astrophysics Data System (ADS)

Wood, M.; Rignot, E. J.; Fenty, I. G.; Menemenlis, D.; Millan, R.; Morlighem, M.; Mouginot, J.

2017-12-01

Over the past 30 years, the tidewater glaciers of northwest, central west, and southeast Greenland have exhibited widespread retreat, yet we observe different behaviors from one glacier to the next, sometimes within the same fjord. This retreat has been synchronous with oceanic warming in Baffin Bay and the Irminger Sea. Here, we estimate the ocean-induced melt rate of marine-terminating glaciers in these sectors of the Greenland Ice Sheet using simulations from the MITgcm ocean model for various water depths, ocean thermal forcing (TF) and subglacial water fluxes (SG). We use water depth from Ocean Melting Greenland (OMG) bathymetry and inverted airborne gravity, ocean thermal forcing from the Estimating the Circulation and Climate of the Ocean (Phase II, ECCO2) combined with CTD data from 2012 and 2015, and time series of subglacial water flux combining runoff production from the 1-km Regional Atmospheric Climate Model (RACMO2.3) with basal melt beneath land ice from the JPL/UCI ISSM model. Time series of melt rates are formed as a function of grounding line depth, SG flux and TF. We compare the results with the history of ice velocity and ice front retreat to quantify the impact of ice melt by the ocean over past three decades. We find that the timing of ice front retreat coincides with enhanced ocean-induced melt and that abrupt retreat is induced when additional ablation exceeds the magnitude of natural seasonal variations of the glacier front. Sverdrup Gletscher, Umiamako Isbrae, and the northern branch Puisortoq Gletscher in northwest, central west, and southwest Greenland, respectively, began multi-kilometer retreats coincident with ocean warming and enhanced melt. Limited retreat is observed where the bathymetry is shallow, on a prograde slope or glacier is stuck on a sill, e.g. Ussing Braeer in the northwest, Sermeq Avannarleq in central west, and Skinfaxe Gletscher in the southeast. These results illustrate the sensitivity of glaciers to changes in

Extreme beach retreat history inferred from cut-and-fill beach deposits at Moruya, SE Australia

NASA Astrophysics Data System (ADS)

Tamura, T.; Woodroffe, C. D.; Oliver, T.; Cunningham, A. C.

2017-12-01

A sequence of beach ridges often records a `cut and fill', where the fair-weather swash accretion of beach sand is punctuated by storm erosion. The detailed chronology of the sequence is thus a clue to decipher past storm events and associated beach erosion, but has not been explored much. Here we explore the potential of such a sequence to detect past extreme retreats in Bengello Beach at Moruya, southeastern Australia. Beach monitoring since 1972 reveals that Bengello beach has shown a typical cut and fill, in which the beach retreats several tens of meters in relation to storms and recovers within a following few years. A storm event caused extreme retreat up to 50 m in 1974. Since then, no retreat exceeded 30 m. The beach monitoring highlights the sporadic nature of the prograded beach deposits; they can only be preserved as stratigraphic records during rapid beach recovery following a large retreat deeper than the beach profile envelope. Thus, ages of the preserved beach deposits roughly correspond to timings of large retreat. Optically-stimulated luminescence (OSL) ages were determined for beach deposits at 5-10 m intervals along a shore-normal transect from the modern foredune to beach ridge 120 m inland. The most landward sample was dated as 510 yr, indicating that the net progradation rate is 0.24 m/yr, concordant with both the long- and short-term rates since the mid Holocene and 1972, respectively. Other ages show four events of retreat around 350, 180, 130 and 90 yr, and also reflect the beach scarp resulting from the 1974 event. The retreat of each event is given by the distance between the shoreline position prior to storm erosion and relevant gap in OSL age. The position of the pre-storm shoreline is estimated by assuming a constant rate of the net progradation of 0.24 m/yr, as with long- and short-term rates. The retreat of the four events is then determined as 45-55 m, similar to the 1974 event. In summary, extreme beach retreats, including that in

Retreatment of Recurrent Cystic Craniopharyngioma With Chromic Phosphorus P 32

PubMed Central

Kumar, P.P.; Good, R.R.; Skultety, F.M.; Jones, E.O.; Chu, W.K.

1986-01-01

A cystic craniopharyngioma in a two-year-old boy recurred six months after surgery and postoperative external-beam radiotherapy. Successful retreatment was accomplished with radioisotope injection of 0.5 mCi of chromic phosphorus P 32 into the intracranial cyst, which delivered approximately 300.00 Gy to the cyst wall. The patient's symptoms were relieved, and he is without evidence of disease or cystic fluid accumulation four years after intracavitary 32P irradiation. ImagesFigure 1Figure 2Figure 3 PMID:3735454

A comparative evaluation of efficacy of protaper universal rotary retreatment system for gutta-percha removal with or without a solvent.

PubMed

Kumar, M Sita Ram; Sajjan, Girija S; Satish, Kalyan; Varma, K Madhu

2012-09-01

The aim was to evaluate and compare the efficacy of ProTaper Universal rotary retreatment system with or without solvent and stainless steel hand files for endodontic filling removal from root canals and also to compare retreatment time for each system. Thirty extracted mandibular premolars with single straight canals were endodontically treated. Teeth were divided into three major groups, having 10 specimens each. Removal of obturating material in group 1 by stainless steel hand files with RC Solve, group 2 by ProTaper Universal retreatment instruments and group 3 by ProTaper Universal retreatment instruments along with RC solve was done. Retreatment was considered complete for all groups when no filling material was observed on the instruments. The retreatment time was recorded for each tooth. All specimens were grooved longitudinally in a buccolingual direction. The split halves were examined under a stereomicroscope and images were captured and analyzed. The remaining filling debris area ratios were considered for statistical analysis. With ANOVA test, statistical analysis showed that there was statistically no significant difference regarding the amount of filling remnants between the groups (P < 0.05). Differences between the means of groups are statistically significant regarding the retreatment time. Irrespective of the technique used, all the specimens had some remnants on the root canal wall. ProTaper Universal retreatment system files alone proved to be faster than the other experimental groups.

Efficacy of protaper next and protaper universal retreatment systems in removing gutta-percha in curved root canals during root canal retreatment.

PubMed

Ozyurek, Taha; Ozsezer-Demiryurek, Ebru

2017-01-01

The aim of this study was to compare the cleanliness of root canal walls after retreatment using ProTaper Next (PTN), ProTaper Universal Retreatment (PTR) nickel-titanium (NiTi) systems and Hedström hand files in curved mesial canals of mandibular molar teeth and the time required for gutta-percha and sealer removal. Ninety mandibular molar teeth with curved mesial roots were instrumented up to #35.04 with Mtwo NiTi rotary instruments and obturated using the continuous wave of condensation technique. Removal of gutta-percha and sealer was performed using one of the following: PTN and PTR NiTi systems and Hedström hand files. Samples were placed on the VistaScan phosphor plates in the mesio-distal direction and the radiographs were taken. The digital radiographs were analyzed using AutoCAD software. Also, the total time required for gutta-percha removal was calculated by a chronometer. The total retreatment time was significantly shorter in the PTN and PTR groups compared with the manual group (p<0.05). There was a significant difference between the groups according to the total residual gutta-percha and sealer (p<0.05). The PTN and PTR groups left significantly less gutta-percha and sealer remnant than the manual group (p<0.001). Within the limitations of this study, the PTN and PTR groups showed less residual gutta-percha and sealer than the manual group. The NiTi rotary systems were significantly faster than the manual group in the time required for gutta-percha and sealer removal.

Long-term cliff retreat and erosion hotspots along the central shores of the Monterey Bay National Marine Sanctuary

USGS Publications Warehouse

Moore, Laura J.; Griggs, Gary B.

2002-01-01

Quantification of cliff retreat rates for the southern half of Santa Cruz County, CA, USA, located within the Monterey Bay National Marine Sanctuary, using the softcopy/geographic information system (GIS) methodology results in average cliff retreat rates of 7–15 cm/yr between 1953 and 1994. The coastal dunes at the southern end of Santa Cruz County migrate seaward and landward through time and display net accretion between 1953 and 1994, which is partially due to development. In addition, three critically eroding segments of coastline with high average erosion rates ranging from 20 to 63 cm/yr are identified as erosion ‘hotspots’. These locations include: Opal Cliffs, Depot Hill and Manresa. Although cliff retreat is episodic, spatially variable at the scale of meters, and the factors affecting cliff retreat vary along the Santa Cruz County coastline, there is a compensation between factors affecting retreat such that over the long-term the coastline maintains a relatively smooth configuration. The softcopy/GIS methodology significantly reduces errors inherent in the calculation of retreat rates in high-relief areas (e.g. erosion rates generated in this study are generally correct to within 10 cm) by removing errors due to relief displacement. Although the resulting root mean squared error for erosion rates is relatively small, simple projections of past erosion rates are inadequate to provide predictions of future cliff position. Improved predictions can be made for individual coastal segments by using a mean erosion rate and the standard deviation as guides to future cliff behavior in combination with an understanding of processes acting along the coastal segments in question. This methodology can be applied on any high-relief coast where retreat rates can be measured.

Retreatment with brentuximab vedotin in patients with CD30-positive hematologic malignancies

PubMed Central

2014-01-01

Background Brentuximab vedotin is a CD30-directed antibody-drug conjugate. Retreatment with brentuximab vedotin monotherapy was investigated in patients with CD30-positive Hodgkin lymphoma (HL) or systemic anaplastic large cell lymphoma (ALCL) who relapsed after achieving complete or partial remission (CR or PR) with initial brentuximab vedotin therapy in a previous study (ClinicalTrials.gov NCT00947856). Methods Twenty-one patients with HL and 8 patients with systemic ALCL were retreated; 3 patients with systemic ALCL were retreated twice. Patients generally received brentuximab vedotin 1.8 mg/kg intravenously approximately every 3 weeks over 30 minutes as an outpatient infusion. The primary objectives of this study were to assess safety and to estimate antitumor activity of brentuximab vedotin retreatment. Results The objective response rate was 60% (30% CR) in HL patients and 88% (63% CR) in systemic ALCL patients. The estimated median duration of response for patients with an objective response was 9.5 months (range, 0.0+ to 28.0+ months) at the time of study closure. Of the 19 patients with objective response, 7 patients had not had an event of disease progression or death at the time of study closure; duration of response for these patients ranged from 3.5 to 28 months. Of the 11 patients with CR, 45% had response durations of over 1 year. Adverse events (AEs) occurring in ≥25% of patients during the retreatment period were generally similar in type and frequency to those observed in the pivotal trials of brentuximab vedotin monotherapy, with the exception of peripheral neuropathy, which is known to have a cumulative effect. Grade 3 or higher events were observed in 48% of patients; these were generally transient and managed by dose modifications or delays. Deaths due to AEs occurred in 3 HL patients; none were considered to be related to brentuximab vedotin retreatment. Discussion With the exception of a higher rate of peripheral motor neuropathy

Role of Madden-Julian Oscillation in Modulating Monsoon Retreat

NASA Astrophysics Data System (ADS)

Singh, Madhu; Bhatla, R.

2018-01-01

The Madden-Julian oscillation (MJO) is the major fluctuation in tropical weather on a seasonal scale. The impact of MJO on different epochs, viz., onset, advance and active break is well known. There can be several MJO events in a season and it may enhance/suppress the retreat process. The present study aims to find the MJO-modulated retreat of monsoon. The results suggest that the fastest retreat of monsoon occurred in the years 2007 and 2008, while slowest retreat of monsoon occurred in the year 1979. The retreat features of the Indian summer monsoon (ISM) are investigated with the MJO phase and amplitude variations. The daily MJO indices for the retreat period 1979-2016 are used. The results reveal that the MJO strength decreases during the transition phase (i.e., summer monsoon to winter monsoon transition). The monsoon retreat is most favored by strong MJO phase 4 and phase 5. The fastest retreat of monsoon occurred in the years 2007 and 2008, while the slowest retreat of monsoon occurred in the year 1979. There exists a weak positive correlation between the MJO amplitude and the retreat period of monsoon. The monsoon retreat is most favored by strong MJO phase 4 and phase 5. The MJO amplitude variations during MJO phases 1-8 suggest that the MJO amplitude decreases with increase in retreat period. The MJO-modulated retreat results in slow retreat of monsoon, whereas fast and normal retreat of monsoon is seen on rare occasions. Weak MJO events lead to normal retreat of monsoon.

Resistive Wall Growth Rate Measurements in the Fermilab Recycler

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

Ainsworth, R.; Adamson, P.; Burov, A.

2016-10-05

Impedance could represent a limitation of running high intensity beams in the Fermilab recycler. With high intensity upgrades foreseen, it is important to quantify the impedance. To do this,studies have been performed measuring the growth rate of presumably the resistive wall instability. The growth rates at varying intensities and chromaticities are shown. The measured growth rates are compared to ones calculated with the resistive wall impedance.

National Assessment of Historical Shoreline Change: A Pilot Study of Historical Coastal Bluff Retreat in the Great Lakes, Erie, Pennsylvania

USGS Publications Warehouse

Hapke, Cheryl J.; Malone, Shamus; Kratzmann, Meredith G.

2009-01-01

Coastal bluff retreat is a chronic problem along many high-relief coastlines in the United States. As coastal populations continue to grow and community infrastructures are threatened by erosion, there is increased demand for accurate information regard-ing trends and rates of bluff retreat. There is also a need for a comprehensive analysis that is consistent from one coastal region to another. To address these national needs, the U.S. Geological Survey (USGS), as part of the National Assessment of Coastal Change Hazards Project, conducted a pilot study of bluff retreat along the Lake Erie, Pa., coastline to assess the feasibility of undertaking a larger, multi-state analysis in the Great Lakes region. This report provides an overview of the pilot-study location and bluff geomorphology, the data sources and methodology, results of the analysis, and a discussion of the feasibility of undertaking a similar analysis along eroding bluffs in other Great Lakes states. This pilot study is part of an ongoing effort by the USGS to provide a comprehensive analysis of historical shoreline change and cliff and bluff retreat along open-ocean coastlines of the conterminous United States and parts of Hawaii, Alaska, and the Great Lakes. One purpose of the work is to develop standard, repeatable methods for mapping and analyzing coastal change so that systematic and consistent periodic updates of coastal erosion can be made nationally. Bluff-retreat evaluations are conducted by comparing the location of a historical bluff edge digitized from aerial photographs with those of recent bluff edges interpreted from both aerial photographs and lidar topographic surveys. The historical bluff edge is from 1938, whereas the more recent bluff edges are from 1998 and 2006 lidar data. Long-term (68-year) rates of retreat are calculated using the available bluff-edge data. The rates of retreat presented in this report represent conditions from the 1930s to 1998/2006, and are not intended for

Modelling river bank retreat by combining fluvial erosion, seepage and mass failure

NASA Astrophysics Data System (ADS)

Dapporto, S.; Rinaldi, M.

2003-04-01

Streambank erosion processes contribute significantly to the sediment yielded from a river system and represent an important issue in the contexts of soil degradation and river management. Bank retreat is controlled by a complex interaction of hydrologic, geotechnical, and hydraulic processes. The capability of modelling these different components allows for a full reconstruction and comprehension of the causes and rates of bank erosion. River bank retreat during a single flow event has been modelled by combining simulation of fluvial erosion, seepage, and mass failures. The study site, along the Sieve River (Central Italy), has been subject to extensive researches, including monitoring of pore water pressures for a period of 4 years. The simulation reconstructs fairly faithfully the observed changes, and is used to: a) test the potentiality and discuss advantages and limitations of such type of methodology for modelling bank retreat; c) quantify the contribution and mutual role of the different processes determining bank retreat. The hydrograph of the event is divided in a series of time steps. Modelling of the riverbank retreat includes for each step the following components: a) fluvial erosion and consequent changes in bank geometry; b) finite element seepage analysis; c) stability analysis by limit equilibrium method. Direct fluvial shear erosion is computed using empirically derived relationships expressing lateral erosion rate as a function of the excess of shear stress to the critical entrainment value for the different materials along the bank profile. Lateral erosion rate has been calibrated on the basis of the total bank retreat measured by digital terrestrial photogrammetry. Finite element seepage analysis is then conducted to reconstruct the saturated and unsaturated flow within the bank and the pore water pressure distribution for each time step. The safety factor for mass failures is then computed, using the pore water pressure distribution obtained

Calculating lunar retreat rates using tidal rhythmites

USGS Publications Warehouse

Kvale, E.P.; Johnson, H.W.; Sonett, C.P.; Archer, A.W.; Zawistoski, A.N.N.

1999-01-01

Tidal rhythmites are small-scale sedimenta??r}- structures that can preserve a hierarchy of astronomically induced tidal periods. They can also preserve a record of periodic nontidal sedimentation. If properly interpreted and understood, tidal rhjthmites can be an important component of paleoastronomy and can be used to extract information on ancient lunar orbital dynamics including changes in Earth-Moon distance through geologic time. Herein we present techniques that can be used to calculate ancient Earth-Moon distances. Each of these techniques, when used on a modern high-tide data set, results in calculated estimates of lunar orbital periods and an EarthMoon distance that fall well within 1 percent of the actual values. Comparisons to results from modern tidal data indicate that ancient tidal rhythmite data as short as 4 months can provide suitable estimates of lunar orbital periods if these tidal records are complete. An understanding of basic tidal theory allows for the evaluation of completeness of the ancient tidal record as derived from an analysis of tidal rhythmites. Utilizing the techniques presented herein, it appears from the rock record that lunar orbital retreat slowed sometime during the midPaleozoic. Copyright ??1999, SEPM (Society for Sedimentary Geology).

Greenland ice sheet retreat since the Little Ice Age

NASA Astrophysics Data System (ADS)

Beitch, Marci J.

Late 20th century and 21st century satellite imagery of the perimeter of the Greenland Ice Sheet (GrIS) provide high resolution observations of the ice sheet margins. Examining changes in ice margin positions over time yield measurements of GrIS area change and rates of margin retreat. However, longer records of ice sheet margin change are needed to establish more accurate predictions of the ice sheet's future response to global conditions. In this study, the trimzone, the area of deglaciated terrain along the ice sheet edge that lacks mature vegetation cover, is used as a marker of the maximum extent of the ice from its most recent major advance during the Little Ice Age. We compile recently acquired Landsat ETM+ scenes covering the perimeter of the GrIS on which we map area loss on land-, lake-, and marine-terminating margins. We measure an area loss of 13,327 +/- 830 km2, which corresponds to 0.8% shrinkage of the ice sheet. This equates to an averaged horizontal retreat of 363 +/- 69 m across the entire GrIS margin. Mapping the areas exposed since the Little Ice Age maximum, circa 1900 C.E., yields a century-scale rate of change. On average the ice sheet lost an area of 120 +/- 16 km 2/yr, or retreated at a rate of 3.3 +/- 0.7 m/yr since the LIA maximum.

Modulation of Sea Ice Melt Onset and Retreat in the Laptev Sea by the Timing of Snow Retreat in the West Siberian Plain

NASA Astrophysics Data System (ADS)

Crawford, A. D.; Stroeve, J.; Serreze, M. C.; Rajagopalan, B.; Horvath, S.

2017-12-01

As much of the Arctic Ocean transitions to ice-free conditions in summer, efforts have increased to improve seasonal forecasts of not only sea ice extent, but also the timing of melt onset and retreat. This research investigates the potential of regional terrestrial snow retreat in spring as a predictor for subsequent sea ice melt onset and retreat in Arctic seas. One pathway involves earlier snow retreat enhancing atmospheric moisture content, which increases downwelling longwave radiation over sea ice cover downstream. Another pathway involves manipulation of jet stream behavior, which may affect the sea ice pack via both dynamic and thermodynamic processes. Although several possible connections between snow and sea ice regions are identified using a mutual information criterion, the physical mechanisms linking snow retreat and sea ice phenology are most clearly exemplified by variability of snow retreat in the West Siberian Plain impacting melt onset and sea ice retreat in the Laptev Sea. The detrended time series of snow retreat in the West Siberian Plain explains 26% of the detrended variance in Laptev Sea melt onset (29% for sea ice retreat). With modest predictive skill and an average time lag of 53 (88) days between snow retreat and sea ice melt onset (retreat), West Siberian Plains snow retreat is useful for refining seasonal sea ice predictions in the Laptev Sea.

Asynchronous ice lobe retreat and glacial Lake Bascom: Deglaciation of the Hoosic and Vermont valleys, southwestern Vermont

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

Small, E.; Desimone, D.

Deglaciation of the Hoosic River drainage basin in southwestern Vermont was more complex than previously described. Detailed surficial mapping, stratigraphic relationships, and terrace levels/delta elevations reveal new details in the chronology of glacial Lake Bascom: (1) a pre-Wisconsinan proglacial lake was present in a similar position to Lake Bascom as ice advanced: (2) the northern margin of 275m (900 ft) glacial Lake Bascom extended 10 km up the Vermont Valley; (3) the 215m (705 ft) Bascom level was stable and long lived; (4) intermediate water planes existed between 215m and 190m (625 ft) levels; and (5) a separate ice tonguemore » existed in Shaftsbury Hollow damming a small glacial lake, here named glacial Lake Emmons. This information is used to correlate ice margins to different lake levels. Distance of ice margin retreat during a lake level can be measured. Lake levels are then used as control points on a Lake Bascom relative time line to compare rate of retreat of different ice tongues. Correlation of ice margins to Bascom levels indicates ice retreat was asynchronous between nearby tongues in southwestern Vermont. The Vermont Valley ice tongue retreated between two and four times faster than the Hoosic Valley tongue during the Bascom 275m level. Rate of retreat of the Vermont Valley tongue slowed to one-half of the Hoosic tongue during the 215m--190m lake levels. Factors responsible for varying rates of retreat are subglacial bedrock gradient, proximity to the Hudson-Champlain lobe, and the presence of absence of a calving margins. Asynchronous retreat produced splayed ice margins in southwestern Vermont. Findings from this study do not support the model of parallel, synchronous retreat proposed by many workers for this region.« less

Partner Choice and the Differential Retreat from Marriage

ERIC Educational Resources Information Center

Schoen, Robert; Cheng, Yen-Hsin Alice

2006-01-01

The contemporary retreat from marriage in the United States has had a differential impact across socioeconomic and racial groups. Here, 1990 marriage rates and propensities for Virginia, North Carolina, and Wisconsin are analyzed regarding (a) the likelihood that persons in different groups ever marry and (b) patterns of partner choice with…

A model ensemble for projecting multi‐decadal coastal cliff retreat during the 21st century

USGS Publications Warehouse

Limber, Patrick; Barnard, Patrick; Vitousek, Sean; Erikson, Li

2018-01-01

Sea cliff retreat rates are expected to accelerate with rising sea levels during the 21st century. Here we develop an approach for a multi‐model ensemble that efficiently projects time‐averaged sea cliff retreat over multi‐decadal time scales and large (>50 km) spatial scales. The ensemble consists of five simple 1‐D models adapted from the literature that relate sea cliff retreat to wave impacts, sea level rise (SLR), historical cliff behavior, and cross‐shore profile geometry. Ensemble predictions are based on Monte Carlo simulations of each individual model, which account for the uncertainty of model parameters. The consensus of the individual models also weights uncertainty, such that uncertainty is greater when predictions from different models do not agree. A calibrated, but unvalidated, ensemble was applied to the 475 km‐long coastline of Southern California (USA), with 4 SLR scenarios of 0.5, 0.93, 1.5, and 2 m by 2100. Results suggest that future retreat rates could increase relative to mean historical rates by more than two‐fold for the higher SLR scenarios, causing an average total land loss of 19 – 41 m by 2100. However, model uncertainty ranges from +/‐ 5 – 15 m, reflecting the inherent difficulties of projecting cliff retreat over multiple decades. To enhance ensemble performance, future work could include weighting each model by its skill in matching observations in different morphological settings

Rate and style of ice stream retreat constrained by new surface-exposure ages: The Minch, NW Scotland

NASA Astrophysics Data System (ADS)

Bradwell, Tom; Small, David; Fabel, Derek; Dove, Dayton; Cofaigh, Colm O.; Clark, Chris; Consortium, Britice-Chrono

2016-04-01

Chronologically constrained studies of former ice-sheet extents and dynamics are important for understanding past cryospheric responses and modelling future ice-sheet and sea-level change. As part of the BRITICE-CHRONO project, we present new geomorphological and chronological data from a marine-terminating ice stream system in NW Europe that operated during the Late Weichselian Glaciation. A suite of 51 cosmogenic-nuclide exposure ages from ice sheet moraines and glacially transported boulders constrain the maximum extent of the ice sheet on the continental shelf (~28 ka BP) and its subsequent retreat, between ~27 and 16 ka BP, into a large marine embayment (ca. 7000 km2; the Minch, NW Scotland). Recently acquired swath bathymetry and acoustic sub-bottom profiler data reveal several large transverse grounding-zone wedges up to 40 m thick and 5 km wide with diagnostic acoustic-facies architecture. These seabed sediment wedges mark former quasi-stable positions of grounded marine-terminating ice-stream fronts; their size and thickness suggest long-lived stillstands of the order of centuries. Statistically significant clusters of exposure ages from glacial deposits on islands and intervening headlands shed important new light on the age of these marine grounding-zone wedges and, by inference, the rate and timing of Minch palaeo-ice stream retreat. We find strong evidence for episodic ice stream retreat on the continental shelf between ~28-24 ka BP, in the outer Minch between ~24-22 ka BP, and in the central Minch between 22-18.5 ka BP. In contrast, final ice stream deglaciation (<18 ka) across the deepest parts of the inner Minch embayment, was probably rapid and uninterrupted - with the ice sheet margin at or close to the present-day coastline in NW Scotland by 16.1 ka BP. It is hoped that these results will form the empirical basis for future ice-sheet modelling of this dynamically sensitive sector of the British-Irish Ice Sheet.

Glacier retreat and associated sediment dynamics in proglacial areas: a case study from the Silvretta Alps, Austria

NASA Astrophysics Data System (ADS)

Felbauer, Lucia; Pöppl, Ronald

2016-04-01

Global warming results in an ongoing retreat of glaciers in the Alps, leaving behind large amounts of easily erodible sediments. In addition, the debuttressing of rock-walls and the decay of permafrost in the high mountain regions facilitates mass movements of potential disastrous consequences, such as rock falls, landslides and debris flows. Therefore, it is highly important to quantify the amount of sediments that are supplied from the different compartments and to investigate how glacial retreat influences sediment dynamics in proglacial areas. In the presented work glacier retreat and associated sediment dynamics were investigated in the Kromer valley (Silvretta Alps, Austria) by analyzing remote sensing data. Glacial retreat from the period of 1950 to 2012 was documented by interpreting aerial photographs. By digitizing the different stages of the glaciers for six time frames, changes in glacier area and length were mapped and quantified. In order to identify, characterize and quantify sediment dynamics in the proglacial areas a high resolution DEM of difference (DoD) between 2007 and 2012 was created and analyzed, further differentiating between different zones (e.g. valley bottom, hillslope) and types of geomorphic processes (e.g. fluvial, gravitational). First results will be presented at the EGU General Assembly 2016.

The value of initial cavitation to predict re-treatment with pulmonary tuberculosis.

PubMed

Huang, Qiusheng; Yin, Yongmei; Kuai, Shougang; Yan, Yan; Liu, Jun; Zhang, YingYing; Shan, Zhongbao; Gu, Lan; Pei, Hao; Wang, Jun

2016-05-06

Pulmonary cavitation is the classic hallmark of pulmonary tuberculosis (PTB) and is the site of very high mycobacterial burden associated with antimycobacterial drug resistance and treatment failure. The objective of this study was to investigate the relationship between re-treatment PTB and initial pulmonary cavitation coordinated with other clinical factors. We conducted a case-control study of 291 newly diagnosed cases of pulmonary TB in The Infectious Hospital of Wuxi from Dec 2009 to Dec 2011 with complete follow-up information until December 31st of 2014. 68 patients were followed-up with PTB re-treatment; the rest of the PTB patients (n = 223) had completed anti-TB treatment, and cured without re-treatment were selected as controls. The univariate analysis [hazard ratio (HR) 1.885, 95 % CI 1.170-3.035, P = 0.009] and the multivariable analysis (HR 2.242, 95 % CI 1.294-3.882, P = 0.004) demonstrated that the initial pulmonary cavitation was a prognostic predictor for TB re-treatment. Additionally, the re-treatment rates in PTB patients with cavitation and no-cavitation were 27.1 and 15.5 %, respectively, with significant difference (log-rank test; P = 0.010). Other factors, age of ≥60 and history of smoking, were also prognostic variables. Initial pulmonary cavitation of chest X-ray was a significant predictor for PTB re-treatment.

Professional Writing Retreat Handbook: A How-To Manual for Replicating the NWP Professional Writing Retreat Model

ERIC Educational Resources Information Center

Check, Joseph; Fox, Tom; O'Shaughnessy, Kathleen; Tateishi, Carol

2007-01-01

The National Writing Project designed the Professional Writing Retreats to support writing by teacher-leaders for audiences of scholars, practitioners, policymakers, and other members of the public who have an interest in education. These writing retreats focus on writing about the profession of teaching, giving teachers a chance to write about…

Predicting early and sustained virological responses in prior nonresponders to pegylated interferon alpha-2b plus ribavirin retreated with peginterferon alpha-2a plus ribavirin and the benefit-risk ratio of retreatment.

PubMed

Marcellin, Patrick; Craxi, Antonio; Brandao-Mello, Carlos E; Di Bisceglie, Adrian M; Andreone, Pietro; Freilich, Bradley; Rajender Reddy, K; Olveira Martín, Antonio; Teuber, Gerlinde; Messinger, Diethelm; Hooper, Greg; Wat, Cynthia; Tatsch, Fernando; Jensen, Donald M

2013-10-01

To evaluate the predictive value of complete early virological response (cEVR) on sustained virological response (SVR) following retreatment with peginterferon alpha-2a (40 kDa) plus ribavirin in previous nonresponders to peginterferon alpha-2b (12 kDa). In the randomized multinational retreatment with Pegasys in patients not responding to PegIntron therapy study, a 72-week regimen of peginterferon alpha-2a (40 kDa) plus ribavirin improved SVR rates over a standard 48-week regimen in previous nonresponders to peginterferon alpha-2b (12 kDa). cEVR, defined as hepatitis C virus RNA <50 IU/mL at treatment week 12, was an important predictor of SVR. We conducted an exploratory analysis of the retreatment with Pegasys in patients not responding to PegIntron therapy study data to better define the predictive value of cEVR for SVR in this patient population. In total, 157 of the 942 patients achieved a cEVR (16.7%). SVR rates were higher with 72 versus 48 weeks of retreatment in patients with a cEVR (57% vs. 35%), whereas SVR rates were <5% in patients without cEVR in both groups. The relative adverse event (AE) burden was lower with 72 weeks of treatment (8.1 vs. 10.1 AEs/y of treatment) as was the estimated number of AEs per SVR achieved (55 vs. 100). Cumulative treatment duration required to achieve 1 SVR was lower with 72 weeks of treatment (6.7 vs. 10.0 y/SVR) and lower still assuming that treatment was stopped at week 12 for non-cEVR patients (3.6 vs. 7.1 y/SVR). cEVR is a reliable predictor of SVR in patients retreated with peginterferon alpha-2a (40 kDa) plus ribavirin. Seventy-two-week retreatment has a more favorable benefit-risk ratio than 48 weeks, especially when cEVR is used to identify patients most likely to be cured.

Microbial degradation of carbosulfan by carbosulfan--and carbofuran-retreated rice soil suspension.

PubMed

Sahoo, A; Sethunathan, N; Sahoo, P K

1998-07-01

The role of microorganisms in the degradation of carbosulfan (2,3-dihydro-2,2-dimethyl-7-benzofuranyl-(di-n-butyl)-aminosulfenyl++ + methyl carbamate), an analogue of carbofuran (2,3-dihydro-2,2-dimethyl-7-benzofuranyl-N-methyl carbamate) was studied by selective enrichment of microorganisms degrading either or both insecticides by repeated application of the insecticides, individually or in combination to flooded soil. Soil suspension from the pots treated with carbosulfan and carbofuran, individually or in combination collected after two applications, effected distinctly more rapid hydrolysis of carbosulfan than did the suspension from untreated pots or the uninoculated medium. The rate of hydrolysis was further accelerated by soil suspensions collected after six applications of the insecticides in the order carbosulfan treated > carbofuran treated > carbosulfan + carbofuran treated. The ability of treated and untreated suspension to degrade carbofuran was also studied. The rate of degradation of carbofuran by the suspension was in the order carbofuran retreated > carbosulfan + carbofuran retreated > carbosulfan retreated soil. Further involvement of microorganism in the rapid degradation of carbosulfan was confirmed by testing the degradation in sterilized and nonsterilized enrichment culture.

Impact of an annual retreat on process improvement in a respiratory therapy section.

PubMed

Roberts, Vincent T; Kester, Lucy; Stoller, James K

2005-12-01

of this group-based activity, we cite several examples of suggestions and action items that were felt to uniquely represent group process and wisdom and which were not proposed beforehand by individuals. On the basis of this experience, we recommend conducting annual respiratory therapy department retreats. We believe the benefits include collective problem-solving in a public forum to identify solutions not advanced by individuals. Also, we believe that the direct communication in such retreats contributes to enhanced morale, further evidence of which is the very low turnover rate among our respiratory therapists during the 8 years in which we have conducted annual retreats.

Cooperative Spatial Retreat for Resilient Drone Networks.

PubMed

Kang, Jin-Hyeok; Kwon, Young-Min; Park, Kyung-Joon

2017-05-03

Drones are broadening their scope to various applications such as networking, package delivery, agriculture, rescue, and many more. For proper operation of drones, reliable communication should be guaranteed because drones are remotely controlled. When drones experience communication failure due to bad channel condition, interference, or jamming in a certain area, one existing solution is to exploit mobility or so-called spatial retreat to evacuate them from the communication failure area. However, the conventional spatial retreat scheme moves drones in random directions, which results in inefficient movement with significant evacuation time and waste of battery lifetime. In this paper, we propose a novel spatial retreat technique that takes advantage of cooperation between drones for resilient networking, which is called cooperative spatial retreat (CSR). Our performance evaluation shows that the proposed CSR significantly outperforms existing schemes.

Readmissions, unplanned emergency room visits, and surgical retreatment rates after anti-reflux procedures.

PubMed

Wang, Hsin-Hsiao S; Tejwani, Rohit; Wolf, Steven; Wiener, John S; Routh, Jonathan C

2017-10-01

The choice between endoscopic injection (EI) and ureteroneocystotomy (UNC) for surgical correction of vesicoureteral reflux (VUR) is controversial. To compare postoperative outcomes of EI vs UNC. This study reviewed linked inpatient (SID), ambulatory surgery (SASD), and emergency department (SEDD) data from five states in the United States (2007-10) to identify pediatric patients with primary VUR undergoing EI or UNC as an initial surgical intervention. Unplanned readmissions, additional procedures, and emergency room (ER) visits were extracted. Statistical analysis was performed using multivariate logistic regression using generalized estimating equation (GEE) to adjust for hospital-level clustering. The study identified 2556 UNC and 1997 EI procedures. Compared with patients undergoing EI, those who underwent UNC were more likely to be younger (4.6 vs 6.0 years, P < 0.001), male (30 vs 20%, P < 0.001), and publicly insured (34 vs 29%, P < 0.001). As shown in Summary Figure, compared with EI, UNC patients had lower rates of additional anti-reflux procedures within 12 months (25 (1.0) vs 121 (6.1%), P < 0.001), but a higher rate of 30-day and 90-day readmissions and ER visits. On multivariate analysis, patients treated by UNC remained at higher odds of being readmitted (OR = 4.45; 2.69 in 30 days; 90 days, P < 0.001) and to have postoperative ER visits (OR = 3.33; 2.26 in 30 days; 90 days, P < 0.001); however, EI had significantly higher odds of repeat anti-reflux procedures in the subsequent year (OR = 7.12, P < 0.001). Endoscopic injection constituted nearly half of initial anti-reflux procedures in children. However, patients treated with UNC had significantly lower odds of requiring re-treatment in the first year relative to those treated with EI. By contrast, patients treated with UNC had more than twice the odds of being readmitted or visiting an ER postoperatively. Although the available data were amongst the largest and most well

The Comparative Efficacy of Different Files in The Removal of Different Sealers in Simulated Root Canal Retreatment- An In-vitro Study.

PubMed

Kanaparthy, Aruna; Kanaparthy, Rosaiah

2016-05-01

Root canal treatment enjoys a high success rate all over the world and has saved billions of teeth from extraction. However, there are instances of failure, the main causes being insufficient cleaning and inadequate obturation. In such cases the most conservative treatment option would be non-surgical retreatment. It requires regaining access to the entire root canal system through removal of the original root canal filling thus permitting further cleaning and re- obturation. Removal of gutta-percha and sealer becomes a critical step to gain access to the root canal system, remove necrotic tissue debris, bacteria and infected dentin. To compare and evaluate the efficacy of manual hand Hedstrom files and two rotary retreatment file systems ProTaper Universal retreatment files and Mtwo(R) (retreatment) files in the removal of root canal filling material during root canal retreatment and the influence of the type of sealers zinc oxide eugenol and AH plus on the presence of remaining debris in the reinstrumented canals in the apical, middle and coronal third. Sixty single rooted human premolar teeth were divided into 3 Groups of 20 teeth each Group I (20 Teeth): prepared using hand K Files, Group II (20 Teeth): prepared using ProTaper rotary system and Group III (20 Teeth): prepared using Mtwo rotary system. In Groups- IA, IIA, IIIA: (10 teeth each) Obturation was done using Zinc Oxide Eugenol sealer and gutta percha. In Groups- IB, IIB, IIIB: (10 teeth each) obturation was done with AH Plus sealer and gutta percha. All the teeth were subjected to retreatment. Groups IA and IB with Hedstrom files, Groups IIA and IIB with ProTaper retreatment files and for Groups IIIA and IIIB with Mtwo retreatment Files. The roots were longitudinally split and were observed under a stereomicroscope for remaining amount of filling material on the canal walls. Statistical analysis was done using One-way ANOVA (Analysis of variance) test and Tukey HSD Test. Mtwo(R) files showed

[Analysis of drug resistance to antituberculosis drugs of the first time retreated pulmonary tuberculosis patients in Shanghai].

PubMed

Fan, Yu-mei; Xiao, He-ping; Mei, Jian

2006-10-01

To investigate antituberculosis drug resistance among the first time retreated pulmonary tuberculosis patients in Shanghai, and therefore to provide evidence for establishing retreatment regimen. Analysis was conducted retrospectively on drug susceptibility tests to isoniazid, rifampin, streptomycin, ethambutol and para-aminosalicylates of the first time retreated pulmonary tuberculosis patients with a positive sputum culture in Shanghai Center for Disease Control from January 2002 to December 2004. The total drug resistance rate was 39.6%. The drug resistance rate in male and female patients was 38.5% and 44.4% respectively, the difference being not significant. The drug resistance rate in the young age group, the middle age group and the old age group were 50.0%, 41.6% and 34.6% respectively, the difference being not significant. The total drug resistance rates in the treatment failure group with standard initial chemotherapy and in the relapse group with standard regimen were both higher than in the relapse group with non-standard regimen (70.0%, 47.5%, 28.2%). So do the drug resistance rates of more than two drugs (70.0%, 18.3%, 6.4%). The multi-drug resistance rate of the failures with standard regimen was 70.0%, much higher than the relapses with standard regimen and the relapses with non-standard regimen. In relapses with non-standard initial therapy, the drug resistance rate of patients who received medications > or = 12 months was 55.0%, significantly higher than those treated for 1 - 5 months (13.0%). The drug resistance rate of patients who were treated with one to two drugs was lower than those treated with > or = 3 drugs, but no significant difference was observed (24.4% and 30.8%). Drug resistance rate varies in different types of the first time retreated pulmonary tuberculosis patients due to the history of drug use, which indicates that the current standard retreatment regimen is probably ineffective for some patients.

The effect of retreatment procedure on the pH changes at the surface of root dentin using two different calcium hydroxide pastes.

PubMed

Kazemipoor, Maryam; Tabrizizadeh, Mehdi; Dastani, Milad; Hakimian, Roqayeh

2012-10-01

To compare pH changes at the cervical, middle and apical surfaces of root dentin in retreated and non- retreated teeth, after canal obturation with two different calcium hydroxide pastes. After instrumentation of 55 extracted teeth, three cavities with 0.75 mm depth and 1.5 mm in diameter were drilled at buccal root surface. The teeth were randomly divided into five groups. Canals in the first two groups were filled with either mixture of calcium hydroxide and saline solution and calcium hydroxide and 2% chlorhexidine (CHX). In the third and fourth groups canals were first obturated with gutta-percha and AH26 sealer, and then materials were removed. After 2 days canals were filled with two different calcium hydroxide pastes similar to the first and the second groups. The pH was measured in the prepared cavities at 1, 3, 7 and 14 days. In the non-retreated groups, pH at the surface of the roots was significantly higher in comparison to the retreated ones (P value < 0.001). pH values were significantly higher in the non-retreated teeth filling with calcium hydroxide and saline solution (P value < 0.001). Regarding to the little pH changes at the surface of dentin in retreated teeth, the hydroxyl ions cannot penetrate into the dentinal tubules. Thus, to achieve higher pH at the root surface in retreated teeth, it is clinically advisable to remove more dentin from the inner walls and to use normal saline as a vehicle for calcium hydroxide rather than acidic pH materials.

Forecasting sea cliff retreat in Southern California using process-based models and artificial neural networks

NASA Astrophysics Data System (ADS)

Limber, P. W.; Barnard, P.; Erikson, L. H.

2016-02-01

Modeling coastal geomorphic change over multi-decadal time and regional spatial scales (i.e. >20 km alongshore) is in high demand due to rising global sea levels and heavily populated coastal zones, but is challenging for several reasons: adequate geomorphic and oceanographic data often does not exist over the entire study area or time period; models can be too computationally expensive; and model uncertainty is high. In the absence of rich datasets and unlimited computer processing power, researchers are forced to leverage existing data, however sparse, and find analytical methods that minimize computation time without sacrificing (too much) model reliability. Machine learning techniques, such as artificial neural networks, can assimilate and efficiently extrapolate geomorphic model behavior over large areas. They can also facilitate ensemble model forecasts over a broad range of parameter space, which is useful when a paucity of observational data inhibits the constraint of model parameters. Here, we assimilate the behavior of two established process-based sea cliff erosion and retreat models into a neural network to forecast the impacts of sea level rise on sea cliff retreat in Southern California ( 400 km) through the 21st century. Using inputs such as historical cliff retreat rates, mean wave power, and whether or not a beach is present, the neural network independently reproduces modeled sea cliff retreat as a function of sea level rise with a high degree of confidence (R2 > 0.9, mean squared error < 0.1 m yr-1). Results will continuously improve as more model scenarios are assimilated into the neural network, and more field data (i.e., cliff composition and rock hardness) becomes available to tune the cliff retreat models. Preliminary results suggest that sea level rise rates of 2 to 20 mm yr-1 during the next century could accelerate historical cliff retreat rates in Southern California by an average of 0.10 - 0.56 m yr-1.

Comparisons of the Retreatment Efficacy of Calcium Silicate and Epoxy Resin-based Sealers and Residual Sealer in Dentinal Tubules.

PubMed

Kim, Hyunsuk; Kim, Euiseong; Lee, Seung-Jong; Shin, Su-Jung

2015-12-01

The aim of this study was to evaluate the retreatment efficacy and amount of residual sealer in a single canal filled with either EndoSequence BC (Brasseler, Savannah, GA) or AH Plus (Dentsply DeTrey, Konstanz, Germany). Canal obturation with gutta-percha and sealer was performed in 28 human teeth using the continuous wave technique. Group 1 (n = 13) used AH Plus sealer, and group 2 (n = 15) used EndoSequence BC sealer. After 7 days, the root fillings were removed using Gates Glidden drills and a nickel-titanium rotary system. Retreatment time was measured in seconds. Canal cleanliness was examined by scanning electron microscopy. The remaining debris in the canal space and penetration into dentinal tubules were evaluated by confocal microscopy. Retreatment time was compared using the Student t test, and differences in sealer penetration and remaining debris between the groups were analyzed using the Mann-Whitney U test (P < .05). There was no significant difference between the 2 groups in the amount of dentin penetration, amount of debris, or retreatment time. With respect to penetration depth, the AH Plus group showed a slightly higher percentage than the BC group, with a significant difference only in the portion 6 mm from the apex (P < .05). Scanning electron microscopic images showed significant debris remaining on canal walls in both groups, whereas canal patency in retreatment was achieved in every specimen. The present study shows that EndoSequence BC sealer and AH Plus sealer have similar efficacy in dentin penetration and retreatment efficacy. Copyright © 2015 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

[The Comparison of Clinical Effect of Rh-endostar on Retreated Non-Small Cell Lung Cancer and Colorectal Cancer.].

PubMed

Yang, Xueqin; Wang, Dong; Zhong, Zhaoyang; Jin, Feng; Shan, Jinlu; Wang, Ge; Wang, Zhengbo; Shen, Yibo

2009-11-20

Antiangiogenesis has become the fourth module of cancer therapy nowadays. However, its clinical effect varies from cancer to cancer. The aim of this study is to compare the clinical efficacy of rh-endostatin (YH-16, Endostar) on retreated non-small cell lung cancer and colorectal cancer. The patients including 17 cases of retreated non-small cell lung cancer (NSCLC) and 15 cases of retreated colorectal cancer were confirmed by histopathology or cytopathology. All the cases were administrated with rh-endostatin combining chemotherapy and radiotherapy. 7.5 mg/m(2) rhendostatin solved in 500 mL of normal saline was slow intravenously dropped from day 1 to day 14. The efficacy was evaluated strictly according to RECIST criteria and the quality of life (QOL) was based on the Karnofsky performance (KPS). The response rate (RR) of 17 cases of retreated NSCLC was 11.8% (2/17), and the disease control rate (DCR) was 41.2% (7/17). However, the RR and DCR of the 15 cases of retreated colorectal cancer were up to 40% (6/15) and 86.6% (13/15). There was significant difference between these two tumors (P<0.05). Moreover, significant difference was also found on the QOL of these two tumors [The improving and stable QOL was 41.2% (7/17) and 86.6% (13/15), respectively (P<0.05)]. The clinical efficacy of rh-endostatin on retreated colorectal cancer was better than on retreated non-small cell lung cancer, which suggested that it was necessary to perform more clinical observations on the digestive tumors.

Children's Use of Retreats in Family Child Care Homes

ERIC Educational Resources Information Center

Weinberger, Nanci

2006-01-01

The use of retreat spaces by 65 children in 9 family child care homes was assessed in this study. Family child care providers used daily diaries to collect information about children's retreat frequency and associated behavior. The findings revealed that nearly half of the children used informal, readily available retreats during the research…

The Efficacy of the WaveOne Reciprocating File System versus the ProTaper Retreatment System in Endodontic Retreatment of Two Different Obturating Techniques.

PubMed

Jorgensen, Ben; Williamson, Anne; Chu, Rene; Qian, Fang

2017-06-01

This ex vivo study aimed to evaluate the efficacy of retreating GuttaCore (Dentsply Tulsa Dental Specialties, Tulsa, OK) and warm vertically condensed gutta-percha in moderately curved canals with 2 different systems: ProTaper Universal Retreatment (Dentsply Tulsa Dental) and WaveOne (Dentsply Tulsa Dental). Eighty mesial roots of mandibular molars were used in this study. The mesiobuccal canals in each sample were prepared to length with the WaveOne Primary file (Dentsply Tulsa Dental). The canals were obturated with either a warm vertical approach or with GuttaCore and divided into 4 retreatment groups with the same mean root curvature: warm vertical retreated with ProTaper, warm vertical retreated with WaveOne, GuttaCore retreated with ProTaper, and GuttaCore retreated with WaveOne. The warm vertical groups were obturated using a continuous-wave technique of gutta-percha compaction, and the GuttaCore groups were obturated according to the manufacturer's instructions. After allowing sealer to set, each specimen was retreated with either the ProTaper Universal Retreatment files D1, D2, or D3 or with the WaveOne Primary file to the predetermined working length. The time taken to reach the working length was recorded. Instrument fatigue and failure were also evaluated. The post hoc 2-sample t tests showed that the overall mean total time taken to reach the working length for the warm vertical groups was significantly greater than that observed for the GuttaCore groups (mean = 87.11 vs 60.16 seconds, respectively), and the overall mean total time taken to reach the working length for WaveOne was significantly greater than that observed for ProTaper (99.09 vs 48.18 seconds, respectively). Two-way analysis of variance showed a significant main effect for both the type of experiment groups (F 1,76  = 15.32, P = .0002) and the type of retreatments (F 1,76  = 54.67, P < .0001). Also, the WaveOne Primary file underwent more separations than the ProTaper files

A systematic review of palliative bone radiotherapy based on pain relief and retreatment rates.

PubMed

Pin, Yvan; Paix, Adrien; Le Fèvre, Clara; Antoni, Delphine; Blondet, Cyrille; Noël, Georges

2018-03-01

Palliative radiotherapy has been shown to have effects on Quality of Life during painful bone metastasis. This review aimed to determine equivalence in pain relief (PR) and retreatment rate (RR) using both single and multi-fraction irradiations, based on evaluation of the trial's quality. We performed a systematic review since ICRU 50 Report (1993) to June 2017, then evaluated trials for reproducibility and good methodology criteria. We found five studies that were reproducible in both dose and volume prescription. One study used three-dimensional (3D) treatment planning. Equivalence between single and multi-fraction schedules was demonstrated for PR after 3 months, but a 2-3 time RR appeared after single-fraction schedules, notably in the first year after treatment (primarily during the first four months). Reserving long course therapy for well-preserved patients would allow for better long-term efficacy with lower RR, while altered patients would suffer less from single-fraction treatments. It appears that life expectancy might not be used as a criterion for this choice. Copyright © 2018 Elsevier B.V. All rights reserved.

Observations and modeling of fjord sedimentation during the 30 year retreat of Columbia Glacier, AK

USGS Publications Warehouse

Love, Katherine B; Hallet, Bernard; Pratt, Thomas L.; O'Neel, Shad

2016-01-01

To explore links between glacier dynamics, sediment yields and the accumulation of glacial sediments in a temperate setting, we use extensive glaciological observations for Columbia Glacier, Alaska, and new oceanographic data from the fjord exposed during its retreat. High-resolution seismic data indicate that 3.2 × 108 m3 of sediment has accumulated in Columbia Fjord over the past three decades, which corresponds to ~5 mm a−1 of erosion averaged over the glaciated area. We develop a general model to infer the sediment-flux history from the glacier that is compatible with the observed retreat history, and the thickness and architecture of the fjord sediment deposits. Results reveal a fivefold increase in sediment flux from 1997 to 2000, which is not correlated with concurrent changes in ice flux or retreat rate. We suggest the flux increase resulted from an increase in the sediment transport capacity of the subglacial hydraulic system due to the retreat-related steepening of the glacier surface over a known subglacial deep basin. Because variations in subglacial sediment storage can impact glacial sediment flux, in addition to changes in climate, erosion rate and glacier dynamics, the interpretation of climatic changes based on the sediment record is more complex than generally assumed.

Evolving force balance at Columbia Glacier, Alaska, during its rapid retreat

USGS Publications Warehouse

O'Neel, S.; Pfeffer, W.T.; Krimmel, R.; Meier, M.

2005-01-01

Changes in driving and resistive stresses play an essential role in governing the buoyancy forces that are important controls on the speed and irreversibility of tidewater glacier retreats. We describe changes in geometry, velocity, and strain rate and present a top-down force balance analysis performed over the lower reach of Columbia Glacier. Our analysis uses new measurements and estimates of basal topography and photogrammetric surface velocity measurements made between 1977 and 2001, while assuming depth-independent strain. Sensitivity tests show that the method is robust and insensitive to small changes in the calculation parameters. Spatial distributions of ice speed show little correspondence with driving stress. Instead, spatial patterns of ice speed exhibit a nonlinear correspondence with basal drag. Primary resistance to flow comes from basal drag, but lateral drag becomes increasingly more important throughout the retreat, which may account for observed increases in speed. Maximum basal drag is always located in a prominent constriction located ~12 km upstream from the preretreat terminus. Once the terminus retreated into deep water off the terminal moraine marking the modern maximum extent, the upstream location of this maximum basal drag helped to promote thinning and decrease effective pressure in the lower region by limiting replenishing ice flow from upstream. An increase in both ice velocity and calving resulted, initiating what appears to be an irreversible retreat. Copyright 2005 by the American Geophysical Union.

The effect of retreatment procedure on the pH changes at the surface of root dentin using two different calcium hydroxide pastes

PubMed Central

Kazemipoor, Maryam; Tabrizizadeh, Mehdi; Dastani, Milad; Hakimian, Roqayeh

2012-01-01

Aim: To compare pH changes at the cervical, middle and apical surfaces of root dentin in retreated and non- retreated teeth, after canal obturation with two different calcium hydroxide pastes. Materials and Methods: After instrumentation of 55 extracted teeth, three cavities with 0.75 mm depth and 1.5 mm in diameter were drilled at buccal root surface. The teeth were randomly divided into five groups. Canals in the first two groups were filled with either mixture of calcium hydroxide and saline solution and calcium hydroxide and 2% chlorhexidine (CHX). In the third and fourth groups canals were first obturated with gutta-percha and AH26 sealer, and then materials were removed. After 2 days canals were filled with two different calcium hydroxide pastes similar to the first and the second groups. The pH was measured in the prepared cavities at 1, 3, 7 and 14 days. Results: In the non-retreated groups, pH at the surface of the roots was significantly higher in comparison to the retreated ones (P value < 0.001). pH values were significantly higher in the non-retreated teeth filling with calcium hydroxide and saline solution (P value < 0.001). Conclusion: Regarding to the little pH changes at the surface of dentin in retreated teeth, the hydroxyl ions cannot penetrate into the dentinal tubules. Thus, to achieve higher pH at the root surface in retreated teeth, it is clinically advisable to remove more dentin from the inner walls and to use normal saline as a vehicle for calcium hydroxide rather than acidic pH materials. PMID:23112482

Retreatment of recanalized aneurysms after Y-stent-assisted coil embolization with double enterprise stents: case report and systematic review of the literature.

PubMed

Kono, Kenichi; Shintani, Aki; Terada, Tomoaki

2014-01-01

It is necessary to consider possibility of recanalization and retreatment after coil embolization for cerebral aneurysms. There is concern that retreatment for recanalized aneurysms after Y-stent-assisted coil embolization may be difficult because of double stents, especially in Y-stents with double closed-cell stents owing to narrowed structures. However, no detailed reports of retreatment after Y-stent have been reported. Between July 2010 and June 2013, we treated four aneurysms with Y-stent-assisted coil embolization using Enterprise closed-cell stents. Recanalization occurred in one case (25%), and retreatment was performed. We easily navigated a microcatheter into the target portions of the aneurysm through the Y-stent and occluded the aneurysm with coils. Additionally, by systematically searching in PubMed, we found 105 cases of Y-stent-assisted coil embolization using Enterprise stents or Neuroform stents with more than 6 months of follow-up. Among them, retreatment was performed in 10 cases (9.5%). There were no significant differences in retreatment rates among different stent combinations (P=0.91; Fisher's exact test). In conclusion, navigation of a microcatheter into the aneurysm through the Y-stent with double Enterprise stents was feasible, and retreatment rates after Y-stent-assisted coiling may not depend on stent combinations.

Twenty five years follow up of MB leprosy patients retreated with a modified MDT regimen after a full course of dapsone mono-therapy.

PubMed

Jing, Zhichun; Zhang, Renbao; Zhou, Doahai; Chen, Jiakeun

2009-06-01

The relentless emergence of dapsone resistance amongst M. leprae threatened leprosy control programmes, and increased the relapse rate of patients cured with dapsone monotherapy. The study aimed to analyse the effect on the relapse rate of dapsone-cured multibacillary (MB) leprosy patients, of re-treatment, using a multidrug therapy (MDT) regimen which differed from the WHO recommended regimen. 794 MB leprosy patients who had been released from treatment after dapsone monotherapy were selected, amongst them 657 were re-treated for 1 year using the modified multidrug therapy regimen (mMDT) including rifampicin, clofazimine and dapsone, and 137 patients were observed as control cases. The regimen was well tolerated with good compliance: 620 patients completed re-treatment with mild side effects and a low incidence of leprosy reactions. There was a statistically significant difference between the relapse rates of re-treated and control groups (chi squaredf = 57.44, P < 0.001). Furthermore, the relapses in the re-treated group were significantly more likely to be later than those in the control group (t = 25.62, P < 0.001). Re-treatment with this modified regimen is acceptable and can reduce the risk of early relapse in dapsone-cured patients. The problem of persisters causing late relapse is likely to remain.

Cooperative Spatial Retreat for Resilient Drone Networks †

PubMed Central

Kang, Jin-Hyeok; Kwon, Young-Min; Park, Kyung-Joon

2017-01-01

Drones are broadening their scope to various applications such as networking, package delivery, agriculture, rescue, and many more. For proper operation of drones, reliable communication should be guaranteed because drones are remotely controlled. When drones experience communication failure due to bad channel condition, interference, or jamming in a certain area, one existing solution is to exploit mobility or so-called spatial retreat to evacuate them from the communication failure area. However, the conventional spatial retreat scheme moves drones in random directions, which results in inefficient movement with significant evacuation time and waste of battery lifetime. In this paper, we propose a novel spatial retreat technique that takes advantage of cooperation between drones for resilient networking, which is called cooperative spatial retreat (CSR). Our performance evaluation shows that the proposed CSR significantly outperforms existing schemes. PMID:28467390

Orthograde endodontic retreatment of teeth with individual cast posts: report of two cases.

PubMed

Ramić, Bojana; Stojanac, Igor; Premović, Milica; Drobac, Milan; Petrović, Ljubomir

2012-01-01

The failure of primary endodontic treatment is manifested by various clinical symptoms following endodontic therapy or, more frequently, by the development of chronic inflammatory process in the apex region without any subjective symptoms. In case of unfavorable outcome of the primary endodontic treatment, orthograde endodontic retreatment is the method of choice for a prolonged therapy. Two female patients, 47 and 44 years old, were presented at the Dental Clinic of Vojvodina for endodontic retreatment of teeth 22, 23 and 13, within the repeated prosthetic restoration. Intraradicular individual cast posts were removed using ultrasonic instruments. Remains of gutta-percha were removed by engine driven rotary re-treatment files, root canals were shaped and cleaned using the crown-down technique, and obturated with gutta-percha and epoxy-resin-based sealer using the lateral compaction technique. When there are metal posts or broken instruments in the root canal, the use of ultrasonic instruments is considered a safe method characterized by negligible tooth substance loss and minimal root damage causing fractures and perforations, and the entire procedure is effective and predictable. Non-surgical orthograde endodontic retreatment, when properly performed in accessible and penetrable root canals, achieves a high cure rate, good and lasting results and eliminates the need for radical procedures, such as apical surgery or tooth extraction. When nonsurgical endodontic retreatment is done, treated teeth must be restored by full coronal coverage as soon as possible, to prevent coronal leakage or fracture.

Sub-ice-shelf sediments record history of twentieth-century retreat of Pine Island Glacier [Sub-ice shelf sediments record 20 th century retreat history of Pine Island Glacier

DOE PAGES

Smith, J. A.; Andersen, T. J.; Shortt, M.; ...

2016-11-23

The West Antarctic Ice Sheet is one of the largest potential sources of rising sea levels. Over the past 40 years, glaciers flowing into the Amundsen Sea sector of the ice sheet have thinned at an accelerating rate, and several numerical models suggest that unstable and irreversible retreat of the grounding line—which marks the boundary between grounded ice and floating ice shelf—is underway. Understanding this recent retreat requires a detailed knowledge of grounding-line history, but the locations of the grounding line before the advent of satellite monitoring in the 1990s are poorly dated. In particular, a history of grounding-line retreatmore » is required to understand the relative roles of contemporaneous ocean-forced change and of ongoing glacier response to an earlier perturbation in driving ice-sheet loss. Here we show that the present thinning and retreat of Pine Island Glacier in West Antarctica is part of a climatically forced trend that was triggered in the 1940s. Our conclusions arise from analysis of sediment cores recovered beneath the floating Pine Island Glacier ice shelf, and constrain the date at which the grounding line retreated from a prominent seafloor ridge. We find that incursion of marine water beyond the crest of this ridge, forming an ocean cavity beneath the ice shelf, occurred in 1945 (±12 years); final ungrounding of the ice shelf from the ridge occurred in 1970 (±4 years). The initial opening of this ocean cavity followed a period of strong warming of West Antarctica, associated with El Niño activity. Furthermore our results suggest that, even when climate forcing weakened, ice-sheet retreat continued.« less

Sub-ice-shelf sediments record history of twentieth-century retreat of Pine Island Glacier [Sub-ice shelf sediments record 20 th century retreat history of Pine Island Glacier

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

Smith, J. A.; Andersen, T. J.; Shortt, M.

The West Antarctic Ice Sheet is one of the largest potential sources of rising sea levels. Over the past 40 years, glaciers flowing into the Amundsen Sea sector of the ice sheet have thinned at an accelerating rate, and several numerical models suggest that unstable and irreversible retreat of the grounding line—which marks the boundary between grounded ice and floating ice shelf—is underway. Understanding this recent retreat requires a detailed knowledge of grounding-line history, but the locations of the grounding line before the advent of satellite monitoring in the 1990s are poorly dated. In particular, a history of grounding-line retreatmore » is required to understand the relative roles of contemporaneous ocean-forced change and of ongoing glacier response to an earlier perturbation in driving ice-sheet loss. Here we show that the present thinning and retreat of Pine Island Glacier in West Antarctica is part of a climatically forced trend that was triggered in the 1940s. Our conclusions arise from analysis of sediment cores recovered beneath the floating Pine Island Glacier ice shelf, and constrain the date at which the grounding line retreated from a prominent seafloor ridge. We find that incursion of marine water beyond the crest of this ridge, forming an ocean cavity beneath the ice shelf, occurred in 1945 (±12 years); final ungrounding of the ice shelf from the ridge occurred in 1970 (±4 years). The initial opening of this ocean cavity followed a period of strong warming of West Antarctica, associated with El Niño activity. Furthermore our results suggest that, even when climate forcing weakened, ice-sheet retreat continued.« less

Hanging-wall deformation above a normal fault: sequential limit analyses

NASA Astrophysics Data System (ADS)

Yuan, Xiaoping; Leroy, Yves M.; Maillot, Bertrand

2015-04-01

The deformation in the hanging wall above a segmented normal fault is analysed with the sequential limit analysis (SLA). The method combines some predictions on the dip and position of the active fault and axial surface, with geometrical evolution à la Suppe (Groshong, 1989). Two problems are considered. The first followed the prototype proposed by Patton (2005) with a pre-defined convex, segmented fault. The orientation of the upper segment of the normal fault is an unknown in the second problem. The loading in both problems consists of the retreat of the back wall and the sedimentation. This sedimentation starts from the lowest point of the topography and acts at the rate rs relative to the wall retreat rate. For the first problem, the normal fault either has a zero friction or a friction value set to 25o or 30o to fit the experimental results (Patton, 2005). In the zero friction case, a hanging wall anticline develops much like in the experiments. In the 25o friction case, slip on the upper segment is accompanied by rotation of the axial plane producing a broad shear zone rooted at the fault bend. The same observation is made in the 30o case, but without slip on the upper segment. Experimental outcomes show a behaviour in between these two latter cases. For the second problem, mechanics predicts a concave fault bend with an upper segment dip decreasing during extension. The axial surface rooting at the normal fault bend sees its dips increasing during extension resulting in a curved roll-over. Softening on the normal fault leads to a stepwise rotation responsible for strain partitioning into small blocks in the hanging wall. The rotation is due to the subsidence of the topography above the hanging wall. Sedimentation in the lowest region thus reduces the rotations. Note that these rotations predicted by mechanics are not accounted for in most geometrical approaches (Xiao and Suppe, 1992) and are observed in sand box experiments (Egholm et al., 2007, referring

Effectiveness of Sonic, Ultrasonic, and Photon-Induced Photoacoustic Streaming Activation of NaOCl on Filling Material Removal Following Retreatment in Oval Canal Anatomy.

PubMed

Jiang, Shan; Zou, Ting; Li, Dongxia; Chang, Jeffery W W; Huang, Xiaojing; Zhang, Chengfei

2016-01-01

This study aimed to assess the effectiveness of sonic, ultrasonic and laser [photon-induced photoacoustic streaming (PIPS)] irrigation activation in removing filling remnants from oval root canals after standard canal retreatment procedures with the ProTaper universal rotary retreatment system. Twenty-eight maxillary first premolars were instrumented with ProTaper NiTi rotary instruments and obturated with gutta-percha and AH Plus sealer using the continuous wave of condensation technique. After storage at 37°C and 100% humidity for 1 week, the specimens were retreated with the ProTaper universal retreatment system for the removal of filling material. Teeth were then randomly assigned into four groups (n = 7): group 1, positive control; group 2, retreated with sonic irrigation; group 3, retreated with ultrasonic irrigation; and group 4, retreated with laser irradiation. The specimens were scanned using micro-CT before instrumentation, after obturation and mechanical retreatment, and after additional activation procedures. The percentage volume of the filling remnants was measured. Specimens were split longitudinally after micro-CT scan, canal walls were examined using scanning electron microscopy (SEM), and the amount of residual filling material was scored. The filling materials' removal efficacy in the three experimental groups was higher than that of the control group (p < 0.05), whereas filling materials ranging from 1.46 ± 0.30 to 2.21 ± 0.46 mm(3) remained in the canal in all three experimental groups. Additionally, there was a significantly greater reduction in the amount of filling remnants in the PIPS group than in the sonic and ultrasonic groups (both p < 0.05), and significantly greater reduction in the ultrasonic group than the sonic group (p < 0.05). Activation of NaOCl with PIPS showed significantly better performance than sonic and ultrasonic techniques in removing the filling remnants following mechanical retreatment of

Design concerns of room and pillar retreat panels

PubMed Central

Klemetti, Ted M.; Sears, Morgan M.; Tulu, Ihsan B.

2017-01-01

Why do some room and pillar retreat panels encounter abnormal conditions? What factors deserve the most consideration during the planning and execution phases of mining and what can be done to mitigate those abnormal conditions when they are encountered? To help answer these questions, and to determine some of the relevant factors influencing the conditions of room and pillar (R & P) retreat mining entries, four consecutive R & P retreat panels were evaluated. This evaluation was intended to reinforce the influence of topographic changes, depth of cover, multiple-seam interactions, geological conditions, and mining geometry. This paper details observations were made in four consecutive R & P retreat panels and the data were collected from an instrumentation site during retreat mining. The primary focus was on the differences observed among the four panels and within the panels themselves. The instrumentation study was initially planned to evaluate the interactions between primary and secondary support, but produced rather interesting results relating to the loading encountered under the current mining conditions. In addition to the observation and instrumentation, numerical modeling was performed to evaluate the stress conditions. Both the LaModel 3.0 and Rocscience Phase 2 programs were used to evaluate these four panels. The results of both models indicated a drastic reduction in the vertical stresses experienced in these panels due to the full extraction mining in overlying seams when compared to the full overburden load. Both models showed a higher level of stress associated with the outside entries of the panels. These results agree quite well with the observations and instrumentation studies performed at the mine. These efforts provided two overarching conclusions concerning R & P retreat mine planning and execution. The first was that there are four areas that should not be overlooked during R & P retreat mining: topographic relief, multiple-seam stress

Survival follow-up and ipilimumab retreatment of patients with advanced melanoma who received ipilimumab in prior phase II studies

PubMed Central

Lebbé, C.; Weber, J. S.; Maio, M.; Neyns, B.; Harmankaya, K.; Hamid, O.; O'Day, S. J.; Konto, C.; Cykowski, L.; McHenry, M. B.; Wolchok, J. D.

2014-01-01

Background This report provides a survival update at a follow-up of >5 years (5.5–6 years) for patients with advanced melanoma who previously received ipilimumab in phase II clinical trials. Safety and efficacy data following ipilimumab retreatment are also reported. Patients and methods Patients who previously received ipilimumab 0.3, 3, or 10 mg/kg in one of six phase II trials (CA184-004, CA184-007, CA184-008, CA184-022, MDX010-08, and MDX010-15) were eligible to enroll in the companion study, CA184-025. Upon enrollment, patients initially received ipilimumab retreatment, extended maintenance therapy, or were followed for survival only. Overall survival (OS) rates were evaluated in patients from studies CA184-004, CA184-007, CA184-008, and CA184-022. Safety and best overall response during ipilimumab retreatment at 10 mg/kg were assessed in study CA184-025. Results Five-year OS rates for previously treated patients who received ipilimumab induction at 0.3, 3, or 10 mg/kg were 12.3%, 12.3%–16.5%, and 15.5%–28.4%, respectively. Five-year OS rates for treatment-naive patients who received ipilimumab induction at 3 or 10 mg/kg were 26.8% and 21.4%–49.5%, respectively. Little to no change in OS was observed from year 5 up to year 6. The objective response rate among retreated patients was 23%. Grade 3/4 immune-related adverse events occurred in 25%, 5.9%, and 13.2% of retreated patients who initially received ipilimumab 0.3, 3, and 10 mg/kg, with the most common being observed in the skin (4.2%, 2.9%, 3.8%) and gastrointestinal tract (12.5%, 2.9%, 3.8%), respectively. Conclusions At a follow-up of 5–6 years, ipilimumab continues to demonstrate durable, long-term survival in a proportion of patients with advanced melanoma. In some patients, ipilimumab retreatment can re-establish disease control with a safety profile that is comparable with that observed during ipilimumab induction. Further studies are needed to determine the contribution of ipilimumab

Hazard and outcome of retreated choledochal cyst patients.

PubMed

Chijiiwa, K

1993-01-01

Thirty-nine patients initially treated for choledochal cyst (25: cyst-enterostomy for 15 type I and 10 type IV A, 13: cyst excision for 8 type I and 5 type IV A, 1: sphincterotomy for type III) have been completely followed up for a mean period of 17 years to examine the effect of surgical management on their lives. Eighteen of 25 cases with cyst-enterostomy (72%) needed retreatment due to the complications but one could not be retreated because of the presence of advanced bile duct carcinoma. Fourteen of 17 cases were retreated with cyst excision, of whom 12 showed an excellent outcome but other two were suffering from cholangitis and hepatolithiasis. The remaining 3 patients retreated with PTCS or cyst-enterostomy showed a poor outcome. Of 13 patients who had undergone cyst excision with hepatico-jejunostomy as the first choice, 12 showed a good outcome but one needed retreatment due to the anastomotic stenosis and hepatolithiasis. Thus, excision of cyst should be the surgical management for choledochal cyst. However, it should be noted that three of 27 patients treated initially or secondarily with cyst excision showed unsatisfactory results mainly due to the anastomotic stenosis. The results demonstrate that hepaticojejunostomy with a wide opening stoma is necessary to prevent postoperative morbidity.

Comparison of the amount of apical debris extrusion associated with different retreatment systems and supplementary file application during retreatment process.

PubMed

Çiçek, Ersan; Koçak, Mustafa Murat; Koçak, Sibel; Sağlam, Baran Can

2016-01-01

The type of instrument affects the amount of debris extruded. The aim of this study was to compare the effect of retreatment systems and supplementary file application on the amount of apical debris extrusion. Forty-eight extracted mandibular premolars with a single canal and similar length were selected. The root canals were prepared with the ProTaper Universal system with a torque-controlled engine. The root canals were dried and were obturated using Gutta-percha and sealer. The specimens were randomly divided into four equal groups according to the retreatment procedures (Group 1, Mtwo retreatment files; Group 2, Mtwo retreatment files + Mtwo rotary file #30 supplementary file; Group 3, ProTaper Universal retreatment (PTUR) files; and Group 4, PTUR files + ProTaper F3 supplementary file). The extruded debris during instrumentation were collected into preweighed Eppendorf tubes. The amount of apically extruded debris was calculated by subtracting the initial weight of the tube from the final weight. Three consecutive weights were obtained for each tube. No statistically significant difference was found in the amount of apically extruded debris between Groups 1 and 3 (P = 0.590). A significant difference was observed between Groups 1 and 2 (P < 0.05), and between Groups 3 and 4 (P < 0.05). The use of supplementary file significantly increased the amount of apically extruded debris.

Construction and geometric stability of physiological flow rate wall-less stenosis phantoms.

PubMed

Ramnarine, K V; Anderson, T; Hoskins, P R

2001-02-01

Wall-less flow phantoms are preferred for ultrasound (US) because tissue-mimicking material (TMM) with good acoustical properties can be made and cast to form anatomical models. The construction and geometrical stability of wall-less TMM flow phantoms is described using a novel method of sealing to prevent leakage of the blood-mimicking fluid (BMF). Wall-less stenosis flow models were constructed using a robust agar-based TMM and sealed using reticulated foam at the inlet and outlet tubes. There was no BMF leakage at the highest flow rate of 2.8 L/min in 0%, 35% and 57% diameter reduction stenoses models. Failure of the 75% stenosis model, due to TMM fracture, occurred at maximum flow rate of 2 L/min (mean velocity 10 m/s within the stenosis). No change of stenosis geometry was measured over 4 days. The construction is simple and effective and extends the possibility for high flow rate studies using robust TMM wall-less phantoms.

Fracture Resistance of Endodontically Retreated Roots After Retreatment Using Self-Adjusting File, Passive Ultrasonic Irrigation, Photon-Induced Photoacoustic Streaming, or Laser.

PubMed

Kamalak, Aliye; Uzun, Ismail; Arslan, Hakan; Keleş, Ali; Doğanay, Ezgi; Keskin, Cangül; Akçay, Merve

2016-10-01

Additional cleaning techniques and devices are required to remove maximum amount of residual filling material, which might limit disinfection of root canal system during retreatment. This study aimed to compare fracture resistance of roots when self-adjusting file (SAF), photon-induced photoacoustic streaming (PIPS), passive ultrasonic irrigation (PUI), erbium-doped yttrium aluminum garnet (Er:YAG), or neodymium-doped yttrium aluminum garnet (Nd:YAG) lasers are applied following the use of retreatment files in endodontics. A total of 117 human mandibular canine teeth of similar dimensions were selected and divided into nine groups (n = 13). Aside from control, instrumented, and only-prepared groups, 91 teeth were remaining, of which 13 were assigned to the only-filling group and final 78 to retreatment, thus R-Endo file, R-Endo+SAF, R-Endo+PUI, R-Endo+Er:YAG laser, R-Endo+Nd:YAG laser, and R-Endo+PIPS. The fracture strengths of the retreatment groups were lower than control, instrumented, and only-filling groups (p < 0.05). There was no difference between the R-Endo group and additional retreatment procedure groups (p > 0.05). Further cleaning methods using SAF, PIPS, Er:YAG laser, Nd:YAG laser, or PUI did not decrease the fracture resistance when compared with the R-Endo group.

Climate Change and Glacier Retreat: Scientific Fact and Artistic Opportunity

NASA Astrophysics Data System (ADS)

Fagre, D. B.

2008-12-01

Mountain glaciers continue to retreat rapidly over most of the globe. In North America, at Glacier National Park, Montana, recent research results from Sperry Glacier (2005-2007) indicate negative mass balances are now 3-4 times greater than in the 1950s. A geospatial model of glacier retreat in the Blackfoot-Jackson basin suggested all glaciers would be gone by 2030 but has proved too conservative. Accelerated glacier shrinkage since the model was developed has mirrored an increase in actual annual temperature that is almost twice the rate used in the model. The glaciers in Glacier National Park are likely to be gone well before 2030. A variety of media, curricula, and educational strategies have been employed to communicate the disappearance of the glaciers as a consequence of global warming. These have included everything from print media and television coverage to podcasts and wayside exhibits along roads in the park. However, a new thrust is to partner with artists to communicate climate change issues to new audiences and through different channels. A scientist-artist retreat was convened to explore the tension between keeping artistic products grounded in factually-based reality while providing for freedom to express artistic creativity. Individual artists and scientists have worked to create aesthetic and emotional images, using painting, poetry, music and photography, to convey core messages from research on mountain ecosystems. Finally, a traveling art exhibit was developed to highlight the photography that systematically documents glacier change through time. The aim was to select photographs that provide the most compelling visual experience for an art-oriented viewer and also accurately reflect the research on glacier retreat. The exhibit opens on January 11, 2009

Sub-ice-shelf sediments record history of twentieth-century retreat of Pine Island Glacier.

PubMed

Smith, J A; Andersen, T J; Shortt, M; Gaffney, A M; Truffer, M; Stanton, T P; Bindschadler, R; Dutrieux, P; Jenkins, A; Hillenbrand, C-D; Ehrmann, W; Corr, H F J; Farley, N; Crowhurst, S; Vaughan, D G

2017-01-05

The West Antarctic Ice Sheet is one of the largest potential sources of rising sea levels. Over the past 40 years, glaciers flowing into the Amundsen Sea sector of the ice sheet have thinned at an accelerating rate, and several numerical models suggest that unstable and irreversible retreat of the grounding line-which marks the boundary between grounded ice and floating ice shelf-is underway. Understanding this recent retreat requires a detailed knowledge of grounding-line history, but the locations of the grounding line before the advent of satellite monitoring in the 1990s are poorly dated. In particular, a history of grounding-line retreat is required to understand the relative roles of contemporaneous ocean-forced change and of ongoing glacier response to an earlier perturbation in driving ice-sheet loss. Here we show that the present thinning and retreat of Pine Island Glacier in West Antarctica is part of a climatically forced trend that was triggered in the 1940s. Our conclusions arise from analysis of sediment cores recovered beneath the floating Pine Island Glacier ice shelf, and constrain the date at which the grounding line retreated from a prominent seafloor ridge. We find that incursion of marine water beyond the crest of this ridge, forming an ocean cavity beneath the ice shelf, occurred in 1945 (±12 years); final ungrounding of the ice shelf from the ridge occurred in 1970 (±4 years). The initial opening of this ocean cavity followed a period of strong warming of West Antarctica, associated with El Niño activity. Thus our results suggest that, even when climate forcing weakened, ice-sheet retreat continued.

Influence of Threshold for Bedrock Erosion on River Long Profile Development and Knickzone Retreat in Response to Tectonic Perturbation

NASA Astrophysics Data System (ADS)

Attal, M.; Hobley, D.; Cowie, P. A.; Whittaker, A. C.; Tucker, G. E.; Roberts, G. P.

2008-12-01

Prominent convexities in channel long profiles, or knickzones, are an expected feature of bedrock rivers responding to a change in the rate of base level fall driven by tectonic processes. In response to a change in relative uplift rate, the simple stream power model which is characterized by a slope exponent equal to unity predicts that knickzone retreat velocity is independent of uplift rate and that channel slope and uplift rate are linearly related along the reaches which have re-equilibrated with respect to the new uplift condition (i.e., downstream of the profile convexity). However, a threshold for erosion has been shown to introduce non- linearity between slope and uplift rate when associated with stochastic rainfall variability. We present field data regarding the height and retreat rates of knickzones in rivers upstream of active normal faults in the central Apennines, Italy, where excellent constraints exist on the temporal and spatial history of fault movement. The knickzones developed in response to an independently-constrained increase in fault throw rate 0.75 Ma. Channel characteristics and Shield stress values suggest that these rivers lie close to the detachment-limited end-member but the knickzone retreat velocity (calculated from the time since fault acceleration) has been found to scale systematically with the known fault throw rates, even after accounting for differences in drainage area. In addition, the relationship between measured channel slope and relative uplift rate is non-linear, suggesting that a threshold for erosion might be effective in this setting. We use the Channel-Hillslope Integrated Landscape Development (CHILD) model to quantify the effect of such a threshold on river long profile development and knickzone retreat in response to tectonic perturbation. In particular, we investigate the evolutions of 3 Italian catchments of different size characterized by contrasted degree of tectonic perturbation, using physically realistic

Outcomes of Retreatment after Aborted Laser In Situ Keratomileusis due to Flap Complications

PubMed Central

Al-Mezaine, Hani S.; Al-Amro, Saleh A.; Al-Fadda, Abdulaziz; Al-Obeidan, Saleh

2011-01-01

Purpose: To determine the refractive outcomes and complications of retreatment after aborted primary laser in situ keratomileusis (LASIK) due to flap complications. Materials and Methods: This retrospective study evaluated 50 retreated eyes that had flap complications during primary LASIK at the Eye Consultants Center in Riyadh, Saudi Arabia. Data were analyzed for patients with at least 3 months follow-up post retreatment. Results: Thirty-three eyes of 31 consecutive patients with 3 months follow-up or later post retreatment were included. The primary LASIK was aborted due to incomplete flaps in 22 eyes (66.7%), buttonhole flaps in 7 eyes (21.2%), free partial flaps in 3 eyes (9.1%), and a free complete flap in 1 eye (3.0%). Twenty-two eyes (66.7%) were retreated with LASIK, and 11 eyes (33.3%) were retreated with surface ablation. The mean spherical equivalent (SE) was –0.23 ± 0.72 D, the mean astigmatism was –0.65 ± 0.89 D, and the mean loss of the best corrected visual acuity (BCVA) was 0.78 lines at the final postoperative visit. At the last postoperative visit, 20/30 or better BCVA was achieved in 90.1% of eyes that underwent retreatment with LASIK and in 91% of eyes that were retreated with surface ablation. There was no statistical difference in postoperative SE between eyes retreated with LASIK and eyes retreated with surface ablation (P = 0.610). There was no statistical difference in postoperative BCVA between eyes retreated with LASIK and those retreated with surface ablation (P = 0.756). There were no intraoperative complications and no eyes required a second retreatment. Conclusion: Creation of a flap after a previous intraoperative flap complication was not associated with any complications. The refractive outcomes of retreatment with LASIK or surface ablation were comparable and reasonably favorable. PMID:21887080

Outcomes of Retreatment after Aborted Laser In Situ Keratomileusis due to Flap Complications.

PubMed

Al-Mezaine, Hani S; Al-Amro, Saleh A; Al-Fadda, Abdulaziz; Al-Obeidan, Saleh

2011-07-01

To determine the refractive outcomes and complications of retreatment after aborted primary laser in situ keratomileusis (LASIK) due to flap complications. This retrospective study evaluated 50 retreated eyes that had flap complications during primary LASIK at the Eye Consultants Center in Riyadh, Saudi Arabia. Data were analyzed for patients with at least 3 months follow-up post retreatment. Thirty-three eyes of 31 consecutive patients with 3 months follow-up or later post retreatment were included. The primary LASIK was aborted due to incomplete flaps in 22 eyes (66.7%), buttonhole flaps in 7 eyes (21.2%), free partial flaps in 3 eyes (9.1%), and a free complete flap in 1 eye (3.0%). Twenty-two eyes (66.7%) were retreated with LASIK, and 11 eyes (33.3%) were retreated with surface ablation. The mean spherical equivalent (SE) was -0.23 ± 0.72 D, the mean astigmatism was -0.65 ± 0.89 D, and the mean loss of the best corrected visual acuity (BCVA) was 0.78 lines at the final postoperative visit. At the last postoperative visit, 20/30 or better BCVA was achieved in 90.1% of eyes that underwent retreatment with LASIK and in 91% of eyes that were retreated with surface ablation. There was no statistical difference in postoperative SE between eyes retreated with LASIK and eyes retreated with surface ablation (P = 0.610). There was no statistical difference in postoperative BCVA between eyes retreated with LASIK and those retreated with surface ablation (P = 0.756). There were no intraoperative complications and no eyes required a second retreatment. Creation of a flap after a previous intraoperative flap complication was not associated with any complications. The refractive outcomes of retreatment with LASIK or surface ablation were comparable and reasonably favorable.

Retreatment with bortezomib alone or in combination for patients with multiple myeloma following an initial response to bortezomib.

PubMed

Sood, Raman; Carloss, Harry; Kerr, Robert; Lopez, Jose; Lee, Martin; Druck, Mark; Walters, Ian B; Noga, Stephen J

2009-10-01

This clinical trial was conducted to determine the safety and efficacy of bortezomib retreatment in patients with multiple myeloma (MM) who had previously responded to bortezomib. Patients with progressive MM who had previously tolerated bortezomib as a single agent or in combination with other drugs, with a minimum of partial response (PR; >or=50% M-protein reduction) for >or=4 months, who had not received intervening MM therapy, were retreated with bortezomib (days 1, 4, 8, and 11 of a 21-day cycle) with a starting dose being the dose at which the patient ended the initial treatment. Patients were allowed to receive bortezomib on retreatment in combination with dexamethasone, thalidomide, or doxorubicin. Thirty-two patients received bortezomib retreatment (most with added dexamethasone). The median treatment-free interval (last dose of initial bortezomib treatment to first dose of retreatment) was 9.9 (range 2.5-34.0) months. The median duration of retreatment was 2.8 (<1-7.9) months; median total duration of bortezomib treatment was 6.7 (2.5-19.8) months. Based on the investigators' assessment of best response, the overall response rate (complete plus PR) was 50%. The median time from start of retreatment to progressive disease (PD) was 6.6 (95% confidence interval: 5.1-9.6) months. Thirteen patients (41%) experienced PN; bortezomib-related SAEs were reported in four patients. Retreatment with bortezomib alone or in combination is effective and well tolerated in patients with MM who have responded to their initial bortezomib treatment. (c) 2009 Wiley-Liss, Inc.

Incidence of flare-ups and evaluation of quality after retreatment of resorcinol-formaldehyde resin ("Russian Red Cement") endodontic therapy.

PubMed

Gound, Tom G; Marx, David; Schwandt, Nathan A

2003-10-01

The purpose of this retrospective study was to evaluate the quality of treatment and incidence of flare-ups when teeth with resorcinol-formaldehyde resin are retreated in a postgraduate endodontic clinic. Fifty-eight cases were included in this study. Obturated and unfilled canal space was measured on radiographs. Forty-eight percent of the total canal space was filled before retreatment; 90% was filled after retreatment. After retreatment, obturations were rated as optimal in 59%, improved in 33%, unchanged in 6%, and worse in 2%. Seven patients (12%) had postretreatment flare-ups. Data were statistically analyzed using the Cochran-Armitage Test for Discrete Variables. No statistical difference in the incidence of flare-ups was found in teeth that before treatment had more than half the canal space filled compared to teeth with less than half, cases with pre-existing periradicular radiolucencies compared to cases with normal periradicular appearance, symptomatic cases compared to asymptomatic cases, or cases with optimal fillings after retreatment compared to less than optimal cases. It was concluded that teeth with resorcinol-formaldehyde fillings might be retreated with a good prognosis for improving the radiographic quality, but a higher than normal incidence of flare-ups may occur.

Retreat of Stephenson Glacier, Heard Island, from Remote Sensing and Field Observations

NASA Astrophysics Data System (ADS)

Mitchell, W.; Schmieder, R.

2017-12-01

Heard Island (Australian sub-Antarctic territory, 53 S, 73.5 E) is a volcanic island mantled in glaciers, and a UNESCO World Heritage Site both for its geology and ecology. Lying to the south of the Antarctic Convergence, the changes in response to climate seen on Heard Island are likely to be a bellwether for areas further south. Beginning in 1999, American satellites (Landsat 7, EO-1, and Landsat 8) have produced images of the island on a roughly weekly basis. Although the island is often shrouded in clouds, clear images of at least portions of the island are plentiful enough to create a nearly-annual record of the toe of Stephenson Glacier. During this period, Stephenson Glacier retreated by nearly 5 km, and lost 50% of its area. As a result of this retreat, a portion of the glacier now could be classified as a separate glacier. Additionally, in 2016, terrestrial photographs of Stephenson Glacier were taken during a three-week expedition to Heard Island, which accessed the Stephenson Glacier area by boat via the proglacial Stephenson Lagoon. During that work, sonar indicated some depths in the lagoon exceeding 100 m. Much of the loss in glacier length and area occurred during the mid- and late-2000s, with retreat rates slowing toward 2017. At this time, the glacier has retreated so that the main toe is not far from the base of a tall ice falls, while another toe—perhaps now a separate glacier—is land-based. This type of retreat pattern, fast over water and slower on land, is typical of other tidewater glaciers. Further monitoring of Stephenson Glacier and other glaciers on Heard Island will continue using Landsat 8.

Effect of Topography on Subglacial Discharge and Submarine Melting During Tidewater Glacier Retreat

NASA Astrophysics Data System (ADS)

Amundson, J. M.; Carroll, D.

2018-01-01

To first order, subglacial discharge depends on climate, which determines precipitation fluxes and glacier mass balance, and the rate of glacier volume change. For tidewater glaciers, large and rapid changes in glacier volume can occur independent of climate change due to strong glacier dynamic feedbacks. Using an idealized tidewater glacier model, we show that these feedbacks produce secular variations in subglacial discharge that are influenced by subglacial topography. Retreat along retrograde bed slopes (into deep water) results in rapid surface lowering and coincident increases in subglacial discharge. Consequently, submarine melting of glacier termini, which depends on subglacial discharge and ocean thermal forcing, also increases during retreat into deep water. Both subglacial discharge and submarine melting subsequently decrease as glacier termini retreat out of deep water and approach new steady state equilibria. In our simulations, subglacial discharge reached peaks that were 6-17% higher than preretreat values, with the highest values occurring during retreat from narrow sills, and submarine melting increased by 14% for unstratified fjords and 51% for highly stratified fjords. Our results therefore indicate that submarine melting acts in concert with iceberg calving to cause tidewater glacier termini to be unstable on retrograde beds. The full impact of submarine melting on tidewater glacier stability remains uncertain, however, due to poor understanding of the coupling between submarine melting and iceberg calving.

Slowing down the retreat of the Morteratsch glacier, Switzerland, by artificially produced summer snow

NASA Astrophysics Data System (ADS)

Oerlemans, Johannes; Keller, Felix; Haag, Martin

2017-04-01

Many large valley glaciers in the world are retreating at historically unprecedented rates. Also in the Alps, where warming over the past decades has been more than twice as large as the global mean, all major glaciers have retreated over distances of several kilometers over the past hundred years. The Morteratsch Glacier, Pontresina, Switzerland, is a major touristic attraction. Due to strong retreat the lowest part of the glacier is getting out of sight from the gravel road that provided direct access to the glacier front. The Community of Pontresina has commissioned a preparatory study to find out if it is possible to slow down the retreat of the Morteratsch Glacier in an environmentally friendly way. In this article we report on the outcome of such a study, based on a modelling approach. Our analysis is based on a 20- year weather station record from the lower part of the glacier, combined with calculations with an ice flow model. This model has been carefully calibrated against the historical glacier length record, to ensure an optimal initial state for projections into the future. We arrive at the conclusion that producing summer snow in the ablation zone over a larger area (typically 0.5 to 1 km ^2) is the best option, and may have a significant effect on the rate of retreat on a timescale of decades. We consider three scenarios of climate change: (i) no change, (ii) a rise of the Equilibrium Line Altitude (ELA) by 1 m/yr, and (iii) a rise of the ELA by 2 m/yr. Projections of glacier length are done until the year 2100. It takes about 10 years before snow deposition in the higher ablation zone starts to affect the position of the glacier snout. The difference in glacier length between the snow and no-snow experiments becomes 400 to 500 m within two decades.

The health impact of residential retreats: a systematic review.

PubMed

Naidoo, Dhevaksha; Schembri, Adrian; Cohen, Marc

2018-01-10

Unhealthy lifestyles are a major factor in the development and exacerbation of many chronic diseases. Improving lifestyles though immersive residential experiences that promote healthy behaviours is a focus of the health retreat industry. This systematic review aims to identify and explore published studies on the health, wellbeing and economic impact of retreat experiences. MEDLINE, CINAHL and PsychINFO databases were searched for residential retreat studies in English published prior to February 2017. Studies were included if they were written in English, involved an intervention program in a residential setting of one or more nights, and included before-and-after data related to the health of participants. Studies that did not meet the above criteria or contained only descriptive data from interviews or case studies were excluded. A total of 23 studies including eight randomised controlled trials, six non-randomised controlled trials and nine longitudinal cohort studies met the inclusion criteria. These studies included a total of 2592 participants from diverse geographical and demographic populations and a great heterogeneity of outcome measures, with seven studies examining objective outcomes such as blood pressure or biological makers of disease, and 16 studies examining subjective outcomes that mostly involved self-reported questionnaires on psychological and spiritual measures. All studies reported post-retreat health benefits ranging from immediately after to five-years post-retreat. Study populations varied widely and most studies had small sample sizes, poorly described methodology and little follow-up data, and no studies reported on health economic outcomes or adverse effects, making it difficult to make definite conclusions about specific conditions, safety or return on investment. Health retreat experiences appear to have health benefits that include benefits for people with chronic diseases such as multiple sclerosis, various cancers, HIV

The writing retreat: a high-yield clinical faculty development opportunity in academic writing.

PubMed

Cable, Christian T; Boyer, Debra; Colbert, Colleen Y; Boyer, Edward W

2013-06-01

The need for consistent academic productivity challenges junior clinician-scholars, who often lack the aptitude to ensure efficient production of manuscripts. To solve this problem, an academic division of a major medical center developed an off-site writing retreat. The purpose of the retreat was not to teach writing skills, but to offer senior mentor assistance with a focus on the elements of manuscript writing. The retreat paired senior faculty members with junior staff. Senior faculty identified manuscript topics and provided real-time writing and editing supervision. Team-building exercises, midcourse corrections, and debriefing interviews were built into the retreat. The number of manuscripts and grant proposals generated during the 2008-2011 retreats was recorded, and the program was evaluated by using unstructured debriefing interviews. An average of 6 to 7 faculty members and fellows participated in each retreat. During the past 4 years, participants produced an average of 3 grant proposals and 7 manuscripts per retreat. After the writing retreat, each fellow and junior faculty member produced an average of 4 scholarly products per year, compared to fewer than 2 for prior years' retreats. Participant feedback indicated the success of the retreat resulted from protected time, direct mentorship by the scholars involved, and pairing of authors, which allows for rapid production of manuscripts and accelerated the editing process. More than 80% of mentors returned each year to participate. The writing retreat is a feasible, effective strategy to increase scholarship among faculty, acceptable to mentees and mentors, and sustainable over time.

Postoperative Pain after Endodontic Retreatment Using Rotary or Reciprocating Instruments: A Randomized Clinical Trial.

PubMed

Comparin, Daniel; Moreira, Edson Jorge Lima; Souza, Erick M; De-Deus, Gustavo; Arias, Ana; Silva, Emmanuel João Nogueira Leal

2017-07-01

The aim of this randomized clinical trial was to evaluate the influence of rotary or reciprocating retreatment techniques on the incidence, intensity, duration of postoperative pain, and medication intake. After power analysis calculations, 65 patients who needed endodontic retreatment were randomly assigned to 1 of 2 groups according to the instrumentation system used: Mtwo (VDW, Munich, Germany) or Reciproc (VDW). Retreatments were performed in a single visit by an endodontic specialist. Participants were asked to rate the incidence and intensity of the postoperative pain on a verbal rating scale 24, 48, and 72 hours after treatment. Patients were also asked to record the number of prescribed analgesic medication tablets (ibuprofen 400 mg) taken. A logistic regression analysis was used to assess both the incidence and duration of pain. Differences in the intensity of pain were analyzed using the ordinal (linear) chi-square test, and the Mann-Whitney U test was used to assess differences in the intake of analgesic medication between groups. No statistically significant difference was found among the 2 groups in relation to postoperative pain or analgesic medication intake at the 3 time points assessed (P > .05). Multivariate analysis showed a significantly higher incidence of pain after 24 hours when preoperative pain was present and a significantly longer duration of pain for men than women independently of the retreatment technique used. The reciprocating system and the continuous rotary system were found to be equivalent regarding the incidence, intensity, duration of postoperative pain, and intake of analgesic medication. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Self-Sustained Mode-3 Tear Controls Dynamics of Narrow Retreating Subduction Zones

NASA Astrophysics Data System (ADS)

Munch, J.; Gerya, T.; Ueda, K.

2017-12-01

The Caribbean oroclinal basin exhibits several narrow retreating slabs in an oceanic domain. The slabs show a curved shape associated to a bent topography (trench). We propose that the curvature of the topography depends on slab retreat mechanisms following mode-3 tearing at the edges of the slab (out of the plane fracture propagation). While first-order characteristics have been principally reproduced in self-sustained subduction initiation models (Gerya et al., 2015, Nature, 527, 221-225), the relevant observations have not been quantified and the exact mechanism is not understood. In this work, we study the long-term 3D evolution of narrowing oceanic subduction zones during retreat, and investigate the link between mode-3 tear and orocline formation. Numerical experiments are carried out with a thermo-mechanical 3D finite-difference code. To allow the observation of developing topography, the precise location of the internal surface and its evolution by material diffusion is tracked. Retreating subduction is facilitated via a strong age contrast between a young lithosphere window enclosed by shear zones and the surrounding lithosphere. By varying the length and thickness of the shear zones and location of the age transition, the influence of these parameters on the tearing process and the development of topography is assessed. Experiments trigger subduction initiation and slab retreat via fracture zone collapse and spontaneous paired mode-3 tear propagation within the oceanic plate interior. Narrow retreating subducting slabs form as a natural result of the spontaneous paired tearing process. A curved trench forms along with slab retreat. Topography evolution and tearing trajectory appear to be dependent on the initial shear zones and young window dimensions. We also note a strong narrowing of the slab during the retreat (several tens of kilometers over 800 km of retreat). Overall, results indicate that narrowing of retreating slabs is a self

Spiral computed tomography assessment of the efficacy of different rotary versus hand retreatment system.

PubMed

Mittal, Neelam; Jain, Jyoti

2014-01-01

The purpose of this study was to evaluate the efficacy of nickel-titanium rotary retreatment systems versus stainless steel hand retreatment system with or without solvent for gutta-percha removal during retreatment. Sixty extracted human mandibular molar teeth with single canal in a distal root was prepared with ProTaper rotary nickel-titanium files and obturated with gutta-percha and sealer. The teeth were randomly divided into six groups of 10 specimens in each groups. The volume of filling material before and after retreatment were evaluated in cm(3) using the computed tomography (CT) scanner proprietary software. Maximum amount of filling material removed during retreatment with ProTaper retreatment system with solvent and minimum with hand retreatment system with solvent. None of the technique was 100% effective in removing the filling materials, but the ProTaper retreatment system with solvent was better.

The Timing of Arctic Sea Ice Advance and Retreat as an Indicator of Ice-Dependent Marine Mammal Habitat

NASA Astrophysics Data System (ADS)

Stern, H. L.; Laidre, K. L.

2013-12-01

The Arctic is widely recognized as the front line of climate change. Arctic air temperature is rising at twice the global average rate, and the sea-ice cover is shrinking and thinning, with total disappearance of summer sea ice projected to occur in a matter of decades. Arctic marine mammals such as polar bears, seals, walruses, belugas, narwhals, and bowhead whales depend on the sea-ice cover as an integral part of their existence. While the downward trend in sea-ice extent in a given month is an often-used metric for quantifying physical changes in the ice cover, it is not the most relevant measure for characterizing changes in the sea-ice habitat of marine mammals. Species that depend on sea ice are behaviorally tied to the annual retreat of sea ice in the spring and advance in the fall. Changes in the timing of the spring retreat and the fall advance are more relevant to Arctic marine species than changes in the areal sea-ice coverage in a particular month of the year. Many ecologically important regions of the Arctic are essentially ice-covered in winter and ice-free in summer, and will probably remain so for a long time into the future. But the dates of sea-ice retreat in spring and advance in fall are key indicators of climate change for ice-dependent marine mammals. We use daily sea-ice concentration data derived from satellite passive microwave sensors to calculate the dates of sea-ice retreat in spring and advance in fall in 12 regions of the Arctic for each year from 1979 through 2013. The regions include the peripheral seas around the Arctic Ocean (Beaufort, Chukchi, East Siberian, Laptev, Kara, Barents), the Canadian Arctic Archipelago, and the marginal seas (Okhotsk, Bering, East Greenland, Baffin Bay, Hudson Bay). We find that in 11 of the 12 regions (all except the Bering Sea), sea ice is retreating earlier in spring and advancing later in fall. Rates of spring retreat range from -5 to -8 days/decade, and rates of fall advance range from +5 to +9

Efficacy of Different Nickel-Titanium Instruments in Removing Gutta-percha during Root Canal Retreatment.

PubMed

Özyürek, Taha; Demiryürek, Ebru Özsezer

2016-04-01

The aim of this study was to compare the cleanliness of root canal walls after retreatment using ProTaper Next (PTN; Dentsply Maillefer, Ballaigues, Switzerland), Twisted File Adaptive (TFA; Axis/SybronEndo, Orange, CA), Reciproc (PRC; VDW, Munich, Germany), and ProTaper Universal retreatment (PTR, Dentsply Maillefer) nickel-titanium systems and the time required for gutta-percha and sealer removal. Eighty human maxillary central incisors with single and straight root canals were instrumented up to #40.02 with manual K-files (Dentsply Maillefer) and obturated using the continuous wave of condensation technique. Removal of the gutta-percha and sealer was performed using 1 of the following nickel-titanium systems: PTN, TFA, RPC, or PTR. The teeth were sectioned, and digital images were captured. The photographs were analyzed using AutoCAD software (Autodesk, San Rafael, CA). Also, the total time required for gutta-percha removal was calculated by a chronometer. The total retreatment time was significantly shorter in the PTR group compared with the other groups (P < .05). There was a significant difference between the groups according to the total residual gutta-percha and sealer (P < .05). The PTN and PTR groups left significantly less gutta-percha and sealer remnant than the TFA and RPC groups (P < .05). Within the limitations of this study, the PTN and the PTR groups showed less residual gutta-percha and sealer than the TFA and RPC groups. The time required for gutta-percha and sealer removal was similar for all the groups, except for the PTR group. Copyright © 2016 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Improved age constraints for the retreat of the Irish Sea Ice Stream

NASA Astrophysics Data System (ADS)

Smedley, Rachel; Chiverrell, Richard; Duller, Geoff; Scourse, James; Small, David; Fabel, Derek; Burke, Matthew; Clarke, Chris; McCarroll, Danny; McCarron, Stephen; O'Cofaigh, Colm; Roberts, David

2016-04-01

BRITICE-CHRONO is a large (> 45 researchers) consortium project working to provide an extensive geochronological dataset constraining the rate of retreat of a number of ice streams of the British-Irish Ice Sheet following the Last Glacial Maximum. When complete, the large empirical dataset produced by BRITICE-CHRONO will be integrated into model simulations to better understand the behaviour of the British-Irish Ice Sheet in response to past climate change, and provide an analogue for contemporary ice sheets. A major feature of the British-Irish Ice Sheet was the dynamic Irish Sea Ice Stream, which drained a large proportion of the ice sheet and extended to the proposed southern limit of glaciation upon the Isles of Scilly (Scourse, 1991). This study will focus on a large suite of terrestrial samples that were collected along a transect of the Irish Sea basin, covering the line of ice retreat from the Isles of Scilly (50°N) in the south, to the Isle of Man (54°N) in the north; a distance of 500 km. Ages are determined for both the eastern and western margins of the Irish Sea using single-grain luminescence dating (39 samples) and terrestrial cosmogenic nuclide dating (10 samples). A Bayesian sequence model is then used in combination with the prior information determined for deglaciation to integrate the geochronological datasets, and assess retreat rates for the Irish Sea Ice Stream. Scourse, J.D., 1991. Late Pleistocene stratigraphy and palaeobotany of the Isles of Scilly. Philosophical Transactions of the Royal Society of London B334, 405 - 448.

Efficacy of ProTaper retreatment system in root canals filled with gutta-percha and two endodontic sealers.

PubMed

Só, Marcus Vinícius Reis; Saran, Caroline; Magro, Miriam Lago; Vier-Pelisser, Fabiana Vieira; Munhoz, Marcelo

2008-10-01

This study evaluated the efficacy of ProTaper Universal rotary retreatment system and hand files for filling material removal during retreatment and the influence of sealer type on the presence of filling debris in the reinstrumented canals. The canals of 60 palatal roots of first molars were obturated with gutta-percha and either a zinc oxide-eugenol-based or a resin-based sealer and reinstrumented: G1, EndoFill/hand files; G2, AH Plus/hand files; G3, EndoFill/ProTaper; G4, AH Plus/ProTaper. Roots were cleaved and examined with an optical microscope, and the amount of filling debris on canal walls was analyzed on digitized images. There was no significant difference (P > .05) among the root canal thirds within each group. G3 presented significantly more filling debris than G1 in the cervical third (P = .04). In the middle third, G2/G3/G4 showed more debris than G1 (P = .03). The techniques were similar (P = .64) in the apical third. All groups presented filling debris in the 3 canal thirds after reinstrumentation.

USEPA PATHOGEN EQUIVALENCY COMMITTEE RETREAT

EPA Science Inventory

The Pathogen Equivalency Committee held its retreat from September 20-21, 2005 at Hueston Woods State Park in College Corner, Ohio. This presentation will update the PEC’s membership on emerging pathogens, analytical methods, disinfection techniques, risk analysis, preparat...

Comparative Evaluation of Stress developed on Rotary Retreatment Instruments during Retrieval of Gutta-percha.

PubMed

Sihivahanan, Dhanasekaran; Reddy, T Vinay Kumar; Thomas, Anchu Rachel; Senthilnathan, Natarajan; Sivakumar, Murali; Shivanna, Sushmita

2017-06-01

The aim of the study is to compare the maximum stress distribution on the rotary retreatment instruments within the root canal at cervical, middle, and the apical one-third during retreatment of gutta-percha. A human mandibular premolar was scanned, and three-dimensional geometry of the root was reconstructed using finite element analysis (FEA) software package (ANSYS). The basic model was kept unchanged; tooth models were created using the same dimensions and divided into two groups as follows: Group I: ProTaper Universal retreatment system and group II: Mtwo rotary retreatment system. The stress distribution on the surface and within the retreatment files was analyzed numerically in the FEA package (ANSYS). The FEA analysis revealed that the retreatment instruments received the greatest stress in the cervical third, followed by the apical third and the middle third. The stress generated on the ProTaper Universal retreatment system was less when compared with the Mtwo retreatment files. The study concludes that the retreatment instruments undergo higher stress in the cervical third region, and further in vivo and in vitro studies are necessary to evaluate the relationship between instrument designs, stress distribution, residual stresses after use, and the torsional fracture of the retreatment instrument. The stress developed on the rotary retreatment instruments during retrieval of gutta-percha makes the instrument to get separated. There is no instrument system, i.e., suitable for all clinical situations and it is important to understand how the structural characteristics could influence the magnitude of stresses on the instrument to prevent its fracture in use.

Retreatment of patients with treatment failure of direct-acting antivirals: Focus on hepatitis C virus genotype 1b.

PubMed

Kanda, Tatsuo; Nirei, Kazushige; Matsumoto, Naoki; Higuchi, Teruhisa; Nakamura, Hitomi; Yamagami, Hiroaki; Matsuoka, Shunichi; Moriyama, Mitsuhiko

2017-12-14

The recent development of direct-acting antiviral agents (DAAs) against hepatitis C virus (HCV) infection could lead to higher sustained virological response (SVR) rates, with shorter treatment durations and fewer adverse events compared with regimens that include interferon. However, a relatively small proportion of patients cannot achieve SVR in the first treatment, including DAAs with or without peginterferon and/or ribavirin. Although retreatment with a combination of DAAs should be conducted for these patients, it is more difficult to achieve SVR when retreating these patients because of resistance-associated substitutions (RASs) or treatment-emergent substitutions. In Japan, HCV genotype 1b (GT1b) is founded in 70% of HCV-infected individuals. In this minireview, we summarize the retreatment regimens and their SVR rates for HCV GT1b. It is important to avoid drugs that target the regions targeted by initial drugs, but next-generation combinations of DAAs, such as sofosbuvir/velpatasvir/voxilaprevir for 12 wk or glecaprevir/pibrentasvir for 12 wk, are proposed to be potential solution for the HCV GT1b-infected patients with treatment failure, mainly on a basis of targeting distinctive regions. Clinicians should follow the new information and resources for DAAs and select the proper combination of DAAs for the retreatment of HCV GT1b-infected patients with treatment failure.

Linking Backbarrier Lacustrine Stratigraphy with Spatial Dynamics of Shoreline Retreat in a Rapidly Subsiding Region of the Mississippi River Delta

NASA Astrophysics Data System (ADS)

Dietz, M.; Liu, K. B.; Bianchette, T. A.; Yao, Q.

2017-12-01

The shoreline along the northern Gulf of Mexico is rapidly retreating as coastal features of abandoned Mississippi River delta complexes erode and subside. Bay Champagne is located in the Caminada-Moreau headland, a region of shoreline west of the currently active delta that has one of the highest rates of retreat and land loss. As a result, this site has transitioned from a stable, circular inland lake several kilometers from the shore to a frequently perturbed, semi-circular backbarrier lagoon, making it ideal to study the environmental effects of progressive land loss. Analyses of clastic layers in a series of sediment cores collected at this site over the past decade indicate the lake was less perturbed in the past and has become increasingly more sensitive to marine incursion events caused by tropical cyclones. Geochemical and pollen analyses of these cores also reveal profound changes in environmental and chemical conditions in Bay Champagne over the past century as the shoreline has retreated. Through relating stratigraphy to spatial changes observed from satellite imagery, this study attempts to identify the tipping point at which Bay Champagne began the transition from an inland lake to a backbarrier environment, and to determine the rate at which this transition occurred. Results will be used to develop a model of the environmental transition experienced by a rapidly retreating coastline and to predict how other regions of the Mississippi River deltaic system could respond to future shoreline retreat.

Loitering of the retreating sea ice edge in the Arctic Seas.

PubMed

Steele, Michael; Ermold, Wendy

2015-12-01

Each year, the arctic sea ice edge retreats from its winter maximum extent through the Seasonal Ice Zone (SIZ) to its summer minimum extent. On some days, this retreat happens at a rapid pace, while on other days, parts of the pan-arctic ice edge hardly move for periods of days up to 1.5 weeks. We term this stationary behavior "ice edge loitering," and identify areas that are more prone to loitering than others. Generally, about 20-25% of the SIZ area experiences loitering, most often only one time at any one location during the retreat season, but sometimes two or more times. The main mechanism controlling loitering is an interaction between surface winds and warm sea surface temperatures in areas from which the ice has already retreated. When retreat happens early enough to allow atmospheric warming of this open water, winds that force ice floes into this water cause melting. Thus, while individual ice floes are moving, the ice edge as a whole appears to loiter. The time scale of loitering is then naturally tied to the synoptic time scale of wind forcing. Perhaps surprisingly, the area of loitering in the arctic seas has not changed over the past 25 years, even as the SIZ area has grown. This is because rapid ice retreat happens most commonly late in the summer, when atmospheric warming of open water is weak. We speculate that loitering may have profound effects on both physical and biological conditions at the ice edge during the retreat season.

The Adult Religious Retreat and the Higher Learning: Theory, Design, and Evaluation.

ERIC Educational Resources Information Center

Counelis, James Steve

This paper presents a case study of a Christian retreat held by the Federation of Greek Orthodox Choirs of the Western States of the Diocese of San Francisco (California), March 14-06, 1986 at St. Nicholas Ranch and Retreat Center, Squaw Valley, California. The religious retreat is defined as a short-term, intensive educational program designed to…

An assessment for the erosion rate of DEMO first wall

NASA Astrophysics Data System (ADS)

Tokar, M. Z.

2018-01-01

In a fusion reactor a significant fraction of plasma particles lost from the confined volume will reach the vessel wall. The recombination of these charged species, electrons and ions of hydrogen isotopes, is a source of neutral molecules and atoms, recycling back into the plasma. Here they participate, in particular, in charge-exchange (c-x) collisions with the plasma ions and, as a result, atoms of high energies with chaotically oriented velocities are generated. A significant fraction of these hot neutrals will hit the wall, leading, as well as the outflowing fuel and impurity ions, to its erosion, limiting the reactor operation time. The rate of the wall erosion in DEMO is assessed by applying a one-dimensional model which takes into account the transport of charged and neutral species across the flux surfaces in the main part of the scrape-off layer, beyond the X-point vicinity and divertor, and by considering the shift of the centers of flux surfaces, their elongation and triangularity. Atoms generated by c-x of recycling neutrals are modeled kinetically to define firmly their energy spectrum, being of particular importance for the erosion assessment. It is demonstrated the erosion rate of the DEMO wall armor of tungsten will have a pronounced ballooning character with a significant maximum of 0.3 mm per full power year at the low field side, decreasing with an increase in the anomalous perpendicular transport in the ‘far’ SOL or the plasma density at the separatrix.

Managed Retreat: A Global Analysis of Drivers, Barriers, and Outcomes

NASA Astrophysics Data System (ADS)

Hino, M.; Mach, K. J.; Field, C. B.

2016-12-01

Managed retreat is the strategic relocation of structures or abandonment of land to reduce natural hazard risk. Although managed retreat is a potentially important climate change adaptation option, it has not yet been deployed or studied as extensively as traditional protection or accommodation measures such as levees and beach nourishment. Its application faces numerous social and legal challenges that complicate its integration into a risk-management portfolio. However, a deeper understanding of its potential future use is urgently needed given the projected scope of climate-induced displacement in the coming decades. We evaluate the drivers, barriers, and outcomes of 27 recent cases of managed retreat that have resettled 1.6-2.7 million people. The examples originate in 19 countries, occur in pre- and post-disaster settings, and address flooding, erosion, earthquakes, and tsunamis. A model based on two key factors—who benefits from retreat and who initiates it—organizes the diverse set of cases into four quadrants and provides a structure for deeper analysis of case-specific complexities. Different sociopolitical features, such as the distribution of power, strength of governance, and attachment to place, emerge as particularly influential in each quadrant. The model acts as a point of departure for unpacking these complexities. By integrating these wide-ranging examples, the model enables a broader understanding of the landscape of managed retreat and the underlying social dynamics. It provides insight on how such dimensions can be incorporated into decision-making in a changing climate, advancing consideration and potential implementation of retreat.

Do Wellness Tourists Get Well? An Observational Study of Multiple Dimensions of Health and Well-Being After a Week-Long Retreat

PubMed Central

Elliott, Fiona; Oates, Liza; Schembri, Adrian; Mantri, Nitin

2017-01-01

Abstract Background: Wellness retreats use many complementary and alternative therapies within a holistic residential setting, yet few studies have evaluated the effect of retreat experiences on multiple dimensions of health and well-being, and no published studies have reported health outcomes in wellness tourists. Objectives: To assess the effect of a week-long wellness-retreat experience in wellness tourists. Design: A longitudinal observational study with outcomes assessed upon arrival and departure and 6 weeks after the retreat. Setting: A rural health retreat in Queensland, Australia. Interventions: A holistic, 1-week, residential, retreat experience that included many educational, therapeutic, and leisure activities and an organic, mostly plant-based diet. Outcome measures: Multiple outcome measures were performed upon arrival and departure and 6 weeks after the retreat. These included anthropometric measures, urinary pesticide metabolites, a food and health symptom questionnaire, the Five Factor Wellness Inventory, the General Self Efficacy questionnaire, the Pittsburgh Insomnia Rating Scale, the Depression Anxiety Stress Scale, the Profile of Mood States, and the Cogstate cognitive function test battery. Results: Statistically significant improvements (p < 0.05) were seen in almost all measures (n = 37) after 1 week and were sustained at 6 weeks (n = 17). There were statistically significant improvements (p < 0.001) in all anthropometric measures after 1 week, with reductions in abdominal girth (2.7 cm), weight (1.6 kg), and average systolic and diastolic pressure (−16.1 mmHg and −9.3 mmHg, respectively). Statistically significant improvements (p < 0.05) were also seen in psychological and health symptom measures. Urinary pesticide metabolites were detected in pooled urine samples before the retreat and were undetectable after the retreat. Conclusion: Retreat experiences can lead to substantial improvements in multiple

Do Wellness Tourists Get Well? An Observational Study of Multiple Dimensions of Health and Well-Being After a Week-Long Retreat.

PubMed

Cohen, Marc M; Elliott, Fiona; Oates, Liza; Schembri, Adrian; Mantri, Nitin

2017-02-01

Wellness retreats use many complementary and alternative therapies within a holistic residential setting, yet few studies have evaluated the effect of retreat experiences on multiple dimensions of health and well-being, and no published studies have reported health outcomes in wellness tourists. To assess the effect of a week-long wellness-retreat experience in wellness tourists. A longitudinal observational study with outcomes assessed upon arrival and departure and 6 weeks after the retreat. A rural health retreat in Queensland, Australia. A holistic, 1-week, residential, retreat experience that included many educational, therapeutic, and leisure activities and an organic, mostly plant-based diet. Multiple outcome measures were performed upon arrival and departure and 6 weeks after the retreat. These included anthropometric measures, urinary pesticide metabolites, a food and health symptom questionnaire, the Five Factor Wellness Inventory, the General Self Efficacy questionnaire, the Pittsburgh Insomnia Rating Scale, the Depression Anxiety Stress Scale, the Profile of Mood States, and the Cogstate cognitive function test battery. Statistically significant improvements (p < 0.05) were seen in almost all measures (n = 37) after 1 week and were sustained at 6 weeks (n = 17). There were statistically significant improvements (p < 0.001) in all anthropometric measures after 1 week, with reductions in abdominal girth (2.7 cm), weight (1.6 kg), and average systolic and diastolic pressure (-16.1 mmHg and -9.3 mmHg, respectively). Statistically significant improvements (p < 0.05) were also seen in psychological and health symptom measures. Urinary pesticide metabolites were detected in pooled urine samples before the retreat and were undetectable after the retreat. Retreat experiences can lead to substantial improvements in multiple dimensions of health and well-being that are maintained for 6 weeks. Further research that includes objective

Wastewater retreatment and reuse system for agricultural irrigation in rural villages.

PubMed

Kim, Minyoung; Lee, Hyejin; Kim, Minkyeong; Kang, Donghyeon; Kim, Dongeok; Kim, YoungJin; Lee, Sangbong

2014-01-01

Climate changes and continuous population growth increase water demands that will not be met by traditional water resources, like surface and ground water. To handle increased water demand, treated municipal wastewater is offered to farmers for agricultural irrigation. This study aimed to enhance the effluent quality from worn-out sewage treatment facilities in rural villages, retreat effluent to meet water quality criteria for irrigation, and assess any health-related and environmental impacts from using retreated wastewater irrigation on crops and in soil. We developed the compact wastewater retreatment and reuse system (WRRS), equipped with filters, ultraviolet light, and bubble elements. A pilot greenhouse experiment was conducted to evaluate lettuce growth patterns and quantify the heavy metal concentration and pathogenic microorganisms on lettuce and in soil after irrigating with tap water, treated wastewater, and WRRS retreated wastewater. The purification performance of each WRRS component was also assessed. The study findings revealed that existing worn-out sewage treatment facilities in rural villages could meet the water quality criteria for treated effluent and also reuse retreated wastewater for crop growth and other miscellaneous agricultural purposes.

Rituximab Retreatment in Rheumatoid Arthritis in a Real-life Cohort: Data from the CERERRA Collaboration.

PubMed

Chatzidionysiou, Katerina; Lie, Elisabeth; Lukina, Galina; Hetland, Merete L; Hauge, Ellen-Margrethe; Pavelka, Karel; Gabay, Cem; Scherer, Almut; Nordström, Dan; Canhao, Helena; Santos, Maria José; Tomsic, Matija; Rotar, Ziga; Hernández, M Victoria; Gomez-Reino, Juan; Ancuta, Ioan; Kvien, Tore K; van Vollenhoven, Ronald

2017-02-01

Several aspects of rituximab (RTX) retreatment in rheumatoid arthritis (RA) need to be further elucidated. The aim of this study was to describe the effect of repeated courses of RTX on disease activity and to compare 2 retreatment strategies, fixed-interval versus on-flare retreatment, in a large international, observational, collaborative study. In the first analysis, patients with RA who received at least 4 cycles with RTX were included. In the second analysis, patients who received at least 1 RTX retreatment and for whom information about the strategy for retreatment was available were identified. Two retreatment strategies (fixed-interval vs on-flare) were compared by fitting-adjusted, mixed-effects models of 28-joint Disease Activity Score (DAS28) over time for first and second retreatment. A total of 1530 patients met the eligibility criteria for the first analysis. Significant reductions of mean DAS28 between the starts of subsequent treatment cycles were observed (at start of first treatment cycle: 5.5; second: 4.3; third: 3.8; and fourth: 3.5), suggesting improved response after each additional cycle (p < 0.0001 for all pairwise comparisons). A total of 800 patients qualified for the second analysis: 616 were retreated on flare and 184 at fixed interval. For the first retreatment, the fixed-interval retreatment group yielded significantly better results than the on-flare group (estimated marginal mean DAS28 = 3.8, 95% CI 3.6-4.1 vs 4.6, 95% CI 4.5-4.7, p < 0.0001). Similar results were found for the second retreatment. Repeated treatment with RTX leads to further clinical improvement after the first course of RTX. A fixed-interval retreatment strategy seems to be more effective than on-flare retreatment.

A Century of Retreat at Portage Glacier, South-Central Alaska

USGS Publications Warehouse

Kennedy, Ben W.; Trabant, Dennis C.; Mayo, Lawrence R.

2006-01-01

Introduction: The Portage Glacier, in south-central Alaska, is viewed by thousands of visitors annually who come to the U.S. Forest Service Begich, Boggs Visitor Center located on the road system between Anchorage and Whittier, Alaska. During the past century, the terminus of the glacier has retreated nearly 5 kilometers to its present location (fig. 1). Like other glaciers that terminate in water, such as Columbia Glacier near Valdez or Mendenhall Glacier near Juneau, Portage Glacier has experienced accelerated retreats in recent decades that likely were initially triggered by climate change begun at the end of the Little Ice Age in the mid-1800s and subsequently controlled in recent history primarily by calving of the glacier terminus. Photographic records of the terminus covering 1914 until present day track the patterns of retreat. These data, coupled with USGS climate information collected from the southern end of the ice field, provide insight to the patterns of retreat that might be observed in the future.

Exploring the cliff retreat response to base level change using SFM photogrammetry and cosmogenic 36Cl, Coal Cliffs, Utah, USA

NASA Astrophysics Data System (ADS)

Sheehan, C.; Ward, D.

2015-12-01

The retreat of cliffbands is an important erosional process within the relatively undeformed sedimentary layers of the Colorado Plateau. Many iconic cliff landforms, including those of Monument Valley and Grand Canyon, are maintained by the interaction of these different rock types. A several kilometer thickness of incised sandstone and shale formations allow this region to act as a natural laboratory for studying the effects of variable lithologies on landscape evolution. Cliffband morphology and retreat on the plateau are controlled by several factors that may vary over time and space, including lithology, rate and distribution of rockfall debris, bedrock structure, baselevel, and climate. The relative importance of each factor in setting rates of cliff retreat are not entirely clear. Because regional headwaters are commonly sourced at cliff bases, these landforms are often the final and slowest areas to respond to baselevel changes, allowing rockfall and other local stochastic processes to overwhelm the erosional response to a baselevel forcing. The roles of these processes are difficult to assess because very few measurements of retreat rates over geomorphic timescales (103-106 years) have been produced, and thus changes in cliffband position through time have only been constrained by inferences made from the regional erosional history. Here, we control for climate and rock type by focusing on a continuous, 40-kilometer section of the lithologically consistent Coal Cliffs in Emery County, Utah. This area presents several natural experiments illustrating cliffband response to different forcings, including relict surfaces reflecting a baselevel change, drainage divides across which the adjustment to base level change may be asynchronous, a zone wherein the caprock layer has been removed by backscarp erosion, and a generally continuous gradient in cliff height from 50 to >200 meters along the cliffline. We employ terrestrial Cl36 exposure dating on terraces, talus

Sedimentology and chronology of the advance and retreat of the last British-Irish Ice Sheet on the continental shelf west of Ireland

NASA Astrophysics Data System (ADS)

Peters, Jared L.; Benetti, Sara; Dunlop, Paul; Ó Cofaigh, Colm; Moreton, Steven G.; Wheeler, Andrew J.; Clark, Christopher D.

2016-05-01

The last British-Irish Ice Sheet (BIIS) had extensive marine-terminating margins and was drained by multiple large ice streams and is thus a useful analogue for marine-based areas of modern ice sheets. However, despite recent advances from investigating the offshore record of the BIIS, the dynamic history of its marine margins, which would have been sensitive to external forcing(s), remain inadequately understood. This study is the first reconstruction of the retreat dynamics and chronology of the western, marine-terminating, margin of the last (Late Midlandian) BIIS. Analyses of shelf geomorphology and core sedimentology and chronology enable a reconstruction of the Late Midlandian history of the BIIS west of Ireland, from initial advance to final retreat onshore. Five AMS radiocarbon dates from marine cores constrain the timing of retreat and associated readvances during deglaciation. The BIIS advanced without streaming or surging, depositing a bed of highly consolidated subglacial traction till, and reached to within ∼20 km of the shelf break by ∼24,000 Cal BP. Ice margin retreat was likely preceded by thinning, grounding zone retreat and ice shelf formation on the outer shelf by ∼22,000 Cal BP. This ice shelf persisted for ≤2500 years, while retreating at a minimum rate of ∼24 m/yr and buttressing a >150-km long, 20-km wide, bathymetrically-controlled grounding zone. A large (∼150 km long), arcuate, flat-topped grounding-zone wedge, termed here the Galway Lobe Grounding-Zone Wedge (GLGZW), was deposited below this ice shelf and records a significant stillstand in BIIS retreat. Geomorphic relationships indicate that the BIIS experienced continued thinning during its retreat across the shelf, which led to increased topographic influence on its flow dynamics following ice shelf break up and grounding zone retreat past the GLGZW. At this stage of retreat the western BIIS was comprised of several discrete, asynchronous lobes that underwent several

Nile Delta exhibited a spatial reversal in the rates of shoreline retreat on the Rosetta promontory comparing pre- and post-beach protection

NASA Astrophysics Data System (ADS)

Ghoneim, Eman; Mashaly, Jehan; Gamble, Douglas; Halls, Joanne; AbuBakr, Mostafa

2015-01-01

The coastline of the Nile Delta experienced accelerated erosion since the construction of the Aswan High Dam in 1964 and, consequently, the entrapment of a large amount of river sediments behind it. The coastline of the Rosetta promontory showed the highest erosion in the Delta with an average retreat rate of 137.4 m year- 1. In 1991, in an effort to mitigate sediment loss, a 4.85 km long seawall was built on the outer margin of the promontory. For additional beach protection, 15 groins were constructed along the eastern and western sides of the seawall in 2003 and 2005. To quantify erosion and accretion patterns along the Rosetta promontory, 11 Landsat images acquired at unequal intervals during a 40 year time span (1972 and 2012) were analyzed. The positions of shorelines were automatically extracted from satellite imagery and compared with three very high resolution QuickBird and WorldView2 images for data validation. Analysis of the rates of shoreline change revealed that the construction of the seawall was largely successful in halting the recession along the tip of the promontory, which lost 10.8 km2 prior to coastal protection. Conversely, the construction of the 15 groins has negatively affected the coastal morphology of the promontory and caused a reversal from accretion to fast erosion along the promontory leeside, where some segments of the shoreline have undergone as much as 30.8 m year- 1 of erosion. Without hard structures, the tip of the Rosetta promontory would have retreated 2.3 km by 2013 and lost 7.2 km2 of land. About 10% of this land is deltaic fertile cultivated farms. Moreover, without additional protection the sides of the promontory will lose about 1.3 km2 of land and the coastline would recede at an average rate of 200 m by 2020. Unless action is taken, coastal erosion, enhanced by rising sea level, will steadily eat away the Nile Delta at an alarming rate. The successful demonstration of the advocated procedures in this study could be

Risk factors for tuberculosis treatment failure, default, or relapse and outcomes of retreatment in Morocco

PubMed Central

2011-01-01

Background Patients with tuberculosis require retreatment if they fail or default from initial treatment or if they relapse following initial treatment success. Outcomes among patients receiving a standard World Health Organization Category II retreatment regimen are suboptimal, resulting in increased risk of morbidity, drug resistance, and transmission.. In this study, we evaluated the risk factors for initial treatment failure, default, or early relapse leading to the need for tuberculosis retreatment in Morocco. We also assessed retreatment outcomes and drug susceptibility testing use for retreatment patients in urban centers in Morocco, where tuberculosis incidence is stubbornly high. Methods Patients with smear- or culture-positive pulmonary tuberculosis presenting for retreatment were identified using clinic registries in nine urban public clinics in Morocco. Demographic and outcomes data were collected from clinical charts and reference laboratories. To identify factors that had put these individuals at risk for failure, default, or early relapse in the first place, initial treatment records were also abstracted (if retreatment began within two years of initial treatment), and patient characteristics were compared with controls who successfully completed initial treatment without early relapse. Results 291 patients presenting for retreatment were included; 93% received a standard Category II regimen. Retreatment was successful in 74% of relapse patients, 48% of failure patients, and 41% of default patients. 25% of retreatment patients defaulted, higher than previous estimates. Retreatment failure was most common among patients who had failed initial treatment (24%), and default from retreatment was most frequent among patients with initial treatment default (57%). Drug susceptibility testing was performed in only 10% of retreatment patients. Independent risk factors for failure, default, or early relapse after initial treatment included male gender (aOR = 2

Risk factors for tuberculosis treatment failure, default, or relapse and outcomes of retreatment in Morocco.

PubMed

Dooley, Kelly E; Lahlou, Ouafae; Ghali, Iraqi; Knudsen, Janine; Elmessaoudi, My Driss; Cherkaoui, Imad; El Aouad, Rajae

2011-02-28

Patients with tuberculosis require retreatment if they fail or default from initial treatment or if they relapse following initial treatment success. Outcomes among patients receiving a standard World Health Organization Category II retreatment regimen are suboptimal, resulting in increased risk of morbidity, drug resistance, and transmission.. In this study, we evaluated the risk factors for initial treatment failure, default, or early relapse leading to the need for tuberculosis retreatment in Morocco. We also assessed retreatment outcomes and drug susceptibility testing use for retreatment patients in urban centers in Morocco, where tuberculosis incidence is stubbornly high. Patients with smear- or culture-positive pulmonary tuberculosis presenting for retreatment were identified using clinic registries in nine urban public clinics in Morocco. Demographic and outcomes data were collected from clinical charts and reference laboratories. To identify factors that had put these individuals at risk for failure, default, or early relapse in the first place, initial treatment records were also abstracted (if retreatment began within two years of initial treatment), and patient characteristics were compared with controls who successfully completed initial treatment without early relapse. 291 patients presenting for retreatment were included; 93% received a standard Category II regimen. Retreatment was successful in 74% of relapse patients, 48% of failure patients, and 41% of default patients. 25% of retreatment patients defaulted, higher than previous estimates. Retreatment failure was most common among patients who had failed initial treatment (24%), and default from retreatment was most frequent among patients with initial treatment default (57%). Drug susceptibility testing was performed in only 10% of retreatment patients. Independent risk factors for failure, default, or early relapse after initial treatment included male gender (aOR = 2.29, 95% CI 1

Goldmann tonometry after hyperopic laser in situ keratomileusis: comparison between retreated and nonretreated patients.

PubMed

Sanchis-Gimeno, Juan A; Lleó-Pérez, Antonio; Rahhal, Saleh M; Alonso, Luis

2004-10-01

To identify differences in applanation tonometry between retreated and nonretreated eyes (primary LASIK eyes) 6 months after hyperopic laser in situ keratomileusis. In a prospective study 100 eyes (100 patients) underwent conventional hyperopic laser in situ keratomileusis under a 160-microm flap. Central Goldmann applanation tonometry was determined before and 6 months after surgery in 78 (78%) primary LASIK eyes and before surgery and 6 months after the retreatment date in 22 (22%) retreated eyes. Preoperative mean tonometry was 14.96 +/- 1.96 mm Hg and 15.30 +/- 1.95 mm Hg in primary LASIK and retreated eyes, respectively. Six months after surgery it was 12.99 +/- 2.03 mm Hg (P < 0.001) and 12.67 +/- 2.20 mm Hg (P < 0.001), respectively. No significant differences in mean tonometry were found between retreated and primary LASIK eyes 6 months after surgery (P = 0.537). Decreased tonometric values were found in 20 retreated eyes (90.91%) and in 62 primary LASIK eyes (79.48%). Increased tonometric values higher than 1 mm Hg were found in 3 primary LASIK eyes (3.84%), but no retreated eyes showed increased values 6 months after surgery. Two retreated eyes (9.09%) and 10 primary LASIK eyes (79.49%) presented the same tonometric values before surgery and at the end of the study. After hyperopic laser in situ keratomileusis there was no significant difference in Goldmann applanation tonometry between retreated and primary LASIK eyes.

Ipilimumab retreatment in patients with pretreated advanced melanoma: the expanded access programme in Italy

PubMed Central

Chiarion-Sileni, V; Pigozzo, J; Ascierto, P A; Simeone, E; Maio, M; Calabrò, L; Marchetti, P; De Galitiis, F; Testori, A; Ferrucci, P F; Queirolo, P; Spagnolo, F; Quaglino, P; Carnevale Schianca, F; Mandalà, M; Di Guardo, L; Del Vecchio, M

2014-01-01

Background: Retreatment with ipilimumab has been shown to re-establish disease control in some patients with disease progression. Here, we report the efficacy and safety of retreatment with ipilimumab 3 mg kg−1 among patients participating in an expanded access programme in Italy. Methods: Patients who achieved disease control during induction therapy were retreated with ipilimumab upon progression (3 mg kg−1 every 3 weeks for up to four doses), providing they had not experienced toxicity that precluded further dosing. Tumour assessments were conducted after retreatment, and patients were monitored throughout for adverse events. Results: Of 855 patients treated with ipilimumab, 51 were retreated upon disease progression. Of these, 28 (55%) regained disease control upon retreatment and 42% were alive 2 years after the first induction dose of ipilimumab; median overall survival was 21 months. Eleven patients (22%) had a treatment-related adverse event of any grade during retreatment. These were generally mild-to-moderate and resolved within a median of 4 days. No new types of toxicity were reported. Conclusions: For patients who meet predefined criteria, retreatment with ipilimumab is generally well tolerated and can translate into clinical benefit. This strategy should be compared with other therapeutic options in randomised controlled trials. PMID:24619072

Bathymetry and retreat of Southeast Greenland glaciers from Operation IceBridge and Ocean Melting Greenland data

NASA Astrophysics Data System (ADS)

Millan, R.; Rignot, E. J.; Morlighem, M.; Bjork, A. A.; Mouginot, J.; Wood, M.

2017-12-01

Southeast Greenland has been one of the largest contributors to ice mass loss in Greenland in part because of significant changes in glacier dynamics. The leading hypothesis for the changes in glacier dynamics is that enhanced thermal forcing from the ocean has dislodged a number of glaciers from their anchoring positions and some of them retreated rapidly along a reverse bed. The glaciers response has been observed to vary significantly from one fjord to the next, but until now there was not enough data to understand or interpret these changes. In particular, there was no data on glacier bed topography and seafloor bathymetry in the fjords. Here we present the results of new fjord mapping by the NASA Ocean Melting Greenland mission combined with a recent high-resolution airborne gravity survey by NASA Operation IceBridge. We combine these data with a reconstruction of the bed using a mass conservation approach upstream extending into the glacial fjords for the first time. In the fjord and along the ice-ocean transition, we employ a 3D inversion of gravity data to infer the bed elevation along a set of 9 survey boxes spanning south of Helheim Glacier to the southern tip of Southeast Greenland. We combine the results with an analysis of the glacier front history since the 1930's and Conductivity Temperature Depth data obtained in the fjord by OMG in 2016. The data reveals bed elevations several 100-m deeper than previously thought, for almost all the glaciers, up to 500 m for some of them. For many glaciers, the bed profiles help to completely understand the history of retreat of the glaciers. For instance, glaciers stranded on sills have been stable; glaciers on a reverse slope have retreated rapidly; and glaciers with a normal slope have retreated slowly. The mapping also helps document the extent of the marine portion of the glacier basins. In many of the fjords, we document the presence of warm, salty Atlantic Water which fuels large melt rates. We employ

Rate of Mass Loss Across the Instability Threshold for Thwaites Glacier Determines Rate of Mass Loss for Entire Basin

DOE PAGES

Waibel, M. S.; Hulbe, C. L.; Jackson, C. S.; ...

2018-01-16

Rapid change now underway on Thwaites Glacier (TG) raises concern that a threshold for unstoppable grounding line retreat has been or is about to be crossed. We use a high-resolution ice sheet model to examine the mechanics of TG self-sustained retreat by nudging the grounding line just past the point of instability. We find that by modifying surface slope in the region of the grounding line, the rate of the forcing dictates the rate of retreat, even after the external forcing is removed. Grounding line retreats that begin faster proceed more rapidly because the shorter time interval for the groundingmore » line to erode into the grounded ice sheet means relatively thicker ice and larger driving stress upstream of the boundary. Retreat is sensitive to short-duration re-advances associated with reduced external forcing where the bathymetry allows regrounding, even when an instability is invoked.« less

Rate of Mass Loss Across the Instability Threshold for Thwaites Glacier Determines Rate of Mass Loss for Entire Basin

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

Waibel, M. S.; Hulbe, C. L.; Jackson, C. S.

Rapid change now underway on Thwaites Glacier (TG) raises concern that a threshold for unstoppable grounding line retreat has been or is about to be crossed. We use a high-resolution ice sheet model to examine the mechanics of TG self-sustained retreat by nudging the grounding line just past the point of instability. We find that by modifying surface slope in the region of the grounding line, the rate of the forcing dictates the rate of retreat, even after the external forcing is removed. Grounding line retreats that begin faster proceed more rapidly because the shorter time interval for the groundingmore » line to erode into the grounded ice sheet means relatively thicker ice and larger driving stress upstream of the boundary. Retreat is sensitive to short-duration re-advances associated with reduced external forcing where the bathymetry allows regrounding, even when an instability is invoked.« less

Rate of Mass Loss Across the Instability Threshold for Thwaites Glacier Determines Rate of Mass Loss for Entire Basin

NASA Astrophysics Data System (ADS)

Waibel, M. S.; Hulbe, C. L.; Jackson, C. S.; Martin, D. F.

2018-01-01

Rapid change now underway on Thwaites Glacier (TG) raises concern that a threshold for unstoppable grounding line retreat has been or is about to be crossed. We use a high-resolution ice sheet model to examine the mechanics of TG self-sustained retreat by nudging the grounding line just past the point of instability. We find that by modifying surface slope in the region of the grounding line, the rate of the forcing dictates the rate of retreat, even after the external forcing is removed. Grounding line retreats that begin faster proceed more rapidly because the shorter time interval for the grounding line to erode into the grounded ice sheet means relatively thicker ice and larger driving stress upstream of the boundary. Retreat is sensitive to short-duration re-advances associated with reduced external forcing where the bathymetry allows regrounding, even when an instability is invoked.

Coastal retreat and shoreface profile variations in the Canadian Beaufort Sea

USGS Publications Warehouse

Hequette, A.; Barnes, P.W.

1990-01-01

The coastline of the southern Canadian Beaufort Sea consists primarily of unconsolidated bluffs. Although the sea is ice-free for 3 months of the year and wave energy is restricted by pack ice, the coast is undergoing regional retreat with erosion rates as high as 10 m a-1 in some locations. Simple and multiple regression analyses were carried out to determine the degree of correlation between the mean retreat rate measured at various locations and the different parameters that may control shoreline recession. Sediment texture, ground-ice content, cliff height, wave energy and shoreface gradient revealed medium to poor correlation with erosion rates, showing that the recessive evolution of the coastline can not be explained solely by wave-induced and subaerial processes. The comparison of nearshore echo-sounding records from 1987 with bathymetry from 1971 showed substantial erosion (up to 1 m) of the submarine profile between 12 and 15 m of water. There is strong evidence that this erosion has been caused by sea ice gouging on the seafloor. From depths of 5 to 9 m, accretion has taken place, possibly induced by ice-push processes, and inshore of the 5 m isobath wave and current erosion of the shoreface has occurred. These results suggest that the erosion of the inner shelf by ice gouging drives the erosion observed inshore on the coastal bluffs and nearshore zone as the shoreface profile strives for a state of dynamic equilibrium. ?? 1990.

Retreatment of Recurrent Internal Carotid-Posterior Communicating Artery Aneurysm after Coil Embolization

PubMed Central

TOYOTA, Shingo; TAKI, Takuyu; WAKAYAMA, Akatsuki; YOSHIMINE, Toshiki

2015-01-01

Internal carotid-posterior communicating artery (IC-PC) aneurysms account for more than 20% of all intracranial aneurysms. As a result of the increase in coiling, there has also been an increase in recurrent IC-PC aneurysms after coiling. We present our experience of 10 recurrent IC-PC aneurysms after coiling that were retreated using surgical or endovascular techniques in order to discuss the choice of treatment and the points of clipping without removal of coils. From 2007 to 2014, 10 recurrent IC-PC aneurysms after coiling were retreated. When the previous frames covered the aneurysms all around or almost around except a part of the neck, coiling was chosen. In other cases, clipping was chosen. Clipping was attempted without removal of coils when it was technically feasible. Among the 10 IC-PC aneurysms retreated, 3 were retreated with coiling and 7 were retreated with clipping. In all three cases retreated with coiling, almost complete occlusion was accomplished. In the seven cases retreated with clipping, coil extrusion was observed during surgery in six cases. In most of them, it was necessary to dissect strong adhesions around the coiled aneurysms and to utilize temporary occlusion of the internal carotid artery. In all seven cases, neck clipping was accomplished without the removal of coils. There were no neurological complications in any cases. The management of recurrent lesions of embolized IC-PC aneurysms requires appropriate choice of treatment using both coiling and clipping. Clipping, especially without the removal of coils, plays an important role in safe treatment. PMID:26437796

Retreatment of Recurrent Internal Carotid-Posterior Communicating Artery Aneurysm after Coil Embolization.

PubMed

Toyota, Shingo; Taki, Takuyu; Wakayama, Akatsuki; Yoshimine, Toshiki

2015-01-01

Internal carotid-posterior communicating artery (IC-PC) aneurysms account for more than 20% of all intracranial aneurysms. As a result of the increase in coiling, there has also been an increase in recurrent IC-PC aneurysms after coiling. We present our experience of 10 recurrent IC-PC aneurysms after coiling that were retreated using surgical or endovascular techniques in order to discuss the choice of treatment and the points of clipping without removal of coils. From 2007 to 2014, 10 recurrent IC-PC aneurysms after coiling were retreated. When the previous frames covered the aneurysms all around or almost around except a part of the neck, coiling was chosen. In other cases, clipping was chosen. Clipping was attempted without removal of coils when it was technically feasible. Among the 10 IC-PC aneurysms retreated, 3 were retreated with coiling and 7 were retreated with clipping. In all three cases retreated with coiling, almost complete occlusion was accomplished. In the seven cases retreated with clipping, coil extrusion was observed during surgery in six cases. In most of them, it was necessary to dissect strong adhesions around the coiled aneurysms and to utilize temporary occlusion of the internal carotid artery. In all seven cases, neck clipping was accomplished without the removal of coils. There were no neurological complications in any cases. The management of recurrent lesions of embolized IC-PC aneurysms requires appropriate choice of treatment using both coiling and clipping. Clipping, especially without the removal of coils, plays an important role in safe treatment.

Processes controlling the retreat of the Isles Dernieres, a Louisiana barrier-island chain

USGS Publications Warehouse

Dingler, John R.; Reiss, Thomas E.

1991-01-01

The Isles Dernieres is a low-lying, transgressive barrier-island chain situated about 150 km west of the modern Mississippi delta. Much of the Isles Dernieres consists of highly dissected salt-marsh muds that lie at or slightly above sea level and are covered by a veneer of sand along the shoreline facing the Gulf of Mexico. Maximum berm elevations are generally less than 1.5 m above mean sea level. Since the mid-1800s, the initial island has been fragmented into four islands, and the beach face has retreated landward at a rate of more than 10 m/yr. The dominant processes controlling degradation of the chain are cold fronts that pass through the area several times each year and occasional hurricanes. Beach surveys over a 2-year period on the Isles Dernieres document irreversible beach-face retreat in conjunction with multiple cold fronts and one major hurricane (Gilbert). Although both the hurricane and the cold fronts caused the island to erode, the erosional patterns of the two storm types differed from each other. During the two years, over 60 cold fronts collectively caused about 37 m of beach-face retreat, whereas Gilbert itself produced more than 40 m of retreat. A major difference between the two storm types was in the percentage of washover sand produced by each. Commonly, the cold fronts did not create enough of a storm surge to overtop the berm, so most of the material removed from the beach face must have moved offshore or alongshore. Gilbert, in contrast, inundated the study site, and essentially all the sand removed from the beach face moved to the backshore.

Postoperative pain after endodontic retreatment: single- versus two-visit treatment.

PubMed

Yoldas, Oguz; Topuz, Aysin; Isçi, A Sehnaz; Oztunc, Haluk

2004-10-01

The purpose of this clinical study was to determine the effect of 1- or 2-visit root canal treatment on the postoperative pain in the retreatment cases. Two hundred eighteen cases that required retreatment were included in the study. Obturated and unfilled canal space and the status of periapical tissues were evaluated according to the PAI index. The patients were subcategorized in regard to the presence or the absence of preoperative pain. Approximately half of each category was treated in 1 appointment. After removing the previous root canal obturation materials and biomechanic preparation of root canals, the teeth in the 1-visit group were obturated at the first appointment by using AH 26 sealer and laterally compacted gutta-percha, and those in the 2-visit group were medicated with calcium hydroxide-chlorhexidine combination and then closed with a temporary filling material. One week after the initial appointment, patients were asked about the occurrence of postoperative pain. The level of discomfort was rated as no pain, mild pain, moderate pain, or severe pain (flare-up). Data were statistically analyzed using the chi-squared and Fischer exact tests. Eight patients from the 1-visit group and 2 patients from the 2-visit group had flare-ups. There was a statistical difference between the groups (P <.05). Two-visit root canal treatment was more effective in completely eliminating pain than 1-visit treatment of previously symptomatic teeth (P <.05). Two-visit endodontic treatment with intracanal medication was found to be effective in reducing postoperative pain of previously symptomatic teeth and decreased the number of flare-ups in all retreatment cases.

Effectiveness of traditional meditation retreats: A systematic review and meta-analysis.

PubMed

Khoury, Bassam; Knäuper, Bärbel; Schlosser, Marco; Carrière, Kimberly; Chiesa, Alberto

2017-01-01

An increasing number of studies are investigating traditional meditation retreats. Very little, however, is known about their effectiveness. To evaluate the effectiveness of meditation retreats on improving psychological outcomes in general population. A systematic review of studies published in journals or as dissertations in PSYCINFO, PUBMED, CINAHL or Web of Science from the first available date until October 22, 2016. A total of 20 papers (21 studies, N=2912) were included. Effect-size estimates of outcomes combined suggested that traditional meditation retreats are moderately effective in pre-post analyses (n=19; Hedge's g=0.45; 95% CI [0.35, 0.54], p<0.00001) and in analyses comparing retreats to controls (n=14; Hedge's g=0.49; 95% CI [0.36, 0.61], p<0.00001). Results were maintained at follow-up. No differences were observed between meditation styles. Results suggested large effects on measures of anxiety, depression and stress, and moderate effects on measures of emotional regulation and quality of life. As to potential mechanisms of actions, results showed large effects on measures of mindfulness and compassion, and moderate effects on measures of acceptance. In addition, changes in mindfulness levels strongly moderated clinical effect sizes. However, heterogeneity was significant among trials, probably due to differences in study designs, types and duration of the retreats and assessed outcomes, limiting therefore the implications of the results. Meditation retreats are moderately to largely effective in reducing depression, anxiety, stress and in ameliorating the quality of life of participants. Copyright © 2016 Elsevier Inc. All rights reserved.

Characteristics and Treatment Outcomes of Retreatment Tuberculosis Patients in Benin

PubMed Central

Ade, Serge; Adjibodé, Omer; Wachinou, Prudence; Toundoh, Narcisse; Awanou, Bérénice; Agodokpessi, Gildas; Affolabi, Dissou; Adè, Gabriel; Harries, Anthony D.; Anagonou, Séverin

2016-01-01

Objective. To determine among retreatment tuberculosis patients in Benin baseline characteristics, culture, and drug sensitivity testing (DST) results and treatment outcomes. Materials and Methods. A retrospective national cohort study of all retreatment tuberculosis patients in Benin in 2013 using registers and treatment cards. Results. Of 3957 patients with tuberculosis, 241 (6%) were retreatment cases. Compared to new pulmonary bacteriologically confirmed tuberculosis (NPBCT) patients, there were significantly higher numbers of males (P = 0.04), patients from “Atlantique-Littoral” (P = 0.006), patients aged 45–64 years (P = 0.007), and HIV-positive patients (P = 0.04) among those retreated. Overall, 171 (71%) patients submitted sputum for DST, of whom (163) 95% were positive for Mycobacterium tuberculosis on Xpert MTB/RIF and/or culture and 17 (10%) were rifampicin resistant (9 with MDR-TB and 8 monoresistant to rifampicin). For those without MDR-TB (n = 224), treatment success was 93%. Worse outcomes occurred in those with unknown HIV status (RR: 0.27; 0.05–1.45; P < 0.01) while better outcomes occurred in those who relapsed (RR: 1.06, 95 CI: 1.02–1.10, P = 0.04). Conclusion. In 2013, a high proportion of retreatment patients received DST. Treatment success was good although more needs to be done to systematically increase the final follow-up smear examination. Reasons of high losses to follow-up from “Oueme-Plateau” should be investigated. PMID:27110400

Polar Cap Retreat

NASA Technical Reports Server (NTRS)

2004-01-01

13 August 2004 This red wide angle Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows a view of the retreating seasonal south polar cap in the most recent spring in late 2003. Bright areas are covered with frost, dark areas are those from which the solid carbon dioxide has sublimed away. The center of this image is located near 76.5oS, 28.2oW. The scene is large; it covers an area about 250 km (155 mi) across. The scene is illuminated by sunlight from the upper left.

How reactive fluids alter fracture walls and affect shale-matrix accessibility

NASA Astrophysics Data System (ADS)

Fitts, J. P.; Deng, H.; Peters, C. A.

2014-12-01

Predictions of mass transfer across fracture boundaries and fluid flow in fracture networks provide fundamental inputs into risk and life cycle assessments of geologic energy technologies including oil and gas extraction, geothermal energy systems and geologic CO2 storage. However, major knowledge gaps exist due to the lack of experimental observations of how reactive fluids alter the pore structures and accessible surface area within fracture boundaries that control the mass transfer of organics, metals and salts, and influence fluid flow within the fracture. To investigate the fracture and rock matrix properties governing fracture boundary alteration, we developed a new flow-through cell that enables time-dependent 2D x-ray imaging of mineral dissolution and/or precipitation at a fracture surface. The parallel plate design provides an idealized fracture geometry to investigate the relationship between flow rate, reaction rate, and mineral spatial heterogeneity and variation. In the flow-cell, a carbonate-rich sample of Eagle Ford shale was reacted with acidified brine. The extent and rate of mineral dissolution were correlated with calcite abundance relative to less soluble silicate minerals. Three-dimensional x-ray tomography of the reacted fracture wall shows how calcite dissolution left behind a porous network of silicate minerals. And while this silicate network essentially preserved the location of the initial fracture wall, the pore network structures within the fracture boundary were dramatically altered, such that the accessible surface area of matrix components increased significantly. In a second set of experiments with a limestone specimen, however, the extent of dissolution and retreat of the fracture wall was not strictly correlated with the occurrence of calcite. Instead, the pattern and extent of dissolution suggested secondary causes such as calcite morphology, the presence of argillaceous minerals and other diagenetic features. Our experiments

Comparative analysis of efficacy and cleaning ability of hand and rotary devices for gutta-percha removal in root canal retreatment: an in vitro study.

PubMed

Reddy, Narender; Admala, Shilpa Reddy; Dinapadu, Sainath; Pasari, Srikanth; Reddy, Manoranjan P; Rao, M S Rama

2013-07-01

instruments produce frictional heat which plasticises gutta-percha and aids in easy removal. Apical third of root canals showed more guttapercha debris compared to coronal and middle 1/3 and has been attributed to the greater anatomic variability and difficulty of instrumentation in the apical area. The existence of deep groves and depressions on dentine walls in this apical 1/3 make them less instrumented areas as it did be difficult to direct the file against the extreme root canal wall. The fastest technique to remove gutta-percha and the shortest time to reach working length was observed with ProTaper retreatment instruments with xylene followed by ProTaper retreatment files without xylene and Hedstrom files without xylene. After instrumentation for removal of gutta-percha, apical third was found to have more debris compared to coronal and middle 1/3 of the root canal.

Using a Retreat to Develop a 4-Year Sexual Orientation and Gender Identity Curriculum.

PubMed

Ton, Hendry; Eidson-Ton, W Suzanne; Iosif, Ana-Maria; Sitkin, Nicole; Henderson, Shelly; Callahan, Edward J

2016-10-01

Lesbian, gay, bisexual, and transgender (LGBT) populations experience significant health disparities, yet medical schools report devoting little educational time to the care of this population. In light of this, one School of Medicine utilized a daylong retreat to design a 4-year sexual orientation and gender identity (SOGI) curriculum. The participants completed pre-and post-surveys on their perspectives and knowledge towards SOGI learning, and the school's curriculum database was reviewed 2 years later to ascertain the degree of implementation of the proposed curriculum. Significant improvements were observed in participants' confidence in creating an SOGI curriculum, knowledge of SOGI teaching resources, and where in the curriculum SOGI competencies are and should be taught. A 6-month follow-up survey yielded a lower response rate, but suggested strong ongoing support for the new curriculum and some continuing challenges to implementing the proposed curriculum. A review of the school's curriculum database 2 years later showed an implementation rate of 76 %. A focused and systematic retreat can be an effective tool for curriculum design and implementation.

The potential for retreating alpine glaciers to alter alpine ecosystems in the Colorado Front Range

NASA Astrophysics Data System (ADS)

Hall, E.; Baron, J.

2013-12-01

Glaciers are retreating at an unprecedented rate. In mid-latitude alpine ecosystems the presence of glaciers and rock glaciers govern rates and ecology of alpine and sub-alpine ecosystems. Changes in the thermal environment due to the loss of isothermal habitat and inputs from glacier melt chemistry are altering alpine ecosystems in unpredictable ways. In particular, glacier may be a source of nitrogen that is altering alpine ecosystem dynamics. Loch Vale Watershed (LVWS) located within Rocky Mountain National Park. LVWS contains a surface glacier (Andrew's glacier) and a rock glacier (Taylor's glacier) at the headwater of each of the two drainages within the watershed. We collected precipitation from a National Atmospheric Deposition Site and surface water from multiple alpine lakes and streams during a particularly high and low snow year in the Colorado Front Range. We also sampled stream and lake sediments at each site to analyze the associated microbial community. Concentrations of nitrate and ammonium, relative abundance of amoA (the gene responsible for a key step in the microbial nitrification pathway), and the dual isotope signal to nitrate all point to snow melt as a key deliverer of nitrogen to ecosystems along the Colorado Front Range. However, late summer surface water chemistry is isotopically similar to the chemistry of glacial ice. This suggests that retreating glacier may be an additional source of N to alpine ecosystems and have the potential to alter microbial community composition, biogeochemical rate processes, and ecosystem function. These dynamics are most likely not unique to the Colorado Front Range and should be globally distributed as glaciers continue to retreat in high altitude ecosystems around the world.

Modeling Antarctic Ice Sheet retreat in warm climates: a historical perspective.

NASA Astrophysics Data System (ADS)

Pollard, D.; Deconto, R. M.; Gasson, E.

2016-12-01

Early modeling of Antarctic Ice Sheet size vs. climate focused on asymmetry between retreat and growth, with much greater warming needed to cause retreat from full ice cover, due to Height Mass Balance Feedback and albedo feedback. This led to a long-standing model-data conflict, with models needing 1000 to2000 ppmv atmospheric CO2 to produce retreat from full size, vs. proxy data of large ice fluctuations despite much lower CO2 since the Miocene.Subsequent modeling with marine ice physics found that the West Antarctic Ice Sheet could undergo repeated warm-period collapses with realistic past forcing. However, that yields only 3 to 7 m equivalent sea-level rise above modern, compared to 10 to 20 m or more suggested by some geologic data. Large subglacial basins in East Antarctica could be vulnerable to the same processes,but did not retreat in most models due to narrower and shallower sills.After recent modifications, some ice sheet models were able to produce warm-period collapse of major East Antarctic basins, with sea-level rise of up to 15 m. The modifications are (i) hydrofracturing by surface melt, and structural failure of ice cliffs, or (ii) numerical treatment at the grounding line. In these models, large retreat occurs both for past warmintervals, and also for future business-as-usual scenarios.Some interpretations of data in the late Oligocene and Miocene suggest yet larger fluctuations, between 50 to 100% of modern Antarctic size. That would require surface-melt driven retreat of some terrestrial East Antarctic ice, despite the hysteresis issue raised above. A recent study using a coupled climate-ice sheet model found that with a finer climate gridand more frequent coupling exchange, substantial retreat of terrestrial Antarctica can occur with 500 to 840 ppmv CO2, much lower than in earlier models. This will allow meaningful interactions between modeling and deeper-time geologic interpretations since the late Oligocene.

Insights into lateral marsh retreat mechanism through localized field measurements

NASA Astrophysics Data System (ADS)

Bendoni, M.; Mel, R.; Solari, L.; Lanzoni, S.; Francalanci, S.; Oumeraci, H.

2016-02-01

Deterioration of salt marshes may be due to several factors related to increased anthropic pressure, sea level rise, and erosive processes. While salt marshes can reach equilibrium in the vertical direction, adapting to sea level rise, they are inherently unstable in the horizontal direction. Marsh boundaries are characterized by scarps with bare sediment below the vegetated surface layer that can be easily removed by wave-induced erosion. In this work, we explore the different mechanisms involved in the erosion of marsh borders through the interpretation of field data. The analysis is based on a systematic field monitoring of a salt marsh in the Venice Lagoon subject to lateral erosion. Measurements included horizontal retreat of the scarp at various locations and wave height in front of the marsh during three storm surges. Continuous erosion and mass failures alternated during the observed period, leading to an average retreat up to 80 cm/yr. The data, collected roughly every month for 1.5 year, indicate that the linear relation that links the observed erosion rate to the impinging wave power exhibits a larger slope than that already estimated in literature on the basis of long-term surveys. Moreover, an increase in the gradient of erodibility is detected along the marsh scarp, due to the combined action of soil strengthening by vegetation on the marsh surface and the impact of wave breaking at the bank toe, which promote cantilever failures and increase the lateral erosion rate.

Glacial-marine sediments record ice-shelf retreat during the late Holocene in Beascochea Bay on the western margin of the Antarctic Peninsula

NASA Astrophysics Data System (ADS)

Hardin, L. A.; Wellner, J. S.

2010-12-01

Beascochea Bay has an overall rapid rate of sedimentation due to retreating fast-flowing ice, and thus contains high-resolution records of Antarctica’s glacial and climate history. Beascochea Bay is a 16 km long by 8 km wide bay located on the western margin of the Antarctica Peninsula, centered between Anvers Island and Renaud Island, but open to the Bellingshausen Sea. Currently, three tidewater glaciers draining the Bruce Plateau of Graham Land enter into the fjords of Beascochea Bay, releasing terrigenous sediments which have left a record of the fluctuations of the Antarctic Peninsula Ice Cap since the grounded ice decoupled from the seafloor after the last glacial maximum. These three glaciers have played a significant role in providing sediment to the main basin, allowing a detailed sediment facies analysis to be conducted from eight sediment cores which were collected during the austral summer of 2007. Pebbly silty clay sediment cores, along with 3.5 kHz seismic data and multibeam swath bathymetry data, are integrated to reconstruct a glacial retreat timeline for the middle to late Holocene, which can be compared to the recent retreat rates over the last century. Paleoenvironment of deposition is determined by mapping lateral facies changes from the side fjords (proximal) to the outer basin (distal), as each region records the transition from glacial-marine sediments to open-marine sediments. As the ice retreated from the outer basin to the inner basin, and most recently leaving the side fjords, each facies deposited can be age-constrained by radiocarbon, 210Pb, and 137Cs dating methods. A distinct 137Cs signal is readily seen in two kasten cores from a side fjord and the inner basin of Beascochea Bay. This dating method revealed an average sedimentation rate of 2.7 mm per year for approximately the last century, which is comparable to 210Pb rates obtained in other studies. Lithology variations in each sediment core record indications of ice

Relationships of left ventricular strain and strain rate to wall stress and their afterload dependency.

PubMed

Murai, Daisuke; Yamada, Satoshi; Hayashi, Taichi; Okada, Kazunori; Nishino, Hisao; Nakabachi, Masahiro; Yokoyama, Shinobu; Abe, Ayumu; Ichikawa, Ayako; Ono, Kota; Kaga, Sanae; Iwano, Hiroyuki; Mikami, Taisei; Tsutsui, Hiroyuki

2017-05-01

Whether and how left ventricular (LV) strain and strain rate correlate with wall stress is not known. Furthermore, it is not determined whether strain or strain rate is less dependent on the afterload. In 41 healthy young adults, LV global peak strain and systolic peak strain rate in the longitudinal direction (LS and LSR, respectively) and circumferential direction (CS and CSR, respectively) were measured layer-specifically using speckle tracking echocardiography (STE) before and during a handgrip exercise. Among all the points before and during the exercise, all the STE parameters significantly correlated linearly with wall stress (LS: r = -0.53, p < 0.01, LSR: r = -0.28, p < 0.05, CS in the inner layer: r = -0.72, p < 0.01, CSR in the inner layer: r = -0.47, p < 0.01). Strain more strongly correlated with wall stress than strain rate (r = -0.53 for LS vs. r = -0.28 for LSR, p < 0.05; r = -0.72 for CS vs. r = -0.47 for CSR in the inner layer, p < 0.05), whereas the interobserver variability was similar between strain and strain rate (longitudinal 6.2 vs. 5.2 %, inner circumferential 4.8 vs. 4.7 %, mid-circumferential 7.9 vs. 6.9 %, outer circumferential 10.4 vs. 9.7 %), indicating that the differences in correlation coefficients reflect those in afterload dependency. It was thus concluded that LV strain and strain rate linearly and inversely correlated with wall stress in the longitudinal and circumferential directions, and strain more strongly depended on afterload than did strain rate. Myocardial shortening should be evaluated based on the relationships between these parameters and wall stress.

Quantifying global warming from the retreat of glaciers.

PubMed

Oerlemans, J

1994-04-08

Records of glacier fluctuations compiled by the World Glacier Monitoring Service can be used to derive an independent estimate of global warming during the last 100 years. Records of different glaciers are made comparable by a two-step scaling procedure: one allowing for differences in glacier geometry, the other for differences in climate sensitivity. The retreat of glaciers during the last 100 years appears to be coherent over the globe. On the basis of modeling of the climate sensitivity of glaciers, the observed glacier retreat can be explained by a linear warming trend of 0.66 kelvin per century.

Enhancing the research and publication efforts of health sciences librarians via an academic writing retreat.

PubMed

Bullion, John W; Brower, Stewart M

2017-10-01

This case study describes the South Central Chapter of the Medical Library Association (SCC/MLA) initiative to develop an academic writing retreat for members who sought the necessary time and support to advance their research projects toward publication. SCC/MLA staged a dedicated writing retreat to coincide with the organization's 2012, 2013, and 2014 annual meetings. Each cohort met over two days to write and to workshop their peers' manuscripts. Organizers distributed an online survey one month after each retreat to evaluate attendees' perceptions. Three years' worth of writing retreats yielded fourteen peer-reviewed articles and one book chapter. Participants indicated that the retreat helped them meet or exceed their writing goals by offering protected time and a setting conducive to productivity. The format of the retreat is cost effective and easily adaptable for fellow professionals who wish to organize a formal event as a conference offering or simply support a writing group at their home institutions. In SCC/MLA, the retreat revitalized interest in writing and demystified the scholarly publication process.

Inspiratory flow rate, not type of incentive spirometry device, influences chest wall motion in healthy individuals.

PubMed

Chang, Angela T; Palmer, Kerry R; McNaught, Jessie; Thomas, Peter J

2010-08-01

This study investigated the effect of flow rates and spirometer type on chest wall motion in healthy individuals. Twenty-one healthy volunteers completed breathing trials to either two times tidal volume (2xV(T)) or inspiratory capacity (IC) at high, low, or natural flow rates, using a volume- or flow-oriented spirometer. The proportions of rib cage movement to tidal volume (%RC/V(T)), chest wall diameters, and perceived level of exertion (RPE) were compared. Low and natural flow rates resulted in significantly lower %RC/V(T) compared to high flow rate trials (p=0.001) at 2xV(T). Low flow trials also resulted in significantly less chest wall motion in the upper anteroposterior direction than high and natural flow rates (p<0.001). At IC, significantly greater movement occurred in the abdominal lateral direction during low flow compared to high and natural flow trials (both p<0.003). RPE was lower for the low flow trials compared to high flow trials at IC and 2xV(T) (p<0.01). In healthy individuals, inspiratory flow (not device type) during incentive spirometry determines the resultant breathing pattern. High flow rates result in greater chest wall motion than low flow rates.

Clinical investigation of second mesiobuccal canals in endodontically treated and retreated maxillary molars.

PubMed

Wolcott, James; Ishley, Dave; Kennedy, Wade; Johnson, Scott; Minnich, Scott

2002-06-01

An examination of 1873 conventionally treated and retreated maxillary first and second molars was made in an attempt to determine the percentage of second mesiobuccal (MB2) canals that could be located routinely and evaluate if there were any significant differences between initial treatments and retreatments. The teeth examined were 1193 first molars and 680 second molars treated consecutively over a 2-yr period by five endodontists. Overall the MB2 canal was found in 724 (61%) first molars and 245 (36%) second molars. The incidence of a MB2 canal in first molar retreatments was 67% compared to a 59% incidence in initial treatments. Whereas in second molars, the retreatment incidence was 44% compared with 35% in initial treatments. The significant difference in the incidence of a MB2 canal between initial treatments and retreatments suggests that failure to find and treat existing MB2 canals will decrease the long-term prognosis.

Reliable Refuge: Two Sky Island Scorpion Species Select Larger, Thermally Stable Retreat Sites.

PubMed

Becker, Jamie E; Brown, Christopher A

2016-01-01

Sky island scorpions shelter under rocks and other surface debris, but, as with other scorpions, it is unclear whether these species select retreat sites randomly. Furthermore, little is known about the thermal preferences of scorpions, and no research has been done to identify whether reproductive condition might influence retreat site selection. The objectives were to (1) identify physical or thermal characteristics for retreat sites occupied by two sky island scorpions (Vaejovis cashi Graham 2007 and V. electrum Hughes 2011) and those not occupied; (2) determine whether retreat site selection differs between the two study species; and (3) identify whether thermal selection differs between species and between gravid and non-gravid females of the same species. Within each scorpion's habitat, maximum dimensions of rocks along a transect line were measured and compared to occupied rocks to determine whether retreat site selection occurred randomly. Temperature loggers were placed under a subset of occupied and unoccupied rocks for 48 hours to compare the thermal characteristics of these rocks. Thermal gradient trials were conducted before parturition and after dispersal of young in order to identify whether gravidity influences thermal preference. Vaejovis cashi and V. electrum both selected larger retreat sites that had more stable thermal profiles. Neither species appeared to have thermal preferences influenced by reproductive condition. However, while thermal selection did not differ among non-gravid individuals, gravid V. electrum selected warmer temperatures than its gravid congener. Sky island scorpions appear to select large retreat sites to maintain thermal stability, although biotic factors (e.g., competition) could also be involved in this choice. Future studies should focus on identifying the various biotic or abiotic factors that could influence retreat site selection in scorpions, as well as determining whether reproductive condition affects thermal

Scientific retreats with 'speed dating': networking to stimulate new interdisciplinary translational research collaborations and team science.

PubMed

Ranwala, Damayanthi; Alberg, Anthony J; Brady, Kathleen T; Obeid, Jihad S; Davis, Randal; Halushka, Perry V

2017-02-01

To stimulate the formation of new interdisciplinary translational research teams and innovative pilot projects, the South Carolina Clinical and Translational Research (SCTR) Institute (South Carolina Clinical and Translational Science Award, CTSA) initiated biannual scientific retreats with 'speed dating' networking sessions. Retreat themes were prioritized based on the following criteria; cross-cutting topic, unmet medical need, generation of novel technologies and methodologies. Each retreat begins with an external keynote speaker followed by a series of brief research presentations by local researchers focused on the retreat theme, articulating potential areas for new collaborations. After each session of presentations, there is a 30 min scientific 'speed dating' period during which the presenters meet with interested attendees to exchange ideas and discuss collaborations. Retreat attendees are eligible to compete for pilot project funds on the topic of the retreat theme. The 10 retreats held have had a total of 1004 participants, resulted in 61 pilot projects with new interdisciplinary teams, and 14 funded projects. The retreat format has been a successful mechanism to stimulate novel interdisciplinary research teams and innovative translational research projects. Future retreats will continue to target topics of cross-cutting importance to biomedical and public health research. Copyright © 2016 American Federation for Medical Research.

Efficacy of the retreatment of hepatitis C virus infections after liver transplantation: role of an aggressive approach.

PubMed

Berenguer, Marina; Roche, Bruno; Aguilera, Victoria; Duclos-Vallée, Jean-Charles; Navarro, Laia; Rubín, Angel; Pons, Jose-Antonio; de la Mata, Manuel; Prieto, Martín; Samuel, Didier

2013-01-01

A sustained virological response (SVR) is achieved by 30% of naive liver transplantation (LT) recipients treated with pegylated interferon (PEG-IFN) and ribavirin (RBV). Almost no data are available about retreatment. The aim of this study was to assess the efficacy, tolerability, and SVR predictors of retreatment. Data were collected from 4 centers on the retreatment of prior nonresponders to standard therapy or PEG-IFN (with or without RBV) and relapsers. Seventy-nine of 301 treatment-experienced LT patients (26%), who had a median age of 59 years (range = 35-77 years) and were mostly male (72%) and infected with genotype 1 (87%), were retreated with PEG-IFN and RBV at a median of 6.9 years after LT. During the first course of therapy, 35% were treated with interferon, 49% received tacrolimus, 52% received steroids, and 49.5% were relapsers. Retreatment was started at a median of 1.9 years (range = 45 days to 8.2 years) after the end of the first course. The proportion of patients with cirrhosis increased from 10% to 37% (P < 0.001). In addition, in retreated patients, full initial RBV doses (P = 0.03), growth factors [erythropoietin (P < 0.001) and granulocyte colony-stimulating factor (P = 0.048)], and transfusions (P = 0.03) were used more frequently, and the treatment duration was longer (P = 0.03). An end-of-treatment response was achieved in 61%, whereas SVR, which was associated with improved survival, occurred in 28 (35%). The variables predicting SVR were age (P = 0.04), disease severity [fibrosis (50% with F0-F2 versus 26% with F3-4), P = 0.03; bilirubin, P = 0.006; platelet count, P = 0.03], adherence, and viral kinetics. None of the patients without an early virological response achieved SVR. There was a trend of prior relapsers achieving higher SVR rates than prior nonresponders. In conclusion, SVR, which was achieved by approximately one-third of the retreated patients, can be predicted with the same variables used for naive LT recipients (age

Scientific Retreats with ‘Speed Dating’: Networking to Stimulate New Interdisciplinary Translational Research Collaborations and Team Science

PubMed Central

Alberg, Anthony J.; Brady, Kathleen T.; Obeid, Jihad S.; Davis, Randal; Halushka, Perry V.

2016-01-01

To stimulate the formation of new interdisciplinary translational research teams and innovative pilot projects, the South Carolina Clinical & Translational Research (SCTR) Institute (South Carolina Clinical and Translational Science Award, CTSA) initiated biannual scientific retreats with “speed dating” networking sessions. Retreat themes were prioritized based on the following criteria; cross-cutting topic, unmet medical need, generation of novel technologies and methodologies. Each retreat commences with an external keynote speaker followed by a series of brief research presentations by local researchers focused on the retreat theme, articulating potential areas for new collaborations. After each session of presentations, there is a 30 minute scientific “speed dating” period during which the presenters meet with interested attendees to exchange ideas and discuss collaborations. Retreat attendees are eligible to compete for pilot project funds on the topic of the retreat theme. The 10 retreats held have had a total of 1004 participants, resulted in 61 pilot projects with new interdisciplinary teams, and 14 funded projects. The retreat format has been a successful mechanism to stimulate novel interdisciplinary research teams and innovative translational research projects. Future retreats will continue to target topics of cross-cutting importance to biomedical and public health research. PMID:27807146

Simultaneous measurement of instantaneous heart rate and chest wall plethysmography in short-term, metronome guided heart rate variability studies: suitability for assessment of autonomic dysfunction.

PubMed

Perring, S; Jones, E

2003-08-01

Instantaneous heart rate and chest wall motion were measured using a 3-lead ECG and an air pressure chest wall plethysmography system. Chest wall plethysmography traces were found to accurately represent the breathing pattern as measured by spirometry (average correlation coefficient 0.944); though no attempt was made to calibrate plethysmography voltage output to tidal volume. Simultaneous measurements of heart rate and chest wall motion were made for short periods under metronome guided breathing at 6 breaths per minute. The average peak to trough heart rate change per breath cycle (AVEMAX) and maximum correlation between heart rate and breathing cycle (HRBRCORR) were measured. Studies of 44 normal volunteers indicated clear inverse correlation of heart rate variability parameters with age (AVEMAX R = -0.502, P < 0.001) but no significant change in HRBRCORR with age (R = -0.115). Comparison of normal volunteers with diabetics with no history of symptoms associated with autonomic failure indicated significant lower heart rate variability in diabetics (P = 0.005 for AVEMAX) and significantly worse correlation between heart rate and breathing (P < 0.001 for HRBRCORR). Simultaneous measurement of heart rate and breathing offers the possibility of more sensitive diagnosis of autonomic failure in a simple bedside test and gives further insight into the nature of cardio-ventilatory coupling.

Effect of Finite Chemical Reaction Rates on Heat Transfer to the Walls of Combustion-Driven Supersonic MHD Generator Channels

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

DAILY, J. W. ..; RAEDER, J.; ZANKL, G.

1974-03-01

The effect of finite-rate homogeneous chemical reactions on the heat transfer rates to the walls of combustion-driven supersonic MHD generators was investigated. Experiments were performed on a 200 kW(e) combustion generator. The density of the heat flux to the wall was measured at various axial positions along both a circular cross section Hall-type channel and a diagonal wall channel with a rectangular cross section. From the results it was concluded that a substantial decrease in heat transfer rate to the walls of a combustion-driven supersonic MHD power generator was ob served which appears to occur because of chemical nonequilibrium inmore » the developing wall boundary layers. (LCL)« less

Relapsed chronic lymphocytic leukemia retreated with rituximab: interim results of the PERLE study.

PubMed

Chaoui, Driss; Choquet, Sylvain; Sanhes, Laurence; Mahé, Béatrice; Hacini, Maya; Fitoussi, Olivier; Arkam, Yazid; Orfeuvre, Hubert; Dilhuydy, Marie-Sarah; Barry, Marly; Jourdan, Eric; Dreyfus, Brigitte; Tempescul, Adrian; Leprêtre, Stéphane; Bardet, Aurélie; Leconte, Pierre; Maynadié, Marc; Delmer, Alain

2017-06-01

This prospective non-interventional study assessed the management of relapsed/refractory CLL after one or two treatments with rituximab, and retreatment with a rituximab-based regimen. An interim analysis was performed at the end of the induction period in 192 evaluable patients. Median age was 72 years [35-89], first relapse (55%), and second relapse (45%). Rituximab administered during first (68%), second (92%), or both treatment lines (20%). R-bendamustine administered in 56% of patients, R-purine analogs (21%), and R-alkylating agents (19%). The overall response rate (ORR) was 74.6%, in favor of R-purine analogs (90%), R-bendamustine (75%), and R-alkylating agents (69%). Lower ORR in Del 17p patients (43%) and third time rituximab (31%). Most frequent adverse events were hematological (23% patients) including neutropenia (11%) and infections (12%); grade 3/4 AEs (23% patients), mainly hematological (18%); death during induction treatment (7%). This first large study focusing on relapsed/refractory CLL patients retreated with rituximab-based regimens is still ongoing.

Retreatment of Exudative Age-Related Macular Degeneration after Loading 3-Monthly Intravitreal Ranibizumab.

PubMed

Sugiyama, Atsushi; Sakurada, Yoichi; Honda, Shigeru; Miki, Akiko; Matsumiya, Wataru; Yoneyama, Seigo; Kikushima, Wataru; Iijima, Hiroyuki

2018-01-01

The aim of this study was to investigate the clinical implications of required retreatment after 3-monthly intravitreal ranibizumab (IVR) injections followed by as-needed reinjections up to 5 years in eyes with exudative age-related macular degeneration (AMD). A retrospective cohort study was conducted for 165 treatment-naïve eyes from 165 patients with exudative AMD. Visual changes were investigated in terms of the required retreatments. Retreatment-free proportions were 37.0, 23.7, 16.6, 12.1, and 10.5% at 12, 24, 36, 48, and 60 months, respectively. Visual changes were significantly better in eyes which did not require retreatment at every yearly checkpoint within the 5 years. A multivariate logistic regression analysis revealed that requirement of additional IVR treatments in the first 12-24 months was associated with the T allele (risk allele) of ARMS2 A69S (p = 0.010 and 0.015, respectively). Cox regression analysis revealed that older age (p = 0.046) and the T allele of ARMS2 A69S (p = 0.036) were associated with required retreatment within the 5-year follow-up period. Age and the T allele of ARMS2 A69S are the risk factors requiring retreatments, leading to poor visual change in eyes with exudative AMD following the initial 3-monthly IVR. © 2017 S. Karger AG, Basel.

Retreatability of two endodontic sealers, EndoSequence BC Sealer and AH Plus: a micro-computed tomographic comparison.

PubMed

Oltra, Enrique; Cox, Timothy C; LaCourse, Matthew R; Johnson, James D; Paranjpe, Avina

2017-02-01

Recently, bioceramic sealers like EndoSequence BC Sealer (BC Sealer) have been introduced and are being used in endodontic practice. However, this sealer has limited research related to its retreatability. Hence, the aim of this study was to evaluate the retreatability of two sealers, BC Sealer as compared with AH Plus using micro-computed tomographic (micro-CT) analysis. Fifty-six extracted human maxillary incisors were instrumented and randomly divided into 4 groups of 14 teeth: 1A, gutta-percha, AH Plus retreated with chloroform; 1B, gutta-percha, AH Plus retreated without chloroform; 2A, gutta-percha, EndoSequence BC Sealer retreated with chloroform; 2B, gutta-percha, EndoSequence BC Sealer retreated without chloroform. Micro-CT scans were taken before and after obturation and retreatment and analyzed for the volume of residual material. The specimens were longitudinally sectioned and digitized images were taken with the dental operating microscope. Data was analyzed using an ANOVA and a post-hoc Tukey test. Fisher exact tests were performed to analyze the ability to regain patency. There was significantly less residual root canal filling material in the AH Plus groups retreated with chloroform as compared to the others. The BC Sealer samples retreated with chloroform had better results than those retreated without chloroform. Furthermore, patency could be re-established in only 14% of teeth in the BC Sealer without chloroform group. The results of this study demonstrate that the BC Sealer group had significantly more residual filling material than the AH Plus group regardless of whether or not both sealers were retreated with chloroform.

Insight meditation and telomere biology: The effects of intensive retreat and the moderating role of personality.

PubMed

Conklin, Quinn A; King, Brandon G; Zanesco, Anthony P; Lin, Jue; Hamidi, Anahita B; Pokorny, Jennifer J; Álvarez-López, María Jesús; Cosín-Tomás, Marta; Huang, Colin; Kaliman, Perla; Epel, Elissa S; Saron, Clifford D

2018-05-01

A growing body of evidence suggests that meditation training may have a range of salubrious effects, including improved telomere regulation. Telomeres and the enzyme telomerase interact with a variety of molecular components to regulate cell-cycle signaling cascades, and are implicated in pathways linking psychological stress to disease. We investigated the effects of intensive meditation practice on these biomarkers by measuring changes in telomere length (TL), telomerase activity (TA), and telomere-related gene (TRG) expression during a 1-month residential Insight meditation retreat. Multilevel analyses revealed an apparent TL increase in the retreat group, compared to a group of experienced meditators, similarly comprised in age and gender, who were not on retreat. Moreover, personality traits predicted changes in TL, such that retreat participants highest in neuroticism and lowest in agreeableness demonstrated the greatest increases in TL. Changes observed in TRGs further suggest retreat-related improvements in telomere maintenance, including increases in Gar1 and HnRNPA1, which encode proteins that bind telomerase RNA and telomeric DNA. Although no group-level changes were observed in TA, retreat participants' TA levels at post-assessment were inversely related to several indices of retreat engagement and prior meditation experience. Neuroticism also predicted variation in TA across retreat. These findings suggest that meditation training in a retreat setting may have positive effects on telomere regulation, which are moderated by individual differences in personality and meditation experience. (ClinicalTrials.gov #NCT03056105). Copyright © 2018. Published by Elsevier Inc.

Retreatment with interferon plus ribavirin of chronic hepatitis C non-responders to interferon monotherapy: a meta-analysis of individual patient data

PubMed Central

Cammà, C; Bruno, S; Schepis, F; Lo Iacono, O; Andreone, P; Gramenzi, A G; Mangia, A; Andriulli, A; Puoti, M; Spadaro, A; Freni, M; Di Marco, V; Cino, L; Saracco, G; Chiesa, A; Crosignani, A; Caporaso, N; Morisco, F; Rumi, M G; Craxì, A

2002-01-01

Background and aims: Retreatment with a combination of α interferon (IFN) plus ribavirin of patients with chronic hepatitis C who did not respond to IFN monotherapy has not been assessed in large controlled studies. Methods: To assess the effectiveness and tolerability of IFN/ribavirin retreatment of non-responders to IFN and to identify predictors of complete (biochemical and virological) sustained response, we performed a meta-analysis of individual data on 581 patients from 10 centres. Retreatment with various IFN schedules (mean total dose 544 mega units) and a fixed ribavirin dose (1000–1200 mg/daily depending on body weight) was given for 24–60 (mean 39.5) weeks. Results: Biochemical end of treatment and sustained responses were observed in 271/581 (46.6%; 95% confidence interval (CI) 42.6–50.7%) and in 109/581 (18.7%; 95% CI 15.6–22.0%) cases, respectively. Two hundred and six of 532 patients (38.7%; 95% CI 34.6–42.9%) had an end of treatment complete response to retreatment while a complete sustained response occurred in 88 of 559 (15.7%; 95% CI 12.8–18.8%). Fifty four of 581 patients (9.2%; 95% CI 7.0–11.7%) stopped retreatment due to adverse effects. By logistic regression, complete sustained response was predicted independently by age <45 years (p=0.04), by normal pretreatment γ-glutamyltransferase levels (p=0.01), and by a second course total IFN dose of at least 432 mega units (p=0.008). Conclusions: The overall low probability of effectiveness argues against indiscriminate retreatment of all IFN monotherapy non-responders with IFN/ribavirin. Patients less than 45 years old with normal γ-glutamyltransferase levels who were retreated with high dose long course combination therapy had a complete sustained response rate of 30%. PMID:12427791

Retreatability of two endodontic sealers, EndoSequence BC Sealer and AH Plus: a micro-computed tomographic comparison

PubMed Central

Oltra, Enrique; Cox, Timothy C.; LaCourse, Matthew R.; Johnson, James D.

2017-01-01

Objectives Recently, bioceramic sealers like EndoSequence BC Sealer (BC Sealer) have been introduced and are being used in endodontic practice. However, this sealer has limited research related to its retreatability. Hence, the aim of this study was to evaluate the retreatability of two sealers, BC Sealer as compared with AH Plus using micro-computed tomographic (micro-CT) analysis. Materials and Methods Fifty-six extracted human maxillary incisors were instrumented and randomly divided into 4 groups of 14 teeth: 1A, gutta-percha, AH Plus retreated with chloroform; 1B, gutta-percha, AH Plus retreated without chloroform; 2A, gutta-percha, EndoSequence BC Sealer retreated with chloroform; 2B, gutta-percha, EndoSequence BC Sealer retreated without chloroform. Micro-CT scans were taken before and after obturation and retreatment and analyzed for the volume of residual material. The specimens were longitudinally sectioned and digitized images were taken with the dental operating microscope. Data was analyzed using an ANOVA and a post-hoc Tukey test. Fisher exact tests were performed to analyze the ability to regain patency. Results There was significantly less residual root canal filling material in the AH Plus groups retreated with chloroform as compared to the others. The BC Sealer samples retreated with chloroform had better results than those retreated without chloroform. Furthermore, patency could be re-established in only 14% of teeth in the BC Sealer without chloroform group. Conclusion The results of this study demonstrate that the BC Sealer group had significantly more residual filling material than the AH Plus group regardless of whether or not both sealers were retreated with chloroform. PMID:28194360

Risk Factors for Treatment Default among Re-Treatment Tuberculosis Patients in India, 2006

PubMed Central

Jha, Ugra Mohan; Satyanarayana, Srinath; Dewan, Puneet K.; Chadha, Sarabjit; Wares, Fraser; Sahu, Suvanand; Gupta, Devesh; Chauhan, L. S.

2010-01-01

Setting Under India's Revised National Tuberculosis Control Programme (RNTCP), >15% of previously-treated patients in the reported 2006 patient cohort defaulted from anti-tuberculosis treatment. Objective To assess the timing, characteristics, and risk factors for default amongst re-treatment TB patients. Methodology For this case-control study, in 90 randomly-selected programme units treatment records were abstracted from all 2006 defaulters from the RNTCP re-treatment regimen (cases), with one consecutively-selected non-defaulter per case. Patients who interrupted anti-tuberculosis treatment for >2 months were classified as defaulters. Results 1,141 defaulters and 1,189 non-defaulters were included. The median duration of treatment prior to default was 81 days (25%–75% interquartile range 44–117 days) and documented retrieval efforts after treatment interruption were inadequate. Defaulters were more likely to have been male (adjusted odds ratio [aOR] 1.4, 95% confidence interval [CI] 1.2–1.7), have previously defaulted anti-tuberculosis treatment (aOR 1.3 95%CI 1.1–1.6], have previous treatment from non-RNTCP providers (AOR 1.3, 95%CI 1.0–1.6], or have public health facility-based treatment observation (aOR 1.3, 95%CI 1.1–1.6). Conclusions Amongst the large number of re-treatment patients in India, default occurs early and often. Improved pre-treatment counseling and community-based treatment provision may reduce default rates. Efforts to retrieve treatment interrupters prior to default require strengthening. PMID:20111727

Risk factors for treatment default among re-treatment tuberculosis patients in India, 2006.

PubMed

Jha, Ugra Mohan; Satyanarayana, Srinath; Dewan, Puneet K; Chadha, Sarabjit; Wares, Fraser; Sahu, Suvanand; Gupta, Devesh; Chauhan, L S

2010-01-25

Under India's Revised National Tuberculosis Control Programme (RNTCP), >15% of previously-treated patients in the reported 2006 patient cohort defaulted from anti-tuberculosis treatment. To assess the timing, characteristics, and risk factors for default amongst re-treatment TB patients. For this case-control study, in 90 randomly-selected programme units treatment records were abstracted from all 2006 defaulters from the RNTCP re-treatment regimen (cases), with one consecutively-selected non-defaulter per case. Patients who interrupted anti-tuberculosis treatment for >2 months were classified as defaulters. 1,141 defaulters and 1,189 non-defaulters were included. The median duration of treatment prior to default was 81 days (25%-75% interquartile range 44-117 days) and documented retrieval efforts after treatment interruption were inadequate. Defaulters were more likely to have been male (adjusted odds ratio [aOR] 1.4, 95% confidence interval [CI] 1.2-1.7), have previously defaulted anti-tuberculosis treatment (aOR 1.3 95%CI 1.1-1.6], have previous treatment from non-RNTCP providers (AOR 1.3, 95%CI 1.0-1.6], or have public health facility-based treatment observation (aOR 1.3, 95%CI 1.1-1.6). Amongst the large number of re-treatment patients in India, default occurs early and often. Improved pre-treatment counseling and community-based treatment provision may reduce default rates. Efforts to retrieve treatment interrupters prior to default require strengthening.

Isostasy as a Driver of Paleo Retreat of the Greenland Ice Sheet

NASA Astrophysics Data System (ADS)

Robinson, A.; Tabone, I.; Alvarez-Solas, J.; Montoya, M.

2016-12-01

During glacial times, the Greenland ice sheet (GrIS) extended onto the continental shelf, and thus was much more directly affected by changing ocean temperatures through basal melt of the marine ice margins than it is today. The larger glacial ice sheet also induced lithospheric depression of several hundred meters in regions that are near sea level today. As the ice sheet retreated inland under interglacial climatic forcing, the regions significantly affected by local isostatic changes in elevation were exposed to much higher basal melt rates than they would have been given the present-day topography. Here we explore this effect using a hybrid ice sheet model that represents both grounded and floating ice, as well as local isostatic effects, and is driven by both atmospheric and oceanic temperature anomalies. We find that when transient oceanic forcing is included in the model, isostasy plays an important role in allowing oceanic melting to drive GrIS retreat in some regions. During the last interglacial, for example, this effect can account for a significant additional sea-level contribution, as well as an increase in the rate of sea-level rise. Our results highlight the importance of accounting for ice-ocean-lithosphere interactions in the past, in order to be able to properly reconstruct the evolution of the ice sheet, and for estimating its sensitivity to potential changes in climate in the future.

Investigation of the effect of wall friction on the flow rate in 2D and 3D Granular Flow

NASA Astrophysics Data System (ADS)

Carballo-Ramirez, Brenda; Pleau, Mollie; Easwar, Nalini; Birwa, Sumit; Shah, Neil; Tewari, Shubha

We have measured the mass flow rate of spherical steel spheres under gravity in vertical, straight-walled 2 and 3-dimensional hoppers, where the flow velocity is controlled by the opening size. Our measurements focus on the role of friction and its placement along the walls of the hopper. In the 2D case, an increase in the coefficient of static friction from μ = 0.2 to 0.6 is seen to decrease the flow rate significantly. We have changed the placement of frictional boundaries/regions from the front and back walls of the 2D hopper to the side walls and floor to investigate the relative importance of the different regions in determining the flow rate. Fits to the Beverloo equation show significant departure from the expected exponent of 1.5 in the case of 2D flow. In contrast, 3D flow rates do not show much dependence on wall friction and its placement. We compare the experimental data to numerical simulations of gravity driven hopper granular flow with varying frictional walls constructed using LAMMPS*. *http://lammps.sandia.gov Supported by NSF MRSEC DMR 0820506.

Mixed-methods assessment of perceptions of mandibular anterior malalignment and need for orthodontic retreatment.

PubMed

Kearney, Mary-Kate; Pandis, Nikolaos; Fleming, Padhraig S

2016-10-01

Postorthodontic occlusal changes may stem from true relapse or may be a consequence of characteristic temporal changes. The aims of this research were to identify occlusal discrepancies related to the mandibular labial segment prompting a decision to undergo orthodontic retreatment. A mixed-methods assessment was undertaken comprising a qualitative analysis involving focus groups exploring the relative importance of a range of occlusal features in the decision to undergo retreatment and investigating the motives for seeking retreatment. Quantitative assessment of these occlusal discrepancies was undertaken by 50 lay and 50 professional raters. Several themes were identified in the qualitative analysis, with dental esthetics a major motive in seeking retreatment; variations in both the perception of relapse and retainer wear were identified. Horizontal irregularities of the mandibular anterior teeth were consistently perceived as the most severe. The professionals had slightly higher odds for suggesting the need for retreatment than did the laypeople, although this did not have statistical significance (odds ratio, 1.23; 95% confidence interval, 0.52-2.19; P = 0.65). The perception of mandibular labial segment irregularity and its influence on the need for orthodontic retreatment are complex and multifaceted. Nevertheless, horizontal discrepancies of the mandibular incisors were regarded as the most significant by both lay and professional raters. Copyright © 2016 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

Evaluation of apically extruded debris during root canal retreatment with two different rotary systems followed by a self-adjusting file.

PubMed

Cakici, Fatih; Cakici, Elif B; Küçükekenci, Funda Fundaoglu

2016-02-01

To compare the amount of apically extruded debris during root canal retreatment using ProTaper retreatment system (Dentsply Maillefer, Ballaigues, Switzerland), ProTaper retreatment system with Self-Adjusting File (SAF) system (ReDent-Nova, Ra'anana, Israel), Mtwo retreatment system (VDW, Munich, Germany), Mtwo retreatment system with SAF instruments. In total, 72 extracted human mandibular incisor teeth were used. All root canals were prepared with ProTaper universal (Dentsply Maillefer) up to F2 file and filled with gutta percha and AH plus sealer using cold lateral condensation before being assembled randomly into 4 groups (n = 18 each). Root canal filling materials were removed using the ProTaper retreatment system, the ProTaper retreatment system followed by SAF system, Mtwo retreatment system and Mtwo retreatment system followed by SAF system. Debris extruded apically during the removal of canal filling material was collected into preweighed Eppendorf tubes. The tubes were then stored in an incubator at 70°C for 5 days. The weight of the dry extruded debris was established by subtracting the preretreatment and postretreatment weight of the Eppendorf tubes for each group. The data obtained were analyzed using Kruskal-Wallis test. All retreatment techniques caused the apical extrusion of debris. There was no significant difference between the groups statistically (p>0.05). The results of this study showed that SAF system after Mtwo retreatment system and ProTaper retreatment system for improving retreatment has no significant effect on the amount of debris extruded apically.

Retreatment Predictions in Odontology by means of CBR Systems.

PubMed

Campo, Livia; Aliaga, Ignacio J; De Paz, Juan F; García, Alvaro Enrique; Bajo, Javier; Villarubia, Gabriel; Corchado, Juan M

2016-01-01

The field of odontology requires an appropriate adjustment of treatments according to the circumstances of each patient. A follow-up treatment for a patient experiencing problems from a previous procedure such as endodontic therapy, for example, may not necessarily preclude the possibility of extraction. It is therefore necessary to investigate new solutions aimed at analyzing data and, with regard to the given values, determine whether dental retreatment is required. In this work, we present a decision support system which applies the case-based reasoning (CBR) paradigm, specifically designed to predict the practicality of performing or not performing a retreatment. Thus, the system uses previous experiences to provide new predictions, which is completely innovative in the field of odontology. The proposed prediction technique includes an innovative combination of methods that minimizes false negatives to the greatest possible extent. False negatives refer to a prediction favoring a retreatment when in fact it would be ineffective. The combination of methods is performed by applying an optimization problem to reduce incorrect classifications and takes into account different parameters, such as precision, recall, and statistical probabilities. The proposed system was tested in a real environment and the results obtained are promising.

Retreatment Predictions in Odontology by means of CBR Systems

PubMed Central

Campo, Livia; Aliaga, Ignacio J.; García, Alvaro Enrique; Villarubia, Gabriel; Corchado, Juan M.

2016-01-01

The field of odontology requires an appropriate adjustment of treatments according to the circumstances of each patient. A follow-up treatment for a patient experiencing problems from a previous procedure such as endodontic therapy, for example, may not necessarily preclude the possibility of extraction. It is therefore necessary to investigate new solutions aimed at analyzing data and, with regard to the given values, determine whether dental retreatment is required. In this work, we present a decision support system which applies the case-based reasoning (CBR) paradigm, specifically designed to predict the practicality of performing or not performing a retreatment. Thus, the system uses previous experiences to provide new predictions, which is completely innovative in the field of odontology. The proposed prediction technique includes an innovative combination of methods that minimizes false negatives to the greatest possible extent. False negatives refer to a prediction favoring a retreatment when in fact it would be ineffective. The combination of methods is performed by applying an optimization problem to reduce incorrect classifications and takes into account different parameters, such as precision, recall, and statistical probabilities. The proposed system was tested in a real environment and the results obtained are promising. PMID:26884749

Measuring Surface Deformation in Glacier Retreated Areas Based on Ps-Insar - Geladandong Glacier as a Case Study

NASA Astrophysics Data System (ADS)

Mohamadi, B.; Balz, T.

2018-04-01

Glaciers are retreating in many parts of the world as a result of global warming. Many researchers consider Qinghai-Tibetan Plateau as a reference for climate change by measuring glaciers retreat on the plateau. This retreat resulted in some topographic changes in retreated areas, and in some cases can lead to geohazards as landslides, and rock avalanches, which is known in glacier retreated areas as paraglacial slope failure (PSF). In this study, Geladandong biggest and main glacier mass was selected to estimate surface deformation on its glacier retreated areas and define potential future PSF based on PS-InSAR technique. 56 ascending and 49 descending images were used to fulfill this aim. Geladandong glacier retreated areas were defined based on the maximum extent of the glacier in the little ice age. Results revealed a general uplift in the glacier retreated areas with velocity less than 5mm/year. Obvious surface motion was revealed in seven parts surround glacier retreated areas with high relative velocity reached ±60mm/year in some parts. Four parts were considered as PSF potential motion, and two of them showed potential damage for the main road in the study area in case of rock avalanche into recent glacier lakes that could result in glacier lake outburst flooding heading directly to the road. Finally, further analysis and field investigations are needed to define the main reasons for different types of deformation and estimate future risks of these types of surface motion in the Qinghai-Tibetan Plateau.

Volatile-rich Crater Interior Deposits in the Polar Regions of Mars: Evidence for Ice Cap Advance and Retreat

NASA Technical Reports Server (NTRS)

Russell, Patrick S.; Head, James W.; Hecht, Michael H.

2003-01-01

Many craters on Mars are partially filled by distinctive material emplaced by post-impact processes. This crater fill material is an interior mound which is generally separated from the walls of the crater by a trough that may be continuous along the crater circumference (i.e. a ring-shaped trough), or which may only partially contact the crater walls (i.e. a crescent-shaped trough). The fill deposit is frequently offset from the crater center and may be asymmetric in plan view. Populations of such craters include those in the circum-south polar cap region, in Arabia Terra, associated with the Medusae Fossae Formation, and in the northern lowlands proximal to the north polar cap. We focus on those craters in circumpolar regions and assess their relationship to polar cap advance and retreat, especially the possibility that fill material represents remnants of a formerly larger contiguous cap. Volatile-rich deposits have the property of being modifiable by the local stability of the solid volatile, which is governed by local energy balance. Here we test the hypothesis that asymmetries in volatile fill shape, profile, and center-location within a crater result from asymmetries in local energy balance within the crater, due mainly to variation of solar insolation and radiative effects of the crater walls over the crater interior. Model profiles of crater fill are compared with MOLA topographic profiles to assess this hypothesis. If asymmetry in morphology and location of crater fill are consistent with radiative-dominated asymmetries in energy budget within the crater, then 1) the volatile-rich composition of the fill is supported (this process should not be effective at shaping volcanic or sedimentary deposits), and 2) the dominant factor determining the observed shape of volatile-rich crater fill is the local radiative energy budget (and erosive processes such as eolian deflation are secondary or unnecessary). We also use a geographic and energy model approach to

Extreme limestone weathering rates due to micron-scale grain detachment

NASA Astrophysics Data System (ADS)

Emmanuel, Simon; Levenson, Yael

2014-05-01

Chemical dissolution is often assumed to control the weathering rates of carbonate rocks, although some studies have indicated that mechanical erosion could also play a significant role. Quantifying the rates of the different processes is challenging due to the high degree of variability encountered in both field and lab settings. To measure the rates and mechanisms controlling long-term limestone weathering, we analyse a lidar scan of the Western Wall, a Roman period edifice located in Jerusalem. Surface retreat rates in fine-grained micritic limestone blocks are found to be as much as 2 orders of magnitude higher than the average rates estimated for coarse-grained limestone blocks at the same site. In addition, in experiments that use atomic force microscopy to image dissolving micritic limestone, we show that these elevated reaction rates could be due to rapid dissolution along micron-scale grain boundaries, followed by mechanical detachment of tiny particles from the surface. Our analysis indicates that micron-scale grain detachment, rather than pure chemical dissolution, could be the dominant erosional mode for fine-grained carbonate rocks.

Response to Therapy Following Retreatment of Serofast Early Syphilis Patients With Benzathine Penicillin

PubMed Central

Seña, Arlene C.; Wolff, Mark; Behets, Frieda; Van Damme, Kathleen; Martin, David H.; Leone, Peter; McNeil, Linda; Hook, Edward W.

2013-01-01

Persistent nontreponemal titers after treatment are common among patients with early syphilis. We retreated 82 human immunodeficiency virus–negative early syphilis participants who were serofast at 6 months using benzathine penicillin. Only 27% exhibited serological response after retreatment and after an additional 6 months of follow-up. PMID:23118269

Comparison of the efficacy of nickel-titanium rotary systems with or without the retreatment instruments in the removal of gutta-percha in the apical third

PubMed Central

2014-01-01

Background The purpose of this study was to compare the efficacy of nickel-titanium rotary systems with or without the retreatment instruments in the removal of gutta-percha from the apical third. Methods The systems compared were as follows: ProTaper Universal (PT), ProTaper Universal Retreatment (PTr), Mtwo (M2) and Mtwo Retreatment (M2r). Sixty extracted mandibular incisors were treated with a crown-down technique and filled with gutta-percha and sealer. The apical diameter was standardized in 0.30 mm, 1 mm from the apex. The teeth were distributed into 4 experimental groups: PT, PTr, M2 and M2r. In PTr and M2r groups, filling materials were removed by PTr/M2r followed by root canals preparation up to a PT F4/M2 40; in groups PT/M2, the filling materials were removed and the root canals were prepared by PT up to a PT F4/M2 up to a M2 40. The roots were split and photomicrographing. The percentage of clean area in the apical 5 mm was calculated using software. Data were analyzed with the Kruskal-Wallis test. Results Remaining material was found in all hemisections and there was no statistically significant difference between the groups (p = 0.09). Considering the surface of the canal walls of all teeth, the mean of the percentage of clean area was 54%. Conclusions Considering the applied methodology, remaining filling material was found in all hemisections, regardless of the retreatment technique and PT or M2 were as effective as PTr/PT or M2r/M2. PMID:25128277

Benthic Trophic Interactions in an Antarctic Shallow Water Ecosystem Affected by Recent Glacier Retreat.

PubMed

Pasotti, Francesca; Saravia, Leonardo Ariel; De Troch, Marleen; Tarantelli, Maria Soledad; Sahade, Ricardo; Vanreusel, Ann

2015-01-01

The western Antarctic Peninsula is experiencing strong environmental changes as a consequence of ongoing regional warming. Glaciers in the area are retreating rapidly and increased sediment-laden meltwater runoff threatens the benthic biodiversity at shallow depths. We identified three sites with a distinct glacier-retreat related history and different levels of glacial influence in the inner part of Potter Cove (King George Island, South Shetland Islands), a fjord-like embayment impacted since the 1950s by a tidewater glacier retreat. We compared the soft sediment meio- and macrofauna isotopic niche widths (δ13C and δ15N stable isotope analysis) at the three sites to investigate possible glacier retreat-related influences on benthic trophic interactions. The isotopic niches were locally shaped by the different degrees of glacier retreat-related disturbance within the Cove. Wider isotopic niche widths were found at the site that has become ice-free most recently, and narrower niches at the older ice-free sites. At an intermediate state of glacier retreat-related disturbance (e.g. via ice-growler scouring) species with different strategies could settle. The site at the earliest stage of post-retreat development was characterized by an assemblage with lower trophic redundancy. Generally, the isotopic niche widths increased with increasing size spectra of organisms within the community, excepting the youngest assemblage, where the pioneer colonizer meiofauna size class displayed the highest isotopic niche width. Meiofauna at all sites generally occupied positions in the isotopic space that suggested a detrital-pool food source and/or the presence of predatory taxa. In general ice scour and glacial impact appeared to play a two-fold role within the Cove: i) either stimulating trophic diversity by allowing continuous re-colonization of meiofaunal species or, ii) over time driving the benthic assemblages into a more compact trophic structure with increased

Benthic Trophic Interactions in an Antarctic Shallow Water Ecosystem Affected by Recent Glacier Retreat

PubMed Central

Pasotti, Francesca; Saravia, Leonardo Ariel; De Troch, Marleen; Tarantelli, Maria Soledad; Sahade, Ricardo; Vanreusel, Ann

2015-01-01

The western Antarctic Peninsula is experiencing strong environmental changes as a consequence of ongoing regional warming. Glaciers in the area are retreating rapidly and increased sediment-laden meltwater runoff threatens the benthic biodiversity at shallow depths. We identified three sites with a distinct glacier-retreat related history and different levels of glacial influence in the inner part of Potter Cove (King George Island, South Shetland Islands), a fjord-like embayment impacted since the 1950s by a tidewater glacier retreat. We compared the soft sediment meio- and macrofauna isotopic niche widths (δ13C and δ15N stable isotope analysis) at the three sites to investigate possible glacier retreat-related influences on benthic trophic interactions. The isotopic niches were locally shaped by the different degrees of glacier retreat-related disturbance within the Cove. Wider isotopic niche widths were found at the site that has become ice-free most recently, and narrower niches at the older ice-free sites. At an intermediate state of glacier retreat-related disturbance (e.g. via ice-growler scouring) species with different strategies could settle. The site at the earliest stage of post-retreat development was characterized by an assemblage with lower trophic redundancy. Generally, the isotopic niche widths increased with increasing size spectra of organisms within the community, excepting the youngest assemblage, where the pioneer colonizer meiofauna size class displayed the highest isotopic niche width. Meiofauna at all sites generally occupied positions in the isotopic space that suggested a detrital-pool food source and/or the presence of predatory taxa. In general ice scour and glacial impact appeared to play a two-fold role within the Cove: i) either stimulating trophic diversity by allowing continuous re-colonization of meiofaunal species or, ii) over time driving the benthic assemblages into a more compact trophic structure with increased

The role of bank collapse on tidal creek ontogeny: A novel process-based model for bank retreat

NASA Astrophysics Data System (ADS)

Gong, Zheng; Zhao, Kun; Zhang, Changkuan; Dai, Weiqi; Coco, Giovanni; Zhou, Zeng

2018-06-01

Bank retreat in coastal tidal flats plays a primary role on the planimetric shape of tidal creeks and is commonly driven by both flow-induced bank erosion and gravity-induced bank collapse. However, existing modelling studies largely focus on bank erosion and overlook bank collapse. We build a bank retreat model coupling hydrodynamics, bank erosion and bank collapse. To simulate the process of bank collapse, a stress-deformation model is utilized to calculate the stress variation of bank soil after bank erosion, and the Mohr-Coulomb failure criterion is then applied to evaluate the stability of the tidal creek bank. Results show that the bank failure process can be categorized into three stages, i.e., shear failure at the bank toe (stage I), tensile failure on the bank top (stage II), and sectional cracking from the bank top to the toe (stage III). With only bank erosion, the planimetric shapes of tidal creeks are funneled due to the gradually seaward increasing discharge. In contrast to bank erosion, bank collapse is discontinuous, and the contribution of bank collapse to bank retreat can reach 85%, highlighting that the expansion of tidal creeks can be dominated by bank collapse process. The planimetric shapes of tidal creeks are funneled with a much faster expansion rate when bank collapse is considered. Overall, this study makes a further step toward more physical and realistic simulation of bank retreat in estuarine and coastal settings and the developed bank collapse module can be readily included in other morphodynamic models.

Variability, trends, and predictability of seasonal sea ice retreat and advance in the Chukchi Sea

NASA Astrophysics Data System (ADS)

Serreze, Mark C.; Crawford, Alex D.; Stroeve, Julienne C.; Barrett, Andrew P.; Woodgate, Rebecca A.

2016-10-01

As assessed over the period 1979-2014, the date that sea ice retreats to the shelf break (150 m contour) of the Chukchi Sea has a linear trend of -0.7 days per year. The date of seasonal ice advance back to the shelf break has a steeper trend of about +1.5 days per year, together yielding an increase in the open water period of 80 days. Based on detrended time series, we ask how interannual variability in advance and retreat dates relate to various forcing parameters including radiation fluxes, temperature and wind (from numerical reanalyses), and the oceanic heat inflow through the Bering Strait (from in situ moorings). Of all variables considered, the retreat date is most strongly correlated (r ˜ 0.8) with the April through June Bering Strait heat inflow. After testing a suite of statistical linear models using several potential predictors, the best model for predicting the date of retreat includes only the April through June Bering Strait heat inflow, which explains 68% of retreat date variance. The best model predicting the ice advance date includes the July through September inflow and the date of retreat, explaining 67% of advance date variance. We address these relationships by discussing heat balances within the Chukchi Sea, and the hypothesis of oceanic heat transport triggering ocean heat uptake and ice-albedo feedback. Developing an operational prediction scheme for seasonal retreat and advance would require timely acquisition of Bering Strait heat inflow data. Predictability will likely always be limited by the chaotic nature of atmospheric circulation patterns.

Rituximab Retreatment for Low-Tumor Burden Follicular Lymphoma

Cancer.gov

A summary of results from a randomized clinical trial of patients with low–tumor burden follicular lymphoma that compared maintenance therapy with rituximab versus retreatment with rituximab only when there was evidence of disease progression.

Efficacy and safety of retreatment with nivolumab in metastatic melanoma patients previously treated with nivolumab.

PubMed

Nomura, Motoo; Otsuka, Atsushi; Kondo, Tomohiro; Nagai, Hiroki; Nonomura, Yumi; Kaku, Yo; Matsumoto, Shigemi; Muto, Manabu

2017-11-01

Nivolumab is a monoclonal antibody directed against programmed death-1 that has been shown to improve survival in patients with metastatic melanoma. However, the efficacy of nivolumab and other agents in melanoma remains limited. The objective of this study was to evaluate the efficacy and safety of retreatment with nivolumab in metastatic melanoma patients who previously progressed on nivolumab. A retrospective review was performed on eight consecutive metastatic melanoma patients retreated with nivolumab who progressed on previous nivolumab. These patients received nivolumab 2 mg/kg every 3 weeks. Best responses to each treatment were assessed using RECIST 1.1. Of eight metastatic melanoma patients, three patients received chemotherapy before first nivolumab. The median first nivolumab treatment period was 4.1 months. During first nivolumab, 3 (37.5%) patients achieved a partial response and 3 (37.5%) patients achieved stable disease as their best response. First nivolumab was discontinued due to disease progression in seven patients and grade 3 colitis in 1 patient. Patients were subsequently treated with ipilimumab (n = 6), vemurafenib (n = 1), or no other medical treatment (n = 1). The median treatment period between first and second nivolumab was 3.0 months. Four patients received radiation therapy between first and second nivolumab. The median second nivolumab treatment period was 4.3 months. Among the eight patients who received second nivolumab, 2 (25%) patients achieved a partial response and 3 (37.5%) patients achieved stable disease as their best response. Second nivolumab was discontinued due to disease progression in seven patients. One patient continues to receive second nivolumab. Among the four patients treated with ipilimumab and radiotherapy between first and second nivolumab, the response rate was 50% and the disease control rate was 75%. This study showed that retreatment with nivolumab is an option for select metastatic melanoma

Self-reported mindfulness and cortisol during a Shamatha meditation retreat.

PubMed

Jacobs, Tonya L; Shaver, Phillip R; Epel, Elissa S; Zanesco, Anthony P; Aichele, Stephen R; Bridwell, David A; Rosenberg, Erika L; King, Brandon G; Maclean, Katherine A; Sahdra, Baljinder K; Kemeny, Margaret E; Ferrer, Emilio; Wallace, B Alan; Saron, Clifford D

2013-10-01

Cognitive perseverations that include worry and rumination over past or future events may prolong cortisol release, which in turn may contribute to predisease pathways and adversely affect physical health. Meditation training may increase self-reported mindfulness, which has been linked to reductions in cognitive perseverations. However, there are no reports that directly link self-reported mindfulness and resting cortisol output. Here, the authors investigate this link. In an observational study, we measured self-reported mindfulness and p.m. cortisol near the beginning and end of a 3-month meditation retreat (N = 57). Mindfulness increased from pre- to post-retreat, F(1, 56) = 36.20, p < .001. Cortisol did not significantly change. However, mindfulness was inversely related to p.m. cortisol at pre-retreat, r(53) = -.31, p < .05, and post-retreat, r(53) = -.30, p < .05, controlling for age and body mass index. Pre to postchange in mindfulness was associated with pre to postchange in p.m. cortisol, β = -.37, t(49) = 2.30, p < .05: Larger increases in mindfulness were associated with decreases in p.m. cortisol, whereas smaller increases (or slight decreases) in mindfulness were associated with an increase in p.m. cortisol. These data suggest a relation between self-reported mindfulness and resting output of the hypothalamic-pituitary-adrenal system. Future work should aim to replicate this finding in a larger cohort and determine stronger inference about causality by using experimental designs that include control-group conditions. (PsycINFO Database Record (c) 2013 APA, all rights reserved).

A 5 yr clinical investigation of second mesiobuccal canals in endodontically treated and retreated maxillary molars.

PubMed

Wolcott, James; Ishley, Dave; Kennedy, Wade; Johnson, Scott; Minnich, Scott; Meyers, John

2005-04-01

An examination of 5616 endodontically treated and retreated maxillary first and second molars was made in an attempt to determine the percentage of MB2 canals that could be located routinely, and evaluate if there were any significant differences between initial treatments and retreatments. The teeth examined were 3578 first molars and 2038 second molars treated consecutively over a 5-yr period by six endodontists. Overall the MB2 canal was found in 2133 (60%) first molars, and 712 (35%) second molars. The incidence of a MB2 canal in first molar retreatments was 66% compared to a 58% incidence in initial treatments. Whereas in second molars the retreatment incidence was 40% compared to 34% in initial treatments. The significant difference in the incidence of a MB2 canal between initial treatments and retreatments suggests that failure to find and treat existing MB2 canals will decrease the long-term prognosis.

Risk factors for the treatment outcome of retreated pulmonary tuberculosis patients in China: an optimized prediction model.

PubMed

Wang, X-M; Yin, S-H; Du, J; Du, M-L; Wang, P-Y; Wu, J; Horbinski, C M; Wu, M-J; Zheng, H-Q; Xu, X-Q; Shu, W; Zhang, Y-J

2017-07-01

Retreatment of tuberculosis (TB) often fails in China, yet the risk factors associated with the failure remain unclear. To identify risk factors for the treatment failure of retreated pulmonary tuberculosis (PTB) patients, we analyzed the data of 395 retreated PTB patients who received retreatment between July 2009 and July 2011 in China. PTB patients were categorized into 'success' and 'failure' groups by their treatment outcome. Univariable and multivariable logistic regression were used to evaluate the association between treatment outcome and socio-demographic as well as clinical factors. We also created an optimized risk score model to evaluate the predictive values of these risk factors on treatment failure. Of 395 patients, 99 (25·1%) were diagnosed as retreatment failure. Our results showed that risk factors associated with treatment failure included drug resistance, low education level, low body mass index (6 months), standard treatment regimen, retreatment type, positive culture result after 2 months of treatment, and the place where the first medicine was taken. An Optimized Framingham risk model was then used to calculate the risk scores of these factors. Place where first medicine was taken (temporary living places) received a score of 6, which was highest among all the factors. The predicted probability of treatment failure increases as risk score increases. Ten out of 359 patients had a risk score >9, which corresponded to an estimated probability of treatment failure >70%. In conclusion, we have identified multiple clinical and socio-demographic factors that are associated with treatment failure of retreated PTB patients. We also created an optimized risk score model that was effective in predicting the retreatment failure. These results provide novel insights for the prognosis and improvement of treatment for retreated PTB patients.

Means of Slope Retreat on the Na Pali Cliffs, Kauai, Hawaii

NASA Astrophysics Data System (ADS)

Osborn, G.; Sheardown, A.; Blay, C.

2016-12-01

The spectacular, 500 to 600 m high, deeply grooved escarpment referred to as the Na Pali cliffs, on the northwest coast of Kauai, requires a substrate competent enough to hold up high steep cliffs yet erodible enough to allow generation of wide, deep grooves. These opposing tendencies are afforded by weathering of originally strong basalt that keeps pace with erosion. The fluted cliffs maintain a rather consistent slope angle, generally 50-60°, whether they are close to the shoreline or have retreated some distance from it, indicating that the slopes are retreating parallel to themselves. Previous literature promotes groundwater sapping or waterfall-plunge-pool erosion as the chief means of valley-head retreat, but there is no evidence that either concept provides a general explanation for retreat of the fluted cliffs. The eroding cliffs maintain steepness because as much rock is eroded at the base as at the top, and transported sediment is washed completely out of the gully system. The thin-bedded basalts exposed in the steep flutes are decomposed into irregularly alternating fine sediment of low to moderate cohesion and thoroughly fractured beds or lenses of solid but chemically weathered rock, and covered with a veneer of sparse grass. Erosion proceeds by episodic removal of thin grass-covered surficial sheets of the weathering products. Some of this process may be facilitated by shallow mass movement, but probably most of the work is done by overland and channelized flow during intense rainstorms. The Na Pali coast experiences one-hour rainfalls of 2-2.5 inches (1 year recurrence interval) and 5-6 inches (100 year recurrence interval); experiments by others on basaltic soils in Molokai suggest such rain is more than enough to generate erosion-inducing overland flow. Between the deep grooves and the shoreline are slopes with lesser drainage densities and lesser slope angles. The rocks here are not distinguished from the rocks above in previous literature, and

Knickpoint formation and retreat: stairway to heaven or pathway to declivity

NASA Astrophysics Data System (ADS)

Rengers, Francis; Tucker, Gregory

2016-04-01

The importance of knickpoints in shaping fluvial systems has been observed in laboratory settings, small experimental plots, and at the landscape scale. By creating a step in a river's longitudinal profile, knickpoints can shield upstream tributaries from a much lower base level, and therefore represent a buffer in the energy transfer of a stream system. Knickpoints are located at a transition point between the potential energy of material stored upstream and the kinetic energy of erosion processes and sediment transport below the knickpoint. We hypothesize that the long-term persistence of a discrete, retreating knickpoint requires a balance between the fluvial erosion of the feature, and sedimentation rates downstream. Here we present the results of a short-term (four year) study of knickpoint morphology in a natural gully system to better constrain the conditions necessary to preserve distinct knickpoints over time. We monitored knickpoint erosion using time-lapse photography, repeat terrestrial lidar, soil moisture monitoring, and rainfall-runoff measurements. Our results indicate that shallow subsurface hydrology leads to knickpoint erosion via mass failure, and produces a stable and predictable morphological signature of knickpoint erosion (amphitheater shaped heads). We generalized these observations into a numerical model of erosion/sedimentation to understand the geomorphic legacy of knickpoints in deeply incised gullies. Modeling showed that knickpoints can maintain an incisional step for hundreds to thousands of years when knickpoints retreat via mass failure and sediment is removed from the knickpoint base by fluvial scour. To test simulations of long-term stability generated by the numerical model, we used Optically Stimulated Luminesence to date alluvial deposits at existing gully knickpoints. This geochronological dating confirmed that gully knickpoints have been active in our study area for hundreds to thousands of years, particularly during drought

The 24th Annual Prostate Cancer Foundation scientific retreat report.

PubMed

Miyahira, Andrea K; Soule, Howard R

2018-05-15

The 24th Annual Prostate Cancer Foundation (PCF) Scientific Retreat was held from October 5-7, 2017, at the Omni Shoreham Hotel in Washington, DC. The PCF Scientific Retreat is a scientific conference that specifically focuses on cutting edge research deemed to have significant promise for accelerating advances in prostate cancer biology and treatment. Themes highlighted at this year's meeting included: (i) new understandings in prostate cancer biology and disease progression; (ii) new mechanisms and treatment targets in advanced prostate cancer; (iii) advances in precision medicine genomics, germline genetics, and selection of targeted therapies; (iv) PSMA-targeted agents for PET imaging and radionuclide therapy; (v) approaches for improving the efficacy of immunotherapy in prostate cancer; (vi) applications of 3D Genomics in prostate cancer research; and (vii) potential applications of artificial intelligence in prostate cancer. This article reviews the research presented at the PCF Scientific Retreat, in order to improve understanding of the current state of prostate cancer research, encourage discourse and exchange of novel ideas, and stimulate new basic, translational, and clinical research that will ultimately improve the lives of patients. © 2018 Wiley Periodicals, Inc.

Incidence of DAA failure and the clinical impact of retreatment in real-life patients treated in the advanced stage of liver disease: Interim evaluations from the PITER network

PubMed Central

Gaeta, Giovanni Battista; Brunetto, Maurizia Rossana; Di Leo, Alfredo; Iannone, Andrea; Santantonio, Teresa Antonia; Giammario, Adele; Raimondo, Giovanni; Filomia, Roberto; Coppola, Carmine; Amoruso, Daniela Caterina; Blanc, Pierluigi; Del Pin, Barbara; Chemello, Liliana; Cavalletto, Luisa; Morisco, Filomena; Donnarumma, Laura; Rumi, Maria Grazia; Gasbarrini, Antonio; Siciliano, Massimo; Massari, Marco; Corsini, Romina; Coco, Barbara; Madonia, Salvatore; Cannizzaro, Marco; Zignego, Anna Linda; Monti, Monica; Russo, Francesco Paolo; Zanetto, Alberto; Persico, Marcello; Masarone, Mario; Villa, Erica; Bernabucci, Veronica; Taliani, Gloria; Biliotti, Elisa; Chessa, Luchino; Pasetto, Maria Cristina; Andreone, Pietro; Margotti, Marzia; Brancaccio, Giuseppina; Ieluzzi, Donatella; Borgia, Guglielmo; Zappulo, Emanuela; Calvaruso, Vincenza; Petta, Salvatore; Falzano, Loredana; Quaranta, Maria Giovanna; Weimer, Liliana Elena; Rosato, Stefano; Vella, Stefano; Giannini, Edoardo Giovanni

2017-01-01

Background Few data are available on the virological and clinical outcomes of advanced liver disease patients retreated after first-line DAA failure. Aim To evaluate DAA failure incidence and the retreatment clinical impact in patients treated in the advanced liver disease stage. Methods Data on HCV genotype, liver disease severity, and first and second line DAA regimens were prospectively collected in consecutive patients who reached the 12-week post-treatment and retreatment evaluations from January 2015 to December 2016 in 23 of the PITER network centers. Results Among 3,830 patients with advanced fibrosis (F3) or cirrhosis, 139 (3.6%) failed to achieve SVR. Genotype 3, bilirubin levels >1.5mg/dl, platelet count <120,000/mm3 and the sofosbuvir+ribavirin regimen were independent predictors of failure by logistic regression analysis. The failure rate was 7.6% for patients treated with regimens that are no longer recommended or considered suboptimal (sofosbuvir+ribavirin or simeprevir+sofosbuvir±ribavirin), whereas 1.4% for regimens containing sofosbuvir combined with daclatasvir or ledipasvir or other DAAs. Of the patients who failed to achieve SVR, 72 (51.8%) were retreated with a second DAA regimen, specifically 38 (52.7%) with sofosbuvir+daclatasvir, 27 (37.5%) with sofosbuvir+ledipasvir, and 7 (9.7%) with other DAAs ±ribavirin. Among these, 69 (96%) patients achieved SVR12 and 3 (4%) failed. During a median time of 6 months (range: 5–14 months) between failure and the second DAA therapy, the Child-Pugh class worsened in 12 (16.7%) patients: from A to B in 10 patients (19.6%) and from B to C in 2 patients (10.5%), whereas it did not change in the remaining 60 patients. Following the retreatment SVR12 (median time of 6 months; range: 3–12 months), the Child-Pugh class improved in 17 (23.6%) patients: from B to A in 14 (19.4%) patients, from C to A in 1 patient (1.4%) and from C to B in 2 (2.9%) patients; it remained unchanged in 53 patients (73.6%) and

Incidence of DAA failure and the clinical impact of retreatment in real-life patients treated in the advanced stage of liver disease: Interim evaluations from the PITER network.

PubMed

Kondili, Loreta A; Gaeta, Giovanni Battista; Brunetto, Maurizia Rossana; Di Leo, Alfredo; Iannone, Andrea; Santantonio, Teresa Antonia; Giammario, Adele; Raimondo, Giovanni; Filomia, Roberto; Coppola, Carmine; Amoruso, Daniela Caterina; Blanc, Pierluigi; Del Pin, Barbara; Chemello, Liliana; Cavalletto, Luisa; Morisco, Filomena; Donnarumma, Laura; Rumi, Maria Grazia; Gasbarrini, Antonio; Siciliano, Massimo; Massari, Marco; Corsini, Romina; Coco, Barbara; Madonia, Salvatore; Cannizzaro, Marco; Zignego, Anna Linda; Monti, Monica; Russo, Francesco Paolo; Zanetto, Alberto; Persico, Marcello; Masarone, Mario; Villa, Erica; Bernabucci, Veronica; Taliani, Gloria; Biliotti, Elisa; Chessa, Luchino; Pasetto, Maria Cristina; Andreone, Pietro; Margotti, Marzia; Brancaccio, Giuseppina; Ieluzzi, Donatella; Borgia, Guglielmo; Zappulo, Emanuela; Calvaruso, Vincenza; Petta, Salvatore; Falzano, Loredana; Quaranta, Maria Giovanna; Weimer, Liliana Elena; Rosato, Stefano; Vella, Stefano; Giannini, Edoardo Giovanni

2017-01-01

Few data are available on the virological and clinical outcomes of advanced liver disease patients retreated after first-line DAA failure. To evaluate DAA failure incidence and the retreatment clinical impact in patients treated in the advanced liver disease stage. Data on HCV genotype, liver disease severity, and first and second line DAA regimens were prospectively collected in consecutive patients who reached the 12-week post-treatment and retreatment evaluations from January 2015 to December 2016 in 23 of the PITER network centers. Among 3,830 patients with advanced fibrosis (F3) or cirrhosis, 139 (3.6%) failed to achieve SVR. Genotype 3, bilirubin levels >1.5mg/dl, platelet count <120,000/mm3 and the sofosbuvir+ribavirin regimen were independent predictors of failure by logistic regression analysis. The failure rate was 7.6% for patients treated with regimens that are no longer recommended or considered suboptimal (sofosbuvir+ribavirin or simeprevir+sofosbuvir±ribavirin), whereas 1.4% for regimens containing sofosbuvir combined with daclatasvir or ledipasvir or other DAAs. Of the patients who failed to achieve SVR, 72 (51.8%) were retreated with a second DAA regimen, specifically 38 (52.7%) with sofosbuvir+daclatasvir, 27 (37.5%) with sofosbuvir+ledipasvir, and 7 (9.7%) with other DAAs ±ribavirin. Among these, 69 (96%) patients achieved SVR12 and 3 (4%) failed. During a median time of 6 months (range: 5-14 months) between failure and the second DAA therapy, the Child-Pugh class worsened in 12 (16.7%) patients: from A to B in 10 patients (19.6%) and from B to C in 2 patients (10.5%), whereas it did not change in the remaining 60 patients. Following the retreatment SVR12 (median time of 6 months; range: 3-12 months), the Child-Pugh class improved in 17 (23.6%) patients: from B to A in 14 (19.4%) patients, from C to A in 1 patient (1.4%) and from C to B in 2 (2.9%) patients; it remained unchanged in 53 patients (73.6%) and worsened in 2 (2.8%) patients. Of

Patient Centered Outcomes Assessment of Retreatment and Endodontic Microsurgery Using CBCT Volumetric Analysis

DTIC Science & Technology

2018-11-09

Retreatment and EMS were completed using a dental operating microscope (Zeiss OPMJ PROergo) and contemporary materials and techniques. Retreatrnent...paralleling technique and external cone positioning device (XCP) using size 2 digital sensors (Kodak RVG 6100). A dental x-ray machine (Planmeca...EMS and retreatment were calculated. Examiners used MiPACS dental enterprise viewer (LEAD Technologies Inc, Charlotte, NC) to interpret randomized

Evaluation of a team-building retreat to promote nursing faculty cohesion and job satisfaction.

PubMed

Birx, Ellen; Lasala, Kathleen B; Wagstaff, Mark

2011-01-01

With the growing global shortage of nursing faculty, there is increased need to develop and evaluate strategies to promote nursing faculty job satisfaction. Using quantitative and qualitative research methods, a team-building faculty retreat including challenge course activities was evaluated to determine its effects on group cohesion and job satisfaction. Mean Job in General scores for the sample (n = 29) at the start of the study were comparable with national norms for employees with graduate degrees. There were statistically significant increases in Job in General scores and group cohesion scores from pretest to posttest on the day of the retreat. However, the positive changes were not maintained at the end of the semester when follow-up data were gathered. Content analysis of the retreat day reflections revealed the following themes: getting to know each other better, seeing commonalities and differences, spending time together, developing trust, and working as a group. Several themes were identified in the end of the semester reflections: getting to know each other, feeling closer as a group, setting a friendlier tone for the semester, and that the retreat was a positive experience. Based on these findings, we recommend the use of a faculty retreat with challenge course activities to promote nursing faculty cohesion and job satisfaction. However, follow-up activities are recommended to maintain positive results over time. 2011 Elsevier Inc. All rights reserved.

Rapid advance and retreat over centennial/millennial timescales at Kangiata Nunaata Sermia, SW Greenland - implications for modelling, and behaviour of tidewater glaciers

NASA Astrophysics Data System (ADS)

Lea, J.; Mair, D. W.; Rea, B. R.; Schofield, J.; Kamenos, N.; Pearce, D.; Schoenrock, K. M.

2017-12-01

While the Greenland Ice Sheet has undergone significant retreat over the last 80 years, our understanding of the ice sheet's response to climate forcing over centennial to millennial timescales is poorly constrained. Knowledge of marine glacier outlets over these timescales would provide crucial information regarding longer term ice sheet dynamics, beyond instrumental and historical records. It is notably difficult to constrain such histories for these glaciers due to: (i) a highly dynamic ice front environment in combination with the Little Ice Age advance(s) destroying much of the preceding evidence for glacier change; (ii) often poor landform/sediment preservation due to steep sided fjords; (iii) the areas with greatest preservation potential, the fjords bottoms, being submarine and often ice choked, and therefore non-trivial to survey, and sample. The tidewater glacier Kangiata Nunaata Sermia (KNS), SW Greenland provides an exception to this. Here we present a record of >22km of terminus advance and retreat spanning the last 1000 years using a combination of geomorphological, sedimentological and archaeological evidence. This timescale includes periods of substantial warming and cooling of air temperatures that appear to correspond to periods of advance and retreat. Results also suggest that the average advance rates in the early part of the millennium (110 m a-1) are of a similar magnitude to contemporary retreat rates observed around Greenland. The results generated here provide an ideal opportunity to validate the performance of numerical models (notably those that include calving) over centennial timescales. Evaluating model performance against the past behaviour of KNS could therefore lead to significant improvements in the confidence of ice sheet change projections up to 2100 and beyond.

Evolution of titanium residue on the walls of a plasma-etching reactor and its effect on the polysilicon etching rate

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

Hirota, Kosa, E-mail: hirota-kousa@sme.hitachi-hitec.com; Itabashi, Naoshi; Tanaka, Junichi

2014-11-01

The variation in polysilicon plasma etching rates caused by Ti residue on the reactor walls was investigated. The amount of Ti residue was measured using attenuated total reflection Fourier transform infrared spectroscopy with the HgCdTe (MCT) detector installed on the side of the reactor. As the amount of Ti residue increased, the number of fluorine radicals and the polysilicon etching rate increased. However, a maximum limit in the etching rate was observed. A mechanism of rate variation was proposed, whereby F radical consumption on the quartz reactor wall is suppressed by the Ti residue. The authors also investigated a plasma-cleaningmore » method for the removal of Ti residue without using a BCl{sub 3} gas, because the reaction products (e.g., boron oxide) on the reactor walls frequently cause contamination of the product wafers during etching. CH-assisted chlorine cleaning, which is a combination of CHF{sub 3} and Cl{sub 2} plasma treatment, was found to effectively remove Ti residue from the reactor walls. This result shows that CH radicals play an important role in deoxidizing and/or defluorinating Ti residue on the reactor walls.« less

In Review (Geology): Alpine Landscape Evolution Dominated by Cirque Retreat

NASA Technical Reports Server (NTRS)

Oskin, Michael; Burbank, Doug

2005-01-01

Despite the abundance in alpine terrain of glacially dissected landscapes, the magnitude and geometry of glacial erosion can rarely be defined. In the eastern Kyrgyz Range, a widespread unconformity exhumed as a geomorphic surface provides a regional datum with which to calibrate erosion. As tectonically driven surface uplift has progressively pushed this surface into the zone of ice accumulation, glacial erosion has overprinted the landscape. With as little as 500 m of incision into rocks underlying the unconformity, distinctive glacial valleys display their deepest incision adjacent to cirque headwalls. The expansion of north-facing glacial cirques at the expense of south-facing valleys has driven the drainage divide southwards at rates up to 2 to 3 times the rate of valley incision. Existing ice-flux-based glacial erosion rules incompletely model expansion of glacial valleys via cirque retreat into the low-gradient unconformity remnants. Local processes that either directly sap cirque headwalls or inhibit erosion down-glacier appear to control, at least initially, alpine landscape evolution.

Efficacy of Different Methods for Removing Root Canal Filling Material in Retreatment - An In-vitro Study.

PubMed

Kasam, Swetha; Mariswamy, Annapoorna Ballagere

2016-06-01

Although success of endodontic therapy has significantly improved in the last few decades due to the introduction of novel materials and techniques, failures of endodontic therapy requiring re-treatment still comprise a significant percentage of patients requiring root canal treatment. To evaluate and compare the effective removal of gutta percha and sealer, amount of apical debris extrusion and time required for gutta percha removal using various endodontic files. Total 48 extracted mandibular premolars were mounted on acrylic blocks and endodontic procedure was carried out using size 40 K file and obturated using guttapercha and zinc oxide eugenol sealer. After one month storage, samples were decoronated, mounted on screw capped vials and subjected to removal of obturated material by four instruments: H files, safe sided H files, protaper universal retreatment rotary system and ultrasonic retreatment tip, grouped as 1, 2, 3, and 4 respectively. Only 2mm of obturated material from the coronal part was removed using no. 3 Gates Glidden drill, guttapercha was softened with a drop of xylene for 2 mins for each canal and retreatment was performed. The retreatment procedure was said to be complete when no visible debris were observed on the instrument flutes. The samples split into two halves and examined under stereomicroscope, photographed, assessed using AUTOCAD software and percentage of remaining filling material in coronal, middle, apical thirds of the canal was calculated in mm(2). Retreatment time was recorded in seconds and apically extruded debris was assessed by microbalance in grams for each tooth. The data was analyzed by using descriptive statistics, ANOVA and Scheffe's post hoc test through SPSS for windows (v 16.0). The ultrasonic retreatment tip had less percentage of residual guttapercha/sealer, shorter mean operating time and little apical extrusion with a significant difference (p<0.05) between the other groups. All techniques retained guttapercha

Efficacy of Different Methods for Removing Root Canal Filling Material in Retreatment - An In-vitro Study

PubMed Central

Mariswamy, Annapoorna Ballagere

2016-01-01

Introduction Although success of endodontic therapy has significantly improved in the last few decades due to the introduction of novel materials and techniques, failures of endodontic therapy requiring re-treatment still comprise a significant percentage of patients requiring root canal treatment. Aim To evaluate and compare the effective removal of gutta percha and sealer, amount of apical debris extrusion and time required for gutta percha removal using various endodontic files. Materials and Methods Total 48 extracted mandibular premolars were mounted on acrylic blocks and endodontic procedure was carried out using size 40 K file and obturated using guttapercha and zinc oxide eugenol sealer. After one month storage, samples were decoronated, mounted on screw capped vials and subjected to removal of obturated material by four instruments: H files, safe sided H files, protaper universal retreatment rotary system and ultrasonic retreatment tip, grouped as 1, 2, 3, and 4 respectively. Only 2mm of obturated material from the coronal part was removed using no. 3 Gates Glidden drill, guttapercha was softened with a drop of xylene for 2 mins for each canal and retreatment was performed. The retreatment procedure was said to be complete when no visible debris were observed on the instrument flutes. The samples split into two halves and examined under stereomicroscope, photographed, assessed using AUTOCAD software and percentage of remaining filling material in coronal, middle, apical thirds of the canal was calculated in mm2. Retreatment time was recorded in seconds and apically extruded debris was assessed by microbalance in grams for each tooth. The data was analyzed by using descriptive statistics, ANOVA and Scheffe’s post hoc test through SPSS for windows (v 16.0). Results The ultrasonic retreatment tip had less percentage of residual guttapercha/sealer, shorter mean operating time and little apical extrusion with a significant difference (p<0.05) between the

Cost-effectiveness of retreatment with varenicline after failure with or relapse after initial treatment for smoking cessation

PubMed Central

Annemans, Lieven; Marbaix, Sophie; Nackaerts, Kristiaan; Bartsch, Pierre

2015-01-01

Objectives A recent trial showed the clinical benefit of retreatment with varenicline in subjects failing on the initial treatment, or relapsing after initial success. The objective of this study was to evaluate the cost-effectiveness of retreatment with varenicline compared with other smoking cessation interventions. Methods A published Markov model was adapted to compare one quit attempt of varenicline followed by retreatment to treatment/retreatment with nicotine replacement therapy (NRT), bupropion or placebo, and with only 1 quit attempt of varenicline. Efficacy was obtained from clinical trials. Incidence of smoking-related diseases was based on published data. Cost of therapies and complications was obtained from databases and literature. Results For 1000 smokers willing to quit, varenicline retreatment saves 275,000€, 118,000€, 316,000€ and 237,000€ compared to NRT, bupropion, placebo, or one single varenicline quit attempt respectively at lifetime and from the healthcare payer perspective. The number of quality adjusted life years gained is 74, 63, 193 and 111 respectively. Sensitivity analyses showed the robustness of these findings. Conclusion This analysis suggests that in the long term, varenicline retreatment is a dominant intervention, meaning both greater health gains and greater costs saved, over other possible interventions and therefore should be considered as a standard option. PMID:26844072

A robust definition of South Asian monsoon onset and retreat

NASA Astrophysics Data System (ADS)

Walker, J. M.; Bordoni, S.

2017-12-01

In this study, we revisit one of the major outstanding problems in the monsoon literature: defining the onset and retreat of the South Asian summer monsoon (SASM). The SASM rainy season, which provides essential water resources to densely populated and rapidly growing countries in South Asia, begins with a dramatic increase in rainfall and an abrupt reversal in near-surface winds, and concludes with a more gradual transition at season's end. Many different measures of SASM onset and retreat have been developed for specific applications, but there is no widely accepted and broadly applicable objective definition. Existing definitions generally rely upon thresholds, posing challenges such as sensitivity to threshold selection and susceptibility to false onsets due to transient weather conditions. In this study, we use the large-scale atmospheric moisture budget to define an SASM onset and retreat index that captures the seasonal transitions in both precipitation and circulation. Our use of change point detection eliminates the need for thresholds, provides a precise characterization of the timescales and stages of the SASM, and allows straightforward comparison across different datasets and climate models. This robust and flexible methodology is ideal for studying variability and trends in monsoon timing, as well as comparing model performance and assessing future SASM changes in climate simulations.

Comparison of retreatment ability of full-sequence reciprocating instrumentation and 360° rotary instrumentation.

PubMed

Capar, Ismail Davut; Gok, Tuba; Orhan, Ezgi

2015-12-01

The purpose of the present study was to investigate the amount of root canal filling material after root canal filling removal with 360° rotary instrumentation or reciprocating motion with the same file sequence. Root canals of the 36 mandibular premolars were shaped with ProTaper Universal instruments up to size F2 and filled with corresponding single gutta-percha cone and sealer. The teeth were assigned to two retreatment groups (n = 18): group 1 360° rotational motion and group 2 reciprocating motion of ATR Tecnika motors (1310° clockwise and 578° counterclockwise). Retreatment procedure was performed with ProTaper Universal retreatment files with a sequence of D1-3 and ProTaper Universal F3 instruments. Total time required to remove filling material were recorded. Remaining filling material was examined under stereomicroscope at ×8 magnification. The data were analysed statistically using the Mann-Whitney U test, and testing was performed at 95 % confidence level (p < 0.05). There were no significant differences between the groups (p > 0.05) in terms of remaining filling material. The total time required for retreatment was shorter in 360° rotational motion group compared to reciprocating motion group (p < 0.05). Both continuous rotation and reciprocating motion showed similar effectiveness in terms of root canal filling material removal. Using ProTaper Universal retreatment instruments with reciprocating motion of ATR motor and conventional rotary motion have similar efficacy in root canal filling removal.

Cyclic fatigue resistance of D-RaCe, ProTaper, and Mtwo nickel-titanium retreatment instruments after immersion in sodium hypochlorite.

PubMed

Topçuoğlu, Hüseyin Sinan; Pala, Kanşad; Aktı, Ahmet; Düzgün, Salih; Topçuoğlu, Gamze

2016-07-01

The aim of this study was to investigate the effect of immersion in sodium hypochlorite (NaOCl) on cyclic fatigue resistance of three different rotary nickel-titanium (NiTi) retreatment files. A total of 90 new ProTaper, D-RaCe, and Mtwo retreatment files were tested. Thirty files of the same brand were randomly assigned to two groups (n = 15). Group 1 was no immersion (control group) and 16 mm of group 2 instruments were immersed in 5 % NaOCl at 37 °C for 5 min. All instruments were then tested for cyclic fatigue. Resistance to cyclic fatigue was determined by counting the numbers of cycles to failure in a 60° curve with a 5-mm radius, recording the time in seconds to fracture. Data were analyzed by two-way analysis of variance. Resistance to cyclic fatigue decreased significantly for D-RaCe retreatment files after immersion in NaOCl. ProTaper and Mtwo retreatment files were not affected from immersion to NaOCl. D-RaCe retreatment instruments showed better cyclic fatigue resistance than ProTaper and Mtwo retreatment instruments, and the difference was statistically significant (p < 0.05). There was no significant difference between ProTaper and Mtwo retreatment instrument groups (p > 0.05). D-RaCe retreatment instruments had the highest cyclic fatigue resistance among retreatment files tested in this study, but immersion to NaOCl decreased the cyclic fatigue resistance of D-RaCe retreatment instrument. It should be considered that cyclic fatigue resistance of D-RaCe can decrease in contact with NaOCl during the removal of canal filling material.

Psychological Effects of a 1-Month Meditation Retreat on Experienced Meditators: The Role of Non-attachment.

PubMed

Montero-Marin, Jesus; Puebla-Guedea, Marta; Herrera-Mercadal, Paola; Cebolla, Ausias; Soler, Joaquim; Demarzo, Marcelo; Vazquez, Carmelo; Rodríguez-Bornaetxea, Fernando; García-Campayo, Javier

2016-01-01

Background: There are few studies devoted to assessing the impact of meditation-intensive retreats on the well-being, positive psychology, and personality of experienced meditators. We aimed to assess whether a 1-month Vipassana retreat: (a) would increase mindfulness and well-being; (b) would increase prosocial personality traits; and (c) whether psychological changes would be mediated and/or moderated by non-attachment. Method: A controlled, non-randomized, pre-post-intervention trial was used. The intervention group was a convenience sample ( n = 19) of experienced meditators who participated in a 1-month Vipassana meditation retreat. The control group ( n = 19) comprised matched experienced meditators who did not take part in the retreat. During the retreat, the mean duration of daily practice was 8-9 h, the diet was vegetarian and silence was compulsory. The Experiences Questionnaire (EQ), Non-attachment Scale (NAS), Positive and Negative Affect Schedule (PANAS), Satisfaction With Life Scale (SWLS), Temperament Character Inventory Revised (TCI-R-67), Five Facets Mindfulness Questionnaire (FFMQ), Self-Other Four Immeasurables (SOFI) and the MINDSENS Composite Index were administered. ANCOVAs and linear regression models were used to assess pre-post changes and mediation/moderation effects. Results: Compared to controls, retreatants showed increases in non-attachment, observing, MINDSENS, positive-affect, balance-affect, and cooperativeness; and decreases in describing, negative-others, reward-dependence and self-directedness. Non-attachment had a mediating role in decentring, acting aware, non-reactivity, negative-affect, balance-affect and self-directedness; and a moderating role in describing and positive others, with both mediating and moderating effects on satisfaction with life. Conclusions: A 1-month Vipassana meditation retreat seems to yield improvements in mindfulness, well-being, and personality, even in experienced meditators. Non-attachment might

Psychological Effects of a 1-Month Meditation Retreat on Experienced Meditators: The Role of Non-attachment

PubMed Central

Montero-Marin, Jesus; Puebla-Guedea, Marta; Herrera-Mercadal, Paola; Cebolla, Ausias; Soler, Joaquim; Demarzo, Marcelo; Vazquez, Carmelo; Rodríguez-Bornaetxea, Fernando; García-Campayo, Javier

2016-01-01

Background: There are few studies devoted to assessing the impact of meditation-intensive retreats on the well-being, positive psychology, and personality of experienced meditators. We aimed to assess whether a 1-month Vipassana retreat: (a) would increase mindfulness and well-being; (b) would increase prosocial personality traits; and (c) whether psychological changes would be mediated and/or moderated by non-attachment. Method: A controlled, non-randomized, pre-post-intervention trial was used. The intervention group was a convenience sample (n = 19) of experienced meditators who participated in a 1-month Vipassana meditation retreat. The control group (n = 19) comprised matched experienced meditators who did not take part in the retreat. During the retreat, the mean duration of daily practice was 8–9 h, the diet was vegetarian and silence was compulsory. The Experiences Questionnaire (EQ), Non-attachment Scale (NAS), Positive and Negative Affect Schedule (PANAS), Satisfaction With Life Scale (SWLS), Temperament Character Inventory Revised (TCI-R-67), Five Facets Mindfulness Questionnaire (FFMQ), Self-Other Four Immeasurables (SOFI) and the MINDSENS Composite Index were administered. ANCOVAs and linear regression models were used to assess pre-post changes and mediation/moderation effects. Results: Compared to controls, retreatants showed increases in non-attachment, observing, MINDSENS, positive-affect, balance-affect, and cooperativeness; and decreases in describing, negative-others, reward-dependence and self-directedness. Non-attachment had a mediating role in decentring, acting aware, non-reactivity, negative-affect, balance-affect and self-directedness; and a moderating role in describing and positive others, with both mediating and moderating effects on satisfaction with life. Conclusions: A 1-month Vipassana meditation retreat seems to yield improvements in mindfulness, well-being, and personality, even in experienced meditators. Non-attachment might

Effects of Emergent Vegetation on Sediment Dynamics within a Retreating Coastal Marshland

NASA Astrophysics Data System (ADS)

Stellern, C.; Grossman, E.; Fuller, R.; Wallin, D.; Linneman, S. R.

2015-12-01

Coastal emergent vegetation in estuaries physically interrupts flow within the water column, reduces wave energy and increases sediment deposition. Previous workers conclude that wave attenuation rates decrease exponentially with distance from the marsh edge and are dependent on site and species-specific plant characteristics (Yang et al., 2011). Sediment deposition may exhibit similar patterns; however, sediment, geomorphic and habitat models seldom integrate site-specific biophysical plant parameters into change analyses. We paired vegetation and sediment dynamic studies to: (1) characterize vegetation structure, (2) estimate sediment available for deposition, (3) estimate rate, distribution and composition of sediment deposits, (4) determine sediment accumulation on vegetation, (5) compare sediment deposition within dense tidal wetland relative to non-vegetated tidal flat. These studies integrate a variety of monitoring methods, including the use of sediment traps, turbidity sensors, side-on photographs of vegetation and remote sensing image analysis. We compared sedimentation data with vegetation characteristics and spatial distribution data to examine the relative role of vegetation morphologic traits (species, stem density, biomass, distribution, tidal channels, etc.) on sediment dynamics. Our study is focused on Port Susan Bay of Washington State; a protected delta that has experienced up to 1 kilometer of marsh retreat (loss) over the past fifty years. Preliminary results show that the highest winter deposition occurred in the high marsh/mid-marsh boundary, up to 300m inland of the marsh edge, where bulrush species are most dense. These results will inform restoration efforts aimed at reestablishing sediment supply to the retreating marshland. This research is necessary to understand the vulnerability and adaptability of coastal marshlands to climate change related stressors such as, increased water levels (sea-level rise) and wave energy.

Visual acuity and central retinal thickness: fulfilment of retreatment criteria for recurrent neovascular AMD in routine clinical care.

PubMed

Reznicek, Lukas; Muhr, Johanna; Ulbig, Michael; Kampik, Anselm; Mayer, Wolfgang J; Haritoglou, Christos; Neubauer, Aljoscha; Wolf, Armin

2014-10-01

To evaluate the fulfillment of retreatment criteria in recurrent neovascular age-related macular degeneration (nAMD) for a pro-re-nata treatment regime with ranibizumab in routine clinical care. Data from patients with treatment-naive nAMD were analysed retrospectively. As an 'upload', all patients had received three-monthly intravitreal ranibizumab injections in a university eye hospital and were then seen by ophthalmologists in private practice who referred them back in case of recurrence. Recurrence was defined as a decrease of visual acuity (VA) of one line or more (functional retreatment criteria), a central retinal thickness (CRT) increase of at least 100 µm upon Optical Coherence Tomography (OCT) examination (morphological retreatment criteria) or a new macular haemorrhage (clinical retreatment criteria). We included 92 patients (36 men and 56 women). The mean VA before retreatment of a recurrence was -0.63 ± 0.33 logMAR and improved significantly (p<0.001) by 0.10 ± 0.16 logMAR to -0.53 ± 0.28 logMAR thereafter. Mean CRT before retreatment was 278.07 ± 87.56 µm and decreased significantly (p<0.001) by 71.22 ± 106.93 to 206.85 ± 60.30 µm. Evaluation of the fulfillment of retreatment criteria revealed functional retreatment criteria in 82.6% of patients. However, upon re-evaluation of VA using Early Treatment Diabetic Retinopathy Study (ETDRS) charts in the treatment centre, mean decrease of VA was 10 letters as compared with the end of upload therapy. All patients presented an increased CRT when treated for recurrence of nAMD (mean increase 69.47 µm), but the morphological retreatment criteria (CRT increase of 100 µm or more) were fulfilled in only 44.4% of patients upon Spectral Domain OCT (SD-OCT) evaluation in the treatment centre. In a routine clinical care, evaluation of VA using ETDRS charts seems to be more sensitive than Snellen VA testing. Quantitative OCT-based retreatment criteria (eg, increase of CRT of 100 µm or more) appear to be

Efficacy of reciprocating and rotary NiTi instruments for retreatment of curved root canals assessed by micro-CT.

PubMed

Rödig, T; Reicherts, P; Konietschke, F; Dullin, C; Hahn, W; Hülsmann, M

2014-10-01

To compare the efficacy of reciprocating and rotary NiTi-instruments in removing filling material from curved root canals using micro-computed tomography. Sixty curved root canals were prepared and filled with gutta-percha and sealer. After determination of root canal curvatures and radii in two directions as well as volumes of filling material, the teeth were assigned to three comparable groups (n = 20). Retreatment was performed using Reciproc, ProTaper Universal Retreatment or Hedström files. Percentages of residual filling material and dentine removal were assessed using micro-CT imaging. Working time and procedural errors were recorded. Statistical analysis was performed by variance procedures. No significant differences amongst the three retreatment techniques concerning residual filling material were detected (P > 0.05). Hedström files removed significantly more dentine than ProTaper Universal Retreatment (P < 0.05), but the difference concerning dentine removal between both NiTi systems was not significant (P > 0.05). Reciproc and ProTaper Universal Retreatment were significantly faster than Hedström files (P = 0.0001). No procedural errors such as instrument fracture, blockage, ledging or perforation were detected for Hedström files. Three perforations were recorded for ProTaper Universal Retreatment, and in both NiTi groups, one instrument fracture occured. Remnants of filling material were observed in all samples with no significant differences between the three techniques. Hedström files removed significantly more dentine than ProTaper Universal Retreatment, but no significant differences between both NiTi systems were detected. Procedural errors were observed with ProTaper Universal Retreatment and Reciproc. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

Late proterozoic and paleozoic tides, retreat of the moon, and rotation of the earth

USGS Publications Warehouse

Sonett, C.P.; Kvale, E.P.; Zakharian, A.; Chan, M.A.; Demko, T.M.

1996-01-01

The tidal rhythmites in the Proterozoic Big Cottonwood Formation (Utah, United States), the Neoproterozoic Elatina Formation of the Flinders Range (southern Australia), and the Lower Pennsylvanian Pottsville Formation (Alabama, United States) and Mansfield Formation (Indiana, United States) indicate that the rate of retreat of the lunar orbit is d??/dt k2 sin(2??) (where ?? is the Earth-moon radius vector, k2 is the tidal Love number, and ?? is the tidal lag angle) and that this rate has been approximately constant since the late Precambrian. When the contribution to tidal friction from the sun is taken into account, these data imply that the length of the terrestrial day 900 million years ago was -18 hours.

Efficacy and safety of bortezomib-based retreatment at the first relapse in multiple myeloma patients: A retrospective study.

PubMed

Oriol, Albert; Giraldo, Pilar; Kotsianidis, Ioannis; Couturier, Catherine; Olie, Robert; Angermund, Ralf; Corso, Alessandro

2015-08-01

Multiple myeloma remains incurable and retreatment with available therapies is of substantial interest. This retrospective observational study included data from 35 patients treated initially and at the first relapse with bortezomib-containing regimens. Bortezomib retreatment provided a similar depth and time to response as first-line therapy; however, as could be expected, the duration of response was shorter with retreatment. The tolerability profile was similar with bortezomib as the first- and second-line therapy, with no evidence of cumulative toxicity. These findings support bortezomib retreatment after a treatment-free interval of ≥6 months in patients who achieved at least a partial response to the first-line bortezomib-based therapy.

Habitat selection in a rocky landscape: experimentally decoupling the influence of retreat site attributes from that of landscape features.

PubMed

Croak, Benjamin M; Pike, David A; Webb, Jonathan K; Shine, Richard

2012-01-01

Organisms selecting retreat sites may evaluate not only the quality of the specific shelter, but also the proximity of that site to resources in the surrounding area. Distinguishing between habitat selection at these two spatial scales is complicated by co-variation among microhabitat factors (i.e., the attributes of individual retreat sites often correlate with their proximity to landscape features). Disentangling this co-variation may facilitate the restoration or conservation of threatened systems. To experimentally examine the role of landscape attributes in determining retreat-site quality for saxicolous ectotherms, we deployed 198 identical artificial rocks in open (sun-exposed) sites on sandstone outcrops in southeastern Australia, and recorded faunal usage of those retreat sites over the next 29 months. Several landscape-scale attributes were associated with occupancy of experimental rocks, but different features were important for different species. For example, endangered broad-headed snakes (Hoplocephalus bungaroides) preferred retreat sites close to cliff edges, flat rock spiders (Hemicloea major) preferred small outcrops, and velvet geckos (Oedura lesueurii) preferred rocks close to the cliff edge with higher-than-average sun exposure. Standardized retreat sites can provide robust experimental data on the effects of landscape-scale attributes on retreat site selection, revealing interspecific divergences among sympatric taxa that use similar habitats.

Detection of Heart Rate through a Wall Using UWB Impulse Radar.

PubMed

Cho, Hui-Sup; Park, Young-Jin

2018-01-01

Measuring the physiological functions of the human body in a noncontact manner through walls is useful for healthcare, security, and surveillance. And radar technology can be used for this purpose. In this paper, a new method for detecting the human heartbeat using ultra wideband (UWB) impulse radar, which has advantages of low power consumption and harmlessness to human body, is proposed. The heart rate is extracted by processing the radar signal in the time domain and then using a principal component analysis of the time series data to indicate the phase variations that are caused by heartbeats. The experimental results show that a highly accurate detection of heart rate is possible with this method.

A 70-year record of outlet glacier retreat in northern Greenland

NASA Astrophysics Data System (ADS)

Hill, Emily; Carr, Rachel; Stokes, Chris; Gudmundsson, Hilmar

2017-04-01

Over the past two decades, the Greenland Ice Sheet (GrIS) has undergone accelerated mass loss increasing its contribution to sea level rise. This is partly attributed to increased mass loss from dynamic marine-terminating outlet glaciers. Despite marine-terminating outlet glaciers in northern Greenland draining 40% of the ice sheet by area, they are comparatively less well-studied than other regions of the ice sheet (e.g. central west or south-east). This region could be susceptible to marine-ice sheet instability due to large proportions of the bedrock rested below sea level and is also unique in the presence of large floating ice tongues. Here, we use a range of satellite imagery sources, accompanied by historical maps, to examine multi-decadal front position changes at 21 outlet glaciers in northern Greenland between 1948 and 2016. We accompany these terminus changes, with annual records of ice velocity, climate-ocean forcing data, and glacier-specific factors (e.g. fjord-width and basal topography) to understand the dominant forcing on glacier dynamics in the region. Over the last 70 years, there has been a clear pattern of glacier retreat in northern Greenland. This is particularly notable during the last two decades, where 62% of our study glaciers showed accelerated retreat. This was most notable at Humboldt, Tracy, Hagen Brae, C. H. Ostenfeld and Petermann Glaciers, and in the case of the latter three glaciers, this involved substantial retreat of their floating ice tongues (> 10 km). Alongside retreat, several study glaciers underwent simultaneous velocity increases. However, the collapse of floating ice tongues did not always result in increased velocity. Similar to other regions of the ice sheet, recent glacier retreat in the northern regions of the Greenland Ice Sheet could be linked to climatic-oceanic forcing, but at this stage this remains largely unknown. This response to external forcing is further complicated by the presence of glacier

Preemption versus Entrenchment: Towards a Construction-General Solution to the Problem of the Retreat from Verb Argument Structure Overgeneralization

PubMed Central

Ambridge, Ben; Bidgood, Amy; Twomey, Katherine E.; Pine, Julian M.; Rowland, Caroline F.; Freudenthal, Daniel

2015-01-01

Participants aged 5;2-6;8, 9;2-10;6 and 18;1-22;2 (72 at each age) rated verb argument structure overgeneralization errors (e.g., *Daddy giggled the baby) using a five-point scale. The study was designed to investigate the feasibility of two proposed construction-general solutions to the question of how children retreat from, or avoid, such errors. No support was found for the prediction of the preemption hypothesis that the greater the frequency of the verb in the single most nearly synonymous construction (for this example, the periphrastic causative; e.g., Daddy made the baby giggle), the lower the acceptability of the error. Support was found, however, for the prediction of the entrenchment hypothesis that the greater the overall frequency of the verb, regardless of construction, the lower the acceptability of the error, at least for the two older groups. Thus while entrenchment appears to be a robust solution to the problem of the retreat from error, and one that generalizes across different error types, we did not find evidence that this is the case for preemption. The implication is that the solution to the retreat from error lies not with specialized mechanisms, but rather in a probabilistic process of construction competition. PMID:25919003

Preemption versus Entrenchment: Towards a Construction-General Solution to the Problem of the Retreat from Verb Argument Structure Overgeneralization.

PubMed

Ambridge, Ben; Bidgood, Amy; Twomey, Katherine E; Pine, Julian M; Rowland, Caroline F; Freudenthal, Daniel

2014-01-01

Participants aged 5;2-6;8, 9;2-10;6 and 18;1-22;2 (72 at each age) rated verb argument structure overgeneralization errors (e.g., *Daddy giggled the baby) using a five-point scale. The study was designed to investigate the feasibility of two proposed construction-general solutions to the question of how children retreat from, or avoid, such errors. No support was found for the prediction of the preemption hypothesis that the greater the frequency of the verb in the single most nearly synonymous construction (for this example, the periphrastic causative; e.g., Daddy made the baby giggle), the lower the acceptability of the error. Support was found, however, for the prediction of the entrenchment hypothesis that the greater the overall frequency of the verb, regardless of construction, the lower the acceptability of the error, at least for the two older groups. Thus while entrenchment appears to be a robust solution to the problem of the retreat from error, and one that generalizes across different error types, we did not find evidence that this is the case for preemption. The implication is that the solution to the retreat from error lies not with specialized mechanisms, but rather in a probabilistic process of construction competition.

Calibrated prediction of Pine Island Glacier retreat during the 21st and 22nd centuries with a coupled flowline model

NASA Astrophysics Data System (ADS)

Gladstone, Rupert M.; Lee, Victoria; Rougier, Jonathan; Payne, Antony J.; Hellmer, Hartmut; Le Brocq, Anne; Shepherd, Andrew; Edwards, Tamsin L.; Gregory, Jonathan; Cornford, Stephen L.

2012-06-01

A flowline ice sheet model is coupled to a box model for cavity circulation and configured for the Pine Island Glacier. An ensemble of 5000 simulations are carried out from 1900 to 2200 with varying inputs and parameters, forced by ocean temperatures predicted by a regional ocean model under the A1B ‘business as usual’ emissions scenario. Comparison is made against recent observations to provide a calibrated prediction in the form of a 95% confidence set. Predictions are for monotonic (apart from some small scale fluctuations in a minority of cases) retreat of the grounding line over the next 200 yr with huge uncertainty in the rate of retreat. Full collapse of the main trunk of the PIG during the 22nd century remains a possibility.

Reconceptualizing Leadership in Migrant Communities: Latina/o Parent Leadership Retreats as Sites of Community Cultural Wealth

ERIC Educational Resources Information Center

Nava, Pedro E.; Lara, Argelia

2016-01-01

This article examines how the Education Leadership Foundation (a leadership development community based organization) in partnership with the Migrant Education Program use parent retreats for building leadership, and skill development of migrant farm-working families. Utilizing cooperative and community responsive practices, these retreats build…

Scientific Investigators Retreat Brings Like Minds Together | Poster

Cancer.gov

Scientists throughout NCI gathered at the 2016 Intramural Scientific Investigators Retreat on Jan. 12, at the Ronald Reagan Building and International Trade Center, to discuss the results of their research with fellow investigators. Several researchers who have made significant advances toward the goal of eliminating the threat of cancer spoke to a packed auditorium of

Clinical microscopic analysis of ProTaper retreatment system efficacy considering root canal thirds using three endodontic sealers.

PubMed

Só, Marcus Vinícius Reis; De Figueiredo, Jose Antônio Poli; Freitas Fachin, Elaine Vianna; Húngaro Duarte, Marco Antônio; Pereira, Jefferson Ricardo; Kuga, Milton Carlos; Da Rosa, Ricardo Abreu

2012-09-01

To evaluate the efficacy of ProTaper Universal rotary retreatment system and the influence of sealer type on the presence of filling debris in the reinstrumented canals viewed in an operative clinical microscope. Forty-five palatal root canals of first molars were filled with gutta-percha and one of the following sealers: G1, EndoFill; G2, AH Plus; G3, Sealapex. The canals were then reinstrumented with ProTaper Universal rotary system. Roots were longitudinally sectioned and examined under an operative clinical microscope (10×), and the amount of filling debris on canal walls was analyzed using the AutoCAD 2004 software. A single operator used a specific software tool to outline the canal area and the filling debris area in each third (cervical, middle, and apical), as well as the total canal area. Data were analyzed by Kruskal-Wallis test and Tukey test at P < 0.05. Sealapex demonstrated significant differences in the average of filling debris area/canal among the 3 thirds. This group revealed that apical third showed more debris than the both cervical and middle third (P < 0.0001). Endofill presented significantly more filling debris than Sealapex in the cervical third (P < 0.05). In the middle (P = 0.12) and apical third (P = 0.10), there were no differences amongst groups. Debris was left in all canal thirds, regardless of the retreatment technique. The greatest differences between techniques and sealers were found in the cervical third. Copyright © 2012 Wiley Periodicals, Inc.

Controls on erosional retreat of the uplifted rift flanks at the Gulf of Suez and northern Red Sea

NASA Technical Reports Server (NTRS)

Steckler, Michael S.; Omar, Gomaa I.

1994-01-01

The Gulf of Suez and the Red Sea rigts are currently bordered by large asymmetric uplifts that are undergoing erosion. We find that the amount and timing of erosion vary systematically along the strike of the margin and have been controlled by variations in the perift stratigraphy. The perfit strata are compsoed of cliff-forming Eocene-Cretaceous carbonates overlaying the easily eroded Cretaceous-Cambrian 'Nubian' sandstone. This lithologic succession promotes scarp retreat of the sedimentary section, follwed by dissection of the underlying basement. The perift section thins from over 2000 m at the northern end of the rift to less htan 400 m at its junction with the Red Sea. Thus, at the northern part of the Gulf of Suez, the Nubian sandstone is minimally exposed, and the carbonates form a scarp at the rift border fault. Farther south, undercuttin of hte carbonates by erosion of the sandstion has resulted in scarp retreat. The escarpment cuts diagonally away from the border fault andis over 100 km inland from the border fault at the southernmost Gulf of Suez. The amount of retreat varies inversely with the sediment thickness. Exposure and erosion of basement are initiated by the retreate of the escarpment, and the depth of erosion, as indicated by fission track ages, increases with distance from the escarpment. These observations are explained by a model in which erosion along the Gulf of Suez is initiated as rift flank uplift becomes sufficiently large ot expose the friable sandstones. Undercutting the escarpment and exhumation of basement has been propagating northward and westward for at least 20 m.y. The average rate of scarp retreat has been 6 km/m.y. and the along-strike propagation of the erosion has been 12 km/m.y. The diachronous erosion of the rift flanks at the Gulf of Suez highlights the importance of distinguishing between the timing of uplift and of erosion. Both thermochronometric and stratigraphic data primarily indicate the timing of erosion, which

Sediment connectivity evolution on an alpine catchment undergoing glacier retreat

NASA Astrophysics Data System (ADS)

Goldin, Beatrice; Rudaz, Benjamin; Bardou, Eric

2014-05-01

Climate changes can result in a wide range of variations of natural environment including retreating glaciers. Melting from glaciers will have a significant impact on the sediment transport characteristics of glacierized alpine catchments that can affect downstream channel network. Sediment connectivity assessment, i.e. the degree of connections that controls sediment fluxes between different segments of a landscape, can be useful in order to address management activity on sediment fluxes changes of alpine streams. Through the spatial characterization of the connectivity patterns of a catchment and its potential evolution it is possible to both define sediment transport pathways and estimate different contributions of the sub-catchment as sediment sources. In this study, a topography based index (Cavalli et al., 2013) has been applied to assess spatial sediment connectivity in the Navisence catchment (35 km2), an alpine basin located in the southern Walliser Alps (Switzerland) characterized by a complex glacier system with well-developed lateral moraines on glacier margins already crossed by several lateral channels. Glacier retreat of the main glacial edifice will provide a new connectivity pattern. At present the glacier disconnects lateral slopes from the main talweg: it is expected that its retreat will experience an increased connectivity. In order to study this evolution, two high resolution (2 m) digital terrain models (DTMs) describing respectively the terrain before and after glacier retreat have been analyzed. The current DTM was obtained from high resolution photogrammetry (2 m resolution). The future DTM was derived from application of the sloping local base level (SLBL) routine (Jaboyedoff et al., 2004) on the current glacier system, allowing to remove the ice body by reconstituting a U-shaped polynomial bedrock surface. From this new surface a coherent river network was drawn and slight random noise was added. Finally the river network was burned into

Rates and trends of coastal change in california and the regional behavior of the beach and cliff system

USGS Publications Warehouse

Hapke, C.J.; Reid, Don; Richmond, B.

2009-01-01

The U.S. Geological Survey (USGS) recently completed an analysis of shoreline change and cliff retreat along the California coast. This is the first regional, systematic measurement of coastal change conducted for the West Coast. Long-term (-120 y) and short-term (-25 y) shoreline change rates were calculated for more than 750 km of coastline, and 70 year cliff-retreat rates were generated for 350 km of coast. Results show that 40% of California's beaches were eroding in the long term. This number increased to 66% in the short term, indicating that many beaches have shifted toward a state of chronic erosion. The statewide average net shoreline change rates for the long and short term were 0.2 m/y and -0.2 m/y, respectively. The long-term accretional signal is likely related to large coastal engineering projects in some parts of the state and to large fluxes of sediment from rivers in other areas. The cliff-retreat assessment yielded a statewide average of -0.3 m/y. It was found that Northern California has the highest overall retreat rates, which are influenced by erosion hot spots associated with large coastal landslides and slumps. The databases established as part of the shoreline change and cliff-retreat analyses were further investigated to examine the dynamics of the beach/cliff system. A correlation analysis identified a strong relationship between the geomorphology of the coast and the behavior of the beach/cliff system. Areas of high-relief coast show negative correlations, indicating that higher rates of cliff retreat correlate with lower rates of shoreline erosion. In contrast, low- to moderate-relief coasts show strong positive correlations, wherein areas of high shoreline change correspond to areas of high cliff retreat.

Promoting Writing for Research: The "Writing Retreat" Model

ERIC Educational Resources Information Center

Singh, R. J.

2012-01-01

Research papers take a long time to write and in an academic environment where the "publish or perish" clause applies, writing retreats are a way of creating time and space to write academic articles in a concentrated period of time. This article examines ways in which academics can write more articles for publication. In particular it…

Serotonin and aggressive motivation in crustaceans: altering the decision to retreat.

PubMed

Huber, R; Smith, K; Delago, A; Isaksson, K; Kravitz, E A

1997-05-27

In crustaceans, as in most animal species, the amine serotonin has been suggested to serve important roles in aggression. Here we show that injection of serotonin into the hemolymph of subordinate, freely moving animals results in a renewed willingness of these animals to engage the dominants in further agonistic encounters. By multivariate statistical analysis, we demonstrate that this reversal results principally from a reduction in the likelihood of retreat and an increase in the duration of fighting. Serotonin infusion does not alter other aspects of fighting behavior, including which animal initiates an encounter, how quickly fighting escalates, or which animal eventually retreats. Preliminary studies suggest that serotonin uptake plays an important role in this behavioral reversal.

Successful retreatment with sofosbuvir plus ledipasvir for cirrhotic patients with hepatitis C virus genotype 1b, who discontinued the prior treatment with asunaprevir plus daclatasvir: A case series and review of the literature

PubMed Central

Haga, Yuki; Kanda, Tatsuo; Yasui, Shin; Nakamura, Masato; Ooka, Yoshihiko; Takahashi, Koji; Wu, Shuang; Nakamoto, Shingo; Arai, Makoto; Chiba, Tetsuhiro; Maruyama, Hitoshi; Yokosuka, Osamu; Takada, Nobuo; Moriyama, Mitsuhiko; Imazeki, Fumio; Kato, Naoya

2018-01-01

Background Interferon-free treatment results in higher sustained virologic response (SVR) rates, with no serious adverse events in hepatitis C virus (HCV)-infected patients. However, in some patients with treatment-failure in HCV NS5A inhibitor-including interferon-free regimens, the treatment-emergent HCV NS5A resistance-associated variants (RAVs), which are resistant to interferon-free retreatment including HCV NS5A inhibitors, are observed. In HCV-infected Japanese patients with daclatasvir and asunaprevir treatment failure, retreatment with sofosbuvir and ledipasvir could lead to only ∼70% SVR rates. Case summary Three HCV genotype (GT)-1b-infected cirrhotic patients who discontinued the combination of daclatasvir and asunaprevir due to adverse drug reactions within 4 weeks; retreatment with sofosbuvir and ledipasvir combination could result in SVR in these patients without RAVs. One HCV GT-1b-infected cirrhotic patient who discontinued the combination of daclatasvir and asunaprevir due to viral breakthrough at week 10; retreatment with sofosbuvir and ledipasvir combination for this patient with the treatment-emergent HCV NS5A RAV-Y93H resulted in viral relapse at week 4 after the end of the treatment. Conclusion Retreatment with sofosbuvir and ledipasvir is effective for HCV GT-1b patients who discontinue the combination of daclatasvir and asunaprevir within 4 weeks. The treatment response should be related to the existence of treatment-emergent HCV NS5A RAVs, but may not be related to the short duration of treatment. PMID:29435197

Repeated large-scale retreat and advance of Totten Glacier indicated by inland bed erosion.

PubMed

Aitken, A R A; Roberts, J L; van Ommen, T D; Young, D A; Golledge, N R; Greenbaum, J S; Blankenship, D D; Siegert, M J

2016-05-19

Climate variations cause ice sheets to retreat and advance, raising or lowering sea level by metres to decametres. The basic relationship is unambiguous, but the timing, magnitude and sources of sea-level change remain unclear; in particular, the contribution of the East Antarctic Ice Sheet (EAIS) is ill defined, restricting our appreciation of potential future change. Several lines of evidence suggest possible collapse of the Totten Glacier into interior basins during past warm periods, most notably the Pliocene epoch, causing several metres of sea-level rise. However, the structure and long-term evolution of the ice sheet in this region have been understood insufficiently to constrain past ice-sheet extents. Here we show that deep ice-sheet erosion-enough to expose basement rocks-has occurred in two regions: the head of the Totten Glacier, within 150 kilometres of today's grounding line; and deep within the Sabrina Subglacial Basin, 350-550 kilometres from this grounding line. Our results, based on ICECAP aerogeophysical data, demarcate the marginal zones of two distinct quasi-stable EAIS configurations, corresponding to the 'modern-scale' ice sheet (with a marginal zone near the present ice-sheet margin) and the retreated ice sheet (with the marginal zone located far inland). The transitional region of 200-250 kilometres in width is less eroded, suggesting shorter-lived exposure to eroding conditions during repeated retreat-advance events, which are probably driven by ocean-forced instabilities. Representative ice-sheet models indicate that the global sea-level increase resulting from retreat in this sector can be up to 0.9 metres in the modern-scale configuration, and exceeds 2 metres in the retreated configuration.

Progestin re-treatment in patients with recurrent endometrial adenocarcinoma after successful fertility-sparing management using progestin.

PubMed

Park, Jeong-Yeol; Lee, Sang-Hun; Seong, Seok Ju; Kim, Dae-Yeon; Kim, Tae-Jin; Kim, Jae Weon; Kim, Jong-Hyeok; Kim, Yong-Man; Kim, Young-Tak; Bae, Duk-Soo; Nam, Joo-Hyun

2013-04-01

To analyze the outcomes of second round of fertility-sparing management using progestin in patients with recurrent endometrial cancer after successful fertility-sparing management using progestin. We reviewed 45 patients who had recurrence after achieving complete remission by fertility-sparing management using progestin for presumed stage IA, grade 1, endometrioid adenocarcinoma of the uterus. Of 45 patients, 33 tried progestin re-treatment at recurrence and were included in this study. Recurrent disease was atypical hyperplasia in 13 patients (39%) and grade 1 endometrioid adenocarcinoma in 20 patients (61%) which were confined to the endometrium. Thirty patients (91%) received medroxyprogesterone acetate (dose range, 80-500 mg/day) and three patients (9%) received megestrol acetate (dose range, 80-160 mg/day), with 29 patients receiving a dose of 500 mg/day of medroxyprogesterone acetate. The median duration of treatment was 6 months (range, 3-19 months). Five patients failed to respond to progestin re-treatment and underwent definitive surgical treatment including hysterectomy. Twenty eight patients (85%) showed complete response to progestin re-treatment. The median follow-up time after progestin re-treatment in 28 patients who achieved complete remission was 51 months (range, 24-160 months). During follow-up, five patients had second recurrence after median time interval of 14 months (range, 4-82 months). All patients who tried progestin re-treatment are alive without evidence of disease. Progestin re-treatment in patients with recurrent endometrial cancer was effective and safe. Therefore, this can be recommended for young women who still want to preserve fertility at recurrence after complete response to progestin. Copyright © 2013 Elsevier Inc. All rights reserved.

Simulating LGM retreat of the Uummannaq Ice Stream and Rinks Isbrae, Western Greenland using a 1-D ice-stream model constrained by a suite of marine and terrestrial data

NASA Astrophysics Data System (ADS)

Jamieson, Stewart; Roberts, Dave; Rea, Brice; Lane, Timothy; Vieli, Andreas; Cofaigh, Colm Ó.

2014-05-01

the marine trough to distinct onshore ice-surface heights, and therefore provide a 2-dimensional reconstruction of the geometry of the UIS as it retreated after the LGM. We find that the nonlinearity in retreat rate is conditioned by the locations of vertical and lateral constrictions in the Uummannaq/Rink trough which provide temporary pinning points for the grounding line. When the grounding line retreats rapidly between pinning points, the ice surface thins rapidly inland. When the grounding line is pinned, thinning of the ice surface becomes much slower in locations corresponding to the deposition of moraines. We suggest that the slowdowns in retreat identified in the marine domain are therefore reflected by the generation of moraines in the terrestrial domain. Finally, we generate hypotheses about the timing of marine grounding-line retreat based upon the published terrestrial cosmogenic exposure ages.

Second complete remission in an elderly patient with acute myeloid leukemia retreated with decitabine.

PubMed

Cashen, Amanda F; Devine, Hollie; DiPersio, John

2006-07-01

A 67-year-old man with acute myeloid leukemia (AML) was treated with low-dose decitabine. He achieved a complete remission (CR) after two cycles of therapy, and he remained in remission during 1 year of treatment. He developed recurrent AML after discontinuation of decitabine. He was retreated with decitabine and again achieved a CR, which has been maintained for 6 months. This case demonstrates that durable responses can occur upon retreatment with decitabine.

Impact of Prophylactic Conversion to an Extended Infusion Schedule to Prevent Hypersensitivity Reactions in Ovarian Cancer Patients during Carboplatin Retreatment

PubMed Central

O’Cearbhaill, Roisin; Zhou, Qin; Iasonos, Alexia; Hensley, Martee L.; Tew, William P.; Aghajanian, Carol; Spriggs, David R.; Lichtman, Stuart M.; Sabbatini, Paul J.

2015-01-01

Objective Repeated exposure to carboplatin can lead to hypersensitivity reactions during retreatment with carboplatin. This may prevent its further use in platinum-sensitive ovarian cancer patients. At our institution, an increasing proportion of patients are prophylactically converted to an extended schedule of infusion after 8 cycles of carboplatin. We sought to determine whether an incrementally increasing, extended 3-hour infusion of carboplatin was associated with a lower rate of hypersensitivity reactions compared to the standard 30-minute schedule in sequentially treated patients. Methods We performed a retrospective electronic medical record review of patients with recurrent ovarian cancer retreated with carboplatin at our institution from 01/98–12/08. Results Seven hundred seventy-seven patients with relapsed ovarian, fallopian tube, or primary peritoneal cancer were retreated with carboplatin and met study inclusion criteria. Of these, 117 (17%) developed hypersensitivity reactions during second-line or greater carboplatin-based treatment for recurrent disease. Only 6 (3.4%) of the 174 patients who received the extended schedule developed hypersensitivity reactions (0% grade 4; 1.7% grade 3) compared to 111 (21%) of 533 patients in the standard schedule group (12% grade 4; 77% grade 3). The first hypersensitivity episode occurred after a median of 16 platinum (carboplatin and cisplatin) treatments in the extended group compared to 9 in the standard group. Using the Fisher-exact test, there was an association with a reduced incidence of hypersensitivity reactions with the extended infusion schedule (P<0.001). Conclusion Our data suggest appropriate premedication and prophylactic conversion to an extended infusion during carboplatin retreatment may reduce hypersensitivity reactions. PMID:19944454

Study of relapse and failure cases of CAT I retreated with CAT II under RNTCP--an eleven year follow up.

PubMed

Mehra, R K; Dhingra, V K; Nish, Aggarwal; Vashist, R P

2008-10-01

To analyse the treatment outcome of Cat I smear positive relapse and failure cases and their fate when treated with Cat II regimen under RNTCP. All Cat I smear positive relapse and failure TB patients treated with Category II regimen from 1994 to 2005 in a chest clinic of Delhi were analysed in this retrospective study. The re-treatment outcome data for relapse and failure cases of Cat I when treated with Cat II regimen was reviewed. The study population included 5576 registered as Cat I sputum positive cases in Gulabi Bagh chest clinic from 1994 to 2005. A total of 190 (3.4%) failed on Cat I regimen. Further out of 4905 (87.9%) successfully treated Cat I patients, 442 (9%) presented as relapses. The treatment success rate for relapse and failure cases of Cat I when subsequently treated with Cat II regimen were 76.4% and 48.8% respectively, with a significantly higher failure rate (27.6%) among Cat I failures subsequently treated with Cat II regimen. The failure cases of Cat I subsequently treated with Cat II were observed to have a significantly lower success rates (p < 0.05) as compared to relapse cases. The need for reappraisal of Cat II re-treatment regimen for failure cases among Cat I is suggested.

Seismic stratigraphy of barrier-island arc retreat paths in Mississippi River delta

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

Penland, S.; Suter, J.R.

1983-09-01

The stratigraphic record preserved in the retreat path of Mississippi delta barrier-island arcs is controlled by erosional shoreface retreat processes, relative sea level rise, and sediment supply. More than 500 km (300 mi) of high resolution shallow seismic profiles correlated with vibracores from retreat paths fronting the Isles Dernieres and Chandeleur barrier-island arcs, show contrasting stratigraphic sequences preserved on the inner continental shelf (Mississippian delta). The Isles Dernieres barrier-island arc developed as a consequence of the Caillou Headland abandonment in the early Lafourche delta approximately 800 years B.P. On the lower shoreface, channels can be seen projecting seaward under themore » central part of the island arc; associated with it is a beach-ridge plain extending eastward. On the inner shelf, a sand sheet up to 60 cm (2 ft) thick marks the retreat path of the Isles Dernieres. The Chandeleur barrier-island arc was generated by abandonment of the St. Bernard delta complex 1,500 years ago. Scattered outcrops of shell reefs and lagoonal deposits occur on the lower shoreface. Beyond the shoreface, a 1 to 5 m (3 to 16 ft) thick sand sheet, caps tidal inlet scars up to 10 m (33 ft) thick, as well as the basal portions of migrating barrier-island sequences associated with earlier shoreline positions. Differences seen in the two stratigraphic sequences are a function of distributary size and depositional history of each barrier-island arc. The Isles Dernieres developed from a series of small sand-deficient distributaries in the Lafourche delta complex, whereas the Chandeleur Islands developed from large sand-rich distributaries of the St. Bernard delta complex.« less

Retreatment with teriparatide: our experience in three patients with severe secondary osteoporosis.

PubMed

Mana, D L; Zanchetta, M B; Zanchetta, J R

2017-04-01

Teriparatide is a drug for the treatment of osteoporosis which is licensed for use for up to 24 months. There is little experience with retreatment. The aim of this study was to evaluate, in three patients with severe secondary osteoporosis, the response to a second cycle of teriparatide regarding bone mineral density (BMD) and osteocalcin. Case 1 : A 62-year-old woman with multiple vertebral fractures has received corticoids for a long time. After starting teriparatide, her BMD and osteocalcin increased. She then received ibandronate for 3 years but her BMD declined. After a second treatment with teriparatide, her BMD increased again (18%). Case 2 : A 60-year-old woman with severe osteoporosis in lumbar spine (LS) (T-score - 4.5) had received corticoids for a long time and had celiac disease. After starting teriparatide, her BMD improved by 11.7%. She then received zoledronic acid for 15 months, but bone density decreased, so she was retreated with teriparatide. BMD had a slightly higher increase than after the first cycle (12.6%). Case 3 : A 60-year-old woman consulted for osteoporosis (LS T-score - 5.3), several fractures, and hyperthyroidism. She started teriparatide with improvement in BMD (39%). After 24 months, she received ibandronate for 1 year, but as her BMD declined, she was retreated with teriparatide. BMD showed an increase of 15%. The indication of a second cycle of treatment with teriparatide in three patients was effective in increasing BMD. Additional studies are needed to further identify the benefits and safety of retreatment with teriparatide.

Extensive Holocene ice sheet grounding line retreat and uplift-driven readvance in West Antarctica

NASA Astrophysics Data System (ADS)

Kingslake, J.; Scherer, R. P.; Albrecht, T.; Coenen, J. J.; Powell, R. D.; Reese, R.; Stansell, N.; Tulaczyk, S. M.; Whitehouse, P. L.

2017-12-01

The West Antarctic Ice Sheet (WAIS) reached its Last Glacial Maximum (LGM) extent 29-14 kyr before present. Numerical models used to project future ice-sheet contributions to sea-level rise exploit reconstructions of post-LGM ice mass loss to tune model parameterizations. Ice-sheet reconstructions are poorly constrained in areas where floating ice shelves or a lack of exposed geology obstruct conventional glacial-geological techniques. In the Weddell and Ross Sea sectors, ice-sheet reconstructions have traditionally assumed progressive grounding line (GL) retreat throughout the Holocene. Contrasting this view, using three distinct lines of evidence, we show that the GL retreated hundreds of kilometers inland of its present position, before glacial isostatic rebound during the Mid to Late Holocene caused the GL to readvance to its current position. Evidence for retreat and readvance during the last glacial termination includes (1) widespread radiocarbon in sediment cores recovered from beneath ice streams along the Siple and Gould Coasts, indicating marine exposure at least 200 km inland of the current GL, (2) ice-penetrating radar observations of relic crevasses and other englacial structures preserved in slow-moving grounded ice, indicating ice-shelf grounding and (3) an ensemble of new ice-sheet simulations showing widespread post-LGM retreat of the GL inland of its current location and later readvance. The model indicates that GL readvance across low slope ice-stream troughs requires uplift-driven grounding of the ice shelf on topographic highs (ice rises). Our findings highlight ice-shelf pinning points and lithospheric response to unloading as drivers of major ice-sheet fluctuations. Full WAIS collapse likely requires GL retreat well beyond its current position in the Ronne and Ross Sectors and linkage via Amundsen Sea sector glaciers.

Management Retreats Provide Forum to Resolve Major Operational Issues

ERIC Educational Resources Information Center

Archambault, Dennis R.

1977-01-01

The retreat at the University of California in Los Angeles provides an environment completely away from the bookstore where major issues can be addressed at length without interruption. For two days focus is on store policies, goals, personnel requirements, budgets, review of the previous year, upcoming schedule and events. (LBH)

Rift in Antarctic Glacier: a Unique Chance to Study Ice Shelf Retreat

NASA Technical Reports Server (NTRS)

Howat, Ian M.; Jezek, Ken; Studinger, Michael; Macgregor, Joseph A.; Paden, John; Floricioiu, Dana; Russell, Rob; Linkswiler, Matt; Dominguez, Roseanne T.

2012-01-01

It happened again, but this time it was caught in the act. During the last week of September 2011 a large transverse rift developed across thefloating terminus of West Antarcticas PineIsland Glacier, less than 5 years after its lastlarge calving event, in 2007 (Figure 1). PineIsland Glaciers retreat has accelerated substantiallyin the past 2 decades, and it is nowlosing 50 gigatons of ice per year, or roughly 25 of Antarcticas total annual contributionto sea level rise [Rignot et al., 2008]. The glaciers recent accelerated retreat is likely triggered by ocean warming and increased submarine melting. As such, it is of significant interest to glaciologists and of heightened societal relevance.

Method and apparatus for active control of combustion rate through modulation of heat transfer from the combustion chamber wall

DOEpatents

Roberts, Jr., Charles E.; Chadwell, Christopher J.

2004-09-21

The flame propagation rate resulting from a combustion event in the combustion chamber of an internal combustion engine is controlled by modulation of the heat transfer from the combustion flame to the combustion chamber walls. In one embodiment, heat transfer from the combustion flame to the combustion chamber walls is mechanically modulated by a movable member that is inserted into, or withdrawn from, the combustion chamber thereby changing the shape of the combustion chamber and the combustion chamber wall surface area. In another embodiment, heat transfer from the combustion flame to the combustion chamber walls is modulated by cooling the surface of a portion of the combustion chamber wall that is in close proximity to the area of the combustion chamber where flame speed control is desired.

Long-term follow-up of previous hepatitis C virus positive nonresponders to interferon monotherapy successfully retreated with combination therapy: are they really cured?

PubMed

Ciancio, Alessia; Smedile, Antonina; Giordanino, Chiara; Colletta, Cosimo; Croce, Guido; Pozzi, Massimo; Cariti, Giuseppe; Macor, Antonio; Biglino, Alberto; Di Napoli, Angelo; Tappero, Gian Franco; Andreoni, Massimo; Manca, Aldo; Prandi, Giancarlo; Calleri, Guido; Orsi, Pier Giulio; Ciccone, Giovannino; Rizzetto, Mario; Saracco, Giorgio

2006-08-01

To evaluate whether in chronic hepatitis C-positive patients who failed to respond to interferon (IFN) monotherapy a sustained response obtained with retreatment using the combination therapy of IFN + ribavirin can be safely considered to reflect eradication of the infection. Prospective follow-up of a cohort of 97 patients who responded to retreatment with different regimens of IFN + ribavirin after failing to respond to a first IFN monotherapy course. The patients were followed throughout 7 yr of follow-up with determinations of HCV viremia every 6 months. At the end of the follow-up, 11 patients (11.3%) showed a viremic reappearance. HCV late relapse rates were 0%, 13%, 20%, and 12% in patients retreated, respectively, with 3 MU IFN + ribavirin for 12 months (Group 1), 5 MU IFN + ribavirin for 12 months (Group 2), 3 MU IFN + ribavirin for 6 months (Group 3), and 5 MU IFN + ribavirin for 6 months (Group 4) (Group 2 vs Group 3, p= 0.005). The virologic relapses occurred within 2 yr from therapy withdrawal. Among patients with genotype 1 and 4, the long-term response was significantly higher in Group 2 than in Group 3 (15%vs 3%, p= 0.03). In patients with genotype 2 and 3, the long-term virological response was not affected by the different regimens. Nonresponders to IFN monotherapy who achieve a sustained virologic response after retreatment with IFN + ribavirin stand a discrete risk of HCV reactivation within 2 yr after therapy.

Ocean forcing of Ice Sheet retreat in central west Greenland from LGM to the early Holocene

NASA Astrophysics Data System (ADS)

Jennings, Anne E.; Andrews, John T.; Ó Cofaigh, Colm; Onge, Guillaume St.; Sheldon, Christina; Belt, Simon T.; Cabedo-Sanz, Patricia; Hillaire-Marcel, Claude

2017-08-01

Three radiocarbon dated sediment cores from trough mouth fans on the central west Greenland continental slope were studied to determine the timing and processes of Greenland Ice Sheet (GIS) retreat from the shelf edge during the last deglaciation and to test the role of ocean forcing (i.e. warm ocean water) thereon. Analyses of lithofacies, quantitative x-ray diffraction mineralogy, benthic foraminiferal assemblages, the sea-ice biomarker IP25, and δ18 O of the planktonic foraminifera Neogloboquadrina pachyderma sinistral from sediments in the interval from 17.5-10.8 cal ka BP provide consistent evidence for ocean and ice sheet interactions during central west Greenland (CWG) deglaciation. The Disko and Uummannaq ice streams both retreated from the shelf edge after the last glacial maximum (LGM) under the influence of subsurface, warm Atlantic Water. The warm subsurface water was limited to depths below the ice stream grounding lines during the LGM, when the GIS terminated as a floating ice shelf in a sea-ice covered Baffin Bay. The deeper Uummannaq ice stream retreated first (ca. 17.1 cal ka BP), while the shallower Disko ice stream retreated at ca. 16.2 cal ka BP. The grounding lines were protected from accelerating mass loss (calving) by a buttressing ice shelf and by landward shallowing bathymetry on the outer shelf. Calving retreat was delayed until ca. 15.3 cal ka BP in the Uummannaq Trough and until 15.1 cal ka BP in the Disko Trough, during another interval of ocean warming. Instabilities in the Laurentide, Innuitian and Greenland ice sheets with outlets draining into northern Baffin Bay periodically released cold, fresh water that enhanced sea ice formation and slowed GIS melt. During the Younger Dryas, the CWG records document strong cooling, lack of GIS meltwater, and an increase in iceberg rafted material from northern Baffin Bay. The ice sheet remained in the cross-shelf troughs until the early Holocene, when it retreated rapidly by calving and strong

Sedimentation and erosion in Lake Diefenbaker, Canada: solutions for shoreline retreat monitoring.

PubMed

Sadeghian, Amir; de Boer, Dirk; Lindenschmidt, Karl-Erich

2017-09-15

This study looks into sedimentation and erosion rates in Lake Diefenbaker, a prairie reservoir, in Saskatchewan, Canada, which has been in operation since 1968. First, we looked at the historical data in all different formats over the last 70 years, which includes data from more than 20 years before the formation of the lake. The field observations indicate high rates of shoreline erosion, especially in the upstream portion as a potential region for shoreline retreat. Because of the great importance of this waterbody to the province, monitoring sedimentation and erosion rates is necessary for maintaining the quality of water especially after severe floods which are more common due to climate change effects. Second, we used Google Maps Elevation API, a new tool from Google that provides elevation data for cross sections drawn between two points, by drawing 24 cross sections in the upstream area extending 250 m from each bank. This feature from Google can be used as an easy and fast monitoring tool, is free of charge, and provides excellent control capabilities for monitoring changes in cross-sectional profiles.

Modeling subglacial sediment discharge in 1-dimension: comparison with measurments and implications for glacial retreat

NASA Astrophysics Data System (ADS)

Delaney, I. A.; Werder, M.; Farinotti, D.

2017-12-01

In recent decades increased sedimentation rates have been observed in reservoirs downstream of some retreating glaciers. This material either originates from slopes recently exposed by glacier retreat and no longer stabilized by ice, or subglacially, where pressurized melt water transports sediments from the glacier bed. Some evidence suggests that recently exposed periglacial areas can stablize relatively quickly and in some catchments provides a smaller precentage of the total sediment compared to the subglacial environment. As a result, in order predict and forecast sediment yield from glaciated catchments as glaciers thin and thier hydrology evolves, a subglacial sediment transport model must be implemented. Here a simple 1-dimensional glacio-hydraulic model uses the Darcy-Weissbach relationship to determine shear-stress of presurized water on the glacier bed. This is coupled with a sediment transport relationship to determine quantity of discharged material from the glacier snout. Several tuning factors allow calibration and the model to reproduces processes known to occur subglacially, including seasonal evolution of sediment expulsion and deposition of sediment on adverse slopes of overdeepenings. To asses the model's application to real glaciers, sediment flux data has been collected from Gornergletscher, Aletschgletscher and Griesgletscher in the Swiss Alps over time-scales of up to decades. By calibrating to these data, the skill of the model in recreating sediment trends and volumes is assesed. The outputs capture annual erosion quanities relatively well, however, challenges exist in capturing inter-annual variations in sediment discharge. Many of the model's short comings relate to caputuring the spatial distribution of sediment throughout the glacier bed, which is particularing difficult in 1-dimension. However, this work suggests that a simple models can be used to predict subglacial sediment transport with reasonable ability. Additionally, further

Non-surgical retreatment of a failed apicoectomy without retrofilling using white mineral trioxide aggregate as an apical barrier.

PubMed

Stefopoulos, Spyridon; Tzanetakis, Giorgos N; Kontakiotis, Evangelos G

2012-01-01

Root-end resected teeth with persistent apical periodontitis are usually retreated surgically or a combination of non-surgical and surgical retreatment is employed. However, patients are sometimes unwilling to be subjected to a second surgical procedure. The apical barrier technique that is used for apical closure of immature teeth with necrotic pulps may be an alternative to non-surgically retreat a failed apicoectomy. Mineral trioxide aggregate (MTA) has become the material of choice in such cases because of its excellent biocompatibility, sealing ability and osseoinductive properties. This case report describes the non-surgical retreatment of a failed apicoectomy with no attempt at retrofilling of a maxillary central incisor. White MTA was used to induce apical closure of the wide resected apical area. Four-year follow-up examination revealed an asymptomatic, fully functional tooth with a satisfactory healing of the apical lesion. White MTA apical barrier may constitute a reliable and efficient technique to non-surgically retreat teeth with failed root-end resection. The predictability of such a treatment is of great benefit for the patient who is unwilling to be submitted to a second surgical procedure.

Testing geographical and climatic controls on glacier retreat

NASA Astrophysics Data System (ADS)

Freudiger, Daphné; Stahl, Kerstin; Weiler, Markus

2015-04-01

Glacier melt provides an important part of the summer discharge in many mountainous basins. The understanding of the processes behind the glacier mass losses and glacier retreats observed during the last century is therefore relevant for a sustainable management of the water resources and reliable models for the prediction of future changes. The changes in glacier area of 49 sub-basins of the Rhine River in the Alps were analyzed for the time period 1900-2010 by comparing the glacier areas of Siegfried maps for the years 1900 and 1940 with satellite derived glacier areas for the years 1973, 2003 and 2010. The aim was to empirically investigate the controls of glacier retreat and its regional differences. All glaciers in the glacierized basins retreated over the last 110 years with some variations in the sub-periods. However, the relative changes in glacier area compared to 1900 differed for every sub-basin and some glaciers decreased much faster than others. These observed differences were related to a variety of different potential controls derived from different sources, including mean annual solar radiation on the glacier surface, average slope, mean glacier elevation, initial glacier area, average precipitation (summer and winter), and the precipitation catchment area of the glacier. We fitted a generalized linear model (GLM) and selected predictors that were significant to assess the individual effects of the potential controls. The fitted model explains more than 60% of the observed variance of the relative change in glacier area with the initial area alone only explaining a small proportion. Some interesting patterns emerge with higher average elevation resulting in higher area changes, but steeper slopes or solar radiation resulting in lower relative glacier area changes. Further controls that will be tested include snow transport by wind or avalanches as they play an important role for the glacier mass balance and potentially reduce the changes in glacier

Associated influence of hypertension and heart rate greater than 80 beats per minute on mortality rate in patients with anterior wall STEMI

PubMed Central

Davidovic, Goran; Iric-Cupic, Violeta; Milanov, Srdjan

2013-01-01

Acute myocardial infarction as a form of coronary heart disease is characterized by permanent damage/loss of anatomical and functional cardiac tissue. Diagnosis of STEMI includes data on anginal pain and persistent ST-segment elavation. According to the numerous epidemiological studies, arterial blood pressure and heart rate are offten increased especially during the first hours of pain due to domination of sympathetic response. We wanted to investigate the associated influence of heart rate greater than 80 beats per minute and hypertension on the mortality in patients with anterior wall STEMI. Research included 140 patients treated in Coronary Unit, Clinical Center Kragujevac form January 2001 to June 2006. Heart rate was calculated as the mean value of baseline and heart rate in the first 30 minutes after admission, recorded on monitor and electrocardiogram. Data for history of hypertension were collected and blood pressure levels were measured in a lying position after 5 minutes of rest, and classified according to the VII JNC recommendations as confirmation of hypertension. Collected data were analyzed in SPSS 13.0 for Windows. Heart rate greater than 80 bpm influences the hospital mortality. Systolic blood pressure levels were higher in the survivors, while for the diastolic there was no difference. History of hypertension was singled out as a significant predictor of mortality without difference between the respondents with heart rate greater and lower than 80 bpm in the survivors and fatal. Increased heart rate and hypertension at admission are significant predictors of mortality in patients with anterior wall STEMI. PMID:23724155

Advancing-side directivity and retreating-side interactions of model rotor blade-vortex interaction noise

NASA Technical Reports Server (NTRS)

Martin, R. M.; Splettstoesser, W. R.; Elliott, J. W.; Schultz, K.-J.

1988-01-01

Acoustic data are presented from a 40 percent scale model of the four-bladed BO-105 helicopter main rotor, tested in a large aerodynamic wind tunnel. Rotor blade-vortex interaction (BVI) noise data in the low-speed flight range were acquired using a traversing in-flow microphone array. Acoustic results presented are used to assess the acoustic far field of BVI noise, to map the directivity and temporal characteristics of BVI impulsive noise, and to show the existence of retreating-side BVI signals. The characterics of the acoustic radiation patterns, which can often be strongly focused, are found to be very dependent on rotor operating condition. The acoustic signals exhibit multiple blade-vortex interactions per blade with broad impulsive content at lower speeds, while at higher speeds, they exhibit fewer interactions per blade, with much sharper, higher amplitude acoustic signals. Moderate-amplitude BVI acoustic signals measured under the aft retreating quadrant of the rotor are shown to originate from the retreating side of the rotor.

Hydrologically-induced slow-down as a mechanism for tidewater glacier retreat

NASA Astrophysics Data System (ADS)

Hewitt, Ian

2017-04-01

Outlet glaciers flowing into the ocean often terminate at a calving front, whose position is sensitively determined by the balance between ice discharge and calving/terminus-melting. Rapid retreat of tidewater glaciers can be initiated when the front is perturbed from a preferred pinning point, particularly when the glacier sits in an overdeepened trough. This is believed to make certain areas of ice sheets particularly vulnerable to ice loss. A number of factors may cause a previously stable front position to become unstable, including changes in buttressing provided by an ice shelf, and changes in ocean temperature. Another possibility is that initial retreat is induced by a reduction in the supply of ice from the interior of the ice sheet. Such a reduction can naturally arise from an increase in surface melting and runoff (in the absence of accumulation changes), and this may be amplified if more efficient meltwater routing reduces basal lubrication, as has been observed in some areas of the Greenland ice sheet. Since the initiation of rapid retreat often results in an increase of ice discharge at the front (due to increased ice thickness), such a process may not be easy to detect. In this study, I employ a simplified model of an outlet glacier and its frontal behaviour to examine the extent to which hydrologically induced slow-down of the feeding ice sheet may induce (or help to induce) calving front retreat. The model builds on earlier parameterisations of grounding line fluxes, and assumes that calving occurs according to a criterion that keeps the front close to the flotation thickness. The glacier bed is assumed to be plastic. This allows for a transparent identification of the different forcing terms affecting margin position. We conclude that hydrologically-induced slow-down of ice sheets is likely to have a more significant effect on mass loss than hydrologically-induced speed-up.

Scientists Discover New Possibilities at Scientific Investigators Retreat | Poster

Cancer.gov

By Nancy Parrish, Staff Writer; photos by Richard Frederickson, Staff Photographer Scientists who attended the 2015 NCI Intramural Scientific Investigators Retreat on Jan. 13 had a chance to discuss research results with other investigators from across the National Cancer Institute. And this year, they could also explore new possibilities for the future of their research.

Conduit enlargement in an eogenetic karst aquifer

NASA Astrophysics Data System (ADS)

Moore, Paul J.; Martin, Jonathan B.; Screaton, Elizabeth J.; Neuhoff, Philip S.

2010-11-01

SummaryMost concepts of conduit development have focused on telogenetic karst aquifers, where low matrix permeability focuses flow and dissolution along joints, fractures, and bedding planes. However, conduits also exist in eogenetic karst aquifers, despite high matrix permeability which accounts for a significant component of flow. This study investigates dissolution within a 6-km long conduit system in the eogenetic Upper Floridan aquifer of north-central Florida that begins with a continuous source of allogenic recharge at the Santa Fe River Sink and discharges from a first-magnitude spring at the Santa Fe River Rise. Three sources of water to the conduit include the allogenic recharge, diffuse recharge through epikarst, and mineralized water upwelling from depth. Results of sampling and inverse modeling using PHREEQC suggest that dissolution within the conduit is episodic, occurring only during 30% of 16 sampling times between March 2003 and April 2007. During low flow conditions, carbonate saturated water flows from the matrix to the conduit, restricting contact between undersaturated allogenic water with the conduit wall. When gradients reverse during high flow conditions, undersaturated allogenic recharge enters the matrix. During these limited periods, estimates of dissolution within the conduit suggest wall retreat averages about 4 × 10 -6 m/day, in agreement with upper estimates of maximum wall retreat for telogenetic karst. Because dissolution is episodic, time-averaged dissolution rates in the sink-rise system results in a wall retreat rate of about 7 × 10 -7 m/day, which is at the lower end of wall retreat for telogenetic karst. Because of the high permeability matrix, conduits in eogenetic karst thus enlarge not just at the walls of fractures or pre-existing conduits such as those in telogenetic karst, but also may produce a friable halo surrounding the conduits that may be removed by additional mechanical processes. These observations stress the

On the Lateral Retreat of Salt Marshes: Field Monitoring in the Venice Lagoon (Italy)

NASA Astrophysics Data System (ADS)

Solari, L.; Bendoni, M.; Mel, R.; Oumeraci, H.; Francalanci, S.; Lanzoni, S.

2014-12-01

Salt marshes are geomorphic structures located in ecotone environments such as lagoon and estuaries, providing lot of ecosystem services to local population. In the last decades they are disappearing due to several factors such as sea level rise, subsidence and edge erosion due to surface waves. The latter is likely the chief mechanism modeling marsh boundaries and leading to the loss of wide marsh areas. In the case of the Venice Lagoon, from the beginning of the last century, the whole salt marsh surface has more than halved and trends indicate that the salt marshes might completely disappear over the next 50 years. Here, we present a field monitoring activity that we are currently carrying out on a retreating salt marsh located in the north part of the Lagoon of Venice (Italy). The marsh is subject to North-East (Bora) wind. Marsh area loss during the last decades has been documented through the comparison of georeferenced aerial photographs showing a retreat rate of the order of 1 m/year. Field measurements started by the end of November 2013 and consist of: salt marsh bank geometry at different cross-sections and wave climate in the lagoon about 30 m in front of the salt marsh. Erosion data are obtained by means of erosion pins located horizontally on the marsh scarp; at higher banks (about 0.9 m), two pins are located along the same vertical direction, for lower banks (about 0.4m), only one pin is employed. Significant wave height has been measured during three storm surges by means of pressure transducers (Pts). The measured wave climate in front of the bank was then put into relationship with the offshore wave climate estimated using wind data (intensity and direction) and bathymetric data. Wind intensity and direction is measured hourly by several measurement stations located in the Lagoon of Venice. In this way, it is possible to extrapolate wave climate hourly at the monitored marsh and calculate the wave power that acted on the bank in a given time

Increasing Research Productivity and Professional Development in Psychology With a Writing Retreat.

PubMed

Stanley, Ian H; Hom, Melanie A; Chu, Carol; Joiner, Thomas E

2017-09-01

Writing is a core feature of the training requirements and career demands of psychology faculty members and graduate students. Within academic psychology, specifically, writing is vital for the generation of scientific knowledge through manuscripts and grant applications. Although resources exist regarding how to improve one's writing skills, few models have been described regarding how to promote a culture of writing productivity that realizes tangible deliverables, such as manuscripts and grant applications. In this article, we discuss the rationale, model, and initial outcome data of a writing retreat developed and implemented to increase research productivity among psychology faculty and trainees. We also review best practices for conducting writing retreats and identify key areas for future SoTL on advancing writing.

Costs and effectiveness of fingolimod versus alemtuzumab in the treatment of highly active relapsing-remitting multiple sclerosis in the UK: re-treatment, discount, and disutility.

PubMed

Montgomery, Stephen M; Kusel, Jeanette; Nicholas, Richard; Adlard, Nicholas

2017-09-01

Patients with relapsing-remitting multiple sclerosis (RRMS) treated with disease modifying therapies (DMTs) who continue to experience disease activity may be considered for escalation therapies such as fingolimod, or may be considered for alemtuzumab. Previous economic modeling used Markov models; applying one alternative technique, discrete event simulation (DES) modeling, allows re-treatment and long-term adverse events (AEs) to be included in the analysis. A DES was adapted to model relapse-triggered re-treatment with alemtuzumab and the effect of including ongoing quality-adjusted life year (QALY) decrements for AEs that extend beyond previous 1-year Markov cycles. As the price to the NHS of fingolimod in the UK is unknown, due to a confidential patient access scheme (PAS), a variety of possible discounts were tested. The interaction of re-treatment assumptions for alemtuzumab with the possible discounts for fingolimod was tested to determine which DMT resulted in lower lifetime costs. The lifetime QALY results were derived from modeled treatment effect and short- and long-term AEs. Most permutations of fingolimod PAS discount and alemtuzumab re-treatment rate resulted in fingolimod being less costly than alemtuzumab. As the percentage of patients who are re-treated with alemtuzumab due to experiencing a relapse approaches 100% of those who relapse whilst on treatment, the discount required for fingolimod to be less costly drops below 5%. Consideration of treatment effect alone found alemtuzumab generated 0.2 more QALYs/patient; the inclusion of AEs up to a duration of 1 year reduced this advantage to only 0.14 QALYs/patient. Modeling AEs with a lifetime QALY decrement found that both DMTs generated very similar QALYs with the difference only 0.04 QALYs/patient. When the model captured alemtuzumab re-treatment and long-term AE decrements, it was found that fingolimod is cost-effective compared to alemtuzumab, assuming application of only a modest level of

Knickpoint formation, rapid propagation, and landscape response following coastal cliff retreat at last-interglacial sea-level highstand: Kaua'i, Hawai'i

NASA Astrophysics Data System (ADS)

Lamb, Michael; Mackey, Ben; Scheingross, Joel; Farley, Ken

2013-04-01

The propagation of knickpoints through a landscape is recognized as a highly efficient mechanism of channel incision, and exerts a first-order control in communicating changes in base level throughout a landscape. However, few settings allow reconstruction of the long-term rate of knickpoint retreat. Here, we use cosmogenic 3He exposure dating of olivine within basalt to document the retreat rate of a waterfall in Ka'ula'ula Valley, a small catchment on the Na Pali coast of Kaua'i, Hawai'i. We constrained the exposure age of 18 features (in-channel boulders, stable boulders on terraces, and in-channel bedrock) along the length of the channel that allow us to discriminate between models of knickpoint propagation. Cosmogenic exposure ages are oldest near the coast (120 ka) and systematically decrease with upstream distance towards the waterfall (<10 ka). Upstream of the knickpoint, cosmogenic ages are approximately constant (10-20 ka). This data indicates that the waterfall has migrated 4 km up valley over the past 120 ka at an average rate of 33 mm/yr. Steady-state vertical erosion appears to dominate upstream of the waterfall, where the channel has incised ~100 m into the original surface of the shield volcano. Our results indicate the lateral rate of knickpoint retreat exceeds rates of vertical channel incision by three orders of magnitude, and that knickpoints may be the primary driver of relief generation in Hawaiian catchments. Submarine landslides have been proposed as the cause of knickpoints in Kaua'i streams; however, the bathymetry off the northwest Kaua'i coast lacks evidence for large submarine flank collapse. Alternatively, we propose substantial cliff erosion during the last interglacial sea-level highstand generated a waterfall at the coast, which has subsequently propagated inland. Superimposing Kaua'i's subsidence history and Pleistocene sea level fluctuations indicate that the only time waves could have eroded cliffs at Ka'ula'ula Valley's entrance

Exploring the Effectiveness of a Retreat Method for Extension Staff

ERIC Educational Resources Information Center

Worker, Steven M.; Hill, Russell D.; Miller, JoLynn C.; Go, Charles G.; Boyes, Rita J.

2015-01-01

The California 4-H Association hosted two retreats to support its members with goals of balancing professional development with intentional relationship building. Evaluations demonstrated that staff found the intentional balance of time spent in unstructured, semi-structured, and structured time offered opportunities to grow professionally while…

Hillslope failure and paraglacial reworking of sediments in response to glacier retreat, Fox Valley, New Zealand.

NASA Astrophysics Data System (ADS)

McColl, Samuel T.; Fuller, Ian C.; Anderson, Brian; Tate, Rosie

2017-04-01

Climate and glacier fluctuations influence sediment supply to glacier forelands, which in turn influences down-valley hazards to infrastructure and tourism within glacier forelands. At Fox Glacier, one of New Zealand's most iconic and popular glaciers, rapid retreat has initiated a range of hillslope and valley floor responses, that present a cascade of hazards and changes that need to be carefully managed. Fox Glacier has retreated many kilometres historically, with 2.6 km of retreat since the mid-20th century, and a phase of rapid retreat of 50-340 m per year since 2009. To study the system response to past and ongoing glacial retreat at the Fox valley, morphological changes are being observed using time-lapse photography and the annual collection of high-resolution digital elevation models (DEMs) and orthophoto mosaics. The DEMs are being produced using Structure from Motion photogrammetry from UAV/RPAS and helicopter platforms, and are being used, along with manual ground surveying, to produce ground surface change models (DoDs; DEMs of Difference) and sediment budgets for the valley. Results from time-lapse photography and DoDs show that glacial retreat has initiated destabilisation and (mostly chronic) mass movement of surficial glacial sediments on the valley slopes near the glacier terminus. Alluvial fans farther down valley are actively growing, reworking glacial and landslide sediments from tributary catchments. These paraglacial sediments being delivered to the proglacial river from the glacier terminus and alluvial fans are driving aggradation of the valley floor of decimetres to metres per year and maintaining a highly dynamic braid plain. Valley floor changes also include the melting of buried dead ice, which are causing localised subsidence at the carpark and one of the alluvial fans. The unstable slopes and active debris fans, aggrading and highly active river channel, ground subsidence, add to the spectacle but also the hazards of the Fox valley

The allegheny general modification of the Harvard Breast Cosmesis Scale for the retreated breast.

PubMed

Trombetta, Mark; Julian, Thomas B; Kim, Yongbok; Werts, E Day; Parda, David

2009-10-01

The use of brachytherapy--and to a lesser extent, external-beam radiotherapy--in the management of locally recurrent breast cancer following ipsilateral breast tumor recurrence (IBTR) followed by repeat breast-conservation surgery and irradiation is currently an area of intense study. The current cosmetic scoring system is inadequate to score the outcome resulting from retreatment because it does not account for the cosmetic effect of the initial treatment. We propose a modification of the scale for patients who undergo retreatment--the Allegheny General Modification of the Harvard/NSABP/RTOG scoring scale.

The history of retreat dynamics of Petermann Glacier inferred from submarine glacial landforms

NASA Astrophysics Data System (ADS)

Jakobsson, M.; Hogan, K.; Mayer, L. A.; Mix, A. C.; Jerram, K.; Mohammad, R.; Stranne, C.; Eriksson, B.

2016-12-01

Preserved submarine glacial landforms produced at the base and margin of ice sheets and outlet glaciers comprise records of past ice dynamics complementary to modern glaciological process studies. The Petermann 2015 Expedition on the Swedish icebreaker Oden systematically mapped approximately 3100 km2 of the seafloor in Petermann Fjord and the adjacent Hall Basin of Nares Strait, northwest Greenland, with an EM122 (12 kHz) multibeam and SBP120 (2-7 kHz) chirp sub-bottom profiler. Complete, overlapping mapping coverage permitted compilation of a high-quality (15x15m) digital terrain model (DTM). In addition, the seafloor at the margin of one of the smaller outlet glaciers draining into the Petermann Fjord and selected shallow areas along the coast were mapped using a small survey boat (RV Skidbladner), equipped with an EM2040 (200-300 kHz) multibeam. High-resolution (2 x 2 m) DTMs were compiled from the RV Skidbladner surveys. The seafloor morphology of Petermann Fjord and adjacent Hall Basin is dominated by a stunning glacial landform record comprising the imprints of Petermann Glacier's retreat dynamics since the Last Glacial Maximum (LGM). The entrance to Petermann Fjord consists of a prominent bathymetric sill formed by a large well-develop grounding zone wedge that undoubtedly represents a stability point during the glacier's retreat history. The deepest entrance to the fjord is 443 m and located on the southern side of this grounding zone wedge. Outside of this grounding zone wedge in Hall Basin, less well developed grounding zones appears to be present. The landform assemblage in between the grounding zones, in particular the lack of retreat ridges, may signify a leap-frog behavior of the glacier's retreat; rapid break-up and disintegration of the outlet glacier causing retreat back to the next stability point dictated by the local bedrock geology. While numerous classical glacial landforms characteristic for fast flowing ice streams are identified, the

Evaluation of apically extruded debris during root canal retreatment with several NiTi systems.

PubMed

Dincer, A N; Er, O; Canakci, B C

2015-12-01

To compare the amount of debris extruded apically during root canal retreatment using ProTaper, Mtwo and Reciproc instruments with hand H-files. In total, 60 freshly extracted human mandibular incisor teeth were used. All root canals were prepared with a Reciproc R25 file than filled with Gutta-percha and AH Plus sealer using cold lateral condensation before being assigned randomly to four groups (n = 15 each). In group 1, root fillings were removed with the Protaper Universal retreatment system; ProTaper Universal F3 and F4 instruments were used for the final preparation. In group 2, root fillings were removed with the Mtwo retreatment system; Mtwo size 30, .06 taper, size 35, .06 taper and size 40, .06 taper files were used for the final preparation. In group 3, root fillings were removed with Reciproc R25 instruments; Reciproc R40 instruments were used for the final preparation. In group 4, the root fillings were removed with Gates Glidden burs and sizes 35, 30 and 25 H-files; for final preparation, a size 40 H-file was used. Glass vials were used for debris collection. The vials were weighed before and after Gutta-percha removal. Additionally, the times required for the retreatment procedures were recorded. Data were analysed statistically using one-way analysis of variance. The Reciproc system produced significantly smaller amounts of apical extruded debris than the other groups (P < 0.05). There was no significant difference between the Mtwo, H-file and ProTaper groups. The ProTaper and Reciproc groups required significantly less time than the Mtwo and H-file groups (P < 0.001). Use of the reciprocating single file system resulted in the extrusion of significantly less debris compared with the full-sequence rotary NiTi instruments and hand filing. Use of the ProTaper and Reciproc instruments required less time for retreatment procedures than use of the Mtwo or H-file. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

Successful retreatment with grazoprevir and elbasvir for patients infected with hepatitis C virus genotype 1b, who discontinued prior treatment with NS5A inhibitor-including regimens due to adverse events.

PubMed

Kanda, Tatsuo; Yasui, Shin; Nakamura, Masato; Nakamoto, Shingo; Takahashi, Koji; Wu, Shuang; Sasaki, Reina; Haga, Yuki; Ogasawara, Sadahisa; Saito, Tomoko; Kobayashi, Kazufumi; Kiyono, Soichiro; Ooka, Yoshihiko; Suzuki, Eiichiro; Chiba, Tetsuhiro; Maruyama, Hitoshi; Moriyama, Mitsuhiko; Kato, Naoya

2018-03-23

Sustained virologic response (SVR) by interferon and interferon-free treatment can results in the reduction of advanced liver fibrosis and the occurrence of hepatocellular carcinoma in patients infected with hepatitis C virus (HCV). Recent interferon-free treatment for HCV shortens the duration of treatment and leads to higher SVR rates, without any serious adverse events. However, it is important to retreat patients who have had treatment-failure with HCV non-structural protein 5A (NS5A) inhibitor-including regimens. Combination of sofosbuvir and ledipasvir only leads to approximately 100% SVR rates in HCV genotype (GT1b), NS5A inhibitor-naïve patients in Japan. This combination is not an indication for severe renal disease or heart disease, and these patients should be treated or retreated with a different regimen. Retreatment with HCV non-structural protein 3/4A inhibitor, grazoprevir, and HCV NS5A inhibitor, elbasvir, successfully eradicated HCV RNA in three patients with HCV genotype 1b infection who discontinued prior interferon-free treatments including HCV NS5A inhibitors due to adverse events within 2 weeks. Retreatment with the 12-week combination regimen of grazoprevir and elbasvir is effective for HCV GT1b patients who discontinue the HCV NS5A inhibitor-including regimens within 2 weeks. The treatment response may be related to the short duration of initial treatment, which did not produce treatment-emergent RASs.

Successful retreatment with grazoprevir and elbasvir for patients infected with hepatitis C virus genotype 1b, who discontinued prior treatment with NS5A inhibitor-including regimens due to adverse events

PubMed Central

Kanda, Tatsuo; Yasui, Shin; Nakamura, Masato; Nakamoto, Shingo; Takahashi, Koji; Wu, Shuang; Sasaki, Reina; Haga, Yuki; Ogasawara, Sadahisa; Saito, Tomoko; Kobayashi, Kazufumi; Kiyono, Soichiro; Ooka, Yoshihiko; Suzuki, Eiichiro; Chiba, Tetsuhiro; Maruyama, Hitoshi; Moriyama, Mitsuhiko; Kato, Naoya

2018-01-01

Background Sustained virologic response (SVR) by interferon and interferon-free treatment can results in the reduction of advanced liver fibrosis and the occurrence of hepatocellular carcinoma in patients infected with hepatitis C virus (HCV). Recent interferon-free treatment for HCV shortens the duration of treatment and leads to higher SVR rates, without any serious adverse events. However, it is important to retreat patients who have had treatment-failure with HCV non-structural protein 5A (NS5A) inhibitor-including regimens. Combination of sofosbuvir and ledipasvir only leads to approximately 100% SVR rates in HCV genotype (GT1b), NS5A inhibitor-naïve patients in Japan. This combination is not an indication for severe renal disease or heart disease, and these patients should be treated or retreated with a different regimen. Case summary Retreatment with HCV non-structural protein 3/4A inhibitor, grazoprevir, and HCV NS5A inhibitor, elbasvir, successfully eradicated HCV RNA in three patients with HCV genotype 1b infection who discontinued prior interferon-free treatments including HCV NS5A inhibitors due to adverse events within 2 weeks. Conclusion Retreatment with the 12-week combination regimen of grazoprevir and elbasvir is effective for HCV GT1b patients who discontinue the HCV NS5A inhibitor-including regimens within 2 weeks. The treatment response may be related to the short duration of initial treatment, which did not produce treatment-emergent RASs. PMID:29662642

Successful retreatment with osimertinib after osimertinib-induced acute pulmonary embolism in a patient with lung adenocarcinoma: A case report.

PubMed

Shiroyama, Takayuki; Hayama, Manabu; Satoh, Shingo; Nasu, Shingo; Tanaka, Ayako; Morita, Satomu; Morishita, Naoko; Suzuki, Hidekazu; Okamoto, Norio; Hirashima, Tomonori

2017-01-01

Pulmonary embolism (PE) can be life-threatening, and it is challenging to diagnose because of its nonspecific signs and symptoms. PE is also an important potential risk of osimertinib treatment, however, clinical courses regarding retreatment after osimertinib-induced acute pulmonary embolism remain unclear. We described a 77-year-old woman with postoperative recurrent lung adenocarcinoma who developed osimertinib-induced acute PE. She received apixaban and was later successfully retreated with osimertinib. This case suggests that retreatment with osimertinib after osimertinib-induced acute PE may be a treatment option when alternative therapeutic options are limited.

Scientific Investigators Retreat Brings Like Minds Together | Poster

Cancer.gov

Scientists throughout NCI gathered at the 2016 Intramural Scientific Investigators Retreat on Jan. 12, at the Ronald Reagan Building and International Trade Center, to discuss the results of their research with fellow investigators. Several researchers who have made significant advances toward the goal of eliminating the threat of cancer spoke to a packed auditorium of like-minded experts. Speaker topics included the role genetics play in the risk of breast cancer, using fiberglass to...

Diffusion of microspheres in shear flow near a wall: use to measure binding rates between attached molecules.

PubMed Central

Pierres, A; Benoliel, A M; Zhu, C; Bongrand, P

2001-01-01

The rate and distance-dependence of association between surface-attached molecules may be determined by monitoring the motion of receptor-bearing spheres along ligand-coated surfaces in a flow chamber (Pierres et al., Proc. Natl. Acad. Sci. U.S.A. 95:9256-9261, 1998). Particle arrests reveal bond formation, and the particle-to-surface distance may be estimated from the ratio between the velocity and the wall shear rate. However, several problems are raised. First, data interpretation requires extensive computer simulations. Second, the relevance of standard results from fluid mechanics to micrometer-size particles separated from surfaces by nanometer distances is not fully demonstrated. Third, the wall shear rate must be known with high accuracy. Here we present a simple derivation of an algorithm permitting one to simulate the motion of spheres near a plane in shear flow. We check that theoretical predictions are consistent with the experimental dependence of motion on medium viscosity or particle size, and the requirement for equilibrium particle height distribution to follow Boltzman's law. The determination of the statistical relationship between particle velocity and acceleration allows one to derive the wall shear rate with 1-s(-1) accuracy and the Hamaker constant of interaction between the particle and the wall with a sensitivity better than 10(-21) J. It is demonstrated that the correlation between particle height and mean velocity during a time interval Deltat is maximal when Deltat is about 0.1-0.2 s for a particle of 1.4-microm radius. When the particle-to-surface distance ranges between 10 and 40 nm, the particle height distribution may be obtained with a standard deviation ranging between 8 and 25 nm, provided the average velocity during a 160-ms period of time is determined with 10% accuracy. It is concluded that the flow chamber allows one to detect the formation of individual bonds with a minimal lifetime of 40 ms in presence of a disruptive force

Knickpoint retreat and transient bedrock channel morphology triggered by base-level fall in small bedrock river catchments: The case of the Isle of Jura, Scotland

NASA Astrophysics Data System (ADS)

Castillo, Miguel; Bishop, Paul; Jansen, John D.

2013-01-01

A sudden drop in river base-level can trigger a knickpoint that propagates throughout the fluvial network causing a transient state in the landscape. Knickpoint retreat has been confirmed in large fluvial settings (drainage areas > 100 km2) and field data suggest that the same applies to the case of small bedrock river catchments (drainage areas < 100 km2). Nevertheless, knickpoint recession on resistant lithologies with structure that potentially affects the retreat rate needs to be confirmed with field-based data. Moreover, it remains unclear whether small bedrock rivers can absorb base-level fall via knickpoint retreat. Here we evaluate the response of small bedrock rivers to base-level fall on the isle of Jura in western Scotland (UK), where rivers incise into dipping quartzite. The mapping of raised beach deposits and strath terraces, and the analysis of stream long profiles, were used to identify knickpoints that had been triggered by base-level fall. Our results indicate that the distance of knickpoint retreat scales to the drainage area in a power law function irrespective of structural setting. On the other hand, local channel slope and basin size influence the vertical distribution of knickpoints. As well, at low drainage areas (~ 4 km2) rivers are unable to absorb the full amount of base-level fall and channel reach morphology downstream of the knickpoint tends towards convexity. The results obtained here confirm that knickpoint retreat is mostly controlled by stream discharge, as has been observed for other transient landscapes. Local controls, reflecting basin size and channel slope, have an effect on the vertical distribution of knickpoints; such controls are also related to the ability of rivers to absorb the base-level fall.

Jumpstarting Junior Faculty Motivation and Performance with Focused Writing Retreats

ERIC Educational Resources Information Center

Girardeau, Laura; Rud, A. G.; Trevisan, Michael S.

2014-01-01

Faculty members are critical assets to universities, and large losses to institutions occur if they are not successful. Although institutions value publications and grants in the tenure process, newer professors receive little guidance in writing for these endeavors. Faculty writing retreats help apprentice professors in the craft of writing;…

Stability of therapeutic retreatment of corneal wavefront customized ablation with the SCHWIND CAM: 4-year data.

PubMed

Aslanides, Ioannis M; Kolli, Sai; Padroni, Sara; Padron, Sara; Arba Mosquera, Samuel

2012-05-01

To evaluate the long-term outcomes of aspheric corneal wavefront ablation profiles for excimer laser retreatment. Eighteen eyes that had previously undergone LASIK or photorefractive keratectomy (PRK) were retreated with LASIK using the corneal wavefront ablation profile. Custom Ablation Manager (SCHWIND eye-tech-solutions, Kleinostheim, Germany) software and the ESIRIS flying spot excimer laser system (SCHWIND) were used to perform the ablations. Refractive outcomes and wavefront data are reported up to 4 years after retreatment. Pre- and postoperative data were compared with Student t tests and (multivariate) correlation tests. P<.05 was considered statistically significant. A bilinear correlation of various postoperative wavefront aberrations versus planned correction and preoperative aberration was performed. Mean manifest refraction spherical equivalent (MRSE) before retreatment was -0.38±1.85 diopters (D) and -0.09±0.22 D at 6 months and -0.10±0.38 D at 4 years postoperatively. The reduction in MRSE was statistically significant at both postoperative time points (P<.005). Postoperative aberrations were statistically lower (spherical aberration P<.05; coma P<.005; root-mean-square higher order aberration P<.0001) at 4 years postoperatively. Distribution of the postoperative uncorrected distance visual acuity (P<.0001) and corrected distance visual acuity (P<.01) were statistically better than preoperative values. Aspheric corneal wavefront customization with the ESIRIS yields visual, optical, and refractive results comparable to those of other wavefront-guided customized techniques for the correction of myopia and myopic astigmatism. The corneal wavefront customized approach shows its strength in cases where abnormal optical systems are expected. Systematic wavefront customized corneal ablation appears safe and efficacious for retreatment cases. Copyright 2012, SLACK Incorporated.

Intraventricular filling under increasing left ventricular wall stiffness and heart rates

NASA Astrophysics Data System (ADS)

Samaee, Milad; Lai, Hong Kuan; Schovanec, Joseph; Santhanakrishnan, Arvind; Nagueh, Sherif

2015-11-01

Heart failure with normal ejection fraction (HFNEF) is a clinical syndrome that is prevalent in over 50% of heart failure patients. HFNEF patients show increased left ventricle (LV) wall stiffness and clinical diagnosis is difficult using ejection fraction (EF) measurements. We hypothesized that filling vortex circulation strength would decrease with increasing LV stiffness irrespective of heart rate (HR). 2D PIV and hemodynamic measurements were acquired on LV physical models of varying wall stiffness under resting and exercise HRs. The LV models were comparatively tested in an in vitro flow circuit consisting of a two-element Windkessel model driven by a piston pump. The stiffer LV models were tested in comparison with the least stiff baseline model without changing pump amplitude, circuit compliance and resistance. Increasing stiffness at resting HR resulted in diminishing cardiac output without lowering EF below 50% as in HFNEF. Increasing HR to 110 bpm in addition to stiffness resulted in lowering EF to less than 50%. The circulation strength of the intraventricular filling vortex diminished with increasing stiffness and HR. The results suggest that filling vortex circulation strength could be potentially used as a surrogate measure of LV stiffness. This research was supported by the Oklahoma Center for Advancement of Science and Technology (HR14-022).

Changes in the retreatment radiation tolerance of the spinal cord with time after the initial treatment.

PubMed

Woolley, Thomas E; Belmonte-Beitia, Juan; Calvo, Gabriel F; Hopewell, John W; Gaffney, Eamonn A; Jones, Bleddyn

2018-06-01

To estimate, from experimental data, the retreatment radiation 'tolerances' of the spinal cord at different times after initial treatment. A model was developed to show the relationship between the biological effective doses (BEDs) for two separate courses of treatment with the BED of each course being expressed as a percentage of the designated 'retreatment tolerance' BED value, denoted [Formula: see text] and [Formula: see text]. The primate data of Ang et al. ( 2001 ) were used to determine the fitted parameters. However, based on rodent data, recovery was assumed to commence 70 days after the first course was complete, and with a non-linear relationship to the magnitude of the initial BED (BED init ). The model, taking into account the above processes, provides estimates of the retreatment tolerance dose after different times. Extrapolations from the experimental data can provide conservative estimates for the clinic, with a lower acceptable myelopathy incidence. Care must be taken to convert the predicted [Formula: see text] value into a formal BED value and then a practical dose fractionation schedule. Used with caution, the proposed model allows estimations of retreatment doses with elapsed times ranging from 70 days up to three years after the initial course of treatment.

Screening retreatment tuberculosis patients for drug resistance in mid-west Nepal: how well are we doing?

PubMed Central

Harries, A. D.; Goel, S.; Srivastava, S.; Kumar, A. M. V.; Adhikari, M.; Shrestha, B.; Maharjan, B.; Khadka, H.

2014-01-01

Setting: Multidrug-resistant tuberculosis (MDR-TB, defined as resistance to isoniazid and rifampicin) is poorly detected in Nepal; one reason may be poor functioning of culture and drug susceptibility testing (CDST) services for retreatment tuberculosis (TB) patients. Objectives: To determine, among retreatment TB patients in mid-west Nepal, 1) the number of patients registered for treatment between July 2011 and July 2012; 2) the number submitting sputum specimens for CDST to the Central Reference Laboratory (CRL), Kathmandu, along with the results; and 3) the length of time for submission and receipt of specimens. Design: Retrospective cohort study involving the review of treatment and laboratory registers from the Nepalgunj TB Referral Centre and the CRL. Results: Of 431 retreatment patients, 66 (15%) submitted sputum samples, of which 63 reached the CRL. Of these, 39 (62%) were culture-positive; 13 (33%) patients had MDR-TB. The CDST results of 19 patients were received back at the TB Referral Centre. The median turnaround time from sending specimens to receipt of results at the TB Referral Centre was 119 days. Conclusion: Less than 10% of retreatment TB patients in mid-West Nepal had CDST results recorded, leading to the underdiagnosis of MDR-TB in the region. Urgent solutions are needed to rectify this problem. PMID:26423764

Observations reveal external driver for Arctic sea-ice retreat

NASA Astrophysics Data System (ADS)

Notz, Dirk; Marotzke, Jochem

2012-04-01

The very low summer extent of Arctic sea ice that has been observed in recent years is often casually interpreted as an early-warning sign of anthropogenic global warming. For examining the validity of this claim, previously IPCC model simulations have been used. Here, we focus on the available observational record to examine if this record allows us to identify either internal variability, self-acceleration, or a specific external forcing as the main driver for the observed sea-ice retreat. We find that the available observations are sufficient to virtually exclude internal variability and self-acceleration as an explanation for the observed long-term trend, clustering, and magnitude of recent sea-ice minima. Instead, the recent retreat is well described by the superposition of an externally forced linear trend and internal variability. For the externally forced trend, we find a physically plausible strong correlation only with increasing atmospheric CO2 concentration. Our results hence show that the observed evolution of Arctic sea-ice extent is consistent with the claim that virtually certainly the impact of an anthropogenic climate change is observable in Arctic sea ice already today.

Variability of onset and retreat of the rainy season in mainland China and associations with atmospheric circulation and sea surface temperature

NASA Astrophysics Data System (ADS)

Cao, Qing; Hao, Zhenchun; Shao, Quanxi; Hao, Jie; Nyima, Tsring

2018-02-01

Precipitation plays an important role in both environment and human society and is a significant factor in many scientific researches such as water resources, agriculture and climate impact studies. The onset and retreat of rainy season are useful features to understand the variability of precipitation under the influence of climate change. In this study, the characteristics of onset and retreat in mainland China are investigated. The multi-scale moving t-test was applied to determine rainy season and K-means cluster analysis was used to divide China into sub-regions to better investigate rainy season features. The possible linkage of changing characteristics of onset and retreat to climate factors were also explored. Results show that: (1) the onset started from middle March in the southeast of China to early June in the northwest and rainy season ended earliest in the northwest and southeast while the central China had the latest retreat; (2) Delayed onset and advanced retreat over time were observed in many parts of China, together with overall stable or increased rainy-season precipitation, would likely lead to higher probability of flooding; (3) The onset (retreat) was associated with the increased (decreased) number of cyclones in eastern China and anticyclone near the South China Sea. Delayed onset, and advanced retreat were likely related to cold and warm sea surface temperature (SST) in the conventional El Niño-Southern Oscillation (ENSO) regions, respectively. These results suggest that predictability of rainy season can be improved through the atmospheric circulation and SST, and help water resources management and agricultural planning.

Temperature under the Tongue: A paleotemperature record of the Drygalksi Ice Tongue with improved chronology of ice retreat

NASA Astrophysics Data System (ADS)

Subt, C.; Rosenheim, B. E.; Lee, J. I.; Yoo, K. C.; Browne, I. M.; Shevenell, A.

2017-12-01

The Ross Embayment is among the most well-studied regions in Antarctica. Despite the relative abundance of data, the style and forcing of deglaciation of the Ross Sea sector following the Last Glacial Maximum (LGM; 23-19 ka) is challenging due to the region's considerable size, complex geometry, and the difficulties in dating Antarctic glaciomarine sedimentary sequences. Ross Sea sediments indicate a dynamic glacial retreat in the western Ross Sea, whereas regional glacial systems may have retreated and advanced multiple times during the last deglaciation. Two marine sediment cores collected near the Drygalski Ice Tongue in the western Ross Sea during 2012 and 2015 Korea Polar Research Institute (KOPRI) expeditions reveal a sequence of alternating diatomaceous muds and oozes interbedded with diamict, which suggest dynamic post-LGM grounded ice retreat in the Ross Sea. Dynamic retreat is hypothesized to have been driven by rising sea levels and warmer ocean waters on the continental shelf, thus a record of upper ocean temperatures should reflect this. Here we present the first post-LGM upper ocean temperature record from the Ross Sea, developed using the TEX86 (tetraether index of lipids consisting of 86 carbons) paleothermometer. To overcome the difficulties of dating these sediments using traditional methods, we apply specialized Ramped PyrOx 14C dating for sediments with high proportions of relict carbon . This technique is particularly well-suited for the post-LGM retreat sedimentary sequences from Antarctic margins because it allows for separation of autochthonous and relict material for dating. By combining organic paleothermometry and state-of-the-art chronologic techniques, we gain a more thorough understanding of upper ocean temperatures in the Ross Sea during the last deglaciation, and their implications for ice retreat.

Endodontic retreatment vs dental implants of teeth with an uncertain endodontic prognosis: 1-year results from a randomised controlled trial.

PubMed

Esposito, Marco; Tallarico, Marco; Trullenque-Eriksson, Anna; Gianserra, Rodolfo

.58 to 0.27; P (t-test) = 0.457). One year after completion of the endodontic retreatment, of the 13 teeth that originally had a periapical radiolucency, one was lost, six showed complete healing; four a radiographic improvement; and two showed no changes/worsening. Two of the teeth originally without a lesion developed a lesion. There were no statistically significant differences for the number of patients' visits (endo = 5.2 ± 1.8; implant = 5.5 ± 1.1; mean difference = -0.03 95% CI: -1.24 to 0.64; P (t-test) = 0.522). It took significantly more days to complete the implant rehabilitation (endo = 48.9 ± 19.5; implant = 158.5 ± 67.2; mean difference = -109.60; 95% CI: -141.26 to -77.94; P (t-test) < 0.001), but less patients' chair time (endo = 405.5 ± 230.3 min; implant = 260.0 ± 154.6 min; mean difference = 45.50; 95% CI: 19.35 to 271.65; P (t-test) = 0.025). Implant treatment was significantly more expensive (endo = 1195 ± 503.7 €; implant = 1907.5 ± 232.4 €; mean difference = -712.50; 95% CI: -963.59 to -461.41; P (t-test) < 0.001). One year after treatment completion, the mean PES was 10.92 ± 1.93 and 7.07 ± 2.87 and the mean WES was 7.67 ± 1.83 and 7.60 ± 2.32 in the endo group and implant group, respectively. Soft tissues aesthetics (PES) was significantly better at endodontically retreated teeth (mean difference 3.85; 95% CI 1.94 to 5.76; P (t-test) < 0.001) whereas no significant differences were observed for tooth aesthetics (WES) (mean difference 0.07; 95% CI -1.62 to 1.76; P (t-test) = 0.936) between treatments. The preliminary results suggest that both endodontic retreatment and replacement of previously endodontically treated teeth with persisting pathology and a dubious endodontic prognosis provided similar short-term success rates. Aesthetics of the soft tissues and time needed to complete treatment were in favour of endodontic retreatment, whereas implant rehabilitation required half of the chair time than endodontic retreatment, but was

Comparison of 5468 retreatments after laser in situ keratomileusis by lifting the flap or performing photorefractive keratectomy on the flap.

PubMed

Ortega-Usobiaga, J; Llovet-Osuna, F; Katz, T; Djodeyre, M R; Druchkiv, V; Bilbao-Calabuig, R; Baviera, J

2018-02-01

To assess visual outcomes of retreatment after laser in situ keratomileusis (LASIK) by lifting the flap or performing photorefractive keratectomy (PRK) on the flap, as well as to establish whether there was an increased risk of epithelial ingrowth (EIG) when LASIK and lifting of the flap are separated by a long time interval and to determine the incidence of corneal haze after PRK. Retrospective study of 4077 patients (5468 eyes) who underwent LASIK and subsequent retreatment were reviewed in order to study their visual results and identify cases of EIG and corneal haze. Enhancements included 5196 eyes from 3876 patients that were retreated by lifting the flap, and 272 eyes from 201 patients that were retreated by PRK on the flap. No statistically significant differences were found between the retreatments in terms of predictability, efficacy, and safety. A total of 704 cases of EIG were found after lifting the flap, for which surgical cleansing was necessary in 70. Surgical cleansing decreased the efficacy index when compared with patients with EIG who did not need cleansing (P=.01). Differences in terms of safety and predictability were not statistically significant. The incidence of corneal haze after ablation of the surface of the previous flap was 14.34%, although none of these cases were clinically relevant. Visual outcomes were similar between patients who were retreated by lifting the flap and those who underwent PRK. The incidence of EIG when the flap was lifted was 13.55%. The incidence of EIG increases with the time elapsed between the primary procedure and retreatment. Copyright © 2017 Sociedad Española de Oftalmología. Publicado por Elsevier España, S.L.U. All rights reserved.

Writing Retreat Increases Productivity And Community For Women Geoscientists

NASA Astrophysics Data System (ADS)

O'Connell, S.; Holmes, M.

2011-12-01

Five, weeklong geoscientist writing retreats have been completed with an NSF ADANCE PAID grant. During the five nights and four and a half days, eight to twenty-four academics have gathered in a rural setting outside of Boston to get to focus on writing papers and proposals while getting to know each other. Participants range in age and experience from graduate students to emeritus professors. Over twenty papers and proposals acknowledge their production, in part to this writing retreat. Impact extends beyond papers as informal mentoring and discussions at meals and in the evenings centers on succeeding in academia. Research and teaching are foremost in the conversation. Post-docs learn strategies for applying for jobs and grants, and senior professors discuss strategies for working with academic administrations, running departments and mentoring students. They also learn new technologies and perspectives from younger participants. Particularly helpful are discussions on work-life balance. Networking opportunities extend beyond the retreat as participants join each other at their home institutions to give seminars, develop research projects and mentor each other's students. All weeks follow the same format. Participants arrive Sunday and meet during an evening welcome reception. Monday is devoted to writing. Tuesday a writing coach is available. In the morning, using examples from the scientific literature, she discusses strategies and techniques for writing clearly at a group session. During the afternoon, participants work with the coach individually or in small groups to improve their own writing projects. Wednesday evening a skill session is offered on a topic of interest. These have included undergraduate research, NSF funding, productive techniques for dealing with conflict, and generational characteristics and attitudes, which can hamper communication. A Thursday evening wrap-up session prepares participants for Friday's departure. We believe that this model

Recruitment and retention of palliative cancer patients and their partners participating in a longitudinal evaluation of a psychosocial retreat program.

PubMed

Garland, Sheila N; Carlson, Linda E; Marr, Hubert; Simpson, Steve

2009-03-01

The negative impact of a palliative cancer diagnosis on the quality of life of patients and their partners is well documented. Unfortunately, research on interventions to improve psychological and spiritual well-being of these couples has been considered impractical because of the deleterious influence of disease progression on participation. This study evaluated the feasibility of offering the Tapestry Retreat, an intensive psychosocial intervention for palliative care patients and their partners. Participants in the Tapestry Retreat included 15 patients with advanced breast, prostate, or colon cancer and their partners (n = 30). Also included was a natural history group consisting of 20 patients and their partners (n = 40). All couples completed questionnaires related to quality of life, distress, marital satisfaction, and existential concerns at baseline, after the retreat or 1 month after baseline, and then again at 3, 6, 9, and 12 months. Patients in the Tapestry group were significantly more likely to be women who had received prior psychological support and were less comfortable with their finances. Partners attending the Tapestry retreat were also more likely to have received prior psychological support. Despite issues with recruitment and retention, retreat participation was considered feasible. Recommendations for future research are discussed.

Site-Specific Bluff Recession Rates Measured on the Alaskan Beaufort Sea Coast

NASA Astrophysics Data System (ADS)

Richmond, B.; Gadd, P.; Crowell, W.

2017-12-01

OverviewThe effects of climate change are being studied globally with coastal erosion in Arctic regions of particular concern. In support of Hilcorp Alaska's Northstar Development, short- and long-term bluff recession rates have been documented at a pipeline shore crossing located in Gwydyr Bay on the Alaskan Beaufort Sea coast. These data are presented, along with the predominant forcing mechanisms, and compared to local and regional recession rates recently published by the U.S. Geological Survey (USGS). Arctic Bluff RecessionCoastal retreat along the northern coast of Alaska occurs at two different rates: infrequent, but rapid erosion induced by strong westerly storms, and seasonal retreat related to thawing and sediment removal under more moderate wave conditions. Variability in the rate of bluff retreat is related to a number of factors, including bluff composition (ice content and sediment type), existence of a fronting beach, and wave exposure. Measured Bluff Recession at the Northstar Pipeline Shore CrossingThe location of the Northstar Development pipeline shore crossing was chosen based on analysis of historical aerial photos acquired between 1949 and 1996. Over this 47-year period, the average annualized rate of bluff retreat in the study area ranged from 1.6 to 3.0 ft/yr. Beginning in 1996, ground-based shoreline monitoring surveys have been conducted along the bluff and ten shore-perpendicular transects at the site. The rates of bluff retreat derived from the survey data have been modest, ranging from no change to 5.8 ft/yr. The monitoring surveys indicate that waves and currents erode the bluffs by direct impact only during infrequent, but strong westerly storms that promote a short-term rise in sea level (storm surge). The more prevalent easterly storms can cause set-down, or reduction in the sea level which limits direct wave impact on the bluff, thereby decreasing the potential for wave induced erosion. Comparative StudiesRecent studies conducted

Fracture resistance exhibited by endodontically treated and retreated teeth shaped by ProTaper NEXT versus WaveOne: An in vitro study.

PubMed

Khalap, Neha Deepak; Hegde, Vibha; Kokate, Sharad

2015-01-01

To compare the fracture resistance exhibited by teeth after primary endodontic treatment and retreatment. One hundred freshly extracted human teeth were selected. 20 samples served as control (untreated). Eighty experimental samples were divided into two groups (n = 40) for instrumentation using rotary Protaper NEXT (PTN) or reciprocating WaveOne (WO) files and obturated using warm lateral compaction. Half of the samples (n = 20) from each group were subjected to a load. The remaining half were subjected to retreatment using Protaper universal retreatment files (RFs) followed by a file larger than the master apical file used in groups 1 and 2 and reobturated. Group A: Control, Group B: PTN + obturation, Group C: WO + obturation, Group D: RF + PTN + obturation and Group E: RF + WO + obturation. The retreatment specimens were also subjected to load and the readings acquired were statistically analyzed. When compared between the groups, control group exhibited the highest fracture resistance (P < 0.01). When multiple tests were performed, Group E exhibited significantly less fracture resistance (P < 0.01). Endodontic treatment and retreatment both results in lowering the fracture resistance of a tooth.

Incidence of apical crack initiation and propagation during the removal of root canal filling material with ProTaper and Mtwo rotary nickel-titanium retreatment instruments and hand files.

PubMed

Topçuoğlu, Hüseyin Sinan; Düzgün, Salih; Kesim, Bertan; Tuncay, Oznur

2014-07-01

The aim of this study was to determine the incidence of crack initiation and propagation in apical root dentin after retreatment procedures performed by using 2 rotary retreatment systems and hand files with additional instrumentation. Eighty extracted mandibular premolars with single canals were selected. One millimeter from the apex of each tooth was ground perpendicular to the long axis of the tooth, and the apical surface was polished. Twenty teeth served as the control group, and no preparation was performed. The remaining 60 teeth were prepared to size 35 with rotary files and filled with gutta-percha and AH Plus sealer. Specimens were then divided into 3 groups (n = 20), and retreatment procedures were performed with the following devices and techniques: ProTaper Universal retreatment files, Mtwo retreatment files, and hand files. After retreatment, the additional instrumentation was performed by using size 40 ProTaper, Mtwo, and hand files. Digital images of the apical root surface were recorded before preparation, after instrumentation, after filling, after retreatment, and after additional instrumentation. The images were then inspected for the presence of any new apical cracks and propagation. Data were analyzed with the logistic regression and Fisher exact tests. All experimental groups caused crack initiation and propagation after use of retreatment instruments. The ProTaper and Mtwo retreatment groups caused greater crack initiation and propagation than the hand instrument group (P < .05) after retreatment. Additional instrumentation with ProTaper and Mtwo instruments after the use of retreatment instruments caused crack initiation and propagation, whereas hand files caused neither crack initiation nor propagation (P < .05). This study showed that retreatment procedures and additional instrumentation after the use of retreatment files may cause crack initiation and propagation in apical dentin. Copyright © 2014 American Association of Endodontists

Successful Retreatment of Recurrent Intracranial Vertebral Artery Dissecting Aneurysms After Stent-Assisted Coil Embolization: A Self-Controlled Hemodynamic Analysis.

PubMed

Liu, Jian; Jing, Linkai; Zhang, Ying; Song, Ying; Wang, Yang; Li, Chuanhui; Wang, Yanmin; Mu, Shiqing; Paliwal, Nikhil; Meng, Hui; Linfante, Italo; Yang, Xinjian

2017-01-01

Intracranial vertebral artery dissecting aneurysms (VADAs) tend to recur despite successful stent-assisted coil embolization (SACE). Hemodynamics is useful in evaluating aneurysmal formation, growth, and rupture. Our aim was to evaluate the hemodynamic patterns of the recurrence of VADA. Between September 2009 and November 2013, all consecutive patients with recurrent VADAs after SACE in our institutions were enrolled. Recurrence was defined as recanalization and/or regrowth. We assessed the hemodynamic alterations in wall shear stress (WSS) and velocity after the initial SACE and subsequently after retreatment of the aneurysms that recurred. Five patients were included. After the initial treatment, 3 patients showed recanalization and 2 showed regrowth. In the 2 patients with regrowth, the 2 original aneurysms maintained complete occlusion; however, de novo aneurysm regrowth was confirmed near the previous site. Compared with 3 recanalized aneurysms, the completely occluded aneurysms showed high mean reductions in velocity and WSS after initial treatment (velocity, 77.6% vs. 57.7%; WSS, 74.2% vs. 52.4%); however, WSS remained high at the region near the previous lesion where the new aneurysm originated. After the second retreatment, there was no recurrence in any patient. Compared with the 3 aneurysms that recanalized, the 4 aneurysms that maintained complete occlusion showed higher reductions in velocity (62.9%) and WSS (71.1%). Our series indicated that hemodynamics might have an important role in recurrence of VADAs. After endovascular treatment, sufficient hemodynamic reduction in aneurysm dome, orifice, and parent vessel may be one of the key factors for preventing recurrence in VADAs. Copyright © 2016 Elsevier Inc. All rights reserved.

Knickpoint formation and landscape response following coastal cliff retreat at last-interglacial sea-level highstand: Kaua';i, Hawai';i (Invited)

NASA Astrophysics Data System (ADS)

Lamb, M. P.; Mackey, B. H.; Farley, K. A.; Scheingross, J. S.

2013-12-01

The upstream propagation of knickpoints is an important mechanism for channel incision and communicates changes in climate, sea level and tectonics throughout a landscape. Here, we use cosmogenic 3He exposure dating to document the retreat rate of a waterfall in Ka'ula'ula Valley, Kaua';i, Hawai';i, an often-used site for knickpoint-erosion modeling. Exposure ages of terraces are oldest near the coast (120 ka) and systematically decrease with upstream distance towards the waterfall (<10 ka) suggesting that the waterfall migrated 4 km over the past 120 ka at an average rate of 33 mm/yr. Upstream of the knickpoint, cosmogenic nuclide concentrations in channel are approximately uniform and indicate steady-state vertical erosion at a rate of ~0.03 mm/yr. Field observations and topographic analyses suggest that waterfall retreat is dominated by block toppling, with sediment transport below the waterfall actively occurring by debris flows. Knickpoint initiation was previously attributed to a submarine landslide ca. 4 Ma; however, our dating results, bathymetric analysis, and landscape-evolution modeling support knickpoint generation by wave-induced seacliff erosion during the last interglacial sea-level high stand. We illustrate that knickpoint generation during sea-level high stands, as opposed to the typical case of sea-level fall, is an important relief-generating mechanism on steep coasts with stable or subsiding coasts, and likely drives transient pulses of significant source-to-sink sediment flux.

Extensive retreat and re-advance of the West Antarctic Ice Sheet during the Holocene.

PubMed

Kingslake, J; Scherer, R P; Albrecht, T; Coenen, J; Powell, R D; Reese, R; Stansell, N D; Tulaczyk, S; Wearing, M G; Whitehouse, P L

2018-06-01

To predict the future contributions of the Antarctic ice sheets to sea-level rise, numerical models use reconstructions of past ice-sheet retreat after the Last Glacial Maximum to tune model parameters 1 . Reconstructions of the West Antarctic Ice Sheet have assumed that it retreated progressively throughout the Holocene epoch (the past 11,500 years or so) 2-4 . Here we show, however, that over this period the grounding line of the West Antarctic Ice Sheet (which marks the point at which it is no longer in contact with the ground and becomes a floating ice shelf) retreated several hundred kilometres inland of today's grounding line, before isostatic rebound caused it to re-advance to its present position. Our evidence includes, first, radiocarbon dating of sediment cores recovered from beneath the ice streams of the Ross Sea sector, indicating widespread Holocene marine exposure; and second, ice-penetrating radar observations of englacial structure in the Weddell Sea sector, indicating ice-shelf grounding. We explore the implications of these findings with an ice-sheet model. Modelled re-advance of the grounding line in the Holocene requires ice-shelf grounding caused by isostatic rebound. Our findings overturn the assumption of progressive retreat of the grounding line during the Holocene in West Antarctica, and corroborate previous suggestions of ice-sheet re-advance 5 . Rebound-driven stabilizing processes were apparently able to halt and reverse climate-initiated ice loss. Whether these processes can reverse present-day ice loss 6 on millennial timescales will depend on bedrock topography and mantle viscosity-parameters that are difficult to measure and to incorporate into ice-sheet models.

From networking to next-working: how an academic department "retreated" and advanced at the same time.

PubMed

Yager, Joel; Kenna, Heather; Hantke, Mindy

2015-04-01

Department-wide retreats conducted at periods of transition can enrich and benefit academic departments in several ways. Here, the authors describe the organization, conduct, and immediate outcomes of a department-wide retreat in a university department of psychiatry intended to (1) foster networking and communication among faculty who often work in "silos" and (2) invite the faculty to provide "internal consultations" regarding aspirational strategic goals and recommendations for short-term actionable tactics to address these goals. The retreat featured an evening networking and socializing poster session followed by a day-long event consisting of small group and large group interactive sessions. Participants were 120 faculty members including 44 new and younger faculty members who prepared and presented posters about themselves and their work. A variety of aspirational goals and specific recommendations for follow-up emerged from small groups were discussed in plenary sessions and were subsequently summarized and distributed to the faculty to be addressed by ongoing workgroups. Immediate informal feedback suggests that conducting and acting on recommendations ensuing from academic department retreats can foster at least a short-term sense of shared community and purpose, network faculty, identify commonly held values and aspirational goals, and potentially stimulate formation of innovative affinity groups and collaborations. Longer-term workgroup efforts and outcome assessments are required to assess the enduring results and value of such undertakings.

Effectiveness of ProTaper, D-RaCe, and Mtwo retreatment files with and without supplementary instruments in the removal of root canal filling material.

PubMed

Marques da Silva, B; Baratto-Filho, F; Leonardi, D P; Henrique Borges, A; Volpato, L; Branco Barletta, F

2012-10-01

To assess the efficacy of different retreatment rotary files in removing gutta-percha and endodontic sealer from canals. Ninety straight single-rooted premolars were prepared up to a size 30 and filled with gutta-percha and sealer and then randomly assigned to six retreatment groups (n = 15). Groups I, III, and V were retreated using rotary systems ProTaper Universal Retreatment (PTUR), D-RaCe, and Mtwo Retreatment, respectively. Groups II, IV, and VI were retreated using the additional instruments F4, size 40, .04 taper RaCe, and size 40, .04 taper Mtwo, respectively. The roots were split vertically, and images of the halves were obtained using a high-resolution scanner and evaluated with AutoCAD software to calculate the percentage of residual material. Data were analyzed with Kruskal-Wallis and Student-Newman-Keuls tests using a 5% significance cutoff (P < 0.05). There were no statistically significant differences (P > 0.05) between groups when additional instruments were used. The percentage of residual material was lowest in the PTUR group and was statistically significant only when compared to the D-RaCe system (P = 0.0038). All root canals had residual filling material after retreatment even when additional instruments were used. © 2012 International Endodontic Journal.

In vitro evaluation of the effectiveness of ProTaper universal rotary retreatment system for gutta-percha removal with or without a solvent.

PubMed

Takahashi, Cristiane Midori; Cunha, Rodrigo Sanches; de Martin, Alexandre Sigrist; Fontana, Carlos Eduardo; Silveira, Cláudia Fernandes M; da Silveira Bueno, Carlos Eduardo

2009-11-01

Effective removal of gutta-percha in endodontic retreatment is a significant factor to ensure a favorable outcome from failed procedures. The purpose of this study was to evaluate the efficacy of a nickel-titanium rotary instrument system with or without a solvent versus stainless steel hand files for gutta-percha removal. Forty extracted human maxillary anterior teeth were prepared and filled. They were divided into 4 groups: Gates-Glidden and K-files, Gates-Glidden and K-files with chloroform, ProTaper Universal rotary retreatment system, and ProTaper Universal rotary retreatment system with chloroform. The operating time was recorded. The teeth were longitudinally sectioned and photographed. The images were analyzed and the filling remnants were quantified by using the IMAGE TOOL software. With Kruskall-Wallis test, statistical analysis showed that there was no significant difference between the techniques in regard to the amount of the endodontic filling remnants (P < .05); however, the ProTaper Universal rotary retreatment system was faster than the hand files (P < .05). All of the techniques proved helpful for the removal of endodontic filling material, and they were similar in material remaining after retreatment, but the ProTaper Universal rotary retreatment system without chloroform was faster.

Primary fascial closure with biologic mesh reinforcement results in lesser complication and recurrence rates than bridged biologic mesh repair for abdominal wall reconstruction: A propensity score analysis.

PubMed

Giordano, Salvatore; Garvey, Patrick B; Baumann, Donald P; Liu, Jun; Butler, Charles E

2017-02-01

Previous studies suggest that bridged mesh repair for abdominal wall reconstruction may result in worse outcomes than mesh-reinforced, primary fascial closure, particularly when acellular dermal matrix is used. We compared our outcomes of bridged versus reinforced repair using ADM in abdominal wall reconstruction procedures. This retrospective study included 535 consecutive patients at our cancer center who underwent abdominal wall reconstruction either for an incisional hernia or for abdominal wall defects left after excision of malignancies involving the abdominal wall with underlay mesh. A total of 484 (90%) patients underwent mesh-reinforced abdominal wall reconstruction and 51 (10%) underwent bridged repair abdominal wall reconstruction. Acellular dermal matrix was used, respectively, in 98% of bridged and 96% of reinforced repairs. We compared outcomes between these 2 groups using propensity score analysis for risk-adjustment in multivariate analysis and for 1-to-1 matching. Bridged repairs had a greater hernia recurrence rate (33.3% vs 6.2%, P < .001), a greater overall complication rate (59% vs 30%, P = .001), and worse freedom from hernia recurrence (log-rank P <.001) than reinforced repairs. Bridged repairs also had a greater rate of wound dehiscence (26% vs 14%, P = .034) and mesh exposure (10% vs 1%, P = .003) than mesh-reinforced abdominal wall reconstruction. When the treatment method was adjusted for propensity score in the propensity-score-matched pairs (n = 100), we found that the rates of hernia recurrence (32% vs 6%, P = .002), overall complications (32% vs 6%, P = .002), and freedom from hernia recurrence (68% vs 32%, P = .001) rates were worse after bridged repair. We did not observe differences in wound healing and mesh complications between the 2 groups. In our population of primarily cancer patients at MD Anderson Cancer Center bridged repair for abdominal wall reconstruction is associated with worse outcomes than mesh

Ice stream reorganization and glacial retreat on the northwest Greenland shelf

NASA Astrophysics Data System (ADS)

Newton, A. M. W.; Knutz, P. C.; Huuse, M.; Gannon, P.; Brocklehurst, S. H.; Clausen, O. R.; Gong, Y.

2017-08-01

Understanding conditions at the grounding-line of marine-based ice sheets is essential for understanding ice sheet evolution. Offshore northwest Greenland, knowledge of the Last Glacial Maximum (LGM) ice sheet extent in Melville Bugt was previously based on sparse geological evidence. This study uses multibeam bathymetry, combined with 2-D and 3-D seismic reflection data, to present a detailed landform record from Melville Bugt. Seabed landforms include mega-scale glacial lineations, grounding-zone wedges, iceberg scours, and a lateral shear margin moraine, formed during the last glacial cycle. The geomorphology indicates that the LGM ice sheet reached the shelf edge before undergoing flow reorganization. After retreat of 80 km across the outer shelf, the margin stabilized in a mid-shelf position, possibly during the Younger Dryas (12.9-11.7 ka). The ice sheet then decoupled from the seafloor and retreated to a coast-proximal position. This landform record provides an important constraint on deglaciation history offshore northwest Greenland.

The risks and rewards of speed: Restorative retelling compressed into a three-day retreat.

PubMed

Blakley, Theresa; Mehr, Nita; Jordan, Donald

2018-01-01

This article chronicles the process of reducing the 10 week restorative retelling (RR) group model (Rynearson & Correa, Accommodation to violent dying: A guide to restorative retelling and support, Violent Death Bereavement Society, 2006) into a 3 day retreat for families of homicide loss. Strategies used to address the intensity of the condensed version of the treatment model are described for both the participants and treatment team. The twists and turns of how the therapeutic retreat unfolded are presented through case examples. The authors explicate the risks and rewards of conducting the RR model at speed, identify the challenges they faced, and give impressions for overall treatment efficacy.

Climate change and glacier retreat drive shifts in an Antarctic benthic ecosystem.

PubMed

Sahade, Ricardo; Lagger, Cristian; Torre, Luciana; Momo, Fernando; Monien, Patrick; Schloss, Irene; Barnes, David K A; Servetto, Natalia; Tarantelli, Soledad; Tatián, Marcos; Zamboni, Nadia; Abele, Doris

2015-11-01

The Antarctic Peninsula (AP) is one of the three places on Earth that registered the most intense warming in the last 50 years, almost five times the global mean. This warming has strongly affected the cryosphere, causing the largest ice-shelf collapses ever observed and the retreat of 87% of glaciers. Ecosystem responses, although increasingly predicted, have been mainly reported for pelagic systems. However, and despite most Antarctic species being benthic, responses in the Antarctic benthos have been detected in only a few species, and major effects at assemblage level are unknown. This is probably due to the scarcity of baselines against which to assess change. We performed repeat surveys of coastal benthos in 1994, 1998, and 2010, analyzing community structure and environmental variables at King George Island, Antarctica. We report a marked shift in an Antarctic benthic community that can be linked to ongoing climate change. However, rather than temperature as the primary factor, we highlight the resulting increased sediment runoff, triggered by glacier retreat, as the potential causal factor. The sudden shift from a "filter feeders-ascidian domination" to a "mixed assemblage" suggests that thresholds (for example, of tolerable sedimentation) and alternative equilibrium states, depending on the reversibility of the changes, could be possible traits of this ecosystem. Sedimentation processes will be increasing under the current scenario of glacier retreat, and attention needs to be paid to its effects along the AP.

Sea ice breakup and marine melt of a retreating tidewater outlet glacier in northeast Greenland (81°N).

PubMed

Bendtsen, Jørgen; Mortensen, John; Lennert, Kunuk; K Ehn, Jens; Boone, Wieter; Galindo, Virginie; Hu, Yu-Bin; Dmitrenko, Igor A; Kirillov, Sergei A; Kjeldsen, Kristian K; Kristoffersen, Yngve; G Barber, David; Rysgaard, Søren

2017-07-10

Rising temperatures in the Arctic cause accelerated mass loss from the Greenland Ice Sheet and reduced sea ice cover. Tidewater outlet glaciers represent direct connections between glaciers and the ocean where melt rates at the ice-ocean interface are influenced by ocean temperature and circulation. However, few measurements exist near outlet glaciers from the northern coast towards the Arctic Ocean that has remained nearly permanently ice covered. Here we present hydrographic measurements along the terminus of a major retreating tidewater outlet glacier from Flade Isblink Ice Cap. We show that the region is characterized by a relatively large change of the seasonal freshwater content, corresponding to ~2 m of freshwater, and that solar heating during the short open water period results in surface layer temperatures above 1 °C. Observations of temperature and salinity supported that the outlet glacier is a floating ice shelf with near-glacial subsurface temperatures at the freezing point. Melting from the surface layer significantly influenced the ice foot morphology of the glacier terminus. Hence, melting of the tidewater outlet glacier was found to be critically dependent on the retreat of sea ice adjacent to the terminus and the duration of open water.

The effect of chloroform, orange oil and eucalyptol on root canal transportation in endodontic retreatment.

PubMed

Karataş, Ertuğrul; Kol, Elif; Bayrakdar, İbrahim Şevki; Arslan, Hakan

2016-04-01

The purpose of the present study was to assess the effect of solvents on root canal transportation in endodontic retreatment. Sixty extracted human permanent mandibular first molars with curved root canals were selected. All of the root canals were prepared using Twisted File Adaptive instruments (SybronEndo, Orange, CA, USA) and filled with gutta-percha and AH Plus sealer (Dentsply DeTrey, Konstanz, Germany) using the cold lateral compaction technique. The teeth were assigned to four retreatment groups as follows (n = 15): eucalyptol, chloroform, orange oil and control. The canals were scanned using cone-beam computed tomography scanning before and after instrumentation. The chloroform group showed a significantly higher mean transportation value than the orange oil and control groups at the 3 and 5 mm levels (P = 0.011 and P = 0.003, respectively). There was no significant difference among the orange oil, eucalyptol and control groups in terms of canal transportation (P > 0.61). The chloroform led to more canal transportation than the eucalyptol and orange oil during endodontic retreatment. © 2015 Australian Society of Endodontology.

The Benefits and Challenges of Academic Writing Retreats: An Integrative Review

ERIC Educational Resources Information Center

Kornhaber, Rachel; Cross, Merylin; Betihavas, Vasiliki; Bridgman, Heather

2016-01-01

The immediate drivers to increase publication outputs in higher education are government and research funding, organisational status, performance expectations and personal career aspirations. Writing retreats are one of a range of strategies used by universities to boost publication output. The aims of this integrative review were to synthesise…

Timing of sea ice retreat can alter phytoplankton community structure in the western Arctic Ocean

NASA Astrophysics Data System (ADS)

Fujiwara, A.; Hirawake, T.; Suzuki, K.; Imai, I.; Saitoh, S.-I.

2014-04-01

This study assesses the response of phytoplankton assemblages to recent climate change, especially with regard to the shrinking of sea ice in the northern Chukchi Sea of the western Arctic Ocean. Distribution patterns of phytoplankton groups in the late summers of 2008-2010 were analysed based on HPLC pigment signatures and, the following four major algal groups were inferred via multiple regression and cluster analyses: prasinophytes, diatoms, haptophytes and dinoflagellates. A remarkable interannual difference in the distribution pattern of the groups was found in the northern basin area. Haptophytes dominated and dispersed widely in warm surface waters in 2008, whereas prasinophytes dominated in cold water in 2009 and 2010. A difference in the onset date of sea ice retreat was evident among years-the sea ice retreat in 2008 was 1-2 months earlier than in 2009 and 2010. The spatial distribution of early sea ice retreat matched the areas in which a shift in algal community composition was observed. Steel-Dwass's multiple comparison tests were used to assess the physical, chemical and biological parameters of the four clusters. We found a statistically significant difference in temperature between the haptophyte-dominated cluster and the other clusters, suggesting that the change in the phytoplankton communities was related to the earlier sea ice retreat in 2008 and the corollary increase in sea surface temperatures. Longer periods of open water during the summer, which are expected in the future, may affect food webs and biogeochemical cycles in the western Arctic due to shifts in phytoplankton community structure.

Timing of sea ice retreat can alter phytoplankton community structure in the western Arctic Ocean

NASA Astrophysics Data System (ADS)

name prefix surname suffix, given; Fujiwara, A.; Hirawake, T.; Suzuki, K.; Imai, I.; Saitoh, S.-I.

2013-09-01

This study assesses the response of phytoplankton assemblages to recent climate change, especially with regard to the shrinking of sea ice in the northern Chukchi Sea of the western Arctic Ocean. Distribution patterns of phytoplankton groups in the late summers of 2008-2010 were analyzed based on HPLC pigment signatures and, the following four major algal groups were inferred via multiple regression and cluster analyses: prasinophytes, diatoms, haptophytes and dinoflagellates. A remarkable interannual difference in the distribution pattern of the groups was found in the northern basin area. Haptophytes dominated and dispersed widely in warm surface waters in 2008, whereas prasinophytes dominated in cold water in 2009 and 2010. A difference in the onset date of sea ice retreat was evident among years - the sea ice retreat in 2008 was 1-2 months earlier than in 2009 and 2010. The spatial distribution of early sea ice retreat matched the areas in which a shift in algal community composition was observed. Steel-Dwass's multiple comparison tests were used to assess the physical, chemical and biological parameters of the four clusters. We found a statistically significant difference in temperature between the haptophyte-dominated cluster and the other clusters, suggesting that the change in the phytoplankton communities was related to the earlier sea ice retreat in 2008 and the corollary increase in sea surface temperatures. Longer periods of open water during the summer, which are expected in the future, may affect food webs and biogeochemical cycles in the western Arctic due to shifts in phytoplankton community structure.

Fracture resistance exhibited by endodontically treated and retreated teeth shaped by ProTaper NEXT versus WaveOne: An in vitro study

PubMed Central

Khalap, Neha Deepak; Hegde, Vibha; Kokate, Sharad

2015-01-01

Aim: To compare the fracture resistance exhibited by teeth after primary endodontic treatment and retreatment. Materials and Methods: One hundred freshly extracted human teeth were selected. 20 samples served as control (untreated). Eighty experimental samples were divided into two groups (n = 40) for instrumentation using rotary Protaper NEXT (PTN) or reciprocating WaveOne (WO) files and obturated using warm lateral compaction. Half of the samples (n = 20) from each group were subjected to a load. The remaining half were subjected to retreatment using Protaper universal retreatment files (RFs) followed by a file larger than the master apical file used in groups 1 and 2 and reobturated. Group A: Control, Group B: PTN + obturation, Group C: WO + obturation, Group D: RF + PTN + obturation and Group E: RF + WO + obturation. The retreatment specimens were also subjected to load and the readings acquired were statistically analyzed. Result: When compared between the groups, control group exhibited the highest fracture resistance (P < 0.01). When multiple tests were performed, Group E exhibited significantly less fracture resistance (P < 0.01). Conclusion: Endodontic treatment and retreatment both results in lowering the fracture resistance of a tooth. PMID:26752838

Efficacy of ProTaper Retreatment System in Root Canals Obturated with Gutta-Percha Using Two Different Sealers and GuttaFlow

PubMed Central

Siotia, Jaya; Acharya, Shashi Rashmi; Gupta, Sunil Kumar

2011-01-01

Objective. To compare the efficacy of ProTaper retreatment files in removing three different obturating materials. Study Design. Forty-five human, single-rooted premolars were divided into three experimental groups. Group 1 was obturated with gutta-percha and AH Plus sealer, Group 2 was obturated with gutta-percha and zinc oxide eugenol sealer, and Group 3 was obturated with GuttaFlow. Retreatment was done using the ProTaper universal rotary retreatment files. Root halves were visualized using magnifying loops at 3X magnification and optical stereomicroscope at 10X magnification. Images were analyzed using AutoCAD 2004 software to calculate area of the remaining debris in the canal. For statistical analysis were used variance test and ANOVA. Results. Total debris/canal area ratio between the three groups showed a statistically significant difference (P < 0.001). Conclusion. ProTaper retreatment system did not produce completely clean canals in any of the groups. However, it had the best efficacy towards removing silicon based obturating material GuttaFlow. PMID:22114598

[Clinical research of pasinizid on retreated sputum positive pulmonary tuberculosis in senilities].

PubMed

Yu, D; Wang, J; Hu, X

2001-10-01

To observe and evaluate the effect and safety of pasinizid on treatment of the senile pulmonary tuberculosis with bacteriological positive. 115 cases of the senile pulmonary tuberculosis with bacteriological positive were divided into therapy group(group A) and control group(group B1 and B2) randomly. Chemotherapy regimen: group A were treated by 3DZL2E/5DL2E mainly composed of pasinizid; group B1 were treated by 3HPZL2/5HL2E(abbreviated HP regimen); group B2 were treated by 3DZL2E/5DL2E(abbreviated SH regimen). When the chemotherapy was over, the sputum negative conversion rates were 92%, 72%, 71% in group A, group B1 and group B2 respectively. The conversion rate in group A was significantly higher than that in group B1 and group B2 (P < 0.05); focal absorption rates were 75%, 50%, 50% respectively, while the vanishing rates of cavity were 85%, 46%, 50% respectively. The rate in group A was significantly higher than that in group B1 and B2(P < 0.05); Rates of side effects were 17%, 58%, 18% respectively. The rates in group A and group B2 were apparently lower than that in group B1(P < 0.01). Bacteriological relapse rate of 2 years were 5%, 19%, 18%, respectively. The rate in group A was lower than that in group B1 and B2 (P < 0.01). The effect of pasinizid on senile retreated sputum positive pulmonary tuberculosis was better than HP and SH regimen. Due to its lower rates of side effects, it is recommended for clinical usage.

Endodontic retreatment: clinical comparison of reciprocating systems versus rotary system in disinfecting root canals.

PubMed

Martinho, Frederico C; Freitas, Lilian F; Nascimento, Gustavo G; Fernandes, Aleteia M; Leite, Fabio R M; Gomes, Ana P M; Camões, Izabel C G

2015-07-01

This clinical study was conducted to compare the effectiveness of single-file reciprocating systems and rotary systems in removing endotoxins and cultivable bacteria in endodontic retreatment. Thirty endodontically treated teeth with post-treatment apical periodontitis were selected. The specimens were divided into three groups according to the system used: WaveOne (n = 10), Reciproc instrument (n = 10), and ProTaper Universal Retreatment system (n = 10). Samples were collected before and after chemomechanical preparation. The irrigation was performed by using 2.5% sodium hypochlorite. A chromogenic limulus amebocyte lysate assay test was used to quantify endotoxins. Culture techniques were used to determine bacterial colony-forming unit counts. At baseline, endotoxins and cultivable bacteria were recovered from 100% of the root canal samples in a median value of 5.84 EU/mL and 4.98 × 10(3) CFU/mL, respectively. After CMP, no differences were found in the median percentage values of endotoxin reduction achieved with reciprocating systems-WaveOne [94.11%] and Reciproc [93.29%] and with rotary systems-ProTaper [94.98%] (P > 0.05). Both single-file reciprocating systems [WaveOne (98.27%) and Reciproc (99.54%)] and rotary system [ProTaper (98.73%)] were effective in reducing bacterial load (P > 0.05). Moreover, no differences were found among the systems tested. The Reciproc and WaveOne reciprocating systems were as effective as the ProTaper system for removal of endotoxins and bacteria in endodontic retreatment. All systems tested were effective to remove cultivable bacteria and endotoxin in endodontic retreatment. As no differences among systems were observed, it is possible to suggest that clinicians should choose the preferred technique to perform endodontic.

Past ice-sheet behaviour: retreat scenarios and changing controls in the Ross Sea, Antarctica

NASA Astrophysics Data System (ADS)

Halberstadt, Anna Ruth W.; Simkins, Lauren M.; Greenwood, Sarah L.; Anderson, John B.

2016-05-01

Studying the history of ice-sheet behaviour in the Ross Sea, Antarctica's largest drainage basin can improve our understanding of patterns and controls on marine-based ice-sheet dynamics and provide constraints for numerical ice-sheet models. Newly collected high-resolution multibeam bathymetry data, combined with two decades of legacy multibeam and seismic data, are used to map glacial landforms and reconstruct palaeo ice-sheet drainage. During the Last Glacial Maximum, grounded ice reached the continental shelf edge in the eastern but not western Ross Sea. Recessional geomorphic features in the western Ross Sea indicate virtually continuous back-stepping of the ice-sheet grounding line. In the eastern Ross Sea, well-preserved linear features and a lack of small-scale recessional landforms signify rapid lift-off of grounded ice from the bed. Physiography exerted a first-order control on regional ice behaviour, while sea floor geology played an important subsidiary role. Previously published deglacial scenarios for Ross Sea are based on low-spatial-resolution marine data or terrestrial observations; however, this study uses high-resolution basin-wide geomorphology to constrain grounding-line retreat on the continental shelf. Our analysis of retreat patterns suggests that (1) retreat from the western Ross Sea was complex due to strong physiographic controls on ice-sheet drainage; (2) retreat was asynchronous across the Ross Sea and between troughs; (3) the eastern Ross Sea largely deglaciated prior to the western Ross Sea following the formation of a large grounding-line embayment over Whales Deep; and (4) our glacial geomorphic reconstruction converges with recent numerical models that call for significant and complex East Antarctic ice sheet and West Antarctic ice sheet contributions to the ice flow in the Ross Sea.

Comparison of early dexamethasone retreatment versus standard dexamethasone regimen combined with PRN ranibizumab in diabetic macular edema.

PubMed

Arıkan Yorgun, Mücella; Toklu, Yasin; Mutlu, Melek

2017-02-01

The purpose of the study is to evaluate the efficacy and safety of as-needed dexamethasone (DEX) retreatment compared with standard DEX retreatment combined with PRN ranibizumab injections among patients with persistent diabetic macular edema (DME). Twenty-eight patients with persistent macular edema having recurrence earlier than 6 months after initial DEX implantation were included in this retrospective study. Group I consisted of 13 patients retreated using monthly PRN ranibizumab injections combined with standard 6-monthly DEX implantation; Group II consisted of 15 patients retreated with DEX implantation earlier than 6 months on an "as-needed" basis. There was no significant difference between the groups with regarding to age, gender, HbA1C levels, duration of diabetes, duration of macular edema, baseline central macular thickness (CMT), best-corrected visual acuity (BCVA), and intraocular pressure (IOP) values (p > 0.05). The mean follow-up time of the whole study population was 10.13 ± 1.75 months (range 9-15). The mean CMT values were significantly decreased in both groups compared to baseline values except for the 6th-month CMT in Group I (p < 0.05). The mean logMAR BCVA values were not statistically different between groups during the follow-up compared to baseline BCVA values (p > 0.05). However, a significant change in mean BCVA from baseline was seen at 4th, 6th, and 9th months in Group II (p ≤ 0.05). The mean number of total intravitreal treatments was 3.50 ± 0.77 in Group I and 2.53 ± 0.51 in Group II (p = 0.001). During the follow-up period, one patient in Group I and five patients in Group II had increased IOP (≥25 mmHg). Early DEX retreatment improved vision with superior anatomical improvement at 6th month and with fewer intravitreal treatments in eyes with DME. However, improvement in visual acuity is similar with standard DEX retreatment combined with PRN ranibizumab group.

A comparison of the relative efficacies of four hand and rotary instrumentation techniques during endodontic retreatment.

PubMed

Imura, N; Kato, A S; Hata, G I; Uemura, M; Toda, T; Weine, F

2000-07-01

The purpose of this study was to quantify the amount of remaining gutta-percha/scaler on the walls of root canals when two engine-driven instruments (Quantec and ProFile) and two hand instruments (K-file and Hedström file) were used to remove these materials. The amount of apically extruded debris and the time required for treatment were also recorded. One hundred extracted mandibular premolars were prepared using a modified step-back, flare technique and obturated with the lateral condensation technique. After repreparation with the test instruments, the specimens were cut transversally at the cervical, middle and apical thirds with steel discs and the three sections were split longitudinally. The amount of residual debris on the canal walls in each section was examined using a stereomicroscope. In all groups the cervical and middle thirds showed no debris. In the apical third, obturating material was observed in some specimens. No statistically significant difference was found between the two groups for incidence of debris, although the Hedström group showed a greater number of samples with remaining gutta-percha/sealer. When analysing dirty specimens only, there was a statistically significant difference between the four groups (P < 0.01) with the Hedström group having significantly less length of canal wall with remaining obturation material than the Quantec group. There was no significant difference amongst the groups for weight of extruded debris. However, there was a significant difference amongst the groups for mean treatment time with the Hedström file group requiring significantly less time than the Quantec group (P < 0.001); no significant differences were found between the other groups. Six instruments fractured in the Quantec group, four in the ProFile group, two in the Hedström group and two in the K-type group. The results showed that overall, all instruments may leave filling material inside the root canal. During retreatment there is a risk of

Pace of glacial retreat and limits on paleoclimate conditions for the Pine Creek Glacier, Montana, during the Pinedale Glaciation

NASA Astrophysics Data System (ADS)

Huss, E.; Laabs, B. J.; Leonard, E. M.; Licciardi, J. M.; Plummer, M. A.; Caffee, M. W.

2012-12-01

The timing of glaciation and the changes in climate that occurred both during and after the Last Glacial Maximum (LGM) in the Rocky Mountains are not well defined. Given the sensitivity of mountain glaciers to factors such as temperature, precipitation, and solar radiation, reconstructions of the history and extent of paleo-glaciers can be used to infer paleoclimate. Pine Creek Valley, located in the Absaroka Mountains in southwestern Montana, is an ideal setting for this type of research because it was occupied by a discrete valley glacier, the extent of which is precisely known during the LGM. To determine the pace and timing of ice retreat in this valley, glacially polished bedrock surfaces along the path of deglaciation were sampled at several points for cosmogenic 10Be surface exposure dating. The ages obtained range from 17.9 ± 0.8 to 13.2 ± 0.5 ka. When combined with the reconstructed ice extent during the LGM and subsequent deglaciation, these ages yield maximum and minimum retreat rates of 3.1 m/yr and 1.1 m/yr, respectively. These values constrain how long it took the glacier to retreat into a well-defined cirque from the terminal moraines. Paleoclimate conditions for the LGM were estimated using a two-dimensional, numerical, combined energy and mass balance and ice flow model. Previous qualitative inferences of paleoclimate in southern Montana indicate climate during the local LGM was colder and drier than modern values. If precipitation values were held constant or reduced for the Pine Creek glacier, the model suggests a temperature depression of at least 8°C.

Rapid soil formation after glacial retreat shaped by spatial patterns of organic matter accrual in microaggregates.

PubMed

Schweizer, Steffen A; Hoeschen, Carmen; Schlüter, Steffen; Kögel-Knabner, Ingrid; Mueller, Carsten W

2018-04-01

Global change contributes to the retreat of glaciers at unprecedented rates. The deglaciation facilitates biogeochemical processes on glacial deposits with initiating soil formation as an important driver of evolving ecosystems. The underlying mechanisms of soil formation and the association of soil organic matter (SOM) with mineral particles remain unclear, although further insights are critical to understand carbon sequestration in soils. We investigated the microspatial arrangement of SOM coatings at intact soil microaggregate structures during various stages of ecosystem development from 15 to >700 years after deglaciation in the proglacial environment of the Damma glacier (Switzerland). The functionally important clay-sized fraction (<2 μm) was separated into two density fractions with different amounts of organo-mineral associations: light (1.6-2.2 g/cm 3 ) and heavy (>2.2 g/cm 3 ). To quantify how SOM extends across the surface of mineral particles (coverage) and whether SOM coatings are distributed in fragmented or connected patterns (connectivity), we developed an image analysis protocol based on nanoscale secondary ion mass spectrometry (NanoSIMS). We classified SOM and mineral areas depending on the 16 O - , 12 C - , and 12 C 14 N - distributions. With increasing time after glacial retreat, the microspatial coverage and connectivity of SOM increased rapidly. The rapid soil formation led to a succession of patchy distributed to more connected SOM coatings on soil microaggregates. The maximum coverage of 55% at >700 years suggests direct evidence for SOM sequestration being decoupled from the mineral surface, as it was not completely masked by SOM and retained its functionality as an ion exchange site. The chemical composition of SOM coatings showed a rapid change toward a higher CN:C ratio already at 75 years after glacial retreat, which was associated with microbial succession patterns reflecting high N assimilation. Our results demonstrate that

High rate capacitive performance of single-walled carbon nanotube aerogels

DOE PAGES

Van Aken, Katherine L.; Pérez, Carlos R.; Oh, Youngseok; ...

2015-05-30

Single-walled carbon nanotube (SWCNT) aerogels produced by critical-point-drying of wet-gel precursors exhibit unique properties, such as high surface-area-to-volume and strength-to-weight ratios. They are free-standing, are binder-free, and can be scaled to thicknesses of more than 1 mm. In this paper, we examine the electric double layer capacitive behavior of these materials using a common room temperature ionic liquid electrolyte, 1-ethyl-3-methylimidazolium bis(trifluoromethylsulfonyl)imide (EMI-TFSI). Electrochemical performance is assessed through galvanostatic cycling, cyclic voltammetry and impedance spectroscopy. Results indicate stable capacitive performance over 10,000 cycles as well as an impressive performance at high charge and discharge rates, due to accessible pore networks andmore » enhanced electronic and ionic conductivities of SWCNT aerogels. Finally, these materials can find applications in mechanically compressible and flexible supercapacitor devices with high power requirements.« less

Injuries on British climbing walls.

PubMed Central

Limb, D

1995-01-01

A postal survey was carried out of the 90 most accessible climbing walls in England, Scotland and Wales to determine the incidence and nature of injuries requiring emergency treatment associated with their use. Over a two year period, representing 1.021 million visits to the 56 walls used by more than 30 climbers per week, 55 significant injuries were recorded. The rate of injury was not related to any identified design or safety feature of the walls, although upper limb injuries were proportionally more common in walls which provided thinner fixed landing mats rather than thicker, moveable crash mats. The overall rate of injury was very low and climbers seem to modify risk taking behaviour and thus compensate for the level of safety equipment available. It may be possible to reduce the injury rate further by providing seamless ground cover with matting of adequate energy absorbency. Images Figure 1 PMID:8800849

Comparative evaluation of cyclic fatigue resistance of D-RaCe and ProTaper retreatment instruments in curved artificial canals.

PubMed

Topçuoğlu, H S; Topçuoğlu, G; Aktı, A

2016-06-01

To compare the cyclic fatigue resistance of D-RaCe and ProTaper rotary nickel-titanium (NiTi) retreatment files when used in curved artificial canals. A total of 120 new D-RaCe DR2 and ProTaper D3 retreatment files were tested in stainless steel artificial canals having 45° and 60° angles of curvature. Thirty instruments of each of the file systems were tested in both angles of curvature (n = 30). The retreatment instruments were rotated until fracture to calculate the number of cycles to failure. The length of each fractured fragment was recorded. Data were analysed by independent sample t-test. Fractured surfaces of the instruments were analysed by scanning electron microscopy. In the canal with 45° angle of curvature, no significant difference was observed between the retreatment systems (P > 0.05); on the other hand, in the canal with 60° angle of curvature, D-RaCe DR2 instruments had greater cyclic fatigue resistance than ProTaper D3 (P < 0.05). No difference was observed between the retreatment instruments regarding the lengths of fractured fragments (P > 0.05). The fracture surfaces of the instruments had morphologic characteristics of ductile fracture. D-RaCe DR2 instrument exhibited greater cyclic fatigue resistance than ProTaper D3 only in root canals with 60° angle of curvature. © 2015 International Endodontic Journal. Published by John Wiley & Sons Ltd.

Control of the rate of cell enlargement: Excision, wall relaxation, and growth-induced water potentials.

PubMed

Boyer, J S; Cavalieri, A J; Schulze, E D

1985-04-01

immediately and continued at a decreasing rate. In this case, the mature tissue supplied water to the elongating tissue and the cell walls did not relax. Based on these measurements, a theory is presented for simultaneously evaluating the effects of water supply and water demand associated with growth. Because wall relaxation measured with the psychrometer provided a new method for determining Y and wall extensibility, all the factors required by the theory could be evaluated for the first time in a single sample. The analysis showed that water uptake and wall extension co-limited elongation in soybean stems under our conditions. This co-limitation explains why elongation responded immediately to a decrease in the water potential of the xylem and why excision with attached mature tissue caused an immediate decrease in growth rate without an immediate change in Ψ p.

Marine evidence of a deconvolving Antarctic Ice Sheet during post-LGM retreat of the Ross Sea sector

NASA Astrophysics Data System (ADS)

Prothro, L. O.; Yokoyama, Y.; Simkins, L. M.; Anderson, J. B.; Majewski, W.; Yamane, M.; Ohkouchi, N.

2017-12-01

Predictive models of ice sheet and sea level change are dependent on observational data of ice-sheet behavior for model testing and tuning. The geologic record contains a wealth of information about ice-sheet dynamics, with fewer logistical, spatial, and temporal limitations than are involved in data acquisition along contemporary ice margins. However, past ice-sheet behavior is still largely uncertain or contested due to issues with obtaining meaningful radiocarbon dates. We minimize bias from glacially-reworked carbon and limitations from unknown geomorphic context and uncertainty in sediment facies identification by using careful sedimentary analyses within a geomorphic framework, as well as selection of appropriate dating methods. Our study area, the Ross Sea sector of Antarctica, is the primary drainage outlet for 25% of the continent's grounded ice. During the Last Glacial Maximum, the low-profile, marine-based West Antarctic Ice Sheet (WAIS) and the steeper profile, largely land-based East Antarctic Ice Sheet (EAIS) converged in the Ross Sea to flow out to or near the continental shelf edge. Geomorphic and sedimentary data reveal that during their subsequent retreat to form the Ross Sea Embayment, the two ice sheets behaved differently, with the WAIS rapidly retreating tens of kilometers followed by extended pauses, while the EAIS retreated steadily, with shorter (decadal- to century-long) pauses. This behavior leads us to believe that the two ice sheets may have contributed diachronously to sea level. By acquiring accurate timing of grounding line retreat, we are able to calculate volumes of ice lost throughout deglaciation, as well as associated sea level contributions. In addition, we attempt to rectify the contradicting marine and terrestrial interpretations of retreat patterns from the Ross Sea continental shelf.

The Multitrophic Effects of Climate Change and Glacier Retreat in Mountain Rivers.

PubMed

Fell, Sarah C; Carrivick, Jonathan L; Brown, Lee E

2017-10-01

Climate change is driving the thinning and retreat of many glaciers globally. Reductions of ice-melt inputs to mountain rivers are changing their physicochemical characteristics and, in turn, aquatic communities. Glacier-fed rivers can serve as model systems for investigations of climate-change effects on ecosystems because of their strong atmospheric-cryospheric links, high biodiversity of multiple taxonomic groups, and significant conservation interest concerning endemic species. From a synthesis of existing knowledge, we develop a new conceptual understanding of how reducing glacier cover affects organisms spanning multiple trophic groups. Although the response of macroinvertebrates to glacier retreat has been well described, we show that there remains a relative paucity of information for biofilm, microinvertebrate, and vertebrate taxa. Enhanced understanding of whole river food webs will improve the prediction of river-ecosystem responses to deglaciation while offering the potential to identify and protect a wider range of sensitive and threatened species.

Differences in ice retreat across Pine Island Bay, West Antarctica, since the Last Glacial Maximum: Indications from multichannel seismic reflection data

USGS Publications Warehouse

Uenzelmann-Neben, G.; Gohl, K.; Larter, R.D.; Schlüter, P.

2007-01-01

An understanding of the glacial history of Pine Island Bay (PIB) is essential for refining models of the future stability of the West Antarctic Ice Sheet (WAIS). New multichannel seismic reflection data from inner PIB are interpreted in context of previously published reconstructions for the retreat history in this area since the Last Glacial Maximum. Differences in the behavior of the ice sheet during deglaciation are shown to exist for the western and eastern parts of PIB. While we can identify only a thin veneer of sedimentary deposits in western PIB, eastern PIB shows sedimentary layers ≤ 400 msTWT. This is interpreted as a result of differences in ice retreat: a fast ice retreat in western PIB accompanied by rapid basal melting led to production of large meltwater streams, a slower ice retreat in eastern PIB is most probably the result of smaller drainage basins resulting in less meltwater production.

Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis.

PubMed

Miller, Chad S

2013-01-01

Nearly half of medical errors can be attributed to an error of clinical reasoning or decision making. It is estimated that the correct diagnosis is missed or delayed in between 5% and 14% of acute hospital admissions. Through understanding why and how physicians make these errors, it is hoped that strategies can be developed to decrease the number of these errors. In the present case, a patient presented with dyspnea, gastrointestinal symptoms and weight loss; the diagnosis was initially missed when the treating physicians took mental short cuts and used heuristics as in this case. Heuristics have an inherent bias that can lead to faulty reasoning or conclusions, especially in complex or difficult cases. Affective bias, which is the overinvolvement of emotion in clinical decision making, limited the available information for diagnosis because of the hesitancy to acquire a full history and perform a complete physical examination in this patient. Zebra retreat, another type of bias, is when a rare diagnosis figures prominently on the differential diagnosis but the physician retreats for various reasons. Zebra retreat also factored in the delayed diagnosis. Through the description of these clinical reasoning errors in an actual case, it is hoped that future errors can be prevented or inspiration for additional research in this area will develop.

First wall for polarized fusion reactors

DOEpatents

Greenside, H.S.; Budny, R.V.; Post, D.E. Jr.

1985-01-29

A first-wall or first-wall coating for use in a fusion reactor having polarized fuel may be formed of a low-Z non-metallic material having slow spin relaxation, i.e., a depolarization rate greater than 1 sec/sup -1/. Materials having these properties include hydrogenated and deuterated amorphous semiconductors. A method for preventing the rapid depolarization of a polarized plasma in a fusion device may comprise the step of providing a first-wall or first-wall coating formed of a low-Z, non-metallic material having a depolarization rate greater than 1 sec/sup -1/.

Comparison of cyclic fatigue resistance of three different rotary nickel-titanium instruments designed for retreatment.

PubMed

Inan, Ugur; Aydin, Cumhur

2012-01-01

A number of rotary nickel-titanium (NiTi) systems have been developed to provide better, faster, and easier cleaning and shaping of the root canal system, and recently, rotary NiTi systems designed for root canal retreatment have been introduced. Because the main problem with the rotary NiTi files is fracture, the aim of this study was to compare the cyclic fatigue resistance of 3 different rotary NiTi systems designed for root canal retreatment. Total of 60 instruments of 3 different rotary NiTi systems designed for root canal retreatment were used in this study. Twenty R-Endo R3, 20 ProTaper D3, and 20 Mtwo R (Retreatment) 25.05 instruments were tested. Cyclic fatigue testing of instruments was performed by using a device that allowed the instruments to rotate freely inside an artificial canal. Each instrument was rotated until fracture occurred, and the number of cycles to fracture for each instrument was calculated. Representative samples were also evaluated under a scanning electron microscope to confirm the fracture was flexural. Data were analyzed by using 1-way analysis of variance test. R-Endo R3 instruments showed better cyclic fatigue resistance than ProTaper D3 and Mtwo R 25.05 instruments, and the difference was statistically significant (P < .05). There was no significant difference between ProTaper D3 and Mtwo R 25.05 groups. The R-Endo R3 instruments were more resistant to fatigue failure than ProTaper D3 and Mtwo R 25.05. Copyright © 2012 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Building a rheumatology education academy: insights from assessment of needs during a rheumatology division retreat.

PubMed

Berman, Jessica R; Aizer, Juliet; Bass, Anne R; Cats-Baril, William L; Parrish, Edward J; Robbins, Laura; Salmon, Jane E; Paget, Stephen A

2012-06-01

To implement a rheumatology department education retreat to systematically identify and address the key factors necessary to improve medical education in our division in preparation for developing a rheumatology academy. The Hospital for Special Surgery organized a retreat for the Rheumatology Department aimed at (1) providing formal didactics and (2) assessing participants' self-reported skills and interest in education with the goal of directing this information toward formalizing improvement. In a mixed-methods study design, faculty and fellows in the Division of Rheumatology were surveyed online pre- and post-retreat regarding various aspects of the current education program, their teaching abilities, interest and time spent in teaching, divisional resources allocated, and how education is valued. Enthusiasm for teaching was high before and rose further after the retreat. Confidence in abilities was higher than expected before but fell afterward. Many noted that the lack of specific feedback on teaching skills and useful metrics to assess performance prevented the achievement of educational excellence. Most responding felt lack of time, knowledge of how to teach well, and resources prevented them from making greater commitments to educational endeavors and participating fully and effectively in the department's teaching activities. While most rheumatology faculty members want to improve as teachers, they know neither where their educational strengths and weaknesses lie nor where or how to begin to change their teaching abilities. The key elements for an academy would thus be an educational environment that elevates the quality of teaching throughout the division and promotes teaching careers and education research, and raises the importance and quality of teaching to equivalence with clinical care and research.

Rates and patterns of late Cenozoic denudation in the northernmost Atlantic Coastal Plain and Piedmont

USGS Publications Warehouse

Stanford, S.D.; Ashley, G.M.; Russell, E.W.B.; Brenner, G.J.

2002-01-01

Topography of a 2800 km2 section of the U.S. Atlantic Coastal Plain and Piedmont is reconstructed at five times from the late Miocene to the Holocene. The reconstructions are based on mapping of fluvial, colluvial, and marginal-marine deposits that are dated by radiocarbon, palynostratigraphy, and correlation to adjacent glacial and marine units. Denudation rates and patterns are calculated by subtracting successive topographies, with 60 m horizontal resolution and 6 m vertical resolution. The overall late Miocene to Holocene denudation rate of 10 m/m.y. is similar to other estimates of long-term denudation in the region. The overall rate resolves spatially into a wide range of local rates, varying from a minimum of ???0.2 m/m.y. on residual uplands to as high as 600 m/m.y. in glacially rerouted stream channels. The distribution of local rates shows that denudation is accomplished by stream incision in response to long-term glacio-eustatic decline, followed by slope retreat into residual uplands from the incised channels. Slope retreat replaces the uplands with pediments and straths. Pediment landforms and sediments, and observation of modern scarps and valley heads, indicate that groundwater seepage from the base of residual uplands is an important mechanism of slope retreat. This process is self-limiting because as the volume of residual upland is reduced, seepage diminishes and slope retreat slows until small residuals undergo little or no further reduction. Thus, relict topography is preserved even as most of the landscape actively erodes.

Probabilistic estimation of dune retreat on the Gold Coast, Australia

USGS Publications Warehouse

Palmsten, Margaret L.; Splinter, Kristen D.; Plant, Nathaniel G.; Stockdon, Hilary F.

2014-01-01

Sand dunes are an important natural buffer between storm impacts and development backing the beach on the Gold Coast of Queensland, Australia. The ability to forecast dune erosion at a prediction horizon of days to a week would allow efficient and timely response to dune erosion in this highly populated area. Towards this goal, we modified an existing probabilistic dune erosion model for use on the Gold Coast. The original model was trained using observations of dune response from Hurricane Ivan on Santa Rosa Island, Florida, USA (Plant and Stockdon 2012. Probabilistic prediction of barrier-island response to hurricanes, Journal of Geophysical Research, 117(F3), F03015). The model relates dune position change to pre-storm dune elevations, dune widths, and beach widths, along with storm surge and run-up using a Bayesian network. The Bayesian approach captures the uncertainty of inputs and predictions through the conditional probabilities between variables. Three versions of the barrier island response Bayesian network were tested for use on the Gold Coast. One network has the same structure as the original and was trained with the Santa Rosa Island data. The second network has a modified design and was trained using only pre- and post-storm data from 1988-2009 for the Gold Coast. The third version of the network has the same design as the second version of the network and was trained with the combined data from the Gold Coast and Santa Rosa Island. The two networks modified for use on the Gold Coast hindcast dune retreat with equal accuracy. Both networks explained 60% of the observed dune retreat variance, which is comparable to the skill observed by Plant and Stockdon (2012) in the initial Bayesian network application at Santa Rosa Island. The new networks improved predictions relative to application of the original network on the Gold Coast. Dune width was the most important morphologic variable in hindcasting dune retreat, while hydrodynamic variables, surge and

Nonsurgically retreated root filled teeth--radiographic findings after 20-27 years.

PubMed

Fristad, I; Molven, O; Halse, A

2004-01-01

To identify periapical changes in nonsurgically retreated root-filled teeth 20-27 years after root canal treatment. From an original material of 429 roots, retreated by undergraduate students in a teaching clinic, 112 roots in 70 individuals could be evaluated radiographically 20-27 years after treatment. The same roots had been studied 10-17 years earlier. The periapical condition was registered and compared by three observers in two series of intraoral radiographs taken 10-17 and 20-27 years after treatment. A retrospective analysis was performed to gain information about probable endodontic and nonendodontic reasons for extractions of lost roots, by evaluating their periapical status immediately after retreatment and at the 10-17-year follow-up. Favourable outcomes were observed in 11 roots that had radiolucencies at the 10-17-year follow-up. Eight of these roots had periapical pathosis preoperatively, five of them filled with surplus root filling material. The percentage of cases recorded as normal condition at the final follow-up was 95.5%, including five cases initially recorded with increased width of the apical periodontal space. Delayed healing as a result of surplus root filling material explained most of the cases with favourable outcome assessed many years after treatment. Twenty-eight roots were lost because of extraction during the observation period, 17 during the last 10 years. Based on status at previous follow-ups, endodontic failure seems to represent a minor reason for extraction in the material. Late periapical changes, with more successful cases, were recorded when a 10-17-year follow-up after root canal treatment was extended for another 10 years. Persistent asymptomatic periapical radiolucencies, especially those with overfill, should generally not be classified as failures, as many of them will heal after an extended observation period.

Retreatment with bevacizumab in patients with gynecologic malignancy is associated with clinical response and does not increase morbidity.

PubMed

Laskey, Robin A; Richard, Scott D; Smith, Ashlee L; Lin, Jeff F; Beck, Tiffany L; Lesnock, Jamie L; Kelley, Joseph L; Olawaiye, Alexander B; Sukumvanich, Paniti; Krivak, Thomas C

2014-01-01

Bevacizumab (Bev) is associated with improved progression-free survival in advanced epithelial ovarian cancer. The use of Bev in patients with gynecologic malignancy is increasing; however, little is known about cumulative toxicity and response in patients retreated with Bev. Our goal was to determine cumulative side effects and response in patients retreated with Bev. Women with recurrent gynecologic malignancy treated with Bev between January 2007 and March 2012 at a single institution were identified, including a subset who received Bev in a subsequent regimen. The primary outcome was Bev-associated toxicity, and the secondary outcome was response. Of 83 patients that received Bev for recurrent disease, 23 were retreated with Bev and four received Bev maintenance. Three patients (13%) developed grade 3 or 4 hypertension; all had a history of chronic hypertension. One (4.3%) patient developed grade 3 proteinuria, and one (4.3%) developed an enterovaginal fistula. Four patients discontinued Bev secondary to toxicity. Toxicity was not related to the cumulative number of cycles. Twenty-six percent of patients responded to Bev retreatment. On univariate analysis, there was a significant (P=0.003) overall survival advantage when the Bev-free interval was >9 months (95% confidence interval [CI] 4.9-43.7) compared to ≤9 months (95% CI 2.1-11.5), 24.3 months, and 6.8 months. Retreatment of patients with recurrent gynecologic malignancy with Bev did not increase morbidity and was associated with treatment response. Physicians treating women with recurrent disease may consider a Bev-containing regimen even if prior regimen(s) included Bev. Future studies should prospectively evaluate the efficacy of this treatment strategy.

Healing the heart: a randomized pilot study of a spiritual retreat for depression in acute coronary syndrome patients.

PubMed

Warber, Sara L; Ingerman, Sandra; Moura, Vera L; Wunder, Jenna; Northrop, Alyssa; Gillespie, Brenda W; Durda, Kate; Smith, Katherine; Rhodes, Katherine S; Rubenfire, Melvyn

2011-01-01

Depression is associated with increased risk of cardiovascular morbidity and mortality in coronary heart disease. Numerous conventional and complementary therapies may address depression. Few involving spirituality have been tested. The aim of this study was to compare the effects of a nondenominational spiritual retreat, Medicine for the Earth (MFTE), on depression and other measures of well-being six- to 18-months post acute coronary syndrome (ACS). A randomized controlled pilot study of MFTE, Lifestyle Change Program (LCP), or usual cardiac care (control) was conducted in Southeastern Michigan. ACS patients were recruited via local and national advertising (n = 58 enrolled, 41 completed). The four-day MFTE intervention included guided imagery, meditation, drumming, journal writing, and nature-based activities. The four-day LCP included nutrition education, exercise, and stress management. Both retreat groups received follow-up phone coaching biweekly for three months. Validated self-report scales of depression, spiritual well-being, perceived stress, and hope were collected at baseline, immediately post-retreat, and at three and six months. Depression was not significantly different among groups (P = .21). However, the MFTE group had the highest depression scores at baseline and had significantly lower scores at all postintervention time points (P ≤ .002). Hope significantly improved among MFTE participants, an effect that persisted at three- and six-month follow-up (P = .014). Although several measures showed improvement in all groups by six months, the MFTE group had immediate improvement post-retreat, which was maintained. This pilot study shows that a nondenominational spiritual retreat, MFTE, can be used to increase hope while reducing depression in patients with ACS. Copyright © 2011 Elsevier Inc. All rights reserved.

Near-wall modelling of compressible turbulent flows

NASA Technical Reports Server (NTRS)

So, Ronald M. C.

1990-01-01

Work was carried out to formulate near-wall models for the equations governing the transport of the temperature-variance and its dissipation rate. With these equations properly modeled, a foundation is laid for their extension together with the heat-flux equations to compressible flows. This extension is carried out in a manner similar to that used to extend the incompressible near-wall Reynolds-stress models to compressible flows. The methodology used to accomplish the extension of the near-wall Reynolds-stress models is examined and the actual extension of the models for the Reynolds-stress equations and the near-wall dissipation-rate equation to compressible flows is given. Then the formulation of the near-wall models for the equations governing the transport of the temperature variance and its dissipation rate is discussed. Finally, a sample calculation of a flat plate compressible turbulent boundary-layer flow with adiabatic wall boundary condition and a free-stream Mach number of 2.5 using a two-equation near-wall closure is presented. The results show that the near-wall two-equation closure formulated for compressible flows is quite valid and the calculated properties are in good agreement with measurements. Furthermore, the near-wall behavior of the turbulence statistics and structure parameters is consistent with that found in incompressible flows.

The Multitrophic Effects of Climate Change and Glacier Retreat in Mountain Rivers

PubMed Central

2017-01-01

Abstract Climate change is driving the thinning and retreat of many glaciers globally. Reductions of ice-melt inputs to mountain rivers are changing their physicochemical characteristics and, in turn, aquatic communities. Glacier-fed rivers can serve as model systems for investigations of climate-change effects on ecosystems because of their strong atmospheric–cryospheric links, high biodiversity of multiple taxonomic groups, and significant conservation interest concerning endemic species. From a synthesis of existing knowledge, we develop a new conceptual understanding of how reducing glacier cover affects organisms spanning multiple trophic groups. Although the response of macroinvertebrates to glacier retreat has been well described, we show that there remains a relative paucity of information for biofilm, microinvertebrate, and vertebrate taxa. Enhanced understanding of whole river food webs will improve the prediction of river-ecosystem responses to deglaciation while offering the potential to identify and protect a wider range of sensitive and threatened species. PMID:29599537

Contemporary glacier retreat triggers a rapid landslide response, Great Aletsch Glacier, Switzerland

NASA Astrophysics Data System (ADS)

Kos, Andrew; Amann, Florian; Strozzi, Tazio; Delaloye, Reynald; Ruette, Jonas; Springman, Sarah

2016-12-01

The destabilization and catastrophic failure of landslides triggered by retreating glaciers is an expected outcome of global climate change and poses a significant threat to inhabitants of glaciated mountain valleys around the globe. Of particular importance are the formation of landslide-dammed lakes, outburst floods, and related sediment entrainment. Based on field observations and remote sensing of a deep-seated landslide, located at the present-day terminus of the Great Aletsch Glacier, we show that the spatiotemporal response of the landslide to glacier retreat is rapid, occurring within a decade. Our observations uniquely capture the critical period of increase in slope deformations, onset of failure, and show that measured displacements at the crown and toe regions of the landslide demonstrate a feedback mechanism between glacier ice reduction and response of the entire landslide body. These observations shed new light on the geomorphological processes of landslide response in paraglacial environments, which were previously understood to occur over significantly longer time periods.

Apically Extruded Debris after Retreatment Procedure with Reciproc, ProTaper Next, and Twisted File Adaptive Instruments.

PubMed

Yılmaz, Koray; Özyürek, Taha

2017-04-01

The aim of this study was to compare the amount of debris extruded from the apex during retreatment procedures with ProTaper Next (PTN; Dentsply Maillefer, Ballaigues, Switzerland), Reciproc (RCP; VDW, Munich, Germany), and Twisted File Adaptive (TFA; SybronEndo, Orange, CA) files and the duration of these retreatment procedures. Ninety upper central incisor teeth were prepared and filled with gutta-percha and AH Plus sealer (Dentsply DeTrey, Konstanz, Germany) using the vertical compaction technique. The teeth were randomly divided into 3 groups of 30 for removal of the root filling material with PTN, RCP, and TFA files. The apically extruded debris was collected in preweighed Eppendorf tubes. The time for gutta-percha removal was recorded. Data were statistically analyzed using Kruskal-Wallis and 1-way analysis of variance tests. The amount of debris extruded was RPC > TFA > PTN, respectively. Compared with the PTN group, the amount of debris extruded in the RPC group was statistically significantly higher (P < .001). There was no statistically significant difference among the RCP, TFA, and PTN groups regarding the time for retreatment (P > .05). Within the limitations of this in vitro study, all groups were associated with debris extrusion from the apex. The RCP file system led to higher levels of apical extrusion in proportion to the PTN file system. In addition, there was no significant difference among groups in the duration of the retreatment procedures. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Multi-decadal frontal change rates of tidewater glaciers in the Canadian Arctic Archipelago

NASA Astrophysics Data System (ADS)

Cook, Alison; Copland, Luke; Stokes, Chris; Bentley, Mike

2017-04-01

Recent studies of post-2000 observational data have shown variability in the dynamic ice discharge of tidewater glaciers throughout the Canadian Arctic Archipelago (CAA). Expanding this to all tidewater glaciers in the region on a decadal time scale using earlier records can help identify when glacier retreat began, and determine longer-term temporal trends in mass balance. Our study shows that over 94% of 300 tidewater glaciers in the CAA (from southern Baffin Island to Ellesmere Island, excluding those on the northern coast) have retreated since the earliest observational records (aerial photographs acquired in 1958-1960). Mean overall length change rate of the 211 glaciers in the Queen Elizabeth Islands (QEI) is -9.3 ma-1 (± 1.38 SE), and of the 89 glaciers on Baffin and Bylot Islands (BBI) is -7.1 ma-1 (± 0.72 SE). Mean frontal widths of tidewater glaciers in the QEI are greater than those on islands to the south, resulting in greater mean area loss from this region. Each glacier has 6 frontal positions digitised from a range of image sources at approximately decadal intervals. Length change rates have been calculated across each time interval for each glacier, based on area changes divided by glacier frontal width. Results indicate a similar temporal pattern throughout the region, whereby glaciers show minimal change in early years with retreat rates slowly increasing, followed by acceleration in retreat rates since the late 1990s. Mean change rates in the QEI and BBI in the 1960s were -6.92 ma-1 and -0.51 ma-1 respectively, increasing to -28.96 ma-1 and -24.84 ma-1 since 2010. The same trend (at differing magnitudes) has been observed within each latitudinal degree band, and for glaciers of differing frontal widths. Further observations of glacier changes and links to climate change are revealed on the poster.

Efficacy of xylene and passive ultrasonic irrigation on remaining root filling material during retreatment of anatomically complex teeth.

PubMed

Cavenago, B C; Ordinola-Zapata, R; Duarte, M A H; del Carpio-Perochena, A E; Villas-Bôas, M H; Marciano, M A; Bramante, C M; Moraes, I G

2014-11-01

To evaluate the volume of remaining filling material in the mesial root canals of mandibular molars after root canal retreatment with different procedures performed sequentially. The mesial root canals of 12 human first mandibular molars were instrumented using the BioRace system until a size 25, .06 taper instrument. The mesial roots were filled with gutta-percha and AH-Plus using a vertical compaction technique. The specimens were scanned using microcomputed tomography with a voxel size of 16.8 μm before and after the retreatment procedures. To remove the filling material, the root canals were enlarged until the size 40, .04 taper instrument. The second step was to irrigate the root canals with xylene in the attempt to clean the root canals with paper points. In the third step, the passive ultrasonic irrigation technique (PUI) was performed using 2.5% sodium hypochlorite. The initial and residual filling material volume (mm(3) ) after each step was evaluated from the 0.5 to 6.5 mm level. The obtained data were expressed in terms of percentage of residual filling material. Statistical analysis was performed using the Friedman test (P < 0.05). All specimens had residual filling materials after all retreatment procedures. Passive ultrasonic irrigation enhanced the elimination of residual filling material in comparison with the mechanical stage at the 0.5-2.5 mm and 4.5-6.5 mm levels (P < 0.05). No significant difference was found between xylene and PUI methods. Filling materials were not completely removed by any of the retreatment procedures. The use of xylene and PUI after mechanical instrumentation enhanced removal of materials during endodontic retreatment of anatomically complex teeth. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

Retreatment with bevacizumab in patients with gynecologic malignancy is associated with clinical response and does not increase morbidity

PubMed Central

Laskey, Robin A; Richard, Scott D; Smith, Ashlee L; Lin, Jeff F; Beck, Tiffany L; Lesnock, Jamie L; Kelley, Joseph L; Olawaiye, Alexander B; Sukumvanich, Paniti; Krivak, Thomas C

2014-01-01

Purpose Bevacizumab (Bev) is associated with improved progression-free survival in advanced epithelial ovarian cancer. The use of Bev in patients with gynecologic malignancy is increasing; however, little is known about cumulative toxicity and response in patients retreated with Bev. Our goal was to determine cumulative side effects and response in patients retreated with Bev. Patients and methods Women with recurrent gynecologic malignancy treated with Bev between January 2007 and March 2012 at a single institution were identified, including a subset who received Bev in a subsequent regimen. The primary outcome was Bev-associated toxicity, and the secondary outcome was response. Results Of 83 patients that received Bev for recurrent disease, 23 were retreated with Bev and four received Bev maintenance. Three patients (13%) developed grade 3 or 4 hypertension; all had a history of chronic hypertension. One (4.3%) patient developed grade 3 proteinuria, and one (4.3%) developed an enterovaginal fistula. Four patients discontinued Bev secondary to toxicity. Toxicity was not related to the cumulative number of cycles. Twenty-six percent of patients responded to Bev retreatment. On univariate analysis, there was a significant (P=0.003) overall survival advantage when the Bev-free interval was >9 months (95% confidence interval [CI] 4.9–43.7) compared to ≤9 months (95% CI 2.1–11.5), 24.3 months, and 6.8 months. Conclusion Retreatment of patients with recurrent gynecologic malignancy with Bev did not increase morbidity and was associated with treatment response. Physicians treating women with recurrent disease may consider a Bev-containing regimen even if prior regimen(s) included Bev. Future studies should prospectively evaluate the efficacy of this treatment strategy. PMID:24711703

Interest in health promotion among Korean American Seventh-day Adventists attending a religious retreat.

PubMed

Jo, Angela M; Maxwell, Annette E; Choi, Sunhye; Bastani, Roshan

2012-01-01

Little is known about interest in faith-based health promotion programs among Asian American populations. Among the Christian denominations, the Seventh-day Adventist (SDA) church is known to place a strong doctrinal emphasis on health. To understand appropriate ways to develop and implement health promotion programs and to conduct research among Korean American SDAs. We collaborated with the North American Division of Korean SDA Churches which sponsors annual week-long religious retreats for their church members. We developed and administered a 10-page questionnaire at their 2009 retreat in order to assess socio-demographic and church characteristics, religiosity, perceived relationship between health and religion, and interest and preferences for church-based health promotion programs. Overall, 223 participants completed our survey (123 in Korean and 100 in English). The sample consisted of regular churchgoers who were involved in a variety of helping activities, and many holding leadership positions in their home churches. The vast majority was interested in receiving health information at church (80%) in the form of seminars, cooking classes and workshops (50-60%). Fewer respondents were interested in support groups (27%). Some interests and preferences differed between English and Korean language groups. Korean American SDA church retreat participants from a large geographic area are very interested in receiving health information and promoting health at their churches and can potentially serve as "agents of influence" in their respective communities.

COMPARATIVE SEM EVALUATION OF THREE SOLVENTS USED IN ENDODONTIC RETREATMENT: AN EX VIVO STUDY

PubMed Central

Scelza, Miriam F. Zaccaro; Coil, Jeffrey M.; Maciel, Ana Carolina de Carvalho; Oliveira, Lílian Rachel L.; Scelza, Pantaleo

2008-01-01

This study compared, by scanning electron microscopy (SEM), the efficacy of three solvents on the removal of filling materials from dentinal tubules during endodontic retreatment. Forty human maxillary canines with straight canals were prepared according to a crown-down technique and enlarged to a#30 apical file size, before obturation with gutta-percha and a zinc-oxide-eugenol based sealer. The samples were stored for 3 months before being randomly assigned to four groups: chloroform (n=10), orange oil (n=10), eucalyptol (n=10) and control (n=10). Solvents were applied to a reservoir created on the coronal root third using Gates Glidden drills. The total time for retreatment using the solvents was 5 minutes per tooth. Following retreatment the roots were split longitudinally for SEM evaluation. SEM images were digitized, analyzed using Image ProPlus 4.5 software, and the number of dentinal tubules free of filling material from the middle and apical thirds was recorded. No significant difference was found among the solvent groups regarding the number of dentinal tubules free of root filling remnants in the middle and apical root thirds (p>0.05). However, the control group had fewer dentinal tubules free of filling material (p<0.05). Under the tested conditions, it may be concluded that there was no significant difference among the solvents used to obtain dentinal tubules free of filling material remnants. PMID:19089285

Yoga, Meditation and Mind-Body Health: Increased BDNF, Cortisol Awakening Response, and Altered Inflammatory Marker Expression after a 3-Month Yoga and Meditation Retreat.

PubMed

Cahn, B Rael; Goodman, Matthew S; Peterson, Christine T; Maturi, Raj; Mills, Paul J

2017-01-01

Thirty-eight individuals (mean age: 34.8 years old) participating in a 3-month yoga and meditation retreat were assessed before and after the intervention for psychometric measures, brain derived neurotrophic factor (BDNF), circadian salivary cortisol levels, and pro- and anti-inflammatory cytokines. Participation in the retreat was found to be associated with decreases in self-reported anxiety and depression as well as increases in mindfulness. As hypothesized, increases in the plasma levels of BDNF and increases in the magnitude of the cortisol awakening response (CAR) were also observed. The normalized change in BDNF levels was inversely correlated with BSI-18 anxiety scores at both the pre-retreat ( r = 0.40, p < 0.05) and post-retreat ( r = 0.52, p < 0.005) such that those with greater anxiety scores tended to exhibit smaller pre- to post-retreat increases in plasma BDNF levels. In line with a hypothesized decrease in inflammatory processes resulting from the yoga and meditation practices, we found that the plasma level of the anti-inflammatory cytokine Interleukin-10 was increased and the pro-inflammatory cytokine Interleukin-12 was reduced after the retreat. Contrary to our initial hypotheses, plasma levels of other pro-inflammatory cytokines, including Interferon Gamma (IFN-γ), Tumor Necrosis Factor (TNF-α), Interleukin-1β (IL-1β), Interleukin-6 (IL-6), and Interleukin-8 (IL-8) were increased after the retreat. Given evidence from previous studies of the positive effects of meditative practices on mental fitness, autonomic homeostasis and inflammatory status, we hypothesize that these findings are related to the meditative practices throughout the retreat; however, some of the observed changes may also be related to other aspects of the retreat such as physical exercise-related components of the yoga practice and diet. We hypothesize that the patterns of change observed here reflect mind-body integration and well-being. The increased BDNF levels

Near-wall modelling of compressible turbulent flows

NASA Technical Reports Server (NTRS)

So, Ronald M. C.

1990-01-01

Work was carried out to extend the near-wall models formulated for the incompressible Reynolds stress equations to compressible flows. The idea of splitting the compressible dissipation function into a solenoidal part that is not sensitive to changes of compressibility indicators and a compressible part that is directly affected by these changes is adopted. This means that all models involving the dissipation rate could be expressed in terms of the solenoidal dissipation rate and an equation governing its transport could be formulated to close the set of compressible Reynolds stress equations. The near-wall modelling of the dissipation rate equation is investigated and its behavior near a wall is studied in detail using k-epsilon closure. It is found that all existing modelled equations give the wrong behavior for the dissipation rate near a wall. Improvements are suggested and the resultant behavior is found to be in good agreement with near-wall data. Furthermore, the present modified k-epsilon closure is used too calculate a flat plate boundary layer and the results are compared with four existing k-epsilon closures. These comparisons show that all closures tested give essentially the same flow properties, except in a region very close to the wall. In this region, the present k-epsilon closure calculations are in better agreement with measurements and direct simulation data; in particular, the behavior of the dissipation rate.

Advance, Retreat, and Halt of Abrupt Gravel-Sand Transitions in Alluvial Rivers

NASA Astrophysics Data System (ADS)

Blom, Astrid; Chavarrías, Víctor; Ferguson, Robert I.; Viparelli, Enrica

2017-10-01

Downstream fining of bed sediment in alluvial rivers is usually gradual, but often an abrupt decrease in characteristic grain size occurs from about 10 to 1 mm, i.e., a gravel-sand transition (GST) or gravel front. Here we present an analytical model of GST migration that explicitly accounts for gravel and sand transport and deposition in the gravel reach, sea level change, subsidence, and delta progradation. The model shows that even a limited gravel supply to a sand bed reach induces progradation of a gravel wedge and predicts the circumstances required for the gravel front to advance, retreat, and halt. Predicted modern GST migration rates agree well with measured data at Allt Dubhaig and the Fraser River, and the model qualitatively captures the behavior of other documented gravel fronts. The analysis shows that sea level change, subsidence, and delta progradation have a significant impact on the GST position in lowland rivers.

The paradox of a long grounding during West Antarctic Ice Sheet retreat in Ross Sea.

PubMed

Bart, Philip J; Krogmeier, Benjamin J; Bart, Manon P; Tulaczyk, Slawek

2017-04-28

Marine geological data show that the West Antarctic Ice Sheet (WAIS) advanced to the eastern Ross Sea shelf edge during the Last Glacial Maximum (LGM) and eventually retreated ~1000 km to the current grounding-line position on the inner shelf. During the early deglacial, the WAIS deposited a voluminous stack of overlapping grounding zone wedges (GZWs) on the outer shelf of the Whales Deep Basin. The large sediment volume of the GZW cluster suggests that the grounding-line position of the paleo-Bindschadler Ice Stream was relatively stationary for a significant time interval. We used an upper bound estimate of paleo-sediment flux to investigate the lower bound duration over which the ice stream would have deposited sediment to account for the GZW volume. Our calculations show that the cluster represents more than three millennia of ice-stream sedimentation. This long duration grounding was probably facilitated by rapid GZW growth. The subsequent punctuated large-distance (~200 km) grounding-line retreat may have been a highly non-linear ice sheet response to relatively continuous external forcing such as gradual climate warming or sea-level rise. These findings indicate that reliable predictions of future WAIS retreat may require incorporation of realistic calculations of sediment erosion, transport and deposition.

Economics of abdominal wall reconstruction.

PubMed

Bower, Curtis; Roth, J Scott

2013-10-01

The economic aspects of abdominal wall reconstruction are frequently overlooked, although understandings of the financial implications are essential in providing cost-efficient health care. Ventral hernia repairs are frequently performed surgical procedures with significant economic ramifications for employers, insurers, providers, and patients because of the volume of procedures, complication rates, the significant rate of recurrence, and escalating costs. Because biological mesh materials add significant expense to the costs of treating complex abdominal wall hernias, the role of such costly materials needs to be better defined to ensure the most cost-efficient and effective treatments for ventral abdominal wall hernias. Copyright © 2013 Elsevier Inc. All rights reserved.

Nitrogen-controlled intra- and interspecific competition between Populus purdomii and Salix rehderiana drive primary succession in the Gongga Mountain glacier retreat area.

PubMed

Song, Mengya; Yu, Lei; Jiang, Yonglei; Lei, Yanbao; Korpelainen, Helena; Niinemets, Ülo; Li, Chunyang

2017-06-01

In this study, intra- and interspecific competition were investigated in early successional Salix rehderiana Schneider and later-appearing Populus purdomii Rehder under non-fertilized (control) and nitrogen (N)-fertilized conditions in the Hailuogou glacier retreat area. Our aim was to discover whether N is a key factor in plant-plant competition and whether N drives the primary succession process in a glacier retreat area. We analyzed differences in responses to intra- and interspecific competition and N fertilization between P. purdomii and S. rehderiana, including parameters such as biomass accumulation, nutrient absorption, non-structural carbohydrates, photosynthetic capacity, hydrolysable amino acids and leaf ultrastructure. In the control treatments, S. rehderiana individuals subjected to interspecific competition benefited from the presence of P. purdomii plants, as indicated by higher levels of biomass accumulation, photosynthetic capacity, N absorption, amino acid contents and photosynthetic N-use efficiency. However, in the N-fertilized treatments, P. purdomii individuals exposed to interspecific competition benefited from the presence of S. rehderiana plants, as shown by a higher growth rate, enhanced carbon gain capacity, greater amino acid contents, and elevated water-use efficiency, whereas the growth of S. rehderiana was significantly reduced. Our results demonstrate that N plays a pivotal role in determining the asymmetric competition pattern among Salicaceae species during primary succession. We argue that the interactive effects of plant-plant competition and N availability are key mechanisms that drive primary succession in the Gongga Mountain glacier retreat area. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Evidence for slow late-glacial ice retreat in the upper Rangitata Valley, South Island, New Zealand

NASA Astrophysics Data System (ADS)

Shulmeister, J.; Fink, D.; Winkler, S.; Thackray, G. D.; Borsellino, R.; Hemmingsen, M.; Rittenour, T. M.

2018-04-01

A suite of cosmogenic radionuclide ages taken from boulders on lateral and latero-terminal moraines in the Rangitata Valley, eastern South Island, New Zealand demonstrates that relatively thick ice occupied valley reaches inland of the Rangitata Gorge until c. 21 ka. Thereafter ice began to thin, and by c. 17 ka it had retreated 33 km up-valley of the Rangitata Gorge to the Butler-Brabazon Downs, a structurally created basin in the upper Rangitata Valley. Despite its magnitude, this retreat represents a minor ice volume reduction from 21 ka to 17 ka, and numerous lateral moraines preserved suggest a relatively gradual retreat over that 4 ka period. In contrast to records from adjacent valleys, there is no evidence for an ice-collapse at c. 18 ka. We argue that the Rangitata record constitutes a more direct record of glacial response to deglacial climate than other records where glacial dynamics were influenced by proglacial lake development, such as the Rakaia Valley to the North and the major valleys in the Mackenzie Basin to the south-west. Our data supports the concept of a gradual warming during the early deglaciation in the South Island New Zealand.

Investigators Retreat: A Forum to Bridge Frederick and Bethesda Cancer Research | Poster

Cancer.gov

By Andrea Frydl, Contributing Writer Nearly 700 researchers, scientists, and laboratory technicians convened in the Ronald Reagan Building and International Trade Center in Washington, DC, for the 2014 NCI Intramural Scientific Investigators Retreat on Jan. 14. The event featured presentations and posters exploring topics in cancer research from KRAS signaling to animal care.

Pathology informatics fellowship retreats: The use of interactive scenarios and case studies as pathology informatics teaching tools.

PubMed

Lee, Roy E; McClintock, David S; Balis, Ulysses J; Baron, Jason M; Becich, Michael J; Beckwith, Bruce A; Brodsky, Victor B; Carter, Alexis B; Dighe, Anand S; Haghighi, Mehrvash; Hipp, Jason D; Henricks, Walter H; Kim, Jiyeon Y; Klepseis, Veronica E; Kuo, Frank C; Lane, William J; Levy, Bruce P; Onozato, Maristela L; Park, Seung L; Sinard, John H; Tuthill, Mark J; Gilbertson, John R

2012-01-01

Last year, our pathology informatics fellowship added informatics-based interactive case studies to its existing educational platform of operational and research rotations, clinical conferences, a common core curriculum with an accompanying didactic course, and national meetings. The structure of the informatics case studies was based on the traditional business school case study format. Three different formats were used, varying in length from short, 15-minute scenarios to more formal multiple hour-long case studies. Case studies were presented over the course of three retreats (Fall 2011, Winter 2012, and Spring 2012) and involved both local and visiting faculty and fellows. Both faculty and fellows found the case studies and the retreats educational, valuable, and enjoyable. From this positive feedback, we plan to incorporate the retreats in future academic years as an educational component of our fellowship program. Interactive case studies appear to be valuable in teaching several aspects of pathology informatics that are difficult to teach in more traditional venues (rotations and didactic class sessions). Case studies have become an important component of our fellowship's educational platform.

Oceanic Forcing of Ice-Sheet Retreat: West Antarctica and More

NASA Astrophysics Data System (ADS)

Alley, Richard B.; Anandakrishnan, Sridhar; Christianson, Knut; Horgan, Huw J.; Muto, Atsu; Parizek, Byron R.; Pollard, David; Walker, Ryan T.

2015-05-01

Ocean-ice interactions have exerted primary control on the Antarctic Ice Sheet and parts of the Greenland Ice Sheet, and will continue to do so in the near future, especially through melting of ice shelves and calving cliffs. Retreat in response to increasing marine melting typically exhibits threshold behavior, with little change for forcing below the threshold but a rapid, possibly delayed shift to a reduced state once the threshold is exceeded. For Thwaites Glacier, West Antarctica, the threshold may already have been exceeded, although rapid change may be delayed by centuries, and the reduced state will likely involve loss of most of the West Antarctic Ice Sheet, causing >3 m of sea-level rise. Because of shortcomings in physical understanding and available data, uncertainty persists about this threshold and the subsequent rate of change. Although sea-level histories and physical understanding allow the possibility that ice-sheet response could be quite fast, no strong constraints are yet available on the worst-case scenario. Recent work also suggests that the Greenland and East Antarctic Ice Sheets share some of the same vulnerabilities to shrinkage from marine influence.

Gully head retreat in the sub-humid Ethiopian Highlands: The Ene-Chilala catchment

USDA-ARS?s Scientific Manuscript database

In the northern highlands of Ethiopia, gully erosion is severe. Despite many efforts to implement gully prevention measures, controlling gully erosion remains a challenge. The objective is to better understand the regional gully erosion processes and to prevent gully head retreat. The study was cond...

How do how internal and external processes affect the behaviors of coupled marsh mudflat systems; infill, stabilize, retreat, or drown?

NASA Astrophysics Data System (ADS)

Carr, J. A.; Mariotti, G.; Wiberg, P.; Fagherazzi, S.; McGlathery, K.

2013-12-01

Intertidal coastal environments are prone to changes induced by sea level rise, increases in storminess, and anthropogenic disturbances. It is unclear how changes in external drivers may affect the dynamics of low energy coastal environments because their response is non-linear, and characterized by many thresholds and discontinuities. As such, process-based modeling of the ecogeomorphic processes underlying the dynamics of these ecosystems is useful, not only to predict their change through time, but also to generate new hypotheses and research questions. Here, a three-point dynamic model was developed to investigate how internal and external processes affect the behavior of coupled marsh mudflat systems. The model directly incorporates ecogeomorphological feedbacks between wind waves, salt marsh vegetation, allochthonous sediment loading, tidal flat vegetation and sea level rise. The model was applied to examine potential trajectories of salt marshes on the Eastern seaboard of the United States, including those in the Plum Island Ecosystems (PIE), Virginia Coast Reserve (VCR) and Georgia Coastal Ecosystems (GCE) long term ecological research (LTER) sites. While these sites are undergoing similar rates of relative sea level rise (RSLR), they have distinct differences in site specific environmental drivers including tides, wind waves, allochthonous sediment supply and the presence or absence of seagrass. These differences lead to the emergence of altered behaviors in the coupled salt marsh-tidal flat system. For marsh systems without seagrass or significant riverine sediment supply, conditions similar to those at PIE, results indicated that horizontal and vertical marsh evolution respond in opposing ways to wave induced processes. Marsh horizontal retreat is triggered by large mudflats and strong winds, whereas small mudflats and weak winds reduce the sediment supply to the salt marsh, decreasing its capability to keep pace with sea level rise. Marsh expansion and

Ureteral wall thickness at the impacted ureteral stone site: a critical predictor for success rates after SWL.

PubMed

Sarica, Kemal; Kafkasli, Alper; Yazici, Özgür; Çetinel, Ali Cihangir; Demirkol, Mehmet Kutlu; Tuncer, Murat; Şahin, Cahit; Eryildirim, Bilal

2015-02-01

The aim of the study was to determine the possible predictive value of certain patient- and stone-related factors on the stone-free rates and auxiliary procedures after extracorporeal shock wave lithotripsy in patients with impacted proximal ureteral calculi. A total of 111 patients (86 male, 25 females M/F: 3.44/1) with impacted proximal ureteral stones treated with shock wave lithotripsy were evaluated. Cases were retrieved from a departmental shock wave lithotripsy database. Variables analyzed included BMI of the case, diameter of proximal ureter and renal pelvis, stone size and Hounsfield unit, ureteral wall thickness at the impacted stone site. Stone-free status on follow-up imaging at 3 months was considered a successful outcome. All patients had a single impacted proximal ureteral stone. While the mean age of the cases was 46 ± 13 years (range 26-79 years), mean stone size was 8.95 mm (5.3-15.1 mm). Following shock wave lithotripsy although 87 patients (78.4%) were completely stone-free at 3-month follow-up visit, 24 (21.6%) cases had residual fragments requiring further repeat procedures. Prediction of the final outcome of SWL in patients with impacted proximal ureteral stones is a challenging issue and our data did clearly indicate a highly significant relationship between ureteral wall thickness and the success rates of shock wave lithotripsy particularly in cases requiring additional procedures. Of all the evaluated stone- and patient-related factors, only ureteral wall thickness at the impacted stone site independently predicted shock wave lithotripsy success.

Retreatment of recurrent carcinoma of the head and neck by afterloading interstitial 192Ir implant

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

Emami, B.; Marks, J.E.

From January 1975 to December 1980, 25 patients with persistent or recurrent carcinomas of the head and neck were retreated for palliation at the Division of Radiation Oncology, Mallinckrodt Institute of Radiology. These patients had all undergone extensive previous treatment by surgery and/or radiation. All were retreated with 192Ir interstitial implant with or without external radiation and/or surgical excision. Of 25 patients, 13 had complete response (CR) and 6 had partial response for a follow-up period of 1 to 7 years. Of 13 patients with CR, 6 are alive with no evidence of disease (NED) and two died NED. Detailedmore » results are presented and the new strategy for such patients is discussed.« less

My Big Wall

NASA Technical Reports Server (NTRS)

Espinosa, Paul S.

2002-01-01

It was June and I was in Yosemite National Park in California, 2,000-feet off the ground. I was climbing El Capitan, a majestic 3,000-foot high, mile-wide granite monolith--one of the most sought after and spectacular rock climbs in the world. After three days of climbing on its sheer face, and having completed the most difficult part of the route, my partner and I were heading down. A thunderstorm lasting all night and into the morning had soaked our tiny perch and all our worldly possessions. We began rappelling down the vertical wall by sliding to the ends of two 50meter ropes tied together and looped through a set of fixed rings bolted into the rock. At the end of the ropes was another rappel station consisting of a set of rings, placed by previous climbers for retreating parties, which we used to anchor ourselves to the rock face. We then pulled the ropes down from the rings above, threaded the ones in front of our noses and started down another rope length. Everything we brought up for our five-day climb to the summit we had to bring back down with us: ropes, climbing gear of every sort, sleeping bags, extra clothes, food, water, and other essentials. All this we either stuffed into a haul bag (an oversized reinforced duffel bag) or slung over our shoulders. The retreat was slow and methodical, akin to a train backing down a mountain, giving me ample time to think. My situation made me think about my work, mostly, about all the projects I have managed, or been involved in managing. As a NASA project manager, I have worked on a number of successful projects. I have also been involved in a number of projects I never saw the end of. I thought about all the projects I transferred off of for other opportunities, projects that were in full stride and ran out of funding, and ones put on the shelf because they would not meet a flight date. Oh yes, I have had many success, to be sure, or I would have burned out years ago. Lessons from both the successful and not

Retreat of northern margins of George VI and Wilkins Ice Shelves, Antarctic Peninsula

USGS Publications Warehouse

Lucchitta, B.K.; Rosanova, C.E.

1998-01-01

The George VI and Wilkins Ice Shelves are considered at risk of disintegration due to a regional atmospheric warming trend on the Antarctic Peninsula. Retreat of the northern margin of the George VI Ice Shelf has been observed previously, but the Wilkins Ice Shelf was thought to be stable. We investigated the positions of the northern fronts of these shelves from the literature and looked for changes on 1974 Landsat and 1992 and 1995 European remote-sensing satellite (ERS) synthetic aperture radar images. Our investigation shows that the northern George VI Ice Shelf lost a total of 906 km2 between 1974 and 1992, and an additional 87 km2 by 1995. The northern margin of the Wilkins Ice Shelf lost 796 km2 between 1990 and 1992, and another 564 km2 between 1992 and 1995. Armadas of tabular icebergs were visible in front of this shelf in the ERS images. These two ice shelves mark the southernmost documented conspicuous retreat of ice-shelf margins.

A Palaeohydrological Shift during Neogene East Antarctic Ice Sheet Retreat

NASA Astrophysics Data System (ADS)

Rees-Owen, R. L.; Newton, R.; Ivanovic, R. F.; Francis, J.; Tindall, J. C.; Riding, J. B.

2015-12-01

The East Antarctic Ice Sheet is an important driver of global climate, playing a particular role in governing albedo and atmospheric circulation (eg. Singh et al., 2013). Recent evidence from marine sediment and terrestrial glaciovolcanic sequences suggests that the EAIS underwent periodic retreat and collapse in response to warmer climates during the late Neogene (14 to 3 million years ago). Mummified prostrate trees recovered from palaeosols at Oliver Bluffs in the Beardmore Glacier region, Transantarctic Mountains (85° S), represent a rare insight into the terrestrial palaeoclimate during one of these periods of retreat. Prostrate trees are an understudied but useful tool for interrogating endmember (e.g. periglacial) environments at high altitudes and latitudes. We present exciting new palaeoclimate data from the sequence at Oliver Bluffs. δ18O analysis of tree ring cellulose suggests that Antarctic summer palaeoprecipitation was enriched relative to today (-25 to -5‰ for ancient, -35 to -20‰ for modern); consistent with our isotope-enabled general circulation model simulations. The MBT/CBT palaeothermometer gives a summer temperature of 3-6ºC, consistent with other palaeobotanical climate indices. These geological and model data have wide-ranging implications for our understanding of the hydrological cycle during this time period. We present data suggesting that changes in moisture recycling and source region indicate a markedly different hydrological cycle.

Simple model of melange and its influence on rapid ice retreat in a large-scale Antarctic ice sheet model.

NASA Astrophysics Data System (ADS)

Pollard, D.; Deconto, R. M.

2017-12-01

Theory, modeling and observations point to the prospect of runaway grounding-line retreat and marine ice loss from West Antarctica and major East Antarctic basins, in response to climate warming. These rapid retreats are associated with geologic evidence of past high sea-level stands, and pose a threat of drastic sea-level rise in the future.Rapid calving of ice from deep grounding lines generates substantial downstream melange (floating ice debris). It is unknown whether this melange has a significant effect on ice dynamics during major Antarctic retreats, through clogging of seaways and back pressure at the grounding line. Observations in Greenland fjords suggest that melange can have a significant buttressing effect, but the lateral scales of Antarctic basins are an order of magnitude larger (100's km compared to 10's km), with presumably much less influence of confining margins.Here we attempt to include melange as a prognostic variable in a 3-DAntarctic ice sheet-shelf model. Continuum mechanics is used as aheuristic representation of discrete particle physics. Melange is createdby ice calving and cliff failure. Its dynamics are treated similarly to ice flow, but with little or no resistance to divergence. Melange providesback pressure where adjacent to grounded tidewater ice faces or ice-shelf edges. We examine the influence of the new melange component during rapid Antarctic retreat in warm-Pliocene and future warming scenarios.

Efficacy of Twisted File Adaptive, Reciproc and ProTaper Universal Retreatment instruments for root-canal-filling removal: A cone-beam computed tomography study.

PubMed

Akbulut, Makbule Bilge; Akman, Melek; Terlemez, Arslan; Magat, Guldane; Sener, Sevgi; Shetty, Heeresh

2016-01-01

The aim of this study was to evaluate the efficacy of Twisted File (TF) Adaptive, Reciproc, and ProTaper Universal Retreatment (UR) System instruments for removing root-canal-filling. Sixty single rooted teeth were decoronated, instrumented and obturated. Preoperative CBCT scans were taken and the teeth were retreated with TF Adaptive, Reciproc, ProTaper UR, or hand files (n=15). Then, the teeth were rescanned, and the percentage volume of the residual root-canal-filling material was established. The total time for retreatment was recorded, and the data was statistically analyzed. The statistical ranking of the residual filling material volume was as follows: hand file=TF Adaptive>ProTaper UR=Reciproc. The ProTaper UR and Reciproc systems required shorter periods of time for retreatment. Root canal filling was more efficiently removed by using Reciproc and ProTaper UR instruments than TF Adaptive instruments and hand files. The TF Adaptive system was advantageous over hand files with regard to operating time.

Slab roll-back and trench retreat as controlling factor for basin subsidence in southern Central America

NASA Astrophysics Data System (ADS)

Brandes, Christian; Winsemann, Jutta

2015-04-01

Slab roll-back and trench retreat are important factors for basin subsidence, magma generation and volcanism in arc-trench systems. Based on the sedimentary and tectonic record of the southern Central American island-arc we conclude that repeated phases of slab roll-back and trench retreats occurred the arc-trench system since the Late Cretaceous. These trench retreats were most probably related to the subduction of oceanic plateaus and seamounts and effected both the fore-arc and back-arc evolution. We used numerical basin modelling techniques to analyse the burial history of fore-arc and back-arc basins in Central America and combined the results with field data of the sedimentological evolution of the basin-fills. From the basin models, geohistory curves were extracted for the fore-arc and back-arc basins to derive the subsidence evolution. The Sandino Fore-arc Basin is characterized by low subsidence during the first 40 Myr. Since the Late Cretaceous the basin has a linear moderate subsidence with a phase of accelerated subsidence in the Oligocene. In the North and South Limón Back-arc Basin, subsidence started at approximately the same time as in the Sandino Fore-arc Basin. The North and South Limón Basins show a linear subsidence trend in the Paleocene and Eocene. Evidence for trench retreats is given by pulses of uplift in the outer-arc area, followed by subsidence in both the fore-arc and back-arc basins. The first slab roll-back probably occurred during the Early Paleocene. This is indicated by the collapse of carbonate platforms, and the re-deposition of large carbonate blocks into deep-water turbidites. A new pulse of uplift or decreased subsidence, respectively during the Late Eocene is attributed to subduction of rough crust. A subsequent slab detachment and the establishment of a new subduction zone further westward was described by Walther et al. (2000). Strong uplift affected the entire fore-arc area, which led to the deposition of very coarse

Slab Roll-Back and Trench Retreat As Controlling Factor for Island-Arc Related Basin Evolution: A Case Study from Southern Central America

NASA Astrophysics Data System (ADS)

Brandes, C.; Winsemann, J.

2014-12-01

Slab roll-back and trench retreat are important factors for basin subsidence, magma generation and volcanism in arc-trench systems. From the sedimentary and tectonic record of the Central American island-arc it is evident that repeated slab roll-back and trench retreats occurred since the Late Cretaceous. These trench retreats were most probably related to the subduction of oceanic plateaus and seamounts. Evidence for trench retreats is given by pulses of uplift in the outer-arc area, followed by subsidence in both the fore-arc and back-arc basins. The first slab roll-back probably occurred during the Early Paleocene indicated by the collapse of carbonate platforms, and the re-deposition of large carbonate blocks into deep-water turbidites. At this time the island-arc was transformed from an incipient non-extensional stage into an extensional stage. A new pulse of uplift or decreased subsidence, respectively during the Late Eocene is attributed to subduction of rough crust, a subsequent slab detachment and the establishment of a new subduction zone further westward. Strong uplift especially affected the outer arc of the North Costa Rican arc segment. In the Sandino Fore-arc basin very coarse-grained deep-water channel-levee complexes were deposited. These deposits contain large well-rounded andesitic boulders and are rich in reworked shallow-water carbonates pointing to uplift of the inner fore-arc. Evidence for the subsequent trench retreat is given by an increased subsidence during the early Oligocene in the Sandino Fore-arc Basin and the collapse of the Barra Honda platform in North Costa Rica. Another trench retreat might have occurred in Miocene times. A phase of higher subsidence from 18 to 13 Ma is documented in the geohistory curve of the North Limon Back-arc Basin. After a short pulse of uplift the subsidence increased to approx. 300 m/myr.

Rotational stabilization of the resistive wall modes in tokamaks with a ferritic wall

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

Pustovitov, V. D.; National Research Nuclear University “MEPhI,” Kashirskoe sh. 31, Moscow 115409; Yanovskiy, V. V.

The dynamics of the rotating resistive wall modes (RWMs) is analyzed in the presence of a uniform ferromagnetic resistive wall with μ{sup ^}≡μ/μ{sub 0}≤4 (μ is the wall magnetic permeability, and μ{sub 0} is the vacuum one). This mimics a possible arrangement in ITER with ferromagnetic steel in test blanket modules or in future experiments in JT-60SA tokamak [Y. Kamada, P. Barabaschi, S. Ishida, the JT-60SA Team, and JT-60SA Research Plan Contributors, Nucl. Fusion 53, 104010 (2013)]. The earlier studies predict that such a wall must provide a destabilizing influence on the plasma by reducing the beta limit and increasingmore » the growth rates, compared to the reference case with μ{sup ^}=1. This is true for the locked modes, but the presented results show that the mode rotation changes the tendency to the opposite. At μ{sup ^}>1, the rotational stabilization related to the energy sink in the wall becomes even stronger than at μ{sup ^}=1, and this “external” effect develops at lower rotation frequency, estimated as several kHz at realistic conditions. The study is based on the cylindrical dispersion relation valid for arbitrary growth rates and frequencies. This relation is solved numerically, and the solutions are compared with analytical dependences obtained for slow (s/d{sub w}≫1) and fast (s/d{sub w}≪1) “ferromagnetic” rotating RWMs, where s is the skin depth and d{sub w} is the wall thickness. It is found that the standard thin-wall modeling becomes progressively less reliable at larger μ{sup ^}, and the wall should be treated as magnetically thick. The analysis is performed assuming only a linear plasma response to external perturbations without constraints on the plasma current and pressure profiles.« less

Endodontic retreatment of dens invaginatus presenting with gutta-percha overfilling at the attached gingiva and chronic apical periodontitis: unusual clinical report.

PubMed

Robazza, Carlos Roberto Colombo; Alves e Motta, Julio Cesar; de Carli, Marina Lara; de Oliveira Pedreira, Fernanda Rafaelly; Hanemann, Joao Adolfo Costa

2013-05-01

This work describes the retreatment of an unusual case of dens invaginatus with gutta-percha overfilling at the gingival mucosa and chronic apical periodontitis in a 34-year-old woman. Initial periapical radiograph showed the presence of type II dens invaginatus with poor quality obturation, root perforation and chronic apical periodontitis of tooth 22. Dens invaginatus is a tooth malformation caused by infolding of the dental papilla during tooth development. This anomaly has been associated with increased prevalence of pulpal and periapical diseases. Conventional endodontic retreatment was performed using rotary files and calcium hydroxide paste as intracanal dressing. After 7 days, root canal was filled with guttapercha points and Sealapex® sealer. Obturation was radiographically followed and, after 3 years, absence of fistula and periapical radiolucency was observed, thus conventional endodontic therapy proved to be successful. Conventional endodontic retreatment of type II dens invaginatus has been successful for a 3-year period, showing a better treatment alternative. Conservative endodontic retreatment of dens invaginatus should be considered to promote periapical healing with complete reconstitution of bone and periodontal ligament regeneration without signs of recurrence over a period of 3 years. Moreover, it preserves the entire tooth.

Evaluation of Dentin Defect Formation during Retreatment with Hand and Rotary Instruments: A Micro-CT Study.

PubMed

Yilmaz, Ayca; Helvacioglu-Yigit, Dilek; Gur, Cansu; Ersev, Handan; Kiziltas Sendur, Gullu; Avcu, Egemen; Baydemir, Canan; Abbott, Paul Vincent

2017-01-01

The purpose of this study was to compare the incidence and longitudinal propagation of dentin defects after gutta-percha removal with hand and rotary instruments using microcomputed tomography. Twenty mandibular incisors were prepared using the balanced-force technique and scanned in a 19.9  μ m resolution. Following filling with the lateral compaction technique, gutta-percha was removed with ProTaper Universal Retreatment (PTUR) or hand instruments. After rescanning, a total of 24,120 cross-sectional images were analyzed. The numbers, types, and longitudinal length changes of defects were recorded. Defects were observed in 36.90% of the cross sections. A total of 73 defects were comprised of 87.67% craze lines, 2.73% partial cracks, and 9.58% fractures. No significant difference in terms of new defect formation was detected between the retreatment groups. The apical and middle portions of the roots had more dentin defects than the coronal portions. Defects in three roots of the PTUR instrument group increased in length. Under the conditions of this in vitro study, gutta-percha removal seemed to not increase the incidence of dentin defect formation, but the longitudinal defect propagation finding suggests possible cumulative dentinal damage due to additional endodontic procedures. Hand and rotary instrumentation techniques caused similar dentin defect formation during root canal retreatment.

Retreatment with Pegloticase after a Gap in Therapy in Patients with Gout: A Report of Four Cases.

PubMed

Morton, Allan H; Hosey, Tony; LaMoreaux, Brian

2018-05-03

Pegloticase, a potent uricolytic biologic enzyme, has been shown to be an effective therapeutic option in patients with uncontrolled gout. However, there are limited data on clinical response after a gap in therapy and retreatment with pegloticase. This report describes four patients with chronic gout who were successfully managed with pegloticase and were retreated following a gap in therapy. Patient charts from a practice-based rheumatology clinic were retrospectively analyzed; four male patients, aged 70-75 years, with chronic gout and a more than 4-week gap in pegloticase therapy were reviewed. Before pegloticase treatment, patients had received allopurinol or febuxostat, but they continued exhibiting symptoms, including visible tophi and serum uric acid (SUA) levels of 5.2-10.2 mg/dL (309-607 μmol/L), despite oral urate-lowering therapy. The first pegloticase treatment (8-mg infusion every 2 weeks) lasted 22-124 weeks. Pegloticase resolved tophi and improved SUA to below 1.5 mg/dL (less than 89 μmol/L); however, patients discontinued pegloticase because of symptom resolution, poor adherence, or personal reasons. Following treatment gaps (12-156 weeks), symptoms and SUA levels increased and patients were retreated with pegloticase (4-147 weeks). In three of four patients, reinitiating pegloticase lowered SUA levels to below 1.0 mg/dL (less than 59 μmol/L) and resolved symptoms. One patient experienced an infusion reaction and discontinued; no infusion reactions, gout flares, or adverse events occurred among the other three patients. Retreatment with pegloticase after a gap in therapy appears to be an effective and tolerated option in prior responders. Horizon Pharma.

Modeling microbial reaction rates in a submarine hydrothermal vent chimney wall

NASA Astrophysics Data System (ADS)

LaRowe, Douglas E.; Dale, Andrew W.; Aguilera, David R.; L'Heureux, Ivan; Amend, Jan P.; Regnier, Pierre

2014-01-01

The fluids emanating from active submarine hydrothermal vent chimneys provide a window into subseafloor processes and, through mixing with seawater, are responsible for steep thermal and compositional gradients that provide the energetic basis for diverse biological communities. Although several models have been developed to better understand the dynamic interplay of seawater, hydrothermal fluid, minerals and microorganisms inside chimney walls, none provide a fully integrated approach to quantifying the biogeochemistry of these hydrothermal systems. In an effort to remedy this, a fully coupled biogeochemical reaction-transport model of a hydrothermal vent chimney has been developed that explicitly quantifies the rates of microbial catalysis while taking into account geochemical processes such as fluid flow, solute transport and oxidation-reduction reactions associated with fluid mixing as a function of temperature. The metabolisms included in the reaction network are methanogenesis, aerobic oxidation of hydrogen, sulfide and methane and sulfate reduction by hydrogen and methane. Model results indicate that microbial catalysis is generally fastest in the hottest habitable portion of the vent chimney (77-102 °C), and methane and sulfide oxidation peak near the seawater-side of the chimney. The fastest metabolisms are aerobic oxidation of H2 and sulfide and reduction of sulfate by H2 with maximum rates of 140, 900 and 800 pmol cm-3 d-1, respectively. The maximum rate of hydrogenotrophic methanogenesis is just under 0.03 pmol cm-3 d-1, the slowest of the metabolisms considered. Due to thermodynamic inhibition, there is no anaerobic oxidation of methane by sulfate (AOM). These simulations are consistent with vent chimney metabolic activity inferred from phylogenetic data reported in the literature. The model developed here provides a quantitative approach to describing the rates of biogeochemical transformations in hydrothermal systems and can be used to constrain the

Integrative Intensive Retreats for Veteran Couples and Families: A Pilot Study Assessing Change in Relationship Adjustment, Posttraumatic Growth, and Trauma Symptoms.

PubMed

Monk, J Kale; Oseland, Lauren M; Nelson Goff, Briana S; Ogolsky, Brian G; Summers, Kali

2017-07-01

We assessed a brief, systemic retreat-style intervention that was developed to address concerns about the utilization of services for veterans coping with traumatic stress. A total of 76 dyads (N = 152) were assessed before and after a 4-day retreat, which included psychoeducation, group and conjoint therapeutic sessions, and recreational relaxation components. Overall, participants reported a reduction in trauma symptoms, but only support persons experienced a significant increase in posttraumatic growth from pretest to posttest. Both veterans and their romantic partners reported an increase in relationship adjustment after the retreat. Opportunities to address the needs of this population by removing barriers to treatment and reducing feelings of isolation, as well as implications for similar treatments are discussed. © 2017 American Association for Marriage and Family Therapy.

Large ensemble modeling of last deglacial retreat of the West Antarctic Ice Sheet: comparison of simple and advanced statistical techniques

NASA Astrophysics Data System (ADS)

Pollard, D.; Chang, W.; Haran, M.; Applegate, P.; DeConto, R.

2015-11-01

A 3-D hybrid ice-sheet model is applied to the last deglacial retreat of the West Antarctic Ice Sheet over the last ~ 20 000 years. A large ensemble of 625 model runs is used to calibrate the model to modern and geologic data, including reconstructed grounding lines, relative sea-level records, elevation-age data and uplift rates, with an aggregate score computed for each run that measures overall model-data misfit. Two types of statistical methods are used to analyze the large-ensemble results: simple averaging weighted by the aggregate score, and more advanced Bayesian techniques involving Gaussian process-based emulation and calibration, and Markov chain Monte Carlo. Results for best-fit parameter ranges and envelopes of equivalent sea-level rise with the simple averaging method agree quite well with the more advanced techniques, but only for a large ensemble with full factorial parameter sampling. Best-fit parameter ranges confirm earlier values expected from prior model tuning, including large basal sliding coefficients on modern ocean beds. Each run is extended 5000 years into the "future" with idealized ramped climate warming. In the majority of runs with reasonable scores, this produces grounding-line retreat deep into the West Antarctic interior, and the analysis provides sea-level-rise envelopes with well defined parametric uncertainty bounds.

The last deglacial retreat history of the East Antarctic Ice Sheet recorded in sediments from off the Wilkes Land Coast

NASA Astrophysics Data System (ADS)

Yokoyama, Y.; Yamane, M.; Miyairi, Y.; Suga, H.; Dunbar, R. B.; Ohkouchi, N.

2017-12-01

Timing of past ice sheet retreat of Antarctic continent has been debated with regards to the global sea level changes since the Last Glacial Maximum (LGM) centered at around 20 ka. Exposure dating using cosmogenic radio nuclide (CRN) for glacial deposits have been widely used to reconstruct the last deglacial history though this cannot apply where no-ice free coasts are existed. One such location is the Wilkes Land where the East Antarctic Ice Sheet (EAIS) is situated directory on seafloor. Sediment cores obtained off the Wilkes Land coast successfully retrieved cores during the Intergrated Ocean Drilling Program (IODP) Expedition 318 (Escuita et al., 2011). Major obstacle to obtain reliable chronology for marine cores around Antarctica is sparsity of carbonate materials such as foraminifera. Thus compound-specific radiocarbon analysis (CSRA) has been used and we applied CSRA to the sediments obtained off the Wilkes land coast. The CSRA targeted C16 and C16:1 fatty acid due to their high degradation rate. Hence low concentrations of these compounds are expected. We found major sedimentation occurred since the beginning of Holocene. The result is then compared to the previously reported dates from the land based CRN dates (eg., Mckintosh et al., 2013; Yamane et al., 2011) to discuss the timing of retreat of EAIS.

First wall for polarized fusion reactors

DOEpatents

Greenside, Henry S.; Budny, Robert V.; Post, Jr., Douglass E.

1988-01-01

Depolarization mechanisms arising from the recycling of the polarized fuel at the limiter and the first-wall of a fusion reactor are greater than those mechanisms in the plasma. Rapid depolarization of the plasma is prevented by providing a first-wall or first-wall coating formed of a low-Z, non-metallic material having a depolarization rate greater than 1 sec.sup.-1.

Evaluation of factors associated with second remission in dogs with lymphoma undergoing retreatment with a cyclophosphamide, doxorubicin, vincristine, and prednisone chemotherapy protocol: 95 cases (2000-2007).

PubMed

Flory, Andrea B; Rassnick, Kenneth M; Erb, Hollis N; Garrett, Laura D; Northrup, Nicole C; Selting, Kim A; Phillips, Brenda S; Locke, Jennifer E; Chretin, John D

2011-02-15

To evaluate factors associated with second remission in dogs with lymphoma retreated with a cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) protocol after relapse following initial treatment with a first-line 6-month CHOP protocol. Retrospective case series. 95 dogs with lymphoma. Medical records were reviewed. Remission duration was estimated by use of the Kaplan-Meier method. Factors potentially associated with prognosis were examined. Median remission duration after the first-line CHOP protocol was 289 days (range, 150 to 1,457 days). Overall, 78% (95% confidence interval [CI], 69% to 86%) of dogs achieved a complete remission following retreatment, with a median second remission duration of 159 days (95% CI, 126 to 212 days). Duration of time off chemotherapy was associated with likelihood of response to retreatment; median time off chemotherapy was 140 days for dogs that achieved a complete remission after retreatment and 84 days for dogs that failed to respond to retreatment. Second remission duration was associated with remission duration after initial chemotherapy; median second remission duration for dogs with initial remission duration ≥ 289 days was 214 days (95% CI, 168 to 491 days), compared with 98 days (95% CI, 70 to 144 days) for dogs with initial remission duration < 289 days. Findings suggested that retreatment with the CHOP protocol can be effective in dogs with lymphoma that successfully complete an initial 6-month CHOP protocol.

Predicting the retreat and migration of tidal forests along the northern Gulf of Mexico under sea-level rise

USGS Publications Warehouse

Doyle, T.W.; Krauss, K.W.; Conner, W.H.; From, A.S.

2010-01-01

Tidal freshwater forests in coastal regions of the southeastern United States are undergoing dieback and retreat from increasing tidal inundation and saltwater intrusion attributed to climate variability and sea-level rise. In many areas, tidal saltwater forests (mangroves) contrastingly are expanding landward in subtropical coastal reaches succeeding freshwater marsh and forest zones. Hydrological characteristics of these low-relief coastal forests in intertidal settings are dictated by the influence of tidal and freshwater forcing. In this paper, we describe the application of the Sea Level Over Proportional Elevation (SLOPE) model to predict coastal forest retreat and migration from projected sea-level rise based on a proxy relationship of saltmarsh/mangrove area and tidal range. The SLOPE model assumes that the sum area of saltmarsh/mangrove habitat along any given coastal reach is determined by the slope of the landform and vertical tide forcing. Model results indicated that saltmarsh and mangrove migration from sea-level rise will vary by county and watershed but greater in western Gulf States than in the eastern Gulf States where millions of hectares of coastal forest will be displaced over the next century with a near meter rise in relative sea level alone. Substantial losses of coastal forests will also occur in the eastern Gulf but mangrove forests in subtropical zones of Florida are expected to replace retreating freshwater forest and affect regional biodiversity. Accelerated global eustacy from climate change will compound the degree of predicted retreat and migration of coastal forests with expected implications for ecosystem management of State and Federal lands in the absence of adaptive coastal management.

Exploring tidewater glacier retreat using past and current observations at Columbia Glacier, Alaska. (Invited)

NASA Astrophysics Data System (ADS)

O'Neel, S.; Pfeffer, W. T.; Howat, I. M.; Conway, H.; Columbia Glacier Consortium

2010-12-01

Since fulfilling Austin Post’s prediction of impending retreat in the late 1970s, Columbia Glacier has repeatedly surprised both casual and careful observers with its ability for rapid change. Over the last three decades, Columbia Glacier has lost approximately 18 km of its original 66 km length, while thinning by approximately 50% at the present terminus. The total ice volume lost to the Gulf of Alaska Estimates upwards of 120 km3 constrain the total ice volume lost to the Gulf of Alaska. Recently, the terminus supported a ~1.5 km long floating tongue for over than a year, contradicting the common assumption that the mechanical properties of temperate ice prohibit flotation over sustained time intervals. The rich history of study offers an opportunity to better understand tidewater glacier retreat, and a valuable analog to the dynamic instability underway at several ice sheet outlet glaciers. Current research aims to improve processing resolution of existing aerial photographic data, while complimenting the 30-year photogrammetric record with a suite of field observations. Recent instrumentation includes: oblique time lapse and still imagery, semi-permanent GPS, airborne radar, mass balance, passive seismology and LiDAR. This presentation will focus on innovative methods developed in recent field seasons, sharing insight each has provided into the retreat process . 1The Columbia Glacier Consortium consists of: Fabian Walter (SIO), Kenichi Matsuoka (NPI), Ben Smith (UW), Ethan Welty (CU-Boulder), Chris Larsen (UAF), Dave Finnegan (CRREL), Dan McNamara (USGS), Yushin Ahn (OSU), Julie Markus (OSU), Adam LeWinter (EIS).

Kame deltas provide evidence for a new glacial lake and suggest early glacial retreat from central Lower Michigan, USA

NASA Astrophysics Data System (ADS)

Schaetzl, Randall J.; Lepper, Kenneth; Thomas, Sarah E.; Grove, Leslie; Treiber, Emma; Farmer, Alison; Fillmore, Austin; Lee, Jordan; Dickerson, Bethany; Alme, Kayleigh

2017-03-01

In association with an undergraduate Honors Seminar at Michigan State University, we studied two small kame deltas in north-central Lower Michigan. These recently identified deltas provide clear evidence for a previously unknown proglacial lake (Glacial Lake Roscommon) in this large basin located in an interlobate upland. Our first goal was to document and characterize the geomorphology of these deltas. Because both deltas are tied to ice-contact ridges that mark the former position of the retreating ice margin within the lake, our second goal was to establish the age of one of the deltas, thereby constraining the timing of ice retreat in this part of Michigan, for which little information currently exists. Both deltas are composed of well-sorted fine and medium sands with little gravel, and have broad, nearly flat surfaces and comparatively steep fronts. Samples taken from the upper 1.5 m of the deltas show little spatial variation in texture, aside from a general fining toward their outer margins. Gullies on the outer margins of both deltas probably postdate the formation of the deltas proper; we suggest that they formed by runoff during a permafrost period, subsequent to lake drawdown. We named the ice lobe that once covered this area the Mackinac Lobe, because it had likely advanced into the region across the Mackinac Straits area. Five of six optically stimulated luminescence (OSL) ages from one of the deltas had minimal scatter and were within ± 1000 years of one another, with a mean age of 23.1 ± 0.4 ka. These ages suggest that the Mackinac Lobe had started to retreat from the region considerably earlier than previously thought, even while ice was near its maximum extent in Illinois and Indiana, and the remainder of Michigan was ice-covered. This early retreat, which appears to coincide with a short-lived warm period indicated from the Greenland ice core, formed an "opening" that was at least occasionally flooded. Thick and deep, fine-textured deposits

Sediment contribution from coastal-cliff erosion into the Nile's littoral cell and its significance to cliff-retreat mitigation efforts

NASA Astrophysics Data System (ADS)

Katz, Oded; Mushkin, Amit; Crouvi, Onn; Alter, Samuel; Shemesh, Ran

2017-04-01

In 2013 the government of Israel initiated a national mitigation program aimed to prevent further collapse and retreat of the country's coastal cliffs, which occur along the northern termination of the Niles's littoral cell (NLC) in the eastern Mediterranean. The goals of this large-scale program are to protect infrastructure and property proximal to the cliff and to conduct long-term maintenance and monitoring of this highly dynamic and sensitive land-sea interface that spans 40 km of Israel's coast line. Here, we examine the possible impact of proposed cliff retreat mitigation efforts on long-shore sediment transport (LST) and coastal dynamics in the region. We used airborne LiDAR spanning a 9-year period between 2006 and 2015 to quantify the annual contribution of sediment eroded from a 20-km-long segment of Israel's coastal cliffs into the NLC. Our measurements reveal 282±85*103 m3 of sediment eroded from the cliff and delivered into the NLC during the studied period. Considering our study area comprises 50% of Israel's sea cliffs we infer an average contribution rate of 30,000-60,000 m^3/yr of cliff-derived sediment into the NLC prior to the planned broad-scale implementation of cliff-retreat mitigation measures. Previous studies report an average net LST flux of 80,000 - 90,000 m3 that reaches the northern termination of the NLC at Haifa Bay annually. Thus, our results suggest that Israel's actively eroding coastal cliffs are primary contributors (40-80%) to the LST budget along the northern termination of the NLC. It therefore appears that successful implementation of the coastal-cliff protection program along Israel's coastline will result in a significant sand deficit, which may drive LST in this part of the NLC out of its 'background' state. In the likely case that the energy/currents driving LST do not change, a possible outcome of this sediment deficit could be increased beach erosion along Israel's coast line to make up for the lost volumes of cliff

Sediment contribution from coastal-cliff erosion into the Nile's littoral cell and its significance to cliff-retreat mitigation efforts

NASA Astrophysics Data System (ADS)

Katz, O.; Mushkin, A.; Crouvi, O.; Alter, S.; Shemesh, R.

2016-12-01

In 2013 the government of Israel initiated a national mitigation program aimed to prevent further collapse and retreat of the country's coastal cliffs, which occur along the northern termination of the Niles's littoral cell (NLC) in the eastern Mediterranean. The goals of this large-scale program are to protect infrastructure and property proximal to the cliff and to conduct long-term maintenance and monitoring of this highly dynamic and sensitive land-sea interface that spans 40 km of Israel's coast line. Here, we examine the possible impact of proposed cliff retreat mitigation efforts on long-shore sediment transport (LST) and coastal dynamics in the region. We used airborne LiDAR spanning a 9-year period between 2006 and 2015 to quantify the annual contribution of sediment eroded from a 20-km-long segment of Israel's coastal cliffs into the NLC. Our measurements reveal 282±85*103 m3 of sediment eroded from the cliff and delivered into the NLC during the studied period. Considering our study area comprises 50% of Israel's sea cliffs we infer an average contribution rate of 30,000-60,000 m3/yr of cliff-derived sediment into the NLC prior to the planned broad-scale implementation of cliff-retreat mitigation measures. Previous studies report an average net LST flux of 80,000 - 90,000 m3 that reaches the northern termination of the NLC at Haifa Bay annually. Thus, our results suggest that Israel's actively eroding coastal cliffs are primary contributors (40-80%) to the LST budget along the northern termination of the NLC. It therefore appears that successful implementation of the coastal-cliff protection program along Israel's coastline will result in a significant sand deficit, which may drive LST in this part of the NLC out of its `background' state. In the likely case that the energy/currents driving LST do not change, a possible outcome of this sediment deficit could be increased beach erosion along Israel's coast line to make up for the lost volumes of cliff

High-resolution sub-ice-shelf seafloor records of twentieth century ungrounding and retreat of Pine Island Glacier, West Antarctica

NASA Astrophysics Data System (ADS)

Davies, D.; Bingham, R. G.; Graham, A. G. C.; Spagnolo, M.; Dutrieux, P.; Vaughan, D. G.; Jenkins, A.; Nitsche, F. O.

2017-09-01

Pine Island Glacier Ice Shelf (PIGIS) has been thinning rapidly over recent decades, resulting in a progressive drawdown of the inland ice and an upstream migration of the grounding line. The resultant ice loss from Pine Island Glacier (PIG) and its neighboring ice streams presently contributes an estimated ˜10% to global sea level rise, motivating efforts to constrain better the rate of future ice retreat. One route toward gaining a better understanding of the processes required to underpin physically based projections is provided by examining assemblages of landforms and sediment exposed over recent decades by the ongoing ungrounding of PIG. Here we present high-resolution bathymetry and sub-bottom-profiler data acquired by autonomous underwater vehicle (AUV) surveys beneath PIGIS in 2009 and 2014, respectively. We identify landforms and sediments associated with grounded ice flow, proglacial and subglacial sediment transport, overprinting of lightly grounded ice-shelf keels, and stepwise grounding line retreat. The location of a submarine ridge (Jenkins Ridge) coincides with a transition from exposed crystalline bedrock to abundant sediment cover potentially linked to a thick sedimentary basin extending upstream of the modern grounding line. The capability of acquiring high-resolution data from AUV platforms enables observations of landforms and understanding of processes on a scale that is not possible in standard offshore geophysical surveys.

Impact of turbulence anisotropy near walls in room airflow.

PubMed

Schälin, A; Nielsen, P V

2004-06-01

The influence of different turbulence models used in computational fluid dynamics predictions is studied in connection with room air movement. The turbulence models used are the high Re-number kappa-epsilon model and the high Re-number Reynolds stress model (RSM). The three-dimensional wall jet is selected for the work. The growth rate parallel to the wall in a three-dimensional wall jet is large compared with the growth rate perpendicular to the wall, and it is large compared with the growth rate in a free circular jet. It is shown that it is not possible to predict the high growth rate parallel with a surface in a three-dimensional wall jet by the kappa-epsilon turbulence model. Furthermore, it is shown that the growth rate can be predicted to a certain extent by the RSM with wall reflection terms. The flow in a deep room can be strongly influenced by details as the growth rate of a three-dimensional wall jet. Predictions by a kappa-epsilon model and RSM show large deviations in the occupied zone. Measurements and observations of streamline patterns in model experiments indicate that a reasonable solution is obtained by the RSM compared with the solution obtained by the kappa-epsilon model. Computational fluid dynamics (CFD) is often used for the prediction of air distribution in rooms and for the evaluation of thermal comfort and indoor air quality. The most used turbulence model in CFD is the kappa-epsilon model. This model often produces good results; however, some cases require more sophisticated models. The prediction of a three-dimensional wall jet is improved if it is made by a Reynolds stress model (RSM). This model improves the prediction of the velocity level in the jet and in some special cases it may influence the entire flow in the occupied zone.

[Efficacy of regimens containing INH, RFP with varied chemotherapy courses on retreated culture positive pneumoconio-tuberculosis].

PubMed

Jiang, W; Chen, H; Gao, J; Huaibei, M

1998-11-01

To evaluate the short and long-term effects of regimens containing INH, RFP with varied chemotherapy courses on culture-positive pneumoconio-tuberculosis. 79 patients with culture-positive pneumoconio-tuberculosis were divided into three groups according to chemotherapy duration: 9-months group (M9: 2SHRZ/7HRE) 28 cases, 12-month group (2SHRZ/10HRE) 25 cases, 18-month group (M18: 2SHRZ/10HRE/6HR) 26 cases. Evaluating the efficacy of regimens depended predominantly on sputum bacteriological conversion, and the patients who completed the regimens were followed up for 5-8 years. Sputum negative conversion rates of three groups at the end of chemotherapy were 83%, 96%, 95%, and their recurrent rates in follow-up period 41%, 4% and 5% respectively. Of all patients who completed the regimens bacteriological relapse rates from the first to fourth year are 6%, 8%, 2%, 2% in the follow-up period. There was no bacteriological relapse from fifth to eighth year. It is effective for SHRZ/HRE combination with 12-months course to retreated tubercle bacillus positive pneumoconio-tuberculosis, and it is appropriate for such patients to be followed up for 4-5 years.

Evaluation of image-guided helical tomotherapy for the retreatment of spinal metastasis

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

Mahan, Stephen L.; Ramsey, Chester R.; Scaperoth, Daniel D.

Introduction: Patients with vertebral metastasis that receive radiation therapy are typically treated to the spinal cord tolerance dose. As such, it is difficult to successfully deliver a second course of radiation therapy for patients with overlapping treatment volumes. In this study, an image-guided helical tomotherapy system was evaluated for the retreatment of previously irradiated vertebral metastasis. Methods and Materials: Helical tomotherapy dose gradients and maximum cord doses were measured in a cylindrical phantom for geometric test cases with separations between the planning target volume (PTV) and the spinal cord organ at risk (OAR) of 2 mm, 4 mm, 6 mm,more » 8 mm, and 10 mm. Megavoltage computed tomography (CT) images were examined for their ability to localize spinal anatomy for positioning purposes by repeat imaging of the cervical spine in an anthropomorphic phantom. In addition to the phantom studies, 8 patients with cord compressions that had received previous radiation therapy were retreated to a mean dose of 28 Gy using conventional fractionation. Results and Discussion: Megavoltage CT images were capable of positioning an anthropomorphic phantom to within {+-}1.2 mm (2{sigma}) superior-inferiorly and within {+-}0.6 mm (2{sigma}) anterior-posteriorly and laterally. Dose gradients of 10% per mm were measured in phantom while PTV uniformity indices of less than 11% were maintained. The calculated maximum cord dose was 25% of the prescribed dose for a 10-mm PTV-to-OAR separation and 71% of the prescribed dose for a PTV-to-OAR separation of 2 mm. Eight patients total have been treated without radiation-induced myelopathy or any other adverse effects from treatment. Conclusions: A technique has been evaluated for the retreatment of vertebral metastasis using image-guided helical tomotherapy. Phantom and patient studies indicated that a tomotherapy system is capable of delivering dose gradients of 10% per mm and positioning the patient within 1

Retreatment strategies following Small Incision Lenticule Extraction (SMILE): In vivo tissue responses

PubMed Central

Liu, Yu-Chi; Lim, Chris H. L.; Lwin, Nyein C.; Teo, Ericia P.; Yam, Gary H.; Tan, Donald T.; Mehta, Jodhbir S.

2017-01-01

With any refractive correction, including Small Incision Lenticule Extraction (SMILE), there may be a residual refractive error that requires a retreatment. Here, we investigated the tissue responses following various retreatment procedures in a rabbit model of SMILE. All rabbits underwent a -6.00D correction with SMILE. Two weeks later, they underwent -1.00D enhancement by: (i) VisuMax Circle, followed by excimer ablation (S+C); (ii) secondary SMILE anterior to the primary procedure (S+SE); or (iii) surface ablation (S+P), and were examined for 28 days. S+P induced corneal edema and haze, and more CD11b- (23±6 cells) and TUNEL-positive (36±4 cells) cells in the central stromal superficial layers early post-operatively (p<0.001 compared to other procedures). The corneas appeared normal on day 28 after S+P, but had a lower number of keratocytes near the laser ablated plane compared to other procedures. S+SE and S+C did not induce corneal haze and resulted similar level of fibronectin. However, S+C resulted in more inflammatory (10±2 cells; p = 0.001) and apoptotic cells (25±2 cells; p<0.001) compared to S+SE (7±1 inflammatory cells and 21±3 apoptotic cells) early post-operatively. In conclusion, each SMILE retreatment method resulted in unique tissue responses. S+SE offers advantages, such as minimal inflammation and cell death, as well as maintaining a ‘flap-less’ surgery, over other procedures. However, depending on the degree of enhancement, the lenticule may become too thin to be extracted and the procedure becomes more difficult to perform than S+C and S+P. S+P can maintain corneal integrity by avoiding flap creation and is technically more simple to perform than the others, but the surgery needs to be supplemented with mitomycin-C in order to reduce inflammation and modulate better wound healing. PMID:28708898

A review of near-wall Reynolds-stress

NASA Technical Reports Server (NTRS)

So, R. M. C.; Lai, Y. G.; Zhang, H. S.; Hwang, B. C.

1991-01-01

The advances made in second-order near-wall turbulence closures are summarized. All closures examined are based on some form of high Reynolds number models for the Reynolds stress and the turbulent kinetic energy dissipation rate equations. Consequently, most near-wall closures proposed to data attempt to modify the high Reynolds number models for the dissipation rate equation so that the resultant models are applicable all the way to the wall. The near-wall closures are examined for their asymptotic behavior so that they can be compared with the proper near-wall behavior of the exact equations. A comparison of the closure's performance in the calculation of a low Reynolds number plane channel flow is carried out. In addition, the closures are evaluated for their ability to predict the turbulence statistics and the limiting behavior of the structure parameters compared to direct simulation data.

Impact of concentration and rate of intraluminal drug delivery on absorption and gut wall metabolism of verapamil in humans.

PubMed

Glaeser, Hartmut; Drescher, Siegfried; Hofmann, Ute; Heinkele, Georg; Somogyi, Andrew A; Eichelbaum, Michel; Fromm, Martin F

2004-09-01

In humans gut wall metabolism can be quantitatively as important as hepatic drug metabolism in limiting the systemic exposure to drugs after oral administration. However, it has been proposed that the role of gut wall metabolism might be overemphasized, because high luminal drug concentrations would lead to a saturation of gut wall metabolism. Therefore we investigated the impact of concentration and rate of intraluminal drug delivery on absorption (F(abs)) and gastrointestinal extraction (E(GI)) of a luminally administered cytochrome P450 (CYP) 3A4 substrate (verapamil) using a multilumen perfusion catheter in combination with a stable isotope technique. Two 20-cm-long, adjacent jejunal segments were isolated with the multilumen perfusion catheter in 7 subjects. In this study 80 mg of unlabeled verapamil (d0-verapamil 15 min) was infused into one segment over a 15-minute period, 80 mg of 3-fold deuterated verapamil (d3-verapamil 240 min) was administered over a 240-minute period into the other segment, and simultaneously, 5 mg of 7-fold deuterated verapamil (d7-verapamil) was injected intravenously over a 15-minute period. The rate of intraluminal drug delivery had only a modest effect on bioavailability of the verapamil isotopes (after correction for F abs ) (F/F abs d3-verapamil 240 min versus d0-verapamil 15 min, 0.24 +/- 0.10 versus 0.20 +/- 0.09; P <.05). Accordingly, the E GI value for d3-verapamil 240 min was 0.50 +/- 0.18 compared with 0.59 +/- 0.14 for d0 -verapamil 15 min ( P <.05). In vivo, E GI (d0-verapamil 15 min ) correlated strongly with E GI (d3-verapamil 240 min ) (r = 0.94, P <.005). Moreover, intrinsic clearance of CYP3A4-mediated verapamil metabolism in homogenates of simultaneously collected shed enterocytes correlated with in vivo E GI of d0-verapamil 15 min /d3-verapamil 240 min (r = 0.62, P =.03). Substantial gut wall metabolism of verapamil occurs in humans and can be predicted from ex vivo data by use of shed enterocytes. The different

Effects of Teriparatide Retreatment in Osteoporotic Men and Women

PubMed Central

Finkelstein, Joel S.; Wyland, Jason J.; Leder, Benjamin Z.; Burnett-Bowie, Sherri-Ann M.; Lee, Hang; Jüppner, Harald; Neer, Robert M.

2009-01-01

Context: The stimulatory effect of teriparatide on bone mineral density (BMD) and bone turnover is initially exuberant, but then diminishes. Objective: Our objective was to determine whether retreating with teriparatide after a drug-free period can restore the initial exuberant response to teriparatide. Design and Setting: This was a planned extension of a randomized controlled trial conducted in a single university hospital. Patients and Intervention: Subjects previously participated in a 30-month randomized trial comparing the effects of alendronate (group 1), teriparatide (group 2), or both (group 3) on BMD and bone turnover in men and women with low BMD (phase 1). Subjects who completed phase 1 on their assigned therapy entered phase 2 (months 30–42), during which teriparatide was stopped in groups 2 and 3. Teriparatide was administered to all subjects during months 42 to 54 (phase 3). Main Outcome Measures: We compared changes in BMD and markers of bone turnover (serum osteocalcin, N-terminal propeptide of type 1 collagen, and N-telopeptide) between phase 1 and 3 in subjects receiving teriparatide alone. Results: Posterior-anterior and lateral spine BMD increased 12.5 ± 1.5 and 16.9 ± 1.7%, respectively, during the first 12 months of teriparatide administration and 5.2 ± 0.8 and 6.2 ± 1.8%, respectively, during teriparatide retreatment (P < 0.001 and P = 0.001). Increases in osteocalcin (P < 0.001), N-terminal propeptide of type 1 collagen (P < 0.001), and N-telopeptide (P < 0.001) were greater during the first period of teriparatide administration. Conclusion: The response to teriparatide is attenuated when readministered after a 12-month hiatus. PMID:19401368

They're M-e-e-elting!: An Investigation of Glacial Retreat in Antarctica

ERIC Educational Resources Information Center

Bugg, Samuel R., IV; Constible, Juanita; Kaput, Marianne; Lee, Richard E., Jr.

2007-01-01

In this article, the authors describe the mechanics of They're M-e-e-elting!, an activity wherein middle school students can simulate glacial retreat in Antarctica. They're M-e-e-elting! allows students to melt glaciers, change the water level and salinity of the Southern Ocean, and examine alterations to the Antarctic food web--all without…

Knickpoint retreat and landscape evolution of the Amatlán de Cañas half-graben (northern sector of Jalisco Block, western Mexico)

NASA Astrophysics Data System (ADS)

Castillo, Miguel; Ferrari, Luca; Muñoz-Salinas, Esperanza

2017-08-01

Rivers are known to respond to changes in the rate of rock uplift by propagating knickpoints through the fluvial network. Downstream of knickpoints, river incision increases local relief producing also the steepening of hillslopes. Thus, knickpoints convey information about the amount of rock uplift to which the fluvial system must respond. Because the incisional pulse produced by the rapid rock uplift is recorded in the topography of channels, the analysis of longitudinal profiles can be used for evaluating the response of landscape to tectonic activity. Here we analyse the longitudinal profile of rivers (n = 84) and the river basin topography (n = 72) with the aim of unravelling the evolution of the Amatlán de Cañas half-graben (ACHG), a Plio-Quaternary structure located in the northern sector of the Jalisco Block (west-central Mexico). Our results indicate that two rock uplift pulses formed the footwall of the ACHG. The distance of knickpoint retreat from the fault scarp exhibit a strong correlation with the stream length (R2 = 0.80), highlighting the importance of stream discharge on knickpoint migration. Clustering of high values of relief, river incision and normalised channel steepness index (ksn) around the centre of the footwall confirms that this is the zone of maximum throw. The propagation of knickpoints along Ameca river is producing the degradation of fans and relief rejuvenation. Using compiled data of knickpoint retreat rates of other tectonically active landscapes, it was found that the stream discharge and the timing and rate of rock uplift are together a first order control on the rate of knickpoint recession. This study supports the idea that the understanding of knickpoints is crucial to unravel the evolution of tectonically active landscapes.

Target lesion response predicts survival of patients with hepatocellular carcinoma retreated with transarterial chemoembolization.

PubMed

Zhang, Yong-Fa; Guo, Rong-Ping; OuYang, Han-Yue; Shen, Jing-Xian; Zhao, Jing; Tan, Guo-Sheng; Le, Yong; Wei, Wei; Shi, Ming

2016-10-01

The discontinuation rules of transarterial chemoembolization (TACE) for patients who were assessed as progressive disease (PD) but stage progression-free (SP-free: still belongs to Barcelona Clinic Liver Cancer B) after TACE are unclear. We aimed to evaluate the impact of the PD-pattern on the survival of these patients retreated with TACE. In total, 115 consecutive patients who were assessed as PD but SP-free after TACE and then underwent at least one subsequent TACE session were included. Sixty patients were assessed as PD with target lesion progression (TP), and 55 patients were assessed as PD with target lesion non-progression (TNP). Survival and treatment-related adverse events were compared between the two groups. Additional external validation was performed using a data set (n = 103) from another institution. Patients with TNP had significantly longer median post-progression survival (PPS) than those with TP (21.0 vs. 11.9 months, P = 0.004). After TACE retreatment, the incidence of liver dysfunction was significantly higher for patients with TP than for patients with TNP (45% vs. 20%, P = 0.031). In the multivariate analysis, the target lesion response was one of the most significant prognostic factors for PPS (HR = 2.01; 95% confidence interval: 1.23-3.27; P = 0.005). The findings were supported by an independent external cohort. Compared to patients with TNP, patients with TP might exhibit no improvement in survival and even present damaged liver function after retreatment with TACE. Target lesion response is useful as a clinical decision for repeated TACE in these patients. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

LASIK and PRK in hyperopic astigmatic eyes: is early retreatment advisable?

PubMed

Frings, Andreas; Richard, Gisbert; Steinberg, Johannes; Druchkiv, Vasyl; Linke, Stephan Johannes; Katz, Toam

2016-01-01

To analyze the refractive and keratometric stability in hyperopic astigmatic laser in situ keratomileusis (LASIK) or photorefractive keratectomy (PRK) during the first 6 months after surgery. This retrospective cross-sectional study included 97 hyperopic eyes; 55 were treated with LASIK and 42 with PRK. Excimer ablation for all eyes was performed using the ALLEGRETTO excimer laser platform using a mitomycin C for PRK and a mechanical microkeratome for LASIK. Keratometric and refractive data were analyzed during three consecutive follow-up intervals (6 weeks, 3 months, and 6 months). The corneal topography was obtained using Scheimpflug topography, and subjective refractions were acquired by expert optometrists according to a standardized protocol. After 3 months, mean keratometry and spherical equivalent were stable after LASIK, whereas PRK-treated eyes presented statistically significant (P<0.001) regression of hyperopia. In eleven cases, hyperopic regression of >1 D occurred. The optical zone diameter did not correlate with the development of regression. After corneal laser refractive surgery, keratometric changes are followed by refractive changes and they occur up to 6 months after LASIK and for at least 6 months after PRK, and therefore, caution should be applied when retreatment is planned during the 1st year after surgery because hyperopic refractive regression can lead to suboptimal visual outcome. Keratometric and refractive stability is earlier achieved after LASIK, and therefore, retreatment may be independent of late regression.

Great Wall of China

NASA Technical Reports Server (NTRS)

2001-01-01

This ASTER sub-image covers a 12 x 12 km area in northern Shanxi Province, China, and was acquired January 9, 2001. The low sun angle, and light snow cover highlight a section of the Great Wall, visible as a black line running diagonally through the image from lower left to upper right. The Great Wall is over 2000 years old and was built over a period of 1000 years. Stretching 4500 miles from Korea to the Gobi Desert it was first built to protect China from marauders from the north.

This image is located at 40.2 degrees north latitude and 112.8 degrees east longitude.

Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) is one of five Earth-observing instruments launched December 18, 1999, on NASA's Terra satellite. The instrument was built by Japan's Ministry of International Trade and Industry. A joint U.S./Japan science team is responsible for validation and calibration of the instrument and the data products. Dr. Anne Kahle at NASA's Jet Propulsion Laboratory, Pasadena, Calif., is the U.S. Science team leader; Moshe Pniel of JPL is the project manager. ASTER is the only high resolution imaging sensor on Terra. The primary goal of the ASTER mission is to obtain high-resolution image data in 14 channels over the entire land surface, as well as black and white stereo images. With revisit time of between 4 and 16 days, ASTER will provide the capability for repeat coverage of changing areas on Earth's surface.

The broad spectral coverage and high spectral resolution of ASTER will provide scientists in numerous disciplines with critical information for surface mapping, and monitoring dynamic conditions and temporal change. Example applications are: monitoring glacial advances and retreats, monitoring potentially active volcanoes, identifying crop stress, determining cloud morphology and physical properties, wetlands Evaluation, thermal pollution monitoring, coral reef degradation, surface temperature mapping of soils and geology, and

Retreatment with pembrolizumab in advanced non-small cell lung cancer patients previously treated with nivolumab: emerging reports of 12 cases.

PubMed

Fujita, Kohei; Uchida, Naohiro; Kanai, Osamu; Okamura, Misato; Nakatani, Koichi; Mio, Tadashi

2018-04-19

After approval of anti-programmed cell death (PD)-1 antibodies, treatment for non-small cell lung cancer (NSCLC) has drastically changed. However, even in patients with favorable effects, therapeutic efficacy does not last long. Recently, retreatment with anti-PD-1 antibody has received attention. The aim of this study was to evaluate the efficacy and safety of retreatment with pembrolizumab in NSCLC patients previously treated with nivolumab. We retrospectively reviewed NSCLC patients retreated with pembrolizumab who were previously treated with nivolumab. We collected the following data: patient characteristics, number of cycles of nivolumab and pembrolizumab, treatment interval between nivolumab and pembrolizumab, best response, and immune-related adverse events. Twelve patients were reviewed. The median number of cycles of nivolumab was 12.5 (range 2-32 cycles). Seven patients (58.3%) achieved a partial response (PR) and two patients (16.7%) achieved stable disease (SD). Eight patients (66.7%) received cytotoxic chemotherapy between nivolumab and pembrolizumab. The median number of cycles of chemotherapy treatment was 4 (range 1-9 cycles). The median number of cycles of pembrolizumab was 3.5 (range 1-17 cycles). One patient (8.3%) achieved PR and four patients (33.3%) achieved SD as their best response to pembrolizumab. All patients showing response to pembrolizumab had very high (≥ 80%) tumor PD-Ligand 1 expression. This study suggested that retreatment with anti-PD-1 antibody is a reasonable option for selected NSCLC patients.

Extreme rates of riverbank erosion of the high bluff formed by the ice-rich syngenetic permafrost (yedoma), Itkillik River, Northern Alaska

NASA Astrophysics Data System (ADS)

Kanevskiy, M. Z.; Shur, Y.; Fortier, D.; Jorgenson, T.; Stephani, E.; Strauss, J.

2013-12-01

Riverbank erosion in areas underlain by ice-rich permafrost is strongly affected by the processes of thawing of ground ice, which include (1) thermal erosion, and (2) thermal denudation. Thermal erosion is a process of combined thermal and mechanical action of moving water, which results in simultaneous thawing of frozen soil and its removal by water. Thermal erosion can cause block collapse of eroded banks. Thermal denudation is a process of thawing of frozen soils exposed in the bluff due to solar energy and consequent removal of thawed soils by gravity. Studies of riverbank and coastal erosion revealed that the highest rates of erosion are typical of bluffs composed by yedoma (ice- and organic-rich syngenetically frozen silty deposits). Yedoma deposits can be up to 50 m thick, and they contain huge ice wedges up to 10 m wide. Since 2006, we have studied the process of riverbank erosion of the 35 m high exposure of yedoma along the Itkillik River in northern Alaska. Based on five measurements of the areas occupied by wedge ice in panoramic photographs taken in 2006, 2007, 2011, and 2012, the average wedge-ice volume makes 61% of the entire exposed bluff. The total volumetric ground ice content of the Itkillik yedoma, including wedge, segregated and pore ice, is 85%. We detect three main stages of the riverbank erosion for the study site and other similar sites in the areas of ice-rich permafrost: (1) thermal erosion combined with thermal denudation, (2) thermal denudation, and (3) slope stabilization. The first stage includes formation of thermoerosional niches; development of sub-vertical cracks and block-fall collapse of cornices; and thawing and disintegration of blocks of ground ice and frozen soil in the water. All these processes are accompanied by thermal denudation of the exposed bluff. On August 16, 2007, a big portion of the bluff fell down along the crack sub-parallel to the bluff. As a result, the vertical wall more than 65 m long entirely formed by

A case of tick bite by a spontaneously retreated Ixodes nipponensis.

PubMed

Cho, B K; Nam, H W; Cho, S Y; Lee, W K

1995-09-01

A 58-year old housewife consulted us about 1 cm sized, dark-brownish, bean-like mass which was dropped spontaneously from indurated skin lesion on her abdomen. The mass was identified morphologically as an engorged female Ixodes nipponensis. Nine days earlier, she had an excursion collecting edible sprouts of wild grass. Spontaneous retreat has been unusual in clinical tick bites in Korea. Fourteen cases of tick bite described in the Korean literature were reviewed briefly in relation to Lyme borreliosis.

Thin-wall approximation in vacuum decay: A lemma

NASA Astrophysics Data System (ADS)

Brown, Adam R.

2018-05-01

The "thin-wall approximation" gives a simple estimate of the decay rate of an unstable quantum field. Unfortunately, the approximation is uncontrolled. In this paper I show that there are actually two different thin-wall approximations and that they bracket the true decay rate: I prove that one is an upper bound and the other a lower bound. In the thin-wall limit, the two approximations converge. In the presence of gravity, a generalization of this lemma provides a simple sufficient condition for nonperturbative vacuum instability.

Sustained virological response and baseline predictors in HIV-HCV coinfected patients retreated with pegylated interferon and ribavirin after failing a previous interferon-based therapy: systematic review and meta-analysis.

PubMed

Basso, Monica; Parisi, Saverio Giuseppe; Mengoli, Carlo; Gentilini, Valeria; Menegotto, Nicola; Monticelli, Jacopo; Nicolè, Stefano; Cruciani, Mario; Palù, Giorgio

2013-01-01

Published data on retreatment with pegylated interferon and ribavirin of previously failing HIV-HCV coinfected patients are sparse and limited to observational study. We aimed to evaluate efficacy and pretreatment predictors. Systematic review and meta-analysis of observational studies. The overall and genotype-related success rate was investigated. A direct comparison was performed between genotypes 1/4 and 2/3 by evaluating the sustained virological response (SVR) rate ratio (RR). The effect of study level variables on the effect size was investigated by meta-regression. Variables that were analyzed included age, gender, advanced hepatic fibrosis, pretreatment of HCV RNA and CD4, and successful antiretroviral treatment (ART). The available evidence was from 5 open-label, cohort studies (275 patients). The overall SVR rate was 0.280 (95% CI,0.171-0.425). The SVR rate in genotype 1/4 infections was 0.174 (95% CI, 0.129-0.230), and in genotype 2/3 infections it was 0.474 (95% CI, 0.286-0.670). The pooled RR comparing the SVR of genotype 1/4 to 2/3 was 0.369 (95% CI, 0.239-0.568), with a decreased probability of response for genotype 1/4 (P < .001). HIV RNA suppression had a significant effect on SVR (P = .005). The other covariates had no effect on the overall SVR rate. The overall SVR rate was 28%, consistent with the rate reported in the retreatment of mono-infected patients with the same schedule. A substantial relative reduction in the SVR rate of about one-third, when treating genotypes 1/4, was found, with a low SVR rate of 17%. Successful HIV suppression by ART predicted a higher rate of treatment success.

The St. Ignatius Jesuit Retreat and Training Centre: Cultivating Ecological Awareness and Connection with the Earth

ERIC Educational Resources Information Center

Groen, Janet

2017-01-01

This chapter focuses on the role of religiously based spirituality in cultivating environmental awareness and citizenship by examining an adult environmental education program offered at the Ignatius Jesuit Centre, a religious retreat center in Guelph, Canada.

Comparison of debris extruded apically and working time used by ProTaper Universal rotary and ProTaper retreatment system during gutta-percha removal

PubMed Central

UEZU, Mary Kinue Nakamune; BRITTO, Maria Leticia Borges; NABESHIMA, Cleber K.; PALLOTTA, Raul Capp

2010-01-01

Objective The aim of this study was to evaluate the in vitro action of ProTaper retreatment files and ProTaper Universal in the retreatment of mandibular premolars. Material and methods The amount of debris extruded apically was measured and the time to reach the working length and to complete the removal of gutta-percha was observed. Thirty teeth had their canals prepared using ProTaper Universal files and were obturated by the single cone technique. The teeth were then stored at 37ºC in a humid environment for 7 days. During the use of the rotary instruments for root canal filling removal, the apical portions of the teeth were attached to the open end of a resin tube to collect the apically extruded debris. Results ProTaper Universal files were significantly faster (p=0.0011) than the ProTaper retreatment files to perform gutta-percha removal, but no significant difference was found between the files regarding the time to reach the working length or the amount of apical extrusion. Conclusions ProTaper Universal rotary had better results for endodontic retreatment, and both techniques promote similar apical extrusion of debris. PMID:21308282

Effectiveness of ProTaper Universal retreatment instruments used with rotary or reciprocating adaptive motion in the removal of root canal filling material.

PubMed

Capar, I D; Arslan, H; Ertas, H; Gök, T; Saygılı, G

2015-01-01

To compare the effectiveness of ProTaper Universal retreatment instruments with continuous rotation and adaptive motion (AM; a modified reciprocating motion that combines rotational and reciprocating motion) in the removal of filling material. Mesiobuccal root canals in 36 mandibular first molars were instrumented up to size F2 with the ProTaper Universal instrument (Dentsply Maillefer, Ballaigues, Switzerland) and filled using sealer and ProTaper Universal F2 gutta-percha cones. Gutta-percha was then down-packed and the root canal backfilled using the extruder hand-piece of the Elements Obturation System (SybronEndo, Orange, CA, USA). The teeth were assigned to two groups (n = 18), and removal of the root fillings was performed using one of the following techniques: group 1) ProTaper Universal retreatment files used with rotational motion (RM) and group 2) ProTaper Universal retreatment files used with adaptive motion (AM) (600° clockwise/0° counter-clockwise to 370° clockwise/50° counter-clockwise). The teeth were sectioned, and both halves were analysed at 8 × magnification. The percentage of remaining filling material was recorded. The data were analysed statistically using the Student's t-test at a 95% confidence level (P < 0.05). There was no significant difference between the groups with respect to the total time required for retreatment (P = 0.481). The AM technique left significantly less filling material than the RM method (P = 0.013). The use of ProTaper Universal retreatment files with adaptive motion removed more filling materials from root canals than the rotational movement. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

A millennial-scale record of tidewater glacier advance and retreat, SW Greenland.

NASA Astrophysics Data System (ADS)

Pearce, Danni; Mair, Doug; Rea, Brice; Schofield, Ed; Lea, James; Barr, Iestyn; Kamenos, Nick; Schoenrock, Kate

2017-04-01

Tidewater glaciers (TWGs) exert a major control on the short- and long-term mass balance of the Greenland Ice Sheet (GrIS) and have experienced widespread retreat over the last century. However, in many cases inferences on their dynamics, prior to this, are poorly constrained due to a lack of observations and paucity of mapped or mappable deglacial geomorphology. Especially lacking is evidence associated with TWG advance during the Little Ice Age (LIA, AD c. 1300 to 1850). Such data are crucial for numerical model calibration and validation in order to more confidently forward model ice sheet dynamics and projection future sea-level rise. Therefore, empirical data constraints from the palaeo-record, that span such timescales (decadal to millennial), are essential. Kangiata Nunaata Sermia (KNS) is the most dynamic TWG in SW Greenland, located c. 100 km inland from Nuuk, at the head of Godthabsfjord. KNS has received considerable research attention over the last decade but glacial geomorphological and numerical dating investigations have been limited. However, the adjacent topography and geomorphology presents a unique opportunity to reconstruct the advance and retreat dynamics over the LIA. We present detailed glacial geomorphological mapping for KNS, which followed a morphostratigraphic approach, using a combination of aerial photos, Landsat, a DEM and field mapping. This identified a three landsystems, which are associated with the LIA, pre-LIA and neoglacial. From the mapping inferences on rapid changes in meltwater routing have been inferred. When KNS reached its LIA maximum (c. 1761), the calving front was c. >22 km further along the fjord than present and a number of ice-dammed lakes were formed. We present new 14C dating from peat underlying lake sediments associated with an ice-dammed lake and buried palaeosols resulting from meltwater re-routing over topographic spillways. The ages support an early and rapid LIA advance phase, with advance rates being

Subduction zone decoupling/retreat modeling explains south Tibet (Xigaze) and other supra-subduction zone ophiolites and their UHP mineral phases

NASA Astrophysics Data System (ADS)

Butler, Jared P.; Beaumont, Christopher

2017-04-01

The plate tectonic setting in which proto-ophiolite 'oceanic' lithosphere is created remains controversial with a number of environments suggested. Recent opinions tend to coalesce around supra-subduction zone (SSZ) forearc extension, with a popular conceptual model in which the proto-ophiolite forms during foundering of oceanic lithosphere at the time of spontaneous or induced onset of subduction. This mechanism is favored in intra-oceanic settings where the subducting lithosphere is old and the upper plate is young and thin. We investigate an alternative mechanism; namely, decoupling of the subducting oceanic lithosphere in the forearc of an active continental margin, followed by subduction zone (trench) retreat and creation of a forearc oceanic rift basin, containing proto-ophiolite lithosphere, between the continental margin and the retreating subduction zone. A template of 2D numerical model experiments examines the trade-off between strength of viscous coupling in the lithospheric subduction channel and net slab pull of the subducting lithosphere. Three tectonic styles are observed: 1) C, continuous subduction without forearc decoupling; 2) R, forearc decoupling followed by rapid subduction zone retreat; 3) B, breakoff of subducting lithosphere followed by re-initiation of subduction and in some cases, forearc decoupling (B-R). In one case (BA-B-R; where BA denotes backarc) subduction zone retreat follows backarc rifting. Subduction zone decoupling is analyzed using frictional-plastic yield theory and the Stefan solution for the separation of plates containing a viscous fluid. The numerical model results are used to explain the formation of Xigaze group ophiolites, southern Tibet, which formed in the Lhasa terrane forearc, likely following earlier subduction and not necessarily during subduction initiation. Either there was normal coupled subduction before subduction zone decoupling, or precursor slab breakoff, subduction re-initiation and then decoupling

From underplating to delamination-retreat in the northern Apennines

NASA Astrophysics Data System (ADS)

Chiarabba, C.; Giacomuzzi, G.; Bianchi, I.; Agostinetti, N. P.; Park, J.

2014-10-01

Recordings of teleseismic earthquakes from a dense set of temporary and permanent broadband seismic stations reveal the lithospheric structure of the northern Apennines and support the scenario of a retreating detachment within the mid-crust. Lithospheric delamination appears crucial to the formation and evolution of the Apennines orogen. Receiver-function (RF) stacks outline a continuous west-dipping Ps converted phase from a positive velocity jump that we interpret as the top of the lower crust and mantle of the Adria continental lithosphere, which is descending into the shallow mantle. The correlation of seismicity with two RF profiles across the northern Apennines suggests distinct stages of lithospheric delamination. Active penetration of the detachment into the Adria lithosphere seems evident in the south/east, with induced shallow-mantle flow facilitated by slab dehydration. Penetration of the detachment in the north/west seems to have arrested, and is possibly marked by crustal underplating. This layer atop the Apennines slab is visible only down to 80 km depth and suspends above an oppositely-dipping paired positive/negative Ps converted phase in stacked receiver functions. The break in the west-dipping Adria lithosphere conflicts with a westward-subduction scenario continuous from the Oligocene. Lateral changes of deep structure and seismicity along the northern Apennines suggest that underplating of crustal material and delamination-retreat are distinct mechanisms active today in the western and eastern sectors, respectively, of the northern Apennines. Negative Ps-pulses at 100-120 km depth help to define a seismic lithosphere-asthenosphere boundary (LAB), but cross-cut a volume of high-velocity mantle rock, as inferred from tomographic models. We hypothesize that this seismic LAB is a rheological discontinuity that affects the frequency band of seismic body waves, but not the long-term viscous response that governs the evolution and eventual detachment

Plasticity of visual attention in Isha yoga meditation practitioners before and after a 3-month retreat

PubMed Central

Braboszcz, Claire; Cahn, B. Rael; Balakrishnan, Bhavani; Maturi, Raj K.; Grandchamp, Romain; Delorme, Arnaud

2013-01-01

Meditation has lately received considerable interest from cognitive neuroscience. Studies suggest that daily meditation leads to long lasting attentional and neuronal plasticity. We present changes related to the attentional systems before and after a 3 month intensive meditation retreat. We used three behavioral psychophysical tests - a Stroop task, an attentional blink task, and a global-local letter task-to assess the effect of Isha yoga meditation on attentional resource allocation. 82 Isha yoga practitioners were tested at the beginning and at the end of the retreat. Our results showed an increase in correct responses specific to incongruent stimuli in the Stroop task. Congruently, a positive correlation between previous meditation experience and accuracy to incongruent Stroop stimuli was also observed at baseline. We also observed a reduction of the attentional blink. Unexpectedly, a negative correlation between previous meditation experience and attentional blink performance at baseline was observed. Regarding spatial attention orientation as assessed using the global-local letter task, participants showed a bias toward local processing. Only slight differences in performance were found pre- vs. post- meditation retreat. Biasing toward the local stimuli in the global-local task and negative correlation of previous meditation experience with attentional blink performance is consistent with Isha practices being focused-attention practices. Given the relatively small effect sizes and the absence of a control group, our results do not allow clear support nor rejection of the hypothesis of meditation-driven neuronal plasticity in the attentional system for Isha yoga practice. PMID:24376429

The practicality of defensive ice walls: How would the great ice wall in Game of Thrones hold up?

NASA Astrophysics Data System (ADS)

Truffer, M.

2017-12-01

The Game of Thrones great ice wall is a colossal feature stretching several hundred miles and over 200 m high. Its purpose is to defend the realm from the wildlings. It is generally pictured as a near vertical wall. An ice wall of these proportions poses interesting challenges, mainly because ice acts as a non-linear shear-thinning fluid. A 200 m high vertical wall would create a large effective stress near its base of almost 1.8 MPa. Typical stresses responsible for ice flow in glaciers and ice sheets are more than a magnitude lower (0.1 MPa). Extrapolating a commonly used flow law for temperate ice to such high stresses would lead to strain rates at the bottom of the wall in excess of 1/day, meaning the wall would rapidly collapse and spread laterally under its own weight. To keep the wall stable, it would help to cool it significantly, as the flow of ice is also very temperature dependent. Cooling to a chilly -40 C would reduce strain rates by two orders of magnitude, but this still leads to significant slumping of the wall within just a few weeks. A time-dependent similarity solution for simplified ice flow equations that describe the evolving shape of the ice wall was provided by Halfar (1981), and demonstrates the rapid decay of the wall. A simple estimate can be derived by assuming that ice is a perfectly plastic fluid, able to maintain a basal shear stress of about 0.1 MPa. A stable ice wall would then spread laterally to about 4 km width. The resulting slope would only be steep at the very margin and the ice wall would loose much of its defensive capabilities. I conclude that the ice wall as proposed would not be a practicable defense under typical Earth conditions, and special magical powers would be necessary to maintain its shape, even for just a few days.

Microsurgical Chest Wall Reconstruction After Oncologic Resections

PubMed Central

Sauerbier, Michael; Dittler, S.; Kreutzer, C.

2011-01-01

Defect reconstruction after radical oncologic resection of malignant chest wall tumors requires adequate soft tissue reconstruction with function, stability, integrity, and an aesthetically acceptable result of the chest wall. The purpose of this article is to describe possible reconstructive microsurgical pathways after full-thickness oncologic resections of the chest wall. Several reliable free flaps are described, and morbidity and mortality rates of patients are discussed. PMID:22294944

Impact of glaciers retreat on highland Andean wetlands and communities: lessons from the upper Cachi catchment (Ayacucho, Peru)

NASA Astrophysics Data System (ADS)

Angulo, Oscar; Biévre Bert, De

2017-04-01

The vulnerability of water resources under climate change scenarios in Peru is generally regarded to be connected to a diminished availability of water due to retreating glaciers. However, the impact of glacier retreat goes much beyond a decline of glacial water reserves. This article argues that another important impact is the extreme erosion in areas where glaciers have recently melted, as well as the accumulation of erosion material in highland wetlands located downslope. As a direct consequence of these changes highland Andean communities which depend on these ecosystems are affected in socio-economic terms as they find themselves forced to alter ancestral dynamics and traditional practices of land and water use. This quickly leads to a vicious cycle of risks and threats. In such a context a possibility to adapt to glacial retreat should be to protect areas affected by glacial melt in order to enable a rapid development of protective vegetation cover. In the upper catchment of the Cachi River interesting experiences of protection and water harvesting exist that could be extended to other high vulnerability areas for the benefit of highland populations as well as downstream water users, such as the irrigation system of Cachi and the city of Ayacucho.

Orthodontic-surgical retreatment of facial asymmetry with occlusal cant and severe root resorption: A 3-year follow-up.

PubMed

Lisboa, Cinthia de Oliveira; Borges, Marlon Sampaio; Medeiros, Paulo José D'Albuquerque; Motta, Alexandre Trindade; Mucha, José Nelson

2017-08-01

Our objective was to report the orthodontic and surgical retreatment of a patient who had undergone a prolonged orthodontic treatment with extractions, but who had unsatisfactory results and persistent side effects. The man, aged 25 years 3 months, sought treatment with major complaints of facial and smile asymmetries. The clinical examination showed a mandibular deviation to the right and a maxillary occlusal cant. A Class II Division 1 subdivision right was observed. Radiographic examination showed extensive root resorptions in the maxillary second premolars and absence of the 4 first premolars. The maxillary midline was deflected 2 mm to the left, and the mandibular midline was shifted 5 mm to the right. Aligning and leveling were performed with orthodontic fixed appliances, with a standard edgewise system (0.022 × 0.028 in), followed by LeFort I maxillary impaction and bilateral sagittal split osteotomy with asymmetrical advancement. Retreatment showed outstanding results that remained stable after 3 years of follow-up. Root resorption in the second premolars did not seem to increase. Orthodontic-surgical intervention is the main choice for correcting esthetic and functional problems in facial asymmetry, particularly in cases of retreatment. Copyright © 2017 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

On the pattern of WAIS retreat in eastern Ross Sea based on a regional synthesis of new geophysical and geological data acquired during NBP1502

NASA Astrophysics Data System (ADS)

McGlannan, A. J.; Bart, P. J.; Anderson, J. B.

2016-02-01

New multibeam and seismic data acquired during NBP1502 reveal that a series of backstepping grounding zone wedges (GZWs) were constructed on the middle shelf as the West Antarctic Ice Sheet (WAIS) retreated from the Whales Deep paleo-ice stream trough. The geomorphological information provided by these geophysical data were used to acquire a regional grid of jumbo-piston and kasten cores. Here, we present our regional synthesis of the new geophysical and geological data. The distributions of upcore transitions from diamict to sub-ice-shelf facies on the outer-most shelf demonstrate that as the grounded ice retreated in four discrete backsteps, the calving front remained in the vicinity of the shelf edge, approximately 50 kilometers to the north. In contrast, the upcore transition at the fourth backstep shows GZW diamict directly overlain by open-marine facies. We interpret this to indicate that a major retreat of both grounded and floating ice was associated with the termination of the middle-shelf grounding event. The minimum retreat distance was greater than 100 kilometers.

The effectiveness of retreatment with peginterferon alfa and ribavirin in patients with chronic viral hepatitis C genotype 2 and 3: a prospective cohort study in Brazil.

PubMed

Artico, Simara; Amaral, Karine Medeiros; Gonçalves, Candice Beatriz Treter; Picon, Paulo Dornelles

2012-12-27

More than 50% of patients infected with chronic hepatitis C virus (HCV) do not respond to treatment with conventional interferon (IFN) combined with ribavirin (RBV). The aim of our study was to evaluate the effectiveness of retreatment with peginterferon alfa-2a or 2b (PEG-IFN 2a or 2b) concomitantly with RBV in patients with HCV genotype 2 and 3, which were non-responders or relapsers to initial treatment with IFN / RBV and to identify possible predictors of sustained virological response (SVR). From September 2003 to March 2009 a cohort of 216 patients who had previously failed therapy with a regimen of standard interferon and ribavirin, were followed in a specialized service implemented in the Brazilian Unified Health System, Rio Grande do Sul. All patients were retreated with PEG-IFN 2a or 2b per week, associated with RBV, through oral route, with doses determined according to weight (1,000 mg if weight ≤ 75 Kg and 1,250 mg if ≥ 75 Kg) per day for 48 weeks. The HCV-RNA was tested by Polymerase Chain Reaction (PCR). Virological Response (VR) within 48 weeks and SVR in the 72 weeks was considered for evaluation of treatment efficacy. Analyses were performed in patients who received at least one dose of PEG-IFN. The SVR rate for non-responders to previous treatment was 34.4% and for relapsers was 50% (p = 0.031). As predictive factors that contribute to improve SVR, were identified the age (p = 0.005), to be relapsers to previous treatment (p = 0.023) and present liver biopsy examination Metavir F0-F2 (p = 0.004). In assessing the safety profile, 51 patients (23.6%) discontinued treatment prematurely. This alternative retreatment for patients who have failed prior therapies for anti-HCV, has demonstrated promising SVR rate, provided that it includes a careful selection of patients with predictors of response and adverse events monitored.

The effectiveness of retreatment with peginterferon alfa and ribavirin in patients with chronic viral hepatitis C genotype 2 and 3: a prospective cohort study in Brazil

PubMed Central

2012-01-01

Background More than 50% of patients infected with chronic hepatitis C virus (HCV) do not respond to treatment with conventional interferon (IFN) combined with ribavirin (RBV). The aim of our study was to evaluate the effectiveness of retreatment with peginterferon alfa-2a or 2b (PEG-IFN 2a or 2b) concomitantly with RBV in patients with HCV genotype 2 and 3, which were non-responders or relapsers to initial treatment with IFN / RBV and to identify possible predictors of sustained virological response (SVR). Methods From September 2003 to March 2009 a cohort of 216 patients who had previously failed therapy with a regimen of standard interferon and ribavirin, were followed in a specialized service implemented in the Brazilian Unified Health System, Rio Grande do Sul. All patients were retreated with PEG-IFN 2a or 2b per week, associated with RBV, through oral route, with doses determined according to weight (1,000 mg if weight ≤ 75 Kg and 1,250 mg if ≥ 75 Kg) per day for 48 weeks. The HCV-RNA was tested by Polymerase Chain Reaction (PCR). Virological Response (VR) within 48 weeks and SVR in the 72 weeks was considered for evaluation of treatment efficacy. Analyses were performed in patients who received at least one dose of PEG-IFN. Results The SVR rate for non-responders to previous treatment was 34.4% and for relapsers was 50% (p = 0.031). As predictive factors that contribute to improve SVR, were identified the age (p = 0.005), to be relapsers to previous treatment (p = 0.023) and present liver biopsy examination Metavir F0-F2 (p = 0.004). In assessing the safety profile, 51 patients (23.6%) discontinued treatment prematurely. Conclusions This alternative retreatment for patients who have failed prior therapies for anti-HCV, has demonstrated promising SVR rate, provided that it includes a careful selection of patients with predictors of response and adverse events monitored. PMID:23270376

Shielding synchrotron light sources: Advantages of circular shield walls tunnels

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

Kramer, S. L.; Ghosh, V. J.; Breitfeller, M.

Third generation high brightness light sources are designed to have low emittance and high current beams, which contribute to higher beam loss rates that will be compensated by Top-Off injection. Shielding for these higher loss rates will be critical to protect the projected higher occupancy factors for the users. Top-Off injection requires a full energy injector, which will demand greater consideration of the potential abnormal beam miss-steering and localized losses that could occur. The high energy electron injection beam produce significantly higher neutron component dose to the experimental floor than lower energy injection and ramped operations. High energy neutrons producedmore » in the forward direction from thin target beam losses are a major component of the dose rate outside the shield walls of the tunnel. The convention has been to provide thicker 90° ratchet walls to reduce this dose to the beam line users. We present an alternate circular shield wall design, which naturally and cost effectively increases the path length for this forward radiation in the shield wall and thereby substantially decreasing the dose rate for these beam losses. Here, this shield wall design will greatly reduce the dose rate to the users working near the front end optical components but will challenge the beam line designers to effectively utilize the longer length of beam line penetration in the shield wall. Additional advantages of the circular shield wall tunnel are that it's simpler to construct, allows greater access to the insertion devices and the upstream in tunnel beam line components, as well as reducing the volume of concrete and therefore the cost of the shield wall.« less

Shielding synchrotron light sources: Advantages of circular shield walls tunnels

DOE PAGES

Kramer, S. L.; Ghosh, V. J.; Breitfeller, M.

2016-04-26

Third generation high brightness light sources are designed to have low emittance and high current beams, which contribute to higher beam loss rates that will be compensated by Top-Off injection. Shielding for these higher loss rates will be critical to protect the projected higher occupancy factors for the users. Top-Off injection requires a full energy injector, which will demand greater consideration of the potential abnormal beam miss-steering and localized losses that could occur. The high energy electron injection beam produce significantly higher neutron component dose to the experimental floor than lower energy injection and ramped operations. High energy neutrons producedmore » in the forward direction from thin target beam losses are a major component of the dose rate outside the shield walls of the tunnel. The convention has been to provide thicker 90° ratchet walls to reduce this dose to the beam line users. We present an alternate circular shield wall design, which naturally and cost effectively increases the path length for this forward radiation in the shield wall and thereby substantially decreasing the dose rate for these beam losses. Here, this shield wall design will greatly reduce the dose rate to the users working near the front end optical components but will challenge the beam line designers to effectively utilize the longer length of beam line penetration in the shield wall. Additional advantages of the circular shield wall tunnel are that it's simpler to construct, allows greater access to the insertion devices and the upstream in tunnel beam line components, as well as reducing the volume of concrete and therefore the cost of the shield wall.« less

Landforms, sediments and dates to constrain rates and style of marine-influenced ice sheet decay; the BRITICE-CHRONO project.

NASA Astrophysics Data System (ADS)

Clark, Chris

2014-05-01

Uncertainty exists regarding the future mass of the Antarctic and Greenland ice sheets and how they will respond to forcings from sea level, and atmospheric and ocean temperatures. If we want to know more about the mechanisms and rate of change of shrinking ice sheets, then why not examine an ice sheet that has fully disappeared and track its retreat through time? If achieved in enough detail such information on ice retreat could be a data-rich playground for improving the next breed of numerical ice sheet models to be used in ice and sea level forecasting. We regard that the last British-Irish Ice Sheet is a good target for this work, on account of its small size, density of information and with its numerous researchers already investigating it. Geomorphological mapping across the British Isles and the surrounding continental shelf has revealed the nature and distribution of glacial landforms. Here we demonstrate how such data have been used to build a pattern of ice margin retreat. The BRITICE-CHRONO consortium of Quaternary scientists and glaciologists, are now working on a project running from 2012 - 2017 to produce an ice sheet wide database of geochronometric dates to constrain and then understand ice margin retreat. This is being achieved by focusing on 8 transects running from the continental shelf edge to a short distance (10s km) onshore and acquiring marine and terrestrial samples for geochronometric dating. The project includes funding for 587 radiocarbon, 140 OSL and 158 TCN samples for surface exposure dating; with sampling accomplished by two research cruises and 16 fieldwork campaigns. Results will reveal the timing and rate of change of ice margin recession for each transect, and combined with existing landform and dating databases, will be used to build an ice sheet-wide empirical reconstruction of retreat. Simulations using two numerical ice sheet models, fitted against the margin data, will help us understand the nature and significance of sea

The rate of sputum smear-positive tuberculosis after treatment default in a high-burden setting: a retrospective cohort study.

PubMed

Marx, Florian M; Dunbar, Rory; Enarson, Donald A; Beyers, Nulda

2012-01-01

High rates of recurrent tuberculosis after successful treatment have been reported from different high burden settings in Sub-Saharan Africa. However, little is known about the rate of smear-positive tuberculosis after treatment default. In particular, it is not known whether or not treatment defaulters continue to be or become again smear-positive and thus pose a potential for transmission of infection to others. To investigate, in a high tuberculosis burden setting, the rate of re-treatment for smear-positive tuberculosis among cases defaulting from standardized treatment compared to successfully treated cases. Retrospective cohort study among smear-positive tuberculosis cases treated between 1996 and 2008 in two urban communities in Cape Town, South Africa. Episodes of re-treatment for smear-positive tuberculosis were ascertained via probabilistic record linkage. Survival analysis and Poisson regression were used to compare the rate of smear-positive tuberculosis after treatment default to that after successful treatment. A total of 2,136 smear-positive tuberculosis cases were included in the study. After treatment default, the rate of re-treatment for smear-positive tuberculosis was 6.86 (95% confidence interval [CI]: 5.59-8.41) per 100 person-years compared to 2.09 (95% CI: 1.81-2.41) after cure (adjusted Hazard Ratio [aHR]: 3.97; 95% CI: 3.00-5.26). Among defaulters, the rate was inversely associated with treatment duration and sputum conversion prior to defaulting. Smear grade at start of the index treatment episode (Smear3+: aHR 1.61; 95%CI 1.11-2.33) was independently associated with smear-positive tuberculosis re-treatment, regardless of treatment outcome. In this high-burden setting, there is a high rate of subsequent smear-positive tuberculosis after treatment default. Treatment defaulters are therefore likely to contribute to the pool of infectious source cases in the community. Our findings underscore the importance of preventing treatment default, as

Firewalls in bee nests-survival value of propolis walls of wild Cape honeybee (Apis mellifera capensis).

PubMed

Tribe, Geoff; Tautz, Jürgen; Sternberg, Karin; Cullinan, Jenny

2017-04-01

The Cape bee is endemic to the winter rainfall region of South Africa where fires are an integral part of the ecology of the fynbos (heathland) vegetation. Of the 37 wild nests in pristine Peninsula Sandstone Fynbos in the Cape Point section of Table Mountain National Park that have been analyzed so far, only 22 could be accessed sufficiently to determine the existence of a propolis wall of which 68% had propolis walls which entirely enclosed their openings. The analysis of the 37 wild nests revealed that 78% occurred under boulders or in clefts within rocks, 11% in the ground, 8% in tree cavities, and 3% within shrubs. The analysis of 17 of these nests following a fire within the park revealed that the propolis walls materially protected the nests and retarded the fire with all the colonies surviving. The bees responded to the smoke by imbibing honey and retreating to the furthest recess of their nest cavity. The bees were required to utilize this honey for about 3 weeks after which fire-loving plants appeared and began flowering. Considerable resources were utilized in the construction of the propolis walls, which ranged in thickness from 1.5 to 40 mm (mean 5 mm). Its physical environment determines the nesting behavior of the Cape bee. The prolific use of propolis serves to insulate the nest from extremes of temperature and humidity, restricts entry, camouflages the nest, and acts as an effective fire barrier protecting nests established mostly under rocks in vegetation subjected to periodic fires.

Firewalls in bee nests—survival value of propolis walls of wild Cape honeybee ( Apis mellifera capensis)

NASA Astrophysics Data System (ADS)

Tribe, Geoff; Tautz, Jürgen; Sternberg, Karin; Cullinan, Jenny

2017-04-01

The Cape bee is endemic to the winter rainfall region of South Africa where fires are an integral part of the ecology of the fynbos (heathland) vegetation. Of the 37 wild nests in pristine Peninsula Sandstone Fynbos in the Cape Point section of Table Mountain National Park that have been analyzed so far, only 22 could be accessed sufficiently to determine the existence of a propolis wall of which 68% had propolis walls which entirely enclosed their openings. The analysis of the 37 wild nests revealed that 78% occurred under boulders or in clefts within rocks, 11% in the ground, 8% in tree cavities, and 3% within shrubs. The analysis of 17 of these nests following a fire within the park revealed that the propolis walls materially protected the nests and retarded the fire with all the colonies surviving. The bees responded to the smoke by imbibing honey and retreating to the furthest recess of their nest cavity. The bees were required to utilize this honey for about 3 weeks after which fire-loving plants appeared and began flowering. Considerable resources were utilized in the construction of the propolis walls, which ranged in thickness from 1.5 to 40 mm (mean 5 mm). Its physical environment determines the nesting behavior of the Cape bee. The prolific use of propolis serves to insulate the nest from extremes of temperature and humidity, restricts entry, camouflages the nest, and acts as an effective fire barrier protecting nests established mostly under rocks in vegetation subjected to periodic fires.

Differences in the clinical-epidemiological profile between new cases of tuberculosis and retreatment cases after default.

PubMed

Belchior, Aylana de Souza; Arcêncio, Ricardo Alexandre; Mainbourg, Evelyne Marie Therese

2016-01-01

To identify the socioeconomic and clinical-epidemiological factors related to tuberculosis in new cases and retreatment cases. Comparative study with 126 patients, of which 42 were retreatment cases after default attended in a reference center, and 84 were new cases completing the first treatment and treated in Basic Health Units. The collection of primary data was through interview, and of secondary data by records of the Notifiable Diseases Information System. Comparative analysis between the two groups. The new cases differ from retreatment cases regarding educational level. The clinical-epidemiological profile shows a significant difference in relation to performance of the tuberculin skin test, and the HIV test result (positive) in favor of new cases. In relation to performance of sputum culture and the result (positive) of the first sputum smear of the first and second samples, in favor of retreatment cases. The two groups are significantly different in clinical and epidemiological characteristics that show the access to exams. Identificar fatores socioeconômicos e clínico-epidemiológicos associados à tuberculose em casos novos e em casos em retratamento. Estudo comparativo de 126 pacientes, sendo 42 casos em retratamento por abandono atendidos num Centro de Referência e 84 casos novos concluindo o primeiro tratamento, atendidos em Unidades Básicas de Saúde. Levantamento de dados primários por entrevista e dados secundários pela Ficha de Informação de Agravos de Notificação. Análise comparativa entre os dois grupos. Os casos novos diferem dos em retratamento quanto à escolaridade. O perfil clínico-epidemiológico mostra que há diferença significativa quanto à realização do teste tuberculínico e o resultado do teste HIV (positivo) a favor dos casos novos. Quanto à realização da cultura de escarro e o resultado (positivo) da baciloscopia de escarro da primeira e da segunda amostras, a favor dos casos em retratamento. Os dois grupos

Geomorphic response of rivers to glacial retreat and increasing peak flows downstream from Mount Rainier, Washington

NASA Astrophysics Data System (ADS)

Czuba, J. A.; Barnas, C. R.; Magirl, C. S.; Voss, F. D.

2010-12-01

On Mount Rainier, Washington, the National Park Service has documented widespread aggradation of as much as 10 m since the early 20th century, of rivers draining the glaciated stratovolcano. This rapid sedimentation appears to be related to glacial retreat and also may be a function of the increased magnitude and timing of peak flows that mobilize and transport sediment. We are conducting an assessment of the Puget Lowland rivers that drain Mount Rainier, 25-100 km downstream from the park boundary, to document the geomorphic response of the downstream reaches given the widespread aggradation upstream. These downstream reaches provide critical aquatic habitat for spawning and rearing of several species of salmonids, including endangered Chinook salmon and steelhead. Fluvial sedimentation can have both deleterious and beneficial effects on aquatic habitat depending on sediment particle size, river slope and width, and river management. To date, our work shows sedimentation of as much as 2 m between 1984 and 2009 in these lowland rivers. Aggradation rates that were calculated by comparing channel change at 156 cross sections, ranged between 4.8 and 9.1 cm/yr in reaches where rivers exit the mountain front and enter the lowland. Analysis of streamflow-gaging station data from throughout the watersheds draining Mount Rainier show rapid incision and aggradation, suggesting pulses of coarse-grained bedload may be moving down the mountainous rivers as kinetic waves. Preliminary results, however, seem to indicate that the rivers in the Puget Lowland have not yet experienced significant widespread sedimentation directly related to glacial retreat. Estimating the time of arrival of mobilized alluvium is a critical need for resource managers given the potential effects of sedimentation on river flood-conveyance capacity, fish habitat, and estuarine wetlands.

Lower cell wall pectin solubilisation and galactose loss during early fruit development in apple (Malus x domestica) cultivar 'Scifresh' are associated with slower softening rate.

PubMed

Ng, Jovyn K T; Schröder, Roswitha; Brummell, David A; Sutherland, Paul W; Hallett, Ian C; Smith, Bronwen G; Melton, Laurence D; Johnston, Jason W

2015-03-15

Substantial differences in softening behaviour can exist between fruit even within the same species. Apple cultivars 'Royal Gala' and 'Scifresh' soften at different rates despite having a similar genetic background and producing similar amounts of ethylene during ripening. An examination of cell wall metabolism from the fruitlet to the ripe stages showed that in both cultivars pectin solubilisation increased during cell expansion, declined at the mature stage and then increased again during ripening. This process was much less pronounced in the slower softening 'Scifresh' than in 'Royal Gala' at every developmental stage examined, consistent with less cell separation and softening in this cultivar. Both cultivars also exhibited a progressive loss of pectic galactan and arabinan side chains during development. The cell wall content of arabinose residues was similar in both cultivars, but the galactose residue content in 'Scifresh' remained higher than that of 'Royal Gala' at every developmental stage. The higher content of cell wall galactose residue in 'Scifresh' cell walls correlated with a lower β-galactosidase activity and more intense immunolabelling of RG-I galactan side chains in both microscopy sections and glycan microarrays. A high cell wall galactan content has been associated with reduced cell wall porosity, which may restrict access of cell wall-modifying enzymes and thus maintain better structural integrity later in development. The data suggest that the composition and structure of the cell wall at very early development stages may influence subsequent cell wall loosening, and may even predispose the wall's ensuing properties. Copyright © 2014 Elsevier GmbH. All rights reserved.

Early ice retreat and ocean warming may induce copepod biogeographic boundary shifts in the Arctic Ocean

NASA Astrophysics Data System (ADS)

Feng, Zhixuan; Ji, Rubao; Campbell, Robert G.; Ashjian, Carin J.; Zhang, Jinlun

2016-08-01

Early ice retreat and ocean warming are changing various facets of the Arctic marine ecosystem, including the biogeographic distribution of marine organisms. Here an endemic copepod species, Calanus glacialis, was used as a model organism, to understand how and why Arctic marine environmental changes may induce biogeographic boundary shifts. A copepod individual-based model was coupled to an ice-ocean-ecosystem model to simulate temperature- and food-dependent copepod life history development. Numerical experiments were conducted for two contrasting years: a relatively cold and normal sea ice year (2001) and a well-known warm year with early ice retreat (2007). Model results agreed with commonly known biogeographic distributions of C. glacialis, which is a shelf/slope species and cannot colonize the vast majority of the central Arctic basins. Individuals along the northern boundaries of this species' distribution were most susceptible to reproduction timing and early food availability (released sea ice algae). In the Beaufort, Chukchi, East Siberian, and Laptev Seas where severe ocean warming and loss of sea ice occurred in summer 2007, relatively early ice retreat, elevated ocean temperature (about 1-2°C higher than 2001), increased phytoplankton food, and prolonged growth season created favorable conditions for C. glacialis development and caused a remarkable poleward expansion of its distribution. From a pan-Arctic perspective, despite the great heterogeneity in the temperature and food regimes, common biogeographic zones were identified from model simulations, thus allowing a better characterization of habitats and prediction of potential future biogeographic boundary shifts.

River piracy and drainage basin reorganization led by climate-driven glacier retreat

NASA Astrophysics Data System (ADS)

Shugar, Daniel H.; Clague, John J.; Best, James L.; Schoof, Christian; Willis, Michael J.; Copland, Luke; Roe, Gerard H.

2017-04-01

River piracy--the diversion of the headwaters of one stream into another one--can dramatically change the routing of water and sediment, with a profound effect on landscape evolution. Stream piracy has been investigated in glacial environments, but so far it has mainly been studied over Quaternary or longer timescales. Here we document how retreat of Kaskawulsh Glacier--one of Canada's largest glaciers--abruptly and radically altered the regional drainage pattern in spring 2016. We use a combination of hydrological measurements and drone-generated digital elevation models to show that in late May 2016, meltwater from the glacier was re-routed from discharge in a northward direction into the Bering Sea, to southward into the Pacific Ocean. Based on satellite image analysis and a signal-to-noise ratio as a metric of glacier retreat, we conclude that this instance of river piracy was due to post-industrial climate change. Rapid regional drainage reorganizations of this type can have profound downstream impacts on ecosystems, sediment and carbon budgets, and downstream communities that rely on a stable and sustained discharge. We suggest that the planforms of Slims and Kaskawulsh rivers will adjust in response to altered flows, and the future Kaskawulsh watershed will extend into the now-abandoned headwaters of Slims River and eventually capture the Kluane Lake drainage.

Efficacy of ProTaper and Mtwo Retreatment Files in Removal of Gutta-percha and GuttaFlow from Root Canals

PubMed Central

Khedmat, Sedigheh; Azari, Abbas; Shamshiri, Ahmad Reza; Fadae, Mehdi; Bashizadeh Fakhar, Hoorieh

2016-01-01

Introduction: The aim of this in vitro study was to compare the efficacy of ProTaper retreatment (ProTaper R) and Mtwo retreatment (Mtwo R) files in removing gutta-percha and GuttaFlow from endodontically treated straight root canals. Methods and Materials: The root canals of 60 human mandibular single-rooted premolars were prepared and randomly divided into two groups (n=30). In groups A and B the root canals were obturated using lateral condensation of gutta-percha plus AH 26 and GuttaFlow, respectively. The canal orifices were temporarily sealed and the roots were incubated for 3 months at 37ºC and 100% humidity. Primary cone-beam computed tomography (CBCT) images were taken after incubation period. The specimens in each group were randomly divided into two subgroups (n=15). ProTaper R files (D1, D2, and D3) were used in groups A1 and B1 while Mtwo R files (25/0.05 and 15/0.05) were used in groups A2 and B2. The time required to extirpate the root filling was also recorded. After retreatment, another CBCT scan was taken at the same position. The volume of remaining filling materials inside the canals was calculated before and after retreatment. The data was analyzed using the two-way ANOVA and independent t-test. Results: The remaining filling materials in the canals treated with ProTaper were less than Mtwo. The remaining volume of GuttaFlow was less than gutta-percha regardless of the system applied. Mtwo R files removed root fillings faster than ProTaper R. Conclusion: ProTaper R removed filling material more efficiently compared to Mtwo R which required less time to remove root filling material. PMID:27471528

A comparative evaluation of two rotary Ni-Ti instruments in the removal of gutta-percha during retreatment.

PubMed

Preetam, C S; Chandrashekhar, M; Gunaranjan, T; Kumar, S Kishore; Miskeen Sahib, S A; Kumar, M Senthil

2016-08-01

The purpose of this study is to achieve an effective method to remove root canal filling material from the root canal system. The study, thus, aims to evaluate the efficacy of the cleaning ability of two different rotary Ni-Ti systems; ProTaper Retreatment files and RaCe System compared to hand instrumentation with Hedstrom files for the removal of gutta-percha during retreatment. Thirty mandibular premolars with one single straight canal were decoronated and instrumented with ProTaper files and filled with thermoplastic gutta-percha. After 30 days, the samples were divided into three groups and gutta-percha was removed with the test instruments. The postoperative radiographs were evaluated with known criteria by dividing the root into cervical third, middle third, and apical third. The results were tabulated and Statistical Package for Social Sciences Software (IBM Corporation) was used for analysis. The mean deviation of the results were first calculated and then t-test and analysis of variance test (two-tailed P value) were evaluated for establishing significant differences. The rotary instruments were effective in removing the gutta-percha from the canals. Therefore, significant difference was observed between the efficacies of the two rotary systems used. The rotary instruments showed effective gutta-percha removal in the cervical and middle one third. (P > 0.05). However, apical debridement was effective with Hedstrom files. The study concluded the use of both rotary and hand instrumentation for effective removal of gutta-percha for retreatment.

Retreatment With Varenicline for Smoking Cessation in Smokers Who Have Previously Taken Varenicline: A Randomized, Placebo-Controlled Trial

PubMed Central

Gonzales, D; Hajek, P; Pliamm, L; Nackaerts, K; Tseng, L-J; McRae, T D; Treadow, J

2014-01-01

The efficacy and safety of retreatment with varenicline in smokers attempting to quit were evaluated in this randomized, double-blind, placebo-controlled, multicenter trial (Australia, Belgium, Canada, the Czech Republic, France, Germany, the United Kingdom, and the United States). Participants were generally healthy adult smokers (≥10 cigarettes/day) with ≥1 prior quit attempt (≥2 weeks) using varenicline and no quit attempts in ≤3 months; they were randomly assigned (1:1) to 12 weeks' varenicline (n = 251) or placebo (n = 247) treatment, with individual counseling, plus 40 weeks' nontreatment follow-up. The primary efficacy end point was the carbon monoxide–confirmed (≤10 ppm) continuous abstinence rate for weeks 9–12, which was 45.0% (varenicline; n = 249) vs. 11.8% (placebo; n = 245; odds ratio: 7.08; 95% confidence interval: 4.34, 11.55; P < 0.0001). Common varenicline group adverse events were nausea, abnormal dreams, and headache, with no reported suicidal behavior. Varenicline is efficacious and well tolerated in smokers who have previously taken it. Abstinence rates are comparable with rates reported for varenicline-naive smokers. PMID:24911368

Recent glacier retreat and lake formation in the Querecocha watershed, Cordillera Blanca, Peru

NASA Astrophysics Data System (ADS)

López Moreno, J.; Valero-Garces, B.; Revuelto, J.; Azorín-Molina, C.; Bazo, J.; Cochachin, A.; Fontaneda, S.; Mark, B. G.

2013-12-01

In the Andes, and specifically in the Peruvian mountains a marked decrease of the glaciated area has occurred since the end of the Little Ice Age, and it has been accelerated since the last decades of the 20th century. As a result of the glacier retreat new pro-glaciar lakes are originated, and often the area and volume of existing ones increases. The study of these newly-formed lakes and their recent evolution may provide a better understanding of the hydrological and geomorphological evolution of deglaciated areas, and a better evaluation of the risk of glacial lakes outburst floods (GLOFS). In this work, we use 26 annual Landsat Thematic Mapper images from 1975 to 2010 to determine changes of the glaciated surface, snow line elevation and lakes formation in the headwaters of the Querecocha watershed in Cordillera Blanca (Perú). We also present the information derived from 10 short sediment cores (up to 50 cm long) retrieved along several transects in Yanamarey Lake. Both data sets inform of the sediment yield and lake development in recently deglaciated environments of the Andes. Results demonstrate that only one third of the surface covered by ice in 1975 remained in 2010. In this period, snowline has shifted up more than 100 meters in elevation in both, Yanamarey North and South areas respectively. At the same time, new lakes have been formed very quickly in these deglaciated areas. Preliminary 137Cs dating of Yanamarey sediment core indicates that at least the top 50 cm of the lake sequence deposited after 1960. This is coherent with the Landsat image of 1975 that showed the current surface of the lake still covered by ice. The high sediment rate (> 1 cm/yr) in the lake demonstrates the very high sediment yield in these geomorphically active settings. The sediment cores are composed of cm-thick sequences defined by grain-size (silt-clay) common in proglacial lakes reflecting the variability of hydrological response associated to the glacier retreat in the

Changes in bacterioplankton community structure during early lake ontogeny resulting from the retreat of the Greenland Ice Sheet

PubMed Central

Peter, Hannes; Jeppesen, Erik; De Meester, Luc; Sommaruga, Ruben

2018-01-01

Retreating glaciers and ice sheets are among the clearest signs of global climate change. One consequence of glacier retreat is the formation of new meltwater-lakes in previously ice-covered terrain. These lakes provide unique opportunities to understand patterns in community organization during early lake ontogeny. Here, we analyzed the bacterial community structure and diversity in six lakes recently formed by the retreat of the Greenland Ice Sheet (GrIS). The lakes represented a turbidity gradient depending on their past and present connectivity to the GrIS meltwaters. Bulk (16S rRNA genes) and putatively active (16S rRNA) fractions of the bacterioplankton communities were structured by changes in environmental conditions associated to the turbidity gradient. Differences in community structure among lakes were attributed to both, rare and abundant community members. Further, positive co-occurrence relationships among phylogenetically closely related community members dominate in these lakes. Our results show that environmental conditions along the turbidity gradient structure bacterial community composition, which shifts during lake ontogeny. Rare taxa contribute to these shifts, suggesting that the rare biosphere has an important ecological role during early lakes ontogeny. Members of the rare biosphere may be adapted to the transient niches in these nutrient poor lakes. The directionality and phylogenetic structure of co-occurrence relationships indicate that competitive interactions among closely related taxa may be important in the most turbid lakes. PMID:29087379

Impact of Basal Conditions on Grounding-Line Retreat

NASA Astrophysics Data System (ADS)

Koellner, S. J.; Parizek, B. R.; Alley, R. B.; Muto, A.; Holschuh, N.; Nowicki, S.

2017-12-01

current grounding-line position. Mixed rheology beds tend to mimic the retreat of the higher-exponent bed, a behavior enhanced over bumps as the stabilizing ridges tap into ice from local valleys. Thus, accounting for variable basal conditions in ice-sheet model projections is critical for improving both the timing and magnitude of retreat.

Tracking Retreat of the North Seasonal Ice Cap on Mars: Results from the THEMIS Investigation

NASA Technical Reports Server (NTRS)

Ivanov, A. B.; Wagstaff, K. L.; Ttus, T. N.

2005-01-01

The CO2 ice caps on Mars advance and retreat with the seasons. This phenomenon was first observed by Cassini and then confirmed by numerous ground based observations in 19th and 20th centuries. With the advent of the space age observations of the seasonal ice cap were done by all orbiting spacecraft starting with Mariner 7. Viking Orbiters and more recently the Mars Global Surveyor (particularly Mars Orbiter Camera (MOC) and Thermal Emission Spectrometer (TES) instruments) have accumulated significant data on the retreat of the CO2 seasonal cap. During Mars year 2 of THEMIS operations at Mars, we planned an observational campaign in which the THEMIS instrument (onboard the Mars Odyssey spacecraft) repeatedly observed the north seasonal polar cap from midwinter to late spring. THEMIS allows simultaneous observations in both Thermal IR (12.57 m) and Visible wavelengths (0.65 m). One of the goals for this work is to initiate an interannual program for observations of the seasonal ice caps using the THEMIS instrument. The most efficient way to detect the edge between frost and bare ground is directly onboard of the spacecraft. Prior to onboard software design effort, we have developed two groundbased algorithms for automatically finding the edge of the seasonal polar cap in THEMIS IR data. The first algorithm relies on fully calibrated data and can be used for highly reliable groundbased analyses. The second method was specifically developed for processing raw, uncalibrated data in a highly efficient way. It has the potential to enable automatic, onboard detections of the seasonal cap retreat. We have experimentally confirmed that both methods produce similar results, and we have validated both methods against a model constructed from the MGS TES data from the same season.

Re-treatment decisions for failed posterior fillings by Finnish general practitioners.

PubMed

Heinikainen, Mia; Vehkalahti, Miira; Murtomaa, Heikki

2002-06-01

To evaluate treatment decisions of general dental practitioners (GDPs) in the private and public sector in cases of re-treatment of failed posterior fillings. A questionnaire on six cases from 400 GDPs, selected by stratified randomisation by gender, and main occupation (public vs. private sector). Others were all full-time dental teachers (DTs; n=47) representing clinical disciplines other than surgery and orthodontics. Restorative cases were described in detail, including figures drawn on four subcases involving the first permanent upper molar where the filling to be replaced increased in size from occlusal filling to the entire clinical crown. For each case, respondents chose the optimal treatment from eight alternatives, later re-classified as amalgam restoration, direct composite restoration, prosthetic restoration (indirect composite, cast gold inlay/onlay, ceramic inlay/onlay, ceramic crown, or bridge construction following tooth extraction). For re-treatment of the occlusal filling, composite restoration was preferred both by GDPs (92%) and DTs (83%). For three-surface fillings, prosthetic restorations were dominant in the private sector (OR=2.3; 95% CI: 1.4, 3.8; P<0.001). In total loss of the clinical crown, prosthetic restoration was chosen by all the DTs, public-sector dentists, and 95% of private-sector dentists. No more than 10% of GDPs chose amalgam and 2% gold; the rest chose composites. Treatment decisions were similar in public and private sectors for cases with the smallest and largest fillings. Wide variation in cases of medium-sized restorations indicated a lack of generally accepted guidelines of good clinical practice and of evidence-based treatment practice.

Analytical analysis of the temporal asymmetry between seawater intrusion and retreat

NASA Astrophysics Data System (ADS)

Rathore, Saubhagya Singh; Zhao, Yue; Lu, Chunhui; Luo, Jian

2018-01-01

The quantification of timescales associated with the movement of the seawater-freshwater interface is useful for developing effective management strategies for controlling seawater intrusion (SWI). In this study, for the first time, we derive an explicit analytical solution for the timescales of SWI and seawater retreat (SWR) in a confined, homogeneous coastal aquifer system under the quasi-steady assumption, based on a classical sharp-interface solution for approximating freshwater outflow rates into the sea. The flow continuity and hydrostatic equilibrium across the interface are identified as two primary mechanisms governing timescales of the interface movement driven by an abrupt change in discharge rates or hydraulic heads at the inland boundary. Through theoretical analysis, we quantified the dependence of interface-movement timescales on porosity, hydraulic conductivity, aquifer thickness, aquifer length, density ratio, and boundary conditions. Predictions from the analytical solution closely agreed with those from numerical simulations. In addition, we define a temporal asymmetry index (the ratio of the SWI timescale to the SWR timescale) to represent the resilience of the coastal aquifer in response to SWI. The developed analytical solutions provide a simple tool for the quick assessment of SWI and SWR timescales and reveal that the temporal asymmetry between SWI and SWR mainly relies on the initial and final values of the freshwater flux at the inland boundary, and is weakly affected by aquifer parameters. Furthermore, we theoretically examined the log-linearity relationship between the timescale and the freshwater flux at the inland boundary, and found that the relationship may be approximated by two linear functions with a slope of -2 and -1 for large changes at the boundary flux for SWI and SWR, respectively.

Using timing of ice retreat to predict timing of fall freeze-up in the Arctic

NASA Astrophysics Data System (ADS)

Stroeve, Julienne C.; Crawford, Alex D.; Stammerjohn, Sharon

2016-06-01

Reliable forecasts of the timing of sea ice advance are needed in order to reduce risks associated with operating in the Arctic as well as planning of human and environmental emergencies. This study investigates the use of a simple statistical model relating the timing of ice retreat to the timing of ice advance, taking advantage of the inherent predictive power supplied by the seasonal ice-albedo feedback and ocean heat uptake. Results show that using the last retreat date to predict the first advance date is applicable in some regions, such as Baffin Bay and the Laptev and East Siberian seas, where a predictive skill is found even after accounting for the long-term trend in both variables. Elsewhere, in the Arctic, there is some predictive skills depending on the year (e.g., Kara and Beaufort seas), but none in regions such as the Barents and Bering seas or the Sea of Okhotsk. While there is some suggestion that the relationship is strengthening over time, this may reflect that higher correlations are expected during periods when the underlying trend is strong.

Dimensionless number is central to stress relaxation and expansive growth of the cell wall.

PubMed

Ortega, Joseph K E

2017-06-07

Experiments demonstrate that both plastic and elastic deformation of the cell wall are necessary for wall stress relaxation and expansive growth of walled cells. A biophysical equation (Augmented Growth Equation) was previously shown to accurately model the experimentally observed wall stress relaxation and expansive growth rate. Here, dimensional analysis is used to obtain a dimensionless Augmented Growth Equation with dimensionless coefficients (groups of variables, or Π parameters). It is shown that a single Π parameter controls the wall stress relaxation rate. The Π parameter represents the ratio of plastic and elastic deformation rates, and provides an explicit relationship between expansive growth rate and the wall's mechanical properties. Values for Π are calculated for plant, algal, and fungal cells from previously reported experimental results. It is found that the Π values for each cell species are large and very different from each other. Expansive growth rates are calculated using the calculated Π values and are compared to those measured for plant and fungal cells during different growth conditions, after treatment with IAA, and in different developmental stages. The comparison shows good agreement and supports the claim that the Π parameter is central to expansive growth rate of walled cells.

Rescreening for abnormal vaginal flora in pregnancy and re-treating with clindamycin vaginal cream significantly increases cure and improvement rates.

PubMed

Lamont, R F; Taylor-Robinson, D; Bassett, P

2012-08-01

We investigated 199 pregnant women with bacterial vaginosis (BV) who received clindamycin vaginal cream (CVC) for three days and compared with 205 women treated with placebo. The vaginal flora was assessed at each visit. At the second visit, 71% in the CVC group were cured/improved, compared with 12% in the placebo group (P < 0.001). At visit 3 about 90% who responded to initial CVC treatment were still cured/improved. Of women who initially failed to respond to CVC and were given an additional seven-day course, 33% were cured/improved by the third visit, compared with 15% who failed to respond to placebo initially and were given a further seven-day course (P = 0.02). By visit 4, half the women in the CVC group who received additional treatment remained cured/improved, compared with 26% who had additional placebo (P = 0.004). In the CVC group, a change from abnormal to normal rose from 71% (visit 2) to 76% (visit 3) and 79% (visit 4). A similar trend was seen in women who received placebo but the proportions were significantly lower (12%, 24% and 33%, respectively). There is value in rescreening and re-treating women who remain BV-positive after initial clindamycin treatment.

Scale resolving computation of submerged wall jets on flat wall with different roughness heights

NASA Astrophysics Data System (ADS)

Paik, Joongcheol; Bombardelli, Fabian

2014-11-01

Scale-adaptive simulation is used to investigate the response of velocity and turbulence in submerged wall jets to abrupt changes from smooth to rough beds. The submerged wall jets were experimentally investigated by Dey and Sarkar [JFM, 556, 337, 2006] at the Reynolds number of 17500 the Froude number of 4.09 and the submergence ratio of 1.12 on different rough beds that were generated by uniform sediments of different median diameters The SAS is carried out by means of a second-order-accurate finite volume method in space and time and the effect of bottom roughness is treated by the approach of Cebeci (2004). The evolution of free surface is captured by employing the two-phase volume of fluid (VOF) technique. The numerical results obtained by the SAS approach, incorporated with the VOF and the rough wall treatment, are in good agreement with the experimental measurements. The computed turbulent boundary layer grows more quickly and the depression of the free surface is more increased on the rough wall than those on smooth wall. The size of the fully developed zone shrinks and the decay rate of maximum streamwise velocity and Reynolds stress components are faster with increase in the wall roughness. Supported by NSF and NRF of Korea.

Double-Sided Wedge Model For Retreating Subduction Zones: Applications to the Apenninic and Hellenic Subduction Zones (Invited)

NASA Astrophysics Data System (ADS)

Brandon, M. T.; Willett, S.; Rahl, J. M.; Cowan, D. S.

2009-12-01

We propose a new model for the evolution of accreting wedges at retreating subduction zones. Advance and retreat refer to the polarity of the velocity of the overriding plate with respect to subduction zone. Advance indicates a velocity toward the subduction zone (e.g., Andes) and retreat, away from the subduction zone (e.g. Apennines, Crete). The tectonic mode of a subduction zone, whether advancing or retreating, is a result of both the rollback of the subducting plate and the absolute motion of the overriding plate. The Hellenic and Apenninic wedges are both associated with retreating subduction zones. The Hellenic wedge has been active for about 100 Ma, whereas the Apenninic wedge has been active for about 30 Ma. Comparison of maximum metamorphic pressures for exhumed rocks in these wedges (25 and 30 km, respectively) with the maximum thickness of the wedges at present (30 and 35 km, respectively) indicates that each wedge has maintained a relatively steady size during its evolution. This conclusion is based on the constraint that both frictional and viscous wedges are subject to the constraint of a steady wedge taper, so that thickness and width are strongly correlated. Both wedges show clear evidence of steady accretion during their full evolution, with accretionary fluxes of about 60 and 200 km2 Ma-1. These wedges also both show steady drift of material from the front to the rear of the wedge, with horizontal shortening dominating in the front of the wedge, and horizontal extension within the back of the wedge. We propose that these wedges represent two back-to-back wedges, with a convergent wedge on the leading side (proside), and a divergent wedge on the trailing side (retroside). In this sense, the wedges are bound by two plates. The subducting plate is familiar. It creates a thrust-sense traction beneath the proside of the wedge. The second plate is an “educting” plate, which is creates a normal-sense traction beneath the retroside of the wedge. The

Tensile Yielding of Multi-Wall Carbon Nanotube

NASA Technical Reports Server (NTRS)

Wei, Chenyu; Cho, Kyeongjae; Srivastava, Deepak; Parks, John W. (Technical Monitor)

2002-01-01

The tensile yielding of multiwall carbon nanotubes (MWCNTs) has been studied using Molecular Dynamics simulations and a Transition State Theory based model. We find a strong dependence of the yielding on the strain rate. A critical strain rate has been predicted above/below which yielding strain of a MWCNT is larger/smaller than that of the corresponding single-wall carbon nanotubes. At experimentally feasible strain rate of 1% /hour and T = 300K, the yield strain of a MWCNT is estimated to be about 3-4 % higher than that of an equivalent SWCNT (Single Wall Carbon Nanotube), in good agreement with recent experimental observations.

Historical analysis and visualization of the retreat of Findelengletscher, Switzerland, 1859-2010

NASA Astrophysics Data System (ADS)

Rastner, P.; Joerg, P. C.; Huss, M.; Zemp, M.

2016-10-01

Since the end of the Little Ice Age around 1850, glaciers in Europe have strongly retreated. Thanks to early topographic surveys in Switzerland, accurate maps are available, which enable us to trace glacier changes back in time. The earliest map for all of Switzerland that is usable for a detailed analysis is the Dufour map from around 1850 with subsequent topographic maps on a 20 year interval. Despite the large public and scientific interest in glacier changes through time, this historic dataset has not yet been fully utilized for topographic change assessment or visualization of historic glacier extents. In this study, we use eleven historical topographic maps and more recent digital datasets for the region of Zermatt to analyze geometric changes (length, area and volume) of Findelengletscher as well as for creating animations of glacier evolution through time for use in public communication. All maps were georeferenced, the contour lines digitized, and digital elevation models (DEMs) created and co-registered. Additional digital data like the SRTM X-band DEM and high resolution laser scanning data were used to extend the analysis until 2010. Moreover, one independent DEM from aerial photogrammetry was used for comparison. During the period 1859-2010, Findelengletscher lost 3.5 km of its length (6.9 km in 2010), 4.42 ± 0.13 km2 of its area (15.05 ± 0.45 km2 in 2010) and 1.32 ± 0.52 km3 of its volume. The average rate of thickness loss is 0.45 ± 0.042 m yr- 1 for the 151 years period. Four periods with high thickness change from - 0.56 m ± 0.28 yr- 1 (1859-1881), - 0.40 ± 0.08 m yr- 1 (1937-1965), - 0.90 ± 0.31 m yr- 1 (1995-2000) and - 1.18 ± 0.02 m yr- 1 (2000-2005) have been identified. Small positive thickness changes were found for the periods 1890-1909 (+ 0.09 ± 0.46 m yr- 1) and 1988-1995 (+ 0.05 ± 0.24 m yr- 1). During its retreat with intermittent periods of advance, the glacier separated into three parts. The above changes are demonstrated

Evidence for using Monte Carlo calculated wall attenuation and scatter correction factors for three styles of graphite-walled ion chamber.

PubMed

McCaffrey, J P; Mainegra-Hing, E; Kawrakow, I; Shortt, K R; Rogers, D W O

2004-06-21

The basic equation for establishing a 60Co air-kerma standard based on a cavity ionization chamber includes a wall correction term that corrects for the attenuation and scatter of photons in the chamber wall. For over a decade, the validity of the wall correction terms determined by extrapolation methods (K(w)K(cep)) has been strongly challenged by Monte Carlo (MC) calculation methods (K(wall)). Using the linear extrapolation method with experimental data, K(w)K(cep) was determined in this study for three different styles of primary-standard-grade graphite ionization chamber: cylindrical, spherical and plane-parallel. For measurements taken with the same 60Co source, the air-kerma rates for these three chambers, determined using extrapolated K(w)K(cep) values, differed by up to 2%. The MC code 'EGSnrc' was used to calculate the values of K(wall) for these three chambers. Use of the calculated K(wall) values gave air-kerma rates that agreed within 0.3%. The accuracy of this code was affirmed by its reliability in modelling the complex structure of the response curve obtained by rotation of the non-rotationally symmetric plane-parallel chamber. These results demonstrate that the linear extrapolation technique leads to errors in the determination of air-kerma.

Dynamics of chest wall volume regulation during constant work rate exercise in patients with chronic obstructive pulmonary disease

PubMed Central

Takara, L.S.; Cunha, T.M.; Barbosa, P.; Rodrigues, M.K.; Oliveira, M.F.; Nery, L.E.; Neder, J.A.

2012-01-01

This study evaluated the dynamic behavior of total and compartmental chest wall volumes [(VCW) = rib cage (VRC) + abdomen (VAB)] as measured breath-by-breath by optoelectronic plethysmography during constant-load exercise in patients with stable chronic obstructive pulmonary disease. Thirty males (GOLD stages II-III) underwent a cardiopulmonary exercise test to the limit of tolerance (Tlim) at 75% of peak work rate on an electronically braked cycle ergometer. Exercise-induced dynamic hyperinflation was considered to be present when end-expiratory (EE) VCW increased in relation to resting values. There was a noticeable heterogeneity in the patterns of VCW regulation as EEVCW increased non-linearly in 17/30 “hyperinflators” and decreased in 13/30 “non-hyperinflators” (P < 0.05). EEVAB decreased slightly in 8 of the “hyperinflators”, thereby reducing and slowing the rate of increase in end-inspiratory (EI) VCW (P < 0.05). In contrast, decreases in EEVCW in the “non-hyperinflators” were due to the combination of stable EEVRC with marked reductions in EEVAB. These patients showed lower EIVCW and end-exercise dyspnea scores but longer Tlim than their counterparts (P < 0.05). Dyspnea increased and Tlim decreased non-linearly with a faster rate of increase in EIVCW regardless of the presence or absence of dynamic hyperinflation (P < 0.001). However, no significant between-group differences were observed in metabolic, pulmonary gas exchange and cardiovascular responses to exercise. Chest wall volumes are continuously regulated during exercise in order to postpone (or even avoid) their migration to higher operating volumes in patients with COPD, a dynamic process that is strongly dependent on the behavior of the abdominal compartment. PMID:23250012

Glacier Retreat in the Southern Peruvian Andes: Climate Change, Environmental Impacts, Human Perception and Social Response

NASA Astrophysics Data System (ADS)

Orlove, B.

2007-12-01

This paper presents results from recent environmental and anthropological research near glacierized areas in the department of Cusco, Peru, home to the well-known Quelccaya Ice Cap and to the peak of Ausangate (6384 m). Glaciers in the region are in negative mass balance, losing volume and area, with upslope movement of the glacier fronts. Somewhat paradoxically, flows in many streams close to the glaciers are reduced, particularly in the dry season, due to a shift in the seasonal distribution of melting, to increased evaporation and to increased percolation into newly-exposed sands and gravels. Associated with this reduction in flow is a desiccation of some anthropogenic and natural wetlands, reducing the availability of dry season forage to wild (vicuna) and domesticated (alpaca, llama) ruminants. Interviews and ethnographic observations with local populations of Quechua-speaking herders at elevations of 4500-5200 meters provide detailed comments on these changes. They have an extensive vocabulary of terms for glacial features associated with retreat. They link this treat with environmental factors (higher temperatures, greater winds that deposit dust on lower portions of glaciers) and with religious factors (divine punishment for human wrong-doing, failure of humans to respect mountain spirits). They describe a variety of economic and extra-economic impacts of this retreat on different spatial, social and temporal scales. Though they face other issues as well (threats of pollution from new mining projects, inadequacy of government services), glacier retreat is their principal concern. Many herders express extreme distress over this unprecedented threat to their livelihoods and communities, though a few propose responses - out-migration, the formation of an association of neighboring communities, development of irrigation works - that could serve as adaptations.

Gradients in Wall Mechanics and Polysaccharides along Growing Inflorescence Stems.

PubMed

Phyo, Pyae; Wang, Tuo; Kiemle, Sarah N; O'Neill, Hugh; Pingali, Sai Venkatesh; Hong, Mei; Cosgrove, Daniel J

2017-12-01

At early stages of Arabidopsis ( Arabidopsis thaliana ) flowering, the inflorescence stem undergoes rapid growth, with elongation occurring predominantly in the apical ∼4 cm of the stem. We measured the spatial gradients for elongation rate, osmotic pressure, cell wall thickness, and wall mechanical compliances and coupled these macroscopic measurements with molecular-level characterization of the polysaccharide composition, mobility, hydration, and intermolecular interactions of the inflorescence cell wall using solid-state nuclear magnetic resonance spectroscopy and small-angle neutron scattering. Force-extension curves revealed a gradient, from high to low, in the plastic and elastic compliances of cell walls along the elongation zone, but plots of growth rate versus wall compliances were strikingly nonlinear. Neutron-scattering curves showed only subtle changes in wall structure, including a slight increase in cellulose microfibril alignment along the growing stem. In contrast, solid-state nuclear magnetic resonance spectra showed substantial decreases in pectin amount, esterification, branching, hydration, and mobility in an apical-to-basal pattern, while the cellulose content increased modestly. These results suggest that pectin structural changes are connected with increases in pectin-cellulose interaction and reductions in wall compliances along the apical-to-basal gradient in growth rate. These pectin structural changes may lessen the ability of the cell wall to undergo stress relaxation and irreversible expansion (e.g. induced by expansins), thus contributing to the growth kinematics of the growing stem. © 2017 American Society of Plant Biologists. All Rights Reserved.

Laminar boundary layer near the rotating end wall of a confined vortex

NASA Astrophysics Data System (ADS)

Shakespeare, W. J.; Levy, E. K.

1982-06-01

The results of an experimental and theoretical investigation of the fluid mechanics in a confined vortex are discussed with particular emphasis on behavior away from the axis of symmetry and near the end walls. The vortex is generated in a rotating cylindrical chamber with an exit opening in one end. Both end walls rotate. For the range of flow rates and swirl ratios (S between 1 and 5) of interest here, the flow field far from the end walls behaves as inviscid and irrotational; and the end wall boundary layers are thin and laminar. Measurements and calculations of tangential and radial velocity in the end wall region show the development of a secondary flow resulting in a strong velocity 'overshoot' in the radial component. Results illustrating the nature of the velocity variations on the end walls are presented; and it is shown that the mass flow rate through the end wall boundary layers, while only a small fraction of the total flow, increases with increasing swirl and with decreasing total flow rate through the chamber.

The efficacy of ProTaper Universal rotary retreatment instrumentation to remove single gutta-percha cones cemented with several endodontic sealers.

PubMed

Ersev, H; Yilmaz, B; Dinçol, M E; Dağlaroğlu, R

2012-08-01

To evaluate residual root filling material following removal of three newly developed root canal sealers used with a matched-taper single-cone root filling technique and to compare the efficacy of ProTaper Universal rotary retreatment instruments with that of a conventional manual technique. The canals of 120 palatal roots in maxillary molar teeth were instrumented with EndoWave nickel-titanium rotary instruments and filled using Hybrid Root SEAL, EndoSequence BC Sealer, Activ GP system or AH Plus with matched-taper single gutta-percha cones. The root fillings were then removed with ProTaper Universal retreatment rotary instruments or a manual technique. Buccolingual and proximal digital radiographs of the roots were exposed to determine the area of remaining filling material in the coronal, middle and apical thirds. The area percentages of remaining filling material in each third and total canal area were calculated. Data were analysed statistically with Kruskal-Wallis and Mann-Whitney U-tests. The level of significance was set at P<0.05. Irrespective of the sealer type and retreatment technique, filling material could not be removed completely from the root canals. Significantly, more remaining filling material was observed in the apical third (P<0.05). When comparing the sealers, the only significant difference was detected between AH Plus/manual and Activ GP/manual groups with respect to residual material in the total canal area (P<0.05). There were no significant differences between manual and ProTaper groups. When using gross radiographic criteria, the Activ GP was more effectively removed from root canals than AH Plus with hand instrumentation. Hybrid Root SEAL, EndoSequence BC Sealer and AH Plus were removed to a similar extent. ProTaper Universal retreatment instruments were as safe and effective as hand instruments in reaching the working length. © 2012 International Endodontic Journal.